code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDT,D0120,periodic oral evaluation - established patient,,,30.87,133.69,3
CDT,D0140,limited oral evaluation - problem focused,,,50.61,72.99,2
CDT,D0145,HC ORAL EVAL PT <3YRS AGE,41.8,20.9,14.63,49.85,38
CDT,D0150,comprehensive oral evaluation - new or established patient,,,54.08,133.69,2
CDT,D0160,"detailed and extensive oral evaluation - problem focused, by report",,,153.26,153.26,1
CDT,D0170,"re-evaluation - limited, problem focused (established patient; not post-operative visit)",,,27.18,27.18,1
CDT,D0210,intraoral – comprehensive series of radiographic images,,,92.27,124.48,2
CDT,D0220,intraoral - periapical first radiographic image,,,18.94,24.65,2
CDT,D0230,intraoral - periapical each additional radiographic image,,,15.37,22.08,2
CDT,D0274,bitewings - four radiographic images,,,42.64,55.89,2
CDT,D0330,panoramic radiographic image,,,86.65,115.98,2
CDT,D0350,2D oral/facial photographic image obtained intra-orally or extra-orally,,,62.66,62.66,1
CDT,D0470,diagnostic casts,,,107.98,107.98,1
CDT,D1110,prophylaxis - adult,,,52.4,90.12,4
CDT,D1120,prophylaxis - child,,,133.69,133.69,1
CDT,D1206,HC TOPICAL FLUORIDE VARNISH,18.5,9.25,6.48,55.34,38
CDT,D1351,sealant - per tooth,,,374.33,374.33,1
CDT,D1510,"space maintainer - fixed, unilateral – per quadrant",,,374.33,374.33,1
CDT,D1516,"space maintainer - fixed - bilateral, maxillary",,,374.33,374.33,1
CDT,D1517,"space maintainer - fixed - bilateral, mandibular",,,374.33,374.33,1
CDT,D2140,"amalgam - one surface, primary or permanent",,,75.82,879.37,2
CDT,D2150,"amalgam - two surfaces, primary or permanent",,,879.37,879.37,1
CDT,D2160,"amalgam - three surfaces, primary or permanent",,,879.37,879.37,1
CDT,D2161,"amalgam - four or more surfaces, primary or permanent",,,879.37,879.37,1
CDT,D2330,"resin-based composite - one surface, anterior",,,94.43,879.37,2
CDT,D2331,"resin-based composite - two surfaces, anterior",,,120.8,879.37,2
CDT,D2332,"resin-based composite - three surfaces, anterior",,,879.37,879.37,1
CDT,D2335,resin-based composite - four or more surfaces (anterior),,,174.61,879.37,2
CDT,D2391,"resin-based composite – one surface, posterior",,,88.98,879.37,4
CDT,D2392,"resin-based composite - two surfaces, posterior",,,116.09,879.37,5
CDT,D2393,"resin-based composite - three surfaces, posterior",,,879.37,879.37,1
CDT,D2394,"resin-based composite - four or more surfaces, posterior",,,879.37,879.37,1
CDT,D2710,crown - resin-based composite (indirect),,,879.37,879.37,1
CDT,D2740,crown - porcelain/ceramic,,,879.37,879.37,1
CDT,D2750,crown - porcelain fused to high noble metal,,,879.37,879.37,1
CDT,D2930,prefabricated stainless steel crown - primary tooth,,,314.06,314.06,1
CDT,D2931,prefabricated stainless steel crown - permanent tooth,,,314.06,314.06,1
CDT,D2932,prefabricated resin crown,,,314.06,314.06,1
CDT,D2934,prefabricated esthetic coated stainless steel crown - primary tooth,,,314.06,314.06,1
CDT,D2951,"pin retention - per tooth, in addition to restoration",,,314.06,314.06,1
CDT,D2952,"post and core in addition to crown, indirectly fabricated",,,314.06,314.06,1
CDT,D3110,pulp cap - direct (excluding final restoration),,,46.45,46.45,1
CDT,D3120,pulp cap - indirect (excluding final restoration),,,38.67,38.67,1
CDT,D3220,therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medicament,,,314.06,314.06,1
CDT,D3310,"endodontic therapy, anterior tooth (excluding final restoration)",,,879.37,879.37,1
CDT,D3320,"endodontic therapy, premolar tooth (excluding final restoration)",,,879.37,879.37,1
CDT,D3330,"endodontic therapy, molar tooth (excluding final restoration)",,,879.37,879.37,1
CDT,D4270,pedicle soft tissue graft procedure,,,630.28,630.28,1
CDT,D4342,periodontal scaling and root planing - one to three teeth per quadrant,,,97.33,97.33,1
CDT,D4355,full mouth debridement to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit,,,93.67,163.59,4
CDT,D5110,complete denture - maxillary,,,314.06,314.06,1
CDT,D5640,replace missing or broken teeth – partial denture – per tooth,,,314.06,314.06,1
CDT,D5932,"obturator prosthesis, definitive",,,4260.28,4260.28,2
CDT,D6010,surgical placement of implant body: endosteal implant,,,314.06,314.06,1
CDT,D6210,pontic - cast high noble metal,,,133.69,133.69,1
CDT,D6240,pontic - porcelain fused to high noble metal,,,314.06,314.06,1
CDT,D6242,pontic - porcelain fused to noble metal,,,314.06,314.06,1
CDT,D6999,"unspecified fixed prosthodontic procedure, by report",,,314.06,314.06,1
CDT,D7111,"extraction, coronal remnants – primary tooth",,,74.37,314.06,2
CDT,D7140,"extraction, erupted tooth or exposed root (elevation and/or forceps removal)",,,97.03,314.06,4
CDT,D7210,"extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated",,,173.91,879.37,2
CDT,D7220,removal of impacted tooth - soft tissue,,,879.37,879.37,1
CDT,D7230,removal of impacted tooth - partially bony,,,289.1,879.37,2
CDT,D7240,removal of impacted tooth - completely bony,,,879.37,879.37,1
CDT,D7241,"removal of impacted tooth - completely bony, with unusual surgical complications",,,879.37,879.37,1
CDT,D7250,removal of residual tooth roots (cutting procedure),,,183.92,879.37,2
CDT,D7270,tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth,,,369.08,879.37,2
CDT,D7284,excisional biopsy of minor salivary glands,,,314.06,314.06,1
CDT,D7285,"incisional biopsy of oral tissue – hard (bone, tooth)",,,314.06,314.06,1
CDT,D7286,incisional biopsy of oral tissue-soft,,,314.06,314.06,1
CDT,D7310,"alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant",,,202.53,202.53,1
CDT,D7410,excision of benign lesion up to 1.25 cm,,,314.06,314.06,1
CDT,D7411,excision of benign lesion greater than 1.25 cm,,,314.06,314.06,1
CDT,D7412,"excision of benign lesion, complicated",,,314.06,314.06,1
CDT,D7413,excision of malignant lesion up to 1.25 cm,,,1432.11,1432.11,1
CDT,D7414,excision of malignant lesion greater than 1.25 cm,,,1432.11,1432.11,1
CDT,D7415,"excision of malignant lesion, complicated",,,1432.11,1432.11,1
CDT,D7440,excision of malignant tumor - lesion diameter up to 1.25 cm,,,1432.11,1432.11,1
CDT,D7441,excision of malignant tumor - lesion diameter greater than 1.25 cm,,,1432.11,1432.11,1
CDT,D7450,removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,314.06,314.06,1
CDT,D7451,removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,314.06,314.06,1
CDT,D7460,removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,314.06,314.06,1
CDT,D7461,removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,879.37,879.37,1
CDT,D7465,"destruction of lesion(s) by physical or chemical method, by report",,,879.37,879.37,1
CDT,D7510,incision and drainage of abscess - intraoral soft tissue,,,314.06,314.06,1
CDT,D7520,incision and drainage of abscess - extraoral soft tissue,,,314.06,314.06,1
CDT,D7530,"removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue",,,314.06,314.06,1
CDT,D7550,partial ostectomy/sequestrectomy for  removal of non-vital bone,,,314.06,314.06,1
CDT,D7670,"alveolus - closed reduction, may include stabilization of teeth",,,1432.11,1432.11,1
CDT,D7671,"alveolus - open reduction, may include stabilization of teeth",,,1432.11,1432.11,1
CDT,D7770,alveolus - open reduction stabilization of teeth,,,1432.11,1432.11,1
CDT,D7771,"alveolus, closed reduction stabilization of teeth",,,1432.11,1432.11,1
CDT,D7880,"occlusal orthotic device, by report",,,694.19,694.19,1
CDT,D7910,suture of recent small wounds up to 5 cm,,,291.61,314.06,2
CDT,D7911,complicated suture - up to 5 cm,,,879.37,879.37,1
CDT,D7912,complicated suture - greater than 5 cm,,,879.37,879.37,1
CDT,D7997,"appliance removal (not by dentist who placed appliance), includes removal of archbar",,,206.68,288.78,2
CDT,D9230,administration of nitrous oxide,,,60.32,60.32,1
CDT,D9243,"administration of moderate sedation – intravenous – each subsequent 15 minute increment, or any portion thereof",,,54.48,54.48,1
CDT,D9310,consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician,,,147.04,147.04,1
CDT,D9420,hospital or ambulatory surgical center call,,,272.03,369.92,2
CDT,D9612,"therapeutic parenteral drugs, two or more administrations, different medications",,,56.54,70.68,2
CPT,0001U,RBC DNA HEA 35 AG 11 BLD GRP,,,734.4,900.0,5
CPT,0002M,HC ASH FIBROSURE,1012.0,506.0,220.72,910.8,69
CPT,0002U,ONC CLRCT 3 UR METAB ALG PLP,,,25.5,31.25,5
CPT,0003M,HC NASH FIBROSURE PANEL,1012.0,506.0,220.72,910.8,69
CPT,0003U,ONC OVAR 5 PRTN SER ALG SCOR,,,969.0,1187.5,5
CPT,0004M,SCOLIOSIS DNA ALYS,,,80.58,98.75,5
CPT,0005U,ONCO PRST8 3 GENE UR ALG,,,775.2,950.0,5
CPT,0006M,ONC HEP GENE RISK CLASSIFIER,,,153.0,187.5,5
CPT,0007M,ONC GASTRO 51 GENE NOMOGRAM,,,382.5,468.75,5
CPT,0007U,RX TEST PRSMV UR W/DEF CONF,,,116.72,143.04,5
CPT,0008U,HPYLORI DETCJ ABX RSTNC DNA,,,609.87,747.39,5
CPT,0009U,ONC BRST CA ERBB2 AMP/NONAMP,,,109.14,133.75,5
CPT,0010U,NFCT DS STRN TYP WHL GEN SEQ,,,435.81,534.08,5
CPT,0011A,Fee Schedule,,,67.8,86.4,2
CPT,0011M,ONC PRST8 CA MRNA 12 GEN ALG,,,775.2,950.0,5
CPT,0011U,RX MNTR LC-MS/MS ORAL FLUID,,,116.72,143.04,5
CPT,0012A,Fee Schedule,,,67.8,82.45,2
CPT,0012M,ONC MRNA 5 GEN RSK URTHL CA,,,775.2,950.0,5
CPT,0013A,Fee Schedule,,,67.8,67.8,1
CPT,0013M,ONC MRNA 5 GEN RECR URTHL CA,,,775.2,950.0,5
CPT,0014M,APC,,,179.71,220.24,5
CPT,0015M,ADRNL CORTCL TUM BCHM ASY 25,,,1331.48,1631.71,5
CPT,0016M,ONC BLADDER MRNA 219 GEN ALG,,,3559.42,4362.04,5
CPT,0016U,ONC HMTLMF NEO RNA BCR/ABL1,,,167.24,204.95,5
CPT,0017M,ONC DLBCL MRNA 20 GENES ALG,,,2560.41,3137.76,5
CPT,0017U,ONC HMTLMF NEO JAK2 MUT DNA,,,93.49,114.58,5
CPT,0018M,TRNSPLJ RNL MEAS CD154+CLL,,,653.54,800.91,5
CPT,0018U,ONC THYR 10 MICRORNA SEQ ALG,,,3062.13,3752.61,5
CPT,0019M,CV DS PLASMA ALYS PRTN BMRK,,,726.65,890.5,5
CPT,0019U,ONC RNA TISS PREDICT ALG,,,3748.5,4593.75,5
CPT,0021U,ONC PRST8 DETCJ 8 AUTOANTB,,,775.2,950.0,5
CPT,0022U,TGSAP NSM LUNG NEO DNA&RNA23,,,1989.0,2437.5,5
CPT,0023U,ONC AML DNA DETCJ/NONDETCJ,,,253.48,310.64,5
CPT,0024U,GLYCA NUC MR SPECTRSC QUAN,,,34.87,42.74,5
CPT,0025U,TENOFOVIR LIQ CHROM UR QUAN,,,116.72,143.04,5
CPT,0026U,ONC THYR DNA&MRNA 112 GENES,,,3672.0,4500.0,5
CPT,0027U,JAK2 GENE TRGT SEQ ALYS,,,124.35,152.39,5
CPT,0029U,RX METAB ADVRS TRGT SEQ ALYS,,,757.12,927.84,5
CPT,0030U,RX METAB WARF TRGT SEQ ALYS,,,136.81,167.66,5
CPT,0031A,APC,,,40.28,49.36,5
CPT,0031U,CYP1A2 GENE,,,178.31,218.51,5
CPT,0032U,COMT GENE,,,178.31,218.51,5
CPT,0033U,APC,,,356.61,437.03,5
CPT,0034A,APC,,,40.28,49.36,5
CPT,0034U,TPMT NUDT15 GENES,,,475.49,582.71,5
CPT,0035U,HC NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL,2242.95,1121.48,489.19,2018.66,69
CPT,0036U,XOME TUM & NML SPEC SEQ ALYS,,,4875.6,5975.0,5
CPT,0037U,TRGT GEN SEQ DNA 324 GENES,,,3570.0,4375.0,5
CPT,0038U,VITAMIN D SRM MICROSAMP QUAN,,,30.19,37.0,5
CPT,0039U,DNA ANTB 2STRAND HI AVIDITY,,,14.01,17.18,5
CPT,0040U,BCR/ABL1 GENE MAJOR BP QUAN,,,418.1,512.38,5
CPT,0041U,B BRGDRFERI ANTB 5 PRTN IGM,,,17.55,21.51,5
CPT,0042T,Fee Schedule,,,259.11,259.11,1
CPT,0042T,HC CT PERFUSION W/CONTRAST CBF,1871.55,935.78,408.19,1684.4,64
CPT,0042T,MPFS,,,207.29,215.14,4
CPT,0042U,B BRGDRFERI ANTB 12 PRTN IGG,,,17.55,21.51,5
CPT,0043U,TBRF B GRP ANTB 4 PRTN IGM,,,15.16,18.58,5
CPT,0044U,TBRF B GRP ANTB 4 PRTN IGG,,,15.16,18.58,5
CPT,0045U,ONC BRST DUX CARC IS 12 GENE,,,3950.46,4841.25,5
CPT,0046U,FLT3 GENE ITD VARIANTS QUAN,,,415.58,509.29,5
CPT,0047U,ONC PRST8 MRNA 17 GENE ALG,,,3950.46,4841.25,5
CPT,0048U,ONC SLD ORG NEO DNA 468 GENE,,,2977.99,3649.5,5
CPT,0049U,NPM1 GENE ANALYSIS QUAN,,,415.58,509.29,5
CPT,0050U,TRGT GEN SEQ DNA 194 GENES,,,2974.93,3645.75,5
CPT,0051A,Fee Schedule,,,51.52,67.8,2
CPT,0051U,RX MNTR LC-MS/MS UR/BLD 31,,,251.86,308.65,5
CPT,0052A,Fee Schedule,,,41.2,67.8,2
CPT,0052U,LPOPRTN BLD W/5 MAJ CLASSES,,,34.54,42.33,5
CPT,0054A,Fee Schedule,,,67.8,67.8,1
CPT,0054T,BONE SRGRY CMPTR FLUOR IMAGE,,,129.69,162.11,5
CPT,0054U,RX MNTR 14+ DRUGS & SBSTS,,,202.71,248.43,5
CPT,0055T,BONE SRGRY CMPTR CT/MRI IMAG,,,129.69,162.11,5
CPT,0055U,CARD HRT TRNSPL 96 DNA SEQ,,,3304.8,4050.0,5
CPT,0058U,ONC MERKEL CLL CARC SRM QUAN,,,329.42,403.7,5
CPT,0059U,ONC MERKEL CLL CARC SRM +/-,,,329.42,403.7,5
CPT,0060U,TWN ZYG GEN SEQ ALYS CHRMS2,,,774.23,948.81,5
CPT,0061U,TC MEAS 5 BMRK SFDI M-S ALYS,,,25.6,31.38,5
CPT,0062U,AI SLE IGG&IGM ALYS 80 BMRK,,,388.33,475.9,5
CPT,0063U,NEURO AUTISM 32 AMINES ALG,,,765.0,937.5,5
CPT,0064U,ANTB TP TOTAL&RPR IA QUAL,,,31.96,39.16,5
CPT,0065U,SYFLS TST NONTREPONEMAL ANTB,,,18.45,22.61,5
CPT,0066U,APC,,,15.6,19.11,5
CPT,0067U,ONC BRST IMHCHEM PRFL 4 BMRK,,,1934.94,2371.25,5
CPT,0068U,CANDIDA SPECIES PNL AMP PRB,,,145.48,178.29,5
CPT,0069U,ONC CLRCT MICRORNA MIR-31-3P,,,387.6,475.0,5
CPT,0070U,CYP2D6 GEN COM&SLCT RAR VRNT,,,689.9,845.46,5
CPT,0071A,Fee Schedule,,,51.52,67.8,4
CPT,0071T,US LEIOMYOMATA ABLATE <200,,,879.37,3780.06,6
CPT,0071U,CYP2D6 FULL GENE SEQUENCE,,,612.0,750.0,5
CPT,0072A,Fee Schedule,,,54.45,67.8,3
CPT,0072T,FCSD US ABLTJ LEIOMYOM>=200,,,3084.53,3780.06,5
CPT,0072U,CYP2D6 GEN CYP2D6-2D7 HYBRID,,,459.93,563.64,5
CPT,00731,Anesthesiologist,,,168.92,168.92,3
CPT,00732,Anesthesiologist,,,168.92,168.92,3
CPT,0073A,Fee Schedule,,,67.49,67.49,1
CPT,0073U,CYP2D6 GEN CYP2D7-2D6 HYBRID,,,459.93,563.64,5
CPT,0074A,Fee Schedule,,,67.49,67.49,1
CPT,0074U,CYP2D6 NONDUPLICATED GENE,,,459.93,563.64,5
CPT,0075T,PERQ STENT/CHEST VERT ART,,,582.08,1163.13,10
CPT,0075U,CYP2D6 5' GENE DUP/MLT,,,459.93,563.64,5
CPT,0076U,CYP2D6 3' GENE DUP/MLT,,,459.93,563.64,5
CPT,0077U,IG PARAPROTEIN QUAL BLD/UR,,,44.3,54.29,5
CPT,0078U,APC,,,459.93,563.64,5
CPT,0080U,ONC LNG 5 CLIN RSK FACTR ALG,,,3590.4,4400.0,5
CPT,00811,Anesthesiologist,,,168.92,168.92,3
CPT,00812,Anesthesiologist,,,168.92,168.92,3
CPT,00813,Anesthesiologist,,,168.92,168.92,3
CPT,0081A,Fee Schedule,,,51.52,67.8,4
CPT,0082A,Fee Schedule,,,40.0,67.8,5
CPT,0082U,RX TEST DEF 90+ RX/SBSTS UR,,,251.86,308.65,5
CPT,0083A,Fee Schedule,,,40.0,40.0,1
CPT,0083U,ONC RSPSE CHEMO CNTRST TOMOG,,,170.7,209.19,5
CPT,0084U,RBC DNA GNOTYP 10 BLD GROUPS,,,734.4,900.0,5
CPT,0086U,NFCT DS BACT&FNG ORG ID 6+,,,204.0,250.0,5
CPT,0087U,CRD HRT TRNSPL MRNA 1283 GEN,,,3222.61,3949.28,5
CPT,0088U,TRNSPLJ KDN ALGRFT REJ 1494,,,3222.61,3949.28,5
CPT,0089U,ONC MLNMA PRAME & LINC00518,,,775.2,950.0,5
CPT,0090U,ONC CUTAN MLNMA MRNA 23 GENE,,,1989.0,2437.5,5
CPT,0092U,ONC LNG 3 PRTN BMRK PLSM ALG,,,2537.76,3110.0,5
CPT,0093U,RX MNTR 65 COM DRUGS URINE,,,63.38,77.68,5
CPT,0094U,GENOME RAPID SEQUENCE ALYS,,,7733.84,9477.75,5
CPT,0095U,EE 2 PRTN BMRK MBP ELISA EST,,,787.42,964.98,5
CPT,0096U,HPV HI RISK TYPES MALE URINE,,,35.79,43.86,5
CPT,0100T,PROSTH RETINA RECEIVE&GEN,,,1176.22,1470.28,5
CPT,0101T,ESW MUSCSKEL SYS NOS,,,232.71,285.19,5
CPT,0101U,HERED COLON CA DO 15 GENES,,,1778.83,2179.94,5
CPT,0102T,ESW PHY ANES LAT HMRL EPCNDL,,,3147.67,3857.44,5
CPT,0102U,HERED BRST CA RLTD DO 17 GEN,,,1330.03,1629.94,5
CPT,0103U,HERED OVA CA PNL 24 GENES,,,1778.83,2179.94,5
CPT,0105U,NEPH CKD MULT ECLIA TUM NEC,,,969.0,1187.5,5
CPT,0106T,TOUCH QUANT SENSORY TEST,,,38.08,46.66,5
CPT,0106U,GSTR EMPTG 7 TIMED BRTH SPEC,,,891.98,1093.11,5
CPT,0107T,VIBRATE QUANT SENSORY TEST,,,38.08,46.66,5
CPT,0107U,C DIFF TOX AG DETCJ IA STOOL,,,16.32,20.0,5
CPT,0108T,COOL QUANT SENSORY TEST,,,57.63,70.62,5
CPT,0108U,GI BARRETT ESOPH 9 PRTN BMRK,,,5049.0,6187.5,5
CPT,0109T,HEAT QUANT SENSORY TEST,,,38.08,46.66,5
CPT,0109U,ID ASPERGILLUS DNA 4 SPECIES,,,145.48,178.29,5
CPT,0110T,NOS QUANT SENSORY TEST,,,125.05,153.25,5
CPT,0110U,RX MNTR 1+ORAL ONC RX&SBSTS,,,27.65,33.89,5
CPT,0111U,ONC COLON CA KRAS&NRAS ALYS,,,695.94,852.86,5
CPT,0112U,IADI 16S&18S RRNA GENES,,,363.25,445.16,5
CPT,0113U,ONC PRST8 PCA3&TMPRSS2-ERG,,,775.2,950.0,5
CPT,0114U,GI BARRETTS ESOPH VIM&CCNA1,,,1976.77,2422.51,5
CPT,0115U,RESPIR IADNA 18 VIRAL&2 BACT,,,280.86,344.19,5
CPT,0116U,RX MNTR NZM IA 35+ORAL FLU,,,251.86,308.65,5
CPT,0117U,PAIN MGMT 11 ENDOGENOUS ANAL,,,857.46,1050.81,5
CPT,0118U,TRNSPLJ DON-DRV CLL-FR DNA,,,2808.32,3441.56,5
CPT,0119U,CRD CERAMIDES LIQ CHROM PLSM,,,85.44,104.7,5
CPT,0120U,ONC B CLL LYMPHM MRNA 58 GEN,,,2560.41,3137.76,5
CPT,0121U,SC DIS VCAM-1 WHOLE BLOOD,,,519.38,636.5,5
CPT,0122U,SC DIS P-SELECTIN WHL BLOOD,,,536.75,657.79,5
CPT,0123U,MCHNL FRAGILITY RBC PRFLG,,,364.78,447.04,5
CPT,0124A,Fee Schedule,,,40.0,40.0,1
CPT,0129U,HERED BRST CA RLTD DO PANEL,,,1330.03,1629.94,5
CPT,0130U,HERED COLON CA DO MRNA PNL,,,596.6,731.13,5
CPT,0131U,APC,,,724.2,887.5,5
CPT,0132U,APC,,,756.47,927.05,5
CPT,0133U,HERED PRST8 CA RLTD DO 11,,,704.1,862.86,5
CPT,0134U,HERED PAN CA MRNA PNL 18 GEN,,,763.36,935.49,5
CPT,0135U,APC,,,714.57,875.7,5
CPT,0136U,ATM MRNA SEQ ALYS,,,415.58,509.29,5
CPT,0137U,PALB2 MRNA SEQ ALYS,,,288.54,353.6,5
CPT,0138U,BRCA1 BRCA2 MRNA SEQ ALYS,,,477.7,585.41,5
CPT,0140U,NFCT DS FUNGI DNA 15 TRGT,,,159.89,195.94,5
CPT,0141U,NFCT DS BACT&FNG GRAM POS,,,159.89,195.94,5
CPT,0142U,NFCT DS BACT&FNG GRAM NEG,,,159.89,195.94,5
CPT,0152U,HC NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ,9256.0,4628.0,2018.73,8330.4,69
CPT,0153U,ONC BREAST MRNA 101 GENES,,,3222.61,3949.28,5
CPT,0154U,HC FGFR CDX MOL ANAL NEO,1039.15,519.58,226.64,935.24,69
CPT,0155U,ONC BRST CA DNA PIK3CA GENE,,,280.33,343.54,5
CPT,0156U,COPY NUMBER SEQUENCE ALYS,,,1774.8,2175.0,5
CPT,0157U,APC MRNA SEQ ALYS,,,288.54,353.6,5
CPT,0158U,MLH1 MRNA SEQ ALYS,,,288.54,353.6,5
CPT,0159U,MSH2 MRNA SEQ ALYS,,,288.54,353.6,5
CPT,0160U,MSH6 MRNA SEQ ALYS,,,288.54,353.6,5
CPT,0161U,PMS2 MRNA SEQ ALYS,,,288.54,353.6,5
CPT,0162U,HERED COLON CA TRGT MRNA PNL,,,496.27,608.18,5
CPT,0163U,ONC CLRCT SCR 3 PRTN ALG,,,398.57,488.44,5
CPT,0164T,REMOVE LUMB ARTIF DISC ADDL,,,1213.03,1516.29,5
CPT,0164U,GI IBS IA ANTI-CDTB&VINCULIN,,,114.26,140.03,5
CPT,0165T,REVISE LUMB ARTIF DISC ADDL,,,1181.08,1476.35,5
CPT,0165U,PEANUT ALLG ASMT EPI PRB ALL,,,473.04,579.7,5
CPT,0166U,LIVER DS 10 BIOCHEM ASY SRM,,,513.47,629.25,5
CPT,0167U,APC,,,7.67,9.4,5
CPT,0169U,NUDT15&TPMT GENE COM VRNT,,,475.49,582.71,5
CPT,0170U,NEURO ASD RNA NEXT GEN SEQ,,,1989.0,2437.5,5
CPT,0171U,TRGT GEN SEQ ALYS PNL DNA 23,,,1549.44,1898.83,5
CPT,0172U,ONC SLD TUM ALYS BRCA1 BRCA2,,,3090.6,3787.5,5
CPT,0173U,PSYC GEN ALYS PANEL 14 GENES,,,475.49,582.71,5
CPT,0174U,ONC SOLID TUMOR 30 PRTN TRGT,,,1331.48,1631.71,5
CPT,0175U,PSYC GEN ALYS PANEL 15 GENES,,,1362.81,1670.11,5
CPT,0176U,CDTB&VINCULIN IGG ANTB IA,,,65.47,80.24,5
CPT,0177U,ONC BRST CA DNA PIK3CA 11,,,280.33,343.54,5
CPT,0178U,PEANUT ALLG ASMT EPI CLIN RX,,,469.06,574.83,5
CPT,0179U,ONC NONSM CLL LNG CA ALYS 23,,,1982.07,2429.01,5
CPT,0180U,ABO GNOTYP ABO 7 EXONS,,,280.33,343.54,5
CPT,0181U,CO GNOTYP AQP1 EXON 1,,,188.9,231.5,5
CPT,0182U,CROM GNOTYP CD55 EXONS 1-10,,,307.38,376.69,5
CPT,0183U,DI GNOTYP SLC4A1 EXON 19,,,188.9,231.5,5
CPT,0184T,EXC RECTAL TUMOR ENDOSCOPIC,,,5774.95,7077.15,5
CPT,0184U,DO GNOTYP ART4 EXON 2,,,188.9,231.5,5
CPT,0185U,FUT1 GNOTYP FUT1 EXON 4,,,188.9,231.5,5
CPT,0186U,FUT2 GNOTYP FUT2 EXON 2,,,188.9,231.5,5
CPT,0187U,FY GNOTYP ACKR1 EXONS 1-2,,,280.33,343.54,5
CPT,0188U,GE GNOTYP GYPC EXONS 1-4,,,280.33,343.54,5
CPT,0189U,GYPA GNOTYP NTRNS 1 5 EXON 2,,,280.33,343.54,5
CPT,0190U,GYPB GNOTYP NTRNS 1 5 SEUX 3,,,280.33,343.54,5
CPT,0191U,IN GNOTYP CD44 EXONS 2 3 6,,,280.33,343.54,5
CPT,0192U,JK GNOTYP SLC14A1 EXON 9,,,280.33,343.54,5
CPT,0193U,JR GNOTYP ABCG2 EXONS 2-26,,,288.54,353.6,5
CPT,0194U,KEL GNOTYP KEL EXON 8,,,188.9,231.5,5
CPT,01953,Anesthesiologist,,,90.37,90.37,3
CPT,0195U,KLF1 TARGETED SEQUENCING,,,382.76,469.06,5
CPT,01960,Anesthesiologist,,,451.87,1200.0,8
CPT,01961,Anesthesiologist,,,720.0,1400.0,5
CPT,01963,Anesthesiologist,,,720.0,1400.0,5
CPT,01967,Anesthesiologist,,,720.0,1200.0,8
CPT,01967,Physician Fee Schedule,,,209.63,213.82,9
CPT,01968,Anesthesiologist,,,100.0,720.0,5
CPT,0196U,LU GNOTYP BCAM EXON 3,,,188.9,231.5,5
CPT,0197U,LW GNOTYP ICAM4 EXON 1,,,188.9,231.5,5
CPT,0198T,OCULAR BLOOD FLOW MEASURE,,,125.05,153.25,5
CPT,0198U,RHD&RHCE GNTYP RHD1-10&RHCE5,,,288.54,353.6,5
CPT,01996,Anesthesiologist,,,292.81,925.14,7
CPT,01996,Fee Schedule,,,73.61,73.61,1
CPT,01996,MPFS,,,58.89,61.12,4
CPT,01996,Physician Fee Schedule,,,38.93,39.71,9
CPT,0199U,SC GNOTYP ERMAP EXONS 4 12,,,280.33,343.54,5
CPT,0200T,HC CT SACROPLASTY W/IMAG & BONE BX,8596.2,4298.1,1646.17,8493.0,69
CPT,0200U,XK GNOTYP XK EXONS 1-3,,,280.33,343.54,5
CPT,0201T,HC PERQ SAC AUG BILTERAL W/ CT GUIDE,17192.25,8596.13,3292.32,15473.03,69
CPT,0201U,YT GNOTYP ACHE EXON 2,,,188.9,231.5,5
CPT,0202T,POST VERT ARTHRPLST 1 LUMBAR,,,1440.37,1800.46,5
CPT,0202U,NFCT DS 22 TRGT SARS-COV-2,,,425.12,520.98,6
CPT,0203U,AI IBD MRNA XPRSN PRFL 17,,,775.2,950.0,5
CPT,0204U,APC,,,2977.99,3649.5,5
CPT,0205U,OPH AMD ALYS 3 GENE VARIANTS,,,47.94,58.75,5
CPT,0206U,NEURO ALZHEIMER CELL AGGREGJ,,,2259.71,2769.25,5
CPT,0207T,CLEAR EYELID GLAND W/HEAT,,,125.05,153.25,5
CPT,0207U,NEURO ALZHEIMER QUAN IMAGING,,,521.42,639.0,5
CPT,0208T,AUDIOMETRY AIR ONLY,,,38.08,46.66,5
CPT,0209T,AUDIOMETRY AIR & BONE,,,38.08,46.66,5
CPT,0209U,CYTOG CONST ALYS INTERROG,,,802.89,983.94,5
CPT,0210T,SPEECH AUDIOMETRY THRESHOLD,,,38.08,46.66,5
CPT,0210U,SYPHILIS TST ANTB IA QUAN,,,19.0,23.29,5
CPT,0211T,SPEECH AUDIOM THRESH & RECOG,,,38.08,46.66,5
CPT,0211U,ONC PAN-TUM DNA&RNA GNRJ SEQ,,,8624.1,10568.75,5
CPT,0212T,COMPRE AUDIOMETRY EVALUATION,,,151.79,186.01,5
CPT,0212U,RARE DS GEN DNA ALYS PROBAND,,,5584.7,6844.0,5
CPT,0213T,NJX PARAVERT W/US CER/THOR,,,114.48,1058.44,10
CPT,0213U,RARE DS GEN DNA ALYS EA COMP,,,2764.15,3387.44,5
CPT,0214T,NJX PARAVERT W/US CER/THOR,,,64.79,80.99,5
CPT,0214U,RARE DS XOM DNA ALYS PROBAND,,,5329.09,6530.75,5
CPT,0215T,NJX PARAVERT W/US CER/THOR,,,65.82,82.28,5
CPT,0215U,RARE DS XOM DNA ALYS EA COMP,,,2626.14,3218.31,5
CPT,0216T,NJX PARAVERT W/US LUMB/SAC,,,96.6,1058.44,10
CPT,0216U,NEURO INH ATAXIA DNA 12 COM,,,1567.76,1921.28,5
CPT,0217T,NJX PARAVERT W/US LUMB/SAC,,,55.12,68.9,5
CPT,0217U,NEURO INH ATAXIA DNA 51 GENE,,,2242.32,2747.94,5
CPT,0218T,NJX PARAVERT W/US LUMB/SAC,,,55.83,69.79,5
CPT,0218U,NEURO MUSC DYS DMD SEQ ALYS,,,2324.58,2848.75,5
CPT,0219U,NFCT AGT HIV GNRJ SEQ ALYS,,,739.5,906.25,5
CPT,0220U,ONC BRST CA AI ASSMT 12 FEAT,,,720.38,882.81,5
CPT,0221T,PLMT POST FACET IMPLT LUMB,,,6930.29,8493.0,5
CPT,0221U,ABO GNOTYP NEXT GNRJ SEQ ABO,,,280.33,343.54,5
CPT,0222U,RHD&RHCE GNTYP NEXT GNRJ SEQ,,,288.54,353.6,5
CPT,0223U,NFCT DS 22 TRGT SARS-COV-2,,,425.12,520.98,5
CPT,0224U,ANTIBODY SARS-COV-2 TITER(S),,,52.46,64.29,5
CPT,0225U,NFCT DS DNA&RNA 21 SARSCOV2,,,298.6,520.98,23
CPT,0226U,SVNT SARSCOV2 ELISA PLSM SRM,,,42.28,61.89,23
CPT,0227U,RX ASY PRSMV 30+RX/METABLT,,,63.38,77.68,5
CPT,0228U,ONC PRST8 MA MOLEC PRFL ALG,,,176.49,216.29,5
CPT,0229U,BCAT1&IKZF1 PRMTR MTHLN ALYS,,,391.68,480.0,5
CPT,0230U,AR FULL SEQUENCE ANALYSIS,,,307.38,376.69,5
CPT,0231U,CACNA1A FULL GENE ANALYSIS,,,863.2,1057.84,5
CPT,0232T,NJX PLATELET PLASMA,,,110.52,474.41,8
CPT,0232U,CSTB FULL GENE ANALYSIS,,,280.33,343.54,5
CPT,0233U,FXN GENE ANALYSIS,,,280.33,343.54,5
CPT,0234T,HC TRANSLUMINAL PERIPH ATHERECTOMY RENAL ARTERY,14950.0,7475.0,2862.93,13482.52,69
CPT,0234T,TRLUML PERIP ATHRC RENAL ART,,,1370.99,1713.74,5
CPT,0234U,MECP2 FULL GENE ANALYSIS,,,538.43,659.84,5
CPT,0235T,TRLUML PERIP ATHRC VISCERAL,,,524.17,655.21,5
CPT,0235U,PTEN FULL GENE ANALYSIS,,,612.0,750.0,5
CPT,0236T,TRLUML PERIP ATHRC ABD AORTA,,,1167.3,13482.52,10
CPT,0236U,SMN1&SMN2 FULL GENE ANALYSIS,,,614.75,753.38,5
CPT,0237T,TRLUML PERIP ATHRC BRCHIOCPH,,,1290.38,13482.52,10
CPT,0237U,CAR ION CHNLPTHY GEN SEQ PNL,,,596.6,731.13,5
CPT,0238T,HC ATHRC TRLUML PERIP ILIAC ART,46943.75,23471.88,8989.73,42249.38,69
CPT,0238T,TRLUML PERIP ATHRC ILIAC ART,,,1071.34,1339.18,5
CPT,0238U,ONC LNCH SYN GEN DNA SEQ ALY,,,596.6,731.13,5
CPT,0239U,TRGT GEN SEQ ALYS PNL 311+,,,3570.0,4375.0,5
CPT,0240U,APC,,,145.48,178.29,5
CPT,0240U,Lab,,,164.02,208.78,10
CPT,0240U,Physician Fee Schedule,,,142.63,145.48,9
CPT,0241U,HC SARS-COV-2 FLU AB RSV CEPHEID,566.85,283.43,124.82,510.17,70
CPT,0241U,Physician Fee Schedule,,,142.63,145.48,9
CPT,0242U,TRGT GEN SEQ ALYS PNL 55-74,,,5100.0,6250.0,5
CPT,0243U,OB PE BIOCHEM ASSAY PGF ALG,,,65.7,80.51,5
CPT,0244U,ONC SOLID ORGN DNA 257 GENES,,,3570.0,4375.0,5
CPT,0245U,ONC THYR MUT ALYS 10 GEN&37,,,1291.39,1582.59,5
CPT,0246U,RBC DNA GNOTYP 16 BLD GROUPS,,,734.4,900.0,5
CPT,0247U,OB PRTRM BRTH IBP4 SHBG MEAS,,,765.0,937.5,5
CPT,0248U,ONC SPHRD CELL CUL 12 RX PNL,,,3094.54,3792.33,5
CPT,0249U,ONC BRST ALYS 32 PHSPRTN ALG,,,2263.51,2773.91,5
CPT,0250U,ONC SLD ORG NEO DNA 505 GENE,,,2977.99,3649.5,5
CPT,0251U,HEPCIDIN-25 ELISA SERUM/PLSM,,,17.62,21.59,5
CPT,0252U,FTL ANEUPLOIDY STR ALYS DNA,,,774.23,948.81,5
CPT,0253T,INSERT AQUEOUS DRAIN DEVICE,,,3902.66,4782.68,5
CPT,0253U,RPRDTVE MED RNA GEN PRFL 238,,,3222.61,3949.28,5
CPT,0254U,REPRDTVE MED ALYS 24 CHRMSM,,,774.23,948.81,5
CPT,0255U,ANDROLOGY INFERTILITY ASSMT,,,32.23,39.5,5
CPT,0256U,TMA/TMAO PRFL MS/MS UR ALG,,,163.15,199.94,5
CPT,0257U,VLCAD LEUK NZM ACTV WHL BLD,,,726.72,890.59,5
CPT,0258U,AI PSOR MRNA 50-100 GEN ALG,,,3748.5,4593.75,5
CPT,0259U,NEPH CKD NUC MRS MEAS GFR,,,53.76,65.89,5
CPT,0260U,RARE DS ID OPT GENOME MAPG,,,1288.8,1579.41,5
CPT,0261U,ONC CLRCT CA IMG ALYS W/AI,,,2563.52,3141.56,5
CPT,0262U,ONC SLD TUM RT-PCR 7 GEN,,,3264.0,4000.0,5
CPT,0263T,IM B1 MRW CEL THER CMPL,,,336.48,5570.08,10
CPT,0263U,NEURO ASD MEAS 16 C METBLT,,,765.0,937.5,5
CPT,0264T,IM B1 MRW CEL THER XCL HRVST,,,151.0,5570.08,10
CPT,0264U,RARE DS ID OPT GENOME MAPG,,,1288.8,1579.41,5
CPT,0265T,IM B1 MRW CEL THER HRVST ONL,,,12.67,5570.08,10
CPT,0265U,RAR DO WHL GN&MTCDRL DNA ALS,,,5585.32,6844.75,5
CPT,0266T,APC,,,43655.98,53499.97,5
CPT,0266T,Fee Schedule,,,937.5,937.5,1
CPT,0266T,MPFS,,,750.0,778.39,4
CPT,0266U,UNXPL CNST HRTBL DO GN XPRSN,,,3264.0,4000.0,5
CPT,0267T,APC,,,3336.26,4088.55,5
CPT,0267U,RARE DO ID OPT GEN MAPG&SEQ,,,6874.12,8424.16,5
CPT,0268T,APC,,,29563.1,36229.29,5
CPT,0268U,HEM AHUS GEN SEQ ALYS 15 GEN,,,620.33,760.21,5
CPT,0269T,APC,,,6212.73,7613.64,5
CPT,0269U,HEM AUT DM CGEN TRMBCTPNA 22,,,620.33,760.21,5
CPT,0270T,APC,,,3336.26,4088.55,5
CPT,0270U,HEM CGEN COAGJ DO 20 GENES,,,620.33,760.21,5
CPT,0271T,APC,,,3336.26,4088.55,5
CPT,0271U,HEM CGEN NEUTROPENIA 24 GEN,,,620.33,760.21,5
CPT,0272T,APC,,,151.79,186.01,5
CPT,0272U,HEM GENETIC BLD DO 60 GENES,,,620.33,760.21,5
CPT,0273T,APC,,,151.79,186.01,5
CPT,0273U,HEM GEN HYPRFIBRNLYSIS 9 GEN,,,620.33,760.21,5
CPT,0274T,PRQ LAMOT/LAM DCMPR CRV/THRC,,,6930.29,8493.0,5
CPT,0274U,HEM GEN PLTLT DO 62 GENES,,,620.33,760.21,5
CPT,0275T,APC,,,6930.29,8493.0,5
CPT,0275U,HEM HEPRN NDUC TRMBCTPNA SRM,,,18.74,22.96,5
CPT,0276U,HEM INH THROMBOCYTOPENIA 42,,,2497.53,3060.7,5
CPT,0277U,HEM GEN PLTLT FUNCJ DO 40,,,620.33,760.21,5
CPT,0278T,TEMPR,,,151.79,186.01,5
CPT,0278U,HEM GEN THROMBOSIS 14 GENES,,,620.33,760.21,5
CPT,0279U,HEM VW FACTOR&CLGN III BNDG,,,11.76,14.41,5
CPT,0280U,HC VWF COLLAGEN IV BINDING,199.6,99.8,17.62,179.64,69
CPT,0281U,HEM VWD PROPEPTIDE AG LVL,,,17.62,21.59,5
CPT,0282U,HC VERSITI RED CELL GENOTYPING PANEL,2985.1,1492.55,651.05,2686.59,69
CPT,0283U,VW FACTOR TYPE 2B EVAL PLSM,,,18.77,23.0,5
CPT,0284U,HC VWF TYPE 2N VIII PROFILE & BINDING EVAL,601.0,300.5,17.62,540.9,69
CPT,0285U,ONC DS PROG&RSPSE MNTR RADJ,,,452.18,554.14,5
CPT,0286U,CEP72 NUDT15&TPMT GENE ALYS,,,136.81,167.66,5
CPT,0287U,ONC THYR DNA&MRNA 112 GENES,,,3672.0,4500.0,5
CPT,0288U,ONC LUNG MRNA QUAN PCR 11&3,,,3950.46,4841.25,5
CPT,0289U,NEURO ALZHEIMER MRNA 24 GEN,,,775.2,950.0,5
CPT,0290U,PAIN MGMT MRNA GEN XPRSN 36,,,775.2,950.0,5
CPT,0291U,PSYC MOOD DO MRNA 144 GENES,,,1790.1,2193.75,5
CPT,0292U,PSYC STRS DO MRNA 72 GENES,,,1790.1,2193.75,5
CPT,0293U,PSYC SUICIDAL IDEA MRNA 54,,,775.2,950.0,5
CPT,0294U,LNGVTY&MRTLTY RSK MRNA 18GEN,,,775.2,950.0,5
CPT,0295U,ONC BRST DUX CARC 7 PROTEINS,,,5543.7,6793.75,5
CPT,0296U,ONC ORL&/OROP CA 20 MLC FEAT,,,1989.0,2437.5,5
CPT,0297U,HC VWF COLLAGEN III BINDING,199.6,99.8,43.53,3649.5,69
CPT,0298U,ONC PAN TUM WHL TRNS SEQ RNA,,,2977.99,3649.5,5
CPT,0299U,ONC PAN TUM WHL GEN OPT MAPG,,,1900.48,2329.03,5
CPT,0300U,ONC PAN TUM WHL GEN SEQ&OPT,,,4266.79,5228.91,5
CPT,0301U,IADNA BARTONELLA DDPCR,,,267.97,328.4,5
CPT,0302U,IADNA BRTNLA DDPCR FLWG LIQ,,,368.6,451.71,5
CPT,0303U,HEM RBC ADS WHL BLD HYPOXIC,,,2245.65,2752.03,5
CPT,0304U,HEM RBC ADS WHL BLD NORMOXIC,,,2117.32,2594.75,5
CPT,0305U,HEM RBC FNCLTY&DFRM SHR STRS,,,675.83,828.23,5
CPT,0306U,ONC MRD NXT-GNRJ ALYS 1ST,,,3956.02,4848.06,5
CPT,0307U,ONC MRD NXT-GNRJ ALYS SBSQ,,,810.38,993.11,5
CPT,0308T,INSJ OCULAR TELESCOPE PROSTH,,,479.54,19517.1,10
CPT,0308U,CRD CAD ALYS 3 PRTN 3 PARAM,,,398.57,488.44,5
CPT,0309U,CRD CV DS ALY 4 PRTN PLM ALG,,,398.57,488.44,5
CPT,0310U,PED VSCLTS KD ALYS 3 BMRKS,,,398.57,488.44,5
CPT,0311U,NFCT DS BCT QUAN ANTMCRB SC,,,8.24,10.1,5
CPT,0312U,AI DS SLE ALYS 8 IGG AUTOANT,,,857.46,1050.81,5
CPT,0313U,ONC PNCRS DNA&MRNA SEQ 74,,,3672.0,4500.0,5
CPT,0314U,ONC CUTAN MLNMA MRNA 35 GENE,,,1989.0,2437.5,5
CPT,0315U,ONC CUTAN SQ CLL CA MRNA 40,,,8670.0,10625.0,5
CPT,0316U,B BRGDRFERI LYME DS OSPA EVL,,,19.03,23.33,5
CPT,0317U,ONC LUNG CA 4-PRB FISH ASSAY,,,2070.6,2537.5,5
CPT,0318U,PED WHL GEN MTHYLTN ALYS 50+,,,1805.89,2213.1,5
CPT,0319U,NEPH RNA PRETRNSPL PERPH BLD,,,2703.0,3312.5,5
CPT,0320U,NEPH RNA PSTTRNSPL PERPH BLD,,,2703.0,3312.5,5
CPT,0321U,IADNA GU PTHGN 20BCT&FNG ORG,,,647.54,793.55,5
CPT,0322U,NEURO ASD MEAS 14 ACYL CARN,,,765.0,937.5,5
CPT,0323U,IADNA CNS PTHGN NEXT GEN SEQ,,,2168.72,2657.75,5
CPT,0326U,TRGT GEN SEQ ALYS PNL 83+,,,5100.0,6250.0,5
CPT,0327U,FTL ANEUPLOIDY TRSMY DNA SEQ,,,810.9,993.75,5
CPT,0328U,DRUG ASSAY 120+ RX&METABLT,,,116.72,143.04,5
CPT,0329U,ONC NEO XOME&TRNS SEQ ALYS,,,3506.74,4297.48,5
CPT,0330T,"Tear film imaging, unilateral or bilateral, with interpretation and report",,,38.08,46.66,5
CPT,0330U,IADNA VAG PTHGN PANEL 27 ORG,,,425.12,520.98,5
CPT,0331T,HEART SYMP IMAGE PLNR,,,1266.47,1552.05,5
CPT,0331U,ONC HL NEO OPT GEN MAPPING,,,1900.48,2329.03,5
CPT,0332T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT",,,1266.47,1552.05,5
CPT,0332U,ONC PAN TUM GEN PRFLG 8 DNA,,,1164.9,1427.58,5
CPT,0333U,ONC LVR SURVEILANC HCC CFDNA,,,675.57,827.9,5
CPT,0334U,ONC SLD ORGN TGSA DNA 84/+,,,3570.0,4375.0,5
CPT,0335T,INSJ SINUS TARSI IMPLANT,,,6930.29,8493.0,5
CPT,0335U,RARE DS WHL GEN SEQ FETAL,,,5329.09,6530.75,5
CPT,0336U,RARE DS WHL GEN SEQ BLD/SLV,,,2626.14,3218.31,5
CPT,0337U,ONC PLSM CELL DO&MYELOMA ID,,,2483.7,3043.75,5
CPT,0338T,HC TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT,18934.7,9467.35,778.87,17041.23,70
CPT,0338U,ONC SLD TUM CRCG TUM CL SLCT,,,2483.7,3043.75,5
CPT,0339T,HC TRANSCATHETER RENAL SYMPATH DENERVATION BILAT,37869.35,18934.68,778.87,34082.42,70
CPT,0339U,ONC PRST8 MRNA HOXC6 & DLX1,,,775.2,950.0,5
CPT,0340U,ONC PAN CA ALYS MRD PLASMA,,,3998.4,4900.0,5
CPT,0341U,FTL ANEUP DNA SEQ CMPR ALYS,,,1938.2,2375.25,5
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion,,,4545.19,5570.08,5
CPT,0342U,ONC PNCRTC CA MULT IA ECLIA,,,914.94,1121.25,5
CPT,0343U,ONC PRST8 XOM ALY 442 SNCRNA,,,775.2,950.0,5
CPT,0344U,HEP NAFLD SEMIQ EVL 28 LIPID,,,808.01,990.21,5
CPT,0345U,PSYC GENOM ALYS PNL 15 GEN,,,1362.81,1670.11,5
CPT,0346U,APC,,,95.13,116.58,5
CPT,0347T,INS BONE DEVICE FOR RSA,,,57.63,70.62,5
CPT,0347U,RX METAB/PCX DNA 16 GEN ALYS,,,1362.81,1670.11,5
CPT,0348T,RSA SPINE EXAM,,,103.16,126.43,5
CPT,0348U,RX METAB/PCX DNA 25 GEN ALYS,,,757.12,927.84,5
CPT,0349T,RSA UPPER EXTR EXAM,,,103.16,126.43,5
CPT,0349U,RX METAB/PCX DNA 27GEN RX IA,,,757.12,927.84,5
CPT,0350T,RSA LOWER EXTR EXAM,,,85.42,104.68,5
CPT,0350U,RX METAB/PCX DNA 27 GEN ALYS,,,1362.81,1670.11,5
CPT,0351U,NFCT DS BCT/VIRAL TRAIL IP10,,,265.71,325.63,5
CPT,0352U,APC,,,145.48,178.29,5
CPT,0353U,APC,,,71.58,87.73,5
CPT,0354U,APC,,,35.79,43.86,5
CPT,0355U,APOL1 RISK VARIANTS,,,139.74,171.25,5
CPT,0356U,ONC OROP/ANAL 17 DNA DDPCR,,,1836.0,2250.0,5
CPT,0358T,BIA WHOLE BODY,,,5.0,29.12,10
CPT,0358U,NEURO ALYS ß-AMYL 1-42&1-40,,,265.71,325.63,5
CPT,0359U,ONC PRST8 CA ALYS ALL PSA,,,775.2,950.0,5
CPT,0360U,ONC LUNG ELISA 7 AUTOANT ALG,,,798.59,978.66,5
CPT,0361U,APC,,,118.55,145.29,5
CPT,0362T,BHV ID SUPRT ASSMT EA 15 MIN,,,28.9,35.42,5
CPT,0362U,ONC PAP THYR CA RNA 82&10,,,3672.0,4500.0,5
CPT,0363U,ONC URTHL MRNA 5 GEN ALG,,,775.2,950.0,5
CPT,0364U,ONC HL NEO GEN SEQ ALYS ALG,,,2047.4,2509.06,5
CPT,0365U,ONC BLDR 10 UR HRBR URTHL CA,,,914.94,1121.25,5
CPT,0366U,ONC BLDR 10 PRB RECR BLDR CA,,,914.94,1121.25,5
CPT,0367U,ONC BLDR 10 FLWG TRURL RESCJ,,,920.22,1127.73,5
CPT,0368U,ONC CLRCT CA MUT&MTHYLTN MRK,,,425.12,520.98,5
CPT,0369U,APC,,,425.12,520.98,5
CPT,0370U,APC,,,425.12,520.98,5
CPT,0371U,IADNA GU PTHGN SEMIQ DNA16&1,,,425.12,520.98,5
CPT,0372U,NFCT DS GU PTHGN ARG DETCJ,,,425.12,520.98,5
CPT,0373T,ADAPT BHV TX EA 15 MIN,,,28.9,35.42,5
CPT,0373U,APC,,,425.12,520.98,5
CPT,0374U,APC,,,425.12,520.98,5
CPT,0375U,ONC OVRN BCHM ASY 7 PRTN ALG,,,914.94,1121.25,5
CPT,0376U,ONC PRST8 CA IMG ALYS 128,,,720.38,882.81,5
CPT,0377U,CV DS QUAN ADVSRM/PLSM LPRTN,,,48.53,59.48,5
CPT,0378U,RFC1 REPEAT XPNSJ VRNT ALYS,,,139.74,171.25,5
CPT,0379T,VIS FIELD ASSMNT TECH SUPPT,,,38.08,97.38,10
CPT,0379U,TGSAP SL OR NEO DNA523&RNA55,,,3354.28,4110.64,5
CPT,0380U,APC,,,425.12,520.98,5
CPT,0381U,MAPLE SYRUP UR DS MNTR QUAN,,,45.0,55.15,5
CPT,0382U,HYPRPHENYLALNINMIA MNTR QUAN,,,52.67,64.55,5
CPT,0383U,TYROSINEMIA TYP I MNTR QUAN,,,53.09,65.06,5
CPT,0384U,NEPH CKD RSK HI STG KDN DS,,,765.0,937.5,5
CPT,0385U,NEPH CKD ALG RSK DBTC KDN DS,,,398.57,488.44,5
CPT,0387U,ONC MLNMA AMBRA1&AMLO,,,967.47,1185.63,5
CPT,0388U,ONC NONSM CLL LNG CA 37 GEN,,,3570.0,4375.0,5
CPT,0389U,PED FBRL KD IFI27&MCEMP1 RNA,,,71.6,87.75,5
CPT,0390U,OB PE KDR ENG&RBP4 IA ALG,,,65.7,80.51,5
CPT,0391U,ONC SLD TUM DNA&RNA 437 GEN,,,3672.0,4500.0,5
CPT,0392U,RX METAB GEN-RX IA 16 GENES,,,1362.81,1670.11,5
CPT,0393U,NEU PRKSN MSFL a-SYNCLN PRTN,,,551.81,676.24,5
CPT,0394T,APC,,,255.12,312.65,5
CPT,0394U,PFAS 16 PFAS COMPND LC MS/MS,,,202.71,248.43,5
CPT,0395T,HDR ELCTR NTRST/NTRCV BRCHTX,,,673.08,824.85,5
CPT,0395U,ONC LNG MULTIOMICS PLSM ALG,,,813.4,996.81,5
CPT,0398U,GI BARET ESPH DNA MTHYLN ALY,,,1790.1,2193.75,5
CPT,0399U,NEURO CERE FOLATE DEFNCY SRM,,,306.0,375.0,5
CPT,0400U,OB XPND CAR SCR 145 GENES,,,1486.02,1821.1,5
CPT,0401U,CRD C HRT DS 9 GEN 12 VRNTS,,,499.47,612.1,5
CPT,0402T,COLGN CRS-LINK CRN&PACHYMTRY,,,2263.26,2773.6,5
CPT,0402U,NFCT AGT STI MULT AMP PRB TQ,,,145.48,178.29,5
CPT,0403U,ONC PRST8 MRNA 18 GEN 1ST UR,,,775.2,950.0,5
CPT,0404T,Fee Schedule,,,1538.84,1955.3,2
CPT,0404U,ONC BRST SEMIQ MEAS THYM KN,,,329.42,403.7,5
CPT,0405U,ONC PNCRTC 59 MTHLTN BLK MRK,,,1805.89,2213.1,5
CPT,0406U,ONC LUNG FLOW CYTMTRY 5 MRK,,,775.2,950.0,5
CPT,0407U,NEPH DBTC CKD MULT ECLIA ALG,,,969.0,1187.5,5
CPT,0408T,HC INSERT OR REPLACE PERM CARDIAC CONT MOD GEN+ELECT,110987.6,55493.8,778.87,99888.84,70
CPT,0408T,INSJ/RPLC CARDIAC MODULJ SYS,,,1785.92,1785.92,1
CPT,0408U,IAAD BLK AC WV BSNSR SARSCV2,,,14.41,17.66,5
CPT,0409T,HC INSERT OR REPLACE PERM CCM PULSE GENERATOR ONLY,109005.7,54502.85,778.87,98105.13,70
CPT,0409U,ONC SLD TUM DNA 80 & RNA 36,,,2977.99,3649.5,5
CPT,0410T,HC INSERT OR REPLACE PERM CCM ATRIAL ELECTROD ONLY,36675.45,18337.73,778.87,33007.91,70
CPT,0410U,ONC PNCRTC DNA WHL GN SEQ 5-,,,1183.2,1450.0,5
CPT,0411T,HC INSERT OR REPLACE PERM CCM VENT ELECTROD ONLY,36675.45,18337.73,778.87,33007.91,70
CPT,0411U,PSYC GENOM ALYS PNL 15 GEN,,,1362.81,1670.11,5
CPT,0412T,HC REMOVAL PERM CCM PULSE GENERATOR ONLY,14321.2,7160.6,778.87,12889.08,70
CPT,0412U,BETA AMYLOID Aß42/40 IMPRCIP,,,765.0,937.5,5
CPT,0413T,HC REMOVAL PERM CCM SYSTEM ATRIAL VENT ELECTROD,14321.2,7160.6,778.87,12889.08,70
CPT,0413U,ONC HL NEO OPT GEN MAPG DNA,,,1288.8,1579.41,5
CPT,0414T,HC REMOVAL & REPLACE PERMAMENT CCM PULSE GENERATOR ONLY,109005.7,54502.85,778.87,98105.13,70
CPT,0414U,ONC LNG AUG ALG ALY WHL SLD8,,,720.38,882.81,5
CPT,0415T,HC REPOSITION PERM CCM ATRIAL OR VENT ELECTROD,3026.15,1513.08,599.79,2723.54,70
CPT,0415U,CV DS ACS BLD ALG 5 YR SCORE,,,398.57,488.44,5
CPT,0416T,HC RELOCATION SKIN POCKET FOR PERM CCM PULSE GEN,8496.1,4248.05,778.87,7646.49,70
CPT,0416U,APC,,,425.12,520.98,5
CPT,0417T,HC PROGRAM EVAL W/ ADJUST CCM IMPLANT DEVICE IN PERSON,761.85,380.93,36.18,778.87,70
CPT,0417U,RARE DS ALYS 335 NUC GENES,,,2899.38,3553.16,5
CPT,0418T,HC INTERROGATION EVAL CCM IMPLANT SYSTEM IN PERSON,761.85,380.93,36.18,778.87,70
CPT,0418U,ONC BRST AUG ALG ALY WHL SL8,,,720.38,882.81,5
CPT,0419T,DSTRJ NEUROFIBROMA XTNSV,,,593.84,727.75,5
CPT,0419U,NRPSYC GEN SEQ VRNT ALY 13,,,1362.81,1670.11,5
CPT,0420T,DSTRJ NEUROFIBROMA XTNSV,,,593.84,727.75,5
CPT,0421T,APC,,,8970.86,10993.71,5
CPT,0421T,Fee Schedule,,,809.04,809.04,1
CPT,0421T,MPFS,,,647.23,671.73,4
CPT,0421U,ONC CLRCT SCR SGL AMP 8 RNA,,,519.05,636.09,5
CPT,0422T,TACTILE BREAST IMG UNI/BI,,,85.42,104.68,5
CPT,0423U,PSYC GENOMIC ALYS PNL 26 GEN,,,425.12,520.98,5
CPT,0424U,ONC PRST8 XOM ALYS 53 SNCRNA,,,775.2,950.0,5
CPT,0427U,MONOCYTE DSTRBJ WDTH WHL BLD,,,4.57,5.6,5
CPT,0429U,HPV OROP SWAB 14 HI-RISK TYP,,,35.79,43.86,5
CPT,0430U,GI MALABS AAT CALPRO PNCRTC,,,62.77,76.93,5
CPT,0431U,GLY RCPTR ALPHA1 IGG SRM/CSF,,,37.3,45.71,5
CPT,0432U,KLHL11 ANTB SR/CSF ASY QUAL,,,37.3,45.71,5
CPT,0433U,ONC PRST8 5 DNA REG MRK PCR,,,775.2,950.0,5
CPT,0434U,RX METAB ADVRS VRNT ALYS 25,,,425.12,520.98,5
CPT,0435U,ONC CHEMO RX CYTOX CSC 14 RX,,,3094.54,3792.33,5
CPT,0437U,PSYC ANXIETY DO MRNA 15 BMRK,,,775.2,950.0,5
CPT,0438U,RX METAB ADVRS VRNT ALYS 33,,,425.12,520.98,5
CPT,0439T,MYOCRD CONTRAST PRFUJ ECHO,,,249.75,312.19,5
CPT,0440T,ABLTJ PERC UXTR/PERPH NRV,,,1894.43,2321.6,5
CPT,0441T,ABLTJ PERC LXTR/PERPH NRV,,,1894.43,2321.6,5
CPT,0442T,ABLTJ PERC PLEX/TRNCL NRV,,,6212.73,7613.64,5
CPT,0442U,NFCT DS RESPIR NFCTJ MXA&CRP,,,42.21,51.73,5
CPT,0444U,ONC SLD ORGN NEO TGSAP 361,,,2977.99,3649.5,5
CPT,0445U,ABETA42 & PTAU181 ECLIA CSF,,,265.71,325.63,5
CPT,0446T,INSJ IMPLTBL GLUCOSE SENSOR,,,52.67,3864.44,10
CPT,0446U,AI DS SLE ALYS 10 CYTOKINE,,,857.46,1050.81,5
CPT,0447T,RMVL IMPLTBL GLUCOSE SENSOR,,,61.32,236.23,10
CPT,0447U,AI DS SLE ALYS 11 CYTOKINE,,,857.46,1050.81,5
CPT,0448T,REMVL INSJ IMPLTBL GLUC SENS,,,87.73,3864.44,10
CPT,0449T,INSJ AQUEOUS DRAIN DEV 1ST,,,679.19,6134.25,10
CPT,0449U,CAR SCR SEV INH COND 5 GENES,,,1861.38,2281.1,5
CPT,0450U,APC,,,44.3,54.29,5
CPT,0451U,APC,,,44.3,54.29,5
CPT,0452U,ONC BLDR MTHYL PENK LTE-QMSP,,,195.84,240.0,5
CPT,0453U,ONC CLRCT CA CFDNA QPCR ASY,,,195.84,240.0,5
CPT,0454U,RARE DS ID OPT GENOME MAPG,,,1288.8,1579.41,5
CPT,0455U,NFCT AGT STI MULT AMP PRB UR,,,145.48,178.29,5
CPT,0457U,PFAS 9 CMPND LC-MS/MS PLS/SR,,,202.71,248.43,5
CPT,0458U,ONC BRST CA S100 A8&A9 ELISA,,,265.71,325.63,5
CPT,0459U,ABETA42 & TTAU ECLIA CSF,,,265.71,325.63,5
CPT,0462U,MELATONIN LVL TST SLP STD7/9,,,17.62,21.59,5
CPT,0464T,VISUAL EP TEST FOR GLAUCOMA,,,151.79,186.01,5
CPT,0464U,ONC CLRCT SCR QRTSA DNA MRK,,,603.76,739.9,5
CPT,0465U,ONC URTHL CARC DNA QMSP 2GEN,,,1976.77,2422.51,5
CPT,0467U,ONC BLDR DNA NGS 60GEN&ANEUP,,,1549.44,1898.83,5
CPT,0468U,HEP NASH MIR-34A5P A2M YKL40,,,256.73,314.63,5
CPT,0469U,RARE DS WHL GEN SEQ FTL SAMP,,,1221.9,1497.43,5
CPT,0471U,ONC CLRC CA 35 VRN KRAS&NRAS,,,775.2,950.0,5
CPT,0472T,PRGRMG IO RTA ELTRD RA,,,290.95,356.56,5
CPT,0473T,REPRGRMG IO RTA ELTRD RA,,,89.05,109.13,5
CPT,0473U,ONC SLD TUM BLD/SLV 648 GENE,,,4590.0,5625.0,5
CPT,0474U,HERED PAN CA GSAP 88GENE NGS,,,1330.03,1629.94,5
CPT,0475U,HERED PRST8 CA GSAP 23 GENES,,,1330.03,1629.94,5
CPT,0476U,RX METAB PSYC 14GEN&CYP2D6,,,425.12,520.98,5
CPT,0477U,RX METAB PSY 14&CYP2D6 GN-RX,,,425.12,520.98,5
CPT,0479T,FXJL ABL LSR 1ST 100 SQ CM,,,385.17,727.75,6
CPT,0479U,TAU PHOSPHORYLATED PTAU217,,,17.62,21.59,5
CPT,0480U,"HC METAGENOMIC SEQUENCING, CSF",10800.0,5400.0,2168.72,9720.0,69
CPT,0481T,NJX AUTOL WBC CONCENTRATE,,,387.12,474.41,5
CPT,0481U,IDH1 IDH2&TERT PROMOTER NGS,,,687.72,842.8,5
CPT,0482U,OB PE BIOCHEM ASY SFLT1&PLGF,,,131.4,161.03,5
CPT,0485T,OCT MID EAR I&R UNILATERAL,,,38.08,46.66,5
CPT,0486T,OCT MID EAR I&R BILATERAL,,,38.08,46.66,5
CPT,0487U,ONC SOL TUM CFCDNA TGSAP 84,,,2977.99,3649.5,5
CPT,0488U,OB FETAL AG NIPT CFDNA ALYS,,,774.23,948.81,5
CPT,0490U,ONC CUTAN/UVEAL MLNMA CD146,,,2483.7,3043.75,5
CPT,0491U,ONC SOL TUM CTC SLCT ER PRTN,,,2483.7,3043.75,5
CPT,0492U,ONC SOL TUM CTC SLCTN PD-L1,,,2483.7,3043.75,5
CPT,0493U,TRNSPL MED QUAN DD-CFDNA NGS,,,2808.32,3441.56,5
CPT,0494U,RBC AG FTL RHD GENE ALYS NGS,,,774.23,948.81,5
CPT,0495U,ONC PRST8 ALYS CRCG PLSM PRT,,,775.2,950.0,5
CPT,0497U,ONC PRST8 MRNA RT-PCR 6GENES,,,3950.46,4841.25,5
CPT,0499T,Fee Schedule,,,812.34,866.82,2
CPT,0499U,ONC CLRCT&LNG DNA NGS 8GENES,,,609.87,747.39,5
CPT,0500U,AUTOINFLAM DS VEXAS SYND DNA,,,178.91,219.25,5
CPT,0501T,Fee Schedule,,,345.77,2468.9,4
CPT,0502U,HPV E6/E7 MRK HI-RSK TYP CRV,,,35.79,43.86,5
CPT,0503U,NEURO ALZ DS ßAMYL&TAU PRTN,,,765.0,937.5,5
CPT,0504T,Fee Schedule,,,147.06,305.02,5
CPT,0504U,NFCT DS UTI ID 17 PATH ORGS,,,425.12,520.98,5
CPT,0505T,HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,36837.5,18418.75,778.87,33153.75,70
CPT,0505U,NFCT DS VAG INFCTJ ID 32ORGS,,,693.37,849.71,5
CPT,0506T,MAC PGMT OPT DNS MEAS HFP,,,57.63,70.62,5
CPT,0506U,GI BARRETTS ESOPHGL CELL 89,,,1976.77,2422.51,5
CPT,0507T,NEAR IFR 2IMG MIBMN GLND I&R,,,57.63,70.62,5
CPT,0507U,ONC OVR DNA WHOLE GEN W/5HMC,,,1183.2,1450.0,5
CPT,0509T,PATTERN ERG W/I&R,,,19.44,370.22,20
CPT,0510T,RMVL SINUS TARSI IMPLANT,,,3147.67,3857.44,5
CPT,0511T,RMVL&RINSJ SINUS TARSI IMPLT,,,6930.29,8493.0,5
CPT,0511U,ONC SOL TUM 3DMICROENVIR 36+,,,3094.54,3792.33,5
CPT,0512T,ESW INTEG WND HLG 1ST WND,,,192.76,236.23,5
CPT,0512U,ONC PRST8 ALYS DGTZ IMG MSI,,,720.38,882.81,5
CPT,0513U,ONC PRST8 ALG ALYS MSI&HRD,,,720.38,882.81,5
CPT,0514U,GI IBD IA QUAN DETER ADL LVL,,,39.34,48.21,5
CPT,0515T,INSJ WCS LV COMPL SYS,,,21775.54,26685.71,5
CPT,0515U,GI IBD IA QUAN DETER IFX LVL,,,39.34,48.21,5
CPT,0516T,INSJ WCS LV ELTRD ONLY,,,10152.65,12441.97,5
CPT,0516U,RX METAB RXGENOMIC GNOTYP 40,,,425.12,520.98,5
CPT,0517T,INSJ WCS LV BOTH COMPNT PG,,,10152.65,12441.97,5
CPT,0517U,THER RX MNTR 80+ PSYACTIV RX,,,251.86,308.65,5
CPT,0518T,RMVL PG WCS LV BATTERY ONLY,,,3530.56,4326.67,5
CPT,0518U,THER RX MNTR 90+ PN&MTL HLTH,,,251.86,308.65,5
CPT,0519T,RMV&RPLCMT PG WCS LV BOTH,,,10152.65,12441.97,5
CPT,0519U,THER RX MNTR MEDS P/D/A 110+,,,251.86,308.65,5
CPT,0520T,RMV&RPLCMT PG WCS LV BATTERY,,,10152.65,12441.97,5
CPT,0520U,THER RX MNTR 200+ RX/SBSTS,,,251.86,308.65,5
CPT,0521T,INTERROG DEV EVAL WCS IP,,,23.76,29.12,5
CPT,0522T,PRGRMG DEV EVAL WCS IP,,,36.18,44.33,5
CPT,0523T,HC INTRAPROCEDURAL FFR WITH 3D MAPPING (COLOR-CODDED),7760.3,3880.15,1486.1,6984.27,64
CPT,0524T,EV CATH DIR CHEM ABLTJ W/IMG,,,3053.46,3741.98,5
CPT,0524U,HC OB PREECLAMPSIA SFLT-1/PLGF RATIO IA SERUM/PLSMA,1200.0,600.0,261.72,1080.0,64
CPT,0525T,INSJ/RPLCMT COMPL IIMS,,,18501.35,22673.23,5
CPT,0526T,INSJ/RPLCMT IIMS ELTRD ONLY,,,8028.71,9839.11,5
CPT,0527T,INSJ/RPLCMT IIMS IMPLT MNTR,,,8028.71,9839.11,5
CPT,0528T,PRGRMG DEV EVAL IIMS IP,,,36.18,44.33,5
CPT,0529T,INTERROG DEV EVAL IIMS IP,,,36.18,44.33,5
CPT,0530T,REMOVAL COMPLETE IIMS,,,3530.56,4326.67,5
CPT,0531T,REMOVAL IIMS ELECTRODE ONLY,,,3530.56,4326.67,5
CPT,0532T,REMOVAL IIMS IMPLT MNTR ONLY,,,3530.56,4326.67,5
CPT,0537U,ONC CLRCT CA CFDNA >2500 DMR,,,1524.9,1868.75,5
CPT,0541T,MYOCARDIAL IMAGING MCG,,,514.75,630.82,5
CPT,0555T,B1 STR&FX RSK TRANSMIS DATA,,,23.76,29.12,5
CPT,0556T,B1 STR & FX RSK ASSESSMENT,,,234.5,287.37,5
CPT,0558T,CT SCAN F/BIOMCHN CT ALYS,,,85.42,104.68,5
CPT,0559T,ANTMC MDL 3D PRINT 1ST CMPNT,,,57.63,70.62,5
CPT,0561T,ANTMC GUIDE 3D PRINT 1ST GD,,,57.63,70.62,5
CPT,0563T,EVAC MEIBOMIAN GLND HEAT BI,,,57.63,70.62,5
CPT,0569T,HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS,20003.6,10001.8,778.87,18003.24,65
CPT,0571T,HC INSERT/REPLACE ICDS W/SUBSTERNAL ELECTRODE,87916.7,43958.35,261.3,79125.03,70
CPT,0572T,INSERTION SS DFB ELECTRODE,,,8028.71,9839.11,5
CPT,0573T,REMOVAL SS DFB ELECTRODE,,,3530.56,4326.67,5
CPT,0574T,REPOS PREV SS IMPL DFB ELTRD,,,3530.56,4326.67,5
CPT,0575T,PRGRMG DEV EVAL ICDS SS IP,,,36.18,44.33,5
CPT,0576T,INTERROG DEV EVAL ICDS SS IP,,,36.18,44.33,5
CPT,0577T,EPHYS EVAL ICDS SS,,,1177.72,1443.28,5
CPT,0579T,REM INTERROG DEV ICDS TECH,,,36.18,44.33,5
CPT,0580T,RMVL SS IMPL DFB PG ONLY,,,3530.56,4326.67,5
CPT,0581T,ABLTJ MAL BRST TUM PERQ CRTX,,,3714.87,4552.54,5
CPT,0583T,TMPST AUTO TUBE DLVR SYS,,,1437.02,1761.06,5
CPT,0587T,PERQ IMPLTJ/RPLCMT ISDNS PTN,,,6366.81,7802.47,5
CPT,0588T,REVISION/REMOVAL ISDNS PTN,,,3336.26,4088.55,5
CPT,0589T,ELEC ALYS SMPL PRGRMG IINS,,,89.05,109.13,5
CPT,0590T,ELEC ALYS CPLX PRGRMG IINS,,,89.05,109.13,5
CPT,0594T,OSTEOT HUM XTRNL LNGTH DEV,,,6930.29,8493.0,5
CPT,0596T,TEMP FML IU VLV-PMP 1ST INSJ,,,647.53,793.54,5
CPT,0597T,TEMP FML IU VALVE-PMP RPLCMT,,,647.53,793.54,5
CPT,0598T,R-T FLUOR WOUND IMG 1ST SITE,,,32.64,370.22,10
CPT,0599T,R-T FLUOR WOUND IMG EA ADDL,,,16.32,20.4,5
CPT,0600T,HC IRE ABLATION 1+TUMOR PER ORGAN W/IMG GUIDE PERQ,25898.75,12949.38,4959.61,23308.88,69
CPT,0601T,ABLTJ IRE 1+TUMORS OPEN,,,3911.09,12377.64,6
CPT,0609T,MRS DISC PAIN ACQUISJ DATA,,,234.5,287.37,5
CPT,0611T,MRS DISC PAIN ALG ALYS DATA,,,234.5,287.37,5
CPT,0614T,RMVL&RPLCMT SS IMPL DFB PG,,,21775.54,26685.71,5
CPT,0615T,AUTO ALYS BINOCULAR EYE MVMT,,,125.05,153.25,5
CPT,0619T,APC,,,8970.86,10993.71,5
CPT,0620T,HC ENDOVASC VENOUS ARTERIALIZATION TIBL/PRNL VN,40630.95,20315.48,778.87,41611.22,70
CPT,0621T,TRABECULOSTOMY INTERNO LASER,,,3902.66,4782.68,5
CPT,0625T,HC AUTO QUAN & CHARAC CORONARY PLAQ COMPUTER ANALYS,1.0,0.5,0.22,1130.03,69
CPT,0627T,HC PERC INJECT LUMBAR DISC 1ST LVL VIADISC NP,27397.15,13698.58,5246.55,24657.44,69
CPT,0628T,HC PERC INJECT LUMBAR DISC EA ADDTL LEVL ALGC CELL PRODUCT,12464.95,6232.48,2387.04,11218.46,64
CPT,0629T,PERQ NJX ALGC CT LMBR 1ST,,,12482.39,15297.04,5
CPT,0631T,APC,,,23.76,29.12,5
CPT,0632T,PERQ TCAT US ABLTJ NRV P-ART,,,17420.21,21348.3,5
CPT,0633T,CT BREAST W/3D UNI C-,,,103.16,126.43,5
CPT,0634T,CT BREAST W/3D UNI C+,,,172.7,211.64,5
CPT,0635T,CT BREAST W/3D UNI C-/C+,,,172.7,211.64,5
CPT,0636T,CT BREAST W/3D BI C-,,,234.5,287.37,5
CPT,0637T,CT BREAST W/3D BI C+,,,346.46,424.58,5
CPT,0638T,CT BREAST W/3D BI C-/C+,,,346.46,424.58,5
CPT,0640T,NCNTC IFR SPCTRSC O/T PAD 1,,,38.08,46.66,5
CPT,0644T,HC VACUUM ASSIST DEBULK VALVE VEGETATION,22151.4,11075.7,4241.99,19936.26,69
CPT,0644T,TCAT RMVL/DBLK ICAR MAS PERQ,,,3430.28,3430.28,2
CPT,0645T,TCAT IMPLTJ C SINS RDCTJ DEV,,,17420.21,21348.3,5
CPT,0646T,HC TTVI/REPLACE W/PROSTHETIC VALVE PERQ W/ RT HEART CATH&ANGIOGRPH,42635.25,21317.63,778.87,38371.73,65
CPT,0647T,INSJ GTUBE PERQ MAG GASTRPXY,,,1840.31,2255.28,5
CPT,0648T,QUAN MR TIS WO MRI 1ORGN,,,922.1,1130.03,5
CPT,0649T,HC MRI FERRISCAN LIVER IRON STUDY,935.5,467.75,204.03,1446.3,69
CPT,0650T,PRGRMG DEV EVAL SCRMS REMOTE,,,36.18,44.33,5
CPT,0651T,MAG CTRLD CAPSULE ENDOSCOPY,,,909.55,1114.64,5
CPT,0652T,HC EGD TRANSNASAL W/ SPECIMEN COLLECTION,4250.0,2125.0,813.88,3825.0,69
CPT,0653T,HC EGD TRANSNASAL WITH BIOPSY,4500.0,2250.0,861.75,4050.0,69
CPT,0654T,EGD FLX TRANSNASAL TUBE/CATH,,,121.08,151.35,5
CPT,0654T,HC EGD TRANSNASAL WITH TUBE/CATHETER INSERTION,4750.0,2375.0,909.63,4523.11,69
CPT,0655T,TPRNL FOCAL ABLTJ MAL PRST8,,,4931.73,6043.79,5
CPT,0658T,ELEC IMPD SPECTRSC 1+SKN LES,,,57.63,70.62,5
CPT,0660T,IMPLT ANT SGM IO NBIO RX SYS,,,3902.66,4782.68,5
CPT,0661T,RMVL&RIMPLTJ ANT SGM IMPLT,,,3902.66,4782.68,5
CPT,0662T,APC,,,1698.2,2081.13,5
CPT,0671T,INSJ ANT SGM AQ DRG DEV 1+,,,880.64,6134.25,10
CPT,0673T,ABLTJ B9 THYR NDUL PERQ LASR,,,1571.83,1926.26,5
CPT,0674T,LAPS INSJ NW/RPCMT PRM ISDSS,,,29563.1,36229.29,5
CPT,0675T,LAPS INSJ NW/RPCMT ISDSS 1LD,,,12097.72,14825.64,5
CPT,0677T,LAPS REPOS LEAD ISDSS 1ST LD,,,10100.15,12377.64,5
CPT,0679T,LAPS RMVL LEAD ISDSS,,,10100.15,12377.64,5
CPT,0680T,INSJ/RPLCMT PG ONLY ISDSS,,,20803.67,25494.7,5
CPT,0681T,RLCJ PULSE GEN ONLY ISDSS,,,3336.26,4088.55,5
CPT,0682T,REMOVAL PULSE GEN ONLY ISDSS,,,3336.26,4088.55,5
CPT,0683T,PRGRMG DEV EVAL ISDSS IP,,,36.18,44.33,5
CPT,0685T,INTERROG DEV EVAL ISDSS IP,,,36.18,44.33,5
CPT,0686T,HISTOTRIPSY MAL HEPATCEL TIS,,,16977.62,20805.91,5
CPT,0689T,QUAN US TIS CHARAC W/O DX US,,,85.42,104.68,5
CPT,0692T,THERAPEUTIC ULTRAFILTRATION,,,1590.3,1948.9,5
CPT,0693T,COMPRE FUL BDY 3D MTN ALYS,,,340.03,416.7,5
CPT,0696T,BDY SURF MAPG PM/CVDFB F/UP,,,36.18,44.33,5
CPT,0697T,QUAN MR TIS WO MRI MLT ORGN,,,922.1,1130.03,5
CPT,0698T,QUAN MR TISS W/MRI MLT ORGN,,,922.1,1130.03,5
CPT,0699T,NJX PST CHMBR EYE MEDICATION,,,2212.59,2711.5,5
CPT,0707T,NJX B1 SUB MTRL SBCHDRL DFCT,,,595.34,3857.44,10
CPT,0712T,N-NVS ARTL PLAQ ALYS QUAN,,,85.42,104.68,5
CPT,0714T,TPLA B9 PRST8 HYPRPLSA<50ML,,,4931.73,6043.79,5
CPT,0715T,Fee Schedule,,,1037.34,1037.34,1
CPT,0716T,CAR ACOUS WAVFRM REC CAD RSK,,,57.63,70.62,5
CPT,0717T,ADRC THER PRTL RC TEAR,,,3551.59,4352.44,5
CPT,0718T,ADRC THER PRTL RC TEAR NJX,,,3551.59,4352.44,5
CPT,0720T,HC PERQ ELECTRIC NERVE FIELD STIM CRANIAL NERVE W/O IMPLANT,3463.65,1731.83,663.29,3117.29,69
CPT,0721T,QUAN CT TISS CHARAC W/O CT,,,631.06,773.36,5
CPT,0722T,HC QUANT CT TISSUE CHARACTER W/ CONCURRENT CT,2545.0,1272.5,555.06,2290.5,69
CPT,0723T,QMRCP W/O DX MRI SM ANAT SES,,,922.1,1130.03,5
CPT,0724T,QMRCP W/DX MRI SAME ANATOMY,,,922.1,1130.03,5
CPT,0731T,AUGMNT AI-BASED FCL PHNT A/R,,,57.63,70.62,5
CPT,0733T,REM R-T MTN NREHAB THER SPLY,,,340.03,416.7,5
CPT,0736T,COLONIC LAVAGE 35+L WATER,,,151.79,186.01,5
CPT,0737T,XENOGRAFT IMPLTJ ARTCLR SURF,,,12482.39,15297.04,5
CPT,0740T,REM AUTON ALG NSLN CAL SETUP,,,57.63,70.62,5
CPT,0741T,REM AUTON ALG NSLN DATA COLL,,,36.18,44.33,5
CPT,0743T,B1 STR & FX RSK VRT FX ASSMT,,,234.5,287.37,5
CPT,0744T,INSJ BIOPROSTC VLV FEM VN,,,5244.19,6426.7,5
CPT,0751T,HC DGTZ GLASS MCRSCP SLD LEVEL II SURG PATH,5.45,2.73,1.19,4.91,64
CPT,0752T,HC DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH,5.45,2.73,1.19,4.91,64
CPT,0753T,HC DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH,5.45,2.73,1.19,4.91,64
CPT,0754T,HC DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH,5.45,2.73,1.19,4.91,64
CPT,0755T,HC DGTZ GLASS MCRSCP SLD LEVEL VI SURG PATH,5.45,2.73,1.19,4.91,64
CPT,0756T,HC DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG,5.45,2.73,1.19,4.91,64
CPT,0757T,HC DGTZ GLASS MCRSCP SLD SPEC STAIN GRP II ALL OTH,5.45,2.73,1.19,4.91,64
CPT,0758T,HC DGTZ GLASS MCRSCP SLD SPEC STAIN HCHEM STAIN,5.45,2.73,1.19,4.91,64
CPT,0759T,HC DGTZ GLAS MCRSCP SLD SPEC STN GRP III NZM CONST,5.45,2.73,1.19,4.91,64
CPT,0760T,HC DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN,5.45,2.73,1.19,4.91,64
CPT,0761T,HC DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1,5.45,2.73,1.19,4.91,64
CPT,0762T,HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB,5.45,2.73,1.19,4.91,64
CPT,0763T,HC DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM,5.45,2.73,1.19,4.91,64
CPT,0764T,ASSTV ALG ECG RSK ASMT CNCRT,,,125.05,153.25,5
CPT,0765T,ASSTV ALG ECG RSK ASMT PREV,,,125.05,153.25,5
CPT,0766T,TC MAG STIMJ PN 1ST NERVE,,,302.1,370.22,5
CPT,0778T,SMMG CNCRNT APPL IMU SNR,,,151.79,186.01,5
CPT,0779T,GI MYOELECTRICAL ACTV STUDY,,,514.75,630.82,5
CPT,0780T,INSTLJ FECAL MICROBIOTA SSP,,,125.05,153.25,5
CPT,0783T,TC AURICULR NEUROSTIMULATION,,,151.79,186.01,5
CPT,0784T,INS/RPLMT ELTRD RA SPI NSTIM,,,12097.72,14825.64,5
CPT,0785T,REVJ/RMVL NEA SPI W/NSTIM,,,3336.26,4088.55,5
CPT,0787T,REVJ/RMVL NEA SAC W/NSTIM,,,3336.26,4088.55,5
CPT,0788T,ELEC ALY SMP IINS SP/SAC NRV,,,89.05,109.13,5
CPT,0789T,ELEC ALY CPX IINS SP/SAC NRV,,,89.05,109.13,5
CPT,0793T,PRQ TCAT THRM ABLT NRV P-ART,,,17420.21,21348.3,5
CPT,0794T,PT SPEC ALG RX-ONC TX OPTION,,,57.63,70.62,5
CPT,0795T,HC TCAT INSERT PERM DUAL CHAMBER LEADLS PM COMPL SYS,151770.35,75885.18,261.3,136593.32,70
CPT,0796T,TCAT INS 2CHMBR LDLS PM RA,,,18501.35,22673.23,5
CPT,0797T,TCAT INS 2CHMBR LDLS PM RV,,,18501.35,22673.23,5
CPT,0798T,TCAT RMV 2CHMBR LDLS PM CMPL,,,3053.46,3741.98,5
CPT,0799T,TCAT RMVL 2CHMBR LDLS PM RA,,,3053.46,3741.98,5
CPT,0800T,TCAT RMVL 2CHMBR LDLS PM RV,,,3053.46,3741.98,5
CPT,0801T,TCAT RMV&RPL 2CHMBR LDLS PM,,,18501.35,22673.23,5
CPT,0802T,TCAT RMV&RPL2CHMB LDLS PM RA,,,18501.35,22673.23,5
CPT,0803T,TCAT RMV&RPL2CHMB LDLS PM RV,,,18501.35,22673.23,5
CPT,0804T,PRGRMG EVL LDLS PM 2CHMBR IP,,,36.18,44.33,5
CPT,0807T,PULM TISS VNTJ ALYS PREV CT,,,302.1,370.22,5
CPT,0808T,PULM TISS VNTJ ALYS W/CT,,,302.1,370.22,5
CPT,0810T,SUBRTA NJX RX AGT W/VTRC,,,4123.5,5053.31,5
CPT,0811T,REM MLT DAY UROFLOW SETUP,,,125.02,153.21,5
CPT,0812T,REM MLT DAY UROFLOW DEV SPLY,,,151.79,186.01,5
CPT,0813T,EGD VOL ADJMT BARIATRIC BALO,,,909.55,1114.64,5
CPT,0816T,OPN INSJ/RPLCMT INS PTN SUBQ,,,20803.67,25494.7,5
CPT,0817T,OPN INSJ/RPLCMT INS PTN SUBF,,,20803.67,25494.7,5
CPT,0818T,REVJ/RMVL INS PTN SUBQ,,,3336.26,4088.55,5
CPT,0819T,REVJ/RMVL INS PTN SUBF,,,3336.26,4088.55,5
CPT,0823T,TCAT INS 1CHMBR LDLS PM RA,,,18501.35,22673.23,5
CPT,0824T,TCAT RMV 1CHMBR LDLS PM RA,,,3053.46,3741.98,5
CPT,0825T,TCAT RMV&RPL1CHMB LDLS PM RA,,,18501.35,22673.23,5
CPT,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,,,36.18,44.33,5
CPT,0827T,HC DGTZ GLS MCRSCP CYTP SMEARS,5.2,2.6,1.13,4.68,64
CPT,0828T,HC DGTZ GLS MCRSCP CYTP SMPL FL,5.2,2.6,1.13,4.68,64
CPT,0829T,HC DGTZ GLS MCRSCP CYTP CONCTRJ,5.2,2.6,1.13,4.68,64
CPT,0830T,HC DGTZ GLS MCRSCP CYTP SLCTV,5.2,2.6,1.13,4.68,64
CPT,0831T,HC DGTZ GLS MCRSCP CYTP C/V,5.2,2.6,1.13,4.68,64
CPT,0832T,HC DGTZ GLS MCRSCP CYTP OTH SCR,5.2,2.6,1.13,4.68,64
CPT,0833T,HC DGTZ GLS MCRSCP CYTP OTH PRP,5.2,2.6,1.13,4.68,64
CPT,0834T,HC DGTZ GLS MCRSCP CYTP OTH XTN,5.2,2.6,1.13,4.68,64
CPT,0835T,HC DGTZ GLS MCRSCP FNA 1ST EA,5.2,2.6,1.13,4.68,64
CPT,0836T,HC DGTZ GLS MCRSCP FNA EA ADDL,5.2,2.6,1.13,4.68,64
CPT,0837T,HC DGTZ GLS MCRSCP FNA I&R,5.2,2.6,1.13,4.68,64
CPT,0838T,HC DGTZ GLS MCRSCP CSLT SLD ELS,5.2,2.6,1.13,4.68,64
CPT,0839T,HC DGTZ GLS MCRSCP CSLT MAT PRP,5.2,2.6,1.13,4.68,64
CPT,0840T,HC DGTZ GLS MCRSCP CSLT COMPRE,5.2,2.6,1.13,4.68,64
CPT,0841T,HC DGTZ GLS MCRSCP PTH CSLT 1ST,5.2,2.6,1.13,4.68,64
CPT,0842T,HC DGTZ GLS MCRSCP PTH CSLT EA,5.2,2.6,1.13,4.68,64
CPT,0843T,HC DGTZ GLS MCRSCP CSLT CYT 1ST,5.2,2.6,1.13,4.68,64
CPT,0844T,HC DGTZ GLS MCRSCP CSLT CYT EA,5.2,2.6,1.13,4.68,64
CPT,0845T,HC DGTZ GLS MCRSCP IMFLUOR 1ST,5.2,2.6,1.13,4.68,64
CPT,0846T,HC DGTZ GLS MCRSCP IMFLUOR EA,5.2,2.6,1.13,4.68,64
CPT,0847T,HC DGTZ GLS MCRSCP XM ARCH TISS,5.2,2.6,1.13,4.68,64
CPT,0848T,HC DGTZ GLS MCRSCP ISH 1ST,5.2,2.6,1.13,4.68,64
CPT,0849T,HC DGTZ GLS MCRSCP ISH EA ADL 1,5.2,2.6,1.13,4.68,64
CPT,0850T,HC DGTZ GLS MCRSCP ISH EA MULT,5.2,2.6,1.13,4.68,64
CPT,0851T,HC DGTZ GLS MCRSCP MPHMTRC 1ST,5.2,2.6,1.13,4.68,64
CPT,0852T,HC DGTZ GLS MCRSCP MPHMTRC EA 1,5.2,2.6,1.13,4.68,64
CPT,0853T,HC DGTZ GLS MCRSCP MPHMTRC EA M,5.2,2.6,1.13,4.68,64
CPT,0854T,HC DGTZ GLS MCRSCP BLD SMR PRPH,5.2,2.6,1.13,4.68,64
CPT,0855T,HC DGTZ GLS MCRSCP B1 MAROW SMR,5.2,2.6,1.13,4.68,64
CPT,0856T,HC DGTZ GLS MCRSCP ELECTRON MIC,5.2,2.6,1.13,4.68,64
CPT,0857T,OPTO-ACOUSTIC IMG BREAST UNI,,,103.16,126.43,5
CPT,0861T,RMVL PG WCS LV BOTH COMPNT,,,3530.56,4326.67,5
CPT,0862T,RLCJ PG WCS LV BATTERY ONLY,,,1774.58,2174.73,5
CPT,0863T,RLCJ PG WCS LV TRNSMTR ONLY,,,1774.58,2174.73,5
CPT,0864T,LOW NTSTY ESWT CORPUS CVRNSM,,,235.94,289.15,5
CPT,0865T,QUAN MRI ALYS BRN W/O DX MRI,,,234.5,287.37,5
CPT,0866T,HC QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,811.75,405.88,177.04,1446.3,69
CPT,0867T,TPLA B9 PRST8 HYPRPLSA>=50ML,,,4931.73,6043.79,5
CPT,0868T,HI-RES GASTRIC EP MAPPING,,,514.75,630.82,5
CPT,0869T,NJX B1 SUB MTRL HW FIXJ AUG,,,3147.67,3857.44,5
CPT,0877T,AUGMNT ALYS CH CT ILD W/O CT,,,631.06,773.36,5
CPT,0878T,AUGMNT ALYS CH CT ILD W/CT,,,631.06,773.36,5
CPT,0881T,CRYOTHERAPY ORAL CAVITY,,,387.12,474.41,5
CPT,0884T,ESPHGSC FLX 1ST TNDSC DILAT,,,5774.95,7077.15,5
CPT,0885T,COLSC FLX 1ST TNDSC DILAT,,,5774.95,7077.15,5
CPT,0886T,SGMDSC FLX 1ST TNDSC DILAT,,,5774.95,7077.15,5
CPT,0888T,HISTOTRIPSY MAL RENAL TISSUE,,,16977.62,20805.91,5
CPT,0889T,PRSNLZ TRGT DVL ARHFCMRIGTBS,,,922.1,1130.03,5
CPT,0890T,ARHFCMRIGTBS 1ST TX DAY,,,3638.44,4458.88,5
CPT,0891T,ARHFCMRIGTBS SBSQ TX DAY,,,3638.44,4458.88,5
CPT,0892T,ARHFCMRIGTBS SBSQ PER TX DAY,,,3638.44,4458.88,5
CPT,0893T,N-INVAS ASSMT BLD OXYGNATION,,,57.63,70.62,5
CPT,0897T,N-INVAS AUGMNT ARRHYT ALYS,,,986.99,1209.55,5
CPT,0898T,N-INVAS PRST8 CANCER EST MAP,,,986.99,1209.55,5
CPT,0902T,QTC NTRVL AUGMNT ALG ALY ECG,,,125.05,153.25,5
CPT,0904T,ECG ALG 12 LD RDCD TRCG ONLY,,,57.63,70.62,5
CPT,0906T,COMS THER 1ST APPL<=50 SQ CM,,,192.76,236.23,5
CPT,0913T,"HC PERQ TRANSCATH THERA RX BALLOON ANGIO, IVUS, OCT, 1 ARTERY/BRANCH",46753.35,23376.68,778.87,42078.02,70
CPT,0914T,"HC PERQ TRANSCATH THERA RX BALLOON ANGIO, SEPARATE LESION, 1 ARTERY/BRANCH",79223.25,39611.63,778.87,71300.93,65
CPT,0915T,HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; PULSE GENERATOR & LEADS,110987.6,55493.8,778.87,99888.84,70
CPT,0916T,HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; PULSE GENERATOR ONLY,109005.7,54502.85,778.87,98105.13,70
CPT,0917T,HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; SINGLE TRANSVEN LEAD,36675.45,18337.73,778.87,33007.91,70
CPT,0918T,HC INSERT PERM CARD CONTRACT MOD-DEFIB W/GUIDE; DUAL TRANSVEN LEADS,35710.3,17855.15,778.87,32139.27,70
CPT,0919T,HC REMOVE PERM CARD CONTRACT MOD-DEFIB; PULSE GENERATOR ONLY,10535.25,5267.63,778.87,9481.73,70
CPT,0920T,HC REMOVE PERM CARD CONTRACT MOD-DEFIB; SINGLE PACING LEAD ONLY,9892.2,4946.1,778.87,8902.98,70
CPT,0921T,HC REMOVE PERM CARD CONTRACT MOD-DEFIB; SINGLE TRANSVEN DEFIB LEAD ONLY,10535.25,5267.63,778.87,9481.73,70
CPT,0922T,HC REMOVE PERM CARD CONTRACT MOD-DEFIB; DUAL TRANSVEN LEADS ONLY,15237.85,7618.93,778.87,13714.07,70
CPT,0923T,HC REMOVE & REPLACE PERM CARD CONTRACT MOD-DEFIB PULSE GENERATOR ONLY,5189.6,2594.8,778.87,26685.71,70
CPT,0924T,HC REPOSITION PERM CARD CONTRACT MOD-DEFIB TRANSVEN LEAD(S) W/GUIDE,9121.05,4560.53,599.79,8208.95,70
CPT,0925T,HC RELOCATE POCKET FOR PERM CARD CONTRACT MOD-DEFIB PULSE GFENERATOR,2609.45,1304.73,569.12,2348.51,70
CPT,0926T,PRGRMG DEV EVAL CCM-D IP,,,36.18,44.33,5
CPT,0927T,INTERROG DEV EVAL CCM-D IP,,,36.18,44.33,5
CPT,0929T,REM INTERROG DEV CCM-D TECH,,,36.18,44.33,5
CPT,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,,,1177.72,1443.28,5
CPT,0931T,EPHYS EVAL CCM-D LD SEPARATE,,,1177.72,1443.28,5
CPT,0932T,N-INVS DET HRT FAIL AUG ECHO,,,290.95,356.56,5
CPT,0933T,HC TRANSCATH IMPLANT WIRELESS L ATRIAL PRESSURE SENSOR,44758.0,22379.0,778.87,40282.2,70
CPT,0944T,3D CNTR SIMULA TRGT LVR LES,,,234.5,287.37,5
CPT,0946T,ORTHO IMPL MVMT ALYS PAIR CT,,,103.16,126.43,5
CPT,0949T,REM INTERROG DEV CCM TECH,,,36.18,44.33,5
CPT,0950T,ABLTJ B9 PRST8 TISSUE HIFU,,,8970.86,10993.71,5
CPT,0956T,PRT CRN CH CR&TUN ELT S-SCLP,,,21828.23,26750.28,5
CPT,0957T,REV S-SCLP ELTR RA RCVR&TLMT,,,1552.59,1902.69,5
CPT,0958T,RMV S-SCLP ELTR RA RCVR&TLMT,,,3147.67,3857.44,5
CPT,0959T,RMV/RPLC MAGNET COIL ASSEM,,,1571.83,1926.26,5
CPT,0960T,RPL S-SCLP ELTR RA RCVR&TLMT,,,21828.23,26750.28,5
CPT,0962T,ASSTV ALG ALYS ACOUS&ECG REC,,,125.05,153.25,5
CPT,0963T,ANOSC SBMCSL NJX BULKING AGT,,,1143.85,1401.78,5
CPT,0964T,I&CUST PREP JAW XPNSJ 1ARCH,,,3146.17,3855.6,5
CPT,0965T,I&CST PRP JW XPN DL ARCH NON,,,3146.17,3855.6,5
CPT,0966T,I&CST PRP JW XPN DL ARCH FXD,,,3146.17,3855.6,5
CPT,0967T,TRANAL INS TMP CLRC ANST DEV,,,1143.85,1401.78,5
CPT,0970T,ABLT B9 BRST TUM PERQ LSR EA,,,3714.87,4552.54,5
CPT,0971T,ABLT MAL BRST TUM PQ LSR UNI,,,3714.87,4552.54,5
CPT,0973T,SLCTV NZMTC DBRDMT T/A/L 1ST,,,387.59,474.99,5
CPT,0975T,SLCTV NZMTC DBRDMT S/N/HF 1,,,387.59,474.99,5
CPT,0977T,UPR GI BLD DETCJ SNR CAPSULE,,,909.55,1114.64,5
CPT,0981T,TCAT IMPL WRLS IVC SNR,,,17420.21,21348.3,5
CPT,0982T,REM MNTR IMPL IVC SNR SET-UP,,,125.02,153.21,5
CPT,0983T,REM MNTR IMPL IVC SNR PHYS,,,36.18,44.33,5
CPT,10004,FNA BX W/O IMG GDN EA ADDL,,,36.98,49.7,14
CPT,10004,HC ER FNA BX W/OUT GDN EA ADDL,832.8,416.4,49.72,749.52,72
CPT,10004,HC FNA BX W/OUT GDN EA ADDL,832.8,416.4,42.85,749.52,70
CPT,10005,FNA BX W/US GDN 1ST LES,,,62.62,291.58,24
CPT,10005,HC ER US FNA BX W/GUIDANCE  1ST LES,2072.25,1036.13,75.38,1865.03,72
CPT,10005,HC US FNA BX W/GUIDANCE  1ST LES,2072.25,1036.13,103.25,1865.03,70
CPT,10006,FNA BX W/US GDN EA ADDL,,,42.67,57.35,14
CPT,10006,HC ER FNA BX W/US GDN EA ADDL,2072.25,1036.13,56.57,1865.03,72
CPT,10006,HC US FNA BX W/GUIDANCE  EA ADDL,2072.25,1036.13,39.11,1865.03,70
CPT,10007,FNA BX W/FLUOR GDN 1ST LES,,,80.39,102.59,14
CPT,10007,HC FNA BX W/GUIDANCE 1ST LES,2116.5,1058.25,230.31,1904.85,70
CPT,10008,FNA BX W/FLUOR GDN EA ADDL,,,47.9,160.97,19
CPT,10009,FNA BX W/CT GDN 1ST LES,,,97.58,124.63,14
CPT,10009,HC CT FNA BX W/GUIDANCE 1ST LES,4085.35,2042.68,376.03,3676.82,70
CPT,10010,FNA BX W/CT GDN EA ADDL,,,66.58,83.23,14
CPT,10010,HC CT FNA BX W/GUIDANCE EA ADDL,4085.35,2042.68,217.31,3676.82,69
CPT,10011,FNA BX W/MR GDN 1ST LES,,,51.97,836.48,14
CPT,10012,FNA BX W/MR GDN EA ADDL,,,51.97,53.01,9
CPT,10021,FNA BX W/O IMG GDN 1ST LES,,,50.62,214.06,17
CPT,10021,HC ER FINE NEEDLE ASPIRATION W/O IMAGE GUIDANCE,832.8,416.4,75.38,749.52,72
CPT,10021,HC FINE NEEDLE ASPIRATION W/O IMAGE GUIDANCE,832.8,416.4,28.99,749.52,70
CPT,10030,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,3073.85,1536.93,588.27,2766.47,70
CPT,10030,IMG GID FLU COLL DRG SFT TIS,,,123.65,154.56,14
CPT,10035,HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,2584.9,1292.45,208.62,2326.41,70
CPT,10035,PLMT SFT TISS LOCLZJ DEV 1ST,,,74.46,96.25,14
CPT,10036,PLMT SFT TISS LOCLZJ DEV EA,,,37.49,321.23,20
CPT,10040,EXTRACTION,,,48.06,243.48,21
CPT,10040,HC ER ACNE SURGERY,189.0,94.5,41.22,236.23,72
CPT,10060,HC ER I&D ABSCESS SIMPLE/SINGLE,875.05,437.53,75.38,787.55,72
CPT,10060,HC I&D ABSCESS SIMPLE/SINGLE,875.05,437.53,167.57,879.37,70
CPT,10060,I&D ABSCESS SIMPLE/SINGLE,,,67.39,262.28,25
CPT,10061,HC ER I&D ABSCESS COMPLICATED/MULTIPLE,947.4,473.7,75.38,852.66,72
CPT,10061,HC I&D ABSCESS COMPLICATED/MULTIPLE,947.4,473.7,181.43,879.37,70
CPT,10061,I&D ABSCESS COMP/MULTIPLE,,,120.14,472.74,24
CPT,10080,HC ER I&D PILONIDAL CYST SIMPLE,763.5,381.75,75.38,836.48,72
CPT,10080,HC I&D PILONDIAL CYST SIMPLE,763.5,381.75,146.21,879.37,70
CPT,10080,I&D PILONIDAL CYST SIMPLE,,,68.87,539.76,17
CPT,10081,HC ER I&D PILONIDAL CYST COMPLEX,3149.25,1574.63,75.38,2834.33,72
CPT,10081,HC I&D PILONIDAL CYST COMPLEX,3149.25,1574.63,603.08,2834.33,70
CPT,10081,I&D PILONIDAL CYST COMP,,,120.71,736.39,17
CPT,10120,HC ER REMOVAL FOREIGN BODY SIMPLE,858.9,429.45,75.38,773.01,72
CPT,10120,HC REMOVAL FOREIGN BODY SIMPLE,858.9,429.45,164.48,879.37,70
CPT,10120,INC&RMVL FB SUBQ TISS SMPL,,,66.08,314.97,20
CPT,10121,HC ER REMOVAL FOREIGN BODY COMPLEX,3489.15,1744.58,75.38,3140.24,72
CPT,10121,HC REMOVAL FOREIGN BODY COMPLEX,3489.15,1744.58,668.17,3140.24,70
CPT,10121,INC&RMVL FB SUBQ TISS COMP,,,135.29,533.48,16
CPT,10140,HC ER I&D HEMATOMA/SEROMA/FLUID,3334.75,1667.38,75.38,3001.28,72
CPT,10140,HC I&D HEMATOMA/SEROMA/FLUID,3334.75,1667.38,638.6,3001.28,70
CPT,10140,I&D HMTMA SEROMA/FLUID COLLJ,,,86.33,358.5,20
CPT,10160,HC ER PUNCTURE ASPIRATION OF CYST,720.75,360.38,75.38,648.68,72
CPT,10160,HC PUNCTURE ASPIRATION OF CYST,720.75,360.38,133.69,648.68,70
CPT,10160,PNXR ASPIR ABSC HMTMA BULLA,,,69.52,274.67,19
CPT,10180,HC ER I&D POST OP WOUND COMPLEX,2833.4,1416.7,75.38,3402.62,72
CPT,10180,HC I&D POST OP WOUND COMPLEX,2833.4,1416.7,542.6,3402.62,70
CPT,10180,I&D COMPLEX PO WOUND INFCTJ,,,127.4,505.36,15
CPT,11000,DBRDMT ECZ/INFECTED SKIN<10%,,,24.52,95.52,19
CPT,11000,HC ER DEBRIDEMENT INFECTED SKIN <10% BSA,951.6,475.8,75.38,856.44,72
CPT,11001,DBRDMT ECZ/INFCT SKN EA ADDL,,,12.36,30.91,19
CPT,11004,DBRDMT SKIN XTRNL GENT&PER,,,439.08,1683.43,20
CPT,11005,DBRDMT SKIN ABDOMINAL WALL,,,573.02,868.83,19
CPT,11006,DBRDMT SKIN XTRNL GENT PER,,,542.16,792.17,19
CPT,11008,RMV PRSTC MTRL/MESH ABD WALL,,,206.56,305.63,19
CPT,11010,DEBRIDE SKIN AT FX SITE,,,209.04,316.61,14
CPT,11010,HC DEBRIDEMENT SKIN/SUBQ OPEN,2258.9,1129.45,432.58,2033.01,70
CPT,11010,HC ER DEBRIDEMENT SKIN/SUBQ OPEN,2258.9,1129.45,75.38,2033.01,72
CPT,11011,DEBRIDE SKIN MUSC AT FX SITE,,,225.43,879.37,20
CPT,11012,DEB SKIN BONE AT FX SITE,,,326.26,1370.48,16
CPT,11012,HC ER DEBRIDEMENT SKIN/MUSCLE/BONE,958.95,479.48,75.38,3402.62,72
CPT,11042,DBRDMT SUBQ TIS 1ST 20SQCM/<,,,35.08,272.92,24
CPT,11042,HC DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM,832.35,416.18,159.4,1432.11,70
CPT,11042,HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM,832.35,416.18,75.38,749.12,72
CPT,11043,DBRDMT MUSC&/FSCA 1ST 20/<,,,141.3,605.82,19
CPT,11043,HC DEBRIDE SKIN/MUSCLE/FASCIA <= 20 SQ CM,880.2,440.1,168.56,1432.11,70
CPT,11043,HC ER DEBRIDE SKIN/MUSCLE/FASCIA <= 20 SQ CM,880.2,440.1,75.38,792.18,72
CPT,11044,DBRDMT BONE 1ST 20 SQ CM/<,,,205.99,834.87,15
CPT,11044,HC DEBRIDE BONE/SKIN/MUSCLE <= 20 SQ CM,2336.35,1168.18,447.41,2102.72,70
CPT,11044,HC ER DEBRIDE BONE/SKIN/MUSCLE <= 20 SQ CM,2336.35,1168.18,75.38,2102.72,72
CPT,11045,DBRDMT SUBQ TISS EACH ADDL,,,14.21,85.88,20
CPT,11045,HC DEBRIDE SKIN/SUBQ TISSUE EA ADDL 20 SQ CM,832.35,416.18,36.97,1432.11,70
CPT,11045,HC ER DEBRIDE SKIN/SUBQ TISSUE EA ADDL 20 SQ CM,832.35,416.18,36.97,749.12,72
CPT,11046,DBRDMT MUSC&/FSCA EA ADDL,,,30.26,150.37,16
CPT,11046,HC DEBRIDE SKIN/MUSCLE/FASCIA EA ADDL 20 SQ CM,880.2,440.1,67.57,1432.11,70
CPT,11046,HC ER DEBRIDE SKIN/MUSCLE/FASCIA EA ADDL 20 SQ CM,880.2,440.1,67.57,792.18,72
CPT,11047,DBRDMT BONE EACH ADDL,,,52.57,189.78,15
CPT,11047,HC DEBRIDE BONE/SKIN/MUSCLE EA ADDL 20 SQ CM,2336.35,1168.18,112.28,2102.72,70
CPT,11047,HC ER DEBRIDE BONE/SKIN/MUSCLE EA ADDL 20 SQ CM,2336.35,1168.18,75.38,2102.72,72
CPT,11055,HC ER PARING BENIGN SINGLE LESION,344.75,172.38,75.19,310.28,72
CPT,11055,HC PARING BENIGN SINGLE LESION,344.75,172.38,66.02,879.37,70
CPT,11055,PARING/CUTG B9 HYPRKER LES 1,,,14.36,62.03,17
CPT,11056,HC ER PARING BENIGN LESION 2-4,529.7,264.85,75.38,476.73,72
CPT,11056,HC PARING BENIGN LESION 2-4,529.7,264.85,101.44,879.37,70
CPT,11056,PARNG/CUTG B9 HYPRKR LES 2-4,,,20.63,87.12,16
CPT,11057,HC PARING BENIGN LESION >4,305.85,152.93,58.57,879.37,70
CPT,11057,PARNG/CUTG B9 HYPRKR LES >4,,,26.38,32.98,14
CPT,11102,HC BX SKIN TANGNTL SINGLE LES,413.1,206.55,79.11,371.79,70
CPT,11102,HC ER BX SKIN TANGNTL SINGLE LES,413.1,206.55,75.38,371.79,72
CPT,11102,TANGNTL BX SKIN SINGLE LES,,,33.65,214.55,23
CPT,11103,"HC ER TANGENTIAL BIOPSY OF SKIN, EACH SEPARATE/ADDTL LESION",413.1,206.55,45.8,371.79,72
CPT,11103,"HC TANGENTIAL BIOPSY OF SKIN, EACH SEPARATE/ADDTL LESION",413.1,206.55,45.8,371.79,69
CPT,11103,TANGNTL BX SKIN EA SEP/ADDL,,,19.49,97.12,22
CPT,11104,HC ER PUNCH BIOPSY SKIN SINGLE LESION,413.1,206.55,75.38,474.99,72
CPT,11104,HC PUNCH BIOPSY SKIN SINGLE LESION,413.1,206.55,79.11,474.99,70
CPT,11104,PUNCH BX SKIN SINGLE LESION,,,42.23,266.63,24
CPT,11105,HC BX SKIN PUNCH EA SEP/ADDL,413.1,206.55,54.96,371.79,69
CPT,11105,HC ER BX SKIN PUNCH EA SEP/ADDL,413.1,206.55,54.96,371.79,72
CPT,11105,PUNCH BX SKIN EA SEP/ADDL,,,23.03,124.8,22
CPT,11106,HC ER BX SKN  INCISIONAL SINGLE LES,413.1,206.55,75.38,727.75,72
CPT,11106,HC INCISIONAL BIOPSY SKIN SINGLE LESION,413.1,206.55,79.11,727.75,70
CPT,11106,INCAL BX SKN SINGLE LES,,,51.34,199.76,18
CPT,11107,HC ER BX SKN INCISIONAL EA SEP/ADDL,413.1,206.55,64.96,371.79,72
CPT,11107,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,413.1,206.55,64.96,371.79,69
CPT,11107,INCAL BX SKN EA SEP/ADDL,,,27.48,106.9,16
CPT,11200,HC ER EXCISION SKIN TAGS <15 LESIONS,627.05,313.53,75.38,564.35,72
CPT,11200,HC EXCISION SKIN TAGS <15 LESIONS,627.05,313.53,120.08,879.37,70
CPT,11200,RMVL SKIN TAGS UP TO&INC 15,,,48.99,191.93,23
CPT,11201,HC EXCISION SKIN TAGS EA ADDL 10,240.5,120.25,17.25,216.45,69
CPT,11201,RMVL SKIN TAGS EA ADDL 10,,,12.5,43.97,16
CPT,11300,HC SHAVE LESION TRUNK EXTREM <0.5CM,331.4,165.7,63.46,879.37,70
CPT,11300,SHAVE SKIN LESION 0.5 CM/<,,,22.15,214.92,23
CPT,11301,HC ER SHAVE LESION TRUNK EXTREM 0.6-1.0CM,369.25,184.63,75.38,332.33,72
CPT,11301,HC SHAVE LESION TRUNK EXTREM 0.6-1.0CM,369.25,184.63,70.71,879.37,70
CPT,11301,SHAVE SKIN LESION 0.6-1.0 CM,,,37.67,257.99,24
CPT,11302,HC SHV EPI/DRM L S T/A/L 1.1-2.0CM,517.3,258.65,99.06,879.37,70
CPT,11302,SHAVE SKIN LESION 1.1-2.0 CM,,,46.71,291.95,22
CPT,11303,HC SHV EPI/DRM L S T/A/L > 2.0CM,598.1,299.05,114.54,879.37,70
CPT,11303,SHAVE SKIN LESION >2.0 CM,,,54.79,322.06,19
CPT,11305,HC SHAVE EPI/DERM LESION S/N/H/F <0.5CM,630.85,315.43,120.81,879.37,70
CPT,11305,SHAVE SKIN LESION 0.5 CM/<,,,28.04,226.32,18
CPT,11306,HC SHAVE EPI/DRM LESION S/N/H/F 0.6-1.0CM,445.0,222.5,85.22,879.37,70
CPT,11306,SHAVE SKIN LESION 0.6-1.0 CM,,,42.48,259.7,20
CPT,11307,HC SHAVE EPI/DRM LESION S/N/H/F 1.0-2.0CM,519.15,259.58,99.42,879.37,70
CPT,11307,SHAVE SKIN LESION 1.1-2.0 CM,,,50.08,178.5,17
CPT,11308,HC SHAVE EPI/DRM LESION S/N/H/F > 2.0CM,580.35,290.18,111.14,879.37,70
CPT,11308,SHAVE SKIN LESION >2.0 CM,,,60.25,232.01,16
CPT,11310,HC SHAVE LESION FACE/EAR <.5CM,569.75,284.88,109.11,879.37,70
CPT,11310,SHAVE SKIN LESION 0.5 CM/<,,,32.08,245.66,19
CPT,11311,HC SHAVE SINGL LESION FACE/EAR 0.6-1.0CM,569.75,284.88,109.11,879.37,70
CPT,11311,SHAVE SKIN LESION 0.6-1.0 CM,,,46.99,177.73,18
CPT,11312,HC SHAVE EPI/DRM LESION F/E/E/N/L 1.1-2.0,568.55,284.28,108.88,879.37,70
CPT,11312,SHAVE SKIN LESION 1.1-2.0 CM,,,53.95,328.58,17
CPT,11313,HC SHAVE EPI/DRM LESION F/E/E/N/L >2.0CM,686.05,343.03,131.38,879.37,70
CPT,11313,SHAVE SKIN LESION >2.0 CM,,,72.18,274.96,15
CPT,11400,EXC TR-EXT B9+MARG 0.5 CM<,,,53.49,268.94,18
CPT,11400,HC ER EXCISION BEN LESION TRUNK/ARM/LEG  <0.5CM,906.05,453.03,75.38,836.48,72
CPT,11400,HC EXCISION BEN LESION TRUNK/ARM/LEG  <0.5CM,906.05,453.03,173.51,879.37,70
CPT,11401,EXC TR-EXT B9+MARG 0.6-1 CM,,,71.33,329.44,21
CPT,11401,HC ER EXCISION BEN LESION TRUNK/ARM/LEG 0.6-1.0CM,1637.05,818.53,75.38,1473.35,72
CPT,11401,HC EXCISION BEN LESION TRUNK/ARM/LEG 0.6-1.0CM,1637.05,818.53,313.5,1473.35,70
CPT,11402,EXC TR-EXT B9+MARG 1.1-2 CM,,,79.01,362.73,22
CPT,11402,HC ER EXCISION BEN LESION TRUNK/ARM/LEG 1.1-2.0CM,1362.1,681.05,75.38,1225.89,72
CPT,11402,HC EXCISION BEN LESION TRUNK/ARM/LEG 1.1-2.0CM,1362.1,681.05,260.84,1225.89,70
CPT,11403,EXC TR-EXT B9+MARG 2.1-3CM,,,100.52,416.45,22
CPT,11403,HC EXCISION BEN LESION TRUNK/ARM/LEG 2.1-3.0CM,1650.25,825.13,316.02,1485.23,70
CPT,11404,EXC TR-EXT B9+MARG 3.1-4 CM,,,111.98,423.72,18
CPT,11404,HC EXCISION BEN LESION TRUNK/ARM/LEG 3.1-4.0CM,2008.55,1004.28,384.64,1926.26,70
CPT,11406,EXC TR-EXT B9+MARG >4.0 CM,,,167.88,673.34,17
CPT,11406,HC EXCISION BEN LESION TRUNK/ARM/LEG > 4.0CM,2382.0,1191.0,456.15,2143.8,70
CPT,11420,EXC H-F-NK-SP B9+MARG 0.5/<,,,57.99,228.79,18
CPT,11420,HC ER EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA <0.5CM,2112.45,1056.23,75.38,1926.26,72
CPT,11420,HC EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA <0.5CM,2112.45,1056.23,404.53,1926.26,70
CPT,11421,EXC H-F-NK-SP B9+MARG 0.6-1,,,78.49,337.41,23
CPT,11421,HC ER EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA 0.6-1.0CM,1337.9,668.95,75.38,1204.11,72
CPT,11421,HC EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA 0.6-1.0CM,1337.9,668.95,256.21,1204.11,70
CPT,11422,EXC H-F-NK-SP B9+MARG 1.1-2,,,94.65,378.45,21
CPT,11422,HC ER EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA 1.1-2.0CM,1560.4,780.2,75.38,1926.26,72
CPT,11422,HC EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA 1.1-2.0CM,1560.4,780.2,298.82,1926.26,70
CPT,11423,EXC H-F-NK-SP B9+MARG 2.1-3,,,110.55,432.02,19
CPT,11423,HC EXC SKIN BENIG 2.1-3 CM REMAINDR BODY,1842.1,921.05,352.76,1926.26,70
CPT,11424,EXC H-F-NK-SP B9+MARG 3.1-4,,,127.56,495.37,17
CPT,11424,HC EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA 3.1-4.0CM,2399.7,1199.85,459.54,2159.73,70
CPT,11426,EXC H-F-NK-SP B9+MARG >4 CM,,,195.24,723.21,16
CPT,11426,HC ER EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA >4.0CM,3528.9,1764.45,75.38,3402.62,72
CPT,11426,HC EXCISION BEN LESION SCALP/HAND/FEET/GENITALIA >4.0CM,3528.9,1764.45,675.78,3402.62,70
CPT,11440,EXC FACE-MM B9+MARG 0.5 CM/<,,,69.31,301.64,16
CPT,11440,HC ER EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP< 0.5CM,1230.25,615.13,75.38,1107.23,72
CPT,11440,HC EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP< 0.5CM,1230.25,615.13,235.59,1107.23,70
CPT,11441,EXC FACE-MM B9+MARG 0.6-1 CM,,,91.22,344.68,18
CPT,11441,HC EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP 0.6 - 1.0 CM,1311.05,655.53,251.07,1179.95,70
CPT,11442,EXC FACE-MM B9+MARG 1.1-2 CM,,,101.85,407.12,20
CPT,11442,HC EXCISION BEN LESION FACE/EYE/EAR/NOSE/LIP 1.1-2.0CM,1640.4,820.2,314.14,1476.36,70
CPT,11443,EXC FACE-MM B9+MARG 2.1-3 CM,,,126.12,207.58,14
CPT,11443,HC EXCISION BEN LESION FACE/EYE/EAT/NOSE/LIP 2.1-3.0CM,2165.45,1082.73,414.68,1948.91,70
CPT,11444,EXC FACE-MM B9+MARG 3.1-4 CM,,,162.03,567.12,15
CPT,11444,HC EXCISION BEN LESION FACE/EYE/EAT/NOSE/LIP 3.1-4.0CM,3140.5,1570.25,601.41,2826.45,70
CPT,11446,EXC FACE-MM B9+MARG >4 CM,,,229.68,3402.62,21
CPT,11450,EXC SKN HDRDNT AX SMPL/NTRM,,,166.95,3402.62,20
CPT,11451,EXC SKN HDRDNT AX COMPLEX,,,220.9,3402.62,20
CPT,11462,EXC SKN HDRDNT ING SMPL/NTRM,,,160.48,3402.62,20
CPT,11463,EXC SKN HDRDNT ING COMPLEX,,,225.28,3402.62,20
CPT,11470,EXC SKN H/P/P/U SMPL/NTRM,,,190.27,3402.62,21
CPT,11471,EXC SKN H/P/P/U COMPLEX,,,239.69,3402.62,20
CPT,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,,,80.76,140.81,14
CPT,11600,HC EXCISION MAL LESION TRUNK/ARM/LEG < 0.5CM,1194.7,597.35,228.79,1075.23,70
CPT,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,,,104.52,356.81,15
CPT,11601,HC EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0CM,1578.0,789.0,302.19,1420.2,70
CPT,11602,EXC TR-EXT MAL+MARG 1.1-2 CM,,,115.04,513.78,18
CPT,11602,HC EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,1864.7,932.35,357.09,1678.23,70
CPT,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,,,136.93,515.04,16
CPT,11603,HC EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,1848.05,924.03,353.9,1663.25,70
CPT,11604,EXC TR-EXT MAL+MARG 3.1-4 CM,,,150.51,652.67,20
CPT,11604,HC EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,2232.3,1116.15,427.49,2009.07,70
CPT,11606,EXC TR-EXT MAL+MARG >4 CM,,,223.52,941.37,20
CPT,11606,HC EXCISION MAL LESION TRUNK/ARM/LEG >4.0CM,2772.15,1386.08,530.87,2494.94,70
CPT,11620,EXC H-F-NK-SP MAL+MARG 0.5/<,,,81.98,280.36,15
CPT,11620,HC EXCISION MAL LES SCALP/NECK/HAND/FEET/GENITALIA < 0.5CM,1219.7,609.85,233.57,1926.26,70
CPT,11621,EXC S/N/H/F/G MAL+MRG 0.6-1,,,105.66,172.61,14
CPT,11621,HC EXCISION MAL LES SCALP/NECK/HAND/FEET/GENITALIA 0.6-1.0CM,1738.95,869.48,333.01,1565.06,70
CPT,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,,,121.9,531.04,18
CPT,11622,HC EXCISION MAL LES SCALP/NECK/HAND/FEET/GENITALIA1.1-2.0CM,2658.15,1329.08,509.04,2392.34,70
CPT,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,,,150.38,561.21,15
CPT,11623,HC EXC SKIN MALIG 2.1-3 CM REMAINDR BODY,2452.25,1226.13,469.61,2207.03,70
CPT,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,,,171.06,636.54,15
CPT,11624,HC EXCISION MAL LES SCALP/NECK/HAND/FEET/GENITALIA 3.1-4.0CM,4029.85,2014.93,771.72,3626.87,70
CPT,11626,EXC S/N/H/F/G MAL+MRG >4 CM,,,214.24,857.97,17
CPT,11626,HC EXC LESN MAL SCALP/NECK/HAND/FEET/GENITALIA >4.0CM,5700.7,2850.35,879.37,5130.63,70
CPT,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,86.36,299.03,15
CPT,11640,HC EXCIS MAL LES FACE/EYE/EAR/NOSE/LIP < 0.5CM,2413.55,1206.78,462.19,2172.2,70
CPT,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,,,112.78,179.51,14
CPT,11641,HC EXCIS MAL LES FACE/EYE/EAR/NOSE/LIP 0.6-1.0CM,2818.0,1409.0,539.65,2536.2,70
CPT,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,,,133.13,461.39,15
CPT,11642,HC EXCIS MAL LSN FACE/EYE/EAR/NOSE/LIP 1.1-2.0CM,3482.1,1741.05,666.82,3133.89,70
CPT,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,,,166.49,663.49,16
CPT,11643,HC EXCIS MAL LSN FACE/EYE/EAR/NOSE/LIP 2.1-3.0CM,4202.9,2101.45,804.86,3782.61,70
CPT,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,,,207.62,323.46,14
CPT,11644,HC EXCIS MAL LSN FACE/EYE/EAR/NOSE/LIP 3.1-4.0CM,4140.6,2070.3,792.92,3726.54,70
CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,,,292.4,445.23,14
CPT,11646,HC EXCIS MAL LSN FACE/EYE/EAR/NOSE/LIP >4.0CM,7156.95,3578.48,879.37,6441.26,70
CPT,11719,HC ER TRIMMING NONDYSTROPHIC NAILS,195.85,97.93,42.71,176.27,72
CPT,11719,HC TRIMMING NONDYSTROPHIC NAILS,195.85,97.93,37.51,176.27,69
CPT,11719,TRIM NAIL(S) ANY NUMBER,,,6.91,24.99,17
CPT,11720,DEBRIDE NAIL 1-5,,,12.96,68.0,17
CPT,11720,HC ER NAIL DEBRIDEMENT 1-5,177.25,88.63,38.66,159.53,72
CPT,11720,HC NAIL DEBRIDEMENT 1-5,177.25,88.63,33.94,314.06,70
CPT,11721,DEBRIDE NAIL 6 OR MORE,,,22.15,27.78,14
CPT,11721,HC DEBRIDEMENT OF NAILS >5,215.7,107.85,41.31,314.06,70
CPT,11730,AVULSION NAIL PLATE SIMPLE 1,,,44.9,242.85,17
CPT,11730,HC AVULSION NAIL PLATE SIMPLE SINGLE,408.1,204.05,78.15,879.37,70
CPT,11730,HC ER AVULSION NAIL PLATE SIMPLE SINGLE,408.1,204.05,75.38,367.29,72
CPT,11732,AVLSN NAIL PLATE SIMPLE EACH,,,15.63,23.81,14
CPT,11732,HC AVULSION NAIL PLATE EA ADDTL,219.8,109.9,30.61,197.82,69
CPT,11732,HC ER AVULSION NAIL PLATE EA ADDTL,219.8,109.9,30.61,197.82,72
CPT,11740,EVACUATION SUBUNGUAL HMTMA,,,23.14,119.6,18
CPT,11740,HC ER EVACUATION SUBUNGUAL HEMATOMA,216.4,108.2,47.2,194.76,72
CPT,11740,HC EVACUATION SUBUNGUAL HEMATOMA,216.4,108.2,41.44,879.37,70
CPT,11750,EXCISION NAIL&NAIL MATRIX,,,94.64,462.82,17
CPT,11750,HC ER EXCISION NAIL & NAIL MATRIX,1456.5,728.25,75.38,1310.85,72
CPT,11750,HC EXCISION NAIL & NAIL MATRIX,1456.5,728.25,278.92,1310.85,70
CPT,11755,BIOPSY NAIL UNIT,,,56.36,70.45,14
CPT,11755,HC BIOPSY NAIL UNIT SEPARATE PROCEDURE,2310.05,1155.03,442.37,2079.05,70
CPT,11760,HC ER NAIL BED REPAIR,823.55,411.78,75.38,741.2,72
CPT,11760,REPAIR OF NAIL BED,,,94.94,385.98,18
CPT,11762,RECONSTRUCTION OF NAIL BED,,,146.67,2174.73,20
CPT,11765,HC ER WEDGE EXCISION NAIL FOLD,612.9,306.45,75.38,551.61,72
CPT,11765,HC WEDGE EXCISION NAIL FOLD,612.9,306.45,117.37,879.37,70
CPT,11765,WEDGE EXCISION SKN NAIL FOLD,,,48.74,349.12,19
CPT,11770,EXC PILONIDAL CYST SIMPLE,,,128.67,3402.62,21
CPT,11771,EXC PILONIDAL CYST XTNSV,,,298.0,3402.62,26
CPT,11772,EXC PILONIDAL CYST COMP,,,388.2,3402.62,21
CPT,11900,HC INJECTION INTO SKIN LESIONS UP TO 7,221.9,110.95,42.49,879.37,70
CPT,11900,INJECT SKIN LESIONS </W 7,,,23.11,118.93,23
CPT,11901,HC INJECTION INTRALESIONAL >7 LESIONS,317.0,158.5,60.71,879.37,70
CPT,11901,INJECT SKIN LESIONS >7,,,35.96,148.54,22
CPT,11920,CORRECT SKIN COLOR 6.0 CM/<,,,90.47,727.75,19
CPT,11921,CORRECT SKN COLOR 6.1-20.0CM,,,99.75,727.75,19
CPT,11922,CORRECT SKIN COLOR EA 20.0CM,,,25.96,69.51,10
CPT,11950,SUBQ NJX FILLING MATRL 1CC/<,,,37.74,236.23,19
CPT,11951,SUBQ NJX FIL MATRL 1.1-5.0CC,,,52.64,727.75,19
CPT,11952,SUBQ NJX FIL MATRL 5.1-10CC,,,76.0,727.75,19
CPT,11954,SUBQ NJX FIL MATRL>10.0 CC,,,85.37,727.75,19
CPT,11960,INSERT TISSUE EXPANDER(S),,,314.06,4352.44,20
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,431.86,8493.0,20
CPT,11971,RMVL TIS XPNDR WO INSJ IMPLT,,,212.89,3402.62,20
CPT,11976,HC REMOVAL IMPLANT CONTRACEPT CAPSULE,1216.7,608.35,233.0,1095.03,69
CPT,11976,REMOVE CONTRACEPTIVE CAPSULE,,,73.24,304.88,18
CPT,11980,HC IMPLANT HORMONE SUBCUTANEOUS,537.7,268.85,102.97,483.93,69
CPT,11980,IMPLANT HORMONE PELLET(S),,,50.79,236.12,15
CPT,11981,HC INSERT NONBIODEGRADE DRUG IMPLANT,571.6,285.8,109.46,879.37,70
CPT,11981,INSERTION DRUG DLVR IMPLANT,,,57.57,426.91,26
CPT,11982,HC ER REMOVE NONBIODEGRADE DRUG IMP,2008.15,1004.08,75.38,1807.34,72
CPT,11982,HC REMOVE NONBIODEGRADE DRUG IMPLANT,2008.15,1004.08,384.56,1807.34,70
CPT,11982,REMOVE DRUG IMPLANT DEVICE,,,66.56,303.17,25
CPT,11983,HC REMOVE/REINSERT NON-BIO DRUG IMPLANT,2627.1,1313.55,387.12,2364.39,70
CPT,11983,REMOVE/INSERT DRUG IMPLANT,,,94.56,552.84,25
CPT,12001,HC ER RESUPERF WND BODY <2.5CM,748.45,374.23,75.38,673.61,72
CPT,12001,HC RESUPERF WND BODY <2.5CM,748.45,374.23,143.33,673.61,70
CPT,12001,RPR S/N/AX/GEN/TRNK 2.5CM/<,,,40.8,529.59,25
CPT,12002,HC ER RESUP NPTERF WND BODY 2.6-7.5 CM,741.85,370.93,75.38,667.67,72
CPT,12002,HC RESUP NPTERF WND BODY 2.6-7.5 CM,741.85,370.93,142.06,667.67,70
CPT,12002,RPR S/N/AX/GEN/TRNK2.6-7.5CM,,,53.59,327.56,24
CPT,12004,HC ER RESUPERF WND BODY 7.6-12.5 CM,798.4,399.2,75.38,718.56,72
CPT,12004,HC RESUPERF WND BODY 7.6-12.5 CM,798.4,399.2,133.69,718.56,70
CPT,12004,RPR S/N/AX/GEN/TRK7.6-12.5CM,,,66.68,384.61,16
CPT,12005,HC ER RESUPERF WND BODY 12.6-20 CM,718.7,359.35,75.38,646.83,72
CPT,12005,HC RESUPERF WND BODY 12.6-20 CM,718.7,359.35,137.63,879.37,70
CPT,12005,RPR S/N/A/GEN/TRK12.6-20.0CM,,,85.89,478.33,15
CPT,12006,HC ER LAC REPAIR SIMP SCALP 20.1-30.0CM,767.65,383.83,75.38,690.89,72
CPT,12006,RPR S/N/A/GEN/TRK20.1-30.0CM,,,106.04,545.18,15
CPT,12007,HC ER LAC REPAIR SIMP SCALP >30.0CM,514.85,257.43,75.38,463.37,72
CPT,12007,RPR S/N/AX/GEN/TRNK >30.0 CM,,,131.66,181.29,14
CPT,12011,HC ER RESUPERF WND FACE <2.5 CM,712.35,356.18,75.38,641.12,72
CPT,12011,HC RESUPERF WND FACE <2.5 CM,712.35,356.18,136.42,641.12,70
CPT,12011,RPR F/E/E/N/L/M 2.5 CM/<,,,50.81,561.35,24
CPT,12013,HC ER RESUPERF WND FACE 2.6-5 CM,733.05,366.53,75.38,659.75,72
CPT,12013,HC RESUPERF WND FACE 2.6-5 CM,733.05,366.53,140.38,659.75,70
CPT,12013,RPR F/E/E/N/L/M 2.6-5.0 CM,,,52.71,347.11,20
CPT,12014,HC ER RESUPERF WND FACE 5.1-7.5 CM,709.75,354.88,75.38,638.78,72
CPT,12014,HC LAC REPAIR SIMP FACE 5.1-7.5CM,709.75,354.88,135.92,638.78,70
CPT,12014,RPR F/E/E/N/L/M 5.1-7.5 CM,,,67.72,416.3,15
CPT,12015,HC ER LAC REPAIR SIMP FACE 7.6-12.5CM,681.45,340.73,75.38,613.31,72
CPT,12015,HC LAC REPAIR SIMP FACE 7.6-12.5CM,681.45,340.73,130.5,613.31,70
CPT,12015,RPR F/E/E/N/L/M 7.6-12.5 CM,,,85.53,522.8,16
CPT,12016,HC ER LAC REPAIR SIMP FACE 12.6-20.0CM,888.35,444.18,75.38,799.52,72
CPT,12016,RPR FE/E/EN/L/M 12.6-20.0 CM,,,115.89,167.88,14
CPT,12017,HC ER LAC REPAIR SIMP FACE 20.1-30.0CM,679.8,339.9,75.38,611.82,72
CPT,12017,RPR FE/E/EN/L/M 20.1-30.0 CM,,,139.74,199.89,14
CPT,12018,HC ER LAC REPAIR SIMP FACE >30.0CM,772.5,386.25,75.38,695.25,72
CPT,12018,RPR F/E/E/N/L/M >30.0 CM,,,158.19,247.05,14
CPT,12020,HC ER SIMPLE CLOSURE WND DEHISCENCE,533.2,266.6,75.38,727.75,72
CPT,12020,HC SIMPLE CLOSURE WND DEHISCENCE,533.2,266.6,102.11,727.75,70
CPT,12020,TX SUPFC WND DEHSN SMPL CLSR,,,135.96,536.25,17
CPT,12021,HC ER WOUND DEHISCENSCE W/PACKING,745.75,372.88,75.38,671.18,72
CPT,12021,TX SUPFC WND DEHSN W/PACKING,,,98.62,161.61,14
CPT,12031,"HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM",794.95,397.48,75.38,715.46,72
CPT,12031,"HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM",794.95,397.48,152.23,715.46,70
CPT,12031,INTMD RPR S/A/T/EXT 2.5 CM/<,,,113.93,556.74,19
CPT,12032,"HC ER LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM",798.4,399.2,75.38,718.56,72
CPT,12032,"HC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM",798.4,399.2,152.89,718.56,70
CPT,12032,INTMD RPR S/A/T/EXT 2.6-7.5,,,139.92,637.74,20
CPT,12034,HC ER LAC REPAIR INT SCALP/AXIL/TRUNK 7.6-12.5CM,820.5,410.25,75.38,738.45,72
CPT,12034,HC LAC REPAIR INT SCALP/AXIL/TRUNK 7.6-12.5CM,820.5,410.25,157.13,879.37,70
CPT,12034,INTMD RPR S/TR/EXT 7.6-12.5,,,146.59,552.52,16
CPT,12035,HC ER LAC REPAIR INT SCALP/AXIL/TRUNK 12.6-20.0CM,749.15,374.58,75.38,674.24,72
CPT,12035,HC LAC REPAIR INT SCALP/AXIL/TRUNK 12.6-20.0CM,749.15,374.58,143.46,879.37,70
CPT,12035,INTMD RPR S/A/T/EXT 12.6-20,,,171.95,744.8,16
CPT,12036,HC ER LAC REPAIR INT SCALP/AXIL/TRUNK 20.1-30.0CM,679.8,339.9,75.38,727.75,72
CPT,12036,HC LAC REPAIR INT SCALP/AXIL/TRUNK 20.1-30.0CM,679.8,339.9,130.18,879.37,70
CPT,12036,INTMD RPR S/A/T/EXT 20.1-30,,,198.52,703.48,15
CPT,12037,HC ER LAC REPAIR INT SCALP/AXIL/TRUNK >30CM,1888.4,944.2,75.38,2174.73,72
CPT,12037,INTMD RPR S/TR/EXT >30.0 CM,,,231.13,374.28,14
CPT,12041,HC ER LAC REPAIR INT NECK/HAND <2.5CM,823.7,411.85,75.38,741.33,72
CPT,12041,HC LAC REPAIR INT NECK/HAND <2.5CM,823.7,411.85,157.74,879.37,70
CPT,12041,INTMD RPR N-HF/GENIT 2.5CM/<,,,122.08,559.35,19
CPT,12042,HC ER LAYR CLOS WND REST BODY 2.6-7.5 CM,909.3,454.65,75.38,818.37,72
CPT,12042,HC LAYR CLOS WND REST BODY 2.6-7.5 CM,909.3,454.65,174.13,879.37,70
CPT,12042,INTMD RPR N-HF/GENIT2.6-7.5,,,142.69,594.08,19
CPT,12044,HC ER LAC REPAIR INT NECK/HAND 7.6-12.5CM,742.45,371.23,75.38,727.75,72
CPT,12044,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,742.45,371.23,142.18,879.37,70
CPT,12044,INTMD RPR N-HF/GENIT7.6-12.5,,,153.91,803.76,16
CPT,12045,HC ER LAC REPAIR INT NECK/HAND 12.6-20.0CM,679.8,339.9,75.38,727.75,72
CPT,12045,INTMD RPR N-HF/GENIT12.6-20,,,178.68,312.4,14
CPT,12046,HC ER LAYR CLOS WND REST BODY 20.1-30 CM,679.8,339.9,75.38,727.75,72
CPT,12046,HC LAYR CLOS WND REST BODY 20.1-30CM,679.8,339.9,130.18,879.37,70
CPT,12046,INTMD RPR N-HF/GENIT20.1-30,,,210.53,362.19,14
CPT,12047,HC ER LAYR CLOS WND REST BODY >30 CM,2129.95,1064.98,75.38,2174.73,72
CPT,12047,INTMD RPR N-HF/GENIT >30.0CM,,,230.39,401.39,14
CPT,12051,HC ER LAC REPAIR INT FACE <2.5 CM,849.5,424.75,75.38,764.55,72
CPT,12051,HC LAYR CLOS WND FACE FACIAL <2.5 CM,849.5,424.75,162.68,764.55,70
CPT,12051,INTMD RPR FACE/MM 2.5 CM/<,,,130.62,599.81,21
CPT,12052,"HC ER LAYR CLOS WND FACE,FACIAL 2.5-5 CM",793.25,396.63,75.38,713.93,72
CPT,12052,"HC LAYR CLOS WND FACE,FACIAL 2.5-5 CM",793.25,396.63,151.91,713.93,70
CPT,12052,INTMD RPR FACE/MM 2.6-5.0 CM,,,153.15,563.72,16
CPT,12053,HC ER LAC REPAIR INT FACE 5.1-7.5CM,621.5,310.75,75.38,559.35,72
CPT,12053,HC LAC REPAIR INT FACE 5.1-7.5CM,621.5,310.75,119.02,559.35,70
CPT,12053,INTMD RPR FACE/MM 5.1-7.5 CM,,,155.89,769.91,16
CPT,12054,HC ER LAC REPAIR INT FACE 7.6-12.5CM,798.4,399.2,75.38,718.56,72
CPT,12054,HC LAC REPAIR INT FACE 7.6-12.5CM,798.4,399.2,152.89,879.37,70
CPT,12054,INTMD RPR FACE/MM 7.6-12.5CM,,,165.81,253.33,14
CPT,12055,HC ER LAC REPAIR INT FACE 12.6-20.0CM,679.8,339.9,75.38,611.82,72
CPT,12055,HC LAC REPAIR INT FACE 12.6 - 20.0 CM,679.8,339.9,130.18,879.37,70
CPT,12055,INTMD RPR FACE/MM 12.6-20 CM,,,202.5,345.15,14
CPT,12056,HC ER LAC REPAIR INT FACE 20.1-30.0CM,679.8,339.9,75.38,611.82,72
CPT,12056,INTMD RPR FACE/MM 20.1-30.0,,,247.03,441.33,14
CPT,12057,HC ER LAC REPAIR INT FACE >30.0CM,2129.95,1064.98,75.38,1916.96,72
CPT,12057,INTMD RPR FACE/MM >30.0 CM,,,282.77,481.74,14
CPT,13100,CMPLX RPR TRUNK 1.1-2.5 CM,,,170.45,545.36,15
CPT,13100,HC ER LAC REPAIR CMPLX TRUNK 1.1-2.5 CM,1376.9,688.45,75.38,1239.21,72
CPT,13100,HC LAC REPAIR CMPLX TRUNK 1.1-2.5 CM,1376.9,688.45,263.68,1239.21,70
CPT,13101,CMPLX RPR TRUNK 2.6-7.5 CM,,,207.21,841.06,20
CPT,13101,HC ER LAC REPAIR CMPLX TRUNK 2.6-7.5 CM,2383.55,1191.78,75.38,2145.2,72
CPT,13101,HC LAC REPAIR CMPLX TRUNK 2.6-7.5 CM,2383.55,1191.78,456.45,2145.2,70
CPT,13102,CMPLX RPR TRUNK ADDL 5CM/<,,,55.66,214.08,17
CPT,13102,HC ER LAC REPAIR CMPLX TRUNK ADDTL 5CM,2383.55,1191.78,75.38,2145.2,72
CPT,13120,CMPLX RPR S/A/L 1.1-2.5 CM,,,178.14,682.4,15
CPT,13120,HC ER LAC REPAIR CMPLX SCALP 1.1-2.5 CM,496.1,248.05,75.38,727.75,72
CPT,13121,CMPLX RPR S/A/L 2.6-7.5 CM,,,234.85,899.77,20
CPT,13121,HC ER LAC REPAIR CMPLX SCALP 2.6-7.5 CM,909.3,454.65,75.38,818.37,72
CPT,13121,HC LAC REPAIR CMPLX SCALP 2.6-7.5 CM,909.3,454.65,174.13,1432.11,70
CPT,13122,CMPLX RPR S/A/L ADDL 5 CM/>,,,63.78,244.48,16
CPT,13122,HC ER LAC REPAIR CMPLX SCALP ADDTL 5CM,548.95,274.48,75.38,494.06,72
CPT,13122,HC LAC REPAIR CMPLX SCALP ADDTL 5CM,548.95,274.48,105.12,494.06,69
CPT,13131,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,201.04,774.85,19
CPT,13131,HC ER LAC REPAIR CMPLX FOREHEAD 1.1-2.5CM,909.3,454.65,75.38,818.37,72
CPT,13132,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,278.17,1160.81,18
CPT,13132,HC ER LAC REPAIR CMPLX FOREHEAD2.6-7.5CM,909.3,454.65,75.38,818.37,72
CPT,13132,HC LAC REPAIR CMPLX FOREHEAD2.6-7.5CM,909.3,454.65,174.13,1432.11,70
CPT,13133,CMPLX RPR F/C/C/M/N/AX/G/H/F,,,99.07,378.09,15
CPT,13133,HC ER LAC REPAIR CMPLX FOREHD ADDTL 5CM,517.8,258.9,75.38,466.02,72
CPT,13133,HC LAC REPAIR CMPLX FOREHD ADDTL 5CM,517.8,258.9,99.16,466.02,69
CPT,13151,CMPLX RPR E/N/E/L 1.1-2.5 CM,,,232.88,899.82,17
CPT,13151,HC ER LAC REPAIR CMPLX EYE 1.1-2.5 CM,772.05,386.03,75.38,727.75,72
CPT,13151,HC LAC REPAIR CMPLX EYE 1.1-2.5 CM,772.05,386.03,147.85,1432.11,70
CPT,13152,CMPLX RPR E/N/E/L 2.6-7.5 CM,,,307.81,1090.31,15
CPT,13152,HC ER LAC REPAIR CMPLX EYE 2.6-7.5 CM,1711.85,855.93,75.38,1540.67,72
CPT,13152,HC LAC REPAIR CMPLX EYE 2.6-7.5 CM,1711.85,855.93,327.82,1540.67,70
CPT,13153,CMPLX RPR E/N/E/L ADDL 5CM/<,,,107.35,156.63,14
CPT,13153,HC ER LAC REPAIR CMPLX EYE ADDTL 5CM,632.35,316.18,75.38,569.12,72
CPT,13153,HC LAC REPAIR CMPLX EYE ADDTL 5CM,632.35,316.18,121.1,569.12,69
CPT,13160,HC ER WOUND CLOSURE CMPLX SECONDARY,5946.65,2973.33,75.38,5351.99,72
CPT,13160,HC SECD CLOS SURG WND EXTEN/COMPLIC,5946.65,2973.33,879.37,5351.99,70
CPT,13160,SEC CLSR SURG WND/DEHSN XTN,,,588.77,2287.14,16
CPT,14000,TIS TRNFR TRUNK 10 SQ CM/<,,,359.11,2174.73,21
CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,477.2,2174.73,21
CPT,14020,HC TRANSFER TISSUE SCALP <10SQCM,7550.95,3775.48,879.37,6795.86,70
CPT,14020,TIS TRNFR S/A/L 10 SQ CM/<,,,410.9,655.1,14
CPT,14021,HC ER TRANSFER TISSUE SCALP 10.1-30.0SQCM,4711.3,2355.65,75.38,4240.17,72
CPT,14021,TIS TRNFR S/A/L 10.1-30 SQCM,,,531.73,2085.08,15
CPT,14040,HC ER TRANSFER TISSUE FOREHEAD <10.0 SQ CM,3987.4,1993.7,75.38,3588.66,72
CPT,14040,HC TRANSFER TISSUE FOREHEAD <10.0 SQ CM,3987.4,1993.7,763.59,3588.66,70
CPT,14040,TIS TRNFR F/C/C/M/N/A/G/H/F,,,468.02,1831.92,16
CPT,14041,HC TRANSFER TISSUE FOREHEAD 10.1-30.0 SQ CM,7974.85,3987.43,879.37,7177.37,70
CPT,14041,TIS TRNFR F/C/C/M/N/A/G/H/F,,,578.32,2286.69,16
CPT,14060,"HC ADJ TISS XFER LID,NOS,EAR <10 SQCM",8108.3,4054.15,879.37,7297.47,70
CPT,14060,TIS TRNFR E/N/E/L 10 SQ CM/<,,,494.37,1739.53,15
CPT,14061,"HC ADJ TISS XFER LID,NOS,EAR 10.1-30 SQCM",8390.35,4195.18,879.37,7551.32,70
CPT,14061,TIS TRNFR E/N/E/L10.1-30SQCM,,,616.67,2477.67,16
CPT,14301,HC ADJ TISSUE TRANS 30.1 - 60.0 SQCM,12576.7,6288.35,879.37,11319.03,70
CPT,14301,TIS TRNFR ANY 30.1-60 SQ CM,,,532.36,2441.23,20
CPT,14302,TIS TRNFR ADDL 30 SQ CM,,,138.19,879.37,26
CPT,14350,FILLETED FINGER/TOE FLAP,,,546.81,2174.73,20
CPT,15002,WOUND PREP TRK/ARM/LEG,,,168.19,2174.73,21
CPT,15003,WOUND PREP ADDL 100 CM,,,34.13,101.89,21
CPT,15004,WOUND PREP F/N/HF/G,,,210.28,838.58,21
CPT,15005,WND PREP F/N/HF/G ADDL CM,,,67.72,132.24,20
CPT,15011,HRV SKN CLL SSP AGRFT 1ST 25,,,1774.58,2174.73,5
CPT,15013,PREPJ SKN CLL SSP AGRFT 1ST,,,7033.87,8619.94,5
CPT,15015,APP SKN CL SSP AGRFT T/A/L 1,,,1774.58,2174.73,5
CPT,15017,APP SKN CLL SSP F/N/G/HF 1ST,,,1774.58,2174.73,5
CPT,15040,HARVEST CULTURED SKIN GRAFT,,,94.47,2174.73,20
CPT,15050,HC ER PINCH GRAFT SGL/MULT <2CM,1160.2,580.1,75.38,1044.18,72
CPT,15050,PINCH GRAFT UP TO 2 CM DIAM,,,314.62,528.63,14
CPT,15100,HC SKIN SPLIT GRAFT TRUNK/ARM/LEG,7498.4,3749.2,879.37,6748.56,70
CPT,15100,SPLT AGRFT T/A/L 1ST 100SQCM,,,516.91,1898.18,17
CPT,15101,SPLT AGRFT T/A/L EA ADDL 100,,,83.21,297.49,21
CPT,15110,EPIDRM AGRFT T/A/L 1ST 100,,,533.5,2174.73,20
CPT,15111,EPIDRM AGRFT T/A/L EA ADDL,,,80.52,129.42,20
CPT,15115,EPDRM AGRFT F/S/N/H/F/G/M 1,,,552.41,2174.73,20
CPT,15116,EPDRM AGRFT F/S/N/H/F/G/M EA,,,111.04,174.55,20
CPT,15120,SPLT AGRFT F/S/N/H/F/G/M 1ST,,,567.18,4352.44,21
CPT,15121,SPLT AGRFT F/S/N/H/F/G/M EA,,,118.96,231.81,19
CPT,15130,DRM AGRFT T/A/L 1ST 100 SQCM,,,403.85,2174.73,20
CPT,15131,DRM AGRFT T/A/L EA ADDL,,,65.9,111.98,19
CPT,15135,DRM AGRFT F/S/N/H/F/G/M 1ST,,,556.09,4352.44,20
CPT,15136,DRM AGRFT F/S/N/H/F/G/M EA,,,62.62,110.49,19
CPT,15150,TIS CLTR SKN AGRFT T/A/L 1ST,,,462.87,2174.73,20
CPT,15151,TIS CLTR SKN AGRFT T/A/L ADD,,,87.13,609.62,20
CPT,15152,TIS CLTR SKN AGRFT T/A/L EA,,,114.5,609.62,20
CPT,15155,TIS CLTR AGRFT F/S/N/H/F/G 1,,,496.14,4352.44,20
CPT,15156,TIS CLT AGRFT F/S/N/H/F/G AD,,,124.21,609.62,20
CPT,15157,TIS CLT AGRFT F/S/N/H/F/G EA,,,134.86,1432.11,20
CPT,15200,FTH/GFT FR TRNK 20 SQ CM/<,,,473.32,2174.73,20
CPT,15201,FTH/GFT FR TRNK EACH ADDL,,,59.51,156.69,19
CPT,15220,FTH/GFT FR S/A/L 20 SQ CM/<,,,446.79,1194.7,15
CPT,15220,HC ER FULL GRAFT SCALP ARM OR LEG <20 SQ CM,4148.25,2074.13,75.38,3733.43,72
CPT,15220,HC FULL GRAFT SCALP ARM OR LEG <20 SQ CM,4148.25,2074.13,794.39,3733.43,70
CPT,15221,FTH/GFT FR S/A/L EACH ADDL,,,54.45,143.99,19
CPT,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,,,570.81,2119.99,16
CPT,15240,HC FULL THICK GRFT HEAD/FAC/HAND <20SQC,7188.5,3594.25,1376.6,6469.65,70
CPT,15241,FTH/GFT F/C/C/M/N/A/G/H/F EA,,,85.0,196.45,19
CPT,15260,FTH/GFT FR N/E/E/L 20 SQCM/<,,,619.29,2148.89,16
CPT,15260,"HC FULL THICK GRFT NOS,EAR,LID <20 SQCM",7188.5,3594.25,1376.6,6469.65,70
CPT,15261,FTH/GFT FR N/E/E/L EACH ADDL,,,106.72,231.95,19
CPT,15271,HC SKIN SUB GRAFT TRUNK/ARM/LEG  <=25 SQ CM,1098.15,549.08,210.3,2174.73,70
CPT,15271,SKIN SUB GRAFT TRNK/ARM/LEG,,,49.39,326.76,17
CPT,15272,HC SKIN SUB GRAFT TRUNK/ARM/LEG EA ADDL 25 SQ CM,1098.15,549.08,22.76,1432.11,70
CPT,15272,SKIN SUB GRAFT T/A/L ADD-ON,,,9.84,49.99,17
CPT,15273,HC SKIN SUB GRAFT TRUNK/ARM/LEG CHILD <=100 SQ CM,1482.35,741.18,283.87,4352.44,70
CPT,15273,SKIN SUB GRFT T/ARM/LG CHILD,,,117.54,539.78,15
CPT,15274,HC CLINIC SKIN SUB GRAFT TRUNK/ARM/LEG CHILD EA ADDL 100 SQ CM,1482.35,741.18,73.29,1432.11,70
CPT,15274,SKN SUB GRFT T/A/L CHILD ADD,,,25.05,118.27,15
CPT,15275,HC SKIN SUB GRAFT FACE/NECK/HANDS/FEET/GENITALIA  <=100 SQ CM,1098.15,549.08,210.3,2174.73,70
CPT,15275,SKIN SUB GRAFT FACE/NK/HF/G,,,57.22,337.72,17
CPT,15276,HC SKN SUB GRFT F/N/HF/G ADDL HC,1098.15,549.08,30.64,1432.11,70
CPT,15276,SKIN SUB GRAFT F/N/HF/G ADDL,,,14.09,28.58,14
CPT,15277,HC SKIN SUB GRFT F/S/N/H/F/G/M/D >= 100SCM 1ST 100SQ CM,3466.0,1733.0,663.74,3119.4,70
CPT,15277,SKN SUB GRFT F/N/HF/G CHILD,,,121.95,254.21,14
CPT,15278,SKN SUB GRFT F/N/HF/G CH ADD,,,31.0,1432.11,20
CPT,15570,SKIN PEDICLE FLAP TRUNK,,,517.25,2174.73,20
CPT,15572,SKIN PEDICLE FLAP ARMS/LEGS,,,523.39,4352.44,20
CPT,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,552.96,2174.73,20
CPT,15576,PEDICLE E/N/E/L/NTRORAL,,,485.53,2174.73,20
CPT,15600,DELAY FLAP TRUNK,,,143.05,4352.44,20
CPT,15610,DELAY FLAP ARMS/LEGS,,,169.52,2174.73,20
CPT,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,225.3,2174.73,20
CPT,15630,DELAY FLAP EYE/NOS/EAR/LIP,,,246.28,2174.73,20
CPT,15650,TRANSFER SKIN PEDICLE FLAP,,,277.91,2174.73,20
CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,,,766.61,4352.44,19
CPT,15731,FOREHEAD FLAP W/VASC PEDICLE,,,736.11,4352.44,19
CPT,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,875.33,4352.44,20
CPT,15734,MUSCLE-SKIN GRAFT TRUNK,,,984.09,4352.44,21
CPT,15736,MUSCLE-SKIN GRAFT ARM,,,849.86,2174.73,20
CPT,15738,MUSCLE-SKIN GRAFT LEG,,,926.77,4352.44,20
CPT,15740,ISLAND PEDICLE FLAP GRAFT,,,623.86,2174.73,20
CPT,15750,NEUROVASCULAR PEDICLE FLAP,,,662.06,4352.44,20
CPT,15756,FREE MYO/SKIN FLAP MICROVASC,,,1750.05,4912.39,21
CPT,15757,FREE SKIN FLAP MICROVASC,,,1733.36,6104.5,23
CPT,15758,FREE FASCIAL FLAP MICROVASC,,,1734.27,2586.3,19
CPT,15760,COMPOSITE SKIN GRAFT,,,511.62,2174.73,20
CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,,,406.17,4352.44,20
CPT,15770,DERMA-FAT-FASCIA GRAFT,,,473.56,4352.44,20
CPT,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,473.12,4352.44,15
CPT,15772,GRFG AUTOL FAT LIPO EA ADDL,,,135.82,422.28,13
CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,464.02,2174.73,11
CPT,15774,GFRG AUTOL FAT LIPO EA ADDL,,,131.5,214.54,10
CPT,15775,HAIR TRNSPL 1-15 PUNCH GRFTS,,,233.71,474.99,10
CPT,15776,HAIR TRNSPL >15 PUNCH GRAFTS,,,319.73,474.99,10
CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,119.63,1432.11,25
CPT,15778,IMPL ABSRB MSH/PRSTH DLY CLS,,,307.95,443.25,19
CPT,15780,DERMABRASION TOTAL FACE,,,467.15,3402.62,19
CPT,15781,DERMABRASION SEGMENTAL FACE,,,306.36,836.48,19
CPT,15782,DERMABRASION OTHER THAN FACE,,,293.65,3402.62,19
CPT,15783,DERMABRASION SUPRFL ANY SITE,,,265.58,474.99,19
CPT,15786,ABRASION LESION SINGLE,,,100.48,236.23,19
CPT,15787,ABRASION LESIONS ADD-ON,,,14.1,34.37,19
CPT,15788,CHEMICAL PEEL FACIAL EPIDRM,,,167.71,474.99,19
CPT,15789,CHEMICAL PEEL FACIAL DERMAL,,,305.37,727.75,19
CPT,15792,CHEM PEEL NONFACIAL EPIDRM,,,183.52,727.75,19
CPT,15793,CHEMICAL PEEL NONFACIAL DRM,,,252.9,474.99,19
CPT,15819,Physician Fee Schedule,,,533.56,544.23,9
CPT,15820,BLEPHAROPLASTY LOWER EYELID,,,343.77,2174.73,19
CPT,15821,BLEPHARP LWR EYELID FAT PAD,,,364.76,2174.73,19
CPT,15822,BLEPHAROPLASTY UPPER EYELID,,,262.96,2174.73,19
CPT,15823,BLEPHARP UPR EYELID XCSV SKN,,,433.38,2174.73,20
CPT,15824,RHYTIDECTOMY FOREHEAD,,,1774.58,2174.73,5
CPT,15825,RHYTDCT NCK PLTYSML TGHTG,,,3551.59,4352.44,5
CPT,15826,RHYTIDECTOMY GLBLR FRN LINES,,,3551.59,4352.44,5
CPT,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,3551.59,4352.44,5
CPT,15829,RHYTIDECTOMY SMAS FLAP,,,3551.59,4352.44,5
CPT,15830,EXC EXCESSIVE SKIN ABDOMEN,,,374.33,7753.2,23
CPT,15832,EXC EXCESSIVE SKIN THIGH,,,645.79,3402.62,19
CPT,15833,EXC EXCESSIVE SKIN LEG,,,608.75,3402.62,19
CPT,15834,EXC EXCESSIVE SKIN HIP,,,606.63,3402.62,19
CPT,15835,EXC EXCESSIVE SKIN BUTTOCK,,,641.59,3402.62,19
CPT,15836,EXC EXCESSIVE SKIN ARM,,,534.41,3402.62,19
CPT,15837,EXC EXCSV SKIN FOREARM/HAND,,,483.66,3402.62,19
CPT,15838,EXC EXCSV SUBMENTAL FAT PAD,,,416.62,3402.62,19
CPT,15839,EXC EXCESSIVE SKN OTHER AREA,,,524.07,3402.62,20
CPT,15840,NERVE PALSY FASCIAL GRAFT,,,735.53,4352.44,20
CPT,15841,NERVE PALSY MUSCLE GRAFT,,,879.37,4352.44,20
CPT,15842,NERVE PALSY MICROSURG GRAFT,,,879.37,3086.29,20
CPT,15845,SKIN AND MUSCLE REPAIR FACE,,,689.99,4352.44,20
CPT,15847,EXC SKIN ABD ADD-ON,,,275.89,1673.58,15
CPT,15851,REMOVAL SUTR/STAPLE REQ ANES,,,34.44,2174.73,21
CPT,15852,DRESSING CHANGE NOT FOR BURN,,,35.85,125.38,15
CPT,15852,HC DRESSING CHANGE (OTHER THAN BURNS) UNDER ANESTH,3158.65,1579.33,314.06,2842.79,70
CPT,15853,REMOVAL SUTR/STAPL XREQ ANES,,,8.91,314.06,27
CPT,15854,REMOVAL SUTR&STAPL XREQ ANES,,,12.55,314.06,23
CPT,15860,IV NJX TST VASC FLO FLAP/GRF,,,84.3,879.37,27
CPT,15876,SUCTION LIPECTOMY HEAD&NECK,,,3551.59,4352.44,5
CPT,15877,SUCTION LIPECTOMY TRUNK,,,3551.59,4352.44,5
CPT,15878,SUCTION LIPECTOMY UPR EXTREM,,,1774.58,2174.73,5
CPT,15879,SUCTION LIPECTOMY LWR EXTREM,,,3551.59,4352.44,5
CPT,15920,EXC COCCYGL PR ULC PRIM SUTR,,,423.38,3402.62,20
CPT,15922,EXC COCCYGL PR ULC FLAP CLSR,,,537.78,4352.44,20
CPT,15931,EXC SACRAL PR ULC PRIM SUTR,,,483.27,3402.62,20
CPT,15933,EXC SAC PR ULC PRIM STR OSTC,,,594.0,3402.62,20
CPT,15934,EXC SACRAL PR ULC SKN FLAP,,,663.16,4352.44,20
CPT,15935,EXC SAC PR ULC SKN FLP OSTC,,,788.44,4352.44,20
CPT,15936,EXC SAC PR ULC PREP MUS FLAP,,,642.9,2174.73,20
CPT,15937,EXC SAC PR ULC PREP MUS OSTC,,,751.29,2174.73,20
CPT,15940,EXC ISCHIAL PR ULC PRIM SUTR,,,496.79,3402.62,20
CPT,15941,EXC ISCH PR ULC PRM SUT OSTC,,,644.01,3402.62,20
CPT,15944,EXC ISCH PR ULC SKN FLP CLSR,,,634.65,4352.44,20
CPT,15945,EXC ISCH PR ULC SKN FLP OSTC,,,704.94,2174.73,20
CPT,15946,EXC ISCH PR ULC PREP MUS FLP,,,1180.65,2174.73,20
CPT,15950,EXC TRCHNTR PR ULC PRIM SUTR,,,410.8,1926.26,20
CPT,15951,EXC TRCHNTR PR ULC OSTC,,,586.0,3402.62,20
CPT,15952,EXC TRCHNTR PR ULC FLP CLSR,,,616.34,2174.73,20
CPT,15953,EXC TRCHNTR PR ULC FLP OSTC,,,686.23,4352.44,20
CPT,15956,EXC TRCHNTR PR ULC PREP FLAP,,,826.88,2174.73,20
CPT,15958,EXC TRCHNTR PR ULC PREP OSTC,,,843.22,4352.44,20
CPT,15999,UNLISTED PX EXC PRESSURE ULC,,,682.57,1432.11,6
CPT,16000,HC ER TREATMENT BURN 1ST DEGREE,551.0,275.5,75.38,495.9,72
CPT,16000,HC INITIAL TREATMENT OF 1ST DEGREE BURN,551.0,275.5,105.52,495.9,69
CPT,16000,INITIAL TREATMENT OF BURN(S),,,35.16,135.25,16
CPT,16020,DRESS/DEBRID P-THICK BURN S,,,41.4,177.03,21
CPT,16020,HC DRESS DEBRIDE PARTIAL THICKNESS BURN SMALL,454.6,227.3,87.06,879.37,70
CPT,16020,HC DRESS/DEBRIDE BURN SMALL <5%,454.6,227.3,87.06,879.37,70
CPT,16020,HC ER DRESS/DEBRIDE BURN SMALL <5%,454.6,227.3,75.38,409.14,72
CPT,16025,DRESS/DEBRID P-THICK BURN M,,,85.06,330.08,18
CPT,16025,HC DRESS/DEBRIDE BURN MED 5-10%,418.4,209.2,80.12,879.37,70
CPT,16025,HC ER DRESS/DEBRIDE BURN MED 5-10%,418.4,209.2,75.38,376.56,72
CPT,16030,DRESS/DEBRID P-THICK BURN L,,,96.6,151.03,14
CPT,16030,HC DRESS/DEBRIDE BURN LARGE >10%,561.3,280.65,107.49,879.37,70
CPT,16030,HC ER DRESS/DEBRIDE BURN LARGE >10%,561.3,280.65,75.38,505.17,72
CPT,16035,ESCHAROTOMY 1ST INCISION,,,159.98,224.1,14
CPT,16035,HC ER ESCHAROTOMY INITIAL INCISION,701.95,350.98,75.38,631.76,72
CPT,16036,ESCHAROTOMY EA ADDL INCISION,,,63.75,93.38,19
CPT,17000,DESTRUCT PREMALG LESION,,,38.91,140.75,23
CPT,17000,HC CRYO SKIN SINGLE,482.0,241.0,92.3,879.37,70
CPT,17003,DESTRUCT PREMALG LES 2-14,,,1.89,14.08,23
CPT,17003,HC CRYO SKIN 2-14,202.25,101.13,6.21,182.03,69
CPT,17004,DESTROY PREMAL LESIONS 15/>,,,91.19,348.17,19
CPT,17004,HC DESTRUCTION PREMALIGNANT LESION 15/>,638.5,319.25,122.27,879.37,70
CPT,17106,DSTR CUT VSC PRLF LES<10SQCM,,,202.89,879.37,21
CPT,17107,DSTR CUT VSC PRLF LES10-50SQ,,,268.32,879.37,20
CPT,17108,DSTR CUT VSC PRLF LES>50SQCM,,,350.17,2174.73,20
CPT,17110,DESTRUCTION B9 LES UP TO 14,,,48.35,236.89,24
CPT,17110,HC DESTRUCTION BENIGN LESION <=14,312.45,156.23,59.83,879.37,70
CPT,17111,DESTRUCTION B9 LESIONS 15/>,,,60.44,277.71,20
CPT,17111,HC DESTRUCTION BENIGN LESIONS 15 OR MORE,394.25,197.13,75.5,879.37,70
CPT,17250,CHEM CAUT OF GRANLTJ TISSUE,,,26.63,187.86,25
CPT,17250,HC DESTRUCTION GRAN TISSUE CHEM,624.95,312.48,119.68,879.37,70
CPT,17250,HC ER DESTRUCTION GRAN TISSUE CHEM,624.95,312.48,75.38,562.46,72
CPT,17260,DSTRJ MAL LES T/A/L 0.5 CM/<,,,48.76,169.99,15
CPT,17260,"HC DESTR MALIG TRUNK,EXTREM <0.6 CM",436.05,218.03,83.5,879.37,70
CPT,17261,DSTRJ MAL LES T/A/L .6-1.0CM,,,65.77,240.87,18
CPT,17261,"HC DESTR MALIG TRUNK,EXTREM 0.6-1 CM",483.85,241.93,92.66,879.37,70
CPT,17262,DSTRJ MAL LES T/A/L 1.1-2.0,,,84.23,375.04,17
CPT,17262,HC DESTRUCT MAL LESION TRUNK ARMS LEGS 1 1 - 2 0CM,535.7,267.85,102.59,879.37,70
CPT,17263,DSTRJ MAL LES T/A/L 2.1-3.0,,,93.29,141.76,14
CPT,17263,HC DESTRUCT MALIG LESION TRUNK/ARM/LEG 2.1-3.0CM,519.1,259.55,99.41,879.37,70
CPT,17264,DSTRJ MAL LES T/A/L 3.1-4.0,,,99.7,152.0,14
CPT,17264,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,833.1,416.55,159.54,879.37,70
CPT,17266,DSTRJ MAL LES T/A/L >4.0 CM,,,116.18,177.86,14
CPT,17266,HC DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,908.0,454.0,173.88,879.37,70
CPT,17270,DSTR MAL LES S/N/H/F/G .5 /<,,,71.14,879.37,21
CPT,17271,DSTR MAL LES S/N/H/F/G 0.6-1,,,80.11,879.37,20
CPT,17272,DSTR MAL LES S/N/H/F/G 1.1-2,,,92.96,140.58,14
CPT,17272,HC DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,369.0,184.5,70.66,879.37,70
CPT,17273,DSTR MAL LES S/N/H/F/G 2.1-3,,,104.99,879.37,20
CPT,17274,DSTR MAL LES S/N/H/F/G 3.1-4,,,128.97,879.37,20
CPT,17276,DSTR MAL LES S/N/H/F/G >4.0,,,155.29,879.37,20
CPT,17280,DSTR MAL LS F/E/E/N/L/M .5/<,,,64.65,879.37,20
CPT,17281,DSTR MAL LS F/E/E/N/L/M .6-1,,,90.34,137.44,14
CPT,17281,HC DEST MAL LSN FACE EENL 0.6-1.0CM,725.15,362.58,138.87,879.37,70
CPT,17282,DSTR MAL LS F/E/E/N/L/M1.1-2,,,104.96,158.3,14
CPT,17282,HC DEST MAL LSN FACE EENL 1.1-2.0CM,817.0,408.5,156.46,879.37,70
CPT,17283,DSTR MAL LS F/E/E/N/L/M2.1-3,,,131.51,879.37,20
CPT,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,,,156.98,879.37,20
CPT,17286,DSTR MAL LS F/E/E/N/L/M>4.0,,,211.18,879.37,20
CPT,17311,"HC MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENTIAL",2446.05,1223.03,308.79,2201.45,70
CPT,17311,MOHS 1 STAGE H/N/HF/G,,,283.32,1406.81,23
CPT,17312,"HC MOHS,  ADDL STAGE, HEAD/NECK/HAND/FEET/GENTIAL",1654.15,827.08,164.02,1488.74,70
CPT,17312,MOHS ADDL STAGE,,,150.7,855.19,21
CPT,17313,"HC MOHS, 1 STAGE, TRUNK/ARM/LEG",2214.95,1107.48,424.16,1993.46,69
CPT,17313,MOHS 1 STAGE T/A/L,,,254.35,1320.54,19
CPT,17314,"HC MOHS, ADDL STAGE, TRUNK/ARM/LEG",1639.4,819.7,152.18,1475.46,70
CPT,17314,MOHS ADDL STAGE T/A/L,,,139.89,493.98,18
CPT,17315,"HC MOHS SURG, ADDL BLOCK",1639.4,819.7,42.98,1475.46,70
CPT,17315,MOHS SURG ADDL BLOCK,,,39.76,57.18,14
CPT,17340,CRYOTHERAPY FOR ACNE,,,34.29,879.37,20
CPT,17360,CHEMICAL EXFOLIATION ACNE,,,72.95,236.23,19
CPT,17380,ELECTROLYSIS EPILATION EA 30,,,593.84,727.75,5
CPT,17999,HC INTRADERM CANCER IMMUNOTX INJECTION EA ADDL,7134.15,3567.08,192.76,6420.74,70
CPT,17999,HC INTRADERM CANCER IMMUNOTX INJECTION INITIAL,7134.15,3567.08,192.76,6420.74,70
CPT,19000,HC ER ASPIRATION BREAST CYST,703.9,351.95,75.38,836.48,72
CPT,19000,HC PUNC/ASPIR BREAST CYST,703.9,351.95,134.8,836.48,70
CPT,19000,PUNCTURE ASPIR CYST BREAST,,,35.34,134.84,16
CPT,19001,"HC PUCT/ASPIR BREAST CYST,EACH ADDN",703.9,351.95,24.51,633.51,69
CPT,19001,PUNCTURE ASPIR CYST BRST EA,,,17.66,23.68,14
CPT,19020,HC ER MASTOTOMY EXPL/DRAIN ABSCESS DEEP,5155.7,2577.85,75.38,4640.13,72
CPT,19020,HC EXPLO/DRAIN BREAST ABSCESS,5155.7,2577.85,879.37,4640.13,70
CPT,19020,MASTOTOMY EXPL DRG ABSC DP,,,204.54,359.63,14
CPT,19030,NJX PX ONLY MAM DUCTO/GLCTO,,,63.94,184.58,19
CPT,19081,BX BREAST 1ST LESION STRTCTC,,,145.42,469.74,15
CPT,19081,HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE,6151.8,3075.9,504.6,5536.62,70
CPT,19082,BX BREAST ADD LESION STRTCTC,,,69.99,93.49,14
CPT,19082,HC MAM BREAST BIOPSY ADDL STEREO,6151.8,3075.9,341.17,5536.62,70
CPT,19083,BX BREAST 1ST LESION US IMAG,,,136.41,175.71,14
CPT,19083,HC BX BREAST 1ST LESION ULTRASOUND GUIDE,3888.2,1944.1,501.39,3499.38,70
CPT,19084,BX BREAST ADD LESION US IMAG,,,65.8,88.31,14
CPT,19084,HC BX BREAST ADDL LESION ULTRASOUND GUIDE,3888.2,1944.1,334.51,3499.38,70
CPT,19085,BX BREAST 1ST LESION MR IMAG,,,159.38,205.85,14
CPT,19085,HC BX BREAST 1ST LESION MRI,4996.3,2498.15,758.97,4496.67,70
CPT,19086,BX BREAST ADD LESION MR IMAG,,,72.94,102.6,14
CPT,19086,HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE,4996.3,2498.15,520.31,4496.67,70
CPT,19100,BX BREAST PERCUT W/O IMAGE,,,51.84,199.15,15
CPT,19100,"HC BIOPSY OF BREAST, NEEDLE CORE",2321.6,1160.8,444.59,2089.44,70
CPT,19100,HC ER NEEDLE CORE BIOPSY BREAST,2321.6,1160.8,75.38,2089.44,72
CPT,19101,BIOPSY OF BREAST OPEN,,,155.73,4552.54,20
CPT,19105,CRYOSURG ABLATE FA EACH,,,159.2,4552.54,11
CPT,19110,NIPPLE EXPLORATION,,,231.18,4552.54,20
CPT,19112,EXCISE BREAST DUCT FISTULA,,,207.32,4552.54,20
CPT,19120,HC EXCISION CYST OR OTHER TUMOR BREAST TISSUE,9263.0,4631.5,879.37,8336.7,70
CPT,19120,REMOVAL OF BREAST LESION,,,284.35,982.24,15
CPT,19125,EXCISION BREAST LESION,,,315.65,4552.54,21
CPT,19126,EXCISION ADDL BREAST LESION,,,119.69,180.14,19
CPT,19281,HC PLACEMENT DEV BREAST 1ST LESION MAM IMG,2499.15,1249.58,183.96,2249.24,70
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,,,82.97,112.78,14
CPT,19282,HC PLACEMENT DEV BREAST ADDL LESION MAM IMG,2189.65,1094.83,127.78,1970.69,70
CPT,19282,PERQ DEVICE BREAST EA IMAG,,,40.06,56.44,14
CPT,19283,HC BREAST LOCALIZATION 1ST LESION STEREO,3590.85,1795.43,208.62,3231.77,70
CPT,19283,PERQ DEV BREAST 1ST STRTCTC,,,83.81,113.58,14
CPT,19284,HC PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,3235.55,1617.78,152.96,2912.0,70
CPT,19284,PERQ DEV BREAST ADD STRTCTC,,,40.34,56.6,14
CPT,19285,HC BREAST LOCALIZATION 1ST LESION  ULTRASOUND,2640.65,1320.33,351.15,2376.59,70
CPT,19285,PERQ DEV BREAST 1ST US IMAG,,,71.07,96.25,14
CPT,19286,HC BREAST LOCALIZATION ADDL LESION  ULTRASOUND,2081.15,1040.58,264.13,1873.04,70
CPT,19286,PERQ DEV BREAST ADD US IMAG,,,34.58,48.13,14
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,,,113.54,836.48,20
CPT,19288,HC PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,3189.2,1594.6,429.51,2870.28,70
CPT,19288,PERQ DEV BREAST ADD MR GUIDE,,,51.77,72.58,14
CPT,19294,PREPJ TUM CAV IORT PRTL MAST,,,132.4,185.17,20
CPT,19296,PLACE PO BREAST CATH FOR RAD,,,153.62,11376.4,20
CPT,19297,PLACE BREAST CATH FOR RAD,,,69.55,314.06,20
CPT,19298,PLACE BREAST RAD TUBE/CATHS,,,253.22,7753.2,20
CPT,19300,HC MASTECTOMY FOR GYNECOMASTIA,10332.8,5166.4,879.37,9299.52,70
CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,275.41,497.88,14
CPT,19301,HC PARTIAL MASTECTOMY,11781.0,5890.5,879.37,10602.9,70
CPT,19301,PARTIAL MASTECTOMY,,,441.52,1403.46,16
CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,631.96,7753.2,20
CPT,19303,MAST SIMPLE COMPLETE,,,683.16,7753.2,22
CPT,19305,MAST RADICAL,,,787.8,1304.85,19
CPT,19306,MAST RAD URBAN TYPE,,,825.37,1390.92,19
CPT,19307,MAST MOD RAD,,,830.19,7753.2,20
CPT,19316,MASTOPEXY,,,563.0,7753.2,20
CPT,19318,BREAST REDUCTION,,,828.87,7753.2,21
CPT,19325,BREAST AUGMENTATION W/IMPLT,,,465.59,11376.4,19
CPT,19328,RMVL INTACT BREAST IMPLANT,,,351.06,4552.54,20
CPT,19330,RMVL RUPTURED BREAST IMPLANT,,,451.91,4552.54,20
CPT,19340,INSJ BREAST IMPLT SM D MAST,,,295.11,7753.2,20
CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,664.61,11376.4,21
CPT,19350,NIPPLE/AREOLA RECONSTRUCTION,,,489.45,4552.54,21
CPT,19355,CORRECT INVERTED NIPPLE(S),,,569.74,4552.54,11
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,1068.44,20684.46,21
CPT,19361,BRST RCNSTJ LATSMS DRSI FLAP,,,1200.64,1787.84,19
CPT,19364,BRST RCNSTJ FREE FLAP,,,2055.53,3108.49,19
CPT,19367,BRST RCNSTJ 1 PDCL TRAM FLAP,,,1328.15,2030.73,19
CPT,19368,BRST RCNSTJ 1PDCL TRAM ANAST,,,1647.56,2482.4,19
CPT,19369,BRST RCNSTJ 2 PDCL TRAM FLAP,,,1502.21,2306.64,19
CPT,19370,REVJ PERI-IMPLT CAPSULE BRST,,,489.67,4552.54,21
CPT,19371,PERI-IMPLT CAPSLC BRST COMPL,,,564.98,4552.54,20
CPT,19380,REVJ RECONSTRUCTED BREAST,,,552.66,7753.2,20
CPT,19396,DESIGN CUSTOM BREAST IMPLANT,,,131.0,4552.54,10
CPT,19499,HC REINSERT OF CATHETER,5149.35,2574.68,314.06,4634.42,70
CPT,20100,EXPL PENTRG WOUND NECK,,,438.58,1933.28,15
CPT,20100,HC ER EXPLORATION WOUND NECK,7087.55,3543.78,75.38,6378.8,72
CPT,20101,EXPL PENTRG WOUND CHEST,,,149.47,238.01,14
CPT,20101,HC ER EXPLORATION WOUND CHEST,7071.25,3535.63,75.38,6364.13,72
CPT,20102,EXPL PENTRG WND ABD/FLNK/BK,,,182.29,291.79,14
CPT,20102,HC ER EXPLORATION WOUND ABD/BACK,6555.4,3277.7,75.38,5899.86,72
CPT,20103,EXPL PENTRG WOUND EXTREMITY,,,259.18,395.56,14
CPT,20103,HC ER EXPLORATION WOUND EXTREMITY,695.65,347.83,75.38,1926.26,72
CPT,20103,HC EXPLORATION WOUND EXTREMITY,695.65,347.83,133.22,1926.26,70
CPT,20150,EXCISION EPIPHYSEAL BAR,,,707.85,3857.44,19
CPT,20200,HC BIOPSY MUSCLE SUPERFICIAL,5616.85,2808.43,879.37,5055.17,70
CPT,20200,MUSCLE BIOPSY SUPERFICIAL,,,69.0,108.94,14
CPT,20205,DEEP MUSCLE BIOPSY,,,109.85,3402.62,20
CPT,20206,BIOPSY MUSCLE PERQ NEEDLE,,,48.34,483.24,17
CPT,20206,HC BIOPSY MUSCLE PERCUTANEOUS,2418.65,1209.33,463.17,2176.79,70
CPT,20220,BONE BIOPSY TROCAR/NDL SUPFC,,,60.36,100.23,14
CPT,20220,HC BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,2099.3,1049.65,402.02,1926.26,70
CPT,20225,BONE BIOPSY TROCAR/NDL DEEP,,,91.55,148.84,14
CPT,20225,HC BIOPSY BONE TROCAR/NEEDLE DEEP,2964.2,1482.1,567.64,2667.78,70
CPT,20240,BONE BIOPSY OPEN SUPERFICIAL,,,129.6,701.47,15
CPT,20240,HC BIOPSY BONE OPEN SUPERFICIAL,7082.15,3541.08,879.37,6373.94,70
CPT,20245,BONE BIOPSY OPEN DEEP,,,313.83,3402.62,20
CPT,20250,BIOPSY VRT BDY OPEN THORACIC,,,275.77,3857.44,20
CPT,20251,BIOPSY VRT BDY OPEN LMBR/CRV,,,305.76,8493.0,20
CPT,20500,NJX SINUS TRACT THERAPEUTIC,,,69.76,1761.06,20
CPT,20501,HC INJECT SINUS TRACT FOR DX W XRAY,729.5,364.75,127.82,656.55,69
CPT,20501,NJX SINUS TRACT DIAGNOSTIC,,,31.86,41.7,14
CPT,20520,HC ER REMOVAL FB SIMPLE MUSC/TENDON,873.05,436.53,75.38,1926.26,72
CPT,20520,RMVL FB MUSC/TDN SIMPLE,,,103.39,416.56,15
CPT,20525,HC ER REMOVAL FB DEEP MUSC/TENDON,1072.25,536.13,75.38,3402.62,72
CPT,20525,RMVL FB MUSC/TDN DEEP/COMP,,,181.68,286.79,14
CPT,20526,HC ER THERAPEUTIC INJ CARPAL TUNNEL,779.15,389.58,75.38,701.24,72
CPT,20526,HC INJECTION THERAPEUTIC CARPAL TUNNEL,779.15,389.58,104.86,701.24,70
CPT,20526,THER INJECTION CARP TUNNEL,,,43.5,181.72,20
CPT,20527,NJX NZM PALMAR FASCIAL CORD,,,33.58,350.94,20
CPT,20550,HC ER INJECT SINGLE TENDON SHEATH/LIGAMENT,890.35,445.18,75.38,801.32,72
CPT,20550,HC INJECT SINGLE TENDON SHEATH/LIGAMENT,890.35,445.18,170.5,801.32,70
CPT,20550,NJX 1 TENDON SHEATH/LIGAMENT,,,31.96,134.35,24
CPT,20551,HC INJECT SINGLE TENDON ORIGIN,477.85,238.93,91.51,430.07,70
CPT,20551,NJX 1 TENDON ORIGIN/INSJ,,,32.61,137.6,23
CPT,20552,HC ER INJECT TRIG POINT(S) 1-2 MUSCLES,1588.9,794.45,75.38,1430.01,72
CPT,20552,HC INJECT TRIG POINT(S) 1-2 MUSCLES,1588.9,794.45,286.37,1430.01,70
CPT,20552,NJX 1/MLT TRIGGER POINT 1/2,,,27.64,122.9,23
CPT,20553,HC ER INJECT TRIG PT 3 OR MORE MUSCLE GRPS,1588.9,794.45,75.38,1430.01,72
CPT,20553,HC INJECT TRIG PT 3 OR MORE MUSCLE GRPS,1588.9,794.45,286.37,1430.01,70
CPT,20553,NJX 1/MLT TRIGGER POINTS 3/>,,,30.73,138.94,24
CPT,20555,PLACE NDL MUSC/TIS FOR RT,,,254.9,3857.44,20
CPT,20560,NDL INSJ W/O NJX 1 OR 2 MUSC,,,14.08,53.28,12
CPT,20561,NDL INSJ W/O NJX 3+ MUSC,,,21.26,43.03,11
CPT,20600,DRAIN/INJ JOINT/BURSA W/O US,,,30.45,119.19,20
CPT,20600,HC ARTHROCENTESIS SMALL JOINT W/O US GUID,902.95,451.48,172.91,812.66,70
CPT,20600,HC ER ARTHROCENTESIS SMALL JOINT W/O US GUID,902.95,451.48,75.38,812.66,72
CPT,20604,DRAIN/INJ JOINT/BURSA W/US,,,38.51,172.54,18
CPT,20604,HC ER INJECT JOINT MINOR W/US IMAGING,2024.05,1012.03,75.38,1821.65,72
CPT,20604,HC INJECT JOINT MINOR W/US IMAGING,2024.05,1012.03,286.37,1821.65,69
CPT,20605,DRAIN/INJ JOINT/BURSA W/O US,,,31.61,122.89,20
CPT,20605,HC ARTHROCENTESIS INTERMED JOINT W/O US,1135.55,567.78,217.46,1022.0,70
CPT,20605,HC ER ARTHROCENTESIS INTERMED JOINT,1135.55,567.78,75.38,1022.0,72
CPT,20605,HC SP ARTHRO ASPIR/INJ INTERM J,1114.5,557.25,243.07,1003.05,70
CPT,20606,DRAIN/INJ JOINT/BURSA W/US,,,43.61,187.62,20
CPT,20606,HC ER INJECT JNT INTERMED W/US IMAG,2256.7,1128.35,75.38,2031.03,72
CPT,20606,HC INJECT JOINT INTERMED W/US IMAGING,2256.7,1128.35,432.16,2031.03,69
CPT,20610,DRAIN/INJ JOINT/BURSA W/O US,,,37.75,148.16,24
CPT,20610,HC ARTHROCENTESIS MAJOR JOINT W/O US GUID,1239.6,619.8,237.38,1115.64,70
CPT,20610,HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID,1239.6,619.8,75.38,1115.64,72
CPT,20611,DRAIN/INJ JOINT/BURSA W/US,,,51.08,209.41,20
CPT,20611,HC ER INJECT JOINT MAJOR W/US GUID,2360.75,1180.38,75.38,2124.68,72
CPT,20611,HC INJECT JOINT MAJOR W/US GUID,2360.75,1180.38,59.57,2124.68,70
CPT,20612,ASPIRATE/INJ GANGLION CYST,,,32.6,134.74,19
CPT,20612,HC ASPIRATION/INJECTION GANGLION CYST(S),452.35,226.18,86.63,407.12,70
CPT,20612,HC ER ASPIRATION/INJECTION GANGLION CYST(S),452.35,226.18,75.38,407.12,72
CPT,20615,HC ASPIRATION/INJ TREATMENT OF BONE CYST,1949.8,974.9,373.39,1754.82,70
CPT,20615,TREATMENT OF BONE CYST,,,117.04,185.13,14
CPT,20650,HC ER INSERT WIRE/PIN SKELETAL TRACT,7650.55,3825.28,75.38,6885.5,72
CPT,20650,HC INSERT AND REMOVE BONE PIN,7650.55,3825.28,879.37,6885.5,70
CPT,20650,INSERT AND REMOVE BONE PIN,,,115.39,195.26,14
CPT,20660,APPLY REM FIXATION DEVICE,,,177.05,1902.69,20
CPT,20661,APPLICATION HALO CRANIAL,,,335.38,592.8,19
CPT,20662,APPLICATION HALO PELVIC,,,348.62,1902.69,19
CPT,20663,APPLICATION HALO FEMORAL,,,322.56,3857.44,19
CPT,20664,APPL HALO CRANIAL 6+PINS,,,551.93,1014.17,19
CPT,20665,RMVL TONGS/HALO ANTHR INDIV,,,74.09,879.37,20
CPT,20670,HC REMOVAL IMPLANT SUPERFICIAL,4097.45,2048.73,784.66,3687.71,70
CPT,20670,REMOVAL IMPLANT SUPERFICIAL,,,108.4,466.79,16
CPT,20680,HC REMOVAL IMPLANT DEEP,1015.2,507.6,194.41,3402.62,70
CPT,20680,REMOVAL OF IMPLANT DEEP,,,302.2,1352.94,17
CPT,20690,APPL UNIPLN UNI EXT FIXJ SYS,,,398.83,8493.0,20
CPT,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,745.75,15297.04,20
CPT,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,334.48,8493.0,20
CPT,20694,HC REMOVAL EXTERNAL FIXATION UNDER ANESTHESIA,4318.8,2159.4,827.05,3886.92,70
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,244.16,399.48,14
CPT,20696,APP MLTPLN UNI XTRNL FIX 1ST,,,801.36,21863.47,20
CPT,20697,APP MLTPLN UNI XTRNL FIX XCH,,,925.63,1900.19,14
CPT,20697,HC EXCHANGE OF STRUT EX FIX EA,1415.15,707.58,271.0,1902.69,70
CPT,20700,MNL PREP&INSJ DP RX DLVR DEV,,,71.73,233.85,21
CPT,20701,RMVL DEEP RX DELIVERY DEVICE,,,53.58,72.68,19
CPT,20702,MNL PREP&INSJ IMED RX DEV,,,119.3,162.45,19
CPT,20703,RMVL IMED RX DELIVERY DEVICE,,,85.63,118.94,19
CPT,20704,MNL PREP&INSJ I-ARTIC RX DEV,,,124.28,170.78,19
CPT,20705,RMVL I-ARTIC RX DELIVERY DEV,,,102.35,141.08,19
CPT,20802,REPLANTATION ARM COMPLETE,,,1833.48,3134.81,19
CPT,20805,REPLANT FOREARM COMPLETE,,,2245.65,3721.54,19
CPT,20808,REPLANTATION HAND COMPLETE,,,3032.45,4486.68,19
CPT,20816,REPLANTATION DIGIT COMPLETE,,,1673.19,2347.01,19
CPT,20822,REPLANTATION DIGIT COMPLETE,,,1418.49,2030.05,19
CPT,20824,REPLANTATION THUMB COMPLETE,,,1666.81,2351.88,19
CPT,20827,REPLANTATION THUMB COMPLETE,,,1473.89,2084.79,19
CPT,20838,REPLANTATION FOOT COMPLETE,,,1850.85,3180.43,19
CPT,20900,REMOVAL OF BONE FOR GRAFT,,,165.3,8493.0,20
CPT,20902,REMOVAL OF BONE FOR GRAFT,,,250.55,8493.0,22
CPT,20910,REMOVE CARTILAGE FOR GRAFT,,,314.04,879.37,20
CPT,20912,REMOVE CARTILAGE FOR GRAFT,,,352.88,4352.44,20
CPT,20920,REMOVAL OF FASCIA FOR GRAFT,,,297.43,2174.73,20
CPT,20922,REMOVAL OF FASCIA FOR GRAFT,,,364.65,2174.73,20
CPT,20924,REMOVAL OF TENDON FOR GRAFT,,,368.09,8493.0,20
CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,374.33,374.33,1
CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,84.81,879.37,20
CPT,20932,OSTEOART ALGRFT W/SURF & B1,,,590.22,855.53,20
CPT,20933,HEMICRT INTRCLRY ALGRFT PRTL,,,541.51,784.74,20
CPT,20934,INTERCALARY ALGRFT COMPL,,,589.91,854.85,20
CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,879.37,879.37,1
CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,129.15,879.37,20
CPT,20938,SP BONE AGRFT STRUCT ADD-ON,,,140.26,879.37,20
CPT,20939,BONE MARROW ASPIR BONE GRFG,,,54.72,78.51,20
CPT,20950,HC ER MONITORING FLUID PRESSURE,376.75,188.38,75.38,836.48,72
CPT,20950,MNTR INTRSTITIAL FLUID PRESS,,,67.12,102.06,14
CPT,20955,FIBULA BONE GRAFT MICROVASC,,,1898.82,2798.68,19
CPT,20956,ILIAC BONE GRAFT MICROVASC,,,1981.45,3014.4,19
CPT,20957,MT BONE GRAFT MICROVASC,,,1896.16,3140.03,19
CPT,20962,OTHER BONE GRAFT MICROVASC,,,1939.92,3058.3,19
CPT,20969,BONE/SKIN GRAFT MICROVASC,,,2104.01,3109.78,19
CPT,20970,BONE/SKIN GRAFT ILIAC CREST,,,2113.75,3252.96,19
CPT,20972,BONE/SKIN GRAFT METATARSAL,,,879.37,8493.0,20
CPT,20973,BONE/SKIN GRAFT GREAT TOE,,,879.37,8493.0,20
CPT,20974,ESTIM AID BONE HEALG N-INVAS,,,35.13,97.51,19
CPT,20975,ESTIM AID BONE HEALG INVASIV,,,132.34,879.37,20
CPT,20979,LW NTSTY US STIMJ BONE HEALG,,,23.76,35.94,19
CPT,20982,ABLATE BONE TUMOR(S) PERQ,,,314.51,418.46,14
CPT,20982,HC ABLATION RADIOFREQUENCY BONE,10114.85,5057.43,879.37,15297.04,70
CPT,20983,ABLATE BONE TUMOR(S) PERQ,,,314.93,393.66,14
CPT,20983,HC CRYOABLATION BONE W/ IMAGING,11350.55,5675.28,2173.63,10215.5,69
CPT,20985,CPTR-ASST DIR MS PX,,,131.37,471.81,13
CPT,20999,HC MUSCULOSKELETAL SURGERY UNLISTED,1135.55,567.78,217.46,1022.0,70
CPT,21010,INCISION OF JAW JOINT,,,533.63,3855.6,20
CPT,21011,EXC FACE LES SC <2 CM,,,146.58,787.21,18
CPT,21011,HC EXC TUMOR FACE/SCALP SQ <2CM,5405.45,2702.73,879.37,4864.91,70
CPT,21012,EXC FACE LES SBQ 2 CM/>,,,200.5,1926.26,21
CPT,21013,EXC FACE TUM DEEP < 2 CM,,,236.36,1001.99,15
CPT,21013,HC EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL < 2CM,7846.35,3923.18,879.37,7061.72,70
CPT,21014,EXC FACE TUM DEEP 2 CM/>,,,309.85,3402.62,23
CPT,21015,RESECT FACE/SCALP TUM < 2 CM,,,310.06,3402.62,20
CPT,21016,RESECT FACE/SCALP TUM 2 CM/>,,,621.14,3402.62,22
CPT,21025,EXCISION OF BONE LOWER JAW,,,544.28,7032.98,20
CPT,21026,EXCISION OF FACIAL BONE(S),,,348.32,7032.98,21
CPT,21029,CONTOUR OF FACE BONE LESION,,,455.84,3855.6,20
CPT,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,289.81,7032.98,20
CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,207.39,3855.6,21
CPT,21032,REMOVE EXOSTOSIS MAXILLA,,,204.45,3855.6,20
CPT,21034,EXCISE MAX/ZYGOMA MAL TUMOR,,,860.0,7032.98,20
CPT,21040,EXCISE MANDIBLE LESION,,,288.13,3855.6,21
CPT,21044,REMOVAL OF JAW BONE LESION,,,642.89,7032.98,20
CPT,21045,EXTENSIVE JAW SURGERY,,,897.24,1381.34,19
CPT,21046,REMOVE MANDIBLE CYST COMPLEX,,,790.53,7032.98,22
CPT,21047,EXCISE LWR JAW CYST W/REPAIR,,,960.07,7032.98,20
CPT,21048,REMOVE MAXILLA CYST COMPLEX,,,801.41,7032.98,20
CPT,21049,EXCIS UPPR JAW CYST W/REPAIR,,,928.15,7032.98,20
CPT,21050,REMOVAL OF JAW JOINT,,,630.1,7032.98,20
CPT,21060,REMOVE JAW JOINT CARTILAGE,,,576.04,7032.98,22
CPT,21070,REMOVE CORONOID PROCESS,,,467.75,7032.98,20
CPT,21073,MNPJ OF TMJ W/ANESTH,,,174.13,1761.06,20
CPT,21076,IMPRES&PREP SURG OBT PROSTH,,,667.66,1761.06,10
CPT,21077,IMPRES&PREP ORBITAL PROSTH,,,1637.17,7032.98,10
CPT,21079,IMPRES&PREP INTRM OBT PROSTH,,,1103.45,3855.6,10
CPT,21080,IMPRES&PREP DEF OBT PROSTH,,,1240.75,3855.6,10
CPT,21081,IMPRES&PREP MNDBL RES PROSTH,,,1136.94,7032.98,10
CPT,21082,IMPRES&PREP PALTL AUG PROSTH,,,1053.62,3855.6,10
CPT,21083,IMPRES&PREP PALTL LFT PROSTH,,,972.91,3855.6,10
CPT,21084,IMPRES&PREP SP AID PROSTH,,,1124.83,3855.6,10
CPT,21085,IMPRES&PREP ORAL SURG SPLINT,,,225.28,568.38,10
CPT,21086,IMPRES&PREP AURICULAR PROSTH,,,1207.62,3855.6,10
CPT,21087,IMPRES&PREP NASAL PROSTH,,,1207.62,7032.98,11
CPT,21088,IMPRES&PREP FACIAL PROSTH,,,3146.17,3855.6,5
CPT,21089,UNLISTED MAXLFCL PROSTH PX,,,225.28,276.08,5
CPT,21100,MAXILLOFACIAL FIXATION,,,286.83,7032.98,23
CPT,21110,INTERDENTAL FIXATION,,,450.52,1761.06,20
CPT,21116,INJECTION JAW JOINT X-RAY,,,32.92,233.45,19
CPT,21120,GENIOPLASTY AUGMENTATION,,,354.34,7032.98,19
CPT,21121,GENIOP SLDG OSTEOT 1,,,471.42,3855.6,19
CPT,21122,GENIOP SLDG OSTEOT 2/>,,,519.78,7032.98,19
CPT,21123,GENIOP SLDG AUGMENTATION,,,623.56,3855.6,19
CPT,21125,AUGMENTATION MNDBLR PROSTC,,,546.02,7032.98,19
CPT,21127,AUGMENTATION MNDBLR B1 GRF,,,637.97,7032.98,19
CPT,21137,RDCTJ FOREHEAD CNTRG ONLY,,,526.1,3855.6,19
CPT,21138,RDCTJ FOREHEAD CNTRG&PROSTC,,,657.19,7032.98,19
CPT,21139,RDCTJ FOREHEAD CNTRG&SETBACK,,,737.92,7032.98,19
CPT,21141,RCNSTJ MIDFACE LEFORT I 1PC,,,989.23,7032.98,20
CPT,21142,RCNSTJ MIDFACE LEFORT I 2PCS,,,978.55,7032.98,19
CPT,21143,RCNSTJ MDFACE LEFORT I 3/>PC,,,1015.25,7032.98,19
CPT,21145,RCNSTJ MDFC LEFORT I 1 W/GRF,,,1138.34,4898.64,22
CPT,21146,RCNSTJ MDFC LEFORT I 2 W/GRF,,,1214.84,1867.73,19
CPT,21147,RCNSTJ MDFC LEFORT I 3/>GRF,,,1251.02,1964.53,19
CPT,21150,RCNSTJ MDFC LEFRTII ANT NTRU,,,1241.99,7032.98,19
CPT,21151,RCNSTJ MDFC LEFRTII W/B1 GRF,,,1499.56,2071.65,19
CPT,21154,RCNSTJ MDFC LEFORT III W/O I,,,1516.42,2230.99,19
CPT,21155,RCNSTJ MDFC LEFORT III W/I,,,1720.83,2474.85,19
CPT,21159,RCNST MDFC LFRTIII ADVM WO I,,,2081.93,2966.3,19
CPT,21160,RCNST MDFC LFRTIII ADVM W/I,,,2143.92,3216.9,19
CPT,21172,RCNST SUPR-LAT ORB RM&LW FHD,,,374.33,7032.98,20
CPT,21175,RCNST BFRNT SP ORB RM&LW FHD,,,1591.21,7032.98,19
CPT,21179,RCNSTJ FOREHEAD WITH GRAFTS,,,1089.74,1739.9,19
CPT,21180,RCNSTJ FOREHEAD W/AUTOGRAFT,,,1242.31,1943.11,19
CPT,21181,RCNST CNTRG B9 TUM CRNL XTRC,,,518.68,7032.98,20
CPT,21182,RECONSTRUCT CRANIAL BONE,,,1512.02,2419.85,19
CPT,21183,RECONSTRUCT CRANIAL BONE,,,1691.0,2631.45,19
CPT,21184,RECONSTRUCT CRANIAL BONE,,,1808.68,2829.39,19
CPT,21188,RECONSTRUCTION OF MIDFACE,,,1195.62,1816.83,19
CPT,21193,RECONST LWR JAW W/O GRAFT,,,914.46,7032.98,19
CPT,21194,RECONST LWR JAW W/GRAFT,,,1044.28,7032.98,19
CPT,21195,RECONST LWR JAW W/O FIXATION,,,979.85,7032.98,19
CPT,21196,RECONST LWR JAW W/FIXATION,,,1067.89,7032.98,20
CPT,21198,RECONSTR LWR JAW SEGMENT,,,839.06,7032.98,19
CPT,21199,RECONSTR LWR JAW W/ADVANCE,,,762.35,7032.98,19
CPT,21206,RECONSTRUCT UPPER JAW BONE,,,826.6,7032.98,20
CPT,21208,AUGMENTATION OF FACIAL BONES,,,601.52,7032.98,20
CPT,21209,REDUCTION OF FACIAL BONES,,,461.09,7032.98,21
CPT,21210,FACE BONE GRAFT,,,601.35,7032.98,22
CPT,21215,LOWER JAW BONE GRAFT,,,627.13,7032.98,22
CPT,21230,RIB CARTILAGE GRAFT,,,561.5,7032.98,20
CPT,21235,EAR CARTILAGE GRAFT,,,410.15,7032.98,22
CPT,21240,RECONSTRUCTION OF JAW JOINT,,,811.88,7032.98,20
CPT,21242,RECONSTRUCTION OF JAW JOINT,,,743.54,7032.98,20
CPT,21243,RECONSTRUCTION OF JAW JOINT,,,1221.51,21863.47,20
CPT,21244,RECONSTRUCTION OF LOWER JAW,,,758.4,7032.98,20
CPT,21245,RECONSTRUCTION OF JAW,,,872.47,7032.98,11
CPT,21246,RECONSTRUCTION OF JAW,,,786.06,7032.98,11
CPT,21247,RECONSTRUCT LOWER JAW BONE,,,1188.88,1824.66,19
CPT,21248,RECONSTRUCTION OF JAW,,,742.92,7032.98,11
CPT,21249,RECONSTRUCTION OF JAW,,,1039.44,7032.98,11
CPT,21255,RECONSTRUCT LOWER JAW BONE,,,1048.5,7032.98,19
CPT,21256,RECONSTRUCTION OF ORBIT,,,858.6,7032.98,19
CPT,21260,REVISE EYE SOCKETS,,,879.37,7032.98,20
CPT,21261,REVISE EYE SOCKETS,,,879.37,7032.98,20
CPT,21263,REVISE EYE SOCKETS,,,879.37,7032.98,20
CPT,21267,REVISE EYE SOCKETS,,,879.37,7032.98,20
CPT,21268,REVISE EYE SOCKETS,,,1401.87,2296.09,19
CPT,21270,AUGMENTATION CHEEK BONE,,,512.41,7032.98,20
CPT,21275,REVISION ORBITOFACIAL BONES,,,590.26,7032.98,20
CPT,21280,MEDIAL CANTHOPEXY,,,379.89,3855.6,20
CPT,21282,LATERAL CANTHOPEXY,,,250.42,3855.6,21
CPT,21295,REVISION OF JAW MUSCLE/BONE,,,124.97,1761.06,20
CPT,21296,REVISION OF JAW MUSCLE/BONE,,,304.14,3855.6,20
CPT,21299,UNLISTED CRANFCL&MAXLFCL PX,,,225.28,879.37,6
CPT,21315,CLSD TX NSL FX MNPJ WO STBLJ,,,55.16,108.72,14
CPT,21315,HC ER CLOSED TX NOSE FX W/O STABL,498.6,249.3,75.38,1761.06,72
CPT,21320,CLSD TX NSL FX W/MNPJ&STABLJ,,,87.53,358.89,15
CPT,21320,HC ER CLOSED TX NOSE FX W STABL,4783.3,2391.65,75.38,4304.97,72
CPT,21325,OPEN TX NOSE FX UNCOMPLICATD,,,332.98,3855.6,20
CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,409.69,7032.98,20
CPT,21335,OPEN TX NOSE & SEPTAL FX,,,531.81,3855.6,20
CPT,21336,OPEN TX SEPTAL FX W/WO STABJ,,,457.66,3857.44,20
CPT,21337,CLOSED TX SEPTAL&NOSE FX,,,204.12,808.21,15
CPT,21337,HC ER CLOSED TX NASAL SEPTAL FX,5258.35,2629.18,75.38,4732.52,72
CPT,21338,OPEN NASOETHMOID FX W/O FIXJ,,,523.15,7032.98,21
CPT,21339,OPEN NASOETHMOID FX W/ FIXJ,,,584.37,7032.98,20
CPT,21340,PERQ TX NASOETHMOID FX,,,587.68,3855.6,20
CPT,21343,OPEN TX DPRSD FRONT SINUS FX,,,831.48,1249.44,19
CPT,21344,OPEN TX COMPL FRONT SINUS FX,,,1097.05,3605.4,20
CPT,21345,CLOSED TX NOSE/JAW FX,,,476.42,1761.06,20
CPT,21346,OPN TX NASOMAX FX W/FIXJ,,,688.07,7032.98,19
CPT,21347,OPN TX NASOMAX FX MULTPLE,,,798.2,7032.98,19
CPT,21348,OPN TX NASOMAX FX W/GRAFT,,,851.98,1260.74,19
CPT,21355,HC ER PERC TX MALAR FX W/MANIP,12452.8,6226.4,75.38,11207.52,72
CPT,21355,PERQ TX MALAR FRACTURE,,,234.81,380.7,14
CPT,21356,OPN TX DPRSD ZYGOMATIC ARCH,,,269.3,7032.98,21
CPT,21360,OPN TX DPRSD MALAR FRACTURE,,,383.75,7032.98,20
CPT,21365,OPN TX COMPLX MALAR FX,,,807.23,7032.98,21
CPT,21366,OPN TX COMPLX MALAR W/GRFT,,,897.43,7032.98,19
CPT,21385,OPN TX ORBIT FX TRANSANTRAL,,,517.89,7032.98,20
CPT,21386,OPN TX ORBIT FX PERIORBITAL,,,484.32,7032.98,20
CPT,21387,OPN TX ORBIT FX COMBINED,,,540.52,7032.98,20
CPT,21390,OPN TX ORBIT PERIORBTL IMPLT,,,560.48,7032.98,20
CPT,21395,OPN TX ORBIT PERIORBT W/GRFT,,,708.14,7032.98,19
CPT,21400,CLOSED TX ORBIT W/O MANIPULJ,,,102.66,198.48,14
CPT,21400,HC ER CLOSED TX ORBIT FX W/O MANIP,3021.05,1510.53,75.38,2718.95,72
CPT,21401,CLOSED TX ORBIT W/MANIPULJ,,,211.78,1761.06,20
CPT,21406,OPN TX ORBIT FX W/O IMPLANT,,,391.75,7032.98,20
CPT,21407,OPN TX ORBIT FX W/IMPLANT,,,464.31,7032.98,20
CPT,21408,OPN TX ORBIT FX W/BONE GRFT,,,639.37,7032.98,19
CPT,21421,CLTX PALATAL/MAX FX WIRE FIX,,,438.95,3855.6,21
CPT,21422,OPTX PALATAL/MAX FRACTURE,,,485.04,7032.98,19
CPT,21423,OPTX PALATAL/MAX FX COMP,,,577.11,913.15,19
CPT,21431,CLTX CRANIOFACIAL SEPARATION,,,526.99,799.64,19
CPT,21432,OPTX CRANFCL SEP W/WIRING,,,483.86,819.63,19
CPT,21433,OPTX CRANFCL SEP COMP MLT,,,1249.16,1987.09,19
CPT,21435,OPTX CRNFC SEP COMP INT&/XTR,,,984.11,1616.84,19
CPT,21436,OPTX CRNFCL SEP COMP MLT INT,,,1449.09,2335.74,19
CPT,21440,CLTX MNDBLR/MAX ALV RIDGE FX,,,308.75,679.31,14
CPT,21440,HC ER CLOSED TX MANDIBULAR/MAXILL FX,7352.8,3676.4,75.38,6617.52,72
CPT,21445,OPTX MNDBLR/MAX ALV RIDGE FX,,,438.78,7032.98,20
CPT,21450,CLTX MNDBLR FX W/O MNPJ,,,323.8,548.33,14
CPT,21450,HC ER CLOSED MANDIBULAR FX W/O MANIP,1975.2,987.6,75.38,1777.68,72
CPT,21451,CLTX MNDBLR FX W/MNPJ,,,436.83,733.08,14
CPT,21451,HC ER CLOSED TX MANDIBULAR FX W/MANIP,1727.65,863.83,75.38,1761.06,72
CPT,21452,PERQ TX MNDBLR FX XTRNL FIXJ,,,233.34,7032.98,20
CPT,21453,CLTX MNDBLR FX NTRDNTL FIXJ,,,526.68,1886.16,15
CPT,21453,HC ER CLOSED TX MANDIBULAR FX W/FIX,11671.5,5835.75,75.38,10504.35,72
CPT,21454,OPTX MNDBLR FX XTRNL FIXJ,,,399.59,7032.98,20
CPT,21461,OPTX MNDBLR FX WO NTRDNTL,,,652.88,7032.98,20
CPT,21462,OPTX MNDBLR FX W/NTRDNTL,,,724.68,7032.98,24
CPT,21465,OPTX MNDBLR CNDYLR FX,,,664.22,7032.98,20
CPT,21470,OPTX COMPLICATED MNDBLR FX,,,867.48,7032.98,21
CPT,21480,CLTX TMPRMAND DISLC 1ST/SBSQ,,,24.64,36.03,14
CPT,21480,HC ER CLOSED TX DISLOCATION JAW,554.2,277.1,75.38,498.78,72
CPT,21485,CLTX TMPRMAND DISLC COMP,,,391.12,1761.06,20
CPT,21490,OPTX TMPRMAND DISLOCATION,,,672.85,3855.6,20
CPT,21497,INTERDENTAL WIRG OTH/THN FX,,,395.11,1761.06,19
CPT,21499,UNLISTED MUSCSKEL PX HEAD,,,225.28,879.37,6
CPT,21501,HC I&D DEEP ABSC/HEMATOMA NECK/CHEST,6413.55,3206.78,314.06,5772.2,70
CPT,21501,I&D DP ABSC/HMTMA SFT TS NCK,,,226.56,391.15,14
CPT,21502,I&D DP ABS/HMTM NCK RIB OSTC,,,314.06,3857.44,20
CPT,21510,INC DEEP OPNG B1 CRTX THORAX,,,335.43,516.95,19
CPT,21550,BIOPSY OF NECK/CHEST,,,115.49,179.5,14
CPT,21550,HC BIOPSY SOFT TISSUE NECK/CHEST,4035.25,2017.63,772.75,3631.73,70
CPT,21552,EXC NECK LES SC 3 CM/>,,,266.9,1405.99,16
CPT,21552,HC EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,9489.75,4744.88,879.37,8540.78,70
CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,438.87,3402.62,20
CPT,21555,EXC NECK LES SC < 3 CM,,,239.49,968.86,16
CPT,21555,HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,8117.0,4058.5,879.37,7305.3,70
CPT,21556,EXC NECK TUM DEEP < 5 CM,,,299.68,3402.62,21
CPT,21557,RESECT NECK THORAX TUMOR<5CM,,,425.87,3402.62,20
CPT,21558,RESECT NECK TUMOR 5 CM/>,,,823.78,3402.62,22
CPT,21600,PARTIAL REMOVAL OF RIB,,,400.54,8493.0,20
CPT,21601,EXC CHEST WALL TUMOR W/RIBS,,,996.57,3402.62,20
CPT,21602,EXC CH WAL TUM W/O LYMPHADEC,,,1336.43,1749.45,19
CPT,21603,EXC CH WAL TUM W/LYMPHADEC,,,1478.74,1896.69,19
CPT,21610,COSTOTRANSVERSECTOMY,,,782.73,3857.44,20
CPT,21615,EXCISION 1ST &/CERVICAL RIB,,,494.88,708.09,19
CPT,21616,EXC 1ST&/CRV RIB W/SYMPTH,,,630.81,806.66,19
CPT,21620,OSTECTOMY STERNUM PARTIAL,,,381.37,574.45,19
CPT,21627,STERNAL DEBRIDEMENT,,,400.1,628.26,19
CPT,21630,RADICAL RESECTION STERNUM,,,935.42,1509.86,19
CPT,21632,Physician Fee Schedule,,,926.43,944.96,9
CPT,21685,HYOID MYOTOMY & SUSPENSION,,,729.72,7032.98,20
CPT,21700,REVISION OF NECK MUSCLE,,,309.82,8493.0,20
CPT,21705,REVISION OF NECK MUSCLE/RIB,,,476.91,599.63,19
CPT,21720,REVISION OF NECK MUSCLE,,,298.71,3857.44,20
CPT,21725,REVISION OF NECK MUSCLE,,,387.33,836.48,19
CPT,21740,RECONSTRUCTION OF STERNUM,,,807.42,2607.76,20
CPT,21742,REPAIR STERN/NUSS W/O SCOPE,,,807.42,3857.44,15
CPT,21743,REPAIR STERNUM/NUSS W/SCOPE,,,879.37,3857.44,15
CPT,21750,REPAIR OF STERNUM SEPARATION,,,535.11,1869.47,20
CPT,21811,OPTX OF RIB FX W/FIXJ SCOPE,,,534.46,8493.0,10
CPT,21812,TREATMENT OF RIB FRACTURE,,,562.82,8493.0,20
CPT,21813,TREATMENT OF RIB FRACTURE,,,760.88,1902.69,19
CPT,21820,HC ER CLOSED TX STERNUM FX,1141.35,570.68,75.38,1027.22,72
CPT,21820,TREAT STERNUM FRACTURE,,,93.04,177.46,14
CPT,21825,TREAT STERNUM FRACTURE,,,413.51,1365.46,20
CPT,21899,UNLISTED PX NECK/THORAX,,,225.28,879.37,6
CPT,21920,BIOPSY SOFT TISSUE OF BACK,,,115.39,178.7,14
CPT,21920,HC BIOPSY SOFT TISSUE BACK/FLANK,2310.55,1155.28,442.47,2079.5,70
CPT,21925,BIOPSY SOFT TISSUE OF BACK,,,243.37,1926.26,20
CPT,21930,EXC BACK LES SC < 3 CM,,,269.76,1150.78,18
CPT,21930,HC EXCISION TUMOR BACK/FLANK SUBQ <3CM,5353.15,2676.58,879.37,4817.84,70
CPT,21931,EXC BACK LES SC 3 CM/>,,,279.13,1926.26,24
CPT,21932,EXC BACK TUM DEEP < 5 CM,,,400.82,764.68,14
CPT,21932,HC EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,6797.0,3398.5,879.37,6117.3,70
CPT,21933,EXC BACK TUM DEEP 5 CM/>,,,442.02,3402.62,23
CPT,21935,RESECT BACK TUM < 5 CM,,,855.78,3402.62,21
CPT,21936,RESECT BACK TUM 5 CM/>,,,856.48,3402.62,20
CPT,22010,I&D P-SPINE C/T/CERV-THOR,,,656.65,1113.76,19
CPT,22015,I&D ABSCESS P-SPINE L/S/LS,,,652.94,2292.2,20
CPT,22100,REMOVE PART OF NECK VERTEBRA,,,592.32,8493.0,20
CPT,22101,REMOVE PART THORAX VERTEBRA,,,590.89,8493.0,20
CPT,22102,REMOVE PART LUMBAR VERTEBRA,,,588.63,8493.0,20
CPT,22103,REMOVE EXTRA SPINE SEGMENT,,,108.03,150.49,19
CPT,22110,REMOVE PART OF NECK VERTEBRA,,,736.53,1205.21,19
CPT,22112,REMOVE PART THORAX VERTEBRA,,,713.91,1293.04,19
CPT,22114,REMOVE PART LUMBAR VERTEBRA,,,731.96,1293.04,19
CPT,22116,REMOVE EXTRA SPINE SEGMENT,,,107.45,158.85,19
CPT,22206,INCIS SPINE 3 COLUMN THORAC,,,1759.97,2779.08,19
CPT,22207,INCIS SPINE 3 COLUMN LUMBAR,,,1737.02,2717.93,19
CPT,22208,INCIS SPINE 3 COLUMN ADL SEG,,,443.47,659.61,19
CPT,22210,INCIS 1 VERTEBRAL SEG CERV,,,1289.96,2033.79,19
CPT,22212,INCIS 1 VERTEBRAL SEG THORAC,,,1066.77,1731.7,19
CPT,22214,INCIS 1 VERTEBRAL SEG LUMBAR,,,1073.18,1729.8,19
CPT,22216,INCIS ADDL SPINE SEGMENT,,,281.53,407.37,19
CPT,22220,OSTEOT DSC ANT 1 VRT SGM CRV,,,1161.6,1855.21,19
CPT,22222,OSTEOT DSC ANT 1VRT SGM THRC,,,1062.88,1994.5,19
CPT,22224,OSTEOT DSC ANT 1VRT SGM LMBR,,,1150.2,1815.28,19
CPT,22226,OSTEOT DSC ANT 1VRT SGM EA,,,280.41,404.63,19
CPT,22310,CLOSED TX VERT FX W/O MANJ,,,191.69,345.9,14
CPT,22310,HC ER CLOSED TX VERTEBRAL FX W/O MANIP,1349.35,674.68,75.38,1214.42,72
CPT,22315,CLOSED TX VERT FX W/MANJ,,,544.37,3857.44,19
CPT,22318,TREAT ODONTOID FX W/O GRAFT,,,1160.17,1866.6,19
CPT,22319,TREAT ODONTOID FX W/GRAFT,,,1275.59,2068.52,19
CPT,22325,TREAT SPINE FRACTURE,,,1015.81,1685.98,19
CPT,22326,TREAT NECK SPINE FRACTURE,,,1059.16,1715.69,19
CPT,22327,TREAT THORAX SPINE FRACTURE,,,1051.01,1750.49,19
CPT,22328,TREAT EACH ADD SPINE FX,,,212.27,314.96,19
CPT,22505,MANIPULATION OF SPINE,,,90.32,1902.69,20
CPT,22510,HC VERTEBROPLASTY CERVTHOR,5164.3,2582.15,988.96,4647.87,69
CPT,22510,PERQ CERVICOTHORACIC INJECT,,,378.46,495.45,14
CPT,22511,HC VERTEBROPLASTY LUMBOSACRAL W IMG,5164.3,2582.15,988.96,4647.87,69
CPT,22511,PERQ LUMBOSACRAL INJECTION,,,354.53,466.61,14
CPT,22512,HC VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,5164.3,2582.15,647.69,4647.87,69
CPT,22512,VERTEBROPLASTY ADDL INJECT,,,172.96,235.11,14
CPT,22513,HC KYPHOPLASTY THORACIC W IMAGING,12957.45,6478.73,432.52,11661.71,70
CPT,22513,PERQ VERTEBRAL AUGMENTATION,,,431.38,580.19,14
CPT,22514,HC KYPHOPLASTY LUMBAR W IMAGING,12957.45,6478.73,2481.35,11661.71,69
CPT,22514,PERQ VERTEBRAL AUGMENTATION,,,402.9,541.93,14
CPT,22515,HC KYPHOPLASTY EA ADDL THOR/LUMB,12957.45,6478.73,2481.35,11661.71,69
CPT,22515,PERQ VERTEBRAL AUGMENTATION,,,180.36,246.15,14
CPT,22526,IDET SINGLE LEVEL,,,1715.14,2101.88,5
CPT,22527,IDET 1 OR MORE LEVELS,,,1403.26,1719.68,5
CPT,22532,ARTHRD LAT XTRCVTRY TQ THRC,,,1267.15,2033.48,19
CPT,22533,ARTHRD LAT XTRCVTRY TQ LMBR,,,1194.33,1897.95,19
CPT,22534,ARTHRD LAT XTRCVTRY TQ EA AD,,,277.87,404.79,19
CPT,22548,ARTHRD ANT TORAL/XORAL C1-C2,,,1348.24,2218.85,19
CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,669.08,15297.04,20
CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,316.77,443.0,20
CPT,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,931.01,15297.04,19
CPT,22556,ARTHRD ANT NTRBD MIN DSC THC,,,1208.5,1914.59,19
CPT,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,1111.97,1735.96,19
CPT,22585,ARTHRD ANT NTRBD MIN DSC EA,,,256.66,363.56,19
CPT,22586,ARTHRD PRE-SAC NTRBDY L5-S1,,,1204.28,2294.24,19
CPT,22590,ARTHRD PST TQ CRANIOCERVICAL,,,1118.79,1806.33,19
CPT,22595,ARTHRD PST TQ ATLAS-AXIS,,,1062.24,1726.2,19
CPT,22600,ARTHRD PST TQ 1NTRSPC CRV,,,910.09,1484.74,19
CPT,22610,ARTHRD PST TQ 1NTRSPC THRC,,,898.43,1464.06,19
CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,879.37,21863.47,20
CPT,22614,ARTHRD PST TQ 1NTRSPC EA ADD,,,299.55,879.37,20
CPT,22630,ARTHRD PST TQ 1NTRSPC LUM,,,1119.79,21863.47,19
CPT,22632,ARTHRD PST TQ 1NTRSPC LM EA,,,243.34,357.55,19
CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,1034.76,21863.47,20
CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,278.43,541.94,20
CPT,22800,ARTHRD PST DFRM<6 VRT SGM,,,989.28,1562.57,19
CPT,22802,ARTHRD PST DFRM 7-12 VRT SGM,,,1575.22,2396.69,19
CPT,22804,ARTHRD PST DFRM 13+ VRT SGM,,,1820.46,2752.06,19
CPT,22808,ARTHRD ANT DFRM 2-3 VRT SGM,,,1340.42,2063.05,19
CPT,22810,ARTHRD ANT DFRM 4-7 VRT SGM,,,1496.37,2298.21,19
CPT,22812,ARTHRD ANT DFRM 8+ VRT SGM,,,1637.14,2518.44,19
CPT,22818,KYPHECTOMY 1-2 SEGMENTS,,,1650.18,2457.81,19
CPT,22819,KYPHECTOMY 3 OR MORE,,,1900.79,2828.71,19
CPT,22830,EXPLORATION OF SPINAL FUSION,,,589.14,942.11,19
CPT,22836,ANT THRC VRT BODY TETHRG <7,,,1591.6,1989.5,10
CPT,22837,ANT THRC VRT BODY TETHRG 8+,,,1754.02,2192.53,10
CPT,22838,REV RPLC/RMV THRC VRT TETHRG,,,1777.05,2221.31,10
CPT,22840,INSERT SPINE FIXATION DEVICE,,,577.12,845.45,20
CPT,22841,INSERT SPINE FIXATION DEVICE,,,589.14,600.92,9
CPT,22842,INSERT SPINE FIXATION DEVICE,,,585.91,879.37,20
CPT,22843,INSERT SPINE FIXATION DEVICE,,,623.87,914.49,19
CPT,22844,INSERT SPINE FIXATION DEVICE,,,764.24,1107.15,19
CPT,22845,INSERT SPINE FIXATION DEVICE,,,559.2,1695.94,20
CPT,22846,INSERT SPINE FIXATION DEVICE,,,580.62,844.86,19
CPT,22847,INSERT SPINE FIXATION DEVICE,,,640.74,905.4,19
CPT,22848,INSERT PELV FIXATION DEVICE,,,278.47,403.76,19
CPT,22849,REINSERT SPINAL FIXATION,,,957.34,1486.3,19
CPT,22850,REMOVE SPINE FIXATION DEVICE,,,521.05,844.0,19
CPT,22852,REMOVE SPINE FIXATION DEVICE,,,498.12,812.63,19
CPT,22853,INSJ BIOMECHANICAL DEVICE,,,213.72,288.38,20
CPT,22854,INSJ BIOMECHANICAL DEVICE,,,276.81,374.76,20
CPT,22855,REMOVAL ANTERIOR INSTRMJ,,,809.94,1260.56,20
CPT,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,1329.12,21863.47,20
CPT,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,1600.71,2000.89,10
CPT,22858,TOT DISC ARTHRP 2ND LVL CRV,,,454.68,568.35,10
CPT,22859,INSJ BIOMECHANICAL DEVICE,,,276.81,374.49,20
CPT,22860,TOT DISC ARTHRP 2NTRSPC LMBR,,,370.48,463.11,10
CPT,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,2085.2,2606.5,10
CPT,22862,REV RPLCM RTHRP 1NTRSPC LMBR,,,2087.05,2608.81,10
CPT,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,1361.5,2329.01,19
CPT,22865,RMVL TOT ARTHRP 1NTRSPC LMBR,,,1563.25,2547.73,19
CPT,22867,INSJ STABLJ DEV W/DCMPRN,,,966.92,21863.47,10
CPT,22868,INSJ STABLJ DEV W/DCMPRN,,,200.35,270.49,11
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,,,400.86,15297.04,11
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,,,108.28,135.35,11
CPT,22899,UNLISTED PROCEDURE SPINE,,,232.71,879.37,6
CPT,22900,EXC ABDL TUM DEEP < 5 CM,,,298.75,3402.62,20
CPT,22901,EXC ABDL TUM DEEP 5 CM/>,,,394.72,3402.62,20
CPT,22902,EXC ABD LES SC < 3 CM,,,200.09,1024.53,16
CPT,22902,HC EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,7974.85,3987.43,879.37,7177.37,70
CPT,22903,EXC ABD LES SC 3 CM/>,,,261.43,3402.62,24
CPT,22904,RADICAL RESECT ABD TUMOR<5CM,,,617.81,3402.62,20
CPT,22905,RAD RESECT ABD TUMOR 5 CM/>,,,800.86,3402.62,20
CPT,22999,UNLISTED PX ABDOMEN MUSCSKEL,,,232.71,1432.11,6
CPT,23000,RMVL SBDLTD CLCREOUS DEP OPN,,,257.74,3402.62,20
CPT,23020,CAPSULAR CONTRACTURE RELEASE,,,502.01,3857.44,20
CPT,23030,I&D SHOULDER DEEP ABSC/HMTMA,,,186.59,3402.62,21
CPT,23031,I&D SHOULDER INFECTED BURSA,,,154.4,3402.62,20
CPT,23035,INCISION BONE CORTEX SHO,,,497.71,1902.69,20
CPT,23040,ARTHRT GH JT EXPL/DRG/RMV FB,,,522.8,3857.44,20
CPT,23044,ARTHRT AC SC JT EXP/RMVL FB,,,414.23,3857.44,20
CPT,23065,BIOPSY SHOULDER TISSUES,,,120.91,184.03,14
CPT,23065,HC BIOPSY SOFT TISSUE SHOULDER,3806.8,1903.4,729.0,3426.12,70
CPT,23066,BIOPSY SHOULDER TISSUES,,,243.76,3402.62,21
CPT,23071,EXC SHOULDER LES SC 3 CM/>,,,247.97,1926.26,21
CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,411.16,803.04,14
CPT,23073,HC EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5+CM,11476.5,5738.25,879.37,10328.85,70
CPT,23075,EXC SHOULDER LES SC < 3 CM,,,128.64,1926.26,20
CPT,23076,EXC SHOULDER TUM DEEP < 5 CM,,,408.57,3402.62,20
CPT,23077,RAD RESCJ TUM SHOULDER<5 CM,,,870.6,3402.62,20
CPT,23078,RAD RESCJ TUM SHOULDER 5CM/>,,,833.33,3402.62,20
CPT,23100,ARTHROTOMY GLENHUMRL JT W/BX,,,351.85,3857.44,20
CPT,23101,ARTHRT ACRMCLV/STRNCLAV JT,,,323.52,3857.44,20
CPT,23105,ARTHROTOMY GLENOHUMERAL JT,,,461.91,8493.0,20
CPT,23106,ARTHROTOMY STRNCLAV JOINT,,,343.45,3857.44,20
CPT,23107,ARTHRT GLENHUMRL JT W/EXPL,,,480.08,8493.0,20
CPT,23120,CLAVICULECTOMY PARTIAL,,,414.59,3857.44,20
CPT,23125,CLAVICULECTOMY TOTAL,,,511.18,3857.44,20
CPT,23130,ACROMP/ACROMIONECTOMY PRTL,,,436.13,3857.44,20
CPT,23140,REMOVAL OF BONE LESION,,,372.32,3857.44,20
CPT,23145,REMOVAL OF BONE LESION,,,501.71,3857.44,20
CPT,23146,REMOVAL OF BONE LESION,,,435.61,8493.0,20
CPT,23150,REMOVAL OF HUMERUS LESION,,,474.68,3857.44,20
CPT,23155,REMOVAL OF HUMERUS LESION,,,575.46,8493.0,20
CPT,23156,REMOVAL OF HUMERUS LESION,,,488.66,8493.0,20
CPT,23170,SEQUESTRECTOMY CLAVICLE,,,383.93,3857.44,20
CPT,23172,SEQUESTRECTOMY SCAPULA,,,393.51,3857.44,20
CPT,23174,SQSTRCTMY HUMRL HEAD SRG NCK,,,546.19,8493.0,20
CPT,23180,PRTL EXCISION BONE CLAVICLE,,,496.72,8493.0,20
CPT,23182,PRTL EXCISION BONE SCAPULA,,,479.11,8493.0,20
CPT,23184,PRTL EXCISION BONE PROX HUM,,,541.3,8493.0,20
CPT,23190,OSTECTOMY SCAPULA PARTIAL,,,403.09,3857.44,20
CPT,23195,RESECTION HUMERAL HEAD,,,547.56,8493.0,20
CPT,23200,RADICAL RESCJ TUMOR CLAVICLE,,,647.33,1727.53,19
CPT,23210,RADICAL RESCJ TUMOR SCAPULA,,,676.97,2024.13,19
CPT,23220,RADICAL RESCJ TUMOR PROX HUM,,,784.5,2216.44,19
CPT,23330,HC REMOVAL FB SHOULDER SUBQ,2740.25,1370.13,524.76,2466.23,70
CPT,23330,REMOVE SHOULDER FOREIGN BODY,,,107.04,429.55,15
CPT,23333,REMOVE SHOULDER FB DEEP,,,346.59,3402.62,20
CPT,23334,SHOULDER PROSTHESIS REMOVAL,,,818.47,3402.62,20
CPT,23335,SHOULDER PROSTHESIS REMOVAL,,,1021.85,1456.08,19
CPT,23350,HC INJECTION SHOULDER ARTHROGRAPHY/CT/MRI,1009.1,504.55,145.79,908.19,69
CPT,23350,INJECTION FOR SHOULDER X-RAY,,,41.74,57.35,14
CPT,23395,MUSCLE TRANSFER SHOULDER/ARM,,,943.85,8493.0,20
CPT,23397,MUSCLE TRANSFERS,,,845.87,8493.0,20
CPT,23400,FIXATION OF SHOULDER BLADE,,,716.18,8493.0,20
CPT,23405,INCISION OF TENDON & MUSCLE,,,459.57,8493.0,20
CPT,23406,INCISE TENDON(S) & MUSCLE(S),,,575.25,8493.0,20
CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,609.81,8493.0,20
CPT,23412,REPAIR ROTATOR CUFF CHRONIC,,,637.42,8493.0,20
CPT,23415,RELEASE OF SHOULDER LIGAMENT,,,507.15,8493.0,20
CPT,23420,REPAIR OF SHOULDER,,,714.58,8493.0,20
CPT,23430,REPAIR BICEPS TENDON,,,540.71,8493.0,20
CPT,23440,REMOVE/TRANSPLANT TENDON,,,558.07,8493.0,20
CPT,23450,REPAIR SHOULDER CAPSULE,,,701.02,8493.0,20
CPT,23455,REPAIR SHOULDER CAPSULE,,,747.89,8493.0,20
CPT,23460,REPAIR SHOULDER CAPSULE,,,809.39,8493.0,20
CPT,23462,REPAIR SHOULDER CAPSULE,,,794.43,8493.0,20
CPT,23465,REPAIR SHOULDER CAPSULE,,,828.61,8493.0,20
CPT,23466,REPAIR SHOULDER CAPSULE,,,815.88,8493.0,20
CPT,23470,RECONSTRUCT SHOULDER JOINT,,,901.91,15297.04,20
CPT,23472,RECONSTRUCT SHOULDER JOINT,,,1058.22,21863.47,20
CPT,23473,REVIS RECONST SHOULDER JOINT,,,879.37,15297.04,20
CPT,23474,REVIS RECONST SHOULDER JOINT,,,1393.15,1989.8,19
CPT,23480,REVISION OF COLLAR BONE,,,601.84,8493.0,20
CPT,23485,REVISION OF COLLAR BONE,,,711.77,15297.04,20
CPT,23490,REINFORCE CLAVICLE,,,614.74,8493.0,20
CPT,23491,REINFORCE SHOULDER BONES,,,749.21,15297.04,20
CPT,23500,CLTX CLAVICULAR FX W/O MNPJ,,,144.59,696.19,15
CPT,23500,HC CLOSED TX CLAVICLE FX W/O MANIP,795.15,397.58,152.27,879.37,70
CPT,23500,HC ER CLOSED TX CLAVICLE FX W/O MANIP,795.15,397.58,75.38,715.64,72
CPT,23505,CLTX CLAVICULAR FX W/MNPJ,,,228.32,398.5,14
CPT,23505,HC ER CLOSED TX CLAVICLE FX W/MANIP,360.5,180.25,75.38,1902.69,72
CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,510.28,8493.0,20
CPT,23520,CLTX STRNCLAV DISLC W/O MNPJ,,,151.69,286.99,14
CPT,23520,HC ER TX STERNOCLAV DISLOC W/O MANIP,801.75,400.88,75.38,1902.69,72
CPT,23525,CLTX STRNCLAV DISLC W/MNPJ,,,220.53,432.83,14
CPT,23525,HC ER TX STERNOCLAV DISLOC W/MANIP,1990.8,995.4,75.38,1791.72,72
CPT,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,391.1,8493.0,20
CPT,23532,OPTX STRCLV DSLC AQ/CHRN GRF,,,449.32,8493.0,20
CPT,23540,CLTX ACROMCLAV DISLC WO MNPJ,,,147.26,282.33,14
CPT,23540,HC ER TX ACROMIOCLAV DISLO W/O MANIP,681.9,340.95,75.38,613.71,72
CPT,23540,HC TX ACROMIOCLAV DISLO W/O MANIP,681.9,340.95,130.58,1432.11,70
CPT,23545,CLTX ACROMCLAV DISLC W/MNPJ,,,199.44,879.37,20
CPT,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,414.41,8493.0,21
CPT,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,477.44,8493.0,20
CPT,23570,CLTX SCAPULAR FX W/O MNPJ,,,157.56,627.43,15
CPT,23570,HC CLOSED RX SCAPULA FX,705.85,352.93,135.17,879.37,70
CPT,23570,HC ER CLOSED TX SCAPULAR FX WITHOUT MANIP,705.85,352.93,75.38,635.27,72
CPT,23575,CLTX SCAP FX W/MNPJ +-TRACTJ,,,251.73,1902.69,20
CPT,23585,OPTX SCAPULAR FX W/INT FIXJ,,,694.54,8493.0,20
CPT,23600,CLTX PROX HUMRL FX W/O MNPJ,,,201.49,798.53,17
CPT,23600,HC CLOSED TX PROX HUMER FX W/O MAN,988.3,494.15,189.26,889.47,70
CPT,23600,HC ER CLOSED TX PROX HUMER FX W/O MAN,988.3,494.15,75.38,889.47,72
CPT,23605,CLTX PRX HMRL FX MNPJ+-TRACT,,,298.68,504.11,14
CPT,23605,HC ER CLOSED TX PROX HUMRL FX W/MANIP,6075.85,3037.93,75.38,5468.27,72
CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,634.58,15297.04,20
CPT,23616,OPTX PRX HMRL FX FIX RPR RPL,,,948.96,21863.47,20
CPT,23620,CLTX GR HMRL TBRS FX WO MNPJ,,,169.07,669.85,15
CPT,23620,HC ER CLOSED TX GREATER HUMERAL TUBER FX,759.4,379.7,75.38,683.46,72
CPT,23620,HC TREAT GREATER TUBEROSITY HUMERUS FRACTURE,759.4,379.7,145.43,879.37,70
CPT,23625,CLTX GR HMRL TBRS FX W/MNPJ,,,245.98,414.83,14
CPT,23625,HC ER TX HUMRL TUBEROSITY FX W/MANIP,3136.55,1568.28,75.38,2822.9,72
CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,544.77,8493.0,20
CPT,23650,CLTX SHO DSLC W/MNPJ WO ANES,,,187.01,738.48,16
CPT,23650,HC ER CLOSED TX SHOULDER DISLOC W/MANIP,1089.65,544.83,75.38,980.69,72
CPT,23655,CLTX SHO DSLC W/MNPJ W/ANES,,,271.06,479.14,14
CPT,23655,HC ER TX SHOULDER DISLOCATION W/MANIP/ANES,4110.85,2055.43,75.38,3699.77,72
CPT,23660,OPTX ACUTE SHOULDER DISLC,,,420.1,8493.0,20
CPT,23665,CLTX SHO DSLC FX GR HMRL TBR,,,274.57,474.18,14
CPT,23665,HC ER TX SHOULDER DISLOC HUMER FX MAN,3136.55,1568.28,75.38,2822.9,72
CPT,23670,OPTX SHO DISLC FX,,,612.81,8493.0,20
CPT,23675,CLTX SHO DISLC NECK FX MNPJ,,,353.59,588.9,14
CPT,23675,HC ER CLSD TX SHLDR DISLOC PROX HUM FX,2917.2,1458.6,75.38,2625.48,72
CPT,23680,OPTX SHO DISLC NECK FX FIXJ,,,663.58,15297.04,20
CPT,23700,MNPJ ANES SHO JT FIXJ APRATS,,,141.2,1902.69,20
CPT,23800,ARTHRODESIS GLENOHUMERAL JT,,,753.97,8493.0,20
CPT,23802,ARTHRD GLENOHUMERAL JT W/GRF,,,916.5,15297.04,20
CPT,23900,INTERTHORACOSCPLR AMPUTATION,,,980.95,1590.43,19
CPT,23920,DISARTICULATION SHOULDER,,,793.2,1294.86,19
CPT,23921,DISARTICULATION SHO SEC CLSR,,,286.73,2174.73,20
CPT,23929,UNLISTED PROCEDURE SHOULDER,,,232.71,879.37,6
CPT,23930,HC ER I&D BURSA ARM/ELBOW,5741.65,2870.83,75.38,5167.49,72
CPT,23930,I&D UPR A/E DP ABSC/HMTMA,,,156.79,249.79,14
CPT,23931,HC ER I&D ABSCESS ARM/ELBOW,3232.1,1616.05,75.38,2908.89,72
CPT,23931,I&D UPR A/E BURSA,,,112.43,379.17,15
CPT,23935,INC DP OPN B1 CRTX HUM/ELBW,,,357.76,3857.44,20
CPT,24000,ARTHRT ELBW EXPL DRG/RMVL FB,,,340.2,3857.44,20
CPT,24006,ARTHRT ELBW CAPSL EXC RLS,,,516.38,3857.44,20
CPT,24065,BIOPSY ARM/ELBOW SOFT TISSUE,,,119.92,1926.26,20
CPT,24066,BIOPSY ARM/ELBOW SOFT TISSUE,,,286.89,3402.62,20
CPT,24071,EXC ARM/ELBOW LES SC 3 CM/>,,,240.78,3402.62,21
CPT,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,413.34,3402.62,20
CPT,24075,EXC ARM/ELBOW LES SC < 3 CM,,,223.94,1926.26,20
CPT,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,342.62,3402.62,20
CPT,24077,RAD RESCJ TUM TISS A/E <5CM,,,595.18,3402.62,20
CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,768.4,3402.62,20
CPT,24100,ARTHRT ELBW SYNOVIAL BX ONLY,,,290.01,3857.44,20
CPT,24101,ARTHRT ELBW JT EXPL BX RMVL,,,357.47,3857.44,20
CPT,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,444.88,3857.44,20
CPT,24105,EXCISION OLECRANON BURSA,,,238.79,3857.44,20
CPT,24110,EXC/CURTG B1 CST/B9 TUM HUM,,,420.26,3857.44,20
CPT,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,532.16,8493.0,20
CPT,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,632.64,8493.0,20
CPT,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,376.22,3857.44,20
CPT,24125,EXC/CRTG B1 CST/TUM RDS AGRF,,,435.22,3857.44,20
CPT,24126,EXC/CRTG B1 CST/TUM RDS ALGR,,,462.0,8493.0,20
CPT,24130,EXCISION RADIAL HEAD,,,362.97,3857.44,20
CPT,24134,SEQUESTRECTOMY SHFT/DSTL HUM,,,547.29,8493.0,20
CPT,24136,SEQUESTRECTOMY RADIAL H/N,,,433.29,3857.44,20
CPT,24138,SEQUESTRECTOMY OLECRN PROCES,,,477.1,8493.0,20
CPT,24140,PARTIAL EXC BONE HUMERUS,,,520.9,3857.44,20
CPT,24145,PRTL EXC BONE RADIAL H/N,,,436.18,8493.0,20
CPT,24147,PRTL EXC BONE OLECRN PROCESS,,,452.5,3857.44,20
CPT,24149,RADICAL RESECTION OF ELBOW,,,841.27,8493.0,20
CPT,24150,RAD RESCJ TUM DSTL/SHFT HUM,,,713.6,8493.0,20
CPT,24152,RAD RESECTION TUM RADIAL H/N,,,536.15,8493.0,20
CPT,24155,RESECTION OF ELBOW JOINT,,,621.16,3857.44,20
CPT,24160,RMVL PROSTHHUMRL&ULNAR CMPNT,,,437.57,3857.44,20
CPT,24164,REMOVAL PROSTH RADIAL HEAD,,,357.25,3857.44,20
CPT,24200,HC ER REMOVAL FOREIGN BODY ARM/ELBOW SUBQ,3195.35,1597.68,75.38,2875.82,72
CPT,24200,RMVL FB UPPER ARM/ELBW SUBQ,,,97.4,391.44,15
CPT,24201,HC ER REMOVAL FOREIGN BODY ARM/ELBOW DEEP,6151.05,3075.53,75.38,5535.95,72
CPT,24201,RMVL FB UPPER ARM/ELBW DEEP,,,261.22,468.1,14
CPT,24220,HC INJECTION FOR ELBOW ARTHROGRAM,966.3,483.15,172.86,869.67,69
CPT,24220,INJECTION PX FOR ELBOW ARTHG,,,55.14,76.31,14
CPT,24300,MNPJ ELBOW UNDER ANES,,,276.93,1902.69,20
CPT,24301,MUSC/TDN TRANSFER UPR A/E 1,,,548.6,8493.0,20
CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,417.88,3857.44,20
CPT,24310,TNOT OPN ELBW TO SHO EA TDN,,,341.78,3857.44,20
CPT,24320,TENOPLASTY ELBOW TO SHO 1,,,565.49,8493.0,20
CPT,24330,FLEXOR-PLASTY ELBOW,,,521.21,8493.0,20
CPT,24331,FLEXOR-PLASTY ELBW W/ADVMNT,,,576.81,8493.0,20
CPT,24332,TENOLYSIS TRICEPS,,,435.95,3857.44,20
CPT,24340,TENODESIS BICEPS TDN AT ELBW,,,443.63,8493.0,20
CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,521.79,8493.0,21
CPT,24342,REPAIR OF RUPTURED TENDON,,,573.39,8493.0,20
CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,507.17,3857.44,20
CPT,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,793.62,8493.0,20
CPT,24345,REPR ELBW MED LIGMNT W/TISSU,,,504.01,8493.0,20
CPT,24346,RECONSTRUCT ELBOW MED LIGMNT,,,795.28,15297.04,20
CPT,24350,Physician Fee Schedule,,,360.27,367.48,9
CPT,24351,Physician Fee Schedule,,,393.51,401.38,9
CPT,24352,Physician Fee Schedule,,,419.73,428.12,9
CPT,24354,Physician Fee Schedule,,,419.83,428.23,9
CPT,24357,REPAIR ELBOW PERC,,,316.9,3857.44,22
CPT,24358,REPAIR ELBOW W/DEB OPEN,,,374.7,3857.44,20
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,473.2,3857.44,21
CPT,24360,RECONSTRUCT ELBOW JOINT,,,659.62,8493.0,20
CPT,24361,RECONSTRUCT ELBOW JOINT,,,740.19,21863.47,20
CPT,24362,RECONSTRUCT ELBOW JOINT,,,783.31,15297.04,20
CPT,24363,REPLACE ELBOW JOINT,,,1100.9,21863.47,20
CPT,24365,RECONSTRUCT HEAD OF RADIUS,,,464.58,15297.04,20
CPT,24366,RECONSTRUCT HEAD OF RADIUS,,,498.02,15297.04,20
CPT,24370,REVISE RECONST ELBOW JOINT,,,1220.22,15297.04,20
CPT,24371,REVISE RECONST ELBOW JOINT,,,1406.19,21863.47,20
CPT,24400,OSTEOT HUMERUS W/WO INT FIXJ,,,601.49,8493.0,20
CPT,24410,MLT OSTEOT RLGNM IMED RD HUM,,,770.22,15297.04,20
CPT,24420,OSTEOPLASTY HUMERUS,,,722.2,8493.0,20
CPT,24430,RPR NON/MAL HUMERUS WO GRAFT,,,768.32,15297.04,20
CPT,24435,RPR NON/MAL HUM WITH AGRFT,,,778.5,15297.04,20
CPT,24470,HEMIEPIPHYSEAL ARREST,,,458.76,3857.44,20
CPT,24495,DECOMPRESSION FASCT FOREARM,,,475.64,8493.0,20
CPT,24498,PROPH TX W/WO MTHYLMTHCRYLT,,,639.67,15297.04,20
CPT,24500,CLTX HUMRL SHFT FX W/O MNPJ,,,215.13,850.94,15
CPT,24500,HC ER TX HUMERAL SHAFT FX W/O MANIP,421.15,210.58,75.38,379.04,72
CPT,24500,HC TX HUMERAL SHAFT FX W/O MANIP,421.15,210.58,80.65,379.04,69
CPT,24505,CLTX HUMRL SHFT FX W/MNPJ,,,316.84,533.19,14
CPT,24505,"HC CLOSED RX MID HUMERUS FX,MANIPULATN",1332.3,666.15,255.14,1902.69,70
CPT,24505,HC ER TX HUMERAL SHAFT FX W/MANIP,1332.3,666.15,75.38,1902.69,72
CPT,24515,OPTX HUMRL SHFT FX PLATE/SCR,,,640.69,15297.04,20
CPT,24516,TX HUMRL SHAFT FX IMED IMPLT,,,634.22,15297.04,20
CPT,24530,CLTX SPRCNDYLR HUMERAL FX WO,,,231.65,1076.76,16
CPT,24530,HC CLOSED TX HUMERAL SUPRA/TRAN FX,567.8,283.9,108.73,879.37,70
CPT,24530,HC ER CLOSED TX HUMERAL SUPRA/TRAN FX,567.8,283.9,75.38,511.02,72
CPT,24535,CLTX SPRCNDYLR HUMERAL FX W/,,,404.33,673.44,14
CPT,24535,HC ER CLOSED TX HUMERAL SUPRACONDYLAR FX W/MANIPU,567.8,283.9,75.38,1902.69,72
CPT,24538,PRQ SKEL FIX SPRCNDLR HUM FX,,,539.23,8493.0,20
CPT,24545,OPTX HUM FX WO NTRCNDYLR XTN,,,667.44,15297.04,20
CPT,24546,OPTX HUM FX W/NTRCNDYLR XTN,,,775.55,15297.04,20
CPT,24560,CLTX HUM EPCNDYLR FX WO MNPJ,,,189.24,352.29,14
CPT,24560,HC ER CLOSED TX HUMERAL EPI FX WO MANIP,816.45,408.23,75.38,734.81,72
CPT,24565,CLTX HUM EPCNDYLR FX W/MNPJ,,,330.25,584.54,14
CPT,24565,HC ER CLOSED TX HUMERAL EPICOND FX W/MANIP,361.3,180.65,75.38,1902.69,72
CPT,24566,PRQ SKEL FIX EPCNDYLR HUM FX,,,504.39,1902.69,20
CPT,24575,OPTX HUMERAL EPCNDYLR FX,,,535.3,15297.04,20
CPT,24576,CLTX HUMRL CNDYLR FX WO MNPJ,,,201.25,374.89,14
CPT,24576,HC ER CLOSED HUMERAL CONDYL FX W/O MANIP,926.95,463.48,75.38,834.26,72
CPT,24577,CLTX HUMRL CNDYLR FX W/MNPJ,,,342.62,600.21,14
CPT,24577,HC ER CLOSED TX HUMERAL CONDYLAR FX W/MANIP,747.9,373.95,75.38,1902.69,72
CPT,24579,OPTX HUMRL CNDYLR FRACTURE,,,609.16,15297.04,20
CPT,24582,PRQ SKEL FIX HUMRL CNDYLR FX,,,562.77,8493.0,20
CPT,24586,OPTX PARTCLR FX&/DISLC ELBOW,,,806.94,15297.04,20
CPT,24587,OPTX PARTCLR FX&/DSLC ELBW W,,,803.55,15297.04,20
CPT,24600,HC ER CLOSED TX ELBOW DISLOC W/O ANES,833.2,416.6,75.38,749.88,72
CPT,24600,HC TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,833.2,416.6,159.56,879.37,70
CPT,24600,TX CLSD ELBOW DISLC W/O ANES,,,229.95,919.46,15
CPT,24605,HC ER CLOSED TX ELBOW DISLOC W/ANES,3425.8,1712.9,75.38,3083.22,72
CPT,24605,TX CLSD ELBOW DISLC REQ ANES,,,325.8,559.24,14
CPT,24615,OPTX AQT/CHRNC ELBOW DISLC,,,521.61,8493.0,20
CPT,24620,CLTX MONTEGGIA FX DISLC ELBW,,,394.64,689.76,14
CPT,24620,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,685.3,342.65,131.23,1902.69,70
CPT,24620,HC ER CLOSED TX ELBOW/MONTEGGIA FX W/MANIP,685.3,342.65,75.38,1902.69,72
CPT,24635,OPTX MONTEGGIA FX DISLC ELBW,,,545.26,8493.0,20
CPT,24640,CLTX RDL HEAD SUBLXTJ NRSEMD,,,61.3,299.05,19
CPT,24640,HC CLOSED TX RADIAL HEAD SUBLUX IN CHILD W/MANIP,1050.55,525.28,201.18,945.5,70
CPT,24640,"HC ER CLOSED TX RADIAL HEAD DISLOC,CHILD",1050.55,525.28,75.38,945.5,72
CPT,24650,CLTX RDL HEAD/NCK FX WO MNPJ,,,156.1,751.37,17
CPT,24650,HC CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,799.45,399.73,153.09,879.37,70
CPT,24650,HC ER CLOSED TX RADIAL HEAD/NECK FRACTURE,799.45,399.73,75.38,719.51,72
CPT,24655,CLTX RDL HEAD/NCK FX W/MNPJ,,,275.08,480.36,14
CPT,24655,HC ER CLOSED TX RADIAL HEAD/NECK FX W/MAN,644.1,322.05,75.38,1902.69,72
CPT,24665,OPTX RADIAL HEAD/NECK FX,,,468.12,8493.0,20
CPT,24666,OPTX RADIAL HEAD/NCK FX RPLC,,,532.67,15297.04,20
CPT,24670,CLTX ULNAR FX PROX W/O MNPJ,,,174.63,320.7,14
CPT,24670,HC CLOSED TX ULNAR FRACTURE PROX END W/O MANIP,974.3,487.15,186.58,879.37,70
CPT,24670,HC ER CLOSED TX ULNAR FRACTURE PROX END W/O MANIP,974.3,487.15,75.38,876.87,72
CPT,24675,CLTX ULNAR FX PROX W/MNPJ,,,292.16,492.95,14
CPT,24675,HC ER CLOSED TX ULNAR FRACTURE PROX END W MANIP,592.85,296.43,75.38,1902.69,72
CPT,24685,OPTX ULNAR FX PROX END W/FIX,,,470.21,8493.0,20
CPT,24800,ARTHRODESIS ELBW JOINT LOCAL,,,579.69,8493.0,20
CPT,24802,ARTHRD ELBOW JT AUTOG GRAFT,,,734.67,15297.04,20
CPT,24900,AMPUTATION OF UPPER ARM,,,523.5,885.92,19
CPT,24920,AMPUTATION OF UPPER ARM,,,520.24,850.68,19
CPT,24925,AMPUTATION FOLLOW-UP SURGERY,,,402.41,3857.44,20
CPT,24930,AMPUTATION FOLLOW-UP SURGERY,,,551.99,896.33,19
CPT,24931,AMPUTATE UPPER ARM & IMPLANT,,,619.72,1074.79,19
CPT,24935,REVISION OF AMPUTATION,,,752.23,8493.0,20
CPT,24940,REVISION OF UPPER ARM,,,863.98,881.26,9
CPT,24999,UNLISTED PX HUMERUS/ELBOW,,,232.71,879.37,6
CPT,25000,INCISION OF TENDON SHEATH,,,247.19,1902.69,20
CPT,25001,INCISE FLEXOR CARPI RADIALIS,,,234.87,3857.44,20
CPT,25020,DECOMPRESS FOREARM 1 SPACE,,,410.16,1902.69,20
CPT,25023,DECOMPRESS FOREARM 1 SPACE,,,794.19,3857.44,20
CPT,25024,DECOMPRESS FOREARM 2 SPACES,,,557.37,3857.44,20
CPT,25025,DECOMPRESS FOREARM 2 SPACES,,,862.36,1902.69,20
CPT,25028,HC ER I&D ABSCESS FOREARM/WRIST DEEP,5212.4,2606.2,75.38,4691.16,72
CPT,25028,I&D F/ARM&/WRST DP ABSC/HMTM,,,365.22,782.86,14
CPT,25031,I&D FOREARM&/WRIST BURSA,,,269.16,1902.69,20
CPT,25035,INC DP BONE CRTX F/ARM&/WRST,,,466.4,8493.0,20
CPT,25040,ARTHRT RDCRPL/MIDCARPL JT,,,414.02,3857.44,20
CPT,25065,BIOPSY FOREARM SOFT TISSUES,,,118.22,1926.26,20
CPT,25066,BIOPSY FOREARM SOFT TISSUES,,,269.62,3402.62,20
CPT,25071,EXC FOREARM LES SC 3 CM/>,,,252.35,1285.7,15
CPT,25071,HC EXCISE TUMOR SOFT TISS OF FOREARM/WRIST 3CM OR >,7257.0,3628.5,879.37,6531.3,70
CPT,25073,EXC FOREARM TUM DEEP 3 CM/>,,,314.36,3402.62,20
CPT,25075,EXC FOREARM LES SC < 3 CM,,,236.21,1926.26,24
CPT,25076,EXC FOREARM TUM DEEP < 3 CM,,,318.93,1926.26,20
CPT,25077,RESECT FOREARM/WRIST TUM<3CM,,,543.74,3402.62,20
CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,670.91,3402.62,20
CPT,25085,INCISION OF WRIST CAPSULE,,,332.71,3857.44,20
CPT,25100,BIOPSY OF WRIST JOINT,,,246.57,3857.44,20
CPT,25101,EXPLORE/TREAT WRIST JOINT,,,290.9,3857.44,20
CPT,25105,REMOVE WRIST JOINT LINING,,,353.89,3857.44,20
CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,440.24,3857.44,20
CPT,25109,EXCISE TENDON FOREARM/WRIST,,,376.85,3857.44,20
CPT,25110,REMOVE WRIST TENDON LESION,,,258.11,1902.69,20
CPT,25111,HC GANGLION CYST EXCISION WRIST,7403.5,3701.75,1417.77,6663.15,70
CPT,25111,REMOVE WRIST TENDON LESION,,,223.87,384.0,14
CPT,25112,REREMOVE WRIST TENDON LESION,,,274.47,1902.69,20
CPT,25115,REMOVE WRIST/FOREARM LESION,,,580.49,1902.69,20
CPT,25116,REMOVE WRIST/FOREARM LESION,,,468.29,3857.44,20
CPT,25118,EXCISE WRIST TENDON SHEATH,,,274.85,1902.69,20
CPT,25119,PARTIAL REMOVAL OF ULNA,,,364.6,3857.44,20
CPT,25120,REMOVAL OF FOREARM LESION,,,399.35,3857.44,20
CPT,25125,REMOVE/GRAFT FOREARM LESION,,,465.48,1902.69,20
CPT,25126,REMOVE/GRAFT FOREARM LESION,,,470.24,3857.44,20
CPT,25130,REMOVAL OF WRIST LESION,,,322.83,3857.44,20
CPT,25135,REMOVE & GRAFT WRIST LESION,,,403.79,8493.0,20
CPT,25136,REMOVE & GRAFT WRIST LESION,,,356.83,8493.0,20
CPT,25145,REMOVE FOREARM BONE LESION,,,410.22,3857.44,20
CPT,25150,PARTIAL REMOVAL OF ULNA,,,418.83,3857.44,20
CPT,25151,PARTIAL REMOVAL OF RADIUS,,,462.52,3857.44,20
CPT,25170,RESECT RADIUS/ULNAR TUMOR,,,645.39,8493.0,20
CPT,25210,REMOVAL OF WRIST BONE,,,354.2,3857.44,20
CPT,25215,REMOVAL OF WRIST BONES,,,457.01,3857.44,20
CPT,25230,PARTIAL REMOVAL OF RADIUS,,,313.6,3857.44,20
CPT,25240,PARTIAL REMOVAL OF ULNA,,,317.76,3857.44,20
CPT,25246,HC INJECTION FOR WRIST ARTHROGRAM,2206.5,1103.25,176.09,1985.85,69
CPT,25246,INJECTION FOR WRIST X-RAY,,,60.68,83.63,14
CPT,25248,HC ER EXP REMOVE DEEP FB FORARM/WRST,7246.85,3623.43,75.38,6522.17,72
CPT,25248,REMOVE FOREARM FOREIGN BODY,,,316.27,1243.35,15
CPT,25250,REMOVAL OF WRIST PROSTHESIS,,,377.17,1902.69,20
CPT,25251,REMOVAL OF WRIST PROSTHESIS,,,516.44,3857.44,20
CPT,25259,MANIPULATE WRIST W/ANESTHES,,,277.74,1902.69,20
CPT,25260,HC ER REPAIR FLEX TENDON FOREARM PRI,4484.1,2242.05,75.38,4035.69,72
CPT,25260,REPAIR FOREARM TENDON/MUSCLE,,,490.29,742.78,14
CPT,25263,REPAIR FOREARM TENDON/MUSCLE,,,489.56,8493.0,20
CPT,25265,REPAIR FOREARM TENDON/MUSCLE,,,582.33,3857.44,20
CPT,25270,REPAIR FOREARM TENDON/MUSCLE,,,393.13,3857.44,20
CPT,25272,REPAIR FOREARM TENDON/MUSCLE,,,443.04,3857.44,20
CPT,25274,REPAIR FOREARM TENDON/MUSCLE,,,525.87,3857.44,20
CPT,25275,REPAIR FOREARM TENDON SHEATH,,,485.75,3857.44,20
CPT,25280,REVISE WRIST/FOREARM TENDON,,,449.03,3857.44,20
CPT,25290,INCISE WRIST/FOREARM TENDON,,,378.93,3857.44,20
CPT,25295,RELEASE WRIST/FOREARM TENDON,,,417.72,3857.44,20
CPT,25300,FUSION OF TENDONS AT WRIST,,,494.72,3857.44,20
CPT,25301,FUSION OF TENDONS AT WRIST,,,471.14,3857.44,20
CPT,25310,TRANSPLANT FOREARM TENDON,,,486.31,3857.44,20
CPT,25312,TRANSPLANT FOREARM TENDON,,,564.07,3857.44,20
CPT,25315,REVISE PALSY HAND TENDON(S),,,605.1,8493.0,20
CPT,25316,REVISE PALSY HAND TENDON(S),,,700.91,8493.0,20
CPT,25320,REPAIR/REVISE WRIST JOINT,,,696.25,8493.0,20
CPT,25332,REVISE WRIST JOINT,,,616.36,3857.44,20
CPT,25335,CENTRALIZATION WRIST ON ULNA,,,699.87,3857.44,20
CPT,25337,RECONSTRUCT ULNA/RADIOULNAR,,,640.96,8493.0,20
CPT,25350,REVISION OF RADIUS,,,535.96,8493.0,20
CPT,25355,REVISION OF RADIUS,,,603.34,3857.44,20
CPT,25360,REVISION OF ULNA,,,519.95,8493.0,20
CPT,25365,REVISE RADIUS & ULNA,,,709.91,15297.04,20
CPT,25370,REVISE RADIUS OR ULNA,,,773.79,3857.44,20
CPT,25375,REVISE RADIUS & ULNA,,,746.76,3857.44,20
CPT,25390,SHORTEN RADIUS OR ULNA,,,607.05,8493.0,20
CPT,25391,LENGTHEN RADIUS OR ULNA,,,772.92,15297.04,20
CPT,25392,SHORTEN RADIUS & ULNA,,,784.64,8493.0,20
CPT,25393,LENGTHEN RADIUS & ULNA,,,882.36,8493.0,20
CPT,25394,REPAIR CARPAL BONE SHORTEN,,,566.18,3857.44,19
CPT,25400,REPAIR RADIUS OR ULNA,,,636.99,8493.0,20
CPT,25405,REPAIR/GRAFT RADIUS OR ULNA,,,811.09,8493.0,20
CPT,25415,REPAIR RADIUS & ULNA,,,761.55,8493.0,20
CPT,25420,REPAIR/GRAFT RADIUS & ULNA,,,907.69,8493.0,20
CPT,25425,REPAIR/GRAFT RADIUS OR ULNA,,,782.87,8493.0,20
CPT,25426,REPAIR/GRAFT RADIUS & ULNA,,,823.62,3857.44,20
CPT,25430,VASC GRAFT INTO CARPAL BONE,,,515.78,3857.44,20
CPT,25431,REPAIR NONUNION CARPAL BONE,,,571.84,8493.0,20
CPT,25440,REPAIR NONU SCPHD CARPL B1,,,568.01,8493.0,20
CPT,25441,ARTHRP W/PROSTC DSTL RDS,,,689.1,15297.04,20
CPT,25442,ARTHRP W/PROSTC DSTL ULNA,,,586.63,21863.47,20
CPT,25443,ARTHRP PROSTC DSTL SCPH CRPL,,,562.65,8493.0,20
CPT,25444,ARTHRP W/PROSTC LUNATE,,,600.46,15297.04,20
CPT,25445,ARTHRP W/PROSTC TRAPEZIUM,,,525.49,8493.0,20
CPT,25446,ARTHRP W/PROSTC DST RDS&CRPS,,,867.56,21863.47,20
CPT,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,,,592.84,3857.44,20
CPT,25448,ARTHRP NTRCRPL/CRP/MTCRP SSP,,,822.46,3857.44,10
CPT,25449,REVJ ARTHRP WRIST JOINT,,,759.59,8493.0,20
CPT,25450,EPIPHYSL ARRST DSTL RDS/ULNA,,,439.94,3857.44,20
CPT,25455,EPIPHYSL ARRST DSTL RDS&ULNA,,,502.0,3857.44,20
CPT,25490,PROPHYLACTIC TX RADIUS,,,552.23,8493.0,20
CPT,25491,PROPHYLACTIC TX ULNA,,,582.73,15297.04,20
CPT,25492,PROPHYLACTIC TX RADIUS&ULNA,,,703.28,3857.44,20
CPT,25500,CLTX RDL SHFT FX W/O MNPJ,,,161.8,638.0,15
CPT,25500,HC CLOSED TX RADIAL SHFT FX W/O MAN,331.1,165.55,63.41,879.37,70
CPT,25500,HC ER CLOSED TX RADIAL SHFT FX W/O MAN,331.1,165.55,72.21,297.99,72
CPT,25505,CLTX RDL SHFT FX W/MNPJ,,,321.35,544.49,14
CPT,25505,HC ER CLOSED TX RADIAL SHFT FX W/MANIP,627.3,313.65,75.38,1902.69,72
CPT,25515,HC ER OPEN TX RADIAL SHAFT FX,8346.2,4173.1,75.38,8493.0,72
CPT,25515,OPTX RADIAL SHAFT FRACTURE,,,483.99,782.09,14
CPT,25520,CLTX RDL SHFT FX&DISLC,,,366.35,642.55,14
CPT,25520,HC ER TREAT FRACTURE OF RADIUS,6552.85,3276.43,75.38,5897.57,72
CPT,25525,OPTX RDL SHFT FX&CLTX RAD/UL,,,585.0,8493.0,20
CPT,25526,OPTX RDL SHFT FX&DSTL RAD/UL,,,718.38,8493.0,20
CPT,25530,CLTX ULNAR SHFT FX W/O MNPJ,,,154.07,611.7,15
CPT,25530,HC CLSD ULNAR SHAFT FX W/O MAN,745.5,372.75,142.76,879.37,70
CPT,25530,HC ER CLOSED TX ULNAR SHAFT FX W/O MAN,745.5,372.75,75.38,670.95,72
CPT,25535,CLTX ULNAR SHFT FX W/MNPJ,,,315.94,540.1,14
CPT,25535,HC ER CLOSED TX ULNAR SHAFT FX W MANIP,797.05,398.53,75.38,717.35,72
CPT,25545,OPTX ULNAR SHFT FX INT FIXJ,,,452.36,8493.0,20
CPT,25560,CLTX RDL&ULN SHFT FX WO MNPJ,,,160.93,629.67,15
CPT,25560,HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,907.75,453.88,173.83,879.37,70
CPT,25560,HC ER CLOSED TX RADIUS/ULNA FX W/O MAN,907.75,453.88,75.38,816.98,72
CPT,25565,CLTX RDL&ULN SHFT FX W/MNPJ,,,334.04,1192.67,15
CPT,25565,HC CLOSED TX RADIUS/ULNA FX W/MANIP,627.3,313.65,120.13,1902.69,70
CPT,25565,HC ER CLOSED TX RADIUS/ULNA FX W/MANIP,627.3,313.65,75.38,1902.69,72
CPT,25574,OPTX RDL&ULN SHFT FX RDS/ULN,,,476.14,8493.0,20
CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,648.73,8493.0,20
CPT,25600,CLTX DST RDL FX/EPHYS SEP WO,,,176.98,968.07,17
CPT,25600,HC CLOSED RX DIST RAD/ULNA FX,846.75,423.38,162.15,879.37,70
CPT,25600,HC ER CLOSED RX DIST RAD/ULNA FX,846.75,423.38,75.38,762.08,72
CPT,25605,CLTX DST RDL FX/EPHYS SEP W/,,,405.5,1622.89,15
CPT,25605,HC CLOSED TX DIST RADIAL FX W/MANIP,1069.4,534.7,204.79,1902.69,70
CPT,25605,HC ER CLOSED TX DIST RADIAL FX W/MANIP,1069.4,534.7,75.38,1902.69,72
CPT,25606,HC DISTAL RADIUS FX PERQ SKELETAL FIXATION,9219.4,4609.7,609.62,8297.46,70
CPT,25606,PERQ SKEL FIXJ DSTL RDL FX,,,475.6,782.11,14
CPT,25607,OPTX DST RD XARTC FX/EPI SEP,,,515.05,8493.0,20
CPT,25608,OPTX DST RD XART FX/EPI SEP2,,,588.1,8493.0,20
CPT,25609,OPTX DST RD XART FX/EP SEP3+,,,609.62,8493.0,20
CPT,25622,CLTX CARPL SCPHD FX W/O MNPJ,,,180.68,867.71,16
CPT,25622,HC CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ,857.95,428.98,164.3,879.37,70
CPT,25622,HC ER CLOSED TX CARP SCAPH FX W/O MANI,857.95,428.98,75.38,772.16,72
CPT,25624,CLTX CARPL SCPHD FX W/MNPJ,,,291.11,528.85,14
CPT,25624,HC ER CLOSED TX NAVICULAR FX W/MANIP,1044.9,522.45,75.38,1902.69,72
CPT,25628,OPTX CARPL SCPHD FX INT FIXJ,,,517.55,8493.0,20
CPT,25630,CLTX CARPL FX W/O MNPJ EA B1,,,186.23,341.31,14
CPT,25630,HC ER CLOSED CARPAL FX WO MANIP EA,806.55,403.28,75.38,725.9,72
CPT,25635,CLTX CARPL FX W/MNPJ EA B1,,,269.67,502.59,14
CPT,25635,HC ER CLOSED CARPAL FX W MANIP EA,1600.65,800.33,75.38,1902.69,72
CPT,25645,OPTX CRPL FX OTH/THN SCPH EA,,,408.04,3857.44,20
CPT,25650,CLTX ULNAR STYLOID FRACTURE,,,197.83,365.83,14
CPT,25650,HC ER CLOSED TX ULNAR STYLOID FX,1384.05,692.03,75.38,1245.65,72
CPT,25651,PERQ SKEL FIX ULNAR STYLD FX,,,336.83,3857.44,20
CPT,25652,OPTX ULNAR STYLOID FRACTURE,,,444.58,8493.0,20
CPT,25660,CLTX RDCRPL/NTRCRPL DISLC 1+,,,281.44,531.2,14
CPT,25660,HC ER CLOSED TX CARPAL DISLOC W/MANIP,1047.7,523.85,75.38,942.93,72
CPT,25670,OPTX RDCRPL/NTRCRPL DISLC 1+,,,440.46,8493.0,20
CPT,25671,PERQ SKEL FIX RAD/ULN DISLC,,,370.9,3857.44,20
CPT,25675,CLTX DSTL RAD/ULN DISLC MNPJ,,,274.45,490.98,14
CPT,25675,HC ER CLOSED TX DISL RADIOULNAR W/MANIP,860.5,430.25,75.38,774.45,72
CPT,25676,OPTX RAD/ULN DISLC AQT/CHRNC,,,456.03,8493.0,20
CPT,25680,CLTX TRNS-SCPHPRLNR FX MNPJ,,,232.71,1432.11,20
CPT,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,531.4,8493.0,20
CPT,25690,CLTX LUNATE DISLC W/MNPJ,,,328.6,579.23,14
CPT,25690,HC ER CLOSED TX LUNATE DISLOC W/MANIP,375.4,187.7,75.38,1902.69,72
CPT,25695,OPTX LUNATE DISLOCATION,,,457.85,8493.0,20
CPT,25800,ARTHRD WRIST COMPLETE WO GRF,,,541.7,8493.0,20
CPT,25805,ARTHRD WRIST W/SLIDING GRAFT,,,624.71,8493.0,20
CPT,25810,ARTHRD WRST ILIAC/OTH AGRFT,,,630.69,15297.04,20
CPT,25820,ARTHRD WRIST LMTD W/O B1 GRF,,,441.62,8493.0,20
CPT,25825,ARTHRD WRIST WITH AUTOGRAFT,,,544.68,8493.0,20
CPT,25830,ARTHRD DST RAD/UL JT SGM RSC,,,678.39,8493.0,20
CPT,25900,AMPUTATION OF FOREARM,,,542.68,837.38,19
CPT,25905,AMPUTATION OF FOREARM,,,536.81,814.86,19
CPT,25907,AMPUTATION FOLLOW-UP SURGERY,,,468.06,3857.44,20
CPT,25909,AMPUTATION FOLLOW-UP SURGERY,,,527.71,8493.0,20
CPT,25915,AMPUTATION OF FOREARM,,,926.12,1342.79,19
CPT,25920,AMPUTATE HAND AT WRIST,,,496.52,843.72,19
CPT,25922,AMPUTATE HAND AT WRIST,,,419.61,1902.69,20
CPT,25924,AMPUTATION FOLLOW-UP SURGERY,,,484.83,823.58,19
CPT,25927,AMPUTATION OF HAND,,,561.44,986.07,19
CPT,25929,AMPUTATION FOLLOW-UP SURGERY,,,406.67,2174.73,20
CPT,25931,AMPUTATION FOLLOW-UP SURGERY,,,511.15,3857.44,20
CPT,25999,UNLISTED PX FOREARM/WRIST,,,232.71,879.37,6
CPT,26010,DRAINAGE OF FINGER ABSCESS,,,93.99,738.18,20
CPT,26010,HC DRAINAGE ABSCESS FINGER SIMPLE,628.75,314.38,120.41,565.88,70
CPT,26010,HC ER DRAINAGE ABSCESS FINGER SIMPLE,628.75,314.38,75.38,565.88,72
CPT,26011,DRAINAGE OF FINGER ABSCESS,,,131.36,582.25,16
CPT,26011,HC ER DRAINAGE ABSCESS FINGER COMPLEX,3053.85,1526.93,75.38,2748.47,72
CPT,26020,DRAIN HAND TENDON SHEATH,,,302.8,3857.44,20
CPT,26025,DRAINAGE OF PALM BURSA,,,296.14,3857.44,20
CPT,26030,DRAINAGE OF PALM BURSAS,,,350.54,3857.44,20
CPT,26034,TREAT HAND BONE LESION,,,379.59,1902.69,20
CPT,26035,DECOMPRESS FINGERS/HAND,,,593.4,3857.44,20
CPT,26037,DECOMPRESS FINGERS/HAND,,,409.87,3857.44,20
CPT,26040,RELEASE PALM CONTRACTURE,,,216.74,1902.69,20
CPT,26045,RELEASE PALM CONTRACTURE,,,331.6,3857.44,20
CPT,26055,HC TENDON SHEATH INCISION/RELEASE,7379.55,3689.78,1413.18,6641.6,70
CPT,26055,INCISE FINGER TENDON SHEATH,,,207.24,968.79,15
CPT,26060,INCISION OF FINGER TENDON,,,185.46,1902.69,20
CPT,26070,EXPLORE/TREAT HAND JOINT,,,212.1,380.19,14
CPT,26070,HC ER ARTHROTOMY CMC JOINT,4965.05,2482.53,75.38,4468.55,72
CPT,26075,EXPLORE/TREAT FINGER JOINT,,,224.47,3857.44,20
CPT,26080,EXPLORE/TREAT FINGER JOINT,,,270.42,469.53,14
CPT,26080,HC ER ARTHROTOMY IP JOINT,5564.55,2782.28,75.38,5008.1,72
CPT,26100,BIOPSY HAND JOINT LINING,,,227.19,3857.44,20
CPT,26105,BIOPSY FINGER JOINT LINING,,,232.43,3857.44,20
CPT,26110,BIOPSY FINGER JOINT LINING,,,223.04,1902.69,20
CPT,26111,EXC HAND LES SC 1.5 CM/>,,,244.88,486.46,14
CPT,26111,HC ER EXCISION TUMOR SFT TISS >1.5CM,2889.1,1444.55,75.38,2600.19,72
CPT,26113,EXC HAND TUM DEEP 1.5 CM/>,,,322.29,1926.26,20
CPT,26115,EXC HAND LES SC < 1.5 CM,,,252.69,1044.71,16
CPT,26115,HC ER EXCISION TUMOR SFT TISS <1.5CM,2662.45,1331.23,75.38,2396.21,72
CPT,26116,EXC HAND TUM DEEP < 1.5 CM,,,340.77,1926.26,21
CPT,26117,RAD RESECT HAND TUMOR < 3 CM,,,467.27,3402.62,20
CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,631.45,3402.62,20
CPT,26121,RELEASE PALM CONTRACTURE,,,428.85,3857.44,20
CPT,26123,RELEASE PALM CONTRACTURE,,,587.27,3857.44,20
CPT,26125,RELEASE PALM CONTRACTURE,,,211.86,306.57,20
CPT,26130,REMOVE WRIST JOINT LINING,,,324.19,3857.44,20
CPT,26135,REVISE FINGER JOINT EACH,,,395.37,3857.44,20
CPT,26140,REVISE FINGER JOINT EACH,,,359.09,1902.69,20
CPT,26145,TENDON EXCISION PALM/FINGER,,,365.15,1902.69,20
CPT,26160,REMOVE TENDON SHEATH LESION,,,226.22,1902.69,21
CPT,26170,REMOVAL OF PALM TENDON EACH,,,286.58,1902.69,20
CPT,26180,REMOVAL OF FINGER TENDON,,,313.31,1902.69,20
CPT,26185,REMOVE FINGER BONE,,,374.53,1902.69,20
CPT,26200,REMOVE HAND BONE LESION,,,322.12,1902.69,20
CPT,26205,REMOVE/GRAFT BONE LESION,,,433.53,8493.0,20
CPT,26210,REMOVAL OF FINGER LESION,,,311.76,1902.69,21
CPT,26215,REMOVE/GRAFT FINGER LESION,,,397.32,3857.44,20
CPT,26230,PARTIAL REMOVAL OF HAND BONE,,,360.88,3857.44,20
CPT,26235,PARTIAL REMOVAL FINGER BONE,,,354.38,1902.69,20
CPT,26236,HC ER PARTIAL EXCISION DIST PHALANX,4268.65,2134.33,75.38,3841.79,72
CPT,26236,PARTIAL REMOVAL FINGER BONE,,,313.62,518.79,14
CPT,26250,EXTENSIVE HAND SURGERY,,,419.09,3857.44,20
CPT,26260,RESECT PROX FINGER TUMOR,,,392.42,3857.44,20
CPT,26262,RESECT DISTAL FINGER TUMOR,,,327.24,1902.69,20
CPT,26320,REMOVAL OF IMPLANT FROM HAND,,,243.67,1926.26,20
CPT,26340,MANIPULATE FINGER W/ANESTH,,,216.8,1902.69,20
CPT,26341,MANIPULAT PALM CORD POST INJ,,,41.94,879.37,20
CPT,26350,REPAIR FINGER/HAND TENDON,,,502.43,3857.44,20
CPT,26352,REPAIR/GRAFT HAND TENDON,,,573.03,8493.0,20
CPT,26356,REPAIR FINGER/HAND TENDON,,,740.63,3857.44,20
CPT,26357,REPAIR FINGER/HAND TENDON,,,616.11,3857.44,20
CPT,26358,REPAIR/GRAFT HAND TENDON,,,651.66,8493.0,20
CPT,26370,REPAIR FINGER/HAND TENDON,,,545.23,3857.44,20
CPT,26372,REPAIR/GRAFT HAND TENDON,,,633.38,8493.0,20
CPT,26373,REPAIR FINGER/HAND TENDON,,,601.63,3857.44,20
CPT,26390,REVISE HAND/FINGER TENDON,,,592.93,8493.0,20
CPT,26392,REPAIR/GRAFT HAND TENDON,,,692.34,8493.0,20
CPT,26410,REPAIR HAND TENDON,,,399.21,1902.69,20
CPT,26412,REPAIR/GRAFT HAND TENDON,,,486.26,3857.44,20
CPT,26415,EXCISION HAND/FINGER TENDON,,,514.84,3857.44,20
CPT,26416,GRAFT HAND OR FINGER TENDON,,,552.15,3857.44,20
CPT,26418,HC ER REPAIR EXTENSOR TENDON FINGER,3797.55,1898.78,75.38,3417.8,72
CPT,26418,REPAIR FINGER TENDON,,,400.07,711.78,14
CPT,26420,REPAIR/GRAFT FINGER TENDON,,,505.73,3857.44,20
CPT,26426,HC ER REP EXTEN TENDON FINGR W/GRAFT,8660.65,4330.33,75.38,7794.59,72
CPT,26426,REPAIR FINGER/HAND TENDON,,,408.57,590.91,14
CPT,26428,REPAIR/GRAFT FINGER TENDON,,,531.74,3857.44,20
CPT,26432,REPAIR FINGER TENDON,,,349.1,1902.69,20
CPT,26433,REPAIR FINGER TENDON,,,375.08,3857.44,20
CPT,26434,REPAIR/GRAFT FINGER TENDON,,,451.42,3857.44,20
CPT,26437,REALIGNMENT OF TENDONS,,,439.69,3857.44,20
CPT,26440,RELEASE PALM/FINGER TENDON,,,439.92,1902.69,20
CPT,26442,RELEASE PALM & FINGER TENDON,,,670.11,3857.44,20
CPT,26445,RELEASE HAND/FINGER TENDON,,,407.57,3857.44,20
CPT,26449,RELEASE FOREARM/HAND TENDON,,,539.46,3857.44,20
CPT,26450,INCISION OF PALM TENDON,,,283.54,3857.44,20
CPT,26455,INCISION OF FINGER TENDON,,,281.6,1902.69,20
CPT,26460,INCISE HAND/FINGER TENDON,,,273.63,1902.69,20
CPT,26471,FUSION OF FINGER TENDONS,,,433.14,3857.44,20
CPT,26474,FUSION OF FINGER TENDONS,,,415.08,1902.69,20
CPT,26476,TENDON LENGTHENING,,,404.15,3857.44,20
CPT,26477,TENDON SHORTENING,,,407.55,3857.44,20
CPT,26478,LENGTHENING OF HAND TENDON,,,442.91,3857.44,20
CPT,26479,SHORTENING OF HAND TENDON,,,438.13,3857.44,20
CPT,26480,TRANSPLANT HAND TENDON,,,532.31,3857.44,20
CPT,26483,TRANSPLANT/GRAFT HAND TENDON,,,602.64,3857.44,20
CPT,26485,TRANSPLANT PALM TENDON,,,576.82,3857.44,20
CPT,26489,TRANSPLANT/GRAFT PALM TENDON,,,626.47,3857.44,20
CPT,26490,REVISE THUMB TENDON,,,559.43,3857.44,20
CPT,26492,TENDON TRANSFER WITH GRAFT,,,624.03,3857.44,20
CPT,26494,HAND TENDON/MUSCLE TRANSFER,,,566.23,3857.44,20
CPT,26496,REVISE THUMB TENDON,,,615.11,3857.44,20
CPT,26497,FINGER TENDON TRANSFER,,,615.42,3857.44,20
CPT,26498,FINGER TENDON TRANSFER,,,824.93,3857.44,20
CPT,26499,CORRECTION CLAW FINGER OTHER,,,587.74,3857.44,20
CPT,26500,HAND TENDON RECONSTRUCTION,,,442.44,8493.0,20
CPT,26502,HAND TENDON RECONSTRUCTION,,,500.44,3857.44,20
CPT,26508,RELEASE THUMB CONTRACTURE,,,444.93,3857.44,20
CPT,26510,THUMB TENDON TRANSFER,,,421.22,3857.44,20
CPT,26516,FUSION OF KNUCKLE JOINT,,,499.06,3857.44,20
CPT,26517,FUSION OF KNUCKLE JOINTS,,,588.7,3857.44,20
CPT,26518,FUSION OF KNUCKLE JOINTS,,,594.41,8493.0,20
CPT,26520,RELEASE KNUCKLE CONTRACTURE,,,460.0,3857.44,20
CPT,26525,RELEASE FINGER CONTRACTURE,,,461.94,1902.69,20
CPT,26530,REVISE KNUCKLE JOINT,,,383.3,8493.0,20
CPT,26531,REVISE KNUCKLE WITH IMPLANT,,,446.49,8493.0,20
CPT,26535,REVISE FINGER JOINT,,,287.77,3857.44,20
CPT,26536,REVISE/IMPLANT FINGER JOINT,,,474.75,8493.0,20
CPT,26540,REPAIR HAND JOINT,,,467.89,3857.44,20
CPT,26541,REPAIR HAND JOINT WITH GRAFT,,,573.56,3857.44,20
CPT,26542,REPAIR HAND JOINT WITH GRAFT,,,484.09,3857.44,20
CPT,26545,RECONSTRUCT FINGER JOINT,,,492.84,3857.44,20
CPT,26546,REPAIR NONUNION HAND,,,693.55,8493.0,20
CPT,26548,RECONSTRUCT FINGER JOINT,,,543.55,3857.44,20
CPT,26550,POLLICIZATION DIGIT,,,1082.18,3857.44,20
CPT,26551,GREAT TOE-HAND TRANSFER,,,2361.46,3752.28,19
CPT,26553,SINGLE TRANSFER TOE-HAND,,,2074.81,3727.17,19
CPT,26554,DOUBLE TRANSFER TOE-HAND,,,2705.27,4339.5,19
CPT,26555,POSITIONAL CHANGE OF FINGER,,,988.67,8493.0,20
CPT,26556,TOE JOINT TRANSFER,,,2143.41,3878.01,19
CPT,26560,REPAIR OF WEB FINGER,,,402.66,1902.69,20
CPT,26561,REPAIR OF WEB FINGER,,,650.56,3857.44,20
CPT,26562,REPAIR OF WEB FINGER,,,879.37,3857.44,20
CPT,26565,CORRECT METACARPAL FLAW,,,479.69,3857.44,20
CPT,26567,CORRECT FINGER DEFORMITY,,,484.55,3857.44,20
CPT,26568,LENGTHEN METACARPAL/FINGER,,,314.06,8493.0,20
CPT,26580,REPAIR CLEFT HAND,,,879.37,3857.44,20
CPT,26587,RECONSTRUCT EXTRA FINGER,,,694.44,3857.44,20
CPT,26590,REPAIR FINGER DEFORMITY,,,922.54,1902.69,20
CPT,26591,REPAIR MUSCLES OF HAND,,,306.25,3857.44,20
CPT,26593,RELEASE MUSCLES OF HAND,,,419.94,3857.44,20
CPT,26596,EXCISION CONSTRICTING TISSUE,,,525.99,3857.44,20
CPT,26600,HC CLOSED RX METACARPAL FX,1058.15,529.08,202.64,952.34,70
CPT,26600,HC ER CLOSED RX METACARPAL FX,1058.15,529.08,75.38,952.34,72
CPT,26600,TREAT METACARPAL FRACTURE,,,172.51,865.94,16
CPT,26605,HC CLOSED TX METACARPAL FX W/ MANIP,1058.15,529.08,202.64,952.34,70
CPT,26605,HC ER CLOSED TX METACARPAL FX W/MANIP,1058.15,529.08,75.38,952.34,72
CPT,26605,TREAT METACARPAL FRACTURE,,,197.03,355.05,14
CPT,26607,TREAT METACARPAL FRACTURE,,,311.49,3857.44,20
CPT,26608,HC METACARPAL FX PERQ SKELETAL FIXATION EA BONE,9387.7,4693.85,879.37,8448.93,70
CPT,26608,TREAT METACARPAL FRACTURE,,,336.37,1127.54,15
CPT,26615,TREAT METACARPAL FRACTURE,,,391.38,3857.44,20
CPT,26641,HC ER CLOSED TX THUMB DISLOC W/MANIP,690.25,345.13,75.38,621.23,72
CPT,26641,TREAT THUMB DISLOCATION,,,228.08,454.66,14
CPT,26645,HC ER CLSD TX WRIST THUMB W MANIP,1507.15,753.58,75.38,1902.69,72
CPT,26645,TREAT THUMB FRACTURE,,,262.74,468.64,14
CPT,26650,TREAT THUMB FRACTURE,,,336.13,3857.44,20
CPT,26665,TREAT THUMB FRACTURE,,,434.68,3857.44,20
CPT,26670,HC ER CLOSED TX HAND DISLOC W/O ANES,690.25,345.13,75.38,621.23,72
CPT,26670,TREAT HAND DISLOCATION,,,203.68,376.79,14
CPT,26675,TREAT HAND DISLOCATION,,,280.86,1902.69,20
CPT,26676,PIN HAND DISLOCATION,,,352.44,3857.44,20
CPT,26685,TREAT HAND DISLOCATION,,,401.39,3857.44,20
CPT,26686,TREAT HAND DISLOCATION,,,445.75,3857.44,20
CPT,26700,HC ER CLOSED TX MP DISLOC W/O ANES,688.6,344.3,75.38,619.74,72
CPT,26700,TREAT KNUCKLE DISLOCATION,,,200.67,374.85,14
CPT,26705,TREAT KNUCKLE DISLOCATION,,,255.92,1902.69,20
CPT,26706,PIN KNUCKLE DISLOCATION,,,306.23,3857.44,20
CPT,26715,TREAT KNUCKLE DISLOCATION,,,391.97,3857.44,20
CPT,26720,HC CL TX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA,1080.7,540.35,206.95,972.63,70
CPT,26720,HC ER CLOSED TX PRX PHALANX FX W/O MAN,1080.7,540.35,75.38,972.63,72
CPT,26720,TREAT FINGER FRACTURE EACH,,,118.41,577.23,19
CPT,26725,HC ER CLOSED TX PROX PHALANX FX W/MAN,704.75,352.38,75.38,634.28,72
CPT,26725,TREAT FINGER FRACTURE EACH,,,208.93,363.9,14
CPT,26727,TREAT FINGER FRACTURE EACH,,,330.55,3857.44,20
CPT,26735,HC ER OPEN TX PROX PHALANX FX W/IF,7209.3,3604.65,75.38,6488.37,72
CPT,26735,TREAT FINGER FRACTURE EACH,,,408.45,696.24,14
CPT,26740,HC ER CLOSED TX ARTICULAR FX W/O MANIP,1012.2,506.1,75.38,910.98,72
CPT,26740,TREAT FINGER FRACTURE EACH,,,141.38,566.73,17
CPT,26742,HC ER CLOSED TX ARTICULAR FX W/MANIP,547.15,273.58,75.38,1902.69,72
CPT,26742,TREAT FINGER FRACTURE EACH,,,232.02,921.36,15
CPT,26746,HC ER OPEN TX ARTICULAR FX W/INT FIX,8479.5,4239.75,75.38,7631.55,72
CPT,26746,TREAT FINGER FRACTURE EACH,,,501.36,864.69,14
CPT,26750,HC CL TX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA,987.6,493.8,189.13,888.84,70
CPT,26750,HC ER CLOSE RX DIST FINGR FX,987.6,493.8,75.38,888.84,72
CPT,26750,TREAT FINGER FRACTURE EACH,,,117.84,578.64,16
CPT,26755,HC ER CLOSED TX DIST PHALANX FX W/MAN,688.6,344.3,75.38,619.74,72
CPT,26755,TREAT FINGER FRACTURE EACH,,,186.4,329.78,14
CPT,26756,PIN FINGER FRACTURE EACH,,,290.9,3857.44,20
CPT,26765,HC ER OPEN TX DISTAL PHALANX FX,8937.1,4468.55,75.38,8043.39,72
CPT,26765,TREAT FINGER FRACTURE EACH,,,331.64,590.65,14
CPT,26770,HC ER CLOSED RX IP JT DISLOCATION,1047.3,523.65,75.38,942.57,72
CPT,26770,TREAT FINGER DISLOCATION,,,167.13,806.92,17
CPT,26775,HC ER CLOSED IP JOINT DISLOC W ANES,7375.6,3687.8,75.38,6638.04,72
CPT,26775,TREAT FINGER DISLOCATION,,,233.23,422.56,14
CPT,26776,PIN FINGER DISLOCATION,,,309.77,3857.44,20
CPT,26785,TREAT FINGER DISLOCATION,,,362.25,3857.44,20
CPT,26820,THUMB FUSION WITH GRAFT,,,560.26,8493.0,20
CPT,26841,FUSION OF THUMB,,,517.65,8493.0,20
CPT,26842,THUMB FUSION WITH GRAFT,,,563.53,8493.0,20
CPT,26843,FUSION OF HAND JOINT,,,521.47,8493.0,20
CPT,26844,FUSION/GRAFT OF HAND JOINT,,,582.46,8493.0,20
CPT,26850,FUSION OF KNUCKLE,,,493.67,8493.0,20
CPT,26852,FUSION OF KNUCKLE WITH GRAFT,,,567.14,8493.0,20
CPT,26860,FUSION OF FINGER JOINT,,,394.07,3857.44,20
CPT,26861,FUSION OF FINGER JNT ADD-ON,,,79.9,115.93,19
CPT,26862,FUSION/GRAFT OF FINGER JOINT,,,514.95,3857.44,20
CPT,26863,FUSE/GRAFT ADDED JOINT,,,178.18,258.27,19
CPT,26910,AMPUTATE METACARPAL BONE,,,507.68,3857.44,20
CPT,26951,AMPUTATION OF FINGER/THUMB,,,437.0,806.7,14
CPT,26951,HC ER AMPUTATION FINGER/THUMB SGL,4249.55,2124.78,75.38,3857.44,72
CPT,26952,AMPUTATION OF FINGER/THUMB,,,458.74,784.44,14
CPT,26952,HC ER AMPUTATION FINGER/THUMB W/FLAP,4350.35,2175.18,75.38,3915.32,72
CPT,26989,UNLISTED PX HANDS/FINGERS,,,232.71,879.37,6
CPT,26990,DRAINAGE OF PELVIS LESION,,,444.59,781.56,14
CPT,26990,HC ER I&D PELVIS/HIP JOINT-DEEP ABSC,11755.85,5877.93,75.38,10580.27,72
CPT,26991,DRAINAGE OF PELVIS BURSA,,,314.06,1902.69,20
CPT,26992,DRAINAGE OF BONE LESION,,,703.08,1154.98,19
CPT,27000,TENOTOMY ADDUCTOR HIP PERQ,,,322.85,1902.69,20
CPT,27001,TENOTOMY ADDUCTOR HIP OPEN,,,391.99,3857.44,20
CPT,27003,TNOT ADDUCTR SUBQ OPN NEURCT,,,421.1,8493.0,20
CPT,27005,TENOTOMY HIP FLEXOR OPEN,,,532.47,838.08,19
CPT,27006,TENOTOMY ABDUCTOR&/XTNSR HIP,,,537.85,3857.44,20
CPT,27025,FASCIOTOMY HIP/THIGH ANY TYP,,,652.53,1082.59,19
CPT,27027,DCMPRN FASCT PEL COMPARTMENT,,,638.16,8493.0,20
CPT,27030,ARTHROTOMY HIP W/DRAINAGE,,,696.42,1079.43,19
CPT,27033,ARTHRT HIP EXPL/RMV LOOSE/FB,,,720.98,8493.0,20
CPT,27035,DENERVATION OF HIP JOINT,,,809.83,3857.44,20
CPT,27036,CAPSULECTOMY/CAPSULOTOMY HIP,,,736.76,1175.72,19
CPT,27040,BIOPSY OF SOFT TISSUES,,,147.97,1926.26,20
CPT,27041,BIOPSY OF SOFT TISSUES,,,504.17,1926.26,20
CPT,27043,EXC HIP PELVIS LES SC 3 CM/>,,,278.69,3402.62,21
CPT,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,443.22,3402.62,20
CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,,,333.82,3402.62,22
CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,344.74,3402.62,20
CPT,27049,RESECT HIP/PELV TUM < 5 CM,,,734.41,3402.62,20
CPT,27050,BIOPSY OF SACROILIAC JOINT,,,252.02,1902.69,20
CPT,27052,BIOPSY OF HIP JOINT,,,402.01,1902.69,20
CPT,27054,REMOVAL OF HIP JOINT LINING,,,494.18,799.49,19
CPT,27057,BUTTOCK FASCIOTOMY W/DBRDMT,,,708.61,1902.69,20
CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,1087.64,3402.62,20
CPT,27060,REMOVAL OF ISCHIAL BURSA,,,311.01,8493.0,20
CPT,27062,REMOVE FEMUR LESION/BURSA,,,324.14,3857.44,20
CPT,27065,REMOVE HIP BONE LES SUPER,,,361.86,8493.0,20
CPT,27066,REMOVE HIP BONE LES DEEP,,,589.75,3857.44,21
CPT,27067,REMOVE/GRAFT HIP BONE LESION,,,749.17,8493.0,20
CPT,27070,PART REMOVE HIP BONE SUPER,,,617.35,1007.9,19
CPT,27071,PART REMOVAL HIP BONE DEEP,,,662.65,1111.67,19
CPT,27075,RESECT HIP TUMOR,,,1718.86,2380.44,19
CPT,27076,RESECT HIP TUM INCL ACETABUL,,,1183.36,2872.83,19
CPT,27077,RESECT HIP TUM W/INNOM BONE,,,1986.5,3202.18,19
CPT,27078,RSECT HIP TUM INCL FEMUR,,,746.04,2347.7,19
CPT,27080,REMOVAL OF TAIL BONE,,,357.77,3857.44,20
CPT,27086,REMOVE HIP FOREIGN BODY,,,107.0,3402.62,20
CPT,27087,REMOVE HIP FOREIGN BODY,,,460.55,3857.44,20
CPT,27090,REMOVAL OF HIP PROSTHESIS,,,610.0,957.23,19
CPT,27091,REMOVAL OF HIP PROSTHESIS,,,1185.81,1826.19,19
CPT,27093,HC INJECTION HIP ARTHROGRAM,1182.4,591.2,206.49,1064.16,69
CPT,27093,INJECTION FOR HIP X-RAY,,,55.79,78.21,14
CPT,27095,INJECTION FOR HIP X-RAY,,,63.71,338.76,19
CPT,27096,HC INJECTION SACROILIAC JOINT,1833.6,916.8,152.64,1650.24,70
CPT,27096,INJECT SACROILIAC JOINT,,,53.67,343.42,19
CPT,27097,REVISION OF HIP TENDON,,,486.19,3857.44,20
CPT,27098,TRANSFER TENDON TO PELVIS,,,454.81,3857.44,20
CPT,27100,TRANSFER OF ABDOMINAL MUSCLE,,,599.35,8493.0,20
CPT,27105,TRANSFER OF SPINAL MUSCLE,,,627.79,3857.44,20
CPT,27110,TRANSFER OF ILIOPSOAS MUSCLE,,,702.09,8493.0,20
CPT,27111,TRANSFER OF ILIOPSOAS MUSCLE,,,626.85,3857.44,20
CPT,27120,RECONSTRUCTION OF HIP SOCKET,,,953.6,1492.16,19
CPT,27122,RECONSTRUCTION OF HIP SOCKET,,,815.75,1269.3,19
CPT,27125,PARTIAL HIP REPLACEMENT,,,830.95,1302.47,19
CPT,27130,TOTAL HIP ARTHROPLASTY,,,1003.38,15297.04,20
CPT,27132,TOTAL HIP ARTHROPLASTY,,,1254.24,1914.21,19
CPT,27134,REVISE HIP JOINT REPLACEMENT,,,1456.59,2176.85,19
CPT,27137,REVISE HIP JOINT REPLACEMENT,,,1108.98,1679.2,19
CPT,27138,REVISE HIP JOINT REPLACEMENT,,,1154.52,1744.1,19
CPT,27140,TRANSPLANT FEMUR RIDGE,,,661.34,1036.48,19
CPT,27146,INCISION OF HIP BONE,,,934.77,1471.21,19
CPT,27147,REVISION OF HIP BONE,,,1089.58,1678.58,19
CPT,27151,INCISION OF HIP BONES,,,1137.67,1813.2,19
CPT,27156,REVISION OF HIP BONES,,,1272.43,1952.54,19
CPT,27158,REVISION OF PELVIS,,,1022.42,1606.1,19
CPT,27161,INCISION OF NECK OF FEMUR,,,903.35,1403.7,19
CPT,27165,INCISION/FIXATION OF FEMUR,,,1009.6,1573.6,19
CPT,27170,REPAIR/GRAFT FEMUR HEAD/NECK,,,874.77,1345.73,19
CPT,27175,TREAT SLIPPED EPIPHYSIS,,,485.21,773.2,19
CPT,27176,TREAT SLIPPED EPIPHYSIS,,,670.71,1065.78,19
CPT,27177,TREAT SLIPPED EPIPHYSIS,,,819.09,1285.68,19
CPT,27178,TREAT SLIPPED EPIPHYSIS,,,663.84,1065.78,19
CPT,27179,REVISE HEAD/NECK OF FEMUR,,,715.36,8493.0,19
CPT,27181,TREAT SLIPPED EPIPHYSIS,,,797.36,1291.08,19
CPT,27185,REVISION OF FEMUR EPIPHYSIS,,,505.78,834.14,19
CPT,27187,REINFORCE HIP BONES,,,733.36,1149.54,19
CPT,27197,CLSD TX PELVIC RING FX,,,98.23,317.98,16
CPT,27197,HC CLSD TX PELVIC RING FX W/O MANIPULATION,1104.05,552.03,96.15,993.65,70
CPT,27197,HC ER CLOSED TX PELVIC RING FX/DISLO,1104.05,552.03,75.38,993.65,72
CPT,27198,CLSD TX PELVIC RING FX,,,232.71,363.41,20
CPT,27200,HC ER CLOSED TX COCCYGEAL FRACTURE,667.05,333.53,75.38,600.35,72
CPT,27200,TREAT TAIL BONE FRACTURE,,,123.19,228.9,14
CPT,27202,TREAT TAIL BONE FRACTURE,,,461.45,3857.44,20
CPT,27215,TREAT PELVIC FRACTURE(S),,,541.74,701.61,14
CPT,27216,TREAT PELVIC RING FRACTURE,,,847.17,2891.51,8
CPT,27217,TREAT PELVIC RING FRACTURE,,,749.94,2712.93,16
CPT,27218,TREAT PELVIC RING FRACTURE,,,1026.7,1338.98,14
CPT,27220,HC CLOSED TX ACETABULUM FX W/O MAN,1169.8,584.9,224.02,1052.82,70
CPT,27220,HC ER CLOSED TX ACETABULUM FX W/O MAN,1169.8,584.9,75.38,1052.82,72
CPT,27220,TREAT HIP SOCKET FRACTURE,,,374.26,481.26,14
CPT,27222,HC ER CLOSED TX ACETABULUM FX W/MANIP,1513.05,756.53,75.38,1361.75,72
CPT,27222,TREAT HIP SOCKET FRACTURE,,,718.99,1132.0,14
CPT,27226,TREAT HIP WALL FRACTURE,,,766.52,2429.08,20
CPT,27227,TREAT HIP FRACTURE(S),,,1242.32,1893.15,19
CPT,27228,TREAT HIP FRACTURE(S),,,1423.49,2148.58,19
CPT,27230,HC ER CLOSED TX FEM FX PROX W/O MANIP,1322.0,661.0,75.38,1189.8,72
CPT,27230,TREAT THIGH FRACTURE,,,330.47,559.91,14
CPT,27232,HC ER CLOSED TX FEM FX PROX W MANIP,1439.85,719.93,75.38,1295.87,72
CPT,27232,TREAT THIGH FRACTURE,,,572.4,841.95,14
CPT,27235,TREAT THIGH FRACTURE,,,670.51,8493.0,20
CPT,27236,TREAT THIGH FRACTURE,,,878.66,1372.58,19
CPT,27238,HC CLOSED RX INTER/SUBTROCH FEMUR FX,3586.2,1793.1,686.76,3227.58,70
CPT,27238,HC ER CLOSED TX INTER/SUBTROCH FEMUR FX W/O MANIP,3586.2,1793.1,75.38,3227.58,72
CPT,27238,TREAT THIGH FRACTURE,,,323.89,548.24,14
CPT,27240,TREAT THIGH FRACTURE,,,701.78,1102.65,19
CPT,27244,TREAT THIGH FRACTURE,,,904.03,1412.11,19
CPT,27245,TREAT THIGH FRACTURE,,,936.04,1410.45,19
CPT,27246,HC ER CLOSED TX GREATER TROCHANTERIC FX,1440.05,720.03,75.38,1296.05,72
CPT,27246,TREAT THIGH FRACTURE,,,274.73,454.9,14
CPT,27248,TREAT THIGH FRACTURE,,,553.93,859.91,19
CPT,27250,HC ER TREATMENT HIP DISLOC TRAUMA W/O ANES,1300.9,650.45,75.38,1170.81,72
CPT,27250,TREAT HIP DISLOCATION,,,163.84,204.8,14
CPT,27252,HC ER TREATMENT HIP DISLOC TRAUMA W/ ANES,3446.05,1723.03,75.38,3101.45,72
CPT,27252,TREAT HIP DISLOCATION,,,554.58,862.28,14
CPT,27253,TREAT HIP DISLOCATION,,,696.98,1083.24,19
CPT,27254,TREAT HIP DISLOCATION,,,943.74,1460.79,19
CPT,27256,HC ER TX HIP DISLOC SPONTANEOUS,1257.6,628.8,75.38,1131.84,72
CPT,27256,TREAT HIP DISLOCATION,,,181.56,276.63,14
CPT,27257,TREAT HIP DISLOCATION,,,248.33,1902.69,20
CPT,27258,TREAT HIP DISLOCATION,,,817.92,1279.84,19
CPT,27259,TREAT HIP DISLOCATION,,,1148.63,1771.71,19
CPT,27265,HC ER TREATMENT HIP DISLOC POST W/O ANES,778.9,389.45,75.38,701.01,72
CPT,27265,TREAT HIP DISLOCATION,,,281.07,491.18,14
CPT,27266,HC ER TREATMENT HIP DISLOC POST W/ ANES,3475.3,1737.65,75.38,3127.77,72
CPT,27266,TREAT HIP DISLOCATION,,,420.09,675.79,14
CPT,27267,CLTX THIGH FX,,,299.52,3857.44,20
CPT,27268,CLTX THIGH FX W/MNPJ,,,371.87,635.55,14
CPT,27268,HC ER TX FEMORAL FX PROXIMAL W/MANIP,13468.6,6734.3,75.38,12121.74,72
CPT,27269,OPTX THIGH FX,,,899.95,1424.69,19
CPT,27275,MANIPULATION OF HIP JOINT,,,130.17,1902.69,20
CPT,27278,ARTHRD SI JT PLMT IARTIC DEV,,,376.35,21863.47,19
CPT,27279,ARTHRD SI JT PLMT TARTCLR DV,,,472.97,21863.47,20
CPT,27280,ARTHR SI JT OPN B1GRF INSTRM,,,756.07,1551.71,19
CPT,27282,ARTHRODESIS SYMPHYSIS PUBIS,,,593.13,994.73,19
CPT,27284,ARTHRODESIS HIP JOINT,,,1156.9,1835.72,19
CPT,27286,ARTHRD HIP JT SBTRCHC OSTEOT,,,1218.91,1882.26,19
CPT,27290,AMPUTATION OF LEG AT HIP,,,1165.32,1862.1,19
CPT,27295,AMPUTATION OF LEG AT HIP,,,940.91,1437.31,19
CPT,27299,UNLISTED PX PELVIS/HIP JOINT,,,232.71,879.37,6
CPT,27301,DRAIN THIGH/KNEE LESION,,,358.19,590.03,14
CPT,27301,HC ER I&D ABSCESS/BURSA THIGH/KNEE,4938.3,2469.15,75.38,4444.47,72
CPT,27303,DRAINAGE OF BONE LESION,,,463.86,745.11,19
CPT,27305,INCISE THIGH TENDON & FASCIA,,,337.83,3857.44,20
CPT,27306,INCISION OF THIGH TENDON,,,272.78,3857.44,23
CPT,27307,INCISION OF THIGH TENDONS,,,336.45,3857.44,21
CPT,27310,EXPLORATION OF KNEE JOINT,,,529.44,850.28,14
CPT,27310,HC ER ARTHROTOMY KNEE,7701.05,3850.53,75.38,6930.95,72
CPT,27323,BIOPSY THIGH SOFT TISSUES,,,128.72,502.69,15
CPT,27323,"HC BIOPSY, SOFT TISSUE THIGH/KNEE AREA",6116.65,3058.33,879.37,5504.99,70
CPT,27324,BIOPSY THIGH SOFT TISSUES,,,275.16,477.64,14
CPT,27324,"HC BX THIGH/KNEE SOFT TISSUES,DEEP",9897.7,4948.85,879.37,8907.93,70
CPT,27325,NEURECTOMY HAMSTRING,,,381.93,2321.6,20
CPT,27326,NEURECTOMY POPLITEAL,,,352.0,2321.6,20
CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,,,251.37,364.94,14
CPT,27327,HC EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,6376.2,3188.1,879.37,5738.58,70
CPT,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,303.86,3402.62,20
CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,762.76,3402.62,20
CPT,27330,BIOPSY KNEE JOINT LINING,,,288.05,3857.44,20
CPT,27331,EXPLORE/TREAT KNEE JOINT,,,340.47,3857.44,20
CPT,27332,REMOVAL OF KNEE CARTILAGE,,,462.89,3857.44,20
CPT,27333,REMOVAL OF KNEE CARTILAGE,,,418.96,3857.44,20
CPT,27334,REMOVE KNEE JOINT LINING,,,493.23,3857.44,20
CPT,27335,REMOVE KNEE JOINT LINING,,,558.55,8493.0,20
CPT,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,248.63,3402.62,21
CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,447.83,3402.62,20
CPT,27340,REMOVAL OF KNEECAP BURSA,,,259.8,3857.44,20
CPT,27345,REMOVAL OF KNEE CYST,,,344.67,3857.44,20
CPT,27347,REMOVE KNEE CYST,,,369.99,3857.44,20
CPT,27350,REMOVAL OF KNEECAP,,,471.08,8493.0,20
CPT,27355,REMOVE FEMUR LESION,,,436.55,3857.44,20
CPT,27356,REMOVE FEMUR LESION/GRAFT,,,536.27,15297.04,20
CPT,27357,REMOVE FEMUR LESION/GRAFT,,,594.69,8493.0,20
CPT,27358,REMOVE FEMUR LESION/FIXATION,,,218.65,310.94,19
CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,618.56,3857.44,20
CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,935.72,3402.62,20
CPT,27365,RESECT FEMUR/KNEE TUMOR,,,905.11,2348.61,19
CPT,27369,HC INJECTION FOR KNEE ARTHROGRAPHY,1022.15,511.08,115.27,919.94,70
CPT,27369,NJX CNTRST KNE ARTHG/CT/MRI,,,34.75,46.18,14
CPT,27372,HC ER REMOVAL FB THIGH/KNEE,9289.75,4644.88,75.38,8360.78,72
CPT,27372,REMOVAL OF FOREIGN BODY,,,290.69,466.33,14
CPT,27380,REPAIR OF KNEECAP TENDON,,,426.49,8493.0,20
CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,583.47,8493.0,20
CPT,27385,REPAIR OF THIGH MUSCLE,,,457.15,8493.0,21
CPT,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,605.0,8493.0,20
CPT,27390,INCISION OF THIGH TENDON,,,316.17,3857.44,20
CPT,27391,INCISION OF THIGH TENDONS,,,412.96,3857.44,20
CPT,27392,INCISION OF THIGH TENDONS,,,510.2,3857.44,20
CPT,27393,LENGTHENING OF THIGH TENDON,,,365.95,8493.0,20
CPT,27394,LENGTHENING OF THIGH TENDONS,,,473.95,8493.0,20
CPT,27395,LENGTHENING OF THIGH TENDONS,,,643.05,3857.44,20
CPT,27396,TRANSPLANT OF THIGH TENDON,,,445.11,8493.0,20
CPT,27397,TRANSPLANTS OF THIGH TENDONS,,,657.28,8493.0,20
CPT,27400,REVISE THIGH MUSCLES/TENDONS,,,496.42,8493.0,20
CPT,27403,REPAIR OF KNEE CARTILAGE,,,466.28,8493.0,20
CPT,27405,REPAIR OF KNEE LIGAMENT,,,491.31,8493.0,20
CPT,27407,REPAIR OF KNEE LIGAMENT,,,562.46,8493.0,20
CPT,27409,REPAIR OF KNEE LIGAMENTS,,,707.86,8493.0,20
CPT,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,1513.46,8493.0,10
CPT,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,1027.64,15297.04,19
CPT,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,710.46,8493.0,19
CPT,27418,REPAIR DEGENERATED KNEECAP,,,610.0,8493.0,20
CPT,27420,REVISION OF UNSTABLE KNEECAP,,,545.85,8493.0,20
CPT,27422,REVISION OF UNSTABLE KNEECAP,,,543.58,8493.0,20
CPT,27424,REVISION/REMOVAL OF KNEECAP,,,545.04,8493.0,20
CPT,27425,LAT RETINACULAR RELEASE OPEN,,,315.99,3857.44,20
CPT,27427,RECONSTRUCTION KNEE,,,523.19,8493.0,20
CPT,27428,RECONSTRUCTION KNEE,,,807.06,15297.04,20
CPT,27429,RECONSTRUCTION KNEE,,,879.37,15297.04,20
CPT,27430,REVISION OF THIGH MUSCLES,,,540.19,8493.0,20
CPT,27435,INCISION OF KNEE JOINT,,,579.13,3857.44,20
CPT,27437,REVISE KNEECAP,,,479.97,8493.0,20
CPT,27438,REVISE KNEECAP WITH IMPLANT,,,616.52,15297.04,20
CPT,27440,REVISION OF KNEE JOINT,,,563.63,15297.04,20
CPT,27441,REVISION OF KNEE JOINT,,,582.22,15297.04,20
CPT,27442,REVISION OF KNEE JOINT,,,638.76,15297.04,20
CPT,27443,REVISION OF KNEE JOINT,,,597.69,15297.04,20
CPT,27445,APC,,,1176.47,1441.76,5
CPT,27445,Fee Schedule,,,1441.75,1441.75,1
CPT,27445,MPFS,,,1153.4,1197.06,4
CPT,27445,Physician Fee Schedule,,,934.1,952.78,9
CPT,27446,REVISION OF KNEE JOINT,,,827.92,15297.04,20
CPT,27447,TOTAL KNEE ARTHROPLASTY,,,1110.32,15297.04,20
CPT,27448,INCISION OF THIGH,,,602.24,958.45,19
CPT,27450,INCISION OF THIGH,,,751.12,1161.22,19
CPT,27454,REALIGNMENT OF THIGH BONE,,,949.6,1487.53,19
CPT,27455,REALIGNMENT OF KNEE,,,693.68,1107.34,19
CPT,27457,REALIGNMENT OF KNEE,,,715.33,1101.54,19
CPT,27465,SHORTENING OF THIGH BONE,,,902.92,1434.57,19
CPT,27466,LENGTHENING OF THIGH BONE,,,874.37,1363.56,19
CPT,27468,APC,,,1257.31,1540.82,5
CPT,27468,Fee Schedule,,,1540.81,1540.81,1
CPT,27468,MPFS,,,1232.65,1279.31,4
CPT,27468,Physician Fee Schedule,,,991.62,1011.45,9
CPT,27470,REPAIR OF THIGH,,,871.59,1358.21,19
CPT,27472,REPAIR/GRAFT OF THIGH,,,942.98,1454.29,19
CPT,27475,SURGERY TO STOP LEG GROWTH,,,477.47,8493.0,20
CPT,27477,SURGERY TO STOP LEG GROWTH,,,535.91,8493.0,20
CPT,27479,SURGERY TO STOP LEG GROWTH,,,691.0,8493.0,20
CPT,27485,SURGERY TO STOP LEG GROWTH,,,488.74,8493.0,20
CPT,27486,REVISE/REPLACE KNEE JOINT,,,1047.31,1612.8,19
CPT,27487,REVISE/REPLACE KNEE JOINT,,,1322.92,2007.24,19
CPT,27488,REMOVAL OF KNEE PROSTHESIS,,,885.04,1381.59,19
CPT,27495,REINFORCE THIGH,,,838.27,1300.88,19
CPT,27496,DECOMPRESSION OF THIGH/KNEE,,,363.92,3857.44,20
CPT,27497,DECOMPRESSION OF THIGH/KNEE,,,396.49,3857.44,20
CPT,27498,DECOMPRESSION OF THIGH/KNEE,,,432.57,1902.69,20
CPT,27499,DECOMPRESSION OF THIGH/KNEE,,,479.57,8493.0,20
CPT,27500,HC ER CLOSED TX FEM SHAFT FX W/O MANIP,334.1,167.05,72.87,300.69,72
CPT,27500,TREATMENT OF THIGH FRACTURE,,,341.37,561.08,14
CPT,27501,HC ER CLOSED TX FEM SUPR W/O MANIP,334.1,167.05,72.87,300.69,72
CPT,27501,TREATMENT OF THIGH FRACTURE,,,355.01,581.69,14
CPT,27502,HC ER CLOSED TX  FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,650.3,325.15,75.38,1902.69,72
CPT,27502,TREATMENT OF THIGH FRACTURE,,,577.37,871.68,14
CPT,27503,HC ER CLOSED TX FEM SUPR W/MANIP,239.5,119.75,52.23,1902.69,72
CPT,27503,TREATMENT OF THIGH FRACTURE,,,586.95,926.96,14
CPT,27506,TREATMENT OF THIGH FRACTURE,,,983.87,4260.03,20
CPT,27507,TREATMENT OF THIGH FRACTURE,,,729.12,1113.82,19
CPT,27508,"HC CLSD TX FEMORAL FX, DISTAL END W/O MANIP",1318.0,659.0,232.71,1186.2,70
CPT,27508,HC ER TX FEMORAL FX DISTAL W/O MANIP,1316.15,658.08,75.38,1184.54,72
CPT,27508,TREATMENT OF THIGH FRACTURE,,,348.52,584.58,14
CPT,27509,TREATMENT OF THIGH FRACTURE,,,464.64,8493.0,20
CPT,27510,HC ER CLOSED TX FEMORAL FX W/MANIP,1083.5,541.75,75.38,1902.69,72
CPT,27510,TREATMENT OF THIGH FRACTURE,,,509.54,788.65,14
CPT,27511,TREATMENT OF THIGH FRACTURE,,,755.21,1142.63,19
CPT,27513,TREATMENT OF THIGH FRACTURE,,,950.76,1414.23,19
CPT,27514,TREATMENT OF THIGH FRACTURE,,,762.22,1110.11,19
CPT,27516,TREAT THIGH FX GROWTH PLATE,,,232.71,879.37,20
CPT,27517,TREAT THIGH FX GROWTH PLATE,,,488.02,1902.69,20
CPT,27519,TREAT THIGH FX GROWTH PLATE,,,689.25,1024.36,19
CPT,27520,HC CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,871.55,435.78,166.9,879.37,70
CPT,27520,HC ER CLOSED TX PATELLAR FX W/O MANIP,871.55,435.78,75.38,784.4,72
CPT,27520,TREAT KNEECAP FRACTURE,,,195.82,925.19,15
CPT,27524,TREAT KNEECAP FRACTURE,,,551.43,8493.0,20
CPT,27530,HC CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,1101.45,550.73,210.93,991.31,70
CPT,27530,HC ER CLOSED TX TIBIAL FX W/O MANIP,1101.45,550.73,75.38,991.31,72
CPT,27530,TREAT KNEE FRACTURE,,,253.38,1008.86,15
CPT,27532,HC ER TREAT KNEE FRACTURE,13234.45,6617.23,75.38,11911.01,72
CPT,27532,TREAT KNEE FRACTURE,,,415.05,678.4,14
CPT,27535,TREAT KNEE FRACTURE,,,673.76,2233.45,21
CPT,27536,TREAT KNEE FRACTURE,,,876.54,1367.63,19
CPT,27538,TREAT KNEE FRACTURE(S),,,232.71,1432.11,20
CPT,27540,TREAT KNEE FRACTURE,,,609.53,943.69,19
CPT,27550,HC ER CLOSED TX KNEE DISLOC W/O ANES,1266.55,633.28,75.38,1139.9,72
CPT,27550,TREAT KNEE DISLOCATION,,,322.96,553.05,14
CPT,27552,HC ER CLOSED TX KNEE DISLOC W/ANES,2330.1,1165.05,75.38,2097.09,72
CPT,27552,TREAT KNEE DISLOCATION,,,448.85,740.16,14
CPT,27556,TREAT KNEE DISLOCATION,,,677.67,1006.86,19
CPT,27557,TREAT KNEE DISLOCATION,,,811.87,1198.02,19
CPT,27558,TREAT KNEE DISLOCATION,,,912.23,1361.73,19
CPT,27560,HC ER CLOSED TX PATELLAR DISL W/O ANES,916.05,458.03,75.38,824.45,72
CPT,27560,TREAT KNEECAP DISLOCATION,,,229.37,873.85,15
CPT,27562,HC ER CLOSED TX PATELLAR DISLOC W/ANES,3926.05,1963.03,75.38,3533.45,72
CPT,27562,TREAT KNEECAP DISLOCATION,,,330.94,576.64,14
CPT,27566,TREAT KNEECAP DISLOCATION,,,657.74,8493.0,20
CPT,27570,FIXATION OF KNEE JOINT,,,105.98,179.94,14
CPT,27570,HC ER KNEE MANIPULATION W/ANESTHESIA,3926.7,1963.35,75.38,3534.03,72
CPT,27580,FUSION OF KNEE,,,1067.6,1690.14,19
CPT,27590,AMPUTATE LEG AT THIGH,,,614.12,883.84,19
CPT,27591,AMPUTATE LEG AT THIGH,,,678.19,1112.78,19
CPT,27592,AMPUTATE LEG AT THIGH,,,519.92,765.95,19
CPT,27594,AMPUTATION FOLLOW-UP SURGERY,,,374.32,3857.44,20
CPT,27596,AMPUTATION FOLLOW-UP SURGERY,,,544.13,807.64,19
CPT,27598,AMPUTATE LOWER LEG AT KNEE,,,552.51,791.54,19
CPT,27599,HC ER CLOSED TX PATELLA DISLOCATION & FX W/MANIP,1063.9,531.95,75.38,957.51,72
CPT,27600,DECOMPRESSION OF LOWER LEG,,,310.85,3857.44,20
CPT,27601,DECOMPRESSION OF LOWER LEG,,,321.72,3857.44,20
CPT,27602,DECOMPRESSION OF LOWER LEG,,,382.13,540.09,14
CPT,27602,HC FASCIOTOMY  ANT/POST/LAT COMPART,12200.65,6100.33,1432.11,10980.59,70
CPT,27603,DRAIN LOWER LEG LESION,,,280.94,449.56,14
CPT,27603,HC ER I&D LEG ANKLE DEEP ABSCESS,7262.35,3631.18,75.38,6536.12,72
CPT,27603,HC I&D LEG ANKLE DEEP ABSCESS,7262.35,3631.18,314.06,6536.12,70
CPT,27604,DRAIN LOWER LEG BURSA,,,247.54,3857.44,20
CPT,27605,HC TENOTOMY PERC ACHILLES TENDON W/ LOCAL ANES,5708.0,2854.0,1093.08,5137.2,70
CPT,27605,INCISION OF ACHILLES TENDON,,,148.7,535.93,15
CPT,27606,INCISION OF ACHILLES TENDON,,,218.47,3857.44,20
CPT,27607,TREAT LOWER LEG BONE LESION,,,449.8,3857.44,20
CPT,27610,EXPLORE/TREAT ANKLE JOINT,,,480.07,3857.44,20
CPT,27612,EXPLORATION OF ANKLE JOINT,,,419.2,3857.44,20
CPT,27613,BIOPSY LOWER LEG SOFT TISSUE,,,120.98,187.38,14
CPT,27613,HC BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,3810.85,1905.43,729.78,3429.77,70
CPT,27614,BIOPSY LOWER LEG SOFT TISSUE,,,300.67,3402.62,20
CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,648.19,3402.62,20
CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,763.95,3402.62,20
CPT,27618,EXC LEG/ANKLE TUM < 3 CM,,,278.37,1926.26,20
CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,432.88,3402.62,20
CPT,27620,EXPLORE/TREAT ANKLE JOINT,,,336.96,3857.44,20
CPT,27625,REMOVE ANKLE JOINT LINING,,,437.43,3857.44,20
CPT,27626,REMOVE ANKLE JOINT LINING,,,472.3,3857.44,20
CPT,27630,REMOVAL OF TENDON LESION,,,271.1,3857.44,20
CPT,27632,EXC LEG/ANKLE LES SC 3 CM/>,,,245.98,3402.62,20
CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,401.59,3402.62,20
CPT,27635,REMOVE LOWER LEG BONE LESION,,,433.88,3857.44,20
CPT,27637,REMOVE/GRAFT LEG BONE LESION,,,550.63,8493.0,20
CPT,27638,REMOVE/GRAFT LEG BONE LESION,,,574.61,8493.0,20
CPT,27640,PARTIAL REMOVAL OF TIBIA,,,636.63,3857.44,20
CPT,27641,PARTIAL REMOVAL OF FIBULA,,,510.27,3857.44,20
CPT,27645,RESECT TIBIA TUMOR,,,772.61,2024.13,19
CPT,27646,RESECT FIBULA TUMOR,,,683.54,1760.7,19
CPT,27647,RESECT TALUS/CALCANEUS TUM,,,607.31,3857.44,20
CPT,27648,HC INJECTION PROCEDURE FOR ANKLE ARTHOGRAPHY,1462.6,731.3,188.34,1316.34,69
CPT,27648,INJECTION FOR ANKLE X-RAY,,,40.36,58.95,14
CPT,27650,REPAIR ACHILLES TENDON,,,495.73,8493.0,20
CPT,27652,REPAIR/GRAFT ACHILLES TENDON,,,547.53,8493.0,20
CPT,27654,REPAIR OF ACHILLES TENDON,,,534.33,8493.0,20
CPT,27656,REPAIR LEG FASCIA DEFECT,,,256.19,3857.44,20
CPT,27658,HC ER REPAIR EXTENSOR TENDON LEG PRIM,3398.9,1699.45,75.38,3857.44,72
CPT,27658,REPAIR OF LEG TENDON EACH,,,280.85,433.7,14
CPT,27659,REPAIR OF LEG TENDON EACH,,,369.95,8493.0,20
CPT,27664,HC ER REPAIR FLEXOR TENDON LEG PRIM,3398.9,1699.45,75.38,8493.0,72
CPT,27664,REPAIR OF LEG TENDON EACH,,,267.37,417.01,14
CPT,27665,REPAIR OF LEG TENDON EACH,,,306.69,8493.0,20
CPT,27675,REPAIR LOWER LEG TENDONS,,,377.34,3857.44,21
CPT,27676,REPAIR LOWER LEG TENDONS,,,457.61,8493.0,20
CPT,27680,RELEASE OF LOWER LEG TENDON,,,318.56,3857.44,20
CPT,27681,RELEASE OF LOWER LEG TENDONS,,,379.66,3857.44,20
CPT,27685,REVISION OF LOWER LEG TENDON,,,351.87,3857.44,20
CPT,27686,REVISE LOWER LEG TENDONS,,,414.59,3857.44,20
CPT,27687,REVISION OF CALF TENDON,,,341.2,3857.44,20
CPT,27690,REVISE LOWER LEG TENDON,,,470.5,8493.0,20
CPT,27691,REVISE LOWER LEG TENDON,,,551.62,8493.0,20
CPT,27692,REVISE ADDITIONAL LEG TENDON,,,84.79,117.06,19
CPT,27695,REPAIR OF ANKLE LIGAMENT,,,362.94,8493.0,20
CPT,27696,REPAIR OF ANKLE LIGAMENTS,,,434.83,8493.0,20
CPT,27698,REPAIR OF ANKLE LIGAMENT,,,488.38,8493.0,20
CPT,27700,REVISION OF ANKLE JOINT,,,463.13,8493.0,20
CPT,27702,RECONSTRUCT ANKLE JOINT,,,737.99,21863.47,19
CPT,27703,RECONSTRUCTION ANKLE JOINT,,,854.67,1284.13,19
CPT,27704,REMOVAL OF ANKLE IMPLANT,,,416.95,3857.44,20
CPT,27705,OSTEOTOMY TIBIA,,,565.71,8493.0,20
CPT,27707,OSTEOTOMY FIBULA,,,285.34,3857.44,20
CPT,27709,OSTEOTOMY TIBIA & FIBULA,,,829.12,15297.04,20
CPT,27712,OSTEOT MLT RELIGNMT IMED ROD,,,807.4,1271.04,19
CPT,27715,OSTPL TIBFIB LNGTH/SHRT,,,788.61,1234.84,19
CPT,27720,REPAIR OF TIBIA,,,647.25,8493.0,20
CPT,27722,REPAIR/GRAFT OF TIBIA,,,645.97,8493.0,20
CPT,27724,REPAIR/GRAFT OF TIBIA,,,953.92,1439.49,19
CPT,27725,REPAIR OF LOWER LEG,,,885.58,1401.93,19
CPT,27726,REPAIR FIBULA NONUNION,,,677.06,8493.0,20
CPT,27727,REPAIR OF LOWER LEG,,,720.76,1198.19,19
CPT,27730,REPAIR OF TIBIA EPIPHYSIS,,,429.74,3857.44,20
CPT,27732,REPAIR OF FIBULA EPIPHYSIS,,,292.15,3857.44,20
CPT,27734,REPAIR LOWER LEG EPIPHYSES,,,439.85,3857.44,20
CPT,27740,REPAIR OF LEG EPIPHYSES,,,487.89,3857.44,20
CPT,27742,REPAIR OF LEG EPIPHYSES,,,514.88,3857.44,20
CPT,27745,REINFORCE TIBIA,,,554.97,8493.0,20
CPT,27750,HC ER CLOSED TX TIB SHAFT FX W/O MAN,1770.3,885.15,75.38,1593.27,72
CPT,27750,TREATMENT OF TIBIA FRACTURE,,,214.61,712.07,15
CPT,27752,"HC CLOSED RX TIBIA SHAFT FX,MANIPULATN",1062.45,531.23,203.46,1902.69,70
CPT,27752,HC ER CLOSED TX TIBIAL SHAFT FX W/MAN,1062.45,531.23,75.38,1902.69,72
CPT,27752,TREATMENT OF TIBIA FRACTURE,,,353.91,574.46,14
CPT,27756,TREATMENT OF TIBIA FRACTURE,,,411.7,8493.0,20
CPT,27758,HC ER OPEN TX TIBIAL SHAFT W/PLATE,8011.8,4005.9,75.38,15297.04,72
CPT,27758,TREATMENT OF TIBIA FRACTURE,,,652.5,1036.18,14
CPT,27759,TREATMENT OF TIBIA FRACTURE,,,740.2,15297.04,21
CPT,27760,CLTX MEDIAL ANKLE FX,,,204.5,368.16,14
CPT,27760,HC CLOSED TX MEDIAL MALLEOLUS FX W/O MANIPULATION,910.45,455.23,174.35,879.37,70
CPT,27760,HC ER CLOSED TX MALLEOLUS FX W/O MANIP,910.45,455.23,75.38,819.41,72
CPT,27762,CLTX MED ANKLE FX W/MNPJ,,,313.47,516.2,14
CPT,27762,HC ER CLOSED TX MALLEOLUS FX W/ MANIP,1770.3,885.15,75.38,1902.69,72
CPT,27766,OPTX MEDIAL ANKLE FX,,,442.97,8493.0,20
CPT,27767,CLTX POST ANKLE FX,,,179.0,348.58,14
CPT,27767,HC ER CLTX POST ANKLE FX W/O MANJ,1042.6,521.3,75.38,938.34,72
CPT,27768,CLTX POST ANKLE FX W/MNPJ,,,289.75,528.95,14
CPT,27768,HC ER CLOSED TREATMENT PST MALLEOLUS FRACTURE W MANIP,6552.85,3276.43,75.38,5897.57,72
CPT,27769,OPTX POST ANKLE FX,,,507.61,8493.0,20
CPT,27780,HC ER CLOSED TX PROX FIB SHFT FX WO MAN,527.0,263.5,75.38,474.3,72
CPT,27780,TREATMENT OF FIBULA FRACTURE,,,182.45,875.45,16
CPT,27781,HC ER CLOSED TX PROX FIB SHFT FX W MANP,3473.4,1736.7,75.38,3126.06,72
CPT,27781,TREATMENT OF FIBULA FRACTURE,,,273.39,477.6,14
CPT,27784,TREATMENT OF FIBULA FRACTURE,,,503.96,8493.0,20
CPT,27786,HC CLOSED TX DISTAL FIB FX W/O MANIP,754.35,377.18,144.46,879.37,70
CPT,27786,HC ER CLOSED TX DISTAL FIB FX W/O MAN,754.35,377.18,75.38,678.92,72
CPT,27786,TREATMENT OF ANKLE FRACTURE,,,192.22,760.86,16
CPT,27788,HC ER CLOSED TX DISTAL FIBULA FX W/MAN,1629.95,814.98,75.38,1466.96,72
CPT,27788,TREATMENT OF ANKLE FRACTURE,,,272.87,455.29,14
CPT,27792,TREATMENT OF ANKLE FRACTURE,,,509.41,8493.0,21
CPT,27808,HC ER TREATMENT BIMALLEOLAR ANK FX W/O MAN,547.3,273.65,75.38,492.57,72
CPT,27808,HC TREATMENT BIMALLEOLAR ANK FX W/O MAN,547.3,273.65,104.81,879.37,70
CPT,27808,TREATMENT OF ANKLE FRACTURE,,,200.34,365.0,14
CPT,27810,HC ER TREATMENT BIMALLEOLAR ANK FX W/MANIP,1770.3,885.15,75.38,1902.69,72
CPT,27810,TREATMENT OF ANKLE FRACTURE,,,305.6,504.84,14
CPT,27814,TREATMENT OF ANKLE FRACTURE,,,568.56,8493.0,20
CPT,27816,HC ER TREATMENT TRIMALLEOLAR ANK FX W/O MAN,910.45,455.23,75.38,819.41,72
CPT,27816,HC TREATMENT TRIMALLEOLAR ANKLE FX W/O MANIP,910.45,455.23,174.35,879.37,70
CPT,27816,TREATMENT OF ANKLE FRACTURE,,,190.64,351.05,14
CPT,27818,HC ER TREATMENT TRIMALLEOLAR ANK FX W/MANIP,1062.45,531.23,75.38,1902.69,72
CPT,27818,TREATMENT OF ANKLE FRACTURE,,,312.87,519.33,14
CPT,27822,TREATMENT OF ANKLE FRACTURE,,,621.63,8493.0,20
CPT,27823,TREATMENT OF ANKLE FRACTURE,,,709.23,8493.0,20
CPT,27824,HC CLOSED TX DISTAL TIB FX W/O MAN,527.0,263.5,100.92,879.37,70
CPT,27824,HC ER CLOSED TX DISTAL TIB FX W/O MAN,527.0,263.5,75.38,474.3,72
CPT,27824,TREAT LOWER LEG FRACTURE,,,204.73,364.19,14
CPT,27825,HC ER CLOSED TX DISTAL TIBIA FX W/MAN,644.1,322.05,75.38,1902.69,72
CPT,27825,TREAT LOWER LEG FRACTURE,,,359.61,579.85,14
CPT,27826,TREAT LOWER LEG FRACTURE,,,596.81,8493.0,20
CPT,27827,TREAT LOWER LEG FRACTURE,,,796.27,15297.04,20
CPT,27828,TREAT LOWER LEG FRACTURE,,,953.94,15297.04,20
CPT,27829,TREAT LOWER LEG JOINT,,,476.47,8493.0,21
CPT,27830,HC ER CLOSED TX PROX TIB/FIB DISLOC,1065.2,532.6,75.38,958.68,72
CPT,27830,TREAT LOWER LEG DISLOCATION,,,232.27,428.26,14
CPT,27831,TREAT LOWER LEG DISLOCATION,,,270.94,3857.44,20
CPT,27832,TREAT LOWER LEG DISLOCATION,,,514.41,8493.0,20
CPT,27840,HC ER CLOSED TX ANKLE DISLOC W/O ANES,1424.65,712.33,75.38,1282.19,72
CPT,27840,TREAT ANKLE DISLOCATION,,,250.44,994.65,15
CPT,27842,HC ER CLOSED TX ANKLE DISLOC W/ANES,3610.2,1805.1,75.38,3249.18,72
CPT,27842,TREAT ANKLE DISLOCATION,,,350.52,576.36,14
CPT,27846,TREAT ANKLE DISLOCATION,,,542.9,8493.0,20
CPT,27848,TREAT ANKLE DISLOCATION,,,614.74,8493.0,20
CPT,27860,FIXATION OF ANKLE JOINT,,,130.88,3857.44,20
CPT,27870,FUSION OF ANKLE JOINT OPEN,,,776.54,15297.04,20
CPT,27871,FUSION OF TIBIOFIBULAR JOINT,,,508.7,15297.04,20
CPT,27880,AMPUTATION OF LOWER LEG,,,689.94,1014.95,19
CPT,27881,AMPUTATION OF LOWER LEG,,,662.58,940.4,19
CPT,27882,AMPUTATION OF LOWER LEG,,,467.42,669.18,19
CPT,27884,AMPUTATION FOLLOW-UP SURGERY,,,433.81,3857.44,20
CPT,27886,AMPUTATION FOLLOW-UP SURGERY,,,494.91,737.74,19
CPT,27888,AMPUTATION OF FOOT AT ANKLE,,,518.1,647.63,19
CPT,27889,ANKLE DISARTICULATION,,,512.24,8493.0,19
CPT,27892,DECOMPRESSION OF LEG,,,401.11,625.13,14
CPT,27892,HC FASCIOTOMY LEG ANT/LAT COMPARTMENT W/ DEBRIDE,12200.65,6100.33,1432.11,10980.59,70
CPT,27893,DECOMPRESSION OF LEG,,,405.79,8493.0,20
CPT,27894,DECOMPRESSION OF LEG,,,624.09,3857.44,20
CPT,27899,UNLISTED PX LEG/ANKLE,,,232.71,879.37,6
CPT,28001,DRAINAGE OF BURSA OF FOOT,,,89.7,1926.26,20
CPT,28002,TREATMENT OF FOOT INFECTION,,,130.75,1902.69,20
CPT,28003,TREATMENT OF FOOT INFECTION,,,239.02,3857.44,20
CPT,28005,TREAT FOOT BONE LESION,,,462.14,3857.44,20
CPT,28008,INCISION OF FOOT FASCIA,,,230.68,3857.44,20
CPT,28010,INCISION OF TOE TENDON,,,159.22,1902.69,20
CPT,28011,INCISION OF TOE TENDONS,,,224.76,1902.69,20
CPT,28020,EXPLORATION OF FOOT JOINT,,,270.35,3857.44,20
CPT,28022,EXPLORATION OF FOOT JOINT,,,250.32,3857.44,20
CPT,28024,EXPLORATION OF TOE JOINT,,,237.15,1902.69,20
CPT,28035,DECOMPRESSION OF TIBIA NERVE,,,272.95,2321.6,20
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,204.82,3402.62,20
CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,269.13,3402.62,20
CPT,28043,EXC FOOT/TOE TUM SC < 1.5 CM,,,195.71,1926.26,20
CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,249.22,3402.62,21
CPT,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,511.33,3402.62,20
CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,570.61,3402.62,20
CPT,28050,BIOPSY OF FOOT JOINT LINING,,,234.99,3857.44,20
CPT,28052,BIOPSY OF FOOT JOINT LINING,,,213.9,3857.44,20
CPT,28054,BIOPSY OF TOE JOINT LINING,,,194.66,3857.44,20
CPT,28055,NEURECTOMY FOOT,,,300.46,2321.6,20
CPT,28060,PARTIAL REMOVAL FOOT FASCIA,,,274.4,3857.44,21
CPT,28062,REMOVAL OF FOOT FASCIA,,,322.63,3857.44,20
CPT,28070,REMOVAL OF FOOT JOINT LINING,,,268.51,8493.0,20
CPT,28072,REMOVAL OF FOOT JOINT LINING,,,259.1,3857.44,20
CPT,28080,REMOVAL OF FOOT LESION,,,261.55,1902.69,20
CPT,28086,EXCISE FOOT TENDON SHEATH,,,270.6,3857.44,20
CPT,28088,EXCISE FOOT TENDON SHEATH,,,225.04,3857.44,20
CPT,28090,REMOVAL OF FOOT LESION,,,236.28,1902.69,20
CPT,28092,REMOVAL OF TOE LESIONS,,,206.89,1902.69,20
CPT,28100,REMOVAL OF ANKLE/HEEL LESION,,,306.78,3857.44,20
CPT,28102,REMOVE/GRAFT FOOT LESION,,,418.63,8493.0,20
CPT,28103,REMOVE/GRAFT FOOT LESION,,,338.67,8493.0,20
CPT,28104,REMOVAL OF FOOT LESION,,,268.82,3857.44,20
CPT,28106,REMOVE/GRAFT FOOT LESION,,,358.41,8493.0,20
CPT,28107,REMOVE/GRAFT FOOT LESION,,,293.27,8493.0,20
CPT,28108,REMOVAL OF TOE LESIONS,,,221.7,1902.69,20
CPT,28110,PART REMOVAL OF METATARSAL,,,221.15,3857.44,20
CPT,28111,PART REMOVAL OF METATARSAL,,,259.05,3857.44,20
CPT,28112,PART REMOVAL OF METATARSAL,,,241.89,3857.44,20
CPT,28113,PART REMOVAL OF METATARSAL,,,315.8,3857.44,20
CPT,28114,REMOVAL OF METATARSAL HEADS,,,611.4,3857.44,20
CPT,28116,REVISION OF FOOT,,,435.33,3857.44,20
CPT,28118,REMOVAL OF HEEL BONE,,,314.28,3857.44,20
CPT,28119,REMOVAL OF HEEL SPUR,,,278.13,3857.44,20
CPT,28120,PART REMOVAL OF ANKLE/HEEL,,,298.92,3857.44,20
CPT,28122,PARTIAL REMOVAL OF FOOT BONE,,,384.24,3857.44,20
CPT,28124,HC ER PART EXCISION BONE PHALANX,4268.65,2134.33,75.38,3857.44,72
CPT,28124,HC PART EXCISION BONE PHALANX,4268.65,2134.33,817.45,3857.44,70
CPT,28124,PARTIAL REMOVAL OF TOE,,,256.18,394.04,14
CPT,28126,PARTIAL REMOVAL OF TOE,,,192.39,3857.44,20
CPT,28130,REMOVAL OF ANKLE BONE,,,477.49,8493.0,20
CPT,28140,REMOVAL OF METATARSAL,,,350.0,3857.44,20
CPT,28150,REMOVAL OF TOE,,,219.86,3857.44,20
CPT,28153,PARTIAL REMOVAL OF TOE,,,199.83,3857.44,20
CPT,28160,HC ER JOINT EXC PROX END PHALANX,4268.65,2134.33,75.38,3857.44,72
CPT,28160,PARTIAL REMOVAL OF TOE,,,208.23,313.86,14
CPT,28171,RESECT TARSAL TUMOR,,,469.45,3857.44,20
CPT,28173,RESECT METATARSAL TUMOR,,,428.35,3857.44,20
CPT,28175,RESECT PHALANX OF TOE TUMOR,,,301.6,1902.69,20
CPT,28190,HC ER REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,1034.8,517.4,75.38,931.32,72
CPT,28190,HC REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,1034.8,517.4,198.16,931.32,70
CPT,28190,REMOVAL OF FOOT FOREIGN BODY,,,102.15,510.71,18
CPT,28192,HC ER REMOVAL FB FOOT DEEP,3969.35,1984.68,75.38,3572.42,72
CPT,28192,REMOVAL OF FOOT FOREIGN BODY,,,244.75,977.71,15
CPT,28193,REMOVAL OF FOOT FOREIGN BODY,,,291.5,1926.26,20
CPT,28200,REPAIR OF FOOT TENDON,,,244.09,3857.44,20
CPT,28202,REPAIR/GRAFT OF FOOT TENDON,,,341.81,8493.0,20
CPT,28208,REPAIR OF FOOT TENDON,,,234.32,3857.44,20
CPT,28210,REPAIR/GRAFT OF FOOT TENDON,,,319.06,8493.0,20
CPT,28220,RELEASE OF FOOT TENDON,,,236.73,1902.69,20
CPT,28222,RELEASE OF FOOT TENDONS,,,282.35,3857.44,20
CPT,28225,RELEASE OF FOOT TENDON,,,195.98,3857.44,20
CPT,28226,RELEASE OF FOOT TENDONS,,,244.48,3857.44,20
CPT,28230,INCISION OF FOOT TENDON(S),,,225.04,1902.69,20
CPT,28232,INCISION OF TOE TENDON,,,190.79,1902.69,20
CPT,28234,INCISION OF FOOT TENDON,,,199.46,1902.69,20
CPT,28238,REVISION OF FOOT TENDON,,,383.92,8493.0,20
CPT,28240,RELEASE OF BIG TOE,,,230.93,3857.44,20
CPT,28250,REVISION OF FOOT FASCIA,,,306.78,3857.44,20
CPT,28260,RELEASE OF MIDFOOT JOINT,,,396.88,3857.44,20
CPT,28261,REVISION OF FOOT TENDON,,,605.48,1902.69,20
CPT,28262,REVISION OF FOOT AND ANKLE,,,846.59,8493.0,20
CPT,28264,RELEASE OF MIDFOOT JOINT,,,531.8,1902.69,20
CPT,28270,RELEASE OF FOOT CONTRACTURE,,,255.58,3857.44,20
CPT,28272,RELEASE OF TOE JOINT EACH,,,199.37,1902.69,20
CPT,28280,FUSION OF TOES,,,277.94,3857.44,20
CPT,28285,REPAIR OF HAMMERTOE,,,245.39,3857.44,20
CPT,28286,REPAIR OF HAMMERTOE,,,235.96,3857.44,20
CPT,28288,PARTIAL REMOVAL OF FOOT BONE,,,319.11,3857.44,20
CPT,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,416.2,3857.44,20
CPT,28291,CORRJ HALUX RIGDUS W/IMPLT,,,410.02,8493.0,20
CPT,28292,COR HLX VLGS RSC PRX PHLX BS,,,447.92,3857.44,20
CPT,28295,COR HLX VLGS PRX MTAR OSTEOT,,,456.86,3857.44,20
CPT,28296,COR HLX VLGS DSTL MTAR OSTEO,,,411.73,3857.44,20
CPT,28297,COR HLX VLGS JT ARTHRD,,,462.71,15297.04,20
CPT,28298,COR HLX VLGS PRX PHLX OSTEOT,,,394.16,8493.0,20
CPT,28299,COR HLX VLGS DOUBLE OSTEOT,,,534.41,8493.0,20
CPT,28300,INCISION OF HEEL BONE,,,498.67,8493.0,20
CPT,28302,INCISION OF ANKLE BONE,,,494.15,8493.0,20
CPT,28304,INCISION OF MIDFOOT BONES,,,455.0,8493.0,20
CPT,28305,INCISE/GRAFT MIDFOOT BONES,,,522.94,8493.0,20
CPT,28306,INCISION OF METATARSAL,,,307.32,8493.0,20
CPT,28307,INCISION OF METATARSAL,,,345.92,8493.0,20
CPT,28308,INCISION OF METATARSAL,,,281.56,3857.44,20
CPT,28309,INCISION OF METATARSALS,,,674.97,8493.0,20
CPT,28310,REVISION OF BIG TOE,,,275.12,8493.0,20
CPT,28312,REVISION OF TOE,,,244.64,3857.44,20
CPT,28313,REPAIR DEFORMITY OF TOE,,,279.78,3857.44,20
CPT,28315,REMOVAL OF SESAMOID BONE,,,250.38,3857.44,20
CPT,28320,REPAIR OF FOOT BONES,,,471.95,15297.04,20
CPT,28322,REPAIR OF METATARSALS,,,435.37,8493.0,20
CPT,28340,RESECT ENLARGED TOE TISSUE,,,314.06,3857.44,20
CPT,28341,RESECT ENLARGED TOE,,,403.4,3857.44,20
CPT,28344,REPAIR EXTRA TOE(S),,,237.49,3857.44,20
CPT,28345,REPAIR WEBBED TOE(S),,,311.18,1902.69,20
CPT,28360,RECONSTRUCT CLEFT FOOT,,,727.34,8493.0,20
CPT,28400,CLTX CALCANEAL FX W/O MNPJ,,,155.54,628.4,15
CPT,28400,HC CLOSED TX CALCANEAL FX W/O MANIPULATION,675.55,337.78,129.37,879.37,70
CPT,28400,HC ER CLOSED TX CALCANEAL FX W/O MANIP,675.55,337.78,75.38,608.0,72
CPT,28405,CLTX CALCANEAL FX W/MNPJ,,,261.45,480.09,14
CPT,28405,HC ER CLOSED TX CALCANEAL FX W/MANIP,3439.8,1719.9,75.38,3095.82,72
CPT,28406,PRQ SKEL FIX CLCNL FX W/MNPJ,,,381.96,8493.0,20
CPT,28415,OPTX CALCANEAL FRACTURE,,,844.14,8493.0,20
CPT,28420,OPTX CALCANEAL FX W/BONE GRF,,,889.86,15297.04,20
CPT,28430,CLTX TALUS FRACTURE W/O MNPJ,,,141.45,566.83,15
CPT,28430,HC CLOSED TX TALUS FRACTURE W/O MANIPULATION,731.1,365.55,140.01,879.37,70
CPT,28430,HC ER CLOSED TX TALUS FX W/O MANIP,731.1,365.55,75.38,657.99,72
CPT,28435,CLTX TALUS FRACTURE W/MNPJ,,,208.61,389.39,14
CPT,28435,HC CLOSED TX TALUS FX W/MANIP,731.1,365.55,140.01,1902.69,70
CPT,28435,HC ER CLOSED TX TALUS FX W/MANIP,731.1,365.55,75.38,1902.69,72
CPT,28436,PRQ SKEL FIX TALUS FX W/MNPJ,,,305.29,8493.0,20
CPT,28445,OPTX TALUS FRACTURE,,,797.16,8493.0,21
CPT,28446,OPN OSTEOCHONDRL AGRFT TALUS,,,994.93,8493.0,11
CPT,28450,HC CLOSED TX TARSAL FX WO MANIP EA,788.9,394.45,151.07,710.01,70
CPT,28450,HC ER CLOSED TX TARSAL FX WO MANIP EA,788.9,394.45,75.38,710.01,72
CPT,28450,TX TARSAL B1 FX W/O MNPJ EA,,,131.48,529.93,15
CPT,28455,HC ER TX TARSAL FX W MANIP EA,2515.1,1257.55,75.38,2263.59,72
CPT,28455,TX TARSAL B1 FX W/MNPJ EACH,,,190.99,272.51,14
CPT,28456,PRQ SKEL FIX TARSL FX W/MNPJ,,,195.13,8493.0,20
CPT,28465,OPTX TARSAL BONE FX EACH,,,452.78,8493.0,20
CPT,28470,CLTX METATARSAL FX WO MNP EA,,,132.24,650.42,16
CPT,28470,HC CLOSED TX METATARSAL FX W/O MAN,688.25,344.13,131.8,879.37,70
CPT,28470,HC ER CLOSED TX METATARSAL FX W/O MAN,688.25,344.13,75.38,619.43,72
CPT,28475,CLTX METATARSAL FX W/MNPJ EA,,,172.96,272.33,14
CPT,28475,HC ER CLOSED TX METATARSAL FX W/MANIP,785.0,392.5,75.38,706.5,72
CPT,28476,PRQ SKEL FIX METAR FX W/MNPJ,,,241.72,3857.44,20
CPT,28485,OPTX METATARSAL FX EACH,,,390.24,8493.0,21
CPT,28490,HC CLOSED TX GREAT TOE FX W/O MANIP,785.0,392.5,150.33,879.37,70
CPT,28490,HC ER CLOSED TX GREAT TOE FX W/O MANIP,785.0,392.5,75.38,706.5,72
CPT,28490,TREAT BIG TOE FRACTURE,,,82.43,393.89,16
CPT,28495,HC ER CLOSED TX GREAT TOE FX W/MANIP,404.1,202.05,75.38,363.69,72
CPT,28495,TREAT BIG TOE FRACTURE,,,105.98,179.1,14
CPT,28496,TREAT BIG TOE FRACTURE,,,162.27,3857.44,20
CPT,28505,TREAT BIG TOE FRACTURE,,,359.6,3857.44,20
CPT,28510,HC ER CLOSED TX PHALANX FX W/O MANIP,612.05,306.03,75.38,550.85,72
CPT,28510,TREATMENT OF TOE FRACTURE,,,80.2,322.12,15
CPT,28515,HC ER CLOSED TX PHALANX FX W/MANIP,785.0,392.5,75.38,706.5,72
CPT,28515,TREATMENT OF TOE FRACTURE,,,99.45,450.19,15
CPT,28525,TREAT TOE FRACTURE,,,285.32,3857.44,20
CPT,28530,HC ER CLSD TX SESAMOID FX,262.65,131.33,57.28,285.19,72
CPT,28530,TREAT SESAMOID BONE FRACTURE,,,73.12,123.64,14
CPT,28531,TREAT SESAMOID BONE FRACTURE,,,141.18,8493.0,20
CPT,28540,HC ER CLOSED TX TARSAL DISLOC W/O ANES,787.25,393.63,75.38,708.53,72
CPT,28540,TREAT FOOT DISLOCATION,,,131.44,534.28,15
CPT,28545,TREAT FOOT DISLOCATION,,,159.38,3857.44,20
CPT,28546,TREAT FOOT DISLOCATION,,,214.92,1902.69,20
CPT,28555,REPAIR FOOT DISLOCATION,,,482.92,8493.0,20
CPT,28570,HC ER CLOSED TX TALOTARSAL JNT W/O ANES,412.35,206.18,75.38,371.12,72
CPT,28570,TREAT FOOT DISLOCATION,,,109.26,236.01,14
CPT,28575,TREAT FOOT DISLOCATION,,,217.31,3857.44,20
CPT,28576,TREAT FOOT DISLOCATION,,,256.15,8493.0,20
CPT,28585,REPAIR FOOT DISLOCATION,,,543.63,8493.0,20
CPT,28600,HC ER CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,824.3,412.15,75.38,741.87,72
CPT,28600,TREAT FOOT DISLOCATION,,,131.55,221.85,14
CPT,28605,TREAT FOOT DISLOCATION,,,177.08,879.37,20
CPT,28606,TREAT FOOT DISLOCATION,,,283.53,3857.44,20
CPT,28615,REPAIR FOOT DISLOCATION,,,569.0,8493.0,20
CPT,28630,HC CLOSED TX METATARSOPHLNGL JT DISLC W/O ANES,733.4,366.7,140.45,879.37,70
CPT,28630,HC ER CLOSED TX METATARSOPHLNGL JT DISLC W/O ANES,733.4,366.7,75.38,660.06,72
CPT,28630,TREAT TOE DISLOCATION,,,81.87,129.69,14
CPT,28635,TREAT TOE DISLOCATION,,,101.96,1902.69,20
CPT,28636,TREAT TOE DISLOCATION,,,151.05,3857.44,20
CPT,28645,REPAIR TOE DISLOCATION,,,351.4,3857.44,20
CPT,28660,HC ER CLOSED TX INTERPHALANGEAL JOINT DISLOCATION W/O ANES,785.0,392.5,75.38,706.5,72
CPT,28660,TREAT TOE DISLOCATION,,,62.4,109.61,14
CPT,28665,TREAT TOE DISLOCATION,,,101.43,879.37,20
CPT,28666,TREAT TOE DISLOCATION,,,144.65,3857.44,20
CPT,28675,REPAIR OF TOE DISLOCATION,,,292.11,3857.44,20
CPT,28705,ARTHRODESIS PANTALAR,,,985.02,21863.47,20
CPT,28715,ARTHRODESIS TRIPLE,,,728.07,15297.04,20
CPT,28725,ARTHRODESIS SUBTALAR,,,599.59,15297.04,20
CPT,28730,FUSION OF FOOT BONES,,,626.44,15297.04,20
CPT,28735,FUSION OF FOOT BONES,,,599.91,15297.04,20
CPT,28737,REVISION OF FOOT BONES,,,532.26,15297.04,20
CPT,28740,FUSION OF FOOT BONES,,,469.53,8493.0,20
CPT,28750,FUSION OF BIG TOE JOINT,,,446.31,8493.0,20
CPT,28755,FUSION OF BIG TOE JOINT,,,253.85,8493.0,20
CPT,28760,FUSION OF BIG TOE JOINT,,,441.3,8493.0,20
CPT,28800,AMPUTATION OF MIDFOOT,,,429.7,614.64,19
CPT,28805,AMPUTATION THRU METATARSAL,,,567.81,3857.44,20
CPT,28810,AMPUTATION TOE & METATARSAL,,,330.62,1399.5,15
CPT,28810,HC AMPUTATION METATARSAL WITH TOE SINGLE,3833.5,1916.75,734.12,3857.44,70
CPT,28820,AMPUTATION OF TOE,,,164.67,265.52,14
CPT,28820,HC AMPUTATION TOE METATARSOPHALANGEAL JOINT,8620.6,4310.3,1432.11,7758.54,70
CPT,28825,HC AMPUTATION TOE INTERPHALANGEAL JOINT,4044.6,2022.3,774.54,3857.44,70
CPT,28825,HC ER AMPUTATION TOE INTERPHALANGEAL JOINT,4044.6,2022.3,75.38,3857.44,72
CPT,28825,PARTIAL AMPUTATION OF TOE,,,160.62,760.63,15
CPT,28890,HI ENRGY ESWT PLANTAR FASCIA,,,208.68,1902.69,10
CPT,28899,UNLISTED PX FOOT/TOES,,,232.71,879.37,6
CPT,29000,APPL HALO TYPE BODY CAST,,,125.15,315.74,19
CPT,29010,APPL RISSER JACKET BODY ONLY,,,115.41,185.84,14
CPT,29010,ZZZ- DO NOT USE HC APPLY BODY CAST RISSER JACKET,1114.35,557.18,213.4,1002.92,69
CPT,29015,APPL RISSR JACKET BDY W/HEAD,,,118.83,315.74,19
CPT,29035,APPL BODY CAST SHO TO HIPS,,,102.26,315.74,19
CPT,29040,APPL BDY CST SHO TO HIP HEAD,,,114.9,315.74,19
CPT,29044,APPL BDY CST SHO TO HIP 1THI,,,119.22,194.15,19
CPT,29046,APPL BDY CST SHO TO HIP B TH,,,136.61,315.74,19
CPT,29049,APPL CAST FIGURE-OF-EIGHT,,,44.79,315.74,19
CPT,29055,APPL CAST SHOULDER SPICA,,,98.47,315.74,19
CPT,29058,APPL CAST PLASTER VELPEAU,,,61.35,315.74,19
CPT,29065,APPL CST SHO TO HAND LNG ARM,,,49.33,216.7,16
CPT,29065,HC APPLY LONG ARM CAST,749.25,374.63,143.48,674.33,69
CPT,29065,HC ER APPLICATION LONG ARM CAST,809.25,404.63,75.38,728.33,72
CPT,29075,APPL CST ELBW FNGR SHORT ARM,,,44.52,197.77,19
CPT,29075,HC APPLICATION OF FOREARM CAST,788.05,394.03,150.91,709.25,69
CPT,29075,HC ER APPLICATION SHORT ARM CAST,851.1,425.55,75.38,765.99,72
CPT,29085,APPL CAST HAND&LWR FOREARM,,,48.02,187.03,15
CPT,29085,HC APPLICATION HAND/FOREARM CAST,517.35,258.68,99.07,465.62,69
CPT,29085,HC ER APPLICATION HAND/FOREARM CAST,558.8,279.4,75.38,502.92,72
CPT,29086,APPLICATION CAST FINGER,,,35.2,57.49,14
CPT,29086,HC ER APPLICATION FINGER CAST,359.8,179.9,75.38,323.82,72
CPT,29105,APPLICATION LONG ARM SPLINT,,,38.01,189.86,22
CPT,29105,HC APPLICATION LONG ARM SPLINT SHOULDER HAND,526.25,263.13,114.78,473.63,69
CPT,29105,HC APPLY LONG ARM SPLINT,496.45,248.23,95.07,446.81,69
CPT,29105,HC ER APPLICATION LONG ARM SPLINT,536.2,268.1,75.38,482.58,72
CPT,29125,APPL SHORT ARM SPLINT STATIC,,,30.94,135.15,22
CPT,29125,HC APPLICATION SHORT ARM SPLINT,375.65,187.83,71.94,338.09,69
CPT,29125,HC APPLY FOREARM SPLINT STATIC,449.9,224.95,86.16,404.91,69
CPT,29125,HC ER APPLICATION SHORT ARM SPLINT,485.85,242.93,75.38,437.27,72
CPT,29125,HC OT APPLICATION SHORT ARM SPLINT,375.65,187.83,81.93,338.09,69
CPT,29126,APPL SHORT ARM SPLINT DYN,,,38.06,155.12,21
CPT,29126,HC APPLICATION SHORT ARM SPLINT DYNAMIC,375.65,187.83,71.94,338.09,69
CPT,29126,HC ER APPLICATION SHORT ARM SPLINT DYNAMIC,375.65,187.83,75.38,338.09,72
CPT,29126,HC OT APPLICATION SHORT ARM SPLINT DYNAMIC,375.65,187.83,81.93,338.09,69
CPT,29130,APPL FINGER SPLINT STATIC,,,21.59,92.09,22
CPT,29130,HC APPLY FINGER SPLINT STATIC,355.3,177.65,77.49,319.77,69
CPT,29130,HC ER APPLICATION FINGER SPLINT STATIC,383.75,191.88,75.38,345.38,72
CPT,29130,HC OT APPLICATION FINGER SPLINT STATIC,376.65,188.33,82.15,338.99,69
CPT,29131,APPL FINGER SPLINT DYNAMIC,,,24.2,40.11,14
CPT,29131,HC ER APPLICATION FINGER SPLINT DYNAMIC,320.45,160.23,57.63,288.41,72
CPT,29200,STRAPPING THORAX,,,16.72,187.59,19
CPT,29240,HC ER STRAPPING SHOULDER,269.65,134.83,58.81,242.69,72
CPT,29240,STRAPPING OF SHOULDER,,,16.72,33.92,14
CPT,29260,HC ER STRAPPING ELBOW/WRIST,258.3,129.15,56.34,232.47,72
CPT,29260,STRAPPING OF ELBOW OR WRIST,,,17.45,27.93,14
CPT,29280,HC ER STRAPPING HAND/FINGER,395.25,197.63,57.63,355.73,72
CPT,29280,STRAPPING OF HAND OR FINGER,,,18.27,26.31,14
CPT,29305,APPL HIP SPICA CAST 1 LEG,,,114.83,183.6,14
CPT,29305,HC ER APPLICATION HIP SPICA CAST 1 LEG,1377.8,688.9,75.38,1240.02,72
CPT,29325,APPL HIP SPICA CAST1&1/2,,,129.87,205.83,14
CPT,29325,HC APP CAST HIP SPICA 2 LEGS,1002.55,501.28,191.99,902.3,69
CPT,29325,HC ER APPLICATION HIP SPICA CAST BOTH LEGS,1002.55,501.28,75.38,902.3,72
CPT,29345,APPLICATION OF LONG LEG CAST,,,74.64,114.41,14
CPT,29345,HC APPLICATION LONG LEG CAST,1023.35,511.68,195.97,921.02,69
CPT,29345,HC ER APPLICATION LONG LEG CAST,1023.35,511.68,75.38,921.02,72
CPT,29345,HC ORTHO APPLICATION LONG LEG CAST,947.55,473.78,181.46,852.8,69
CPT,29355,APPL LONG LEG CAST WALKER,,,79.51,121.81,14
CPT,29355,HC APPLICATION LONG LEG CAST WALKER,889.5,444.75,170.34,800.55,69
CPT,29355,HC ER APPLICATION LONG LEG CAST WALKER,889.5,444.75,75.38,800.55,72
CPT,29358,APPL LONG LEG CAST BRACE,,,76.02,118.79,14
CPT,29358,HC ER APPLICATION LONG LEG CAST BRACE,1722.95,861.48,75.38,1550.66,72
CPT,29365,APPL CYLINDER CAST,,,64.7,315.74,19
CPT,29405,APPL SHORT LEG CAST,,,47.43,190.84,16
CPT,29405,HC APPLICATION SHORT LEG CAST,729.55,364.78,139.71,656.6,69
CPT,29405,HC ER APPLICATION SHORT LEG CAST,787.95,393.98,75.38,709.16,72
CPT,29425,APPL SHORT LEG CAST WALKING,,,50.49,181.23,15
CPT,29425,HC APPLICATION SHORT LEG CAST WALKER,928.55,464.28,177.82,835.7,69
CPT,29425,HC ER APPLICATION SHORT LEG CAST WALKER,1002.8,501.4,75.38,902.52,72
CPT,29435,APPL PATLLR TDN BEARING CAST,,,63.3,315.74,19
CPT,29440,ADDING WALKER TO PREV CAST,,,25.89,32.36,14
CPT,29440,HC ER ADD WALKER PREV APPLIED CAST,374.65,187.33,75.38,337.19,72
CPT,29445,APPL RIGID TOT CNTC LEG CAST,,,84.48,339.27,22
CPT,29445,HC APPLICATION CAST TOTAL CONTACT LEG,1540.1,770.05,257.64,1386.09,69
CPT,29445,HC APPLICATION RIGID LEG CAST,1426.0,713.0,257.64,1283.4,69
CPT,29450,APPLICATION CLUBFOOT CAST,,,94.11,129.81,14
CPT,29450,HC APPLY OF CLUBFOOT CAST,936.0,468.0,153.08,842.4,69
CPT,29505,APPLICATION LONG LEG SPLINT,,,34.99,179.71,18
CPT,29505,HC APPLICATION LONG LEG SPLINT,484.85,242.43,61.42,436.37,70
CPT,29505,HC ER APPLICATION LONG LEG SPLINT,523.65,261.83,75.38,471.29,72
CPT,29515,APPLICATION SHORT LEG SPLINT,,,36.68,159.91,22
CPT,29515,HC APPLY LOWER LEG SPLINT,422.75,211.38,80.96,380.48,69
CPT,29515,HC ER APPLICATION SHORT LEG SPLINT,456.65,228.33,75.38,410.99,72
CPT,29515,HC PT APPLICATION OF SHORT LEG SPLINT,422.75,211.38,92.2,380.48,69
CPT,29520,HC ER STRAPPING HIP,329.4,164.7,71.84,296.46,72
CPT,29520,STRAPPING OF HIP,,,17.24,27.81,14
CPT,29530,HC ER STRAPPING KNEE,491.25,245.63,75.38,442.13,72
CPT,29530,STRAPPING OF KNEE,,,16.94,28.55,14
CPT,29540,HC ER STRAPPING ANKLE/FOOT,357.2,178.6,75.38,321.48,72
CPT,29540,STRAPPING ANKLE &/FOOT,,,16.26,25.47,14
CPT,29550,HC ER STRAPPING TOES,329.4,164.7,57.63,296.46,72
CPT,29550,STRAPPING OF TOES,,,10.31,23.95,14
CPT,29580,HC APP UNNA BOOT,337.05,168.53,64.55,303.35,69
CPT,29580,HC ER STRAPPING UNNA BOOT,337.05,168.53,73.51,303.35,72
CPT,29580,HC OT STRAPPING UNNA BOOT,330.8,165.4,72.15,297.72,69
CPT,29580,STRAPPING UNNA BOOT,,,24.17,134.11,19
CPT,29581,APPL MULTLAYER CMPRN SYS LEG,,,19.75,100.68,17
CPT,29581,HC APPLY MULT LAYER WND COMPRS LWR LEG,537.8,268.9,102.99,484.02,70
CPT,29581,HC ER APPLY COMPRESSION SYSTEM LEG,537.8,268.9,75.38,484.02,72
CPT,29581,HC OT APPLY COMPRESSION SYSTEM LEG,527.85,263.93,106.2,475.07,70
CPT,29581,HC PT APPLY MULT LAYER WND COMPRS LWR LEG,527.85,263.93,106.2,475.07,70
CPT,29584,APPL MLTLAY CMPRN SYS UP ARM,,,8.85,18.54,14
CPT,29584,HC ER APPLY COMPRESSION SYSTEM ARM/HAND,328.45,164.23,71.63,295.61,72
CPT,29700,HC ER REMOVAL/BIVALVING BODY CAST,400.95,200.48,75.38,360.86,72
CPT,29700,HC REMOVAL/BIVALVING BODY CAST,371.25,185.63,71.09,334.13,69
CPT,29700,RMVL/BIVLV GAUNTLET BOOT/CST,,,26.34,38.09,14
CPT,29705,HC ER REMV/REVISN FULL ARM/LEG CAST,320.45,160.23,69.89,315.74,72
CPT,29705,HC REMV/REVISN FULL ARM/LEG CAST,296.75,148.38,56.83,315.74,69
CPT,29705,RMVL/BIVLV FULL ARM/LEG CAST,,,36.11,51.83,14
CPT,29710,RMVL/BIVLV SHO/HIP SPICA,,,61.98,315.74,19
CPT,29720,REPAIR SPICA BODY CST/JACKET,,,33.21,187.59,19
CPT,29730,HC ER WINDOWING OF CAST,383.95,191.98,75.38,345.56,72
CPT,29730,HC WINDOWING OF CAST,383.95,191.98,73.53,345.56,69
CPT,29730,WINDOWING OF CAST,,,34.77,51.04,14
CPT,29740,HC ER WEDGING OF CAST,346.0,173.0,75.38,315.74,72
CPT,29740,WEDGING OF CAST,,,50.76,78.54,14
CPT,29750,WEDGING OF CLUBFOOT CAST,,,58.08,315.74,19
CPT,29799,UNLISTED PX CASTING/STRPG,,,153.08,187.59,5
CPT,29800,JAW ARTHROSCOPY/SURGERY,,,376.12,3857.44,20
CPT,29804,JAW ARTHROSCOPY/SURGERY,,,467.81,3857.44,20
CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,340.21,3857.44,20
CPT,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,782.36,8493.0,20
CPT,29807,SHO ARTHRS SRG RPR SLAP LES,,,761.86,8493.0,20
CPT,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,427.12,3857.44,20
CPT,29820,SHO ARTHRS SRG PRTL SYNVCT,,,394.28,8493.0,20
CPT,29821,SHO ARTHRS SRG COMPL SYNVCT,,,430.61,3857.44,20
CPT,29822,SHO ARTHRS SRG LMTD DBRDMT,,,418.09,3857.44,20
CPT,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,457.53,3857.44,20
CPT,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,487.58,3857.44,20
CPT,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,426.57,3857.44,20
CPT,29826,SHO ARTHRS SRG DECOMPRESSION,,,156.46,1695.94,20
CPT,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,802.4,8493.0,20
CPT,29828,SHO ARTHRS SRG BICP TENODSIS,,,671.46,8493.0,20
CPT,29830,ELBOW ARTHROSCOPY,,,328.41,3857.44,20
CPT,29834,ELBOW ARTHROSCOPY/SURGERY,,,357.91,3857.44,20
CPT,29835,ELBOW ARTHROSCOPY/SURGERY,,,367.44,3857.44,20
CPT,29836,ELBOW ARTHROSCOPY/SURGERY,,,422.53,8493.0,20
CPT,29837,ELBOW ARTHROSCOPY/SURGERY,,,385.41,3857.44,20
CPT,29838,ELBOW ARTHROSCOPY/SURGERY,,,430.85,3857.44,20
CPT,29840,WRIST ARTHROSCOPY,,,321.69,3857.44,20
CPT,29843,WRIST ARTHROSCOPY/SURGERY,,,345.83,3857.44,20
CPT,29844,WRIST ARTHROSCOPY/SURGERY,,,359.59,3857.44,20
CPT,29845,WRIST ARTHROSCOPY/SURGERY,,,411.06,3857.44,20
CPT,29846,WRIST ARTHROSCOPY/SURGERY,,,378.37,3857.44,20
CPT,29847,WRIST ARTHROSCOPY/SURGERY,,,393.01,8493.0,20
CPT,29848,WRIST ENDOSCOPY/SURGERY,,,357.41,1902.69,20
CPT,29850,KNEE ARTHROSCOPY/SURGERY,,,417.96,1902.69,20
CPT,29851,KNEE ARTHROSCOPY/SURGERY,,,688.24,1902.69,20
CPT,29855,TIBIAL ARTHROSCOPY/SURGERY,,,575.39,8493.0,20
CPT,29856,TIBIAL ARTHROSCOPY/SURGERY,,,737.71,15297.04,20
CPT,29860,HIP ARTHROSCOPY DX,,,473.9,8493.0,20
CPT,29861,HIP ARTHRO W/FB REMOVAL,,,526.14,8493.0,20
CPT,29862,HIP ARTHR0 W/DEBRIDEMENT,,,587.21,8493.0,20
CPT,29863,HIP ARTHR0 W/SYNOVECTOMY,,,581.14,3857.44,20
CPT,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,766.51,8493.0,19
CPT,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,930.38,15297.04,19
CPT,29868,MENISCAL TRNSPL KNEE W/SCPE,,,1532.09,8493.0,11
CPT,29870,ARTHRS KNEE DX W/WO SYN BX,,,295.06,3857.44,20
CPT,29871,ARTHRS KNEE SURG FOR INFCTJ,,,371.42,3857.44,21
CPT,29873,ARTHRS KNEE SURG W/LAT RLS,,,369.74,3857.44,20
CPT,29874,ARTHRS KNEE SURG RMV LOOS/FB,,,389.89,3857.44,20
CPT,29875,ARTHRS KNEE SURG SYNVCT LMTD,,,359.29,3857.44,20
CPT,29876,ARTHRS KNEE SURG SYNVCT MAJ,,,472.96,3857.44,20
CPT,29877,ARTHRS KNEE SURG DBRDMT/SHVG,,,447.29,3857.44,20
CPT,29879,ARTHRS KNE SRG ABRASJ ARTHRP,,,478.94,3857.44,20
CPT,29880,ARTHRS KNE SRG MNISECTMY M&L,,,500.25,3857.44,20
CPT,29881,ARTHRS KNE SRG MNISECTMY M/L,,,465.87,3857.44,20
CPT,29882,ARTHRS KNE SRG MNISC RPR M/L,,,505.09,3857.44,20
CPT,29883,ARTHRS KNE SRG MNISC RPR M&L,,,616.99,3857.44,20
CPT,29884,ARTHRS KNEE SURG LYSIS ADS,,,445.92,3857.44,20
CPT,29885,ARTHRS KNE SRG DRLG OST DISS,,,541.51,8493.0,20
CPT,29886,ARTHRS KNEE SURG DRLG OD LES,,,456.21,3857.44,20
CPT,29887,ARTHRS KNEE SRG DRLG OD FIXJ,,,538.4,8493.0,20
CPT,29888,ARTHRS AID ACL RPR/AGMNTJ,,,732.27,8493.0,20
CPT,29889,ARTHRS AID PCL RPR/AGMNTJ,,,894.19,15297.04,20
CPT,29891,ARTHR ANK OSTCHN DF TAL&/TIB,,,507.79,3857.44,20
CPT,29892,ARTHRS AID RPR OD LES/TIB FX,,,519.87,8493.0,20
CPT,29893,ENDOSCOPIC PLANTR FASCIOTOMY,,,319.34,3857.44,20
CPT,29894,ANKLE ARTHROSCOPY/SURGERY,,,381.5,3857.44,20
CPT,29895,ANKLE ARTHROSCOPY/SURGERY,,,369.05,3857.44,20
CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,386.29,3857.44,20
CPT,29898,ANKLE ARTHROSCOPY/SURGERY,,,432.42,3857.44,20
CPT,29899,ANKLE ARTHROSCOPY/SURGERY,,,778.15,8493.0,20
CPT,29900,MCP JOINT ARTHROSCOPY DX,,,330.67,3857.44,20
CPT,29901,MCP JOINT ARTHROSCOPY SURG,,,362.84,3857.44,20
CPT,29902,MCP JOINT ARTHROSCOPY SURG,,,388.22,1902.69,20
CPT,29904,SUBTALAR ARTHRO W/FB RMVL,,,451.14,3857.44,20
CPT,29905,SUBTALAR ARTHRO W/EXC,,,484.14,8493.0,20
CPT,29906,SUBTALAR ARTHRO W/DEB,,,511.13,3857.44,20
CPT,29907,SUBTALAR ARTHRO W/FUSION,,,627.37,15297.04,20
CPT,29914,HIP ARTHRO W/FEMOROPLASTY,,,817.21,8493.0,20
CPT,29915,HIP ARTHRO ACETABULOPLASTY,,,832.75,8493.0,20
CPT,29916,HIP ARTHRO W/LABRAL REPAIR,,,832.75,8493.0,20
CPT,29999,UNLISTED PX ARTHROSCOPY,,,232.71,879.37,6
CPT,30000,DRAINAGE OF NOSE LESION,,,84.77,141.01,14
CPT,30000,HC ER DRAINAGE ABSCESS NASAL INTERN,1096.0,548.0,75.38,986.4,72
CPT,30020,DRAINAGE OF NOSE LESION,,,85.32,141.49,14
CPT,30020,HC ER DRAINAGE ABSCESS NASAL SEPTUM,1511.9,755.95,75.38,1360.71,72
CPT,30100,HC BIOPSY INTRANASAL,2673.55,1336.78,314.06,2406.2,70
CPT,30100,INTRANASAL BIOPSY,,,51.59,79.31,14
CPT,30110,REMOVAL OF NOSE POLYP(S),,,94.56,1761.06,20
CPT,30115,REMOVAL OF NOSE POLYP(S),,,306.23,3855.6,20
CPT,30117,REMOVAL OF INTRANASAL LESION,,,236.89,3855.6,20
CPT,30118,REMOVAL OF INTRANASAL LESION,,,557.28,3855.6,20
CPT,30120,REVISION OF NOSE,,,323.6,3855.6,19
CPT,30124,REMOVAL OF NOSE LESION,,,194.6,1761.06,20
CPT,30125,REMOVAL OF NOSE LESION,,,443.04,7032.98,20
CPT,30130,EXCISE INFERIOR TURBINATE,,,266.3,3855.6,20
CPT,30140,RESECT INFERIOR TURBINATE,,,164.31,3855.6,20
CPT,30150,RHINECTOMY PARTIAL,,,569.39,7032.98,20
CPT,30160,RHINECTOMY TOTAL,,,573.07,7032.98,20
CPT,30200,INJECTION TREATMENT OF NOSE,,,44.05,605.43,19
CPT,30210,NASAL SINUS THERAPY,,,71.08,1761.06,20
CPT,30220,INSERT NASAL SEPTAL BUTTON,,,90.61,1761.06,20
CPT,30300,HC ER REMOVAL FOREIGN BODY NASAL,256.2,128.1,55.88,230.58,72
CPT,30300,HC REMOVAL FOREIGN BODY NASAL,256.2,128.1,49.06,230.58,70
CPT,30300,REMOVE NASAL FOREIGN BODY,,,85.9,444.51,17
CPT,30310,REMOVE NASAL FOREIGN BODY,,,145.48,3855.6,20
CPT,30320,REMOVE NASAL FOREIGN BODY,,,321.36,1761.06,20
CPT,30400,RECONSTRUCTION OF NOSE,,,740.54,7032.98,20
CPT,30410,RECONSTRUCTION OF NOSE,,,879.37,7032.98,20
CPT,30420,RECONSTRUCTION OF NOSE,,,879.37,7032.98,21
CPT,30430,REVISION OF NOSE,,,644.65,7032.98,20
CPT,30435,REVISION OF NOSE,,,855.38,7032.98,20
CPT,30450,REVISION OF NOSE,,,879.37,7032.98,20
CPT,30460,REVISION OF NOSE,,,554.94,7032.98,20
CPT,30462,REVISION OF NOSE,,,879.37,7032.98,21
CPT,30465,REPAIR NASAL STENOSIS,,,708.51,7032.98,20
CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,131.19,7032.98,20
CPT,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,121.3,7032.98,20
CPT,30520,REPAIR OF NASAL SEPTUM,,,431.97,3855.6,20
CPT,30540,RPR CHOANAL ATRESIA NTRANASL,,,482.65,7032.98,20
CPT,30545,RPR CHOANAL ATRESIA TRSNPLTN,,,698.96,7032.98,20
CPT,30560,LYSIS INTRANASAL SYNECHIA,,,97.98,879.37,20
CPT,30580,REPAIR UPPER JAW FISTULA,,,364.2,7032.98,21
CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,323.17,7032.98,21
CPT,30620,INTRANASAL RECONSTRUCTION,,,438.67,7032.98,20
CPT,30630,REPAIR NASAL SEPTUM DEFECT,,,447.9,3855.6,20
CPT,30801,ABLATE INF TURBINATE SUPERF,,,93.49,1761.06,20
CPT,30802,ABLATE INF TURBINATE SUBMUC,,,134.45,1761.06,21
CPT,30901,CONTROL OF NOSEBLEED,,,47.66,303.23,19
CPT,30901,HC CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,441.75,220.88,84.6,879.37,70
CPT,30901,HC ER CONTROL NOSEBLEED SIMPLE ANT,441.75,220.88,75.38,397.58,72
CPT,30903,CONTROL OF NOSEBLEED,,,61.93,88.63,14
CPT,30903,HC ER CONTROL NOSEBLEED COMPLEX ANT,511.95,255.98,75.38,460.76,72
CPT,30905,CONTROL OF NOSEBLEED,,,79.63,121.54,14
CPT,30905,HC CONTROL NOSEBLEED POST INITIAL,752.1,376.05,125.05,879.37,70
CPT,30905,HC ER CONTROL NOSEBLEED POST INITIAL,752.1,376.05,75.38,676.89,72
CPT,30906,HC ER CONTROL NOSEBLEED POST SUBSEQ,407.2,203.6,75.38,366.48,72
CPT,30906,REPEAT CONTROL OF NOSEBLEED,,,103.67,151.06,14
CPT,30915,LIGATION NASAL SINUS ARTERY,,,417.52,3741.98,20
CPT,30920,LIGATION UPPER JAW ARTERY,,,602.12,3741.98,20
CPT,30930,THER FX NASAL INF TURBINATE,,,86.89,3855.6,20
CPT,30999,UNLISTED PROCEDURE NOSE,,,225.28,314.06,6
CPT,31000,IRRIGATION MAXILLARY SINUS,,,75.17,314.06,20
CPT,31002,IRRIGATION SPHENOID SINUS,,,142.94,1761.06,20
CPT,31020,EXPLORATION MAXILLARY SINUS,,,248.18,3855.6,20
CPT,31030,EXPLORATION MAXILLARY SINUS,,,375.26,7032.98,20
CPT,31032,EXPLORE SINUS REMOVE POLYPS,,,410.14,7032.98,20
CPT,31040,EXPLORATION BEHIND UPPER JAW,,,542.43,7032.98,20
CPT,31050,EXPLORATION SPHENOID SINUS,,,353.24,7032.98,20
CPT,31051,SPHENOID SINUS SURGERY,,,462.04,7032.98,20
CPT,31070,EXPLORATION OF FRONTAL SINUS,,,309.43,7032.98,20
CPT,31075,EXPLORATION OF FRONTAL SINUS,,,565.57,7032.98,20
CPT,31080,REMOVAL OF FRONTAL SINUS,,,731.56,7032.98,20
CPT,31081,REMOVAL OF FRONTAL SINUS,,,891.52,7032.98,20
CPT,31084,REMOVAL OF FRONTAL SINUS,,,854.42,7032.98,20
CPT,31085,REMOVAL OF FRONTAL SINUS,,,903.56,7032.98,20
CPT,31086,REMOVAL OF FRONTAL SINUS,,,809.11,7032.98,20
CPT,31087,REMOVAL OF FRONTAL SINUS,,,802.73,7032.98,20
CPT,31090,EXPLORATION OF SINUSES,,,716.65,7032.98,20
CPT,31200,REMOVAL OF ETHMOID SINUS,,,379.81,7032.98,20
CPT,31201,REMOVAL OF ETHMOID SINUS,,,526.53,1761.06,20
CPT,31205,REMOVAL OF ETHMOID SINUS,,,618.5,3855.6,20
CPT,31225,REMOVAL OF UPPER JAW,,,1341.27,2064.23,19
CPT,31230,REMOVAL OF UPPER JAW,,,1505.6,2302.85,19
CPT,31231,HC ENDOSCOPY NASAL DIAGNOSTIC,295.1,147.55,56.51,314.06,70
CPT,31231,HC ER ENDOSCOPY NASAL DIAGNOSTIC,295.1,147.55,64.36,265.59,72
CPT,31231,NASAL ENDOSCOPY DX,,,57.66,213.69,16
CPT,31233,NSL/SINS NDSC DX MAX SINUSC,,,104.46,879.37,20
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,,,124.83,2050.18,20
CPT,31237,HC NASAL/SINUS ENDO W BX DEBRIDE,4982.75,2491.38,954.2,4484.48,70
CPT,31237,NSL/SINS NDSC SURG BX POLYPC,,,139.14,184.5,14
CPT,31238,HC ER NASAL/SINUS ENDOSCOPY W/CONTROL NASAL HEM,8710.35,4355.18,75.38,7839.32,72
CPT,31238,NSL/SINS NDSC SRG NSL HEMRRG,,,151.06,192.41,14
CPT,31239,NSL/SINUS ENDOSCOPY SURG DCR,,,486.87,4383.32,20
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,123.54,2050.18,20
CPT,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,371.79,2050.18,19
CPT,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,144.85,7032.98,11
CPT,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,144.85,7032.98,11
CPT,31253,NSL/SINS NDSC TOTAL,,,407.59,8229.95,20
CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,211.91,8229.95,20
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,296.19,8229.95,20
CPT,31256,EXPLORATION MAXILLARY SINUS,,,153.39,4383.32,20
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,362.97,8229.95,20
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,384.68,8229.95,20
CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,243.07,8229.95,20
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,346.35,8229.95,20
CPT,31287,NASAL/SINUS ENDOSCOPY SURG,,,180.28,8229.95,20
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,209.15,8229.95,20
CPT,31290,NASAL/SINUS ENDOSCOPY SURG,,,869.48,1313.87,19
CPT,31291,NASAL/SINUS ENDOSCOPY SURG,,,916.36,1400.2,19
CPT,31292,NSL/SINS NDSC MED/INF DCMPRN,,,751.98,8229.95,20
CPT,31293,NSL/SINS NDSC MED&INF DCMPRN,,,819.55,8229.95,20
CPT,31294,NSL/SINS NDSC SURG ON DCMPRN,,,941.58,8229.95,20
CPT,31295,NSL/SINS NDSC SURG MAX SINS,,,131.18,8229.95,20
CPT,31296,NSL/SINS NDSC SURG FRNT SINS,,,149.67,8229.95,20
CPT,31297,NSL/SINS NDSC SURG SPHN SINS,,,119.31,8229.95,20
CPT,31298,NSL/SINS NDSC SURG FRNT&SPHN,,,212.73,8229.95,20
CPT,31299,UNLISTED PX ACCESSORY SINUS,,,225.28,314.06,6
CPT,31300,REMOVAL OF LARYNX LESION,,,914.14,3855.6,20
CPT,31360,REMOVAL OF LARYNX,,,1469.11,2351.62,19
CPT,31365,REMOVAL OF LARYNX,,,1842.11,2906.35,19
CPT,31367,PARTIAL REMOVAL OF LARYNX,,,1584.21,2485.82,19
CPT,31368,PARTIAL REMOVAL OF LARYNX,,,1770.3,2746.4,19
CPT,31370,PARTIAL REMOVAL OF LARYNX,,,1487.69,2330.01,19
CPT,31375,PARTIAL REMOVAL OF LARYNX,,,1407.0,2215.9,19
CPT,31380,PARTIAL REMOVAL OF LARYNX,,,1386.42,2184.81,19
CPT,31382,PARTIAL REMOVAL OF LARYNX,,,1519.67,2392.08,19
CPT,31390,REMOVAL OF LARYNX & PHARYNX,,,2051.05,3198.09,19
CPT,31395,RECONSTRUCT LARYNX & PHARYNX,,,2173.46,3350.62,19
CPT,31400,REVISION OF LARYNX,,,724.56,7032.98,20
CPT,31420,EPIGLOTTIDECTOMY,,,611.47,7032.98,20
CPT,31500,HC ER INTUBATION ENDOTRACHEAL,951.25,475.63,75.38,856.13,72
CPT,31500,HC INTUBATION ENDOTRACHEAL,951.25,475.63,182.16,856.13,69
CPT,31500,INSERT EMERGENCY AIRWAY,,,86.6,750.0,26
CPT,31502,CHANGE OF WINDPIPE AIRWAY,,,27.32,106.07,23
CPT,31502,HC ER TRACHEOTOMY TUBE CHANGE,710.5,355.25,75.38,639.45,72
CPT,31502,HC TRACHEOTOMY TUBE CHANGE,710.5,355.25,34.23,639.45,70
CPT,31505,DIAGNOSTIC LARYNGOSCOPY,,,36.19,57.25,14
CPT,31505,HC ER LARYNGOSCOPY DIAG INDIRECT,187.3,93.65,40.85,230.81,72
CPT,31505,HC LARYNGOSCOPY DIAG INDIRECT,187.3,93.65,35.87,879.37,70
CPT,31510,LARYNGOSCOPY WITH BIOPSY,,,91.91,4383.32,20
CPT,31511,HC ER LARYNGOSCOPY INDIRECT REMOVE FB,399.1,199.55,75.38,359.19,72
CPT,31511,REMOVE FOREIGN BODY LARYNX,,,98.91,154.19,14
CPT,31512,REMOVAL OF LARYNX LESION,,,99.07,4383.32,20
CPT,31513,INJECTION INTO VOCAL CORD,,,100.9,879.37,20
CPT,31515,HC ER LARYNGOSCOPY DIRECT ASPIRATION,5029.45,2514.73,75.38,4526.51,72
CPT,31515,LARYNGOSCOPY FOR ASPIRATION,,,83.98,127.96,14
CPT,31520,DX LARYNGOSCOPY NEWBORN,,,117.63,879.37,20
CPT,31525,DX LARYNGOSCOPY EXCL NB,,,122.17,183.85,14
CPT,31525,HC ER LARYNGOSCOPY DIRECT DIAGNOSTIC,2407.05,1203.53,75.38,2166.35,72
CPT,31525,HC LARYNGOSCOPY DIRECT DIAGNOSTIC,2407.05,1203.53,460.95,2166.35,70
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,121.2,2050.18,20
CPT,31527,LARYNGOSCOPY FOR TREATMENT,,,148.36,4383.32,20
CPT,31528,LARYNGOSCOPY AND DILATION,,,110.58,4383.32,21
CPT,31529,LARYNGOSCOPY AND DILATION,,,124.71,4383.32,20
CPT,31530,HC ER LARYNGOSCOPY OPERATIVE REM FB,10675.3,5337.65,75.38,9607.77,72
CPT,31530,HC LARYNGOSCOPY DIRECT FB REMOVAL,10675.3,5337.65,879.37,9607.77,70
CPT,31530,LARYNGOSCOPY W/FB REMOVAL,,,152.83,227.78,14
CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,164.47,4383.32,20
CPT,31535,LARYNGOSCOPY W/BIOPSY,,,146.16,4383.32,22
CPT,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,163.28,4383.32,20
CPT,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,187.72,4383.32,20
CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,205.34,4383.32,20
CPT,31545,REMOVE VC LESION W/SCOPE,,,278.2,4383.32,20
CPT,31546,REMOVE VC LESION SCOPE/GRAFT,,,424.22,8229.95,20
CPT,31551,LARYNGOPLASTY LARYNGEAL STEN,,,1174.32,7032.98,20
CPT,31552,LARYNGOPLASTY LARYNGEAL STEN,,,1185.41,7032.98,20
CPT,31553,LARYNGOPLASTY LARYNGEAL STEN,,,1291.85,7032.98,20
CPT,31554,LARYNGOPLASTY LARYNGEAL STEN,,,1358.5,7032.98,20
CPT,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,243.3,8229.95,20
CPT,31561,LARYNSCOP REMVE CART + SCOP,,,266.65,8229.95,20
CPT,31570,LARYNGOSCOPE W/VC INJ,,,175.84,4383.32,20
CPT,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,193.75,4383.32,20
CPT,31572,LARGSC W/LASER DSTRJ LES,,,153.48,4383.32,20
CPT,31573,LARGSC W/THER INJECTION,,,126.58,2050.18,20
CPT,31574,LARGSC W/NJX AUGMENTATION,,,126.58,2050.18,20
CPT,31575,DIAGNOSTIC LARYNGOSCOPY,,,57.66,271.14,22
CPT,31575,HC ER LARYNGOSCOPY FLEX FIBEROPTIC,388.15,194.08,75.38,349.34,72
CPT,31575,HC LARYNGOSCOPY FLEX FIBEROPTIC,388.15,194.08,74.33,879.37,70
CPT,31576,HC LARYNGOSCOPY FLEXIBLE W/BIOPSY,6595.65,3297.83,879.37,5936.09,70
CPT,31576,LARYNGOSCOPY WITH BIOPSY,,,94.16,137.86,14
CPT,31577,HC ER LARYNGOSCOPY FLEX REMOVE FB,1350.25,675.13,75.38,1215.23,72
CPT,31577,LARGSC W/RMVL FOREIGN BDY(S),,,114.54,153.59,14
CPT,31578,LARGSC W/REMOVAL LESION,,,130.31,4383.32,20
CPT,31579,HC ST LARYNGOSCOPY W/STROBOSCOPY,949.6,474.8,207.11,879.37,70
CPT,31579,LARYNGOSCOPY TELESCOPIC,,,107.34,138.15,14
CPT,31580,LARYNGOPLASTY LARYNGEAL WEB,,,871.39,7032.98,20
CPT,31584,LARYNGOPLASTY FX RDCTJ FIXJ,,,1113.13,7032.98,19
CPT,31587,LARYNGOPLASTY CRICOID SPLIT,,,731.03,7032.98,20
CPT,31590,REINNERVATE LARYNX,,,636.57,7032.98,20
CPT,31591,HC LARYNGOPLASTY MEDIALIZATION UNILATERAL,19307.35,9653.68,856.78,17376.62,70
CPT,31591,LARYNGOPLASTY MEDIALIZATION,,,875.24,1266.2,14
CPT,31592,CRICOTRACHEAL RESECTION,,,1391.48,7032.98,20
CPT,31599,UNLISTED PROCEDURE LARYNX,,,225.28,879.37,6
CPT,31600,HC TRACHEOSTOMY,6857.6,3428.8,1313.23,6171.84,70
CPT,31600,PLANNED TRACHEOSTOMY,,,276.5,1277.58,19
CPT,31601,PLANNED TRACHEOSTOMY<2 YRS,,,201.27,7032.98,20
CPT,31603,EMER TRACHEOSTOMY TTRACH,,,172.53,362.94,14
CPT,31603,HC ER TRACHEOSTOMY TRANSTRACHEAL,4871.55,2435.78,75.38,4384.4,72
CPT,31603,HC TRACHEOSTOMY TRANSTRACHEAL,4871.55,2435.78,932.9,4384.4,70
CPT,31605,EMER TRACHEOSTOMY CTHYR MEM,,,142.5,435.58,15
CPT,31605,HC ER TRACHEOSTOMY CRICOTHYROID,2693.85,1346.93,75.38,2424.47,72
CPT,31605,HC TRACHEOSTOMY CRICOTHYROID,2693.85,1346.93,225.28,2424.47,70
CPT,31610,TRACHEOSTOMY FENEST SKIN FLP,,,518.24,7032.98,20
CPT,31611,CONSTJ TRACHESOPHGL FSTL,,,386.22,3855.6,20
CPT,31612,PERQ TRCHL PNXR TTRACH ASPIR,,,37.17,3855.6,20
CPT,31613,TRACHEOSTOMA REVJ SIMPLE,,,319.01,3855.6,20
CPT,31614,TRACHEOSTOMA REVJ COMPLEX,,,530.82,7032.98,20
CPT,31615,HC TRACHEOBRONCHOSCOPY THRU TRACH,2918.95,1459.48,494.03,2627.06,70
CPT,31615,TRCHEOBRNCHSC EST TRACHS INC,,,97.34,133.16,14
CPT,31622,DX BRONCHOSCOPE/WASH,,,114.39,525.36,22
CPT,31622,HC BRONCH DIAGNOSTIC W/O SAMPLE,3702.0,1851.0,708.93,3331.8,70
CPT,31622,HC ER BRONCHOSCOPY DIAGNOSTIC W/FLUORO,3702.0,1851.0,75.38,3331.8,72
CPT,31623,DX BRONCHOSCOPE/BRUSH,,,115.9,2050.18,21
CPT,31624,DX BRONCHOSCOPE/LAVAGE,,,116.18,545.03,22
CPT,31624,HC BRONCH W SAMPLE BRONCHIAL ALVEOLAR LAVAGE,4418.95,2209.48,846.23,3977.06,70
CPT,31625,BRONCHOSCOPY W/BIOPSY(S),,,135.29,2050.18,22
CPT,31626,BRONCHOSCOPY W/MARKERS,,,180.23,8229.95,11
CPT,31627,NAVIGATIONAL BRONCHOSCOPY,,,87.57,2391.9,20
CPT,31628,BRONCHOSCOPY/LUNG BX EACH,,,151.11,4383.32,28
CPT,31629,BRONCHOSCOPY/NEEDLE BX EACH,,,161.74,4383.32,29
CPT,31630,BRONCHOSCOPY DILATE/FX REPR,,,161.1,4383.32,21
CPT,31631,BRONCHOSCOPY DILATE W/STENT,,,181.75,8229.95,21
CPT,31632,BRONCHOSCOPY/LUNG BX ADDL,,,41.87,152.48,22
CPT,31633,BRONCHOSCOPY/NEEDLE BX ADDL,,,52.51,92.81,19
CPT,31634,BRONCH W/BALLOON OCCLUSION,,,172.01,8229.95,11
CPT,31635,BRONCHOSCOPY W/FB REMOVAL,,,150.01,2050.18,20
CPT,31636,BRONCHOSCOPY BRONCH STENTS,,,177.67,8229.95,20
CPT,31637,BRONCHOSCOPY STENT ADD-ON,,,63.15,314.06,20
CPT,31638,BRONCHOSCOPY REVISE STENT,,,199.36,8229.95,20
CPT,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,206.32,4383.32,20
CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,204.15,4383.32,21
CPT,31643,DIAG BRONCHOSCOPE/CATHETER,,,140.17,2050.18,20
CPT,31645,BRNCHSC W/THER ASPIR 1ST,,,127.18,582.27,19
CPT,31645,HC BRONCHOSCOPY W BRONCH TREE ASP,3589.25,1794.63,687.34,3230.33,70
CPT,31646,BRNCHSC W/THER ASPIR SBSQ,,,110.12,879.37,21
CPT,31647,BRONCHIAL VALVE INIT INSERT,,,187.34,8229.95,11
CPT,31648,BRONCHIAL VALVE REMOV INIT,,,179.63,4383.32,11
CPT,31649,BRONCHIAL VALVE REMOV ADDL,,,63.15,2050.18,11
CPT,31651,BRONCHIAL VALVE ADDL INSERT,,,69.01,1432.11,11
CPT,31652,BRONCH EBUS SAMPLNG 1/2 NODE,,,201.14,4383.32,28
CPT,31653,BRONCH EBUS SAMPLNG 3/> NODE,,,222.32,4383.32,23
CPT,31654,BRONCH EBUS IVNTJ PERPH LES,,,58.25,879.37,29
CPT,31660,BRONCH THERMOPLSTY 1 LOBE,,,172.68,8229.95,11
CPT,31661,BRONCH THERMOPLSTY 2/> LOBES,,,182.83,8229.95,11
CPT,31717,BRONCHIAL BRUSH BIOPSY,,,87.5,879.37,20
CPT,31720,CLEARANCE OF AIRWAYS,,,41.52,61.44,14
CPT,31720,HC ASPIRATION CATH NASOTRACHEAL,185.2,92.6,40.39,241.81,70
CPT,31725,CLEARANCE OF AIRWAYS,,,72.62,90.78,14
CPT,31725,HC ASPIRATION CATH TRACHEOBRONCHIAL W/FIBERSCOPE,1332.45,666.23,74.07,1199.21,69
CPT,31730,INTRO WINDPIPE WIRE/TUBE,,,114.29,2050.18,20
CPT,31750,TRACHEOPLASTY CERVICAL,,,970.81,7032.98,20
CPT,31755,TRACHPLSTY TRCHPHRYNGL FSTLJ,,,1226.12,7032.98,20
CPT,31760,TRACHEOPLASTY INTRATHORACIC,,,1064.1,1541.77,19
CPT,31766,CARINAL RECONSTRUCTION,,,1391.68,1982.0,19
CPT,31770,REPAIR/GRAFT OF BRONCHUS,,,1030.93,1483.81,19
CPT,31775,RECONSTRUCT BRONCHUS,,,1066.36,1562.84,19
CPT,31780,RECONSTRUCT WINDPIPE,,,899.1,1380.7,19
CPT,31781,RECONSTRUCT WINDPIPE,,,1091.92,1653.93,19
CPT,31785,REMOVE WINDPIPE LESION,,,823.69,7032.98,20
CPT,31786,REMOVE WINDPIPE LESION,,,1146.36,1611.29,19
CPT,31800,REPAIR OF WINDPIPE INJURY,,,508.83,2266.97,20
CPT,31805,REPAIR OF WINDPIPE INJURY,,,630.46,920.98,19
CPT,31820,CLOSURE OF WINDPIPE LESION,,,241.21,3855.6,20
CPT,31825,REPAIR OF WINDPIPE DEFECT,,,356.11,3855.6,20
CPT,31830,REVISE WINDPIPE SCAR,,,249.54,3855.6,20
CPT,31899,HC MINI BAL TOTAL LUNG LAVAGE UNILATERAL,351.0,175.5,52.77,315.9,70
CPT,32000,Physician Fee Schedule,,,65.12,66.42,9
CPT,32005,Physician Fee Schedule,,,95.43,97.34,9
CPT,32020,Physician Fee Schedule,,,153.08,156.14,9
CPT,32035,THORACOSTOMY W/RIB RESECTION,,,536.34,829.0,19
CPT,32036,THORACOSTOMY W/FLAP DRAINAGE,,,581.9,885.76,19
CPT,32096,OPEN WEDGE/BX LUNG INFILTR,,,459.73,902.81,19
CPT,32097,OPEN WEDGE/BX LUNG NODULE,,,459.73,902.65,19
CPT,32098,OPEN BIOPSY OF LUNG PLEURA,,,432.11,850.36,19
CPT,32100,EXPLORATION OF CHEST,,,732.22,915.28,14
CPT,32100,HC ER THORACOTOMY W EXPLORATION,1019.85,509.93,75.38,917.87,72
CPT,32110,EXPLORE/REPAIR CHEST,,,1115.86,1665.14,14
CPT,32110,HC ER THORACOTOMY REPAIR LUNG TEAR,1019.85,509.93,75.38,1665.13,72
CPT,32120,RE-EXPLORATION OF CHEST,,,662.31,985.15,19
CPT,32124,EXPLORE CHEST FREE ADHESIONS,,,704.58,1039.96,19
CPT,32140,REMOVAL OF LUNG LESION(S),,,753.98,1113.45,19
CPT,32141,REMOVE/TREAT LUNG LESIONS,,,1142.4,1702.5,19
CPT,32150,REMOVAL OF LUNG LESION(S),,,759.87,3223.99,20
CPT,32151,REMOVE LUNG FOREIGN BODY,,,776.67,1129.1,19
CPT,32160,HC ER THORACOTOMY W/CARDIAC MASSAGE,2104.0,1052.0,75.38,1893.6,72
CPT,32160,OPEN CHEST HEART MASSAGE,,,583.68,905.38,14
CPT,32200,DRAIN OPEN LUNG LESION,,,852.29,1283.01,19
CPT,32215,TREAT CHEST LINING,,,610.9,904.45,19
CPT,32220,RELEASE OF LUNG,,,1222.22,1795.68,19
CPT,32225,PARTIAL RELEASE OF LUNG,,,760.59,1119.05,19
CPT,32310,REMOVAL OF CHEST LINING,,,701.36,1033.26,19
CPT,32320,FREE/REMOVE CHEST LINING,,,1225.77,1800.01,19
CPT,32400,HC NEEDLE BIOPSY PLEURA,1639.65,819.83,313.99,1926.26,69
CPT,32400,NEEDLE BIOPSY CHEST LINING,,,71.94,95.95,14
CPT,32408,CORE NDL BX LNG/MED PERQ,,,118.33,173.71,14
CPT,32408,HC BIOPSY LUNG/MEDIASTINUM W IMAGING,4971.6,2485.8,712.39,4474.44,70
CPT,32420,Physician Fee Schedule,,,89.49,91.28,9
CPT,32440,REMOVE LUNG PNEUMONECTOMY,,,1225.96,1756.94,19
CPT,32442,SLEEVE PNEUMONECTOMY,,,2287.57,3393.68,19
CPT,32445,REMOVAL OF LUNG EXTRAPLEURAL,,,2598.31,3930.37,19
CPT,32480,PARTIAL REMOVAL OF LUNG,,,1157.18,1655.93,19
CPT,32482,BILOBECTOMY,,,1233.95,1772.03,19
CPT,32484,SEGMENTECTOMY,,,1116.95,1604.37,19
CPT,32486,SLEEVE LOBECTOMY,,,1785.78,2604.3,19
CPT,32488,COMPLETION PNEUMONECTOMY,,,1808.48,2665.07,19
CPT,32491,LUNG VOLUME REDUCTION,,,1147.96,1650.7,19
CPT,32501,REPAIR BRONCHUS ADD-ON,,,195.97,269.2,19
CPT,32503,RESECT APICAL LUNG TUMOR,,,1412.93,2003.82,19
CPT,32504,RESECT APICAL LUNG TUM/CHEST,,,1623.19,2279.9,19
CPT,32505,WEDGE RESECT OF LUNG INITIAL,,,530.84,1046.23,19
CPT,32506,WEDGE RESECT OF LUNG ADD-ON,,,89.38,172.59,19
CPT,32507,WEDGE RESECT OF LUNG DIAG,,,89.38,172.59,19
CPT,32540,REMOVAL OF LUNG LESION,,,1285.94,1930.08,19
CPT,32550,HC INSERTION INDWELLING TUNNELED PLEURAL CATHETER,10738.85,5369.43,314.06,9664.97,70
CPT,32550,INSERT PLEURAL CATH,,,180.05,1725.9,18
CPT,32551,HC ER THORACOTOMY W/TUBE INSERTION,1431.7,715.85,75.38,1846.85,72
CPT,32551,HC THORACOTOMY W/TUBE INSERTION,1431.7,715.85,274.17,1846.85,70
CPT,32551,INSERTION OF CHEST TUBE,,,139.36,571.35,17
CPT,32552,HC ER REMOVAL OF PLEURAL CATH,2028.8,1014.4,75.38,1825.92,72
CPT,32552,HC REMOVAL OF PLEURAL CATH,2028.8,1014.4,314.06,1825.92,70
CPT,32552,REMOVE LUNG CATHETER,,,97.18,530.9,16
CPT,32553,HC PLACEMENT FIDUCIAL THORAX,3720.9,1860.45,712.55,3348.81,70
CPT,32553,INS MARK THOR FOR RT PERQ,,,161.04,201.3,5
CPT,32554,ASPIRATE PLEURA W/O IMAGING,,,72.11,508.31,17
CPT,32554,HC ER THORACENTESIS W/O IMAGING,613.0,306.5,75.38,735.03,72
CPT,32554,HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,613.0,306.5,117.39,1432.11,70
CPT,32555,ASPIRATE PLEURA W/ IMAGING,,,90.02,680.68,17
CPT,32555,HC ER THORACENTESIS W/IMAGING,5113.05,2556.53,75.38,4601.75,72
CPT,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,5113.05,2556.53,599.79,4601.75,70
CPT,32556,HC ER INSERTION CATH PLEURA W/O IMAGING,1132.1,566.05,75.38,2255.28,72
CPT,32556,HC INSERTION CATH PLEURA W/O IMAGING,1132.1,566.05,216.8,2255.28,70
CPT,32556,INSERT CATH PLEURA W/O IMAGE,,,98.78,1607.0,19
CPT,32557,HC INSERT CATH PLEURA W/ IMAGE,3223.4,1611.7,617.28,2901.06,70
CPT,32557,INSERT CATH PLEURA W/ IMAGE,,,130.31,1302.1,19
CPT,32560,HC CHEMICAL PLEURODESIS PNEUMO,415.95,207.98,79.65,735.03,69
CPT,32560,TREAT PLEURODESIS W/AGENT,,,68.84,339.74,15
CPT,32561,HC INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS 1ST DAY,1652.3,826.15,316.42,1487.07,69
CPT,32561,LYSE CHEST FIBRIN INIT DAY,,,44.12,231.2,17
CPT,32562,HC INSTILL VIA CHEST TUBE F/ FIBRINOLYSIS SUBQ DAY,1652.3,826.15,316.42,1487.07,69
CPT,32562,LYSE CHEST FIBRIN SUBQ DAY,,,39.49,206.17,19
CPT,32601,THORACOSCOPY DIAGNOSTIC,,,243.11,6936.32,20
CPT,32604,THORACOSCOPY WBX SAC,,,384.04,12377.64,20
CPT,32606,THORACOSCOPY W/BX MED SPACE,,,366.95,6936.32,23
CPT,32607,THORACOSCOPY W/BX INFILTRATE,,,176.11,12377.64,20
CPT,32608,THORACOSCOPY W/BX NODULE,,,216.24,12377.64,20
CPT,32609,THORACOSCOPY W/BX PLEURA,,,149.38,6936.32,20
CPT,32650,THORACOSCOPY W/PLEURODESIS,,,518.57,1918.64,20
CPT,32651,THORACOSCOPY REMOVE CORTEX,,,821.59,2940.5,20
CPT,32652,THORACOSCOPY REM TOTL CORTEX,,,1248.63,4442.61,20
CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,796.25,3397.05,21
CPT,32654,THORACOSCOPY CONTRL BLEEDING,,,880.53,1343.61,19
CPT,32655,THORACOSCOPY RESECT BULLAE,,,726.17,2621.91,20
CPT,32656,THORACOSCOPY W/PLEURECTOMY,,,621.37,2303.08,20
CPT,32658,THORACOSCOPY W/SAC FB REMOVE,,,559.79,804.6,19
CPT,32659,THORACOSCOPY W/SAC DRAINAGE,,,568.8,826.69,19
CPT,32661,THORACOSCOPY W/PERICARD EXC,,,625.79,897.06,19
CPT,32662,THORACOSCOPY W/MEDIAST EXC,,,700.61,2869.92,21
CPT,32663,THORACOSCOPY W/LOBECTOMY,,,1081.35,1562.08,19
CPT,32664,THORACOSCOPY W/ TH NRV EXC,,,665.83,952.04,19
CPT,32665,THORACOSCOP W/ESOPH MUSC EXC,,,936.34,1377.28,19
CPT,32666,THORACOSCOPY W/WEDGE RESECT,,,496.22,977.57,19
CPT,32667,THORACOSCOPY W/W RESECT ADDL,,,89.38,172.86,19
CPT,32668,THORACOSCOPY W/W RESECT DIAG,,,89.85,173.24,19
CPT,32669,THORACOSCOPY REMOVE SEGMENT,,,764.0,1500.09,19
CPT,32670,THORACOSCOPY BILOBECTOMY,,,911.89,1786.79,19
CPT,32671,THORACOSCOPY PNEUMONECTOMY,,,1011.69,1975.48,19
CPT,32672,THORACOSCOPY FOR LVRS,,,865.39,1693.15,19
CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,684.23,3053.89,20
CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,122.58,237.93,19
CPT,32701,THORAX STEREO RAD TARGETW/TX,,,174.08,879.37,20
CPT,32800,REPAIR LUNG HERNIA,,,716.12,3026.78,20
CPT,32810,CLOSE CHEST AFTER DRAINAGE,,,692.46,1013.75,19
CPT,32815,CLOSE BRONCHIAL FISTULA,,,2058.89,3123.0,19
CPT,32820,RECONSTRUCT INJURED CHEST,,,1031.89,1570.0,19
CPT,32851,LUNG TRANSPLANT SINGLE,,,1992.0,3649.56,19
CPT,32852,LUNG TRANSPLANT WITH BYPASS,,,2203.85,3939.15,19
CPT,32853,LUNG TRANSPLANT DOUBLE,,,2382.67,5106.75,19
CPT,32854,LUNG TRANSPLANT WITH BYPASS,,,2593.3,5398.22,19
CPT,32855,PREPARE DONOR LUNG SINGLE,,,205.3,256.63,5
CPT,32856,PREPARE DONOR LUNG DOUBLE,,,307.95,384.94,5
CPT,32900,REMOVAL OF RIB(S),,,1054.58,1647.67,19
CPT,32905,REVISE & REPAIR CHEST WALL,,,1039.99,1493.05,19
CPT,32906,REVISE & REPAIR CHEST WALL,,,1292.32,1838.86,19
CPT,32940,REVISION OF LUNG,,,952.9,1381.35,19
CPT,32960,THERAPEUTIC PNEUMOTHORAX,,,78.86,879.37,20
CPT,32994,ABLATE PULM TUMOR PERQ CRYBL,,,399.77,499.71,5
CPT,32994,HC CT ABLATION CRYO LUNG TUMOR,13412.8,6706.4,2568.55,12377.64,70
CPT,32997,TOTAL LUNG LAVAGE,,,283.67,386.04,19
CPT,32998,ABLATE PULM TUMOR PERQ RF,,,399.47,499.34,5
CPT,32998,HC ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY,10114.1,5057.05,1936.85,9102.69,69
CPT,32999,HC PROCEDURE CHEST/PLEUR,635.3,317.65,121.66,735.03,70
CPT,33016,HC ER PERICARDIOCENTESIS W/GUIDE,3119.1,1559.55,75.38,2807.19,72
CPT,33016,HC PERICARDIOCENTESIS W/GUIDE,3119.1,1559.55,597.31,2807.19,69
CPT,33016,PERICARDIOCENTESIS W/IMAGING,,,200.84,260.9,14
CPT,33017,HC PERICARDIAC DRAINAGE W/ CATH INSERT W FLURO-US 6 YRS +,4506.0,2253.0,224.0,4055.4,70
CPT,33017,PRCRD DRG 6YR+ W/O CGEN CAR,,,208.57,1321.51,16
CPT,33018,HC PERQ PERICARDIAL DRAINAGE 0-5YR/ANY AGE W/COGENITAL CARDIAC ANOMALY,4506.0,2253.0,262.42,4055.4,70
CPT,33018,PRCRD DRG 0-5YR OR W/ANOMLY,,,238.46,321.59,14
CPT,33019,HC PERQ PERICARDIAL DRAINAGE W/INSERTION INDWELLING CATH W/CT,5632.5,2816.25,194.06,5069.25,70
CPT,33019,PERQ PRCRD DRG INSJ CATH CT,,,190.26,237.83,14
CPT,33020,INCISION OF HEART SAC,,,674.21,929.22,19
CPT,33025,INCISION OF HEART SAC,,,622.39,2318.44,20
CPT,33030,PARTIAL REMOVAL OF HEART SAC,,,996.84,2231.39,19
CPT,33031,PARTIAL REMOVAL OF HEART SAC,,,1113.82,2753.75,19
CPT,33050,RESECT HEART SAC LESION,,,769.89,1130.21,19
CPT,33120,EXC ICAR TUM RESC W/CARD BYP,,,1217.57,3629.34,21
CPT,33130,RESCJ EXTERNAL CARDIAC TUMOR,,,1072.13,1526.58,19
CPT,33140,HEART REVASCULARIZE (TMR),,,1224.55,1733.73,19
CPT,33141,HEART TMR W/OTHER PROCEDURE,,,116.98,146.23,19
CPT,33202,INSERT EPICARD ELTRD OPEN,,,607.04,863.7,19
CPT,33203,INSERT EPICARD ELTRD ENDO,,,639.85,906.91,19
CPT,33206,HC INSERT/REPLACE PERM PACEMAKER W/ ELECTRODES ATRIAL,8841.95,4420.98,1693.23,12441.97,70
CPT,33206,INSERT HEART PM ATRIAL,,,370.09,508.81,14
CPT,33207,HC INSERT/REPLACE PERM PACEMAKER W/ ELECTRODES VENTRICULAR,15241.35,7620.68,1695.94,13717.22,70
CPT,33207,INSERT HEART PM VENTRICULAR,,,396.5,535.2,14
CPT,33208,HC INSERT/REPLACE PERM PACEMAKER ATRIAL/VENTRICULAR,15149.3,7574.65,1695.94,13634.37,70
CPT,33208,INSRT HEART PM ATRIAL & VENT,,,427.49,1317.77,16
CPT,33210,HC ER INSERT/REPL TEMP PACEMAKER SGL,4442.65,2221.33,75.38,9839.11,72
CPT,33210,HC INSERT/REPL TEMP PACEMAKER SGL,4442.65,2221.33,850.77,9839.11,70
CPT,33210,INSERT ELECTRD/PM CATH SNGL,,,143.96,539.24,16
CPT,33211,HC INSERT/REPLACE TEMP TRANSVEN DC PACING ELECTROD,23578.7,11789.35,1432.11,21220.83,70
CPT,33211,INSERT CARD ELECTRODES DUAL,,,148.25,186.75,14
CPT,33212,INSERT PULSE GEN SNGL LEAD,,,276.73,9839.11,20
CPT,33213,INSERT PULSE GEN DUAL LEADS,,,302.5,12441.97,20
CPT,33214,HC PACEMAKER UPGRADE SINGLE TO DUAL,16921.1,8460.55,1695.94,15228.99,70
CPT,33214,UPGRADE OF PACEMAKER SYSTEM,,,391.62,535.85,14
CPT,33215,HC REPOSITION RA OR RV ELECTRODE,5782.35,2891.18,1107.32,5204.12,70
CPT,33215,REPOSITION PACING-DEFIB LEAD,,,250.1,592.26,15
CPT,33216,HC REPLACEMENT PACEMAKER LEAD SINGLE,8020.35,4010.18,1432.11,9839.11,70
CPT,33216,INSERT 1 ELECTRODE PM-DEFIB,,,307.67,2016.23,16
CPT,33217,HC INSERT PACING ELECTROD DUAL CHAMB,10496.9,5248.45,1432.11,9839.11,70
CPT,33217,INSERT 2 ELECTRODE PM-DEFIB,,,305.1,413.68,14
CPT,33218,HC REPOSITIONING PACEMAKER LEAD,8283.85,4141.93,1432.11,7455.47,70
CPT,33218,REPAIR LEAD PACE-DEFIB ONE,,,318.01,436.14,14
CPT,33220,REPAIR LEAD PACE-DEFIB DUAL,,,321.0,4326.67,20
CPT,33221,INSERT PULSE GEN MULT LEADS,,,199.8,22673.23,20
CPT,33222,HC REVISION PACEMAKER POCKET,8638.0,4319.0,1432.11,7774.2,70
CPT,33222,RELOCATION POCKET PACEMAKER,,,279.59,385.45,14
CPT,33223,HC POCKET REVISION AICD,2609.45,1304.73,499.71,2348.51,70
CPT,33223,RELOCATE POCKET FOR DEFIB,,,339.2,457.55,14
CPT,33224,HC INSERT LEAD LV PACING PREV PACEMAKER/ICD,10366.25,5183.13,1432.11,12441.97,70
CPT,33224,INSERT PACING LEAD & CONNECT,,,416.09,2729.2,15
CPT,33225,HC CS LEAD INSERTION WITH SYSTEM,5753.35,2876.68,418.35,5178.02,70
CPT,33225,HC EP INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,5966.45,2983.23,261.3,5369.81,70
CPT,33225,L VENTRIC PACING LEAD ADD-ON,,,375.55,1373.21,15
CPT,33226,HC REPOSITION CHRONIC LV LEAD,3338.7,1669.35,639.36,3741.98,70
CPT,33226,REPOSITION L VENTRIC LEAD,,,401.97,544.23,14
CPT,33227,HC REMOVE/REPLACE PERM PACEMAKER SINGLE,13039.05,6519.53,1432.11,11735.15,70
CPT,33227,REMOVE&REPLACE PM GEN SINGL,,,190.65,379.54,14
CPT,33228,HC REMOVE/REPLACE GENERATOR DUAL,16903.1,8451.55,1695.94,15212.79,70
CPT,33228,REMV&REPLC PM GEN DUAL LEAD,,,198.82,1934.37,17
CPT,33229,HC REM/REPL PPM BIV,16903.1,8451.55,1695.94,22673.23,70
CPT,33229,REMV&REPLC PM GEN MULT LEADS,,,206.98,416.58,14
CPT,33230,HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS,31358.0,15679.0,261.3,28222.2,70
CPT,33230,INSRT PULSE GEN W/DUAL LEADS,,,214.96,417.96,14
CPT,33231,INSRT PULSE GEN W/MULT LEADS,,,223.12,38117.21,20
CPT,33233,HC REMOVAL OF PERMANENT PACEMAKER,4413.15,2206.58,845.12,9839.11,70
CPT,33233,REMOVAL OF PM GENERATOR,,,195.3,261.74,14
CPT,33234,HC REMOVAL OF SINGLE LEAD,4702.6,2351.3,879.37,4326.67,70
CPT,33234,REMOVAL OF PACEMAKER SYSTEM,,,397.55,541.56,14
CPT,33235,HC REMOVAL OF DUAL LEAD,6972.8,3486.4,879.37,6275.52,70
CPT,33235,REMOVAL PACEMAKER ELECTRODE,,,513.51,1609.98,16
CPT,33236,REMOVE ELECTRODE/THORACOTOMY,,,608.01,882.86,19
CPT,33237,REMOVE ELECTRODE/THORACOTOMY,,,671.28,945.69,19
CPT,33238,REMOVE ELECTRODE/THORACOTOMY,,,725.14,1063.81,19
CPT,33240,HC INSERT SINGLE ICD PULSE GENERATOR,27280.85,13640.43,1432.11,26685.71,70
CPT,33240,INSRT PULSE GEN W/SINGL LEAD,,,321.87,402.34,14
CPT,33241,HC REMOVAL ICD AND/OR LEAD SYS,5189.6,2594.8,993.81,4670.64,70
CPT,33241,REMOVE PULSE GENERATOR,,,184.85,241.44,14
CPT,33243,REMOVE ELTRD/THORACOTOMY,,,1068.08,1537.31,19
CPT,33244,HC REMOVAL OF ICD LEAD TRANSVENOUS,5345.65,2672.83,1023.69,4811.09,70
CPT,33244,REMOVE ELCTRD TRANSVENOUSLY,,,698.57,2625.03,18
CPT,33249,HC IMPLANT AICD DUAL CHAMBER W LEA,35710.3,17855.15,1695.94,38117.21,70
CPT,33249,INSJ/RPLCMT DEFIB W/LEAD(S),,,739.85,4892.74,19
CPT,33250,ABLATE HEART DYSRHYTHM FOCUS,,,1145.52,1625.26,19
CPT,33251,ABLATE HEART DYSRHYTHM FOCUS,,,1269.89,1816.42,19
CPT,33254,ABLATE ATRIA LMTD,,,1067.79,1519.82,19
CPT,33255,ABLATE ATRIA W/O BYPASS EXT,,,1306.33,1813.78,19
CPT,33256,ABLATE ATRIA W/BYPASS EXTEN,,,1558.6,2146.65,19
CPT,33257,ABLATE ATRIA LMTD ADD-ON,,,449.6,3133.07,23
CPT,33258,ABLATE ATRIA X10SV ADD-ON,,,508.01,728.03,19
CPT,33259,ABLATE ATRIA W/BYPASS ADD-ON,,,662.66,950.89,19
CPT,33261,ABLATE HEART DYSRHYTHM FOCUS,,,1263.86,1797.26,19
CPT,33262,HC REMOVE/REPLACE ICD SINGLE,37516.0,18758.0,2751.19,33764.4,70
CPT,33262,RMVL& REPLC PULSE GEN 1 LEAD,,,207.19,1129.2,15
CPT,33263,HC REMOVE/REPLACE ICD DUAL,37516.0,18758.0,2751.19,33764.4,70
CPT,33263,RMVL & RPLCMT DFB GEN 2 LEAD,,,215.35,1173.76,15
CPT,33264,HC REMOVE/REPLACE ICD BIV,37516.0,18758.0,2751.19,38117.21,70
CPT,33264,RMVL & RPLCMT DFB GEN MLT LD,,,223.51,1218.36,15
CPT,33265,ABLATE ATRIA LMTD ENDO,,,1065.55,5643.59,20
CPT,33266,ABLATE ATRIA X10SV ENDO,,,1463.37,2054.2,14
CPT,33266,HC MAZE PROCEDURE W/O CARDIO BY,99183.65,49591.83,1676.23,89265.29,69
CPT,33267,EXCL LAA OPEN ANY METHOD,,,934.86,1168.58,10
CPT,33268,EXCL LAA OPN OTH PX ANY METH,,,115.04,412.63,11
CPT,33269,EXCL LAA THRSCP ANY METHOD,,,744.45,930.56,10
CPT,33270,HC INSERT/REPLACE SUBQ DEFIBRILLATOR,35710.3,17855.15,6838.52,38117.21,69
CPT,33270,INS/REP SUBQ DEFIBRILLATOR,,,500.49,3150.73,16
CPT,33271,HC INSERTION OF DEFIBRILLATOR ELECTRODE,8020.35,4010.18,1535.9,9839.11,69
CPT,33271,INSJ SUBQ IMPLTBL DFB ELCTRD,,,407.2,509.0,14
CPT,33272,HC REMOVAL SUB-Q DEFIBRILLATOR,5345.65,2672.83,1023.69,4811.09,69
CPT,33272,RMVL OF SUBQ DEFIBRILLATOR,,,312.22,390.28,14
CPT,33273,HC EP REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,10229.0,5114.5,261.3,9206.1,70
CPT,33273,REPOS PREV IMPLTBL SUBQ DFB,,,330.18,449.49,14
CPT,33274,HC TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG,75885.15,37942.58,400.74,68296.64,70
CPT,33274,TCAT INSJ/RPL PERM LDLS PM,,,426.53,533.16,5
CPT,33275,"HC REMOVAL OF PERM LEADLESS PACEMAKER, RT VENTRICULAR W/ FLUOROSCOPY",11671.1,5835.55,425.47,10503.99,70
CPT,33275,TCAT RMVL PERM LDLS PM W/IMG,,,450.83,563.54,5
CPT,33276,HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM,39158.65,19579.33,778.87,53499.97,70
CPT,33276,INSJ PHRNC NRV STIM SYS,,,448.52,648.44,14
CPT,33277,HC INS PHRENIC NRV STIMULATOR TRANSVNS SENSING LD,94209.8,47104.9,259.77,84788.82,70
CPT,33277,INSJ PHRNC NRV STIM TRANSVNS,,,234.73,318.34,14
CPT,33278,HC REMOVAL PHRENIC NERVE STIMULATOR SYSTEM,40024.25,20012.13,778.87,36021.83,70
CPT,33278,RMVL PHRNC NRV STIM SYS,,,446.17,643.3,14
CPT,33279,HC RMVL PHRNC NRV STIMULATOR TRANSVNS STIM/SNSG LD,15385.35,7692.68,778.87,13846.82,70
CPT,33279,RMVL PHRNC NRV STIM TRANSVNS,,,269.65,386.05,14
CPT,33280,HC RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,10833.55,5416.78,778.87,9750.2,70
CPT,33280,RMVL PHRNC NRV STIM PG ONLY,,,164.95,237.8,14
CPT,33281,HC REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD,14321.2,7160.6,778.87,12889.08,70
CPT,33281,REPOSG PHRNC NRV STIM TRNSVN,,,291.55,418.88,14
CPT,33285,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,6099.3,3049.65,1168.02,9839.11,70
CPT,33285,INSJ SUBQ CAR RHYTHM MNTR,,,75.37,478.67,16
CPT,33286,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,4158.8,2079.4,107.06,3742.92,70
CPT,33286,RMVL SUBQ CAR RHYTHM MNTR,,,73.94,469.54,16
CPT,33287,HC RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR,109005.7,54502.85,778.87,98105.13,70
CPT,33287,RMV&RPLCMT PHRNC NRV STIM PG,,,300.7,435.88,14
CPT,33288,HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIM/SNSG LD,109284.2,54642.1,778.87,98355.78,70
CPT,33288,RMV&RPLCMT PHRNC NRV STIM LD,,,396.56,564.15,14
CPT,33289,HC IMPLANT WIRELES PULM ARTRY SENSOR,36958.6,18479.3,269.55,33797.73,70
CPT,33289,TCAT IMPL WRLS P-ART PRS SNR,,,297.32,371.65,5
CPT,33300,REPAIR OF HEART WOUND,,,1816.84,2723.55,19
CPT,33305,REPAIR OF HEART WOUND,,,3034.73,4540.08,19
CPT,33310,EXPLORATORY HEART SURGERY,,,912.98,1309.13,19
CPT,33315,EXPLORATORY HEART SURGERY,,,1161.58,2129.01,19
CPT,33320,REPAIR MAJOR BLOOD VESSEL(S),,,827.88,1196.53,19
CPT,33321,REPAIR MAJOR VESSEL,,,933.65,1328.57,19
CPT,33322,REPAIR MAJOR BLOOD VESSEL(S),,,1084.36,1550.26,19
CPT,33330,INSERT MAJOR VESSEL GRAFT,,,1095.64,1590.19,19
CPT,33335,INSERT MAJOR VESSEL GRAFT,,,1478.07,2080.33,19
CPT,33340,HC PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT,44758.0,22379.0,705.86,40282.2,69
CPT,33340,PERQ CLSR TCAT L ATR APNDGE,,,692.02,865.03,5
CPT,33361,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,42635.25,21317.63,1095.07,38371.73,69
CPT,33361,REPLACE AORTIC VALVE PERQ,,,1060.96,1341.99,14
CPT,33362,HC CATH REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,45777.15,22888.58,1194.54,41199.44,69
CPT,33362,REPLACE AORTIC VALVE OPEN,,,1160.82,1463.9,14
CPT,33363,REPLACE AORTIC VALVE OPEN,,,1201.92,1516.25,19
CPT,33364,REPLACE AORTIC VALVE OPEN,,,1211.03,1513.79,19
CPT,33365,REPLACE AORTIC VALVE OPEN,,,1263.76,1579.7,19
CPT,33366,TRCATH REPLACE AORTIC VALVE,,,1394.22,1742.78,19
CPT,33367,REPLACE AORTIC VALVE W/BYP,,,491.33,675.81,19
CPT,33368,REPLACE AORTIC VALVE W/BYP,,,595.4,818.19,19
CPT,33369,REPLACE AORTIC VALVE W/BYP,,,786.08,1079.89,19
CPT,33370,HC TRANSCATH PLCM & REM EMB DEV,12378.75,6189.38,121.18,11140.88,69
CPT,33370,TCAT PLMT&RMVL CEPD PERQ,,,118.8,419.73,6
CPT,33390,VALVULOPLASTY AORTIC VALVE,,,1620.68,2146.39,19
CPT,33391,VALVULOPLASTY AORTIC VALVE,,,1920.47,2543.04,19
CPT,33404,PREPARE HEART-AORTA CONDUIT,,,1400.52,1949.41,19
CPT,33405,REPLACEMENT AORTIC VALVE OPN,,,1816.56,6792.36,22
CPT,33406,REPLACEMENT AORTIC VALVE OPN,,,2244.41,3205.1,19
CPT,33410,REPLACEMENT AORTIC VALVE OPN,,,1980.33,2833.34,19
CPT,33411,REPLACEMENT OF AORTIC VALVE,,,2588.56,9424.45,20
CPT,33412,REPLACEMENT OF AORTIC VALVE,,,1959.67,3489.88,19
CPT,33413,REPLACEMENT OF AORTIC VALVE,,,2549.71,3577.44,19
CPT,33414,REPAIR OF AORTIC VALVE,,,1703.12,2388.06,19
CPT,33415,REVISION SUBVALVULAR TISSUE,,,1579.89,3857.87,20
CPT,33416,REVISE VENTRICLE MUSCLE,,,1585.57,5837.08,20
CPT,33417,REPAIR OF AORTIC VALVE,,,1320.05,1864.68,19
CPT,33418,HC TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS,20003.6,10001.8,1632.82,18003.24,69
CPT,33418,REPAIR TCAT MITRAL VALVE,,,1600.8,2001.0,5
CPT,33419,HC TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS,5183.45,2591.73,383.01,4665.11,69
CPT,33419,REPAIR TCAT MITRAL VALVE,,,375.5,469.38,5
CPT,33420,REVISION OF MITRAL VALVE,,,1074.25,1619.25,19
CPT,33422,REVISION OF MITRAL VALVE,,,1325.82,1856.68,19
CPT,33425,REPAIR OF MITRAL VALVE,,,2072.45,7476.89,20
CPT,33426,REPAIR OF MITRAL VALVE,,,1877.36,2654.51,19
CPT,33427,REPAIR OF MITRAL VALVE,,,1958.83,13223.94,21
CPT,33430,REPLACEMENT OF MITRAL VALVE,,,2172.9,15128.67,24
CPT,33440,RPLCMT A-VALVE TLCJ AUTOL PV,,,2864.56,3774.36,19
CPT,33460,REVISION OF TRICUSPID VALVE,,,1844.52,2663.35,19
CPT,33463,VALVULOPLASTY TRICUSPID,,,2331.52,3422.56,19
CPT,33464,VALVULOPLASTY TRICUSPID,,,1876.12,2715.96,19
CPT,33465,REPLACE TRICUSPID VALVE,,,2101.29,7581.08,20
CPT,33468,REVISION OF TRICUSPID VALVE,,,1476.87,2722.25,19
CPT,33471,Physician Fee Schedule,,,1040.0,1060.8,9
CPT,33474,REVISION OF PULMONARY VALVE,,,1618.15,2427.74,19
CPT,33475,REPLACEMENT PULMONARY VALVE,,,1819.45,12658.05,20
CPT,33476,REVISION OF HEART CHAMBER,,,1150.65,1705.49,19
CPT,33477,HC TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH,14562.2,7281.1,1192.37,13105.98,69
CPT,33477,IMPLANT TCAT PULM VLV PERQ,,,1112.0,7039.32,15
CPT,33478,REVISION OF HEART CHAMBER,,,1236.15,1761.28,19
CPT,33496,REPAIR PROSTH VALVE CLOT,,,1322.97,1856.79,19
CPT,33500,REPAIR HEART VESSEL FISTULA,,,1241.24,1740.97,19
CPT,33501,REPAIR HEART VESSEL FISTULA,,,861.22,1248.26,19
CPT,33502,CORONARY ARTERY CORRECTION,,,994.12,1434.3,19
CPT,33503,CORONARY ARTERY GRAFT,,,1063.01,1491.76,19
CPT,33504,CORONARY ARTERY GRAFT,,,1135.95,1643.14,19
CPT,33505,REPAIR ARTERY W/TUNNEL,,,1567.51,2284.73,19
CPT,33506,REPAIR ARTERY TRANSLOCATION,,,1622.57,3899.52,20
CPT,33507,REPAIR ART INTRAMURAL,,,1371.51,1915.18,19
CPT,33508,ENDOSCOPIC VEIN HARVEST,,,12.94,46.43,20
CPT,33509,NDSC HRV UXTR ART 1 SGM CAB,,,144.65,192.13,19
CPT,33510,CABG VEIN SINGLE,,,1544.55,2154.9,19
CPT,33511,CABG VEIN TWO,,,1686.22,2366.84,19
CPT,33512,CABG VEIN THREE,,,1900.07,2693.05,19
CPT,33513,CABG VEIN FOUR,,,1941.66,2752.93,19
CPT,33514,CABG VEIN FIVE,,,2057.6,2899.5,19
CPT,33516,CABG VEIN SIX OR MORE,,,2139.09,3001.03,19
CPT,33517,CABG ARTERY-VEIN SINGLE,,,147.44,1015.8,24
CPT,33518,CABG ARTERY-VEIN TWO,,,319.29,2234.24,26
CPT,33519,CABG ARTERY-VEIN THREE,,,425.89,2953.56,24
CPT,33521,CABG ARTERY-VEIN FOUR,,,515.31,3547.22,21
CPT,33522,CABG ARTERY-VEIN FIVE,,,586.0,809.96,19
CPT,33523,CABG ART-VEIN SIX OR MORE,,,668.73,913.59,19
CPT,33530,CORONARY ARTERY BYPASS/REOP,,,406.06,2850.48,24
CPT,33533,CABG ARTERIAL SINGLE,,,1503.79,10105.25,24
CPT,33534,CABG ARTERIAL TWO,,,1749.22,11881.97,27
CPT,33535,CABG ARTERIAL THREE,,,1942.85,13247.62,22
CPT,33536,CABG ARTERIAL FOUR OR MORE,,,2082.43,7702.02,20
CPT,33542,REMOVAL OF HEART LESION,,,2008.69,2927.14,19
CPT,33545,REPAIR OF HEART DAMAGE,,,2370.31,3404.2,19
CPT,33548,RESTORE/REMODEL VENTRICLE,,,2622.89,3278.61,10
CPT,33572,OPEN CORONARY ENDARTERECTOMY,,,187.04,690.14,20
CPT,33600,CLOSURE OF VALVE,,,1346.31,1920.7,19
CPT,33602,CLOSURE OF VALVE,,,1283.1,1865.45,19
CPT,33606,ANASTOMOSIS/ARTERY-AORTA,,,1397.29,1985.85,19
CPT,33608,REPAIR ANOMALY W/CONDUIT,,,1434.07,2011.68,19
CPT,33610,REPAIR BY ENLARGEMENT,,,1399.59,1984.08,19
CPT,33611,REPAIR DOUBLE VENTRICLE,,,1539.88,10536.95,20
CPT,33612,REPAIR DOUBLE VENTRICLE,,,1590.19,2226.73,19
CPT,33615,REPAIR MODIFIED FONTAN,,,1583.73,2226.75,19
CPT,33617,REPAIR SINGLE VENTRICLE,,,1700.32,6379.33,21
CPT,33619,REPAIR SINGLE VENTRICLE,,,2084.43,7992.29,20
CPT,33620,APPLY R&L PULM ART BANDS,,,1467.65,1834.56,10
CPT,33621,TRANSTHOR CATH FOR STENT,,,831.78,1039.73,10
CPT,33622,REDO COMPL CARDIAC ANOMALY,,,3043.83,3804.79,10
CPT,33641,REPAIR HEART SEPTUM DEFECT,,,1266.07,8835.95,20
CPT,33645,REVISION OF HEART VEINS,,,1245.66,4613.7,20
CPT,33647,REPAIR HEART SEPTUM DEFECTS,,,1324.29,4957.54,21
CPT,33660,REPAIR OF HEART DEFECTS,,,1389.05,3680.21,20
CPT,33665,REPAIR OF HEART DEFECTS,,,1503.45,2128.18,19
CPT,33670,REPAIR OF HEART CHAMBERS,,,1564.22,2186.84,19
CPT,33675,CLOSE MULT VSD,,,1560.25,2191.36,19
CPT,33676,CLOSE MULT VSD W/RESECTION,,,1623.39,2249.27,19
CPT,33677,CL MULT VSD W/REM PUL BAND,,,1687.34,2335.96,19
CPT,33681,CLOSURE 1 VSD W/WO PATCH,,,1441.53,2061.05,19
CPT,33684,CLSR 1 VSD W/WO PATCH W/VLVT,,,1473.04,2100.41,19
CPT,33688,CLSR 1VSD W/WO PTCH RMVL BND,,,1480.02,2089.74,19
CPT,33690,BANDING PULMONARY ARTERY,,,907.76,1349.24,19
CPT,33692,COMP RPR TOF WO PULM ATRESIA,,,1391.62,2170.73,19
CPT,33694,CMP RPR TOF WO PLM ATRS PTCH,,,1567.68,2169.08,19
CPT,33697,COMPL RPR TOF W/PULM ATRESIA,,,1687.03,2284.63,19
CPT,33702,REPAIR OF HEART DEFECTS,,,1206.89,1729.93,19
CPT,33710,REPAIR OF HEART DEFECTS,,,1457.58,2280.62,19
CPT,33720,REPAIR OF HEART DEFECT,,,1222.59,1731.11,19
CPT,33724,REPAIR VENOUS ANOMALY,,,1240.88,1713.78,19
CPT,33726,REPAIR PUL VENOUS STENOSIS,,,1622.35,2258.82,19
CPT,33730,REPAIR HEART-VEIN DEFECT(S),,,1546.99,2235.85,19
CPT,33732,REPAIR HEART-VEIN DEFECT,,,1289.62,1843.01,19
CPT,33735,REVISION OF HEART CHAMBER,,,982.04,1454.56,19
CPT,33736,REVISION OF HEART CHAMBER,,,1094.89,1576.99,19
CPT,33737,Physician Fee Schedule,,,1021.09,1041.51,9
CPT,33741,HC TAS CONGENITAL CAR ANOMAL,7463.6,3731.8,679.38,6717.24,70
CPT,33741,TAS CONGENITAL CAR ANOMAL,,,588.86,2217.72,15
CPT,33745,HC TRANSCATHETER INTRACARDIAC SHUNT CREATION,63758.65,31879.33,778.87,57382.79,70
CPT,33745,TIS CGEN CAR ANOMAL 1ST SHNT,,,830.13,1189.61,14
CPT,33746,TIS CGEN CAR ANOMAL EA ADDL,,,327.29,475.48,19
CPT,33750,SHUNT SUBCLAVIAN TO PULM ART,,,1027.1,3605.41,20
CPT,33755,SHUNT AS-AORT TO PULM ART,,,1015.35,1478.08,19
CPT,33762,SHUNT DESC AORTA TO PULM ART,,,1013.61,1432.4,19
CPT,33764,SHUNT CENTRAL W/PROSTC GRAFT,,,999.09,1478.08,19
CPT,33766,SHUNT SUPR V/C P-ART 1 LUNG,,,1098.73,1487.27,19
CPT,33767,SHUNT SUPR V/C P-ART BTH LNG,,,1113.07,4181.24,20
CPT,33768,ANAST CAVOPULM SEC SUP V/C,,,339.75,459.66,19
CPT,33770,RPR TGA W/O SURG ENLGMNT VSD,,,1693.33,2349.55,19
CPT,33771,RPR TGA W/SURG ENLGMNT VSD,,,1736.28,2413.54,19
CPT,33774,RPR TGA ATRIAL BAFFLE PX,,,1426.05,2012.03,19
CPT,33775,RPR TGA ATR BFL RMVL PLM BND,,,1483.62,2069.91,19
CPT,33776,RPR TGA ATR BFL CLSR VSD,,,1561.01,2189.33,19
CPT,33777,RPR TGA BFL RPR SBPULM OBSTR,,,1529.32,2106.23,19
CPT,33778,RPR TGA AORTIC PULM ART RCNS,,,1879.85,2615.29,19
CPT,33779,RPR TGA RCNSTJ RMVL PLM BND,,,1805.29,2577.28,19
CPT,33780,RPR TGA RCNSTJ CLSR VSD,,,1875.72,2627.65,19
CPT,33781,RPR TGA RCNSTJ RPR SBPL OBST,,,1844.78,2561.49,19
CPT,33782,NIKAIDOH PROC,,,1988.37,3578.49,19
CPT,33783,NIKAIDOH PROC W/OSTIA IMPLT,,,2149.31,3866.3,19
CPT,33786,REPAIR ARTERIAL TRUNK,,,1813.07,2528.76,19
CPT,33788,REVISION OF PULMONARY ARTERY,,,1222.89,1709.19,19
CPT,33800,AORTIC SUSPENSION,,,767.19,1103.24,19
CPT,33802,DIVISION ABERRANT VESSEL,,,824.59,1219.82,19
CPT,33803,DIV ABERRANT VSL W/REANAST,,,897.74,1285.54,19
CPT,33813,Physician Fee Schedule,,,1016.0,1036.32,9
CPT,33814,OBLTRJ A-PULM SEP DEF W/BYP,,,1199.05,1706.61,19
CPT,33820,REPAIR PDA BY LIGATION,,,767.31,1084.7,19
CPT,33822,REPAIR PDA DIV<18 YEARS,,,814.84,1143.15,19
CPT,33824,REPAIR PDA DIV 18 YRS&OLDER,,,921.54,1325.2,19
CPT,33840,EXC COA W/DIRECT ANASTOMOSIS,,,932.44,1390.34,19
CPT,33845,EXCISION COA W/GRAFT,,,1074.09,1497.59,19
CPT,33851,EXC COA RPR L SUBCL ART/PRST,,,988.7,1427.53,19
CPT,33852,RPR HYPOPL A-ARCH WO BYP,,,1074.26,1566.84,19
CPT,33853,RPR HYPOPL A-ARCH W/BYP,,,1480.86,2047.28,19
CPT,33858,AS-AORT GRF F/AORTIC DSJ,,,2882.65,18254.58,23
CPT,33859,AS-AORT GRF F/DS OTH/THN DSJ,,,2069.42,13104.46,21
CPT,33863,ASCENDING AORTIC GRAFT,,,2476.9,17041.55,24
CPT,33864,ASCENDING AORTIC GRAFT,,,2545.18,9332.69,20
CPT,33866,AORTIC HEMIARCH GRAFT,,,814.82,5549.72,23
CPT,33871,TRANSVRS A-ARCH GRF HYPTHRM,,,2770.66,3610.53,19
CPT,33875,THORACIC AORTIC GRAFT,,,1562.58,3043.74,19
CPT,33877,THORACOABDOMINAL GRAFT,,,2785.95,3994.51,19
CPT,33880,EVASC RPR TA NDGFT COV LSA,,,1578.89,1973.61,14
CPT,33880,HC ENDOVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH,7737.5,3868.75,1481.73,6963.75,69
CPT,33881,EVASC RPR TA NDGFT XCOV LSA,,,1356.13,8453.08,17
CPT,33881,HC ENDOVASC RPR DTA EXP COVERAGE W/O ART ORIGIN,6547.1,3273.55,1253.77,5892.39,69
CPT,33883,DELAYED PLMT PROX XTN PROSTH,,,981.91,1227.39,14
CPT,33883,"HC INSERT ENDOVASC PROSTH, TAA",6547.1,3273.55,1001.55,5892.39,69
CPT,33884,Fee Schedule,,,435.29,435.29,1
CPT,33884,"HC ENDOVASC PROSTH, TAA, EA ADD",6547.1,3273.55,355.19,5892.39,69
CPT,33884,MPFS,,,348.23,361.41,4
CPT,33884,Physician Fee Schedule,,,388.48,396.25,9
CPT,33886,DELAYED PLMT DSTL XTN PROSTH,,,848.68,1060.85,14
CPT,33886,"HC ENDOVASC DIST EXTENS TAA PROSTH, DELAYED",4383.3,2191.65,839.4,3944.97,69
CPT,33889,APC,,,718.28,880.25,5
CPT,33889,Fee Schedule,,,880.25,880.25,1
CPT,33889,MPFS,,,704.2,730.85,4
CPT,33889,Physician Fee Schedule,,,771.21,786.63,9
CPT,33891,APC,,,866.19,1061.51,5
CPT,33891,Fee Schedule,,,1061.51,1061.51,1
CPT,33891,MPFS,,,849.21,881.35,4
CPT,33891,Physician Fee Schedule,,,983.5,1003.17,9
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,,,813.95,1086.71,14
CPT,33894,HC ENDV REP TH/ABD AORTA W BRANCH,7737.5,3868.75,886.76,6963.75,69
CPT,33895,EVASC ST RPR THRC/AA X CRSG,,,647.62,864.48,14
CPT,33895,HC ENDV REP TH/ABD AORTA W/O BRAN,6547.1,3273.55,705.41,5892.39,69
CPT,33897,HC PERCU TRANS ANGIO COARC AORTA,18149.25,9074.63,524.59,16334.33,69
CPT,33897,PERQ TRLUML ANGP NT/RECR COA,,,482.05,642.89,14
CPT,33900,HC PERQ PULM ART REVASC INIT NORMAL NAT CONN UNI,41088.1,20544.05,314.06,36979.29,70
CPT,33900,PERQ P-ART REVSC 1 NM NT UNI,,,462.6,656.11,14
CPT,33901,HC PERQ PULM ART REVASC INIT NORMAL NAT CONN BIL,60757.25,30378.63,314.06,54681.53,70
CPT,33901,PERQ P-ART REVSC 1 NM NT BI,,,608.02,862.49,14
CPT,33902,HC PERQ PULM ART REVASC INIT ABNORMAL CONN UNI,41088.1,20544.05,314.06,36979.29,70
CPT,33902,PERQ P-ART REVSC 1 ABNOR UNI,,,587.38,4043.12,15
CPT,33903,HC PERQ PULM ART REVASC INIT ABNORMAL CONN BIL,60757.25,30378.63,314.06,54681.53,70
CPT,33903,PERQ P-ART REVSC 1 ABNOR BI,,,692.25,981.29,14
CPT,33904,HC PERQ PULM ART REVASC EA ADDL NORMAL/ABN CONN,19669.2,9834.6,268.37,17702.28,70
CPT,33904,PERQ P-ART REVSC EACH ADDL,,,232.31,328.88,14
CPT,33910,REMOVE LUNG ARTERY EMBOLI,,,1307.18,2904.83,19
CPT,33915,HC PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS,5779.75,2889.88,1106.82,5201.78,69
CPT,33915,REMOVE LUNG ARTERY EMBOLI,,,1046.31,1532.53,14
CPT,33916,SURGERY OF GREAT VESSEL,,,1307.04,4634.21,19
CPT,33917,REPAIR PULMONARY ARTERY,,,1182.38,4285.73,20
CPT,33920,REPAIR PULMONARY ATRESIA,,,1431.07,2015.3,19
CPT,33922,TRANSECT PULMONARY ARTERY,,,1081.49,1555.56,19
CPT,33924,REMOVE PULMONARY SHUNT,,,229.33,855.57,20
CPT,33925,RPR PUL ART UNIFOCAL W/O CPB,,,1392.17,1909.21,19
CPT,33926,REPR PUL ART UNIFOCAL W/CPB,,,1857.21,2681.73,19
CPT,33927,IMPLTJ TOT RPLCMT HRT SYS,,,2252.81,2816.02,10
CPT,33933,PREPARE DONOR HEART/LUNG,,,205.3,256.63,5
CPT,33935,TRANSPLANTATION HEART/LUNG,,,2739.71,5470.56,19
CPT,33944,PREPARE DONOR HEART,,,205.3,256.63,5
CPT,33945,TRANSPLANTATION OF HEART,,,3652.63,13113.26,22
CPT,33946,ECMO/ECLS INITIATION VENOUS,,,268.5,1675.79,18
CPT,33946,HC ECMO INITIAL VENOUS,35057.75,17528.88,281.74,31551.98,69
CPT,33946,HC ECMO INITIAL VENOUS W TRANSPORT,43698.0,21849.0,281.74,39328.2,69
CPT,33947,ECMO/ECLS INITIATION ARTERY,,,293.34,1850.98,19
CPT,33947,HC ECMO INITIAL ARTERIAL W TRANSPORT,43698.0,21849.0,311.97,39328.2,69
CPT,33947,HC ECMO/ECLS INITIATION VENO-ARTERIAL,35057.75,17528.88,311.97,31551.98,69
CPT,33948,ECMO/ECLS DAILY MGMT-VENOUS,,,206.7,1325.4,18
CPT,33948,HC ECMO SUBSEQUENT VENOUS,21276.7,10638.35,219.49,19149.03,69
CPT,33949,ECMO/ECLS DAILY MGMT ARTERY,,,201.56,1289.74,22
CPT,33949,HC ECMO SUBSEQUENT ARTERY,21276.7,10638.35,214.15,19149.03,69
CPT,33951,ECMO/ECLS INSJ PRPH CANNULA,,,337.04,468.34,14
CPT,33951,HC INSERTION ECMO CANNULA <6 YRS OLD,12904.35,6452.18,382.16,11613.92,69
CPT,33952,ECMO/ECLS INSJ PRPH CANNULA,,,328.17,2322.33,16
CPT,33952,HC ECMO/ECLS INSJ OF PRPH CANNULA > 6 YO,12904.35,6452.18,386.6,11613.92,69
CPT,33953,ECMO/ECLS INSJ PRPH CANNULA,,,375.76,522.54,19
CPT,33954,ECMO/ECLS INSJ PRPH CANNULA,,,365.74,1377.43,20
CPT,33955,ECMO/ECLS INSJ CTR CANNULA,,,730.84,913.56,19
CPT,33956,ECMO/ECLS INSJ CTR CANNULA,,,714.22,924.0,19
CPT,33957,ECMO/ECLS REPOS PERPH CNULA,,,163.31,238.13,19
CPT,33958,ECMO/ECLS REPOS PERPH CNULA,,,163.31,860.89,15
CPT,33958,HC ECMO CANNULA REPOSITION 6 YEARS UP,12904.35,6452.18,166.57,11613.92,69
CPT,33959,ECMO/ECLS REPOS PERPH CNULA,,,207.18,279.08,19
CPT,33962,ECMO/ECLS REPOS PERPH CNULA,,,207.18,265.64,19
CPT,33963,ECMO/ECLS REPOS PERPH CNULA,,,412.71,515.89,19
CPT,33964,ECMO/ECLS REPOS PERPH CNULA,,,435.23,544.04,19
CPT,33965,ECMO/ECLS RMVL PERPH CANNULA,,,163.31,240.76,19
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,,,210.42,996.18,15
CPT,33966,HC ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,4448.9,2224.45,214.63,4004.01,69
CPT,33967,HC CATH INSERT INTRA-AORTIC BALLOON ASST DEVICE,4613.65,2306.83,234.23,4152.29,70
CPT,33967,HC INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ,4448.9,2224.45,234.23,4004.01,69
CPT,33967,INSERT I-AORT PERCUT DEVICE,,,217.72,1392.38,18
CPT,33968,HC REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ,4448.9,2224.45,30.82,4004.01,69
CPT,33968,REMOVE AORTIC ASSIST DEVICE,,,27.97,105.23,15
CPT,33969,ECMO/ECLS RMVL PERPH CANNULA,,,240.36,300.45,19
CPT,33970,AORTIC CIRCULATION ASSIST,,,292.86,391.23,19
CPT,33971,AORTIC CIRCULATION ASSIST,,,560.71,791.47,19
CPT,33973,INSERT BALLOON DEVICE,,,426.75,554.43,19
CPT,33974,REMOVE INTRA-AORTIC BALLOON,,,714.04,1000.11,19
CPT,33975,IMPLANT VENTRICULAR DEVICE,,,884.45,1446.7,19
CPT,33976,IMPLANT VENTRICULAR DEVICE,,,982.14,1747.33,19
CPT,33977,REMOVE VENTRICULAR DEVICE,,,946.52,1249.79,19
CPT,33978,REMOVE VENTRICULAR DEVICE,,,1043.05,1474.54,19
CPT,33979,INSERT INTRACORPOREAL DEVICE,,,1720.09,7139.82,21
CPT,33980,REMOVE INTRACORPOREAL DEVICE,,,1579.72,2902.24,19
CPT,33981,REPLACE VAD PUMP EXT,,,732.35,915.44,19
CPT,33982,REPLACE VAD INTRA W/O BP,,,1505.39,2152.19,19
CPT,33983,REPLACE VAD INTRA W/BP,,,1505.39,2531.66,19
CPT,33984,ECMO/ECLS RMVL PRPH CANNULA,,,251.6,1032.32,22
CPT,33985,ECMO/ECLS RMVL CTR CANNULA,,,453.07,566.34,19
CPT,33986,ECMO/ECLS RMVL CTR CANNULA,,,465.59,581.99,19
CPT,33987,ARTERY EXPOS/GRAFT ARTERY,,,183.5,229.38,19
CPT,33988,INSERTION OF LEFT HEART VENT,,,633.84,857.37,19
CPT,33989,REMOVAL OF LEFT HEART VENT,,,418.32,544.04,19
CPT,33990,HC INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY,5183.45,2591.73,325.93,4665.11,69
CPT,33990,INSJ PERQ VAD L HRT ARTERIAL,,,319.54,2351.8,17
CPT,33991,INSJ PERQ VAD L HRT ARTL&VEN,,,401.88,512.91,19
CPT,33992,HC REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION,8266.7,4133.35,170.03,7440.03,69
CPT,33992,RMVL PERQ LEFT HEART VAD,,,164.23,637.67,18
CPT,33993,HC REPOSITION VAD W/IMAGING DIFFERENT SESSION,8266.7,4133.35,150.63,7440.03,69
CPT,33993,REPOSG PERQ R/L HRT VAD,,,144.21,977.03,16
CPT,33995,INSJ PERQ VAD R HRT VENOUS,,,281.73,392.9,19
CPT,33997,HC REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ,8266.7,4133.35,145.89,7440.03,69
CPT,33997,RMVL PERQ RIGHT HEART VAD,,,125.24,178.79,14
CPT,33999,HC IABP REPOSITION,3081.15,1540.58,599.79,2773.04,70
CPT,33999,HC INSERTION IMPELLA - ARTERIAL,5183.45,2591.73,599.79,4665.11,70
CPT,33999,HC INSERTION PACEMAKER LV ONLY,20995.0,10497.5,599.79,18895.5,70
CPT,34001,REMOVAL OF ARTERY CLOT,,,764.56,1014.6,19
CPT,34051,REMOVAL OF ARTERY CLOT,,,765.3,1113.01,19
CPT,34101,REMOVAL OF ARTERY CLOT,,,486.12,6426.7,20
CPT,34111,REMOVAL OF ARM ARTERY CLOT,,,485.93,6426.7,20
CPT,34151,REMOVAL OF ARTERY CLOT,,,1127.75,1539.91,19
CPT,34201,HC THROMBECTOMY FEM POP BY LEG INCISION,20065.35,10032.68,314.06,18058.82,70
CPT,34201,REMOVAL OF ARTERY CLOT,,,795.5,1129.31,14
CPT,34203,REMOVAL OF LEG ARTERY CLOT,,,314.06,6426.7,20
CPT,34401,REMOVAL OF VEIN CLOT,,,1161.18,1484.12,19
CPT,34421,REMOVAL OF VEIN CLOT,,,589.18,3741.98,20
CPT,34451,REMOVAL OF VEIN CLOT,,,1217.67,1590.14,19
CPT,34471,REMOVAL OF VEIN CLOT,,,599.79,1196.4,20
CPT,34490,REMOVAL OF VEIN CLOT,,,488.58,3741.98,20
CPT,34501,REPAIR VALVE FEMORAL VEIN,,,757.53,6426.7,20
CPT,34502,RECONSTRUCT VENA CAVA,,,1227.5,1727.65,19
CPT,34510,TRANSPOSITION OF VEIN VALVE,,,861.45,6426.7,20
CPT,34520,CROSS-OVER VEIN GRAFT,,,827.36,6426.7,20
CPT,34530,LEG VEIN FUSION,,,777.27,3741.98,20
CPT,34701,EVASC RPR A-AO NDGFT,,,1026.0,1367.81,14
CPT,34701,HC EVASC RPR DPLMNT AORTO-AORTIC NDGFT,52774.6,26387.3,1116.14,47497.14,69
CPT,34702,EVASC RPR A-AO NDGFT RPT,,,1534.09,1982.01,14
CPT,34702,HC EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT,53755.2,26877.6,1617.32,48379.68,69
CPT,34703,EVASC RPR A-UNILAC NDGFT,,,1152.8,1515.5,14
CPT,34703,HC EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT,53755.2,26877.6,1236.65,48379.68,69
CPT,34704,EVASC RPR A-UNILAC NDGFT RPT,,,1920.01,2519.91,19
CPT,34705,EVAC RPR A-BIILIAC NDGFT,,,1273.03,4794.36,15
CPT,34705,HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,47419.35,23709.68,1374.92,42677.42,69
CPT,34706,EVASC RPR A-BIILIAC RPT,,,1916.3,2515.28,14
CPT,34706,HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT,53755.2,26877.6,2052.46,48379.68,69
CPT,34707,EVASC RPR ILIO-ILIAC NDGFT,,,956.78,1285.76,14
CPT,34707,HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT,46825.95,23412.98,1049.18,42143.36,69
CPT,34708,EVASC RPR ILIO-ILIAC RPT,,,1540.73,2008.45,19
CPT,34709,HC PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR,1843.85,921.93,289.62,1659.47,69
CPT,34709,PLMT XTN PROSTH EVASC RPR,,,269.06,1013.32,15
CPT,34710,DLYD PLMT XTN PROSTH 1ST VSL,,,667.42,880.76,14
CPT,34710,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL,48866.0,24433.0,718.7,43979.4,69
CPT,34711,DLYD PLMT XTN PROSTH EA ADDL,,,248.36,324.91,14
CPT,34711,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,1843.85,921.93,265.13,1659.47,69
CPT,34712,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,41088.1,20544.05,592.1,36979.29,69
CPT,34712,TCAT DLVR ENHNCD FIXJ DEV,,,571.68,725.61,14
CPT,34713,HC PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,4083.3,2041.65,104.43,3674.97,70
CPT,34713,PERQ ACCESS & CLSR FEM ART,,,107.48,135.94,14
CPT,34714,HC OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH,4083.3,2041.65,219.63,3674.97,70
CPT,34714,OPN FEM ART EXPOS CNDT CRTJ,,,225.89,297.83,14
CPT,34715,OPN AX/SUBCLA ART EXPOS,,,245.99,328.55,20
CPT,34716,OPN AX/SUBCLA ART EXPOS CNDT,,,304.83,2027.65,24
CPT,34717,EVASC RPR A-ILIAC NDGFT,,,378.82,487.13,14
CPT,34717,HC ILIAC BRANCH ENDOGRAFT PLACEMENT W/ AO/ ILIAC ENDOGRAFT,46825.95,23412.98,397.49,42143.36,69
CPT,34718,EVASC RPR N/A A-ILIAC NDGFT,,,1055.47,1364.8,14
CPT,34718,HC EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,46825.95,23412.98,1113.67,42143.36,69
CPT,34808,ENDOVAS ILIAC A DEVICE ADDON,,,169.22,222.95,19
CPT,34812,HC OPN FEM ART EXPOS DLVR EVASC PROSTH,2993.35,1496.68,184.92,2694.02,69
CPT,34812,OPN FEM ART EXPOS,,,181.29,285.5,14
CPT,34813,FEMORAL ENDOVAS GRAFT ADD-ON,,,194.64,258.56,14
CPT,34813,HC FEM-FEM PROSTH GRAFT DURING EVAR,2993.35,1496.68,210.99,2694.02,69
CPT,34820,OPN ILIAC ART EXPOS,,,297.27,410.0,19
CPT,34830,OPEN AORTIC TUBE PROSTH REPR,,,1480.89,1949.62,19
CPT,34831,OPEN AORTOILIAC PROSTH REPR,,,1570.3,2138.79,19
CPT,34832,OPEN AORTOFEMOR PROSTH REPR,,,1591.36,2096.11,19
CPT,34833,OPN ILAC ART EXPOS CNDT CRTJ,,,346.51,509.83,19
CPT,34834,OPN BRACH ART EXPOS,,,113.86,230.96,19
CPT,34841,ENDOVASC VISC AORTA 1 GRAFT,,,573.02,1316.73,14
CPT,34841,HC ENDOVASC REPAIR VISCERAL AORTA W/ 1 GRAFT,47419.35,23709.68,9080.81,42677.42,64
CPT,34842,ENDOVASC VISC AORTA 2 GRAFT,,,573.02,1441.73,14
CPT,34843,ENDOVASC VISC AORTA 3 GRAFT,,,573.02,1566.73,14
CPT,34844,ENDOVASC VISC AORTA 4 GRAFT,,,573.02,1691.73,14
CPT,34845,HC VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS,47419.35,23709.68,9080.81,42677.42,64
CPT,34845,VISC & INFRAREN ABD 1 PROSTH,,,573.02,1316.73,14
CPT,34846,HC REP VISC AO FEN+UNI/MOD 2 VISC,47419.35,23709.68,9080.81,42677.42,64
CPT,34846,VISC & INFRAREN ABD 2 PROSTH,,,573.02,1441.73,14
CPT,34847,VISC & INFRAREN ABD 3 PROSTH,,,573.02,1566.73,14
CPT,34848,VISC & INFRAREN ABD 4+ PROST,,,573.02,1691.73,14
CPT,35001,REPAIR DEFECT OF ARTERY,,,916.06,1228.97,19
CPT,35002,REPAIR ARTERY RUPTURE NECK,,,967.68,1261.84,19
CPT,35005,REPAIR DEFECT OF ARTERY,,,841.47,1105.74,19
CPT,35011,REPAIR DEFECT OF ARTERY,,,804.53,6426.7,20
CPT,35013,REPAIR ARTERY RUPTURE ARM,,,998.39,1313.11,19
CPT,35021,REPAIR DEFECT OF ARTERY,,,978.27,1407.89,19
CPT,35022,REPAIR ARTERY RUPTURE CHEST,,,1107.01,1608.71,19
CPT,35045,REPAIR DEFECT OF ARM ARTERY,,,782.31,6426.7,20
CPT,35081,REPAIR DEFECT OF ARTERY,,,1403.95,5200.84,20
CPT,35082,REPAIR ARTERY RUPTURE AORTA,,,1763.56,2394.27,19
CPT,35091,REPAIR DEFECT OF ARTERY,,,1485.78,1967.58,19
CPT,35092,REPAIR ARTERY RUPTURE AORTA,,,2107.61,2868.08,19
CPT,35102,REPAIR DEFECT OF ARTERY,,,1523.56,2075.66,19
CPT,35103,REPAIR ARTERY RUPTURE AORTA,,,1822.75,2395.06,19
CPT,35111,REPAIR DEFECT OF ARTERY,,,1121.84,1471.84,19
CPT,35112,REPAIR ARTERY RUPTURE SPLEEN,,,1375.2,1808.49,19
CPT,35121,REPAIR DEFECT OF ARTERY,,,1332.61,1749.58,19
CPT,35122,REPAIR ARTERY RUPTURE BELLY,,,1595.39,2090.75,19
CPT,35131,REPAIR DEFECT OF ARTERY,,,1135.71,1533.76,19
CPT,35132,REPAIR ARTERY RUPTURE GROIN,,,1373.55,1808.49,19
CPT,35141,HC DIRECT RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,16500.0,8250.0,985.76,14850.0,69
CPT,35141,REPAIR DEFECT OF ARTERY,,,900.73,1208.04,14
CPT,35142,REPAIR ARTERY RUPTURE THIGH,,,1077.7,1459.14,19
CPT,35151,REPAIR DEFECT OF ARTERY,,,1015.94,1368.94,19
CPT,35152,REPAIR RUPTD POPLITEAL ART,,,1179.93,1548.13,19
CPT,35180,RPR CGEN AV FISTULA HEAD&NCK,,,673.73,1846.85,20
CPT,35182,RPR CGEN AV FISTULA THRX&ABD,,,1385.9,2000.74,19
CPT,35184,RPR CGEN AV FISTULA XTR,,,816.67,3741.98,20
CPT,35188,RPR ACQ AV FISTULA HEAD&NECK,,,683.75,6426.7,20
CPT,35189,RPR ACQ AV FISTULA THRX&ABD,,,1279.87,1670.68,19
CPT,35190,HC ER REPAIR ACQ/TRAUM AV FISTULA EXTREMITIES,4839.35,2419.68,75.38,6426.7,72
CPT,35190,HC REPAIR ACQ/TRAUM AV FISTULA EXTREMITIES,4839.35,2419.68,926.74,6426.7,70
CPT,35190,REPAIR ACQ AV FISTULA XTR,,,597.41,838.66,14
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,,,749.73,6426.7,20
CPT,35206,HC ER REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,7413.5,3706.75,75.38,6672.15,72
CPT,35206,HC REPAIR VESSEL UPPER EXTREMITY,7413.5,3706.75,879.37,6672.15,70
CPT,35206,REPAIR BLOOD VESSEL DIR UXTR,,,612.6,893.28,14
CPT,35207,RPR BLD VSL DIR HAND FINGER,,,551.24,3741.98,20
CPT,35211,RPR BLVSL DIR NTRATHRC W/BYP,,,1088.53,1554.85,19
CPT,35216,RPR BLVSL DIR NTRTHRC WO BYP,,,1518.35,2326.23,19
CPT,35221,RPR BLD VSL DIR INTRA-ABDL,,,1123.28,1640.0,19
CPT,35226,HC REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY,7413.5,3706.75,682.57,6672.15,70
CPT,35226,REPAIR BLOOD VESSEL DIR LXTR,,,676.42,920.13,14
CPT,35231,REPAIR BLVSL VN GRF NECK,,,939.99,3741.98,20
CPT,35236,REPAIR BLVSL VN GRF UXTR,,,784.45,6426.7,20
CPT,35241,RPR BLVSL VN GRF NTRTHRC W/B,,,1136.86,1601.66,19
CPT,35246,RPR BLVSL VN GRF NTRTHRC W/O,,,1236.76,1742.33,19
CPT,35251,RPR BLVSL VN GRF INTRA-ABDL,,,1336.17,1925.48,19
CPT,35256,HC REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,15177.95,7588.98,1432.11,13660.16,70
CPT,35256,REPAIR BLVSL VN GRF LXTR,,,825.05,1132.89,14
CPT,35261,RPR BLVSL GRF OTH/THN VN NCK,,,833.39,3741.98,20
CPT,35266,HC REPAIR UPPER EXT BLOOD VESSEL W-W0 PATCH PLASTY,15177.95,7588.98,1432.11,13660.16,70
CPT,35266,RPR BLVSL GRF OTH/TH VN UXTR,,,690.91,963.71,14
CPT,35271,RPR BLVS GR OT/TH VN NTRTH W,,,1086.93,1540.8,19
CPT,35276,RPR BLVS GR OT/T VN NTRTH WO,,,1141.07,1627.88,19
CPT,35281,RPR BLVSL GR OT/TH VN NTR-AB,,,1275.92,1814.44,19
CPT,35286,RPR BLVSL GRF OTH/TH VN LXTR,,,756.3,6426.7,20
CPT,35301,RECHANNELING OF ARTERY,,,849.08,1247.43,19
CPT,35302,"HC THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT",5483.0,2741.5,778.87,4934.7,70
CPT,35302,RECHANNELING OF ARTERY,,,904.1,1233.39,14
CPT,35303,HC THROMBOENDARTERECTOMY W/ GRAFT POPLITEAL ARTERY,6058.7,3029.35,778.87,5452.83,70
CPT,35303,RECHANNELING OF ARTERY,,,995.14,1355.25,14
CPT,35304,RECHANNELING OF ARTERY,,,1034.97,1408.08,19
CPT,35305,HC TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL,6058.7,3029.35,1102.57,5452.83,69
CPT,35305,RECHANNELING OF ARTERY,,,994.03,1351.19,14
CPT,35306,RECHANNELING OF ARTERY,,,372.88,490.73,19
CPT,35311,RECHANNELING OF ARTERY,,,1217.98,1728.36,19
CPT,35321,RECHANNELING OF ARTERY,,,721.81,6426.7,20
CPT,35331,RECHANNELING OF ARTERY,,,1192.44,1600.98,19
CPT,35341,RECHANNELING OF ARTERY,,,1122.59,1521.05,19
CPT,35351,HC ILIAC ENDARTERECTOMY,18079.6,9039.8,1161.24,16271.64,69
CPT,35351,RECHANNELING OF ARTERY,,,1043.92,1423.09,14
CPT,35355,HC THROMBOENDARTERECTOMY W/WO PATCH GRAFT ILIOFEMORAL,18079.6,9039.8,927.52,16271.64,69
CPT,35355,RECHANNELING OF ARTERY,,,847.5,1136.66,14
CPT,35361,RECHANNELING OF ARTERY,,,1284.81,1684.84,19
CPT,35363,RECHANNELING OF ARTERY,,,1397.96,1797.29,19
CPT,35371,HC THROMBOENDARTERECTOMY W/WO PATCH GRAFT COMMON FEMORAL,22870.65,11435.33,734.89,20583.59,69
CPT,35371,RECHANNELING OF ARTERY,,,667.27,900.6,14
CPT,35372,HC THROMBOENDARTERECTOMY DEEP FEMORAL,22870.65,11435.33,879.83,20583.59,69
CPT,35372,RECHANNELING OF ARTERY,,,801.31,1078.23,14
CPT,35390,REOPERATION CAROTID ADD-ON,,,131.32,175.69,19
CPT,35400,ANGIOSCOPY,,,127.12,158.9,10
CPT,35500,HARVEST VEIN FOR BYPASS,,,262.97,350.53,19
CPT,35501,ART BYP GRFT IPSILAT CAROTID,,,1264.81,1613.59,19
CPT,35506,ART BYP GRFT SUBCLAV-CAROTID,,,1076.86,1410.78,19
CPT,35508,ART BYP GRFT CAROTID-VERTBRL,,,1112.4,1473.3,19
CPT,35509,ART BYP GRFT CONTRAL CAROTID,,,1216.01,1561.83,19
CPT,35510,ART BYP GRFT CAROTID-BRCHIAL,,,1021.2,1360.91,19
CPT,35511,ART BYP GRFT SUBCLAV-SUBCLAV,,,959.8,1240.51,19
CPT,35512,ART BYP GRFT SUBCLAV-BRCHIAL,,,995.72,1334.74,19
CPT,35515,ART BYP GRFT SUBCLAV-VERTBRL,,,1075.47,1473.3,19
CPT,35516,ART BYP GRFT SUBCLAV-AXILARY,,,985.28,1350.95,19
CPT,35518,ART BYP GRFT AXILLARY-AXILRY,,,977.1,1265.46,19
CPT,35521,ART BYP GRFT AXILL-FEMORAL,,,1028.43,1360.76,19
CPT,35522,ART BYP GRFT AXILL-BRACHIAL,,,972.49,1295.21,19
CPT,35523,ART BYP GRFT BRCHL-ULNR-RDL,,,1029.03,1362.64,19
CPT,35525,ART BYP GRFT BRACHIAL-BRCHL,,,912.67,1218.43,19
CPT,35526,ART BYP GRFT AOR/CAROT/INNOM,,,1346.47,1924.92,19
CPT,35531,ART BYP GRFT AORCEL/AORMESEN,,,1643.34,2155.8,19
CPT,35533,ART BYP GRFT AXILL/FEM/FEM,,,1271.63,1667.6,19
CPT,35535,ART BYP GRFT HEPATORENAL,,,1629.48,2104.21,19
CPT,35536,ART BYP GRFT SPLENORENAL,,,1417.01,1870.04,19
CPT,35537,ART BYP GRFT AORTOILIAC,,,1757.6,2303.78,19
CPT,35538,ART BYP GRFT AORTOBI-ILIAC,,,1972.75,2581.25,19
CPT,35539,ART BYP GRFT AORTOFEMORAL,,,1830.24,2422.21,19
CPT,35540,ART BYP GRFT AORTBIFEMORAL,,,2050.15,2699.04,19
CPT,35556,ART BYP GRFT FEM-POPLITEAL,,,1122.76,1539.43,19
CPT,35558,ART BYP GRFT FEM-FEMORAL,,,993.45,1352.11,19
CPT,35560,ART BYP GRFT AORTORENAL,,,1446.2,1886.19,19
CPT,35563,ART BYP GRFT ILIOILIAC,,,1108.41,1466.65,19
CPT,35565,ART BYP GRFT ILIOFEMORAL,,,1073.41,1447.82,19
CPT,35566,ART BYP FEM-ANT-POST TIB/PRL,,,1347.82,1833.01,19
CPT,35570,ART BYP TIBIAL-TIB/PERONEAL,,,1258.39,1631.25,19
CPT,35571,ART BYP POP-TIBL-PRL-OTHER,,,1089.1,1462.05,19
CPT,35572,HARVEST FEMOROPOPLITEAL VEIN,,,284.54,378.5,19
CPT,35583,VEIN BYP GRFT FEM-POPLITEAL,,,1159.66,1592.2,19
CPT,35585,VEIN BYP FEM-TIBIAL PERONEAL,,,1357.89,1843.08,19
CPT,35587,VEIN BYP POP-TIBL PERONEAL,,,1122.87,1475.69,19
CPT,35600,OPEN HRV UXTR ART 1 SGM CAB,,,164.66,213.48,19
CPT,35601,BPG COM CRTD-IPSI INT CRTD,,,1169.34,1555.96,19
CPT,35606,BPG CAROTID-SUBCLAVIAN,,,952.39,1298.63,19
CPT,35612,BPG SUBCLAVIAN-SUBCLAVIAN,,,744.09,1159.6,19
CPT,35616,BPG SUBCLAVIAN-AXILLARY,,,912.03,1220.75,19
CPT,35621,BPG AXILLARY-FEMORAL,,,899.71,1210.12,19
CPT,35623,BPG AXILLARY-POP/-TIBIAL,,,1104.29,1456.36,19
CPT,35626,BPG AOR-SUBCLA/INNOM/CAROTID,,,1267.11,1771.66,19
CPT,35631,BPG AOR-CELIAC-MSN-RENAL,,,1512.11,2040.39,19
CPT,35632,BPG ILIO-CELIAC,,,1546.94,1997.91,19
CPT,35633,BPG ILIO-MESENTERIC,,,1670.58,2184.35,19
CPT,35634,BPG ILIORENAL,,,1513.92,1955.33,19
CPT,35636,BPG SPLENORENAL,,,1341.84,1765.09,19
CPT,35637,BPG AORTOILIAC,,,1388.52,1835.24,19
CPT,35638,BPG AORTOBI-ILIAC,,,1418.43,1929.87,19
CPT,35642,BPG CAROTID-VERTEBRAL,,,838.75,1098.53,19
CPT,35645,BPG SUBCLAVIAN-VERTEBRAL,,,795.93,1050.83,19
CPT,35646,BPG AORTOBIFEMORAL,,,1400.36,5254.97,20
CPT,35647,BPG AORTOFEMORAL,,,1267.49,1696.81,19
CPT,35650,BPG AXILLARY-AXILLARY,,,866.48,1131.96,19
CPT,35654,BPG AXILLARY-FEMORAL-FEMORAL,,,1118.8,1510.08,19
CPT,35656,BPG FEMORAL-POPLITEAL,,,881.3,1183.81,14
CPT,35656,HC BYPASS GRAFT FEM-POP WITH NON-VEIN,11842.7,5921.35,965.99,10658.43,69
CPT,35661,BPG FEMORAL-FEMORAL,,,881.9,1197.25,14
CPT,35661,HC BYPASS GRAFT OTHER THAN VEIN FEM-FEM,23727.85,11863.93,976.96,21355.07,69
CPT,35663,BPG ILIOILIAC,,,1023.12,1350.48,19
CPT,35665,BPG ILIOFEMORAL,,,958.3,1296.0,19
CPT,35666,BPG FEM-ANT TIB PST TIB/PRNL,,,1032.7,1419.4,19
CPT,35671,BPG POP-TIBL/-PRNL ARTERY,,,909.74,1245.49,19
CPT,35681,COMPOSITE BYP GRFT PROS&VEIN,,,65.67,87.54,19
CPT,35682,COMPOSITE BYP GRFT 2 VEINS,,,293.16,387.14,19
CPT,35683,COMPOSITE BYP GRFT 3/> SEGMT,,,345.81,451.31,19
CPT,35685,BYPASS GRAFT PATENCY/PATCH,,,164.64,218.32,19
CPT,35686,BYPASS GRAFT/AV FIST PATENCY,,,137.73,177.31,19
CPT,35691,ART TRNSPOSJ VERTBRL CAROTID,,,802.08,1049.38,19
CPT,35693,ART TRNSPOSJ SUBCLAVIAN,,,710.3,931.13,19
CPT,35694,ART TRNSPOSJ SUBCLAV CAROTID,,,829.67,1096.35,19
CPT,35695,ART TRNSPOSJ CAROTID SUBCLAV,,,864.11,1137.49,19
CPT,35697,REIMPLANT ARTERY EACH,,,122.65,374.56,20
CPT,35700,REOPERATION BYPASS GRAFT,,,126.21,469.93,20
CPT,35701,EXPL N/FLWD SURG NECK ART,,,399.32,499.15,19
CPT,35702,EXPL N/FLWD SURG UXTR ART,,,348.2,459.71,19
CPT,35703,EXPL N/FLWD SURG LXTR ART,,,353.29,466.43,14
CPT,35703,HC EXPLORE LOWER EXTREMITY ARTERY NO REPAIR,5119.0,2559.5,380.6,4607.1,69
CPT,35800,EXPLORE NECK VESSELS,,,378.48,835.83,19
CPT,35820,EXPLORE CHEST VESSELS,,,1491.99,2246.15,19
CPT,35840,EXPLORE ABDOMINAL VESSELS,,,495.45,1375.81,19
CPT,35860,EXPLORE LIMB VESSELS,,,319.75,941.05,14
CPT,35860,"HC EXPLORE POSTOP BLEED, INFEC, CLOT EXTREMITY",12349.55,6174.78,1432.11,11114.6,70
CPT,35870,REPAIR VESSEL GRAFT DEFECT,,,1039.6,1382.53,19
CPT,35875,REMOVAL OF CLOT IN GRAFT,,,478.08,6426.7,20
CPT,35876,REMOVAL OF CLOT IN GRAFT,,,766.92,6426.7,20
CPT,35879,REVISE GRAFT W/VEIN,,,750.42,6426.7,20
CPT,35881,REVISE GRAFT W/VEIN,,,834.33,6426.7,20
CPT,35883,REVJ FEM ANAST NONAUTOG GRF,,,974.04,6426.7,20
CPT,35884,REVJ FEM ANAST AUTOG VN GRF,,,1027.81,6426.7,20
CPT,35901,EXCISION GRAFT NECK,,,400.0,532.28,19
CPT,35903,EXCISION GRAFT EXTREMITY,,,452.55,3741.98,20
CPT,35905,EXCISION GRAFT THORAX,,,1414.75,7139.05,20
CPT,35907,EXCISION GRAFT ABDOMEN,,,1559.2,2113.27,19
CPT,36000,HC INTRODUCTION NEEDLE/INTRACATHETER VEIN,527.95,263.98,28.68,475.16,70
CPT,36000,PLACE NEEDLE IN VEIN,,,7.6,7.75,9
CPT,36002,HC INJECTION PX EXTREMITY PSEUDOANEURYSM,1509.0,754.5,288.97,1358.1,70
CPT,36002,PSEUDOANEURYSM INJECTION TRT,,,88.55,117.75,14
CPT,36005,HC INJECTION PROC EXTREMITY VENOGRAPHY,3042.95,1521.48,221.53,2738.66,70
CPT,36005,INJECTION EXT VENOGRAPHY,,,40.04,147.36,15
CPT,36010,HC INTRO CATH VENA CAVA SUP/INF,1269.85,634.93,243.18,1142.87,70
CPT,36010,PLACE CATHETER IN VEIN,,,96.58,120.73,14
CPT,36011,HC PLACEMENT CATH IN VEIN 1ST ORDER,1629.55,814.78,312.06,1466.6,69
CPT,36011,PLACE CATHETER IN VEIN,,,130.36,857.28,18
CPT,36012,HC PLACE CATH VENOUS 2ND ORDER,2423.55,1211.78,464.11,2181.2,69
CPT,36012,PLACE CATHETER IN VEIN,,,146.94,196.61,14
CPT,36013,HC CATH PLACE CATH IN RT HRT MAIN PULM ART,545.85,272.93,104.53,832.04,69
CPT,36013,PLACE CATHETER IN ARTERY,,,105.62,142.38,14
CPT,36014,HC PLACE CATH RT-LT PULMO ARTERY,1104.45,552.23,211.5,994.01,69
CPT,36014,PLACE CATHETER IN ARTERY,,,127.71,170.75,14
CPT,36015,HC PLACE CATH IN SUBSEGMT PULM ART,1588.45,794.23,304.19,1429.61,69
CPT,36015,PLACE CATHETER IN ARTERY,,,147.67,195.26,14
CPT,36100,ESTABLISH ACCESS TO ARTERY,,,129.33,591.08,19
CPT,36140,HC INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,1628.45,814.23,311.85,1465.61,69
CPT,36140,INTRO NDL ICATH UPR/LXTR ART,,,79.05,236.03,15
CPT,36160,ESTABLISH ACCESS TO AORTA,,,109.18,605.52,19
CPT,36200,HC PLACE CATH AORTA,3882.25,1941.13,314.06,3494.03,70
CPT,36200,PLACE CATHETER IN AORTA,,,124.12,324.99,16
CPT,36215,HC SEL ART CATH 1ST ORDER THOR-BR,3235.25,1617.63,619.55,2911.73,69
CPT,36215,PLACE CATHETER IN ARTERY,,,192.77,240.96,14
CPT,36216,HC PLACEMENT SEL ART CATH 2ND ORDER THOR-BR,3637.95,1818.98,696.67,3274.16,69
CPT,36216,PLACE CATHETER IN ARTERY,,,224.36,817.43,15
CPT,36217,HC PLACEMENT SEL ART CATH 3RD ORDER THOR-BR,4303.85,2151.93,824.19,3873.47,69
CPT,36217,PLACE CATHETER IN ARTERY,,,268.61,376.28,14
CPT,36218,HC PLACEMENT SEL ART CATH EA ADD THOR-BRACH,1171.5,585.75,187.94,1054.35,69
CPT,36218,PLACE CATHETER IN ARTERY,,,42.81,58.84,14
CPT,36221,HC CATH NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,10106.65,5053.33,361.49,9095.99,70
CPT,36221,PLACE CATH THORACIC AORTA,,,171.29,222.33,14
CPT,36222,HC SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,9509.4,4754.7,490.9,8558.46,70
CPT,36222,PLACE CATH CAROTID/INOM ART,,,232.32,318.45,14
CPT,36223,HC SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,9157.55,4578.78,537.96,8241.8,70
CPT,36223,PLACE CATH CAROTID/INOM ART,,,251.19,367.84,14
CPT,36224,HC SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,9823.45,4911.73,274.56,8841.11,70
CPT,36224,PLACE CATH CAROTD ART,,,273.8,411.69,14
CPT,36225,HC SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,8407.65,4203.83,528.33,7566.89,70
CPT,36225,PLACE CATH SUBCLAVIAN ART,,,250.2,365.38,14
CPT,36226,HC SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,9073.7,4536.85,579.67,8166.33,70
CPT,36226,PLACE CATH VERTEBRAL ART,,,274.33,409.0,14
CPT,36227,HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,8405.3,4202.65,183.95,7564.77,70
CPT,36227,PLACE CATH XTRNL CAROTID,,,86.87,134.76,14
CPT,36228,HC SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,9313.65,4656.83,374.33,8382.29,70
CPT,36228,PLACE CATH INTRACRANIAL ART,,,176.99,278.11,14
CPT,36245,HC SEL CATH PLCMT AB/PEL/LE ARTERIAL 1ST ORDER,2386.3,1193.15,314.06,2147.67,70
CPT,36245,INS CATH ABD/L-EXT ART 1ST,,,204.82,264.63,14
CPT,36246,HC SEL ART CATH 2ND ORDER ABD-LE,2519.0,1259.5,314.06,2267.1,70
CPT,36246,INS CATH ABD/L-EXT ART 2ND,,,223.75,280.58,14
CPT,36247,HC PLACE CATH SUBSUBSELECT ART ABD/PEL,2885.75,1442.88,314.06,2597.18,70
CPT,36247,INS CATH ABD/L-EXT ART 3RD,,,266.39,333.74,14
CPT,36248,HC PLACE CATH ADDN SUBSEL ART ABD/PEL,439.2,219.6,84.11,395.28,70
CPT,36248,INS CATH ABD/L-EXT ART ADDL,,,42.81,54.81,14
CPT,36251,HC INSERT CATH REN ART 1ST UNILAT,7587.65,3793.83,314.06,6828.89,70
CPT,36251,INS CATH REN ART 1ST UNILAT,,,158.42,285.08,14
CPT,36252,HC INSERT CATH REN ART 1ST BILAT,15175.2,7587.6,314.06,13657.68,70
CPT,36252,INS CATH REN ART 1ST BILAT,,,206.36,395.91,14
CPT,36253,HC INSERT CATH REN ART 2ND+ UNILAT,8598.9,4299.45,314.06,7739.01,70
CPT,36253,INS CATH REN ART 2ND+ UNILAT,,,220.46,400.39,14
CPT,36254,HC INS CATH REN ART 2ND+ BILAT,17197.75,8598.88,314.06,15477.98,70
CPT,36254,INS CATH REN ART 2ND+ BILAT,,,237.84,463.01,14
CPT,36260,INSERTION OF INFUSION PUMP,,,455.45,6426.7,20
CPT,36261,REVISION OF INFUSION PUMP,,,276.67,4326.67,20
CPT,36262,REMOVAL OF INFUSION PUMP,,,210.33,4326.67,20
CPT,36299,HC PROCEDURE VASCULAR INJECTION,1297.5,648.75,248.47,1167.75,65
CPT,36400,HC ER VENIPUNCTURE <3YR FEM/JUG VEIN,709.6,354.8,25.72,638.64,72
CPT,36400,HC VENIPUNCTURE <3YR FEM/JUG VEIN,709.6,354.8,25.72,638.64,69
CPT,36400,VNPNXR<3YRS PHY/QHP FEM/JUG,,,14.31,21.41,14
CPT,36405,HC ER VENIPUNCTURE <3YR SCALP VEIN,166.15,83.08,22.28,149.54,72
CPT,36405,HC VENIPUNCTURE <3YR SCALP VEIN,166.15,83.08,22.28,149.54,69
CPT,36405,VNPNXR<3YRS PHY/QHP SCALP VN,,,12.47,17.19,14
CPT,36406,HC ER VENIPUNCTURE <3YR OTHER VEIN,709.6,354.8,16.55,638.64,72
CPT,36406,HC VENIPUNCTURE <3YR VEIN OTHER,709.6,354.8,16.55,638.64,69
CPT,36406,VNPNXR<3YRS PHY/QHP OTHER VN,,,7.31,10.16,14
CPT,36410,HC ER VENIPUNCTURE >AGE 3 REQ MD,533.45,266.73,16.77,480.11,72
CPT,36410,HC PF VENIPUNCTURE > AGE 3 REQ MD,412.7,206.35,7.03,371.43,41
CPT,36410,HC VENIPUNCTURE >AGE 3 REQ MD,533.45,266.73,7.88,480.11,70
CPT,36415,COLL VENOUS BLD VENIPUNCTURE,,,2.1,7.71,21
CPT,36415,HC VENIPUNCTURE COLLECTION VENOUS BLOOD,9.09,4.55,1.98,11.36,70
CPT,36416,COLLJ CAPILLARY BLOOD SPEC,,,1.99,7.53,10
CPT,36420,HC ER VENIPUNCTURE CUTDOWN < 1YR,111.95,55.98,24.42,153.25,72
CPT,36420,VENIPUNCTURE CUTDOWN < 1 YR,,,38.89,53.23,14
CPT,36425,HC ER VENIPUNCTURE CUTDOWN > 1YR,111.95,55.98,24.42,474.41,72
CPT,36425,VENIPUNCTURE CUTDOWN 1 YR/>,,,30.56,44.81,14
CPT,36430,HC BLOOD TRANSFUSION SERVICE,1475.8,737.9,55.28,1328.22,70
CPT,36430,TRANSFUSION BLD/BLD COMPNT,,,27.45,47.99,14
CPT,36440,BLD PUSH TFUJ 2 YR/<,,,40.9,519.75,19
CPT,36450,BLD EXCHANGE TRUJ NEWBORN,,,93.85,519.75,19
CPT,36455,BLD EXCHANGE TRUJ OTH THN NB,,,102.38,139.85,14
CPT,36455,HC EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN,2329.75,1164.88,424.12,2096.78,69
CPT,36456,PRTL EXCHANGE TRANSFUSE NB,,,89.49,519.75,19
CPT,36460,HC TRANSFUSION FETAL INTRAUTERINE,2329.75,1164.88,55.28,2096.78,70
CPT,36460,INTRAUTERINE TRANSFUSION FTL,,,267.88,391.0,14
CPT,36465,NJX NONCMPND SCLRSNT 1 VEIN,,,99.42,2174.73,20
CPT,36466,NJX NONCMPND SCLRSNT MLT VN,,,126.53,2174.73,19
CPT,36468,NJX SCLRSNT SPIDER VEINS,,,387.59,474.99,5
CPT,36470,HC INJECTION SCLEROSANT SINGLE INCMPTNT VEIN,915.05,457.53,175.23,823.55,69
CPT,36470,NJX SCLRSNT 1 INCMPTNT VEIN,,,34.59,55.09,14
CPT,36471,HC INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS,978.0,489.0,187.29,880.2,69
CPT,36471,NJX SCLRSNT MLT INCMPTNT VN,,,67.94,84.93,14
CPT,36473,ENDOVENOUS MCHNCHEM 1ST VEIN,,,147.97,202.16,14
CPT,36473,HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN,11177.75,5588.88,1192.61,10059.98,70
CPT,36474,ENDOVENOUS MCHNCHEM ADD-ON,,,74.13,275.88,19
CPT,36475,ENDOVENOUS RF 1ST VEIN,,,247.39,1924.42,15
CPT,36475,HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,6975.5,3487.75,1335.81,6277.95,69
CPT,36476,ENDOVENOUS RF VEIN ADD-ON,,,119.16,148.95,14
CPT,36476,HC NDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,6453.45,3226.73,252.31,5808.11,69
CPT,36478,ENDOVENOUS LASER 1ST VEIN,,,248.67,3741.98,19
CPT,36479,ENDOVENOUS LASER VEIN ADDON,,,121.3,335.46,19
CPT,36481,HC INSERT PERC PORTAL VEIN CATH,4313.9,2156.95,826.11,3882.51,69
CPT,36481,INSERTION OF CATHETER VEIN,,,295.27,369.09,14
CPT,36482,ENDOVEN THER CHEM ADHES 1ST,,,160.53,6426.7,11
CPT,36483,ENDOVEN THER CHEM ADHES SBSQ,,,79.07,155.38,11
CPT,36500,HC VENOUS SELECT SAMPLING W CATH,1351.2,675.6,167.26,1216.08,69
CPT,36500,INSERTION OF CATHETER VEIN,,,146.92,204.98,14
CPT,36510,HC INSERT CATH UMBILICAL VEIN,537.45,268.73,80.27,483.71,69
CPT,36510,INSERTION OF CATHETER VEIN,,,45.51,332.02,19
CPT,36511,APHERESIS WBC,,,71.51,128.54,14
CPT,36511,"HC THER APHERESIS,WHITE BLOOD CELLS",7446.0,3723.0,78.92,6701.4,70
CPT,36512,APHERESIS RBC,,,72.62,280.22,15
CPT,36512,HC THERAPEUTIC APHERESIS RBC,7333.0,3666.5,78.92,6599.7,70
CPT,36513,APHERESIS PLATELETS,,,74.9,519.75,20
CPT,36514,APHERESIS PLASMA,,,70.95,274.33,15
CPT,36514,HC THERAPEUTIC APHERESIS PLASMA PHERESIS,7226.0,3613.0,78.35,6503.4,70
CPT,36516,APHERESIS IMMUNOADS SLCTV,,,49.9,5570.08,19
CPT,36522,HC PHOTOPHERESIS EXTRACORPOREAL,30542.0,15271.0,4545.19,27487.8,69
CPT,36522,PHOTOPHERESIS,,,80.14,110.74,14
CPT,36550,Physician Fee Schedule,,,18.12,18.48,9
CPT,36555,HC ER INSERT NON-TUNNEL CV CATH < 5 Y/O,4201.4,2100.7,75.38,3781.26,72
CPT,36555,HC INSERT NON-TUNNEL CV CATH < 5 Y/O,4201.4,2100.7,804.57,3781.26,70
CPT,36555,INSERT NON-TUNNEL CV CATH,,,77.85,390.77,15
CPT,36556,HC ER INSERT NON TUNL CENTRAL VEIN CATH >5YR,2960.2,1480.1,75.38,3741.98,72
CPT,36556,HC INSERT NON TUNL CENTRAL VEIN CATH >5YR,2960.2,1480.1,566.88,3741.98,70
CPT,36556,INSERT NON-TUNNEL CV CATH,,,76.91,372.13,26
CPT,36557,HC INSERT TUNNELED CV CATH W/O PORT OR PUMP < 5 Y/O,3076.3,1538.15,589.11,6426.7,70
CPT,36557,INSERT TUNNELED CV CATH,,,237.1,363.76,14
CPT,36558,HC ER INSERT TUNNELED CV CATH W/O PORT OR PUMP,4088.95,2044.48,75.38,3741.98,72
CPT,36558,HC INSERT TUNNELED CV CATH W/O PORT OR PUMP,4088.95,2044.48,783.03,3741.98,70
CPT,36558,INSERT TUNNELED CV CATH,,,226.62,875.59,15
CPT,36560,INSERT TUNNELED CV CATH,,,280.83,3741.98,20
CPT,36561,HC ER INSERT TUNNELED CV CATH WITH PORT,5868.8,2934.4,75.38,5281.92,72
CPT,36561,HC INSERT TUNNELED CV CATH WITH PORT,5868.8,2934.4,879.37,5281.92,70
CPT,36561,INSERT TUNNELED CV CATH,,,271.59,986.43,15
CPT,36563,INSERT TUNNELED CV CATH,,,281.98,6426.7,20
CPT,36565,HC INSERT 2 TUNNELED CVC VIA 2 SEPARAT ACCESS SITES,9410.25,4705.13,879.37,8469.23,70
CPT,36565,INSERT TUNNELED CV CATH,,,267.67,379.66,14
CPT,36566,INSERT TUNNELED CV CATH,,,286.71,6426.7,20
CPT,36568,HC ER INSERT PICC W/O PORT <5YR,3076.3,1538.15,75.38,2768.67,72
CPT,36568,HC INSERT PICC W/O SUB-Q PORT <5 Y/O,3076.3,1538.15,589.11,2768.67,70
CPT,36568,INSJ PICC <5 YR W/O IMAGING,,,78.09,106.26,14
CPT,36569,HC ER INSERT PICC W/O PORT >5YR,3383.95,1691.98,75.38,3045.56,72
CPT,36569,HC INSERT PICC W/O SUB-Q PORT,3383.95,1691.98,648.03,3045.56,70
CPT,36569,INSJ PICC 5 YR+ W/O IMAGING,,,77.99,107.84,14
CPT,36570,INSERT PICVAD CATH,,,250.46,3741.98,20
CPT,36571,HC ER INSERT PICC W/PORT >5YR,3594.5,1797.25,75.38,3741.98,72
CPT,36571,INSERT PICVAD CATH,,,243.7,353.2,14
CPT,36572,HC ER INSERT PICC W/GUIDE NO PORT <5,4229.95,2114.98,75.38,3806.96,72
CPT,36572,HC INSERT PICC W/GUIDE NO PORT <5,4229.95,2114.98,337.81,3806.96,70
CPT,36572,INSJ PICC RS&I <5 YR,,,74.39,92.99,14
CPT,36573,HC ER INSERT PICC W/GUIDE NO PORT >5,4537.7,2268.85,75.38,4083.93,72
CPT,36573,HC INSERT PICC W/GUIDE NO PORT >5,4537.7,2268.85,317.58,4083.93,70
CPT,36573,INSJ PICC RS&I 5 YR+,,,73.01,95.4,14
CPT,36575,HC REPAIR CV CATH W/O SUBQ PORT OR PUMP,1923.45,961.73,368.34,1731.11,70
CPT,36575,REPAIR TUNNELED CV CATH,,,30.67,38.34,14
CPT,36576,REPAIR TUNNELED CV CATH,,,147.73,1846.85,20
CPT,36578,"HC REPLACE CV CATH, CATHETER ONLY W SUBQ PUMP OR PORT",6284.8,3142.4,879.37,5656.32,70
CPT,36578,REPLACE TUNNELED CV CATH,,,168.84,227.46,14
CPT,36580,HC REPLC NON TUNLD CVC W/O PORT-SAME ACCESS,3076.3,1538.15,589.11,2768.67,70
CPT,36580,REPLACE CVAD CATH,,,56.13,73.74,14
CPT,36581,HC REPLC TUN CVC W/O PORT-SAME ACCESS,3089.35,1544.68,591.61,3741.98,70
CPT,36581,REPLACE TUNNELED CV CATH,,,160.02,208.06,14
CPT,36582,HC REPLACE PORTACATH CENTRAL,6577.35,3288.68,879.37,5919.62,70
CPT,36582,REPLACE TUNNELED CV CATH,,,235.07,325.28,14
CPT,36583,REPLACE TUNNELED CV CATH,,,235.47,6426.7,20
CPT,36584,COMPL RPLCMT PICC RS&I,,,53.89,67.36,14
CPT,36584,HC ER REPLACEMENT PICC LINE W/O PORT,3076.3,1538.15,75.38,2768.67,72
CPT,36584,HC REPLACE PICC  W/O PORT OR PUMP,3076.3,1538.15,589.11,2768.67,70
CPT,36585,HC RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,899.75,449.88,172.3,3741.98,70
CPT,36585,REPLACE PICVAD CATH,,,220.73,344.83,14
CPT,36589,HC ER REMOVAL TUNNEL CENTAL VENOUS CATH W/O PORT,3076.3,1538.15,75.38,2768.67,72
CPT,36589,HC REMOVAL TUNNELED CV CATH W/O SUBQ PORT OR PUMP,3076.3,1538.15,589.11,2768.67,70
CPT,36589,REMOVAL TUNNELED CV CATH,,,109.9,747.92,16
CPT,36590,HC REMOVAL TUNNELED CV CATH W SUBQ PORT OR PUMP,3076.3,1538.15,589.11,2768.67,70
CPT,36590,REMOVAL TUNNELED CV CATH,,,155.85,1104.38,21
CPT,36591,DRAW BLOOD OFF VENOUS DEVICE,,,24.78,117.89,10
CPT,36591,HC DRAW BLOOD OFF VENOUS DEVICE,174.9,87.45,19.73,157.41,70
CPT,36592,COLLECT BLOOD FROM PICC,,,26.57,132.44,7
CPT,36592,HC COLLECTION BLOOD VENOUS CATH,200.25,100.13,16.85,180.23,70
CPT,36593,DECLOT VASCULAR DEVICE,,,26.96,156.11,16
CPT,36593,HC DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,964.7,482.35,184.74,879.37,70
CPT,36593,HC ER DECLOT VAD/CATH THROMB AGENT,964.7,482.35,75.38,868.23,72
CPT,36595,HC MECH REMOV PERICATH OBSTR CV DEV VIA VEN ACCESS,1245.7,622.85,238.55,3741.98,70
CPT,36595,MECH REMOV TUNNELED CV CATH,,,154.84,205.5,14
CPT,36596,HC MECH REMOV INTRALUM OBSTR CV DEV THRU LUMEN,4091.5,2045.75,783.52,3682.35,70
CPT,36596,MECH REMOV TUNNELED CV CATH,,,36.51,51.9,14
CPT,36597,HC REPOSITION VENOUS CATHETER,1136.0,568.0,217.54,1846.85,70
CPT,36597,REPOSITION VENOUS CATHETER,,,51.64,68.58,14
CPT,36598,HC CONTRAST INJ CENT VEN CATH W/ FLOURO,193.0,96.5,36.96,879.37,70
CPT,36598,INJ W/FLUOR EVAL CV DEVICE,,,32.42,48.92,14
CPT,36600,HC ARTERIAL BLOOD DRAW,177.55,88.78,34.0,159.8,69
CPT,36600,HC ER ARTERIAL BLOOD DRAW,177.55,88.78,38.72,159.8,72
CPT,36600,HC RT ARTERIAL BLOOD DRAW,174.25,87.13,38.0,156.83,70
CPT,36600,WITHDRAWAL OF ARTERIAL BLOOD,,,12.3,85.19,16
CPT,36620,HC CATH/CANNULATION ARTERY PERCUTANEOUS,1526.25,763.13,41.16,1373.63,70
CPT,36620,HC ER CATH/CANNULATION ARTERY PERCUTANEOUS,1526.25,763.13,41.16,1373.63,72
CPT,36620,INSERTION CATHETER ARTERY,,,40.36,500.0,26
CPT,36625,HC INSERTION CATHETER ARTERY,777.7,388.85,97.28,699.93,70
CPT,36625,INSERTION CATHETER ARTERY,,,84.47,308.92,17
CPT,36640,INSERTION CATHETER ARTERY,,,94.4,3741.98,20
CPT,36660,HC CATH ARTERY UMBILICAL NEWBORN,230.2,115.1,44.08,207.18,69
CPT,36660,INSERTION CATHETER ARTERY,,,53.7,365.21,19
CPT,36680,HC ER PLACEMENT NEEDLE INTRAOSSEOUS INF,230.05,115.03,50.17,474.41,72
CPT,36680,INSERT NEEDLE BONE CAVITY,,,47.36,189.82,15
CPT,36800,INSERTION OF CANNULA,,,110.08,6426.7,20
CPT,36810,INSERTION OF CANNULA,,,166.72,3741.98,20
CPT,36815,INSERTION OF CANNULA,,,117.56,6426.7,20
CPT,36818,AV FUSE UPPR ARM CEPHALIC,,,534.62,6426.7,20
CPT,36819,AV FUSE UPPR ARM BASILIC,,,630.3,6426.7,20
CPT,36820,AV FUSION/FOREARM VEIN,,,632.35,6426.7,21
CPT,36821,AV FUSION DIRECT ANY SITE,,,525.27,3741.98,21
CPT,36823,INSERTION OF CANNULA(S),,,1006.05,1591.05,19
CPT,36825,ARTERY-VEIN AUTOGRAFT,,,455.9,6426.7,20
CPT,36830,ARTERY-VEIN NONAUTOGRAFT,,,522.33,6426.7,21
CPT,36831,OPEN THROMBECT AV FISTULA,,,360.23,6426.7,20
CPT,36832,AV FISTULA REVISION OPEN,,,460.43,1734.97,15
CPT,36832,HC REVISION OPEN AV FISTULA W/O THROMBECTOMY,21489.6,10744.8,879.37,19340.64,70
CPT,36833,AV FISTULA REVISION,,,520.36,6426.7,20
CPT,36835,INSERTION THOMAS SHUNT,,,359.6,3741.98,20
CPT,36836,HC PERQ AV FISTULA CREATE UPPER EXT SINGLE ACCESS,47026.65,23513.33,1432.11,42323.99,70
CPT,36836,PRQ AV FSTL CRTJ UXTR 1 ACS,,,282.9,402.51,14
CPT,36837,HC PERQ AV FISTULA CREATE UP EXT SEPARATE ACCESS,47026.65,23513.33,1695.94,42323.99,70
CPT,36837,PRQ AV FSTL CRT UXTR SEP ACS,,,368.33,517.96,14
CPT,36838,DIST REVAS LIGATION HEMO,,,879.37,6426.7,20
CPT,36860,EXTERNAL CANNULA DECLOTTING,,,81.93,123.44,14
CPT,36860,HC ER DECLOTTING EXTERNAL CANNULA,3175.3,1587.65,75.38,2857.77,72
CPT,36861,CANNULA DECLOTTING,,,118.6,6426.7,20
CPT,36901,HC INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I,1069.4,534.7,204.79,1846.85,70
CPT,36901,INTRO CATH DIALYSIS CIRCUIT,,,124.09,189.53,14
CPT,36902,HC INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP,9747.5,4873.75,969.11,8772.75,70
CPT,36902,INTRO CATH DIALYSIS CIRCUIT,,,184.9,719.38,15
CPT,36903,HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT,43664.6,21832.3,4426.68,39298.14,70
CPT,36903,INTRO CATH DIALYSIS CIRCUIT,,,253.11,353.56,14
CPT,36904,HC PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH,8868.15,4434.08,1413.69,7981.34,70
CPT,36904,THRMBC/NFS DIALYSIS CIRCUIT,,,291.41,413.7,14
CPT,36905,HC PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP,17546.4,8773.2,1808.78,15791.76,70
CPT,36905,THRMBC/NFS DIALYSIS CIRCUIT,,,365.73,498.49,14
CPT,36906,HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,51463.5,25731.75,5371.31,46317.15,70
CPT,36906,THRMBC/NFS DIALYSIS CIRCUIT,,,426.76,573.6,14
CPT,36907,BALO ANGIOP CTR DIALYSIS SEG,,,106.5,414.32,15
CPT,36907,HC TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I,8678.25,4339.13,517.99,7810.43,70
CPT,36908,HC STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR,19669.2,9834.6,1230.31,17702.28,69
CPT,36908,STENT PLMT CTR DIALYSIS SEG,,,159.59,232.49,14
CPT,36909,DIALYSIS CIRCUIT EMBOLJ,,,151.54,224.76,14
CPT,36909,HC DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I,17782.6,8891.3,1553.64,16004.34,70
CPT,37140,REVISION OF CIRCULATION,,,1063.68,2618.43,19
CPT,37145,REVISION OF CIRCULATION,,,1146.82,2430.26,19
CPT,37160,REVISION OF CIRCULATION,,,997.85,2495.49,19
CPT,37180,REVISION OF CIRCULATION,,,1118.33,2399.06,19
CPT,37181,SPLICE SPLEEN/KIDNEY VEINS,,,1208.79,2618.43,19
CPT,37182,HC INSERT TRANSVEN INTRAHEP PORTOSYS SHUNT,8030.4,4015.2,754.11,7227.36,69
CPT,37182,INSERT HEPATIC SHUNT (TIPS),,,722.93,924.15,14
CPT,37183,HC REVIS TRANSVEN INTRAHEP PORTOSYS SHUNT,3573.55,1786.78,684.33,6778.39,70
CPT,37183,REVISION TIPS,,,338.77,423.46,14
CPT,37184,HC PRIM PERC MECH THROMBECTOMY ARTERIAL,8589.1,4294.55,374.33,21348.3,70
CPT,37184,PRIM ART M-THRMBC 1ST VSL,,,369.81,481.63,14
CPT,37185,HC PRIM PERC MECH THROMBECTOMY ARTERIAL EA ADD,3497.25,1748.63,419.57,3147.53,69
CPT,37185,PRIM ART M-THRMBC SBSQ VSL,,,136.24,181.7,14
CPT,37186,HC SEC PERC MECH THROMBECT ARTERIAL W/OTHER PROC,3507.25,1753.63,671.64,3156.53,69
CPT,37186,SEC ART THROMBECTOMY ADD-ON,,,209.21,272.04,14
CPT,37187,HC PERCUT MECH THROMBECTOMY VENOUS,9380.9,4690.45,374.33,13482.52,70
CPT,37187,VENOUS MECH THROMBECTOMY,,,343.56,441.58,14
CPT,37188,HC PERCUT MECH THROMBECTOMY VENOUS REPEAT,9380.9,4690.45,879.37,8442.81,70
CPT,37188,VEN MECHNL THRMBC REPEAT TX,,,248.61,316.01,14
CPT,37191,HC INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,7565.9,3782.95,879.37,6809.31,70
CPT,37191,INS ENDOVAS VENA CAVA FILTR,,,135.85,248.56,14
CPT,37192,REDO ENDOVAS VENA CAVA FILTR,,,210.6,3741.98,20
CPT,37193,HC RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,14849.1,7424.55,879.37,13364.19,70
CPT,37193,REM ENDOVAS VENA CAVA FILTER,,,210.41,1150.58,15
CPT,37195,HC ER THROMBOLYSIS CEREBRAL IV INF,1479.05,739.53,75.38,1331.15,72
CPT,37195,HC THROMBOLYSIS CEREBRAL IV INF,1479.05,739.53,283.24,1331.15,69
CPT,37195,THROMBOLYTIC THERAPY STROKE,,,48.88,248.36,14
CPT,37197,HC ER REMOVE INTRAVASCULAR FOREIGN BODY,3970.5,1985.25,75.38,3741.98,72
CPT,37197,HC PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,3970.5,1985.25,760.35,3741.98,70
CPT,37197,REMOVE INTRVAS FOREIGN BODY,,,246.59,337.1,14
CPT,37200,HC BIOPSY TRANSCATHETER,2876.35,1438.18,550.82,6426.7,69
CPT,37200,TRANSCATHETER BIOPSY,,,192.02,244.96,14
CPT,37211,HC THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,10493.6,5246.8,314.06,9444.24,70
CPT,37211,THROMBOLYTIC ART THERAPY,,,321.83,431.51,14
CPT,37212,HC THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,10493.6,5246.8,313.94,9444.24,70
CPT,37212,THROMBOLYTIC VENOUS THERAPY,,,284.1,378.33,14
CPT,37213,HC THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,6819.6,3409.8,313.94,6137.64,70
CPT,37213,THROMBLYTIC ART/VEN THERAPY,,,198.54,258.55,14
CPT,37214,CESSJ THERAPY CATH REMOVAL,,,109.44,793.74,15
CPT,37214,HC CESSATION THROMBOLYTIC THRPY W/CATHETER REMOVAL,6819.6,3409.8,313.94,6137.64,70
CPT,37215,HC TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,22199.95,11099.98,890.55,19979.96,69
CPT,37215,TRANSCATH STENT CCA W/EPS,,,873.09,1091.36,14
CPT,37216,HC TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,22199.95,11099.98,879.37,19979.96,70
CPT,37216,TRANSCATH STENT CCA W/O EPS,,,817.22,833.56,9
CPT,37217,HC TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,22199.95,11099.98,978.77,19979.96,69
CPT,37217,STENT PLACEMT RETRO CAROTID,,,905.83,1199.48,14
CPT,37218,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,22611.1,11305.55,751.91,20349.99,69
CPT,37218,STENT PLACEMT ANTE CAROTID,,,728.74,921.46,14
CPT,37220,Fee Schedule,,,442.31,442.31,1
CPT,37220,HC REVASCULARIZE ILIAC ARTERY ANGIOPLASTY INITIAL VESSEL,14813.9,7406.95,879.37,13332.51,70
CPT,37220,MPFS,,,353.85,367.24,4
CPT,37220,Physician Fee Schedule,,,344.6,351.49,9
CPT,37221,Fee Schedule,,,543.88,543.88,1
CPT,37221,HC REVASCULARIZE ILIAC ARTERY ANGIOPLASTY/STENT  INITIAL VESSEL,38771.65,19385.83,879.37,34894.49,70
CPT,37221,MPFS,,,435.1,451.57,4
CPT,37221,Physician Fee Schedule,,,420.5,428.91,9
CPT,37222,Fee Schedule,,,205.44,205.44,1
CPT,37222,HC REVASCULARIZE ILIAC ARTERY ANGIOPLASTY EA ADD VESSEL,12165.3,6082.65,543.12,10948.77,70
CPT,37222,MPFS,,,164.35,170.57,4
CPT,37222,Physician Fee Schedule,,,156.49,159.62,9
CPT,37223,Fee Schedule,,,233.76,690.69,2
CPT,37223,HC REVASCULARIZE ILIAC ARTERY ANGIOPLASTY/STENT EA ADD VESSEL,20172.4,10086.2,879.37,18155.16,70
CPT,37223,MPFS,,,187.01,194.09,4
CPT,37223,Physician Fee Schedule,,,177.9,181.46,9
CPT,37224,Fee Schedule,,,490.53,490.53,1
CPT,37224,HC REVASCULARIZE FEM/POP ARTERY ANGIOPLASTY,14120.95,7060.48,879.37,12708.86,70
CPT,37224,MPFS,,,392.42,407.27,4
CPT,37224,Physician Fee Schedule,,,379.76,387.36,9
CPT,37225,Fee Schedule,,,660.09,660.09,1
CPT,37225,HC REVASCULARIZE FEM/POP ARTERY ANGIOPLASTY/ATHERECTOMY,29249.45,14624.73,879.37,26324.51,70
CPT,37225,MPFS,,,528.07,548.06,4
CPT,37225,Physician Fee Schedule,,,510.8,521.02,9
CPT,37226,Fee Schedule,,,572.54,572.54,1
CPT,37226,HC REVASCULARIZE FEM/POP ARTERY ANGIOPLASTY/STENT,38078.75,19039.38,879.37,34270.88,70
CPT,37226,MPFS,,,458.03,475.37,4
CPT,37226,Physician Fee Schedule,,,427.98,436.54,9
CPT,37227,Fee Schedule,,,791.58,791.58,1
CPT,37227,HC REVASCULARIZE FEM/POP ARTERY ANGIOPLASTY/STENT/ATHERECTOMY,36837.5,18418.75,879.37,33153.75,70
CPT,37227,MPFS,,,633.26,657.23,4
CPT,37227,Physician Fee Schedule,,,616.94,629.28,9
CPT,37228,Fee Schedule,,,597.76,597.76,1
CPT,37228,HC REVASCULARIZE TIBIAL/PERON ARTERY ANGIOPLASTY INITIAL,14314.4,7157.2,879.37,13482.52,70
CPT,37228,MPFS,,,478.21,496.31,4
CPT,37228,Physician Fee Schedule,,,463.69,472.96,9
CPT,37229,Fee Schedule,,,768.2,768.2,1
CPT,37229,HC REVASCULARIZE TIBIAL/PERON ARTERY ANGIOPLASTY/ATHERECTOMY INITIAL,26980.55,13490.28,879.37,24282.5,70
CPT,37229,MPFS,,,614.56,637.82,4
CPT,37229,Physician Fee Schedule,,,597.98,609.94,9
CPT,37230,Fee Schedule,,,767.93,767.93,1
CPT,37230,HC REVASCULARIZE TIBIAL/PERON ARTERY ANGIOPLASTY/STENT INITIAL,38272.1,19136.05,879.37,34444.89,70
CPT,37230,MPFS,,,614.34,637.59,4
CPT,37230,Physician Fee Schedule,,,579.29,590.88,9
CPT,37231,Fee Schedule,,,823.53,823.53,1
CPT,37231,HC TIB/PER REVASCULARIZATION STENT & ATHER,41625.8,20812.9,879.37,37463.22,70
CPT,37231,MPFS,,,658.82,683.76,4
CPT,37231,Physician Fee Schedule,,,629.61,642.2,9
CPT,37232,Fee Schedule,,,220.48,220.48,1
CPT,37232,HC REVASCULARIZE TIBIAL/PERON ARTERY ANGIOPLASTY EA ADD,11665.65,5832.83,712.43,10499.09,70
CPT,37232,MPFS,,,176.38,183.06,4
CPT,37232,Physician Fee Schedule,,,167.71,171.06,9
CPT,37233,Fee Schedule,,,357.94,357.94,1
CPT,37233,HC TIB/PER REVASCULARIZATION W/ATHER ADD-ON,10196.6,5098.3,879.37,9176.94,70
CPT,37233,MPFS,,,286.35,297.19,4
CPT,37233,Physician Fee Schedule,,,275.32,280.83,9
CPT,37234,Fee Schedule,,,311.6,311.6,1
CPT,37234,HC REVASCULARIZE TIBIAL/PERON ARTERY ANGIOPLASTY/STENT EA ADD,20172.4,10086.2,879.37,18155.16,70
CPT,37234,MPFS,,,249.28,258.72,4
CPT,37234,Physician Fee Schedule,,,230.01,234.61,9
CPT,37235,Fee Schedule,,,418.94,418.94,1
CPT,37235,HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL,29458.35,14729.18,879.37,26512.52,70
CPT,37235,MPFS,,,335.15,347.84,4
CPT,37235,Physician Fee Schedule,,,326.43,332.96,9
CPT,37236,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,41088.1,20544.05,7868.37,36979.29,69
CPT,37236,OPEN/PERQ PLACE STENT 1ST,,,376.51,488.16,14
CPT,37237,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,19669.2,9834.6,1120.09,17702.28,69
CPT,37237,OPEN/PERQ PLACE STENT EA ADD,,,175.75,233.7,14
CPT,37238,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,39645.05,19822.53,7592.03,35680.55,69
CPT,37238,OPEN/PERQ PLACE STENT SAME,,,263.78,1759.89,16
CPT,37239,HC OPEN/PERQ PLACEMT INTRAVASC STENT SAME EA ADDL,19669.2,9834.6,1485.38,17702.28,69
CPT,37239,OPEN/PERQ PLACE STENT EA ADD,,,122.66,818.56,16
CPT,37241,HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,16153.25,8076.63,3093.35,14537.93,70
CPT,37241,VASC EMBOLIZE/OCCLUDE VENOUS,,,365.7,1183.02,17
CPT,37242,HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,16153.25,8076.63,3093.35,21348.3,70
CPT,37242,VASC EMBOLIZE/OCCLUDE ARTERY,,,408.3,1320.82,15
CPT,37243,HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,16153.25,8076.63,3093.35,14537.93,70
CPT,37243,VASC EMBOLIZE/OCCLUDE ORGAN,,,486.79,636.08,14
CPT,37244,HC VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,16153.25,8076.63,3093.35,14537.93,70
CPT,37244,VASC EMBOLIZE/OCCLUDE BLEED,,,567.88,3790.88,16
CPT,37246,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,18149.25,9074.63,1705.72,16334.33,70
CPT,37246,TRLUML BALO ANGIOP 1ST ART,,,303.22,388.7,14
CPT,37247,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,17976.0,8988.0,535.03,16178.4,70
CPT,37247,TRLUML BALO ANGIOP ADDL ART,,,150.32,194.4,14
CPT,37248,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,17532.3,8766.15,1183.04,15779.07,70
CPT,37248,TRLUML BALO ANGIOP 1ST VEIN,,,260.75,333.44,14
CPT,37249,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,8678.25,4339.13,391.83,7810.43,70
CPT,37249,TRLUML BALO ANGIOP ADDL VEIN,,,127.9,163.81,14
CPT,37252,HC INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,3667.05,1833.53,702.24,3300.35,70
CPT,37252,INTRVASC US NONCORONARY 1ST,,,79.25,500.93,20
CPT,37253,HC INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,3266.05,1633.03,140.19,2939.45,70
CPT,37253,INTRVASC US NONCORONARY ADDL,,,63.35,400.37,20
CPT,37500,APC,,,5244.19,6426.7,5
CPT,37500,Fee Schedule,,,702.16,702.16,1
CPT,37500,MPFS,,,561.73,582.99,4
CPT,37500,Others,,,879.37,879.37,1
CPT,37500,Physician Fee Schedule,,,542.49,553.34,9
CPT,37501,UNLISTED VASC ENDOSCOPY PX,,,599.79,879.37,6
CPT,37565,LIGATION INT JUGULAR VEIN,,,539.72,3741.98,20
CPT,37600,LIGATION XTRNL CAROTID ART,,,552.15,3741.98,20
CPT,37605,LIGATION INT/COM CAROTID ART,,,632.13,3741.98,20
CPT,37606,LIG INT/COM CAROTID ART OCCL,,,411.25,3741.98,20
CPT,37607,HC LIGAT/BAND ARTERIOVENOUS FISTULA,8480.45,4240.23,879.37,7632.41,70
CPT,37607,LIG/BANDING ANGIOACS AV FSTL,,,293.6,418.79,14
CPT,37609,LIGATION/BX TEMPORAL ARTERY,,,151.12,1926.26,20
CPT,37615,LIGATION MAJOR ARTERY NECK,,,363.74,3741.98,22
CPT,37616,LIGATION MAJOR ARTERY CHEST,,,847.92,1286.51,19
CPT,37617,LIGATION MAJOR ARTERY ABD,,,1011.47,1488.26,19
CPT,37618,LIGATION MAJOR ARTERY XTR,,,290.44,1096.0,20
CPT,37619,LIGATION OF INF VENA CAVA,,,879.37,6426.7,20
CPT,37650,LIGATION OF FEMORAL VEIN,,,397.09,3741.98,20
CPT,37660,LIGATION COMMON ILIAC VEIN,,,946.89,1486.6,19
CPT,37700,LIGATION&DIV LONG SAPH VEIN,,,194.38,3741.98,20
CPT,37718,LIG DIV&STRPG SHORT SAPH VN,,,321.1,3741.98,20
CPT,37722,LIG DIV&STRPG LONG SAPH VEIN,,,371.66,3741.98,20
CPT,37735,LIG&DIV&COMPL STRPG SAPH VN,,,494.64,3741.98,20
CPT,37760,LIG PRFRATR VN RADICAL 1 LEG,,,487.16,3741.98,20
CPT,37761,LIGATE LEG VEINS OPEN,,,348.98,3741.98,20
CPT,37765,STAB PHLEB VEINS XTR 10-20,,,240.88,3741.98,21
CPT,37766,PHLEB VEINS - EXTREM 20+,,,296.93,3741.98,20
CPT,37780,REVISION OF LEG VEIN,,,200.51,3741.98,20
CPT,37785,LIGATE/DIVIDE/EXCISE VEIN,,,200.97,3741.98,20
CPT,37788,REVASCULARIZATION PENIS,,,1162.03,1452.54,10
CPT,37790,PENILE VENOUS OCCLUSION,,,449.69,4100.39,10
CPT,37799,HC FIBRIN SHEATH DISRUPTION,1652.3,826.15,316.42,1487.07,70
CPT,37799,HC VASCULAR SURGERY PROCEDURE,691.5,345.75,132.42,879.37,70
CPT,38100,REMOVAL OF SPLEEN TOTAL,,,819.54,3660.6,21
CPT,38101,REMOVAL OF SPLEEN PARTIAL,,,823.71,1320.29,19
CPT,38102,REMOVAL OF SPLEEN TOTAL,,,196.4,295.73,19
CPT,38115,REPAIR OF RUPTURED SPLEEN,,,911.74,1462.94,19
CPT,38120,LAPAROSCOPY SPLENECTOMY,,,758.09,12377.64,20
CPT,38129,UNLISTED LAPS PX SPLEEN,,,1432.11,6936.32,6
CPT,38200,INJECTION FOR SPLEEN X-RAY,,,109.95,1432.11,20
CPT,38204,BL DONOR SEARCH MANAGEMENT,,,80.37,81.98,9
CPT,38204,HC MGMT PROGENITOR DONOR ACQUISITION,2576.85,1288.43,94.73,2319.17,69
CPT,38205,HARVEST ALLOGENEIC STEM CELL,,,63.5,96.29,14
CPT,38205,HC HARVEST ALLOGENIC STEM CELLS,7533.0,3766.5,78.57,6779.7,70
CPT,38206,HARVEST AUTO STEM CELLS,,,63.5,94.79,14
CPT,38206,HC HARVEST AUTO STEM CELLS,7828.0,3914.0,1499.06,7045.2,69
CPT,38207,CRYOPRESERVE STEM CELLS,,,39.42,40.21,9
CPT,38207,HC PROGENITOR CRYO,5177.75,2588.88,424.12,4659.98,69
CPT,38208,HC PROGENITOR THAW PREP,5177.75,2588.88,424.12,4659.98,69
CPT,38208,THAW PRESERVED STEM CELLS,,,25.16,25.66,9
CPT,38209,HC WASH HARVEST STEM CELLS,5177.75,2588.88,424.12,4659.98,69
CPT,38209,WASH HARVEST STEM CELLS,,,10.81,11.03,9
CPT,38210,HC PROGENITOR TCELL DEP,33162.5,16581.25,424.12,29846.25,69
CPT,38211,HC TRNSPL TUMR CELL DEPLETION,34128.45,17064.23,424.12,30715.61,69
CPT,38212,HC PROGENITOR RBC DEP,8090.8,4045.4,424.12,7281.72,69
CPT,38213,PLATELET DEPLETE OF HARVEST,,,424.12,519.75,5
CPT,38214,HC PROGENITOR PLASMA DEP,7497.95,3748.98,424.12,6748.16,69
CPT,38215,HC PROGENITOR BUFFY COAT,7497.95,3748.98,424.12,6748.16,69
CPT,38220,DX BONE MARROW ASPIRATIONS,,,47.62,181.55,15
CPT,38220,HC BONE MARROW ASPIRATION ONLY,2496.95,1248.48,314.06,2247.26,70
CPT,38220,HC ER BONE MARROW ASPIRATE,2496.95,1248.48,75.38,2247.26,72
CPT,38221,DX BONE MARROW BIOPSIES,,,60.4,341.19,18
CPT,38221,HC BONE MARROW BX NEEDLE/TROCAR,2225.3,1112.65,314.06,2002.77,70
CPT,38222,DX BONE MARROW BX & ASPIR,,,65.8,369.64,23
CPT,38222,HC BONE MARROW BX AND ASP SAME DAY,3257.7,1628.85,137.73,3402.62,70
CPT,38225,HC CAR-T CELL COLLECTION HARVEST,6755.0,3377.5,91.61,6079.5,69
CPT,38226,HC CAR-T CELL PREPARE FOR TRANSPORT,5681.5,2840.75,37.07,5113.35,69
CPT,38227,HC CAR-T CELL PROCESSING INBOUND,5681.5,2840.75,37.4,5113.35,69
CPT,38228,CAR-T ADMN AUTOLOGOUS,,,163.34,204.18,5
CPT,38228,HC CAR-T CELL INFUSION ADMINISTRATION AUTOLOGOUS,7134.15,3567.08,321.78,6420.74,69
CPT,38230,BONE MARROW HARVEST ALLOGEN,,,183.9,247.35,14
CPT,38230,HC BONE MARROW HARVEST ALLOGENIC,10430.8,5215.4,314.06,9387.72,70
CPT,38232,BONE MARROW HARVEST AUTOLOG,,,103.43,214.38,14
CPT,38232,HC BONE MARROW HARVEST AUTOGENIC,10430.8,5215.4,253.17,9387.72,70
CPT,38240,HC BONE MARROW STEM CELL TRNSPLNT ALLOGENIC,8955.35,4477.68,1714.95,100499.82,70
CPT,38240,TRANSPLT ALLO HCT/DONOR,,,98.12,297.12,15
CPT,38241,HC BONE MARROW STEM CELL TRNSPLNT AUTOLOGOUS,6501.45,3250.73,1245.03,100499.82,70
CPT,38241,TRANSPLT AUTOL HCT/DONOR,,,98.67,298.05,15
CPT,38242,HC LYMPHOCYTE INFUSE TRANSPLANT,3631.8,1815.9,695.49,100499.82,70
CPT,38242,TRANSPLT ALLO LYMPHOCYTES,,,74.79,145.51,14
CPT,38243,HC HEMATOPOIETIC PROGENITOR CELL BOOST,5334.4,2667.2,1021.54,100499.82,70
CPT,38243,TRANSPLJ HEMATOPOIETIC BOOST,,,93.61,143.33,14
CPT,38300,DRAINAGE LYMPH NODE LESION,,,131.38,241.1,14
CPT,38300,HC ER LYMPH NODE DRAIN SIMPLE,5973.5,2986.75,75.38,5376.15,72
CPT,38305,DRAINAGE LYMPH NODE LESION,,,334.71,3402.62,20
CPT,38308,INCISION OF LYMPH CHANNELS,,,321.95,4552.54,20
CPT,38380,THORACIC DUCT PROCEDURE,,,414.13,669.19,19
CPT,38381,THORACIC DUCT PROCEDURE,,,619.05,914.21,19
CPT,38382,THORACIC DUCT PROCEDURE,,,499.68,772.61,19
CPT,38500,BIOPSY/REMOVAL LYMPH NODES,,,181.3,648.82,17
CPT,38500,HC BIOPSY ASPIRATION LYMPH NODE,565.4,282.7,108.27,4552.54,70
CPT,38505,HC NEEDLE BIOPSY LYMPH NODE(S),2041.8,1020.9,391.0,1926.26,70
CPT,38505,NEEDLE BIOPSY LYMPH NODES,,,57.74,224.07,15
CPT,38510,BIOPSY/REMOVAL LYMPH NODES,,,307.91,4552.54,20
CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,336.25,4552.54,20
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,304.74,4552.54,21
CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,392.15,4552.54,20
CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,358.68,4552.54,21
CPT,38542,EXPLORE DEEP NODE(S) NECK,,,374.54,6936.32,20
CPT,38550,REMOVAL NECK/ARMPIT LESION,,,346.62,4552.54,21
CPT,38555,REMOVAL NECK/ARMPIT LESION,,,722.52,7753.2,20
CPT,38562,REMOVAL PELVIC LYMPH NODES,,,518.89,815.2,19
CPT,38564,REMOVAL ABDOMEN LYMPH NODES,,,515.6,804.19,19
CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,420.67,6936.32,21
CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,611.32,12377.64,20
CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,728.1,12377.64,20
CPT,38573,LAPS PELVIC LYMPHADEC,,,945.25,12377.64,20
CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,879.37,6936.32,6
CPT,38700,REMOVAL OF LYMPH NODES NECK,,,582.79,7753.2,20
CPT,38720,REMOVAL OF LYMPH NODES NECK,,,968.9,7753.2,20
CPT,38724,REMOVAL OF LYMPH NODES NECK,,,1051.07,1670.77,19
CPT,38740,REMOVE ARMPIT LYMPH NODES,,,488.23,6936.32,20
CPT,38745,REMOVE ARMPIT LYMPH NODES,,,621.75,6936.32,20
CPT,38746,REMOVE THORACIC LYMPH NODES,,,190.12,237.65,19
CPT,38747,REMOVE ABDOMINAL LYMPH NODES,,,200.15,299.27,19
CPT,38760,REMOVE GROIN LYMPH NODES,,,613.31,7753.2,21
CPT,38765,REMOVE GROIN LYMPH NODES,,,954.7,1497.49,19
CPT,38770,REMOVE PELVIS LYMPH NODES,,,639.34,928.28,19
CPT,38780,REMOVE ABDOMEN LYMPH NODES,,,805.13,2434.47,20
CPT,38790,HC INJECTION FOR LYMPHATIC XRAY,4515.1,2257.55,76.89,4063.59,69
CPT,38790,INJECT FOR LYMPHATIC X-RAY,,,62.77,94.23,14
CPT,38792,HC INJECTION ID SENTINEL NODE,697.4,348.7,32.9,627.66,70
CPT,38792,RA TRACER ID OF SENTINL NODE,,,29.42,95.0,15
CPT,38794,ACCESS THORACIC LYMPH DUCT,,,237.66,326.05,14
CPT,38794,HC CANNULATION THORACIC LYMPH DUCT,6327.7,3163.85,266.05,5694.93,69
CPT,38900,IO MAP OF SENT LYMPH NODE,,,108.31,879.37,22
CPT,38999,UNLISTD PX HEMIC/LYMPHTC SYS,,,424.12,1432.11,6
CPT,39000,EXPLORATION OF CHEST,,,370.88,574.4,19
CPT,39010,EXPLORATION OF CHEST,,,616.01,2534.59,20
CPT,39200,RESECT MEDIASTINAL CYST,,,683.47,976.04,19
CPT,39220,RESECT MEDIASTINAL TUMOR,,,880.26,1283.19,19
CPT,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,265.96,6936.32,20
CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,347.09,6936.32,20
CPT,39499,UNLISTED PX MEDIASTINUM,,,879.37,879.37,1
CPT,39501,REPAIR DIAPHRAGM LACERATION,,,626.56,966.35,19
CPT,39503,REPAIR OF DIAPHRAGM HERNIA,,,4398.56,6457.75,19
CPT,39540,REPAIR OF DIAPHRAGM HERNIA,,,640.66,976.93,19
CPT,39541,REPAIR OF DIAPHRAGM HERNIA,,,691.11,1060.36,19
CPT,39545,REVISION OF DIAPHRAGM,,,679.63,2087.65,20
CPT,39560,RESECT DIAPHRAGM SIMPLE,,,587.54,914.93,19
CPT,39561,RESECT DIAPHRAGM COMPLEX,,,913.16,1425.55,19
CPT,39599,UNLISTED PX DIAPHRAGM,,,879.37,879.37,1
CPT,40490,BIOPSY OF LIP,,,55.2,258.85,16
CPT,40490,HC BIOPSY LIP,799.5,399.75,153.1,719.55,70
CPT,40500,PARTIAL EXCISION OF LIP,,,260.82,3855.6,20
CPT,40510,PARTIAL EXCISION OF LIP,,,259.07,3855.6,20
CPT,40520,PARTIAL EXCISION OF LIP,,,261.81,3855.6,20
CPT,40525,RECONSTRUCT LIP WITH FLAP,,,407.32,3855.6,20
CPT,40527,RECONSTRUCT LIP WITH FLAP,,,481.49,7032.98,20
CPT,40530,PARTIAL REMOVAL OF LIP,,,297.07,3855.6,20
CPT,40650,HC ER REPAIR LIP FULL THICK VERMILION,2510.6,1255.3,75.38,2259.54,72
CPT,40650,RPR LIP FTH VERMILION ONLY,,,208.41,742.23,15
CPT,40652,HC ER REPAIR LIP 1/2 VERTICAL HEIGHT,1881.9,940.95,75.38,1693.71,72
CPT,40652,RPR LIP FTH<HALF VER HEIGHT,,,253.93,1018.97,15
CPT,40654,HC ER REPAIR LIP COMPLEX,2517.25,1258.63,75.38,2265.53,72
CPT,40654,RPR LIP FTH>1HALF VER HT/CPX,,,308.48,1543.07,16
CPT,40700,REPAIR CLEFT LIP/NASAL,,,683.84,7032.98,20
CPT,40701,REPAIR CLEFT LIP/NASAL,,,848.56,7032.98,21
CPT,40702,REPAIR CLEFT LIP/NASAL,,,659.82,7032.98,20
CPT,40720,REPAIR CLEFT LIP/NASAL,,,726.33,3855.6,20
CPT,40761,REPAIR CLEFT LIP/NASAL,,,786.46,7032.98,20
CPT,40799,UNLISTED PROCEDURE LIPS,,,225.28,879.37,6
CPT,40800,DRAINAGE OF MOUTH LESION,,,90.52,138.96,14
CPT,40800,HC DRAINAGE ABSCESS CYST MOUTH SIMPLE,740.95,370.48,141.89,879.37,70
CPT,40800,HC ER DRAINAGE ABSCESS CYST MOUTH SIMPLE,740.95,370.48,75.38,836.48,72
CPT,40801,DRAINAGE OF MOUTH LESION,,,158.36,879.37,20
CPT,40804,HC ER REMOVAL FOREIGN BODY EMBED MOUTH SIMPLE,213.6,106.8,46.59,1114.64,72
CPT,40804,REMOVAL FOREIGN BODY MOUTH,,,91.69,136.51,14
CPT,40805,HC ER REMOVAL FOREIGN BODY EMBED MOUTH COMPLEX,2038.45,1019.23,75.38,1834.61,72
CPT,40805,REMOVAL FOREIGN BODY MOUTH,,,164.23,232.76,14
CPT,40806,INCISION OF LIP FOLD,,,27.66,879.37,11
CPT,40808,BIOPSY OF MOUTH LESION,,,76.04,393.98,17
CPT,40808,HC BIOPSY VESTIBULE OF MOUTH,1202.0,601.0,230.18,1081.8,70
CPT,40810,EXCISION OF MOUTH LESION,,,90.56,468.72,15
CPT,40810,HC EXCISE LESION MOUTH MUCOSA/SUBMUCOSA W/O REPAIR,3807.85,1903.93,729.2,3855.6,70
CPT,40812,EXCISE/REPAIR MOUTH LESION,,,141.3,724.8,18
CPT,40812,HC ER EXCISION MOUTH LESION W/REPAIR,3807.85,1903.93,75.38,3427.07,72
CPT,40814,EXCISE/REPAIR MOUTH LESION,,,217.96,3855.6,20
CPT,40816,EXCISION OF MOUTH LESION,,,228.11,3855.6,21
CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,194.28,879.37,21
CPT,40819,EXCISE LIP OR CHEEK FOLD,,,187.68,1761.06,13
CPT,40820,TREATMENT OF MOUTH LESION,,,121.16,3855.6,21
CPT,40830,HC ER CLOSURE LACERATION MOUTH <2.5CM,935.7,467.85,75.38,842.13,72
CPT,40830,REPAIR MOUTH LACERATION,,,113.99,169.84,14
CPT,40831,HC ER REPAIR MOUTH LACERATION >2.5 CM,1831.0,915.5,75.38,1647.9,72
CPT,40831,REPAIR MOUTH LACERATION,,,160.25,578.96,15
CPT,40840,RECONSTRUCTION OF MOUTH,,,465.31,7032.98,20
CPT,40842,RECONSTRUCTION OF MOUTH,,,455.79,7032.98,20
CPT,40843,RECONSTRUCTION OF MOUTH,,,593.81,7032.98,20
CPT,40844,RECONSTRUCTION OF MOUTH,,,828.49,7032.98,20
CPT,40845,RECONSTRUCTION OF MOUTH,,,929.05,7032.98,20
CPT,40899,UNLISTED PX VESTIBULE MOUTH,,,225.28,314.06,6
CPT,41000,DRAINAGE OF MOUTH LESION,,,80.28,124.04,14
CPT,41000,HC ER I&D ABSCESS LINGUAL INTRAORAL,2364.3,1182.15,75.38,2127.87,72
CPT,41005,DRAINAGE OF MOUTH LESION,,,91.09,314.06,20
CPT,41006,DRAINAGE OF MOUTH LESION,,,187.88,1761.06,20
CPT,41007,DRAINAGE OF MOUTH LESION,,,182.32,261.11,14
CPT,41007,HC ER INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,4094.15,2047.08,75.38,3684.74,72
CPT,41008,DRAINAGE OF MOUTH LESION,,,194.81,304.44,14
CPT,41008,HC ER I&D SUBMANDIB SPACE INTRAORAL,5687.45,2843.73,75.38,5118.71,72
CPT,41008,HC INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,5687.45,2843.73,879.37,5118.71,70
CPT,41009,DRAINAGE OF MOUTH LESION,,,211.4,333.31,14
CPT,41009,HC ER INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,2612.0,1306.0,75.38,2350.8,72
CPT,41010,HC INCISION LINGUAL FRENUM FRENOTOMY,3208.25,1604.13,614.38,2887.43,70
CPT,41010,INCISION OF TONGUE FOLD,,,78.21,461.72,21
CPT,41015,DRAINAGE OF MOUTH LESION,,,242.26,963.2,21
CPT,41016,DRAINAGE OF MOUTH LESION,,,251.4,7032.98,21
CPT,41017,DRAINAGE OF MOUTH LESION,,,252.52,3855.6,22
CPT,41018,DRAINAGE OF MOUTH LESION,,,296.06,1761.06,22
CPT,41019,PLACE NEEDLES H&N FOR RT,,,377.43,7032.98,20
CPT,41100,BIOPSY OF TONGUE,,,79.89,398.22,20
CPT,41100,HC BIOPSY TONGUE ANTERIOR 2/3,2296.3,1148.15,439.74,2066.67,70
CPT,41105,BIOPSY OF TONGUE,,,81.01,411.09,16
CPT,41105,HC BIOPSY TONGUE POSTERIOR 1/3,3360.35,1680.18,643.51,3855.6,70
CPT,41108,BIOPSY OF FLOOR OF MOUTH,,,65.06,106.06,14
CPT,41108,HC BIOPSY FLOOR OF MOUTH,2072.4,1036.2,314.06,1926.26,70
CPT,41110,EXCISION OF TONGUE LESION,,,94.92,485.64,15
CPT,41110,HC EXCISE TONGUE LESION W/OUT CLOSURE,7819.85,3909.93,879.37,7037.87,70
CPT,41112,EXCISION OF TONGUE LESION,,,180.07,3855.6,21
CPT,41113,EXCISION OF TONGUE LESION,,,200.44,3855.6,20
CPT,41114,EXCISION OF TONGUE LESION,,,466.22,3855.6,20
CPT,41115,EXCISION OF TONGUE FOLD,,,107.32,560.56,17
CPT,41115,HC EXCISION OF TONGUE FOLD,2048.35,1024.18,392.26,1843.52,70
CPT,41116,EXCISION OF MOUTH LESION,,,157.73,3855.6,21
CPT,41120,PARTIAL REMOVAL OF TONGUE,,,755.24,7032.98,22
CPT,41130,PARTIAL REMOVAL OF TONGUE,,,936.21,1490.04,19
CPT,41135,TONGUE AND NECK SURGERY,,,1569.29,2462.54,19
CPT,41140,REMOVAL OF TONGUE,,,1610.35,5047.12,20
CPT,41145,TONGUE REMOVAL NECK SURGERY,,,2019.46,3118.34,19
CPT,41150,TONGUE MOUTH JAW SURGERY,,,1596.58,2495.73,19
CPT,41153,TONGUE MOUTH NECK SURGERY,,,1733.84,2720.33,19
CPT,41155,TONGUE JAW & NECK SURGERY,,,2160.8,3391.51,19
CPT,41250,HC ER REPAIR LACERATION FLOOR MOUTH <2.5CM,1220.0,610.0,75.38,1098.0,72
CPT,41250,REPAIR TONGUE LACERATION,,,102.95,394.65,15
CPT,41251,HC ER REPAIR LAC 1/3 TONGUE POST,581.95,290.98,75.38,523.76,72
CPT,41251,REPAIR TONGUE LACERATION,,,119.91,210.21,14
CPT,41252,HC ER REPAIR LACERATION MOUTH/TONGUE >2.6CM,2141.35,1070.68,75.38,1927.22,72
CPT,41252,REPAIR TONGUE LACERATION,,,155.31,240.65,14
CPT,41510,TONGUE TO LIP SURGERY,,,291.98,3855.6,19
CPT,41512,TONGUE SUSPENSION,,,607.63,7032.98,10
CPT,41520,RECONSTRUCTION TONGUE FOLD,,,182.39,3855.6,20
CPT,41530,TONGUE BASE VOL REDUCTION,,,344.42,3855.6,10
CPT,41599,UNLISTED PX TONGUE FLR MOUTH,,,225.28,314.06,6
CPT,41800,DRAINAGE OF GUM LESION,,,91.77,262.94,15
CPT,41800,HC DRAINAGE ABSCESS DENTOALVEOLAR,829.55,414.78,125.05,879.37,70
CPT,41800,HC ER DRAINAGE ABSCESS DENTOALVEOLAR,829.55,414.78,75.38,746.6,72
CPT,41805,REMOVAL FOREIGN BODY GUM,,,116.18,1761.06,20
CPT,41806,REMOVAL FOREIGN BODY JAWBONE,,,182.54,1761.06,20
CPT,41820,EXCISION GUM EACH QUADRANT,,,338.15,3855.6,14
CPT,41821,EXCISION OF GUM FLAP,,,281.81,1761.06,14
CPT,41822,EXCISION OF GUM LESION,,,127.65,1761.06,20
CPT,41823,EXCISION OF GUM LESION,,,229.31,7032.98,19
CPT,41825,EXCISION OF GUM LESION,,,90.7,141.06,14
CPT,41825,HC EXCIS DENTOALVEOLAR LESION,8447.8,4223.9,879.37,7603.02,70
CPT,41826,EXCISION OF GUM LESION,,,146.48,3855.6,21
CPT,41827,EXCISION OF GUM LESION,,,217.69,7032.98,20
CPT,41828,EXCISION OF GUM LESION,,,205.4,1761.06,10
CPT,41830,REMOVAL OF GUM TISSUE,,,201.59,3855.6,19
CPT,41850,TREATMENT OF GUM LESION,,,33.81,1761.06,15
CPT,41870,PERIODONTAL MUCOSAL GRAFTING,,,450.89,1761.06,14
CPT,41872,GINGIVOPLASTY EACH QUADRANT,,,186.9,3855.6,19
CPT,41874,ALVEOLOPLASTY EACH QUADRANT,,,184.14,3855.6,23
CPT,41899,HC ER REPAIR LACERATION GINGIVA,865.1,432.55,75.38,778.59,72
CPT,42000,DRAINAGE MOUTH ROOF LESION,,,74.52,126.24,14
CPT,42000,HC ER DRAINAGE ABSCESS PALATE UVULA,729.05,364.53,75.38,656.15,72
CPT,42100,BIOPSY ROOF OF MOUTH,,,79.09,403.13,16
CPT,42100,HC BIOPSY OF PALATE UVULA,2771.3,1385.65,530.7,2494.17,70
CPT,42104,EXCISION LESION MOUTH ROOF,,,99.43,512.6,15
CPT,42104,HC EXCISION LESION MOUTH ROOF,7457.0,3728.5,879.37,6711.3,70
CPT,42106,EXCISION LESION MOUTH ROOF,,,130.18,3855.6,20
CPT,42107,EXCISION LESION MOUTH ROOF,,,251.36,7032.98,20
CPT,42120,REMOVE PALATE/LESION,,,705.13,7032.98,20
CPT,42140,EXCISION OF UVULA,,,111.42,3855.6,20
CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,514.93,7032.98,20
CPT,42160,TREATMENT MOUTH ROOF LESION,,,110.9,3855.6,20
CPT,42180,REPAIR LAC PALATE<2 CM,,,135.07,1432.11,20
CPT,42182,REPAIR PALATE,,,197.39,7032.98,20
CPT,42200,RECONSTRUCT CLEFT PALATE,,,653.43,7032.98,22
CPT,42205,RECONSTRUCT CLEFT PALATE,,,697.26,3855.6,20
CPT,42210,RECONSTRUCT CLEFT PALATE,,,786.3,7032.98,21
CPT,42215,RECONSTRUCT CLEFT PALATE,,,514.14,7032.98,20
CPT,42220,RECONSTRUCT CLEFT PALATE,,,399.6,7032.98,20
CPT,42225,RECONSTRUCT CLEFT PALATE,,,682.12,7032.98,20
CPT,42226,LENGTHENING OF PALATE,,,678.77,7032.98,20
CPT,42227,LENGTHENING OF PALATE,,,659.59,7032.98,20
CPT,42235,REPAIR PALATE,,,538.41,7032.98,21
CPT,42260,REPAIR NOSE TO LIP FISTULA,,,505.59,7032.98,20
CPT,42280,PREPARATION PALATE MOLD,,,100.7,1432.11,11
CPT,42281,INSERTION PALATE PROSTHESIS,,,149.74,7032.98,11
CPT,42299,UNLISTED PX PALATE UVULA,,,225.28,879.37,6
CPT,42300,DRAINAGE OF SALIVARY GLAND,,,111.28,441.47,15
CPT,42300,"HC DRAIN ABSCESS PAROTID,SIMPLE",4707.6,2353.8,879.37,4236.84,70
CPT,42305,DRAINAGE OF SALIVARY GLAND,,,318.78,3855.6,20
CPT,42310,DRAINAGE OF SALIVARY GLAND,,,90.85,879.37,20
CPT,42320,DRAINAGE OF SALIVARY GLAND,,,130.54,879.37,20
CPT,42330,REMOVAL OF SALIVARY STONE,,,121.17,3855.6,20
CPT,42335,REMOVAL OF SALIVARY STONE,,,189.68,3855.6,20
CPT,42340,REMOVAL OF SALIVARY STONE,,,249.94,3855.6,20
CPT,42400,BIOPSY OF SALIVARY GLAND,,,43.49,172.75,15
CPT,42400,HC BIOPSY SALIVARY GLAND NEEDLE,2182.75,1091.38,418.0,1964.48,70
CPT,42405,BIOPSY OF SALIVARY GLAND,,,169.27,1761.06,20
CPT,42408,EXCISION OF SALIVARY CYST,,,242.55,3855.6,21
CPT,42409,DRAINAGE OF SALIVARY CYST,,,164.11,3855.6,20
CPT,42410,EXCISE PAROTID GLAND/LESION,,,463.02,7032.98,20
CPT,42415,EXCISE PAROTID GLAND/LESION,,,837.28,7032.98,20
CPT,42420,EXCISE PAROTID GLAND/LESION,,,960.22,7032.98,20
CPT,42425,EXCISE PAROTID GLAND/LESION,,,631.38,7032.98,20
CPT,42426,EXCISE PAROTID GLAND/LESION,,,1027.78,1554.5,19
CPT,42440,EXCISE SUBMAXILLARY GLAND,,,348.19,7032.98,20
CPT,42450,EXCISE SUBLINGUAL GLAND,,,263.68,7032.98,20
CPT,42500,REPAIR SALIVARY DUCT,,,250.75,7032.98,20
CPT,42505,REPAIR SALIVARY DUCT,,,336.33,7032.98,20
CPT,42507,PAROTID DUCT DIVERSION,,,376.43,7032.98,20
CPT,42509,PAROTID DUCT DIVERSION,,,616.37,7032.98,20
CPT,42510,PAROTID DUCT DIVERSION,,,465.02,3855.6,20
CPT,42550,HC INJECTION FOR SALIVARY,1013.65,506.83,139.81,912.29,69
CPT,42550,INJECTION FOR SALIVARY X-RAY,,,52.3,70.99,14
CPT,42600,CLOSURE OF SALIVARY FISTULA,,,261.82,3855.6,20
CPT,42650,DILATION OF SALIVARY DUCT,,,43.66,68.8,14
CPT,42650,HC ER DILATION SALIVARY DUCT,1074.5,537.25,75.38,1761.06,72
CPT,42660,DILATION OF SALIVARY DUCT,,,58.29,879.37,20
CPT,42665,LIGATION OF SALIVARY DUCT,,,151.8,3855.6,20
CPT,42699,UNLISTED PX SALIVRY GLND/DUX,,,225.28,314.06,6
CPT,42700,HC ER I&D ABSCESS PERITONSILLAR,747.2,373.6,75.38,672.48,72
CPT,42700,HC I&D ABSCESS PERITONSILLAR,747.2,373.6,143.09,1432.11,70
CPT,42700,I&D ABSCESS PERITONSILLAR,,,99.1,500.03,17
CPT,42720,I&D ABSC PHRNGL NTRAORL APPR,,,296.35,3855.6,20
CPT,42725,I&D ABSC PHRNGL XTRNL APPR,,,603.43,7032.98,20
CPT,42800,BIOPSY OF THROAT,,,81.96,136.14,14
CPT,42800,HC BIOPSY OROPHARYNX,3739.05,1869.53,716.03,3365.15,70
CPT,42804,BIOPSY OF UPPER NOSE/THROAT,,,83.94,414.14,15
CPT,42804,"HC BIOPSY NASOPHARYNX,SIMPLE",4499.1,2249.55,861.58,4049.19,70
CPT,42806,BIOPSY OF UPPER NOSE/THROAT,,,98.72,3855.6,20
CPT,42808,EXCISE PHARYNX LESION,,,121.93,3855.6,20
CPT,42809,HC ER REMOVAL FOREIGN BODY PHARYNX,269.3,134.65,58.73,474.41,72
CPT,42809,REMOVE PHARYNX FOREIGN BODY,,,95.62,487.16,15
CPT,42810,EXCISION OF NECK CYST,,,207.76,3855.6,20
CPT,42815,EXCISION OF NECK CYST,,,408.29,7032.98,21
CPT,42820,REMOVE TONSILS AND ADENOIDS,,,216.27,7032.98,20
CPT,42821,REMOVE TONSILS AND ADENOIDS,,,225.75,3855.6,20
CPT,42825,REMOVAL OF TONSILS,,,193.07,7032.98,20
CPT,42826,REMOVAL OF TONSILS,,,186.62,3855.6,20
CPT,42830,REMOVAL OF ADENOIDS,,,151.85,3855.6,20
CPT,42831,REMOVAL OF ADENOIDS,,,163.77,3855.6,20
CPT,42835,REMOVAL OF ADENOIDS,,,136.88,3855.6,20
CPT,42836,REMOVAL OF ADENOIDS,,,179.0,3855.6,20
CPT,42842,EXTENSIVE SURGERY OF THROAT,,,708.94,7032.98,20
CPT,42844,EXTENSIVE SURGERY OF THROAT,,,997.9,7032.98,20
CPT,42845,EXTENSIVE SURGERY OF THROAT,,,1639.03,2511.45,19
CPT,42860,EXCISION OF TONSIL TAGS,,,137.25,3855.6,20
CPT,42870,EXCISION OF LINGUAL TONSIL,,,415.51,7032.98,20
CPT,42890,LIMITED PHARYNGECTOMY,,,1017.03,7032.98,21
CPT,42892,REVISION OF PHARYNGEAL WALLS,,,1335.77,7032.98,20
CPT,42894,REVISION OF PHARYNGEAL WALLS,,,1712.59,2694.58,19
CPT,42900,REPAIR THROAT WOUND,,,258.19,1761.06,20
CPT,42950,RECONSTRUCTION OF THROAT,,,576.16,7032.98,20
CPT,42953,REPAIR THROAT ESOPHAGUS,,,707.5,1090.69,19
CPT,42955,SURGICAL OPENING OF THROAT,,,543.03,1761.06,20
CPT,42960,CONTROL THROAT BLEEDING,,,125.35,186.89,14
CPT,42960,HC ER CONTROL BLEED OROPHARYNGEAL,617.2,308.6,75.38,605.43,72
CPT,42961,CONTROL THROAT BLEEDING,,,310.81,485.13,19
CPT,42962,CONTROL THROAT BLEEDING,,,385.52,3855.6,20
CPT,42970,CONTROL NOSE/THROAT BLEEDING,,,225.28,879.37,20
CPT,42971,CONTROL NOSE/THROAT BLEEDING,,,339.9,524.16,19
CPT,42972,CONTROL NOSE/THROAT BLEEDING,,,382.31,3855.6,20
CPT,42975,DISE EVAL SLP DO BRTH FLX DX,,,89.39,2050.18,20
CPT,42999,UNLISTED PX PHRNX ADND/TNSL,,,225.28,879.37,6
CPT,43020,INCISION OF ESOPHAGUS,,,393.8,1761.06,20
CPT,43030,CRICOPHARYNGEAL MYOTOMY,,,389.74,7032.98,20
CPT,43045,ESOPHAGOTOMY THRC RMVL FB,,,992.44,1467.61,19
CPT,43100,EXCISION OF ESOPHAGUS LESION,,,466.12,736.1,19
CPT,43101,EXCISION OF ESOPHAGUS LESION,,,775.43,1131.8,19
CPT,43107,REMOVAL OF ESOPHAGUS,,,1921.01,3329.14,19
CPT,43108,REMOVAL OF ESOPHAGUS,,,3248.25,4938.45,19
CPT,43112,ESPHG TOT W/THRCM,,,2053.85,3812.96,19
CPT,43113,REMOVAL OF ESOPHAGUS,,,3241.03,4834.84,19
CPT,43116,PARTIAL REMOVAL OF ESOPHAGUS,,,3689.18,5519.74,19
CPT,43117,PARTIAL REMOVAL OF ESOPHAGUS,,,1879.03,3642.56,19
CPT,43118,PARTIAL REMOVAL OF ESOPHAGUS,,,2672.2,4030.7,19
CPT,43121,PARTIAL REMOVAL OF ESOPHAGUS,,,2119.81,3188.75,19
CPT,43122,PARTIAL REMOVAL OF ESOPHAGUS,,,1900.12,2896.88,19
CPT,43123,PARTIAL REMOVAL OF ESOPHAGUS,,,3265.18,5010.93,19
CPT,43124,REMOVAL OF ESOPHAGUS,,,2787.36,4243.23,19
CPT,43130,REMOVAL OF ESOPHAGUS POUCH,,,590.89,7032.98,20
CPT,43135,REMOVAL OF ESOPHAGUS POUCH,,,1110.07,1644.59,19
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,487.84,7032.98,20
CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,98.46,2255.28,22
CPT,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,117.43,2255.28,20
CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,139.97,2255.28,20
CPT,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,127.24,2255.28,20
CPT,43195,ESOPHAGOSCOPY RIGID BALLOON,,,140.22,4523.11,20
CPT,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,153.2,2255.28,20
CPT,43197,ESOPHAGOSCOPY FLEX DX BRUSH,,,65.28,1114.64,20
CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,77.74,1114.64,20
CPT,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,79.11,1114.64,21
CPT,43201,ESOPH SCOPE W/SUBMUCOUS INJ,,,94.73,2255.28,20
CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,,,88.02,2255.28,22
CPT,43204,ESOPH SCOPE W/SCLEROSIS INJ,,,123.62,2255.28,20
CPT,43205,ESOPHAGUS ENDOSCOPY/LIGATION,,,128.38,2255.28,20
CPT,43206,ESOPH OPTICAL ENDOMICROSCOPY,,,121.82,2255.28,11
CPT,43210,EGD ESOPHAGOGASTRC FNDOPLSTY,,,218.37,12377.64,20
CPT,43211,ESOPHAGOSCOP MUCOSAL RESECT,,,190.21,2255.28,20
CPT,43212,ESOPHAGOSCOP STENT PLACEMENT,,,149.32,7077.15,20
CPT,43213,ESOPHAGOSCOPY RETRO BALLOON,,,220.49,2255.28,20
CPT,43214,ESOPHAGOSC DILATE BALLOON 30,,,152.83,2255.28,20
CPT,43215,ESOPHAGOSCOPY FLEX REMOVE FB,,,118.94,161.19,14
CPT,43215,HC ER ESOPHAGOSCOPY W/REMOVAL FOREIGN BODY,4219.05,2109.53,75.38,3797.15,72
CPT,43216,ESOPHAGOSCOPY LESION REMOVAL,,,110.83,2255.28,20
CPT,43217,ESOPHAGOSCOPY SNARE LES REMV,,,130.74,2255.28,20
CPT,43220,ESOPHAGOSCOPY BALLOON <30MM,,,97.83,2255.28,21
CPT,43226,ESOPH ENDOSCOPY DILATION,,,109.11,2255.28,22
CPT,43227,ESOPHAGOSCOPY CONTROL BLEED,,,150.35,2255.28,20
CPT,43229,ESOPHAGOSCOPY LESION ABLATE,,,168.26,4523.11,20
CPT,43231,ESOPHAGOSCOP ULTRASOUND EXAM,,,142.34,2255.28,20
CPT,43232,ESOPHAGOSCOPY W/US NEEDLE BX,,,180.82,2255.28,20
CPT,43233,EGD BALLOON DIL ESOPH30 MM/>,,,181.42,2255.28,20
CPT,43235,EGD DIAGNOSTIC BRUSH WASH,,,112.05,1114.64,30
CPT,43236,UPPR GI SCOPE W/SUBMUC INJ,,,126.08,1114.64,22
CPT,43237,ENDOSCOPIC US EXAM ESOPH,,,178.06,2255.28,23
CPT,43238,EGD US FINE NEEDLE BX/ASPIR,,,211.81,2255.28,26
CPT,43239,EGD BIOPSY SINGLE/MULTIPLE,,,126.08,1432.11,30
CPT,43240,EGD W/TRANSMURAL DRAIN CYST,,,309.67,7077.15,23
CPT,43241,EGD TUBE/CATH INSERTION,,,120.69,2255.28,21
CPT,43242,EGD US FINE NEEDLE BX/ASPIR,,,238.81,2255.28,23
CPT,43243,EGD INJECTION VARICES,,,208.03,2255.28,21
CPT,43244,EGD VARICES LIGATION,,,222.79,2255.28,26
CPT,43245,EGD DILATE STRICTURE,,,145.36,2255.28,23
CPT,43246,EGD PLACE GASTROSTOMY TUBE,,,181.8,781.31,17
CPT,43246,HC EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,5272.0,2636.0,464.82,4744.8,70
CPT,43247,EGD REMOVE FOREIGN BODY,,,155.52,1432.11,27
CPT,43248,EGD GUIDE WIRE INSERTION,,,146.96,1432.11,28
CPT,43249,ESOPH EGD DILATION <30 MM,,,135.3,2377.88,29
CPT,43250,EGD CAUTERY TUMOR POLYP,,,145.4,2255.28,21
CPT,43251,EGD REMOVE LESION SNARE,,,169.2,2255.28,25
CPT,43252,EGD OPTICAL ENDOMICROSCOPY,,,153.21,2255.28,11
CPT,43253,EGD US TRANSMURAL INJXN/MARK,,,210.47,2255.28,23
CPT,43254,EGD ENDO MUCOSAL RESECTION,,,218.37,2255.28,22
CPT,43255,EGD CONTROL BLEEDING ANY,,,182.6,2255.28,25
CPT,43257,EGD W/THRML TXMNT GERD,,,211.49,4523.11,13
CPT,43259,EGD US EXAM DUODENUM/JEJUNUM,,,206.0,2255.28,27
CPT,43260,ERCP W/SPECIMEN COLLECTION,,,270.73,4523.11,20
CPT,43261,ENDO CHOLANGIOPANCREATOGRAPH,,,284.59,4523.11,21
CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,,,324.25,4523.11,21
CPT,43263,ERCP SPHINCTER PRESSURE MEAS,,,324.76,2255.28,19
CPT,43264,ERCP REMOVE DUCT CALCULI,,,330.89,4523.11,25
CPT,43265,ERCP LITHOTRIPSY CALCULI,,,392.6,7077.15,20
CPT,43266,EGD ENDOSCOPIC STENT PLACE,,,180.64,7077.15,22
CPT,43270,EGD LESION ABLATION,,,198.25,2255.28,24
CPT,43273,ENDOSCOPIC PANCREATOSCOPY,,,101.03,135.28,20
CPT,43274,ERCP DUCT STENT PLACEMENT,,,374.45,7077.15,26
CPT,43275,ERCP REMOVE FORGN BODY DUCT,,,308.7,2255.28,24
CPT,43276,ERCP STENT EXCHANGE W/DILATE,,,389.63,7077.15,23
CPT,43277,ERCP EA DUCT/AMPULLA DILATE,,,310.63,4523.11,20
CPT,43278,ERCP LESION ABLATE W/DILATE,,,353.18,4523.11,21
CPT,43279,LAP MYOTOMY HELLER,,,941.38,3530.82,20
CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,785.06,12377.64,21
CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,879.37,12377.64,21
CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,879.37,12377.64,22
CPT,43283,LAP ESOPH LENGTHENING,,,129.74,176.08,19
CPT,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,533.08,12377.64,11
CPT,43285,RMVL ESOPHGL SPHNCTR DEV,,,539.48,6936.32,11
CPT,43286,ESPHG TOT W/LAPS MOBLJ,,,2621.11,3568.11,19
CPT,43287,ESPHG DSTL 2/3 W/LAPS MOBLJ,,,2989.57,9211.49,20
CPT,43288,ESPHG THRSC MOBLJ,,,3125.1,4189.83,19
CPT,43289,UNLISTED LAPS PX ESOPH,,,879.37,6936.32,6
CPT,43290,EGD FLX TRNSORL DPLMNT BALO,,,162.1,2255.28,10
CPT,43291,EGD FLX TRNSORL RMVL BALO,,,146.88,1114.64,10
CPT,43300,REPAIR OF ESOPHAGUS,,,462.56,725.69,19
CPT,43305,REPAIR ESOPHAGUS AND FISTULA,,,830.7,1263.56,19
CPT,43310,REPAIR OF ESOPHAGUS,,,1161.2,1659.25,19
CPT,43312,REPAIR ESOPHAGUS AND FISTULA,,,1282.65,1769.93,19
CPT,43313,ESOPHAGOPLASTY CONGENITAL,,,2043.5,3288.21,19
CPT,43314,TRACHEO-ESOPHAGOPLASTY CONG,,,2339.83,3514.74,19
CPT,43320,FUSE ESOPHAGUS & STOMACH,,,1020.21,1585.58,19
CPT,43325,REVISE ESOPHAGUS & STOMACH,,,974.24,1542.03,19
CPT,43327,ESOPH FUNDOPLASTY LAP,,,652.77,948.23,19
CPT,43328,ESOPH FUNDOPLASTY THOR,,,952.44,1256.09,19
CPT,43330,ESOPHAGOMYOTOMY ABDOMINAL,,,955.69,1516.77,19
CPT,43331,ESOPHAGOMYOTOMY THORACIC,,,1034.67,1504.77,19
CPT,43332,TRANSAB ESOPH HIAT HERN RPR,,,934.6,1298.06,19
CPT,43333,TRANSAB ESOPH HIAT HERN RPR,,,1014.95,1426.65,19
CPT,43334,TRANSTHOR DIAPHRAG HERN RPR,,,1025.5,3257.53,20
CPT,43335,TRANSTHOR DIAPHRAG HERN RPR,,,1105.04,1489.55,19
CPT,43336,THORABD DIAPHR HERN REPAIR,,,1207.87,1618.73,19
CPT,43337,THORABD DIAPHR HERN REPAIR,,,1318.8,1724.59,19
CPT,43338,ESOPH LENGTHENING,,,101.67,127.09,19
CPT,43340,FUSE ESOPHAGUS & INTESTINE,,,992.01,1565.99,19
CPT,43341,FUSE ESOPHAGUS & INTESTINE,,,1090.93,1571.96,19
CPT,43351,SURGICAL OPENING ESOPHAGUS,,,992.48,1485.66,19
CPT,43352,SURGICAL OPENING ESOPHAGUS,,,811.45,1203.15,19
CPT,43360,GASTROINTESTINAL REPAIR,,,1740.71,2515.14,19
CPT,43361,GASTROINTESTINAL REPAIR,,,1945.27,3054.05,19
CPT,43400,LIGATE ESOPHAGUS VEINS,,,1194.24,1725.96,19
CPT,43405,LIGATE/STAPLE ESOPHAGUS,,,1096.58,1639.59,19
CPT,43410,REPAIR ESOPHAGUS WOUND,,,749.72,1196.0,19
CPT,43415,REPAIR ESOPHAGUS WOUND,,,1278.4,2884.38,19
CPT,43420,REPAIR ESOPHAGUS OPENING,,,750.6,3855.6,20
CPT,43425,REPAIR ESOPHAGUS OPENING,,,1122.85,1618.43,19
CPT,43450,DILATE ESOPHAGUS 1/MULT PASS,,,68.46,1114.64,23
CPT,43453,DILATE ESOPHAGUS,,,74.36,2255.28,20
CPT,43460,PRESSURE TREATMENT ESOPHAGUS,,,170.64,810.43,20
CPT,43496,FREE JEJUNUM FLAP MICROVASC,,,1017.48,1271.85,5
CPT,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,668.46,7077.15,22
CPT,43499,UNLISTED PROCEDURE ESOPHAGUS,,,879.37,1114.64,6
CPT,43500,SURGICAL OPENING OF STOMACH,,,561.04,898.38,19
CPT,43501,SURGICAL REPAIR OF STOMACH,,,965.96,1529.0,19
CPT,43502,SURGICAL REPAIR OF STOMACH,,,1094.06,1730.14,19
CPT,43510,SURGICAL OPENING OF STOMACH,,,692.44,1114.64,20
CPT,43520,INCISION OF PYLORIC MUSCLE,,,507.23,813.14,19
CPT,43605,BIOPSY OF STOMACH,,,595.86,961.96,19
CPT,43610,EXCISION OF STOMACH LESION,,,704.1,1109.64,19
CPT,43611,EXCISION OF STOMACH LESION,,,876.19,1396.2,19
CPT,43620,REMOVAL OF STOMACH,,,1429.39,2242.59,19
CPT,43621,REMOVAL OF STOMACH,,,1628.3,2576.08,19
CPT,43622,REMOVAL OF STOMACH,,,1652.33,2610.17,19
CPT,43631,REMOVAL OF STOMACH PARTIAL,,,1047.59,1648.39,19
CPT,43632,REMOVAL OF STOMACH PARTIAL,,,1429.24,2306.01,19
CPT,43633,REMOVAL OF STOMACH PARTIAL,,,1359.74,2181.53,19
CPT,43634,REMOVAL OF STOMACH PARTIAL,,,1501.82,2402.16,19
CPT,43635,REMOVAL OF STOMACH PARTIAL,,,83.99,126.48,19
CPT,43640,VAGOTOMY & PYLORUS REPAIR,,,841.92,1354.76,19
CPT,43641,VAGOTOMY & PYLORUS REPAIR,,,849.29,1369.96,19
CPT,43644,LAP GASTRIC BYPASS/ROUX-EN-Y,,,1246.8,6229.76,25
CPT,43645,LAP GASTR BYPASS INCL SMLL I,,,1334.17,4061.31,20
CPT,43647,LAP IMPL ELECTRODE ANTRUM,,,250.66,14825.64,11
CPT,43648,LAP REVISE/REMV ELTRD ANTRUM,,,250.66,12377.64,11
CPT,43651,LAPAROSCOPY VAGUS NERVE,,,466.72,6936.32,20
CPT,43652,LAPAROSCOPY VAGUS NERVE,,,546.82,6936.32,20
CPT,43653,LAPAROSCOPY GASTROSTOMY,,,397.86,6936.32,24
CPT,43659,UNLISTED LAPS PX STOMACH,,,879.37,6936.32,6
CPT,43752,HC ER PLACEMENT NG/OG TUBE BY PHYSICIAN,185.65,92.83,40.49,474.41,72
CPT,43752,HC PLACEMENT NG/OG TUBE BY PHYSICIAN,219.7,109.85,42.07,474.41,69
CPT,43752,NASAL/OROGASTRIC W/TUBE PLMT,,,32.48,45.93,14
CPT,43753,HC ER INTUBATION GASTRIC TREATMENT,827.2,413.6,75.38,744.48,72
CPT,43753,HC INTUBATION GASTRIC TREATMENT,827.2,413.6,158.41,879.37,70
CPT,43753,TX GASTRO INTUB W/ASP,,,16.86,24.58,14
CPT,43754,DX GASTR INTUB W/ASP SPEC,,,25.47,879.37,20
CPT,43755,DX GASTR INTUB W/ASP SPECS,,,46.65,879.37,20
CPT,43756,DX DUOD INTUB W/ASP SPEC,,,42.09,1114.64,20
CPT,43757,DX DUOD INTUB W/ASP SPECS,,,60.89,1114.64,20
CPT,43761,HC ER REPOSITION NASOGASTRIC TUBE THRU DUODENUM,755.1,377.55,75.38,679.59,72
CPT,43761,HC REPOSITION NASOGASTRIC TUBE THRU DUODENUM,755.1,377.55,144.6,879.37,70
CPT,43761,REPOSITION GASTROSTOMY TUBE,,,84.26,117.75,14
CPT,43762,HC ER REPLACE GTUBE W/OUT REVISION,797.9,398.95,75.38,718.11,72
CPT,43762,HC REPLACE GTUBE W/OUT REVISION,797.9,398.95,152.8,718.11,70
CPT,43762,RPLC GTUBE NO REVJ TRC,,,32.25,489.33,22
CPT,43763,HC ER REPLACE GTUBE WITH REVISION,1196.8,598.4,75.38,1077.12,72
CPT,43763,HC REPLACE GTUBE WITH REVISION,1196.8,598.4,229.19,1077.12,70
CPT,43763,RPLC GTUBE REVJ GSTRST TRC,,,71.09,99.74,14
CPT,43770,LAP PLACE GASTR ADJ DEVICE,,,797.83,12377.64,20
CPT,43771,LAP REVISE GASTR ADJ DEVICE,,,910.37,1452.63,19
CPT,43772,LAP RMVL GASTR ADJ DEVICE,,,688.47,4523.11,19
CPT,43773,LAP REPLACE GASTR ADJ DEVICE,,,911.12,6936.32,19
CPT,43774,LAP RMVL GASTR ADJ ALL PARTS,,,689.26,4523.11,20
CPT,43775,LAP SLEEVE GASTRECTOMY,,,998.84,4457.95,25
CPT,43800,PYLOROPLASTY,,,668.13,1057.48,19
CPT,43810,GASTRODUODENOSTOMY,,,724.36,1156.34,19
CPT,43820,GASTROJEJUNOSTOMY WO VAGOTMY,,,939.0,1529.16,19
CPT,43825,GASTROJEJUNOSTOMY W/VAGOTOMY,,,932.01,1489.85,19
CPT,43830,GSTRST OPEN WO CONSTJ TUBE,,,494.86,2255.28,22
CPT,43831,GASTROSTOMY OPEN NEONATAL,,,412.79,1114.64,20
CPT,43832,GSTRST OPEN W/CONSTJ TUBE,,,762.8,1191.19,19
CPT,43840,GSTRRPHY SUTR DUOL/GSTR ULCR,,,952.38,2843.8,20
CPT,43842,GSTR RSTCV PX V-BANDED GSTP,,,925.55,1432.11,15
CPT,43843,GSTR RSTCV OTH/THN V-BAND,,,908.53,1459.19,19
CPT,43845,GASTROPLASTY DUODENAL SWITCH,,,1407.42,2226.8,19
CPT,43846,GSTR RSTCV PX SHRT ROUX-EN-Y,,,1171.75,1874.79,19
CPT,43847,GSTR RSTCV PX SM INT RCNSTJ,,,1280.75,2050.53,19
CPT,43848,REVJ OPEN GSTR RSTCV PX,,,1389.85,2194.94,19
CPT,43860,REVJ GSTR/JJ ANAST W/O VGTMY,,,1181.97,1856.8,19
CPT,43865,REVJ GSTR/JJ ANAST W/VGTMY,,,1229.55,1936.13,19
CPT,43870,CLOSURE GASTROSTOMY SURGICAL,,,505.56,4523.11,21
CPT,43880,CLOSURE GASTROCOLIC FISTULA,,,1154.7,1821.57,19
CPT,43881,IMPL/RPLCMT GSTR NSTIM ELTRD,,,633.19,791.49,5
CPT,43882,REV/RMVL GSTR NSTIM ELTRD,,,633.19,791.49,5
CPT,43886,GSTR RSTCV PX OPN REVJ PORT,,,303.3,4352.44,19
CPT,43887,GSTR RSTCV PX OPN RMVL PORT,,,273.78,2174.73,19
CPT,43888,GSTR RSTCV PX OPN RMVL&RPLC,,,385.81,4352.44,19
CPT,43999,HC STOMACH PROCEDURE,1022.1,511.05,195.73,1114.64,70
CPT,44005,FREEING OF BOWEL ADHESION,,,788.76,3934.05,21
CPT,44010,INCISION OF SMALL BOWEL,,,619.77,969.89,19
CPT,44015,INSERT NEEDLE CATH BOWEL,,,107.77,158.44,19
CPT,44020,EXPLORE SMALL INTESTINE,,,696.98,1108.8,19
CPT,44021,DECOMPRESS SMALL BOWEL,,,704.93,1107.94,19
CPT,44025,INCISION OF LARGE BOWEL,,,709.59,1118.79,19
CPT,44050,REDUCE BOWEL OBSTRUCTION,,,671.61,2039.88,20
CPT,44055,CORRECT MALROTATION OF BOWEL,,,1076.92,1693.18,19
CPT,44100,BIOPSY OF BOWEL,,,89.23,1114.64,20
CPT,44110,EXCISE INTESTINE LESION(S),,,607.75,969.06,14
CPT,44110,HC EXCISE LESION SM OR LG INTESTINE 1 OR MORE,627.05,313.53,120.08,969.06,69
CPT,44111,EXCISION OF BOWEL LESION(S),,,707.93,1116.89,19
CPT,44120,REMOVAL OF SMALL INTESTINE,,,877.43,4404.33,23
CPT,44121,REMOVAL OF SMALL INTESTINE,,,181.22,613.36,21
CPT,44125,REMOVAL OF SMALL INTESTINE,,,851.64,1337.44,19
CPT,44126,ENTERECTOMY W/O TAPER CONG,,,1760.01,2792.7,19
CPT,44127,ENTERECTOMY W/TAPER CONG,,,2049.66,3221.42,19
CPT,44128,ENTERECTOMY CONG ADD-ON,,,182.07,272.6,19
CPT,44130,BOWEL TO BOWEL FUSION,,,919.04,1496.73,19
CPT,44135,INTESTINE TRANSPLNT CADAVER,,,919.04,937.42,9
CPT,44139,MOBILIZATION OF COLON,,,90.71,277.14,21
CPT,44140,PARTIAL REMOVAL OF COLON,,,969.05,2947.89,20
CPT,44141,PARTIAL REMOVAL OF COLON,,,1276.15,2048.29,19
CPT,44143,PARTIAL REMOVAL OF COLON,,,1194.04,3627.21,20
CPT,44144,PARTIAL REMOVAL OF COLON,,,1255.06,1996.71,19
CPT,44145,PARTIAL REMOVAL OF COLON,,,1208.33,6002.28,22
CPT,44146,PARTIAL REMOVAL OF COLON,,,1510.05,4562.28,20
CPT,44147,PARTIAL REMOVAL OF COLON,,,1363.71,2191.61,19
CPT,44150,REMOVAL OF COLON,,,1322.85,3926.71,20
CPT,44151,REMOVAL OF COLON/ILEOSTOMY,,,1513.16,2425.24,19
CPT,44155,REMOVAL OF COLON/ILEOSTOMY,,,1482.82,2342.01,19
CPT,44156,REMOVAL OF COLON/ILEOSTOMY,,,1629.21,2592.1,19
CPT,44157,COLECTOMY W/ILEOANAL ANAST,,,1547.66,2466.54,19
CPT,44158,COLECTOMY W/NEO-RECTUM POUCH,,,1586.55,2527.66,19
CPT,44160,REMOVAL OF COLON,,,892.97,4477.36,21
CPT,44180,LAP ENTEROLYSIS,,,665.45,6936.32,21
CPT,44186,LAP JEJUNOSTOMY,,,468.75,6936.32,20
CPT,44187,LAP ILEO/JEJUNO-STOMY,,,789.87,1240.5,19
CPT,44188,LAP COLOSTOMY,,,874.02,2665.53,22
CPT,44202,LAP ENTERECTOMY,,,1002.91,4998.36,20
CPT,44203,LAP RESECT S/INTESTINE ADDL,,,180.47,270.12,19
CPT,44204,LAPARO PARTIAL COLECTOMY,,,1120.24,3877.8,20
CPT,44205,LAP COLECTOMY PART W/ILEUM,,,977.99,4852.15,23
CPT,44206,LAP PART COLECTOMY W/STOMA,,,1270.78,1968.16,19
CPT,44207,L COLECTOMY/COLOPROCTOSTOMY,,,1335.93,6635.76,22
CPT,44208,L COLECTOMY/COLOPROCTOSTOMY,,,1451.52,4428.92,20
CPT,44210,LAPARO TOTAL PROCTOCOLECTOMY,,,1296.87,6529.86,20
CPT,44211,LAP COLECTOMY W/PROCTECTOMY,,,1592.32,2412.85,19
CPT,44212,LAPARO TOTAL PROCTOCOLECTOMY,,,1493.29,2306.5,19
CPT,44213,LAP MOBIL SPLENIC FL ADD-ON,,,142.26,435.8,20
CPT,44227,LAP CLOSE ENTEROSTOMY,,,1212.95,6031.62,21
CPT,44238,UNLISTED LAPS PX INTESTINE,,,879.37,6936.32,6
CPT,44300,OPEN BOWEL TO SKIN,,,602.97,957.44,19
CPT,44310,ILEOSTOMY/JEJUNOSTOMY,,,754.56,1183.36,19
CPT,44312,REVISION OF ILEOSTOMY,,,428.24,4352.44,20
CPT,44314,REVISION OF ILEOSTOMY,,,730.06,1145.49,19
CPT,44316,DEVISE BOWEL POUCH,,,1000.52,1605.25,19
CPT,44320,COLOSTOMY,,,860.27,2609.99,20
CPT,44322,COLOSTOMY WITH BIOPSIES,,,679.86,1137.59,19
CPT,44340,REVISION OF COLOSTOMY,,,430.5,4352.44,20
CPT,44345,REVISION OF COLOSTOMY,,,752.65,1198.45,19
CPT,44346,REVISION OF COLOSTOMY,,,845.38,1346.95,19
CPT,44360,SMALL BOWEL ENDOSCOPY,,,122.26,2255.28,22
CPT,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,,,134.75,2255.28,22
CPT,44363,SMALL BOWEL ENDOSCOPY,,,159.69,2255.28,21
CPT,44364,SMALL BOWEL ENDOSCOPY,,,171.98,2255.28,20
CPT,44365,SMALL BOWEL ENDOSCOPY,,,153.11,2255.28,20
CPT,44366,SMALL BOWEL ENDOSCOPY,,,202.71,2255.28,21
CPT,44369,SMALL BOWEL ENDOSCOPY,,,207.08,2255.28,20
CPT,44370,SMALL BOWEL ENDOSCOPY/STENT,,,223.02,7077.15,20
CPT,44372,SMALL BOWEL ENDOSCOPY,,,197.41,2255.28,20
CPT,44373,SMALL BOWEL ENDOSCOPY,,,159.69,2255.28,24
CPT,44376,SMALL BOWEL ENDOSCOPY,,,236.22,2255.28,20
CPT,44377,SMALL BOWEL ENDOSCOPY/BIOPSY,,,250.43,2255.28,20
CPT,44378,SMALL BOWEL ENDOSCOPY,,,321.26,2255.28,20
CPT,44379,S BOWEL ENDOSCOPE W/STENT,,,340.47,7077.15,20
CPT,44380,SMALL BOWEL ENDOSCOPY BR/WA,,,52.89,1114.64,20
CPT,44381,SMALL BOWEL ENDOSCOPY BR/WA,,,54.8,2255.28,21
CPT,44382,SMALL BOWEL ENDOSCOPY,,,63.93,1114.64,23
CPT,44384,SMALL BOWEL ENDOSCOPY,,,54.8,2255.28,19
CPT,44385,ENDOSCOPY OF BOWEL POUCH,,,66.52,1083.91,20
CPT,44386,ENDOSCOPY BOWEL POUCH/BIOP,,,81.45,1083.91,24
CPT,44388,COLONOSCOPY THRU STOMA SPX,,,71.27,1083.91,27
CPT,44389,COLONOSCOPY WITH BIOPSY,,,142.65,1401.78,21
CPT,44390,COLONOSCOPY FOR FOREIGN BODY,,,171.19,1083.91,20
CPT,44391,COLONOSCOPY FOR BLEEDING,,,195.06,1432.11,20
CPT,44392,COLONOSCOPY & POLYPECTOMY,,,168.47,1432.11,20
CPT,44394,COLONOSCOPY W/SNARE,,,198.6,1432.11,20
CPT,44401,COLONOSCOPY WITH ABLATION,,,131.71,1401.78,19
CPT,44402,COLONOSCOPY W/STENT PLCMT,,,131.71,7077.15,19
CPT,44403,COLONOSCOPY W/RESECTION,,,131.71,1401.78,19
CPT,44404,COLONOSCOPY W/INJECTION,,,131.71,1401.78,19
CPT,44405,COLONOSCOPY W/DILATION,,,131.71,1401.78,20
CPT,44406,COLONOSCOPY W/ULTRASOUND,,,131.71,1401.78,19
CPT,44407,COLONOSCOPY W/NDL ASPIR/BX,,,131.71,1401.78,19
CPT,44408,COLONOSCOPY W/DECOMPRESSION,,,131.71,1083.91,19
CPT,44500,HC ER PLACEMENT OF GASTRO TUBE,342.65,171.33,74.73,1114.64,72
CPT,44500,HC PLACEMENT OF GASTRO TUBE,342.65,171.33,65.62,1114.64,69
CPT,44500,INTRO GASTROINTESTINAL TUBE,,,17.67,22.09,14
CPT,44602,SUTURE SMALL INTESTINE,,,997.36,2978.29,20
CPT,44603,SUTURE SMALL INTESTINE,,,1142.85,1832.41,19
CPT,44604,SUTURE LARGE INTESTINE,,,765.63,1196.2,19
CPT,44605,REPAIR OF BOWEL LESION,,,943.65,1461.28,19
CPT,44615,INTESTINAL STRICTUROPLASTY,,,777.31,1217.33,19
CPT,44620,REPAIR BOWEL OPENING,,,620.47,984.03,19
CPT,44625,REPAIR BOWEL OPENING,,,735.19,3696.12,21
CPT,44626,REPAIR BOWEL OPENING,,,1169.87,1800.45,19
CPT,44640,REPAIR BOWEL-SKIN FISTULA,,,1020.31,5070.53,20
CPT,44650,REPAIR BOWEL FISTULA,,,1061.08,1630.49,19
CPT,44660,REPAIR BOWEL-BLADDER FISTULA,,,1028.09,1527.89,19
CPT,44661,REPAIR BOWEL-BLADDER FISTULA,,,1153.36,1753.8,19
CPT,44680,SURGICAL REVISION INTESTINE,,,767.68,1222.61,19
CPT,44700,SUSPEND BOWEL W/PROSTHESIS,,,743.38,1141.58,19
CPT,44701,INTRAOP COLON LAVAGE ADD-ON,,,125.47,190.66,19
CPT,44705,PREPARE FECAL MICROBIOTA,,,105.66,129.49,5
CPT,44720,PREP DONOR INTESTINE/VENOUS,,,245.28,306.6,10
CPT,44721,PREP DONOR INTESTINE/ARTERY,,,343.71,429.64,10
CPT,44799,HC JTUBE/BUTTON CHANGE W/WITHOUT CHEM CAUTERY,2016.25,1008.13,386.11,1814.63,70
CPT,44800,EXCISION OF BOWEL POUCH,,,545.41,884.99,19
CPT,44820,EXCISION OF MESENTERY LESION,,,603.02,969.86,19
CPT,44850,REPAIR OF MESENTERY,,,532.05,854.94,19
CPT,44899,UNLISTED PX MECKEL'S DVRTCLM,,,314.06,314.06,1
CPT,44900,I&D APPENDIX ABSCESS OPEN,,,545.27,892.69,19
CPT,44950,APPENDECTOMY,,,461.9,7418.28,21
CPT,44955,APPENDECTOMY ADD-ON,,,62.98,192.78,20
CPT,44960,APPENDECTOMY,,,622.29,997.59,19
CPT,44970,LAPAROSCOPY APPENDECTOMY,,,424.1,6936.32,29
CPT,44979,UNLISTED LAPS PX APPENDIX,,,314.06,6936.32,6
CPT,45000,DRAINAGE OF PELVIC ABSCESS,,,295.68,1432.11,20
CPT,45005,DRAINAGE OF RECTAL ABSCESS,,,109.48,192.36,14
CPT,45005,HC ER I&D ABSCESS SUBMUCOSAL RECTUM,4706.65,2353.33,75.38,4235.99,72
CPT,45020,DRAINAGE OF RECTAL ABSCESS,,,386.36,660.8,14
CPT,45020,HC ER I&D ABSCESS SUPRALEVATOR DEEP,4122.6,2061.3,75.38,3710.34,72
CPT,45100,BIOPSY OF RECTUM,,,204.85,784.82,15
CPT,45100,HC BIOPSY OF ANORECTAL WALL RECTAL APPR,6935.1,3467.55,1328.07,6241.59,70
CPT,45108,ANORECTAL MYOMECTOMY,,,249.63,3260.36,20
CPT,45110,REMOVAL OF RECTUM,,,1334.22,6722.54,20
CPT,45111,PARTIAL REMOVAL OF RECTUM,,,783.6,1236.84,19
CPT,45112,REMOVAL OF RECTUM,,,1377.84,2075.8,19
CPT,45113,PARTIAL PROCTECTOMY,,,1411.52,2130.1,19
CPT,45114,PARTIAL REMOVAL OF RECTUM,,,1289.87,2056.94,19
CPT,45116,PARTIAL REMOVAL OF RECTUM,,,1159.0,1769.61,19
CPT,45119,REMOVE RECTUM W/RESERVOIR,,,1413.82,2144.89,19
CPT,45120,REMOVAL OF RECTUM,,,1129.27,1815.35,19
CPT,45121,REMOVAL OF RECTUM AND COLON,,,1236.07,1979.18,19
CPT,45123,PARTIAL PROCTECTOMY,,,800.98,1272.49,19
CPT,45126,PELVIC EXENTERATION,,,2088.45,3113.84,19
CPT,45130,EXCISION OF RECTAL PROLAPSE,,,783.41,1239.43,19
CPT,45135,EXCISION OF RECTAL PROLAPSE,,,958.84,1488.71,19
CPT,45136,EXCISE ILEOANAL RESERVIOR,,,1327.35,2038.04,19
CPT,45150,EXCISION OF RECTAL STRICTURE,,,284.12,1401.78,20
CPT,45160,EXCISION OF RECTAL LESION,,,712.06,3260.36,20
CPT,45171,EXC RECT TUM TRANSANAL PART,,,354.21,3260.36,21
CPT,45172,EXC RECT TUM TRANSANAL FULL,,,486.76,3260.36,21
CPT,45190,DESTRUCTION RECTAL TUMOR,,,483.11,3260.36,20
CPT,45300,PROCTOSIGMOIDOSCOPY DX,,,36.71,1083.91,20
CPT,45303,PROCTOSIGMOIDOSCOPY DILATE,,,62.83,1401.78,20
CPT,45305,PROCTOSIGMOIDOSCOPY W/BX,,,56.42,1401.78,20
CPT,45307,HC ER PROCTOSIGMOIDOSCOPY REMOVE FOREIGN BODY,2349.05,1174.53,75.38,3260.36,72
CPT,45307,PROCTOSIGMOIDOSCOPY FB,,,71.43,114.39,14
CPT,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,60.57,3260.36,20
CPT,45309,PROCTOSIGMOIDOSCOPY REMOVAL,,,70.29,1432.11,20
CPT,45315,PROCTOSIGMOIDOSCOPY REMOVAL,,,79.98,1432.11,20
CPT,45317,PROCTOSIGMOIDOSCOPY BLEED,,,84.35,1432.11,20
CPT,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,80.12,3260.36,20
CPT,45321,PROCTOSIGMOIDOSCOPY VOLVUL,,,77.52,3260.36,20
CPT,45327,PROCTOSIGMOIDOSCOPY W/STENT,,,90.41,7077.15,20
CPT,45330,DIAGNOSTIC SIGMOIDOSCOPY,,,47.36,396.94,21
CPT,45330,HC ER FLEXIBLE SIGMOIDOSCOPY-DIAG,2568.25,1284.13,75.38,2311.43,72
CPT,45330,HC FLEXIBLE SIGMOIDOSCOPY-DIAG,2568.25,1284.13,491.82,2311.43,70
CPT,45331,HC SIGMOIDOSCOPY W/BIOPSY,2703.25,1351.63,517.67,2432.93,70
CPT,45331,SIGMOIDOSCOPY AND BIOPSY,,,57.49,618.36,19
CPT,45332,HC ER SIGMOIDOSCOPY W/REMOVAL FOREIGN BODY,3989.5,1994.75,75.38,3590.55,72
CPT,45332,SIGMOIDOSCOPY W/FB REMOVAL,,,84.34,120.03,14
CPT,45333,SIGMOIDOSCOPY & POLYPECTOMY,,,83.88,1432.11,21
CPT,45334,SIGMOIDOSCOPY FOR BLEEDING,,,107.3,1432.11,23
CPT,45335,SIGMOIDOSCOPY W/SUBMUC INJ,,,61.64,1083.91,20
CPT,45337,HC ER SIGMOIDOSCOPY W/DECOMPRESSION,1583.8,791.9,75.38,1425.42,72
CPT,45337,SIGMOIDOSCOPY & DECOMPRESS,,,104.29,388.91,15
CPT,45338,SIGMOIDOSCOPY W/TUMR REMOVE,,,109.11,1432.11,23
CPT,45340,SIG W/TNDSC BALLOON DILATION,,,71.13,1401.78,20
CPT,45341,SIGMOIDOSCOPY W/ULTRASOUND,,,113.19,1083.91,23
CPT,45342,SIGMOIDOSCOPY W/US GUIDE BX,,,154.8,1401.78,21
CPT,45346,SIGMOIDOSCOPY W/ABLATION,,,48.82,1401.78,19
CPT,45347,SIGMOIDOSCOPY W/PLCMT STENT,,,48.82,7077.15,21
CPT,45349,SIGMOIDOSCOPY W/RESECTION,,,48.82,3260.36,21
CPT,45350,SGMDSC W/BAND LIGATION,,,48.82,1401.78,19
CPT,45378,DIAGNOSTIC COLONOSCOPY,,,84.41,1083.91,36
CPT,45379,COLONOSCOPY W/FB REMOVAL,,,209.44,1401.78,20
CPT,45380,COLONOSCOPY AND BIOPSY,,,183.07,1401.78,31
CPT,45381,COLONOSCOPY SUBMUCOUS NJX,,,183.07,1401.78,23
CPT,45382,COLONOSCOPY W/CONTROL BLEED,,,235.57,1448.95,23
CPT,45384,COLONOSCOPY W/LESION REMOVAL,,,207.2,1432.11,22
CPT,45385,COLONOSCOPY W/LESION REMOVAL,,,231.16,1432.11,30
CPT,45386,COLONOSCOPY W/BALLOON DILAT,,,193.21,1401.78,21
CPT,45388,COLONOSCOPY W/ABLATION,,,172.32,1401.78,23
CPT,45389,COLONOSCOPY W/STENT PLCMT,,,172.32,7077.15,19
CPT,45390,COLONOSCOPY W/RESECTION,,,172.32,3260.36,21
CPT,45391,COLONOSCOPY W/ENDOSCOPE US,,,231.37,1401.78,20
CPT,45392,COLONOSCOPY W/ENDOSCOPIC FNB,,,276.44,1401.78,20
CPT,45393,COLONOSCOPY W/DECOMPRESSION,,,172.32,1401.78,19
CPT,45395,LAP REMOVAL OF RECTUM,,,1441.79,4386.01,20
CPT,45397,LAP REMOVE RECTUM W/POUCH,,,1562.95,2411.54,19
CPT,45398,COLONOSCOPY W/BAND LIGATION,,,172.32,1401.78,19
CPT,45399,UNLISTED PROCEDURE COLON,,,884.47,1083.91,5
CPT,45400,LAPAROSCOPIC PROC,,,832.75,1292.96,19
CPT,45402,LAP PROCTOPEXY W/SIG RESECT,,,1114.89,1724.38,19
CPT,45499,LAPAROSCOPE PROC RECTUM,,,314.06,6936.32,6
CPT,45500,REPAIR OF RECTUM,,,364.9,3260.36,20
CPT,45505,REPAIR OF RECTUM,,,399.9,3260.36,20
CPT,45520,TREATMENT OF RECTAL PROLAPSE,,,28.22,1083.91,19
CPT,45540,CORRECT RECTAL PROLAPSE,,,768.75,1201.69,19
CPT,45541,CORRECT RECTAL PROLAPSE,,,659.28,3260.36,20
CPT,45550,REPAIR RECTUM/REMOVE SIGMOID,,,1057.1,1658.96,19
CPT,45560,REPAIR OF RECTOCELE,,,521.48,3260.36,20
CPT,45562,EXPLORATION/REPAIR OF RECTUM,,,800.0,4038.79,20
CPT,45563,EXPLORATION/REPAIR OF RECTUM,,,1159.53,1878.58,19
CPT,45800,REPAIR RECT/BLADDER FISTULA,,,898.62,1444.7,19
CPT,45805,REPAIR FISTULA W/COLOSTOMY,,,1015.85,1663.49,19
CPT,45820,REPAIR RECTOURETHRAL FISTULA,,,892.55,1448.14,19
CPT,45825,REPAIR FISTULA W/COLOSTOMY,,,1073.91,1742.44,19
CPT,45900,REDUCTION OF RECTAL PROLAPSE,,,141.15,1083.91,20
CPT,45905,DILATION OF ANAL SPHINCTER,,,119.54,1401.78,20
CPT,45910,DILATION OF RECTAL NARROWING,,,141.68,1401.78,20
CPT,45915,HC ER REMOVAL FECAL IMPACT/FB W/ANES,877.95,438.98,75.38,1401.78,72
CPT,45915,REMOVE RECTAL OBSTRUCTION,,,158.67,753.36,16
CPT,45990,SURG DX EXAM ANORECTAL,,,79.24,3260.36,23
CPT,45999,UNLISTED PROCEDURE RECTUM,,,879.37,1083.91,6
CPT,46020,PLACEMENT OF SETON,,,107.23,3260.36,21
CPT,46030,HC REMOVAL OF RECTAL MARKER,6063.45,3031.73,879.37,5457.11,70
CPT,46030,REMOVAL ANAL SETON OTH MRK,,,62.29,239.57,15
CPT,46040,HC ER I&D PERIRECTAL ABCESS,5261.05,2630.53,75.38,4734.95,72
CPT,46040,HC I&D PERIRECTAL ABCESS,5261.05,2630.53,879.37,4734.95,70
CPT,46040,I&D ISCHIORCT&/PERIRCT ABSC,,,280.36,1477.26,20
CPT,46045,I&D ABSC TRANAL UNDER ANES,,,289.26,3260.36,21
CPT,46050,HC ER I&D ABSCESS PERIANAL SUPERFIC,1275.9,637.95,75.38,1148.31,72
CPT,46050,HC I&D PERIANAL ABSCESS SUPERFICIAL,1275.9,637.95,244.33,1148.31,70
CPT,46050,I&D PERIANAL ABSCESS SUPFC,,,65.57,503.47,22
CPT,46060,I&D ISCHIORECTAL/NTRMRL ABSC,,,318.23,3260.36,21
CPT,46070,INCISION ANAL SEPTUM INFANT,,,161.67,3260.36,20
CPT,46080,SPHNCTROTMY ANAL DIV SPHNCTR,,,113.53,3260.36,21
CPT,46083,HC ER INCISION HEMORRHOID EXTERNAL,949.7,474.85,75.38,854.73,72
CPT,46083,HC INCISION HEMORRHOID EXTERNAL,949.7,474.85,181.87,879.37,70
CPT,46083,INC THROMBOSED HROID XTRNL,,,75.76,446.77,20
CPT,46200,REMOVAL OF ANAL FISSURE,,,210.92,3260.36,20
CPT,46220,EXCISE ANAL EXT TAG/PAPILLA,,,81.26,310.81,15
CPT,46220,HC EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,6763.15,3381.58,879.37,6086.84,70
CPT,46221,HC ER HEMORRHOIDECTOMY INTERNAL,1265.3,632.65,75.38,1138.77,72
CPT,46221,HC HEMORRHOIDECTOMY,1265.3,632.65,242.3,1138.77,70
CPT,46221,LIGATION OF HEMORRHOID(S),,,128.54,687.73,23
CPT,46230,REMOVAL OF ANAL TAGS,,,121.86,3260.36,21
CPT,46250,REMOVE EXT HEM GROUPS 2+,,,214.21,3260.36,20
CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,244.04,3260.36,22
CPT,46257,REMOVE IN/EX HEM GRP & FISS,,,285.34,3260.36,20
CPT,46258,REMOVE IN/EX HEM GRP W/FISTU,,,312.08,3260.36,20
CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,324.52,3260.36,23
CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,363.13,3260.36,20
CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,378.82,3260.36,20
CPT,46270,REMOVE ANAL FIST SUBQ,,,256.69,3260.36,24
CPT,46275,REMOVE ANAL FIST INTER,,,275.48,3260.36,21
CPT,46280,REMOVE ANAL FIST COMPLEX,,,315.89,3260.36,21
CPT,46285,REMOVE ANAL FIST 2 STAGE,,,271.99,3260.36,20
CPT,46288,REPAIR ANAL FISTULA,,,373.88,3260.36,20
CPT,46320,HC ER EXCISION HEMORRHOID EXTERNAL,3763.9,1881.95,75.38,3387.51,72
CPT,46320,HC EXCISION HEMORRHOID EXTERNAL,3763.9,1881.95,720.79,3387.51,70
CPT,46320,REMOVAL OF HEMORRHOID CLOT,,,77.34,130.75,14
CPT,46500,HC ER SCLEROTHERAPY HEMORRHOIDS,2573.8,1286.9,75.38,2316.42,72
CPT,46500,INJECTION INTO HEMORRHOID(S),,,87.36,211.65,14
CPT,46505,CHEMODENERVATION ANAL MUSC,,,159.73,484.98,15
CPT,46505,HC CHEMODENERV ANAL SPHINCTER,4719.05,2359.53,879.37,4247.15,70
CPT,46600,DIAGNOSTIC ANOSCOPY SPX,,,27.95,256.11,26
CPT,46600,HC ANOSCOPY DIAGNOSTIC,490.7,245.35,93.97,441.63,70
CPT,46600,HC ER ANOSCOPY DIAGNOSTIC,490.7,245.35,75.38,441.63,72
CPT,46601,DIAGNOSTIC ANOSCOPY,,,28.81,474.41,19
CPT,46604,ANOSCOPY AND DILATION,,,48.56,1401.78,20
CPT,46606,ANOSCOPY AND BIOPSY,,,53.69,280.28,16
CPT,46606,HC ANOSCOPY W/BIOPSY,753.2,376.6,144.24,1401.78,70
CPT,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,28.81,1401.78,19
CPT,46608,ANOSCOPY REMOVE FOR BODY,,,59.17,96.15,14
CPT,46608,HC ER ANOSCOPY W REMOVAL FOREIGN BODY,817.1,408.55,75.38,1083.91,72
CPT,46610,ANOSCOPY REMOVE LESION,,,58.66,3260.36,20
CPT,46611,ANOSCOPY,,,60.59,1083.91,20
CPT,46612,ANOSCOPY REMOVE LESIONS,,,71.72,3260.36,20
CPT,46614,ANOSCOPY CONTROL BLEEDING,,,51.15,1401.78,20
CPT,46615,ANOSCOPY,,,72.95,3260.36,20
CPT,46700,REPAIR OF ANAL STRICTURE,,,450.94,3260.36,20
CPT,46705,REPAIR OF ANAL STRICTURE,,,370.88,657.03,19
CPT,46706,REPR OF ANAL FISTULA W/GLUE,,,119.11,3260.36,20
CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,272.3,3260.36,20
CPT,46710,REPR PER/VAG POUCH SNGL PROC,,,768.64,1264.31,19
CPT,46712,REPR PER/VAG POUCH DBL PROC,,,1571.69,2504.98,19
CPT,46715,REP PERF ANOPER FISTU,,,367.1,636.85,19
CPT,46716,REP PERF ANOPER/VESTIB FISTU,,,895.59,1413.74,19
CPT,46730,CONSTRUCTION OF ABSENT ANUS,,,1363.24,2264.1,19
CPT,46735,CONSTRUCTION OF ABSENT ANUS,,,1592.99,2601.76,19
CPT,46740,CONSTRUCTION OF ABSENT ANUS,,,1464.5,2468.26,19
CPT,46742,REPAIR OF IMPERFORATED ANUS,,,1731.4,2845.9,19
CPT,46744,REPAIR OF CLOACAL ANOMALY,,,2474.09,4004.84,19
CPT,46746,REPAIR OF CLOACAL ANOMALY,,,2854.17,4408.35,19
CPT,46748,REPAIR OF CLOACAL ANOMALY,,,2983.61,4774.88,19
CPT,46750,REPAIR OF ANAL SPHINCTER,,,545.77,3260.36,20
CPT,46751,REPAIR OF ANAL SPHINCTER,,,452.08,766.99,19
CPT,46753,RECONSTRUCTION OF ANUS,,,411.77,3260.36,20
CPT,46754,REMOVAL OF SUTURE FROM ANUS,,,150.61,3260.36,20
CPT,46760,REPAIR OF ANAL SPHINCTER,,,772.56,3260.36,20
CPT,46761,REPAIR OF ANAL SPHINCTER,,,668.6,3260.36,20
CPT,46900,DESTRUCTION ANAL LESION(S),,,98.23,879.37,20
CPT,46910,DESTRUCTION ANAL LESION(S),,,94.07,2174.73,23
CPT,46916,CRYOSURGERY ANAL LESION(S),,,103.17,394.49,15
CPT,46916,HC CONDYLOMA-CRYOSURG TREATMENT,636.35,318.18,121.86,879.37,70
CPT,46917,LASER SURGERY ANAL LESIONS,,,94.74,3260.36,20
CPT,46922,EXCISION OF ANAL LESION(S),,,94.09,362.17,15
CPT,46922,HC SURG EXCISION OF ANAL LESION(S),8142.45,4071.23,879.37,7328.21,70
CPT,46924,DESTRUCTION ANAL LESION(S),,,131.58,3260.36,21
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,,,108.72,1401.78,20
CPT,46940,TREATMENT OF ANAL FISSURE,,,105.09,3260.36,20
CPT,46942,TREATMENT OF ANAL FISSURE,,,93.33,1083.91,20
CPT,46945,INT HRHC LIG 1 HROID W/O IMG,,,146.96,3260.36,21
CPT,46946,INT HRHC LIG 2+HROID W/O IMG,,,156.0,3260.36,21
CPT,46947,HEMORRHOIDOPEXY BY STAPLING,,,266.03,3260.36,20
CPT,46948,INT HRHC TRANAL DARTLZJ 2+,,,407.72,3260.36,10
CPT,46999,UNLISTED PROCEDURE ANUS,,,314.06,1083.91,6
CPT,47000,HC NEEDLE BIOPSY LIVER PERCUTANEOUS,3122.65,1561.33,597.99,2810.39,70
CPT,47000,NEEDLE BIOPSY OF LIVER PERQ,,,80.18,384.21,18
CPT,47001,NDL BIOPSY LVR TM OTH MAJ PX,,,77.64,116.96,19
CPT,47010,HEPATOT OPN DRG ABSC/CST 1/2,,,856.43,1379.03,19
CPT,47015,LAPT ASPIR&/NJX HEP PRST CST,,,812.72,1323.26,19
CPT,47100,WEDGE BIOPSY OF LIVER,,,594.35,967.25,19
CPT,47120,PARTIAL REMOVAL OF LIVER,,,1678.04,5107.81,20
CPT,47122,EXTENSIVE REMOVAL OF LIVER,,,2500.04,3874.43,19
CPT,47125,PARTIAL REMOVAL OF LIVER,,,2238.77,6824.11,20
CPT,47130,PARTIAL REMOVAL OF LIVER,,,2407.52,11861.78,20
CPT,47135,TRANSPLANTATION OF LIVER,,,3542.03,17579.84,21
CPT,47140,PARTIAL REMOVAL DONOR LIVER,,,2520.32,4051.38,19
CPT,47141,PARTIAL REMOVAL DONOR LIVER,,,3000.03,4837.54,19
CPT,47142,PARTIAL REMOVAL DONOR LIVER,,,3303.66,5325.11,19
CPT,47143,PREP DONOR LIVER WHOLE,,,184.32,646.56,7
CPT,47144,PREP DONOR LIVER 3-SEGMENT,,,184.32,443.74,6
CPT,47145,PREP DONOR LIVER LOBE SPLIT,,,517.49,646.86,5
CPT,47146,PREP DONOR LIVER/VENOUS,,,293.74,367.18,10
CPT,47147,PREP DONOR LIVER/ARTERIAL,,,343.19,1382.66,11
CPT,47300,SURGERY FOR LIVER LESION,,,799.68,1288.78,19
CPT,47350,REPAIR LIVER WOUND,,,981.9,4921.98,20
CPT,47360,REPAIR LIVER WOUND,,,1337.38,2119.06,19
CPT,47361,REPAIR LIVER WOUND,,,2200.8,3402.94,19
CPT,47362,REPAIR LIVER WOUND,,,1019.12,1613.68,19
CPT,47370,LAPARO ABLATE LIVER TUMOR RF,,,898.33,12377.64,23
CPT,47371,LAPARO ABLATE LIVER CRYOSURG,,,914.39,12377.64,20
CPT,47379,UNLISTED LAPS PX LIVER,,,1432.11,6936.32,6
CPT,47380,OPEN ABLATE LIVER TUMOR RF,,,1050.71,1643.11,19
CPT,47381,OPEN ABLATE LIVER TUMOR CRYO,,,1070.86,1680.94,19
CPT,47382,HC RFA LIVER TUMOR(S) PERCUTANEOUS,10114.1,5057.05,1432.11,9102.69,70
CPT,47382,PERCUT ABLATE LIVER RF,,,663.58,841.81,14
CPT,47383,PERQ ABLTJ LVR CRYOABLATION,,,413.97,12377.64,19
CPT,47399,UNLISTED PROCEDURE LIVER,,,682.57,879.37,6
CPT,47400,INCISION OF LIVER DUCT,,,1526.61,2428.16,19
CPT,47420,INCISION OF BILE DUCT,,,961.53,1514.7,19
CPT,47425,INCISION OF BILE DUCT,,,971.21,1548.74,19
CPT,47460,INCISE BILE DUCT SPHINCTER,,,915.92,1439.83,19
CPT,47480,INCISION OF GALLBLADDER,,,608.96,1002.08,19
CPT,47490,HC CHOLECYSTOSTOMY PERCUTANEOUS W S&I,1425.75,712.88,273.03,4195.61,69
CPT,47490,INCISION OF GALLBLADDER,,,302.89,416.26,14
CPT,47531,HC NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,2269.9,1134.95,248.79,4195.61,70
CPT,47531,INJECTION FOR CHOLANGIOGRAM,,,64.32,84.35,14
CPT,47532,HC NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,3464.25,1732.13,663.4,4195.61,69
CPT,47532,INJECTION FOR CHOLANGIOGRAM,,,186.35,240.05,14
CPT,47533,HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,9300.15,4650.08,1780.98,8370.14,69
CPT,47533,PLMT BILIARY DRAINAGE CATH,,,239.17,298.96,14
CPT,47534,HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,9885.05,4942.53,216.01,8896.55,70
CPT,47534,PLMT BILIARY DRAINAGE CATH,,,335.01,418.76,14
CPT,47535,CONVERSION EXT BIL DRG CATH,,,177.84,222.3,14
CPT,47535,HC CONVERT BILI CATH INT/EXT,9771.0,4885.5,1871.15,8793.9,69
CPT,47536,EXCHANGE BILIARY DRG CATH,,,120.1,150.13,14
CPT,47536,HC EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,4642.95,2321.48,889.12,4195.61,69
CPT,47537,HC REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,2269.9,1134.95,295.01,2042.91,70
CPT,47537,REMOVAL BILIARY DRG CATH,,,85.56,109.56,14
CPT,47538,HC PLMT BILE DUCT STENT PRQ EXISTING ACCESS,10103.0,5051.5,324.92,9092.7,70
CPT,47538,PERQ PLMT BILE DUCT STENT,,,212.92,290.11,14
CPT,47539,HC SP BILI STENT NO CATH PLCT NEW,7731.1,3865.55,324.92,6957.99,70
CPT,47539,PERQ PLMT BILE DUCT STENT,,,383.69,479.61,14
CPT,47540,HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,13567.1,6783.55,2598.1,12210.39,69
CPT,47540,PERQ PLMT BILE DUCT STENT,,,397.03,496.29,14
CPT,47541,PLMT ACCESS BIL TREE SM BWL,,,244.18,7418.28,20
CPT,47542,DILATE BILIARY DUCT/AMPULLA,,,113.34,153.74,14
CPT,47542,HC BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,5589.75,2794.88,310.63,5030.78,70
CPT,47543,ENDOLUMINAL BX BILIARY TREE,,,129.64,162.05,14
CPT,47543,HC ENDOLUMINAL BX BILIARY TREE PRQ ANY METH SNG/MLT,6688.35,3344.18,351.29,6019.52,70
CPT,47544,HC REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,3379.45,1689.73,647.16,3041.51,70
CPT,47544,REMOVAL DUCT GLBLDR CALCULI,,,141.78,186.13,14
CPT,47550,BILE DUCT ENDOSCOPY ADD-ON,,,124.19,609.62,21
CPT,47552,BILIARY ENDO PERQ DX W/SPECI,,,255.08,318.85,14
CPT,47552,HC BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,3434.4,1717.2,657.69,7418.28,70
CPT,47553,BILIARY ENDOSCOPY THRU SKIN,,,255.92,319.9,14
CPT,47553,HC PERCUTANEOUS BILIARY BRUSHING W BIOPSY,6335.65,3167.83,879.37,7418.28,70
CPT,47554,BILIARY ENDOSCOPY THRU SKIN,,,388.92,12377.64,20
CPT,47555,BILIARY ENDOSCOPY THRU SKIN,,,303.93,4195.61,19
CPT,47556,BILIARY ENDOSCOPY THRU SKIN,,,344.16,12377.64,19
CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,528.57,6936.32,29
CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,541.29,6936.32,27
CPT,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,626.04,12377.64,22
CPT,47570,LAPARO CHOLECYSTOENTEROSTOMY,,,558.66,884.05,19
CPT,47579,UNLISTED LAPS PX BILIARY TRC,,,879.37,6936.32,6
CPT,47600,CHOLECYSTECTOMY,,,759.0,3834.14,21
CPT,47605,CHOLECYSTECTOMY W/CHOLANG,,,702.36,1282.37,19
CPT,47610,REMOVAL OF GALLBLADDER,,,901.29,1425.03,19
CPT,47612,REMOVAL OF GALLBLADDER,,,910.7,1443.09,19
CPT,47620,REMOVAL OF GALLBLADDER,,,988.73,1557.41,19
CPT,47700,EXPLORATION OF BILE DUCTS,,,748.58,1203.54,19
CPT,47701,BILE DUCT REVISION,,,1288.65,1963.89,19
CPT,47711,EXCISION OF BILE DUCT TUMOR,,,1118.75,1761.01,19
CPT,47712,EXCISION OF BILE DUCT TUMOR,,,1433.69,2256.23,19
CPT,47715,EXCISION OF BILE DUCT CYST,,,939.81,1509.7,19
CPT,47720,FUSE GALLBLADDER & BOWEL,,,811.38,1312.39,19
CPT,47721,FUSE UPPER GI STRUCTURES,,,958.07,1536.7,19
CPT,47740,FUSE GALLBLADDER & BOWEL,,,925.71,1489.58,19
CPT,47741,FUSE GALLBLADDER & BOWEL,,,1049.16,1672.7,19
CPT,47760,FUSE BILE DUCTS AND BOWEL,,,1582.51,2545.08,19
CPT,47765,FUSE LIVER DUCTS & BOWEL,,,2090.88,3418.55,19
CPT,47780,FUSE BILE DUCTS AND BOWEL,,,1731.02,2797.59,19
CPT,47785,FUSE BILE DUCTS AND BOWEL,,,2258.26,3647.64,19
CPT,47800,RECONSTRUCTION OF BILE DUCTS,,,1129.73,1770.51,19
CPT,47801,PLACEMENT BILE DUCT SUPPORT,,,796.8,1258.56,19
CPT,47802,Physician Fee Schedule,,,1084.1,1105.78,9
CPT,47900,SUTURE BILE DUCT INJURY,,,977.07,1564.23,19
CPT,47999,HC BILIARY TRACT PROCEDURE,1136.45,568.23,217.63,1114.64,70
CPT,48000,DRAINAGE OF ABDOMEN,,,1355.87,2129.61,19
CPT,48001,PLACEMENT OF DRAIN PANCREAS,,,1667.7,2604.65,19
CPT,48020,REMOVAL OF PANCREATIC STONE,,,835.0,1340.88,19
CPT,48100,BIOPSY OF PANCREAS OPEN,,,633.83,1011.25,19
CPT,48102,HC NEEDLE BIOPSY OF PANCREAS,1934.8,967.4,370.51,1926.26,69
CPT,48102,NEEDLE BIOPSY PANCREAS,,,204.54,269.85,14
CPT,48105,RESECT/DEBRIDE PANCREAS,,,2055.89,3206.08,19
CPT,48120,REMOVAL OF PANCREAS LESION,,,792.43,1264.46,19
CPT,48140,PARTIAL REMOVAL OF PANCREAS,,,1122.41,3401.82,20
CPT,48145,PARTIAL REMOVAL OF PANCREAS,,,1165.76,1850.02,19
CPT,48146,PANCREATECTOMY,,,1329.01,2131.78,19
CPT,48148,REMOVAL OF PANCREATIC DUCT,,,882.61,1420.12,19
CPT,48150,PARTIAL REMOVAL OF PANCREAS,,,2246.16,3523.64,19
CPT,48152,PANCREATECTOMY,,,2076.53,3254.96,19
CPT,48153,PANCREATECTOMY,,,2243.13,6823.08,20
CPT,48154,PANCREATECTOMY,,,2082.01,3269.25,19
CPT,48155,REMOVAL OF PANCREAS,,,1288.69,2062.04,19
CPT,48160,PANCREAS REMOVAL/TRANSPLANT,,,2271.71,2317.14,9
CPT,48400,INJECTION INTRAOP ADD-ON,,,81.71,119.63,19
CPT,48500,SURGERY OF PANCREATIC CYST,,,806.92,1305.43,19
CPT,48510,DRAIN PANCREATIC PSEUDOCYST,,,766.19,1246.28,19
CPT,48520,FUSE PANCREAS CYST AND BOWEL,,,783.25,1248.33,19
CPT,48540,FUSE PANCREAS CYST AND BOWEL,,,936.67,1482.0,19
CPT,48545,PANCREATORRHAPHY,,,948.19,1528.76,19
CPT,48547,DUODENAL EXCLUSION,,,1279.81,2028.42,19
CPT,48548,FUSE PANCREAS AND BOWEL,,,1198.07,1892.63,19
CPT,48550,DONOR PANCREATECTOMY,,,1306.95,1333.09,9
CPT,48551,PREP DONOR PANCREAS,,,211.73,264.66,5
CPT,48552,PREP DONOR PANCREAS/VENOUS,,,210.98,263.73,10
CPT,48554,TRANSPL ALLOGRAFT PANCREAS,,,1770.72,3003.91,19
CPT,48556,REMOVAL ALLOGRAFT PANCREAS,,,883.92,1473.6,19
CPT,48999,UNLISTED PROCEDURE PANCREAS,,,682.57,879.37,6
CPT,49000,EXPLORATION OF ABDOMEN,,,556.74,2772.62,22
CPT,49002,REOPENING OF ABDOMEN,,,732.19,1184.83,19
CPT,49010,EXPLORATION BEHIND ABDOMEN,,,690.74,1051.48,19
CPT,49013,PRPERTL PEL PACK HEMRRG TRMA,,,374.48,512.45,19
CPT,49014,REEXPLORATION PELVIC WOUND,,,309.46,427.69,19
CPT,49020,DRAINAGE ABDOM ABSCESS OPEN,,,1143.06,1811.92,19
CPT,49040,DRAIN OPEN ABDOM ABSCESS,,,716.06,1145.25,19
CPT,49060,DRAIN OPEN RETROPERI ABSCESS,,,801.6,1258.12,19
CPT,49062,DRAIN TO PERITONEAL CAVITY,,,544.29,876.87,19
CPT,49082,ABD PARACENTESIS,,,39.71,177.27,15
CPT,49082,HC ABD PARACENTESIS W/O IMAGING,2025.65,1012.83,387.91,1823.09,70
CPT,49082,HC ER ABD PARACENTESIS W/O IMAGING,2025.65,1012.83,75.38,1823.09,72
CPT,49083,ABD PARACENTESIS W/IMAGING,,,61.24,631.43,21
CPT,49083,HC ABD PARACENTESIS DX/THER W IMAGING GUIDANCE,3921.9,1960.95,751.04,3529.71,70
CPT,49083,HC ER ABD PARACENTESIS DX/THER W IMAGING GUIDANCE,3921.9,1960.95,75.38,3529.71,72
CPT,49084,HC ER PERITONEAL LAVAGE,3921.9,1960.95,75.38,3529.71,72
CPT,49084,PERITONEAL LAVAGE,,,56.09,121.48,14
CPT,49180,BIOPSY ABDOMINAL MASS,,,72.71,94.74,14
CPT,49180,HC PERCUT BIOPSY ABDOMINAL MASS,1639.65,819.83,313.99,1926.26,70
CPT,49185,HC SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,2324.25,1162.13,93.04,2091.83,70
CPT,49185,SCLEROTX FLUID COLLECTION,,,106.17,136.61,14
CPT,49186,OPN EXC/DSTR NTRA-ABD 5 CM/<,,,1198.65,1498.31,10
CPT,49187,OPN EXC/DSTR NTRA-ABD 5.1-10,,,1527.58,1909.48,10
CPT,49188,OPN EXC/DST NTRA-ABD 10.1-20,,,1825.16,2281.45,10
CPT,49189,OPN EXC/DST NTRA-ABD 20.1-30,,,2123.24,2654.06,10
CPT,49190,OPN EXC/DSTR NTRA-ABD >30 CM,,,2619.76,3274.7,10
CPT,49200,Physician Fee Schedule,,,531.27,541.9,9
CPT,49203,Physician Fee Schedule,,,873.06,890.52,9
CPT,49204,Physician Fee Schedule,,,1115.77,1138.09,9
CPT,49205,Physician Fee Schedule,,,1278.01,1303.57,9
CPT,49215,EXCISE SACRAL SPINE TUMOR,,,1602.62,2515.16,19
CPT,49250,EXCISION OF UMBILICUS,,,415.0,4195.61,21
CPT,49255,REMOVAL OF OMENTUM,,,563.9,908.75,19
CPT,49320,DIAG LAPARO SEPARATE PROC,,,237.75,6936.32,26
CPT,49321,LAPAROSCOPY BIOPSY,,,250.3,6936.32,27
CPT,49322,LAPAROSCOPY ASPIRATION,,,272.2,6936.32,23
CPT,49323,LAPARO DRAIN LYMPHOCELE,,,462.27,6936.32,20
CPT,49324,LAP INSERT TUNNEL IP CATH,,,283.37,6936.32,20
CPT,49325,LAP REVISION PERM IP CATH,,,280.0,6936.32,20
CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,140.87,211.34,20
CPT,49327,LAP INS DEVICE FOR RT,,,117.06,879.37,11
CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,1432.11,6936.32,6
CPT,49400,AIR INJECTION INTO ABDOMEN,,,78.76,103.38,14
CPT,49400,HC AIR/CONTRAST INJECT INTO ABDOMEN,1203.25,601.63,138.43,1082.93,69
CPT,49402,REMOVE FOREIGN BODY ADBOMEN,,,614.81,4195.61,20
CPT,49405,HC IMAGE GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,6147.8,3073.9,660.54,5533.02,70
CPT,49405,IMAGE CATH FLUID COLXN VISC,,,174.4,221.91,14
CPT,49406,HC IMG GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,6147.8,3073.9,660.28,5533.02,70
CPT,49406,IMAGE CATH FLUID PERI/RETRO,,,174.68,564.94,15
CPT,49407,IMAGE CATH FLUID TRNS/VGNL,,,185.95,1926.26,20
CPT,49411,HC PLMT OF INTERSTITIAL DEVICE FOR RAD THRPY,2103.95,1051.98,402.91,1893.56,70
CPT,49411,INS MARK ABD/PEL FOR RT PERQ,,,171.31,214.14,5
CPT,49412,INS DEVICE FOR RT GUIDE OPEN,,,73.98,92.48,10
CPT,49418,HC INSERTION TUNNEL INTRAPERITONEAL CATH W IMAGE GUIDANCE,8919.85,4459.93,1432.11,8027.87,70
CPT,49418,INSERT TUN IP CATH PERC,,,183.09,228.86,14
CPT,49419,INSERT TUN IP CATH W/PORT,,,328.31,6426.7,20
CPT,49421,INS TUN IP CATH FOR DIAL OPN,,,204.12,4195.61,20
CPT,49422,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,3705.7,1852.85,709.64,3741.98,70
CPT,49422,REMOVE TUNNELED IP CATH,,,199.2,983.24,16
CPT,49423,EXCHANGE DRAINAGE CATHETER,,,62.67,80.19,14
CPT,49423,HC ABSCESS/CYST DRAINAGE CATH CHANGE,1475.9,737.95,282.63,2255.28,69
CPT,49424,ASSESS CYST CONTRAST INJECT,,,32.71,42.35,14
CPT,49424,HC CONTRAST INJ ABSCESS/CYST VIA CATH TUBE,167.35,83.68,32.05,196.23,69
CPT,49425,INSERT ABDOMEN-VENOUS DRAIN,,,551.93,890.35,19
CPT,49426,REVISE ABDOMEN-VENOUS SHUNT,,,470.14,4195.61,20
CPT,49427,INJECTION ABDOMINAL SHUNT,,,36.16,45.2,19
CPT,49428,LIGATION OF SHUNT,,,316.09,490.69,19
CPT,49429,REMOVAL OF SHUNT,,,334.31,3741.98,20
CPT,49435,INSERT SUBQ EXTEN TO IP CATH,,,90.2,133.15,20
CPT,49436,EMBEDDED IP CATH EXIT-SITE,,,131.76,2255.28,20
CPT,49440,HC ER INSERT GASTROSTOMY TUBE PERCUTANEOUS,2973.7,1486.85,75.38,2676.33,72
CPT,49440,HC INSERT GASTROSTOMY TUBE PERCUTANEOUS,2973.7,1486.85,189.04,2676.33,70
CPT,49440,PLACE GASTROSTOMY TUBE PERC,,,185.88,232.35,14
CPT,49441,HC INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,2642.15,1321.08,505.97,2377.94,70
CPT,49441,PLACE DUOD/JEJ TUBE PERC,,,209.14,274.64,14
CPT,49442,HC INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,2973.7,1486.85,569.46,2676.33,70
CPT,49442,PLACE CECOSTOMY TUBE PERC,,,172.86,237.15,14
CPT,49446,CHANGE G-TUBE TO G-J PERC,,,133.34,520.59,15
CPT,49446,HC CHANGE  G-TUBE TO GJ-TUBE PERC FLUORO,3816.75,1908.38,730.91,3435.08,70
CPT,49450,HC ER REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,1133.1,566.55,75.38,1114.64,72
CPT,49450,HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,1133.1,566.55,216.99,1114.64,70
CPT,49450,REPLACE G/C TUBE PERC,,,55.81,75.01,14
CPT,49451,HC ER REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,1035.7,517.85,75.38,1114.64,72
CPT,49451,HC REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,1035.7,517.85,198.34,1114.64,70
CPT,49451,REPLACE DUOD/JEJ TUBE PERC,,,77.63,100.74,14
CPT,49452,HC ER REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,1035.7,517.85,75.38,1114.64,72
CPT,49452,HC REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,1035.7,517.85,198.34,1114.64,70
CPT,49452,REPLACE G-J TUBE PERC,,,121.0,526.32,16
CPT,49460,FIX G/COLON TUBE W/DEVICE,,,39.78,57.66,14
CPT,49460,HC OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,1444.0,722.0,276.53,1299.6,70
CPT,49465,FLUORO EXAM OF G/COLON TUBE,,,26.04,34.65,14
CPT,49465,HC DX TUBE G/J CHECK,484.5,242.25,92.78,879.37,70
CPT,49491,RPR HERN PREEMIE REDUC,,,555.23,6936.32,20
CPT,49492,RPR ING HERN PREMIE BLOCKED,,,678.5,4195.61,20
CPT,49495,RPR ING HERNIA BABY REDUC,,,282.16,4195.61,20
CPT,49496,RPR ING HERNIA BABY BLOCKED,,,428.0,4195.61,20
CPT,49500,RPR ING HERNIA INIT REDUCE,,,280.15,7418.28,21
CPT,49501,RPR ING HERNIA INIT BLOCKED,,,424.96,4195.61,20
CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,368.03,4195.61,20
CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,453.47,4195.61,20
CPT,49520,REREPAIR ING HERNIA REDUCE,,,450.16,4195.61,20
CPT,49521,REREPAIR ING HERNIA BLOCKED,,,549.5,7418.28,20
CPT,49525,REPAIR ING HERNIA SLIDING,,,406.83,4195.61,20
CPT,49540,REPAIR LUMBAR HERNIA,,,481.56,6936.32,21
CPT,49550,RPR REM HERNIA INIT REDUCE,,,408.84,4195.61,20
CPT,49553,RPR FEM HERNIA INIT BLOCKED,,,447.56,4195.61,20
CPT,49555,REREPAIR FEM HERNIA REDUCE,,,425.71,4195.61,20
CPT,49557,REREPAIR FEM HERNIA BLOCKED,,,517.37,4195.61,20
CPT,49591,HC ER RPR ABD HERNIA <3CM REDUCIBLE,9001.5,4500.75,75.38,8101.35,72
CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,273.58,1280.49,21
CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,314.06,6936.32,26
CPT,49593,HC ER RPR ABD HERNIA 3 - 10 CM REDUCIBLE,9001.5,4500.75,75.38,8101.35,72
CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,458.47,2146.69,16
CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,314.06,6936.32,22
CPT,49595,HC ER RPR ABD HERNIA > 10 CM REDUCIBLE,9001.5,4500.75,75.38,8101.35,72
CPT,49595,RPR AA HRN 1ST > 10 RDC,,,616.83,876.5,14
CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,819.43,1163.39,19
CPT,49600,REPAIR UMBILICAL LESION,,,523.29,4195.61,20
CPT,49605,REPAIR UMBILICAL LESION,,,3627.3,5542.23,19
CPT,49606,REPAIR UMBILICAL LESION,,,820.26,1290.65,19
CPT,49610,REPAIR UMBILICAL LESION,,,486.82,794.06,19
CPT,49611,REPAIR UMBILICAL LESION,,,437.69,699.99,19
CPT,49613,HC ER RPR ABD HERNIA RECURRENT <3CM REDUCIBLE,9001.5,4500.75,75.38,8101.35,72
CPT,49613,RPR AA HRN RCR < 3 RDC,,,337.39,948.77,16
CPT,49614,RPR AA HRN RCR < 3 NCR/STRN,,,314.06,6936.32,21
CPT,49615,HC ER RPR ABD HERNIA RECURRENT 3 - 10 CM REDUCIBLE,9001.5,4500.75,75.38,8101.35,72
CPT,49615,RPR AA HRN RCR 3-10 RDC,,,511.84,2395.44,16
CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,687.39,2674.36,20
CPT,49617,RPR AA HRN RCR > 10 RDC,,,708.68,1007.34,19
CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,992.84,3862.77,20
CPT,49621,RPR PARASTOMAL HERNIA RDC,,,595.77,855.31,19
CPT,49622,RPR PARASTOMAL HRNA NCR/STRN,,,735.43,1062.23,19
CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,133.69,229.26,20
CPT,49650,LAP ING HERNIA REPAIR INIT,,,302.65,6936.32,22
CPT,49651,LAP ING HERNIA REPAIR RECUR,,,391.48,6936.32,20
CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,879.37,6936.32,6
CPT,49900,REPAIR OF ABDOMINAL WALL,,,581.19,944.59,19
CPT,49904,OMENTAL FLAP EXTRA-ABDOM,,,1082.04,1575.09,19
CPT,49905,OMENTAL FLAP INTRA-ABDOM,,,266.45,814.53,20
CPT,49999,HC ABD PERITONEUM PROCEDURE,4574.45,2287.23,876.01,4117.01,70
CPT,49999,HC ABDOMINAL ABSCESS DRAIN REPOSITION W/ IMAGING,4574.45,2287.23,876.01,4117.01,70
CPT,50010,RENAL EXPLORATION,,,569.06,816.1,19
CPT,50020,DRG PERIRNL/RENAL ABSC OPEN,,,812.65,2435.42,20
CPT,50040,NFROS NFROT W/DRG,,,765.2,1068.7,20
CPT,50045,NEPHROTOMY W/EXPLORATION,,,772.73,1695.94,20
CPT,50060,NL REMOVAL CALCULUS,,,951.99,1311.81,19
CPT,50065,NL SEC SURG OPERJ CALCULUS,,,1001.19,1695.94,20
CPT,50070,NL COMP CGEN KDN ABNORMALITY,,,994.73,1695.94,20
CPT,50075,NL RMVL LG STAGHORN CALCULUS,,,1223.18,1675.24,19
CPT,50080,PERQ NL/PL LITHOTRP SMPL<2CM,,,643.87,10993.71,19
CPT,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,1035.88,10993.71,19
CPT,50100,TRNSXJ/REPOS ABRRNT RNL VSLS,,,778.89,1231.01,19
CPT,50120,PYELOTOMY W/EXPLORATION,,,787.87,1095.76,19
CPT,50125,PYELOTOMY W/DRG PYELOSTOMY,,,814.74,1133.38,19
CPT,50130,PYELOTOMY W/REMOVAL CALCULUS,,,862.22,1190.79,19
CPT,50135,Physician Fee Schedule,,,934.08,952.76,9
CPT,50200,HC BIOPSY OF KIDNEY PERCUTANEOUS,1489.1,744.55,285.16,1926.26,70
CPT,50200,RENAL BIOPSY PERQ,,,115.78,144.73,14
CPT,50205,RENAL BX SURG EXPOSURE KDN,,,548.59,861.7,19
CPT,50220,REMOVE KIDNEY OPEN,,,849.01,1213.3,19
CPT,50225,REMOVAL KIDNEY OPEN COMPLEX,,,983.91,1365.91,19
CPT,50230,REMOVAL KIDNEY OPEN RADICAL,,,1067.07,1469.64,19
CPT,50234,REMOVAL OF KIDNEY & URETER,,,1083.16,1496.29,19
CPT,50236,REMOVAL OF KIDNEY & URETER,,,1225.38,1682.96,19
CPT,50240,NEPHRECTOMY PARTIAL,,,1100.55,1528.91,19
CPT,50250,OPN ABLTJ 1/> RNL MAS CRYSRG,,,1020.88,1400.79,19
CPT,50280,EXC/UNROOFING CYST KIDNEY,,,784.42,1091.87,19
CPT,50290,EXCISION PERINEPHRIC CYST,,,724.4,1037.9,19
CPT,50300,REMOVE CADAVER DONOR KIDNEY,,,1215.13,1239.43,9
CPT,50320,REMOVE KIDNEY LIVING DONOR,,,1067.4,1743.64,19
CPT,50323,PREP CADAVER RENAL ALLOGRAFT,,,152.53,367.19,6
CPT,50325,PREP DONOR RENAL GRAFT,,,152.53,367.19,6
CPT,50327,PREP RENAL GRAFT/VENOUS,,,194.15,487.41,11
CPT,50328,PREP RENAL GRAFT/ARTERIAL,,,170.52,213.15,10
CPT,50329,PREP RENAL GRAFT/URETERAL,,,162.09,202.61,10
CPT,50340,RECIPIENT NEPHRECTOMY,,,658.41,1099.86,19
CPT,50360,RNL ALTRNSPLJ W/O RCP NFRCT,,,1809.7,6097.4,22
CPT,50365,RNL ALTRNSPLJ W/RCP NFRCT,,,2038.89,3308.44,19
CPT,50370,RMVL TRANSPLANTED RNL ALGRFT,,,845.6,1392.72,19
CPT,50380,RNL AUTOTRNSPLJ RIMPLTJ KDN,,,1426.92,2332.26,19
CPT,50382,CHANGE URETER STENT PERCUT,,,228.89,286.11,14
CPT,50382,HC CHANGE URETER STENT PERCUT,3308.6,1654.3,633.6,2977.74,70
CPT,50384,HC REMOVE URETER STENT PERCUT,3308.6,1654.3,314.06,2977.74,70
CPT,50384,REMOVE URETER STENT PERCUT,,,206.85,258.56,14
CPT,50385,CHANGE STENT VIA TRANSURETH,,,197.21,2435.42,20
CPT,50386,REMOVE STENT VIA TRANSURETH,,,149.06,2435.42,20
CPT,50387,CHANGE NEPHROURETERAL CATH,,,75.75,94.69,14
CPT,50387,HC CHANGE EXT TRANSNEPH URETER STENT W/ FLUORO,1231.9,615.95,235.91,2435.42,70
CPT,50389,HC REMOVE RENAL TUBE W/FLUORO,465.95,232.98,89.23,793.54,70
CPT,50389,REMOVE RENAL TUBE W/FLUORO,,,46.64,61.08,14
CPT,50390,DRAINAGE OF KIDNEY LESION,,,82.56,107.84,14
CPT,50390,HC PERCUT DRAIN/INJECT RENAL CYST,2043.5,1021.75,314.06,1839.15,70
CPT,50391,INSTLL RX AGNT INTO RNAL TUB,,,84.07,314.06,20
CPT,50396,HC MEASURE KIDNEY PRESSURE,348.3,174.15,66.7,793.54,69
CPT,50396,MEASURE KIDNEY PRESSURE,,,98.15,133.15,14
CPT,50400,REVISION OF KIDNEY/URETER,,,961.48,1330.59,19
CPT,50405,REVISION OF KIDNEY/URETER,,,1166.57,1605.37,19
CPT,50430,HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,3361.05,1680.53,643.64,3024.95,69
CPT,50430,NJX PX NFROSGRM &/URTRGRM,,,140.39,175.49,14
CPT,50431,HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,2826.7,1413.35,541.31,2544.03,69
CPT,50431,NJX PX NFROSGRM &/URTRGRM,,,56.89,76.05,14
CPT,50432,HC PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,10860.3,5430.15,200.93,9774.27,70
CPT,50432,PLMT NEPHROSTOMY CATHETER,,,186.21,232.76,14
CPT,50433,HC PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,11755.65,5877.83,200.93,10580.09,70
CPT,50433,PLMT NEPHROURETERAL CATHETER,,,231.53,289.41,14
CPT,50434,CONVERT NEPHROSTOMY CATHETER,,,173.72,217.15,14
CPT,50434,HC CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,8394.6,4197.3,200.93,7555.14,70
CPT,50435,EXCHANGE NEPHROSTOMY CATH,,,87.09,113.63,14
CPT,50435,HC EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,4427.35,2213.68,200.93,3984.62,70
CPT,50436,DILAT XST TRC NDURLGC PX,,,130.07,173.36,14
CPT,50436,HC PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG,5551.95,2775.98,127.45,4996.76,70
CPT,50437,DILAT XST TRC NEW ACCESS RCS,,,217.43,288.34,14
CPT,50437,HC PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS,8516.4,4258.2,213.18,7664.76,70
CPT,50500,REPAIR OF KIDNEY WOUND,,,932.24,1462.96,19
CPT,50520,CLOSE KIDNEY-SKIN FISTULA,,,861.94,1319.27,19
CPT,50525,CLOSE NEPHROVISCERAL FISTULA,,,1078.59,1670.36,19
CPT,50526,CLOSE NEPHROVISCERAL FISTULA,,,1130.48,1788.24,19
CPT,50540,REVISION OF HORSESHOE KIDNEY,,,942.26,1320.83,19
CPT,50541,LAPARO ABLATE RENAL CYST,,,767.47,12377.64,20
CPT,50542,LAPARO ABLATE RENAL MASS,,,879.37,12377.64,20
CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,879.37,12377.64,20
CPT,50544,LAPAROSCOPY PYELOPLASTY,,,879.37,12377.64,21
CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,1124.72,1534.5,19
CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,996.64,1384.31,19
CPT,50547,LAPARO REMOVAL DONOR KIDNEY,,,1197.26,1857.56,19
CPT,50548,LAPARO REMOVE W/URETER,,,1134.25,1542.2,19
CPT,50549,UNLISTED LAPS PX RENAL,,,879.37,6936.32,6
CPT,50551,KIDNEY ENDOSCOPY,,,250.04,6043.79,20
CPT,50553,KIDNEY ENDOSCOPY,,,264.16,6043.79,20
CPT,50555,KIDNEY ENDOSCOPY & BIOPSY,,,289.19,10993.71,20
CPT,50557,KIDNEY ENDOSCOPY & TREATMENT,,,293.7,10993.71,20
CPT,50561,KIDNEY ENDOSCOPY & TREATMENT,,,335.57,6043.79,20
CPT,50562,RENAL SCOPE W/TUMOR RESECT,,,493.61,10993.71,20
CPT,50570,KIDNEY ENDOSCOPY,,,419.04,4100.39,20
CPT,50572,KIDNEY ENDOSCOPY,,,456.02,879.37,20
CPT,50574,KIDNEY ENDOSCOPY & BIOPSY,,,481.73,4100.39,20
CPT,50575,KIDNEY ENDOSCOPY,,,609.32,6043.79,20
CPT,50576,KIDNEY ENDOSCOPY & TREATMENT,,,481.02,10993.71,20
CPT,50580,KIDNEY ENDOSCOPY & TREATMENT,,,515.28,6043.79,20
CPT,50590,FRAGMENTING OF KIDNEY STONE,,,467.69,662.75,14
CPT,50590,HC LITHOTRIPSY,5070.7,2535.35,971.04,6783.74,70
CPT,50590,HC LITHOTRIPSY INITIAL-GOV PAYORS,5070.7,2535.35,971.04,6783.74,70
CPT,50592,HC PERC RADIOFREQ ABLATE RENAL TUMOR,10114.1,5057.05,1936.85,9102.69,69
CPT,50592,PERC RF ABLATE RENAL TUMOR,,,303.64,391.26,14
CPT,50593,HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,14541.35,7270.68,2784.67,13087.22,69
CPT,50593,PERC CRYO ABLATE RENAL TUM,,,418.4,523.0,5
CPT,50600,EXPLORATION OF URETER,,,779.02,1081.41,19
CPT,50605,INSERT URETERAL SUPPORT,,,751.0,1145.94,19
CPT,50606,ENDOLUMINAL BX URTR RNL PLVS,,,127.38,537.0,20
CPT,50610,REMOVAL OF URETER STONE,,,794.75,1089.41,19
CPT,50620,REMOVAL OF URETER STONE,,,753.81,1041.8,19
CPT,50630,REMOVAL OF URETER STONE,,,735.23,1029.37,19
CPT,50650,REMOVAL OF URETER,,,859.6,1196.04,19
CPT,50660,REMOVAL OF URETER,,,950.84,1315.93,19
CPT,50684,INJECTION FOR URETER X-RAY,,,41.01,141.46,19
CPT,50686,MEASURE URETER PRESSURE,,,75.19,186.01,19
CPT,50688,CHANGE OF URETER TUBE/STENT,,,65.28,256.97,15
CPT,50688,HC CHANGE URETEROSCOPY TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,5027.6,2513.8,962.79,4524.84,69
CPT,50690,HC INJ OF ILEAL CONDUIT/URETER,1364.75,682.38,109.56,1228.28,69
CPT,50690,INJECTION FOR URETER X-RAY,,,57.97,81.1,14
CPT,50693,HC PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,12821.8,6410.9,200.93,11539.62,70
CPT,50693,PLMT URETERAL STENT PRQ,,,185.22,231.53,14
CPT,50694,HC PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,11755.65,5877.83,200.93,10580.09,70
CPT,50694,PLMT URETERAL STENT PRQ,,,242.11,302.64,14
CPT,50695,HC PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,19254.9,9627.45,200.93,17329.41,70
CPT,50695,PLMT URETERAL STENT PRQ,,,308.69,388.06,14
CPT,50700,REVISION OF URETER,,,769.67,1069.11,19
CPT,50705,URETERAL EMBOLIZATION/OCCL,,,162.68,1983.67,20
CPT,50706,BALLOON DILATE URTRL STRIX,,,161.71,205.31,14
CPT,50706,HC BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,2611.3,1305.65,500.06,2350.17,70
CPT,50715,RELEASE OF URETER,,,910.84,1384.19,19
CPT,50722,RELEASE OF URETER,,,792.34,1169.24,19
CPT,50725,RELEASE/REVISE URETER,,,905.8,1269.23,19
CPT,50727,REVISE URETER,,,414.05,4100.39,20
CPT,50728,REVISE URETER,,,571.5,810.94,19
CPT,50740,FUSION OF URETER & KIDNEY,,,891.74,1392.57,19
CPT,50750,FUSION OF URETER & KIDNEY,,,967.25,1327.82,19
CPT,50760,URETEROURETEROSTOMY,,,902.71,1294.34,19
CPT,50770,SPLICING OF URETERS,,,937.53,1327.82,19
CPT,50780,REIMPLANT URETER IN BLADDER,,,905.03,1278.93,19
CPT,50782,REIMPLANT URETER IN BLADDER,,,888.67,1238.56,19
CPT,50783,REIMPLANT URETER IN BLADDER,,,922.31,1297.53,19
CPT,50785,REIMPLANT URETER IN BLADDER,,,1004.45,1397.55,19
CPT,50800,IMPLANT URETER IN BOWEL,,,762.11,1064.95,19
CPT,50810,FUSION OF URETER & BOWEL,,,1004.18,1598.96,19
CPT,50815,URINE SHUNT TO INTESTINE,,,1017.04,1411.29,19
CPT,50820,CONSTRUCT BOWEL BLADDER,,,1083.77,1510.48,19
CPT,50825,CONSTRUCT BOWEL BLADDER,,,1375.49,1893.25,19
CPT,50830,REVISE URINE FLOW,,,1494.0,2069.59,19
CPT,50840,REPLACE URETER BY BOWEL,,,1023.54,1419.49,19
CPT,50845,APPENDICO-VESICOSTOMY,,,1037.81,1447.68,19
CPT,50860,TRANSPLANT URETER TO SKIN,,,786.32,1091.46,19
CPT,50900,REPAIR OF URETER,,,691.8,974.01,19
CPT,50920,CLOSURE URETER/SKIN FISTULA,,,731.34,1018.59,19
CPT,50930,CLOSURE URETER/BOWEL FISTULA,,,886.9,1268.45,19
CPT,50940,RELEASE OF URETER,,,735.85,1025.21,19
CPT,50945,LAPAROSCOPY URETEROLITHOTOMY,,,817.21,6936.32,20
CPT,50947,LAPARO NEW URETER/BLADDER,,,1159.2,12377.64,20
CPT,50948,LAPARO NEW URETER/BLADDER,,,1075.76,12377.64,20
CPT,50949,UNLISTED LAPS PX URETER,,,879.37,6936.32,6
CPT,50951,ENDOSCOPY OF URETER,,,260.84,4100.39,20
CPT,50953,ENDOSCOPY OF URETER,,,286.74,4100.39,20
CPT,50955,URETER ENDOSCOPY & BIOPSY,,,309.85,6043.79,20
CPT,50957,URETER ENDOSCOPY & TREATMENT,,,300.98,6043.79,20
CPT,50961,URETER ENDOSCOPY & TREATMENT,,,269.43,6043.79,20
CPT,50970,URETER ENDOSCOPY,,,315.97,4100.39,20
CPT,50972,URETER ENDOSCOPY & CATHETER,,,304.2,4100.39,20
CPT,50974,URETER ENDOSCOPY & BIOPSY,,,402.89,6043.79,20
CPT,50976,URETER ENDOSCOPY & TREATMENT,,,396.83,6043.79,20
CPT,50980,URETER ENDOSCOPY & TREATMENT,,,303.36,6043.79,20
CPT,51000,Physician Fee Schedule,,,33.59,34.26,9
CPT,51005,Physician Fee Schedule,,,44.95,45.85,9
CPT,51010,Physician Fee Schedule,,,204.66,208.75,9
CPT,51020,CYSTOTOMY/CYSTOSTOMY W/FULG,,,383.69,4100.39,20
CPT,51030,Others,,,879.37,879.37,1
CPT,51030,Physician Fee Schedule,,,380.48,388.09,9
CPT,51040,INCISE & DRAIN BLADDER,,,239.24,2435.42,20
CPT,51045,INCISE BLADDER/DRAIN URETER,,,382.68,2435.42,20
CPT,51050,REMOVAL OF BLADDER STONE,,,389.81,6043.79,20
CPT,51060,REMOVAL OF URETER STONE,,,480.38,2435.42,20
CPT,51065,REMOVE URETER CALCULUS,,,477.21,4100.39,20
CPT,51080,DRAINAGE OF BLADDER ABSCESS,,,333.78,3402.62,20
CPT,51100,DRAIN BLADDER BY NEEDLE,,,32.39,44.71,14
CPT,51100,HC ASPIRATION BLADDER NEEDLE,1444.65,722.33,235.94,1300.19,70
CPT,51101,DRAIN BLADDER BY TROCAR/CATH,,,43.4,58.59,14
CPT,51101,HC ER ASPIRATION BLADDER INTRACATH,213.8,106.9,46.63,1209.55,72
CPT,51102,DRAIN BL W/CATH INSERTION,,,125.63,780.47,15
CPT,51102,HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,6763.7,3381.85,879.37,6087.33,70
CPT,51102,HC ER ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,6763.7,3381.85,75.38,6087.33,72
CPT,51500,REMOVAL OF BLADDER CYST,,,514.52,6936.32,20
CPT,51520,REMOVAL OF BLADDER LESION,,,484.26,4100.39,20
CPT,51525,REMOVAL OF BLADDER LESION,,,713.06,990.2,19
CPT,51530,REMOVAL OF BLADDER LESION,,,635.36,890.38,19
CPT,51535,REPAIR OF URETER LESION,,,645.4,4100.39,20
CPT,51550,PARTIAL REMOVAL OF BLADDER,,,784.57,1108.21,19
CPT,51555,PARTIAL REMOVAL OF BLADDER,,,1043.86,1450.56,19
CPT,51565,REVISE BLADDER & URETER(S),,,1067.08,1483.65,19
CPT,51570,REMOVAL OF BLADDER,,,1219.28,1690.65,19
CPT,51575,REMOVAL OF BLADDER & NODES,,,1524.25,2085.38,19
CPT,51580,REMOVE BLADDER/REVISE TRACT,,,1587.95,2178.23,19
CPT,51585,REMOVAL OF BLADDER & NODES,,,1769.26,2422.09,19
CPT,51590,REMOVE BLADDER/REVISE TRACT,,,1612.07,2216.38,19
CPT,51595,REMOVE BLADDER/REVISE TRACT,,,1832.32,7042.82,20
CPT,51596,REMOVE BLADDER/CREATE POUCH,,,1969.33,2707.0,19
CPT,51597,REMOVAL OF PELVIC STRUCTURES,,,1899.5,2634.98,19
CPT,51600,HC ER INJECTION CYSTOGRAM,872.65,436.33,75.38,785.39,72
CPT,51600,HC INJECTION FOR BLADDER X-RAY,872.65,436.33,152.11,785.39,70
CPT,51600,INJECTION FOR BLADDER X-RAY,,,37.28,456.97,22
CPT,51605,PREPARATION FOR BLADDER XRAY,,,31.87,44.24,19
CPT,51610,HC INJECT FOR RETROGRADE URETHOCYSTO,692.55,346.28,118.15,623.3,69
CPT,51610,INJECTION FOR BLADDER X-RAY,,,52.68,274.6,21
CPT,51700,HC ER IRRIGATION BLADDER W/LAVAGE,751.35,375.68,75.38,676.22,72
CPT,51700,HC IRRIGATION BLADDER W/LAVAGE,751.35,375.68,143.88,676.22,69
CPT,51700,IRRIGATION OF BLADDER,,,27.5,161.35,21
CPT,51701,HC ER INSERTION NON-INDWELLING CATH,537.1,268.55,75.38,483.39,72
CPT,51701,HC INSERTION NON-INDWELLING CATH,537.1,268.55,102.85,483.39,69
CPT,51701,INSERT BLADDER CATHETER,,,22.6,94.31,21
CPT,51702,HC ER INSERTION CATH BLADDER SIMPLE,397.65,198.83,75.38,357.89,72
CPT,51702,HC INSERTION CATH BLADDER SIMPLE,397.65,198.83,25.29,357.89,70
CPT,51702,INSERT TEMP BLADDER CATH,,,22.94,130.44,20
CPT,51703,HC ER INSERTION CATH BLADDER COMPLEX,688.95,344.48,75.38,620.06,72
CPT,51703,HC INSERTION CATH BLADDER COMPLEX,688.95,344.48,131.93,620.06,70
CPT,51703,INSERT BLADDER CATH COMPLEX,,,68.2,318.51,17
CPT,51705,CHANGE OF BLADDER TUBE,,,48.17,207.48,20
CPT,51705,HC CHANGE OF BLADDER TUBE SIMPLE,528.5,264.25,101.21,475.65,70
CPT,51705,HC ER CHANGE OF BLADDER TUBE SIMPLE,528.5,264.25,75.38,475.65,72
CPT,51710,CHANGE OF BLADDER TUBE,,,73.77,262.05,15
CPT,51710,HC CHANGE CYSTOSTOMY TUBE COMPLEX,5534.3,2767.15,647.53,4980.87,70
CPT,51710,HC ER HC CHANGE CYSTOSTOMY TUBE COMPLICATED,5534.3,2767.15,75.38,4980.87,72
CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,,,166.49,794.3,23
CPT,51715,HC ENDOSCOPIC INJECTION IMPLANT MATERIAL URETHRA/BLADDER,7910.55,3955.28,1432.11,7119.5,70
CPT,51720,HC BLADDER INSTILLATION ANTICARCINOGENIC AGENT,1788.4,894.2,342.48,1609.56,70
CPT,51720,TREATMENT OF BLADDER LESION,,,40.31,257.35,17
CPT,51721,INS TRURL ABLT TRNSDC THR US,,,199.27,615.26,10
CPT,51725,HC SIMPLE CYSTOMETROGRAM,1178.9,589.45,225.76,1061.01,69
CPT,51725,SIMPLE CYSTOMETROGRAM,,,63.91,759.9,34
CPT,51726,COMPLEX CYSTOMETROGRAM,,,72.67,1066.74,38
CPT,51726,HC BLADDER PRESSURE MEASUREMENT DURING FILLING,797.4,398.7,155.77,717.66,70
CPT,51727,CYSTOMETROGRAM W/UP,,,67.1,386.05,33
CPT,51727,HC COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,1714.75,857.38,155.77,1543.28,70
CPT,51728,CYSTOMETROGRAM W/VP,,,66.37,972.07,49
CPT,51728,HC COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,1661.0,830.5,155.77,1494.9,70
CPT,51729,CYSTOMETROGRAM W/VP&UP,,,79.01,1055.9,49
CPT,51729,HC COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL,1630.2,815.1,155.77,1467.18,70
CPT,51736,HC SIMPLE UROFLOMETRY,446.95,223.48,85.59,402.26,69
CPT,51736,URINE FLOW MEASUREMENT,,,5.01,163.04,37
CPT,51741,ELECTRO-UROFLOWMETRY FIRST,,,5.31,257.43,50
CPT,51741,HC COMPLEX UROFLOMETRY,154.9,77.45,33.78,370.22,70
CPT,51784,ANAL/URINARY MUSCLE STUDY,,,24.78,661.28,48
CPT,51784,HC EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,222.7,111.35,48.57,200.43,70
CPT,51785,ANAL/URINARY MUSCLE STUDY,,,64.6,441.54,33
CPT,51785,HC EMG NEEDLE ANAL/URETHRAL SPHINCTER,257.65,128.83,49.34,289.15,69
CPT,51792,URINARY REFLEX STUDY,,,46.36,284.71,38
CPT,51797,HC VOID PRESSURE STUDIES INTRAABDOMINAL,416.85,208.43,90.91,375.17,70
CPT,51797,INTRAABDOMINAL PRESSURE TEST,,,36.37,586.34,49
CPT,51798,HC MEASURE POST VOID URINE US,175.0,87.5,38.17,157.5,70
CPT,51798,US URINE CAPACITY MEASURE,,,10.31,61.73,24
CPT,51800,REVISION OF BLADDER/URETHRA,,,866.81,1196.88,19
CPT,51820,REVISION OF URINARY TRACT,,,883.84,1251.56,19
CPT,51840,ATTACH BLADDER/URETHRA,,,527.38,799.94,19
CPT,51841,ATTACH BLADDER/URETHRA,,,626.17,927.73,19
CPT,51845,REPAIR BLADDER NECK,,,480.29,5868.82,20
CPT,51860,REPAIR OF BLADDER WOUND,,,587.43,10993.71,20
CPT,51865,REPAIR OF BLADDER WOUND,,,728.08,1030.09,19
CPT,51880,REPAIR OF BLADDER OPENING,,,380.67,4100.39,20
CPT,51900,REPAIR BLADDER/VAGINA LESION,,,675.15,953.53,19
CPT,51920,CLOSE BLADDER-UTERUS FISTULA,,,623.97,883.69,19
CPT,51925,HYSTERECTOMY/BLADDER REPAIR,,,813.68,1231.15,19
CPT,51940,CORRECTION OF BLADDER DEFECT,,,1337.11,1885.33,19
CPT,51960,REVISION OF BLADDER & BOWEL,,,1152.62,1593.5,19
CPT,51980,CONSTRUCT BLADDER OPENING,,,589.68,825.8,19
CPT,51990,LAPARO URETHRAL SUSPENSION,,,607.02,6936.32,20
CPT,51992,LAPARO SLING OPERATION,,,662.58,6936.32,20
CPT,51999,UNLISTED LAPS PX BLADDER,,,314.06,6936.32,6
CPT,52000,CYSTOURETHROSCOPY,,,73.73,513.76,24
CPT,52000,HC CYSTOURETHROSCOPY,808.0,404.0,154.73,879.37,70
CPT,52000,HC ER CYSTOURETHROSCOPY,808.0,404.0,75.38,793.54,72
CPT,52001,CYSTO W/IRRG&EVAC MLT CLOTS,,,243.07,4100.39,21
CPT,52005,CYSTO W/URTRL CATHJ,,,111.59,428.24,20
CPT,52005,HC CYSTO W/URETERAL CATH,2989.8,1494.9,572.55,2690.82,70
CPT,52005,HC ER CYSTO W/URETERAL CATH,2989.8,1494.9,75.38,2690.82,72
CPT,52007,CYSTO URTRL CATHJ BRUSH BX,,,139.76,4100.39,20
CPT,52010,CYSTOSCOPY & DUCT CATHETER,,,135.65,793.54,19
CPT,52204,CYSTOSCOPY W/BIOPSY(S),,,118.52,455.84,16
CPT,52204,HC CYSTOURETHROSCOPY W/BIOPSY,6426.05,3213.03,879.37,5783.45,70
CPT,52214,CYSTOSCOPY AND TREATMENT,,,160.5,584.92,15
CPT,52214,HC CYSTO W FULG BLADDER NECK/URETHRA/PROSTAT FOSSA,7889.6,3944.8,879.37,7100.64,70
CPT,52224,CYSTOSCOPY AND TREATMENT,,,143.1,659.34,16
CPT,52224,HC CYSTO W/FULG TX MINOR LESION,8320.2,4160.1,879.37,7488.18,70
CPT,52234,CYSTOSCOPY AND TREATMENT,,,208.72,790.94,18
CPT,52234,"HC CYSTOURETHROSCOPY,FULGUR 0.5-2 CM LESN",8157.3,4078.65,879.37,7341.57,70
CPT,52235,CYSTOSCOPY AND TREATMENT,,,244.75,4100.39,22
CPT,52240,CYSTOSCOPY AND TREATMENT,,,357.89,6043.79,21
CPT,52250,CYSTOSCOPY AND RADIOTRACER,,,204.87,4100.39,20
CPT,52260,CYSTOSCOPY AND TREATMENT,,,176.78,2435.42,20
CPT,52265,CYSTOSCOPY AND TREATMENT,,,133.14,2435.42,20
CPT,52270,CYSTOSCOPY & REVISE URETHRA,,,153.78,2435.42,20
CPT,52275,CYSTOSCOPY & REVISE URETHRA,,,210.84,2435.42,20
CPT,52276,CYSTOSCOPY AND TREATMENT,,,225.05,2435.42,20
CPT,52277,CYSTOSCOPY AND TREATMENT,,,275.03,4100.39,20
CPT,52281,CYSTOSCOPY AND TREATMENT,,,130.2,491.4,18
CPT,52281,HC CYSTO W/DILATION URETH STRICT,720.1,360.05,137.9,2435.42,70
CPT,52281,HC ER CYSTO W/DILATION URETH STRICT,720.1,360.05,75.38,2435.42,72
CPT,52282,CYSTOSCOPY IMPLANT STENT,,,283.86,4100.39,20
CPT,52283,CYSTOSCOPY AND TREATMENT,,,169.27,2435.42,20
CPT,52284,CYSTO RX BALO CATH URTL STRX,,,130.4,6043.79,19
CPT,52285,CYSTOSCOPY AND TREATMENT,,,163.94,1432.11,20
CPT,52287,CYSTOSCOPY CHEMODENERVATION,,,132.85,831.82,23
CPT,52287,HC CYSTOSCOPY CHEMODENERVATION,4011.1,2005.55,768.13,3609.99,70
CPT,52290,CYSTOSCOPY AND TREATMENT,,,207.04,2435.42,20
CPT,52300,CYSTOSCOPY AND TREATMENT,,,237.8,4100.39,20
CPT,52301,CYSTOSCOPY AND TREATMENT,,,249.85,4100.39,20
CPT,52305,CYSTOSCOPY AND TREATMENT,,,236.41,6043.79,20
CPT,52310,CYSTOSCOPY AND TREATMENT,,,127.99,678.28,24
CPT,52310,HC CYSTO W/ STENT REMOVE,2058.5,1029.25,394.2,2435.42,70
CPT,52315,CYSTOSCOPY AND TREATMENT,,,232.91,1001.01,16
CPT,52315,"HC CYSTOSCOPY,REMV CALCULUS,COMPLICATED",6439.6,3219.8,879.37,5795.64,70
CPT,52317,HC LITHOLAPAXY CALCULUS<2.5CM,7552.35,3776.18,879.37,6797.12,70
CPT,52317,REMOVE BLADDER STONE,,,295.79,1036.22,15
CPT,52318,REMOVE BLADDER STONE,,,403.13,4100.39,20
CPT,52320,CYSTOSCOPY AND TREATMENT,,,209.16,4100.39,20
CPT,52325,CYSTOSCOPY STONE REMOVAL,,,272.21,6043.79,20
CPT,52327,CYSTOSCOPY INJECT MATERIAL,,,223.07,6043.79,21
CPT,52330,CYSTOSCOPY AND TREATMENT,,,223.93,4100.39,20
CPT,52332,CYSTOSCOPY AND TREATMENT,,,131.58,860.76,17
CPT,52332,HC CYSTO W/INSERT URETERAL STENT,9111.75,4555.88,879.37,8200.58,70
CPT,52334,CREATE PASSAGE TO KIDNEY,,,168.06,4100.39,20
CPT,52341,CYSTO W/URETER STRICTURE TX,,,246.99,324.51,14
CPT,52341,HC CYSTO W/ TX URETERAL STRICTURE,9232.1,4616.05,879.37,8308.89,70
CPT,52342,CYSTO W/UP STRICTURE TX,,,268.56,4100.39,20
CPT,52343,CYSTO W/RENAL STRICTURE TX,,,298.8,4100.39,20
CPT,52344,CYSTO/URETERO STRICTURE TX,,,323.92,4100.39,20
CPT,52345,CYSTO/URETERO W/UP STRICTURE,,,345.49,4100.39,20
CPT,52346,CYSTOURETERO W/RENAL STRICT,,,390.02,6043.79,20
CPT,52351,CYSTOURETERO & OR PYELOSCOPE,,,265.93,929.91,16
CPT,52351,"HC CYSTO W/ URETEROSCOPY/PYELOSCOPY, DX",8631.95,4315.98,879.37,7768.76,70
CPT,52352,CYSTOURETERO W/STONE REMOVE,,,312.29,4100.39,20
CPT,52353,CYSTOURETERO W/LITHOTRIPSY,,,357.89,6043.79,20
CPT,52354,CYSTOURETERO W/BIOPSY,,,332.1,476.74,14
CPT,52354,HC CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION,8634.2,4317.1,879.37,7770.78,70
CPT,52355,CYSTOURETERO W/EXCISE TUMOR,,,396.03,6043.79,20
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,322.34,6043.79,20
CPT,52400,CYSTO CGEN POST URTL VALVES,,,406.16,4100.39,20
CPT,52402,CYSTO TRURL RESCJ EJACUL DUX,,,242.43,4100.39,11
CPT,52441,CYSTO INSJ TRNSPRSTC 1 IMPLT,,,192.26,1351.2,11
CPT,52442,CYSTO INS TRNSPRSTC IMPLT EA,,,46.55,918.58,11
CPT,52450,TRANSURETHRAL INC PROSTATE,,,386.31,4100.39,20
CPT,52500,TRURL RESECTION BLADDER NECK,,,403.67,4100.39,20
CPT,52601,PROSTATECTOMY (TURP),,,672.85,6043.79,21
CPT,52630,REMOVE PROSTATE REGROWTH,,,367.6,6043.79,20
CPT,52640,RELIEVE BLADDER CONTRACTURE,,,250.26,4100.39,20
CPT,52647,APC,,,4931.73,6043.79,5
CPT,52647,Fee Schedule,,,753.95,753.95,1
CPT,52647,MPFS,,,603.16,625.99,4
CPT,52647,Others,,,1432.11,1432.11,1
CPT,52647,Physician Fee Schedule,,,535.02,545.72,9
CPT,52648,LASER SURGERY OF PROSTATE,,,571.12,6043.79,20
CPT,52649,PROSTATE LASER ENUCLEATION,,,762.44,6043.79,23
CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,358.88,4100.39,20
CPT,53000,INCISION OF URETHRA,,,122.43,2435.42,20
CPT,53010,INCISION OF URETHRA,,,239.68,6043.79,20
CPT,53020,INCISION OF URETHRA,,,81.76,2435.42,20
CPT,53025,INCISION OF URETHRA,,,53.61,2435.42,20
CPT,53040,DRAINAGE OF URETHRA ABSCESS,,,324.1,4100.39,20
CPT,53060,DRAINAGE OF URETHRA ABSCESS,,,126.64,191.65,14
CPT,53060,HC ER DRAINAGE ABSC/CYST SKENES GLND,7317.5,3658.75,75.38,6585.75,72
CPT,53080,DRAINAGE OF URINARY LEAKAGE,,,358.63,1432.11,20
CPT,53085,DRAINAGE OF URINARY LEAKAGE,,,510.46,2435.42,20
CPT,53200,BIOPSY OF URETHRA,,,117.7,2435.42,20
CPT,53210,REMOVAL OF URETHRA,,,638.74,4100.39,20
CPT,53215,REMOVAL OF URETHRA,,,776.32,6043.79,20
CPT,53220,TREATMENT OF URETHRA LESION,,,372.26,4100.39,20
CPT,53230,REMOVAL OF URETHRA LESION,,,496.75,6043.79,20
CPT,53235,REMOVAL OF URETHRA LESION,,,528.3,6043.79,20
CPT,53240,SURGERY FOR URETHRA POUCH,,,354.24,4100.39,20
CPT,53250,REMOVAL OF URETHRA GLAND,,,328.62,4100.39,20
CPT,53260,TREATMENT OF URETHRA LESION,,,145.04,4100.39,20
CPT,53265,TREATMENT OF URETHRA LESION,,,152.45,2435.42,21
CPT,53270,REMOVAL OF URETHRA GLAND,,,149.32,4100.39,22
CPT,53275,REPAIR OF URETHRA DEFECT,,,220.1,4100.39,20
CPT,53400,REVISE URETHRA STAGE 1,,,664.01,6043.79,21
CPT,53405,REVISE URETHRA STAGE 2,,,731.61,6043.79,20
CPT,53410,RECONSTRUCTION OF URETHRA,,,816.8,6043.79,21
CPT,53415,RECONSTRUCTION OF URETHRA,,,942.66,1300.79,19
CPT,53420,RECONSTRUCT URETHRA STAGE 1,,,670.51,6043.79,20
CPT,53425,RECONSTRUCT URETHRA STAGE 2,,,786.91,6043.79,20
CPT,53430,RECONSTRUCTION OF URETHRA,,,785.58,6043.79,20
CPT,53431,RECONSTRUCT URETHRA/BLADDER,,,963.54,6043.79,20
CPT,53440,MALE SLING PROCEDURE,,,696.52,15446.36,20
CPT,53442,REMOVE/REVISE MALE SLING,,,640.92,6043.79,20
CPT,53444,INSERT TANDEM CUFF,,,662.59,23930.34,20
CPT,53445,INSERT URO/VES NCK SPHINCTER,,,701.09,23930.34,21
CPT,53446,REMOVE URO SPHINCTER,,,533.97,6043.79,20
CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,676.13,23930.34,20
CPT,53448,REMOV/REPLC UR SPHINCTR COMP,,,1070.19,1469.5,19
CPT,53449,REPAIR URO SPHINCTER,,,507.8,10993.71,20
CPT,53450,REVISION OF URETHRA,,,337.26,4100.39,20
CPT,53451,TPRNL BALO CNTNC DEV BI,,,641.07,15446.36,10
CPT,53452,TPRNL BALO CNTNC DEV UNI,,,8970.86,10993.71,5
CPT,53453,TPRNL BALO CNTNC DEV RMVL EA,,,3345.92,4100.39,5
CPT,53454,TPRNL BALO CNTNC DEV ADJMT,,,235.94,289.15,5
CPT,53460,REVISION OF URETHRA,,,379.15,4100.39,20
CPT,53500,URETHRLYS TRANSVAG W/ SCOPE,,,610.72,4100.39,20
CPT,53502,REPAIR OF URETHRA INJURY,,,401.09,4100.39,20
CPT,53505,REPAIR OF URETHRA INJURY,,,402.9,6043.79,20
CPT,53510,REPAIR OF URETHRA INJURY,,,524.69,6043.79,20
CPT,53515,REPAIR OF URETHRA INJURY,,,662.53,6043.79,20
CPT,53520,REPAIR OF URETHRA DEFECT,,,460.1,6043.79,20
CPT,53600,DILATE URETHRA STRICTURE,,,54.27,182.18,15
CPT,53600,HC DILATE URETHRAL STRIX DILATOR MALE 1ST,423.05,211.53,81.01,380.75,69
CPT,53600,HC ER DILATE URETHRAL STRIX DILATOR MALE 1ST,423.05,211.53,75.38,380.75,72
CPT,53601,DILATE URETHRA STRICTURE,,,45.25,61.46,14
CPT,53601,HC URETHRAL SOUNDING SUBSEQ MALE,88.6,44.3,16.97,153.25,69
CPT,53605,DILATE URETHRA STRICTURE,,,54.71,4100.39,20
CPT,53620,DILATE URETHRA STRICTURE,,,73.77,100.09,14
CPT,53620,HC ER DILATION URETHRAL STRICT INIT,6690.5,3345.25,75.38,6021.45,72
CPT,53621,DILATE URETHRA STRICTURE,,,61.22,289.15,19
CPT,53660,DILATION OF URETHRA,,,34.46,879.37,22
CPT,53661,DILATION OF URETHRA,,,33.92,879.37,20
CPT,53665,DILATION OF URETHRA,,,31.97,2435.42,20
CPT,53850,PROSTATIC MICROWAVE THERMOTX,,,331.28,4100.39,20
CPT,53852,PROSTATIC RF THERMOTX,,,354.46,4100.39,20
CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,,,354.46,4100.39,15
CPT,53855,INSERT PROST URETHRAL STENT,,,51.24,2435.42,20
CPT,53860,TRANSURETHRAL RF TREATMENT,,,207.16,2435.42,10
CPT,53865,CYSTO INSJ DEV ISCHMC RMDLG,,,151.2,189.0,5
CPT,53865,HC CYSTOURETHROSCOPY W/INSERT TEMP DEVICE FOR REMODEL,9111.75,4555.88,1744.9,10993.71,69
CPT,53866,CATHJ RMVL DEV ISCHMC RMDLG,,,75.71,94.64,5
CPT,53866,HC CATHETERIZATION W/REMOVE TEMP DEVICE FOR REMODEL,6439.6,3219.8,235.94,5795.64,69
CPT,53899,HC NEPHROSTOMY TUBE REPOSITION W/ IMAGING,463.65,231.83,88.79,879.37,70
CPT,54000,SLITTING OF PREPUCE,,,87.9,4100.39,20
CPT,54001,SLITTING OF PREPUCE,,,113.64,2435.42,20
CPT,54015,HC ER I&D PENIS DEEP,3290.65,1645.33,75.38,2961.59,72
CPT,54015,I&D PENIS DEEP,,,257.18,352.24,14
CPT,54050,DESTRUCTION PENIS LESION(S),,,76.84,879.37,23
CPT,54055,DESTRUCTION PENIS LESION(S),,,70.91,2174.73,20
CPT,54056,CRYOSURGERY PENIS LESION(S),,,79.27,349.67,20
CPT,54056,HC DESTRUCTION LESION PENIS SIMPLE CRYOSURGERY,777.4,388.7,148.87,879.37,70
CPT,54057,LASER SURG PENIS LESION(S),,,74.53,2174.73,20
CPT,54060,EXCISION OF PENIS LESION(S),,,104.28,2174.73,21
CPT,54065,DESTRUCTION PENIS LESION(S),,,127.49,2174.73,23
CPT,54100,BIOPSY OF PENIS,,,94.9,349.09,15
CPT,54100,HC BIOPSY PENIS,5616.8,2808.4,879.37,5055.12,70
CPT,54105,BIOPSY OF PENIS,,,178.09,3402.62,20
CPT,54110,TREATMENT OF PENIS LESION,,,517.22,4100.39,20
CPT,54111,TREAT PENIS LESION GRAFT,,,669.09,6043.79,20
CPT,54112,TREAT PENIS LESION GRAFT,,,785.44,10993.71,20
CPT,54115,TREATMENT OF PENIS LESION,,,347.11,3402.62,20
CPT,54120,PARTIAL REMOVAL OF PENIS,,,523.1,4100.39,20
CPT,54125,REMOVAL OF PENIS,,,675.09,955.8,19
CPT,54130,REMOVE PENIS & NODES,,,999.81,1375.63,19
CPT,54135,REMOVE PENIS & NODES,,,1270.06,1737.64,19
CPT,54150,CIRCUMCISION W/REGIONL BLOCK,,,88.49,317.55,24
CPT,54150,HC CIRCUMCISION CLAMP NEWBORN,740.6,370.3,161.52,2435.42,70
CPT,54150,HC CIRCUMCISION W/CLAMP NEWBORN,740.6,370.3,141.82,2435.42,70
CPT,54160,CIRCUMCISION NEONATE,,,134.5,1432.11,26
CPT,54161,CIRCUM 28 DAYS OR OLDER,,,183.39,2435.42,22
CPT,54162,LYSIS PENIL CIRCUMIC LESION,,,162.23,2435.42,26
CPT,54163,REPAIR OF CIRCUMCISION,,,179.02,2435.42,20
CPT,54164,FRENULOTOMY OF PENIS,,,157.45,2435.42,20
CPT,54200,INJECTION PX PEYRONIE DS,,,68.89,289.15,22
CPT,54205,NJX PX PEYRONIE DS EXPS PLAQ,,,443.72,6043.79,20
CPT,54220,HC ER IRRIGATION CORPORA CAVERNOSA,1231.15,615.58,75.38,1108.04,72
CPT,54220,IRRG CRPRA CAVRNOSA PRIAPISM,,,112.54,462.28,15
CPT,54230,NJX CORPORA CAVERNOSOGRAPY,,,66.59,123.26,19
CPT,54231,DYNAMIC CAVERNOSOMETRY,,,107.09,289.15,10
CPT,54235,HC ER INJECTION CORPORA CAVERNOSA,346.25,173.13,75.38,311.63,72
CPT,54235,NJX CORPORA CAVERNOSA RX AGT,,,68.59,235.56,7
CPT,54240,PENILE PLETHYSMOGRAPHY,,,39.97,370.22,38
CPT,54250,NCTRNL PEN TMSCN&/RGDITY TST,,,13.09,289.15,20
CPT,54300,REVISION OF PENIS,,,538.78,4100.39,23
CPT,54304,REVISION OF PENIS,,,631.39,4100.39,20
CPT,54308,RECONSTRUCTION OF URETHRA,,,601.17,6043.79,20
CPT,54312,RECONSTRUCTION OF URETHRA,,,694.76,4100.39,20
CPT,54316,RECONSTRUCTION OF URETHRA,,,841.26,10993.71,20
CPT,54318,RECONSTRUCTION OF URETHRA,,,605.63,4100.39,20
CPT,54322,RECONSTRUCTION OF URETHRA,,,657.82,4100.39,20
CPT,54324,RECONSTRUCTION OF URETHRA,,,817.8,4100.39,20
CPT,54326,RECONSTRUCTION OF URETHRA,,,769.3,4100.39,20
CPT,54328,REVISE PENIS/URETHRA,,,779.67,4100.39,20
CPT,54332,REVISE PENIS/URETHRA,,,852.34,4100.39,20
CPT,54336,REVISE PENIS/URETHRA,,,968.61,4100.39,20
CPT,54340,RPR HYPSPAD COMP SIMPLE,,,467.71,4100.39,20
CPT,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,807.01,10993.71,20
CPT,54348,RPR HYPSPAD COMP DSJ & URTP,,,856.8,6043.79,20
CPT,54352,REVJ PRIOR HYPSPAD REPAIR,,,1208.74,6043.79,21
CPT,54360,PENIS PLASTIC SURGERY,,,606.0,4100.39,21
CPT,54380,REPAIR PENIS,,,671.56,2435.42,20
CPT,54385,REPAIR PENIS,,,810.67,2435.42,20
CPT,54390,REPAIR PENIS AND BLADDER,,,988.87,1430.69,19
CPT,54400,INSERT SEMI-RIGID PROSTHESIS,,,493.54,15446.36,11
CPT,54401,INSERT SELF-CONTD PROSTHESIS,,,618.2,23930.34,11
CPT,54405,INSERT MULTI-COMP PENIS PROS,,,747.67,23930.34,13
CPT,54406,REMOVE MUTI-COMP PENIS PROS,,,608.32,4100.39,20
CPT,54408,REPAIR MULTI-COMP PENIS PROS,,,732.8,6043.79,12
CPT,54410,REMOVE/REPLACE PENIS PROSTH,,,798.98,23930.34,11
CPT,54411,REMOV/REPLC PENIS PROS COMP,,,879.37,23930.34,11
CPT,54415,REMOVE SELF-CONTD PENIS PROS,,,436.34,4100.39,20
CPT,54416,REMV/REPL PENIS CONTAIN PROS,,,664.39,23930.34,11
CPT,54417,REMV/REPLC PENIS PROS COMPL,,,831.7,15446.36,11
CPT,54420,REVISION OF PENIS,,,589.43,4100.39,20
CPT,54430,REVISION OF PENIS,,,533.77,740.71,19
CPT,54435,REVISION OF PENIS,,,344.9,4100.39,20
CPT,54437,REPAIR CORPOREAL TEAR,,,578.92,4100.39,21
CPT,54438,Physician Fee Schedule,,,1168.37,1191.74,9
CPT,54440,REPAIR OF PENIS,,,729.31,4100.39,20
CPT,54450,HC ER MANIPULATION FORESKIN,2040.15,1020.08,75.38,1836.14,72
CPT,54450,HC MANIPULATION FORESKIN,2040.15,1020.08,235.94,1836.14,70
CPT,54450,PREPUTIAL STRETCHING,,,49.39,186.71,17
CPT,54500,BIOPSY OF TESTIS,,,63.08,3402.62,20
CPT,54505,BIOPSY OF TESTIS,,,176.7,4100.39,20
CPT,54512,EXCISE LESION TESTIS,,,444.46,4100.39,20
CPT,54520,REMOVAL OF TESTIS,,,268.8,4100.39,20
CPT,54522,ORCHIECTOMY PARTIAL,,,482.67,4100.39,20
CPT,54530,REMOVAL OF TESTIS,,,419.62,4195.61,20
CPT,54535,EXTENSIVE TESTIS SURGERY,,,610.71,4100.39,20
CPT,54550,EXPLORATION FOR TESTIS,,,405.04,4195.61,20
CPT,54560,EXPLORATION FOR TESTIS,,,553.3,2435.42,20
CPT,54600,REDUCE TESTIS TORSION,,,374.34,4100.39,21
CPT,54620,SUSPENSION OF TESTIS,,,251.56,4100.39,20
CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,384.35,4195.61,20
CPT,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,589.66,4195.61,20
CPT,54660,REVISION OF TESTIS,,,334.53,6043.79,10
CPT,54670,REPAIR TESTIS INJURY,,,334.17,4100.39,20
CPT,54680,RELOCATION OF TESTIS(ES),,,651.65,4100.39,20
CPT,54690,LAPAROSCOPY ORCHIECTOMY,,,526.78,6936.32,20
CPT,54692,LAPAROSCOPY ORCHIOPEXY,,,643.63,6936.32,20
CPT,54699,UNLISTED LAPS PX TESTIS,,,1432.11,6936.32,6
CPT,54700,HC ER I&D EPIDIDYMIS/TESTIS/SCROTAL,3921.95,1960.98,75.38,3529.76,72
CPT,54700,I&D EPDIDYMS TSTIS&/SCROT SP,,,174.32,596.49,15
CPT,54800,BIOPSY OF EPIDIDYMIS,,,110.41,1926.26,20
CPT,54830,REMOVE EPIDIDYMIS LESION,,,304.1,4100.39,20
CPT,54840,REMOVE EPIDIDYMIS LESION,,,267.08,2435.42,20
CPT,54860,REMOVAL OF EPIDIDYMIS,,,345.05,4100.39,20
CPT,54861,REMOVAL OF EPIDIDYMIS,,,467.13,4100.39,20
CPT,54865,EXPLORE EPIDIDYMIS,,,293.58,4100.39,20
CPT,54900,FUSION OF SPERMATIC DUCTS,,,741.03,2435.42,10
CPT,54901,FUSION OF SPERMATIC DUCTS,,,976.92,4100.39,10
CPT,55000,DRAINAGE OF HYDROCELE,,,69.98,270.96,16
CPT,55000,HC PUNCTURE/ASPIR OF HYDROCELE,1112.4,556.2,213.02,1001.16,70
CPT,55040,REMOVAL OF HYDROCELE,,,277.58,4195.61,20
CPT,55041,REMOVAL OF HYDROCELES,,,418.05,4195.61,21
CPT,55060,REPAIR OF HYDROCELE,,,310.42,4100.39,20
CPT,55100,DRAINAGE OF SCROTUM ABSCESS,,,131.52,531.26,17
CPT,55100,HC DRAINAGE ABSCESS SCROTAL WALL,2590.3,1295.15,496.04,2331.27,70
CPT,55100,HC ER DRAINAGE ABSCESS SCROTAL WALL,2590.3,1295.15,75.38,2331.27,72
CPT,55110,EXPLORE SCROTUM,,,315.85,4100.39,21
CPT,55120,REMOVAL OF SCROTUM LESION,,,289.63,2435.42,20
CPT,55150,REMOVAL OF SCROTUM,,,400.43,4100.39,20
CPT,55175,REVISION OF SCROTUM,,,297.14,4100.39,21
CPT,55180,REVISION OF SCROTUM,,,566.23,6043.79,20
CPT,55200,INCISION OF SPERM DUCT,,,227.76,4100.39,20
CPT,55250,REMOVAL OF SPERM DUCT(S),,,186.06,2435.42,30
CPT,55300,PREPARE SPERM DUCT X-RAY,,,151.21,374.33,20
CPT,55400,REPAIR OF SPERM DUCT,,,463.82,4100.39,10
CPT,55500,REMOVAL OF HYDROCELE,,,308.11,4100.39,20
CPT,55520,REMOVAL OF SPERM CORD LESION,,,317.41,4100.39,20
CPT,55530,REVISE SPERMATIC CORD VEINS,,,291.22,4100.39,21
CPT,55535,REVISE SPERMATIC CORD VEINS,,,352.41,7418.28,20
CPT,55540,REVISE HERNIA & SPERM VEINS,,,385.2,4195.61,20
CPT,55550,LAPARO LIGATE SPERMATIC VEIN,,,349.04,6936.32,20
CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,879.37,6936.32,6
CPT,55600,VESICULOTOMY,,,351.53,2435.42,19
CPT,55605,VESICULOTOMY COMPLICATED,,,486.56,608.2,10
CPT,55650,REMOVE SPERM DUCT POUCH,,,592.41,831.08,19
CPT,55680,REMOVE SPERM POUCH LESION,,,279.91,4100.39,19
CPT,55700,Fee Schedule,,,148.94,511.92,11
CPT,55700,HC BIOPSY PROSTATE NEEDLE OR PUNCH,1795.9,897.95,343.91,2435.42,70
CPT,55700,MPFS,,,119.15,123.66,4
CPT,55700,Physician Fee Schedule,,,114.28,116.57,9
CPT,55705,BX PRST8 ANY APPROACH NONIMG,,,223.83,4100.39,20
CPT,55706,BX PRST8 NDL SAT SAMPLING,,,316.3,4100.39,20
CPT,55720,DRAINAGE OF PROSTATE ABSCESS,,,383.07,4100.39,20
CPT,55725,DRAINAGE OF PROSTATE ABSCESS,,,486.29,4100.39,20
CPT,55801,REMOVAL OF PROSTATE,,,905.83,1263.21,19
CPT,55810,EXTENSIVE PROSTATE SURGERY,,,1096.49,1504.58,19
CPT,55812,EXTENSIVE PROSTATE SURGERY,,,1347.67,1848.89,19
CPT,55815,EXTENSIVE PROSTATE SURGERY,,,1478.6,2024.12,19
CPT,55821,REMOVAL OF PROSTATE,,,728.48,968.39,19
CPT,55831,REMOVAL OF PROSTATE,,,789.68,992.88,19
CPT,55840,EXTENSIVE PROSTATE SURGERY,,,1079.07,1348.84,19
CPT,55842,EXTENSIVE PROSTATE SURGERY,,,1077.18,1346.48,19
CPT,55845,EXTENSIVE PROSTATE SURGERY,,,1253.57,1566.96,19
CPT,55860,SURGICAL EXPOSURE PROSTATE,,,730.82,6043.79,20
CPT,55862,EXTENSIVE PROSTATE SURGERY,,,923.6,1262.23,19
CPT,55865,EXTENSIVE PROSTATE SURGERY,,,1119.45,1537.09,19
CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,1101.74,12377.64,22
CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,842.44,12377.64,20
CPT,55870,ELECTROEJACULATION,,,130.34,1035.2,10
CPT,55873,CRYOABLATE PROSTATE,,,707.92,10993.71,20
CPT,55874,HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,26439.05,13219.53,4931.73,23795.15,69
CPT,55874,TPRNL PLMT BIODEGRDABL MATRL,,,139.92,189.74,14
CPT,55875,HC PLACE NEEDLE/CATH PROSTATE,13191.7,6595.85,629.63,11872.53,70
CPT,55875,TRANSPERI NEEDLE PLACE PROS,,,633.63,908.63,14
CPT,55876,HC PLACEMENT DEV/MARKER RAD THPY PROST 1/1+,3088.25,1544.13,82.95,2779.43,70
CPT,55876,PLACE RT DEVICE/MARKER PROS,,,88.46,269.07,15
CPT,55880,ABLTJ MAL PRST8 TISS HIFU,,,748.69,10993.71,11
CPT,55881,ABLT TRURL PRST8 TIS THRM US,,,449.69,9865.85,10
CPT,55882,ABLT TRURL PRST8 TIS TRNSDCR,,,551.07,15446.36,10
CPT,55899,HC BIOPSY SEMINAL VESICLE W NEEDLE SINGLE/MULTIPLE,1795.9,897.95,235.94,1616.31,70
CPT,55920,HC PLACEMENT BRACHY NEEDLE PELVIS RAD ONC,14638.85,7319.43,879.37,13174.97,70
CPT,55920,PLACE NEEDLES PELVIC FOR RT,,,358.13,539.89,14
CPT,55970,SEX TRANSFORMATION M TO F,,,4788.96,5868.82,5
CPT,55980,SEX TRANSFORMATION F TO M,,,3345.92,4100.39,5
CPT,56405,HC ER I&D ABSCESS VULVA/PERINEAL,1079.6,539.8,75.38,971.64,72
CPT,56405,HC I&D ABSCESS VULVA/PERINEAL,1079.6,539.8,206.74,971.64,70
CPT,56405,I&D VULVA/PERINEAL ABSCESS,,,79.87,348.39,21
CPT,56420,HC ER I&D ABSCESS BARTHOLIN GLAND,788.95,394.48,75.38,710.06,72
CPT,56420,HC I&D ABSCESS BARTHOLIN GLAND,788.95,394.48,151.08,879.37,70
CPT,56420,I&D BARTHOLINS GLAND ABSCESS,,,69.49,396.94,22
CPT,56440,MRSPLZATN BRTHLNS GLND CST,,,138.62,3780.06,25
CPT,56441,HC LYSIS OF LABIAL ADHESIONS,6091.2,3045.6,879.37,5482.08,70
CPT,56441,LYSIS OF LABIAL ADHESIONS,,,107.11,443.83,17
CPT,56442,HYMENOTOMY,,,36.93,3780.06,21
CPT,56501,DESTROY VULVA LESIONS SIM,,,85.02,410.96,19
CPT,56501,HC DESTRUCTION LESIONS VULVA SIMPLE,567.75,283.88,108.72,2174.73,70
CPT,56515,DESTROY VULVA LESION/S COMPL,,,148.32,2174.73,22
CPT,56605,BIOPSY OF VULVA/PERINEUM,,,46.67,205.61,23
CPT,56605,HC BIOPSY VULVA/PERINEUM 1 LESION SPX,627.15,313.58,120.1,1035.2,70
CPT,56605,HC ER VULVA BIOPSY (1 LESION),627.15,313.58,75.38,1035.2,72
CPT,56606,BIOPSY OF VULVA/PERINEUM,,,23.01,95.54,17
CPT,56606,HC BIOPSY VULVA (ADDITIONAL LESION),307.3,153.65,35.18,276.57,69
CPT,56620,HC PART SIMPLE REMV VULVA,8141.3,4070.65,1432.11,7327.17,70
CPT,56620,VULVECTOMY SIMPLE PARTIAL,,,372.16,1639.81,17
CPT,56625,VULVECTOMY SIMPLE COMPLETE,,,449.11,3780.06,21
CPT,56630,VULVECTOMY RADICAL PARTIAL,,,658.02,2912.08,21
CPT,56631,VLVCTMY RAD PRTL UNI LYMPHAD,,,837.56,1367.4,19
CPT,56632,VLVCTMY RAD PRTL BI LYMPHAD,,,969.65,1649.64,19
CPT,56633,VULVECTOMY RADICAL COMPLETE,,,859.02,1331.54,19
CPT,56634,VLVCTMY RAD COMP UNI LYMPHAD,,,907.47,1493.74,19
CPT,56637,VLVCTMY RAD COMP BI LYMPHAD,,,1073.19,1750.3,19
CPT,56640,VLVCTMY RAD COMP W/LYMPHADEC,,,1070.63,1757.5,19
CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,140.2,3780.06,23
CPT,56740,EXC BARTHOLINS GLAND/CYST,,,224.8,787.41,15
CPT,56740,HC ER EXCISION GLAND/CYST BARTHOLIN,4952.6,2476.3,75.38,4457.34,72
CPT,56800,PLASTIC REPAIR INTROITUS,,,184.85,3780.06,20
CPT,56805,CLITOROPLASTY INTERSEX STATE,,,873.26,3780.06,20
CPT,56810,PERINEOPLASTY RPR PER NONOB,,,198.66,3780.06,21
CPT,56820,COLPOSCOPY VULVA,,,65.05,278.61,16
CPT,56820,HC COLPOSCOPY VULVA,857.15,428.58,164.14,879.37,70
CPT,56821,COLPOSCOPY VULVA W/BIOPSY,,,88.33,374.14,20
CPT,56821,HC COLPOSCOPY VULVA WITH BIOPSY,687.05,343.53,131.57,879.37,70
CPT,57000,COLPOTOMY W/EXPLORATION,,,144.49,3780.06,20
CPT,57010,COLPOTOMY DRG PEL ABSCESS,,,324.88,3780.06,20
CPT,57020,COLPOCENTESIS SEP PX,,,62.81,5868.82,20
CPT,57022,I&D VAGINAL HEMATOMA OB/PP,,,126.09,3402.62,20
CPT,57023,I&D VAGINAL HEMATOMA NON-OB,,,236.5,3402.62,20
CPT,57061,DESTRUCTION VAG LESIONS SMPL,,,72.62,314.99,15
CPT,57061,HC DESTRUCT VAGINAL LESION SIMPLE,469.2,234.6,89.85,3780.06,70
CPT,57065,DESTRUCTION VAG LESION XTNSV,,,129.13,3780.06,23
CPT,57100,BIOPSY VAGINAL MUCOSA SIMPLE,,,50.45,219.87,20
CPT,57100,HC BIOPSY VAGINAL,742.05,371.03,142.1,1035.2,70
CPT,57105,BIOPSY VAGINAL MUCOSA XTNSV,,,93.89,342.23,15
CPT,57105,HC BIOPSY VAGINAL MUCOSA EXTENSIVE W/SUTURE,1484.05,742.03,284.2,3780.06,70
CPT,57106,VAGNC PRTL RMVL VAG WALL,,,357.99,3780.06,20
CPT,57107,VAGNC COMPL RMVL PARAVAG TIS,,,879.37,3780.06,21
CPT,57109,VAGNC BI TOTAL PEL LYMPHADEC,,,879.37,3780.06,20
CPT,57110,VAGNC COMPL RMVL VAG WALL,,,685.12,1037.05,19
CPT,57111,VAGNC COMPL RMVL PARAVAG TIS,,,1230.66,1993.02,19
CPT,57120,COLPOCLEISIS LE FORT TYPE,,,387.55,5868.82,20
CPT,57130,EXCISION VAGINAL SEPTUM,,,121.88,3780.06,20
CPT,57135,EXCISION VAGINAL CYST/TUMOR,,,131.47,3780.06,22
CPT,57150,TREAT VAGINA INFECTION,,,23.01,70.62,19
CPT,57155,HC INSERT UTERINE TNDM/VAGINAL OVOID,2678.35,1339.18,275.02,5868.82,70
CPT,57155,INSERT UTERI TANDEM/OVOIDS,,,267.37,334.21,14
CPT,57156,HC INSERT VAG RAD AFTLD APPARATUS,2678.35,1339.18,275.02,2410.52,70
CPT,57156,INS VAG BRACHYTX DEVICE,,,82.95,177.69,14
CPT,57160,HC FIT/INSERT INTRAVAG SUPPORT DEVICE,557.8,278.9,106.82,502.02,69
CPT,57160,INSERT PESSARY/OTHER DEVICE,,,36.95,157.81,20
CPT,57170,FITTING OF DIAPHRAGM/CAP,,,37.46,239.17,21
CPT,57180,TREAT VAGINAL BLEEDING,,,80.85,239.17,19
CPT,57200,HC ER COLPORRHAPHY NON-OBSTETRICAL,6231.4,3115.7,75.38,5608.26,72
CPT,57200,REPAIR OF VAGINA,,,223.45,688.74,15
CPT,57210,REPAIR VAGINA/PERINEUM,,,277.57,3780.06,20
CPT,57220,REVISION OF URETHRA,,,241.05,5868.82,20
CPT,57230,REPAIR OF URETHRAL LESION,,,301.98,3780.06,20
CPT,57240,ANTERIOR COLPORRHAPHY,,,504.16,5868.82,21
CPT,57250,REPAIR RECTUM & VAGINA,,,493.54,5868.82,23
CPT,57260,CMBN ANT PST COLPRHY,,,615.45,5868.82,24
CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,687.39,5868.82,20
CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,207.71,314.06,20
CPT,57268,REPAIR OF BOWEL BULGE,,,363.89,5868.82,22
CPT,57270,REPAIR OF BOWEL POUCH,,,606.62,932.96,19
CPT,57280,SUSPENSION OF VAGINA,,,737.99,1109.99,19
CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,385.92,8791.5,20
CPT,57283,COLPOPEXY INTRAPERITONEAL,,,522.81,8791.5,20
CPT,57284,REPAIR PARAVAG DEFECT OPEN,,,639.31,5868.82,20
CPT,57285,REPAIR PARAVAG DEFECT VAG,,,510.44,8791.5,20
CPT,57287,REVISE/REMOVE SLING REPAIR,,,535.36,3780.06,22
CPT,57288,REPAIR BLADDER DEFECT,,,563.73,5868.82,27
CPT,57289,REPAIR BLADDER & VAGINA,,,592.48,8791.5,20
CPT,57291,CONSTRUCTION OF VAGINA,,,410.96,5868.82,20
CPT,57292,CONSTRUCT VAGINA WITH GRAFT,,,630.88,5868.82,19
CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,374.07,3780.06,21
CPT,57296,REVISE VAG GRAFT OPEN ABD,,,722.5,1099.26,19
CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,402.36,3780.06,20
CPT,57305,REPAIR RECTUM-VAGINA FISTULA,,,673.98,1112.82,19
CPT,57307,FISTULA REPAIR & COLOSTOMY,,,754.08,1242.34,19
CPT,57308,FISTULA REPAIR TRANSPERINE,,,480.65,768.04,19
CPT,57310,REPAIR URETHROVAGINAL LESION,,,374.66,8791.5,20
CPT,57311,REPAIR URETHROVAGINAL LESION,,,428.03,643.63,19
CPT,57320,REPAIR BLADDER-VAGINA LESION,,,426.49,5868.82,21
CPT,57330,REPAIR BLADDER-VAGINA LESION,,,606.78,8791.5,20
CPT,57335,REPAIR VAGINA,,,886.19,5868.82,19
CPT,57400,DILATION OF VAGINA,,,103.58,3780.06,20
CPT,57410,PELVIC EXAMINATION,,,81.28,3780.06,22
CPT,57415,REMOVE VAGINAL FOREIGN BODY,,,120.92,3780.06,21
CPT,57420,EXAM OF VAGINA W/SCOPE,,,69.1,294.72,19
CPT,57420,HC COLPOSCOPY VAGINA WITH CERVIX,972.05,486.03,186.15,879.37,70
CPT,57421,EXAM/BIOPSY OF VAG W/SCOPE,,,94.38,401.14,19
CPT,57421,HC COLPOSCOPY VAGINA W/CERVIX W/BIOPSY,1237.8,618.9,237.04,1114.02,70
CPT,57423,REPAIR PARAVAG DEFECT LAP,,,706.06,12377.64,20
CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,744.69,12377.64,25
CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,522.02,8791.5,20
CPT,57452,EXAM OF CERVIX W/SCOPE,,,70.08,297.64,24
CPT,57452,HC COLPOSCOPY CERVIX/VAGINA,1057.85,528.93,195.16,952.07,70
CPT,57454,BX/CURETT OF CERVIX W/SCOPE,,,104.65,442.38,25
CPT,57454,HC COLPOSCOPY W/BIOPSY & CURETTAGE,1859.55,929.78,295.1,1673.6,70
CPT,57455,BIOPSY OF CERVIX W/SCOPE,,,85.49,361.87,24
CPT,57455,HC COLPOSCOPY CERVIX VAGINA W/BIOP OF CER,1285.25,642.63,246.13,1156.73,70
CPT,57456,ENDOCERV CURETTAGE W/SCOPE,,,79.75,337.14,24
CPT,57456,HC COLPOSCOPY CERVIX INCLUDE VAGINA W/EC,1379.25,689.63,264.13,1241.33,70
CPT,57460,BX OF CERVIX W/SCOPE LEEP,,,125.68,675.5,16
CPT,57460,HC COLPOSCOPY CERVIX VAGINA W/LOOP BIOPSY,366.35,183.18,70.16,3780.06,70
CPT,57461,CONZ OF CERVIX W/SCOPE LEEP,,,145.45,754.75,16
CPT,57461,HC COLPO CERVIX VAGINA W/LOOP CONIZA,838.15,419.08,160.51,3780.06,70
CPT,57465,CAM CERVIX UTERI DRG COLP,,,33.59,62.62,20
CPT,57500,BIOPSY OF CERVIX,,,56.77,330.85,23
CPT,57500,HC BIOPSY CERVIX,1650.5,825.25,316.07,1485.45,70
CPT,57505,ENDOCERVICAL CURETTAGE,,,67.99,331.5,22
CPT,57505,HC CURETTAGE ENDOCERVICAL,1493.1,746.55,285.93,1343.79,70
CPT,57510,CAUTERIZATION OF CERVIX,,,88.45,3780.06,21
CPT,57511,CRYOCAUTERY OF CERVIX,,,99.12,879.37,23
CPT,57513,LASER SURGERY OF CERVIX,,,99.69,3780.06,21
CPT,57520,CONIZATION OF CERVIX,,,206.04,3780.06,24
CPT,57522,CONIZATION OF CERVIX,,,182.81,784.28,23
CPT,57522,HC CERVICAL LEEP CONIZATION,5273.3,2636.65,374.33,4745.97,70
CPT,57530,REMOVAL OF CERVIX,,,259.29,5868.82,20
CPT,57531,REMOVAL OF CERVIX RADICAL,,,1293.32,2055.3,19
CPT,57540,REMOVAL OF RESIDUAL CERVIX,,,591.43,908.35,19
CPT,57545,REMOVE CERVIX/REPAIR PELVIS,,,624.06,956.3,19
CPT,57550,REMOVAL OF RESIDUAL CERVIX,,,306.76,5868.82,20
CPT,57555,REMOVE CERVIX/REPAIR VAGINA,,,454.18,5868.82,20
CPT,57556,REMOVE CERVIX REPAIR BOWEL,,,433.39,5868.82,20
CPT,57558,D&C OF CERVICAL STUMP,,,85.45,3780.06,20
CPT,57700,REVISION OF CERVIX,,,229.77,3780.06,20
CPT,57720,REVISION OF CERVIX,,,230.61,3780.06,20
CPT,57800,DILATION OF CERVICAL CANAL,,,37.04,145.64,17
CPT,57800,HC ER DILATION CANAL CERVICAL INSTRU,7577.6,3788.8,75.38,6819.84,72
CPT,58100,BIOPSY OF UTERUS LINING,,,57.82,425.18,25
CPT,58100,HC BIOPSY ENDOMETRIAL SAMPLING,661.8,330.9,126.73,879.37,70
CPT,58100,HC ER BIOPSY ENDOMETRIAL SAMPLING,661.8,330.9,75.38,595.62,72
CPT,58110,BX DONE W/COLPOSCOPY ADD-ON,,,32.01,133.79,16
CPT,58110,HC ENDOMETRIAL SAMPLING WITH COLPO,208.6,104.3,39.95,187.74,69
CPT,58120,DILATION AND CURETTAGE,,,163.5,706.56,16
CPT,58120,HC ER D&C DIAG/THERAPEUTIC NON-OB,4430.9,2215.45,75.38,3987.81,72
CPT,58140,MYOMECTOMY ABDOM METHOD,,,693.79,2129.41,22
CPT,58145,MYOMECTOMY VAG METHOD,,,410.39,3780.06,22
CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,884.26,3754.46,22
CPT,58150,TOTAL HYSTERECTOMY,,,752.09,3253.35,24
CPT,58152,TOTAL HYSTERECTOMY,,,949.54,1419.22,19
CPT,58180,PARTIAL HYSTERECTOMY,,,722.11,3116.15,22
CPT,58200,EXTENSIVE HYSTERECTOMY,,,994.9,3051.27,20
CPT,58210,EXTENSIVE HYSTERECTOMY,,,1325.51,4063.75,20
CPT,58240,REMOVAL OF PELVIS CONTENTS,,,2084.31,3367.9,19
CPT,58260,VAGINAL HYSTERECTOMY,,,627.58,5868.82,22
CPT,58262,VAG HYST INCLUDING T/O,,,701.51,5868.82,22
CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,756.0,5868.82,21
CPT,58267,VAG HYST W/URINARY REPAIR,,,803.38,1226.54,19
CPT,58270,VAG HYST W/ENTEROCELE REPAIR,,,672.68,5868.82,20
CPT,58275,HYSTERECTOMY/REVISE VAGINA,,,748.53,1138.98,19
CPT,58280,HYSTERECTOMY/REVISE VAGINA,,,801.07,1215.16,19
CPT,58285,EXTENSIVE HYSTERECTOMY,,,1005.92,1635.88,19
CPT,58290,VAG HYST COMPLEX,,,880.18,8791.5,21
CPT,58291,VAG HYST INCL T/O COMPLEX,,,956.62,5868.82,19
CPT,58292,VAG HYST T/O & REPAIR COMPL,,,1008.31,8791.5,19
CPT,58294,VAG HYST W/ENTEROCELE COMPL,,,930.04,5868.82,19
CPT,58300,HC INSERTION INTRAUTERINE DEVICE,733.3,366.65,100.9,659.97,70
CPT,58300,INSERT INTRAUTERINE DEVICE,,,42.64,237.08,20
CPT,58301,HC ER REMOVAL INTRAUTERINE DEVICE,734.85,367.43,75.38,661.37,72
CPT,58301,HC REMOVAL INTRAUTERINE DEVICE,734.85,367.43,140.72,661.37,70
CPT,58301,REMOVE INTRAUTERINE DEVICE,,,52.48,235.5,25
CPT,58321,ARTIFICIAL INSEMINATION,,,43.98,361.64,10
CPT,58322,ARTIFICIAL INSEMINATION,,,52.33,193.06,15
CPT,58322,HC ARTIFICIAL INSEMINATION INTRA-UTE,206.0,103.0,39.45,239.17,69
CPT,58323,SPERM WASHING,,,11.0,239.17,10
CPT,58340,CATHETER FOR HYSTEROGRAPHY,,,53.26,528.88,15
CPT,58340,HC INJECTION UTERUS TUBE,1011.8,505.9,193.76,910.62,70
CPT,58345,HC RECANALIZATION FALLOPIAN TUB (SP),2778.35,1389.18,532.05,3780.06,69
CPT,58345,REOPEN FALLOPIAN TUBE,,,265.69,332.11,5
CPT,58346,INSERT HEYMAN UTERI CAPSULE,,,345.51,5868.82,20
CPT,58350,REOPEN FALLOPIAN TUBE,,,86.47,5868.82,10
CPT,58353,ENDOMETR ABLATE THERMAL,,,167.69,5868.82,22
CPT,58356,ENDOMETRIAL CRYOABLATION,,,322.91,5868.82,11
CPT,58400,SUSPENSION OF UTERUS,,,338.97,531.46,19
CPT,58410,SUSPENSION OF UTERUS,,,608.89,935.72,19
CPT,58520,REPAIR OF RUPTURED UTERUS,,,594.55,916.3,19
CPT,58540,REVISION OF UTERUS,,,690.51,1052.15,19
CPT,58541,LSH UTERUS 250 G OR LESS,,,651.08,12377.64,20
CPT,58542,LSH W/T/O UT 250 G OR LESS,,,723.47,12377.64,22
CPT,58543,LSH UTERUS ABOVE 250 G,,,735.57,12377.64,20
CPT,58544,LSH W/T/O UTERUS ABOVE 250 G,,,795.2,12377.64,21
CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,680.17,6936.32,24
CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,862.54,12377.64,23
CPT,58548,LAP RADICAL HYST,,,1345.99,5957.92,21
CPT,58550,LAPARO-ASST VAG HYSTERECTOMY,,,671.12,6936.32,20
CPT,58552,LAPARO-VAG HYST INCL T/O,,,740.98,12377.64,21
CPT,58553,LAPARO-VAG HYST COMPLEX,,,867.02,12377.64,20
CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,993.59,12377.64,22
CPT,58555,HC HYSTEROSCOPY DIAGNOSTIC,7995.0,3997.5,879.37,7195.5,70
CPT,58555,HYSTEROSCOPY DX SEP PROC,,,139.26,780.82,17
CPT,58558,HC HYSTEROSC BX ENDOMETRIAL,6089.25,3044.63,879.37,5480.33,70
CPT,58558,HYSTEROSCOPY BIOPSY,,,206.04,2900.58,24
CPT,58559,HYSTEROSCOPY LYSIS,,,259.4,5868.82,23
CPT,58560,HYSTEROSCOPY RESECT SEPTUM,,,285.63,5868.82,21
CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,326.92,5868.82,26
CPT,58562,HC HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,9438.35,4719.18,879.37,8494.52,70
CPT,58562,HYSTEROSCOPY REMOVE FB,,,202.59,943.5,19
CPT,58563,HYSTEROSCOPY ABLATION,,,224.91,5868.82,28
CPT,58565,HYSTEROSCOPY STERILIZATION,,,419.53,5868.82,11
CPT,58570,TLH UTERUS 250 G OR LESS,,,699.24,12377.64,24
CPT,58571,TLH W/T/O 250 G OR LESS,,,768.62,12377.64,29
CPT,58572,TLH UTERUS OVER 250 G,,,870.1,12377.64,21
CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,985.48,12377.64,26
CPT,58575,LAPS TOT HYST RESJ MAL,,,1553.24,2220.65,19
CPT,58578,UNLISTED LAPS PX UTERUS,,,1695.94,6936.32,6
CPT,58579,UNLISTED HYSTSC PX UTERUS,,,195.16,879.37,6
CPT,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,321.46,8791.5,19
CPT,58600,DIVISION OF FALLOPIAN TUBE,,,274.94,3780.06,20
CPT,58605,DIVISION OF FALLOPIAN TUBE,,,249.83,387.29,19
CPT,58611,LIGATE OVIDUCT(S) ADD-ON,,,60.18,253.54,23
CPT,58615,OCCLUDE FALLOPIAN TUBE(S),,,188.82,3780.06,20
CPT,58660,LAPAROSCOPY LYSIS,,,511.27,6936.32,20
CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,491.66,6936.32,23
CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,537.41,6936.32,27
CPT,58670,LAPAROSCOPY TUBAL CAUTERY,,,276.81,6936.32,21
CPT,58671,LAPAROSCOPY TUBAL BLOCK,,,276.71,6936.32,22
CPT,58672,LAPAROSCOPY FIMBRIOPLASTY,,,670.52,6936.32,10
CPT,58673,LAPAROSCOPY SALPINGOSTOMY,,,727.63,12377.64,11
CPT,58674,LAPS ABLTJ UTERINE FIBROIDS,,,674.58,12377.64,12
CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,1695.94,6936.32,6
CPT,58700,REMOVAL OF FALLOPIAN TUBE,,,578.43,919.87,19
CPT,58720,REMOVAL OF OVARY/TUBE(S),,,543.64,2351.0,20
CPT,58740,ADHESIOLYSIS TUBE OVARY,,,829.91,1037.39,10
CPT,58750,REPAIR OVIDUCT,,,835.04,1043.8,10
CPT,58752,REVISE OVARIAN TUBE(S),,,832.65,1040.81,10
CPT,58760,FIMBRIOPLASTY,,,753.21,941.51,10
CPT,58770,CREATE NEW TUBAL OPENING,,,790.66,3780.06,10
CPT,58800,DRAINAGE OF OVARIAN CYST(S),,,224.73,3780.06,20
CPT,58805,DRAINAGE OF OVARIAN CYST(S),,,305.7,3780.06,20
CPT,58820,DRAIN OVARY ABSCESS OPEN,,,235.58,3780.06,20
CPT,58822,DRAIN OVARY ABSCESS PERCUT,,,534.18,820.18,19
CPT,58825,TRANSPOSITION OVARY(S),,,528.28,814.09,19
CPT,58900,BIOPSY OF OVARY(S),,,311.95,3780.06,20
CPT,58920,PARTIAL REMOVAL OF OVARY(S),,,532.17,8791.5,20
CPT,58925,REMOVAL OF OVARIAN CYST(S),,,554.66,5868.82,20
CPT,58940,REMOVAL OF OVARY(S),,,379.12,637.35,19
CPT,58943,REMOVAL OF OVARY(S),,,848.88,1381.51,19
CPT,58950,RESECT OVARIAN MALIGNANCY,,,808.89,1323.86,19
CPT,58951,RESECT OVARIAN MALIGNANCY,,,1044.55,2710.25,20
CPT,58952,RESECT OVARIAN MALIGNANCY,,,1178.02,1890.25,19
CPT,58953,TAH RAD DISSECT FOR DEBULK,,,1461.92,2299.89,19
CPT,58954,TAH RAD DEBULK/LYMPH REMOVE,,,1587.14,2488.88,19
CPT,58956,BSO OMENTECTOMY W/TAH,,,1023.21,3149.52,20
CPT,58957,Physician Fee Schedule,,,1125.04,1147.54,9
CPT,58958,RESC RECR OVR TBL PP UTR MAL,,,1250.55,1897.66,19
CPT,58960,EXPLORATION OF ABDOMEN,,,698.98,1148.13,19
CPT,58970,RETRIEVAL OF OOCYTE,,,179.78,1035.2,19
CPT,58974,EMBRYO TRANSFER INTRAUTERINE,,,293.87,444.45,5
CPT,58974,HC EMBRYO TRANSFER (ANDRO),323.25,161.63,61.9,1035.2,69
CPT,58976,TRANSFER OF EMBRYO,,,193.73,361.64,10
CPT,58999,"HC INSERTION IUD, NOT CONTRACEPTIVE",733.3,366.65,140.43,879.37,70
CPT,58999,HC IVF TRIAL TRANSFER,323.25,161.63,61.9,879.37,70
CPT,59000,AMNIOCENTESIS DIAGNOSTIC,,,61.77,260.43,16
CPT,59000,HC AMNIOCENTESIS DIAGNOSTIC,1294.35,647.18,155.77,1164.92,70
CPT,59000,HC AMNIOCENTESIS DIAGNOSTIC L&D,1294.35,647.18,133.69,1164.92,70
CPT,59001,AMNIOCENTESIS THERAPEUTIC,,,141.28,199.41,14
CPT,59001,HC AMNIOCENTESIS TX FLUID REDUCT,1150.55,575.28,121.01,1035.5,70
CPT,59012,FETAL CORD PUNCTURE PRENATAL,,,155.85,225.09,14
CPT,59012,HC CORDOCENTESIS,1638.0,819.0,295.1,1474.2,70
CPT,59015,CHORION BIOPSY,,,101.4,397.33,17
CPT,59015,HC CHORIONIC VILLUS SAMPLING,321.75,160.88,61.62,1035.2,70
CPT,59020,FETAL CONTRACT STRESS TEST,,,28.91,79.83,33
CPT,59020,HC FETAL STRESS TEST,1312.55,656.28,155.77,1181.3,70
CPT,59025,FETAL NON-STRESS TEST,,,18.19,150.13,62
CPT,59025,HC FETAL NON STRESS TEST,1015.8,507.9,155.77,914.22,70
CPT,59030,FETAL SCALP BLOOD SAMPLING,,,86.82,879.37,20
CPT,59050,FETAL MONITOR W/REPORT,,,44.78,55.98,5
CPT,59050,HC FETAL MONITOR W/REPORT,904.8,452.4,45.68,814.32,70
CPT,59051,FETAL MONITOR/INTERPRET ONLY,,,37.36,314.06,11
CPT,59070,HC AMNIOINFUSION W US,1786.55,893.28,274.46,1607.9,70
CPT,59070,TRANSABDOM AMNIOINFUS W/US,,,276.78,345.98,5
CPT,59072,UMBILICAL CORD OCCLUD W/US,,,133.69,582.81,11
CPT,59074,FETAL FLUID DRAINAGE W/US,,,261.13,361.64,11
CPT,59076,FETAL SHUNT PLACEMENT W/US,,,295.1,582.81,11
CPT,59100,REMOVE UTERUS LESION,,,622.1,5868.82,20
CPT,59120,TREAT ECTOPIC PREGNANCY,,,594.2,921.44,19
CPT,59121,TREAT ECTOPIC PREGNANCY,,,596.93,921.8,19
CPT,59130,TREAT ECTOPIC PREGNANCY,,,697.1,1069.31,19
CPT,59136,TREAT ECTOPIC PREGNANCY,,,659.38,1014.86,19
CPT,59140,TREAT ECTOPIC PREGNANCY,,,294.85,472.04,19
CPT,59150,TREAT ECTOPIC PREGNANCY,,,577.72,6936.32,20
CPT,59151,HC ER TX LAP ECTOPIC W/SALPING/OOPH,12001.8,6000.9,75.38,10801.62,72
CPT,59151,TREAT ECTOPIC PREGNANCY,,,564.6,2410.71,16
CPT,59160,D & C AFTER DELIVERY,,,135.68,436.75,15
CPT,59160,HC ER CURETTAGE POSTPARTUM,4377.15,2188.58,75.38,3939.44,72
CPT,59200,HC INSERTION CERV DILATOR,338.0,169.0,64.73,879.37,70
CPT,59200,INSERT CERVICAL DILATOR,,,34.53,224.45,24
CPT,59300,EPISIOTOMY OR VAGINAL REPAIR,,,111.51,165.85,14
CPT,59300,HC ER EPISIOTOMY REPAIR OTHER PROVIDER,3204.7,1602.35,75.38,3780.06,72
CPT,59320,REVISION OF CERVIX,,,116.82,3780.06,25
CPT,59325,REVISION OF CERVIX,,,184.44,270.14,19
CPT,59350,REPAIR OF UTERUS,,,212.68,311.21,19
CPT,59400,OBSTETRICAL CARE,,,1747.98,5050.56,22
CPT,59409,HC ER VAGINAL DELIVERY ONLY,6683.85,3341.93,75.38,6015.47,72
CPT,59409,OBSTETRICAL CARE,,,697.93,900.48,14
CPT,59410,OBSTETRICAL CARE,,,859.8,2105.56,22
CPT,59412,ANTEPARTUM MANIPULATION,,,78.97,334.22,17
CPT,59412,HC EXTERNAL CEPHALIC VERSION,1230.9,615.45,235.72,3780.06,70
CPT,59412,HC VERSION CEPHALIC EXTERNAL,1230.9,615.45,268.46,3780.06,70
CPT,59414,DELIVER PLACENTA,,,70.25,296.95,15
CPT,59414,HC ER PLACENTAL DELIVERY,4724.75,2362.38,75.38,4252.28,72
CPT,59414,HC PLACENTAL DELIVERY,4724.75,2362.38,314.06,4252.28,70
CPT,59425,ANTEPARTUM CARE ONLY,,,304.46,1451.66,30
CPT,59426,ANTEPARTUM CARE ONLY,,,539.61,2153.39,29
CPT,59430,CARE AFTER DELIVERY,,,121.69,559.09,28
CPT,59510,CESAREAN DELIVERY,,,1747.98,5569.11,23
CPT,59514,CESAREAN DELIVERY ONLY,,,697.93,2155.94,20
CPT,59515,CESAREAN DELIVERY,,,859.8,2536.51,21
CPT,59525,REMOVE UTERUS AFTER CESAREAN,,,371.47,1141.28,20
CPT,59610,VBAC DELIVERY,,,2003.8,4227.53,20
CPT,59612,VBAC DELIVERY ONLY,,,722.89,3780.06,20
CPT,59614,VBAC CARE AFTER DELIVERY,,,913.9,1311.21,19
CPT,59618,ATTEMPTED VBAC DELIVERY,,,2138.97,3692.21,20
CPT,59620,ATTEMPTED VBAC DELIVERY ONLY,,,748.05,1050.42,19
CPT,59622,ATTEMPTED VBAC AFTER CARE,,,1080.87,1556.56,19
CPT,59812,HC ER TREATMENT SURG ABORTION INCMPL,1255.7,627.85,75.38,3780.06,72
CPT,59812,HC SPONTANEOUS ABORTION,1255.7,627.85,240.47,3780.06,70
CPT,59812,TREATMENT OF MISCARRIAGE,,,219.53,947.14,20
CPT,59820,CARE OF MISCARRIAGE,,,258.23,1137.46,20
CPT,59820,HC TX MISSED ABORTION FIRST TRIMESTER SURGICAL,1510.3,755.15,289.22,3780.06,70
CPT,59821,TREATMENT OF MISCARRIAGE,,,262.4,3780.06,22
CPT,59830,TREAT UTERUS INFECTION,,,326.62,982.11,20
CPT,59840,INDUCED ABORTION D&C,,,157.8,3780.06,21
CPT,59841,INDUCED ABORTION DILAT&EVAC,,,268.33,3780.06,22
CPT,59850,INDUCED ABORTION 1+ NJX,,,292.51,444.21,19
CPT,59851,INDUCED ABORTION 1+NJX D&C,,,300.11,485.08,19
CPT,59852,INDUCED ABORTION 1+NJX HYST,,,421.26,664.9,19
CPT,59855,INDUCED ABORTION 1+VAG SUPP,,,312.24,480.53,19
CPT,59856,INDUCED AB 1+VAG SUPP D&C,,,369.12,562.64,19
CPT,59857,INDUCED AB 1+VAG SUPP HYST,,,441.7,655.25,19
CPT,59866,ABORTION (MPR),,,213.93,267.41,5
CPT,59866,HC MULTIFETAL PREGNANCY REDUCTION,1089.35,544.68,208.61,980.42,69
CPT,59870,EVACUATE MOLE OF UTERUS,,,350.32,3780.06,21
CPT,59871,REMOVE CERCLAGE SUTURE,,,101.99,3780.06,22
CPT,59897,HC POTASSIUM CHLORIDE FETAL PROCEDURE,1294.35,647.18,195.16,1164.92,70
CPT,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,314.06,6936.32,6
CPT,59899,HC BAKRI/JADA PLACEMENT UTERINE,4425.0,2212.5,195.16,3982.5,70
CPT,59899,UNLISTED PX MAT CARE&DLVR,,,1293.3,1293.3,1
CPT,60000,I&D THYROGLSSL DUX CST INFCT,,,106.51,1761.06,20
CPT,60100,BIOPSY OF THYROID,,,64.77,87.6,14
CPT,60100,HC BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,756.75,378.38,144.92,836.48,70
CPT,60200,REMOVE THYROID LESION,,,479.95,6936.32,21
CPT,60210,PARTIAL THYROID EXCISION,,,514.39,6936.32,20
CPT,60212,PARTIAL THYROID EXCISION,,,739.39,6936.32,20
CPT,60220,PARTIAL REMOVAL OF THYROID,,,564.03,6936.32,23
CPT,60225,PARTIAL REMOVAL OF THYROID,,,677.67,6936.32,20
CPT,60240,REMOVAL OF THYROID,,,718.89,6936.32,24
CPT,60252,REMOVAL OF THYROID,,,970.78,7032.98,21
CPT,60254,EXTENSIVE THYROID SURGERY,,,1251.15,1903.6,19
CPT,60260,REPEAT THYROID SURGERY,,,810.56,7032.98,20
CPT,60270,REMOVAL OF THYROID,,,1021.61,1553.35,19
CPT,60271,REMOVAL OF THYROID,,,783.09,7032.98,21
CPT,60280,REMOVE THYROID DUCT LESION,,,321.75,6936.32,20
CPT,60281,REMOVE THYROID DUCT LESION,,,430.73,6936.32,20
CPT,60300,ASPIR/INJ THYROID CYST,,,39.91,55.76,14
CPT,60300,HC ASPIRATION/INJECT CYST THYROID (SP),588.6,294.3,112.72,836.48,70
CPT,60300,HC ER ASPIRATION/INJECT CYST THYROID,588.6,294.3,75.38,836.48,72
CPT,60500,EXPLORE PARATHYROID GLANDS,,,745.31,7032.98,24
CPT,60502,RE-EXPLORE PARATHYROIDS,,,935.63,7032.98,19
CPT,60505,EXPLORE PARATHYROID GLANDS,,,1027.39,1607.61,19
CPT,60512,AUTOTRANSPLANT PARATHYROID,,,183.06,273.1,19
CPT,60520,REMOVAL OF THYMUS GLAND,,,767.71,7032.98,20
CPT,60521,REMOVAL OF THYMUS GLAND,,,880.75,1268.2,19
CPT,60522,REMOVAL OF THYMUS GLAND,,,1062.7,1533.25,19
CPT,60540,EXPLORE ADRENAL GLAND,,,809.39,1231.99,19
CPT,60545,EXPLORE ADRENAL GLAND,,,921.64,1417.21,19
CPT,60600,REMOVE CAROTID BODY LESION,,,1072.15,1526.09,19
CPT,60605,REMOVE CAROTID BODY LESION,,,1349.19,1822.48,19
CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,902.85,2519.66,20
CPT,60659,UNLISTED LAPS PX ENDOC SYS,,,879.37,6936.32,6
CPT,60660,ABLTJ 1/+THYR NDUL 1LOBE PRQ,,,289.4,361.75,5
CPT,60660,"HC ABLATE 1+ THYROID NODULE, 1 LOBE/ISTHMUS PERQ RADIO FREQ",4623.0,2311.5,885.3,4160.7,69
CPT,60661,ABLTJ 1/+THYR NDUL ADDL PRQ,,,200.8,251.0,5
CPT,60661,"HC ABLATE 1+ THYROID NODULE, ADD'L LOBE/ISTHMUS PERQ RADIO FREQ",2311.0,1155.5,370.41,2079.9,69
CPT,60699,UNLISTED PX ENDOCRINE SYSTEM,,,879.37,6936.32,6
CPT,61000,REMOVE CRANIAL CAVITY FLUID,,,81.89,879.37,20
CPT,61001,REMOVE CRANIAL CAVITY FLUID,,,80.03,879.37,20
CPT,61020,HC ER PUNCTURE VENTRICULAR W/O INJ,2037.0,1018.5,75.38,1833.3,72
CPT,61020,HC VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,2037.0,1018.5,390.09,1833.3,70
CPT,61020,REMOVE BRAIN CAVITY FLUID,,,94.99,119.28,14
CPT,61026,INJECTION INTO BRAIN CANAL,,,95.21,879.37,20
CPT,61050,REMOVE BRAIN CANAL FLUID,,,74.53,879.37,20
CPT,61055,INJECTION INTO BRAIN CANAL,,,105.1,350.94,20
CPT,61070,BRAIN CANAL SHUNT PROCEDURE,,,51.4,216.12,16
CPT,61070,HC BRAIN SHUNT TUBE/RESERV INJECTN,1167.45,583.73,223.57,1050.71,69
CPT,61070,HC ER PUNCTURE ASP/INJ SHUNT TUBE,1167.45,583.73,75.38,1050.71,72
CPT,61105,TDH SDRL/VENTR PNXR,,,313.12,532.57,19
CPT,61107,HC ER PUNCTURE VENTRIC TWIST DRILL,1436.85,718.43,75.38,1293.17,72
CPT,61107,HC TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,1436.85,718.43,275.16,1293.17,69
CPT,61107,TDH PNXR IMPLT VENTR CATH,,,234.13,347.06,14
CPT,61108,TDH PNXR EVAC&/DRG SDRL HMTA,,,623.38,1031.85,19
CPT,61120,BURR HOLE FOR VENTR PUNCTURE,,,511.15,854.93,19
CPT,61140,BURR HOLE/TREPH BX BRAIN/LES,,,887.97,1441.1,19
CPT,61150,BUR HOL/TRPH DRG BRN ABS/CST,,,951.05,1526.65,19
CPT,61151,BURR HOLE/TREPH SBSQ TAPPING,,,688.22,1126.64,19
CPT,61154,BURR HOLE W/EVAC&/DRG HMTMA,,,889.29,1449.23,19
CPT,61156,BURR HOL ASPIR HMTM/CST ICER,,,887.34,1402.68,19
CPT,61210,BURR HOLE IMPLT VENTR CATH,,,273.35,406.8,19
CPT,61215,INS SUBQ RSVR PMP/NFS SYS,,,340.23,7613.64,20
CPT,61250,BURR HOLE/TREPH STTL EXPL,,,598.79,987.03,19
CPT,61253,BURR HOLE TREPH ITTL UNI/BI,,,660.88,1126.64,19
CPT,61304,CRNEC/CRNOT EXPL SUPRATNTORL,,,1171.89,1850.34,19
CPT,61305,CRNEC/CRNOT EXPL INFRATNTORL,,,1413.5,2258.76,19
CPT,61312,CRNEC/CRNOT STTL XDRL/SDRL,,,1467.26,2326.74,19
CPT,61313,CRNEC/CRNOT STTL ICERE,,,1401.2,2238.09,19
CPT,61314,CRNEC/CRNOT ITTL XDRL/SDRL,,,1296.79,2059.64,19
CPT,61315,CRNEC/CRNOT ITTL NTRACEREBLR,,,1476.6,2326.78,19
CPT,61316,INC&SUBQ PLMT CRNL BONE GRF,,,64.42,97.26,19
CPT,61320,CRNEC/CRNOT DRG ICR ABS STTL,,,1365.58,2135.59,19
CPT,61321,CRNEC/CRNOT DRG ICR ABS ITTL,,,1497.51,2390.6,19
CPT,61322,CRNEC/CRNOT DCMPRV W/O LOBEC,,,1662.97,2678.23,19
CPT,61323,CRNEC/CRNOT DCMPRV W/LOBEC,,,1692.43,2666.3,19
CPT,61330,DCMPRN ORBIT ONLY TRANSCRNL,,,1161.58,3855.6,20
CPT,61333,EXPL ORBIT W/REMOVAL LESION,,,1359.69,2268.39,19
CPT,61340,SUBTEMPORAL CRANIAL DCMPRN,,,1016.36,1628.17,19
CPT,61343,CRNEC SOPL CRV LAM DCMPRN,,,1571.94,2466.02,19
CPT,61345,OTH CRANIAL DCMPRN PST FOSSA,,,1454.32,2300.58,19
CPT,61450,CRNEC STPL SCTJ CMPRN/DCMPRN,,,1349.43,2160.71,19
CPT,61458,CRNEC SOPL XPL/DCMPR CRL NRV,,,1437.86,2271.94,19
CPT,61460,CRNEC SOPL SCTJ 1+CRNL NRV,,,1458.98,2370.51,19
CPT,61500,CRNEC EXC TUM/BONE LES SKULL,,,961.58,1475.5,19
CPT,61501,CRANIECTOMY F/OSTEOMYELITIS,,,823.95,1292.1,19
CPT,61510,CRNEC TREPH EXC BRN TUM STTL,,,1550.18,2483.34,19
CPT,61512,CRNEC TREPH EXC MNGIOMA STTL,,,1831.65,2868.34,19
CPT,61514,CRNEC TREPH EXC BRN ABS STTL,,,1358.79,2160.7,19
CPT,61516,CRNEC TREPH EXC CYST STTL,,,1325.69,2108.41,19
CPT,61517,IMPLT BRN INTRCV CHEMOTX AGT,,,64.39,96.85,19
CPT,61518,REMOVAL OF BRAIN LESION,,,1970.69,3113.09,19
CPT,61519,REMOVE BRAIN LINING LESION,,,2123.23,3305.64,19
CPT,61520,REMOVAL OF BRAIN LESION,,,2716.35,4190.0,19
CPT,61521,REMOVAL OF BRAIN LESION,,,2282.12,3551.38,19
CPT,61522,REMOVAL OF BRAIN ABSCESS,,,1564.12,2461.56,19
CPT,61524,REMOVAL OF BRAIN LESION,,,1476.86,2346.23,19
CPT,61526,REMOVAL OF BRAIN LESION,,,2469.6,3781.13,19
CPT,61530,REMOVAL OF BRAIN LESION,,,2097.04,3440.9,19
CPT,61531,IMPLANT BRAIN ELECTRODES,,,854.04,1393.04,19
CPT,61533,IMPLANT BRAIN ELECTRODES,,,1079.9,1725.14,19
CPT,61534,REMOVAL OF BRAIN LESION,,,1163.06,1865.51,19
CPT,61535,REMOVE BRAIN ELECTRODES,,,694.87,1144.53,19
CPT,61536,REMOVAL OF BRAIN LESION,,,1856.49,2893.71,19
CPT,61537,REMOVAL OF BRAIN TISSUE,,,1712.52,2755.1,19
CPT,61538,REMOVAL OF BRAIN TISSUE,,,1836.55,2981.58,19
CPT,61539,REMOVAL OF BRAIN TISSUE,,,1680.84,2653.0,19
CPT,61540,REMOVAL OF BRAIN TISSUE,,,1575.62,2447.53,19
CPT,61541,INCISION OF BRAIN TISSUE,,,1513.55,2420.25,19
CPT,61543,REMOVAL OF BRAIN TISSUE,,,1534.19,2446.26,19
CPT,61544,REMOVE & TREAT BRAIN LESION,,,1268.77,2137.61,19
CPT,61545,EXCISION OF BRAIN TUMOR,,,2260.58,3577.0,19
CPT,61546,REMOVAL OF PITUITARY GLAND,,,1637.93,2594.81,19
CPT,61548,REMOVAL OF PITUITARY GLAND,,,1111.98,1774.28,19
CPT,61550,RELEASE OF SKULL SEAMS,,,728.87,1362.34,19
CPT,61552,RELEASE OF SKULL SEAMS,,,957.34,1683.55,19
CPT,61556,INCISE SKULL/SUTURES,,,1168.36,1928.56,19
CPT,61557,INCISE SKULL/SUTURES,,,1199.7,1907.73,19
CPT,61558,EXCISION OF SKULL/SUTURES,,,1238.74,2123.97,19
CPT,61559,EXCISION OF SKULL/SUTURES,,,1717.86,2703.35,19
CPT,61563,EXCISION OF SKULL TUMOR,,,1382.64,2231.78,19
CPT,61564,EXCISION OF SKULL TUMOR,,,1730.38,2706.83,19
CPT,61566,REMOVAL OF BRAIN TISSUE,,,1597.35,2518.51,19
CPT,61567,INCISION OF BRAIN TISSUE,,,1797.44,2869.1,19
CPT,61570,REMOVE FOREIGN BODY BRAIN,,,1306.74,2109.78,19
CPT,61571,INCISE SKULL FOR BRAIN WOUND,,,1418.87,2243.81,19
CPT,61575,SKULL BASE/BRAINSTEM SURGERY,,,1694.89,2812.56,19
CPT,61576,SKULL BASE/BRAINSTEM SURGERY,,,2702.84,4691.87,19
CPT,61580,CRANIOFACIAL APPROACH SKULL,,,1772.68,2825.84,19
CPT,61581,CRANIOFACIAL APPROACH SKULL,,,1990.74,3088.69,19
CPT,61582,CRANIOFACIAL APPROACH SKULL,,,2033.12,3410.1,19
CPT,61583,CRANIOFACIAL APPROACH SKULL,,,2063.13,3288.15,19
CPT,61584,ORBITOCRANIAL APPROACH/SKULL,,,2009.4,3227.79,19
CPT,61585,ORBITOCRANIAL APPROACH/SKULL,,,2134.32,3656.48,19
CPT,61586,RESECT NASOPHARYNX SKULL,,,1530.76,2822.24,19
CPT,61590,INFRATEMPORAL APPROACH/SKULL,,,2263.24,3433.48,19
CPT,61591,INFRATEMPORAL APPROACH/SKULL,,,2278.63,3500.31,19
CPT,61592,ORBITOCRANIAL APPROACH/SKULL,,,2263.45,3541.98,19
CPT,61595,TRANSTEMPORAL APPROACH/SKULL,,,1708.48,2708.38,19
CPT,61596,TRANSCOCHLEAR APPROACH/SKULL,,,1882.71,2789.63,19
CPT,61597,TRANSCONDYLAR APPROACH/SKULL,,,2055.71,3279.65,19
CPT,61598,TRANSPETROSAL APPROACH/SKULL,,,1823.44,3187.74,19
CPT,61600,RESECT/EXCISE CRANIAL LESION,,,1537.76,2402.5,19
CPT,61601,RESECT/EXCISE CRANIAL LESION,,,1677.18,2711.48,19
CPT,61605,RESECT/EXCISE CRANIAL LESION,,,1612.17,2481.53,19
CPT,61606,RESECT/EXCISE CRANIAL LESION,,,2155.79,3272.2,19
CPT,61607,RESECT/EXCISE CRANIAL LESION,,,2002.77,3394.58,19
CPT,61608,RESECT/EXCISE CRANIAL LESION,,,2326.01,3661.88,19
CPT,61611,TRANSECT ARTERY SINUS,,,348.75,517.64,19
CPT,61613,REMOVE ANEURYSM SINUS,,,2262.01,3668.8,19
CPT,61615,RESECT/EXCISE LESION SKULL,,,1788.81,3146.26,19
CPT,61616,RESECT/EXCISE LESION SKULL,,,2348.57,3728.8,19
CPT,61618,REPAIR DURA,,,928.42,1466.8,19
CPT,61619,REPAIR DURA,,,1071.54,1624.38,19
CPT,61623,EVASC TEMP BALO ARTL OCC H/N,,,374.03,13482.52,20
CPT,61624,HC PERM OCCLUSION/EMBOLIZATION PERCUT CNS,6681.55,3340.78,1064.06,6013.4,69
CPT,61624,TCAT PERM OCCLS/EMBOLJ CNS,,,862.35,1303.99,14
CPT,61626,HC PERCUT CATH OCCLUSN NON CNS LESN,6121.4,3060.7,1172.25,13482.52,69
CPT,61626,TCAT PERM OCCLS/EMBOL NONCNS,,,702.92,1022.66,14
CPT,61630,BALO ANGIOPLASTY ICR PERQ,,,1228.9,1536.13,5
CPT,61630,HC INTRACRANIAL BALLOON ANGIOPLASTY,9821.25,4910.63,1253.48,8839.13,69
CPT,61635,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,18090.1,9045.05,1371.39,16281.09,69
CPT,61635,INTRACRAN ANGIOPLSTY W/STENT,,,1344.5,1680.63,5
CPT,61640,HC DILATATION INTRACRANIAL SPASM,13912.4,6956.2,443.56,12521.16,69
CPT,61641,DILAT IC VSPSM EA VSL SM TER,,,155.81,190.94,5
CPT,61642,DILAT IC VSPSM EA DIFF TER,,,311.61,381.88,5
CPT,61645,HC PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL,18270.35,9135.18,776.13,16443.32,69
CPT,61645,PERQ ART M-THROMBECT &/NFS,,,664.3,951.14,14
CPT,61650,EVASC PRLNG ADMN RX AGNT 1ST,,,453.73,654.96,14
CPT,61650,HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST,16793.1,8396.55,534.45,15113.79,69
CPT,61651,EVASC PRLNG ADMN RX AGNT ADD,,,193.21,279.6,14
CPT,61651,HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL,6969.75,3484.88,228.16,6272.78,69
CPT,61680,INTRACRANIAL VESSEL SURGERY,,,1619.98,2539.85,19
CPT,61682,INTRACRANIAL VESSEL SURGERY,,,3049.41,4626.88,19
CPT,61684,INTRACRANIAL VESSEL SURGERY,,,2028.55,3188.84,19
CPT,61686,INTRACRANIAL VESSEL SURGERY,,,3263.71,5015.87,19
CPT,61690,INTRACRANIAL VESSEL SURGERY,,,1541.89,2456.35,19
CPT,61692,INTRACRANIAL VESSEL SURGERY,,,2636.12,4079.86,19
CPT,61697,BRAIN ANEURYSM REPR COMPLX,,,2983.73,4715.94,19
CPT,61698,BRAIN ANEURYSM REPR COMPLX,,,3213.48,5164.05,19
CPT,61700,BRAIN ANEURYSM REPR SIMPLE,,,2489.96,3818.25,19
CPT,61702,INNER SKULL VESSEL SURGERY,,,2795.33,4494.39,19
CPT,61703,CLAMP NECK ARTERY,,,954.24,1539.61,19
CPT,61705,REVISE CIRCULATION TO HEAD,,,1834.89,2920.49,19
CPT,61708,REVISE CIRCULATION TO HEAD,,,1594.8,2857.68,19
CPT,61710,REVISE CIRCULATION TO HEAD,,,1445.72,2412.23,19
CPT,61711,FUSION OF SKULL ARTERIES,,,1868.67,2927.19,19
CPT,61715,MRGFUS STRTCTC ABLT TRGT ICR,,,1074.08,14825.64,10
CPT,61720,INCISE SKULL/BRAIN SURGERY,,,834.89,7613.64,19
CPT,61735,INCISE SKULL/BRAIN SURGERY,,,1026.52,1802.8,19
CPT,61736,LITT ICR 1 TRAJ 1 SMPL LES,,,1091.32,1364.15,10
CPT,61737,LITT ICR MLT TRJ MLT/CPLX LS,,,1295.0,1618.75,10
CPT,61750,INCISE SKULL/BRAIN BIOPSY,,,998.31,1592.49,19
CPT,61751,BRAIN BIOPSY W/CT/MR GUIDE,,,971.79,1571.83,19
CPT,61760,IMPLANT BRAIN ELECTRODES,,,1099.69,1790.08,19
CPT,61770,INCISE SKULL FOR TREATMENT,,,1087.29,7613.64,19
CPT,61781,SCAN PROC CRANIAL INTRA,,,187.77,397.0,20
CPT,61782,SCAN PROC CRANIAL EXTRA,,,155.48,197.91,19
CPT,61783,SCAN PROC SPINAL,,,187.77,258.04,19
CPT,61790,TREAT TRIGEMINAL NERVE,,,603.59,2321.6,20
CPT,61791,TREAT TRIGEMINAL TRACT,,,782.26,2321.6,20
CPT,61796,SRS CRANIAL LESION SIMPLE,,,568.59,1155.79,19
CPT,61797,SRS CRAN LES SIMPLE ADDL,,,156.55,242.81,19
CPT,61798,SRS CRANIAL LESION COMPLEX,,,568.59,1558.99,19
CPT,61799,SRS CRAN LES COMPLEX ADDL,,,216.41,335.18,19
CPT,61800,APPLY SRS HEADFRAME ADD-ON,,,110.03,166.47,19
CPT,61850,IMPLANT NEUROELECTRODES,,,693.86,1119.06,19
CPT,61860,IMPLANT NEUROELECTRODES,,,1107.55,1763.48,19
CPT,61863,IMPLANT NEUROELECTRODE,,,1073.12,1703.06,19
CPT,61864,IMPLANT NEUROELECTRDE ADDL,,,250.71,313.39,19
CPT,61867,IMPLANT NEUROELECTRODE,,,1586.16,2564.04,19
CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,436.79,552.21,19
CPT,61880,REVISE/REMOVE NEUROELECTRODE,,,386.2,4088.55,20
CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,445.59,36363.0,20
CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,562.85,36229.29,20
CPT,61888,REVISE/REMOVE NEURORECEIVER,,,282.65,14825.64,20
CPT,61889,INS SK-MNT CRNL NSTM PG/RCVR,,,1020.64,1460.36,19
CPT,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,482.56,25494.7,19
CPT,61892,RMV SK-MNT CRNL NSTM PG/RCVR,,,667.15,3857.44,19
CPT,62000,TREAT SKULL FRACTURE,,,627.73,3855.6,20
CPT,62005,TREAT SKULL FRACTURE,,,881.63,1440.46,19
CPT,62010,TREATMENT OF HEAD INJURY,,,1076.8,1737.62,19
CPT,62100,REPAIR BRAIN FLUID LEAKAGE,,,1147.7,1781.09,19
CPT,62115,REDUCTION OF SKULL DEFECT,,,1024.7,1909.6,19
CPT,62117,REDUCTION OF SKULL DEFECT,,,1365.12,2210.22,19
CPT,62120,REPAIR SKULL CAVITY LESION,,,1293.43,2332.2,19
CPT,62121,INCISE SKULL REPAIR,,,1182.47,1763.67,19
CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,744.72,1163.05,19
CPT,62141,CRNOP SKULL DEFECT>5 CM DIAM,,,818.07,1299.11,19
CPT,62142,RMVL B1 FLP/PROSTC PLATE SKL,,,622.53,1018.04,19
CPT,62143,RPL B1 FLP/PROSTC PLATE SKL,,,729.86,1187.09,19
CPT,62145,REPAIR OF SKULL & BRAIN,,,1001.68,1585.14,19
CPT,62146,CRNOP W/AUTOGRAFT<5 CM DIAM,,,859.54,1415.64,19
CPT,62147,CRNOP W/AUTOGRAFT>5 CM DIAM,,,1021.09,1615.51,19
CPT,62148,RETR BONE FLAP TO FIX SKULL,,,92.07,139.61,19
CPT,62160,NEUROENDOSCOPY ADD-ON,,,141.03,208.66,19
CPT,62161,DISSECT BRAIN W/SCOPE,,,1076.74,1721.92,19
CPT,62162,REMOVE COLLOID CYST W/SCOPE,,,1339.58,2130.61,19
CPT,62164,REMOVE BRAIN TUMOR W/SCOPE,,,1429.59,2363.23,19
CPT,62165,REMOVE PITUIT TUMOR W/SCOPE,,,1109.7,1724.51,19
CPT,62180,ESTABLISH BRAIN CAVITY SHUNT,,,1128.64,1806.39,14
CPT,62180,HC ER VENTRICULOCISTERNOSTOMY,5740.1,2870.05,75.38,5166.09,72
CPT,62190,ESTABLISH BRAIN CAVITY SHUNT,,,640.87,1058.85,19
CPT,62192,ESTABLISH BRAIN CAVITY SHUNT,,,683.85,1126.88,19
CPT,62194,REPLACE/IRRIGATE CATHETER,,,279.51,2321.6,20
CPT,62200,ESTABLISH BRAIN CAVITY SHUNT,,,975.89,1556.29,19
CPT,62201,BRAIN CAVITY SHUNT W/SCOPE,,,836.5,1378.79,19
CPT,62220,ESTABLISH BRAIN CAVITY SHUNT,,,718.74,1103.65,19
CPT,62223,ESTABLISH BRAIN CAVITY SHUNT,,,736.86,1170.88,19
CPT,62225,REPLACE/IRRIGATE CATHETER,,,314.06,7613.64,20
CPT,62230,REPLACE/REVISE BRAIN SHUNT,,,593.59,7613.64,21
CPT,62252,CSF SHUNT REPROGRAM,,,34.7,356.56,38
CPT,62256,REMOVE BRAIN CAVITY SHUNT,,,410.99,697.04,19
CPT,62258,REPLACE BRAIN CAVITY SHUNT,,,798.8,1258.93,19
CPT,62263,EPIDURAL LYSIS MULT SESSIONS,,,284.54,1058.44,20
CPT,62264,EPIDURAL LYSIS ON SINGLE DAY,,,174.94,1058.44,20
CPT,62267,HC PERCUT ASPIRATION VERTEBRAL DISC,1496.65,748.33,286.61,1346.99,70
CPT,62267,INTERDISCAL PERQ ASPIR DX,,,127.31,177.4,14
CPT,62268,DRAIN SPINAL CORD CYST,,,205.57,1058.44,20
CPT,62269,NEEDLE BIOPSY SPINAL CORD,,,209.54,1926.26,20
CPT,62270,DX LMBR SPI PNXR,,,58.37,530.72,26
CPT,62270,HC ER SPINAL PUNCTURE LUMBAR DIAGNOSTIC,1687.75,843.88,75.38,1518.98,72
CPT,62270,HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC,1687.75,843.88,314.06,1518.98,70
CPT,62272,HC ER LUMBAR PUNCTURE THERAPEUTIC DRAIN CSF,1579.2,789.6,75.38,1421.28,72
CPT,62272,HC LUMBAR PUNCTURE THERAPEUTIC DRAIN CSF,1579.2,789.6,302.42,1421.28,70
CPT,62272,THER SPI PNXR DRG CSF,,,62.74,104.66,14
CPT,62273,HC ER INJECTION EPIDURAL BLOOD/CLOT PATCH,2298.25,1149.13,75.38,2068.43,72
CPT,62273,HC INJECTION EPIDURAL BLOOD/CLOT PATCH,2298.25,1149.13,314.06,2068.43,70
CPT,62273,INJECT EPIDURAL PATCH,,,85.15,930.0,25
CPT,62280,TREAT SPINAL CORD LESION,,,116.07,1058.44,20
CPT,62281,HC INJECT/INFUSE NEUROLYTIC SUBS EPIDU CERV/THORA,5253.05,2626.53,863.69,4727.75,70
CPT,62281,TREAT SPINAL CORD LESION,,,112.06,181.29,14
CPT,62282,TREAT SPINAL CANAL LESION,,,103.1,1058.44,20
CPT,62284,HC INJECTION FOR MYELOGRAM/CT LUMBAR,2720.9,1360.45,170.42,2448.81,70
CPT,62284,INJECTION FOR MYELOGRAM,,,69.77,95.4,14
CPT,62287,DCMPRN PQ NUC PUL 1/MLT LMBR,,,411.18,2321.6,20
CPT,62290,HC LUMBAR DISKOGRAM,2213.85,1106.93,314.1,1992.47,70
CPT,62290,NJX PX DISCOGRAPHY LUMBAR,,,130.11,181.25,14
CPT,62291,NJX PX DISCOGRAPHY CRV/THRC,,,125.73,879.37,20
CPT,62292,NJX CHEMONUCLEOLYSIS LMBR,,,372.45,2321.6,19
CPT,62294,INJECTION INTO SPINAL ARTERY,,,594.36,1083.71,20
CPT,62302,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,4231.5,2115.75,197.01,3808.35,70
CPT,62302,MYELOGRAPHY LUMBAR INJECTION,,,104.83,136.8,14
CPT,62303,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,4419.7,2209.85,204.55,3977.73,70
CPT,62303,MYELOGRAPHY LUMBAR INJECTION,,,106.26,136.8,14
CPT,62304,HC MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,4168.2,2084.1,194.1,3751.38,70
CPT,62304,MYELOGRAPHY LUMBAR INJECTION,,,103.03,134.81,14
CPT,62305,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,4898.2,2449.1,211.7,4408.38,70
CPT,62305,MYELOGRAPHY LUMBAR INJECTION,,,107.53,140.63,14
CPT,62318,Anesthesiologist,,,805.22,805.22,2
CPT,62320,HC ER NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,3251.85,1625.93,75.38,2926.67,72
CPT,62320,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,3251.85,1625.93,136.01,2926.67,70
CPT,62320,NJX INTERLAMINAR CRV/THRC,,,86.96,226.23,25
CPT,62321,HC ER NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,5577.4,2788.7,75.38,5019.66,72
CPT,62321,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,5577.4,2788.7,200.93,5019.66,70
CPT,62321,NJX INTERLAMINAR CRV/THRC,,,93.77,334.61,26
CPT,62322,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,2354.45,1177.23,126.71,2119.01,70
CPT,62322,NJX INTERLAMINAR LMBR/SAC,,,72.45,210.8,22
CPT,62323,HC INJ EPI SUBAR LUM/SAC W/IMAGE,4415.95,2207.98,197.23,3974.36,70
CPT,62323,NJX INTERLAMINAR LMBR/SAC,,,85.65,328.41,22
CPT,62324,HC INJECT SPINE W CATH C/T,2853.55,1426.78,119.28,2568.2,70
CPT,62324,NJX INTERLAMINAR CRV/THRC,,,79.56,198.28,22
CPT,62325,NJX INTERLAMINAR CRV/THRC,,,91.47,1058.44,28
CPT,62326,HC INJECT SPINE W CATH L/S,2853.55,1426.78,125.11,2568.2,70
CPT,62326,NJX INTERLAMINAR LMBR/SAC,,,78.07,208.03,22
CPT,62327,NJX INTERLAMINAR LMBR/SAC,,,83.09,1058.44,28
CPT,62328,DX LMBR SPI PNXR W/FLUOR/CT,,,76.64,300.47,15
CPT,62328,HC LP W FLUORO/CT  DIAGNOSTIC,2593.8,1296.9,86.06,2334.42,70
CPT,62329,HC LP W FLUORO THERA CSF DRAIN,2532.6,1266.3,289.29,2279.34,70
CPT,62329,THER SPI PNXR CSF FLUOR/CT,,,95.51,119.45,14
CPT,62350,IMPLANT SPINAL CANAL CATH,,,287.47,7613.64,20
CPT,62351,IMPLANT SPINAL CANAL CATH,,,603.66,8493.0,20
CPT,62355,REMOVE SPINAL CANAL CATHETER,,,215.28,2321.6,20
CPT,62360,INSERT SPINE INFUSION DEVICE,,,207.3,21012.32,20
CPT,62361,IMPLANT SPINE INFUSION PUMP,,,285.42,21012.32,20
CPT,62362,HC IMPLANT/REPLACE PROGRAMMABLE SPINAL CANAL DRUG INFUSION PUMP,21117.1,10558.55,1432.11,21012.32,70
CPT,62362,IMPLANT SPINE INFUSION PUMP,,,301.56,442.6,14
CPT,62365,HC ER INTRATHECAL PUMP REMOVAL,14333.25,7166.63,75.38,12899.93,72
CPT,62365,REMOVE SPINE INFUSION DEVICE,,,237.86,342.5,14
CPT,62367,ANALYZE SPINE INFUS PUMP,,,5.17,82.55,24
CPT,62367,HC PUMP ANALYSIS W/O REPROGRAM,1411.85,705.93,270.37,1270.67,69
CPT,62368,ANALYZE SP INF PUMP W/REPROG,,,7.22,112.76,25
CPT,62368,HC PUMP ANALYSIS W REPROGRAM,1648.6,824.3,290.95,1483.74,69
CPT,62369,ANAL SP INF PMP W/REPRG&FILL,,,20.07,194.34,18
CPT,62369,HC PUMP REFILL/ANALYZE/REPROGRAM,2923.6,1461.8,290.95,2631.24,69
CPT,62370,ANL SP INF PMP W/MDREPRG&FIL,,,26.86,151.34,18
CPT,62370,HC PUMP REFILL/ANALYZE/REPROGRAM MD,2657.85,1328.93,39.05,2392.07,70
CPT,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,411.18,8493.0,15
CPT,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,879.39,8493.0,20
CPT,63003,REMOVE SPINE LAMINA 1/2 THRC,,,884.8,8493.0,20
CPT,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,839.17,8493.0,20
CPT,63011,REMOVE SPINE LAMINA 1/2 SCRL,,,793.85,8493.0,20
CPT,63012,REMOVE LAMINA/FACETS LUMBAR,,,854.04,8493.0,20
CPT,63015,REMOVE SPINE LAMINA >2 CRVCL,,,1055.84,8493.0,20
CPT,63016,REMOVE SPINE LAMINA >2 THRC,,,1086.91,8493.0,20
CPT,63017,REMOVE SPINE LAMINA >2 LMBR,,,885.11,8493.0,20
CPT,63020,LAMOT DCMPRN NRV RT 1 CERV,,,837.07,8493.0,20
CPT,63030,LAMOT DCMPRN NRV RT 1 LMBR,,,694.91,8493.0,20
CPT,63035,LAMOT DCMPRN NRV RT EA ADDL,,,148.46,1695.94,20
CPT,63040,LAMINOTOMY SINGLE CERVICAL,,,1018.15,8493.0,20
CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,952.82,8493.0,20
CPT,63043,LAMINOTOMY ADDL CERVICAL,,,228.38,367.38,14
CPT,63044,LAMINOTOMY ADDL LUMBAR,,,215.34,346.41,14
CPT,63045,LAM FACETEC & FORAMOT CRV,,,910.04,8493.0,20
CPT,63046,LAM FACETEC & FORAMOT THRC,,,870.0,8493.0,20
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,793.25,8493.0,20
CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,159.88,235.78,19
CPT,63050,CERVICAL LAMINOPLSTY 2/> SEG,,,857.86,1691.69,19
CPT,63051,C-LAMINOPLASTY W/GRAFT/PLATE,,,954.85,1922.66,19
CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,231.34,1122.69,11
CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,205.16,256.45,10
CPT,63055,DECOMPRESS SPINAL CORD THRC,,,1172.04,8493.0,20
CPT,63056,DECOMPRESS SPINAL CORD LMBR,,,1082.51,8493.0,20
CPT,63057,DECOMPRESS SPINE CORD ADD-ON,,,244.85,359.52,19
CPT,63064,DECOMPRESS SPINAL CORD THRC,,,1282.67,8493.0,20
CPT,63066,DECOMPRESS SPINE CORD ADD-ON,,,150.99,227.64,19
CPT,63075,NECK SPINE DISK SURGERY,,,999.64,8493.0,20
CPT,63076,NECK SPINE DISK SURGERY,,,188.99,273.24,19
CPT,63077,SPINE DISK SURGERY THORAX,,,1098.6,1675.94,19
CPT,63078,SPINE DISK SURGERY THORAX,,,150.47,229.1,19
CPT,63081,REMOVE VERT BODY DCMPRN CRVL,,,1285.68,1996.69,19
CPT,63082,REMOVE VERTEBRAL BODY ADD-ON,,,204.02,297.11,19
CPT,63085,REMOVE VERT BODY DCMPRN THRC,,,1377.16,2183.19,19
CPT,63086,REMOVE VERTEBRAL BODY ADD-ON,,,145.01,213.53,19
CPT,63087,REMOV VERTBR DCMPRN THRCLMBR,,,1758.4,2742.39,19
CPT,63088,REMOVE VERTEBRAL BODY ADD-ON,,,198.41,288.8,19
CPT,63090,REMOVE VERT BODY DCMPRN LMBR,,,1439.31,2209.58,19
CPT,63091,REMOVE VERTEBRAL BODY ADD-ON,,,136.38,196.93,19
CPT,63101,REMOVE VERT BODY DCMPRN THRC,,,1645.93,2621.02,19
CPT,63102,REMOVE VERT BODY DCMPRN LMBR,,,1639.22,2600.11,19
CPT,63103,REMOVE VERTEBRAL BODY ADD-ON,,,217.76,327.65,19
CPT,63170,INCISE SPINAL CORD TRACT(S),,,1101.65,1802.85,19
CPT,63172,DRAINAGE OF SPINAL CYST,,,991.51,1599.77,19
CPT,63173,DRAINAGE OF SPINAL CYST,,,1222.2,1949.07,19
CPT,63185,INCISE SPINE NRV HALF SEGMNT,,,811.17,1396.06,19
CPT,63190,INCISE SPINE NRV >2 SEGMNTS,,,932.39,1425.82,19
CPT,63191,INCISE SPINE ACCESSORY NERVE,,,891.67,1566.03,19
CPT,63197,LAM W/CORDOTOMY 1STG THRC,,,1202.95,1933.77,19
CPT,63200,RELEASE SPINAL CORD LUMBAR,,,1075.79,1750.74,19
CPT,63250,REVISE SPINAL CORD VSLS CRVL,,,2090.97,3322.8,19
CPT,63251,REVISE SPINAL CORD VSLS THRC,,,2168.77,3397.98,19
CPT,63252,REVISE SPINE CORD VSL THRLMB,,,2170.37,3397.58,19
CPT,63265,EXCISE INTRASPINL LESION CRV,,,1191.39,8493.0,19
CPT,63266,EXCISE INTRSPINL LESION THRC,,,1225.11,8493.0,19
CPT,63267,EXCISE INTRSPINL LESION LMBR,,,986.11,8493.0,19
CPT,63268,EXCISE INTRSPINL LESION SCRL,,,990.59,8493.0,19
CPT,63270,EXCISE INTRSPINL LESION CRVL,,,1467.16,2339.91,19
CPT,63271,EXCISE INTRSPINL LESION THRC,,,1475.96,2339.28,19
CPT,63272,EXCISE INTRSPINL LESION LMBR,,,1359.6,2134.16,19
CPT,63273,EXCISE INTRSPINL LESION SCRL,,,1284.76,2107.51,19
CPT,63275,BX/EXC XDRL SPINE LESN CRVL,,,1280.05,2033.28,19
CPT,63276,BX/EXC XDRL SPINE LESN THRC,,,1275.2,2020.4,19
CPT,63277,BX/EXC XDRL SPINE LESN LMBR,,,1119.11,1772.41,19
CPT,63278,BX/EXC XDRL SPINE LESN SCRL,,,1095.77,1803.91,19
CPT,63280,BX/EXC IDRL SPINE LESN CRVL,,,1513.23,2383.51,19
CPT,63281,BX/EXC IDRL SPINE LESN THRC,,,1496.08,2365.23,19
CPT,63282,BX/EXC IDRL SPINE LESN LMBR,,,1411.58,2238.15,19
CPT,63283,BX/EXC IDRL SPINE LESN SCRL,,,1337.58,2149.31,19
CPT,63285,BX/EXC IDRL IMED LESN CERVL,,,1858.88,2938.26,19
CPT,63286,BX/EXC IDRL IMED LESN THRC,,,1852.04,2905.75,19
CPT,63287,BX/EXC IDRL IMED LESN THRLMB,,,1954.51,3079.45,19
CPT,63290,BX/EXC XDRL/IDRL LSN ANY LVL,,,1977.91,3131.19,19
CPT,63295,REPAIR LAMINECTOMY DEFECT,,,236.17,366.68,19
CPT,63300,REMOVE VERT XDRL BODY CRVCL,,,1320.13,2060.5,19
CPT,63301,REMOVE VERT XDRL BODY THRC,,,1482.6,2397.72,19
CPT,63302,REMOVE VERT XDRL BODY THRLMB,,,1473.14,2455.71,19
CPT,63303,REMOV VERT XDRL BDY LMBR/SAC,,,1541.31,2602.21,19
CPT,63304,REMOVE VERT IDRL BODY CRVCL,,,1633.78,2644.25,19
CPT,63305,REMOVE VERT IDRL BODY THRC,,,1669.98,2811.05,19
CPT,63306,REMOV VERT IDRL BDY THRCLMBR,,,1749.71,2763.43,19
CPT,63307,REMOV VERT IDRL BDY LMBR/SAC,,,1623.9,2704.66,19
CPT,63308,REMOVE VERTEBRAL BODY ADD-ON,,,245.32,356.12,19
CPT,63600,REMOVE SPINAL CORD LESION,,,616.86,2321.6,20
CPT,63610,STIMULATION OF SPINAL CORD,,,331.42,2321.6,20
CPT,63620,SRS SPINAL LESION,,,568.59,1275.14,19
CPT,63621,SRS SPINAL LESION ADDL,,,179.97,279.21,19
CPT,63650,HC IMPLANT NEURO ELECTRODE PERCU EPI,14383.25,7191.63,1432.11,12944.93,70
CPT,63650,IMPLANT NEUROELECTRODES,,,305.58,480.0,14
CPT,63655,IMPLANT NEUROELECTRODES,,,604.53,25494.7,20
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,,,186.97,2321.6,20
CPT,63662,REMOVE SPINE ELTRD PLATE,,,421.76,4088.55,20
CPT,63663,"HC REVISION SPINAL NEUROSTIM ELECTRODE PERC ARRAY, INCL FLUORO",14993.15,7496.58,879.37,13493.84,70
CPT,63663,REVISE SPINE ELTRD PERQ ARAY,,,283.65,519.83,14
CPT,63664,REVISE SPINE ELTRD PLATE,,,439.08,14825.64,20
CPT,63685,HC INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,15568.2,7784.1,1432.11,36229.29,70
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,291.68,389.34,14
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,,,261.17,4088.55,20
CPT,63700,REPAIR OF SPINAL HERNIATION,,,879.39,1489.5,19
CPT,63702,REPAIR OF SPINAL HERNIATION,,,988.74,1625.93,19
CPT,63704,REPAIR OF SPINAL HERNIATION,,,1102.85,1890.33,19
CPT,63706,REPAIR OF SPINAL HERNIATION,,,1283.89,2094.31,19
CPT,63707,REPAIR SPINAL FLUID LEAKAGE,,,649.11,1078.49,19
CPT,63709,REPAIR SPINAL FLUID LEAKAGE,,,789.29,1270.86,19
CPT,63710,GRAFT REPAIR OF SPINE DEFECT,,,788.23,1240.63,19
CPT,63740,INSTALL SPINAL SHUNT,,,668.03,1123.1,19
CPT,63741,INSTALL SPINAL SHUNT,,,435.56,7613.64,20
CPT,63744,REVISION OF SPINAL SHUNT,,,456.31,7613.64,20
CPT,63746,REMOVAL OF SPINAL SHUNT,,,314.06,2321.6,20
CPT,64400,HC ER NERVE BLOCK TRIGEMINAL,894.55,447.28,75.38,805.1,72
CPT,64400,HC NERVE BLOCK TRIGEMINAL,894.55,447.28,171.31,805.1,69
CPT,64400,NJX AA&/STRD TRIGEMINAL NRV,,,47.05,237.56,18
CPT,64405,HC ER INJECT NERVE BLOCK GREATER OCCIPITAL,1436.95,718.48,75.38,1293.26,72
CPT,64405,HC INJECT NERVE BLOCK GREATER OCCIPITAL,1436.95,718.48,275.18,1293.26,70
CPT,64405,NJX AA&/STRD GR OCPL NRV,,,48.02,210.73,20
CPT,64408,NJX AA&/STRD VAGUS NRV,,,41.52,350.94,19
CPT,64415,HC INJ ANES AGENT BRACHIAL PLEXUS SINGLE W/IMAGING,2782.8,1391.4,532.91,2504.52,69
CPT,64415,NJX AA&/STRD BRCH PLXS IMG,,,56.28,920.0,25
CPT,64416,NJX AA&/STRD BRCH PL NFS IMG,,,70.76,1058.44,20
CPT,64417,HC INJECT NERVE BLOCK AXILLARY NERVE W/IMAGING,2031.0,1015.5,388.94,1827.9,69
CPT,64417,NJX AA&/STRD AX NERVE IMG,,,55.74,74.81,14
CPT,64418,HC INJECT NERVE BLOCK SUPRASCAPULAR,1437.8,718.9,275.34,1294.02,69
CPT,64418,NJX AA&/STRD SPRSCAP NRV,,,51.26,64.08,14
CPT,64420,HC INJECT NERVE BLOCK INTERCOSTAL SINGLE,1738.95,869.48,333.01,1565.06,69
CPT,64420,NJX AA&/STRD NTRCOST NRV 1,,,49.81,170.6,15
CPT,64421,HC ER NERVE BLOCK INTERCOSTAL MULTIPLE,2227.0,1113.5,75.38,2004.3,72
CPT,64421,HC INJECT NERVE BLOCK INTERCOSTAL MULTIPLE,2227.0,1113.5,133.69,2004.3,70
CPT,64421,NJX AA&/STRD NTRCOST NRV EA,,,22.72,69.68,14
CPT,64425,HC INJECT NERVE BLOCK ILIOINGUINAL/ILIOHYPOGASTRIC,2000.15,1000.08,383.03,1800.14,69
CPT,64425,NJX AA&/STRD II IH NERVES,,,50.37,72.23,14
CPT,64430,HC INJECT NERVE BLOCK PUDENDAL,2461.9,1230.95,471.45,2215.71,69
CPT,64430,NJX AA&/STRD PUDENDAL NERVE,,,50.72,68.11,14
CPT,64435,HC INJECT NERVE BLOCK PARACERVICAL,828.95,414.48,158.74,823.32,69
CPT,64435,NJX AA&/STRD PARACRV NRV,,,39.94,248.94,15
CPT,64445,HC INJECT NERVE BLOCK SCIATIC NERVE SINGLE W/IMAGE,2574.6,1287.3,99.56,2317.14,70
CPT,64445,NJX AA&/STRD SCIATIC NRV IMG,,,60.95,83.34,14
CPT,64446,NJX AA&/STRD SC NRV NFS IMG,,,70.23,1058.44,19
CPT,64447,HC ER INJ NERVE BLOCK FEMORAL NERVE ONE W/IMAGE,2782.8,1391.4,75.38,2504.52,72
CPT,64447,HC INJ NERVE BLOCK FEMORAL NERVE ONE W/IMAGE,2782.8,1391.4,54.37,2504.52,70
CPT,64447,NJX AA&/STRD FEMORAL NRV IMG,,,53.81,825.0,25
CPT,64448,HC INJ NERVE BLOCK FEMORAL NERVE CONT INF W/IMAGE,3734.1,1867.05,314.06,3360.69,70
CPT,64448,NJX AA&/STRD FEM NRV NFS IMG,,,62.54,83.94,14
CPT,64449,HC INJECTION NERVE BLOCK LUMBAR PLEXUS CONT NFS CATH,3379.15,1689.58,647.11,3041.24,69
CPT,64449,NJX AA&/STRD LMBR PLEX NFS,,,60.1,75.13,14
CPT,64450,HC ER INJECT NERVE BLOCK OTHER PERIPHERAL NERVE,1265.55,632.78,75.38,1139.0,72
CPT,64450,HC INJECT NERVE BLOCK OTHR PERIPHERAL NERVE,1265.55,632.78,242.35,1139.0,70
CPT,64450,NJX AA&/STRD OTHER PN/BRANCH,,,38.35,575.0,25
CPT,64451,"HC INJ ANES/STEROID, SACROILIAC NERVE W/GUIDE",2429.55,1214.78,465.26,2186.6,69
CPT,64451,NJX AA&/STRD NRV NRVTG SI JT,,,68.08,95.08,14
CPT,64454,"HC INJ ANES/STEROID, GENICULAR NERVE W/GUIDE",2429.55,1214.78,62.28,2186.6,70
CPT,64454,NJX AA&/STRD GNCLR NRV BRNCH,,,70.1,95.45,14
CPT,64455,HC INJ ANES AGNT OR STEROID PLANTAR COMMON DIGITAL NERVE,1003.7,501.85,192.21,903.33,70
CPT,64455,NJX AA&/STRD PLTR COM DG NRV,,,31.03,124.17,15
CPT,64461,HC ER PARAVERTBRL BLOCK SNGL LVL W IMAGE GUID,2964.65,1482.33,75.38,2668.19,72
CPT,64461,HC PARAVERTBRL BLOCK SNGL LVL W GUID,2964.65,1482.33,314.06,2668.19,70
CPT,64461,PVB THORACIC SINGLE INJ SITE,,,72.03,90.04,5
CPT,64462,HC PARAVERTBRL BLOCK THORACIC 2ND & ADDL INJ SITE W GUID,2964.65,1482.33,66.46,2668.19,70
CPT,64462,PVB THORACIC 2ND+ INJ SITE,,,44.79,55.99,5
CPT,64463,PVB THORACIC CONT INFUSION,,,75.68,823.32,11
CPT,64466,"HC THORACIC FASCIAL PLANE BLOCK INJ W/IMAGING, UNI",3046.75,1523.38,115.72,2742.08,69
CPT,64466,THRC FASCIAL PLN BLK UNI NJX,,,61.33,76.66,5
CPT,64467,"HC THORACIC FASCIAL PLANE BLOCK INFUSION W/IMAGING, UNI",3163.35,1581.68,212.46,2847.02,69
CPT,64467,THRC FASCIAL PLN BLK UNI NFS,,,70.81,88.51,5
CPT,64468,"HC THORACIC FASCIAL PLANE BLOCK INJ W/IMAGING, BILAT",6093.4,3046.7,133.46,5484.06,69
CPT,64468,THRC FASCIAL PLN BLK BI NJX,,,68.24,85.3,5
CPT,64469,"HC THORACIC FASCIAL PLANE BLOCK INFUSION W/IMAGING, BILAT",6326.7,3163.35,322.97,5694.03,69
CPT,64469,THRC FASCIAL PLN BLK BI NFS,,,74.32,92.9,5
CPT,64473,"HC LOW EXTREM FASCIAL PLANE BLOCK INJ W/IMAGING, UNI",3046.75,1523.38,109.08,2742.08,69
CPT,64473,LWR XTR FSCL PLN BLK UNI NJX,,,54.83,68.54,5
CPT,64474,"HC LOW EXTREM FASCIAL PLANE BLOCK INFUSION W/IMAGING, UNI",3163.35,1581.68,209.84,2847.02,69
CPT,64474,LWR XTR FSCL PLN BLK UNI NFS,,,68.24,85.3,5
CPT,64479,HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W GUIDE 1 LEVEL,3046.75,1523.38,314.06,2742.08,70
CPT,64479,NJX AA&/STRD TFRM EPI C/T 1,,,92.9,565.47,17
CPT,64480,HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG EA ADD LEVEL,2252.45,1126.23,124.41,2027.21,69
CPT,64480,NJX AA&/STRD TFRM EPI C/T EA,,,56.97,212.43,15
CPT,64483,HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE  1 LVL,4414.95,2207.48,314.06,3973.46,70
CPT,64483,NJX AA&/STRD TFRM EPI L/S 1,,,81.67,524.77,20
CPT,64484,HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE ADD LVL,3349.4,1674.7,101.96,3014.46,69
CPT,64484,NJX AA&/STRD TFRM EPI L/S EA,,,46.95,238.33,17
CPT,64486,HC TAP BLOCK W/ OR W/OUT US GUIDANCE,3046.75,1523.38,101.67,2742.08,69
CPT,64486,TAP BLOCK UNIL BY INJECTION,,,48.46,167.97,25
CPT,64487,TAP BLOCK UNI BY INFUSION,,,55.52,231.93,19
CPT,64488,HC TAP BLOCK BILATERAL W US GUIDANCE,6093.4,3046.7,117.78,5484.06,69
CPT,64488,TAP BLOCK BI INJECTION,,,56.17,70.21,14
CPT,64489,HC TAP BLOCK BILATERAL BY CONT INF,6326.7,3163.35,307.8,5694.03,69
CPT,64489,TAP BLOCK BI BY INFUSION,,,67.54,87.41,14
CPT,64490,HC INJ FACET JOINT W GUIDE CERV/THORAC 1ST LVL,5093.3,2546.65,314.06,4583.97,70
CPT,64490,INJ PARAVERT F JNT C/T 1 LEV,,,66.34,403.55,16
CPT,64491,HC INJECT FACET JOINT W GUIDE CERV/THORAC 2ND LEVEL,3222.65,1611.33,91.23,2900.39,70
CPT,64491,INJ PARAVERT F JNT C/T 2 LEV,,,38.13,204.42,16
CPT,64492,HC INJECT FACET JOINT W/ GUIDE CERV/THORAC ADD LVL,3222.65,1611.33,91.01,2900.39,69
CPT,64492,INJ PARAVERT F JNT C/T 3 LEV,,,38.79,69.23,14
CPT,64493,HC INJECT FACET JOINT W/GUIDE LUMBAR/SAC 1ST LVL,4453.8,2226.9,314.06,4008.42,70
CPT,64493,INJ PARAVERT F JNT L/S 1 LEV,,,56.36,369.14,19
CPT,64494,HC INJECT FACET JOINT W/IMG GUIDE LUMBAR/SAC 2ND LVL,2239.75,1119.88,84.68,2015.78,69
CPT,64494,INJ PARAVERT F JNT L/S 2 LEV,,,32.61,133.52,18
CPT,64495,HC INJECT FACET JOINT W/GUIDE LUMBAR/SAC ADD LVL,3222.65,1611.33,83.94,2900.39,69
CPT,64495,INJ PARAVERT F JNT L/S 3 LEV,,,33.27,59.44,14
CPT,64505,HC ER INJECT NERVE BLOCK SPHENOPALATINE GANGLION,595.5,297.75,75.38,535.95,72
CPT,64505,HC INJECT NERVE BLOCK SPHENOPALATINE GANGLION,595.5,297.75,114.04,535.95,70
CPT,64505,N BLOCK SPENOPALATINE GANGL,,,63.2,120.14,14
CPT,64510,HC INJECT NERVE BLOCK STELLATE GANGLION,2659.45,1329.73,314.06,2393.51,70
CPT,64510,N BLOCK STELLATE GANGLION,,,51.11,378.42,25
CPT,64517,HC INJECT NERVE BLOCK SUPERIOR HYPOGASTRIC PLEXUS,4706.95,2353.48,314.06,4236.26,70
CPT,64517,N BLOCK INJ HYPOGAS PLXS,,,89.91,146.75,14
CPT,64520,HC INJECT NERVE BLOCK PARAVERTEBRAL LUMBAR/THORACIC,4236.85,2118.43,314.06,3813.17,70
CPT,64520,N BLOCK LUMBAR/THORACIC,,,57.74,198.38,15
CPT,64530,HC INJECT NERVE BLOCK CELIAC PLEXUS,2427.05,1213.53,314.06,2184.35,70
CPT,64530,N BLOCK INJ CELIAC PELUS,,,68.17,109.38,14
CPT,64553,IMPLANT NEUROELECTRODES,,,406.53,14825.64,10
CPT,64555,HC IMPLANT NEUROSTIM PERIPHERAL,19396.75,9698.38,3714.48,17457.08,69
CPT,64555,IMPLANT NEUROELECTRODES,,,115.7,377.89,14
CPT,64561,HC INTER STIM IMPLANTATION,440.9,220.45,84.43,36808.06,70
CPT,64561,IMPLANT NEUROELECTRODES,,,279.21,1589.03,16
CPT,64566,HC POSTERIOR TIBIAL NERVE STIM,797.3,398.65,51.34,717.57,70
CPT,64566,NEUROELTRD STIM POST TIBIAL,,,27.5,34.38,5
CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,513.7,38502.0,20
CPT,64569,REVISE/REPL VAGUS N ELTRD,,,493.41,14825.64,20
CPT,64570,REMOVE VAGUS N ELTRD,,,429.66,7613.64,20
CPT,64575,OPN IMPLTJ NEA PERPH NERVE,,,210.44,14825.64,19
CPT,64580,OPN IMPLTJ NEA NEUROMUSCULAR,,,288.54,25494.7,10
CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,605.69,36808.06,20
CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,771.87,36229.29,10
CPT,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,797.17,14825.64,10
CPT,64584,RMVL HPGLSL NSTIM ARY PG,,,672.48,7613.64,11
CPT,64585,HC REVISION OF PNS ELECTRODE,8824.7,4412.35,1689.93,7942.23,70
CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,119.34,166.13,14
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,133.63,36808.06,22
CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,105.25,6783.74,22
CPT,64596,HC INS/RPLCMT PERQ ELTRD ARRAY PN W/INT NSTIM 1ST ARRAY,20475.5,10237.75,3921.06,18427.95,69
CPT,64596,INS/RPLCMT PRQ ELTRD RA PN 1,,,417.48,425.83,9
CPT,64597,HC INS/RPLCMT PERQ ELTRD ARRAY PN INT NSTIM EA ADD ARRAY,19396.75,9698.38,3714.48,17457.08,64
CPT,64597,INS/RPLCM PRQ ELTRD RA PN EA,,,383.45,391.12,9
CPT,64598,HC REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM,13914.4,6957.2,2664.61,12522.96,69
CPT,64598,REVJ/RMVL NEA PN W/INT NSTIM,,,312.95,319.21,9
CPT,64600,HC DESTRUCT BY NEUROLYTIC TRIGEMINAL NERVE 1ST BRANCH,6006.15,3003.08,863.69,5405.54,70
CPT,64600,INJECTION TREATMENT OF NERVE,,,159.0,274.53,14
CPT,64605,HC DESTRUCT BY NEUROLYTIC TRIGEMINAL NERVE 2/3 DIV,11086.0,5543.0,879.37,9977.4,70
CPT,64605,INJECTION TREATMENT OF NERVE,,,253.38,479.26,14
CPT,64610,HC DESTRUCT BY NEUROLYTIC TRIGEMINAL NERVE 2/3 DIV W/GUIDE,9572.85,4786.43,879.37,8615.57,70
CPT,64610,INJECTION TREATMENT OF NERVE,,,354.86,544.28,14
CPT,64611,CHEMODENERV SALIV GLANDS,,,71.38,243.72,16
CPT,64611,HC CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS BILAT,215.2,107.6,41.21,350.94,70
CPT,64612,DESTROY NERVE FACE MUSCLE,,,100.04,387.03,22
CPT,64612,HC CHEMO DENERVATION MUSCLE FACIAL,1402.05,701.03,268.49,1261.85,70
CPT,64615,CHEMODENERV MUSC MIGRAINE,,,100.12,401.58,25
CPT,64615,HC CHEMO DENERVATION MUSCLE FACIAL NERV BILAT,2804.1,1402.05,286.37,2523.69,70
CPT,64616,CHEMODENERV MUSC NECK DYSTON,,,84.8,344.69,21
CPT,64616,HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,1323.6,661.8,91.45,1191.24,70
CPT,64617,CHEMODENER MUSCLE LARYNX EMG,,,91.76,124.79,14
CPT,64617,HC CHEMODENERVATION MUSCLE LARYNX W/EMG,1323.6,661.8,144.75,1191.24,70
CPT,64620,HC DESTRUCT BY NEUROLYTIC INTERCOSTAL NERVE,2954.2,1477.1,565.73,2658.78,70
CPT,64620,INJECTION TREATMENT OF NERVE,,,124.46,206.39,14
CPT,64624,DSTRJ NULYT AGT GNCLR NRV,,,125.39,170.16,14
CPT,64624,"HC DESTRUCT BY NEUROLYTIC, GENICULAR NERVE W/GUIDE",4118.2,2059.1,788.64,3706.38,69
CPT,64625,"HC RADIOFREQ ABLATION, SACROILIAC NERVES W/GUIDE",4118.2,2059.1,788.64,3706.38,69
CPT,64625,RF ABLTJ NRV NRVTG SI JT,,,182.05,227.56,5
CPT,64628,TRML DSTRJ IOS BVN 1ST 2 L/S,,,380.06,15297.04,10
CPT,64629,TRML DSTRJ IOS BVN EA ADDL,,,179.72,224.65,10
CPT,64630,HC DESTRUCT BY NEUROLYTIC PUDENDAL NERVE,3178.75,1589.38,608.73,2860.88,70
CPT,64630,INJECTION TREATMENT OF NERVE,,,144.23,221.76,14
CPT,64632,HC DESTRUCT BY NEUROLYTIC PLANTAR DIGITAL NERVE,1754.0,877.0,286.37,1578.6,70
CPT,64632,N BLOCK INJ COMMON DIGIT,,,54.87,79.0,14
CPT,64633,DESTROY CERV/THOR FACET JNT,,,133.92,596.96,15
CPT,64633,HC DESTRUCTION PARAV NERV CERV/THOR SINGLE,8740.05,4370.03,879.37,7866.05,70
CPT,64634,DESTROY C/TH FACET JNT ADDL,,,40.16,179.47,15
CPT,64634,HC DESTRUCTION PARAV NERV CERV/THOR EA ADD,6377.2,3188.6,230.02,5739.48,70
CPT,64635,DESTROY LUMB/SAC FACET JNT,,,131.25,564.29,16
CPT,64635,HC DESTRUCTION PARAVERT NERVE LUM/SAC SING,9333.5,4666.75,879.37,8400.15,70
CPT,64636,DESTROY L/S FACET JNT ADDL,,,34.96,152.89,16
CPT,64636,HC DESTRUCTION PARAV NERVE LUM/SAC EA ADDL,5737.1,2868.55,215.66,5163.39,70
CPT,64640,HC DESTRUCT BY NEURO AGENT OTHER PERIPH NERVE,2034.2,1017.1,389.55,1830.78,70
CPT,64640,INJECTION TREATMENT OF NERVE,,,111.4,527.32,18
CPT,64642,CHEMODENERV 1 EXTREMITY 1-4,,,85.39,347.44,23
CPT,64642,HC CHEMODENERVATION 1 EXTREMITY 1-4 MUS,1316.75,658.38,105.16,1185.08,70
CPT,64643,CHEMODENERV 1 EXTREM 1-4 EA,,,57.3,233.45,21
CPT,64643,HC CHEMODENERVATION ADDL EXTREMITY 1-4 MUS,1316.75,658.38,69.34,1185.08,70
CPT,64644,CHEMODENERV 1 EXTREM 5/> MUS,,,93.28,379.6,22
CPT,64644,HC CHEMODENERVATION 1 EXTREMITY 5+ MUS,1975.1,987.55,120.15,1777.59,70
CPT,64645,CHEMODENERV 1 EXTREM 5/> EA,,,65.62,267.37,16
CPT,64645,HC CHEMODENERVATION ADD EXTREMITY 5+ MUS,1975.1,987.55,84.69,1777.59,70
CPT,64646,CHEMODENERV TRUNK MUSC 1-5,,,92.42,376.09,20
CPT,64646,HC CHEMODENERVATION TRUNK 1-5 MUS,1646.15,823.08,113.23,1481.54,70
CPT,64647,CHEMODENERV TRUNK MUSC 6/>,,,106.71,149.9,14
CPT,64647,HC CHEMODENERVATION TRUNK 6+ MUS,2469.05,1234.53,131.14,2222.15,70
CPT,64650,CHEMODENERV ECCRINE GLANDS,,,29.88,186.0,16
CPT,64650,HC CHEMODENERVATION ECCRINE GLAND BOTH AXIL,2352.75,1176.38,286.37,2117.48,69
CPT,64653,CHEMODENERV ECCRINE GLANDS,,,46.8,124.82,6
CPT,64653,HC CHEMODENERVATION ECCRINE GLAND OTHER AREAS,758.75,379.38,145.3,682.88,69
CPT,64680,HC DESTRUCT BY NEUROLYTIC CELIAC PLEXUS NERVE,3072.5,1536.25,314.06,2765.25,70
CPT,64680,INJECTION TREATMENT OF NERVE,,,120.5,186.73,14
CPT,64681,HC DESTRUCT BY NEUROLYTIC HYPOGASTRIC PLEXUS NERVE,5800.55,2900.28,748.8,5220.5,70
CPT,64681,INJECTION TREATMENT OF NERVE,,,162.49,256.18,14
CPT,64702,REVISE FINGER/TOE NERVE,,,333.54,2321.6,20
CPT,64704,REVISE HAND/FOOT NERVE,,,245.68,2321.6,20
CPT,64708,REVISE ARM/LEG NERVE,,,346.41,2321.6,20
CPT,64712,REVISION OF SCIATIC NERVE,,,399.72,2321.6,20
CPT,64713,REVISION OF ARM NERVE(S),,,559.51,2321.6,20
CPT,64714,REVISE LOW BACK NERVE(S),,,479.29,2321.6,20
CPT,64716,REVISION OF CRANIAL NERVE,,,378.74,2321.6,20
CPT,64718,REVISE ULNAR NERVE AT ELBOW,,,407.95,2321.6,21
CPT,64719,REVISE ULNAR NERVE AT WRIST,,,282.96,2321.6,20
CPT,64721,CARPAL TUNNEL SURGERY,,,296.9,935.71,15
CPT,64721,HC NEUROPLASTY MEDIAN NERVE CARPAL TUNNEL,7007.5,3503.75,1341.94,6306.75,70
CPT,64722,DECOMPRESSION UNSPEC NERVE,,,243.2,2321.6,21
CPT,64726,DCMPRN PLANTAR DIGITAL NERVE,,,214.34,2321.6,20
CPT,64727,INTERNAL NEUROLYSIS,,,140.45,205.78,19
CPT,64732,INCISION OF BROW NERVE,,,277.01,2321.6,20
CPT,64734,INCISION OF CHEEK NERVE,,,299.68,2321.6,20
CPT,64736,INCISION OF CHIN NERVE,,,282.91,2321.6,20
CPT,64738,INCISION OF JAW NERVE,,,334.81,2321.6,20
CPT,64740,INCISION OF TONGUE NERVE,,,333.73,2321.6,20
CPT,64742,INCISION OF FACIAL NERVE,,,342.35,2321.6,20
CPT,64744,INCISE NERVE BACK OF HEAD,,,300.25,2321.6,20
CPT,64746,INCISE DIAPHRAGM NERVE,,,324.4,2321.6,20
CPT,64755,INCISION OF STOMACH NERVES,,,656.73,1047.73,19
CPT,64760,INCISION OF VAGUS NERVE,,,347.81,596.91,19
CPT,64763,INCISE HIP/THIGH NERVE,,,396.67,2321.6,20
CPT,64766,INCISE HIP/THIGH NERVE,,,458.35,2321.6,20
CPT,64771,SEVER CRANIAL NERVE,,,428.96,2321.6,20
CPT,64772,INCISION OF SPINAL NERVE,,,412.56,2321.6,20
CPT,64774,REMOVE SKIN NERVE LESION,,,297.93,2321.6,20
CPT,64776,REMOVE DIGIT NERVE LESION,,,286.43,2321.6,20
CPT,64778,DIGIT NERVE SURGERY ADD-ON,,,139.52,204.09,19
CPT,64782,REMOVE LIMB NERVE LESION,,,337.88,2321.6,20
CPT,64783,LIMB NERVE SURGERY ADD-ON,,,166.75,243.83,19
CPT,64784,REMOVE NERVE LESION,,,525.85,2321.6,20
CPT,64786,REMOVE SCIATIC NERVE LESION,,,790.2,7613.64,20
CPT,64787,IMPLANT NERVE END,,,191.5,268.34,19
CPT,64788,REMOVE SKIN NERVE LESION,,,279.4,2321.6,20
CPT,64790,REMOVAL OF NERVE LESION,,,601.67,2321.6,20
CPT,64792,REMOVAL OF NERVE LESION,,,780.54,7613.64,20
CPT,64795,BIOPSY OF NERVE,,,142.97,223.73,14
CPT,64795,HC BIOPSY OF NERVE,9492.75,4746.38,879.37,8543.48,70
CPT,64802,SYMPATHECTOMY CERVICAL,,,445.22,2321.6,20
CPT,64804,SYMPATHECTOMY CERVICOTHORAC,,,678.78,2321.6,19
CPT,64809,SYMPATHECTOMY THORACOLUMBAR,,,636.81,1235.94,19
CPT,64818,SYMPATHECTOMY LUMBAR,,,494.14,897.65,19
CPT,64820,SYMPATHECTOMY DIGITAL ARTERY,,,550.12,2321.6,20
CPT,64821,SYMPATHECTOMY RADIAL ARTERY,,,495.59,3857.44,20
CPT,64822,SYMPATHECTOMY ULNAR ARTERY,,,489.75,3857.44,20
CPT,64823,SYMPATHECTOMY SUPFC PALMAR,,,557.04,3857.44,20
CPT,64831,REPAIR OF DIGIT NERVE,,,491.15,2321.6,20
CPT,64832,REPAIR NERVE ADD-ON,,,259.08,376.6,19
CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,544.52,7613.64,20
CPT,64835,REPAIR OF HAND OR FOOT NERVE,,,590.38,7613.64,20
CPT,64836,REPAIR OF HAND OR FOOT NERVE,,,590.07,7613.64,20
CPT,64837,REPAIR NERVE ADD-ON,,,287.63,411.05,19
CPT,64840,REPAIR OF LEG NERVE,,,672.37,7613.64,20
CPT,64856,REPAIR/TRANSPOSE NERVE,,,743.08,7613.64,20
CPT,64857,REPAIR ARM/LEG NERVE,,,777.0,7613.64,20
CPT,64858,REPAIR SCIATIC NERVE,,,895.6,2321.6,20
CPT,64859,NERVE SURGERY,,,195.11,279.21,19
CPT,64861,REPAIR OF ARM NERVES,,,1011.75,2321.6,20
CPT,64862,REPAIR OF LOW BACK NERVES,,,992.27,7613.64,20
CPT,64864,REPAIR OF FACIAL NERVE,,,644.36,7613.64,20
CPT,64865,REPAIR OF FACIAL NERVE,,,849.41,7613.64,20
CPT,64866,FUSION OF FACIAL/OTHER NERVE,,,883.46,1419.28,19
CPT,64868,FUSION OF FACIAL/OTHER NERVE,,,772.98,1138.49,19
CPT,64872,SUBSEQUENT REPAIR OF NERVE,,,91.48,130.9,19
CPT,64874,REPAIR & REVISE NERVE ADD-ON,,,134.55,195.68,19
CPT,64876,REPAIR NERVE/SHORTEN BONE,,,147.02,221.46,19
CPT,64885,NERVE GRAFT HEAD/NECK <4 CM,,,839.45,7613.64,20
CPT,64886,NERVE GRAFT HEAD/NECK >4 CM,,,996.02,7613.64,21
CPT,64890,NRV GRF 1STRND HND/FOOT <4CM,,,800.46,7613.64,20
CPT,64891,NRV GRF 1STRND HND/FOOT >4CM,,,826.78,7613.64,20
CPT,64892,NRV GRF 1STRND ARM/LEG <4CM,,,778.73,7613.64,20
CPT,64893,NRV GRF 1STRND ARM/LEG >4 CM,,,820.34,7613.64,20
CPT,64895,NRV GRF MLTST HND/FOOT <4 CM,,,962.97,7613.64,20
CPT,64896,NRV GRF MLTST HND/FOOT >4 CM,,,1061.72,7613.64,20
CPT,64897,NRV GRF MLTST ARM/LEG <4 CM,,,931.56,7613.64,20
CPT,64898,NRV GRF MLTST ARM/LEG >4 CM,,,1015.63,7613.64,20
CPT,64901,NERVE GRAFT ADD-ON,,,457.86,671.06,19
CPT,64902,NERVE GRAFT ADD-ON,,,526.23,776.7,19
CPT,64905,NERVE PEDICLE TRANSFER,,,744.5,7613.64,20
CPT,64907,NERVE PEDICLE TRANSFER,,,979.06,7613.64,20
CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,671.47,7613.64,11
CPT,64911,NEURORRAPHY W/VEIN AUTOGRAFT,,,837.41,7613.64,11
CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,820.68,7613.64,10
CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,155.77,194.71,10
CPT,64999,HC BIOWAVE PERCUTANEOUS STIMULATION PENS,877.9,438.95,168.12,790.11,70
CPT,64999,HC CRNA NERVE BLOCK CERVICAL PLEXUS,20727.4,10363.7,7254.59,18654.66,29
CPT,64999,HC ER UNLISTED PROCEDURE NERVOUS SYSTEM,1012.75,506.38,75.38,911.48,72
CPT,64999,HC ERECTOR SPINAE PLANE BLOCK,2964.65,1482.33,286.37,2668.19,70
CPT,64999,HC GANGLION IMPAR BLOCK,656.85,328.43,125.79,591.17,70
CPT,64999,HC IB STIM KIT AND INSERTION,3156.4,1578.2,286.37,2840.76,70
CPT,64999,HC IPACK NERVE BLOCK,1012.75,506.38,193.94,911.48,70
CPT,64999,HC NERVE BLOCK CERVICAL PLEXUS,595.5,297.75,114.04,535.95,70
CPT,64999,HC NERVE BLOCK FACIAL,1012.75,506.38,193.94,911.48,70
CPT,64999,HC NERVE BLOCK INFERIOR HYPOGASTRIC PLEXUS,4706.95,2353.48,286.37,4236.26,70
CPT,64999,HC NERVE BLOCK SINUS CAROTID,595.5,297.75,114.04,535.95,70
CPT,64999,HC NERVE BLOCK SPHENOPALATINE NASAL/ORAL,1012.75,506.38,193.94,911.48,70
CPT,64999,HC PULSED RADIOFREQ. LESIONING,9036.75,4518.38,286.37,8133.08,70
CPT,65091,REVISE EYE,,,424.88,4483.25,20
CPT,65093,REVISE EYE WITH IMPLANT,,,557.74,4483.25,20
CPT,65101,REMOVAL OF EYE,,,489.48,4483.25,20
CPT,65103,REMOVE EYE/INSERT IMPLANT,,,664.58,4483.25,20
CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,724.02,4483.25,20
CPT,65110,REMOVAL OF EYE,,,825.72,4483.25,20
CPT,65112,REMOVE EYE/REVISE SOCKET,,,972.59,4483.25,20
CPT,65114,REMOVE EYE/REVISE SOCKET,,,1011.77,4483.25,20
CPT,65125,REVISE OCULAR IMPLANT,,,269.3,2773.6,11
CPT,65130,INSERT OCULAR IMPLANT,,,769.18,4483.25,11
CPT,65135,INSERT OCULAR IMPLANT,,,778.51,4483.25,11
CPT,65140,ATTACH OCULAR IMPLANT,,,837.79,4483.25,11
CPT,65150,REVISE OCULAR IMPLANT,,,629.7,4483.25,11
CPT,65155,REINSERT OCULAR IMPLANT,,,872.58,4483.25,11
CPT,65175,REMOVAL OF OCULAR IMPLANT,,,702.25,4483.25,11
CPT,65205,HC ER REMOVAL FB CONJUNCTIVA SUPERFICIAL,301.1,150.55,65.67,270.99,72
CPT,65205,REMOVE FOREIGN BODY FROM EYE,,,26.68,146.65,17
CPT,65210,HC ER REMOVAL FB CONJUNCTIVA EMBEDDED,368.8,184.4,75.38,474.41,72
CPT,65210,REMOVE FOREIGN BODY FROM EYE,,,33.26,142.24,15
CPT,65220,HC ER REMOVAL FB CORNEAL W/O SLIT,421.55,210.78,75.38,474.41,72
CPT,65220,REMOVE FOREIGN BODY FROM EYE,,,30.55,137.66,17
CPT,65222,HC ER REMOVAL FB CORNEAL W/SLIT LAMP,368.8,184.4,75.38,331.92,72
CPT,65222,REMOVE FOREIGN BODY FROM EYE,,,40.92,57.5,14
CPT,65235,HC ER REMOVAL FB INTRAOCULAR ANT CHAMBER EYE/LENS,4952.25,2476.13,75.38,4457.03,72
CPT,65235,REMOVE FOREIGN BODY FROM EYE,,,467.36,828.09,14
CPT,65260,REMOVE FOREIGN BODY FROM EYE,,,641.4,2711.5,20
CPT,65265,REMOVE FOREIGN BODY FROM EYE,,,722.49,2711.5,20
CPT,65270,HC ER REPAIR LACERATION CONJUNCTIVA,2919.55,1459.78,75.38,2773.6,72
CPT,65270,REPAIR OF EYE WOUND,,,95.6,160.28,14
CPT,65272,REPAIR OF EYE WOUND,,,232.04,2773.6,20
CPT,65273,REPAIR OF EYE WOUND,,,255.1,432.06,19
CPT,65275,REPAIR OF EYE WOUND,,,303.71,4483.25,20
CPT,65280,REPAIR OF EYE WOUND,,,447.61,6134.25,20
CPT,65285,REPAIR OF EYE WOUND,,,699.36,6134.25,20
CPT,65286,REPAIR OF EYE WOUND,,,328.94,2711.5,20
CPT,65290,REPAIR OF EYE SOCKET WOUND,,,328.36,4483.25,20
CPT,65400,REMOVAL OF EYE LESION,,,395.72,1151.47,20
CPT,65410,BIOPSY OF CORNEA,,,71.55,2773.6,20
CPT,65420,REMOVAL OF EYE LESION,,,248.92,2773.6,20
CPT,65426,REMOVAL OF EYE LESION,,,318.14,2773.6,20
CPT,65430,CORNEAL SMEAR,,,71.55,474.41,20
CPT,65435,CURETTE/TREAT CORNEA,,,47.62,1151.47,20
CPT,65436,CURETTE/TREAT CORNEA,,,247.5,2773.6,20
CPT,65450,TREATMENT OF CORNEAL LESION,,,209.3,879.37,20
CPT,65600,REVISION OF CORNEA,,,223.71,2773.6,19
CPT,65710,CORNEAL TRANSPLANT,,,738.3,6134.25,20
CPT,65730,CORNEAL TRANSPLANT,,,821.83,4782.68,20
CPT,65750,CORNEAL TRANSPLANT,,,834.05,6134.25,20
CPT,65755,CORNEAL TRANSPLANT,,,829.13,4782.68,20
CPT,65756,CORNEAL TRNSPL ENDOTHELIAL,,,646.99,4782.68,19
CPT,65757,PREP CORNEAL ENDO ALLOGRAFT,,,91.99,114.99,5
CPT,65760,KERATOMILEUSIS,,,1432.11,1432.11,1
CPT,65765,KERATOPHAKIA,,,1432.11,1432.11,1
CPT,65767,EPIKERATOPLASTY,,,879.37,879.37,1
CPT,65770,KERATOPROSTHESIS,,,954.26,16988.2,20
CPT,65772,CORRECTION OF ASTIGMATISM,,,268.19,1432.11,20
CPT,65775,CORRECTION OF ASTIGMATISM,,,366.42,2773.6,20
CPT,65778,COVER EYE W/MEMBRANE,,,40.61,1432.11,11
CPT,65779,COVER EYE W/MEMBRANE SUTURE,,,96.38,4483.25,11
CPT,65780,OCULAR RECONST TRANSPLANT,,,539.95,4483.25,11
CPT,65781,OCULAR RECONST TRANSPLANT,,,1209.78,6134.25,11
CPT,65782,OCULAR RECONST TRANSPLANT,,,1044.82,4483.25,11
CPT,65785,IMPLTJ NTRSTRML CRNL RNG SEG,,,405.55,4782.68,11
CPT,65800,DRAINAGE OF EYE,,,81.94,102.43,14
CPT,65800,HC ER PARACENTESIS W/REMOVAL AQUEOUS,3558.0,1779.0,75.38,3202.2,72
CPT,65810,DRAINAGE OF EYE,,,310.65,2711.5,20
CPT,65815,DRAINAGE OF EYE,,,315.17,2711.5,20
CPT,65820,GONIOTOMY,,,499.4,4782.68,20
CPT,65850,TRABECULOTOMY AB EXTERNO,,,570.37,2711.5,20
CPT,65855,TRABECULOPLASTY LASER SURG,,,187.65,879.37,20
CPT,65860,SEVERING ADS ANT SGM LASER,,,174.63,1432.11,20
CPT,65865,INCISE INNER EYE ADHESIONS,,,317.83,2711.5,20
CPT,65870,INCISE INNER EYE ADHESIONS,,,392.98,2711.5,20
CPT,65875,INCISE INNER EYE ADHESIONS,,,417.29,2711.5,20
CPT,65880,INCISE INNER EYE ADHESIONS,,,440.11,4782.68,20
CPT,65900,REMOVE EYE LESION,,,646.36,2711.5,20
CPT,65920,REMOVE IMPLANT OF EYE,,,522.61,2711.5,20
CPT,65930,REMOVE BLOOD CLOT FROM EYE,,,430.6,2711.5,20
CPT,66020,INJECTION TREATMENT OF EYE,,,88.0,2711.5,20
CPT,66030,INJECTION TREATMENT OF EYE,,,73.41,2711.5,20
CPT,66130,REMOVE EYE LESION,,,388.24,2773.6,20
CPT,66150,GLAUCOMA SURGERY,,,573.8,4782.68,20
CPT,66155,GLAUCOMA SURGERY,,,571.98,4782.68,20
CPT,66160,GLAUCOMA SURGERY,,,651.81,2711.5,20
CPT,66170,GLAUCOMA SURGERY,,,789.28,2711.5,20
CPT,66172,INCISION OF EYE,,,991.69,2711.5,20
CPT,66174,TRLUML DIL AQ O/F CAN W/O ST,,,568.5,4782.68,11
CPT,66175,TRLUML DIL AQ O/F CAN W/ST,,,659.67,6134.25,11
CPT,66179,AQUEOUS SHUNT EYE W/O GRAFT,,,900.27,6134.25,19
CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,,,787.96,6134.25,20
CPT,66183,INSERT ANT DRAINAGE DEVICE,,,812.31,4782.68,11
CPT,66184,REVISION OF AQUEOUS SHUNT,,,655.16,2711.5,19
CPT,66185,REVISE AQUEOUS SHUNT EYE,,,496.08,2711.5,20
CPT,66225,REPAIR/GRAFT EYE LESION,,,624.72,6134.25,20
CPT,66250,FOLLOW-UP SURGERY OF EYE,,,368.07,633.86,14
CPT,66250,HC ER REVISION/REPAIR WOUND ANT SEG,3290.2,1645.1,75.38,2961.18,72
CPT,66500,INCISION OF IRIS,,,234.08,2711.5,20
CPT,66505,INCISION OF IRIS,,,256.31,2711.5,20
CPT,66600,REMOVE IRIS AND LESION,,,544.87,4782.68,20
CPT,66605,REMOVAL OF IRIS,,,710.37,2711.5,20
CPT,66625,REMOVAL OF IRIS,,,286.44,2711.5,20
CPT,66630,REMOVAL OF IRIS,,,377.35,2711.5,20
CPT,66635,REMOVAL OF IRIS,,,381.18,2711.5,20
CPT,66680,REPAIR IRIS & CILIARY BODY,,,340.77,2711.5,20
CPT,66682,REPAIR IRIS & CILIARY BODY,,,413.55,2711.5,20
CPT,66683,IMPLANTATION IRIS PROSTHESIS,,,712.03,19517.1,10
CPT,66700,DESTRUCTION CILIARY BODY,,,263.95,2711.5,20
CPT,66710,CILIARY TRANSSLERAL THERAPY,,,263.19,2773.6,20
CPT,66711,ECP CILIARY BODY DESTRUCTION,,,421.04,2711.5,20
CPT,66720,DESTRUCTION CILIARY BODY,,,277.58,2773.6,20
CPT,66740,DESTRUCTION CILIARY BODY,,,264.32,2773.6,20
CPT,66761,REVISION OF IRIS,,,214.61,1695.94,20
CPT,66762,REVISION OF IRIS,,,281.81,1432.11,20
CPT,66770,REMOVAL OF INNER EYE LESION,,,319.58,1432.11,20
CPT,66820,INCISION SECONDARY CATARACT,,,262.39,2711.5,20
CPT,66821,AFTER CATARACT LASER SURGERY,,,201.56,1432.11,20
CPT,66825,REPOSITION INTRAOCULAR LENS,,,506.34,2711.5,20
CPT,66830,REMOVAL OF LENS LESION,,,475.82,2711.5,20
CPT,66840,REMOVAL OF LENS MATERIAL,,,463.71,2711.5,20
CPT,66850,REMOVAL OF LENS MATERIAL,,,529.46,2711.5,20
CPT,66852,REMOVAL OF LENS MATERIAL,,,566.86,4782.68,20
CPT,66920,EXTRACTION OF LENS,,,505.72,2711.5,20
CPT,66930,EXTRACTION OF LENS,,,574.87,4782.68,20
CPT,66940,EXTRACTION OF LENS,,,521.67,2711.5,20
CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,679.52,3140.63,20
CPT,66983,CATARACT SURG W/IOL 1 STAGE,,,496.1,3140.63,15
CPT,66984,XCAPSL CTRC RMVL W/O ECP,,,496.09,3140.63,20
CPT,66985,INSERT LENS PROSTHESIS,,,509.05,3140.63,20
CPT,66986,EXCHANGE LENS PROSTHESIS,,,623.73,3140.63,20
CPT,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,719.65,4782.68,19
CPT,66988,XCAPSL CTRC RMVL W/ECP,,,515.53,4782.68,19
CPT,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,706.53,6134.25,20
CPT,66990,OPHTHALMIC ENDOSCOPE ADD-ON,,,64.36,101.24,19
CPT,66991,XCAPSL CTRC RMVL INSJ 1+,,,563.04,6134.25,20
CPT,66999,UNLISTED PX ANT SEGMENT EYE,,,314.06,2711.5,6
CPT,67005,PARTIAL REMOVAL OF EYE FLUID,,,313.6,2711.5,20
CPT,67010,PARTIAL REMOVAL OF EYE FLUID,,,363.57,2711.5,20
CPT,67015,RELEASE OF EYE FLUID,,,387.2,2711.5,20
CPT,67025,REPLACE EYE FLUID,,,418.36,2711.5,20
CPT,67027,IMPLANT EYE DRUG SYSTEM,,,314.06,18266.86,20
CPT,67028,HC ER INTRAVITREAL INJECTION,2653.15,1326.58,75.38,2387.84,72
CPT,67028,HC INJECT INTRAVITREAL PHARMCOLOGIC,2653.15,1326.58,314.06,2387.84,70
CPT,67028,INJECTION EYE DRUG,,,84.5,118.89,14
CPT,67030,INCISE INNER EYE STRANDS,,,345.33,2711.5,20
CPT,67031,LASER SURGERY EYE STRANDS,,,234.87,652.22,20
CPT,67036,REMOVAL OF INNER EYE FLUID,,,649.02,4782.68,20
CPT,67039,LASER TREATMENT OF RETINA,,,830.48,4782.68,20
CPT,67040,LASER TREATMENT OF RETINA,,,943.05,4782.68,20
CPT,67041,VIT FOR MACULAR PUCKER,,,898.59,4782.68,20
CPT,67042,VIT FOR MACULAR HOLE,,,1030.06,4782.68,20
CPT,67043,VIT FOR MEMBRANE DISSECT,,,1080.23,4782.68,20
CPT,67101,REPAIR DETACHED RETINA CRTX,,,259.42,2711.5,20
CPT,67105,REPAIR DETACHED RETINA PC,,,250.25,1432.11,20
CPT,67107,REPAIR DETACHED RETINA,,,815.95,4782.68,20
CPT,67108,REPAIR DETACHED RETINA,,,1083.35,4782.68,20
CPT,67110,REPAIR DETACHED RETINA,,,515.99,2711.5,20
CPT,67113,REPAIR RETINAL DETACH CPLX,,,1182.59,6134.25,20
CPT,67115,RELEASE ENCIRCLING MATERIAL,,,327.1,4782.68,20
CPT,67120,REMOVE EYE IMPLANT MATERIAL,,,369.0,2711.5,20
CPT,67121,REMOVE EYE IMPLANT MATERIAL,,,607.81,2711.5,20
CPT,67141,PROPH RTA DTCHMNT CRTX DTHRM,,,196.66,1432.11,20
CPT,67145,PROPH RTA DTCHMNT PC,,,196.66,1432.11,20
CPT,67208,TREATMENT OF RETINAL LESION,,,290.0,879.37,20
CPT,67210,TREATMENT OF RETINAL LESION,,,452.92,879.37,20
CPT,67218,TREATMENT OF RETINAL LESION,,,951.46,4483.25,20
CPT,67220,TREATMENT OF CHOROID LESION,,,454.3,879.37,20
CPT,67221,OCULAR PHOTODYNAMIC THER,,,152.38,879.37,20
CPT,67225,EYE PHOTODYNAMIC THER ADD-ON,,,19.91,33.56,19
CPT,67227,DSTRJ EXTENSIVE RETINOPATHY,,,232.46,4483.25,20
CPT,67228,TREATMENT X10SV RETINOPATHY,,,277.13,879.37,20
CPT,67229,TR RETINAL LES PRETERM INF,,,532.21,1316.6,20
CPT,67250,REINFORCE EYE WALL,,,526.21,2773.6,20
CPT,67255,REINFORCE/GRAFT EYE WALL,,,562.32,4782.68,20
CPT,67299,UNLISTED PX POSTERIOR SEGMNT,,,314.06,2711.5,6
CPT,67311,REVISE EYE MUSCLE,,,399.47,2773.6,20
CPT,67312,REVISE TWO EYE MUSCLES,,,478.48,4483.25,20
CPT,67314,REVISE EYE MUSCLE,,,416.9,2773.6,20
CPT,67316,REVISE TWO EYE MUSCLES,,,537.3,2773.6,20
CPT,67318,REVISE EYE MUSCLE(S),,,468.71,2773.6,20
CPT,67320,REVISE EYE MUSCLE(S) ADD-ON,,,159.5,266.98,20
CPT,67331,EYE SURGERY FOLLOW-UP ADD-ON,,,115.16,218.01,19
CPT,67332,REREVISE EYE MUSCLES ADD-ON,,,186.33,237.08,19
CPT,67334,REVISE EYE MUSCLE W/SUTURE,,,113.81,215.06,19
CPT,67335,EYE SUTURE DURING SURGERY,,,106.06,214.08,19
CPT,67340,REVISE EYE MUSCLE ADD-ON,,,251.16,333.59,19
CPT,67343,RELEASE EYE TISSUE,,,435.19,2773.6,20
CPT,67345,DESTROY NERVE OF EYE MUSCLE,,,144.86,1695.94,20
CPT,67346,BIOPSY EYE MUSCLE,,,138.91,4483.25,20
CPT,67399,UNLISTED PX EXTRAOCULAR MUSC,,,290.0,879.37,6
CPT,67400,EXPLORE/BIOPSY EYE SOCKET,,,625.36,4483.25,20
CPT,67405,EXPLORE/DRAIN EYE SOCKET,,,531.58,2773.6,20
CPT,67412,EXPLORE/TREAT EYE SOCKET,,,578.92,2773.6,20
CPT,67413,EXPLORE/TREAT EYE SOCKET,,,579.12,2773.6,20
CPT,67414,EXPLR/DECOMPRESS EYE SOCKET,,,891.24,4483.25,20
CPT,67415,ASPIRATION ORBITAL CONTENTS,,,74.26,2773.6,20
CPT,67420,EXPLORE/TREAT EYE SOCKET,,,1110.12,4483.25,20
CPT,67430,EXPLORE/TREAT EYE SOCKET,,,841.09,4483.25,20
CPT,67440,EXPLORE/DRAIN EYE SOCKET,,,811.04,4483.25,20
CPT,67445,EXPLR/DECOMPRESS EYE SOCKET,,,956.33,4483.25,20
CPT,67450,EXPLORE/BIOPSY EYE SOCKET,,,841.55,4483.25,20
CPT,67500,HC ER INJECTION RETROBULBAR,762.25,381.13,75.38,686.03,72
CPT,67500,INJECT/TREAT EYE SOCKET,,,56.54,74.74,14
CPT,67505,INJECT/TREAT EYE SOCKET,,,54.48,879.37,20
CPT,67515,INJECT/TREAT EYE SOCKET,,,43.01,1695.94,20
CPT,67516,SPRCHOROIDAL SPC NJX RX AGT,,,89.01,394.34,11
CPT,67550,INSERT EYE SOCKET IMPLANT,,,978.52,4483.25,11
CPT,67560,REVISE EYE SOCKET IMPLANT,,,999.4,4483.25,11
CPT,67570,DECOMPRESS OPTIC NERVE,,,780.75,4483.25,20
CPT,67599,UNLISTED PROCEDURE ORBIT,,,290.0,879.37,6
CPT,67700,BLEPHAROTOMY DRG ABSC EYELID,,,76.91,601.13,17
CPT,67700,HC ER BLEPHAROTOMY EYELID DRAIN ABSCESS,904.4,452.2,75.38,813.96,72
CPT,67710,SEVERING TARSORRHAPHY,,,64.02,1151.47,20
CPT,67715,CANTHOTOMY,,,72.51,123.31,14
CPT,67715,HC ER CANTHOTOMY,3943.0,1971.5,75.38,3548.7,72
CPT,67800,REMOVE EYELID LESION,,,70.52,879.37,20
CPT,67801,REMOVE EYELID LESIONS,,,91.62,1151.47,20
CPT,67805,REMOVE EYELID LESIONS,,,112.37,879.37,20
CPT,67808,REMOVE EYELID LESION(S),,,243.19,2773.6,20
CPT,67810,HC INCISIONAL BIOPSY EYELID SKIN & LID MARGIN,1303.35,651.68,249.59,1173.02,70
CPT,67810,INCAL BX EYELID SKN LID MRGN,,,62.92,78.65,14
CPT,67820,REVISE EYELASHES,,,20.37,153.25,19
CPT,67825,REVISE EYELASHES,,,80.89,879.37,20
CPT,67830,REVISE EYELASHES,,,92.72,1151.47,20
CPT,67835,REVISE EYELASHES,,,296.17,2773.6,20
CPT,67840,REMOVE EYELID LESION,,,107.58,1151.47,20
CPT,67850,DSTRJ LESION LID MARGIN <1CM,,,96.15,1151.47,20
CPT,67875,CLOSURE OF EYELID BY SUTURE,,,67.07,1151.47,20
CPT,67880,REVISION OF EYELID,,,243.19,2773.6,20
CPT,67882,REVISION OF EYELID,,,313.53,2773.6,20
CPT,67900,REPAIR BROW DEFECT,,,461.97,2773.6,11
CPT,67901,REPAIR EYELID DEFECT,,,389.31,2773.6,20
CPT,67902,REPAIR EYELID DEFECT,,,482.76,4483.25,20
CPT,67903,REPAIR EYELID DEFECT,,,336.35,2773.6,20
CPT,67904,REPAIR EYELID DEFECT,,,399.11,2773.6,20
CPT,67906,REPAIR EYELID DEFECT,,,348.86,4483.25,20
CPT,67908,REPAIR EYELID DEFECT,,,289.62,2773.6,20
CPT,67909,REVISE EYELID DEFECT,,,296.69,2773.6,20
CPT,67911,REVISE EYELID DEFECT,,,373.23,2773.6,20
CPT,67912,CORRECTION EYELID W/IMPLANT,,,335.08,2773.6,20
CPT,67914,REPAIR EYELID DEFECT,,,195.56,2773.6,20
CPT,67915,REPAIR EYELID DEFECT,,,172.61,2773.6,20
CPT,67916,REPAIR EYELID DEFECT,,,291.44,2773.6,20
CPT,67917,REPAIR EYELID DEFECT,,,322.55,2773.6,20
CPT,67921,REPAIR EYELID DEFECT,,,182.79,2773.6,20
CPT,67922,REPAIR EYELID DEFECT,,,166.28,2773.6,20
CPT,67923,REPAIR EYELID DEFECT,,,314.66,2773.6,20
CPT,67924,REPAIR EYELID DEFECT,,,304.36,2773.6,20
CPT,67930,REPAIR EYELID WOUND,,,168.52,2773.6,23
CPT,67935,REPAIR EYELID WOUND,,,307.33,2773.6,20
CPT,67938,HC ER REMOVAL FOREIGN BODY EYELID,401.45,200.73,75.38,361.31,72
CPT,67938,REMOVE EYELID FOREIGN BODY,,,77.23,302.34,15
CPT,67950,REVISION OF EYELID,,,316.51,2773.6,20
CPT,67961,REVISION OF EYELID,,,309.2,2773.6,20
CPT,67966,REVISION OF EYELID,,,439.21,2773.6,20
CPT,67971,RECONSTRUCTION OF EYELID,,,495.83,2773.6,20
CPT,67973,RECONSTRUCTION OF EYELID,,,642.75,2773.6,20
CPT,67974,RECONSTRUCTION OF EYELID,,,640.16,4483.25,20
CPT,67975,RECONSTRUCTION OF EYELID,,,468.03,2773.6,20
CPT,67999,UNLISTED PROCEDURE EYELIDS,,,290.0,355.39,6
CPT,68020,INCISE/DRAIN EYELID LINING,,,74.53,1151.47,20
CPT,68040,TREATMENT OF EYELID LESIONS,,,37.38,879.37,20
CPT,68100,BIOPSY CONJUNCTIVA,,,67.63,2773.6,20
CPT,68110,EXC LES CONJUNCTIVA <1 CM,,,99.5,2773.6,20
CPT,68115,EXC LES CONJUNCTIVA >1 CM,,,124.35,2773.6,20
CPT,68130,EXC LES CONJUNCTIVA ADJ SCL,,,275.54,2773.6,20
CPT,68135,DESTRUCTION LES CONJUNCTIVA,,,101.63,2773.6,20
CPT,68200,TREAT EYELID BY INJECTION,,,23.88,879.37,20
CPT,68320,REVISE/GRAFT EYELID LINING,,,354.1,2773.6,20
CPT,68325,REVISE/GRAFT EYELID LINING,,,441.32,4483.25,20
CPT,68326,REVISE/GRAFT EYELID LINING,,,429.61,4483.25,20
CPT,68328,REVISE/GRAFT EYELID LINING,,,480.07,2773.6,20
CPT,68330,REVISE EYELID LINING,,,304.68,2711.5,20
CPT,68335,REVISE/GRAFT EYELID LINING,,,431.01,4483.25,20
CPT,68340,SEPARATE EYELID ADHESIONS,,,263.15,2773.6,20
CPT,68360,REVISE EYELID LINING,,,272.19,4483.25,20
CPT,68362,REVISE EYELID LINING,,,436.95,2773.6,20
CPT,68371,HARVEST EYE TISSUE ALOGRAFT,,,375.81,2773.6,10
CPT,68399,UNLISTED PX CONJUNCTIVA,,,290.0,355.39,6
CPT,68400,I&D LACRIMAL GLAND,,,92.14,1151.47,20
CPT,68420,I&D LACRIMAL SAC,,,118.43,2773.6,20
CPT,68440,SNIP INC LACRIMAL PUNCTUM,,,64.13,879.37,20
CPT,68500,REMOVAL OF TEAR GLAND,,,651.0,4483.25,20
CPT,68505,PARTIAL REMOVAL TEAR GLAND,,,654.72,4483.25,20
CPT,68510,BIOPSY OF TEAR GLAND,,,203.96,2773.6,20
CPT,68520,REMOVAL OF TEAR SAC,,,314.06,4483.25,20
CPT,68525,BIOPSY OF TEAR SAC,,,187.97,2773.6,20
CPT,68530,CLEARANCE OF TEAR DUCT,,,179.07,1432.11,20
CPT,68540,REMOVE TEAR GLAND LESION,,,622.57,2773.6,20
CPT,68550,REMOVE TEAR GLAND LESION,,,765.79,4483.25,20
CPT,68700,REPAIR TEAR DUCTS,,,401.77,2773.6,20
CPT,68705,REVISE TEAR DUCT OPENING,,,111.83,879.37,20
CPT,68720,CREATE TEAR SAC DRAIN,,,510.13,4483.25,20
CPT,68745,CREATE TEAR DUCT DRAIN,,,512.03,4483.25,20
CPT,68750,CREATE TEAR DUCT DRAIN,,,526.09,4483.25,20
CPT,68760,CLOSE TEAR DUCT OPENING,,,97.74,879.37,20
CPT,68761,CLOSE TEAR DUCT OPENING,,,79.26,879.37,22
CPT,68770,CLOSE TEAR SYSTEM FISTULA,,,398.25,2773.6,20
CPT,68801,DILATE TEAR DUCT OPENING,,,70.28,879.37,20
CPT,68810,PROBE NASOLACRIMAL DUCT,,,117.31,1432.11,20
CPT,68811,PROBE NASOLACRIMAL DUCT,,,124.12,2773.6,20
CPT,68815,PROBE NASOLACRIMAL DUCT,,,173.99,2773.6,20
CPT,68816,PROBE NL DUCT W/BALLOON,,,143.56,2773.6,20
CPT,68840,EXPLORE/IRRIGATE TEAR DUCTS,,,74.81,879.37,20
CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,,,26.88,2773.6,19
CPT,68850,HC INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY,425.1,212.55,54.29,382.59,69
CPT,68850,INJECTION FOR TEAR SAC X-RAY,,,42.86,59.43,14
CPT,68899,UNLISTED PX LACRIMAL SYSTEM,,,290.0,355.39,6
CPT,69000,DRG XTRNL EAR ABSC/HEM SMPL,,,84.53,383.23,17
CPT,69000,HC ER DRAINAGE ABSCESS EXTERNAL EAR SIMPLE,727.8,363.9,75.38,836.48,72
CPT,69005,DRG XTRNL EAR ABSC/HEM COMP,,,115.24,186.44,14
CPT,69005,HC ER DRAINAGE ABSCESS EXTERNAL EAR COMPLEX,1804.35,902.18,75.38,1926.26,72
CPT,69020,DRG XTRNL AUD CANAL ABSCESS,,,102.5,410.78,15
CPT,69020,HC ER DRAIN ABSCESS EXTERNAL AUDITORY CANAL,440.3,220.15,75.38,836.48,72
CPT,69100,BIOPSY OF EXTERNAL EAR,,,36.54,138.76,15
CPT,69100,HC BIOPSY EXTERNAL EAR,2126.1,1063.05,225.28,1913.49,70
CPT,69105,BIOPSY OF EXTERNAL EAR CANAL,,,47.47,1761.06,20
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,,,236.31,3402.62,20
CPT,69120,REMOVAL OF EXTERNAL EAR,,,287.07,7032.98,20
CPT,69140,REMOVE EAR CANAL LESION(S),,,625.45,7032.98,20
CPT,69145,REMOVE EAR CANAL LESION(S),,,178.17,3402.62,20
CPT,69150,EXTENSIVE EAR CANAL SURGERY,,,771.3,7032.98,20
CPT,69155,EXTENSIVE EAR/NECK SURGERY,,,1240.8,1862.44,19
CPT,69200,CLEAR OUTER EAR CANAL,,,41.23,186.45,23
CPT,69200,HC ER REMOVE FB EXTRL AUDITORY CANAL W/O ANES,399.2,199.6,75.38,359.28,72
CPT,69200,HC REMOVE FB EAR W/O ANES,399.2,199.6,76.45,359.28,69
CPT,69205,CLEAR OUTER EAR CANAL,,,73.74,1926.26,20
CPT,69209,HC CERUMEN REMOVAL IRRIG/LAVAGE AMB,342.85,171.43,57.63,314.06,70
CPT,69209,HC ER REMOVAL CERUMEN VIA IRRIGATION,342.85,171.43,57.63,308.57,72
CPT,69209,REMOVE IMPACTED EAR WAX UNI,,,13.99,39.95,16
CPT,69210,HC ER REMOVAL CERUMEN IMPACTED,371.95,185.98,57.63,334.76,72
CPT,69210,HC REMOVAL CERUMEN IMPACTED,371.95,185.98,57.63,334.76,70
CPT,69210,REMOVE IMPACTED EAR WAX UNI,,,24.73,107.18,24
CPT,69220,CLEAN OUT MASTOID CAVITY,,,46.03,879.37,20
CPT,69222,CLEAN OUT MASTOID CAVITY,,,99.52,879.37,20
CPT,69300,REVISE EXTERNAL EAR,,,435.37,3855.6,11
CPT,69310,REBUILD OUTER EAR CANAL,,,782.55,7032.98,20
CPT,69320,REBUILD OUTER EAR CANAL,,,1118.75,7032.98,20
CPT,69399,UNLISTED PX EXTERNAL EAR,,,225.28,879.37,6
CPT,69420,INCISION OF EARDRUM,,,86.85,879.37,20
CPT,69421,INCISION OF EARDRUM,,,110.08,3855.6,20
CPT,69424,REMOVE VENTILATING TUBE,,,46.08,3855.6,20
CPT,69433,CREATE EARDRUM OPENING,,,94.11,879.37,20
CPT,69436,CREATE EARDRUM OPENING,,,119.76,184.54,14
CPT,69436,"HC CREATE EARDRUM OPENING,GEN ANESTH",6013.0,3006.5,879.37,5411.7,70
CPT,69440,EXPLORATION OF MIDDLE EAR,,,495.06,3855.6,20
CPT,69450,EARDRUM REVISION,,,387.84,3855.6,20
CPT,69501,MASTOIDECTOMY,,,533.49,7032.98,20
CPT,69502,MASTOIDECTOMY,,,710.43,7032.98,20
CPT,69505,REMOVE MASTOID STRUCTURES,,,873.34,7032.98,20
CPT,69511,EXTENSIVE MASTOID SURGERY,,,898.25,7032.98,20
CPT,69530,EXTENSIVE MASTOID SURGERY,,,1213.78,7032.98,20
CPT,69535,REMOVE PART OF TEMPORAL BONE,,,1982.1,3049.61,19
CPT,69540,EXCISION AURAL POLYP,,,91.41,1761.06,20
CPT,69550,EXC AURL GLOMUS TUM TRNSCANL,,,754.37,7032.98,20
CPT,69552,EXC AURL GLOMUS TUM TRNSMSTD,,,879.37,7032.98,20
CPT,69554,EXC AURL GLOMUS TUM EXTENDED,,,1844.37,2897.63,19
CPT,69601,REVJ MSTDC RSLTG COMPL MSTDC,,,765.77,7032.98,20
CPT,69602,REV MSTDC RSLT MOD RAD MSTDC,,,796.2,7032.98,20
CPT,69603,REVJ MSTDC RSLTG RAD MSTDC,,,924.13,7032.98,20
CPT,69604,REVJ MSTDC RSLTG TYMPANPLSTY,,,821.45,7032.98,20
CPT,69610,TYMPANIC MEMBRANE REPAIR,,,220.35,1761.06,20
CPT,69620,MYRINGOPLASTY,,,356.44,3855.6,20
CPT,69631,REPAIR EARDRUM STRUCTURES,,,637.11,7032.98,20
CPT,69632,REBUILD EARDRUM STRUCTURES,,,783.76,7032.98,20
CPT,69633,REBUILD EARDRUM STRUCTURES,,,754.75,7032.98,20
CPT,69635,REPAIR EARDRUM STRUCTURES,,,886.16,7032.98,20
CPT,69636,REBUILD EARDRUM STRUCTURES,,,1004.42,7032.98,20
CPT,69637,REBUILD EARDRUM STRUCTURES,,,999.77,7032.98,20
CPT,69641,REVISE MIDDLE EAR & MASTOID,,,759.86,7032.98,20
CPT,69642,REVISE MIDDLE EAR & MASTOID,,,980.92,7032.98,20
CPT,69643,REVISE MIDDLE EAR & MASTOID,,,895.86,7032.98,20
CPT,69644,REVISE MIDDLE EAR & MASTOID,,,1082.24,7032.98,20
CPT,69645,REVISE MIDDLE EAR & MASTOID,,,1059.87,7032.98,20
CPT,69646,REVISE MIDDLE EAR & MASTOID,,,1127.95,7032.98,20
CPT,69650,STAPES MOBILIZATION,,,578.6,3855.6,20
CPT,69660,REVISE MIDDLE EAR BONE,,,681.67,7032.98,20
CPT,69661,REVISE MIDDLE EAR BONE,,,891.92,7032.98,20
CPT,69662,REVISE MIDDLE EAR BONE,,,855.58,7032.98,20
CPT,69666,REPAIR MIDDLE EAR STRUCTURES,,,587.1,3855.6,20
CPT,69667,REPAIR MIDDLE EAR STRUCTURES,,,589.09,3855.6,20
CPT,69670,REMOVE MASTOID AIR CELLS,,,687.36,7032.98,20
CPT,69676,REMOVE MIDDLE EAR NERVE,,,604.61,3855.6,20
CPT,69700,CLOSE MASTOID FISTULA,,,504.7,1761.06,20
CPT,69705,NPS SURG DILAT EUST TUBE UNI,,,159.82,7032.98,11
CPT,69706,NPS SURG DILAT EUST TUBE BI,,,223.26,7032.98,11
CPT,69710,IMPLANT/REPLACE HEARING AID,,,879.37,879.37,1
CPT,69711,REMOVE/REPAIR HEARING AID,,,765.43,3855.6,11
CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,,,454.91,36808.06,20
CPT,69716,IMPL OI IMPLT SK TC ESP<100,,,514.95,15297.04,19
CPT,69717,RPLCMT OI IMPLT SKL PRQ ESP,,,515.43,36808.06,20
CPT,69719,RPLCM OI IMPLT SK TC ESP<100,,,514.95,15297.04,19
CPT,69720,RELEASE FACIAL NERVE,,,858.21,7032.98,20
CPT,69725,RELEASE FACIAL NERVE,,,1406.47,7032.98,20
CPT,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,349.14,3857.44,19
CPT,69727,RMV NTR OI IMP SK TC ESP<100,,,399.99,3857.44,19
CPT,69728,RMV NTR OI IMP SK TC>=100,,,544.84,3857.44,10
CPT,69729,IMPL OI IMPLT SK TC ESP>=100,,,617.78,15297.04,10
CPT,69730,RPLC OI IMPLT SK TC ESP>=100,,,631.25,15297.04,10
CPT,69740,REPAIR FACIAL NERVE,,,867.33,7032.98,20
CPT,69745,REPAIR FACIAL NERVE,,,920.48,7032.98,20
CPT,69799,UNLISTED PX MIDDLE EAR,,,225.28,879.37,6
CPT,69801,INCISE INNER EAR,,,114.81,1761.06,20
CPT,69805,EXPLORE INNER EAR,,,776.82,7032.98,20
CPT,69806,EXPLORE INNER EAR,,,696.62,7032.98,20
CPT,69905,REMOVE INNER EAR,,,671.44,7032.98,20
CPT,69910,REMOVE INNER EAR & MASTOID,,,753.74,7032.98,20
CPT,69915,INCISE INNER EAR NERVE,,,1145.39,3855.6,20
CPT,69930,IMPLANT COCHLEAR DEVICE,,,919.26,37815.52,20
CPT,69949,UNLISTED PX INNER EAR,,,225.28,879.37,6
CPT,69950,INCISE INNER EAR NERVE,,,1357.8,2001.35,19
CPT,69955,RELEASE FACIAL NERVE,,,1432.11,7032.98,20
CPT,69960,RELEASE INNER EAR CANAL,,,879.37,7032.98,20
CPT,69970,REMOVE INNER EAR LESION,,,879.37,7032.98,20
CPT,69979,UNLISTED PX TEMPORAL BONE,,,225.28,1432.11,6
CPT,69990,MICROSURGERY ADD-ON,,,162.56,681.19,20
CPT,70010,CONTRAST X-RAY OF BRAIN,,,48.99,424.58,29
CPT,70015,CONTRAST X-RAY OF BRAIN,,,50.11,186.76,33
CPT,70015,"HC DX CISTERNOGRAPHY,POS CONTRAST",1795.75,897.88,161.3,1616.18,70
CPT,70030,HC DX EYE EXAM FOR FOREIGN BODY,455.6,227.8,23.59,410.04,70
CPT,70030,X-RAY EYE FOR FOREIGN BODY,,,7.01,49.16,34
CPT,70100,HC DX JAW <4 VW,387.9,193.95,29.3,349.11,70
CPT,70100,X-RAY EXAM OF JAW <4VIEWS,,,7.31,86.57,35
CPT,70110,HC DX JAW 4+ VW,705.65,352.83,34.67,635.09,70
CPT,70110,X-RAY EXAM OF JAW 4/> VIEWS,,,10.27,66.29,36
CPT,70120,X-RAY EXAM OF MASTOIDS,,,7.31,126.43,39
CPT,70130,HC DX MASTOIDS 3+ VW,543.9,271.95,44.07,489.51,70
CPT,70130,X-RAY EXAM OF MASTOIDS,,,14.03,70.71,33
CPT,70134,X-RAY EXAM OF MIDDLE EAR,,,14.03,651.86,39
CPT,70140,HC DX FACIAL BONES <3 VW,403.55,201.78,34.67,363.2,70
CPT,70140,X-RAY EXAM OF FACIAL BONES,,,7.61,36.3,33
CPT,70150,HC DX FACIAL BONES 3+ VW,675.9,337.95,44.07,608.31,70
CPT,70150,X-RAY EXAM OF FACIAL BONES,,,10.57,108.38,36
CPT,70160,HC DX NASAL BONES,715.9,357.95,29.3,644.31,70
CPT,70160,X-RAY EXAM OF NASAL BONES,,,7.01,84.77,39
CPT,70170,HC DX TEAR DUCT,681.4,340.7,52.89,613.26,70
CPT,70170,X-RAY EXAM OF TEAR DUCT,,,12.34,291.4,33
CPT,70190,X-RAY EXAM OF EYE SOCKETS,,,8.5,104.68,39
CPT,70200,HC DX ORBITS MINIMUM 4 VIEWS,568.75,284.38,44.07,511.88,70
CPT,70200,X-RAY EXAM OF EYE SOCKETS,,,11.46,54.16,33
CPT,70210,HC DX SINUSES <3 VW,345.95,172.98,34.67,311.36,70
CPT,70210,X-RAY EXAM OF SINUSES,,,7.01,56.77,34
CPT,70220,HC DX SINUSES 3+ VW,649.05,324.53,44.07,584.15,70
CPT,70220,X-RAY EXAM OF SINUSES,,,9.73,71.67,34
CPT,70240,X-RAY EXAM PITUITARY SADDLE,,,7.9,104.68,39
CPT,70250,HC DX SKULL LESS THAN 4 VIEWS,583.55,291.78,34.67,525.2,70
CPT,70250,X-RAY EXAM OF SKULL,,,8.13,93.91,36
CPT,70260,HC DX SKULL 4+ VW,984.65,492.33,50.03,886.19,70
CPT,70260,X-RAY EXAM OF SKULL,,,12.57,125.44,34
CPT,70300,X-RAY EXAM OF TEETH,,,4.34,104.68,45
CPT,70310,X-RAY EXAM OF TEETH,,,6.71,287.37,40
CPT,70320,FULL MOUTH X-RAY OF TEETH,,,9.08,287.37,50
CPT,70328,X-RAY EXAM OF JAW JOINT,,,7.31,104.68,39
CPT,70330,HC DX TMJ BILAT,532.15,266.08,46.93,478.94,70
CPT,70330,X-RAY EXAM OF JAW JOINTS,,,9.96,60.04,33
CPT,70332,X-RAY EXAM OF JAW JOINT,,,21.75,287.37,39
CPT,70336,HC MRI JAW JOINT,5304.15,2652.08,234.5,4773.74,70
CPT,70336,MAGNETIC IMAGE JAW JOINT,,,61.21,400.99,33
CPT,70350,X-RAY HEAD FOR ORTHODONTIA,,,7.01,104.68,39
CPT,70355,HC DX PANORAMIC OF JAWS,474.85,237.43,31.84,427.37,70
CPT,70355,PANORAMIC X-RAY OF JAWS,,,8.0,66.46,41
CPT,70360,HC DX NECK SOFT TISSUE,474.85,237.43,23.59,427.37,70
CPT,70360,X-RAY EXAM OF NECK,,,7.01,66.83,39
CPT,70370,THROAT X-RAY & FLUOROSCOPY,,,12.95,115.96,39
CPT,70371,SPEECH EVALUATION COMPLEX,,,39.2,287.37,21
CPT,70380,X-RAY EXAM OF SALIVARY GLAND,,,7.01,104.68,39
CPT,70390,HC DX SIALOGRAM,1172.15,586.08,99.8,1054.94,70
CPT,70390,X-RAY EXAM OF SALIVARY DUCT,,,15.79,127.75,33
CPT,70450,CT HEAD/BRAIN W/O DYE,,,35.42,706.13,34
CPT,70450,HC CT HEAD/BRAIN W/O CONTRAST,2537.8,1268.9,103.16,2284.02,70
CPT,70460,CT HEAD/BRAIN W/DYE,,,46.89,222.9,33
CPT,70460,HC CT SCAN HEAD CONTRAST,3040.9,1520.45,172.7,2736.81,70
CPT,70470,CT HEAD/BRAIN W/O & W/DYE,,,52.71,269.6,33
CPT,70470,HC CT SCAN HEAD COMBO,3884.8,1942.4,172.7,3496.32,70
CPT,70480,CT ORBIT/EAR/FOSSA W/O DYE,,,53.01,262.42,33
CPT,70480,HC CT ORBITS PF SELLA IAC W/O CONTRAST,2860.4,1430.2,103.16,2574.36,70
CPT,70481,CT ORBIT/EAR/FOSSA W/DYE,,,49.91,305.0,33
CPT,70481,HC CT SCAN SKULL CONTRAST,3238.1,1619.05,172.7,2914.29,70
CPT,70482,CT ORBIT/EAR/FOSSA W/O&W/DYE,,,55.85,349.06,33
CPT,70482,HC CT SCAN SKULL COMBO,5042.3,2521.15,172.7,4538.07,70
CPT,70486,CT MAXILLOFACIAL W/O DYE,,,37.94,511.42,34
CPT,70486,HC CT MAXILLOFACIAL W/O CONTRAST,2290.75,1145.38,103.16,2061.68,70
CPT,70487,CT MAXILLOFACIAL W/DYE,,,49.91,268.29,33
CPT,70487,HC CT MAXILLOFACIAL AREA W/ CONTRAST,2838.35,1419.18,172.7,2554.52,70
CPT,70488,CT MAXILLOFACIAL W/O & W/DYE,,,55.85,326.16,33
CPT,70488,HC CT SCANS FACE/JAW COMBO,4602.15,2301.08,172.7,4141.94,70
CPT,70490,CT SOFT TISSUE NECK W/O DYE,,,53.29,220.19,33
CPT,70490,HC CT SOFT TISSUE NECK W/O CONTRAST,2726.7,1363.35,103.16,2454.03,70
CPT,70491,CT SOFT TISSUE NECK W/DYE,,,57.15,994.07,34
CPT,70491,HC CT NECK TISSUE CONTRAST,3334.0,1667.0,172.7,3000.6,70
CPT,70492,CT SFT TSUE NCK W/O & W/DYE,,,59.83,319.95,33
CPT,70492,HC CT NECK TISSUE COMBO,6077.35,3038.68,172.7,5469.62,70
CPT,70496,CT ANGIOGRAPHY HEAD,,,72.92,1242.64,40
CPT,70496,HC CT ANGIO BRAIN W/ CONTRAST,4188.45,2094.23,172.7,3769.61,70
CPT,70498,CT ANGIOGRAPHY NECK,,,73.21,1242.64,40
CPT,70498,HC CT ANGIO NECK W/ CONTRAST,4653.5,2326.75,172.7,4188.15,70
CPT,70540,HC MRI ORBITS FACE &/OR NECK W/O CONTRAST,4109.55,2054.78,234.5,3698.6,70
CPT,70540,MRI ORBIT/FACE/NECK W/O DYE,,,55.69,433.96,33
CPT,70542,HC MRI ORBITS FACE &/OR NECK W/ CONTRAST,4409.95,2204.98,346.46,3968.96,70
CPT,70542,MRI ORBIT/FACE/NECK W/DYE,,,66.84,482.3,33
CPT,70543,HC MRI ORBITS FACE &/OR NECK W&WO CONTRAST,5105.2,2552.6,346.46,4594.68,70
CPT,70543,MRI ORBT/FAC/NCK W/O &W/DYE,,,88.76,664.55,33
CPT,70544,HC MRA HEAD W/O CONTRAST,3474.0,1737.0,234.5,3126.6,70
CPT,70544,MR ANGIOGRAPHY HEAD W/O DYE,,,49.57,467.58,33
CPT,70545,HC MRA HEAD W CONTRAST,4273.2,2136.6,346.46,3845.88,70
CPT,70545,MR ANGIOGRAPHY HEAD W/DYE,,,49.57,465.58,33
CPT,70546,HC MRA HEAD W & W/O CONTRAST,5140.95,2570.48,346.46,4626.86,70
CPT,70546,MR ANGIOGRAPH HEAD W/O&W/DYE,,,65.25,741.22,33
CPT,70547,HC MRA NECK W/O CONTRAST,3581.15,1790.58,234.5,3223.04,70
CPT,70547,MR ANGIOGRAPHY NECK W/O DYE,,,49.57,466.44,33
CPT,70548,HC MRA NECK W/ CONTRAST,4060.45,2030.23,346.46,3654.41,70
CPT,70548,MR ANGIOGRAPHY NECK W/DYE,,,49.57,484.7,33
CPT,70549,HC MRA NECK W & W/O CONTRAST,5140.95,2570.48,346.46,4626.86,70
CPT,70549,MR ANGIOGRAPH NECK W/O&W/DYE,,,74.44,741.78,33
CPT,70551,HC MRI BRAIN W/O CONTRAST,3530.55,1765.28,234.5,3177.5,70
CPT,70551,MRI BRAIN STEM W/O DYE,,,61.21,1295.79,35
CPT,70552,HC MRI BRAIN CONTRAST,4534.45,2267.23,346.46,4081.01,70
CPT,70552,MRI BRAIN STEM W/DYE,,,73.83,1498.76,34
CPT,70553,HC MRI BRAIN W & W/O CONTRAST,5318.05,2659.03,346.46,4786.25,70
CPT,70553,MRI BRAIN STEM W/O & W/DYE,,,97.64,667.38,33
CPT,70554,FMRI BRAIN BY TECH,,,82.55,436.96,33
CPT,70554,HC MRI BRAIN FUNCTION IMAG W/TECH,2973.5,1486.75,234.5,2676.15,70
CPT,70555,FMRI BRAIN BY PHYS/PSYCH,,,95.17,475.1,39
CPT,70557,HC MRI BRAIN W/O DYE,2118.9,1059.45,103.63,1907.01,70
CPT,70557,MRI BRAIN W/O DYE,,,120.86,673.43,33
CPT,70558,HC MRI BRAIN W/ DYE,859.3,429.65,114.46,1446.3,70
CPT,70558,MRI BRAIN W/DYE,,,131.99,538.52,28
CPT,70559,HC MRI INTEROP BRAIN W & WO,7352.25,3676.13,114.65,6617.03,70
CPT,70559,MRI BRAIN W/O & W/DYE,,,134.05,546.92,33
CPT,71045,HC DX EXAM CHEST SINGLE VIEW,373.65,186.83,8.32,336.29,70
CPT,71045,X-RAY EXAM CHEST 1 VIEW,,,7.67,51.04,41
CPT,71046,HC DX EXAM CHEST 2 VIEWS,464.6,232.3,15.34,418.14,70
CPT,71046,X-RAY EXAM CHEST 2 VIEWS,,,9.16,78.4,56
CPT,71047,HC DX CHEST 3 VIEWS,387.9,193.95,19.55,349.11,70
CPT,71047,X-RAY EXAM CHEST 3 VIEWS,,,11.82,47.78,33
CPT,71048,HC DX CHEST MIN 4 VIEWS,510.65,255.33,20.12,459.59,70
CPT,71048,X-RAY EXAM CHEST 4+ VIEWS,,,13.61,52.01,33
CPT,71100,HC DX RIBS 2 VW UNILAT,417.6,208.8,31.84,375.84,70
CPT,71100,X-RAY EXAM RIBS UNI 2 VIEWS,,,9.08,82.7,42
CPT,71101,HC DX RIBS CHEST 3+ VW,614.85,307.43,37.54,553.37,70
CPT,71101,X-RAY EXAM UNILAT RIBS/CHEST,,,10.87,66.29,43
CPT,71110,HC DX RIBS 3 VW BILAT,1229.55,614.78,44.07,1106.6,70
CPT,71110,X-RAY EXAM RIBS BIL 3 VIEWS,,,10.87,67.36,34
CPT,71111,HC DX RIBS BIL W PA MIN 4 VIEWS,1020.6,510.3,50.03,918.54,70
CPT,71111,X-RAY EXAM RIBS/CHEST4/> VWS,,,12.95,134.28,38
CPT,71120,HC DX STERNUM MINIMUM 2 VIEWS,451.15,225.58,36.46,406.04,70
CPT,71120,X-RAY EXAM BREASTBONE 2/>VWS,,,8.2,86.4,41
CPT,71130,HC DX STERNOCLAVICULAR JOINTS,473.75,236.88,39.25,426.38,70
CPT,71130,X-RAY STRENOCLAVIC JT 3/>VWS,,,9.08,95.05,35
CPT,71250,CT THORAX DX C-,,,47.69,723.64,39
CPT,71250,HC CT CHEST W/O CONTRAST,2700.05,1350.03,103.16,2430.05,70
CPT,71260,CT THORAX DX C+,,,51.33,1284.26,36
CPT,71260,HC CT CHEST W/ CONTRAST,3217.95,1608.98,172.7,2896.16,70
CPT,71270,CT THORAX DX C-/C+,,,55.2,332.67,33
CPT,71270,HC CT CHEST W/ & W/O CONTRAST,4210.8,2105.4,172.7,3789.72,70
CPT,71271,CT THORAX LUNG CANCER SCR C-,,,40.38,248.41,35
CPT,71271,HC CT LDCT LUNG SCREEN W/O CONT,1134.15,567.08,71.81,1023.1,70
CPT,71275,CT ANGIOGRAPHY CHEST,,,79.94,1247.33,42
CPT,71275,HC CT ANGIO CHEST W/ CONTRAST,4188.45,2094.23,172.7,3769.61,70
CPT,71550,HC MRI CHEST W/O CONTRAST,4516.55,2258.28,234.5,4064.9,70
CPT,71550,MRI CHEST W/O DYE,,,60.14,484.47,33
CPT,71551,HC MRI CHEST W/ CONTRAST,4848.0,2424.0,766.45,4363.2,70
CPT,71551,MRI CHEST W/DYE,,,71.2,543.65,33
CPT,71552,HC MRI CHEST W & W/O CONTRAST,5305.45,2652.73,346.46,4774.91,70
CPT,71552,MRI CHEST W/O & W/DYE,,,94.05,1993.46,34
CPT,71555,MRI ANGIO CHEST W OR W/O DYE,,,75.58,1851.28,44
CPT,72020,HC DX SPINE ONE VIEW,437.65,218.83,23.59,393.89,70
CPT,72020,X-RAY EXAM OF SPINE 1 VIEW,,,6.41,60.02,34
CPT,72040,HC DX SPINE CERVICAL 2 OR 3 VIEWS,598.55,299.28,33.55,538.7,70
CPT,72040,X-RAY EXAM NECK SPINE 2-3 VW,,,9.08,91.24,54
CPT,72050,HC DX SPINE CERVICAL 4 OR 5 VIEWS,741.35,370.68,50.03,667.22,70
CPT,72050,X-RAY EXAM NECK SPINE 4/5VWS,,,12.24,130.25,45
CPT,72052,HC DX SPINE CERVICAL 6 OR MORE VIEWS,982.7,491.35,63.39,884.43,70
CPT,72052,X-RAY EXAM NECK SPINE 6/>VWS,,,13.43,70.23,33
CPT,72070,HC DX THORACIC SPINE 2 VW,539.05,269.53,36.46,485.15,70
CPT,72070,X-RAY EXAM THORAC SPINE 2VWS,,,9.08,87.43,51
CPT,72072,HC DX SPINE THORACIC 3 VIEWS,663.25,331.63,41.23,596.93,70
CPT,72072,X-RAY EXAM THORAC SPINE 3VWS,,,9.08,97.59,38
CPT,72074,HC DX THORACIC SPINE 4 VW,713.1,356.55,51.15,641.79,70
CPT,72074,X-RAY EXAM THORAC SPINE4/>VW,,,9.08,50.71,33
CPT,72080,HC DX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,559.75,279.88,37.54,503.78,70
CPT,72080,X-RAY EXAM THORACOLMB 2/> VW,,,9.08,90.81,40
CPT,72081,HC DX SPINE EXTIRE 1 VIEW,409.4,204.7,29.3,368.46,70
CPT,72081,X-RAY EXAM ENTIRE SPI 1 VW,,,11.35,61.29,34
CPT,72082,HC DX ENTIRE THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,818.8,409.4,37.54,736.92,70
CPT,72082,X-RAY EXAM ENTIRE SPI 2/3 VW,,,13.75,159.26,37
CPT,72083,HC DX ENTIRE THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,1023.3,511.65,37.54,920.97,70
CPT,72083,X-RAY EXAM ENTIRE SPI 4/5 VW,,,14.98,125.95,34
CPT,72084,HC DX ENTIRE THRC LMBR CRV SAC SPI W/SKULL 6/> VW,1327.45,663.73,37.54,1194.71,70
CPT,72084,X-RAY EXAM ENTIRE SPI 6/> VW,,,17.4,111.25,33
CPT,72100,HC DX SPINE LUMBAR 2 OR 3 VIEWS,556.8,278.4,37.54,501.12,70
CPT,72100,X-RAY EXAM L-S SPINE 2/3 VWS,,,9.08,96.0,56
CPT,72110,HC DX SPINE LUMBAR MIN 4 VIEWS,860.45,430.23,51.15,774.41,70
CPT,72110,X-RAY EXAM L-2 SPINE 4/>VWS,,,11.92,134.04,49
CPT,72114,HC DX SPINE LUMBAR W BEND MIN 6 VIEW,1276.5,638.25,66.26,1148.85,70
CPT,72114,X-RAY EXAM L-S SPINE BENDING,,,13.73,116.76,34
CPT,72120,HC DX SPINE LUMBAR BEND ONLY 2-3 VIEW,729.5,364.75,50.03,656.55,70
CPT,72120,X-RAY BEND ONLY L-S SPINE,,,9.08,93.24,34
CPT,72125,CT NECK SPINE W/O DYE,,,43.99,225.44,33
CPT,72125,HC CT CERVICAL SPINE W/O CONTRAST MATERIAL,3027.9,1513.95,103.16,2725.11,70
CPT,72126,CT NECK SPINE W/DYE,,,50.45,268.99,33
CPT,72126,HC CT CERVICAL SPINE W/CONTRAST MATERIAL,3302.8,1651.4,346.46,2972.52,70
CPT,72127,CT NECK SPINE W/O & W/DYE,,,52.43,327.29,33
CPT,72127,HC CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,5704.35,2852.18,172.7,5133.92,70
CPT,72128,CT CHEST SPINE W/O DYE,,,43.99,224.88,33
CPT,72128,HC CT THORACIC SPINE W/O CONTRAST MATERIAL,2851.7,1425.85,103.16,2566.53,70
CPT,72129,CT CHEST SPINE W/DYE,,,50.73,269.28,33
CPT,72129,HC CT THORACIC SPINE W/CONTRAST MATERIAL,3100.4,1550.2,172.7,2790.36,70
CPT,72130,CT CHEST SPINE W/O & W/DYE,,,52.71,328.14,33
CPT,72130,HC CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,5491.2,2745.6,172.7,4942.08,70
CPT,72131,CT LUMBAR SPINE W/O DYE,,,43.99,224.59,33
CPT,72131,HC CT LUMBAR SPINE W/O CONTRAST MATERIAL,3008.1,1504.05,103.16,2707.29,70
CPT,72132,CT LUMBAR SPINE W/DYE,,,50.73,268.99,33
CPT,72132,HC CT LUMBAR SPINE W/CONTRAST MATERIAL,3701.75,1850.88,346.46,3331.58,70
CPT,72133,CT LUMBAR SPINE W/O & W/DYE,,,52.71,327.86,33
CPT,72133,HC CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,4305.95,2152.98,172.7,3875.36,70
CPT,72141,HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,3895.15,1947.58,234.5,3505.64,70
CPT,72141,MRI NECK SPINE W/O DYE,,,65.55,1295.42,36
CPT,72142,HC MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,4329.75,2164.88,346.46,3896.78,70
CPT,72142,MRI NECK SPINE W/DYE,,,79.38,506.42,33
CPT,72146,HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,4026.15,2013.08,234.5,3623.54,70
CPT,72146,MRI CHEST SPINE W/O DYE,,,65.55,1294.92,35
CPT,72147,HC MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,4826.95,2413.48,346.46,4344.26,70
CPT,72147,MRI CHEST SPINE W/DYE,,,78.77,463.34,33
CPT,72148,HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,4026.15,2013.08,234.5,3623.54,70
CPT,72148,MRI LUMBAR SPINE W/O DYE,,,61.21,1294.92,40
CPT,72149,HC MRI LUMBAR SPINE CONTRAST,4831.35,2415.68,346.46,4348.22,70
CPT,72149,MRI LUMBAR SPINE W/DYE,,,73.83,500.47,33
CPT,72156,HC MRI CERV SPINE COMBO,5059.1,2529.55,346.46,4553.19,70
CPT,72156,MRI NECK SPINE W/O & W/DYE,,,101.73,668.06,33
CPT,72157,HC MRI DORSAL SPINE COMBO,5312.1,2656.05,346.46,4780.89,70
CPT,72157,MRI CHEST SPINE W/O & W/DYE,,,101.73,634.96,33
CPT,72158,HC MRI LUMBAR SPINE COMBO,5312.1,2656.05,346.46,4780.89,70
CPT,72158,MRI LUMBAR SPINE W/O & W/DYE,,,97.35,1974.13,34
CPT,72159,MR ANGIO SPINE W/O&W/DYE,,,73.98,695.54,39
CPT,72170,HC DX PELVIS 1/2 VW,401.9,200.95,29.3,361.71,70
CPT,72170,X-RAY EXAM OF PELVIS,,,7.01,80.85,47
CPT,72190,HC DX PELVIS 3+ VW,492.85,246.43,37.54,443.57,70
CPT,72190,X-RAY EXAM OF PELVIS,,,8.78,107.21,40
CPT,72191,CT ANGIOGRAPH PELV W/O&W/DYE,,,75.3,395.75,33
CPT,72191,HC CT ANGIO PELVIS COMBO INCL IMAGE PROC,4185.45,2092.73,172.7,3766.91,70
CPT,72192,CT PELVIS W/O DYE,,,45.4,213.87,33
CPT,72192,HC CT SCAN PELVIS W/O CONTRAST,2779.35,1389.68,103.16,2501.42,70
CPT,72193,CT PELVIS W/DYE,,,48.07,261.08,33
CPT,72193,HC CT SCAN OF PELVIS CONTRAST,3217.95,1608.98,172.7,2896.16,70
CPT,72194,CT PELVIS W/O & W/DYE,,,50.45,325.81,33
CPT,72194,HC CT SCAN OF PELVIS COMBO,4203.25,2101.63,172.7,3782.93,70
CPT,72195,HC MRI PELVIS W/O CONTRAST,3398.05,1699.03,234.5,3058.25,70
CPT,72195,MRI PELVIS W/O DYE,,,60.14,443.96,33
CPT,72196,HC MRI PELVIS W/CONTRAST,4471.9,2235.95,346.46,4024.71,70
CPT,72196,MRI PELVIS W/DYE,,,71.76,492.27,33
CPT,72197,HC MRI PELVIS COMBO,5297.15,2648.58,346.46,4767.44,70
CPT,72197,MRI PELVIS W/O & W/DYE,,,93.49,2420.94,37
CPT,72198,MR ANGIO PELVIS W/O & W/DYE,,,74.72,626.41,39
CPT,72200,HC DX SACROILIAC JTS <3 VW,396.75,198.38,29.3,357.08,70
CPT,72200,X-RAY EXAM SI JOINTS,,,7.01,51.67,34
CPT,72202,HC DX SACROILIAC JTS 3+ VW,434.8,217.4,34.67,391.32,70
CPT,72202,X-RAY EXAM SI JOINTS 3/> VWS,,,7.9,88.25,37
CPT,72220,HC DX SACRUM/COCCYX 2+ VW,463.0,231.5,31.84,416.7,70
CPT,72220,X-RAY EXAM SACRUM TAILBONE,,,7.01,76.67,47
CPT,72240,MYELOGRAPHY NECK SPINE,,,37.52,939.28,39
CPT,72255,MYELOGRAPHY THORACIC SPINE,,,36.69,939.28,39
CPT,72265,MYELOGRAPHY L-S SPINE,,,34.27,939.28,39
CPT,72270,MYELOGPHY 2/> SPINE REGIONS,,,55.08,939.28,39
CPT,72285,DISCOGRAPHY CERV/THOR SPINE,,,45.94,2321.6,39
CPT,72295,HC DISCOGRAPHY LUMBAR SPINE,2952.45,1476.23,439.06,2657.21,70
CPT,72295,X-RAY OF LOWER SPINE DISK,,,33.52,126.26,33
CPT,73000,HC DX CLAVICLE,444.4,222.2,29.3,399.96,70
CPT,73000,X-RAY EXAM OF COLLAR BONE,,,6.71,60.99,43
CPT,73010,HC DX SCAPULA,390.2,195.1,29.3,351.18,70
CPT,73010,X-RAY EXAM OF SHOULDER BLADE,,,7.01,55.26,36
CPT,73020,HC DX SHOULDER 1 VW,342.45,171.23,26.43,308.21,70
CPT,73020,X-RAY EXAM OF SHOULDER,,,6.13,24.58,33
CPT,73030,HC DX SHOULDER 2+ VW,558.55,279.28,31.84,502.7,70
CPT,73030,X-RAY EXAM OF SHOULDER,,,7.6,77.54,50
CPT,73040,CONTRAST X-RAY OF SHOULDER,,,22.31,146.46,33
CPT,73040,HC ARTHROGRAM OF SHOULDER,1262.8,631.4,117.44,1136.52,70
CPT,73050,HC DX AC JTS,421.35,210.68,37.54,379.22,70
CPT,73050,X-RAY EXAM OF SHOULDERS,,,8.43,91.16,35
CPT,73060,HC DX HUMERUS,463.0,231.5,13.55,416.7,70
CPT,73060,X-RAY EXAM OF HUMERUS,,,7.01,75.73,41
CPT,73070,HC DX ELBOW 2 VW,407.95,203.98,29.3,367.16,70
CPT,73070,X-RAY EXAM OF ELBOW,,,6.13,61.04,43
CPT,73080,HC DX ELBOW 3+ VW,503.1,251.55,31.84,452.79,70
CPT,73080,X-RAY EXAM OF ELBOW,,,7.01,73.09,46
CPT,73085,CONTRAST X-RAY OF ELBOW,,,22.03,111.28,33
CPT,73085,HC ARTHROGRAM OF ELBOW,1177.5,588.75,117.44,1059.75,70
CPT,73090,HC DX FOREARM 2 VW,481.4,240.7,29.3,433.26,70
CPT,73090,X-RAY EXAM OF FOREARM,,,6.42,49.77,42
CPT,73092,HC DX ARM INFANT,332.05,166.03,27.56,298.85,70
CPT,73092,X-RAY EXAM OF ARM INFANT,,,6.42,35.46,33
CPT,73100,HC DX WRIST 2 VW,338.05,169.03,27.56,304.25,70
CPT,73100,X-RAY EXAM OF WRIST,,,6.71,56.69,41
CPT,73110,HC DX WRIST 3+ VW,458.65,229.33,29.85,412.79,70
CPT,73110,X-RAY EXAM OF WRIST,,,7.01,85.38,44
CPT,73115,CONTRAST X-RAY OF WRIST,,,22.31,148.24,33
CPT,73115,HC ARTHROGRAM OF WRIST,1488.3,744.15,88.14,1339.47,70
CPT,73120,HC DX HAND 2 VW,403.5,201.75,27.56,363.15,70
CPT,73120,X-RAY EXAM OF HAND,,,6.42,69.13,40
CPT,73130,HC DX HAND 3+ VW,533.0,266.5,29.85,479.7,70
CPT,73130,X-RAY EXAM OF HAND,,,7.01,81.7,49
CPT,73140,HC DX EXAM OF FINGER(S),375.2,187.6,23.59,337.68,70
CPT,73140,X-RAY EXAM OF FINGER(S),,,5.53,82.32,49
CPT,73200,CT UPPER EXTREMITY W/O DYE,,,43.99,213.27,33
CPT,73200,HC CT SCAN UPPER EXTREMITY W/O CONTRAST,3215.05,1607.53,103.16,2893.55,70
CPT,73201,CT UPPER EXTREMITY W/DYE,,,48.07,255.7,33
CPT,73201,HC CT SCAN OF ARM CONTRAST,3375.75,1687.88,330.42,3038.18,70
CPT,73202,CT UPPR EXTREMITY W/O&W/DYE,,,50.45,326.75,33
CPT,73202,HC CT SCAN OF ARM COMBO,4113.7,2056.85,172.7,3702.33,70
CPT,73206,CT ANGIO UPR EXTRM W/O&W/DYE,,,75.86,379.2,33
CPT,73206,HC CT ANGIO UPPER EXTREM COMBO,3198.7,1599.35,172.7,2878.83,70
CPT,73218,HC MRI UPPER EXTREMITY W/O CONTRAST,3474.0,1737.0,234.5,3126.6,70
CPT,73218,MRI UPPER EXTREMITY W/O DYE,,,55.41,1303.22,36
CPT,73219,HC MRI EXTREMITY UPPER W/CONTRAST,4820.9,2410.45,346.46,4338.81,70
CPT,73219,MRI UPPER EXTREMITY W/DYE,,,66.84,487.71,33
CPT,73220,HC MRI UPPER EXTREMITY COMBO W AND WO CONTRAST,5148.35,2574.18,346.46,4633.52,70
CPT,73220,MRI UPPR EXTREMITY W/O&W/DYE,,,89.05,1987.44,34
CPT,73221,HC MRI UPPER EXTREMITY COMBO WO CONTRAST,3876.55,1938.28,234.5,3488.9,70
CPT,73221,MRI JOINT UPR EXTREM W/O DYE,,,55.69,1302.76,37
CPT,73222,HC MRI JOINT UPPER EXTREM W/CONTRAST,4618.6,2309.3,766.45,4156.74,70
CPT,73222,MRI JOINT UPR EXTREM W/DYE,,,66.84,463.74,33
CPT,73223,HC MRI JOINT UPPER EXTREM COMBO,5300.2,2650.1,346.46,4770.18,70
CPT,73223,MRI JOINT UPR EXTR W/O&W/DYE,,,88.76,641.44,33
CPT,73225,MR ANGIO UPR EXTR W/O&W/DYE,,,71.02,626.41,39
CPT,73501,HC DX HIP UNILATERAL WITH PELVIS 1 VIEW,338.05,169.03,26.43,304.25,70
CPT,73501,X-RAY EXAM HIP UNI 1 VIEW,,,8.08,51.18,34
CPT,73502,HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,459.4,229.7,35.63,413.46,70
CPT,73502,X-RAY EXAM HIP UNI 2-3 VIEWS,,,9.59,105.68,46
CPT,73503,HC DX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,551.25,275.63,41.06,496.13,70
CPT,73503,X-RAY EXAM HIP UNI 4/> VIEWS,,,12.23,89.9,34
CPT,73521,HC DX HIPS BILATERAL WITH PELVIS 2 VIEWS,918.7,459.35,37.54,826.83,70
CPT,73521,X-RAY EXAM HIPS BI 2 VIEWS,,,9.88,102.05,42
CPT,73522,HC DX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,1102.4,551.2,37.54,992.16,70
CPT,73522,X-RAY EXAM HIPS BI 3-4 VIEWS,,,12.85,124.9,49
CPT,73523,HC DX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,748.25,374.13,37.54,673.43,70
CPT,73523,X-RAY EXAM HIPS BI 5/> VIEWS,,,13.75,70.25,33
CPT,73525,CONTRAST X-RAY OF HIP,,,22.5,141.11,33
CPT,73525,HC ARTHROGRAM OF HIP,1177.5,588.75,148.83,1059.75,70
CPT,73551,HC DX FEMUR 1 VIEW,332.35,166.18,31.84,299.12,70
CPT,73551,X-RAY EXAM OF FEMUR 1,,,7.17,33.59,33
CPT,73552,HC DX FEMUR MINIMUM 2 VIEWS,415.4,207.7,29.98,373.86,70
CPT,73552,X-RAY EXAM OF FEMUR 2/>,,,8.08,57.5,40
CPT,73560,HC DX KNEE 1 OR 2 VIEW,433.3,216.65,29.3,389.97,70
CPT,73560,X-RAY EXAM OF KNEE 1 OR 2,,,7.01,76.63,46
CPT,73562,HC DX KNEE 3 VIEW,454.9,227.45,31.84,409.41,70
CPT,73562,X-RAY EXAM OF KNEE 3,,,7.6,93.13,49
CPT,73564,HC DX KNEE 4+ VIEW,668.5,334.25,34.67,601.65,70
CPT,73564,X-RAY EXAM KNEE 4 OR MORE,,,9.08,108.12,41
CPT,73565,HC DX KNEE BILAT STANDING,866.5,433.25,27.56,779.85,70
CPT,73565,X-RAY EXAM OF KNEES,,,7.29,88.75,37
CPT,73580,CONTRAST X-RAY OF KNEE JOINT,,,22.5,121.96,33
CPT,73580,HC ARTHROGRAM OF KNEE JOINT,1155.15,577.58,146.98,1039.64,70
CPT,73590,HC DX LOWER LEG 2 VIEWS,422.95,211.48,29.3,380.66,70
CPT,73590,X-RAY EXAM OF LOWER LEG,,,7.01,65.9,44
CPT,73592,HC DX LOWER EXT INFANT MIN 2 VIEWS,301.6,150.8,27.56,271.44,70
CPT,73592,X-RAY EXAM OF LEG INFANT,,,6.42,49.77,36
CPT,73600,HC DX ANKLE 2 VW,439.2,219.6,27.56,395.28,70
CPT,73600,X-RAY EXAM OF ANKLE,,,6.42,68.65,43
CPT,73610,HC DX ANKLE 3+ VW,549.0,274.5,29.85,494.1,70
CPT,73610,X-RAY EXAM OF ANKLE,,,7.01,83.91,56
CPT,73615,CONTRAST X-RAY OF ANKLE,,,22.22,424.58,39
CPT,73620,HC DX FOOT 2 VW,386.35,193.18,27.56,347.72,70
CPT,73620,X-RAY EXAM OF FOOT,,,6.42,67.69,50
CPT,73630,HC DX FOOT 3+ VW,524.05,262.03,29.85,471.65,70
CPT,73630,X-RAY EXAM OF FOOT,,,7.01,78.71,54
CPT,73650,HC DX HEEL,420.75,210.38,26.43,378.68,70
CPT,73650,X-RAY EXAM OF HEEL,,,6.42,50.05,38
CPT,73660,HC DX TOE(S),361.45,180.73,23.59,325.31,70
CPT,73660,X-RAY EXAM OF TOE(S),,,5.25,70.24,46
CPT,73700,CT LOWER EXTREMITY W/O DYE,,,43.99,213.55,33
CPT,73700,HC CT EXTREMITY LOWER W/O CONTRAST,2512.5,1256.25,103.16,2261.25,70
CPT,73701,CT LOWER EXTREMITY W/DYE,,,48.35,257.41,33
CPT,73701,HC CT SCAN OF LEG CONTRAST,3170.35,1585.18,172.7,2853.32,70
CPT,73702,CT LWR EXTREMITY W/O&W/DYE,,,50.73,327.6,33
CPT,73702,HC CT SCAN OF LEG COMBO,5723.7,2861.85,172.7,5151.33,70
CPT,73706,CT ANGIO LWR EXTR W/O&W/DYE,,,79.7,411.94,33
CPT,73706,HC CT ANGIO EXTREMITY LOWER W/ CONTRAST,4151.05,2075.53,172.7,3735.95,70
CPT,73718,HC MRI EXTREMITY LOWER W/O CONTRAST,3398.05,1699.03,234.5,3058.25,70
CPT,73718,MRI LOWER EXTREMITY W/O DYE,,,55.69,1303.22,37
CPT,73719,HC MRI EXTREMITY LOWER W/ CONTRAST,4232.4,2116.2,346.46,3809.16,70
CPT,73719,MRI LOWER EXTREMITY W/DYE,,,66.84,482.57,33
CPT,73720,HC MRI EXTREMITY LOWER W & W/O CONTRAST,5066.45,2533.23,346.46,4559.81,70
CPT,73720,MRI LWR EXTREMITY W/O&W/DYE,,,89.05,1987.44,34
CPT,73721,HC MRI LOWER EXTREM JT W/O CONTRAST,3844.6,1922.3,234.5,3460.14,70
CPT,73721,MRI JNT OF LWR EXTRE W/O DYE,,,55.69,1302.76,39
CPT,73722,HC MRI JOINT OF LEG W/CONTRAST,4631.9,2315.95,766.45,4168.71,70
CPT,73722,MRI JOINT OF LWR EXTR W/DYE,,,67.12,467.46,33
CPT,73723,HC MRI JOINT OF LEG COMBO,4990.75,2495.38,346.46,4491.68,70
CPT,73723,MRI JOINT LWR EXTR W/O&W/DYE,,,89.05,854.09,36
CPT,73725,MR ANG LWR EXT W OR W/O DYE,,,75.6,626.41,39
CPT,74018,HC DX ABDOMEN 1 VIEW,448.85,224.43,14.21,403.97,70
CPT,74018,RADEX ABDOMEN 1 VIEW,,,7.67,70.08,51
CPT,74019,HC DX ABDOMEN 2 VIEWS,471.35,235.68,17.03,424.22,70
CPT,74019,RADEX ABDOMEN 2 VIEWS,,,9.75,85.7,45
CPT,74021,HC DX ABDOMEN 3+ VIEWS,618.75,309.38,19.83,556.88,70
CPT,74021,RADEX ABDOMEN 3+ VIEWS,,,11.46,61.32,34
CPT,74022,HC DX ABDOMEN COMP ACUTE SERIES,840.15,420.08,41.23,756.14,70
CPT,74022,RADEX COMPL AQT ABD SERIES,,,13.22,123.01,41
CPT,74150,CT ABDOMEN W/O CONTRAST,,,49.26,215.91,33
CPT,74150,HC CT SCAN ABDOMEN W/O CONTRAST,2726.7,1363.35,103.16,2454.03,70
CPT,74160,CT ABDOMEN W/CONTRAST,,,52.99,286.8,33
CPT,74160,HC CT SCAN OF ABDOMEN CONTRAST,3217.95,1608.98,172.7,2896.16,70
CPT,74170,CT ABD WO CNTRST FLWD CNTRST,,,58.04,375.22,33
CPT,74170,HC CT SCAN OF ABDOMEN COMBO,4286.65,2143.33,172.7,3857.99,70
CPT,74174,CTA ABD&PLVS W/CONTRAST,,,60.47,1756.55,40
CPT,74174,HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES,5679.7,2839.85,346.46,5111.73,70
CPT,74175,CTA ABDOMEN W/CONTRAST,,,79.14,1247.33,36
CPT,74175,HC CT ANGIO ABD COMBO INCL IMAGE PROC,4185.45,2092.73,172.7,3766.91,70
CPT,74176,CT ABD & PELVIS W/O CONTRAST,,,68.89,213.45,33
CPT,74176,HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST,5749.65,2874.83,234.5,5174.69,70
CPT,74177,CT ABD & PELVIS W/CONTRAST,,,72.25,359.31,34
CPT,74177,HC CT SCAN ABDOMEN AND PELVIS W CONTRAST,6434.35,3217.18,346.46,5790.92,70
CPT,74178,CT ABD&PLV WO CNTR FLWD CNTR,,,79.91,389.91,33
CPT,74178,HC CT ABDOMEN & PELVIS W/&W/O CONTRAST,7620.45,3810.23,346.46,6858.41,70
CPT,74181,HC MRI ABDOMEN W/O CONTRAST,3530.55,1765.28,234.5,3177.5,70
CPT,74181,MRI ABDOMEN W/O CONTRAST,,,60.41,402.57,33
CPT,74182,HC MRI ABDOMEN W/CONTRAST,4283.6,2141.8,346.46,3855.24,70
CPT,74182,MRI ABDOMEN W/CONTRAST,,,71.76,533.94,33
CPT,74183,HC MRI ABDOMEN COMBO,5036.8,2518.4,346.46,4533.12,70
CPT,74183,MRI ABD W/O CNTR FLWD CNTR,,,93.49,1985.62,37
CPT,74185,MRA ABD W OR W/O CNTRST,,,74.72,626.41,40
CPT,74190,HC DX PERITONEUM,724.95,362.48,72.78,652.46,70
CPT,74190,PERITONEOGRAM RS&I,,,19.94,623.79,33
CPT,74210,HC DX ESOPHAGUS CERVICAL,648.4,324.2,66.26,583.56,70
CPT,74210,X-RAY XM PHRNX&/CRV ESOPH C+,,,15.19,105.43,33
CPT,74220,HC DX ESOPHAGRAM,850.05,425.03,66.26,765.05,70
CPT,74220,X-RAY XM ESOPHAGUS 1CNTRST,,,19.05,109.2,33
CPT,74221,X-RAY XM ESOPHAGUS 2CNTRST,,,29.7,211.64,39
CPT,74230,HC SWALLOWING FCN W/CINE &/OR VIDEO,727.95,363.98,72.78,655.16,70
CPT,74230,X-RAY XM SWLNG FUNCJ C+,,,22.01,137.83,33
CPT,74235,REMOVE ESOPHAGUS OBSTRUCTION,,,50.37,271.86,34
CPT,74240,HC DX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB,995.85,497.93,81.6,896.27,70
CPT,74240,X-RAY XM UPR GI TRC 1CNTRST,,,28.71,137.4,34
CPT,74246,HC DX UPPER GI W/WO GLUCAGON/DELAY IMGES W/O KUB,1054.7,527.35,92.14,949.23,70
CPT,74246,X-RAY XM UPR GI TRC 2CNTRST,,,28.71,155.3,33
CPT,74248,HC DX SMALL BOWEL FOLLOW THROUGH,1022.75,511.38,75.83,920.48,70
CPT,74248,X-RAY SM INT F-THRU STD,,,29.7,92.93,33
CPT,74250,HC DX SMALL INTESTINE W/MULTIPLE SERIAL IMAGES,1022.75,511.38,72.78,920.48,70
CPT,74250,X-RAY XM SM INT 1CNTRST STD,,,19.36,136.69,33
CPT,74251,X-RAY XM SM INT 2CNTRST STD,,,28.71,270.58,39
CPT,74261,CT COLONOGRAPHY DX,,,98.46,256.19,15
CPT,74261,HC CT COLONOGRAPHY DX,3951.75,1975.88,57.35,3556.58,70
CPT,74262,CT COLONOGRAPHY DX W/DYE,,,110.92,344.74,21
CPT,74263,CT COLONOGRAPHY SCREENING,,,105.59,411.58,15
CPT,74263,HC CT COLONOGRAPHY INC IMAGE PROCESS SCREENING,3494.8,1747.4,234.5,3145.32,70
CPT,74270,HC DX COLON CONTRAST,1189.35,594.68,95.23,1070.42,70
CPT,74270,X-RAY XM COLON 1CNTRST STD,,,28.71,171.81,33
CPT,74280,HC DX COLON AIR CONTRAST,1640.3,820.15,125.1,1476.27,70
CPT,74280,X-RAY XM COLON 2CNTRST STD,,,41.06,244.43,33
CPT,74283,HC BARIUM ENEMA INTUSSUSCEPTION PEDS,1386.6,693.3,143.29,1247.94,70
CPT,74283,THER NMA RDCTJ INTUS/OBSTRCJ,,,83.52,296.55,33
CPT,74290,CONTRAST X-RAY GALLBLADDER,,,13.22,211.64,39
CPT,74300,HC DX OPER CHOLANGIOGRAM,973.65,486.83,48.34,876.29,65
CPT,74300,X-RAY BILE DUCTS/PANCREAS,,,12.16,95.88,43
CPT,74301,X-RAYS AT SURGERY ADD-ON,,,8.78,54.95,26
CPT,74328,HC DX FOR BILE DUCT ENDOSCOPY,715.5,357.75,156.05,643.95,65
CPT,74328,X-RAY BILE DUCT ENDOSCOPY,,,21.32,188.0,40
CPT,74329,HC DX FOR PANCREAS ENDOSCOPY,1344.85,672.43,176.03,1210.37,65
CPT,74329,X-RAY FOR PANCREAS ENDOSCOPY,,,21.62,124.51,26
CPT,74330,HC DX BILE/PANCREAS ENDOSCOPY,1760.9,880.45,176.03,1584.81,65
CPT,74330,X-RAY BILE/PANC ENDOSCOPY,,,25.13,233.1,37
CPT,74340,HC DX GUIDE GI TUBE,955.7,477.85,146.98,860.13,65
CPT,74340,X-RAY GUIDE FOR GI TUBE,,,22.31,127.89,33
CPT,74355,X-RAY GUIDE INTESTINAL TUBE,,,31.67,146.98,34
CPT,74360,X-RAY GUIDE GI DILATION,,,23.15,380.81,39
CPT,74363,HC DX PERCUT TRANSHEPAT DILAT BILE DUCT STRICT,1364.95,682.48,297.7,1228.46,65
CPT,74363,X-RAY BILE DUCT DILATION,,,36.9,221.39,33
CPT,74400,HC DX IV PYELOGRAM (IVP),1384.35,692.18,94.09,1245.92,70
CPT,74400,UROGRAPHY IV +-KUB TOMOG,,,20.24,149.69,33
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,,,20.53,211.64,39
CPT,74415,UROGRAPHY NFS DRIP&/BLS W/NF,,,20.24,211.64,39
CPT,74420,HC DX RETROGRADE PYELOGRAM,1326.35,663.18,146.98,1193.72,70
CPT,74420,UROGRAPHY RTRGR +-KUB,,,15.19,669.49,46
CPT,74425,HC DX ANTEGRADE PYELOGRAM TUBE,1115.0,557.5,72.78,1003.5,70
CPT,74425,UROGRAPHY ANTEGRADE RS&I,,,15.19,150.86,34
CPT,74430,CONTRAST X-RAY BLADDER,,,13.42,182.3,44
CPT,74430,HC DX CYSTOGRAM MIN 3 VIEW,848.5,424.25,62.41,763.65,70
CPT,74440,X-RAY MALE GENITAL TRACT,,,15.79,287.37,39
CPT,74445,X-RAY EXAM OF PENIS,,,48.4,138.29,39
CPT,74450,HC DX URETHROCYSTOGRAM,1108.55,554.28,81.6,997.7,70
CPT,74450,X-RAY URETHRA/BLADDER,,,14.0,665.82,40
CPT,74455,HC DX URETHRAL BLADDER,1173.0,586.5,88.14,1055.7,70
CPT,74455,X-RAY URETHRA/BLADDER,,,14.0,114.6,35
CPT,74470,HC DX RENAL CYST XLUMBAR+CONTRST,1089.6,544.8,71.9,980.64,70
CPT,74470,X-RAY EXAM OF KIDNEY LESION,,,22.59,625.21,33
CPT,74485,DILATION URTR/URT RS&I,,,22.79,2435.42,39
CPT,74712,HC MRI FETAL SNGL/1ST GESTATION,2726.7,1363.35,234.5,2454.03,70
CPT,74712,MRI FETAL SNGL/1ST GESTATION,,,133.43,446.53,15
CPT,74713,HC MRI FETAL EA ADDL GESTATION,681.85,340.93,148.71,1764.04,70
CPT,74713,MRI FETAL EA ADDL GESTATION,,,82.36,230.89,15
CPT,74740,HC DX HYSTEROSALPINGOGRAM,1073.2,536.6,72.78,965.88,70
CPT,74740,X-RAY FEMALE GENITAL TRACT,,,16.92,102.29,16
CPT,74742,HC DX XCERV CATH FALLOPIAN TUBE,978.0,489.0,213.3,880.2,64
CPT,74742,X-RAY FALLOPIAN TUBE,,,26.97,341.29,15
CPT,74775,X-RAY EXAM OF PERINEUM,,,25.75,287.37,39
CPT,75557,CARDIAC MRI FOR MORPH,,,100.97,1757.67,37
CPT,75557,HC MRI CARDIAC MORPHOLOGY & FUNCTION W/O CONTRAST,2735.75,1367.88,234.5,2462.18,70
CPT,75559,CARDIAC MRI W/STRESS IMG,,,127.69,651.86,21
CPT,75561,CARDIAC MRI FOR MORPH W/DYE,,,111.52,2497.78,52
CPT,75561,HC MRI CARDIAC W/W/O CONTRAST & FURTHER SEQ,3892.95,1946.48,346.46,3503.66,70
CPT,75563,CARD MRI W/STRESS IMG & DYE,,,130.77,2611.01,32
CPT,75563,HC MRI CARDIAC W/W/O CONTRAST W STRESS,4087.6,2043.8,626.41,3678.84,70
CPT,75565,CARD MRI VELOC FLOW MAPPING,,,11.0,352.63,36
CPT,75565,HC MRI CARDIAC FOR VELOCITY FLOW MAPPING,1138.75,569.38,28.36,1446.3,70
CPT,75571,CT HRT W/O DYE W/CA TEST,,,25.7,188.62,21
CPT,75571,HC CT CARDIAC SCORING,199.15,99.58,29.71,1023.1,70
CPT,75572,CT HRT W/3D IMAGE,,,68.77,712.95,48
CPT,75572,HC CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH,2700.05,1350.03,261.3,2430.05,70
CPT,75573,CT HRT C+ STRUX CGEN HRT DS,,,76.58,355.16,33
CPT,75573,HC CT HEART CONGENITAL DISEASE,3996.3,1998.15,261.3,3596.67,70
CPT,75574,CT ANGIO HRT W/3D IMAGE,,,75.05,1038.93,54
CPT,75574,HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,3531.35,1765.68,261.3,3178.22,70
CPT,75580,HC CT FFR PHYSIO SIMULATION ANALYSIS W/INTERP AND REPORT,9413.3,4706.65,261.3,8471.97,70
CPT,75580,N-INVAS EST C FFR SW ALY CTA,,,28.46,972.63,33
CPT,75600,CONTRAST EXAM THORACIC AORTA,,,21.33,250.51,33
CPT,75600,HC THORACIC AORTOGRAM 1 VIEW,8316.45,4158.23,573.88,7484.81,70
CPT,75605,CONTRAST EXAM THORACIC AORTA,,,48.87,215.52,34
CPT,75605,HC ANGIO AORTOGRAM THOR SERIAL,4828.15,2414.08,599.35,6426.7,70
CPT,75625,CONTRAST EXAM ABDOMINL AORTA,,,47.66,212.56,42
CPT,75625,HC ANGIO AORTOGRAM ABD SERIAL,5572.55,2786.28,599.35,5015.3,70
CPT,75630,HC ANGIO AORTOBIFEMORAL W CATH,4137.05,2068.53,629.45,3741.98,70
CPT,75630,X-RAY AORTA LEG ARTERIES,,,57.04,247.79,33
CPT,75635,CT ANGIO ABDOMINAL ARTERIES,,,101.27,477.04,33
CPT,75635,HC CT ANGIO RUNOFF W/ CONTRAST,4185.45,2092.73,172.7,3766.91,70
CPT,75705,ARTERY X-RAYS SPINE,,,91.93,289.54,33
CPT,75705,HC ANGIO SPINAL SELECTV,3176.85,1588.43,692.87,6426.7,70
CPT,75710,ARTERY X-RAYS ARM/LEG,,,47.85,224.75,41
CPT,75710,HC ANGIO EXTREMITY UNILAT,4855.1,2427.55,599.35,4369.59,70
CPT,75716,ARTERY X-RAYS ARMS/LEGS,,,54.95,250.82,37
CPT,75716,HC ANGIO EXTERMITY BILAT,9710.25,4855.13,606.09,8739.23,70
CPT,75726,ARTERY X-RAYS ABDOMEN,,,47.74,222.35,38
CPT,75726,HC ANGIO VISCERAL SELECTV/SUBSELEC,4729.85,2364.93,599.35,6426.7,70
CPT,75731,ARTERY X-RAYS ADRENAL GLAND,,,50.17,229.97,33
CPT,75731,HC ANGIO ADRENAL UNILATERAL SELECTIVE RS&I,9745.05,4872.53,599.35,8770.55,70
CPT,75733,ARTERY X-RAYS ADRENALS,,,56.71,260.61,33
CPT,75733,HC ANGIO ADRENAL BILATERAL SELECTIVE RS&I,19490.15,9745.08,606.09,17541.14,70
CPT,75736,ARTERY X-RAYS PELVIS,,,47.88,224.26,34
CPT,75736,HC ANGIO PELVIS,4654.15,2327.08,599.35,6426.7,70
CPT,75741,ARTERY X-RAYS LUNG,,,55.04,215.81,33
CPT,75741,HC ANGIO PULMON UNILAT SELECT,2709.1,1354.55,590.85,3741.98,70
CPT,75743,ARTERY X-RAYS LUNGS,,,63.93,236.79,36
CPT,75743,HC ANGIO PULMON BILAT SELECT,5418.15,2709.08,619.65,4876.34,70
CPT,75746,ARTERY X-RAYS LUNG,,,47.46,217.5,33
CPT,75746,HC DX ANGIO PULMONARY NONSELECT,2228.2,1114.1,485.97,3741.98,70
CPT,75756,ARTERY X-RAYS CHEST,,,50.54,230.71,33
CPT,75756,HC ANGIO INTERN MAMMARY,1152.85,576.43,251.44,3741.98,70
CPT,75774,ARTERY X-RAY EACH VESSEL,,,15.19,167.74,35
CPT,75774,HC ANGIO EA ADDNL SELECTV VESSEL,2557.25,1278.63,89.46,2301.53,70
CPT,75801,LYMPH VESSEL X-RAY ARM/LEG,,,33.02,735.03,39
CPT,75803,HC DX LYMPHANGIO EXTREM BILAT,6949.3,3474.65,284.14,6254.37,70
CPT,75803,LYMPH VESSEL X-RAY ARMS/LEGS,,,48.94,1811.48,33
CPT,75805,HC LYMPHANGIO ABD/PELV UNILAT,1136.2,568.1,247.81,3741.98,70
CPT,75805,LYMPH VESSEL X-RAY TRUNK,,,34.12,3584.93,33
CPT,75807,HC LYMPHANGIO ABD/PELV BILAT,2272.35,1136.18,314.04,3741.98,70
CPT,75807,LYMPH VESSEL X-RAY TRUNK,,,48.64,3585.7,33
CPT,75809,HC NONVASCULAR SHUNTOGRAM,423.35,211.68,51.56,381.02,70
CPT,75809,NONVASCULAR SHUNT X-RAY,,,19.36,91.96,33
CPT,75810,HC SP SPLEEN & LIVER VEIN EXAM,6432.35,3216.18,599.35,5789.12,70
CPT,75810,VEIN X-RAY SPLEEN/LIVER,,,45.02,3582.41,33
CPT,75820,HC VENOGRAM EXTREM UNILAT,2310.9,1155.45,96.38,2079.81,70
CPT,75820,VEIN X-RAY ARM/LEG,,,29.58,121.36,40
CPT,75822,HC VENOGRAM EXTREM BILAT,4621.8,2310.9,144.9,4159.62,70
CPT,75822,VEIN X-RAY ARMS/LEGS,,,43.93,151.96,41
CPT,75825,HC VENOGRAM INFER VENA CAVA,4087.95,2043.98,599.35,3741.98,70
CPT,75825,VEIN X-RAY TRUNK,,,47.3,205.05,41
CPT,75827,HC VENOGRAM SUPER VENA CAVA,4072.35,2036.18,599.35,3665.12,70
CPT,75827,VEIN X-RAY CHEST,,,46.35,204.65,37
CPT,75831,HC VENOGRAM RENAL UNILAT,3615.35,1807.68,599.35,3741.98,70
CPT,75831,VEIN X-RAY KIDNEY,,,47.37,207.43,41
CPT,75833,HC VENOGRAM RENAL BILAT,7230.55,3615.28,612.84,6507.5,70
CPT,75833,VEIN X-RAY KIDNEYS,,,61.34,231.95,34
CPT,75840,VEIN X-RAY ADRENAL GLAND,,,46.73,3741.98,39
CPT,75842,APC,,,5244.19,6426.7,5
CPT,75842,Fee Schedule,,,82.73,182.1,3
CPT,75842,MPFS,,,66.18,151.19,12
CPT,75842,Others,,,612.84,612.84,1
CPT,75842,Physician Fee Schedule,,,62.07,233.25,18
CPT,75860,HC VENOGRAM SINUS/JUGULAR,2473.8,1236.9,539.54,3741.98,70
CPT,75860,VEIN X-RAY NECK,,,48.4,211.6,34
CPT,75870,HC VENOGRAM SUPER SAG SINUS,2752.15,1376.08,599.35,3741.98,70
CPT,75870,VEIN X-RAY SKULL,,,47.19,209.8,33
CPT,75872,VEIN X-RAY SKULL EPIDURAL,,,49.75,735.03,39
CPT,75880,VEIN X-RAY EYE SOCKET,,,28.46,735.03,39
CPT,75885,HC PERCUT XHEPATIC PORTO+DYNAMIC,4536.35,2268.18,611.11,4082.72,70
CPT,75885,VEIN X-RAY LIVER W/HEMODYNAM,,,60.36,221.24,33
CPT,75887,HC PERCUT XHEPATIC PORTOGRAM,2021.35,1010.68,440.86,3741.98,70
CPT,75887,VEIN X-RAY LIVER W/O HEMODYN,,,60.36,222.95,33
CPT,75889,HC VENOGRAM HEPATIC W HEMODYNAMICS,4645.7,2322.85,599.35,4181.13,70
CPT,75889,VEIN X-RAY LIVER W/HEMODYNAM,,,47.74,208.09,33
CPT,75891,HC VENOGRAM HEPATIC,4632.65,2316.33,599.35,4169.39,70
CPT,75891,VEIN X-RAY LIVER,,,47.74,208.09,33
CPT,75893,HC VENOUS SAMPLING BY CATHETER,3682.35,1841.18,564.23,6426.7,70
CPT,75893,VENOUS SAMPLING BY CATHETER,,,22.31,181.86,33
CPT,75894,HC TRANSCATHETER RX EMBOLIZATN,5091.9,2545.95,1110.54,4582.71,65
CPT,75894,X-RAYS TRANSCATH THERAPY,,,54.86,1029.93,33
CPT,75898,FOLLOW-UP ANGIOGRAPHY,,,42.52,155.75,33
CPT,75898,HC ANGIO EXISTING CATH FOR FU,1366.65,683.33,58.83,3741.98,70
CPT,75901,HC MECH REM PERICATH MAT,3066.65,1533.33,87.93,2759.99,70
CPT,75901,REMOVE CVA DEVICE OBSTRUCT,,,20.24,250.3,33
CPT,75902,HC MECH REMOVAL INTRACATH OBSTRUCTIV MATERIAL CV DEVICE LUMEN S&I,3066.65,1533.33,78.82,2759.99,70
CPT,75902,REMOVE CVA LUMEN OBSTRUCT,,,16.09,96.6,33
CPT,75956,Fee Schedule,,,373.04,904.49,3
CPT,75956,HC RAD SUP/INT ENDO REP THOR W/SU,1165.45,582.73,254.18,1048.91,64
CPT,75956,MPFS,,,298.43,309.73,4
CPT,75956,Physician Fee Schedule,,,315.73,1288.16,18
CPT,75957,Fee Schedule,,,319.84,774.59,6
CPT,75957,HC SUP/INT ENDO REP THOR W/O,986.25,493.13,215.1,887.63,64
CPT,75957,MPFS,,,255.87,265.55,4
CPT,75957,Physician Fee Schedule,,,270.5,1103.66,18
CPT,75958,Fee Schedule,,,212.08,212.08,1
CPT,75958,HC PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I,487.5,243.75,106.32,438.75,64
CPT,75958,MPFS,,,169.66,176.08,4
CPT,75958,Physician Fee Schedule,,,180.37,735.92,18
CPT,75959,Fee Schedule,,,185.74,185.74,1
CPT,75959,HC PLACE DISTAL EXT ENDO REP THOR (CATH LAB),493.2,246.6,107.57,443.88,64
CPT,75959,MPFS,,,148.59,154.21,4
CPT,75959,Physician Fee Schedule,,,157.91,644.26,18
CPT,75970,HC VASCULAR BIOPSY,3591.4,1795.7,540.41,3232.26,65
CPT,75970,VASCULAR BIOPSY,,,34.81,454.41,33
CPT,75984,HC CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT,1192.3,596.15,87.97,1073.07,70
CPT,75984,XRAY CONTROL CATHETER CHANGE,,,30.19,286.87,34
CPT,75989,ABSCESS DRAINAGE UNDER X-RAY,,,49.54,398.03,34
CPT,75989,HC ABSCESS DRAINAGE UNDER XRAY,2526.0,1263.0,103.65,2273.4,70
CPT,76000,FLUOROSCOPY <1 HR PHYS/QHP,,,7.01,75.01,41
CPT,76000,HC FLUORO TO 1HR MD TIME,844.05,422.03,72.78,759.65,70
CPT,76010,HC FOREIGN BODY PEDS,324.7,162.35,29.3,292.23,70
CPT,76010,X-RAY NOSE TO RECTUM,,,7.6,71.64,36
CPT,76014,HC MRI SAFETY IMPLANT/FB ASSESS CLINICAL STAFF 1ST 15 MINS,81.55,40.78,17.79,1446.3,69
CPT,76014,MR SFTY IMPLT&/FB ASMT STF 1,,,9.8,12.25,5
CPT,76015,HC MRI SAFETY IMPLANT/FB ASSESS CLINICAL STAFF EA ADDL 30 MINS,163.1,81.55,35.57,1446.3,69
CPT,76015,MR SFTY MPLT&/FB ASMT STF EA,,,47.2,59.0,5
CPT,76016,HC MRI SAFETY DETERMINATION PHYSICAN/QHP,293.1,146.55,63.93,1446.3,69
CPT,76016,MR SAFETY DETER PHYS/QHP,,,26.34,83.64,15
CPT,76017,HC MRI SAFETY MED PHYSICS EXAM CUSTON PLAN/MONITOR,804.55,402.28,175.47,1446.3,69
CPT,76017,MR SFTY MED PHYSICS XM CSTMZ,,,33.53,255.34,15
CPT,76018,HC MRI SAFETY ELEC IMPLANT PREP W/MD OR QHP SUPERVISION,305.55,152.78,66.64,1446.3,69
CPT,76018,MR SAFETY IMPLANT ELEC PREPJ,,,32.99,130.99,15
CPT,76019,HC MRI SAFETY IMPLANT POSITION/IMMOBIZE W/MD OR QHP SUPERVISION,197.75,98.88,43.13,1446.3,69
CPT,76019,MR SAFETY IMPLT POS&/IMMOBLJ,,,25.87,169.65,15
CPT,76080,HC DX FISTULA ABSCESS SINUS TRACT,749.95,374.98,58.83,674.96,70
CPT,76080,X-RAY EXAM OF FISTULA,,,22.59,68.49,33
CPT,76098,HC DX EXAM BREAST SPECIMEN,706.75,353.38,23.59,651.86,70
CPT,76098,X-RAY EXAM SURGICAL SPECIMEN,,,6.71,48.91,33
CPT,76100,X-RAY EXAM OF BODY SECTION,,,23.99,126.43,39
CPT,76120,CINE/VIDEO X-RAYS,,,15.51,124.0,33
CPT,76120,HC CINE/VIDEO RAD,784.4,392.2,58.83,705.96,70
CPT,76125,CINE/VIDEO X-RAYS ADD-ON,,,11.72,72.74,33
CPT,76125,HC CINE/VIDEORADIOGRAPHY W/ROUTINE EXAM,784.4,392.2,44.07,705.96,65
CPT,76140,X-RAY CONSULTATION,,,31.06,31.68,9
CPT,76145,MED PHYSIC DOS EVAL RAD EXPS,,,514.75,1100.63,20
CPT,76376,3D RENDER W/INTRP POSTPROCES,,,8.67,213.05,57
CPT,76376,"HC 3D RENDERING W/INTERP, POSTPROCESS SUPERVISION",911.65,455.83,23.84,820.49,70
CPT,76377,3D RENDER W/INTRP POSTPROCES,,,33.54,312.0,38
CPT,76377,HC 3D RECONSTRUCTION,1198.25,599.13,74.13,1078.43,70
CPT,76380,CAT SCAN FOLLOW-UP STUDY,,,40.48,162.37,33
CPT,76380,HC CT SCAN LIMITED/LOCALIZED F/U STUDY,1318.9,659.45,85.42,1187.01,70
CPT,76390,HC MRI SPECTROSCOPY,2051.15,1025.58,85.42,1846.04,70
CPT,76391,HC MAGNETIC RESONANCE ELASTOGRAPHY,2051.15,1025.58,234.5,1846.04,69
CPT,76391,MR ELASTOGRAPHY,,,48.64,229.83,15
CPT,76496,HC INTERV DIAG FLUORO PROCED,649.7,324.85,68.29,584.73,70
CPT,76497,HC CT WHOLE BODY LOW DOSE SCREEN,2537.95,1268.98,85.42,2284.16,69
CPT,76498,HC MRI PLANNING SPACEOAR GEL FOR RADIATION THERAPY,935.5,467.75,85.42,1446.3,69
CPT,76498,HC MRI RADIATION PLANNING,1814.45,907.23,85.42,1633.01,69
CPT,76499,HC XR DEXA BODY COMPOSITION,652.85,326.43,85.42,587.57,70
CPT,76506,ECHO EXAM OF HEAD,,,26.64,124.16,33
CPT,76506,HC US HEAD REAL TIME,777.95,388.98,79.31,700.16,70
CPT,76510,OPH US DX B-SCAN&QUAN A-SCAN,,,26.27,153.25,39
CPT,76511,OPH US DX QUAN A-SCAN ONLY,,,19.09,126.43,39
CPT,76512,HC US EYE B-SCAN,671.35,335.68,85.28,604.22,70
CPT,76512,OPH US DX B-SCAN,,,15.79,138.89,36
CPT,76513,OPH US DX ANT SGM US UNI/BI,,,27.05,126.43,39
CPT,76514,ECHO EXAM OF EYE THICKNESS,,,1.59,29.12,39
CPT,76516,ECHO EXAM OF EYE,,,20.94,126.43,39
CPT,76519,ECHO EXAM OF EYE,,,22.68,126.43,40
CPT,76529,ECHO EXAM OF EYE,,,23.78,104.68,39
CPT,76536,HC US HEAD/NECK TISSUES REAL TIME,1089.6,544.8,79.31,980.64,70
CPT,76536,US EXAM OF HEAD AND NECK,,,22.63,301.82,58
CPT,76604,HC US CHEST REAL TIME,599.6,299.8,72.78,539.64,70
CPT,76604,US EXAM CHEST,,,22.61,219.47,48
CPT,76641,HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE,1039.5,519.75,86.35,935.55,70
CPT,76641,ULTRASOUND BREAST COMPLETE,,,30.68,116.23,33
CPT,76642,HC US BREAST UNI REAL TIME WITH IMAGE LIMITED,693.05,346.53,71.1,623.75,70
CPT,76642,ULTRASOUND BREAST LIMITED,,,28.57,96.61,34
CPT,76700,HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE,1330.7,665.35,103.16,1197.63,70
CPT,76700,US EXAM ABDOM COMPLETE,,,33.38,255.38,43
CPT,76705,ECHO EXAM OF ABDOMEN,,,24.57,237.8,52
CPT,76705,HC US ABDOMEN LIMITED,946.4,473.2,79.31,851.76,70
CPT,76706,HC US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,857.45,428.73,75.64,771.71,70
CPT,76706,US ABDL AORTA SCREEN AAA,,,23.69,232.36,40
CPT,76770,HC US RETROPERIT B-SCAN/REAL TIME COMPLETE,1105.65,552.83,103.16,995.09,70
CPT,76770,US EXAM ABDO BACK WALL COMP,,,30.51,234.56,43
CPT,76775,HC US RETROPERITNL ABD LTD,925.65,462.83,79.31,833.09,70
CPT,76775,US EXAM ABDO BACK WALL LIM,,,24.28,239.53,38
CPT,76776,HC US TRANSPLANTED KIDNEY REAL TIME/ DOPPLER,975.45,487.73,66.32,877.91,70
CPT,76776,US EXAM K TRANSPL W/DOPPLER,,,31.4,284.34,38
CPT,76800,HC US SPINAL CANAL & CONTENTS,812.75,406.38,79.31,731.48,70
CPT,76800,US EXAM SPINAL CANAL,,,44.09,194.63,33
CPT,76801,HC US OB < 14 WKS SINGLE FETUS,653.45,326.73,62.11,588.11,70
CPT,76801,OB US < 14 WKS SINGLE FETUS,,,40.5,318.03,62
CPT,76802,HC US OB < 14 WKS ADD'L FETUS,393.05,196.53,42.94,353.75,70
CPT,76802,OB US < 14 WKS ADDL FETUS,,,18.57,187.1,48
CPT,76805,HC US OB >/= 14 WKS SNGL FETUS,958.6,479.3,103.16,862.74,70
CPT,76805,OB US >/= 14 WKS SNGL FETUS,,,40.23,363.56,61
CPT,76810,HC US OB >/= 14 WKS ADDL FETUS,483.1,241.55,81.26,434.79,70
CPT,76810,OB US >/= 14 WKS ADDL FETUS,,,36.16,243.1,41
CPT,76811,HC US PREG UTER FET & MAT + DETL FET EXM,1106.1,553.05,210.47,995.49,70
CPT,76811,OB US DETAILED SNGL FETUS,,,76.25,527.16,56
CPT,76812,HC US PREG UTER FET & MAT + DETL FET ADDL,609.7,304.85,66.55,548.73,70
CPT,76812,OB US DETAILED ADDL FETUS,,,71.31,524.33,47
CPT,76813,HC US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,357.85,178.93,52.37,322.07,70
CPT,76813,OB US NUCHAL MEAS 1 GEST,,,46.72,314.83,53
CPT,76814,HC US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,227.0,113.5,26.34,204.3,70
CPT,76814,OB US NUCHAL MEAS ADD-ON,,,24.18,201.84,42
CPT,76815,HC US PREGNANT UTERUS LIMITED 1/> FETUSES,545.2,272.6,79.31,490.68,70
CPT,76815,OB US LIMITED FETUS(S),,,26.39,224.8,59
CPT,76816,HC US PREGNANT UTERUS F/U TRANSABD APP,598.55,299.28,62.27,538.7,70
CPT,76816,OB US FOLLOW-UP PER FETUS,,,34.31,289.87,64
CPT,76817,HC US PREGNANT UTERUS TRANSVAGINAL,771.15,385.58,88.69,694.04,70
CPT,76817,TRANSVAGINAL US OBSTETRIC,,,30.25,252.83,64
CPT,76818,FETAL BIOPHYS PROFILE W/NST,,,42.22,305.05,52
CPT,76818,HC US FETAL BIOPHYSICAL PROFILE,618.75,309.38,90.43,556.88,70
CPT,76819,FETAL BIOPHYS PROFIL W/O NST,,,31.14,234.8,58
CPT,76819,HC US FETAL BIOPHYS PROF W/O NST,671.0,335.5,103.16,603.9,70
CPT,76820,HC DOPPLER FETAL UMBILICAL ARTERY,525.6,262.8,44.78,473.04,70
CPT,76820,UMBILICAL ARTERY ECHO,,,18.49,153.97,56
CPT,76821,HC DOPPLER FETAL MID CEREBRAL  ARTERY,288.35,144.18,44.78,259.52,70
CPT,76821,MIDDLE CEREBRAL ARTERY ECHO,,,28.19,234.3,39
CPT,76825,ECHO EXAM OF FETAL HEART,,,67.23,679.79,53
CPT,76825,HC US SONO FETAL HEART,1531.45,765.73,110.32,1378.31,70
CPT,76826,ECHO EXAM OF FETAL HEART,,,32.95,405.8,38
CPT,76826,HC US SONO FETAL HEART F/U,963.1,481.55,53.2,866.79,70
CPT,76827,ECHO EXAM OF FETAL HEART,,,23.24,198.15,54
CPT,76827,HC US SONO FETAL HEART DOPPLER,685.15,342.58,96.91,616.64,70
CPT,76828,ECHO EXAM OF FETAL HEART,,,19.68,144.04,36
CPT,76828,HC US SONO FETAL HRT DOPPL F/U,558.25,279.13,62.79,502.43,70
CPT,76830,HC TRANSVAGINAL ULTRASOUND,983.15,491.58,85.28,884.84,70
CPT,76830,TRANSVAGINAL US NON-OB,,,28.16,328.2,64
CPT,76831,ECHO EXAM UTERUS,,,28.79,307.21,54
CPT,76831,HC US SONO EXAM HYSTEROSONOGRAPHY,995.85,497.93,91.28,896.27,70
CPT,76856,HC US PELVIC (NONOBSTETRIC),1287.6,643.8,85.28,1158.84,70
CPT,76856,US EXAM PELVIC COMPLETE,,,28.44,307.86,59
CPT,76857,HC US SONO PELVIS LIMITED,198.7,99.35,43.34,178.83,70
CPT,76857,US EXAM PELVIC LIMITED,,,16.07,189.37,55
CPT,76870,HC US ECHO SCROTUM & CONTENTS,956.6,478.3,85.28,860.94,70
CPT,76870,US EXAM SCROTUM,,,26.65,193.27,39
CPT,76872,HC US ECHO TRANSRECTAL,951.95,475.98,103.16,856.76,70
CPT,76872,US TRANSRECTAL,,,29.47,310.54,45
CPT,76873,ECHOGRAP TRANS R PROS STUDY,,,64.27,200.09,33
CPT,76873,HC US ECHO TRANSRECTAL PROSTATE VOL,812.65,406.33,103.16,731.39,70
CPT,76881,HC US COMPL JOINT R-T W/IMAGE DOCUMENTATION,1006.7,503.35,79.31,906.03,70
CPT,76881,US COMPL JOINT R-T W/IMG,,,9.5,286.39,38
CPT,76882,HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG,958.6,479.3,58.83,862.74,70
CPT,76882,US LMTD JT/FCL EVL NVASC XTR,,,16.27,89.82,51
CPT,76883,US NRV&ACC STRUX 1XTR COMPRE,,,13.39,144.5,31
CPT,76885,HC US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,728.3,364.15,85.42,655.47,70
CPT,76885,US EXAM INFANT HIPS DYNAMIC,,,30.51,142.74,33
CPT,76886,HC US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,728.3,364.15,85.42,655.47,70
CPT,76886,US EXAM INFANT HIPS STATIC,,,25.2,112.64,33
CPT,76932,ECHO GUIDE FOR HEART BIOPSY,,,29.59,105.75,34
CPT,76936,ECHO GUIDE FOR ARTERY REPAIR,,,83.1,292.46,33
CPT,76936,"HC US GUID,COMP REPAIR,PSEUDO-ANEUR/AV FIST",803.35,401.68,175.21,723.02,70
CPT,76937,HC US GUIDE VASCULAR ACCESS,1010.0,505.0,10.49,909.0,70
CPT,76937,US GUIDE VASCULAR ACCESS,,,12.53,116.0,55
CPT,76940,HC US GUIDE TISSUE ABLATION,756.2,378.1,40.66,680.58,65
CPT,76940,US GUIDE TISSUE ABLATION,,,78.33,265.36,39
CPT,76941,ECHO GUIDE FOR TRANSFUSION,,,54.18,156.06,34
CPT,76942,ECHO GUIDE FOR BIOPSY,,,25.97,340.38,57
CPT,76942,HC US SONO GUIDE NEEDLE BIOPSY,1039.05,519.53,55.37,935.15,70
CPT,76945,ECHO GUIDE VILLUS SAMPLING,,,27.0,98.33,40
CPT,76945,HC US SONO GUIDE CHOR VILL SAMPLING,725.75,362.88,85.6,653.18,65
CPT,76946,ECHO GUIDE FOR AMNIOCENTESIS,,,13.69,135.28,40
CPT,76946,HC US SONO GUIDE AMNIOCENTESIS,633.15,316.58,31.31,569.84,70
CPT,76948,ECHO GUIDE OVA ASPIRATION,,,29.68,185.55,32
CPT,76965,ECHO GUIDANCE RADIOTHERAPY,,,25.08,117.63,33
CPT,76965,HC US SONO GUIDE RADIOELEMT APPLIC,820.25,410.13,90.22,738.23,70
CPT,76975,GI ENDOSCOPIC ULTRASOUND,,,33.94,287.95,39
CPT,76977,US BONE DENSITY MEASURE,,,2.26,126.43,39
CPT,76978,US TRGT DYN MBUBB 1ST LES,,,69.1,272.9,38
CPT,76979,US TRGT DYN MBUBB EA ADDL,,,36.37,184.84,38
CPT,76981,HC US ELASTOGRAPHY PARENCHYMA,551.95,275.98,59.93,496.76,70
CPT,76981,USE PARENCHYMA,,,26.62,119.93,15
CPT,76982,USE 1ST TARGET LESION,,,26.32,126.43,20
CPT,76983,USE EA ADDL TARGET LESION,,,21.62,67.74,20
CPT,76984,DX INTRAOP THORACIC AORTA US,,,28.28,35.35,5
CPT,76984,HC US INTRAOPERATIVE THORACIC AORTA ULTRASOUND,3560.1,1780.05,776.46,3204.09,64
CPT,76987,DX INTRAOP EPICAR CAR US CHD,,,75.32,109.54,14
CPT,76988,DX NTROP EPCR US CHD IMG ACQ,,,47.85,69.19,14
CPT,76988,HC US INTRAOPERATIVE EPICARDIAL CARDIAC,3560.1,1780.05,776.46,3204.09,64
CPT,76989,DX INTRAOP EPCAR US CHD I&R,,,28.03,40.89,14
CPT,76998,HC US GUIDANCE INTRAOPERATIVE,1250.3,625.15,47.5,1125.27,65
CPT,76998,US GUIDE INTRAOP,,,39.17,422.41,40
CPT,76999,HC US SOFT TISSUE NON EXTREMITY,853.25,426.63,85.42,767.93,70
CPT,77001,FLUOROGUIDE FOR VEIN DEVICE,,,15.6,109.56,41
CPT,77001,HC FLUORO GUIDE FOR CENTRAL VENOUS ACCESS DEVICE,1270.5,635.25,48.06,1143.45,70
CPT,77002,HC FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,1078.75,539.38,37.15,970.88,70
CPT,77002,NEEDLE LOCALIZATION BY XRAY,,,21.75,252.31,37
CPT,77003,FLUOROGUIDE FOR SPINE INJECT,,,22.92,153.36,34
CPT,77003,HC FLUORSCOPIC GUIDANCE SPINAL INJECTION,1083.65,541.83,33.94,975.29,70
CPT,77011,CT SCAN FOR LOCALIZATION,,,49.58,532.47,39
CPT,77012,CT SCAN FOR NEEDLE BIOPSY,,,48.35,157.12,36
CPT,77012,HC CT GUIDANCE NEEDLE PLACEMENT,2851.7,1425.85,118.37,2566.53,70
CPT,77013,CT GUIDE FOR TISSUE ABLATION,,,166.66,583.45,33
CPT,77013,HC CT GUIDANCE TISSUE ABLATION,1441.3,720.65,153.93,1297.17,65
CPT,77014,APC,,,111.02,136.05,5
CPT,77014,Fee Schedule,,,53.04,136.05,3
CPT,77014,MPFS,,,42.43,112.96,12
CPT,77014,Others,,,74.64,74.64,1
CPT,77014,Physician Fee Schedule,,,34.58,146.56,18
CPT,77021,MRI GUIDANCE NDL PLMT RS&I,,,62.76,470.54,39
CPT,77022,MRI GDN PARNCHYMA TISS ABLTJ,,,163.75,745.43,34
CPT,77046,MRI BREAST C- UNILATERAL,,,61.96,287.37,39
CPT,77047,HC MRI BREAST BIL W/O CONTRAST,6553.0,3276.5,135.07,5897.7,70
CPT,77047,MRI BREAST C- BILATERAL,,,68.55,252.83,33
CPT,77048,MRI BREAST C-+ W/CAD UNI,,,89.6,387.35,39
CPT,77049,MRI BREAST C-+ W/CAD BI,,,98.04,394.95,39
CPT,77053,X-RAY OF MAMMARY DUCT,,,14.91,287.37,39
CPT,77054,X-RAY OF MAMMARY DUCTS,,,18.75,287.37,39
CPT,77061,HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,107.3,53.65,23.4,96.57,65
CPT,77062,HC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,214.4,107.2,46.76,192.96,65
CPT,77063,BREAST TOMOSYNTHESIS BI,,,21.57,60.26,33
CPT,77063,HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,80.35,40.18,17.52,72.32,70
CPT,77065,DX MAMMO INCL CAD UNI,,,28.46,142.94,33
CPT,77065,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,442.65,221.33,33.52,398.39,70
CPT,77066,DX MAMMO INCL CAD BI,,,35.19,180.2,33
CPT,77066,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,885.2,442.6,42.13,796.68,70
CPT,77067,HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,639.85,319.93,36.28,575.87,70
CPT,77067,SCR MAMMO BI INCL CAD,,,28.46,145.9,33
CPT,77071,HC MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS,840.55,420.28,52.18,756.5,70
CPT,77071,MNL APPL STRS JT RADIOGRAPHY,,,49.3,126.16,9
CPT,77072,BONE AGE STUDIES,,,7.9,59.37,40
CPT,77072,HC DX FOR BONE AGE,454.15,227.08,10.2,408.74,70
CPT,77073,BONE LENGTH STUDIES,,,11.16,51.38,33
CPT,77073,HC DX BONE LENGTH STUDIES,419.85,209.93,21.69,377.87,70
CPT,77074,HC DX BONE SURVEY LIMITED,818.05,409.03,31.48,736.25,70
CPT,77074,RADEX OSSEOUS SURVEY LMTD,,,18.75,74.39,33
CPT,77075,HC DX BONE SURVEY COMPLETE,1138.05,569.03,47.23,1024.25,70
CPT,77075,RADEX OSSEOUS SURVEY COMPL,,,22.31,112.31,33
CPT,77076,HC DX BONE SURVEY INFANT,821.45,410.73,29.3,739.31,70
CPT,77076,RADEX OSSEOUS SURVEY INFANT,,,27.91,121.65,33
CPT,77077,JOINT SURVEY SINGLE VIEW,,,12.83,126.43,39
CPT,77078,CT BONE DENSITY AXIAL,,,10.27,133.73,39
CPT,77080,DXA BONE DENSITY AXIAL,,,8.2,212.62,59
CPT,77080,HC DEXA SCAN ONE OR MORE SITES,826.95,413.48,56.64,744.26,70
CPT,77081,DXA BONE DENSITY APPENDICULR,,,8.78,36.33,33
CPT,77081,HC DEXA SCAN APPENDICULAR SKELETON,454.5,227.25,21.69,409.05,70
CPT,77084,HC MRI BONE MARROW,1941.7,970.85,221.12,1747.53,70
CPT,77084,MRI BONE MARROW BLOOD SUPPLY,,,66.52,455.77,33
CPT,77085,DXA BONE DENSITY AXL VRT FX,,,12.91,126.43,39
CPT,77086,HC VERTEBRAL FRACTURE ASSESSMENT VIA DXA,1192.45,596.23,85.42,1073.21,69
CPT,77086,VRT FRACTURE ASSMT VIA DXA,,,7.47,114.32,35
CPT,77089,TBS DXA CAL W/I&R FX RISK,,,36.17,45.21,10
CPT,77090,TBS TECHL PREP&TRANSMIS DATA,,,2.61,104.68,10
CPT,77091,TBS TECHL CALCULATION ONLY,,,24.48,104.68,10
CPT,77092,TBS I&R FX RSK QHP,,,9.08,11.35,10
CPT,77261,THER RADIOLOGY TX PLNG SMPL,,,57.65,82.64,19
CPT,77262,THER RADIOLOGY TX PLNG INTRM,,,86.63,127.43,19
CPT,77263,THER RADIOLOGY TX PLNG CPLX,,,128.53,197.81,19
CPT,77280,HC SIMULATION SIMPLE,1705.1,852.55,128.8,1534.59,70
CPT,77280,THER RAD SIMULAJ FIELD SMPL,,,28.65,302.59,33
CPT,77285,HC THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,3170.2,1585.1,311.37,2853.18,70
CPT,77285,THER RAD SIMULAJ FIELD INTRM,,,42.79,501.98,33
CPT,77290,HC SIMULATION COMPLEX,3486.0,1743.0,355.13,3137.4,70
CPT,77290,THER RAD SIMULAJ FIELD CPLX,,,63.54,498.69,33
CPT,77293,HC SIMULATION RESP MOTION MGMT,3145.9,1572.95,322.72,2831.31,70
CPT,77293,RESPIRATOR MOTION MGMT SIMUL,,,82.67,457.21,33
CPT,77295,3-D RADIOTHERAPY PLAN,,,185.69,556.56,33
CPT,77295,HC RADIOTHERAPY PLAN 3D,9476.75,4738.38,1160.53,8529.08,70
CPT,77299,UNLISTED PX THER RAD TX PLNG,,,128.8,232.86,6
CPT,77300,HC RADIATION THERAPY DOSIMETRY PLAN,1028.1,514.05,74.93,925.29,70
CPT,77300,RADIATION THERAPY DOSE PLAN,,,25.2,77.06,33
CPT,77301,HC IMRT PLANNING,16349.75,8174.88,1327.38,14714.78,70
CPT,77301,RADIOTHERAPY DOSE PLAN IMRT,,,325.42,2097.5,33
CPT,77306,HC ISODOSE TELETHERAPY SIMPLE,2058.5,1029.25,117.21,1852.65,70
CPT,77306,TELETHX ISODOSE PLAN SIMPLE,,,59.62,171.94,33
CPT,77307,HC ISODOSE TELETHERAPY COMPLEX,4700.85,2350.43,229.69,4230.77,70
CPT,77307,TELETHX ISODOSE PLAN CPLX,,,123.67,334.86,33
CPT,77316,BRACHYTX ISODOSE PLAN SIMPLE,,,59.85,281.8,33
CPT,77316,HC ISODOSE BRACHYTHERAPY SIMPLE,2538.4,1269.2,153.68,2284.56,70
CPT,77317,BRACHYTX ISODOSE INTERMED,,,78.72,370.76,33
CPT,77317,HC ISODOSE BRACHYTHERAPY INTERMED,3360.55,1680.28,200.99,3024.5,70
CPT,77318,BRACHYTX ISODOSE COMPLEX,,,124.16,527.64,33
CPT,77318,HC ISODOSE BRACHYTHERAPY COMPLEX,3720.15,1860.08,291.15,3348.14,70
CPT,77321,HC SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,2242.8,1121.4,225.47,2018.52,70
CPT,77321,SPECIAL TELETX PORT PLAN,,,38.64,109.4,33
CPT,77331,HC DOSIMETRY CALCULATION SPECIAL,964.15,482.08,39.39,867.74,70
CPT,77331,SPECIAL RADIATION DOSIMETRY,,,17.29,75.84,33
CPT,77332,HC RADIATION TREATMENT AID(S),1329.75,664.88,74.93,1196.78,70
CPT,77332,RADIATION TREATMENT AID(S),,,15.19,61.99,33
CPT,77333,HC TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,1746.15,873.08,106.13,1571.54,70
CPT,77333,RADIATION TREATMENT AID(S),,,34.28,155.7,33
CPT,77334,HC TX DEVICES DESIGN & CONSTRUCTION COMPLEX,2280.05,1140.03,181.45,2052.05,70
CPT,77334,RADIATION TREATMENT AID(S),,,50.4,145.19,33
CPT,77336,HC MEDICAL RADIATION PHYSICS WEEKLY,1312.0,656.0,25.19,1180.8,70
CPT,77336,RADIATION PHYSICS CONSULT,,,47.27,101.85,14
CPT,77338,DESIGN MLC DEVICE FOR IMRT,,,140.5,544.49,33
CPT,77338,HC MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,9290.7,4645.35,318.91,8361.63,70
CPT,77370,HC SPECIAL MEDICAL RADIATION PHYSICS CONSULT,1477.45,738.73,29.77,1329.71,70
CPT,77370,RADIATION PHYSICS CONSULT,,,89.89,166.8,14
CPT,77371,HC RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT,221961.0,110980.5,2082.15,199764.9,70
CPT,77371,SRS MULTISOURCE,,,648.45,2676.63,14
CPT,77372,HC RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,28248.5,14124.25,1579.26,25423.65,70
CPT,77372,SRS LINEAR BASED,,,648.45,1044.26,14
CPT,77373,HC STEREOTACTIC BODY RADIATION DELIVERY,18788.65,9394.33,1703.45,16909.79,70
CPT,77373,STRTCTC BDY RAD THER TX DLVR,,,876.84,1228.03,14
CPT,77385,HC INTENSITY MODULATED RADIATION TX DLVR SIMPLE,5379.2,2689.6,399.74,4841.28,70
CPT,77385,Physician Fee Schedule,,,412.11,420.35,9
CPT,77386,HC INTENSITY MODULATED RADIATION TX DLVR COMPLEX,7350.8,3675.4,149.57,6615.72,70
CPT,77386,Physician Fee Schedule,,,412.11,420.35,9
CPT,77387,GUIDANCE FOR RADJ TX DLVR,,,90.38,92.19,9
CPT,77387,HC GUIDANCE FOR LOC OF TARGET VOL RADIAJ TX DLVR,1435.65,717.83,87.43,1292.09,65
CPT,77399,HC IMAGE FUSION,924.7,462.35,128.8,832.23,70
CPT,77401,APC,,,106.23,130.18,5
CPT,77401,Fee Schedule,,,45.95,45.95,1
CPT,77401,MPFS,,,36.76,38.15,4
CPT,77401,Others,,,13.7,13.7,1
CPT,77401,Physician Fee Schedule,,,24.21,24.69,9
CPT,77402,HC RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE,1104.8,552.4,72.62,994.32,70
CPT,77402,RADIATION TX DELIVERY LVL 1,,,104.22,106.3,9
CPT,77407,HC RADIATION TREATMENT DELIVERY 1 MEV >= INTERMEDIATE,1474.5,737.25,86.05,1327.05,70
CPT,77407,RADIATION TX DELIVERY LVL 2,,,163.45,166.72,9
CPT,77412,HC RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX,1749.55,874.78,95.35,1574.6,70
CPT,77412,RADIATION TX DELIVERY LVL 3,,,158.32,161.49,9
CPT,77417,HC RAD THRPY PORT FILM(S),698.05,349.03,14.8,628.25,70
CPT,77417,THER RADIOLOGY PORT IMAGE(S),,,12.23,18.14,14
CPT,77423,NEUTRON BEAM TX COMPLEX,,,561.19,687.73,5
CPT,77424,IO RAD TX DELIVERY BY X-RAY,,,102.78,9088.34,14
CPT,77425,IO RAD TX DELIVER BY ELCTRNS,,,102.78,9088.34,14
CPT,77427,RADIATION TX MANAGEMENT X5,,,152.93,288.19,20
CPT,77431,RADIATION THERAPY MANAGEMENT,,,78.02,126.54,19
CPT,77432,STEREOTACTIC RADIATION TRMT,,,325.17,499.29,19
CPT,77435,SBRT MANAGEMENT,,,539.18,1213.99,20
CPT,77469,IO RADIATION TX MANAGEMENT,,,169.71,376.44,19
CPT,77470,HC SPECIAL TREATMENT PROCEDURE,4104.0,2052.0,561.19,3693.6,70
CPT,77470,SPECIAL RADIATION TREATMENT,,,34.88,204.01,33
CPT,77499,UNLISTED PX THER RAD TX MGMT,,,171.88,171.88,1
CPT,77520,HC PROTON RADIATION TX DELIVERY W/O COMPENSATION,5719.15,2859.58,561.19,5147.24,69
CPT,77520,PROTON TRMT SIMPLE W/O COMP,,,789.91,987.39,5
CPT,77522,HC PROTON RADIATION TX DELIVERY SIMPLE,7653.1,3826.55,1237.4,6887.79,69
CPT,77522,PROTON TRMT SIMPLE W/COMP,,,817.54,1021.93,5
CPT,77523,HC PROTON RADIATION TX DELIVERY INTERMED,8804.55,4402.28,1237.4,7924.1,69
CPT,77523,PROTON TRMT INTERMEDIATE,,,859.5,1074.38,5
CPT,77525,HC PROTON RADIATION TX DELIVERY COMPLEX,12032.5,6016.25,1237.4,10829.25,69
CPT,77525,PROTON TREATMENT COMPLEX,,,981.65,1227.06,5
CPT,77600,HYPERTHERMIA EXT GEN SUPFC,,,63.54,613.8,39
CPT,77605,HYPERTHERMIA EXT GEN DEEP,,,83.06,1057.23,39
CPT,77610,HYPERTHERMIA NTRSTL PRB 5/<,,,61.86,759.44,39
CPT,77615,HYPERTHERMIA NTRSTL PRB>5,,,84.9,1197.08,39
CPT,77620,HYPERTHERMIA GEN INTRCV PRB,,,63.88,708.84,39
CPT,77750,INFUSE RADIOACTIVE MATERIALS,,,112.34,460.86,39
CPT,77761,APPLY INTRCAV RADIAT SIMPLE,,,154.42,687.73,39
CPT,77762,APPLY INTRCAV RADIAT INTERM,,,229.66,687.73,39
CPT,77763,APPLY INTRCAV RADIAT COMPL,,,302.32,916.5,39
CPT,77767,HDR RDNCL SKN SURF BRACHYTX,,,46.14,1134.84,39
CPT,77768,HDR RDNCL SKN SURF BRACHYTX,,,61.18,1134.84,39
CPT,77770,HC HDR AFTERLOAD 1 CHANNEL,5337.7,2668.85,673.08,4803.93,70
CPT,77770,HDR RDNCL NTRSTL/ICAV BRCHTX,,,85.19,397.33,33
CPT,77771,HC HDR AFTERLOAD 2-12 CHANNELS,5921.25,2960.63,673.08,5329.13,70
CPT,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,,,166.43,696.21,33
CPT,77772,HC HDR AFTERLOAD > 12 CHANNELS,9391.0,4695.5,673.08,8451.9,69
CPT,77772,HDR RDNCL NTRSTL/ICAV BRCHTX,,,236.01,1039.8,33
CPT,77778,APPLY INTERSTIT RADIAT COMPL,,,421.28,1071.16,33
CPT,77778,HC INTERSTITAL RADIATION SOURCE APPL COMPLEX,7675.95,3837.98,483.55,6908.36,70
CPT,77789,APPLY SURF LDR RADIONUCLIDE,,,44.97,152.91,39
CPT,77790,RADIATION HANDLING,,,16.9,70.86,29
CPT,77799,HC REMOVAL OF BREAST CATHETER,2789.5,1394.75,106.23,2510.55,69
CPT,78012,HC THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,1342.65,671.33,133.33,1208.39,70
CPT,78012,THYROID UPTAKE MEASUREMENT,,,7.43,91.13,33
CPT,78013,HC THYROID IMAGING WITH VASCULAR FLOW,957.5,478.75,133.33,861.75,70
CPT,78013,THYROID IMAGING W/BLOOD FLOW,,,14.39,189.55,33
CPT,78014,HC THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,1342.65,671.33,133.33,1208.39,70
CPT,78014,THYROID IMAGING W/BLOOD FLOW,,,19.25,240.86,33
CPT,78015,THYROID MET IMAGING,,,27.83,477.73,39
CPT,78016,THYROID MET IMAGING/STUDIES,,,30.93,477.73,39
CPT,78018,HC THYROID MET IMAGING BODY,2588.3,1294.15,303.39,2329.47,70
CPT,78018,THYROID MET IMAGING BODY,,,35.73,315.59,33
CPT,78020,THYROID MET UPTAKE,,,24.63,90.11,39
CPT,78070,HC PARATHYROID PLANAR IMAGING,2083.9,1041.95,101.5,1875.51,70
CPT,78070,PARATHYROID PLANAR IMAGING,,,34.24,298.84,33
CPT,78071,HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,2188.0,1094.0,101.5,1969.2,70
CPT,78071,PARATHYRD PLANAR W/WO SUBTRJ,,,45.76,355.34,33
CPT,78072,HC PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,1996.6,998.3,101.5,1796.94,70
CPT,78072,PARATHYRD PLANAR W/SPECT&CT,,,68.32,440.56,15
CPT,78075,ADRENAL CORTEX & MEDULLA IMG,,,30.79,1552.05,39
CPT,78099,UNLISTED ENDOCRINE PX DX NUC,,,108.54,477.73,6
CPT,78102,BONE MARROW IMAGING LTD,,,22.89,179.61,33
CPT,78102,HC BONE MARROW IMAGING LTD,1386.25,693.13,114.02,1247.63,70
CPT,78103,BONE MARROW IMAGING MULT,,,28.07,477.73,39
CPT,78104,BONE MARROW IMAGING BODY,,,33.45,254.01,33
CPT,78104,"HC BONE MARROW IMAGING, BODY",2007.6,1003.8,227.74,1806.84,70
CPT,78110,PLASMA VOLUME SINGLE,,,7.26,1552.05,39
CPT,78111,PLASMA VOLUME MULTIPLE,,,9.37,1552.05,39
CPT,78120,RED CELL MASS SINGLE,,,8.85,477.73,39
CPT,78121,RED CELL MASS MULTIPLE,,,13.22,639.94,39
CPT,78122,HC BLOOD VOLUME,2103.1,1051.55,257.61,1892.79,70
CPT,78122,WHL BLD VOLUME DETERMINATION,,,18.75,112.29,33
CPT,78130,RED CELL SURVIVAL STUDY,,,22.94,477.73,39
CPT,78140,RED CELL SEQUESTRATION,,,22.94,477.73,39
CPT,78185,SPLEEN IMAGING,,,15.25,477.73,39
CPT,78191,PLATELET SURVIVAL STUDY,,,22.94,477.73,39
CPT,78195,HC LYMPHATICS & LYMPH GLANDS IMAGING,2562.35,1281.18,227.74,2306.12,70
CPT,78195,LYMPH SYSTEM IMAGING,,,50.03,358.6,33
CPT,78199,UNLSTD HEMATOP RET/ENDO LYMP,,,389.82,477.73,5
CPT,78201,LIVER IMAGING STATIC ONLY,,,17.89,639.94,39
CPT,78202,LIVER IMAGING WITH VASC FLOW,,,20.85,639.94,39
CPT,78215,HC LIVER AND SPLEEN IMAGING,2281.55,1140.78,164.09,2053.4,70
CPT,78215,LVR&SPLEEN IMG STATIC ONLY,,,20.24,202.64,33
CPT,78216,LVR&SPLEEN IMG W/VASC FLOW,,,23.49,477.73,39
CPT,78226,HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,2877.15,1438.58,204.72,2589.44,70
CPT,78226,HEPATOBILIARY SYSTEM IMAGING,,,20.13,327.11,33
CPT,78227,HC HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,3005.1,1502.55,204.72,2704.59,70
CPT,78227,HEPATOBIL SYST IMAGE W/DRUG,,,24.28,438.95,33
CPT,78230,SALIVARY GLAND IMAGING,,,18.47,477.73,39
CPT,78231,SALIVARY GLND IMG SERIAL IMG,,,19.73,477.73,39
CPT,78232,SALIVARY GLAND FUNCTION STD,,,17.81,477.73,39
CPT,78258,ESOPHAGEAL MOTILITY,,,31.07,222.0,33
CPT,78258,HC NM ESOPHAGEAL MOTILITY,1310.9,655.45,161.23,1179.81,70
CPT,78261,GASTRIC MUCOSA IMAGING,,,25.83,477.73,39
CPT,78262,GASTROESOPHAGEAL REFLUX STD,,,27.86,477.73,39
CPT,78264,GASTRIC EMPTYING IMG STUDY,,,32.28,333.89,33
CPT,78264,HC GASTRIC EMPTYING IMAGING STUDY,2662.85,1331.43,230.59,2396.57,70
CPT,78265,GSTR EMPTG IMG SM BWL TRNST,,,41.12,477.73,39
CPT,78266,GSTR EMPT IMG SM BWL&COLON,,,45.38,639.94,39
CPT,78267,UREA BREATH TST C-14 ACQUISJ,,,9.86,13.83,15
CPT,78268,UREA BREATH TEST C-14 ALYS,,,64.37,118.01,15
CPT,78278,ACUTE GI BLOOD LOSS IMAGING,,,41.06,352.84,33
CPT,78278,HC ACUTE GI BLOOD LOSS IMAGING,1992.7,996.35,272.38,1793.43,70
CPT,78282,GI PROTEIN LOSS,,,14.3,477.73,39
CPT,78290,HC BOWEL IMAGING,1606.15,803.08,170.05,1445.54,70
CPT,78290,INTESTINE IMAGING,,,28.41,332.55,33
CPT,78291,PERTL-VEN SHUNT PATENCY TEST,,,36.62,477.73,39
CPT,78299,UNLISTED GI PX DX NUC MED,,,134.62,477.73,6
CPT,78300,BONE IMAGING LIMITED AREA,,,25.75,228.86,33
CPT,78300,HC BONE IMAGING LIMITED AREA,2211.8,1105.9,139.29,1990.62,70
CPT,78305,BONE IMAGING MULTIPLE AREAS,,,34.27,477.73,39
CPT,78306,BONE IMAGING WHOLE BODY,,,35.73,298.26,33
CPT,78306,HC BONE IMAGING WHOLE BODY,2793.75,1396.88,238.83,2514.38,70
CPT,78315,BONE IMAGING 3 PHASE,,,42.24,350.3,33
CPT,78315,HC BONE IMAGING 3 PHASE,2787.85,1393.93,266.97,2509.07,70
CPT,78350,BONE MINERAL SINGLE PHOTON,,,29.69,45.9,6
CPT,78351,BONE MINERAL DUAL PHOTON,,,14.0,17.16,5
CPT,78399,UNLISTED MUSCSKEL PX DX NUC,,,161.43,477.73,6
CPT,78414,NON-IMAGING HEART FUNCTION,,,17.62,639.94,39
CPT,78428,CARDIAC SHUNT IMAGING,,,33.66,193.29,33
CPT,78428,HC CARDIAC SHUNT IMAGING,1721.25,860.63,126.24,1549.13,70
CPT,78429,HC PET MYOCRD IMG METAB EVAL SINGLE STUDY CNCRNT CT,9244.4,4622.2,70.16,8319.96,70
CPT,78429,MYOCRD IMG PET 1 STD W/CT,,,73.88,1772.9,15
CPT,78430,HC MYOCARDIAL IMGE PET PERFUS REST/STRESS W/CT SINGL,6623.7,3311.85,66.58,5961.33,70
CPT,78430,MYOCRD IMG PET RST/STRS W/CT,,,69.86,1771.63,15
CPT,78431,HC MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT,6748.2,3374.1,1471.78,6073.38,69
CPT,78431,MYOCRD IMG PET RST&STRS CT,,,81.7,2671.14,15
CPT,78432,MYOCRD IMG PET 2RTRACER,,,89.73,2203.26,20
CPT,78433,HC MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT,10167.8,5083.9,1892.22,9151.02,69
CPT,78433,MYOCRD IMG PET 2RTRACER CT,,,95.88,2320.95,15
CPT,78434,AQMBF PET REST & RX STRESS,,,24.45,33.88,10
CPT,78434,HC AQMBF PET REST AND PHARMACOLOGIC STRESS,1841.25,920.63,401.58,1657.13,64
CPT,78445,VASCULAR FLOW IMAGING,,,20.24,477.73,39
CPT,78451,HC MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,3919.05,1959.53,147.61,3527.15,70
CPT,78451,HT MUSCLE IMAGE SPECT SING,,,41.79,1078.57,41
CPT,78452,HC MYOCARDIAL SPECT MULTIPLE STUDIES,6683.65,3341.83,251.07,6015.29,70
CPT,78452,HT MUSCLE IMAGE SPECT MULT,,,49.43,1494.15,60
CPT,78453,HT MUSCLE IMAGE PLANAR SING,,,30.26,1552.05,39
CPT,78454,HT MUSC IMAGE PLANAR MULT,,,40.21,1552.05,39
CPT,78456,ACUTE VENOUS THROMBUS IMAGE,,,43.48,1552.05,39
CPT,78457,VENOUS THROMBOSIS IMAGING,,,31.7,639.94,39
CPT,78458,VEN THROMBOSIS IMAGES BILAT,,,37.5,477.73,39
CPT,78459,HC PET CARDIAC IMAGING,8975.15,4487.58,532.13,8077.64,70
CPT,78459,MYOCRD IMG PET SINGLE STUDY,,,64.51,1513.14,33
CPT,78466,HEART INFARCT IMAGE,,,29.56,477.73,39
CPT,78468,HEART INFARCT IMAGE (EF),,,34.91,639.94,39
CPT,78469,HEART INFARCT IMAGE (3D),,,39.59,639.94,39
CPT,78472,GATED HEART PLANAR SINGLE,,,41.87,233.85,33
CPT,78472,HC GATED HEART PLANAR SINGLE,2695.65,1347.83,308.21,2426.09,70
CPT,78473,GATED HEART MULTIPLE,,,63.8,477.73,39
CPT,78481,HEART FIRST PASS SINGLE,,,42.23,639.94,39
CPT,78483,HEART FIRST PASS MULTIPLE,,,63.69,639.94,39
CPT,78491,MYOCRD IMG PET 1STD RST/STRS,,,65.26,1772.0,39
CPT,78492,MYOCRD IMG PET MLT RST&STRS,,,77.87,1776.23,39
CPT,78494,HEART IMAGE SPECT,,,51.22,477.73,39
CPT,78496,HEART FIRST PASS ADD-ON,,,16.99,142.46,39
CPT,78499,UNLISTED CV PX DX NUC MED,,,185.19,477.73,6
CPT,78579,HC PULMONARY VENTILATION IMAGING,1338.15,669.08,144.99,1204.34,70
CPT,78579,LUNG VENTILATION IMAGING,,,13.27,190.39,33
CPT,78580,HC LUNG PERFUSION IMAGING,1338.15,669.08,191.92,1204.34,70
CPT,78580,LUNG PERFUSION IMAGING,,,30.79,240.61,33
CPT,78582,HC PULMONARY VENTILATION & PERFUSION IMAGING,2658.45,1329.23,297.8,2392.61,70
CPT,78582,LUNG VENTILAT&PERFUS IMAGING,,,28.78,335.21,33
CPT,78597,HC QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,1479.65,739.83,322.71,1331.69,70
CPT,78597,LUNG PERFUSION DIFFERENTIAL,,,19.85,205.29,33
CPT,78598,HC QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING,2000.55,1000.28,358.31,1800.5,70
CPT,78598,LUNG PERF&VENTILAT DIFERENTL,,,22.57,303.58,33
CPT,78599,UNLISTED RESP PX DX NUC MED,,,205.07,477.73,6
CPT,78600,BRAIN IMAGE < 4 VIEWS,,,18.45,477.73,39
CPT,78601,BRAIN IMAGE W/FLOW < 4 VIEWS,,,21.13,477.73,39
CPT,78605,BRAIN IMAGE 4+ VIEWS,,,22.29,639.94,39
CPT,78606,BRAIN IMAGE W/FLOW 4 + VIEWS,,,26.65,639.94,39
CPT,78608,BRAIN IMAGING (PET),,,62.19,1768.45,33
CPT,78608,HC PET BRAIN METABOLIC EVAL,5890.35,2945.18,1284.69,5301.32,70
CPT,78609,BRAIN IMAGING (PET),,,60.23,1712.85,24
CPT,78610,BRAIN FLOW IMAGING ONLY,,,12.9,639.94,39
CPT,78630,CEREBROSPINAL FLUID SCAN,,,28.41,339.66,33
CPT,78630,HC CSF FLUID SCAN CISTERNOGRAPHY,1613.2,806.6,281.77,1451.88,70
CPT,78635,CSF VENTRICULOGRAPHY,,,25.55,639.94,39
CPT,78645,CSF SHUNT EVALUATION,,,23.78,326.6,33
CPT,78645,HC CSF SHUNT EVALUATION,1509.35,754.68,191.92,1358.42,70
CPT,78650,CSF LEAKAGE IMAGING,,,22.94,1552.05,39
CPT,78660,NUCLEAR EXAM OF TEAR FLOW,,,20.05,477.73,39
CPT,78699,UNLISTED NRVS SYS PX DX NUC,,,196.35,477.73,6
CPT,78700,KIDNEY IMAGING MORPHOL,,,18.75,477.73,39
CPT,78701,KIDNEY IMAGING WITH FLOW,,,20.24,477.73,39
CPT,78707,HC RENAL FLOW FUNCT IMAGING,3589.95,1794.98,249.94,3230.96,70
CPT,78707,K FLOW/FUNCT IMAGE W/O DRUG,,,39.87,240.53,33
CPT,78708,HC RENAL FLOW FUNCT IMAGE PHARM RX,3769.6,1884.8,376.14,3392.64,70
CPT,78708,K FLOW/FUNCT IMAGE W/DRUG,,,50.42,199.99,33
CPT,78709,HC RENAL FLOW FUNCT IMAGE COMBO PHARM,4020.65,2010.33,381.15,3618.59,70
CPT,78709,K FLOW/FUNCT IMAGE MULTIPLE,,,58.62,375.33,33
CPT,78725,HC RENAL FUNCTION STUDY,1091.1,545.55,99.8,981.99,70
CPT,78725,KIDNEY FUNCTION STUDY,,,15.51,109.94,33
CPT,78730,URINARY BLADDER RETENTION,,,6.95,81.6,39
CPT,78740,URETERAL REFLUX STUDY,,,23.97,477.73,39
CPT,78761,TESTICULAR IMAGING W/FLOW,,,29.6,477.73,39
CPT,78799,UNLISTED GU PX DX NUC MED,,,193.04,477.73,6
CPT,78800,HC TUMOR IMAGING LIMITED AREA,2151.55,1075.78,189.96,1936.4,70
CPT,78800,RP LOCLZJ TUM 1 AREA 1 D IMG,,,27.16,257.06,33
CPT,78801,HC RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR MULTIPLE AREAS,2993.25,1496.63,236.58,2693.93,70
CPT,78801,RP LOCLZJ TUM 2+AREA 1+D IMG,,,31.45,275.51,33
CPT,78802,HC TUMOR IMAGING WHOLE BODY SINGLE DAY,2993.25,1496.63,309.34,2693.93,70
CPT,78802,RP LOCLZJ TUM WHBDY 1 D IMG,,,34.53,310.44,33
CPT,78803,HC TUMOR IMAGING SPECT,2865.15,1432.58,366.53,2578.64,70
CPT,78803,RP LOCLZJ TUM SPECT 1 AREA,,,45.4,382.08,33
CPT,78804,HC NM RADIOPHARM LOC WHOLE BODY MULT,4322.8,2161.4,109.39,3890.52,70
CPT,78804,RP LOCLZJ TUM WHBDY 2+D IMG,,,43.41,641.63,33
CPT,78808,HC ISOTOPE INJECTION DX STUDY,671.65,335.83,146.49,604.49,70
CPT,78808,IV INJ RA DRUG DX STUDY,,,34.47,45.26,14
CPT,78811,PET IMAGE LTD AREA,,,64.91,1712.85,39
CPT,78812,PET IMAGE SKULL-THIGH,,,80.9,1777.64,39
CPT,78813,PET IMAGE FULL BODY,,,83.86,1776.8,39
CPT,78814,HC PET IMAGING CT FOR ATTENUATION LIMITED AREA,7920.3,3960.15,1415.01,7128.27,70
CPT,78814,PET IMAGE W/CT LMTD,,,91.86,1780.48,33
CPT,78815,HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,7951.0,3975.5,1415.01,7155.9,70
CPT,78815,PET IMAGE W/CT SKULL-THIGH,,,101.65,1784.48,33
CPT,78816,HC PET IMAGING FOR CT ATTENUATION WHOLE BODY,8348.5,4174.25,1415.01,7513.65,70
CPT,78816,PET IMAGE W/CT FULL BODY,,,104.3,1783.11,33
CPT,78830,HC NM RADIOPHARM LOC SPECT/CT SGL,2993.25,1496.63,431.69,2693.93,70
CPT,78830,RP LOCLZJ TUM SPECT W/CT 1,,,62.75,480.78,15
CPT,78831,RP LOCLZJ TUM SPECT 2 AREAS,,,78.35,1552.05,21
CPT,78832,HC NM RADIOPHARM LOC SPECT/CT MULT,2993.25,1496.63,652.83,2693.93,70
CPT,78832,RP LOCLZJ TUM SPECT W/CT 2,,,90.06,903.94,15
CPT,78835,HC NM RADIOPHARM QUANT MEASURE,1496.65,748.33,81.85,1346.99,70
CPT,78835,RP QUAN MEAS SINGLE AREA,,,19.83,100.31,15
CPT,78999,UNLISTED MISC PX DX NUC MED,,,140.05,477.73,6
CPT,79005,HC NUCLEAR THERAPY ORAL,2280.3,1140.15,183.41,2052.27,70
CPT,79005,NUCLEAR RX ORAL ADMIN,,,46.26,155.7,33
CPT,79101,HC NUCLEAR THERAPY IV,1612.75,806.38,217.43,1451.48,70
CPT,79101,NUCLEAR RX IV ADMIN,,,48.06,168.26,33
CPT,79200,NUCLEAR RX INTRACAV ADMIN,,,47.07,266.46,39
CPT,79300,NUCLR RX INTERSTIT COLLOID,,,59.97,268.69,29
CPT,79403,HEMATOPOIETIC NUCLEAR TX,,,73.05,266.46,39
CPT,79440,NUCLEAR RX INTRA-ARTICULAR,,,35.48,266.46,39
CPT,79445,"HC NUCLEAR THERAPY, INTRA-ARTERIAL",1523.9,761.95,217.43,1371.51,70
CPT,79445,NUCLEAR RX INTRA-ARTERIAL,,,63.56,182.5,28
CPT,79999,RP THERAPY UNLISTED PX,,,217.43,796.99,6
CPT,80020,Others,,,15.74,15.74,1
CPT,80021,Others,,,16.22,16.22,1
CPT,80022,Others,,,16.73,16.73,1
CPT,80023,Others,,,16.73,16.73,1
CPT,80047,BASIC METABLC PNL IONIZED CA,,,10.06,27.26,13
CPT,80047,HC BASIC METABOLIC PANEL CALCIUM IONIZED BUNDLED CHARGE,516.85,258.43,12.55,465.17,70
CPT,80048,BASIC METABOLIC PNL TOTAL CA,,,9.88,15.74,16
CPT,80048,HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE,354.05,177.03,8.63,318.65,70
CPT,80050,GENERAL HEALTH PANEL,,,11.16,88.78,16
CPT,80051,ELECTROLYTE PANEL,,,8.51,8.71,10
CPT,80051,HC ELECTROLYTE PANEL BUNDLED CHARGE,172.65,86.33,7.15,155.39,70
CPT,80053,COMPREHEN METABOLIC PANEL,,,8.58,19.64,19
CPT,80053,HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE,489.45,244.73,10.77,440.51,70
CPT,80055,OBSTETRIC PANEL,,,27.81,59.76,15
CPT,80061,HC LIPID PANEL BUNDLED CHARGE,375.45,187.73,13.66,337.91,70
CPT,80061,LIPID PANEL,,,13.6,30.06,19
CPT,80069,HC RENAL FUNCTION PANEL BUNDLED CHARGE,226.7,113.35,8.85,204.03,70
CPT,80069,RENAL FUNCTION PANEL,,,9.88,13.23,10
CPT,80074,ACUTE HEPATITIS PANEL,,,57.47,254.02,17
CPT,80074,HC HEPATITIS PANEL ACUTE BUNDLED CHARGE,931.55,465.78,48.58,838.4,70
CPT,80076,HC HEPATIC FUNCTION PANEL BUNDLED CHARGE,397.0,198.5,8.33,357.3,70
CPT,80076,HEPATIC FUNCTION PANEL,,,9.88,18.34,17
CPT,80081,OBSTETRIC PANEL INC HIV TSTG,,,34.52,93.58,6
CPT,80143,HC ACETAMINOPHEN,404.65,202.33,17.15,364.19,70
CPT,80145,HC ADALIMUMAB ANTI ADALIMUMAB AB,209.9,104.95,39.34,188.91,69
CPT,80150,ASSAY OF AMIKACIN,,,18.59,18.96,9
CPT,80150,HC ASSAY OF AMIKACIN,265.25,132.63,15.38,238.73,70
CPT,80151,DRUG ASSAY AMIODARONE,,,16.96,17.3,9
CPT,80151,HC AMIODARONE,473.2,236.6,19.01,425.88,69
CPT,80155,DRUG ASSAY CAFFEINE,,,16.69,17.02,9
CPT,80155,HC CAFFEINE SERUM OR PLASMA,177.65,88.83,22.2,159.89,70
CPT,80156,ASSAY CARBAMAZEPINE TOTAL,,,17.95,18.31,9
CPT,80156,HC ASSAY OF CARBAMAZEPINE TOTAL,332.9,166.45,14.86,299.61,70
CPT,80157,ASSAY CARBAMAZEPINE FREE,,,13.52,19.65,15
CPT,80158,DRUG ASSAY CYCLOSPORINE,,,22.27,22.72,9
CPT,80158,HC ASSAY OF CYCLOSPORINE,336.6,168.3,18.41,302.94,70
CPT,80159,DRUG ASSAY CLOZAPINE,,,21.83,22.27,9
CPT,80159,HC CLOZAPINE,476.8,238.4,20.55,429.12,70
CPT,80161,"ASY CARBAMAZEPIN 10,11-EPXID",,,19.01,23.3,5
CPT,80162,ASSAY OF DIGOXIN TOTAL,,,16.37,16.7,9
CPT,80162,HC DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL,198.7,99.35,13.55,178.83,70
CPT,80163,ASSAY OF DIGOXIN FREE,,,13.55,17.22,15
CPT,80164,ASSAY DIPROPYLACETIC ACD TOT,,,16.53,16.86,9
CPT,80164,HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL,228.95,114.48,13.81,206.06,70
CPT,80165,DIPROPYLACETIC ACID FREE,,,17.04,17.38,9
CPT,80165,HC VALPROIC ACID LEVEL,165.0,82.5,13.81,148.5,70
CPT,80167,DRUG ASSAY FELBAMATE,,,16.96,17.3,9
CPT,80167,HC FELBAMATE,336.9,168.45,19.01,303.21,69
CPT,80168,ASSAY OF ETHOSUXIMIDE,,,20.16,20.56,9
CPT,80168,HC ASSAY OF ETHOSUXIMIDE,192.8,96.4,16.01,173.52,70
CPT,80169,DRUG ASSAY EVEROLIMUS,,,16.2,16.52,9
CPT,80169,HC EVEROLIMUS,277.1,138.55,14.0,249.39,70
CPT,80170,ASSAY OF GENTAMICIN,,,4.27,4.36,9
CPT,80170,HC ASSAY OF GENTAMICIN,277.7,138.85,16.71,249.93,70
CPT,80171,DRUG SCREEN QUANT GABAPENTIN,,,15.65,15.96,9
CPT,80171,HC GABAPENTIN,487.45,243.73,20.8,438.71,70
CPT,80173,ASSAY OF HALOPERIDOL,,,16.1,21.59,15
CPT,80175,DRUG SCREEN QUAN LAMOTRIGINE,,,15.65,15.96,9
CPT,80175,HC LAMOTRIGINE,487.45,243.73,13.52,438.71,70
CPT,80176,ASSAY OF LIDOCAINE,,,18.11,18.47,9
CPT,80176,HC ASSAY OF LIDOCAINE,252.25,126.13,14.98,227.03,70
CPT,80177,DRUG SCRN QUAN LEVETIRACETAM,,,15.65,15.96,9
CPT,80177,HC LEVETIRACETAM,302.4,151.2,13.52,272.16,70
CPT,80178,ASSAY OF LITHIUM,,,8.16,8.32,9
CPT,80178,HC ASSAY OF LITHIUM,141.15,70.58,6.74,127.04,70
CPT,80179,HC SALICYLATE,301.1,150.55,17.15,270.99,70
CPT,80180,DRUG SCRN QUAN MYCOPHENOLATE,,,21.31,21.74,9
CPT,80180,HC MYCOPHENOLIC ACID SERUM,487.45,243.73,18.41,438.71,70
CPT,80181,DRUG ASSAY FLECAINIDE,,,16.96,17.3,9
CPT,80181,HC FLECAINIDE (TAMBOCOR),473.2,236.6,16.72,425.88,70
CPT,80183,DRUG SCRN QUANT OXCARBAZEPIN,,,15.65,15.96,9
CPT,80183,HC OXCARBAZEPINE,487.45,243.73,13.52,438.71,70
CPT,80184,ASSAY OF PHENOBARBITAL,,,14.13,14.41,9
CPT,80184,HC ASSAY OF PHENOBARBITAL,215.65,107.83,15.61,194.09,70
CPT,80185,ASSAY OF PHENYTOIN TOTAL,,,16.34,16.67,9
CPT,80185,HC ASSAY OF PHENYTOIN TOTAL,201.5,100.75,13.52,181.35,70
CPT,80186,ASSAY OF PHENYTOIN FREE,,,16.98,17.32,9
CPT,80186,HC ASSAY OF PHENYTOIN DILANTIN FREE,206.9,103.45,14.04,186.21,70
CPT,80187,HC POSACONAZOLE SERUM,487.45,243.73,27.65,438.71,69
CPT,80188,ASSAY OF PRIMIDONE,,,20.09,20.49,9
CPT,80188,HC ASSAY OF PRIMIDONE,211.2,105.6,16.92,190.08,70
CPT,80189,HC ITRACONAZOLE SERUM,155.7,77.85,27.65,140.13,69
CPT,80190,ASSAY OF PROCAINAMIDE,,,20.66,75.0,15
CPT,80192,AH ASSAY OF PROCAINAMIDE,60.75,30.38,13.25,54.68,70
CPT,80192,ASSAY OF PROCAINAMIDE,,,20.66,21.07,9
CPT,80193,DRUG ASSAY LEFLUNOMIDE,,,39.34,48.21,5
CPT,80194,ASSAY OF QUINIDINE,,,17.99,18.35,9
CPT,80194,HC ASSAY OF QUINIDINE,219.95,109.98,14.89,197.96,70
CPT,80195,ASSAY OF SIROLIMUS,,,16.92,17.26,9
CPT,80195,HC ASSAY OF SIROLIMUS,321.65,160.83,14.0,289.49,70
CPT,80197,ASSAY OF TACROLIMUS,,,16.92,17.26,9
CPT,80197,HC ASSAY OF TACROLIMUS,581.5,290.75,14.0,523.35,70
CPT,80198,ASSAY OF THEOPHYLLINE,,,17.45,17.8,9
CPT,80198,HC ASSAY OF THEOPHYLLINE,183.4,91.7,14.42,165.06,70
CPT,80199,DRUG SCREEN QUANT TIAGABINE,,,21.31,33.89,15
CPT,80200,ASSAY OF TOBRAMYCIN,,,19.88,20.28,9
CPT,80200,HC ASSAY OF TOBRAMYCIN,280.95,140.48,16.45,252.86,70
CPT,80201,ASSAY OF TOPIRAMATE,,,14.71,15.0,9
CPT,80201,HC ASSAY OF TOPIRAMATE,413.55,206.78,12.16,372.2,70
CPT,80202,ASSAY OF VANCOMYCIN,,,16.53,16.86,9
CPT,80202,HC ASSAY OF VANCOMYCIN,272.25,136.13,13.81,245.03,70
CPT,80203,DRUG SCREEN QUANT ZONISAMIDE,,,15.65,15.96,9
CPT,80203,HC ZONISAMIDE,487.45,243.73,13.52,438.71,70
CPT,80204,DRUG ASSAY METHOTREXATE,,,18.3,18.67,9
CPT,80204,HC METHOTREXATE,293.6,146.8,39.34,264.24,69
CPT,80210,HC RUFINAMIDE,336.9,168.45,27.65,303.21,69
CPT,80220,DRUG ASY HYDROXYCHLOROQUINE,,,19.01,23.3,5
CPT,80230,HC INFLIXIMAB ANTI INFLIXIMAB AB,209.9,104.95,39.34,188.91,69
CPT,80235,HC LACOSAMIDE LEVEL,487.45,243.73,24.32,438.71,70
CPT,80280,HC DRUG ASSAY VEDOLIZUMAB,209.9,104.95,39.34,188.91,69
CPT,80285,HC VORICONAZOLE LEVEL,487.45,243.73,27.65,438.71,69
CPT,80299,HC DEXAMETHASONE LC,139.55,69.78,18.29,125.6,70
CPT,80299,HC MEXILITINE LEVEL,293.55,146.78,18.29,264.2,70
CPT,80299,HC THERAPEUTIC DRUG OTHER,101.4,50.7,18.29,91.26,70
CPT,80299,HC THIOPURINE METABOLITES 6MP,391.1,195.55,18.29,351.99,70
CPT,80299,QUANTITATIVE ASSAY DRUG,,,16.89,17.23,9
CPT,80305,DRUG TEST PRSMV DIR OPT OBS,,,13.61,17.97,13
CPT,80305,HC DRUG TEST PRSMV DIR OPT OBS,193.05,96.53,12.85,173.75,70
CPT,80306,DRUG TEST PRSMV INSTRMNT,,,17.48,21.43,14
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR,,,72.63,74.08,9
CPT,80307,HC AMPHETAMINE QUAL URINE,218.9,109.45,47.74,197.01,70
CPT,80307,HC BENZODIAZEPINE URINE QUAL,218.9,109.45,47.74,197.01,70
CPT,80307,HC BUPRENORPHINE SCRN W CONF,93.2,46.6,20.33,83.88,70
CPT,80307,HC COCAINE MECONIUM CONFIRMATION,477.4,238.7,63.38,429.66,70
CPT,80307,HC CORD TISSUE DRUG SCRN PROFILE,661.05,330.53,63.38,594.95,70
CPT,80307,HC DRUG PROFILE URINE 9 DRUG CLASSES IA WITH MS CONFIRMATION,322.05,161.03,63.38,289.85,70
CPT,80307,HC DRUG SCREEN 1 DRUG,168.45,84.23,36.74,151.61,70
CPT,80307,HC DRUG SCREEN 10,266.6,133.3,58.15,239.94,70
CPT,80307,HC DRUG SCREEN 6,226.1,113.05,49.31,203.49,70
CPT,80307,HC DRUG SCREEN 7,477.4,238.7,63.38,429.66,70
CPT,80307,HC DRUG SCREEN CLINIC,288.4,144.2,62.9,259.56,70
CPT,80307,HC DRUG SCREEN SINGLE CLASS,463.3,231.65,63.38,416.97,70
CPT,80307,"HC DRUG TEST PRSMV CHEM ANLYZR CANNABINOID SCREEN, URINE",218.9,109.45,47.74,197.01,70
CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR COCAINE URINE QUAL,218.9,109.45,47.74,197.01,70
CPT,80307,"HC DRUG TEST PRSMV CHEM ANLYZR METHADONE SCREEN, URINE",218.9,109.45,47.74,197.01,70
CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR OXYCODONE SCREEN URINE,225.4,112.7,49.16,202.86,70
CPT,80307,HC DS ALCOHOL ETHYL URINE QUANT RFX,50.75,25.38,11.07,77.68,70
CPT,80307,HC DS PRESUMPTIVE DRUG TEST FLEX,225.55,112.78,49.19,203.0,70
CPT,80307,HC ETHYL GLUCURONIDE WITH CONF,168.85,84.43,36.83,151.97,70
CPT,80307,HC GAMMA-HYDROXYBUTYRIC ACID,172.4,86.2,37.6,155.16,70
CPT,80307,HC GHB SCREEN URINE W CONFIRM,218.9,109.45,47.74,197.01,70
CPT,80307,HC MECONIUM 10 DRUG PANEL W CONFIRM,266.6,133.3,58.15,239.94,70
CPT,80307,HC MECONIUM 9 DRUG PANEL,232.05,116.03,50.61,208.85,70
CPT,80307,HC MECONIUM DRUG SCREEN 5 DRUG,148.95,74.48,32.49,134.06,70
CPT,80307,HC PRES DRUG SCREEN CLASS LST B,225.55,112.78,49.19,203.0,70
CPT,80307,HC PRESUMP DRUG SCR INSTRUMENT,463.3,231.65,63.38,416.97,70
CPT,80307,HC UDS PRESUMPTIVE DRUG TEST,186.2,93.1,40.61,167.58,70
CPT,80307,HC UDS SYNTH CANNABINOIDS,218.9,109.45,47.74,197.01,70
CPT,80320,HC DRUG SCREEN QUANTITATIVE ALCOHOLS,346.95,173.48,75.67,312.26,64
CPT,80321,HC DS ETHANOL BIOMARKERS 1 OR 2 MS RFX,50.75,25.38,11.07,45.68,64
CPT,80321,HC ETHYL GLUCURONIDE REFLEX CONF,168.85,84.43,36.83,151.97,64
CPT,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED,343.4,171.7,74.9,309.06,64
CPT,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED NICOTINE SCREEN URINE,343.4,171.7,74.9,309.06,64
CPT,80324,HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,224.55,112.28,48.97,202.1,64
CPT,80324,HC DS AMPHETAMINES 1 OR 2 MS RFX,50.75,25.38,11.07,45.68,64
CPT,80326,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE - BUNDLED CHARGE,25.35,12.68,5.53,22.82,64
CPT,80331,HC DRUG SCREEN ANALGESICS NON-OPIOID,27.0,13.5,5.89,24.3,64
CPT,80332,HC SEROTONERGIC CLASS ANTI 1 2,356.65,178.33,77.79,320.99,64
CPT,80334,HC DRUG SCREEN ANTIDEPRESSANT SEROTONERGIC 6 PLUS,59.35,29.68,12.94,53.42,64
CPT,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,217.3,108.65,47.39,195.57,64
CPT,80337,HC ANTIDEP TRICYCLIC/CYCLICALS 6+ TRICYCLIC ANTIDEP,77.45,38.73,16.89,69.71,64
CPT,80338,HC DRUG SCREEN ANTIDEPRESSANT NOS,179.0,89.5,39.04,161.1,64
CPT,80339,HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3,336.9,168.45,73.48,303.21,64
CPT,80341,HC DRUG SCREEN ANTIEPILEPTICS NOS 7+,39.45,19.73,8.6,35.51,64
CPT,80342,HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3,307.5,153.75,67.07,276.75,64
CPT,80344,HC DRUG SCREEN ANTIPSYCHOTICS NOS 7 PLUS,27.0,13.5,5.89,24.3,64
CPT,80345,HC DRUG SCREENING BARBITURATES,269.95,134.98,58.88,242.96,64
CPT,80345,HC DS BARBITURATES MS RFX,50.75,25.38,11.07,45.68,64
CPT,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12,350.2,175.1,76.38,315.18,64
CPT,80347,HC DRUG SCREENING BENZODIAZEPINES,314.25,157.13,68.54,282.83,64
CPT,80347,HC DS BENZODIAZEPINES 13 OR MORE,132.0,66.0,28.79,118.8,64
CPT,80348,HC DRUG SCREEN BUPRENORPHINE,73.15,36.58,15.95,65.84,64
CPT,80348,HC DS BUPRENORPHINE,132.0,66.0,28.79,118.8,64
CPT,80349,HC DRUG SCREENING CANNABINOIDS NATURAL,212.2,106.1,46.28,190.98,64
CPT,80349,HC DS CANNABINOIDS MS RFX,50.75,25.38,11.07,45.68,64
CPT,80352,HC SYNTHETIC CANNABINOIDS 7 OR MORE,125.1,62.55,27.28,112.59,64
CPT,80353,HC DRUG SCREENING COCAINE,287.0,143.5,62.59,258.3,64
CPT,80353,HC DS COCAINE AND MTBS MS RFX,50.75,25.38,11.07,45.68,64
CPT,80354,HC DRUG SCREENING FENTANYL,241.7,120.85,52.71,217.53,64
CPT,80354,HC DS FENTANYL,132.0,66.0,28.79,118.8,64
CPT,80355,HC DS GABAPENTIN NON BLOOD RFX,50.75,25.38,11.07,45.68,64
CPT,80355,HC GABAPENTIN NON BLOOD,32.95,16.48,7.19,29.66,64
CPT,80356,HC 6 ACETYLMORPHINE CONFIRM WB,239.1,119.55,52.15,215.19,64
CPT,80356,HC DS HEROIN 6-ACETYLMORPHINE MS RFX,50.75,25.38,11.07,45.68,64
CPT,80357,HC DRUG SCREEN KETAMINE AND NORKETAMINE,27.05,13.53,5.9,24.35,64
CPT,80357,HC DS KETAMINE AND NORKETAMINE,132.0,66.0,28.79,118.8,64
CPT,80358,HC DRUG SCREENING METHADONE AND METABOLITE LEVEL,233.65,116.83,50.96,210.29,64
CPT,80358,HC DS METHADONE RFX,50.75,25.38,11.07,45.68,64
CPT,80359,HC DRUG SCREEN MDA MDEA MDMA,95.5,47.75,20.83,85.95,64
CPT,80359,HC DS MDA MDEA MDMA MS RFX,50.75,25.38,11.07,45.68,64
CPT,80360,HC DRUG SCREEN METHYLPHENIDATE,27.05,13.53,5.9,24.35,64
CPT,80361,HC DRUG SCREENING OPIATES 1 OR MORE,193.4,96.7,42.18,174.06,64
CPT,80361,HC DS OPIATES 1 OR MORE MS RFX,50.75,25.38,11.07,45.68,64
CPT,80362,HC DRUG SCREEN OPIOIDS N OPIATE ANAL,126.55,63.28,27.6,113.9,64
CPT,80362,HC DS OPIOIDS N OPIATE ANAL CHG,132.0,66.0,28.79,118.8,64
CPT,80362,HC DS OPIOIDS OPIATE MS RFX,50.75,25.38,11.07,45.68,64
CPT,80363,HC DS OPIOIDS AND OPIATE ANALOGS 3 OR 4,182.75,91.38,39.86,164.48,64
CPT,80364,HC DRUG SCREEN OPIOIDS N OPIATE 5 PLUS,27.05,13.53,5.9,24.35,64
CPT,80364,HC DS OPIOIDS AND OPIATE ANALOGS 5 PLUS,132.0,66.0,28.79,118.8,64
CPT,80365,HC DS OXYCODONE CLASS MS RFX,50.75,25.38,11.07,45.68,64
CPT,80365,HC DUG SCREEN OXYCODONE,91.5,45.75,19.96,82.35,64
CPT,80366,HC DRUG SCREENING PREGABALIN,68.95,34.48,15.04,62.06,64
CPT,80367,HC DRUG SCREENING PROPOXYPHENE,86.3,43.15,18.82,77.67,64
CPT,80367,HC DS PROPOXYPHENE RFX,50.75,25.38,11.07,45.68,64
CPT,80368,HC DRUG SCREENING SEDATIVE HYPNOTICS,37.05,18.53,8.08,33.35,64
CPT,80368,HC DS SEDATIVE HYPNOTICS CHG,132.0,66.0,28.79,118.8,64
CPT,80369,HC DS CARISOPRODOL MS RFX,50.75,25.38,11.07,45.68,64
CPT,80370,HC DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE,24.7,12.35,5.39,22.23,64
CPT,80371,HC DRUG SCREEN STIMULANTS SYNTHETIC,57.45,28.73,12.53,51.71,64
CPT,80372,HC DRUG SCREEN TAPENTADOL,24.7,12.35,5.39,22.23,64
CPT,80372,HC DS TAPENTADOL RFX,50.75,25.38,11.07,45.68,64
CPT,80373,HC DRUG SCREEN TRAMADOL,77.55,38.78,16.91,69.8,64
CPT,80373,HC DS TRAMADOL RFX,50.75,25.38,11.07,45.68,64
CPT,80375,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,339.6,169.8,74.07,305.64,64
CPT,80376,HC DS DRUGS OR SUBSTANCES DEFINITIVE QUAL QUANT 4 TO 6,132.0,66.0,28.79,118.8,64
CPT,80377,HC DEFIN DRUG SCR 22 PLUS CLASS,1127.85,563.93,245.98,1015.07,64
CPT,80377,HC SULFONYLUREA HYPE SERUM,418.75,209.38,91.33,376.88,64
CPT,80377,HC UDS DRUGS DEFINITIVE NOS 7 PL,24.7,12.35,5.39,22.23,64
CPT,80400,ACTH STIMULATION PANEL,,,33.27,48.33,15
CPT,80402,ACTH STIMULATION PANEL,,,88.7,128.88,15
CPT,80406,ACTH STIMULATION PANEL,,,79.83,116.0,15
CPT,80408,ALDOSTERONE SUPPRESSION EVAL,,,128.01,182.57,15
CPT,80410,CALCITONIN STIMUL PANEL,,,81.98,119.11,15
CPT,80412,CRH STIMULATION PANEL,,,406.49,1002.03,15
CPT,80414,TESTOSTERONE RESPONSE PANEL,,,52.67,76.54,6
CPT,80415,TOT ESTRADIOL RESPONSE PANEL,,,57.01,82.85,6
CPT,80416,RENIN STIMULATION PANEL,,,195.67,261.65,6
CPT,80417,RENIN STIMULATION PANEL,,,44.87,65.23,6
CPT,80418,PITUITARY EVALUATION PANEL,,,591.07,835.87,15
CPT,80420,DEXAMETHASONE PANEL,,,88.83,202.35,15
CPT,80422,GLUCAGON TOLERANCE PANEL,,,46.99,68.31,15
CPT,80424,GLUCAGON TOLERANCE PANEL,,,51.51,74.88,15
CPT,80426,GONADOTROPIN HORMONE PANEL,,,151.38,220.04,6
CPT,80428,GROWTH HORMONE PANEL,,,68.03,98.87,15
CPT,80430,GROWTH HORMONE PANEL,,,96.75,161.66,15
CPT,80432,INSULIN SUPPRESSION PANEL,,,136.28,207.01,15
CPT,80434,INSULIN TOLERANCE PANEL,,,124.72,356.29,15
CPT,80435,INSULIN TOLERANCE PANEL,,,105.06,152.66,15
CPT,80436,METYRAPONE PANEL,,,92.98,135.13,15
CPT,80438,TRH STIMULATION PANEL,,,51.42,74.7,15
CPT,80439,TRH STIMULATION PANEL,,,68.55,99.61,15
CPT,80503,PATH CLIN CONSLTJ SF 5-20,,,20.33,63.52,10
CPT,80504,PATH CLIN CONSLTJ MOD 21-40,,,43.47,203.73,10
CPT,80505,PATH CLIN CONSLTJ HIGH 41-60,,,82.62,203.73,10
CPT,80506,PATH CLIN CONSLTJ PROLNG SVC,,,39.32,49.15,10
CPT,81000,HC URINE SINGLE XZ,80.7,40.35,4.1,72.63,70
CPT,81000,URINALYSIS NONAUTO W/SCOPE,,,3.91,3.99,9
CPT,81001,HC URINALYSIS AUTO W/SCOPE  MICRO,80.7,40.35,3.23,72.63,70
CPT,81001,URINALYSIS AUTO W/SCOPE,,,3.91,7.11,21
CPT,81002,HC URINALYSIS NONAUTO W/O MICRO,74.35,37.18,3.55,66.92,70
CPT,81002,URINALYSIS NONAUTO W/O SCOPE,,,3.05,7.03,20
CPT,81003,HC URINALYSIS AUTO W/O SCOPE,104.75,52.38,2.3,94.28,70
CPT,81003,URINALYSIS AUTO W/O SCOPE,,,2.16,4.19,20
CPT,81005,URINALYSIS,,,2.21,3.21,16
CPT,81007,URINE SCREEN FOR BACTERIA,,,3.17,37.48,15
CPT,81015,HC URINALYSIS MICRO ONLY,107.65,53.83,3.11,96.89,70
CPT,81015,MICROSCOPIC EXAM OF URINE,,,3.74,5.67,14
CPT,81020,URINALYSIS GLASS TEST,,,2.61,5.88,15
CPT,81025,HC URINE PREGNANCY TEST,143.2,71.6,8.78,128.88,70
CPT,81025,URINE PREGNANCY TEST,,,7.54,34.49,22
CPT,81050,HC URINE VOLUME MEASURE,65.75,32.88,3.71,59.18,70
CPT,81050,URINALYSIS VOLUME MEASURE,,,3.7,7.35,16
CPT,81099,UNLISTED URINALYSIS PX,,,8.79,8.79,1
CPT,81105,HC HUMAN PLT AG 1 GENOTYPING,212.85,106.43,46.42,191.57,69
CPT,81106,HC HUMAN PLT AG 2 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81107,HC HUMAN PLT AG 3 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81108,HC HUMAN PLT AG 4 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81109,HC HUMAN PLT AG 5 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81110,HC HUMAN PLT AG 6 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81111,HC HUMAN PLT AG 9 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81112,HC HUMAN PLT AG 15 GENOTYPING,75.7,37.85,16.51,152.78,69
CPT,81120,HC IDH1 COMMON VARIANTS,841.3,420.65,183.49,757.17,69
CPT,81121,HC IDH2 COMMON VARIANTS,1287.65,643.83,280.84,1158.89,69
CPT,81161,HC COMP DUCHENNE BECKER MUSCULAR DYSTROPHY BY NEXT GEN SEQ,1258.4,629.2,274.46,1132.56,69
CPT,81162,BRCA1&2 GEN FULL SEQ DUP/DEL,,,1660.64,1693.85,9
CPT,81162,HC BRCA 1 2 COMP ANALYSIS,3887.3,1943.65,855.98,3498.57,70
CPT,81163,BRCA1&2 GENE FULL SEQ ALYS,,,419.8,585.0,6
CPT,81164,BRCA1&2 GEN FUL DUP/DEL ALYS,,,524.06,730.29,6
CPT,81165,BRCA1 GENE FULL SEQ ALYS,,,253.75,353.6,6
CPT,81166,BRCA1 GENE FULL DUP/DEL ALYS,,,270.31,376.69,6
CPT,81167,BRCA2 GENE FULL DUP/DEL ALYS,,,253.75,376.81,24
CPT,81168,CCND1/IGH TRANSLOCATION ALYS,,,211.46,259.14,5
CPT,81170,HC BCR ABL 1 KINASE MUTATION,1097.65,548.83,239.4,987.89,69
CPT,81171,AFF2 GEN ALY DETC ABNL ALLEL,,,139.74,171.25,5
CPT,81172,AFF2 GEN ALYS CHARAC ALLELES,,,280.33,343.54,5
CPT,81173,AR GENE FULL GENE SEQUENCE,,,307.38,376.69,5
CPT,81174,AR GENE KNOWN FAMIL VARIANT,,,188.9,231.5,5
CPT,81175,ASXL1 FULL GENE SEQUENCE,,,690.03,845.63,5
CPT,81176,ASXL1 GENE TARGET SEQ ALYS,,,246.74,302.38,5
CPT,81177,ATN1 GENE DETC ABNOR ALLELES,,,139.74,171.25,5
CPT,81178,ATXN1 GENE DETC ABNOR ALLELE,,,139.74,171.25,5
CPT,81179,ATXN2 GENE DETC ABNOR ALLELE,,,139.74,171.25,5
CPT,81180,ATXN3 GENE DETC ABNOR ALLELE,,,139.74,171.25,5
CPT,81181,ATXN7 GENE DETC ABNOR ALLELE,,,139.74,171.25,5
CPT,81182,ATXN8OS GEN DETC ABNOR ALLEL,,,139.74,171.25,5
CPT,81183,ATXN10 GENE DETC ABNOR ALLEL,,,139.74,171.25,5
CPT,81184,CACNA1A GEN DETC ABNOR ALLEL,,,139.74,171.25,5
CPT,81185,HC CACNA1A GENE ANALY FULL SEQUENCE ANALYSIS,921.05,460.53,200.88,1057.84,69
CPT,81186,CACNA1A GEN KNOWN FAMIL VRNT,,,188.9,231.5,5
CPT,81187,CNBP GENE DETC ABNOR ALLELE,,,139.74,171.25,5
CPT,81188,CSTB GENE DETC ABNOR ALLELE,,,139.74,171.25,5
CPT,81189,CSTB GENE FULL GENE SEQUENCE,,,280.33,343.54,5
CPT,81190,CSTB GENE KNOWN FAMIL VRNT,,,188.9,231.5,5
CPT,81191,NTRK1 TRANSLOCATION ANALYSIS,,,211.46,259.14,5
CPT,81192,NTRK2 TRANSLOCATION ANALYSIS,,,211.46,259.14,5
CPT,81193,NTRK3 TRANSLOCATION ANALYSIS,,,211.46,259.14,5
CPT,81194,NTRK TRANSLOCATION ANALYSIS,,,528.65,647.85,5
CPT,81195,CYTOG GENOM-WID ALYS HEM MAL,,,1288.8,1579.41,5
CPT,81200,ASPA GENE,,,48.2,59.06,5
CPT,81201,APC GENE FULL SEQUENCE,,,795.6,1575.2,6
CPT,81202,APC GENE KNOWN FAM VARIANTS,,,285.6,350.0,5
CPT,81203,APC GENE DUP/DELET VARIANTS,,,204.0,250.0,5
CPT,81204,AR GENE CHARAC ALLELES,,,139.74,171.25,5
CPT,81205,BCKDHB GENE,,,96.89,118.74,5
CPT,81206,HC BCR ABL1 MAJOR BREAKPOINT,1207.4,603.7,167.24,1086.66,69
CPT,81207,HC BCR ABL1 MINOR BREAKPOINT,1207.3,603.65,147.74,1086.57,69
CPT,81208,BCR/ABL1 GENE OTHER BP,,,218.91,268.28,5
CPT,81209,BLM GENE,,,40.1,49.14,5
CPT,81210,HC BRAF GENE ANALYSIS V600E,1200.0,600.0,178.91,1080.0,69
CPT,81212,BRCA1&2 185&5385&6174 VRNT,,,394.68,586.11,24
CPT,81215,BRCA1 GENE KNOWN FAMIL VRNT,,,336.61,499.86,24
CPT,81216,BRCA2 GENE FULL SEQ ALYS,,,166.05,231.4,6
CPT,81217,BRCA2 GENE KNOWN FAMIL VRNT,,,336.61,499.86,24
CPT,81218,HC CEBPA MUTATION,608.95,304.48,132.81,548.06,69
CPT,81219,HC CALRETICULIN,1035.2,517.6,124.06,931.68,69
CPT,81220,HC CF PROFILE 32 MUTATIONS,1335.2,667.6,232.33,1201.68,70
CPT,81220,HC CFTR GENE ANALYSIS COMMON VARIANTS,1335.2,667.6,232.33,1201.68,70
CPT,81221,CFTR GENE KNOWN FAM VARIANTS,,,99.16,121.53,5
CPT,81222,HC CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS,2188.8,1094.4,443.77,1969.92,69
CPT,81223,HC CFTR GENE ANALYSIS FULL GENE SEQ,1334.55,667.28,291.07,1201.1,69
CPT,81224,CFTR GENE INTRON POLY T,,,153.56,224.78,23
CPT,81225,HC CYTOCHROME P450 2C19 GENOTYPE,616.85,308.43,134.53,555.17,69
CPT,81226,CYP2D6 GENE COM VARIANTS,,,459.93,563.64,5
CPT,81227,CYP2C9 GENE COM VARIANTS,,,178.31,218.51,5
CPT,81228,CYTOG ALYS CHRML ABNR CGH,,,918.0,1125.0,5
CPT,81229,CYTOG ALYS CHRML ABNR SNPCGH,,,1160.0,1183.2,9
CPT,81229,HC SNP MICROARRAY,3208.65,1604.33,699.81,2887.79,70
CPT,81230,CYP3A4 GENE COMMON VARIANTS,,,178.31,218.51,5
CPT,81231,CYP3A5 GENE COMMON VARIANTS,,,178.31,218.51,5
CPT,81232,HC DPYD GENE ANALYSIS COMMON VARIANTS,761.0,380.5,165.97,684.9,69
CPT,81233,BTK GENE COMMON VARIANTS,,,178.91,219.25,5
CPT,81234,HC EARLY ONSET MYOTONIA EVAL ZB0EX,3904.6,1952.3,139.74,3514.14,69
CPT,81235,HC EGFR GENE ANALYSIS COMMON VARI,1345.75,672.88,293.51,1211.18,69
CPT,81236,EZH2 GENE FULL GENE SEQUENCE,,,288.54,353.6,5
CPT,81237,EZH2 GENE COMMON VARIANTS,,,178.91,219.25,5
CPT,81238,F9 FULL GENE SEQUENCE,,,612.0,750.0,5
CPT,81239,DMPK GENE CHARAC ALLELES,,,280.33,343.54,5
CPT,81240,HC F2 GENE ANALYSIS 20210G PROTHROMBIN GENE MUTATION,498.05,249.03,67.0,448.25,69
CPT,81241,HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,402.05,201.03,74.84,361.85,69
CPT,81242,FANCC GENE,,,37.35,45.78,5
CPT,81243,FMR1 GEN ALY DETC ABNL ALLEL,,,57.04,58.18,9
CPT,81243,HC FMR1 GENE DETECTION CHROMOSOME ANALYSIS FRAG X DNA,637.45,318.73,58.18,573.71,70
CPT,81244,HC FMR1 FRAGILE X GENE ANAL CHAR,565.4,282.7,45.79,508.86,69
CPT,81245,HC ANALYSIS GENE FLT3 ITD VARIANT,565.95,282.98,123.43,509.36,69
CPT,81246,HC FLT3 TKD,536.8,268.4,84.66,483.12,69
CPT,81247,G6PD GENE ALYS CMN VARIANT,,,178.31,218.51,5
CPT,81248,G6PD KNOWN FAMILIAL VARIANT,,,382.76,469.06,5
CPT,81249,G6PD FULL GENE SEQUENCE,,,612.0,750.0,5
CPT,81250,G6PC GENE,,,59.66,73.11,5
CPT,81251,GBA GENE,,,48.2,59.06,5
CPT,81252,GJB2 GENE FULL SEQUENCE,,,103.14,126.4,5
CPT,81253,GJB2 GENE KNOWN FAM VARIANTS,,,62.75,76.9,5
CPT,81254,GJB6 GENE COM VARIANTS,,,35.7,43.75,5
CPT,81255,HEXA GENE,,,52.48,64.31,5
CPT,81256,HC HEREDITARY HEMOCHROMATOSIS,956.75,478.38,66.67,861.08,69
CPT,81256,HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS,1181.65,590.83,66.67,1063.49,69
CPT,81256,HFE GENE,,,89.17,89.17,1
CPT,81257,HC HBA1 HBA2 GENE BETA-THALASSEMIA,725.1,362.55,104.31,652.59,69
CPT,81258,HBA1/HBA2 GENE FAM VRNT,,,382.76,469.06,5
CPT,81259,HC ALPHA GLOBIN SEQ DEL DUP,1234.35,617.18,269.21,1110.92,69
CPT,81260,HC IKBKAP GENE ANALYSIS COMMON VARIANTS,592.9,296.45,40.1,533.61,69
CPT,81261,HC ANALYSIS GENE REARRANG IGH AMP,1057.65,528.83,201.95,951.89,69
CPT,81262,IGH GENE REARRANG DIR PROBE,,,69.92,85.69,5
CPT,81263,HC IGVH SOMATIC HYPERMUTATION,689.3,344.65,150.34,620.37,69
CPT,81264,HC B CELL IGK CSI LAB,913.1,456.55,176.18,821.79,69
CPT,81265,HC COMPARATIVE ANAL STR MARKERS PATIENT AND COMP SPEC,3448.8,1724.4,237.73,3103.92,69
CPT,81265,HC COMPARATIVE ANAL STR MARKERS PRE TRANSPLANT CHIMERISM,3448.8,1724.4,237.73,3103.92,69
CPT,81266,STR MARKERS SPEC ANAL ADDL,,,310.91,381.01,5
CPT,81267,HC CHIMERISM W COMP TO BASELINE W/O CELL SELECTION,1340.7,670.35,211.61,1206.63,69
CPT,81268,HC CHIMERISM W COMP TO BASELINE W CELL SELECTION EA,662.9,331.45,144.58,596.61,69
CPT,81269,HC HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS,553.75,276.88,120.77,498.38,69
CPT,81270,HC ANALYSIS GENE JAK2,466.85,233.43,93.49,420.17,69
CPT,81271,HTT GENE DETC ABNOR ALLELES,,,139.74,171.25,5
CPT,81272,HC KIT EXON 8 17 MUTATION ANALYSIS,613.0,306.5,133.7,551.7,69
CPT,81273,HC KIT MUTATION,519.05,259.53,113.2,467.15,69
CPT,81274,HTT GENE CHARAC ALLELES,,,280.33,343.54,5
CPT,81275,HC ANAYSIS GENE KRAS 12 & 13,2165.95,1082.98,197.12,1949.36,69
CPT,81276,KRAS GENE ADDL VARIANTS,,,197.12,241.56,5
CPT,81277,HC CYTOGENOMIC NEO MICROARRAY ANALYS FOR BONE MARROW,5049.85,2524.93,1101.37,4544.87,69
CPT,81277,HC CYTOGENOMIC NEO MICROARRAY ANALYSIS FOR SOLID TUMOR,5049.85,2524.93,1101.37,4544.87,69
CPT,81278,IGH@/BCL2 TRANSLOCATION ALYS,,,211.46,259.14,5
CPT,81279,HC JAK2 EXON 12,1129.9,564.95,188.9,1016.91,69
CPT,81283,IFNL3 GENE,,,74.84,91.71,5
CPT,81284,HC FXN EVAL FOR ABNORMAL ALLELES,2151.75,1075.88,139.74,1936.58,69
CPT,81285,FXN GENE CHARAC ALLELES,,,280.33,343.54,5
CPT,81286,FXN GENE FULL GENE SEQUENCE,,,280.33,343.54,5
CPT,81287,HC MGMT METHYLATION ANALYSIS,764.9,382.45,127.13,688.41,69
CPT,81288,HC MLH1 PROMOTER METHYLATION,717.25,358.63,156.43,645.53,69
CPT,81289,FXN GENE KNOWN FAMIL VARIANT,,,188.9,231.5,5
CPT,81290,MCOLN1 GENE,,,40.1,49.14,5
CPT,81291,HC MTHFR GENE ANALYSIS 677T,1353.75,676.88,66.65,1218.38,69
CPT,81292,MLH1 GENE FULL SEQ,,,688.91,844.25,5
CPT,81293,MLH1 GENE KNOWN VARIANTS,,,337.62,413.75,5
CPT,81294,MLH1 GENE DUP/DELETE VARIANT,,,206.45,253.0,5
CPT,81295,MSH2 GENE FULL SEQ,,,389.33,477.13,5
CPT,81296,MSH2 GENE KNOWN VARIANTS,,,344.48,422.16,5
CPT,81297,MSH2 GENE DUP/DELETE VARIANT,,,217.57,266.63,5
CPT,81298,MSH6 GENE FULL SEQ,,,654.69,802.31,5
CPT,81299,MSH6 GENE KNOWN VARIANTS,,,314.16,385.0,5
CPT,81300,MSH6 GENE DUP/DELETE VARIANT,,,242.76,297.5,5
CPT,81301,MICROSATELLITE INSTABILITY,,,355.53,435.7,5
CPT,81302,MECP2 GENE FULL SEQ,,,538.43,659.84,5
CPT,81303,MECP2 GENE KNOWN VARIANT,,,122.4,150.0,5
CPT,81304,MECP2 GENE DUP/DELET VARIANT,,,153.0,187.5,5
CPT,81305,HC MYD88 GENE ANALYSIS L265P VAR,727.2,363.6,158.6,654.48,69
CPT,81305,HC MYD88 L265P MUTATION,727.2,363.6,158.6,654.48,69
CPT,81306,NUDT15 GENE COMMON VARIANTS,,,297.19,364.2,5
CPT,81307,PALB2 GENE FULL GENE SEQ,,,690.03,845.63,5
CPT,81308,PALB2 GENE KNOWN FAMIL VRNT,,,307.38,376.69,5
CPT,81309,PIK3CA GENE TRGT SEQ ALYS,,,280.33,343.54,5
CPT,81310,HC ANALY GENE NPM1 EXON 12,473.9,236.95,103.36,426.51,69
CPT,81311,NRAS GENE VARIANTS EXON 2&3,,,301.71,369.74,5
CPT,81312,PABPN1 GENE DETC ABNOR ALLEL,,,139.74,171.25,5
CPT,81313,PCA3/KLK3 ANTIGEN,,,260.15,318.81,5
CPT,81314,HC PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS,1434.45,717.23,312.85,1291.01,69
CPT,81315,HC PML RARALPHA QUAL/QUANT,2109.1,1054.55,211.46,1898.19,69
CPT,81316,PML/RARALPHA 1 BREAKPOINT,,,211.46,259.14,5
CPT,81317,HC PMS2 GENE SEQUENCING ANALYSIS CHG,1721.35,860.68,375.43,1549.22,69
CPT,81318,PMS2 KNOWN FAMILIAL VARIANTS,,,337.62,413.75,5
CPT,81319,HC PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS,934.1,467.05,203.73,840.69,69
CPT,81320,PLCG2 GENE COMMON VARIANTS,,,297.19,364.2,5
CPT,81321,PTEN GENE FULL SEQUENCE,,,612.0,750.0,5
CPT,81322,PTEN GENE KNOWN FAM VARIANT,,,47.53,58.25,5
CPT,81323,PTEN GENE DUP/DELET VARIANT,,,306.0,375.0,5
CPT,81324,PMP22 GENE DUP/DELET,,,773.53,947.95,5
CPT,81325,PMP22 GENE FULL SEQUENCE,,,784.97,961.98,5
CPT,81326,PMP22 GENE KNOWN FAM VARIANT,,,47.53,58.25,5
CPT,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,,,195.84,240.0,5
CPT,81328,SLCO1B1 GENE COM VARIANTS,,,178.31,218.51,5
CPT,81329,HC SPINAL MUSCULAR ATROPHY CARRIER TESTING,629.0,314.5,138.51,566.1,69
CPT,81329,SMN1 GENE DOS/DELETION ALYS,,,124.67,127.16,9
CPT,81330,SMPD1 GENE COMMON VARIANTS,,,47.94,58.75,5
CPT,81331,HC SNRPN/UBE3A METHYLATION ANALYSIS,709.05,354.53,52.09,638.15,69
CPT,81332,HC SERPINA1 GENE ANALYSIS COMMON VARIANTS,142.5,71.25,31.08,128.25,69
CPT,81333,TGFBI GENE COMMON VARIANTS,,,139.74,171.25,5
CPT,81334,RUNX1 GENE TARGETED SEQ ALYS,,,336.1,411.89,5
CPT,81335,HC THIOPURINE MT TPMT GENOTYPING,1500.25,750.13,178.31,1350.23,69
CPT,81336,SMN1 GENE FULL GENE SEQUENCE,,,274.23,401.42,23
CPT,81337,SMN1 GEN NOWN FAMIL SEQ VRNT,,,168.53,246.69,23
CPT,81338,HC MPL MUTATION ANALYSIS,1129.9,564.95,153.34,1016.91,69
CPT,81339,MPL GENE SEQ ALYS EXON 10,,,188.9,231.5,5
CPT,81340,HC TCELL RECEPTOR BETA GENE REARR,913.1,456.55,199.15,821.79,69
CPT,81341,TRB@ GENE REARRANGE DIRPROBE,,,50.58,61.99,5
CPT,81342,HC TRG GENE REARRANGEMENT ANALYSIS,911.4,455.7,198.78,820.26,69
CPT,81343,PPP2R2B GEN DETC ABNOR ALLEL,,,139.74,171.25,5
CPT,81344,TBP GENE DETC ABNOR ALLELES,,,139.74,171.25,5
CPT,81345,TERT GENE TARGETED SEQ ALYS,,,188.9,231.5,5
CPT,81346,TYMS GENE COM VARIANTS,,,178.31,218.51,5
CPT,81347,HC SF3B1 MUTATION ANALYSIS,456.3,228.15,99.52,410.67,69
CPT,81348,SRSF2 GENE COMMON VARIANTS,,,178.91,219.25,5
CPT,81349,HC CYTOG ALYS CHRML ABNR LW-PS,3139.05,1569.53,684.63,2825.15,69
CPT,81350,HC UGT1A1 GENE ANALYSIS COMMON VARIANTS,508.7,254.35,110.95,457.83,69
CPT,81351,HC TP53 GENE ANALYSIS FULL GENE SEQUENCE,2794.15,1397.08,609.4,2514.74,69
CPT,81352,HC TP53 GENE MUTATION SEQUENCE ANALYSIS,945.95,472.98,206.31,851.36,69
CPT,81353,TP53 GENE KNOWN FAMIL VRNT,,,314.16,385.0,5
CPT,81355,VKORC1 GENE,,,89.96,110.25,5
CPT,81357,U2AF1 GENE COMMON VARIANTS,,,197.12,241.56,5
CPT,81360,ZRSR2 GENE COMMON VARIANTS,,,197.12,241.56,5
CPT,81361,HBB GENE COM VARIANTS,,,178.31,218.51,5
CPT,81362,HBB GENE KNOWN FAM VARIANT,,,382.76,469.06,5
CPT,81363,HBB GENE DUP/DEL VARIANTS,,,206.45,253.0,5
CPT,81364,HC BETA THALASSEMIA,1266.5,633.25,276.22,1139.85,69
CPT,81370,HC DECEASED DONOR HLA TYPING,1922.75,961.38,410.16,1730.48,69
CPT,81370,HC HLA TYPING I & II LOW RES,2356.3,1178.15,410.16,2120.67,69
CPT,81371,HC HLA TYPING I & II LOW RES VER,1677.15,838.58,365.79,1509.44,69
CPT,81372,HC CLASS I SSOP MOLECULAR TYPING,851.5,425.75,185.71,766.35,69
CPT,81373,HC HLA033 HLA I TYPING 1 LOCUS LR,641.4,320.7,129.98,577.26,69
CPT,81374,HC HLA TYPING I LOW RES 1 AG,257.0,128.5,56.05,231.3,70
CPT,81375,HC CLASS II SSOP MOLECULAR TYPING,395.4,197.7,86.24,355.86,69
CPT,81376,HC HLA II TYPING 1 LOCUS LR,488.9,244.45,106.63,440.01,69
CPT,81377,HC HLA DQ2 CHG,511.1,255.55,96.63,459.99,69
CPT,81378,HC HLA CLASS I&II TYPING ABCDRB1 CHG,1095.8,547.9,238.99,986.22,69
CPT,81379,HLA I TYPING COMPLETE HR,,,342.09,419.23,5
CPT,81380,HC HLA TYPING I HIGH RES 1 LOCUS,560.95,280.48,122.34,504.86,69
CPT,81381,HC ALLOPURINOL HYPERSENSITIVITY,1004.35,502.18,173.3,903.92,69
CPT,81381,HC HLAB5701 ABACAVIR HYPERSENS,1004.35,502.18,173.3,903.92,69
CPT,81382,HC HLA TYPING II HIGH RES 1 LOCUS,350.6,175.3,76.47,315.54,69
CPT,81383,HC HLA II HIGH RES ALLELE,493.75,246.88,107.69,444.38,69
CPT,81400,MOPATH PROCEDURE LEVEL 1,,,65.24,79.95,5
CPT,81401,HC GALACTOSEMIA GALT ENZYME ACT AND GEN SEQ 9 MUT,2371.5,1185.75,139.74,2134.35,69
CPT,81401,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2,1364.85,682.43,139.74,1228.37,69
CPT,81402,HC MPL MUT ANALYSIS,682.6,341.3,148.88,614.34,69
CPT,81403,HC MOL PATH PROCEDURE LEVEL 4,1549.6,774.8,188.9,1394.64,69
CPT,81403,HC PARTIAL RHD VERSITI,1670.85,835.43,188.9,1503.77,69
CPT,81404,HC AMYLOIDOSIS TTR DNA SEQUENCING,2450.55,1225.28,280.33,2205.5,69
CPT,81404,HC MOL PATH 2-5 EXONS,311.25,155.63,67.88,343.54,69
CPT,81404,HC SPINK1 GENE SEQ,796.6,398.3,173.74,716.94,69
CPT,81404,HC VON HIPPEL LINDAU,814.9,407.45,177.73,733.41,69
CPT,81405,HC MOL PATH 6-10 EXONS,311.25,155.63,67.88,376.69,69
CPT,81406,HC MOL PATH 11-25 EXONS,311.25,155.63,67.88,353.6,69
CPT,81406,HC NOTCH 3 DNA SEQUENCING,6207.5,3103.75,288.54,5586.75,69
CPT,81407,HC MOLECULAR PATH PROCEDURE LEVEL 8,67.15,33.58,14.65,1057.84,69
CPT,81407,HC SCN1A FULL GENE SEQUENCING,2690.95,1345.48,586.9,2421.86,69
CPT,81408,HC MOPATH PROCEDURE LEVEL 9,1866.8,933.4,407.15,2500.0,69
CPT,81410,AORTIC DYSFUNCTION/DILATION,,,514.08,630.0,5
CPT,81411,AORTIC DYSFUNCTION/DILATION,,,1377.19,1687.74,5
CPT,81412,ASHKENAZI JEWISH ASSOC DIS,,,2497.53,3060.7,5
CPT,81413,CAR ION CHNNLPATH INC 10 GNS,,,596.6,731.13,5
CPT,81414,CAR ION CHNNLPATH INC 2 GNS,,,596.6,731.13,5
CPT,81415,EXOME SEQUENCE ANALYSIS,,,4349.8,4436.8,9
CPT,81415,HC EXOME SEQUENCE ANALYSIS DUO 690E,8652.2,4326.1,1905.21,7786.98,69
CPT,81415,HC EXOME SEQUENCE ANALYSIS TRIO 690A,8652.2,4326.1,1905.21,7786.98,69
CPT,81416,EXOME SEQUENCE ANALYSIS,,,12240.0,15000.0,5
CPT,81417,EXOME RE-EVALUATION,,,326.4,400.0,5
CPT,81418,HC DRUG METABOLISM SEQ ANALYSIS PANEL 6 GENES,3231.35,1615.68,704.76,2908.22,69
CPT,81419,EPILEPSY GEN SEQ ALYS PANEL,,,2497.53,3060.7,5
CPT,81420,HC FETAL CHROMOSOMAL ANEUPLOIDY,1385.5,692.75,302.18,1246.95,70
CPT,81422,HC FETAL CHRMOML MICRODELT,573.1,286.55,124.99,948.81,70
CPT,81425,GENOME SEQUENCE ANALYSIS,,,5131.82,6289.0,5
CPT,81426,GENOME SEQUENCE ANALYSIS,,,2764.15,3387.44,5
CPT,81427,GENOME RE-EVALUATION,,,2384.4,2922.06,5
CPT,81430,HEARING LOSS SEQUENCE ANALYS,,,1657.5,2031.25,5
CPT,81431,HC HEARING LOSS DUP DEL ANAL PNL CHG,1089.85,544.93,237.7,980.87,69
CPT,81432,HRDTRY BRST CA-RLATD DO 5+,,,1330.03,1629.94,5
CPT,81433,APC,,,447.71,548.66,5
CPT,81434,HERED RTA DO GEN SEQ 15,,,609.87,747.39,5
CPT,81435,HERED COLON CA-RLATD DO 5+,,,1330.03,1629.94,5
CPT,81436,APC,,,596.6,731.13,5
CPT,81437,HERED NEUROEND TUM-RLT DO 5+,,,1330.03,1629.94,5
CPT,81438,APC,,,447.71,548.66,5
CPT,81439,HRDTRY CARDMYPY GENE PANEL,,,596.6,731.13,5
CPT,81440,MITOCHONDRIAL GENE,,,3390.48,4155.0,5
CPT,81441,HC INHERITED BONE MARROW FAILURES SYNDROMES 30 GENES,10659.3,5329.65,2324.79,9593.37,69
CPT,81442,HC NOONAN SYNDROME,2391.3,1195.65,521.54,2679.5,69
CPT,81443,GENETIC TSTG SEVERE INH COND,,,2228.19,2272.75,9
CPT,81443,HC GENETIC TESTING FOR SEVERE INHERITED CONDITIONS,10659.3,5329.65,2347.18,9593.37,69
CPT,81445,HC FUSIONPLEX EXPANDED LUNG SEQ PANEL,2559.45,1279.73,558.22,2303.51,69
CPT,81448,HC COMP HERED SPAS PARAPLEGIA-S/O,10813.15,5406.58,596.6,9731.84,69
CPT,81449,HC TGSAP RNA 5 TO 50 GENES SOLID ORGAN NEOPLASM,2602.85,1301.43,567.68,2342.57,69
CPT,81449,HC TGSAP SOLID ORGAN NEOPLASM 5-50 RNA ANALYSIS,2602.85,1301.43,567.68,2342.57,69
CPT,81450,HC MYELOID PROFILE,2514.65,1257.33,548.45,2263.19,69
CPT,81451,HC TGSAP RNA OF 5 TO 50 GENES HEMATOLYMPHOID NEO DISORDERS,3306.5,1653.25,721.15,2975.85,69
CPT,81455,HC HEMATOLOGIC CANCER FUSION ANALYSIS,3571.7,1785.85,778.99,3649.5,70
CPT,81455,HC NEXT GENERATION SEQUENCING (NGS) MYELOID PANEL,3841.35,1920.68,837.8,3649.5,70
CPT,81456,HC TGSAP RNA OF 51 PLUS GENES HEMATOLYMPHOID NEO DISORDERS,12709.85,6354.93,2772.02,11438.87,69
CPT,81457,HC SO NEO GSAP DNA MCRSTL INS,4665.75,2332.88,914.81,4199.18,69
CPT,81458,SO GSAP DNA CPY NMBR&MCRSTL,,,1067.28,1307.94,5
CPT,81459,SO NEO GSAP DNA/DNA&RNA,,,3049.34,3736.94,5
CPT,81460,HC WHOLE MITOCHONDRIAL GENOME SEQ,1526.8,763.4,333.0,1608.75,69
CPT,81462,SO GSAP CLL FR DNA/DNA&RNA,,,1219.75,1494.79,5
CPT,81463,SO GSAP CL FR CPY NMBR&MCRST,,,1372.22,1681.64,5
CPT,81464,SO GSAP CLL FR MCRSTL INS,,,3354.28,4110.64,5
CPT,81465,HC WHOLE MITROCHONDRIAL GENOME LARGE DELETION ANALYSIS PANEL,2696.8,1348.4,588.17,2427.12,69
CPT,81470,X-LINKED INTELLECTUAL DBLT,,,932.28,1142.5,5
CPT,81471,X-LINKED INTELLECTUAL DBLT,,,932.28,1142.5,5
CPT,81479,HC BCR ABL1 QUANTITATIVE,1172.25,586.13,255.67,1055.03,64
CPT,81479,HC BCR-ABL1 CML ALL PCR QUANT ZB3RV,1468.7,734.35,320.32,1321.83,64
CPT,81479,HC BTK INHIBITOR ACQUIRED RESISTANCE PANEL,3395.55,1697.78,740.57,3056.0,64
CPT,81479,HC C9ORF72 GENE,375.95,187.98,81.99,338.36,64
CPT,81479,HC CELL PROGNOSTIC PROFILE,2906.8,1453.4,633.97,2616.12,64
CPT,81479,HC CHRONIC PANCREATITIS THREE GENE SEQ,4565.1,2282.55,995.65,4108.59,64
CPT,81479,HC COMPREHENSIVE NEUROPATHIES PANEL,3938.7,1969.35,859.03,3544.83,64
CPT,81479,HC F5 LEIDEN AND F2 G20210 GENE ANAL,881.5,440.75,192.26,793.35,64
CPT,81479,HC FLT3 MUTATION ANALYSIS,754.45,377.23,164.55,679.01,64
CPT,81479,HC FUSIONPLEX SOLID TUMOR SEQ PANEL BRAIN,2602.85,1301.43,567.68,2342.57,64
CPT,81479,HC FUSIONPLEX SOLID TUMOR SEQ PANEL SARCOMA,2602.85,1301.43,567.68,2342.57,64
CPT,81479,HC FUSIONPLEX SOLID TUMOR SEQ PANEL THYROID,2602.85,1301.43,567.68,2342.57,64
CPT,81479,HC GENE SEQ PLUS CFTR,580.45,290.23,126.6,522.41,64
CPT,81479,HC HLA APOL1 PHENOTYPING,409.4,204.7,89.29,368.46,64
CPT,81479,HC IDH1 AND IDH2 MUTATION ANAL,2128.9,1064.45,464.31,1916.01,64
CPT,81479,HC INVITAE COMPREHENSIVE CARRIER,4135.65,2067.83,901.99,3722.09,64
CPT,81479,HC INVITAE COMPREHENSIVE CARRIER SCREEN WO XLINKED,4135.65,2067.83,901.99,3722.09,64
CPT,81479,HC INVITAE COMPREHENSIVE DEAFNESS PANEL,4135.65,2067.83,901.99,3722.09,64
CPT,81479,HC INVITAE EPILEPSY PANEL,1889.3,944.65,412.06,1700.37,64
CPT,81479,HC INVITAE TRANSTHYRETIN MEDIATED AMYLOIDOSIS,3938.7,1969.35,859.03,3544.83,64
CPT,81479,HC KRAS CSI,2176.65,1088.33,474.73,1958.99,64
CPT,81479,HC KRAS MUTATION ASSAY PANEL,1982.45,991.23,432.37,1784.21,64
CPT,81479,HC MATERNIT GENOME MP,432.5,216.25,94.33,389.25,64
CPT,81479,HC MPN (MYELOPROLIFERATIVE NEOPLASM) JAK2 CALR AND MPL,1870.55,935.28,407.97,1683.5,64
CPT,81479,HC MYD88 MUTATION ANALYSIS,1632.5,816.25,356.05,1469.25,64
CPT,81479,HC MYEOLOPROLIFERATIVE NEOPLASM PANEL,2275.4,1137.7,496.26,2047.86,64
CPT,81479,HC NEOTYPE GIST ZBAOK,2146.85,1073.43,468.23,1932.17,64
CPT,81479,HC NEURO ONC EXP GENE PNL W REARR,18975.4,9487.7,4138.53,17077.86,64
CPT,81479,HC NGS SOLID TUMOR LUNG PANEL,2559.45,1279.73,558.22,2303.51,64
CPT,81479,HC PGXOME WHOLE EXOME SEQUENCING,3048.15,1524.08,664.8,2743.34,64
CPT,81479,HC POLYCYTHEMIA VERA MPN (MYELOPROLIFERATIVE NEOPLASM) JAK2V617F JAK2 EXON 12-15,1870.55,935.28,407.97,1683.5,64
CPT,81479,HC RAS NGS PANEL,4116.5,2058.25,897.81,3704.85,64
CPT,81479,HC SARCOMA TRGTD GEN FUS REARR PNL NGS,12217.45,6108.73,2664.63,10995.71,64
CPT,81479,HC UNLISTED MOLECULAR PATH PROC,750.85,375.43,163.76,675.77,64
CPT,81479,HC WEAK RHD ANALYSIS VERSITI,1658.4,829.2,361.7,1492.56,64
CPT,81490,HC AUTOIMMUNE RHEUMATOID ARTHRITIS ANALYSIS 12 BIOMRKRS,3659.6,1829.8,798.16,3293.64,69
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score",,,1071.0,1312.5,5
CPT,81500,ONCO (OVAR) TWO PROTEINS,,,265.71,325.63,5
CPT,81503,ONCO (OVAR) FIVE PROTEINS,,,914.94,1121.25,5
CPT,81504,ONCOLOGY TISSUE OF ORIGIN,,,530.4,650.0,5
CPT,81506,ENDO ASSAY SEVEN ANAL,,,70.3,86.15,5
CPT,81507,FETAL ANEUPLOIDY TRISOM RISK,,,810.9,993.75,5
CPT,81508,FTL CGEN ABNOR TWO PROTEINS,,,55.39,67.88,5
CPT,81509,HC FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS,6474.95,3237.48,1412.19,5827.46,69
CPT,81510,FTL CGEN ABNOR THREE ANAL,,,56.65,69.43,5
CPT,81511,FTL CGEN ABNOR FOUR ANAL,,,156.57,575.92,6
CPT,81512,FTL CGEN ABNOR FIVE ANAL,,,70.91,86.9,5
CPT,81513,NFCT DS BV RNA VAG FLU ALG,,,145.48,178.29,5
CPT,81514,NFCT DS BV&VAGINITIS DNA ALG,,,268.25,328.74,5
CPT,81515,HC NFCT DS BV&VAGINITIS DNA ALG,739.2,369.6,161.22,665.28,69
CPT,81517,HC LIVER DS ALYS 3 BMRK SRM ALG,730.55,365.28,159.33,657.5,69
CPT,81518,ONC BRST MRNA 11 GENES,,,3950.46,4841.25,5
CPT,81519,ONCOLOGY BREAST MRNA,,,3524.43,4841.25,14
CPT,81520,ONC BREAST MRNA 58 GENES,,,2560.41,3137.76,5
CPT,81521,ONC BREAST MRNA 70 GENES,,,3950.46,4841.25,5
CPT,81522,ONC BREAST MRNA 12 GENES,,,3524.43,4841.25,14
CPT,81523,ONC BRST MRNA 70 CNT 31 GENE,,,3950.46,4841.25,5
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3178.32,3895.0,5
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,519.05,636.09,5
CPT,81529,ONC CUTAN MLNMA MRNA 31 GENE,,,7336.86,8991.25,5
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,591.05,724.33,5
CPT,81536,ONCOLOGY GYNECOLOGIC,,,181.11,221.95,5
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival",,,2928.42,3588.75,5
CPT,81539,ONCOLOGY PROSTATE PROB SCORE,,,775.2,950.0,5
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3825.0,4687.5,5
CPT,81541,ONC PROSTATE MRNA 46 GENES,,,3950.46,4841.25,5
CPT,81542,ONC PROSTATE MRNA 22 CNT GEN,,,3950.46,4841.25,5
CPT,81546,"ONC THYR MRNA 10,196 GEN ALG",,,3229.2,4500.0,6
CPT,81551,ONC PROSTATE 3 GENES,,,2070.6,2537.5,5
CPT,81552,ONC UVEAL MLNMA MRNA 15 GENE,,,7931.52,9720.0,5
CPT,81554,PULM DS IPF MRNA 190 GEN ALG,,,5553.9,6806.25,5
CPT,81558,TRNSPL REJ KDN MRNA QPCR 139,,,3304.8,4050.0,5
CPT,81560,TRNSPLJ PD LVR&BWL CD154+CLL,,,653.54,800.91,5
CPT,81595,CARDIOLOGY HRT TRNSPL MRNA,,,3304.8,4050.0,5
CPT,81596,HC HCV FIBROSURE,473.05,236.53,73.63,425.75,69
CPT,82009,HC KETONE BODIES SERUM QUALITATIVE ACETONE,124.65,62.33,4.61,112.19,70
CPT,82009,KETONE BODYS QUAL,,,5.57,5.68,9
CPT,82010,HC KETONE BODIES SERUM QUANTITATIVE,190.75,95.38,8.33,171.68,70
CPT,82010,KETONE BODYS QUAN,,,10.08,10.28,9
CPT,82013,ACETYLCHOLINESTERASE ASSAY,,,12.54,16.56,15
CPT,82016,ACYLCARNITINES QUAL,,,16.82,20.61,15
CPT,82017,ACYLCARNITINES QUANT,,,20.81,21.23,9
CPT,82017,HC ACYLCARNITINES QUANT EACH SPEC,837.85,418.93,17.21,754.07,70
CPT,82024,ASSAY OF ACTH,,,47.64,48.59,9
CPT,82024,HC ASSAY OF ACTH,572.7,286.35,39.39,515.43,70
CPT,82030,ASSAY OF ADP & AMP,,,26.32,32.47,15
CPT,82040,ASSAY OF SERUM ALBUMIN,,,6.11,8.17,10
CPT,82040,HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD,129.5,64.75,5.05,116.55,70
CPT,82042,HC ASSAY OF ALBUMIN OTHER SOURCE QUANT EA,127.45,63.73,7.67,114.71,70
CPT,82042,OTHER SOURCE ALBUMIN QUAN EA,,,6.38,6.51,9
CPT,82043,HC MICROALBUMIN QUANTITATIVE,120.9,60.45,5.9,108.81,70
CPT,82043,UR ALBUMIN QUANTITATIVE,,,7.14,9.55,11
CPT,82044,HC MICROALBUMIN URINE SEMIQUANT EA,33.9,16.95,6.35,30.51,70
CPT,82044,UR ALBUMIN SEMIQUANTITATIVE,,,3.53,4.73,13
CPT,82045,ALBUMIN ISCHEMIA MODIFIED,,,34.62,50.32,15
CPT,82075,ASSAY OF BREATH ETHANOL,,,14.86,15.16,9
CPT,82075,HC ASSAY OF BREATH ETHANOL POCT ALCOHOL BREATH TEST,49.2,24.6,10.73,44.28,70
CPT,82077,ASSAY SPEC XCP UR&BREATH IA,,,15.89,21.59,6
CPT,82085,ASSAY OF ALDOLASE,,,11.97,12.21,9
CPT,82085,HC ASSAY OF ALDOLASE,192.95,96.48,9.9,173.66,70
CPT,82088,ASSAY OF ALDOSTERONE,,,50.27,51.28,9
CPT,82088,HC ASSAY OF ALDOSTERONE,289.45,144.73,41.57,260.51,70
CPT,82103,ALPHA-1-ANTITRYPSIN TOTAL,,,16.57,16.9,9
CPT,82103,HC ALPHA-1-ANTITRYPSIN TOTAL,263.95,131.98,11.33,237.56,70
CPT,82104,ALPHA-1-ANTITRYPSIN PHENO,,,17.83,18.19,9
CPT,82104,HC A1AT PHENOTYPE,275.7,137.85,14.75,248.13,70
CPT,82105,ALPHA-FETOPROTEIN SERUM,,,20.69,21.1,9
CPT,82105,HC ALPHA-FETOPROTEIN SERUM MARKER,265.05,132.53,8.83,238.55,70
CPT,82106,ALPHA-FETOPROTEIN AMNIOTIC,,,20.69,21.1,9
CPT,82106,HC ALPHA-FETOPROTEIN AFP AMNIOTIC FLUID,348.2,174.1,8.83,313.38,70
CPT,82107,ALPHA-FETOPROTEIN L3,,,65.7,88.35,15
CPT,82108,ASSAY OF ALUMINUM,,,31.43,32.06,9
CPT,82108,HC ASSAY OF ALUMINUM LEVEL,242.5,121.25,24.85,218.25,70
CPT,82120,AMINES VAGINAL FLUID QUAL,,,3.58,7.49,15
CPT,82127,AMINO ACID SINGLE QUAL,,,14.46,20.55,15
CPT,82128,AMINO ACIDS MULT QUAL,,,14.15,20.55,15
CPT,82131,AMINO ACIDS SINGLE QUANT,,,20.81,21.23,9
CPT,82131,HC AMINO ACIDS QN SINGLE,451.5,225.75,23.44,406.35,70
CPT,82135,ASSAY AMINOLEVULINIC ACID,,,20.3,20.71,9
CPT,82135,HC ASSAY AMINOLEVULINIC ACID,259.9,129.95,16.78,233.91,70
CPT,82136,AMINO ACIDS QUANT 2-5,,,20.81,21.23,9
CPT,82136,HC CYNSTINURIA PRF QNT 24HR URINE,1078.75,539.38,20.0,970.88,70
CPT,82139,AMINO ACIDS QUAN 6 OR MORE,,,20.81,21.23,9
CPT,82139,HC AMINO ACIDS 6+ QUANT,1454.15,727.08,17.21,1308.74,70
CPT,82140,ASSAY OF AMMONIA,,,17.97,32.7,13
CPT,82140,HC ASSAY OF AMMONIA,193.05,96.53,14.86,173.75,70
CPT,82143,AMNIOTIC FLUID SCAN,,,8.49,11.69,15
CPT,82150,ASSAY OF AMYLASE,,,7.99,10.71,10
CPT,82150,HC ASSAY OF AMYLASE,260.85,130.43,6.61,234.77,70
CPT,82154,ANDROSTANEDIOL GLUCURONIDE,,,35.56,36.27,9
CPT,82154,HC ANDROSTANEDIOL GLUCURONIDE,416.3,208.15,29.41,374.67,70
CPT,82157,ASSAY OF ANDROSTENEDIONE,,,36.1,39.94,10
CPT,82157,HC ASSAY OF ANDROSTENEDIONE,477.4,238.7,29.87,429.66,70
CPT,82160,ASSAY OF ANDROSTERONE,,,26.06,37.08,15
CPT,82163,ASSAY OF ANGIOTENSIN II,,,20.93,30.43,15
CPT,82164,ANGIOTENSIN I ENZYME TEST,,,17.99,18.35,9
CPT,82164,HC ANGIOTENSIN I ENZYME TEST ANGIOTENSIN CONVERTING ENZYME,346.5,173.25,14.89,311.85,70
CPT,82166,HC ASSAY OF ANTI-MULLERIAN HORMONE,186.55,93.28,39.39,167.9,69
CPT,82172,ASSAY OF APOLIPOPROTEIN,,,19.11,19.49,9
CPT,82172,HC ASSAY OF APOLIPOPROTEIN,87.7,43.85,15.99,78.93,70
CPT,82175,ASSAY OF ARSENIC,,,23.4,23.87,9
CPT,82175,HC ASSAY OF ARSENIC,214.75,107.38,17.79,193.28,70
CPT,82180,ASSAY OF ASCORBIC ACID,,,12.19,12.43,9
CPT,82180,HC ASSAY OF ASCORBIC ACID VITAMIN C,210.65,105.33,7.18,189.59,70
CPT,82190,ATOMIC ABSORPTION,,,16.22,19.88,15
CPT,82232,ASSAY OF BETA-2 PROTEIN,,,19.96,20.36,9
CPT,82232,HC BETA 2 PROTEIN BETA 2 MICROGLOBULIN,208.6,104.3,16.5,187.74,70
CPT,82234,HC BETA-AMYLOID 1-42 (ABETA 42),1210.0,605.0,263.9,1089.0,64
CPT,82239,BILE ACIDS TOTAL,,,20.09,20.49,9
CPT,82239,HC BILE ACIDS TOTAL,244.0,122.0,17.46,219.6,70
CPT,82240,BILE ACIDS CHOLYLGLYCINE,,,20.09,39.4,15
CPT,82247,BILIRUBIN TOTAL,,,6.2,8.29,13
CPT,82247,HC BILIRUBIN TOTAL,101.3,50.65,5.12,91.17,70
CPT,82248,BILIRUBIN DIRECT,,,5.09,11.25,19
CPT,82248,HC BILIRUBIN DIRECT,117.5,58.75,5.12,105.75,70
CPT,82252,FECAL BILIRUBIN TEST,,,4.65,6.74,15
CPT,82261,ASSAY OF BIOTINIDASE,,,20.81,21.23,9
CPT,82261,HC ASSAY BIOTINIDASE LEVEL,302.1,151.05,17.21,271.89,69
CPT,82270,HC BLOOD OCCULT BY PEROXID FECES,92.15,46.08,4.47,82.94,70
CPT,82270,OCCULT BLOOD FECES,,,3.89,8.85,19
CPT,82271,HC OCCULT BLOOD OTHER SOURCES,97.05,48.53,4.82,87.35,70
CPT,82271,OCCULT BLOOD OTHER SOURCES,,,4.01,4.09,9
CPT,82272,HC OCCULT BLOOD FECES DIAGNOSTIC,92.15,46.08,4.31,82.94,70
CPT,82272,OCCULT BLD FECES 1-3 TESTS,,,3.89,8.54,19
CPT,82274,ASSAY TEST FOR BLOOD FECAL,,,15.27,26.25,16
CPT,82274,HC BLOOD OCCULT FECAL HGB 1 - 3 TEST,111.8,55.9,16.24,100.62,69
CPT,82286,ASSAY OF BRADYKININ,,,5.26,10.2,15
CPT,82300,ASSAY OF CADMIUM,,,28.54,29.11,9
CPT,82300,HC ASSAY OF CADMIUM,82.5,41.25,17.99,74.25,70
CPT,82306,HC ASSAY OF VITAMIN D 25,449.05,224.53,30.19,404.15,70
CPT,82306,VITAMIN D 25 HYDROXY,,,28.42,161.35,21
CPT,82308,ASSAY OF CALCITONIN,,,33.02,33.68,9
CPT,82308,HC ASSAY OF CALCITONIN,332.4,166.2,27.33,299.16,70
CPT,82310,ASSAY OF CALCIUM,,,6.35,8.52,10
CPT,82310,HC ASSAY OF CALCIUM TOTAL,123.65,61.83,5.26,111.29,70
CPT,82330,ASSAY OF CALCIUM,,,16.85,17.19,9
CPT,82330,HC ASSAY OF CALCIUM IONIZED,213.0,106.5,13.95,191.7,70
CPT,82331,CALCIUM INFUSION TEST,,,6.38,16.68,15
CPT,82340,ASSAY OF CALCIUM IN URINE,,,6.42,11.22,12
CPT,82340,HC ASSAY OF CALCIUM IN URINE,103.25,51.63,6.15,92.93,70
CPT,82355,CALCULUS ANALYSIS QUAL,,,11.81,14.56,15
CPT,82360,CALCULUS ASSAY QUANT,,,15.88,16.2,9
CPT,82360,HC CALCULUS ANALYSIS QN,307.65,153.83,13.13,276.89,70
CPT,82365,CALCULUS SPECTROSCOPY,,,15.9,16.22,9
CPT,82365,HC CALCULUS ASSAY INFRARED SPECTR KIDNEY STONE ANALYSIS,123.45,61.73,13.16,111.11,70
CPT,82370,X-RAY ASSAY CALCULUS,,,12.77,18.58,15
CPT,82373,ASSAY C-D TRANSFER MEASURE,,,22.27,22.72,9
CPT,82373,HC ASSAY CARBOHYDRATE DEFICIENT TRANSFERRIN,501.6,250.8,18.42,451.44,70
CPT,82374,ASSAY BLOOD CARBON DIOXIDE,,,6.03,6.15,9
CPT,82374,HC ASSAY BLOOD CARBON DIOXIDE CO2 TOTAL,144.0,72.0,4.98,129.6,70
CPT,82375,ASSAY CARBOXYHB QUANT,,,13.65,13.92,9
CPT,82375,HC ASSAY BLOOD CARBON MONOXIDE CARBOXYHEMOGLOBIN,169.45,84.73,8.83,152.51,70
CPT,82376,ASSAY CARBOXYHB QUAL,,,7.39,17.59,15
CPT,82378,CARCINOEMBRYONIC ANTIGEN,,,23.4,23.87,9
CPT,82378,HC CARCINOEMBRYONIC ANTIGEN CEA,386.15,193.08,19.34,347.54,70
CPT,82379,ASSAY OF CARNITINE,,,20.81,21.23,9
CPT,82379,HC ASSAY OF CARNITINE,448.25,224.13,17.21,403.43,70
CPT,82380,ASSAY OF CAROTENE,,,9.4,13.67,15
CPT,82382,ASSAY URINE CATECHOLAMINES,,,21.2,34.13,15
CPT,82383,ASSAY BLOOD CATECHOLAMINES,,,29.66,37.15,15
CPT,82384,ASSAY THREE CATECHOLAMINES,,,31.14,31.76,9
CPT,82384,HC ASSAY THREE CATECHOLAMINES,523.85,261.93,25.76,471.47,70
CPT,82387,ASSAY OF CATHEPSIN-D,,,17.1,30.84,15
CPT,82390,ASSAY OF CERULOPLASMIN,,,13.25,19.98,10
CPT,82390,HC ASSAY OF CERULOPLASMIN,250.65,125.33,10.95,225.59,70
CPT,82397,CHEMILUMINESCENT ASSAY,,,17.1,17.44,9
CPT,82397,HC ANTI MULLERIAN HORMONE,197.8,98.9,14.4,178.02,70
CPT,82397,HC CHEMILUMINESCENT ASSAY,159.6,79.8,14.4,143.64,70
CPT,82397,HC PTHRP  PTH-RELATED PEPTIDE,209.95,104.98,14.4,188.96,70
CPT,82415,ASSAY OF CHLORAMPHENICOL,,,12.92,17.79,15
CPT,82435,ASSAY OF BLOOD CHLORIDE,,,5.66,7.59,10
CPT,82435,HC ASSAY OF CHLORIDE,74.95,37.48,4.69,67.46,70
CPT,82436,ASSAY OF URINE CHLORIDE,,,6.2,6.32,9
CPT,82436,HC ASSAY OF URINE CHLORIDE,92.25,46.13,5.87,83.03,70
CPT,82438,ASSAY OTHER FLUID CHLORIDES,,,6.03,6.15,9
CPT,82438,HC ASSAY OTHER FLUID CHLORIDES,74.35,37.18,5.1,66.92,70
CPT,82441,TEST FOR CHLOROHYDROCARBONS,,,6.13,8.0,15
CPT,82465,ASSAY BLD/SERUM CHOLESTEROL,,,5.36,7.18,13
CPT,82465,HC ASSAY BLOOD SERUM CHOLESTEROL,92.3,46.15,4.44,83.07,70
CPT,82480,ASSAY SERUM CHOLINESTERASE,,,7.09,7.23,9
CPT,82480,HC ASSAY SERUM CHOLINESTERASE,185.5,92.75,8.03,166.95,70
CPT,82482,ASSAY RBC CHOLINESTERASE,,,5.67,5.78,9
CPT,82482,HC ASSAY RBC CHOLINESTERASE,125.55,62.78,10.01,113.0,70
CPT,82485,ASSAY CHONDROITIN SULFATE,,,21.06,30.61,15
CPT,82495,ASSAY OF CHROMIUM,,,25.02,25.52,9
CPT,82495,"HC ASSAY OF CHROMIUM, LEVEL",230.4,115.2,7.18,207.36,70
CPT,82507,ASSAY OF CITRATE,,,34.29,34.98,9
CPT,82507,HC ASSAY OF CITRATE,309.05,154.53,28.36,278.15,70
CPT,82523,COLLAGEN CROSSLINKS,,,18.08,18.44,9
CPT,82523,HC ASSAY FOR COLLAGEN CROSS LINKS,180.8,90.4,19.05,162.72,70
CPT,82525,ASSAY OF COPPER,,,15.31,15.62,9
CPT,82525,HC ASSAY OF COPPER,245.35,122.68,12.66,220.82,70
CPT,82528,ASSAY OF CORTICOSTERONE,,,22.97,28.32,15
CPT,82530,CORTISOL FREE,,,20.61,21.02,9
CPT,82530,HC CORTISOL FREE,349.6,174.8,17.04,314.64,70
CPT,82533,HC TOTAL CORTISOL,185.35,92.68,16.63,166.82,70
CPT,82533,TOTAL CORTISOL,,,20.11,36.58,16
CPT,82540,ASSAY OF CREATINE,,,4.73,6.88,15
CPT,82542,COL CHROMOTOGRAPHY QUAL/QUAN,,,22.27,22.72,9
CPT,82542,HC 7 DEHYDROCHOLESTEROL,334.5,167.25,24.57,301.05,69
CPT,82542,HC BILE ACIDS FRACTIONATED AND TOTAL,815.1,407.55,24.57,733.59,69
CPT,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,604.5,302.25,24.57,544.05,69
CPT,82542,HC DEXAMETHASONE,487.4,243.7,24.57,438.66,69
CPT,82542,HC FATTY ACID PROFILE,810.85,405.43,24.57,729.77,69
CPT,82542,"HC NEOPTERIN, TOTAL",473.2,236.6,24.57,425.88,69
CPT,82542,HC SEROTONIN RELEASE ASSAY,348.35,174.18,24.57,313.52,69
CPT,82550,ASSAY OF CK (CPK),,,8.03,10.75,12
CPT,82550,HC ASSAY OF CREATINE KINAS CPK TOTAL,156.3,78.15,6.64,140.67,70
CPT,82552,ASSAY OF CPK IN BLOOD,,,16.52,16.85,9
CPT,82552,HC ASSAY OF CPK IN BLOOD,178.55,89.28,6.08,160.7,70
CPT,82553,CREATINE MB FRACTION,,,14.24,14.52,9
CPT,82553,HC CREATINE MB FRACTION CKMB,268.15,134.08,11.78,241.34,70
CPT,82554,CREATINE ISOFORMS,,,12.11,17.6,15
CPT,82565,ASSAY OF CREATININE,,,6.32,8.45,14
CPT,82565,HC ASSAY OF CREATININE,106.5,53.25,5.22,95.85,70
CPT,82570,ASSAY OF URINE CREATININE,,,6.38,8.54,13
CPT,82570,HC ASSAY OF URINE CREATININE,107.7,53.85,5.28,96.93,70
CPT,82575,CREATININE CLEARANCE TEST,,,11.65,11.88,9
CPT,82575,HC CREATININE CLEARANCE TEST,182.35,91.18,9.65,164.12,70
CPT,82585,ASSAY OF CRYOFIBRINOGEN,,,10.57,10.78,9
CPT,82585,HC ASSAY OF CRYOFIBRINOGEN,137.05,68.53,12.71,123.35,70
CPT,82595,ASSAY OF CRYOGLOBULIN,,,7.98,8.14,9
CPT,82595,HC ASSAY OF CRYOGLOBULIN,127.3,63.65,6.6,114.57,70
CPT,82600,ASSAY OF CYANIDE,,,19.79,28.76,15
CPT,82607,HC VITAMIN B-12,317.7,158.85,15.38,285.93,70
CPT,82607,VITAMIN B-12,,,14.47,82.16,21
CPT,82608,B-12 BINDING CAPACITY,,,14.61,21.23,15
CPT,82610,CYSTATIN C,,,16.77,17.11,9
CPT,82610,HC CYSTATIN C,257.25,128.63,18.89,231.53,70
CPT,82615,HC URINE CYSTINES AND HOMOCYSTINE ANALYSIS QUAL,52.0,26.0,9.74,46.8,70
CPT,82615,TEST FOR URINE CYSTINES,,,10.07,10.27,9
CPT,82626,DEHYDROEPIANDROSTERONE,,,31.17,31.79,9
CPT,82626,HC DEHYDROEPIANDROSTERONE DHEA,458.9,229.45,25.78,413.01,70
CPT,82627,DEHYDROEPIANDROSTERONE,,,27.42,27.97,9
CPT,82627,HC DEHYDROEPIANDROSTERONE DHEA SULFATE,382.9,191.45,22.67,344.61,70
CPT,82633,DESOXYCORTICOSTERONE,,,31.6,45.92,15
CPT,82634,DEOXYCORTISOL,,,36.1,36.82,9
CPT,82634,HC DEOXYCORTISOL,292.4,146.2,29.87,263.16,70
CPT,82638,ASSAY OF DIBUCAINE NUMBER,,,12.5,17.79,15
CPT,82642,"HC DIHYDROTESTOSTERONE, TOTAL",391.8,195.9,29.87,352.62,69
CPT,82652,HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1,482.7,241.35,39.27,434.43,70
CPT,82652,VIT D 1 25-DIHYDROXY,,,47.47,48.42,9
CPT,82653,HC ELASTASE PANCREATIC (EL-1) FECAL QUANT,405.25,202.63,23.43,364.73,69
CPT,82656,EL-1 FECAL QUAL/SEMIQ,,,11.76,17.1,15
CPT,82657,ENZYME CELL ACTIVITY,,,22.27,22.72,9
CPT,82657,HC ENZYME ACTIVITY EACH,796.65,398.33,22.61,716.99,70
CPT,82658,ENZYME CELL ACTIVITY RA,,,22.27,55.04,15
CPT,82664,ELECTROPHORETIC TEST,,,8.83,76.88,15
CPT,82668,ASSAY OF ERYTHROPOIETIN,,,23.18,23.64,9
CPT,82668,HC ASSAY OF ERYTHROPOIETIN,314.3,157.15,19.17,282.87,70
CPT,82670,ASSAY OF TOTAL ESTRADIOL,,,29.37,62.7,17
CPT,82670,HC ASSAY OF ESTRADIOL,476.6,238.3,28.5,428.94,70
CPT,82671,ASSAY OF ESTROGENS,,,32.95,40.64,15
CPT,82672,ASSAY OF ESTROGEN,,,26.74,27.27,9
CPT,82672,HC ASSAY OF ESTROGEN,365.85,182.93,22.13,329.27,70
CPT,82677,ASSAY OF ESTRIOL,,,29.83,30.43,9
CPT,82677,HC ASSAY OF ESTRIOL,237.2,118.6,24.66,213.48,70
CPT,82679,ASSAY OF ESTRONE,,,30.79,31.41,9
CPT,82679,HC ASSAY OF ESTRONE,273.8,136.9,25.45,246.42,70
CPT,82681,ASSAY DIR MEAS FR ESTRADIOL,,,25.43,34.93,14
CPT,82693,ASSAY OF ETHYLENE GLYCOL,,,17.11,17.45,9
CPT,82693,HC ASSAY OF ETHYLENE GLYCOL,280.5,140.25,15.2,252.45,70
CPT,82696,ASSAY OF ETIOCHOLANOLONE,,,26.76,34.96,15
CPT,82705,FATS/LIPIDS FECES QUAL,,,6.28,6.41,9
CPT,82705,HC FATS LIPIDS FECES QUALITATIVE,133.0,66.5,5.2,119.7,70
CPT,82710,FATS/LIPIDS FECES QUANT,,,20.72,21.13,9
CPT,82710,HC FECAL FAT QUANTITATIVE,362.35,181.18,4.27,326.12,70
CPT,82715,ASSAY OF FECAL FAT,,,21.23,28.71,15
CPT,82725,ASSAY OF BLOOD FATTY ACIDS,,,16.42,16.75,9
CPT,82725,HC ASSAY OF BLOOD FATTY ACIDS,102.15,51.08,3.47,91.94,70
CPT,82726,HC LONG CHAIN FATTY ACIDS,507.5,253.75,20.15,456.75,70
CPT,82726,LONG CHAIN FATTY ACIDS,,,22.27,22.72,9
CPT,82728,ASSAY OF FERRITIN,,,13.08,30.6,20
CPT,82728,HC ASSAY OF FERRITIN,313.4,156.7,13.9,282.06,70
CPT,82731,ASSAY OF FETAL FIBRONECTIN,,,79.43,81.02,9
CPT,82731,HC ASSAY OF FETAL FIBRONECTIN,866.25,433.13,65.7,779.63,70
CPT,82735,ASSAY OF FLUORIDE,,,18.91,27.49,15
CPT,82746,ASSAY OF FOLIC ACID SERUM,,,14.11,33.01,20
CPT,82746,HC BLOOD FOLIC ACID SERUM,208.35,104.18,14.99,187.52,70
CPT,82747,ASSAY OF FOLIC ACID RBC,,,18.59,18.96,9
CPT,82747,"HC ASSAY OF FOLIC ACID, RBC",183.7,91.85,18.0,165.33,70
CPT,82757,ASSAY OF SEMEN FRUCTOSE,,,17.69,21.83,15
CPT,82759,ASSAY OF RBC GALACTOKINASE,,,21.91,31.84,15
CPT,82760,ASSAY OF GALACTOSE,,,11.42,20.35,24
CPT,82775,ASSAY GALACTOSE TRANSFERASE,,,25.98,26.5,9
CPT,82775,HC ASSAY GALACTOSE TRANSFERASE,127.05,63.53,21.49,114.35,70
CPT,82776,GALACTOSE TRANSFERASE TEST,,,10.34,14.68,15
CPT,82777,GALECTIN-3,,,45.14,55.31,5
CPT,82784,ASSAY IGA/IGD/IGG/IGM EACH,,,11.47,11.7,9
CPT,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH",203.0,101.5,9.49,182.7,70
CPT,82785,ASSAY OF IGE,,,20.31,20.72,9
CPT,82785,HC ASSAY OF GAMMAGLOBULIN IGE,235.15,117.58,16.79,211.64,70
CPT,82787,HC IMMUNOGLOBULIN IGG SUBCLASSES,169.8,84.9,8.18,152.82,70
CPT,82787,IGG 1 2 3 OR 4 EACH,,,9.88,10.08,9
CPT,82800,BLOOD PH,,,7.92,8.08,9
CPT,82800,HC BLOOD PH VENOUS,93.35,46.68,11.22,84.02,70
CPT,82803,BLOOD GASES ANY COMBINATION,,,23.87,24.35,9
CPT,82803,HC BLOOD GASES PH PO2 PCO2,292.3,146.15,26.59,263.07,70
CPT,82805,BLOOD GASES W/O2 SATURATION,,,35.0,35.7,9
CPT,82805,HC BLOOD GAS W/O2 SAT,298.55,149.28,42.08,268.7,70
CPT,82810,BLOOD GASES O2 SAT ONLY,,,10.77,10.99,9
CPT,82810,HC BLOOD GASES O2 SAT ONLY,283.75,141.88,9.97,255.38,70
CPT,82820,HEMOGLOBIN-OXYGEN AFFINITY,,,12.32,16.68,15
CPT,82930,GASTRIC ANALY W/PH EA SPEC,,,6.77,8.98,15
CPT,82938,GASTRIN TEST,,,18.04,26.24,15
CPT,82941,ASSAY OF GASTRIN,,,21.75,22.19,9
CPT,82941,HC ASSAY OF GASTRIN,310.15,155.08,17.98,279.14,70
CPT,82943,ASSAY OF GLUCAGON,,,17.62,17.97,9
CPT,82943,HC ASSAY OF GLUCAGON,267.55,133.78,14.58,240.8,70
CPT,82945,GLUCOSE OTHER FLUID,,,4.84,4.94,9
CPT,82945,HC ASSAY GLUCOSE BODY FLUID,95.4,47.7,4.01,85.86,70
CPT,82946,GLUCAGON TOLERANCE TEST,,,6.89,22.21,15
CPT,82947,ASSAY GLUCOSE BLOOD QUANT,,,3.77,6.48,17
CPT,82947,HC ASSAY QUANTITATIVE BLOOD GLUCOSE,76.65,38.33,4.01,68.99,70
CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,,,3.21,9.37,21
CPT,82950,GLUCOSE TEST,,,5.86,7.84,13
CPT,82950,HC GLUCOSE TEST,74.2,37.1,4.85,66.78,70
CPT,82951,GLUCOSE TOLERANCE TEST (GTT),,,15.88,21.25,13
CPT,82951,HC GLUCOSE TOLERANCE TEST GTT 2 HOUR,260.4,130.2,13.13,234.36,70
CPT,82952,GTT-ADDED SAMPLES,,,4.84,4.94,9
CPT,82952,HC GLUCOSE TOLERANCE ADD SPEC,86.1,43.05,4.0,77.49,70
CPT,82955,ASSAY OF G6PD ENZYME,,,5.74,5.85,9
CPT,82955,HC ASSAY OF G6PD ENZYME GLUCOSE 6 PHOSPHATE DEHYDROGENASE,199.25,99.63,9.89,179.33,70
CPT,82960,TEST FOR G6PD ENZYME,,,6.17,7.63,15
CPT,82962,GLUCOSE BLOOD TEST,,,2.79,12.74,22
CPT,82962,HC GLUCOSE BLOOD TEST WITH DEVICE,21.85,10.93,3.35,19.67,70
CPT,82963,ASSAY OF GLUCOSIDASE,,,26.49,27.02,9
CPT,82963,HC ASSAY OF GLUCOSIDASE,317.45,158.73,21.91,285.71,70
CPT,82965,ASSAY OF GDH ENZYME,,,8.14,16.44,15
CPT,82977,ASSAY OF GGT,,,8.88,9.06,9
CPT,82977,HC ASSAY OF GGT GGTP,110.55,55.28,7.34,99.5,70
CPT,82978,ASSAY OF GLUTATHIONE,,,15.76,21.14,15
CPT,82979,ASSAY RBC GLUTATHIONE,,,8.49,11.8,15
CPT,82985,ASSAY OF GLYCATED PROTEIN,,,18.59,18.96,9
CPT,82985,HC GLYCATED PROTEIN FRUCTOSAMINE,112.8,56.4,17.1,101.52,70
CPT,83001,ASSAY OF GONADOTROPIN (FSH),,,22.92,30.67,10
CPT,83001,HC GONADOTROPIN FOLLICLE STIM HORMONE FSH,417.55,208.78,18.95,375.8,70
CPT,83002,ASSAY OF GONADOTROPIN (LH),,,22.84,30.58,10
CPT,83002,HC GONADOTROPIN LUTEINIZING HORMONE LH,412.4,206.2,18.89,371.16,70
CPT,83003,ASSAY GROWTH HORMONE (HGH),,,20.55,20.96,9
CPT,83003,HC ASSAY GROWTH HORMONE (HGH),273.4,136.7,17.0,246.06,70
CPT,83006,HC GROWTH STIMULATION GENE 2,654.45,327.23,77.11,589.01,69
CPT,83009,H PYLORI (C-13) BLOOD,,,64.37,84.73,15
CPT,83010,ASSAY OF HAPTOGLOBIN QUANT,,,15.52,23.4,11
CPT,83010,HC ASSAY OF HAPTOGLOBIN QUANT,110.7,55.35,12.83,99.63,70
CPT,83012,ASSAY OF HAPTOGLOBINS,,,17.79,33.61,15
CPT,83013,H PYLORI (C-13) BREATH,,,83.07,84.73,9
CPT,83013,HC H. PYLORI BREATH TEST,403.45,201.73,64.37,363.11,70
CPT,83014,H PYLORI DRUG ADMIN,,,8.02,14.62,20
CPT,83015,HEAVY METAL QUAL ANY NUMBER,,,21.36,27.91,15
CPT,83018,HC QUANTITATIVE SCREEN METAL,345.1,172.55,7.79,310.59,70
CPT,83018,HEAVY METAL QUAN EACH NES,,,27.08,27.62,9
CPT,83020,HC HEMOGLOBIN ELECTROPHORESIS,216.9,108.45,4.27,195.21,70
CPT,83020,HEMOGLOBIN ELECTROPHORESIS,,,15.02,20.85,24
CPT,83021,HC HEMOGLOBIN CHROMOTOGRAPHY,346.25,173.13,18.42,311.63,70
CPT,83021,HEMOGLOBIN CHROMOTOGRAPHY,,,22.27,40.52,14
CPT,83026,HEMOGLOBIN COPPER SULFATE,,,2.91,5.01,15
CPT,83030,HEMOGLOBIN F FETAL CHEMICAL,,,10.2,13.43,15
CPT,83033,HC HEMOGLOBIN FETAL QL,167.8,83.9,8.16,151.02,70
CPT,83033,HEMOGLOBIN FTL F ASSAY QUAL,,,7.35,7.5,9
CPT,83036,HC GLYCOSYLATED HEMOGLOBIN A1C,273.4,136.7,9.9,246.06,70
CPT,83036,HEMOGLOBIN GLYCOSYLATED A1C,,,9.31,18.06,18
CPT,83037,HB GLYCOSYLATED A1C HOME DEV,,,9.9,12.14,5
CPT,83045,HGB METHEMOGLOBIN QUAL,,,6.12,8.11,15
CPT,83050,"HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN",67.5,33.75,2.66,60.75,70
CPT,83050,HGB METHEMOGLOBIN QUAN,,,9.03,9.21,9
CPT,83051,HC ASSAY OF PLASMA HEMOGLOBIN,219.4,109.7,5.12,197.46,70
CPT,83051,HEMOGLOBIN PLASMA,,,9.01,9.19,9
CPT,83060,HGB SULFHEMOGLOBIN QUAN,,,4.27,11.0,15
CPT,83065,HEMOGLOBIN THERMOLABILE,,,3.58,11.25,15
CPT,83068,HC HEMOGLOBIN STABILITY SCREEN,170.55,85.28,4.27,153.5,70
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,,,3.55,3.62,9
CPT,83069,HEMOGLOBIN URINE,,,4.03,5.85,15
CPT,83070,ASSAY OF HEMOSIDERIN QUAL,,,0.68,5.94,15
CPT,83080,ASSAY OF B HEXOSAMINIDASE EA,,,17.21,21.23,14
CPT,83088,ASSAY OF HISTAMINE,,,36.42,37.15,9
CPT,83088,HC ASSAY OF HISTAMINE,99.9,49.95,21.79,89.91,70
CPT,83090,ASSAY OF HOMOCYSTEINE,,,20.81,37.85,14
CPT,83090,HC ASSAY OF HOMOCYSTINE,405.9,202.95,18.28,365.31,70
CPT,83150,ASSAY OF HOMOVANILLIC ACID,,,23.87,24.35,9
CPT,83150,HC ASSAY OF FOR HVA HOMOVANILLIC ACID,538.1,269.05,22.86,484.29,70
CPT,83491,ASY HYDROXYCORTICOSTEROIDS17,,,18.26,23.39,15
CPT,83497,ASSAY OF 5-HIAA,,,15.9,16.22,9
CPT,83497,HC ASSAY OF 5-HIAA QUANT,289.15,144.58,13.16,260.24,70
CPT,83498,ASY HYDROXYPROGESTERONE 17-D,,,33.49,34.16,9
CPT,83498,HC ASSAY OF PROGESTERONE 17-HYDROXYPROGESTERONE,347.2,173.6,27.71,312.48,70
CPT,83500,ASSAY FREE HYDROXYPROLINE,,,23.1,33.58,15
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,,,24.79,36.04,15
CPT,83516,HC ALPHA DEFENSINS SF,247.2,123.6,11.76,222.48,70
CPT,83516,HC AUTOANTIBODY TEST,247.2,123.6,11.76,222.48,70
CPT,83516,HC CELIAC IMMUNOASSAY MULT METH,247.2,123.6,11.76,222.48,70
CPT,83516,HC GLOMERULAR BASE MEMBRANE ANTIBODY,247.2,123.6,11.76,222.48,70
CPT,83516,HC IBD IMMUNOASSAY MULT METHODS,247.2,123.6,11.76,222.48,70
CPT,83516,HC IMMUNO QL/SQ MLT,247.2,123.6,11.76,222.48,70
CPT,83516,HC IMMUNOASSAY NONANTIBODY ANTI-PARIETAL CELL ANTIBODY,247.2,123.6,11.76,222.48,70
CPT,83516,HC IMMUNOASSAY NONANTIBODY ANTI-SMOOTH MUSCLE ANTIBODY,259.5,129.75,11.76,233.55,70
CPT,83516,HC IMMUNOASSAY NONANTIBODY GLIADIN ANTIBODY,267.6,133.8,11.76,240.84,70
CPT,83516,HC IMMUNOASSAY NONANTIBODY MITOCHONDRIAL ANTIBODIES M2,247.2,123.6,11.76,222.48,70
CPT,83516,HC IMMUNOASSAY NONANTIBODY TISSUE TRANSGLUTAMINASE,267.6,133.8,11.76,240.84,70
CPT,83516,HC MYOS IMMUNOASSAY NONANTIBODY,247.2,123.6,11.76,222.48,70
CPT,83516,HC PHOSPHOLIPASE A2 ANTIBODY,322.3,161.15,11.76,290.07,70
CPT,83516,HC SOLUBLE LIVER ANTIGEN IGG AB,247.2,123.6,11.76,222.48,70
CPT,83516,HC TYSABRI ANTIBODY,730.55,365.28,11.76,657.5,70
CPT,83516,IMMUNOASSAY NONANTIBODY,,,14.13,14.41,9
CPT,83518,IMMUNOASSAY DIPSTICK,,,9.43,12.57,15
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,572.7,286.35,18.77,515.43,70
CPT,83519,RIA NONANTIBODY,,,16.66,16.99,9
CPT,83520,HC ANTI PROTEINASE 3 (PR-3) ANTIBODY,405.25,202.63,17.62,364.73,70
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS NON-AB,405.25,202.63,17.62,364.73,70
CPT,83520,IMMUNOASSAY QUANT NOS NONAB,,,15.97,16.29,9
CPT,83521,HC IG LIGHT CHAINS FREE EACH,253.05,126.53,17.62,227.75,69
CPT,83521,IG LIGHT CHAINS FREE EACH,,,17.27,34.89,7
CPT,83525,ASSAY OF INSULIN,,,14.1,14.38,9
CPT,83525,HC ASSAY OF INSULIN TOTAL,233.0,116.5,11.66,209.7,70
CPT,83527,ASSAY OF INSULIN,,,15.61,15.92,9
CPT,83527,HC ASSAY OF INSULIN FREE,141.15,70.58,13.21,127.04,70
CPT,83528,ASSAY OF INTRINSIC FACTOR,,,19.61,24.78,15
CPT,83529,HC ASAY OF INTERLEUKIN-6 (IL-6),382.3,191.15,17.62,344.07,69
CPT,83540,ASSAY OF IRON,,,7.99,8.83,10
CPT,83540,HC ASSAY OF IRON,171.85,85.93,6.6,154.67,70
CPT,83550,HC IRON BINDING TEST,241.2,120.6,8.91,217.08,70
CPT,83550,IRON BINDING TEST,,,10.78,11.0,9
CPT,83570,ASSAY OF IDH ENZYME,,,9.03,13.11,15
CPT,83582,ASSAY OF KETOGENIC STEROIDS,,,15.78,21.01,15
CPT,83586,ASSAY 17- KETOSTEROIDS,,,13.06,18.99,15
CPT,83593,FRACTIONATION KETOSTEROIDS,,,29.07,38.99,15
CPT,83605,ASSAY OF LACTIC ACID,,,13.17,13.43,9
CPT,83605,HC ASSAY OF LACTIC ACID,193.05,96.53,11.8,173.75,70
CPT,83615,HC LACTATE DEHYDROGENASE LDH,101.1,50.55,6.16,90.99,70
CPT,83615,LACTATE (LD) (LDH) ENZYME,,,6.12,13.55,17
CPT,83625,ASSAY OF LDH ENZYMES,,,11.48,11.71,9
CPT,83625,HC ASSAY OF LACTATE DEHYDROGENASE LDH ISOENZYMES,100.7,50.35,8.82,90.63,70
CPT,83630,HC LACTOFERRIN FECAL QUAL,319.35,159.68,20.09,287.42,69
CPT,83630,LACTOFERRIN FECAL (QUAL),,,25.3,25.81,9
CPT,83631,HC LACTOFERRIN FECAL QUANTITATIVE,240.5,120.25,20.02,216.45,69
CPT,83632,PLACENTAL LACTOGEN,,,20.62,29.97,15
CPT,83633,TEST URINE FOR LACTOSE,,,6.79,14.06,15
CPT,83655,ASSAY OF LEAD,,,14.93,19.99,13
CPT,83655,HC ASSAY OF LEAD,159.85,79.93,12.35,143.87,70
CPT,83661,L/S RATIO FETAL LUNG,,,22.43,32.59,15
CPT,83662,FOAM STABILITY FETAL LUNG,,,19.29,28.05,15
CPT,83663,FLUORO POLARIZE FETAL LUNG,,,19.29,28.05,15
CPT,83664,LAMELLAR BDY FETAL LUNG,,,19.71,24.15,15
CPT,83670,ASSAY OF LAP ENZYME,,,10.01,13.59,15
CPT,83690,ASSAY OF LIPASE,,,8.49,37.55,17
CPT,83690,HC ASSAY OF LIPASE,281.25,140.63,7.03,253.13,70
CPT,83695,ASSAY OF LIPOPROTEIN(A),,,15.97,16.29,9
CPT,83695,HC ASSAY OF LIPOPROTEIN A,213.05,106.53,14.61,191.75,70
CPT,83698,ASSAY LIPOPROTEIN PLA2,,,47.24,57.89,5
CPT,83700,LIPOPRO BLD ELECTROPHORETIC,,,11.49,16.69,15
CPT,83701,LIPOPROTEIN BLD HR FRACTION,,,30.61,42.33,15
CPT,83704,HC LIPOPROTEIN BLOOD BY NMR SPECT,195.05,97.53,34.87,175.55,70
CPT,83704,LIPOPROTEIN BLD QUAN PART,,,33.64,34.31,9
CPT,83718,ASSAY OF LIPOPROTEIN,,,10.1,13.52,12
CPT,83718,HC ASSAY OF BLOOD LIPOPROTEIN HDL CHOLEST,205.0,102.5,8.35,184.5,70
CPT,83719,ASSAY OF BLOOD LIPOPROTEIN,,,12.43,15.94,15
CPT,83721,ASSAY OF BLOOD LIPOPROTEIN,,,11.77,15.74,10
CPT,83721,HC ASSAY OF BLOOD LIPOPROTEIN LDL CHOLEST,291.5,145.75,10.71,262.35,70
CPT,83722,LIPOPRTN DIR MEAS SD LDL CHL,,,34.87,42.74,5
CPT,83727,ASSAY OF LRH HORMONE,,,17.53,24.01,15
CPT,83735,ASSAY OF MAGNESIUM,,,6.43,15.03,20
CPT,83735,HC ASSAY OF MAGNESIUM,146.0,73.0,6.83,131.4,70
CPT,83775,ASSAY MALATE DEHYDROGENASE,,,7.52,10.93,15
CPT,83785,ASSAY OF MANGANESE,,,30.33,30.94,9
CPT,83785,HC ASSAY OF MANGANESE,139.15,69.58,26.6,125.24,70
CPT,83789,HC MASS SPECTROMETRY AND TANDEM ANALYSIS,228.1,114.05,24.59,205.29,69
CPT,83789,MASS SPECTROMETRY QUAL/QUAN,,,22.27,22.72,9
CPT,83825,ASSAY OF MERCURY,,,20.06,20.46,9
CPT,83825,HC ASSAY OF MERCURY,410.4,205.2,16.59,369.36,70
CPT,83835,ASSAY OF METANEPHRINES,,,20.89,21.31,9
CPT,83835,HC ASSAY OF METANEPHRINES,528.45,264.23,17.28,475.61,70
CPT,83857,ASSAY OF METHEMALBUMIN,,,10.95,14.21,15
CPT,83861,MICROFLUID ANALY TEARS,,,20.62,28.1,15
CPT,83864,HC MUCOPOLYSACCHARIDES QUANTITATIVE,1183.75,591.88,26.11,1065.38,70
CPT,83864,MUCOPOLYSACCHARIDES,,,24.56,25.05,9
CPT,83872,ASSAY SYNOVIAL FLUID MUCIN,,,5.98,8.69,15
CPT,83873,ASSAY OF CSF PROTEIN,,,21.22,21.64,9
CPT,83873,HC MYELIN BASIC PROTEIN CSF,318.8,159.4,17.54,286.92,70
CPT,83874,ASSAY OF MYOGLOBIN,,,15.93,16.25,9
CPT,83874,HC ASSAY OF MYOGLOBIN,200.15,100.08,13.18,180.14,70
CPT,83876,ASSAY MYELOPEROXIDASE,,,16.69,63.58,15
CPT,83880,ASSAY OF NATRIURETIC PEPTIDE,,,41.87,56.05,10
CPT,83880,HC NATRIURETIC PEPTIDE B-TYPE (BNP),266.6,133.3,40.05,239.94,70
CPT,83883,ASSAY NEPHELOMETRY NOT SPEC,,,16.77,17.11,9
CPT,83883,HC NEPHELOMETRY NOT SPECIFIED EA ANALYTE,268.25,134.13,13.87,241.43,70
CPT,83884,HC ASSAY NEUROFILAMENT LIGHT CHAIN,1044.75,522.38,227.86,940.28,64
CPT,83885,ASSAY OF NICKEL,,,30.22,30.82,9
CPT,83885,HC ASSAY OF NICKEL,232.9,116.45,25.0,209.61,70
CPT,83915,ASSAY OF NUCLEOTIDASE,,,13.75,14.03,9
CPT,83915,HC NUCLEOTIDASE 5,185.75,92.88,11.37,167.18,70
CPT,83916,HC OLIGOCLONAL IMMUNOGLOBULIN BANDS,234.25,117.13,27.94,210.83,70
CPT,83916,OLIGOCLONAL BANDS,,,24.79,25.29,9
CPT,83918,HC ASSAY ORGANIC ACIDS QUANTITATIVE,1182.9,591.45,22.21,1064.61,70
CPT,83918,ORGANIC ACIDS TOTAL QUANT,,,20.3,20.71,9
CPT,83919,HC ASSAY ORGANIC ACIDS QUALITATIVE,598.25,299.13,16.78,538.43,70
CPT,83919,ORGANIC ACIDS QUAL EACH,,,20.3,20.71,9
CPT,83921,HC ASSAY SING ORGANIC ACID QN METHYLMALONIC ACID SERUM,396.1,198.05,21.63,356.49,70
CPT,83921,ORGANIC ACID SINGLE QUANT,,,20.3,20.71,9
CPT,83930,ASSAY OF BLOOD OSMOLALITY,,,8.16,8.32,9
CPT,83930,HC ASSAY OF BLOOD OSMOLALITY,159.45,79.73,6.74,143.51,70
CPT,83935,ASSAY OF URINE OSMOLALITY,,,8.4,8.57,9
CPT,83935,HC ASSAY OF URINE OSMOLALITY,124.2,62.1,6.96,111.78,70
CPT,83937,ASSAY OF OSTEOCALCIN,,,30.45,44.25,15
CPT,83945,ASSAY OF OXALATE,,,15.88,16.2,9
CPT,83945,HC ASSAY OF OXALATE,248.1,124.05,14.74,223.29,70
CPT,83950,ONCOPROTEIN HER-2/NEU,,,65.7,88.35,15
CPT,83951,HC ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP,350.5,175.25,65.7,315.45,70
CPT,83951,ONCOPROTEIN DCP,,,83.01,84.67,9
CPT,83970,ASSAY OF PARATHORMONE,,,50.91,92.64,15
CPT,83970,HC ASSAY OF PARATHORMONE PTH INTACT,412.35,206.18,42.11,371.12,70
CPT,83986,ASSAY PH BODY FLUID NOS,,,4.41,5.91,10
CPT,83986,HC PH BODY FLUID OR STOOL NOS,92.15,46.08,3.65,82.94,70
CPT,83987,EXHALED BREATH CONDENSATE,,,3.65,23.54,6
CPT,83992,HC ASSAY FOR PHENCYCLIDINE PCP,201.25,100.63,43.89,181.13,64
CPT,83992,HC DS PHENCYCLIDINE PCP MS RFX,50.75,25.38,11.07,45.68,64
CPT,83993,ASSAY FOR CALPROTECTIN FECAL,,,24.2,24.68,9
CPT,83993,HC CALPROTECTIN,647.3,323.65,20.02,582.57,70
CPT,84030,ASSAY OF BLOOD PKU,,,6.79,6.93,9
CPT,84030,HC ASSAY OF BLOOD PKU PHENYLALANINE,180.2,90.1,5.61,162.18,70
CPT,84035,ASSAY OF PHENYLKETONES,,,4.06,5.43,15
CPT,84060,ASSAY ACID PHOSPHATASE,,,9.11,9.29,9
CPT,84060,HC ASSAY PHOSPHATASE ACID TOTAL,262.65,131.33,7.79,236.39,70
CPT,84066,ASSAY PROSTATE PHOSPHATASE,,,9.85,13.39,15
CPT,84075,ASSAY ALKALINE PHOSPHATASE,,,6.38,8.54,10
CPT,84075,HC ASSAY ALKALINE PHOSPHATASE,132.1,66.05,5.28,118.89,70
CPT,84078,ASSAY ALKALINE PHOSPHATASE,,,8.0,10.33,15
CPT,84080,ASSAY ALKALINE PHOSPHATASES,,,18.24,18.6,9
CPT,84080,HC ASSAY ALKALINE PHOSPHATASE ISOENZYMES,215.95,107.98,15.08,194.36,70
CPT,84081,ASSAY PHOSPHATIDYLGLYCEROL,,,16.85,24.5,15
CPT,84085,ASSAY OF RBC PG6D ENZYME,,,8.31,11.8,15
CPT,84087,ASSAY PHOSPHOHEXOSE ENZYMES,,,10.94,15.31,15
CPT,84100,ASSAY OF PHOSPHORUS,,,4.81,10.65,18
CPT,84100,HC ASSAY OF INORGANIC PHOSPHORUS,106.65,53.33,4.83,95.99,70
CPT,84105,ASSAY OF URINE PHOSPHORUS,,,6.38,11.68,11
CPT,84105,HC ASSAY OF URINE PHOSPHORUS,91.1,45.55,5.9,81.99,70
CPT,84106,TEST FOR PORPHOBILINOGEN,,,5.29,7.28,15
CPT,84110,ASSAY OF PORPHOBILINOGEN,,,10.42,10.63,9
CPT,84110,HC PORPHOBILINOGEN URINE QN,199.1,99.55,5.37,179.19,70
CPT,84112,EVAL AMNIOTIC FLUID PROTEIN,,,80.01,81.61,9
CPT,84112,HC CERVICOVAGINAL AMNIOTIC FLUID PROTEIN QUAL EA,267.7,133.85,58.39,240.93,70
CPT,84119,TEST URINE FOR PORPHYRINS,,,10.62,16.7,15
CPT,84120,ASSAY OF URINE PORPHYRINS,,,18.14,18.5,9
CPT,84120,HC PORPHYRINS URINE QN FRACTION,236.45,118.23,15.0,212.81,70
CPT,84126,ASSAY OF FECES PORPHYRINS,,,31.42,48.89,15
CPT,84132,ASSAY OF SERUM POTASSIUM,,,5.66,7.59,10
CPT,84132,HC ASSAY OF SERUM POTASSIUM,78.6,39.3,4.86,70.74,70
CPT,84133,ASSAY OF URINE POTASSIUM,,,5.31,8.8,12
CPT,84133,HC ASSAY OF URINE POTASSIUM,100.2,50.1,4.82,90.18,70
CPT,84134,ASSAY OF PREALBUMIN,,,17.99,27.14,12
CPT,84134,HC ASSAY OF PREALBUMIN,192.2,96.1,14.88,172.98,70
CPT,84135,ASSAY OF PREGNANEDIOL,,,21.7,26.59,15
CPT,84138,ASSAY OF PREGNANETRIOL,,,19.94,26.31,15
CPT,84140,ASSAY OF PREGNENOLONE,,,24.69,25.18,9
CPT,84140,HC ASSAY OF PREGNENOLONE,355.0,177.5,21.08,319.5,70
CPT,84143,ASSAY OF 17-HYDROXYPREGNENO,,,28.15,28.71,9
CPT,84143,HC ASSAY OF 17-HYDROXYPREGNENOLONE,467.65,233.83,23.27,420.89,70
CPT,84144,ASSAY OF PROGESTERONE,,,25.73,46.82,17
CPT,84144,HC ASSAY OF PROGESTERONE,386.05,193.03,21.28,347.45,70
CPT,84145,HC PROCALCITONIN,565.45,282.73,27.76,508.91,70
CPT,84145,PROCALCITONIN (PCT),,,24.5,24.99,9
CPT,84146,ASSAY OF PROLACTIN,,,23.9,43.49,16
CPT,84146,HC ASSAY OF PROLACTIN,461.15,230.58,19.77,415.04,70
CPT,84150,ASSAY OF PROSTAGLANDIN,,,5.37,52.21,15
CPT,84152,ASSAY OF PSA COMPLEXED,,,18.76,27.27,15
CPT,84153,ASSAY OF PSA TOTAL,,,22.69,100.28,18
CPT,84153,HC PROSTATE SPECIFIC ANTIGEN TOTAL,207.7,103.85,18.76,186.93,70
CPT,84154,ASSAY OF PSA FREE,,,22.69,41.29,15
CPT,84154,HC PROSTATE SPECIFIC AG PSA FREE,198.4,99.2,18.76,178.56,70
CPT,84155,ASSAY OF PROTEIN SERUM,,,4.52,6.05,10
CPT,84155,HC PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,171.85,85.93,3.74,154.67,70
CPT,84156,ASSAY OF PROTEIN URINE,,,4.52,8.22,16
CPT,84156,HC PROTEIN TOT XCPT REFRACTOMETRY URINE,171.85,85.93,3.74,154.67,70
CPT,84157,ASSAY OF PROTEIN OTHER,,,4.52,4.61,9
CPT,84157,HC PROTEIN TOTAL BODY FLUID,137.35,68.68,4.08,123.62,70
CPT,84160,ASSAY OF PROTEIN ANY SOURCE,,,5.37,7.01,15
CPT,84163,"HC PREG ASSOC PLAS PRO-A(PAPP-A), SERUM",81.9,40.95,15.35,73.71,69
CPT,84163,PAPPA SERUM,,,10.79,11.01,9
CPT,84165,HC PROTEIN ELECTROPHORESIS SERUM,333.55,166.78,10.95,300.2,70
CPT,84165,PROTEIN E-PHORESIS SERUM,,,13.19,20.85,23
CPT,84166,HC PROTEIN ELECTROPHORESIS OTHER FLUIDS,336.35,168.18,18.19,302.72,70
CPT,84166,PROTEIN E-PHORESIS/URINE/CSF,,,14.74,37.99,27
CPT,84181,HC CREUTZFELDT JACOB TEST,557.05,278.53,17.37,501.35,70
CPT,84181,HC RYR AUTOANTIBODY TEST,557.05,278.53,17.37,501.35,70
CPT,84181,WESTERN BLOT TEST,,,14.5,20.85,23
CPT,84182,HC PROTEIN WESTERN BLOT TEST W BAND ID,537.35,268.68,28.45,483.62,70
CPT,84182,PROTEIN WESTERN BLOT TEST,,,14.5,20.85,23
CPT,84202,ASSAY RBC PROTOPORPHYRIN,,,17.7,18.05,9
CPT,84202,HC ASSAY RBC PROTOPORPHYRIN,156.2,78.1,14.64,140.58,70
CPT,84203,TEST RBC PROTOPORPHYRIN,,,9.93,12.18,15
CPT,84206,ASSAY OF PROINSULIN,,,21.97,22.41,9
CPT,84206,HC ASSAY OF PROINSULIN,475.65,237.83,26.42,428.09,70
CPT,84207,ASSAY OF VITAMIN B-6,,,34.65,35.34,9
CPT,84207,HC ASSAY OF VITAMIN B-6,503.8,251.9,28.66,453.42,70
CPT,84210,ASSAY OF PYRUVATE,,,13.39,13.66,9
CPT,84210,HC ASSAY OF PYRUVATE,334.45,167.23,13.39,301.01,70
CPT,84220,ASSAY OF PYRUVATE KINASE,,,11.63,11.86,9
CPT,84220,HC ASSAY OF PYRUVATE KINASE,340.65,170.33,9.63,306.59,70
CPT,84228,ASSAY OF QUININE,,,11.86,17.24,15
CPT,84233,ASSAY OF ESTROGEN,,,79.43,109.85,15
CPT,84234,ASSAY OF PROGESTERONE,,,66.18,86.28,15
CPT,84235,ASSAY OF ENDOCRINE HORMONE,,,64.54,89.04,15
CPT,84238,ASSAY NONENDOCRINE RECEPTOR,,,45.1,46.0,9
CPT,84238,HC ASSAY NON-ENDOCRINE RECEPTOR ACETYLCHOLINE,552.05,276.03,37.3,496.85,70
CPT,84244,ASSAY OF RENIN,,,27.12,27.66,9
CPT,84244,HC ASSAY OF RENIN,193.2,96.6,22.43,173.88,70
CPT,84252,ASSAY OF VITAMIN B-2,,,24.96,25.46,9
CPT,84252,HC ASSAY OF VITAMIN B-2 RIBOFLAVIN,295.05,147.53,4.4,265.55,70
CPT,84255,ASSAY OF SELENIUM,,,31.49,32.12,9
CPT,84255,HC ASSAY OF SELENIUM,340.65,170.33,26.04,306.59,70
CPT,84260,ASSAY OF SEROTONIN,,,20.09,20.49,9
CPT,84260,HC ASSAY OF SEROTONIN,620.6,310.3,31.6,558.54,70
CPT,84270,ASSAY OF SEX HORMONE GLOBUL,,,26.8,27.34,9
CPT,84270,HC ASSAY OF SEX HORMONE BINDING GLOBULIN,305.85,152.93,22.16,275.27,70
CPT,84275,ASSAY OF SIALIC ACID,,,13.71,19.92,15
CPT,84285,ASSAY OF SILICA,,,25.71,34.91,15
CPT,84295,ASSAY OF SERUM SODIUM,,,5.94,6.06,9
CPT,84295,HC ASSAY OF SERUM SODIUM,84.85,42.43,4.91,76.37,70
CPT,84300,ASSAY OF URINE SODIUM,,,5.99,6.11,9
CPT,84300,HC ASSAY OF URINE SODIUM,94.6,47.3,5.16,85.14,70
CPT,84302,ASSAY OF SWEAT SODIUM,,,5.99,6.11,9
CPT,84302,HC ASSAY OF SODIUM OTHER SOURCE,104.8,52.4,4.96,94.32,70
CPT,84305,ASSAY OF SOMATOMEDIN,,,17.1,17.44,9
CPT,84305,HC ASSAY OF SOMATOMEDIN INSULIN LIKE GROWTH FACTOR,399.65,199.83,21.69,359.69,70
CPT,84307,ASSAY OF SOMATOSTATIN,,,17.1,17.44,9
CPT,84307,HC ASSAY OF SOMATOSTATIN,99.45,49.73,18.65,89.51,70
CPT,84311,HC BODY FLUID CHOL W SOURCE,234.6,117.3,8.26,211.14,70
CPT,84311,HC SPECTROPHOTOMETRY,234.6,117.3,8.26,211.14,70
CPT,84311,HC SPECTROPHOTOMETRY PORPHYRIN,236.85,118.43,8.26,213.17,70
CPT,84311,SPECTROPHOTOMETRY,,,8.62,8.79,9
CPT,84315,BODY FLUID SPECIFIC GRAVITY,,,3.09,3.15,9
CPT,84315,HC BODY FLUID SPECIFIC GRAVITY,43.1,21.55,3.35,38.79,70
CPT,84375,CHROMATOGRAM ASSAY SUGARS,,,8.54,48.75,15
CPT,84376,HC SUGARS SINGLE QUALITATIVE,57.55,28.78,5.61,51.8,70
CPT,84376,SUGARS SINGLE QUAL,,,6.79,6.93,9
CPT,84377,SUGARS MULTIPLE QUAL,,,5.61,8.15,15
CPT,84378,HC SUGARS SINGLE QUANTITATIVE,77.1,38.55,11.76,69.39,70
CPT,84378,SUGARS SINGLE QUANT,,,14.21,14.49,9
CPT,84379,SUGARS MULTIPLE QUANT,,,11.76,17.09,15
CPT,84392,ASSAY OF URINE SULFATE,,,5.86,5.98,9
CPT,84392,HC ASSAY OF URINE SULFATE,190.25,95.13,5.6,171.23,70
CPT,84393,HC TAU PHOSPHORYLATED EA,1210.0,605.0,263.9,1089.0,64
CPT,84394,HC TOTAL TAU,1210.0,605.0,263.9,1089.0,64
CPT,84402,ASSAY OF FREE TESTOSTERONE,,,31.4,32.03,9
CPT,84402,HC ASSAY OF TESTOSTERONE TOTAL FREE,294.9,147.45,25.98,265.41,70
CPT,84403,ASSAY OF TOTAL TESTOSTERONE,,,26.19,140.71,20
CPT,84403,HC ASSAY OF TOTAL TESTOSTERONE,370.4,185.2,26.33,333.36,70
CPT,84410,HC TESTOSTERONE BIOAVAIL,407.25,203.63,52.31,366.53,70
CPT,84410,TESTOSTERONE BIOAVAILABLE,,,31.85,32.49,9
CPT,84425,ASSAY OF VITAMIN B-1,,,26.19,26.71,9
CPT,84425,HC ASSAY OF VITAMIN B-1,364.4,182.2,21.65,327.96,70
CPT,84430,ASSAY OF THIOCYANATE,,,7.11,14.54,15
CPT,84431,THROMBOXANE URINE,,,16.39,43.89,15
CPT,84432,ASSAY OF THYROGLOBULIN,,,19.81,20.21,9
CPT,84432,HC ASSAY OF THYROGLOBULIN,279.95,139.98,13.31,251.96,70
CPT,84433,HC ASSAY THIOPURINE S-METHYLTRANSFERASE TPMT,120.65,60.33,22.61,108.59,69
CPT,84436,ASSAY OF TOTAL THYROXINE,,,7.11,15.41,15
CPT,84436,HC ASSAY OF TOTAL THYROXINE T4,231.35,115.68,7.01,208.22,70
CPT,84437,ASSAY OF NEONATAL THYROXINE,,,6.6,11.77,24
CPT,84439,ASSAY OF FREE THYROXINE,,,8.66,49.15,22
CPT,84439,HC ASSAY OF FREE THYROXINE T4,301.85,150.93,9.11,271.67,70
CPT,84442,ASSAY OF THYROID ACTIVITY,,,18.24,18.6,9
CPT,84442,HC ASSAY OF THYROXINE BINDING GLOBULIN,252.85,126.43,15.08,227.57,70
CPT,84443,ASSAY THYROID STIM HORMONE,,,20.1,31.25,17
CPT,84443,HC ASSAY THYROID STIMULATING HORMONE,373.95,186.98,17.14,336.56,70
CPT,84445,ASSAY OF TSI GLOBULIN,,,62.72,63.97,9
CPT,84445,HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI),581.65,290.83,35.54,523.49,70
CPT,84446,ASSAY OF VITAMIN E,,,17.49,17.84,9
CPT,84446,HC ASSAY OF VITAMIN E,132.45,66.23,14.46,119.21,70
CPT,84449,ASSAY OF TRANSCORTIN,,,22.2,22.64,9
CPT,84449,HC AH ASSAY TRANSCORTIN CORTISOL BINDING GLOBULIN,103.3,51.65,18.36,92.97,70
CPT,84450,HC TRANSFERASE ASPARTATE AMINO AST SGOT,86.8,43.4,5.28,78.12,70
CPT,84450,TRANSFERASE (AST) (SGOT),,,6.37,8.54,10
CPT,84460,ALANINE AMINO (ALT) (SGPT),,,6.53,8.73,10
CPT,84460,HC TRANSFERASE ALANINE AMINO ALT SGPT,89.35,44.68,5.41,80.42,70
CPT,84466,ASSAY OF TRANSFERRIN,,,12.95,28.64,19
CPT,84466,HC ASSAY OF TRANSFERRIN,177.75,88.88,13.02,159.98,70
CPT,84478,ASSAY OF TRIGLYCERIDES,,,7.1,9.49,12
CPT,84478,HC ASSAY OF TRIGLYCERIDES,150.95,75.48,5.85,135.86,70
CPT,84479,ASSAY OF THYROID (T3 OR T4),,,7.35,7.5,9
CPT,84479,HC THYROID HORM UPTAKE THYR HORM BINDING RATIO T3 UPTAKE,232.5,116.25,6.6,209.25,70
CPT,84480,ASSAY TRIIODOTHYRONINE (T3),,,17.49,31.82,16
CPT,84480,HC TRIIODOTHYRONINE TOTAL ASSAY T3,199.55,99.78,14.46,179.6,70
CPT,84481,FREE ASSAY (FT-3),,,20.89,38.02,16
CPT,84481,HC TRIIODOTHYRONINE FREE ASSAY T3 FREE,255.7,127.85,17.28,230.13,70
CPT,84482,HC TRIIODOTHYRONINE T3 REVERSE,257.75,128.88,16.08,231.98,70
CPT,84482,T3 REVERSE,,,19.44,19.83,9
CPT,84484,ASSAY OF TROPONIN QUANT,,,9.99,23.19,15
CPT,84484,HC ASSAY OF TROPONIN QUANT,408.35,204.18,12.72,367.52,70
CPT,84485,ASSAY DUODENAL FLUID TRYPSIN,,,7.34,11.13,15
CPT,84488,TEST FECES FOR TRYPSIN,,,7.45,9.18,15
CPT,84490,ASSAY OF FECES FOR TRYPSIN,,,8.83,12.41,15
CPT,84510,ASSAY OF TYROSINE,,,8.83,13.29,15
CPT,84512,ASSAY OF TROPONIN QUAL,,,7.67,12.61,15
CPT,84520,ASSAY OF UREA NITROGEN,,,4.86,6.52,10
CPT,84520,HC ASSAY UREA NITROGEN QUAN,92.45,46.23,4.03,83.21,70
CPT,84525,UREA NITROGEN SEMI-QUANT,,,3.58,6.41,15
CPT,84540,ASSAY OF URINE/UREA-N,,,5.86,5.98,9
CPT,84540,HC ASSAY URINE UREA NITROGEN,114.2,57.1,5.67,102.78,70
CPT,84545,HC UREA NITROGEN CLEARANCE TEST,98.85,49.43,7.34,88.97,70
CPT,84545,UREA-N CLEARANCE TEST,,,7.11,7.25,9
CPT,84550,ASSAY OF BLOOD/URIC ACID,,,5.57,7.46,11
CPT,84550,HC ASSAY OF URIC ACID,121.7,60.85,4.61,109.53,70
CPT,84560,ASSAY OF URINE/URIC ACID,,,5.86,5.98,9
CPT,84560,HC ASSAY OF URIC ACID OTHER SOURCE,105.5,52.75,5.18,94.95,70
CPT,84577,ASSAY OF FECES/UROBILINOGEN,,,15.38,21.0,15
CPT,84578,TEST URINE UROBILINOGEN,,,2.89,5.59,15
CPT,84580,ASSAY OF URINE UROBILINOGEN,,,8.76,11.94,15
CPT,84583,ASSAY OF URINE UROBILINOGEN,,,6.17,7.56,15
CPT,84585,ASSAY OF URINE VMA,,,19.12,19.5,9
CPT,84585,HC ASSAY OF URINE VMA,284.65,142.33,15.81,256.19,70
CPT,84586,ASSAY OF VIP,,,19.71,20.1,9
CPT,84586,HC ASSAY OF VASOACTIVE INTESTINAL PEPTIDE (VIP),600.55,300.28,22.1,540.5,70
CPT,84588,ASSAY OF VASOPRESSIN,,,41.87,42.71,9
CPT,84588,HC ASSAY OF ARGININE VASOPRESSIN HORMONE,480.65,240.33,34.62,432.59,70
CPT,84590,ASSAY OF VITAMIN A,,,14.3,14.59,9
CPT,84590,HC ASSAY OF VITAMIN A,224.25,112.13,11.84,201.83,70
CPT,84591,HC ASSAY OF NOS VITAMIN,339.65,169.83,16.68,305.69,70
CPT,84597,ASSAY OF VITAMIN K,,,16.91,17.25,9
CPT,84597,HC ASSAY OF VITAMIN K,788.2,394.1,13.99,709.38,70
CPT,84600,ASSAY OF VOLATILES,,,17.17,17.51,9
CPT,84600,HC ASSAY OF VOLATILE COMPOUNDS,200.6,100.3,17.45,180.54,70
CPT,84620,XYLOSE TOLERANCE TEST,,,13.17,17.56,15
CPT,84630,ASSAY OF ZINC,,,14.05,14.33,9
CPT,84630,HC ASSAY OF ZINC,185.75,92.88,8.44,167.18,70
CPT,84681,ASSAY OF C-PEPTIDE,,,19.59,19.98,9
CPT,84681,HC ASSAY OF C-PEPTIDE,334.9,167.45,21.23,301.41,70
CPT,84702,CHORIONIC GONADOTROPIN TEST,,,10.79,11.01,9
CPT,84702,HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD,305.3,152.65,15.09,274.77,70
CPT,84703,CHORIONIC GONADOTROPIN ASSAY,,,9.26,12.4,10
CPT,84703,HC CHORIONIC GONADOTROPIN HCG QUALITATIVE,266.5,133.25,7.67,239.85,70
CPT,84704,HCG FREE BETACHAIN TEST,,,10.79,19.11,15
CPT,84830,OVULATION TESTS,,,12.95,15.88,5
CPT,84999,HC CLINICAL CHEMISTRY TEST OSMOLALITY STOOL,83.2,41.6,18.15,74.88,65
CPT,84999,HC CLINICAL CHEMISTRY TEST POTASSIUM STOOL,107.5,53.75,20.14,96.75,65
CPT,85002,BLEEDING TIME TEST,,,5.55,5.66,9
CPT,85002,HC BLEEDING TIME TEST,275.75,137.88,4.92,248.18,70
CPT,85004,AUTOMATED DIFF WBC COUNT,,,6.6,8.83,15
CPT,85007,BL SMEAR W/DIFF WBC COUNT,,,3.87,7.72,18
CPT,85007,HC BLOOD SMEAR MICRO EXAM MANUAL DIFF WBC MANUAL DIFF,123.75,61.88,3.88,111.38,70
CPT,85008,BL SMEAR W/O DIFF WBC COUNT,,,4.25,4.34,9
CPT,85008,HC BLOOD SMEAR W/O DIFFERENTIAL,97.65,48.83,3.5,87.89,70
CPT,85009,MANUAL DIFF WBC COUNT B-COAT,,,4.58,6.34,15
CPT,85013,SPUN MICROHEMATOCRIT,,,2.92,8.75,17
CPT,85014,HC HEMATOCRIT,137.55,68.78,2.42,123.8,70
CPT,85014,HEMATOCRIT,,,2.92,2.98,9
CPT,85018,HC HEMOGLOBIN,96.65,48.33,2.42,86.99,70
CPT,85018,HEMOGLOBIN,,,2.92,4.41,14
CPT,85025,COMPLETE CBC W/AUTO DIFF WBC,,,8.29,17.43,24
CPT,85025,HC COMPLETE CBC AUTO DIFF WBC,270.95,135.48,7.93,243.86,70
CPT,85027,COMPLETE CBC AUTOMATED,,,6.9,35.31,22
CPT,85027,HC COMPLETE CBC,132.85,66.43,6.6,119.57,70
CPT,85032,MANUAL CELL COUNT EACH,,,4.4,6.37,15
CPT,85041,AUTOMATED RBC COUNT,,,3.71,3.78,9
CPT,85041,HC RED BLOOD CELL RBC COUNT,102.65,51.33,3.08,92.39,70
CPT,85044,HC BLOOD COUNT RETICULOCYTE MAN,203.65,101.83,4.4,183.29,70
CPT,85044,MANUAL RETICULOCYTE COUNT,,,5.31,5.42,9
CPT,85045,AUTOMATED RETICULOCYTE COUNT,,,4.94,8.97,14
CPT,85045,HC RETICULOCYTE COUNT AUTO,139.7,69.85,4.07,125.73,70
CPT,85046,RETICYTE/HGB CONCENTRATE,,,5.68,8.27,15
CPT,85048,AUTOMATED LEUKOCYTE COUNT,,,3.13,4.72,12
CPT,85048,HC LEUKOCYTE WHITE BLOOD CELL COUNT,92.6,46.3,2.59,83.34,70
CPT,85049,AUTOMATED PLATELET COUNT,,,5.04,6.27,13
CPT,85049,HC BLOOD PLATELET COUNT,88.0,44.0,4.57,79.2,70
CPT,85055,HC RETICULATED PLATELET ASSAY,178.7,89.35,36.45,160.83,70
CPT,85055,RETICULATED PLATELET ASSAY,,,33.02,33.68,9
CPT,85060,BLOOD SMEAR INTERPRETATION,,,13.09,44.38,29
CPT,85097,BONE MARROW INTERPRETATION,,,29.48,971.19,29
CPT,85130,CHROMOGENIC SUBSTRATE ASSAY,,,14.67,14.96,9
CPT,85130,HC HEPARIN COFACTOR 2,382.05,191.03,10.7,343.85,70
CPT,85170,BLOOD CLOT RETRACTION,,,4.46,20.38,15
CPT,85175,BLOOD CLOT LYSIS TIME,,,5.61,25.46,15
CPT,85210,CLOT FACTOR II PROTHROM SPEC,,,16.01,16.33,9
CPT,85210,HC CLOT FACTOR II PROTHROM SPEC,543.15,271.58,10.37,488.84,70
CPT,85220,BLOOC CLOT FACTOR V TEST,,,21.77,22.21,9
CPT,85220,HC BLOOC CLOT FACTOR V ACTIVITY TEST,664.7,332.35,17.79,598.23,70
CPT,85230,CLOT FACTOR VII PROCONVERTIN,,,22.09,22.53,9
CPT,85230,HC CLOT FACTOR VII PROCONVERTIN,616.1,308.05,17.79,554.49,70
CPT,85240,CLOT FACTOR VIII AHG 1 STAGE,,,22.09,22.53,9
CPT,85240,HC CLOT FACTOR VIII AHG,603.1,301.55,17.79,542.79,70
CPT,85244,CLOT FACTOR VIII RELTD ANTGN,,,17.79,25.68,15
CPT,85245,CLOT FACTOR VIII VW RISTOCTN,,,28.29,28.86,9
CPT,85245,HC CLOT FACTOR VIII VW RISTOCETIN,638.6,319.3,12.43,574.74,70
CPT,85246,CLOT FACTOR VIII VW ANTIGEN,,,28.29,28.86,9
CPT,85246,HC CLOT FACTOR VIII VON WILLEBRAND ANTIGEN,624.65,312.33,12.43,562.19,70
CPT,85247,CLOT FACTOR VIII MULTIMETRIC,,,28.29,28.86,9
CPT,85247,HC FACTOR VIII VW MULTIMETRIC,802.8,401.4,12.43,722.52,70
CPT,85250,CLOT FACTOR IX PTC/CHRSTMAS,,,23.48,23.95,9
CPT,85250,HC CLOT FACTOR IX PTC CHRSTMAS FACTOR 9 ACTIVITY,701.8,350.9,17.79,631.62,70
CPT,85260,CLOT FACTOR X STUART-POWER,,,22.09,22.53,9
CPT,85260,HC CLOT FACTOR X STUART-POWER,497.15,248.58,17.79,447.44,70
CPT,85270,CLOT FACTOR XI PTA,,,22.09,22.53,9
CPT,85270,HC CLOT FACTOR XI PTA,676.6,338.3,17.79,608.94,70
CPT,85280,CLOT FACTOR XII HAGEMAN,,,23.87,24.35,9
CPT,85280,HC CLOT FACTOR XII HAGEMAN ACTIVITY,517.2,258.6,17.79,465.48,70
CPT,85290,CLOT FACTOR XIII FIBRIN STAB,,,20.16,20.56,9
CPT,85290,HC CLOT FACTOR XIII FIBRIN STABILIZING,568.3,284.15,16.67,511.47,70
CPT,85291,CLOT FACTOR XIII FIBRIN SCRN,,,10.96,11.18,9
CPT,85291,HC FACTOR XIII CLOT SOLUBILITY,568.3,284.15,9.29,511.47,70
CPT,85292,CLOT FACTOR FLETCHER FACT,,,19.31,28.08,15
CPT,85293,CLOT FACTOR WGHT KININOGEN,,,19.31,28.08,15
CPT,85300,ANTITHROMBIN III ACTIVITY,,,14.61,14.9,9
CPT,85300,"HC ANTITHROMBIN III TEST,ACTIV - ANTITHROMBIN III",612.95,306.48,12.09,551.66,70
CPT,85301,ANTITHROMBIN III ANTIGEN,,,13.34,13.61,9
CPT,85301,HC ANTITHROMBIN III TEST ANTIGEN,157.9,78.95,11.03,142.11,70
CPT,85302,CLOT INHIBIT PROT C ANTIGEN,,,14.83,15.13,9
CPT,85302,HC PROTEIN C ANTIGEN,156.6,78.3,12.25,140.94,70
CPT,85303,CLOT INHIBIT PROT C ACTIVITY,,,17.05,17.39,9
CPT,85303,HC PROTEIN C ACTIVITY,564.85,282.43,14.12,508.37,70
CPT,85305,CLOT INHIBIT PROT S TOTAL,,,14.3,14.59,9
CPT,85305,HC PROTEIN S ANTIGEN,634.55,317.28,11.84,571.1,70
CPT,85306,CLOT INHIBIT PROT S FREE,,,17.62,17.97,9
CPT,85306,HC CLOT INHIB PROTEIN S FREE,475.2,237.6,15.63,427.68,70
CPT,85307,ASSAY ACTIVATED PROTEIN C,,,17.62,17.97,9
CPT,85307,HC ACTIVATED PROTEING C RESISTNCE ASSAY,564.85,282.43,15.63,508.37,70
CPT,85335,FACTOR INHIBITOR TEST,,,15.88,16.2,9
CPT,85335,HC FACTOR INHIBITOR TEST BETHESDA INHIBITOR,418.85,209.43,13.13,376.97,70
CPT,85337,THROMBOMODULIN,,,12.85,21.59,15
CPT,85345,COAGULATION TIME LEE & WHITE,,,4.78,6.37,15
CPT,85347,COAGULATION TIME ACTIVATED,,,5.25,5.36,9
CPT,85347,HC COAGULATION TIME ACTIVATED,184.9,92.45,3.58,166.41,70
CPT,85348,COAGULATION TIME OTR METHOD,,,3.58,5.61,15
CPT,85360,EUGLOBULIN LYSIS,,,8.58,12.45,15
CPT,85362,FIBRIN DEGRADATION PRODUCTS,,,8.49,8.66,9
CPT,85362,HC FIBRIN DEGRAD PRODUCTS AGGLUTINATION,277.9,138.95,7.03,250.11,70
CPT,85366,FIBRINOGEN TEST,,,6.19,100.58,6
CPT,85370,FIBRINOGEN TEST,,,11.36,16.82,15
CPT,85378,FIBRIN DEGRADE SEMIQUANT,,,7.08,12.15,15
CPT,85379,FIBRIN DEGRADATION QUANT,,,11.36,18.93,12
CPT,85379,HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE,289.0,144.5,10.38,260.1,70
CPT,85380,FIBRIN DEGRADJ D-DIMER,,,10.38,15.08,15
CPT,85384,FIBRINOGEN ACTIVITY,,,10.48,10.69,9
CPT,85384,HC FIBRINOGEN ACTIVITY,164.75,82.38,9.91,148.28,70
CPT,85385,FIBRINOGEN ANTIGEN,,,10.48,10.69,9
CPT,85385,HC FIBRINOGEN ANTIGEN,220.3,110.15,11.62,198.27,70
CPT,85390,FIBRINOLYSINS SCREEN I&R,,,6.37,41.73,23
CPT,85390,HC FIBRINOLYSINS SCREEN INTERP & REPORT,182.65,91.33,8.17,164.39,70
CPT,85396,CLOTTING ASSAY WHOLE BLOOD,,,15.32,37.04,20
CPT,85397,CLOTTING FUNCT ACTIVITY,,,29.58,30.17,9
CPT,85397,HC CLOTTING FUNCTION ACTIVITY NOS,590.6,295.3,12.43,531.54,70
CPT,85400,FIBRINOLYTIC PLASMIN,,,7.86,12.43,15
CPT,85410,FIBRINOLYTIC ANTIPLASMIN,,,6.19,9.7,15
CPT,85415,FIBRINOLYTIC PLASMINOGEN,,,21.2,21.62,9
CPT,85415,HC PLASMINOGEN ACTIVATOR INHIBITOR,416.4,208.2,17.53,374.76,70
CPT,85420,FIBRINOLYTIC PLASMINOGEN,,,8.06,8.22,9
CPT,85420,HC PLASMINOGEN ACTIVITY,302.2,151.1,6.66,271.98,70
CPT,85421,FIBRINOLYTIC PLASMINOGEN,,,10.38,15.1,15
CPT,85441,HC HEINZ BODIES DIRECT STAIN,86.3,43.15,4.28,77.67,70
CPT,85441,HEINZ BODIES DIRECT,,,5.19,5.29,9
CPT,85445,HEINZ BODIES INDUCED,,,6.96,10.1,15
CPT,85460,HC HEMOGLOBIN FETAL KLEIHAUER BETKE STAIN,336.6,168.3,3.47,302.94,70
CPT,85460,HEMOGLOBIN FETAL,,,9.29,9.48,9
CPT,85461,HC HEMOGLOBIN FETAL ROSETTE,336.6,168.3,9.55,302.94,70
CPT,85461,HEMOGLOBIN FETAL,,,8.18,8.34,9
CPT,85475,HEMOLYSIN ACID,,,8.83,11.09,15
CPT,85520,HC HEPARIN ASSAY,314.4,157.2,13.35,282.96,70
CPT,85520,HEPARIN ASSAY,,,16.14,16.46,9
CPT,85525,HEPARIN NEUTRALIZATION,,,12.08,17.56,15
CPT,85530,HC HEPARIN PROTAMINE TOLERANCE POCT,75.5,37.75,13.35,67.95,70
CPT,85530,HEPARIN-PROTAMINE TOLERANCE,,,17.49,17.84,9
CPT,85536,IRON STAIN PERIPHERAL BLOOD,,,7.02,9.59,15
CPT,85540,HC WBC LEUKOCYTE ALKALINE PHOSPHATASE,195.15,97.58,8.54,175.64,70
CPT,85540,WBC ALKALINE PHOSPHATASE,,,10.61,10.82,9
CPT,85547,RBC MECHANICAL FRAGILITY,,,5.05,10.75,15
CPT,85549,HC MURAMIDASE LYSOZYME,309.55,154.78,19.13,278.6,70
CPT,85549,MURAMIDASE,,,23.13,23.59,9
CPT,85555,HC RBC OSMOTIC FRAGILITY,381.35,190.68,7.62,343.22,70
CPT,85555,RBC OSMOTIC FRAGILITY,,,8.25,8.42,9
CPT,85557,RBC OSMOTIC FRAGILITY,,,13.63,19.8,15
CPT,85576,BLOOD PLATELET AGGREGATION,,,15.02,27.02,23
CPT,85576,HC BLOOD PLATELET AGGREGATION,316.1,158.05,23.67,284.49,70
CPT,85597,PHOSPHOLIPID PLTLT NEUTRALIZ,,,6.89,22.61,15
CPT,85598,HC HEXAGONAL PHA PHOSPHOLIPID LA RFL,218.0,109.0,7.65,196.2,70
CPT,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,,,22.33,22.78,9
CPT,85610,HC PROTHROMBIN TIME,135.4,67.7,4.38,121.86,70
CPT,85610,PROTHROMBIN TIME,,,4.85,6.49,14
CPT,85611,HC PROTHROMBIN TEST SUBSTITUTION,67.6,33.8,4.02,60.84,70
CPT,85611,PROTHROMBIN TEST,,,4.86,4.96,9
CPT,85612,VIPER VENOM PROTHROMBIN TIME,,,11.8,21.86,15
CPT,85613,HC RUSSELL VIPER VENOM DILUTED DRVVT,146.05,73.03,9.77,131.45,70
CPT,85613,RUSSELL VIPER VENOM DILUTED,,,11.8,12.04,9
CPT,85635,REPTILASE TEST,,,10.05,14.59,15
CPT,85651,HC RBC SEDIMENTATION RATE MANUAL,178.75,89.38,4.36,160.88,70
CPT,85651,RBC SED RATE NONAUTOMATED,,,4.23,8.63,18
CPT,85652,HC RBC SEDIMENTATION RATE AUTOMATED,178.75,89.38,2.75,160.88,70
CPT,85652,RBC SED RATE AUTOMATED,,,3.33,6.06,15
CPT,85660,HC RBC SICKLE CELL TEST,125.1,62.55,5.62,112.59,70
CPT,85660,RBC SICKLE CELL TEST,,,6.81,6.95,9
CPT,85670,HC THROMBIN TIME PLASMA,149.4,74.7,5.89,134.46,70
CPT,85670,THROMBIN TIME PLASMA,,,7.12,7.26,9
CPT,85675,THROMBIN TIME TITER,,,6.99,8.83,15
CPT,85705,HC THROMBOPLASTIN INHIBITION LUPUS ANTICOAGULANT,73.9,36.95,9.82,66.51,70
CPT,85705,THROMBOPLASTIN INHIBITION,,,11.87,12.11,9
CPT,85730,HC THROMBOPLAS TIME PARTIAL,139.7,69.85,6.13,125.73,70
CPT,85730,THROMBOPLASTIN TIME PARTIAL,,,7.4,8.42,10
CPT,85732,HC THROMBOPLAS TIME PART PLASMA FRAC,113.85,56.93,6.6,102.47,70
CPT,85732,THROMBOPLASTIN TIME PARTIAL,,,7.98,8.14,9
CPT,85810,BLOOD VISCOSITY EXAMINATION,,,12.5,12.75,9
CPT,85810,HC BLOOD VISCOSITY EXAMINATION,145.35,72.68,11.9,130.82,70
CPT,85999,HC EOSINOPHIL COUNT URINE,76.7,38.35,16.73,69.03,65
CPT,85999,HC RBC PIT COUNT,955.0,477.5,20.14,859.5,65
CPT,86000,AGGLUTININS FEBRILE ANTIGEN,,,7.12,10.35,15
CPT,86001,ALLERGEN SPECIFIC IGG,,,6.44,6.57,9
CPT,86001,HC ALLERGEN SPEC IGG QUANT EACH,29.2,14.6,6.37,26.28,70
CPT,86003,ALLG SPEC IGE CRUDE XTRC EA,,,6.44,6.57,9
CPT,86003,HC ALLERGEN TESTING SPEC IGE,112.7,56.35,5.32,101.43,70
CPT,86005,ALLG SPEC IGE MULTIALLG SCR,,,5.28,10.04,15
CPT,86008,ALLG SPEC IGE RECOMB EA,,,6.44,6.57,9
CPT,86008,HC ALLERGEN TESTING,112.7,56.35,18.29,101.43,70
CPT,86015,HC ACTIN ANTIBODY EACH,233.2,116.6,12.29,209.88,69
CPT,86021,HC WBC ANTIBODY IDENTIFICATION ANTI-NEUTROPHIL,365.05,182.53,8.83,328.55,70
CPT,86021,WBC ANTIBODY IDENTIFICATION,,,18.57,18.94,9
CPT,86022,HC PLATELET ANTIBODIES,349.2,174.6,8.74,314.28,70
CPT,86022,PLATELET ANTIBODIES,,,22.65,23.1,9
CPT,86023,HC PLATELET ASSOCIATED IMMUNOGLOBULIN ASSAY,148.3,74.15,12.71,133.47,70
CPT,86023,IMMUNOGLOBULIN ASSAY,,,15.36,15.67,9
CPT,86036,HC ANCA SCREEN EACH ANTIBODY,233.2,116.6,12.29,209.88,69
CPT,86037,HC ANCA TITER EACH ANTIBODY,233.2,116.6,12.29,209.88,69
CPT,86038,ANTINUCLEAR ANTIBODIES,,,14.91,15.21,9
CPT,86038,HC ANTINUCLEAR ANTIBODIES ANA,397.2,198.6,12.33,357.48,70
CPT,86039,ANTINUCLEAR ANTIBODIES (ANA),,,13.77,14.05,9
CPT,86039,HC ANTINUCLEAR ANTIBODIES TITER,60.75,30.38,11.38,54.68,70
CPT,86041,HC ACETYLCHOLN RCPTR BINDING ANTB ACHR,256.0,128.0,18.77,230.4,69
CPT,86042,HC ACETYLCHOLN RCPTR BLOCKING ANTB ACHR,256.0,128.0,18.77,230.4,69
CPT,86043,HC ACETYLCHOLN RCPTR MODULATING ANTB ACHR,303.2,151.6,12.29,272.88,69
CPT,86051,HC AQUAPORIN-4 ANTB ELISA,431.95,215.98,11.76,388.76,69
CPT,86052,HC AQUAPORIN-4 ANTB CELL-BASED ASSAY EACH,604.5,302.25,12.29,544.05,69
CPT,86053,HC AQAPRN-4 ANTB FLO CYTMTRY EA,826.6,413.3,38.48,743.94,69
CPT,86060,ANTISTREPTOLYSIN O TITER,,,9.0,9.18,9
CPT,86060,HC ANTISTREPTOLYSIN O ASO TITER,88.8,44.4,7.45,79.92,70
CPT,86063,ANTISTREPTOLYSIN O SCREEN,,,5.89,7.26,15
CPT,86077,PHYS BLOOD BANK SERV XMATCH,,,23.76,55.93,28
CPT,86078,HC TRANSFUSION REACTION,273.8,136.9,59.72,246.42,69
CPT,86078,PHYS BLOOD BANK SERV REACTJ,,,29.14,56.3,23
CPT,86079,PHYS BLOOD BANK SERV AUTHRJ,,,28.96,63.52,28
CPT,86140,C-REACTIVE PROTEIN,,,6.38,6.51,9
CPT,86140,HC C-REACTIVE PROTEIN CRP,262.2,131.1,5.28,235.98,70
CPT,86141,C-REACTIVE PROTEIN HS,,,15.97,16.29,9
CPT,86141,HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY,262.2,131.1,13.21,235.98,70
CPT,86146,BETA-2 GLYCOPROTEIN ANTIBODY,,,17.9,18.26,9
CPT,86146,HC BETA 2 GLYCOPROTEIN I ANTIBODY,239.65,119.83,25.96,215.69,70
CPT,86147,CARDIOLIPIN ANTIBODY EA IG,,,17.9,18.26,9
CPT,86147,HC CARDIOLIPIN ANTIBODY,278.0,139.0,25.96,250.2,70
CPT,86148,ANTI-PHOSPHOLIPID ANTIBODY,,,16.39,23.82,15
CPT,86152,CELL ENUMERATION & ID,,,255.8,313.48,5
CPT,86153,CELL ENUMERATION PHYS INTERP,,,30.84,38.55,6
CPT,86155,CHEMOTAXIS ASSAY,,,16.31,23.69,15
CPT,86156,COLD AGGLUTININ SCREEN,,,7.92,10.09,15
CPT,86157,COLD AGGLUTININ TITER,,,7.92,8.08,9
CPT,86157,HC COLD AGGLUTININ TITER,657.55,328.78,8.22,591.8,70
CPT,86160,COMPLEMENT ANTIGEN,,,14.81,15.11,9
CPT,86160,HC COMPLEMENT ANTIGEN C COMPLEMENT,289.25,144.63,12.24,260.33,70
CPT,86161,COMPLEMENT/FUNCTION ACTIVITY,,,14.81,15.11,9
CPT,86161,HC COMPLEMENT FUNCTION ACTIVITY C1 ESTERASE,284.3,142.15,12.24,255.87,70
CPT,86162,COMPLEMENT TOTAL (CH50),,,25.06,25.56,9
CPT,86162,HC COMPLEMENT CH50 TOTAL,387.05,193.53,20.73,348.35,70
CPT,86171,COMPLEMENT FIXATION EACH,,,10.21,12.61,15
CPT,86200,CCP ANTIBODY,,,15.97,16.29,9
CPT,86200,HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY,186.2,93.1,13.21,167.58,70
CPT,86215,DEOXYRIBONUCLEASE ANTIBODY,,,16.33,16.66,9
CPT,86215,HC DEOXYRIBONUCLEASE ANTIBODY,207.6,103.8,13.52,186.84,70
CPT,86225,DNA ANTIBODY NATIVE,,,16.95,17.29,9
CPT,86225,HC DNA ANTIBODY DOUBLE STRANDED,239.0,119.5,14.01,215.1,70
CPT,86226,DNA ANTIBODY SINGLE STRAND,,,14.94,15.24,9
CPT,86226,HC DNA ANTIBODY SINGLE STRAND,374.7,187.35,12.35,337.23,70
CPT,86231,HC ENDOMYSIAL ANITBODY (EMA) EACH IG CLASS,431.95,215.98,10.84,388.76,70
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY,194.55,97.28,18.29,175.1,70
CPT,86235,NUCLEAR ANTIGEN ANTIBODY,,,22.12,22.56,9
CPT,86255,FLUORESCENT ANTIBODY SCREEN,,,14.86,20.85,23
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN,457.95,228.98,12.29,412.16,70
CPT,86256,FLUORESCENT ANTIBODY TITER,,,14.86,20.85,23
CPT,86256,HC FLUORESCENT ANTIBODY TITER,247.3,123.65,12.29,222.57,70
CPT,86258,HC GLIADIN (DEAMIDATED)DGP ANTIBODY EACH IG CLASS,233.2,116.6,10.81,209.88,70
CPT,86277,GROWTH HORMONE ANTIBODY,,,16.05,22.21,15
CPT,86280,HEMAGGLUTINATION INHIBITION,,,4.0,10.3,15
CPT,86294,IMMUNOASSAY TUMOR QUAL,,,24.19,31.96,14
CPT,86300,HC IMMUNOASSAY TUMOR ANTIGEN CA 15-3 27-29,343.9,171.95,21.23,309.51,70
CPT,86300,IMMUNOASSAY TUMOR CA 15-3,,,25.66,26.17,9
CPT,86301,HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9,375.7,187.85,21.23,338.13,70
CPT,86301,IMMUNOASSAY TUMOR CA 19-9,,,25.66,26.17,9
CPT,86304,HC IMMUNOASSAY TUMOR ANTIGEN CA 125,366.7,183.35,21.23,330.03,70
CPT,86304,IMMUNOASSAY TUMOR CA 125,,,25.66,26.17,9
CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4,366.65,183.33,21.23,329.99,70
CPT,86308,HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS,264.3,132.15,5.28,237.87,70
CPT,86308,HETEROPHILE ANTIBODY SCREEN,,,6.38,8.54,14
CPT,86309,HETEROPHILE ANTIBODY TITER,,,6.6,9.59,15
CPT,86310,HETEROPHILE ANTIBODY ABSRBJ,,,7.52,10.93,15
CPT,86316,HC IMMUNOASSAY TUMOR ANTIGEN OTHER QUANT,295.75,147.88,21.23,266.18,70
CPT,86316,IMMUNOASSAY TUMOR OTHER,,,25.66,26.17,9
CPT,86317,HC HAEMOPHILUS INFLUENZA ANTIBODY,308.0,154.0,15.29,277.2,70
CPT,86317,HC HEPATITIS B SURFACE AB QUANT,116.85,58.43,15.29,105.17,70
CPT,86317,HC IMMUNO INFECTIOUS AGT ANTIBODY QNT,287.0,143.5,15.29,258.3,70
CPT,86317,HC PNEUMOCOCCAL ANTIBODY TYPE,19.25,9.63,4.2,22.22,70
CPT,86317,HC STREP PNEUMONIAE ANTIBODY QUANT,287.0,143.5,15.29,258.3,70
CPT,86317,IMMUNOASSAY INFECTIOUS AGENT,,,17.9,18.26,9
CPT,86318,IA INFECTIOUS AGENT ANTIBODY,,,15.97,22.61,17
CPT,86320,HC IMMUNOELECTROPHORESIS SERUM,155.05,77.53,30.52,139.55,70
CPT,86320,SERUM IMMUNOELECTROPHORESIS,,,15.02,28.2,23
CPT,86325,OTHER IMMUNOELECTROPHORESIS,,,14.74,35.35,29
CPT,86327,APC,,,30.52,37.4,5
CPT,86327,Lab,,,33.64,33.64,1
CPT,86327,Physician Fee Schedule,,,17.29,28.54,18
CPT,86328,IA NFCT AB SARSCOV2 COVID19,,,45.23,56.6,15
CPT,86329,IMMUNODIFFUSION NES,,,14.33,18.07,15
CPT,86331,HC IMMUNODIFFUSION OUCHTERLONY,116.5,58.25,12.22,104.85,70
CPT,86331,IMMUNODIFFUSION OUCHTERLONY,,,14.0,14.28,9
CPT,86332,HC IMMUNE COMPLEX ASSAY,126.3,63.15,24.86,113.67,70
CPT,86332,IMMUNE COMPLEX ASSAY,,,30.06,30.66,9
CPT,86334,HC IMMUNOFIX ELECTRO SERUM,254.6,127.3,22.79,229.14,70
CPT,86334,IMMUNOFIX E-PHORESIS SERUM,,,15.02,28.1,23
CPT,86335,HC IMMUNFIXATION ELECTROPHORESIS,258.6,129.3,12.16,232.74,70
CPT,86335,IMMUNFIX E-PHORSIS/URINE/CSF,,,14.74,36.91,23
CPT,86336,HC INHIBIN A,207.55,103.78,15.9,186.8,70
CPT,86336,INHIBIN A,,,15.59,15.9,9
CPT,86337,HC INSULIN ANTIBODIES,413.75,206.88,21.84,372.38,70
CPT,86337,INSULIN ANTIBODIES,,,26.41,26.94,9
CPT,86340,HC INTRINSIC FACTOR ANTIBODY,238.5,119.25,15.38,214.65,70
CPT,86340,INTRINSIC FACTOR ANTIBODY,,,18.59,18.96,9
CPT,86341,HC ISLET CELL ANTIBODY,275.1,137.55,22.78,247.59,70
CPT,86341,ISLET CELL ANTIBODY,,,16.57,16.9,9
CPT,86343,LEUKOCYTE HISTAMINE RELEASE,,,12.71,18.48,6
CPT,86344,LEUKOCYTE PHAGOCYTOSIS,,,9.86,12.99,15
CPT,86352,HC CELLULAR FUNCTION ASSAY STIMUL DETECT BIOMARKER,428.2,214.1,93.39,385.38,70
CPT,86353,HC LYMPHOCYTE TRANSFORMATION CULTURE PRIMED,543.75,271.88,50.01,489.38,70
CPT,86353,LYMPHOCYTE TRANSFORMATION,,,60.46,61.67,9
CPT,86355,B CELLS TOTAL COUNT,,,46.52,47.45,9
CPT,86355,HC B CELLS TOTAL COUNT,150.85,75.43,32.9,135.77,70
CPT,86356,HC MONONUCLEAR CELL AG QUANT NO,181.7,90.85,27.32,163.53,70
CPT,86356,MONONUCLEAR CELL ANTIGEN,,,33.02,33.68,9
CPT,86357,HC NATURAL KILLER CELLS TOTAL COUNT,243.4,121.7,38.48,219.06,70
CPT,86357,NK CELLS TOTAL COUNT,,,46.52,47.45,9
CPT,86359,HC T CELLS TOTAL COUNT,238.5,119.25,38.48,214.65,70
CPT,86359,T CELLS TOTAL COUNT,,,46.52,47.45,9
CPT,86360,HC T CELL ABSOLUTE COUNT RATIO CD4 CD8,344.75,172.38,47.92,310.28,70
CPT,86360,T CELL ABSOLUTE COUNT/RATIO,,,57.95,59.11,9
CPT,86361,T CELL ABSOLUTE COUNT,,,27.32,39.69,15
CPT,86362,HC MOG-IGG1 ANTB CELL-BASED ASSAY EACH,65.55,32.78,12.29,59.0,69
CPT,86363,HC MOG-IGG1 ANTB FLO CYTMTRY EA,431.95,215.98,38.48,388.76,69
CPT,86364,HC TISS TRANSGLUTAMINASE EA IG CLAS,233.2,116.6,10.34,209.88,70
CPT,86366,HC MUSCLE-SPECIFIC KINASE ANTB,2332.15,1166.08,18.77,2098.94,69
CPT,86367,HC STEM CELLS TOTAL COUNT,216.05,108.03,47.12,194.45,70
CPT,86367,STEM CELLS TOTAL COUNT,,,46.52,47.45,9
CPT,86376,HC MICROSOMAL ANTIBODY,245.0,122.5,14.84,220.5,70
CPT,86376,MICROSOMAL ANTIBODY EACH,,,17.09,17.43,9
CPT,86381,HC MITOCHONDRIAL ANTIBODY EACH,233.2,116.6,25.96,209.88,69
CPT,86382,HC NEUTRALIZATION TEST VIRAL,213.0,106.5,11.57,191.7,70
CPT,86382,NEUTRALIZATION TEST VIRAL,,,20.85,21.27,9
CPT,86384,NITROBLUE TETRAZOLIUM DYE,,,13.88,17.01,15
CPT,86386,NUCLEAR MATRIX PROTEIN 22,,,22.22,27.23,5
CPT,86403,HC PARTICLE AGGLUTINATION TEST SCREEN,188.55,94.28,11.77,169.7,70
CPT,86403,PARTICLE AGGLUT ANTBDY SCRN,,,12.57,12.82,9
CPT,86406,PARTICLE AGGLUT ANTBDY TITR,,,10.85,15.78,15
CPT,86408,NEUTRLZG ANTB SARSCOV2 SCR,,,42.13,61.67,23
CPT,86409,NEUTRLZG ANTB SARSCOV2 TITER,,,79.61,116.53,23
CPT,86413,SARS-COV-2 ANTB QUANTITATIVE,,,52.46,75.28,14
CPT,86430,RHEUMATOID FACTOR TEST QUAL,,,6.26,8.42,15
CPT,86431,HC RHEUMATOID FACTOR QUANT,138.6,69.3,5.78,124.74,70
CPT,86431,RHEUMATOID FACTOR QUANT,,,7.0,7.14,9
CPT,86480,HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON,249.55,124.78,54.43,224.6,70
CPT,86480,TB TEST CELL IMMUN MEASURE,,,76.44,115.28,11
CPT,86481,HC TB SPOT,518.25,259.13,102.0,466.43,70
CPT,86481,TB AG RESPONSE T-CELL SUSP,,,76.99,78.53,9
CPT,86485,SKIN TEST CANDIDA,,,6.14,118.6,15
CPT,86486,SKIN TEST UNLISTED ANTIGN EA,,,3.74,29.12,20
CPT,86490,Lab,,,17.72,17.72,1
CPT,86490,Physician Fee Schedule,,,5.14,5.24,9
CPT,86510,HISTOPLASMOSIS SKIN TEST,,,5.14,46.66,20
CPT,86580,HC TB INTRADERMAL SKIN TEST,32.5,16.25,7.09,29.25,70
CPT,86580,TB INTRADERMAL TEST,,,5.42,18.45,24
CPT,86580,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,533.95,266.98,13.22,1806.93,497
CPT,86581,HC STRPTCS PNEUM ANTB SEROT IA,1936.5,968.25,422.35,1742.85,64
CPT,86590,STREPTOKINASE ANTIBODY,,,12.91,16.36,15
CPT,86592,HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL,136.45,68.23,4.36,122.81,70
CPT,86592,SYPHILIS TEST NON-TREP QUAL,,,4.55,6.0,12
CPT,86593,HC SYPHILIS TEST QUANTITATIVE,45.0,22.5,4.49,40.5,70
CPT,86593,SYPHILIS TEST NON-TREP QUANT,,,5.44,5.55,9
CPT,86596,HC VOLTAGE-GTD CA CHNL ANTB EA,540.3,270.15,12.29,486.27,69
CPT,86602,ANTINOMYCES ANTIBODY,,,12.55,12.8,9
CPT,86602,HC ANTINOMYCES ANTIBODY,140.85,70.43,10.38,126.77,70
CPT,86603,ADENOVIRUS ANTIBODY,,,13.13,19.08,15
CPT,86606,ASPERGILLUS ANTIBODY,,,15.72,16.03,9
CPT,86606,HC ASPERGILLUS ANTIBODY,188.5,94.25,15.35,169.65,70
CPT,86609,BACTERIUM ANTIBODY,,,15.72,16.03,9
CPT,86609,HC BACTERIUM ANTIBODY,122.9,61.45,13.14,110.61,70
CPT,86611,BARTONELLA ANTIBODY,,,12.55,12.8,9
CPT,86611,HC BARTONELLA ANTIBODY,159.8,79.9,10.38,143.82,70
CPT,86612,BLASTOMYCES ANTIBODY,,,15.72,16.03,9
CPT,86612,HC BLASTOMYCES ANTIBODY,247.2,123.6,13.16,222.48,70
CPT,86615,BORDETELLA ANTIBODY,,,16.27,16.6,9
CPT,86615,HC BORDETELLA PERTUSSIS ANTIBODY,87.65,43.83,13.45,78.89,70
CPT,86617,HC LYME DISEASE ANTIBODY CONFIRMATORY WB,285.95,142.98,15.8,257.36,70
CPT,86617,LYME DISEASE ANTIBODY,,,14.6,14.89,9
CPT,86618,HC LYME DISEASE ANTIBODY,294.4,147.2,17.37,264.96,70
CPT,86618,LYME DISEASE ANTIBODY,,,17.9,18.26,9
CPT,86619,BORRELIA ANTIBODY,,,13.65,19.84,15
CPT,86622,BRUCELLA ANTIBODY,,,9.29,9.48,9
CPT,86622,HC BRUCELLA SPECIES ANTIBODY,73.2,36.6,9.11,65.88,70
CPT,86625,CAMPYLOBACTER ANTIBODY,,,9.29,9.48,9
CPT,86625,HC CAMPYLOBACTER JEJUNI ANTIBODY,349.0,174.5,13.38,314.1,70
CPT,86628,CANDIDA ANTIBODY,,,12.25,17.8,15
CPT,86631,CHLAMYDIA ANTIBODY,,,14.58,14.87,9
CPT,86631,HC CHLAMYDIA ANTIBODY,120.3,60.15,12.06,108.27,70
CPT,86632,CHLAMYDIA IGM ANTIBODY,,,15.66,15.97,9
CPT,86632,HC CHLAMYDIA IGM ANTIBODY,101.75,50.88,12.93,91.58,70
CPT,86635,COCCIDIOIDES ANTIBODY,,,14.15,14.43,9
CPT,86635,HC COCCIDIOIDES ANTIBODIES,175.55,87.78,11.7,158.0,70
CPT,86638,HC Q FEVER ANTIBODY,139.35,69.68,12.36,125.42,70
CPT,86638,Q FEVER ANTIBODY,,,14.96,15.26,9
CPT,86641,CRYPTOCOCCUS ANTIBODY,,,17.78,18.14,9
CPT,86641,HC CRYPTOCOCCUS ANTIBODY,226.55,113.28,14.7,203.9,70
CPT,86644,CMV ANTIBODY,,,17.72,18.07,9
CPT,86644,HC CMV ANTIBODY IGG,254.0,127.0,14.68,228.6,70
CPT,86645,CMV ANTIBODY IGM,,,17.9,18.26,9
CPT,86645,HC CMV ANTIBODY IGM,238.4,119.2,17.19,214.56,70
CPT,86648,DIPHTHERIA ANTIBODY,,,17.9,18.26,9
CPT,86648,HC DIPHTHERIA ANTIBODY,429.55,214.78,15.51,386.6,70
CPT,86651,ENCEPHALITIS CALIFORN ANTBDY,,,16.27,16.6,9
CPT,86651,HC ENCEPHALITIS CALIFORNIA ANTIBODY IGG IGM,77.7,38.85,13.45,69.93,70
CPT,86652,ENCEPHALTIS EAST EQNE ANBDY,,,16.27,16.6,9
CPT,86652,HC ENCEPHALTIS EAST EQUINE ANTIBODY IGG IGM,97.45,48.73,13.45,87.71,70
CPT,86653,ENCEPHALTIS ST LOUIS ANTBODY,,,16.27,16.6,9
CPT,86653,HC ENCEPHALTIS ST LOUIS ANTBODY IGG IGM,111.5,55.75,13.45,100.35,70
CPT,86654,ENCEPHALTIS WEST EQNE ANTBDY,,,16.27,16.6,9
CPT,86654,HC ENCEPHALTIS WEST EQUINE ANTIBDY ENCEPHALITIS ANTI,111.5,55.75,13.45,100.35,70
CPT,86658,ENTEROVIRUS ANTIBODY,,,15.72,16.03,9
CPT,86658,HC ENTEROVIRUS ANTIBODY,138.0,69.0,13.29,124.2,70
CPT,86663,EPSTEIN-BARR ANTIBODY,,,16.18,16.5,9
CPT,86663,HC EPSTEIN BARR VIRUS EBV EARLY ANTIBODY IGG,218.65,109.33,13.38,196.79,70
CPT,86664,EPSTEIN-BARR NUCLEAR ANTIGEN,,,17.9,18.26,9
CPT,86664,HC EPSTEIN BARR NUCLEAR ANTIGEN,211.35,105.68,15.6,190.22,70
CPT,86665,EPSTEIN-BARR CAPSID VCA,,,20.04,20.44,9
CPT,86665,HC EPSTEIN-BARR CAPSID VCA ANTIBODY,320.6,160.3,18.5,288.54,70
CPT,86666,EHRLICHIA ANTIBODY,,,12.55,12.8,9
CPT,86666,HC EHRLICHIA CHAFFEENSIS ANTIBODY,323.4,161.7,10.38,291.06,70
CPT,86668,FRANCISELLA TULARENSIS,,,12.82,13.08,9
CPT,86668,HC FRANCISELLA TULARENSIS ANTIBODY,113.95,56.98,14.44,102.56,70
CPT,86671,FUNGUS NES ANTIBODY,,,15.12,15.42,9
CPT,86671,HC FUNGUS ANTIBODY SACCHAROMYCES,220.55,110.28,12.5,198.5,70
CPT,86671,HC FUNGUS NOT ELSEWHERE SPECIFIED,151.3,75.65,12.5,136.17,70
CPT,86671,HC IBD ANTIBODY FUNGUS NES,76.45,38.23,12.5,68.81,70
CPT,86674,GIARDIA LAMBLIA ANTIBODY,,,17.9,18.26,9
CPT,86674,HC GIARDIA LAMBLIA ANTIBODY,207.5,103.75,15.01,186.75,70
CPT,86677,HC HELICOBACTER PYLORI IGG IGA,258.55,129.28,17.19,232.7,70
CPT,86677,HELICOBACTER PYLORI ANTIBODY,,,17.9,19.8,10
CPT,86682,HC HELMINTH ANTIBODY,445.1,222.55,13.27,400.59,70
CPT,86682,HELMINTH ANTIBODY,,,16.03,16.35,9
CPT,86684,HC HAEMOPHILUS INFLUENZAE B AB IGG,68.9,34.45,15.03,62.01,70
CPT,86684,HEMOPHILUS INFLUENZA ANTIBDY,,,17.9,18.26,9
CPT,86687,HC HTLV I ANTIBODY,285.95,142.98,9.27,257.36,70
CPT,86687,HTLV-I ANTIBODY,,,10.35,10.56,9
CPT,86688,HC HTLV II ANTIBODY,92.3,46.15,14.28,83.07,70
CPT,86688,HTLV-II ANTIBODY,,,14.5,14.79,9
CPT,86689,HC ANTIBODY HTLV HIV ANTIBODY CONFIRMATORY TEST,309.7,154.85,19.74,278.73,70
CPT,86689,HTLV/HIV CONFIRMJ ANTIBODY,,,23.88,24.36,9
CPT,86692,HC HEPATITIS DELTA VIRUS,482.6,241.3,17.5,434.34,70
CPT,86692,HEPATITIS DELTA AGENT ANTBDY,,,17.9,18.26,9
CPT,86694,HC HERPES SIMPLEX TEST UNSPECIFIED TYPE ANTIBODY,250.55,125.28,14.68,225.5,70
CPT,86694,HERPES SIMPLEX NES ANTBDY,,,17.72,18.07,9
CPT,86695,HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY,242.7,121.35,13.45,218.43,70
CPT,86695,HERPES SIMPLEX TYPE 1 TEST,,,16.27,16.6,9
CPT,86696,HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY,242.7,121.35,19.74,218.43,70
CPT,86696,HERPES SIMPLEX TYPE 2 TEST,,,23.88,24.36,9
CPT,86698,HC HISTOPLASMA ANTIBODIES,91.15,45.58,14.07,82.04,70
CPT,86698,HISTOPLASMA ANTIBODY,,,15.41,15.72,9
CPT,86701,HC HIV 1 ANTIBODY EIA,160.4,80.2,9.07,144.36,70
CPT,86701,HIV-1ANTIBODY,,,10.95,11.17,9
CPT,86702,HC HIV 2 ANTIBODY,160.4,80.2,13.79,144.36,70
CPT,86702,HIV-2 ANTIBODY,,,14.5,14.79,9
CPT,86703,HIV-1/HIV-2 1 RESULT ANTBDY,,,13.98,21.39,24
CPT,86704,HC HEPATITIS B CORE ANTIBODY TOTAL,264.3,132.15,12.29,237.87,70
CPT,86704,HEP B CORE ANTIBODY TOTAL,,,14.36,16.34,10
CPT,86705,HC HEPATITIS B CORE ANTIBODY IGM,323.45,161.73,12.01,291.11,70
CPT,86705,HEP B CORE ANTIBODY IGM,,,14.51,14.8,9
CPT,86706,HC HEPATITIS B SURFACE ANTIBODY,292.75,146.38,10.95,263.48,70
CPT,86706,HEP B SURFACE ANTIBODY,,,13.25,13.52,9
CPT,86707,HC HEPATITIS B E ANTIBODY,240.25,120.13,11.8,216.23,70
CPT,86707,HEPATITIS BE ANTIBODY,,,14.27,14.56,9
CPT,86708,HC HEPATITIS A ANTIBODY TOTAL,310.55,155.28,12.64,279.5,70
CPT,86708,HEPATITIS A ANTIBODY,,,15.28,15.59,9
CPT,86709,HC HEPATITIS A ANTIBODY IGM,299.25,149.63,11.49,269.33,70
CPT,86709,HEPATITIS A IGM ANTIBODY,,,13.88,14.16,9
CPT,86710,HC INFLUENZA VIRUS ANTIBODIES,126.65,63.33,13.82,113.99,70
CPT,86710,INFLUENZA VIRUS ANTIBODY,,,16.72,17.05,9
CPT,86711,HC ANTIBODY JC VIRUS,1830.1,915.05,17.23,1647.09,69
CPT,86711,JOHN CUNNINGHAM ANTIBODY,,,17.43,17.78,9
CPT,86713,HC LEGIONELLA PNEUMOPHILA ANTIBODY,131.4,65.7,15.61,118.26,70
CPT,86713,LEGIONELLA ANTIBODY,,,18.88,19.26,9
CPT,86717,LEISHMANIA ANTIBODY,,,8.63,15.31,15
CPT,86720,HC LEPTOSPIRA ANTIBODY,293.5,146.75,16.52,264.15,70
CPT,86720,LEPTOSPIRA ANTIBODY,,,12.16,12.4,9
CPT,86723,HC LISTERIA MONOCYTOGENES ANTIBODY,704.15,352.08,13.45,633.74,70
CPT,86723,LISTERIA MONOCYTOGENES,,,16.27,16.6,9
CPT,86727,LYMPH CHORIOMENINGITIS AB,,,13.13,19.08,15
CPT,86732,MUCORMYCOSIS ANTIBODY,,,15.3,19.55,15
CPT,86735,HC MUMPS ANTIBODY,162.9,81.45,13.31,146.61,70
CPT,86735,MUMPS ANTIBODY,,,16.09,16.41,9
CPT,86738,HC MYCOPLASMA PNEUMONIAE ANTIBODY,208.45,104.23,13.5,187.61,70
CPT,86738,MYCOPLASMA ANTIBODY,,,16.33,16.66,9
CPT,86741,NEISSERIA MENINGITIDIS,,,13.45,19.55,6
CPT,86744,NOCARDIA ANTIBODY,,,16.27,19.99,15
CPT,86747,HC PARVOVIRUS B19 ANTIBODY,220.55,110.28,15.33,198.5,70
CPT,86747,PARVOVIRUS ANTIBODY,,,17.9,18.26,9
CPT,86750,MALARIA ANTIBODY,,,13.45,19.55,15
CPT,86753,HC PROTOZOA ANTIBODY NOT ELSEWHERE SPECIFIED,281.8,140.9,12.64,253.62,70
CPT,86753,PROTOZOA ANTIBODY NOS,,,10.34,10.55,9
CPT,86756,RESPIRATORY VIRUS ANTIBODY,,,15.9,19.86,15
CPT,86757,HC RICKETTSIA ANTIBODY,307.75,153.88,19.74,276.98,70
CPT,86757,RICKETTSIA ANTIBODY,,,23.88,24.36,9
CPT,86759,ROTAVIRUS ANTIBODY,,,15.72,22.79,15
CPT,86762,HC RUBELLA ANTIBODY IGM,141.05,70.53,14.68,126.95,70
CPT,86762,RUBELLA ANTIBODY,,,15.32,19.6,11
CPT,86765,HC RUBEOLA ANTIBODY,142.5,71.25,13.14,128.25,70
CPT,86765,RUBEOLA ANTIBODY,,,15.89,16.21,9
CPT,86768,SALMONELLA ANTIBODY,,,13.45,19.55,15
CPT,86769,HC SARS-COV-2 COVID-19 AB IG MULT,100.8,50.4,21.98,90.72,70
CPT,86769,SARS-COV-2 COVID-19 ANTIBODY,,,42.13,42.97,9
CPT,86771,SHIGELLA ANTIBODY,,,16.27,30.6,15
CPT,86774,HC TETANUS TOXOID IGG,123.95,61.98,15.1,111.56,70
CPT,86774,TETANUS ANTIBODY,,,17.9,18.26,9
CPT,86777,HC TOXOPLASMA ANTIBODY,201.6,100.8,14.68,181.44,70
CPT,86777,TOXOPLASMA ANTIBODY,,,17.72,18.07,9
CPT,86778,HC TOXOPLASMA ANTIBODY IGM,219.45,109.73,14.7,197.51,70
CPT,86778,TOXOPLASMA ANTIBODY IGM,,,17.76,18.12,9
CPT,86780,HC ANTIBODY TREPONEMA PALLIDUM,178.85,89.43,13.5,160.97,70
CPT,86780,TREPONEMA PALLIDUM,,,16.74,17.07,9
CPT,86784,TRICHINELLA ANTIBODY,,,12.81,18.63,15
CPT,86787,HC VARICELLA ZOSTER ANTIBODY,194.1,97.05,13.14,174.69,70
CPT,86787,VARICELLA-ZOSTER ANTIBODY,,,15.89,16.21,9
CPT,86788,HC WEST NILE VIRUS ANTIBODY IGM,122.25,61.13,17.19,110.03,70
CPT,86788,WEST NILE VIRUS AB IGM,,,17.9,18.26,9
CPT,86789,HC WEST NILE VIRUS ANTIBODY IGG,122.5,61.25,14.68,110.25,70
CPT,86789,WEST NILE VIRUS ANTIBODY,,,17.72,18.07,9
CPT,86790,HC CHIKUNGUNYA AB IGG IGM,206.1,103.05,13.14,185.49,70
CPT,86790,HC DENGUE VIRUS IG VIRACOR,423.7,211.85,13.14,381.33,70
CPT,86790,HC VIRUS NOT ELSEWHERE SPECIFIED,200.2,100.1,13.14,180.18,70
CPT,86790,VIRUS ANTIBODY NOS,,,15.89,16.21,9
CPT,86793,YERSINIA ANTIBODY,,,13.45,19.55,15
CPT,86794,HC ZIKA VIRUS IGM,206.3,103.15,17.19,185.67,70
CPT,86794,ZIKA VIRUS IGM ANTIBODY,,,17.9,18.26,9
CPT,86800,HC THYROGLOBULIN ANTIBODY,185.5,92.75,13.39,166.95,70
CPT,86800,THYROGLOBULIN ANTIBODY,,,19.61,20.0,9
CPT,86803,HC HEPATITIS C ANTIBODY TEST,349.15,174.58,14.56,314.24,70
CPT,86803,HEPATITIS C AB TEST,,,17.61,17.96,9
CPT,86804,HEP C AB TEST CONFIRM,,,14.6,22.97,15
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,,,64.49,236.89,15
CPT,86806,LYMPHOCYTOTOXICITY ASSAY,,,48.54,70.54,15
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,,,48.8,98.31,15
CPT,86808,CYTOTOXIC ANTIBODY SCREENING,,,30.27,44.0,15
CPT,86812,HC HLA-B27,236.65,118.33,26.33,212.99,70
CPT,86812,HLA TYPING A B OR C,,,31.83,32.47,9
CPT,86813,HLA TYPING A B OR C,,,59.16,85.96,15
CPT,86816,HLA TYPING DR/DQ,,,30.77,41.3,15
CPT,86817,HLA TYPING DR/DQ,,,79.39,132.68,15
CPT,86821,LYMPHOCYTE CULTURE MIXED,,,37.29,83.7,15
CPT,86825,HC FLOW CYTOMETRY CROSSMATCH HLA,455.35,227.68,99.31,409.82,70
CPT,86825,HLA X-MATH NON-CYTOTOXIC,,,101.55,103.58,9
CPT,86826,HC HLA CROSSMATCH EA ADDL,271.25,135.63,37.26,244.13,70
CPT,86826,HLA X-MATCH NONCYTOTOXC ADDL,,,33.85,34.53,9
CPT,86828,HC ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,569.75,284.88,50.05,512.78,70
CPT,86828,HLA CLASS I&II ANTIBODY QUAL,,,48.02,48.98,9
CPT,86829,HLA CLASS I/II ANTIBODY QUAL,,,36.02,80.24,14
CPT,86830,HC ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE,965.7,482.85,97.43,869.13,69
CPT,86830,HLA CLASS I PHENOTYPE QUAL,,,97.25,99.2,9
CPT,86831,HC PRA BY LUMINEX CLASS II ID,965.7,482.85,83.52,869.13,69
CPT,86831,HLA CLASS II PHENOTYPE QUAL,,,83.36,85.03,9
CPT,86832,HC LUMINEX CLASS I SINGLE AG PRA,867.15,433.58,189.13,780.44,70
CPT,86832,HLA CLASS I HIGH DEFIN QUAL,,,152.83,155.89,9
CPT,86833,HC LUMINEX CLASS II SINGLE AG PRA,867.15,433.58,189.13,780.44,70
CPT,86833,HLA CLASS II HIGH DEFIN QUAL,,,138.93,141.71,9
CPT,86834,HLA CLASS I SEMIQUANT PANEL,,,364.71,446.95,14
CPT,86835,HLA CLASS II SEMIQUANT PANEL,,,329.42,403.7,14
CPT,86850,HC RBC ANTIBODY SCREEN,225.6,112.8,40.51,203.04,70
CPT,86850,RBC ANTIBODY SCREEN,,,14.37,14.66,9
CPT,86860,HC RBC ANTIBODY ELUTION,218.5,109.25,40.51,203.73,70
CPT,86860,RBC ANTIBODY ELUTION,,,14.06,14.34,9
CPT,86870,HC RBC ANTIBODY IDENTIFICATION,359.15,179.58,30.39,427.66,70
CPT,86870,RBC ANTIBODY IDENTIFICATION,,,25.37,25.88,9
CPT,86880,COOMBS TEST DIRECT,,,6.63,6.76,9
CPT,86880,HC ANTIHUMAN GLOBULIN DIRECT EA ANTISERUM,120.7,60.35,7.97,108.63,70
CPT,86885,COOMBS TEST INDIRECT QUAL,,,7.05,203.73,15
CPT,86886,COOMBS TEST INDIRECT TITER,,,6.38,6.51,9
CPT,86886,HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER,218.15,109.08,7.67,203.73,70
CPT,86890,AUTOLOGOUS BLOOD PROCESS,,,45.39,45.39,1
CPT,86890,HC AUTOLOGOUS DONATION,533.5,266.75,85.42,480.15,70
CPT,86891,AUTOLOGOUS BLOOD OP SALVAGE,,,792.49,971.19,5
CPT,86900,BLOOD TYPING SEROLOGIC ABO,,,3.68,3.75,9
CPT,86900,HC BLOOD TYPING SEROLOGIC ABO,99.15,49.58,4.42,153.25,70
CPT,86901,BLOOD TYPING SEROLOGIC RH(D),,,3.68,3.75,9
CPT,86901,HC BLOOD TYPING SEROLOGIC RH,105.45,52.73,4.42,94.91,70
CPT,86902,BLOOD TYPE ANTIGEN DONOR EA,,,4.75,4.85,9
CPT,86902,HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,113.55,56.78,4.9,427.66,70
CPT,86904,BLOOD TYPING PATIENT SERUM,,,11.72,70.62,15
CPT,86905,BLOOD TYPING RBC ANTIGENS,,,4.71,4.8,9
CPT,86905,HC BLOOD TYPING RBC ANTIGENS OTH THN ABO/RH D EACH,196.85,98.43,4.4,427.66,70
CPT,86906,BLD TYPING SEROLOGIC RH PHNT,,,9.56,11.49,10
CPT,86906,HC ARC RH PHENOTYPE,172.65,86.33,37.65,155.39,70
CPT,86920,HC CROSSMATCH IMMEDIATE SPIN,341.9,170.95,64.84,307.71,70
CPT,86921,HC CROSSMATCH INCUBATION,110.55,55.28,19.37,203.73,70
CPT,86922,HC CROSSMATCH ANTIGLOBULIN,263.6,131.8,57.49,237.24,70
CPT,86923,HC COMPAT TEST ELECTRONIC,207.0,103.5,45.15,203.73,69
CPT,86927,HC THAWING FEE,67.55,33.78,13.5,203.73,70
CPT,86930,FROZEN BLOOD PREP,,,166.24,203.73,5
CPT,86931,FROZEN BLOOD THAW,,,166.24,203.73,5
CPT,86932,FROZEN BLOOD FREEZE/THAW,,,38.08,46.66,5
CPT,86940,HC HEMOLYSIN AGGLUTIN AUTO SCREEN,83.5,41.75,8.74,75.15,70
CPT,86940,HEMOLYSINS/AGGLUTININS AUTO,,,10.12,10.32,9
CPT,86941,HEMOLYSINS/AGGLUTININS,,,12.35,15.24,15
CPT,86945,HC BLOOD PRODUCT IRRADIATION,281.6,140.8,32.42,253.44,70
CPT,86950,LEUKACYTE TRANSFUSION,,,166.24,203.73,5
CPT,86960,VOL REDUCTION OF BLOOD/PROD,,,166.24,203.73,5
CPT,86965,HC BLOOD PRODUCT POOL,203.55,101.78,32.42,203.73,70
CPT,86970,HC RBC PRETREAT CHEMICAL,137.35,68.68,13.5,123.62,70
CPT,86971,HC RBC PRETREAT ENZYME,250.95,125.48,24.31,225.86,70
CPT,86972,HC RBC PRETREAT DENSITY SEPARATE,200.1,100.05,43.64,203.73,69
CPT,86975,RBC SERUM PRETX INCUBJ DRUGS,,,137.78,474.41,6
CPT,86976,HC ARC SERUM DILUTION,39.65,19.83,8.65,85.42,70
CPT,86977,RBC SERUM PRETX INCUBJ/INHIB,,,166.24,203.73,5
CPT,86978,HC RBC PRETREAT ABSOR,250.95,125.48,54.73,225.86,69
CPT,86985,HC MAKING A PEDIATRIC ALIQUOT,213.2,106.6,46.5,203.73,70
CPT,86999,UNLISTED TRANSFUSION MED PX,,,23.76,29.12,6
CPT,87003,SMALL ANIMAL INOCULATION,,,17.18,24.96,15
CPT,87015,HC SPECIMEN CONCENTRATION INFECT AGENTS,97.35,48.68,6.81,87.62,70
CPT,87015,SPECIMEN INFECT AGNT CONCNTJ,,,8.24,8.4,9
CPT,87040,BLOOD CULTURE FOR BACTERIA,,,12.73,17.34,12
CPT,87040,HC CULTURE BLOOD,300.1,150.05,10.53,270.09,70
CPT,87045,FECES CULTURE AEROBIC BACT,,,11.63,11.86,9
CPT,87045,HC CULTURE STOOL SALMONELLA SHIGELLA,438.4,219.2,9.63,394.56,70
CPT,87046,HC STOOL CULTURE ADDL PATHOGENS,136.2,68.1,9.63,122.58,70
CPT,87046,STOOL CULTR AEROBIC BACT EA,,,11.63,11.86,9
CPT,87070,CULTURE OTHR SPECIMN AEROBIC,,,10.62,10.83,9
CPT,87070,HC CULTURE OTHER SOURCE,341.3,170.65,8.79,307.17,70
CPT,87071,CULTURE AEROBIC QUANT OTHER,,,10.09,13.98,15
CPT,87073,CULTURE BACTERIA ANAEROBIC,,,9.85,13.98,15
CPT,87075,CULTR BACTERIA EXCEPT BLOOD,,,11.67,11.9,9
CPT,87075,HC CULTURE ANAEROBIC,303.55,151.78,9.66,273.2,70
CPT,87076,CULTURE ANAEROBE IDENT EACH,,,9.96,10.16,9
CPT,87076,HC CULTURE ANAEROBIC ID,147.0,73.5,8.24,132.3,70
CPT,87077,CULTURE AEROBIC IDENTIFY,,,9.96,10.16,9
CPT,87077,HC BACTERIA IDENTIFICATION AEROBE,122.05,61.03,8.24,109.85,70
CPT,87081,CULTURE SCREEN ONLY,,,6.88,14.87,20
CPT,87081,HC BACTERIA CULTURE SCREEN SINGLE ORGANISM,153.55,76.78,6.76,138.2,70
CPT,87084,CULTURE OF SPECIMEN BY KIT,,,10.62,33.84,15
CPT,87086,"HC URINE CULTURE, COLONY COUNT",238.45,119.23,8.23,214.61,70
CPT,87086,URINE CULTURE/COLONY COUNT,,,9.95,12.67,11
CPT,87088,HC CUTURE URINES BACT ID,68.65,34.33,8.25,61.79,70
CPT,87088,URINE BACTERIA CULTURE,,,9.98,12.7,10
CPT,87101,HC CULTURE FUNGI SKIN HAIR NAILS,214.2,107.1,6.89,192.78,70
CPT,87101,SKIN FUNGI CULTURE,,,9.51,9.7,9
CPT,87102,FUNGUS ISOLATION CULTURE,,,10.36,10.57,9
CPT,87102,HC CULTURE FUNGUS OTHER,340.4,170.2,8.58,306.36,70
CPT,87103,BLOOD FUNGUS CULTURE,,,11.13,11.35,9
CPT,87103,HC BLOOD CULTURE FUNGUS,437.0,218.5,13.37,393.3,70
CPT,87106,FUNGI IDENTIFICATION YEAST,,,12.73,12.98,9
CPT,87106,HC CULTURE FUNGUS DEFINITIVE ID,186.75,93.38,10.53,168.08,70
CPT,87107,FUNGI IDENTIFICATION MOLD,,,12.73,12.98,9
CPT,87107,HC FUNGUS IDENTIFICATION MOLD,149.65,74.83,10.53,134.69,70
CPT,87109,HC MYCOPLASMA  UREAPLASMA CULTURE,238.6,119.3,15.7,214.74,70
CPT,87109,MYCOPLASMA,,,18.98,19.36,9
CPT,87110,CHLAMYDIA CULTURE,,,24.16,24.64,9
CPT,87110,HC CHLAMYDIA CULTURE,321.65,160.83,14.21,289.49,70
CPT,87116,HC CULTURE AFB TB MYCOBACTERIA,352.15,176.08,11.02,316.94,70
CPT,87116,MYCOBACTERIA CULTURE,,,13.33,13.6,9
CPT,87118,HC CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL,81.1,40.55,14.9,72.99,70
CPT,87118,MYCOBACTERIC IDENTIFICATION,,,13.49,13.76,9
CPT,87140,CULTURE TYPE IMMUNOFLUORESC,,,6.88,7.02,9
CPT,87140,HC CULTURE TYPING FLUORESCENT,78.3,39.15,5.68,70.47,70
CPT,87143,CULTURE TYPING GLC/HPLC,,,6.19,22.76,24
CPT,87147,CULTURE TYPE IMMUNOLOGIC,,,6.38,6.51,9
CPT,87147,HC CULTURE TYPING SEROLOGIC,73.8,36.9,5.28,66.42,70
CPT,87149,DNA/RNA DIRECT PROBE,,,24.74,25.23,9
CPT,87149,HC MP CULTURE TYPE NUCLEIC ACID,243.85,121.93,20.45,219.47,70
CPT,87150,DNA/RNA AMPLIFIED PROBE,,,31.0,31.62,9
CPT,87150,HC BC PATHOGENS AND ABX RES GENE,64.2,32.1,14.0,57.78,70
CPT,87152,CULTURE TYPE PULSE FIELD GEL,,,6.19,9.68,15
CPT,87153,DNA/RNA SEQUENCING,,,74.81,76.31,9
CPT,87153,"HC CULTURE TYPING, NUCLEIC ACID SEQUENCE, EACH ISOLATE",137.85,68.93,30.35,171.01,70
CPT,87154,CUL TYP ID BLD PTHGN 6+ TRGT,,,405.59,405.59,1
CPT,87154,HC CUL TYP ID BLD PTHGN 6 OR MORE TARGETS,769.7,384.85,167.87,692.73,69
CPT,87154,HC CUL TYP ID BLD PTHGN 6+ TRGT (CHEM),769.7,384.85,167.87,692.73,69
CPT,87154,HC CUL TYP ID BLD PTHGN 6+ TRGT (CP),769.7,384.85,167.87,692.73,69
CPT,87154,HC CUL TYP ID BLD PTHGN 6+ TRGT (MICRO),769.7,384.85,167.87,692.73,69
CPT,87158,CULTURE TYPING ADDED METHOD,,,6.19,9.68,24
CPT,87164,DARK FIELD EXAM SPEC COLLJ,,,7.29,21.96,29
CPT,87166,DARK FIELD EXAM W/O COLLJ,,,6.19,14.21,15
CPT,87168,HC MACROSCOPIC EXAM ARTHROPOD,23.2,11.6,4.36,20.88,70
CPT,87168,MACROSCOPIC EXAM ARTHROPOD,,,4.7,4.79,9
CPT,87169,HC MACROSCOPIC EXAM PARASITE IDENTIFICATION,71.95,35.98,4.4,64.76,70
CPT,87169,MACROSCOPIC EXAM PARASITE,,,4.7,4.79,9
CPT,87172,HC PINWORM EXAM PINWORM PREP,133.1,66.55,4.36,119.79,70
CPT,87172,PINWORM EXAM,,,4.7,5.97,11
CPT,87176,HC HOMOGENIZATION TISSUE,83.9,41.95,6.0,75.51,70
CPT,87176,TISSUE HOMOGENIZATION CULTR,,,7.26,7.41,9
CPT,87177,HC OVA AND PARASITES SMEARS,200.1,100.05,9.08,180.09,70
CPT,87177,OVA AND PARASITES SMEARS,,,10.97,11.19,9
CPT,87181,HC E-TEST EACH DRUG,83.7,41.85,4.85,75.33,70
CPT,87181,SC STD AGAR DILUTION PER AGT,,,5.86,5.98,9
CPT,87184,HC ANTIBIOTIC SENS DISK EACH SUSCEPTIBILITY,119.8,59.9,7.63,107.82,70
CPT,87184,SC STD DISK METHOD PER PLATE,,,8.5,8.67,9
CPT,87185,HC SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ,113.25,56.63,4.85,101.93,70
CPT,87185,SC STD ENZYME DETCJ PER NZM,,,5.86,5.98,9
CPT,87186,HC ANTIBIOTIC SENS MIC SUSCEPTIBILITY,134.7,67.35,8.82,121.23,70
CPT,87186,SC STD MICRODIL/AGAR DIL,,,10.66,10.87,9
CPT,87187,SC STD MICRODIL/AGAR MLC,,,12.78,50.21,15
CPT,87188,HC MICROBE SUSCEPT MACROBROTH,36.85,18.43,6.77,33.17,70
CPT,87188,SC STD MACROBROTH DIL METH,,,8.19,8.35,9
CPT,87190,HC SENSITIVITY-AFB,461.4,230.7,7.46,415.26,70
CPT,87190,SC STD MYOBACTERIA PROP METH,,,6.97,7.11,9
CPT,87197,SERUM BACTERICIDAL TITER,,,15.32,22.28,15
CPT,87205,HC SMEAR ROUTINE STAIN,164.15,82.08,4.36,147.74,70
CPT,87205,SMEAR GRAM STAIN,,,5.26,5.37,9
CPT,87206,HC SMEAR FLUOR STAIN INTERP,196.1,98.05,5.5,176.49,70
CPT,87206,SMEAR FLUORESCENT/ACID STAI,,,6.63,10.03,10
CPT,87207,HC SMEAR INCLUSION BODIES PARASITES INTERP,259.8,129.9,6.11,233.82,70
CPT,87207,SMEAR SPECIAL STAIN,,,7.39,20.85,23
CPT,87209,HC COMPLEX SPECIAL STAIN TRICHROME,306.8,153.4,18.34,276.12,70
CPT,87209,SMEAR COMPLEX STAIN,,,22.16,22.6,9
CPT,87210,HC SMEAR STAIN WET MOUNT,165.3,82.65,5.94,148.77,70
CPT,87210,SMEAR WET MOUNT SALINE/INK,,,4.7,11.76,17
CPT,87220,HC TISSUE EXAM BY KOH,97.9,48.95,4.36,88.11,70
CPT,87220,TISSUE EXAM FOR FUNGI,,,5.09,9.6,17
CPT,87230,TOXIN/ANTITOXIN ASY TISS CUL,,,20.13,24.85,15
CPT,87250,VIRUS INOCULATE EGGS/ANIMAL,,,19.95,28.99,15
CPT,87252,HC CULTURE VIRUS ID TISSUE,505.45,252.73,20.41,454.91,70
CPT,87252,VIRUS INOCULATION TISSUE,,,20.09,20.49,9
CPT,87253,HC NEUTRALIZATION,1895.65,947.83,20.6,1706.09,70
CPT,87253,VIRUS INOCULATE TISSUE ADDL,,,20.09,20.49,9
CPT,87254,HC VIRUS ISOLATE SHELL ID,358.3,179.15,19.95,322.47,70
CPT,87254,VIRUS INOCULATION SHELL VIA,,,20.09,20.49,9
CPT,87255,GENET VIRUS ISOLATE HSV,,,30.14,30.74,9
CPT,87255,HC VIRUS ID NON-IMMUNOLOGIC METHOD,265.25,132.63,32.48,238.73,70
CPT,87260,ADENOVIRUS AG IF,,,14.13,18.04,15
CPT,87265,PERTUSSIS AG IF,,,12.22,20.8,24
CPT,87267,ENTEROVIRUS ANTIBODY DFA,,,13.69,17.78,15
CPT,87269,GIARDIA AG IF,,,13.88,17.78,15
CPT,87270,CHLAMYDIA TRACHOMATIS AG IF,,,12.22,17.78,15
CPT,87271,CYTOMEGALOVIRUS DFA,,,13.69,17.78,15
CPT,87272,CRYPTOSPORIDIUM AG IF,,,12.22,17.78,15
CPT,87273,HERPES SIMPLEX 2 AG IF,,,12.22,17.78,15
CPT,87274,HERPES SIMPLEX 1 AG IF,,,12.22,17.78,15
CPT,87275,INFLUENZA B AG IF,,,12.5,17.78,15
CPT,87276,INFLUENZA A AG IF,,,14.13,20.09,15
CPT,87278,HC LEGION PNEUMO AG DFA,369.55,184.78,15.91,332.6,70
CPT,87278,LEGION PNEUMOPHILIA AG IF,,,14.13,14.41,9
CPT,87279,PARAINFLUENZA AG IF,,,14.13,20.54,15
CPT,87280,RESPIRATORY SYNCYTIAL AG IF,,,13.69,17.78,15
CPT,87281,HC PNEUMOCYSTIS CARINII AG DFA,425.35,212.68,12.22,382.82,70
CPT,87281,PNEUMOCYSTIS CARINII AG IF,,,14.13,14.41,9
CPT,87283,RUBEOLA AG IF,,,14.13,76.0,15
CPT,87285,TREPONEMA PALLIDUM AG IF,,,12.42,17.78,15
CPT,87290,VARICELLA ZOSTER AG IF,,,13.69,20.8,24
CPT,87299,ANTIBODY DETECTION NOS IF,,,14.13,20.8,24
CPT,87300,AG DETECTION POLYVAL IF,,,14.13,14.41,9
CPT,87300,HC INFEC AGT POLYVALENT MLT ORG ANTIGEN,288.0,144.0,12.22,259.2,70
CPT,87301,ADENOVIRUS AG IA,,,12.22,17.78,15
CPT,87305,ASPERGILLUS AG IA,,,14.13,14.41,9
CPT,87305,HC IAAD IA QUAL ASPERGILLUS GALACTOMANNAN,429.15,214.58,12.22,386.24,70
CPT,87320,CHLMYD TRACH AG IA,,,14.13,18.75,15
CPT,87324,CLOSTRIDIUM AG IA,,,14.13,17.96,10
CPT,87324,HC IAAD IA CLOSTRIDIUM DIFFICILE TOXIN,135.85,67.93,12.22,122.27,70
CPT,87327,CRYPTOCOCCUS NEOFORM AG IA,,,13.69,17.78,15
CPT,87328,CRYPTOSPORIDIUM AG IA,,,14.13,14.41,9
CPT,87328,HC IAAD IA CRYPTOSPORIDIUM OVA AND PARASITE SCREEN,163.45,81.73,14.1,147.11,70
CPT,87329,GIARDIA AG IA,,,14.13,14.41,9
CPT,87329,HC IAAD IA GIARDIA LAMBLIA ANTIGEN,163.45,81.73,12.22,147.11,70
CPT,87332,CYTOMEGALOVIRUS AG IA,,,12.22,17.78,15
CPT,87335,E COLI 0157 AG IA,,,12.91,17.78,15
CPT,87336,ENTAMOEB HIST DISPR AG IA,,,14.13,20.0,15
CPT,87337,ENTAMOEB HIST GROUP AG IA,,,11.95,14.98,15
CPT,87338,HC IAAD IA HPYLORI ANTIGEN STOOL,505.95,252.98,14.67,455.36,70
CPT,87338,HPYLORI STOOL AG IA,,,17.74,18.09,9
CPT,87339,H PYLORI AG IA,,,14.13,32.32,12
CPT,87339,HC IAAD IA H PYLORI EIA,248.35,124.18,16.32,223.52,70
CPT,87340,HC IAAD IA HEPATITIS B SURFACE ANTIGEN,221.15,110.58,10.54,199.04,70
CPT,87340,HEPATITIS B SURFACE AG IA,,,11.1,12.7,11
CPT,87341,HC IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,240.0,120.0,10.54,216.0,70
CPT,87341,HEP B SURFACE AG NEUTRLZJ IA,,,11.48,11.71,9
CPT,87350,HC IAAD IA HEPATITIS BE ANTIGEN,228.15,114.08,11.76,205.34,70
CPT,87350,HEPATITIS BE AG IA,,,13.65,13.92,9
CPT,87380,HEPATITIS DELTA AGENT AG IA,,,18.73,24.35,15
CPT,87385,HC IAAD IA HISTOPLASM ANTIGEN CAPSULATUM,447.4,223.7,13.52,402.66,70
CPT,87385,HISTOPLASMA CAPSUL AG IA,,,14.13,14.41,9
CPT,87389,HC EIA QL HIV-1 HIV-2 ANTIBODY,344.15,172.08,24.56,309.74,70
CPT,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,,,28.24,38.76,13
CPT,87390,HIV-1 AG IA,,,21.76,30.08,15
CPT,87391,HIV-2 AG IA,,,21.76,27.38,15
CPT,87400,INFLUENZA A/B EACH AG IA,,,14.13,17.78,15
CPT,87420,HC IAAD IA RESPIRATORY SYNCTIAL VIRUS RSV,121.85,60.93,14.19,109.67,70
CPT,87420,RESP SYNCYTIAL VIRUS AG IA,,,14.13,14.41,9
CPT,87425,HC IAAD IA ROTAVIRUS EIA,313.25,156.63,12.22,281.93,70
CPT,87425,ROTAVIRUS AG IA,,,14.13,14.41,9
CPT,87426,SARSCOV CORONAVIRUS AG IA,,,36.04,84.13,18
CPT,87427,SHIGA-LIKE TOXIN AG IA,,,12.22,20.8,24
CPT,87428,SARSCOV & INF VIR A&B AG IA,,,63.59,93.08,24
CPT,87430,HC EIA QL STREP GROUP A ANTIGEN,98.05,49.03,17.15,88.25,70
CPT,87430,STREP A AG IA,,,14.13,14.41,9
CPT,87449,HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM,303.1,151.55,12.22,272.79,70
CPT,87449,NOS EACH ORGANISM AG IA,,,14.13,17.96,10
CPT,87450,Physician Fee Schedule,,,9.43,9.62,9
CPT,87451,POLYVALENT MULT ORG EA AG IA,,,9.43,14.21,15
CPT,87467,HC HEPATITIS B SURFACE ANTIGEN QUANTITATIVE,81.9,40.95,17.86,73.71,69
CPT,87468,HC IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ,190.9,95.45,35.79,171.81,69
CPT,87469,HC BABESIA MICROTI AMP PRB,190.9,95.45,35.79,171.81,69
CPT,87471,BARTONELLA DNA AMP PROBE,,,30.24,30.84,9
CPT,87471,HC BARTONELLA DNA AMP PROBE,507.65,253.83,35.79,456.89,70
CPT,87472,BARTONELLA DNA QUANT,,,40.17,63.49,15
CPT,87475,LYME DIS DNA DIR PROBE,,,20.45,29.73,15
CPT,87476,HC LYME DISEASE BORRELIA AMP PROBE,907.7,453.85,35.79,816.93,70
CPT,87476,LYME DIS DNA AMP PROBE,,,30.24,30.84,9
CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB,190.9,95.45,35.79,171.81,69
CPT,87480,CANDIDA DNA DIR PROBE,,,24.74,25.23,9
CPT,87480,HC CANDIDA DNA PROBE,161.2,80.6,20.45,145.08,70
CPT,87481,CANDIDA DNA AMP PROBE,,,30.24,30.84,9
CPT,87481,HC IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,450.0,225.0,35.79,405.0,70
CPT,87482,CANDIDA DNA QUANT,,,40.17,69.68,14
CPT,87483,CNS DNA AMP PROBE TYPE 12-25,,,243.45,248.32,9
CPT,87483,HC CNS PATHOGEN 12 25 TARGETS,897.9,448.95,195.83,808.11,70
CPT,87484,HC EHRLICHA CHAFFEENSIS AMP PRB,190.9,95.45,35.79,171.81,69
CPT,87485,CHLMYD PNEUM DNA DIR PROBE,,,20.45,29.73,15
CPT,87486,CHLMYD PNEUM DNA AMP PROBE,,,30.24,30.84,9
CPT,87486,HC CHLAMYDIA PNEUMONIAE DNA PROBE AMP,261.4,130.7,35.79,235.26,70
CPT,87487,CHLMYD PNEUM DNA QUANT,,,40.17,53.55,14
CPT,87490,CHLMYD TRACH DNA DIR PROBE,,,23.21,29.73,15
CPT,87491,CHLMYD TRACH DNA AMP PROBE,,,30.24,38.46,10
CPT,87491,HC CHYLMD TRACH DNA AMP PROBE,238.2,119.1,35.79,214.38,70
CPT,87492,CHLMYD TRACH DNA QUANT,,,40.17,66.84,14
CPT,87493,C DIFF AMPLIFIED PROBE,,,31.0,31.62,9
CPT,87493,HC AMP PROBE CLOSTRIDIUM,751.4,375.7,38.02,676.26,70
CPT,87495,CYTOMEG DNA DIR PROBE,,,24.74,37.54,15
CPT,87496,CYTOMEG DNA AMP PROBE,,,30.24,30.84,9
CPT,87496,HC CYTOMEGALOVIRUS DNA PROBE AMPLIFIED,760.3,380.15,35.79,684.27,70
CPT,87497,CYTOMEG DNA QUANT,,,40.17,40.97,9
CPT,87497,HC CYTOMEG CMV DNA QUANT,828.05,414.03,43.7,745.25,70
CPT,87498,ENTEROVIRUS PROBE&REVRS TRNS,,,30.24,30.84,9
CPT,87498,HC ENTEROVIRUS DNA PROBE AMPLIFIED,808.85,404.43,35.79,727.97,70
CPT,87500,VANOMYCIN DNA AMP PROBE,,,30.24,52.03,15
CPT,87501,INFLUENZA DNA AMP PROB 1+,,,35.58,81.19,24
CPT,87502,HC INFLUENZA DNA AMP PROBE,760.0,380.0,97.72,684.0,70
CPT,87502,INFLUENZA DNA AMP PROBE,,,66.04,86.98,15
CPT,87503,HC INFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL,146.1,73.05,29.8,131.49,70
CPT,87503,INFLUENZA DNA AMP PROB ADDL,,,11.46,11.69,9
CPT,87505,NFCT AGENT DETECTION GI,,,89.56,160.61,15
CPT,87506,IADNA-DNA/RNA PROBE TQ 6-11,,,135.68,328.74,15
CPT,87507,HC IADNA-DNA/RNA PROBE TQ 12-25 GASTROINTESTINAL PANEL,1387.85,693.93,302.69,1249.07,70
CPT,87507,IADNA-DNA/RNA PROBE TQ 12-25,,,250.98,256.0,9
CPT,87510,GARDNER VAG DNA DIR PROBE,,,24.74,25.23,9
CPT,87510,HC GARDNERELLA VAGINALIS DNA PROBE DIRECT,161.2,80.6,20.45,145.08,70
CPT,87511,GARDNER VAG DNA AMP PROBE,,,30.24,52.03,15
CPT,87512,GARDNER VAG DNA QUANT,,,40.17,61.88,15
CPT,87513,HC H PYLRI CLARITHROMYCIN RST AMP PRB,2625.0,1312.5,35.79,2362.5,69
CPT,87516,HEPATITIS B DNA AMP PROBE,,,30.24,52.03,15
CPT,87517,HC HEPATITIS B DNA QUANT PROBE DIRECT,1104.55,552.28,43.7,994.1,70
CPT,87517,HEPATITIS B DNA QUANT,,,40.17,40.97,9
CPT,87520,HEPATITIS C RNA DIR PROBE,,,24.74,39.03,15
CPT,87521,HC HEPATITIS C AMPLIFIED PROBE REVERSE TRANSCR,491.55,245.78,35.79,442.4,70
CPT,87521,HEPATITIS C PROBE&RVRS TRNSC,,,30.24,30.84,9
CPT,87522,HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION,1104.55,552.28,43.7,994.1,70
CPT,87522,HEPATITIS C REVRS TRNSCRPJ,,,40.17,40.97,9
CPT,87523,HC HEPATITIS D QUANTIFICATION,1813.9,906.95,43.7,1632.51,69
CPT,87525,HEPATITIS G DNA DIR PROBE,,,24.74,37.25,15
CPT,87526,HEPATITIS G DNA AMP PROBE,,,30.24,52.03,15
CPT,87527,HEPATITIS G DNA QUANT,,,40.17,61.88,15
CPT,87528,HSV DNA DIR PROBE,,,20.45,29.73,15
CPT,87529,HC HSV DNA AMP PROBE,308.6,154.3,35.79,277.74,70
CPT,87529,HSV DNA AMP PROBE,,,30.24,30.84,9
CPT,87530,HC HSV DNA QUANTITATIVE,249.0,124.5,43.7,224.1,70
CPT,87530,HSV DNA QUANT,,,40.17,40.97,9
CPT,87531,HHV-6 DNA DIR PROBE,,,24.74,72.5,15
CPT,87532,HC HHV-6 DNA PROBE AMPLIFIED,450.95,225.48,35.79,405.86,70
CPT,87532,HHV-6 DNA AMP PROBE,,,30.24,30.84,9
CPT,87533,HC HHV-6 DNA PROBE QUANTITATIVE,754.45,377.23,42.6,679.01,69
CPT,87533,HHV-6 DNA QUANT,,,40.17,40.97,9
CPT,87534,HIV-1 DNA DIR PROBE,,,22.36,29.73,15
CPT,87535,HC HIV-1 PROBE REVERSE TRNSCRP PROBE AMP,167.35,83.68,35.79,150.62,70
CPT,87535,HIV-1 PROBE&REVERSE TRNSCRPJ,,,30.24,30.84,9
CPT,87536,HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR,1007.15,503.58,86.8,906.44,70
CPT,87536,HIV-1 QUANT&REVRSE TRNSCRPJ,,,65.56,66.87,9
CPT,87537,HIV-2 DNA DIR PROBE,,,22.36,29.73,15
CPT,87538,HC IADNA HIV-2 AMPLIFIED PROBE & REVERSE TRANSCRIPJ,228.45,114.23,35.79,205.61,70
CPT,87538,HIV-2 PROBE&REVRSE TRNSCRIPJ,,,30.24,30.84,9
CPT,87539,HIV-2 QUANT&REVRSE TRNSCRIPJ,,,40.17,73.28,14
CPT,87540,LEGION PNEUMO DNA DIR PROB,,,20.45,29.73,15
CPT,87541,HC LEGIONELLA PNEUMOPHILA AMP,118.4,59.2,25.82,106.56,70
CPT,87541,LEGION PNEUMO DNA AMP PROB,,,30.24,30.84,9
CPT,87542,LEGION PNEUMO DNA QUANT,,,40.17,52.2,14
CPT,87550,MYCOBACTERIA DNA DIR PROBE,,,20.45,29.73,15
CPT,87551,MYCOBACTERIA DNA AMP PROBE,,,30.24,60.3,15
CPT,87552,MYCOBACTERIA DNA QUANT,,,40.17,53.55,14
CPT,87555,M.TUBERCULO DNA DIR PROBE,,,24.74,33.6,15
CPT,87556,HC M. TUBERCULOSIS DNA PROBE AMPLIFIED,529.3,264.65,42.51,476.37,70
CPT,87556,M.TUBERCULO DNA AMP PROBE,,,30.24,30.84,9
CPT,87557,M.TUBERCULO DNA QUANT,,,40.17,53.55,14
CPT,87560,M.AVIUM-INTRA DNA DIR PROB,,,24.74,34.11,15
CPT,87561,HC M.AVIUM-INTRA DNA AMP PROBE,190.9,95.45,35.79,171.81,70
CPT,87561,M.AVIUM-INTRA DNA AMP PROB,,,30.24,30.84,9
CPT,87562,M.AVIUM-INTRA DNA QUANT,,,40.17,63.49,15
CPT,87563,HC IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,115.35,57.68,25.16,103.82,69
CPT,87563,M. GENITALIUM AMP PROBE,,,24.74,25.23,9
CPT,87564,HC MTB RIFAMPIN RST AMP PRB TQ,2796.0,1398.0,78.31,2516.4,69
CPT,87580,M.PNEUMON DNA DIR PROBE,,,20.45,29.73,15
CPT,87581,HC MYCOPLASMA PNEUMONIAE PCR AMP,326.65,163.33,35.79,293.99,70
CPT,87581,M.PNEUMON DNA AMP PROBE,,,30.24,30.84,9
CPT,87582,M.PNEUMON DNA QUANT,,,40.17,378.28,14
CPT,87590,N.GONORRHOEAE DNA DIR PROB,,,24.74,36.45,24
CPT,87591,HC N.GONORRHOEAE DNA AMP PROB,225.65,112.83,35.79,203.09,70
CPT,87591,N.GONORRHOEAE DNA AMP PROB,,,30.24,38.46,10
CPT,87592,N.GONORRHOEAE DNA QUANT,,,40.17,53.55,14
CPT,87593,HC IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,88.85,44.43,19.56,79.97,70
CPT,87594,HC PNEUMCYSTS JIROVECII AMP PRB,3524.5,1762.25,35.79,3172.05,69
CPT,87623,HPV LOW-RISK TYPES,,,31.18,43.94,15
CPT,87624,HC IADNA HPV HIGH RISK POOLED RESULT,365.15,182.58,35.79,328.64,70
CPT,87624,HPV HI-RISK TYP POOLED RSLT,,,31.18,31.8,9
CPT,87625,HPV TYPES 16 & 18 ONLY,,,31.18,50.69,15
CPT,87626,HC HPV SEP HI-RSK TYP&POOL RSLT,365.15,182.58,71.6,328.64,69
CPT,87631,RESP VIRUS 3-5 TARGETS,,,86.87,178.29,14
CPT,87632,RESP VIRUS 6-11 TARGETS,,,131.61,272.58,14
CPT,87633,HC IADNA RESPIRATRY PROBE AND REV TRNSCR 12-25 TARGET,1057.6,528.8,230.66,951.84,70
CPT,87633,RESP VIRUS 12-25 TARGETS,,,243.45,248.32,9
CPT,87634,HC IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,364.0,182.0,71.6,327.6,70
CPT,87634,RSV DNA/RNA AMP PROBE,,,30.24,30.84,9
CPT,87635,HC SARS-COV-2 NUCLEIC ACID TEST,170.05,85.03,37.45,153.05,70
CPT,87635,SARS-COV-2 COVID-19 AMP PRB,,,44.49,202.0,21
CPT,87636,HC SARSCOV2 & INF A&B AMP PRB,484.95,242.48,106.79,436.46,70
CPT,87636,SARSCOV2 & INF A&B AMP PRB,,,142.63,145.48,9
CPT,87637,HC IADNA SARSCOV2 & INF A&B&RSV MULT AMP PROBE TQ,739.2,369.6,145.48,665.28,70
CPT,87637,SARSCOV2&INF A&B&RSV AMP PRB,,,142.63,145.48,9
CPT,87640,STAPH A DNA AMP PROBE,,,30.24,52.03,15
CPT,87641,HC MRSA DNA AMP PROBE,738.0,369.0,35.79,664.2,70
CPT,87641,MR-STAPH DNA AMP PROBE,,,30.24,30.84,9
CPT,87650,STREP A DNA DIR PROBE,,,20.45,29.73,15
CPT,87651,HC STREP A DNA AMPLIFICATION PROBE,62.05,31.03,13.53,55.85,70
CPT,87651,STREP A DNA AMP PROBE,,,30.24,40.13,13
CPT,87652,STREP A DNA QUANT,,,40.17,52.2,14
CPT,87653,HC AH IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,175.45,87.73,35.79,157.91,70
CPT,87653,STREP B DNA AMP PROBE,,,30.24,30.84,9
CPT,87660,HC TRICHOMONAS VAGINALIS DNA PROBE,161.2,80.6,20.45,145.08,70
CPT,87660,TRICHOMONAS VAGIN DIR PROBE,,,24.74,25.23,9
CPT,87661,HC NUCLEIC ACID TRICHOMON AMP PROBE,202.05,101.03,35.79,181.85,70
CPT,87661,TRICHOMONAS VAGINALIS AMPLIF,,,28.94,29.52,9
CPT,87662,HC ZIKA VIRUS PCR VIRACOR,396.2,198.1,52.34,356.58,70
CPT,87662,ZIKA VIRUS DNA/RNA AMP PROBE,,,30.24,30.84,9
CPT,87797,DETECT AGENT NOS DNA DIR,,,24.74,37.54,15
CPT,87798,DETECT AGENT NOS DNA AMP,,,30.24,30.84,9
CPT,87798,HC ADENOVIRUS QUANT PCR AMP PROBE,684.45,342.23,35.79,616.01,70
CPT,87798,HC AMPLIFIED PROBE TECHNIQUE,93.2,46.6,20.52,83.88,70
CPT,87798,HC ASPERGILLUS PCR ASSAY,324.35,162.18,35.79,291.92,70
CPT,87798,HC ATOPOBIUM VAGINAE BVAB 2 MEGASPHAERA BV,181.4,90.7,35.79,163.26,70
CPT,87798,HC BORDETELLA PERTUSSIS PCR,387.15,193.58,35.79,348.44,70
CPT,87798,HC INFECTIOUS AGENT AMP PROBE,62.05,31.03,13.66,55.85,70
CPT,87798,HC JC VIRUS DNA PCR,503.85,251.93,35.79,453.47,70
CPT,87798,HC MUCORALES PCR BAL VIRACOR,973.0,486.5,35.79,875.7,70
CPT,87798,HC NOCARDIA PCR BAL VIRACOR,418.25,209.13,35.79,376.43,70
CPT,87798,HC NUCLEIC ACID AMP INFECTIOUS,973.0,486.5,35.79,875.7,70
CPT,87798,HC RIFAMPIN,230.1,115.05,35.79,207.09,70
CPT,87798,HC SUPERCYCLE WEST NILE VIRUS,805.35,402.68,35.79,724.82,70
CPT,87798,HC TROPHERYMA WHIPPLEI PCR,2606.5,1303.25,35.79,2345.85,70
CPT,87798,HC VZV QUANT PCR SKIN VIRACOR,395.8,197.9,35.79,356.22,70
CPT,87799,DETECT AGENT NOS DNA QUANT,,,40.17,51.08,10
CPT,87799,HC ADENOVIRUS QUANTIFICATION,684.45,342.23,43.7,616.01,70
CPT,87799,HC BK VIRAL LOAD,664.5,332.25,43.7,598.05,70
CPT,87799,HC BK VIRUS DNA URINE QUANT,684.45,342.23,43.7,616.01,70
CPT,87799,HC ENTEROVIRUS QUANT PCR,684.45,342.23,43.7,616.01,70
CPT,87799,HC EPSTEIN BARR QUANTIFICATION,684.45,342.23,43.7,616.01,70
CPT,87799,HC HHV7 QUANT PCR,664.5,332.25,43.7,598.05,70
CPT,87799,HC HHV8 QUANT PCR,684.45,342.23,43.7,616.01,70
CPT,87799,HC INFECTIOUS DISEASE VIRAL LOAD,664.5,332.25,43.7,598.05,70
CPT,87799,HC JC VIRUS QUANT PCR,669.95,334.98,43.7,602.96,70
CPT,87799,HC PARVOVIRUS B19 PCR QUANTIFICATION,684.45,342.23,43.7,616.01,70
CPT,87799,HC PNEUMOCYSTIS JIROVECI,684.45,342.23,43.7,616.01,70
CPT,87799,HC TOXOPLASMA QUANT PCR,684.45,342.23,43.7,616.01,70
CPT,87799,HC VZV QUANT PCR,664.5,332.25,43.7,598.05,70
CPT,87800,DETECT AGNT MULT DNA DIREC,,,44.54,59.47,15
CPT,87801,DETECT AGNT MULT DNA AMPLI,,,60.48,61.69,9
CPT,87801,HC DETECT AGENT MULT ORGS DNA AMP,241.1,120.55,53.09,216.99,70
CPT,87802,STREP B ASSAY W/OPTIC,,,12.98,17.78,15
CPT,87803,CLOSTRIDIUM TOXIN A W/OPTIC,,,14.13,20.0,15
CPT,87804,HC INFLUENZA ANTIGEN A B SCREEN,86.8,43.4,16.88,78.12,70
CPT,87804,INFLUENZA ASSAY W/OPTIC,,,14.13,18.9,14
CPT,87806,HC HIV-1 AG WITH HIV 1/2 AB,102.2,51.1,22.29,91.98,70
CPT,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,,,30.53,31.14,9
CPT,87807,HC DETECT AGENT IMMUN POCT RESPIRATORY SYNCYTIAL VIRUS,67.9,33.95,13.36,61.11,70
CPT,87807,RSV ASSAY W/OPTIC,,,14.13,18.9,13
CPT,87808,HC TRICHOMONAS ASSAY W/OPTIC,181.65,90.83,15.6,163.49,70
CPT,87808,TRICHOMONAS ASSAY W/OPTIC,,,14.13,18.9,13
CPT,87809,ADENOVIRUS ASSAY W/OPTIC,,,14.13,27.2,16
CPT,87810,CHLMYD TRACH ASSAY W/OPTIC,,,14.13,44.11,15
CPT,87811,HC SARS-COV-2 COVID19 ANTIGEN W/OPTIC,115.35,57.68,25.4,103.82,70
CPT,87811,SARS-COV-2 COVID19 W/OPTIC,,,41.38,46.24,10
CPT,87850,N. GONORRHOEAE ASSAY W/OPTIC,,,14.13,30.7,15
CPT,87880,HC STREP A ASSAY W/OPTIC,210.95,105.48,16.86,189.86,70
CPT,87880,STREP A ASSAY W/OPTIC,,,14.13,18.9,14
CPT,87899,AGENT NOS ASSAY W/OPTIC,,,14.13,14.41,9
CPT,87899,HC CRYPTOCOCCAL ANTIGEN,183.3,91.65,16.39,164.97,70
CPT,87899,HC INFECT AGENT NOT SPECIFIED,49.65,24.83,10.93,44.69,70
CPT,87899,HC MALARIA ANTIGEN,87.45,43.73,16.39,78.71,70
CPT,87899,HC STREPTOCOCCUS PNEUMONIAE ANTIGEN,136.7,68.35,16.39,123.03,70
CPT,87900,HC DRUG SUSCEPTABILITY PHENO REG,344.1,172.05,75.05,309.69,70
CPT,87900,PHENOTYPE INFECT AGENT DRUG,,,100.45,102.46,9
CPT,87901,HC HIV 1 GENOTYPE ANALYSIS DNA RNA REVERSE,952.5,476.25,207.74,857.25,70
CPT,87901,NFCT AGT GNTYP ALYS HIV1 REV,,,96.26,98.19,9
CPT,87902,HC NUCLEIC ACID GENOTYPE HEP C,843.8,421.9,184.03,759.42,70
CPT,87902,NFCT AGT GNTYP ALYS HEP C,,,96.26,98.19,9
CPT,87903,PHENOTYPE DNA HIV W/CULTURE,,,335.66,724.37,15
CPT,87904,PHENOTYPE DNA HIV W/CLT ADD,,,20.09,32.59,15
CPT,87905,IA NZMTC ACTV OTH/THN VIRUS,,,12.46,20.17,19
CPT,87906,HC GENOTYPE DNA RNA HIV CHG,547.9,273.95,119.5,493.11,70
CPT,87906,NFCT AGT GNTYP ALYS HIV1,,,48.48,49.45,9
CPT,87910,HC CMV ANTIVIRAL RESISTANCE SEQ,1084.75,542.38,236.58,976.28,69
CPT,87910,NFCT AGT GNTYP ALYS CMV,,,94.69,96.58,9
CPT,87912,HC HEPATITIS B GENOTYPING,538.45,269.23,117.44,484.61,69
CPT,87912,NFCT AGT GNTYP ALYS HEP B,,,94.69,96.58,9
CPT,87913,NFCT AGT GNTYP ALYS SARSCOV2,,,262.6,321.81,5
CPT,87999,HC BIOFIRE JOINT INFECTION PANEL,1300.25,650.13,26.35,1170.23,65
CPT,88104,CYTOPATH FL NONGYN SMEARS,,,22.36,91.21,33
CPT,88104,HC CYTOPATH FLUIDS SMEAR INTERP,324.65,162.33,13.42,292.19,70
CPT,88106,CYTOPATH FL NONGYN FILTER,,,10.96,80.54,39
CPT,88108,CYTOPATH CONCENTRATE TECH,,,20.44,84.57,34
CPT,88108,HC CYTOPATH CONCENTRATE,325.65,162.83,14.64,293.09,70
CPT,88112,CYTOPATH CELL ENHANCE TECH,,,25.22,81.98,33
CPT,88112,HC CYTOPATH CELL ENHANCE TECH,326.85,163.43,40.47,294.17,70
CPT,88120,CYTP URNE 3-5 PROBES EA SPEC,,,43.0,630.95,33
CPT,88120,HC CYTOPATH INSITU HYBRID URINE SPEC 3-5 PROBES EA MANUAL,1837.8,918.9,166.24,1654.02,70
CPT,88121,CYTP URINE 3-5 PROBES CMPTR,,,38.16,457.85,39
CPT,88125,FORENSIC CYTOPATHOLOGY,,,2.75,63.52,39
CPT,88130,SEX CHROMATIN IDENTIFICATION,,,18.34,22.48,24
CPT,88140,SEX CHROMATIN IDENTIFICATION,,,8.15,11.85,24
CPT,88141,CYTOPATH C/V INTERPRET,,,21.76,49.58,24
CPT,88142,CYTOPATH C/V THIN LAYER,,,24.99,25.49,9
CPT,88142,HC CYTOPATH CERV VAG THIN LAYER,262.65,131.33,20.67,236.39,70
CPT,88143,CYTOPATH C/V THIN LAYER REDO,,,23.5,30.04,15
CPT,88147,CYTOPATH C/V AUTOMATED,,,13.03,63.2,15
CPT,88148,CYTOPATH C/V AUTO RESCREEN,,,13.03,22.74,15
CPT,88150,CYTOPATH C/V MANUAL,,,13.03,22.74,15
CPT,88152,CYTOPATH C/V AUTO REDO,,,13.03,34.55,15
CPT,88153,CYTOPATH C/V REDO,,,13.03,30.04,15
CPT,88155,CYTOPATH C/V INDEX ADD-ON,,,7.39,18.31,15
CPT,88160,CYTOPATH SMEAR OTHER SOURCE,,,19.98,94.79,33
CPT,88160,HC CYTOPATH SMEAR OTHER SOURCE SCREEN,176.25,88.13,23.76,158.63,70
CPT,88161,CYTOPATH SMEAR OTHER SOURCE,,,19.7,95.53,33
CPT,88161,HC CYTOPATH SMEARS ANY OTHER SRC PREP SCR&INTERP,264.3,132.15,23.76,237.87,70
CPT,88162,CYTOPATH SMEAR OTHER SOURCE,,,30.56,150.11,33
CPT,88162,HC CYTOPATH SMEAR OTHER 5+ SLIDES,409.55,204.78,51.83,368.6,70
CPT,88164,CYTOPATH TBS C/V MANUAL,,,13.03,13.29,9
CPT,88164,HC CYTO SLIDES MAN UNDER MD SUPERVIS,147.85,73.93,15.66,133.07,70
CPT,88165,CYTOPATH TBS C/V REDO,,,13.03,52.78,15
CPT,88166,CYTOPATH TBS C/V AUTO REDO,,,13.03,22.74,15
CPT,88167,CYTOPATH TBS C/V SELECT,,,13.03,22.74,15
CPT,88172,CYTP DX EVAL FNA 1ST EA SITE,,,19.68,65.13,33
CPT,88172,HC CYTP LAB EVALUATION OF FNA SMEAR FIRST,408.15,204.08,22.02,367.34,70
CPT,88173,CYTOPATH EVAL FNA REPORT,,,55.58,195.98,33
CPT,88173,HC CYTOPATH LAB INTERPRETATION OF FNA SMEAR,308.55,154.28,26.31,277.7,70
CPT,88174,CYTOPATH C/V AUTO IN FLUID,,,25.88,31.71,14
CPT,88175,CYTOPATH C/V AUTO FLUID REDO,,,32.05,32.69,9
CPT,88175,HC CYTOPATH CV AUTO FLUID REDO CER VAG,297.35,148.68,27.14,267.62,70
CPT,88177,CYTP FNA EVAL EA ADDL,,,7.79,34.48,33
CPT,88177,HC CYTP FNA EVAL EA ADDL FNA SMEAR,367.4,183.7,8.53,330.66,70
CPT,88182,CELL MARKER STUDY,,,28.9,181.86,39
CPT,88184,FLOWCYTOMETRY/ TC 1 MARKER,,,60.54,87.3,14
CPT,88184,HC FLOWCYTOMETRY 1ST MARKER TC,455.15,227.58,90.4,427.66,70
CPT,88184,HC MRD FLOWCYTOMETRY 1ST MARKER TC,455.15,227.58,90.4,427.66,70
CPT,88185,FLOWCYTOMETRY/TC ADD-ON,,,20.37,36.64,14
CPT,88185,HC FLOWCYTOMETRY TECH COMPONENT ADD-ON,271.25,135.63,20.78,244.13,70
CPT,88185,HC MRD FLOWCYTOMETRY TECH COMPONENT ADD-ON,271.25,135.63,20.78,244.13,70
CPT,88187,FLOWCYTOMETRY/READ 2-8,,,33.27,133.95,20
CPT,88188,FLOWCYTOMETRY/READ 9-15,,,56.37,167.13,20
CPT,88189,FLOWCYTOMETRY/READ 16 & >,,,76.86,220.26,20
CPT,88199,UNLISTED CYTOPATHOLOGY PX,,,17.56,63.52,6
CPT,88230,HC TISSUE CULTURE LYMPHOCYTE,808.1,404.05,118.82,727.29,70
CPT,88230,TISSUE CULTURE LYMPHOCYTE,,,117.53,146.55,18
CPT,88233,HC TISSUE CULTURE SKIN BIOPSY,1437.45,718.73,143.54,1293.71,70
CPT,88233,TISSUE CULTURE SKIN/BIOPSY,,,142.16,177.03,18
CPT,88235,HC TISSUE CULTURE,1337.95,668.98,153.31,1204.16,70
CPT,88235,TISSUE CULTURE PLACENTA,,,148.8,185.23,18
CPT,88237,HC TISSUE CULTURE BONE MARROW CELLS,1289.0,644.5,146.63,1160.1,70
CPT,88237,TISSUE CULTURE BONE MARROW,,,127.5,158.89,18
CPT,88239,HC TISSUE CULTURE-SOLID TUMOR,1473.0,736.5,150.47,1325.7,70
CPT,88239,TISSUE CULTURE TUMOR,,,149.07,185.58,18
CPT,88240,CELL CRYOPRESERVE/STORAGE,,,11.72,16.34,6
CPT,88241,FROZEN CELL PREPARATION,,,10.84,15.11,6
CPT,88245,CHROMOSOME ANALYSIS 20-25,,,150.43,220.69,24
CPT,88248,CHROMOSOME ANALYSIS 50-100,,,175.14,256.73,24
CPT,88249,HC CHROM ANAL DEB MCC CLASTOGENS,584.85,292.43,127.56,526.37,70
CPT,88261,CHROMOSOME ANALYSIS 5,,,178.76,222.33,18
CPT,88261,HC CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING,1438.45,719.23,249.7,1294.61,70
CPT,88262,CHROMOSOME ANALYSIS 15-20,,,125.81,156.79,18
CPT,88262,HC CHROM COUNT 15-20/2,1116.5,558.25,128.0,1004.85,70
CPT,88263,CHROMOSOME ANALYSIS 45,,,151.87,222.79,24
CPT,88264,CHROMOSOME ANALYSIS 20-25,,,125.81,156.79,18
CPT,88264,HC CHROM ANLYS ANLYSZE 20,1028.2,514.1,147.5,925.38,70
CPT,88267,CHROMOSOME ANALYS PLACENTA,,,181.85,226.13,18
CPT,88267,HC CHROMOSOME ANALYSIS,1605.75,802.88,192.34,1445.18,70
CPT,88269,CHROMOSOME ANALYS AMNIOTIC,,,168.18,209.23,18
CPT,88269,HC CHROM ANALYSIS 1KTP,900.0,450.0,177.13,810.0,70
CPT,88271,CYTOGENETICS DNA PROBE,,,13.83,18.21,18
CPT,88271,HC CYTOGENETICS DNA PROBE FISH,444.35,222.18,21.85,399.92,70
CPT,88272,CYTOGENETICS 3-5,,,26.34,50.88,23
CPT,88273,CYTOGENETICS 10-30,,,31.78,40.41,18
CPT,88273,HC CHROM IN SITU HYB ANAL 10 30 CELL,775.65,387.83,35.51,698.09,69
CPT,88274,CYTOGENETICS 25-99,,,34.49,43.78,18
CPT,88274,HC CYTOGENETICS 25-99,541.55,270.78,43.23,487.4,69
CPT,88275,CYTOGENETICS 100-300,,,39.93,50.52,18
CPT,88275,HC CYTOGENETICS 100-300,889.25,444.63,52.21,800.33,70
CPT,88280,CHROMOSOME KARYOTYPE STUDY,,,24.63,31.57,18
CPT,88280,HC CHROM ANAL ADD KTPS,336.75,168.38,34.14,303.08,70
CPT,88283,CHROMOSOME BANDING STUDY,,,18.69,101.69,24
CPT,88285,CHROMOSOME COUNT ADDITIONAL,,,18.43,23.9,18
CPT,88285,HC COUNT ADDITIONAL CELLS,444.25,222.13,8.0,399.83,70
CPT,88289,CHROMOSOME STUDY ADDITIONAL,,,33.59,51.05,24
CPT,88291,CYTO/MOLECULAR REPORT,,,11.07,39.54,20
CPT,88299,UNLISTED CYTOGENETIC STUDY,,,51.83,246.55,6
CPT,88300,HC SURG PATH GROSS LEVEL I,190.3,95.15,7.29,171.27,70
CPT,88300,SURGICAL PATH GROSS,,,3.45,18.75,33
CPT,88302,HC SURG PATH LEVEL II,330.6,165.3,14.64,297.54,70
CPT,88302,TISSUE EXAM BY PATHOLOGIST,,,5.25,38.27,33
CPT,88304,HC SURG PATH LEVEL III,437.9,218.95,20.8,394.11,70
CPT,88304,TISSUE EXAM BY PATHOLOGIST,,,8.81,78.03,40
CPT,88305,HC SURG PATH LEVEL IV,692.6,346.3,31.77,623.34,70
CPT,88305,TISSUE EXAM BY PATHOLOGIST,,,30.25,127.58,41
CPT,88307,HC SURG PATH LEVEL V,992.85,496.43,47.04,893.57,70
CPT,88307,TISSUE EXAM BY PATHOLOGIST,,,64.35,326.01,35
CPT,88309,HC SURG PATH LEVEL VI,1139.2,569.6,58.7,1025.28,70
CPT,88309,TISSUE EXAM BY PATHOLOGIST,,,111.11,488.28,33
CPT,88311,DECALCIFY TISSUE,,,7.4,23.35,33
CPT,88311,HC DECALCIFY TISSUE,150.75,75.38,6.13,135.68,70
CPT,88312,HC SPECIAL STAINS GROUP I,287.55,143.78,7.35,258.8,70
CPT,88312,SPECIAL STAINS GROUP 1,,,21.47,126.73,33
CPT,88313,HC SPECIAL STAINS GROUP II,341.3,170.65,6.57,307.17,70
CPT,88313,SPECIAL STAINS GROUP 2,,,9.41,92.61,33
CPT,88314,HC SPECIAL HISTOCHEM STAIN W/FROZ,459.75,229.88,17.1,413.78,70
CPT,88314,HISTOCHEMICAL STAINS ADD-ON,,,18.2,97.25,33
CPT,88319,ENZYME HISTOCHEMISTRY,,,21.17,153.28,33
CPT,88319,HC ENZYME HISTOCHEMISTRY,213.9,106.95,14.64,971.19,70
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,,,18.16,95.88,20
CPT,88323,CONSLTJ&REPRT MATRL PREP SLD,,,26.87,135.45,33
CPT,88323,HC MICROSLIDE CONSULT W SLIDE PREP,363.1,181.55,20.8,326.79,70
CPT,88325,CONSLTJ COMPRE RVW REC REPRT,,,99.89,156.18,14
CPT,88325,HC COMPREHENSIVE REVIEW OF DATA PRO LAB COMPREHENSIVE REVIEW OF DATA,1140.65,570.33,31.31,1026.59,70
CPT,88329,PATH CONSLTJ DRG SURG,,,12.21,70.62,20
CPT,88331,HC PATH CONSULT SURGERY W FROZEN,476.8,238.4,34.24,429.12,70
CPT,88331,PATH CONSLTJ SURG 1 BLK 1SPC,,,36.46,116.31,33
CPT,88332,HC PATH CONSULT IN SURG W ADDN FRZ SEC,268.75,134.38,17.1,241.88,70
CPT,88332,PATH CONSLTJ SURG EA ADD BLK,,,22.38,62.96,33
CPT,88333,HC CONSULT PATH SURGERY CYTO INIT,200.15,100.08,43.65,971.19,70
CPT,88333,PATH CONSLTJ SURG CYTO XM 1,,,28.07,105.49,33
CPT,88334,HC INTRAOP CYTO PATH CONSULT 2,117.65,58.83,25.66,105.89,70
CPT,88334,PATH CONSLTJ SURG CYTO XM EA,,,17.37,64.6,33
CPT,88341,HC IMMUNOHISTO ANTB ADDL SLIDE,509.9,254.95,57.79,458.91,70
CPT,88341,IMHCHEM/IMCYTCHM EA ADD ANTB,,,18.32,109.78,33
CPT,88342,HC IMMUNOHISOCHEMISTRY EA ANTIBODY STAIN,673.9,336.95,19.56,606.51,70
CPT,88342,IMHCHEM/IMCYTCHM 1ST ANTB,,,31.84,128.06,33
CPT,88344,HC PATH IMMUNOCYTOCHEM EA MULTIPLEX,1116.3,558.15,243.47,1004.67,69
CPT,88344,IMHCHEM/IMCYTCHM EA MLT ANTB,,,33.68,195.66,33
CPT,88346,HC IMMUNOFLUORESCENT STUDY INDIRECT ANTI RIBONUCLEIC ACID,622.95,311.48,17.1,560.66,70
CPT,88346,IMFLUOR 1ST 1ANTB STAIN PX,,,32.84,164.01,33
CPT,88348,ELECTRON MICROSCOPY DX,,,60.25,555.78,33
CPT,88348,HC ELECTRON MICROSCOPY DIAGNOSTIC,1769.75,884.88,69.08,1592.78,70
CPT,88350,HC IMMUNOFLUO ADD AB STAIN EACH,499.95,249.98,17.1,449.96,70
CPT,88350,IMFLUOR EA ADDL 1ANTB STN PX,,,24.08,125.49,33
CPT,88355,M/PHMTRC ALYS SKELETAL MUSC,,,51.96,203.73,39
CPT,88356,ANALYSIS NERVE,,,51.83,272.83,39
CPT,88358,ANALYSIS TUMOR,,,36.81,203.73,39
CPT,88360,HC MORPHO ANLYS TUMR HER-2/NEU,636.85,318.43,39.72,573.17,70
CPT,88360,TUMOR IMMUNOHISTOCHEM/MANUAL,,,37.89,136.0,33
CPT,88361,HC MORPHO ANLYS COMPUTER ASST,630.8,315.4,60.17,567.72,70
CPT,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,,,39.63,132.55,33
CPT,88362,NERVE TEASING PREPARATIONS,,,61.16,971.19,39
CPT,88363,HC EXAM SELECTION ARCHIVE SPECIMEN,96.75,48.38,21.1,87.08,69
CPT,88363,XM ARCHIVE TISSUE MOLEC ANAL,,,17.49,21.86,5
CPT,88364,HC IN SITU HYBRIDIZATION EA ADDL,873.75,436.88,59.03,786.38,70
CPT,88364,INSITU HYBRIDIZATION (FISH),,,22.85,146.78,33
CPT,88365,HC IN SITU HYBRIDIZATION FISH,873.75,436.88,9.9,786.38,70
CPT,88365,INSITU HYBRIDIZATION (FISH),,,39.16,197.76,33
CPT,88366,INSITU HYBRIDIZATION (FISH),,,53.02,304.21,39
CPT,88367,INSITU HYBRIDIZATION AUTO,,,30.42,427.66,39
CPT,88368,HC MORPH ANALYSIS MANUAL INITIAL,771.4,385.7,136.19,694.26,70
CPT,88368,INSITU HYBRIDIZATION MANUAL,,,38.86,169.68,33
CPT,88369,HC MORPH ANALYSIS MANUAL EA ADDL,771.4,385.7,101.65,694.26,70
CPT,88369,M/PHMTRC ALYSISHQUANT/SEMIQ,,,21.14,148.65,33
CPT,88371,PROTEIN WESTERN BLOT TISSUE,,,14.74,32.95,20
CPT,88372,PROTEIN ANALYSIS W/PROBE,,,14.74,33.72,20
CPT,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,17.77,75.39,38
CPT,88374,HC MORPH ANAL EA MULTIPLEX,1293.65,646.83,166.24,1164.29,69
CPT,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,38.03,308.36,33
CPT,88375,OPTICAL ENDOMICROSCPY INTERP,,,43.47,54.34,10
CPT,88377,HC MORPH ALYS ISH QUANT SEMIQ MNL EA MULTI HER-2 NEU,1542.75,771.38,125.05,1388.48,70
CPT,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,55.37,439.21,33
CPT,88380,HC MICRODISSECTION LASER CAPTURE,1245.9,622.95,94.01,1121.31,70
CPT,88380,MICRODISSECTION LASER,,,48.69,144.41,15
CPT,88381,HC MICRODISSECTION MANUAL,480.3,240.15,90.77,432.27,70
CPT,88381,MICRODISSECTION MANUAL,,,21.55,219.34,15
CPT,88387,MACROSCOPIC XM DSJ&PREP TISS,,,6.51,39.09,39
CPT,88388,Lab,,,19.96,19.96,1
CPT,88388,Physician Fee Schedule,,,12.26,14.89,18
CPT,88399,UNLISTED SURGICAL PATH PX,,,18.38,63.52,6
CPT,88720,BILIRUBIN TOTAL TRANSCUT,,,6.23,11.25,21
CPT,88720,HC BILIRUBIN TOTAL TRANSCUTANEOUS,58.55,29.28,5.12,52.7,70
CPT,88738,HGB QUANT TRANSCUTANEOUS,,,5.12,7.44,15
CPT,88740,HC HGB QUANT TRANSCUT CARBOXYHEM,137.15,68.58,7.44,123.44,70
CPT,88740,TRANSCUTANEOUS CARBOXYHB,,,6.47,6.6,9
CPT,88741,TRANSCUTANEOUS METHB,,,6.47,11.71,15
CPT,89049,CHCT FOR MAL HYPERTHERMIA,,,55.24,359.88,20
CPT,89050,BODY FLUID CELL COUNT,,,5.84,5.96,9
CPT,89050,HC CELL COUNT MISC BODY FLUIDS,189.45,94.73,4.81,170.51,70
CPT,89051,BODY FLUID CELL COUNT,,,6.42,6.55,9
CPT,89051,HC BODY FLUID CELL COUNT W DIFF,223.15,111.58,5.71,200.84,70
CPT,89055,HC LEUKOCYTE COUNT FECAL,68.1,34.05,4.36,61.29,70
CPT,89055,LEUKOCYTE ASSESSMENT FECAL,,,5.26,5.37,9
CPT,89060,EXAM SYNOVIAL FLUID CRYSTALS,,,8.82,20.85,14
CPT,89060,HC EXAM SYNOVIAL FLUID CRYSTALS,132.85,66.43,7.48,119.57,70
CPT,89125,SPECIMEN FAT STAIN,,,5.33,7.35,15
CPT,89160,EXAM FECES FOR MEAT FIBERS,,,4.55,6.06,15
CPT,89190,HC NASAL SMEAR FOR EOSINOPHILS,139.5,69.75,5.91,125.55,70
CPT,89190,NASAL SMEAR FOR EOSINOPHILS,,,5.74,5.85,9
CPT,89220,HC SPUTUM COLLECTION,175.1,87.55,38.19,203.73,69
CPT,89220,SPUTUM SPECIMEN COLLECTION,,,16.99,21.24,5
CPT,89230,COLLECT SWEAT FOR TEST,,,2.61,3.26,5
CPT,89230,HC SWEAT COLLECTION,441.45,220.73,51.83,397.31,69
CPT,89240,UNLISTED MISC PATH TEST,,,51.83,63.52,5
CPT,89250,HC CULTURE OOCYTE/EMBRYOS<4DAY,2582.7,1291.35,166.24,2324.43,69
CPT,89251,CULTR OOCYTE/EMBRYO <4 DAYS,,,166.24,203.73,5
CPT,89253,HC EMBRYO HATCHING MICROTECHNIQUE,910.1,455.05,166.24,819.09,69
CPT,89254,HC OOCYTE ID,983.85,491.93,166.24,885.47,69
CPT,89255,HC EMBRYO PREP,1008.5,504.25,51.83,907.65,69
CPT,89257,HC SPERM ID ASPIRATION NONSEMINAL,203.1,101.55,44.3,182.79,69
CPT,89258,HC CRYOPRESERVATION EMBRYOS,737.35,368.68,160.82,971.19,69
CPT,89259,HC CRYOPRESERVATION SPERM,394.75,197.38,86.09,355.28,69
CPT,89260,HC SPERM ISOLATION SMP PREP,252.1,126.05,51.83,226.89,69
CPT,89261,HC SPERM ISO CPLX PREP IVF ZYMOT,761.85,380.93,51.83,685.67,69
CPT,89261,HC SPERM ISOLATION CPLX PREP,602.65,301.33,51.83,542.39,69
CPT,89264,HC SPERM ID TESTIS TISSUE,152.8,76.4,33.33,137.52,69
CPT,89268,HC INSEMINATION OF OOCYTES,737.95,368.98,160.95,664.16,69
CPT,89272,HC EXT CULTURE OOCYTES 4-7 DAYS,1068.8,534.4,233.11,971.19,69
CPT,89280,HC ASSTD OOCYTE FERT 10 OR LESS,2705.65,1352.83,590.1,2435.09,69
CPT,89281,HC ASSTD OOCYTE FERT MORE THAN 10,2705.65,1352.83,166.24,2435.09,69
CPT,89290,HC BIOPSY OCYTE POLAR BODY LESS THAN OR EQ 5 EMBRYO,2406.85,1203.43,166.24,2166.17,69
CPT,89291,HC BX OOC MORE THAN 5 EMBRYOS,2336.7,1168.35,166.24,2103.03,69
CPT,89300,SEMEN ANALYSIS W/HUHNER,,,10.04,12.3,14
CPT,89310,HC SEMEN ANALYSIS MOTILITY & COUNT W/O HUHNER,130.5,65.25,8.78,117.45,69
CPT,89310,SEMEN ANALYSIS W/COUNT,,,10.34,10.55,9
CPT,89320,HC SEMEN ANALYSIS COMPLETE,267.25,133.63,12.56,240.53,69
CPT,89320,SEMEN ANAL VOL/COUNT/MOT,,,14.86,15.16,9
CPT,89321,HC SEMEN PRESENCE MOTILITY,204.45,102.23,12.29,184.01,69
CPT,89321,SEMEN ANAL SPERM DETECTION,,,19.9,19.9,1
CPT,89322,HC SEMEN ANALYSIS KRUGER,86.85,43.43,15.81,78.17,69
CPT,89325,HC SPERM ANTIBODY,107.0,53.5,10.88,96.3,69
CPT,89325,SPERM ANTIBODY TEST,,,13.16,13.42,9
CPT,89329,SPERM EVALUATION TEST,,,19.98,24.49,5
CPT,89330,EVALUATION CERVICAL MUCUS,,,10.59,12.98,5
CPT,89331,HC SPERM EVAL RETRO EJACULATION,232.3,116.15,19.98,209.07,69
CPT,89335,HC CRYOPRESERVATION REPR TESTIC,144.15,72.08,31.44,129.74,69
CPT,89337,HC CRYOPRESERVATION MATURE OOCYTE,737.35,368.68,160.82,663.62,69
CPT,89342,HC STORAGE PER YEAR EMBRYO(S),300.35,150.18,65.51,270.32,69
CPT,89343,HC STORAGE PER YEAR SPERM/SEMEN,277.75,138.88,60.58,249.98,69
CPT,89344,HC STORE PR YR TESTICULAR/OVARIAN,144.15,72.08,31.44,203.73,69
CPT,89346,HC STORE PR YR OOCYTE(S),309.4,154.7,67.48,278.46,69
CPT,89352,HC THAWING OF EMBRYO(S),152.75,76.38,33.31,203.73,69
CPT,89353,HC THAWING OF SPERM/SEMEN,165.0,82.5,35.99,148.5,69
CPT,89354,HC THAWING TESTICULAR/OVARIAN,144.15,72.08,31.44,203.73,69
CPT,89356,HC THAWING OOCYTES EA ALIQUOT,144.15,72.08,31.44,203.73,70
CPT,89398,UNLISTED REPROD MED LAB PROC,,,51.83,63.52,5
CPT,90371,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,386.05,193.03,84.2,347.45,140
CPT,90371,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,2667.4,1333.7,136.88,2400.66,140
CPT,90371,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION",2783.6,1391.8,136.88,2505.24,140
CPT,90371,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,696.85,348.43,136.88,627.17,140
CPT,90375,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,5536.9,2768.45,285.45,8305.34,426
CPT,90376,RABIES IG HEAT TREATED,,,354.27,532.42,6
CPT,90377,RABIES IG HT&SOL HUMAN IM/SC,,,226.69,277.81,5
CPT,90378,HC PALIVIZUMAB 50MG INJECTION,3032.0,1516.0,661.28,2728.8,71
CPT,90378,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION,12817.225,6408.615,734.27,12376.53,142
CPT,90378,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION,6787.775,3393.89,734.27,6554.39,142
CPT,90378,RSV MAB IM 50MG,,,1994.71,4069.36,2
CPT,90380,HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE,2093.65,1046.83,456.63,1884.29,65
CPT,90380,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2354.5,1177.25,513.52,2119.05,130
CPT,90380,RSV MONOC ANTB SEASN .5ML IM,,,561.92,1106.37,5
CPT,90381,HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE,3256.75,1628.38,710.3,2931.08,65
CPT,90381,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2354.5,1177.25,513.52,2119.05,130
CPT,90381,RSV MONOC ANTB SEASN 1 ML IM,,,561.92,1106.37,5
CPT,90396,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,8926.675,4463.34,1904.08,8210.75,280
CPT,90460,HC IMMUNIZ ADMIN THRU AGE 18 ANY ROUTE W COUNSEL 1ST VACCINE/TOXOID,46.6,23.3,10.16,41.94,69
CPT,90460,IM ADMIN 1ST/ONLY COMPONENT,,,20.45,53.04,25
CPT,90461,HC IMMUNIZ ADMIN THRU AGE 18 ANY ROUTE W COUNSEL EA ADD VACCINE/TOXOID,46.55,23.28,8.3,41.9,69
CPT,90461,IM ADMIN EACH ADDL COMPONENT,,,8.13,31.79,17
CPT,90471,HC HEALTH CHOICE/CHECK IMMUN ADMIN 1 VAC,20.3,10.15,7.8,53.04,43
CPT,90471,HC IMMUN ADMIN SINGLE,118.15,59.08,25.77,106.34,69
CPT,90472,HC IMMUN ADMIN EACH ADDL,92.45,46.23,13.72,83.21,69
CPT,90472,IMMUNIZATION ADMIN EACH ADD,,,11.06,31.79,26
CPT,90473,HC ADMINISTRATION VACCINE ORAL/INTRANASAL,25.1,12.55,5.47,84.61,69
CPT,90473,IMMUNE ADMIN ORAL/NASAL,,,11.15,53.04,19
CPT,90474,HC HEALTH CHOICE/CHECK IMMUN ORAL EA ADDL,9.4,4.7,3.61,33.03,43
CPT,90474,HC IMMUN ADMIN INTRANASAL/ORAL EACH ADDL,44.3,22.15,9.66,39.87,69
CPT,90480,ADMN SARSCOV2 VAC 1/ONLY CMP,,,40.28,88.98,17
CPT,90585,BCG VACCINE PERCUT,,,165.29,165.29,1
CPT,90586,BCG VACCINE INTRAVESICAL,,,160.37,160.37,1
CPT,90611,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",1309.5,654.75,0.01,1178.55,70
CPT,90619,HC MENINGOCOCCAL VACCINE QUADRIVALENT TETANUS,133.25,66.63,29.06,175.6,66
CPT,90619,MENACWY-TT VACCINE IM,,,169.64,338.76,5
CPT,90620,HC MENINGOCOCCAL B VACC 0.5ML,580.7,290.35,126.65,522.63,66
CPT,90620,MENB-4C VACCINE IM,,,188.76,458.56,6
CPT,90620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",800.05,400.03,174.49,720.05,132
CPT,90621,HC MENINGOCOCCAL B 120MCG/0.5ML,528.4,264.2,115.24,475.56,66
CPT,90621,"N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE",853.6,426.8,186.17,768.24,66
CPT,90622,VACCINIA VRS VAC 0.3 ML PERQ,,,0.01,0.01,5
CPT,90625,CHOLERA VACCINE LIVE ORAL,,,289.41,289.41,1
CPT,90630,Others,,,18.78,18.78,1
CPT,90632,HC HEPATITIS A VACCINE ADULT INJ,119.35,59.68,26.03,107.42,66
CPT,90632,HEPA VACCINE ADULT IM,,,71.9,172.17,9
CPT,90632,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",326.3,163.15,71.17,293.67,132
CPT,90633,HC HEPATITIS A VIRUS VACCINE PEDS,50.25,25.13,10.96,45.23,66
CPT,90633,HEPA VACC PED/ADOL 2 DOSE IM,,,42.35,81.01,9
CPT,90633,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION,168.75,84.38,36.8,151.88,132
CPT,90633,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,160.9,80.45,35.09,144.81,132
CPT,90633,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,163.1,81.55,35.57,146.79,132
CPT,90636,HC HEP A-HEP B VACCINE PF INJ,174.7,87.35,38.1,157.23,66
CPT,90636,HEP A/HEP B VACC ADULT IM,,,109.51,263.44,7
CPT,90636,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,478.4,239.2,104.34,430.56,132
CPT,90644,HIB-MENCY VACC 6WK-18M0 IM,,,25.24,25.24,1
CPT,90647,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,170.0,85.0,31.13,153.0,132
CPT,90647,HC HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE,103.55,51.78,22.58,93.2,66
CPT,90647,HIB PRP-OMP VACC 3 DOSE IM,,,27.07,64.47,10
CPT,90648,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,67.5,33.75,12.97,66.06,396
CPT,90648,HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,50.5,25.25,11.01,45.45,66
CPT,90648,HIB PRP-T VACCINE 4 DOSE IM,,,34.07,34.07,1
CPT,90649,HC HUM PAPILLOMAVIRUS VACC 0.5ML INJ,298.85,149.43,65.18,268.97,65
CPT,90651,9VHPV VACCINE 2/3 DOSE IM,,,252.03,623.94,6
CPT,90651,HC HUMAN PAPILLOMAVIRUS VACCINE 9,402.2,201.1,87.72,361.98,65
CPT,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION",1016.9,508.45,221.79,915.21,130
CPT,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",1422.2,711.1,310.18,1279.98,130
CPT,90653,IIV ADJUVANT VACCINE IM,,,100.12,122.7,5
CPT,90655,IIV3 VACC NO PRSV 0.25 ML IM,,,15.91,15.91,1
CPT,90656,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,40.0,20.0,8.72,36.0,284
CPT,90656,HC INFLUENZA VAC 36MONTHS & UP INJ,99.2,49.6,17.59,89.28,71
CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,,,11.25,13.79,5
CPT,90658,HC INFLUENZA VAC ADULT INJ,91.4,45.7,16.83,82.26,71
CPT,90660,LAIV3 VACCINE INTRANASAL,,,21.66,37.14,6
CPT,90661,CCIIV3 VAC ABX FR 0.5 ML IM,,,50.48,61.87,5
CPT,90662,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,75.0,37.5,16.36,122.7,142
CPT,90662,HC INFLUENZA (FLUZONE HD) QUAD PF 0.5M,65.3,32.65,14.24,122.7,71
CPT,90662,IIV NO PRSV INCREASED AG IM,,,65.78,159.28,10
CPT,90664,LAIV VACC PANDEMIC INTRANASL,,,19.98,19.98,1
CPT,90670,HC PNEUMOCOCCAL 13-VALENT VAC,794.35,397.18,173.25,714.92,71
CPT,90670,PCV13 VACCINE IM,,,212.32,557.26,12
CPT,90671,HC PNEUMOCOCCAL PCV15 VACCINE FOR IM USE,525.75,262.88,114.67,473.18,71
CPT,90672,HC INFLUENZA VACCINE FOR INTRANASAL USE,57.65,28.83,12.57,51.89,66
CPT,90672,LAIV4 VACCINE INTRANASAL,,,27.67,58.06,3
CPT,90673,HC INFLUENZA(FLUBLOCK)HEMA TRI 0.5ML,32.65,16.33,7.12,122.7,71
CPT,90674,HC CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE,164.05,82.03,35.78,147.65,66
CPT,90675,HC RABIES VAC INJ,534.75,267.38,116.63,481.28,71
CPT,90675,RABIES VACCINE IM,,,594.26,594.26,1
CPT,90675,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1578.325,789.165,319.95,1486.08,284
CPT,90675,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1777.775,888.89,319.95,1837.76,284
CPT,90676,RABIES VACCINE ID,,,269.76,330.59,5
CPT,90677,HC PCV20 VACCINE FOR INTRAMUSCULAR USE,1003.85,501.93,218.94,903.47,71
CPT,90677,PCV20 VACCINE IM,,,233.49,680.38,11
CPT,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1077.4,538.7,231.36,984.6,213
CPT,90678,HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,777.9,388.95,169.66,700.11,66
CPT,90678,"RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",1248.0,624.0,272.19,1123.2,198
CPT,90678,RSV VACC PREF BIVALENT IM,,,359.76,659.35,6
CPT,90679,HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE,615.25,307.63,134.19,553.73,66
CPT,90679,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",1145.95,572.98,249.93,1031.36,66
CPT,90679,RSV VACC PREF RECOMB ADJT IM,,,341.46,625.83,3
CPT,90680,HC ROTAVIRUS VAC PENTAVALENT INJ,154.45,77.23,33.69,139.01,66
CPT,90680,RV5 VACC 3 DOSE LIVE ORAL,,,87.38,208.23,10
CPT,90681,HC ROTAVIRUS VACCINE 1ML SUSP,401.4,200.7,87.55,361.26,66
CPT,90681,RV1 VACC 2 DOSE LIVE ORAL,,,292.34,292.34,1
CPT,90684,PCV21 VACCINE IM,,,334.45,409.87,5
CPT,90685,HC FLU VACCINE FLUZONE QUAD 0.25 ML,75.0,37.5,16.36,67.5,65
CPT,90686,HC INFLUENZA 0.5ML,32.65,16.33,7.12,29.39,66
CPT,90686,IIV4 VACC NO PRSV 0.5 ML IM,,,23.02,48.91,12
CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,,,11.58,11.58,1
CPT,90688,HC IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE,32.65,16.33,7.12,29.39,66
CPT,90690,TYPHOID VACCINE ORAL,,,167.23,231.47,2
CPT,90690,"TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE",430.5,215.25,93.89,387.45,65
CPT,90691,"HC TYPHOID VACCINE, IM",479.55,239.78,96.7,431.6,66
CPT,90691,TYPHOID VACCINE IM,,,102.82,182.95,7
CPT,90691,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,677.45,338.73,96.7,609.71,132
CPT,90696,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",277.6,138.8,60.54,249.84,132
CPT,90696,DTAP-IPV VACCINE 4-6 YRS IM,,,69.17,131.39,6
CPT,90696,HC DTAP/IPV VACCINE PEDS 0.5ML,82.4,41.2,17.97,74.16,66
CPT,90697,DTAP-IPV-HIB-HEPB VACCINE IM,,,131.11,318.1,3
CPT,90697,HC DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR,316.6,158.3,69.05,284.94,66
CPT,90698,DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT,532.05,266.03,116.04,478.85,66
CPT,90698,DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT,471.75,235.88,102.89,424.58,66
CPT,90698,DTAP-IPV/HIB VACCINE IM,,,99.57,241.52,5
CPT,90698,HC DTAP/HIB/IPV VAC PEDS 0.5ML,316.6,158.3,69.05,284.94,66
CPT,90700,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",127.8,63.9,27.87,115.02,132
CPT,90700,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",163.3,81.65,29.1,146.97,132
CPT,90700,DTAP VACCINE < 7 YRS IM,,,32.51,69.2,8
CPT,90700,HC DIPHTHERIA/TETANUS/PERTUSSIS INJ,57.2,28.6,12.48,51.48,66
CPT,90702,DT VACCINE UNDER 7 YRS IM,,,143.42,143.42,1
CPT,90702,HC TET/DIPHTH TOX 0.5 ML INJ,146.9,73.45,32.04,132.21,65
CPT,90702,"TETANUS,DIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP",306.85,153.43,66.92,276.17,130
CPT,90707,HC MEASLES-MUMPS-RUBELLA VACCINE INJ,136.6,68.3,29.79,122.94,66
CPT,90707,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",389.8,194.9,85.02,350.82,132
CPT,90707,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",410.85,205.43,89.61,369.77,132
CPT,90707,MMR VACCINE SC,,,84.27,200.7,8
CPT,90710,HC MMR/VARICELLA VACCINE - INJ,559.4,279.7,122.01,503.46,66
CPT,90710,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1294.55,647.28,282.34,1165.1,132
CPT,90710,MMRV VACCINE SC,,,194.43,586.2,9
CPT,90713,HC POLIOVIRUS VACCINE 0.5ML INJ,61.55,30.78,13.42,55.4,66
CPT,90713,POLIOVIRUS IPV SC/IM,,,36.33,88.19,8
CPT,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,1966.3,983.15,44.75,1769.67,132
CPT,90714,HC DIPHTHERIA TOXOID-TETANUS ADULT,58.4,29.2,12.74,52.56,66
CPT,90714,TD VACC NO PRESV 7 YRS+ IM,,,33.13,77.73,10
CPT,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP,224.2,112.1,33.68,201.78,132
CPT,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,224.2,112.1,33.68,201.78,132
CPT,90715,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE",273.6,136.8,42.51,246.24,132
CPT,90715,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP",273.6,136.8,42.51,246.24,132
CPT,90715,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",212.4,106.2,42.51,191.16,132
CPT,90715,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP",216.25,108.13,42.51,194.63,132
CPT,90715,HC TDAP (ADULT) 0.5ML ADULT INJ,142.2,71.1,31.01,127.98,66
CPT,90715,TDAP VACCINE 7 YRS/> IM,,,54.18,106.85,12
CPT,90716,HC VARICELLA VIRUS INJECTION,252.4,126.2,55.05,227.16,66
CPT,90716,VAR VACCINE LIVE SUBQ,,,134.33,378.3,9
CPT,90716,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",869.45,434.73,183.32,782.51,132
CPT,90717,HC YELLOW FEVER VACCINE LIVE SUBQ,855.0,427.5,148.03,769.5,66
CPT,90717,YELLOW FEVER VACCINE SUBQ,,,220.52,320.49,2
CPT,90723,DTAP-HEP B-IPV VACCINE IM,,,84.44,201.01,10
CPT,90723,HC DIPHTH/HEPB/PER ACEL/POLIO/TET IN,117.5,58.75,25.63,105.75,66
CPT,90723,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,315.5,157.75,68.81,283.95,132
CPT,90732,HC PNEUMOCOCCAL 23-VALENT VACCINE,185.5,92.75,40.46,166.95,71
CPT,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION,541.2,270.6,118.04,487.08,142
CPT,90732,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,541.2,270.6,118.04,487.08,142
CPT,90732,PPSV23 VACC 2 YRS+ SUBQ/IM,,,109.79,288.3,9
CPT,90733,HC MENINGOCOCCAL INJECTION,526.5,263.25,111.93,473.85,66
CPT,90734,HC MENINGOCOCCAL/DIPHTH INJECTION,233.0,116.5,50.82,209.7,66
CPT,90734,MENACWYD/MENACWYCRM VACC IM,,,135.2,322.22,9
CPT,90734,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",528.4,264.2,115.24,475.56,66
CPT,90734,MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION,528.4,264.2,115.24,475.56,66
CPT,90734,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",524.95,262.48,114.49,472.46,132
CPT,90736,HC ZOSTER VACCINE LIVE INJECTION,453.7,226.85,98.95,408.33,65
CPT,90738,HC JAPANESE ENCEPHALITIS VIRUS VACCINE,721.45,360.73,157.35,649.31,66
CPT,90738,INACTIVATED JE VACC IM,,,606.43,606.43,1
CPT,90739,HC HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE,332.3,166.15,72.47,299.07,70
CPT,90739,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,637.35,318.68,139.01,573.62,140
CPT,90739,HEPB VACC 2/4 DOSE ADULT IM,,,125.8,336.93,10
CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,,,167.71,205.53,6
CPT,90743,HC HEP B VACC ADOL 2 DOSE IM,110.4,55.2,24.08,99.36,70
CPT,90744,HC HEPATITIS B VACCINE PEDS,44.15,22.08,9.63,39.74,71
CPT,90744,HEPB VACC 3 DOSE PED/ADOL IM,,,31.96,145.27,10
CPT,90746,HC HEPATITIS B VACCINE ADULT IM,88.15,44.08,19.23,87.97,71
CPT,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP,208.3,104.155,44.59,190.94,142
CPT,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP,262.3,131.15,57.21,236.07,142
CPT,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,262.3,131.15,57.21,236.07,142
CPT,90746,HEPB VACCINE 3 DOSE ADULT IM,,,60.3,167.36,11
CPT,90747,HEPB VACC 4 DOSE IMMUNSUP IM,,,143.57,304.02,10
CPT,90748,HIB-HEPB VACCINE IM,,,45.58,45.58,1
CPT,90750,HC VARICELLA-ZOSTER 50MCG/0.5ML,416.85,208.43,90.91,375.17,66
CPT,90750,HZV VACC RECOMBINANT IM,,,160.88,398.0,6
CPT,90750,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",795.9,397.955,155.97,788.99,132
CPT,90756,CCIIV4 VACC ABX FREE IM,,,35.94,35.94,1
CPT,90759,HEP B VAC 3AG 10MCG 3 DOS IM,,,75.29,92.27,5
CPT,90785,HC PSYCHOTHERAPY COMPLEX INTERACTIVE,47.8,23.9,10.43,90.45,70
CPT,90785,PSYTX COMPLEX INTERACTIVE,,,3.84,35.42,19
CPT,90791,HC FAC PSYCHIATRIC DIAGNOSTIC EVALUATION,139.15,69.58,30.35,191.02,70
CPT,90791,HC PSYCHIATRIC DIAGNOSTIC EVALUATION PRO FEE,350.55,175.28,95.58,378.32,43
CPT,90792,HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,139.15,69.58,30.35,191.02,70
CPT,90792,PSYCH DIAG EVAL W/MED SRVCS,,,98.81,422.65,25
CPT,90832,HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES,162.95,81.48,35.54,191.02,70
CPT,90832,HC PSYCHOTHERAPY W/PATIENT 30 MINUTES,162.95,81.48,35.54,191.02,70
CPT,90832,PSYTX W PT 30 MINUTES,,,40.15,164.66,23
CPT,90833,HC PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN,162.95,81.48,35.54,146.66,70
CPT,90833,PSYTX W PT W E/M 30 MIN,,,33.6,166.72,23
CPT,90834,HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES,188.0,94.0,41.0,191.02,70
CPT,90834,HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES PRO FEE,226.25,113.13,60.29,217.34,43
CPT,90836,HC FAC PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN,188.0,94.0,41.0,169.2,70
CPT,90836,PSYTX W PT W E/M 45 MIN,,,55.02,211.31,21
CPT,90837,HC FAC PSYCHOTHERAPY PT &/ FAMILY 60 MIN,219.4,109.7,47.85,197.46,70
CPT,90837,PSYTX W PT 60 MINUTES,,,90.91,321.15,25
CPT,90838,HC PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN,219.4,109.7,47.85,197.46,70
CPT,90838,PSYTX W PT W E/M 60 MIN,,,88.31,283.38,18
CPT,90839,HC FAC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MIN,219.4,109.7,47.85,197.46,70
CPT,90839,PSYTX CRISIS INITIAL 60 MIN,,,113.9,350.62,16
CPT,90840,PSYTX CRISIS EA ADDL 30 MIN,,,63.32,168.54,20
CPT,90845,PSYCHOANALYSIS,,,65.81,191.02,19
CPT,90846,FAMILY PSYTX W/O PT 50 MIN,,,69.82,255.68,18
CPT,90846,HC FAC PSYTX CRISIS EA ADD 16-45 MIN,113.8,56.9,24.82,191.02,70
CPT,90846,HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN,55.35,27.68,12.07,191.02,69
CPT,90846,HC LIC PSYTX FAMILY W/O PT FAC 50 MIN,55.35,27.68,12.07,191.02,70
CPT,90847,FAMILY PSYTX W/PT 50 MIN,,,83.74,263.85,22
CPT,90847,HC LIC PSYTX FAMILY W/PT FAC,55.35,27.68,12.07,191.02,70
CPT,90847,HC PSYCHOTHERAPY FAMILY W/PT 50 MIN,55.35,27.68,12.07,191.02,70
CPT,90849,HC MULTIP FAMILY-GROUP PSYCHOTHERAPY,107.05,53.53,23.35,191.02,70
CPT,90849,MULTIPLE FAMILY GROUP PSYTX,,,24.38,35.8,14
CPT,90853,GROUP PSYCHOTHERAPY,,,23.85,75.38,19
CPT,90853,HC GROUP PSYCHOTHERAPY,201.55,100.78,43.96,181.4,70
CPT,90853,HC IOP PSYCH PER DIEM,201.55,100.78,43.96,394.0,69
CPT,90853,HC IOP TX ISSUEGROUP45-50,201.55,100.78,43.96,394.0,69
CPT,90853,HC LIC GRP PSYTX FAC-INT,201.55,100.78,43.96,181.4,70
CPT,90863,PHARMACOLOGIC MGMT W/PSYTX,,,23.83,29.2,5
CPT,90865,NARCOSYNTHESIS,,,108.62,191.02,19
CPT,90867,HC TMS TREATMENT INITIAL,663.5,331.75,52.77,597.15,70
CPT,90867,TCRANIAL MAGN STIM TX PLAN,,,152.19,451.0,6
CPT,90868,HC TMS TREATMENT SUBSEQUENT,620.85,310.43,52.77,558.77,70
CPT,90868,TCRANIAL MAGN STIM TX DELI,,,61.89,126.83,6
CPT,90869,HC TMS TREATMENT SUB REDETERMINATION,1118.65,559.33,52.77,1006.79,70
CPT,90869,TCRAN MAGN STIM REDETEMINE,,,126.83,158.54,5
CPT,90870,ELECTROCONVULSIVE THERAPY,,,69.94,367.18,20
CPT,90870,HC ELECTROCONVULSIVE THERAPY 1 SEIZ,3464.6,1732.3,238.69,3118.14,74
CPT,90875,PSYCHOPHYSIOLOGICAL THERAPY,,,55.88,68.48,5
CPT,90876,PSYCHOPHYSIOLOGICAL THERAPY,,,98.54,120.75,5
CPT,90880,HYPNOTHERAPY,,,80.9,109.97,10
CPT,90885,PSY EVALUATION OF RECORDS,,,44.71,54.79,5
CPT,90887,HC CONSULTATION WITH FAMILY,217.65,108.83,47.47,195.89,70
CPT,90899,UNLISTED PSYC SVC/THERAPY,,,28.9,35.42,5
CPT,90901,BIOFEEDBACK TRAIN ANY METH,,,17.89,22.36,5
CPT,90901,"HC PT BIOFEEDBACK TRAINING, ANY MODALITY",261.9,130.95,38.1,235.71,69
CPT,90912,BFB TRAINING 1ST 15 MIN,,,39.56,49.45,5
CPT,90912,HC PT BIOFEED TRAIN PERINEAL MUSCLES FIRST 15 MINS,295.9,147.95,64.54,266.31,69
CPT,90913,BFB TRAINING EA ADDL 15 MIN,,,22.21,27.76,5
CPT,90913,HC PT BIOFEED TRAIN PERINEAL MUSCLES EACH,295.9,147.95,30.6,266.31,69
CPT,90935,HC HEMODIALYSIS IP ACUTE,1440.1,720.05,311.55,1296.09,70
CPT,90935,HC HEMODIALYSIS OP ACUTE,1440.1,720.05,311.55,1296.09,70
CPT,90935,HEMODIALYSIS ONE EVALUATION,,,53.89,168.13,18
CPT,90937,HEMODIALYSIS REPEATED EVAL,,,88.66,276.0,20
CPT,90945,DIALYSIS ONE EVALUATION,,,55.99,211.13,18
CPT,90945,HC DAILY HOME PERITONEAL DIALYSIS,1129.35,564.68,246.31,1016.42,70
CPT,90945,HC DIALYSIS PERITONEAL CCPD,1129.35,564.68,246.31,1016.42,70
CPT,90945,HC PERITONEAL DIALYSIS OP,1129.35,564.68,246.31,1016.42,70
CPT,90945,"HC PERITONEAL DIALYSIS, CAPD-IP",1129.35,564.68,246.31,1016.42,70
CPT,90945,HC PERITONEAL DIALYSIS-IP NON CAPD,1129.35,564.68,246.31,1016.42,70
CPT,90947,DIALYSIS REPEATED EVAL,,,90.73,307.44,18
CPT,90947,HC CRRT/PIRRT DAILY CHARGE,1129.35,564.68,115.59,1016.42,69
CPT,90951,ESRD SERV 4 VISITS P MO <2YR,,,782.62,1349.73,19
CPT,90952,ESRD SERV 2-3 VSTS P MO <2YR,,,363.83,725.09,14
CPT,90953,ESRD SERV 1 VISIT P MO <2YRS,,,246.46,554.13,14
CPT,90954,ESRD SERV 4 VSTS P MO 2-11,,,642.6,1647.37,21
CPT,90955,ESRD SRV 2-3 VSTS P MO 2-11,,,363.83,607.56,19
CPT,90956,ESRD SRV 1 VISIT P MO 2-11,,,246.45,405.89,19
CPT,90957,ESRD SRV 4 VSTS P MO 12-19,,,515.77,1646.37,20
CPT,90958,ESRD SRV 2-3 VSTS P MO 12-19,,,347.97,580.76,19
CPT,90959,ESRD SERV 1 VST P MO 12-19,,,228.36,378.71,19
CPT,90960,ESRD SRV 4 VISITS P MO 20+,,,228.75,412.7,19
CPT,90961,ESRD SRV 2-3 VSTS P MO 20+,,,184.68,342.41,19
CPT,90962,ESRD SERV 1 VISIT P MO 20+,,,133.55,236.11,19
CPT,90963,ESRD HOME PT SERV P MO <2YRS,,,442.1,702.36,19
CPT,90964,ESRD HOME PT SERV P MO 2-11,,,368.92,1177.64,21
CPT,90965,ESRD HOME PT SERV P MO 12-19,,,350.91,579.43,19
CPT,90966,ESRD HOME PT SERV P MO 20+,,,182.72,342.41,19
CPT,90967,ESRD SVC PR DAY PT <2,,,15.81,20.31,19
CPT,90968,ESRD SVC PR DAY PT 2-11,,,12.34,19.9,19
CPT,90969,ESRD SVC PR DAY PT 12-19,,,12.04,38.44,20
CPT,90970,ESRD SVC PR DAY PT 20+,,,6.38,11.29,19
CPT,90989,DIALYSIS TRAINING COMPLETE,,,500.0,510.0,9
CPT,90989,HC DIALYSIS TRAINING COMPLETE,781.35,390.68,170.41,703.22,65
CPT,90993,DIALYSIS TRAINING INCOMPL,,,20.0,20.4,9
CPT,90993,HC DIALYSIS TRAINING INCOMPLETE,391.05,195.53,85.29,351.95,65
CPT,90997,HEMOPERFUSION,,,81.87,102.34,10
CPT,90999,HC HEMODIALYSIS,1533.35,766.68,311.55,1380.02,65
CPT,90999,HC HEMODIALYSIS ESRD PT < 6 TX/MO OP,1533.35,766.68,311.55,1380.02,65
CPT,91010,ESOPHAGUS MOTILITY STUDY,,,54.07,506.06,44
CPT,91010,"HC ESOPHAGEAL MOTILITY STUDY, MANOMETRY",2930.5,1465.25,464.82,2637.45,70
CPT,91013,ESOPHGL MOTIL W/STIM/PERFUS,,,8.01,28.51,38
CPT,91020,GASTRIC MOTILITY STUDIES,,,61.95,630.82,38
CPT,91022,DUODENAL MOTILITY STUDY,,,63.63,630.82,39
CPT,91030,ACID PERFUSION OF ESOPHAGUS,,,40.04,630.82,38
CPT,91034,GASTROESOPHAGEAL REFLUX TEST,,,41.95,211.84,38
CPT,91034,HC GERD TST W/ NASAL PH ELECTRODE,2221.6,1110.8,464.82,1999.44,70
CPT,91035,G-ESOPH REFLX TST W/ELECTROD,,,67.55,1493.69,39
CPT,91035,HC GERD REFLUX TEST W/ MUCOSAL TELEMTRY PH ELECTROD,2827.55,1413.78,464.82,2544.8,70
CPT,91037,ESOPH IMPED FUNCTION TEST,,,42.52,187.6,36
CPT,91037,HC GERD TST W/ NASAL IMPEDENCE ELECTRODE,1194.05,597.03,260.42,1074.65,70
CPT,91038,ESOPH IMPED FUNCT TEST > 1HR,,,48.12,436.6,39
CPT,91038,HC GERD TST W/ MUCOS IMPEDE ELECTROD >1HR,1972.8,986.4,430.27,1775.52,70
CPT,91040,ESOPH BALLOON DISTENSION TST,,,43.63,948.04,46
CPT,91065,BREATH HYDROGEN/METHANE TEST,,,8.49,179.3,42
CPT,91065,HC BREATH HYDROGEN/METHANE TEST,510.6,255.3,111.36,464.82,70
CPT,91110,GI TRC IMG INTRAL ESOPH-ILE,,,103.7,2188.36,47
CPT,91111,GI TRC IMG INTRAL ESOPHAGUS,,,41.74,1114.64,22
CPT,91112,GI WIRELESS CAPSULE MEASURE,,,97.29,1716.01,18
CPT,91112,HC GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP,3158.6,1579.3,464.82,2842.74,70
CPT,91113,GI TRC IMG INTRAL COLON I&R,,,102.95,1083.91,38
CPT,91117,COLON MOTILITY 6 HR STUDY,,,125.22,485.09,12
CPT,91120,Fee Schedule,,,55.65,1286.38,12
CPT,91120,HC RECTAL SENSATION TEST BALLOON,1288.6,644.3,281.04,1159.74,70
CPT,91120,HC RECTAL SENSATION/TONE COMPL TEST,1288.6,644.3,281.04,1159.74,70
CPT,91120,MPFS,,,44.52,447.13,12
CPT,91120,Physician Fee Schedule,,,39.63,300.3,18
CPT,91122,Fee Schedule,,,101.05,618.65,14
CPT,91122,HC ANAL PRESSURE RECORD,2162.95,1081.48,302.1,1946.66,70
CPT,91122,HC ANAL PRESSURE RECORD - MANOMETRY ANAL,2162.95,1081.48,302.1,1946.66,70
CPT,91122,MPFS,,,80.84,257.41,12
CPT,91122,Physician Fee Schedule,,,73.37,181.7,18
CPT,91132,ELECTROGASTROGRAPHY,,,24.14,469.63,20
CPT,91133,ELECTROGASTROGRAPHY W/TEST,,,30.76,493.26,20
CPT,91200,HC FIBROSCAN TRANSIENT ELASTOGRAPHY,1095.45,547.73,151.79,985.91,70
CPT,91200,LIVER ELASTOGRAPHY,,,9.7,86.1,49
CPT,91299,UNLISTED DX GI PROCEDURE,,,151.79,186.01,5
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,164.77,201.92,5
CPT,91318,SARSCOV2 VAC 3MCG TRS-SUC IM,,,66.86,81.94,6
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,,,93.88,118.5,6
CPT,91320,SARSCV2 VAC 30MCG TRS-SUC IM,,,140.21,210.46,6
CPT,91321,COVID VAC 2024-25 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYR (EUA),88.9,44.45,19.39,183.83,142
CPT,91321,SARSCOV2 VAC 25 MCG/.25ML IM,,,156.1,277.76,5
CPT,91322,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,196.0,98.0,42.75,202.07,213
CPT,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,,,156.1,277.76,6
CPT,92002,INTRM OPH EXAM NEW PATIENT,,,35.39,153.21,19
CPT,92004,COMPRE OPH EXAM NEW PT 1/>,,,73.44,153.21,19
CPT,92012,INTRM OPH EXAM EST PATIENT,,,37.44,153.21,19
CPT,92014,COMPRE OPH EXAM EST PT 1/>,,,57.51,153.21,19
CPT,92015,DETERMINE REFRACTIVE STATE,,,15.33,53.36,16
CPT,92018,COMPL OPH EXAM GENERAL ANES,,,104.09,2773.6,20
CPT,92019,LMTD OPH EXAM GENERAL ANES,,,51.94,2773.6,20
CPT,92020,GONIOSCOPY,,,15.3,153.25,19
CPT,92025,CPTRIZED CORNEAL TOPOGRAPHY,,,14.41,70.62,38
CPT,92060,SENSORIMOTOR EXAMINATION,,,24.48,73.36,39
CPT,92065,ORTHOP TRAING PFRMD PHYS/QHP,,,30.67,46.57,10
CPT,92066,ORTHOP TRAING SUPVJ PHYS/QHP,,,23.88,70.62,10
CPT,92071,CONTACT LENS FITTING FOR TX,,,19.11,42.05,19
CPT,92072,FITG C-LENS KERATOCONUS 1ST,,,54.87,144.22,19
CPT,92081,LIMITED VISUAL FIELD XM,,,14.71,70.62,38
CPT,92082,INTERMEDIATE VISUAL FIELD XM,,,17.97,70.62,38
CPT,92083,EXTENDED VISUAL FIELD XM,,,20.63,208.93,44
CPT,92100,SERIAL TONOMETRY,,,29.75,133.09,11
CPT,92132,CPTRZD OPH DX IMG ANT SGM,,,12.8,70.62,38
CPT,92133,CPTRZD OPH DX IMG PST SGM ON,,,12.8,129.51,45
CPT,92134,CPTRZ OPH DX IMG PST SGM RTA,,,13.09,129.51,41
CPT,92136,OPHTHALMIC BIOMETRY,,,15.49,214.88,42
CPT,92137,CPTRZ OPH IMG PST SG RTA OCT,,,21.48,370.22,20
CPT,92145,CORNEAL HYSTERESIS DETER,,,4.95,70.62,20
CPT,92201,OPSCPY EXTND RTA DRAW UNI/BI,,,20.86,70.62,10
CPT,92202,OPSCPY EXTND ON/MAC DRAW,,,13.42,70.62,10
CPT,92227,IMG RTA DETCJ/MNTR DS STAFF,,,15.79,70.62,11
CPT,92228,HC RETINA IMG DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI,141.35,70.68,30.83,155.77,70
CPT,92228,IMG RTA DETC/MNTR DS PHY/QHP,,,11.9,87.06,47
CPT,92229,IMG RTA DETC/MNTR DS POC ALY,,,24.11,70.62,19
CPT,92230,FLUORESCEIN ANGIOSCOPY I&R,,,29.25,630.82,10
CPT,92235,FLUORESCEIN ANGRPH MLTIFRAME,,,34.11,370.22,38
CPT,92240,ICG ANGIOGRAPHY I&R UNI/BI,,,42.96,370.22,39
CPT,92242,FLUORESCEIN&ICG ANGIOGRAPHY,,,47.01,370.22,39
CPT,92250,FUNDUS PHOTOGRAPHY W/I&R,,,14.59,153.25,38
CPT,92260,OPHTHALMODYNAMOMETRY,,,9.98,46.66,10
CPT,92265,NDL OCULOELECTROMYOGRAPHY 1+,,,32.26,99.94,38
CPT,92270,ELECTRO-OCULOGRAPHY W/I&R,,,32.62,153.25,38
CPT,92273,FULL FIELD ERG W/I&R,,,31.99,370.22,38
CPT,92274,MULTIFOCAL ERG W/I&R,,,28.36,186.01,38
CPT,92283,EXTND COLOR VISION XM,,,7.01,70.62,39
CPT,92284,DX DARK ADAPTATION EXAM I&R,,,9.41,474.41,29
CPT,92285,EXTERNAL OCULAR PHOTOGRAPHY,,,2.73,46.66,20
CPT,92286,ANT SGM IMG I&R SPECLR MIC,,,15.79,153.25,20
CPT,92287,ANT SGM IMG IR FLRSCN ANGRPH,,,21.84,153.25,20
CPT,92310,CONTACT LENS FITTING OU,,,92.77,113.69,5
CPT,92311,CONTACT LENS FITG APHAKIA 1,,,47.43,474.41,10
CPT,92312,CONTACT LENS FITG APHAKIA OU,,,56.98,153.25,10
CPT,92313,C-LENS FITG CORNEOSCLRL LENS,,,40.16,153.25,10
CPT,92314,C-LENS FITG TECH OU,,,79.86,97.87,5
CPT,92315,C-LENS FITG TECH APHAKIA 1,,,19.56,153.25,10
CPT,92316,C-LENS FITG TECH APHAKIA OU,,,29.4,153.25,10
CPT,92317,C-LENS FITG TECH CORNEOSCLRL,,,19.56,46.66,10
CPT,92325,MODIFICATION OF CONTACT LENS,,,40.35,153.25,10
CPT,92326,REPLACEMENT OF CONTACT LENS,,,34.36,70.62,10
CPT,92340,FIT SPECTACLES MONOFOCAL,,,32.51,39.83,5
CPT,92341,FIT SPECTACLES BIFOCAL,,,37.25,45.64,5
CPT,92342,FIT SPECTACLES MULTIFOCAL,,,40.14,49.19,5
CPT,92352,FIT APHAKIA SPECTCL MONOFOCL,,,57.63,70.62,5
CPT,92353,FIT APHAKIA SPECTCL MULTIFOC,,,57.63,70.62,5
CPT,92354,FITG SPECT LOW VIS 1SYSTEM,,,38.08,46.66,5
CPT,92355,FITG SPECT LW VIS CMPND LENS,,,38.08,46.66,5
CPT,92358,APHAKIA PROSTH SERVICE TEMP,,,57.63,70.62,5
CPT,92370,RPR&REFITG SPECT XCP APHAKIA,,,28.41,34.82,5
CPT,92371,RPR&REFIT SPCT PRSTH APHAKIA,,,57.63,70.62,5
CPT,92499,UNLISTED OPH SVC/PROCEDURE,,,23.76,29.12,5
CPT,92502,EAR AND THROAT EXAMINATION,,,73.77,605.43,20
CPT,92504,EAR MICROSCOPY EXAMINATION,,,7.6,32.63,19
CPT,92507,HC ST SPEECH/HEARING THERAPY INDIVIDUAL,353.05,176.53,55.28,317.75,70
CPT,92507,TX SP LANG VOICE COMM INDIV,,,23.69,195.41,18
CPT,92508,HC ST SPEECH/HEARING THERAPY GROUP,303.55,151.78,23.02,273.2,70
CPT,92508,TX SP LANG VOICE COMM GROUP,,,10.85,28.21,14
CPT,92511,HC ER NASOPHARYNGOSCOPY,368.95,184.48,75.38,332.06,72
CPT,92511,HC NASOPHARYNGOSCOPY,368.95,184.48,70.65,332.06,70
CPT,92511,NASOPHARYNGOSCOPY,,,35.27,170.54,16
CPT,92512,NASAL FUNCTION STUDIES,,,22.33,370.22,19
CPT,92516,FACIAL NERVE FUNCTION TEST,,,17.95,370.22,19
CPT,92517,VEMP TEST I&R CERVICAL,,,39.1,186.01,10
CPT,92518,VEMP TEST I&R OCULAR,,,39.62,186.01,10
CPT,92519,VEMP TST I&R CERVICAL&OCULAR,,,59.15,370.22,10
CPT,92520,HC ST LARYNGEAL FUNCTION STUDIES,393.6,196.8,85.84,354.24,69
CPT,92520,LARYNGEAL FUNCTION STUDIES,,,31.37,46.86,14
CPT,92521,EVALUATION OF SPEECH FLUENCY,,,90.73,157.44,14
CPT,92521,HC ST EVALUATION OF SPEECH FLUENCY,752.45,376.23,93.47,677.21,70
CPT,92522,EVALUATE SPEECH PRODUCTION,,,73.79,130.91,14
CPT,92522,HC ST EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE,752.45,376.23,76.14,677.21,70
CPT,92523,HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,752.45,376.23,157.77,677.21,70
CPT,92523,SPEECH SOUND LANG COMPREHEN,,,153.07,560.65,16
CPT,92524,BEHAVRAL QUALIT ANALYS VOICE,,,76.54,128.78,14
CPT,92524,HC ST BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,752.45,376.23,78.77,677.21,70
CPT,92526,HC ST ORAL FUNCTION THERAPY,345.25,172.63,60.43,310.73,70
CPT,92526,ORAL FUNCTION THERAPY,,,22.05,99.54,15
CPT,92531,SPONTANEOUS NYSTAGMUS STUDY,,,17.51,17.86,9
CPT,92532,POSITIONAL NYSTAGMUS TEST,,,17.86,18.22,9
CPT,92533,CALORIC VESTIBULAR TEST,,,11.38,11.61,9
CPT,92534,OPTOKINETIC NYSTAGMUS TEST,,,33.63,34.3,9
CPT,92537,CALORIC VSTBLR TEST W/REC,,,7.7,45.39,33
CPT,92537,HC CALORIC VESTIBULAR TEST W/REC BI BITHERMAL,329.65,164.83,71.9,517.57,70
CPT,92538,CALORIC VSTBLR TEST W/REC,,,5.61,25.4,33
CPT,92538,HC CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL,164.8,82.4,35.94,517.57,70
CPT,92540,BASIC VESTIBULAR EVALUATION,,,25.97,121.74,33
CPT,92540,HC BASIC VESTIBULAR EVALUATION,572.35,286.18,124.83,517.57,70
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,,,3.81,153.25,38
CPT,92542,POSITIONAL NYSTAGMUS TEST,,,3.51,153.25,38
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,,,3.21,186.01,38
CPT,92545,OSCILLATING TRACKING TEST,,,3.21,370.22,38
CPT,92546,SINUSOIDAL ROTATIONAL TEST,,,11.76,186.01,38
CPT,92547,SUPPLEMENTAL ELECTRICAL TEST,,,3.95,11.61,19
CPT,92548,CDP-SOT 6 COND W/I&R,,,12.2,153.25,20
CPT,92549,CDP-SOT 6 COND W/I&R MCT&ADT,,,18.19,153.25,20
CPT,92550,HC TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,225.25,112.63,49.13,517.57,70
CPT,92550,TYMPANOMETRY & REFLEX THRESH,,,12.8,25.28,14
CPT,92551,HC HEARING SCREENING,57.85,28.93,11.52,517.57,70
CPT,92551,PURE TONE HEARING TEST AIR,,,8.02,28.82,20
CPT,92552,HC PURE TONE AUDIOMETRY AIR,122.15,61.08,26.64,517.57,70
CPT,92552,PURE TONE AUDIOMETRY AIR,,,16.15,71.81,17
CPT,92553,AUDIOMETRY AIR & BONE,,,21.57,54.19,14
CPT,92553,HC AUDIOMETRY AIR & BONE,264.75,132.38,57.74,517.57,70
CPT,92555,HC SPEECH THRESHOLD AUDIOMETRY,122.15,61.08,26.64,517.57,70
CPT,92555,SPEECH THRESHOLD AUDIOMETRY,,,11.96,33.96,14
CPT,92556,HC SPEECH DET THRESH/SPEECH REC,175.95,87.98,38.37,517.57,70
CPT,92556,SPEECH AUDIOMETRY COMPLETE,,,18.49,52.69,14
CPT,92557,COMPREHENSIVE HEARING TEST,,,29.72,106.97,18
CPT,92557,HC COMPREHENSIVE HEARING TEST,440.45,220.23,96.06,517.57,70
CPT,92558,HC CLINIC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS,218.25,109.13,8.88,196.43,69
CPT,92562,LOUDNESS BALANCE TEST,,,16.99,370.22,19
CPT,92563,TONE DECAY HEARING TEST,,,15.32,46.66,19
CPT,92565,STENGER TEST PURE TONE,,,9.44,70.62,19
CPT,92567,HC TYMPANOMETRY,201.95,100.98,38.08,517.57,70
CPT,92567,TYMPANOMETRY,,,9.98,37.88,15
CPT,92568,ACOUSTIC REFL THRESHOLD TST,,,14.09,46.66,19
CPT,92570,ACOUSTIC IMMITANCE TESTING,,,18.44,186.01,19
CPT,92571,FILTERED SPEECH TEST,,,12.23,46.66,19
CPT,92572,STAGGERED SPONDAIC WORD TEST,,,13.07,186.01,19
CPT,92575,SENSORINEURAL ACUITY LVL TST,,,26.4,82.91,19
CPT,92576,SYNTHETIC SENTENCE ID TEST,,,15.78,50.81,19
CPT,92577,STENGER TEST SPEECH,,,12.8,630.82,19
CPT,92579,HC VISUAL REINFORCEMENT AUDIOMETRY,550.6,275.3,120.09,517.57,70
CPT,92579,VISUAL AUDIOMETRY (VRA),,,32.67,43.06,14
CPT,92582,CONDITIONING PLAY AUDIOMETRY,,,30.81,100.24,14
CPT,92582,HC CONDITIONING PLAY AUDIOMETRY,286.15,143.08,62.41,517.57,70
CPT,92583,HC SELECT PICTURE AUDIOMETRY,123.9,61.95,27.02,517.57,70
CPT,92583,SELECT PICTURE AUDIOMETRY,,,24.75,66.54,14
CPT,92584,ELECTROCOCHLEOGRAPHY,,,50.19,186.01,19
CPT,92587,EVOKED AUDITORY TEST LIMITED,,,3.21,29.76,33
CPT,92587,HC OTOACOUSTIC EMISSION TEST LIMITED,227.6,113.8,49.64,517.57,70
CPT,92588,EVOKED AUDITORY TST COMPLETE,,,4.41,49.24,33
CPT,92588,HC OTOACOUSTIC EMISSION TEST COMP,357.05,178.53,77.87,517.57,70
CPT,92590,Physician Fee Schedule,,,34.46,35.15,9
CPT,92591,Physician Fee Schedule,,,51.76,52.8,9
CPT,92592,Physician Fee Schedule,,,15.08,15.38,9
CPT,92593,Physician Fee Schedule,,,22.8,23.26,9
CPT,92594,Physician Fee Schedule,,,16.65,16.98,9
CPT,92595,Physician Fee Schedule,,,24.89,25.39,9
CPT,92596,EAR PROTECTOR EVALUATION,,,26.04,89.75,19
CPT,92597,HC ST EVAL VOICE PROSTH DEVICE,752.45,376.23,69.95,677.21,70
CPT,92597,ORAL SPEECH DEVICE EVAL,,,68.57,85.71,5
CPT,92601,COCHLEAR IMPLT F/UP EXAM <7,,,112.31,186.01,19
CPT,92602,REPROGRAM COCHLEAR IMPLT <7,,,64.56,186.01,19
CPT,92603,COCHLEAR IMPLT F/UP EXAM 7/>,,,101.28,186.01,19
CPT,92604,REPROGRAM COCHLEAR IMPLT 7/>,,,57.89,186.01,19
CPT,92605,EX FOR NONSPEECH DEVICE RX,,,86.34,105.81,5
CPT,92606,NON-SPEECH DEVICE SERVICE,,,74.22,90.96,5
CPT,92607,EX FOR SPEECH DEVICE RX 1HR,,,116.11,145.14,14
CPT,92607,HC ST EVAL SPEECH-GEN AUG/ALT COMM DEV 1ST HR,580.8,290.4,55.28,522.72,70
CPT,92608,EX FOR SPEECH DEVICE RX ADDL,,,22.21,56.93,14
CPT,92608,HC ST EVAL DEVICE ADDL 30,269.2,134.6,27.64,242.28,70
CPT,92609,HC ST THER SRVC SPEECH GEN DEV USE W/PROG,395.05,197.53,55.28,355.55,70
CPT,92609,USE OF SPEECH DEVICE SERVICE,,,61.75,120.89,14
CPT,92610,EVALUATE SWALLOWING FUNCTION,,,59.72,195.28,16
CPT,92610,HC ST EVAL ORAL & PHARYNGEAL SWALLOW FUNCTION,475.3,237.65,81.65,427.77,70
CPT,92611,HC ST EVAL SWALLOW FUNCTION CINE/VIDEO RECORD,585.6,292.8,69.41,527.04,70
CPT,92611,MOTION FLUOROSCOPY/SWALLOW,,,65.04,106.45,14
CPT,92612,ENDOSCOPY SWALLOW (FEES) VID,,,53.17,77.4,14
CPT,92612,HC ST ENDOSCOPIC EVAL SWALLOW CINE/VIDEO,1262.5,631.25,185.37,1136.25,69
CPT,92613,ENDOSCOPY SWALLOW (FEES) I&R,,,34.69,42.51,5
CPT,92613,HC ENDO SWALLOW TEST INTER/REPORT,252.15,126.08,34.01,226.94,32
CPT,92614,LARYNGOSCOPIC SENSORY VID,,,53.17,172.03,19
CPT,92615,LARYNGOSCOPIC SENSORY I&R,,,30.22,37.78,10
CPT,92616,FEES W/LARYNGEAL SENSE TEST,,,78.42,264.41,19
CPT,92617,FEES W/LARYNGEAL SENSE I&R,,,37.5,47.25,10
CPT,92618,EX FOR NONSPEECH DEV RX ADD,,,30.27,37.09,5
CPT,92620,AUDITORY FUNCTION 60 MIN,,,58.44,92.8,14
CPT,92620,HC AUDITORY FUNCTION 1ST 60 MIN,335.1,167.55,73.09,517.57,70
CPT,92621,AUDITORY FUNCTION + 15 MIN,,,13.58,21.91,14
CPT,92621,HC AUDITORY FUNCTION ADDL 15 MIN,83.95,41.98,18.31,517.57,70
CPT,92622,DX ALY AUD OI SND PRCSR 1ST,,,53.49,186.01,19
CPT,92623,DX ALY AUD OI SND PRCSR EACH,,,14.17,23.72,19
CPT,92625,TINNITUS ASSESSMENT,,,46.27,186.01,19
CPT,92626,EVAL AUD FUNCJ 1ST HOUR,,,63.53,186.01,19
CPT,92627,EVAL AUD FUNCJ EA ADDL 15,,,15.49,23.72,19
CPT,92630,AUD REHAB PRE-LING HEAR LOSS,,,43.62,44.49,9
CPT,92633,AUD REHAB POSTLING HEAR LOSS,,,43.62,44.49,9
CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,43.63,186.01,19
CPT,92650,AEP SCR AUDITORY POTENTIAL,,,46.61,47.54,9
CPT,92650,HC AEP SCREENING AUDITORY POTENTIAL,252.85,126.43,24.57,517.57,70
CPT,92651,AEP HEARING STATUS DETER I&R,,,69.5,91.3,14
CPT,92651,HC AEP HEARING STATUS DETERMINE I&R,252.85,126.43,55.15,517.57,70
CPT,92652,AEP THRSHLD EST MLT FREQ I&R,,,92.04,125.44,14
CPT,92652,HC AEP THRSHLD ESTIMATE MULTI FREQ I&R,1147.3,573.65,250.23,1032.57,70
CPT,92653,AEP NEURODIAGNOSTIC I&R,,,67.69,370.22,19
CPT,92700,HC DIAG SMELL TEST,299.0,149.5,23.76,269.1,70
CPT,92700,HC ST FEES/MBS NON RECORDED,585.6,292.8,23.76,527.04,69
CPT,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH,18263.4,9131.7,261.3,16437.06,70
CPT,92920,PRQ TRLUML C ANGIOP 1ART&/BR,,,427.21,586.0,14
CPT,92921,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH,7811.75,3905.88,261.3,7030.58,65
CPT,92924,HC CATH PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH,32470.4,16235.2,261.3,29223.36,70
CPT,92924,PRQ TRLUML C ATHRC 1 ART&/BR,,,507.81,698.05,14
CPT,92925,HC CATH PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH,18598.15,9299.08,261.3,16738.34,65
CPT,92928,HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,22707.4,11353.7,261.3,20436.66,70
CPT,92928,PRQ TCAT PLMT NTRAC ST 1 LES,,,474.36,651.3,14
CPT,92929,HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH,8610.1,4305.05,261.3,7749.09,65
CPT,92933,HC CATH PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH,55177.25,27588.63,261.3,49659.53,70
CPT,92933,PRQ TRLML C ATHRC ST ANGIOP1,,,530.45,730.9,14
CPT,92934,HC CATH PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH,18323.3,9161.65,261.3,16490.97,65
CPT,92937,HC CATH PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,55177.25,27588.63,261.3,49659.53,70
CPT,92937,PRQ TRLUML REVSC CAB GRF 1,,,473.82,650.9,14
CPT,92938,HC CATH PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL,22503.75,11251.88,261.3,20253.38,65
CPT,92941,HC PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,33071.6,16535.8,261.3,29764.44,70
CPT,92941,PRQ TRLML REVSC TOT OCCL AMI,,,531.48,731.81,14
CPT,92943,HC CATH PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,55177.25,27588.63,261.3,49659.53,70
CPT,92943,PRQ TRLUML REVSC CH OCC ANT,,,531.48,731.71,14
CPT,92944,HC CATH PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL,33958.1,16979.05,261.3,30562.29,65
CPT,92950,HC CARDIOPULMONARY RESUSCITATION,1388.1,694.05,261.3,1249.29,70
CPT,92950,HC ER RESUSCITATION CARDIOPULMONARY CPR,1388.1,694.05,75.38,1249.29,72
CPT,92950,HEART/LUNG RESUSCITATION CPR,,,143.49,700.83,19
CPT,92953,HC ER PACING TEMP TRANSCUTANEOUS,744.55,372.28,75.38,777.98,72
CPT,92953,TEMPORARY EXTERNAL PACING,,,0.84,9.76,14
CPT,92960,CARDIOVERSION ELECTRIC EXT,,,99.59,412.05,24
CPT,92960,HC CARDIOVERSION ELECTIVE EXTERNAL,2575.0,1287.5,261.3,2317.5,70
CPT,92960,HC ER CARDIOVERSION ELECTIVE EXTERNAL,2575.0,1287.5,75.38,2317.5,72
CPT,92961,CARDIOVERSION ELECTRIC INT,,,211.25,777.98,19
CPT,92970,CARDIOASSIST INTERNAL,,,147.56,209.0,19
CPT,92971,CARDIOASSIST EXTERNAL,,,83.78,111.26,19
CPT,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,13543.7,6771.85,136.52,12189.33,69
CPT,92972,PERQ TRLUML CORONRY LITHOTRP,,,115.96,167.3,14
CPT,92973,HC CATH PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY,10364.5,5182.25,159.06,9328.05,70
CPT,92973,PRQ TRLUML C MCHN ASP THRMBC,,,149.77,370.87,16
CPT,92974,CATH PLACE CARDIO BRACHYTX,,,137.28,178.36,14
CPT,92974,HC CATH TRANSCATH PLACMT RAD DELIV DEV CORONARY,9052.45,4526.23,145.54,8147.21,70
CPT,92975,Fee Schedule,,,415.89,415.89,1
CPT,92975,HC THROMBOLYSIS INTRACORONARY INFUSION SLCTV ANGRPH,24282.0,12141.0,261.3,21853.8,70
CPT,92975,MPFS,,,332.71,345.3,4
CPT,92975,Physician Fee Schedule,,,328.99,335.57,9
CPT,92977,Fee Schedule,,,61.31,61.31,1
CPT,92977,HC ER THROMBOLYSIS CORONARY IV INF,1288.45,644.23,75.38,1159.61,72
CPT,92977,MPFS,,,49.05,50.91,4
CPT,92977,Physician Fee Schedule,,,100.02,102.02,9
CPT,92978,ENDOLUMINL IVUS OCT C 1ST,,,80.77,846.68,44
CPT,92978,HC CATH INTRAVASC US HEART 1ST VESSEL,10349.85,5174.93,261.3,9314.87,65
CPT,92979,ENDOLUMINL IVUS OCT C EA,,,64.7,232.45,37
CPT,92979,HC CATH INTRAVASC CORONARY SONO ADDN VESSEL,9152.5,4576.25,261.3,8237.25,65
CPT,92986,HC CATH PERCUT AORTIC VALVULOPLASTY,16270.25,8135.13,261.3,14643.23,70
CPT,92986,REVISION OF AORTIC VALVE,,,1117.24,1477.38,14
CPT,92987,HC CATH PERCUT MITRAL VALVULOPLASTY,16270.25,8135.13,261.3,14643.23,70
CPT,92987,REVISION OF MITRAL VALVE,,,1156.35,1523.43,14
CPT,92990,HC CATH PERCUT PULMONARY VALVULOPLASTY,23890.4,11945.2,261.3,21501.36,70
CPT,92990,REVISION OF PULMONARY VALVE,,,889.97,1219.26,14
CPT,92997,HC TRANSLMN BALL ANGIOPLASTY,30690.9,15345.45,261.3,27621.81,70
CPT,92997,PUL ART BALLOON REPR PERCUT,,,516.87,2090.37,17
CPT,92998,HC CATH PUL ART BALLOON REPAIR PERC ADDN VES,17115.65,8557.83,261.3,15404.09,70
CPT,92998,PUL ART BALLOON REPR PERCUT,,,264.58,353.64,14
CPT,93000,ELECTROCARDIOGRAM COMPLETE,,,13.12,92.53,32
CPT,93005,ELECTROCARDIOGRAM TRACING,,,5.61,29.85,24
CPT,93005,HC ELECTROCARDIOGRAM TRACING,581.55,290.78,57.63,523.4,70
CPT,93010,ELECTROCARDIOGRAM REPORT,,,7.66,9.39,5
CPT,93010,HC EKG INTERPRETATION PRO FEE,27.45,13.73,7.29,33.69,43
CPT,93015,CV STRESS TEST SUPVJ I&R,,,67.05,261.21,28
CPT,93016,CV STRESS TEST SUPVJ ONLY,,,19.56,71.23,30
CPT,93017,CV STRESS TEST TRACING ONLY,,,34.28,147.44,23
CPT,93017,HC CARDIAC STRESS TEST TRACING ONLY,2849.05,1424.53,155.77,2564.15,70
CPT,93018,CV STRESS TEST I&R ONLY,,,13.18,47.05,30
CPT,93024,ERGONOVINE PROVOCATION TEST,,,50.99,474.41,38
CPT,93025,MICROVOLT T-WAVE ASSESS,,,33.33,186.01,38
CPT,93040,RHYTHM ECG WITH REPORT,,,10.53,40.09,28
CPT,93041,HC EKG RHYTHM TRACING ONLY,259.65,129.83,56.63,233.69,70
CPT,93041,RHYTHM ECG TRACING,,,4.1,7.39,14
CPT,93042,RHYTHM ECG REPORT,,,6.27,7.84,19
CPT,93050,ART PRESSURE WAVEFORM ANALYS,,,7.4,29.12,20
CPT,93150,HC THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS,1523.65,761.83,89.05,1371.29,70
CPT,93150,THERAPY ACTIVATION IPNSS,,,34.19,48.44,14
CPT,93151,HC INTERROG&PRGRMG IMPL PHRENIC NRV STIMULATOR SYS,1523.65,761.83,89.05,1371.29,70
CPT,93151,INTERROG&PRGRMG IPNSS,,,32.26,45.68,14
CPT,93152,HC INTERROG&PRGRMG IPNSS DURING POLYSOMNOGRAPHY,4211.05,2105.53,123.12,3789.95,70
CPT,93152,INTERROG&PRGRMG IPNSS POLYSM,,,75.33,101.8,14
CPT,93153,HC INTERROGATION WITHOUT PROGRAMMING IPNSS,761.85,380.93,89.05,685.67,70
CPT,93153,INTERROG W/O PRGRMG IPNSS,,,17.29,24.94,14
CPT,93224,XTRNL ECG REC UP TO 48 HRS,,,63.88,93.5,19
CPT,93225,HC ECG MONITOR/REPORT 48 HRS REC,1563.8,781.9,125.05,1407.42,70
CPT,93225,XTRNL ECG REC<48 HRS REC,,,16.09,86.13,20
CPT,93226,HC ECG MONITOR/REPORT 48 HR ANLYS,1377.9,688.95,57.63,1240.11,70
CPT,93226,XTRNL ECG REC<48 HR SCAN A/R,,,30.77,42.4,14
CPT,93227,XTRNL ECG REC<48 HR R&I,,,17.02,85.99,23
CPT,93228,REMOTE 30 DAY ECG REV/REPORT,,,20.86,84.45,26
CPT,93229,REMOTE 30 DAY ECG TECH SUPP,,,20.86,861.05,20
CPT,93241,XTRNL ECG REC>48HR<7D,,,91.67,481.33,20
CPT,93242,EXT ECG>48HR<7D RECORDING,,,10.4,48.92,23
CPT,93242,HC EXT EKG >48HR <7DAYS CONNECT,143.65,71.83,31.33,464.82,70
CPT,93243,EXT ECG>48HR<7D SCAN A/R,,,125.05,261.99,19
CPT,93244,EXT ECG>48HR<7D REV&INTERPJ,,,19.24,82.32,28
CPT,93245,EXT ECG>7D<15D REC SCAN A/R,,,22.26,314.23,19
CPT,93246,EXT ECG>7D<15D RECORDING,,,10.4,48.92,22
CPT,93246,HC EXT EKG >7DAYS <15DAYS CONNECT,236.25,118.13,38.08,464.82,70
CPT,93247,EXT ECG>7D<15D SCAN A/R,,,125.05,271.71,19
CPT,93248,EXT ECG>7D<15D REV&INTERPJ,,,21.12,90.39,29
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,,,31.07,191.19,43
CPT,93261,INTERROGATE SUBQ DEFIB,,,30.77,125.59,44
CPT,93264,REM MNTR WRLS P-ART PRS SNR,,,32.54,44.33,10
CPT,93268,ECG RECORD/REVIEW,,,152.17,208.71,19
CPT,93270,HC ECG EVENT RECORD/DISCON 24H/30,342.6,171.3,36.18,308.34,70
CPT,93270,REMOTE 30 DAY ECG REV/REPORT,,,7.1,45.92,23
CPT,93271,ECG/MONITORING AND ANALYSIS,,,122.72,562.25,18
CPT,93271,HC ECG EVENT MON/ANALYS UP TO 30,1484.2,742.1,89.05,1335.78,70
CPT,93272,ECG/REVIEW INTERPRET ONLY,,,22.26,81.63,29
CPT,93278,ECG/SIGNAL-AVERAGED,,,11.6,36.1,15
CPT,93278,HC ECG-SIGNAL AVERAGED,1111.6,555.8,57.63,1000.44,70
CPT,93279,PRGRMG DEV EVAL PM/LDLS PM,,,28.94,151.14,51
CPT,93280,HC EP PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,306.0,153.0,36.18,275.4,70
CPT,93280,PM DEVICE PROGR EVAL DUAL,,,32.44,178.88,58
CPT,93281,PM DEVICE PROGR EVAL MULTI,,,36.18,208.38,48
CPT,93282,PRGRMG EVAL IMPLANTABLE DFB,,,34.06,191.34,58
CPT,93283,PRGRMG EVAL IMPLANTABLE DFB,,,36.18,245.84,60
CPT,93284,PRGRMG EVAL IMPLANTABLE DFB,,,36.18,276.2,58
CPT,93285,PRGRMG DEV EVAL SCRMS IP,,,23.24,127.65,46
CPT,93286,HC PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM,456.05,228.03,41.19,410.45,70
CPT,93286,PERI-PX EVAL PM/LDLS PM IP,,,12.25,50.49,35
CPT,93287,HC EP PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,582.5,291.25,47.98,524.25,70
CPT,93287,PERI-PX DEVICE EVAL & PRGR,,,17.99,64.3,34
CPT,93288,INTERROG EVL PM/LDLS PM IP,,,18.92,67.21,42
CPT,93289,INTERROG DEVICE EVAL HEART,,,31.67,195.73,42
CPT,93290,HC CARDIAC IMPLANT DEVICE EVAL,213.6,106.8,36.18,261.3,70
CPT,93290,INTERROG DEV EVAL ICPMS IP,,,17.3,61.2,34
CPT,93291,INTERROG DEV EVAL SCRMS IP,,,16.38,68.6,44
CPT,93292,HC INTERROGATION EVAL WEARABLE DEFIB DEVICE,435.35,217.68,36.18,391.82,70
CPT,93292,WCD DEVICE INTERROGATE,,,19.13,99.07,34
CPT,93293,PM PHONE R-STRIP DEVICE EVAL,,,12.94,153.79,40
CPT,93294,REM INTERROG EVL PM/LDLS PM,,,27.16,101.87,29
CPT,93295,DEV INTERROG REMOTE 1/2/MLT,,,33.48,199.68,28
CPT,93296,REM INTERROG EVL PM/IDS,,,17.89,95.15,29
CPT,93297,HC CARDIAC IMPLANT DEVICE EVAL UP TO 30 DAYS,97.8,48.9,21.33,261.3,70
CPT,93297,REM INTERROG DEV EVAL ICPMS,,,20.86,75.07,30
CPT,93298,REM INTERROG DEV EVAL SCRMS,,,22.94,114.2,39
CPT,93303,ECHO TRANSTHORACIC,,,56.04,739.04,54
CPT,93303,HC COMPLETE TTE CONGENITAL CARDIAC ANOMALY,1763.4,881.7,261.3,1587.06,70
CPT,93304,ECHO TRANSTHORACIC,,,31.74,489.0,41
CPT,93304,HC TTE CONGEN ANOM LIMITED W/O CONTRAST,837.8,418.9,182.72,754.02,70
CPT,93306,HC ECHOCARDIOGRAM/DOPPLER/COMPLETE,3560.1,1780.05,261.3,3204.09,70
CPT,93306,TTE W/DOPPLER COMPLETE,,,58.27,708.46,66
CPT,93307,TTE W/O DOPPLER COMPLETE,,,40.29,287.37,38
CPT,93308,HC ECHO 2-D LIMITED W/O CONTRAST,1218.85,609.43,234.5,1096.97,70
CPT,93308,TTE F-UP OR LMTD,,,22.97,380.64,63
CPT,93312,ECHO TRANSESOPHAGEAL,,,94.37,339.93,42
CPT,93312,HC ECHO HEART TRANSESOPHAGEAL COMPLETE,3183.25,1591.63,261.3,2864.93,70
CPT,93313,ECHO TRANSESOPHAGEAL,,,10.34,34.47,14
CPT,93313,HC TEE PROBE PLACEMENT ADULT,2176.65,1088.33,261.3,1958.99,70
CPT,93314,ECHO TRANSESOPHAGEAL,,,53.41,253.26,38
CPT,93315,ECHO TRANSESOPHAGEAL,,,115.99,651.35,40
CPT,93315,HC ECHO TEE ANOM CMPL W/PF W/O CONTR,4203.3,2101.65,261.3,3782.97,70
CPT,93316,ECHO TRANSESOPHAGEAL,,,23.56,37.71,14
CPT,93316,HC TEE PROBE PLACE/CONGENITAL HEART,1376.85,688.43,261.3,1239.17,70
CPT,93317,ECHO TRANSESOPHAGEAL,,,75.07,456.91,33
CPT,93318,ECHO TRANSESOPHAGEAL INTRAOP,,,91.33,646.03,33
CPT,93318,HC CATH ECHO TRANSESOPH FOR MONITORING,3143.4,1571.7,261.3,2829.06,70
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,,,21.53,26.91,5
CPT,93319,HC 3D ECHO CON DEF DURING TEE/TTE,2726.65,1363.33,50.06,2453.99,70
CPT,93320,DOPPLER ECHO COMPLETE,,,16.4,201.27,55
CPT,93320,HC DOPPLER ECHO HEART COMPLETE,944.45,472.23,46.58,850.01,70
CPT,93321,DOPPLER ECHO F-UP/LMTD STD,,,6.56,99.19,63
CPT,93321,HC ECHO DOPPLER LIMITED,472.25,236.13,22.89,425.03,70
CPT,93325,DOPPLER ECHO COLOR FLOW MAPG,,,2.86,235.16,63
CPT,93325,HC DOPPLER COLOR FLOW VELOCITY MAP,864.5,432.25,20.95,778.05,70
CPT,93350,HC ECHO REST & STRESS W/ OR W/O PF,2062.55,1031.28,261.3,1856.3,70
CPT,93350,STRESS TTE ONLY,,,63.66,748.88,58
CPT,93351,STRESS TTE COMPLETE,,,53.98,870.92,57
CPT,93352,ADMIN ECG CONTRAST AGENT,,,30.01,104.0,27
CPT,93355,ECHO TRANSESOPHAGEAL (TEE),,,192.4,733.52,16
CPT,93355,HC CATH ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN,5878.1,2939.05,210.18,5290.29,70
CPT,93356,HC MYOCARDIAL STRAIN IMAGING FOR MYOCARDIAL MECHANICS,929.9,464.95,33.72,836.91,70
CPT,93356,MYOCRD STRAIN IMG SPCKL TRCK,,,10.89,81.7,16
CPT,93451,HC RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT,21372.45,10686.23,778.87,19235.21,70
CPT,93451,RIGHT HEART CATH,,,116.92,919.63,43
CPT,93452,HC LEFT HRT CATH W/VENTRCLGRPHY,23554.85,11777.43,778.87,21199.37,70
CPT,93452,LEFT HRT CATH W/VENTRCLGRPHY,,,204.92,965.03,34
CPT,93453,HC R&L HRT CATH W/VENTRICLGRPHY,30845.9,15422.95,778.87,27761.31,70
CPT,93453,R&L HRT CATH W/VENTRICLGRPHY,,,268.76,1231.78,36
CPT,93454,CORONARY ARTERY ANGIO S&I,,,206.59,971.78,43
CPT,93454,"HC CATH CATH PLACE/CORONARY ANGIO, IMG SUPER/INTERP",24282.0,12141.0,778.87,21853.8,70
CPT,93455,CORONARY ART/GRFT ANGIO S&I,,,238.56,1085.03,36
CPT,93455,HC CORONARY ART/GRFT ANGIO S&I,28352.85,14176.43,778.87,25517.57,70
CPT,93456,HC RHRT CORONARY ARTERY ANGIO,30386.85,15193.43,778.87,27348.17,70
CPT,93456,R HRT CORONARY ARTERY ANGIO,,,264.65,1210.0,38
CPT,93457,HC RHRT ART/GRFT ANGIO,34445.9,17222.95,778.87,31001.31,70
CPT,93457,R HRT ART/GRFT ANGIO,,,296.7,1320.7,36
CPT,93458,HC LEFT HEART CATH WITH ANGIOGRAM,29306.55,14653.28,778.87,26375.9,70
CPT,93458,L HRT ARTERY/VENTRICLE ANGIO,,,252.12,1119.88,43
CPT,93459,HC LHRT ART/GRFT ANGIO,32368.95,16184.48,778.87,29132.06,70
CPT,93459,L HRT ART/GRFT ANGIO,,,283.9,1206.0,40
CPT,93460,HC R&L HRT ART/VENTRICLE ANGIO,34611.95,17305.98,778.87,31150.76,70
CPT,93460,R&L HRT ART/VENTRICLE ANGIO,,,316.34,1337.98,42
CPT,93461,HC R&L HRT ART/VTRCLE ANGIO RL CATH,39689.7,19844.85,778.87,35720.73,70
CPT,93461,R&L HRT ART/VENTRICLE ANGIO,,,348.87,1476.15,34
CPT,93462,HC CATH LEFT HEART CATH BY TRANSEPTAL PUNCTURE,5441.65,2720.83,187.1,4897.49,70
CPT,93462,L HRT CATH TRNSPTL PUNCTURE,,,160.78,667.32,17
CPT,93463,DRUG ADMIN & HEMODYNMIC MEAS,,,85.52,332.04,15
CPT,93463,HC CATH MEDICATION ADMIN & HEMODYNAMIC MEASURMENT,2886.65,1443.33,91.19,2597.99,70
CPT,93464,EXERCISE W/HEMODYNAMIC MEAS,,,75.29,244.55,33
CPT,93464,HC PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU,6072.3,3036.15,199.55,5465.07,70
CPT,93503,HC SWAN GANZ INSERTION,3711.8,1855.9,778.87,3340.62,70
CPT,93503,INSERT/PLACE HEART CATHETER,,,80.63,100.79,14
CPT,93505,ENDOMYOCARDIAL BIOPSY,,,197.78,746.42,40
CPT,93505,HC BIOPSY ENDOMYOCARDIAL,21616.4,10808.2,778.87,19454.76,70
CPT,93563,HC INJECT CONGENITAL CARD CATH,7790.55,3895.28,47.2,7011.5,70
CPT,93563,NJX CGEN CAR CTH SLCTV C ANG,,,45.32,133.71,16
CPT,93564,HC INJECT HEART CONGENITAL ART/GRAFT,7880.9,3940.45,50.03,7092.81,70
CPT,93564,NJX CGEN CAR CATH SLCTV OPAC,,,46.08,61.31,14
CPT,93565,HC INJECT LEFT VENTR/ATRIAL ANGIO,5165.6,2582.8,24.54,4649.04,70
CPT,93565,NJX CAR CTH SLCTV LV/LA ANG,,,24.06,135.35,16
CPT,93566,HC INJECT RIGHT VENTR/ATRIAL ANGIO,5237.2,2618.6,23.75,4713.48,70
CPT,93566,NJX CAR CTH SLCTV RV/RA ANG,,,23.29,247.44,17
CPT,93567,HC INJECT SUPRAVALVULAR AORTOGRAPHY DURING HEART CATH,5041.4,2520.7,33.94,4537.26,70
CPT,93567,NJX CAR CTH SPRVLV AORTGRPHY,,,33.27,158.0,22
CPT,93568,HC CATH INJECT PULMONARY ANGIOGRAPHY DURING HEART CATH,5852.6,2926.3,42.45,5267.34,70
CPT,93568,NJX CAR CTH NSLC P-ART ANGRP,,,35.7,143.08,17
CPT,93569,HC INJ DURING CATH PULM ART ANGIOGRAPHY UNI,3813.55,1906.78,30.27,3432.2,70
CPT,93569,NJX CTH SLCT P-ART ANGRP UNI,,,30.56,118.88,15
CPT,93571,HC CATH HEART FLOW RESERV MEASURE INIT VESSL,7504.75,3752.38,778.87,6754.28,65
CPT,93571,IV DOP VEL&/PRESS C FLO 1ST,,,64.39,288.71,42
CPT,93572,HC CATH HEART FLOW RESERVE MEASURE ADDL VESSEL,2023.45,1011.73,441.31,1821.11,65
CPT,93572,IV DOP VEL&/PRESS C FLO EA,,,46.7,233.3,39
CPT,93573,HC INJECTION BILAT SELECT PA ANGIOGRAPH DURING CATH,8645.85,4322.93,58.4,7781.27,70
CPT,93573,NJX CATH SLCT P-ART ANGRP BI,,,50.93,210.53,17
CPT,93574,HC INJ DURING CATH PULM VEN ANGIOGRAPHY EACH,5353.85,2676.93,64.98,4818.47,70
CPT,93574,NJX CATH SLCT PULM VN ANGRPH,,,56.23,218.75,15
CPT,93575,HC INJ DURING CATH PULM ANGIO MAPCA FOR CHD EACH,4145.65,2072.83,86.36,3731.09,70
CPT,93575,NJX CATH SLCT P ANGRPH MAPCA,,,75.2,105.84,14
CPT,93580,HC PERCUTANEOUS CLOSURE OF ATRIAL SEPTAL DEFECT,27152.7,13576.35,778.87,24437.43,70
CPT,93580,TRANSCATH CLOSURE OF ASD,,,820.08,3146.46,16
CPT,93581,HC PECUTANEOUS CLOSURE OF VENTRICULAR SEPTAL DEFECT,19190.5,9595.25,778.87,21348.3,70
CPT,93581,TRANSCATH CLOSURE OF VSD,,,1075.29,1466.11,14
CPT,93582,HC CATH PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS,27152.7,13576.35,778.87,24437.43,70
CPT,93582,PERQ TRANSCATH CLOSURE PDA,,,542.36,2142.22,15
CPT,93583,HC PERQ TRANSCATH ALCOHOL SEPTAL ABLATION,24243.55,12121.78,670.07,21819.2,70
CPT,93583,PERQ TRANSCATH SEPTAL REDUXN,,,656.93,821.16,5
CPT,93584,HC VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG,5342.2,2671.1,43.02,4807.98,70
CPT,93584,VNGRPH CHD ANOM/PERSIST SVC,,,46.88,67.31,14
CPT,93585,HC VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM,2557.25,1278.63,40.52,2301.53,70
CPT,93585,VNGRPH CHD AZYGS/HEMIAZYGS,,,44.12,63.35,14
CPT,93586,HC VENOGRAPHY CHD CORONARY SINUS,2557.25,1278.63,51.22,2301.53,70
CPT,93586,VNGRPH CHD CORONARY SINUS,,,55.81,80.41,14
CPT,93587,HC VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT,4734.4,2367.2,75.58,4260.96,70
CPT,93587,VNGRPH CHD VNVN CLTRL AT/ABV,,,82.35,117.96,14
CPT,93588,HC VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART,5357.8,2678.9,76.33,4822.02,70
CPT,93588,VNGRPH CHD VNVN CLTRL BELOW,,,83.17,119.41,14
CPT,93590,HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE,86855.8,43427.9,778.87,78170.22,70
CPT,93590,PERQ TRANSCATH CLS MITRAL,,,976.06,1220.08,14
CPT,93591,HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE,86855.8,43427.9,778.87,78170.22,70
CPT,93591,PERQ TRANSCATH CLS AORTIC,,,808.53,1010.66,14
CPT,93592,HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV,43428.05,21714.03,360.12,39085.25,70
CPT,93592,PERQ TRANSCATH CLOSURE EACH,,,353.06,829.94,15
CPT,93593,HC R HRT CATH CONG DEFECT NAT CON,24897.0,12448.5,778.87,22407.3,70
CPT,93593,R HRT CATH CHD NML NT CNJ,,,160.89,924.33,25
CPT,93594,HC R HRT CATH CON DEF ABN NAT CON,24897.0,12448.5,778.87,22407.3,70
CPT,93594,R HRT CATH CHD ABNL NT CNJ,,,253.03,996.75,25
CPT,93595,HC L HRT CATH CONG DEF NL/ABN CON,27323.65,13661.83,778.87,24591.29,70
CPT,93595,L HRT CATH CHD NM/ABN NT CNJ,,,228.33,924.33,26
CPT,93596,HC R/L HRT CATH CON DEF NAT CONN,27593.85,13796.93,778.87,24834.47,70
CPT,93596,R&L HRT CATH CHD NML NT CNJ,,,276.6,1090.31,29
CPT,93597,HC R/L HRT CATH CON DEF ABN CONN,27593.85,13796.93,778.87,24834.47,70
CPT,93597,R&L HRT CATH CHD ABNL NT CNJ,,,368.49,1451.5,32
CPT,93598,CAR OUTP MEAS DRG CATH CHD,,,60.92,226.98,6
CPT,93598,HC CAR OUTP MEAS CON DEF DUR CATH,1057.85,528.93,230.72,952.07,65
CPT,93600,BUNDLE OF HIS RECORDING,,,84.45,234.24,33
CPT,93600,HC EP BUNDLE OF HIS RECORDING,2650.1,1325.05,261.3,9021.3,70
CPT,93602,INTRA-ATRIAL RECORDING,,,59.46,9021.3,38
CPT,93603,RIGHT VENTRICULAR RECORDING,,,62.04,1443.28,39
CPT,93609,HC MAPPING ATRIAL OR VENTRICULAR,11923.5,5961.75,261.3,10731.15,65
CPT,93609,INTRA-VNTR MAPG TCHYCAR SITE,,,226.45,605.7,33
CPT,93610,INTRA-ATRIAL PACING,,,76.3,9021.3,39
CPT,93612,INTRAVENTRICULAR PACING,,,81.75,9021.3,39
CPT,93613,HC INTRACARD ELECTROPHYS 3-D MAPPING,23842.8,11921.4,261.3,21458.52,70
CPT,93613,INTRACARDIAC EPHYS 3D MAPG,,,183.09,1253.07,25
CPT,93615,ESOPHAGEAL RECORDING,,,33.27,1443.28,21
CPT,93616,ESOPHAGEAL RECORDING W/PACG,,,53.85,1443.28,11
CPT,93618,INDCTJ ARRHYTHMIA ELEC PACG,,,191.6,1443.28,39
CPT,93619,COMPREHENSIVE EP EVALUATION,,,256.9,9021.3,39
CPT,93620,COMP EP EVL R AT VEN PAC&REC,,,196.84,2071.57,39
CPT,93620,HC EP COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION,29205.2,14602.6,261.3,26284.68,70
CPT,93621,COMP EP EVL L PAC&REC C SINS,,,72.81,375.52,27
CPT,93621,HC INDUCE ARRHYTHMIA & L ATRIAL RECORD,19747.75,9873.88,261.3,17772.98,65
CPT,93622,COMP EP EVAL L VENTR PAC&REC,,,139.66,251.81,23
CPT,93622,HC COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC,23076.2,11538.1,261.3,20768.58,65
CPT,93623,HC EP STIM/PACING HEART POST IV DRUG INFU,3521.1,1760.55,261.3,3168.99,65
CPT,93623,PRGRMD STIMJ&PACG IV RX NFS,,,46.77,511.05,35
CPT,93624,EP F-UP STUDY PACG&REC,,,75.26,367.09,15
CPT,93624,HC EP ELECTROPHYSIOLOGIC FOLLOW UP,13252.45,6626.23,261.3,11927.21,70
CPT,93631,NTRAOP EPICAR&ENDCAR PAC&MAP,,,210.48,1432.11,16
CPT,93640,EP EVAL 1/2CHMBR PACG CVDFB,,,143.7,380.7,33
CPT,93640,HC EP EVAL CARDIOVERT LEADS INITIAL,1661.05,830.53,261.3,1494.95,65
CPT,93641,EP EVL 1/2CHMB PAC CVDFB TST,,,215.55,1052.71,40
CPT,93641,HC EP EVAL CARDIOVERT LEADS/PULS GEN,5690.2,2845.1,261.3,5121.18,65
CPT,93642,EP EVL 1/2CHMB TRNSVNS CVDFB,,,73.13,757.89,34
CPT,93642,HC ICD EVALUATION,5260.8,2630.4,261.3,4734.72,70
CPT,93644,EP EVAL SUBQ IMPL DFB,,,44.55,256.88,33
CPT,93644,HC ELECTROPHYSIOLOGY EVALUATION,5690.2,2845.1,179.57,5121.18,70
CPT,93650,HC ABLATE AV NODE FUNCTION,24921.5,12460.75,261.3,22429.35,70
CPT,93650,ICAR CATH ABLTJ AV NODE FUNC,,,484.28,644.64,14
CPT,93653,COMPRE EP EVAL TX SVT,,,645.73,4482.47,17
CPT,93653,HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA,91417.45,45708.73,261.3,82275.71,70
CPT,93654,COMPRE EP EVAL TX VT,,,861.76,5969.5,17
CPT,93654,HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA,76123.95,38061.98,261.3,68511.56,70
CPT,93655,HC EP ICAR CATHETER ABLATION ARRHYTHMIA ADD ON,38369.8,19184.9,261.3,34532.82,70
CPT,93655,ICAR CATH ABLTJ DSCRT ARRHYT,,,271.59,2240.53,22
CPT,93656,COMPRE EP EVAL ABLTJ ATR FIB,,,838.82,5977.05,22
CPT,93656,HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN,121044.2,60522.1,261.3,108939.78,70
CPT,93657,HC EP ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN,38369.8,19184.9,261.3,34532.82,70
CPT,93657,TX L/R ATRIAL FIB ADDL,,,271.89,2241.95,20
CPT,93660,HC TILT TABLE EVALUATION,6126.25,3063.13,261.3,5513.63,70
CPT,93660,TILT TABLE EVALUATION,,,66.84,586.21,40
CPT,93662,HC INTRA CARDIAC ECHO,4437.85,2218.93,778.87,3994.07,65
CPT,93662,INTRACARDIAC ECG (ICE),,,64.81,883.59,42
CPT,93668,HC PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,327.95,163.98,57.63,295.16,70
CPT,93668,PERIPHERAL VASCULAR REHAB,,,13.09,16.36,5
CPT,93701,BIOIMPEDANCE CV ANALYSIS,,,7.29,153.25,28
CPT,93702,BIS XTRACELL FLUID ANALYSIS,,,106.16,186.01,10
CPT,93724,ELEC ALYS ANTITCHYCAR PM SYS,,,41.55,356.56,38
CPT,93740,TEMPERATURE GRADIENT STUDIES,,,6.42,186.01,23
CPT,93745,SET-UP CARDIOVERT-DEFIBRILL,,,35.98,356.56,38
CPT,93750,HC CARDIAC VAD EVAL,442.05,221.03,89.05,397.85,70
CPT,93750,INTERROGATION VAD IN PERSON,,,28.5,148.16,22
CPT,93770,DETERMINATION VENOUS PRESS,,,6.42,8.98,23
CPT,93784,AMBL BP MNTR W/SOFTWARE,,,36.56,180.92,21
CPT,93786,AMBL BP MNTR W/SW REC ONLY,,,20.28,25.35,5
CPT,93786,HC AMBULATORY BP RECORDING,759.15,379.58,125.05,683.24,70
CPT,93788,AMBL BP MNTR W/SW A/R,,,5.01,6.26,5
CPT,93788,HC AMBULATORY BP ANALYSIS,648.75,324.38,125.05,583.88,70
CPT,93790,AMBL BP MNTR W/SW I&R,,,14.54,54.9,21
CPT,93792,PT/CAREGIVER TRAING HOME INR,,,61.45,76.81,10
CPT,93793,ANTICOAG MGMT PT WARFARIN,,,10.53,34.93,11
CPT,93797,HC CARDIAC REHAB W/O EKG SESSION,235.95,117.98,51.46,212.36,70
CPT,93797,PHYS/QHP OP CAR RHAB WO ECG,,,7.83,9.79,14
CPT,93798,HC INITIAL ASSES &1ST SES W CONT ECG,419.8,209.9,57.79,377.82,70
CPT,93798,HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING,419.8,209.9,57.79,377.82,70
CPT,93798,HC SUBSEQ SESSION W CONT ECG,419.8,209.9,57.79,377.82,70
CPT,93798,PHYS/QHP OP CAR RHAB W/ECG,,,12.3,15.6,14
CPT,93799,HC INFUSION ALLSTAR OMB# 0910-0014,4520.6,2260.3,151.79,4068.54,70
CPT,93799,HC INTRACARDIAC ECHOCARDIOGRAPHY PRIMARY,4437.85,2218.93,151.79,3994.07,70
CPT,93799,"HC MAINT EXERCISE, 1/2 MONTH",59.25,29.63,12.92,261.3,70
CPT,93799,HC MAINTENANCE EXERCISE,117.3,58.65,25.58,261.3,70
CPT,93799,HC PROCAINAMIDE/ISUPREL CHALLENGE,1098.7,549.35,151.79,988.83,70
CPT,93799,HC PROVOCATIVE SPASM TESTING,1098.7,549.35,151.79,988.83,70
CPT,93880,EXTRACRANIAL BILAT STUDY,,,25.06,494.65,53
CPT,93880,HC VASC DUPLEX SCAN EXTRACRANIAL BILAT,2291.25,1145.63,234.5,2062.13,70
CPT,93882,EXTRACRANIAL UNI/LTD STUDY,,,16.5,348.75,35
CPT,93882,HC DUPLEX SCAN EXTRACRANIAL LIMITED,1129.2,564.6,103.16,1016.28,70
CPT,93886,HC VASC TRANSCRAN DOPPLER INTRACRAN ART,1590.6,795.3,234.5,1431.54,70
CPT,93886,INTRACRANIAL COMPLETE STUDY,,,38.26,289.5,38
CPT,93888,INTRACRANIAL LIMITED STUDY,,,25.86,164.43,42
CPT,93890,Physician Fee Schedule,,,40.63,205.44,18
CPT,93892,TCD EMBOLI DETECT W/O INJ,,,46.28,225.47,38
CPT,93893,TCD STD ICR ART VEN-ART SHNT,,,46.56,224.91,38
CPT,93896,VSRCTV STD TCD ICR ART COMPL,,,37.84,202.1,20
CPT,93897,EMBOLI DETCJ WO IV MBUBB NJX,,,34.36,253.43,20
CPT,93898,VEN-ARTL SHUNT DET MBUBB NJX,,,40.25,265.76,20
CPT,93922,HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL,1013.35,506.68,125.05,912.02,70
CPT,93922,UPR/L XTREMITY ART 2 LEVELS,,,10.19,325.32,44
CPT,93923,HC UPR & LWR EXTREMITY ARTERIES STUDY 3+ LVLS,1497.65,748.83,151.79,1347.89,70
CPT,93923,UPR/LXTR ART STDY 3+ LVLS,,,18.58,500.57,43
CPT,93924,HC DOPPLER ARTERIAL EXT W/STRESS BILAT,1872.05,936.03,151.79,1684.85,70
CPT,93924,LWR XTR VASC STDY BILAT,,,21.12,615.43,36
CPT,93925,HC LOWER ARTERIAL DUPLEX BILATERAL,1464.05,732.03,234.5,1317.65,70
CPT,93925,LOWER EXTREMITY STUDY,,,23.9,628.08,41
CPT,93926,HC US EXTREMITY LOWER ARTERIES UNILATERAL,990.3,495.15,103.16,891.27,70
CPT,93926,LOWER EXTREMITY STUDY,,,16.2,154.29,33
CPT,93930,HC US EXTREMITY UPPER ARTERIAL BILATERAL,1011.15,505.58,220.53,910.04,70
CPT,93930,UPPER EXTREMITY STUDY,,,19.16,542.8,39
CPT,93931,HC US ARTERIAL UPPER EXTREMITY LTD,996.25,498.13,103.16,896.63,70
CPT,93931,UPPER EXTREMITY STUDY,,,12.75,261.55,40
CPT,93970,EXTREMITY STUDY,,,28.15,478.71,53
CPT,93970,HC US EXTREMITY VEIN MAP BILATERAL,2311.75,1155.88,234.5,2080.58,70
CPT,93971,EXTREMITY STUDY,,,18.66,278.79,46
CPT,93971,HC DUPLEX EXTREM VENOUS UNI OR LTD,1745.5,872.75,103.16,1570.95,70
CPT,93975,HC VASC DUPLEX ABD/PEL VASC DOPPLER COMPLETE,917.45,458.73,200.1,825.71,70
CPT,93975,VASCULAR STUDY,,,50.62,854.12,45
CPT,93976,HC DUPLEX ABD/PEL VASC STUDY LIMITED,818.45,409.23,103.16,736.61,70
CPT,93976,VASCULAR STUDY,,,35.12,400.73,36
CPT,93978,HC VASC DUPLEX LARGE VESSEL(S) COMPLETE,1391.1,695.55,234.5,1251.99,70
CPT,93978,VASCULAR STUDY,,,26.97,532.61,42
CPT,93979,HC DUPLEX LARGE VESSEL(S) LIMITED,1014.35,507.18,103.16,912.92,70
CPT,93979,VASCULAR STUDY,,,18.08,278.1,34
CPT,93980,"HC PENILE VASCULAR STUDY,COMPLETE",1213.1,606.55,103.16,1091.79,70
CPT,93980,PENILE VASCULAR STUDY,,,52.03,134.25,15
CPT,93981,PENILE VASCULAR STUDY,,,19.67,126.43,20
CPT,93985,DUP-SCAN HEMO COMPL BI STD,,,32.73,632.27,36
CPT,93985,HC AVF MAPPING (DUP EXT VEIN MAP) BILATERAL,2101.65,1050.83,212.74,1891.49,70
CPT,93986,DUP-SCAN HEMO COMPL UNI STD,,,20.98,149.19,33
CPT,93986,HC US AVF MAPPING (DUP EXT VEIN MAP) UNILATERAL,1050.85,525.43,103.16,945.77,70
CPT,93990,DOPPLER FLOW TESTING,,,10.1,458.59,38
CPT,93990,HC VASC DUPLEX HEMODIALYSIS ACCESS,651.2,325.6,103.16,586.08,70
CPT,93998,HC NON-INVASIVE VASCULAR DIAGNOSTIC PROCEDURE,1129.2,564.6,23.76,1016.28,70
CPT,94002,HC VENT MGMT INITIAL DAY,1550.2,775.1,57.79,1395.18,70
CPT,94002,VENT MGMT INPAT INIT DAY,,,71.7,106.1,14
CPT,94003,HC VENT MGMT SUBQ DAY,1370.95,685.48,57.79,1233.86,70
CPT,94003,VENT MGMT INPAT SUBQ DAY,,,51.82,185.38,15
CPT,94004,VENT MGMT NF PER DAY,,,37.72,54.68,19
CPT,94005,HOME VENT MGMT SUPERVISION,,,85.77,105.11,5
CPT,94010,BREATHING CAPACITY TEST,,,6.73,91.7,56
CPT,94010,HC SPIROMETRY BREATHING CAPACITY TEST,470.5,235.25,102.62,464.82,70
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,,,60.37,186.01,19
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,,,92.94,370.22,19
CPT,94013,MEAS LUNG VOL THRU 2 YRS,,,17.2,630.82,19
CPT,94014,PATIENT RECORDED SPIROMETRY,,,51.31,474.41,10
CPT,94015,PATIENT RECORDED SPIROMETRY,,,28.67,370.22,10
CPT,94016,REVIEW PATIENT SPIROMETRY,,,22.64,28.3,10
CPT,94060,EVALUATION OF WHEEZING,,,9.43,116.27,33
CPT,94060,HC SPIROMETRY W/ BRONCHODILATORS,1099.65,549.83,239.83,989.69,70
CPT,94060,HC SPIROMETRY W/ BRONCHODILATORS PRO FEE,49.45,24.73,18.99,197.18,43
CPT,94070,EVALUATION OF WHEEZING,,,23.19,160.92,40
CPT,94070,HC BRONCHIAL PROVOCATION CHALLENGE,3077.9,1538.95,302.1,2770.11,70
CPT,94150,HC VITAL CAPACITY TOTAL,141.6,70.8,30.88,464.82,70
CPT,94150,VITAL CAPACITY TEST,,,3.15,63.06,19
CPT,94200,HC MAX BREATHING CAPACITY,418.8,209.4,57.63,464.82,70
CPT,94200,LUNG FUNCTION TEST (MBC/MVV),,,2.43,17.67,33
CPT,94375,RESPIRATORY FLOW VOLUME LOOP,,,11.8,370.22,40
CPT,94450,BREATHING RESPONSE HYPOXIA,,,15.28,186.01,38
CPT,94452,HAST W/I&R PHYS/QHP,,,13.24,153.25,21
CPT,94453,HAST W/SUPPL OXYGEN TITRJ,,,16.96,153.25,21
CPT,94610,HC SURFACTANT ADMINISTRATION ETT,249.15,124.58,52.77,241.81,70
CPT,94610,INTRAPULM SURFACTANT ADMN,,,50.42,147.65,15
CPT,94617,EXERCISE TST BRNCSPSM W/ECG,,,28.12,102.01,33
CPT,94617,HC EXERCISE TEST BRONCHOSPASM,595.45,297.73,125.05,535.91,70
CPT,94618,HC PULMONARY STRESS TESTING,744.3,372.15,125.05,669.87,70
CPT,94618,PULMONARY STRESS TESTING,,,11.3,99.43,44
CPT,94619,EXERCISE TST BRNCSPSM WO ECG,,,19.96,74.54,24
CPT,94619,HC EXERCISE TEST FOR BRONCHOSPASM W/O EKG,544.15,272.08,57.63,489.74,70
CPT,94621,CARDIOPULM EXERCISE TESTING,,,57.24,441.89,46
CPT,94621,HC CARDIOPULMONARY EXERCISE TESTING,2775.7,1387.85,302.1,2498.13,70
CPT,94625,HC PULM REHAB W/OUT OXIMETRY MON,251.15,125.58,54.78,226.04,70
CPT,94625,PHY/QHP OP PULM RHB W/O MNTR,,,15.8,20.5,14
CPT,94626,HC PULM REHAB W/ OXIMETRY MONITOR,251.15,125.58,54.78,226.04,70
CPT,94626,PHY/QHP OP PULM RHB W/MNTR,,,22.89,30.09,14
CPT,94640,AIRWAY INHALATION TREATMENT,,,7.1,43.77,25
CPT,94640,HC AIRWAY INHALATION TREATMENT,160.95,80.48,35.1,241.81,70
CPT,94640,HC AIRWAY INHALATION TREATMENT SUBSQ,160.95,80.48,35.1,241.81,70
CPT,94642,AEROSOL INHALATION TREATMENT,,,7.31,9.14,14
CPT,94642,HC AEROSOL INHALATION PENTAMIDINE,400.25,200.13,57.79,360.23,70
CPT,94644,CONT INHLJ TX 1ST HOUR,,,26.12,64.56,14
CPT,94644,HC RT CONTINUOUS INHALATION TX 1ST HR,287.2,143.6,57.79,258.48,70
CPT,94645,CONT INHLJ TX EACH ADDL HOUR,,,10.18,18.99,14
CPT,94645,HC RT CONTINUOUS INHALATION TX EACH ADD HR,233.25,116.63,15.5,209.93,70
CPT,94660,CPAP INITIATION&MGMT,,,29.35,42.56,14
CPT,94660,HC CONT POSITIVE AIRWAY PRESS VENT INITIATION/MGMNT,887.1,443.55,57.79,798.39,70
CPT,94660,HC HOME CPAP/BIPAP,887.1,443.55,57.79,798.39,70
CPT,94662,APC,,,641.35,785.97,5
CPT,94662,Fee Schedule,,,39.94,39.94,1
CPT,94662,MPFS,,,31.95,33.16,4
CPT,94662,Physician Fee Schedule,,,29.16,29.74,9
CPT,94664,DEMO&/EVAL PT USE INHALER,,,11.12,45.58,22
CPT,94664,HC EVALUATE PT USE OF INHALER,125.5,62.75,27.37,241.81,70
CPT,94667,HC CHEST WALL MANIPULATION INITIAL,210.5,105.25,45.91,189.45,70
CPT,94667,MNPJ CHEST WALL 1ST,,,15.51,28.25,14
CPT,94668,HC CHEST WALL MANIPULATION SUBSQ,173.75,86.88,37.89,156.38,70
CPT,94668,MNPJ CHEST WALL SBSQ,,,14.66,43.23,14
CPT,94669,HC MECH CHST WALL OSCIL LUNG FUNC,211.55,105.78,46.14,464.82,70
CPT,94669,MECHANICAL CHEST WALL OSCILL,,,18.7,23.38,5
CPT,94680,O2 UPTK RST&XERS DIR SIMPLE,,,10.01,186.01,38
CPT,94681,O2 UPTK CO2 OUTP % O2 XTRC,,,7.63,370.22,42
CPT,94690,HC INDIRECT CALORIMETRY,347.0,173.5,57.63,464.82,70
CPT,94690,O2 UPTK REST INDIRECT,,,2.87,134.43,35
CPT,94726,HC PLETHYSMOGRAPHY LUNG VOLUME,637.2,318.6,138.97,573.48,70
CPT,94726,PLETHYSMOGRAPHY LUNG VOLUMES,,,7.06,151.34,53
CPT,94727,GAS DIL/WSHOT DETER LNG VOL,,,7.06,51.11,33
CPT,94727,HC GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL,178.8,89.4,39.0,464.82,70
CPT,94728,AIRWY RESIST BY OSCILLOMETRY,,,7.06,119.28,42
CPT,94728,HC AIRWAY RESIST BY OSCILLOMETRY,136.8,68.4,29.84,464.82,70
CPT,94729,DIFFUSING CAPACITY,,,4.68,149.96,53
CPT,94729,HC MONOXIDE DIFFUSING CAPACITY,856.05,428.03,51.62,770.45,70
CPT,94760,N-INVAS EAR/PLS OXIMETRY 1,,,2.07,7.34,28
CPT,94761,N-INVAS EAR/PLS OXIMETRY MLT,,,3.51,11.55,27
CPT,94762,HC PULSE OX OVERNIGHT,1226.65,613.33,151.79,1103.99,70
CPT,94762,N-INVAS EAR/PLS OXIMTRY CONT,,,22.06,27.6,14
CPT,94772,CIRCADIAN RESPIR PATTERN REC,,,48.86,630.82,23
CPT,94775,PED HOME APNEA MNTR ATT ONLY,,,151.79,186.01,5
CPT,94776,PED HOME APNEA MNTR DL&ALYS,,,151.79,186.01,5
CPT,94777,PED HOME APNEA MNTR RVW I&R,,,67.09,68.43,9
CPT,94780,CARS/BD TST INFT-12MO 60 MIN,,,21.26,26.58,5
CPT,94780,HC CAR SEAT TEST INIT 60 MIN,163.8,81.9,35.72,464.82,70
CPT,94781,CARS/BD TST INFT-12MO +30MIN,,,7.51,9.39,5
CPT,94781,HC CAR SEAT TEST EA ADDL 30 MIN,163.8,81.9,20.19,464.82,70
CPT,94799,HC RESPIRATORY AIRWAY MANAGEMENT,250.55,125.28,54.64,464.82,70
CPT,95004,PERQ TESTS W/ALRGNC XTRCS,,,3.23,1209.55,29
CPT,95012,HC NITRIC OXIDE EXP DETERMINATION,194.35,97.18,38.08,464.82,70
CPT,95012,NITRIC OXIDE EXP GAS DETER,,,16.36,52.97,23
CPT,95017,ALL TSTG PERQ&IQ W/VENOMS,,,2.98,29.12,21
CPT,95018,ALL TSTG PERQ&IQ DRUGS/BIOL,,,5.75,42.98,21
CPT,95018,HC PERQ & ICUT ALLGERY TEST DRUGS,109.85,54.93,23.96,98.87,70
CPT,95024,IQ TESTS W/ALLERGENIC XTRCS,,,0.84,70.62,28
CPT,95027,IQ TSTS SEQL&INCRL AIRBORNE,,,3.58,29.12,19
CPT,95028,IQ TSTS ALLERGY DELAYED RXN,,,8.3,46.66,19
CPT,95044,PATCH/APPLICATION TESTS,,,4.41,1209.55,23
CPT,95052,PHOTO PATCH TESTS,,,5.01,70.62,19
CPT,95056,PHOTO TESTS,,,26.49,153.25,19
CPT,95060,OPH MUCOUS MEMBRANE TESTS,,,17.72,153.25,19
CPT,95065,DIR NSL MUCOUS MEMBRANE TEST,,,16.13,46.66,19
CPT,95070,INHLJ BRNCL CHALLENGE TSTG,,,31.5,630.82,19
CPT,95076,HC INGEST CHALLENGE FIRST 120 MIN,684.15,342.08,149.21,630.82,70
CPT,95076,INGEST CHALLENGE INI 120 MIN,,,58.3,250.99,23
CPT,95079,INGEST CHALLENGE ADDL 60 MIN,,,53.57,193.39,28
CPT,95115,HC INJECT ALLERGY ONE,17.5,8.75,3.82,75.38,70
CPT,95115,IMMUNOTHERAPY ONE INJECTION,,,7.93,27.56,23
CPT,95117,HC INJECT ALLERGY TWO OR MORE,17.5,8.75,3.82,75.38,70
CPT,95117,IMMUNOTHERAPY INJECTIONS,,,9.61,34.37,24
CPT,95133,IMMNTX 4 STING INSECTS,,,80.67,106.78,3
CPT,95134,IMMNTX 5 STING INSECTS,,,96.11,128.32,2
CPT,95144,ANTIGEN THERAPY SERVICES,,,2.57,54.85,19
CPT,95145,ANTIGEN THERAPY SERVICES,,,2.57,54.85,20
CPT,95146,ANTIGEN THERAPY SERVICES,,,2.57,54.85,19
CPT,95147,ANTIGEN THERAPY SERVICES,,,2.57,125.11,20
CPT,95148,ANTIGEN THERAPY SERVICES,,,2.57,84.61,23
CPT,95149,ANTIGEN THERAPY SERVICES,,,2.57,84.61,23
CPT,95165,ANTIGEN THERAPY SERVICES,,,2.57,54.85,29
CPT,95170,ANTIGEN THERAPY SERVICES,,,2.57,54.85,25
CPT,95180,RAPID DESENSITIZATION,,,85.61,474.41,23
CPT,95199,UNLISTED ALL/IMMLG SVC/PX,,,23.76,29.12,5
CPT,95249,CONT GLUC MNTR PT PROV EQP,,,44.8,156.68,23
CPT,95249,HC CONT GLUCOSE MONITORING PERSONAL,632.8,316.4,57.63,569.52,70
CPT,95250,CONT GLUC MNTR PHYS/QHP EQP,,,122.63,367.31,19
CPT,95250,HC MON GLUCOSE CONTINUOUS <72 HR,944.7,472.35,125.02,850.23,70
CPT,95251,CONT GLUC MNTR ANALYSIS I&R,,,30.35,118.67,31
CPT,95700,EEG CONT REC W/VID EEG TECH,,,226.29,752.84,9
CPT,95700,HC EEG CONT W/VIDEO IN PERSON TECH,1487.4,743.7,151.79,1338.66,70
CPT,95705,EEG W/O VID 2-12 HR UNMNTR,,,118.0,301.13,15
CPT,95705,HC EEG W/OUT VIDEO 2-12 HOURS UNMONITORED TECH,7246.3,3623.15,273.87,6521.67,70
CPT,95706,EEG WO VID 2-12HR INTMT MNTR,,,183.02,450.68,19
CPT,95707,EEG W/O VID 2-12HR CONT MNTR,,,183.02,569.96,19
CPT,95708,EEG WO VID EA 12-26HR UNMNTR,,,174.26,680.56,18
CPT,95708,HC EEG W/OUT VIDEO EACH 12-26 HOURS UNMONITORED TECH,7246.3,3623.15,273.87,6521.67,70
CPT,95709,EEG W/O VID EA 12-26HR INTMT,,,183.02,853.81,19
CPT,95710,EEG W/O VID EA 12-26HR CONT,,,183.02,1068.05,19
CPT,95711,HC VEEG 2 - 12 HOURS UNMONITORED TECH,7246.3,3623.15,273.87,6521.67,70
CPT,95711,VEEG 2-12 HR UNMONITORED,,,152.4,1420.98,14
CPT,95712,VEEG 2-12 HR INTMT MNTR,,,176.52,568.83,19
CPT,95713,VEEG 2-12 HR CONT MNTR,,,514.75,1420.98,19
CPT,95714,HC VEEG EACH 12 - 26 HOURS UNMONITORED TECH,7246.3,3623.15,273.87,6521.67,70
CPT,95714,VEEG EA 12-26 HR UNMNTR,,,223.44,1420.98,14
CPT,95715,VEEG EA 12-26HR INTMT MNTR,,,514.75,1420.98,19
CPT,95716,HC VEEG EACH 12-26 HOURS CONTINUOUS MONITOR TECH,7246.3,3623.15,273.87,6521.67,70
CPT,95716,VEEG EA 12-26HR CONT MNTR,,,1064.14,1420.98,14
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,,,86.72,306.08,22
CPT,95718,EEG PHYS/QHP 2-12 HR W/VEEG,,,113.59,400.72,28
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,,,134.26,473.69,28
CPT,95720,EEG PHY/QHP EA INCR W/VEEG,,,175.87,620.43,28
CPT,95721,EEG PHY/QHP>36<60 HR W/O VID,,,176.44,622.44,25
CPT,95722,EEG PHY/QHP>36<60 HR W/VEEG,,,214.55,756.87,21
CPT,95723,EEG PHY/QHP>60<84 HR W/O VID,,,218.29,770.03,24
CPT,95724,EEG PHY/QHP>60<84 HR W/VEEG,,,273.6,965.19,24
CPT,95725,EEG PHY/QHP>84 HR W/O VID,,,248.36,339.12,19
CPT,95726,EEG PHY/QHP>84 HR W/VEEG,,,345.7,1219.56,21
CPT,95782,HC POLYSOM <6 YRS SLEEP STAGE 4/>,7673.0,3836.5,273.87,6905.7,70
CPT,95782,POLYSOM <6 YRS 4/> PARAMTRS,,,103.39,1095.49,39
CPT,95783,HC POLYSOM <6 YRS SLEEP W/CPAP/BI,9042.05,4521.03,273.87,8137.85,70
CPT,95783,POLYSOM <6 YRS CPAP/BILVL,,,112.95,1161.11,33
CPT,95800,HC HOME UNATTEND SLEEP STUDY SIML TIME,741.45,370.73,151.79,667.31,70
CPT,95800,HC UNATTEND SLEEP STUDY SIML TIME,741.45,370.73,151.79,667.31,70
CPT,95800,SLP STDY UNATTENDED,,,32.1,597.03,51
CPT,95801,SLP STDY UNATND W/ANAL,,,35.66,111.34,21
CPT,95803,ACTIGRAPHY TESTING,,,38.83,148.78,15
CPT,95803,HC ACTIGRAPHY TESTING 72HR TO 14 DAYS,325.45,162.73,57.63,292.91,70
CPT,95805,HC MULTIPLE SLEEP LATENCY TEST,4364.35,2182.18,273.87,3927.92,70
CPT,95805,MULTIPLE SLEEP LATENCY TEST,,,52.86,1085.26,45
CPT,95806,HC HOME SLEEP STUDY UNATTENDED,718.0,359.0,151.79,646.2,70
CPT,95806,HC SLEEP STUDY UNATTENDED,718.0,359.0,151.79,646.2,70
CPT,95806,SLEEP STUDY UNATT&RESP EFFT,,,40.61,231.03,38
CPT,95807,SLEEP STUDY ATTENDED,,,54.54,630.82,39
CPT,95808,POLYSOM ANY AGE 1-3> PARAM,,,75.84,1209.55,39
CPT,95810,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,6365.75,3182.88,273.87,5729.18,70
CPT,95810,POLYSOM 6/> YRS 4/> PARAM,,,109.25,2108.36,52
CPT,95811,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,7502.95,3751.48,273.87,6752.66,70
CPT,95811,POLYSOM 6/>YRS CPAP 4/> PARM,,,113.81,2324.51,53
CPT,95812,EEG 41-60 MINUTES,,,43.6,1019.37,47
CPT,95812,HC EEG EXTENDED MONITORING 41-60 MINUTES,1443.45,721.73,273.87,1299.11,70
CPT,95813,EEG EXTND MNTR 61-119 MIN,,,69.43,1195.24,56
CPT,95813,HC EEG MONITOR >1 HR,2145.85,1072.93,273.87,1931.27,70
CPT,95816,EEG AWAKE AND DROWSY,,,43.6,890.5,50
CPT,95816,HC EEG AWAKE/DROWSY,1657.15,828.58,273.87,1491.44,70
CPT,95819,EEG AWAKE AND ASLEEP,,,43.6,951.56,47
CPT,95819,HC EEG AWAKE/ASLEEP,1776.75,888.38,273.87,1599.08,70
CPT,95822,EEG COMA OR SLEEP ONLY,,,43.6,470.78,38
CPT,95822,HC EEG COMA/SLEEP RECORD ONLY,2514.9,1257.45,273.87,2263.41,70
CPT,95824,EEG CEREBRAL DEATH ONLY,,,29.87,125.03,33
CPT,95824,HC EEG EVAL CEREBRAL DEATH,3143.3,1571.65,273.87,2828.97,70
CPT,95829,HC EEG- INTRACRANIAL SURG INTRAOP,958.45,479.23,209.04,1966.83,70
CPT,95829,SURGERY ELECTROCORTICOGRAM,,,252.95,4377.18,36
CPT,95830,INSERT ELECTRODES FOR EEG,,,22.76,744.09,28
CPT,95836,ECOG IMPLTD BRN NPGT <30 D,,,97.74,323.9,8
CPT,95836,HC ELECTROCORTICOGRAM W/INTERP,171.35,85.68,36.18,273.87,70
CPT,95851,"HC OT RANGE MOTION MEASURE,EACH EXTREM",95.3,47.65,12.93,85.77,70
CPT,95851,HC PT RANGE MOTION MEASURE EACH EXTREMITY,95.3,47.65,12.93,85.77,70
CPT,95851,RANGE OF MOTION MEASUREMENTS,,,4.83,8.99,23
CPT,95852,HC OT ROM MEASUREMENT HAND,154.25,77.13,19.12,138.83,69
CPT,95852,HC PT ROM MEASUREMENT HAND,154.25,77.13,19.12,138.83,69
CPT,95852,RANGE OF MOTION MEASUREMENTS,,,1.15,6.59,23
CPT,95857,CHOLINESTERASE CHALLENGE,,,5.43,370.22,28
CPT,95860,HC NEEDLE EMG ONE EXTREMITY,851.75,425.88,92.96,766.58,70
CPT,95860,NEEDLE EMG 1 EXTREMITY,,,39.78,126.28,33
CPT,95861,HC NEEDLE EMG TWO EXTREMITIES,1281.9,640.95,92.96,1153.71,70
CPT,95861,NEEDLE EMG 2 EXTREMITIES,,,63.58,347.46,34
CPT,95863,HC NEEDLE EMG 3 EXTREMITIES,1070.0,535.0,92.96,963.0,70
CPT,95863,NEEDLE EMG 3 EXTREMITIES,,,76.18,436.44,34
CPT,95864,NEEDLE EMG 4 EXTREMITIES,,,81.49,253.61,38
CPT,95865,NEEDLE EMG LARYNX,,,58.32,167.31,39
CPT,95866,NEEDLE EMG HEMIDIAPHRAGM,,,49.88,186.01,39
CPT,95867,HC NEEDLE EMG CRANIAL NERVE SUPP MUS UNILAT,788.4,394.2,92.96,709.56,70
CPT,95867,NDL EMG CRANIAL NRV MUSC UNI,,,32.3,118.28,33
CPT,95868,HC NEEDLE EMG HEAD OR NECK,1599.85,799.93,92.96,1439.87,70
CPT,95868,NDL EMG CRANIAL NRV MUSC BI,,,48.11,143.41,33
CPT,95869,HC NEEDLE EMG THORACIC PARASPINAL,619.65,309.83,92.96,557.69,70
CPT,95869,NDL EMG THRC PARASPINAL MUSC,,,15.21,102.63,33
CPT,95870,HC NEEDLE EMG 1 EXTREM NONPARASPINAL,828.95,414.48,92.96,746.06,70
CPT,95870,NDL EMG LMTD STD MUSC 1 XTR,,,15.21,90.65,33
CPT,95872,HC NEEDLE EMG SINGLE FIBER DENSITY,968.35,484.18,92.96,871.52,70
CPT,95872,NDL EMG SINGLE FIBER ELTRD,,,33.76,495.94,38
CPT,95873,GUIDE NERV DESTR ELEC STIM,,,16.04,139.96,37
CPT,95873,HC EMG W/CHEMODENERVATION,224.2,112.1,48.9,201.78,70
CPT,95874,GUIDE NERV DESTR NEEDLE EMG,,,15.49,171.09,49
CPT,95874,HC NEEDLE EMG W/CHEMODENERVATION,224.2,112.1,48.9,201.78,70
CPT,95875,LIMB EXERCISE TEST,,,44.58,186.01,38
CPT,95885,HC EMG EA EXTREM W/NERVE COND LTD,316.0,158.0,55.46,284.4,70
CPT,95885,MUSC TST DONE W/NERV TST LIM,,,10.19,157.98,42
CPT,95886,HC NEEDLE EMG W/ NERVE COND COMPLETE,316.0,158.0,68.92,284.4,70
CPT,95886,MUSC TEST DONE W/N TEST COMP,,,27.21,250.12,51
CPT,95887,HC NEEDLE EMG NONEXTREMITY,166.15,83.08,36.24,149.54,70
CPT,95887,MUSC TST DONE W/N TST NONEXT,,,21.36,222.32,37
CPT,95905,MOTOR &/ SENS NRVE CNDJ TEST,,,2.43,474.41,21
CPT,95907,HC NERVE CONDUCTION STUDUES 1-2,682.2,341.1,92.96,613.98,70
CPT,95907,NVR CNDJ TST 1-2 STUDIES,,,32.86,270.09,37
CPT,95908,HC NERVE CONDUCTION STUDIES 3-4,1594.35,797.18,92.96,1434.92,70
CPT,95908,NRV CNDJ TST 3-4 STUDIES,,,40.95,333.45,41
CPT,95909,HC NERVE CONDUCTION STUDIES 5-6,2505.3,1252.65,92.96,2254.77,70
CPT,95909,NRV CNDJ TST 5-6 STUDIES,,,49.34,399.42,43
CPT,95910,HC NERVE CONDUCTION STUDIES 7-8,3416.2,1708.1,92.96,3074.58,70
CPT,95910,NRV CNDJ TEST 7-8 STUDIES,,,62.82,525.94,47
CPT,95911,HC NERVE CONDUCTION STUDIES 9-10,4327.2,2163.6,92.96,3894.48,70
CPT,95911,NRV CNDJ TEST 9-10 STUDIES,,,70.9,637.23,45
CPT,95912,HC NERVE CONDUCTION STUDIES 11-12,5238.1,2619.05,92.96,4714.29,70
CPT,95912,NRV CNDJ TEST 11-12 STUDIES,,,78.91,746.63,45
CPT,95913,HC NERVE CONDUCT STUDY 13>,6149.0,3074.5,92.96,5534.1,70
CPT,95913,NRV CNDJ TEST 13/> STUDIES,,,90.29,865.97,42
CPT,95919,QUAN PUPLMTRY PHY/QHP UNI/BI,,,5.61,153.25,20
CPT,95921,AUTONOMIC NRV PARASYM INERVJ,,,36.1,214.98,40
CPT,95922,AUTONOMIC NRV ADRENRG INERVJ,,,38.66,153.25,38
CPT,95923,AUTONOMIC NRV SYST FUNJ TEST,,,36.57,489.53,35
CPT,95923,HC AUTONOMIC NERVOUS SYSTEM FUNCT TEST,772.2,386.1,92.96,694.98,70
CPT,95924,ANS PARASYMP & SYMP W/TILT,,,56.14,370.22,38
CPT,95925,HC SSEP UPPER LIMBS,2161.15,1080.58,92.96,1945.04,70
CPT,95925,SOMATOSENSORY TESTING,,,22.14,383.08,35
CPT,95926,HC SOMATOSENSORY TEST LOWER LIMBS,2378.85,1189.43,92.96,2140.97,70
CPT,95926,SOMATOSENSORY TESTING,,,21.94,158.71,33
CPT,95927,SOMATOSENSORY TESTING,,,22.41,370.22,38
CPT,95928,C MOTOR EVOKED UPPR LIMBS,,,68.2,1209.55,38
CPT,95929,C MOTOR EVOKED LWR LIMBS,,,68.48,630.82,38
CPT,95930,HC VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R,2056.05,1028.03,92.96,1850.45,70
CPT,95930,VISUAL EP TEST CNS W/I&R,,,14.33,314.94,35
CPT,95933,BLINK REFLEX TEST,,,24.2,198.1,34
CPT,95933,HC BLINK REFLEX ELECTRODX TEST,451.2,225.6,57.63,406.08,70
CPT,95937,HC NEUROMUSCULAR JUNCT STIM EA NERVE,262.55,131.28,57.26,236.3,70
CPT,95937,NEUROMUSCULAR JUNCTION TEST,,,27.34,194.13,38
CPT,95938,HC SOMATOSENSORY EP UPPER/LOWER EXT,3925.6,1962.8,92.96,3533.04,70
CPT,95938,SOMATOSENSORY TESTING,,,25.01,830.47,37
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,,,102.62,1209.55,38
CPT,95940,IONM IN OPERATNG ROOM 15 MIN,,,25.77,37.32,19
CPT,95941,IONM REMOTE/>1 PT OR PER HR,,,119.14,121.52,9
CPT,95954,EEG MONITORING/GIVING DRUGS,,,92.26,630.82,38
CPT,95955,EEG DURING SURGERY,,,40.18,206.18,33
CPT,95955,HC EEG INTRAOPERATIVE,2618.3,1309.15,168.24,2356.47,70
CPT,95957,EEG DIGITAL ANALYSIS,,,80.18,330.88,38
CPT,95958,EEG MONITORING/FUNCTION TEST,,,171.43,806.69,35
CPT,95958,HC WADA ACTIVATION TEST,2331.1,1165.55,273.87,2097.99,70
CPT,95961,ELECTRODE STIMULATION BRAIN,,,127.56,1209.55,40
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,,,99.87,419.2,40
CPT,95965,MEG SPONTANEOUS,,,156.72,1209.55,20
CPT,95966,MEG EVOKED SINGLE,,,100.93,1209.55,20
CPT,95967,MEG EVOKED EACH ADDL,,,50.47,265.8,15
CPT,95970,ALYS NPGT W/O PRGRMG,,,17.06,63.66,21
CPT,95970,HC SCS WITHOUT REPROGRAM,493.95,246.98,107.73,444.56,70
CPT,95971,ALYS SMPL SP/PN NPGT W/PRGRM,,,32.21,112.95,19
CPT,95971,HC SCS REPROGRAM,1121.4,560.7,89.05,1009.26,70
CPT,95972,ALYS CPLX SP/PN NPGT W/PRGRM,,,36.67,216.28,16
CPT,95972,HC ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH W/PRGRMG,773.5,386.75,89.05,696.15,70
CPT,95976,ALYS SMPL CN NPGT PRGRMG,,,33.94,118.86,20
CPT,95976,HC CRANIAL NEUROSTIM ANALYS SIMPLE,746.45,373.23,36.18,671.81,70
CPT,95977,ALYS CPLX CN NPGT PRGRMG,,,45.28,158.55,17
CPT,95977,HC CRANIAL NEUROSTIM ANALYS COMPLEX,746.45,373.23,89.05,671.81,70
CPT,95980,IO ANAL GAST N-STIM INIT,,,40.53,50.67,10
CPT,95981,HC IO ANAL GASTRIC N-STIM SUBSQ,490.85,245.43,57.63,441.77,70
CPT,95981,IO ANAL GAST N-STIM SUBSQ,,,16.17,20.21,5
CPT,95982,HC ELECTRICAL ANALYSIS IMPLANT GASTRIC PULSE GEN; SUBS W/REPROGRAM,374.85,187.43,36.18,337.37,70
CPT,95982,IO GA N-STIM SUBSQ W/REPROG,,,33.41,41.76,5
CPT,95983,ALYS BRN NPGT PRGRMG 15 MIN,,,42.77,149.76,22
CPT,95983,HC BRAIN NEUROSTIM ANALYS 1ST 15 MIN,797.0,398.5,89.05,717.3,70
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,,,37.48,131.23,20
CPT,95984,HC BRAIN NEUROSTIM ANALYS EA 15 MIN,1000.65,500.33,40.76,900.59,70
CPT,95990,HC PUMP REFILL AND MAINT SPINAL,1078.25,539.13,123.12,970.43,70
CPT,95990,SPIN/BRAIN PUMP REFIL & MAIN,,,44.79,97.3,14
CPT,95991,HC REFILLING INTRATHECAL PUMP BY MD,360.15,180.08,78.55,350.94,70
CPT,95991,SPIN/BRAIN PUMP REFIL & MAIN,,,29.47,45.26,14
CPT,95992,CANALITH REPOSITIONING PROC,,,33.29,41.61,5
CPT,95992,HC ER CANALITH REPOSITIONING/EPLEY,172.4,86.2,37.6,155.16,72
CPT,95992,HC PT CANALITH REPOSITIONING PROCEDURE PER DAY,169.25,84.63,33.67,152.33,70
CPT,95999,UNLISTED NEUROLOGICAL DX PX,,,151.79,186.01,5
CPT,96000,MOTION ANALYSIS VIDEO/3D,,,78.09,630.82,10
CPT,96001,MOTION TEST W/FT PRESS MEAS,,,98.83,1209.55,10
CPT,96002,DYNAMIC SURFACE EMG,,,19.9,370.22,10
CPT,96004,PHYS REVIEW OF MOTION TESTS,,,98.72,123.4,10
CPT,96020,FUNCTIONAL BRAIN MAPPING,,,129.46,370.3,23
CPT,96040,Fee Schedule,,,72.51,112.27,11
CPT,96040,Physician Fee Schedule,,,31.09,31.71,9
CPT,96041,HC CLINIC BC GENETIC COUNSELING SERVICES EA 30 MIN 96040,274.1,137.05,47.01,246.69,69
CPT,96105,ASSESSMENT OF APHASIA,,,55.48,113.19,14
CPT,96105,HC ST ASSESSMENT OF APHASIA,554.8,277.4,92.36,499.32,69
CPT,96110,DEVELOPMENTAL SCREEN W/SCORE,,,8.49,23.93,20
CPT,96110,HC DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM,11.9,5.95,2.6,52.77,70
CPT,96112,DEVEL TST PHYS/QHP 1ST HR,,,108.62,338.09,24
CPT,96112,HC DEVEL TST W/INTERP REPORT 1ST HR,728.95,364.48,52.77,656.06,70
CPT,96113,DEVEL TST PHYS/QHP EA ADDL,,,47.07,154.32,21
CPT,96116,HC NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHYS,706.05,353.03,52.77,635.45,70
CPT,96116,HC NEUROBEHAVIORAL STATUS EXAM PRO FEE,152.8,76.4,58.68,220.92,43
CPT,96121,HC NEUROBEHAVIOR TEST EA ADDL HOUR,706.05,353.03,52.77,635.45,70
CPT,96121,HC NEUROBEHAVIOR TEST EA HOUR PRO FEE,152.8,76.4,58.68,208.05,43
CPT,96125,COGNITIVE TEST BY HC PRO,,,65.12,119.88,14
CPT,96125,HC ST STANDARDIZED COGNITIVE PERFORMANCE TESTING,716.6,358.3,97.82,644.94,69
CPT,96127,BRIEF EMOTIONAL/BEHAV ASSMT,,,4.11,13.22,25
CPT,96127,HC BRIEF EMOTION/BEHAVIOR ASSESSMENT,34.75,17.38,7.58,52.77,70
CPT,96130,HC PSYCH TEST EVAL INTERP FIRST HOUR,328.85,164.43,52.77,370.22,70
CPT,96130,HC PSYCH TESTING EVAL; FIRST HOUR,152.8,76.4,58.68,293.19,43
CPT,96131,HC PSYCH TEST EVAL INTERP EA ADDL HR,328.85,164.43,52.77,295.97,70
CPT,96131,HC PSYCH TESTING EVAL; EA ADD HOUR,152.8,76.4,58.68,223.41,43
CPT,96132,HC NEUROPSY TESTING EVAL FIRST HOUR PRO FEE,152.8,76.4,58.68,288.03,42
CPT,96132,HC NEUROPSY TESTING EVAL; FIRST HR,431.8,215.9,52.77,630.82,70
CPT,96133,HC NEUROPSY TESTING EVAL EA ADD HR PRO FEE,235.1,117.55,70.91,220.74,42
CPT,96133,HC NEUROPSY TESTING EVAL/ EA ADD HR,380.8,190.4,52.77,342.72,70
CPT,96136,HC PSY/NEUROPSY TEST ADM/30 MIN/PHYS PRO FEE,76.4,38.2,21.16,92.82,43
CPT,96136,HC PSYCH/NEUROPSYCH TEST 30 MINS,230.0,115.0,50.16,207.0,70
CPT,96137,HC PSY/NEUROPSY TEST EA ADD 30/PHYS PRO FEE,76.4,38.2,16.71,83.46,42
CPT,96137,HC PSYCH/NEUROPSYCH TEST EA ADDL 30,230.0,115.0,34.95,207.0,70
CPT,96138,HC PSY/NEUROPSY TEST ADM/30 MIN/TECH,190.45,95.23,41.54,474.41,70
CPT,96138,HC PSY/NEUROPSY TEST ADM/30 MIN/TECH PRO FEE,190.45,95.23,31.07,171.41,42
CPT,96139,HC PSY/NEUROPSY TEST EA ADD 30/TECH,190.45,95.23,31.69,171.41,70
CPT,96139,HC PSY/NEUROPSY TEST EA ADD 30MIN/TECH PRO FEE,190.45,95.23,31.07,171.41,42
CPT,96146,HC PSYC/NEUROPSYC TEST ADMIN VIA COMPUTER/30 MIN,190.45,95.23,23.76,171.41,70
CPT,96146,PSYCL/NRPSYC TST AUTO RESULT,,,1.66,2.51,14
CPT,96156,HC HEALTH BEHAVIOR ASSESS OR REASSESS,318.9,159.45,69.55,287.01,69
CPT,96156,HLTH BHV ASSMT/REASSESSMENT,,,75.81,228.7,23
CPT,96158,HC HEALTH BEHAVIOR INTERVENTION INITIAL 30 MINS,320.45,160.23,52.77,288.41,70
CPT,96158,HLTH BHV IVNTJ INDIV 1ST 30,,,51.74,156.1,22
CPT,96159,HC HEALTH BEHAVIOR INTERVENTION EA ADDL 15 MINS,145.0,72.5,23.25,130.5,70
CPT,96159,HLTH BHV IVNTJ INDIV EA ADDL,,,17.84,52.24,17
CPT,96160,HC CLINIC HEALTH RISK ASSESS PT FOCUS,21.3,10.65,4.65,35.42,69
CPT,96160,PT-FOCUSED HLTH RISK ASSMT,,,2.7,10.89,23
CPT,96161,CAREGIVER HEALTH RISK ASSMT,,,2.7,10.89,23
CPT,96161,HC CLINIC HEALTH RISK ASSESS CAREGIVER,21.3,10.65,4.65,35.42,69
CPT,96164,"HC HEALTH BEHAVIOR INTERVENTION, GROUP, INITIAL 30 MINS",209.3,104.65,28.9,188.37,70
CPT,96164,HLTH BHV IVNTJ GRP 1ST 30,,,9.15,11.44,5
CPT,96165,"HC HEALTH BEHAVIOR INTERVENTION, GROUP, EA ADDL 15 MINS",104.75,52.38,4.85,94.28,70
CPT,96165,HLTH BHV IVNTJ GRP EA ADDL,,,4.16,5.2,5
CPT,96167,"HC HEALTH BEHAVIOR INTERVENT, FAMILY W/PT, INITIAL 30 MINS",363.7,181.85,28.9,327.33,70
CPT,96167,HLTH BHV IVNTJ FAM 1ST 30,,,62.14,77.68,5
CPT,96168,"HC HEALTH BEHAVIOR INTERVENT, FAMILY W/PT, EA ADDL 15 MINS",187.55,93.78,25.73,168.8,70
CPT,96168,HLTH BHV IVNTJ FAM EA ADDL,,,22.23,27.79,5
CPT,96170,"HC HEALTH BEHAVIOR INTERVENT, FAMILY W/O PT, INITIAL 30 MINS",370.9,185.45,52.77,333.81,70
CPT,96171,"HC HEALTH BEHAVIOR INTERVENT, FAMILY W/O PT, EA ADDL 15 MINS",152.55,76.28,26.72,137.3,70
CPT,96202,MLT FAM GRP BHV TRAIN 1ST 60,,,20.11,28.14,10
CPT,96203,MLT FAM GRP BHV TRAIN EA ADD,,,5.68,7.1,10
CPT,96360,HC IV INFUSION HYDRATION 31-60 MIN,280.3,140.15,61.13,252.27,70
CPT,96360,HYDRATION IV INFUSION INIT,,,28.18,174.32,23
CPT,96361,HC IV INFUSION HYDRATION EA ADD HOUR,54.3,27.15,11.84,62.81,70
CPT,96361,HYDRATE IV INFUSION ADD-ON,,,10.91,50.76,20
CPT,96365,HC IV INFUSION INITIAL 1ST HOUR,280.3,140.15,61.13,252.27,70
CPT,96365,HC IV INFUSION INITIAL 1ST HOUR GENE THERAPY,7134.15,3567.08,62.81,6420.74,70
CPT,96365,THER/PROPH/DIAG IV INF INIT,,,53.3,212.63,24
CPT,96366,HC IV INFUSION EA ADD HOUR,54.3,27.15,11.84,62.81,70
CPT,96366,THER/PROPH/DIAG IV INF ADDON,,,17.12,68.33,21
CPT,96367,HC IV INFUSION SEQ 1ST HOUR,82.9,41.45,18.08,84.61,70
CPT,96367,TX/PROPH/DG ADDL SEQ IV INF,,,24.93,107.47,20
CPT,96368,HC IV INFUSION CONCURRENT,78.3,39.15,17.08,70.47,70
CPT,96368,THER/DIAG CONCURRENT INF,,,15.98,63.77,19
CPT,96369,HC SUBQ INFUSION INITIAL HOUR,280.3,140.15,61.13,252.27,70
CPT,96369,SC THER INFUSION UP TO 1 HR,,,116.05,155.69,14
CPT,96370,HC SUBQ INFUSION EACH ADDL HOUR,54.3,27.15,11.84,62.81,70
CPT,96370,SC THER INFUSION ADDL HR,,,12.37,18.78,14
CPT,96371,HC SUBQ INFUSION ADDTL PUMP SETUP NEW INFUSE SITE,280.3,140.15,61.13,252.27,70
CPT,96371,SC THER INFUSION RESET PUMP,,,51.43,64.29,14
CPT,96372,HC INJECTION IM OR SUBCUT,82.9,41.45,18.08,123.12,70
CPT,96372,THER/PROPH/DIAG INJ SC/IM,,,13.2,65.91,26
CPT,96373,HC INJECTION INTRA-ARTERIAL,280.3,140.15,61.13,252.27,70
CPT,96373,THER/PROPH/DIAG INJ IA,,,14.19,56.65,15
CPT,96374,HC INJECTION IV PUSH INITIAL,280.3,140.15,61.13,252.27,70
CPT,96374,THER/PROPH/DIAG INJ IV PUSH,,,31.71,168.76,24
CPT,96375,HC INJECTION IV PUSH EA ADD NEW DRUG,54.3,27.15,11.84,123.12,70
CPT,96375,TX/PRO/DX INJ NEW DRUG ADDON,,,13.33,73.18,24
CPT,96376,HC INJECTION IV PUSH EA ADD SAME DRUG,49.75,24.88,10.85,123.12,65
CPT,96376,TX/PRO/DX INJ SAME DRUG ADON,,,32.4,42.13,2
CPT,96377,APPLICATON ON-BODY INJECTOR,,,16.5,20.63,14
CPT,96377,HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,76.05,38.03,16.59,123.12,70
CPT,96379,UNL THER/PROP/DIAG INJ/INF,,,44.76,54.85,5
CPT,96380,ADMN RSV MONOC ANTB IM CNSL,,,18.04,26.45,14
CPT,96380,HC ADMIN RSV MONOCLONAL ANTIBODY W/MD COUSEL,82.9,41.45,18.08,123.12,70
CPT,96381,ADMN RSV MONOC ANTB IM NJX,,,15.58,22.49,14
CPT,96381,HC ADMIN RSV MONOCLONAL ANTIBODY,82.9,41.45,18.08,123.12,70
CPT,96401,CHEMO ANTI-NEOPL SQ/IM,,,52.71,290.36,19
CPT,96401,HC CHEMO NON-HORMONE ANTI-NEOPL SUB-Q/IM,534.85,267.43,69.04,525.11,70
CPT,96402,CHEMO HORMON ANTINEOPL SQ/IM,,,28.89,150.03,21
CPT,96402,HC CHEMOTHER HORMON ANTINEOPL SUB-Q/IM,540.4,270.2,69.04,525.11,70
CPT,96405,CHEMO INTRALESIONAL UP TO 7,,,23.29,33.44,14
CPT,96405,HC INTRALESIONAL CHEMO ADMIN UP TO 7 LESN,540.4,270.2,69.04,525.11,70
CPT,96406,CHEMO INTRALESIONAL OVER 7,,,34.0,51.39,14
CPT,96406,HC INTRALESIONAL CHEMO ADMIN > 7 LESN,1179.8,589.9,204.4,1061.82,70
CPT,96409,CHEMO IV PUSH SNGL DRUG,,,85.82,434.22,17
CPT,96409,HC CHEMO IV PUSH SNGL DRUG,1179.8,589.9,257.31,1061.82,70
CPT,96411,CHEMO IV PUSH ADDL DRUG,,,47.25,247.9,18
CPT,96411,HC CHEMO IV PUSHEA ADD DRUG,762.35,381.18,69.04,686.12,70
CPT,96413,CHEMO IV INFUSION 1 HR,,,110.69,616.35,25
CPT,96413,HC CHEMO IV INFUSION 1 HR,1639.3,819.65,173.36,1475.37,70
CPT,96415,CHEMO IV INFUSION ADDL HR,,,24.03,138.58,25
CPT,96415,HC CHEMO IV INFUSION EA ADD HR,460.7,230.35,69.04,414.63,70
CPT,96416,CHEMO PROLONG INFUSE W/PUMP,,,108.81,637.04,16
CPT,96416,HC CHEMOTHER PROLONG INFUSE W/PUMP,2719.65,1359.83,173.36,2447.69,70
CPT,96417,CHEMO IV INFUS EACH ADDL SEQ,,,54.76,289.09,20
CPT,96417,HC CHEMO IV INFUSE EACH SEQU INFUS,779.95,389.98,69.04,701.96,70
CPT,96420,CHEMO IA PUSH TECNIQUE,,,83.32,109.31,14
CPT,96420,HC CHEMO IA PUSH TECHNIQUE,1179.8,589.9,257.31,1061.82,70
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,,,133.32,166.65,14
CPT,96422,HC CHEMOTHER IA INFUSN TECH 1 HR,1751.2,875.6,173.36,1576.08,70
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,,,44.76,77.59,19
CPT,96425,CHEMOTHERAPY INFUSION METHOD,,,132.56,394.34,19
CPT,96440,CHMOTX ADMN PLRL CAV THRCNTS,,,106.55,394.34,19
CPT,96446,CHEMOTX ADMN PERTL CAV IMPL,,,16.98,22.35,14
CPT,96446,HC CHEMOTHERAPY PERITONEAL CAVITY VIA INDWELLING PORT/CATHETER,1464.7,732.35,319.45,1318.23,70
CPT,96450,CHEMOTHERAPY INTO CNS,,,70.95,658.28,16
CPT,96450,HC CHEMOTHER CNS W/LUMBAR PUNCTURE,1606.75,803.38,321.78,1446.08,70
CPT,96521,HC REFILL/MAINT PORTABLE PUMP,680.65,340.33,148.45,612.59,70
CPT,96521,REFILL/MAINT PORTABLE PUMP,,,98.43,132.16,14
CPT,96522,REFILL/MAINT PUMP/RESVR SYST,,,83.6,250.48,19
CPT,96523,HC IRRIG IMPLANTED DRUG DELIVERY DEVICE,85.15,42.58,18.57,123.12,70
CPT,96523,IRRIG DRUG DELIVERY DEVICE,,,19.58,101.56,18
CPT,96542,CHEMOTHERAPY INJECTION,,,36.34,126.75,15
CPT,96542,"HC CHEMOTHER INJECT,SUBARACH/INTRAVENT",1179.8,589.9,257.31,1061.82,70
CPT,96547,INTRAOP HIPEC PX 1ST 60 MIN,,,49.95,410.37,19
CPT,96548,NTRAOP HIPEC PX EA ADD 30MIN,,,49.95,188.2,19
CPT,96549,UNLISTED CHEMOTHERAPY PX,,,44.76,54.85,5
CPT,96567,PDT DSTR PRMLG LES SKN,,,90.29,236.23,19
CPT,96570,PHOTODYNMC TX 30 MIN ADD-ON,,,46.57,61.89,19
CPT,96571,PHOTODYNAMIC TX ADDL 15 MIN,,,22.52,28.93,19
CPT,96573,PDT DSTR PRMLG LES PHYS/QHP,,,155.22,247.59,19
CPT,96574,DBRDMT PRMLG LES W/PDT,,,192.76,305.5,10
CPT,96900,ACTINOTHERAPY UV LIGHT,,,14.94,46.66,19
CPT,96902,MCRSCP XM HAIR PLUCK/CLIPPED,,,20.69,25.35,5
CPT,96904,WHOLE BODY PHOTOGRAPHY,,,59.52,74.4,10
CPT,96910,PHOTCHMTX TAR&UVB/PTRLTM&UVB,,,48.33,131.21,19
CPT,96912,PHOTOCHEMOTHERAPY PUVA,,,57.63,111.36,19
CPT,96913,PHOTOCHEMOTX SEV DERMATOSES,,,85.85,474.99,19
CPT,96920,EXCIMER LSR PSRIASIS<250SQCM,,,47.18,236.23,19
CPT,96921,EXCIMER LSR PSRIASIS 250-500,,,51.34,236.23,19
CPT,96922,EXCIMER LSR PSRIASIS>500SQCM,,,85.68,474.99,19
CPT,96931,RCM IMG ACQUISJ&I&R 1ST LES,,,151.34,189.18,10
CPT,96932,RCM IMG ACQUISJ ONLY 1ST LES,,,111.04,138.8,10
CPT,96933,RCM I&R ONLY 1ST LESION,,,40.3,50.38,10
CPT,96934,RCM IMG ACQUISJ&I&R EA ADDL,,,107.3,134.13,10
CPT,96935,RCM IMG ACQUISJ ONLY EA ADDL,,,68.29,85.37,10
CPT,96936,RCM I&R ONLY EA ADDL LESION,,,39.01,48.76,10
CPT,96999,UNLISTED SPEC DERM SVC/PX,,,192.76,236.23,5
CPT,97010,HOT OR COLD PACKS THERAPY,,,3.68,7.56,14
CPT,97012,HC PT MECHANICAL TRACTION THERAPY,209.75,104.88,13.97,188.78,70
CPT,97012,MECHANICAL TRACTION THERAPY,,,11.67,17.11,14
CPT,97014,ELECTRIC STIMULATION THERAPY,,,10.67,14.66,14
CPT,97016,HC OT VASOPNEUMATIC DEVICE THERAPY,151.95,75.98,11.35,136.76,70
CPT,97016,HC PT VASOPNEUMATIC DEVICE THERAPY,151.95,75.98,11.35,136.76,70
CPT,97016,VASOPNEUMATIC DEVICE THERAPY,,,11.13,13.91,14
CPT,97018,HC OT PARAFFIN BATH THERAPY,166.55,83.28,5.87,149.9,70
CPT,97018,HC PT PARAFFIN BATH THERAPY,166.55,83.28,5.87,149.9,70
CPT,97018,PARAFFIN BATH THERAPY,,,5.75,7.19,14
CPT,97022,HC OT FLUIDOTHERAPY,125.0,62.5,12.09,112.5,70
CPT,97022,HC OT WHIRLPOOL THERAPY,207.45,103.73,12.09,186.71,70
CPT,97022,HC PT WHIRLPOOL THERAPY,207.45,103.73,12.09,186.71,70
CPT,97022,WHIRLPOOL THERAPY,,,13.73,18.38,14
CPT,97024,DIATHERMY EG MICROWAVE,,,4.25,52.77,20
CPT,97026,HC PT INFRARED THERAPY,128.35,64.18,6.48,115.52,70
CPT,97026,INFRARED THERAPY,,,3.97,7.94,14
CPT,97028,HC PT ULTRAVIOLET THERAPY,190.2,95.1,7.75,171.18,70
CPT,97028,ULTRAVIOLET THERAPY,,,4.85,9.5,14
CPT,97032,APPL MODALITY 1+ESTIM EA 15,,,13.07,17.11,14
CPT,97032,HC OT ELECTRICAL STIMULATION,149.55,74.78,13.97,134.6,70
CPT,97032,HC PT ELECTRICAL STIMULATION,149.55,74.78,13.97,134.6,70
CPT,97032,HC ST ELECTRICAL STIMULATION,149.55,74.78,13.97,134.6,70
CPT,97033,APP MDLTY 1+IONTPHRSIS EA 15,,,17.91,22.39,5
CPT,97033,HC OT ELECTRIC CURRENT THERAPY,269.9,134.95,18.27,242.91,70
CPT,97033,HC PT ELECTRIC CURRENT THERAPY,269.9,134.95,18.27,242.91,70
CPT,97034,APP MDLTY 1+CNTRST BTH EA 15,,,11.85,16.25,14
CPT,97034,HC OT CONTRAST BATH TIMED,155.95,77.98,13.26,140.36,70
CPT,97034,HC PT CONTRAST BATH THERAPY,155.95,77.98,13.26,140.36,70
CPT,97035,APP MDLTY 1+ULTRASOUND EA 15,,,9.34,16.63,14
CPT,97035,HC OT ULTRASOUND THERAPY,189.1,94.55,13.56,170.19,70
CPT,97035,HC PT ULTRASOUND THERAPY,189.1,94.55,13.56,170.19,70
CPT,97036,APP MDLTY 1+HUBBRD TNK EA 15,,,20.14,52.77,20
CPT,97037,HC OT APPLY 1+ AREAS LOW-LEVEL LASER FOR PAIN REDUCTION,128.35,64.18,27.99,115.52,69
CPT,97037,HC PT APPLY 1+ AREAS LOW-LEVEL LASER FOR PAIN REDUCTION,128.35,64.18,27.99,115.52,69
CPT,97110,HC OT THERAPEUTIC EXERCISES,187.75,93.88,13.19,168.98,70
CPT,97110,HC PT THERAPEUTIC EXERCISES,187.75,93.88,13.19,168.98,70
CPT,97110,HC THERAPEUTIC RECREATION IND TIMED,191.3,95.65,13.19,172.17,70
CPT,97110,THERAPEUTIC EXERCISES,,,22.67,71.37,17
CPT,97112,HC OT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN,179.45,89.73,13.19,161.51,70
CPT,97112,HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN,179.45,89.73,13.19,161.51,70
CPT,97112,NEUROMUSCULAR REEDUCATION,,,23.31,49.17,15
CPT,97113,AQUATIC THERAPY/EXERCISES,,,27.49,43.64,14
CPT,97113,HC OT AQUATIC THERAPY EXERCISES,113.65,56.83,13.19,102.29,70
CPT,97113,HC PT AQUATIC THERAPY EXERCISES,113.65,56.83,13.19,102.29,70
CPT,97116,GAIT TRAINING THERAPY,,,19.85,34.56,14
CPT,97116,HC PT GAIT TRAINING THERAPY,166.4,83.2,13.19,149.76,70
CPT,97124,HC OT MASSAGE THERAPY,204.75,102.38,13.19,184.28,70
CPT,97124,HC PT MASSAGE THERAPY,204.75,102.38,13.19,184.28,70
CPT,97124,MASSAGE THERAPY,,,18.05,35.39,14
CPT,97129,HC OT THER INTERVENTIONS COGNITIVE FX INITIAL 15 MINS,173.3,86.65,19.1,155.97,70
CPT,97129,HC PT THER INTERVENTIONS COGNITIVE FX INITIAL 15 MINS,173.3,86.65,19.1,155.97,70
CPT,97129,HC ST THERAPEUTIC INTERVENTIONS COGNITIVE FX INITIAL 15 MINS,173.3,86.65,19.1,155.97,70
CPT,97129,THER IVNTJ 1ST 15 MIN,,,20.88,26.1,5
CPT,97130,HC OT THER INTERVENTIONS COGNITIVE FX EA ADDL 15 MINS,173.3,86.65,20.0,155.97,70
CPT,97130,HC PT THERAPEUTIC INTERVENTIONS COGNITIVE FX EA ADDL 15 MINS,173.3,86.65,20.0,155.97,70
CPT,97130,HC ST THERAPEUTIC INTERVENTIONS COGNITIVE FX EA ADDL 15 MINS,173.3,86.65,20.0,155.97,70
CPT,97130,THER IVNTJ EA ADDL 15 MIN,,,20.23,25.29,5
CPT,97140,HC OT MANUAL THER TECH 1+REGIONS EA 15 MIN,244.5,122.25,13.19,220.05,70
CPT,97140,HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN,244.5,122.25,13.19,220.05,70
CPT,97140,MANUAL THERAPY 1/> REGIONS,,,21.03,66.65,17
CPT,97150,GROUP THERAPEUTIC PROCEDURES,,,16.78,20.98,5
CPT,97150,HC OT GROUP THERAPEUTIC PROCEDURES,270.9,135.45,17.12,243.81,70
CPT,97150,HC PT GROUP THERAPEUTIC PROCEDURES,270.9,135.45,17.12,243.81,70
CPT,97150,HC ST GROUP THERAPEUTIC PROCEDURES,270.9,135.45,17.12,243.81,70
CPT,97150,HC THERAPEUTIC RECREATION GROUP,276.0,138.0,17.12,248.4,70
CPT,97151,BHV ID ASSMT BY PHYS/QHP,,,18.39,109.97,14
CPT,97152,BHV ID SUPRT ASSMT BY 1 TECH,,,18.39,109.97,14
CPT,97153,ADAPTIVE BEHAVIOR TX BY TECH,,,16.67,109.97,14
CPT,97154,GRP ADAPT BHV TX BY TECH,,,3.6,35.42,14
CPT,97155,ADAPT BEHAVIOR TX PHYS/QHP,,,16.67,191.02,14
CPT,97156,FAM ADAPT BHV TX GDN PHY/QHP,,,16.11,35.42,14
CPT,97157,MULT FAM ADAPT BHV TX GDN,,,28.9,63.34,10
CPT,97158,GRP ADAPT BHV TX BY PHY/QHP,,,28.9,35.42,5
CPT,97161,HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,404.15,202.08,52.45,363.74,70
CPT,97161,PT EVAL LOW COMPLEX 20 MIN,,,67.46,117.64,14
CPT,97162,HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS,606.3,303.15,52.45,545.67,70
CPT,97162,PT EVAL MOD COMPLEX 30 MIN,,,67.46,117.64,14
CPT,97163,HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS,808.3,404.15,52.45,727.47,70
CPT,97163,PT EVAL HIGH COMPLEX 45 MIN,,,67.46,117.64,14
CPT,97164,HC PT PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS,248.45,124.23,34.62,223.61,70
CPT,97164,PT RE-EVAL EST PLAN CARE,,,45.71,80.91,14
CPT,97165,HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS,360.75,180.38,51.53,324.68,70
CPT,97165,OT EVAL LOW COMPLEX 30 MIN,,,65.44,120.63,14
CPT,97166,HC OT OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS,541.15,270.58,51.53,487.04,70
CPT,97166,OT EVAL MOD COMPLEX 45 MIN,,,65.44,120.63,14
CPT,97167,HC OT OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS,718.2,359.1,51.53,646.38,70
CPT,97167,OT EVAL HIGH COMPLEX 60 MIN,,,65.44,120.63,14
CPT,97168,HC OT OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS,231.6,115.8,33.3,208.44,70
CPT,97168,OT RE-EVAL EST PLAN CARE,,,43.18,83.05,14
CPT,97530,HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,202.75,101.38,13.19,182.48,70
CPT,97530,HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,202.75,101.38,13.19,182.48,70
CPT,97530,HC ST THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,202.75,101.38,13.19,182.48,70
CPT,97530,THERAPEUTIC ACTIVITIES,,,23.85,77.42,19
CPT,97533,HC OT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,179.45,89.73,13.19,161.51,70
CPT,97533,HC PT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,179.45,89.73,13.19,161.51,70
CPT,97533,SENSORY INTEGRATION,,,57.08,71.35,5
CPT,97535,HC OT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,163.3,81.65,13.19,146.97,70
CPT,97535,HC PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,163.3,81.65,13.19,146.97,70
CPT,97535,HC ST SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,163.3,81.65,13.19,146.97,70
CPT,97535,SELF CARE MNGMENT TRAINING,,,30.65,38.31,5
CPT,97537,COMMUNITY/WORK REINTEGRATION,,,30.42,38.03,5
CPT,97537,HC OT COMMUNITY/WORK REINTEGRATION TRAIN EA 15 MIN,240.4,120.2,13.19,216.36,70
CPT,97537,HC PT COMMUNITY/WORK REINTEGRATION TRAIN EA 15 MIN,240.4,120.2,13.19,216.36,70
CPT,97542,HC OT WHEELCHAIR MNGEMENT TRAINING EA 15 MIN,169.8,84.9,13.19,152.82,70
CPT,97542,HC PT WHEELCHAIR MNGEMENT TRAINING EA 15 MIN,169.8,84.9,13.19,152.82,70
CPT,97542,WHEELCHAIR MNGMENT TRAINING,,,29.52,36.9,5
CPT,97550,CAREGIVER TRAING 1ST 30 MIN,,,43.32,54.35,14
CPT,97550,HC OT CAREGIVER TRAINING STRATEGIES/TECHNIQUES 1ST 30 MINS,326.6,163.3,51.37,293.94,69
CPT,97550,HC PT CAREGIVER TRAINING STRATEGIES/TECHNIQUES 1ST 30 MINS,326.6,163.3,51.37,293.94,69
CPT,97550,HC ST CAREGIVER TRAINING STRATEGIES/TECHNIQUES 1ST 30 MINS,326.6,163.3,51.37,293.94,69
CPT,97551,CAREGIVER TRAING EA ADDL 15,,,20.09,29.21,14
CPT,97551,HC OT CAREGIVER TRAINING STRATEGIES/TECHNIQUES EA ADDL 15 MINS,163.3,81.65,25.37,146.97,69
CPT,97551,HC PT CAREGIVER TRAINING STRATEGIES/TECHNIQUES EA ADDL 15 MINS,163.3,81.65,25.37,146.97,69
CPT,97551,HC ST CAREGIVER TRAINING STRATEGIES/TECHNIQUES EA ADDL 15 MINS,163.3,81.65,25.37,146.97,69
CPT,97552,GROUP CAREGIVER TRAINING,,,10.05,12.56,5
CPT,97552,HC OT CAREGIVER TRAINING STRATEGIES/TECHNIQUES GROUP,163.3,81.65,21.25,146.97,69
CPT,97552,HC PT CAREGIVER TRAINING STRATEGIES/TECHNIQUES GROUP,163.3,81.65,21.25,146.97,69
CPT,97552,HC ST CAREGIVER TRAINING STRATEGIES/TECHNIQUES GROUP,163.3,81.65,21.25,146.97,69
CPT,97597,DBRDMT OPN WND 1ST 20 CM/<,,,25.77,213.75,24
CPT,97597,HC DEBRIDEMENT OPEN WOUND 20 SQ CM<,596.05,298.03,52.77,536.45,70
CPT,97597,HC ER DEBRIDEMENT SELECTIVE <=20SQCM,596.05,298.03,75.38,536.45,72
CPT,97597,HC OT DEBRIDEMENT OPEN WOUND 20 SQ CM<,585.05,292.53,52.77,526.55,70
CPT,97597,HC PT DEBRIDEMENT OPEN WOUND 20 SQ CM<,585.05,292.53,52.77,526.55,70
CPT,97598,DBRDMT OPN WND ADDL 20CM/<,,,22.34,149.7,19
CPT,97598,HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,392.25,196.13,41.73,353.03,70
CPT,97598,HC ER DEBRIDE SELECTIVE ADD 20 SQ CM,392.25,196.13,41.73,353.03,72
CPT,97598,HC OT DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,385.05,192.53,41.73,346.55,70
CPT,97598,HC PT DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,385.05,192.53,41.73,346.55,70
CPT,97602,HC PT WOUND DEBRIDEMNT NON-SELECTIVE,194.2,97.1,9.67,236.23,70
CPT,97602,HC WOUND DEBRIDEMNT NON-SELECTIVE EA,197.85,98.93,9.67,236.23,70
CPT,97602,WOUND(S) CARE NON-SELECTIVE,,,109.47,109.47,1
CPT,97605,HC ER NEG PRESS WOUND TX<50 CM,308.1,154.05,67.2,277.29,72
CPT,97605,HC NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM,308.1,154.05,52.77,277.29,70
CPT,97605,HC PT NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM,302.45,151.23,52.77,272.21,70
CPT,97605,HC WOUND THRPY NEGATIVE PRESSURE <50 SQ CM,308.1,154.05,52.77,277.29,70
CPT,97605,NEG PRS WND THER DME<=50SQCM,,,23.1,89.51,14
CPT,97606,HC NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM,408.95,204.48,52.77,474.99,70
CPT,97606,HC PT NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM,401.35,200.68,52.77,474.99,70
CPT,97606,HC WOUND THRPY NEGATIVE PRESSURE >50 SQ CM,408.95,204.48,52.77,474.99,70
CPT,97606,NEG PRS WND THER DME>50 SQCM,,,25.01,95.83,9
CPT,97607,HC NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM,816.25,408.13,28.5,734.63,70
CPT,97607,NEG PRS WND THR NDME<=50SQCM,,,17.39,432.54,17
CPT,97608,HC NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM,952.3,476.15,30.48,857.07,70
CPT,97608,NEG PRS WND THER NDME>50SQCM,,,19.24,27.86,14
CPT,97610,LOW FREQUENCY NON-THERMAL US,,,16.75,236.23,10
CPT,97750,HC OT PHYSICAL PERFORMANCE TEST,84.55,42.28,18.44,76.1,70
CPT,97750,HC PT PHYSICAL PERFORMANCE TEST,84.55,42.28,18.44,76.1,70
CPT,97750,PHYSICAL PERFORMANCE TEST,,,23.22,39.8,14
CPT,97755,ASSISTIVE TECHNOLOGY ASSESS,,,36.06,52.77,11
CPT,97760,HC OT ORTHOTIC MGMT AND TRAINING INIT EACH 15 MIN,151.55,75.78,33.05,136.4,70
CPT,97760,HC PT ORTHOTIC MGMT AND TRAINING INIT EACH 15 MIN,151.55,75.78,33.05,136.4,70
CPT,97760,ORTHOTIC MGMT&TRAING 1ST ENC,,,25.65,54.56,15
CPT,97761,HC OT PROSTHETIC TRAINING EACH 15 MIN,80.75,40.38,13.19,72.68,70
CPT,97761,HC PT PROSTHETIC TRAINING EACH 15 MIN,80.75,40.38,13.19,72.68,70
CPT,97761,PROSTHETIC TRAING 1ST ENC,,,22.94,48.19,14
CPT,97763,HC OT ORTHOTICS/PROSTH MGMT & TRAIN SBSQ ENCTR 15 MIN,146.35,73.18,31.92,131.72,70
CPT,97763,HC PT ORTHOTICS/PROSTH MGMT & TRAIN SBSQ ENCTR 15 MIN,146.35,73.18,31.92,131.72,70
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENC,,,40.0,59.36,14
CPT,97802,HC MED NUTRITION THER INDIV INIT EA 15 MIN,88.8,44.4,19.37,79.92,69
CPT,97802,MEDICAL NUTRITION INDIV IN,,,22.38,85.74,25
CPT,97803,HC MED NUTRITION THER RE-ASSMNT INDIV EA 15 MIN,71.1,35.55,15.51,63.99,69
CPT,97803,MED NUTRITION INDIV SUBSEQ,,,19.39,73.14,25
CPT,97804,HC MED NUTRITION THER GROUP EA 30 MIN,88.8,44.4,16.11,79.92,69
CPT,97804,MEDICAL NUTRITION GROUP,,,13.93,40.19,16
CPT,97810,ACUP 1/> WO ESTIM 1ST 15 MIN,,,23.76,82.03,11
CPT,97811,ACUP 1/> W/O ESTIM EA ADD 15,,,22.11,68.51,11
CPT,97813,ACUP 1/> W/ESTIM 1ST 15 MIN,,,23.76,97.5,12
CPT,97814,ACUP 1/> W/ESTIM EA ADDL 15,,,22.44,80.33,12
CPT,98000,SYNCH AUDIO-VIDEO NEW SF 15,,,48.89,59.91,5
CPT,98001,SYNCH AUDIO-VIDEO NEW LOW 30,,,80.65,98.83,5
CPT,98002,SYNCH AUDIO-VIDEO NEW MOD 45,,,128.71,157.73,5
CPT,98003,SYNCH AUDIO-VIDEO NEW HI 60,,,170.8,209.31,5
CPT,98004,SYNCH AUDIO-VIDEO EST SF 10,,,37.72,46.23,5
CPT,98005,SYNCH AUDIO-VIDEO EST LOW 20,,,66.12,81.03,5
CPT,98006,SYNCH AUDIO-VIDEO EST MOD 30,,,97.36,119.32,5
CPT,98007,SYNCH AUDIO-VIDEO EST HI 40,,,129.32,158.48,5
CPT,98008,SYNCH AUDIO-ONLY NEW SF 15,,,46.46,56.93,5
CPT,98009,SYNCH AUDIO-ONLY NEW LOW 30,,,77.03,94.4,5
CPT,98010,SYNCH AUDIO-ONLY NEW MOD 45,,,119.71,146.71,5
CPT,98011,SYNCH AUDIO-ONLY NEW HIGH 60,,,155.97,191.14,5
CPT,98012,SYNCH AUDIO-ONLY EST SF 10,,,34.54,42.33,5
CPT,98013,SYNCH AUDIO-ONLY EST LOW 20,,,60.46,74.1,5
CPT,98014,SYNCH AUDIO-ONLY EST MOD 30,,,88.17,108.06,5
CPT,98015,SYNCH AUDIO-ONLY EST HIGH 40,,,128.4,157.35,5
CPT,98016,BRIEF COMUNICAJ TECH-BSD SVC,,,14.03,19.03,10
CPT,98925,HC CLINIC OSTEOPATHIC MANIPULATIVE TX,78.35,39.18,17.09,70.52,69
CPT,98925,OSTEOPATH MANJ 1-2 REGIONS,,,21.22,66.66,9
CPT,98926,HC OSTEOPATHIC MANIP TX 3-4 REGIONS,85.25,42.63,18.59,76.73,69
CPT,98926,OSTEOPATH MANJ 3-4 REGIONS,,,32.21,94.37,11
CPT,98927,OSTEOPATH MANJ 5-6 REGIONS,,,24.54,123.38,17
CPT,98928,HC OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS,120.0,60.0,24.54,108.0,69
CPT,98928,OSTEOPATH MANJ 7-8 REGIONS,,,54.21,152.14,14
CPT,98929,OSTEOPATH MANJ 9-10 REGIONS,,,24.54,184.58,18
CPT,98940,CHIROPRACT MANJ 1-2 REGIONS,,,17.16,30.08,19
CPT,98941,CHIROPRACT MANJ 3-4 REGIONS,,,24.54,39.84,19
CPT,98942,CHIROPRACTIC MANJ 5 REGIONS,,,24.54,53.69,19
CPT,98943,CHIROPRACT MANJ XTRSPINL 1/>,,,24.39,29.89,5
CPT,98960,EDU&TRN PT SELF-MGMT NQHP 1,,,64.27,66.01,2
CPT,98960,HC EDU TRN COUNSELING EA 30 MINS,100.4,50.2,21.9,90.36,69
CPT,98961,EDU&TRN PT SLF-MGMT NQHP 2-4,,,13.66,16.74,5
CPT,98962,EDU&TRN PT SLF-MGMT NQHP 5-8,,,10.0,12.25,5
CPT,98966,PH1 ASSMT&MGMT NQHP 5-10,,,11.0,15.62,10
CPT,98967,PH1 ASSMT&MGMT NQHP 11-20,,,21.4,28.99,10
CPT,98968,PH1 ASSMT&MGMT NQHP 21-30,,,30.08,40.22,10
CPT,98970,NQHP OL DIG ASSMT&MGMT 5-10,,,11.0,13.75,10
CPT,98971,NQHP OL DIG ASSMT&MGMT 11-20,,,20.57,25.71,10
CPT,98972,NQHP OL DIG ASSMT&MGMT 21+,,,31.05,39.19,10
CPT,98975,HC OT RTM SET-UP AND TRAINING,272.1,136.05,59.35,244.89,69
CPT,98975,HC PT RTM SET-UP AND TRAINING,272.1,136.05,59.35,244.89,69
CPT,98975,HC ST RTM SET-UP AND TRAINING,272.1,136.05,59.35,244.89,69
CPT,98975,RTM 1ST SET-UP&PT EDUCAJ EQP,,,15.4,22.63,14
CPT,98976,RTM DEV SPLY RESP SYS 16-30D,,,36.18,49.69,19
CPT,98977,HC OT RTM DEVICE RECORD TRANS EA 30 DAYS,193.7,96.85,36.18,174.33,69
CPT,98977,HC PT RTM DEVICE RECORD TRANS EA 30 DAYS,193.7,96.85,36.18,174.33,69
CPT,98977,HC ST RTM DEVICE RECORD TRANS EA 30 DAYS,193.7,96.85,36.18,174.33,69
CPT,98977,RTM DEV SPLY MSCSKL 16-30 D,,,39.75,49.69,14
CPT,98978,RTM DEV SPLY CBT 16-30 D,,,36.18,44.33,5
CPT,98980,HC OT RTM MANAGE PER MTH 1ST 20 MINS,180.65,90.33,39.4,162.59,69
CPT,98980,HC PT RTM MANAGE PER MTH 1ST 20 MINS,180.65,90.33,39.4,162.59,69
CPT,98980,HC ST RTM MANAGE PER MTH 1ST 20 MINS,180.65,90.33,39.4,162.59,69
CPT,98980,RTM TX MGMT 1ST 20 MIN,,,26.33,35.5,14
CPT,98981,HC OT RTM MANAGE PER MTH EA ADDL 20 MINS,148.0,74.0,32.28,133.2,69
CPT,98981,HC PT RTM MANAGE PER MTH EA ADDL 20 MINS,148.0,74.0,32.28,133.2,69
CPT,98981,HC ST RTM MANAGE PER MTH EA ADDL 20 MINS,148.0,74.0,32.28,133.2,69
CPT,98981,RTM TX MGMT EA ADDL 20 MIN,,,26.28,34.73,14
CPT,99000,SPECIMEN HANDLING OFFICE-LAB,,,12.45,16.39,4
CPT,99001,HC SPECIMEN PROCESSING & REFERRAL,81.75,40.88,17.83,73.58,64
CPT,99050,MEDICAL SERVICES AFTER HRS,,,26.48,54.51,18
CPT,99051,MED SERV EVE/WKEND/HOLIDAY,,,26.48,54.72,19
CPT,99053,MED SERV 10PM-8AM 24 HR FAC,,,26.48,27.01,9
CPT,99058,OFFICE EMERGENCY CARE,,,17.65,51.84,10
CPT,99060,OUT OF OFFICE EMERG MED SERV,,,9.47,9.66,9
CPT,99070,SPECIAL SUPPLIES PHYS/QHP,,,9.42,9.61,9
CPT,99078,GROUP HEALTH EDUCATION,,,250.0,255.0,9
CPT,99078,HC CENTERING PREGNANCY,182.95,91.48,39.9,164.66,64
CPT,99082,UNUSUAL PHYSICIAN TRAVEL,,,0.82,0.84,9
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,,,49.97,62.46,10
CPT,99100,ANES PT EXTEME AGE<1 YR&>70,,,17.36,90.37,12
CPT,99116,ANES COMP TOT BDY HYPTHRM,,,17.36,451.87,12
CPT,99135,ANES COMP CTRLD HYPOTENSION,,,16.98,451.59,12
CPT,99140,ANES COMP EMERGENCY COND,,,17.36,212.29,14
CPT,99151,HC MODERATE SED <5 YRS 1ST 15 MIN,546.75,273.38,55.65,492.08,69
CPT,99151,MOD SED SAME PHYS/QHP <5 YRS,,,20.01,77.86,16
CPT,99152,HC MODERATE SED >5 YRS 1ST 15 MIN,546.75,273.38,46.18,492.08,69
CPT,99152,MOD SED SAME PHYS/QHP 5/>YRS,,,10.47,105.78,23
CPT,99153,HC MODERATE SED EACH ADDL 15 MIN,546.75,273.38,10.83,492.08,69
CPT,99153,MOD SED SAME PHYS/QHP EA,,,8.85,34.43,20
CPT,99155,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,59.25,29.63,12.92,95.57,69
CPT,99155,MOD SED OTH PHYS/QHP <5 YRS,,,76.46,305.72,16
CPT,99156,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,59.25,29.63,12.92,85.62,69
CPT,99156,MOD SED OTH PHYS/QHP 5/>YRS,,,64.37,250.44,19
CPT,99157,HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,58.7,29.35,12.8,66.39,69
CPT,99157,MOD SED OTHER PHYS/QHP EA,,,48.82,142.49,19
CPT,99170,ANOGENITAL EXAM CHILD W IMAG,,,76.28,239.17,19
CPT,99173,HC SCREEN VISUAL ACUITY BIL,64.35,32.18,2.97,155.77,70
CPT,99173,VISUAL ACUITY SCREEN,,,3.96,31.81,11
CPT,99174,OCULAR INSTRUMNT SCREEN BIL,,,5.72,7.01,5
CPT,99175,INDUCTION OF VOMITING,,,19.26,33.59,19
CPT,99177,HC INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS,302.1,151.05,4.5,271.89,70
CPT,99177,OCULAR INSTRUMNT SCREEN BIL,,,8.17,11.55,11
CPT,99183,HYPERBARIC OXYGEN THERAPY,,,91.75,316.67,23
CPT,99184,HYPOTHERMIA ILL NEONATE,,,198.22,765.62,13
CPT,99188,APP TOPICAL FLUORIDE VARNISH,,,11.1,29.96,14
CPT,99190,SPECIAL PUMP SERVICES,,,89.74,91.53,9
CPT,99191,SPECIAL PUMP SERVICES,,,57.63,58.78,9
CPT,99192,SPECIAL PUMP SERVICES,,,41.73,42.56,9
CPT,99195,HC PHLEBOTOMY THERAPEUTIC,450.1,225.05,98.17,405.09,70
CPT,99195,PHLEBOTOMY,,,54.38,245.31,20
CPT,99202,OFFICE O/P NEW SF 15 MIN,,,43.57,149.18,30
CPT,99203,OFFICE O/P NEW LOW 30 MIN,,,74.98,312.8,32
CPT,99204,OFFICE O/P NEW MOD 45 MIN,,,123.71,445.66,32
CPT,99205,OFFICE O/P NEW HI 60 MIN,,,165.62,567.6,31
CPT,99211,OFF/OP EST MAY X REQ PHY/QHP,,,8.13,46.95,30
CPT,99212,OFFICE O/P EST SF 10 MIN,,,24.98,115.61,30
CPT,99213,OFFICE O/P EST LOW 20 MIN,,,50.41,186.29,32
CPT,99214,OFFICE O/P EST MOD 30 MIN,,,77.28,269.47,32
CPT,99215,OFFICE O/P EST HI 40 MIN,,,109.21,395.83,32
CPT,99217,Physician Fee Schedule,,,59.48,60.67,9
CPT,99218,Physician Fee Schedule,,,56.1,57.22,9
CPT,99219,Physician Fee Schedule,,,92.91,94.77,9
CPT,99220,Physician Fee Schedule,,,130.3,132.91,9
CPT,99221,1ST HOSP IP/OBS SF/LOW 40,,,76.15,211.13,29
CPT,99222,1ST HOSP IP/OBS MODERATE 55,,,120.58,371.72,30
CPT,99223,1ST HOSP IP/OBS HIGH 75,,,160.87,518.92,31
CPT,99224,Physician Fee Schedule,,,22.59,23.04,9
CPT,99225,Physician Fee Schedule,,,40.13,40.93,9
CPT,99226,Physician Fee Schedule,,,60.0,61.2,9
CPT,99231,HC SUBSQ IP/OBS HOSP CARE LOWER COMPLEXITY,51.3,25.65,19.7,83.16,43
CPT,99231,SBSQ HOSP IP/OBS SF/LOW 25,,,46.36,56.81,5
CPT,99232,SBSQ HOSP IP/OBS MODERATE 35,,,64.49,184.42,31
CPT,99233,SBSQ HOSP IP/OBS HIGH 50,,,92.39,262.6,31
CPT,99234,HOSP IP/OBS SM DT SF/LOW 45,,,90.3,285.84,28
CPT,99235,HOSP IP/OBS SAME DATE MOD 70,,,147.11,377.24,29
CPT,99236,HOSP IP/OBS SAME DATE HI 85,,,192.32,469.47,28
CPT,99238,HOSP IP/OBS DSCHRG MGMT 30/<,,,64.61,152.38,30
CPT,99239,HOSP IP/OBS DSCHRG MGMT >30,,,95.33,312.56,31
CPT,99241,Physician Fee Schedule,,,26.74,27.27,9
CPT,99242,OFF/OP CONSLTJ NEW/EST SF 20,,,66.13,178.97,25
CPT,99243,OFF/OP CNSLTJ NEW/EST LOW 30,,,92.54,394.25,27
CPT,99244,OFF/OP CNSLTJ NEW/EST MOD 40,,,148.71,560.62,26
CPT,99245,OFF/OP CONSLTJ NEW/EST HI 55,,,184.08,449.68,25
CPT,99251,Physician Fee Schedule,,,39.6,40.39,9
CPT,99252,IP/OBS CONSLTJ NEW/EST SF 35,,,65.1,169.61,24
CPT,99253,IP/OBS CNSLTJ NEW/EST LOW 45,,,94.5,253.97,25
CPT,99254,IP/OBS CNSLTJ NEW/EST MOD 60,,,130.83,469.2,26
CPT,99255,IP/OBS CONSLTJ NEW/EST HI 80,,,175.2,451.93,25
CPT,99281,EMR DPT VST MAYX REQ PHY/QHP,,,10.53,19.18,14
CPT,99281,HC ER LEVEL 1 VISIT LIMITED/MINOR PROB,356.65,178.33,75.38,1530.0,72
CPT,99282,EMERGENCY DEPT VISIT SF MDM,,,36.65,88.11,19
CPT,99282,HC ER LEVEL 2 VISIT LOW/MODER SEVERITY,657.15,328.58,75.38,1530.0,72
CPT,99283,EMERGENCY DEPT VISIT LOW MDM,,,54.86,149.96,25
CPT,99283,HC ER LEVEL 3 VISIT MODERATE SEVERITY,3038.1,1519.05,75.38,2734.29,72
CPT,99284,EMERGENCY DEPT VISIT MOD MDM,,,104.11,255.78,24
CPT,99284,HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY,3181.25,1590.63,75.38,2863.13,72
CPT,99285,EMERGENCY DEPT VISIT HI MDM,,,153.4,494.64,25
CPT,99285,HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC,3364.05,1682.03,75.38,3027.65,72
CPT,99288,DIRECT ADVANCED LIFE SUPPORT,,,43.72,44.59,9
CPT,99291,CRITICAL CARE FIRST HOUR,,,197.56,573.33,25
CPT,99291,"HC ER CRITICAL CARE, E/M 30-74 MINUTES",5617.85,2808.93,75.38,5056.07,72
CPT,99292,CRITICAL CARE ADDL 30 MIN,,,98.86,251.39,24
CPT,99292,"HC ER CRITICAL CARE, ADDL 30 MIN",827.75,413.88,75.38,744.98,72
CPT,99304,1ST NF CARE SF/LOW MDM 25,,,74.46,93.08,19
CPT,99305,1ST NF CARE MODERATE MDM 35,,,115.42,255.64,20
CPT,99306,1ST NF CARE HIGH MDM 50,,,147.76,348.66,25
CPT,99307,SBSQ NF CARE SF MDM 10,,,36.98,46.23,19
CPT,99308,SBSQ NF CARE LOW MDM 20,,,61.1,135.6,21
CPT,99309,SBSQ NF CARE MODERATE MDM 30,,,80.75,190.59,25
CPT,99310,SBSQ NF CARE HIGH MDM 45,,,120.16,282.54,22
CPT,99315,NF DSCHRG MGMT 30 MIN/LESS,,,64.39,94.41,19
CPT,99316,NF DSCHRG MGMT 30 MIN+,,,93.74,220.69,23
CPT,99318,Physician Fee Schedule,,,75.1,76.6,9
CPT,99324,Physician Fee Schedule,,,48.15,49.11,9
CPT,99325,Physician Fee Schedule,,,70.13,71.53,9
CPT,99326,Physician Fee Schedule,,,115.95,118.27,9
CPT,99327,Physician Fee Schedule,,,151.24,154.26,9
CPT,99328,Physician Fee Schedule,,,178.04,181.6,9
CPT,99334,Physician Fee Schedule,,,49.63,50.62,9
CPT,99335,Physician Fee Schedule,,,76.87,78.41,9
CPT,99336,Physician Fee Schedule,,,108.25,110.42,9
CPT,99337,Physician Fee Schedule,,,155.54,158.65,9
CPT,99341,HOME/RES VST NEW SF MDM 15,,,46.09,57.61,19
CPT,99342,HOME/RES VST NEW LOW MDM 30,,,70.43,180.51,21
CPT,99343,Physician Fee Schedule,,,112.94,115.2,9
CPT,99344,HOME/RES VST NEW MOD MDM 60,,,132.22,375.36,20
CPT,99345,HOME/RES VST NEW HIGH MDM 75,,,186.59,463.25,21
CPT,99347,HOME/RES VST EST SF MDM 20,,,42.25,118.43,21
CPT,99348,HOME/RES VST EST LOW MDM 30,,,71.51,178.44,22
CPT,99349,HOME/RES VST EST MOD MDM 40,,,113.79,261.85,21
CPT,99350,HOME/RES VST EST HIGH MDM 60,,,158.2,365.35,23
CPT,99354,Physician Fee Schedule,,,77.73,79.28,9
CPT,99355,Physician Fee Schedule,,,76.9,78.44,9
CPT,99356,Physician Fee Schedule,,,74.91,76.41,9
CPT,99357,Physician Fee Schedule,,,75.43,76.94,9
CPT,99358,PROLONG SERVICE W/O CONTACT,,,84.93,233.53,15
CPT,99359,PROLONG SERV W/O CONTACT ADD,,,36.01,105.67,7
CPT,99360,PHYSICIAN STANDBY SERVICES,,,53.66,128.72,19
CPT,99366,HC OT TREATMENT CONFERENCE,204.95,102.48,38.63,184.46,69
CPT,99366,HC PT TREATMENT CONFERENCE,204.95,102.48,38.63,184.46,69
CPT,99366,HC ST SPEECH TREATMENT CONFERENCE,204.95,102.48,38.63,184.46,69
CPT,99366,TEAM CONF W/PAT BY HC PROF,,,86.12,88.37,2
CPT,99367,TEAM CONF W/O PAT BY PHYS,,,49.29,113.71,15
CPT,99368,TEAM CONF W/O PAT BY HC PRO,,,33.19,40.67,5
CPT,99374,HOME HEALTH CARE SUPERVISION,,,64.49,79.04,5
CPT,99375,HOME HEALTH CARE SUPERVISION,,,85.68,186.82,17
CPT,99377,HOSPICE CARE SUPERVISION,,,64.49,79.04,5
CPT,99378,HOSPICE CARE SUPERVISION,,,88.12,118.85,14
CPT,99379,NURSING FAC CARE SUPERVISION,,,64.49,79.04,5
CPT,99380,NURSING FAC CARE SUPERVISION,,,96.98,118.85,5
CPT,99381,HC CLINIC VISIT NEW HEALTHCHECK EXAM < 1 YR,163.2,81.6,35.59,146.88,69
CPT,99381,HC VISIT NEW PREVT < 1YR,211.55,105.78,74.04,224.53,39
CPT,99381,INIT PM E/M NEW PAT INFANT,,,107.59,109.74,9
CPT,99382,HC CLINIC VISIT NEW PREVT 1-4 YRS,202.85,101.43,44.24,182.57,69
CPT,99382,HC VISIT NEW PREVT 1-4 YRS PRO,211.55,105.78,74.04,234.46,39
CPT,99382,INIT PM E/M NEW PAT 1-4 YRS,,,112.39,114.64,9
CPT,99383,HC CLINIC VISIT NEW HEALTHCHECK EXAM 5-11 YRS,202.85,101.43,44.24,182.57,69
CPT,99383,HC NEW PT HEALTH CHOICE/CHECK EXAM 5-11,211.55,105.78,74.04,243.79,39
CPT,99383,PREV VISIT NEW AGE 5-11,,,116.96,119.3,9
CPT,99384,HC CLINIC VISIT NEW HEALTHCHECK EXAM 12-17 YRS,249.05,124.53,54.32,224.15,69
CPT,99384,HC NEW PT HEALTH CHOICE/CHECK EXAM 12-17,211.55,105.78,74.04,277.42,39
CPT,99384,PREV VISIT NEW AGE 12-17,,,132.16,134.8,9
CPT,99385,HC CLINIC VISIT NEW HEALTHCHECK EXAM 18-39 YRS,259.4,129.7,56.58,233.46,69
CPT,99385,HC PSYCH CLINIC NEW HEALTHCHECK EXAM 18-39 YRS,286.5,143.25,62.49,257.85,69
CPT,99385,HC VISIT NEW PREVT 18-39 YRS,211.55,105.78,74.04,268.94,39
CPT,99385,PREV VISIT NEW AGE 18-39,,,128.05,130.61,9
CPT,99386,HC CLINIC VISIT NEW PREVT 40-64 YRS,295.0,147.5,64.34,265.5,69
CPT,99386,HC PSYCH CLINIC VISIT NEW PREVT 40-64 YRS,350.85,175.43,76.52,315.77,69
CPT,99386,HC VISIT NEW PREVT 40-64 YRS PRO FEE,376.3,188.15,115.45,338.67,39
CPT,99387,HC CLINIC VISIT NEW PREVT 65 + YRS,309.15,154.58,67.43,278.24,69
CPT,99387,HC VISIT NEW PREVT 65 + YRS PRO FEE,393.75,196.88,123.68,354.38,39
CPT,99391,HC CLINIC VISIT EST PREVT < 1 YR,117.95,58.98,25.72,113.44,69
CPT,99391,HC VISIT EST PREVT < 1 YR PRO,185.1,92.55,64.79,202.83,39
CPT,99391,PER PM REEVAL EST PAT INFANT,,,96.63,98.56,9
CPT,99392,HC CLINIC VISIT EST HEALTHCHECK EXAM 1-4 YRS,145.3,72.65,31.69,130.77,69
CPT,99392,HC VISIT EST PREVT 1-4 YRS,185.1,92.55,64.79,215.73,39
CPT,99392,PREV VISIT EST AGE 1-4,,,103.18,105.24,9
CPT,99393,HC CLINIC VISIT EST HEALTHCHECK EXAM 5-11 YRS,160.4,80.2,34.98,144.36,69
CPT,99393,HC EST PT HEALTH CHOICE/CHECK EXAM 5-11,185.1,92.55,64.79,215.03,39
CPT,99393,PREV VISIT EST AGE 5-11,,,102.84,104.9,9
CPT,99394,HC CLINIC VISIT EST HEALTHCHECK 12-17 YRS,205.25,102.63,44.77,184.73,69
CPT,99394,HC EST PT HEALTH CHOICE/CHECK EXAM 12-17,185.1,92.55,64.79,235.67,39
CPT,99394,PREV VISIT EST AGE 12-17,,,112.89,115.15,9
CPT,99395,HC CLINIC VISIT EST HEALTHCHECK  18-39 YRS,211.7,105.85,46.17,190.53,69
CPT,99395,HC EST PT HEALTH CHOICE/CHECK EXAM 18-39,185.1,92.55,64.79,240.67,39
CPT,99395,HC VISIT EST HEALTHCHECK 18-39 YRS,229.5,114.75,50.05,206.55,69
CPT,99395,PREV VISIT EST AGE 18-39,,,115.34,117.65,9
CPT,99396,HC CLINIC VISIT EST PREVT 40-64 YRS,235.25,117.63,51.31,211.73,69
CPT,99396,HC PSYCH CLINIC VISIT EST PREVT 40-64 YRS,279.75,139.88,61.01,251.78,69
CPT,99396,HC VISIT EST PREVT 40-64 YRS PRO FEE,321.45,160.73,93.91,289.31,39
CPT,99397,HC CLINIC VISIT EST PREVT 65 + YRS,256.15,128.08,55.87,230.54,69
CPT,99397,HC VISIT EST PREVT 65 + YRS PRO FEE,321.45,160.73,99.01,289.31,39
CPT,99401,PREV MED CNSL INDIV APPRX 15,,,24.54,79.46,24
CPT,99402,PREV MED CNSL INDIV APPRX 30,,,59.09,132.51,15
CPT,99403,PREV MED CNSL INDIV APPRX 45,,,81.09,189.43,15
CPT,99404,PREV MED CNSL INDIV APPRX 60,,,104.46,233.2,12
CPT,99406,BEHAV CHNG SMOKING 3-10 MIN,,,10.89,31.59,34
CPT,99406,HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,41.55,20.78,9.06,37.4,69
CPT,99407,BEHAV CHNG SMOKING > 10 MIN,,,23.02,58.55,34
CPT,99407,HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES,41.55,20.78,9.06,37.4,69
CPT,99408,AUDIT/DAST 15-30 MIN,,,32.19,73.49,20
CPT,99408,HC ER ALCOHOL/SUBSTANCE MISUSE ASSESS/INTERVENTION 15-30 MIN,170.0,85.0,32.41,153.0,72
CPT,99409,AUDIT/DAST OVER 30 MIN,,,62.45,132.48,24
CPT,99411,PREVENTIVE COUNSELING GROUP,,,18.31,22.43,5
CPT,99412,PREVENTIVE COUNSELING GROUP,,,23.05,28.24,5
CPT,99415,PROLNG CLIN STAFF SVC 1ST HR,,,16.42,23.11,12
CPT,99416,PROLNG CLIN STAFF SVC EA ADD,,,1.47,10.75,11
CPT,99417,PROLNG OP E/M EACH 15 MIN,,,29.25,122.46,24
CPT,99418,PROLNG IP/OBS E/M EA 15 MIN,,,32.04,90.26,21
CPT,99421,OL DIG E/M SVC 5-10 MIN,,,11.81,31.32,28
CPT,99422,OL DIG E/M SVC 11-20 MIN,,,23.62,64.1,27
CPT,99423,OL DIG E/M SVC 21+ MIN,,,36.92,102.05,23
CPT,99424,PRIN CARE MGMT PHYS 1ST 30,,,69.25,96.67,10
CPT,99425,PRIN CARE MGMT PHYS EA ADDL,,,47.42,70.5,10
CPT,99426,PRIN CARE MGMT STAFF 1ST 30,,,45.92,109.97,10
CPT,99427,PRIN CARE MGMT STAFF EA ADDL,,,33.11,60.11,10
CPT,99437,CHRNC CARE MGMT PHYS EA ADDL,,,46.22,69.0,10
CPT,99439,CHRNC CARE MGMT STAF EA ADDL,,,28.31,55.83,12
CPT,99441,ACA Taxonomy,,,20.18,20.18,1
CPT,99441,Fee Schedule,,,24.98,35.15,3
CPT,99441,Taxonomy Defined Physician,,,19.98,20.38,8
CPT,99442,ACA Taxonomy,,,40.73,40.73,1
CPT,99442,Fee Schedule,,,72.97,72.97,1
CPT,99442,Taxonomy Defined Physician,,,40.33,41.14,8
CPT,99443,ACA Taxonomy,,,62.44,62.44,1
CPT,99443,Taxonomy Defined Physician,,,61.82,63.06,8
CPT,99446,NTRPROF PH1/NTRNET/EHR 5-10,,,16.46,20.58,19
CPT,99447,NTRPROF PH1/NTRNET/EHR 11-20,,,33.22,69.88,20
CPT,99448,NTRPROF PH1/NTRNET/EHR 21-30,,,49.46,61.83,19
CPT,99449,NTRPROF PH1/NTRNET/EHR 31/>,,,66.74,83.43,19
CPT,99451,NTRPROF PH1/NTRNET/EHR 5/>,,,31.89,39.86,10
CPT,99452,NTRPROF PH1/NTRNET/EHR RFRL,,,32.49,40.61,10
CPT,99453,REM MNTR PHYSIOL PARAM SETUP,,,16.43,153.21,29
CPT,99454,REM MNTR PHYSIOL PARAM 16-30,,,36.18,127.03,28
CPT,99457,RPM TX MGMT 1ST 20 MIN,,,27.78,101.15,24
CPT,99458,RPM TX MGMT EA ADDL 20 MIN,,,27.78,95.67,22
CPT,99459,PELVIC EXAMINATION,,,17.73,23.96,19
CPT,99460,INIT NB EM PER DAY HOSP,,,85.12,201.67,29
CPT,99461,INIT NB EM PER DAY NON-FAC,,,56.26,105.51,19
CPT,99462,SBSQ NB EM PER DAY HOSP,,,37.09,88.42,29
CPT,99463,SAME DAY NB DISCHARGE,,,98.41,232.43,28
CPT,99464,ATTENDANCE AT DELIVERY,,,66.54,166.71,24
CPT,99464,HC ATTENDANCE TO DELIVERY W/O CPR,748.7,374.35,52.77,673.83,70
CPT,99465,HC DELIVERY/BIRTHING ROOM RESUSCITATION,1391.4,695.7,303.46,1252.26,70
CPT,99465,HC ER RESUSCITATION NEWBORN AT BIRTH,1417.7,708.85,75.38,1275.93,72
CPT,99465,NB RESUSCITATION,,,129.67,341.03,23
CPT,99466,PED CRIT CARE TRANSPORT,,,212.33,499.33,20
CPT,99467,PED CRIT CARE TRANSPORT ADDL,,,106.17,272.09,20
CPT,99468,NEONATE CRIT CARE INITIAL,,,817.79,2042.36,29
CPT,99469,NEONATE CRIT CARE SUBSQ,,,353.92,894.41,29
CPT,99471,PED CRITICAL CARE INITIAL,,,707.9,1819.44,26
CPT,99472,PED CRITICAL CARE SUBSQ,,,364.37,901.6,29
CPT,99473,"HC SELF MEASURE BP DEVICE EDUCATE, TRAIN, CALIBRATE",97.2,48.6,21.2,155.77,70
CPT,99473,SELF-MEAS BP PT EDUCAJ/TRAIN,,,9.78,16.0,14
CPT,99474,SELF-MEAS BP 2 READG BID 30D,,,8.13,19.53,19
CPT,99475,PED CRIT CARE AGE 2-5 INIT,,,498.35,1255.37,26
CPT,99476,PED CRIT CARE AGE 2-5 SUBSQ,,,306.05,748.17,25
CPT,99477,INIT DAY HOSP NEONATE CARE,,,310.23,755.6,29
CPT,99478,"SBSQ IC VLBW INF<1,500 GM",,,121.81,323.22,28
CPT,99479,"SBSQ IC LBW INF 1,500-2,500",,,110.55,284.66,29
CPT,99480,"SBSQ IC INF PBW 2,501-5,000",,,106.48,273.76,29
CPT,99483,ASSMT & CARE PLN PT COG IMP,,,179.14,223.93,5
CPT,99483,HC CLINIC CARE PLAN PT WITH COGNITIVE IMPAIRMENT,330.6,165.3,72.1,297.54,69
CPT,99484,CARE MGMT SVC BHVL HLTH COND,,,28.9,90.31,15
CPT,99485,SUPRV INTERFACILTY TRANSPORT,,,69.27,174.82,8
CPT,99486,SUPRV INTERFAC TRNSPORT ADDL,,,60.01,73.54,5
CPT,99487,CPLX CHRNC CARE 1ST 60 MIN,,,83.81,191.02,11
CPT,99489,CPLX CHRNC CARE EA ADDL 30,,,45.62,83.98,10
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,,,46.22,109.97,12
CPT,99491,CHRNC CARE MGMT PHYS 1ST 30,,,69.84,98.53,10
CPT,99492,1ST PSYC COLLAB CARE MGMT,,,87.57,309.87,26
CPT,99493,SBSQ PSYC COLLAB CARE MGMT,,,89.74,301.2,28
CPT,99494,1ST/SBSQ PSYC COLLAB CARE,,,37.57,128.6,26
CPT,99495,HC CLINIC TRANS CARE MGMT MODERATE,302.1,151.05,65.89,271.89,69
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,,,129.52,422.38,12
CPT,99496,HC CLINIC TRANS CARE MGMT COMPLEX,418.3,209.15,91.23,376.47,69
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,,,175.98,569.59,12
CPT,99497,HC CLINIC ADVANCE CARE PLANNING FIRST 30 MIN PRO FEE,185.25,92.63,69.84,186.89,34
CPT,99497,HC CLINIC ADVANCE CARE PLANNING FIRST 30 MINS,185.25,92.63,40.4,166.73,69
CPT,99498,ADVNCD CARE PLAN ADDL 30 MIN,,,66.01,175.0,12
CPT,99498,HC CLINIC ADVANCED CARE PLAN ADDL 30 MIN,185.25,92.63,40.4,166.73,69
CPT,99502,HOME VISIT NB CARE,,,188.23,188.23,1
HCPCS,A2001,"Innovamatrix ac, per sq cm",,,1052.39,1052.39,1
HCPCS,A2002,Mirragen adv wnd mat per sq,,,205.68,205.68,1
HCPCS,A2004,"Xcellistem, 1 mg",,,13.68,13.68,1
HCPCS,A2007,MATRIX 12.5X10CM 125SQ CM RESTRATA SOFT NONFRIABLE ABSORBABLE WOUND STERILE LATEX FREE WHITE,4100.0,2050.0,785.15,3690.0,65
HCPCS,A2007,MATRIX 3.8X5CM 19SQ CM RESTRATA MESH WOUND STERILE LATEX FREE,1500.0,750.0,287.25,1350.0,65
HCPCS,A2007,MATRIX 5X5CM 25SQ CM RESTRATA MESH WOUND STERILE LATEX FREE,2750.0,1375.0,526.63,2475.0,65
HCPCS,A2007,MATRIX 7.5X7.5CM 57SQ CM RESTRATA MESH WOUND STERILE LATEX FREE,3750.0,1875.0,718.13,3375.0,65
HCPCS,A2007,MATRIX 7.5X7.5CM 57SQ CM RESTRATA SOFT NONFRIABLE ABSORBABLE WOUND STERILE LATEX FREE WHITE,3375.0,1687.5,646.31,3037.5,65
HCPCS,A2007,MATRIX RESTRATA 2.5X1.3CM 4SQ CM SOFT NONFRIABLE ABSORBABLE NONWOVEN WOUND STERILE LATEX FREE WHITE,450.0,225.0,86.18,405.0,65
HCPCS,A2007,MATRIX RESTRATA 2.5X2.5CM 7SQ CM SOFT NONFRIABLE ABSORBABLE NONWOVEN WOUND STERILE LATEX FREE WHITE,978.0,489.0,187.29,880.2,65
HCPCS,A2007,MATRIX RESTRATA 5X5CM 25SQ CM SOFT NONFRIABLE ABSORBABLE NONWOVEN WOUND STERILE LATEX FREE WHITE,2500.0,1250.0,478.75,2250.0,65
HCPCS,A2007,MATRIX RESTRATA MINIMATRIX 10-20SQ CM MICRONIZE FIBER 100MG WOUND,900.0,450.0,172.35,810.0,65
HCPCS,A2007,SCREW BONE 3.5MM 46MM ACUMED HEXALOBE TITANIUM NONSTERILE SMALL FRAGMENT,58.0,29.0,11.11,52.2,65
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,983.11,983.11,1
HCPCS,A2014,Omeza collag per 100 mg,,,6.26,6.26,1
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,1105.01,1105.01,1
HCPCS,A2025,Miro3d per cubic cm,,,219.25,219.25,1
HCPCS,A4215,DEVICE BIOPSY CORE 20GA 10CML MARQUEE LATEX-FREE STERILE SINGLE-USE,325.0,162.5,70.88,292.5,64
HCPCS,A4215,ELECTRODE EMG I-PAS III DIAMOND,82.5,41.25,17.99,74.25,64
HCPCS,A4215,INSTRUMENT BIOPSY L9 CM SEMIAUTOMATIC COAXIAL INTRODUCER NEEDLE SPECIMEN NOTCH LIGHTWEIGHT OD18 GA ODSEC17 GA SUPERCORE L3.9 CM,470.71,235.36,102.66,423.64,64
HCPCS,A4215,NEEDLE BIOPSY 14GA 11CM 20MM SAMPLE NOTCH ECHOGENIC MARK SPRING LOAD ACTION BEVEL CANNULA STYLET TIP DISPOSABLE ACHIEVE SOFT TISSUE,525.0,262.5,114.5,472.5,64
HCPCS,A4215,NEEDLE BIOPSY 18GA 25CM ULTRA SHARP TIP POLISH SURFACE COLOR CODED HUB STERILE LATEX FREE DISPOSABLE BARD MAGNUM,210.0,105.0,45.8,189.0,64
HCPCS,A4215,NEEDLE BIOPSY OD8 GA L6 IN VITOSS BONE MARROW,195.0,97.5,42.53,175.5,64
HCPCS,A4215,NEEDLE SURGICAL 27GA SMALL INJECTOR STERILE DISPOSABLE LARYNGEAL,140.77,70.39,30.7,126.69,64
HCPCS,A4215,PACK SURGICAL L3.5 IN LUMBAR PUNCTURE OD20 GA,118.1,59.05,25.76,106.29,64
HCPCS,A4215,TRAY NEEDLE SPINAL SAFETY 20GA STANDARD 3.5IN F/LUMBAR PUNCTURE LATEX-FREE,109.9,54.95,23.97,98.91,64
HCPCS,A4215,TRAY NEEDLE SPINAL SAFETY 22GA 1.5IN PEDIATRIC W/DRUG F/LUMBAR PUNCTURE LATEX-FREE,107.7,53.85,23.49,96.93,64
HCPCS,A4215,TRAY SURGICAL 1 NEEDLE 1 SYRINGE 1 ADHESIVE BANDAGE LUER LOCK,127.0,63.5,27.7,114.3,64
HCPCS,A4215,TRAY SURGICAL L3.5 IN OD22 GA STANDARD MYELOGRAM P65,145.9,72.95,31.82,131.31,64
HCPCS,A4216,"Sterile water/saline, 10 ml",,,0.54,0.66,5
HCPCS,A4217,"Sterile water/saline, 500 ml",,,3.79,4.65,5
HCPCS,A4220,KIT INFUSION PUMP REFILL PROGRAMMABLE SYNCHROMED II,18.0,9.0,3.93,16.2,64
HCPCS,A4221,Supp non-insulin inf cath/wk,,,25.69,31.49,5
HCPCS,A4222,Infusion supplies with pump,,,48.74,59.73,5
HCPCS,A4224,Supply insulin inf cath/wk,,,25.69,31.49,5
HCPCS,A4225,Sup/ext insulin inf pump syr,,,3.45,4.23,5
HCPCS,A4239,Non-adju cgm supply allow,,,273.28,334.9,5
HCPCS,A4255,Glucose monitor platforms,,,5.7,6.99,5
HCPCS,A4256,Calibrator solution/chips,,,3.45,4.23,5
HCPCS,A4257,Replace Lensshield Cartridge,,,18.19,22.29,5
HCPCS,A4258,Lancet device each,,,2.16,2.65,5
HCPCS,A4259,Lancets per box,,,1.45,1.78,5
HCPCS,A4263,CATHETER LACRIMAL 13MM 2MM LACRICATH AQL 2MM BALLOON 4 WAY STOPCOCK PEDIATRIC DACRYOPLASTY STERILE DISPOSABLE,582.0,291.0,111.45,523.8,65
HCPCS,A4263,Permanent tear duct plug,,,9.5,9.69,9
HCPCS,A4263,SET INTUBATION EYE .025IN .016IN OLIVE CRAWFORD 2 FLEXIBLE PROBE SUTURE TUBE LATEX FREE STERILE STAINLESS STEEL SILICONE,102.0,51.0,19.53,91.8,65
HCPCS,A4263,SET INTUBATION LACRIMAL 0.016IN 0.037IN DIA TUBE SILICONE OLIVE SHAPED TIP W/0.16IN DIA STAINLESS STEEL PROBEX2 SUTURE CRAWFORD II LATEX-FREE STERILE,91.0,45.5,17.43,81.9,65
HCPCS,A4263,SET INTUBATION NOSE LACHRYMAL .016IN .025IN OLIVE CRAWFORD 2 FLEXIBLE PROBE STERILE STAINLESS STEEL SILICONE,98.0,49.0,18.77,88.2,65
HCPCS,A4263,SET LACRIMAL INTUBATION CRAWFORD 0.01IN PROBE 0.02IN TUBING STAINLESS STEEL SILICONE MONOCANALICULAR STERILE,102.0,51.0,19.53,91.8,65
HCPCS,A4263,STENT MINI MONOKA .64MM 40MM DILATOR PLUG INSERTER SILICONE LACRIMAL DUCT STERILE,260.0,130.0,49.79,234.0,65
HCPCS,A4263,STENT MONOKA 4MM COLLARETTE NONTRAUMATIC ROUNDED TIP MALLEABLE PROBE WIDE STAINLESS STEEL SILICONE LACRIMAL DUCT STERILE,245.0,122.5,46.92,220.5,65
HCPCS,A4264,ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING,1497.6,748.8,286.79,1925.1,66
HCPCS,A4264,CLIP INTERNAL L13 MM X W3.5 MM X H4 MM NONMAGNETIC FILSHIE TITANIUM SILICONE RUBBER FALLOPIAN TUBE TUBAL LIGATION SYSTEM,1373.0,686.5,262.93,1925.1,66
HCPCS,A4264,CLIP INTNL FILSHIE TI SILASTIC RBR LN CRV UPR JAW STRL EURO SOCIETY OF COLOPROCTOLOGY,1307.0,653.5,250.29,1925.1,66
HCPCS,A4264,KIT LAPAROSCOPIC LIGATOR RADIOPAQUE 2 RING 2 INCISION APPLICATOR FALOPE-RING 30 PROCEDURE,2658.43,1329.22,509.09,2392.59,66
HCPCS,A4265,Paraffin,,,4.86,5.95,5
HCPCS,A4270,DEVICE CAPSULE DELIVERY L180 CM OD2.5 MM ADVANCE GASTROENTEROLOGY,532.86,266.43,116.22,479.57,64
HCPCS,A4270,SET CYSTOSCOPY OD17 FR,1153.4,576.7,251.56,1038.06,64
HCPCS,A4270,SHEATH 4MM 70D ENDOSCOPIC CLEANING LENS ENDO-SCRUB 2 KARL STORZ,320.4,160.2,69.88,288.36,64
HCPCS,A4270,SHEATH ENDOSCOPIC 30 D OD4 MM ENDO-SCRUB 2 STORZ XOMED,253.28,126.64,55.24,227.95,64
HCPCS,A4270,SHEATH ENDOSCOPIC 4MM DIA 174MML 0DEG F/RICHARD WOLF LENS CLEANING SYSTEM ENDO-SCRUB 2 1912008 STERILE DISPOSABLE,271.19,135.6,59.15,244.07,64
HCPCS,A4270,SHEATH ENDOSCOPIC 4MM DIA 174MML 25DEG ANGLED F/RICHARD WOLF LENS CLEANING SYSTEM ENDO-SCRUB 2 STERILE DISPOSABLE,246.46,123.23,53.75,221.81,64
HCPCS,A4270,SHEATH ENDOSCOPIC 4MM DIA 174MML 45DEG ANGLED ENDO-SCRUB 2 LATEX-FREE STERILE DISPOSABLE,253.28,126.64,55.24,227.95,64
HCPCS,A4270,SHEATH ENDOSCOPIC 4MM DIA 174MML 45DEG ENDO-SCRUB 2 DISPOSABLE,253.28,126.64,55.24,227.95,64
HCPCS,A4270,SHEATH ENDOSCOPIC CLEANING OD4 MM 0 D ENDO-SCRUB 2 STORZ,279.72,139.86,61.01,251.75,64
HCPCS,A4270,SHEATH ENDOSCOPIC L36 CM OUTER TUBE INSULATE LUER LOCK CONNECTOR OD5 MM CLICKLINE METAL CLEAN,311.93,155.97,68.03,280.74,64
HCPCS,A4270,TUBE ENDOSCOPIC CLEANING ENDO-SCRUB 2 STERILE LATEX FREE DISPOSABLE,195.29,97.65,42.59,175.76,64
HCPCS,A4271,Home lancing/test cartridges,,,34.1,41.79,5
HCPCS,A4280,Brst prsths adhsv attchmnt,,,7.61,9.33,5
HCPCS,A4300,CATHETER PH MONITORING VERSAFLEX Z 6FR INFANT INTERNAL REFERENCE IMPEDANCE RINGX7 DISPOSABLE,1.1,0.55,0.24,0.99,64
HCPCS,A4300,HC CATH MINCAP SET W CLMP 4 INCHES,313.7,156.85,60.07,282.33,65
HCPCS,A4301,RESERVOIR EXTERNAL DRAINAGE BURR HOLE 6.4MM DIA 0.8MMD STAINLESS STEEL POLYPROPYLENE CAP SHALLOW W/O SIDE ARM LATEX-FREE,192.0,96.0,36.77,172.8,65
HCPCS,A4301,RESERVOIR SHUNT H5 MM SMALL VENTRICULAR CATHETER FLAT BOTTOM RIGHT ANGLE GUIDE SIDE INLET OD2.2 CM ODSEC1.9 MM ID1.5 CM IDSEC1.1 MM NATUS PUDENZ .31 ML,665.0,332.5,127.35,598.5,65
HCPCS,A4301,RESERVOIR SHUNT L2.2 CM 1.5 CM STANDARD CSF CATHETER CONNECTOR OD1.9 MM ID1.1 MM OMMAYA H6 MM .68 ML,608.0,304.0,116.43,547.2,65
HCPCS,A4310,Insert tray w/o bag/cath,,,9.35,11.46,5
HCPCS,A4311,Catheter w/o bag 2-way latex,,,21.11,25.88,5
HCPCS,A4312,Cath w/o bag 2-way silicone,,,25.7,31.5,5
HCPCS,A4313,Catheter w/bag 3-way,,,26.4,32.35,5
HCPCS,A4314,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE 10ML COUDE TIP 10/CA,185.6,92.8,36.03,167.04,69
HCPCS,A4314,TRAY CATHETER URETHRAL FOLEY 16FR SILICONE W/PERI-CARE COLLECTION BAG STATLOCK FOAM SWAB SURESTEP LATEX-FREE,105.0,52.5,22.9,94.5,69
HCPCS,A4314,TRAY CATHETER URETHRAL FOLEY 8FR DIA SILICONE 3ML LATEX-FREE 10/CA,182.0,91.0,36.03,163.8,69
HCPCS,A4314,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK SURESTEP 18FR FOLEY DRAINAGE BAG BACTI-GUARD NATURAL RUBBER STERILE LATEX DISPOSABLE,146.9,73.45,32.04,132.21,69
HCPCS,A4314,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK SURESTEP 18FR FOLEY URINE METER BACTI-GUARD NATURAL RUBBER STERILE LATEX DISPOSABLE,192.5,96.25,36.03,173.25,69
HCPCS,A4314,TRAY CATHETERIZATION COMPLETE CARE LUBRI-SIL IC STATLOCK SURESTEP 16FR FOLEY URINE METER STERILE LATEX FREE DISPOSABLE,199.3,99.65,36.03,179.37,69
HCPCS,A4314,TRAY CATHETERIZATION COMPLETE CARE LUBRI-SIL IC STATLOCK SURESTEP 16FR FOLEY URINE METER TEMPERATURE SENSE STERILE LATEX FREE DISPOSABLE,308.0,154.0,36.03,277.2,69
HCPCS,A4314,TRAY CATHETERIZATION COMPLETE CARE LUBRI-SIL IC STATLOCK SURESTEP 18FR FOLEY DRAINAGE BAG STERILE LATEX FREE DISPOSABLE,166.0,83.0,36.03,149.4,69
HCPCS,A4314,TRAY CATHETERIZATION SURESTEP LUBRI-SIL STATLOCK 16FR 350ML FOLEY URINE METER STABILIZATION DEVICE STERILE LATEX FREE DISPOSABLE,193.0,96.5,36.03,173.7,69
HCPCS,A4314,TRAY CATHETERIZATION SURESTEP LUBRI-SIL STATLOCK PERI-CARE 16FR 1 LAYER FOLEY STABILIZATION DEVICE SWAB FOAM STERILE LATEX FREE,139.7,69.85,30.47,125.73,69
HCPCS,A4314,TRAY CATHETERIZATION SURESTEP LUBRI-SIL STATLOCK PERI-CARE 18FR 1 LAYER FOLEY STABILIZATION DEVICE SWAB FOAM STERILE LATEX FREE,139.7,69.85,30.47,125.73,69
HCPCS,A4314,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 18FR 5ML FOLEY DRAINAGE BAG STABILIZATION DEVICE SILICONE STERILE LATEX DISPOSABLE,115.1,57.55,25.1,103.59,69
HCPCS,A4315,Cath w/drainage 2-way silcne,,,37.59,46.06,5
HCPCS,A4316,Cath w/drainage 3-way,,,40.47,49.6,5
HCPCS,A4320,Irrigation tray,,,6.47,7.93,5
HCPCS,A4322,Irrigation syringe,,,4.19,5.14,5
HCPCS,A4326,Male external catheter,,,15.37,18.84,5
HCPCS,A4327,Fem urinary collect dev cup,,,63.57,77.9,5
HCPCS,A4328,Fem urinary collect pouch,,,14.62,17.91,5
HCPCS,A4330,Stool collection pouch,,,10.17,12.46,5
HCPCS,A4331,Extension drainage tubing,,,4.53,5.55,5
HCPCS,A4332,Lube sterile packet,,,0.15,0.19,5
HCPCS,A4333,Urinary cath anchor device,,,3.16,3.88,5
HCPCS,A4334,Urinary cath leg strap,,,7.01,8.59,5
HCPCS,A4336,Urethral insert,,,2.05,2.51,5
HCPCS,A4338,Indwelling catheter latex,,,15.48,18.98,5
HCPCS,A4340,Indwelling catheter special,,,38.46,47.14,5
HCPCS,A4341,Iduc valve pat inst repl,,,347.75,426.16,5
HCPCS,A4342,Iduc valve sply repl,,,878.06,1076.05,5
HCPCS,A4344,Cath indw foley 2 way silicn,,,20.46,25.08,5
HCPCS,A4346,CATHETER BARDEX IC 18FR 30CC FOLEY 3 WAY 2 STAGGER EYE COUDE TIP COUVELAIRE MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,84.55,42.28,18.44,76.1,69
HCPCS,A4349,Disposable male external cat,,,2.87,3.51,5
HCPCS,A4351,Straight tip urine catheter,,,2.19,2.69,5
HCPCS,A4352,Coude tip urinary catheter,,,8.44,10.34,5
HCPCS,A4353,Intermittent urinary cath,,,9.99,12.24,5
HCPCS,A4354,Cath insertion tray w/bag,,,16.83,20.63,5
HCPCS,A4355,Bladder irrigation tubing,,,12.71,15.58,5
HCPCS,A4356,Ext ureth clmp or compr dvc,,,64.65,79.23,5
HCPCS,A4357,Bedside drainage bag,,,13.84,16.96,5
HCPCS,A4358,Urinary leg or abdomen bag,,,9.46,11.59,5
HCPCS,A4360,Disposable ext urethral dev,,,0.7,0.86,5
HCPCS,A4361,Ostomy face plate,,,26.16,32.06,5
HCPCS,A4362,Solid skin barrier,,,4.95,6.06,5
HCPCS,A4363,"Ostomy clamp, replacement",,,3.38,4.14,5
HCPCS,A4364,"Adhesive, liquid or equal",,,3.56,4.36,5
HCPCS,A4366,Ostomy vent,,,1.84,2.25,5
HCPCS,A4367,Ostomy belt,,,8.91,10.93,5
HCPCS,A4368,Ostomy filter,,,0.36,0.44,5
HCPCS,A4369,Skin barrier liquid per oz,,,3.46,4.24,5
HCPCS,A4371,Skin barrier powder per oz,,,5.2,6.38,5
HCPCS,A4372,Skin barrier solid 4x4 equiv,,,5.99,7.34,5
HCPCS,A4373,Skin barrier with flange,,,8.94,10.95,5
HCPCS,A4375,Drainable plastic pch w fcpl,,,24.47,29.99,5
HCPCS,A4376,Drainable rubber pch w fcplt,,,67.81,83.1,5
HCPCS,A4377,Drainable plstic pch w/o fp,,,6.11,7.49,5
HCPCS,A4378,Drainable rubber pch w/o fp,,,43.82,53.7,5
HCPCS,A4379,Urinary plastic pouch w fcpl,,,21.4,26.23,5
HCPCS,A4380,Urinary rubber pouch w fcplt,,,53.2,65.2,5
HCPCS,A4381,Urinary plastic pouch w/o fp,,,6.59,8.08,5
HCPCS,A4382,Urinary hvy plstc pch w/o fp,,,35.09,43.0,5
HCPCS,A4383,Urinary rubber pouch w/o fp,,,40.17,49.23,5
HCPCS,A4384,Ostomy faceplt/silicone ring,,,13.69,16.78,5
HCPCS,A4385,Ost skn barrier sld ext wear,,,7.26,8.9,5
HCPCS,A4387,Ost clsd pouch w att st barr,,,3.2,3.93,5
HCPCS,A4388,Drainable pch w ex wear barr,,,6.21,7.61,5
HCPCS,A4389,Drainable pch w st wear barr,,,8.84,10.84,5
HCPCS,A4390,Drainable pch ex wear convex,,,13.68,16.76,5
HCPCS,A4391,Urinary pouch w ex wear barr,,,10.07,12.34,5
HCPCS,A4392,Urinary pouch w st wear barr,,,11.65,14.28,5
HCPCS,A4393,Urine pch w ex wear bar conv,,,12.88,15.79,5
HCPCS,A4394,Ostomy pouch liq deodorant,,,3.69,4.53,5
HCPCS,A4395,Ostomy pouch solid deodorant,,,0.05,0.06,5
HCPCS,A4396,Peristomal hernia supprt blt,,,57.69,70.7,5
HCPCS,A4398,Ostomy irrigation bag,,,19.7,24.14,5
HCPCS,A4399,Ostomy irrig cone/cath w brs,,,17.32,21.23,5
HCPCS,A4400,Ostomy irrigation set,,,59.2,72.55,5
HCPCS,A4402,Lubricant per ounce,,,1.94,2.38,5
HCPCS,A4404,Ostomy ring each,,,2.03,2.49,5
HCPCS,A4405,Nonpectin based ostomy paste,,,4.87,5.96,5
HCPCS,A4406,Pectin based ostomy paste,,,8.16,10.0,5
HCPCS,A4407,"Ext wear ost skn barr <=4sq""",,,12.48,15.3,5
HCPCS,A4408,"Ext wear ost skn barr >4sq""",,,14.07,17.24,5
HCPCS,A4409,Ost skn barr convex <=4 sq i,,,8.84,10.84,5
HCPCS,A4410,Ost skn barr extnd >4 sq,,,12.88,15.79,5
HCPCS,A4411,Ost skn barr extnd =4sq,,,7.26,8.9,5
HCPCS,A4412,Ost pouch drain high output,,,3.86,4.73,5
HCPCS,A4413,2 pc drainable ost pouch,,,7.85,9.63,5
HCPCS,A4414,Ost sknbar w/o conv<=4 sq in,,,7.01,8.59,5
HCPCS,A4415,Ost skn barr w/o conv >4 sqi,,,8.55,10.48,5
HCPCS,A4416,Ost pch clsd w barrier/filtr,,,3.93,4.81,5
HCPCS,A4417,Ost pch w bar/bltinconv/fltr,,,5.31,6.51,5
HCPCS,A4418,Ost pch clsd w/o bar w filtr,,,2.58,3.16,5
HCPCS,A4419,Ost pch for bar w flange/flt,,,2.46,3.01,5
HCPCS,A4422,Ost pouch absorbent material,,,0.15,0.19,5
HCPCS,A4423,Ost pch for bar w lk fl/fltr,,,2.64,3.24,5
HCPCS,A4424,Ost pch drain w bar & filter,,,6.78,8.31,5
HCPCS,A4425,Ost pch drain for barrier fl,,,5.1,6.25,5
HCPCS,A4426,Ost pch drain 2 piece system,,,3.89,4.76,5
HCPCS,A4427,Ost pch drain/barr lk flng/f,,,3.98,4.88,5
HCPCS,A4428,Urine ost pouch w faucet/tap,,,9.29,11.39,5
HCPCS,A4429,Urine ost pouch w bltinconv,,,11.76,14.41,5
HCPCS,A4430,Ost urine pch w b/bltin conv,,,12.14,14.88,5
HCPCS,A4431,Ost pch urine w barrier/tapv,,,8.84,10.84,5
HCPCS,A4432,Os pch urine w bar/fange/tap,,,5.11,6.26,5
HCPCS,A4433,Urine ost pch bar w lock fln,,,4.78,5.86,5
HCPCS,A4434,Ost pch urine w lock flng/ft,,,5.36,6.56,5
HCPCS,A4435,1pc ost pch drain hgh output,,,8.21,10.06,5
HCPCS,A4436,Irr supply sleev reus per mo,,,23.23,28.46,5
HCPCS,A4437,Irr supply sleev disp per mo,,,23.23,28.46,5
HCPCS,A4438,Adhesive clip ext ens contr,,,1.97,2.41,5
HCPCS,A4453,"Rec cath any transanal, each",,,14.04,17.2,5
HCPCS,A4455,Adhesive remover per ounce,,,1.72,2.11,5
HCPCS,A4456,"Adhesive remover, wipes",,,0.35,0.43,5
HCPCS,A4459,"Transanal irrigation, any",,,160.42,196.59,5
HCPCS,A4461,Surgicl dress hold non-reuse,,,4.7,5.76,5
HCPCS,A4463,Surgical dress holder reuse,,,18.97,23.25,5
HCPCS,A4467,Belt strap sleev grmnt cover,,,31.09,34.5,3
HCPCS,A4481,Tracheostoma filter,,,0.52,0.64,5
HCPCS,A4541,Monthly supp use with e0733,,,41.07,50.33,5
HCPCS,A4542,Supp ext up limb tremor stim,,,526.85,645.65,5
HCPCS,A4544,Electro nerve stimulator rls,,,6.34,7.78,5
HCPCS,A4545,Suppl accessor tibial stim,,,41.72,51.13,5
HCPCS,A4550,Surgical trays,,,10.03,10.23,9
HCPCS,A4556,"Electrodes, pair",,,14.71,18.03,5
HCPCS,A4557,"Lead wires, pair",,,13.38,16.4,5
HCPCS,A4558,Conductive gel or paste,,,7.77,9.53,5
HCPCS,A4559,Coupling gel or paste,,,0.13,0.16,5
HCPCS,A4561,Pessary reusable rub anytype,,,20.54,40.56,8
HCPCS,A4562,DEVICE PESSARY 2 RING FOLD SUPPORT OD2 1/4 IN MILEX SILICONE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,89.41,69
HCPCS,A4562,DEVICE PESSARY 3 RING VAGINA FOLD AUTOCLAVABLE OD2.5 IN MILEX SILICONE MILD PROLAPSE,39.55,19.78,8.63,89.41,69
HCPCS,A4562,DEVICE PESSARY 5 GEHRUNG KNOB MILEX,39.55,19.78,8.63,89.41,69
HCPCS,A4562,DEVICE PESSARY 6 VAGINAL RING SUPPORT OD3.25 IN MILEX SILICONE MILD PROLAPSE,39.55,19.78,8.63,89.41,69
HCPCS,A4562,DEVICE PESSARY SIZE 5 3IN SILICONE METAL RING KNOB FOLDING BEIGE F/MILD PROLAPSE STRESS INCONTINENCE MILEX,39.55,19.78,8.63,89.41,69
HCPCS,A4562,DEVICE PESSARY SIZE 6 3 1/4IN SILICONE METAL RING KNOB FOLDING BEIGE F/MILD PROLAPSE STRESS INCONTINENCE MILEX,39.55,19.78,8.63,89.41,69
HCPCS,A4562,KIT PESSARY 2-7 FIT MARLAND,125.0,62.5,27.26,112.5,69
HCPCS,A4562,Pessary reusable nonrubber,,,51.06,100.83,3
HCPCS,A4563,Vag inser rectal control sys,,,1689.73,2070.75,5
HCPCS,A4565,POST TRACTION L11-16 MM DEVICE NA THUMB PELVIC LATERAL,197.85,98.93,10.98,178.07,69
HCPCS,A4565,SLING GIVMOHR BILATERAL LG 5FT10IN-6FT4IN 180-235 LBS,131.1,65.55,10.98,117.99,69
HCPCS,A4565,SLING GIVMOHR BILATERAL MED 5FT3IN-5FT10IN 135-185 LBS,131.1,65.55,10.98,117.99,69
HCPCS,A4565,SLING ORTHOPEDIC ENVELOPE LARGE SYNTHETIC BLEND ARM PADDED THUMB LOOP D-RING HOOK-LOOP CLOSURE W/SHOULDER STRAP,19.0,9.5,4.14,17.1,69
HCPCS,A4565,SLING TRACTION LATERAL SHOULDER SUSPENSION SYSTEM,360.0,180.0,10.98,324.0,69
HCPCS,A4565,SLING TRACTION SMALL 27-47IN CIRC PELVIC WASHABLE SAM II REUSABLE,81.91,40.96,10.98,73.72,69
HCPCS,A4565,Slings,,,5.98,15.17,7
HCPCS,A4570,Splint,,,6.26,18.64,15
HCPCS,A4580,Cast supplies (plaster),,,4.45,4.54,9
HCPCS,A4590,Special casting material,,,22.88,23.34,9
HCPCS,A4595,TENS suppl 2 lead per month,,,13.15,16.11,5
HCPCS,A4596,Ces system monthly supp,,,41.07,50.33,5
HCPCS,A4608,Transtracheal oxygen cath,,,71.44,87.55,5
HCPCS,A4614,Hand-held PEFR meter,,,23.72,41.54,6
HCPCS,A4615,Cannula nasal,,,1.04,1.28,5
HCPCS,A4616,Tubing (oxygen) per foot,,,0.08,0.1,5
HCPCS,A4617,Mouth piece,,,4.42,5.41,5
HCPCS,A4620,Variable concentration mask,,,0.91,1.11,5
HCPCS,A4623,Tracheostomy inner cannula,,,7.95,9.74,5
HCPCS,A4625,Trach care kit for new trach,,,8.39,10.29,5
HCPCS,A4626,Tracheostomy cleaning brush,,,3.86,4.73,5
HCPCS,A4627,Spacer bag/reservoir,,,7.82,18.1,2
HCPCS,A4629,Tracheostomy care kit,,,6.63,8.13,5
HCPCS,A4648,GUIDE SURGICAL NONSTERILE SCOUT REUSABLE,10000.0,5000.0,1915.0,9000.0,65
HCPCS,A4648,HANDPIECE BREAST BIOPSY 9GA EVIVA BUTTERFLY TITANIUM HYDROGEL,875.0,437.5,167.56,787.5,65
HCPCS,A4648,IDENTIFIER BIOPSY SITE OD13 CM EVIVA SECURMARK,520.0,260.0,99.58,468.0,65
HCPCS,A4648,INSTRUMENT BIOPSY 10CM 14GA BARD MARQUEE CORE ENHANCE TROCAR TIP SHORT DEAD SPACE FIRE READY INDICATOR DISPOSABLE,325.0,162.5,62.24,292.5,65
HCPCS,A4648,INSTRUMENT BIOPSY LIGHT BLUE 10CM 12GA BARD MARQUEE CORE NEEDLE COAXIAL CANNULA RELEASE STYLET STERILE DISPOSABLE,1640.63,820.32,314.18,1476.57,65
HCPCS,A4648,Implantable tissue marker,,,271.8,271.8,1
HCPCS,A4648,LUBRICANT ATHERECTOMY SYSTEM VIPERSLIDE,900.0,450.0,172.35,810.0,65
HCPCS,A4648,MARKER 14GA 10CM COIL RIGID NEEDLE 1 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRACOR BARD BIODUR 108 POLYGLYCOLIC ACID POLYVINYL ALCOHOL TISSUE STERILE DISPOSABLE PINK,325.0,162.5,62.24,292.5,65
HCPCS,A4648,MARKER 14GA 10CM HEART RIGID NEEDLE 1 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRACOR BARD TITANIUM POLYGLYCOLIC ACID POLYVINYL ALCOHOL TISSUE STERILE DISPOSABLE RED,325.0,162.5,62.24,292.5,65
HCPCS,A4648,MARKER 14GA 10CM OMEGA RIGID NEEDLE RADIOPAQUE BREAST BIOPSY GEL MARK ULTRACOR POLYLACTIC ACID POLYGLYCOLIC ACID STAINLESS STEEL STERILE DISPOSABLE,915.4,457.7,175.3,823.86,65
HCPCS,A4648,MARKER 14GA 10CM RIBBON RIGID NEEDLE 1 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRACOR BARD TITANIUM POLYGLYCOLIC ACID POLYVINYL ALCOHOL TISSUE STERILE DISPOSABLE ICE BLUE,325.0,162.5,62.24,292.5,65
HCPCS,A4648,MARKER 14GA 10CM VENUS RIGID NEEDLE 1 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRACOR BARD BIODUR 108 POLYGLYCOLIC ACID POLYVINYL ALCOHOL TISSUE STERILE DISPOSABLE VIOLET,325.0,162.5,62.24,292.5,65
HCPCS,A4648,MARKER 14GA 13CM HEART RIGID NEEDLE 1 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRACOR BARD POLYGLYCOLIC ACID POLYVINYL ALCOHOL TITANIUM TISSUE STERILE DISPOSABLE RED,1365.0,682.5,261.4,1228.5,65
HCPCS,A4648,MARKER 14GA 13CM RIBBON RIGID NEEDLE 1 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRACOR BARD POLYGLYCOLIC ACID POLYVINYL ALCOHOL TITANIUM TISSUE STERILE DISPOSABLE ICE BLUE,325.0,162.5,62.24,292.5,65
HCPCS,A4648,MARKER 15GA BUTTERFLY BREAST BIOPSY HYDROMARK TITANIUM MAMMOTOME ELITE CORE NEEDLE,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER 17GA 10CM 3MM RIBBON RIGID NEEDLE RADIOPAQUE BREAST BIOPSY ULTRACLIP II BARD TITANIUM TISSUE STERILE DISPOSABLE,1136.03,568.02,217.55,1022.43,65
HCPCS,A4648,MARKER 17GA 10CM 3MM WING RIGID NEEDLE RADIOPAQUE BREAST BIOPSY ULTRACLIP II BARD INCONEL 625 TISSUE STERILE DISPOSABLE,1097.78,548.89,210.22,988.0,65
HCPCS,A4648,MARKER 17GA 10CM COIL 2 TRIGGER PERMANENT ULTRASOUND VISIBILITY RIGID NEEDLE INTERWOVEN BREAST BIOPSY ULTRACLIP BARD BIODUR 108 POLYVINYL ALCOHOL TISSUE STERILE DISPOSABLE PINK,1128.38,564.19,216.08,1015.54,65
HCPCS,A4648,MARKER 17GA 10CM RIBBON 2 TRIGGER PERMANENT ULTRASOUND VISIBILITY RIGID NEEDLE INTERWOVEN BREAST BIOPSY ULTRACLIP BARD POLYVINYL ALCOHOL TITANIUM TISSUE STERILE DISPOSABLE ICE BLUE,1147.5,573.75,219.75,1032.75,65
HCPCS,A4648,MARKER 17GA 10CM RING RIGID NEEDLE RADIOPAQUE BREAST BIOPSY ULTRACOR TWIRL BARD NITINOL TISSUE STERILE LATEX FREE DISPOSABLE,350.0,175.0,67.03,315.0,65
HCPCS,A4648,MARKER 18GA 127.5MM PROFESSIONAL X SLIDE BUTTON MECHANISM SHARP BEVEL TIP CANNULA DEPTH MARK BREAST BIOPSY TUMARK NITINOL BREVERA STANDARD,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER 18GA 7CM BREAST BIOPSY MAGSEED,500.0,250.0,95.75,450.0,65
HCPCS,A4648,MARKER 2X2CM BIOABSORBABLE SPACER RADIOPAQUE IMPLANTABLE BREAST BIOPSY BIOZORB SOFT TISSUE STERILE LATEX FREE,1200.0,600.0,229.8,1080.0,65
HCPCS,A4648,MARKER 3X2CM BIOABSORBABLE SPACER RADIOPAQUE IMPLANTABLE BREAST BIOPSY BIOZORB SOFT TISSUE STERILE LATEX FREE,1200.0,600.0,229.8,1080.0,65
HCPCS,A4648,MARKER 4X4CM BIOABSORBABLE SPACER RADIOPAQUE IMPLANTABLE BREAST BIOPSY BIOZORB SOFT TISSUE STERILE LATEX FREE,1200.0,600.0,229.8,1080.0,65
HCPCS,A4648,MARKER 5X4CM BIOABSORBABLE SPACER RADIOPAQUE IMPLANTABLE BREAST BIOPSY BIOZORB SOFT TISSUE STERILE LATEX FREE,1200.0,600.0,229.8,1080.0,65
HCPCS,A4648,MARKER 8GA BUTTERFLY SIDE DEPLOY APPLICATOR RADIOPAQUE CLIP FLEXIBLE BREAST BIOPSY MAMMOTOME HYDROMARK TITANIUM PEG HYDROGEL,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER BARREL RIGID SHARP DELIVERY SYSTEM BREAST BIOPSY HYDROMARK TITANIUM 15GA MAMMOTOME ELITE PROBE CORE NEEDLE,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER BREAST BIOPSY 11GA BARBELL SITE IDENTIFIER MAMMOSTAR,758.0,379.0,145.16,682.2,65
HCPCS,A4648,MARKER BREAST BIOPSY 11GA MAMMOSTAR STAR1102,758.0,379.0,145.16,682.2,65
HCPCS,A4648,MARKER BREAST BIOPSY 11GA TITANIUM BOWTIE SHAPED SELF-EXPANDING W/BOVINE COLLAGEN PLUG MAMMOMARK/CORMARK LATEX-FREE,883.43,441.72,169.18,795.09,65
HCPCS,A4648,MARKER BREAST BIOPSY 13CML TITANIUM TRIMARK EVIVA,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY 14GA TITANIUM BOWTIE SHAPED SELF-EXPANDING W/BOVINE COLLAGEN PLUG MAMMOMARK/CORMARK LATEX-FREE,883.43,441.72,169.18,795.09,65
HCPCS,A4648,MARKER BREAST BIOPSY 14GA TITANIUM U-SHAPED SELF-EXPANDING W/BOVINE COLLAGEN PLUG MAMMOMARK/CORMARK LATEX-FREE,883.43,441.72,169.18,795.09,65
HCPCS,A4648,MARKER BREAST BIOPSY 15GA TITANIUM PEG HYDROGEL HUMMINGBIRD T6 SHAPE W/RIGID NEEDLE CLIP F/MAMMOTOME ELITE AUTOCORE DUALCORE TRU-CORE II SUPERCORE DEVICE HYDROMARK PLUS NON-RADIOLUCENT,1023.75,511.88,196.05,921.38,65
HCPCS,A4648,MARKER BREAST BIOPSY 2 SPACE SECURMARK CELERO SYSTEM,430.0,215.0,82.35,387.0,65
HCPCS,A4648,MARKER BREAST BIOPSY 8GA BARREL MAMMOSTAR,758.0,379.0,145.16,682.2,65
HCPCS,A4648,MARKER BREAST BIOPSY 8GA COLLAGEN TITANIUM BOWTIE SHAPED MAMMOTOME REVOLVE DISPOSABLE,883.43,441.72,169.18,795.09,65
HCPCS,A4648,MARKER BREAST BIOPSY 8GA TRIBELL F/SITE IDENTIFICATION MAMMOSTAR,758.0,379.0,145.16,682.2,65
HCPCS,A4648,MARKER BREAST BIOPSY 9GA TITANIUM SHAPED 3 RIGID DELIVERY SYSTEM SITE IDENTIFIER MAMMOTOME HYDROMARK MRI-COMPATIBLE,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER BREAST BIOPSY AR 8GA SINGLE SOLID COLLAGEN PLUG MAMMOTOME REVOLVE,857.7,428.85,164.25,771.93,65
HCPCS,A4648,MARKER BREAST BIOPSY ATEC CELERO SERTERA TUMARK NITINOL X,540.0,270.0,103.41,486.0,65
HCPCS,A4648,MARKER BREAST BIOPSY MRI GUIDE TRIMARK TITANIUM CORK,440.0,220.0,84.26,396.0,65
HCPCS,A4648,MARKER BREAST BIOPSY MRI GUIDED RIGID DEPLOYMENT DEVICE SECURMARK STAINLESS STEEL BUCKLE ATEC SYSTEM 0914 20MR 0914 12MR,430.0,215.0,82.35,387.0,65
HCPCS,A4648,MARKER BREAST BIOPSY MRI GUIDED RIGID DEPLOYMENT DEVICE SECURMARK STAINLESS STEEL SPOTLIGHT ATEC SYSTEM 0914 20MR 0914 12MR,430.0,215.0,82.35,387.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD12 GA CLIP POST TRIMARK,430.0,215.0,82.35,387.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON HANDLE SHARP BEVEL TIP DEPTH MARK TUMARK ATEC L12 CM,780.0,390.0,149.37,702.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON HANDLE SHARP BEVEL TIP DEPTH MARK TUMARK ATEC Q L12 CM,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON MECHANISM SHARP BEVEL TIP CANNULA DEPTH MARK TUMARK NITINOL PROFESSIONAL Q L129.5 MM BREVERA STANDARD,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON MECHANISM SHARP BEVEL TIP CANNULA DEPTH MARK TUMARK NITINOL PROFESSIONAL Q L132 MM EVIVA STANDARD,540.0,270.0,103.41,486.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON SHARP BEVEL TIP DEPTH MARK TUMARK ATEC L10 CM,780.0,390.0,149.37,702.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON SHARP BEVEL TIP DEPTH MARK TUMARK ATEC Q L10 CM,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY OD18 GA SLIDE BUTTON SHARP BEVEL TIP DEPTH MARK TUMARK ATEC X L12 CM,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY RIGID END DEPLOYMENT DELIVERY SYSTEM BIOABSORBABLE NET SECURMARK STAINLESS STEEL INFINITY EVIVA 0913-20 0913-12T 1213-20,440.0,220.0,84.26,396.0,65
HCPCS,A4648,MARKER BREAST BIOPSY RIGID END DEPLOYMENT DELIVERY SYSTEM SECURMARK TITANIUM TOP HAT L13 CM EVIVA,530.0,265.0,101.5,477.0,65
HCPCS,A4648,MARKER BREAST BIOPSY RIGID END DEPLOYMENT DELIVERY SYSTEM TRIMARK TITANIUM HOURGLASS EVIVA,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY SECOND ATEC TRIMARK,430.0,215.0,82.35,387.0,65
HCPCS,A4648,MARKER BREAST BIOPSY SECURMARK CELERO SYSTEM,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER BREAST BIOPSY TUMARK PROFESSIONAL PETITE X-SHAPE SHARP BEVELED TIP NON-BIOABSORBABLE ERGONOMIC HANDLE SLIDE BUTTON,782.25,391.13,149.8,704.03,65
HCPCS,A4648,MARKER COIL APPLICATOR 3 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRA BARD BIODUR 108 POLYGLYCOLIC ACID POLYVINYL ALCOHOL TISSUE STERILE DISPOSABLE EVIVA 9GA PROBE,2640.63,1320.32,505.68,2376.57,65
HCPCS,A4648,MARKER OPEN COIL BREAST BIOPSY HYDROMARK TITANIUM 18GA MAMMOTOME ELITE PROBE CORE NEEDLE,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER OPEN COIL RIGID DELIVERY SYSTEM BREAST BIOPSY HYDROMARK EVIVA TITANIUM,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER OPEN COIL RIGID SHARP DELIVERY SYSTEM BREAST BIOPSY HYDROMARK TITANIUM 15GA MAMMOTOME ELITE PROBE CORE NEEDLE,875.0,437.5,167.56,787.5,65
HCPCS,A4648,MARKER RADIOLOGY 18GA 12.3CML NITINOL X SHAPE F/STEREOTACTIC BREAST BIOPSY TUMARK,520.0,260.0,99.58,468.0,65
HCPCS,A4648,MARKER RADIOLOGY 18GA 12.5CML NITINOL Q SHAPE F/STEREOTACTIC BREAST BIOPSY TUMARK,782.25,391.13,149.8,704.03,65
HCPCS,A4648,MARKER RADIOLOGY 20GA 20CML LINEAR FIDUCIAL TWIN-LINE VISICOIL,294.0,147.0,56.3,264.6,65
HCPCS,A4648,MARKER RADIOLOGY 22GA 0.40MM DIA 20CML IMPLANTED FIDUCIAL SCOTLAND ONLY,1300.0,650.0,248.95,1170.0,65
HCPCS,A4648,MARKER RADIOLOGY FIDUCIAL VISICOIL 19-GAUGE,165.0,82.5,31.6,148.5,65
HCPCS,A4648,MARKER RADIOLOGY STANDARD F/BREVERA TUMARK PROFESSIONAL X,782.25,391.13,149.8,704.03,65
HCPCS,A4648,MARKER RIBBON APPLICATOR 3 MICROFIBER PAD RADIOPAQUE INTERWOVEN BREAST BIOPSY SENOMARK ULTRA BARD POLYGLYCOLIC ACID POLYVINYL ALCOHOL TITANIUM TISSUE STERILE DISPOSABLE EVIVA 9GA PROBE,668.6,334.3,128.04,601.74,65
HCPCS,A4648,MARKER VISION BREAST BIOPSY TUMARK EVIVA STERILE LATEX DISPOSABLE EVIVA STANDARD,780.0,390.0,149.37,702.0,65
HCPCS,A4648,MARKER X APPLICATOR 3 MICROFIBER PAD RADIOPAQUE BREAST BIOPSY SENOMARK BARD POLYGLYCOLIC ACID TITANIUM TISSUE STERILE DISPOSABLE EVIVA 9GA PROBE,2640.63,1320.32,505.68,2376.57,65
HCPCS,A4648,NEEDLE LOCALIZATION 18GA 12CML F/BREAST BIOPSY MARKER MAGSEED,5150.0,2575.0,986.23,4635.0,65
HCPCS,A4648,NEEDLE RADIOLOGY 17GA 1.2MM 20CM 3MM PLACEMENT KNURL MARKER STERILE GOLD,242.0,121.0,46.34,217.8,65
HCPCS,A4648,PROBE BREAST BIOPSY 11GA MAMMOTOME 3 COIL TITANIUM FLEXIBLE DELIVERY SYSTEM,875.0,437.5,167.56,787.5,65
HCPCS,A4648,PROBE BREAST BIOPSY 8GA MAMMOTOME 1 TITANIUM TARGET SET FLEXIBLE DELIVERY SYSTEM COIL,875.0,437.5,167.56,787.5,65
HCPCS,A4648,PROBE BREAST BIOPSY 8GA MAMMOTOME 3 COIL TITANIUM TARGET SET FLEXIBLE DELIVERY SYSTEM,875.0,437.5,167.56,787.5,65
HCPCS,A4648,SET MARKER BREAST BIOPSY INTRODUCER 14GA 3.2MM 8CM EXTRA SHARP TIP MOLLI MARKER MR CONDITIONAL,3750.0,1875.0,718.13,3375.0,65
HCPCS,A4648,SYSTEM BREAST BIOPSY 7.5CM DELIVERY NEEDLE REFLECTOR SAVI SCOUT STERILE LATEX FREE DISPOSABLE,2300.0,1150.0,440.45,2070.0,65
HCPCS,A4648,SYSTEM BREAST BIOPSY SCOUT 10CM DELIVERY NEEDLE REFLECTOR,2300.0,1150.0,440.45,2070.0,65
HCPCS,A4648,SYSTEM BREAST BIOPSY SCOUT 5CM DELIVERY NEEDLE REFLECTOR,2300.0,1150.0,440.45,2070.0,65
HCPCS,A4648,SYSTEM BREAST BIOPSY SCOUT 7.5CM DELIVERY NEEDLE REFLECTOR 1 HAND,2300.0,1150.0,440.45,2070.0,65
HCPCS,A4648,WIRE LOCALIZATION 20CM 20GA BARD GHIATAS 11.3CM BREAST BEAD NEEDLE 9CM,248.1,124.05,47.51,223.29,65
HCPCS,A4648,WIRE LOCALIZATION 35CM 20GA GHIATAS BARD 16.5CM BREAST BEAD INTRODUCER NEEDLE BLUNT TIP STIFFEN CANNULA DEPLOYMENT MARKER 14CM,675.0,337.5,129.26,607.5,65
HCPCS,A4649,ATTACHMENT DRILL HUDSON,1309.92,654.96,285.69,1178.93,64
HCPCS,A4649,CATHETER BALLOON DILATATION L55 MM L1800 MM ODC7.5 FR ODSEC11-16 MM ELATION5 RADIOPAQUE WIREGUIDE 5 STAGE LOW RE INSERTION FORCE ACCEPTS .035 IN GUIDEWIRE 2.8 MM WORK CHANNEL,265.0,132.5,57.8,238.5,64
HCPCS,A4649,CATHETER BALLOON DILATATION L55 MM L1800 MM ODC7.5 FR ODSEC7-11 MM ELATION5 RADIOPAQUE WIREGUIDE 5 STAGE LOW RE INSERTION FORCE ACCEPTS .035 IN GUIDEWIRE 2.8 MM WORK CHANNEL,265.0,132.5,57.8,238.5,64
HCPCS,A4649,DEVICE V-LOC 90 9IN 3-0 V-20 ABSORBABLE UNDYED CLOSURE,543.72,271.86,118.59,489.35,64
HCPCS,A4649,DILATOR ENDOSCOPIC BALLOON PREMIUM 7.5FR 180CM 17-18-19-20-21MM X 5.5CM ESOPHAGEAL 5-STAGE WIRE GUIDED CATHETER SECUREMENT CLIP ELATION5 NON-RADIOLUCENT 0.035IN GW,265.0,132.5,57.8,238.5,64
HCPCS,A4649,DRILL SURGICAL L50 MM OD2.7 MM FREEFIX WRIST FOREARM SET,104.0,52.0,22.68,93.6,64
HCPCS,A4649,DRILL SURGICAL L70 MM OD3.5 MM IJS-ELBOW,124.0,62.0,27.04,111.6,64
HCPCS,A4649,DRILL SURGICAL QUICK CONNECT CANNULATED OD1.9 MM REDUCT HEADLESS COMPRESSION SCREW SYSTEM,234.0,117.0,51.04,210.6,64
HCPCS,A4649,DRILL SURGICAL QUICK CONNECT CANNULATED OD2.7 MM REDUCT HEADLESS COMPRESSION SCREW SYSTEM,234.0,117.0,51.04,210.6,64
HCPCS,A4649,DRIVER GEMINUS AO CONNECTION POLYAXIAL LOCK SCREW SURGICAL HOOK PLATE WRIST FOREARM SET,91.0,45.5,19.85,81.9,64
HCPCS,A4649,DRIVER GEMINUS PEG SURGICAL,90.0,45.0,19.63,81.0,64
HCPCS,A4649,DRIVER REDUCT OD2.5 MM SURGICAL HEADLESS COMPRESSION SCREW SYSTEM,248.0,124.0,54.09,223.2,64
HCPCS,A4649,DRIVER REDUCT OD3.5 MM SURGICAL HEADLESS COMPRESSION SCREW SYSTEM,248.0,124.0,54.09,223.2,64
HCPCS,A4649,DRIVER T-10 DISTAL ELBOW PLATING SYSTEM SURGICAL DISTAL ELBOW PLATE SYSTEM 3 MM POLYAXIAL LOCK SCREW,109.0,54.5,23.77,98.1,64
HCPCS,A4649,DRIVER T10 GEMINUS UNIVERSAL QUICK CONNECT SURGICAL WRIST FOREARM SET,89.0,44.5,19.41,80.1,64
HCPCS,A4649,DRIVER T20 UNIVERSAL ALIGN QUICK CONNECT SURGICAL,92.0,46.0,20.07,82.8,64
HCPCS,A4649,EXTRACTOR SURGICAL RUSSELL-TAYLOR HOOK LARGE,252.07,126.04,54.98,226.86,64
HCPCS,A4649,EXTRACTOR SURGICAL RUSSELL-TAYLOR HOOK SMALL,159.7,79.85,34.83,143.73,64
HCPCS,A4649,GUIDE DRILL OD2 MM VARIABLE ANGLE 2.7 MM SCREW LOCK RECONSTRUCTION PLATE,223.2,111.6,48.68,200.88,64
HCPCS,A4649,GUIDE DRILL THREAD LCP DISTAL RADIUS PLATE,404.75,202.38,88.28,364.28,64
HCPCS,A4649,GUIDE OD1.5 MM AIM GEMINUS SURGICAL,25.0,12.5,5.45,22.5,64
HCPCS,A4649,PACK SURGICAL PROCEDURE SHOULDER DYNJ84173,146.18,73.09,31.88,131.56,64
HCPCS,A4649,RELOAD STAPLER L60 MM TRI-STAPLE 2.0 EXTRA THICK TISSUE ARTICULATE BLACK SIGNIA STAPLE SYSTEM,4665.18,2332.59,1017.48,4198.66,64
HCPCS,A4649,SUTURE NONABSORBABLE UNI-DIRECTIONAL V-LOC PBT 2-0 15CML 37MML GS-21 1/2 CIRCLE TAPER POINT BLUE BARBED MONOFILAMENT POLYBUTESTER PERMANENT UNCOATED 12/CA,409.08,204.54,89.22,368.17,64
HCPCS,A4663,CUFF BLOOD PRESSURE ACUMEN IQ FINGER SELF COIL NONINVASIVE HEMODYNAMIC WRAPAROUND,2010.75,1005.38,438.54,1809.68,64
HCPCS,A4663,GRAFT SOFT TISSUE LEFT LATERAL MENISCUS BONE BLOCK ALLOGRAFT FRESH FROZEN ASEPTIC KNEE,4750.0,2375.0,1035.98,4275.0,64
HCPCS,A4728,HC DIANEAL PD FLUID,102.45,51.23,22.34,92.21,65
HCPCS,A5051,Pouch clsd w barr attached,,,2.94,3.6,5
HCPCS,A5052,Clsd ostomy pouch w/o barr,,,2.12,2.6,5
HCPCS,A5053,Clsd ostomy pouch faceplate,,,2.09,2.56,5
HCPCS,A5054,Clsd ostomy pouch w/flange,,,2.56,3.14,5
HCPCS,A5055,Stoma cap,,,1.76,2.16,5
HCPCS,A5056,1 pc ost pouch w filter,,,6.66,8.16,5
HCPCS,A5057,1 pc ost pou w built-in conv,,,13.68,16.76,5
HCPCS,A5061,Pouch drainable w barrier at,,,5.04,6.18,5
HCPCS,A5062,Drnble ostomy pouch w/o barr,,,3.18,3.9,5
HCPCS,A5063,Drain ostomy pouch w/flange,,,3.86,4.73,5
HCPCS,A5071,Urinary pouch w/barrier,,,8.57,10.5,5
HCPCS,A5072,Urinary pouch w/o barrier,,,4.87,5.96,5
HCPCS,A5073,Urinary pouch on barr w/flng,,,4.53,5.55,5
HCPCS,A5081,"Stoma plug or seal, any type",,,4.15,5.09,5
HCPCS,A5082,Continent stoma catheter,,,16.02,19.64,5
HCPCS,A5083,Stoma absorptive cover,,,0.92,1.13,5
HCPCS,A5093,Ostomy accessory convex inse,,,2.37,2.9,5
HCPCS,A5102,Bedside drain btl w/wo tube,,,32.16,39.41,5
HCPCS,A5105,Urinary suspensory,,,58.11,71.21,5
HCPCS,A5112,Urinary leg bag,,,49.35,60.48,5
HCPCS,A5113,Latex leg strap,,,5.7,6.99,5
HCPCS,A5114,Foam/fabric leg strap,,,10.84,13.29,5
HCPCS,A5121,Solid skin barrier 6x6,,,10.62,13.01,5
HCPCS,A5122,Solid skin barrier 8x8,,,17.89,21.93,5
HCPCS,A5126,Disk/foam pad +or- adhesive,,,1.59,1.95,5
HCPCS,A5131,Appliance cleaner,,,20.6,25.25,5
HCPCS,A5200,Percutaneous catheter anchor,,,16.12,19.75,5
HCPCS,A5500,Diab shoe for density insert,,,90.63,111.06,5
HCPCS,A5501,Diabetic custom molded shoe,,,271.8,333.09,5
HCPCS,A5503,Diabetic shoe w/roller/rockr,,,46.17,56.58,5
HCPCS,A5504,Diabetic shoe with wedge,,,46.17,56.58,5
HCPCS,A5505,Diab shoe w/metatarsal bar,,,46.17,56.58,5
HCPCS,A5506,Diabetic shoe w/off set heel,,,46.17,56.58,5
HCPCS,A5507,Modification diabetic shoe,,,46.17,56.58,5
HCPCS,A5512,Multi den insert direct form,,,36.96,45.3,5
HCPCS,A5513,Multi den insert custom mold,,,55.16,67.6,5
HCPCS,A5514,Mult den insert dir carv/cam,,,55.16,67.6,5
HCPCS,A6010,AGENT HEMOSTATIC CELLERATERX HYDROLYZED BOVINE COLLAGEN 1GM POWDER,455.0,227.5,44.14,409.5,70
HCPCS,A6010,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,396.6,198.3,44.14,356.94,70
HCPCS,A6011,Collagen gel/paste wound fil,,,3.25,3.99,5
HCPCS,A6021,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS,396.6,198.3,29.97,356.94,70
HCPCS,A6022,Collagen drsg>16<=48 sq in,,,29.97,36.73,5
HCPCS,A6023,Collagen dressing >48 sq in,,,271.22,332.38,5
HCPCS,A6024,Collagen dsg wound filler,,,8.81,10.8,5
HCPCS,A6154,Wound pouch each,,,20.47,25.09,5
HCPCS,A6196,Alginate dressing <=16 sq in,,,10.49,12.85,5
HCPCS,A6197,Alginate drsg >16 <=48 sq in,,,23.44,28.73,5
HCPCS,A6199,Alginate drsg wound filler,,,7.52,9.21,5
HCPCS,A6203,Composite drsg <= 16 sq in,,,4.8,5.89,5
HCPCS,A6204,Composite drsg >16<=48 sq in,,,8.86,10.86,5
HCPCS,A6207,Contact layer >16<= 48 sq in,,,10.47,12.83,5
HCPCS,A6209,Foam drsg <=16 sq in w/o bdr,,,10.65,13.05,5
HCPCS,A6210,Foam drg >16<=48 sq in w/o b,,,28.4,34.8,5
HCPCS,A6211,Foam drg > 48 sq in w/o brdr,,,41.86,51.3,5
HCPCS,A6212,Foam drg <=16 sq in w/border,,,13.84,16.96,5
HCPCS,A6214,Foam drg > 48 sq in w/border,,,14.68,17.99,5
HCPCS,A6216,Non-sterile gauze<=16 sq in,,,0.05,0.06,5
HCPCS,A6219,Gauze <= 16 sq in w/border,,,1.36,1.66,5
HCPCS,A6220,Gauze >16 <=48 sq in w/bordr,,,3.69,4.53,5
HCPCS,A6222,Gauze <=16 in no w/sal w/o b,,,3.04,3.73,5
HCPCS,A6223,Gauze >16<=48 no w/sal w/o b,,,3.46,4.24,5
HCPCS,A6224,Gauze > 48 in no w/sal w/o b,,,5.13,6.29,5
HCPCS,A6229,Gauze >16<=48 sq in watr/sal,,,5.13,6.29,5
HCPCS,A6231,Hydrogel dsg<=16 sq in,,,6.68,8.19,5
HCPCS,A6232,Hydrogel dsg>16<=48 sq in,,,9.78,11.99,5
HCPCS,A6233,Hydrogel dressing >48 sq in,,,27.33,33.49,5
HCPCS,A6234,Hydrocolld drg <=16 w/o bdr,,,9.33,11.44,5
HCPCS,A6235,Hydrocolld drg >16<=48 w/o b,,,23.97,29.38,5
HCPCS,A6236,Hydrocolld drg > 48 in w/o b,,,38.83,47.59,5
HCPCS,A6237,Hydrocolld drg <=16 in w/bdr,,,11.27,13.81,5
HCPCS,A6238,Hydrocolld drg >16<=48 w/bdr,,,32.5,39.83,5
HCPCS,A6240,Hydrocolld drg filler paste,,,17.45,21.39,5
HCPCS,A6241,Hydrocolloid drg filler dry,,,3.66,4.49,5
HCPCS,A6242,Hydrogel drg <=16 in w/o bdr,,,8.63,10.58,5
HCPCS,A6243,Hydrogel drg >16<=48 w/o bdr,,,17.56,21.53,5
HCPCS,A6244,Hydrogel drg >48 in w/o bdr,,,55.99,68.61,5
HCPCS,A6245,Hydrogel drg <= 16 in w/bdr,,,10.36,12.7,5
HCPCS,A6246,Hydrogel drg >16<=48 in w/b,,,14.16,17.35,5
HCPCS,A6247,Hydrogel drg > 48 sq in w/b,,,33.89,41.54,5
HCPCS,A6248,Hydrogel drsg gel filler,,,23.15,28.38,5
HCPCS,A6251,Absorpt drg <=16 sq in w/o b,,,2.84,3.48,5
HCPCS,A6252,Absorpt drg >16 <=48 w/o bdr,,,4.64,5.69,5
HCPCS,A6253,Absorpt drg > 48 sq in w/o b,,,9.03,11.06,5
HCPCS,A6254,Absorpt drg <=16 sq in w/bdr,,,1.7,2.09,5
HCPCS,A6255,Absorpt drg >16<=48 in w/bdr,,,4.34,5.31,5
HCPCS,A6257,Transparent film <= 16 sq in,,,2.18,2.68,5
HCPCS,A6258,Transparent film >16<=48 in,,,6.14,7.53,5
HCPCS,A6259,Transparent film > 48 sq in,,,15.59,19.1,5
HCPCS,A6261,CADEXOMER IODINE 0.9 % TOPICAL GEL,251.875,125.94,27.78,338.76,128
HCPCS,A6266,Impreg gauze no h20/sal/yard,,,2.72,3.34,5
HCPCS,A6402,Sterile gauze <= 16 sq in,,,0.15,0.19,5
HCPCS,A6403,Sterile gauze>16 <= 48 sq in,,,0.58,0.71,5
HCPCS,A6407,"Packing strips, non-impreg",,,2.66,3.26,5
HCPCS,A6410,Sterile eye pad,,,0.53,0.65,5
HCPCS,A6441,"Pad band w>=3"" <5""/yd",,,0.97,1.19,5
HCPCS,A6442,"Conform band n/s w<3""/yd",,,0.23,0.29,5
HCPCS,A6443,"Conform band n/s w>=3""<5""/yd",,,0.4,0.49,5
HCPCS,A6444,"Conform band n/s w>=5""/yd",,,0.8,0.98,5
HCPCS,A6445,"Conform band s w <3""/yd",,,0.45,0.55,5
HCPCS,A6446,"Conform band s w>=3"" <5""/yd",,,0.39,0.77,8
HCPCS,A6447,"Conform band s w >=5""/yd",,,0.97,1.19,5
HCPCS,A6448,"Lt compres band <3""/yd",,,0.89,2.27,12
HCPCS,A6449,"Lt compres band >=3"" <5""/yd",,,1.36,3.45,12
HCPCS,A6450,"Lt compres band >=5""/yd",,,2.5,3.06,5
HCPCS,A6451,"Mod compres band w>=3""<5""/yd",,,2.5,3.06,5
HCPCS,A6452,"High compres band w>=3""<5""yd",,,8.4,10.3,5
HCPCS,A6453,"Self-adher band w <3""/yd",,,0.9,1.1,5
HCPCS,A6454,"Self-adher band w>=3"" <5""/yd",,,1.12,1.38,5
HCPCS,A6455,"Self-adher band >=5""/yd",,,1.99,2.44,5
HCPCS,A6456,"Zinc paste band w >=3""<5""/yd",,,1.79,2.19,5
HCPCS,A6457,Tubular dressing,,,1.62,1.99,5
HCPCS,A6520,G com garmnt glove nghttime,,,125.59,153.91,5
HCPCS,A6521,G com garmnt glove nght cust,,,498.33,610.7,5
HCPCS,A6522,G com garment arm nighttime,,,305.16,373.98,5
HCPCS,A6523,G com garment arm nght custm,,,724.05,887.31,5
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,380.73,466.58,5
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,768.62,941.94,5
HCPCS,A6526,G com garmt full leg/ft nght,,,688.34,843.55,5
HCPCS,A6527,G garmt full leg/ft nght cus,,,1265.76,1551.18,5
HCPCS,A6528,G com garment bra nighttime,,,661.88,811.13,5
HCPCS,A6529,G com garmt bra night custm,,,1045.87,1281.7,5
HCPCS,A6530,Compression stocking BK18-30,,,38.8,47.55,5
HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.49,66.78,5
HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.22,76.25,5
HCPCS,A6535,Gc stocking thighlngth 40+,,,71.63,87.79,5
HCPCS,A6536,Gc stocking full lngth 18-30,,,73.45,90.01,5
HCPCS,A6537,Gc stocking full lngth 30-40,,,87.08,106.71,5
HCPCS,A6538,Gc stocking full lngth 40+,,,101.95,124.94,5
HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.2,119.11,5
HCPCS,A6540,Gc stocking waistlngth 30-40,,,115.88,142.01,5
HCPCS,A6541,Gc stocking waistlngth 40+,,,137.27,168.23,5
HCPCS,A6550,DRESSING NEGATIVE PRESSURE VACUUM ASSISTED MEDIUM 14.7CMW X 17.4CML X 1.75CMD OPEN PORE LOW-PROFILE W/DRAPE PAD CONNECTOR RULER BLACK VAC SIMPLACE LATEX-FREE STERILE SINGLE-USE,406.52,203.26,31.13,365.87,69
HCPCS,A6550,TRAY DRESSING VACUUM ASSISTED CLOSURE MEDIUM 18CMW X 12.5CML 3.3CM THK POLYURETHANE HYDROPHOBIC OPEN PORE LOW-PROFILE W/DRAPE SENSA T.R.A.C. PAD 1 RULER STERILE 10/CA,442.26,221.13,31.13,398.03,69
HCPCS,A6552,Grad com stocking bk 30-40,,,57.58,70.56,5
HCPCS,A6553,G com stcking bk 30-40 custm,,,224.84,275.54,5
HCPCS,A6554,Grad com stocking bk 40+,,,79.17,97.03,5
HCPCS,A6555,G com stcking bk 40+ custm,,,224.84,275.54,5
HCPCS,A6556,G com stcking thgh18-30 cust,,,308.13,377.61,5
HCPCS,A6557,G com stcking thgh30-40 cust,,,308.13,377.61,5
HCPCS,A6558,G com stcking thgh 40+ cust,,,317.99,389.69,5
HCPCS,A6562,G com stckng waist18-30 cust,,,1008.45,1235.85,5
HCPCS,A6563,G com stckng waist30-40 cust,,,1008.45,1235.85,5
HCPCS,A6564,G com stckng waist 40+ cust,,,1086.32,1331.28,5
HCPCS,A6565,Grad comp gauntlet custom,,,174.26,213.55,5
HCPCS,A6566,Grad com garment neck/head,,,253.01,310.06,5
HCPCS,A6567,G com garment neck/head cust,,,794.97,974.23,5
HCPCS,A6568,G com garment torso/shldr,,,165.13,202.36,5
HCPCS,A6569,G com garmnt torso/shdr cust,,,940.29,1152.31,5
HCPCS,A6570,Grad com garment genital,,,112.51,137.88,5
HCPCS,A6571,G com garment genital custm,,,676.2,828.68,5
HCPCS,A6572,Grad com garment toe caps,,,104.4,127.94,5
HCPCS,A6573,Grad com garmnt toe cap cust,,,247.73,303.59,5
HCPCS,A6574,Custom gradient sleev/glov,,,315.82,387.04,5
HCPCS,A6575,Gradient comp sleev/glov,,,102.35,125.43,5
HCPCS,A6576,Custom grad com sleeve med,,,193.83,237.54,5
HCPCS,A6577,Custom grad cm sleeve heavy,,,160.43,196.6,5
HCPCS,A6578,Gradient comp sleeve,,,79.01,96.83,5
HCPCS,A6579,Custom grad com glove med,,,311.12,381.28,5
HCPCS,A6580,Custom grad com glove heavy,,,308.84,378.48,5
HCPCS,A6581,Gradient comp glove,,,72.49,88.84,5
HCPCS,A6582,Gradient comp gauntlet,,,48.35,59.25,5
HCPCS,A6583,Grad com wrap w straps bk,,,159.04,194.9,5
HCPCS,A6585,Grad com wrap w straps ak,,,188.31,230.78,5
HCPCS,A6586,Grad com wrap w strap fu leg,,,554.78,679.88,5
HCPCS,A6587,Grad com wrap w straps foot,,,72.68,89.06,5
HCPCS,A6588,Grad com wrap w strap arm,,,242.21,296.83,5
HCPCS,A6589,Grad com wrap w straps bra,,,95.61,117.18,5
HCPCS,A6590,Urinary cath disp suc pump,,,438.5,537.38,5
HCPCS,A6591,Urinary cath suc pump,,,90.64,111.08,5
HCPCS,A6594,G comp bandge liner lwr extr,,,34.81,42.66,5
HCPCS,A6595,G comp bandge liner upr extr,,,34.24,41.96,5
HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.23,5
HCPCS,A6597,G comp bandage long stretch,,,1.54,1.89,5
HCPCS,A6598,G comp bandage med stretch,,,0.74,0.91,5
HCPCS,A6599,G comp bandage short stretch,,,1.69,2.08,5
HCPCS,A6600,G com bandge hgh dn foam sht,,,3.05,3.74,5
HCPCS,A6601,G com bandge hgh dn foam pad,,,3.43,4.2,5
HCPCS,A6602,G com bandge hgh dn foamroll,,,5.0,6.13,5
HCPCS,A6603,G com bandge low dn foamchnl,,,2.35,2.88,5
HCPCS,A6604,G com bandge low dn foam flt,,,1.37,1.68,5
HCPCS,A6605,G com bandage padded foam,,,1.56,1.91,5
HCPCS,A6606,G com bandage padded textile,,,4.64,5.69,5
HCPCS,A6607,G com bandage tub protct lyr,,,1.24,1.53,5
HCPCS,A6608,G com bandage tub protct pad,,,5.17,6.34,5
HCPCS,A6610,G com stcking bk 18-30 custm,,,224.84,275.54,5
HCPCS,A7016,Nebulizer dome & mouthpiece,,,6.68,11.73,2
HCPCS,A7018,Water distilled w/nebulizer,,,0.41,0.5,5
HCPCS,A7040,One way chest drain valve,,,57.96,71.03,5
HCPCS,A7041,Water seal drain container,,,108.93,133.49,5
HCPCS,A7048,CATHETER IV OD10 GA L3 IN DEHP FREE RADIOPAQUE BD ANGIOCATH STANDARD PERIPHERAL FEP BROWN,120.5,60.25,26.28,108.45,69
HCPCS,A7048,CATHETER IV OD12 GA L3 IN RADIOPAQUE DEHP FREE BD ANGIOCATH PERIPHERAL FEP PALE BLUE,602.5,301.25,60.63,542.25,69
HCPCS,A7048,CATHETER IV OD14 GA L3.25 IN RADIOPAQUE DEHP FREE BD ANGIOCATH PERIPHERAL FEP ORANGE,602.5,301.25,60.63,542.25,69
HCPCS,A7048,CATHETER IV OD14 GA L5.25 IN RADIOPAQUE DEHP FREE BD ANGIOCATH PERIPHERAL FEP ORANGE,602.5,301.25,60.63,542.25,69
HCPCS,A7048,CATHETER IV OD16 GA ODSEC.0663-.0677 IN ID.0443-.0487 IN L3.25 IN SYRINGE PUMP RADIOPAQUE BD ANGIOCATH Y BEVEL PERIPHERAL TEFLON,734.4,367.2,60.63,660.96,69
HCPCS,A7048,KIT MANIFOLD LEFT HEART MERIT MEDICAL,179.4,89.7,39.13,161.46,69
HCPCS,A7501,Tracheostoma valve w diaphra,,,149.66,183.41,5
HCPCS,A7502,Replacement diaphragm/fplate,,,71.15,87.19,5
HCPCS,A7503,HMES filter holder or cap,,,16.17,19.81,5
HCPCS,A7504,Tracheostoma HMES filter,,,0.97,1.19,5
HCPCS,A7505,HMES or trach valve housing,,,6.68,8.19,5
HCPCS,A7506,HMES/trachvalve adhesivedisk,,,0.46,0.56,5
HCPCS,A7507,Integrated filter & holder,,,3.56,4.36,5
HCPCS,A7508,Housing & Integrated Adhesiv,,,4.09,5.01,5
HCPCS,A7509,Heat & moisture exchange sys,,,2.01,2.46,5
HCPCS,A7520,TUBE AIRWAY 11MM 115X50MM CLEAR SAFE-T-TUBE MONTGOMERY NONADHERENT SAFETY RING GROOVE SYSTEM STERILE SILICONE THORACIC DISPOSABLE 5200 SERIES,195.0,97.5,37.34,175.5,70
HCPCS,A7520,TUBE AIRWAY 12MM 11MM STANDARD 65X50MM CLEAR SAFE-T-TUBE MONTGOMERY NONADHERENT SAFETY RING GROOVE SYSTEM STERILE SILICONE TRACHEAL DISPOSABLE 4200 SERIES,201.0,100.5,38.49,180.9,70
HCPCS,A7520,TUBE AIRWAY 13MM 11MM 116X55MM CLEAR SAFE-T-TUBE MONTGOMERY NONADHERENT SAFETY RING GROOVE SYSTEM STERILE SILICONE THORACIC DISPOSABLE 5200 SERIES,217.0,108.5,41.56,195.3,70
HCPCS,A7520,TUBE LARYNGECTOMY 13.5MM 10.5MM 9MM STANDARD 55MM PROVOX LARYTUBE XTRAFLOW 5 CASSETTE NONSTERILE SILICONE DISPOSABLE,164.1,82.05,35.79,147.69,69
HCPCS,A7520,TUBE LARYNGECTOMY 15MM 12MM 10 STANDARD 55MM PROVOX LARYTUBE XTRAFLOW 5 CASSETTE NONSTERILE SILICONE DISPOSABLE 7611,164.1,82.05,35.79,147.69,69
HCPCS,A7520,TUBE LARYNGECTOMY L50 MM 8 UNCUFF ROUND TIP OBTURATOR REUSABLE INNER CANNULA OD12.6 MM ID7.6 MM SHILEY,38.8,19.4,7.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 10.8MM 6.4MM SHILEY UNCUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE 6 76MM STERILE LATEX FREE GREEN WHITE,35.51,17.76,6.8,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 12.2MM 7.6MM SHILEY UNCUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE 8 81MM STERILE LATEX FREE GREEN WHITE,35.51,17.76,6.8,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 12.2MM 7.6MM SHILEY UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA 8 79MM STERILE LATEX FREE,67.18,33.59,12.86,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 13.3MM SHILEY XLT UNCUFF SOFT SWIVEL FLANGE DISTAL EXTENSION 8 EXTEND LENGTH 105MM STERILE LATEX FREE,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 13.8MM 8.9MM SHILEY UNCUFF REUSABLE INNER CANNULA CONNECTOR 10 81MM STERILE LATEX FREE GREEN WHITE,74.4,37.2,14.25,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 13.8MM SHILEY UNCUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR 10 PLASTICIZER 79MM,39.71,19.86,7.6,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 3MM ID 4.7MM OD 38/20MML SILICONE PEDIATRIC STRAIGHT UNCUFFED V-NECK FLANGE W/15MM CONNECTOR WIRE CLIP-IN OBTURATOR TWILL TRACH-TIE CAP PLUG PORTEX BIVONA FLEXTEND LATEX-FREE MRI-CON,96.12,48.06,18.41,86.51,70
HCPCS,A7520,TUBE TRACHEOSTOMY 4.7MM BIVONA UNCUFF OBTURATOR TWILL TIE STANDARD STRAIGHT FLANGE PEDIATRIC 3MM SILICONE 20-39MM STERILE LATEX FREE DISPOSABLE,153.22,76.61,29.34,137.9,70
HCPCS,A7520,TUBE TRACHEOSTOMY 4MM BIVONA UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE NEONATE 2.5MM SILICONE 30MM STERILE LATEX FREE,55.49,27.75,10.63,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 5.3MM BIVONA UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE NEONATE 3.5MM SILICONE 34MM STERILE LATEX FREE,55.49,27.75,10.63,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 5.3MM BIVONA UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE PEDIATRIC 3.5MM SILICONE 40MM STERILE LATEX FREE,55.49,27.75,10.63,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 6.5MM SHILEY UNCUFF ROUND TIP OBTURATOR SOFT FLANGE PEDIATRIC 4.5 42MM STERILE LATEX FREE DISPOSABLE,64.11,32.06,13.98,82.91,69
HCPCS,A7520,TUBE TRACHEOSTOMY 6.7MM BIVONA UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE PEDIATRIC 4.5MM SILICONE 42MM STERILE LATEX FREE,57.35,28.68,10.98,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 6MM BIVONA UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE PEDIATRIC 4MM SILICONE 41MM STERILE LATEX FREE,57.08,28.54,10.93,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 9.4MM 5MM SHILEY UNCUFF REUSABLE INNER CANNULA CONNECTOR 4 65MM STERILE LATEX FREE GREEN WHITE,80.59,40.3,15.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY 9.4MM 5MM SHILEY UNCUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE 4 65MM STERILE LATEX FREE GREEN WHITE,35.51,17.76,6.8,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY CUFFLESS SIZE 6 FENESTRATED W/OUTER OBTURATOR NECK STRAP 15MM INNER CANNULAX2 TRACOE-TWIST 304,54.0,27.0,10.34,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L100 MM UNCUFF SOFT SWIVEL FLANGE DISTAL EXTENSION SHILEY XLT OD12.3 MM 7 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L100 MM UNCUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD12.3 MM 7 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L105 MM UNCUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD13.3 MM 8 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L20-32 MM UNCUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE BIVONA OD4.7 MM 3 MM SILICONE NEONATE,158.67,79.34,30.39,142.8,70
HCPCS,A7520,TUBE TRACHEOSTOMY L20-34 MM UNCUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE BIVONA OD5.3 MM 3.5 MM SILICONE NEONATE,150.4,75.2,28.8,135.36,70
HCPCS,A7520,TUBE TRACHEOSTOMY L32 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD5.4 MM 3.5 MM CLEAR PLASTICIZER NEONATE,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L34 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD6.0 MM 4 MM CLEAR PLASTICIZER NEONATE,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L39 MM UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE BIVONA OD4.7 MM 3 MM SILICONE PEDIATRIC,120.54,60.27,23.08,108.49,70
HCPCS,A7520,TUBE TRACHEOSTOMY L39 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD4.8 MM 3 MM CLEAR PLASTICIZER PEDIATRIC,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L40 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD5.4 MM 3.5 MM CLEAR PLASTICIZER PEDIATRIC,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L41 MM UNCUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE BIVONA OD6.0 MM 4 MM SILICONE PEDIATRIC,119.65,59.83,22.91,107.69,70
HCPCS,A7520,TUBE TRACHEOSTOMY L41 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD6.0 MM 4 MM CLEAR PLASTICIZER PEDIATRIC,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L42 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD6.7 MM 4.5 MM CLEAR PLASTICIZER PEDIATRIC,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L44 MM UNCUFF OBTURATOR TWILL TIE CONTOUR NECK FLANGE BIVONA OD7.3 MM 5 MM SILICONE PEDIATRIC,55.49,27.75,10.63,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L44 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.3 MM 5 MM CLEAR PLASTICIZER PEDIATRIC,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L46 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.9 MM 5.5 MM CLEAR PLASTICIZER PEDIATRIC,41.13,20.57,7.88,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L50 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.3 MM 5 MM XLONG CLEAR PLASTICIZER PEDIATRIC,39.91,19.96,7.64,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L52 MM UNCUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.9 MM 5.5 MM XLONG CLEAR PLASTICIZER PEDIATRIC,39.91,19.96,7.64,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L62 MM UNCUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD9.4 MM 4 PLASTICIZER,39.81,19.91,7.62,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L62 MM UNCUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD9.4 MM 4 PLASTICIZER,41.09,20.55,7.87,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L64 MM UNCUFF OBTURATOR INNER CANNULA HOLDER PORTEX FLEX DIC OD8.2 MM ID6.0 MM ORANGE VELCRO SILICONIZE PVC,22.25,11.13,4.26,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L74 MM UNCUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD10.8 MM 6 PLASTICIZER,41.09,20.55,7.87,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L74 MM UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA FENESTRATE SHILEY XLT OD10.8 MM ID6.4 MM 6,32.5,16.25,6.22,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L79 MM UNCUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD12.2 MM 8 PLASTICIZER,41.09,20.55,7.87,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L79 MM UNCUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD13.8 MM 10 PLASTICIZER,41.09,20.55,7.87,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L79 MM UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA FENESTRATE SHILEY OD12.2 MM ID7.6 MM 8,32.5,16.25,6.22,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L90 MM UNCUFF SOFT SWIVEL FLANGE DISTAL EXTENSION SHILEY XLT OD9.6 MM 5 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L90 MM UNCUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD9.6 MM 5 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L95 MM UNCUFF SOFT SWIVEL FLANGE DISTAL EXTENSION SHILEY XLT OD11.0 MM 6 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7520,TUBE TRACHEOSTOMY L95 MM UNCUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD11.0 MM 6 EXTEND LENGTH,59.68,29.84,11.43,82.91,70
HCPCS,A7521,AIRWAY ESOPHAGEAL 2 LUMEN RADIOPAQUE ROLL UP KIT BLIND PLACEMENT OD37 FR SHILEY COMBITUBE,121.54,60.77,23.27,109.39,70
HCPCS,A7521,AIRWAY ESOPHAGEAL 2 LUMEN RADIOPAQUE ROLL UP KIT BLIND PLACEMENT OD41 FR SHILEY COMBITUBE,121.54,60.77,23.27,109.39,70
HCPCS,A7521,TRAY INTRODUCER RHINO 7.5 MM 8.5 MM 9 MM PERCUTANEOUS TRACHEOSTOMY TUBE LOAD DIALATOR PHARMACEUTICAL,601.2,300.6,67.04,541.08,70
HCPCS,A7521,TRAY TRACHEOSTOMY RHINO OD8.5 FR ADULT PERCUTANEOUS FLEXIBLE,619.3,309.65,67.04,557.37,70
HCPCS,A7521,TUBE ENDOBRONCHIAL 32FR 3.4MM LEFT CUFF RADIOPAQUE SLIGHT CURVE TIP SHILEY BRONCHO-CATH POLYURETHANE BLUE CLEAR,41.18,20.59,8.98,82.16,69
HCPCS,A7521,TUBE ENDOBRONCHIAL OD28 FR ID3.1 MM LEFT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE SINGLE LUNG VENTILATION,41.18,20.59,8.98,82.16,69
HCPCS,A7521,TUBE ENDOBRONCHIAL OD35 FR ID4.8 MM LEFT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,41.18,20.59,7.89,82.16,70
HCPCS,A7521,TUBE ENDOBRONCHIAL OD35 FR ID4.8 MM RIGHT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,44.22,22.11,8.47,82.16,70
HCPCS,A7521,TUBE ENDOBRONCHIAL OD37 FR ID5.1 MM LEFT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,41.18,20.59,7.89,82.16,70
HCPCS,A7521,TUBE ENDOBRONCHIAL OD39 FR ID5.3 MM LEFT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,41.18,20.59,7.89,82.16,70
HCPCS,A7521,TUBE ENDOBRONCHIAL OD39 FR ID5.3 MM RIGHT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,44.22,22.11,8.47,82.16,70
HCPCS,A7521,TUBE ENDOBRONCHIAL OD41 FR ID5.4 MM LEFT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,41.18,20.59,7.89,82.16,70
HCPCS,A7521,TUBE ENDOTRACHEAL 6.5MM DIA ORAL NASAL CUFFED F/INTUBATION LMA FASTRACH LATEX-FREE STERILE REUSABLE,70.0,35.0,13.41,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 10.8MM 6.4MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR 6 76MM STERILE LATEX FREE GREEN WHITE,119.37,59.69,22.86,107.43,70
HCPCS,A7521,TUBE TRACHEOSTOMY 10.8MM SHILEY CUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR 6 PLASTICIZER 74MM,56.36,28.18,10.79,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 10.9MM SHILEY CUFF ROUND TIP OBTURATOR INNER CANNULA 8 89MM STERILE LATEX FREE DISPOSABLE,24.66,12.33,4.72,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 11.4MM SHILEY CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR 7 PLASTICIZER 77MM,44.45,22.23,8.51,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 11.7MM BIVONA CLIP IN OBTURATOR TWILL TIE ADJUSTABLE NECK FLANGE 8MM SILICONE 130MM STERILE LATEX FREE,177.41,88.71,33.97,159.67,70
HCPCS,A7521,TUBE TRACHEOSTOMY 11.7MM BIVONA CUFF CLIP IN OBTURATOR TIE ADJUSTABLE NECK FLANGE 8MM SILICONE 130MM STERILE LATEX FREE,362.38,181.19,67.04,326.14,70
HCPCS,A7521,TUBE TRACHEOSTOMY 12.2MM 7.6MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR 8 81MM STERILE LATEX FREE GREEN WHITE,119.38,59.69,22.86,107.44,70
HCPCS,A7521,TUBE TRACHEOSTOMY 12.2MM 7.6MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE 8 81MM STERILE LATEX FREE GREEN WHITE,44.78,22.39,8.58,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 12.2MM 7.6MM SHILEY CUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA 8 79MM STERILE LATEX FREE,73.99,37.0,14.17,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 12.9MM BIVONA CUFF CLIP IN OBTURATOR TIE ADJUSTABLE NECK FLANGE 9MM SILICONE 140MM STERILE LATEX FREE,183.35,91.68,35.11,165.02,70
HCPCS,A7521,TUBE TRACHEOSTOMY 13.8MM 8.9MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR 10 81MM STERILE LATEX FREE GREEN WHITE,42.16,21.08,8.07,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 13.8MM 8.9MM SHILEY STANDARD CUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA TAPER DISTAL TIP 10 79MM STERILE LATEX FREE,73.99,37.0,14.17,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 13MM 8.9MM SHILEY CUFF INNER CANNULA FENESTRATE 10 81MM STERILE LATEX FREE REUSABLE,41.9,20.95,8.02,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 2.5MM ID 4MM OD 30MML SILICONE NEONATE CUFFED V-NECK FLANGE W/CLIP-IN OBTURATOR TWILL TRACH-TIE COLOR-CODED BIVONA FLEXTEND TTS LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE WIRE REI,177.41,88.71,38.69,159.67,69
HCPCS,A7521,TUBE TRACHEOSTOMY 4.7MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE PEDIATRIC 3MM SUPERSLICK SILICONE 91MM STERILE LATEX FREE,220.3,110.15,42.19,198.27,70
HCPCS,A7521,TUBE TRACHEOSTOMY 5.3MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE NEONATE 3.5MM SUPERSLICK SILICONE 86MM STERILE LATEX FREE,194.07,97.04,37.16,174.66,70
HCPCS,A7521,TUBE TRACHEOSTOMY 5.3MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE PEDIATRIC 3.5MM SUPERSLICK SILICONE 92MM STERILE LATEX FREE,387.68,193.84,67.04,348.91,70
HCPCS,A7521,TUBE TRACHEOSTOMY 5.3MM BIVONA CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE NEONATE 3.5MM SILICONE 34MM STERILE LATEX FREE,183.34,91.67,35.11,165.01,70
HCPCS,A7521,TUBE TRACHEOSTOMY 5.3MM BIVONA CUFF OBTURATOR TWILL TIE V NECK FLANGE NEONATE 3.5MM SILICONE 34MM STERILE LATEX FREE,177.41,88.71,33.97,159.67,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6.0MM BIVONA UNCUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE PEDIATRIC 4.0MM XLONG SILICONE 44MM STERILE LATEX FREE DISPOSABLE,147.31,73.66,28.21,132.58,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6.5MM SHILEY CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR 4 PLASTICIZER 62MM,44.45,22.23,8.51,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6.7MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE PEDIATRIC 4.5MM SUPERSLICK SILICONE 104MM STERILE LATEX FREE,225.44,112.72,43.17,202.9,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6.7MM BIVONA CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE PEDIATRIC 4.5MM SILICONE 42MM STERILE LATEX FREE,185.22,92.61,35.47,166.7,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE NEONATE 4MM SUPERSLICK SILICONE 88MM STERILE LATEX FREE,194.07,97.04,37.16,174.66,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE PEDIATRIC 4MM SUPERSLICK SILICONE 93MM STERILE LATEX FREE,225.44,112.72,43.17,202.9,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6MM BIVONA CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE NEONATE 4MM SILICONE 36MM STERILE LATEX FREE,183.34,91.67,35.11,165.01,70
HCPCS,A7521,TUBE TRACHEOSTOMY 6MM BIVONA CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE PEDIATRIC 4MM SILICONE 41MM STERILE LATEX FREE,177.41,88.71,33.97,159.67,70
HCPCS,A7521,TUBE TRACHEOSTOMY 7.3MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE PEDIATRIC 5MM SUPERSLICK SILICONE 106MM STERILE LATEX FREE,200.56,100.28,38.41,180.5,70
HCPCS,A7521,TUBE TRACHEOSTOMY 7.3MM BIVONA CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE PEDIATRIC 5MM SILICONE 44MM STERILE LATEX FREE,177.41,88.71,33.97,159.67,70
HCPCS,A7521,TUBE TRACHEOSTOMY 7.4MM BIVONA CUFF TWILL TIE 5MM SILICONE 60MM STERILE LATEX FREE,72.77,36.39,13.94,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 8.3MM SHILEY XLT CUFF ROUND TIP OBTURATOR 1 INNER CANNULA 6 67MM STERILE LATEX FREE DISPOSABLE,55.63,27.82,10.65,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 8.8MM BIVONA CUFF TWILL TIE 6MM SILICONE 70MM STERILE LATEX FREE,74.89,37.45,14.34,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 8MM BIVONA CUFF OBTURATOR TWILL TAPE STRAIGHT NECK FLANGE PEDIATRIC 5.5MM SUPERSLICK SILICONE 108MM STERILE LATEX FREE,200.56,100.28,38.41,180.5,70
HCPCS,A7521,TUBE TRACHEOSTOMY 8MM BIVONA CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE PEDIATRIC 5.5MM SILICONE 46MM STERILE LATEX FREE,183.34,91.67,35.11,165.01,70
HCPCS,A7521,TUBE TRACHEOSTOMY 8MM BIVONA CUFF OBTURATOR TWILL TIE V NECK FLANGE PEDIATRIC 5.5MM SILICONE 46MM STERILE LATEX FREE,185.22,92.61,35.47,166.7,70
HCPCS,A7521,TUBE TRACHEOSTOMY 9.2MM BIVONA CLIP IN OBTURATOR TWILL TIE ADJUSTABLE NECK FLANGE 6MM SILICONE 110MM STERILE LATEX FREE,177.41,88.71,33.97,159.67,70
HCPCS,A7521,TUBE TRACHEOSTOMY 9.2MM BIVONA CUFF CLIP IN OBTURATOR TIE ADJUSTABLE NECK FLANGE 6MM SILICONE 110MM STERILE LATEX FREE,177.41,88.71,33.97,159.67,70
HCPCS,A7521,TUBE TRACHEOSTOMY 9.4MM 5MM SHILEY CUFF REUSABLE INNER CANNULA CONNECTOR 4 65MM STERILE LATEX FREE GREEN WHITE,120.5,60.25,23.08,108.45,70
HCPCS,A7521,TUBE TRACHEOSTOMY 9.4MM 5MM SHILEY CUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA 4 62MM STERILE LATEX FREE,73.99,37.0,14.17,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY 9.4MM 5MM SHILEY CUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA FENESTRATE 4 62MM STERILE LATEX FREE,35.19,17.6,6.74,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L100 MM CUFF SOFT SWIVEL FLANGE DISTAL EXTENSION SHILEY XLT OD12.3 MM 7 EXTEND LENGTH,59.68,29.84,11.43,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L105 MM CUFF SOFT SWIVEL FLANGE DISTAL EXTENSION SHILEY XLT OD13.3 MM 8 EXTEND LENGTH,59.68,29.84,11.43,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L105 MM CUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD13.3 MM 8 EXTEND LENGTH,59.68,29.84,11.43,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L110 MM CUFF CLIP IN OBTURATOR FIX NECK FLANGE FLEXIBLE WIRE REINFORCE BIVONA OD10.6 MM 7 MM XLENGTH SILICONE,110.59,55.3,21.18,99.53,70
HCPCS,A7521,TUBE TRACHEOSTOMY L120 MM CUFF CLIP IN OBTURATOR FIX NECK FLANGE FLEXIBLE WIRE REINFORCE BIVONA OD11.7 MM 8 MM XLENGTH SILICONE,106.16,53.08,20.33,95.54,70
HCPCS,A7521,TUBE TRACHEOSTOMY L39 MM CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE BIVONA OD4.7 MM 3 MM SILICONE PEDIATRIC,183.34,91.67,35.11,165.01,70
HCPCS,A7521,TUBE TRACHEOSTOMY L40 MM CUFF OBTURATOR TWILL TIE STRAIGHT NECK FLANGE BIVONA OD5.3 MM 3.5 MM SILICONE PEDIATRIC,193.91,96.96,37.13,174.52,70
HCPCS,A7521,TUBE TRACHEOSTOMY L41 MM CUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD6.0 MM 4 MM CLEAR PLASTICIZER PEDIATRIC,50.5,25.25,9.67,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L42 MM CUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD6.7 MM 4.5 MM CLEAR PLASTICIZER PEDIATRIC,50.5,25.25,9.67,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L44 MM CYLINDRICAL CUFF ROUND TIP OBTURATOR SMOOTH SHILEY OD7.1 MM 5 PVC PEDIATRIC,33.9,16.95,7.39,82.16,69
HCPCS,A7521,TUBE TRACHEOSTOMY L46 MM CUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.9 MM 5.5 MM CLEAR PLASTICIZER PEDIATRIC,50.5,25.25,9.67,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L50 MM CUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.3 MM 5 MM XLONG PLASTICIZER PEDIATRIC,50.5,25.25,9.67,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L52 MM CUFF TAPE TIE RECESS SOFT NECK FLANGE PHTHALATE FREE SHILEY OD7.9 MM 5.5 MM XLONG PLASTICIZER PEDIATRIC,50.5,25.25,9.67,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L54 MM CUFF ROUND TIP OBTURATOR SMOOTH SHILEY OD8.3 MM 6 MM XLONG PVC PEDIATRIC,72.77,36.39,15.87,82.16,69
HCPCS,A7521,TUBE TRACHEOSTOMY L62 MM CUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD9.4 MM 4 PLASTICIZER,56.36,28.18,10.79,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L65 MM CUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE SHILEY OD9.4 MM ID5.0 MM 4 WHITE PVC ADULT,44.78,22.39,8.58,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L74 MM CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD10.8 MM 6 PLASTICIZER,44.45,22.23,8.51,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L74 MM CUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA FENESTRATE SHILEY OD10.8 MM ID6.4 MM 6,35.19,17.6,6.74,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L76 MM CUFF REUSABLE INNER CANNULA CONNECTOR FENESTRATE SHILEY OD10.8 MM ID6.4 MM 6 GREEN WHITE,44.78,22.39,8.58,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L79 MM CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD12.2 MM 8 PLASTICIZER,44.45,22.23,8.51,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L79 MM CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD12.7 MM 9 PLASTICIZER,1422.4,711.2,67.04,1280.16,69
HCPCS,A7521,TUBE TRACHEOSTOMY L79 MM CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD13.8 MM 10 PLASTICIZER,44.45,22.23,8.51,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L79 MM CUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD12.2 MM 8 PLASTICIZER,56.36,28.18,10.79,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L79 MM CUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA FENESTRATE SHILEY OD12.2 MM ID7.6 MM 8,35.19,17.6,6.74,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L90 MM CUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD9.6 MM 5 EXTEND LENGTH,59.68,29.84,11.43,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L92 MM CUFF OBTURATOR TWILL TAPE V NECK FLANGE FLEXTEND OD5.3 MM 3.5 MM SUPERSLICK SILICONE PEDIATRIC,194.07,97.04,42.33,174.66,69
HCPCS,A7521,TUBE TRACHEOSTOMY L95 MM CUFF SOFT SWIVEL FLANGE DISTAL EXTENSION SHILEY XLT OD11.0 MM 6 EXTEND LENGTH,59.68,29.84,11.43,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY L95 MM CUFF SOFT SWIVEL FLANGE PROXIMAL EXTENSION SHILEY XLT OD11.0 MM 6 EXTEND LENGTH,59.68,29.84,11.43,82.16,70
HCPCS,A7521,TUBE TRACHEOSTOMY SIZE 10 10MM ID 13.8MM OD 79MML VINYL ADULT CUFFED FLEXIBLE W/TAPERGUARD  9MM ID REUSABLE INNER CANNULA WHITE SHILEY,56.36,28.18,10.79,82.16,70
HCPCS,A7522,Trach/laryn tube stainless,,,64.36,78.88,5
HCPCS,A7524,Tracheostoma stent/stud/bttn,,,110.33,135.21,5
HCPCS,A7525,Tracheostomy mask,,,2.94,3.6,5
HCPCS,A7526,Tracheostomy tube collar,,,4.83,5.93,5
HCPCS,A7527,Trach/laryn tube plug/stop,,,5.1,6.25,5
HCPCS,A9150,ACTIVATED CHARCOAL 25 GRAM ORAL SUSPENSION,13.9,6.95,3.03,12.51,65
HCPCS,A9150,AMMONIUM LACTATE 12 % LOTION,54.5,27.25,3.85,79.92,325
HCPCS,A9150,ARTIFICIAL TEARS (HYPROMELLOSE) (PF) 1.7 % EYE DROPS WITH APPLICATOR,37.5,18.75,8.18,33.75,65
HCPCS,A9150,ASPIRIN 1 MG/ML SOLUTION (DESENSITIZATION PROTOCOL),10.0,5.0,2.18,9.0,65
HCPCS,A9150,CAFFEINE 200 MG TABLET,7.949999999999999,3.9749999999999996,0.69,15.08,455
HCPCS,A9150,EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION,222.5,111.25,45.58,249.35,195
HCPCS,A9150,FERROUS FUMARATE-FOLIC ACID 324 MG (106 MG IRON)-1 MG TABLET,119.5,59.75,12.21,164.7,130
HCPCS,A9150,INSULIN ADMIN SUPPLIES SUBCUTANEOUS PEN,49.95,24.98,10.89,44.96,64
HCPCS,A9150,KETOCONAZOLE 2 % SHAMPOO,69.875,34.94,13.51,70.02,130
HCPCS,A9150,METRONIDAZOLE 0.75 % TOPICAL CREAM,230.325,115.16499999999999,39.23,308.84,260
HCPCS,A9150,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,33.45,16.73,7.3,30.11,65
HCPCS,A9150,MULTIVIT-MINERALS NO.73-IRON FUMARATE 106 MG-FOLIC ACID 1 MG CAPSULE,183.95,91.975,16.92,250.56,260
HCPCS,A9150,NICOTINE 10 MG INHALATION CARTRIDGE,2352.85,1176.43,513.16,2117.57,65
HCPCS,A9150,PEDI MULTIVIT NO.77-VIT D3 750 UNIT-VIT K 500 MCG/0.5 ML ORAL DROPS,181.65,90.83,39.62,163.49,65
HCPCS,A9150,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",111.9,55.95,0.7,172.8,390
HCPCS,A9150,PRENATAL VITS NO.130-FERROUS FUM 27 MG IRON-FOLIC ACID 800 MCG TABLET,19.75,9.875,0.69,75.06,260
HCPCS,A9150,PSEUDOEPHEDRINE 30 MG TABLET,6.8,3.4,1.2,12.96,325
HCPCS,A9150,PSEUDOEPHEDRINE 60 MG TABLET,13.5,6.75,2.94,12.15,65
HCPCS,A9150,"PSEUDOEPHEDRINE-GUAIFENESIN ER 60 MG-600 MG TABLET,EXTEND RELEASE 12HR",91.8,45.9,20.02,82.62,65
HCPCS,A9150,SMOG ENEMA,10.0,5.0,2.18,9.0,65
HCPCS,A9150,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,189.0,94.5,30.23,1469.25,455
HCPCS,A9150,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,64.0,32.0,13.96,57.6,65
HCPCS,A9154,SALIVA SUBSTITUTE COMBO NO.2,59.6,29.8,13.0,53.64,65
HCPCS,A9180,LINDANE 1 % SHAMPOO,508.8,254.4,110.97,457.92,65
HCPCS,A9180,SPINOSAD 0.9 % TOPICAL SUSPENSION,1087.2,543.6,237.12,978.48,65
HCPCS,A9270,DOLUTEGRAVIR 50 MG-RILPIVIRINE 25 MG TABLET,13507.8,6753.9,2946.05,12157.02,65
HCPCS,A9270,TICAGRELOR 60 MG TABLET,2007.15,1003.575,409.33,1923.75,130
HCPCS,A9500,TC-99M SESTAMIBI COMBO NO.1 IV SOLUTION,708.75,354.38,154.58,637.88,128
HCPCS,A9500,Tc99m sestamibi,,,127.05,158.81,5
HCPCS,A9502,TC-99M TETROFOSMIN IV SOLUTION,584.85,292.43,127.56,526.37,64
HCPCS,A9502,Tc99m tetrofosmin,,,85.54,238.16,9
HCPCS,A9503,TC-99M MEDRONATE SODIUM IV SOLUTION,79.05,39.53,17.24,71.15,64
HCPCS,A9505,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,60.65,30.33,13.23,54.59,64
HCPCS,A9506,Tc-99m graphite crucible,,,335.17,410.75,5
HCPCS,A9509,IOBENGUANE IODINE-131 337.5 MCI/22.5 ML INTRAVENOUS SOLUTION,113.65,56.83,24.79,102.29,64
HCPCS,A9509,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,203.35,101.68,44.35,183.02,64
HCPCS,A9509,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,446.05,223.03,97.28,401.45,64
HCPCS,A9512,TC-99M SODIUM PERTECHNETATE INJECTION,7.8,3.9,1.7,7.02,128
HCPCS,A9513,HC LUTETIUM LU 177 1 MCI,1158.0,579.0,252.56,1042.2,69
HCPCS,A9513,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,358848.0,179424.0,323.33,322963.2,69
HCPCS,A9515,Choline c-11,,,2104.2,2578.68,5
HCPCS,A9517,SODIUM IODIDE-131 (I-131) 500 MCI/0.5 ML ORAL KIT (THERAPEUTIC),42187.5,21093.75,23.59,37968.75,69
HCPCS,A9520,TC-99M TILMANOCEPT SOLUTION FOR INJECTION,16508.25,8254.13,3600.45,14857.43,64
HCPCS,A9521,TC-99M EXAMETAZIME INTRAVENOUS SOLUTION,10283.85,5141.93,818.39,9255.47,69
HCPCS,A9521,Tc99m exametazime,,,1742.8,2178.5,5
HCPCS,A9524,"I-131 IODINATED ALBUMIN, INTRAVENOUS SOLUTION",4050.0,2025.0,883.31,3645.0,64
HCPCS,A9527,Iodine I-125 sodium iodide,,,212.75,260.73,5
HCPCS,A9530,"I131 iodide sol, rx",,,21.3,26.1,5
HCPCS,A9531,SODIUM IODIDE-131 (I-131) 3.7 MBQ (100 MICROCI) CAPSULE,252.9,126.45,55.16,227.61,64
HCPCS,A9537,TC-99M MEBROFENIN INJECTION (CC),164.25,82.13,35.82,147.83,64
HCPCS,A9537,TC-99M MEBROFENIN IV SOLUTION,339.05,169.53,73.95,305.15,64
HCPCS,A9537,Tc99m mebrofenin,,,63.06,78.83,5
HCPCS,A9538,TC-99M SODIUM PYROPHOSPHATE IV SOLUTION,384.3,192.15,83.82,345.87,64
HCPCS,A9538,Tc99m pyrophosphate,,,16.23,20.29,5
HCPCS,A9539,TC-99M PENTETIC ACID IV SOLUTION,187.95,93.98,40.99,169.16,256
HCPCS,A9540,TC-99M ALBUMIN INTRAVENOUS SOLUTION,185.0,92.5,40.35,166.5,64
HCPCS,A9541,TC-99M SULFUR COLLOID FILTERED INJECTION,751.45,375.73,163.89,676.31,64
HCPCS,A9541,TC-99M SULFUR COLLOID INJECTION,751.45,375.73,163.89,676.31,64
HCPCS,A9541,Tc99m sulfur colloid,,,158.63,198.29,5
HCPCS,A9542,"In111 ibritumomab, dx",,,813.98,997.53,5
HCPCS,A9543,"Y90 ibritumomab, rx",,,57961.04,71030.69,5
HCPCS,A9547,In111 oxyquinoline,,,788.09,965.8,5
HCPCS,A9548,PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION,5313.0,2656.5,729.6,4781.7,69
HCPCS,A9551,TC-99M SUCCIMER INTRAVENOUS SOLUTION,3596.55,1798.28,784.41,3236.9,64
HCPCS,A9552,F18 fdg,,,250.0,312.5,5
HCPCS,A9552,FLUDEOXYGLUCOSE F-18 20 MCI TO 200 MCI/ML INTRAVENOUS SOLUTION,1501.15,750.58,267.38,1351.04,65
HCPCS,A9554,"SODIUM IOTHALAMATE I-125 INTRAVENOUS, SOLUTION",2250.0,1125.0,490.73,2025.0,64
HCPCS,A9555,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,2453.4,1226.7,535.09,2208.06,64
HCPCS,A9556,GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLUTION,184.05,92.03,40.14,165.65,64
HCPCS,A9557,TC-99M BICISATE INTRAVENOUS SOLUTION,10999.05,5499.53,697.48,9899.15,69
HCPCS,A9558,XENON-133 IN CARBON DIOXIDE 370 MBQ (10 MCI) GAS FOR INHALATION,2057.4,1028.7,448.72,1851.66,64
HCPCS,A9558,XENON-133 IN CARBON DIOXIDE 740 MBQ (20 MCI) GAS FOR INHALATION,3336.15,1668.08,727.61,3002.54,64
HCPCS,A9560,TC-99M LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,687.6,343.8,149.97,618.84,64
HCPCS,A9560,Tc99m labeled rbc,,,106.48,133.1,5
HCPCS,A9561,TC-99M SODIUM OXIDRONATE 3.15 MG IV SOLUTION,264.1,132.05,57.6,237.69,64
HCPCS,A9561,Tc99m oxidronate,,,50.16,62.7,5
HCPCS,A9562,TC-99M MERTIATIDE (BETIATIDE) INTRAVENOUS SOLUTION,4648.4,2324.2,1013.82,4183.56,64
HCPCS,A9562,Tc99m mertiatide,,,598.5,748.13,5
HCPCS,A9563,P32 Na phosphate,,,182.7,223.9,5
HCPCS,A9568,Technetium tc99m arcitumomab,,,825.7,1011.89,5
HCPCS,A9569,Technetium TC-99m auto WBC,,,1061.13,2178.5,10
HCPCS,A9570,INDIUM IN-111 OXYQUINOLINE 1 MCI/ML (37 MBQ/ML)(1 ML) INTRAVENOUS SOLN,25259.8,12629.9,1052.02,22733.82,69
HCPCS,A9572,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,23220.0,11610.0,1952.9,20898.0,69
HCPCS,A9573,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,301.0,150.5,11.63,928.8,264
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.62,0.62,1
HCPCS,A9576,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,739.5,369.75,161.28,665.55,65
HCPCS,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,200.95,100.47999999999999,17.54,289.35,260
HCPCS,A9577,Inj multihance,,,1.38,4.43,3
HCPCS,A9578,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,1205.625,602.815,175.3,1446.75,130
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,385.7,192.85,84.12,347.13,65
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML(469.01 MG/ML) INTRAVENOUS SOLN,107.35,53.68,23.41,96.62,65
HCPCS,A9579,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN,199.8,99.9,43.58,179.82,65
HCPCS,A9579,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,184.875,92.44,16.13,266.22,260
HCPCS,A9580,"SODIUM FLUORIDE F-18 10-200 MCI/ML (370-7,400 MBQ/ML) INTRAVENOUS SOLN",2759.95,1379.98,601.95,2483.96,64
HCPCS,A9581,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,913.95,456.98,143.11,1054.58,195
HCPCS,A9582,IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN,30650.5,15325.25,2116.31,27585.45,69
HCPCS,A9584,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,7774.2,3887.1,1415.78,6996.78,69
HCPCS,A9585,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,531.5999999999999,265.805,66.54,784.22,390
HCPCS,A9585,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,97.075,48.54,20.16,91.53,260
HCPCS,A9585,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,145.625,72.815,30.25,137.3,260
HCPCS,A9585,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,47.9,23.95,10.45,43.11,130
HCPCS,A9585,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,72.82499999999999,36.415,15.13,68.67,260
HCPCS,A9585,Gadobutrol injection,,,0.18,0.86,8
HCPCS,A9586,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,17144.4,8572.2,2238.51,15429.96,69
HCPCS,A9586,Florbetapir F18,,,3257.44,4071.8,5
HCPCS,A9587,GA-68-DOTATATE INTRAVENOUS SOLN,18001.45,9000.73,52.11,16201.31,69
HCPCS,A9588,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,30999.0,15499.5,273.79,27899.1,69
HCPCS,A9589,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,4325.0,2162.5,943.28,3892.5,65
HCPCS,A9591,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION",27690.15,13845.08,508.64,24921.14,69
HCPCS,A9592,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,23100.0,11550.0,607.0,20790.0,70
HCPCS,A9593,Gallium GA-68 PSMA-11 UCSF,,,545.61,668.64,5
HCPCS,A9594,"Gallium GA-68 PSMA-11, UCLA",,,379.61,465.21,5
HCPCS,A9595,PIFLUFOLASTAT F 18  296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,33213.25,16606.63,339.09,29891.93,70
HCPCS,A9596,Gallium illuccix 1 millicure,,,521.78,1035.55,6
HCPCS,A9600,Sr89 strontium,,,4229.26,5182.92,5
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,3683.36,4637.5,6
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,525.0,1092.3,6
HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,139.77,139.77,1
HCPCS,A9604,Sm 153 lexidronam,,,4401.21,5393.64,5
HCPCS,A9606,HC XOFIGO RA223 PER MICROCURIE,667.9,333.95,145.67,601.11,69
HCPCS,A9607,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",292224.0,146112.0,234.43,263001.6,70
HCPCS,A9608,"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",36473.8,18236.9,684.64,32826.42,69
HCPCS,A9611,"FLURPIRIDAZ F-18 190 MBQ/ML TO 2,050 MBQ/ML INTRAVENOUS SOLUTION",3157.8,1578.9,540.6,2842.02,69
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,38.26,46.89,5
HCPCS,A9616,Gallium gozellix 1 millicuri,,,1194.73,1464.13,5
HCPCS,A9697,"Inj, magtrace per study dose",,,1279.08,1567.5,5
HCPCS,A9698,IOHEXOL 12  MG IODINE/ML ORAL SOLUTION,47.5,23.75,10.36,42.75,65
HCPCS,A9698,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION,45.0,22.5,9.81,40.5,65
HCPCS,A9698,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE,2080.125,1040.065,100.82,3328.2,130
HCPCS,A9800,Gallium locametz 1 millicuri,,,388.63,867.17,6
HCPCS,ANSCF,Fee Schedule,,,24.54,24.54,1
HCPCS,ANSCF,MPFS,,,19.63,20.37,4
HCPCS,B4034,Enter feed supkit syr by day,,,3.92,4.8,5
HCPCS,B4035,Enteral feed supp pump per d,,,7.05,8.64,5
HCPCS,B4036,Enteral feed sup kit grav by,,,5.42,6.64,5
HCPCS,B4081,Enteral ng tubing w/ stylet,,,19.1,23.41,5
HCPCS,B4082,Enteral ng tubing w/o stylet,,,13.98,17.14,5
HCPCS,B4083,Enteral stomach tube levine,,,2.1,2.58,5
HCPCS,B4087,TUBE JEJUNOSTOMY L68 CM PIGTAIL TIP FEED THROUGH THE PEG STIFF STYLET OD12 FR ENDOVIVE,144.48,72.24,27.67,130.03,70
HCPCS,B4088,"Gastro/jejuno tube, low-pro",,,37.77,46.29,5
HCPCS,B4105,ENTERAL PUMP ACCESSORY FOR FAT HYDROLYSIS CARTRIDGE,14662.45,7331.23,142.58,14120.15,192
HCPCS,B4148,Enteral feed elastomer daily,,,7.5,9.19,5
HCPCS,B4149,EF blenderized foods,,,1.3,1.59,5
HCPCS,B4150,EF complet w/intact nutrient,,,0.48,0.59,5
HCPCS,B4152,EF calorie dense>/=1.5Kcal,,,0.4,0.49,5
HCPCS,B4153,EF hydrolyzed/amino acids,,,1.54,1.89,5
HCPCS,B4154,EF spec metabolic noninherit,,,0.85,1.04,5
HCPCS,B4155,EF incomplete/modular,,,0.91,1.11,5
HCPCS,B4164,Parenteral 50% dextrose solu,,,25.15,30.83,5
HCPCS,B4168,Parenteral sol amino acid 3.,,,36.68,44.95,5
HCPCS,B4176,Parenteral sol amino acid 7-,,,70.96,86.96,5
HCPCS,B4178,Parenteral sol amino acid >,,,85.16,104.36,5
HCPCS,B4180,Parenteral sol carb > 50%,,,36.11,44.25,5
HCPCS,B4185,FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS,100.5,50.25,16.62,90.45,140
HCPCS,B4185,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,144.0,72.0,16.62,159.3,420
HCPCS,B4185,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,337.0,168.5,16.62,356.85,284
HCPCS,B4187,"Omegaven, 10 grams lipids",,,16.62,20.36,5
HCPCS,B4189,Parenteral sol amino acid &,,,263.06,322.38,5
HCPCS,B4193,Parenteral sol 52-73 gm prot,,,339.9,416.55,5
HCPCS,B4197,Parenteral sol 74-100 gm pro,,,413.83,507.15,5
HCPCS,B4199,Parenteral sol > 100gm prote,,,472.87,579.5,5
HCPCS,B4216,Parenteral nutrition additiv,,,11.42,14.0,5
HCPCS,B4220,Parenteral supply kit premix,,,11.84,14.51,5
HCPCS,B4222,Parenteral supply kit homemi,,,14.62,17.91,5
HCPCS,B4224,Parenteral administration ki,,,37.0,45.34,5
HCPCS,B5000,Parenteral sol renal-amirosy,,,17.6,21.56,5
HCPCS,B5100,Parenteral solution hepatic,,,6.87,8.43,5
HCPCS,C1062,KIT INSTRUMENT 5 MM PREPARATION SPINEJACK,1388.33,694.17,265.87,1249.5,65
HCPCS,C1062,KIT SPINAL EXPANSION OD5 MM SPINEJACK,1388.33,694.17,265.87,1249.5,65
HCPCS,C1062,KIT SPINAL EXPANSION OD5.8 MM SPINEJACK,1388.33,694.17,265.87,1249.5,65
HCPCS,C1601,BRONCHOSCOPE FLEXIBLE 2.7MM 1.2MM ASCOPE 5 DISPOSABLE,1575.0,787.5,343.51,1417.5,64
HCPCS,C1601,BRONCHOSCOPE FLEXIBLE 5.0/2.2 HD AMBU ASCOPE 5 BRONCHO,1575.0,787.5,343.51,1417.5,64
HCPCS,C1601,BRONCHOSCOPE FLEXIBLE 5.6MM 2.8MM ASCOPE 5 DISPOSABLE,1575.0,787.5,343.51,1417.5,64
HCPCS,C1601,BRONCHOSCOPE FLEXIBLE 600MM 5.6MM 2.8MM SAMPLER SET STERILE LATEX FREE DISPOSABLE,1615.0,807.5,352.23,1453.5,64
HCPCS,C1601,BRONCHOSCOPE FLEXIBLE L600 MM OD4.2 MM ID2.2 MM ASCOPE 5 BRONCHO,1575.0,787.5,343.51,1417.5,64
HCPCS,C1602,FILLER BONE VOID CERAMENT 5ML,1300.0,650.0,248.95,1170.0,65
HCPCS,C1602,POWDER BONE GRAFT CERAMENT VOID FILLER 18ML RESORBABLE MOLDABLE DRILLABLE FAST-SET INJECTABLE 60% ALPHA CALCIUM SULFATE HEMIHYDRATE 40% HA IOHEXOL NON-RADIOLUCENT SINGLE-USE,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1604,SYSTEM CAP FOR ANY NUMBER OF TORUS STENT GRAFTS AND ENDOCROSS DEVICE DETOUR,25000.0,12500.0,4787.5,22500.0,65
HCPCS,C1713,1.5MM TI CORTEX SCREW SELF-TAPPING 14MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,1.5MM TI CORTEX SCREW SELF-TAPPING 16MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,1.5MM TI CORTEX SCREW SELF-TAPPING 18MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,1.5MM TI CORTEX SCREW SELF-TAPPING 20MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,10 HOLE PLATE,944.92,472.46,180.95,850.43,65
HCPCS,C1713,11 X 405MM TIBIAL NAIL,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,2.0MM TI CORTEX SCREW SELF-TAPPING 10MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,2.0MM TI CORTEX SCREW SELF-TAPPING 14MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,2.0MM TI CORTEX SCREW SELF-TAPPING 16MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,2.0MM TI CORTEX SCREW SELF-TAPPING 18MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,2.0MM TI CORTEX SCREW SELF-TAPPING 8MM,27.17,13.59,5.2,24.45,65
HCPCS,C1713,2.5MM NON LOCKING SCREW 13MM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,"2.7 X 10MM BONE SCREW, 8 PACK",828.0,414.0,158.56,745.2,65
HCPCS,C1713,3-0 STRATAFIX SPIRAL PDS PLUS 16X16CM DYED RB-1,303.71,151.86,58.16,273.34,65
HCPCS,C1713,3-LEVEL CERVICAL PLATE 45,600.0,300.0,114.9,540.0,65
HCPCS,C1713,3.0 TI CANN COMP HDLESS SCR- LT- 30,400.62,200.31,76.72,360.56,65
HCPCS,C1713,3.5MM CRTX SCREW/LOW PROF HD SELF-TAPPING/HEX DRIVE/55MM,29.29,14.65,5.61,26.36,65
HCPCS,C1713,3.5MM CRTX SCREW/LOW PROF HD SELF-TAPPING/HEX DRIVE/65MM,29.29,14.65,5.61,26.36,65
HCPCS,C1713,3.5MM TI PRE-BENT ROD 240MM 70DEG,175.0,87.5,33.51,157.5,65
HCPCS,C1713,4.0 PLY SCRW 3.5X28,480.0,240.0,91.92,432.0,65
HCPCS,C1713,4.0 PLY SCRW 4.0X18,725.0,362.5,138.84,652.5,65
HCPCS,C1713,4.0 PLY SCRW CFX 5.5X26,725.0,362.5,138.84,652.5,65
HCPCS,C1713,4.0 PLY SCRW CFX 5.5X28,725.0,362.5,138.84,652.5,65
HCPCS,C1713,4.0 PLY SCRW CFX 5.5X30,725.0,362.5,138.84,652.5,65
HCPCS,C1713,42MM CERVICAL PLATE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,5.0 X 52 MM SCREW,250.0,125.0,47.88,225.0,65
HCPCS,C1713,5.5 X 45 MM ROD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,6MM CENTERING SLEEVE,102.19,51.1,22.29,91.97,64
HCPCS,C1713,9MM / TI CANN FRN / PF 440MM / LEFT - STERILE,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,ABUTMENT DENTAL SUPPORT F OPRA,1575.0,787.5,301.61,1417.5,65
HCPCS,C1713,ACTIVATION ARM DISTRACTOR 1 CARDANIC EXTENSION ZURICH II,825.93,412.97,158.17,743.34,65
HCPCS,C1713,"ACTIVATION ARM DISTRACTOR L33 MM REMOTE RELEASE RIGID DISTRACTION, INTERNAL",862.56,431.28,165.18,776.3,65
HCPCS,C1713,ACTIVATION ARM DISTRACTOR L43 MM REMOTE RELEASE RIGID ZURICH II,898.5,449.25,195.96,808.65,64
HCPCS,C1713,ADAPTER EXTERNAL FIXATION LONG WIRE BOLT,148.26,74.13,32.34,133.43,64
HCPCS,C1713,ADAPTER ORTHOPEDIC HOFFMANN UNIVERSAL SHORT OFFSET WIRE BOLT LIMB RECONSTRUCTION FRAME,127.36,63.68,27.78,114.62,64
HCPCS,C1713,ALLOGRAFT FIBEROS 5CC DEMINERALIZED CORT FIBERS,600.0,300.0,114.9,540.0,65
HCPCS,C1713,ANCHOR 2-0 V-5 BIT SUTURE,586.0,293.0,112.22,527.4,65
HCPCS,C1713,ANCHOR 3-0 V-4 MICRO BIT SUTURE,555.0,277.5,106.28,499.5,65
HCPCS,C1713,ANCHOR 4-0 P-3 MICRO DRILL BIT SUTURE,555.0,277.5,106.28,499.5,65
HCPCS,C1713,ANCHOR 4.75 BIO COMPOSITE SWIVEL LOC,400.0,200.0,76.6,360.0,65
HCPCS,C1713,ANCHOR ACL REPAIR SUTURE,2145.0,1072.5,410.77,1930.5,65
HCPCS,C1713,ANCHOR ALPHAVENT XBRAID BIOCOMPOSITE TITANIUM 1.8 MM 2 STRAND TAPE SUTURE,550.0,275.0,105.33,495.0,65
HCPCS,C1713,ANCHOR BIO COMPOSITE SUTURE TAK L14.5 MM X W3 MM 1.3 MM ABSORBABLE PRELOAD ANCHOR SUTURE TAPE SUTURE BLACK BLUE WHITE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,ANCHOR BIO PUSHLOCK L19.5 MM OD3.5 MM SUTURE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,ANCHOR BIO-CORKSCREW FIBERWIRE L14.7 MM OD5.5 MM 2 FULLY THREADED SUTURE,1425.0,712.5,272.89,1282.5,65
HCPCS,C1713,ANCHOR BIO-SWIVELOCK C L19.1 MM OD4.75 MM CLOSED EYELET VENT SUTURE,1875.0,937.5,359.06,1687.5,65
HCPCS,C1713,ANCHOR BIO-SWIVELOCK L24.5 MM OD4.75 MM SELF PUNCH SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR BIOCRYL RAPIDE HIGH STRENGTH DRILL GUIDE SUTURE,276.0,138.0,52.85,248.4,65
HCPCS,C1713,ANCHOR BIOCRYL RAPIDE SUTURE,410.0,205.0,78.52,369.0,65
HCPCS,C1713,ANCHOR BIORAPTOR KNOTLESS INNER LOCK PLUG CONTROLLABLE TENSION INSERTER SUTURE,433.68,216.84,83.05,390.31,65
HCPCS,C1713,ANCHOR BIORAPTOR KNOTLESS SUTURE HIP,309.0,154.5,59.17,278.1,65
HCPCS,C1713,ANCHOR BIORAPTOR OD2.3 MM PEEK-OPTIMA 2 CURVED 1 ULTRABRAID COBRAID SUTURE BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR BIORAPTOR ULTRABRAID PEEK-OPTIMA 2 PRELOAD RADIOLUCENT KNOT SUTURE COBRAID BLUE COBRAID WHITE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ANCHOR BONE ANCHORS WITH ARTHROSCOPIC DELIVERY SYSTEM ARTHROSCOPIC DELIVERY SYSTEM SUTURE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,ANCHOR CINCHLOCK FLEX KNOTLESS INSERTER FRICTION GRIP SUTURE,650.47,325.24,141.87,585.42,64
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE KIRSCHNER L7 MM OD2.7 MM 2-0 3/8 CIRCLE MINI FULL THREAD 2 NEEDLE WIRE SUTURE L17.9 MM FOOT ANKLE,1425.0,712.5,272.89,1282.5,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE L12 MM OD3.5 MM TITANIUM 2 W/1 SUTURE SUTURE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE L14.7 MM OD5.5 MM BIOCOMPOSITE 2 FULL THREAD SUTURE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE L14.7 MM OD5.5 MM PEEK 2 4 NEEDLE SUTURE,1675.0,837.5,320.76,1507.5,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE L14.7 MM OD6.5 MM BIOCOMPOSITE 2 FULLY THREDED SUTURE,1675.0,837.5,320.76,1507.5,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE L16.3 MM OD5.5 MM TITANIUM 2 W/2 FULL THREAD II SUTURE,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE L16.3 MM OD5.5 MM TITANIUM 2 W/3 FULL THREAD II SUTURE,1225.0,612.5,234.59,1102.5,65
HCPCS,C1713,ANCHOR CORKSCREW FIBERWIRE TIGERWIRE L15.5 MM OD6.5 MM TITANIUM 2 SUTURE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,ANCHOR CORKSCREW FT 3-0 NANO 2 NEEDLE SUTURE 1.35 MM K WIRE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR CORKSCREW L10 MM OD3.5 MM ID2.5 MM TITANIUM 0 2.3 MM FULL THREAD SUTURE,1425.0,712.5,272.89,1282.5,65
HCPCS,C1713,ANCHOR CORKSCREW L10.2 MM OD3.9 MM PEEK 2 KNOTLESS SUTURE,385.0,192.5,73.73,346.5,65
HCPCS,C1713,ANCHOR CORKSCREW L11.2 MM OD3.9 MM BIOCOMPOSITE 5 KNOTLESS SUTURE,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1713,ANCHOR CORKSCREW L11.2 MM OD3.9 MM PEEK 5 KNOTLESS SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR CORKSCREW L14 MM BIOCOMPOSITE 1.3 MM FULL THREAD TAPE SUTURE,1775.0,887.5,339.91,1597.5,65
HCPCS,C1713,ANCHOR CORKSCREW L14 MM OD4.5 MM PEEK FULLY THREADED SUTURE,1425.0,712.5,272.89,1282.5,65
HCPCS,C1713,ANCHOR CORKSCREW L14.7 MM OD5.5 MM PEEK FULLY THREADED 2 BRAID SUTURE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,ANCHOR CORKSCREW L14.7 MM OD5.5 MM PEEK FULLY THREADED SUTURE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,ANCHOR CORKSCREW L15 MM OD4.5 MM ODSEC3.4 MM BIOCOMPOSITE LARGE 1 FULL THREADED SUTURE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR CORKSCREW L4 MM OD2.2 MM 2-0 MICRO 2 NEEDLE WIRE SUTURE L17.9 MM BONE,285.0,142.5,54.58,256.5,65
HCPCS,C1713,ANCHOR CORKSCREW SUTURETAPE L14.7 MM BIOCOMPOSITE FULL THREAD 1.3 MM BIOABSORBABLE SUTURE BLACK BLUE WHITE,1775.0,887.5,339.91,1597.5,65
HCPCS,C1713,ANCHOR CORKSCREW TIGERTAIL L14.7 MM OD5.5 MM BIOCOMPOSITE 2 FULLY THREADED SUTURE,1725.0,862.5,330.34,1552.5,65
HCPCS,C1713,ANCHOR DX FIBERTAK 2 NEEDLE SUTURE,2975.0,1487.5,569.71,2677.5,65
HCPCS,C1713,ANCHOR DX FIBERTAK NEEDLE SUTURE,2325.0,1162.5,445.24,2092.5,65
HCPCS,C1713,ANCHOR DX SWIVELOCK L13.5 MM OD3.5 MM PEEK MEDIUM SUTURE FOOT ELBOW SCAPHOLUNATE LIGAMENT REPAIR,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR DX SWIVELOCK SL L8.5 MM FORK EYELET SUTURE,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR DYNACORD HEALIX ADVANCE OD5.5 MM PEEK 3 SUTURE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,ANCHOR DYNOMITE ULTRABRAID OD2 MM PEEK-OPTIMA 2-0 NEEDLE SUTURE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,ANCHOR FASTAK II FIBERWIRE L7.5 MM OD2.4 MM TITANIUM 2-0 SMALL BIOABSORBABLE HANDLE INSERTER SUTURE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,ANCHOR FIBERLINK L2.9 MM BIOCOMPOSITE PUSHLOCK ANCHOR SUTURETAPE SPEAR DRILL SUTURE TACK TENODESIS IMPLANT SYSTEM,900.0,450.0,172.35,810.0,65
HCPCS,C1713,ANCHOR FIBERSTITCH FIBERWIRE POLYESTER 1.5 2-0 CURVE IMPLANT SUTURE,550.0,275.0,105.33,495.0,65
HCPCS,C1713,ANCHOR FIBERSTITCH FIBERWIRE POLYESTER 2-0 STRAIGHT 2 SUTURE,550.0,275.0,105.33,495.0,65
HCPCS,C1713,ANCHOR FIBERSTITCH POLYESTER STRAIGHT SUTURE,495.0,247.5,94.79,445.5,65
HCPCS,C1713,ANCHOR FIBERTAK 1.3 MM SUTURE TAPE 3 LOAD SUTURE ROTATOR CUFF BL/W BLK/W W,1925.0,962.5,368.64,1732.5,65
HCPCS,C1713,ANCHOR FIBERTAK 2 LOAD KNOTLESS SUTURE,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1713,ANCHOR FIBERTAK 2 LOAD NEEDLE SUTURE,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR FIBERTAK 2 LOAP TAPE SUTURE,370.0,185.0,70.86,333.0,65
HCPCS,C1713,ANCHOR FIBERTAK CRUCIATE LIGAMENT 2 LOAD SUTURE,340.0,170.0,65.11,306.0,65
HCPCS,C1713,ANCHOR FIBERTAK CRUCIATE LIGAMENT SUTURE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR FIBERTAK DOUBLE LOADED SUTURE,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1713,ANCHOR FIBERTAK DR LBRITAPEWH/BL TT WH/BLK,450.0,225.0,86.18,405.0,65
HCPCS,C1713,ANCHOR FIBERTAK FIBERWIRE 1 NEEDLE SUTURE,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR FIBERTAK HYBRID 1 KNOTLESS 1 KNOT SUTURE,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1713,ANCHOR FIBERTAK KNOTLESS SUTURE,575.0,287.5,110.11,517.5,65
HCPCS,C1713,ANCHOR FIBERTAK L1.3 MM OD2.6 MM 2 TAPE SUTURE,1850.0,925.0,354.28,1665.0,65
HCPCS,C1713,ANCHOR FIBERTAK L1.3 MM OD2.6 MM SELF PUNCH SOFT ANCHOR TAPE SUTURE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR FIBERTAK L2.6 MM BUTTON SUTURE,495.0,247.5,94.79,445.5,65
HCPCS,C1713,ANCHOR FIBERTAK L2.6 MM OD2.6 MM 2 LOAD KNOTLESS SELF PUNCH SUTURE,495.0,247.5,94.79,445.5,65
HCPCS,C1713,ANCHOR FIBERTAK OD1.5 MM SUTURE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,ANCHOR FIBERTAK OD1.8 MM 2 KNOTLESS SUTURE 1.8 MM DRILL,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,ANCHOR FIBERTAK OD1.8 MM SELF BUNCH TAPERED KNOTLESS SUTURE HIP,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1713,ANCHOR FIBERTAK OD2.6 MM 2 TAPE SELF PUNCH SOFT SUTURE,1975.0,987.5,378.21,1777.5,65
HCPCS,C1713,ANCHOR FIBERTAK OD2.6 MM KNOTLESS SELF PUNCH SUTURE,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1713,ANCHOR FIBERTAK OD2.6 MM KNOTLESS SUTURE,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1713,ANCHOR FIBERTAK OD2.6 MM SELF PUNCH SOFT ANCHOR LOOP SUTURE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1713,ANCHOR FIBERTAK OD2.6 MM SELF PUNCH SOFT ANCHOR TAPE SUTURE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR FIBERTAK SELF PUNCH SUTURE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,ANCHOR FIBERTAK TAPE SUTURE,355.0,177.5,67.98,319.5,65
HCPCS,C1713,ANCHOR FIBERTAK TIGERTAIL LABRALTAPE 2 2 ROW KNOTLESS SUTURE BLACK BLUE WHITE ROTATOR CUFF REPAIR,450.0,225.0,86.18,405.0,65
HCPCS,C1713,ANCHOR FIBERWIRE CORKSCREW L14.7 MM OD4.75 MM PEEK 2 W/2 FULL THREAD SUTURE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1713,ANCHOR FIBERWIRE CORKSCREW L14.7 MM OD6.5 MM PEEK 2 W/2 FULL THREAD SUTURE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,ANCHOR FIBERWIRE CORKSCREW TIGERWIRE L15.5 MM OD5 MM 2 SELF TAP EYELET HANDLE INSERTER SUTURE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,ANCHOR FOOTPRINT OD4.5 MM PEEK-OPTIMA SELF LOCK NONABSORBABLE SUTURE,356.9,178.45,68.35,321.21,65
HCPCS,C1713,ANCHOR FOOTPRINT ULTRA OD4.5 MM PEEK-OPTIMA SUTURE,432.6,216.3,82.84,389.34,65
HCPCS,C1713,ANCHOR FOOTPRINT ULTRA OD5.5 MM SUTURE,432.6,216.3,82.84,389.34,65
HCPCS,C1713,ANCHOR GRAVITY OD5.5 MM PEEK-OPTIMA SUTURE,265.0,132.5,50.75,238.5,65
HCPCS,C1713,ANCHOR GRAVITY OD5.5 MM TITANIUM 2 SUTURE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR GRAVITY PEEK-OPTIMA 3.5 MM SUTURE,607.89,303.95,116.41,547.1,65
HCPCS,C1713,ANCHOR GRAVITY TITANIUM 0 3.5 MM SUTURE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR GRYPHON DYNACORD PANACRYL BRAID SUTURE BLUE,620.0,310.0,118.73,558.0,65
HCPCS,C1713,ANCHOR HEALICOIL MINITAPE REGENESORB 2 4.75 MM COBRAID SUTURE BLUE WHITE,430.0,215.0,82.35,387.0,65
HCPCS,C1713,ANCHOR HEALICOIL OD5.5 MM KNOTLESS REGENESORB SUTURE,390.0,195.0,74.69,351.0,65
HCPCS,C1713,ANCHOR HEALICOIL OD5.5 MM KNOTLESS SELF TAP REGENESORB SUTURE,450.0,225.0,86.18,405.0,65
HCPCS,C1713,ANCHOR HEALICOIL PK OD5 MM KNOTLESS SELF TAP SUTURE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR HEALICOIL PK OD5 MM KNOTLESS SUTURE,390.0,195.0,74.69,351.0,65
HCPCS,C1713,ANCHOR HEALICOIL PK ULTRABRAID OD4.5 MM PEEK-OPTIMA 2 ROTATOR CUFF NONABSORBABLE FULL THREAD SUTURE SOFT TISSUE COBRAID BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR HEALICOIL PK ULTRATAPE NDL SUT BLUE,450.0,225.0,86.18,405.0,65
HCPCS,C1713,ANCHOR HEALICOIL PK ULTRATAPE ULTRABRAID OD5.5 MM 2 SUTURE COBRAID BLUE,350.0,175.0,76.34,315.0,64
HCPCS,C1713,ANCHOR HEALICOIL REGENESORB 4.75 MM 3 MINITAPE SUTURE COBRAID BLUE COBRAID WHITE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR HEALICOIL REGENESORB 5.5 MM 2 MINITAPE SUTURE COBRAID BLUE COBRAID WHITE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR HEALICOIL REGENESORB 5.5 MM 3 MINITAPE SUTURE COBRAID BLUE WHITE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR HEALICOIL REGENESORB ULTRATAPE ULTRABRAID OD5.5 MM 2 SMOOTH SUTURE BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRABRAID COBRAID PEEK 2 5.5 MM 3 SUTURE BLACK BLUE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRABRAID OD5.5 MM REGENESORB 2 FULL THREAD PRELOAD COBRAID SUTURE SHOULDER BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRABRAID OD5.5 MM REGENESORB 3 FULL THREAD PRELOAD COBRAID SUTURE SHOULDER BLACK BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRABRAID PEEK 2 5.5 MM PRELOAD OPEN ARCHITECTURE SUTURE BLUE COBRAID BLUE,391.5,195.75,74.97,352.35,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRABRAID REGENESORB 2 4.75 MM FULL THREAD PRELOAD OPEN ARCHITECTURE SUTURE BLUE COBRAID BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRATAPE PEEK 4.5 MM PRELOAD OPEN ARCHITECTURE SMOOTH SUTURE BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRATAPE PEEK 4.5 MM PRELOAD OPEN ARCHITECTURE SMOOTH SUTURE COBRAID BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRATAPE ULTRABRAID OD4.5 MM 2 SUTURE BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRATAPE ULTRABRAID PEEK 2 5.5 MM PRELOAD OPEN ARCHITECTURE SMOOTH SUTURE BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR HEALICOIL ULTRATAPE ULTRABRAID REGENESORB 2 5.5 MM FULL THREAD PRELOAD OPEN ARCHITECTURE SMOOTH SUTURE COBRAID BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR HEALIX ADVANCE BIOCRYL RAPIDE KNOTLESS SUTURE,394.0,197.0,75.45,354.6,65
HCPCS,C1713,ANCHOR HEALIX ADVANCE BR DYNACORD OD4.5 MM SUTURE BLUE STRIP,428.0,214.0,81.96,385.2,65
HCPCS,C1713,ANCHOR HEALIX ADVANCE DYNACORD OD5.5 MM BIOCRYL RAPIDE SUTURE,428.0,214.0,81.96,385.2,65
HCPCS,C1713,ANCHOR HEALIX ADVANCE DYNACORD PEEK NEEDLE SUTURE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,ANCHOR HEALIX ADVANCE OD4.9 MM PEEK SELF PUNCH SUTURE,582.0,291.0,111.45,523.8,65
HCPCS,C1713,ANCHOR HEALIX ADVANCE OD5.5 MM PEEK SELF PUNCH SUTURE,582.0,291.0,111.45,523.8,65
HCPCS,C1713,ANCHOR HEALIX ORTHOCORD OD5.5 MM BIOCRYL RAPIDE 2 ADVANCE BIOCRYL RAPIDE SUTURE,278.0,139.0,53.24,250.2,65
HCPCS,C1713,ANCHOR HEALIX TRANSTEND PEEK 2 SUTURE,776.0,388.0,148.6,698.4,65
HCPCS,C1713,ANCHOR HERCULES L10.5 MM FULL THREAD IMPLANT KIT SUTURE,777.0,388.5,148.8,699.3,65
HCPCS,C1713,ANCHOR HS FIBER ULTRALOOP SUTURE BLUE,870.0,435.0,166.61,783.0,65
HCPCS,C1713,ANCHOR HS FIBER ULTRALOOP SUTURE BLUE WHITE,870.0,435.0,166.61,783.0,65
HCPCS,C1713,ANCHOR IBALANCE L20 MM OD6.5 MM SUTURE CANCELLOUS HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L24 MM OD6.5 MM SUTURE CANCELLOUS HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L26 MM OD6.5 MM SUTURE CANCELLOUS HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L30 MM OD6.5 MM SUTURE CANCELLOUS HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L32 MM OD6.5 MM SUTURE CANCELLOUS HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L34 MM OD4.5 MM SUTURE CORTICAL HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L40 MM OD4.5 MM SUTURE CORTICAL HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L44 MM OD4.5 MM SUTURE CORTICAL HIGH TIBIAL OSTEOTOMY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR IBALANCE L50 MM OD4.5 MM SUTURE CORTICAL HTO,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR ICONIX 1 OD1.4 MM 1 STRAND INTELLIBRAID TECHNOLOGY TAPE SUTURE,535.47,267.74,102.54,481.92,65
HCPCS,C1713,ANCHOR ICONIX 3 INTELLIBRAID FORCE FIBER POLYESTER 2 3 STRAND SUTURE,390.89,195.45,74.86,351.8,65
HCPCS,C1713,ANCHOR ICONIX FORCE FIBER OD2.3 MM 2 2 NEEDLE INTELLIBRAID 2 STRAND SUTURE,371.75,185.88,71.19,334.58,65
HCPCS,C1713,ANCHOR ICONIX SPEED OD2.3 MM XBRAID TT 2 MM 2 STRAND TAPE SUTURE,5350.0,2675.0,1024.53,4815.0,65
HCPCS,C1713,ANCHOR ICONIX SPEED OD2.3 MM XBRAID TT 3 MM 2 STRAND TAPE SUTURE,4375.0,2187.5,837.81,3937.5,65
HCPCS,C1713,ANCHOR ICONIX SPEED XBRAID OD2.3 MM ODSEC1.2 MM TITANIUM 2 MM TAPE SUTURE,4375.0,2187.5,837.81,3937.5,65
HCPCS,C1713,ANCHOR ICONIX XBRAID W1.2 MM OD1.4 MM TITANIUM NEEDLE INTELLIBRAID TECHNOLOGY SUTURE,405.0,202.5,77.56,364.5,65
HCPCS,C1713,ANCHOR ICONIX XBRAID W2 MM OD2.3 MM TITANIUM 2 NEEDLE INTELLIBRAID TECHNOLOGY SUTURE,2029.3,1014.65,388.61,1826.37,65
HCPCS,C1713,ANCHOR JUGGERKNOT 1 SHORT SMALL RIGID INSERTER DRILL SUTURE,354.05,177.03,67.8,318.65,65
HCPCS,C1713,ANCHOR JUGGERKNOT BROADBAND W1.5 MM 2 1 LOAD TAPE SUTURE BLACK BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR JUGGERKNOT MAXBRAID OD1.45 MM 2 1.5 MM 1 LOAD RIGID TAPE NEEDLE SUTURE BLACK BLUE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,ANCHOR KNOTILUS+ L12.5 MM OD2.9 MM PEEK SUTURE,960.0,480.0,183.84,864.0,65
HCPCS,C1713,ANCHOR KNOTLESS 2.6 FIBERTAK SOFT SELF-PUNCHING 1.7 MM TIGERTAPE LOOP WHITE/BLACK #2 SUTURE BLUE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1713,ANCHOR KNOTLESS FIBERTAK KIT TENSIONABLE SUTURE BICEPS,990.0,495.0,189.59,891.0,65
HCPCS,C1713,ANCHOR KNOTLESS FIBERTAK OD1.8 MM 2 GEN2 SUTURE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,ANCHOR KNOTLESS SUTURETAK FIBERWIRE L12.7 MM OD3 MM PEEK 2 SUTURE,385.0,192.5,73.73,346.5,65
HCPCS,C1713,ANCHOR L11.4 MM OD2.8 MM NITINOL 2 CP-2 NEEDLE SUTURE,340.0,170.0,65.11,306.0,65
HCPCS,C1713,ANCHOR L36 IN 2 SUTURE BLUE VIOLET,314.0,157.0,60.13,282.6,65
HCPCS,C1713,ANCHOR L36 IN BIOCRYL RAPIDE 2 ABSORBABLE BRAID PUSH IN SUTURE VIOLET,270.0,135.0,51.71,243.0,65
HCPCS,C1713,ANCHOR LEAD 4 CM SET CLIK SPINAL CORD STIMULATOR SYSTEM,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ANCHOR MAXBRAID OD5 MM TITANIUM 2 2 LOAD SUTURE SHOULDER ARTHROSCOPIC,354.0,177.0,67.79,318.6,65
HCPCS,C1713,ANCHOR MICRORAPTOR PEEK KNOTLESS SUTURE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,ANCHOR MICRORAPTOR ULTRABRAID REGENESORB 1 SUTURE COBRAID BLUE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR MICRORAPTOR ULTRABRAID REGENESORB SUTURE BLUE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR MINITAC DURABRAID OD2 MM TITANIUM 3-0 PRELOADED NEEDLE DRILL GUIDE SUTURE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ANCHOR MINITAC ULTRABRAID TITANIUM 2-0 NEEDLE SUTURE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR MULTIFIX S ULTRA OD6.5 MM KNOTLESS SUTURE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR NICKEL TITANIUM 2 CP-2 NEEDLE SUTURE,340.0,170.0,65.11,306.0,65
HCPCS,C1713,ANCHOR OD1.3 MM 3-0 V-4 MICRO BIOABSORBABLE DRILL BIT SUTURE SMALL JOINT,477.0,238.5,91.35,429.3,65
HCPCS,C1713,ANCHOR OD4.5 MM 2 SUTURE,278.0,139.0,53.24,250.2,65
HCPCS,C1713,ANCHOR OD4.5 MM 3 SUTURE,278.0,139.0,53.24,250.2,65
HCPCS,C1713,ANCHOR OD4.5 MM PEEK SUTURE,273.0,136.5,52.28,245.7,65
HCPCS,C1713,ANCHOR OD4.5 MM PEEK-OPTIMA CORD SUTURE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,ANCHOR OD4.75 MM KNOTLESS SUTURE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,ANCHOR OD4.75 MM PEEK KNOTLESS SUTURE,394.0,197.0,75.45,354.6,65
HCPCS,C1713,ANCHOR OD5.5 MM BIOCRYL RAPIDE 3 SUTURE,278.0,139.0,53.24,250.2,65
HCPCS,C1713,ANCHOR OD5.5 MM BIOCRYL RAPIDE KNOTLESS SUTURE,394.0,197.0,75.45,354.6,65
HCPCS,C1713,ANCHOR OD5.5 MM KNOTLESS SUTURE PEEK,378.0,189.0,72.39,340.2,65
HCPCS,C1713,ANCHOR OD5.5 MM NEEDLE SUTURE SHOULDER,276.0,138.0,52.85,248.4,65
HCPCS,C1713,ANCHOR OD5.5 MM PEEK 2 SUTURE,5855.0,2927.5,1121.23,5269.5,65
HCPCS,C1713,ANCHOR OD5.5 MM SUTURE SHOULDER,276.0,138.0,52.85,248.4,65
HCPCS,C1713,ANCHOR OD6.5 MM HELIX SUTURE,305.0,152.5,58.41,274.5,65
HCPCS,C1713,ANCHOR OD6.5 MM PEEK 3 2 THREAD SUTURE,244.0,122.0,46.73,219.6,65
HCPCS,C1713,ANCHOR OMEGA OD4.75 MM PEEK 1 ARM KNOTLESS SUTURE,4995.0,2497.5,956.54,4495.5,65
HCPCS,C1713,ANCHOR OSTEORAPTOR OD2.3 MM PLLA HA 2 CURVE ULTRABRAID PRELOAD INSERTER COBRAID SUTURE SOFT TISSUE BLUE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,ANCHOR OSTEORAPTOR ULTRABRAID HA 2 1 BIOABSORBABLE PRELOAD SUTURE COBRAID BLACK,354.73,177.37,67.93,319.26,65
HCPCS,C1713,ANCHOR OSTEORAPTOR ULTRABRAID OD2.3 MM 2 COBRAID SUTURE WHITE,327.0,163.5,62.62,294.3,65
HCPCS,C1713,ANCHOR OSTEORAPTOR ULTRABRAID OD2.9 MM 2 KNOTTED SUTURE WHITE,327.0,163.5,62.62,294.3,65
HCPCS,C1713,ANCHOR PEEK NONABSORBABLE SUTURE,259.0,129.5,49.6,233.1,65
HCPCS,C1713,ANCHOR PEEK-OPTIMA NONABSORBABLE SUTURE DS,265.0,132.5,50.75,238.5,65
HCPCS,C1713,ANCHOR PUSHLOCK BIOCOMPOSITE SHORT SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L12.5 MM BIOCOMPOSITE SHORT CANNULATED EYELET HANDLE INSERTER SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L12.5 MM PEEK SHORT CANNULATED SUTURE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L15.5 MM BIOCOMPOSITE SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L15.5 MM OD2.9 MM PEEK SUTURE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L19.5 MM OD3.5 MM BIOCOMPOSITE SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L19.5 MM OD3.5 MM PEEK SUTURE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L24 MM OD4.5 MM BIOCOMPOSITE SUTURE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L24 MM OD4.5 MM PEEK SUTURE SHOULDER,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,ANCHOR PUSHLOCK L28 MM OD4.5 MM BIOCOMPOSITE SELF PUNCH SUTURE,2075.0,1037.5,397.36,1867.5,65
HCPCS,C1713,ANCHOR PUSHLOCK L8 MM OD2.5 MM BIOCOMPOSITE MINI SUTURE,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR PUSHLOCK OD2.5 MM PEEK SUTURE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,ANCHOR Q-FIX 0 NEEDLES SUTURE SUTURE,495.0,247.5,94.79,445.5,65
HCPCS,C1713,ANCHOR Q-FIX 1.8 MM MINI SUTURE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR Q-FIX MINITAPE 1 PRELOAD SUTURE BLUE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,ANCHOR Q-FIX MINITAPE 1 PRELOAD SUTURE COBRAID WHITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,ANCHOR Q-FIX MINITAPE 2 PRELOAD SUTURE BLUE COBRAID WHITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,ANCHOR Q-FIX MINITAPE NEEDLE SUTURE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ANCHOR QUICKANCHOR ETHIBOND 2-0 V-5 MINI SUTURE,555.0,277.5,106.28,499.5,65
HCPCS,C1713,ANCHOR QUICKANCHOR PLUS 2 CP-2 SUTURE,611.0,305.5,117.01,549.9,65
HCPCS,C1713,ANCHOR QUICKANCHOR PLUS ETHIBOND 0 OS-2 MINI SUTURE NEEDLE,555.0,277.5,106.28,499.5,65
HCPCS,C1713,ANCHOR QUICKANCHOR PLUS GII 2 CP-2 SUTURE,544.0,272.0,104.18,489.6,65
HCPCS,C1713,ANCHOR QUICKANCHOR PLUS ORTHOCORD 2-0 V-5 MINI SUTURE,340.0,170.0,65.11,306.0,65
HCPCS,C1713,ANCHOR RAPTORMITE OD3 MM PEEK 0 2 ULTRABRAID NEEDLES SUTURE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,ANCHOR RAPTORMITE OD3.7 MM PLLA 0 ABSORBABLE 2 ULTRABRAID NEEDLES SUTURE,336.35,168.18,64.41,302.72,65
HCPCS,C1713,ANCHOR REGENETEN REGENERATE SUTURE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,ANCHOR SOFT TISSUE JUGGERLOC SOFT TISSUE UNICORTICAL,378.3,189.15,72.44,340.47,65
HCPCS,C1713,ANCHOR SOFTSTITCH SOFT STITCH SUTURE,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,ANCHOR SPINAL COALITION MIS L11 MM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,ANCHOR SPINAL L12 MM COALITION MIS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,ANCHOR SPINAL L25 MM INDEPENDENCE MIS LUMBAR MIS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ANCHOR SPINAL L27 MM MIS LUMBAR,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ANCHOR SUT FIBERTAK LBRITAPEWH/BL & TT WH/BLK,475.0,237.5,90.96,427.5,65
HCPCS,C1713,ANCHOR SUT MAGNUM KNOTLESS,2460.0,1230.0,471.09,2214.0,65
HCPCS,C1713,ANCHOR SUTURE 1.1MM 10MM SELF REINFORCE LOW PROFILE BUCKET HANDLE CONTOUR MENISCUS ARROW 80L/20D L POLYLACTIC ACID MENISCUS STERILE,138.1,69.05,26.45,124.29,65
HCPCS,C1713,ANCHOR SUTURE 1.3MM 2 1 LOADED 1 STRAND FLEXIBLE SOFT Y-KNOT,364.52,182.26,69.81,328.07,65
HCPCS,C1713,ANCHOR SUTURE 1.45MM 2 SHORT DRILL BIT JUGGERKNOT,354.05,177.03,67.8,318.65,65
HCPCS,C1713,ANCHOR SUTURE 1.4MM 1 LOAD JUGGERKNOT SOFT TISSUE,294.0,147.0,56.3,264.6,65
HCPCS,C1713,ANCHOR SUTURE 1.4MM 2 NEEDLE INTELLIBRAID TECHNOLOGY ICONIX FORCE FIBER STERILE LATEX FREE DISPOSABLE,567.02,283.51,108.58,510.32,65
HCPCS,C1713,ANCHOR SUTURE 1.4MM 25D FLEX INSERTER 2 STAGE FIXATION PILOT HOLE NANOTACK ANATOMIC LABRUM RESTORATION SYSTEM,456.9,228.45,87.5,411.21,65
HCPCS,C1713,ANCHOR SUTURE 1.7MM 2.6 FIBERTAK LOOP SELF PUNCH KNOTLESS TIGERTAPE BLACK BLUE WHITE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1713,ANCHOR SUTURE 1.8MM 2 2 LOAD 2 STRAND FLEXIBLE SOFT Y-KNOT HI-FI,379.16,189.58,72.61,341.24,65
HCPCS,C1713,ANCHOR SUTURE 1.8MM Q-FIX,275.0,137.5,52.66,247.5,65
HCPCS,C1713,ANCHOR SUTURE 1.8MM SHOULDER SELF BUNCHING W/KNOTLESS CORKSCREW FIBERTAK,440.0,220.0,84.26,396.0,65
HCPCS,C1713,ANCHOR SUTURE 11MM 2 CP-2 BIOABSORBABLE ROTATOR CUFF QUICKANCHOR PLUS ETHIBOND PANALOK RC POLY L LACTIC ACID STERILE GREEN ARTHROSCOPIC,95.72,47.86,18.33,86.15,65
HCPCS,C1713,ANCHOR SUTURE 17MM DRIVER FLEXBAND STERILE LATEX FREE DISPOSABLE,577.0,288.5,110.5,519.3,65
HCPCS,C1713,ANCHOR SUTURE 2 2 ROW KNOTLESS FIBERTAK TIGERTAIL LABRALTAPE BLACK GREEN WHITE ROTATOR CUFF REPAIR,450.0,225.0,86.18,405.0,65
HCPCS,C1713,ANCHOR SUTURE 2 2 STRAND ICONIX 1 FORCE FIBER POLYESTER STERILE LATEX FREE,390.89,195.45,74.86,351.8,65
HCPCS,C1713,ANCHOR SUTURE 2 PRELOAD SURELOCK BIOWICK,1253.0,626.5,239.95,1127.7,65
HCPCS,C1713,ANCHOR SUTURE 2 PRELOAD SURELOCK UHMWPE,351.0,175.5,67.22,315.9,65
HCPCS,C1713,ANCHOR SUTURE 2 PRELOAD SURELOCK UHMWPE STERILE DISPOSABLE,338.0,169.0,64.73,304.2,65
HCPCS,C1713,ANCHOR SUTURE 2 SUPER REVO THREVO-FT HI-FI STERILE LATEX FREE DISPOSABLE,344.02,172.01,65.88,309.62,65
HCPCS,C1713,ANCHOR SUTURE 2.4MM 12MM 2 SUTURETAK FIBERWIRE BIOCOMPOSITE STERILE DISPOSABLE,1525.0,762.5,292.04,1372.5,65
HCPCS,C1713,ANCHOR SUTURE 2.6MM 1.7MM 1.3MM SELF PUNCH FIBERTAK TIGERTAPE SUTURETAPE BLUE WHITE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR SUTURE 2.9MM 12.5MM SHORT PUSHLOCK BIOCOMPOSITE HIP,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,ANCHOR SUTURE 2.9MM 2 2 LOAD TAPER NEEDLE JUGGERKNOT MAXBRAID,336.0,168.0,64.34,302.4,65
HCPCS,C1713,ANCHOR SUTURE 2.9MM DIA W/CUTTING NEEDLE JUGGERKNOT,336.0,168.0,64.34,302.4,65
HCPCS,C1713,ANCHOR SUTURE 3-0 V-4 ABSORBABLE DRILL BIT TAPERCUT NEEDLE ROTATOR CUFF MICROFIX QUICKANCHOR PLUS ORTHOCORD DISPOSABLE,586.0,293.0,112.22,527.4,65
HCPCS,C1713,ANCHOR SUTURE 3.85MM 17MM T8 PASS NEEDLE FLEXBAND PEEK BLUE,4222.0,2111.0,808.51,3799.8,65
HCPCS,C1713,ANCHOR SUTURE 360D 2 2 LOAD 2 STRAND SELF PUNCH FORMFIT FIXATION Y-KNOT HI-FI,423.08,211.54,81.02,380.77,65
HCPCS,C1713,ANCHOR SUTURE 360D 2 3 LOAD 2 STRAND SELF PUNCH FORMFIT FIXATION Y-KNOT HI-FI,437.72,218.86,83.82,393.95,65
HCPCS,C1713,ANCHOR SUTURE 3MM 14.5MM PEEK W/TWO 1.3 MM SUTURETAPE BLUE BLACK/WHITE SUTURETAK,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM 14MM 2 2 FULL THREAD CORKSCREW FIBERWIRE BIOCOMPOSITE STERILE DISPOSABLE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM 17MM 2 FULL THREAD NEEDLE CANNULATED CROSSFT HI-FI PEEK,411.35,205.68,78.77,370.22,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM 24MM PUSHLOCK BIOCOMPOSITE STERILE DISPOSABLE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM DIA 15MML TITANIUM FULLY THREADED W/#3 FIBERWIREX2 CORKSCREW FT II STERILE,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM DIA PEEK POLYMER NONABSORBABLE ROTATOR CUFF W/#2 ULTRABRAID COBRAID NEEDLE BLUE BLACK TWINFIX ULTRA STERILE,272.0,136.0,52.09,244.8,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM DIA TITANIUM SHOULDER ROTATOR CUFF HIP NONABSORBABLE SELF-TAPPING W/#2 COBRAID BLUE/BLACK SUTUREX2 F/SOFT TISSUE FIXATION TWINFIX ULTRA 72202894 STERILE,248.0,124.0,47.49,223.2,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM PEEK CANCELLOUS CORTICAL ROTATOR CUFF CANNULATED DOUBLE-THREADED W/UHMWPE FLAT BRAIDED BLUE PERMATAPE HEALIX ADVANCE RADIOLUCENT,380.0,190.0,72.77,342.0,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM REELX STT STERILE LATEX FREE DISPOSABLE,438.22,219.11,83.92,394.4,65
HCPCS,C1713,ANCHOR SUTURE 4.5MM SUBCORTICAL WING POPLOK,468.25,234.13,89.67,421.43,65
HCPCS,C1713,ANCHOR SUTURE 4.75MM 19.1MM CLOSED EYELET VENT SWIVELOCK PEEK STERILE DISPOSABLE,1875.0,937.5,359.06,1687.5,65
HCPCS,C1713,ANCHOR SUTURE 4.75MM DIA 19.1MML PEEK W/BLUE FIBERTAPE LOOP CLOSED EYELET SWIVELOCK C,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR SUTURE 4.75MM DIA 19.1MML PEEK W/WHITE/BLACK TIGERTAPE LOOP CLOSED EYELET SWIVELOCK C,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM 1 ROW 2 STRAND SIMPLE STITCH PRELOADED HIGH STRENGTH QUATTRO X SHOULDER SYSTEM ROTATOR CUFF SOLUTION,351.0,175.5,67.22,315.9,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM 14.7MM 2 FULL THREAD 2 CORKSCREW FIBERWIRE PEEK STERILE DISPOSABLE,1425.0,712.5,272.89,1282.5,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM 14.7MM 2 FULL THREAD 3 CORKSCREW FIBERWIRE BIOCOMPOSITE STERILE DISPOSABLE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM 14.7MM 26MM 2 .5 CIRCLE FULL THREAD 2 4 NEEDLE BIO-CORKSCREW FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID STERILE DISPOSABLE,1475.0,737.5,282.46,1327.5,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM 19.1MM CLOSED EYELET SWIVELOCK C PEEK-OPTIMA STERILE DISPOSABLE,1875.0,937.5,359.06,1687.5,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM DIA 16MML TITANIUM ROTATOR CUFF FULLY THREADED W/SIZE 2 POLYETHYLENE TIGERTAILX2 F/SHOULDER REPAIR CORKSCREW FT STERILE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1713,ANCHOR SUTURE 5.5MM KNOTLESS MULTIFIX S ULTRA PEEK,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR SUTURE 5MM 2 ABSORBABLE TI-SCREW SP MAXBRAID TITANIUM ACL,336.0,168.0,64.34,302.4,65
HCPCS,C1713,ANCHOR SUTURE 5MM DIA 16MML TITANIUM FULLY THREADED W/#2 FIBERWIREX2 26MM 1/2 CIRCLE NEEDLE CORKSCREW FT STERILE,1275.0,637.5,244.16,1147.5,65
HCPCS,C1713,ANCHOR SUTURE 5MM DIA TITANIUM KNOTLESS ROTATOR CUFF W/SIZE 2 MAXBRAID SUTUREX3 ALLTHREAD,348.0,174.0,66.64,313.2,65
HCPCS,C1713,ANCHOR SUTURE 5MM PRELOADED DRIVER PRETHREADED SELF DRILLING THREVO TITANIUM DISPOSABLE BLACK BLUE WHITE,230.09,115.05,44.06,207.08,65
HCPCS,C1713,ANCHOR SUTURE 6.5MM DIA TITANIUM KNOTLESS ROTATOR CUFF W/SIZE 2 MAXBRAID SUTUREX3 ALLTHREAD,348.0,174.0,66.64,313.2,65
HCPCS,C1713,ANCHOR SUTURE 7MM 19.5MM FORK EYELET SWIVELOCK TENODESIS PEEK SHOULDER BICEPS STERILE,2025.0,1012.5,387.79,1822.5,65
HCPCS,C1713,ANCHOR SUTURE 7MM X 19.5MM FORK EYELET SWIVELOCK BIOCOMPOSITE STERILE TENODESIS REPAIR SYSTEM,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,ANCHOR SUTURE ARTHROSCOPIC 3.5MM TITANIUM THREADED PRELOADED W/#2 DURABRAID TWINFIX,226.0,113.0,43.28,203.4,65
HCPCS,C1713,ANCHOR SUTURE ARTHROSCOPIC 4.5MM PEEK CANCELLOUS CORTICAL SOFT TISSUE CANNULATED DOUBLE-THREADED ABSORBABLE W/DYNACORD HEALIX ADVANCE RADIOLUCENT,441.0,220.5,84.45,396.9,65
HCPCS,C1713,ANCHOR SUTURE ARTHROSCOPIC 5.5MM PEEK W/DYNACORD HEALIX ADVANCE,441.0,220.5,84.45,396.9,65
HCPCS,C1713,ANCHOR SUTURE ARTHROSCOPIC 6.5MM DIA 15MML TITANIUM ROTATOR CUFF W/SIZE 2 MAXBRAID POLYETHYLENE SUTUREX2 ALLTHREAD 902592,336.0,168.0,64.34,302.4,65
HCPCS,C1713,ANCHOR SUTURE ARTHROSCOPIC ACHILLES SUTUREBRIDGE BIOCOMPATIBLE,1595.0,797.5,305.44,1435.5,65
HCPCS,C1713,ANCHOR SUTURE BONE ARTHROSCOPIC DELIVERY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,ANCHOR SUTURE CANCELLOUS 6.5MM DIA THREADED DOUBLE LOADED ROTATOR CUFF W/#2 SUTUREX2 F/TITANIUM SCREW MAXBRAID SURFACE TREATMENT,354.0,177.0,67.79,318.6,65
HCPCS,C1713,ANCHOR SUTURE HEALIX ADVANCE 4.5MM CANNULATED DOUBLE-THREADED W/DYNACORD NEEDLE CANCELLOUS CORTICAL SOFT TISSUE RADIOLUCENT PEEK,630.0,315.0,120.65,567.0,65
HCPCS,C1713,ANCHOR SUTURE HEALIX ORTHOCORD TITANIUM,244.0,122.0,46.73,219.6,65
HCPCS,C1713,ANCHOR SUTURE HIP W/1.3MM SUTURETAPE FIBERTAK,375.0,187.5,71.81,337.5,65
HCPCS,C1713,ANCHOR SUTURE KNOTLESS 2.4MM MINI 8.9MM PEEK HIP LABRAL NONABSORBABLE F/REPAIR PUSHLOCK,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,ANCHOR SUTURE KNOTLESS 3MM 12.7MM PEEK NON-ABSORBABLE EYELET W/#2 FIBERWIRE CL F/OPEN REPAIR SUTURETAK STERILE,1925.0,962.5,368.64,1732.5,65
HCPCS,C1713,ANCHOR SUTURE KNOTLESS HIP SOFT W/#2 FIBER WIRE CL FIBERTAK 1/EA,445.0,222.5,85.22,400.5,65
HCPCS,C1713,ANCHOR SUTURE KNOTLESS INSERTER LOCK CINCHLOCK SS LABRUM RESTORATION SYSTEM,505.81,252.91,110.32,455.23,64
HCPCS,C1713,ANCHOR SUTURE KNOTLESS QUATTRO LINK STERILE SHOULDER SYSTEM ROTATOR CUFF SOLUTION,409.5,204.75,78.42,368.55,65
HCPCS,C1713,ANCHOR SUTURE KNOTLESS ROTATOR CUFF 5.5MM 19.1MM PEEK CANNULATED FULLY-THREADED TWIST-IN W/#2 SUTURETAPE BLUE SWIVELOCK C,435.0,217.5,83.3,391.5,65
HCPCS,C1713,ANCHOR SUTURE NEEDLE HEALIX ADVANCE ORTHOCORD BIOCRYL RAPIDE,278.0,139.0,53.24,250.2,65
HCPCS,C1713,ANCHOR SUTURE PUSHLOCK KNOTLESS 2.4MM MINI 8.9MM NON-ABSORBABLE FOR REPAIR HIP LABRAL BIOCOMPOSITE PEEK,420.0,210.0,80.43,378.0,65
HCPCS,C1713,ANCHOR SUTURE Q-FIX,285.0,142.5,54.58,256.5,65
HCPCS,C1713,ANCHOR SUTURE Q-FIX KNOTLESS ASA 1.8MM WITH 1 MT SUT BL,440.0,220.0,84.26,396.0,65
HCPCS,C1713,ANCHOR SUTURE Q-FIX KNOTLESS ASA 1.8MM WITH 1 MT SUT CB-BL,440.0,220.0,84.26,396.0,65
HCPCS,C1713,ANCHOR SUTURE Q-FIX KNOTLESS ASA 1.8MM WITH 1 UB SUT BL,440.0,220.0,84.26,396.0,65
HCPCS,C1713,ANCHOR SUTURE Q-FIX KNOTLESS ASA 1.8MM WITH 1 UB SUT CB-BL,440.0,220.0,84.26,396.0,65
HCPCS,C1713,ANCHOR SUTURE SIZE 1 1.4MM SINGLE-LOADED W/BROADBAND TAPE WHITE BLACK JUGGERKNOT 1/PK,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR SUTURE SIZE 2 2.9MM TRIPLE-LOADED SLIDING W/BROADBAND TAPE WHITE BLACK BLUE JUGGERKNOT EA,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR SUTURE SIZE 2 6.5MML W/DYNACORD HEALIX ADVANCE BR,638.0,319.0,122.18,574.2,65
HCPCS,C1713,ANCHOR SUTURE SWIVELOCK C KNOTLESS CANNULATED FULLY THREADED TWIST-IN ABSORBABLE VENTED CLOSED EYELET W/#2 WHITE SUTURE WHITE-BLUE SUTURETAPE LINK BLUE FIBERTAPE 4.75MM 19.1MM,485.0,242.5,92.88,436.5,65
HCPCS,C1713,ANCHOR SUTURE TENDON LIGAMENT BONE Q-FIX ULTRA,495.0,247.5,94.79,445.5,65
HCPCS,C1713,ANCHOR SUTURE TOGGLELOC W/ZIPLOOP F/AC JOINT RECONSTRUCTION ZIPTIGHT,612.0,306.0,117.2,550.8,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRA OD1.7 MM POLYESTER 5 2 STRAIGHT 1 LOAD COBRAID SUTURE SHOULDER BLUE,344.5,172.25,65.97,310.05,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRA ULTRABRAID 2 1.7 MM SUTURE BLUE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRA ULTRABRAID OD1.9 MM POLYESTER 1 COBRAID SUTURE BLUE,332.0,166.0,63.58,298.8,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRA ULTRABRAID POLYESTER 2 5 1.7 MM STRAIGHT 1 LOAD SUTURE SOLID BLUE,347.27,173.64,66.5,312.54,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRA XL ULTRABRAID 2 SUTURE COBRAID,275.0,137.5,52.66,247.5,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRABRAID 2 1.7 MM CURVE SUTURE COBRAID BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRABRAID 2 1.7 MM XL CURVE SUTURE BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRABRAID OD1.7 MM 1 2 XL CURVE SUTURE COBRAID BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ANCHOR SUTUREFIX ULTRABRAID OD1.9 MM 1 2 CURVE SUTURE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR SUTURETAK 2 NEEDLE SUTURE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR SUTURETAK BIOCOMPOSITE L6.5 MM OD2.4 MM MICRO NEEDLE WIRE SUTURE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR SUTURETAK FIBERWIRE L12 MM OD2.4 MM BIOCOMPOSITE 2 W/2 SUTURE,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,ANCHOR SUTURETAK FIBERWIRE L12.7 MM OD3 MM BIOCOMPOSITE 2 KNOTLESS CRUCIATE LIGAMENT SUTURE,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR SUTURETAK FIBERWIRE L14 MM OD3 MM PEEK 2 SUTURE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,ANCHOR SUTURETAK FIBERWIRE L14.5 MM OD3 MM BIOCOMPOSITE 2 SUTURE,1525.0,762.5,292.04,1372.5,65
HCPCS,C1713,ANCHOR SUTURETAK L12.2 MM OD3 MM PEEK SUTURE,1275.0,637.5,244.16,1147.5,65
HCPCS,C1713,ANCHOR SUTURETAK L12.7 MM OD3 MM BIOCOMPOSITE KNOTLESS W/2 SUTURE OPEN REPAIR SUTURE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,ANCHOR SUTURETAK OD3 MM KNOTLESS SUTURE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,ANCHOR SUTURETAK SUTURETAPE L14.5 MM OD3 MM BIOCOMPOSITE SUTURE L1.3 MM WHITE BLUE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,ANCHOR SUTURETAK TIGERTAIL L14.5 MM OD3 MM BIOCOMPOSITE 2 SUTURE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,ANCHOR SWIVELOCK BIOCOMPOSITE 5.5 MM SELF PUNCH KNOTLESS SUTURE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C FIBERTAK TIGERTAIL L22 MM OD4.75 MM BIOCOMPOSITE 2 2 LOAD SUTURE BLACK BLUE WHITE,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1713,ANCHOR SWIVELOCK C L19.1 MM 2 CLOSED EYELET TWIST IN KNOTLESS SUTURE BLUE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C L19.1 MM BIOCOMPOSITE 2 KNOTLESS CLOSED EYELET TWIST IN LOOP SUTURE BLACK BLUE WHITE,530.0,265.0,101.5,477.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C L19.1 MM BIOCOMPOSITE 2 KNOTLESS CLOSED EYELET TWIST IN SUTURE BLUE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C L19.1 MM BIOCOMPOSITE CLOSE EYELET TAPE LOOP VENT SUTURE BLUE FIBERTAPE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C L19.1 MM OD4.75 MM CLOSED EYELET VENT SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C L19.1 MM OD5.5 MM PEEK B-TCP CLOSED EYELET VENT SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C TIGERTAPE L19.1 MM BIOCOMPOSITE PEEK CLOSED EYELET VENT LOOP SUTURE BLACK WHITE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR SWIVELOCK C TIGERTAPE L19.1 MM PEEK 2 KNOTLESS CLOSED EYELET TWIST IN LOOP SUTURE BLACK BLUE WHITE,485.0,242.5,92.88,436.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L15.8 MM OD3.5 MM B-TCP PEEK CLOSED EYELET SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR SWIVELOCK L15.8 MM OD3.5 MM PEEK SUTURE,1875.0,937.5,359.06,1687.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L15.8 MM OD3.5 MM SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR SWIVELOCK L17.9 MM OD3.9 MM PEEK CLOSED EYELET SUTURE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L19.1 MM BIOCOMPOSITE CLOSED EYELET SUTURE TENODESIS REPAIR SYSTEM,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L19.1 MM OD4.75 MM PEEK 2 KNOTLESS SUTURE BLUE,435.0,217.5,83.3,391.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L19.1 MM OD6.25 MM BIOCOMPOSITE CLOSED EYELET SUTURE,2050.0,1025.0,392.58,1845.0,65
HCPCS,C1713,ANCHOR SWIVELOCK L19.1 MM OD8 MM BIOCOMPOSITE CLOSED EYELET SUTURE,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L19.5 MM OD8 MM PEEK FORK EYELET SUTURE,2025.0,1012.5,387.79,1822.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L22 MM PEEK 2 LOAD SUTURE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,ANCHOR SWIVELOCK L24.5 MM BIOCOMPOSITE PEEK 2 KNOTLESS SELF PUNCH EYELET SUTURE BLUE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,ANCHOR SWIVELOCK L24.5 MM OD4.75 MM PEEK TITANIUM SELF PUNCH EYELET SUTURE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,ANCHOR SWIVELOCK L7 MM OD2.5 MM FORK EYELET SUTURE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,ANCHOR SWIVELOCK LOOP N TACK L4.75 MM BIOCOMPOSITE SWIVELOCK ANCHOR FIBERLINK SUTURETAPE PUNCH LOOP SUTURE TENODESIS IMPLANT SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,ANCHOR SWIVELOCK OD3.9 MM PEEK SUTURE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,ANCHOR SWIVELOCK OD3.9 MM SUTURE,510.0,255.0,97.67,459.0,65
HCPCS,C1713,ANCHOR SWIVELOCK PEEK SUTURE,435.0,217.5,83.3,391.5,65
HCPCS,C1713,ANCHOR SWIVELOCK SP L24.5 MM BIOCOMPOSITE PEEK 1.3 MM SELF PUNCH EYELET SUTURETAPE SUTURE BLUE WHITE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,ANCHOR SWIVELOCK SP L24.5 MM OD4.75 MM ODSEC1.3 MM PEEK SELF-PUNCHING EYELET WITH SUTURETAPE SUTURE BLUE WHITE,470.0,235.0,90.01,423.0,65
HCPCS,C1713,ANCHOR SWIVELOCK SP L24.5 MM OD4.75 MM PEEK 2 KNOTLESS SELF PUNCH EYELET SUTURE BLUE,495.0,247.5,94.79,445.5,65
HCPCS,C1713,ANCHOR SWIVELOCK SP L24.5 MM OD4.75 MM TITANIUM EYELET SUTURE,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,ANCHOR SWIVELOCK TENODESIS L19.5 MM OD8 MM BIOCOMPOSITE FORK EYELET SUTURE SHOULDER BICEPS,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,ANCHOR SWIVELOCK TIGERTAPE L19.1 MM OD4.75 MM 2 KNOTLESS SUTURE BLACK BLUE WHITE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1713,ANCHOR SWIVELOCK TIGERWIRE L22 MM OD4.75 MM BIOCOMPOSITE 2 2 LOAD 2 TIP RETENTION EYELET SUTURE BLACK BLUE WHITE,2085.0,1042.5,399.28,1876.5,65
HCPCS,C1713,ANCHOR TITANIUM SUTURE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,ANCHOR TOGGLE TOGGLELOC ADJUSTABLE,567.0,283.5,108.58,510.3,65
HCPCS,C1713,ANCHOR TRUESPAN ORTHOCORD PEEK 24 D 2-0 NONABSORBABLE 2 BACKSTOP BRAID SUTURE,462.0,231.0,88.47,415.8,65
HCPCS,C1713,ANCHOR TRUESPAN ORTHOCORD POLY LACTIC CO GLYCOLIC ACID 0 D 2-0 BIOABSORBABLE 2 BACKSTOP BRAID NEEDLE SUTURE VIOLET MENISCAL REPAIR SYSTEM,673.0,336.5,128.88,605.7,65
HCPCS,C1713,ANCHOR TRUESPAN ORTHOCORD POLY LACTIC CO GLYCOLIC ACID 12 D 2-0 BIOABSORBABLE 2 BACKSTOP BRAID NEEDLE SUTURE VIOLET MENISCAL REPAIR SYSTEM,673.0,336.5,128.88,605.7,65
HCPCS,C1713,ANCHOR TRUESPAN ORTHOCORD POLY LACTIC CO GLYCOLIC ACID 24 D 2-0 BIOABSORBABLE 2 BACKSTOP BRAID NEEDLE SUTURE VIOLET MENISCAL REPAIR SYSTEM,673.0,336.5,128.88,605.7,65
HCPCS,C1713,ANCHOR TWINFIX COBRAID OD6.5 MM 2 ULTRA NONABSORBABLE ELONGATE DISTAL TROCAR TIP SELF TAP SUTURE BLACK BLUE WHITE,251.0,125.5,48.07,225.9,65
HCPCS,C1713,ANCHOR TWINFIX DURABRAID OD5 MM TITANIUM UHMWPE 2 PRELOAD SUTURE,218.0,109.0,41.75,196.2,65
HCPCS,C1713,ANCHOR TWINFIX ULTRA OD4.5 MM HA COBRAID PRELOAD RADIOLUCENT KNOT SUTURE BLACK BLUE,406.64,203.32,77.87,365.98,65
HCPCS,C1713,ANCHOR TWINFIX ULTRA OD4.5 MM HA COBRAID SUTURE BLUE WHITE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ANCHOR TWINFIX ULTRA TITANIUM 2 5.5 MM SUTURE COBRAID BLACK COBRAID BLUE WHITE,308.23,154.12,59.03,277.41,65
HCPCS,C1713,ANCHOR TWINFIX ULTRA ULTRABRAID PEEK 2 4.5 MM PRELOAD NEEDLE LOW KNOT PROFILE NONABSORBABLE SUTURE BLUE COBRAID BLUE MINI OPEN ROTATOR CUFF,299.0,149.5,57.26,269.1,65
HCPCS,C1713,ANCHOR TWINFIX ULTRABRAID OD2.8 MM TITANIUM 2-0 NEEDLE SUTURE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ANCHOR TWINFIX ULTRABRAID OD4.5 MM PEEK-OPTIMA 2 COBRAID SUTURE BLACK BLUE,257.5,128.75,49.31,231.75,65
HCPCS,C1713,ANCHOR TWINFIX ULTRABRAID OD5 MM TITANIUM 2 PRELOAD SUTURE ROTATOR CUFF ARTHROSCOPIC,239.0,119.5,45.77,215.1,65
HCPCS,C1713,ANCHOR TWINFIX ULTRABRAID TITANIUM 2 PRELOAD SUTURE,248.0,124.0,47.49,223.2,65
HCPCS,C1713,ANCHOR TWINFIX ULTRABRAID TITANIUM 3.5 MM SUTURE,248.0,124.0,47.49,223.2,65
HCPCS,C1713,ANCHOR ULTRABRAID SUTUREFIX 1 2 CURVE SUTURE BLUE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,ANCHOR ULTRATAPE ULTRABRAID REGENESORB 2 4.75 MM SMOOTH SUTURE COBRAID BLUE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,ANCHOR VERSALOOP DRILL TAPE SUTURE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,APPLIER INTERNAL CLIP L86 CM 10 CASSETTE BATTERY OPERATE VISUAL AUDIO FEEDBACK APTUS ENDOANCHORS HELI-FX OD12 FR,3964.4,1982.2,759.18,3567.96,65
HCPCS,C1713,ARCH EXTERNAL FIXATION 155MM FOOT,1716.38,858.19,374.34,1544.74,64
HCPCS,C1713,ARCH EXTERNAL FIXATION 180MM FOOT CARBON FIBER,1716.38,858.19,374.34,1544.74,64
HCPCS,C1713,ARM DISTRACTOR INTERNAL 25MML TITANIUM ALLOY RIGID LATEX-FREE,803.88,401.94,175.33,723.49,64
HCPCS,C1713,ARM ENDOSCOPE L4.5 MM 2 TRANSAXIAL HOLE BUCKET HANDLE OD.6 MM ID1 MM RICHARDS TITANIUM EAR,179.82,89.91,34.44,161.84,65
HCPCS,C1713,ASSEMBLY CABLE PIN 483MM 1.3MM 4MM CABLE-READY STAINLESS STEEL SET 2 CRIMP PASSER 65MM STERILE,356.72,178.36,68.31,321.05,65
HCPCS,C1713,ASSEMBLY EXTERNAL FIXATION FRAME 200MML F/MIDFOOT NAIL SALVATION,6174.0,3087.0,1346.55,5556.6,64
HCPCS,C1713,ASSEMBLY EXTERNAL FIXATION LARGE LONG ROCKER SHOE,1561.16,780.58,340.49,1405.04,64
HCPCS,C1713,ASSEMBLY FIXATION ATOLL SPINE TITANIUM LOCK SCREW NONSTERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,ASSEMBLY ORTHOPEDIC HOUSING BONE,393.0,196.5,85.71,353.7,64
HCPCS,C1713,ATTACHMENT EXTERNAL FIXATION SWIVEL MAVERICK,700.0,350.0,152.67,630.0,64
HCPCS,C1713,BACKGROUND MICROSURGERY TALL WIRE MRI SAFE MULTIAXIAL CORRECTION SYSTEM,192.98,96.49,42.09,173.68,64
HCPCS,C1713,BAND IDENTIFICATION 6 + 6 CAP SMART TSF,228.7,114.35,49.88,205.83,64
HCPCS,C1713,BAND SPIRAL F/ALTERNATIVE FIXATION SYSTEM NILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,BAR EXTERNAL FIXATION 10.5MM DIA 500MML CARBON FIBER SMALL BONE F/FOOT  ANKLE SYSTEM JET-X LATEX-FREE STERILE,149.88,74.94,32.69,134.89,64
HCPCS,C1713,BAR EXTERNAL FIXATION 10.5MM DIA 600MML CARBON FIBER SMALL BONE F/FOOT  ANKLE SYSTEM JET-X LATEX-FREE STERILE,166.29,83.15,36.27,149.66,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 100MM MAVERICK,340.0,170.0,74.15,306.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 150MM MAVERICK,340.0,170.0,74.15,306.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 190MM BENT MAVERICK,1000.0,500.0,218.1,900.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 200MM MAVERICK,340.0,170.0,74.15,306.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 250MM MAVERICK,340.0,170.0,74.15,306.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 300MM MAVERICK,380.0,190.0,82.88,342.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 350MM MAVERICK,380.0,190.0,82.88,342.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 400MM MAVERICK,380.0,190.0,82.88,342.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 500MM MAVERICK,380.0,190.0,82.88,342.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 11MM 600MM MAVERICK STERILE,500.0,250.0,109.05,450.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION 200MM JET-X CARBON FIBER NONSTERILE DISPOSABLE,126.65,63.33,27.62,113.99,64
HCPCS,C1713,BAR EXTERNAL FIXATION 225MM 6MM,88.38,44.19,19.28,79.54,64
HCPCS,C1713,BAR EXTERNAL FIXATION 300MM JET-X CARBON FIBER NONSTERILE DISPOSABLE,136.22,68.11,29.71,122.6,64
HCPCS,C1713,BAR EXTERNAL FIXATION 350MM JET-X CARBON FIBER NONSTERILE DISPOSABLE,136.22,68.11,29.71,122.6,64
HCPCS,C1713,BAR EXTERNAL FIXATION 400MM JET-X CARBON FIBER NONSTERILE DISPOSABLE,149.88,74.94,32.69,134.89,64
HCPCS,C1713,BAR EXTERNAL FIXATION 60MM 4MM METACARPUS PHALANX STAINLESS STEEL CONNECT MRI SAFE NONSTERILE,27.0,13.5,5.89,24.3,64
HCPCS,C1713,BAR EXTERNAL FIXATION 80MM 4MM METACARPUS PHALANX STAINLESS STEEL CONNECT MRI SAFE MINI EXTERNAL FIXATOR NONSTERILE,27.0,13.5,5.89,24.3,64
HCPCS,C1713,BAR EXTERNAL FIXATION L100 MM JET-X,126.65,63.33,27.62,113.99,64
HCPCS,C1713,BAR EXTERNAL FIXATION L110 MM OD6 MM JET-X,85.65,42.83,18.68,77.09,64
HCPCS,C1713,BAR EXTERNAL FIXATION L120 MM CONNECT MRI SAFE OD4 MM STAINLESS STEEL PHALANX MINI EXTERNAL FIXATOR,27.0,13.5,5.89,24.3,64
HCPCS,C1713,BAR EXTERNAL FIXATION L150 MM JET-X CARBON FIBER,126.65,63.33,27.62,113.99,64
HCPCS,C1713,BAR EXTERNAL FIXATION L150 MM OD6 MM JET-X,74.25,37.13,16.19,66.83,64
HCPCS,C1713,BAR EXTERNAL FIXATION L250 MM JET-X CARBON FIBER,136.22,68.11,29.71,122.6,64
HCPCS,C1713,BAR EXTERNAL FIXATION L300 MM CHAMFER EDGE OD11 MM ARBOR CARBON FIBER,230.0,115.0,50.16,207.0,64
HCPCS,C1713,BAR EXTERNAL FIXATION L75 MM OD6 MM JET-X,58.31,29.16,12.72,52.48,64
HCPCS,C1713,BAR EXTERNAL FIXATION OFFSET MINI OD6 MM,171.66,85.83,37.44,154.49,64
HCPCS,C1713,BAR INTERNAL FIXATION 14.5IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BAR INTERNAL FIXATION 14IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BAR INTERNAL FIXATION 15IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BAR INTERNAL FIXATION 9IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BAR INTERNAL FIXATION PULLER PECTUS BLU,2280.0,1140.0,436.62,2052.0,65
HCPCS,C1713,BAR PECTUS L12.5 IN PECTUS BLU TITANIUM,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BAR PECTUS L13 IN PREBENT PECTUS BLU TITANIUM,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BAR PECTUS L13.5 IN PREBENT PECTUS BLU TITANIUM,4980.0,2490.0,953.67,4482.0,65
HCPCS,C1713,BASEPLATE GLENOID +3 MM LATERALIZE AUGMENT REVERSE OD25 MM TORNIER AEQUALIS PERFORM SHOULDER,1488.0,744.0,284.95,1339.2,65
HCPCS,C1713,BASEPLATE GLENOID 10 D 8 D SUPERIOR POSTERIOR AUGMENT EQUINOXE SHOULDER LEFT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1713,BASEPLATE GLENOID 15 D FULL WEDGE AUGMENT OD25 MM PERFORM SHOULDER,1566.0,783.0,299.89,1409.4,65
HCPCS,C1713,BASEPLATE GLENOID PRESSFIT LONG POST OD15 MM AEQUALIS PERFORM TORNIER SHOULDER,318.0,159.0,60.9,286.2,65
HCPCS,C1713,BEAM ORTHOL60 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L100 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L100 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L105 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L105 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L120 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L125 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L125 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L130 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L55 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L55 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L65 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L70 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L75 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L75 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L80 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L85 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L85 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L90 MM FULL THREAD FUSION OD7 MM SALVATION L11 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L90 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM ORTHOPEDIC L95 MM PARTIAL THREAD FUSION OD7 MM SALVATION L11-34 MM FOOT ANKLE,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM TOE JOINT FUSION 7MM DIA 110MML SALVATION,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM TOE JOINT FUSION 7MM DIA 50MML FULLY THREADED SALVATION,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM TOE JOINT FUSION 7MM DIA 60MML SALVATION,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM TOE JOINT FUSION 7MM DIA 70MML FULLY THREADED SALVATION,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM TOE JOINT FUSION 7MM DIA 80MML FULLY THREADED SALVATION,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BEAM TOE JOINT FUSION 7MM DIA 95MML FULLY THREADED SALVATION SB017095,1683.54,841.77,322.4,1515.19,65
HCPCS,C1713,BIT DRILL 5 INBONE ANTIROTATION NOTCH,111.0,55.5,21.26,99.9,65
HCPCS,C1713,BIT DRILL MINI ACUTRAK 3,738.0,369.0,141.33,664.2,65
HCPCS,C1713,BIT DRILL TRILEAP FOR STANDARD TECHNIQUE 2MM,153.72,76.86,29.44,138.35,65
HCPCS,C1713,BLADE INTRAMEDULLARY FIXATION L42 MM OD13 MM THK3.9 MM SPIRAL TITANIUM 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE GOLD HUMERAL NAIL,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 100MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 100MM HELICAL CANNULATED 11MM STERILE TITANIUM TROCHANTERIC GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 100MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM NONSTERILE TITANIUM FEMORAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 100MM SPIRAL NONSTERILE TITANIUM FEMORAL LIGHT BLUE,571.41,285.71,109.43,514.27,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 105MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 105MM HELICAL CANNULATED 11MM NONSTERILE TITANIUM TROCHANTERIC GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 110MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 115MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 115MM HELICAL CANNULATED 11MM NONSTERILE TITANIUM TROCHANTERIC GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 120MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 120MM HELICAL CANNULATED 11MM STERILE TITANIUM TROCHANTERIC GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 125MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 130MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 34MM THK3.9MM SPIRAL CUT FLUTE 4 SUTURE HOLE CANNULATED 13MM NONSTERILE TITANIUM HUMERAL GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 38MM THK3.9MM SPIRAL CUT FLUTE 4 SUTURE HOLE CANNULATED 13MM STERILE TITANIUM HUMERAL GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 45MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM NONSTERILE TITANIUM FEMORAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 50MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM STERILE TITANIUM FEMORAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 60MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM NONSTERILE TITANIUM FEMORAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 65MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM STERILE TITANIUM FEMORAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 70MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 70MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM STERILE TITANIUM FEMORAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 75MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 75MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM STERILE TITANIUM FEMORAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 80MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 85MM HELICAL CANNULATED 11MM NONSTERILE TITANIUM TROCHANTERIC GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 85MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM NONSTERILE TITANIUM FEMORAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 90MM HELICAL CANNULATED 11MM NONSTERILE TITANIUM TROCHANTERIC GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 90MM SPIRAL CANNULATED RETROGRADE FRONT CUT EDGE 12.5MM STERILE TITANIUM FEMORAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 95MM HELICAL CANNULATED 10.35MM STERILE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL 95MM HELICAL CANNULATED 11MM STERILE TITANIUM TROCHANTERIC GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL CANNULATED STATIC INTERLOCKING 110MM TITANIUM PROXIMAL FEMORAL HELICAL PERFORATED FENESTRATED GOLD TFN-ADVANCED NON-STERILE,559.24,279.62,107.09,503.32,65
HCPCS,C1713,"BLADE INTRAMEDULLARY NAIL L100 MM HIP STAINLESS STEEL LCP DHHS,DHHS HELIX",322.62,161.31,61.78,290.36,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L105 MM HIP STAINLESS STEEL LCP DHHS HELIX,322.62,161.31,61.78,290.36,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L110 MM HIP STAINLESS STEEL LCP DHHS HELIX,322.62,161.31,61.78,290.36,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L115 MM HIP STAINLESS STEEL LCP DHHS HELIX,322.62,161.31,61.78,290.36,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L120 MM HIP STAINLESS STEEL LCP DHHS HELIX,322.62,161.31,61.78,290.36,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L125 MM HIP STAINLESS STEEL LCP DHHS HELIX,322.62,161.31,61.78,290.36,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L36 MM HUMERAL TITANIUM ALUMINUM NIOBIUM SPIRAL GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L42 MM HUMERAL TITANIUM SPIRAL GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L44 MM HUMERAL TITANIUM SPIRAL,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L46 MM HUMERAL TITANIUM CANNULATED SPIRAL,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L75 MM HIP STAINLESS STEEL LCP DHHS HELIX,320.85,160.43,61.44,288.77,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L80 MM HIP STAINLESS STEEL LCP DHHS HELIX,320.85,160.43,61.44,288.77,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L85 MM FENESTRATE HELICAL,615.27,307.64,117.82,553.74,65
HCPCS,C1713,"BLADE INTRAMEDULLARY NAIL L85 MM HIP STAINLESS STEEL LCP DHHS,DHHS HELIX",320.85,160.43,61.44,288.77,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L85 MM TFN-ADVANCE HELICAL,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L90 MM HIP STAINLESS STEEL LCP DHHS HELIX,320.85,160.43,61.44,288.77,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL L95 MM HIP STAINLESS STEEL LCP DHHS HELIX,320.85,160.43,61.44,288.77,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L100 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED FENESTRATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L100 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L100 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L105 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED FENESTRATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L105 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L105 MM FEMUR PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L110 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L110 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L115 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L115 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L120 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L120 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L125 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L125 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L130 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L70 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L75 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L75 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L80 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L80 MM PROXIMAL FEMORAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L85 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED FENESTRATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L85 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L90 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED FENESTRATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L90 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L90 MM FEMUR PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L90 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM PERFORATE HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L95 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM TFN-ADVANCED CANNULATED HELICAL GOLD,559.24,279.62,107.09,503.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD10.35 MM L95 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM CANNULATED FENESTRATED HELICAL GOLD,615.27,307.64,117.82,553.74,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L100 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L105 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L110 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L115 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L120 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L125 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L130 MM TROCHANTERIC TITANIUM HELICAL,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L75 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L80 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L80 MM TROCHANTERIC TITANIUM CANNULATED HELIX GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L85 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L90 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,564.46,282.23,108.09,508.01,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD11 MM L95 MM TROCHANTERIC TITANIUM CANNULATED HELICAL GOLD,539.24,269.62,103.26,485.32,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L100 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L45 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L50 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L55 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L55 MM TITANIUM NIOBIUM ALUMINUM CANNULATED FRONT CUT EDGE SPIRAL GOLD RETROGRADE FEMORAL NAIL,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L60 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L65 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L70 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L75 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L80 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L80 MM TITANIUM NIOBIUM ALUMINUM CANNULATED FRONT CUT EDGE SPIRAL GOLD RETROGRADE FEMORAL NAIL,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L85 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L90 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L95 MM FEMORAL TITANIUM CANNULATED RETROGRADE FRONT CUT EDGE SPIRAL GOLD EXPERT,520.18,260.09,99.61,468.16,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD12.5 MM L95 MM TITANIUM NIOBIUM ALUMINUM CANNULATED FRONT CUT EDGE SPIRAL GOLD RETROGRADE FEMORAL NAIL,498.09,249.05,95.38,448.28,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L34 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L36 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L38 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L40 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L40 MM HUMERUS TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L44 MM HUMERUS ARM STAINLESS STEEL 4 SUTURE HOLE CANNULATED THIK3.9 MM SPIRAL GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L46 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L48 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L48 MM HUMERUS TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L50 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,496.37,248.19,95.05,446.73,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L50 MM X H3.9 MM HUMERUS TITANIUM SPIRAL CUT FLUTE SMOOTH SURFACE GOLD EXPERT NAIL SYSTEM,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L52 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLADE INTRAMEDULLARY NAIL OD13 MM L54 MM HUMERAL TITANIUM 4 SUTURE HOLE CANNULATED THK3.9 MM SPIRAL CUT FLUTE GOLD,517.61,258.81,99.12,465.85,65
HCPCS,C1713,BLOCK BONE GRAFT ALLOGRAFT 14MM X 14MM X 14MM CANCELLOUS DBM OSTEOSPONGE AMBIENT STORAGE 5YR SHELF LIFE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,BLOCKER SPINAL OASYS OCCIPITOCERVICOTHORACIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,BLOCKER SPINAL OD4.5 MM XIA TITANIUM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,BLOCKER SPINAL REDUCTION MANTIS PEDICLE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,BLOCKER SPINAL XIA CORTICAL XIA,30.0,15.0,5.75,27.0,65
HCPCS,C1713,BLOCKER SPINAL XIA TITANIUM 3 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,BLOCKING PIN 500MM,92.5,46.25,17.71,83.25,65
HCPCS,C1713,BODY EXTERNAL FIXATION ASSEMBLY DYNAMIC JOINT DISTRACTOR II NONSTERILE LATEX FREE REUSABLE,3356.82,1678.41,732.12,3021.14,64
HCPCS,C1713,BODY FEMORAL EXPRT STANDARD OFFSET 75MM HIP PROXIMAL REVISION STERILE LATEX FREE,4619.6,2309.8,884.65,4157.64,65
HCPCS,C1713,BOLT ANCHOR 25MML DEPTH PLACEMENT F/2.7MM DRILL DEPTHALON,117.0,58.5,22.41,105.3,65
HCPCS,C1713,BOLT ANCHOR 35MML DEPTH PLACEMENT F/2.4MM DRILL SEEG,117.0,58.5,22.41,105.3,65
HCPCS,C1713,BOLT ANCHOR 35MML DEPTH PLACEMENT F/2.7MM DRILL DEPTHALON,117.0,58.5,22.41,105.3,65
HCPCS,C1713,BOLT ANCHOR STEREOTACTIC 25MML W/CAP F/2.4MM DRILL SEEG LATEX-FREE STERILE DISPOSABLE,117.0,58.5,22.41,105.3,65
HCPCS,C1713,BOLT EXTERNAL FIXATION 1.5-2MM HOFFMANN LONG WIRE LIMB RECONSTRUCTION FRAME,49.75,24.88,10.85,44.78,64
HCPCS,C1713,BOLT EXTERNAL FIXATION 1.5-2MM HOFFMANN MEDIUM WIRE LIMB RECONSTRUCTION FRAME,47.76,23.88,10.42,42.98,64
HCPCS,C1713,BOLT EXTERNAL FIXATION 1.5-2MM HOFFMANN SHORT WIRE LIMB RECONSTRUCTION FRAME NONSTERILE,47.76,23.88,10.42,42.98,64
HCPCS,C1713,BOLT EXTERNAL FIXATION 6MM ILIZAROV HALF PIN NONSTERILE LATEX FREE DISPOSABLE,796.0,398.0,173.61,716.4,64
HCPCS,C1713,BOLT EXTERNAL FIXATION CANNULATED POST MOUNT SCHANZ,225.69,112.85,49.22,203.12,64
HCPCS,C1713,BOLT EXTERNAL FIXATION CANNULATED RING MOUNT SCHANZ,177.23,88.62,38.65,159.51,64
HCPCS,C1713,BOLT EXTERNAL FIXATION CANNULATED WIRE,158.65,79.33,34.6,142.79,64
HCPCS,C1713,BOLT EXTERNAL FIXATION COMBINATION WIRE SMART TSF,114.4,57.2,24.95,102.96,64
HCPCS,C1713,BOLT EXTERNAL FIXATION CONNECTION MRI SAFE,20.97,10.49,4.57,18.87,64
HCPCS,C1713,BOLT EXTERNAL FIXATION CONNECTION PERIARTICULAR AIM ARM INSTRUMENT,258.89,129.45,56.46,233.0,64
HCPCS,C1713,BOLT EXTERNAL FIXATION EYE MRI CONDITIONAL DISTRACTION OSTEOGENESIS RING SYSTEM,108.29,54.15,23.62,97.46,64
HCPCS,C1713,BOLT EXTERNAL FIXATION HOFFMANN STRUT CONNECTION LIMB RECONSTRUCTION FRAME RING,16.92,8.46,3.69,15.23,64
HCPCS,C1713,BOLT EXTERNAL FIXATION ILIZAROV COMBINATION WIRE,228.1,114.05,49.75,205.29,64
HCPCS,C1713,BOLT EXTERNAL FIXATION ILIZAROV FEMORAL SLOT WIRE BASIC SET,178.7,89.35,38.97,160.83,64
HCPCS,C1713,BOLT EXTERNAL FIXATION ILIZAROV LONG SLOT WIRE,241.0,120.5,52.56,216.9,64
HCPCS,C1713,BOLT EXTERNAL FIXATION ILIZAROV RUSSIAN WIRE,158.65,79.33,34.6,142.79,64
HCPCS,C1713,BOLT EXTERNAL FIXATION L100 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L100 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L105 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L105 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L110 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L110 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L115 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L115 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L120 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L120 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L120 MM FUSION OD6.5 MM SALVATION L10-24 MM FOOT ANKLE,1818.86,909.43,348.31,1636.97,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L125 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L125 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L125 MM FUSION OD6.5 MM SALVATION L10-24 MM FOOT ANKLE,1818.86,909.43,348.31,1636.97,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L130 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L135 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L135 MM FUSION OD6.5 MM SALVATION L10-24 MM FOOT ANKLE,1818.86,909.43,348.31,1636.97,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L140 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L16 MM SIDEKICK FREEDOM,43.78,21.89,9.55,39.4,64
HCPCS,C1713,BOLT EXTERNAL FIXATION L20 MM SIDEKICK FREEDOM CIRCULAR FIXATOR SYSTEM,43.78,21.89,9.55,39.4,64
HCPCS,C1713,BOLT EXTERNAL FIXATION L70 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L75 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L75 MM FUSION OD5 MM SALVATION FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L80 MM FUSION OD5 MM SALVATION L10-22 MM FOOT ANKLE,1694.49,847.25,324.49,1525.04,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L90 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L90 MM FUSION OD6.5 MM SALVATION L10-24 MM FOOT ANKLE,1818.86,909.43,348.31,1636.97,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L95 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT EXTERNAL FIXATION L95 MM FUSION OD6.5 MM SALVATION L10-24 MM FOOT ANKLE,1818.86,909.43,348.31,1636.97,65
HCPCS,C1713,BOLT EXTERNAL FIXATION LONG CANNULATED WIRE,178.7,89.35,38.97,160.83,64
HCPCS,C1713,BOLT EXTERNAL FIXATION LONG COMBINATION WIRE SMART TSF,114.4,57.2,24.95,102.96,64
HCPCS,C1713,BOLT EXTERNAL FIXATION LONG CONNECTION MRI SAFE,20.97,10.49,4.57,18.87,64
HCPCS,C1713,BOLT EXTERNAL FIXATION LONG HINGE,47.76,23.88,10.42,42.98,64
HCPCS,C1713,BOLT EXTERNAL FIXATION MAXFRAME SHOULDER 8 MM RING,72.91,36.46,15.9,65.62,64
HCPCS,C1713,BOLT EXTERNAL FIXATION MEDIUM HINGE,44.78,22.39,9.77,40.3,64
HCPCS,C1713,BOLT EXTERNAL FIXATION MOUNT MULTIPARALLEL PIN MAXFRAME,178.43,89.22,38.92,160.59,64
HCPCS,C1713,BOLT EXTERNAL FIXATION OFFSET WIRE,35.97,17.99,7.85,32.37,64
HCPCS,C1713,BOLT EXTERNAL FIXATION SCHANZ SCREW,192.61,96.31,42.01,173.35,64
HCPCS,C1713,BOLT EXTERNAL FIXATION SCREW POST MOUNT MRI SAFE SCHANZ,220.03,110.02,47.99,198.03,64
HCPCS,C1713,BOLT EXTERNAL FIXATION SCREW SCHANZ,203.47,101.74,44.38,183.12,64
HCPCS,C1713,BOLT EXTERNAL FIXATION SHORT OFFSET WIRE,38.39,19.2,8.37,34.55,64
HCPCS,C1713,BOLT EXTERNAL FIXATION SHOULDER TAYLOR SPATIAL FRAME,40.87,20.44,8.91,36.78,64
HCPCS,C1713,BOLT EXTERNAL FIXATION UNIVERSAL TRUELOK ACCEPTS 5-6 MM HALF PIN,162.0,81.0,35.33,145.8,64
HCPCS,C1713,BOLT EXTERNAL FIXATION UNIVERSAL WIRE TRUELOK,76.0,38.0,16.58,68.4,64
HCPCS,C1713,BOLT EXTERNAL FIXATION WIRE OD2 MM SALVATION,205.0,102.5,44.71,184.5,64
HCPCS,C1713,BOLT EXTERNAL FIXATION WIRE PREASSEMBLE WASHERLESS OD2 MM SALVATION,187.0,93.5,40.78,168.3,64
HCPCS,C1713,BOLT EXTERNAL FIXATION WIRE SLOT NONSTERILE,53.52,26.76,11.67,48.17,64
HCPCS,C1713,BOLT LOCKING BLUE 44MM 3.9MM 8MM 3.5MM HUMERUS TIBIA PROXIMAL TITANIUM SELF TAP TROCAR TIP HEX INTRAMEDULLARY NAIL NONSTERILE,143.56,71.78,27.49,129.2,65
HCPCS,C1713,BOLT LOCKING GREEN 100MM 4.9MM 8MM FULL THREAD FEMUR DISTAL TITANIUM SELF TAP SELF CUT TROCAR TIP HEX INTRAMEDULLARY NAIL NONSTERILE,149.71,74.86,28.67,134.74,65
HCPCS,C1713,BOLT LOCKING JIG LOCKING BOLT EXTENDED HUMERAL NAIL JIG EXTEND HUMERAL NAIL,325.0,162.5,62.24,292.5,65
HCPCS,C1713,BOLT LOCKING L34 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEXAGON GREEN INTRAMEDULLARY NAIL,161.52,80.76,30.93,145.37,65
HCPCS,C1713,BOLT LOCKING L36 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,161.52,80.76,30.93,145.37,65
HCPCS,C1713,BOLT LOCKING L42 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,162.4,81.2,31.1,146.16,65
HCPCS,C1713,BOLT LOCKING L44 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,162.4,81.2,31.1,146.16,65
HCPCS,C1713,BOLT LOCKING L46 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,162.4,81.2,31.1,146.16,65
HCPCS,C1713,BOLT LOCKING L48 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,199.5,99.75,38.2,179.55,65
HCPCS,C1713,BOLT LOCKING L52 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,189.0,94.5,36.19,170.1,65
HCPCS,C1713,BOLT LOCKING L56 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,199.5,99.75,38.2,179.55,65
HCPCS,C1713,BOLT LOCKING L58 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,151.32,75.66,28.98,136.19,65
HCPCS,C1713,BOLT LOCKING L64 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,163.93,81.97,31.39,147.54,65
HCPCS,C1713,BOLT LOCKING L68 MM OD4.9 MM ODSEC8 MM 3.5 MM TITANIUM SELF TAP TROCAR TIP HEX GREEN INTRAMEDULLARY NAIL,163.93,81.97,31.39,147.54,65
HCPCS,C1713,BOLT LOCKING L76 MM OD4.9 MM ODSEC3.5 MM TITANIUM SELF TAP HEXAGON TAN INTRAMEDULLARY NAIL FEMUR,149.71,74.86,28.67,134.74,65
HCPCS,C1713,BOLT ORTHOPEDIC 100MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 100MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT ORTHOPEDIC 105MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 105MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT ORTHOPEDIC 110MM 6.5MM MIDFOOT STAINLESS STEEL FUSION NONSTERILE,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC 110MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT ORTHOPEDIC 115MM 6.5MM MIDFOOT TITANIUM FUSION NONSTERILE,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC 120MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT ORTHOPEDIC 125MM 6.5MM MIDFOOT STAINLESS STEEL FUSION NONSTERILE,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC 125MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 130MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 130MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 135MM 6.5MM MIDFOOT STAINLESS STEEL FUSION NONSTERILE,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC 135MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 140MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 140MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 145MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 145MM 6.5MM MIDFOOT TITANIUM FUSION NONSTERILE,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC 150MM 6.5MM MIDFOOT STAINLESS STEEL FUSION NONSTERILE,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC 150MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 155MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 155MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 160MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 160MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC 50MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC 50MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 55MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC 55MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 60MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC 60MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 65MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC 65MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 70MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC 70MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 75MM 6.5MM MIDFOOT STAINLESS STEEL FUSION NONSTERILE,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC 75MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 80MM 6.5MM MIDFOOT STAINLESS STEEL FUSION NONSTERILE,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC 80MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 85MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC 85MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,474.02,237.01,90.77,426.62,65
HCPCS,C1713,BOLT ORTHOPEDIC 90MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 90MM 6.5MM MIDFOOT TITANIUM FUSION STERILE,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT ORTHOPEDIC 95MM 6.5MM MIDFOOT STAINLESS STEEL FUSION STERILE,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC 95MM 6.5MM MIDFOOT TITANIUM FUSION NONSTERILE,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC L100 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC L100 MM FUSION OD6.5 MM TITANIUM MIDFOOT,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC L105 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC L105 MM FUSION OD6.5 MM TITANIUM MIDFOOT,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC L110 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC L110 MM FUSION OD6.5 MM TITANIUM MIDFOOT,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC L115 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC L115 MM FUSION OD6.5 MM TITANIUM MIDFOOT,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT ORTHOPEDIC L115 MM OD6.5 MM STAINLESS STEEL MIDFOOT,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC L12 MM CONNECTOR SIDEKICK FOOT ANKLE CIRCULAR FIXATOR,43.78,21.89,9.55,39.4,64
HCPCS,C1713,BOLT ORTHOPEDIC L120 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,462.27,231.14,88.52,416.04,65
HCPCS,C1713,BOLT ORTHOPEDIC L120 MM FUSION OD6.5 MM TITANIUM MIDFOOT,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC L120 MM OD6.5 MM STAINLESS STEEL MIDFOOT,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC L125 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC L125 MM FUSION OD6.5 MM TITANIUM MIDFOOT,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC L130 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC L130 MM FUSION OD6.5 MM TITANIUM MIDFOOT,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC L135 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC L135 MM FUSION OD6.5 MM TITANIUM MIDFOOT,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC L140 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC L140 MM FUSION OD6.5 MM TITANIUM MIDFOOT,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC L145 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC L145 MM FUSION OD6.5 MM TITANIUM MIDFOOT,490.73,245.37,93.97,441.66,65
HCPCS,C1713,BOLT ORTHOPEDIC L150 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,471.15,235.58,90.23,424.04,65
HCPCS,C1713,BOLT ORTHOPEDIC L150 MM FUSION OD6.5 MM TITANIUM MIDFOOT,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC L155 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC L155 MM FUSION OD6.5 MM TITANIUM MIDFOOT,404.52,202.26,77.47,364.07,65
HCPCS,C1713,BOLT ORTHOPEDIC L160 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,417.26,208.63,79.91,375.53,65
HCPCS,C1713,BOLT ORTHOPEDIC L160 MM FUSION OD6.5 MM TITANIUM MIDFOOT,437.79,218.9,83.84,394.01,65
HCPCS,C1713,BOLT ORTHOPEDIC L50 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC L50 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L55 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC L55 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L60 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC L60 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L65 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC L65 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L70 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC L70 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L75 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC L75 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L80 MM FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L80 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,455.2,227.6,87.17,409.68,65
HCPCS,C1713,BOLT ORTHOPEDIC L80 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L85 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,410.42,205.21,78.6,369.38,65
HCPCS,C1713,BOLT ORTHOPEDIC L85 MM FUSION OD6.5 MM TITANIUM MIDFOOT,430.19,215.1,82.38,387.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L85 MM TITANIUM ALLOY FEMORAL NECK SYSTEM,434.63,217.32,83.23,391.17,65
HCPCS,C1713,BOLT ORTHOPEDIC L90 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC L90 MM FUSION OD6.5 MM TITANIUM MIDFOOT,433.61,216.81,83.04,390.25,65
HCPCS,C1713,BOLT ORTHOPEDIC L95 MM FUSION OD6.5 MM STAINLESS STEEL MIDFOOT,413.46,206.73,79.18,372.11,65
HCPCS,C1713,BOLT ORTHOPEDIC L95 MM FUSION OD6.5 MM TITANIUM MIDFOOT,481.28,240.64,92.17,433.15,65
HCPCS,C1713,BOLT SALVATION 5.0 150MM,1694.49,847.25,369.57,1525.04,64
HCPCS,C1713,BOLT SPINAL 20MM 5MM MODULUS 3D PRINT INTERFIXATE ALIF NONSTERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,BOLT SPINAL 22.5MM 5MM MODULUS 3D PRINT INTERFIXATE ALIF NONSTERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,BOLT SPINAL 25MM 5MM MODULUS 3D PRINT INTERFIXATE ALIF NONSTERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,BOLT SPINAL 5MM DIA 15MML INTERFIXATED 3D PRINTED F/ANTERIOR LUMBAR INTERBODY FUSION,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,BOLT SPINAL 6MM DIA 17.5MML INTERFIXATED 3D PRINTED F/ANTERIOR LUMBAR INTERBODY FUSION,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,BOLT SPINAL L15 MM FIXATION OD5 MM MODULUS ALIF,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L17.5 MM 3D PRINT INTERFIXATE OD5 MM MODULUS ALIF,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,BOLT SPINAL L17.5 MM VARIABLE OD5 MM BASE TITANIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L20 MM VARIABLE OD5 MM BASE TITANIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L20 MM VARIABLE OD6 MM BASE TITANIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L22.5 MM VARIABLE OD5 MM BASE TITANIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L25 MM LARGE PLATE OD5.5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L30 MM LARGE PLATE OD6.5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L30 MM SMALL THREAD PLATE OD5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L35 MM LARGE PLATE OD5.5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L35 MM SMALL THREAD PLATE OD5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L40 MM SMALL THREAD PLATE OD5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L45 MM FIX OD6 MM ISOLA TITANIUM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,BOLT SPINAL L45 MM LARGE PLATE OD5.5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L45 MM SMALL THREAD PLATE OD5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L50 MM LARGE PLATE OD5.5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT SPINAL L50 MM SMALL THREAD PLATE OD5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,BOLT TOE JOINT FUSION 6.5MM DIA 85MML SALVATION,1818.86,909.43,348.31,1636.97,65
HCPCS,C1713,BONE DBM ALLOFLEX FD 10X10X10,633.6,316.8,121.33,570.24,65
HCPCS,C1713,BONE PROGENIX DBM GRFT 5CC,400.0,200.0,76.6,360.0,65
HCPCS,C1713,BOUNDER EXERCISE L116-155 MM SHORT QUICK ADJUST MAXFRAME,1080.51,540.26,235.66,972.46,64
HCPCS,C1713,BUSHING EXTERNAL FIXATION SALVATION FOOT ANKLE,120.4,60.2,26.26,108.36,64
HCPCS,C1713,BUTTON CERCLAGE T25 HEX OD3.5 MM TITANIUM,146.48,73.24,28.05,131.83,65
HCPCS,C1713,BUTTON FIXATION BICEPS PROXIMAL 0 TENODESIS,435.0,217.5,83.3,391.5,65
HCPCS,C1713,BUTTON FIXATION ENDOBUTTON CL ULTRA OD15 MM CONTINUOUS LOOP FEMORAL TITANIUM,339.59,169.8,65.03,305.63,65
HCPCS,C1713,BUTTON FIXATION ENDOBUTTON CL ULTRA OD20 MM PRELOAD BRAID SUTURE,339.59,169.8,65.03,305.63,65
HCPCS,C1713,BUTTON FIXATION ENDOBUTTON CL ULTRA OD25 MM PRELOAD BRAID SUTURE,291.0,145.5,55.73,261.9,65
HCPCS,C1713,BUTTON FIXATION ENDOBUTTON CL ULTRA OD45 MM,291.0,145.5,55.73,261.9,65
HCPCS,C1713,BUTTON FIXATION ENDOBUTTON L12 MM OD4 MM ARTHROSCOPIC FEMORAL TITANIUM,167.0,83.5,36.42,150.3,64
HCPCS,C1713,BUTTON FIXATION INSERTER LARGE EYELET PECTORALIS,435.0,217.5,83.3,391.5,65
HCPCS,C1713,BUTTON FIXATION INTERNALBRACE LIGAMENT AUGMENTATION ACL,395.0,197.5,75.64,355.5,65
HCPCS,C1713,BUTTON FIXATION OD4 MM CANNULATED TITANIUM HEXAGONAL,235.76,117.88,45.15,212.18,65
HCPCS,C1713,BUTTON FIXATION RETROBUTTON L12 MM WIDE LOOP SELF FLIP CORTICAL TITANIUM UHMWPE L15 MM KNEE ARTHROSCOPY,235.0,117.5,45.0,211.5,65
HCPCS,C1713,BUTTON FIXATION RETROBUTTON L12 MM WIDE LOOP SELF FLIP CORTICAL TITANIUM UHMWPE L20 MM KNEE ARTHROSCOPY,235.0,117.5,45.0,211.5,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE COMPRESSION SLOT PLATE SEAT FLUSH CLAVICLE DISTAL STAINLESS STEEL,251.84,125.92,54.93,226.66,64
HCPCS,C1713,BUTTON FIXATION TIGHTROPE II ATTACHABLE OPEN,295.0,147.5,56.49,265.5,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE KNOTLESS PLATE TIGHTROPE PRELOAD CLAVICLE,395.75,197.88,75.79,356.18,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE OD11 MM ATTACHABLE ROUND CONCAVE,224.0,112.0,42.9,201.6,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE OD11 MM ROUND CONCAVE INTERNALBRACE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE OD14 MM ATTACHABLE ACL ROUND,214.0,107.0,40.98,192.6,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE OD14 MM ATTACHABLE ROUND CONCAVE,224.0,112.0,42.9,201.6,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE OD14 MM ROUND CONCAVE ATTACHABLE BUTTON SYSTEM,408.0,204.0,78.13,367.2,65
HCPCS,C1713,BUTTON FIXATION TIGHTROPE OD20 MM ODSEC9 MM COLLAR ROUND ABS,224.0,112.0,42.9,201.6,65
HCPCS,C1713,BUTTON FIXATION XTENDOBUTTON EXTEND,162.0,81.0,31.02,145.8,65
HCPCS,C1713,BUTTON SUTURE 18MM LARGE 10MM PEG TITANIUM TIBIAL F/10.5-13MM TUNNEL ULTRABUTTON,1440.0,720.0,275.76,1296.0,65
HCPCS,C1713,BUTTON SUTURE ARTHROSCOPIC OD15 MM POLY SUTURE BUTTON,102.0,51.0,19.53,91.8,65
HCPCS,C1713,BUTTON SUTURE KNOTLESS TIGHTROPE CLAVICLE DISTAL,708.76,354.38,135.73,637.88,65
HCPCS,C1713,BUTTON SUTURE L20 MM X W5 MM LARGE EXTENDER FOOTPRINT TIGHTROPE,225.0,112.5,43.09,202.5,65
HCPCS,C1713,BUTTON SUTURE OD12 MM,100.0,50.0,19.15,90.0,65
HCPCS,C1713,BUTTON SUTURE OD3.5 MM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,BUTTON SUTURE TIGHTROPE SYNDEX CONSTRICTOR,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,CABLE ORTHOPEDIC 1.5MM STERILE SUPERCABLE CERVICAL CERCLAGE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,CABLE ORTHOPEDIC COCR OD1.8 MM L24 IN HIP 7 X 7 STRAND CONFIGURATION LOW PROFILE SLEEVE SET CONTROL,268.2,134.1,51.36,241.38,65
HCPCS,C1713,CABLE ORTHOPEDIC COCR OD2 MM L75 MM HIP CLAMP,199.8,99.9,38.26,179.82,65
HCPCS,C1713,CABLE ORTHOPEDIC COCR OD2 MM L75 MM TROCHANTER CLAMP ACCORD,297.6,148.8,56.99,267.84,65
HCPCS,C1713,CABLE ORTHOPEDIC COCR OD2 MM L750 MM BMP,70.0,35.0,13.41,63.0,65
HCPCS,C1713,CABLE ORTHOPEDIC GUIDE ADVANTAGERIB,281.0,140.5,53.81,252.9,65
HCPCS,C1713,CABLE ORTHOPEDIC OD1.8 MM L1200 MM ILIZAROV,430.27,215.14,93.84,387.24,64
HCPCS,C1713,CABLE ORTHOPEDIC PEEK-OPTIMA STAINLESS STEEL STERNUM NEEDLE STERILE ZIP-FIX STABLE FIXATION,116.62,58.31,22.33,104.96,65
HCPCS,C1713,CABLE ORTHOPEDIC STAINLESS STEEL 2MM HIP CLAMP ACCORD,303.0,151.5,58.02,272.7,65
HCPCS,C1713,CABLE ORTHOPEDIC STAINLESS STEEL CRIMP EVOS,756.0,378.0,144.77,680.4,65
HCPCS,C1713,CABLE ORTHOPEDIC STAINLESS STEEL OD1 MM L750 MM CRIMP,383.22,191.61,73.39,344.9,65
HCPCS,C1713,CABLE ORTHOPEDIC STAINLESS STEEL OD1.7 MM L750 MM CRIMP,383.22,191.61,73.39,344.9,65
HCPCS,C1713,CABLE ORTHOPEDIC STAINLESS STEEL OD1.7 MM L750 MM CRIMP NA,3913.33,1956.67,749.4,3522.0,65
HCPCS,C1713,CABLE ORTHOPEDIC TITANIUM COCR OD1.7 MM L750 MM CRIMP CERVICAL CERCLAGE,393.68,196.84,75.39,354.31,65
HCPCS,C1713,CABLE SPINAL 470MML TITANIUM SINGLE LOOP W/INTEGRAL CRIMP STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,CABLE SPINAL NA L470 MM TITANIUM OD1 MM 2 LEAD CRIMP,1004.0,502.0,192.27,903.6,65
HCPCS,C1713,CABLE SPINAL SONGER TITANIUM 2 LOOP 2 CRIMP STERILE,306.0,153.0,58.6,275.4,65
HCPCS,C1713,CABLE SPINAL TITANIUM 1 CRIMP BAR STERILE,240.75,120.38,46.1,216.68,65
HCPCS,C1713,CABLE/SLEEVE ORTHOPEDIC 1.6MM DALL-MILES SET BEAD STERILE LATEX FREE DISPOSABLE,251.6,125.8,48.18,226.44,65
HCPCS,C1713,CABLE/SLEEVE ORTHOPEDIC 2MM DALL-MILES HIP VITALLIUM SET,235.2,117.6,45.04,211.68,65
HCPCS,C1713,CABLE/SLEEVE ORTHOPEDIC 2MM DALL-MILES HIP VITALLIUM SET BEAD,251.6,125.8,48.18,226.44,65
HCPCS,C1713,CABLE/SLEEVE ORTHOPEDIC 2MM DALL-MILES STAINLESS STEEL BEAD SET LOW PROFILE,251.6,125.8,48.18,226.44,65
HCPCS,C1713,CABLE/SLEEVE ORTHOPEDIC L750 MM COMBO OD2 MM BMP,57.0,28.5,10.92,51.3,65
HCPCS,C1713,CAGE SPINAL 12X14X7MM ENDOSKELETON TC 6D SMALL INTERBODY FUSION STERILE LATEX FREE,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL 12X14X9MM ENDOSKELETON TC 6D SMALL INTERBODY FUSION STERILE LATEX FREE,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL 14X12MM ENDOSKELETON TC 6D 12MM SMALL CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL 14X12X8MM ENDOSKELETON TC 6D SMALL TITANIUM INTERBODY FUSION STERILE LATEX FREE,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL 14X5MM ENDOSKELETON TC 6D 12MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE CERVICAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CAGE SPINAL 14X9MM ENDOSKELETON TC 6D 12MM SMALL CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW ORIGINAL SURFACE SMOOTH LEAD EDGE INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CAGE SPINAL 16X10MM ENDOSKELETON TC 6D 14MM MEDIUM CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL 16X7MM ENDOSKELETON TC 6D 14MM MEDIUM CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW ORIGINAL SURFACE SMOOTH LEAD EDGE INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CAGE SPINAL 18X8MM ENDOSKELETON TC NANOLOCK 6D 16MM LARGE CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL 22MM X 50MM X 12MM TITANIUM POROUS LATERAL LUMBAR 12DEG LORDOTIC CASCADIA STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,CAGE SPINAL 32X12MM ENDOSKELETON TAS 7D 21MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,CAGE SPINAL 32X13MM ENDOSKELETON TAS 7D 21MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,CAGE SPINAL 35X11MM ENDOSKELETON TT 4D 11MM XL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE PLIF,2340.0,1170.0,448.11,2106.0,65
HCPCS,C1713,CAGE SPINAL AVS ANCHOR-C W14 MM X H6 MM 8 D D12 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,CAGE SPINAL COROENT L26 MM X W11 MM X H8 MM 4 D PEEK LARGE IMPACT,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,CAGE SPINAL COROENT L26 MM X W9 MM X H11 MM 4 D PEEK LARGE IMPACT,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,CAGE SPINAL COROENT L26 MM X W9 MM X H8 MM 4 D PEEK LARGE IMPACT,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,CAGE SPINAL COROENT L50 MM X W18 MM X H8 MM 10 D XL PEEK LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,CAGE SPINAL ENDOSKELETON TC L14 MM X W12 MM X H12 MM 6 D SMALL TITANIUM INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CAGE SPINAL ENDOSKELETON TC L16 MM X W14 MM X H6 MM 6 D MEDIUM TITANIUM INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL ENDOSKELETON TC W14 MM X H8 MM 6 D D12 MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE CERVICAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CAGE SPINAL ENDOSKELETON TC W16 MM X H5 MM 6 D D14 MM MEDIUM TITANIUM CERVICAL RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL ENDOSKELETON TC W16 MM X H9 MM 6 D D14 MM MEDIUM TITANIUM CERVICAL RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1713,CAGE SPINAL MEDIUM 16WX14DX7HMM 12DEG CERVICAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,CAGE SPINAL MOJAVE L24 MM X W11 MM X H12-15 MM CONVEX SET SCREW EXPAND,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,CAGE SPINAL MOJAVE L24 MM X W11 MM X H7-10 MM CONVEX SET SCREW EXPAND,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,CAGE SPINAL MOJAVE L28 MM X W11 MM X H12-15 MM CONVEX SET SCREW EXPAND,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,CAGE SPINAL MOJAVE L28 MM X W11 MM X H9-12 MM CONVEX SET SCREW EXPAND,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,CAGE SPINAL PYRAMESH H30 MM ROUND TITANIUM MESH LUMBAR INTERBODY FUSION OD16 MM,2163.0,1081.5,414.21,1946.7,65
HCPCS,C1713,CAGE SPINAL TITAN NANOLOCK L50 MM X W20 MM X H5.9 MM 6 D D8 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1713,CAGE SPINAL X-CORE MINI H22-34 MM EXPAND VERTEBRAL BODY REPLACEMENT OD12 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1713,CAGE SPINAL X-CORE MINI H22-34 MM EXPAND VERTEBRAL BODY REPLACEMENT OD14 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1713,CAGE SPINAL X-CORE MINI H25-40 MM EXPAND VERTEBRAL BODY REPLACEMENT OD12 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1713,CAGE SPINAL X-CORE MINI H29-48 MM EXPAND VERTEBRAL BODY REPLACEMENT OD14 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1713,CAP END +15 MM OD10.7 MM ODSEC8.5 MM PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,CAP END 0 MM NA,207.43,103.72,39.72,186.69,65
HCPCS,C1713,CAP END 0 MM OFFSET OD12 MM PHOENIX,148.5,74.25,28.44,133.65,65
HCPCS,C1713,CAP END 0 MM RFN-ADVANCED NA,207.43,103.72,39.72,186.69,65
HCPCS,C1713,CAP END 0 MM T25 HUMERAL STARDRIVE GOLD TITANIUM EXPERT,157.58,78.79,30.18,141.82,65
HCPCS,C1713,CAP END 0 MM T25 STARDRIVE GRAY OD9.5 MM TITANIUM NIOBIUM ALUMINUM,184.04,92.02,35.24,165.64,65
HCPCS,C1713,CAP END 0 MM T40 EXTEND LOCK STARDRIVE GOLD TITANIUM CANNULATED INTRAMEDULLARY NAIL SYSTEM,130.22,65.11,24.94,117.2,65
HCPCS,C1713,CAP END 0 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE TITANIUM INTRAMEDULLARY NAIL,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 0 MM T40 FEMORAL EXTENSION STARDRIVE TITANIUM NIOBIUM ALUMINUM ADOLESCENT LATERAL ENTRY NAIL,111.34,55.67,21.32,100.21,65
HCPCS,C1713,CAP END 0 MM T40 HEXAGON PROXIMAL EXTEND STARDRIVE FLUSH GREEN OD5 MM TITANIUM TFN-ADVANCED NAIL,216.66,108.33,41.49,194.99,65
HCPCS,C1713,CAP END 0 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GOLD TITANIUM EXPERT,175.8,87.9,33.67,158.22,65
HCPCS,C1713,CAP END 0 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT EXPERT NAIL,175.8,87.9,33.67,158.22,65
HCPCS,C1713,CAP END 0 MM TIBIA NAIL SCREW SET TITANIUM META-NAIL,165.89,82.95,31.77,149.3,65
HCPCS,C1713,CAP END 0 MM TROCHANTERIC EXTEND CANNULATED GREEN TITANIUM FIXATION NAIL,138.67,69.34,26.56,124.8,65
HCPCS,C1713,CAP END 0MM T40 FEMORAL EXTENSION STARDRIVE ADOLESCENT LATERAL ENTRY NAIL TITANIUM NIOBIUM ALUMINUM STERILE EXPERT,159.95,79.98,30.63,143.96,65
HCPCS,C1713,CAP END 10 MM NA,207.43,103.72,39.72,186.69,65
HCPCS,C1713,CAP END 10 MM T25 STARDRIVE GRAY OD9.5 MM TITANIUM NIOBIUM ALUMINUM,184.04,92.02,35.24,165.64,65
HCPCS,C1713,CAP END 10 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD12 MM TITANIUM INTRAMEDULLARY NAIL,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 10 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD16 MM TITANIUM INTRAMEDULLARY NAIL,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 10 MM T40 FEMORAL EXTENSION TITANIUM NIOBIUM ALUMINUM ADOLESCENT LATERAL ENTRY NAIL,111.34,55.67,21.32,100.21,65
HCPCS,C1713,CAP END 10 MM T40 HEXAGON PROXIMAL EXTEND STARDRIVE GREEN OD5 MM TITANIUM TFN-ADVANCED NAIL,216.66,108.33,41.49,194.99,65
HCPCS,C1713,CAP END 10 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT EXPERT NAIL,214.5,107.25,41.08,193.05,65
HCPCS,C1713,CAP END 10MM T25 HUMERAL STARDRIVE EXPERT TITANIUM STERILE GOLD,157.58,78.79,30.18,141.82,65
HCPCS,C1713,CAP END 10MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM NONSTERILE 16MM,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 10MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM STERILE 12MM,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 15 MM NA,207.43,103.72,39.72,186.69,65
HCPCS,C1713,CAP END 15 MM OFFSET TIBIA OD11.5 MM T2 ALPHA,147.26,73.63,28.2,132.53,65
HCPCS,C1713,CAP END 15 MM T25 HUMERAL STARDRIVE GOLD TITANIUM EXPERT,110.7,55.35,21.2,99.63,65
HCPCS,C1713,CAP END 15 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD12 MM TITANIUM INTRAMEDULLARY NAIL,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 15 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD16 MM TITANIUM INTRAMEDULLARY NAIL,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 15 MM T40 HEXAGON FEMUR PROXIMAL EXTEND STARDRIVE GREEN OD5 MM TITANIUM TFN-ADVANCED NAIL,216.66,108.33,41.49,194.99,65
HCPCS,C1713,CAP END 15MM T25 HUMERAL STARDRIVE EXPERT TITANIUM STERILE GOLD,157.58,78.79,30.18,141.82,65
HCPCS,C1713,CAP END 15MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM NONSTERILE 16MM,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 15MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM STERILE 12MM,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 15MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE EXPERT TITANIUM STERILE GOLD,214.5,107.25,41.08,193.05,65
HCPCS,C1713,CAP END 15MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE EXPERT TITANIUM STERILE GRAY,214.5,107.25,41.08,193.05,65
HCPCS,C1713,CAP END 2 MM T25 STARDRIVE GRAY OD9.5 MM TITANIUM NIOBIUM ALUMINUM,184.04,92.02,35.24,165.64,65
HCPCS,C1713,CAP END 20 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD12 MM TITANIUM INTRAMEDULLARY NAIL,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 20 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD16 MM TITANIUM INTRAMEDULLARY NAIL,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 20MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM STERILE 16MM,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 3/16 IN FEMUR NAIL STAINLESS STEEL L10 MM PEDINAIL INTRAMEDULLARY PLATFORM ADULT,183.01,91.51,35.05,164.71,65
HCPCS,C1713,CAP END 5 MM NA,207.43,103.72,39.72,186.69,65
HCPCS,C1713,CAP END 5 MM T25 HUMERAL STARDRIVE GOLD TITANIUM EXPERT,157.58,78.79,30.18,141.82,65
HCPCS,C1713,CAP END 5 MM T25 STARDRIVE GRAY OD9.5 MM TITANIUM NIOBIUM ALUMINUM,184.04,92.02,35.24,165.64,65
HCPCS,C1713,CAP END 5 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD12 MM TITANIUM INTRAMEDULLARY NAIL,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 5 MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE OD16 MM TITANIUM INTRAMEDULLARY NAIL,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 5 MM T40 FEMORAL EXTENSION STARDRIVE TITANIUM NIOBIUM ALUMINUM ADOLESCENT LATERAL ENTRY NAIL,159.95,79.98,30.63,143.96,65
HCPCS,C1713,CAP END 5 MM T40 HEXAGON PROXIMAL EXTEND STARDRIVE GREEN OD5 MM TITANIUM TFN-ADVANCED NAIL,216.66,108.33,41.49,194.99,65
HCPCS,C1713,CAP END 5 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT NAIL-EX,214.5,107.25,41.08,193.05,65
HCPCS,C1713,CAP END 5+ MM HIP TROCHANTER TITANIUM STERILE GAMMA3 15.5MM,150.96,75.48,28.91,135.86,65
HCPCS,C1713,CAP END 5MM OFFSET TIBIA STERILE T2 ALPHA 11.5MM LATEX FREE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,CAP END 5MM T25 HUMERAL STARDRIVE EXPERT TITANIUM NONSTERILE GOLD,110.7,55.35,21.2,99.63,65
HCPCS,C1713,CAP END 5MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM NONSTERILE 12MM,137.51,68.76,26.33,123.76,65
HCPCS,C1713,CAP END 5MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM STERILE 16MM,184.81,92.41,35.39,166.33,65
HCPCS,C1713,CAP END 5MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE EXPERT TITANIUM STERILE GOLD,214.5,107.25,41.08,193.05,65
HCPCS,C1713,CAP END EXTENSION OD10 MM RFN-ADVANCED NA,207.43,103.72,39.72,186.69,65
HCPCS,C1713,CAP END FEMORAL RETROGRADE TITANIUM ALUMINUM VANADIUM H0 MM NATURAL NAIL,136.32,68.16,26.11,122.69,65
HCPCS,C1713,CAP END FEMORAL RETROGRADE TITANIUM ALUMINUM VANADIUM H10 MM NATURAL NAIL,182.4,91.2,34.93,164.16,65
HCPCS,C1713,CAP END FULL THREAD SUPRACONDYLAR T2,147.9,73.95,28.32,133.11,65
HCPCS,C1713,CAP END GREEN TITANIUM 3-4 MM ELASTIC INTRAMEDULLARY NAIL,84.84,42.42,16.25,76.36,65
HCPCS,C1713,CAP END HIP TROCHANTER TITANIUM STERILE GAMMA3 11MM,150.96,75.48,28.91,135.86,65
HCPCS,C1713,CAP END HUMERAL TITANIUM UNIFLEX,197.39,98.7,37.8,177.65,65
HCPCS,C1713,CAP END STANDARD 15MM FEMORAL T2 INTRAMEDULLARY NAIL TITANIUM STERILE 11.5MM,141.78,70.89,27.15,127.6,65
HCPCS,C1713,CAP END STANDARD FEMORAL OD11.5 MM TITANIUM L10+ MM T2 INTRAMEDULLARY NAIL T2,141.78,70.89,27.15,127.6,65
HCPCS,C1713,CAP END STANDARD HUMERUS PROXIMAL OD6 MM TITANIUM T2 INTRAMEDULLARY NAIL T2,138.72,69.36,26.56,124.85,65
HCPCS,C1713,CAP END STERILE DYNANAIL LATEX FREE,248.0,124.0,47.49,223.2,65
HCPCS,C1713,CAP END T25 AQUA TITANIUM NAIL-EX,132.58,66.29,25.39,119.32,65
HCPCS,C1713,CAP END T25 GOLD TITANIUM EXPERT HINDFOOT ARTHRODESIS SECURE SPIRAL BLADE EXPERT NAIL,132.58,66.29,25.39,119.32,65
HCPCS,C1713,CAP END T40 10 MM STARDRIVE EXTENSION TITANIUM TIBIAL NAIL,214.5,107.25,41.08,193.05,65
HCPCS,C1713,CAP EXTERNAL FIXATION ORANGE 6MM HALF HALF,19.7,9.85,4.3,17.73,64
HCPCS,C1713,CAP LCK HEX-DRIVE ORTHO,325.0,162.5,62.24,292.5,65
HCPCS,C1713,CAP LOCKING AEQUALIS FLEX REVIVE SHOULDER,361.0,180.5,69.13,324.9,65
HCPCS,C1713,CAP LOCKING CREO MIS SPINAL,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING CREO SPINAL THREAD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING CREO SPINE FENESTRATE LOCK THREAD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING CREO SPINE FENESTRATED,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING ELLIPSE SPINAL,50.0,25.0,9.58,45.0,65
HCPCS,C1713,CAP LOCKING FLAT OD5.5 MM COCR TITANIUM SPINE STEP SQUARE THREAD STARDRIVE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING MALIBU 8+ SPINE INTEGRATED ROD CAP DEFORMITY SYSTEM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING QUARTEX HEAD TO HEAD T CONNECTOR SPINE THREAD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING QUARTEX SPINE THREAD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING REVERE SPINE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP LOCKING SPINE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,CAP ORTHOPEDIC 8MM T2 ALPHA 0MM OFFSET STERILE,135.32,67.66,25.91,121.79,65
HCPCS,C1713,CAP PROTECTIVE 5 MM FIXATION PIN NA,44.97,22.49,8.61,40.47,65
HCPCS,C1713,CATHETER 5FR MPA2 CURVE 125CM SIDEHOLE 2 WIRE BRAID STIFF PROXIMAL SHAFT SOFT DISTAL SEGMENT IMPULSE ANGIOGRAPHIC PERIPHERAL,39.25,19.63,7.52,35.33,65
HCPCS,C1713,CEM RESTRICTOR SM (8-16mm),29.0,14.5,5.55,26.1,65
HCPCS,C1713,CEMENT BONE BARIUM SULFATE 40GM HIGH VISCOSITY ANTIBIOTIC GREEN F/ARTHROPLASTY RALLY LATEX-FREE NON-RADIOLUCENT,160.0,80.0,30.64,144.0,65
HCPCS,C1713,CEMENT BONE CMW 1 GENTAMICIN 40 GM,160.0,80.0,30.64,144.0,65
HCPCS,C1713,CEMENT BONE CMW1 40 GM,1040.0,520.0,199.16,936.0,65
HCPCS,C1713,CEMENT BONE DIRECTINJECT HA 10 CC,4067.0,2033.5,778.83,3660.3,65
HCPCS,C1713,CEMENT BONE DRILLABLE PUTTY NORIAN CALCIUM PHOSPHATE FIBER 10 CC,2116.08,1058.04,405.23,1904.47,65
HCPCS,C1713,CEMENT BONE FAST SET CMW 2 20 GM,660.0,330.0,126.39,594.0,65
HCPCS,C1713,CEMENT BONE FAST SET CMW 2 GENTAMICIN 20 GM,3200.0,1600.0,612.8,2880.0,65
HCPCS,C1713,CEMENT BONE GENTAMICIN ANTIBIOTIC POWDER SIMPLEX HV STERILE SINGLE-USE,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,CEMENT BONE HIGH VISCOSITY COBALT 40 GM,50.0,25.0,9.58,45.0,65
HCPCS,C1713,CEMENT BONE HIGH VISCOSITY COBALT GENTAMICIN 40 GM,250.0,125.0,47.88,225.0,65
HCPCS,C1713,CEMENT BONE HIGH VISCOSITY SMARTSET 40 GM,52.0,26.0,9.96,46.8,65
HCPCS,C1713,CEMENT BONE HYDROSET HA 10CC INJECTABLE STERILE LATEX FREE DISPOSABLE,2776.05,1388.03,531.61,2498.45,65
HCPCS,C1713,CEMENT BONE HYDROSET XT HA 10CC INJECTABLE STERILE LATEX FREE DISPOSABLE,1984.4,992.2,380.01,1785.96,65
HCPCS,C1713,CEMENT BONE HYDROSET XT HA 15CC INJECTABLE STERILE LATEX FREE DISPOSABLE,2847.2,1423.6,545.24,2562.48,65
HCPCS,C1713,CEMENT BONE HYDROSET XT HA 5CC INJECTABLE STERILE LATEX FREE DISPOSABLE,1042.4,521.2,199.62,938.16,65
HCPCS,C1713,CEMENT BONE INJECTABLE HYDROSET XT HA,786.6,393.3,150.63,707.94,65
HCPCS,C1713,CEMENT BONE INJECTABLE OSTEOCONDUCTIVE HYDROSET CALCIUM PHOSPHATE 5 ML SUBSTITUTE VOID FILLER,1510.17,755.09,329.37,1359.15,64
HCPCS,C1713,CEMENT BONE INJECTABLE POWDER STERILIZATION LID AMPOULE POLYMETHYLMETHACRYLATE GLASS,344.91,172.46,66.05,310.42,65
HCPCS,C1713,CEMENT BONE INJECTABLE SUBSTITUTE SELF SET HYDROSET CALCIUM PHOSPHATE 10 CC,2874.08,1437.04,550.39,2586.67,65
HCPCS,C1713,CEMENT BONE INJECTABLE SUBSTITUTE SELF SET HYDROSET CALCIUM PHOSPHATE 15 CC,4124.39,2062.2,899.53,3711.95,64
HCPCS,C1713,CEMENT BONE ISOTHERMIC RADIOPAQUE FAST SET PREFILL DIRECTINJECT CALCIUM PHOSPHATE HA 5 CC,2156.0,1078.0,412.87,1940.4,65
HCPCS,C1713,CEMENT BONE KYPHON 10% HA ACTIVOS 10,240.0,120.0,52.34,216.0,64
HCPCS,C1713,CEMENT BONE KYPHON HV-R,95.81,47.91,18.35,86.23,65
HCPCS,C1713,CEMENT BONE MEDIUM VISCOSITY MV+G PRO 40 CEMEX GENTA LV,1710.0,855.0,327.47,1539.0,65
HCPCS,C1713,CEMENT BONE MEDIUM VISCOSITY PALACOS MV+G 40 GM GENTAMICIN,3200.0,1600.0,612.8,2880.0,65
HCPCS,C1713,CEMENT BONE MEDIUM VISCOSITY RALLY 40 GM,50.0,25.0,9.58,45.0,65
HCPCS,C1713,CEMENT BONE MEDIUM VISCOSITY RALLY 40 GM SPEARMINT GREEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CEMENT BONE MEDIUM VISCOSITY SMARTSET GENTAMICIN 40 GM,3200.0,1600.0,612.8,2880.0,65
HCPCS,C1713,CEMENT BONE MIMIX 6.9 CC 10 GM,1890.0,945.0,361.94,1701.0,65
HCPCS,C1713,CEMENT BONE MIMIX QS CALCIUM PHOSPHATE 3.45CC 5GM REPLACEMENT BIOCOMPATIBILE RADIOPAQUE EASILY MOLD STERILE,945.0,472.5,180.97,850.5,65
HCPCS,C1713,CEMENT BONE MIXER GRADUATE MARK DISPENSE PLUNGER LUER FIT HV-R KYPHX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,CEMENT BONE MIXER KYPHON,516.0,258.0,98.81,464.4,65
HCPCS,C1713,CEMENT BONE MIXER KYPHON XPEDE,335.0,167.5,64.15,301.5,65
HCPCS,C1713,CEMENT BONE MIXER KYPHON XPEDE SPINE,247.23,123.62,47.34,222.51,65
HCPCS,C1713,CEMENT BONE PALACOS LV 40GM LOW VISCOSITY GREEN,52.0,26.0,9.96,46.8,65
HCPCS,C1713,CEMENT BONE PALACOS LV+G GENTAMICIN 40GM LOW VISCOSITY GREEN,160.0,80.0,30.64,144.0,65
HCPCS,C1713,CEMENT BONE PALACOS MV+G PRO 80 GM HIP KNEE,465.0,232.5,89.05,418.5,65
HCPCS,C1713,CEMENT BONE PALACOS R 40GM HIGH VISCOSITY GREEN,52.0,26.0,9.96,46.8,65
HCPCS,C1713,CEMENT BONE PALACOS R PRO 40 STERILE LATEX FREE DISPOSABLE,190.0,95.0,36.39,171.0,65
HCPCS,C1713,CEMENT BONE PALACOS R PRO 80 STERILE LATEX FREE DISPOSABLE,1428.0,714.0,273.46,1285.2,65
HCPCS,C1713,CEMENT BONE PALACOS R+G ARTHROPLASTY GENTAMICIN HIGH VISCOSITY,160.0,80.0,30.64,144.0,65
HCPCS,C1713,CEMENT BONE PMMA BARIUM 40GM HIGH VISCOSITY/VISUALIZATION SINGLE DOSE GREEN PALACOS R,109.0,54.5,20.87,98.1,65
HCPCS,C1713,CEMENT BONE PMMA BARIUM SULFATE 40GM HIGH VISCOSITY SPEARMINT GREEN RALLY HV NON-RADIOLUCENT,52.0,26.0,9.96,46.8,65
HCPCS,C1713,CEMENT BONE POLYMER/MONOMER 40GM MEDIUM VISCOSITY W/SELF-CONTAINED MIXING/DELIVERY SYSTEM F/WITH/WITHOUT VACUUM PALACOS MV+G PRO,1140.0,570.0,218.31,1026.0,65
HCPCS,C1713,CEMENT BONE POLYMER/MONOMER 80GM MEDIUM VISCOSITY W/SELF-CONTAINED MIXING DELIVERY SYSTEM F/WITH/WITHOUT VACUUM PALACOS MV PRO,1428.0,714.0,273.46,1285.2,65
HCPCS,C1713,CEMENT BONE POLYMETHYL METHACRYLATE 2.5% GENTAMICIN 40GM LOW VISCOSITY PRE-LOADED SYRINGE FAST-SETTING CEMEX,385.0,192.5,73.73,346.5,65
HCPCS,C1713,CEMENT BONE POLYMETHYL METHACRYLATE 2.5% GENTAMICIN 70GM LOW VISCOSITY PRE-LOADED SYRINGE FAST-SETTING CEMEX,539.0,269.5,103.22,485.1,65
HCPCS,C1713,CEMENT BONE POLYMETHYL METHACRYLATE 20GM FEMORAL HIP HALF DOSE F/ACCOLADE SYSTEM SIMPLEX P 10/BX,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CEMENT BONE POLYMETHYL METHACRYLATE 40GM HIGH VISCOSITY CMW 3,1040.0,520.0,199.16,936.0,65
HCPCS,C1713,CEMENT BONE PREFILL PALACOS R+G PRO 80,2790.0,1395.0,534.29,2511.0,65
HCPCS,C1713,CEMENT BONE RADIOPAQUE BIOCOMPATIBLE MOLD SPATULA MIMIX HA TETRACALCIUM TRICALCIUM PHOSPHATE 17.25 CC 25 GM,6833.0,3416.5,1308.52,6149.7,65
HCPCS,C1713,CEMENT BONE SET BONESYNC CALCIUM PHOSPHATE 5 CC,1650.0,825.0,315.98,1485.0,65
HCPCS,C1713,CEMENT BONE SET DRILLABLE BONESYNC CALCIUM PHOSPHATE 1 ML,350.0,175.0,67.03,315.0,65
HCPCS,C1713,CEMENT BONE SHIELD CONCORD 20 GM VCF SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,CEMENT BONE SIMPLEX HV 20ML 40GM STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CEMENT BONE SIMPLEX HV GENTAMICIN STERILE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,CEMENT BONE SIMPLEX HV US 1 PK,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,CEMENT BONE SIMPLEX P RADIOPAQUE FULL DOSE STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CEMENT BONE SIMPLEX P SPEEDSET FULL DOSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CEMENT BONE SIMPLEX P TOBRAMYCIN 40CC FULL DOSE ANTIBIOTIC STERILE LATEX FREE DISPOSABLE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,CEMENT BONE SMARTSET 40GM MEDIUM VISCOSITY STERILE,1040.0,520.0,199.16,936.0,65
HCPCS,C1713,CEMENT BONE SMARTSET GENTAMICIN 40GM HIGH VISCOSITY,160.0,80.0,30.64,144.0,65
HCPCS,C1713,CEMENT BONE SPECTRUM GV REMEDY SPECTRUM GV 40GM BAG,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CEMENT RESTRICTOR SIZE 1,45.0,22.5,8.62,40.5,65
HCPCS,C1713,CEMENT RESTRICTOR SIZE 2,45.0,22.5,8.62,40.5,65
HCPCS,C1713,CEMENT RESTRICTOR SIZE 3,45.0,22.5,8.62,40.5,65
HCPCS,C1713,CHESAPEAKE STAND-ALONE CERVICAL TITANIUM 3-SCREW IMPLANTS 13X18X9 MM,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,CLAMP ASSEMBLY 4.5MM OD F/ALTERNATIVE FIXATION SYSTEM NILE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,CLAMP EXTERNAL FIXATION 11MM HOFFMANN 3 30D 5 HOLE PIN 2 POST,756.84,378.42,165.07,681.16,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 11MM-5-6MM SWIVEL MAVERICK,900.0,450.0,196.29,810.0,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 240MM 5-HOLE CARBON FIBER TIBIAL STRAIGHT MULTIPLANAR PIN-ROD 2-POST F/4/5/6MM DIA SYSTEM HOFFMANN III MRI-CONDITIONAL STERILE,756.84,378.42,165.07,681.16,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 4-6 MMM MINI BAR TO PIN,288.08,144.04,62.83,259.27,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 45MM MULTI-PIN MAVERICK,620.0,310.0,135.22,558.0,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 4MM HOFFMANN 3 ALUMINUM TITANIUM AUSTENITIC STEEL 5 HOLE PIN,685.44,342.72,149.49,616.9,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 6-4MM QUICK CONNECT,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 6/10.5MM JET-X 6MM STANDARD BAR TO BAR FREEDOM,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION 75MM MULTI-PIN MAVERICK,700.0,350.0,152.67,630.0,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION ADJUSTABLE MANDIBLE EXTERNAL FIXATOR II,430.1,215.05,93.8,387.09,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION ARBOR 6 HOLE MULTIPIN,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CLAMP EXTERNAL FIXATION ARBOR UNIVERSAL 4 HOLE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,CLAMP EXTERNAL FIXATION COMPACT HOFFMANN II ROD TO ROD,290.7,145.35,63.4,261.63,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION EF1 BAR ANGULAR CORRECTION,1339.0,669.5,256.42,1205.1,65
HCPCS,C1713,CLAMP EXTERNAL FIXATION HOFFMANN II 10 HOLE MRI SAFE COLOR CODED 4/5/6 MM PIN,829.26,414.63,180.86,746.33,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION HOFFMANN II 5 HOLE MRI COLOR CODED 4-5 MM PIN 8 MM ROD,624.24,312.12,136.15,561.82,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION HOFFMANN II COMPACT PERIARTICULAR STRAIGHT 4 HOLE ORANGE,350.88,175.44,76.53,315.79,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION HOFFMANN II MICRO PERIARTICULAR THUMBWHEEL LENGTHENER,132.6,66.3,28.92,119.34,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION ILIZAROV 2 HOLE PIN,196.56,98.28,42.87,176.9,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION ILIZAROV 3 HOLE PIN,196.56,98.28,42.87,176.9,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION ILIZAROV 4 HOLE PIN,275.62,137.81,60.11,248.06,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION ILIZAROV ADJUSTABLE PIN LOCKABLE HINGE,233.93,116.97,51.02,210.54,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 10.5-4 MM MINI MR SAFE BAR FREEDOM,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 10.5-4 MM QUICK CONNECT,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 10.5-5MM ALUMINUM STAINLESS STEEL QUICK CONNECT BAR TO PIN NONSTERILE DISPOSABLE,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 10.5-6MM QUICK CONNECT BAR TO PIN NONSTERILE DISPOSABLE,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 10.5MM BAR TO BAR MR SAFE FREEDOM,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 10.5MM QUICK CONNECT BAR TO BAR NONSTERILE DISPOSABLE,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 4 HOLE PIN,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 6 HOLE PIN,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X 6 MM,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X FREEDOM 10.5-5MM BAR TO PIN MR SAFE,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X FREEDOM 6-4MM MINI NONSTERILE LATEX FREE DISPOSABLE,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION JET-X MINI 2 PIN BALL JOINT,420.66,210.33,91.75,378.59,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION L160 MM MINI LENGTHEN APPARATUS DISTRACTION,2735.94,1367.97,596.71,2462.35,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE 4 POSITION MULTIPIN MR CONDITIONAL,585.12,292.56,127.61,526.61,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE 4 POSITION PIN MR CONDITIONAL,331.52,165.76,72.3,298.37,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE 6 POSITION MULTIPIN MR CONDITIONAL,547.66,273.83,119.44,492.89,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE 6 POSITION PIN MR CONDITIONAL,341.24,170.62,74.42,307.12,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE MR CONDITIONAL COMBINATION,504.06,252.03,109.94,453.65,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE MULTIPIN ROD ATTACHMENT,426.69,213.35,93.06,384.02,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE REPROCESSED OPEN ADJUSTABLE MR CONDITIONAL,396.83,198.42,86.55,357.15,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE STAINLESS STEEL REPROCESSED ADJUSTABLE,420.3,210.15,91.67,378.27,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE TUBE TO TUBE MR CONDITIONAL,494.75,247.38,107.9,445.28,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LARGE UNIVERSAL ADJUSTABLE NONSTERILE,584.1,292.05,127.39,525.69,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION LEVEL ONE CMF OD3.2 MM BAR CONNECTION PIN,438.38,219.19,95.61,394.54,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION MEDIUM 4 POSISTION MULTIPIN,561.94,280.97,122.56,505.75,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION MEDIUM 6 POSITION PIN MR CONDITIONAL,383.36,191.68,83.61,345.02,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION MEDIUM COMBINATION MR SAFE,464.58,232.29,101.32,418.12,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION MEDIUM OPEN ADJUSTABLE MR CONDITIONAL,383.36,191.68,83.61,345.02,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION NA MEDIUM 4 POSITION PIN MR CONDITIONAL,373.36,186.68,81.43,336.02,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD1.25 MM 1.6 MM K WIRE MINI EXTERNAL FIXATOR HOLD,617.16,308.58,134.6,555.44,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD1.6 MM 1.6 MM K WIRE MINI EXTERNAL FIXATOR HOLD,617.16,308.58,134.6,555.44,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD11 MM ODSEC8 MM COMBINATION CLIP ON SELF HOLD MR CONDITIONAL,534.16,267.08,116.5,480.74,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD3 MM MINI EXTERNAL FIXATOR CONNECT,573.7,286.85,125.12,516.33,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD4 MM,263.45,131.73,57.46,237.11,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD4 MM CONNECT,573.7,286.85,125.12,516.33,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD4 MM DISTAL RADIUS FIXATOR ADJUSTABLE MR CONDITIONAL,965.45,482.73,210.56,868.91,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD4 MM ODSEC2.5 MM SMALL EXTERNAL FIXATOR OPEN,282.44,141.22,61.6,254.2,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD4 MM SECOD2.5 MM,263.45,131.73,57.46,237.11,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION OD4 MM SMALL EXTERNAL FIXATOR OPEN,282.44,141.22,61.6,254.2,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION REPROCESSED LARGE CARBON FIBER DISTAL RADIAL COMBINATION POSITIONX5 F/FIXATOR SYSTEM HOFFMANN II MRI-SAFE NON-STERILE 1/EA,340.01,170.01,74.16,306.01,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION REPROCESSED LARGE CARBON FIBER DISTAL RADIAL MULTI-PIN DYNAMIZATION POSITIONX6 F/FIXATOR SYSTEM HOFFMANN II MRI-SAFE NON-STERILE,388.69,194.35,84.77,349.82,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION SCREW MR SAFE PIVOT,441.02,220.51,96.19,396.92,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION SMALL 2. 5 MM KIRSCHNER WIRE SCHANZ SCREW COMBINATION MR CONDITIONAL,299.08,149.54,65.23,269.17,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION SMALL 30MML THREADED NON-SWIVEL W/EXTENSION MINIRAIL PVC-FREE STERILE,119.2,59.6,26.0,107.28,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION SYNTHES TRAUMA PIN INSERTION CONNECTION OPEN,213.3,106.65,46.52,191.97,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION TRANSVERSE,494.75,247.38,107.9,445.28,64
HCPCS,C1713,CLAMP EXTERNAL FIXATION UNIVERSAL LARGE JOINT NONSTERILE,648.45,324.23,141.43,583.61,64
HCPCS,C1713,CLAMP SPINAL L12 MM 1 PARALLEL REVERE OD5.5-6.5 MM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CLAMP SPINAL ROD TO ROD REVERE OD5.5/5.5 MM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CLAMP TUBE 16MM CRANIOFIX 2 CRANIAL FLAP TITANIUM ATRAUMATIC LOW PROFILE STERILE,820.22,410.11,157.07,738.2,65
HCPCS,C1713,CLAMP TUBE 20MM CRANIOFIX LOW PROFILE CRANIAL FLAP TITANIUM SECURE FAST ATRAUMATIC STERILE,167.13,83.57,32.01,150.42,65
HCPCS,C1713,CLAV SUP PLT LT 8H 90MM NS,591.0,295.5,113.18,531.9,65
HCPCS,C1713,CLIP ANEURYSM 30 D 5 MM OPEN BAYONET LEFT CURVE FORWARD L7 MM X W1.5 MM MP35N SUNDT-KEES SLIM-LINE BLADE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,CLIP EXTERNAL FIXATION DYNAMIZATION LARGE COMBINATION CLAMP,87.29,43.65,19.04,78.56,64
HCPCS,C1713,CNNCTR UNIPOLAR IS-1 PORT PIN PLUG,40.0,20.0,7.66,36.0,65
HCPCS,C1713,COLLAR SPINAL 6MM DIA TITANIUM SACRAL SPINE GROOVED USS NON-STERILE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,"COLONIAL ACDF TPS SPACER, 14X16 8MM",600.0,300.0,114.9,540.0,65
HCPCS,C1713,COMPONENT EXTERNAL FIXATION UPPER SPARE PART MULTI DIMENTIONAL F/RIGID DISTRACTION,2263.07,1131.54,493.58,2036.76,64
HCPCS,C1713,COMPONENT FEMORAL 1 KNEE RIGHT HINGE TRIATHLON,1275.0,637.5,244.16,1147.5,65
HCPCS,C1713,COMPONENT FEMORAL 2XS KNEE HINGE PIN LPS,454.3,227.15,87.0,408.87,65
HCPCS,C1713,COMPONENT GLENOID SMALL-R CONNECTOR SCREW REVISION SMR TITANIUM,153.0,76.5,29.3,137.7,65
HCPCS,C1713,COMPONENT SUBTALAR 16MM 10MM FUTURA CONICAL ANKLE TITANIUM CANNULATED RADIOPAQUE STERILE,748.0,374.0,143.24,673.2,65
HCPCS,C1713,COMPONENT TALAR H3 MM 1 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE RIGHT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1713,COMPONENT TALAR H3 MM 4 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE LEFT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1713,COMPONENT TALAR THK+3 MM 1 DOME INVISION ANKLE,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1713,COMPONENT TALAR THK+3 MM 2 DOME INVISION ANKLE,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1713,COMPONENT TALAR THK+3 MM 3 DOME INVISION ANKLE,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1713,CONNECT ROD OD3.3MM ODSEC5.5MM SPINE VUEPOINT LI INLINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR EXTERNAL FIXATION 30MM SHORT EXTEND,95.04,47.52,20.73,85.54,64
HCPCS,C1713,CONNECTOR EXTERNAL FIXATION 35MM ILIZAROV ANGLE PIN,259.2,129.6,56.53,233.28,64
HCPCS,C1713,CONNECTOR EXTERNAL FIXATION 50MM LONG EXTEND,100.97,50.49,22.02,90.87,64
HCPCS,C1713,CONNECTOR EXTERNAL FIXATION 85MM ILIZAROV ANGLE PIN,315.32,157.66,68.77,283.79,64
HCPCS,C1713,CONNECTOR ROD 20MM CAPSURE SPINE OPEN OFFSET NONSTERILE,640.0,320.0,122.56,576.0,65
HCPCS,C1713,CONNECTOR ROD 250MM 11MM HOFFMANN NONSTERILE LATEX FREE,211.14,105.57,46.05,190.03,64
HCPCS,C1713,CONNECTOR ROD 30MM 5.5MM MALIBU SPINE LATERAL CLOSED NONSTERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD 350MM 11MM HOFFMANN NONSTERILE LATEX FREE,217.26,108.63,47.38,195.53,64
HCPCS,C1713,CONNECTOR ROD 400MM 11MM HOFFMANN NONSTERILE LATEX FREE,248.88,124.44,54.28,223.99,64
HCPCS,C1713,CONNECTOR ROD 450MM 11MM HOFFMANN NONSTERILE LATEX FREE,248.88,124.44,54.28,223.99,64
HCPCS,C1713,CONNECTOR ROD 45MM 5.5MM MALIBU SPINE LATERAL CLOSED NONSTERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD 5.5MM 6.35MM CD HORIZON SPINE TITANIUM CLOSED OPEN AXIAL NONSTERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD 50-60MM 5.5MM PROLIANT SPINE CROSS NONSTERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,CONNECTOR ROD 60MM 5.5MM MALIBU SPINE LATERAL CLOSED NONSTERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD CAPSURE SPINE PARALLEL CLOSED OPEN NONSTERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1713,CONNECTOR ROD HOFFMANN 30D ANGLE POST NONSTERILE LATEX FREE,105.06,52.53,22.91,94.55,64
HCPCS,C1713,CONNECTOR ROD L10 MM OD3.5 MM SPINE YUKON SIDE LATERAL OFFSET OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L10 MM OD5.5 MM ODSEC6.35 MM SPINE LATERAL CD HORIZON STAINLESS STEEL CLOSED OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L10 MM SPINE LATERAL ASTRA CLOSED OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L10 MM SPINE LATERAL ASTRA OPEN SIDE LOAD OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L10 MM SPINE LATERAL INFINITY CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L10 MM SPINE LATERAL INFINITY OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L10 MM SPINE LATERAL VERTEX CLOSED,101.85,50.93,19.5,91.67,65
HCPCS,C1713,CONNECTOR ROD L10 MM SPINE LATERAL VERTEX SELECT OPEN,108.99,54.5,20.87,98.09,65
HCPCS,C1713,CONNECTOR ROD L11 MM SPINE VUEPOINT II OPEN OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L12 MM OD3 MM SPINE ILIOSACRAL XIA TITANIUM ALUMINUM VANADIUM PARALLEL CLOSED OPEN REVISION,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L12 MM OD5.5 MM SPINE LATERAL CD HORIZON SPINAL SYSTEM TITANIUM OFFSET DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L12 MM SPINE OASYS OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L13 MM SPINE LATERAL VERTEX CLOSED,101.85,50.93,19.5,91.67,65
HCPCS,C1713,CONNECTOR ROD L13 MM SPINE LATERAL VERTEX SELECT OPEN,108.99,54.5,20.87,98.09,65
HCPCS,C1713,CONNECTOR ROD L15 MM OD5.5 MM SPINE CREO OFFSET HEAD THREAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L15 MM SPINE LATERAL ASTRA CLOSED OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L15-18 MM SPINE INVICTUS 2 OPEN PIVOT REVISION MIS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L19 MM SPINE LATERAL INFINITY UPPER THORACIC SYSTEM ANGLE OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD4.75 MM ODSEC4.75 MM SPINE LATERAL CD HORIZON TOP LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON SIDE LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5.5 MM LATERAL EXPEDIUM TITANIUM OPEN FIXED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5.5 MM ODSEC6 MM SPINE LATERAL RESPONSE OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5.5 MM SPINE ILIAC EXPEDIUM TITANIUM CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5.5 MM SPINE ILIAC EXPEDIUM TITANIUM OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD5.5 MM SPINE ILIAC EXPEDIUM TITANIUM OPEN EXTEND TAB,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM OD6.35 MM SPINE LATERAL EXPEDIUM TITANIUM CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE ILIAC INVICTUS OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE MOUNTAINEER ANGLE LOCK,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE MOUNTAINEER OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE OASYS OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE RELINE-O CLOSED OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE RELINE-O OPEN OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L20 MM SPINE REVERE OFFSET HEAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L200 MM OD11 MM HOFFMANN,211.14,105.57,46.05,190.03,64
HCPCS,C1713,CONNECTOR ROD L25 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L25 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON TOP LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L25 MM SPINE EVEREST LATERAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L25 MM SPINE VUEPOINT II 45 D OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L25 MM SPINE VUEPOINT II LONG OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L26 MM OD4.5 MM SPINE MEDIAL EXPEDIUM SFX TITANIUM P11,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L26-28 MM OD5.5 MM SPINE LATERAL EXPEDIUM SFX TITANIUM A1,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L27.5 MM OD5.5 MM SPINE RELINE-O FIX CROSS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L28 MM SPINE VUEPOINT II FIX CROSS 8976128,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L29-33 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L29-33 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L29-36 MM SPINE CERVICAL POSTERIOR PROFICIENT SCREW TO SCREW,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR ROD L30 MM OD3.5 MM ODSEC4 MM SPINE YUKON OPEN LATERAL OFFSET OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L30 MM OD5.5 MM SPINE RELINE-O FIX CROSS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L30 MM SPINE RELINE-O CLOSED OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L30 MM SPINE RELINE-O OPEN OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L30 MM SPINE REVERE OFFSET HEAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L30-35 MM OD3 MM SPINE XIA TITANIUM ALUMINUM VANADIUM MULTIAXIAL CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L30-35 MM OD5.5 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L30-42 MM SPINE SYMPHONY CROSS HEAD TO HEAD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L30.5-43 MM OD5.5 MM SPINE CREO LOW PROFILE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L300 MM OD11 MM HOFFMANN,217.26,108.63,47.38,195.53,64
HCPCS,C1713,CONNECTOR ROD L32-40 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L32-40 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L33-39 MM OD3.5 MM SPINE QUARTEX T ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L34 MM SPINE VUEPOINT II FIX CROSS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L35 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L35 MM OD5/6-5.5 MM SPINE LATERAL CD HORIZON SIDE LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L35 MM SPINE EVEREST LATERAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L35-40 MM SPINE SYMPHONY CROSS ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L35-42 MM OD5.5 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L35-42 MM OD6 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L35-44 MM OD3 MM SPINE XIA TITANIUM ALUMINUM VANADIUM MULTIAXIAL CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L36 MM SPINE OCCIPITOCERVICOTHORACIC VUEPOINT TITANIUM FIX CROSS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L38-50 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L38-50 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L40 MM OD5.5 MM SPINE ILIAC EXPEDIUM TITANIUM OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L40 MM OD5.5 MM SPINE MONARCH TRANSVERSE BODY,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L40 MM OD5.5-6.35 MM LATERAL ILIAC SPINE EXPEDIUM TITANIUM CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L40 MM OD6.35 MM SPINE MONARCH TITANIUM TRANSVERSE BODY,570.0,285.0,109.16,513.0,65
HCPCS,C1713,CONNECTOR ROD L40-49 MM SPINE SYMPHONY CROSS ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L40-50 MM OD5.5 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L40-50 MM OD6 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L41-49 MM OD5.5 MM SPINE MEDIAL EXPEDIUM SFX TITANIUM A5,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L42-55 MM SPINE SYMPHONY CROSS HEAD TO HEAD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L42.5-67 MM OD5.5 MM SPINE CREO LOW PROFILE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L43-54 MM OD3 MM SPINE XIA TITANIUM ALUMINUM VANADIUM MULTIAXIAL CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L45-50 MM SPINE ARMADA TITANIUM CROSS ARM15T,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L45-65 MM OD5.5 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L45-65 MM OD6 MM SPINE RELINE-O LOW PROFILE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L48-60 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L48-60 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L48-60 MM OD6 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L49-66 MM OD5.5 MM SPINE MEDIAL EXPEDIUM SFX TITANIUM A6,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L50 MM OD6.35 MM SPINE LATERAL EXPEDIUM TITANIUM CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L500 MM OD11 MM HOFFMANN,293.76,146.88,64.07,264.38,64
HCPCS,C1713,CONNECTOR ROD L53-73 MM OD3 MM SPINE XIA TITANIUM ALUMINUM VANADIUM MULTIAXIAL CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L58-70 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L58-70 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L60 MM OD5.5 MM SPINE ILIAC EXPEDIUM TITANIUM CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L60 MM OD5.5 MM SPINE MONARCH TITANIUM TRANSVERSE BODY,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L60 MM SPINE RELINE-O OPEN OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L66-100 MM OD5.5 MM SPINE MEDIAL EXPEDIUM SFX TITANIUM A7,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L68-80 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L68-80 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L70 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L70 MM OD5 MM ODSEC6-6 MM SPINE LATERAL CD HORIZON TOP LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD L78-90 MM OD5.5 MM SPINE CREO CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L78-90 MM OD5.5 MM SPINE REVERE TITANIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD L78-91 MM SPINE REVERE TITANIUM T TRANSVERSE ADJUSTABLE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD11 MM SPINE INVICTUS OPEN REVISION,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3 MM SPINE ILIOSACRAL XIA TITANIUM ALUMINUM VANADIUM ANGLE SIDE LOAD ROD TO ROD REVISION,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3 MM SPINE ILIOSACRAL XIA TITANIUM ALUMINUM VANADIUM LONG OPEN HEAD OFFSET REVISION,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR ROD OD3 MM SPINE ILIOSACRAL XIA TITANIUM ALUMINUM VANADIUM SMALL CLOSED HEAD OFFSET REVISION,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3 MM SPINE ILIOSACRAL XIA TITANIUM ALUMINUM VANADIUM TOP SIDE LOAD ROD TO ROD REVISION,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.2 MM ODSEC3.5-5.5 MM SPINE VERTEX SELECT TITANIUM OFFSET DOMINO,145.8,72.9,27.92,131.22,65
HCPCS,C1713,CONNECTOR ROD OD3.2 MM ODSEC4.5 MM SPINE VERTEX MAX TITANIUM CONTOUR THREAD SHORT CONNECTION POINT RECONSTRUCTION SYSTEM,138.9,69.45,26.6,125.01,65
HCPCS,C1713,CONNECTOR ROD OD3.2 MM ODSEC5.5 MM SPINE VERTEX MAX TITANIUM CONTOUR THREAD SHORT CONNECTION POINT RECONSTRUCTION SYSTEM,138.9,69.45,26.6,125.01,65
HCPCS,C1713,CONNECTOR ROD OD3.2-3.5 MM SPINE VERTEX SELECT TITANIUM OFFSET DOMINO,145.8,72.9,27.92,131.22,65
HCPCS,C1713,CONNECTOR ROD OD3.3 MM ODSEC3.5 MM SPINE INFINITY AXIAL DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.3 MM ODSEC5.5 MM SPINE MOUNTAINEER TITANIUM AXIAL OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.3 MM ODSEC5.5 MM SPINE OASYS AXIAL ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.3 MM ODSEC5.5 MM SPINE VUEPOINT II OFFSET 8976435,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM ODSEC4.5 MM SPINE OASYS AXIAL ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM ODSEC4.5 MM SPINE OASYS PARALLEL ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM ODSEC5.5 MM SPINE MOUNTAINEER 2 WED BAND ASSEMBLY OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM ODSEC5.5 MM SPINE MOUNTAINEER AXIAL OCCIPITOCERVICOTHORACIC SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM ODSEC5.5 MM SPINE OASYS PARALLEL ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM SPINE CASPIAN MEDIUM TRANSVERSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM SPINE LATERAL QUARTEX SHORT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD3.5 MM SPINE SYMPHONY SHORT LATERAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD32-35 MM SPINE SYMPHONY CROSS ROD TO ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4 MM SPINE SYMPHONY LONG LATERAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4 MM SPINE SYMPHONY SHORT LATERAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4.0 MM NORTHSTAR LARGE ROD TO ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD4.5 MM ODSEC4.5 MM SPINE CD HORIZON TITANIUM CLOSED SIDE LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4.5 MM ODSEC4.5 MM SPINE EXPEDIUM TITANIUM EXTEND,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4.5 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM CLOSED OPEN AXIAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4.5 MM SPINE ILIAC XIA TITANIUM ALUMINUM VANADIUM 15 D STRAIGHT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD4.5 MM SPINE ILIAC XIA TITANIUM ALUMINUM VANADIUM STRAIGHT PARALLEL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC5-6 MM SPINE RELINE-O 2 HOLE INLINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC5-6 MM SPINE RELINE-O 2 OPEN ROTATE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC5-6 MM SPINE RELINE-O 4 HOLE INLINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC5-6 MM SPINE RELINE-O MEDIUM 2 OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC5-6 MM SPINE RELINE-O MEDIUM OFFSET HOOK,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC5-6 MM SPINE RELINE-O OFFSET HOOK ROTATE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5-6 MM ODSEC6.35 MM SPINE RELINE-O OFFSET HOOK ROTATE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM 2 CLOSED DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM AXIAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM CLOSED OPEN AXIAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM SIDE LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE EXPEDIUM TITANIUM 1 INLINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE EXPEDIUM TITANIUM END TO END,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE MONARCH TITANIUM END TO END 2,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE MONARCH TITANIUM SIDE BY SIDE 2,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC5.5 MM SPINE TOP NOTCH TITANIUM 2 OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE CD HORIZON VARIABLE ANGLE DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE EVEREST ANGLE SIDE OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE EVEREST LARGE TRANSVERSE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE EVEREST WIDE SIDE OPEN OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE EVEREST XWIDE 2 OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE EVEREST XWIDE SIDE CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6 MM SPINE RESPONSE LARGE ADJUSTABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6.35 MM SPINE EXPEDIUM TITANIUM 2 OPEN TOP NOTCH SIDE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6.35 MM SPINE INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM 2 OPEN OFFSET DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6.35 MM SPINE MONARCH TITANIUM 2 END BY END,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6.35 MM SPINE MONARCH TITANIUM 2 SIDE,300.0,150.0,65.43,270.0,64
HCPCS,C1713,CONNECTOR ROD OD5.5 MM ODSEC6.35 MM SPINE TOP NOTCH TITANIUM 2 OPEN,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE EXPEDIUM TITANIUM CLOSED SEMIOPEN 2,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE LATERAL SFX TITANIUM A2,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE LATERAL SFX TITANIUM F2,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE LATERAL SFX TITANIUM F4,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE MEDIAL SFX TITANIUM A4,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE MEDIAL SFX TITANIUM F7,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE MEDIAL SFX TITANIUM F8,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE MEDIAL SFX TITANIUM F9,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE TSRH-3D TITANIUM LARGE OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5 MM SPINE VERTEX RECONSTRUCTION SYSTEM EXTENSION MULTIAXIAL SCREW,108.99,54.5,20.87,98.09,65
HCPCS,C1713,CONNECTOR ROD OD5.5-6 MM ODSEC6.35 MM SPINE INFINITY EXTENSION,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5-6.35 MM ODSEC5.5-6.35 MM SPINE CREO CLOSED INLINE 2 SET SCREW,560.0,280.0,107.24,504.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5-6.35 MM SPINE EXPEDIUM TITANIUM ANGLE OPEN CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5-6.35 MM SPINE LATERAL CREO OPEN MODULAR HEAD,850.0,425.0,162.78,765.0,65
HCPCS,C1713,CONNECTOR ROD OD5.5-6.35 MM SUPERIOR CREO OPEN MODULAR HEAD,850.0,425.0,162.78,765.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM 2 CLOSED DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM CLOSED OPEN AXIAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC5.5 MM SPINE CD HORIZON TITANIUM CLOSED SIDE LOAD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC6.35 MM SPINE CD HORIZON TITANIUM CLOSED OPEN AXIAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC6.35 MM SPINE CD HORIZON TITANIUM CLOSED SIDE LOAD DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC6.35 MM SPINE EXPEDIUM TITANIUM 2 OPEN TOP NOTCH SIDE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC6.35 MM SPINE MONARCH TITANIUM EXTEND 2 SIDE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM ODSEC7 MM SPINE CD HORIZON TITANIUM DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM SPINE EXPEDIUM 90 D WED BAND,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM SPINE MEDIAL EXPEDIUM SFX TITANIUM A6,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM SPINE MEDIAL SFX TITANIUM A5,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD OD6.35 MM SPINE TSRH-3D SMALL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE CROSSLINK LARGE,242.04,121.02,46.35,217.84,65
HCPCS,C1713,CONNECTOR ROD SPINE ELLIPSE TITANIUM INLINE CERVICOTHORACIC TO CERVICOTHORACIC,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE INFINITY MEDIUM MAS TO MAS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE INFINITY MEDIUM ROD TO ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR ROD SPINE INFINITY SMALL MAS TO MAS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE ISOLA EXPEDIUM TITANIUM SLOT LEFT OFFSET DDV,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE MESA LARGE TRANSVERSE ADJUSTABLE GOLD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE MESA MEDIUM TRANSVERSE ADJUSTABLE BLUE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE MESA SMALL TRANSVERSE ADJUSTABLE GREEN,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE MOUNTAINEER CABLE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE MOUNTAINEER J TRANSVERSE HOOK,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE MOUNTAINEER LATERAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE OCCIPITOCERVICOTHORACIC INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM STANDARD EYELET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE PRODIGY PARALLEL 2 CLOSED PEDICLE SCREW SYSTEM,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR ROD SPINE RADIUS LONG NEUTRAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE RADIUS MEDIUM VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE RADIUS NEUTRAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE RADIUS SHORT VARIABLE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE RESPONSE LARGE CROSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD SPINE VERTEX OPEN CABLE,115.5,57.75,22.12,103.95,65
HCPCS,C1713,CONNECTOR ROD SPINE XIA II TITANIUM 75 D OFFSET BEND,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE XIA II TITANIUM LONG NEUTRAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD SPINE XIA II TITANIUM NEUTRAL OFFSET,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR ROD TRANSLACE SPINE TEETHER STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR ROD W12 MM OD5.5-6 MM ODSEC5.5-6 MM SPINE LATERAL CREO 2 HEAD,620.0,310.0,118.73,558.0,65
HCPCS,C1713,CONNECTOR ROD W12 MM OD5.5-6 MM ODSEC5.5-6.35 MM SPINE LATERAL CREO OPEN 1 HEAD,620.0,310.0,118.73,558.0,65
HCPCS,C1713,CONNECTOR SPINAL 100MM LATERAL OFFSET TITANIUM TRANSVERSE EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 12-15MM OPEN-SIDE LOADING PIVOTING REVISION SINGLE-USE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR SPINAL 12MML TITANIUM CANCELLOUS CORTICAL T25 STARDRIVE RECESS DUAL CORE/LEAD THREADED POLYAXIAL SELF-TAPPING ROD TO ROD F/OFFSET,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 15MML HEAD OFFSET CREO DLX STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL 2.5MM DIA HEXAGONAL LOCKING PROFICIENT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,CONNECTOR SPINAL 20-30MM DIA OCCIPITO CERVICO THORACIC HEAD-HEAD SYMPHONY,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 20MM DIA OFFSET W/TAB RELINE-O,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL 20MM TITANIUM ILIAC CLOSED F/6.35MM ROD EXPEDIUM,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 29-36MML POSTERIOR CERVICAL ROD TO ROD PROFICIENT NON-STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5-4MM DIA SHORT OCCIPITO CERVICO THORACIC PARALLEL ROD-ROD SYMPHONY,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5-4MM-5.5-6.35MM DIA SHORT F/OCT SYSTEM PARALLEL SYMPHONY,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5/4.0 OPEN PARALLEL PROFICIENT,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5/4.0 SIDE LOAD 4MMW X 17MML OFFSET PROFICIENT,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5/4.0 SIDE LOAD PARALLEL PROFICIENT,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5/4MM 10MM LATERAL OPEN OFFSET SIDE LOADING YUKON,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5MM DIA OCCIPITOCERVICOTHORACIC ANGLED LATERAL OFFSET SYMPHONY NON-STERILE 1/EA,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 3.5MM LONG OCCIPITOCERVICOTHORACIC LATERAL OFFSET SYMPHONY NON-STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 30MM DIA OFFSET W/TAB RELINE-O,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL 31-40MML POSTERIOR CERVICAL ROD TO ROD PROFICIENT NON-STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 39-56MML POSTERIOR CERVICAL ROD TO ROD PROFICIENT NON-STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6.35MM DIA AXIAL DOUBLE O-O,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6.35MM DIA AXIAL SINGLE O-O,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6.35MM DIA MEDIUM PARALLEL SINGLE C-C,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6.35MM DIA MEDIUM PARALLEL SINGLE C-O,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6.35MM DIA SMALL PARALLEL SINGLE C-C,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA AXIAL DOUBLE O-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA MEDIUM PARALLEL DOUBLE C-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA MEDIUM PARALLEL SINGLE C-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA MEDIUM PARALLEL SINGLE U-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA SMALL PARALLEL DOUBLE C-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA SMALL PARALLEL SINGLE C-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 4.75/6.35-4.75/6MM DIA SMALL PARALLEL SINGLE U-U,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 5.5-6.35MM DIA 400MML CLOSED W/6.0 INTEGRATED ROD CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CONNECTOR SPINAL 5.5/6MM DIA OPEN/CLOSED ROD AXIAL EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 5.5MM DIA TITANIUM EXTRA WIDE CLOSED EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 5.5MM DIA TITANIUM OPENED EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 5/6-6.0MM DIA 20MML LATERAL CD HORIZON,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL 55MML TITANIUM ANGLED OPEN-CLOSED F/6.35MM ROD EXPEDIUM NON-STERILE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 6MM 20MM LATERAL CLOSED F/5.5-6MM ROD TRIALTIS NON-STERILE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL 6MM 40MM LATERAL CLOSED F/5.5-6MM ROD TRIALTIS NON-STERILE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL CROSS 30-42MM DIA HEAD-HEAD SYMPHONY STERILE OCCIPITO CERVICO THORACIC SYSTEM,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL LOCKING SCREW 31-40MM POSTERIOR CERVICAL CONICAL ROD TO ROD PROFICIENT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,CONNECTOR SPINAL LOW-PROFILE 15MM DIA 60MML TITANIUM CLOSED OFFSET CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,CONNECTOR SPINAL LOW-PROFILE 6.2MM DIA 20MML TITANIUM CLOSED OFFSET CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,CONNECTOR SPINAL LOW-PROFILE MEDIUM TITANIUM CAPSURE PS3,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL RELINE F/5-6/6.35MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL ROD 5.5MM DIA TITANIUM OPEN TO CLOSED EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL ROD-TO-ROD 4.5 OPEN 12MM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL ROD-TO-ROD 4.5 OPEN 14MM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL SCREW M7 LOCKING T25,50.0,25.0,9.58,45.0,65
HCPCS,C1713,CONNECTOR SPINAL SHORT LATERAL OFFSET CLOSED F/4MM ROD QUARTEX,300.0,150.0,57.45,270.0,65
HCPCS,C1713,CONNECTOR SPINAL SMALL LOW PROFILE CAPSURE PS3,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL SMALL TITANIUM OPEN TO CLOSE F/5.5/6MM ROD IMPLANTABLE EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL TITANIUM AXIAL CLOSED OPEN IN-LINE F/5.5/6MM ROD EVEREST,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CONNECTOR SPINAL TITANIUM AXIAL OPEN F/4.5MM DIA ROD XIA,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CORD SPINAL TENSIONING 300MM PET FLEXIBLE F/VERTEBRAL BODY TETHERING SYSTEM THE TETHER STERILE,5871.0,2935.5,1124.3,5283.9,65
HCPCS,C1713,COUNTERSINK DRILL CANNULATED 3.04.0MM CANNULATED SCREW COUNTERSINK STAINLESS STEEL 3-4 MM SCREW,250.0,125.0,47.88,225.0,65
HCPCS,C1713,COUNTERSINK DRILL COLAG 3/4MM,134.0,67.0,25.66,120.6,65
HCPCS,C1713,COUNTERSINK DRILL MONSTER SCREW SYSTEM 5.5 MM HEADLESS SCREW,225.0,112.5,43.09,202.5,65
HCPCS,C1713,COUPLER EXTERNAL FIXATION CONICAL WASHER ILIZAROV,27.62,13.81,6.02,24.86,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION 11MM 25MM 4-HOLE CARBON FIBER TIBIAL MULTIPLANAR PIN TO ROD F/4-6/5-11MM MODULAR SYSTEM HOFFMANN III MRI-CONDITIONAL STERILE,940.44,470.22,205.11,846.4,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION 15MM 5MM HOFFMANN II COMPACT TUBE,283.56,141.78,61.84,255.2,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION 5MM 3-4MM COMPACT HOFFMANN II PIN TO ROD,283.56,141.78,61.84,255.2,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION 8MM HOFFMANN II ROD TO ROD MRI COLOR CODED,440.64,220.32,96.1,396.58,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN 3 PIN TO ROD DELTA 5/8/11 MM ROD 4/5/6 MM APEX PIN,607.92,303.96,132.59,547.13,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN HINGE,189.05,94.53,41.23,170.15,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN II COMPACT ROD TO ROD NONSTERILE,283.56,141.78,61.84,255.2,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN II INVERT PIN TO ROD MRI COLOR CODED 4-5 MM PIN 8 MM ROD,440.64,220.32,96.1,396.58,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN II PIN TO ROD COLOR CODED 4-5MM PIN 8MM POST NONSTERILE LATEX FREE DISPOSABLE,411.06,205.53,89.65,369.95,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN III ROD TO ROD DELTA 5 MM APEX PIN,665.04,332.52,145.05,598.54,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION HOFFMANN III ROD TO ROD DELTA 5 MM APEX PIN REPROCESSED,562.32,281.16,122.64,506.09,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION INVERT HOFFMAN II 8MM ROD 4-5 MM PIN,459.0,229.5,100.11,413.1,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION MR SAFE HOFFMANN II COMPACT 5 MM 8 MM ROD,414.12,207.06,90.32,372.71,64
HCPCS,C1713,COUPLING EXTERNAL FIXATION PIN TO ROD MRI HOFFMANN 3,290.7,145.35,63.4,261.63,64
HCPCS,C1713,COVER BURR HOLE .3MM 18.5MM THINFLAP BENT CRANIAL NONSTERILE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,COVER BURR HOLE 20MM UNIVERSAL NEURO 3 CRANIAL LOW PROFILE TAB 0.4MM THICK NONSTERILE,275.4,137.7,52.74,247.86,65
HCPCS,C1713,COVER BURR HOLE CRANIAL OD10 MM LOW PROFILE TAB UNIVERSAL NEURO 3 1.5 MM SCREW RETROSIGMOID,251.12,125.56,48.09,226.01,65
HCPCS,C1713,COVER BURR HOLE CRANIAL OD20 MM LOW PROFILE TAB UNIVERSAL NEURO 2 1.5 MM SCREW RETROSIGMOID,256.29,128.15,49.08,230.66,65
HCPCS,C1713,COVER BURR HOLE CRANIAL OD20 MM SHUNT LOW PROFILE TAB UNIVERSAL NEURO III 1.5 MM SCREW RETROSIGMOID,306.26,153.13,58.65,275.63,65
HCPCS,C1713,COVER BURR HOLE CRANIAL OD7 MM LOW PROFILE TAB UNIVERSAL NEURO 2 1.5 MM SCREW RETROSIGMOID,232.11,116.06,44.45,208.9,65
HCPCS,C1713,COVER BURR HOLE CRANIOMAXILLOFACIAL L10 MM LOW PROFILE TAB UNIVERSAL NEURO 2 TITANIUM 1.5 MM SCREW RETROSIGMOID,232.11,116.06,44.45,208.9,65
HCPCS,C1713,COVER BURR HOLE CRANIOMAXILLOFACIAL L14 MM LOW PROFILE TAB UNIVERSAL NEURO 2 TITANIUM 1.5 MM SCREW RETROSIGMOID,232.11,116.06,44.45,208.9,65
HCPCS,C1713,COVER BURR HOLE CRANIOMAXILLOFACIAL L14 MM X H.4 MM LOW PROFILE SHUNT TAB UNIVERSAL NEURO III TITANIUM 1.5 MM SCREW RETROSIGMOID,275.39,137.7,52.74,247.85,65
HCPCS,C1713,COVER BURR HOLE CRANIOMAXILLOFACIAL OD14 MM LOW PROFILE TAB UNIVERSAL NEURO III,251.12,125.56,48.09,226.01,65
HCPCS,C1713,COVER BURR HOLE CRANIOMAXILLOFACIAL OD24 MM CROSS LINK LOW PROFILE THINFLAP BENT THINFLAP PLATE SYSTEM,299.0,149.5,57.26,269.1,65
HCPCS,C1713,COVER BURR HOLE H.4 MM OD7 MM TAB LOW PROFILE UNIVERSAL NEURO III TITANIUM,251.12,125.56,48.09,226.01,65
HCPCS,C1713,COVER BURR HOLE OD14 MM LOW PROFILE UNIVERSAL NEURO II,343.9,171.95,65.86,309.51,65
HCPCS,C1713,COVER HOLE +8 MM SCREW OD36 MM HIP,32.4,16.2,6.2,29.16,65
HCPCS,C1713,COVER HOLE THREAD,74.7,37.35,14.31,67.23,65
HCPCS,C1713,COVER HOLE THREAD ACETABULUM,71.4,35.7,13.67,64.26,65
HCPCS,C1713,COVER SCREW HUB CAP WRIST FUSION PLATE,117.0,58.5,22.41,105.3,65
HCPCS,C1713,COVER VENTILATOR POWER HEAD RIGHT CROSSLINK CD HORIZON,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CREO MIS 5.5MM CURVED ROD TITANIUM 40MM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 14MM TITANIUM REVERE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 32-40MM LONG TITANIUM SNAP-ON CROSSLINKING F/6MM ROD CREO STERILE SINGLE-USE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 38-50MM LONG TITANIUM SNAP-ON CROSSLINKING F/6MM ROD CREO STERILE SINGLE-USE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 41-55MM LANCER,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 5.5MM 40-50MM PROLIANT,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 5.5MM DIA 35-40MMW PROLIANT,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 5.5MM DIA 40-50MMW PROLIANT,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 5.5MM DIA 60-70MMW PROLIANT,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSS CONNECTOR SPINAL 6-6.35MM DIA 58-70MML CREO DLX,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CROSS CONNECTOR SPINAL HEAD ADAPTER OCCIPITOCERVICOTHORACIC SYMPHONY NON-STERILE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSSBAR EXTFIX HZNT F/RD II DVC,1623.06,811.53,353.99,1460.75,64
HCPCS,C1713,CROSSLINK SPINAL 35-45MM VARIABLE PRODIGY,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSSLINK SPINAL 44-65MM VARIABLE PRODIGY,425.0,212.5,81.39,382.5,65
HCPCS,C1713,CROSSLINK SPINAL CONNECTOR BAR VERTEX TITANIUM RECONSTRUCTION SYSTEM,27.6,13.8,5.29,24.84,65
HCPCS,C1713,CROSSLINK SPINAL L41-56 MM XS OD5.5 MM MOMENTUM,600.0,300.0,114.9,540.0,65
HCPCS,C1713,CUBE EXTERNAL FIXATION 1 HOLE SALVATION FOOT ANKLE,236.81,118.41,51.65,213.13,64
HCPCS,C1713,CUBE EXTERNAL FIXATION 2 HOLE SALVATION FOOT ANKLE 5 MM PIN,236.81,118.41,51.65,213.13,64
HCPCS,C1713,CUBE EXTERNAL FIXATION 3 HOLE SALVATION FOOT ANKLE,236.81,118.41,51.65,213.13,64
HCPCS,C1713,CUBE EXTERNAL FIXATION ILIZAROV STAINLESS STEEL 1 HOLE RANCHO SYSTEM,167.51,83.76,36.53,150.76,64
HCPCS,C1713,CUBE EXTERNAL FIXATION ILIZAROV STAINLESS STEEL 2 HOLE RANCHO SYSTEM,167.51,83.76,36.53,150.76,64
HCPCS,C1713,CUBE EXTERNAL FIXATION ILIZAROV STAINLESS STEEL 3 HOLE RANCHO SYSTEM,167.51,83.76,36.53,150.76,64
HCPCS,C1713,CUP ACETABULAR OD54 MM HEMISPHERICAL EMPOWR ACETABULAR CLUSTER HOLE HIP,500.0,250.0,95.75,450.0,65
HCPCS,C1713,CUTTER SUTURE ROOT REPAIR KIT,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,CYLINDER DENTAL HEALING OPRA 12,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,CYLINDER IMPLANT HEALING F OPRA FIXTURE BIOHELIX,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,DART FIXATION L18 MM OD1.3 MM CHONDRAL DART POLY L LACTIC ACID,605.0,302.5,115.86,544.5,65
HCPCS,C1713,DBM MAG SINGLE 1.75X10CM,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,DEVICE CLOSURE L6 IN 0 GS-22 SYNETURE V-LOC NON-ABSORBABLE BLUE,746.4,373.2,142.94,671.76,65
HCPCS,C1713,DEVICE EXTERNAL FIXATION RANCHO CUBE POST 2 HOLE,167.51,83.76,36.53,150.76,64
HCPCS,C1713,DEVICE EXTERNAL FIXATION SMART TSF MOUNT 2 HOLE ADJACENT X RAY CAPTURE BEACON,1424.41,712.21,310.66,1281.97,64
HCPCS,C1713,DEVICE FIXATION 30CM FLEXBAND TWIST,5575.0,2787.5,1215.91,5017.5,64
HCPCS,C1713,DEVICE FIXATION 9-10MM EZLOC SHORT FEMORAL 35+ MM TUNNEL,392.7,196.35,75.2,353.43,65
HCPCS,C1713,DEVICE FIXATION ACL L10 MM TIGHTROPE SMALL 4 POINT LOCK ADJUSTABLE LOOP DRILL HOLE BONE TENDON BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,DEVICE FIXATION ACL OD30 MM ENDOBUTTON CL ULTRA PRELOAD BRAID SUTURE POLYESTER,291.0,145.5,55.73,261.9,65
HCPCS,C1713,DEVICE FIXATION ACL OD35 MM ENDOBUTTON CL ULTRA PRELOAD BRAID SUTURE POLYESTER,291.0,145.5,55.73,261.9,65
HCPCS,C1713,DEVICE FIXATION ACL OD40 MM ENDOBUTTON CL ULTRA PRELOAD BRAID SUTURE POLYESTER,291.0,145.5,55.73,261.9,65
HCPCS,C1713,DEVICE FIXATION ACL RIGHT TIGHTROPE FIBERTAG,525.0,262.5,100.54,472.5,65
HCPCS,C1713,DEVICE FIXATION ACL TIGHTROPE ATTACHABLE UHMWPE,184.0,92.0,35.24,165.6,65
HCPCS,C1713,DEVICE FIXATION ACL TIGHTROPE FIBERTAG ABS,335.0,167.5,64.15,301.5,65
HCPCS,C1713,DEVICE FIXATION FAST-FIX 360 D 2-0 5 MM REVERSE CURVE 2 ANCHOR MENISCAL REPAIR SYSTEM,460.0,230.0,88.09,414.0,65
HCPCS,C1713,DEVICE FIXATION FAST-FIX 360 D CURVE 2 ANCHOR PRETIE SUTURE MENISCAL REPAIR SYSTEM,460.0,230.0,88.09,414.0,65
HCPCS,C1713,DEVICE FIXATION FAST-FIX 360 D STRAIGHT NEEDLE MENISCAL REPAIR SYSTEM,460.0,230.0,88.09,414.0,65
HCPCS,C1713,DEVICE FIXATION FIBERTAG TIGHTROPE II SUTURE TITANIUM,725.0,362.5,138.84,652.5,65
HCPCS,C1713,DEVICE FIXATION KNEE TIBIAL OD9-10 MM BIOSURE SYNC,221.0,110.5,42.32,198.9,65
HCPCS,C1713,DEVICE FIXATION LONG 7-8MM FEMORAL EZLOC 50+ MM TUNNEL,392.7,196.35,85.65,353.43,64
HCPCS,C1713,DEVICE FIXATION MAXFIRE MARXMAN ZIPLOOP STRAIGHT MENISCUS,412.0,206.0,78.9,370.8,65
HCPCS,C1713,DEVICE FIXATION MAXFIRE MENISCUS REPAIR ZIPLOOP TECHNOLOGY,360.0,180.0,68.94,324.0,65
HCPCS,C1713,DEVICE FIXATION OD10 MM ENDOBUTTON CL ULTRA PRELOAD BRAID SUTURE,335.27,167.64,64.2,301.74,65
HCPCS,C1713,DEVICE FIXATION RIGHT 2 LOAD PASS SUTURE,370.0,185.0,70.86,333.0,65
HCPCS,C1713,DEVICE FIXATION TIBIA BIOSURE SYNC 7-8 MM,221.0,110.5,42.32,198.9,65
HCPCS,C1713,DEVICE FIXATION TIGHTROPE ACL RIGHT TITANIUM UHMWPE STERILE LATEX FREE DISPOSABLE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,DEVICE FIXATION TIGHTROPE DEPLOY SUTURE,445.0,222.5,85.22,400.5,65
HCPCS,C1713,DEVICE FIXATION TIGHTROPE II FLIP SUTURE BONE TO BONE,545.0,272.5,104.37,490.5,65
HCPCS,C1713,DEVICE FIXATION TIGHTROPE OPEN ATTACHABLE BUTTON SYSTEM,194.0,97.0,37.15,174.6,65
HCPCS,C1713,DEVICE FIXATION TRUESPAN ORTHOCORD 12 D 2-0 NONABSORBABLE 2 BACKSTOP BRAID NEEDLE PEEK VIOLET MENISCAL REPAIR SYSTEM,462.0,231.0,88.47,415.8,65
HCPCS,C1713,DEVICE FIXATION ULTRA FAST-FIX CURVE ABSORBABLE MENISCAL REPAIR SYSTEM,370.95,185.48,71.04,333.86,65
HCPCS,C1713,DEVICE FIXATION ULTRA FAST-FIX CURVE MENISCAL REPAIR SYSTEM,308.23,154.12,67.22,277.41,64
HCPCS,C1713,DEVICE FIXATION ULTRABUTTON ADJUSTABLE LOOP REDUCTION,350.0,175.0,67.03,315.0,65
HCPCS,C1713,DEVICE FIXATION VERSITOMIC G-LOK XL,212.33,106.17,46.31,191.1,64
HCPCS,C1713,DEVICE FUSION L40 MM X W12 MM THREAD RIALTO TITANIUM,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1713,DEVICE FUSION L50 MM X W12 MM THREAD RIALTO TITANIUM,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1713,DEVICE FUSION L60 MM X W12 MM THREAD RIALTO TITANIUM,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1713,DEVICE MEASURING 3.5/4 MM CANNULATED SCREW,186.1,93.05,35.64,167.49,65
HCPCS,C1713,DEVICE PUNCTURE CLOSURE,112.27,56.14,21.5,101.04,65
HCPCS,C1713,DEVICE SMARTSTITCH PERFECTPASSER MAGNUMWIRE COBRAID CARTRIDGE BLACK STERILE LATEX FREE DISPOSABLE SUTURE,1056.0,528.0,230.31,950.4,64
HCPCS,C1713,DEVICE SUTURE ARTHROSCOPIC FIXATION 50MML POLYESTER H1 TIP PRE-LOADED W/ULTRABRAID WHITE LEAD/DURABRAID GREEN FLIPPING F/SOFT TISSUE BONE TENDON ACL/PCL SYSTEM ENDOBUTTON CL ULTRA LATEX-FREE,291.0,145.5,55.73,261.9,65
HCPCS,C1713,DEVICE SUTURE ARTHROSCOPIC FIXATION 55MML POLYESTER H1 TIP PRE-LOADED W/ULTRABRAID WHITE LEAD/DURABRAID FLIPPING F/SOFT TISSUE BONE TENDON ACL PCL SYSTEM ENDOBUTTON CL ULTRA LATEX-FREE,291.0,145.5,55.73,261.9,65
HCPCS,C1713,DEVICE SUTURING 2-0 CURVE NEEDLE LOW PROFILE ADJUSTABLE DEPTH STOP SPEEDCINCH FIBERWIRE PEEK,395.0,197.5,75.64,355.5,65
HCPCS,C1713,DEVICE SUTURING CARTRIDGE ULTRA HIGH STRENGTH SPEEDSTITCH MAGNUMWIRE POLYESTER STERILE FOOT ANKLE ROTATOR CUFF DISPOSABLE WHITE,964.98,482.49,210.46,868.48,64
HCPCS,C1713,DEVICE SUTURING CURVE MENISCAL CINCH,285.0,142.5,54.58,256.5,65
HCPCS,C1713,DEVICE SUTURING DEPTH STOP MENISCAL CINCH II,395.0,197.5,75.64,355.5,65
HCPCS,C1713,DISC ARTIFICIAL W15 MM X H6 MM D12.5 MM MEDIUM FOOTPRINT ENDPLATE LOW PROFILE M6-C TITANIUM UHMWPE POLYMER SPINE CERVICAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,DISC INTERVERTEBRAL H4 MM 1 SIMPLIFY SPINE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,DISC INTERVERTEBRAL H5 MM D14 MM PRESTIGE LP SPINE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1713,DISSECTOR ENDOSCOPIC L13 CM AGGRESSIVE OD5 MM COOLCUT ARTHROSCOPY,195.0,97.5,37.34,175.5,65
HCPCS,C1713,DISTRACTOR ANGULAR SURGICAL,569.06,284.53,124.11,512.15,64
HCPCS,C1713,DISTRACTOR BONE INTERNAL 7MM TITANIUM ACTIVATION ARM DIRECT DRIVE,803.88,401.94,153.94,723.49,65
HCPCS,C1713,DISTRACTOR BONE INTERNAL MICRO 20MM 0.3MM TURN TITANIUM DISTAL MANDIBULAR RATCHET END-DRIVEN 16-HOLE F/1.5/1.8MM SCREW ZURICH II STERILE,6264.96,3132.48,1366.39,5638.46,64
HCPCS,C1713,DISTRACTOR BONE SPRING 6N THK NC,2333.0,1166.5,446.77,2099.7,65
HCPCS,C1713,DISTRACTOR CRANIAL SPRING SMARTFLEX 7.5 N SURGICAL STAINLESS STEEL,2555.0,1277.5,489.28,2299.5,65
HCPCS,C1713,DISTRACTOR CRANIAL SPRING SMARTFLEX 8 N SURGICAL STAINLESS STEEL,2971.0,1485.5,568.95,2673.9,65
HCPCS,C1713,DISTRACTOR L.5 MM SCREWDRIVER RED II SURGICAL,9135.0,4567.5,1992.34,8221.5,64
HCPCS,C1713,DISTRACTOR L120 MM LINEAR MRI SAFE 85 MM SURGICAL,599.71,299.86,130.8,539.74,64
HCPCS,C1713,DISTRACTOR L180 MM LINEAR MRI SAFE 85 MM SURGICAL,635.43,317.72,138.59,571.89,64
HCPCS,C1713,DISTRACTOR L20 MM MANDIBLE INTERNAL END DRIVEN RATCHET 36 HOLE ZURICH II MICRO SURGICAL TI-6AL-4V 1-1.2 MM SCREW,6264.96,3132.48,1199.74,5638.46,65
HCPCS,C1713,DISTRACTOR L25 MM MANDIBLE MIDDLE DRIVEN TURN RATCHET ZURICH II WILLIAMS .5 MM SURGICAL TITANIUM 1.5 MM MICRO SCREW,6174.96,3087.48,1182.5,5557.46,65
HCPCS,C1713,DISTRACTOR L250 MM LINEAR MRI SAFE 215 MM SURGICAL,776.04,388.02,169.25,698.44,64
HCPCS,C1713,DISTRACTOR L60 MM LINEAR SURGICAL L25 MM,576.78,288.39,125.8,519.1,64
HCPCS,C1713,DISTRACTOR LINEAR COMPRESSION STRUT ADJUSTMENT KNOB HOUSING END SALVATION SURGICAL,979.08,489.54,213.54,881.17,64
HCPCS,C1713,DISTRACTOR PIVOT ANGLE SURGICAL,419.34,209.67,91.46,377.41,64
HCPCS,C1713,DOME TALAR 3 DOME STANDARD INVISION,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1713,DOME TALAR L39 MM X W39 MM X H11 MM 4 STANDARD SYMMETRIC INVISION COCR ANKLE,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1713,DRESSING PURAPLY AM 5X5CM 25SQ CM ANTIMICROBIAL WOUND PHMB MATRIX STERILE,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1713,DRILL BIT COUNTERSINK ASNIS III CANNULATED AO FIT 6.5/8 MM SCREW S,243.78,121.89,46.68,219.4,65
HCPCS,C1713,DRILL PIN TIP TNT 2.5X330MM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,DRILL SURGICAL 150MM 1.1MM TIP THREADED WIRE,38.18,19.09,7.31,34.36,65
HCPCS,C1713,END CAP MONOLITH H15 MM 10 D LORDOTIC OD12 MM H13 MM SPINAL,350.0,175.0,67.03,315.0,65
HCPCS,C1713,END CAP MONOLITH H15 MM 7 D LORDOTIC OD12 MM H13 MM SPINAL,350.0,175.0,67.03,315.0,65
HCPCS,C1713,END CAP MONOLITH L15 MM X W13 MM PARALLEL OD12 MM SPINAL,350.0,175.0,67.03,315.0,65
HCPCS,C1713,END CAP ORTHOPEDIC PRECICE TITANIUM ANKLE SALVAGE SYSTEM STERILE LATEX FREE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,END CAP PRECICE +15 MM OD12.5 MM SPINAL TRAUMA NAIL SYSTEM,315.0,157.5,60.32,283.5,65
HCPCS,C1713,END CAP T2 STRATOSPHERE EXPANDABLE CORPECTOMY SYSTEM 0 D OD22 MM SPINAL,200.0,100.0,38.3,180.0,65
HCPCS,C1713,END CAP T2 STRATOSPHERE EXPANDABLE CORPECTOMY SYSTEM 8 D OD20 MM SPINAL,200.0,100.0,38.3,180.0,65
HCPCS,C1713,END CAP VLIFT 0 D OD18 MM MODULAR OPEN SNAP SPINAL TITANIUM VERTEBRAL BODY REPLACEMENT SYSTEM,73.63,36.82,14.1,66.27,65
HCPCS,C1713,END CAP VLIFT 3 D OD18 MM 3D SPINAL,80.26,40.13,15.37,72.23,65
HCPCS,C1713,END CAP VLIFT 8 D OD18 MM SPINAL,84.33,42.17,16.15,75.9,65
HCPCS,C1713,END CAP X-CORE 2 H16 MM LOCK SPINAL TITANIUM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,END CAP X-CORE 2 H18 MM 4 D ROUND OD16 MM SPINAL TITANIUM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,END CAP X-CORE 2 H40 MM -4 D OD18 MM H18 MM SPINAL TITANIUM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,END CAP X-CORE 2 H40 MM 0 D OD18 MM H18 MM SPINAL TITANIUM 6184000,285.0,142.5,54.58,256.5,65
HCPCS,C1713,END CAP X-CORE 2 H40 MM 4 D OD18 MM H18 MM SPINAL TITANIUM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,END CAP X-CORE 2 H50 MM 0 D OD18 MM H22 MM SPINAL TITANIUM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,END CAP X-CORE 2 H50 MM 4 D OD18 MM H22 MM SPINAL TITANIUM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,END CAP X-CORE L15 MM X W12 MM 7 D LORDOTIC MINI OD12 MM BOTTOM SPINAL TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE L17 MM X W14 MM 4 D KYPHOTIC OD14 MM TOP SPINAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE MINI H15 MM 7 D LORDOTIC OD12 MM H12 MM SPINAL TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE MINI H17 MM 7 D LORDOTIC OD12 MM H14 MM SPINAL TITANIUM 5962746,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE MINI H17 MM 7 D LORDOTIC OD14 MM H14 MM SPINAL TITANIUM 5964746,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE MINI H17 MM 7 D LORDOTIC OD14 MM H14 MM SPINAL TITANIUM 5964747,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE MINI H17 MM PARALLEL OD12 MM H14 MM SPINAL TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,END CAP X-CORE MINI L15 MM X W12 MM PARALLEL OD12 MM SPINAL TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP ORTHOPEDIC DYNAFUSE 2600-05-0000,114.0,57.0,21.83,102.6,65
HCPCS,C1713,ENDCAP ORTHOPEDIC TITANIUM HUMERAL 5MM EXTENSION AIM,60.0,30.0,11.49,54.0,65
HCPCS,C1713,ENDCAP SPINAL 14MM X 12MM X 2MM 3.5DEG ANGLED COLOSSEUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP SPINAL 14MM X 12MM X 3MM 3.5DEG ANGLED COLOSSEUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP SPINAL 16MM X 14MM X 2MM 3.5DEG ANGLED COLOSSEUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP SPINAL 8.5-10.7MM DIA 0MM THK PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,ENDCAP SPINAL LOCKING F/ACP PROFICIENT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,ENDCAP SPINAL LOCKING THREADED CREO DLX,30.0,15.0,5.75,27.0,65
HCPCS,C1713,ENDCAP SPINAL MINI 14MMW X 17MML 14MM CORE TITANIUM ANGLED PARALLEL BOTTOM F/VERTEBRAL BODY REPLACEMENT SYSTEM X-CORE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP SPINAL MINI 14MMW X 17MML 14MM CORE TITANIUM ANGLED PARALLEL TOP F/VERTEBRAL BODY REPLACEMENT SYSTEM X-CORE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP SPINAL MINI 16MMW X 19MML 14MM CORE TITANIUM 7DEG ANGLED BOTTOM F/VERTEBRAL BODY REPLACEMENT SYSTEM X-CORE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDCAP SPINAL MINI 16MMW X 19MML 14MM CORE TITANIUM 7DEG ANGLED F/VERTEBRAL BODY REPLACEMENT SYSTEM X-CORE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE INFERIOR LARGE 3IN,4300.0,2150.0,823.45,3870.0,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC 11 D MEDIUM PRODISC L SUPERIOR,3594.8,1797.4,688.4,3235.32,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC 3 D MEDIUM PRODISC-L SPINE LUMBAR INFERIOR,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC 6 D MEDIUM SPINE SUPERIOR,3594.8,1797.4,688.4,3235.32,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC L34.5 MM X W25 MM 6 D MEDIUM CONVEX SPIKE ACTIV L PLASMAPORE SPINE LUMBAR SUPERIOR,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC L34.5 MM X W27 MM MEDIUM PRODISC-L COCRMO LUMBOSACRAL INFERIOR,3594.8,1797.4,688.4,3235.32,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC L34.5 MM X W28 MM 5 D MEDIUM CONVEX SPIKE ACTIV L PLASMAPORE SPINE LUMBAR S1 INFERIOR,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,ENDPLATE INTERVERTEBRAL DISC L39 MM X W30 MM 6 D LARGE PRODISC-L COCRMO LUMBOSACRAL SUPERIOR,3594.8,1797.4,688.4,3235.32,65
HCPCS,C1713,ENDPLATE SPINAL 14MMW X 16MML 12MML LOWER TITANIUM 0DEG W/O SPIKE F/CORPECTOMY FORTIFY I ANTERIOR CERVICAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL 15MMW X 18MML 12MM LOWER TITANIUM 0DEG ANGLED OPTIMIZED FIT SPIKELESS W/SPIKE F/CORPECTOMY FORTIFY ANTERIOR CERVICAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ENDPLATE SPINAL 15MMW X 18MML 12MM UPPER TITANIUM 0DEG ANGLED OPTIMIZED FIT SPIKELESS W/SPIKE F/CORPECTOMY FORTIFY ANTERIOR CERVICAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ENDPLATE SPINAL 15MMW X 18MML 12MM UPPER TITANIUM 3.5DEG ANGLED OPTIMIZED FIT SPIKELESS W/SPIKE F/CORPECTOMY FORTIFY ANTERIOR CERVICAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ENDPLATE SPINAL 22MMW X 40MML 20MM LOWER TITANIUM 0DEG ANGLED NO SPIKES FOOTPRINT W/O SPIKE F/CORPECTOMY FORTIFY I ANTERIOR CERVICAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL 22MMW X 50MML 20MM LOWER TITANIUM 0DEG ANGLED NO SPIKES FOOTPRINT W/O SPIKE F/CORPECTOMY FORTIFY I ANTERIOR CERVICAL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL 8 INFR STERILE,3825.0,1912.5,732.49,3442.5,65
HCPCS,C1713,ENDPLATE SPINAL DISC 14MMW X 14MMD UPPER 0DEG ANGLED FOOTPRINT NO SPKIES FORTIFY-R,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 14MMW X 14MMD UPPER 0DEG ANGLED FOOTPRINT SPKIES FORTIFY-R,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 14MMW X 14MMD UPPER 3.5DEG ANGLED FOOTPRINT SPKIES FORTIFY-R,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 14MMW X 16MML 12MM LOWER PEEK-OPTIMA TITANIUM ANTERIOR CERVICAL 3.5DEG ANGLED SPIKELESS FOOTPRINT F/CORPECTOMY FORTIFY I,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 14MMW X 16MML 12MM UPPER PEEK-OPTIMA TITANIUM ANTERIOR CERVICAL 3.5DEG ANGLED SPIKELESS FOOTPRINT F/CORPECTOMY FORTIFY I,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 15MMW X 18MML 14MM LOWER THORACOLUMBAR 3.5DEG ANGLED FOOTPRINT FORTIFY-R,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 15MMW X 18MML 14MM UPPER THORACOLUMBAR 0DEG ANGLED SPIKELESS FOOTPRINT FORTIFY-R,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 16MMW X 16MML 16MM UPPER TITANIUM ANTERIOR CERVICAL 0DEG ANGLED OPTIMIZED FIT SPIKELESS FOOTPRINT F/CORPECTOMY FORTIFY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ENDPLATE SPINAL DISC 45MMW X 18MML 16MM UPPER TITANIUM ANTERIOR CERVICAL 4DEG ANGLED OPTIMIZED FIT SPIKELESS FOOTPRINT F/CORPECTOMY FORTIFY,250.0,125.0,47.88,225.0,65
HCPCS,C1713,EVOS 2.4MM STRENGTH PLATE 10 HOLE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,EVOS 2.4MM X 50MM CTX SCR T7 S-T,28.5,14.25,5.46,25.65,65
HCPCS,C1713,EVOS 2.7/3.5 P/A M-D TIBIA PL 6H R 97MM,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,EVOS 2.7/3.5MM PL-D FIBULA PL 5H R 93MM,648.0,324.0,124.09,583.2,65
HCPCS,C1713,EVOS 2.7MM FLEX PLATE 10 HL,702.0,351.0,134.43,631.8,65
HCPCS,C1713,EVOS 2.7MM L-D FIBULA PL 8H L 82MM,648.0,324.0,124.09,583.2,65
HCPCS,C1713,EVOS 2.7MM L-D FIBULA PL 8H R 82MM,648.0,324.0,124.09,583.2,65
HCPCS,C1713,EVOS 2.7MM TRIANGLE PLATE 8 HL SFT,815.4,407.7,156.15,733.86,65
HCPCS,C1713,EVOS 3.5MM LATERAL PROXIMAL TIBIA PLATE 4H L 70MM,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,EXTENDER BONE GRAFT 10CC GRANULE INQU STERILE HYALURONIC ACID POLY LACTIDE-CO-GLYCOLIDE,1085.0,542.5,207.78,976.5,65
HCPCS,C1713,EXTENDER BONE GRAFT 10CC PASTE MIX PLUS INQU STERILE HYALURONIC ACID POLY LACTIDE-CO-GLYCOLIDE,1410.0,705.0,270.02,1269.0,65
HCPCS,C1713,EXTENDER BONE GRAFT 2.5CC PASTE MIX PLUS INQU STERILE HYALURONIC ACID POLY LACTIDE-CO-GLYCOLIDE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,EXTENDER BONE GRAFT 5CC PASTE MIX PLUS INQU STERILE HYALURONIC ACID POLY LACTIDE-CO-GLYCOLIDE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,EXTENDER BONE GRAFT 5X10CM MATRIX MOLDABLE STRIP INQU STERILE HYALURONIC ACID POLY LACTIDE-CO-GLYCOLIDE,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,EXTENSION STEM L50 MM OD10 MM SCREW TIBIA IBALANCE,559.0,279.5,107.05,503.1,65
HCPCS,C1713,FILLER BONE ADVNCD VOID 10CC,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,FILLER BONE VOID .5CC DBX PUTTY,158.0,79.0,30.26,142.2,65
HCPCS,C1713,FILLER BONE VOID 1 CC DEMINERALIZED BONE MATRIX GRAFTON PUTTY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,FILLER BONE VOID 1.3 CC L11 MM X W11 MM X H11 MM DEMINERALIZED CANCELLOUS CONFORM CUBE Q-PACK ALLOGRAFT MONOLITHIC CUSTOMIZABLE MATRIX WICKABLE,524.48,262.24,100.44,472.03,65
HCPCS,C1713,FILLER BONE VOID 10 CC DBX DBX ALLOGRAFT FREEZE DRIED PUTTY,1703.0,851.5,326.12,1532.7,65
HCPCS,C1713,FILLER BONE VOID 10 CC DBX DBX ALLOGRAFT FREEZE DRY MIX,1926.0,963.0,368.83,1733.4,65
HCPCS,C1713,FILLER BONE VOID 10 CC KINEX BIOACTIVE GEL,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,FILLER BONE VOID 10 CC L100 MM X W25 MM THK4 MM KINEX BIOACTIVE STRIP,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,FILLER BONE VOID 10 CC OD1.4-2.8 MM MEDIUM BTCP CHRONOS GRANULE OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,542.02,271.01,103.8,487.82,65
HCPCS,C1713,FILLER BONE VOID 10 CC OD2.8-5.6 MM LARGE BTCP CHRONOS GRANULE OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,542.02,271.01,103.8,487.82,65
HCPCS,C1713,FILLER BONE VOID 10 ML DEMINERALIZE BONE MATRIX GRAFTON ALLOGRAFT PUTTY,892.0,446.0,170.82,802.8,65
HCPCS,C1713,FILLER BONE VOID 10CC BOVINE COLLAGEN TRICALCIUM PHOSPHATE OSTEOSTRUX STRIP RESORBABLE STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,FILLER BONE VOID 10CC NANOSS 3D ABGS STERILE LATEX FREE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,FILLER BONE VOID 15CC BOVINE COLLAGEN TRICALCIUM PHOSPHATE OSTEOSTRUX STRIP RESORBABLE STERILE LATEX FREE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,FILLER BONE VOID 2.5 CC DBX DBX ALLOGRAFT PUTTY FREEZE DRIED,567.0,283.5,108.58,510.3,65
HCPCS,C1713,FILLER BONE VOID 20 CC DBX DBX ALLOGRAFT FREEZE DRY MIX,3183.94,1591.97,609.72,2865.55,65
HCPCS,C1713,FILLER BONE VOID 20 CC L100 MM X W25 MM THK8 MM KINEX BIOACTIVE STRIP,2628.0,1314.0,503.26,2365.2,65
HCPCS,C1713,FILLER BONE VOID 20 CC OD1.4-2.8 MM MEDIUM BTCP CHRONOS GRANULE OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,773.23,386.62,148.07,695.91,65
HCPCS,C1713,FILLER BONE VOID 20 CC OD2.8-5.6 MM LARGE BTCP CHRONOS GRANULE OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,773.23,386.62,148.07,695.91,65
HCPCS,C1713,FILLER BONE VOID 20CC NANOSS 3D ABGS STERILE LATEX FREE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,FILLER BONE VOID 25X9MM CYLINDER BIOCOMPOSITE CALCIUM PHOSPHATE TRACE ELEMENT EXTRACELLULAR MATRIX PROTEIN PLEXUR P RESORBABLE SCAFFOLD,756.8,378.4,144.93,681.12,65
HCPCS,C1713,FILLER BONE VOID 3 ML CALCIUM PHOSPHATE FIBER NORIAN DRILLABLE,656.22,328.11,125.67,590.6,65
HCPCS,C1713,FILLER BONE VOID 3ML OSTEOVATION EX INJECT FORMULA RADIOPAQUE,909.0,454.5,174.07,818.1,65
HCPCS,C1713,FILLER BONE VOID 4.9 CC L17 MM X W17 MM X H17 MM DEMINERALIZED CANCELLOUS CONFORM CUBE Q-PACK ALLOGRAFT MONOLITHIC CUSTOMIZABLE MATRIX WICKABLE,638.08,319.04,122.19,574.27,65
HCPCS,C1713,FILLER BONE VOID 5 CC CALCIUM PHOSPHATE FIBER SODIUM HYALURONATE NORIAN DRILLABLE FAST SET PUTTY,1076.61,538.31,206.17,968.95,65
HCPCS,C1713,FILLER BONE VOID 5 CC CALCIUM SULPHATE TRICALCIUM PHOSPHATE HYDROXYAPATITE OSTEOBOOST PUTTY 100% SYNTHETIC BIOCOMPATIBLE RESORBABLE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,FILLER BONE VOID 5 CC DBX DBX ALLOGRAFT PUTTY FREEZE DRIED,1141.0,570.5,218.5,1026.9,65
HCPCS,C1713,FILLER BONE VOID 5 CC DEMINERALIZE BONE MATRIX ALLOSYNC CB PUTTY,615.0,307.5,117.77,553.5,65
HCPCS,C1713,FILLER BONE VOID 5 CC DEMINERALIZE BONE MATRIX ALLOSYNC PUTTY,600.0,300.0,114.9,540.0,65
HCPCS,C1713,FILLER BONE VOID 5 CC L50 MM X W25 MM THK4 MM KINEX BIOACTIVE STRIP,750.0,375.0,143.63,675.0,65
HCPCS,C1713,FILLER BONE VOID 5 CC OD1.4-2.8 MM MEDIUM BTCP CHRONOS GRANULE OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,281.1,140.55,53.83,252.99,65
HCPCS,C1713,FILLER BONE VOID 5CC 100X25X4MM NANOSS 3D ABGS STERILE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,FILLER BONE VOID L100 MM X W25 MM X H3 MM BETA TRICALCIUM PHOSPHATE CHRONOS RESORBABLE STRIP,750.0,375.0,143.63,675.0,65
HCPCS,C1713,FILLER BONE VOID L100 MM X W25 MM X H6 MM BTCP POLYMER CHRONOS RESORBABLE STRIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,FILLER BONE VOID L12.5 MM X W12.5 MM X H10 MM BLOCK BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,271.11,135.56,51.92,244.0,65
HCPCS,C1713,FILLER BONE VOID L25 MM X W20 MM X H10 MM 18 D RECTANGULAR WEDGE BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,603.52,301.76,115.57,543.17,65
HCPCS,C1713,FILLER BONE VOID L25 MM X W20 MM X H12 MM 22 D RECTANGULAR WEDGE BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE READIOPAQUE,635.57,317.79,121.71,572.01,65
HCPCS,C1713,FILLER BONE VOID L25 MM X W20 MM X H6.5 MM 10 D RECTANGULAR WEDGE BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,538.07,269.04,103.04,484.26,65
HCPCS,C1713,FILLER BONE VOID L25 MM X W20 MM X H8 MM 14 D RECTANGULAR WEDGE BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,567.78,283.89,108.73,511.0,65
HCPCS,C1713,FILLER BONE VOID L35 MM X W25 MM X H13 MM 13 D SEMICIRCULAR WEDGE BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,689.89,344.95,132.11,620.9,65
HCPCS,C1713,FILLER BONE VOID L35 MM X W25 MM X H7 MM 7 D SEMICIRCULAR WEDGE BTCP CHRONOS OSTEOCONDUCTIVE RESORBABLE RADIOPAQUE,635.57,317.79,121.71,572.01,65
HCPCS,C1713,FIXATOR DISTRACTION 10MM ILIZAROV THK5MM 1MM TIBIAL STAINLESS STEEL 4 POINT DISTRACTION COUNTER COMPRESSION SQUARE HEAD ADULT,67.15,33.58,14.65,60.44,64
HCPCS,C1713,FIXATOR EXTERNAL AGEE WRISTJACK RADIAL DISTAL ADJUSTMENT DISC ROTATIONAL BIOMECHANICAL STERILE DISPOSABLE,1500.0,750.0,327.15,1350.0,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION D70 MM STERIPACK CORETRAK,3265.59,1632.8,712.23,2939.03,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION HINGE ELBOW,1075.08,537.54,234.47,967.57,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L140 MM X W16 MM D70 MM LOW PROFILE EXTRA HOLE CORETRAK SIDEKICK TITANIUM NITRIDE STAINLESS STEEL,2924.31,1462.16,637.79,2631.88,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L200 MM FRAME SELF DRILL ROD SCHANZ CARBON FIBER RADIAL DISTAL,2246.1,1123.05,489.87,2021.49,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L200 MM LOW PROFILE ROD OD2.5 MM ODSEC4 MM SCHANZ CARBON FIBER,1075.57,537.79,234.58,968.01,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L200 MM ROD SELF DRILL SCREW PREASSEMBLE FRAME SCHANZ TITANIUM CARBON FIBER RADIUS DISTAL,2399.08,1199.54,523.24,2159.17,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L220 MM FRAME SELF DRILL ROD SCHANZ CARBON FIBER RADIAL DISTAL,2246.1,1123.05,489.87,2021.49,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L220 MM ROD SELF DRILL SCREW PREASSEMBLE FRAME SCHANZ TITANIUM CARBON FIBER RADIUS DISTAL,2399.08,1199.54,523.24,2159.17,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L240 MM FRAME SELF DRILL ROD SCHANZ TITANIUM CARBON FIBER RADIAL DISTAL,2399.08,1199.54,523.24,2159.17,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION L240 MM PREASSEMBLE FRAME SELF DRILL SCHANZ CARBON FIBER RADIAL DISTAL,2246.1,1123.05,430.13,2021.49,65
HCPCS,C1713,FIXATOR EXTERNAL FIXATION SHORT CORE TRAK,2477.55,1238.78,540.35,2229.8,64
HCPCS,C1713,FIXATOR EXTERNAL FIXATION STERIPACK CORETRAK,3265.59,1632.8,712.23,2939.03,64
HCPCS,C1713,FIXTURE IMPLANT SCREW F/G OPRA,1239.0,619.5,237.27,1115.1,65
HCPCS,C1713,FOOTPLATE EXTERNAL FIXATION 180MM DOUBLE ROW TL-HEX STERILE,2249.1,1124.55,490.53,2024.19,64
HCPCS,C1713,FOOTPLATE EXTERNAL FIXATION 2 ROW ID160 MM TL-HEX,2154.24,1077.12,469.84,1938.82,64
HCPCS,C1713,FRAME EXTERNAL FIXATION ID180 MM SALVATION,6174.0,3087.0,1346.55,5556.6,64
HCPCS,C1713,FRAME EXTERNAL FIXATION ID220 MM SALVATION,6174.0,3087.0,1346.55,5556.6,64
HCPCS,C1713,FRAME EXTERNAL FIXATION OD160 MM SALVATION,6174.0,3087.0,1346.55,5556.6,64
HCPCS,C1713,FRAME EXTERNAL FIXATION OUTRIGGER ASSEMBLY ACUMED SMALL BONE FIXATOR SET,266.0,133.0,58.01,239.4,64
HCPCS,C1713,FRAME FOOT 155MM,4263.0,2131.5,929.76,3836.7,64
HCPCS,C1713,FRAME FOOT 180MM,4263.0,2131.5,929.76,3836.7,64
HCPCS,C1713,GRAFT BIOREADY 1CC PUTTY THREAD SYRINGE CAP BONE DEMINERALIZED BONE MATRIX,150.0,75.0,28.73,135.0,65
HCPCS,C1713,GRAFT BIOREADY 2CC DEMINERALIZED BONE MATRIX PUTTY OPEN BORE SYRINGE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,GRAFT BIOREADY 5CC DEMINERALIZED BONE MATRIX PUTTY OPEN BORE SYRINGE BONE,625.0,312.5,119.69,562.5,65
HCPCS,C1713,GRAFT BONE 10 ML FLOWABLE OSSIFUSE HSA,1250.0,625.0,239.38,1125.0,65
HCPCS,C1713,GRAFT BONE 15 CC ALLOGRAFT VIVIGEN FORMABLE XL,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1713,GRAFT BONE 2 CC PUTTY ATTRAX,330.0,165.0,63.2,297.0,65
HCPCS,C1713,GRAFT BONE 24 MM BASEPLATE 20 DEGREE FULL AUGMENT +2 LATERALIZED OBLIQUE GLENOID SYSTEM FULL WEDGE,1514.0,757.0,289.93,1362.6,65
HCPCS,C1713,GRAFT BONE 5 CC PUTTY ATTRAX,825.0,412.5,157.99,742.5,65
HCPCS,C1713,GRAFT BONE 6 CC PUTTY ATTRAX,990.0,495.0,189.59,891.0,65
HCPCS,C1713,GRAFT BONE ALLOGRAFT PUTTY PROPEL LARGE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,GRAFT BONE ALLOGRAFT PUTTY PROPEL MEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,GRAFT BONE AOC L50 MM X W12.5 MM X H8 MM 10 CC PUTTY STRIP ATTRAX,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,GRAFT BONE BICORTICAL COTTON L24 MM X W14 MM X H6 MM ALLOGRAFT WEDGE ALLOPURE,2385.0,1192.5,456.73,2146.5,65
HCPCS,C1713,GRAFT BONE BICORTICAL L20 MM X W22 MM X H10 MM ALLOGRAFT WEDGE ALLOPURE,2833.0,1416.5,542.52,2549.7,65
HCPCS,C1713,GRAFT BONE CANCELLOUS 15 ML ALLOGRAFT CHIPS FREEZE DRIED 1.7-10 MM,250.0,125.0,47.88,225.0,65
HCPCS,C1713,GRAFT BONE CANCELLOUS DEMINERALIZE BONE MATRIX 10 CC PUTTY ALLOSYNC,1231.0,615.5,235.74,1107.9,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 1 CC ALLOGRAFT FROZEN VIVIGEN FORMABLE SMALL,467.7,233.85,89.56,420.93,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 1 CC ALLOGRAFT OSTEOCEL PRO SMALL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 10 CC ALLOGRAFT FROZEN OSTEOCEL PRO LARGE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 10 CC ALLOGRAFT FROZEN VIVIGEN FORMABLE LARGE,3300.0,1650.0,631.95,2970.0,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 10 CC ALLOGRAFT VIVIGEN,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 5 CC ALLOGRAFT FROZEN OSTEOCEL PRO MEDIUM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 5 CC ALLOGRAFT FROZEN VIVIGEN FORMABLE MEDIUM,2022.5,1011.25,387.31,1820.25,65
HCPCS,C1713,GRAFT BONE CELLULAR BONE MATRIX 5 CC ALLOGRAFT VIVIGEN,1725.0,862.5,330.34,1552.5,65
HCPCS,C1713,GRAFT BONE CORTICAL CANCELLOUS DEMINERALIZED 1 CC ALLOGRAFT VIVIGEN,395.0,197.5,75.64,355.5,65
HCPCS,C1713,GRAFT BONE DEMINERALIZE BONE MATRIX 10 CC PUTTY ALLOGRAFT ALLOSYNC,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,GRAFT BONE DEMINERALIZE BONE MATRIX 2.5 CC ALLOGRAFT PUTTY ALLOSYNC,308.0,154.0,58.98,277.2,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE FIBER 6 CC ALLOGRAFT INJECTION GRAFTON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 1 CC ALLOGRAFT PUTTY BIOCOMPOSITE INJECTABLE ALLOMATRIX,146.0,73.0,27.96,131.4,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 10 CC ALLOGRAFT PUTTY BIOCOMPOSITE INJECTABLE ALLOMATRIX,736.0,368.0,140.94,662.4,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 2 ML PUTTY ALLOGENIX,383.0,191.5,73.34,344.7,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 3 ML ALLOGRAFT CHIP PUTTY ALLOMATRIX,418.0,209.0,80.05,376.2,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 5 CC ALLOGRAFT ORTHOBLEND JAR GRAFTON GRAFTON PLUS LARGE DEFECT,811.2,405.6,155.34,730.08,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 5 CC ALLOGRAFT VIAL CONTAINER BIO DBM PUTTY,325.0,162.5,62.24,292.5,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX 5 ML ALLOGRAFT PUTTY BIOCOMPOSITE INJECTABLE ALLOMATRIX,484.0,242.0,92.69,435.6,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX CANCELLOUS 10 CC ALLOGRAFT PUTTY MOLDABLE ALLOMATRIX,748.0,374.0,143.24,673.2,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX CANCELLOUS 5 CC ALLOGRAFT PUTTY MOLDABLE ALLOMATRIX,508.0,254.0,97.28,457.2,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX DEMINERALIZED BONE FIBER 1 CC ALLOGRAFT FREEZE DRIED GRAFTON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX FIBER ALLOGRAFT PROPEL MEDIUM,625.0,312.5,119.69,562.5,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX FIBER L6 MM ALLOGRAFT PROPEL LARGE OD6.5 MM,1250.0,625.0,239.38,1125.0,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX L10 CM X W2.5 CM MAGNIFUSE POSTEROLATERAL,2535.0,1267.5,485.45,2281.5,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX L5 CM X W1 CM MAGNIFUSE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX L5 CM X W1.75 CM MAGNIFUSE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX L5 CM X W2.5 CM MAGNIFUSE POSTEROLATERAL,1261.0,630.5,241.48,1134.9,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX POLYGLYCOLIC ACID L10 CM X W2.5 CM ALLOGRAFT RESORB REMODEL REPLACE MESH BAG MAGNIFUSE II PELVIS SPINE POSTEROLATERAL,4750.0,2375.0,909.63,4275.0,65
HCPCS,C1713,GRAFT BONE DEMINERALIZED BONE MATRIX POLYGLYCOLIC ACID L5 CM X W2.5 CM ALLOGRAFT RESORB REMODEL MESH BAG MAGNIFUSE II REGULAR SPINE PELVIS POSTEROLATERAL,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1713,GRAFT BONE ENTANGLE COLLAGEN MATRIX L100 MM X W25 MM X H6 MM 30 CC SCAFFOLD COMPRESSION RESISTANCE MICROSCALE SURFACE STRIP ATTRAX,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,GRAFT BONE ENTANGLE COLLAGEN MATRIX L20 MM X W10 MM X H10 MM 2 CC SCAFFOLD COMPRESSION RESISTANCE MICROSCALE SURFACE MICROPOROSITY ATTRAX BLOCK,330.0,165.0,63.2,297.0,65
HCPCS,C1713,GRAFT BONE ENTANGLE COLLAGEN MATRIX L50 MM X W12 MM X H10 MM 6 CC SCAFFOLD COMPRESSION RESISTANCE MICROSCALE SURFACE MICROPOROSITY ATTRAX BLOCK,990.0,495.0,189.59,891.0,65
HCPCS,C1713,GRAFT BONE ENTANGLE COLLAGEN MATRIX L50 MM X W25 MM X H6 MM 15 CC SCAFFOLD COMPRESSION RESISTANCE MICROSCALE SURFACE MICROPOROSITY ATTRAX STRIP,2475.0,1237.5,473.96,2227.5,65
HCPCS,C1713,GRAFT BONE ENTANGLE COLLAGEN MATRIX L55 MM X W15 MM X H12 MM 10 CC SCAFFOLD COMPRESSION RESISTANCE MICROSCALE SURFACE MICROPOROSITY ATTRAX BLOCK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1713,GRAFT BONE H5 MM ALLOGRAFT LENGTH RESTORE PRESERVE ANGULAR WEDGE LAPIDUS,1504.5,752.25,288.11,1354.05,65
HCPCS,C1713,GRAFT BONE H6 MM ALLOGRAFT PRESERVE WEDGE COTTON OSTEOTOMY,800.0,400.0,153.2,720.0,65
HCPCS,C1713,GRAFT BONE HUMAN BONE H8 MM ALLOGRAFT BICORTICAL ALLOPURE EVANS WEDGE,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1713,GRAFT BONE ILIAC CREST H18 MM WEDGE STRUCTURAL REPAIR VERTIGRAFT,541.91,270.96,103.78,487.72,65
HCPCS,C1713,GRAFT BONE ILIAC CREST TRICORTICAL L25-35 MM X W9-21 MM ALLOGRAFT BLOCK FREEZE DRIED THK19-21 MM WEDGE W6-20 MM,970.6,485.3,185.87,873.54,65
HCPCS,C1713,GRAFT BONE L20 MM X W8 MM 1 CC PUTTY ATTRAX CYLINDER,165.0,82.5,31.6,148.5,65
HCPCS,C1713,GRAFT BONE L50 MM X W25 MM X H8 MM 10 CC BIOACTIVE STRIP KINEX,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,GRAFT BONE L8 MM X W14 MM X H6 MM ALLOGRAFT COALITION AGX 7 D,540.0,270.0,103.41,486.0,65
HCPCS,C1713,GRAFT BONE NANOSYNTHETIC 10 CC PUTTY OSSDSIGN CATALYST,2390.0,1195.0,457.69,2151.0,65
HCPCS,C1713,GRAFT BONE NANOSYNTHETIC 5 CC PUTTY OSSDSIGN CATALYST,1580.0,790.0,302.57,1422.0,65
HCPCS,C1713,GRAFT BONE RHBMP-2 BOVINE COLLAGEN 1.4 ML ALLOGRAPH ABSORBABLE SPONGE SYRINGE NEEDLE INFUSE XS SPINE LUMBAR TAPER FUSION DEVICE,1847.85,923.93,353.86,1663.07,65
HCPCS,C1713,GRAFT BONE RHBMP-2 BOVINE COLLAGEN L23 MM 2.8 ML ABSORBABLE SPONGE SYRINGE NEEDLE INFUSE SMALL SPINE OD14 MM LUMBAR TAPER FUSION DEVICE,3690.85,1845.43,706.8,3321.77,65
HCPCS,C1713,GRAFT BONE SMALL HUMAN PROPEL DBM FIBER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,GRAFT BONE TRICORTICAL L20 MM X H15 MM ALLOGRAFT BLOCK,625.0,312.5,119.69,562.5,65
HCPCS,C1713,GRAFT CORNERSTONE-SR 14X11X8MM BONE TISSUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,GRAFT EXPONENT 10CC DEMINERALIZED BONE MATRIX ALLOGRAFT BONE STERILE,832.21,416.11,159.37,748.99,65
HCPCS,C1713,GRAFT GENEX 10CC ALLOGRAFT SUBSTITUTE SYNTHETIC RESORBABLE BONE STERILE LATEX FREE OSSEOUS,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,GRAFT GRAFTON .5ML DEMINERALIZED BONE MATRIX PUTTY JAR BONE,62.5,31.25,11.97,56.25,65
HCPCS,C1713,GRAFT GRAFTON 5X2.5CM DEMINERALIZE BONE MATRIX STRIP BONE,1361.1,680.55,260.65,1224.99,65
HCPCS,C1713,GRAFT IGNITE 20CC POWER MIX INJECTABLE SYNTHETIC TISSUE DEMINERALIZED BONE MATRIX,1573.0,786.5,301.23,1415.7,65
HCPCS,C1713,GRAFT INTERFYL SOFT TISSUE HUMAN EXTRACELLULAR MATRIX ALLOGRAFT FLOWABLE 1.5ML,2090.0,1045.0,400.24,1881.0,65
HCPCS,C1713,GRAFT MATRIGRAFT 200MM FEMORAL SHAFT BISECTED FROZEN BONE,857.35,428.68,164.18,771.62,65
HCPCS,C1713,GRAFT MINI IGNITE 4CC POWER MIX INJECTABLE SYNTHETIC TISSUE DEMINERALIZED BONE MATRIX,910.0,455.0,174.27,819.0,65
HCPCS,C1713,GRAFT ORTHOBLAST II 5CC CANCELLOUS DEMINERALIZED BONE MATRIX ALLOGRAFT PUTTY VIAL BONE STERILE,454.5,227.25,87.04,409.05,65
HCPCS,C1713,GRAFT OSTEOAMP 5CC 0-2MM 2MM CORTICAL CANCELLOUS ALLOGRAFT GRANULE BONE,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,GRAFT OSTEOBOOST SELECT 10CC PUTTY RADIOPAQUE BONE STERILE LATEX FREE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,GRAFT OSTEOSELECT 5CC DEMINERALIZED BONE MATRIX ALLOGRAFT PUTTY SYRINGE BONE,652.5,326.25,124.95,587.25,65
HCPCS,C1713,GRAFT PRO-DENSE 2CC INJECTABLE REGENERATIVE TRIPHASIC RESORPTION PROFILE SYNTHETIC TISSUE,1683.0,841.5,322.29,1514.7,65
HCPCS,C1713,GRAFT SIGNAFUSE BIPHASIC CALCIUM PHOSPHATE BIOACTIVE GLASS ALKYLENE OXIDE POLYMER SYNTHETIC PUTTY 15GM BONE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,GRAFT SIGNAFUSE BIPHASIC CALCIUM PHOSPHATE BIOACTIVE GLASS ALKYLENE OXIDE POLYMER SYNTHETIC PUTTY 3.75GM BONE STERILE,405.0,202.5,77.56,364.5,65
HCPCS,C1713,GRAFT SIGNAFUSE BIPHASIC CALCIUM PHOSPHATE BIOACTIVE GLASS ALKYLENE OXIDE POLYMER SYNTHETIC PUTTY 7.5GM BONE STERILE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,GRAFT SOFT TISSUE DURAMATRIX L5 IN X W4 IN SUTURABLE,1232.58,616.29,236.04,1109.32,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE CUSTOMIZE MEDPOR MIDFACE,15952.51,7976.26,3054.91,14357.26,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE INJECTABLE BIOCOMPOSITE REGENERATION PRO-DENSE CALCIUM PHOSPHATE CALCIUM SULFATE 4 CC,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE INJECTABLE REGENERATIVE TRIPHASIC RESORPTION PROFILE PRO-DENSE 5 CC,1298.0,649.0,248.57,1168.2,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE L20 MM X W20 MM THK2.5 MM THK.45 MM TAB MEDPOR TSI POLYETHYLENE NONPOROUS,648.0,324.0,124.09,583.2,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE L31 MM X W22 MM X H7 MM REGULAR WEDGE ENOPHTHALMOS SHAPE POROUS MEDPOR POLYETHYLENE 2 ML CRANIOMAXILLOFACIAL RIGHT ORBITAL,628.08,314.04,120.28,565.27,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE L40 MM X W9 MM X H1.1 MM SHEET POROUS MEDPOR POLYETHYLENE CRANIOMAXILLOFACIAL NOSE,206.79,103.4,39.6,186.11,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE L50 MM X W38 MM THK1 MM TRUMPET SHEET NONPOROUS MEDPOR HDPE ORBITAL FLOOR,694.88,347.44,133.07,625.39,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE L76 MM X W50 MM X H.85 MM ULTRA THIN SHEET MEDPOR POLYETHYLENE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE L76 MM X W50 MM X H1.5 MM ULTRA THIN SHEET SMOOTH TRANSITION MEDPOR POLYETHYLENE POROUS CRANIOMAXILLOFACIAL,630.0,315.0,120.65,567.0,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE MEDIUM CUSTOMIZE MEDPOR,14541.94,7270.97,2784.78,13087.75,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE PELLET INJECTOR OD4.8 MM OSTEOSET CALCIUM SULFATE 5 ML,271.0,135.5,51.9,243.9,65
HCPCS,C1713,GRAFT SYNTHETIC TISSUE STANDARD RESORBABLE INJECTABLE MIIG X3 CALCIUM SULFATE 5 CC,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,GRIP CABLE 2MM DALL-MILES 2MM MEDIUM HIP TROCHANTER VITALLIUM,866.8,433.4,165.99,780.12,65
HCPCS,C1713,GRIP CABLE L115 CM SMALL 5 ACCORD TROCHANTERIC,1461.0,730.5,279.78,1314.9,65
HCPCS,C1713,GRIP CABLE L125 MM STANDARD 5 ACCORD TROCHANTER,1551.0,775.5,297.02,1395.9,65
HCPCS,C1713,GRIP CABLE L195 MM STANDARD 8 CABLE ACCORD COCR TROCHANTER,2083.5,1041.75,398.99,1875.15,65
HCPCS,C1713,GRIP CABLE L85 MM STANDARD 3 CABLE ACCORD TROCHANTER,1242.0,621.0,237.84,1117.8,65
HCPCS,C1713,GRIP CABLE LARGE OD2 MM BMP COCR TROCHANTERIC,627.0,313.5,120.07,564.3,65
HCPCS,C1713,GRIPLASTY SYSTEM BASE OF THUMB WITH NEEDLES,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,GUIDE ANCHOR PEG GLENOID TRUMATCH SURGICAL SHOULDER,855.0,427.5,163.73,769.5,65
HCPCS,C1713,GUIDE INSERTION REPLACEMENT SCREW SURGICAL,492.0,246.0,94.22,442.8,65
HCPCS,C1713,GUIDE L27 MM HEX HEAD SCREW NA SURGICAL,80.0,40.0,15.32,72.0,65
HCPCS,C1713,GUIDE PIN ARTHROSCOPIC 2MM 77MM ANCHOR TRACKER KNEE,227.0,113.5,43.47,204.3,65
HCPCS,C1713,GUIDE PIN ORTHOPEDIC L150 MM OD1.5 MM AOS,106.94,53.47,20.48,96.25,65
HCPCS,C1713,GUIDE SIZING ANCILLARY TOOL,40.78,20.39,7.81,36.7,65
HCPCS,C1713,GUIDE SIZING ANCILLARY TOOL STERILE SPEEDARC LATEX FREE,40.78,20.39,7.81,36.7,65
HCPCS,C1713,GUIDEPIN ORTHOPEDIC TARGETER SIZE 3.2MM 350MM EVOS,405.0,202.5,88.33,364.5,64
HCPCS,C1713,GUIDEPIN SURGICAL 3.2MM LARGE 300MM DRILL TIP EVOS,440.1,220.05,95.99,396.09,64
HCPCS,C1713,GUIDEWIRE .062IN 6IN ORTHOPEDIC TROCAR STAINLESS STEEL NONSTERILE,14.0,7.0,2.68,12.6,65
HCPCS,C1713,GUIDEWIRE 1.5MM 500MM ORTHOPEDIC BLUNT TIP NITINOL,51.75,25.88,9.91,46.58,65
HCPCS,C1713,GUIDEWIRE ASNIS III 2MM 150MM ORTHOPEDIC THREAD NONSTERILE 5MM SCREW,71.64,35.82,13.72,64.48,65
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC ACUMED OD2 MM L9 IN TROCAR STAINLESS STEEL,22.0,11.0,4.21,19.8,65
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.059 IN L5 IN TROCAR STAINLESS STEEL,37.0,18.5,7.09,33.3,65
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC KIRSCHNER OD1.6 MM L500 MM BLUNT TIP,29.0,14.5,5.55,26.1,65
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC L150 MM OD1.1 MM,362.76,181.38,79.12,326.48,64
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC L150 MM OD1.6 MM CAPITAL FRAGMENT,49.0,24.5,10.69,44.1,64
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC OD1.4 MM 3.5 MM BEVEL FULL THREAD SCREW,49.0,24.5,10.69,44.1,64
HCPCS,C1713,GUIDEWIRE ORTHOPEDIC OD1.6 MM 4 MM BEVEL FULL THREAD SCREW,49.0,24.5,10.69,44.1,64
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 3MM 100MM 15MM MAVERICK,170.0,85.0,32.56,153.0,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 4MM 100MM 20MM MAVERICK,170.0,85.0,32.56,153.0,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM 160MM 35MM MAVERICK,170.0,85.0,32.56,153.0,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM 160MM 55MM MAVERICK,170.0,85.0,32.56,153.0,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM 200MM 45MM MAVERICK,170.0,85.0,32.56,153.0,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM 200MM 65MM MAVERICK,170.0,85.0,32.56,153.0,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM DIA SHORT 40MML STAINLESS STEEL TITANIUM NITRIDE COATED JET-X LATEX-FREE STERILE,17.0,8.5,3.26,15.3,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM DIA SHORT 45MML 160MML STAINLESS STEEL TITANIUM NITRIDE COATED JET-X PVC-FREE STERILE,87.47,43.74,16.75,78.72,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 5MM DIA SHORT 50MML 375MML STAINLESS STEEL TITANIUM NITRIDE COATED JET-X LATEX-FREE STERILE,1520.2,760.1,331.56,1368.18,64
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 6MM 200MM 35MM TAPER HYDROXYAPATITE TAPERED CORE BUTTON TIP CUTTING FLUTE F/LARGE BONE SYSTEM ORTHEX STERILE,182.74,91.37,34.99,164.47,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 6MM 200MM 45MM TAPER HYDROXYAPATITE TAPERED CORE BUTTON TIP CUTTING FLUTE F/LARGE BONE SYSTEM ORTHEX STERILE,182.74,91.37,34.99,164.47,65
HCPCS,C1713,HALF PIN EXTERNAL FIXATION 6MM DIA 200MML HYDROXYAPATITE COATED 45MML THREADED JET-X NON-STERILE,160.38,80.19,30.71,144.34,65
HCPCS,C1713,HANDLE SCREWDRIVER 6 NM TORQUE LIMIT HEXAGONAL COUPLING BLUE,1727.77,863.89,330.87,1554.99,65
HCPCS,C1713,HANDLE SCREWDRIVER T 6 NM TORQUE LIMIT HEXAGONAL COUPLING BLUE,1727.77,863.89,330.87,1554.99,65
HCPCS,C1713,HEAD FEMORAL +4MM OFFSET TAPER 28MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1713,HEAD FEMORAL LARGE 46MM HIP MODULAR GENTAMICIN VANCOMYCIN REMEDY SPECTRUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,HEAD FEMORAL MEDIUM 54MM HIP MODULAR GENTAMICIN VANCOMYCIN REMEDY SPECTRUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,HEAD SCREW MARINER SPINE EXTEND POLYAXIAL NONSTERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HEAD SCREW MARINER SPINE POLYAXIAL NONSTERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HEAD SCREW REDUCTION THREAD POLYAXIAL TITANIUM SPINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HEAD SCREW TOP LOAD POLYAXIAL TITANIUM SPINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HERCULES FT SUTURE ANCHOR  4.5MM X 13.5MM WITH TWO 2 BIGHTFORCE SUTURE & TAPERED 1/2 CIR NEEDLES - STERILE,777.0,388.5,148.8,699.3,65
HCPCS,C1713,HINGE EXTERNAL FIXATION ILIZAROV 90D STANDARD TIBIAL STAINLESS STEEL DELUXE SET ADULT,163.53,81.77,35.67,147.18,64
HCPCS,C1713,HINGE EXTERNAL FIXATION ILIZAROV 90D TIBIAL STAINLESS STEEL LOW PROFILE DELUXE SET ADULT,163.53,81.77,35.67,147.18,64
HCPCS,C1713,HINGE FIXATION FEMALE CONNECTOR,80.68,40.34,17.6,72.61,64
HCPCS,C1713,HINGE FIXATION FEMALE CONNECTOR LOW PROFILE ILIZAROV STAINLESS STEEL TIBIAL,80.68,40.34,17.6,72.61,64
HCPCS,C1713,HINGE FIXATION ILIZAROV TIBIAL STAINLESS STEEL MALE CONNECTOR LOW PROFILE,80.68,40.34,17.6,72.61,64
HCPCS,C1713,HINGE FIXATION LOCK MRI SAFE,191.84,95.92,41.84,172.66,64
HCPCS,C1713,HINGE FIXATION MALE CONNECTOR,80.68,40.34,17.6,72.61,64
HCPCS,C1713,HINGE FIXATION UNIVERSAL MRI SAFE,384.48,192.24,83.86,346.03,64
HCPCS,C1713,HOLDER PLATE 1.6 MM THREAD EXTREMILOCK TAKS FOOT,61.0,30.5,11.68,54.9,65
HCPCS,C1713,HOLDER PLATE THREAD BB-TAK MTP,84.08,42.04,16.1,75.67,65
HCPCS,C1713,HOOK SPINAL 10MM DIA TRANSVERSE PROCESS MESA,450.0,225.0,86.18,405.0,65
HCPCS,C1713,HOOK SPINAL 6.5MM DIA 5.5MMW TITANIUM THORACIC WIDE BLADE F/5.5MM ROD EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,HOOK SPINAL 6.5MML TITANIUM THORACIC NARROW BLADE F/5.5MM ROD EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,HOOK SPINAL CD HORIZON MEDIUM PEDICLE BLUE 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL CD HORIZON SMALL PEDICLE GREEN 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL COLOR CODED ARTICULAR CD HORIZON TITANIUM LARGE PEDICLE 4.75 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL HEAD TO HEAD CROSS CONNECTOR LOW PROFILE MOUNTAINEER SPINE OCCIPITOCERVICOTHORACIC,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL LARGE TITANIUM THORACOLUMBAR LAMINA,108.0,54.0,20.68,97.2,65
HCPCS,C1713,HOOK SPINAL LEFT OFFSET CD HORIZON GOLD 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL LEFT OFFSET CD HORIZON TITANIUM 5.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL LEFT OFFSET VERTEX MAX TITANIUM OD4.5 MM LAMINA RECONSTRUCTION SYSTEM,266.18,133.09,50.97,239.56,65
HCPCS,C1713,HOOK SPINAL NARROW BLADE CD HORIZON SMALL GREEN 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL OPEN REDUCTION RESPONSE WIDE OD8 MM THORACIC 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL OPEN RESPONSE WIDE OD9.5 MM THORACIC,908.0,454.0,173.88,817.2,65
HCPCS,C1713,HOOK SPINAL RAMP XIA TITANIUM LAMINA THORACIC 4.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL RELINE 8 MM SIDEWINDER LEFT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL RIGHT OFFSET CD HORIZON GOLD 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL RIGHT OFFSET VERTEX MAX TITANIUM OD4.5 MM LAMINA RECONSTRUCTION SYSTEM,266.18,133.09,50.97,239.56,65
HCPCS,C1713,HOOK SPINAL TITANIUM LEFT RIB-ILIAC CRUST S-SHAPED 90DEG ANGLED,400.0,200.0,76.6,360.0,65
HCPCS,C1713,HOOK SPINAL TITANIUM SMALL RIB,1603.2,801.6,307.01,1442.88,65
HCPCS,C1713,HOOK SPINAL TRANSVERSE RELINE 10 MM WIDE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL VERTEX MAX TITANIUM OD4.5 MM LAMINAR RECONSTRUCTION SYSTEM,266.18,133.09,50.97,239.56,65
HCPCS,C1713,HOOK SPINAL VERTEX MAX TITANIUM OD6 MM LAMINA RECONSTRUCTION SYSTEM,266.18,133.09,50.97,239.56,65
HCPCS,C1713,HOOK SPINAL VERTEX TITANIUM STANDARD OD6 MM LAMINA GREEN RECONSTRUCTION SYSTEM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,HOOK SPINAL W10 MM OPEN RIGHT OFFSET EXPEDIUM TITANIUM 6.35 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W10 MM TRANSVERSE RELINE-O WIDE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W10 MM WIDE BLADE EXPEDIUM TITANIUM 6.35 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W12 MM WIDE BLADE EXPEDIUM TITANIUM 5.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W8 MM RELINE-O WIDE LAMINA,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W8 MM TRANSVERSE RELINE-O WIDE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W8 MM WIDE BLADE EXPEDIUM TITANIUM 5.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL W8 MM WIDE BLADE EXPEDIUM TITANIUM 6.35 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL WIDE BLADE CD HORIZON LARGE GOLD 5.5/6 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL WIDE BLADE EXPEDIUM TITANIUM 5.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL XIA TITANIUM LARGE LAMINA 4.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL XIA TITANIUM MEDIUM LAMINA 4.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPINAL XIA TITANIUM SMALL LAMINA 4.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,HOOK SPNL W6 MM RELINE RSS WIDE LAMINA,300.0,150.0,57.45,270.0,65
HCPCS,C1713,IMP SYS BTB T-ROPE W/10.0MM FLIPCUTR II,750.0,375.0,143.63,675.0,65
HCPCS,C1713,IMPLANT BIOLOGICAL TISSUE LARGE BOVINE ACHILLES TENDON ARTHROSCOPIC DELIVERY DEVICE BIOINDUCTIVE IMPLANT REGENETEN ROTATOR CUFF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,IMPLANT BONE OMNIPORE MICRO THIN SHEET ORBITAL STERILE 50X30X.45MM,526.0,263.0,100.73,473.4,65
HCPCS,C1713,IMPLANT DENTAL CHAMFER FIT 36MM OD3.5MM MIS HV,795.0,397.5,152.24,715.5,65
HCPCS,C1713,IMPLANT FINGER JOINT 2MM DIA 42MML STAINLESS STEEL PHALANX NAIL FULLY THREADED INFRAME STERILE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,IMPLANT FINGER JOINT NON-COMPRESSION CANNULATED 2MM 12MM STAINLESS STEEL PHALANGEAL FULLY THREADED F/PROXIMAL PHALANX FRACTURE INFRAME STERILE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,IMPLANT FIXATION 0 D THK1.9 MM SMALL TITANIUM CANNULATED PHALINX L13 MM OD4-2.8 MM FINGER TOE,709.44,354.72,135.86,638.5,65
HCPCS,C1713,IMPLANT FIXATION 1 CROSS PIN AMORPHOUS BIOABSORBABLE PULL OUT STRENGTH BIO-TRANSFIX L50 MM OD5 MM ACL,289.0,144.5,55.34,260.1,65
HCPCS,C1713,IMPLANT FIXATION 18MM 2MM INFRAME EXSOMED,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,IMPLANT FIXATION 34MM 2MM INFRAME EXSOMED,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,IMPLANT FIXATION 38MM 2MM INFRAME EXSOMED,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,IMPLANT FIXATION 40MM 2MM INFRAME EXSOMED,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,IMPLANT FIXATION 5.5MM BIOWICK X PRELOAD STERILE LATEX FREE,1253.0,626.5,239.95,1127.7,65
HCPCS,C1713,IMPLANT FIXATION 5.5MM MULTIFIX S PEEK STERILE LATEX FREE DISPOSABLE,320.0,160.0,61.28,288.0,65
HCPCS,C1713,IMPLANT FIXATION 6.5MM BIOWICK X PRELOAD STERILE LATEX FREE,1281.0,640.5,245.31,1152.9,65
HCPCS,C1713,IMPLANT FIXATION BASE PLATE IJS-E,5688.0,2844.0,1089.25,5119.2,65
HCPCS,C1713,IMPLANT FIXATION BASE PLATE IJS-E ULNA PROXIMAL,5688.0,2844.0,1089.25,5119.2,65
HCPCS,C1713,IMPLANT FIXATION DALL-MILES 2MM SMALL HIP TROCHANTERIC VITALLIUM 2 CABLE,866.8,433.4,165.99,780.12,65
HCPCS,C1713,IMPLANT FIXATION FIBERTAG TIGHTROPE II,725.0,362.5,138.84,652.5,65
HCPCS,C1713,IMPLANT FIXATION FIBERTAG TIGHTROPE II ATTACHABLE BUTTON SYSTEM,405.0,202.5,77.56,364.5,65
HCPCS,C1713,IMPLANT FIXATION L2.4 MM 8 HOLE T-PLATE,788.49,394.25,151.0,709.64,65
HCPCS,C1713,IMPLANT FIXATION L22 MM 0 D LARGE L15 MM,760.5,380.25,145.64,684.45,65
HCPCS,C1713,IMPLANT FIXATION MINI MAGNUM KNOTLESS,410.0,205.0,78.52,369.0,65
HCPCS,C1713,IMPLANT FIXATION MULTIFIX PEEK STERILE LATEX FREE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1713,IMPLANT FIXATION PEEK SWIVELOCK MENISCAL ROOT REPAIR,1395.0,697.5,267.14,1255.5,65
HCPCS,C1713,IMPLANT FIXATION RECONSTRUCTION SCREW GRAFTBOLT OD9 MM TIBIA,395.0,197.5,75.64,355.5,65
HCPCS,C1713,IMPLANT FIXATION ROOT REPAIR MENISCAL,995.0,497.5,217.01,895.5,64
HCPCS,C1713,IMPLANT FIXATION SPEEDLOCK PEEK KNOTLESS RADIOLUCENT INDEPENDENT LOCK,2580.0,1290.0,494.07,2322.0,65
HCPCS,C1713,IMPLANT FIXATION TIGHTROPE II ATTACHABLE BUTTON SYSTEM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,IMPLANT FIXATION ZIP-FIX STERNAL STAINLESS STEEL PEEK NEEDLE FLEXIBLE SELF LOCK ROUND EDGE STERILE,416.33,208.17,79.73,374.7,65
HCPCS,C1713,IMPLANT IPS 2 QUADRANT PREPROSTHETIC MUA LOCKING LP TI-6AL-4V,19500.0,9750.0,3734.25,17550.0,65
HCPCS,C1713,IMPLANT IPS 2 QUADRANT PREPROSTHETIC MUA LP TI-6AL-4V,19500.0,9750.0,3734.25,17550.0,65
HCPCS,C1713,IMPLANT MANDIBULAR TITANIUM IPS,14515.0,7257.5,2779.62,13063.5,65
HCPCS,C1713,IMPLANT MIS HV CHAMFER FT 4.0 X 58,795.0,397.5,152.24,715.5,65
HCPCS,C1713,IMPLANT ORBITAL SMALL TITANIUM NONPOROUS MEDPOR TITAN ORBITAL FLOOR RIGHT MTB,2436.07,1218.04,466.51,2192.46,65
HCPCS,C1713,IMPLANT ORBITAL TITANIUM POLYETHYLENE MESH EMBED MEDPOR TITAN BTB L38 MM X W50 MM X H.6 MM,1261.15,630.58,241.51,1135.04,65
HCPCS,C1713,IMPLANT ORTHOPEDIC STATIC PECA L18 MM OD3 MM,825.0,412.5,157.99,742.5,65
HCPCS,C1713,IMPLANT ORTHOPEDIC STATIC PECA L22 MM OD3 MM,627.75,313.88,120.21,564.98,65
HCPCS,C1713,IMPLANT SPINAL 0 D END CAP SOLIDITY OD13 MM VERTEBRAL BODY REPLACEMENT,750.0,375.0,143.63,675.0,65
HCPCS,C1713,IMPLANT SPINAL 100MM 10.5MM GRANITE SYSTEM STERILE LATEX FREE,3380.0,1690.0,647.27,3042.0,65
HCPCS,C1713,IMPLANT SPINAL 12MM SHORELINE ASC LOCK COVER BACKUP NONSTERILE LATEX FREE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,IMPLANT SPINAL 16MMW EZ-LAMINAR BASE TRAY F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,IMPLANT SPINAL 80MM 10.5MM GRANITE SYSTEM STERILE LATEX FREE,3380.0,1690.0,647.27,3042.0,65
HCPCS,C1713,IMPLANT SPINAL 8MMW C2 LAMINA BASE TRAY F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,IMPLANT SPINAL COFLEX 10MM,4250.0,2125.0,813.88,3825.0,65
HCPCS,C1713,IMPLANT SPINAL LOCKING 10MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1713,IMPLANT SPINAL LOCKING 18MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,IMPLANT SPINAL LOCKING 8MMW C2 LAMINA PLATE BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1713,IMPLANT SPINAL YOKE ASSEMBLY 5.5/6MM CLOSED NTXT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,IMPLANT SUBCHONDRIAL ALLOAID STERILE 9X10MM,1437.0,718.5,275.19,1293.3,65
HCPCS,C1713,IMPLANT SYNTHETIC BACKFIL BIOIMPLANT 8.5MM 40MM COLLAGEN MATRIX HYDROXYAPATITE TRI-CALCIUM PHOSPHATE,690.0,345.0,132.14,621.0,65
HCPCS,C1713,IMPLANT TOE JOINT L12 MM 10 D SMALL L5 MM,760.5,380.25,145.64,684.45,65
HCPCS,C1713,IMPLANT TOE JOINT L12 MM KIT 0 D SMALL L5 MM,760.5,380.25,145.64,684.45,65
HCPCS,C1713,IMPLANT TOE JOINT L13 MM OD2 MM ODSEC1.1 MM PHALANX STAINLESS STEEL BLADE SCREW PRO-TOE VO 10 D L6.35 MM X W4 MM HAMMERTOE FIXATION SYSTEM,399.0,199.5,76.41,359.1,65
HCPCS,C1713,IMPLANT TOE JOINT L15 MM 10 D MEDIUM L5 MM,760.5,380.25,145.64,684.45,65
HCPCS,C1713,IMPLANT TOE JOINT L15 MM KIT 0 D MEDIUM L5 MM,760.5,380.25,145.64,684.45,65
HCPCS,C1713,IMPLANT TOE JOINT L15 MM KIT 10 D LARGE L5 MM,760.5,380.25,145.64,684.45,65
HCPCS,C1713,IMPLANT TOE JOINT L16 MM OD2.4 MM ODSEC1.6 MM PHALANX STAINLESS STEEL BLADE SCREW PRO-TOE VO 10 D L6.35 MM X W4 MM HAMMERTOE FIXATION SYSTEM,399.0,199.5,76.41,359.1,65
HCPCS,C1713,IMPLANT TOE JOINT OD2 MM TITANIUM COMBINE SCREW CANNULATED MINI ANCHOR BLADE DIGIFUSE 0 D,246.38,123.19,53.74,221.74,64
HCPCS,C1713,IMPLANT TOE JOINT OD2 MM TITANIUM COMBINE SCREW CANNULATED SHORT ANCHOR BLADE DIGIFUSE 0 D,127.7,63.85,27.85,114.93,64
HCPCS,C1713,INJECTOR BONE CEMENT DRILLABLE NORIAN 10 CC,2116.08,1058.04,405.23,1904.47,65
HCPCS,C1713,INJECTOR BONE CEMENT DRILLABLE REINFORCE BIORESORBABLE BIOCOMPATIBLE NORIAN CALCIUM PHOSPHATE FIBER 3 CC,656.22,328.11,125.67,590.6,65
HCPCS,C1713,INJECTOR BONE CEMENT DRILLABLE REINFORCE BIORESORBABLE BIOCOMPATIBLE NORIAN CALCIUM PHOSPHATE FIBER 5 CC,1076.61,538.31,206.17,968.95,65
HCPCS,C1713,INLAY INTERVERTEBRAL DISC 12 MM LARGE MARKER PRODISC-L TANTALUM POLYETHYLENE,663.0,331.5,126.96,596.7,65
HCPCS,C1713,INLAY INTERVERTEBRAL DISC 12 MM MEDIUM MARKER PRODISC L TANTALUM POLYETHYLENE,663.0,331.5,126.96,596.7,65
HCPCS,C1713,INLAY INTERVERTEBRAL DISC H8.5 MM ACTIV L POLYETHYLENE SPINE LUMBAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,INLAY INTERVERTEBRAL DISC L14 MM LARGE MARKER PRODISC-L TANTALUM POLYETHYLENE,663.0,331.5,126.96,596.7,65
HCPCS,C1713,INLAY INTERVERTEBRAL DISC L14 MM MEDIUM RADIOPAQUE PRODISC L POLYETHYLENE SPINE,663.0,331.5,126.96,596.7,65
HCPCS,C1713,INLAY INTERVERTEBRAL DISC PRODISC-L 10MM LARGE LUMBOSACRAL TANTALUM POLYETHYLENE STERILE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,INSERT SCREW HOLE HUMERAL PERI-LOC T20 STAINLESS STEEL LOCK STERILE 4.5MM SCREW,58.48,29.24,11.2,52.63,65
HCPCS,C1713,INSERT TIBIAL 3 PFC SIGMA H12.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1713,INSERT TIBIAL 5 SIGMA TC3 H22.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1713,INSERT TIBIAL KNEE TRIATHLON 2 14MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1713,INSERT X3 TIB TS PLUS POLY6 16,1738.4,869.2,332.9,1564.56,65
HCPCS,C1713,INSTRUMENT EXTERNAL FIXATION 4 MM COLLET EF1 RED,103.0,51.5,19.72,92.7,65
HCPCS,C1713,INSTRUMENT ORTHOPEDIC L23 MM LONG BRIDGE POST ADVANTAGERIB,4197.0,2098.5,803.73,3777.3,65
HCPCS,C1713,INSTRUMENT REDUCTION L5 IN LARGE SCREW BYRD ZYGOMA STAINLESS STEEL OSTEOSYNTHESIS,152.32,76.16,29.17,137.09,65
HCPCS,C1713,INSTRUMENT SPINAL PLATE HOLD PIN,25.0,12.5,4.79,22.5,65
HCPCS,C1713,IPS IMPLANT MAND/ORTHOG 60-000-67-09,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1713,IPS IMPLANT MAND/ORTHOG 60-000-68-09,2673.0,1336.5,511.88,2405.7,65
HCPCS,C1713,IPS IMPLANT MIDFACE/ORTHOG 00069 TI-6AL-4V,2353.0,1176.5,450.6,2117.7,65
HCPCS,C1713,JOINT FINGER 20 MCP SILICONE,1940.4,970.2,371.59,1746.36,65
HCPCS,C1713,JOINT FINGER CARPOMETACARPUS IMPLANT SYSTEM,595.0,297.5,113.94,535.5,65
HCPCS,C1713,JOINT TOE 0 D THK1.2 MM NEUTRAL 1 PIECE SHAPE RESIST ROTATION SMART TOE MEMOMETAL L16 MM X W2-5.5 MM L13 MM X W3-6 MM INTRAMEDULLARY,757.16,378.58,145.0,681.44,65
HCPCS,C1713,KEY SURGICAL CORRECTION VERSE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,KIT ACCESSORY .157MM BUMPY FLEXIBLE COMPRESSION-FIT ANCHOR PRELOADED DISPENSER INJEX SILICONE IMPLANTABLE NEUROSTIMULATOR,200.0,100.0,38.3,180.0,65
HCPCS,C1713,KIT ANCHOR FLEXBAND TWIST DRIVE 3.85,651.0,325.5,141.98,585.9,64
HCPCS,C1713,KIT ARTHROSCOPIC BENDER CANNULA SET CURVE INSERTER NEEDLE FAST-FIX FLEX,519.0,259.5,113.19,467.1,64
HCPCS,C1713,KIT ARTHROSCOPIC BENDER CANNULA SET REVERSE CURVE INSERTER NEEDLE FAST-FIX FLEX,519.0,259.5,113.19,467.1,64
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION 1.5MM CURVE GUIDE DRILL BIT JUGGERKNOT DISPOSABLE,313.0,156.5,59.94,281.7,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION 3 MM SUTURETAK,160.0,80.0,30.64,144.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION 5 KNOTLESS LOOP TIGHTROPE STAINLESS STEEL UHMWPE SYNDESMOSIS REPAIR,1175.0,587.5,225.01,1057.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION ACL RIGHT TIGHTROPE DELIVERY SYSTEM DRILL PIN,450.0,225.0,86.18,405.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION ACL TIGHTROPE REPAIR,350.0,175.0,67.03,315.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION BIO-TENODESIS FIBERLOOP BUTTON DRILL PIN INSERTER SCREW,850.0,425.0,185.39,765.0,64
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION DOGBONE SUTURELASSO KNOTLESS REPAIR SYSTEM,1711.0,855.5,327.66,1539.9,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FAST-FIX FLEX CURVE INSERTER,777.0,388.5,148.8,699.3,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FEMORAL TOGGLELOC,1261.0,630.5,241.48,1134.9,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FIBER STITCH REVERSE CURVE 2 POLYESTER IMPLANTS 2-0 FIBERWIRE,550.0,275.0,105.33,495.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FIBERTAK FIBERLOOP BUTTON,789.0,394.5,151.09,710.1,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FIBERTAK STRAIGHT SPEAR,175.0,87.5,33.51,157.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FIBULINK STAINLESS STEEL SYNDESMOSIS REPAIR,1342.21,671.11,257.03,1207.99,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION FIBULINK TITANIUM SYNDESMOSIS REPAIR,1342.21,671.11,292.74,1207.99,64
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION GRAVITY SYNCHFIX SYNDESMOSIS LP,1024.85,512.43,196.26,922.37,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION INTERNALBRACE COLLAGEN INTERNALBRACE IMPLANT SYSTEM,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION INTERNALBRACE FIBERTAPE COLLAGEN LIGAMENT AUGMENTATION REPAIR,1075.0,537.5,205.86,967.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION KNEE FIBERTAK BUTTON,2475.0,1237.5,473.96,2227.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION L1.1 MM OD2.6 MM TIGHTROPE KIRSCHNER MINI OBLONG L6 IN BUTTON RULER WIRE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION L25 MM OD8 MM BICEPTOR BIOSURE SCREW,380.0,190.0,72.77,342.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION L25 MM OD9 MM BICEPTOR,378.0,189.0,72.39,340.2,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION L5 IN X W2 IN OD4.75 MM ODSEC3.5 MM INTERNALBRACE SWIVELOCK JUMPSTART FIBERTAPE PEEK COLLAGEN STANDARD,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION MCL INTERNALBRACE LIGAMENT AUGMENTATION REPAIR,1195.0,597.5,228.84,1075.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION MENISCAL SWIVELOCK BIOCOMPOSITE ROOT REPAIR,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION OD1.5 MM FIBERSTITCH FIBERWIRE POLYESTER 24 D 2-0 CURVE,550.0,275.0,105.33,495.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION OD1.8 MM Q-FIX MINI,200.0,100.0,38.3,180.0,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION OD3 MM TIGERTAPE SUTURELASSO 2 MM LOOP 2 DOG BONE BUTTON FIBERTAPE CANNULATED DRILL WIRE BLACK BLUE WHITE,1125.0,562.5,245.36,1012.5,64
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION OD4.75 MM ODSEC3.5 MM INTERNALBRACE SWIVELOCK BIOCOMPOSITE STANDARD RADIOPAQUE,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION REPAIR TIGHTROPE STERILE ACL,645.0,322.5,123.52,580.5,65
HCPCS,C1713,KIT ARTHROSCOPIC FIXATION TIGHTROPE TITANIUM UHMWPE 5 KNOTLESS LOOP SYNDESMOSIS REPAIR,1175.0,587.5,225.01,1057.5,65
HCPCS,C1713,KIT ARTHROSCOPIC L6.25 MM BIOTENODESIS FLEXOR HALLUCIS LONGUS,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,KIT BONE CEMENT .5 1 MIXER VERTAPLEX HV AUTOPLEX STERILE,1742.0,871.0,379.93,1567.8,64
HCPCS,C1713,KIT BONE CEMENT NO NEEDLE CONFIDENCE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,KIT BONE CEMENT RESTRICTOR NA FEMUR,607.85,303.93,116.4,547.07,65
HCPCS,C1713,KIT BONE GRAFT 25 CC OSTEOSET CALCIUM SULFATE 2 MOLD RESORBABLE BEAD,719.0,359.5,137.69,647.1,65
HCPCS,C1713,KIT BONE GRAFT 7.5ML 1-2MM GRANULE RESORBABLE CARTRIDGE APPLICATOR ACTIFUSE MIS CALCIUM PHOSPHATE SYNTHETIC STERILE,1925.0,962.5,368.64,1732.5,65
HCPCS,C1713,KIT BONE GRAFT MINI 5 CC OSTEOSET CALCIUM SULFATE RESORBABLE BEAD,405.0,202.5,77.56,364.5,65
HCPCS,C1713,KIT BONE GRAFT MINI STANDARD 5 CC OSTEOSET CALCIUM SULFATE RESORBABLE BEAD,405.0,202.5,77.56,364.5,65
HCPCS,C1713,KIT BONE GRAFT STANDARD 25 CC OSTEOSET CALCIUM SULFATE RESORBABLE BEAD,719.0,359.5,137.69,647.1,65
HCPCS,C1713,KIT EXTERNAL FIXATION 19MM 13MM RADIOLUCENT BALL JOINT LOW PROFILE STERILE WRIST,1218.52,609.26,265.76,1096.67,64
HCPCS,C1713,KIT EXTERNAL FIXATION HEXAPOD CONTROL SYSTEM MAXFRAME AUTOSTRUT,7315.0,3657.5,1595.4,6583.5,64
HCPCS,C1713,KIT EXTERNAL FIXATION HEXAPOD MEDIUM STRUT MAXFRAME AUTOSTRUT,2080.0,1040.0,453.65,1872.0,64
HCPCS,C1713,KIT EXTERNAL FIXATION ID PLUG STRUT MAXFRAME,353.39,176.7,77.07,318.05,64
HCPCS,C1713,KIT EXTERNAL FIXATION IDENTIFICATION BAND ILIZAROV TAYLOR SPATIAL FRAME,201.48,100.74,43.94,181.33,64
HCPCS,C1713,KIT EXTERNAL FIXATION IDENTIFICATION BAND STANDARD STRUT FAST FX,291.2,145.6,63.51,262.08,64
HCPCS,C1713,KIT EXTERNAL FIXATION IDENTIFICATION BAND STRUT MAXFRAME,365.03,182.52,79.61,328.53,64
HCPCS,C1713,KIT EXTERNAL FIXATION MINI DISTAL,1704.51,852.26,371.75,1534.06,64
HCPCS,C1713,KIT EXTERNAL FIXATION STRUT EXCHANGE TL-HEX,2827.44,1413.72,616.66,2544.7,64
HCPCS,C1713,KIT GLUTEUS MEDIUS TENDON REPAIR,1270.0,635.0,243.21,1143.0,65
HCPCS,C1713,KIT IMPLANT 2 CABLE PLATE A&E MEDICAL THORECON,1575.0,787.5,301.61,1417.5,65
HCPCS,C1713,KIT IMPLANT 6.35MM CONNECTOR JAZZ STERILE LATEX FREE,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,KIT IMPLANT CONNECTOR JAZZ STERILE LATEX FREE SPINE 3.5 MM SCREW,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,KIT IMPLANT CONNECTOR JAZZ STERILE LATEX FREE SPINE 5.5 MM SCREW,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,KIT IMPLANT L10 MM X W11 MM CONTINUOUS ACTIVE COMPRESSION L1.5 MM X W1.5 MM,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L11 MM 1.5 MM CONTINUOUS ACTIVE COMPRESSION NITINOL L15/13 MM HAND WRIST,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L11 MM 12/10 WIRE BRIDGE PRELOAD INSERTION TOOL L1.5 MM X W1.3 MM,807.49,403.75,154.63,726.74,65
HCPCS,C1713,KIT IMPLANT L11 MM X W8 MM 1.5 MM HAND WRIST,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L12 MM X W10 MM W9 MM,807.49,403.75,154.63,726.74,65
HCPCS,C1713,KIT IMPLANT L13 MM 1.5 MM BRIDGE LEG WIRE CONTINUOUS ACTIVE COMPRESSION NITINOL L10 MM WRIST HAND,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L13 MM 1.5 MM BRIDGE LEG WIRE CONTINUOUS ACTIVE COMPRESSION NITINOL L8 MM HAND WRIST,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L13 MM 1.5 MM CONTINUOUS ACTIVE COMPRESSION NITINOL L12 MM WRIST HAND,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L15 MM 2 MM 10 MM OFFSET WIRE BRIDGE LEG SUPERELASTIC L20 MM,1054.37,527.19,201.91,948.93,65
HCPCS,C1713,KIT IMPLANT L15 MM 2 MM 6 MM OFFSET WIRE BRIDGE LEG SUPERELASTIC L20 MM,1054.37,527.19,201.91,948.93,65
HCPCS,C1713,KIT IMPLANT L15 MM 2 MM 8 MM OFFSET WIRE BRIDGE LEG SUPERELASTIC L20 MM,1054.37,527.19,201.91,948.93,65
HCPCS,C1713,KIT IMPLANT L15 MM 2 MM BRIDGE LEG WIRE CONTINUOUS ACTIVE COMPRESSION,883.07,441.54,169.11,794.76,65
HCPCS,C1713,KIT IMPLANT L15 MM X W10 MM STANDARD COMPRESSION BRIDGE LEG NITINOL,883.07,441.54,169.11,794.76,65
HCPCS,C1713,KIT IMPLANT L15 MM X W12 MM STANDARD BARBED LEG BME SPEED,883.07,441.54,169.11,794.76,65
HCPCS,C1713,KIT IMPLANT L15 MM X W12 MM X H12 MM COMPRESSION,807.49,403.75,154.63,726.74,65
HCPCS,C1713,KIT IMPLANT L15 MM X W15 MM COMPRESSION SPEEDTITAN TITANIUM,992.46,496.23,190.06,893.21,65
HCPCS,C1713,KIT IMPLANT L15 MM X W18 MM 2X2 MM WIRE BRIDGE SPEED,983.01,491.51,188.25,884.71,65
HCPCS,C1713,KIT IMPLANT L15 MM X W20 MM NITINOL L2 MM X W2 MM,1107.07,553.54,212.0,996.36,65
HCPCS,C1713,KIT IMPLANT L15 MM X W5.5 MM 1.5 MM BRIDGE 2 LEG CONTINUOUS ACTIVE COMPRESSION LOW PROFILE L15 MM X W2.5 MM,1261.18,630.59,241.52,1135.06,65
HCPCS,C1713,KIT IMPLANT L18 MM 2 MM WIRE BRIDGE LEG CONTINUOUS ACTIVE COMPRESSION L18 MM DK-265,983.01,491.51,188.25,884.71,65
HCPCS,C1713,KIT IMPLANT L18 MM X W118 MM X H18 MM COMPRESSION,992.46,496.23,190.06,893.21,65
HCPCS,C1713,KIT IMPLANT L18 MM X W15-18 MM BRIDGE LEG WIRE L2 MM X W2 MM,983.01,491.51,188.25,884.71,65
HCPCS,C1713,KIT IMPLANT L18 MM X W3.5 MM 1.85 MM BRIDGE LEG LOW PROFILE 3D TAPE L15 MM X W1.8 MM,992.46,496.23,190.06,893.21,65
HCPCS,C1713,KIT IMPLANT L18 MM X W5.5 MM 1.5 MM BRIDGE 2 LEG CONTINUOUS ACTIVE COMPRESSION LOW PROFILE L18 MM X W2.5 MM,1261.18,630.59,241.52,1135.06,65
HCPCS,C1713,KIT IMPLANT L18 MM X W8 MM CENTER OFFSET BRIDGE 3 DISTAL LEG L15 MM,1074.79,537.4,205.82,967.31,65
HCPCS,C1713,KIT IMPLANT L18 MM X W8 MM LEFT OFFSET BRIDGE 3 DISTAL LEG L15 MM,1074.79,537.4,205.82,967.31,65
HCPCS,C1713,KIT IMPLANT L20 MM 2 MM 4 MM OFFSET WIRE BRIDGE LEG SUPERELASTIC SPEEDSHIFT,954.43,477.22,182.77,858.99,65
HCPCS,C1713,KIT IMPLANT L20 MM 2 MM 6 MM OFFSET WIRE BRIDGE LEG SUPERELASTIC L20 MM,1054.37,527.19,201.91,948.93,65
HCPCS,C1713,KIT IMPLANT L20 MM 2 MM BRIDGE LEG WIRE L20 MM,1107.07,553.54,212.0,996.36,65
HCPCS,C1713,KIT IMPLANT L20 MM 20 MM 10 MM OFFSET L20 MM,1054.37,527.19,201.91,948.93,65
HCPCS,C1713,KIT IMPLANT L20 MM 20 MM 8 MM OFFSET L20 MM,1054.37,527.19,201.91,948.93,65
HCPCS,C1713,KIT IMPLANT L20 MM X W20 MM SPEEDTITAN,1111.8,555.9,212.91,1000.62,65
HCPCS,C1713,KIT IMPLANT L20 MM X W3.5 MM 1.85 MM L15 MM X W1.8 MM,1209.3,604.65,231.58,1088.37,65
HCPCS,C1713,KIT IMPLANT L20 MM X W5.5 MM 1.5 MM BRIDGE 2 LEG CONTINUOUS ACTIVE COMPRESSION LOW PROFILE L20 MM X W2.5 MM,1379.62,689.81,264.2,1241.66,65
HCPCS,C1713,KIT IMPLANT L20 MM X W8 MM LEFT OFFSET BRIDGE 3 DISTAL LEG L15 MM,1074.79,537.4,205.82,967.31,65
HCPCS,C1713,KIT IMPLANT L25 MM 2 MM WIRE BRIDGE LEG CONTINUOUS ACTIVE COMPRESSION L20 MM DK-265,1107.07,553.54,212.0,996.36,65
HCPCS,C1713,KIT IMPLANT L25 MM X W20 MM X H20 MM COMPRESSION,1111.8,555.9,212.91,1000.62,65
HCPCS,C1713,KIT IMPLANT L25 MM X W5.5 MM 1.5 MM BRIDGE 4 LEG CONTINUOUS ACTIVE COMPRESSION LOW PROFILE L25 MM X W2.5 MM,1405.9,702.95,269.23,1265.31,65
HCPCS,C1713,KIT IMPLANT L30 MM X W5.5 MM 1.5 MM BRIDGE 4 LEG CONTINUOUS ACTIVE COMPRESSION LOW PROFILE L30 MM X W2.5 MM,1405.9,702.95,269.23,1265.31,65
HCPCS,C1713,KIT IMPLANT L54 MM STANDARD 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL LEFT VOLAR RADIUS DISTAL 2.4 MM SCREW,1234.8,617.4,236.46,1111.32,65
HCPCS,C1713,KIT IMPLANT L7 MM X W9 MM L1.5 MM X W1.5 MM,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT L9 MM 1.5 MM WIRE BRIDGE LEG CONTINUOUS ACTIVE COMPRESSION L10 MM DK-200,745.58,372.79,142.78,671.02,65
HCPCS,C1713,KIT IMPLANT LARGE CUSTOM MEDPOR CRANIAL,17363.09,8681.55,3325.03,15626.78,65
HCPCS,C1713,KIT IMPLANT LARGE KIT CUSTOM NA,16467.42,8233.71,3153.51,14820.68,65
HCPCS,C1713,KIT IMPLANT MEDIUM CUSTOM SUTURE DRAINAGE HOLE NA PEEK CRANIAL COMPLEX,13791.8,6895.9,2641.13,12412.62,65
HCPCS,C1713,KIT IMPLANT SPINAL 5.5MM OD 495MML CONTOURED DEFORMITY MESA,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,KIT IMPLANT XL CUSTOM NA PEEK CRANIAL,19662.11,9831.06,3765.29,17695.9,65
HCPCS,C1713,KIT INSERTION 1.1 MM DRILL NEEDLE PERCUTANEOUS INSERTION PORTAL DILATOR OD17 GA ODSEC2.4 MM BIO-SUTURETAK NITINOL SPINE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,KIT INSTRUMENT 2 X 100 MM BONE TAMP GUIDE SLEEVE RADIOLUCENCY SUPERIOR SHEAR STRENGTH OD2 MM TRIM-IT DRILL PIN KIRSCHNER,1268.75,634.38,242.97,1141.88,65
HCPCS,C1713,KIT INSTRUMENT BONE TAMP GUIDE SLEEVE RADIOLUCENCY SUPERIOR SHEAR STRENGTH OD1.5 MM TRIM-IT DRILL PIN KIRSCHNER,1268.75,634.38,242.97,1141.88,65
HCPCS,C1713,KIT INSTRUMENT DRILL SPEAR PUSHLOCK METAL 2.9 MM PUSHLOCK,175.0,87.5,33.51,157.5,65
HCPCS,C1713,KIT INSTRUMENT FULL THREAD SUTURE ANCHOR OD3.5 MM HERCULES SOFT TISSUE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,KIT INSTRUMENT FULL THREAD SUTURE ANCHOR OD4.5 MM HERCULES SOFT TISSUE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,KIT INSTRUMENT ORTHOPEDIC LONG NAIL W/ K-WIRE THREADED TROCAR TIP 3.5MMX450MM SHORT LOCKING SCREW DRILL,252.0,126.0,48.26,226.8,65
HCPCS,C1713,KIT INSTRUMENT ORTHOPEDIC W/K-WIRE THREADED TROCAR DRILL TIP LONG LOCKING SCREW DRILL F/SHORT NAIL ARTEMIS,252.0,126.0,48.26,226.8,65
HCPCS,C1713,KIT INSTRUMENT SEGMENTAL WASHER TIBIA PROXIMAL,1867.5,933.75,357.63,1680.75,65
HCPCS,C1713,KIT JAZZ EVO CONN 5.5MM,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,KIT NAIL INTRAMEDULLARY 11MM SHORT 180MM TITANIUM ALLOY PROXIMAL FEMORAL W/SET SCREW ARTEMIS,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,KIT NAIL INTRAMEDULLARY LAG 75/70MML INTEGRATED COMPRESSION TRIGEN META-TAN 1/BX,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT NAIL INTRAMEDULLARY LOCKING 11MM LONG 1.5MM RADIUS 460MM TITANIUM RIGHT FEMORAL TROCHANTERIC 125DEG ANGLED GAMMA3 STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,KIT NAIL INTRAMEDULLARY LOCKING LONG 11MM 1.5MM RADIUS 460MM TITANIUM LEFT FEMORAL TROCHANTERIC 125DEG ANGLED GAMMA3 STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,KIT NAIL INTRAMEDULLARY LONG 11MM 1.5MM RADIUS 320MM TITANIUM RIGHT FEMORAL TROCHANTERIC 130DEG ANGLED GAMMA3 STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,KIT PIN BONE FIXATION LOW-PROFILE 0.062MM DIA 70MML STAINLESS STEEL F/TENSION BAND STERILE,1850.0,925.0,403.49,1665.0,64
HCPCS,C1713,KIT PIN BONE FIXATION LOW-PROFILE 0.062MM DIA 90MML STAINLESS STEEL TENSION BAND STERILE,196.0,98.0,37.53,176.4,65
HCPCS,C1713,KIT REPAIR 4 BUTTON DRILL PIN INSERTER LARGE EYELET SHOULDER PECTORALIS,1650.0,825.0,359.87,1485.0,64
HCPCS,C1713,KIT REPAIR L18 IN SUTURE PASS WIRE AC TIGHTROPE TITANIUM NITINOL,450.0,225.0,86.18,405.0,65
HCPCS,C1713,KIT SCREW 11.5MM 7MM 95MM 90MM LAG COMPRESSION INTEGRATE INTERLOCK INTERTAN TROCHANTERIC,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 115MM 110MM LAG COMPRESSION,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 11MM 7MM 80MM 75MM LAG COMPRESSION INTEGRATE INTERLOCK INTERTAN FEMUR,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 11MM 7MM 85MM 80MM LAG COMPRESSION INTEGRATE INTERLOCK HIP TROCHANTER INTERTAN,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 4.5MM 100MM 95MM LAG COMPRESSION INTEGRATE INTERLOCK INTERTAN TITANIUM TROCHANTER,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 4.5MM 105MM 100MM LAG COMPRESSION INTEGRATE INTERLOCK INTERTAN TITANIUM TROCHANTER,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 4.5MM 90MM 85MM LAG COMPRESSION INTEGRATE INTERLOCK INTERTAN TITANIUM TROCHANTER,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW 9.5MM 100MM LAG COMPRESSION SURESHOT TAN TROCHANTERIC,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT SCREW 95MM 90MM LAG COMPRESSION META-TAN,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT SCREW BONE COMPRESSION LAG 110/105MM INTEGRATED TRIGEN META-TAN TROCHANTERIC,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT SCREW BONE COMPRESSION LAG INTERLOCKING 7/11MM 65/70MM TITANIUM INTEGRATED TRIGEN INTERTAN,598.74,299.37,114.66,538.87,65
HCPCS,C1713,KIT SCREW L70 MM LAG COMPRESSION KIT OD6.5 MM SURESHOT TROCHANTERIC TAN,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT SCREW L85 MM LAG COMPRESSION OD8 MM SURESHOT TROCHANTERIC TAN,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT SCREW L90 MM INTEGRATE LAG COMPRESSION META-TAN L85 MM TROCHANTERIC ANTEGRADE NAIL,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT SCREW SQUARE TORQUE DEFINE EQUINOXE SHOULDER,205.0,102.5,39.26,184.5,65
HCPCS,C1713,KIT STAPLE BONE FIXATION REFLEX MAX 18MM X 18MM,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,KIT STAPLE BONE FIXATION TRIMAX 18MM PREP SUPERELASTIC NITINOL F/KEEL-LOCK STERILE,612.78,306.39,117.35,551.5,65
HCPCS,C1713,KIT SUTURE IMPLANT BUTTON CANNULA DRILL PIN PASSPORT,940.0,470.0,180.01,846.0,65
HCPCS,C1713,KIT SUTURE LARGE OPEN HS FIBER SUTURES AND ORTHO SURIGCAL NEEDLE,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1713,KIT SUTURE SPEEDBRIDGE JUMPSTART BIOCOMPOSITE ACHILLES,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,KIT SUTURE ULTRA ANCHOR OD4.5 MM FOOTPRINT ACHILLES TENDON REPAIR,1081.5,540.75,207.11,973.35,65
HCPCS,C1713,KIT TRAUMA FIXATION 105MM 100MM INTEGRATE LAG COMPRESSION SCREW META-TAN TROCHANTERIC ANTEGRADE NAIL,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT TRAUMA FIXATION 80MM 75MM INTEGRATE LAG COMPRESSION SCREW META-TAN TROCHANTERIC ANTEGRADE NAIL,587.11,293.56,112.43,528.4,65
HCPCS,C1713,KIT TRAUMA FIXATION L115 MM INTEGRATE LAG COMPRESSION SCREW META-TAN L110 MM TROCHANTERIC ANTEGRADE NAIL,587.11,293.56,112.43,528.4,65
HCPCS,C1713,L150 MM MR CONDITIONAL OD11 MM CARBON FIBER,162.63,81.32,35.47,146.37,64
HCPCS,C1713,LINER HUMERAL +0 MM OD36 MM EQUINOXE,635.0,317.5,121.6,571.5,65
HCPCS,C1713,LINER SMR REVERSE +6X36MM,690.0,345.0,132.14,621.0,65
HCPCS,C1713,MATRIX 4X4CM PRIMATRIX AG DERMAL REPAIR SCAFFOLD FENESTRATE FETAL BOVINE DERMIS TISSUE STERILE LATEX FREE,1211.76,605.88,232.05,1090.58,65
HCPCS,C1713,MATRIX BONE GRAFT BACKFILL BIOIMPLANT 6.5MM X 40MM COLLAGEN HYDROXYAPATITE TRI-CALCIUM PHOSPHATE PLUG ACTIGLASS,690.0,345.0,132.14,621.0,65
HCPCS,C1713,MEMOFIX NITINOL STAPLE 8MM X 8MM X 8MM,1758.67,879.34,336.79,1582.8,65
HCPCS,C1713,MESH 1.5 MM NEURO SYSTEM CRANIOCURVE SURGICAL,8176.0,4088.0,1565.7,7358.4,65
HCPCS,C1713,MESH BONE 11MM X 126MM 1MM THK PLLA-PGA SMALL GRID RESORB XG STERILE MAXILLOFACIAL,588.86,294.43,112.77,529.97,65
HCPCS,C1713,MESH BONE 51MM X 51MM 1.5MM THK PLLA-PGA SMALL GRID RESORB XG STERILE CRANIOFACIAL,1146.68,573.34,219.59,1032.01,65
HCPCS,C1713,MESH CRANIAL BLUE 45X38X.4MM MATRIXNEURO CONTOUR TITANIUM RIGID NONSTERILE,642.75,321.38,123.09,578.48,65
HCPCS,C1713,MESH CRANIAL PINK 100X100X.6MM MATRIXNEURO TITANIUM RIGID CONTOURABLE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,MESH CRANIAL SILVER 100X100X.4MM MATRIXNEURO TITANIUM MALLEABLE CONTOURABLE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,MESH CRANIAL SMALL TITANIUM CRESCENT LORENZ,825.0,412.5,157.99,742.5,65
HCPCS,C1713,MESH CRANIOMAXILLOFACIAL L51 MM X W51 MM X H.6 MM SONICWELD RX RESORB XG SURGICAL,954.59,477.3,182.8,859.13,65
HCPCS,C1713,MESH CRANIOMAXILLOFACIAL RESORB-X SONICWELD RX L126 MM X W11 MM X H1 MM RESORB-X CRANIAL 2 HOLE SMALL GRID,588.86,294.43,112.77,529.97,65
HCPCS,C1713,MESH FRONTAL MAXILLARY SINUS LEVEL ONE NEURO L80 MM X W80 MM X H.6 MM TITANIUM CRANIAL 1.5 MM SCREW,1466.55,733.28,280.84,1319.9,65
HCPCS,C1713,MESH FRONTOTEMPORAL LEFT PARENTAL LEVEL ONE NEURO H.6 MM TITANIUM 10 STANDARD CONTOUR DYNAMIC,5042.12,2521.06,965.57,4537.91,65
HCPCS,C1713,MESH IPS PEEK CRANIAL 00024,13300.0,6650.0,2546.95,11970.0,65
HCPCS,C1713,MESH KASSAM L53 MM X W43 MM X H.3 MM TITANIUM CRANIAL LEVEL 1 SPECIALTY,285.49,142.75,54.67,256.94,65
HCPCS,C1713,MESH KASSAM L60 MM X W53 MM X H.3 MM TITANIUM CRANIAL LEVEL 1 SPECIALTY,290.48,145.24,55.63,261.43,65
HCPCS,C1713,MESH LEFT CRANIUM LEVEL ONE NEURO H.6 MM TITANIUM 4 STANDARD DYNAMIC PRECONTOURED PARIETAL APPROACH RIGID DETACHABLE IDENTIFICATION TAG,2564.73,1282.37,491.15,2308.26,65
HCPCS,C1713,MESH LEVEL ONE L125 MM X W125 MM CRANIAL 3D GRID,2548.26,1274.13,487.99,2293.43,65
HCPCS,C1713,MESH LEVEL ONE NEURO L120 MM X W120 MM TITANIUM THK1.5 MM 3D CRANIAL,2223.96,1111.98,425.89,2001.56,65
HCPCS,C1713,MESH LEVEL ONE ULTRAONE H.6 MM TITANIUM CRANIAL OD100 MM 3D SCREW,1810.64,905.32,346.74,1629.58,65
HCPCS,C1713,MESH LEVEL ONE ULTRAONE H.6 MM TITANIUM CRANIAL OD49 MM 3D SCREW,791.96,395.98,151.66,712.76,65
HCPCS,C1713,MESH LEVEL ONE ULTRAONE H.8 MM TITANIUM CRANIAL OD100 MM 3D SCREW,1810.64,905.32,346.74,1629.58,65
HCPCS,C1713,MESH ORBITAL FLOOR LEVEL ONE CMF H.3 MM TITANIUM CRANIAL 1.5 MM SCREW,546.93,273.47,104.74,492.24,65
HCPCS,C1713,MESH ORBITAL FLOOR RESORB-X L23 MM X H.6 MM PDLLA TRIANGULAR CRANIAL,707.21,353.61,135.43,636.49,65
HCPCS,C1713,MESH ORBITAL FLOOR RESORB-X SONICWELD RX H.6 MM CRANIAL OD30 MM RESORBABLE,765.42,382.71,146.58,688.88,65
HCPCS,C1713,MESH RESORB X L51 MM X W51 MM X H1 MM PDLLA CRANIAL SMALL GRID,1001.16,500.58,191.72,901.04,65
HCPCS,C1713,MESH RESORB XG L126 MM X W126 MM X H.6 MM POLY L LACTIC ACID POLYGLYCOLIC ACID CRANIAL SMALL GRID,2715.7,1357.85,520.06,2444.13,65
HCPCS,C1713,MESH RIGHT CRANIUM LEVEL ONE NEURO H.6 MM TITANIUM 3 DYNAMIC CONTOURED PTERIONAL APPROACH STANDARD STYLE RIGID,2564.73,1282.37,491.15,2308.26,65
HCPCS,C1713,MESH SMALL LEFT PARIETAL CRANIUM H.6 MM TITANIUM CRANIOCURVE ETCHED LABEL ANATOMIC AESTHETIC PLACEMENT PREFORMED SURGICAL,8176.0,4088.0,1565.7,7358.4,65
HCPCS,C1713,MODEL ANATOMICAL CUSTOM FULL SKULL IPS EP 00007,1795.5,897.75,343.84,1615.95,65
HCPCS,C1713,MODEL ANATOMICAL IPS HALF MANDIBLE,1410.0,705.0,270.02,1269.0,65
HCPCS,C1713,MODULE STERILIZATION LCP 2.4 MM VOLAR DISTAL RADIUS PLATE,763.11,381.56,146.14,686.8,65
HCPCS,C1713,MOTOBND CP NONLKNG SCR 3.5MM X 30MM STER,134.82,67.41,25.82,121.34,65
HCPCS,C1713,MOTOBND CP NONLKNG SCR 3.5MM X 36MM STER,134.82,67.41,25.82,121.34,65
HCPCS,C1713,MOTOBND CP NONLKNG SCR 3.5MM X 38MM STER,134.82,67.41,25.82,121.34,65
HCPCS,C1713,MOUNT WIRE LC-DCP STAINLESS STEEL 4.5 MM SCREW,131.7,65.85,25.22,118.53,65
HCPCS,C1713,NAIL 10 MM L360 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL 11 MM L420 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL 2.25 MM L300 MM TITANIUM T2 INTRAMEDULLARY FLEXIBLE PRECURVE SHAFT,202.98,101.49,38.87,182.68,65
HCPCS,C1713,NAIL 9MMLNGX420MM TFN-ADVANCED CANN STTC INTLOK RT PROX FEM 130D PRASMB GRN STRL TI,1766.27,883.14,338.24,1589.64,65
HCPCS,C1713,NAIL 9X440MM TFN-ADVANCED RT TIB 130D CANN STRL TI,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL CANN FIX 11X460MM 135D LTSTL,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL FIXATION L300 MM 130 D CANNULATED TITANIUM OD11 MM TROCHANTERIC LEFT,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL IM 10MM 280MM CANN RECON LT FEM GTR TROCH TI LGRN STRL,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL IM 10MM 460MM CANN RECON RT FEM GTR TROCH TI LGRN STRL,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL IM MIDFOOT CANN 8X120MMSALVATION,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL IM PEDIFLEX 1.5X300MM,402.26,201.13,77.03,362.03,65
HCPCS,C1713,NAIL INTRAMEDULLARY 1.5MM 300MM PEDIFLEX TITANIUM ELASTIC STABLE ROUND TIP FLEXIBLE NONSTERILE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL INTRAMEDULLARY 1.5MM 300MM TITANIUM PURPLE PEDIATRIC ELASTIC NONSTERILE,194.05,97.03,37.16,174.65,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 22CM DYNANAIL NITINOL PSEUDOELASTIC LOW PROFILE RADIOLUCENT LIGHTWEIGHT TIBIOTALOCALCANEAL FUSION SYSTEM,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 300MM PRECICE STERILE LATEX FREE ANKLE SALVAGE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 320MM 2M POSTERIOR BOW LEFT HINDFOOT TRIGEN,5679.12,2839.56,1087.55,5111.21,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 340MM RIGHT FEMORAL GREATER TROCHANTERIC T2 ALPHA STERILE,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 360MM ADOLESCENT LEFT FEMORAL PLATFORM PEDINAIL STERILE,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 360MM LEFT FEMORAL GREATER TROCHANTERIC T2 ALPHA STERILE,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 380MM LEFT FEMORAL GREATER TROCHANTERIC T2 ALPHA STERILE,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 420MM ADOLESCENT LEFT FEMORAL PLATFORM PEDINAIL STERILE,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 440MM FEMORAL RETROGRADE T2 ALPHA,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 440MM RIGHT FEMORAL GREATER TROCHANTERIC T2 ALPHA STERILE,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM 480MM TITANIUM FEMORAL 10DEG BEND RETROGRADE RFN-ADVANCED STERILE,2099.05,1049.53,401.97,1889.15,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM DIA 240MML 125DEG ANGLED INTERMEDIATE INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM DIA 24CML 130DEG ANGLED INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM DIA 32CML RIGHT ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM DIA 400MML ADOLESCENT LEFT FEMORAL,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MM DIA 400MML ADOLESCENT RIGHT FEMORAL PIP,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 10MMW X 32CML W/2M POSTERIOR BOW RIGHT,5679.12,2839.56,1087.55,5111.21,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11.5MM DIA 240MML 125DEG ANGLED INTERMEDIATE INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11.5MM DIA 44CML 1.5M BOW LEFT INTERTROCHANTERIC 125DEG ANGLED TRIGEN INTERTAN,1550.0,775.0,296.83,1395.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11MM 420MM TIBIAL T2 ALPHA STERILE,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11MM 440MM FEMORAL RETROGRADE T2 ALPHA,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11MM DIA 380MML RIGHT PROXIMAL FEMORAL PICCOLO COMPOSITE STERILE,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11MM DIA 420MML LEFT PROXIMAL FEMORAL PICCOLO COMPOSITE,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 11MM DIA 420MML RIGHT PROXIMAL FEMORAL PICCOLO COMPOSITE STERILE,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 12MM 22CM DYNANAIL NITINOL TIBIOTALOCALCANEAL FUSION SYSTEM,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 13MM 250MM TITANIUM ANKLE SALVAGE PRECICE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY 13MM 300MM TITANIUM ANKLE SALVAGE PRECICE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY 13MM 350MM TITANIUM ANKLE SALVAGE PRECICE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY 13MM DIA 36CML 1.5M BOW RIGHT INTERTROCHANTERIC 130DEG ANGLED TRIGEN INTERTAN,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 13MM DIA 42CML 1.5M BOW RIGHT INTERTROCHANTERIC 130DEG ANGLED ROSE INTERTAN,1550.0,775.0,296.83,1395.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 14MM SHORT 380MM FEMORAL RETROGRADE T2 ALPHA STERILE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL INTRAMEDULLARY 16MM 200MM OSTEOBRIDGE TIAL6V4 ELI STERILE ARTHRODESIS,1990.0,995.0,381.09,1791.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 18MM 200MM OSTEOBRIDGE TIAL6V4 ELI STERILE ARTHRODESIS,1990.0,995.0,381.09,1791.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2.5MM 440MM TITANIUM PINK PEDIATRIC ELASTIC NONSTERILE,226.24,113.12,43.32,203.62,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2.5MM DIA 300MML STAINLESS STEEL PEDIATRIC FEMORAL ROUND TIP FLEXIBLE PEDIFLEX,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2.5MM DIA 450MML STAINLESS STEEL PRE-CURVED SHAFT FLEXIBLE T2 KIDS STERILE,216.24,108.12,41.41,194.62,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2MM 22MM INFRAME STAINLESS STEEL CANNULATED THREAD ACTIVE MOBILIZATION STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2MM 26MM INFRAME EXSOMED,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2MM 28MM INFRAME STAINLESS STEEL CANNULATED THREAD ACTIVE MOBILIZATION STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2MM 30MM INFRAME STAINLESS STEEL CANNULATED THREAD ACTIVE MOBILIZATION STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2MM 32MM INFRAME STAINLESS STEEL CANNULATED THREAD STABLE FIXATION ACTIVE MOBILIZATION STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 2MM 46MM INFRAME STAINLESS STEEL CANNULATED THREAD ACTIVE MOBILIZATION STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY 3.5MM 400MM PEDIFLEX TITANIUM ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL INTRAMEDULLARY 3.5MM 440MM TITANIUM BLUE PEDIATRIC ELASTIC STERILE,284.91,142.46,54.56,256.42,65
HCPCS,C1713,NAIL INTRAMEDULLARY 3.5MM DIA 450MML STAINLESS STEEL PRE-CURVED SHAFT FLEXIBLE T2 KIDS STERILE,228.48,114.24,43.75,205.63,65
HCPCS,C1713,NAIL INTRAMEDULLARY 3MM 440MM TITANIUM GOLD PEDIATRIC ELASTIC NONSTERILE,238.96,119.48,45.76,215.06,65
HCPCS,C1713,NAIL INTRAMEDULLARY 3MM DIA 400MML STAINLESS STEEL PEDIATRIC ROUND PEDIFLEX FLEX,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL INTRAMEDULLARY 3MM DIA 450MML STAINLESS STEEL PRE-CURVED SHAFT FLEXIBLE T2 KIDS STERILE,222.36,111.18,42.58,200.12,65
HCPCS,C1713,NAIL INTRAMEDULLARY 4.5MM 45MM INNATE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY 4.5MM 50MM INNATE STAINLESS STEEL STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY 4.5MM 65MM INNATE STAINLESS STEEL STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY 4MM 450MM PEDIFLEX TITANIUM ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL INTRAMEDULLARY 7MM 100MM DYNANAIL MINI,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL INTRAMEDULLARY 7MM 120MM DYNANAIL MINI,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL INTRAMEDULLARY 7MM 70MM DYNANAIL MINI,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL INTRAMEDULLARY 7MM 70MM DYNANAIL MINI STERILE LATEX FREE,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL INTRAMEDULLARY 7MM 80MM DYNANAIL HYBRID,3892.0,1946.0,745.32,3502.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY 7MM 80MM DYNANAIL MINI STERILE LATEX FREE,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM 300MM CHILD RIGHT FEMORAL PLATFORM PEDINAIL STERILE,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM 320MM CHILD RIGHT FEMORAL PLATFORM PEDINAIL STERILE,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM 360MM CHILD RIGHT FEMORAL PLATFORM PEDINAIL STERILE,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM DIA 105MML SALVATION,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM DIA 110MML SALVATION,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM DIA 155MML SALVATION,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM DIA 280MML CHILD LEFT FEMORAL,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 8MM DIA 280MML CHILD RIGHT FEMORAL,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 9MM 255MM TITANIUM TIBIAL TN-ADVANCED STERILE,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL INTRAMEDULLARY 9MM DIA 320MML ADOLESCENT LEFT FEMORAL,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 9MM DIA 340MML ADOLESCENT RIGHT FEMORAL PIP,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY 9MM DIA 420MML ADOLESCENT LEFT FEMORAL,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE 10MM 20CM VERSANAIL STERILE TIBIOTALOCALCANEAL FUSION,2277.0,1138.5,436.05,2049.3,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE 10MM 26CM DYNANAIL DEVICE STERILE ARTHRODESIS,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE 10MM 30CM DYNANAIL STERILE ARTHRODESIS,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE 12MM 30CM DYNANAIL XL NITINOL TITANIUM ARTHRODESIS,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 10MM 150MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 10MM 200MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 10MM 20CM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 10MM 300MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 11MM 150MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 12MM 150MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE LEFT 12MM 200MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE RIGHT 10MM 150MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE RIGHT 10MM 200MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE RIGHT 11MM 200MM T2 TITANIUM LOCK STERILE ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL INTRAMEDULLARY ANKLE TIBIOTALOCALCANEAL 12MM 26CM XL DYNANAIL NITINOL TITANIUM,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED 10MM DIA 20CML TITANIUM RIGHT HINDFOOT HUMERAL ANTEGRADE/RETROGRADE LOCKING LIME/ROSE TRIGEN STERILE,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED 3.6MM DIA 35MML STAINLESS STEEL METACARPAL THREADED INNATE STERILE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED 4.5MM DIA 35MML STAINLESS STEEL METACARPAL THREADED INNATE STERILE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED 8MM 145MM SALVATION 2,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED 8MM 150MM SALVATION 2,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED INTERLOCKING 10MM 460MM LEFT INTERTROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN LIME TRIGEN INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED INTERLOCKING 10MM DIA 10S 20CML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP BLUE TRIGEN INTERTAN STERILE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED INTERLOCKING 11.5MM DIA 1.5MM RADIUS 440MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED INTERLOCKING 11.5MM DIA 1.5MM RADIUS 440MML TITANIUM RIGHT FEMORAL TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED INTERLOCKING 11.5MM DIA 1.5MM RADIUS 460MML TITANIUM RIGHT FEMORAL TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED INTERLOCKING 13MM DIA 46CML TITANIUM RIGHT INTERTROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM 26CM TITANIUM ALLOY PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 1.5MM RADIUS 440MML TITANIUM LEFT TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 1.5MM RADIUS 440MML TITANIUM RIGHT TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 1.5MM RADIUS 440MML TITANIUM RIGHT TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 160MML TITANIUM LEFT HINDFOOT HUMERAL ANTEGRADE/RETROGRADE LIME/ROSE TRIGEN STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 180MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 200MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 220MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 240MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 250MML TITANIUM LEFT HINDFOOT HUMERAL ANTEGRADE RETROGRADE LIME/ROSE TRIGEN STERILE,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 26CML TITANIUM DISTAL FEMORAL RETROGRADE GOLD TRIGEN META,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 280MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 290MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 310MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 360MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 360MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE RECONSTRUCTION SEMI-RIGID LIME TRIGEN FAN,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 380MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 380MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 400MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 400MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 420MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 420MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 440MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 440MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 440MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 460MML TITANIUM ADOLESCENT LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN TAN,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 460MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 460MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 460MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 10MM DIA 50CML TITANIUM DISTAL FEMORAL RETROGRADE GOLD TRIGEN META,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM 320MM TITANIUM ALLOY RIGHT FEMORAL TROCHANTERIC ANTEGRADE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM 340MM TITANIUM ALLOY LEFT FEMORAL TROCHANTERIC ANTEGRADE LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 1.5MM RADIUS 460MML TITANIUM LEFT FEMORAL TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 220MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 250MML TITANIUM RIGHT HINDFOOT HUMERAL ANTEGRADE/RETROGRADE LIME/ROSE TRIGEN STERILE,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 380MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 400MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 400MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 420MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 440MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 440MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 460MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 11.5MM DIA 46CML TITANIUM LEFT TROCHANTERIC ANTEGRADE LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM 32CM TITANIUM ALLOY PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM 340MM TITANIUM ALLOY LEFT FEMORAL TROCHANTERIC ANTEGRADE LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM 36CM TITANIUM ALLOY PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM 38CM TITANIUM ALLOY PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM 420MM TITANIUM ALLOY LEFT FEMORAL TROCHANTERIC ANTEGRADE LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM 440MM TITANIUM ALLOY DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META STERILE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 1.5MM RADIUS 400MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 1.5MM RADIUS 420MML TITANIUM LEFT FEMORAL TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 1.5MM RADIUS 420MML TITANIUM RIGHT FEMORAL TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 1.5MM RADIUS 440MML TITANIUM LEFT FEMORAL TROCHANTERIC 125DEG ANGLED ANTEGRADE CLOTHESPIN DISTAL TIP LIME/ROSE TRIGEN INTERTAN STERILE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 22CML TITANIUM DISTAL FEMORAL RETROGRADE GOLD TRIGEN META,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 24CML TITANIUM DISTAL FEMORAL RETROGRADE GOLD TRIGEN META,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 26CML TITANIUM DISTAL FEMORAL RETROGRADE GOLD TRIGEN META,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 340MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 35CML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 370MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 38CML TITANIUM LEFT TROCHANTERIC 130DEG ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 39CML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 420MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 44CML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.0,775.0,296.83,1395.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MM DIA 460MML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 13MMX30CM TITANIUM ALLOY PROXIMAL TIBIAL RETROGRADE MULTI PLANAR GOLD TRIGEN META NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 8.5MM DIA 310MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GRAY TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 8.5MM DIA 390MML TITANIUM PROXIMAL TIBIAL RETROGRADE MULTI-PLANAR GRAY TRIGEN META-NAIL STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 9MM 400MM TITANIUM ALLOY RIGHT FEMORAL TROCHANTERIC ANTEGRADE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 9MM 440MM TITANIUM ALLOY RIGHT FEMORAL TROCHANTERIC ANTEGRADE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 9MM DIA 340MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 9MM DIA 360MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 9MM DIA 380MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LOCKING 9MM DIA 420MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LONG 10/8.5MM 280MM TITANIUM ALLOY HUMERAL BEND ANTEGRADE/RETROGRADE MULTI-PLANAR TRIGEN,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LONG 7MM DISTAL 180MM TITANIUM ALLOY PROXIMAL HUMERAL BEND ANTEGRADE/RETROGRADE MULTI-PLANAR TRIGEN STERILE,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CANNULATED LONG 7MM DISTAL 280MM TITANIUM ALLOY PROXIMAL HUMERAL BEND ANTEGRADE/RETROGRADE MULTI-PLANAR TRIGEN STERILE,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY CUSTOM 14MM 200MM KNEE LONG COLLARED F/ARTHRODESIS OSTEOBRIDGE IKA,1990.0,995.0,381.09,1791.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY DYNANAIL MINI COMPRESSION 7X130MM,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL INTRAMEDULLARY DYNANAIL MINI HYBRID COMPRESSION PROXIMAL THREADED 7X70MM,3892.0,1946.0,745.32,3502.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 10MM 30CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 10MM 32CM TRIGEN META-NAIL TITANIUM GOLD RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 10MM 36CM THK2.3MM TRIGEN META-TAN TITANIUM ALUMINUM VANADIUM GOLD RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 10MM 380MM T2 RETROGRADE STERILE LATEX FREE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 10MM 38CM THK2.3MM TRIGEN META-TAN TITANIUM ALUMINUM VANADIUM GOLD RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 10MM 40CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 11.5MM 38CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 11.5MM 40CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 11.5MM 42CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 11MM 240MM T2 RETROGRADE STERILE LATEX FREE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 12MM 340MM T2 RETROGRADE STERILE LATEX FREE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 12MM 380MM T2 RETROGRADE STERILE LATEX FREE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 13MM 32CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 13MM 34CM META-NAIL RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL 13MM 38CM TRIGEN META-NAIL TITANIUM GOLD RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL GREATER TROCHANTER LEFT 11MM 440MM T2 ALPHA STERILE,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL LEFT 11.5MM 40CM 130D STANDARD TRIGEN TITANIUM ALUMINUM VANADIUM LIME ROUND CROSS SECTION ANTEGRADE,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMORAL PIRIFORMIS FOSSA RIGHT 10MM 400MM T2 ALPHA STERILE,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR 10MM 34CM TRIGEN META-NAIL TITANIUM GOLD RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR 11.5MM 36CM TRIGEN META-NAIL TITANIUM GOLD RETROGRADE ROUND CROSS SECTION,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR 11MM 440MM R1.5 T2 TITANIUM LOCK STERILE,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR 12MM 320MM R1.5 T2 TITANIUM LOCK STERILE,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR 12MM 440MM R1.5 T2 TITANIUM LOCK STERILE,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR 13MM 40CM TRIGEN META-NAIL TITANIUM GOLD RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR DISTAL 10MM 320MM ROUND BARREL TITANIUM AQUA CANNULATED RETROGRADE STERILE,1952.16,976.08,373.84,1756.94,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 10MM 18CM 130D INTERTAN TRIGEN STERILE LATEX FREE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 10MM 36CM 130D INTERTAN TRIGEN STERILE LATEX FREE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 10MM 380MM 125D R1.5 GAMMA3 TITANIUM KIT LOCK STERILE LATEX FREE DISPOSABLE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 320MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 340MM 125D R1.5 GAMMA3 TITANIUM KIT LOCK STERILE LATEX FREE DISPOSABLE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 360MM 125D LONG R1.5 GAMMA3 TITANIUM LOCK STERILE LATEX FREE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 380MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 400MM 125D R1.5 GAMMA3 TITANIUM KIT LOCK STERILE LATEX FREE DISPOSABLE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 420MM 125D LONG R1.5 GAMMA3 TITANIUM LOCK STERILE LATEX FREE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 11MM 440MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR LEFT 13MM 380MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 10MM 32CM STANDARD TRIGEN TITANIUM ROSE ANTEGRADE,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 10MM 36CM STANDARD TRIGEN TITANIUM ROSE ANTEGRADE,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 10MM 42CM STANDARD TRIGEN TITANIUM ROSE ANTEGRADE,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 320MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 340MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 360MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 380MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 400MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 420MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 11MM 440MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 13MM 360MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT 13MM 380MM 125D R1.5 GAMMA3 TITANIUM LOCK STERILE,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT TROCHANTERIC 10MM 42CM TRIGEN META-TAN ROSE ANTEGRADE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR RIGHT TROCHANTERIC 13MM 34CM TRIGEN META-TAN ROSE ANTEGRADE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY FEMUR TROCHANTERIC 8.5MM 3.5-5MM 245MM 10D 80MM PRECICE 2 ANTEGRADE STERILE LIMB LENGTHEN SYSTEM MIS,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY FOOT ANKLE 10MM 15CM VERSANAIL STERILE,2277.0,1138.5,436.05,2049.3,65
HCPCS,C1713,NAIL INTRAMEDULLARY HAND 4.5MM 40MM INNATE STAINLESS STEEL ANATOMIC REDUCTION STABLE FIXATION LESS TRAUMATIC ACTIVE MOBILIZATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY HAND 4.5MM 55MM INNATE STAINLESS STEEL ANATOMIC REDUCTION STABLE FIXATION LESS TRAUMATIC ACTIVE MOBILIZATION STERILE,2152.0,1076.0,412.11,1936.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY HAND 4.5MM 75MM INNATE STAINLESS STEEL ANATOMIC REDUCTION STABLE FIXATION LESS TRAUMATIC ACTIVE MOBILIZATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY HINDFOOT LEFT 11.5MM 16CM TRIGEN TITANIUM FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY HINDFOOT RIGHT 10MM 16CM FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY HINDFOOT RIGHT 11.5MM 20CM TRIGEN TITANIUM FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY HIP TROCHANTER 11MM 180MM 125D GAMMA3 TITANIUM KIT STERILE LATEX FREE DISPOSABLE,1073.04,536.52,205.49,965.74,65
HCPCS,C1713,NAIL INTRAMEDULLARY HIP TROCHANTER 11MM 180MM 130D GAMMA3 TITANIUM KIT STERILE LATEX FREE DISPOSABLE,1073.04,536.52,205.49,965.74,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERAL 9/7.5MM 26CM LONG TRIGEN BENT,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERAL PROXIMAL 8/7MM 16CM TRIGEN BENT,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERAL PROXIMAL 9/7.5MM 22CM TRIGEN BENT STERILE LATEX FREE,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERUS 8/7MM 20CM TRIGEN,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERUS 8/7MM 22CM TRIGEN,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERUS 8/7MM 24CM TRIGEN TITANIUM BENT,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERUS LEFT PROXIMAL 8MM 150MM T2 TITANIUM STERILE,1562.64,781.32,299.25,1406.38,65
HCPCS,C1713,NAIL INTRAMEDULLARY HUMERUS LEFT PROXIMAL 8MM 260MM T2 TITANIUM ANTEGRADE RETROGRADE LOCK GUN DRILL STERILE,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERLOCKING CANNULATED 13MM DIA SHORT 200MML TITANIUM RIGHT INTERTROCHANTERIC HIP 125DEG ANGLED NECK ANTEGRADE CLOTHESPIN DISTAL TIP BLUE TRIGEN INTERTAN STERILE SINGLE-USE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTER 10MM 18CM 125D TRIGEN INTERTAN TITANIUM LIME ROSE ANTEGRADE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTER 10MM 20CM 125D TRIGEN INTERTAN BLUE ANTEGRADE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTER 11.5MM 18CM 125D SHORT TRIGEN INTERTAN TITANIUM BLUE RETROGRADE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTER LEFT 10MM 38CM 125D TRIGEN INTERTAN LIME ROSE ANTEGRADE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTER RIGHT 11.5MM 38CM 125D 1.5MM TRIGEN INTERTAN TITANIUM LIME ROSE ANTEGRADE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTERIC 10MM 18CM 130D SHORT INTERTAN TITANIUM ANTEGRADE,971.99,486.0,186.14,874.79,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTERIC 11.5MM 18CM 130D SHORT INTERTAN TITANIUM ANTEGRADE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTERIC RIGHT 11.5MM 36CM 130D TRIGEN INTERTAN TITANIUM LIME ROSE ANTEGRADE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY INTERTROCHANTERIC RIGHT 11.5MM 38CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY KNEE OSTEOBRIDGE TIAL6V4 ELI STERILE ARTHRODESIS,1990.0,995.0,381.09,1791.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 10MM 36CM 125D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 10MM 38CM 130D INTERTAN TITANIUM LIME,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 10MM 42CM 130D META-TAN LIME,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 34CM 125D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 34CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 34CM 130D TITANIUM NIOBIUM ALUMINUM LIME,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 36CM 125D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 36CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 36CM 130D INTERTAN TRIGEN STERILE LATEX FREE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 38CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 40CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 42CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 11.5MM 44CM 130D META-TAN LIME,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 13MM 32CM 125D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 13MM 38CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 13MM 44CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 13MM 44CM 130D META-TAN LIME,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 38CM 130D 1.5MM 10MM TRIGEN INTERTAN STERILE LATEX FREE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT 9MM 40CM META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT INTERTROCHANTER 34CM 130D 1.5MM 10MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT INTERTROCHANTER 36CM 130D 1.5MM 10MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTER 10MM 34CM 130D TRIGEN INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTER 11.5MM 40CM 130D TRIGEN TITANIUM LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 10MM 30CM 130D TRIGEN TITANIUM LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 10MM 34CM 130D LONG INTERTAN TRIGEN LIME ROSE NECK ANGLED,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 10MM 38CM 125D LARGE INTERTAN TITANIUM,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 10MM 38CM 130D TRIGEN TITANIUM LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 10MM 40CM 130D TRIGEN TITANIUM LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 11.5MM 34CM 125D LARGE INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 11.5MM 34CM 130D INTERTAN TITANIUM ANTEGRADE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 11.5MM 36CM 130D TRIGEN TITANIUM LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY LEFT TROCHANTERIC 11.5MM 42CM 130D LONG INTERTAN TITANIUM LIME,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING 10MM DIA 1.5MM RADIUS LONG 340MML TITANIUM LEFT FEMORAL TROCHANTERIC 130DEG ANGLED W/SET SCREW GAMMA3 STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING 11MM DIA 1.5MM RADIUS LONG 300MML TITANIUM LEFT FEMORAL TROCHANTERIC 125DEG ANGLED W/SET SCREW GAMMA3 STERILE,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING 15MM 1.5MM RADIUS 380MM TITANIUM ALLOY RIGHT FEMORAL 125DEG ANGLED RECONSTRUCTION T2 STERILE,1648.32,824.16,315.65,1483.49,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING CANNULATED 10MM DIA 34CML TITANIUM LEFT TROCHANTERIC 130DEG ANGLED ANTEGRADE CLOSED LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING CANNULATED 11.5MM DIA 240MML TITANIUM DISTAL FEMORAL RETROGRADE MULTI-PLANAR GOLD TRIGEN META-NAIL STERILE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING CANNULATED 11.5MM DIA 42CML TITANIUM RIGHT TROCHANTERIC ANTEGRADE ROSE TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY LOCKING CANNULATED 13MM DIA 400MML TITANIUM LEFT FEMORAL TROCHANTERIC ANTEGRADE LIME TRIGEN META-TAN,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL INTRAMEDULLARY METACARPAL 3.6MM 25MM T10 INNATE STAINLESS STEEL CANNULATED THREAD STABLE FIXATION ACTIVE MOBILIZATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY METACARPAL 3.6MM 40MM T10 INNATE STAINLESS STEEL CANNULATED THREAD STABLE FIXATION ACTIVE MOBILIZATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY METACARPAL 3.6MM 45MM T10 INNATE STAINLESS STEEL CANNULATED THREAD STABLE FIXATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY METACARPAL 3.6MM 50MM T10 INNATE STAINLESS STEEL CANNULATED THREAD STABLE FIXATION ACTIVE MOBILIZATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY METACARPAL 3.6MM 55MM T10 INNATE STAINLESS STEEL CANNULATED THREAD STABLE FIXATION STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,NAIL INTRAMEDULLARY OD11 MM 345 MM TIBIAL TITANIUM AUTOBAHN,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,NAIL INTRAMEDULLARY OD13 MM L300 MM TIBIA T2 ALPHA,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 10MM 34CM 125D 1.5MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 10MM 34CM 130D META-TAN ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 10MM 36CM 125D INTERTAN TRIGEN STERILE LATEX FREE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 10MM 38CM 130D META-TAN ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 32CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 34CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 36CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 36CM 130D TITANIUM NIOBIUM ALUMINUM ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 40CM 130D META-TAN ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 42CM 130D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 11.5MM 42CM 130D TITANIUM NIOBIUM ALUMINUM ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 13MM 36CM 125D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 13MM 38CM 125D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 13MM 40CM 125D 1.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT 44CM 130D 1.5MM 11.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT HINDFOOT 11.5MM 16CM TRIGEN FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT INTERTROCHANTER 36CM 130D 1.5MM 10MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT INTERTROCHANTER 38CM 125D 1.5MM 10MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT INTERTROCHANTER 38CM 130D 1.5MM 10MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT INTERTROCHANTER 40CM 125D 1.5MM 11.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT INTERTROCHANTER 40CM 130D 1.5MM 10MM INTERTAN,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT INTERTROCHANTER 40CM 130D 1.5MM 11.5MM INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 10MM 32CM 130D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 10MM 36CM 125D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 10MM 36CM 130D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 10MM 38CM 125D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 10MM 42CM 125D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 10MM 42CM 130D INTERTAN,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTER 11.5MM 38CM 130D TRIGEN TITANIUM ROSE ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTERIC 10MM 400MM 125D LARGE INTERTAN TITANIUM,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTERIC 10MM 40CM 130D TRIGEN TITANIUM ROSE ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTERIC 10MM 42IN 130D TRIGEN TITANIUM ROSE ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTERIC 11.5MM 34CM 130D LONG INTERTAN TITANIUM ROSE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTERIC 11.5MM 36CM 125D LARGE INTERTAN TITANIUM ROSE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY RIGHT TROCHANTERIC 13MM 38CM 130D TRIGEN TITANIUM ROSE ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY SHORT 10MM 200MM FEMORAL RETROGRADE T2 ALPHA STERILE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL INTRAMEDULLARY SHORT 13MM 440MM FEMORAL RETROGRADE T2 ALPHA STERILE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL INTRAMEDULLARY SHORT 14MMX420MM FEMORAL RETROGRADE T2 ALPHA STERILE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL INTRAMEDULLARY SUPRACONDYLAR 11MM 340MM T2,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL INTRAMEDULLARY SUPRACONDYLAR 12MM 200MM T2,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL INTRAMEDULLARY SUPRACONDYLAR 12MM 340MM T2,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL INTRAMEDULLARY SUPRACONDYLAR 13MM 200MM T2,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 10.7MM 195MM 10D 50MM PRECICE ANTEGRADE STROKE LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 10MM 315MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 10MM 330MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 10MM 345MM T2 ALPHA STERILE,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 10MM 40CM TRIGEN META-NAIL,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 11.5MM 35CM META-NAIL TITANIUM,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 11MM 315MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 11MM 330MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 11MM 345MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 11MM 360MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 12MM 375MM T2 ALPHA STERILE,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 8.5MM 245MM 10D 80MM PRECICE 2 STROKE ANTEGRADE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 8.5MM 24CM META-NAIL TITANIUM,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 8.5MM 33CM TRIGEN META-NAIL TITANIUM GRAY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 9MM 345MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 9MM 360MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIA 9MM 375MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 300MM T2 ALPHA STERILE,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 30CM TRIGEN META-NAIL TITANIUM GOLD,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 32CM META-NAIL TITANIUM,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 345MM STANDARD T2 TITANIUM LOCK STERILE,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 34CM TRIGEN META-NAIL TITANIUM GOLD STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 35CM TRIGEN META-NAIL TITANIUM GOLD STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 36CM TRIGEN META-NAIL TITANIUM GOLD STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 37CM TRIGEN META-NAIL TITANIUM GOLD STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 38CM TRIGEN META-NAIL TITANIUM GOLD,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 10MM 40CM TRIGEN META-NAIL TITANIUM GOLD STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 11.5MM 30CM META-NAIL,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 11.5MM 32CM META-NAIL,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 11.5MM 36CM META-NAIL,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 11.5MM 37CM META-NAIL,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 11.5MM 38CM TRIGEN META-NAIL TITANIUM GOLD,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 11.5MM 39CM META-NAIL,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 8.5MM 28CM TRIGEN META-NAIL TITANIUM GRAY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 8.5MM 30CM TRIGEN META-NAIL TITANIUM GRAY STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 8.5MM 32CM TRIGEN META-NAIL TITANIUM GRAY STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 8.5MM 34CM TRIGEN META-NAIL TITANIUM GRAY STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 8.5MM 35CM TRIGEN META-NAIL TITANIUM GRAY STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 8.5MM 36CM TRIGEN STERILE,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL INTRAMEDULLARY TIBIAL 9MM 300MM T2 ALPHA STERILE,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTER 10MM 18CM 125D INTERTAN,971.99,486.0,186.14,874.79,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC 13MM 18CM 125D SHORT INTERTAN TITANIUM,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC 13MM 18CM 130D SHORT INTERTAN TITANIUM,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 10MM 32CM 130D TRIGEN LIME ANTEGRADE STERILE LATEX FREE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 10MM 34CM 130D TRIGEN LIME ANTEGRADE STERILE LATEX FREE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 10MM 36CM 130D TRIGEN LIME ANTEGRADE STERILE LATEX FREE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 10MM 44CM 130D TRIGEN LIME ANTEGRADE STERILE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 11.5MM 32CM 130D LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 11.5MM 38CM 130D LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 11.5MM 42CM 130D LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 11.5MM 46CM 130D TRIGEN LIME ANTEGRADE STERILE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 13MM 32CM 130D TRIGEN LIME ANTEGRADE STERILE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 13MM 34CM 130D TRIGEN LIME ANTEGRADE STERILE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 13MM 38CM 130D LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 13MM 40CM 130D LIME ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 13MM 42CM 130D TRIGEN LIME ANTEGRADE STERILE LATEX FREE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 13MM 46CM 130D TRIGEN LIME ANTEGRADE STERILE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 8.5MM 36CM 130D TRIGEN TITANIUM LIME ADULT ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC LEFT 8.5MM 40CM 130D TRIGEN TITANIUM LIME ADULT ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC RIGHT 10MM 44CM 130D ROSE ANTEGRADE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC RIGHT 11.5MM 38CM 130D INTERTAN TITANIUM,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC RIGHT 8.5MM 36CM 130D TRIGEN TITANIUM ROSE ADULT ANTEGRADE,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY TROCHANTERIC RIGHT 8.5MM 38CM 130D TRIGEN TITANIUM ROSE ADULT ANTEGRADE,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL INTRAMEDULLARY UPPER LOWER EXTREMITY 2.25MM 300MM T2 KIDS TITANIUM FLEXIBLE PRECURVE SHAFT STERILE,202.98,101.49,38.87,182.68,65
HCPCS,C1713,NAIL L32 CM LEFT INTERTROCHANTER INTERTAN INTRAMEDULLARY 125 D 1.5 MM L11.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL L32 CM RIGHT INTERTROCHANTER INTERTAN INTRAMEDULLARY 125 D 1.5 MM L11.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL L36 CM RIGHT INTERTROCHANTER INTERTAN INTRAMEDULLARY 125 D 1.5 MM L10 MM,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL L50 MM LEFT PHANTOM INTRAMEDULLARY 3 HOLE LAPIDUS,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,NAIL LEFT PROXIMAL HUMERUS 8MM 22CM T2 RETROGRADE ANTEGRADE LOCKING TITANIUM STERILE INTRAMEDULLARY,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL OD MM L320 MM RFN-ADVANCED INTRAMEDULLARY 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD1.5 MM L300 MM STAINLESS STEEL INTRAMEDULLARY ELASTIC,202.58,101.29,38.79,182.32,65
HCPCS,C1713,NAIL OD1.5 MM L300 MM STAINLESS STEEL PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD1.5 MM L300 MM TITANIUM INTRAMEDULLARY ELASTIC PEDIATRIC PURPLE,227.89,113.95,43.64,205.1,65
HCPCS,C1713,NAIL OD10 MM L150 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN ARTHRODESIS,1348.17,674.09,258.17,1213.35,65
HCPCS,C1713,NAIL OD10 MM L150 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION SMALL GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L150 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN ARTHRODESIS,1348.17,674.09,258.17,1213.35,65
HCPCS,C1713,NAIL OD10 MM L150 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION SMALL SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L160 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2099.05,1049.53,401.97,1889.15,65
HCPCS,C1713,NAIL OD10 MM L170 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 135 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD10 MM L170 MM HIP TROCHANTER TITANIUM GAMMA3 INTRAMEDULLARY KIT 125 D,1263.78,631.89,242.01,1137.4,65
HCPCS,C1713,NAIL OD10 MM L170 MM HIP TROCHANTER TITANIUM GAMMA3 INTRAMEDULLARY KIT 130 D,1263.78,631.89,242.01,1137.4,65
HCPCS,C1713,NAIL OD10 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1198.24,599.12,229.46,1078.42,65
HCPCS,C1713,NAIL OD10 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD10 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD10 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L180 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN ARTHRODESIS,1348.17,674.09,258.17,1213.35,65
HCPCS,C1713,NAIL OD10 MM L180 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN ARTHRODESIS,1348.17,674.09,258.17,1213.35,65
HCPCS,C1713,NAIL OD10 MM L20 CM HINDFOOT LEFT TRIGEN INTRAMEDULLARY FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL OD10 MM L20 CM INTERTROCHANTERIC TITANIUM TRIGEN INTERTAN INTRAMEDULLARY ANTEGRADE 130 D BLUE,971.99,486.0,186.14,874.79,65
HCPCS,C1713,NAIL OD10 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L200 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2099.05,1049.53,401.97,1889.15,65
HCPCS,C1713,NAIL OD10 MM L200 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD10 MM L200 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION MEDIUM GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L200 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION MEDIUM GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L200 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD10 MM L200 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD10 MM L200 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L200 MM TITANIUM PRECICE INTRAMEDULLARY ANKLE SALVAGE SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L235 MM LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD10 MM L235 MM LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD10 MM L235 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD10 MM L235 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2099.05,1049.53,401.97,1889.15,65
HCPCS,C1713,NAIL OD10 MM L240 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD10 MM L240 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN ARTHRODESIS,1526.6,763.3,292.34,1373.94,65
HCPCS,C1713,NAIL OD10 MM L240 MM LEFT HINDFOOT TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN ARTHRODESIS,1526.6,763.3,292.34,1373.94,65
HCPCS,C1713,NAIL OD10 MM L240 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L25 CM HINDFOOT RIGHT TITANIUM TRIGEN INTRAMEDULLARY FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL OD10 MM L250 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION LARGE GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L250 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION LARGE SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L250 MM TITANIUM PRECICE INTRAMEDULLARY ANKLE SALVAGE SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10 MM L255 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L255 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1234.55,617.28,236.42,1111.1,65
HCPCS,C1713,NAIL OD10 MM L255 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD10 MM L260 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L260 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L260 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L260 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L270 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L270 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L270 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL OD10 MM L270 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L270 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD10 MM L28 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD10 MM L280 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L280 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L280 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2099.05,1049.53,401.97,1889.15,65
HCPCS,C1713,NAIL OD10 MM L280 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L280 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD10 MM L280 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L285 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L285 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L285 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L285 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L30 CM FEMUR RIGHT TROCHANTERIC TRIGEN META-TAN INTRAMEDULLARY ANTEGRADE ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD10 MM L30 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L300 MM ANKLE RIGHT TITANIUM T2 INTRAMEDULLARY LOCK ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L300 MM FEMUR TI T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD10 MM L300 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION XL GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L300 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION XL SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD10 MM L300 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L300 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L300 MM RIGHT FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L300 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L300 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L300 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L300 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L300 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L315 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L315 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L32 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 125 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L32 CM TROCHANTERIC RIGHT TRIGEN INTRAMEDULLARY ANTEGRADE 130 D ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1714.09,857.05,328.25,1542.68,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L320 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD10 MM L320 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L320 MM PIRIFORMIS FOSSA FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L320 MM RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L320 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L33 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD10 MM L330 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L330 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L330 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L330 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L34 CM FEMUR RIGHT INTERTAN TRIGEN INTRAMEDULLARY 125 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L34 CM HINDFOOT TRIGEN INTRAMEDULLARY 2M POSTERIOR BOW RIGHT,5679.12,2839.56,1087.55,5111.21,65
HCPCS,C1713,NAIL OD10 MM L34 CM INTERTROCHANTER LEFT TITANIUM TRIGEN INTERTAN INTRAMEDULLARY ANTEGRADE 125 D LIME ROSE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L34 CM RIGHT TROCHANTER INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L34 CM TROCHANTERIC RIGHT TITANIUM TRIGEN INTRAMEDULLARY ANTEGRADE STANDARD ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L340 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD10 MM L340 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L340 MM PIRIFORMIS FOSSA RIGHT FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L340 MM RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L340 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10 MM L345 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L345 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L36 CM HINDFOOT LEFT POSTERIOR TRIGEN INTRAMEDULLARY FUSION,5679.12,2839.56,1087.55,5111.21,65
HCPCS,C1713,NAIL OD10 MM L36 CM HINDFOOT TRIGEN INTRAMEDULLARY 2M POSTERIOR BOW RIGHT,5679.12,2839.56,1087.55,5111.21,65
HCPCS,C1713,NAIL OD10 MM L36 CM TROCHANTERIC RIGHT TITANIUM TRIGEN INTRAMEDULLARY ANTEGRADE STANDARD ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD10 MM L36 CM TROCHANTERIC RIGHT TRIGEN TAN INTRAMEDULLARY ANTEGRADE 130 D ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL PROXIMAL LEFT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL RIGHT PEDINAIL INTRAMEDULLARY ADULT,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L360 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L360 MM LEFT FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L360 MM LEFT PIRIFORMIS FOSSA FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L360 MM LEFT PROXIMAL FEMORAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L360 MM NA INTRAMEDULLARY 10 D BEND RFNA,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD10 MM L360 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L360 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L360 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L360 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L360 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L360 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10 MM L360 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD10 MM L375 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L375 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L38 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L38 CM TROCHANTER RIGHT INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL LEFT GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL LEFT PIRIFORMIS FOSSA TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL RIGHT GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L380 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD10 MM L380 MM RIGHT FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L380 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10 MM L390 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L390 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L390 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L390 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L390 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L40 CM INTERTROCHANTER RIGHT TITANIUM TRIGEN INTERTAN INTRAMEDULLARY ANTEGRADE 125 D LIME ROSE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L40 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 125 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L40 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L40 CM RIGHT TROCHANTER INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L40 CM RIGHT TROCHANTERIC TITANIUM INTERTAN INTRAMEDULLARY 130 D LONG ROSE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEM GRT TROCH RT T2 ALPHA IM,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL GREATER TROCHANTER LEFT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT,1173.01,586.51,224.63,1055.71,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L400 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L400 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L400 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD10 MM L400 MM TROCHANTERIC TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD10 MM L405 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD10 MM L405 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L405 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L405 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L405 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L41 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD10 MM L42 CM FEMUR TITANIUM TRIGEN META-NAIL INTRAMEDULLARY RETROGRADE HAMMER SLOT STANDARD GOLD,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD10 MM L42 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 125 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L42 CM LEFT TROCHANTER INTERTAN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL GREATER TROCHANTER LEFT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L420 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L420 MM LEFT FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L420 MM LEFT FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L420 MM RIGHT FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L420 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L420 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD10 MM L420 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD10 MM L420 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD10 MM L420 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD10 MM L420 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD10 MM L420 MM TROCHANTERIC TITANIUM AUTOBAHN INTRAMEDULLARY 125 D RIGHT,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD10 MM L43 CM TIBIA TITANIUM TRIGEN INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD10 MM L435 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD10 MM L435 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD10 MM L44 CM TIBIAL TRIGEN INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL GREATER TROCHANTER LEFT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1714.09,857.05,328.25,1542.68,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD10 MM L440 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD10 MM L440 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD10 MM L450 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD10 MM L460 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD10 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L480 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD10 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD10 MM L700 MM RIGHT TITANIUM T2 INTRAMEDULLARY ARTHRODESIS,4995.96,2497.98,956.73,4496.36,65
HCPCS,C1713,NAIL OD10 MM ODSEC13 MM L34 CM FEMORAL TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY RETROGRADE ANTERIOR BEVEL TIP STRAIGHT FLUTE PURPLE PERIPROSTHETIC,1893.44,946.72,362.59,1704.1,65
HCPCS,C1713,NAIL OD10 MM ODSEC13 MM L36 CM FEMORAL TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY RETROGRADE ANTERIOR BEVEL TIP STRAIGHT FLUTE PURPLE PERIPROSTHETIC,1464.0,732.0,280.36,1317.6,65
HCPCS,C1713,NAIL OD10 MM ODSEC13 MM L38 CM FEMORAL TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY RETROGRADE ANTERIOR BEVEL TIP STRAIGHT FLUTE PURPLE PERIPROSTHETIC,1893.44,946.72,362.59,1704.1,65
HCPCS,C1713,NAIL OD10 MM ODSEC13 MM L40 CM FEMORAL TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY RETROGRADE ANTERIOR BEVEL TIP STRAIGHT FLUTE PURPLE PERIPROSTHETIC,1893.44,946.72,362.59,1704.1,65
HCPCS,C1713,NAIL OD10 MM ODSEC13 MM L42 CM FEMORAL TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY RETROGRADE ANTERIOR BEVEL TIP STRAIGHT FLUTE PURPLE PERIPROSTHETIC,1893.44,946.72,362.59,1704.1,65
HCPCS,C1713,NAIL OD10 MM ODSEC15.5 MM L32 CM CEPHALOMEDULLARY TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY ANTERIOR BEVEL TIP 125 D CCD RIGHT SPIRAL FLUTE BLUE PERIPROSTHETIC,1518.1,759.05,290.72,1366.29,65
HCPCS,C1713,NAIL OD10 MM ODSEC15.5 MM L38 CM CEPHALOMEDULLARY TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY ANTERIOR BEVEL TIP 125 D CCD LEFT SPIRAL FLUTE BLUE PERIPROSTHETIC,1518.1,759.05,290.72,1366.29,65
HCPCS,C1713,NAIL OD10-17 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD10-17 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D SHORT GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD10-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1086.19,543.1,208.01,977.57,65
HCPCS,C1713,NAIL OD10-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1086.19,543.1,208.01,977.57,65
HCPCS,C1713,NAIL OD10-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD10-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L320 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L320 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L360 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L360 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L420 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L440 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L460 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L460 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L460 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1532.21,766.11,293.42,1378.99,65
HCPCS,C1713,NAIL OD10-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD10.7 MM L215 MM TIBIA PRECICE INTRAMEDULLARY ANTEGRADE STROKE 10 D 50 MM LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10.7 MM L245 MM FEMUR TROCHANTERIC PRECICE INTRAMEDULLARY ANTEGRADE STROKE 10 D,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10.7 MM L275 MM FEMUR PIRIFORMIS PRECICE INTRAMEDULLARY ANTEGRADE STROKE 80 MM STRAIGHT LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10.7 MM L275 MM TIBIA PRECICE 2 INTRAMEDULLARY ANTEGRADE STROKE 10 D 80 MM LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10.7 MM ODSEC4-5 MM L275 MM FEMORAL TROCHANTER PRECICE 2 INTRAMEDULLARY ANTEGRADE 10 D LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10.7 MM ODSEC4-5 MM L305 MM FEMUR TROCHANTERIC PRECICE 2 INTRAMEDULLARY ANTEGRADE 10 D LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD10/8.5 MM L18 CM HUMERUS TRIGEN INTRAMEDULLARY,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL OD10/8.5 MM L24 CM HUMERUS TRIGEN INTRAMEDULLARY BENT LONG,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL OD10/8.5 MM L26 CM HUMERAL TRIGEN INTRAMEDULLARY BENT LONG,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL OD10MM L37.5 CM TIBIAL VERSANAIL INTRAMEDULLARY,1195.04,597.52,228.85,1075.54,65
HCPCS,C1713,NAIL OD11 MM L150 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD11 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L160 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD11 MM L170 MM FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 135 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD11 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1417.61,708.81,271.47,1275.85,65
HCPCS,C1713,NAIL OD11 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD11 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD11 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L180 MM FEMUR AFFIXUS INTRAMEDULLARY LAG SCREW MULTIPLE LOCK 125 D,1231.2,615.6,235.77,1108.08,65
HCPCS,C1713,NAIL OD11 MM L180 MM HIP AFFIXUS INTRAMEDULLARY SHORT,1231.2,615.6,235.77,1108.08,65
HCPCS,C1713,NAIL OD11 MM L180 MM HIP RIGHT FEMORAL AFFIXUS GOAL POST INTRAMEDULLARY LAG SCREW UNIQUE DISTAL BEND MULTIPLE LOCK 125 D SHORT,1231.2,615.6,235.77,1108.08,65
HCPCS,C1713,NAIL OD11 MM L180 MM TROCHANTER TITANIUM GAMMA3 INTRAMEDULLARY KIT 120 D,1073.04,536.52,205.49,965.74,65
HCPCS,C1713,NAIL OD11 MM L190 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L200 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD11 MM L200 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L200 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L200 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD11 MM L210 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L220 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L230 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L235 MM PROXIMAL LEFT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD11 MM L235 MM PROXIMAL LEFT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1516.59,758.3,290.43,1364.93,65
HCPCS,C1713,NAIL OD11 MM L235 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD11 MM L235 MM RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD11 MM L235 MM TROCHANTER TITANIUM INTRAMEDULLARY CANNULATED 135 D SHORT GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD11 MM L240 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD11 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L240 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L240 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L250 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L255 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD11 MM L255 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD11 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L260 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L260 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L270 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L270 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL OD11 MM L270 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L270 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD11 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L280 MM HIP LEFT FEMUR TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R2,1824.48,912.24,349.39,1642.03,65
HCPCS,C1713,NAIL OD11 MM L280 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L285 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD11 MM L285 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L285 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L285 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L290 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L300 MM ANKLE LEFT TITANIUM T2 INTRAMEDULLARY LOCK ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD11 MM L300 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L300 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L300 MM PROXIMAL LEFT FEMORAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L300 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L300 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD11 MM L300 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L300 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L300 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11 MM L310 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L315 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD11 MM L315 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L315 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED GREEN,1104.0,552.0,211.42,993.6,65
HCPCS,C1713,NAIL OD11 MM L315 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL RIGHT GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL TITANIUM AUTOBAHN EVO INTRAMEDULLARY RETROGRADE 5 D,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMUR DISTAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL AQUA,1437.0,718.5,275.19,1293.3,65
HCPCS,C1713,NAIL OD11 MM L320 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L320 MM HIP LEFT FEMUR TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R2,1940.82,970.41,371.67,1746.74,65
HCPCS,C1713,NAIL OD11 MM L320 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1494.09,747.05,286.12,1344.68,65
HCPCS,C1713,NAIL OD11 MM L320 MM PROXIMAL LEFT FEMORAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L320 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L330 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD11 MM L330 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L330 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L330 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL GREATER TROCHANTER LEFT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED PREASSEMBLE LOCK MECHANISM 130 D LONG GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL TITANIUM AUTOBAHN EVO INTRAMEDULLARY RETROGRADE 5 D,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R2,1940.82,970.41,371.67,1746.74,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMUR RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L340 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L340 MM HIP RIGHT FEMUR TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R2,1824.48,912.24,349.39,1642.03,65
HCPCS,C1713,NAIL OD11 MM L340 MM LEFT PROXIMAL FEMORAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L345 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD11 MM L345 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L345 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L36 CM FEMUR RIGHT AFFIXUS INTRAMEDULLARY GOAL POST MULTIPLE LOCK CHAMFER 125 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD11 MM L36 CM FEMUR RIGHT AFFIXUS INTRAMEDULLARY GOAL POST MULTIPLE LOCK CHAMFER 130 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD11 MM L36 CM TROCHANTERIC RIGHT PTN PERITROCHANTERIC NAIL INTRAMEDULLARY LONG,2090.0,1045.0,400.24,1881.0,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL PIRIFORMIS FOSSA LEFT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM AUTOBAHN EVO INTRAMEDULLARY ANTEGRADE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL PROXIMAL LEFT AFFIXUS INTRAMEDULLARY LAG SCREW 130 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL RIGHT GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY KIT LOCK 130 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMUR RFN-ADVANCED INTRAMEDULLARY 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMUR RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L360 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L360 MM PIRIFORMIS FOSSA FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L360 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD11 MM L360 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L360 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L360 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11 MM L360 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD11 MM L375 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD11 MM L375 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD11 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L375 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L38 CM HIP LEFT FEMUR AFFIXUS INTRAMEDULLARY GOAL POST MULTIPLE LOCK CHAMFER 130 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1714.09,857.05,328.25,1542.68,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2008.5,1004.25,384.63,1807.65,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL T2 INTRAMEDULLARY,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R2,1824.48,912.24,349.39,1642.03,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMUR RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMUR RIGHT HIP TITANIUM T2 INTRAMEDULLARY RECONSTRUCTION R1.5,1590.18,795.09,304.52,1431.16,65
HCPCS,C1713,NAIL OD11 MM L380 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD11 MM L380 MM HIP LEFT FEMUR TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R2,1940.82,970.41,371.67,1746.74,65
HCPCS,C1713,NAIL OD11 MM L380 MM PIRIFORMIS FOSSA FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L380 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L380 MM TROCHANTERIC TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD11 MM L390 MM TIBIA T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD11 MM L390 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD11 MM L390 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L390 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L390 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1714.09,857.05,328.25,1542.68,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMUR LEFT PIRIFORMIS FOSSA TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMUR RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R1.5,1768.68,884.34,338.7,1591.81,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 130 D R2,1824.48,912.24,349.39,1642.03,65
HCPCS,C1713,NAIL OD11 MM L400 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L400 MM HIP LEFT FEMUR TITANIUM T2 INTRAMEDULLARY RECONSTRUCTION R1.5,1590.18,795.09,304.52,1431.16,65
HCPCS,C1713,NAIL OD11 MM L400 MM HIP RIGHT FEMUR AFFIXUS INTRAMEDULLARY LAG SCREW MULTIPLE LOCK 130 D,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD11 MM L400 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L400 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD11 MM L400 MM TROCHANTERIC TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD11 MM L405 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD11 MM L405 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L405 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L405 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL GREATER TROCHANTER LEFT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL LEFT TROCHANTER TITANIUM INTRAMEDULLARY CANNULATED PREASSEMBLE LOCK MECHANISM 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMUR RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD11 MM L420 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD11 MM L420 MM LEFT FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L420 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD11 MM L420 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD11 MM L420 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L420 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD11 MM L420 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD11 MM L435 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD11 MM L435 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L440 MM LEFT FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L440 MM LEFT FEMORAL PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 135 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L440 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L460 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L460 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L460 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD11 MM L460 MM PROXIMAL LEFT FEMORAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD11 MM L460 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L480 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD11 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD11-17 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D SHORT GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD11-17 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D SHORT GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD11-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD11-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD11-17 MM L300 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L300 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L340 MM TROCHANTER RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L380 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L400 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L400 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L460 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD11.5 MM L150 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION SMALL GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L150 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION SMALL SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L20 CM FEMORAL TITANIUM TRIGEN META-NAIL INTRAMEDULLARY RETROGRADE GOLD,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD11.5 MM L20 CM HINDFOOT LEFT TITANIUM TRIGEN INTRAMEDULLARY FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL OD11.5 MM L20 CM INTERTROCHANTERIC TITANIUM TRIGEN INTERTAN INTRAMEDULLARY ANTEGRADE 125 D BLUE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL OD11.5 MM L20 CM TROCHANTERIC TITANIUM INTERTAN INTRAMEDULLARY 130 D,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL OD11.5 MM L200 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION MEDIUM GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L200 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION MEDIUM SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L200 MM TITANIUM PRECICE INTRAMEDULLARY ANKLE SALVAGE SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD11.5 MM L24 CM FEMUR TRIGEN INTRAMEDULLARY 130 D,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L25 CM HINDFOOT LEFT TITANIUM TRIGEN INTRAMEDULLARY FUSION,1651.9,825.95,316.34,1486.71,65
HCPCS,C1713,NAIL OD11.5 MM L250 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION LARGE SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L250 MM TITANIUM PRECICE INTRAMEDULLARY ANKLE SALVAGE SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD11.5 MM L30 CM FEMORAL META-NAIL INTRAMEDULLARY RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD11.5 MM L30 CM LEFT TROCHANTERIC TITANIUM TRIGEN INTRAMEDULLARY ANTEGRADE 135 D LIME,1635.33,817.67,313.17,1471.8,65
HCPCS,C1713,NAIL OD11.5 MM L300 MM HINDFOOT LEFT VALOR INTRAMEDULLARY FUSION XL GOLD,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L300 MM HINDFOOT RIGHT VALOR INTRAMEDULLARY FUSION XL SILVER,2664.61,1332.31,510.27,2398.15,65
HCPCS,C1713,NAIL OD11.5 MM L300 MM TITANIUM PRECICE INTRAMEDULLARY ANKLE SALVAGE SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD11.5 MM L32 CM FEMORAL TITANIUM TRIGEN META-NAIL INTRAMEDULLARY RETROGRADE GOLD,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD11.5 MM L32 CM LEFT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L33 CM TIBIAL TRIGEN INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD11.5 MM L34 CM FEMORAL TITANIUM TRIGEN META-NAIL INTRAMEDULLARY RETROGRADE GOLD,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD11.5 MM L34 CM FEMUR RIGHT TRIGEN INTERTAN INTRAMEDULLARY 125 D LIME ROSE,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL OD11.5 MM L34 CM RIGHT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L34 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD11.5 MM L36 CM RIGHT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L38 CM FEMUR RIGHT TROCHANTERIC TRIGEN META-TAN INTRAMEDULLARY ANTEGRADE ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD11.5 MM L38 CM INTERTROCHANTER LEFT TITANIUM TRIGEN INTERTAN INTRAMEDULLARY ANTEGRADE 125 D 1.5 MM LIME ROSE,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L40 CM LEFT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L40 CM LEFT TROCHANTERIC TITANIUM INTERTAN INTRAMEDULLARY 130 D LONG LIME,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL OD11.5 MM L40 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD11.5 MM L41 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD11.5 MM L42 CM LEFT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L42 CM RIGHT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD11.5 MM L42 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD11.5 MM L70 CM KNEE LEFT FEMUR FAN NAIL INTRAMEDULLARY FUSION,6254.7,3127.35,1197.78,5629.23,65
HCPCS,C1713,NAIL OD11.5 MM ODSEC13 MM L44 CM FEMORAL TITANIUM ALUMINUM VANADIUM NATURAL NAIL INTRAMEDULLARY RETROGRADE ANTERIOR BEVEL TIP STRAIGHT FLUTE PURPLE PERIPROSTHETIC,1893.44,946.72,362.59,1704.1,65
HCPCS,C1713,NAIL OD12 MM L150 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1368.76,684.38,262.12,1231.88,65
HCPCS,C1713,NAIL OD12 MM L150 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1368.76,684.38,262.12,1231.88,65
HCPCS,C1713,NAIL OD12 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L160 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2099.05,1049.53,401.97,1889.15,65
HCPCS,C1713,NAIL OD12 MM L160 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD12 MM L17 MM TROCHANTERIC GAMMA INTRAMEDULLARY 125 D,1469.82,734.91,281.47,1322.84,65
HCPCS,C1713,NAIL OD12 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD12 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 135 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD12 MM L170 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED PREASSEMBLE LOCK MECHANISM STATIC INTERLOCK 130 D SHORT GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD12 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD12 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L180 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1348.17,674.09,258.17,1213.35,65
HCPCS,C1713,NAIL OD12 MM L180 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1348.17,674.09,258.17,1213.35,65
HCPCS,C1713,NAIL OD12 MM L200 MM ANKLE RIGHT TITANIUM T2 INTRAMEDULLARY LOCK ARTHRODESIS,1970.64,985.32,377.38,1773.58,65
HCPCS,C1713,NAIL OD12 MM L200 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD12 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L200 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD12 MM L200 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD12 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L235 MM LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1516.59,758.3,290.43,1364.93,65
HCPCS,C1713,NAIL OD12 MM L235 MM PROXIMAL LEFT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD12 MM L235 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1516.59,758.3,290.43,1364.93,65
HCPCS,C1713,NAIL OD12 MM L235 MM RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD12 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1327.82,663.91,254.28,1195.04,65
HCPCS,C1713,NAIL OD12 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L240 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1526.6,763.3,292.34,1373.94,65
HCPCS,C1713,NAIL OD12 MM L240 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1526.6,763.3,292.34,1373.94,65
HCPCS,C1713,NAIL OD12 MM L240 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L255 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD12 MM L255 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD12 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L260 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L270 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL OD12 MM L270 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L270 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD12 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L280 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1898.18,949.09,363.5,1708.36,65
HCPCS,C1713,NAIL OD12 MM L280 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L285 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L285 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L285 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L300 MM FEMUR RIGHT TITANIUM EXPERT INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY HELICAL FLUTE LIGHT GREEN,1464.0,732.0,280.36,1317.6,65
HCPCS,C1713,NAIL OD12 MM L300 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L300 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1201.56,600.78,230.1,1081.4,65
HCPCS,C1713,NAIL OD12 MM L300 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L300 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L300 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L315 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL OD12 MM L315 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1201.56,600.78,230.1,1081.4,65
HCPCS,C1713,NAIL OD12 MM L315 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L315 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L320 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L320 MM RIGHT PROXIMAL FEMORAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L33 CM TIBIA TITANIUM INTRAMEDULLARY CANNULATED PROXIMAL BEND LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L330 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1201.56,600.78,230.1,1081.4,65
HCPCS,C1713,NAIL OD12 MM L330 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L330 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1714.09,857.05,328.25,1542.68,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L340 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD12 MM L340 MM GREATER TROCHANTER RIGHT FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L340 MM PROXIMAL LEFT FEMORAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L340 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L345 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL OD12 MM L345 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L345 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L36 CM FEMORAL TIMAX VERSANAIL INTRAMEDULLARY UNIVERSAL,1504.47,752.24,288.11,1354.02,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM AUTOBAHN EVO INTRAMEDULLARY ANTEGRADE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L360 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD12 MM L360 MM LEFT FEMORAL GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L360 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L360 MM PROXIMAL FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L360 MM RIGHT PIRIFORMIS FOSSA FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L360 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L360 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L360 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL OD12 MM L360 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1201.56,600.78,230.1,1081.4,65
HCPCS,C1713,NAIL OD12 MM L360 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L360 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L360 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM INTRAMEDULLARY CANNULATED LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMUR GREATER TROCHANTER RIGHT TITANIUM T2 INTRAMEDULLARY,1453.5,726.75,278.35,1308.15,65
HCPCS,C1713,NAIL OD12 MM L380 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD12 MM L380 MM LEFT FEMORAL PIRIFORMIS FOSSA TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L380 MM PROXIMAL FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L380 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L380 MM TROCHANTERIC RIGHT TITANIUM AUTOBAHN INTRAMEDULLARY 130 D,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,NAIL OD12 MM L390 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL OD12 MM L390 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L390 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L390 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM AUTOBAHN EVO INTRAMEDULLARY ANTEGRADE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L400 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD12 MM L400 MM LEFT FEMORAL GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L400 MM PROXIMAL LEFT FEMORAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED PREASSEMBLE LOCK MECHANISM 130 D LONG GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L400 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L405 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L405 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L405 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD12 MM L420 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD12 MM L420 MM PROXIMAL RIGHT TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L420 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L420 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD12 MM L420 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD12 MM L420 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD12 MM L420 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD12 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L435 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL OD12 MM L435 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD12 MM L435 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL LEFT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL RIGHT PROXIMAL TITANIUM NIOBIUM ALUMINUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD12 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD12 MM L440 MM PIRIFORMIS FOSSA FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12 MM L460 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L460 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L460 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD12 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1385.7,692.85,265.36,1247.13,65
HCPCS,C1713,NAIL OD12 MM L460 MM GREATER TROCHANTER FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L460 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L480 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD12 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L480 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD12 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD12-17 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D SHORT GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD12-17 MM L170 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D SHORT GREEN,1068.94,534.47,204.7,962.05,65
HCPCS,C1713,NAIL OD12-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1327.82,663.91,254.28,1195.04,65
HCPCS,C1713,NAIL OD12-17 MM L235 MM TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D SHORT GREEN,1327.82,663.91,254.28,1195.04,65
HCPCS,C1713,NAIL OD12-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L320 MM RIGHT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L340 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L340 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L360 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L460 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L460 MM LEFT TROCHANTERIC TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L460 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 125 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 135 D GREEN,1507.42,753.71,288.67,1356.68,65
HCPCS,C1713,NAIL OD12.5 MM L305 MM TIBIA PRECICE INTRAMEDULLARY STROKE ANTEGRADE 10 D 80 MM LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,NAIL OD13 MM L150 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED LIGHT GREEN ARTHRODESIS,1368.76,684.38,262.12,1231.88,65
HCPCS,C1713,NAIL OD13 MM L150 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1368.76,684.38,262.12,1231.88,65
HCPCS,C1713,NAIL OD13 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1385.7,692.85,265.36,1247.13,65
HCPCS,C1713,NAIL OD13 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1385.7,692.85,265.36,1247.13,65
HCPCS,C1713,NAIL OD13 MM L180 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED LIGHT GREEN ARTHRODESIS,1368.76,684.38,262.12,1231.88,65
HCPCS,C1713,NAIL OD13 MM L180 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1368.76,684.38,262.12,1231.88,65
HCPCS,C1713,NAIL OD13 MM L180 MM HIP FEMUR AFFIXUS INTRAMEDULLARY LAG SCREW MULTIPLE LOCK 130 D,1231.2,615.6,235.77,1108.08,65
HCPCS,C1713,NAIL OD13 MM L20 CM TROCHANTERIC TITANIUM INTERTAN INTRAMEDULLARY 130 D,1122.0,561.0,214.86,1009.8,65
HCPCS,C1713,NAIL OD13 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L220 MM FEM T2 ALPHA IM RTRGD,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD13 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L240 MM HINDFOOT LEFT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1526.6,763.3,292.34,1373.94,65
HCPCS,C1713,NAIL OD13 MM L240 MM HINDFOOT RIGHT TITANIUM INTRAMEDULLARY CANNULATED FLUTE BARREL LIGHT GREEN ARTHRODESIS,1526.6,763.3,292.34,1373.94,65
HCPCS,C1713,NAIL OD13 MM L240 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD13 MM L255 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L255 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L270 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L270 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L270 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L280 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK,1250.52,625.26,239.47,1125.47,65
HCPCS,C1713,NAIL OD13 MM L280 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD13 MM L285 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L285 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD13 MM L285 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1234.55,617.28,236.42,1111.1,65
HCPCS,C1713,NAIL OD13 MM L30 CM FEMORAL META-NAIL INTRAMEDULLARY RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD13 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L300 MM HIP LEFT FEMORAL PROXIMAL AFFIXUS INTRAMEDULLARY LAG SCREW UNIQUE DISTAL BEND MULTIPLE LOCK 125 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD13 MM L300 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L300 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD13 MM L300 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L315 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L315 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD13 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L320 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L330 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L330 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD13 MM L330 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L34 CM LEFT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L34 CM LEFT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L34 CM RIGHT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L34 CM RIGHT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L340 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L340 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL OD13 MM L340 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD13 MM L345 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL OD13 MM L345 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L36 CM FEMORAL TITANIUM TRIGEN META-NAIL INTRAMEDULLARY RETROGRADE GOLD,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD13 MM L36 CM LEFT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L36 CM LEFT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L360 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD13 MM L360 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L360 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL OD13 MM L360 MM HIP LEFT FEMUR TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R2,1940.82,970.41,371.67,1746.74,65
HCPCS,C1713,NAIL OD13 MM L360 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L360 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L360 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L375 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L38 CM FEMUR RIGHT TROCHANTERIC TRIGEN META-TAN INTRAMEDULLARY ANTEGRADE ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD13 MM L38 CM LEFT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L38 CM RIGHT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L38 CM RIGHT TROCHANTERIC TITANIUM INTERTAN INTRAMEDULLARY 125 D,1299.6,649.8,248.87,1169.64,65
HCPCS,C1713,NAIL OD13 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L380 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD13 MM L380 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L380 MM HIP LEFT FEMORAL PROXIMAL AFFIXUS INTRAMEDULLARY LAG SCREW 130 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD13 MM L380 MM HIP RIGHT FEMUR AFFIXUS INTRAMEDULLARY LAG SCREW MULTIPLE LOCK 125 D,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD13 MM L380 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD13 MM L390 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L390 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD13 MM L390 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L40 CM FEMUR RIGHT TROCHANTERIC TRIGEN META-TAN INTRAMEDULLARY ANTEGRADE ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD13 MM L40 CM LEFT INTERTAN INTRAMEDULLARY 125 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L40 CM RIGHT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L400 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD13 MM L400 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L400 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL OD13 MM L400 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD13 MM L405 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L405 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L405 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD13 MM L42 CM FEMORAL META-NAIL INTRAMEDULLARY RETROGRADE,1385.1,692.55,265.25,1246.59,65
HCPCS,C1713,NAIL OD13 MM L42 CM LEFT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMUR LEFT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMUR RIGHT TITANIUM GAMMA3 INTRAMEDULLARY LOCK 125 D R1.5,1833.96,916.98,351.2,1650.56,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK,1250.52,625.26,239.47,1125.47,65
HCPCS,C1713,NAIL OD13 MM L420 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1382.1,691.05,264.67,1243.89,65
HCPCS,C1713,NAIL OD13 MM L420 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L420 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD13 MM L420 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD13 MM L420 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L420 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD13 MM L435 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L435 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND FLUTE BARREL LIGHT GREEN,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD13 MM L44 CM RIGHT INTERTAN INTRAMEDULLARY 130 D 1.5 MM,1581.0,790.5,302.76,1422.9,65
HCPCS,C1713,NAIL OD13 MM L44 CM RIGHT TROCHANTERIC TITANIUM TRIGEN INTRAMEDULLARY ANTEGRADE 130 D ROSE,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL OD13 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD13 MM L46 CM LEFT TROCHANTERIC TITANIUM TRIGEN INTRAMEDULLARY ANTEGRADE 135 D LIME,1635.33,817.67,313.17,1471.8,65
HCPCS,C1713,NAIL OD13 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1385.7,692.85,265.36,1247.13,65
HCPCS,C1713,NAIL OD13 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1425.37,712.69,272.96,1282.83,65
HCPCS,C1713,NAIL OD13 MM L480 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD13 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L260 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK,1174.96,587.48,225.0,1057.46,65
HCPCS,C1713,NAIL OD14 MM L280 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD14 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L320 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L320 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD14 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L340 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1976.91,988.46,378.58,1779.22,65
HCPCS,C1713,NAIL OD14 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L340 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L340 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L340 MM TROCHANTERIC RIGHT TITANIUM NA INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14 MM L345 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L360 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK,1174.96,587.48,225.0,1057.46,65
HCPCS,C1713,NAIL OD14 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L380 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L380 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L380 MM FEMUR TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1976.91,988.46,378.58,1779.22,65
HCPCS,C1713,NAIL OD14 MM L380 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL OD14 MM L400 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L400 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1976.91,988.46,378.58,1779.22,65
HCPCS,C1713,NAIL OD14 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L400 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L420 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L420 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L420 MM PROXIMAL FEMORAL RIGHT TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L420 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14 MM L440 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L440 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L460 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L460 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD14 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L460 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1707.42,853.71,326.97,1536.68,65
HCPCS,C1713,NAIL OD14 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD14 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD14 MM L480 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD14-17 MM L300 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L300 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L320 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L320 MM TROCHANTERIC RIGHT TITANIUM NA INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L340 MM TROCHANTERIC LEFT TITANIUM NA INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L360 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L360 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L380 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L380 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L400 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L400 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L420 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L440 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L440 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L460 MM TROCHANTERIC LEFT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD14-17 MM L460 MM TROCHANTERIC RIGHT TITANIUM INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1619.49,809.75,310.13,1457.54,65
HCPCS,C1713,NAIL OD15 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD15 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD15 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD15 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD15 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD15 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD15 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD15 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L320 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L320 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L340 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L340 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L360 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L380 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L380 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L400 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L405 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1201.56,600.78,230.1,1081.4,65
HCPCS,C1713,NAIL OD15 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L420 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE FLUTE BARREL AQUA,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L420 MM HIP RIGHT FEMUR TITANIUM T2 INTRAMEDULLARY RECONSTRUCTION 125 D R1.5,1648.32,824.16,315.65,1483.49,65
HCPCS,C1713,NAIL OD15 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD15 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD15 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L480 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD15 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE FLUTE BARREL AQUA 6 MM LOCK SCREW,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD15.66-10 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D LONG GREEN,1962.72,981.36,375.86,1766.45,65
HCPCS,C1713,NAIL OD16 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1291.05,645.53,247.24,1161.95,65
HCPCS,C1713,NAIL OD16 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L440 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD16 MM L480 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL AQUA,1448.44,724.22,277.38,1303.6,65
HCPCS,C1713,NAIL OD2 MM L300 MM STAINLESS STEEL PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL OD2 MM L300 MM STAINLESS STEEL PEDIFLEX INTRAMEDULLARY FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD2 MM L300 MM TITANIUM PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL OD2 MM L300 MM TITANIUM PEDIFLEX INTRAMEDULLARY FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD2 MM L440 MM STAINLESS STEEL INTRAMEDULLARY ELASTIC,216.82,108.41,41.52,195.14,65
HCPCS,C1713,NAIL OD2 MM L440 MM TITANIUM INTRAMEDULLARY ELASTIC PEDIATRIC GREEN,239.8,119.9,45.92,215.82,65
HCPCS,C1713,NAIL OD2.5 MM L300 MM TITANIUM PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL OD2.5 MM L300 MM TITANIUM PEDIFLEX INTRAMEDULLARY FLEXIBLE ELASTIC STABLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD2.5 MM L440 MM STAINLESS STEEL INTRAMEDULLARY ELASTIC,233.45,116.73,44.71,210.11,65
HCPCS,C1713,NAIL OD2.5 MM L440 MM TITANIUM INTRAMEDULLARY ELASTIC PEDIATRIC PINK,255.25,127.63,48.88,229.73,65
HCPCS,C1713,NAIL OD2.5 MM L45 MM INTRAMEDULLARY MAGNETA NX,416.0,208.0,79.66,374.4,65
HCPCS,C1713,NAIL OD2.5 MM L450 MM TITANIUM T2 INTRAMEDULLARY FLEXIBLE PRECURVE SHAFT,216.24,108.12,41.41,194.62,65
HCPCS,C1713,NAIL OD2.5 MM L450 MM UPPER LOWER EXTREMITY TITANIUM T2 KIDS INTRAMEDULLARY FLEXIBLE PRECURVE SHAFT,216.24,108.12,41.41,194.62,65
HCPCS,C1713,NAIL OD3 MM L400 MM STAINLESS STEEL PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD3 MM L400 MM TITANIUM PEDIFLEX INTRAMEDULLARY ANTEGRADE ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD3 MM L400 MM TITANIUM PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL OD3 MM L440 MM TITANIUM INTRAMEDULLARY ELASTIC PEDIATRIC GOLD,267.6,133.8,51.25,240.84,65
HCPCS,C1713,NAIL OD3 MM L450 MM TITANIUM T2 INTRAMEDULLARY FLEXIBLE PRECURVE SHAFT,222.36,111.18,42.58,200.12,65
HCPCS,C1713,NAIL OD3 MM L450 MM UPPER LOWER EXTREMITY TITANIUM T2 KIDS INTRAMEDULLARY FLEXIBLE PRECURVE SHAFT,222.36,111.18,42.58,200.12,65
HCPCS,C1713,NAIL OD3.5 MM L400 MM STAINLESS STEEL PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD3.5 MM L400 MM TITANIUM PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL OD3.5 MM L440 MM TITANIUM INTRAMEDULLARY ELASTIC PEDIATRIC BLUE,252.94,126.47,48.44,227.65,65
HCPCS,C1713,NAIL OD3.5 MM L450 MM T2 KIDS INTRAMEDULLARY FLEXIBLE PRECURVE,228.48,114.24,43.75,205.63,65
HCPCS,C1713,NAIL OD4 MM L440 MM TITANIUM INTRAMEDULLARY ELASTIC PEDIATRIC PURPLE,298.69,149.35,57.2,268.82,65
HCPCS,C1713,NAIL OD4 MM L440 MM TITANIUM INTRAMEDULLARY ELASTIC PURPLE,271.35,135.68,51.96,244.22,65
HCPCS,C1713,NAIL OD4 MM L450 MM STAINLESS STEEL PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD4 MM L450 MM TITANIUM PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,249.43,124.72,47.77,224.49,65
HCPCS,C1713,NAIL OD4.5 MM L450 MM TITANIUM PEDIFLEX INTRAMEDULLARY ELASTIC STABLE ROUND TIP FLEXIBLE,274.43,137.22,52.55,246.99,65
HCPCS,C1713,NAIL OD5.5 MM L46 MM LEFT TITANIUM PHANTOM INTRAMEDULLARY 4 HOLE HIGH COMPRESSOIN LAPIDUS,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,NAIL OD7 MM L110 MM DYNANAIL MINI INTRAMEDULLARY,5184.0,2592.0,992.74,4665.6,65
HCPCS,C1713,NAIL OD7 MM L150 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1402.87,701.44,268.65,1262.58,65
HCPCS,C1713,NAIL OD7 MM L190 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L200 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L210 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L220 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L230 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L230 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD7 MM L240 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L240 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD7 MM L250 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L250 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD7 MM L260 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L270 MM HUMERUS TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L280 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L290 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L300 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L310 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM L320 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L180 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L180 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L195 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L195 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L210 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L210 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L225 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L225 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L240 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L240 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L255 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L255 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L270 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L270 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L285 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L285 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L300 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L300 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L315 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD7 MM ODSEC9.5 MM L315 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8 MM L115 MM MIDFOOT SALVATION INTRAMEDULLARY CANNULATED,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL OD8 MM L125 MM MIDFOOT SALVATION INTRAMEDULLARY CANNULATED,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL OD8 MM L130 MM MIDFOOT SALVATION INTRAMEDULLARY CANNULATED,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL OD8 MM L135 MM MIDFOOT SALVATION INTRAMEDULLARY CANNULATED,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL OD8 MM L140 MM MIDFOOT SALVATION INTRAMEDULLARY CANNULATED,3700.41,1850.21,708.63,3330.37,65
HCPCS,C1713,NAIL OD8 MM L220 MM HUMERUS RIGHT PROXIMAL TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK GUN DRILL,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL OD8 MM L220 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD8 MM L240 MM HUMERUS LEFT PROXIMAL TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK GUN DRILL,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL OD8 MM L240 MM HUMERUS RIGHT PROXIMAL TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK GUN DRILL,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL OD8 MM L240 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD8 MM L250 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD8 MM L255 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD8 MM L255 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD8 MM L260 MM HUMERUS RIGHT PROXIMAL TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK GUN DRILL,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL OD8 MM L260 MM HUMERUS TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK,1145.46,572.73,219.36,1030.91,65
HCPCS,C1713,NAIL OD8 MM L270 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L270 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L270 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD8 MM L280 MM HUMERUS LEFT PROXIMAL TITANIUM T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK GUN DRILL,1419.84,709.92,271.9,1277.86,65
HCPCS,C1713,NAIL OD8 MM L280 MM HUMERUS TIMAX VERSANAIL INTRAMEDULLARY ANTEGRADE RETROGRADE MULTIPLE LOCK HOLE UNIVERSAL,1264.3,632.15,242.11,1137.87,65
HCPCS,C1713,NAIL OD8 MM L285 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L285 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L285 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L300 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD8 MM L300 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L300 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L300 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L315 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD8 MM L315 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L315 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L330 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD8 MM L330 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L330 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L330 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L340 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM T2 INTRAMEDULLARY,1469.82,734.91,281.47,1322.84,65
HCPCS,C1713,NAIL OD8 MM L345 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD8 MM L345 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L345 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L360 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L360 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L360 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L375 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L390 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L390 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L390 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD8 MM L405 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L405 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1234.55,617.28,236.42,1111.1,65
HCPCS,C1713,NAIL OD8 MM L405 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1234.55,617.28,236.42,1111.1,65
HCPCS,C1713,NAIL OD8 MM L420 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1679.64,839.82,321.65,1511.68,65
HCPCS,C1713,NAIL OD8 MM L420 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1234.55,617.28,236.42,1111.1,65
HCPCS,C1713,NAIL OD8 MM L420 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD8 MM L435 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD8 MM L435 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD8 MM ODSEC9.5 MM L160 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1626.19,813.1,311.42,1463.57,65
HCPCS,C1713,NAIL OD8 MM ODSEC9.5 MM L160 MM PROXIMAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1626.19,813.1,311.42,1463.57,65
HCPCS,C1713,NAIL OD8.2 MM L240 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L240 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L260 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L260 MM LEFT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L280 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L280 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED LATERAL ENTRY 120 D HELICAL FLUTE ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L400 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.2 MM L400 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD8.5 MM L26 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD8.5 MM L30 CM FEMUR TITANIUM TRIGEN INTRAMEDULLARY ANTEGRADE GRAY,1295.07,647.54,248.01,1165.56,65
HCPCS,C1713,NAIL OD8.5 MM L37 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD8.5 MM L38 CM TIBIAL META-NAIL INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD8.5 MM L40 CM TIBIAL TITANIUM TRIGEN META-NAIL INTRAMEDULLARY GRAY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD8.5 MM L44 CM TIBIA TITANIUM TRIGEN INTRAMEDULLARY,1179.9,589.95,225.95,1061.91,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L195 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L210 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L210 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L225 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L225 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L240 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L240 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L255 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L255 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L270 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L270 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L285 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L285 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L300 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L300 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L315 MM LEFT HUMERAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8.5 MM ODSEC9.5 MM L315 MM RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,NAIL OD8/7 MM L16 CM HUMERUS PROXIMAL TRIGEN INTRAMEDULLARY STRAIGHT,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL OD8/7 MM L26 CM HUMERAL TRIGEN INTRAMEDULLARY BENT,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL OD9 MM L150 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1402.87,701.44,268.65,1262.58,65
HCPCS,C1713,NAIL OD9 MM L160 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L170 MM PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D SHORT GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD9 MM L170 MM PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D SHORT GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD9 MM L180 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L180 MM FEMUR AFFIXUS INTRAMEDULLARY LAG SCREW MULTIPLE LOCK 130 D,1231.2,615.6,235.77,1108.08,65
HCPCS,C1713,NAIL OD9 MM L180 MM HIP RIGHT FEMORAL AFFIXUS GOAL POST INTRAMEDULLARY MULTIPLE LOCK CHAMFER 125 D SHORT,1231.2,615.6,235.77,1108.08,65
HCPCS,C1713,NAIL OD9 MM L190 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L200 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L200 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L200 MM PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D SHORT GREEN,1332.86,666.43,255.24,1199.57,65
HCPCS,C1713,NAIL OD9 MM L210 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L220 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L220 MM HUMERAL TIMAX VERSANAIL INTRAMEDULLARY UNIVERSAL,1264.3,632.15,242.11,1137.87,65
HCPCS,C1713,NAIL OD9 MM L220 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L230 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L235 MM LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D SHORT GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD9 MM L235 MM LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D SHORT GREEN,1516.59,758.3,290.43,1364.93,65
HCPCS,C1713,NAIL OD9 MM L235 MM PROXIMAL RIGHT TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D SHORT GREEN,1532.2,766.1,293.42,1378.98,65
HCPCS,C1713,NAIL OD9 MM L235 MM PROXIMAL RIGHT TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D SHORT GREEN,1516.59,758.3,290.43,1364.93,65
HCPCS,C1713,NAIL OD9 MM L240 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L240 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L240 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L240 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L250 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L255 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L255 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1238.77,619.39,237.22,1114.89,65
HCPCS,C1713,NAIL OD9 MM L255 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD9 MM L260 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L260 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L260 MM FEMORAL T2 INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD9 MM L260 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L260 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L260 MM HUMERUS TIMAX VERSANAIL INTRAMEDULLARY RETROGRADE ANTEGRADE CANNULATED MULTIPLE LOCK HOLE UNIVERSAL 2 BEND,1264.3,632.15,242.11,1137.87,65
HCPCS,C1713,NAIL OD9 MM L270 MM HUMERAL TITANIUM INTRAMEDULLARY CANNULATED,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L270 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L270 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,NAIL OD9 MM L270 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L270 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L280 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L280 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L280 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RETROGRADE ROUND BARREL GREEN,1387.64,693.82,265.73,1248.88,65
HCPCS,C1713,NAIL OD9 MM L280 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L285 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L285 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L285 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L285 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L285 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L290 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL RFN-ADVANCED INTRAMEDULLARY 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L300 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L300 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L300 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L300 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L300 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L300 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L310 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L315 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L315 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L315 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L315 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L32 CM FEMUR TROCHANTERIC RIGHT TRIGEN META-TAN INTRAMEDULLARY ANTEGRADE ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1766.27,883.14,338.24,1589.64,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY ETROGRADE 10 D BEND,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,NAIL OD9 MM L320 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L320 MM HIP RIGHT FEMORAL PROXIMAL AFFIXUS INTRAMEDULLARY LAG SCREW UNIQUE DISTAL BEND MULTIPLE LOCK 125 D LONG,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1713,NAIL OD9 MM L320 MM HUMERAL TITANIUM INTRAMEDULLARY LOCK HOLE TRANSVERSE SLOT CANNULATED ROUND BARREL BLUE,1445.26,722.63,276.77,1300.73,65
HCPCS,C1713,NAIL OD9 MM L330 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L330 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L330 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L330 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L330 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL T2 ALPHA INTRAMEDULLARY RETROGRADE,1645.73,822.87,315.16,1481.16,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L340 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L340 MM RIGHT FEMORAL PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL OD9 MM L340 MM SUPRACONDYLAR T2 INTRAMEDULLARY,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL OD9 MM L345 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L345 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L345 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L345 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL GREATER TROCHANTER RIGHT T2 ALPHA INTRAMEDULLARY,1410.91,705.46,270.19,1269.82,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 125 D GREEN,2069.43,1034.72,396.3,1862.49,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMORAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L360 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L360 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L360 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L360 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L360 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L375 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L375 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L375 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L375 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L38 CM FEMUR RIGHT TROCHANTERIC TRIGEN META-TAN INTRAMEDULLARY ANTEGRADE ROSE,1550.29,775.15,296.88,1395.26,65
HCPCS,C1713,NAIL OD9 MM L38 CM TROCHANTER RIGHT VERSANAIL INTRAMEDULLARY ENTRY,2064.6,1032.3,395.37,1858.14,65
HCPCS,C1713,NAIL OD9 MM L38 MM FEMORAL LEFT STAINLESS STEEL PEDINAIL INTRAMEDULLARY PROXIMAL BEND 10 D ADULT,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT BLUE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L380 MM FEMUR DISTAL POLYETHYLENE TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L390 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L390 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L390 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L390 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L390 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED ANATOMIC LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL RIGHT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1766.27,883.14,338.24,1589.64,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED LATERAL ENTRY ADULT PURPLE,1157.08,578.54,221.58,1041.37,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L400 MM FEMUR DISTAL TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L400 MM PROXIMAL LEFT FEMORAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,2034.4,1017.2,389.59,1830.96,65
HCPCS,C1713,NAIL OD9 MM L405 MM TIBIA TITANIUM T2 INTRAMEDULLARY LOCK STANDARD,1158.72,579.36,221.89,1042.85,65
HCPCS,C1713,NAIL OD9 MM L405 MM TIBIAL T2 ALPHA INTRAMEDULLARY,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL OD9 MM L405 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L405 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L405 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL GREATER TROCHANTER RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL LEFT PROXIMAL TITANIUM COCR INTRAMEDULLARY CANNULATED 130 D GREEN,1766.27,883.14,338.24,1589.64,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L420 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L420 MM LEFT FEMORAL PIRIFORMIS FOSSA TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L420 MM TIBIAL TITANIUM ALUMINUM VANADIUM PEEK TN ADVANCED INTRAMEDULLARY MR CONDITIONAL ADULT,1523.18,761.59,291.69,1370.86,65
HCPCS,C1713,NAIL OD9 MM L420 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1197.96,598.98,229.41,1078.16,65
HCPCS,C1713,NAIL OD9 MM L420 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD9 MM L435 MM TIBIAL TITANIUM INTRAMEDULLARY CANNULATED ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD9 MM L435 MM TIBIAL TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED PROXIMAL BEND ROUND BARREL DARK BLUE,1276.78,638.39,244.5,1149.1,65
HCPCS,C1713,NAIL OD9 MM L440 MM FEMORAL GREATER TROCHANTER LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L440 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L440 MM FEMORAL PIRIFORMIS FOSSA RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L440 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L440 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1364.14,682.07,261.23,1227.73,65
HCPCS,C1713,NAIL OD9 MM L440 MM FEMUR TITANIUM ALUMINUM VANADIUM RFN-ADVANCED INTRAMEDULLARY RETROGRADE 5 D BEND,1819.95,909.98,348.52,1637.96,65
HCPCS,C1713,NAIL OD9 MM L440 MM RIGHT FEMORAL GREATER TROCHANTER TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 140 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L460 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L460 MM FEMORAL PIRIFORMIS FOSSA LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY 8 HOLE CANNULATED RECONSTRUCTION 135 D ADULT LIGHT GREEN 5/6.5 MM SCREW,1805.26,902.63,345.71,1624.73,65
HCPCS,C1713,NAIL OD9 MM L460 MM FEMORAL RIGHT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L460 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L480 MM FEMORAL LEFT TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM L480 MM FEMORAL TITANIUM INTRAMEDULLARY CANNULATED ANTEGRADE RETROGRADE ROUND BARREL GREEN,1410.06,705.03,270.03,1269.05,65
HCPCS,C1713,NAIL OD9 MM L480 MM FEMUR TITANIUM T2 INTRAMEDULLARY LOCK R1.5,1333.14,666.57,255.3,1199.83,65
HCPCS,C1713,NAIL OD9 MM L480 MM RIGHT FEMORAL TITANIUM INTRAMEDULLARY CANNULATED RECONSTRUCTION LATERAL ENTRY HELICAL FLUTE BARREL LIGHT GREEN,1400.36,700.18,268.17,1260.32,65
HCPCS,C1713,NAIL OD9 MM ODSEC10 MM L34 CM FEMUR LEFT STAINLESS STEEL PEDINAIL INTRAMEDULLARY ADULT,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL OD9 MM ODSEC10 MM L36 CM FEMORAL LEFT STAINLESS STEEL PEDINAIL INTRAMEDULLARY PROXIMAL DISTAL LOCK 1.45 MM RADIUS ADULT,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL OD9 MM ODSEC10 MM L36 CM FEMORAL RIGHT STAINLESS STEEL PEDINAIL INTRAMEDULLARY PROXIMAL DISTAL LOCK 1.45 MM RADIUS ADULT,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL OD9 MM ODSEC10 MM L40 CM FEMORAL RIGHT STAINLESS STEEL PEDINAIL INTRAMEDULLARY PROXIMAL DISTAL LOCK 1.45 MM RADIUS ADULT,2302.03,1151.02,440.84,2071.83,65
HCPCS,C1713,NAIL OD9.5 MM ODSEC11 MM L160 MM LEFT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1626.19,813.1,311.42,1463.57,65
HCPCS,C1713,NAIL OD9.5 MM ODSEC11 MM L160 MM PROXIMAL RIGHT TITANIUM NIOBIUM ALUMINUM INTRAMEDULLARY CANNULATED STRAIGHT BLUE,1626.19,813.1,311.42,1463.57,65
HCPCS,C1713,NAIL OD9/7.5 MM L18 CM HUMERUS TRIGEN INTRAMEDULLARY,1165.56,582.78,223.2,1049.0,65
HCPCS,C1713,NAIL RADIUS DISTAL MICRONAIL INTRAMEDULLARY 2,1715.0,857.5,328.42,1543.5,65
HCPCS,C1713,NAIL STAINLESS STEEL INTRAMEDULLARY CANNULATED SHORT PELVIC C-CLAMP II,381.24,190.62,73.01,343.12,65
HCPCS,C1713,NAIL SUPRACONDYLAR T2 12X400MM,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,NAIL T2 SCN 11 X 360MM,1520.82,760.41,291.24,1368.74,65
HCPCS,C1713,NAIL TAN LT 130D 13MMX36CM,1486.93,743.47,284.75,1338.24,65
HCPCS,C1713,NAIL TIBIAL 10X285MM,1201.96,600.98,230.18,1081.76,65
HCPCS,C1713,NAIL TRIATHLON INTRAMEDULLARY IMPACTOR EXTENSION HEADED,3090.0,1545.0,591.74,2781.0,65
HCPCS,C1713,NARROW LOCK T-PLATE 2.4 L4 1MM 2XHHOLES,654.71,327.36,125.38,589.24,65
HCPCS,C1713,NON-LOCKING SCREW 2.5X24MM COCR,40.0,20.0,7.66,36.0,65
HCPCS,C1713,NUT EXTERNAL FIXATION 10MM THICK 6MM STAINLESS STEEL PEDIATRIC EZ-FIX NON-STERILE,21.66,10.83,4.72,19.49,64
HCPCS,C1713,NUT EXTERNAL FIXATION 15MM M8 LONG CONNECT HOFFMANN LIMB RECONSTRUCTION FRAME,23.88,11.94,5.21,21.49,64
HCPCS,C1713,NUT EXTERNAL FIXATION FLANGE OD10 MM SALVATION,103.48,51.74,22.57,93.13,64
HCPCS,C1713,NUT EXTERNAL FIXATION M6 RING THREAD ROD CONNECT HOFFMANN LIMB RECONSTRUCTION FRAME,13.93,6.97,3.04,12.54,64
HCPCS,C1713,NUT EXTERNAL FIXATION OD10 MM SALVATION,30.85,15.43,6.73,27.77,64
HCPCS,C1713,NUT EXTERNAL FIXATION SQUARE MRI SAFE,72.14,36.07,15.73,64.93,64
HCPCS,C1713,NUT EXTERNAL FIXATION SQUARE SIDEKICK,114.43,57.22,24.96,102.99,64
HCPCS,C1713,NUT ORTHOPEDIC 5MM T2 CONDYLE TITANIUM STERILE,158.1,79.05,30.28,142.29,65
HCPCS,C1713,NUT ORTHOPEDIC HOFFMANN M8 SHORT CONNECT LIMB RECONSTRUCTION FRAME,13.93,6.97,3.04,12.54,64
HCPCS,C1713,NUT ORTHOPEDIC INTERLOCK BOLT NONSTERILE,259.66,129.83,56.63,233.69,64
HCPCS,C1713,NUT ORTHOPEDIC L12 MM SELF CUT SERRATE TIP OD4 MM STAINLESS STEEL 5 MM SCREW,119.16,59.58,22.82,107.24,65
HCPCS,C1713,NUT ORTHOPEDIC LONG RUSSIAN,195.25,97.63,42.58,175.73,64
HCPCS,C1713,NUT ORTHOPEDIC OD10 MM ILIZAROV TAYLOR SPATIAL FRAME,27.64,13.82,6.03,24.88,64
HCPCS,C1713,NUT ORTHOPEDIC OD11 MM STAINLESS STEEL 4.5 MM CORTEX SCREW,20.69,10.35,3.96,18.62,65
HCPCS,C1713,NUT ORTHOPEDIC SPEED MRI SAFE,139.04,69.52,30.32,125.14,64
HCPCS,C1713,NUT SPINAL OUTER MOUNTAINEER HEAD TO HEAD CROSS CONNECTOR OCCIPITOCERVICOTHORACIC SYSTEM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,NUT SPINAL T15 LOCK TOP LID SYMPHONY TITANIUM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,OZARK ANTERIOR CERVICAL PLATES CONSTRAINED 1 LEVEL 34 MM,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PACK BIT DRILL 3.5MM MINI FLUTED FOOTPRINT,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PACK DELIVERY DELIVERY FILLER DEVICE KYPHON 2 OD10 GA,345.0,172.5,66.07,310.5,65
HCPCS,C1713,PACK INSTRUMENT DARTFIRE EDGE STERILE LATEX FREE,639.0,319.5,122.37,575.1,65
HCPCS,C1713,PACK INSTRUMENT EDGE HEADED DART-FIRE 3.5 MM,639.0,319.5,122.37,575.1,65
HCPCS,C1713,PACK INSTRUMENT EDGE HEADED DART-FIRE 4 MM,639.0,319.5,122.37,575.1,65
HCPCS,C1713,PACK INSTRUMENT EDGE HEADLESS DART-FIRE 3 MM,639.0,319.5,122.37,575.1,65
HCPCS,C1713,PACK PROCEDURE CANNULATED CLOSED EYELET DRILL PIN REAMER ACL TIGHTROPE BIOCOMPOSITE 1.1 MM OD3.5 IN MPFL PACK,1687.0,843.5,323.06,1518.3,65
HCPCS,C1713,PACK SUTURE QUAD PERCUTANEOUS ACHILLES REPAIR SYSTEM,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PASSER MAGNUMWIRE 26.5MM .5 CIRCLE TAPER 39IN 2 BRAID NEEDLE ABRASION RESISTANT LOOSE UNIQUE SUTURE POLYESTER COBRAID,300.0,150.0,65.43,270.0,64
HCPCS,C1713,PASSER SMARTSTITCH PERFECTPASSER MAGNUMWIRE CARTRIDGE COBRAID SUTURE DISPOSABLE,960.0,480.0,209.38,864.0,64
HCPCS,C1713,PASSER SURGICAL JAZZ BAND STERILE LATEX FREE DISPOSABLE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,PASSER SUTURE 35 MM FIBERRING SHUTTLE LOOP,1740.0,870.0,333.21,1566.0,65
HCPCS,C1713,PEG BONE FIXATION 1.8MM 15MM TITANIUM T7 DRIVE RECESS LOCKING EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG BONE FIXATION 1.8MM 17MM TITANIUM T7 DRIVE RECESS LOCKING EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG BONE FIXATION 1.8MM 18MM TITANIUM T7 DRIVE RECESS LOCKING EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG BONE FIXATION 1.8MM 19MM TITANIUM T7 DRIVE RECESS LOCKING EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG BONE FIXATION HIGH COMPRESSION 2.7MM 12MM TITANIUM DISTAL RADIAL VOLAR THREADED GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG BONE FIXATION HIGH COMPRESSION 2.7MM 26MM TITANIUM DISTAL RADIAL VOLAR THREADED GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG BONE FIXATION LOCKING 2.3MM 32MM TITANIUM THREADED FLUTED,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG BONE FIXATION LOCKING 2.3MM 36MM TITANIUM THREADED FLUTED,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG BONE FIXATION LOCKING 2MM 10MM TITANIUM SMOOTH HIGH COOMPRESSION F/VOLAR DISTAL RADIUS PLATING SYSTEM GEMINUS NON-STERILE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG BONE FIXATION LOCKING 2MM 28MM TITANIUM SMOOTH HIGH COOMPRESSION F/VOLAR DISTAL RADIUS PLATING SYSTEM GEMINUS NON-STERILE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG BONE FIXATION LOCKING 6MM 50MM TITANIUM SMOOTH,225.0,112.5,43.09,202.5,65
HCPCS,C1713,PEG BONE FIXATION LONG 24.6MML TITANIUM STANDARD AXIOMA,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PEG BONE FIXATION NON-LOCKING 2.7MM 36MM TITANIUM CORTICAL THREADED,146.0,73.0,27.96,131.4,65
HCPCS,C1713,PEG BONE FIXATION UNICORTICAL 3.8MM DIA 25MML PEDIATRIC FEMORAL,166.26,83.13,31.84,149.63,65
HCPCS,C1713,PEG BONE FIXATION UNICORTICAL 3.8MM DIA 27.5MML PEDIATRIC FEMORAL,166.26,83.13,31.84,149.63,65
HCPCS,C1713,PEG BONE L30 MM THREAD OD5 MM PHANTOM HINDFOOT NAIL,330.0,165.0,63.2,297.0,65
HCPCS,C1713,PEG BONE L32 MM THREAD OD5 MM PHANTOM HINDFOOT NAIL,330.0,165.0,63.2,297.0,65
HCPCS,C1713,PEG BONE L36 MM THREAD OD5 MM PHANTOM HINDFOOT NAIL,330.0,165.0,63.2,297.0,65
HCPCS,C1713,PEG BONE L55 MM THREAD OD7.2 MM PHANTOM HINDFOOT NAIL,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PEG BONE L70 MM THREAD OD7.2 MM PHANTOM HINDFOOT NAIL,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PEG FIXATION 2.3MM 21MM THREAD LOCK TITANIUM NONSTERILE GEMINUS,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION 2.3MM 23MM THREAD LOCK TITANIUM NONSTERILE GEMINUS,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION 2.7MM 21MM RADIUS DISTAL VOLAR HIGH COMPRESSION LOCK TITANIUM GEMINUS NONSTERILE,87.0,43.5,16.66,78.3,65
HCPCS,C1713,PEG FIXATION 2.7MM 26MM THREAD TITANIUM NONSTERILE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION 2.7MM 28MM THREAD TITANIUM NONSTERILE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION 2.7MM 30MM RADIUS FOSSA DISTAL VOLAR THREAD NONLOCK TITANIUM GEMINUS NONSTERILE,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION 2MM 20MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,PEG FIXATION 2MM 21MM RADIUS DISTAL VOLAR SMOOTH LOCK TITANIUM GEMINUS NONSTERILE,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION 2MM 24MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,PEG FIXATION 2MM 26MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,PEG FIXATION L10 MM THREAD TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L12 MM THREAD TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L14 MM UNTHREAD TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L14 MM WRIST VOLAR THREAD LOCK TORX TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L16 MM VOLAR TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L16 MM WRIST VOLAR THREAD LOCK TORX TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L18 MM VOLAR UNTHREAD STAINLESS STEEL TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L18 MM WRIST VOLAR THREAD LOCK TORX TORX 8,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L20 MM TORX TRX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L20 MM WRIST VOLAR THREAD LOCK TORX TORX 8,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L22 MM UNTHREAD TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L22 MM WRIST VOLAR THREAD LOCK TORX TORX 8,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L24 MM VOLAR UNTHREADED TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L24 MM WRIST VOLAR THREAD LOCK TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L26 MM WRIST VOLAR THREAD LOCK TORX TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L28 MM VOLAR UNTHREAD TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L28 MM WRIST VOLAR THREAD LOCK TORX TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L30 MM WRIST VOLAR THREAD LOCK TORX TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION L32 MM WRIST VOLAR THREAD LOCK TORX TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION OD1.8 MM L19 MM T7 LOCK PEG STAINLESS STEEL EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG FIXATION OD1.8 MM L23 MM T7 LOCK EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG FIXATION OD1.8 MM L24 MM T7 WRIST LOCK STAINLESS STEEL EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,PEG FIXATION OD2 MM L14 MM SMOOTH LOCK TITANIUM GEMINUS VOLAR DISTAL RADIUS PLATE SYSTEM,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L16 MM SMOOTH LOCK TITANIUM GEMINUS VOLAR DISTAL RADIUS PLATE SYSTEM,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L16 MM T8 LOCK VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,PEG FIXATION OD2 MM L17 MM LOCK SMOOTH TITANIUM GEMINUS,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L18 MM SMOOTH LOCK TITANIUM GEMINUS VOLAR DISTAL RADIUS PLATE SYSTEM,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L18 MM T8 LOCK VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,PEG FIXATION OD2 MM L19 MM SMOOTH LOCK TITANIUM GEMINUS VOLAR DISTAL RADIUS PLATE SYSTEM,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L20 MM RADIUS DISTAL VOLAR SMOOTH LOCK TITANIUM GEMINUS,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L20 MM T8 LOCK VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,PEG FIXATION OD2 MM L22 MM RADIUS DISTAL VOLAR SMOOTH LOCK TITANIUM GEMINUS,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L22 MM T8 LOCK VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,PEG FIXATION OD2 MM L23 MM RADIUS DISTAL VOLAR SMOOTH LOCK TITANIUM GEMINUS,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L24 MM RADIUS DISTAL VOLAR SMOOTH LOCK TITANIUM GEMINUS,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2 MM L26 MM RADIUS DISTAL VOLAR SMOOTH LOCK TITANIUM GEMINUS,81.0,40.5,15.51,72.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L12 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L14 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L15 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L16 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L18 MM RADIUS DISTAL VOLAR LOCK SMOOTH 3 LEAD THREAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L20 MM RADIUS DISTAL VOLAR LOCK SMOOTH 3 LEAD THREAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L22 MM RADIUS DISTAL VOLAR LOCK SMOOTH 3 LEAD THREAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L24 MM RADIUS DISTAL VOLAR LOCK SMOOTH 3 LEAD THREAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L26 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.2 MM L28 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L10 MM CORTICAL SMOOTH LOCK TITANIUM ACU-LOC 2 BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L10 MM FLUTE THREAD LOCK TITANIUM PROTEAN,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L10 MM THREAD LOCK TITANIUM GEMINUS GEMINUS,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L12 MM CORTICAL LOCK TITANIUM ACU-LOC 2,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L12 MM FLUTE THREAD LOCK TITANIUM PROTEAN,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L12 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L14 MM FLUTE THREAD LOCK TITANIUM PROTEAN,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L14 MM LOCK SMOOTH TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L14 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L16 MM CORTICAL LOCK SMOOTH TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L16 MM FLUTE THREAD LOCK TITANIUM HUMERAL FIXATION SET,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L16 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L17 MM LOCK THREAD TITANIUM GEMINUS,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L18 MM CORTICAL SMOOTH LOCK TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L18 MM FLUTE THREAD LOCK TITANIUM PROTEAN,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L18 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L19 MM THREAD LOCK TITANIUM GEMINUS GEMINUS VOLAR PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L20 MM CORTICAL SMOOTH LOCK TITANIUM ACU-LOC 2 BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L20 MM FLUTE THREAD LOCK TITANIUM HUMERAL FIXATION SET,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L20 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L22 MM CORTICAL LOCK SMOOTH TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L22 MM FLUTE THREAD LOCK TITANIUM HUMERAL FIXATION SET RADIAL HEAD PLATE SYSTEM,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L22 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L24 MM CORTICAL LOCK SMOOTH TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L24 MM FLUTE THREAD LOCK TITANIUM HUMERAL FIXATION SET RADIAL HEAD PLATE SYSTEM,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L24 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L26 MM CORTICAL LOCK SMOOTH TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L26 MM FLUTE THREAD LOCK TITANIUM PROTEAN RADIAL HEAD PLATE SYSTEM,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L26 MM RADIUS DISTAL THREAD LOCK TITANIUM GEMINUS PLATE SYSTEM,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L28 MM CORTICAL SMOOTH LOCK TITANIUM ACU-LOC BRONZE,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L28 MM RADIUS FOSSA DISTAL VOLAR THREAD LOCK TITANIUM GEMINUS,86.0,43.0,16.47,77.4,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L30 MM FLUTE THREAD LOCK TITANIUM PROTEAN RADIAL HEAD PLATE SYSTEM,89.0,44.5,17.04,80.1,65
HCPCS,C1713,PEG FIXATION OD2.3 MM L8 MM CORTICAL LOCK ACU LOC 2,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L11 MM FULL THREAD LOCK SCREW TIMAX ALPS,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L13 MM 1.3 MM SELF TAP NONLOCK SQUARE TITANIUM PEG SCREW,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L13 MM FULL THREAD LOCK SCREW TIMAX ALPS,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L15 MM 1.3 MM SELF TAP NONLOCK SQUARE TITANIUM PEG SCREW,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L15 MM FULL THREAD LOCK SCREW TIMAX ALPS,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L15 MM THREAD MULTIDIRECTIONAL DVR,170.1,85.05,32.57,153.09,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L26 MM SHOULDER GLENOID UNTHREAD STAINLESS STEEL TORX,90.0,45.0,17.24,81.0,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L30 MM MULTIDIRECTIONAL DVR,170.1,85.05,32.57,153.09,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L30 MM PARTIAL THREAD DVR,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.5 MM L9 MM FULL THREAD LOCK SCREW TIMAX ALPS,100.8,50.4,19.3,90.72,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L10 MM CORTICAL THREAD NONLOCK TITANIUM DISTAL ELBOW PLATING SYSTEM DISTAL ELBOW PLATE SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L10 MM THREAD NONLOCK TITANIUM GEMINUS VOLAR DISTAL RADIUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L12 MM CORTICAL THREAD NONLOCK TITANIUM DISTAL ELBOW PLATING SYSTEM DISTAL ELBOW PLATE SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L12 MM RADIUS DISTAL THREAD NONLOCK TITANIUM GEMINUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L14 MM RADIUS DISTAL THREAD NONLOCK TITANIUM GEMINUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L14 MM RADIUS FOSSA DISTAL VOLAR LOCK HIGH COMPRESSION TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L16 MM RADIUS DISTAL THREAD NONLOCK TITANIUM GEMINUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L16 MM RADIUS FOSSA DISTAL VOLAR HIGH COMPRESSION LOCK TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L18 MM DISTAL VOLAR RADIUS FOSSA HIGH COMPRESSION LOCKING TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L18 MM RADIUS DISTAL THREAD NONLOCK TITANIUM GEMINUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L19 MM DISTAL VOLAR RADIUS FOSSA HIGH COMPRESSION LOCKING TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L20 MM DISTAL VOLAR RADIUS FOSSA HIGH COMPRESSION LOCKING TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L20 MM RADIUS DISTAL THREAD NONLOCK TITANIUM GEMINUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L22 MM RADIUS FOSSA DISTAL VOLAR HIGH COMPRESSION LOCK TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L22 MM THREAD NONLOCK TITANIUM GEMINUS VOLAR DISTAL RADIUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L24 MM HIGH COMPRESSION LOCK TITANIUM GEMINUS WRIST FOREARM SET,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L24 MM RADIUS DISTAL THREAD NONLOCK TITANIUM GEMINUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L28 MM CORTICAL THREAD NONLOCK TITANIUM DISTAL ELBOW PLATING SYSTEM DISTAL ELBOW PLATE SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L28 MM RADIUS FOSSA DISTAL VOLAR HIGH COMPRESSION LOCK TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L30 MM RADIUS FOSSA DISTAL VOLAR HIGH COMPRESSION LOCK TITANIUM GEMINUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PEG FIXATION OD2.7 MM L32 MM CORTICAL THREAD NONLOCK TITANIUM DISTAL ELBOW PLATING SYSTEM DISTAL ELBOW PLATE SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,PEG FIXATION OD3.2 MM L36 MM LOCK A.L.P.S. PROXIMAL HUMERUS PLATING SYSTEM3.2MM LOCKING PEG GOLD,126.0,63.0,24.13,113.4,65
HCPCS,C1713,PEG FIXATION OD3.2 MM L40 MM LOCK A.L.P.S. PROXIMAL HUMERUS PLATING SYSTEM3.2MM LOCKING PEG GOLD ALPS PROXIMAL HUMERUS PLATE SYSTEM,126.0,63.0,24.13,113.4,65
HCPCS,C1713,PEG FIXATION OD3.2 MM L42 MM LOCK A.L.P.S. PROXIMAL HUMERUS PLATING SYSTEM3.2MM LOCKING PEG GOLD,126.0,63.0,24.13,113.4,65
HCPCS,C1713,PEG FIXATION OD3.2 MM L46 MM LOCK A.L.P.S. PROXIMAL HUMERUS PLATING SYSTEM3.2MM LOCKING PEG GOLD,126.0,63.0,24.13,113.4,65
HCPCS,C1713,PEG FIXATION OD3.2 MM L48 MM LOCK A.L.P.S. PROXIMAL HUMERUS PLATING SYSTEM3.2MM LOCKING PEG GOLD,126.0,63.0,24.13,113.4,65
HCPCS,C1713,PEG FIXATION OD3.5 MM L32 MM SMOOTH LOCK TITANIUM,186.0,93.0,35.62,167.4,65
HCPCS,C1713,PEG FIXATION OD3.5 MM L44 MM SMOOTH LOCK TITANIUM,186.0,93.0,35.62,167.4,65
HCPCS,C1713,PEG FIXATION OD3.8 MM L30 MM UNICORTICAL PEDINAIL INTRAMEDULLARY PLATFORM,166.26,83.13,31.84,149.63,65
HCPCS,C1713,PEG FIXATION OD3.8 MM L32.5 MM FEMUR UNICORTICAL PEDINAIL INTRAMEDULLARY PLATFORM,166.26,83.13,31.84,149.63,65
HCPCS,C1713,PEG FIXATION OD3.8 MM L37.5 MM FEMUR UNICORTICAL PEDINAIL INTRAMEDULLARY PLATFORM,166.26,83.13,31.84,149.63,65
HCPCS,C1713,PEG FIXATION OD4 MM L30 MM STANDARD SHOULDER THREAD LOCK S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,PEG FIXATION OD4 MM L32 MM STANDARD SHOULDER SMOOTH LOCK S3,88.0,44.0,16.85,79.2,65
HCPCS,C1713,PEG FIXATION OD4 MM L35 MM STANDARD SHOULDER THREAD LOCK S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,PEG FIXATION OD4 MM L37.5 MM STANDARD SHOULDER SMOOTH LOCK S3,88.0,44.0,16.85,79.2,65
HCPCS,C1713,PEG FIXATION OD4 MM L37.5 MM STANDARD SHOULDER THREAD LOCK S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,PEG FIXATION OD4 MM L40 MM STANDARD SHOULDER SMOOTH LOCK S3,88.0,44.0,16.85,79.2,65
HCPCS,C1713,PEG FIXATION OD4 MM L40 MM STANDARD SHOULDER THREAD LOCK S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,PEG FIXATION SMALL R SHORT GLENOID METAL BACK TRABECULAR TITANIUM SMR,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PEG FIXATION SMALL SHORT STANDARD GLENOID METAL BACK TRABECULAR TITANIUM SMR,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PEG GLENOID S-R MD,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PIN BONE FIXATION 1.6MM 5MM PDLLA FLAT HEAD ULTRASONIC ACTIVATION PERIPHERAL MEMBRANE SONICWELD SONICPIN RX STERILE 5/PK,421.18,210.59,80.66,379.06,65
HCPCS,C1713,PIN BONE FIXATION 5MM DIA THREADED QUICK RELEASE CALC-JAK,140.0,70.0,26.81,126.0,65
HCPCS,C1713,PIN BONE FIXATION SMART TSF 6MM 60MM X 150MM EXTENDED HA,463.26,231.63,88.71,416.93,65
HCPCS,C1713,PIN DISTRACTION CASPAR 14MM STAINLESS STEEL CERVICAL CURVED TIP NON-STERILE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,PIN DISTRACTION L14 MM ACIS STAINLESS STEEL,157.0,78.5,34.24,141.3,64
HCPCS,C1713,PIN DRILL OD4 MM RETROBUTTON TIGHTROPE KNEE ACL CLOSED EYELET,125.0,62.5,23.94,112.5,65
HCPCS,C1713,PIN EXTERNAL FIXATION 150MM 4.5MM HA 30MM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN EXTERNAL FIXATION 17.5CM 5MM JET-X STAINLESS STEEL 40MM,87.47,43.74,16.75,78.72,65
HCPCS,C1713,PIN EXTERNAL FIXATION 25MM 3MM HALF TITANIUM NITRIDE,71.51,35.76,13.69,64.36,65
HCPCS,C1713,PIN EXTERNAL FIXATION 40MM 6MM JET-X LONG TITANIUM NITRIDE SELF DRILL SELF TAP 160MM NONSTERILE,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN EXTERNAL FIXATION 5MM 275MM TRANSFIXING MAVERICK,190.0,95.0,36.39,171.0,65
HCPCS,C1713,PIN EXTERNAL FIXATION L15 MM OD4 MM JET-X TIN HALF,104.08,52.04,19.93,93.67,65
HCPCS,C1713,PIN EXTERNAL FIXATION L150 MM OD4 MM ARBOR SCHANZ STAINLESS STEEL L30 MM BLUNT TIP CORTICAL THREAD,150.0,75.0,32.72,135.0,64
HCPCS,C1713,PIN EXTERNAL FIXATION L150 MM OD5 MM ARBOR SCHANZ STAINLESS STEEL L20 MM BLUNT TIP CANCELLOUS THREAD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,PIN EXTERNAL FIXATION L200 MM OD5 MM ARBOR SCHANZ STAINLESS STEEL L20 MM BLUNT TIP CANCELLOUS THREAD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,PIN EXTERNAL FIXATION L200 MM OD6 MM SMART TSF HA L30 MM EXTEND,463.26,231.63,101.04,416.93,64
HCPCS,C1713,PIN EXTERNAL FIXATION L250 MM OD5/6 MM ARBOR STAINLESS STEEL L40 MM THREAD TRANSFIX,100.0,50.0,19.15,90.0,65
HCPCS,C1713,PIN EXTERNAL FIXATION L300 MM OD4 MM EF1 TRANSFIX,412.0,206.0,78.9,370.8,65
HCPCS,C1713,PIN EXTERNAL FIXATION L300 MM OD5/6 MM ARBOR STAINLESS STEEL L40 MM THREAD TRANSFIX,150.0,75.0,28.73,135.0,65
HCPCS,C1713,PIN EXTERNAL FIXATION L35 MM OD5 MM JET-X TIN LONG HALF,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN EXTERNAL FIXATION L350 MM OD5/6 MM ARBOR STAINLESS STEEL L40 MM THREAD TRANSFIX,150.0,75.0,28.73,135.0,65
HCPCS,C1713,PIN EXTERNAL FIXATION L40 MM OD5 MM JET-X TIN LONG HALF,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN EXTERNAL FIXATION L400 MM OD5/6 MM ARBOR STAINLESS STEEL L40 MM THREAD TRANSFIX,150.0,75.0,32.72,135.0,64
HCPCS,C1713,PIN EXTERNAL FIXATION L80 MM OD4 MM ODSEC2.7 MM X-FIX TITANIUM L13 MM CRANIOMAXILLOFACIAL THREAD,199.51,99.76,38.21,179.56,65
HCPCS,C1713,PIN EXTERNAL FIXATION L80 MM OD4 MM ODSEC2.7 MM X-FIX TITANIUM L9 MM CRANIOMAXILLOFACIAL THREAD,199.51,99.76,38.21,179.56,65
HCPCS,C1713,PIN FIX EVOS PROV 2X14MM,92.34,46.17,17.68,83.11,65
HCPCS,C1713,PIN FIX PROVISIONAL 1.5X20MM,92.34,46.17,17.68,83.11,65
HCPCS,C1713,PIN FIXATION 1.3MM ORTHOSORB KIT LACTOSORB 3 STRAIGHT,492.0,246.0,107.31,442.8,64
HCPCS,C1713,PIN FIXATION 2.1MM 4MM SONICPINS RX STERILE,421.18,210.59,80.66,379.06,65
HCPCS,C1713,PIN FIXATION 2.1MM 4MM SONICWELD RX STERILE PDLLA,1684.72,842.36,322.62,1516.25,65
HCPCS,C1713,PIN FIXATION 2.1MM 5MM SONICPINS RX,421.18,210.59,80.66,379.06,65
HCPCS,C1713,PIN FIXATION 2.5MM 14MM EVOS PROVISIONAL STERILE,92.34,46.17,17.68,83.11,65
HCPCS,C1713,PIN FIXATION 2.5MM SMALL 40MM PROVISIONAL F/TARGETER SYSTEM,472.5,236.25,103.05,425.25,64
HCPCS,C1713,PIN FIXATION 2.7MM 25MM PERI-LOC TRIAL DRILL GUIDE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,PIN FIXATION 3.2MM COLLAR,65.0,32.5,12.45,58.5,65
HCPCS,C1713,PIN FIXATION 3.5MM LARGE 14MM PROVISIONAL F/TARGETER SYSTEM,391.5,195.75,85.39,352.35,64
HCPCS,C1713,PIN FIXATION 3.5MM LARGE 40MM PROVISIONAL F/TARGETER SYSTEM EVOS,472.5,236.25,103.05,425.25,64
HCPCS,C1713,PIN FIXATION 3MM 80MM APEX SELF DRILL SELF TAP NONSTERILE STAINLESS STEEL LATEX FREE DISPOSABLE,75.62,37.81,14.48,68.06,65
HCPCS,C1713,PIN FIXATION 4MM 80MM STERILE BONE,104.0,52.0,19.92,93.6,65
HCPCS,C1713,PIN FIXATION 5/6MM 300MM APEX TRANSFIX SELF DRILLING THREAD 40MM,119.4,59.7,22.87,107.46,65
HCPCS,C1713,PIN FIXATION ACETABULAR NA,28.47,14.24,5.45,25.62,65
HCPCS,C1713,PIN FIXATION ALIGNMENT HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM,371.78,185.89,71.2,334.6,65
HCPCS,C1713,PIN FIXATION BIGLIANI/FLATOW ALIGNMENT NONSTERILE THREAD SHOULDER,105.0,52.5,20.11,94.5,65
HCPCS,C1713,PIN FIXATION BUTTRESS L32 MM VOLAR WIREFORMS TITANIUM,320.0,160.0,61.28,288.0,65
HCPCS,C1713,PIN FIXATION COARSE THREAD SPINE OZARK,27.75,13.88,5.31,24.98,65
HCPCS,C1713,PIN FIXATION COLLAR QUICK RELEASE NA 40 MM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,PIN FIXATION DETACHABLE PLATE TEMPORARY,31.05,15.53,5.95,27.95,65
HCPCS,C1713,PIN FIXATION HALF 5MM DIA SHORT 110MML SHANK 45MML THREADED JET-X,87.47,43.74,16.75,78.72,65
HCPCS,C1713,PIN FIXATION L27 MM X W14 MM WRIST WIREFORMS SMALL FRAGMENT CLAMP,305.0,152.5,58.41,274.5,65
HCPCS,C1713,PIN FIXATION LONG BEVELED THREADED SINGLE-USE,137.0,68.5,26.24,123.3,65
HCPCS,C1713,PIN FIXATION LOW PROFILE WALL FRAGMENT L27 MM DORSAL BUTTRESS PIN,245.0,122.5,46.92,220.5,65
HCPCS,C1713,PIN FIXATION NONTHREADED BB-TAK SMALL BB-TAK,147.28,73.64,28.2,132.55,65
HCPCS,C1713,PIN FIXATION OD1.1 MM L10 MM MEDLINE UNITE,60.0,30.0,11.49,54.0,65
HCPCS,C1713,PIN FIXATION OD1.6 MM TENSION BAND L70 MM ACUMED STAINLESS STEEL,48.0,24.0,9.19,43.2,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS L22 MM TITANIUM ELECTROPHYSIOLOGY,52.68,26.34,10.09,47.41,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L10 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L12 MM DISTAL HAND WRIST RADIAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L14 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L16 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L18 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L20 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L22 MM RADIAL DISTAL WRIST HAND TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L24 MM DISTAL RADIAL WRIST HAND TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L26 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L28 MM RADIAL DISTAL HAND WRIST TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L30 MM HAND WRIST RADIAL DISTAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM BUTTRESS VARIABLE ANGLE LOCK STARDRIVE L8 MM DISTAL WRIST HAND RADIAL TITANIUM T8,109.42,54.71,20.95,98.48,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L16 MM TITANIUM BUTTRESS DISTAL RADIUS PLATE,52.68,26.34,10.09,47.41,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L18 MM RADIUS DISTAL STAINLESS STEEL BUTTRESS,69.13,34.57,13.24,62.22,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L18 MM TITANIUM BUTTRESS,56.45,28.23,10.81,50.81,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L20 MM TITANIUM BUTTRESS DISTAL RADIUS PLATE,52.68,26.34,10.09,47.41,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L24 MM RADIUS DISTAL STAINLESS STEEL BUTTRESS,69.13,34.57,13.24,62.22,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L24 MM TITANIUM BUTTRESS DISTAL RADIUS PLATE,52.68,26.34,10.09,47.41,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L26 MM TITANIUM BUTTRESS DISTAL RADIUS PLATE,52.68,26.34,10.09,47.41,65
HCPCS,C1713,PIN FIXATION OD1.8 MM L28 MM TITANIUM BUTTRESS DISTAL RADIUS PLATE,52.68,26.34,10.09,47.41,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L10 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L12 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L14 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L16 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L18 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L20 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L22 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L24 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L26 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L28 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L30 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.8 MM LOCK VARIABLE ANGLE STARDRIVE BUTTRESS L8 MM STAINLESS STEEL T8 2.4 MM SCREW DISTAL RADIUS SYSTEM,103.43,51.72,19.81,93.09,65
HCPCS,C1713,PIN FIXATION OD1.9 MM SNAP OFF COMPRESSION L18 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD1.9 MM SNAP OFF COMPRESSION L20 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD1.9 MM SNAP OFF COMPRESSION L30 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD1.9 MM SNAP OFF COMPRESSION L36 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD1.9 MM SNAP OFF COMPRESSION L50 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD2 MM ANCHOR L64 MM TRACKER,227.0,113.5,43.47,204.3,65
HCPCS,C1713,PIN FIXATION OD2 MM TROCAR POINT 1 END STYLE 5 L229 MM STEINMANN STAINLESS STEEL,89.55,44.78,17.15,80.6,65
HCPCS,C1713,PIN FIXATION OD2.4 MM SNAP OFF COMPRESSION L34 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD2.4 MM SNAP OFF COMPRESSION L36 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD2.4 MM SNAP OFF COMPRESSION L46 MM FULL THREAD,321.14,160.57,61.5,289.03,65
HCPCS,C1713,PIN FIXATION OD2.5 MM AXIS L40 MM IJS,322.0,161.0,61.66,289.8,65
HCPCS,C1713,PIN FIXATION OD2.5 MM AXIS L45 MM ELBOW IJS-E COCR,322.0,161.0,61.66,289.8,65
HCPCS,C1713,PIN FIXATION OD2.5 MM AXIS L50 MM IJS,322.0,161.0,61.66,289.8,65
HCPCS,C1713,PIN FIXATION OD2.5 MM AXIS L55 MM ELBOW IJS-E COCR,322.0,161.0,61.66,289.8,65
HCPCS,C1713,PIN FIXATION OD2.5 MM AXIS L60 MM IJS ELBOW STABILIZATION SYSTEM,322.0,161.0,61.66,289.8,65
HCPCS,C1713,PIN FIXATION OD2.5 MM SMALL TARGETER L14 MM EVOS,405.0,202.5,88.33,364.5,64
HCPCS,C1713,PIN FIXATION OD2.6 MM COLLARLESS GPS,130.0,65.0,24.9,117.0,65
HCPCS,C1713,PIN FIXATION OD2.8 MM TERMINAL THREAD SHOULDER PERCUTANEOUS METAL,55.84,27.92,10.69,50.26,65
HCPCS,C1713,PIN FIXATION OD3.2 MM L110 MM BONE,104.0,52.0,19.92,93.6,65
HCPCS,C1713,PIN FIXATION OD3.2 MM L12.7 CM MEDULLARY RUSH STAINLESS STEEL C,61.36,30.68,11.75,55.22,65
HCPCS,C1713,PIN FIXATION OD3.2 MM L140 MM BONE,104.0,52.0,19.92,93.6,65
HCPCS,C1713,PIN FIXATION OD3.2 MM L20.3 CM MEDULLARY RUSH STAINLESS STEEL I,61.36,30.68,11.75,55.22,65
HCPCS,C1713,PIN FIXATION OD3.5 MM LOCK LINER HIP S-ROM TITANIUM,106.2,53.1,20.34,95.58,65
HCPCS,C1713,PIN FIXATION OD3/16 IN L11 IN MEDULLARY RUSH STAINLESS STEEL E,73.84,36.92,14.14,66.46,65
HCPCS,C1713,PIN FIXATION OD3/16 IN L8 3/4 IN MEDULLARY RUSH STAINLESS STEEL B,73.84,36.92,14.14,66.46,65
HCPCS,C1713,PIN FIXATION OD4 MM AO CONNECTION CALCANEUS SCHANZ,110.0,55.0,21.07,99.0,65
HCPCS,C1713,PIN FIXATION OD4 MM PROXIMAL END 2 PACK L110 MM ORTHALIGN PLUS 3.2 MM,224.0,112.0,42.9,201.6,65
HCPCS,C1713,PIN FIXATION OD4.5 MM L120 MM STAINLESS STEEL LARGE EXTERNAL FIXATOR,69.3,34.65,13.27,62.37,65
HCPCS,C1713,PIN FIXATION OD4.5 MM L150 MM STAINLESS STEEL,69.3,34.65,13.27,62.37,65
HCPCS,C1713,PIN FIXATION OD4.5 MM L200 MM STAINLESS STEEL CENTRAL THREAD LARGE EXTERNAL FIXATOR,93.59,46.8,17.92,84.23,65
HCPCS,C1713,PIN FIXATION OD4.8 MM L29.8 CM MEDULLARY RUSH STAINLESS STEEL F,73.84,36.92,14.14,66.46,65
HCPCS,C1713,PIN FIXATION OD4.8 MM L33.7 CM MEDULLARY RUSH STAINLESS STEEL H,73.84,36.92,14.14,66.46,65
HCPCS,C1713,PIN FIXATION OD5 MM CENTRAL THREAD L275 MM STEINMANN LARGE EXTERNAL FIXATOR,96.83,48.42,18.54,87.15,65
HCPCS,C1713,PIN FIXATION OD5 MM CENTRAL THREAD MR CONDITIONAL L300 MM STEINMANN STAINLESS STEEL LARGE EXTERNAL FIXATOR,96.83,48.42,18.54,87.15,65
HCPCS,C1713,PIN FIXATION OD5 MM L200 MM STAINLESS STEEL CENTRAL THREAD LARGE EXTERNAL FIXATOR,93.59,46.8,17.92,84.23,65
HCPCS,C1713,PIN FIXATION OD5 MM L200 MM STAINLESS STEEL LARGE EXTERNAL FIXATOR,70.22,35.11,13.45,63.2,65
HCPCS,C1713,PIN FIXATION OD5 MM LOCK LINER S-ROM TITANIUM,106.2,53.1,20.34,95.58,65
HCPCS,C1713,PIN FIXATION OD6 MM ODSEC5 MM THREAD TRANSFIX L300 MM APEX STAINLESS STEEL L50 MM EXTERNAL FIXATION SYSTEM,143.28,71.64,27.44,128.95,65
HCPCS,C1713,PIN FIXATION OD6 MM TRANSFIXATION MR CONDITIONAL L225 MM STEINMANN STAINLESS STEEL LARGE EXTERNAL FIXATOR,97.2,48.6,18.61,87.48,65
HCPCS,C1713,PIN FIXATION PRIMARY LOCK AMK COORDINATE ULTRA,263.7,131.85,50.5,237.33,65
HCPCS,C1713,PIN FIXATION PROVISIONAL 2.5MM DIA 25MML STAINLESS STEEL EVOS,92.34,46.17,17.68,83.11,65
HCPCS,C1713,PIN FIXATION PROVISIONAL 2.5MM DIA 40MML STAINLESS STEEL EVOS,92.34,46.17,17.68,83.11,65
HCPCS,C1713,PIN FIXATION PROVISIONAL 2MM DIA 30MML AO QUICK-CONNECT OVER EVOS,92.34,46.17,17.68,83.11,65
HCPCS,C1713,PIN FIXATION SHARP SMALL HEAD L1 1/8 IN NA,65.0,32.5,12.45,58.5,65
HCPCS,C1713,PIN FIXATION SIGMA THREAD HEAD,186.75,93.38,35.76,168.08,65
HCPCS,C1713,PIN FIXATION SPEED RIM L65 MM SPEED,43.2,21.6,8.27,38.88,65
HCPCS,C1713,PIN FIXATION STEINMANN 5MM DIA 275MML STAINLESS STEEL SMOOTH PLAIN TROCAR POINT F/LARGE EXTERNAL FIXATOR MRI-CONDITIONAL NON-STERILE,70.22,35.11,13.45,63.2,65
HCPCS,C1713,PIN FIXATION TEMPORARY ACP ANTERIOR CERVICAL PLATING SYSTEM,69.75,34.88,13.36,62.78,65
HCPCS,C1713,PIN FIXATION TEMPORARY ANTEGRA,29.7,14.85,6.48,26.73,64
HCPCS,C1713,PIN FIXATION TEMPORARY AVIATOR TITANIUM ANTERIOR CERVICAL PLATE SYSTEM,45.48,22.74,8.71,40.93,65
HCPCS,C1713,PIN FIXATION TEMPORARY SELF DRILL SELF TAP AXSOS AO FIT PLATE,250.74,125.37,48.02,225.67,65
HCPCS,C1713,PIN FIXATION TEMPORARY SPINE NA,29.7,14.85,5.69,26.73,65
HCPCS,C1713,PIN FIXATION TEMPORARY SPINE PROVIDENCE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,PIN FIXATION THREAD HEAD HIP LCS SIGMA,270.0,135.0,51.71,243.0,65
HCPCS,C1713,PIN FIXATION THREAD SPINE SKYLINE,29.7,14.85,5.69,26.73,65
HCPCS,C1713,PIN FIXATION TITANIUM ADULT SKULL TURQUOISE DORO STERILE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,PIN FIXATION TROCAR SMOOTH IBALANCE TOTAL KNEE ARTHROPLASTY,136.5,68.25,26.14,122.85,65
HCPCS,C1713,PIN FIXATION TUBERCLE AXIOM STERILE,46.0,23.0,8.81,41.4,65
HCPCS,C1713,PIN GUIDE 45MM 2MM TRACKER ANCHOR,227.0,113.5,43.47,204.3,65
HCPCS,C1713,PIN HALF 110MM 3MM APEX STAINLESS STEEL BLUNT 25MM STERILE,75.62,37.81,14.48,68.06,65
HCPCS,C1713,PIN HALF 120MM 4MM APEX FOREARM SELF DRILL SELF TAP 35MM,104.48,52.24,20.01,94.03,65
HCPCS,C1713,PIN HALF 120MM 4MM APEX STAINLESS STEEL SELF DRILL SELF TAP THREAD 30MM EXTERNAL FIXATION SYSTEM STERILE,104.48,52.24,20.01,94.03,65
HCPCS,C1713,PIN HALF 120MM 5MM APEX CANCELLOUS STAINLESS STEEL SELF TAP SELF DRILL THREAD 35MM EXTERNAL FIXATION SYSTEM NONSTERILE,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF 150MM 4.5MM HA 40MM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 4/5MM APEX SELF DRILLING HYBRID 40MM,135.32,67.66,29.51,121.79,64
HCPCS,C1713,PIN HALF 150MM 4MM APEX HOFFMANN II STAINLESS STEEL SELF TAP SELF DRILL 40MM EXTERNAL FIXATION SYSTEM NONSTERILE,104.48,52.24,20.01,94.03,65
HCPCS,C1713,PIN HALF 150MM 5MM APEX STAINLESS STEEL THREAD SELF DRILL SELF TAP 40MM,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 20MM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 25MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 30MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 35MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 40MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 45MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 50MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 150MM 6MM HA 70MM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 15MM 3MM JET-X RADIAL DISTAL,111.62,55.81,21.38,100.46,65
HCPCS,C1713,PIN HALF 15MM 3MM JET-X SHORT TITANIUM NITRIDE EXTERNAL FIXATION SYSTEM,71.51,35.76,13.69,64.36,65
HCPCS,C1713,PIN HALF 175MM 6MM ACE-FISCHER STAINLESS STEEL SELF DRILL,154.0,77.0,29.49,138.6,65
HCPCS,C1713,PIN HALF 180MM 5MM APEX HOFFMANN II CANCELLOUS STAINLESS STEEL SELF TAP SELF DRILL THREAD 50MM EXTERNAL FIXATION SYSTEM NONSTERILE,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF 200MM 3MM APEX STAINLESS STEEL TRANSFIX SELF TAP SELF DRILL THREAD NONSTERILE,119.4,59.7,22.87,107.46,65
HCPCS,C1713,PIN HALF 200MM 5MM APEX HOFFMANN II STAINLESS STEEL THREAD SELF DRILL 60MM EXTERNAL FIXATION SYSTEM NONSTERILE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,PIN HALF 200MM 5MM APEX STAINLESS STEEL SELF DRILL 50MM EXTERNAL FIXATION SYSTEM,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF 200MM 6MM HA 40MM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 200MM 6MM HA 50MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 200MM 6MM ORTHOPEDIC HA 30MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF 20MM 3MM JET-X RADIAL DISTAL,112.06,56.03,21.46,100.85,65
HCPCS,C1713,PIN HALF 25MM 4MM JET-X SHORT TITANIUM NITRIDE EXTERNAL FIXATION SYSTEM,71.51,35.76,13.69,64.36,65
HCPCS,C1713,PIN HALF 30MM 5MM JET-X SHORT TITANIUM NITRIDE UNILATERAL FIXATION 110MM NONSTERILE,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN HALF 35MM 4MM JET-X SHORT ORTHOPEDIC TITANIUM NITRIDE EXTERNAL FIXATION SYSTEM,71.51,35.76,13.69,64.36,65
HCPCS,C1713,PIN HALF 35MM 5MM HEX-FIX PARTIAL THREAD TITANIUM EXTERNAL FIXATION SYSTEM,196.71,98.36,37.67,177.04,65
HCPCS,C1713,PIN HALF 35MM 5MM JET-X SHORT TITANIUM NITRIDE EXTERNAL FIXATION SYSTEM,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN HALF 35MM 5MM SALVATION HA STERILE,230.84,115.42,44.21,207.76,65
HCPCS,C1713,PIN HALF 40MM 5MM JET-X SHORT TITANIUM NITRIDE EXTERNAL FIXATION SYSTEM,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN HALF 45MM 5MM JET-X LONG ORTHOPEDIC TITANIUM NITRIDE EXTERNAL FIXATION SYSTEM,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN HALF 45MM 5MM SHORT TITANIUM NITRIDE,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN HALF 5MM 5MM APEX SELF DRILL NONSTERILE,135.32,67.66,25.91,121.79,65
HCPCS,C1713,PIN HALF 80MM 3MM APEX ORTHOPEDIC STAINLESS STEEL SELF DRILLING SELF TAPPING THREADED 20MM EXTERNAL FIXATION SYSTEM NONSTERILE,75.62,37.81,14.48,68.06,65
HCPCS,C1713,PIN HALF EXTERNAL FIXATOR 5MM DIA 40MM THREAD LENGTH 186.65MML SMITH  NEPHEW,87.47,43.74,16.75,78.72,65
HCPCS,C1713,PIN HALF L110 MM OD3 MM APEX STAINLESS STEEL L10 MM SELF DRILL,75.62,37.81,14.48,68.06,65
HCPCS,C1713,PIN HALF L120 MM OD5 MM APEX STAINLESS STEEL L30 MM FOOT ANKLE SELF TAPPING SELF DRILLING THREAD,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF L150 MM OD4 MM APEX STAINLESS STEEL L50 MM SELF DRILL SELF TAP THREAD EXTERNAL FIXATION SYSTEM,104.48,52.24,20.01,94.03,65
HCPCS,C1713,PIN HALF L150 MM OD5 MM APEX HOFFMANN II STAINLESS STEEL L50 MM CANCELLOUS SELF TAP SELF DRILL THREAD EXTERNAL FIXATION SYSTEM,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF L150 MM OD5 MM APEX STAINLESS STEEL L40 MM CONTINUOUS THREAD BLUNT TIP EXTERNAL FIXATION SYSTEM,129.35,64.68,28.21,116.42,64
HCPCS,C1713,PIN HALF L180 MM OD4 MM TRUELOK QUICK CONNECT,138.84,69.42,26.59,124.96,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM APEX HOFFMANN II STAINLESS STEEL BLUNT L50 MM FOOT ANKLE CONTINUOUS THREAD EXTERNAL FIXATION SYSTEM,129.35,64.68,28.21,116.42,64
HCPCS,C1713,PIN HALF L180 MM OD5 MM APEX STAINLESS STEEL L35 MM SELF DRILLING THREAD SHAFT SELF TAPPING,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM APEX STAINLESS STEEL L60 MM SELF TAP SELF DRILL THREAD EXTERNAL FIXATION SYSTEM,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM EX-FIX L40 MM THREAD,133.33,66.67,25.53,120.0,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM SIDEKICK FREEDOM TITANIUM NITRIDE L30 MM,140.3,70.15,26.87,126.27,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM SIDEKICK FREEDOM TITANIUM NITRIDE L35 MM,140.3,70.15,26.87,126.27,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM SIDEKICK FREEDOM TITANIUM NITRIDE LONG L25 MM,140.3,70.15,26.87,126.27,65
HCPCS,C1713,PIN HALF L180 MM OD5 MM TRUELOK QUICK CONNECT,118.4,59.2,22.67,106.56,65
HCPCS,C1713,PIN HALF L20 MM OD3 MM JET-X TITANIUM NITRIDE,71.51,35.76,13.69,64.36,65
HCPCS,C1713,PIN HALF L20 MM OD4 MM JET-X TITANIUM NITRIDE,71.51,35.76,13.69,64.36,65
HCPCS,C1713,PIN HALF L200 MM OD5 MM APEX HOFFMANN II STAINLESS STEEL BLUNT L50 MM CONTINUOUS THREAD EXTERNAL FIXATION SYSTEM,129.35,64.68,28.21,116.42,64
HCPCS,C1713,PIN HALF L200 MM OD6 MM ILIZAROV TAYLOR SPATIAL FRAME HA L35 MM EXTERNAL FIXATION SYSTEM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HALF L200 MM THREEAD OD6 MM ORTHREX HALF PIN DRIVE RAIL HYDROXYAPATITE L30 MM,182.74,91.37,34.99,164.47,65
HCPCS,C1713,PIN HALF L250 MM OD5 MM APEX HOFFMANN II STAINLESS STEEL L70 MM SELF TAP SELF DRILL THREAD EXTERNAL FIXATION SYSTEM,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF L250 MM OD5 MM APEX STAINLESS STEEL L50 MM ORTHOPEDIC SELF TAPPING SELF DRILLING THREAD SHAFT EXTERNAL FIXATION SYSTEM,129.35,64.68,24.77,116.42,65
HCPCS,C1713,PIN HALF L30 MM OD5 MM JET-X TITANIUM NITRIDE LONG,96.58,48.29,18.5,86.92,65
HCPCS,C1713,PIN HALF L30 MM OD6 MM ILIZAROV TITANIUM,227.0,113.5,43.47,204.3,65
HCPCS,C1713,PIN HALF L5 CM OD5 MM JET-X STAINLESS STEEL ORTHOPEDIC EXTERNAL FIXATION SYSTEM,185.09,92.55,35.44,166.58,65
HCPCS,C1713,PIN HALF THRD 6X55X150MM,160.38,80.19,30.71,144.34,65
HCPCS,C1713,PIN HOLDING L.75 IN OD1/8 IN OPTETRAK KNEE,65.0,32.5,12.45,58.5,65
HCPCS,C1713,PIN ORTHOPEDIC 170MM 4MM KNEE STERILE,208.0,104.0,39.83,187.2,65
HCPCS,C1713,PIN ORTHOPEDIC 80MM 3.2MM KNEE STERILE,104.0,52.0,19.92,93.6,65
HCPCS,C1713,PIN ORTHOPEDIC 80MM 4MM KNEE STERILE,208.0,104.0,39.83,187.2,65
HCPCS,C1713,PIN POSITIONING CERCLAGE OD4.5 MM STAINLESS STEEL,143.22,71.61,27.43,128.9,65
HCPCS,C1713,PIN POSITIONING CERCLAGE OD4.5 MM TITANIUM,160.04,80.02,30.65,144.04,65
HCPCS,C1713,PIN POSITIONING OD3.5 MM LCP STAINLESS STEEL CERCLAGE THREAD,143.22,71.61,27.43,128.9,65
HCPCS,C1713,PIN POSITIONING OD3.5 MM LCP TITANIUM CERCLAGE THREAD,160.04,80.02,30.65,144.04,65
HCPCS,C1713,PIN POSITIONING OD4.5 MM LCP STAINLESS STEEL CERCLAGE THREAD,143.22,71.61,27.43,128.9,65
HCPCS,C1713,PIN POSITIONING OD4.5 MM LCP TITANIUM CERCLAGE THREAD,160.04,80.02,30.65,144.04,65
HCPCS,C1713,PIN SONIC RX 2.1X5MM,1684.72,842.36,322.62,1516.25,65
HCPCS,C1713,PIN SPINAL FIXATION HOLEX1 ANTERIOR CERVICAL FALCON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,PIN TRACTION 50MM 5MM JET-X SHORT TITANIUM NITRIDE NONSTERILE,185.09,92.55,35.44,166.58,65
HCPCS,C1713,PIN TRACTION 50MM 5MM TITANIUM NITRIDE,185.09,92.55,35.44,166.58,65
HCPCS,C1713,PISTON OSSICULAR L4 MM RIBBON LOOP OD.6 MM RICHARDS PLATINUM FLUOROPLASTIC STAPEDECTOMY STAPEDOTOMY,136.23,68.12,26.09,122.61,65
HCPCS,C1713,PISTON OTOLOGIC ARMSTRONG PROSTHESIS 0.6MM DIA 4.5MML PLASTIPORE PLATINUM RIBBON LOOP F/STAPEDECTOMY,127.31,63.66,24.38,114.58,65
HCPCS,C1713,PLATE 0 D MEDIUM FOOT LEFT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE 0 D MEDIUM METATARSOPHALANGEAL LEFT FUSION MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE 0 D MEDIUM METATARSOPHALANGEAL LEFT PRIMARY TITANIUM GORILLA BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE 0 D MEDIUM METATARSOPHALANGEAL RIGHT FUSION MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE 0 D SMALL METATARSOPHALANGEAL LEFT FUSION MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE 0 D SMALL METATARSOPHALANGEAL RIGHT FUSION MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE 0 D SMALL METATARSOPHALANGEAL RIGHT PRIMARY TITANIUM GORILLA BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE 0 D SMALL SHORT METATARSOPHALANGEAL RIGHT DISTAL 2 HOLE TITANIUM GORILLA BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE 0 MM FOOT LOW PROFILE OPEN WEDGE POLYAXIAL LOCK ORTHOLOC 3DI BONE EVANS OPEN WEDGE,1464.64,732.32,280.48,1318.18,65
HCPCS,C1713,PLATE 0 MM SPACE FOOT RECONSTRUCTION LOW PROFILE ORTHOLOC 3DI BONE FOOT RECONSTRUCTION SYSTEM,1327.33,663.67,254.18,1194.6,65
HCPCS,C1713,PLATE 1 WRIST CARPAL TITANIUM FREEDOM BONE,6395.0,3197.5,1224.64,5755.5,65
HCPCS,C1713,PLATE 10 MM FOOT POLYAXIAL LOCK LOW PROFILE ORTHOLOC 3DI BONE EVANS OPEN WEDGE,1464.64,732.32,280.48,1318.18,65
HCPCS,C1713,PLATE 10 SPINE 2 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 10 SPINE 4 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 100 D L STERNAL 4 HOLE LOW PROFILE 2 SIDE STERNALOCK BLU BONE 2.4 MM SCREW,410.0,205.0,78.52,369.0,65
HCPCS,C1713,PLATE 100 D STRAIGHT SPINE OCCIPITOCERVICOTHORACIC TITANIUM OASYS BONE,379.31,189.66,72.64,341.38,65
HCPCS,C1713,PLATE 115 D MANDIBULAR 6 HOLE LEIBINGER BONE GOLD 2/2.3 MM SCREW,631.78,315.89,120.99,568.6,65
HCPCS,C1713,PLATE 12 SPINE 2 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 12 SPINE 4 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 120 MM STANDARD TIBIAL LEFT DISTAL MEDIAL 6 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,887.4,443.7,169.94,798.66,65
HCPCS,C1713,PLATE 130 D 2 HOLE TITANIUM NIOBIUM ALUMINUM BONE GOLD FEMORAL NECK SYSTEM,996.91,498.46,190.91,897.22,65
HCPCS,C1713,PLATE 130 D FEMUR PROXIMAL 4 HOLE LOCK LOCKING PROXIMAL FEMUR PLATE SYSTEM BONE 3.5 MM SCREW,1218.06,609.03,233.26,1096.25,65
HCPCS,C1713,PLATE 130 D FEMUR PROXIMAL 8 HOLE LOCK STAINLESS STEEL PEDILOC BONE 3.5 MM SCREW,1376.95,688.48,263.69,1239.26,65
HCPCS,C1713,PLATE 14 SPINE 4 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 14MM,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE 16 SPINE 4 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 18 SPINE 4 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 18MM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE 2 HOCKEY STICK PROTEAN BONE,733.0,366.5,140.37,659.7,65
HCPCS,C1713,PLATE 2 HOLE SPRING PRO BONE,241.79,120.9,46.3,217.61,65
HCPCS,C1713,PLATE 2 HOLE STAINLESS STEEL TIGHTROPE BONE SYNDESMOSIS,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE 2 HOLE TITANIUM TIGHTROPE BONE SYNDESMOSIS,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE 2 MM SPACE FOOT RECONSTRUCTION LOW PROFILE ORTHOLOC 3DI BONE LAPIDUS,1327.33,663.67,254.18,1194.6,65
HCPCS,C1713,PLATE 2 MM STANDARD CONTOUR FIRST TARSOMETATARSAL LEFT 5 HOLE LOW PROFILE TITANIUM ORTHOLOC LAPIFUSE BONE LAPIDUS,2177.06,1088.53,416.91,1959.35,65
HCPCS,C1713,PLATE 2 MM STANDARD CONTOUR FIRST TARSOMETATARSAL RIGHT 5 HOLE LOW PROFILE TITANIUM ORTHOLOC LAPIFUSE BONE LAPIDUS,2177.06,1088.53,416.91,1959.35,65
HCPCS,C1713,PLATE 2 MM TARSOMETATARSAL LEORTHOLOC 2 LAPIFUSE BONE LAPIDUS,2177.06,1088.53,416.91,1959.35,65
HCPCS,C1713,PLATE 2 MM TRANS MET RIORTHOLOC 2 LAPIFUSE BONE LAPIDUS,2177.06,1088.53,416.91,1959.35,65
HCPCS,C1713,PLATE 2 RECTANGULAR FOOT 6 HOLE POLYAXIAL LOCK LOW PROFILE COMPRESSION TITANIUM VARIAX BONE,584.07,292.04,111.85,525.66,65
HCPCS,C1713,PLATE 2 RECTANGULAR FOOT 6 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM VARIAX BONE,539.29,269.65,103.27,485.36,65
HCPCS,C1713,PLATE 201 MM STANDARD TIBIAL RIGHT DISTAL ANTEROLATERAL 12 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,988.38,494.19,189.27,889.54,65
HCPCS,C1713,PLATE 201 MM TIBIAL LEFT DISTAL MEDIAL 12 HOLE TITANIUM AXSOS 3 BONE,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE 2150014 OLIF51 PLATE 14MM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 228 MM STANDARD HUMERUS RIGHT PROXIMAL LATERAL 14 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1115.88,557.94,213.69,1004.29,65
HCPCS,C1713,PLATE 26 MM X H1.5 MM MEDIUM FIRST METATARSOPHALANGEAL 4 HOLE COMPRESSION 2 SLOT TITANIUM DARCO MFS MPJ BONE 2.7 MM SCREW,737.3,368.65,141.19,663.57,65
HCPCS,C1713,PLATE 28MM CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE 3 MM SPACE FOOT RECONSTRUCTION LOW PROFILE ORTHOLOC 3DI BONE LAPIDUS,1327.33,663.67,254.18,1194.6,65
HCPCS,C1713,PLATE 3.5 MM OFFSET SHORT MINIBUNION BONE INTRAMEDULLARY SCREW,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE 4 D FOREFOOT MIDFOOT LEFT METATARSOPHALANGEAL LOCK ACUMED BONE,823.0,411.5,157.6,740.7,65
HCPCS,C1713,PLATE 4 D NARROW DF MTP RIGHT 6 HOLE PEEK COLINK BONE REINFORCE PLATE NX,2277.0,1138.5,436.05,2049.3,65
HCPCS,C1713,PLATE 4 HOLE L LEFT,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE 4 HOLE L RIGHT,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE 4 MM SPACE FOOT RECONSTRUCTION LOW PROFILE ORTHOLOC 3DI BONE FOOT RECONSTRUCTION SYSTEM LAPIDUS,1327.33,663.67,254.18,1194.6,65
HCPCS,C1713,PLATE 5 D MEDIUM METATARSOPHALANGEAL LEFT FUSION MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE 5 D MEDIUM METATARSOPHALANGEAL LEFT PRIMARY TITANIUM GORILLA BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE 5 D SMALL METATARSOPHALANGEAL RIGHT FUSION MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE 5 MM SPACE LOW PROFILE TITANIUM DARCO BOW II BONE 2.7 MM SCREW OPEN WEDGE OSTEOTOMY BUNION,1363.15,681.58,261.04,1226.84,65
HCPCS,C1713,PLATE 56MM WIDE VOLAR RIGHT RADIAL DISTAL 4 HOLE TITANIUM EVOS,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE 6 MM FOOT POLYAXIAL LOCK LOW PROFILE ORTHOLOC 3DI BONE EVANS OPEN WEDGE,1464.64,732.32,280.48,1318.18,65
HCPCS,C1713,PLATE 6 MM SPACER FOREFOOT MIDFOOT LOCK VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW OPEN WEDGE OSTEOTOMY,900.21,450.11,172.39,810.19,65
HCPCS,C1713,PLATE 6.5 MM FOOT POLYAXIAL LOCK LOW PROFILE ORTHOLOC 3DI BONE COTTON WEDGE OSTEOTOMY,1226.84,613.42,234.94,1104.16,65
HCPCS,C1713,PLATE 60 MM 5 HOLE RECONSTRUCTION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,214.92,107.46,41.16,193.43,65
HCPCS,C1713,PLATE 7 HOLE LOCK VARIABLE ANGLE OD17 MM BONE 2.4 MM SCREW INTERCARPAL FUSION,849.84,424.92,162.74,764.86,65
HCPCS,C1713,PLATE 7 MM SPACE FOREFOOT MIDFOOT LOCK VARIABLE ANGLE TITANIUM BONE 2.4/2.7 MM SCREW OPEN WEDGE OSTEOTOMY,900.21,450.11,172.39,810.19,65
HCPCS,C1713,PLATE 7 MM SPACER FOREFOOT MIDFOOT LOCK VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW OPEN WEDGE OSTEOTOMY,900.21,450.11,172.39,810.19,65
HCPCS,C1713,PLATE 7 SPINE TITANIUM ZERO-P BONE NATURAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE 8 SPINE 2 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 8 SPINE 4 HOLE DECADE BONE EXTREME LATERAL INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE 86 MM STANDARD HUMERUS LEFT PROXIMAL 3 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1029.18,514.59,197.09,926.26,65
HCPCS,C1713,PLATE 8HL 1MM REG RESORB RESORB -XG STRL CRANFC ORBT FLR,206.64,103.32,39.57,185.98,65
HCPCS,C1713,PLATE 9 HOLE LATERAL FIBULA ANATOMICAL LEFT,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,PLATE 90 D 18 D FLARE 4 MM OFFSET FEMUR DISTAL 4 HOLE STAINLESS STEEL DFOS BONE 3.5 MM SCREW OSTEOTOMY,2315.4,1157.7,443.4,2083.86,65
HCPCS,C1713,PLATE ANKLE 2 HOLE BUTTRESS UNITE BONE SYNDESMOSIS,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE ANKLE BUTTRESS TIGHTROPE BONE SYNDESMOSIS,1025.0,512.5,223.55,922.5,64
HCPCS,C1713,PLATE ANKLE JOINT STANDARD TN FUSION UNITE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,PLATE ANKLE LEFT TIBIOTALAR ANTERIOR FUSION TITANIUM BONE,2075.0,1037.5,397.36,1867.5,65
HCPCS,C1713,PLATE ANKLE RIGHT TIBIOTALAR ANTERIOR FUSION TITANIUM BONE,2075.0,1037.5,397.36,1867.5,65
HCPCS,C1713,PLATE ANKLE RIGHT TIBIOTALOCALCANEAL ANTERIOR FUSION SILVERBACK BONE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,PLATE ANKLE TIBIOTALAR LATERAL FUSION TITANIUM BONE,2075.0,1037.5,397.36,1867.5,65
HCPCS,C1713,PLATE ANKLE TIBIOTALOCALCANEAL LATERAL FUSION TITANIUM BONE,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,PLATE ANT CERV LEVEL 1 14MMCYGNUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE ANTEROLATERAL 7 HOLE BONE 3.5 MM SCREW,1206.79,603.4,231.1,1086.11,65
HCPCS,C1713,PLATE ANTHEM VOLAR DOUBLE ROW NARROW LEFT 4 HOLE SS,825.0,412.5,157.99,742.5,65
HCPCS,C1713,PLATE ANTHEM VOLAR DOUBLE ROW STANDARD,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE .3MM CRANIOMAXILLOFACIAL CLOSED OUTER FRAME BASE 1.5MM SCREW RETROSIGMOID MEDIUM ROUND TITANIUM NONSTERILE UNIVERSAL NEURO 3 47MM,921.12,460.56,176.39,829.01,65
HCPCS,C1713,PLATE BONE .3MM ORBITAL FLOOR LARGE TITANIUM NONSTERILE MATRIXMIDFACE BLUE,1135.2,567.6,217.39,1021.68,65
HCPCS,C1713,PLATE BONE .3MM ORBITAL FLOOR MEDIUM TITANIUM NONSTERILE MATRIXMIDFACE BLUE,1223.0,611.5,234.2,1100.7,65
HCPCS,C1713,PLATE BONE .3MM ORBITAL FLOOR SMALL TITANIUM NONSTERILE MATRIXMIDFACE BLUE,1135.2,567.6,217.39,1021.68,65
HCPCS,C1713,PLATE BONE .3MM UPPER FACE ORBITAL FLOOR BASIC MALLEABLE 1.2MM SCREW MEDIUM TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 BLUE,820.93,410.47,157.21,738.84,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 20 HOLE LOW PROFILE ADAPTION TITANIUM MATRIXNEURO BLUE,246.75,123.38,47.25,222.08,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 2X3 HOLE LOW PROFILE STRUT TITANIUM MATRIXNEURO BLUE,193.0,96.5,36.96,173.7,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 2X4 HOLE LOW PROFILE STRUT TITANIUM MATRIXNEURO BLUE,274.25,137.13,52.52,246.83,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 4 HOLE RIGID X TITANIUM NONSTERILE MATRIXNEURO BLUE,111.25,55.63,21.3,100.13,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 5 HOLE LOW PROFILE ADAPTION TITANIUM MATRIXNEURO BLUE,100.5,50.25,19.25,90.45,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 5 HOLE LOW PROFILE Y TITANIUM MATRIXNEURO BLUE,111.25,55.63,21.3,100.13,65
HCPCS,C1713,PLATE BONE .4MM CRANIAL 7 HOLE LOW PROFILE ADAPTION TITANIUM MATRIXNEURO BLUE,124.0,62.0,23.75,111.6,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 2X2 HOLE LOW PROFILE 1.5MM SCREW RETROSIGMOID LARGE BOX TITANIUM NONSTERILE UNIVERSAL NEURO 3,307.87,153.94,58.96,277.08,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 2X2 HOLE LOW PROFILE 1.5MM SCREW RETROSIGMOID RECTANGLE TITANIUM NONSTERILE UNIVERSAL NEURO 3,303.97,151.99,58.21,273.57,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 2X2 HOLE LOW PROFILE 1.5MM SCREW RETROSIGMOID SMALL BOX TITANIUM NONSTERILE UNIVERSAL NEURO 3,199.8,99.9,38.26,179.82,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 2X2 HOLE TAB 1.5MM SCREW RETROSIGMOID LARGE BOX TITANIUM NONSTERILE UNIVERSAL NEURO 3,326.44,163.22,62.51,293.8,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE BAR 1.5MM SCREW RETROSIGMOID 2Y TITANIUM NONSTERILE UNIVERSAL NEURO 3,276.77,138.39,53.0,249.09,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE GAP 1.5MM SCREW RETROSIGMOID LARGE TITANIUM NONSTERILE UNIVERSAL NEURO 3,365.64,182.82,70.02,329.08,65
HCPCS,C1713,PLATE BONE .4MM CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE GAP 1.5MM SCREW RETROSIGMOID SMALL TITANIUM NONSTERILE UNIVERSAL NEURO 3,341.13,170.57,65.33,307.02,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR LEFT 3D 1.2MM SCREW LARGE PREBENT STANDARD TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,1367.04,683.52,261.79,1230.34,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR LEFT 3D 1.2MM SCREW SMALL PREBENT STANDARD TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,1367.04,683.52,261.79,1230.34,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR LEFT PREFORM CONTOUR EDGE SEGMENT SMALL TITANIUM NONSTERILE MATRIXMIDFACE MATRIXORBITAL DARK PURPLE,1415.15,707.58,271.0,1273.64,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR LEFT PRESHAPE CLASS III IV DEFECT TITANIUM NONSTERILE LEVEL ONE,948.82,474.41,181.7,853.94,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR RIGHT 3D 1.2MM SCREW LARGE,1367.04,683.52,261.79,1230.34,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR RIGHT 3D 1.2MM SCREW SMALL PREBENT STANDARD TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,1367.04,683.52,261.79,1230.34,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL FLOOR RIGHT CLASS III IV DEFECT LARGE TITANIUM STERILE LEVEL ONE,1136.42,568.21,217.62,1022.78,65
HCPCS,C1713,PLATE BONE .4MM ORBITAL RIM 12 HOLE STANDARD MICRO TITANIUM NONSTERILE MATRIXMIDFACE SILVER,328.35,164.18,62.88,295.52,65
HCPCS,C1713,PLATE BONE .55MM HAND LEFT CONDYLE 5 HOLE BLADE BAR 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM HAND RIGHT CONDYLE 5 HOLE BLADE BAR 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 10 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD NARROW T TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 16 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS STRAIGHT TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 16 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD STRAIGHT TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 2X2 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 2X2 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 2X2+ 2 HOLE 3D 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 2X2+ 2 HOLE 3D 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 3X2 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 4 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS STRAIGHT TITANIUM NONSTERILE PROFYLE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 4 HOLE BAR 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD STRAIGHT TITANIUM NONSTERILE PROFYLE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 4X2 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 4X2 HOLE REPLANTATION 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS TITANIUM NONSTERILE PROFYLE,255.72,127.86,48.97,230.15,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 5 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM 90D XS NARROW T TITANIUM NONSTERILE PROFYLE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 5 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS OBLIQUE LEFT T TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 5 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS OBLIQUE RIGHT T TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 5 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM XS NARROW Y TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 6 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM ANGLE LEFT SMALL STANDARD L TITANIUM NONSTERILE PROFYLE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 6 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM ANGLE RIGHT SMALL STANDARD L TITANIUM NONSTERILE PROFYLE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 6 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD NARROW T TITANIUM NONSTERILE PROFYLE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 6 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD T TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 7 HOLE 1.7MM SCREW SMALL FRAGMENT SYSTEM SMALL STANDARD T TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .55MM METACARPAL PHALANGEAL 8 HOLE 1.2MM SCREW SMALL FRAGMENT SYSTEM STANDARD XS NARROW T TITANIUM NONSTERILE PROFYLE,182.09,91.05,34.87,163.88,65
HCPCS,C1713,PLATE BONE .5MM MIDFACE 20 HOLE ADAPTION STANDARD MINI TITANIUM NONSTERILE MATRIXMIDFACE BLUE,597.3,298.65,114.38,537.57,65
HCPCS,C1713,PLATE BONE .5MM MIDFACE 3X4 HOLE STANDARD MINI L OBLIQUE LEFT TITANIUM NONSTERILE MATRIXMIDFACE BLUE,276.1,138.05,52.87,248.49,65
HCPCS,C1713,PLATE BONE .5MM MIDFACE 4 HOLE STANDARD MINI X TITANIUM NONSTERILE MATRIXMIDFACE BLUE,265.65,132.83,50.87,239.09,65
HCPCS,C1713,PLATE BONE .5MM MIDFACE 6 HOLE STANDARD MINI 2Y TITANIUM NONSTERILE MATRIXMIDFACE BLUE,269.5,134.75,51.61,242.55,65
HCPCS,C1713,PLATE BONE .5MM MIDFACE ORBITAL FLOOR 6 HOLE 1.5MM SCREW CURVE HEXAGON TITANIUM TRAUMAONE LORENZ GREEN,419.0,209.5,80.24,377.1,65
HCPCS,C1713,PLATE BONE .5MM ORBITAL FLOOR MEDIAL WALL UNIVERSAL TITANIUM NONSTERILE MATRIXMIDFACE GOLD,1135.2,567.6,217.39,1021.68,65
HCPCS,C1713,PLATE BONE .5MM UPPER FACE 10X10 HOLE MALLEABLE 1.2MM SCREW 3D TITANIUM LEIBINGER UNIVERSAL 2 BLUE,1293.64,646.82,247.73,1164.28,65
HCPCS,C1713,PLATE BONE .5MM UPPER FACE 2X2 HOLE MALLEABLE 1.2MM SCREW 3D TITANIUM LEIBINGER UNIVERSAL 2 BLUE,228.4,114.2,43.74,205.56,65
HCPCS,C1713,PLATE BONE .6MM FRONTAL MAXILLARY SINUS LEFT 4 HOLE 1.5MM SCREW MICRO MEDIUM L TITANIUM NONSTERILE,172.0,86.0,32.94,154.8,65
HCPCS,C1713,PLATE BONE .6MM MANDIBLE 4 HOLE LOW PROFILE 2MM SCREW RIGHT ANGLE MINI LONG Z TITANIUM NONSTERILE LEVEL ONE THREADLOCK TS,153.45,76.73,29.39,138.11,65
HCPCS,C1713,PLATE BONE .6MM MANDIBLE 6 HOLE LOW PROFILE 2MM SCREW 90D MINI REGULAR T TITANIUM NONSTERILE LEVEL ONE THREADLOCK TS,126.0,63.0,24.13,113.4,65
HCPCS,C1713,PLATE BONE .6MM MANDIBLE LEFT 4 HOLE LOW PROFILE 2MM SCREW MINI LONG L TITANIUM NONSTERILE LEVEL ONE THREADLOCK TS - 50-381-04,140.0,70.0,26.81,126.0,65
HCPCS,C1713,PLATE BONE .6MM MIDFACE 10 HOLE 1.7MM SCREW STANDARD CURVE TITANIUM LEIBINGER UNIVERSAL 2 GOLD,266.31,133.16,51.0,239.68,65
HCPCS,C1713,PLATE BONE .6MM MIDFACE 2X2 HOLE 1.7MM SCREW STANDARD TITANIUM LEIBINGER UNIVERSAL 2 GOLD,231.32,115.66,44.3,208.19,65
HCPCS,C1713,PLATE BONE .6MM MIDFACE 7 HOLE 1.7MM SCREW STANDARD 2Y TITANIUM LEIBINGER UNIVERSAL 2 GOLD,203.14,101.57,38.9,182.83,65
HCPCS,C1713,PLATE BONE .6MM MIDFACE LEFT 4 HOLE 1.7MM SCREW SMALL Z TITANIUM LEIBINGER UNIVERSAL 2 GSP GOLD,228.42,114.21,43.74,205.58,65
HCPCS,C1713,PLATE BONE .6MM MIDFACE RIGHT 4 HOLE 1.7MM SCREW SMALL Z TITANIUM LEIBINGER UNIVERSAL 2 GSP GOLD,228.42,114.21,43.74,205.58,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 10 HOLE 1.2MM SCREW STANDARD CURVE TITANIUM LEIBINGER UNIVERSAL 2 GOLD,221.6,110.8,42.44,199.44,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 24 HOLE 1.2MM SCREW STANDARD STRAIGHT TITANIUM LEIBINGER UNIVERSAL 2 GOLD,461.67,230.84,88.41,415.5,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 2X2 HOLE 1.2MM SCREW STANDARD TITANIUM LEIBINGER UNIVERSAL 2 GOLD,214.8,107.4,41.13,193.32,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 6X2 HOLE 1.2MM SCREW STANDARD TITANIUM LEIBINGER UNIVERSAL 2 GOLD,385.85,192.93,73.89,347.27,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 7 HOLE 1.2MM SCREW STANDARD 2Y TITANIUM LEIBINGER UNIVERSAL 2 GOLD,177.87,88.94,34.06,160.08,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 7 HOLE 1.2MM SCREW STANDARD T TITANIUM LEIBINGER UNIVERSAL 2 GOLD,174.95,87.48,33.5,157.46,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE 8 HOLE 1.2MM SCREW STANDARD STRAIGHT TITANIUM LEIBINGER UNIVERSAL 2 GOLD,266.14,133.07,50.97,239.53,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE LEFT 8 HOLE 1.2MM SCREW 90D STANDARD L TITANIUM LEIBINGER UNIVERSAL 2 GOLD,171.06,85.53,32.76,153.95,65
HCPCS,C1713,PLATE BONE .6MM UPPER FACE RIGHT 8 HOLE 1.2MM SCREW 90D STANDARD L TITANIUM LEIBINGER UNIVERSAL 2 GOLD,171.06,85.53,32.76,153.95,65
HCPCS,C1713,PLATE BONE .7MM MIDFACE 12 HOLE STANDARD MEDIUM TITANIUM NONSTERILE MATRIXMIDFACE PINK,328.35,164.18,62.88,295.52,65
HCPCS,C1713,PLATE BONE .7MM MIDFACE 18 HOLE STRUT STANDARD MEDIUM TITANIUM NONSTERILE MATRIXMIDFACE PINK,568.15,284.08,108.8,511.34,65
HCPCS,C1713,PLATE BONE .7MM MIDFACE 20 HOLE ADAPTION MEDIUM STANDARD TITANIUM NONSTERILE MATRIXMIDFACE PINK,597.3,298.65,114.38,537.57,65
HCPCS,C1713,PLATE BONE .7MM MIDFACE 2X3 HOLE STANDARD MEDIUM L OBLIQUE RIGHT TITANIUM NONSTERILE MATRIXMIDFACE PINK,269.5,134.75,51.61,242.55,65
HCPCS,C1713,PLATE BONE .7MM MIDFACE 3X4 HOLE STANDARD MEDIUM L OBLIQUE LEFT TITANIUM NONSTERILE MATRIXMIDFACE PINK,276.1,138.05,52.87,248.49,65
HCPCS,C1713,PLATE BONE .7MM MIDFACE 3X4 HOLE STANDARD MEDIUM L OBLIQUE RIGHT TITANIUM NONSTERILE MATRIXMIDFACE PINK,276.1,138.05,52.87,248.49,65
HCPCS,C1713,PLATE BONE .8MM MIDFACE 20 HOLE ADAPTION STANDARD LARGE TITANIUM NONSTERILE MATRIXMIDFACE GOLD,597.3,298.65,114.38,537.57,65
HCPCS,C1713,PLATE BONE .8MM MIDFACE 2X2 HOLE 1.7MM SCREW TITANIUM STERILE LEIBINGER UNIVERSAL 2 GRAY,266.31,133.16,51.0,239.68,65
HCPCS,C1713,PLATE BONE .8MM MIDFACE 4X6 HOLE STANDARD LARGE L OBLIQUE LEFT TITANIUM NONSTERILE MATRIXMIDFACE GOLD,285.45,142.73,54.66,256.91,65
HCPCS,C1713,PLATE BONE .8MM MIDFACE 4X6 HOLE STANDARD LARGE L OBLIQUE RIGHT TITANIUM NONSTERILE MATRIXMIDFACE GOLD,285.45,142.73,54.66,256.91,65
HCPCS,C1713,PLATE BONE .8MM MIDFACE 7 HOLE 1.7MM SCREW 2Y TITANIUM STERILE LEIBINGER UNIVERSAL 2 GRAY,298.38,149.19,57.14,268.54,65
HCPCS,C1713,PLATE BONE .8MM ORBITAL RIM 12 HOLE STANDARD LARGE TITANIUM NONSTERILE MATRIXMIDFACE GOLD,328.35,164.18,62.88,295.52,65
HCPCS,C1713,PLATE BONE 0.3MM THK TITANIUM CONTOURED LEVEL-1 CMF F/3MM SCREW ORBITAL FLOOR,948.82,474.41,181.7,853.94,65
HCPCS,C1713,PLATE BONE 1.1MM CALCANEUS SINUS TARSI LEFT SMALL GORILLA,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE BONE 1.25MM 2 HOLE HEAD 6 HOLE SHAFT 2.4MM SCREW MINI FRAGMENT T TITANIUM VLP MINI-MOD,441.59,220.8,84.56,397.43,65
HCPCS,C1713,PLATE BONE 1.25MM MANDIBLE 2X2 HOLE CRESCENT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,422.95,211.48,80.99,380.66,65
HCPCS,C1713,PLATE BONE 1.25MM MANDIBLE 2X2 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE DCP SILVER,318.45,159.23,60.98,286.61,65
HCPCS,C1713,PLATE BONE 1.25MM MANDIBLE 3X3 HOLE ANGLE TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,470.25,235.13,90.05,423.23,65
HCPCS,C1713,PLATE BONE 1.25MM MANDIBLE 3X3 HOLE CRESCENT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,484.5,242.25,92.78,436.05,65
HCPCS,C1713,PLATE BONE 1.3MM METACARPAL PHALANGEAL 4 HOLE COMPRESSION BAR 2.3MM SCREW SMALL FRAGMENT SYSTEM LARGE STRAIGHT TITANIUM NONSTERILE PROFYLE,332.33,166.17,63.64,299.1,65
HCPCS,C1713,PLATE BONE 1.3MM METATARSOPHALANGEAL RIGHT 5 HOLE LOW PROFILE PIN FIXATION VERSION V2 3MM LOCK 3.5MM NONLOCK SCREW TITANIUM NONSTERILE ANCHORAGE LATEX FREE,1070.62,535.31,205.02,963.56,65
HCPCS,C1713,PLATE BONE 1.3MM METATARSOPHALANGEAL RIGHT 6 HOLE LOW PROFILE PIN FIXATION VERSION V1 3MM LOCK 3.5MM NONLOCK SCREW TITANIUM NONSTERILE ANCHORAGE,1070.62,535.31,205.02,963.56,65
HCPCS,C1713,PLATE BONE 1.3MM METATARSOPHALANGEAL RIGHT 8 HOLE LOW PROFILE PIN FIXATION VERSION V1 3MM LOCK 3.5MM NONLOCK SCREW LONG TITANIUM NONSTERILE ANCHORAGE,1070.62,535.31,205.02,963.56,65
HCPCS,C1713,PLATE BONE 1.3MM METATARSOPHALANGEAL RIGHT THREAD HOLE LOW PROFILE PIN FIXATION CROSS 3MM LOCK 3.5MM NONLOCK SCREW TITANIUM NONSTERILE ANCHORAGE,1131.32,565.66,216.65,1018.19,65
HCPCS,C1713,PLATE BONE 1.5MM EIGHTH RIB NINTH RIB LEFT 18 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.5MM EIGHTH RIB NINTH RIB RIGHT 18 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.5MM FOURTH RIB FIFTH RIB LEFT 16 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.5MM FOURTH RIB FIFTH RIB RIGHT 16 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.5MM HAND 13 HOLE LOCK PROFILE PRECONTOUR 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM NARROW Z NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1.5MM HAND 4X2 HOLE LOCK PROFILE REPLANTATION 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1.5MM HAND 7 HOLE LOCK PRECONTOUR 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM NARROW Y NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1.5MM HAND 7 HOLE LOCK PROFILE PRECONTOUR 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM T NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1.5MM LEFT THREAD HOLE LOW PROFILE PIN FIXATION 3MM LOCK 3.5MM NONLOCK SCREW LISFRANC MEDIUM TITANIUM NONSTERILE ANCHORAGE LATEX FREE,1070.62,535.31,205.02,963.56,65
HCPCS,C1713,PLATE BONE 1.5MM MANDIBLE 12 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,725.45,362.73,138.92,652.91,65
HCPCS,C1713,PLATE BONE 1.5MM MANDIBLE 20 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,1000.45,500.23,191.59,900.41,65
HCPCS,C1713,PLATE BONE 1.5MM MANDIBLE 2X2 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,565.4,282.7,108.27,508.86,65
HCPCS,C1713,PLATE BONE 1.5MM MANDIBLE 3X3 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,634.15,317.08,121.44,570.74,65
HCPCS,C1713,PLATE BONE 1.5MM MANDIBLE 6 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,634.15,317.08,121.44,570.74,65
HCPCS,C1713,PLATE BONE 1.5MM RIGHT THREAD HOLE LOW PROFILE PIN FIXATION 3MM LOCK 3.5MM NONLOCK SCREW LAPIDUS 0MM STEP TITANIUM NONSTERILE ANCHORAGE,1070.62,535.31,205.02,963.56,65
HCPCS,C1713,PLATE BONE 1.5MM RIGHT THREAD HOLE LOW PROFILE PIN FIXATION 3MM LOCK 3.5MM NONLOCK SCREW LISFRANC LARGE TITANIUM NONSTERILE ANCHORAGE,1070.62,535.31,205.02,963.56,65
HCPCS,C1713,PLATE BONE 1.5MM SIXTH RIB SEVENTH RIB RIGHT 17 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.5MM THIRD RIB LEFT 15 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.5MM THIRD RIB RIGHT 15 HOLE LOCK PRECONTOUR LOW PROFILE TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE 1.6MM MANDIBLE 2/2.3MM SCREW ANGLE SMALL TITANIUM LORENZ TRAUMAONE GOLD,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE BONE 1.6MM MANDIBLE 7 HOLE TRAUMAONE SYSTEM STRAIGHT TITANIUM,614.0,307.0,117.58,552.6,65
HCPCS,C1713,PLATE BONE 10 HOLE LIMIT CONTACT TAPER END 3.5MM SCREW CURVE NARROW STAINLESS STEEL STERILE LCP COMBI,350.69,175.35,67.16,315.62,65
HCPCS,C1713,PLATE BONE 100MM CLAVICLE LEFT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE BONE 100MM HIP 4 HOLE COMPRESSION 130D STANDARD BARREL STAINLESS STEEL STERILE CLASSIC CHS 38.1MM,486.0,243.0,93.07,437.4,65
HCPCS,C1713,PLATE BONE 100MM HIP 4 HOLE COMPRESSION 135D STANDARD BARREL STAINLESS STEEL STERILE CLASSIC CHS 38.1MM,327.07,163.54,62.63,294.36,65
HCPCS,C1713,PLATE BONE 100MM HIP 4 HOLE COMPRESSION 145D STANDARD BARREL STAINLESS STEEL STERILE CLASSIC CHS 38.1MM,327.07,163.54,62.63,294.36,65
HCPCS,C1713,PLATE BONE 100MM HIP TROCHANTERIC 2 CABLE GRIP 2MM MEDIUM VITALLIUM STERILE DALL-MILES,866.8,433.4,165.99,780.12,65
HCPCS,C1713,PLATE BONE 100MM HIP TROCHANTERIC GRIP MEDIUM STAINLESS STEEL DALL-MILES,952.0,476.0,182.31,856.8,65
HCPCS,C1713,PLATE BONE 100MM HUMERUS PROXIMAL 3 HOLE RADIOPAQUE 3.7MM SCREW STERILE PICCOLO COMPOSITE,1446.75,723.38,277.05,1302.08,65
HCPCS,C1713,PLATE BONE 101MM HOLEX20 STAINLESS STEEL STRENGTH F/2MM SCREW EVOS STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 101X10X2MM FIBULA LATERAL 5 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,562.18,281.09,107.66,505.96,65
HCPCS,C1713,PLATE BONE 102MM 8 HOLE COMPRESSION MINI FRAGMENT NARROW STRAIGHT NONSTERILE VARIAX,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE BONE 102MM HUMERUS LEFT DISTAL LATERAL 7 HOLE LOCK STAINLESS STEEL PERI-LOC,666.79,333.4,127.69,600.11,65
HCPCS,C1713,PLATE BONE 102MM TIBIAL LEFT PROXIMAL 6 HOLE LIMIT CONTACT LOW BEND 3.5MM SCREW CONTOUR TITANIUM NONSTERILE LCP COMBI,1127.24,563.62,215.87,1014.52,65
HCPCS,C1713,PLATE BONE 103MM FIBULA DISTAL 8 HOLE LOCK LOW PROFILE COMPOSITE THIN CONTOUR TIMAX NONSTERILE ALPS,264.0,132.0,50.56,237.6,65
HCPCS,C1713,PLATE BONE 103MML HOLEX7 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 103X12X1MM 6 HOLE 3.5/4.5MM SCREW LARGE FRAGMENT SET SEMITUBULAR STAINLESS STEEL NONSTERILE,74.16,37.08,14.2,66.74,65
HCPCS,C1713,PLATE BONE 104MML HOLEX7 STAINLESS STEEL F/3.5MM SCREW LEFT POSTEROMEDIAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 104MML HOLEX7 STAINLESS STEEL T-SHAPED F/3.5MM SCREW EVOS STERILE RIGHT POSTEROLATERAL PROXIMAL FIBULA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 105MM CLAVICLE RIGHT SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE BONE 105MM HOLEX7 TITANIUM STANDARD EVOS STERILE LEFT DISTAL VOLAR RADIAL,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 105MM HOLEX7 TITANIUM STANDARD EVOS STERILE RIGHT DISTAL VOLAR RADIAL,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 106MM 6 HOLE 4.5MM SCREW NARROW LC-DCP,165.32,82.66,31.66,148.79,65
HCPCS,C1713,PLATE BONE 106MM TIBIAL LEFT DISTAL ANTEROLATERAL 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,1206.79,603.4,231.1,1086.11,65
HCPCS,C1713,PLATE BONE 106MML HOLEX9 STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW ZUMA NON-STERILE,215.0,107.5,41.17,193.5,65
HCPCS,C1713,PLATE BONE 107MM 8 HOLE LOCK 3.5MM SCREW SMALL FRAGMENT SET 1/3 TUBULAR STAINLESS STEEL PERI-LOC,120.96,60.48,23.16,108.86,65
HCPCS,C1713,PLATE BONE 107MM FOOT ANKLE 9 HOLE 1/3 TUBULAR NONSTERILE,395.02,197.51,75.65,355.52,65
HCPCS,C1713,PLATE BONE 107MM TIBIAL LEFT PROXIMAL 6 HOLE LIMIT CONTACT 3.5MM SCREW SMALL FRAGMENT SET CONTOUR STAINLESS STEEL STERILE LCP COMBI,1166.47,583.24,223.38,1049.82,65
HCPCS,C1713,PLATE BONE 107MML HOLEX5 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS LEFT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 107MML HOLEX5 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 107MMX2-1.7MM FIBULA LEFT DISTAL LATERAL 7 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 107MMX2-1.7MM FIBULA LEFT DISTAL LATERAL 7 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL STERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 107MMX2-1.7MM FIBULA RIGHT DISTAL LATERAL 7 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 107MMX2-1.7MM FIBULA RIGHT DISTAL LATERAL 7 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL STERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 108MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE BONE 108MM HOLEX10 STAINLESS STEEL F/3.5MM SCREW EVOS LEFT SUPERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 108MMX2MM FIBULA DISTAL 8 HOLE POLYAXIAL LOCK LOW PROFILE STRAIGHT TITANIUM NONSTERILE VARIAX,372.13,186.07,71.26,334.92,65
HCPCS,C1713,PLATE BONE 109MM FIBULA LEFT DISTAL 4 HOLE LOCK LOW PROFILE THIN CONTOUR TIMAX NONSTERILE ALPS,715.0,357.5,136.92,643.5,65
HCPCS,C1713,PLATE BONE 109MML HOLEX7 STAINLESS STEEL F/2.7MM SCREW EVOS RIGHT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 10IN HIP 9 HOLE 10 GROOVE COMPRESSION ROUND END 4.5MM SCREW BROAD STAINLESS STEEL DALL-MILES,395.2,197.6,75.68,355.68,65
HCPCS,C1713,PLATE BONE 10MM DIA BRIDGE HOLEX3X3 TITANIUM W/0.8MM TAB,285.09,142.55,54.59,256.58,65
HCPCS,C1713,PLATE BONE 10MM SPINE 1 LEVEL NONSTERILE CABO,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE BONE 10MM SPINE CERVICAL ANTERIOR 1 LEVEL LOW PROFILE PRECONTOUR FIX ANGLE TITANIUM ALUMINUM VANADIUM NONSTERILE C-TEK MAXAN GREEN,60.5,30.25,11.59,54.45,65
HCPCS,C1713,PLATE BONE 10MM SPINE MODULAR EXTREME LATERAL INTERBODY FUSION STERILE MODULUS LATEX FREE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE BONE 10X16X.4MM CRANIAL 4 HOLE RIGID BOX TITANIUM NONSTERILE MATRIXNEURO BLUE,106.25,53.13,20.35,95.63,65
HCPCS,C1713,PLATE BONE 110MM 8 HOLE LOCK COMPRESSION NONSTERILE AXSOS,1003.68,501.84,192.2,903.31,65
HCPCS,C1713,PLATE BONE 110X11X2.5MM HUMERUS RIGHT DISTAL MEDIAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL NONSTERILE LCP COMBI,811.28,405.64,155.36,730.15,65
HCPCS,C1713,PLATE BONE 111MML HOLEX7 STAINLESS STEEL F/2.7/3.5MM SCREW LEFT SUPERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 111MML HOLEX8 PARTIAL ARTICULAR F/3.5MM SCREW POSTEROMEDIAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 111X10.5X3MM CLAVICLE RIGHT DISTAL SUPERIOR 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5MM SCREW 11MM SPACE STAINLESS STEEL STERILE EVOS 2.5MM,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 111X23-15MM HIP 5 HOLE SHAFT 5MM SCREW 130D STAINLESS STEEL NONSTERILE LCP PEDIATRIC,864.88,432.44,165.62,778.39,65
HCPCS,C1713,PLATE BONE 112MM OLECRANON LEFT 4 HOLE ELONGATE HOLE PROXIMAL TAB 3.5MM SCREW CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,776.14,388.07,148.63,698.53,65
HCPCS,C1713,PLATE BONE 112MM WRIST FUSION STRAIGHT STAINLESS STEEL STERILE LCP,1359.97,679.99,260.43,1223.97,65
HCPCS,C1713,PLATE BONE 113MM CLAVICLE LATERAL ANTERIOR 11 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE 2.7/3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE BONE 113MML HOLEX8 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 113MML HOLEX8 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT LATERAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 113X10X2MM FIBULA LATERAL 6 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,583.07,291.54,111.66,524.76,65
HCPCS,C1713,PLATE BONE 114MM 9 HOLE COMPRESSION MINI FRAGMENT NARROW STRAIGHT NONSTERILE VARIAX,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE BONE 114MM HOLEX8 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS LEFT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 114MM HOLEX8 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 114MM TIBIAL RIGHT DISTAL ANTEROLATERAL 6 HOLE LOCK LOW PROFILE BULLET TIP CONTOUR NARROW TIMAX NONSTERILE ALPS,1435.0,717.5,274.8,1291.5,65
HCPCS,C1713,PLATE BONE 114MML HOLEX7 STAINLESS STEEL W/TINES F/2.7/3.5MM SCREW EVOS STERILE LEFT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 114MML HOLEX7 STAINLESS STEEL W/TINES F/2.7/3.5MM SCREW OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 115MM CLAVICLE LEFT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE BONE 115MM CLAVICLE RIGHT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE BONE 115MML HOLEX7 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 115MML HOLEX7 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 116MM 6 HOLE SHAFT 4.5MM SCREW LARGE FRAGMENT SET T STAINLESS STEEL NONSTERILE LC-DCP,264.23,132.12,50.6,237.81,65
HCPCS,C1713,PLATE BONE 116MM FIBULA LEFT DISTAL POSTEROLATERAL 6 HOLE 2.7/3.5MM SCREW CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,518.18,259.09,99.23,466.36,65
HCPCS,C1713,PLATE BONE 116MM HOLEX7 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE LEFT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 116X10.7X3.4MM 10 HOLE LOCK COMPRESSION 3.5MM SCREW 11.5MM SPACE STAINLESS STEEL STERILE EVOS,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE 116X11X2.5MM HUMERUS LEFT DISTAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL NONSTERILE LCP COMBI,811.28,405.64,155.36,730.15,65
HCPCS,C1713,PLATE BONE 117MML HOLEX8 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT MEDIAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 117MML HOLEX8 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT MEDIAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 117MML HOLEX8 STAINLESS STEEL PARTIAL ARTICULAR F/3.5MM SCREW EVOS STERILE LEFT MEDIAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 117X9X1MM 10 HOLE COLLAR 2.7/3.5MM CORTEX 3.5MM LOCK SCREW SMALL FRAGMENT SET 1/3 TUBULAR STAINLESS STEEL NONSTERILE LCP COMBI .7MM 12MM,140.93,70.47,26.99,126.84,65
HCPCS,C1713,PLATE BONE 118.5MM PELVIC 10 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE BONE 118MM TIBIAL LEFT PROXIMAL 6 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LARGE FRAGMENT SET CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,1170.47,585.24,224.15,1053.42,65
HCPCS,C1713,PLATE BONE 118MM WRIST FUSION SHORT BEND STAINLESS STEEL STERILE LCP,1359.97,679.99,260.43,1223.97,65
HCPCS,C1713,PLATE BONE 118MM WRIST FUSION STANDARD BEND STAINLESS STEEL NONSTERILE LCP,1280.16,640.08,245.15,1152.14,65
HCPCS,C1713,PLATE BONE 119MM FOOT ANKLE 10 HOLE 1/3 TUBULAR NONSTERILE,395.02,197.51,75.65,355.52,65
HCPCS,C1713,PLATE BONE 119X12X1MM 7 HOLE 3.5/4.5MM SCREW LARGE FRAGMENT SET SEMITUBULAR STAINLESS STEEL NONSTERILE,76.86,38.43,14.72,69.17,65
HCPCS,C1713,PLATE BONE 11MM SPINE CERVICAL ANTERIOR 1 LEVEL LOW PROFILE PRECONTOUR FIX ANGLE TITANIUM ALUMINUM VANADIUM NONSTERILE C-TEK MAXAN,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE BONE 120MM 18-HOLE STAINLESS STEEL F/2.7MM SCREW EVOS RIGHT SUPERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 120MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE BONE 120MM CLAVICLE LEFT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE BONE 120MM CLAVICLE RIGHT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE BONE 120MM HOLEX18 STAINLESS STEEL F/2.7MM SCREW EVOS LEFT SUPERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 121MM CLAVICLE LEFT MEDIAL SUPERIOR 10 HOLE NONSTERILE PERI-LOC,452.15,226.08,86.59,406.94,65
HCPCS,C1713,PLATE BONE 121MM TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE TITANIUM NONSTERILE AXSOS 3,1307.64,653.82,250.41,1176.88,65
HCPCS,C1713,PLATE BONE 121MML HOLEX20 STAINLESS STEEL FLEX F/2.4MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 121MML HOLEX20 STAINLESS STEEL STRENGTH F/2.4MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 121MML HOLEX20 STAINLESS STEEL STRENGTH F/2.4MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 122.5MM PELVIC 8 HOLE 88MM RADIUS CURVE STAINLESS STEEL NONSTERILE MATTA SPS,386.06,193.03,73.93,347.45,65
HCPCS,C1713,PLATE BONE 122MMX1.5MM FIBULA DISTAL 10 HOLE BUTTRESS LOW PROFILE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL STERILE VLP PERI-LOC,387.83,193.92,74.27,349.05,65
HCPCS,C1713,PLATE BONE 123MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE BONE 123MM TIBIAL LEFT PROXIMAL LATERAL 8 HOLE LOCK LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,863.69,431.85,165.4,777.32,65
HCPCS,C1713,PLATE BONE 123MM TIBIAL RIGHT PROXIMAL MEDIAL 8 HOLE TITANIUM NONSTERILE AXSOS 3,1238.28,619.14,237.13,1114.45,65
HCPCS,C1713,PLATE BONE 124X17.5X5.2MM 7 HOLE 4.5MM SCREW LARGE FRAGMENT SET BROAD STAINLESS STEEL NONSTERILE LC-DCP,299.25,149.63,57.31,269.33,65
HCPCS,C1713,PLATE BONE 125MM FIBULA RIGHT DISTAL LATERAL 7 HOLE 2.7/3.5MM SCREW CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,513.62,256.81,98.36,462.26,65
HCPCS,C1713,PLATE BONE 125MML HOLEX9 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 125MML HOLEX9 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 125MML HOLEX9 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 125MML HOLEX9 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULAR,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 125X10X2MM FIBULA LATERAL 7 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,632.82,316.41,121.19,569.54,65
HCPCS,C1713,PLATE BONE 127MM HUMERUS LEFT DISTAL POSTEROLATERAL 7 HOLE VARIABLE ANGLE TAPER TIP 2.7/3.5MM SCREW LONG STAINLESS STEEL STERILE LCP COMBI,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE BONE 127X23-15MM CONDYLAR 5 HOLE SHAFT 5MM SCREW 90D STAINLESS STEEL STERILE LCP PEDIATRIC,897.67,448.84,171.9,807.9,65
HCPCS,C1713,PLATE BONE 129MM HOLEX7 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 129X10.5X3MM CLAVICLE RIGHT DISTAL INFERIOR 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5MM SCREW 11MM SPACE STAINLESS STEEL STERILE EVOS,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 12IN HIP 11 HOLE 12 GROOVE COMPRESSION ROUND END 4.5MM SCREW BROAD STAINLESS STEEL DALL-MILES,395.2,197.6,75.68,355.68,65
HCPCS,C1713,PLATE BONE 12MM SPINE 1 LEVEL NONSTERILE CABO,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE BONE 12MM SPINE MODULAR XLIF STERILE MODULUS LATEX FREE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE BONE 12MMX.4MM CRANIAL 2 HOLE CENTER SPACE RIGID STRAIGHT TITANIUM NONSTERILE MATRIXNEURO BLUE,30.5,15.25,5.84,27.45,65
HCPCS,C1713,PLATE BONE 12MMX.6MM MIDFACE LEFT 6 HOLE BAR 1.7MM SCREW 100D STANDARD L TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,215.78,107.89,41.32,194.2,65
HCPCS,C1713,PLATE BONE 12MMX.6MM MIDFACE RIGHT 6 HOLE BAR 1.7MM SCREW 100D STANDARD L TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,215.78,107.89,41.32,194.2,65
HCPCS,C1713,PLATE BONE 12MMX.8MM MIDFACE 6 HOLE REVERSIBLE BAR 1.7MM SCREW 100D L TITANIUM STERILE LEIBINGER UNIVERSAL 2 GRAY,246.87,123.44,47.28,222.18,65
HCPCS,C1713,PLATE BONE 130MM HOLEX12 STAINLESS STEEL F/3.5MM SCREW EVOS RIGHT SUPERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 130MM HOLEX9 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT MEDIAL DISTAL TIBIAL,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 130MM TIBIAL LEFT PROXIMAL LATERAL 6 HOLE LOCK LOW PROFILE 4.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,852.86,426.43,163.32,767.57,65
HCPCS,C1713,PLATE BONE 130MML HOLEX11 STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW ZUMA NON-STERILE,262.5,131.25,50.27,236.25,65
HCPCS,C1713,PLATE BONE 130MML HOLEX9 STAINLESS STEEL PARTIAL ARTICULAR F/2.7/3.5MM SCREW EVOS STERILE LEFT MEDIAL POSTERIOR ANTERIOR DISTAL TIBIAL,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 131MM EXTRAARTICULAR LEFT ULNA PROXIMAL 6 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP 2.7/3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,978.18,489.09,187.32,880.36,65
HCPCS,C1713,PLATE BONE 132MM TIBIAL DISTAL POSTERIOR 8 HOLE 4 LOCK 3.5MM SCREW T STAINLESS STEEL STERILE LCP COMBI,1122.95,561.48,215.04,1010.66,65
HCPCS,C1713,PLATE BONE 132MMX2MM FIBULA DISTAL 10 HOLE POLYAXIAL LOCK LOW PROFILE STRAIGHT TITANIUM NONSTERILE VARIAX,387.06,193.53,74.12,348.35,65
HCPCS,C1713,PLATE BONE 133MM FIBULA DISTAL 10 HOLE LOCK LOW PROFILE COMPOSITE THIN CONTOUR TIMAX NONSTERILE ALPS,291.0,145.5,55.73,261.9,65
HCPCS,C1713,PLATE BONE 133MM HOLEX9 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT SUPERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 133MML HOLEX9 STAINLESS STEEL F/2.7/3.5MM SCREW LEFT SUPERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 134MML HOLEX10 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 135MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE BONE 135MM TIBIAL LEFT DISTAL MEDIAL 6 HOLE LOW PROFILE LOW BEND ROUND EDGE 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1055.63,527.82,202.15,950.07,65
HCPCS,C1713,PLATE BONE 135MM TIBIAL LEFT DISTAL MEDIAL 6 HOLE LOW PROFILE LOW BEND ROUND EDGE 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,1124.61,562.31,215.36,1012.15,65
HCPCS,C1713,PLATE BONE 135MM TROCHANTERIC 2 HOLE GRIP TITANIUM SUPERCABLE,1936.0,968.0,370.74,1742.4,65
HCPCS,C1713,PLATE BONE 136X11X2.5MM HUMERUS RIGHT DISTAL MEDIAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL STERILE LCP COMBI,949.7,474.85,181.87,854.73,65
HCPCS,C1713,PLATE BONE 137MM HOLEX9 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 137X10X2MM FIBULA LATERAL 8 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,632.82,316.41,121.19,569.54,65
HCPCS,C1713,PLATE BONE 138MM TROCHANTER STABILIZATION DHS SHORT STAINLESS STEEL STERILE 12.6MM,851.48,425.74,163.06,766.33,65
HCPCS,C1713,PLATE BONE 138MM TROCHANTER STABILIZATION DHS SHORT STAINLESS STEEL STERILE 12.6MM - 281.930S,988.23,494.12,189.25,889.41,65
HCPCS,C1713,PLATE BONE 138MML HOLEX10 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT MEDIAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 138MML HOLEX10 STAINLESS STEEL F/3.5MM SCREW MEDIAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 139MM FEMUR RIGHT PROXIMAL 2 HOLE LIMIT CONTACT 4.5MM SCREW LARGE FRAGMENT SET STAINLESS STEEL STERILE LCP COMBI,1119.27,559.64,214.34,1007.34,65
HCPCS,C1713,PLATE BONE 139MM FIBULA RIGHT DISTAL 6 HOLE LOCK LOW PROFILE THIN CONTOUR TIMAX NONSTERILE ALPS,825.0,412.5,157.99,742.5,65
HCPCS,C1713,PLATE BONE 139X10.7X3.4MM 12 HOLE LOCK COMPRESSION 3.5MM SCREW 11.5MM SPACE STAINLESS STEEL STERILE EVOS,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE 13MM SPINE 3.5MM ROD LORDOTIC TITANIUM X10 CROSSLINK,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE BONE 140MM HIP 6 HOLE COMPRESSION 135D STANDARD BARREL STAINLESS STEEL STERILE CLASSIC CHS 38.1MM,360.1,180.05,68.96,324.09,65
HCPCS,C1713,PLATE BONE 140MML HOLEX20 STAINLESS STEEL FLEX F/2.7MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 140X19-12MM HIP 9 HOLE SHAFT 3.5MM SCREW 130D STAINLESS STEEL STERILE LCP PEDIATRIC,915.27,457.64,175.27,823.74,65
HCPCS,C1713,PLATE BONE 140X7.5X2.2MM 20 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH 2.7MM SCREW SMALL FRAGMENT 7MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 141MM HOLEX10 TITANIUM STANDARD EVOS NON-STERILE RIGHT DISTAL VOLAR RADIAL,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 141MM HOLEX10 TITANIUM STANDARD EVOS STERILE RIGHT DISTAL VOLAR RADIAL,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 142MM OLECRANON LEFT 6 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP 2.7/3.5MM SCREW TITANIUM NONSTERILE LCP COMBI,933.72,466.86,178.81,840.35,65
HCPCS,C1713,PLATE BONE 142MM TIBIAL RIGHT DISTAL MEDIAL 6 HOLE LOCK LOW PROFILE BULLET TIP CONTOUR TIMAX NONSTERILE ALPS,1435.0,717.5,274.8,1291.5,65
HCPCS,C1713,PLATE BONE 142X12X3.7MM HUMERUS PROXIMAL 5 HOLE SHAFT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL NONSTERILE LCP COMBI PHILOS LONG,1211.19,605.6,231.94,1090.07,65
HCPCS,C1713,PLATE BONE 142X19X5.8MM FEMUR 8 HOLE 4.5MM CORTEX SCREW 130D STANDARD BARREL STAINLESS STEEL STERILE DHS DCP 38MM 12.6MM,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE BONE 143X23-15MM HIP 7 HOLE SHAFT 5MM SCREW 130D STAINLESS STEEL STERILE LCP PEDIATRIC,922.13,461.07,176.59,829.92,65
HCPCS,C1713,PLATE BONE 146MMX1.5MM FIBULA DISTAL 12 HOLE BUTTRESS LOW PROFILE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL STERILE VLP PERI-LOC,414.05,207.03,79.29,372.65,65
HCPCS,C1713,PLATE BONE 147MM HOLEX10 STAINLESS STEEL W/TINES F/2.7/3.5MM SCREW EVOS STERILE LEFT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 147MM HOLEX11 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 147MM TIBIAL RIGHT PROXIMAL LATERAL 6 HOLE TITANIUM NONSTERILE AXSOS 3,1334.16,667.08,255.49,1200.74,65
HCPCS,C1713,PLATE BONE 147MML HOLEX11 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 147MML HOLEX11 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 147MML HOLEX11 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 148MM 8 HOLE 4.5MM SCREW LARGE FRAGMENT SET T STAINLESS STEEL NONSTERILE,403.52,201.76,77.27,363.17,65
HCPCS,C1713,PLATE BONE 149X10X2MM FIBULA LATERAL 9 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,632.82,316.41,121.19,569.54,65
HCPCS,C1713,PLATE BONE 14MM FOOT TALAR NECK 4 HOLE LOCK POLYAXIAL 2.7MM SCREW T8 NONSTERILE VARIAX,788.04,394.02,150.91,709.24,65
HCPCS,C1713,PLATE BONE 14MM SPINE 1 LEVEL NONSTERILE CABO,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE BONE 14X14X.4MM CRANIAL LOW PROFILE BOX TITANIUM MATRIXNEURO BLUE,111.25,55.63,21.3,100.13,65
HCPCS,C1713,PLATE BONE 150MM HIP 3 CABLE TITANIUM ACCORD,534.0,267.0,102.26,480.6,65
HCPCS,C1713,PLATE BONE 150MM HIP TROCHANTERIC GRIP MEDIUM STAINLESS STEEL DALL-MILES,1248.4,624.2,239.07,1123.56,65
HCPCS,C1713,PLATE BONE 150MM HUMERUS LEFT LATERAL POSTERIOR 8 HOLE TITANIUM NONSTERILE VARIAX,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE BONE 150MML HOLEX13 STAINLESS STEEL F/2.7MM SCREW EVOS LEFT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 151MM HOLEX13 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE RIGHT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 151MM WAIST 8 HOLE LOCK COMPRESSION 5MM SCREW BASIC FRAGMENT SET NARROW STAINLESS STEEL NONSTERILE AXSOS,130.56,65.28,25.0,117.5,65
HCPCS,C1713,PLATE BONE 153MM 13-HOLE STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW NON-STERILE,287.0,143.5,54.96,258.3,65
HCPCS,C1713,PLATE BONE 154.5X10.5X2.5MM PELVIC 10 HOLE 108MM RADIUS CURVE STAINLESS STEEL NONSTERILE MATTA SPS,386.06,193.03,73.93,347.45,65
HCPCS,C1713,PLATE BONE 155MM FEMUR RIGHT DISTAL LATERAL 6 HOLE LOCK 4.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,877.23,438.62,167.99,789.51,65
HCPCS,C1713,PLATE BONE 155MMX2-1.7MM FIBULA RIGHT DISTAL LATERAL 11 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 155X36X3.6MM FEMUR RIGHT DISTAL LATERAL 6 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 4.5MM SCREW LARGE FRAGMENT SET 18MM SPACE STAINLESS STEEL STERILE PERI-LOC 17.6X4.8MM,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE BONE 157MM 8 HOLE LOCK COMPRESSION 4.5MM SCREW,399.25,199.63,76.46,359.33,65
HCPCS,C1713,PLATE BONE 157MM OLECRANON LEFT 12 HOLE LOCK 2.7/3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL PERI-LOC,790.59,395.3,151.4,711.53,65
HCPCS,C1713,PLATE BONE 15MM 6 HOLE 1.3MM SCREW 2Y TITANIUM,243.65,121.83,46.66,219.29,65
HCPCS,C1713,PLATE BONE 160MM 9 HOLE 4.5MM SCREW NARROW LC-DCP,165.32,82.66,31.66,148.79,65
HCPCS,C1713,PLATE BONE 160MM HIP TROCHANTERIC 2 CABLE GRIP 2MM LARGE VITALLIUM STERILE DALL-MILES,1129.6,564.8,216.32,1016.64,65
HCPCS,C1713,PLATE BONE 160X12X3.7MM HUMERUS PROXIMAL 6 HOLE SHAFT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL STERILE LCP COMBI PHILOS LONG,1291.64,645.82,247.35,1162.48,65
HCPCS,C1713,PLATE BONE 163X11X3.4MM 12 HOLE LIMIT CONTACT TAPER END 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL NONSTERILE LCP COMBI,305.11,152.56,58.43,274.6,65
HCPCS,C1713,PLATE BONE 164MM FIBULA DISTAL 12 HOLE LOCK LOW PROFILE COMPOSITE THIN CONTOUR TIMAX NONSTERILE ALPS,313.0,156.5,59.94,281.7,65
HCPCS,C1713,PLATE BONE 165MML HOLEX14 STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW ZUMA NON-STERILE,297.5,148.75,56.97,267.75,65
HCPCS,C1713,PLATE BONE 165X32.5X3MM TIBIAL RIGHT PROXIMAL LATERAL 8 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 4.5MM SCREW LARGE FRAGMENT SET 18MM SPACE CONTOUR STAINLESS STEEL STERILE PERI-LOC 12.7X3.7MM,907.2,453.6,173.73,816.48,65
HCPCS,C1713,PLATE BONE 166MM FEMUR LEFT DISTAL LATERAL 6 HOLE TITANIUM NONSTERILE AXSOS 3,1601.4,800.7,306.67,1441.26,65
HCPCS,C1713,PLATE BONE 166MM FEMUR RIGHT DISTAL LATERAL 6 HOLE TITANIUM NONSTERILE AXSOS 3,1601.4,800.7,306.67,1441.26,65
HCPCS,C1713,PLATE BONE 167MML HOLEX13 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 169MM FEMUR PROXIMAL 4 HOLE HOOK 4.5MM SCREW STAINLESS STEEL STERILE LCP,1310.64,655.32,250.99,1179.58,65
HCPCS,C1713,PLATE BONE 169MM HOLEX13 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 169MM HOLEX13 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 16MM SPINE 4 LEVEL NONSTERILE CABO,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE BONE 16MML STAINLESS STEEL PEDIATRIC CORTICAL I-SHAPED CENTERED HOLE F/4.5MM SCREW PEDIPLATES FEMORAL,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE BONE 16X16X.4MM CRANIAL 4 HOLE RIGID BOX TITANIUM NONSTERILE MATRIXNEURO BLUE,111.25,55.63,21.3,100.13,65
HCPCS,C1713,PLATE BONE 170MML HOLEX13 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT MEDIAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 170X17.5X5.2MM CONDYLAR FEMUR LEFT 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1257.9,628.95,240.89,1132.11,65
HCPCS,C1713,PLATE BONE 170X17.5X5.2MM CONDYLAR FEMUR RIGHT 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1257.9,628.95,240.89,1132.11,65
HCPCS,C1713,PLATE BONE 171MM TIBIAL RIGHT DISTAL MEDIAL 8 HOLE LOCK 3.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,890.77,445.39,170.58,801.69,65
HCPCS,C1713,PLATE BONE 171X19.2X2.7MM TIBIAL RIGHT DISTAL MEDIAL 8 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 3.5MM SCREW SMALL FRAGMENT SET 12.7MM SPACE CONTOUR STAINLESS STEEL STERILE PERI-LOC 11X3.7MM,831.6,415.8,159.25,748.44,65
HCPCS,C1713,PLATE BONE 175MM FEMUR RIGHT PROXIMAL 4 HOLE LIMIT CONTACT 4.5MM SCREW LARGE FRAGMENT SET STAINLESS STEEL NONSTERILE LCP COMBI,1071.21,535.61,205.14,964.09,65
HCPCS,C1713,PLATE BONE 176MM HOLEX16 STAINLESS STEEL RECONSTRUCTION F/3.5MM SCREW EVOS STERILE,386.22,193.11,73.96,347.6,65
HCPCS,C1713,PLATE BONE 178MM TIBIAL RIGHT DISTAL ANTEROLATERAL 10 HOLE TITANIUM NONSTERILE AXSOS 3,1394.34,697.17,267.02,1254.91,65
HCPCS,C1713,PLATE BONE 17MM SPINE 3.5MM ROD LORDOTIC TITANIUM X10 CROSSLINK,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE BONE 18.1X7.1X1.5MM FOOT BARBELL 2.7MM SCREW STAINLESS STEEL STERILE VLP,850.0,425.0,162.78,765.0,65
HCPCS,C1713,PLATE BONE 184MM EXTRAARTICULAR LEFT ULNA PROXIMAL 10 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP 2.7/3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE BONE 184MM TIBIAL LEFT DISTAL ANTEROLATERAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1227.69,613.85,235.1,1104.92,65
HCPCS,C1713,PLATE BONE 184MML HOLEX12 TITANIUM PRE-CONTOURED VARIABLE ANGLE VARIAX STERILE LEFT OLECRANON,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE BONE 185X19.2X2.7MM TIBIAL RIGHT DISTAL MEDIAL 10 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 3.5MM SCREW SMALL FRAGMENT SET 12.7MM SPACE CONTOUR STAINLESS STEEL STERILE PERI-LOC 11X3.7MM,831.6,415.8,159.25,748.44,65
HCPCS,C1713,PLATE BONE 186MM TIBIAL LEFT DISTAL ANTEROLATERAL 13 HOLE LOCK 3.5MM SCREW STAINLESS STEEL PERI-LOC,994.19,497.1,190.39,894.77,65
HCPCS,C1713,PLATE BONE 187MM TIBIAL LEFT DISTAL MEDIAL 10 HOLE LOW PROFILE LOW BEND ROUND EDGE 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1077.45,538.73,206.33,969.71,65
HCPCS,C1713,PLATE BONE 187X31.8X2.9MM TIBIAL LEFT PROXIMAL LATERAL 4 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 3.5MM SCREW SMALL FRAGMENT SET 12.7MM SPACE CONTOUR STAINLESS STEEL STERILE PERI-LOC 11X3.4MM,958.46,479.23,183.55,862.61,65
HCPCS,C1713,PLATE BONE 18MM LAPIDUS STERILE MOTOBAND MAX DYNAFORCE ACTIVE STABILIZATION,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE BONE 18MM METATARSOPHALANGEAL DORSIFLEXION VALGUS 0D 10D SHORT STERILE MOTOBAND MAX DYNAFORCE ACTIVE STABILIZATION,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE BONE 18MM METATARSOPHALANGEAL DORSIFLEXION VALGUS 5D SHORT STERILE MOTOBAND MAX DYNAFORCE ACTIVE STABILIZATION,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE BONE 18MM MTP LEFT CLIP VALGUS MOTOCLIP DYNAFORCE 5D LONG STERILE MOTOBAND CP LATEX FREE,1892.52,946.26,362.42,1703.27,65
HCPCS,C1713,PLATE BONE 18MM RIGHT 1 PACK MOTOCLIP STERILE MOTOBAND CP DYNAFORCE DYNABUNION LATEX FREE,2064.72,1032.36,395.39,1858.25,65
HCPCS,C1713,PLATE BONE 18MMX.4MM CRANIAL 6 HOLE LOW PROFILE 2Y TITANIUM MATRIXNEURO BLUE,111.25,55.63,21.3,100.13,65
HCPCS,C1713,PLATE BONE 190MM TIBIAL LEFT PROXIMAL 10 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LARGE FRAGMENT SET CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,1182.26,591.13,226.4,1064.03,65
HCPCS,C1713,PLATE BONE 190MM TIBIAL RIGHT PROXIMAL 10 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LARGE FRAGMENT SET CONTOUR STAINLESS STEEL STERILE LCP COMBI,1228.41,614.21,235.24,1105.57,65
HCPCS,C1713,PLATE BONE 191MM HUMERUS RIGHT PROXIMAL 11 HOLE LOCK 3.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,1047.8,523.9,200.65,943.02,65
HCPCS,C1713,PLATE BONE 193MM 10 HOLE LOCK COMPRESSION 4.5MM SCREW,399.25,199.63,76.46,359.33,65
HCPCS,C1713,PLATE BONE 193MM FEMUR RIGHT DISTAL LATERAL 8 HOLE LOCK 4.5MM SCREW PERI-LOC,925.97,462.99,177.32,833.37,65
HCPCS,C1713,PLATE BONE 193MM HOLEX16 STAINLESS STEEL RADIAL SHAFT EVOS STERILE,859.27,429.64,164.55,773.34,65
HCPCS,C1713,PLATE BONE 196MM 11 HOLE 4.5MM SCREW NARROW LC-DCP,223.2,111.6,42.74,200.88,65
HCPCS,C1713,PLATE BONE 196X12X3.7MM HUMERUS PROXIMAL 8 HOLE SHAFT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL STERILE LCP COMBI PHILOS LONG,1320.5,660.25,252.88,1188.45,65
HCPCS,C1713,PLATE BONE 1MM HAND 10 HOLE LOCK 1.7MM SCREW SMALL NARROW T NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1MM HAND 4X2 HOLE LOCK 1.7MM SCREW SMALL NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1MM HAND 4X2 HOLE LOCK REPLANTATION 1.7MM SCREW SMALL NONSTERILE VARIAX,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 12 HOLE ADAPTION TITANIUM NONSTERILE MATRIXMANDIBLE SILVER,586.3,293.15,112.28,527.67,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 2X2 HOLE TENSION BAND MALLEABLE MINI BROAD TITANIUM NONSTERILE MATRIXMANDIBLE GRAY GREEN,410.3,205.15,78.57,369.27,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 2X2 HOLE TENSION BAND MALLEABLE MINI NARROW TITANIUM NONSTERILE MATRIXMANDIBLE GRAY GREEN,327.8,163.9,62.77,295.02,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 3X3 HOLE TENSION BAND MALLEABLE MINI BROAD TITANIUM NONSTERILE MATRIXMANDIBLE GRAY GREEN,442.75,221.38,84.79,398.48,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 4 HOLE GAP 2/2.3MM SCREW STRAIGHT TITANIUM LORENZ TRAUMAONE SILVER,386.0,193.0,73.92,347.4,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 6 HOLE 2/2.3MM SCREW MINI STRAIGHT TITANIUM LEIBINGER UNIVERSAL 2 BLUE,113.74,56.87,21.78,102.37,65
HCPCS,C1713,PLATE BONE 1MM MANDIBLE 8 HOLE STRUT MALLEABLE MINI CURVE TITANIUM NONSTERILE MATRIXMANDIBLE GRAY GREEN,504.35,252.18,96.58,453.92,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 13 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD NARROW Y TITANIUM NONSTERILE PROFYLE,388.05,194.03,74.31,349.25,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 16 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD STRAIGHT TITANIUM NONSTERILE PROFYLE,388.05,194.03,74.31,349.25,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 2X2 HOLE 3D 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD TITANIUM NONSTERILE PROFYLE,277.61,138.81,53.16,249.85,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 3X2 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD TITANIUM NONSTERILE PROFYLE,388.05,194.03,74.31,349.25,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 4 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD STRAIGHT TITANIUM NONSTERILE PROFYLE,240.79,120.4,46.11,216.71,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 4 HOLE BAR 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD STRAIGHT TITANIUM NONSTERILE PROFYLE,240.79,120.4,46.11,216.71,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 4X2 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD TITANIUM NONSTERILE PROFYLE,388.05,194.03,74.31,349.25,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 4X2 HOLE REPLANTATION 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD TITANIUM NONSTERILE PROFYLE,388.05,194.03,74.31,349.25,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 6 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM ANGLE LEFT MEDIUM STANDARD L TITANIUM NONSTERILE PROFYLE,277.61,138.81,53.16,249.85,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 6 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM ANGLE RIGHT MEDIUM STANDARD L TITANIUM NONSTERILE PROFYLE,277.61,138.81,53.16,249.85,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 6 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD NARROW T TITANIUM NONSTERILE PROFYLE,277.61,138.81,53.16,249.85,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 7 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD NARROW Y TITANIUM NONSTERILE PROFYLE,277.61,138.81,53.16,249.85,65
HCPCS,C1713,PLATE BONE 1MM METACARPAL PHALANGEAL 7 HOLE 2.3MM SCREW SMALL FRAGMENT SYSTEM MEDIUM STANDARD T TITANIUM NONSTERILE PROFYLE,277.61,138.81,53.16,249.85,65
HCPCS,C1713,PLATE BONE 1MM MIDFACE 24 HOLE INSERT MAXDRIVE 1.5MM MICRO SCREW OSTEOSYNTHESIS LARGE STRAIGHT TITANIUM NONSTERILE LEVEL ONE PINK,329.64,164.82,63.13,296.68,65
HCPCS,C1713,PLATE BONE 1MM MIDFACE ORBITAL FLOOR 12 HOLE INSERT MAXDRIVE 1.5MM MICRO SCREW OSTEOSYNTHESIS LARGE TITANIUM NONSTERILE LEVEL ONE PINK,264.61,132.31,50.67,238.15,65
HCPCS,C1713,PLATE BONE 2 HOLE SYNDESMOSIS STAINLESS STEEL STERILE TIGHTROPE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,PLATE BONE 2.4MM DIA 61MML HOLEX10 STAINLESS STEEL FLEXIBLE VARIABLE ANGLED EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 2.4MM SCREW TRAPEZOID STERILE EVOS LATEX FREE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 2.5MM MANDIBLE 12 HOLE RECONSTRUCTION STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE LIGHT BLUE,895.4,447.7,171.47,805.86,65
HCPCS,C1713,PLATE BONE 2.7MM-3.5MM DIA 162MML HOLEX12 LEFT MEDIAL DISTAL TIBIAL EVOS,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 2.7MM-3.5MM DIA 195MML HOLEX15 LEFT MEDIAL DISTAL TIBIAL EVOS 7246-3915,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 2.7MM-3.5MM DIA 195MML HOLEX15 LEFT MEDIAL DISTAL TIBIAL EVOS 7246-3915N,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 2.8MM 9 HOLE I TITANIUM NONSTERILE MATRIXRIB,945.95,472.98,181.15,851.36,65
HCPCS,C1713,PLATE BONE 2.8MM MANDIBLE 20 HOLE RECONSTRUCTION STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE GOLD,1657.5,828.75,317.41,1491.75,65
HCPCS,C1713,PLATE BONE 20 HOLE FLEX 2 MM SCREW EVOS,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 200MM HIP 5 CABLE TITANIUM ACCORD,655.5,327.75,125.53,589.95,65
HCPCS,C1713,PLATE BONE 200MM HIP TROCHANTERIC GRIP MEDIUM STAINLESS STEEL DALL-MILES,1546.8,773.4,296.21,1392.12,65
HCPCS,C1713,PLATE BONE 200MM HOLEX16 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 201MM HOLEX16 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT MEDIAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 201MM TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE LOCK LOW PROFILE 4.5MM SCREW,874.52,437.26,167.47,787.07,65
HCPCS,C1713,PLATE BONE 201MML HOLEX16 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT MEDIAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 201X32.5X3MM TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 4.5MM SCREW LARGE FRAGMENT SET 18MM SPACE CONTOUR STAINLESS STEEL STERILE PERI-LOC 12.7X3.7MM,907.2,453.6,173.73,816.48,65
HCPCS,C1713,PLATE BONE 202MM FEMUR LEFT DISTAL LATERAL 8 HOLE TITANIUM NONSTERILE AXSOS 3,1637.1,818.55,313.5,1473.39,65
HCPCS,C1713,PLATE BONE 202MM FEMUR RIGHT DISTAL LATERAL 8 HOLE TITANIUM NONSTERILE AXSOS 3,1637.1,818.55,313.5,1473.39,65
HCPCS,C1713,PLATE BONE 206X17.5X5.2MM CONDYLAR FEMUR LEFT 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1281.11,640.56,245.33,1153.0,65
HCPCS,C1713,PLATE BONE 206X17.5X5.2MM CONDYLAR FEMUR RIGHT 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1281.11,640.56,245.33,1153.0,65
HCPCS,C1713,PLATE BONE 20MM FOOT 2 HOLE COMPRESSION STAINLESS STEEL UNI-CP,2025.54,1012.77,387.89,1822.99,65
HCPCS,C1713,PLATE BONE 210MM HIP TROCHANTERIC GRIP LARGE STAINLESS STEEL DALL-MILES,1546.8,773.4,296.21,1392.12,65
HCPCS,C1713,PLATE BONE 211MM EXTRAARTICULAR LEFT ULNA PROXIMAL 12 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP 2.7/3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE BONE 211MM EXTRAARTICULAR RIGHT ULNA PROXIMAL 12 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP 2.7/3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1023.19,511.6,195.94,920.87,65
HCPCS,C1713,PLATE BONE 214X17.5X5.2MM 12 HOLE 4.5MM SCREW LARGE FRAGMENT SET BROAD STAINLESS STEEL NONSTERILE LC-DCP,301.6,150.8,57.76,271.44,65
HCPCS,C1713,PLATE BONE 21MM HOLEX4 STAINLESS STEEL STRENGTH F/2MM SCREW EVOS STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 21MML HOLEX4 STAINLESS STEEL FLEX F/2MM SCREW EVOS NON-STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 21MMX.4MM CRANIAL 6 HOLE LOW PROFILE 2Y TITANIUM MATRIXNEURO BLUE,111.25,55.63,21.3,100.13,65
HCPCS,C1713,PLATE BONE 22 HOLE LIMIT CONTACT TAPER END 3.5MM SCREW CURVE NARROW STAINLESS STEEL STERILE LCP COMBI,811.28,405.64,155.36,730.15,65
HCPCS,C1713,PLATE BONE 221MML HOLEX18 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 22MML STAINLESS STEEL PEDIATRIC CORTICAL I-SHAPED CENTERED HOLE F/4.5MM SCREW PEDIPLATES FEMORAL,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE BONE 230MM FEMUR RIGHT DISTAL LATERAL 10 HOLE LOCK 4.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,944.92,472.46,180.95,850.43,65
HCPCS,C1713,PLATE BONE 230X36X3.6MM FEMUR RIGHT DISTAL LATERAL 10 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 4.5MM SCREW LARGE FRAGMENT SET 18MM SPACE STAINLESS STEEL STERILE PERI-LOC 17.6X4.8MM,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE BONE 232X12X3.7MM HUMERUS PROXIMAL 10 HOLE SHAFT 3.5MM SCREW SMALL FRAGMENT SET STAINLESS STEEL NONSTERILE LCP COMBI PHILOS LONG,1339.23,669.62,256.46,1205.31,65
HCPCS,C1713,PLATE BONE 236MM TIBIAL DISTAL POSTERIOR 16 HOLE 4 LOCK 3.5MM SCREW T STAINLESS STEEL STERILE LCP COMBI,1239.65,619.83,237.39,1115.69,65
HCPCS,C1713,PLATE BONE 236MM TIBIAL LEFT DISTAL ANTEROLATERAL 17 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,1313.29,656.65,251.5,1181.96,65
HCPCS,C1713,PLATE BONE 238MM FEMUR LEFT DISTAL LATERAL 10 HOLE TITANIUM NONSTERILE AXSOS 3,1736.04,868.02,332.45,1562.44,65
HCPCS,C1713,PLATE BONE 23MM FOOT ANKLE 2 HOLE 1/3 TUBULAR NONSTERILE,272.63,136.32,52.21,245.37,65
HCPCS,C1713,PLATE BONE 245MM TROCHANTERIC 6 HOLE GRIP TITANIUM SUPERCABLE,3732.0,1866.0,714.68,3358.8,65
HCPCS,C1713,PLATE BONE 24MMX.4MM CRANIAL 4 HOLE LOW PROFILE STRAIGHT TITANIUM MATRIXNEURO BLUE,34.5,17.25,6.61,31.05,65
HCPCS,C1713,PLATE BONE 24X18X1.5MM FOOT UTILITY 2.7MM SCREW SMALL STAINLESS STEEL STERILE VLP,1077.0,538.5,206.25,969.3,65
HCPCS,C1713,PLATE BONE 25-35MM SPINE OCCIPITAL SMALL ATOLL,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE BONE 250X17.5X5.2MM 14 HOLE 4.5MM SCREW LARGE FRAGMENT SET BROAD STAINLESS STEEL NONSTERILE LC-DCP,282.75,141.38,54.15,254.48,65
HCPCS,C1713,PLATE BONE 25MM 2 HOLE COMPRESSION STAINLESS STEEL UNI-CP,2025.54,1012.77,387.89,1822.99,65
HCPCS,C1713,PLATE BONE 25MML HOLEX4 STAINLESS STEEL FLEX F/2.4MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 25MML HOLEX4 STAINLESS STEEL FLEXIBLE F/2.4MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 26.5MM 2-HOLE STAINLESS STEEL STRAIGHT MATTA LEFT ACETABULAR PELVIC,275.62,137.81,52.78,248.06,65
HCPCS,C1713,PLATE BONE 262MM TIBIAL LEFT PROXIMAL 14 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LARGE FRAGMENT SET CONTOUR STAINLESS STEEL STERILE LCP COMBI,1255.47,627.74,240.42,1129.92,65
HCPCS,C1713,PLATE BONE 262MM TIBIAL RIGHT PROXIMAL 14 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LARGE FRAGMENT SET CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,1194.43,597.22,228.73,1074.99,65
HCPCS,C1713,PLATE BONE 266MM EXTRAARTICULAR LEFT HUMERUS DISTAL 12 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1279.61,639.81,245.05,1151.65,65
HCPCS,C1713,PLATE BONE 26MM SPINE 2 LEVEL NONSTERILE CABO,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 26MMX1.2MM FOREFOOT OPEN WEDGE 0MM SPACE TITANIUM,1639.05,819.53,313.88,1475.15,65
HCPCS,C1713,PLATE BONE 274MM FEMUR LEFT DISTAL LATERAL 12 HOLE TITANIUM NONSTERILE AXSOS 3,1773.78,886.89,339.68,1596.4,65
HCPCS,C1713,PLATE BONE 277MM FEMUR PROXIMAL 10 HOLE HOOK 4.5MM SCREW STAINLESS STEEL STERILE LCP,1448.82,724.41,277.45,1303.94,65
HCPCS,C1713,PLATE BONE 278X17.5X5.2MM CONDYLAR FEMUR LEFT 12 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1249.59,624.8,239.3,1124.63,65
HCPCS,C1713,PLATE BONE 278X17.5X5.2MM CONDYLAR PERIARTICULAR RIGHT 12 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT 4.5/5MM SCREW CURVE STAINLESS STEEL STERILE LCP COMBI,1341.27,670.64,256.85,1207.14,65
HCPCS,C1713,PLATE BONE 27MM FOOT TALONAVICULAR 6 HOLE LOCK POLYAXIAL 3.5MM SCREW SHORT NONSTERILE VARIAX,991.02,495.51,189.78,891.92,65
HCPCS,C1713,PLATE BONE 27MMX.8MM HAND PHALANX 5X2 HOLE GRID 1.5MM SCREW TRAPEZOID TITANIUM APTUS,401.34,200.67,76.86,361.21,65
HCPCS,C1713,PLATE BONE 286MM FEMUR LEFT DISTAL LATERAL 13 HOLE LOCK 4.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,985.53,492.77,188.73,886.98,65
HCPCS,C1713,PLATE BONE 286X36X3.6MM FEMUR RIGHT DISTAL LATERAL 13 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 4.5MM SCREW LARGE FRAGMENT SET 18MM SPACE STAINLESS STEEL STERILE PERI-LOC 17.6X4.8MM,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE BONE 28MM SPINE 2 LEVEL NONSTERILE CABO,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 28MML HOLEX4 STAINLESS STEEL FLEX F/2.7MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 28MML HOLEX4 STAINLESS STEEL FLEX F/2.7MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 28MML HOLEX4 STAINLESS STEEL STRAIGHT F/2.7MM DIA SCREW EVOS NON-STERILE DISTAL,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 28MMX1.5MM LEFT 4 HOLE LOW PROFILE UTILITY SYMMETRIC 3MM LOCK 3.5MM NONLOCK SCREW STRAIGHT TITANIUM NONSTERILE ANCHORAGE,891.52,445.76,170.73,802.37,65
HCPCS,C1713,PLATE BONE 2MM MANDIBLE 12 HOLE STRAIGHT TITANIUM NONSTERILE MATRIXMANDIBLE LIGHT BLUE,831.05,415.53,159.15,747.95,65
HCPCS,C1713,PLATE BONE 2MMX.6MM MIDFACE LEFT 5 HOLE BAR 1.7MM SCREW 100D STANDARD L TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,191.47,95.74,36.67,172.32,65
HCPCS,C1713,PLATE BONE 2MMX.6MM MIDFACE RIGHT 5 HOLE BAR 1.7MM SCREW 100D STANDARD L TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,191.47,95.74,36.67,172.32,65
HCPCS,C1713,PLATE BONE 2MMX.8MM MIDFACE 5 HOLE REVERSIBLE BAR 1.7MM SCREW 100D L TITANIUM STERILE LEIBINGER UNIVERSAL 2 GRAY,215.78,107.89,41.32,194.2,65
HCPCS,C1713,PLATE BONE 2X3 HOLE 1.5MM SCREW OBLIQUE RIGHT L TITANIUM,259.6,129.8,49.71,233.64,65
HCPCS,C1713,PLATE BONE 2XL 100MML HOLEX8 TITANIUM ANATOMICAL STANDARD F/2.7MM SCREW VARIAX STERILE RIGHT DISTAL VOLAR RADIAL,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE BONE 2XL 100MML HOLEX8 TITANIUM NARROW ANATOMICAL F/2.7MM SCREW VARIAX STERILE RIGHT DISTAL VOLAR RADIAL,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE BONE 2XL 189MML HOLEX15 TITANIUM ANATOMICAL STANDARD F/2.7MM SCREW VARIAX STERILE LEFT DISTAL RADIAL VOLAR,1624.84,812.42,311.16,1462.36,65
HCPCS,C1713,PLATE BONE 2XL 74MML HOLEX5 TITANIUM ANATOMICAL STANDARD F/2.7MM SCREW VARIAX STERILE LEFT DISTAL RADIAL VOLAR,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE BONE 3 HOLE Y NONSTERILE VARIAX LATEX FREE,770.13,385.07,147.48,693.12,65
HCPCS,C1713,PLATE BONE 3.5MM DIA 103MML HOLEX7 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 3.5MM DIA 170MML HOLEX13 RIGHT PROXIMAL EVOS,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 3.5MM DIA 221MML HOLEX18 RIGHT LATERAL PROXIMAL F/3.5MM SCREW EVOS,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 300X17.5X5.2MM 16 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LARGE FRAGMENT SET BROAD CURVE STAINLESS STEEL NONSTERILE LCP COMBI,729.37,364.69,139.67,656.43,65
HCPCS,C1713,PLATE BONE 30MM SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK 2.5MM SCREW DYNATRAN,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 310MM FEMUR LEFT DISTAL LATERAL 14 HOLE TITANIUM NONSTERILE AXSOS 3,1812.54,906.27,347.1,1631.29,65
HCPCS,C1713,PLATE BONE 313MM FEMUR PROXIMAL 12 HOLE HOOK 4.5MM SCREW STAINLESS STEEL STERILE LCP,1495.52,747.76,286.39,1345.97,65
HCPCS,C1713,PLATE BONE 314X17.5X5.2MM CONDYLAR PERIARTICULAR LEFT 14 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT 4.5/5MM SCREW CURVE STAINLESS STEEL NONSTERILE LCP COMBI,1332.03,666.02,255.08,1198.83,65
HCPCS,C1713,PLATE BONE 318X17.5X5.2MM 17 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LARGE FRAGMENT SET BROAD CURVE STAINLESS STEEL STERILE LCP COMBI,820.24,410.12,157.08,738.22,65
HCPCS,C1713,PLATE BONE 31MM HOLEX6 STAINLESS STEEL STRENGTH F/2MM SCREW EVOS STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 31MML HOLEX3X5 STAINLESS STEEL T-SHAPED F/2MM SCREW EVOS NON-STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 31MML HOLEX3X5 STAINLESS STEEL T-SHAPED F/2MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 31MML HOLEX6 STAINLESS STEEL FLEX F/2MM SCREW EVOS NON-STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 31X5X1.3MM 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH 2MM SCREW SMALL FRAGMENT 5MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 32MM 4 HOLE LOCK 2.7MM SCREW NARROW NONSTERILE VARIAX LATEX FREE,702.47,351.24,134.52,632.22,65
HCPCS,C1713,PLATE BONE 32MM SPINE 2 LEVEL NONSTERILE CABO,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 32MM SPINE CERVICAL ANTERIOR 2 LEVEL DYNAMIC SLIMFUSE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 32MML STAINLESS STEEL PEDIATRIC CORTICAL I-SHAPED CENTERED HOLE PEDIPLATES FEMORAL,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE BONE 336X17.5X5.2MM 18 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LARGE FRAGMENT SET BROAD CURVE STAINLESS STEEL STERILE LCP COMBI,891.97,445.99,170.81,802.77,65
HCPCS,C1713,PLATE BONE 34.5MM 3-HOLE STAINLESS STEEL STRAIGHT FLEXIBLE MATTA LEFT ACETABULAR PELVIC,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE BONE 342MM FEMUR RIGHT DISTAL LATERAL 16 HOLE LOCK 4.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,1004.48,502.24,192.36,904.03,65
HCPCS,C1713,PLATE BONE 342X36X3.6MM FEMUR LEFT DISTAL LATERAL 16 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER 4.5MM SCREW LARGE FRAGMENT SET 18MM SPACE STAINLESS STEEL STERILE PERI-LOC 17.6X4.8MM,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE BONE 349MM FEMUR PROXIMAL 14 HOLE HOOK 4.5MM SCREW STAINLESS STEEL STERILE LCP,1513.01,756.51,289.74,1361.71,65
HCPCS,C1713,PLATE BONE 34MM SPINE 2 LEVEL NONSTERILE CABO,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 34MML HOLEX5 STAINLESS STEEL STRAIGHT TINE F/2.4MM SCREW EVOS STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 34MMX1.5MM LEFT 5 HOLE LOW PROFILE UTILITY SYMMETRIC 3MM LOCK 3.5MM NONLOCK SCREW STRAIGHT TITANIUM NONSTERILE ANCHORAGE,891.52,445.76,170.73,802.37,65
HCPCS,C1713,PLATE BONE 34X13.5X4.2MM 2 HOLE 4.5MM SCREW LARGE FRAGMENT SET NARROW STAINLESS STEEL NONSTERILE LC-DCP,128.14,64.07,24.54,115.33,65
HCPCS,C1713,PLATE BONE 34X16X2.5MM SPINE CERVICAL ANTERIOR 2 LEVEL 14MM PREBENT TITANIUM NONSTERILE SKYLINE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE BONE 350X17.5X5.2MM CONDYLAR FEMUR LEFT 16 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,1253.07,626.54,239.96,1127.76,65
HCPCS,C1713,PLATE BONE 350X17.5X5.2MM CONDYLAR PERIARTICULAR RIGHT 16 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT 4.5/5MM SCREW CURVE STAINLESS STEEL NONSTERILE LCP COMBI,1343.25,671.63,257.23,1208.93,65
HCPCS,C1713,PLATE BONE 35MM FOOT ANKLE 3 HOLE 1/3 TUBULAR NONSTERILE,272.63,136.32,52.21,245.37,65
HCPCS,C1713,PLATE BONE 35MM FOREFOOT MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE 2.4/2.7MM SCREW SHORT T TITANIUM NONSTERILE LCP,786.53,393.27,150.62,707.88,65
HCPCS,C1713,PLATE BONE 35X3.3X.5MM ORBITAL RIM 9 HOLE 1.3MM CORTEX SCREW TITANIUM NONSTERILE,247.5,123.75,47.4,222.75,65
HCPCS,C1713,PLATE BONE 36X5X1.2MM VARIABLE ANGLE LOCK 2 HOLE HEAD 6 HOLE SHAFT LOW PROFILE 2MM SCREW SMALL FRAGMENT T STAINLESS STEEL NONSTERILE EVOS MINI 10.2MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 37.7X9.5X1.5MM MIDFOOT HINDFOOT 3 HOLE BUTTRESS LOW PROFILE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL STERILE VLP PERI-LOC,294.49,147.25,56.39,265.04,65
HCPCS,C1713,PLATE BONE 37MML HOLEX3X5 STAINLESS STEEL T-SHAPED F/2.4MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 37MML HOLEX6 STAINLESS STEEL FLEX F/2.4MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 37MML HOLEX6 STAINLESS STEEL STRENGTH F/2.4MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 37MML HOLEX6 STAINLESS STEEL STRENGTH F/2.4MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 37X6X1.4MM VARIABLE ANGLE LOCK 3 HOLE HEAD 5 HOLE SHAFT LOW PROFILE 2.4MM SCREW SMALL FRAGMENT 6MM SPACE T STAINLESS STEEL NONSTERILE EVOS MINI 18.3MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 38MML HOLEX5 STAINLESS STEEL STRAIGHT TINE F/2.7MM SCREW EVOS STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 38MML HOLEX7 STAINLESS STEEL STRAIGHT TINE F/2MM SCREW EVOS NON-STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 38MML HOLEX7 STAINLESS STEEL STRAIGHT TINE F/2MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 39.8X8X1.5MM FOOT 5 HOLE 2.7MM SCREW 8MM SPACE STAINLESS STEEL STERILE VLP,283.45,141.73,54.28,255.11,65
HCPCS,C1713,PLATE BONE 39.8X8X1.5MM FOOT 5 HOLE COMPRESSION 2.7MM SCREW .25 TUBULAR STAINLESS STEEL STERILE VLP,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE 39MM FIRST TARSOMETATARSAL VARIABLE ANGLE LOW PROFILE FUSION PRECONTOUR 2.4/2.7MM SCREW STANDARD STAINLESS STEEL STERILE LCP,931.2,465.6,178.32,838.08,65
HCPCS,C1713,PLATE BONE 4-HOLE BOX SHAPED BRIDGE BLUE STERNAL,823.0,411.5,157.6,740.7,65
HCPCS,C1713,PLATE BONE 40.8MMX1.7MM 4 HOLE LOW PROFILE 15MM CLIP NONSTERILE MOTOBAND MAX DYNAFORCE ACTIVE STABILIZATION,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE BONE 40MMX1.5MM LEFT 6 HOLE LOW PROFILE UTILITY SYMMETRIC 3MM LOCK 3.5MM NONLOCK SCREW STRAIGHT TITANIUM NONSTERILE ANCHORAGE LATEX FREE,891.52,445.76,170.73,802.37,65
HCPCS,C1713,PLATE BONE 40MMX1MM ULNA LEFT DISTAL LOCK COLUMN FRAGMENT SPECIFIC SHORT TITANIUM VARIAX,597.0,298.5,114.33,537.3,65
HCPCS,C1713,PLATE BONE 40MMX1MM ULNAR RIGHT COLUMN SHORT TITANIUM VARIAX,597.0,298.5,114.33,537.3,65
HCPCS,C1713,PLATE BONE 41MM 5 HOLE LOCK 2.4MM SCREW NARROW T NONSTERILE VARIAX LATEX FREE,654.71,327.36,125.38,589.24,65
HCPCS,C1713,PLATE BONE 41MM 8-HOLE STAINLESS STEEL STRENGTH F/2MM SCREW EVOS NON-STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 41MML HOLEX8 STAINLESS STEEL STRENGTH F/2MM SCREW EVOS STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 42MM FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 0D SMALL TITANIUM STERILE LCP,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE BONE 42MM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 0D SMALL TITANIUM STERILE LCP,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE BONE 42MM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 5D SMALL TITANIUM STERILE LCP,1077.71,538.86,206.38,969.94,65
HCPCS,C1713,PLATE BONE 42MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW NARROW STAINLESS STEEL NONSTERILE LCP COMBI,677.93,338.97,129.82,610.14,65
HCPCS,C1713,PLATE BONE 42MML HOLEX3X5 HEAD/SHAFT STAINLESS STEEL T-SHAPED F/2.7MM SCREW EVOS NON-STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 42MML HOLEX3X5 STAINLESS STEEL T-SHAPED F/2.7MM SCREW EVOS STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 42MML HOLEX6 STAINLESS STEEL FLEX F/2.7MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 42MML HOLEX6 STAINLESS STEEL STRAIGHT STRENGTH F/2.7MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 42MML HOLEX6 STAINLESS STEEL STRENGTH F/2.7MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 42MML HOLEX6 STAINLESS STEEL STRENGTH F/2.7MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 42X16X2.5MM SPINE CERVICAL ANTERIOR 3 LEVEL 14MM PREBENT TITANIUM NONSTERILE SKYLINE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 42X7.5X1.4MM 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE FLEX 2.7MM SCREW SMALL FRAGMENT 7MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 43MM CRANIOFACIAL 18 HOLE STRUT 1.3MM CORTEX SCREW TITANIUM NONSTERILE,202.62,101.31,38.8,182.36,65
HCPCS,C1713,PLATE BONE 43MM TARSOMETATARSAL LOW PROFILE VARIABLE ANGLE FUSION PRECONTOUR 2.4/2.7MM SCREW TITANIUM NONSTERILE LCP,826.28,413.14,158.23,743.65,65
HCPCS,C1713,PLATE BONE 43MML HOLEX2X6 STAINLESS STEEL T-SHAPED F/2.4MM SCREW EVOS NON-STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 43MML HOLEX2X6 STAINLESS STEEL T-SHAPED F/2.4MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 45MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,677.93,338.97,129.82,610.14,65
HCPCS,C1713,PLATE BONE 45MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE 2.4MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,645.49,322.75,123.61,580.94,65
HCPCS,C1713,PLATE BONE 45MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,677.93,338.97,129.82,610.14,65
HCPCS,C1713,PLATE BONE 45MM SPINE 3 LEVEL NONSTERILE CABO,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 45MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM NONSTERILE AMBASSADOR,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE 45MML HOLEX5 STAINLESS STEEL Y-TINE F/2.4MM SCREW EVOS NON-STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 45X14X4.85MM 4 HOLE CANNULATED BLADE LOCK 4.5MM SCREW 90D 6MM OFFSET STAINLESS STEEL NONSTERILE PEDILOC,1149.15,574.58,220.06,1034.24,65
HCPCS,C1713,PLATE BONE 46.5MM PELVIC 4 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE BONE 46MM HOLEX2/8 HEAD/SHAFT STAINLESS STEEL T-SHAPED F/2MM SCREW EVOS STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 46MM HOLEX4 STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW NON-STERILE,192.5,96.25,36.86,173.25,65
HCPCS,C1713,PLATE BONE 46MML HOLEX7 STAINLESS STEEL STRAIGHT TINE F/2.4MM SCREW EVOS STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 46X19X5.8MM FEMUR 2 HOLE 4.5MM CORTEX SCREW 130D STANDARD BARREL STAINLESS STEEL STERILE DHS DCP 38MM 12.6MM,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE BONE 46X19X5.8MM FEMUR 2 HOLE 4.5MM CORTEX SCREW 135D STANDARD BARREL STAINLESS STEEL STERILE DHS DCP 38MM 12.6MM,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE BONE 47MM 4-HOLE TITANIUM 1/3 TUBULAR STERILE ANKLE FOOT,294.52,147.26,56.4,265.07,65
HCPCS,C1713,PLATE BONE 47MM FOOT ANKLE 4 HOLE 1/3 TUBULAR NONSTERILE,294.52,147.26,56.4,265.07,65
HCPCS,C1713,PLATE BONE 47MMX1.5MM TIBIAL RIGHT DISTAL POSTERIOR 3 HOLE 3.5MM SCREW CONTOUR SCALLOP STAINLESS STEEL NONSTERILE VLP PERI-LOC,748.44,374.22,143.33,673.6,65
HCPCS,C1713,PLATE BONE 47MMX1MM FOOT ANKLE 6 HOLE COLLAR 2.7MM SCREW MINI FRAGMENT .25 TUBULAR STAINLESS STEEL NONSTERILE,55.12,27.56,10.56,49.61,65
HCPCS,C1713,PLATE BONE 47X29X.3MM TEMPORAL CLOSED OUTER FRAME MALLEABLE 1.5MM SCREW TITANIUM NONSTERILE UNIVERSAL NEURO III,836.74,418.37,160.24,753.07,65
HCPCS,C1713,PLATE BONE 47X6X1.4MM 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.4MM SCREW SMALL FRAGMENT 6MM SPACE Y STAINLESS STEEL NONSTERILE EVOS MINI 18.3MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 48.8X24.1X1.5MM FOOT FUSION 3.5MM SCREW LONG STAINLESS STEEL STERILE VLP,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE BONE 48MM FIRST TARSOMETATARSAL LOW PROFILE VARIABLE ANGLE FUSION PRECONTOUR 2.4/2.7MM SCREW LONG TITANIUM STERILE LCP,974.96,487.48,186.7,877.46,65
HCPCS,C1713,PLATE BONE 48MM HOLEX3 TITANIUM STANDARD EVOS NON-STERILE LEFT DISTAL VOLAR RADIAL,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 48MM HOLEX3 TITANIUM STANDARD EVOS NON-STERILE RIGHT DISTAL VOLAR RADIAL,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 48MM RADIUS LEFT DISTAL VOLAR 3 HOLE STANDARD EVOS,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 48MM SPINE 3 LEVEL NONSTERILE CABO,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 48MML HOLEX3 TITANIUM STANDARD EVOS LEFT DISTAL VOLAR RADIUS,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 49MM ORBITAL RIM 12 HOLE 1.5MM CORTEX SCREW TITANIUM NONSTERILE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,PLATE BONE 49MM RADIAL LEFT DISTAL VOLAR 10 HOLE INTERMEDIATE XSHORT NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 49MM RADIAL LEFT DISTAL VOLAR 10 HOLE STANDARD XSHORT NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 49MM RADIAL LEFT DISTAL VOLAR 8 HOLE XSHORT NARROW NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 49MM RADIAL RIGHT DISTAL VOLAR 10 HOLE INTERMEDIATE XSHORT NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 49MM RADIAL RIGHT DISTAL VOLAR 10 HOLE STANDARD XSHORT NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 49MM RADIAL RIGHT DISTAL VOLAR 8 HOLE XSHORT NARROW NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 49MML HOLEX8 STAINLESS STEEL FLEX F/2.4MM SCREW EVOS NON-STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 49MML HOLEX8 STAINLESS STEEL FLEX F/2.4MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 49MML HOLEX8 STAINLESS STEEL STRENGTH F/2.4MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 49X6X1.9MM 8 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH 2.4MM SCREW SMALL FRAGMENT 6MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 4MMX.8MM MIDFACE 5 HOLE BAR 1.7MM SCREW Y TITANIUM STERILE LEIBINGER UNIVERSAL 2 GRAY,234.24,117.12,44.86,210.82,65
HCPCS,C1713,PLATE BONE 4MMX1MM MANDIBLE 4 HOLE BAR 2/2.3MM SCREW MINI STRAIGHT TITANIUM LEIBINGER UNIVERSAL 2 BLUE,102.05,51.03,19.54,91.85,65
HCPCS,C1713,PLATE BONE 5 HOLE HEAD 5 HOLE SHAFT 2.4MM SCREW Y EVOS,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 5 HOLE HEAD 5 HOLE SHAFT 2.7MM SCREW Y STERILE EVOS LATEX FREE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 5 HOLE SHAFT TINE 2.4MM SCREW Y STERILE EVOS LATEX FREE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 50MM TROCHANTERIC GRIP SHORT TITANIUM SUPERCABLE,1190.0,595.0,227.89,1071.0,65
HCPCS,C1713,PLATE BONE 50MMX1.5MM METATARSOPHALANGEAL LEFT DORSIFLEXION 0D STERILE MOTOBAND MAX DYNAFORCE ACTIVE STABILIZATION,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE BONE 50MMX94MM 4 HOLE BLADE 4.5MM SCREW OSTEOTOMY 100D 10MM DISPLACEMENT STAINLESS STEEL STERILE DCP 16X6.5MM,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE BONE 51MM FOOT ANKLE FIBULA 4 HOLE SYNDESMOSIS LARGE NONSTERILE ORTHOLOC,425.86,212.93,81.55,383.27,65
HCPCS,C1713,PLATE BONE 51MM HOLEX10 STAINLESS STEEL STRENGTH F/2MM SCREW EVOS STERILE,739.8,369.9,141.67,665.82,65
HCPCS,C1713,PLATE BONE 51MM SPINE 3 LEVEL NONSTERILE CABO,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 51X16X2.5MM SPINE CERVICAL ANTERIOR 3 LEVEL 14MM PREBENT TITANIUM NONSTERILE SKYLINE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 52MM FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 0D MEDIUM TITANIUM STERILE LCP,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE BONE 52MM FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 5D MEDIUM TITANIUM STERILE LCP,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE BONE 52MM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 0D MEDIUM TITANIUM STERILE LCP,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE BONE 52MM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION 2.4/2.7MM SCREW 10D MEDIUM TITANIUM STERILE LCP,887.78,443.89,170.01,799.0,65
HCPCS,C1713,PLATE BONE 52MML HOLEX5 STAINLESS STEEL Y-TINE F/2.7MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 52MML HOLEX7 STAINLESS STEEL STRAIGHT TINE F/2.7MM SCREW EVOS STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 52X7.5X1.4MM 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE TINE 2.7MM SCREW SMALL FRAGMENT 7MM SPACE Y STAINLESS STEEL NONSTERILE EVOS MINI 14.3MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 53.1X11X1.27MM FOOT RIGHT METATARSOPHALANGEAL PRIMARY 2.7MM SCREW STAINLESS STEEL STERILE VLP 14MM,1077.0,538.5,206.25,969.3,65
HCPCS,C1713,PLATE BONE 53MMX1MM ULNA LEFT DISTAL LOCK COLUMN FRAGMENT SPECIFIC LONG TITANIUM VARIAX,597.0,298.5,114.33,537.3,65
HCPCS,C1713,PLATE BONE 53MMX1MM ULNAR RIGHT COLUMN LONG TITANIUM VARIAX,597.0,298.5,114.33,537.3,65
HCPCS,C1713,PLATE BONE 54MM FOOT CALCANEUS 12 HOLE POLYAXIAL LOCK LOW PROFILE SMALL STANDARD TITANIUM NONSTERILE VARIAX,711.43,355.72,136.24,640.29,65
HCPCS,C1713,PLATE BONE 54MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,692.67,346.34,132.65,623.4,65
HCPCS,C1713,PLATE BONE 54MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD TITANIUM NONSTERILE LCP COMBI,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE BONE 54MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE 2.4MM SCREW STAINLESS STEEL STERILE LCP COMBI,717.56,358.78,137.41,645.8,65
HCPCS,C1713,PLATE BONE 54MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE 2.4MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,665.5,332.75,127.44,598.95,65
HCPCS,C1713,PLATE BONE 54MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL STERILE LCP COMBI,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE BONE 54MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE 2.4MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,665.5,332.75,127.44,598.95,65
HCPCS,C1713,PLATE BONE 54MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE 2.4MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,665.5,332.75,127.44,598.95,65
HCPCS,C1713,PLATE BONE 54MML HOLEX6 STAINLESS STEEL TRIANGULAR F/2.7MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 54X7.5X1.4MM 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7MM SCREW SMALL FRAGMENT 7MM SPACE TRIANGLE STAINLESS STEEL NONSTERILE EVOS MINI 19.8MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 55MM HOLEX6 SHAFT STAINLESS STEEL TRIANGULAR F/2.4MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 55MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,692.67,346.34,132.65,623.4,65
HCPCS,C1713,PLATE BONE 55MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD TITANIUM STERILE LCP COMBI,769.13,384.57,147.29,692.22,65
HCPCS,C1713,PLATE BONE 55MML HOLEX2X8 STAINLESS STEEL T-SHAPED F/2.4MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 55X6X1.4MM 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.4MM SCREW SMALL FRAGMENT 6MM SPACE TRIANGLE STAINLESS STEEL NONSTERILE EVOS MINI 18.5MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 56MM 4-HOLE TITANIUM STANDARD EVOS STERILE LEFT DISTAL VOLAR RADIAL,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 56MM HOLEX4 TITANIUM STANDARD EVOS STERILE RIGHT DISTAL VOLAR RADIAL,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 56MM RADIAL LEFT DISTAL VOLAR 11 HOLE INTERMEDIATE SHORT NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 56MM RADIAL RIGHT DISTAL VOLAR 11 HOLE INTERMEDIATE SHORT NONSTERILE VARIAX,856.7,428.35,164.06,771.03,65
HCPCS,C1713,PLATE BONE 56MML HOLEX4 TITANIUM STANDARD EVOS LEFT DISTAL VOLAR RADIUS,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 56MML HOLEX8 STAINLESS STEEL FLEX F/2.7MM SCREW EVOS NON-STERILE 7244--2728N,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 56MML HOLEX8 STAINLESS STEEL FLEX F/2.7MM SCREW EVOS NON-STERILE 7244-2728N,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 56MMX2MM RADIAL LEFT DISTAL VOLAR LOCK NARROW TITANIUM VARIAX,802.97,401.49,153.77,722.67,65
HCPCS,C1713,PLATE BONE 56MMX2MM RADIAL LEFT DISTAL VOLAR LOCK STANDARD TITANIUM VARIAX,802.97,401.49,153.77,722.67,65
HCPCS,C1713,PLATE BONE 56MMX2MM RADIAL RIGHT DISTAL VOLAR LOCK NARROW TITANIUM VARIAX,802.97,401.49,153.77,722.67,65
HCPCS,C1713,PLATE BONE 56MMX2MM RADIAL RIGHT DISTAL VOLAR LOCK STANDARD TITANIUM VARIAX,802.97,401.49,153.77,722.67,65
HCPCS,C1713,PLATE BONE 56X7.5X2.2MM 8 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH 2.7MM SCREW SMALL FRAGMENT 7MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 56X7.5X2.2MM 8 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH 2.7MM SCREW SMALL FRAGMENT 7MM SPACE STAINLESS STEEL STERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 57MM 4 HOLE LOCK 3.5MM SCREW TUBULAR,120.96,60.48,23.16,108.86,65
HCPCS,C1713,PLATE BONE 57MM SPINE CERVICAL 3 LEVEL NONSTERILE OZARK,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 57MML HOLEX7 STAINLESS STEEL Y-TINE SHAPED F/2.4MM SCREW EVOS NON-STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 57MMX1MM RADIAL DISTAL LOCK COLUMN FRAGMENT SPECIFIC LONG TITANIUM VARIAX,597.0,298.5,114.33,537.3,65
HCPCS,C1713,PLATE BONE 58.9X37.3X1MM TIBIAL CALCANEUS DISTAL LOCK SMALL TIMAX NONSTERILE PERI,445.0,222.5,85.22,400.5,65
HCPCS,C1713,PLATE BONE 58MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE 2.7MM SCREW SMALL TITANIUM NONSTERILE LCP,904.8,452.4,173.27,814.32,65
HCPCS,C1713,PLATE BONE 58MM HOLEX5 STAINLESS STEEL ANTI-GLIDE F/3.5MM SCREW EVOS STERILE LEFT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 58MM HOLEX5 STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW NON-STERILE,196.0,98.0,37.53,176.4,65
HCPCS,C1713,PLATE BONE 58X19-12MM HIP 3 HOLE SHAFT 3.5MM SCREW 150D STAINLESS STEEL STERILE LCP PEDIATRIC,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE BONE 59MML HOLEX3 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 59MML HOLEX3 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 59MMX2-1.7MM FIBULA RIGHT DISTAL LATERAL 3 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 59X45X.3MM TRANSLABYRINTHINE MALLEABLE 1.5MM SCREW LARGE TITANIUM LORENZ,1216.0,608.0,232.86,1094.4,65
HCPCS,C1713,PLATE BONE 5MMX.8MM MIDFACE 5 HOLE REVERSIBLE BAR 1.7MM SCREW 100D L TITANIUM STERILE LEIBINGER UNIVERSAL 2 GRAY,228.4,114.2,43.74,205.56,65
HCPCS,C1713,PLATE BONE 5X1.2MM PHALANGEAL PROXIMAL 3 HOLE HEAD 9 HOLE SHAFT 2MM SCREW 5MM SPACE MINI T STAINLESS STEEL TC-100,141.33,70.67,27.06,127.2,65
HCPCS,C1713,PLATE BONE 6 HOLE H NONSTERILE LATEX FREE,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PLATE BONE 60MM HIP 2 HOLE COMPRESSION 135D STANDARD BARREL STAINLESS STEEL STERILE CLASSIC CHS 38.1MM,316.24,158.12,60.56,284.62,65
HCPCS,C1713,PLATE BONE 60MM SPINE 4 LEVEL NONSTERILE CABO,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 60MML 1.2MM STAINLESS STEEL F/3.5MM/4.5MM SCREW/BASIC FRAGMENT SYSTEM SPS NON-STERILE CALCANEUS,262.68,131.34,50.3,236.41,65
HCPCS,C1713,PLATE BONE 60MMX1.5MM RADIAL LEFT DISTAL DORSAL LOCK STANDARD TITANIUM VARIAX,817.89,408.95,156.63,736.1,65
HCPCS,C1713,PLATE BONE 60MMX1.5MM RADIAL LEFT DISTAL DORSAL LOCK WIDE TITANIUM VARIAX,817.89,408.95,156.63,736.1,65
HCPCS,C1713,PLATE BONE 60MMX1.5MM RADIAL RIGHT DISTAL DORSAL LOCK STANDARD TITANIUM VARIAX,817.89,408.95,156.63,736.1,65
HCPCS,C1713,PLATE BONE 60MMX1.5MM RADIAL RIGHT DISTAL DORSAL LOCK WIDE TITANIUM VARIAX,817.89,408.95,156.63,736.1,65
HCPCS,C1713,PLATE BONE 60MMX2MM FIBULA DISTAL 4 HOLE POLYAXIAL LOCK LOW PROFILE STRAIGHT TITANIUM NONSTERILE VARIAX,407.95,203.98,78.12,367.16,65
HCPCS,C1713,PLATE BONE 61MM FOREFOOT MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE 2.4/2.7MM SCREW LONG T TITANIUM STERILE LCP,888.1,444.05,170.07,799.29,65
HCPCS,C1713,PLATE BONE 61MM HOLEX10 STAINLESS STEEL STRENGTH F/2.4MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 61MM HOLEX3/9 HEAD/SHAFT STAINLESS STEEL T-SHAPED F/2.4MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 61MM OLECRANON LEFT 2 HOLE TINE 2.7/3.5MM SCREW EVOS,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 61MML HOLEX2 STAINLESS STEEL W/TINES F/2.7/3.5MM DIA SCREW EVOS STERILE LEFT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 61MML HOLEX2 STAINLESS STEEL W/TINES F/2.7/3.5MM SCREW EVOS STERILE RIGHT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 61MML HOLEX3X9 STAINLESS STEEL T-SHAPED F/2.4MM SCREW EVOS NON-STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 61MML HOLEX5 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 61MML HOLEX5 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 61X6X1.4MM 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE FLEX 2.4MM SCREW SMALL FRAGMENT 6MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 62MM 3 HOLE LOW PROFILE SHARP HOOK PRECONTOUR 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,517.4,258.7,99.08,465.66,65
HCPCS,C1713,PLATE BONE 62MM RADIAL LEFT DISTAL VOLAR 3 HOLE LOCK 2.5/3.5MM SCREW STANDARD STAINLESS STEEL STERILE PERI-LOC,471.11,235.56,90.22,424.0,65
HCPCS,C1713,PLATE BONE 62MM ULNA 6 HOLE LOW PROFILE ANGULAR STABLE FIXATION 2.7MM SCREW OSTEOTOMY STAINLESS STEEL NONSTERILE LCP COMBI,908.67,454.34,174.01,817.8,65
HCPCS,C1713,PLATE BONE 62MMX1.5MM FIBULA DISTAL 5 HOLE BUTTRESS LOW PROFILE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL STERILE VLP PERI-LOC,321.43,160.72,61.55,289.29,65
HCPCS,C1713,PLATE BONE 62X19-12MM HIP 3 HOLE SHAFT 3.5MM SCREW 130D STAINLESS STEEL STERILE LCP PEDIATRIC,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE BONE 62X19X5.8MM FEMUR 3 HOLE 4.5MM CORTEX SCREW 130D STANDARD BARREL STAINLESS STEEL STERILE DHS DCP 38MM 12.6MM,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE BONE 62X19X5.8MM FEMUR 3 HOLE 4.5MM CORTEX SCREW 140D STANDARD BARREL STAINLESS STEEL STERILE DHS DCP 38MM 12.6MM,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE BONE 62X30X.3MM SUBOCCIPITAL CLOSED OUTER FRAME BASE 1.5MM SCREW RETROSIGMOID SMALL TITANIUM NONSTERILE UNIVERSAL NEURO 3,836.74,418.37,160.24,753.07,65
HCPCS,C1713,PLATE BONE 63MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW NARROW STAINLESS STEEL STERILE LCP COMBI,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE BONE 63MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE 2.4MM SCREW STAINLESS STEEL STERILE LCP COMBI,738.07,369.04,141.34,664.26,65
HCPCS,C1713,PLATE BONE 63MM SPINE CERVICAL 3 LEVEL NONSTERILE OZARK,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 63MML HOLEX8 TITANIUM 1/4 TUBULAR W/COLLAR F/2.7MM SCREW LCP NON-STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE BONE 64MM CALCANEAL LEFT LOCK LOW PROFILE VARIABLE ANGLE 2.7MM SCREW MEDIUM TITANIUM STERILE LCP,974.96,487.48,186.7,877.46,65
HCPCS,C1713,PLATE BONE 64MM FOOT CALCANEUS 12 HOLE POLYAXIAL LOCK LOW PROFILE MEDIUM STANDARD TITANIUM NONSTERILE VARIAX,711.43,355.72,136.24,640.29,65
HCPCS,C1713,PLATE BONE 64MML HOLEX3 F/2.7/3.5MM SCREW LEFT MEDIAL DISTAL TIBIAL,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 64MML HOLEX3 F/2.7/3.5MM SCREW RIGHT MEDIAL DISTAL TIBIAL,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 65MM OLECRANON LEFT 3 HOLE LOCK PRECONTOUR TITANIUM NONSTERILE VARIAX,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE BONE 65X10.2X2.7MM PELVIC 5 HOLE RECONSTRUCTION LOW PROFILE 3.5MM SCREW STRAIGHT STAINLESS STEEL NONSTERILE LC-DCP,298.26,149.13,57.12,268.43,65
HCPCS,C1713,PLATE BONE 65X40X.4MM SUBOCCIPITAL CLOSED OUTER FRAME RIGID 1.5MM SCREW RETROSIGMOID LARGE TITANIUM NONSTERILE UNIVERSAL NEURO 3,1004.72,502.36,192.4,904.25,65
HCPCS,C1713,PLATE BONE 65X6.3X1.6MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT PRECONTOUR 2.4MM SCREW STAINLESS STEEL NONSTERILE LCP,643.24,321.62,123.18,578.92,65
HCPCS,C1713,PLATE BONE 66MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,706.95,353.48,135.38,636.26,65
HCPCS,C1713,PLATE BONE 66MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD TITANIUM STERILE LCP COMBI,786.4,393.2,150.6,707.76,65
HCPCS,C1713,PLATE BONE 66MML HOLEX7 STAINLESS STEEL Y-TINE F/2.7MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 66X7.5X1.4MM 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE TINE 2.7MM SCREW SMALL FRAGMENT 7MM SPACE Y STAINLESS STEEL NONSTERILE EVOS MINI 14.3MM,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 67.3X37.3X1MM TIBIAL CALCANEUS DISTAL LOCK LARGE TIMAX NONSTERILE PERI,467.0,233.5,89.43,420.3,65
HCPCS,C1713,PLATE BONE 67.7X36.2X1.27MM FOOT RIGHT CALCANEUS 3.5MM SCREW LARGE STAINLESS STEEL STERILE VLP,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE BONE 68MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD TITANIUM STERILE LCP COMBI,786.4,393.2,150.6,707.76,65
HCPCS,C1713,PLATE BONE 68MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,706.95,353.48,135.38,636.26,65
HCPCS,C1713,PLATE BONE 68MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD TITANIUM STERILE LCP COMBI,786.4,393.2,150.6,707.76,65
HCPCS,C1713,PLATE BONE 68MML HOLEX6 STAINLESS STEEL TRIANGULAR F/2.7MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 68MMX1.5-2MM TIBIAL LEFT PROXIMAL LATERAL 4 HOLE 3.5MM SCREW SCALLOP STAINLESS STEEL NONSTERILE VLP PERI-LOC,1283.04,641.52,245.7,1154.74,65
HCPCS,C1713,PLATE BONE 69.3X16X1.5MM FOOT 10 HOLE MULTIFRAGMENT 3.5MM SCREW STAINLESS STEEL STERILE VLP,1077.0,538.5,206.25,969.3,65
HCPCS,C1713,PLATE BONE 69MM CLAVICLE LEFT ANTERIOR SUPERIOR 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,683.85,341.93,130.96,615.47,65
HCPCS,C1713,PLATE BONE 69MM CLAVICLE RIGHT ANTERIOR SUPERIOR 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,737.61,368.81,141.25,663.85,65
HCPCS,C1713,PLATE BONE 69MM FOOT CALCANEUS POLYAXIAL LOCK LOW PROFILE MESH MEDIUM TITANIUM NONSTERILE VARIAX,711.43,355.72,136.24,640.29,65
HCPCS,C1713,PLATE BONE 69MM HOLEX5/7 HEAD/SHAFT STAINLESS STEEL Y-SHAPED F/2.7MM SCREW EVOS STERILE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 69MM SPINE CERVICAL 3 LEVEL NONSTERILE OZARK,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE BONE 69MML HOLEX6 STAINLESS STEEL ANTI-GLIDE F/3.5MM SCREW EVOS STERILE RIGHT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 69X9.5X1.5MM FIBULA LEFT DISTAL POSTEROLATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE ANTIGLIDE 3.5MM SCREW 11MM SPACE STAINLESS STEEL STERILE EVOS,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 6MM CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE BAR 1.5MM SCREW RETROSIGMOID TITANIUM NONSTERILE UNIVERSAL NEURO II LATEX FREE,122.22,61.11,23.41,110.0,65
HCPCS,C1713,PLATE BONE 6MMW X 18MML HOLEX4 0.8MM THK CP TITANIUM T-SHAPED BRG F/1.5MM SCREW LEVEL ONE CMF,273.83,136.92,52.44,246.45,65
HCPCS,C1713,PLATE BONE 6MMX.4MM CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE BAR 1.5MM SCREW RETROSIGMOID STRAIGHT TITANIUM NONSTERILE UNIVERSAL NEURO 3,138.47,69.24,26.52,124.62,65
HCPCS,C1713,PLATE BONE 7 HOLE BROAD Y NONSTERILE VARIAX,904.46,452.23,173.2,814.01,65
HCPCS,C1713,PLATE BONE 7 HOLE SHAFT TINE 2.4MM SCREW Y STERILE EVOS LATEX FREE,815.4,407.7,156.15,733.86,65
HCPCS,C1713,PLATE BONE 70.1MM TIBIAL FIBULA DISTAL 5 HOLE LOCK COMPOSITE 1/3 TUBULAR TIMAX NONSTERILE PERI,154.0,77.0,29.49,138.6,65
HCPCS,C1713,PLATE BONE 70.5MM PELVIC 6 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE BONE 70MM LEFT PROXIMAL LATERAL 4 HOLE PARTIAL ARTICULAR 3.5MM SCREW EVOS,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 70MML HOLEX10 STAINLESS STEEL STRENGTH F/2.7MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 70MML HOLEX4 F/3.5MM SCREW EVOS NON-STERILE LEFT PARTIAL ARTICULAR LATERAL PROXIMAL TIBIA,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 70MML HOLEX6 STAINLESS STEEL CURVED RECONSTRUCTION F/3.5MM SCREW ZUMA NON-STERILE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,PLATE BONE 70X10.7X3.4MM 6 HOLE LOCK COMPRESSION 3.5MM SCREW 11.5MM SPACE STAINLESS STEEL STERILE EVOS,294.24,147.12,56.35,264.82,65
HCPCS,C1713,PLATE BONE 70X7.5X2.2MM 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH 2.7MM SCREW SMALL FRAGMENT 7MM SPACE STAINLESS STEEL NONSTERILE EVOS MINI,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE 71MM FOOT ANKLE 6 HOLE 1/3 TUBULAR NONSTERILE,294.52,147.26,56.4,265.07,65
HCPCS,C1713,PLATE BONE 71MML HOLEX3X9 STAINLESS STEEL T-SHAPED F/2.7MM SCREW EVOS STERILE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 71X12X1MM 4 HOLE 3.5/4.5MM SCREW LARGE FRAGMENT SET SEMITUBULAR STAINLESS STEEL NONSTERILE,67.63,33.82,12.95,60.87,65
HCPCS,C1713,PLATE BONE 71X7.5X1.4MM VARIABLE ANGLE LOCK 3 HOLE HEAD 9 HOLE SHAFT LOW PROFILE 2.7MM SCREW SMALL FRAGMENT 7MM SPACE T STAINLESS STEEL NONSTERILE EVOS MINI 21.5MM,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE BONE 72MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW NARROW STAINLESS STEEL NONSTERILE LCP COMBI,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE BONE 72MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW NARROW STAINLESS STEEL STERILE LCP COMBI,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE BONE 72MMX1.5MM TIBIAL RIGHT DISTAL POSTERIOR 5 HOLE 3.5MM SCREW CONTOUR SCALLOP STAINLESS STEEL NONSTERILE VLP PERI-LOC,748.44,374.22,143.33,673.6,65
HCPCS,C1713,PLATE BONE 72MMX2MM FIBULA DISTAL 5 HOLE POLYAXIAL LOCK LOW PROFILE STRAIGHT TITANIUM NONSTERILE VARIAX,372.13,186.07,71.26,334.92,65
HCPCS,C1713,PLATE BONE 73MM CLAVICLE MEDIAL INFERIOR 6 HOLE LOCK,442.95,221.48,84.82,398.66,65
HCPCS,C1713,PLATE BONE 73MM FIBULA RIGHT DISTAL LATERAL 4 HOLE NONLOCK STAINLESS STEEL STERILE,293.28,146.64,56.16,263.95,65
HCPCS,C1713,PLATE BONE 73MM OLECRANON LEFT PROXIMAL 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP 2.7/3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,822.79,411.4,157.56,740.51,65
HCPCS,C1713,PLATE BONE 73X19-12MM HIP 3 HOLE SHAFT 3.5MM SCREW 100D STAINLESS STEEL STERILE LCP PEDIATRIC,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE BONE 73X19-12MM HIP 3 HOLE SHAFT 3.5MM SCREW 110D STAINLESS STEEL STERILE LCP PEDIATRIC,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE BONE 74MM FIBULA RIGHT LATERAL POSTERIOR 4 HOLE NONLOCK STAINLESS STEEL STERILE,293.28,146.64,56.16,263.95,65
HCPCS,C1713,PLATE BONE 74MMX1.5-.9MM FIBULA RIGHT DISTAL POSTEROLATERAL 6 HOLE ROUND EDGE 3.5MM SCREW SCALLOP STAINLESS STEEL STERILE VLP PERI-LOC,342.77,171.39,65.64,308.49,65
HCPCS,C1713,PLATE BONE 74MMX1.5MM FIBULA DISTAL 6 HOLE BUTTRESS LOW PROFILE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL STERILE VLP PERI-LOC,296.63,148.32,56.8,266.97,65
HCPCS,C1713,PLATE BONE 74X23-15MM HIP 3 HOLE SHAFT 5MM SCREW 150D STAINLESS STEEL STERILE LCP PEDIATRIC,875.07,437.54,167.58,787.56,65
HCPCS,C1713,PLATE BONE 75MM CLAVICLE LEFT SUPERIOR 6 HOLE MIDSHAFT DECREASE CURVATURE NONSTERILE VARIAX,956.2,478.1,183.11,860.58,65
HCPCS,C1713,PLATE BONE 75MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL STERILE LCP COMBI,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE BONE 75MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD TITANIUM STERILE LCP COMBI,804.36,402.18,154.03,723.92,65
HCPCS,C1713,PLATE BONE 75MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE BONE 75X19-12MM HIP 4 HOLE SHAFT 3.5MM SCREW 120D STAINLESS STEEL STERILE LCP PEDIATRIC,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE BONE 76MM HIP 4 HOLE COMPRESSION INTERMEDIATE 110D STAINLESS STEEL CHS PEDIATRIC,521.46,260.73,99.86,469.31,65
HCPCS,C1713,PLATE BONE 76MM HIP 4 HOLE COMPRESSION INTERMEDIATE 130D STAINLESS STEEL CHS PEDIATRIC,521.46,260.73,99.86,469.31,65
HCPCS,C1713,PLATE BONE 76MM RADIAL LEFT DISTAL VOLAR 14 HOLE INTERMEDIATE LONG NONSTERILE VARIAX,987.04,493.52,189.02,888.34,65
HCPCS,C1713,PLATE BONE 76MM RADIAL RIGHT DISTAL VOLAR 14 HOLE INTERMEDIATE LONG NONSTERILE VARIAX,987.04,493.52,189.02,888.34,65
HCPCS,C1713,PLATE BONE 76MM ULNA 8 HOLE LOW PROFILE ANGULAR STABLE FIXATION 2.7MM SCREW OSTEOTOMY STAINLESS STEEL NONSTERILE LCP COMBI,908.67,454.34,174.01,817.8,65
HCPCS,C1713,PLATE BONE 76MMX2MM RADIAL LEFT DISTAL VOLAR LOCK LONG NARROW TITANIUM VARIAX,926.35,463.18,177.4,833.72,65
HCPCS,C1713,PLATE BONE 76MMX2MM RADIAL LEFT DISTAL VOLAR LOCK LONG STANDARD TITANIUM VARIAX,926.35,463.18,177.4,833.72,65
HCPCS,C1713,PLATE BONE 77MM CLAVICLE LATERAL ANTERIOR 7 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE 2.7/3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE BONE 77MM FIBULA DISTAL 6 HOLE LOCK LOW PROFILE COMPOSITE THIN CONTOUR TIMAX NONSTERILE ALPS,236.0,118.0,45.19,212.4,65
HCPCS,C1713,PLATE BONE 77MM FIBULA LEFT DISTAL POSTEROLATERAL 3 HOLE 2.7/3.5MM SCREW CONTOUR STAINLESS STEEL STERILE LCP COMBI,540.61,270.31,103.53,486.55,65
HCPCS,C1713,PLATE BONE 77MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE BONE 77MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE 2.4MM SCREW STANDARD STAINLESS STEEL NONSTERILE LCP COMBI,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE BONE 77X10X2MM FIBULA LATERAL 3 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,562.18,281.09,107.66,505.96,65
HCPCS,C1713,PLATE BONE 77X42.2X1.27MM FOOT RIGHT CALCANEUS 3.5MM SCREW XL STAINLESS STEEL STERILE VLP,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE BONE 78MM HUMERUS RIGHT DISTAL POSTEROLATERAL 5 HOLE TAPER NONSTERILE,998.0,499.0,191.12,898.2,65
HCPCS,C1713,PLATE BONE 79MM 10 HOLE LOCK 2.7MM SCREW NARROW NONSTERILE VARIAX LATEX FREE,702.47,351.24,134.52,632.22,65
HCPCS,C1713,PLATE BONE 7MM DIA BRIDGE HOLEX3X3 TITANIUM W/0.8MM TAB,285.09,142.55,54.59,256.58,65
HCPCS,C1713,PLATE BONE 8 HOLE UNIVERSAL TITANIUM NONSTERILE MATRIXRIB,993.96,496.98,190.34,894.56,65
HCPCS,C1713,PLATE BONE 8-10MM SPINE 2 LEVEL LOCK LONG ROI-C,880.0,440.0,168.52,792.0,65
HCPCS,C1713,PLATE BONE 80MML HOLEX7 STAINLESS STEEL ANTI-GLIDE F/3.5MM SCREW EVOS STERILE LEFT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 80MML HOLEX7 STAINLESS STEEL ANTI-GLIDE F/3.5MM SCREW EVOS STERILE LEFT POSTEROLATERAL DISTAL FIBULAR,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 80MML HOLEX7 STAINLESS STEEL ANTI-GLIDE F/3.5MM SCREW EVOS STERILE RIGHT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 81MM CLAVICLE RIGHT ANTERIOR SUPERIOR 4 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,748.61,374.31,143.36,673.75,65
HCPCS,C1713,PLATE BONE 81MM HOLEX3 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE LEFT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 81MM HOLEX5 TITANIUM STANDARD EVOS STERILE LEFT DISTAL VOLAR RADIAL,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 81MML HOLEX3 F/2.7MM SCREW EVOS RIGHT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 81MML HOLEX5 STAINLESS STEEL F/3.5MM SCREW EVOS NON-STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 81MML HOLEX5 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE LEFT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 81MML HOLEX5 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE RIGHT LATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 81X10X2MM FIBULA RIGHT DISTAL LATERAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5MM SCREW 11MM SPACE STAINLESS STEEL STERILE EVOS 16.3X1.7MM,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 81X9X1MM 7 HOLE COLLAR 2.7/3.5MM CORTEX 3.5MM LOCK SCREW SMALL FRAGMENT SET 1/3 TUBULAR STAINLESS STEEL NONSTERILE LCP .7MM 12MM,137.32,68.66,26.3,123.59,65
HCPCS,C1713,PLATE BONE 82MM 6 HOLE LOCK 3.5MM SCREW SMALL FRAGMENT SET 1/3 TUBULAR STAINLESS STEEL PERI-LOC,120.96,60.48,23.16,108.86,65
HCPCS,C1713,PLATE BONE 82MML HOLEX4 STAINLESS STEEL W/TINES F/2.7/3.5MM DIA SCREW EVOS STERILE LEFT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 82MML HOLEX4 STAINLESS STEEL W/TINES F/2.7/3.5MM SCREW EVOS STERILE RIGHT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 82MML HOLEX7 STAINLESS STEEL STRAIGHT RECONSTRUCTION F/3.5MM SCREW ZUMA NON-STERILE,215.0,107.5,41.17,193.5,65
HCPCS,C1713,PLATE BONE 83MM FOOT ANKLE 7 HOLE 1/3 TUBULAR NONSTERILE,294.52,147.26,56.4,265.07,65
HCPCS,C1713,PLATE BONE 83MM HOLEX5 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT OLECRANON,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE 83MMX2-1.7MM FIBULA LEFT DISTAL LATERAL 5 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 83MMX2-1.7MM FIBULA LEFT DISTAL LATERAL 5 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL STERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 83MMX2-1.7MM FIBULA RIGHT DISTAL LATERAL 5 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 83MMX2-1.7MM FIBULA RIGHT DISTAL LATERAL 5 HOLE LOW PROFILE 3.5MM SCREW STAINLESS STEEL STERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 84MM HUMERUS RIGHT DISTAL LATERAL 3 HOLE TITANIUM NONSTERILE VARIAX,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE BONE 84MMX2MM FIBULA DISTAL 6 HOLE POLYAXIAL LOCK LOW PROFILE STRAIGHT TITANIUM NONSTERILE VARIAX,372.13,186.07,71.26,334.92,65
HCPCS,C1713,PLATE BONE 85MM CLAVICLE LEFT MEDIAL SUPERIOR 7 HOLE LOCK 3.5MM SCREW STAINLESS STEEL PERI-LOC,484.6,242.3,92.8,436.14,65
HCPCS,C1713,PLATE BONE 85MM CLAVICLE RIGHT SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE BONE 85MML HOLEX6 STAINLESS STEEL F/3.5MM SCREW LCP STERILE LEFT PROXIMAL TIBIAL,1151.46,575.73,220.5,1036.31,65
HCPCS,C1713,PLATE BONE 86MM HOLEX3 TITANIUM AXSOS STERILE LEFT PROXIMAL LATERAL HUMERAL,1355.58,677.79,259.59,1220.02,65
HCPCS,C1713,PLATE BONE 86MM HUMERUS RIGHT PROXIMAL LATERAL 3 HOLE NONSTERILE AXSOS LATEX FREE,1355.58,677.79,259.59,1220.02,65
HCPCS,C1713,PLATE BONE 86MML HOLEX3 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE RIGHT INFERIOR DISTAL CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 86MMX1.5-.9MM FIBULA LEFT DISTAL POSTEROLATERAL 7 HOLE ROUND EDGE 3.5MM SCREW SCALLOP STAINLESS STEEL NONSTERILE VLP PERI-LOC,641.52,320.76,122.85,577.37,65
HCPCS,C1713,PLATE BONE 86MMX1.5MM FIBULA DISTAL 7 HOLE BUTTRESS LOW PROFILE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL NONSTERILE VLP PERI-LOC,306.98,153.49,58.79,276.28,65
HCPCS,C1713,PLATE BONE 86X14X3.8MM TIBIAL RIGHT BUTTRESS 4 HOLE SHAFT ANGLE LEFT L STAINLESS STEEL NONSTERILE DCP,446.5,223.25,85.5,401.85,65
HCPCS,C1713,PLATE BONE 87X12X1MM 5 HOLE 3.5/4.5MM SCREW LARGE FRAGMENT SET SEMITUBULAR STAINLESS STEEL NONSTERILE,89.3,44.65,17.1,80.37,65
HCPCS,C1713,PLATE BONE 88MM HUMERUS LEFT DISTAL POSTEROLATERAL 4 HOLE VARIABLE ANGLE TAPER TIP 2.7/3.5MM SCREW MEDIUM STAINLESS STEEL STERILE LCP COMBI,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE BONE 89MM HUMERUS LEFT PROXIMAL 3 HOLE LOCK 3.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,983.56,491.78,188.35,885.2,65
HCPCS,C1713,PLATE BONE 89MM OLECRANON LEFT 4 HOLE LOCK PRECONTOUR TITANIUM NONSTERILE VARIAX,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE BONE 89MM OLECRANON RIGHT 4 HOLE LOCK PRECONTOUR TITANIUM NONSTERILE VARIAX,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE BONE 89MM TIBIAL LEFT DISTAL MEDIAL 3 HOLE LOCK NONSTERILE PERI-LOC VLP LATEX FREE,748.44,374.22,143.33,673.6,65
HCPCS,C1713,PLATE BONE 89MMX2-1.5MM TIBIAL RIGHT DISTAL MEDIAL 3 HOLE SMOOTH TIP 3.5MM SCREW CONTOUR STAINLESS STEEL NONSTERILE VLP PERI-LOC,748.44,374.22,143.33,673.6,65
HCPCS,C1713,PLATE BONE 89X10X2MM FIBULA LATERAL 4 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM NONSTERILE VARIAX 16X1.3MM,562.18,281.09,107.66,505.96,65
HCPCS,C1713,PLATE BONE 8IN HIP 7 HOLE 8 GROOVE COMPRESSION ROUND END 4.5MM SCREW BROAD STAINLESS STEEL DALL-MILES,395.2,197.6,75.68,355.68,65
HCPCS,C1713,PLATE BONE 8MMX.6MM MIDFACE RIGHT 6 HOLE BAR 1.7MM SCREW 100D STANDARD L TITANIUM NONSTERILE LEIBINGER UNIVERSAL 2 GOLD,209.94,104.97,40.2,188.95,65
HCPCS,C1713,PLATE BONE 8X2.5MM MANDIBLE 4X20X4 HOLE LOCK LOW PROFILE RECONSTRUCTION 2.4MM SCREW 2 ANGLE TITANIUM NONSTERILE,2289.65,1144.83,438.47,2060.69,65
HCPCS,C1713,PLATE BONE 90 DEGREE LOCKING CANNULATED INFANT BLADE 25X5MM 3 HOLE,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE BONE 90MM 7 HOLE COMPRESSION MINI FRAGMENT NARROW STRAIGHT STERILE VARIAX,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE BONE 90MM OLECRANON RIGHT 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP 2.7/3.5MM SCREW TITANIUM STERILE LCP COMBI,999.67,499.84,191.44,899.7,65
HCPCS,C1713,PLATE BONE 90MM TIBIAL DISTAL 5 HOLE 4 LOCK 3.5MM SCREW T STAINLESS STEEL STERILE LCP COMBI,674.81,337.41,129.23,607.33,65
HCPCS,C1713,PLATE BONE 90X11X.8MM CRANIOMAXILLOFACIAL 2X18 HOLE STRUT 1.5MM SCREW STERILE RAPIDSORB,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE BONE 90X23-15MM HIP 3 HOLE SHAFT 5MM SCREW 100D STAINLESS STEEL STERILE LCP PEDIATRIC,875.07,437.54,167.58,787.56,65
HCPCS,C1713,PLATE BONE 90X23-15MM HIP 3 HOLE SHAFT 5MM SCREW 110D STAINLESS STEEL STERILE LCP PEDIATRIC,875.07,437.54,167.58,787.56,65
HCPCS,C1713,PLATE BONE 91MML HOLEX6 STAINLESS STEEL PARTIAL ARTICULAR F/3.5MM SCREW EVOS STERILE LEFT LATERAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 91X11.2X2MM TIBIAL LEFT PROXIMAL LATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE 3.5MM SCREW 11MM SPACE STAINLESS STEEL NONSTERILE EVOS 31.9X1.8MM,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE 92MM FIBULA DISTAL 7 HOLE LOCK LOW PROFILE COMPOSITE THIN CONTOUR TIMAX NONSTERILE ALPS,258.0,129.0,49.41,232.2,65
HCPCS,C1713,PLATE BONE 93MM 14-HOLE STAINLESS STEEL F/2.7MM SCREW EVOS RIGHT SUPERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 93MM HOLEX14 STAINLESS STEEL F/2.7MM SCREW EVOS LEFT SUPERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 93MML HOLEX5 STAINLESS STEEL F/2.7/3.5MM SCREW EVOS STERILE LEFT POSTEROLATERAL DISTAL FIBULA,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE 93MMX1.5-2MM TIBIAL LEFT PROXIMAL LATERAL 6 HOLE 3.5MM SCREW SCALLOP STAINLESS STEEL NONSTERILE VLP PERI-LOC,1283.04,641.52,245.7,1154.74,65
HCPCS,C1713,PLATE BONE 93MMX1.5-2MM TIBIAL LEFT PROXIMAL LATERAL 6 HOLE 3.5MM SCREW SCALLOP STAINLESS STEEL STERILE VLP PERI-LOC,1283.04,641.52,245.7,1154.74,65
HCPCS,C1713,PLATE BONE 94.5MM PELVIC 8 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE BONE 94MM 8 HOLE 3.5MM SCREW 1/3 TUBULAR STAINLESS STEEL NONSTERILE PEDIFRAG PEDILOC,228.8,114.4,43.82,205.92,65
HCPCS,C1713,PLATE BONE 94MM CLAVICLE LEFT ANTERIOR SUPERIOR 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,761.33,380.67,145.79,685.2,65
HCPCS,C1713,PLATE BONE 94MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL STERILE LCP COMBI,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE BONE 94MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 3.5MM SCREW STAINLESS STEEL NONSTERILE LCP COMBI,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE BONE 94MM FIBULA RIGHT DISTAL LATERAL 6 HOLE NONLOCK STAINLESS STEEL STERILE,316.16,158.08,60.54,284.54,65
HCPCS,C1713,PLATE BONE 94MM HUMERUS RIGHT PROXIMAL 4 HOLE STANDARD NONSTERILE POLARUS 3 GREEN,1506.0,753.0,288.4,1355.4,65
HCPCS,C1713,PLATE BONE 94MM TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE LOCK LOW PROFILE 4.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,844.74,422.37,161.77,760.27,65
HCPCS,C1713,PLATE BONE 94MML HOLEX8 STAINLESS STEEL CURVED RECONSTRUCTION F/3.5MM SCREW ZUMA NON-STERILE,262.5,131.25,50.27,236.25,65
HCPCS,C1713,PLATE BONE 95MM FIBULA RIGHT DISTAL 3 HOLE LOCK LOW PROFILE THIN CONTOUR TIMAX NONSTERILE ALPS,698.0,349.0,133.67,628.2,65
HCPCS,C1713,PLATE BONE 95MM FOOT ANKLE 8 HOLE 1/3 TUBULAR NONSTERILE,294.52,147.26,56.4,265.07,65
HCPCS,C1713,PLATE BONE 95MM TIBIAL LEFT PROXIMAL LATERAL 2 HOLE TITANIUM NONSTERILE AXSOS 3,1281.12,640.56,245.33,1153.01,65
HCPCS,C1713,PLATE BONE 95MM TIBIAL RIGHT PROXIMAL LATERAL 2 HOLE TITANIUM NONSTERILE AXSOS 3,1281.12,640.56,245.33,1153.01,65
HCPCS,C1713,PLATE BONE 95X23-15MM HIP 4 HOLE SHAFT 5MM SCREW 120D STAINLESS STEEL STERILE LCP PEDIATRIC,875.07,437.54,167.58,787.56,65
HCPCS,C1713,PLATE BONE 96MMX2MM FIBULA DISTAL 7 HOLE POLYAXIAL LOCK LOW PROFILE STRAIGHT TITANIUM NONSTERILE VARIAX,372.13,186.07,71.26,334.92,65
HCPCS,C1713,PLATE BONE 96X11X3.4MM PERIARTICULAR 6 HOLE LOCK COMPRESSION 3.5MM SCREW PERI-LOC,154.22,77.11,29.53,138.8,65
HCPCS,C1713,PLATE BONE 96X8X2.5MM MANDIBLE 12 HOLE LOCK RECONSTRUCTION 2.4MM SCREW STRAIGHT TITANIUM NONSTERILE,949.85,474.93,181.9,854.87,65
HCPCS,C1713,PLATE BONE 97MM CLAVICLE RIGHT MEDIAL SUPERIOR 8 HOLE NONSTERILE PERI-LOC,484.6,242.3,92.8,436.14,65
HCPCS,C1713,PLATE BONE 97MM CLAVICLE RIGHT SUPERIOR 6 HOLE INCREASE CURVATURE BRIDGE NONSTERILE VARIAX,1168.13,584.07,223.7,1051.32,65
HCPCS,C1713,PLATE BONE 97MML HOLEX6 STAINLESS STEEL PARTIAL ARTICULAR F/2.7/3.5MM SCREW EVOS STERILE LEFT MEDIAL POSTERIOR ANTERIOR DISTAL TIBIAL,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE BONE 98MM TIBIAL RIGHT PROXIMAL LATERAL 6 HOLE LOCK LOW PROFILE 3.5MM SCREW STAINLESS STEEL NONSTERILE PERI-LOC,852.86,426.43,163.32,767.57,65
HCPCS,C1713,PLATE BONE 99MM FIBULA LEFT DISTAL LATERAL 5 HOLE 2.7/3.5MM SCREW CONTOUR STAINLESS STEEL NONSTERILE LCP COMBI,507.34,253.67,97.16,456.61,65
HCPCS,C1713,PLATE BONE 99MM FIBULA RIGHT DISTAL LATERAL 5 HOLE 2.7/3.5MM SCREW CONTOUR STAINLESS STEEL STERILE LCP COMBI,539.66,269.83,103.34,485.69,65
HCPCS,C1713,PLATE BONE 99MM HOLEX8 STAINLESS STEEL F/2.7MM SCREW EVOS INFERIOR MIDSHAFT CLAVICLE,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE BONE 9MM RESONATE ANTERIOR CERVICAL 1-LEVEL 9MM,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE BONE 9MMW X 24MML HOLEX5 0.8MM THK CP TITANIUM T-SHAPED BRG F/1.5MM SCREW LEVEL ONE CMF,273.83,136.92,52.44,246.45,65
HCPCS,C1713,PLATE BONE 9MMX.4MM CRANIAL 2 HOLE CENTER SPACE RIGID STRAIGHT TITANIUM NONSTERILE MATRIXNEURO BLUE,29.0,14.5,5.55,26.1,65
HCPCS,C1713,PLATE BONE ANTHEM HOLEX3 NON-STERILE DOUBLE ROW LEFT VOLAR NARROW STAINLESS STEEL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE ANTHEM II MONOAX VOLAR STAINLESS STEEL NARROW RIFHT 3 HOLE 49MM,1045.0,522.5,200.12,940.5,65
HCPCS,C1713,PLATE BONE ANTHEM II MONOAX VOLAR WIDE LEFT 4 HOLE 58MM STAINLESS STEEL,1140.0,570.0,218.31,1026.0,65
HCPCS,C1713,PLATE BONE BOX 4 HOLE NONSTERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,PLATE BONE CANNULATED LOCKING 3.5MM DIA 45MML BLADE HOLEX4 STAINLESS STEEL CHILD 130DEG ANGLED PEDILOC,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE BONE CANNULATED LOCKING 3.5MM DIA 50MML BLADE HOLEX4 STAINLESS STEEL CHILD 130DEG ANGLED PEDILOC,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE BONE CANNULATED LOCKING HOLEX4 40MM BLADE 6MM OFFSET STAINLESS STEEL ADOLESCENT 90DEG ANGLED PEDILOC DISTAL FEMORAL,1109.46,554.73,212.46,998.51,65
HCPCS,C1713,PLATE BONE CANNULATED LOCKING HOLX4 40MM BLADE STAINLESS STEEL CHILD 130DEG ANGLED PEDILOC,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE BONE CHAMPY MINI HOLEX6 1MM THK CP TITANIUM 110DEG ANGLED F/2MM SCREW LEVEL ONE LEFT MANDIBULAR CRANIOMAXILLOFACIAL,154.12,77.06,29.51,138.71,65
HCPCS,C1713,PLATE BONE CHAMPY MINI LONG 2.0MM DIA HOLEX4 CP TITANIUM 80DEG ANGLED TURNED W/BAR F/2MM SCREW LEFT MANDIBULAR,154.12,77.06,29.51,138.71,65
HCPCS,C1713,PLATE BONE CHIARI MALFORMATION,1577.0,788.5,302.0,1419.3,65
HCPCS,C1713,PLATE BONE COMPRESSION 104MM HOLEX5 STAINLESS STEEL VARIABLE ANGLE FUSION UTILITY F/3.5MM SCREW PERI-LOC VLP STERILE RIGHT ANKLE HINDFOOT,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE BONE COMPRESSION 127MML HOLEX15 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION 139MM 11-HOLE TITANIUM CURVED BROAD VARIAX NON-STERILE,727.35,363.68,139.29,654.62,65
HCPCS,C1713,PLATE BONE COMPRESSION 174MM HOLEX14 TITANIUM STRAIGHT NARROW VARIAX STERILE,727.35,363.68,139.29,654.62,65
HCPCS,C1713,PLATE BONE COMPRESSION 177MML HOLEX14 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION 198MM 16-HOLE TITANIUM STRAIGHT NARROW VARIAX STERILE,1005.95,502.98,192.64,905.36,65
HCPCS,C1713,PLATE BONE COMPRESSION 202MM HOLEX16 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION 3.5MM DIA 127MML HOLEX10 EVOS,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION 3.5MM DIA 152MML HOLEX12 EVOS,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION 32MM 1.7MM THK 10DEG ANGLED BETA LINKED BLUE F/18MM HIMAX-C STAPLE DYNABUNION MOTOBAND CP STERILE LAPIDUS,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE BONE COMPRESSION 33MML HOLEX4 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE,220.32,110.16,42.19,198.29,65
HCPCS,C1713,PLATE BONE COMPRESSION 50MM HOLEX6 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE,220.32,110.16,42.19,198.29,65
HCPCS,C1713,PLATE BONE COMPRESSION 52MM HOLEX4 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE,220.32,110.16,42.19,198.29,65
HCPCS,C1713,PLATE BONE COMPRESSION 67MML HOLEX8 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION 84MML HOLEX10 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION HOLEX4X2 0.6MM THK TITANIUM TRAPEZOID GRID F/1.2/1.5MM SCREW APTUS HAND,340.0,170.0,65.11,306.0,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 125MM HOLEX7 TITANIUM F/2.7/3.5MM SCREW LCP NON-STERILE RIGHT LATERAL DISTAL FIBULA,546.89,273.45,104.73,492.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 162MML HOLEX14 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 2.7MM DIA 113MML HOLEX15 EVOS,350.0,175.0,67.03,315.0,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 2.7MM DIA 136MML HOLEX18 EVOS,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 2.7MM DIA 76MML HOLEX10 EVOS 7244-0210,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 2.7MM DIA 76MML HOLEX10 EVOS 7244-0210N,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 227MM 12-HOLE TITANIUM BROAD F/5MM SCREW AXSOS NON-STERILE,1306.62,653.31,250.22,1175.96,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 229MML HOLEX12 STAINLESS STEEL CONTOURED PLUS F/4.5MM SCREW PERI-LOC,399.25,199.63,76.46,359.33,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 79MML HOLEX4 STAINLESS STEEL 130DEG ANGLED STANDARD BARREL KEYLESS OMEGA3 STERILE HIP,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 8-HOLE STAINLESS STEEL PEDIATRIC CONTOURED F/3.5MM SCREW PEDILOC RIGHT FEMORAL,2226.49,1113.25,426.37,2003.84,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 81MM HOLEX7 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING 93MML HOLEX8 STAINLESS STEEL F/3.5MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING LOW-PROFILE 28MM X 32.7MM 1.5MM THK TIMAX CONTOURED ANATOMICAL FIXED ANGLE A.L.P.S NON-STERILE LEFT CORONOID ELBOW,620.0,310.0,118.73,558.0,65
HCPCS,C1713,PLATE BONE COMPRESSION LOCKING WIDE 4-HOLE STAINLESS STEEL PEDIATRIC F/3.5MM SCREW PEDILOC RIGHT MEDIAL DISTAL TIBIAL,1207.53,603.77,231.24,1086.78,65
HCPCS,C1713,PLATE BONE COMPRESSION NON-LOCKING LARGE 1.3MMH HOLEX10 TITANIUM T-SHAPED NARROW PRE-CONTOURED ROTATIONAL F/2.3MM SCREW PROFYLE HAND,216.91,108.46,41.54,195.22,65
HCPCS,C1713,PLATE BONE COMPRESSIONLOCKING 47MML HOLEX3 STAINLESS STEEL 130DEG ANGLED STANDARD BARREL KEYED OMEGA3 STERILE HIP,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE BONE CONDYLAR 7 HOLE SHAFT 2 MM SCREW LCP,582.61,291.31,111.57,524.35,65
HCPCS,C1713,PLATE BONE CRANIAL CUSTOM PROPHYLACTIC CRANIAL IRRADIATION PEEK NONSTERILE IPS,11400.0,5700.0,2183.1,10260.0,65
HCPCS,C1713,PLATE BONE CRANIOFACIAL 4 HOLE 1.3MM CORTEX SCREW X TITANIUM NONSTERILE,93.75,46.88,17.95,84.38,65
HCPCS,C1713,PLATE BONE CRANIOMAXILLOFACIAL 3X4 HOLE 1.5MM SCREW L OBLIQUE RIGHT TITANIUM,278.3,139.15,53.29,250.47,65
HCPCS,C1713,PLATE BONE CUBOID POLYAXIAL LOCK NONSTERILE VARIAX LATEX FREE,964.16,482.08,184.64,867.74,65
HCPCS,C1713,PLATE BONE DYNABUNION STANDARD 18MM LEFT,2064.72,1032.36,395.39,1858.25,65
HCPCS,C1713,PLATE BONE DYNAMIC COMPRESSION 104MML HOLEX11 STAINLESS STEEL F/2.7MM SCREW LC-DCP NON-STERILE DISTAL ULNAR,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE BONE DYNAMIC COMPRESSION 113MML HOLEX12 STAINLESS STEEL F/2.7MM SCREW LC-DCP NON-STERILE DISTAL ULNAR,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE BONE DYNAMIC COMPRESSION 68MML HOLEX7 STAINLESS STEEL LIMITED-CONTACT F/2.7MM SCREW LC-DCP NON-STERILE DISTAL ULNAR,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE BONE DYNAMIC COMPRESSION 86MML HOLEX9 STAINLESS STEEL F/2.7MM SCREW LC-DCP NON-STERILE DISTAL ULNAR,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE BONE DYNAMIC COMPRESSION 95MML HOLEX10 STAINLESS STEEL LIMITED-CONTACT F/2.7MM SCREW LC-DCP NON-STERILE DISTAL ULNAR,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE BONE DYNAMIC COMPRESSION LOCKING 267MM HOLEX16 60MM BLADE STAINLESS STEEL 95DEG ANGLED F/4.5MM SCREW DCP STERILE CONDYLAR,1184.73,592.37,226.88,1066.26,65
HCPCS,C1713,PLATE BONE EVOS 48MM HOLEX3 NON-STERILE STANDARD RIGHT DISTAL VOLAR RADIAL TITANIUM,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE EVOS ANTI-GLIDE STAINLESS STEEL RIGHT POSTEROLATERAL DISTAL FIBULA 5 HOLE 3.5X58MM,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE EVOS COMPRESSION STAINLESS STEEL 8 HOLE 3.5X102MM,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE EVOS FLEXIBLE STAINLESS STEEL 10 HOLE 2.7X70MM STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE EVOS FLEXIBLE STAINLESS STEEL 6 HOLE 2.4X37MM STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE FIBULA STRAIGHT HOLEX3 UNITE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE FOOT 4 HOLE POLYAXIAL LOCK LOW PROFILE CURVE TITANIUM NONSTERILE VARIAX,531.33,265.67,101.75,478.2,65
HCPCS,C1713,PLATE BONE FOOT 4 HOLE POLYAXIAL LOCK LOW PROFILE LARGE H TITANIUM NONSTERILE VARIAX,539.29,269.65,103.27,485.36,65
HCPCS,C1713,PLATE BONE FOOT 4 HOLE POLYAXIAL LOCK LOW PROFILE MEDIUM H TITANIUM NONSTERILE VARIAX,636.8,318.4,121.95,573.12,65
HCPCS,C1713,PLATE BONE FOOT 4 HOLE POLYAXIAL LOCK LOW PROFILE SMALL H TITANIUM NONSTERILE VARIAX,450.74,225.37,86.32,405.67,65
HCPCS,C1713,PLATE BONE FOOT 4 HOLE POLYAXIAL LOCK LOW PROFILE T TITANIUM NONSTERILE VARIAX,382.08,191.04,73.17,343.87,65
HCPCS,C1713,PLATE BONE FOOT 5 HOLE POLYAXIAL LOCK LOW PROFILE LONG BROAD STRAIGHT TITANIUM NONSTERILE VARIAX,615.91,307.96,117.95,554.32,65
HCPCS,C1713,PLATE BONE FOOT 5 HOLE POLYAXIAL LOCK LOW PROFILE MEDIUM BROAD STRAIGHT TITANIUM NONSTERILE VARIAX,560.19,280.1,107.28,504.17,65
HCPCS,C1713,PLATE BONE FOOT 5 HOLE POLYAXIAL LOCK LOW PROFILE SHORT BROAD STRAIGHT TITANIUM NONSTERILE VARIAX,536.31,268.16,102.7,482.68,65
HCPCS,C1713,PLATE BONE FOOT 6 HOLE POLYAXIAL LOCK LOW PROFILE COMPRESSION 1 RECTANGULAR TITANIUM NONSTERILE VARIAX SMARTLOCK,531.33,265.67,101.75,478.2,65
HCPCS,C1713,PLATE BONE FOOT 6 HOLE POLYAXIAL LOCK LOW PROFILE CURVE TITANIUM NONSTERILE VARIAX,648.74,324.37,124.23,583.87,65
HCPCS,C1713,PLATE BONE FOOT CALCANEUS POLYAXIAL LOCK LOW PROFILE MESH LARGE TITANIUM NONSTERILE VARIAX,711.43,355.72,136.24,640.29,65
HCPCS,C1713,PLATE BONE FOOT CALCANEUS POLYAXIAL LOCK LOW PROFILE MESH SMALL TITANIUM NONSTERILE VARIAX,711.43,355.72,136.24,640.29,65
HCPCS,C1713,PLATE BONE FOOT LEFT 4 HOLE POLYAXIAL LOCK LOW PROFILE OBLIQUE T TITANIUM NONSTERILE VARIAX,541.28,270.64,103.66,487.15,65
HCPCS,C1713,PLATE BONE FOOT LEFT 5 HOLE POLYAXIAL LOCK LOW PROFILE CURVE TITANIUM NONSTERILE VARIAX,577.1,288.55,110.51,519.39,65
HCPCS,C1713,PLATE BONE FOOT LEFT 5 HOLE POLYAXIAL LOCK LOW PROFILE L TITANIUM NONSTERILE VARIAX,382.08,191.04,73.17,343.87,65
HCPCS,C1713,PLATE BONE FOOT LEFT 6 HOLE POLYAXIAL LOCK LOW PROFILE 3D TITANIUM NONSTERILE VARIAX,680.58,340.29,130.33,612.52,65
HCPCS,C1713,PLATE BONE FOOT LEFT LOCK POLYAXIAL CROSS LAPIDUS T10 NONSTERILE ANCHORAGE,2510.39,1255.2,480.74,2259.35,65
HCPCS,C1713,PLATE BONE FOOT RECONSTRUCTION LOW PROFILE FOOT RECONSTRUCTION SYSTEM 1MM SPACE ORTHOLOC 3DI,1339.0,669.5,256.42,1205.1,65
HCPCS,C1713,PLATE BONE FOOT RIGHT 4 HOLE POLYAXIAL LOCK LOW PROFILE OBLIQUE T TITANIUM NONSTERILE VARIAX,541.28,270.64,103.66,487.15,65
HCPCS,C1713,PLATE BONE FOOT RIGHT 5 HOLE POLYAXIAL LOCK LOW PROFILE CURVE TITANIUM NONSTERILE VARIAX,577.1,288.55,110.51,519.39,65
HCPCS,C1713,PLATE BONE FOOT RIGHT 5 HOLE POLYAXIAL LOCK LOW PROFILE L TITANIUM NONSTERILE VARIAX,382.08,191.04,73.17,343.87,65
HCPCS,C1713,PLATE BONE FOOT RIGHT 6 HOLE POLYAXIAL LOCK LOW PROFILE 3D TITANIUM NONSTERILE VARIAX,680.58,340.29,130.33,612.52,65
HCPCS,C1713,PLATE BONE FOREFOOT MIDFOOT LOCK VARIABLE ANGLE 2.4/2.7MM SCREW OPEN WEDGE OSTEOTOMY 0MM SPACER STAINLESS STEEL STERILE LCP,900.21,450.11,172.39,810.19,65
HCPCS,C1713,PLATE BONE HOLEX10 STRAIGHT UNITE TIBIA FIBULA,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE HOLEX3 TITANIUM F/2.4MM SCREW VLP MINI-MOD STERILE RIGHT LATERAL TALUS,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE HOLEX4 TITANIUM F/2.4MM SCREW VLP MINI-MOD STERILE RIGHT LATERAL TALUS,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE HOLEX7 FLEX FIBULA,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE HOLEX8 STAINLESS STEEL FLEXIBLE F/2.7MM SCREW EVOS STERILE,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE BONE L71 MM X W10.9 MM X H2 MM 11 MM SPACE T TIBIAL LEFT PROXIMAL POSTEROMEDIAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W32.5 MM X H2 MM 3.5 MM SCRW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE LAPIDUS IMPLANT SYSTEM STERILE MOTOBAND DYNAFORCE HIMAX,1837.92,918.96,351.96,1654.13,65
HCPCS,C1713,PLATE BONE LARGE UNITE RIGHT LATERAL FIBULA,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE LOCK COMPRESSION STAINLESS STEEL 7 HOLE 3.5MM,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,PLATE BONE LOCKING 104MML HOLEX5 STAINLESS STEEL CONTOURED VARIABLE ANGLE F/3.5MM SCREW PERI-LOC VLP STERILE LEFT HINDFOOT,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE BONE LOCKING 118MML HOLEX10 STAINLESS STEEL 1/3 TUBULAR F/3.5MM SCREW EVOS STERILE,245.72,122.86,47.06,221.15,65
HCPCS,C1713,PLATE BONE LOCKING 123MML HOLEX8 STAINLESS STEEL CONTOURED SCALLOPED F/3.5MM SCREW PERI-LOC RIGHT DISTAL ANTEROLATERAL TIBIAL,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE BONE LOCKING 137MM 10-HOLE STAINLESS STEEL T-SHAPED F/3.5MM SCREW EVOS STERILE LEFT POSTEROMEDIAL PROXIMAL TIBIAL,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE BONE LOCKING 165MML HOLEX8 STAINLESS STEEL CONTOURED SCALLOPED F/4.5MM SCREW PERI-LOC LEFT LATERAL PROXIMAL TIBIAL,907.2,453.6,173.73,816.48,65
HCPCS,C1713,PLATE BONE LOCKING 202MM HOLEX12 STAINLESS STEEL WAISTED F/4MM SCREW AXSOS STERILE LEFT PROXIMAL HUMERAL,1067.94,533.97,204.51,961.15,65
HCPCS,C1713,PLATE BONE LOCKING 202MM HOLEX12 STAINLESS STEEL WAISTED F/4MM SCREW AXSOS STERILE RIGHT PROXIMAL HUMERAL,1067.94,533.97,204.51,961.15,65
HCPCS,C1713,PLATE BONE LOCKING 255MML HOLEX13 STAINLESS STEEL CONTOURED SCALLOPED F/4.5MM SCREW PERI-LOC RIGHT LATERAL PROXIMAL TIBIAL,907.2,453.6,173.73,816.48,65
HCPCS,C1713,PLATE BONE LOCKING 342MML HOLEX16 STAINLESS STEEL CONTOURED SCALLOPED F/4.5MM SCREW PERI-LOC RIGHT LATERAL DISTAL FEMORAL,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE BONE LOCKING 73MM HOLEX4 STAINLESS STEEL CONTOURED SCALLOPED F/3.5MM SCREW PERI-LOC STERILE RIGHT LATERAL PROXIMAL TIBIAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE BONE LOCKING 9MMW X 23MML HOLEX6 TITANIUM ROUNDED EDGES VARIABLE ANGLE MULTIDIRECTIONAL F/1.2MM/1.5MM SCREW APTUS HAND,340.0,170.0,65.11,306.0,65
HCPCS,C1713,PLATE BONE LOCKING CANNULATED HOLEX2 30MML BLADE 5MM OFFSET STAINLESS STEEL INFANT 90DEG ANGLED PEDILOC FEMORAL,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE BONE LOCKING CANNULATED HOLEX4 50MML BLADE 0MM OFFSET STAINLESS STEEL ADOLESCENT 130DEG ANGLED PEDILOC,1109.46,554.73,212.46,998.51,65
HCPCS,C1713,PLATE BONE LOCKING CANNULATED HOLEX4 60MML BLADE 0MM OFFSET STAINLESS STEEL ADOLESCENT 130DEG ANGLED LORDOTIC PEDILOC LEFT/RIGHT,1109.46,554.73,212.46,998.51,65
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION 113MML HOLEX15 STAINLESS STEEL F/2.7MM SCREW EVOS STERILE,378.0,189.0,72.39,340.2,65
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION 2.5MM DIA 67MML HOLEX3 STAINLESS STEEL CONTOURED VARIABLE PRIMARY F/2.5MM SCREW PERI-LOC VLP STERILE RIGHT ANTERIOR FIBULAR,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION 3.5MM DIA 67MML HOLEX3 STAINLESS STEEL SMALL BEND F/ANKLE FUSION PLATING SYSTEM PERI-LOC VLP LEFT ANTERIOR,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION 47MML HOLEX2 STAINLESS STEEL 135DEG ANGLED STANDARD BARREL KEYED OMEGA3 STERILE HIP,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION 63MML HOLEX3 STAINLESS STEEL 140DEG ANGLED STANDARD BARREL KEYED OMEGA3 STERILE HIP,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE BONE LOCKING COMPRESSION 63MML HOLEX3 STAINLESS STEEL 145DEG ANGLED STANDARD BARREL KEYED OMEGA3 STERILE HIP,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE BONE LOCKING HOLEX10 CURVED A,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE BONE LOCKING HOLEX10 STRAIGHT,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE BONE LOCKING HOLEX12 TITANIUM STRAIGHT VARIABLE ANGLE F/1.5MM SCREW STERILE,453.6,226.8,86.86,408.24,65
HCPCS,C1713,PLATE BONE LOCKING HOLEX15 CURVED A,1165.0,582.5,223.1,1048.5,65
HCPCS,C1713,PLATE BONE LOCKING HOLEX15 STRAIGHT ELBOW/FOREARM,1165.0,582.5,223.1,1048.5,65
HCPCS,C1713,PLATE BONE LOCKING HOLEX8 STRAIGHT ELBOW/FOREARM,740.0,370.0,141.71,666.0,65
HCPCS,C1713,PLATE BONE LOCKING LARGE 33.5MMW X 62MML 1.27MM STAINLESS STEEL CONTOURED VARIABLE ANGLE F/2.7MM SCREW PERI-LOC VLP STERILE LEFT PERCUTANEOUS CALCANEOUS,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE BONE LOCKING LARGE TITANIUM MINI-CALC NON-STERILE LEFT ANTERIOR PROCESS CALCANEOUS,799.0,399.5,153.01,719.1,65
HCPCS,C1713,PLATE BONE LOW-PROFILE 1.5MML HOLEX16 TITANIUM STRAIGHT RECONSTRUCTION LATEX-FREE,415.0,207.5,79.47,373.5,65
HCPCS,C1713,PLATE BONE MANUBRIUM 8 HOLE LOCK 2.4MM SCREW LARGE H TITANIUM NONSTERILE,714.45,357.23,136.82,643.01,65
HCPCS,C1713,PLATE BONE MAXILLOMANDIBULAR 10 HOLE SHORT TITANIUM NONSTERILE MATRIXWAVE,256.85,128.43,49.19,231.17,65
HCPCS,C1713,PLATE BONE MEDIUM UNITE RIGHT POSTERIOR FIBULA,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE MESH 40MMW X 40MML 0.6MM THK RESORB-X STERILE ORBITAL,824.6,412.3,157.91,742.14,65
HCPCS,C1713,PLATE BONE METATARSAL LEFT TENSION SIDE MULTIPLANAR FIXATION LAPIPLASTY PLANTAR PYTHON,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,PLATE BONE METATARSAL RIGHT TENSION SIDE MULTIPLANAR FIXATION LAPIPLASTY PLANTAR PYTHON,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,PLATE BONE METATARSOPHALANGEAL LEFT LOCK POLYAXIAL CROSS T8 NONSTERILE ANCHORAGE,2510.39,1255.2,480.74,2259.35,65
HCPCS,C1713,PLATE BONE METATARSOPHALANGEAL RIGHT CLIP DORSIFLEXION VALGUS SUPERELASTIC FIXATION SYSTEM 0D 5D 18MM LONG STERILE MOTOBAND CP DYNAFORCE LATEX FREE,1892.52,946.26,362.42,1703.27,65
HCPCS,C1713,PLATE BONE METATARSOPHALANGEAL RIGHT CLIP DORSIFLEXION VALGUS SUPERELASTIC FIXATION SYSTEM 5D 5D 18MM LONG STERILE MOTOBAND CP LATEX FREE,1892.52,946.26,362.42,1703.27,65
HCPCS,C1713,PLATE BONE MINI LONG HOLEX6 CP TITANIUM 110DEG ANGLED BAR TURNED F/2MM SCREW LEVEL ONE RIGHT MANDIBULAR,154.12,77.06,29.51,138.71,65
HCPCS,C1713,PLATE BONE MINI MEDIUM HOLEX4 1MM THK CP TITANIUM STRAIGHT F/2MM SCREW LEVEL ONE 5/PK CRANIOMAXILLOFACIAL,279.3,139.65,53.49,251.37,65
HCPCS,C1713,PLATE BONE NON-LOCKING 38MML HOLEX3 STAINLESS STEEL 1/3 TUBULAR PERI-LOC STERILE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,PLATE BONE NON-LOCKING 50MML HOLEX4 STAINLESS STEEL 1/3 TUBULAR PERI-LOC STERILE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,PLATE BONE NON-LOCKING 62MML HOLEX5 STAINLESS STEEL 1/3 TUBULAR PERI-LOC STERILE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,PLATE BONE PEEK NONSTERILE IPS,11448.0,5724.0,2192.29,10303.2,65
HCPCS,C1713,PLATE BONE PELVIC 1 HOLE SPRING 3.5 MM SCREW STAINLESS STEEL STERILE,256.11,128.06,49.05,230.5,65
HCPCS,C1713,PLATE BONE PELVIC 2 HOLE SPRING 3.5 MM SCREW STAINLESS STEEL STERILE,273.63,136.82,52.4,246.27,65
HCPCS,C1713,PLATE BONE RADIAL DISTAL VOLAR RIGHT WIDE NONSTERILE VARIAX,995.0,497.5,190.54,895.5,65
HCPCS,C1713,PLATE BONE RADIAL LEFT DISTAL VOLAR 7 HOLE STANDARD TITANIUM NONSTERILE GEMINUS,802.0,401.0,153.58,721.8,65
HCPCS,C1713,PLATE BONE RADIAL RIGHT DISTAL VOLAR 7 HOLE STANDARD TITANIUM NONSTERILE GEMINUS,802.0,401.0,153.58,721.8,65
HCPCS,C1713,PLATE BONE RADIUS LEFT DISTAL VOLAR 3 HOLE WRIST FOREARM SET NARROW TITANIUM NONSTERILE GEMINUS,729.0,364.5,139.6,656.1,65
HCPCS,C1713,PLATE BONE RADIUS LEFT DISTAL VOLAR 3 HOLE WRIST FOREARM SET STANDARD TITANIUM NONSTERILE GEMINUS,729.0,364.5,139.6,656.1,65
HCPCS,C1713,PLATE BONE RADIUS LEFT DISTAL VOLAR 4 HOLE WRIST FOREARM SET NARROW TITANIUM NONSTERILE GEMINUS,754.0,377.0,144.39,678.6,65
HCPCS,C1713,PLATE BONE RADIUS RIGHT DISTAL VOLAR 3 HOLE WRIST FOREARM SET NARROW TITANIUM NONSTERILE GEMINUS,729.0,364.5,139.6,656.1,65
HCPCS,C1713,PLATE BONE RADIUS RIGHT DISTAL VOLAR 3 HOLE WRIST FOREARM SET STANDARD TITANIUM NONSTERILE GEMINUS,729.0,364.5,139.6,656.1,65
HCPCS,C1713,PLATE BONE RADIUS RIGHT DISTAL VOLAR 4 HOLE WRIST FOREARM SET WIDE TITANIUM NONSTERILE GEMINUS,768.0,384.0,147.07,691.2,65
HCPCS,C1713,PLATE BONE RIB 24 HOLE PREBENT TITANIUM NONSTERILE RIBFIX BLU,3179.0,1589.5,608.78,2861.1,65
HCPCS,C1713,PLATE BONE RIB 8 HOLE STRAIGHT TITANIUM NONSTERILE RIBFIX BLU,1435.0,717.5,274.8,1291.5,65
HCPCS,C1713,PLATE BONE RIGHT 3X4 HOLE 1.3MM SCREW L OBLIQUE TITANIUM,247.5,123.75,47.4,222.75,65
HCPCS,C1713,PLATE BONE SHORT 32MM ANATOMICAL F/FRAGMENT SYSTEM VARIAX 2 LEFT VOLAR RIM DISTAL RADIAL,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE BONE SIXTH RIB SEVENTH RIB LEFT 17 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM NONSTERILE MATRIXRIB,1457.28,728.64,279.07,1311.55,65
HCPCS,C1713,PLATE BONE SMALL 37MMW X 45MML 0.3MM THK RETROSIGMOID LATEX-FREE,716.0,358.0,137.11,644.4,65
HCPCS,C1713,PLATE BONE SMALL UNITE LEFT POSTERIOR FIBULA,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE SMALL UNITE RIGHT POSTERIOR FIBULA,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE SMALL UNITE RIGHT POSTERIOR TIBIAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE STANDARD 74MM 7-HOLE VARIAX LEFT VOLAR DISTAL RADIUS,1195.0,597.5,228.84,1075.5,65
HCPCS,C1713,PLATE BONE STANDARD UNITE LEFT LATERAL POSTERIOR TIBIAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE STANDARD UNITE RIGHT LATERAL POSTERIOR TIBIAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE BONE STERNAL 4 HOLE LOW PROFILE 2 SIDE 2.4MM SCREW SQUARE STERNALOCK BLU,546.0,273.0,104.56,491.4,65
HCPCS,C1713,PLATE BONE STERNAL 4 HOLE LOW PROFILE 2 SIDE 2.4MM SCREW STRAIGHT STERNALOCK BLU,546.0,273.0,104.56,491.4,65
HCPCS,C1713,PLATE BONE STERNAL 8 HOLE 2.4MM SCREW JL STERNALOCK BLU,691.0,345.5,132.33,621.9,65
HCPCS,C1713,PLATE BONE STERNAL CLOSURE STERNALOCK 360,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,PLATE BONE STERNUM 12 HOLE LOCK 2.4MM SCREW STRAIGHT TITANIUM NONSTERILE,1221.0,610.5,233.82,1098.9,65
HCPCS,C1713,PLATE BONE STERNUM 20 HOLE LOCK 2.4MM SCREW STRAIGHT TITANIUM NONSTERILE,1622.5,811.25,310.71,1460.25,65
HCPCS,C1713,PLATE BONE SUPRAPECTINEAL LEFT STERILE PRO LATEX FREE,2389.0,1194.5,457.49,2150.1,65
HCPCS,C1713,PLATE BONE SUPRAPECTINEAL RIGHT STERILE PRO LATEX FREE,2389.0,1194.5,457.49,2150.1,65
HCPCS,C1713,PLATE BONE TALONAVICULAR LOCK POLYAXIAL LONG NONSTERILE VARIAX LATEX FREE,1051.72,525.86,201.4,946.55,65
HCPCS,C1713,PLATE BONE TALUS LEFT LATERAL 3 HOLE 2.4 MM SCREW STERILE VLP MINI-MOD LATEX FREE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE TALUS LEFT LATERAL 4 HOLE 2.4 MM SCREW STERILE VLP MINI-MOD LATEX FREE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE BONE TIBIOTALAR RIGHT ANTERIOR NONSTERILE AXSOS 3 LATEX FREE,2312.34,1156.17,442.81,2081.11,65
HCPCS,C1713,PLATE BONE TITANIUM F/FRAGMENT PROTEAN NON-STERILE LEFT RADIAL HEAD,1332.0,666.0,255.08,1198.8,65
HCPCS,C1713,PLATE BONE TITANIUM FLAT W/CONTOURED 60-001-32-09 ANTERIOR LEFT TIBIOTALAR,1450.0,725.0,277.68,1305.0,65
HCPCS,C1713,PLATE BONE VARIAX VOLAR DR WIDE LEFT 7 HOLE 76M,1194.0,597.0,228.65,1074.6,65
HCPCS,C1713,PLATE BONE VOLT 2 COLUMN DISTAL RADIUS  7 HEAD 3 SHAFT LEFT WIDE 2.4/2.7 56MM,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,PLATE BONE WIDE 105MM HOLEX7 TITANIUM EVOS STERILE RIGHT VOLAR,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE BONE WIDE 48MM HOLEX3 TITANIUM EVOS NON-STERILE LEFT VOLAR,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE WIDE 48MM HOLEX3 TITANIUM EVOS STERILE LEFT VOLAR,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE BONE WRIST 8 HOLE FUSION 2.7/3.5MM CORTEX SCREW SHORT BEND TITANIUM NONSTERILE,878.82,439.41,168.29,790.94,65
HCPCS,C1713,PLATE BONE WRIST 9 HOLE FUSION STRAIGHT TITANIUM,820.62,410.31,157.15,738.56,65
HCPCS,C1713,PLATE BUTTRESS TIGHTROPE XP BONE,3995.0,1997.5,765.04,3595.5,65
HCPCS,C1713,PLATE C PREBENT MANDIBLE 4 HOLE ARROW NA BONE,915.0,457.5,175.22,823.5,65
HCPCS,C1713,PLATE CALCANEUS EDGELOCK BONE,1253.7,626.85,240.08,1128.33,65
HCPCS,C1713,PLATE CALCANEUS MEDIAL SLIDE GORILLA BONE,1485.0,742.5,284.38,1336.5,65
HCPCS,C1713,PLATE CENTRAL COLUMN PROTEAN RIGHI BONE,942.0,471.0,180.39,847.8,65
HCPCS,C1713,PLATE CERES 32MM,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE CERES 48MM,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE CERES 54MM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE CERVICAL 2 LEVEL 30MM,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE CERVICAL 37MM,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE CLAVICLE LATERAL ANTERIOR 8 HOLE STAINLESS STEEL CLAVICLE PLATE BONE,1025.0,512.5,196.29,922.5,65
HCPCS,C1713,PLATE CLAVICLE LEFT LATERAL SUPERIOR 11 HOLE CLAVICLE PLATE BONE,1119.0,559.5,214.29,1007.1,65
HCPCS,C1713,PLATE CLAVICLE LEFT LATERAL SUPERIOR 12 HOLE CLAVICLE PLATE BONE,1119.0,559.5,214.29,1007.1,65
HCPCS,C1713,PLATE CLAVICLE LEFT LATERAL SUPERIOR 3 HOLE VARIAX BONE,1061.67,530.84,203.31,955.5,65
HCPCS,C1713,PLATE CLAVICLE LEFT LATERAL SUPERIOR 4 HOLE VARIAX BONE,1061.67,530.84,203.31,955.5,65
HCPCS,C1713,PLATE CLAVICLE LEFT LATERAL SUPERIOR 7 HOLE VARIAX BONE,1310.42,655.21,250.95,1179.38,65
HCPCS,C1713,PLATE CLAVICLE LEFT SUPERIOR 8 HOLE MIDSHAFT CLAVICLE PLATE BONE,932.0,466.0,178.48,838.8,65
HCPCS,C1713,PLATE CLAVICLE LEFT SUPERIOR 9 HOLE MIDSHAFT CLAVICLE PLATE BONE,932.0,466.0,178.48,838.8,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LATERAL SUPERIOR 12 HOLE CLAVICLE PLATE BONE,1119.0,559.5,214.29,1007.1,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LATERAL SUPERIOR 3 HOLE VARIAX BONE,1061.67,530.84,203.31,955.5,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LATERAL SUPERIOR 4 HOLE VARIAX BONE,1061.67,530.84,203.31,955.5,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LATERAL SUPERIOR 5 HOLE VARIAX BONE,1061.67,530.84,203.31,955.5,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LATERAL SUPERIOR 7 HOLE VARIAX BONE,1310.42,655.21,250.95,1179.38,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LATERAL SUPERIOR 9 HOLE VARIAX BONE,1401.96,700.98,268.48,1261.76,65
HCPCS,C1713,PLATE CLAVICLE RIGHT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE CLAVICLE RIGHT SUPERIOR 7 HOLE MIDSHAFT CLAVICLE PLATE BONE,932.0,466.0,178.48,838.8,65
HCPCS,C1713,PLATE CLAVICLE RIGHT SUPERIOR 8 HOLE MIDSHAFT CLAVICLE PLATE BONE,932.0,466.0,178.48,838.8,65
HCPCS,C1713,PLATE CLAVICLE RIGHT SUPERIOR 9 HOLE MIDSHAFT CLAVICLE PLATE BONE,932.0,466.0,178.48,838.8,65
HCPCS,C1713,PLATE CLOVER LEFT 5 HOLE COMPRESSION GORILLA BONE LISFRANC,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE CNCTG THRD 3 H,90.29,45.15,19.69,81.26,64
HCPCS,C1713,PLATE COMPRESSION POLYLOCK TN (LMR),1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE COMPRSS NRW STR 7H 90MM,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE CONDYLAR 6 HOLE SHAFT LOW PROFILE CUT TO LENGTH SHORT THREAD DRILL GUIDE TITANIUM LCP COMBI BONE 1.5 MM SCREW MODULAR MINI FRAGMENT SET,426.65,213.33,81.7,383.99,65
HCPCS,C1713,PLATE CONTOUR 4 HOLE LOCK ATTACHMENT LOW PROFILE TITANIUM BONE 3.5 SCREW 4 MM LCP PLATE PERIPROSTHETIC,774.0,387.0,148.22,696.6,65
HCPCS,C1713,PLATE CONTOUR 4 HOLE LOW PROFILE LOCK ATTACHMENT STAINLESS STEEL BONE 3.5 MM SCREW 4.5 MM LCP PLATE PERIPROSTHETIC,774.0,387.0,148.22,696.6,65
HCPCS,C1713,PLATE CONTOUR 4 HOLE LOW PROFILE LOCK ATTACHMENT STAINLESS STEEL BONE 3.5 MM SCREW 4.5 MM PROXIMAL FEMUR LCP PLATE PERIPROSTHETIC,774.0,387.0,148.22,696.6,65
HCPCS,C1713,PLATE CONTOUR ANKLE RIGHT 8 HOLE HOOK STAINLESS STEEL ANKLE HOOK PLATE BONE,765.0,382.5,146.5,688.5,65
HCPCS,C1713,PLATE CONTOUR CUBOID LEFT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.4/2.7 MM SCREW,1105.65,552.83,211.73,995.09,65
HCPCS,C1713,PLATE CONTOUR CUBOID RIGHT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.4/2.7 MM SCREW,1105.65,552.83,211.73,995.09,65
HCPCS,C1713,PLATE CONTOUR FEMUR RIGHT 8 HOLE COMPRESSION LOCK PEDILOC BONE 3.5 MM SCREW,1547.42,773.71,296.33,1392.68,65
HCPCS,C1713,PLATE CONTOUR NAVICULAR LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.4/2.7 MM SCREW,1105.65,552.83,211.73,995.09,65
HCPCS,C1713,PLATE CONTOUR NAVICULAR LOCK LOW PROFILE VARIABLE ANGLE TITANIUM LCP BONE 2.4/2.7 MM SCREW,1034.2,517.1,198.05,930.78,65
HCPCS,C1713,PLATE CONTOUR TARSOMETATARSAL LEFT 6 HOLE LOW PROFILE TITANIUM ORTHOLOC LAPIFUSE BONE LAPIDUS,2177.06,1088.53,416.91,1959.35,65
HCPCS,C1713,PLATE CRANIAL 0.5MM DIA 19.5MML FLEX GRADE II,346.0,173.0,66.26,311.4,65
HCPCS,C1713,PLATE CRANIAL 18.5MM DIA 0.5MM THK GRADE GOLD,379.0,189.5,72.58,341.1,65
HCPCS,C1713,PLATE CRANIAL PEEK IPS BONE,11448.0,5724.0,2192.29,10303.2,65
HCPCS,C1713,PLATE CRANIAL SHUNT 18.5MM 5-HOLE 0.5MM THK TITANIUM MIDFACE ROUND GAP F/0.5/1.5MM SCREW LORENZ NON-STERILE,129.0,64.5,24.7,116.1,65
HCPCS,C1713,PLATE CRANIAL TITANIUM IPS BONE,10810.0,5405.0,2070.12,9729.0,65
HCPCS,C1713,PLATE CRANIOFACIAL 4 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,187.3,93.65,35.87,168.57,65
HCPCS,C1713,PLATE CRANIOFACIAL 6 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,187.3,93.65,35.87,168.57,65
HCPCS,C1713,PLATE CRANIOFACIAL 8 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,182.89,91.45,35.02,164.6,65
HCPCS,C1713,PLATE CRANIOFACIAL FAN TITANIUM POLYETHYLENE POROUS MEDPOR TITAN BARRIER BONE,1235.46,617.73,236.59,1111.91,65
HCPCS,C1713,PLATE CRANIOFACIAL HYBRID TITANIUM LEVEL ONE BONE,349.1,174.55,66.85,314.19,65
HCPCS,C1713,PLATE CRANIOFACIAL TRAUMAONE BONE,456.0,228.0,87.32,410.4,65
HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL 11 HOLE PRIMARY RECONSTRUCTION TEMPLATE LEIBINGER UNIVERSAL 2 BONE 2.5 MM SCREW,2639.11,1319.56,505.39,2375.2,65
HCPCS,C1713,PLATE CRANIOMAXILLOFACIAL LEVEL ONE BONE,349.1,174.55,66.85,314.19,65
HCPCS,C1713,PLATE CRNMXF 11X126MM 0.8MM SONICWELD RX TI STRL,588.86,294.43,112.77,529.97,65
HCPCS,C1713,PLATE CS1 CLAVICLE LEFT VARIABLE ANGLE STAINLESS STEEL BONE 2.7 MM SCREW,1055.83,527.92,202.19,950.25,65
HCPCS,C1713,PLATE CS1 CLAVICLE RIGHT VARIABLE ANGLE STAINLESS STEEL BONE 2.7 MM SCREW,1055.83,527.92,202.19,950.25,65
HCPCS,C1713,PLATE CS1 LEFT VARIABLE ANGLE STAINLESS STEEL BONE 2.7 MM SCREW,1003.28,501.64,192.13,902.95,65
HCPCS,C1713,PLATE CS1 RIGHT VARIABLE ANGLE STAINLESS STEEL BONE 2.7 MM SCREW,1003.28,501.64,192.13,902.95,65
HCPCS,C1713,PLATE CS2 RIGHT CLAVICLE VARIABLE ANGLE STAINLESS STEEL BONE 2.7 MM SCREW,1038.58,519.29,198.89,934.72,65
HCPCS,C1713,PLATE CS3 CLAVICLE RIGHT LATERAL VARIABLE ANGLE STAINLESS STEEL BONE 2.7 MM SCREW,1101.08,550.54,210.86,990.97,65
HCPCS,C1713,PLATE CUBOID LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,707.36,353.68,135.46,636.62,65
HCPCS,C1713,PLATE CUBOID LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR FOOT SYSTEM,373.31,186.66,71.49,335.98,65
HCPCS,C1713,PLATE CUBOID RIGHT LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,707.36,353.68,135.46,636.62,65
HCPCS,C1713,PLATE CURVE A 8 HOLE LOCK LOCKING PLATES BONE,740.0,370.0,141.71,666.0,65
HCPCS,C1713,PLATE CURVE B 10 HOLE LOCK LOCKING PLATES BONE,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE CURVE B 8 HOLE LOCK LOCKING PLATES BONE,740.0,370.0,141.71,666.0,65
HCPCS,C1713,PLATE CURVE CRANIOFACIAL 3 X 2 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,218.88,109.44,41.92,196.99,65
HCPCS,C1713,PLATE CURVE NARROW 20 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,811.28,405.64,155.36,730.15,65
HCPCS,C1713,PLATE D11 MM MEDIUM STERNUM FOOT TITANIUM STERNAL TALON BONE,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,PLATE D14 MM LARGE 1 VERSION 2 LEG RATCHET MECHANISM TITANIUM STERNAL TALON BONE CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,PLATE D14 MM XL STERNUM 2 LEG 1 VERSION FOOTPLATE TITANIUM STERNAL TALON BONE,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,PLATE D17 MM LARGE 1 VERSION 2 LEG RATCHET MECHANISM TITANIUM STERNAL TALON BONE CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,PLATE D17 MM MEDIUM 1 VERSION 2 LEG RATCHET MECHANISM TITANIUM STERNAL TALON BONE CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,PLATE D17 MM XL FOOT 2 LEG TITANIUM STERNAL TALON BONE,1295.0,647.5,247.99,1165.5,65
HCPCS,C1713,PLATE DBL Y,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE DISTAL POSTEROLATERAL RIGHT 4 HOLE BONE 2.7/3.5 MM SCREW,511.71,255.86,97.99,460.54,65
HCPCS,C1713,PLATE DSTRCT 90MMX1.5MM CP TI RETEN F/RGD EXTRN DSTRCT DVC RED II LF,1150.38,575.19,250.9,1035.34,64
HCPCS,C1713,PLATE ELBOW OLECRANON 11 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM ACUMED BONE,994.0,497.0,190.35,894.6,65
HCPCS,C1713,PLATE ELBOW OLECRANON 9 HOLE LOCK LOW PROFILE PRECONTOUR TITANIUM ACUMED BONE,994.0,497.0,190.35,894.6,65
HCPCS,C1713,PLATE EVOS 46MM 2.4MM 7HL NS STR TINE SS BN,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE EXTERNAL FIXATION 2 HOLE CONNECT MRI SAFE FEMORAL CARBON FIBER RING,96.6,48.3,21.07,86.94,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 210MM ALUMINUM BRIDGING F/5/8 RING MAXFRAME NON-STERILE,1385.33,692.67,302.14,1246.8,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 3 HOLE CONNECT,97.93,48.97,21.36,88.14,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 3 HOLE EXTENSION TRUELOK FOOT,204.92,102.46,44.69,184.43,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 35MM SHORT 2 HOLE CONNECTION STAINLESS STEEL ILIZAROV NONSTERILE LATEX FREE DISPOSABLE,74.19,37.1,16.18,66.77,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 4 HOLE CONNECT,103.44,51.72,22.56,93.1,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 4 HOLE CONNECT MRI SAFE FEMORAL CARBON FIBER RING,103.22,51.61,22.51,92.9,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 5 HOLE CONNECT MRI SAFE FEMORAL CARBON FIBER RING,110.05,55.03,24.0,99.05,64
HCPCS,C1713,PLATE EXTERNAL FIXATION 90 D OFFSET 3 HOLE CONNECT,85.26,42.63,18.6,76.73,64
HCPCS,C1713,PLATE EXTERNAL FIXATION CARBON FIBER CONNECTING HOLEX1 F/DISTRACTION OSTEOGENESIS SYSTEM MRI-SAFE NON-STERILE,98.37,49.19,21.45,88.53,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L120 MM LONG MAXFRAME ALUMINUM FOOT MULTIAXIAL CORRECTION SYSTEM,1489.29,744.65,285.2,1340.36,65
HCPCS,C1713,PLATE EXTERNAL FIXATION L150 MM LONG MAXFRAME ALUMINUM FOOT MULTIAXIAL CORRECTION SYSTEM,1323.71,661.86,288.7,1191.34,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L180 MM 120 D ARCH MRI SAFE CARBON FIBER FEMORAL,819.95,409.98,178.83,737.96,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L180 MM 120 D ARCH TITANIUM FEMORAL DISTRACTION OSTEOGENESIS RING SYSTEM,888.01,444.01,193.67,799.21,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L180 MM 90 D ARCH MRI SAFE CARBON FIBER FEMORAL,793.92,396.96,173.15,714.53,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L180 MM 90 D ARCH TITANIUM FEMORAL DISTRACTION OSTEOGENESIS RING SYSTEM,864.37,432.19,188.52,777.93,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L180 MM BRIDGE MAXFRAME ALUMINUM 5/8 RING,1385.33,692.67,265.29,1246.8,65
HCPCS,C1713,PLATE EXTERNAL FIXATION L240 MM 120 D ARCH MRI SAFE CARBON FIBER FEMORAL,864.85,432.43,188.62,778.37,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L240 MM 120 D ARCH TITANIUM FEMORAL DISTRACTION OSTEOGENESIS RING SYSTEM,959.65,479.83,209.3,863.69,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L240 MM 90 D ARCH MRI SAFE CARBON FIBER FEMORAL,816.72,408.36,178.13,735.05,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L240 MM 90 D ARCH TITANIUM FEMORAL DISTRACTION OSTEOGENESIS RING SYSTEM,937.19,468.6,204.4,843.47,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L55 MM 4 HOLE SHORT CONNECTION ILIZAROV,74.19,37.1,16.18,66.77,64
HCPCS,C1713,PLATE EXTERNAL FIXATION L60 MM 10 HOLE SLOT HOFFMANN,72.64,36.32,15.84,65.38,64
HCPCS,C1713,PLATE EXTERNAL FIXATION OPEN ROCKER SALVATION FOOT ANKLE,2203.93,1101.97,480.68,1983.54,64
HCPCS,C1713,PLATE EXTERNAL FIXATION SHORT 3 HOLE CONNECTION ILIZAROV,74.19,37.1,16.18,66.77,64
HCPCS,C1713,PLATE EXTERNAL FIXATION SHORT L150 MM FOOT MAXFRAME ALUMINUM,1323.71,661.86,253.49,1191.34,65
HCPCS,C1713,PLATE EXTFIX STR THRD F/RD II DVC 51-581-02-09,167.58,83.79,36.55,150.82,64
HCPCS,C1713,PLATE EXTFIX TI THRD F/RD II DVC,167.58,83.79,36.55,150.82,64
HCPCS,C1713,PLATE FEMUR NECK 1 HOLE TITANIUM BONE,996.91,498.46,190.91,897.22,65
HCPCS,C1713,PLATE FIBULA FLEX 6 HOLE MEDLINE BONE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE FIBULA FLEX 9 HOLE MEDLINE BONE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE FIBULA LATERAL 9 HOLE POLYLOCK BONE,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,PLATE FIBULA LEFT 11 HOLE CLUSTER GORILLA BONE,1180.0,590.0,225.97,1062.0,65
HCPCS,C1713,PLATE FIBULA LEFT 9 HOLE CLUSTER GORILLA BONE,1180.0,590.0,225.97,1062.0,65
HCPCS,C1713,PLATE FIBULA LEFT DISTAL 4 HOLE LOCK TITANIUM BONE,591.5,295.75,113.27,532.35,65
HCPCS,C1713,PLATE FIBULA LEFT DISTAL 5 HOLE LOCK STAINLESS STEEL BONE,714.73,357.37,136.87,643.26,65
HCPCS,C1713,PLATE FIBULA LEFT DISTAL 5 HOLE LOCK TITANIUM BONE,690.08,345.04,132.15,621.07,65
HCPCS,C1713,PLATE FIBULA LEFT LATERAL 8 HOLE POLYLOCK BONE,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,PLATE FIBULA RIGHT 11 HOLE CLUSTER GORILLA BONE,1180.0,590.0,225.97,1062.0,65
HCPCS,C1713,PLATE FIBULA RIGHT 9 HOLE CLUSTER GORILLA BONE,1180.0,590.0,225.97,1062.0,65
HCPCS,C1713,PLATE FIBULA RIGHT DISTAL 5 HOLE LOCK STAINLESS STEEL BONE,714.73,357.37,136.87,643.26,65
HCPCS,C1713,PLATE FIBULA RIGHT DISTAL 5 HOLE LOCK TITANIUM BONE,690.08,345.04,132.15,621.07,65
HCPCS,C1713,PLATE FIBULA RIGHT DISTAL LATERAL 13 HOLE LCP BONE 2.7/3.5 MM SCREW,538.33,269.17,103.09,484.5,65
HCPCS,C1713,PLATE FIBULA RIGHT LATERAL 9 HOLE POLYLOCK BONE,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,PLATE FIXATION FLEXIBLE GYN SILICONE,209.0,104.5,40.02,188.1,65
HCPCS,C1713,PLATE FLEX 2.7MM 140MML HOLEX20 EVOS,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE FOOT ANKLE LOCK ORTHOLINK BONE,903.0,451.5,172.92,812.7,65
HCPCS,C1713,PLATE FOOT LEFT CUBOID LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,736.64,368.32,141.07,662.98,65
HCPCS,C1713,PLATE FOOT NAVICULAR LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,682.12,341.06,130.63,613.91,65
HCPCS,C1713,PLATE FOOT POLYAXIAL LOCK LOW PROFILE COTTON ORTHOLOC 3DI BONE COTTON WEDGE OSTEOTOMY,1226.84,613.42,234.94,1104.16,65
HCPCS,C1713,PLATE FOOT REVISION MEDLINE UNITE BONE LAPIDUS,975.0,487.5,186.71,877.5,65
HCPCS,C1713,PLATE FOOT RIGHT CUBOID LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,736.64,368.32,141.07,662.98,65
HCPCS,C1713,PLATE FOOT TALUS LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,656.86,328.43,125.79,591.17,65
HCPCS,C1713,PLATE FOREFOOT MIDFOOT 5 X 12 HOLE LOCK VARIABLE ANGLE MESH TITANIUM LCP BONE 2.4/2.7 MM SCREW,1455.81,727.91,278.79,1310.23,65
HCPCS,C1713,PLATE FREEFIX MIDSHAFT ULNA 91MM FREEFIX BONE,1373.0,686.5,262.93,1235.7,65
HCPCS,C1713,PLATE GLENOID SMALL REVERSE EQUINOXE SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1713,PLATE GLENOID SMALL REVERSE SUPERIOR POSTERIOR AUGMENT EQUINOXE SHOULDER RIGHT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1713,PLATE H 6 HOLE STERNALOCK EZ BONE,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PLATE H HAND METACARPAL 8 HOLE HAND PLATES BONE,470.0,235.0,90.01,423.0,65
HCPCS,C1713,PLATE H HAND PHALANGEAL 12 HOLE HAND PLATES BONE,515.0,257.5,98.62,463.5,65
HCPCS,C1713,PLATE H HAND RIGHT PHALANGEAL 8 HOLE HAND PLATES BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE H RIGHT EXTEND BONE 1.5 MM SCREW,328.18,164.09,62.85,295.36,65
HCPCS,C1713,PLATE H.3 MM SMALL ROUND CRANIOMAXILLOFACIAL SKULL CLOSED OUTER FRAME TITANIUM UNIVERSAL NEURO III OD41 MM BONE 1.5 MM SCREW RETROSIGMOID,836.74,418.37,160.24,753.07,65
HCPCS,C1713,PLATE H.4 MM LARGE ORBITAL FLOOR LEFT TITANIUM LEVEL ONE BONE CLASS III IV DEFECT,1115.42,557.71,213.6,1003.88,65
HCPCS,C1713,PLATE H.4 MM LARGE ORBITAL FLOOR RIGHT TITANIUM LEVEL ONE BONE CLASS III IV DEFECT,1115.42,557.71,213.6,1003.88,65
HCPCS,C1713,PLATE H.4 MM ORBITAL FLOOR RIGHT PRESHAPE TITANIUM LEVEL ONE BONE CLASS III IV DEFECT,948.82,474.41,181.7,853.94,65
HCPCS,C1713,PLATE H.4 MM STRAIGHT CRANIOMAXILLOFACIAL 8 HOLE LOW PROFILE TITANIUM UNIVERSAL NEURO 3 BONE 1.5 MM SCREW RETROSIGMOID,181.26,90.63,34.71,163.13,65
HCPCS,C1713,PLATE H.4 MM X CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE TITANIUM UNIVERSAL NEURO 3 BONE 1.5 MM SCREW RETROSIGMOID,289.08,144.54,55.36,260.17,65
HCPCS,C1713,PLATE H.5 IN LARGE CALCANEUS LEFT 8 HOLE LOW PROFILE COMBO MINI-CALC BONE,889.0,444.5,170.24,800.1,65
HCPCS,C1713,PLATE H.5 IN LARGE CALCANEUS RIGHT 8 HOLE LOW PROFILE COMBO MINI-CALC BONE,889.0,444.5,170.24,800.1,65
HCPCS,C1713,PLATE H.5 IN LARGE CALCANEUS RIGHT 9 HOLE LOW PROFILE COMBO MINI-CALC BONE,889.0,444.5,170.24,800.1,65
HCPCS,C1713,PLATE H.5 IN MEDIUM CALCANEUS LEFT 8 HOLE LOW PROFILE COMBO MINI-CALC BONE,889.0,444.5,170.24,800.1,65
HCPCS,C1713,PLATE H.5 IN MEDIUM CALCANEUS RIGHT 8 HOLE LOW PROFILE COMBO MINI-CALC BONE,889.0,444.5,170.24,800.1,65
HCPCS,C1713,PLATE H.5 MM 2Y UPPER FACE 7 HOLE MALLEABLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 1.2 MM SCREW,196.33,98.17,37.6,176.7,65
HCPCS,C1713,PLATE H.5 MM CRANIOMAXILLOFACIAL 2 X 21 HOLE RESORBABLE STRUT POLY L-LACTIDE POLYGLYCOLIDE POLY D-LACTIDE DELTA BONE 1.7 MM SCREW,4268.0,2134.0,817.32,3841.2,65
HCPCS,C1713,PLATE H.5 MM CRANIOMAXILLOFACIAL BURR HOLE TITANIUM LORENZ OD13 MM BONE 1.5 MM SCREW,216.0,108.0,41.36,194.4,65
HCPCS,C1713,PLATE H.5 MM CRANIOMAXILLOFACIAL BURR HOLE TITANIUM LORENZ OD18.5 MM BONE 1.5 MM SCREW,216.0,108.0,41.36,194.4,65
HCPCS,C1713,PLATE H.5 MM CRANIOMAXILLOFACIAL BURR HOLE TITANIUM LORENZ OD22 MM BONE 1.5 MM SCREW,169.0,84.5,32.36,152.1,65
HCPCS,C1713,PLATE H.5 MM CRANIOMAXILLOFACIAL BURR HOLE TITANIUM LORENZ OD25 MM BONE 1.5 MM SCREW,216.0,108.0,41.36,194.4,65
HCPCS,C1713,PLATE H.5 MM CURVE UPPER FACE 10 HOLE MALLEABLE TITANIUM LEIBINGER UNIVERSAL 2 BONE 1.2 MM SCREW,221.6,110.8,42.44,199.44,65
HCPCS,C1713,PLATE H.5 MM ORBITAL FLOOR TITANIUM LEVEL ONE CMF BONE GOLD 1.5 MM SCREW,546.93,273.47,104.74,492.24,65
HCPCS,C1713,PLATE H.6 MM 100 D MICRO LONG L FRONTAL MAXILLARY SINUS LEFT 3 X 3 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,185.31,92.66,35.49,166.78,65
HCPCS,C1713,PLATE H.6 MM 100 D MICRO LONG L FRONTAL MAXILLARY SINUS RIGHT 3 X 2 HOLE TITANIUM LEVEL ONE BONE 1.5 MM SCREW,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H.6 MM 100 D MICRO LONG L FRONTAL MAXILLARY SINUS RIGHT 3 X 3 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,185.31,92.66,35.49,166.78,65
HCPCS,C1713,PLATE H.6 MM CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE SQUARE SEGMENT TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,150.15,75.08,28.75,135.14,65
HCPCS,C1713,PLATE H.6 MM CRANIOMAXILLOFACIAL 3 X 2 HOLE LOW PROFILE CURVE SEGMENT TITANIUM LEVEL ONE NEURO BONE,193.7,96.85,37.09,174.33,65
HCPCS,C1713,PLATE H.6 MM CRANIOMAXILLOFACIAL 3 X 2 HOLE LOW PROFILE SQUARE SEGMENT TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,174.2,87.1,33.36,156.78,65
HCPCS,C1713,PLATE H.6 MM CRANIOMAXILLOFACIAL 4 X 2 HOLE LOW PROFILE SQUARE SEGMENT TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,202.8,101.4,38.84,182.52,65
HCPCS,C1713,PLATE H.6 MM CURVE CRANIOMAXILLOFACIAL 5 X 2 HOLE LOW PROFILE SQUARE SEGMENT TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,234.9,117.45,44.98,211.41,65
HCPCS,C1713,PLATE H.6 MM FRONTAL MESH HYBRID LEVEL ONE NEURO BONE,6113.39,3056.7,1170.71,5502.05,65
HCPCS,C1713,PLATE H.6 MM LARGE CRESCENT CRANIOMAXILLOFACIAL TITANIUM LEVEL ONE NEURO BONE CHIARI MALFORMATION,1477.37,738.69,282.92,1329.63,65
HCPCS,C1713,PLATE H.6 MM LEFT ANGLE MINI LONG Z MANDIBLE 4 HOLE LOW PROFILE TITANIUM LEVEL ONE THREADLOCK TS BONE 2 MM SCREW,149.73,74.87,28.67,134.76,65
HCPCS,C1713,PLATE H.6 MM LONG 2Y CRANIOMAXILLOFACIAL LOW PROFILE TITANIUM LEVEL ONE BONE 1.5 MM NEURO MODULE OSTEOSYNTHESIS,165.75,82.88,31.74,149.18,65
HCPCS,C1713,PLATE H.6 MM LONG CURVE MIDFACE 14 HOLE RIGID TITANIUM LORENZ TRAUMAONE BONE GOLD 1.5 MM SCREW,477.0,238.5,91.35,429.3,65
HCPCS,C1713,PLATE H.6 MM LONG L MIDFACE LEFT 4 X 6 HOLE RIGID TITANIUM LORENZ TRAUMAONE BONE GOLD 1.5 MM SCREW,256.0,128.0,49.02,230.4,65
HCPCS,C1713,PLATE H.6 MM LONG STRAIGHT CRANIOMAXILLOFACIAL 2 HOLE TITANIUM LORENZ BONE 1.5 MM SCREW,61.0,30.5,11.68,54.9,65
HCPCS,C1713,PLATE H.6 MM LONG STRAIGHT MIDFACE 20 HOLE RIGID TITANIUM LORENZ TRAUMAONE BONE GOLD 1.5 MM SCREW,653.0,326.5,125.05,587.7,65
HCPCS,C1713,PLATE H.6 MM MEDIUM STRAIGHT MIDFACE 2 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,61.0,30.5,11.68,54.9,65
HCPCS,C1713,PLATE H.6 MM MICRO LONG L FRONTAL MAXILLARY SINUS LEFT 4 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H.6 MM MICRO LONG L FRONTAL MAXILLARY SINUS RIGHT 4 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H.6 MM MICRO MEDIUM L FRONTAL MAXILLARY SINUS LEFT 4 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H.6 MM MICRO MEDIUM L FRONTAL MAXILLARY SINUS RIGHT 4 HOLE TITANIUM BONE 1.5 MM SCREW,172.0,86.0,32.94,154.8,65
HCPCS,C1713,PLATE H.6 MM MICRO MEDIUM L FRONTAL MAXILLARY SINUS RIGHT 4 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H.6 MM MICRO SHORT STRAIGHT MAXILLOFACIAL 4 HOLE TITANIUM LEVEL ONE CMF BONE 1.5 MM SCREW,79.29,39.65,15.18,71.36,65
HCPCS,C1713,PLATE H.6 MM MICRO STRAIGHT FRONTAL MAXILLARY SINUS 16 HOLE INSERT TITANIUM LEVEL ONE BONE 1 MM SCREW,228.07,114.04,43.68,205.26,65
HCPCS,C1713,PLATE H.6 MM MINI LONG L MANDIBLE RIGHT 4 HOLE LOW PROFILE TITANIUM LEVEL ONE THREADLOCK TS BONE 2 MM SCREW,161.0,80.5,30.83,144.9,65
HCPCS,C1713,PLATE H.6 MM MINI REGULAR MAXILLOFACIAL 8 HOLE RIGID TITANIUM LEVEL ONE CMF BONE BLUE 2 MM SCREW,122.06,61.03,23.37,109.85,65
HCPCS,C1713,PLATE H.6 MM MINI SHORT Y MANDIBLE 5 HOLE LOW PROFILE TITANIUM LEVEL ONE THREADLOCK TS BONE 2 MM SCREW,130.0,65.0,24.9,117.0,65
HCPCS,C1713,PLATE H.6 MM MODIFY CRESCENT CRANIOMAXILLOFACIAL TITANIUM LEVEL ONE NEURO BONE CHIARI MALFORMATION,1023.75,511.88,196.05,921.38,65
HCPCS,C1713,PLATE H.6 MM REGULAR CURVE MIDFACE ORBITAL FLOOR 6 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,99.0,49.5,18.96,89.1,65
HCPCS,C1713,PLATE H.6 MM SHORT STRAIGHT CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,40.71,20.36,7.8,36.64,65
HCPCS,C1713,PLATE H.6 MM SMALL 2Y MIDFACE 6 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,274.39,137.2,52.55,246.95,65
HCPCS,C1713,PLATE H.6 MM SMALL L MIDFACE 10 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.6 MM SMALL L MIDFACE 7 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.6 MM SMALL MIDFACE 6 X 2 HOLE MESH 2 ROW TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,317.17,158.59,60.74,285.45,65
HCPCS,C1713,PLATE H.6 MM SMALL MIDFACE ORBITAL FLOOR 12 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,264.61,132.31,50.67,238.15,65
HCPCS,C1713,PLATE H.6 MM SMALL STRAIGHT MIDFACE 24 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,329.64,164.82,63.13,296.68,65
HCPCS,C1713,PLATE H.6 MM SMALL STRAIGHT MIDFACE 4 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,133.63,66.82,25.59,120.27,65
HCPCS,C1713,PLATE H.6 MM SMALL STRAIGHT MIDFACE 6 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,155.91,77.96,29.86,140.32,65
HCPCS,C1713,PLATE H.6 MM SMALL T MIDFACE 8 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,242.33,121.17,46.41,218.1,65
HCPCS,C1713,PLATE H.6 MM SMALL X MIDFACE 4 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.6 MM SMALL Y MIDFACE 7 HOLE INSERT TITANIUM LEVEL ONE BONE SILVER MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.6 MM STANDARD CURVE MIDFACE 4 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,139.96,69.98,26.8,125.96,65
HCPCS,C1713,PLATE H.6 MM STANDARD CURVE UPPER FACE 4 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.2 MM SCREW,108.86,54.43,20.85,97.97,65
HCPCS,C1713,PLATE H.6 MM STANDARD STRAIGHT MIDFACE 24 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,484.02,242.01,92.69,435.62,65
HCPCS,C1713,PLATE H.6 MM STANDARD STRAIGHT MIDFACE 4 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,113.72,56.86,21.78,102.35,65
HCPCS,C1713,PLATE H.6 MM STANDARD STRAIGHT MIDFACE 8 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,252.7,126.35,48.39,227.43,65
HCPCS,C1713,PLATE H.6 MM STANDARD T MIDFACE 5 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,159.4,79.7,30.53,143.46,65
HCPCS,C1713,PLATE H.6 MM XLONG STRAIGHT CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,68.25,34.13,13.07,61.43,65
HCPCS,C1713,PLATE H.75 MM 100 D MINI L CRANIOMAXILLOFACIAL RIGHT 9 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,254.36,127.18,48.71,228.92,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD CURVE HAND LEFT PHALANGEAL HEAD LOCK VARIABLE ANGLE TITANIUM BONE 1.3 MM SCREW,421.87,210.94,80.79,379.68,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD CURVE HAND RIGHT PHALANGEAL HEAD LOCK VARIABLE ANGLE TITANIUM BONE 1.3 MM SCREW,421.87,210.94,80.79,379.68,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD HAND 14 HOLE LOCK WEB TITANIUM BONE 1.3 MM SCREW,389.5,194.75,74.59,350.55,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD HAND PHALANGEAL BASE 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 1.3 MM SCREW,421.87,210.94,80.79,379.68,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD OBLIQUE HAND LEFT 8 HOLE STRUT TITANIUM BONE 1.3 MM SCREW,356.52,178.26,68.27,320.87,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD OBLIQUE HAND RIGHT 8 HOLE STRUT TITANIUM BONE 1.3 MM SCREW,328.34,164.17,62.88,295.51,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD STRAIGHT HAND 12 HOLE LOCK TITANIUM BONE 1.3 MM SCREW,356.52,178.26,68.27,320.87,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD STRAIGHT HAND 6 HOLE LOCK TITANIUM BONE 1.3 MM SCREW,339.57,169.79,65.03,305.61,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD T HAND 3 HOLE HEAD 5 HOLE SHAFT LOCK TITANIUM BONE 1.3 MM SCREW,356.52,178.26,68.27,320.87,65
HCPCS,C1713,PLATE H.75 MM FULL THREAD Y HAND 3 HOLE HEAD 5 HOLE SHAFT LOCK TITANIUM BONE 1.3 MM SCREW,356.52,178.26,68.27,320.87,65
HCPCS,C1713,PLATE H.8 MM CURVE MIDFACE 8 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GRAY 1.7 MM SCREW,183.7,91.85,35.18,165.33,65
HCPCS,C1713,PLATE H.8 MM MEDIUM 2Y MIDFACE 6 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,274.39,137.2,52.55,246.95,65
HCPCS,C1713,PLATE H.8 MM MEDIUM L MIDFACE 10 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.8 MM MEDIUM L MIDFACE 7 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.8 MM MEDIUM MIDFACE ORBITAL FLOOR 12 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,264.61,132.31,50.67,238.15,65
HCPCS,C1713,PLATE H.8 MM MEDIUM STRAIGHT MIDFACE 24 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,329.64,164.82,63.13,296.68,65
HCPCS,C1713,PLATE H.8 MM MEDIUM STRAIGHT MIDFACE 4 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,133.63,66.82,25.59,120.27,65
HCPCS,C1713,PLATE H.8 MM MEDIUM STRAIGHT MIDFACE 6 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,155.91,77.96,29.86,140.32,65
HCPCS,C1713,PLATE H.8 MM MEDIUM T MIDFACE 12 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,317.17,158.59,60.74,285.45,65
HCPCS,C1713,PLATE H.8 MM MEDIUM T MIDFACE 8 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,242.33,121.17,46.41,218.1,65
HCPCS,C1713,PLATE H.8 MM MEDIUM X MIDFACE 4 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.8 MM MEDIUM Y MIDFACE 7 HOLE INSERT TITANIUM LEVEL ONE BONE GOLD MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H.8 MM STANDARD CURVE HAND METACARPAL MEDIAL LATERAL CUT TO LENGTH BEND TO FIT LOW PROFILE ROUND EDGE TITANIUM ACUMED BONE,383.0,191.5,73.34,344.7,65
HCPCS,C1713,PLATE H.8 MM STANDARD HAND METACARPAL 6 HOLE COMPRESSION CUT TO LENGTH BEND TO FIT TITANIUM ACUMED BONE,329.0,164.5,63.0,296.1,65
HCPCS,C1713,PLATE H.8 MM STANDARD STRAIGHT HAND METACARPAL 10 HOLE CUT TO LENGTH BEND TO FIT LOW PROFILE TITANIUM ACUMED BONE,413.0,206.5,79.09,371.7,65
HCPCS,C1713,PLATE H.8 MM STANDARD T HAND METACARPAL CUT TO LENGTH BEND TO FIT LOW PROFILE ROUND EDGE TITANIUM ACUMED BONE,413.0,206.5,79.09,371.7,65
HCPCS,C1713,PLATE H.8 MM Y MIDFACE 8 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GRAY 1.7 MM SCREW,273.11,136.56,52.3,245.8,65
HCPCS,C1713,PLATE H1 MM 80 D MINI LONG MANDIBLE RIGHT 4 HOLE BAR TURN TITANIUM LEVEL ONE CMF BONE 2 MM SCREW,154.12,77.06,29.51,138.71,65
HCPCS,C1713,PLATE H1 MM CURVE HAND LEFT PHALANGEAL HEAD LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,417.01,208.51,79.86,375.31,65
HCPCS,C1713,PLATE H1 MM CURVE MANDIBLE 6 X 2 HOLE CONDENSE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,398.5,199.25,76.31,358.65,65
HCPCS,C1713,PLATE H1 MM CURVE PHALANGEAL HEAD RIGHT LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,417.01,208.51,79.86,375.31,65
HCPCS,C1713,PLATE H1 MM FIRST METACARPAL DORSAL LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,531.34,265.67,101.75,478.21,65
HCPCS,C1713,PLATE H1 MM HAND 12 HOLE LOCK VARIABLE ANGLE STRUT TITANIUM BONE 1.5 MM SCREW,451.73,225.87,86.51,406.56,65
HCPCS,C1713,PLATE H1 MM HAND 6 HOLE LOCK VARIABLE ANGLE ROTATION CORRECTION TITANIUM BONE 1.5 MM SCREW,575.67,287.84,110.24,518.1,65
HCPCS,C1713,PLATE H1 MM HAND CONDYLAR 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,432.32,216.16,82.79,389.09,65
HCPCS,C1713,PLATE H1 MM LARGE 2Y MIDFACE 6 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,274.39,137.2,52.55,246.95,65
HCPCS,C1713,PLATE H1 MM LARGE L MIDFACE 10 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H1 MM LARGE L MIDFACE 7 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H1 MM LARGE STRAIGHT MIDFACE 4 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,133.63,66.82,25.59,120.27,65
HCPCS,C1713,PLATE H1 MM LARGE STRAIGHT MIDFACE 6 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,155.91,77.96,29.86,140.32,65
HCPCS,C1713,PLATE H1 MM LARGE T MIDFACE 8 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,242.33,121.17,46.41,218.1,65
HCPCS,C1713,PLATE H1 MM LARGE Y MIDFACE 7 HOLE INSERT TITANIUM LEVEL ONE BONE PINK MAXDRIVE 1.5 MM MICRO SCREW OSTEOSYNTHESIS,253.02,126.51,48.45,227.72,65
HCPCS,C1713,PLATE H1 MM METACARPAL NECK LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,575.67,287.84,110.24,518.1,65
HCPCS,C1713,PLATE H1 MM MINI LONG CURVE MANDIBLE 6 HOLE LOW PROFILE RIGID LIGHTWEIGHT TITANIUM LEVEL ONE MATRIXMIDFACE BONE BLUE 2 MM/2.3 MM SCREW SAGITTAL SPLIT OSTEOTOMY,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H1 MM MINI LONG MANDIBLE 4 HOLE TITANIUM LEVEL ONE BONE GREEN,323.87,161.94,62.02,291.48,65
HCPCS,C1713,PLATE H1 MM MINI LONG MANDIBLE 6 HOLE TITANIUM LEVEL ONE BONE GREEN,355.34,177.67,68.05,319.81,65
HCPCS,C1713,PLATE H1 MM MINI MEDIUM CURVE MANDIBLE 6 HOLE LOW PROFILE RIGID LIGHTWEIGHT TITANIUM LEVEL ONE MATRIXMIDFACE BONE BLUE 2 MM/2.3 MM SCREW SAGITTAL SPLIT OSTEOTOMY,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H1 MM MINI REGULAR MANDIBLE 14 HOLE TITANIUM LEVEL ONE THREADLOCK TS BONE GREEN,598.7,299.35,114.65,538.83,65
HCPCS,C1713,PLATE H1 MM MINI REGULAR MANDIBLE 4 HOLE TITANIUM LEVEL ONE BONE GREEN,305.36,152.68,58.48,274.82,65
HCPCS,C1713,PLATE H1 MM MINI STANDARD LONG MAXILLOFACIAL 4 HOLE TITANIUM LEVEL ONE CMF BONE 2 MM SCREW,79.29,39.65,15.18,71.36,65
HCPCS,C1713,PLATE H1 MM MINI STANDARD LONG MAXILLOFACIAL 6 HOLE TITANIUM LEVEL ONE CMF BONE 2 MM SCREW,89.1,44.55,17.06,80.19,65
HCPCS,C1713,PLATE H1 MM MINI STANDARD MEDIUM MAXILLOFACIAL 4 HOLE TITANIUM LEVEL ONE BONE 2 MM SCREW,79.29,39.65,15.18,71.36,65
HCPCS,C1713,PLATE H1 MM MINI STANDARD REGULAR MAXILLOFACIAL 4 HOLE TITANIUM LEVEL ONE CMF BONE 2 MM SCREW,79.29,39.65,15.18,71.36,65
HCPCS,C1713,PLATE H1 MM MINI STRAIGHT MANDIBLE 16 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,159.4,79.7,30.53,143.46,65
HCPCS,C1713,PLATE H1 MM MINI STRAIGHT MANDIBLE 4 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,89.42,44.71,17.12,80.48,65
HCPCS,C1713,PLATE H1 MM MINI XLONG CURVE MANDIBLE 6 HOLE LOW PROFILE RIGID LIGHTWEIGHT TITANIUM LEVEL ONE MATRIXMIDFACE BONE BLUE 2 MM/2.3 MM SCREW SAGITTAL SPLIT OSTEOTOMY,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE H1 MM OBLIQUE HAND LEFT 8 HOLE LOCK VARIABLE ANGLE STRUT STAINLESS STEEL BONE 1.5 MM SCREW,422.74,211.37,80.95,380.47,65
HCPCS,C1713,PLATE H1 MM OBLIQUE HAND LEFT 8 HOLE LOCK VARIABLE ANGLE STRUT TITANIUM BONE 1.5 MM SCREW,412.17,206.09,78.93,370.95,65
HCPCS,C1713,PLATE H1 MM OBLIQUE HAND RIGHT 8 HOLE LOCK VARIABLE ANGLE STRUT STAINLESS STEEL BONE 1.5 MM SCREW,422.74,211.37,80.95,380.47,65
HCPCS,C1713,PLATE H1 MM OBLIQUE HAND RIGHT 8 HOLE LOCK VARIABLE ANGLE STRUT TITANIUM BONE 1.5 MM SCREW,412.17,206.09,78.93,370.95,65
HCPCS,C1713,PLATE H1 MM PHALANGEAL BASE HAND 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,451.73,225.87,86.51,406.56,65
HCPCS,C1713,PLATE H1 MM RECTANGLE MANDIBLE 3 X 2 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,315.88,157.94,60.49,284.29,65
HCPCS,C1713,PLATE H1 MM SQUARE MANDIBLE 4 X 2 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,354.77,177.39,67.94,319.29,65
HCPCS,C1713,PLATE H1 MM STRAIGHT HAND 12 HOLE LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,412.17,206.09,78.93,370.95,65
HCPCS,C1713,PLATE H1 MM STRAIGHT HAND 6 HOLE LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,379.07,189.54,72.59,341.16,65
HCPCS,C1713,PLATE H1 MM T HAND 3 HOLE HEAD 7 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,412.17,206.09,78.93,370.95,65
HCPCS,C1713,PLATE H1 MM Y HAND 3 HOLE HEAD 7 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 1.5 MM SCREW,412.17,206.09,78.93,370.95,65
HCPCS,C1713,PLATE H1.1 MM L2 OBLIQUE RIGHT 5 HOLE LOCK TITANIUM BABY GORILLA BONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE H1.1 MM SMALL CALCANEUS SINUS TARSI RIGHT SUPPORT GORILLA BONE,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE H1.1 MM STRAIGHT 4 HOLE LOCK TITANIUM BABY GORILLA BONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE H1.3 MM 0 D LONG METATARSOPHALANGEAL LEFT DORSIFLEXION PRIMARY GORILLA PRECISION GUIDE BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE H1.3 MM 0 D LONG METATARSOPHALANGEAL RIGHT DORSIFLEXION PRIMARY GORILLA PRECISION GUIDE BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE H1.3 MM 0 D SHORT METATARSOPHALANGEAL LEFT DORSIFLEXION PRIMARY GORILLA PRECISION GUIDE BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE H1.3 MM 10 D MEDIUM METATARSOPHALANGEAL RIGHT DORSIFLEXION PRIMARY GORILLA PRECISION GUIDE BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE H1.3 MM 5 D LONG METATARSOPHALANGEAL LEFT DORSIFLEXION PRIMARY GORILLA PRECISION GUIDE BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE H1.3 MM 5 D MEDIUM METATARSOPHALANGEAL RIGHT DORSIFLEXION PRIMARY GORILLA PRECISION GUIDE BONE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,PLATE H1.3 MM CONDYLAR 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,507.73,253.87,97.23,456.96,65
HCPCS,C1713,PLATE H1.3 MM DORSAL LOCK VARIABLE ANGLE STAINLESS STEEL BONE 2 MM SCREW,624.73,312.37,119.64,562.26,65
HCPCS,C1713,PLATE H1.3 MM FIRST METACARPAL DORSAL LOCK VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,651.08,325.54,124.68,585.97,65
HCPCS,C1713,PLATE H1.3 MM HAND 12 HOLE LOCK STRUT TITANIUM BONE 2 MM SCREW,520.41,260.21,99.66,468.37,65
HCPCS,C1713,PLATE H1.3 MM HAND 6 HOLE LOCK VARIABLE ANGLE ROTATION CORRECTION STAINLESS STEEL BONE 2 MM SCREW,624.73,312.37,119.64,562.26,65
HCPCS,C1713,PLATE H1.3 MM HAND PHALANGEAL BASE 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,520.41,260.21,99.66,468.37,65
HCPCS,C1713,PLATE H1.3 MM LARGE STRAIGHT METACARPAL PHALANGEAL 6 HOLE COMPRESSION BAR TITANIUM PROFYLE BONE 2.3 MM SCREW SMALL FRAGMENT SYSTEM,332.33,166.17,63.64,299.1,65
HCPCS,C1713,PLATE H1.3 MM LARGE STRAIGHT METACARPAL PHALANGEAL 7 HOLE COMPRESSION BAR TITANIUM PROFYLE BONE 2.3 MM SCREW SMALL FRAGMENT SET,332.33,166.17,63.64,299.1,65
HCPCS,C1713,PLATE H1.3 MM STANDARD HAND LEFT METACARPAL CUT TO LENGTH BEND TO FIT LOW PROFILE ROUND EDGE TITANIUM ACUMED BONE,521.0,260.5,99.77,468.9,65
HCPCS,C1713,PLATE H1.3 MM STANDARD HAND METACARPAL 6 HOLE COMPRESSION CUT TO LENGTH BEND TO FIT TITANIUM ACUMED BONE,388.0,194.0,74.3,349.2,65
HCPCS,C1713,PLATE H1.3 MM STANDARD HAND METACARPAL HOOK CUT TO LENGTH BEND TO FIT LOW PROFILE TITANIUM ACUMED BONE ROLANDO,453.0,226.5,86.75,407.7,65
HCPCS,C1713,PLATE H1.3 MM STANDARD HAND METACARPAL ROTATION CORRECTION CUT TO LENGTH BEND TO FIT LOW PROFILE TITANIUM ACUMED BONE,521.0,260.5,99.77,468.9,65
HCPCS,C1713,PLATE H1.3 MM STANDARD HAND RIGHT METACARPAL CUT TO LENGTH BEND TO FIT LOW PROFILE ROUND EDGE TITANIUM ACUMED BONE,521.0,260.5,99.77,468.9,65
HCPCS,C1713,PLATE H1.3 MM STANDARD LEFT 3 HOLE COMPRESSION MEDIAL WALL GORILLA PRECISION GUIDE BONE LAPIDUS,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE H1.3 MM STANDARD LEFT 4 HOLE COMPRESSION MEDIAL WALL GORILLA PRECISION GUIDE BONE LAPIDUS,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE H1.3 MM STANDARD RIGHT 3 HOLE COMPRESSION MEDIAL WALL GORILLA PRECISION GUIDE BONE LAPIDUS,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE H1.3 MM STANDARD RIGHT 4 HOLE COMPRESSION MEDIAL WALL GORILLA PRECISION GUIDE BONE LAPIDUS,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE H1.3 MM STANDARD STRAIGHT HAND METACARPAL 10 HOLE CUT TO LENGTH BEND TO FIT LOW PROFILE TITANIUM ACUMED BONE,388.0,194.0,74.3,349.2,65
HCPCS,C1713,PLATE H1.3 MM STANDARD T HAND METACARPAL CUT TO LENGTH BEND TO FIT LOW PROFILE ROUND EDGE TITANIUM ACUMED BONE,388.0,194.0,74.3,349.2,65
HCPCS,C1713,PLATE H1.3 MM STRAIGHT HAND 6 HOLE LOCK VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,442.02,221.01,84.65,397.82,65
HCPCS,C1713,PLATE H1.3 MM T HAND 3 HOLE HEAD 7 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,474.62,237.31,90.89,427.16,65
HCPCS,C1713,PLATE H1.3 MM Y HAND 3 HOLE HEAD 7 HOLE SHAFT LOCK VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,474.62,237.31,90.89,427.16,65
HCPCS,C1713,PLATE H1.4 MM MEDIUM CONTOUR RIGHT LOW PROFILE TITANIUM BONE LISFRANC,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE H1.4 MM SMALL CONTOUR RIGHT LOW PROFILE TITANIUM BONE LISFRANC,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE H1.5 MM 140 D MANDIBLE 6 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2/2.3 MM SCREW,644.39,322.2,123.4,579.95,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 14 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2/2.3 MM SCREW,669.68,334.84,128.24,602.71,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 4 HOLE COMPRESSION TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2 MM SCREW,303.24,151.62,58.07,272.92,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 4 HOLE COMPRESSION TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2.3 MM SCREW,303.24,151.62,58.07,272.92,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 4 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2/2.3 MM SCREW,354.77,177.39,67.94,319.29,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 6 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2/2.3 MM SCREW,467.5,233.75,89.53,420.75,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 6 HOLE COMPRESSION TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2 MM SCREW,442.25,221.13,84.69,398.03,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 6 HOLE COMPRESSION TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2.3 MM SCREW,442.25,221.13,84.69,398.03,65
HCPCS,C1713,PLATE H1.5 MM MANDIBLE 6 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2/2.3 MM SCREW,430.57,215.29,82.45,387.51,65
HCPCS,C1713,PLATE H1.5 MM MINI CRANIOMAXILLOFACIAL 4 HOLE BAR TITANIUM NA BONE,683.0,341.5,130.79,614.7,65
HCPCS,C1713,PLATE H1.56 MM CURVE CRANIOMAXILLOFACIAL 5 X 2 HOLE CONDENSE TITANIUM NA BONE,750.41,375.21,143.7,675.37,65
HCPCS,C1713,PLATE H1.6 MM STRAIGHT MANDIBLE 4 HOLE GAP TITANIUM LORENZ TRAUMAONE BONE GOLD 2/2.3 MM SCREW,456.0,228.0,87.32,410.4,65
HCPCS,C1713,PLATE H1.8 MM FOOTBALL STERNAL 6 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,434.75,217.38,83.25,391.28,65
HCPCS,C1713,PLATE H1.8 MM J L T STERNAL 7 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,507.25,253.63,97.14,456.53,65
HCPCS,C1713,PLATE H1.8 MM LADDER STERNAL 18 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,629.75,314.88,120.6,566.78,65
HCPCS,C1713,PLATE H1.8 MM STERNAL 10 HOLE LOCK BODY TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,592.75,296.38,113.51,533.48,65
HCPCS,C1713,PLATE H1.8 MM STRAIGHT STERNAL 10 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,729.5,364.75,139.7,656.55,65
HCPCS,C1713,PLATE H1.8 MM STRAIGHT STERNAL 4 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,433.5,216.75,83.02,390.15,65
HCPCS,C1713,PLATE H1.8 MM STRAIGHT STERNAL 6 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,616.75,308.38,118.11,555.08,65
HCPCS,C1713,PLATE H1.8 MM STRAIGHT STERNAL 8 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,675.25,337.63,129.31,607.73,65
HCPCS,C1713,PLATE H1.8 MM X STERNAL 8 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,507.25,253.63,97.14,456.53,65
HCPCS,C1713,PLATE H1.8 MM Y STERNAL 9 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,540.25,270.13,103.46,486.23,65
HCPCS,C1713,PLATE H16 MM SPINE 2 HOLE CASCADIA CAYMAN BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE H18 MM SPINE 2 HOLE CASCADIA CAYMAN BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE H2 MM 140 D CRANIOFACIAL 6 HOLE NA BONE,1740.0,870.0,333.21,1566.0,65
HCPCS,C1713,PLATE H2 MM LARGE RIGHT GORILLA GRIP PRECISION GUIDE BONE CHARCOT,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,PLATE H2 MM STRAIGHT MANDIBLE 4 HOLE GAP LORENZ TRAUMAONE BONE BLUE,549.0,274.5,105.13,494.1,65
HCPCS,C1713,PLATE H2 MM STRAIGHT MANDIBLE 6 HOLE GAP TITANIUM LORENZ TRAUMAONE BONE BLUE 2/2.3 MM SCREW,980.0,490.0,187.67,882.0,65
HCPCS,C1713,PLATE H2 MM STRAIGHT T STERNAL 20 HOLE LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY,1056.25,528.13,202.27,950.63,65
HCPCS,C1713,PLATE H2 MM Y T LONG THORACIC RIB 39 HOLE LOCK RIGID TITANIUM LEVEL ONE BONE 2.3 MM SCREW,1674.75,837.38,320.71,1507.28,65
HCPCS,C1713,PLATE H2.6 MM ANGLE LARGE PREBENT MANDIBLE TITANIUM LORENZ TRAUMAONE BONE MAGENTA 2/2.3 MM SCREW,1777.0,888.5,340.3,1599.3,65
HCPCS,C1713,PLATE H20 MM SPINE 2 HOLE CASCADIA CAYMAN BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE H5-7 MM STANDARD SPINE 2 LEVEL LOCK ROI-C BONE,880.0,440.0,168.52,792.0,65
HCPCS,C1713,PLATE HAND WRIST 6 HOLE LOCK LOW PROFILE VARIABLE ANGLE STAINLESS STEEL OD15 MM BONE 2.4 MM SCREW INTERCARPAL FUSION,892.46,446.23,170.91,803.21,65
HCPCS,C1713,PLATE HAND WRIST 7 HOLE LOCK LOW PROFILE VARIABLE ANGLE TITANIUM OD17 MM BONE 2.4 MM SCREW INTERCARPAL FUSION,892.46,446.23,170.91,803.21,65
HCPCS,C1713,PLATE HEMISPHERE MANDIBLE CUSTOM RECONSTRUCTION PRIMARY NA BONE 2 MM SCREW,9555.0,4777.5,1829.78,8599.5,65
HCPCS,C1713,PLATE HEMISPHERE MANDIBLE RIGHT CUSTOM 28 HOLE RECONSTRUCTION NA BONE 2.8 MM SCREW,10290.0,5145.0,1970.54,9261.0,65
HCPCS,C1713,PLATE HEXAGON STERNUM 6 HOLE STERNALOCK BLU BONE PRIMARY CLOSURE SYSTEM,982.0,491.0,188.05,883.8,65
HCPCS,C1713,PLATE HUMERAL PROXIMAL BUTTRESS TITANIUM BONE,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,PLATE HUMERUS LEFT POSTEROLATERAL 9 HOLE ALPS BONE,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE HUMERUS LEFT PROXIMAL 2 HOLE OPTILOCK UPPER EXTREMITY PLATING BONE,1226.5,613.25,234.87,1103.85,65
HCPCS,C1713,PLATE HUMERUS PROXIMAL 3 HOLE POLYAXIAL LOCK LOW PROFILE SUTUREPLATE BONE,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,PLATE INFANT BLADE 90 DEGREE 3 HOLE 5MM OFFSET 35MM BLADE,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L HAND LEFT PHALANGEAL 5 HOLE HAND PLATES BONE,380.0,190.0,72.77,342.0,65
HCPCS,C1713,PLATE L HAND RIGHT PHALANGEAL 5 HOLE HAND PLATES BONE,380.0,190.0,72.77,342.0,65
HCPCS,C1713,PLATE L MIDFOOT RIGHT 5 HOLE COMPRESSION POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE L MIDFOOT RIGHT 6 HOLE COMPRESSION POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE L OBLIQUE RIGHT 3 HOLE SLANT GORILLA BONE LISFRANC,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,PLATE L OBLIQUE RIGHT 5 HOLE SLANT GORILLA BONE LISFRANC,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,PLATE L.375 IN OFFSET SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L.625 IN SPINE LOW PROFILE BAR FIX STAINLESS STEEL CROSSLINK CD HORIZON BONE 5.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L.625 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L.875 IN SPINE LOW PROFILE BAR FIX STAINLESS STEEL CROSSLINK CD HORIZON BONE 5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L.875 IN SPINE LOW PROFILE BAR FIX STAINLESS STEEL CROSSLINK CD HORIZON BONE 5.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1 IN SPINE LOW PROFILE STAINLESS STEEL LEGACY CROSSLINK CD HORIZON BONE 4.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.125 IN SPINE LOW PROFILE BAR FIX STAINLESS STEEL CROSSLINK CD HORIZON BONE 5.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.125 IN SPINE LOW PROFILE STAINLESS STEEL LEGACY CROSSLINK CD HORIZON BONE 4.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.25 IN SPINE LOW PROFILE BAR FIX STAINLESS STEEL CROSSLINK CD HORIZON BONE 5.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.25 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.375 IN SPINE LOW PROFILE BAR FIX STAINLESS STEEL CROSSLINK CD HORIZON BONE 5.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.375 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.375 IN SPINE LOW PROFILE STAINLESS STEEL LEGACY CROSSLINK CD HORIZON BONE 4.5 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.4 MM HOOK 7 HOLE BONE,780.59,390.3,149.48,702.53,65
HCPCS,C1713,PLATE L1.4 MM STRAIGHT 10 HOLE BONE,780.59,390.3,149.48,702.53,65
HCPCS,C1713,PLATE L1.5 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.55-1.75 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L1.75-2.15 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L10 MM 2 HOLE WEDGE ORTHOLINK BONE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE L10 MM CURVE CRANIOFACIAL 6 HOLE MEDIUM PROFILE BAR NA BONE,561.35,280.68,107.5,505.22,65
HCPCS,C1713,PLATE L10 MM PRECONTOUR SPINE GRAFT PRECUT COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L10 MM PRECONTOUR SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L10 MM SPINE 2 SIDE MODULAR MODULUS BONE XLIF,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L10 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L10 MM SPINE GRAFT CONTAINMENT MLX BONE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L10 MM SPINE LATERAL HOLE GRAFT COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L10 MM SPINE LATERAL HOLE OPEN DOOR COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L10 MM SPINE LATERAL HOLE OPEN DOOR COLOR CODED WIDE MOUTH TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L10 MM SPINE MODULAR MODULUS BONE XLIF,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L10 MM SPINE OPEN DOOR COLOR CODED WIDE MOUTH TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L10 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L10 MM TIBIAL LOW PROFILE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L10 MM X H.8 MM 2 X 2 HOLE BRIDGE TAB TITANIUM LEVEL ONE CMF BONE,285.09,142.55,54.59,256.58,65
HCPCS,C1713,PLATE L100 MM ANKLE ANTERIOR 6 HOLE STAINLESS STEEL LCP COMBI BONE 4.5 MM CORTEX SHAFT 6.5 MM CANCELLOUS SCREW ARTHRODESIS,1257.01,628.51,240.72,1131.31,65
HCPCS,C1713,PLATE L100 MM CLAVICLE LEFT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE L100 MM CLAVICLE LEFT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,824.4,412.2,157.87,741.96,65
HCPCS,C1713,PLATE L100 MM CLAVICLE RIGHT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L100 MM CLAVICLE RIGHT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,768.16,384.08,147.1,691.34,65
HCPCS,C1713,PLATE L100 MM ELBOW LEFT LATERAL 10 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L100 MM ELBOW RIGHT LATERAL 10 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L100 MM FOREARM RADIAL VOLAR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L100 MM FOREARM ULNA 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L100 MM MEDIUM FIBULA RIGHT DISTAL 5 PROXIMAL HOLE DFX BONE,1207.0,603.5,231.14,1086.3,65
HCPCS,C1713,PLATE L100 MM SUPERIOR CLAVICLE RIGHT 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE L100 MM X H3 MM 2XL NARROW RADIAL LEFT DISTAL VOLAR 8 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE L100 MM X H3 MM 2XL STANDARD RADIAL LEFT DISTAL VOLAR 8 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE L100 MM X H94 MM 130 D 4 HOLE BLADE STAINLESS STEEL DCP W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L100 MM X W11 MM X H1.5 MM RIGHT ANGLE T 4 HOLE HEAD 8 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,471.95,235.98,90.38,424.76,65
HCPCS,C1713,PLATE L100 MM X W3.8 MM X H.8 MM STRAIGHT 20 HOLE LOW PROFILE PRECONTOUR STAINLESS STEEL BONE 1.5 MM SCREW MODULAR HAND SYSTEM,214.11,107.06,41.0,192.7,65
HCPCS,C1713,PLATE L100 MM X W5 MM X H1 MM STRAIGHT 20 HOLE STAINLESS STEEL BONE 2 MM SCREW MINI FRAGMENT SET,221.52,110.76,42.42,199.37,65
HCPCS,C1713,PLATE L101 MM ANKLE RIGHT FIBULA LATERAL 5 HOLE STAINLESS STEEL ANTHEM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE L101 MM CLAVICLE ANTERIOR LATERAL 10 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L101 MM CLAVICLE LATERAL ANTERIOR 10 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L101 MM FIBULA DISTAL 5 HOLE STAINLESS STEEL ANTHEM UNIVERSAL BONE,520.0,260.0,99.58,468.0,65
HCPCS,C1713,PLATE L101 MM FIBULA LEFT DISTAL LATERAL 4 HOLE STAINLESS STEEL ANTHEM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE L101 MM OFFSET ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,1408.92,704.46,269.81,1268.03,65
HCPCS,C1713,PLATE L101 MM OFFSET ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1408.92,704.46,269.81,1268.03,65
HCPCS,C1713,PLATE L101 MM STRAIGHT 8 HOLE STAINLESS STEEL ANTHEM BONE 3.5 MM SCREW SMALL FRAGMENT,280.0,140.0,53.62,252.0,65
HCPCS,C1713,PLATE L101 MM STRAIGHT ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,1418.87,709.44,271.71,1276.98,65
HCPCS,C1713,PLATE L101 MM STRAIGHT ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1418.87,709.44,271.71,1276.98,65
HCPCS,C1713,PLATE L101 MM X W11 MM CLAVICLE LEFT DISTAL 16 HOLE LOCK TITANIUM ACUMED BONE BLUE 2.3 MM SCREW,3136.0,1568.0,600.54,2822.4,65
HCPCS,C1713,PLATE L101 MM X W11 MM CLAVICLE RIGHT DISTAL 16 HOLE LOCK TITANIUM ACUMED BONE GREEN 2.3 MM SCREW,1193.0,596.5,228.46,1073.7,65
HCPCS,C1713,PLATE L101 MM X W14 MM CLAVICLE LEFT DISTAL SUPERIOR 12 HOLE LOCK TITANIUM ACUMED W11 MM BONE BLUE 3.5 MM SCREW,1085.0,542.5,207.78,976.5,65
HCPCS,C1713,PLATE L102 MM 130 D FEMUR PROXIMAL 6 HOLE LOCK STAINLESS STEEL PEDILOC BONE 3.5 MM SCREW,1227.25,613.63,235.02,1104.53,65
HCPCS,C1713,PLATE L102 MM 3 SCALLOP FIBULA LEFT POSTEROLATERAL 6 HOLE ACUMED BONE,821.0,410.5,157.22,738.9,65
HCPCS,C1713,PLATE L102 MM ANTERIOR CLAVICLE MEDIAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L102 MM CLAVICLE MEDIAL ANTERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L102 MM CONTOUR PROXIMAL 6 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1127.24,563.62,215.87,1014.52,65
HCPCS,C1713,PLATE L103 MM 1/3 TUBULAR 8 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,49.75,24.88,9.53,44.78,65
HCPCS,C1713,PLATE L103 MM BROAD STRAIGHT 8 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE L103 MM CONTOUR LEFT DISTAL POSTEROLATERAL 5 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,548.03,274.02,104.95,493.23,65
HCPCS,C1713,PLATE L103 MM CONTOUR POSTEROLATERAL 5 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,548.03,274.02,104.95,493.23,65
HCPCS,C1713,PLATE L103 MM CONTOUR POSTEROLATERAL LEFT DISTAL 5 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,514.95,257.48,98.61,463.46,65
HCPCS,C1713,PLATE L103 MM CONTOUR RIGHT DISTAL POSTEROLATERAL 5 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,514.95,257.48,98.61,463.46,65
HCPCS,C1713,PLATE L103 MM FIBULA RIGHT LATERAL 6 HOLE ACUMED BONE,807.0,403.5,154.54,726.3,65
HCPCS,C1713,PLATE L103 MM HUMERUS RIGHT PROXIMAL LOW PROFILE STAINLESS STEEL ANTHEM BONE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,PLATE L103 MM TAPER HUMERUS LEFT DISTAL POSTEROLATERAL 7 HOLE ACUMED BONE,1132.0,566.0,216.78,1018.8,65
HCPCS,C1713,PLATE L103 MM TAPER HUMERUS RIGHT DISTAL POSTEROLATERAL 7 HOLE ACUMED BONE,1132.0,566.0,216.78,1018.8,65
HCPCS,C1713,PLATE L103 MM X W10 MM X H2 MM 11 MM SPACE FIBULA LEFT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W16.3 MM X H1.7 MM BONE 2.7/3.5 MM SCREW,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE L103 MM X W10 MM X H2 MM 11 MM SPACE FIBULA RIGHT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W16.3 MM X H1.7 MM BONE 2.7/3.5 MM SCREW,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE L103 MM X W10.9 MM X H2 MM 11 MM SPACE T TIBIAL LEFT PROXIMAL POSTEROMEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W32.5 MM X H2 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L103 MM X W10.9 MM X H2 MM 11 MM SPACE T TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W32.5 MM X H2 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L103 MM X W11 MM X H3.3 MM 8 HOLE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,266.23,133.12,50.98,239.61,65
HCPCS,C1713,PLATE L104 MM FIBULA LEFT DISTAL 6 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,714.73,357.37,136.87,643.26,65
HCPCS,C1713,PLATE L104 MM WAIST 8 HOLE COMPRESSION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,86.57,43.29,16.58,77.91,65
HCPCS,C1713,PLATE L104 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 8 HOLE LOCK RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,544.4,272.2,104.25,489.96,65
HCPCS,C1713,PLATE L104 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 8 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,335.99,168.0,64.34,302.39,65
HCPCS,C1713,PLATE L104 MM X W10.2 MM X H2.7 MM 88 MM RADIUS CURVE PELVIC 8 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,472.58,236.29,90.5,425.32,65
HCPCS,C1713,PLATE L104 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 8 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,360.54,180.27,69.04,324.49,65
HCPCS,C1713,PLATE L105 MM 19.5 MM NARROW XLONG RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 7 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1372.0,686.0,262.74,1234.8,65
HCPCS,C1713,PLATE L105 MM 19.5 MM NARROW XLONG RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 7 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1474.63,737.32,282.39,1327.17,65
HCPCS,C1713,PLATE L105 MM CLAVICLE LEFT SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE L105 MM CLAVICLE RIGHT SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE L105 MM CLAVICLE SUPERIOR LEFT 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE L105 MM HUMERUS LEFT LATERAL POSTERIOR 4 HOLE TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L105 MM HUMERUS RIGHT LATERAL POSTERIOR 4 HOLE TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L105 MM X W9 MM X H1 MM 1/3 TUBULAR 9 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,140.93,70.47,26.99,126.84,65
HCPCS,C1713,PLATE L106 MM 9 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,435.4,217.7,83.38,391.86,65
HCPCS,C1713,PLATE L106 MM ANTEROLATERAL DISTAL LEFT 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1190.67,595.34,228.01,1071.6,65
HCPCS,C1713,PLATE L106 MM ANTEROLATERAL RIGHT DISTAL 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1190.67,595.34,228.01,1071.6,65
HCPCS,C1713,PLATE L106 MM CONTOUR MEDIAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1138.38,569.19,218.0,1024.54,65
HCPCS,C1713,PLATE L106 MM CONTOUR MEDIAL PROXIMAL RIGHT 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1252.28,626.14,239.81,1127.05,65
HCPCS,C1713,PLATE L106 MM CONTOUR TIBIAL LEFT PROXIMAL MEDIAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1252.28,626.14,239.81,1127.05,65
HCPCS,C1713,PLATE L106 MM LARGE FIBULA LEFT POSTERIOR 11 HOLE ORTHOLOC BONE,1188.03,594.02,227.51,1069.23,65
HCPCS,C1713,PLATE L106 MM SHALLOW CURVE CLAVICLE LEFT LATERAL SUPERIOR 8 HOLE LOW PROFILE STAINLESS STEEL ANTHEM BONE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,PLATE L106.5 MM PELVIC 9 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS BONE,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE L107 MM CONTOUR LEFT PROXIMAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1083.33,541.67,207.46,975.0,65
HCPCS,C1713,PLATE L107 MM CONTOUR PROXIMAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1166.47,583.24,223.38,1049.82,65
HCPCS,C1713,PLATE L107 MM CONTOUR PROXIMAL RIGHT 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1083.33,541.67,207.46,975.0,65
HCPCS,C1713,PLATE L108 MM 150 D FEMUR PROXIMAL 5 HOLE LOCK STAINLESS STEEL PEDILOC BONE 4.5 MM SCREW,1188.06,594.03,227.51,1069.25,65
HCPCS,C1713,PLATE L108 MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE L108 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE L108 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION TITANIUM BONE 3.5 MM SCREW,803.91,401.96,153.95,723.52,65
HCPCS,C1713,PLATE L108 MM CURVE RADIAL 8 HOLE LOW PROFILE RECONSTRUCTION BONE 3.5 MM SCREW,472.58,236.29,90.5,425.32,65
HCPCS,C1713,PLATE L108 MM LONG MEDIAL 4 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L108 MM LONG MEDIAL DISTAL RIGHT 4 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L108 MM SUPERIOR ANTERIOR RIGHT CLAVICLE 6 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE L108 MM ULNA LEFT PROXIMAL DISTAL ELBOW PLATING SYSTEM BONE,1137.0,568.5,217.74,1023.3,65
HCPCS,C1713,PLATE L108 MM ULNA RIGHT PROXIMAL DISTAL ELBOW PLATING SYSTEM BONE,1137.0,568.5,217.74,1023.3,65
HCPCS,C1713,PLATE L109 MM 22 MM STANDARD XLONG LEFT DISTAL VOLAR 6 HOLE HEAD 7 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1467.28,733.64,280.98,1320.55,65
HCPCS,C1713,PLATE L109 MM 22 MM STANDARD XLONG RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 7 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1467.28,733.64,280.98,1320.55,65
HCPCS,C1713,PLATE L109 MM CLOVERLEAF 6 HOLE STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,282.58,141.29,54.11,254.32,65
HCPCS,C1713,PLATE L109 MM CONTOUR HUMERUS PERIARTICULAR LEFT PROXIMAL 3 HOLE LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,1371.12,685.56,262.57,1234.01,65
HCPCS,C1713,PLATE L109 MM CONTOUR PROXIMAL 3 HOLE LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,1309.97,654.99,250.86,1178.97,65
HCPCS,C1713,PLATE L109 MM CONTOUR PROXIMAL RIGHT PERIARTICULAR 3 HOLE LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,1309.97,654.99,250.86,1178.97,65
HCPCS,C1713,PLATE L109 MM DISTAL MEDIAL RIGHT 4 HOLE LOW BEND BONE 3.5MM SCREW,1112.19,556.1,212.98,1000.97,65
HCPCS,C1713,PLATE L109 MM HUMERUS RIGHT DISTAL LATERAL 4 HOLE TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L109 MM LEFT DISTAL MEDIAL 4 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1043.79,521.9,199.89,939.41,65
HCPCS,C1713,PLATE L109 MM MEDIAL 4 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1112.19,556.1,212.98,1000.97,65
HCPCS,C1713,PLATE L109 MM RIGHT MEDIAL DISTAL 4 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1043.79,521.9,199.89,939.41,65
HCPCS,C1713,PLATE L109 MM X W9 MM X H1 MM 1/3 TUBULAR 9 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,109.23,54.62,20.92,98.31,65
HCPCS,C1713,PLATE L11 MM KNEE FEMUR BUTTRESS TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE L11 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L110 MM 25.5 MM WIDE XLONG RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 7 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1467.28,733.64,280.98,1320.55,65
HCPCS,C1713,PLATE L110 MM 25.5 MM WIDE XLONG RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 7 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1467.28,733.64,280.98,1320.55,65
HCPCS,C1713,PLATE L110 MM CLAVICLE ANTERIOR LEFT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L110 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE L110 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,824.4,412.2,157.87,741.96,65
HCPCS,C1713,PLATE L110 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE BONE 3.5 MM SCREW,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE L110 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L110 MM STANDARD ELBOW LEFT OLECRANON 7 HOLE LOW PROFILE ACUMED BONE,1190.0,595.0,227.89,1071.0,65
HCPCS,C1713,PLATE L110 MM STANDARD ELBOW RIGHT OLECRANON 7 HOLE LOW PROFILE ACUMED BONE,1190.0,595.0,227.89,1071.0,65
HCPCS,C1713,PLATE L110 MM ULNA LEFT PROXIMAL DORSAL 8 HOLE NONLOCK STAINLESS STEEL BONE,535.6,267.8,102.57,482.04,65
HCPCS,C1713,PLATE L110 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL MEDIAL 7 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,881.35,440.68,168.78,793.22,65
HCPCS,C1713,PLATE L110 MM X W11 MM X H2.5 MM MEDIAL 7 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,811.28,405.64,155.36,730.15,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 6 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 6 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 6 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 140 D STANDARD BARREL FEMUR 6 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 145 D STANDARD BARREL FEMORAL 6 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 145 D STANDARD BARREL FEMUR 6 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 6 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L110 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 6 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L111 MM LONG DISTAL LEFT MEDIAL 4 HOLE VARIABLE ANGLE TAPER TIP EXTEND TITANIUM BONE 2.7/3.5 MM SCREW,1088.46,544.23,208.44,979.61,65
HCPCS,C1713,PLATE L111 MM LONG MEDIAL 4 HOLE VARIABLE ANGLE TAPER TIP EXTEND STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L111 MM LONG MEDIAL RIGHT DISTAL 4 HOLE VARIABLE ANGLE TAPER TIP EXTEND STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L111 MM STRAIGHT 9 HOLE STAINLESS STEEL ANTHEM BONE 3.5 MM SCREW SMALL FRAGMENT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,PLATE L111 MM X W11 MM X H3.4 MM 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,257.86,128.93,49.38,232.07,65
HCPCS,C1713,PLATE L111 MM X W11 MM X H3.4 MM 8 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,269.84,134.92,51.67,242.86,65
HCPCS,C1713,PLATE L111 MM X W23-15 MM 130 D HIP 5 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,897.67,448.84,171.9,807.9,65
HCPCS,C1713,PLATE L111.6 MM X W10.3 MM X H3.7 MM 8 HOLE LOCK LOW PROFILE COMPRESSION TIMAX ALPS BONE 3.5 MM SCREW SMALL FRAGMENT,247.1,123.55,47.32,222.39,65
HCPCS,C1713,PLATE L112 MM CONTOUR LATERAL 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,543.47,271.74,104.07,489.12,65
HCPCS,C1713,PLATE L112 MM CONTOUR LATERAL DISTAL RIGHT 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,510.76,255.38,97.81,459.68,65
HCPCS,C1713,PLATE L112 MM CONTOUR LEFT 4 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,814.55,407.28,155.99,733.1,65
HCPCS,C1713,PLATE L112 MM CONTOUR LEFT LATERAL DISTAL 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,510.76,255.38,97.81,459.68,65
HCPCS,C1713,PLATE L112 MM CONTOUR OLECRANON RIGHT 4 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,814.55,407.28,155.99,733.1,65
HCPCS,C1713,PLATE L112 MM CONTOUR RIGHT DISTAL LATERAL 6 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,543.47,271.74,104.07,489.12,65
HCPCS,C1713,PLATE L112 MM CONTOUR RIGHT LATERAL DISTAL 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,543.47,271.74,104.07,489.12,65
HCPCS,C1713,PLATE L112 MM D15 MM CLAVICLE LEFT 7 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,815.14,407.57,156.1,733.63,65
HCPCS,C1713,PLATE L112 MM D15 MM CLAVICLE LEFT 7 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,870.83,435.42,166.76,783.75,65
HCPCS,C1713,PLATE L112 MM D15 MM CLAVICLE RIGHT 7 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,815.14,407.57,156.1,733.63,65
HCPCS,C1713,PLATE L112 MM D18 MM CLAVICLE LEFT 7 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,815.14,407.57,156.1,733.63,65
HCPCS,C1713,PLATE L112 MM D18 MM CLAVICLE RIGHT 7 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,815.14,407.57,156.1,733.63,65
HCPCS,C1713,PLATE L112 MM SMALL TIBIAL MEDIAL 4 HOLE PRECONTOUR TAPER END HIGH TITANIUM TOMOFIX BONE,1032.17,516.09,197.66,928.95,65
HCPCS,C1713,PLATE L112 MM STANDARD HUMERUS LEFT PROXIMAL 5 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1029.18,514.59,197.09,926.26,65
HCPCS,C1713,PLATE L112 MM STANDARD HUMERUS RIGHT PROXIMAL LATERAL 5 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1029.18,514.59,197.09,926.26,65
HCPCS,C1713,PLATE L112 MM STRAIGHT WRIST FUSION STAINLESS STEEL BONE,1280.16,640.08,245.15,1152.14,65
HCPCS,C1713,PLATE L112 MM STRAIGHT WRIST TITANIUM BONE,1339.1,669.55,256.44,1205.19,65
HCPCS,C1713,PLATE L112 MM X W10.1 MM X H3.5 MM 8 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,413.05,206.53,79.1,371.75,65
HCPCS,C1713,PLATE L112 MM X W10.1 MM X H3.5 MM 8 HOLE RECONSTRUCTION TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,436.39,218.2,83.57,392.75,65
HCPCS,C1713,PLATE L112 MM X W11 MM X H3.3 MM METAPHYSEAL 8 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,853.76,426.88,163.5,768.38,65
HCPCS,C1713,PLATE L112 MM X W8 MM X H3.3 MM 14 HOLE RECONSTRUCTION STAINLESS STEEL BONE 2.7 MM SCREW MINI FRAGMENT SET,454.73,227.37,87.08,409.26,65
HCPCS,C1713,PLATE L113 MM CLAVICLE LATERAL ANTERIOR 11 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L113 MM OLECRANON LEFT 6 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L113 MM OLECRANON RIGHT 6 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L113 MM STRAIGHT ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,1449.72,724.86,277.62,1304.75,65
HCPCS,C1713,PLATE L113 MM STRAIGHT ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1449.72,724.86,277.62,1304.75,65
HCPCS,C1713,PLATE L113.5 MM FEMUR LEFT DISTAL MEDIAL 4 HOLE TITANIUM TOMOFIX BONE,1106.07,553.04,211.81,995.46,65
HCPCS,C1713,PLATE L113.5 MM FEMUR RIGHT DISTAL MEDIAL 4 HOLE TITANIUM TOMOFIX BONE,1106.07,553.04,211.81,995.46,65
HCPCS,C1713,PLATE L114 MM LARGE ANKLE RIGHT ANTEROLATERAL 4 HOLE SHAFT 2 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L114 MM NARROW STRAIGHT 9 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE L114 MM X W12 MM X H2.5 MM STANDARD PROXIMAL 5 HOLE SHAFT LOCK COMPRESSION PRECONTOUR STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1197.41,598.71,229.3,1077.67,65
HCPCS,C1713,PLATE L114 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 6 HOLE STAINLESS STEEL DCS DCP L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,751.37,375.69,143.89,676.23,65
HCPCS,C1713,PLATE L114 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 6 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,937.08,468.54,179.45,843.37,65
HCPCS,C1713,PLATE L115 MM BROAD CURVE 9 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE L115 MM CLAVICLE LEFT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L115 MM CLAVICLE RIGHT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L115 MM CLAVICLE RIGHT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,788.16,394.08,150.93,709.34,65
HCPCS,C1713,PLATE L115 MM HUMERUS RIGHT PROXIMAL 5 HOLE LOCK STAINLESS STEEL PERI-LOC BONE 3.5 MM SCREW,983.56,491.78,188.35,885.2,65
HCPCS,C1713,PLATE L115 MM STANDARD HUMERUS LEFT PROXIMAL 6 HOLE POLARUS 3 BONE BLUE,1506.0,753.0,288.4,1355.4,65
HCPCS,C1713,PLATE L115 MM T 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/5 MM SCREW SMALL FRAGMENT SET,574.77,287.39,110.07,517.29,65
HCPCS,C1713,PLATE L115 MM T 6 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5/5 MM SCREW SMALL FRAGMENT SET,598.91,299.46,114.69,539.02,65
HCPCS,C1713,PLATE L115 MM TIBIAL MEDIAL 4 HOLE PRECONTOUR TAPER END HIGH TITANIUM TOMOFIX BONE,1032.17,516.09,197.66,928.95,65
HCPCS,C1713,PLATE L116 MM 9 HOLE LC-DCP BONE 3.5 MM SCREW,277.1,138.55,53.06,249.39,65
HCPCS,C1713,PLATE L116 MM ANKLE ANTERIOR 7 HOLE STAINLESS STEEL LCP COMBI BONE 4.5 MM CORTEX SHAFT 6.5 MM CANCELLOUS SCREW ARTHRODESIS,1273.1,636.55,243.8,1145.79,65
HCPCS,C1713,PLATE L116 MM CONTOUR FIBULA RIGHT DISTAL POSTEROLATERAL 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,518.18,259.09,99.23,466.36,65
HCPCS,C1713,PLATE L116 MM CONTOUR POSTEROLATERAL 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,552.02,276.01,105.71,496.82,65
HCPCS,C1713,PLATE L116 MM CONTOUR POSTEROLATERAL RIGHT DISTAL 6 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,552.02,276.01,105.71,496.82,65
HCPCS,C1713,PLATE L116 MM HUMERUS DISTAL MEDIAL 6 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L116 MM LARGE ANKLE TIBIOTALAR LATERAL 4 HOLE SHAFT 2 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L116 MM LEFT 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,911.73,455.87,174.6,820.56,65
HCPCS,C1713,PLATE L116 MM LEFT 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,933.72,466.86,178.81,840.35,65
HCPCS,C1713,PLATE L116 MM LEFT 4 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,955.95,477.98,183.06,860.36,65
HCPCS,C1713,PLATE L116 MM RIGHT 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,911.73,455.87,174.6,820.56,65
HCPCS,C1713,PLATE L116 MM RIGHT 4 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,955.95,477.98,183.06,860.36,65
HCPCS,C1713,PLATE L116 MM X W11 MM X H2.5 MM DISTAL HUMERUS POSTEROLATERAL LEFT 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,976.21,488.11,186.94,878.59,65
HCPCS,C1713,PLATE L116 MM X W11 MM X H2.5 MM POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,811.28,405.64,155.36,730.15,65
HCPCS,C1713,PLATE L116 MM X W11 MM X H2.5 MM POSTEROLATERAL HUMERUS RIGHT DISTAL 7 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,881.35,440.68,168.78,793.22,65
HCPCS,C1713,PLATE L116 MM X W13.5 MM X H3.7 MM CONTOUR TIBIAL RIGHT DISTAL MEDIAL 4 HOLE ROUND EDGE LOW PROFILE HEAD STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1285.6,642.8,246.19,1157.04,65
HCPCS,C1713,PLATE L116 MM X W13.5 MM X H4.2 MM NARROW 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,296.23,148.12,56.73,266.61,65
HCPCS,C1713,PLATE L116 MM X W13.5 MM X H4.2 MM NARROW 6 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,309.92,154.96,59.35,278.93,65
HCPCS,C1713,PLATE L116 MM X W17.5 MM X H5.2 MM BROAD 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,316.69,158.35,60.65,285.02,65
HCPCS,C1713,PLATE L117 MM WAIST 9 HOLE COMPRESSION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,86.57,43.29,16.58,77.91,65
HCPCS,C1713,PLATE L117 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 9 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,564.77,282.39,108.15,508.29,65
HCPCS,C1713,PLATE L117 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 9 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,349.35,174.68,66.9,314.42,65
HCPCS,C1713,PLATE L117 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 9 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,369.72,184.86,70.8,332.75,65
HCPCS,C1713,PLATE L117 MM X W10.9 MM X H2 MM 11 MM SPACE TIBIAL RIGHT PROXIMAL MEDIAL 8 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W25 MM X H1.5 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L118 MM 10 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,428.25,214.13,82.01,385.43,65
HCPCS,C1713,PLATE L118 MM CONTOUR PROXIMAL 6 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1268.33,634.17,242.89,1141.5,65
HCPCS,C1713,PLATE L118 MM CONTOUR PROXIMAL LEFT 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1202.24,601.12,230.23,1082.02,65
HCPCS,C1713,PLATE L118 MM CONTOUR PROXIMAL LEFT 6 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1268.33,634.17,242.89,1141.5,65
HCPCS,C1713,PLATE L118 MM CONTOUR RIGHT PROXIMAL 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1170.47,585.24,224.15,1053.42,65
HCPCS,C1713,PLATE L118 MM CONTOUR TIBIAL RIGHT PROXIMAL 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1202.24,601.12,230.23,1082.02,65
HCPCS,C1713,PLATE L118 MM SHORT BEND WRIST FUSION STAINLESS STEEL BONE,1280.16,640.08,245.15,1152.14,65
HCPCS,C1713,PLATE L118 MM SHORT BEND WRIST FUSION TITANIUM BONE,1339.1,669.55,256.44,1205.19,65
HCPCS,C1713,PLATE L118 MM STANDARD BEND WRIST FUSION STAINLESS STEEL BONE,1359.97,679.99,260.43,1223.97,65
HCPCS,C1713,PLATE L118 MM STANDARD BEND WRIST FUSION TITANIUM BONE,1339.1,669.55,256.44,1205.19,65
HCPCS,C1713,PLATE L118 MM X W11 MM X H4.2 MM NARROW 9 HOLE TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,853.76,426.88,163.5,768.38,65
HCPCS,C1713,PLATE L119 MM CONTOUR LEFT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1173.35,586.68,224.7,1056.02,65
HCPCS,C1713,PLATE L119 MM CONTOUR MEDIAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1173.35,586.68,224.7,1056.02,65
HCPCS,C1713,PLATE L119 MM CONTOUR MEDIAL LEFT PROXIMAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1082.18,541.09,207.24,973.96,65
HCPCS,C1713,PLATE L119 MM CONTOUR MEDIAL PROXIMAL RIGHT 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1082.18,541.09,207.24,973.96,65
HCPCS,C1713,PLATE L119 MM LARGE TIBIOTALOCALCANEAL POSTERIOR 3 HOLE SHAFT 2 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L12 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR EXTRA RIGID TITANIUM UNIVERSAL NEURO 2 QUIKFLAP BONE 1.5 MM SCREW RETROSIGMOID,103.93,51.97,19.9,93.54,65
HCPCS,C1713,PLATE L12 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR TAB TITANIUM UNIVERSAL NEURO II BONE 1.5 MM SCREW RETROSIGMOID,122.83,61.42,23.52,110.55,65
HCPCS,C1713,PLATE L12 MM DOG CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR TAB TITANIUM UNIVERSAL NEURO III BONE 1.5 MM SCREW RETROSIGMOID,133.73,66.87,25.61,120.36,65
HCPCS,C1713,PLATE L12 MM O FEMUR PHYSEAL DISTAL LATERAL LOW PROFILE CENTER HOLE STAINLESS STEEL PEDIPLATES BONE PEDIATRIC,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE L12 MM PRECONTOUR SPINE GRAFT PRECUT COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L12 MM PRECONTOUR SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L12 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L12 MM SPINE LATERAL HOLE GRAFT COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L12 MM SPINE LATERAL HOLE OPEN DOOR COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L12 MM SPINE LATERAL HOLE OPEN DOOR COLOR CODED WIDE MOUTH TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L12 MM SPINE MODULAR MODULUS BONE XLIF,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L12 MM SPINE OPEN DOOR COLOR CODED WIDE MOUTH TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L12 MM SQUARE CRANIOMAXILLOFACIAL 4 HOLE TITANIUM LORENZ BONE 1.5 MM SCREW,269.0,134.5,51.51,242.1,65
HCPCS,C1713,PLATE L12 MM X H.6 MM DOG CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE RIGID TITANIUM UNIVERSAL NEURO 3 BONE 1.5 MM SCREW RETROSIGMOID,113.72,56.86,21.78,102.35,65
HCPCS,C1713,PLATE L12 MM X H.8 MM 100 D L MIDFACE LEFT 6 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 GSP BONE GOLD 1.7 MM SCREW,217.73,108.87,41.7,195.96,65
HCPCS,C1713,PLATE L12 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L12 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L12.5 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L12.5 MM TIBIAL LOW PROFILE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L120 MM 1/3 TUBULAR ANKLE 10 HOLE STAINLESS STEEL ANTHEM BONE,210.0,105.0,40.22,189.0,65
HCPCS,C1713,PLATE L120 MM 10 HOLE RECONSTRUCTION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,292.53,146.27,56.02,263.28,65
HCPCS,C1713,PLATE L120 MM ANTERIOR SUPERIOR RIGHT CLAVICLE 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L120 MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L120 MM CLAVICLE LEFT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE L120 MM CLAVICLE LEFT SUPERIOR 10 HOLE MIDSHAFT INCREASE CURVATURE VARIAX BONE,1101.47,550.74,210.93,991.32,65
HCPCS,C1713,PLATE L120 MM CLAVICLE LEFT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L120 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L120 MM CLAVICLE RIGHT SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L120 MM HUMERUS DISTAL MEDIAL 6 HOLE LOCK PRECONTOUR EXTEND TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L121 MM LONG LATERAL DISTAL LEFT 5 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L121 MM LONG LATERAL DISTAL RIGHT 5 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L121 MM STANDARD TIBIAL LEFT PROXIMAL LATERAL 4 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L121 MM STANDARD TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L121 MM TIBIAL LEFT PROXIMAL LATERAL 4 HOLE TITANIUM AXSOS 3 BONE,1307.64,653.82,250.41,1176.88,65
HCPCS,C1713,PLATE L121 MM X W11 MM CLAVICLE LEFT SUPERIOR 10 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L122 MM 10 HOLE LOCK COMPRESSION STAINLESS STEEL PEDILOC PEDIFRAG BONE 3.5 MM SCREW,358.15,179.08,68.59,322.34,65
HCPCS,C1713,PLATE L122 MM CLAVICLE LEFT SUPERIOR 8 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,1210.92,605.46,231.89,1089.83,65
HCPCS,C1713,PLATE L122 MM CLAVICLE RIGHT SUPERIOR 8 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,1210.92,605.46,231.89,1089.83,65
HCPCS,C1713,PLATE L122 MM DISTAL 4 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1000.17,500.09,191.53,900.15,65
HCPCS,C1713,PLATE L122 MM DISTAL HUMERUS LEFT 4 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1042.41,521.21,199.62,938.17,65
HCPCS,C1713,PLATE L122 MM RIGHT DISTAL HUMERUS 4 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1000.17,500.09,191.53,900.15,65
HCPCS,C1713,PLATE L122 MM RIGHT HUMERUS DISTAL 4 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1042.41,521.21,199.62,938.17,65
HCPCS,C1713,PLATE L122.5 MM STRAIGHT PELVIC 8 HOLE STAINLESS STEEL MATTA SPS BONE,301.49,150.75,57.74,271.34,65
HCPCS,C1713,PLATE L123 MM 1/3 TUBULAR ANKLE 10 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,224.0,112.0,42.9,201.6,65
HCPCS,C1713,PLATE L123 MM ANKLE LATERAL 7 HOLE LOCK HOOK STAINLESS STEEL TIGHTROPE BONE,690.08,345.04,132.15,621.07,65
HCPCS,C1713,PLATE L123 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE LATERAL EXTENSION BONE 3.5 MM SCREW,732.99,366.5,140.37,659.69,65
HCPCS,C1713,PLATE L123 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L123 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,789.04,394.52,151.1,710.14,65
HCPCS,C1713,PLATE L123 MM STANDARD TIBIAL LEFT DISTAL ANTEROLATERAL 6 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,907.8,453.9,173.84,817.02,65
HCPCS,C1713,PLATE L123 MM STANDARD TIBIAL RIGHT DISTAL ANTEROLATERAL 6 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,907.8,453.9,173.84,817.02,65
HCPCS,C1713,PLATE L124 MM 95 D CONDYLAR 7 HOLE BLADE STAINLESS STEEL L70 MM BONE,656.31,328.16,125.68,590.68,65
HCPCS,C1713,PLATE L124 MM CLAVICLE LATERAL ANTERIOR 12 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L124 MM LATERAL ANTERIOR CLAVICLE 12 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L124 MM X W11 MM X H3.4 MM 9 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,268.55,134.28,51.43,241.7,65
HCPCS,C1713,PLATE L124 MM X W11 MM X H3.4 MM NARROW 9 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,280.72,140.36,53.76,252.65,65
HCPCS,C1713,PLATE L125 MM BROAD 14 HOLE LOCK VARIAX BONE 2.7 MM SCREW,797.0,398.5,152.63,717.3,65
HCPCS,C1713,PLATE L125 MM CONTOUR DISTAL LATERAL RIGHT 7 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,546.89,273.45,104.73,492.2,65
HCPCS,C1713,PLATE L125 MM CONTOUR LATERAL 7 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,546.89,273.45,104.73,492.2,65
HCPCS,C1713,PLATE L125 MM CONTOUR LATERAL DISTAL LEFT 7 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,513.62,256.81,98.36,462.26,65
HCPCS,C1713,PLATE L125 MM CONTOUR LATERAL LEFT DISTAL 7 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,546.89,273.45,104.73,492.2,65
HCPCS,C1713,PLATE L125 MM DISTAL VOLAR LEFT 7 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1230.49,615.25,235.64,1107.44,65
HCPCS,C1713,PLATE L125 MM HUMERUS LEFT PROXIMAL LATERAL 6 HOLE TITANIUM AXSOS 3 BONE,1563.66,781.83,299.44,1407.29,65
HCPCS,C1713,PLATE L125 MM RADIUS LEFT DISTAL VOLAR 7 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1118.51,559.26,214.19,1006.66,65
HCPCS,C1713,PLATE L125 MM RADIUS RIGHT DISTAL VOLAR 7 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1128.64,564.32,216.13,1015.78,65
HCPCS,C1713,PLATE L125 MM SHALLOW CURVE CLAVICLE LEFT SUPERIOR 12 HOLE LOW PROFILE STAINLESS STEEL ANTHEM MIDSHAFT42 BONE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,PLATE L125 MM STRAIGHT ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,1479.57,739.79,283.34,1331.61,65
HCPCS,C1713,PLATE L125 MM STRAIGHT ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1479.57,739.79,283.34,1331.61,65
HCPCS,C1713,PLATE L125 MM VOLAR RADIUS RIGHT DISTAL 7 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1241.77,620.89,237.8,1117.59,65
HCPCS,C1713,PLATE L125 MM X W11 MM X H3.3 MM METAPHYSEAL 9 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,859.27,429.64,164.55,773.34,65
HCPCS,C1713,PLATE L125 MM X W24 MM XLONG RADIUS LEFT DISTAL VOLAR LOW PROFILE CROSSLOCK DVR BONE,1182.5,591.25,226.45,1064.25,65
HCPCS,C1713,PLATE L126 MM FIBULA LEFT DISTAL LATERAL 7 HOLE LOW PROFILE STAINLESS STEEL ANTHEM BONE 2.5 MM SCREW,825.0,412.5,157.99,742.5,65
HCPCS,C1713,PLATE L126 MM NARROW STRAIGHT 10 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE L127 MM BROAD CURVE 10 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,610.93,305.47,116.99,549.84,65
HCPCS,C1713,PLATE L127 MM LONG DISTAL LEFT POSTEROLATERAL 7 HOLE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,1055.17,527.59,202.07,949.65,65
HCPCS,C1713,PLATE L127 MM LONG POSTEROLATERAL 7 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L127 MM LONG POSTEROLATERAL LEFT DISTAL 7 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L127 MM X W19-12 MM 90 D CONDYLAR 7 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,863.96,431.98,165.45,777.56,65
HCPCS,C1713,PLATE L127 MM X W23-15 MM 90 D CONDYLAR 5 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,864.88,432.44,165.62,778.39,65
HCPCS,C1713,PLATE L128 MM CONTOUR LEFT PROXIMAL 8 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1133.13,566.57,216.99,1019.82,65
HCPCS,C1713,PLATE L128 MM CONTOUR PROXIMAL LEFT 8 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1216.04,608.02,232.87,1094.44,65
HCPCS,C1713,PLATE L128 MM CONTOUR PROXIMAL RIGHT 8 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1133.13,566.57,216.99,1019.82,65
HCPCS,C1713,PLATE L128 MM HUMERUS LEFT LATERAL POSTERIOR 6 HOLE TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L128 MM HUMERUS RIGHT LATERAL POSTERIOR 6 HOLE TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L129 MM 1/3 TUBULAR 10 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,49.75,24.88,9.53,44.78,65
HCPCS,C1713,PLATE L129 MM CONTOUR DISTAL POSTEROLATERAL LEFT 7 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,521.41,260.71,99.85,469.27,65
HCPCS,C1713,PLATE L129 MM CONTOUR DISTAL POSTEROLATERAL RIGHT 7 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,521.41,260.71,99.85,469.27,65
HCPCS,C1713,PLATE L129 MM CONTOUR POSTEROLATERAL 7 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,555.63,277.82,106.4,500.07,65
HCPCS,C1713,PLATE L13 MM SMALL CRANIOMAXILLOFACIAL SHUNT LORENZ THINFLAP BONE,367.0,183.5,70.28,330.3,65
HCPCS,C1713,PLATE L13 MM SPINE ANTERIOR TITANIUM LEGACY CROSSLINK CD HORIZON BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L13 MM SQUARE CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE TITANIUM LORENZ BONE THINFLAP SYSTEM,338.0,169.0,64.73,304.2,65
HCPCS,C1713,PLATE L130 MM 11 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,428.25,214.13,82.01,385.43,65
HCPCS,C1713,PLATE L130 MM CLAVICLE LEFT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L130 MM CLAVICLE RIGHT SUPERIOR 8 HOLE LATERAL EXTENSION BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L130 MM CLAVICLE RIGHT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L130 MM ELBOW MEDIAL 12 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L130 MM ELBOW RIGHT OLECRANON 9 HOLE LOW PROFILE EXTEND ACUMED BONE,1190.0,595.0,227.89,1071.0,65
HCPCS,C1713,PLATE L130 MM FOREARM ULNA 10 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L130 MM STANDARD FEMUR LEFT DISTAL LATERAL 4 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1082.22,541.11,207.25,974.0,65
HCPCS,C1713,PLATE L130 MM STANDARD FEMUR RIGHT DISTAL LATERAL 4 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1082.22,541.11,207.25,974.0,65
HCPCS,C1713,PLATE L130 MM SUPERIOR LEFT 8 HOLE LATERAL EXTENSION BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L130 MM WAIST 10 HOLE COMPRESSION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,89.55,44.78,17.15,80.6,65
HCPCS,C1713,PLATE L130 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J LEFT 10 HOLE LOCK RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,608.6,304.3,116.55,547.74,65
HCPCS,C1713,PLATE L130 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J RIGHT 10 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,608.6,304.3,116.55,547.74,65
HCPCS,C1713,PLATE L130 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 10 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,584.95,292.48,112.02,526.46,65
HCPCS,C1713,PLATE L130 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 10 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,363.36,181.68,69.58,327.02,65
HCPCS,C1713,PLATE L130 MM X W10.2 MM X H2.7 MM 108 MM RADIUS CURVE PELVIC 10 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,500.9,250.45,95.92,450.81,65
HCPCS,C1713,PLATE L130 MM X W10.2 MM X H2.7 MM 88 MM RADIUS CURVE 10 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,500.9,250.45,95.92,450.81,65
HCPCS,C1713,PLATE L130 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 10 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW,468.09,234.05,89.64,421.28,65
HCPCS,C1713,PLATE L130 MM X W11.4 MM X H3.4 MM 11 MM SPACE STANDARD TIBIAL RIGHT DISTAL MEDIAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W18.8 MM X H2.7 MM BONE 2.7/3.5 MM SCREW,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE L131 MM PROXIMAL ULNA LEFT 6 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE L131 MM PROXIMAL ULNA RIGHT 6 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1023.19,511.6,195.94,920.87,65
HCPCS,C1713,PLATE L131 MM ULNA LEFT PROXIMAL 6 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,1073.83,536.92,205.64,966.45,65
HCPCS,C1713,PLATE L131 MM ULNA PROXIMAL RIGHT 6 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE L131 MM UNIVERSAL TROCHANTER LOCK STABILIZATION STAINLESS STEEL BONE 4.5 MM SCREW,863.84,431.92,165.43,777.46,65
HCPCS,C1713,PLATE L132 MM ANTEROLATERAL 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1202.87,601.44,230.35,1082.58,65
HCPCS,C1713,PLATE L132 MM ANTEROLATERAL DISTAL LEFT 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1212.68,606.34,232.23,1091.41,65
HCPCS,C1713,PLATE L132 MM ANTEROLATERAL LEFT DISTAL 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1202.87,601.44,230.35,1082.58,65
HCPCS,C1713,PLATE L132 MM ANTEROLATERAL RIGHT DISTAL 9 HOLE LIMIT CONTACT TAPER TIP LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,1212.68,606.34,232.23,1091.41,65
HCPCS,C1713,PLATE L132 MM HUMERUS LEFT DISTAL LATERAL 6 HOLE TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L132 MM LARGE FIBULA LEFT LATERAL 15 HOLE ORTHOLOC BONE,1224.85,612.43,234.56,1102.37,65
HCPCS,C1713,PLATE L132 MM LARGE FIBULA RIGHT LATERAL 15 HOLE ORTHOLOC 3DI BONE,1224.85,612.43,234.56,1102.37,65
HCPCS,C1713,PLATE L132 MM OLECRANON LEFT 10 HOLE LOCK PERI-LOC BONE,777.05,388.53,148.81,699.35,65
HCPCS,C1713,PLATE L132 MM T TIBIAL DISTAL POSTERIOR 8 HOLE 4 LOCK STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,905.43,452.72,173.39,814.89,65
HCPCS,C1713,PLATE L133 MM CONTOUR LEFT PROXIMAL 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1205.84,602.92,230.92,1085.26,65
HCPCS,C1713,PLATE L133 MM CONTOUR PROXIMAL 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1205.84,602.92,230.92,1085.26,65
HCPCS,C1713,PLATE L133 MM CONTOUR PROXIMAL LEFT 8 HOLE LIMIT CONTACT TITANIUM BONE 3.5 MM SCREW,1040.72,520.36,199.3,936.65,65
HCPCS,C1713,PLATE L133 MM FEMUR PROXIMAL 2 HOLE HOOK STAINLESS STEEL BONE 4.5 MM SCREW,1293.34,646.67,247.67,1164.01,65
HCPCS,C1713,PLATE L133 MM NARROW 7 HOLES LOCKING COMPRESSION TITANIUM AXSOS 3 BONE 5 MM SCREW,1177.08,588.54,225.41,1059.37,65
HCPCS,C1713,PLATE L133 MM NARROW WAIST 7 HOLE LOCK COMPRESSION STAINLESS STEEL AXSOS BONE 5 MM SCREW BASIC FRAGMENT SET,130.56,65.28,25.0,117.5,65
HCPCS,C1713,PLATE L134 MM X W11.5 MM X H3.6 MM 11 MM SPACE STANDARD TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W32.3 MM X H1.9 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L134 MM X W13.5 MM X H4.2 MM NARROW 7 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,358.79,179.4,68.71,322.91,65
HCPCS,C1713,PLATE L134 MM X W13.5 MM X H4.2 MM NARROW 7 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,374.19,187.1,71.66,336.77,65
HCPCS,C1713,PLATE L134 MM X W17.5 MM X H5.2 MM BROAD 7 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,355.55,177.78,68.09,320.0,65
HCPCS,C1713,PLATE L134 MM XLONG MEDIAL 6 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L134 MM XLONG MEDIAL DISTAL LEFT 6 HOLE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,1055.17,527.59,202.07,949.65,65
HCPCS,C1713,PLATE L134 MM XLONG MEDIAL LEFT DISTAL 6 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L135 MM CLAVICLE ANTERIOR LEFT SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L135 MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L135 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L135 MM DISTAL MEDIAL RIGHT 6 HOLE LOW PROFILE LOW BEND ROUND EDGE TITANIUM BONE 3.5 MM SCREW,1103.73,551.87,211.36,993.36,65
HCPCS,C1713,PLATE L135 MM HUMERUS LEFT PROXIMAL LOW PROFILE STAINLESS STEEL ANTHEM BONE,1425.0,712.5,272.89,1282.5,65
HCPCS,C1713,PLATE L135 MM MEDIAL 6 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1124.61,562.31,215.36,1012.15,65
HCPCS,C1713,PLATE L135 MM NARROW 20 HOLE LOCK VARIAX BONE 2.4 MM SCREW,654.71,327.36,125.38,589.24,65
HCPCS,C1713,PLATE L135 MM RIGHT MEDIAL DISTAL 6 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1055.63,527.82,202.15,950.07,65
HCPCS,C1713,PLATE L136 MM 10 HOLE LOCK COMPRESSION AXSOS BONE,1003.68,501.84,192.2,903.31,65
HCPCS,C1713,PLATE L136 MM WAIST 10 HOLE LOCK COMPRESSION STAINLESS STEEL AXSOS BONE 4 MM SCREW SMALL FRAGMENT SET,119.34,59.67,22.85,107.41,65
HCPCS,C1713,PLATE L136 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL MEDIAL 9 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,949.7,474.85,181.87,854.73,65
HCPCS,C1713,PLATE L136 MM X W11 MM X H2.5 MM MEDIAL 9 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,875.96,437.98,167.75,788.36,65
HCPCS,C1713,PLATE L136 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 9 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,859.27,429.64,164.55,773.34,65
HCPCS,C1713,PLATE L137 MM OLECRANON LEFT 8 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L137 MM OLECRANON RIGHT 8 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L137 MM X W11 MM X H3.4 MM 10 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,276.6,138.3,52.97,248.94,65
HCPCS,C1713,PLATE L137 MM XLONG LEFT MEDIAL DISTAL 6 HOLE VARIABLE ANGLE TAPER TIP EXTEND STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L137 MM XLONG MEDIAL 6 HOLE VARIABLE ANGLE TAPER TIP EXTEND STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L138 MM CONTOUR OLECRANON LEFT 6 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,827.86,413.93,158.54,745.07,65
HCPCS,C1713,PLATE L138 MM CONTOUR RIGHT 6 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,787.93,393.97,150.89,709.14,65
HCPCS,C1713,PLATE L138 MM OLECRANON RIGHT 6 HOLE BONE 3.5 MM SCREW,827.86,413.93,158.54,745.07,65
HCPCS,C1713,PLATE L138 MM X W11 MM X H3.3 MM METAPHYSEAL 10 HOLE LCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,864.79,432.4,165.61,778.31,65
HCPCS,C1713,PLATE L139 MM HUMERUS DISTAL MEDIAL 8 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L14 MM PRECONTOUR SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L14 MM SPINE ANTERIOR TITANIUM LEGACY CROSSLINK CD HORIZON BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L14 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM REFLEX HYBRID BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L14 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L14 MM SPINE LATERAL HOLE GRAFT COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L14 MM SPINE LATERAL HOLE OPEN DOOR COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L14 MM T8 FOOT TALAR NECK 4 HOLE LOCK POLYAXIAL VARIAX BONE 2.7 MM SCREW,788.04,394.02,150.91,709.24,65
HCPCS,C1713,PLATE L14 MM TRIANGLE CRANIOMAXILLOFACIAL 3 HOLE TITANIUM LORENZ BONE 1.5 MM SCREW,371.0,185.5,71.05,333.9,65
HCPCS,C1713,PLATE L14 MM X W10.5 MM X H1.75-2.3 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL BEND ZONE TITANIUM UNIPLATE 2 BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L14 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L14 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L14 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L14 MM XLORDOTIC SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L140 MM TIBIA RIGHT PROXIMAL LATERAL 6 HOLE STAINLESS STEEL ANTHEM BONE XR 2.5 MM SCREW,1525.0,762.5,292.04,1372.5,65
HCPCS,C1713,PLATE L140 MM X W10.1 MM X H3.5 MM 10 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,428.25,214.13,82.01,385.43,65
HCPCS,C1713,PLATE L140 MM X W19-12 MM 130 D HIP 9 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,880.82,440.41,168.68,792.74,65
HCPCS,C1713,PLATE L140 MM X W7.5 MM X H2.2 MM 7 MM SPACE 20 HOLE VARIABLE ANGLE LOCK LOW PROFILE STRENGTH STAINLESS STEEL BONE 2.7 MM SCREW SMALL FRAGMENT,702.0,351.0,134.43,631.8,65
HCPCS,C1713,PLATE L141 MM 10 D BOW CONTOUR FEMUR LEFT 8 HOLE LOCK COMPRESSION BEVEL TIP STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,2226.49,1113.25,426.37,2003.84,65
HCPCS,C1713,PLATE L141 MM FEMUR LEFT DISTAL LATERAL 4 HOLE FIX ANGLE LOCK PRECONTOUR TAPER END TITANIUM TOMOFIX BONE,1066.96,533.48,204.32,960.26,65
HCPCS,C1713,PLATE L141 MM FEMUR RIGHT DISTAL LATERAL 4 HOLE FIX ANGLE LOCK PRECONTOUR TAPER END TITANIUM TOMOFIX BONE,1100.42,550.21,210.73,990.38,65
HCPCS,C1713,PLATE L141 MM X W9 MM X H1 MM 1/3 TUBULAR 12 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,142.83,71.42,27.35,128.55,65
HCPCS,C1713,PLATE L142 MM 12 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,474.21,237.11,90.81,426.79,65
HCPCS,C1713,PLATE L142 MM CONTOUR MEDIAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1153.1,576.55,220.82,1037.79,65
HCPCS,C1713,PLATE L142 MM CONTOUR TIBIAL LEFT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1267.76,633.88,242.78,1140.98,65
HCPCS,C1713,PLATE L142 MM CONTOUR TIBIAL RIGHT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1267.76,633.88,242.78,1140.98,65
HCPCS,C1713,PLATE L142 MM FOREARM RADIUS MIDSHAFT TITANIUM FREEFIX BONE,1438.0,719.0,275.38,1294.2,65
HCPCS,C1713,PLATE L142 MM LEFT 6 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,911.73,455.87,174.6,820.56,65
HCPCS,C1713,PLATE L142 MM LEFT 6 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,999.67,499.84,191.44,899.7,65
HCPCS,C1713,PLATE L142 MM LEFT 6 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,955.68,477.84,183.01,860.11,65
HCPCS,C1713,PLATE L142 MM MEDIAL PROXIMAL RIGHT 6 HOLE BONE 4.5 MM SCREW,1153.1,576.55,220.82,1037.79,65
HCPCS,C1713,PLATE L142 MM RIGHT 6 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,911.73,455.87,174.6,820.56,65
HCPCS,C1713,PLATE L142 MM RIGHT 6 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,955.68,477.84,183.01,860.11,65
HCPCS,C1713,PLATE L142 MM ULNA MIDSHAFT FREEFIX BONE,1438.0,719.0,275.38,1294.2,65
HCPCS,C1713,PLATE L142 MM X W11 MM X H2.5 MM DISTAL POSTEROLATERAL RIGHT 9 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,875.96,437.98,167.75,788.36,65
HCPCS,C1713,PLATE L142 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,949.7,474.85,181.87,854.73,65
HCPCS,C1713,PLATE L142 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1057.24,528.62,202.46,951.52,65
HCPCS,C1713,PLATE L142 MM X W12 MM X H3.7 MM PROXIMAL 5 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1249.6,624.8,239.3,1124.64,65
HCPCS,C1713,PLATE L142 MM X W13.5 MM X H3.7 MM CONTOUR TIBIAL LEFT DISTAL MEDIAL 6 HOLE ROUND EDGE LOW PROFILE HEAD STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1218.75,609.38,233.39,1096.88,65
HCPCS,C1713,PLATE L142 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 8 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,577.1,288.55,110.51,519.39,65
HCPCS,C1713,PLATE L142 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 8 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE L142 MM X W19 MM X H5.8 MM 145 D STANDARD BARREL FEMUR 8 HOLE LOW PROFILE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE L142 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 8 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE L142 MM XLONG ELBOW LEFT LATERAL 14 HOLE LOCK TITANIUM ACUMED BONE,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE L142.5 MM PELVIC 12 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS BONE,395.02,197.51,75.65,355.52,65
HCPCS,C1713,PLATE L143 MM 1/3 TUBULAR FOOT ANKLE 12 HOLE NA BONE,395.02,197.51,75.65,355.52,65
HCPCS,C1713,PLATE L143 MM HUMERUS DISTAL MEDIAL 8 HOLE LOCK PRECONTOUR EXTEND TITANIUM VARIAX BONE,1226.84,613.42,234.94,1104.16,65
HCPCS,C1713,PLATE L143 MM STRAIGHT 12 HOLE STAINLESS STEEL ANTHEM BONE 3.5 MM SCREW,340.0,170.0,65.11,306.0,65
HCPCS,C1713,PLATE L143 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 11 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,605.77,302.89,116.0,545.19,65
HCPCS,C1713,PLATE L143 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 11 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,382.0,191.0,73.15,343.8,65
HCPCS,C1713,PLATE L143 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 11 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,391.64,195.82,75.0,352.48,65
HCPCS,C1713,PLATE L143 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,949.7,474.85,181.87,854.73,65
HCPCS,C1713,PLATE L143 MM X W23-15 MM 130 D HIP 7 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,887.11,443.56,169.88,798.4,65
HCPCS,C1713,PLATE L145 MM 22 MM STANDARD XLONG DISTAL VOLAR RADIUS RIGHT 6 HOLE HEAD 10 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1507.12,753.56,288.61,1356.41,65
HCPCS,C1713,PLATE L145 MM 22 MM STANDARD XLONG LEFT DISTAL VOLAR RADIUS 6 HOLE HEAD 10 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1507.12,753.56,288.61,1356.41,65
HCPCS,C1713,PLATE L145 MM CONTOUR PROXIMAL MEDIAL LEFT 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1090.8,545.4,208.89,981.72,65
HCPCS,C1713,PLATE L145 MM CONTOUR PROXIMAL RIGHT MEDIAL 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1090.8,545.4,208.89,981.72,65
HCPCS,C1713,PLATE L145 MM CONTOUR RIGHT MEDIAL PROXIMAL 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1199.92,599.96,229.78,1079.93,65
HCPCS,C1713,PLATE L145 MM PROXIMAL MEDIAL LEFT 8 HOLE BONE 3.5 MM SCREW,1199.92,599.96,229.78,1079.93,65
HCPCS,C1713,PLATE L145 MM X H3 MM 2XL NARROW RADIAL LEFT DISTAL VOLAR 11 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1624.84,812.42,311.16,1462.36,65
HCPCS,C1713,PLATE L145 MM X H3 MM 2XL NARROW RADIAL RIGHT DISTAL VOLAR 11 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1624.84,812.42,311.16,1462.36,65
HCPCS,C1713,PLATE L145 MM X H3 MM 2XL STANDARD RADIAL LEFT DISTAL VOLAR 11 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1624.84,812.42,311.16,1462.36,65
HCPCS,C1713,PLATE L145 MM X H3 MM 2XL STANDARD RADIAL RIGHT DISTAL VOLAR 11 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1624.84,812.42,311.16,1462.36,65
HCPCS,C1713,PLATE L145 MM X W9 MM X H1 MM 1/3 TUBULAR 12 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,114.17,57.09,21.86,102.75,65
HCPCS,C1713,PLATE L146 MM STANDARD TIBIAL LEFT DISTAL MEDIAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,887.4,443.7,169.94,798.66,65
HCPCS,C1713,PLATE L146 MM STANDARD TIBIAL RIGHT DISTAL MEDIAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,887.4,443.7,169.94,798.66,65
HCPCS,C1713,PLATE L146 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 8 HOLE STAINLESS STEEL DCS DCP L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,751.37,375.69,143.89,676.23,65
HCPCS,C1713,PLATE L146 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 8 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,937.08,468.54,179.45,843.37,65
HCPCS,C1713,PLATE L146 MM X W19.2 MM X H2.7 MM 12.7 MM SPACE CONTOUR TIBIAL LEFT DISTAL MEDIAL 6 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STAINLESS STEEL PERI-LOC W11 MM X H3.7 MM BONE 3.5 MM SCREW SMALL FRAGMENT,831.6,415.8,159.25,748.44,65
HCPCS,C1713,PLATE L147 MM STANDARD TIBIAL LEFT PROXIMAL LATERAL 6 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L147 MM STANDARD TIBIAL RIGHT PROXIMAL LATERAL 6 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L147 MM T 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/5 MM SCREW SMALL FRAGMENT SET,633.38,316.69,121.29,570.04,65
HCPCS,C1713,PLATE L147 MM T 8 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5/5 MM SCREW SMALL FRAGMENT SET,639.79,319.9,122.52,575.81,65
HCPCS,C1713,PLATE L147 MM X W11 MM X H3.3 MM TIBIAL LEFT DISTAL MEDIAL 10 HOLE STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1034.57,517.29,198.12,931.11,65
HCPCS,C1713,PLATE L147 MM X W11 MM X H3.3 MM TIBIAL RIGHT DISTAL MEDIAL 10 HOLE STAINLESS STEEL BONE 3.5 MM SCREW,1034.57,517.29,198.12,931.11,65
HCPCS,C1713,PLATE L147 MM XLONG LATERAL DISTAL RIGHT 7 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L147 MM XLONG LATERAL LEFT DISTAL 7 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L148 MM 1/3 TUBULAR ANKLE 12 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,PLATE L148 MM LONG TROCHANTER STABILIZATION STAINLESS STEEL OD12.6 MM BONE DHS,851.48,425.74,163.06,766.33,65
HCPCS,C1713,PLATE L148 MM X W9 MM X H1 MM 1/3 TUBULAR 12 HOLE COLLAR TITANIUM H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,149.49,74.75,28.63,134.54,65
HCPCS,C1713,PLATE L149 MM TIBIAL LEFT DISTAL MEDIAL 8 HOLE TITANIUM AXSOS 3 BONE,1298.46,649.23,248.66,1168.61,65
HCPCS,C1713,PLATE L149 MM TIBIAL RIGHT DISTAL MEDIAL 8 HOLE TITANIUM AXSOS 3 BONE,1298.46,649.23,248.66,1168.61,65
HCPCS,C1713,PLATE L15 MM 4 HOLE GORILLA DOGBONE BONE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,PLATE L15 MM SPINE ANTERIOR TITANIUM LEGACY CROSSLINK CD HORIZON BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L15 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L15 MM STRAIGHT CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE TITANIUM LORENZ THINFLAP BONE,69.0,34.5,13.21,62.1,65
HCPCS,C1713,PLATE L15 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L15 MM TIBIAL LOW PROFILE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L15 MM X H.6 MM RECTANGULAR HAND 3 X 2 HOLE FIXATION GRID TITANIUM APTUS BONE 1.2/1.5 MM SCREW,203.53,101.77,38.98,183.18,65
HCPCS,C1713,PLATE L15 MM X H.8 MM TRAPEZOID HAND PHALANX 3 X 2 HOLE GRID TITANIUM APTUS BONE 1.5 MM SCREW,372.06,186.03,71.25,334.85,65
HCPCS,C1713,PLATE L15 MM X H1.1 MM 2 HOLE LOCK GORILLA 28 PLATE BONE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,PLATE L15.5 MM MINI SPINE CERVICAL ANTERIOR TITANIUM DIVERGENCE BONE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,PLATE L150 MM 135 D TROCHANTERIC 4 HOLE STABILIZE STAINLESS STEEL OMEGA 3 BONE,728.34,364.17,139.48,655.51,65
HCPCS,C1713,PLATE L150 MM HUMERUS RIGHT LATERAL POSTERIOR 8 HOLE TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L150 MM NARROW STRAIGHT 12 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,727.35,363.68,139.29,654.62,65
HCPCS,C1713,PLATE L150 MM STANDARD ELBOW LEFT OLECRANON 11 HOLE LOW PROFILE ACUMED BONE,1190.0,595.0,227.89,1071.0,65
HCPCS,C1713,PLATE L150 MM STANDARD ELBOW RIGHT OLECRANON 11 HOLE LOW PROFILE ACUMED BONE,1190.0,595.0,227.89,1071.0,65
HCPCS,C1713,PLATE L150 MM STANDARD HUMERUS RIGHT PROXIMAL LATERAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1067.94,533.97,204.51,961.15,65
HCPCS,C1713,PLATE L150 MM X W11 MM X H3.4 MM 11 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,288.63,144.32,55.27,259.77,65
HCPCS,C1713,PLATE L151 MM BROAD CURVE 12 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,727.35,363.68,139.29,654.62,65
HCPCS,C1713,PLATE L151 MM CONTOUR DISTAL RIGHT LATERAL 9 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,559.44,279.72,107.13,503.5,65
HCPCS,C1713,PLATE L151 MM CONTOUR FIBULA LEFT DISTAL LATERAL 9 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,524.64,262.32,100.47,472.18,65
HCPCS,C1713,PLATE L151 MM CONTOUR FIBULA LEFT DISTAL LATERAL 9 HOLE TITANIUM LCP COMBI BONE 2.7/3.5 MM SCREW,559.44,279.72,107.13,503.5,65
HCPCS,C1713,PLATE L151 MM CONTOUR FIBULA RIGHT DISTAL LATERAL 9 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,524.64,262.32,100.47,472.18,65
HCPCS,C1713,PLATE L151 MM CONTOUR FIBULA RIGHT DISTAL LATERAL 9 HOLE TITANIUM LCP COMBI BONE 2.7/3.5 MM SCREW,559.44,279.72,107.13,503.5,65
HCPCS,C1713,PLATE L151 MM CONTOUR LATERAL DISTAL LEFT 9 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,559.44,279.72,107.13,503.5,65
HCPCS,C1713,PLATE L151 MM HUMERUS RIGHT PROXIMAL LATERAL 8 HOLE TITANIUM AXSOS 3 BONE,1621.8,810.9,310.57,1459.62,65
HCPCS,C1713,PLATE L151 MM MEDIUM TIBIAL RIGHT MEDIAL 18 HOLE ORTHOLOC BONE,1706.43,853.22,326.78,1535.79,65
HCPCS,C1713,PLATE L151 MM NARROW 8 HOLE LOCK COMPRESSION AXSOS BONE,1259.7,629.85,241.23,1133.73,65
HCPCS,C1713,PLATE L151 MM ULNA LEFT PROXIMAL DISTAL ELBOW PLATING SYSTEM BONE,1203.0,601.5,230.37,1082.7,65
HCPCS,C1713,PLATE L151 MM ULNA RIGHT PROXIMAL DISTAL ELBOW PLATING SYSTEM BONE,1203.0,601.5,230.37,1082.7,65
HCPCS,C1713,PLATE L151 MM X W11 MM X H3.3 MM METAPHYSEAL 11 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,869.92,434.96,166.59,782.93,65
HCPCS,C1713,PLATE L152 MM 130 D HIP 9 HOLE BLADE STAINLESS STEEL DCP CAPOS L80 MM BONE 4.5 MM SCREW,598.2,299.1,114.56,538.38,65
HCPCS,C1713,PLATE L152 MM TAPER HUMERUS LEFT DISTAL POSTEROLATERAL 11 HOLE ACU-LOC 2 BONE,1132.0,566.0,216.78,1018.8,65
HCPCS,C1713,PLATE L152 MM TAPER HUMERUS RIGHT DISTAL POSTEROLATERAL 11 HOLE ACU-LOC 2 BONE,1132.0,566.0,216.78,1018.8,65
HCPCS,C1713,PLATE L152 MM X W13.5 MM X H4.2 MM NARROW 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,367.91,183.96,70.45,331.12,65
HCPCS,C1713,PLATE L152 MM X W13.5 MM X H4.2 MM NARROW 8 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,384.45,192.23,73.62,346.01,65
HCPCS,C1713,PLATE L152 MM X W17.5 MM X H5.2 MM BROAD 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,410.42,205.21,78.6,369.38,65
HCPCS,C1713,PLATE L152 MM X W17.5 MM X H5.2 MM BROAD 8 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,429.24,214.62,82.2,386.32,65
HCPCS,C1713,PLATE L153 MM XLONG DISTAL LEFT POSTEROLATERAL 9 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L153 MM XLONG POSTEROLATERAL DISTAL LEFT 9 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L153 MM XLONG POSTEROLATERAL RIGHT DISTAL 9 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L153 MM XLONG POSTEROLATERAL RIGHT DISTAL 9 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L153.7 MM REGULAR TIBIAL LEFT PROXIMAL 5 HOLE LOCK TIMAX POLYAX BONE,1386.0,693.0,265.42,1247.4,65
HCPCS,C1713,PLATE L154 MM 130 D HIP CONDYLAR 9 HOLE BLADE STAINLESS STEEL DCP L90 MM BONE,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L154 MM CONTOUR PROXIMAL 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1176.56,588.28,225.31,1058.9,65
HCPCS,C1713,PLATE L154 MM CONTOUR PROXIMAL LEFT 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1215.87,607.94,232.84,1094.28,65
HCPCS,C1713,PLATE L154 MM CONTOUR PROXIMAL RIGHT 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1215.87,607.94,232.84,1094.28,65
HCPCS,C1713,PLATE L154 MM CONTOUR TIBIAL RIGHT PROXIMAL 8 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1176.56,588.28,225.31,1058.9,65
HCPCS,C1713,PLATE L154 MM RADIUS LEFT DISTAL VOLAR 9 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1145.26,572.63,219.32,1030.73,65
HCPCS,C1713,PLATE L154 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1259.54,629.77,241.2,1133.59,65
HCPCS,C1713,PLATE L154 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1145.26,572.63,219.32,1030.73,65
HCPCS,C1713,PLATE L154 MM X W10.7 MM X H2.5 MM CONTOUR ELBOW RIGHT OLECRANON 17 HOLE LOW PROFILE TIMAX ALPS BONE,935.0,467.5,179.05,841.5,65
HCPCS,C1713,PLATE L154 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 10 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,864.79,432.4,165.61,778.31,65
HCPCS,C1713,PLATE L154.5 MM 88 MM RADIUS CURVE PELVIC 10 HOLE STAINLESS STEEL MATTA SPS BONE,386.06,193.03,73.93,347.45,65
HCPCS,C1713,PLATE L155 MM BROAD 8 HOLE LOCK COMPRESSION AXSOS BONE,1259.7,629.85,241.23,1133.73,65
HCPCS,C1713,PLATE L155 MM CONTOUR FIBULA LEFT DISTAL POSTEROLATERAL 9 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,524.64,262.32,100.47,472.18,65
HCPCS,C1713,PLATE L155 MM CONTOUR FIBULA RIGHT DISTAL POSTEROLATERAL 9 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,524.64,262.32,100.47,472.18,65
HCPCS,C1713,PLATE L155 MM CONTOUR POSTEROLATERAL 9 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,559.44,279.72,107.13,503.5,65
HCPCS,C1713,PLATE L155 MM CONTOUR POSTEROLATERAL DISTAL LEFT 9 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,559.44,279.72,107.13,503.5,65
HCPCS,C1713,PLATE L155 MM NARROW 20 HOLE LOCK VARIAX BONE 2.7 MM SCREW,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L155 MM X W11 MM X H3.3 MM 12 HOLE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,314.61,157.31,60.25,283.15,65
HCPCS,C1713,PLATE L155 MM X W36 MM X H3.6 MM 18 MM SPACE FEMUR LEFT DISTAL LATERAL 6 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STAINLESS STEEL PERI-LOC W17.6 MM X H4.8 MM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE L156 MM 95 D CONDYLAR 9 HOLE BLADE STAINLESS STEEL L70 MM BONE,674.34,337.17,129.14,606.91,65
HCPCS,C1713,PLATE L156 MM 95 D CONDYLAR 9 HOLE BLADE STAINLESS STEEL L80 MM BONE,674.34,337.17,129.14,606.91,65
HCPCS,C1713,PLATE L156 MM HUMERUS RIGHT DISTAL LATERAL 8 HOLE TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L156 MM WAIST 12 HOLE COMPRESSION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,134.33,67.17,25.72,120.9,65
HCPCS,C1713,PLATE L156 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J LEFT 12 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,642.6,321.3,123.06,578.34,65
HCPCS,C1713,PLATE L156 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J RIGHT 12 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,642.6,321.3,123.06,578.34,65
HCPCS,C1713,PLATE L156 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 12 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,625.24,312.62,119.73,562.72,65
HCPCS,C1713,PLATE L156 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 12 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,403.72,201.86,77.31,363.35,65
HCPCS,C1713,PLATE L156 MM X W10.2 MM X H2.7 MM 108 MM RADIUS CURVE PELVIC 12 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,531.21,265.61,101.73,478.09,65
HCPCS,C1713,PLATE L156 MM X W10.2 MM X H2.7 MM 88 MM RADIUS CURVE PELVIC 12 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,531.21,265.61,101.73,478.09,65
HCPCS,C1713,PLATE L156 MM X W10.2 MM X H2.7 MM 88 MM RADIUS J LEFT 12 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,462.2,231.1,88.51,415.98,65
HCPCS,C1713,PLATE L156 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 12 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,407.0,203.5,77.94,366.3,65
HCPCS,C1713,PLATE L157 MM PROXIMAL LEFT ULNA 8 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,978.18,489.09,187.32,880.36,65
HCPCS,C1713,PLATE L157 MM PROXIMAL RIGHT ULNA 8 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE L157 MM PROXIMAL ULNA LEFT 8 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE L157 MM PROXIMAL ULNA RIGHT 8 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1023.19,511.6,195.94,920.87,65
HCPCS,C1713,PLATE L158 MM DISTAL ANTEROLATERAL LEFT 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1213.58,606.79,232.4,1092.22,65
HCPCS,C1713,PLATE L158 MM DISTAL ANTEROLATERAL RIGHT 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1213.58,606.79,232.4,1092.22,65
HCPCS,C1713,PLATE L158 MM DISTAL LEFT HUMERUS 6 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1060.75,530.38,203.13,954.68,65
HCPCS,C1713,PLATE L158 MM HUMERUS DISTAL LEFT 6 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1108.91,554.46,212.36,998.02,65
HCPCS,C1713,PLATE L158 MM HUMERUS RIGHT DISTAL 6 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1108.91,554.46,212.36,998.02,65
HCPCS,C1713,PLATE L158 MM LEFT DISTAL ANTEROLATERAL 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1218.0,609.0,233.25,1096.2,65
HCPCS,C1713,PLATE L158 MM RIGHT DISTAL ANTEROLATERAL 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1218.0,609.0,233.25,1096.2,65
HCPCS,C1713,PLATE L158 MM RIGHT DISTAL HUMERUS 6 HOLE LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1060.75,530.38,203.13,954.68,65
HCPCS,C1713,PLATE L159 MM CONTOUR TIBIAL RIGHT PROXIMAL 10 HOLE LIMIT CONTACT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,1112.97,556.49,213.13,1001.67,65
HCPCS,C1713,PLATE L159 MM X W23-15 MM 90 D CONDYLAR 7 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,922.13,461.07,176.59,829.92,65
HCPCS,C1713,PLATE L16 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR TITANIUM UNIVERSAL NEURO 2 BONE 1.5 MM SCREW RETROSIGMOID,147.01,73.51,28.15,132.31,65
HCPCS,C1713,PLATE L16 MM O FEMUR PHYSEAL DISTAL LATERAL LOW PROFILE CENTER HOLE STAINLESS STEEL PEDIPLATES BONE PEDIATRIC,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE L16 MM PRECONTOUR SPINE GRAFT PRECUT COLOR CODED TITANIUM CENTERPIECE BONE 853-416,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L16 MM SPINE ANTERIOR TITANIUM LEGACY CROSSLINK CD HORIZON BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L16 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L16 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L16 MM SPINE DIVERGENCE-L BONE ALIF,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L16 MM SPINE DIVERGENCE-L BONE OLIF51,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L16 MM SPINE LOW PROFILE FIX TITANIUM LEGACY X10 CROSSLINK CD HORIZON BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L16 MM X H.4 MM DOG CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR TITANIUM UNIVERSAL NEURO III BONE 1.5 MM SCREW RETROSIGMOID,165.59,82.8,31.71,149.03,65
HCPCS,C1713,PLATE L16 MM X H.6 MM LONG 2Y MIDFACE 6 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,255.0,127.5,48.83,229.5,65
HCPCS,C1713,PLATE L16 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L16 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L16.5 MM MINI SPINE CERVICAL ANTERIOR TITANIUM DIVERGENCE BONE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,PLATE L160 MM FOREARM RADIAL VOLAR 12 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L160 MM FOREARM ULNA 12 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L160 MM X W12 MM X H3.7 MM PROXIMAL 6 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1253.04,626.52,239.96,1127.74,65
HCPCS,C1713,PLATE L161 MM DISTAL MEDIAL LEFT 8 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1065.87,532.94,204.11,959.28,65
HCPCS,C1713,PLATE L161 MM MEDIAL 8 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1065.87,532.94,204.11,959.28,65
HCPCS,C1713,PLATE L161 MM MEDIAL DISTAL RIGHT 8 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1135.03,567.52,217.36,1021.53,65
HCPCS,C1713,PLATE L161 MM MEDIAL LEFT DISTAL 8 HOLE LOW BEND BONE 3.5 MM SCREW,1135.03,567.52,217.36,1021.53,65
HCPCS,C1713,PLATE L161 MM X W10 MM X H2 MM FIBULA LATERAL 10 HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM VARIAX W16 MM X H1.3 MM BONE,716.4,358.2,137.19,644.76,65
HCPCS,C1713,PLATE L163 MM X W11 MM X H3.4 MM 12 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,318.99,159.5,61.09,287.09,65
HCPCS,C1713,PLATE L164 MM CONTOUR LEFT 8 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,800.29,400.15,153.26,720.26,65
HCPCS,C1713,PLATE L164 MM CONTOUR OLECRANON RIGHT 8 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,841.36,420.68,161.12,757.22,65
HCPCS,C1713,PLATE L164 MM CONTOUR RIGHT 8 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,800.29,400.15,153.26,720.26,65
HCPCS,C1713,PLATE L164 MM X W11 MM X H3.3 MM METAPHYSEAL 12 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,967.07,483.54,185.19,870.36,65
HCPCS,C1713,PLATE L165 MM HUMERUS LEFT PROXIMAL 9 HOLE LOCK STAINLESS STEEL PERI-LOC BONE 3.5 MM SCREW,983.56,491.78,188.35,885.2,65
HCPCS,C1713,PLATE L165 MM HUMERUS LEFT PROXIMAL LOW PROFILE STAINLESS STEEL ANTHEM BONE,1475.0,737.5,282.46,1327.5,65
HCPCS,C1713,PLATE L165 MM HUMERUS RIGHT PROXIMAL LOW PROFILE STAINLESS STEEL ANTHEM BONE,1475.0,737.5,282.46,1327.5,65
HCPCS,C1713,PLATE L166 MM 14 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,532.85,266.43,102.04,479.57,65
HCPCS,C1713,PLATE L166 MM STANDARD FEMUR LEFT DISTAL LATERAL 6 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1082.22,541.11,207.25,974.0,65
HCPCS,C1713,PLATE L166 MM TIBIA RIGHT PROXIMAL LATERAL 8 HOLE STAINLESS STEEL ANTHEM BONE XR 2.5 MM SCREW,1550.0,775.0,296.83,1395.0,65
HCPCS,C1713,PLATE L166.5 MM PELVIC 14 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS BONE,395.02,197.51,75.65,355.52,65
HCPCS,C1713,PLATE L167 MM X W11.5 MM X H3.6 MM 11 MM SPACE STANDARD TIBIAL RIGHT PROXIMAL LATERAL 13 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W32.3 MM X H1.9 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L168 MM X W10.1 MM X H3.5 MM 12 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,474.21,237.11,90.81,426.79,65
HCPCS,C1713,PLATE L169 MM LEFT 8 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,933.23,466.62,178.71,839.91,65
HCPCS,C1713,PLATE L169 MM NARROW 9 HOLE LOCK COMPRESSION AXSOS BONE,1259.7,629.85,241.23,1133.73,65
HCPCS,C1713,PLATE L169 MM PROXIMAL 4 HOLE HOOK STAINLESS STEEL BONE 4.5 MM SCREW,1233.69,616.85,236.25,1110.32,65
HCPCS,C1713,PLATE L169 MM RIGHT 8 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,933.23,466.62,178.71,839.91,65
HCPCS,C1713,PLATE L169 MM STRAIGHT 14 HOLE STAINLESS STEEL ANTHEM BONE 3.5 MM SCREW,510.0,255.0,97.67,459.0,65
HCPCS,C1713,PLATE L169 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 13 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,645.87,322.94,123.68,581.28,65
HCPCS,C1713,PLATE L169 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 13 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,424.1,212.05,81.22,381.69,65
HCPCS,C1713,PLATE L17 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L17 MM X H.6 MM TRAPEZOID HAND RIGHT 3 X 2 HOLE FIXATION GRID TITANIUM APTUS TRILOCK BONE 1.2/1.5 MM SCREW,203.53,101.77,38.98,183.18,65
HCPCS,C1713,PLATE L17 MM X H.8 MM HAND PHALANX SCAPHOID 3 X 2 HOLE TITANIUM APTUS BONE 1.5 MM SCREW,393.28,196.64,75.31,353.95,65
HCPCS,C1713,PLATE L17.5 MM TIBIAL LEFT STRAIGHT WEDGE CONTOURLOCK HTO PLATE BONE OSTEOTOMY,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,PLATE L170 MM STRAIGHT WRIST LCP BONE 2.4 MM SCREW,4437.0,2218.5,849.69,3993.3,65
HCPCS,C1713,PLATE L170 MM STRAIGHT WRIST STAINLESS STEEL LCP BONE 2.4 MM SCREW,2638.5,1319.25,505.27,2374.65,65
HCPCS,C1713,PLATE L170 MM X W13.5 MM X H4.2 MM NARROW 9 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,375.52,187.76,71.91,337.97,65
HCPCS,C1713,PLATE L170 MM X W13.5 MM X H4.2 MM NARROW 9 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,393.01,196.51,75.26,353.71,65
HCPCS,C1713,PLATE L170 MM X W17.5 MM X H5.2 MM BROAD 9 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,444.08,222.04,85.04,399.67,65
HCPCS,C1713,PLATE L170 MM X W17.5 MM X H5.2 MM BROAD 9 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,464.43,232.22,88.94,417.99,65
HCPCS,C1713,PLATE L170 MM X W17.5 MM X H5.2 MM LEFT FEMUR 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL BONE 4.5 MM SCREW,1233.13,616.57,236.14,1109.82,65
HCPCS,C1713,PLATE L170 MM X W17.5 MM X H5.2 MM RIGHT FEMUR 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL BONE 4.5 MM SCREW,1233.13,616.57,236.14,1109.82,65
HCPCS,C1713,PLATE L171 MM CONTOUR MEDIAL LEFT PROXIMAL 10 HOLE LIMIT CONTACT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,1109.91,554.96,212.55,998.92,65
HCPCS,C1713,PLATE L171 MM CONTOUR PROXIMAL MEDIAL LEFT 10 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1220.56,610.28,233.74,1098.5,65
HCPCS,C1713,PLATE L171 MM CONTOUR RIGHT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1220.56,610.28,233.74,1098.5,65
HCPCS,C1713,PLATE L171 MM CONTOUR TIBIAL RIGHT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,1109.91,554.96,212.55,998.92,65
HCPCS,C1713,PLATE L171 MM SHORT WRIST SPAN ACU-LOC BONE 2.7 MM SCREW,1010.0,505.0,193.42,909.0,65
HCPCS,C1713,PLATE L172 MM STANDARD TIBIAL LEFT DISTAL MEDIAL 10 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,921.06,460.53,176.38,828.95,65
HCPCS,C1713,PLATE L172 MM STANDARD TIBIAL RIGHT DISTAL MEDIAL 10 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,921.06,460.53,176.38,828.95,65
HCPCS,C1713,PLATE L172 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 11 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,869.92,434.96,166.59,782.93,65
HCPCS,C1713,PLATE L173 MM HUMERUS RIGHT DISTAL LATERAL 10 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L173 MM STANDARD TIBIAL LEFT PROXIMAL LATERAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L173 MM STANDARD TIBIAL RIGHT PROXIMAL LATERAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L173 MM X W11 MM X H3.3 MM TIBIAL LEFT DISTAL MEDIAL 12 HOLE STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1092.75,546.38,209.26,983.48,65
HCPCS,C1713,PLATE L174 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 10 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE L174 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 10 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE L174 MM X W34 MM X H3.9 MM STANDARD CURVE TIBIAL RIGHT PROXIMAL 11 HOLE LOCK LOW PROFILE DISTAL BULLET TIP TIMAX ALPS W11 MM X H3.7 MM BONE,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,PLATE L175 MM BROAD CURVE 14 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,727.35,363.68,139.29,654.62,65
HCPCS,C1713,PLATE L175 MM LEFT PROXIMAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1140.56,570.28,218.42,1026.5,65
HCPCS,C1713,PLATE L175 MM PROXIMAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1071.21,535.61,205.14,964.09,65
HCPCS,C1713,PLATE L175 MM TIBIAL LEFT DISTAL MEDIAL 10 HOLE TITANIUM AXSOS 3 BONE,1384.14,692.07,265.06,1245.73,65
HCPCS,C1713,PLATE L175 MM X W23-15 MM 130 D HIP 9 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,907.68,453.84,173.82,816.91,65
HCPCS,C1713,PLATE L175.3 MM X W24.4 MM STANDARD RADIUS RIGHT DISTAL VOLAR 12 HOLE LOW PROFILE EXTRA EXTEND TITANIUM DVR BONE,1229.0,614.5,235.35,1106.1,65
HCPCS,C1713,PLATE L176 MM HUMERUS LEFT PROXIMAL LATERAL 10 HOLE TITANIUM AXSOS 3 BONE,1621.8,810.9,310.57,1459.62,65
HCPCS,C1713,PLATE L176 MM X W11 MM X H3.4 MM 13 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,351.07,175.54,67.23,315.96,65
HCPCS,C1713,PLATE L177 MM CONTOUR FIBULA LEFT DISTAL LATERAL 11 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,528.26,264.13,101.16,475.43,65
HCPCS,C1713,PLATE L177 MM CONTOUR FIBULA LEFT DISTAL LATERAL 11 HOLE TITANIUM LCP COMBI BONE 2.7/3.5 MM SCREW,563.62,281.81,107.93,507.26,65
HCPCS,C1713,PLATE L177 MM CONTOUR FIBULA RIGHT DISTAL LATERAL 11 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,528.26,264.13,101.16,475.43,65
HCPCS,C1713,PLATE L177 MM CONTOUR LATERAL DISTAL LEFT 11 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,563.62,281.81,107.93,507.26,65
HCPCS,C1713,PLATE L177 MM CONTOUR LATERAL DISTAL RIGHT 11 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,563.62,281.81,107.93,507.26,65
HCPCS,C1713,PLATE L178 MM CONTOUR TIBIAL LEFT PROXIMAL MEDIAL 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1281.71,640.86,245.45,1153.54,65
HCPCS,C1713,PLATE L178 MM CONTOUR TIBIAL RIGHT PROXIMAL MEDIAL 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1281.71,640.86,245.45,1153.54,65
HCPCS,C1713,PLATE L178 MM TIBIAL LEFT DISTAL ANTEROLATERAL 10 HOLE TITANIUM AXSOS 3 BONE,1394.34,697.17,267.02,1254.91,65
HCPCS,C1713,PLATE L178 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 10 HOLE STAINLESS STEEL DCS DCP L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,900.82,450.41,172.51,810.74,65
HCPCS,C1713,PLATE L178 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 10 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,937.08,468.54,179.45,843.37,65
HCPCS,C1713,PLATE L178 MM X W17.5 MM X H5.2 MM BROAD 10 HOLE STAINLESS STEEL LC-DCP BONE 4.5 MM SCREW LARGE FRAGMENT SET,1044.23,522.12,199.97,939.81,65
HCPCS,C1713,PLATE L18 MM 1.6V SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18 MM 1.9H SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18 MM 2Y CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE TITANIUM LORENZ BONE THINFLAP SYSTEM,279.0,139.5,53.43,251.1,65
HCPCS,C1713,PLATE L18 MM CRANIAL PEEK IPS BONE,9648.0,4824.0,1847.59,8683.2,65
HCPCS,C1713,PLATE L18 MM LEFT 1 PACK MOTOBAND CP DYNAFORCE DYNABUNION BONE MOTOCLIP,2064.72,1032.36,395.39,1858.25,65
HCPCS,C1713,PLATE L18 MM LONG 2T MIDFACE 4 HOLE TITANIUM 1.5MM SYSTEM BONE 1.5 MM SCREW,197.0,98.5,37.73,177.3,65
HCPCS,C1713,PLATE L18 MM PRECONTOUR SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L18 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18 MM WIDE CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE TITANIUM LORENZ BONE THINFLAP SYSTEM,85.0,42.5,16.28,76.5,65
HCPCS,C1713,PLATE L18 MM X H.5 MM RECTANGLE CRANIOMAXILLOFACIAL 4 HOLE TITANIUM LORENZ BONE 1.5 MM SCREW,149.0,74.5,28.53,134.1,65
HCPCS,C1713,PLATE L18 MM X H.6 MM XLONG 2Y MIDFACE 6 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,255.0,127.5,48.83,229.5,65
HCPCS,C1713,PLATE L18 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L18 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L18.5 MM CRANIOMAXILLOFACIAL LOW PROFILE BURR HOLE TITANIUM LORENZ THINFLAP BONE,367.0,183.5,70.28,330.3,65
HCPCS,C1713,PLATE L180 MM FEM RT DIST MEDIAL 6 HOLE TI ANTHEM BN,3960.0,1980.0,758.34,3564.0,65
HCPCS,C1713,PLATE L180 MM ULNA 14 HOLE MIDSHAFT ACUMED BONE,749.0,374.5,143.43,674.1,65
HCPCS,C1713,PLATE L181 MM CONTOUR FIBULA LEFT DISTAL POSTEROLATERAL 11 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,528.26,264.13,101.16,475.43,65
HCPCS,C1713,PLATE L181 MM CONTOUR FIBULA RIGHT DISTAL POSTEROLATERAL 11 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,528.26,264.13,101.16,475.43,65
HCPCS,C1713,PLATE L181 MM CONTOUR LEFT POSTEROLATERAL DISTAL 11 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,563.62,281.81,107.93,507.26,65
HCPCS,C1713,PLATE L181 MM CONTOUR POSTEROLATERAL DISTAL RIGHT 11 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,563.62,281.81,107.93,507.26,65
HCPCS,C1713,PLATE L182 MM NARROW WAIST 10 HOLE COMPRESSION STAINLESS STEEL SPS BONE BASIC FRAGMENT SET,94.53,47.27,18.1,85.08,65
HCPCS,C1713,PLATE L182 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J LEFT 14 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,677.43,338.72,129.73,609.69,65
HCPCS,C1713,PLATE L182 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J RIGHT 14 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,677.43,338.72,129.73,609.69,65
HCPCS,C1713,PLATE L182 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 14 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,667.15,333.58,127.76,600.44,65
HCPCS,C1713,PLATE L182 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 14 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,442.73,221.37,84.78,398.46,65
HCPCS,C1713,PLATE L182 MM X W10.2 MM X H2.7 MM 108 MM RADIUS CURVE PELVIC 14 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,585.63,292.82,112.15,527.07,65
HCPCS,C1713,PLATE L182 MM X W10.2 MM X H2.7 MM 88 MM RADIUS CURVE PELVIC 14 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,585.63,292.82,112.15,527.07,65
HCPCS,C1713,PLATE L182 MM X W10.2 MM X H2.7 MM 88 MM RADIUS J LEFT 14 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,497.03,248.52,95.18,447.33,65
HCPCS,C1713,PLATE L182 MM X W10.2 MM X H2.7 MM 88 MM RADIUS J RIGHT 14 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,497.03,248.52,95.18,447.33,65
HCPCS,C1713,PLATE L182 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 14 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,442.73,221.37,84.78,398.46,65
HCPCS,C1713,PLATE L184 MM ANTEROLATERAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1227.69,613.85,235.1,1104.92,65
HCPCS,C1713,PLATE L184 MM ANTEROLATERAL DISTAL RIGHT 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1242.99,621.5,238.03,1118.69,65
HCPCS,C1713,PLATE L184 MM ANTEROLATERAL LEFT DISTAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1242.99,621.5,238.03,1118.69,65
HCPCS,C1713,PLATE L184 MM PROXIMAL 10 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1023.19,511.6,195.94,920.87,65
HCPCS,C1713,PLATE L184 MM PROXIMAL ULNA LEFT 10 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1023.19,511.6,195.94,920.87,65
HCPCS,C1713,PLATE L184 MM PROXIMAL ULNA RIGHT 10 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE L184 MM RADIUS LEFT DISTAL VOLAR 11 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1336.55,668.28,255.95,1202.9,65
HCPCS,C1713,PLATE L184 MM RADIUS LEFT DISTAL VOLAR 11 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1214.82,607.41,232.64,1093.34,65
HCPCS,C1713,PLATE L184 MM RADIUS RIGHT DISTAL VOLAR 11 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1336.55,668.28,255.95,1202.9,65
HCPCS,C1713,PLATE L184 MM RADIUS RIGHT DISTAL VOLAR 11 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1214.82,607.41,232.64,1093.34,65
HCPCS,C1713,PLATE L184 MM T TIBIA DISTAL POSTERIOR 12 HOLE LCP BONE 3.5 MM SCREW,994.98,497.49,190.54,895.48,65
HCPCS,C1713,PLATE L184 MM T TIBIAL DISTAL POSTERIOR 12 HOLE 4 LOCK STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1120.71,560.36,214.62,1008.64,65
HCPCS,C1713,PLATE L186 MM 22 MM STANDARD XLONG RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 13 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1556.86,778.43,298.14,1401.17,65
HCPCS,C1713,PLATE L186 MM 22 MM STANDARD XLONG RADIUS RIGHT VOLAR DISTAL 6 HOLE HEAD 13 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4/2.7 MM SCREW,1556.86,778.43,298.14,1401.17,65
HCPCS,C1713,PLATE L186.5 MM X W10.5 MM X H2.5 MM 108 MM RADIUS CURVE PELVIC 12 HOLE STAINLESS STEEL MATTA SPS BONE,416.91,208.46,79.84,375.22,65
HCPCS,C1713,PLATE L187 MM DISTAL MEDIAL RIGHT 10 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1077.45,538.73,206.33,969.71,65
HCPCS,C1713,PLATE L187 MM LEFT MEDIAL DISTAL 10 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1146.99,573.5,219.65,1032.29,65
HCPCS,C1713,PLATE L187 MM MEDIAL DISTAL RIGHT 10 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1146.99,573.5,219.65,1032.29,65
HCPCS,C1713,PLATE L187 MM NARROW 10 HOLE LOCK COMPRESSION AXSOS BONE,1306.62,653.31,250.22,1175.96,65
HCPCS,C1713,PLATE L187 MM NARROW WAIST 10 HOLE LOCK COMPRESSION STAINLESS STEEL AXSOS BONE 5 MM SCREW BASIC FRAGMENT SET,134.64,67.32,25.78,121.18,65
HCPCS,C1713,PLATE L188 MM 14 HOLE LOCK COMPRESSION AXSOS BONE,1032.24,516.12,197.67,929.02,65
HCPCS,C1713,PLATE L188 MM FOREARM RADIAL MIDSHAFT FREEFIX BONE,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,PLATE L188 MM LONG WRIST SPAN ACU-LOC BONE 2.7 MM SCREW,1010.0,505.0,193.42,909.0,65
HCPCS,C1713,PLATE L188 MM X W13.5 MM X H4.2 MM NARROW 10 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,412.61,206.31,79.01,371.35,65
HCPCS,C1713,PLATE L188 MM X W13.5 MM X H4.2 MM NARROW 10 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,431.24,215.62,82.58,388.12,65
HCPCS,C1713,PLATE L188 MM X W17.5 MM X H5.2 MM BROAD 10 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,477.75,238.88,91.49,429.98,65
HCPCS,C1713,PLATE L188 MM X W17.5 MM X H5.2 MM BROAD 10 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,499.42,249.71,95.64,449.48,65
HCPCS,C1713,PLATE L189 MM CONTOUR OLECRANON RIGHT 10 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,854.29,427.15,163.6,768.86,65
HCPCS,C1713,PLATE L189 MM X W11 MM X H3.4 MM 14 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,457.67,228.84,87.64,411.9,65
HCPCS,C1713,PLATE L189 MM X W11 MM X H3.4 MM 14 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,478.39,239.2,91.61,430.55,65
HCPCS,C1713,PLATE L19 MM LONG STRAIGHT NEURO 4 HOLE LORENZ OD1.5 MM BONE,65.0,32.5,12.45,58.5,65
HCPCS,C1713,PLATE L19 MM SPINE ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L19 MM SPINE CERVICAL ANTERIOR 1 LEVEL ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L19 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L19 MM SPINE THORACOLUMBAR PLYMOUTH BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L19 MM X H.5 MM H HAND RIGHT 8 HOLE LOW PROFILE PRECONTOUR EXTEND STAINLESS STEEL BONE 1.3 MM SCREW,311.44,155.72,59.64,280.3,65
HCPCS,C1713,PLATE L19 MM X H.5 MM H HAND RIGHT 8 HOLE LOW PROFILE PRECONTOUR EXTEND TITANIUM BONE 1.3 MM SCREW,330.35,165.18,63.26,297.32,65
HCPCS,C1713,PLATE L19 MM X H.5 MM H LEFT 8 HOLE LOW PROFILE PRECONTOUR EXTEND STAINLESS STEEL BONE 1.3 MM SCREW,311.44,155.72,59.64,280.3,65
HCPCS,C1713,PLATE L19 MM X H.5 MM H LEFT 8 HOLE LOW PROFILE PRECONTOUR EXTEND TITANIUM BONE 1.3 MM SCREW,342.33,171.17,65.56,308.1,65
HCPCS,C1713,PLATE L19 MM X H.8 MM STRAIGHT HAND PHALANX 4 HOLE TITANIUM APTUS BONE 1.5 MM SCREW,299.83,149.92,57.42,269.85,65
HCPCS,C1713,PLATE L190 MM CONTOUR LEFT PROXIMAL 10 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1228.41,614.21,235.24,1105.57,65
HCPCS,C1713,PLATE L190 MM CONTOUR PROXIMAL 10 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1182.26,591.13,226.4,1064.03,65
HCPCS,C1713,PLATE L190 MM STANDARD ELBOW RIGHT OLECRANON 15 HOLE LOW PROFILE ACUMED BONE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1713,PLATE L190 MM X W11 MM X H3.3 MM METAPHYSEAL 14 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,980.76,490.38,187.82,882.68,65
HCPCS,C1713,PLATE L190 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,967.07,483.54,185.19,870.36,65
HCPCS,C1713,PLATE L190.5 MM PELVIC 16 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS BONE,475.61,237.81,91.08,428.05,65
HCPCS,C1713,PLATE L191 MM BROAD 10 HOLE LOCK COMPRESSION AXSOS BONE,1306.62,653.31,250.22,1175.96,65
HCPCS,C1713,PLATE L193 MM FEMUR LEFT DISTAL LATERAL 8 HOLE LOCK PERI-LOC BONE 4.5 MM SCREW,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE L193 MM X W36 MM X H3.6 MM 18 MM SPACE FEMUR RIGHT DISTAL LATERAL 8 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STAINLESS STEEL PERI-LOC W17.6 MM X H4.8 MM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE L194 MM DISTAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1090.37,545.19,208.81,981.33,65
HCPCS,C1713,PLATE L194 MM DISTAL HUMERUS LEFT 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1163.42,581.71,222.79,1047.08,65
HCPCS,C1713,PLATE L194 MM DISTAL HUMERUS RIGHT 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1163.42,581.71,222.79,1047.08,65
HCPCS,C1713,PLATE L194 MM DISTAL RIGHT HUMERUS 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1090.37,545.19,208.81,981.33,65
HCPCS,C1713,PLATE L194 MM EXTRAARTICULAR RIGHT HUMERUS DISTAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD TITANIUM BONE 3.5 MM SCREW,1269.48,634.74,243.11,1142.53,65
HCPCS,C1713,PLATE L194 MM X W11 MM X H3.7 MM CONTOUR LEFT MEDIAL DISTAL 10 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP STAINLESS STEEL BONE 3.5 MM SCREW,1109.55,554.78,212.48,998.6,65
HCPCS,C1713,PLATE L195 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 15 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,687.52,343.76,131.66,618.77,65
HCPCS,C1713,PLATE L195 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 15 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,464.84,232.42,89.02,418.36,65
HCPCS,C1713,PLATE L195 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 15 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,464.84,232.42,89.02,418.36,65
HCPCS,C1713,PLATE L196 MM HUMERUS LEFT LATERAL POSTERIOR 12 HOLE TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L196 MM X W10 MM X H1.6-3.4 MM 12 D WRIST LEFT THIRD METACARPAL DORSAL 11 HOLE LOW PROFILE SPAN ROUND EDGE TITANIUM ALUMINUM VANADIUM APTUS TRILOCK BONE 2.5 MM SCREW,1959.38,979.69,375.22,1763.44,65
HCPCS,C1713,PLATE L196 MM X W10.1 MM X H3.5 MM 14 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,532.85,266.43,102.04,479.57,65
HCPCS,C1713,PLATE L196 MM X W12 MM X H3.7 MM PROXIMAL 8 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1282.85,641.43,245.67,1154.57,65
HCPCS,C1713,PLATE L197 MM CONTOUR MEDIAL 12 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1124.43,562.22,215.33,1011.99,65
HCPCS,C1713,PLATE L197 MM CONTOUR MEDIAL 12 HOLE LMT CNTCT STNLS STL BN,1236.23,618.12,236.74,1112.61,65
HCPCS,C1713,PLATE L197 MM CONTOUR MEDIAL PROXIMAL RIGHT 12 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1236.23,618.12,236.74,1112.61,65
HCPCS,C1713,PLATE L197 MM CONTOUR PROXIMAL RIGHT MEDIAL 12 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1124.43,562.22,215.33,1011.99,65
HCPCS,C1713,PLATE L198 MM STANDARD TIBIAL RIGHT DISTAL MEDIAL 12 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,921.06,460.53,176.38,828.95,65
HCPCS,C1713,PLATE L199 MM CONTOUR PROXIMAL LEFT PERIARTICULAR 8 HOLE LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,1593.39,796.7,305.13,1434.05,65
HCPCS,C1713,PLATE L199 MM CONTOUR PROXIMAL PERIARTICULAR LEFT 8 HOLE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1593.39,796.7,305.13,1434.05,65
HCPCS,C1713,PLATE L199 MM CONTOUR PROXIMAL PERIARTICULAR RIGHT 8 HOLE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1593.39,796.7,305.13,1434.05,65
HCPCS,C1713,PLATE L199 MM STANDARD TIBIAL LEFT PROXIMAL LATERAL 10 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,932.28,466.14,178.53,839.05,65
HCPCS,C1713,PLATE L199 MM STANDARD TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,932.28,466.14,178.53,839.05,65
HCPCS,C1713,PLATE L199 MM TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE TITANIUM AXSOS 3 BONE,1440.24,720.12,275.81,1296.22,65
HCPCS,C1713,PLATE L2.15-2.95 IN SPINE LOW PROFILE BAR FIX TITANIUM CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,"PLATE L2.3MM SCREW THORACIC LEVEL 1 16 HOLE T1.5MM TITANIUM LEVEL ONE THORACIC, STERILE BONE",1045.2,522.6,200.16,940.68,65
HCPCS,C1713,PLATE L2.5 MM STRAIGHT CRANIOMAXILLOFACIAL 6 HOLE MEDIUM PROFILE BAR NA BONE,813.0,406.5,155.69,731.7,65
HCPCS,C1713,PLATE L20 MM 1.6V SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20 MM 1.9H SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20 MM HEMISPHERE MANDIBLE RIGHT 5 X 17 HOLE PRIMARY RECONSTRUCTION TITANIUM NA BONE,13626.95,6813.48,2609.56,12264.26,65
HCPCS,C1713,PLATE L20 MM O FEMUR PHYSEAL DISTAL LATERAL LOW PROFILE CENTER HOLE STAINLESS STEEL PEDIPLATES BONE PEDIATRIC,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE L20 MM SMALL UNIVERSAL FOOT ANKLE 2 HOLE LOCK THREAD COMPRESSION POLYAXIAL STAINLESS STEEL CLAW II BONE 2.7/3.5 MM SCREW,1333.3,666.65,255.33,1199.97,65
HCPCS,C1713,PLATE L20 MM SMALL UNIVERSAL FOOT ANKLE 4 HOLE LOCK THREAD COMPRESSION POLYAXIAL STAINLESS STEEL CLAW II BONE 2.7/3.5 MM SCREW,1625.83,812.92,311.35,1463.25,65
HCPCS,C1713,PLATE L20 MM SMALL UNIVERSAL T FOOT ANKLE 3 HOLE LOCK THREAD COMPRESSION POLYAXIAL STAINLESS STEEL CLAW II BONE 2.7/3.5 MM SCREW,1480.56,740.28,283.53,1332.5,65
HCPCS,C1713,PLATE L20 MM SPINE 1 LEVEL ARCHON BONE DEGENERATIVE DISC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20 MM SPINE 1 LEVEL HELIX R BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20 MM SPINE CERVICAL 1 LEVEL CONSTRAIN PYRENEES BONE GREEN,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20 MM X H.6 MM ANGLE RIGHT HAND 4 X 2 HOLE FIXATION GRID TITANIUM APTUS BONE 1.2/1.5 MM SCREW,211.54,105.77,40.51,190.39,65
HCPCS,C1713,PLATE L20 MM X H1.1 MM 2 HOLE COMPRESSION GORILLA 28 PLATE BONE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,PLATE L20 MM X H1.5 MM 2 HOLE LOCK GORILLA 28 PLATE BONE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,PLATE L20 MM X W13 MM X H1 MM RHOMBUS MANDIBLE LOCK TITANIUM LEVEL ONE THREADLOCK TS BONE 2 MM SCREW,377.54,188.77,72.3,339.79,65
HCPCS,C1713,PLATE L20 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L20.4 MM X W16.7 MM X H1.4 MM CONTOUR T TALUS LEFT MEDIAL TITANIUM VLP MINI-MOD BONE 2.4 MM SCREW,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE L200 MM X W11.5 MM X H3.6 MM 11 MM SPACE STANDARD TIBIAL RIGHT PROXIMAL LATERAL 16 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W32.3 MM X H1.9 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L202 MM HUMERUS LEFT PROXIMAL LATERAL 12 HOLE TITANIUM AXSOS 3 BONE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,PLATE L202 MM HUMERUS RIGHT PROXIMAL LATERAL 12 HOLE TITANIUM AXSOS 3 BONE,1694.22,847.11,324.44,1524.8,65
HCPCS,C1713,PLATE L202 MM STANDARD FEMUR LEFT DISTAL LATERAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1087.32,543.66,208.22,978.59,65
HCPCS,C1713,PLATE L202 MM STANDARD FEMUR RIGHT DISTAL LATERAL 8 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1087.32,543.66,208.22,978.59,65
HCPCS,C1713,PLATE L203 MM CONTOUR FIBULA LEFT DISTAL LATERAL 13 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,538.33,269.17,103.09,484.5,65
HCPCS,C1713,PLATE L203 MM CONTOUR LATERAL DISTAL LEFT 13 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,575.03,287.52,110.12,517.53,65
HCPCS,C1713,PLATE L203 MM CONTOUR LATERAL DISTAL RIGHT 13 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,575.03,287.52,110.12,517.53,65
HCPCS,C1713,PLATE L203 MM HUMERUS LEFT DISTAL LATERAL 12 HOLE TITANIUM VARIAX BONE,1271.61,635.81,243.51,1144.45,65
HCPCS,C1713,PLATE L205 MM PROXIMAL 6 HOLE HOOK BONE 4.5 MM SCREW,1331.42,665.71,254.97,1198.28,65
HCPCS,C1713,PLATE L205 MM PROXIMAL 6 HOLE HOOK STAINLESS STEEL BONE 4.5 MM SCREW,1253.32,626.66,240.01,1127.99,65
HCPCS,C1713,PLATE L206 MM 135 D STANDARD BARREL 12 HOLE BONE,526.06,263.03,100.74,473.45,65
HCPCS,C1713,PLATE L206 MM X W13.5 MM X H4.2 MM NARROW 11 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,444.08,222.04,85.04,399.67,65
HCPCS,C1713,PLATE L206 MM X W13.5 MM X H4.2 MM NARROW 11 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,464.43,232.22,88.94,417.99,65
HCPCS,C1713,PLATE L206 MM X W17.5 MM X H5.2 MM BROAD 11 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,508.52,254.26,97.38,457.67,65
HCPCS,C1713,PLATE L206 MM X W17.5 MM X H5.2 MM BROAD 11 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,531.52,265.76,101.79,478.37,65
HCPCS,C1713,PLATE L206 MM X W17.5 MM X H5.2 MM FEMUR RIGHT 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL BONE 4.5 MM SCREW,1243.59,621.8,238.15,1119.23,65
HCPCS,C1713,PLATE L206 MM X W17.5 MM X H5.2 MM LEFT 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL BONE 4.5 MM SCREW,1243.59,621.8,238.15,1119.23,65
HCPCS,C1713,PLATE L206 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 12 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,625.51,312.76,119.79,562.96,65
HCPCS,C1713,PLATE L207 MM CONTOUR FIBULA LEFT DISTAL POSTEROLATERAL 13 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,531.3,265.65,101.74,478.17,65
HCPCS,C1713,PLATE L207 MM CONTOUR FIBULA RIGHT DISTAL POSTEROLATERAL 13 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,531.3,265.65,101.74,478.17,65
HCPCS,C1713,PLATE L207 MM CONTOUR POSTEROLATERAL 13 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,567.42,283.71,108.66,510.68,65
HCPCS,C1713,PLATE L207 MM CONTOUR POSTEROLATERAL LEFT DISTAL 13 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,567.42,283.71,108.66,510.68,65
HCPCS,C1713,PLATE L208 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J LEFT 16 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,716.44,358.22,137.2,644.8,65
HCPCS,C1713,PLATE L208 MM X W10.1 MM X H3.7 MM 88 MM RADIUS J RIGHT 16 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,716.44,358.22,137.2,644.8,65
HCPCS,C1713,PLATE L208 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 16 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,707.44,353.72,135.47,636.7,65
HCPCS,C1713,PLATE L208 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 16 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,485.47,242.74,92.97,436.92,65
HCPCS,C1713,PLATE L208 MM X W10.2 MM X H2.7 MM 108 MM RADIUS CURVE PELVIC 16 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,626.43,313.22,119.96,563.79,65
HCPCS,C1713,PLATE L208 MM X W10.2 MM X H2.7 MM 88 MM RADIUS CURVE PELVIC 16 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,626.43,313.22,119.96,563.79,65
HCPCS,C1713,PLATE L208 MM X W10.2 MM X H2.7 MM 88 MM RADIUS J RIGHT 16 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,531.94,265.97,101.87,478.75,65
HCPCS,C1713,PLATE L208 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL POSTEROLATERAL 14 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1030.35,515.18,197.31,927.32,65
HCPCS,C1713,PLATE L208 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 14 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,915.23,457.62,175.27,823.71,65
HCPCS,C1713,PLATE L208 MM X W11 MM X H3.3 MM 16 HOLE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,528.47,264.24,101.2,475.62,65
HCPCS,C1713,PLATE L208 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 13 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,971.45,485.73,186.03,874.31,65
HCPCS,C1713,PLATE L209 MM BROAD 11 HOLE LOCK COMPRESSION AXSOS BONE,1306.62,653.31,250.22,1175.96,65
HCPCS,C1713,PLATE L21 MM LORDOTIC SPINE TITANIUM X10 CROSSLINK BONE 3.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L21 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L21 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L21 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L21 MM SPINE LUMBAR ANTERIOR 1 LEVEL LOW PROFILE TITANIUM AEGIS BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L21 MM SPINE OCCIPITOCERVICOTHORACIC HEAD TO HEAD CROSS CONNECTOR LOW PROFILE TITANIUM MOUNTAINEER BONE 3.5 MM SCREW,500.0,250.0,95.75,450.0,65
HCPCS,C1713,PLATE L21 MM X H.8 MM TRAPEZOID HAND PHALANX 4 X 2 HOLE GRID TITANIUM APTUS BONE 1.5 MM SCREW,393.28,196.64,75.31,353.95,65
HCPCS,C1713,PLATE L21 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L12 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L21 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L12 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L210 MM DISTAL ANTEROLATERAL LEFT 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1244.08,622.04,238.24,1119.67,65
HCPCS,C1713,PLATE L210 MM FEMUR 14 HOLE LOCK COMPRESSION BOW STAINLESS STEEL PEDILOC BONE 3.5 MM SCREW,1441.2,720.6,275.99,1297.08,65
HCPCS,C1713,PLATE L210 MM LEFT ANTEROLATERAL DISTAL 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1259.33,629.67,241.16,1133.4,65
HCPCS,C1713,PLATE L210 MM TIBIAL RIGHT DISTAL ANTEROLATERAL 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1251.2,625.6,239.6,1126.08,65
HCPCS,C1713,PLATE L210 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 12 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,988.23,494.12,189.25,889.41,65
HCPCS,C1713,PLATE L211 MM FEMUR LEFT PROXIMAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1163.14,581.57,222.74,1046.83,65
HCPCS,C1713,PLATE L211 MM FEMUR RIGHT PROXIMAL 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1163.14,581.57,222.74,1046.83,65
HCPCS,C1713,PLATE L211 MM PROXIMAL 12 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1095.79,547.9,209.84,986.21,65
HCPCS,C1713,PLATE L211 MM PROXIMAL LEFT 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1092.64,546.32,209.24,983.38,65
HCPCS,C1713,PLATE L211 MM PROXIMAL LEFT ULNA 12 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,978.18,489.09,187.32,880.36,65
HCPCS,C1713,PLATE L211 MM PROXIMAL RIGHT 6 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1092.64,546.32,209.24,983.38,65
HCPCS,C1713,PLATE L213 MM DISTAL MEDIAL RIGHT 12 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1159.15,579.58,221.98,1043.24,65
HCPCS,C1713,PLATE L213 MM MEDIAL DISTAL LEFT 12 HOLE LOW BEND LOW PROFILE ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1088.66,544.33,208.48,979.79,65
HCPCS,C1713,PLATE L213 MM MEDIAL LEFT DISTAL 12 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1159.15,579.58,221.98,1043.24,65
HCPCS,C1713,PLATE L213 MM MEDIAL RIGHT DISTAL 12 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1088.66,544.33,208.48,979.79,65
HCPCS,C1713,PLATE L213 MM MEDIAL RIGHT DISTAL 12 HOLE LOW PROFILE LOW BEND ROUND EDGE TITANIUM BONE 3.5 MM SCREW,1138.28,569.14,217.98,1024.45,65
HCPCS,C1713,PLATE L213 MM RADIUS LEFT DISTAL VOLAR 13 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1286.1,643.05,246.29,1157.49,65
HCPCS,C1713,PLATE L213 MM RADIUS RIGHT DISTAL VOLAR 13 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1286.1,643.05,246.29,1157.49,65
HCPCS,C1713,PLATE L214 MM 18 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,605.14,302.57,115.88,544.63,65
HCPCS,C1713,PLATE L214 MM CONTOUR TIBIA LEFT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1296.04,648.02,248.19,1166.44,65
HCPCS,C1713,PLATE L214 MM CONTOUR TIBIAL RIGHT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1177.94,588.97,225.58,1060.15,65
HCPCS,C1713,PLATE L215 MM CONTOUR OLECRANON LEFT 12 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,862.08,431.04,165.09,775.87,65
HCPCS,C1713,PLATE L215 MM CONTOUR OLECRANON RIGHT 12 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,862.08,431.04,165.09,775.87,65
HCPCS,C1713,PLATE L215 MM X W11 MM X H3.4 MM 16 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,512.12,256.06,98.07,460.91,65
HCPCS,C1713,PLATE L216 MM X W11 MM X H3.3 MM METAPHYSEAL 16 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,995.67,497.84,190.67,896.1,65
HCPCS,C1713,PLATE L218.5 MM X W10.5 MM X H2.5 MM 108 MM RADIUS CURVE PELVIC 14 HOLE STAINLESS STEEL MATTA SPS BONE,416.91,208.46,79.84,375.22,65
HCPCS,C1713,PLATE L22 MM 1.6V SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM 1.9H SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM CRANIAL PEEK IPS BONE,9648.0,4824.0,1847.59,8683.2,65
HCPCS,C1713,PLATE L22 MM H LEFT 8 HOLE LOW PROFILE PRECONTOUR EXTEND TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,341.38,170.69,65.37,307.24,65
HCPCS,C1713,PLATE L22 MM H RIGHT 8 HOLE LOW PROFILE PRECONTOUR EXTEND TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,337.13,168.57,64.56,303.42,65
HCPCS,C1713,PLATE L22 MM HEMISPHERE MANDIBLE LEFT 5 X 17 HOLE PRIMARY RECONSTRUCTION TITANIUM NA BONE,2725.39,1362.7,521.91,2452.85,65
HCPCS,C1713,PLATE L22 MM L CRANIOMAXILLOFACIAL RIGHT TITANIUM CFX BONE 1.6 MM SCREW,187.15,93.58,35.84,168.44,65
HCPCS,C1713,PLATE L22 MM LONG STRAIGHT CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE TITANIUM LORENZ BONE THINFLAP SYSTEM,175.0,87.5,33.51,157.5,65
HCPCS,C1713,PLATE L22 MM MINI SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM HELIX BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM SPINE 1 LEVEL ARCHON BONE DEGENERATIVE DISC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM X H1.5 MM STRAIGHT LEFT 3 HOLE LOW PROFILE UTILITY SYMMETRIC TITANIUM ANCHORAGE BONE 3 MM LOCK 3.5 MM NONLOCK SCREW,891.52,445.76,170.73,802.37,65
HCPCS,C1713,PLATE L22 MM X W16 MM X H2 MM SMALL STATURE NARROW WIDTH SPINE CERVICAL 1 LEVEL TITANIUM L14 MM BONE LIGHT BLUE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L22 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L220 MM LATERAL RIGHT PROXIMAL 9 HOLE TITANIUM BONE,1207.37,603.69,231.21,1086.63,65
HCPCS,C1713,PLATE L220 MM X W13.5 MM X H3.7 MM CONTOUR TIBIAL RIGHT DISTAL MEDIAL 12 HOLE ROUND EDGE LOW PROFILE HEAD STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1571.4,785.7,300.92,1414.26,65
HCPCS,C1713,PLATE L221 MM X W12 MM X H3 MM STRAIGHT 14 HOLE RECONSTRUCTION STAINLESS STEEL BONE 4.5 MM CORTICAL SCREW LARGE FRAGMENT SET,567.49,283.75,108.67,510.74,65
HCPCS,C1713,PLATE L222 MM NARROW STRAIGHT 18 HOLE COMPRESSION VARIAX BONE,1005.95,502.98,192.64,905.36,65
HCPCS,C1713,PLATE L223 MM CONTOUR MEDIAL 14 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1141.44,570.72,218.59,1027.3,65
HCPCS,C1713,PLATE L223 MM CONTOUR PROXIMAL MEDIAL RIGHT 14 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1141.44,570.72,218.59,1027.3,65
HCPCS,C1713,PLATE L223 MM NARROW 12 HOLE LOCK COMPRESSION AXSOS BONE,1306.62,653.31,250.22,1175.96,65
HCPCS,C1713,PLATE L223 MM NARROW WAIST 12 HOLE LOCK COMPRESSION STAINLESS STEEL AXSOS BONE 5 MM SCREW BASIC FRAGMENT SET,162.18,81.09,31.06,145.96,65
HCPCS,C1713,PLATE L224 MM STANDARD TIBIAL RIGHT DISTAL MEDIAL 14 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,921.06,460.53,176.38,828.95,65
HCPCS,C1713,PLATE L224 MM X W13.5 MM X H4.2 MM NARROW 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,477.75,238.88,91.49,429.98,65
HCPCS,C1713,PLATE L224 MM X W13.5 MM X H4.2 MM NARROW 12 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,499.42,249.71,95.64,449.48,65
HCPCS,C1713,PLATE L224 MM X W17.5 MM X H5.2 MM BROAD 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,539.55,269.78,103.32,485.6,65
HCPCS,C1713,PLATE L224 MM X W17.5 MM X H5.2 MM BROAD 12 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,564.07,282.04,108.02,507.66,65
HCPCS,C1713,PLATE L225 MM HUMERUS LEFT PROXIMAL STAINLESS STEEL ANTHEM BONE,1625.0,812.5,311.19,1462.5,65
HCPCS,C1713,PLATE L225 MM TIBIAL LEFT PROXIMAL LATERAL 12 HOLE TITANIUM AXSOS 3 BONE,1466.76,733.38,280.88,1320.08,65
HCPCS,C1713,PLATE L225 MM X W11 MM X H3.3 MM TIBIAL LEFT DISTAL MEDIAL 16 HOLE STAINLESS STEEL BONE 3.5 MM SCREW,1239.33,619.67,237.33,1115.4,65
HCPCS,C1713,PLATE L226 MM CONTOUR LEFT PROXIMAL 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1242.93,621.47,238.02,1118.64,65
HCPCS,C1713,PLATE L226 MM CONTOUR PROXIMAL 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1242.93,621.47,238.02,1118.64,65
HCPCS,C1713,PLATE L226 MM CONTOUR PROXIMAL LEFT 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1188.72,594.36,227.64,1069.85,65
HCPCS,C1713,PLATE L226 MM CONTOUR RIGHT PROXIMAL 12 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1188.72,594.36,227.64,1069.85,65
HCPCS,C1713,PLATE L226 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 14 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,980.76,490.38,187.82,882.68,65
HCPCS,C1713,PLATE L229 MM CONTOUR FIBULA LEFT DISTAL LATERAL 15 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,541.75,270.88,103.75,487.58,65
HCPCS,C1713,PLATE L229 MM CONTOUR LATERAL DISTAL LEFT 15 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,579.21,289.61,110.92,521.29,65
HCPCS,C1713,PLATE L229 MM X W17.5 MM X H5.2 MM BROAD CURVE 12 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,539.55,269.78,103.32,485.6,65
HCPCS,C1713,PLATE L23 MM 4 HOLE LOW PROFILE CUT TO LENGTH SHORT THREAD DRILL GUIDE STAINLESS STEEL LCP COMBI BONE 1.5 MM SCREW MODULAR MINI FRAGMENT SET,257.45,128.73,49.3,231.71,65
HCPCS,C1713,PLATE L23 MM BRIDGE LOCK POST ADVANTAGERIB BONE,3839.0,1919.5,735.17,3455.1,65
HCPCS,C1713,PLATE L23 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L23 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L23 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM SELF DRILL SELF TAP MIDLINE ALIGNMENT NOTCH TITANIUM VENTURE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L23 MM SPINE CERVICAL ANTERIOR LOCK LOW PROFILE TITANIUM ATLANTIS BONE,640.0,320.0,122.56,576.0,65
HCPCS,C1713,PLATE L23 MM SPINE LUMBAR ANTERIOR 1 LEVEL LOW PROFILE TITANIUM AEGIS BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L23 MM STRAIGHT HAND 6 HOLE LOW PROFILE PRECONTOUR STAINLESS STEEL BONE 1.3 MM SCREW,285.02,142.51,54.58,256.52,65
HCPCS,C1713,PLATE L23 MM STRAIGHT HAND 6 HOLE LOW PROFILE PRECONTOUR TITANIUM BONE 1.3 MM SCREW,300.32,150.16,57.51,270.29,65
HCPCS,C1713,PLATE L23 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L14 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L23 MM X W16.5 MM X H2.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK LARGE GRAFT WINDOW TITANIUM L14 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L23 MM X W5 MM X H1 MM STRAIGHT 4 HOLE STAINLESS STEEL BONE 2 MM SCREW MINI FRAGMENT SET,210.99,105.5,40.4,189.89,65
HCPCS,C1713,PLATE L230 MM DISTAL 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1232.21,616.11,235.97,1108.99,65
HCPCS,C1713,PLATE L230 MM DISTAL HUMERUS LEFT 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1120.18,560.09,214.51,1008.16,65
HCPCS,C1713,PLATE L230 MM DISTAL LEFT HUMERUS 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1232.21,616.11,235.97,1108.99,65
HCPCS,C1713,PLATE L230 MM HUMERUS DISTAL RIGHT 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1120.18,560.09,214.51,1008.16,65
HCPCS,C1713,PLATE L230 MM X W36 MM X H3.6 MM 18 MM SPACE FEMUR LEFT DISTAL LATERAL 10 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STAINLESS STEEL PERI-LOC W17.6 MM X H4.8 MM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE L232 MM CONTOUR PROXIMAL LEFT 16 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,PLATE L232 MM X W12 MM X H3.7 MM PROXIMAL 10 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1377.45,688.73,263.78,1239.71,65
HCPCS,C1713,PLATE L233 MM 18 HOLE LC-DCP BONE 3.5 MM SCREW,592.81,296.41,113.52,533.53,65
HCPCS,C1713,PLATE L233 MM CONTOUR FIBULA LEFT DISTAL POSTEROLATERAL 15 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,534.53,267.27,102.36,481.08,65
HCPCS,C1713,PLATE L233 MM CONTOUR FIBULA RIGHT DISTAL POSTEROLATERAL 15 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,534.53,267.27,102.36,481.08,65
HCPCS,C1713,PLATE L233 MM CONTOUR POSTEROLATERAL 15 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,570.65,285.33,109.28,513.59,65
HCPCS,C1713,PLATE L233 MM CONTOUR POSTEROLATERAL DISTAL RIGHT 15 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,570.65,285.33,109.28,513.59,65
HCPCS,C1713,PLATE L233.5 MM FEMUR RIGHT DISTAL 9 HOLE LOCK PRECONTOUR TIMAX POLYAX BONE,1386.0,693.0,265.42,1247.4,65
HCPCS,C1713,PLATE L234 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 18 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,728.08,364.04,139.43,655.27,65
HCPCS,C1713,PLATE L234 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 18 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,505.84,252.92,96.87,455.26,65
HCPCS,C1713,PLATE L234 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 18 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,505.84,252.92,96.87,455.26,65
HCPCS,C1713,PLATE L236 MM ANTEROLATERAL 17 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1235.76,617.88,236.65,1112.18,65
HCPCS,C1713,PLATE L236 MM ANTEROLATERAL DISTAL LEFT 17 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1235.76,617.88,236.65,1112.18,65
HCPCS,C1713,PLATE L236 MM DISTAL RIGHT ANTEROLATERAL 17 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1313.29,656.65,251.5,1181.96,65
HCPCS,C1713,PLATE L236 MM FEMUR LEFT DISTAL 9 HOLE TITANIUM BONE,1380.41,690.21,264.35,1242.37,65
HCPCS,C1713,PLATE L236 MM T TIBIAL DISTAL POSTERIOR 16 HOLE 4 LOCK STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1161.74,580.87,222.47,1045.57,65
HCPCS,C1713,PLATE L237 MM CONTOUR PROXIMAL RIGHT 16 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1225.33,612.67,234.65,1102.8,65
HCPCS,C1713,PLATE L238 MM 135 D STANDARD BARREL 14 HOLE BONE,823.84,411.92,157.77,741.46,65
HCPCS,C1713,PLATE L238 MM STANDARD FEMUR LEFT DISTAL LATERAL 10 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L238 MM STANDARD FEMUR RIGHT DISTAL LATERAL 10 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L238 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 14 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,823.84,411.92,157.77,741.46,65
HCPCS,C1713,PLATE L239 MM DISTAL MEDIAL LEFT 14 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1102.69,551.35,211.17,992.42,65
HCPCS,C1713,PLATE L239 MM LEFT MEDIAL DISTAL 14 HOLE LOW PROFILE LOW BEND ROUND EDGE TITANIUM BONE 3.5 MM SCREW,1152.88,576.44,220.78,1037.59,65
HCPCS,C1713,PLATE L239 MM MEDIAL DISTAL LEFT 14 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1173.75,586.88,224.77,1056.38,65
HCPCS,C1713,PLATE L239 MM MEDIAL DISTAL RIGHT 14 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1102.69,551.35,211.17,992.42,65
HCPCS,C1713,PLATE L239 MM MEDIAL RIGHT DISTAL 14 HOLE LOW PROFILE LOW BEND ROUND EDGE STAINLESS STEEL BONE 3.5 MM SCREW,1173.75,586.88,224.77,1056.38,65
HCPCS,C1713,PLATE L24 MM 1.6V SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE 18006124,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM 1.9H SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM 1/3 TUBULAR ANKLE 2 HOLE STAINLESS STEEL ANTHEM BONE SMALL FRAGMENT,175.0,87.5,33.51,157.5,65
HCPCS,C1713,PLATE L24 MM MINI CURVE MANDIBLE 6 HOLE SAGITTAL RIGID TITANIUM LEVEL ONE BONE BLUE,195.1,97.55,37.36,175.59,65
HCPCS,C1713,PLATE L24 MM MINI SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM HELIX BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM O FEMUR PHYSEAL DISTAL LATERAL LOW PROFILE CENTER HOLE STAINLESS STEEL PEDIPLATES BONE PEDIATRIC,314.85,157.43,60.29,283.37,65
HCPCS,C1713,PLATE L24 MM SPINE 1 LEVEL ARCHON BONE DEGENERATIVE DISC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM SPINE CERVICAL 1 LEVEL CONSTRAIN PYRENEES BONE GREEN,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L24 MM X W11 MM X H.8 MM T HAND PHALANX 5 X 4 HOLE 2 ROW TITANIUM APTUS BONE 1.5 MM SCREW,331.34,165.67,63.45,298.21,65
HCPCS,C1713,PLATE L24 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L24 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L24 MM X W18 MM SMALL X FOOT LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,629.77,314.89,120.6,566.79,65
HCPCS,C1713,PLATE L24 MM X W5.5 MM X H1.25 MM METACARPUS 4 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,295.09,147.55,56.51,265.58,65
HCPCS,C1713,PLATE L24 MM XS X MIDFOOT LOCK LOW PROFILE VARIABLE ANGLE COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,868.26,434.13,166.27,781.43,65
HCPCS,C1713,PLATE L240 MM LEFT DISTAL RADIUS VOLAR 15 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1256.48,628.24,240.62,1130.83,65
HCPCS,C1713,PLATE L240 MM RADIUS RIGHT DISTAL VOLAR 15 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1256.48,628.24,240.62,1130.83,65
HCPCS,C1713,PLATE L241 MM PROXIMAL 8 HOLE HOOK BONE 4.5 MM SCREW,1379.47,689.74,264.17,1241.52,65
HCPCS,C1713,PLATE L241 MM X W11 MM X H3.4 MM 18 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,574.56,287.28,110.03,517.1,65
HCPCS,C1713,PLATE L242 MM CONDYLAR LEFT 10 HOLE LCP BONE 4.5 MM SCREW,1302.75,651.38,249.48,1172.48,65
HCPCS,C1713,PLATE L242 MM CONDYLAR RIGHT 10 HOLE LCP BONE 4.5 MM SCREW,1225.07,612.54,234.6,1102.56,65
HCPCS,C1713,PLATE L242 MM X W17.5 MM X H5.2 MM CONDYLAR FEMUR LEFT 10 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW,1256.97,628.49,240.71,1131.27,65
HCPCS,C1713,PLATE L242 MM X W17.5 MM X H5.2 MM CURVE LEFT PERIARTICULAR 10 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1313.8,656.9,251.59,1182.42,65
HCPCS,C1713,PLATE L242 MM X W17.5 MM X H5.2 MM CURVE PERIARTICULAR LEFT 10 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1308.07,654.04,250.5,1177.26,65
HCPCS,C1713,PLATE L242 MM X W17.5 MM X H5.2 MM CURVE PERIARTICULAR RIGHT 10 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1313.8,656.9,251.59,1182.42,65
HCPCS,C1713,PLATE L242 MM X W17.5 MM X H5.2 MM CURVE RIGHT PERIARTICULAR 10 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1308.07,654.04,250.5,1177.26,65
HCPCS,C1713,PLATE L246 MM NARROW STRAIGHT 20 HOLE COMPRESSION VARIAX BONE,1005.95,502.98,192.64,905.36,65
HCPCS,C1713,PLATE L247 MM FEMUR RIGHT PROXIMAL 8 HOLE BONE 4.5 MM SCREW,1218.72,609.36,233.38,1096.85,65
HCPCS,C1713,PLATE L247 MM PROXIMAL RIGHT 8 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1145.75,572.88,219.41,1031.18,65
HCPCS,C1713,PLATE L247 MM X W17.5 MM X H5.2 MM BROAD CURVE 13 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,618.77,309.39,118.49,556.89,65
HCPCS,C1713,PLATE L249 MM CONTOUR MEDIAL 16 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1222.66,611.33,234.14,1100.39,65
HCPCS,C1713,PLATE L249 MM CONTOUR MEDIAL RIGHT PROXIMAL 16 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1222.66,611.33,234.14,1100.39,65
HCPCS,C1713,PLATE L25 MM 1/3 TUBULAR 2 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,32.84,16.42,6.29,29.56,65
HCPCS,C1713,PLATE L25 MM 2 HOLE LC-DCP BONE 3.5 MM SCREW,204.79,102.4,39.22,184.31,65
HCPCS,C1713,PLATE L25 MM CURVE MAXILLOFACIAL 6 HOLE SAGITTAL RIGID MODIFY TITANIUM LEVEL ONE BONE BLUE,195.1,97.55,37.36,175.59,65
HCPCS,C1713,PLATE L25 MM MEDIUM UNIVERSAL FOOT ANKLE 4 HOLE LOCK THREAD COMPRESSION POLYAXIAL STAINLESS STEEL CLAW II BONE 2.7/3.5 MM SCREW,1625.83,812.92,311.35,1463.25,65
HCPCS,C1713,PLATE L25 MM SPINE CERVICAL ANTERIOR 1 LEVEL ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L25 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L25 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM SELF DRILL SELF TAP MIDLINE ALIGNMENT NOTCH TITANIUM VENTURE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L25 MM SPINE CERVICAL ANTERIOR LOCK LOW PROFILE TITANIUM ATLANTIS BONE,640.0,320.0,122.56,576.0,65
HCPCS,C1713,PLATE L25 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L25 MM X H1.1 MM 3 HOLE COMPRESSION GORILLA 28 PLATE BONE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L25 MM X W11 MM X H.8 MM T HAND PHALANX 3 X 5 HOLE TITANIUM APTUS BONE 1.5 MM SCREW,319.33,159.67,61.15,287.4,65
HCPCS,C1713,PLATE L25 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L16 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L25 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L16 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L25 MM X W25 MM CRANIOMAXILLOFACIAL LACTOSORB BONE 1.5 MM SCREWS,456.0,228.0,87.32,410.4,65
HCPCS,C1713,PLATE L25 MM X W8 MM X H3.25 MM 90 D 5 MM OFFSET 3 HOLE CANNULATED BLADE LOCK STAINLESS STEEL PEDILOC BONE 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L25 MM X W9 MM X H1 MM 1/3 TUBULAR 2 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,83.21,41.61,15.93,74.89,65
HCPCS,C1713,PLATE L25.9 MM X W13.5 MM X H1 MM SMALL T HAND LOCK LOW PROFILE PRECONTOUR FLEXIBLE TIMAX ALPS BONE 1.5 MM SCREW,314.0,157.0,60.13,282.6,65
HCPCS,C1713,PLATE L250 MM CONTOUR TIBIAL LEFT PROXIMAL MEDIAL 12 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1356.81,678.41,259.83,1221.13,65
HCPCS,C1713,PLATE L250 MM STANDARD TIBIAL RIGHT DISTAL MEDIAL 16 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,921.06,460.53,176.38,828.95,65
HCPCS,C1713,PLATE L251 MM STANDARD TIBIAL LEFT PROXIMAL LATERAL 14 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,932.28,466.14,178.53,839.05,65
HCPCS,C1713,PLATE L253 MM TIBIA RIGHT PROXIMAL 14 HOLE SHAFT STAINLESS STEEL LCP BONE 4.5 MM SCREW,1330.0,665.0,254.7,1197.0,65
HCPCS,C1713,PLATE L254 MM STANDARD HUMERUS RIGHT PROXIMAL LATERAL 16 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1115.88,557.94,213.69,1004.29,65
HCPCS,C1713,PLATE L255 MM HUMERUS RIGHT PROXIMAL LOW PROFILE STAINLESS STEEL ANTHEM BONE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,PLATE L26 MM 1.9H SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L26 MM 4 HOLE LOW PROFILE VARIAX BONE 2.4 MM SCREW,407.95,203.98,78.12,367.16,65
HCPCS,C1713,PLATE L26 MM CONTOUR SPINE BRIGADE BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L26 MM MINI SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM HELIX BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L26 MM SPINE 1 LEVEL ARCHON BONE DEGENERATIVE DISC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L26 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L26 MM SPINE CERVICAL ANTERIOR 1 LEVEL XTEND BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L26 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L26 MM X H67 MM 100 D 4 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L26 MM X H67 MM 100 D 8 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L26 MM X H67 MM 90 D 4 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,549.67,274.84,105.26,494.7,65
HCPCS,C1713,PLATE L26 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L26 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L26 MM XLORDOTIC SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L260 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 20 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,748.9,374.45,143.41,674.01,65
HCPCS,C1713,PLATE L260 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 20 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,524.48,262.24,100.44,472.03,65
HCPCS,C1713,PLATE L260 MM X W13.5 MM X H4.2 MM NARROW 14 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,535.75,267.88,102.6,482.18,65
HCPCS,C1713,PLATE L260 MM X W13.5 MM X H4.2 MM NARROW 14 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,560.08,280.04,107.26,504.07,65
HCPCS,C1713,PLATE L260 MM X W17.5 MM X H5.2 MM BROAD 14 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,600.44,300.22,114.98,540.4,65
HCPCS,C1713,PLATE L260 MM X W17.5 MM X H5.2 MM BROAD 14 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,627.82,313.91,120.23,565.04,65
HCPCS,C1713,PLATE L262 MM ANTEROLATERAL 19 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1323.0,661.5,253.35,1190.7,65
HCPCS,C1713,PLATE L262 MM ANTEROLATERAL DISTAL RIGHT 19 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1279.15,639.58,244.96,1151.24,65
HCPCS,C1713,PLATE L262 MM CONTOUR PROXIMAL LEFT 14 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1194.43,597.22,228.73,1074.99,65
HCPCS,C1713,PLATE L262 MM CONTOUR PROXIMAL RIGHT 14 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1255.47,627.74,240.42,1129.92,65
HCPCS,C1713,PLATE L262 MM LEFT ANTEROLATERAL DISTAL 19 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1279.15,639.58,244.96,1151.24,65
HCPCS,C1713,PLATE L262 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 16 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,1023.99,512.0,196.09,921.59,65
HCPCS,C1713,PLATE L265 MM X W17.5 MM X H5.2 MM BROAD CURVE 14 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,600.44,300.22,114.98,540.4,65
HCPCS,C1713,PLATE L266 MM DISTAL 12 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1407.45,703.73,269.53,1266.71,65
HCPCS,C1713,PLATE L266 MM DISTAL RIGHT HUMERUS 12 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1279.61,639.81,245.05,1151.65,65
HCPCS,C1713,PLATE L266 MM EXTRAARTICULAR LEFT HUMERUS DISTAL 12 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1407.45,703.73,269.53,1266.71,65
HCPCS,C1713,PLATE L267 MM 95 D HIP CONDYLAR 16 HOLE BLADE STAINLESS STEEL DCP L80 MM BONE,1184.73,592.37,226.88,1066.26,65
HCPCS,C1713,PLATE L267 MM X W11 MM X H3.4 MM 20 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,637.45,318.73,122.07,573.71,65
HCPCS,C1713,PLATE L268 MM LONG PROXIMAL 12 HOLE SHAFT BONE 3.5 MM SCREW,1409.36,704.68,269.89,1268.42,65
HCPCS,C1713,PLATE L268 MM X W12 MM X H3.7 MM PROXIMAL 12 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1448.16,724.08,277.32,1303.34,65
HCPCS,C1713,PLATE L27 MM 4 MM SPACE MINI SPINE LOW PROFILE 1 BEND TITANIUM BONE 2 MM SCREW,379.35,189.68,72.65,341.42,65
HCPCS,C1713,PLATE L27 MM 4 MM SPACE MINI SPINE LOW PROFILE 2 BEND TITANIUM BONE 2 MM SCREW,400.5,200.25,76.7,360.45,65
HCPCS,C1713,PLATE L27 MM SMALL X MIDFOOT FOREFOOT LOCK LOW PROFILE VARIABLE ANGLE COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,931.92,465.96,178.46,838.73,65
HCPCS,C1713,PLATE L27 MM SMALL X MIDFOOT LOCK LOW PROFILE VARIABLE ANGLE COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,868.26,434.13,166.27,781.43,65
HCPCS,C1713,PLATE L27 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ZEVO BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L27 MM STRAIGHT FOREFOOT MIDFOOT 2 HOLE LOCK VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,689.2,344.6,131.98,620.28,65
HCPCS,C1713,PLATE L27 MM X H1.2 MM 4 HOLE STAINLESS STEEL BONE 2 MM SCREW MODULAR HAND SYSTEM,222.03,111.02,42.52,199.83,65
HCPCS,C1713,PLATE L27 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L18 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L27.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L27.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L274 MM FEMUR RIGHT DISTAL LATERAL 12 HOLE TITANIUM AXSOS 3 BONE,1773.78,886.89,339.68,1596.4,65
HCPCS,C1713,PLATE L274 MM STANDARD FEMUR LEFT DISTAL LATERAL 12 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L274 MM STANDARD FEMUR RIGHT DISTAL LATERAL 12 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L274 MM X W16 MM X H5.4 MM 95 D SHORT BARREL FEMUR 16 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,1018.22,509.11,194.99,916.4,65
HCPCS,C1713,PLATE L275 MM CONTOUR MEDIAL 18 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1266.23,633.12,242.48,1139.61,65
HCPCS,C1713,PLATE L275 MM CONTOUR MEDIAL PROXIMAL LEFT 18 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1393.31,696.66,266.82,1253.98,65
HCPCS,C1713,PLATE L275 MM CONTOUR MEDIAL PROXIMAL RIGHT 18 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1393.31,696.66,266.82,1253.98,65
HCPCS,C1713,PLATE L277 MM PROXIMAL 10 HOLE HOOK STAINLESS STEEL BONE 4.5 MM SCREW,1365.97,682.99,261.58,1229.37,65
HCPCS,C1713,PLATE L278 MM CONDYLAR RIGHT 12 HOLE LCP BONE 4.5 MM SCREW,1313.97,656.99,251.63,1182.57,65
HCPCS,C1713,PLATE L278 MM X W17.5 MM X H5.2 MM CONDYLAR FEMUR LEFT 12 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW,1281.93,640.97,245.49,1153.74,65
HCPCS,C1713,PLATE L278 MM X W17.5 MM X H5.2 MM CONDYLAR FEMUR RIGHT 12 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW,1281.93,640.97,245.49,1153.74,65
HCPCS,C1713,PLATE L278 MM X W17.5 MM X H5.2 MM CURVE LEFT PERIARTICULAR 12 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1341.27,670.64,256.85,1207.14,65
HCPCS,C1713,PLATE L278 MM X W17.5 MM X H5.2 MM CURVE PERIARTICULAR LEFT 12 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1320.24,660.12,252.83,1188.22,65
HCPCS,C1713,PLATE L278 MM X W17.5 MM X H5.2 MM CURVE RIGHT PERIARTICULAR 12 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1320.24,660.12,252.83,1188.22,65
HCPCS,C1713,PLATE L28 MM 1.6V SPINE CERVICAL ANTERIOR 1 LEVEL ACP BONE 18006128,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L28 MM BOX CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE TITANIUM UNIVERSAL NEURO 2 BONE 1.5 MM SCREW RETROSIGMOID,182.84,91.42,35.01,164.56,65
HCPCS,C1713,PLATE L28 MM MINI CURVE MANDIBLE 6 HOLE SAGITTAL RIGID TITANIUM LEVEL ONE CMF BONE BLUE,195.1,97.55,37.36,175.59,65
HCPCS,C1713,PLATE L28 MM NARROW 4 HOLE LOCK VARIAX BONE 2.4 MM SCREW,607.95,303.98,116.42,547.16,65
HCPCS,C1713,PLATE L28 MM SPINE 1 LEVEL ARCHON BONE DEGENERATIVE DISC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L28 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM REFLEX HYBRID BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L28 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L28 MM SPINE OCCIPITOCERVICOTHORACIC HEAD TO HEAD CROSS CONNECTOR LOW PROFILE TITANIUM MOUNTAINEER BONE 3.5 MM SCREW,500.0,250.0,95.75,450.0,65
HCPCS,C1713,PLATE L28 MM X W15 MM X H1 MM 5 MM SPACE FOREFOOT MIDFOOT HOLE LOW PROFILE ORTHOLOC 3DI BOW BONE 2.7 MM SCREW OPEN WEDGE OSTEOTOMY,1310.42,655.21,250.95,1179.38,65
HCPCS,C1713,PLATE L28 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L28 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L28 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L28 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L28 MM X W17.5 MM THK2.2 MM ANTERIOR CERVICAL 2 LEVEL ONE STEP LOCKING MECHANISM TITANIUM ALLOY TEMPUS BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L28-30 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L280 MM HUMERUS RIGHT PROXIMAL LATERAL 18 HOLE TITANIUM AXSOS 3 BONE,1895.16,947.58,362.92,1705.64,65
HCPCS,C1713,PLATE L282 MM X W17.5 MM X H5.2 MM BROAD CURVE 15 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,717.97,358.99,137.49,646.17,65
HCPCS,C1713,PLATE L283 MM FEMUR LEFT PROXIMAL 10 HOLE LIMIT CONTACT STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1227.63,613.82,235.09,1104.87,65
HCPCS,C1713,PLATE L283 MM FEMUR RIGHT PROXIMAL 10 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1304.21,652.11,249.76,1173.79,65
HCPCS,C1713,PLATE L286 MM CONTOUR PROXIMAL LEFT TIBIAL MEDIAL 14 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1371.14,685.57,262.57,1234.03,65
HCPCS,C1713,PLATE L286 MM CONTOUR TIBIAL RIGHT PROXIMAL MEDIAL 14 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1371.14,685.57,262.57,1234.03,65
HCPCS,C1713,PLATE L286 MM KNEE RIGHT 13 HOLE LOCK STAINLESS STEEL PERI-LOC BONE 4.5 MM SCREW,985.53,492.77,188.73,886.98,65
HCPCS,C1713,PLATE L286 MM X W36 MM X H3.6 MM 18 MM SPACE FEMUR LEFT DISTAL LATERAL 13 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STAINLESS STEEL PERI-LOC W17.6 MM X H4.8 MM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1013.04,506.52,194.0,911.74,65
HCPCS,C1713,PLATE L287.6 MM FEMORAL RIGHT DISTAL 12 HOLE LOCK PRECONTOUR TIMAX POLYAX BONE,1386.0,693.0,265.42,1247.4,65
HCPCS,C1713,PLATE L288 MM DISTAL LEFT ANTEROLATERAL 21 HOLE BONE 3.5 MM SCREW,1257.39,628.7,240.79,1131.65,65
HCPCS,C1713,PLATE L288 MM FEMUR LEFT PROXIMAL 12 HOLE LOCK STAINLESS STEEL PERI-LOC BONE 4.5 MM SCREW,1074.88,537.44,205.84,967.39,65
HCPCS,C1713,PLATE L29 MM 6 MM SPACE MINI SPINE LOW PROFILE 1 BEND TITANIUM BONE 2 MM SCREW,379.35,189.68,72.65,341.42,65
HCPCS,C1713,PLATE L29 MM 6 MM SPACE MINI SPINE LOW PROFILE 2 BEND TITANIUM BONE 2 MM SCREW,400.5,200.25,76.7,360.45,65
HCPCS,C1713,PLATE L29 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L20 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L29 MM X W3.8 MM X H.8 MM STRAIGHT 6 HOLE LOW PROFILE PRECONTOUR TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,350.69,175.35,67.16,315.62,65
HCPCS,C1713,PLATE L29 MM X W5 MM X H1 MM STRAIGHT 5 HOLE STAINLESS STEEL BONE 2 MM SCREW MINI FRAGMENT SET,210.99,105.5,40.4,189.89,65
HCPCS,C1713,PLATE L293 MM X W11 MM X H3.4 MM 22 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,638.35,319.18,122.24,574.52,65
HCPCS,C1713,PLATE L296 MM X W13.5 MM X H4.2 MM NARROW 16 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,625.86,312.93,119.85,563.27,65
HCPCS,C1713,PLATE L296 MM X W13.5 MM X H4.2 MM NARROW 16 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,654.38,327.19,125.31,588.94,65
HCPCS,C1713,PLATE L296 MM X W17.5 MM X H5.2 MM BROAD 16 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,729.37,364.69,139.67,656.43,65
HCPCS,C1713,PLATE L298 MM CONTOUR TIBIA RIGHT PROXIMAL 16 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1263.62,631.81,241.98,1137.26,65
HCPCS,C1713,PLATE L298 MM CONTOUR TIBIAL LEFT PROXIMAL 16 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1263.62,631.81,241.98,1137.26,65
HCPCS,C1713,PLATE L298 MM X W11 MM X H4.2 MM NARROW METAPHYSEAL 18 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/3.5 MM SCREW LARGE FRAGMENT SET,1043.17,521.59,199.77,938.85,65
HCPCS,C1713,PLATE L299 MM CONTOUR FIBULA RIGHT DISTAL LATERAL 15 HOLE STAINLESS STEEL LCP COMBI BONE 2.7/3.5 MM SCREW,541.75,270.88,103.75,487.58,65
HCPCS,C1713,PLATE L299 MM CONTOUR RIGHT LATERAL DISTAL 15 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,579.21,289.61,110.92,521.29,65
HCPCS,C1713,PLATE L30 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM 130 D 0 MM OFFSET 3 HOLE CANNULATED BLADE LOCK LOCKING CANNULATED BLADE PLATE SYSTEM BONE,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L30 MM CRANIOMAXILLOFACIAL BURR HOLE 1.5MM SYSTEM BONE,379.0,189.5,72.58,341.1,65
HCPCS,C1713,PLATE L30 MM L22 MM LARGE U FOOT LEFT ANKLE LOCK THREAD COMPRESSION POLYAXIAL STAINLESS STEEL CLAW II L24 MM BONE 2.7/3.5 MM SCREW,1851.7,925.85,354.6,1666.53,65
HCPCS,C1713,PLATE L30 MM LARGE UNIVERSAL T FOOT ANKLE 3 HOLE LOCK THREAD COMPRESSION POLYAXIAL STAINLESS STEEL CLAW II BONE 2.7/3.5 MM SCREW,1480.56,740.28,283.53,1332.5,65
HCPCS,C1713,PLATE L30 MM NARROW RADIAL LEFT DISTAL VOLAR TITANIUM ACU-LOC BONE,779.0,389.5,149.18,701.1,65
HCPCS,C1713,PLATE L30 MM SPINE 1 LEVEL ARCHON BONE DEGENERATIVE DISC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L30 MM SPINE 2 LEVEL TITANIUM BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L30 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM REFLEX HYBRID BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L30 MM X W10.5 MM X H1.75-2.3 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL BEND ZONE TITANIUM UNIPLATE 2 BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM X W11 MM X H3.25 MM 90 D 6 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L30 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM SKYLINE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L30 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L30 MM X W19 MM X H1.4 MM ELBOW RADIAL HEAD 10 HOLE RIM TITANIUM APTUS BONE 2 MM SCREW,533.73,266.87,102.21,480.36,65
HCPCS,C1713,PLATE L30 MM X W5 MM X H1.5 MM STRAIGHT FOREFOOT LESSER METATARSAL 4 HOLE LOW PROFILE TITANIUM ORTHOLOC BONE,485.56,242.78,92.98,437.0,65
HCPCS,C1713,PLATE L30-34 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L30-34 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L300 MM X W17.5 MM X H5.2 MM BROAD CURVE 16 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,783.71,391.86,150.08,705.34,65
HCPCS,C1713,PLATE L301 MM CONTOUR TIBIAL RIGHT PROXIMAL MEDIAL 20 HOLE LIMIT CONTACT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,1308.46,654.23,250.57,1177.61,65
HCPCS,C1713,PLATE L301 MM PROXIMAL MEDIAL LEFT 20 HOLE BONE 3.5 MM SCREW,1308.46,654.23,250.57,1177.61,65
HCPCS,C1713,PLATE L302 MM DISTAL 14 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1408.98,704.49,269.82,1268.08,65
HCPCS,C1713,PLATE L302 MM EXTRAARTICULAR LEFT HUMERUS DISTAL 14 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1549.82,774.91,296.79,1394.84,65
HCPCS,C1713,PLATE L302 MM HUMERUS DISTAL LEFT 14 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1408.98,704.49,269.82,1268.08,65
HCPCS,C1713,PLATE L302 MM HUMERUS DISTAL RIGHT 14 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD STAINLESS STEEL BONE 3.5 MM SCREW,1549.82,774.91,296.79,1394.84,65
HCPCS,C1713,PLATE L302 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 18 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,847.02,423.51,162.2,762.32,65
HCPCS,C1713,PLATE L31 MM 4 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,217.6,108.8,41.67,195.84,65
HCPCS,C1713,PLATE L31 MM 8 MM SPACE MINI SPINE 1 BEND TITANIUM BONE 2 MM SCREW,379.35,189.68,72.65,341.42,65
HCPCS,C1713,PLATE L31 MM 8 MM SPACE MINI SPINE LOW PROFILE 2 BEND TITANIUM BONE 2 MM SCREW,400.5,200.25,76.7,360.45,65
HCPCS,C1713,PLATE L31 MM SMALL CURVATURE RADIAL HEAD 3 HOLE LOCK ACUMED BONE,1099.0,549.5,210.46,989.1,65
HCPCS,C1713,PLATE L31 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L31 MM SPINE OCCIPITOCERVICAL TITANIUM MOUNTAINEER BONE 3.5 MM SCREW,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE L31 MM STANDARD CURVATURE RADIAL HEAD 3 HOLE LOCK ACU-LOC 2 BONE,1099.0,549.5,210.46,989.1,65
HCPCS,C1713,PLATE L31 MM X W13 MM X H.6 MM T HAND 4 X 6 HOLE FIXATION TITANIUM APTUS BONE 1.2/1.5 MM SCREW,181.74,90.87,34.8,163.57,65
HCPCS,C1713,PLATE L31 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L22 MM BONE 4/4.5 MM SCREW,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L31 MM X W7 MM X H1 MM 1/4 TUBULAR 4 HOLE COLLAR STAINLESS STEEL H.3 MM BONE 2.7 MM SCREW MINI FRAGMENT SET,138.08,69.04,26.44,124.27,65
HCPCS,C1713,PLATE L310 MM STANDARD FEMUR LEFT DISTAL LATERAL 14 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L310 MM STANDARD FEMUR RIGHT DISTAL LATERAL 14 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L314 MM X W17.5 MM X H5.2 MM CONDYLAR FEMUR LEFT 14 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW,1318.08,659.04,252.41,1186.27,65
HCPCS,C1713,PLATE L314 MM X W17.5 MM X H5.2 MM CURVE LEFT PERIARTICULAR 14 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1368.74,684.37,262.11,1231.87,65
HCPCS,C1713,PLATE L314 MM X W17.5 MM X H5.2 MM CURVE PERIARTICULAR RIGHT 14 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1368.74,684.37,262.11,1231.87,65
HCPCS,C1713,PLATE L314 MM X W17.5 MM X H5.2 MM CURVE RIGHT PERIARTICULAR 14 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1332.03,666.02,255.08,1198.83,65
HCPCS,C1713,PLATE L314 MM X W17.5 MM X H5.2 MM FEMUR CONDYLAR RIGHT 14 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD STAINLESS STEEL BONE 4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L316 MM DISTAL LEFT 13 HOLE STAINLESS STEEL BONE,679.0,339.5,130.03,611.1,65
HCPCS,C1713,PLATE L318 MM X W17.5 MM X H5.2 MM BROAD CURVE 17 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,764.58,382.29,146.42,688.12,65
HCPCS,C1713,PLATE L319 MM FEMUR RIGHT PROXIMAL 12 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1380.38,690.19,264.34,1242.34,65
HCPCS,C1713,PLATE L319 MM PROXIMAL LEFT 12 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1380.38,690.19,264.34,1242.34,65
HCPCS,C1713,PLATE L32 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE 18006232,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM L LEFT 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,296.87,148.44,56.85,267.18,65
HCPCS,C1713,PLATE L32 MM L RIGHT 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,296.87,148.44,56.85,267.18,65
HCPCS,C1713,PLATE L32 MM MEDIUM X FOREFOOT MIDFOOT LOCK LOW PROFILE VARIABLE ANGLE COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,931.92,465.96,178.46,838.73,65
HCPCS,C1713,PLATE L32 MM MEDIUM X MIDFOOT LOCK LOW PROFILE VARIABLE ANGLE COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,868.26,434.13,166.27,781.43,65
HCPCS,C1713,PLATE L32 MM SPINE 1 LEVEL HELIX R BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L32 MM SPINE 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM REFLEX HYBRID BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM T 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,544.25,272.13,104.22,489.83,65
HCPCS,C1713,PLATE L32 MM T 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,544.25,272.13,104.22,489.83,65
HCPCS,C1713,PLATE L32 MM T HAND 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.3 MM SCREW,307.83,153.92,58.95,277.05,65
HCPCS,C1713,PLATE L32 MM T HAND 4 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.3 MM SCREW,330.35,165.18,63.26,297.32,65
HCPCS,C1713,PLATE L32 MM X H1 MM ANGLE LEFT L HAND 2 X 4 HOLE TITANIUM APTUS BONE 2/2.3 MM SCREW,904.0,452.0,173.12,813.6,65
HCPCS,C1713,PLATE L32 MM X H1.3 MM STRAIGHT HAND 5 HOLE LOCK GRID TITANIUM APTUS BONE 2/2.3 MM SCREW,501.07,250.54,95.95,450.96,65
HCPCS,C1713,PLATE L32 MM X H1.3 MM T HAND 2 X 4 HOLE LOCK GRID TITANIUM APTUS BONE 2/2.3 MM SCREW,501.07,250.54,95.95,450.96,65
HCPCS,C1713,PLATE L32 MM X H67 MM 100 D 4 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L32 MM X H67 MM 100 D 8 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L32 MM X W10.5 MM X H1.75-2.3 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL BEND ZONE TITANIUM UNIPLATE 2 BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L32 MM X W7 MM X H1 MM L 3 HOLE LEFT STAINLESS STEEL BONE 2.7 MM SCREW MINI FRAGMENT SET,219.18,109.59,41.97,197.26,65
HCPCS,C1713,PLATE L32 MM X W7 MM X H1.2 MM T 3 HOLE STAINLESS STEEL BONE 2.7 MM SCREW MINI FRAGMENT SET,177.94,88.97,34.08,160.15,65
HCPCS,C1713,PLATE L32.5 MM SPINE CERVICAL ANTERIOR 1 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L32.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L322 MM CONTOUR LEFT PROXIMAL MEDIAL 16 HOLE LIMIT CONTACT STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1258.78,629.39,241.06,1132.9,65
HCPCS,C1713,PLATE L33 MM 10 MM SPACE MINI SPINE LOW PROFILE 2 BEND TITANIUM ARCH BONE 2 MM SCREW,400.5,200.25,76.7,360.45,65
HCPCS,C1713,PLATE L33 MM SHORT FOOT RIGHT NAVICULOCUNEIFORM 6 HOLE LOCK POLYAXIAL VARIAX BONE 3.5 MM SCREW,1049.73,524.87,201.02,944.76,65
HCPCS,C1713,PLATE L33 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L33 MM X H.6 MM TRAPEZOID HAND 6 X 2 HOLE FIXATION GRID TITANIUM APTUS BONE 1.2/1.5 MM SCREW,211.54,105.77,40.51,190.39,65
HCPCS,C1713,PLATE L33 MM X H1 MM STRAIGHT HAND 6 HOLE TITANIUM APTUS BONE 2/2.3 MM SCREW,312.47,156.24,59.84,281.22,65
HCPCS,C1713,PLATE L33 MM X W11 MM X H3.4 MM 2 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,195.31,97.66,37.4,175.78,65
HCPCS,C1713,PLATE L33 MM X W9 MM X H1 MM 1/3 TUBULAR 3 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,130.28,65.14,24.95,117.25,65
HCPCS,C1713,PLATE L332 MM X W13.5 MM X H4.2 MM NARROW 18 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,759.69,379.85,145.48,683.72,65
HCPCS,C1713,PLATE L334 MM CONTOUR TIBIAL LEFT PROXIMAL 18 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1287.56,643.78,246.57,1158.8,65
HCPCS,C1713,PLATE L334 MM CONTOUR TIBIAL RIGHT PROXIMAL 18 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL LCP COMBI BONE 4.5 MM SCREW LARGE FRAGMENT SET,1287.56,643.78,246.57,1158.8,65
HCPCS,C1713,PLATE L336 MM X W17.5 MM X H5.2 MM BROAD CURVE 18 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,891.97,445.99,170.81,802.77,65
HCPCS,C1713,PLATE L336 MM X W17.5 MM X H5.2 MM BROAD CURVE 18 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,833.07,416.54,159.53,749.76,65
HCPCS,C1713,PLATE L34 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE 18006234,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM 180 MM RADIUS PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL RIGID EAGLE PLUS BONE GREEN,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM 5 D LEFT PROXIMAL 2 HOLE PRECONTOUR LIMIT CONTACT RIM STAINLESS STEEL BONE 2.4 MM SCREW,578.36,289.18,110.76,520.52,65
HCPCS,C1713,PLATE L34 MM LORDOSIS SPINE BRIGADE BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L34 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM SPINE 2 LEVEL TITANIUM BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM SPINE CERVICAL ANTERIOR 2 LEVEL INSIGNIA BONE SERIES 436,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM REFLEX HYBRID BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM X W10.5 MM X H1.75-2.3 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL BEND ZONE TITANIUM UNIPLATE 2 BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L34 MM X W7 MM X H1 MM OBLIQUE RIGHT L 3 HOLE STAINLESS STEEL BONE 2.7 MM SCREW MINI FRAGMENT SET,177.94,88.97,34.08,160.15,65
HCPCS,C1713,PLATE L34-36 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L343 MM FEMUR LEFT DISTAL LATERAL 16 HOLE TITANIUM AXSOS 3 BONE,1849.26,924.63,354.13,1664.33,65
HCPCS,C1713,PLATE L343 MM FEMUR RIGHT DISTAL LATERAL 16 HOLE TITANIUM AXSOS 3 BONE,1849.26,924.63,354.13,1664.33,65
HCPCS,C1713,PLATE L343 MM STANDARD FEMUR LEFT DISTAL LATERAL 16 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L343 MM STANDARD FEMUR RIGHT DISTAL LATERAL 16 HOLE LOCK STAINLESS STEEL AXSOS BONE 4.5/5/6.5 MM SCREW,1128.12,564.06,216.03,1015.31,65
HCPCS,C1713,PLATE L35 MM 12 MM SPACE MINI SPINE LOW PROFILE 2 BEND TITANIUM BONE 2 MM SCREW,400.5,200.25,76.7,360.45,65
HCPCS,C1713,PLATE L35 MM 6 HOLE POLYAXIAL RECONSTRUCTION STAINLESS STEEL ANTHEM OD2 MM BONE MINI FRAGMENT FRACTURE SYSTEM,490.0,245.0,93.84,441.0,65
HCPCS,C1713,PLATE L35 MM CRANIOMAXILLOFACIAL LOW PROFILE GAP TITANIUM LORENZ THINFLAP BONE,379.0,189.5,72.58,341.1,65
HCPCS,C1713,PLATE L35 MM OBLIQUE L RIGHT 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,296.87,148.44,56.85,267.18,65
HCPCS,C1713,PLATE L35 MM SHORT T FOREFOOT MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,846.3,423.15,162.07,761.67,65
HCPCS,C1713,PLATE L35 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L35 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L35 MM SPINE OCCIPITOCERVICOTHORACIC HEAD TO HEAD CROSS CONNECTOR LOW PROFILE TITANIUM MOUNTAINEER BONE 3.5 MM SCREW,500.0,250.0,95.75,450.0,65
HCPCS,C1713,PLATE L35 MM STRAIGHT 6 HOLE TITANIUM BONE 2 MM SCREW,354.31,177.16,67.85,318.88,65
HCPCS,C1713,PLATE L35 MM X H.5 MM MEDIUM CRANIOMAXILLOFACIAL 6 HOLE GAP TITANIUM LORENZ BONE 1.5 MM SCREW,459.0,229.5,87.9,413.1,65
HCPCS,C1713,PLATE L35 MM X H1.7 MM METACARPUS 4 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR HAND SYSTEM,294.69,147.35,56.43,265.22,65
HCPCS,C1713,PLATE L35 MM X H1.7 MM METACARPUS 4 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,374.57,187.29,71.73,337.11,65
HCPCS,C1713,PLATE L35 MM X H74.5 MM 100 D 8 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.3 MM X W4.5 MM BONE PEDIATRIC 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L35 MM X W10 MM X H.6 MM OFFSET T HAND 3 X 8 HOLE 2 HOOK COMPRESSION TITANIUM APTUS BONE 1.2/1.5 MM SCREW,231.04,115.52,44.24,207.94,65
HCPCS,C1713,PLATE L35 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L26 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L35 MM X W11 MM X H3.25 MM 90 D 6 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L35 MM X W8 MM X H3.25 MM 90 D 5 MM OFFSET 2 HOLE CANNULATED BLADE LOCK STAINLESS STEEL PEDILOC BONE 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L350 MM X W17.5 MM X H5.2 MM CURVE PERIARTICULAR LEFT 16 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1394.22,697.11,266.99,1254.8,65
HCPCS,C1713,PLATE L350 MM X W17.5 MM X H5.2 MM CURVE RIGHT 16 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1394.22,697.11,266.99,1254.8,65
HCPCS,C1713,PLATE L350 MM X W17.5 MM X H5.2 MM CURVED PERIARTICULAR 16 HOLE LOW PROFILE PRECONTOUR STAINLESS STEEL BONE 4.5/5 MM SCREW,1343.25,671.63,257.23,1208.93,65
HCPCS,C1713,PLATE L355 MM TIBIAL LEFT PROXIMAL LATERAL 22 HOLE TITANIUM AXSOS 3 BONE,1648.32,824.16,315.65,1483.49,65
HCPCS,C1713,PLATE L36 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE 18006236,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM 4 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,296.23,148.12,56.73,266.61,65
HCPCS,C1713,PLATE L36 MM 6 HOLE LOW PROFILE CUT TO LENGTH SHORT THREAD DRILL GUIDE STAINLESS STEEL LCP COMBI BONE 1.5 MM SCREW MODULAR MINI FRAGMENT SET,257.45,128.73,49.3,231.71,65
HCPCS,C1713,PLATE L36 MM MINI SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM HELIX BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM SPINE 2 LEVEL TITANIUM BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM SPINE CERVICAL 1 LEVEL OZARK BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L36 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM SPINE CERVICAL ANTERIOR 2 LEVEL EAGLE PLUS BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM STRAIGHT METACARPUS 6 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,338.72,169.36,64.86,304.85,65
HCPCS,C1713,PLATE L36 MM X W10.5 MM X H1.75-2.3 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL BEND ZONE TITANIUM UNIPLATE 2 BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L36 MM X W3.5 MM X H.9 MM CONDYLAR LEFT 7 HOLE LOW PROFILE PRECONTOUR TITANIUM BONE,403.65,201.83,77.3,363.29,65
HCPCS,C1713,PLATE L36 MM X W3.5 MM X H.9 MM CONDYLAR LEFT 7 HOLE LOW PROFILE PRECONTOUR TITANIUM LCP BONE 1.5 MM SCREW MODULAR HAND SYSTEM,361.07,180.54,69.14,324.96,65
HCPCS,C1713,PLATE L36 MM X W3.5 MM X H.9 MM CONDYLAR RIGHT 7 HOLE LOW PROFILE PRECONTOUR TITANIUM LCP BONE 1.5 MM SCREW MODULAR HAND SYSTEM,361.07,180.54,69.14,324.96,65
HCPCS,C1713,PLATE L36 MM X W5.5 MM X H1.25 MM METACARPUS 6 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,337.0,168.5,64.54,303.3,65
HCPCS,C1713,PLATE L36-39 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L36-39 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L37 MM 1/3 TUBULAR CONTOUR 3 HOLE 2 COMPRESSION COLLAR STAINLESS STEEL BONE SMALL FRAGMENT,40.56,20.28,7.77,36.5,65
HCPCS,C1713,PLATE L37 MM SHORT L FOREFOOT MIDFOOT LEFT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,786.53,393.27,150.62,707.88,65
HCPCS,C1713,PLATE L37 MM SHORT L FOREFOOT MIDFOOT RIGHT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,808.14,404.07,154.76,727.33,65
HCPCS,C1713,PLATE L37 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X H2.6 MM FOOT 4 HOLE STAINLESS STEEL LC-DCP BONE 2.7 MM SCREW,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L37 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L28 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L28 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X W18 MM X H2.5 MM PREBENT SPINE CERVICAL 2 LEVEL CAUDAL HOLE VARIABLE ANGLE TITANIUM L28 MM BONE LIGHT GREEN,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X W19 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK TITANIUM L28 MM BONE BLUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37 MM X W9 MM X H1 MM 1/3 TUBULAR 3 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,85.13,42.57,16.3,76.62,65
HCPCS,C1713,PLATE L37 MM X W9.2 MM X H1.3 MM 100 D TUBULAR ULNA OLECRANON DISTAL 3 HOLE LOCK LOW PROFILE TIMAX TIMAX BONE 3.5 MM SCREW SMALL FRAGMENT SET,73.5,36.75,14.08,66.15,65
HCPCS,C1713,PLATE L37 MM Y HAND 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.3 MM SCREW,326.36,163.18,62.5,293.72,65
HCPCS,C1713,PLATE L37.5 MM SPINE ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L37.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L370 MM CURVE LEFT 18 HOLE VARIABLE ANGLE TITANIUM BONE 4.5 MM SCREW,2333.7,1166.85,446.9,2100.33,65
HCPCS,C1713,PLATE L372 MM X W17.5 MM X H5.2 MM BROAD CURVE 20 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,982.18,491.09,188.09,883.96,65
HCPCS,C1713,PLATE L379 MM FEMUR RIGHT DISTAL LATERAL 18 HOLE TITANIUM AXSOS 3 BONE,1924.74,962.37,368.59,1732.27,65
HCPCS,C1713,PLATE L38 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE 18006238,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM 1/3 TUBULAR 3 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,32.84,16.42,6.29,29.56,65
HCPCS,C1713,PLATE L38 MM 5 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,217.6,108.8,41.67,195.84,65
HCPCS,C1713,PLATE L38 MM MINI SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM HELIX BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM HELIX BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM SPINE LUMBAR ANTERIOR TITANIUM HALO BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L38 MM X H.5 MM SMALL SUBTEMPORAL 8 HOLE TITANIUM LORENZ BONE 1.5 MM SCREW,149.0,74.5,28.53,134.1,65
HCPCS,C1713,PLATE L38 MM X H67 MM 100 D 4 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L38 MM X H67 MM 100 D 8 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L38 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L38 MM X W5.8 MM X H1.3 MM STRAIGHT 5 HOLE COMPRESSION POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE L385 MM FEMUR PROXIMAL 16 HOLE HOOK STAINLESS STEEL BONE 4.5 MM SCREW,1562.42,781.21,299.2,1406.18,65
HCPCS,C1713,PLATE L386 MM X W17.5 MM X H5.2 MM CURVE LEFT 18 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1470.83,735.42,281.66,1323.75,65
HCPCS,C1713,PLATE L386 MM X W17.5 MM X H5.2 MM CURVE LEFT PERIARTICULAR 18 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1376.52,688.26,263.6,1238.87,65
HCPCS,C1713,PLATE L386 MM X W17.5 MM X H5.2 MM CURVE RIGHT 18 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1376.52,688.26,263.6,1238.87,65
HCPCS,C1713,PLATE L386 MM X W17.5 MM X H5.2 MM CURVE RIGHT PERIARTICULAR 18 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1470.83,735.42,281.66,1323.75,65
HCPCS,C1713,PLATE L39 MM SPINE CERVICAL 2 LEVEL CONSTRAIN HYBRID BLUE RIDGE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L39 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L39 MM SPINE CERVICAL ANTERIOR 3 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L39 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L25 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L39 MM STANDARD FIRST TARSOMETATARSAL LOW PROFILE VARIABLE ANGLE FUSION PRECONTOUR TITANIUM BONE 2.4/2.7 MM SCREW,974.96,487.48,186.7,877.46,65
HCPCS,C1713,PLATE L39 MM T 6 HOLE POLYAXIAL STAINLESS STEEL ANTHEM BONE 2 MM SCREW MINI FRAGMENT FRACTURE SYSTEM,490.0,245.0,93.84,441.0,65
HCPCS,C1713,PLATE L39 MM X H1.2 MM 6 HOLE STAINLESS STEEL BONE 2 MM SCREW MODULAR HAND SYSTEM,249.02,124.51,47.69,224.12,65
HCPCS,C1713,PLATE L39 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 3 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,441.83,220.92,84.61,397.65,65
HCPCS,C1713,PLATE L39 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 3 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,268.93,134.47,51.5,242.04,65
HCPCS,C1713,PLATE L39 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 3 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,268.93,134.47,51.5,242.04,65
HCPCS,C1713,PLATE L39 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L30 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L39 MM X W19 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK TITANIUM L30 MM BONE BLUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L39 MM X W5 MM X H1.2 MM CONDYLAR LEFT 7 HOLE TITANIUM LCP BONE 2 MM SCREW MODULAR HAND SYSTEM,456.7,228.35,87.46,411.03,65
HCPCS,C1713,PLATE L39 MM X W5 MM X H1.2 MM CONDYLAR RIGHT 7 HOLE TITANIUM BONE 2 MM SCREW,275.72,137.86,52.8,248.15,65
HCPCS,C1713,PLATE L39 MM X W5 MM X H1.2 MM CONDYLAR RIGHT 7 HOLE TITANIUM LCP BONE 2 MM SCREW MODULAR HAND SYSTEM,475.22,237.61,91.0,427.7,65
HCPCS,C1713,PLATE L39 MM X W5 MM X H1.2 MM RIGHT 7 HOLE STAINLESS STEEL BONE 2 MM SCREW,374.66,187.33,71.75,337.19,65
HCPCS,C1713,PLATE L39 MM X W7 MM X H1 MM 1/4 TUBULAR 5 HOLE COLLAR STAINLESS STEEL H.3 MM BONE 2.7 MM SCREW MINI FRAGMENT SET,136.37,68.19,26.11,122.73,65
HCPCS,C1713,PLATE L39-45 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L39-45 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L4 MM MINI PREBENT CRANIOMAXILLOFACIAL LEFT 4 HOLE BAR NA BONE,590.0,295.0,112.99,531.0,65
HCPCS,C1713,PLATE L4 MM SPINE LUMBAR 1 SCREW AMP BONE INTERBODY FUSION,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L4 MM X H.6 MM STANDARD Y MIDFACE 5 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,171.06,85.53,32.76,153.95,65
HCPCS,C1713,PLATE L4 MM X H.8 MM 2 X 2 HOLE BRIDGE TAB TITANIUM LEVEL ONE CMF BONE,285.09,142.55,54.59,256.58,65
HCPCS,C1713,PLATE L4 MM X H.8 MM 3 X 3 HOLE BRIDGE TAB TITANIUM LEVEL ONE CMF BONE,285.09,142.55,54.59,256.58,65
HCPCS,C1713,PLATE L4 MM X H1 MM MINI L CRANIOMAXILLOFACIAL LEFT 4 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,216.95,108.48,41.55,195.26,65
HCPCS,C1713,PLATE L40 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM 4 HOLE LOW PROFILE CUT TO LENGTH TITANIUM LCP PRO-PAK BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,326.97,163.49,62.61,294.27,65
HCPCS,C1713,PLATE L40 MM 4 HOLE STAINLESS STEEL LCP BONE 2.7 MM SCREW,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L40 MM 5 D PROXIMAL 3 HOLE PRECONTOUR LIMIT CONTACT NECK STAINLESS STEEL BONE 2.4 MM SCREW,585.2,292.6,112.07,526.68,65
HCPCS,C1713,PLATE L40 MM 6 HOLE LOW PROFILE VARIAX BONE 2.4 MM SCREW,407.95,203.98,78.12,367.16,65
HCPCS,C1713,PLATE L40 MM L LEFT 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,300.22,150.11,57.49,270.2,65
HCPCS,C1713,PLATE L40 MM L RIGHT 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,300.22,150.11,57.49,270.2,65
HCPCS,C1713,PLATE L40 MM LARGE BOX CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE TITANIUM UNIVERSAL NEURO 2 BONE 1.5 MM SCREW RETROSIGMOID,281.98,140.99,54.0,253.78,65
HCPCS,C1713,PLATE L40 MM MINI SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM HELIX BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM SPINE CERVICAL ANTERIOR 2 LEVEL ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM STRAIGHT FOREFOOT MIDFOOT 4 HOLE LOCK VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,801.97,400.99,153.58,721.77,65
HCPCS,C1713,PLATE L40 MM STRAIGHT MIDFOOT FOREFOOT 4 HOLE LOCK VARIABLE ANGLE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,766.0,383.0,146.69,689.4,65
HCPCS,C1713,PLATE L40 MM X H78 MM 100 D 10 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.7 MM X W5 MM BONE 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L40 MM X H78 MM 100 D 15 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.7 MM X W5 MM BONE 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L40 MM X W11 MM X H3.25 MM 90 D 10 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L40 MM X W11 MM X H3.25 MM 90 D 6 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L40 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L40 MM X W6.3 MM X H1.6 MM -90 D L RADIUS DISTAL 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE STAINLESS STEEL LCP COMBI BONE 2.4 MM SCREW,426.96,213.48,81.76,384.26,65
HCPCS,C1713,PLATE L40 MM X W6.3 MM X H1.6 MM T RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,434.41,217.21,83.19,390.97,65
HCPCS,C1713,PLATE L40.2 MM T 3 HOLE HEAD 3 HOLE SHAFT STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,86.57,43.29,16.58,77.91,65
HCPCS,C1713,PLATE L408 MM X W17.5 MM X H5.2 MM BROAD CURVE 22 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1108.29,554.15,212.24,997.46,65
HCPCS,C1713,PLATE L41 MM NARROW 6 HOLE LOCK VARIAX BONE 2.4 MM SCREW,607.95,303.98,116.42,547.16,65
HCPCS,C1713,PLATE L41 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L41 MM SPINE LUMBAR ANTERIOR 3 HOLE TITANIUM PYRAMID BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L41 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L27 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L41 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L32 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L41 MM X W22 MM MINI NARROW RADIUS RIGHT DISTAL VOLAR LOW PROFILE CROSSLOCK DVR BONE,822.0,411.0,157.41,739.8,65
HCPCS,C1713,PLATE L42 MM 0 D SMALL FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 0 D SMALL FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 0 D SMALL FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,920.37,460.19,176.25,828.33,65
HCPCS,C1713,PLATE L42 MM 0 D SMALL FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 0 D SMALL FOOT LEFT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE L42 MM 0 D SMALL FOOT RIGHT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE L42 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE 18006242,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM 10 D SMALL FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM LCP BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 10 D SMALL FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 10 D SMALL FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM LCP BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM LCP BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL FOOT LEFT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL FOOT RIGHT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL LEFT FIRST METATARSOPHALANGEAL VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM 5 D SMALL RIGHT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L42 MM MINI SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM HELIX BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM NARROW LEFT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,677.93,338.97,129.82,610.14,65
HCPCS,C1713,PLATE L42 MM NARROW RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L42 MM NARROW RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L42 MM NARROW RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L42 MM OBLIQUE LEFT L 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,300.22,150.11,57.49,270.2,65
HCPCS,C1713,PLATE L42 MM OBLIQUE RIGHT L 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,300.22,150.11,57.49,270.2,65
HCPCS,C1713,PLATE L42 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM SPINE CERVICAL 2 LEVEL CONSTRAIN PYRENEES BONE LIGHT BLUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM SPINE CERVICAL ANTERIOR 2 LEVEL XTEND BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM SPINE CERVICAL ANTERIOR 3 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L42 MM SPINE OCCIPITOCERVICOTHORACIC HEAD TO HEAD CROSS CONNECTOR LOW PROFILE TITANIUM MOUNTAINEER BONE 3.5 MM SCREW,500.0,250.0,95.75,450.0,65
HCPCS,C1713,PLATE L42 MM STANDARD T MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,806.91,403.46,154.52,726.22,65
HCPCS,C1713,PLATE L42 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L42 MM X W41 MM X H.6 MM ORBITAL FLOOR MEDIAL WALL MESH EMBED EXTENSION TITANIUM POLYETHYLENE POROUS MEDPOR TITAN DOUBLE BARRIER BONE,1258.01,629.01,240.91,1132.21,65
HCPCS,C1713,PLATE L42 MM X W41 MM X H1 MM ORBITAL FLOOR LEFT MEDIAL WALL MESH EMBED EXTENSION TITANIUM POLYETHYLENE POROUS MEDPOR TITAN BONE,1258.01,629.01,240.91,1132.21,65
HCPCS,C1713,PLATE L42 MM X W41 MM X H1 MM ORBITAL FLOOR LEFT MEDIAL WALL MESH EMBED EXTENSION TITANIUM POLYETHYLENE POROUS MEDPOR TITAN MAX BONE,1258.01,629.01,240.91,1132.21,65
HCPCS,C1713,PLATE L42 MM X W41 MM X H1 MM ORBITAL FLOOR RIGHT MEDIAL WALL MESH EMBED EXTENSION TITANIUM POLYETHYLENE POROUS MEDPOR TITAN BARRIER BONE,1258.01,629.01,240.91,1132.21,65
HCPCS,C1713,PLATE L42 MM X W6.5 MM X H1.3 MM UNIVERSAL METATARSAL 3 HOLE HOOK 2 SHARP TINE ORTHOLOC BONE 5TH METATARSAL FRACTURE,1273.6,636.8,243.89,1146.24,65
HCPCS,C1713,PLATE L42.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42.5 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM SELF DRILL SELF TAP MIDLINE ALIGNMENT NOTCH TITANIUM VENTURE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L42.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L421 MM FEMUR PROXIMAL 18 HOLE HOOK STAINLESS STEEL BONE 4.5 MM SCREW,1611.57,805.79,308.62,1450.41,65
HCPCS,C1713,PLATE L422 MM X W17.5 MM X H5.2 MM CURVE LEFT PERIARTICULAR 20 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1402.57,701.29,268.59,1262.31,65
HCPCS,C1713,PLATE L422 MM X W17.5 MM X H5.2 MM CURVE RIGHT PERIARTICULAR 20 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1402.57,701.29,268.59,1262.31,65
HCPCS,C1713,PLATE L43 MM NEUTRAL RADIAL DISTAL VOLAR VARIABLE ANGLE EXTENSION ACU-LOC 2 BONE 2.3 MM SCREW,685.0,342.5,131.18,616.5,65
HCPCS,C1713,PLATE L43 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L43 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L29 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L43 MM TARSOMETATARSAL LOW PROFILE VARIABLE ANGLE FUSION PRECONTOUR TITANIUM BONE 2.4/2.7 MM SCREW,888.1,444.05,170.07,799.29,65
HCPCS,C1713,PLATE L43 MM X W11 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK INTEGRATE BLOCK PYRAMIDAL TEETH TITANIUM VECTRA-ONE L34 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L43 MM X W19 MM X H2.5 MM BEND GROOVE PREBENT SPINE ANTERIOR CERVICAL 2 LEVEL 1 STEP LOCK TITANIUM L34 MM BONE BLUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L43 MM X W24 MM MINI RADIUS LEFT DISTAL VOLAR CROSSLOCK LOW PROFILE DVR BONE,822.0,411.0,157.41,739.8,65
HCPCS,C1713,PLATE L43 MM X W7.5 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,605.89,302.95,116.03,545.3,65
HCPCS,C1713,PLATE L43 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,605.89,302.95,116.03,545.3,65
HCPCS,C1713,PLATE L43 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR TITANIUM BONE 2.4 MM SCREW,667.89,333.95,127.9,601.1,65
HCPCS,C1713,PLATE L44 MM 1.6V SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE 18006244,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM 5 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,296.23,148.12,56.73,266.61,65
HCPCS,C1713,PLATE L44 MM 5- D FIRST METATARSOPHALANGEAL LEFT 6 HOLE PRIMARY OSTEOMED BONE 2.7 MM SCREW,1602.0,801.0,306.78,1441.8,65
HCPCS,C1713,PLATE L44 MM 5- D FIRST METATARSOPHALANGEAL RIGHT 6 HOLE PRIMARY OSTEOMED BONE 2.7 MM SCREW,1602.0,801.0,306.78,1441.8,65
HCPCS,C1713,PLATE L44 MM MINI SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM HELIX BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM SPINE 2 LEVEL TITANIUM SKYLINE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM SPINE CERVICAL ANTERIOR 2 LEVEL INSIGNIA BONE SERIES 436,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L44 MM STANDARD L FOREFOOT MIDFOOT RIGHT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,778.81,389.41,149.14,700.93,65
HCPCS,C1713,PLATE L44 MM X H67 MM 100 D 4 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L44 MM X H67 MM 100 D 8 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L9.5 MM X W3.2 MM BONE PEDIATRIC 3.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L44 MM X W4 MM X H1 MM T 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,347.46,173.73,66.54,312.71,65
HCPCS,C1713,PLATE L44 MM X W4 MM X H1 MM T 4 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,328.94,164.47,62.99,296.05,65
HCPCS,C1713,PLATE L45 MM 6 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,217.6,108.8,41.67,195.84,65
HCPCS,C1713,PLATE L45 MM 6 HOLE LOW PROFILE CUT TO LENGTH TITANIUM BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,226.72,113.36,43.42,204.05,65
HCPCS,C1713,PLATE L45 MM DISTAL VOLAR LEFT RADIUS 7 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,645.49,322.75,123.61,580.94,65
HCPCS,C1713,PLATE L45 MM DISTAL VOLAR RIGHT RADIUS 6 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,645.49,322.75,123.61,580.94,65
HCPCS,C1713,PLATE L45 MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,696.4,348.2,133.36,626.76,65
HCPCS,C1713,PLATE L45 MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,696.4,348.2,133.36,626.76,65
HCPCS,C1713,PLATE L45 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L45 MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,696.4,348.2,133.36,626.76,65
HCPCS,C1713,PLATE L45 MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,645.49,322.75,123.61,580.94,65
HCPCS,C1713,PLATE L45 MM RIGHT RADIUS DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,696.4,348.2,133.36,626.76,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR 3 LEVEL EAGLE PLUS BONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR 3 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM SELF DRILL SELF TAP MIDLINE ALIGNMENT NOTCH TITANIUM VENTURE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L45 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L45 MM SPINE LUMBAR AFFIX II BONE,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1713,PLATE L45 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L31 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L45 MM STANDARD CLOVERLEAF MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,806.91,403.46,154.52,726.22,65
HCPCS,C1713,PLATE L45 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L45 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L45 MM STANDARD RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L45 MM STANDARD RIGHT DISTAL RADIUS VOLAR 6 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L45 MM VOLAR LEFT DISTAL RADIUS 4 HOLE HEAD 3 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L45 MM X H1.2 MM HINDFOOT MIDFOOT 8 HOLE MODULAR STAINLESS STEEL BONE 2.7 MM SCREW,932.12,466.06,178.5,838.91,65
HCPCS,C1713,PLATE L45 MM X H74.5 MM 100 D 8 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.3 MM X W4.5 MM BONE PEDIATRIC 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L45 MM X W11 MM X H3.25 MM 90 D 10 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L45 MM X W11 MM X H3.25 MM 90 D 6 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L45 MM X W16 MM X H2 MM SMALL STATURE NARROW WIDTH SPINE CERVICAL 2 LEVEL TITANIUM L37 MM BONE LIGHT BLUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L45 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L45 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L45 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L45 MM X W19 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK TITANIUM L36 MM BONE BLUE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L45 MM X W9 MM X H1 MM 1/3 TUBULAR 4 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,138.08,69.04,26.44,124.27,65
HCPCS,C1713,PLATE L45-57 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,"PLATE L45-57 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN,X10 CROSSLINK,CD HORIZON,MULTI-SPAN BONE 5.5 MM ROD",425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L458 MM X W17.5 MM X H5.2 MM CURVE LEFT 22 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1413.02,706.51,270.59,1271.72,65
HCPCS,C1713,PLATE L458 MM X W17.5 MM X H5.2 MM CURVE RIGHT PERIARTICULAR 22 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 4.5/5 MM SCREW,1467.36,733.68,281.0,1320.62,65
HCPCS,C1713,PLATE L46 MM 1.9H SPINE CERVICAL ANTERIOR 2 LEVEL ACP BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L46 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L46 MM 1/3 TUBULAR 4 HOLE STAINLESS STEEL PEDILOC PEDIFRAG BONE 3.5 MM SCREW,210.12,105.06,40.24,189.11,65
HCPCS,C1713,PLATE L46 MM 6 HOLE REINFORCED TITANIUM BONE 2.4 MM SCREW,788.49,394.25,151.0,709.64,65
HCPCS,C1713,PLATE L46 MM NARROW 8 HOLE LOCK VARIAX BONE 2 MM SCREW,512.43,256.22,98.13,461.19,65
HCPCS,C1713,PLATE L46 MM SMALL CURVATURE RADIAL HEAD 5 HOLE LOCK ACU-LOC 2 BONE,1099.0,549.5,210.46,989.1,65
HCPCS,C1713,PLATE L46 MM SPINE 2 LEVEL ARCHON BONE DEGENERATIVE DISC,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L46 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L46 MM SPINE CERVICAL 3 LEVEL TERRACE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L46 MM T HAND 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR STAINLESS STEEL BONE 1.3 MM SCREW,296.8,148.4,56.84,267.12,65
HCPCS,C1713,PLATE L46 MM ULNA DISTAL 7 HOLE HOOK POINT PRECONTOUR STAINLESS STEEL BONE 2 MM SCREW,579.76,289.88,111.02,521.78,65
HCPCS,C1713,PLATE L46 MM ULNA DISTAL 7 HOLE HOOK POINT PRECONTOUR TITANIUM BONE 2 MM SCREW,589.08,294.54,112.81,530.17,65
HCPCS,C1713,PLATE L46 MM X W12-8 MM 100 D HIP 2 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 2.7 MM SCREW,820.61,410.31,157.15,738.55,65
HCPCS,C1713,PLATE L46 MM X W12-8 MM 110 D HIP 2 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 2.7 MM SCREW,820.61,410.31,157.15,738.55,65
HCPCS,C1713,PLATE L46 MM X W19 MM X H5.8 MM 130 D SHORT BARREL FEMUR 2 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L46 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 2 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,429.63,214.82,82.27,386.67,65
HCPCS,C1713,PLATE L46 MM X W19 MM X H5.8 MM 135 D SHORT BARREL FEMUR 2 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L46 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 2 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,429.63,214.82,82.27,386.67,65
HCPCS,C1713,PLATE L46 MM X W19 MM X H5.8 MM 140 D SHORT BARREL FEMUR 2 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L46 MM X W19 MM X H5.8 MM 140 D STANDARD BARREL FEMUR 2 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L46 MM X W4 MM X H1 MM Y 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,341.19,170.6,65.34,307.07,65
HCPCS,C1713,PLATE L47 MM 0 D MEDIUM FOOT RIGHT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE L47 MM 1/3 TUBULAR ANKLE 4 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,PLATE L47 MM 5 D MEDIUM FOOT LEFT FIRST METATARSOPHALANGEAL RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1308.43,654.22,250.56,1177.59,65
HCPCS,C1713,PLATE L47 MM NARROW 6 HOLE LOCK VARIAX BONE 2.7 MM SCREW,702.47,351.24,134.52,632.22,65
HCPCS,C1713,PLATE L47 MM NARROW T 5 HOLE LOCK VARIAX BONE 2.7 MM SCREW,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L47 MM SPINE LUMBAR 1 LEVEL TITANIUM ANTEGRA L33 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L47 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L33 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L47 MM STANDARD DISTAL LEFT RADIUS VOLAR 7 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L47 MM STANDARD DISTAL VOLAR RADIUS RIGHT 7 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,677.93,338.97,129.82,610.14,65
HCPCS,C1713,PLATE L47 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L47 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE L47 MM STANDARD VOLAR RADIUS LEFT DISTAL 7 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,677.93,338.97,129.82,610.14,65
HCPCS,C1713,PLATE L47 MM STRAIGHT HAND 12 HOLE LOW PROFILE PRECONTOUR TITANIUM BONE 1.3 MM SCREW,308.78,154.39,59.13,277.9,65
HCPCS,C1713,PLATE L47 MM T ANKLE 3 HOLE HEAD 3 HOLE SHAFT STNLS STL,300.0,150.0,57.45,270.0,65
HCPCS,C1713,PLATE L47 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L38 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L47 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,605.89,302.95,116.03,545.3,65
HCPCS,C1713,PLATE L47 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,605.89,302.95,116.03,545.3,65
HCPCS,C1713,PLATE L47 MM X W7 MM X H1 MM 1/4 TUBULAR 6 HOLE COLLAR STAINLESS STEEL H.3 MM BONE 2.7 MM SCREW MINI FRAGMENT SET,136.37,68.19,26.11,122.73,65
HCPCS,C1713,PLATE L47-60 MM SPINE TITANIUM CD HORIZON SOLERA X10 CROSSLINK MULTI-SPAN BONE 4.75 MM SCREW,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L47.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L47.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L47.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L48 MM 1/3 TUBULAR ANKLE 4 HOLE STAINLESS STEEL ANTHEM BONE SMALL FRAGMENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,PLATE L48 MM 4 HOLE RECONSTRUCTION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,214.92,107.46,41.16,193.43,65
HCPCS,C1713,PLATE L48 MM LONG FIRST TARSOMETATARSAL LOW PROFILE VARIABLE ANGLE FUSION PRECONTOUR TITANIUM BONE 2.4/2.7 MM SCREW,909.24,454.62,174.12,818.32,65
HCPCS,C1713,PLATE L48 MM LONG FIRST TARSOMETATARSAL VARIABLE ANGLE LOW PROFILE FUSION PRECONTOUR STAINLESS STEEL BONE 2.4/2.7 MM SCREW,931.2,465.6,178.32,838.08,65
HCPCS,C1713,PLATE L48 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L48 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L48 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L48 MM SPINE CERVICAL 3 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ZEVO BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L48 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM REFLEX HYBRID BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM SPINE CERVICAL ANTERIOR 3 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM STANDARD RADIAL RIGHT DISTAL VOLAR 3 HOLE EVOS BONE,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE L48 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L48 MM X W5.5 MM X H1.25 MM METACARPUS 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,357.35,178.68,68.43,321.62,65
HCPCS,C1713,PLATE L48 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,605.89,302.95,116.03,545.3,65
HCPCS,C1713,PLATE L48 MM X W6.3 MM X H1.6 MM STRAIGHT RADIUS DISTAL 5 HOLE LOW PROFILE ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,422.94,211.47,80.99,380.65,65
HCPCS,C1713,PLATE L48 MM X W8 MM X H3.3 MM 6 HOLE RECONSTRUCTION STAINLESS STEEL DCP BONE 2.7 MM SCREW MINI FRAGMENT SET,339.48,169.74,65.01,305.53,65
HCPCS,C1713,PLATE L49 MM 5 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L49 MM 5 HOLE TITANIUM BONE 2.7 MM SCREW,326.97,163.49,62.61,294.27,65
HCPCS,C1713,PLATE L49 MM SMALL MALLEOLUS MEDIAL 5 HOLE ORTHOLOC BONE,673.62,336.81,129.0,606.26,65
HCPCS,C1713,PLATE L49 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L35 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L49 MM T 3 HOLE HEAD 4 HOLE SHAFT STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,86.57,43.29,16.58,77.91,65
HCPCS,C1713,PLATE L49 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT CERVICAL SPINE ANTERIOR 2 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L40 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L49 MM X W24 MM STANDARD RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L49 MM X W24 MM STANDARD RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L49 MM X W6.3 MM X H1.6 MM -90 D L RADIUS DISTAL 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,437.08,218.54,83.7,393.37,65
HCPCS,C1713,PLATE L49 MM X W6.3 MM X H1.6 MM -90 D L RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE TITANIUM BONE 2.4 MM SCREW,459.25,229.63,87.95,413.33,65
HCPCS,C1713,PLATE L49 MM X W9 MM X H1 MM 1/3 TUBULAR 4 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,98.6,49.3,18.88,88.74,65
HCPCS,C1713,PLATE L5 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L5 MM X H.6 MM 100 D STANDARD L MIDFACE LEFT 5 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,197.3,98.65,37.78,177.57,65
HCPCS,C1713,PLATE L5 MM X H.6 MM 100 D STANDARD L MIDFACE RIGHT 5 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,197.3,98.65,37.78,177.57,65
HCPCS,C1713,PLATE L50 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L50 MM 5 D PROXIMAL 4 HOLE PRECONTOUR LIMIT CONTACT NECK STAINLESS STEEL BONE 2.4 MM SCREW,589.19,294.6,112.83,530.27,65
HCPCS,C1713,PLATE L50 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L50 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L50 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L50 MM SPINE FIX TRAVERSE BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L50 MM SPINE OCCIPITOCERVICAL ADJUSTABLE TITANIUM VERTEX SELECT BONE,808.5,404.25,154.83,727.65,65
HCPCS,C1713,PLATE L50 MM STANDARD RADIAL LEFT DISTAL VOLAR TITANIUM ACU-LOC BONE,779.0,389.5,149.18,701.1,65
HCPCS,C1713,PLATE L50 MM STANDARD RADIAL RIGHT DISTAL VOLAR TITANIUM ACU-LOC BONE,779.0,389.5,149.18,701.1,65
HCPCS,C1713,PLATE L50 MM X H78 MM 100 D 10 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.7 MM X W5 MM BONE 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L50 MM X H78 MM 100 D 15 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.7 MM X W5 MM BONE 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L50 MM X H78 MM 90 D 15 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.7 MM X W5 MM BONE 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,549.67,274.84,105.26,494.7,65
HCPCS,C1713,PLATE L50 MM X W10 MM X H1.5 MM RIGHT ANGLE T 3 HOLE HEAD 3 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,238.68,119.34,45.71,214.81,65
HCPCS,C1713,PLATE L50 MM X W10 MM X H1.5 MM RIGHT ANGLE T 4 HOLE HEAD 3 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,244.92,122.46,46.9,220.43,65
HCPCS,C1713,PLATE L50 MM X W11 MM X H3.25 MM 90 D 6 MM OFFSET 3 HOLE LOCK CANNULATED STAINLESS STEEL PEDILOC BONE PEDIATRIC 3.5 MM SCREW,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE L50 MM X W14 MM X H4.85 MM 90 D 6 MM OFFSET 4 HOLE CANNULATED BLADE LOCK STAINLESS STEEL PEDILOC BONE 4.5 MM SCREW,1109.46,554.73,212.46,998.51,65
HCPCS,C1713,PLATE L50 MM X W19 MM X H2 MM NARROW RADIAL LEFT DISTAL VOLAR 6 HOLE VARIABLE ANGLE CHAMFER EDGE WATERSHED LINE TITANIUM APTUS BONE 2.5 MM SCREW ADAPTIVE II,711.98,355.99,136.34,640.78,65
HCPCS,C1713,PLATE L50 MM X W23 MM X H2 MM RADIAL RIGHT DISTAL VOLAR 7 HOLE VARIABLE ANGLE CHAMFER EDGE WATERSHED LINE TITANIUM APTUS BONE 2.5 MM SCREW ADAPTIVE II,711.98,355.99,136.34,640.78,65
HCPCS,C1713,PLATE L50 MM X W25 MM X H2 MM FLEXOR POLLICIS LONGUS RADIAL RIGHT DISTAL 10 HOLE VARIABLE ANGLE CHAMFER EDGE WATERSHED LINE TITANIUM APTUS BONE 2.5 MM SCREW,1784.0,892.0,341.64,1605.6,65
HCPCS,C1713,PLATE L50 MM X W3.8 MM X H.9 MM T 3 HOLE 9 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 1.5 MM SCREW MINI FRAGMENT SET,364.26,182.13,69.76,327.83,65
HCPCS,C1713,PLATE L50 MM X W5 MM X H1 MM T 4 HOLE HEAD 9 HOLE SHAFT STAINLESS STEEL BONE 2 MM SCREW MINI FRAGMENT SET,356.46,178.23,68.26,320.81,65
HCPCS,C1713,PLATE L50 MM X W5 MM X H1.2 MM T 4 HOLE HEAD 9 HOLE SHAFT TITANIUM BONE 2 MM SCREW,237.65,118.83,45.51,213.89,65
HCPCS,C1713,PLATE L50 MM X W50 MM X H.8 MM CRANIOMAXILLOFACIAL MESH BONE 1.5 MM SCREW,1155.0,577.5,221.18,1039.5,65
HCPCS,C1713,PLATE L50.5 MM DISTAL VOLAR RIGHT 9 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,682.61,341.31,130.72,614.35,65
HCPCS,C1713,PLATE L50.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,682.61,341.31,130.72,614.35,65
HCPCS,C1713,PLATE L50.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,682.61,341.31,130.72,614.35,65
HCPCS,C1713,PLATE L50.5 MM RIGHT VOLAR DISTAL RADIUS 8 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,682.61,341.31,130.72,614.35,65
HCPCS,C1713,PLATE L51 MM 1/3 TUBULAR 4 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,40.8,20.4,7.81,36.72,65
HCPCS,C1713,PLATE L51 MM 4 HOLE LC-DCP BONE 3.5 MM SCREW,222.1,111.05,42.53,199.89,65
HCPCS,C1713,PLATE L51 MM NARROW RADIUS DISTAL VOLAR LEFT 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,692.67,346.34,132.65,623.4,65
HCPCS,C1713,PLATE L51 MM NARROW RADIUS LEFT VOLAR DISTAL 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L51 MM NARROW RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,692.67,346.34,132.65,623.4,65
HCPCS,C1713,PLATE L51 MM NARROW RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L51 MM NARROW RADIUS VOLAR RIGHT DISTAL 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L51 MM NARROW VOLAR LEFT DISTAL 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L51 MM SPINE CERVICAL 3 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM SPINE CERVICAL ANTERIOR 3 LEVEL EAGLE PLUS BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM SPINE CERVICAL ANTERIOR 3 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM SPINE SACRAL 1 LEVEL TITANIUM ANTEGRA L37 MM BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L51 MM T 4 HOLE HEAD 4 HOLE SHAFT STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,107.46,53.73,20.58,96.71,65
HCPCS,C1713,PLATE L51 MM X H1.2 MM 8 HOLE STAINLESS STEEL BONE 2 MM SCREW MODULAR HAND SYSTEM,285.9,142.95,54.75,257.31,65
HCPCS,C1713,PLATE L51 MM X H1.7 MM METACARPUS 6 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR HAND SYSTEM,332.4,166.2,63.65,299.16,65
HCPCS,C1713,PLATE L51 MM X H1.7 MM METACARPUS 6 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,420.09,210.05,80.45,378.08,65
HCPCS,C1713,PLATE L51 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L42 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L51 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L51 MM X W22 MM NARROW RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L51 MM X W22 MM NARROW RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L51 MM X W25 MM STANDARD RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L51 MM X W25 MM STANDARD RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L51 MM X W28 MM X H.5 MM OLECRANON 6 HOLE TENSION TITANIUM APTUS BONE 2.8 MM SCREW,501.64,250.82,96.06,451.48,65
HCPCS,C1713,"PLATE L51 MM X W51 MM X H.1 MM CRANIOMAXILLOFACIAL MESH RESORB XG RESORB XG, STERILE BONE",1001.16,500.58,191.72,901.04,65
HCPCS,C1713,"PLATE L51 MM X W51 MM X H.3 MM CRANIOMAXILLOFACIAL MESH SMALL GRID RESORB XG RESORB XG, STERILE BONE",1146.68,573.34,219.59,1032.01,65
HCPCS,C1713,PLATE L52 MM 0 D MEDIUM FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 0 D MEDIUM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 0 D MEDIUM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 0 D MEDIUM RIGHT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 10 D MEDIUM FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE L52 MM 10 D MEDIUM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 10 D MEDIUM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 10 D MEDIUM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 5 D MEDIUM FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 5 D MEDIUM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 5 D MEDIUM FIRST METATARSOPHALANGEAL RIGHT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,1012.88,506.44,193.97,911.59,65
HCPCS,C1713,PLATE L52 MM 5 D MEDIUM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE LOW PROFILE FUSION STAINLESS STEEL BONE 2.4/2.7 MM SCREW,969.12,484.56,185.59,872.21,65
HCPCS,C1713,PLATE L52 MM 6 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,296.23,148.12,56.73,266.61,65
HCPCS,C1713,PLATE L52 MM 7 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,250.75,125.38,48.02,225.68,65
HCPCS,C1713,PLATE L52 MM 8 HOLE POLYAXIAL TINE STAINLESS STEEL ANTHEM OD2 MM BONE MINI FRAGMENT FRACTURE SYSTEM,490.0,245.0,93.84,441.0,65
HCPCS,C1713,PLATE L52 MM SPINE 2 LEVEL HELIX R BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L52 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L52 MM X H.5 MM REGULAR SUBTEMPORAL 8 HOLE TITANIUM LORENZ BONE 1.5 MM SCREW,438.0,219.0,83.88,394.2,65
HCPCS,C1713,PLATE L52 MM X W10 MM X H1.5 MM OBLIQUE RIGHT T 3 HOLE HEAD 3 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,267.65,133.83,51.25,240.89,65
HCPCS,C1713,PLATE L52 MM X W10 MM X H1.5 MM T OBLIQUE LEFT 3 HOLE HEAD 3 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,268.1,134.05,51.34,241.29,65
HCPCS,C1713,PLATE L52 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 4 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,464.2,232.1,88.89,417.78,65
HCPCS,C1713,PLATE L52 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 4 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,275.2,137.6,52.7,247.68,65
HCPCS,C1713,PLATE L52 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 4 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,285.34,142.67,54.64,256.81,65
HCPCS,C1713,PLATE L52 MM X W6.3 MM X H1.6 MM +20DEG L RIGHT ANGLED RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE COMBI STAINLESS STEEL LCP BONE 2.4 MM SCREW,437.08,218.54,83.7,393.37,65
HCPCS,C1713,PLATE L52.5 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L52.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L52.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L53 MM 4 HOLE LOCK COMPRESSION STAINLESS STEEL PEDIFRAG PEDILOC BONE 3.5 MM SCREW,229.76,114.88,44.0,206.78,65
HCPCS,C1713,PLATE L53 MM 8 HOLE LOW PROFILE VARIAX BONE 2.4 MM SCREW,407.95,203.98,78.12,367.16,65
HCPCS,C1713,PLATE L53 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L53 MM T 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,327.45,163.73,62.71,294.71,65
HCPCS,C1713,PLATE L53 MM T 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,327.45,163.73,62.71,294.71,65
HCPCS,C1713,PLATE L53 MM X H2 MM SHORT STANDARD UNIVERSAL RADIAL DISTAL VOLAR LOCK TITANIUM VARIAX BONE,677.6,338.8,129.76,609.84,65
HCPCS,C1713,PLATE L53 MM X H2 MM SHORT UNIVERSAL NARROW RADIAL DISTAL VOLAR LOCK TITANIUM VARIAX BONE,677.6,338.8,129.76,609.84,65
HCPCS,C1713,PLATE L53 MM X H2 MM SHORT WIDE UNIVERSAL RADIAL DISTAL VOLAR LOCK TITANIUM VARIAX BONE,677.6,338.8,129.76,609.84,65
HCPCS,C1713,PLATE L53 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 2 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L44 MM BONE 4/4.5 MM SCREW,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L53 MM X W5 MM X H1.2 MM T 2 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,330.73,165.37,63.33,297.66,65
HCPCS,C1713,PLATE L53 MM X W5 MM X H1.2 MM T 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,333.01,166.51,63.77,299.71,65
HCPCS,C1713,PLATE L54 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,665.5,332.75,127.44,598.95,65
HCPCS,C1713,PLATE L54 MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,717.56,358.78,137.41,645.8,65
HCPCS,C1713,PLATE L54 MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,717.56,358.78,137.41,645.8,65
HCPCS,C1713,PLATE L54 MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,717.56,358.78,137.41,645.8,65
HCPCS,C1713,PLATE L54 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM SPINE CERVICAL 2 LEVEL OZARK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L54 MM SPINE CERVICAL 3 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM SPINE CERVICAL ANTERIOR 3 LEVEL EAGLE PLUS BONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE L54 MM SPINE CERVICAL ANTERIOR 3 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM STANDARD RADIUS DISTAL VOLAR RIGHT 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,769.13,384.57,147.29,692.22,65
HCPCS,C1713,PLATE L54 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L54 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,769.13,384.57,147.29,692.22,65
HCPCS,C1713,PLATE L54 MM STANDARD RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,692.67,346.34,132.65,623.4,65
HCPCS,C1713,PLATE L54 MM STANDARD RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L54 MM T METACARPUS 2 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW MODULAR HAND SYSTEM,332.46,166.23,63.67,299.21,65
HCPCS,C1713,PLATE L54 MM T METACARPUS 2 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,377.81,188.91,72.35,340.03,65
HCPCS,C1713,PLATE L54 MM T METACARPUS 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,359.29,179.65,68.8,323.36,65
HCPCS,C1713,PLATE L54 MM X W16 MM X H2 MM STANDARD SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ALUMINUM VANADIUM CERES BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L45 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L54 MM X W23 MM X H2 MM RADIAL LEFT DISTAL VOLAR 13 HOLE TITANIUM APTUS BONE 2.5 MM SCREW,678.24,339.12,129.88,610.42,65
HCPCS,C1713,PLATE L54 MM X W23 MM X H2 MM RADIAL RIGHT DISTAL VOLAR 13 HOLE TITANIUM APTUS BONE 2.5 MM SCREW,678.24,339.12,129.88,610.42,65
HCPCS,C1713,PLATE L54 MM Y METACARPUS 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,409.93,204.97,78.5,368.94,65
HCPCS,C1713,PLATE L54.7 MM X W5 MM X H1.3 MM Y 3 HOLE HEAD 7 HOLE SHAFT STAINLESS STEEL LCP BONE 2 MM SCREW,327.45,163.73,62.71,294.71,65
HCPCS,C1713,PLATE L55 MM BROAD STRAIGHT 4 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,302.48,151.24,57.92,272.23,65
HCPCS,C1713,PLATE L55 MM SPINE CERVICAL ANTERIOR 2 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE L55 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L55 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L55 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L55 MM STANDARD RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L55 MM STANDARD RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L55 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L55 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,730.9,365.45,139.97,657.81,65
HCPCS,C1713,PLATE L55 MM STANDARD VOLAR RADIUS RIGHT DISTAL 7 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,692.67,346.34,132.65,623.4,65
HCPCS,C1713,PLATE L55 MM X H1 MM 1/4 TUBULAR FOOT ANKLE 7 HOLE COLLAR STAINLESS STEEL BONE 2.7 MM SCREW MINI FRAGMENT,57.2,28.6,10.95,51.48,65
HCPCS,C1713,PLATE L55 MM X H2.6 MM FOOT 6 HOLE STAINLESS STEEL LC-DCP BONE 2.7 MM SCREW,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L55 MM X W24 MM RADIUS LEFT DISTAL VOLAR RIM DVR BONE,912.0,456.0,174.65,820.8,65
HCPCS,C1713,PLATE L55 MM X W38 MM X H.6 MM LARGE LORENZ BONE 1.5 MM SCREW CHIARI,3206.0,1603.0,613.95,2885.4,65
HCPCS,C1713,PLATE L55 MM X W5 MM X H1.2 MM Y 3 HOLE HEAD 8 HOLE SHAFT LOW PROFILE PRECONTOUR TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,387.39,193.7,74.19,348.65,65
HCPCS,C1713,PLATE L55 MM X W55 MM X H.5 MM CRANIOMAXILLOFACIAL RESORBABLE MESH POLY L-LACTIDE POLYGLYCOLIDE POLY D-LACTIDE DELTA BONE PURPLE 1.7 MM SCREW,2480.43,1240.22,475.0,2232.39,65
HCPCS,C1713,PLATE L55 MM X W7 MM X H1 MM 1/4 TUBULAR 7 HOLE COLLAR STAINLESS STEEL H.3 MM BONE 2.7 MM SCREW MINI FRAGMENT SET,137.32,68.66,26.3,123.59,65
HCPCS,C1713,PLATE L56 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L56 MM BROAD 6 HOLE LOCK VARIAX BONE 2.7 MM SCREW,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L56 MM NARROW 8 HOLE LOCK VARIAX BONE 2.4 MM SCREW,607.95,303.98,116.42,547.16,65
HCPCS,C1713,PLATE L56 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L56 MM SPINE CERVICAL ANTERIOR 3 LEVEL CYCLOPS BONE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,PLATE L56 MM STANDARD RADIAL LEFT DISTAL VOLAR 4 HOLE EVOS BONE,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE L56 MM X H1.3 MM T HAND 2 X 8 HOLE LOCK GRID TITANIUM APTUS BONE 2/2.3 MM SCREW,529.72,264.86,101.44,476.75,65
HCPCS,C1713,PLATE L56 MM X W10.1 MM X H3.5 MM 4 HOLE RECONSTRUCTION STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,333.69,166.85,63.9,300.32,65
HCPCS,C1713,PLATE L56 MM X W11 MM X H1.5 MM RIGHT ANGLE T 4 HOLE HEAD 4 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,246.66,123.33,47.24,221.99,65
HCPCS,C1713,PLATE L56 MM X W28 MM WIDE RADIUS LEFT DISTAL VOLAR CROSSLOCK LOW PROFILE DVR BONE,822.0,411.0,157.41,739.8,65
HCPCS,C1713,PLATE L56 MM X W28 MM WIDE RADIUS RIGHT DISTAL VOLAR CROSSLOCK LOW PROFILE DVR BONE,822.0,411.0,157.41,739.8,65
HCPCS,C1713,PLATE L57 MM 5 D LARGE FIRST METATARSOPHALANGEAL LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,1105.65,552.83,211.73,995.09,65
HCPCS,C1713,PLATE L57 MM 5 D LARGE LEFT LOW PROFILE VARIABLE ANGLE FUSION TITANIUM BONE 2.4/2.7 MM SCREW,1035.34,517.67,198.27,931.81,65
HCPCS,C1713,PLATE L57 MM HOOK ANKLE 3 HOLE 2 PRONG ACUMED BONE,609.0,304.5,116.62,548.1,65
HCPCS,C1713,PLATE L57 MM RADIUS DISTAL DORSAL 6 HOLE VARIABLE ANGLE RADIAL COLUMN TITANIUM BONE 2.4 MM SCREW,601.15,300.58,115.12,541.04,65
HCPCS,C1713,PLATE L57 MM SPINE CERVICAL ANTERIOR 3 LEVEL EAGLE PLUS BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM REFLEX HYBRID BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57 MM SPINE CERVICAL ANTERIOR 3 LEVEL ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57 MM X H1.25 MM LEFT 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR FOOT SYSTEM,269.14,134.57,51.54,242.23,65
HCPCS,C1713,PLATE L57 MM X H1.25 MM LEFT 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR FOOT SYSTEM,387.3,193.65,74.17,348.57,65
HCPCS,C1713,PLATE L57 MM X H1.25 MM RIGHT 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR FOOT SYSTEM,318.44,159.22,60.98,286.6,65
HCPCS,C1713,PLATE L57 MM X H1.25 MM RIGHT 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR FOOT SYSTEM,405.83,202.92,77.72,365.25,65
HCPCS,C1713,PLATE L57 MM X W10 MM X H1.5 MM RIGHT ANGLE T 3 HOLE HEAD 4 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,254.26,127.13,48.69,228.83,65
HCPCS,C1713,PLATE L57 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS 4 HOLE COAXIAL STAINLESS STEEL BONE 3.5 MM SCREW,614.56,307.28,117.69,553.1,65
HCPCS,C1713,PLATE L57 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS 4 HOLE STAINLESS STEEL BONE 3.5 MM SCREW,675.1,337.55,129.28,607.59,65
HCPCS,C1713,PLATE L57 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L48 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57 MM X W27 MM WIDE RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L57 MM X W27 MM WIDE RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L57 MM X W6.3 MM X H1.6 MM STRAIGHT RADIUS DISTAL 6 HOLE LOW PROFILE ROUND EDGE STAINLESS STEEL LCP COMBI BONE 2.4 MM SCREW,434.41,217.21,83.19,390.97,65
HCPCS,C1713,PLATE L57 MM X W7 MM X H1.5 MM CONDYLAR LEFT 7 HOLE STAINLESS STEEL BONE 2.7 MM SCREW,340.35,170.18,65.18,306.32,65
HCPCS,C1713,PLATE L57 MM X W7 MM X H1.5 MM RIGHT CONDYLAR 7 HOLE STAINLESS STEEL BONE 2.7 MM SCREW,340.35,170.18,65.18,306.32,65
HCPCS,C1713,PLATE L57 MM X W9 MM X H1 MM 1/3 TUBULAR 5 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,136.37,68.19,26.11,122.73,65
HCPCS,C1713,PLATE L57 MM X W9 MM X H1 MM 1/3 TUBULAR 5 HOLE COLLAR TITANIUM H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,142.26,71.13,27.24,128.03,65
HCPCS,C1713,PLATE L57.2 MM 135 D STANDARD BARREL HIP 2 HOLE TK2 BONE,423.5,211.75,81.1,381.15,65
HCPCS,C1713,PLATE L57.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L57.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L58 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L58 MM 5 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,326.55,163.28,62.53,293.9,65
HCPCS,C1713,PLATE L58 MM 6 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L58 MM 6 HOLE LOW PROFILE CUT TO LENGTH TITANIUM BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,326.97,163.49,62.61,294.27,65
HCPCS,C1713,PLATE L58 MM ELBOW LEFT LATERAL 6 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L58 MM ELBOW RIGHT LATERAL 6 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L58 MM SMALL LEFT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.7 MM SCREW,967.77,483.89,185.33,870.99,65
HCPCS,C1713,PLATE L58 MM SMALL RIGHT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.7 MM SCREW,967.77,483.89,185.33,870.99,65
HCPCS,C1713,PLATE L58 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L58 MM T 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,544.25,272.13,104.22,489.83,65
HCPCS,C1713,PLATE L58 MM X W11 MM X H2.5 MM DISTAL LEFT MEDIAL 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,722.4,361.2,138.34,650.16,65
HCPCS,C1713,PLATE L58 MM X W11 MM X H2.5 MM DISTAL RIGHT MEDIAL 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,722.4,361.2,138.34,650.16,65
HCPCS,C1713,PLATE L58 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL MEDIAL 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,751.87,375.94,143.98,676.68,65
HCPCS,C1713,PLATE L58 MM X W19-12 MM 150 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,832.28,416.14,159.38,749.05,65
HCPCS,C1713,PLATE L58 MM X W6.4 MM X H1.3 MM T 2 HOLE HEAD 7 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4 MM SCREW,544.25,272.13,104.22,489.83,65
HCPCS,C1713,PLATE L58-81 MM SPINE LOW PROFILE STAINLESS STEEL LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 6.35 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L58-81 MM SPINE LOW PROFILE TITANIUM LEGACY X10 CROSSLINK CD HORIZON MULTI-SPAN BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE L58.5 MM PELVIC 5 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS BONE,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE L58.5 MM STRAIGHT PELVIC 4 HOLE STAINLESS STEEL MATTA SPS BONE,275.62,137.81,52.78,248.06,65
HCPCS,C1713,PLATE L59 MM 1/3 TUBULAR ANKLE 5 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,188.0,94.0,36.0,169.2,65
HCPCS,C1713,PLATE L59 MM 8 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,250.75,125.38,48.02,225.68,65
HCPCS,C1713,PLATE L59 MM CONDYLAR 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,444.73,222.37,85.17,400.26,65
HCPCS,C1713,PLATE L59 MM D12 MM CLAVICLE LEFT 5 HOLE HOOK BONE 3.5 MM SCREW,760.46,380.23,145.63,684.41,65
HCPCS,C1713,PLATE L59 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L59 MM X W29 MM WIDE RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L59 MM X W29 MM WIDE RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L59 MM X W3.8 MM X H.8 MM STRAIGHT 12 HOLE LOW PROFILE PRECONTOUR TITANIUM BONE 1.5 MM SCREW MODULAR HAND SYSTEM,306.88,153.44,58.77,276.19,65
HCPCS,C1713,PLATE L59.5 MM LEFT DISTAL VOLAR RADIUS 9 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,703.84,351.92,134.79,633.46,65
HCPCS,C1713,PLATE L59.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,703.84,351.92,134.79,633.46,65
HCPCS,C1713,PLATE L59.5 MM RADIUS VOLAR DISTAL RIGHT 9 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,703.84,351.92,134.79,633.46,65
HCPCS,C1713,PLATE L59.5 MM VOLAR RADIUS RIGHT DISTAL 8 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,703.84,351.92,134.79,633.46,65
HCPCS,C1713,PLATE L6 MM METATARSAL LEFT LOW PROFILE TITANIUM BONE 2.4 MM SCREW OPEN WEDGE OSTEOTOMY,779.53,389.77,149.28,701.58,65
HCPCS,C1713,PLATE L60 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM 7 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,297.33,148.67,56.94,267.6,65
HCPCS,C1713,PLATE L60 MM 7 HOLE LOW PROFILE CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,311.02,155.51,59.56,279.92,65
HCPCS,C1713,PLATE L60 MM FOOT LEFT FIRST METATARSOPHALANGEAL REVISION RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1493.5,746.75,286.01,1344.15,65
HCPCS,C1713,PLATE L60 MM FOOT RIGHT FIRST METATARSOPHALANGEAL REVISION RECONSTRUCTION LOW PROFILE FUSION ORTHOLOC 3DI BONE,1493.5,746.75,286.01,1344.15,65
HCPCS,C1713,PLATE L60 MM LEFT 1 HOLE LOCK CONQUEST FN BONE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PLATE L60 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM SPINE CERVICAL 3 LEVEL ADMIRAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM SPINE CERVICAL 3 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM SPINE CERVICAL ANTERIOR TITANIUM ATLANTIS BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM TIBIAL LEFT PROXIMAL 4 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW,1122.86,561.43,215.03,1010.57,65
HCPCS,C1713,PLATE L60 MM TIBIAL RIGHT DISTAL POSTEROLATERAL 4 HOLE ACUMED BONE,784.0,392.0,150.14,705.6,65
HCPCS,C1713,PLATE L60 MM X H78 MM 100 D 15 MM DISPLACEMENT 3 HOLE T PROFILE BLADE STAINLESS STEEL DCP CAPOS L11.7 MM X W5 MM BONE 4.5 MM CORTEX SCREW SMALL FRAGMENT SET OSTEOTOMY,576.71,288.36,110.44,519.04,65
HCPCS,C1713,PLATE L60 MM X H94 MM 100 D 10 MM DISPLACEMENT 4 HOLE BLADE STAINLESS STEEL DCP W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L60 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L51 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM X W19 MM X H2.5 MM BEND GROOVE PREBENT SPINE ANTERIOR CERVICAL 3 LEVEL 1 STEP LOCK TITANIUM L51 MM BONE BLUE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L60 MM Y 3 HOLE HEAD 7 HOLE SHAFT CUT TO LENGTH LOW PROFILE STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SET,544.25,272.13,104.22,489.83,65
HCPCS,C1713,PLATE L60 MM Y 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,569.15,284.58,108.99,512.24,65
HCPCS,C1713,PLATE L60.5 MM 75 MM RADIUS PUBIC SYMPHYSIS 4 HOLE STAINLESS STEEL MATTA SPS BONE,541.28,270.64,103.66,487.15,65
HCPCS,C1713,PLATE L61 MM LONG T FOREFOOT MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,826.28,413.14,158.23,743.65,65
HCPCS,C1713,PLATE L61 MM SMALL FIBULA LEFT POSTERIOR 8 HOLE ORTHOLOC BONE,1188.03,594.02,227.51,1069.23,65
HCPCS,C1713,PLATE L61 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L61 MM X W12 MM X H3 MM STRAIGHT 4 HOLE RECONSTRUCTION STAINLESS STEEL BONE 4.5 MM CORTICAL SCREW LARGE FRAGMENT SET,334.98,167.49,64.15,301.48,65
HCPCS,C1713,PLATE L61 MM X W7.5 MM X H1.6 MM LEFT RADIUS VOLAR DISTAL 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR TITANIUM BONE 2.4 MM SCREW,707.45,353.73,135.48,636.71,65
HCPCS,C1713,PLATE L61 MM X W7.5 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,643.24,321.62,123.18,578.92,65
HCPCS,C1713,PLATE L61 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR STAINLESS STEEL BONE 2.4 MM SCREW,643.24,321.62,123.18,578.92,65
HCPCS,C1713,PLATE L61 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR TITANIUM BONE 2.4 MM SCREW,707.45,353.73,135.48,636.71,65
HCPCS,C1713,PLATE L61 MM X W9 MM X H1 MM 1/3 TUBULAR 5 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,98.6,49.3,18.88,88.74,65
HCPCS,C1713,PLATE L61.7 MM X W4.3 MM X H1.1 MM STRAIGHT HAND LOCK LOW PROFILE PRECONTOUR FLEXIBLE TIMAX ALPS BONE 1.5 MM SCREW,351.0,175.5,67.22,315.9,65
HCPCS,C1713,PLATE L62 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L62 MM 3 HOLE LOW PROFILE SHARP HOOK PRECONTOUR TITANIUM BONE 3.5 MM SCREW,563.22,281.61,107.86,506.9,65
HCPCS,C1713,PLATE L62 MM LONG L FOREFOOT MIDFOOT RIGHT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,850.63,425.32,162.9,765.57,65
HCPCS,C1713,PLATE L62 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L62 MM ULNA 6 HOLE LOW PROFILE ANGULAR STABLE FIXATION STAINLESS STEEL BONE 2.7 MM SCREW OSTEOTOMY,948.02,474.01,181.55,853.22,65
HCPCS,C1713,PLATE L62 MM X W19 MM X H5.8 MM 130 D SHORT BARREL FEMUR 3 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L62 MM X W19 MM X H5.8 MM 135 D SHORT BARREL FEMUR 3 HOLE STAINLESS STEEL DHS DCP L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L62 MM X W19 MM X H5.8 MM 135 D SHORT BARREL FEMUR 3 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L62 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 3 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L62 MM X W19-12 MM 130 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,832.28,416.14,159.38,749.05,65
HCPCS,C1713,PLATE L62 MM X W24 MM MEDIUM CONTOUR RADIUS LEFT DISTAL VOLAR LOW PROFILE CROSSLOCK DVR BONE,924.0,462.0,176.95,831.6,65
HCPCS,C1713,PLATE L62 MM X W24 MM MEDIUM CONTOUR RADIUS RIGHT DISTAL VOLAR LOW PROFILE CROSSLOCK DVR BONE,924.0,462.0,176.95,831.6,65
HCPCS,C1713,PLATE L62 MM X W25 MM X H2 MM LONG FLEXOR POLLICIS LONGUS RADIAL RIGHT DISTAL 12 HOLE VARIABLE ANGLE CHAMFER EDGE WATERSHED LINE TITANIUM APTUS BONE 2.5 MM SCREW,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L62 MM X W26 MM X H2 MM LONG WIDE RADIAL RIGHT DISTAL VOLAR 15 HOLE VARIABLE ANGLE CHAMFER EDGE WATERSHED LINE TITANIUM APTUS BONE 2.5 MM SCREW ADAPTIVE II,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,PLATE L62.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L62.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L63 MM 135 D STANDARD BARREL HIP 3 HOLE LOW PROFILE COMPRESSION KEY STAINLESS STEEL OMEGA 3 BONE,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE L63 MM 135 D STANDARD BARREL HIP 3 HOLE LOW PROFILE COMPRESSION KEYLESS STAINLESS STEEL OMEGA 3 BONE,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE L63 MM DISTAL RADIUS LEFT VOLAR 7 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,738.07,369.04,141.34,664.26,65
HCPCS,C1713,PLATE L63 MM DISTAL VOLAR RADIUS LEFT 6 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,685.06,342.53,131.19,616.55,65
HCPCS,C1713,PLATE L63 MM DISTAL VOLAR RIGHT 7 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,685.06,342.53,131.19,616.55,65
HCPCS,C1713,PLATE L63 MM NARROW DISTAL VOLAR RADIUS RIGHT 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L63 MM NARROW RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,706.95,353.48,135.38,636.26,65
HCPCS,C1713,PLATE L63 MM NARROW RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,706.95,353.48,135.38,636.26,65
HCPCS,C1713,PLATE L63 MM RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,738.07,369.04,141.34,664.26,65
HCPCS,C1713,PLATE L63 MM RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,685.06,342.53,131.19,616.55,65
HCPCS,C1713,PLATE L63 MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,685.06,342.53,131.19,616.55,65
HCPCS,C1713,PLATE L63 MM RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,738.07,369.04,141.34,664.26,65
HCPCS,C1713,PLATE L63 MM SPINE CERVICAL 3 LEVEL CONSTRAIN PYRENEES BONE VECTOR PURPLE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L63 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L63 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L63 MM X W10 MM X H1.5 MM OBLIQUE RIGHT T 3 HOLE HEAD 4 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,279.68,139.84,53.56,251.71,65
HCPCS,C1713,PLATE L63 MM X W10 MM X H1.5 MM T OBLIQUE LEFT 3 HOLE HEAD 4 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,280.59,140.3,53.73,252.53,65
HCPCS,C1713,PLATE L63 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L54 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L63 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L63 MM X W7 MM X H1 MM 1/4 TUBULAR 8 HOLE COLLAR STAINLESS STEEL H.3 MM BONE 2.7 MM SCREW MINI FRAGMENT SET,140.93,70.47,26.99,126.84,65
HCPCS,C1713,PLATE L64 MM 1/3 TUBULAR 5 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,40.8,20.4,7.81,36.72,65
HCPCS,C1713,PLATE L64 MM LONG CLOVERLEAF FOREFOOT MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,888.1,444.05,170.07,799.29,65
HCPCS,C1713,PLATE L64 MM LONG CLOVERLEAF MIDFOOT FOREFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,826.28,413.14,158.23,743.65,65
HCPCS,C1713,PLATE L64 MM MEDIUM RIGHT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.7 MM SCREW,974.96,487.48,186.7,877.46,65
HCPCS,C1713,PLATE L64 MM NARROW 8 HOLE LOCK VARIAX BONE 2.7 MM SCREW,702.47,351.24,134.52,632.22,65
HCPCS,C1713,PLATE L64 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L64 MM T TIBIA DISTAL 3 HOLE 4 LOCK STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,593.4,296.7,113.64,534.06,65
HCPCS,C1713,PLATE L64 MM T TIBIAL DISTAL 3 HOLE 4 LOCK STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,619.26,309.63,118.59,557.33,65
HCPCS,C1713,PLATE L64 MM X H.5 MM OLECRANON LEFT 7 HOLE TITANIUM APTUS OD1.6 MM BONE 2.8 MM SCREW,518.86,259.43,99.36,466.97,65
HCPCS,C1713,PLATE L64 MM X H.5 MM OLECRANON RIGHT 7 HOLE TITANIUM APTUS OD1.6 MM BONE 2.8 MM SCREW,518.86,259.43,99.36,466.97,65
HCPCS,C1713,PLATE L64 MM X H2 MM MINI RIGHT LOCK STAINLESS STEEL BONE 2.7/3.5 MM CORTEX SCREW,568.07,284.04,108.79,511.26,65
HCPCS,C1713,PLATE L64 MM X W11 MM J CLAVICLE LEFT SUPERIOR 8 HOLE LOCK LOW PROFILE TAPER END TITANIUM ACUMED W15 MM BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L64 MM X W11 MM X H3.3 MM 5 HOLE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,228.98,114.49,43.85,206.08,65
HCPCS,C1713,PLATE L64 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L64 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L64 MM X W26 MM X H4.5 MM PRECONTOUR THORACOLUMBAR ANTERIOR LOCK LOW PROFILE TITANIUM BONE 5.5 MM SCREW,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L64 MM X W8 MM X H2.5 MM CALCANEAL 8 HOLE RECONSTRUCTION STAINLESS STEEL BONE 2.7 MM SCREW,468.25,234.13,89.67,421.43,65
HCPCS,C1713,PLATE L64 MM X W8 MM X H3.3 MM 8 HOLE RECONSTRUCTION STAINLESS STEEL BONE 2.7 MM SCREW MINI FRAGMENT SET,346.32,173.16,66.32,311.69,65
HCPCS,C1713,PLATE L65 MM OLECRANON RIGHT 3 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE L65 MM PREBENT SPINE TITANIUM CD HORIZON SPINAL SYSTEM BONE,1365.0,682.5,261.4,1228.5,65
HCPCS,C1713,PLATE L65 MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L65 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L65 MM SPINE CERVICAL 4 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L65 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L65 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L65 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L65 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM TITANIUM ZEPHIR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L65 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L65 MM STANDARD ELBOW LEFT OLECRANON 3 HOLE LOW PROFILE ACUMED BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L65 MM STANDARD ELBOW RIGHT OLECRANON 3 HOLE LOW PROFILE ACUMED BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L65 MM STRAIGHT CRANIOMAXILLOFACIAL 16 HOLE LOW PROFILE TITANIUM LORENZ BONE THINFLAP SYSTEM,383.0,191.5,73.34,344.7,65
HCPCS,C1713,PLATE L65 MM X H1.2 MM T 3 HOLE HEAD 10 HOLE SHAFT STAINLESS STEEL DCP BONE 2 MM SCREW MODULAR HAND SYSTEM,351.98,175.99,67.4,316.78,65
HCPCS,C1713,PLATE L65 MM X H94 MM 110 D 4 HOLE BLADE STAINLESS STEEL W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,647.88,323.94,124.07,583.09,65
HCPCS,C1713,PLATE L65 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 5 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,485.02,242.51,92.88,436.52,65
HCPCS,C1713,PLATE L65 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 5 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,298.26,149.13,57.12,268.43,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM DISTAL POSTEROLATERAL RIGHT 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,729.71,364.86,139.74,656.74,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,829.29,414.65,158.81,746.36,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,759.18,379.59,145.38,683.26,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,829.29,414.65,158.81,746.36,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,759.18,379.59,145.38,683.26,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM LEFT POSTEROLATERAL DISTAL 3 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,729.71,364.86,139.74,656.74,65
HCPCS,C1713,PLATE L65 MM X W11 MM X H2.5 MM POSTEROLATERAL DISTAL LEFT 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,773.25,386.63,148.08,695.93,65
HCPCS,C1713,PLATE L65 MM X W21 MM LONG NARROW RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L65 MM X W22 MM LONG NARROW RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L65 MM X W22 MM LONG NARROW RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L65 MM X W24 MM LONG STANDARD RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L65 MM X W24 MM LONG STANDARD RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L66 MM 10 HOLE LOW PROFILE VARIAX BONE 2.4 MM SCREW,407.95,203.98,78.12,367.16,65
HCPCS,C1713,PLATE L66 MM 2.1H SPINE CERVICAL ANTERIOR 4 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM CONDYLAR 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SET,484.89,242.45,92.86,436.4,65
HCPCS,C1713,PLATE L66 MM DISTAL RADIUS LEFT VOLAR 5 HOLE HEAD 5 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L66 MM NARROW STRAIGHT 5 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE L66 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L66 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM SPINE 3 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM SPINE 4 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM SPINE CERVICAL 3 LEVEL CONSTRAIN PYRENEES BONE VECTOR PURPLE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM SPINE CERVICAL 3 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L66 MM STANDARD RADIUS DISTAL LEFT VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L66 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,706.95,353.48,135.38,636.26,65
HCPCS,C1713,PLATE L66 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,786.4,393.2,150.6,707.76,65
HCPCS,C1713,PLATE L66 MM STANDARD RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L66 MM STANDARD RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L66 MM STANDARD RADIUS VOLAR DISTAL LEFT 6 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L66 MM T 3 HOLE HEAD 6 HOLE SHAFT STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,118.41,59.21,22.68,106.57,65
HCPCS,C1713,PLATE L66 MM X H1.25 MM T 3 HOLE HEAD 10 HOLE SHAFT CUT TO LENGTH LOW PROFILE STAINLESS STEEL BONE 2.4 MM SCREW MODULAR FOOT SYSTEM,254.61,127.31,48.76,229.15,65
HCPCS,C1713,PLATE L66 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L57 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L67 MM 7 HOLE CUT TO LENGTH LOW PROFILE STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SET,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L67 MM 7 HOLE LOW PROFILE CUT TO LENGTH TITANIUM BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,326.97,163.49,62.61,294.27,65
HCPCS,C1713,PLATE L67 MM HUMERUS DISTAL MEDIAL 3 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE L67 MM LONG LEFT BASE VARIAX BONE,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L67 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L67 MM X H1.6 MM WRIST ULNA 10 HOLE K WIRE HOLE ROUND EDGE SMOOTH SURFACE TITANIUM APTUS BONE 2.5 MM SCREW,558.38,279.19,106.93,502.54,65
HCPCS,C1713,PLATE L67 MM X H1.7 MM METACARPUS 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR HAND SYSTEM,359.21,179.61,68.79,323.29,65
HCPCS,C1713,PLATE L67 MM X H1.7 MM METACARPUS 8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,433.89,216.95,83.09,390.5,65
HCPCS,C1713,PLATE L67 MM X W10 MM X H1.5 MM RIGHT ANGLE T 3 HOLE HEAD 5 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,270.8,135.4,51.86,243.72,65
HCPCS,C1713,PLATE L67 MM X W11 MM X H1.5 MM RIGHT ANGLE T 4 HOLE HEAD 5 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,279.23,139.62,53.47,251.31,65
HCPCS,C1713,PLATE L67.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L67.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L67.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM 8 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SET,297.33,148.67,56.94,267.6,65
HCPCS,C1713,PLATE L68 MM SPINE 3 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM SPINE 4 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM REFLEX HYBRID BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM STANDARD RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,706.95,353.48,135.38,636.26,65
HCPCS,C1713,PLATE L68 MM STANDARD RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L68 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L68 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L68 MM STANDARD VOLAR DISTAL LEFT RADIUS 7 HOLE HEAD 4 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,746.79,373.4,143.01,672.11,65
HCPCS,C1713,PLATE L68 MM ULNA LEFT PROXIMAL DORSAL 4 HOLE NONLOCK STAINLESS STEEL BONE,513.76,256.88,98.39,462.38,65
HCPCS,C1713,PLATE L68 MM ULNA RIGHT PROXIMAL DORSAL 4 HOLE NONLOCK STAINLESS STEEL BONE,513.76,256.88,98.39,462.38,65
HCPCS,C1713,PLATE L68 MM X H1.5-2 MM SCALLOP RIGHT PROXIMAL LATERAL 4 HOLE STAINLESS STEEL BONE 3.5 MM SCREW,1283.04,641.52,245.7,1154.74,65
HCPCS,C1713,PLATE L68 MM X W11 MM CLAVICLE LEFT DISTAL 13 HOLE LOCK TITANIUM ACUMED BONE BLUE 2.3 MM SCREW,1085.0,542.5,207.78,976.5,65
HCPCS,C1713,PLATE L68 MM X W11 MM CLAVICLE RIGHT DISTAL 13 HOLE LOCK TITANIUM ACUMED BONE GREEN 2.3 MM SCREW,1085.0,542.5,207.78,976.5,65
HCPCS,C1713,PLATE L68 MM X W14 MM CLAVICLE LEFT DISTAL SUPERIOR 9 HOLE LOCK TITANIUM ACU SINCH W11 MM BONE BLUE 3.5 MM SCREW,1085.0,542.5,207.78,976.5,65
HCPCS,C1713,PLATE L68 MM X W14 MM CLAVICLE RIGHT DISTAL SUPERIOR 9 HOLE LOCK TITANIUM ACUMED W11 MM BONE GREEN 3.5 MM SCREW,1085.0,542.5,207.78,976.5,65
HCPCS,C1713,PLATE L68 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM X W17.4 MM X H2.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL AUTOMATIC LOCK SPRING LOAD BAR HIGH DEGREE ANGULATION TITANIUM AVIATOR BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L68 MM X W25 MM LONG STANDARD RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L68 MM X W25 MM LONG STANDARD RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE ACU-LOC 2 BONE 2.3 MM SCREW,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE L68.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,721.98,360.99,138.26,649.78,65
HCPCS,C1713,PLATE L68.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,721.98,360.99,138.26,649.78,65
HCPCS,C1713,PLATE L68.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,721.98,360.99,138.26,649.78,65
HCPCS,C1713,PLATE L68.5 MM RIGHT DISTAL RADIUS VOLAR 9 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE STAINLESS STEEL BONE 2.4 MM SCREW,721.98,360.99,138.26,649.78,65
HCPCS,C1713,PLATE L69 MM CLAVICLE LEFT ANTERIOR SUPERIOR 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,737.61,368.81,141.25,663.85,65
HCPCS,C1713,PLATE L69 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 3 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,683.85,341.93,130.96,615.47,65
HCPCS,C1713,PLATE L69 MM SHORT LATERAL DISTAL RIGHT 1 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L69 MM SHORT LEFT DISTAL LATERAL 1 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L69 MM SHORT MEDIAL LEFT DISTAL 1 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L69 MM SHORT MEDIAL RIGHT DISTAL 1 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L69 MM SPINE CERVICAL 4 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L69 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L69 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L69 MM X H2 MM SHORT LEFT LOCK STAINLESS STEEL BONE,595.07,297.54,113.96,535.56,65
HCPCS,C1713,PLATE L69 MM X H2 MM SHORT RIGHT LOCK STAINLESS STEEL BONE 2.7/3.5 MM CORTEX SCREW,595.07,297.54,113.96,535.56,65
HCPCS,C1713,PLATE L69 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 3 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L60 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L69 MM X W9 MM X H1 MM 1/3 TUBULAR 6 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,136.37,68.19,26.11,122.73,65
HCPCS,C1713,PLATE L7 MM X H.8 MM 2 X 2 HOLE BRIDGE TAB TITANIUM LEVEL ONE CMF BONE,285.09,142.55,54.59,256.58,65
HCPCS,C1713,PLATE L7.5 CM SPINE THORACOLUMBAR ANTERIOR SMOOTH SURFACE TITANIUM VANTAGE BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L7.5 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L7.5 MM TIBIAL LOW PROFILE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L7.7 MM PREBENT MAXILLOFACIAL LEFT 4 HOLE BAR TITANIUM NA BONE,334.24,167.12,64.01,300.82,65
HCPCS,C1713,PLATE L7.7 MM PREBENT MAXILLOFACIAL RIGHT 4 HOLE BAR TITANIUM NA BONE,334.22,167.11,64.0,300.8,65
HCPCS,C1713,PLATE L70 MM 1/3 TUBULAR 6 HOLE STAINLESS STEEL PEDIFRAG PEDILOC BONE 3.5 MM SCREW,135.97,67.99,26.04,122.37,65
HCPCS,C1713,PLATE L70 MM 6 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,377.4,188.7,72.27,339.66,65
HCPCS,C1713,PLATE L70 MM D12 MM CLAVICLE LEFT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,726.95,363.48,139.21,654.26,65
HCPCS,C1713,PLATE L70 MM D15 MM CLAVICLE LEFT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,776.58,388.29,148.72,698.92,65
HCPCS,C1713,PLATE L70 MM D15 MM CLAVICLE RIGHT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,726.95,363.48,139.21,654.26,65
HCPCS,C1713,PLATE L70 MM D18 MM CLAVICLE LEFT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,726.95,363.48,139.21,654.26,65
HCPCS,C1713,PLATE L70 MM D18 MM CLAVICLE RIGHT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,726.95,363.48,139.21,654.26,65
HCPCS,C1713,PLATE L70 MM LARGE LEFT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.7 MM SCREW,981.69,490.85,187.99,883.52,65
HCPCS,C1713,PLATE L70 MM LARGE RIGHT LOCK LOW PROFILE VARIABLE ANGLE TITANIUM BONE 2.7 MM SCREW,981.69,490.85,187.99,883.52,65
HCPCS,C1713,PLATE L70 MM SHOULDER LEFT HUMERAL 3 HOLE TITANIUM S3 BONE,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE L70 MM SPINE 4 LEVEL HELIX R BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L70 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L70 MM SPINE CERVICAL ANTERIOR 4 LEVEL DEFENDER BONE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE L70 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L70 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM HELIX BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L70 MM WIDE RADIAL LEFT DISTAL VOLAR TITANIUM ACU-LOC BONE,779.0,389.5,149.18,701.1,65
HCPCS,C1713,PLATE L70 MM X H1.2 MM CALCANEAL STAINLESS STEEL LC-DCP BONE 3.5 MM CORTEX 4 MM CANCELLOUS 3.5 MM CANNULATED SCREW SMALL FRAGMENT SET,804.9,402.45,154.14,724.41,65
HCPCS,C1713,PLATE L70 MM X H94 MM 90 D 15 MM DISPLACEMENT 4 HOLE BLADE STAINLESS STEEL DCP W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L70 MM X W10.1 MM X H3.5 MM 5 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,326.55,163.28,62.53,293.9,65
HCPCS,C1713,PLATE L70 MM X W11.2 MM X H2 MM 11 MM SPACE TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W31.9 MM X H1.8 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L70 MM X W11.5 MM X H3.6 MM 11 MM SPACE STANDARD TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W32.3 MM X H1.9 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L70 MM X W19-12 MM 140 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE L70.5 MM X W34 MM X H3.7 MM STANDARD CURVE TIBIAL LEFT PROXIMAL 3 HOLE LOCK LOW PROFILE DISTAL BULLET TIP TIMAX ALPS W11 MM X H3.7 MM BONE,1105.0,552.5,211.61,994.5,65
HCPCS,C1713,PLATE L71 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L71 MM TIBIAL LEFT PROXIMAL MEDIAL 4 HOLE TITANIUM AXSOS 3 BONE,1129.14,564.57,216.23,1016.23,65
HCPCS,C1713,PLATE L71 MM X W10.9 MM X H2 MM 11 MM SPACE T TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W32.5 MM X H2 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L71 MM X W16 MM HUMERUS RIGHT PROXIMAL 3 HOLE STAINLESS STEEL S3 BONE ROSE,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,PLATE L71 MM X W5 MM X H1.2 MM STRAIGHT 6 HOLE LOW PROFILE PRECONTOUR TITANIUM BONE 2 MM SCREW MODULAR HAND SYSTEM,323.88,161.94,62.02,291.49,65
HCPCS,C1713,PLATE L72 MM 1/3 TUBULAR ANKLE 6 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,192.0,96.0,36.77,172.8,65
HCPCS,C1713,PLATE L72 MM 1/3 TUBULAR ANKLE 6 HOLE STAINLESS STEEL ANTHEM BONE SMALL FRAGMENT,185.0,92.5,35.43,166.5,65
HCPCS,C1713,PLATE L72 MM 180 MM RADIUS PREBENT SPINE CERVICAL ANTERIOR 4 LEVEL RIGID EAGLE PLUS BONE GREEN,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L72 MM 6 HOLE RECONSTRUCTION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,214.92,107.46,41.16,193.43,65
HCPCS,C1713,PLATE L72 MM ANKLE LATERAL 3 HOLE LOCK HOOK STAINLESS STEEL TIGHTROPE BONE,690.08,345.04,132.15,621.07,65
HCPCS,C1713,PLATE L72 MM NARROW RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE L72 MM NARROW RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L72 MM SHALLOW CURVE CLAVICLE  ANTERIOR 6 HOLE STAINLESS STEEL ANTHEM BONE,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE L72 MM SHORT MEDIAL 1 HOLE VARIABLE ANGLE TAPER TIP EXTEND TITANIUM BONE 2.7/3.5 MM SCREW,1088.46,544.23,208.44,979.61,65
HCPCS,C1713,PLATE L72 MM SHORT RIGHT MEDIAL DISTAL 1 HOLE VARIABLE ANGLE TAPER TIP EXTEND STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L72 MM SHORT RIGHT MEDIAL DISTAL 1 HOLE VARIABLE ANGLE TAPER TIP EXTEND TITANIUM BONE 2.7/3.5 MM SCREW,1088.46,544.23,208.44,979.61,65
HCPCS,C1713,PLATE L72 MM STRAIGHT METACARPUS 12 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR HAND SYSTEM,322.28,161.14,61.72,290.05,65
HCPCS,C1713,PLATE L72 MM STRAIGHT METACARPUS 12 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH TITANIUM BONE 2.4 MM SCREW MODULAR HAND SYSTEM,336.54,168.27,64.45,302.89,65
HCPCS,C1713,PLATE L72 MM X W11 MM X H3.4 MM 5 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,222.13,111.07,42.54,199.92,65
HCPCS,C1713,PLATE L72 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L72 MM X W8 MM X H2.5 MM CALCANEAL 9 HOLE RECONSTRUCTION STAINLESS STEEL BONE 2.7 MM SCREW,472.82,236.41,90.55,425.54,65
HCPCS,C1713,PLATE L72.5 MM SPINE CERVICAL ANTERIOR 3 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L72.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L72.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L72.6 MM X W10.3 MM X H3.7 MM 5 HOLE LOCK LOW PROFILE COMPRESSION TIMAX ALPS BONE 3.5 MM SCREW SMALL FRAGMENT,226.1,113.05,43.3,203.49,65
HCPCS,C1713,PLATE L73 MM 1/3 TUBULAR 6 HOLE ACUMED BONE 3.5 MM HEXALOBE SCREW SMALL FRAGMENT SET,73.0,36.5,13.98,65.7,65
HCPCS,C1713,PLATE L73 MM 10 HOLE STAINLESS STEEL LCP BONE 2 MM SCREW,246.94,123.47,47.29,222.25,65
HCPCS,C1713,PLATE L73 MM BROAD 8 HOLE LOCK VARIAX BONE 2.7 MM SCREW,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L73 MM CONTOUR LATERAL DISTAL LEFT 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,500.88,250.44,95.92,450.79,65
HCPCS,C1713,PLATE L73 MM CONTOUR LATERAL DISTAL RIGHT 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,500.88,250.44,95.92,450.79,65
HCPCS,C1713,PLATE L73 MM CONTOUR LATERAL LEFT DISTAL 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,532.25,266.13,101.93,479.03,65
HCPCS,C1713,PLATE L73 MM CONTOUR LATERAL LEFT DISTAL 3 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,532.25,266.13,101.93,479.03,65
HCPCS,C1713,PLATE L73 MM CONTOUR LATERAL RIGHT DISTAL 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,532.25,266.13,101.93,479.03,65
HCPCS,C1713,PLATE L73 MM CONTOUR RIGHT DISTAL LATERAL 3 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,532.25,266.13,101.93,479.03,65
HCPCS,C1713,PLATE L73 MM D15 MM CLAVICLE RIGHT 6 HOLE HOOK BONE 3.5 MM SCREW,782.09,391.05,149.77,703.88,65
HCPCS,C1713,PLATE L73 MM HUMERUS RIGHT PROXIMAL 3 HOLE LOW TIMAX ALPS BONE,1572.0,786.0,301.04,1414.8,65
HCPCS,C1713,PLATE L73 MM LEFT PROXIMAL 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,821.67,410.84,157.35,739.5,65
HCPCS,C1713,PLATE L73 MM PROXIMAL 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,821.67,410.84,157.35,739.5,65
HCPCS,C1713,PLATE L73 MM PROXIMAL LEFT 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,902.11,451.06,172.75,811.9,65
HCPCS,C1713,PLATE L73 MM PROXIMAL RIGHT 2 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,902.11,451.06,172.75,811.9,65
HCPCS,C1713,PLATE L73 MM RIGHT PROXIMAL 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,822.79,411.4,157.56,740.51,65
HCPCS,C1713,PLATE L73 MM SPINE CERVICAL 4 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L73 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L73 MM ULNA LEFT PROXIMAL DISTAL ELBOW PLATING SYSTEM BONE DISTAL ELBOW SET TRAY A,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L73 MM X H2 MM LONG UNIVERSAL NARROW RADIAL DISTAL LOCK TITANIUM VARIAX BONE,677.6,338.8,129.76,609.84,65
HCPCS,C1713,PLATE L73 MM X H2 MM LONG UNIVERSAL STANDARD RADIAL DISTAL LOCK TITANIUM VARIAX BONE,677.6,338.8,129.76,609.84,65
HCPCS,C1713,PLATE L73 MM X W19-12 MM 100 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,832.28,416.14,159.38,749.05,65
HCPCS,C1713,PLATE L73 MM X W19-12 MM 110 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,832.28,416.14,159.38,749.05,65
HCPCS,C1713,PLATE L73 MM X W9 MM X H1 MM 1/3 TUBULAR 6 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,101.35,50.68,19.41,91.22,65
HCPCS,C1713,PLATE L73 MM X W9 MM X H1 MM 1/3 TUBULAR 6 HOLE COLLAR TITANIUM H.5 MM OD12 MM BONE,69.79,34.9,13.36,62.81,65
HCPCS,C1713,PLATE L73.8 MM X W27.6 MM X H1.65 MM T HAND LOCK LOW PROFILE PRECONTOUR FLEXIBLE TIMAX ALPS BONE 2.5 MM SCREW,365.0,182.5,69.9,328.5,65
HCPCS,C1713,PLATE L74 MM 2.1H SPINE CERVICAL ANTERIOR 4 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L74 MM SHORT HUMERAL LEFT DISTAL MEDIAL 3 HOLE LOCK STAINLESS STEEL BONE 3.5 MM SCREW,546.0,273.0,104.56,491.4,65
HCPCS,C1713,PLATE L74 MM SPINE 4 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L74 MM SPINE LUMBAR 2 LEVEL CAYMAN BONE MEDIUM BLUE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L74 MM X H3 MM 2XL NARROW RADIAL LEFT DISTAL VOLAR 5 HOLE VARIAX H2 MM BONE 2.7 MM SCREW,1420.86,710.43,272.09,1278.77,65
HCPCS,C1713,PLATE L74 MM X W10 MM CLAVICLE LEFT SUPERIOR 6 HOLE LOCK MIDSHAFT NARROW PROFILE TITANIUM ACU SINCH BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L74 MM X W10 MM CLAVICLE RIGHT SUPERIOR 6 HOLE LOCK MIDSHAFT NARROW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L74 MM X W10 MM X H1.5 MM OBLIQUE RIGHT T 3 HOLE HEAD 5 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,292.17,146.09,55.95,262.95,65
HCPCS,C1713,PLATE L74 MM X W10 MM X H1.5 MM T OBLIQUE LEFT 3 HOLE HEAD 5 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,293.07,146.54,56.12,263.76,65
HCPCS,C1713,PLATE L74 MM X W10.7 MM X H3.5 MM CONTOUR HUMERUS RIGHT DISTAL POSTEROLATERAL 9 HOLE LOW PROFILE PROXIMAL BULLET TIP MULTIPLANAR ARM TIMAX ALPS BONE 3.5 MM SCREW,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L74 MM X W23-15 MM 150 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,844.14,422.07,161.65,759.73,65
HCPCS,C1713,PLATE L74.5 MM STRAIGHT PELVIC 5 HOLE STAINLESS STEEL MATTA SPS BONE,275.62,137.81,52.78,248.06,65
HCPCS,C1713,PLATE L75 MM HUMERUS RIGHT PROXIMAL 2 HOLE OPTILOCK BONE,1226.5,613.25,234.87,1103.85,65
HCPCS,C1713,PLATE L75 MM SHALLOW CURVE CLAVICLE LEFT SUPERIOR 7 HOLE LOW PROFILE SCALLOP UNDERCUT SIDE CUT STAINLESS STEEL ANTHEM MIDSHAFT42 BONE,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE L75 MM SHORT LEFT POSTEROLATERAL DISTAL 3 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L75 MM SHORT POSTEROLATERAL DISTAL RIGHT 3 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L75 MM SHORT POSTEROLATERAL DISTAL RIGHT 3 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT TITANIUM BONE 2.7/3.5 MM SCREW,1088.46,544.23,208.44,979.61,65
HCPCS,C1713,PLATE L75 MM SHORT POSTEROLATERAL LEFT DISTAL 3 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L75 MM SHORT POSTEROLATERAL LEFT DISTAL 3 HOLE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,1055.17,527.59,202.07,949.65,65
HCPCS,C1713,PLATE L75 MM SHORT POSTEROLATERAL RIGHT DISTAL 3 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L75 MM SPINE ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L75 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L75 MM SPINE CERVICAL ANTERIOR TITANIUM ATLANTIS BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L75 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,721.92,360.96,138.25,649.73,65
HCPCS,C1713,PLATE L75 MM STANDARD RADIUS LEFT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE L75 MM STANDARD RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE L75 MM STANDARD VOLAR RADIUS RIGHT DISTAL 6 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,804.36,402.18,154.03,723.92,65
HCPCS,C1713,PLATE L75 MM STRAIGHT 6 HOLE STAINLESS STEEL ANTHEM BONE 3.5 MM SCREW SMALL FRAGMENT,260.0,130.0,49.79,234.0,65
HCPCS,C1713,PLATE L75 MM X H94 MM 120 D 4 HOLE BLADE STAINLESS STEEL DCP W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L75 MM X W10.9 MM X H2 MM 11 MM SPACE TIBIAL RIGHT PROXIMAL MEDIAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W25 MM X H1.5 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L75 MM X W19-12 MM 120 D HIP 4 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,832.28,416.14,159.38,749.05,65
HCPCS,C1713,PLATE L75 MM X W19-12 MM 90 D CONDYLAR 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,861.92,430.96,165.06,775.73,65
HCPCS,C1713,PLATE L76 MM 8 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L76 MM CLAVICLE LEFT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE L76 MM CLAVICLE RIGHT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE L76 MM CONTOUR PROXIMAL 4 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1120.39,560.2,214.55,1008.35,65
HCPCS,C1713,PLATE L76 MM CONTOUR PROXIMAL LEFT 4 HOLE LIMIT CONTACT LOW BEND TITANIUM BONE 3.5 MM SCREW,1120.39,560.2,214.55,1008.35,65
HCPCS,C1713,PLATE L76 MM NARROW T 10 HOLE LOCK VARIAX BONE 2.4 MM SCREW,654.71,327.36,125.38,589.24,65
HCPCS,C1713,PLATE L76 MM ULNA 8 HOLE LOW PROFILE ANGULAR STABLE FIXATION STAINLESS STEEL BONE 2.7 MM SCREW OSTEOTOMY,948.02,474.01,181.55,853.22,65
HCPCS,C1713,PLATE L76 MM X H2 MM LONG LEFT LOCK STAINLESS STEEL BONE 2.7/3.5 MM CORTEX SCREW,611.99,306.0,117.2,550.79,65
HCPCS,C1713,PLATE L76 MM X H2 MM LONG RIGHT LOCK STAINLESS STEEL BONE 2.7/3.5 MM CORTEX SCREW,611.99,306.0,117.2,550.79,65
HCPCS,C1713,PLATE L76 MM X W11 MM CLAVICLE MEDIAL ANTERIOR 6 HOLE LOCK TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L76 MM X W16 MM X H2.5 MM 14 MM PREBENT SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L77 MM 1/3 TUBULAR 6 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,40.8,20.4,7.81,36.72,65
HCPCS,C1713,PLATE L77 MM CLAVICLE LATERAL ANTERIOR 7 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L77 MM CLAVICLE LATERAL ANTERIOR 7 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE TITANIUM BONE 2.7/3.5 MM SCREW,788.16,394.08,150.93,709.34,65
HCPCS,C1713,PLATE L77 MM CONTOUR DISTAL POSTEROLATERAL RIGHT 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,508.29,254.15,97.34,457.46,65
HCPCS,C1713,PLATE L77 MM CONTOUR POSTEROLATERAL 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,540.61,270.31,103.53,486.55,65
HCPCS,C1713,PLATE L77 MM CONTOUR POSTEROLATERAL DISTAL LEFT 3 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,508.29,254.15,97.34,457.46,65
HCPCS,C1713,PLATE L77 MM SPINE CERVICAL 4 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L77 MM STANDARD RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE L77 MM STANDARD RADIUS LEFT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,804.36,402.18,154.03,723.92,65
HCPCS,C1713,PLATE L77 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE STAINLESS STEEL BONE 2.4 MM SCREW,763.14,381.57,146.14,686.83,65
HCPCS,C1713,PLATE L77 MM STANDARD RADIUS RIGHT DISTAL VOLAR 7 HOLE HEAD 5 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,804.36,402.18,154.03,723.92,65
HCPCS,C1713,PLATE L77 MM STRAIGHT ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,494.52,247.26,94.7,445.07,65
HCPCS,C1713,PLATE L77 MM STRAIGHT ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1358.18,679.09,260.09,1222.36,65
HCPCS,C1713,PLATE L77 MM X W10 MM X H1.5 MM RIGHT ANGLE T 3 HOLE HEAD 6 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,324.74,162.37,62.19,292.27,65
HCPCS,C1713,PLATE L77 MM X W11 MM X H3.3 MM 6 HOLE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,244.03,122.02,46.73,219.63,65
HCPCS,C1713,PLATE L77 MM X W16.5 MM X H2.5 MM BEND GROOVE PREBENT SPINE CERVICAL ANTERIOR 4 LEVEL 1 STEP LOCK INTEGRATE BLOCK LARGE GRAFT VISIBILITY WINDOW TITANIUM L68 MM BONE 4/4.5 MM SCREW,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L77.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L77.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L78 MM 130 D STANDARD BARREL 4 HOLE STAINLESS STEEL DHS L38 MM BONE,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM 135 D SHORT BARREL 4 HOLE BONE,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM 2.1H SPINE CERVICAL ANTERIOR 4 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L78 MM NARROW STRAIGHT 6 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE L78 MM SPINE 4 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L78 MM SPINE CERVICAL ANTERIOR 4 LEVEL INSIGNIA BONE SERIES 436,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L78 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L78 MM TAPER HUMERUS LEFT DISTAL POSTEROLATERAL 5 HOLE ACUMED BONE,998.0,499.0,191.12,898.2,65
HCPCS,C1713,PLATE L78 MM WAIST 6 HOLE COMPRESSION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,86.57,43.29,16.58,77.91,65
HCPCS,C1713,PLATE L78 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS 6 HOLE STAINLESS STEEL BONE 3.5 MM SCREW,740.15,370.08,141.74,666.14,65
HCPCS,C1713,PLATE L78 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 6 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,504.49,252.25,96.61,454.04,65
HCPCS,C1713,PLATE L78 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 6 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,311.43,155.72,59.64,280.29,65
HCPCS,C1713,PLATE L78 MM X W10.2 MM X H2.7 MM 108 MM RADIUS CURVE PELVIC 6 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,435.13,217.57,83.33,391.62,65
HCPCS,C1713,PLATE L78 MM X W10.2 MM X H2.7 MM 88 MM RADIUS CURVE PELVIC 6 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,435.13,217.57,83.33,391.62,65
HCPCS,C1713,PLATE L78 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 6 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,329.81,164.91,63.16,296.83,65
HCPCS,C1713,PLATE L78 MM X W10.9 MM X H2 MM 11 MM SPACE I TIB RT PROX,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L78 MM X W10.9 MM X H2 MM 11 MM SPACE I TIBIAL LEFT PROXIMAL POSTEROMEDIAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W21.8 MM X H1.8 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L78 MM X W10.9 MM X H2 MM 11 MM SPACE I TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STAINLESS STEEL EVOS W21.8 MM X H1.8 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L78 MM X W11 MM X H1.5 MM RIGHT ANGLE T 4 HOLE HEAD 6 HOLE SHAFT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,316.05,158.03,60.52,284.45,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 130 D SHORT BARREL FEMUR 4 HOLE LOW PROFILE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,429.63,214.82,82.27,386.67,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 130 D SHORT BARREL FEMUR 4 HOLE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 135 D SHORT BARREL FEMUR 4 HOLE STAINLESS STEEL DHS DCP L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 140 D SHORT BARREL HIP 4 HOLE LOW PROFILE STAINLESS STEEL L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 140 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 140 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 145 D STANDARD BARREL FEMUR 4 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 145 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 150 D SHORT BARREL FEMUR 4 HOLE LOW PROFILE STAINLESS STEEL DHS DCP L25 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L78 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 4 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L79 MM 130 D STANDARD BARREL HIP 4 HOLE LOW PROFILE COMPRESSION KEY STAINLESS STEEL OMEGA 3 BONE,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE L79 MM 135 D STANDARD BARREL HIP 4 HOLE LOW PROFILE COMPRESSION KEY STAINLESS STEEL OMEGA 3 BONE,543.27,271.64,104.04,488.94,65
HCPCS,C1713,PLATE L79 MM BROAD STRAIGHT 6 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE L79 MM CLAVICLE ANTERIOR MEDIAL 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L79 MM CLAVICLE MEDIAL ANTERIOR 6 HOLE BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L79 MM X W23-15 MM 130 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,844.14,422.07,161.65,759.73,65
HCPCS,C1713,PLATE L8 MM 2Y CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE BAR TITANIUM UNIVERSAL NEURO 2 BONE 1.5 MM SCREW RETROSIGMOID,255.01,127.51,48.83,229.51,65
HCPCS,C1713,PLATE L8 MM PRECONTOUR SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L8 MM SMALL SPINE CERVICAL TRADITIONAL LEVERAGE BONE 7650008,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L8 MM SPINE 2 SIDE MODULAR MODULUS BONE XLIF,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L8 MM SPINE LATERAL HOLE OPEN DOOR COLOR CODED TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE L8 MM X H.6 MM 100 D STANDARD L MIDFACE LEFT 6 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 1.7 MM SCREW,209.94,104.97,40.2,188.95,65
HCPCS,C1713,PLATE L8 MM X H.8 MM 100 D L MIDFACE 6 HOLE REVERSIBLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GRAY 1.7 MM SCREW,241.04,120.52,46.16,216.94,65
HCPCS,C1713,PLATE L8 MM X H1 MM MINI L CRANIOMAXILLOFACIAL LEFT 4 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,203.5,101.75,38.97,183.15,65
HCPCS,C1713,PLATE L8 MM X H1 MM MINI STRAIGHT MANDIBLE 4 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,134.13,67.07,25.69,120.72,65
HCPCS,C1713,PLATE L8 MM X H1 MM MINI STRAIGHT MANDIBLE 6 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE BLUE 2/2.3 MM SCREW,228.4,114.2,43.74,205.56,65
HCPCS,C1713,PLATE L8.5 CM SPINE THORACOLUMBAR ANTERIOR SMOOTH SURFACE TITANIUM VANTAGE BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L80 MM ANTEROLATERAL 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1219.34,609.67,233.5,1097.41,65
HCPCS,C1713,PLATE L80 MM ANTEROLATERAL DISTAL LEFT 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1219.34,609.67,233.5,1097.41,65
HCPCS,C1713,PLATE L80 MM CLOVERLEAF 4 HOLE STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,170.15,85.08,32.58,153.14,65
HCPCS,C1713,PLATE L80 MM DISTAL ANTEROLATERAL LEFT 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,1216.75,608.38,233.01,1095.08,65
HCPCS,C1713,PLATE L80 MM FIBULA RIGHT DISTAL POSTEROLATERAL 4 HOLE LOW PROFILE STAINLESS STEEL ANTHEM BONE 3.5/4 MM SCREW,775.0,387.5,148.41,697.5,65
HCPCS,C1713,PLATE L80 MM FOREARM RADIAL VOLAR 6 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L80 MM FOREARM ULNA 6 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACU-LOC 2 BONE,681.0,340.5,130.41,612.9,65
HCPCS,C1713,PLATE L80 MM HUMERUS LEFT LATERAL POSTERIOR 3 HOLE TITANIUM VARIAX BONE,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE L80 MM HUMERUS RIGHT LATERAL POSTERIOR 3 HOLE TITANIUM VARIAX BONE,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE L80 MM PREBENT SPINE TITANIUM CD HORIZON SPINAL SYSTEM BONE,1365.0,682.5,261.4,1228.5,65
HCPCS,C1713,PLATE L80 MM SPINE 4 LEVEL TITANIUM SKYLINE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L80 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L80 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L80 MM TIBIAL RIGHT DISTAL ANTEROLATERAL 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1239.23,619.62,237.31,1115.31,65
HCPCS,C1713,PLATE L80 MM WIDE TIBIAL LEFT DISTAL MEDIAL 4 HOLE LOCK COMPRESSION PEDILOC BONE 3.5 MM SCREW,1207.53,603.77,231.24,1086.78,65
HCPCS,C1713,PLATE L80 MM X W13.5 MM X H4.2 MM NARROW 4 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,261.86,130.93,50.15,235.67,65
HCPCS,C1713,PLATE L80 MM X W13.5 MM X H4.2 MM NARROW 4 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,273.83,136.92,52.44,246.45,65
HCPCS,C1713,PLATE L80 MM X W8 MM X H3.3 MM 10 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 2.7 MM SCREW MINI FRAGMENT SET,360.01,180.01,68.94,324.01,65
HCPCS,C1713,PLATE L81 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,313.16,156.58,59.97,281.84,65
HCPCS,C1713,PLATE L81 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH TITANIUM BONE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM,327.41,163.71,62.7,294.67,65
HCPCS,C1713,PLATE L81 MM ANTERIOR SUPERIOR CLAVICLE LEFT 4 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,694.65,347.33,133.03,625.19,65
HCPCS,C1713,PLATE L81 MM CLAVICLE LEFT ANTERIOR SUPERIOR 4 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,748.61,374.31,143.36,673.75,65
HCPCS,C1713,PLATE L81 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 4 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,694.65,347.33,133.03,625.19,65
HCPCS,C1713,PLATE L81 MM CONTOUR LEFT PROXIMAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1077.41,538.71,206.32,969.67,65
HCPCS,C1713,PLATE L81 MM CONTOUR PROXIMAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1077.41,538.71,206.32,969.67,65
HCPCS,C1713,PLATE L81 MM CONTOUR PROXIMAL LEFT 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1151.38,575.69,220.49,1036.24,65
HCPCS,C1713,PLATE L81 MM CONTOUR PROXIMAL RIGHT 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1151.38,575.69,220.49,1036.24,65
HCPCS,C1713,PLATE L81 MM SPINE CERVICAL 4 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L81 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ZEVO BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L81 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L81 MM STANDARD RADIAL RIGHT DISTAL VOLAR 5 HOLE TITANIUM EVOS BONE,864.0,432.0,165.46,777.6,65
HCPCS,C1713,PLATE L81 MM X H2 MM XLONG LEFT LOCK STAINLESS STEEL BONE 2.7/3.5 MM CORTEX SCREW,621.3,310.65,118.98,559.17,65
HCPCS,C1713,PLATE L81 MM X H2 MM XLONG RIGHT LOCK STAINLESS STEEL BONE 2.7/3.5 MM CORTEX SCREW,621.3,310.65,118.98,559.17,65
HCPCS,C1713,PLATE L81 MM X W10 MM X H2 MM 11 MM SPACE FIBULA LEFT DISTAL LATERAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W16.3 MM X H1.7 MM BONE 2.7/3.5 MM SCREW,648.0,324.0,124.09,583.2,65
HCPCS,C1713,PLATE L81 MM X W9 MM X H1 MM 1/3 TUBULAR 7 HOLE COLLAR TITANIUM H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,143.59,71.8,27.5,129.23,65
HCPCS,C1713,PLATE L82 MM 2.1H SPINE CERVICAL ANTERIOR 4 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L82 MM 7 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,395.68,197.84,75.77,356.11,65
HCPCS,C1713,PLATE L82 MM CONTOUR LEFT PROXIMAL 4 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1163.63,581.82,222.84,1047.27,65
HCPCS,C1713,PLATE L82 MM CONTOUR LEFT PROXIMAL TIBIAL 4 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1187.9,593.95,227.48,1069.11,65
HCPCS,C1713,PLATE L82 MM CONTOUR PROXIMAL 4 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1253.04,626.52,239.96,1127.74,65
HCPCS,C1713,PLATE L82 MM CONTOUR PROXIMAL RIGHT 4 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,1163.63,581.82,222.84,1047.27,65
HCPCS,C1713,PLATE L82 MM CONTOUR PROXIMAL RIGHT 4 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,1253.04,626.52,239.96,1127.74,65
HCPCS,C1713,PLATE L82 MM MEDIUM DISTAL LEFT LATERAL 2 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L82 MM MEDIUM LATERAL RIGHT DISTAL 2 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L82 MM MEDIUM MEDIAL DISTAL RIGHT 2 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L82 MM MEDIUM RIGHT MEDIAL DISTAL 2 HOLE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,1055.17,527.59,202.07,949.65,65
HCPCS,C1713,PLATE L82 MM TIBIAL RIGHT PROXIMAL MEDIAL 6 HOLE NONLOCK STAINLESS STEEL EASIEEATERS BONE 3.5 MM SCREW,530.4,265.2,101.57,477.36,65
HCPCS,C1713,PLATE L82 MM X W26 MM X H4.5 MM PRECONTOUR ANTERIOR THORACOLUMBAR LOCK LOW PROFILE TITANIUM BONE 5.5 MM SCREW,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE L82.5 MM PELVIC 7 HOLE FLEXIBLE STAINLESS STEEL MATTA SPS BONE,318.4,159.2,60.97,286.56,65
HCPCS,C1713,PLATE L82.5 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L82.5 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L83 MM HUMERUS RIGHT PROXIMAL 4 HOLE LOW TIMAX ALPS BONE,1620.0,810.0,310.23,1458.0,65
HCPCS,C1713,PLATE L83 MM T 4 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5/5 MM SCREW SMALL FRAGMENT SET,544.54,272.27,104.28,490.09,65
HCPCS,C1713,PLATE L83 MM T 4 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5/5 MM SCREW SMALL FRAGMENT SET,565.26,282.63,108.25,508.73,65
HCPCS,C1713,PLATE L83 MM X W11 MM X H2.5 MM DISTAL MEDIAL RIGHT 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,754.91,377.46,144.57,679.42,65
HCPCS,C1713,PLATE L83 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL MEDIAL 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,787.61,393.81,150.83,708.85,65
HCPCS,C1713,PLATE L83 MM X W11 MM X H2.5 MM MEDIAL 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,754.91,377.46,144.57,679.42,65
HCPCS,C1713,PLATE L83 MM X W11 MM X H2.5 MM MEDIAL DISTAL LEFT 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,787.61,393.81,150.83,708.85,65
HCPCS,C1713,PLATE L84 MM 1/3 TUBULAR 7 HOLE STAINLESS STEEL ANTHEM BONE ANKLE FRACTURE SYSTEM,185.0,92.5,35.43,166.5,65
HCPCS,C1713,PLATE L84 MM 1/3 TUBULAR ANKLE 7 HOLE ORTHOLOC 3DI BONE 3.5 MM SCREW,396.01,198.01,75.84,356.41,65
HCPCS,C1713,PLATE L84 MM 10 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,297.33,148.67,56.94,267.6,65
HCPCS,C1713,PLATE L84 MM 7 HOLE RECONSTRUCTION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,248.75,124.38,47.64,223.88,65
HCPCS,C1713,PLATE L84 MM ELBOW MEDIAL 7 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L84 MM HUMERUS LEFT DISTAL LATERAL 3 HOLE TITANIUM VARIAX BONE,872.62,436.31,167.11,785.36,65
HCPCS,C1713,PLATE L84 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L84 MM TIBIAL LEFT PROXIMAL MEDIAL 5 HOLE TITANIUM AXSOS 3 BONE,1165.86,582.93,223.26,1049.27,65
HCPCS,C1713,PLATE L84 MM X H3.2 MM SHORT WRIST ULNA 10 HOLE K WIRE HOLE ROUND EDGE SMOOTH SURFACE TITANIUM APTUS BONE 2.5 MM SCREW,900.9,450.45,172.52,810.81,65
HCPCS,C1713,PLATE L84 MM X W10.1 MM X H3.5 MM 6 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,377.4,188.7,72.27,339.66,65
HCPCS,C1713,PLATE L85 MM 1/3 TUBULAR ANKLE 7 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,204.0,102.0,39.07,183.6,65
HCPCS,C1713,PLATE L85 MM CLAVICLE LEFT SUPERIOR 6 HOLE BONE 3.5 MM SCREW,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE L85 MM CLAVICLE RIGHT SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE L85 MM CLAVICLE RIGHT SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,748.81,374.41,143.4,673.93,65
HCPCS,C1713,PLATE L85 MM D12 MM CLAVICLE RIGHT 5 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,760.46,380.23,145.63,684.41,65
HCPCS,C1713,PLATE L85 MM D15 MM CLAVICLE LEFT 5 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,760.46,380.23,145.63,684.41,65
HCPCS,C1713,PLATE L85 MM D15 MM CLAVICLE RIGHT 5 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,760.46,380.23,145.63,684.41,65
HCPCS,C1713,PLATE L85 MM HUMERUS LEFT DISTAL LATERAL 9 HOLE ALPS BONE,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L85 MM MEDIUM DISTAL MEDIAL RIGHT 2 HOLE VARIABLE ANGLE EXTEND BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L85 MM MEDIUM MEDIAL DISTAL LEFT 2 HOLE VARIABLE ANGLE TAPER TIP EXTEND STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L85 MM NARROW ELBOW LEFT OLECRANON 5 HOLE LOW PROFILE ACUMED BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L85 MM SPINE CERVICAL 4 LEVEL CONSTRAIN PYRENEES BONE MAGENTA,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L85 MM SPINE CERVICAL 4 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L85 MM SPINE CERVICAL ANTERIOR 4 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L85 MM SPINE CERVICAL ANTERIOR 5 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L85 MM SPINE CERVICAL ANTERIOR LOCK TITANIUM ATLANTIS TRANSLATIONAL BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L85 MM STRAIGHT 7 HOLE STAINLESS STEEL ANTHEM BONE 3.5 MM SCREW SMALL FRAGMENT,280.0,140.0,53.62,252.0,65
HCPCS,C1713,PLATE L85 MM SUPERIOR CLAVICLE LEFT 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE L85 MM TIBIAL RIGHT PROXIMAL 6 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,1151.46,575.73,220.5,1036.31,65
HCPCS,C1713,PLATE L85 MM X H94 MM 120 D 4 HOLE BLADE STAINLESS STEEL DCP W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L85 MM X W10.7 MM X H2.4 MM CONTOUR HUMERUS RIGHT DISTAL LATERAL 9 HOLE LOW PROFILE PROXIMAL BULLET TIP TIMAX ALPS BONE 3.5 MM SCREW,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L85 MM X W11 MM X H3.4 MM 6 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,236.43,118.22,45.28,212.79,65
HCPCS,C1713,PLATE L85 MM X W11 MM X H3.4 MM NARROW 6 HOLE TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,247.26,123.63,47.35,222.53,65
HCPCS,C1713,PLATE L85 MM X W24 MM LONG CONTOUR RADIUS LEFT DISTAL VOLAR LOW PROFILE CROSSLOCK DVR BONE,996.0,498.0,190.73,896.4,65
HCPCS,C1713,PLATE L85 MM X W24 MM LONG CONTOUR RADIUS RIGHT DISTAL VOLAR LOW PROFILE CROSSLOCK DVR BONE,996.0,498.0,190.73,896.4,65
HCPCS,C1713,PLATE L85 MM X W50 MM STANDARD CRANIOFACIAL ULTRA LOW PROFILE MESH TITANIUM LEVEL ONE BONE,801.28,400.64,153.45,721.15,65
HCPCS,C1713,PLATE L85 MM X W50 MM X H.2 MM HEXAGONAL PANEL MESH TITANIUM TRAUMAONE LORENZ BONE 1/1.5 MM SCREW,479.0,239.5,91.73,431.1,65
HCPCS,C1713,PLATE L85 MM X W9 MM X H1 MM 1/3 TUBULAR 7 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,101.35,50.68,19.41,91.22,65
HCPCS,C1713,PLATE L85.6 MM X W10.3 MM X H3.7 MM 6 HOLE LOCK LOW PROFILE COMPRESSION TIMAX ALPS BONE 3.5 MM SCREW SMALL FRAGMENT SET,226.1,113.05,43.3,203.49,65
HCPCS,C1713,PLATE L86 MM CLAVICLE LEFT SUPERIOR MIDSHAFT EVOS BONE 3.5 MM SCREW,777.6,388.8,148.91,699.84,65
HCPCS,C1713,PLATE L86 MM CONTOUR LATERAL 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,536.43,268.22,102.73,482.79,65
HCPCS,C1713,PLATE L86 MM CONTOUR LATERAL LEFT DISTAL 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,504.68,252.34,96.65,454.21,65
HCPCS,C1713,PLATE L86 MM CONTOUR LATERAL RIGHT DISTAL 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,504.68,252.34,96.65,454.21,65
HCPCS,C1713,PLATE L86 MM CONTOUR LEFT 2 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,759.98,379.99,145.54,683.98,65
HCPCS,C1713,PLATE L86 MM CONTOUR LEFT DISTAL LATERAL 4 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,536.43,268.22,102.73,482.79,65
HCPCS,C1713,PLATE L86 MM CONTOUR OLECRANON LEFT 2 ELONGATE HOLE PROXIMAL TAB TITANIUM BONE 3.5 MM SCREW,833.94,416.97,159.7,750.55,65
HCPCS,C1713,PLATE L86 MM CONTOUR OLECRANON LEFT 2 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,797.06,398.53,152.64,717.35,65
HCPCS,C1713,PLATE L86 MM CONTOUR OLECRANON RIGHT 2 HOLE ELONGATE HOLE PROXIMAL TAB STAINLESS STEEL BONE 3.5 MM SCREW,797.06,398.53,152.64,717.35,65
HCPCS,C1713,PLATE L86 MM CONTOUR RIGHT LATERAL DISTAL 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,536.43,268.22,102.73,482.79,65
HCPCS,C1713,PLATE L86 MM CONTOUR RIGHT LATERAL DISTAL 4 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,536.43,268.22,102.73,482.79,65
HCPCS,C1713,PLATE L86 MM FIBULA RIGHT LATERAL 5 HOLE ACUMED BONE,793.0,396.5,151.86,713.7,65
HCPCS,C1713,PLATE L86 MM SPINE 4 LEVEL ARCHON BONE DEGENERATIVE DISC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L86 MM STANDARD HUMERUS RIGHT PROXIMAL LATERAL 3 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,1029.18,514.59,197.09,926.26,65
HCPCS,C1713,PLATE L86 MM TIBIA LEFT PROXIMAL LATERAL 2 HOLE STAINLESS STEEL ANTHEM BONE,1530.0,765.0,293.0,1377.0,65
HCPCS,C1713,PLATE L86 MM X W11 MM X H3.3 MM METAPHYSEAL 6 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,843.3,421.65,161.49,758.97,65
HCPCS,C1713,PLATE L87 MM CLAVICLE LEFT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE L87 MM HUMERAL LEFT DISTAL LATERAL 5 HOLE LOCK STAINLESS STEEL BONE 3.5 MM SCREW,530.4,265.2,101.57,477.36,65
HCPCS,C1713,PLATE L87 MM NARROW T 10 HOLE LOCK VARIAX BONE 2.7 MM SCREW,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L87 MM X H2 MM Y CALCANEAL STAINLESS STEEL LC-DCP BONE 3.5 MM CORTEX 4 MM CANCELLOUS 3.5 MM CANNULATED SCREW SMALL FRAGMENT SET,810.88,405.44,155.28,729.79,65
HCPCS,C1713,PLATE L87 MM X W10 MM STRAIGHT CLAVICLE LEFT SUPERIOR 8 HOLE LOCK MIDSHAFT NARROW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L87 MM X W10 MM STRAIGHT CLAVICLE RIGHT SUPERIOR 8 HOLE LOCK MIDSHAFT NARROW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L87 MM X W10 MM X H1.5 MM RIGHT ANGLE T 3 HOLE HEAD 7 HOLE SHAFT STAINLESS STEEL LCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,395.23,197.62,75.69,355.71,65
HCPCS,C1713,PLATE L87 MM X W11 MM SMALL CLAVICLE LEFT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACU SINCH BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L87 MM X W11 MM SMALL CLAVICLE RIGHT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L87.5 MM SPINE CERVICAL ANTERIOR 5 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L88 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM,345.28,172.64,66.12,310.75,65
HCPCS,C1713,PLATE L88 MM CLAVICLE LEFT SUPERIOR 7 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,956.2,478.1,183.11,860.58,65
HCPCS,C1713,PLATE L88 MM CLAVICLE RIGHT SUPERIOR 7 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,956.2,478.1,183.11,860.58,65
HCPCS,C1713,PLATE L88 MM ELBOW MEDIAL 8 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L88 MM FIBULA LEFT DISTAL LATERAL 4 HOLE STAINLESS STEEL ANTHEM BONE,775.0,387.5,148.41,697.5,65
HCPCS,C1713,PLATE L88 MM FIBULA RIGHT DISTAL LATERAL 4 HOLE LOW PROFILE STAINLESS STEEL ANTHEM BONE 2.5 MM SCREW,775.0,387.5,148.41,697.5,65
HCPCS,C1713,PLATE L88 MM HUMERUS LEFT PROXIMAL LOW PROFILE STAINLESS STEEL ANTHEM BONE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1713,PLATE L88 MM HUMERUS RIGHT PROXIMAL STAINLESS STEEL ANTHEM BONE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1713,PLATE L88 MM LARGE MALLEOLUS MEDIAL 8 HOLE ORTHOLOC BONE,673.62,336.81,129.0,606.26,65
HCPCS,C1713,PLATE L88 MM MEDIUM DISTAL POSTEROLATERAL LEFT 4 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L88 MM MEDIUM DISTAL RIGHT POSTEROLATERAL 4 HOLE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1077.13,538.57,206.27,969.42,65
HCPCS,C1713,PLATE L88 MM MEDIUM POSTEROLATERAL DISTAL RIGHT 4 HOLE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,1055.17,527.59,202.07,949.65,65
HCPCS,C1713,PLATE L88 MM MEDIUM RIGHT POSTEROLATERAL DISTAL 4 HOLE VARIABLE ANGLE TAPER TIP LATERAL SUPPORT STAINLESS STEEL BONE 2.7/3.5 MM SCREW,1110.42,555.21,212.65,999.38,65
HCPCS,C1713,PLATE L88 MM X W10.9 MM X H2.5 MM CONTOUR HUMERUS LEFT MEDIAL 9 HOLE LOW PROFILE PROXIMAL BULLET TIP TIMAX ALPS BONE 3.5 MM SCREW,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L88 MM X W10.9 MM X H2.5 MM CONTOUR HUMERUS RIGHT DISTAL MEDIAL 9 HOLE LOW PROFILE PROXIMAL BULLET TIP TIMAX ALPS BONE 3.5 MM SCREW,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L88 MM X W11 MM STRAIGHT CLAVICLE LEFT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE BLUE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L88 MM X W11 MM STRAIGHT CLAVICLE RIGHT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE GREEN,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L88 MM X W19-12 MM 130 D HIP 5 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 3.5 MM SCREW,848.21,424.11,162.43,763.39,65
HCPCS,C1713,PLATE L89 MM CLAVICLE LATERAL ANTERIOR 9 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L89 MM CLAVICLE LATERAL ANTERIOR 9 HOLE PRECONTOUR LIMIT CONTACT VARIABLE ANGLE TITANIUM BONE 2.7/3.5 MM SCREW,788.16,394.08,150.93,709.34,65
HCPCS,C1713,PLATE L89 MM CLAVICLE LATERAL ANTERIOR 9 HOLE VARIABLE ANGLE BONE 2.7/3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L89 MM OFFSET ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,1380.07,690.04,264.28,1242.06,65
HCPCS,C1713,PLATE L89 MM OFFSET ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1380.07,690.04,264.28,1242.06,65
HCPCS,C1713,PLATE L89 MM STRAIGHT ANKLE LEFT FIBULA LATERAL ORTHOLOC BONE,1389.02,694.51,266.0,1250.12,65
HCPCS,C1713,PLATE L89 MM STRAIGHT ANKLE RIGHT FIBULA LATERAL ORTHOLOC BONE,1389.02,694.51,266.0,1250.12,65
HCPCS,C1713,PLATE L89 MM ULNA LEFT PROXIMAL DORSAL 6 HOLE NONLOCK STAINLESS STEEL BONE,520.0,260.0,99.58,468.0,65
HCPCS,C1713,PLATE L89 MM ULNA RIGHT PROXIMAL DORSAL 6 HOLE NONLOCK STAINLESS STEEL BONE,520.0,260.0,99.58,468.0,65
HCPCS,C1713,PLATE L89 MM X W11 MM X H1.5 MM RIGHT ANGLE T 4 HOLE HEAD 7 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,393.88,196.94,75.43,354.49,65
HCPCS,C1713,PLATE L9 MM TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L9 MM TIBIAL LOW PROFILE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE L9 MM X H.6 MM NARROW RECTANGULAR HAND 2 X 2 HOLE FIXATION GRID TITANIUM APTUS BONE 1.2/1.5 MM SCREW,189.18,94.59,36.23,170.26,65
HCPCS,C1713,PLATE L9.5 MM MEDIUM SPINE CERVICAL TRADITIONAL LEVERAGE BONE 7650009,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE L90 MM 1/3 TUBULAR 7 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,44.78,22.39,8.58,40.3,65
HCPCS,C1713,PLATE L90 MM BROAD 10 HOLE LOCK VARIAX BONE 2.7 MM SCREW,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE L90 MM CONTOUR DISTAL POSTEROLATERAL RIGHT 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,544.61,272.31,104.29,490.15,65
HCPCS,C1713,PLATE L90 MM CONTOUR LEFT DISTAL POSTEROLATERAL 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,511.71,255.86,97.99,460.54,65
HCPCS,C1713,PLATE L90 MM CONTOUR POSTEROLATERAL 4 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,544.61,272.31,104.29,490.15,65
HCPCS,C1713,PLATE L90 MM ELBOW LEFT OLECRANON 5 HOLE LOW PROFILE EXTEND ACUMED BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L90 MM ELBOW RIGHT OLECRANON 5 HOLE LOW PROFILE EXTEND ACU-LOC 2 BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L90 MM LEFT 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,911.73,455.87,174.6,820.56,65
HCPCS,C1713,PLATE L90 MM LEFT 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,933.72,466.86,178.81,840.35,65
HCPCS,C1713,PLATE L90 MM LEFT 2 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,955.95,477.98,183.06,860.36,65
HCPCS,C1713,PLATE L90 MM NARROW STRAIGHT 7 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE L90 MM RIGHT 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,911.73,455.87,174.6,820.56,65
HCPCS,C1713,PLATE L90 MM RIGHT 2 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP TITANIUM BONE 2.7/3.5 MM SCREW,933.72,466.86,178.81,840.35,65
HCPCS,C1713,PLATE L90 MM RIGHT 2 HOLE VARIABLE ANGLE ROUND PROFILE TAPER TIP STAINLESS STEEL BONE 2.7/3.5 MM SCREW,955.95,477.98,183.06,860.36,65
HCPCS,C1713,PLATE L90 MM SMALL ANKLE LEFT ANTERIOR 3 HOLE SHAFT 1 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L90 MM SMALL ANKLE RIGHT ANTERIOR 3 HOLE SHAFT 1 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L90 MM SPINE CERVICAL ANTERIOR 5 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L90 MM STANDARD ELBOW LEFT OLECRANON 5 HOLE LOW PROFILE ACUMED BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L90 MM STANDARD ELBOW RIGHT OLECRANON 5 HOLE LOW PROFILE ACUMED BONE,1049.0,524.5,200.88,944.1,65
HCPCS,C1713,PLATE L90 MM T TIBIAL DISTAL 5 HOLE 4 LOCK STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,603.29,301.65,115.53,542.96,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM DISTAL POSTEROLATERAL LEFT 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,762.22,381.11,145.97,686.0,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM DISTAL POSTEROLATERAL LEFT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,902.52,451.26,172.83,812.27,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM HUMERUS LEFT DISTAL POSTEROLATERAL 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,794.92,397.46,152.23,715.43,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,902.52,451.26,172.83,812.27,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 5 HOLE PRECONTOUR LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,794.92,397.46,152.23,715.43,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM POSTEROLATERAL LEFT DISTAL 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,831.44,415.72,159.22,748.3,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H2.5 MM POSTEROLATERAL RIGHT DISTAL 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL SUPPORT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,831.44,415.72,159.22,748.3,65
HCPCS,C1713,PLATE L90 MM X W11 MM X H3.3 MM 7 HOLE STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,253.36,126.68,48.52,228.02,65
HCPCS,C1713,PLATE L90 MM X W12 MM X H2.5 MM STANDARD PROXIMAL 3 HOLE SHAFT LOCK COMPRESSION PRECONTOUR STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1180.41,590.21,226.05,1062.37,65
HCPCS,C1713,PLATE L90 MM X W12 MM X H2.5 MM STANDARD PROXIMAL 3 HOLE SHAFT LOCK COMPRESSION PRECONTOUR TITANIUM BONE 3.5 MM SCREW SMALL FRAGMENT SET,1254.76,627.38,240.29,1129.28,65
HCPCS,C1713,PLATE L90 MM X W23-15 MM 100 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,844.14,422.07,161.65,759.73,65
HCPCS,C1713,PLATE L90 MM X W23-15 MM 110 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,844.14,422.07,161.65,759.73,65
HCPCS,C1713,PLATE L90 MM X W23-15 MM 140 D HIP 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,875.07,437.54,167.58,787.56,65
HCPCS,C1713,PLATE L90.2 MM X W6.8 MM X H1.65 MM STRAIGHT HAND LOCK LOW PROFILE PRECONTOUR FLEXIBLE TIMAX ALPS BONE 2.5 MM SCREW,365.0,182.5,69.9,328.5,65
HCPCS,C1713,PLATE L90.5 MM STRAIGHT PELVIC 6 HOLE STAINLESS STEEL MATTA SPS BONE,301.49,150.75,57.74,271.34,65
HCPCS,C1713,PLATE L91 MM 130 D FEMUR PROXIMAL 4 HOLE LOCK STAINLESS STEEL PEDILOC BONE 4.5 MM SCREW,1196.41,598.21,229.11,1076.77,65
HCPCS,C1713,PLATE L91 MM 150 D FEMUR PROXIMAL 5 HOLE LOCK STAINLESS STEEL PEDILOC BONE 3.5 MM SCREW,1218.06,609.03,233.26,1096.25,65
HCPCS,C1713,PLATE L91 MM BROAD STRAIGHT 7 HOLE COMPRESSION VARIAX BONE MINI FRAGMENT,401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE L91 MM CLAVICLE ANTERIOR MEDIAL 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,752.22,376.11,144.05,677.0,65
HCPCS,C1713,PLATE L91 MM CLAVICLE MEDIAL ANTERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,809.03,404.52,154.93,728.13,65
HCPCS,C1713,PLATE L91 MM CLAVICLE MEDIAL ANTERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,788.16,394.08,150.93,709.34,65
HCPCS,C1713,PLATE L91 MM CONTOUR PERIARTICULAR PROXIMAL RIGHT 2 HOLE LIMIT CONTACT TAPER TIP TITANIUM BONE 3.5 MM SCREW,1300.22,650.11,248.99,1170.2,65
HCPCS,C1713,PLATE L91 MM DEEP CURVE CLAVICLE LEFT SUPERIOR 9 HOLE LOW PROFILE STAINLESS STEEL ANTHEM MIDSHAFT42 BONE,825.0,412.5,157.99,742.5,65
HCPCS,C1713,PLATE L91 MM MEDIUM FIBULA LEFT LATERAL 11 HOLE ORTHOLOC BONE,1224.85,612.43,234.56,1102.37,65
HCPCS,C1713,PLATE L91 MM MEDIUM FIBULA RIGHT LATERAL 11 HOLE ORTHOLOC BONE,1224.85,612.43,234.56,1102.37,65
HCPCS,C1713,PLATE L91 MM WAIST 7 HOLE COMPRESSION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,86.57,43.29,16.58,77.91,65
HCPCS,C1713,PLATE L91 MM X W10.1 MM X H3.7 MM STRAIGHT PELVIC 7 HOLE LOW PROFILE RECONSTRUCTION LOCK STAINLESS STEEL BONE 3.5 MM SCREW,524.03,262.02,100.35,471.63,65
HCPCS,C1713,PLATE L91 MM X W10.1 MM X H3.85 MM WIDE ANGLE STRAIGHT PELVIC 7 HOLE LOW PROFILE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW,310.77,155.39,59.51,279.69,65
HCPCS,C1713,PLATE L91 MM X W10.2 MM X H2.7 MM STRAIGHT PELVIC 7 HOLE RECONSTRUCTION LOW PROFILE STAINLESS STEEL BONE 3.5 MM SCREW,346.08,173.04,66.27,311.47,65
HCPCS,C1713,PLATE L91 MM X W11.2 MM X H2 MM 11 MM SPACE TIBIAL RIGHT PROXIMAL LATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE STAINLESS STEEL EVOS W31.9 MM X H1.8 MM BONE 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L91 MM X W11.5 MM X H3.6 MM 11 MM SPACE STD TIB RT,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE L92 MM 95 D CONDYLAR 5 HOLE BLADE STAINLESS STEEL L60 MM BONE,637.1,318.55,122.0,573.39,65
HCPCS,C1713,PLATE L92 MM 95 D CONDYLAR 5 HOLE BLADE STAINLESS STEEL L70 MM BONE,637.1,318.55,122.0,573.39,65
HCPCS,C1713,PLATE L92 MM HUMERUS DISTAL MEDIAL 4 HOLE LOCK PRECONTOUR TITANIUM VARIAX BONE,962.17,481.09,184.26,865.95,65
HCPCS,C1713,PLATE L92 MM LONG T FOREFOOT MIDFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM LCP BONE 2.4/2.7 MM SCREW,1034.2,517.1,198.05,930.78,65
HCPCS,C1713,PLATE L92 MM LONG T MIDFOOT FOREFOOT LOW PROFILE VARIABLE ANGLE FUSION COMPRESSION WIRE HOLE TITANIUM BONE 2.4/2.7 MM SCREW,1105.65,552.83,211.73,995.09,65
HCPCS,C1713,PLATE L92 MM NARROW TRIANGLE 10 HOLE LOCK VARIAX BONE 2.7 MM SCREW,844.76,422.38,161.77,760.28,65
HCPCS,C1713,PLATE L92 MM SMALL ANKLE TIBIOTALAR LATERAL 2 HOLE SHAFT 2 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L92 MM SMALL TIBIAL RIGHT MEDIAL 12 HOLE ORTHOLOC BONE,1706.43,853.22,326.78,1535.79,65
HCPCS,C1713,PLATE L93 MM CLAVICLE RIGHT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE L93 MM CONTOUR MEDIAL 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1148.13,574.07,219.87,1033.32,65
HCPCS,C1713,PLATE L93 MM CONTOUR MEDIAL PROXIMAL RIGHT 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1075.69,537.85,205.99,968.12,65
HCPCS,C1713,PLATE L93 MM CONTOUR PROXIMAL MEDIAL LEFT 4 HOLE LIMIT CONTACT STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,1075.69,537.85,205.99,968.12,65
HCPCS,C1713,PLATE L93 MM MEDIAL PROXIMAL LEFT 4 HOLE BONE 3.5 MM SCREW,1148.13,574.07,219.87,1033.32,65
HCPCS,C1713,PLATE L93 MM SMALL ANKLE LEFT ANTEROLATERAL 3 HOLE SHAFT 1 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L93 MM SMALL ANKLE RIGHT ANTEROLATERAL 3 HOLE SHAFT 1 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L93 MM SMALL TIBIOTALOCALCANEAL POSTERIOR 3 HOLE SHAFT 1 COMPRESSION SLOT FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE L93 MM SPINE CERVICAL ANTERIOR 4 LEVEL XTEND BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L93 MM X W9 MM X H1 MM 1/3 TUBULAR 8 HOLE COLLAR STAINLESS STEEL H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,140.93,70.47,26.99,126.84,65
HCPCS,C1713,PLATE L93 MM X W9 MM X H1 MM 1/3 TUBULAR 8 HOLE COLLAR TITANIUM H.7 MM OD12 MM BONE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET,147.02,73.51,28.15,132.32,65
HCPCS,C1713,PLATE L94 MM 10 HOLE LOW PROFILE CUT TO LENGTH STAINLESS STEEL BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SET,312.71,156.36,59.88,281.44,65
HCPCS,C1713,PLATE L94 MM 10 HOLE LOW PROFILE CUT TO LENGTH TITANIUM BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,326.97,163.49,62.61,294.27,65
HCPCS,C1713,PLATE L94 MM 8 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM SCREW SMALL FRAGMENT SET,412.86,206.43,79.06,371.57,65
HCPCS,C1713,PLATE L94 MM CLAVICLE LEFT ANTERIOR SUPERIOR 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,706.61,353.31,135.32,635.95,65
HCPCS,C1713,PLATE L94 MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,714.59,357.3,136.84,643.13,65
HCPCS,C1713,PLATE L94 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,706.61,353.31,135.32,635.95,65
HCPCS,C1713,PLATE L94 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION TITANIUM BONE 3.5 MM SCREW,740.45,370.23,141.8,666.41,65
HCPCS,C1713,PLATE L94 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP STAINLESS STEEL BONE 3.5 MM SCREW,769.68,384.84,147.39,692.71,65
HCPCS,C1713,PLATE L94 MM HUMERUS LEFT POSTERIOR LATERAL 11 HOLE ALPS BONE,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L94 MM RIGHT CLAVICLE SUPERIOR ANTERIOR 5 HOLE PRECONTOUR LIMIT CONTACT LATERAL EXTENSION STAINLESS STEEL BONE 3.5 MM SCREW,761.33,380.67,145.79,685.2,65
HCPCS,C1713,PLATE L94 MM STANDARD HUMERUS LEFT PROXIMAL 4 HOLE POLARUS 3 BONE BLUE,1506.0,753.0,288.4,1355.4,65
HCPCS,C1713,PLATE L94 MM STANDARD TIBIAL RIGHT DISTAL MEDIAL 4 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,887.4,443.7,169.94,798.66,65
HCPCS,C1713,PLATE L94 MM TIBIAL LEFT PROXIMAL LATERAL 4 HOLE LOCK LOW PROFILE STAINLESS STEEL PERI-LOC BONE 4.5 MM SCREW,844.74,422.37,161.77,760.27,65
HCPCS,C1713,PLATE L94 MM X W10 MM X H3.6 MM CURVE PELVIC 8 HOLE RECONSTRUCTION STAINLESS STEEL LC-DCP BONE 3.5 MM CORTEX SCREW,611.12,305.56,117.03,550.01,65
HCPCS,C1713,PLATE L94 MM X W11 MM MEDIUM CLAVICLE LEFT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE BLUE,2833.0,1416.5,542.52,2549.7,65
HCPCS,C1713,PLATE L94 MM X W11 MM MEDIUM CLAVICLE RIGHT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 5 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 130 D STANDARD BARREL FEMUR 5 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 5 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 135 D STANDARD BARREL FEMUR 5 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 140 D STANDARD BARREL FEMUR 5 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 140 D STANDARD BARREL FEMUR 5 HOLE STAINLESS STEEL DHS DCP L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,434.29,217.15,83.17,390.86,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 145 D STANDARD BARREL FEMUR 5 HOLE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L94 MM X W19 MM X H5.8 MM 150 D STANDARD BARREL FEMUR 5 HOLE LOW PROFILE STAINLESS STEEL L38 MM OD12.6 MM BONE 4.5 MM CORTEX SCREW,476.04,238.02,91.16,428.44,65
HCPCS,C1713,PLATE L95 MM RADIUS LEFT DISTAL VOLAR 5 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1200.87,600.44,229.97,1080.78,65
HCPCS,C1713,PLATE L95 MM RADIUS LEFT DISTAL VOLAR 5 HOLE SHAFT STAINLESS STEEL SYNTHES BONE 2.4/3.5 MM SCREW,1091.95,545.98,209.11,982.76,65
HCPCS,C1713,PLATE L95 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE SHAFT STAINLESS STEEL BONE 2.4/3.5 MM SCREW,1200.87,600.44,229.97,1080.78,65
HCPCS,C1713,PLATE L95 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE SHAFT STAINLESS STEEL LCP BONE 2.4/3.5 MM SCREW,1091.95,545.98,209.11,982.76,65
HCPCS,C1713,PLATE L95 MM SHALLOW CURVE CLAVICLE LEFT SUPERIOR 9 HOLE STAINLESS STEEL ANTHEM BONE,825.0,412.5,157.99,742.5,65
HCPCS,C1713,PLATE L95 MM SPINE CERVICAL 5 LEVEL OZARK BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L95 MM SPINE CERVICAL ANTERIOR 5 LEVEL TITANIUM ATLANTIS VISION ELITE BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE L95 MM STANDARD TIBIAL LEFT PROXIMAL LATERAL 2 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L95 MM STANDARD TIBIAL RIGHT DISTAL ANTEROLATERAL 4 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,907.8,453.9,173.84,817.02,65
HCPCS,C1713,PLATE L95 MM STANDARD TIBIAL RIGHT PROXIMAL LATERAL 2 HOLE LOCK STAINLESS STEEL AXSOS BONE 3.5/4 MM SCREW,898.62,449.31,172.09,808.76,65
HCPCS,C1713,PLATE L95 MM X H.5 MM LONG STRAIGHT ELBOW OLECRANON 10 HOLE MULTIDIRECTIONAL LOCK LOW PROFILE ROUND EDGE TITANIUM APTUS BONE 2.8 MM SCREW,520.57,260.29,99.69,468.51,65
HCPCS,C1713,PLATE L95 MM X H94 MM 130 D 4 HOLE BLADE STAINLESS STEEL DCP W16 MM X H6.5 MM BONE 4.5 MM SCREW OSTEOTOMY,684.53,342.27,131.09,616.08,65
HCPCS,C1713,PLATE L95 MM X W11 MM X H3.3 MM TIBIAL RIGHT DISTAL MEDIAL 6 HOLE STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW,912.13,456.07,174.67,820.92,65
HCPCS,C1713,PLATE L95 MM X W23-15 MM 120 D HIP 4 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,844.14,422.07,161.65,759.73,65
HCPCS,C1713,PLATE L95 MM X W23-15 MM 90 D CONDYLAR 3 HOLE SHAFT STAINLESS STEEL BONE PEDIATRIC 5 MM SCREW,875.07,437.54,167.58,787.56,65
HCPCS,C1713,PLATE L96 MM 1/3 TUBULAR ANKLE 8 HOLE STAINLESS STEEL ANTHEM BONE,190.0,95.0,36.39,171.0,65
HCPCS,C1713,PLATE L96 MM 8 HOLE RECONSTRUCTION STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,248.75,124.38,47.64,223.88,65
HCPCS,C1713,PLATE L96 MM BROAD 12 HOLE LOCK VARIAX BONE 2.4 MM SCREW,702.47,351.24,134.52,632.22,65
HCPCS,C1713,PLATE L96 MM FIBULA RIGHT DISTAL POSTEROLATERAL 5 HOLE LOW PROFILE STAINLESS STEEL ANTHEM BONE 3.5/4 MM SCREW,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE L96 MM LONG ELBOW MEDIAL 9 HOLE LOCK TITANIUM ACUMED BONE,966.0,483.0,184.99,869.4,65
HCPCS,C1713,PLATE L96 MM X H.5-1.6 MM ELBOW OLECRANON LEFT 10 HOLE TITANIUM APTUS OD2.8 MM BONE 2.8 MM SCREW,529.72,264.86,101.44,476.75,65
HCPCS,C1713,PLATE L96 MM X H.5-1.6 MM ELBOW OLECRANON RIGHT 10 HOLE TITANIUM APTUS OD2.8 MM BONE 2.8 MM SCREW,529.72,264.86,101.44,476.75,65
HCPCS,C1713,PLATE L96 MM X W10 MM LARGE CLAVICLE LEFT SUPERIOR 8 HOLE LOCK MIDSHAFT NARROW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L96 MM X W10 MM LARGE CLAVICLE RIGHT SUPERIOR 8 HOLE LOCK MIDSHAFT NARROW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L96 MM X W10 MM X H1.5 MM OBLIQUE RIGHT T 3 HOLE HEAD 7 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,317.14,158.57,60.73,285.43,65
HCPCS,C1713,PLATE L96 MM X W10 MM X H1.5 MM T OBLIQUE LEFT 3 HOLE HEAD 7 HOLE SHAFT STAINLESS STEEL LCP COMBI BONE 3.5 MM SCREW SMALL FRAGMENT SET,317.6,158.8,60.82,285.84,65
HCPCS,C1713,PLATE L97 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH STAINLESS STEEL LCP PRO-PAK BONE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM,345.28,172.64,66.12,310.75,65
HCPCS,C1713,PLATE L97 MM FOREARM RADIUS MIDSHAFT TITANIUM FREEFIX BONE,1373.0,686.5,262.93,1235.7,65
HCPCS,C1713,PLATE L97 MM WAIST 7 HOLE LOCK COMPRESSION STAINLESS STEEL AXSOS BONE 4 MM SCREW SMALL FRAGMENT SET,104.04,52.02,19.92,93.64,65
HCPCS,C1713,PLATE L97 MM X W10.9 MM X H2.5 MM CONTOUR HUMERUS LEFT DISTAL MEDIAL 10 HOLE LOW PROFILE PROXIMAL BULLET TIP TIMAX ALPS BONE 3.5 MM SCREW,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L97 MM X W10.9 MM X H2.5 MM HUMERUS MEDIAL RIGHT 10 HOLE LOW PROFILE PROXIMAL BULLET TIP TIMAX ALPS BONE 3.5 MM SCREW,929.5,464.75,178.0,836.55,65
HCPCS,C1713,PLATE L97 MM X W9 MM X H1 MM 1/3 TUBULAR 8 HOLE COLLAR STAINLESS STEEL H.5 MM OD12 MM BONE,105.2,52.6,20.15,94.68,65
HCPCS,C1713,PLATE L97 MM X W9.2 MM X H1.3 MM 100 D TUBULAR ULNA OLECRANON DISTAL 8 HOLE LOCK LOW PROFILE TIMAX TIMAX BONE 3.5 MM SCREW SMALL FRAGMENT SET,94.5,47.25,18.1,85.05,65
HCPCS,C1713,PLATE L98 MM 1/3 TUBULAR ANKLE 8 HOLE LOCK STAINLESS STEEL TIGHTROPE BONE,212.0,106.0,40.6,190.8,65
HCPCS,C1713,PLATE L98 MM 3.5 MM SCREW 7 HOLE STAINLESS STEEL BONE,245.57,122.79,47.03,221.01,65
HCPCS,C1713,PLATE L98 MM ANKLE LATERAL 5 HOLE LOCK HOOK STAINLESS STEEL TIGHTROPE BONE,690.08,345.04,132.15,621.07,65
HCPCS,C1713,PLATE L98 MM TIBIAL RIGHT DISTAL ANTEROLATERAL 6 HOLE LOCK STAINLESS STEEL PERI-LOC BONE 3.5 MM SCREW,969.29,484.65,185.62,872.36,65
HCPCS,C1713,PLATE L98 MM X W10.1 MM X H3.5 MM 7 HOLE RECONSTRUCTION STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,395.68,197.84,75.77,356.11,65
HCPCS,C1713,PLATE L98 MM X W11 MM LARGE CLAVICLE LEFT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACUMED BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L98 MM X W11 MM LARGE CLAVICLE RIGHT SUPERIOR 8 HOLE LOCK MIDSHAFT LOW PROFILE TITANIUM ACU SINCH BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE L98 MM X W13.5 MM X H4.2 MM NARROW 5 HOLE LIMIT CONTACT TAPER END STAINLESS STEEL BONE 4.5 MM SCREW LARGE FRAGMENT SET,280.13,140.07,53.64,252.12,65
HCPCS,C1713,PLATE L98 MM X W13.5 MM X H4.2 MM NARROW 5 HOLE LIMIT CONTACT TAPER END TITANIUM BONE 4.5 MM SCREW LARGE FRAGMENT SET,292.87,146.44,56.08,263.58,65
HCPCS,C1713,PLATE L98.6 MM X W10.3 MM X H3.7 MM 7 HOLE LOCK LOW PROFILE COMPRESSION TIMAX ALPS BONE 3.5 MM SCREW SMALL FRAGMENT,238.0,119.0,45.58,214.2,65
HCPCS,C1713,PLATE L99 MM CLAVICLE LEFT SUPERIOR 6 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,1168.13,584.07,223.7,1051.32,65
HCPCS,C1713,PLATE L99 MM CLAVICLE LEFT SUPERIOR 8 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,1101.47,550.74,210.93,991.32,65
HCPCS,C1713,PLATE L99 MM CLAVICLE RIGHT SUPERIOR 6 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,1168.13,584.07,223.7,1051.32,65
HCPCS,C1713,PLATE L99 MM CLAVICLE RIGHT SUPERIOR 8 HOLE MIDSHAFT DECREASE CURVATURE VARIAX BONE,1101.47,550.74,210.93,991.32,65
HCPCS,C1713,PLATE L99 MM CONTOUR LATERAL 5 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,539.66,269.83,103.34,485.69,65
HCPCS,C1713,PLATE L99 MM CONTOUR LATERAL DISTAL LEFT 5 HOLE TITANIUM BONE 2.7/3.5 MM SCREW,539.66,269.83,103.34,485.69,65
HCPCS,C1713,PLATE L99 MM CONTOUR LATERAL DISTAL RIGHT 5 HOLE STAINLESS STEEL BONE 2.7/3.5 MM SCREW,507.34,253.67,97.16,456.61,65
HCPCS,C1713,PLATE L99 MM D15 MM CLAVICLE LEFT 6 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,722.93,361.47,138.44,650.64,65
HCPCS,C1713,PLATE L99 MM D18 MM CLAVICLE LEFT 6 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,782.09,391.05,149.77,703.88,65
HCPCS,C1713,PLATE L99 MM D18 MM CLAVICLE RIGHT 6 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,782.09,391.05,149.77,703.88,65
HCPCS,C1713,PLATE L99 MM X W11 MM X H3.3 MM METAPHYSEAL 7 HOLE THIN PROFILE TAPER ROUND TIP STAINLESS STEEL BONE 3.5 MM SCREW SMALL FRAGMENT SET,849.39,424.7,162.66,764.45,65
HCPCS,C1713,PLATE L99 MM X W38 MM ANTEROLATERAL DISTAL TIBIA 6 HOLE TITANIUM ALLOY UNITE BONE,1875.0,937.5,359.06,1687.5,65
HCPCS,C1713,PLATE LARGE ANKLE TIBIAL MALLEOLUS MEDIAL ORTHOLOC BONE,1461.66,730.83,279.91,1315.49,65
HCPCS,C1713,PLATE LARGE ANKLE TIBIAL MALLEOLUS POSTERIOR ORTHOLOC BONE,1194.0,597.0,228.65,1074.6,65
HCPCS,C1713,PLATE LARGE CALCANEUS LEFT LOCK PERIMETER TITANIUM BONE 3.5/4 MM SCREW,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE LARGE CALCANEUS RIGHT ANTERIOR ACUMED BONE,836.0,418.0,160.09,752.4,65
HCPCS,C1713,PLATE LARGE CLAVICLE RIGHT 8 HOLE LOCK TITANIUM ACUMED BONE,745.0,372.5,142.67,670.5,65
HCPCS,C1713,PLATE LARGE FIBULA LEFT LATERAL UNITE BONE,1843.74,921.87,353.08,1659.37,65
HCPCS,C1713,PLATE LARGE FOOT ANKLE ORTHOLINK BONE,903.0,451.5,172.92,812.7,65
HCPCS,C1713,PLATE LARGE HUMERUS LEFT PROXIMAL DISTAL LOCK HOLE TITANIUM POLARUS BONE,1239.0,619.5,237.27,1115.1,65
HCPCS,C1713,PLATE LARGE LONG ANKLE HOOK ORTHOLOC BONE,1188.03,594.02,227.51,1069.23,65
HCPCS,C1713,PLATE LARGE METATARSAL LEFT ORTHOLOC BONE JONES FRACTURE,1345.24,672.62,257.61,1210.72,65
HCPCS,C1713,PLATE LARGE MIDFOOT RIGHT POLYLOCK BONE LISFRANC,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE LARGE SECOND THIRD TARSOMETATARSAL RIGHT 2 RAY GORILLA BONE LISFRANC,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PLATE LARGE SHORT ANKLE HOOK ORTHOLOC BONE,1229.82,614.91,235.51,1106.84,65
HCPCS,C1713,PLATE LARGE SPINE 2 HOLE PIVOX OBLIQUE LATERAL SPINAL SYSTEM BONE OLIF25,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE LARGE SPINE OCCIPITOCERVICAL KEEL LOW PROFILE TITANIUM VERTEX SELECT BONE,723.64,361.82,138.58,651.28,65
HCPCS,C1713,PLATE LARGE SPINE OCCIPITOCERVICAL MOUNTAINEER BONE,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE LARGE SQUARE 4 HOLE MATRIXSTERNUM BONE,399.0,199.5,76.41,359.1,65
HCPCS,C1713,PLATE LARGE STANDARD FOOT CALCANEUS 12HOLE POLYAXIAL LOCK LOW PROFILE TITANIUM VARIAX BONE,711.43,355.72,136.24,640.29,65
HCPCS,C1713,PLATE LEFT 5 HOLE TITANIUM ALPHA BONE,2156.0,1078.0,412.87,1940.4,65
HCPCS,C1713,PLATE LEFT ANKLE 9HOLE POLYLOCK BONE,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,PLATE LEFT CENTRAL COLUMN TITANIUM ALUMINUM VANADIUM PROTEAN BONE,942.0,471.0,180.39,847.8,65
HCPCS,C1713,PLATE LEFT DISTAL POSTEROLATERAL 9 HOLE LATERAL SUPPORT BONE 3.5 MM SCREW,977.57,488.79,187.2,879.81,65
HCPCS,C1713,PLATE LEFT OFFSET OLECRANON 6 HOLE HOOK STAINLESS STEEL OLECRANON HOOK PLATE BONE 3.2 MM SCREW,720.0,360.0,137.88,648.0,65
HCPCS,C1713,PLATE LEFT VOLAR RADIUS DISTAL 7 HOLE HEAD 2 HOLE SHAFT 2 COLUMN VARIABLE ANGLE TITANIUM BONE 2.4 MM SCREW,715.01,357.51,136.92,643.51,65
HCPCS,C1713,PLATE LOCK AVS ANCHOR-L BONE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,PLATE LOCK BRIDGE LOCKING PLATES BONE,1255.0,627.5,240.33,1129.5,65
HCPCS,C1713,PLATE LONG ANKLE RIGHT TIBIOTALAR ANTERIOR SILVERBACK BONE ANKLE FUSION SYSTEM,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,PLATE LONG CALCANEUS RIGHT ANTERIOR BONE 3.5/4 MM SCREW PERCUTANEOUS,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE LONG CALCANEUS RIGHT TUBEROSITY BONE 3.5/4 MM SCREW PERCUTANEOUS,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE LONG CLAVICLE LEFT DISTAL LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE LONG CLAVICLE RIGHT DISTAL LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE LONG CRANIOFACIAL 2 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,46.0,23.0,8.81,41.4,65
HCPCS,C1713,PLATE LONG CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C TITANIUM LEVEL ONE BONE,178.68,89.34,34.22,160.81,65
HCPCS,C1713,PLATE LONG FLAT ANKLE LEFT TIBIOTALAR ANTERIOR SILVERBACK BONE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,PLATE LONG NARROW RADIAL LEFT DISTAL VOLAR ACU-LOC 2 BONE,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE LONG PELVIC QUADRILATERAL SURFACE STAINLESS STEEL BONE 3.5 MM SCREW,529.75,264.88,101.45,476.78,65
HCPCS,C1713,PLATE LONG RADIAL DISTAL DORSAL SPAN TITANIUM GEMINUS BONE,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE LONG RADIAL LEFT DISTAL VOLAR EXTENSION ACU-LOC 2 BONE 2.3 MM SCREW,1235.0,617.5,236.5,1111.5,65
HCPCS,C1713,PLATE LONG RADIAL RIGHT DISTAL VOLAR EXTENSION ACU-LOC 2 BONE 2.3 MM SCREW,1235.0,617.5,236.5,1111.5,65
HCPCS,C1713,PLATE LONG STRAIGHT CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE TITANIUM LEVEL ONE NEURO BONE 1.5 MM SCREW,40.71,20.36,7.8,36.64,65
HCPCS,C1713,PLATE LONG STRAIGHT MIDFACE 6 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,100.0,50.0,19.15,90.0,65
HCPCS,C1713,PLATE LONG ULNA LEFT DISTAL VOLAR HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER BONE,814.0,407.0,155.88,732.6,65
HCPCS,C1713,PLATE LONG ULNA RIGHT DISTAL VOLAR HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER BONE,814.0,407.0,155.88,732.6,65
HCPCS,C1713,PLATE LUNATE DISTAL VOLAR SUTURE ACU-LOC 2 BONE,838.0,419.0,160.48,754.2,65
HCPCS,C1713,PLATE LUNATE RADIAL RIGHT DORSAL ACU-LOC 2 BONE,838.0,419.0,160.48,754.2,65
HCPCS,C1713,PLATE MANDIBLE 17 HOLE PRIMARY RECONSTRUCTION TEMPLATE NA BONE 2.5 MM SCREW,2785.4,1392.7,533.4,2506.86,65
HCPCS,C1713,PLATE MANDIBLE 6 X 15 X 6 HOLE PRIMARY RECONSTRUCTION TEMPLATE NA BONE,3473.0,1736.5,665.08,3125.7,65
HCPCS,C1713,PLATE MAXILLOMANDIBULAR SMARTLOCK HYBRID MMF BONE,333.68,166.84,63.9,300.31,65
HCPCS,C1713,PLATE MEDIUM ANKLE RIGHT 7 HOLE STAINLESS STEEL SIDEWINDER BONE,740.0,370.0,141.71,666.0,65
HCPCS,C1713,PLATE MEDIUM CALCANEAL LEFT TITANIUM BABY GORILLA BONE SINUS TARSI,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,PLATE MEDIUM CALCANEUS LEFT LOCK PERIMETER TITANIUM BONE 3.5/4 MM SCREW,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE MEDIUM CALCANEUS RIGHT LOCK PERIMETER TITANIUM BONE 3.5/4 MM SCREW,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE MEDIUM CLAVICLE LEFT 8 HOLE LOCK TITANIUM ACUMED BONE,745.0,372.5,142.67,670.5,65
HCPCS,C1713,PLATE MEDIUM CLAVICLE LEFT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE MEDIUM CLAVICLE RIGHT LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE MEDIUM CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C TITANIUM LEVEL ONE BONE,178.68,89.34,34.22,160.81,65
HCPCS,C1713,PLATE MEDIUM CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE DRAIN TITANIUM LEVEL ONE BONE,178.68,89.34,34.22,160.81,65
HCPCS,C1713,PLATE MEDIUM FIBULA LEFT LATERAL MEDLINE UNITE BONE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE MEDIUM FIRST SECOND TARSOMETATARSAL LEFT 2 RAY GORILLA BONE LISFRANC,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PLATE MEDIUM FOOT FIRST RAY RECONSTRUCTION LOW PROFILE ORTHOLOC 3DI BONE FOOT RECONSTRUCTION SYSTEM,1064.65,532.33,203.88,958.19,65
HCPCS,C1713,PLATE MEDIUM MEDIAL COMPRESSION SLOT COLUMN FUSION ORTHOLOC 3DI BONE 3.5 MM SCREW,1843.74,921.87,353.08,1659.37,65
HCPCS,C1713,PLATE MEDIUM MIDFOOT LEFT LOW PROFILE BRIDGE FUSION TITANIUM SALVATION BONE 4/5.5 MM SCREW,3116.34,1558.17,596.78,2804.71,65
HCPCS,C1713,PLATE MEDIUM MIDFOOT LEFT LOW PROFILE RECONSTRUCTION FUSION TITANIUM SALVATION BONE 4/5.5 MM SCREW,2923.31,1461.66,559.81,2630.98,65
HCPCS,C1713,PLATE MEDIUM MIDFOOT RIGHT LOW PROFILE RECONSTRUCTION FUSION TITANIUM SALVATION BONE 4/5.5 MM SCREW,2923.31,1461.66,559.81,2630.98,65
HCPCS,C1713,PLATE MEDIUM RIGHT ANKLE SINUS TARSI EXTENDED TITANIUM UNITE BONE SINUS TARSI,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,PLATE MEDIUM SPINE OCCIPITOCERVICAL MOUNTAINEER BONE,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE METATARSOPHALANGEAL LEFT FUSION REVISION MEDLINE UNITE BONE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,PLATE METATARSOPHALANGEAL RIGHT FUSION REVISION MEDLINE UNITE BONE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,PLATE METATARSOPHALANGEAL RIGHT ORTHOLOC 3DI CROSSCHECK BONE,2031.79,1015.9,389.09,1828.61,65
HCPCS,C1713,PLATE MICRO L-SHAPE 100D LT,175.51,87.76,33.61,157.96,65
HCPCS,C1713,PLATE MINI MANDIBLE 4 HOLE NA BONE 1.5 MM SCREW,927.0,463.5,177.52,834.3,65
HCPCS,C1713,PLATE MTP FUSION 0 DEG XSML RIGHT,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE NARROW ANKLE LEFT 7 HOLE STAINLESS STEEL SIDEWINDER BONE,740.0,370.0,141.71,666.0,65
HCPCS,C1713,PLATE NARROW CONTOUR RADIAL LEFT DISTAL VOLAR 3 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE NARROW CONTOUR RADIAL LEFT DISTAL VOLAR 7 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE NARROW CONTOUR RADIAL RIGHT DISTAL VOLAR 3 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE NARROW CONTOUR RADIAL RIGHT DISTAL VOLAR 7 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE NARROW CONTOUR RADIUS RIGHT DISTAL VOLAR 5 HOLE GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE NARROW FOOT RIGHT METATARSOPHALANGEAL 3 HOLE PERI-LOC VLP BONE 2.7 MM SCREW,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE NARROW POSTERIOR 2 HOLE RIM PRO BONE,718.39,359.2,137.57,646.55,65
HCPCS,C1713,PLATE NARROW RADIAL DISTAL JOYSTICK HOLE LOCK SHAFT FIX ANGLE TITANIUM ACU-LOC KIRSCHNER OD.054 IN BONE 2.3 MM SCREW OSTEOTOMY,751.0,375.5,143.82,675.9,65
HCPCS,C1713,PLATE NARROW RADIAL LEFT DISTAL DORSAL JOYSTICK HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER OD.054 IN BONE,908.0,454.0,173.88,817.2,65
HCPCS,C1713,PLATE NARROW RADIAL LEFT DISTAL VOLAR ACU-LOC 2 BONE,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE NARROW RADIAL RIGHT DISTAL DORSAL JOYSTICK HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER OD.054 IN BONE,908.0,454.0,173.88,817.2,65
HCPCS,C1713,PLATE NARROW RADIAL RIGHT DISTAL VOLAR ACU-LOC 2 BONE,1116.0,558.0,213.71,1004.4,65
HCPCS,C1713,PLATE NARROW RADIUS RIGHT DISTAL VOLAR 4 HOLE TITANIUM GEMINUS BONE WRIST FOREARM SET,754.0,377.0,144.39,678.6,65
HCPCS,C1713,PLATE NARROW RADIUS RIGHT DISTAL VOLAR 7 HOLE TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE NARROW T HAND PHALANGEAL 7 HOLE HAND PLATES BONE,425.0,212.5,81.39,382.5,65
HCPCS,C1713,PLATE NARROW VOLAR RIGHT RIM DVR CROSSLOCKVOLAR RIM PLATE BONE,912.0,456.0,174.65,820.8,65
HCPCS,C1713,PLATE NARROW-T 3X10H 2.4X76MM,654.71,327.36,125.38,589.24,65
HCPCS,C1713,PLATE NAVICULAR LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,631.21,315.61,120.88,568.09,65
HCPCS,C1713,PLATE NEUTRAL WRIST FUSION ACU-LOC 2 BONE,1690.0,845.0,323.64,1521.0,65
HCPCS,C1713,PLATE NRW-T 5H LCK 2.7X47MMVARIAX,749.24,374.62,143.48,674.32,65
HCPCS,C1713,PLATE O  6 HOLES CONCAVE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,PLATE OBLIQUE L LEFT 2 HOLE HEAD 3 HOLE SHAFT BONE 2.7 MM SCREW,296.87,148.44,56.85,267.18,65
HCPCS,C1713,PLATE OD15 MM 6 HOLE VARIABLE ANGLE BONE 2.4 MM SCREW INTERCARPAL FUSION,849.84,424.92,162.74,764.86,65
HCPCS,C1713,PLATE OFFSET ANKLE ORTHOLOC BONE SYNDESMOSIS,494.52,247.26,94.7,445.07,65
HCPCS,C1713,PLATE OFFSET TARSOMETATARSAL 4 HOLE MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE OFFSET TARSOMETATARSAL 5 HOLE MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE ORAL MAXILLOFACIAL 2 NA BONE ORTHOGNATHIC,8228.16,4114.08,1575.69,7405.34,65
HCPCS,C1713,PLATE PEDILOC 6X50MM BLD 3.5MM 3HL CANN LCK 100D SS CHLD BN,1103.87,551.94,211.39,993.48,65
HCPCS,C1713,PLATE PELVIC 1 HOLE SPRING STAINLESS STEEL BONE 3.5 MM SCREW,215.97,107.99,41.36,194.37,65
HCPCS,C1713,PLATE PELVIC 2 HOLE SPRING STAINLESS STEEL BONE 3.5 MM SCREW,225.67,112.84,43.22,203.1,65
HCPCS,C1713,PLATE PELVIC 3 HOLE LOW PROFILE SPRING STAINLESS STEEL BONE 3.5 MM SCREW,238.03,119.02,45.58,214.23,65
HCPCS,C1713,PLATE PELVIC 3 HOLE SPRING STAINLESS STEEL BONE 3.5 MM SCREW,295.45,147.73,56.58,265.91,65
HCPCS,C1713,PLATE PELVIC 4 HOLE RECONSTRUCTION PRECONTOUR ACUMED BONE 3.5 MM SCREW,435.0,217.5,83.3,391.5,65
HCPCS,C1713,PLATE PELVIC 8 HOLE RECONSTRUCTION PRECONTOUR ACUMED BONE 3.5 MM SCREW,482.0,241.0,92.3,433.8,65
HCPCS,C1713,PLATE POSTERIOR 4 HOLE GORILLA BONE TRIMALLEOLAR FRACTURE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE POSTEROLATERAL DISTAL LEFT 7 HOLE LATERAL SUPPORT BONE 3.5 MM SCREW,901.15,450.58,172.57,811.04,65
HCPCS,C1713,PLATE POSTEROLATERAL LEFT DISTAL 7 HOLE BONE 2.7/3.5 MM SCREW,555.63,277.82,106.4,500.07,65
HCPCS,C1713,PLATE PREBENT RIB 12 HOLE TITANIUM RIBFIX BLU BONE,1882.0,941.0,360.4,1693.8,65
HCPCS,C1713,PLATE PREBENT RIB 16 HOLE TITANIUM RIBFIX BLU BONE,2668.0,1334.0,510.92,2401.2,65
HCPCS,C1713,PLATE PUBIC SYMPHYSIS 6 HOLE BONE 3.5 MM SCREW,674.01,337.01,129.07,606.61,65
HCPCS,C1713,PLATE RADIAL 3 HOLE TITANIUM RADIAL COLUMN PIN PLATE BONE,535.0,267.5,102.45,481.5,65
HCPCS,C1713,PLATE RADIAL 5 HOLE TITANIUM RADIAL COLUMN PIN PLATE BONE,535.0,267.5,102.45,481.5,65
HCPCS,C1713,PLATE RADIAL 7 HOLE TITANIUM RADIAL COLUMN PIN PLATE BONE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,PLATE RADIAL DISTAL DORSAL HOOK SCREW TITANIUM GEMINUS BONE,65.0,32.5,12.45,58.5,65
HCPCS,C1713,PLATE RADIAL DISTAL DORSAL HOOK TITANIUM GEMINUS BONE,363.0,181.5,69.51,326.7,65
HCPCS,C1713,PLATE RADIAL HEAD RIGHT PROTEAN BONE,1332.0,666.0,255.08,1198.8,65
HCPCS,C1713,PLATE RADIAL LEFT TITANIUM ALUMINUM VANADIUM FRAGMENT PLATE SYSTEM BONE,942.0,471.0,180.39,847.8,65
HCPCS,C1713,PLATE RADIAL RIGHT ASSEMBLE FRAGMENT TITANIUM ALUMINUM VANADIUM PROTEAN BONE,942.0,471.0,180.39,847.8,65
HCPCS,C1713,PLATE RADIAL STYLOID DIVERGENT ACU-LOC 2 BONE,838.0,419.0,160.48,754.2,65
HCPCS,C1713,PLATE RADIUS RIGHT DISTAL VOLAR RIM DVR BONE,912.0,456.0,174.65,820.8,65
HCPCS,C1713,PLATE RADIUS VOLAR LEFT DISTAL 9 HOLE SHAFT BONE,1259.54,629.77,241.2,1133.59,65
HCPCS,C1713,PLATE RIGHT FEMUR PROXIMAL 10 HOLE VARIABLE ANGLE STAINLESS STEEL BONE 3.5/4.5 MM SCREW,3001.5,1500.75,574.79,2701.35,65
HCPCS,C1713,PLATE ROUND FIRST METACARPOPHALANGEAL RIGHT FUSION TITANIUM ACUMED BONE,421.0,210.5,80.62,378.9,65
HCPCS,C1713,PLATE SCALLOP STAINLESS STEEL ANTHEM BONE,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SCAPULA ACROMION LEFT 7 HOLE TITANIUM ACUMED BONE,1529.0,764.5,292.8,1376.1,65
HCPCS,C1713,PLATE SCAPULA LEFT LATERAL 10 HOLE LOCK BORDER TITANIUM ACUMED BONE,1837.0,918.5,351.79,1653.3,65
HCPCS,C1713,PLATE SHORT ANKLE ANTERIOR FUSION BONE 6.7/7 MM SCREW,2075.0,1037.5,397.36,1867.5,65
HCPCS,C1713,PLATE SHORT BARREL T 7 HOLE POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE SHORT CLAVICLE LEFT DISTAL LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE SHORT CLAVICLE RIGHT DISTAL LOCK HOLE COMPRESSION SLOT PRECONTOUR CENTRAL THIRD STAINLESS STEEL BONE,611.62,305.81,117.13,550.46,65
HCPCS,C1713,PLATE SHORT CRANIOFACIAL 2 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,46.0,23.0,8.81,41.4,65
HCPCS,C1713,PLATE SHORT CRANIOFACIAL 4 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,77.12,38.56,14.77,69.41,65
HCPCS,C1713,PLATE SHORT PELVIC QUADRILATERAL SURFACE STAINLESS STEEL BONE 3.5 MM SCREW,483.01,241.51,92.5,434.71,65
HCPCS,C1713,PLATE SHORT RADIAL DISTAL DORSAL SPAN TITANIUM GEMINUS BONE,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE SHOULDER WEDGE PROFILE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,PLATE SHUNT 24MM LARGE LORENZ,299.0,149.5,57.26,269.1,65
HCPCS,C1713,PLATE SHUNT 25MMX.5MM LORENZ STERILE,379.0,189.5,72.58,341.1,65
HCPCS,C1713,PLATE SHUNT MEDIUM OD18.5 MM LORENZ,299.0,149.5,57.26,269.1,65
HCPCS,C1713,PLATE SLANT T RIGHT 4 HOLE COMPRESSION GORILLA BONE LISFRANC,1150.0,575.0,220.23,1035.0,65
HCPCS,C1713,PLATE SMALL ANGLE SPINE HINGE TROUGH TITANIUM CENTERPIECE BONE,109.35,54.68,20.94,98.42,65
HCPCS,C1713,PLATE SMALL ANKLE LEFT MALLEOLUS HOOK MEDLINE UNITE BONE,995.0,497.5,190.54,895.5,65
HCPCS,C1713,PLATE SMALL ANKLE TIBIAL MALLEOLUS POSTERIOR ORTHOLOC BONE,1067.64,533.82,204.45,960.88,65
HCPCS,C1713,PLATE SMALL CLAVICLE LEFT 8 HOLE LOCK TITANIUM ACUMED BONE,695.0,347.5,133.09,625.5,65
HCPCS,C1713,PLATE SMALL CLAVICLE RIGHT 6 HOLE LOCK TITANIUM ACUMED BONE,695.0,347.5,133.09,625.5,65
HCPCS,C1713,PLATE SMALL CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C TITANIUM LEVEL ONE BONE,178.68,89.34,34.22,160.81,65
HCPCS,C1713,PLATE SMALL FIBULA LEFT LATERAL MEDLINE UNITE BONE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE SMALL FOOT INLINE FUSION TIMAX ALPS BONE 2.5 MM SCREW,638.0,319.0,122.18,574.2,65
HCPCS,C1713,PLATE SMALL HUMERUS LEFT PROXIMAL DISTAL LOCK HOLE TITANIUM POLARUS BONE,1239.0,619.5,237.27,1115.1,65
HCPCS,C1713,PLATE SMALL LEFT HOOK POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE SMALL LONG ANKLE HOOK ORTHOLOC BONE,1359.17,679.59,260.28,1223.25,65
HCPCS,C1713,PLATE SMALL MAXILLOMANDIBULAR HYBRID MMF BONE,667.36,333.68,127.8,600.62,65
HCPCS,C1713,PLATE SMALL MEDIAL COMPRESSION SLOT COLUMN FUSION ORTHOLOC 3DI BONE 3.5 MM SCREW,1843.74,921.87,353.08,1659.37,65
HCPCS,C1713,PLATE SMALL MEDIUM FEMUR RIGHT TITANIUM CONTOURLOCK BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,PLATE SMALL NAVICULOCUNEIFORM COMPRESSION SLOT FUSION ORTHOLOC 3DI BONE 3.5 MM SCREW,1493.5,746.75,286.01,1344.15,65
HCPCS,C1713,PLATE SMALL OCCIPITAL QUARTEX BONE,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE SMALL RIGHT HOOK POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE SMALL SHORT ANKLE HOOK ORTHOLOC BONE,1229.82,614.91,235.51,1106.84,65
HCPCS,C1713,PLATE SMALL SPINE 2 HOLE PIVOX OBLIQUE LATERAL SPINAL SYSTEM BONE OLIF25,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SMALL SPINE OCCIPITOCERVICOTHORACIC ADJUSTABLE INFINITY BONE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PLATE SMALL TIBIAL MEDIAL ORTHOLOC BONE,1334.3,667.15,255.52,1200.87,65
HCPCS,C1713,PLATE SMALL WIDE CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE GAP TITANIUM LEIBINGER UNIVERSAL 2 BONE 1.5 MM SCREW RETROSIGMOID,323.3,161.65,61.91,290.97,65
HCPCS,C1713,PLATE SMALL WRIST LEFT FUSION ACUMED BONE,1690.0,845.0,323.64,1521.0,65
HCPCS,C1713,PLATE SPINAL 100MML TITANIUM ATLANTIS VISION ELITE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 10MM 19MM TITANIUM PRE-CONTOURED HYBRID LEVELX1,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 10MML LEVELX1 CYGNUS ANTERIOR CERVICAL,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL 12MM 1-LEVEL CODA ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 12MM 21MM TITANIUM PRE-CONTOURED HYBRID LEVELX1,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 12MML DUAL SIDED F/EXTREME LATERAL INTERBODY FUSION MODULUS,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINAL 12MML LEVELX1 AMBASSADOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 12MML LEVELX1 CYCLOPS CERVICAL,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE SPINAL 12MML LEVELX1 CYGNUS ANTERIOR CERVICAL,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL 14MM 1-LEVEL CODA ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 14MM 23MM TITANIUM PRE-CONTOURED HYBRID LEVELX1,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 14MML LEVELX1 AMBASSADOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 14MMW X 7MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.1207,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 14MMW X 7MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.2207,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 15MML TITANIUM PLYMOUTH THORACOLUMBAR 19MM SINGLE LATERAL OPENING,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINAL 16MM 25MM TITANIUM PRE-CONTOURED HYBRID LEVELX1,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 16MM TITANIUM LEVELX1 1.6V ACP NON-STERILE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL 16MM X 48MM 2.5MM THK TITANIUM PRE-LORDOSED 3-LEVEL VISIBLE GRAFT SITE F/HYBRID SCREW CONFIGURATION SKYLINE STERILE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 16MM X 56MM 2.5MM THK TITANIUM HYBRID 3-LEVEL PRE-LORDOSED SKYLINE NON-STERILE ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 16MML LEVELX1 AMBASSADOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 16MMW X 60MML 2.5MM THK TITANIUM PRE-LORDOSED LEVELX4 VISIBLE GRAFT SITE F/HYBRID SCREW CONFIGURATION SKYLINE NON-STERILE ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 16MMW X 6MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.1406,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 16MMW X 6MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.2406,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 16MMW X 7MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.1407,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 16MMW X 8MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.1408,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 16MMW X 8MMH PRIMARY REDUCED PROFILE COALITION AGX 1128.2408,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 14MM X 21.5MM TITANIUM PRE-LORDOSED LEVELX1 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 16MM X 23.5MM TITANIUM PRE-LORDOSED LEVELX1 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 20MM X 27.5MM TITANIUM PRE-LORDOSED LEVELX1 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 24MM X 31.5MM TITANIUM PRE-LORDOSED LEVELX1 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 27MM X 34.5MM TITANIUM PRE-LORDOSED LEVELX2 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 33MM X 40.5MM TITANIUM PRE-LORDOSED LEVELX2 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 39MM X 46.5MM TITANIUM PRE-LORDOSED LEVELX2 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 42MM X 49.5MM TITANIUM PRE-LORDOSED LEVELX2 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 51MM X 58.5MM TITANIUM PRE-LORDOSED LEVELX3 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 54MM X 61.5MM TITANIUM PRE-LORDOSED LEVELX3 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 57MM X 64.5MM TITANIUM PRE-LORDOSED LEVELX3 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 60MM X 67.5MM TITANIUM PRE-LORDOSED LEVELX3 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 60MM X 67.5MM TITANIUM PRE-LORDOSED LEVELX4 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 64MM X 71.5MM TITANIUM PRE-LORDOSED LEVELX4 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 72MM X 79.5MM TITANIUM PRE-LORDOSED LEVELX4 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 76MM X 83.5MM TITANIUM PRE-LORDOSED LEVELX4 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 84MM X 91.5MM TITANIUM PRE-LORDOSED LEVELX4 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 88MM X 95.5MM TITANIUM PRE-LORDOSED LEVELX4 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 88MM X 95.5MM TITANIUM PRE-LORDOSED LEVELX5 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 17MM X 96MM X 103.5MM TITANIUM PRE-LORDOSED LEVELX5 LOW-PROFILE STANDARD SINGLE-CAM LOCK APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 18MM 27MM TITANIUM PRE-CONTOURED HYBRID LEVELX1,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 18MML LEVELX1 AMBASSADOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 18MML LEVELX1 APTITUDE ANTERIOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 18MML LEVELX1 CYGNUS ANTERIOR CERVICAL,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL 2.5MM OFFSET 12MM X 20MM MINIPLATE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINAL 24MM 33MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 24MML LEVELX1 KWIK-FIX ANTERIOR CERVICAL STABILIZATION SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 24MML TISSUE SHIELD KWIK-FIX ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 26MM 2-LEVEL CODA ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 26MM 35MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 26MM LEVELX1 AMBASSADOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 26MML LEVELX2 CYGNUS ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL 27MML TISSUE SHIELD KWIK-FIX ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 28MM 37MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 28MML LEVELX2 AMBASSADOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 28MML LEVELX2 CYGNUS ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL 30MM 2-LEVEL CODA ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 30MM 2-LEVEL CYCLOPS NON-STERILE ANTERIOR CERVICAL,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE SPINAL 30MM 39MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 30MML LEVELX2 AMBASSADOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 30MML LEVELX2 APTITUDE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 30MML LEVELX2 CYGNUS ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL 32MM 2-LEVEL CODA ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 32MM 2-LEVEL CONSTRAINED OZARK NON-STERILE ANTERIOR CERVICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL 32MM 41MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 32MM LEVELX2 CYCLOPS ANTERIOR CERVICAL,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE SPINAL 32MML LEVELX2 AMBASSADOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 32MML LEVELX2 CYGNUS ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL 34MM 2-LEVEL CODA ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 34MML LEVELX2 AMBASSADOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 36MM 45MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 36MML LEVELX2 AMBASSADOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 36MML LEVELX2 APTITUDE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 38MM 2-LEVEL CODA ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 38MM 47MM TITANIUM PRE-CONTOURED HYBRID LEVELX2,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 38MML LEVELX2 AMBASSADOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 40MM 2-LEVEL PYRENEES CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL 42MM 51MM TITANIUM PRE-CONTOURED HYBRID 3-LEVEL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 42MML LEVELX2 KWIK-FIX ANTERIOR CERVICAL STABILIZATION SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 42MML LEVELX3 CYGNUS ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 44MM LEVELX3 CYCLOPS ANTERIOR CERVICAL,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,PLATE SPINAL 45MM 3-LEVEL CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 45MM 54MM TITANIUM PRE-CONTOURED HYBRID LEVELX3,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 45MM LEVELX2 KWIK-FIX,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL 45MML LEVELX3 CYGNUS ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 47MML LEVELX3 CYCLOPS ANTERIOR CERVICAL,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,PLATE SPINAL 48MM 3-LEVEL CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 48MM 57MM TITANIUM PRE-CONTOURED HYBRID LEVELX3,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 48MML LEVELX3 AMBASSADOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 48MML LEVELX3 CYGNUS ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL 51MM 3-LEVEL CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 51MM 60MM TITANIUM PRE-CONTOURED HYBRID 3-LEVEL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 51MML LEVELX3 AMBASSADOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 54MML LEVELX3 AMBASSADOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 56MM LEVELX3 AMBASSADOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 58MM 67MM TITANIUM PRE-CONTOURED HYBRID LEVELX4,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 60MM 4-LEVEL CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 62MML LEVELX3 KWIK-FIX ANTERIOR CERVICAL STABILIZATION SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 62MML TISSUE SHIELD KWIK-FIX,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 64MM 4-LEVEL CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 66MM TISSUE SHIELD KWIK-FIX,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 68MML LEVELX4 APTITUDE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 72MM 4-LEVEL CODA NON-STERILE ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL 72MML LEVELX4 KWIK-FIX ANTERIOR CERVICAL,900.0,450.0,172.35,810.0,65
HCPCS,C1713,PLATE SPINAL 74MM 83MM TITANIUM PRE-CONTOURED HYBRID 4-LEVEL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL 8MM MODULAR F/XLIF MODULUS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,PLATE SPINAL 9MM ADJACENT GRAFT F/LAMINOPLASTY CANOPY,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PLATE SPINAL 9MM TITANIUM IN-LINE GRAFT CANOPY POSTERIOR T1-T3,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PLATE SPINAL INTERBODY STANDARD 6MML TITANIUM CERES-C ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL INTERBODY STANDARD 7MML TITANIUM CERES-C ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL INTERBODY STANDARD 8MML PEEK CERES-C ANTERIOR CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1713,PLATE SPINAL L10 MM LEVEL 1 CODA ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL L10 MM TWO SCREW AMP TITANIUM ALLOY LATERAL LUMBAR 116-02-10,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINAL L12 MM ONE SCREW AMP TITANIUM ALLOY LATERAL LUMBAR 116-01-12,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINAL L12 MM TWO-SCREW ANTI-MIGRATION LOW PROFILE ZERO-STEP SCREW LOCKING TITANIUM ALLOY LATERAL LUMBAR 116-02-12,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINAL L12 MM X W16 MM X H2.5 MM 14 MM PREBENT 1 LEVEL SKYLINE TITANIUM SPINE CERVICAL ANTERIOR,550.0,275.0,105.33,495.0,65
HCPCS,C1713,PLATE SPINAL L19 MM 1 LEVEL INSIGNIA ANTERIOR CERVICAL SERIES 436,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL L28 MM LEVEL 2 CODE ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL L42 MM LEVEL 2 CODA ANTERIOR CERVICAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,PLATE SPINAL L72 MM 3 LEVEL CONSTRAINED OZARK ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL L76 MM LEVEL 4 CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL L84 MM LEVEL 4 CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE SPINAL LARGE 11MM TITANIUM TRADITIONAL M-L F/LAMINOPLASTY LEVERAGE LFS NON-STERILE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL LARGE ADJUSTABLE RELINE-C OCCIPITAL,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE SPINAL LARGE QUARTEX OCCIPITAL,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE SPINAL LOCKING 19MMW X 47MML TITANIUM CURVED LEVELX2 PRE-LORDOSED LIGHT GREEN BLUE VECTRA-T NON-STERILE ANTERIOR CERVICAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE SPINAL LOCKING 2.5MM THIN 19MMW X 54MML 45MM HOLEX2 TITANIUM CURVED LEVELX1 PRE-LORDOSED LIGHT GREEN BLUE VECTRA-T LATEX-FREE NON-STERILE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL LOCKING 2.5MM THIN 19MMW X 63MML 54MM HOLE PAIR TITANIUM CURVED LEVELX3 PRE-LORDOSED LIGHT GREEN BLUE VECTRA NON-STERILE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL LOCKING 2.5MM THIN 19MMW X 66MML 57MM HOLEX2 TITANIUM CURVED LEVELX3 PRE-LORDOSED LIGHT GREEN BLUE VECTRA-T LATEX-FREE NON-STERILE ANTERIOR CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE SPINAL LOCKING 8MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1713,PLATE SPINAL LOW-PROFILE 14MM X 6MM PRIMARY COALITION AGX ANTERIOR CERVICAL,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE SPINAL MEDIUM 9.5MML TRADITIONAL M-L F/LAMINOPLASTY LEVERAGE LFS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL MEDIUM F/INTERNAL FIXATION SYSTEM YUKON NON-STERILE OCCIPITAL,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PLATE SPINAL MINI 18.5MM TITANIUM DIVERGENCE STERILE ANTERIOR CERVICAL,375.0,187.5,71.81,337.5,65
HCPCS,C1713,PLATE SPINAL REVEL-S 14X16MM 0 DEGREE 7-10MM,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1713,PLATE SPINAL REVEL-S 14X16MM 7 DEGREE 7-10MM,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1713,PLATE SPINAL SMALL 8MML TRADITIONAL M-L F/LAMINOPLASTY LEVERAGE LFS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,PLATE SPINAL SMALL ADJUSTABLE RELINE-C OCCIPITAL,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE SPINAL ZERO PROFILE 83MML TITANIUM LEVELX4 ZEVO ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINAL ZERO-PROFILE 90MM TITANIUM 5-LEVEL ZEVO ANTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE SPINE BUTTRESS TITANIUM ALUMINUM VANADIUM LITE BONE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,PLATE SPINE HINGE INLINE CANOPY BONE,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PLATE SPINE THORACIC RIB TITANIUM LEVEL ONE BONE,1674.75,837.38,320.71,1507.28,65
HCPCS,C1713,PLATE SPINE THREAD NUT TITANIUM CD HORIZON SPINAL SYSTEM BONE,40.0,20.0,7.66,36.0,65
HCPCS,C1713,PLATE SPIRAL FIFTH METATARSAL LEFT BONE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,PLATE SQUARE CRANIOFACIAL 2 X 2 HOLE ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,169.67,84.84,32.49,152.7,65
HCPCS,C1713,PLATE SQUARE STERNAL 12 HOLE LOW PROFILE 2 SIDE STERNALOCK BLU BONE 2.4 MM SCREW,774.0,387.0,148.22,696.6,65
HCPCS,C1713,PLATE STANDARD 5TH METATARSAL RIGHT HOOK UNITE BONE,975.0,487.5,212.65,877.5,64
HCPCS,C1713,PLATE STANDARD ANKLE RIGHT TIBIOTALAR ANTERIOR SILVERBACK BONE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR FIRST TARSOMETATARSAL LEFT 5 HOLE LOW PROFILE TITANIUM ORTHOLOC LAPIFUSE BONE LAPIDUS,2066.62,1033.31,395.76,1859.96,65
HCPCS,C1713,PLATE STANDARD CONTOUR RADIAL LEFT DISTAL VOLAR 3 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE STANDARD CONTOUR RADIAL LEFT DISTAL VOLAR 5 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE STANDARD CONTOUR RADIAL LEFT DISTAL VOLAR 7 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE STANDARD CONTOUR RADIAL RIGHT DISTAL VOLAR 3 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE STANDARD CONTOUR RADIAL RIGHT DISTAL VOLAR 5 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE STANDARD CONTOUR RADIAL RIGHT DISTAL VOLAR 7 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE STANDARD CONTOUR TIBIOTALAR LEFT ANTERIOR 8 HOLE BABY GORILLA BONE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR VOLAR WRIST LEFT 5 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1020.0,510.0,195.33,918.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST LEFT VOLAR 3 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,930.0,465.0,178.1,837.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST LEFT VOLAR 7 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1120.0,560.0,214.48,1008.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST LEFT VOLAR 9 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1460.0,730.0,279.59,1314.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST RIGHT VOLAR 11 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1795.0,897.5,343.74,1615.5,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST RIGHT VOLAR 3 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,930.0,465.0,178.1,837.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST RIGHT VOLAR 5 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1020.0,510.0,195.33,918.0,65
HCPCS,C1713,PLATE STANDARD CONTOUR WRIST RIGHT VOLAR 7 HOLE LOCK 7 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1120.0,560.0,214.48,1008.0,65
HCPCS,C1713,PLATE STANDARD CORONOID LEFT ACUMED BONE,1272.0,636.0,243.59,1144.8,65
HCPCS,C1713,PLATE STANDARD CURVE TIBIA RIGHT PROXIMAL 3 HOLE LOCK TIMAX ALPS BONE,1105.0,552.5,211.61,994.5,65
HCPCS,C1713,PLATE STANDARD CURVE TIBIA RIGHT PROXIMAL 5 HOLE LOCK TIMAX ALPS BONE,1115.0,557.5,213.52,1003.5,65
HCPCS,C1713,PLATE STANDARD CURVE TIBIA RIGHT PROXIMAL 7 HOLE LOCK TIMAX ALPS BONE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,PLATE STANDARD FOOT LEFT MEDIAL COLUMN MEDLINE UNITE BONE 2.7/3.5/4 MM SCREW NAVICULOCUNEIFORM FUSION,1475.0,737.5,282.46,1327.5,65
HCPCS,C1713,PLATE STANDARD FOOT RIGHT MEDIAL COLUMN MEDLINE UNITE BONE 2.7/3.5/4 MM SCREW NAVICULOCUNEIFORM FUSION,1475.0,737.5,282.46,1327.5,65
HCPCS,C1713,PLATE STANDARD MED 12-3 TARSOMETATARSAL LEFT LISFRANC UNITE BONE,1275.0,637.5,244.16,1147.5,65
HCPCS,C1713,PLATE STANDARD METATARSOPHALANGEAL RIGHT LOW PROFILE MINI MAXLOCK EXTREME BONE,1282.0,641.0,245.5,1153.8,65
HCPCS,C1713,PLATE STANDARD PELVIC QUADRILATERAL SURFACE STAINLESS STEEL BONE 3.5 MM SCREW,505.0,252.5,96.71,454.5,65
HCPCS,C1713,PLATE STANDARD RADIAL DISTAL JOYSTICK HOLE LOCK SHAFT FIX ANGLE TITANIUM ACU-LOC KIRSCHNER OD.054 IN BONE 2.3 MM SCREW OSTEOTOMY,751.0,375.5,143.82,675.9,65
HCPCS,C1713,PLATE STANDARD RADIAL LEFT DISTAL DORSAL JOYSTICK HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER OD.054 IN BONE,908.0,454.0,173.88,817.2,65
HCPCS,C1713,PLATE STANDARD RADIAL RIGHT DISTAL DORSAL JOYSTICK HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER OD.054 IN BONE,908.0,454.0,173.88,817.2,65
HCPCS,C1713,PLATE STANDARD RADIUS LEFT DISTAL VOLAR 4 HOLE TITANIUM GEMINUS BONE WRIST FOREARM SET,754.0,377.0,144.39,678.6,65
HCPCS,C1713,PLATE STANDARD RADIUS RIGHT DISTAL VOLAR 4 HOLE TITANIUM GEMINUS BONE WRIST FOREARM SET,754.0,377.0,144.39,678.6,65
HCPCS,C1713,PLATE STANDARD RIGHT 3 HOLE 7 PEG PROXIMAL VOLAR BEARING PLATE BONE,1020.0,510.0,195.33,918.0,65
HCPCS,C1713,PLATE STANDARD RIGHT ROTATION ORTHOLOC 2 BONE LAPIDUS,2177.06,1088.53,416.91,1959.35,65
HCPCS,C1713,PLATE STANDARD RIGHT VOLAR 3 HOLE 2 ROW STAINLESS STEEL ANTHEM BONE,800.0,400.0,153.2,720.0,65
HCPCS,C1713,PLATE STANDARD T HAND 3 X 8 HOLE LOCK TITANIUM HPS BONE 2 MM SCREW,282.0,141.0,54.0,253.8,65
HCPCS,C1713,PLATE STANDARD ULNA LEFT DISTAL VOLAR HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER BONE,814.0,407.0,155.88,732.6,65
HCPCS,C1713,PLATE STANDARD ULNA RIGHT DISTAL VOLAR HOLE LOCK SHAFT FIX ANGLE LOW PROFILE TITANIUM ACU-LOC KIRSCHNER BONE,814.0,407.0,155.88,732.6,65
HCPCS,C1713,PLATE STANDARD WRIST LEFT FUSION ACUMED BONE,1690.0,845.0,323.64,1521.0,65
HCPCS,C1713,PLATE STEP OFF SMART TSF BONE,830.95,415.48,181.23,747.86,64
HCPCS,C1713,PLATE STERNAL 8 HOLE STERNALOCK BLU BONE 2.4 MM SCREW,369.0,184.5,70.66,332.1,65
HCPCS,C1713,PLATE STRAIGHT 12 HOLE VARIABLE ANGLE TITANIUM BONE 2 MM SCREW,474.62,237.31,90.89,427.16,65
HCPCS,C1713,PLATE STRAIGHT 5 HOLE LOCK LOCKING PLATES BONE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE STRAIGHT 6 HOLE LCP PRO-PAK BONE 2.4 MM SCREW,298.33,149.17,57.13,268.5,65
HCPCS,C1713,PLATE STRAIGHT 6 HOLE POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE STRAIGHT 6 HOLE PRO-PAK BONE 1.5 MM SCREW,335.48,167.74,64.24,301.93,65
HCPCS,C1713,PLATE STRAIGHT 8 HOLE REINFORCE BONE 2.4 MM SCREW,788.49,394.25,151.0,709.64,65
HCPCS,C1713,PLATE STRAIGHT ANKLE 2 HOLE UTILITY POLYLOCK BONE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE STRAIGHT ANKLE 4 HOLE POLYLOCK BONE,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,PLATE STRAIGHT CLAVICLE LEFT 8 HOLE LOCK ACU LOC BONE,1078.0,539.0,206.44,970.2,65
HCPCS,C1713,PLATE STRAIGHT CRANIOFACIAL 7 HOLE TRAUMAONE SYSTEM BONE 1.6 MM SCREW,838.0,419.0,160.48,754.2,65
HCPCS,C1713,PLATE STRAIGHT CRANIOMAXILLOFACIAL 16 HOLE LOW PROFILE TITANIUM UNIVERSAL NEURO 2 BONE 1.5 MM SCREW RETROSIGMOID,292.54,146.27,56.02,263.29,65
HCPCS,C1713,PLATE STRAIGHT CRANIOMAXILLOFACIAL 8 HOLE LOW PROFILE TITANIUM UNIVERSAL NEURO 2 QUIKFLAP BONE 1.5 MM SCREW RETROSIGMOID,165.52,82.76,31.7,148.97,65
HCPCS,C1713,PLATE STRAIGHT FIBULA 7 HOLE GORILLA BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE STRAIGHT FIBULA 8 HOLE GORILLA BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,PLATE STRAIGHT FOOT ANKLE METATARSAL 5 HOLE UNITE BONE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE STRAIGHT FOOT METATARSAL 4 HOLE UNITE BONE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE STRAIGHT FOOT METATARSAL FLEX 9 HOLE MEDLINE UNITE BONE,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,PLATE STRAIGHT MIDFOOT FUSION 6 HOLE MEDLINE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE STRAIGHT MIDFOOT FUSION ORTHOLOC 3DI BONE,1021.87,510.94,195.69,919.68,65
HCPCS,C1713,PLATE STRAIGHT MINI FOOT METATARSAL 7 HOLE UNITE BONE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE STRAIGHT STERNAL 24 HOLE STERNALOCK BLU BONE PRIMARY CLOSURE SYSTEM,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PLATE STRAIGHT STERNAL 8 HOLE STERNALOCK BLU BONE,911.0,455.5,174.46,819.9,65
HCPCS,C1713,PLATE STRAIGHT TARSOMETATARSAL 4 HOLE MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE STRAIGHT TARSOMETATARSAL 5 HOLE MEDLINE UNITE BONE,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE STRAIGHT TUBULAR ANKLE 10 HOLE ORTHOLOC BONE,583.07,291.54,111.66,524.76,65
HCPCS,C1713,PLATE STRAIGHT TUBULAR ANKLE 5 HOLE ORTHOLOC BONE,368.15,184.08,70.5,331.34,65
HCPCS,C1713,PLATE STRAIGHT TUBULAR ANKLE 6 HOLE ORTHOLOC BONE,398.0,199.0,76.22,358.2,65
HCPCS,C1713,PLATE STRAIGHT TUBULAR ANKLE 7 HOLE ORTHOLOC BONE,429.84,214.92,82.31,386.86,65
HCPCS,C1713,PLATE STRAIGHT TUBULAR ANKLE 8 HOLE ORTHOLOC BONE,460.69,230.35,88.22,414.62,65
HCPCS,C1713,PLATE STRAIGHT WRIST TOTAL WRIST FUSION PLATE BONE,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE STRAIGHT Y PROTEAN BONE,733.0,366.5,140.37,659.7,65
HCPCS,C1713,"PLATE STRT NARROW 90MM 7 HOLES,4 LOCKING",401.98,200.99,76.98,361.78,65
HCPCS,C1713,PLATE T 2 HOLE HEAD 8 HOLE SHAFT PRO-PAK BONE 2 MM SCREW,298.71,149.36,57.2,268.84,65
HCPCS,C1713,PLATE T 3 HOLE HEAD 8 HOLE SHAFT BONE 2.4 MM SCREW,339.5,169.75,65.01,305.55,65
HCPCS,C1713,PLATE T 8 HOLE TITANIUM BONE 1.6 MM SCREW,780.59,390.3,149.48,702.53,65
HCPCS,C1713,PLATE T FOOT HAND 8 HOLE LOCK LOW PROFILE VARIABLE ANGLE TITANIUM OD1.4 MM BONE 1.4 MM SCREW,780.59,390.3,149.48,702.53,65
HCPCS,C1713,PLATE T FOOT METATARSAL 7 HOLE UNITE BONE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE T HAND METACARPAL 7 HOLE HAND PLATES BONE,470.0,235.0,90.01,423.0,65
HCPCS,C1713,PLATE T HAND PHALANGEAL 11 HOLE HAND PLATES BONE,470.0,235.0,90.01,423.0,65
HCPCS,C1713,PLATE T MIDFOOT LEFT COMPRESSION SLOT FUSION ORTHOLOC 3DI BONE,1112.41,556.21,213.03,1001.17,65
HCPCS,C1713,PLATE T MIDFOOT RIGHT COMPRESSION SLOT FUSION ORTHOLOC 3DI BONE,1112.41,556.21,213.03,1001.17,65
HCPCS,C1713,PLATE T VA LCK TI 7H 1X1.5MM,453.6,226.8,86.86,408.24,65
HCPCS,C1713,PLATE T WIDE HAND PHALANGEAL 12 HOLE HAND PLATES BONE,515.0,257.5,98.62,463.5,65
HCPCS,C1713,PLATE TALUS LEFT MEDIAL VLP MINI-MOD BONE 2.4 MM SCREW,650.0,325.0,124.48,585.0,65
HCPCS,C1713,PLATE TALUS LOCK STAINLESS STEEL BONE 2.4/2.7 MM SCREW,606.44,303.22,116.13,545.8,65
HCPCS,C1713,PLATE TALUS LOCK TITANIUM BONE 2.4/2.7 MM SCREW,635.33,317.67,121.67,571.8,65
HCPCS,C1713,PLATE TARSOMETATARSAL MEDLINE UNITE BONE LAPIDUS,925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLATE THIN NARROW 8 HOLE LOCK LOW PROFILE BULLET TIP TITANIUM ALPS HCP BONE 4.5 MM SCREW LARGE FRAGMENT,212.0,106.0,40.6,190.8,65
HCPCS,C1713,PLATE THORACIC 20 HOLE TITANIUM LEVEL ONE BONE 2.3 MM SCREW,1185.8,592.9,227.08,1067.22,65
HCPCS,C1713,PLATE TIBIAL 75MM LEFT PROXIMAL MEDIAL 4 HOLE PARTIAL ARTICULAR 3.5MM SCREW EVOS,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE TIBIAL EVOS LEFT PROXIMAL LATERAL 6 HOLE L91 MM 3.5 MM SCREW,1296.0,648.0,248.18,1166.4,65
HCPCS,C1713,PLATE TIBIAL LEFT PROXIMAL 16 HOLE SYNTHES TRAUMA BONE 3.5 MM SCREW,1365.0,682.5,261.4,1228.5,65
HCPCS,C1713,PLATE TIBIAL LOW PROFILE ANTEROPOSTERIOR SLOPE TITANIUM BONE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPEN WEDGE OSTEOTOMY,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE TIBIOTALAR ANTEROLATERAL FUSION TITANIUM ORTHOLOC BONE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,PLATE TRAUMAONE LORENZ BONE 1.5 MM SCREW,139.0,69.5,26.62,125.1,65
HCPCS,C1713,PLATE ULNA 5 HOLE PEG ULNAR PEG PLATE BONE,835.0,417.5,159.9,751.5,65
HCPCS,C1713,PLATE ULNA 6 HOLE SHORTEN TITANIUM ACUMED BONE,960.0,480.0,183.84,864.0,65
HCPCS,C1713,PLATE ULNA 7 HOLE PEG ULNAR PEG PLATE BONE,1115.0,557.5,213.52,1003.5,65
HCPCS,C1713,PLATE ULNA COMPRESSION ULNAR OSTEOTOMY COMPRESSION PLATE BONE OSTEOTOMY,740.0,370.0,141.71,666.0,65
HCPCS,C1713,PLATE ULNA DISTAL PROTEAN BONE,802.0,401.0,153.58,721.8,65
HCPCS,C1713,PLATE ULNA DORSAL 3 HOLE PIN STAINLESS STEEL DORSAL ULNAR PIN PLATE BONE,535.0,267.5,102.45,481.5,65
HCPCS,C1713,PLATE ULNA DORSAL 5 HOLE PIN STAINLESS STEEL DORSAL ULNAR PIN PLATE BONE,535.0,267.5,102.45,481.5,65
HCPCS,C1713,PLATE ULNA DORSAL 7 HOLE PIN STAINLESS STEEL DORSAL ULNAR PIN PLATE BONE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,PLATE ULNA PROXIMAL NEUTRALIZATION TITANIUM APTUS BONE 2.8 MM SCREW,495.35,247.68,94.86,445.82,65
HCPCS,C1713,PLATE ULNA RIGHT PROXIMAL DISTAL ELBOW PLATING SYSTEM BONE DISTAL ELBOW SET TRAY A,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,PLATE V  4 HOLES CONCAVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,PLATE V 4 HOLE STERNALOCK EZ BONE,385.0,192.5,73.73,346.5,65
HCPCS,C1713,PLATE VALCP 58MM 2.7MM STRL VAR ANG COMP LCK LT CALCN SM SS BN,922.0,461.0,176.56,829.8,65
HCPCS,C1713,PLATE VALCP 90MM 2.7/3.5MM 2HL STRL VAR ANG COMP LCK LT OLECRAN TI BN,999.67,499.84,191.44,899.7,65
HCPCS,C1713,PLATE VOLAR LEFT SHEAR VOLAR SHEAR PLATE BONE,490.0,245.0,93.84,441.0,65
HCPCS,C1713,PLATE VOLAR RIGHT SHEAR VOLAR SHEAR PLATE BONE,490.0,245.0,93.84,441.0,65
HCPCS,C1713,PLATE W16 MM SPIDER TIMAX PERI BONE SMALL FRAGMENT,102.0,51.0,19.53,91.8,65
HCPCS,C1713,PLATE W16 MM X H9 MM SPINE REDUCE PROFILE COALITION AGX BONE,580.0,290.0,111.07,522.0,65
HCPCS,C1713,PLATE W32 MM SMALL SPINE OCCIPITAL YUKON BONE,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE W5 MM SPINE CERVICAL EXPAND TITANIUM ESCALATE BONE LAMINOPLASTY,450.0,225.0,86.18,405.0,65
HCPCS,C1713,PLATE W5.5 MM X H1.3 MM STRAIGHT 2 HOLE ORTHOLOC BONE,425.86,212.93,81.55,383.27,65
HCPCS,C1713,PLATE W5.5 MM X H1.3 MM STRAIGHT 4 HOLE ORTHOLOC BONE,567.15,283.58,108.61,510.44,65
HCPCS,C1713,PLATE W5.5 MM X H1.3 MM STRAIGHT 6 HOLE ORTHOLOC BONE,708.44,354.22,135.67,637.6,65
HCPCS,C1713,PLATE W5.5 MM X H1.3 MM T 6 HOLE ORTHOLOC BONE,637.8,318.9,122.14,574.02,65
HCPCS,C1713,PLATE W5.5 MM X H1.3 MM T 7 HOLE ORTHOLOC BONE,708.44,354.22,135.67,637.6,65
HCPCS,C1713,PLATE W5.5 MM X H1.3 MM T 8 HOLE ORTHOLOC BONE,780.08,390.04,149.39,702.07,65
HCPCS,C1713,PLATE W50 MM OCCIPITAL MEDIAL TITANIUM BONE GREEN 3.5 MM ROD FUSION SYSTEM,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE W50 MM SPINE CERVICAL OCCIPITAL MEDIAL TITANIUM BONE 4 MM ROD,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE W50 MM SPINE OCCIPITAL LATERAL TITANIUM BONE GREEN 3.5 MM ROD FUSION SYSTEM,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,PLATE W60 MM MEDIAL OCCIPITAL TITANIUM BONE GREEN 3.5 MM ROD FUSION SYSTEM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PLATE WIDE 6 HOLE BONE 2 MM SCREW,788.49,394.25,151.0,709.64,65
HCPCS,C1713,PLATE WIDE CONTOUR RADIAL LEFT DISTAL VOLAR 3 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE WIDE CONTOUR RADIAL LEFT DISTAL VOLAR 5 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE WIDE CONTOUR RADIAL LEFT DISTAL VOLAR 7 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE WIDE CONTOUR RADIAL RIGHT DISTAL VOLAR 5 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,636.0,318.0,121.79,572.4,65
HCPCS,C1713,PLATE WIDE CONTOUR RADIAL RIGHT DISTAL VOLAR 7 HOLE EXTEND SLOT GRAFT WINDOW TITANIUM BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,PLATE WIDE CONTOUR WRIST LEFT VOLAR 5 HOLE LOCK 5 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1020.0,510.0,195.33,918.0,65
HCPCS,C1713,PLATE WIDE CONTOUR WRIST RIGHT VOLAR 5 HOLE LOCK 5 PEG TITANIUM VOLAR BEARING PLATE BONE 2.3 MM CORTICAL SCREW,1020.0,510.0,195.33,918.0,65
HCPCS,C1713,PLATE WIDE RADIUS LEFT DISTAL VOLAR 4 HOLE TITANIUM GEMINUS BONE WRIST FOREARM SET,768.0,384.0,147.07,691.2,65
HCPCS,C1713,PLATE WIDE STERNAL 12 HOLE STERNALOCK BLU BONE 2.4 MM SCREW,774.0,387.0,148.22,696.6,65
HCPCS,C1713,PLATE WRIST DORSAL 4 HOLE STAINLESS STEEL DORSAL HOOK PLATE BONE,625.0,312.5,119.69,562.5,65
HCPCS,C1713,PLATE WRIST DORSAL 6 HOLE HOOK STAINLESS STEEL HOOK PLATES BONE,715.0,357.5,136.92,643.5,65
HCPCS,C1713,PLATE WRIST FUSION SHORT BEND TOTAL WRIST FUSION PLATE BONE,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE WRIST FUSION STANDARD BEND TOTAL WRIST FUSION PLATE BONE,895.0,447.5,171.39,805.5,65
HCPCS,C1713,PLATE WRIST HAND 7 HOLE LOCK LOW PROFILE VARIABLE ANGLE STAINLESS STEEL OD17 MM BONE 2.4 MM SCREW INTERCARPAL FUSION,892.46,446.23,170.91,803.21,65
HCPCS,C1713,PLATE WRIST LEFT VOLAR 3 HOLE LOCK 7 PEG TITANIUM VOLAR FIXED ANGLE PLATE BONE,585.0,292.5,112.03,526.5,65
HCPCS,C1713,PLATE WRIST LEFT VOLAR 5 HOLE LOCK 7 PEG TITANIUM VOLAR FIXED ANGLE PLATE BONE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,PLATE WRIST RIGHT VOLAR 3 HOLE LOCK 7 PEG TITANIUM VOLAR FIXED ANGLE PLATE BONE,585.0,292.5,112.03,526.5,65
HCPCS,C1713,PLATE WRIST RIGHT VOLAR 5 HOLE LOCK 7 PEG TITANIUM VOLAR FIXED ANGLE PLATE BONE,675.0,337.5,129.26,607.5,65
HCPCS,C1713,PLATE WRIST VOLAR 4 HOLE STAINLESS STEEL VOLAR HOOK PLATE BONE,625.0,312.5,119.69,562.5,65
HCPCS,C1713,PLATE WRIST VOLAR 6 HOLE STAINLESS STEEL VOLAR HOOK PLATE BONE,715.0,357.5,136.92,643.5,65
HCPCS,C1713,PLATE X RIB SOLID LOCK TITANIUM LEVEL ONE BONE 2.3 MM SCREW,1195.8,597.9,229.0,1076.22,65
HCPCS,C1713,PLATE XL CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE TITANIUM LEIBINGER UNIVERSAL 2 BONE 1.5 MM SCREW RETROSIGMOID,262.57,131.29,50.28,236.31,65
HCPCS,C1713,PLATE XS CALCANEUS RIGHT LOCK PERIMETER TITANIUM BONE 3.5/4 MM SCREW,1095.0,547.5,209.69,985.5,65
HCPCS,C1713,PLATE XS FIBULA RIGHT LATERAL UNITE BONE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,PLATE XS MIDFOOT RIGHT LOW PROFILE BRIDGE FUSION TITANIUM SALVATION BONE 4/5.5 MM SCREW,3116.34,1558.17,596.78,2804.71,65
HCPCS,C1713,PLATE Y 6 HOLE BONE 2.4 MM SCREW,788.49,394.25,151.0,709.64,65
HCPCS,C1713,PLATE Y CRANIOFACIAL ULTRA LOW PROFILE TITANIUM LEVEL ONE BONE,178.48,89.24,34.18,160.63,65
HCPCS,C1713,PLATE l57 mm x w16 mm x h2.5 mm 14 mm prebent spine cervical anterior 3 level titanium Skyline BONE STERILE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,PLATE l97 MM WAIST 7 HOLE LOCK COMPRESSIONSTAINLESS STEEL AXSOS BONE 4 MM SCREW SMALL FRAGMENT SET UNSTERILE,104.04,52.02,19.92,93.64,65
HCPCS,C1713,"PLATE, MTP FUSION, 0 DEG, XXS, RIGHT",925.0,462.5,177.14,832.5,65
HCPCS,C1713,PLEDGET CARDIOVASCULAR L7 MM X W3.5 MM THK1.5 MM FIRM TFE PLEDGET PTFE WHITE,76.18,38.09,14.59,68.56,65
HCPCS,C1713,PLUG BONE CEMENT 11MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT 12.5MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT 14MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT 17MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT 18.5MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT 20MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT 22MM LARGE INTRAMEDULLARY CANAL STERILE,142.5,71.25,27.29,128.25,65
HCPCS,C1713,PLUG BONE CEMENT 40MML SIZED F/OSTEONICS HIP IMPLANT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUG BONE CEMENT MEDIUM OD16 MM INTRAMEDULLARY BONE PLUG INTRAMEDULLARY CANAL,142.5,71.25,27.29,128.25,65
HCPCS,C1713,PLUG BONE CEMENT SMALL DIAMETER 12MM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,PLUG TIBIAL T1-T3 CEMENT CEMENTLESS OD12 MM ADVANCED SURFACE KNEE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,PLUS NAIL HOLDING SCREW,405.96,202.98,77.74,365.36,65
HCPCS,C1713,"POLYAXIAL SCREW, EXTENDED TAB, 8.5 X 45",750.0,375.0,143.63,675.0,65
HCPCS,C1713,POSITIONER INSTRUMENT SALVATION LEG,217.91,108.96,47.53,196.12,64
HCPCS,C1713,POST EXTERNAL FIXATION 1 HOLE MALE SIDEKICK FREEDOM CIRCULAR FIXATOR SYSTEM,132.34,66.17,28.86,119.11,64
HCPCS,C1713,POST EXTERNAL FIXATION 1 HOLE WIRE MAXFRAME FEMORAL,184.78,92.39,40.3,166.3,64
HCPCS,C1713,POST EXTERNAL FIXATION 2 HIGH MOUNT MULTIPARALLEL PIN MAXFRAME,187.43,93.72,40.88,168.69,64
HCPCS,C1713,POST EXTERNAL FIXATION 2 HOLE FEMALE SUPPORT ILIZAROV STAINLESS STEEL,107.76,53.88,23.5,96.98,64
HCPCS,C1713,POST EXTERNAL FIXATION 2 HOLE MALE SIDEKICK FREEDOM,132.34,66.17,28.86,119.11,64
HCPCS,C1713,POST EXTERNAL FIXATION 2 HOLE WIRE MAXFRAME FEMORAL,192.98,96.49,42.09,173.68,64
HCPCS,C1713,POST EXTERNAL FIXATION 3 HIGH MOUNT MULTIPARALLEL PIN MAXFRAME,196.42,98.21,42.84,176.78,64
HCPCS,C1713,POST EXTERNAL FIXATION 3 HOLE WIRE MAXFRAME FEMORAL,199.35,99.68,38.18,179.42,65
HCPCS,C1713,POST EXTERNAL FIXATION 30 D COLOR CODED MRI SAFE OD8 MM HOFFMANN II,91.8,45.9,20.02,82.62,64
HCPCS,C1713,POST EXTERNAL FIXATION 30 D OUTRIGGER OD11 MM SYNTHES LTD USA,161.16,80.58,35.15,145.04,64
HCPCS,C1713,POST EXTERNAL FIXATION 30 D OUTRIGGER OD8 MM,170.38,85.19,37.16,153.34,64
HCPCS,C1713,POST EXTERNAL FIXATION 30 D POST ARBOR,125.0,62.5,27.26,112.5,64
HCPCS,C1713,POST EXTERNAL FIXATION 4 HOLE MALE SUPPORT,102.89,51.45,22.44,92.6,64
HCPCS,C1713,POST EXTERNAL FIXATION 4 HOLE WIRE MAXFRAME FEMORAL,207.77,103.89,45.31,186.99,64
HCPCS,C1713,POST EXTERNAL FIXATION 5 HOLE TRUELOK,166.44,83.22,36.3,149.8,64
HCPCS,C1713,POST EXTERNAL FIXATION 5 HOLE WIRE MAXFRAME FEMORAL,213.72,106.86,46.61,192.35,64
HCPCS,C1713,POST EXTERNAL FIXATION 8MM HOFFMANN STRAIGHT NONSTERILE LATEX FREE DISPOSABLE,119.34,59.67,26.03,107.41,64
HCPCS,C1713,POST EXTERNAL FIXATION 90 D COMPONENT HOFFMANN II STAINLESS STEEL,97.28,48.64,21.22,87.55,64
HCPCS,C1713,POST EXTERNAL FIXATION 90 D MRI SAFE OD8 MM HOFFMANN II HYDROGEN,139.74,69.87,30.48,125.77,64
HCPCS,C1713,POST EXTERNAL FIXATION 90 D OUTRIGGER MR CONDITIONAL OD11 MM SYNTHES LTD USA,166.45,83.23,36.3,149.81,64
HCPCS,C1713,POST EXTERNAL FIXATION ANGLE HOFFMANN COMPACT,67.32,33.66,14.68,60.59,64
HCPCS,C1713,POST EXTERNAL FIXATION GOLD HOFFMANN II COMPACT 30D STRAIGHT ALUMINUM TITANIUM AUSTENITIC STEEL MODULAR MRI SAFE,67.32,33.66,14.68,60.59,64
HCPCS,C1713,POST EXTERNAL FIXATION HOFFMANN STRAIGHT NONSTERILE LATEX FREE REUSABLE,127.5,63.75,27.81,114.75,64
HCPCS,C1713,POST EXTERNAL FIXATION ILIZAROV STAINLESS STEEL 2 HOLE MALE,89.35,44.68,19.49,80.42,64
HCPCS,C1713,POST EXTERNAL FIXATION ILIZAROV STAINLESS STEEL 3 HOLE MALE SUPPORT NONSTERILE LATEX FREE DISPOSABLE,93.68,46.84,20.43,84.31,64
HCPCS,C1713,POST EXTERNAL FIXATION JET-X 30D NONSTERILE,136.67,68.34,29.81,123.0,64
HCPCS,C1713,POST EXTERNAL FIXATION JET-X FREEDOM NONSTERILE,371.75,185.88,81.08,334.58,64
HCPCS,C1713,POST EXTERNAL FIXATION SHORT WIRE MRI SAFE MULTIAXIAL CORRECTION SYSTEM,169.99,85.0,37.07,152.99,64
HCPCS,C1713,POST EXTERNAL FIXATION SHORT WIRE SALVATION FOOT ANKLE,301.49,150.75,65.75,271.34,64
HCPCS,C1713,POST EXTERNAL FIXATION SQUARE SUPPORT OD120 MM EZ-FIX,381.96,190.98,83.31,343.76,64
HCPCS,C1713,POST EXTERNAL FIXATION STRAIGHT JET-X,128.47,64.24,28.02,115.62,64
HCPCS,C1713,POST EXTERNAL FIXATION STRAIGHT MAVERICK,260.0,130.0,56.71,234.0,64
HCPCS,C1713,POST EXTERNAL FIXATION STRAIGHT OUTRIGGER MR CONDITIONAL OD11 MM SYNTHES LTD USA,161.16,80.58,35.15,145.04,64
HCPCS,C1713,POST EXTERNAL FIXATION STRAIGHT OUTRIGGER OD8 MM,170.38,85.19,37.16,153.34,64
HCPCS,C1713,POST EXTERNAL FIXATION TALL WIRE SALVATION FOOT ANKLE,301.49,150.75,65.75,271.34,64
HCPCS,C1713,PROSTHESIS OSSICULAR L2 MM X W2 MM X H1.2 MM ID1 MM APPLEBAUM CANNULATED EAR INCUDOSTAPEDIAL HA SMALL,322.59,161.3,61.78,290.33,65
HCPCS,C1713,PROSTHESIS OSSICULAR L5.1 MM GOLDENBERG PARTIAL CANNULATED MALLEABLE SHAFT EAR PLASTI-PORE HA W4 MM X H3 MM,365.13,182.57,69.92,328.62,65
HCPCS,C1713,PROSTHESIS OSSICULAR RICHARDS 0.4MM DIA PISTON 1MM DIA WELL 5MML FUNCTIONAL TITANIUM EAR BUCKET HANDLE F/STAPEDECTOMY,179.82,89.91,34.44,161.84,65
HCPCS,C1713,PULLEY TRACTION OD40 MM ILIZAROV,268.0,134.0,58.45,241.2,64
HCPCS,C1713,PUTTY ALLOGENIX 5CC,839.0,419.5,160.67,755.1,65
HCPCS,C1713,PUTTY BONE GRAFT DBM 10ML MOLDABLE XEMPLIFI PLUS STERILE DISPOSABLE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1713,PUTTY BONE GRAFT DBM 1ML MOLDABLE INSOLUBLE F/CRANIOFACIAL ALLOGENIX,144.0,72.0,27.58,129.6,65
HCPCS,C1713,PUTTY BONE GRAFT DBM 1ML MOLDABLE XEMPLIFI PLUS STERILE DISPOSABLE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,PUTTY BONE GRAFT DEMINERALIZED BONE MATRIX CORTICAL 10ML W/CARBOXYMETHYL CELLULOSECARRIER REFICIO,832.21,416.11,159.37,748.99,65
HCPCS,C1713,PUTTY BONE GRAFT DEMINERALIZED CORTICAL FIBER 10ML HIGH SURFACE AREA COHESIVE OSSIFUSE STERILE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1713,PUTTY BONE GRAFT DEMINERALIZED CORTICAL FIBER 1ML HIGH SURFACE AREA COHESIVE OSSIFUSE STERILE,229.0,114.5,43.85,206.1,65
HCPCS,C1713,PUTTY BONE GRAFT DEMINERALIZED MATRIX FIBER GLYCEROL 1ML FREEZE-DRIED OSTEOBIOLOGIC OPTIUM,100.0,50.0,19.15,90.0,65
HCPCS,C1713,PUTTY BONE GRAFT SUBSTITUTE 10ML MOULDABLE BIOACTIVE KINEX,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,PUTTY BONE GRAFT SUBSTITUTE 2ML MOULDABLE BIOACTIVE KINEX,300.0,150.0,57.45,270.0,65
HCPCS,C1713,PUTTY BONE GRAFT SUBSTITUTE DBM 10ML OSTEOCONDUCTIVE W/SYRINGE OSTEOSELECT STERILE SINGLE-USE,915.0,457.5,175.22,823.5,65
HCPCS,C1713,PUTTY BONE GRAFT SUBSTITUTE DBM 1ML OSTEOCONDUCTIVE W/JAR OSTEOSELECT STERILE SINGLE-USE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,PUTTY BONE GRAFT SUBSTITUTE DEMINERALIZED MATRIX 1ML FROZEN IRRADIATED W/SYRINGE GRAFTON PLUS STERILE DISPOSABLE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,RAIL EXTERNAL FIXATION ADULT MULTIPLANAR CLAMP MINIRAIL,2960.0,1480.0,645.58,2664.0,64
HCPCS,C1713,REAMER END CUT INBONE 16 SURGICAL,550.0,275.0,105.33,495.0,65
HCPCS,C1713,RELOAD ECHELON LINEAR CUTTERS 100MM GREEN,1486.66,743.33,284.7,1337.99,65
HCPCS,C1713,RELOAD ECHELON LINEAR CUTTERS 60MM GREEN,657.86,328.93,125.98,592.07,65
HCPCS,C1713,RELOAD ECHELON LINEAR CUTTERS 80MM GREEN,995.99,498.0,190.73,896.39,65
HCPCS,C1713,RELOAD STAPLER MEDIUM L30 MM TRI-STAPLE 2.0 VASCULAR TAN,2100.6,1050.3,402.26,1890.54,65
HCPCS,C1713,RESTRICTOR BONE CEMENT SIZE 5 18.25MM DIA UHMWPE FEMORAL CANAL,45.0,22.5,8.62,40.5,65
HCPCS,C1713,RESTRICTOR CEMENT 10MM BIOSTOP G HIP FEMORAL STERILE LATEX FREE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,RESTRICTOR CEMENT 12MM BIOSTOP G HIP FEMORAL STERILE LATEX FREE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,RESTRICTOR CEMENT 16-21 MM PLUG OD25 MM FEMUR HIP,340.2,170.1,65.15,306.18,65
HCPCS,C1713,RESTRICTOR CEMENT 18.5MM BUCK 15+ MM HIP FEMUR PLUG STERILE,340.2,170.1,65.15,306.18,65
HCPCS,C1713,RESTRICTOR CEMENT 4 OD15.75 MM NA POLYETHYLENE HIP FEMORAL,45.0,22.5,8.62,40.5,65
HCPCS,C1713,RESTRICTOR CEMENT LATITUDE 5-8MM ELBOW,114.0,57.0,21.83,102.6,65
HCPCS,C1713,RESTRICTOR CEMENT LATITUDE 8-15MM ELBOW,107.0,53.5,20.49,96.3,65
HCPCS,C1713,RETAINER SCREW L14 MM OD3.5 MM PRODISC-C SPINE,99.3,49.65,19.02,89.37,65
HCPCS,C1713,RETAINER SCREW L16 MM OD3.5 MM SPINE,49.5,24.75,9.48,44.55,65
HCPCS,C1713,RETRACTOR RING NA SHOULDER DROP NARROW SURGICAL,1064.0,532.0,203.76,957.6,65
HCPCS,C1713,RFNA 10/420 10 DEG BEND STERILE,2020.31,1010.16,386.89,1818.28,65
HCPCS,C1713,RING EXT FIX FULL CIRC 230MM,841.1,420.55,183.44,756.99,64
HCPCS,C1713,RING EXTERNAL FIXATION 130MM FULL TAYLOR SPATIAL FRAME,841.1,420.55,183.44,756.99,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM 2/3,804.04,402.02,175.36,723.64,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM 2/3 CIRCULAR HOLE TAYLOR SPATIAL FRAME,885.0,442.5,193.02,796.5,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM 2/3 TAYLOR SPATIAL FRAME,816.0,408.0,177.97,734.4,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM CARBON FIBER FULL HOFFMANN LIMB RECONSTRUCTION FRAME,1763.14,881.57,384.54,1586.83,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM CIRCLE HALF TAYLOR SPATIAL FRAME,838.25,419.13,182.82,754.43,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM FULL ALUMINUM 7 HOLE MASTER TAB TAYLOR SPATIAL FRAME,841.1,420.55,183.44,756.99,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM FULL ALUMINUM TAYLOR SPATIAL FRAME,882.0,441.0,192.36,793.8,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM LONG CIRCLE FOOT TAYLOR SPATIAL FRAME,992.22,496.11,216.4,893.0,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM LONG FOOT CARBON FIBER,1996.97,998.49,435.54,1797.27,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM SMART TSF FULL NONSTERILE LATEX FREE DISPOSABLE,1712.72,856.36,373.54,1541.45,64
HCPCS,C1713,RING EXTERNAL FIXATION 155MM SMART TSF LONG FOOT NONSTERILE LATEX FREE DISPOSABLE,2010.04,1005.02,438.39,1809.04,64
HCPCS,C1713,RING EXTERNAL FIXATION 160MM DIA SLOTTED DISTAL SALVATION,1198.98,599.49,261.5,1079.08,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM .5 CIRCLE ALUMINUM TAYLOR SPATIAL FRAME,838.25,419.13,182.82,754.43,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM 155MM ROCKER,712.8,356.4,155.46,641.52,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM 180MM LONG FOOT CIRCULAR TAYLOR SPATIAL FRAME,992.22,496.11,216.4,893.0,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM 2/3 ALUMINUM 2/3 RING 7 HOLE MASTER TAB TAYLOR SPATIAL FRAME,804.04,402.02,175.36,723.64,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM 2/3 ALUMINUM TAYLOR SPATIAL FRAME,885.0,442.5,193.02,796.5,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM CARBON FIBER FULL HOFFMANN LIMB RECONSTRUCTION FRAME,1847.72,923.86,402.99,1662.95,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM DIA SLOTTED DISTAL SALVATION,1198.98,599.49,261.5,1079.08,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM FULL CIRCLE FOOT TAYLOR SPATIAL FRAME,841.1,420.55,183.44,756.99,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM LONG FOOT CARBON FIBER,1996.97,998.49,435.54,1797.27,64
HCPCS,C1713,RING EXTERNAL FIXATION 180MM SHORT CIRCULAR FOOT TAYLOR SPATIAL FRAME,992.22,496.11,216.4,893.0,64
HCPCS,C1713,RING EXTERNAL FIXATION 200MM DIA SLOTTED DISTAL SALVATION,1275.59,637.8,278.21,1148.03,64
HCPCS,C1713,RING EXTERNAL FIXATION 205MM 2/3 7 HOLE MASTER TAB,804.04,402.02,175.36,723.64,64
HCPCS,C1713,RING EXTERNAL FIXATION 205MM FULL ALUMINUM 7 HOLE MASTER TAB TAYLOR SPATIAL FRAME,841.1,420.55,183.44,756.99,64
HCPCS,C1713,RING EXTERNAL FIXATION 230MM 2/3 TAYLOR SPATIAL FRAME,816.0,408.0,177.97,734.4,64
HCPCS,C1713,RING EXTERNAL FIXATION ID100 MM FOOT MRI SAFE CARBON FIBER LONG,667.4,333.7,145.56,600.66,64
HCPCS,C1713,RING EXTERNAL FIXATION ID100 MM FOOT MRI SAFE CARBON FIBER SHORT,647.34,323.67,141.18,582.61,64
HCPCS,C1713,RING EXTERNAL FIXATION ID115 MM 3/4 RING HYBRID FIXATOR,355.62,177.81,77.56,320.06,64
HCPCS,C1713,RING EXTERNAL FIXATION ID120 MM MAXFRAME ALUMINUM FULL,1125.2,562.6,245.41,1012.68,64
HCPCS,C1713,RING EXTERNAL FIXATION ID130 MM SMART TSF FULL,1712.72,856.36,373.54,1541.45,64
HCPCS,C1713,RING EXTERNAL FIXATION ID140 MM 3/4 RING HYBRID FIXATOR,388.65,194.33,84.76,349.79,64
HCPCS,C1713,RING EXTERNAL FIXATION ID140 MM FOOT MRI SAFE CARBON FIBER LONG,679.75,339.88,148.25,611.78,64
HCPCS,C1713,RING EXTERNAL FIXATION ID140 MM FOOT MRI SAFE CARBON FIBER SHORT,679.75,339.88,148.25,611.78,64
HCPCS,C1713,RING EXTERNAL FIXATION ID140 MM MRI SAFE CARBON FIBER 5/8,610.3,305.15,133.11,549.27,64
HCPCS,C1713,RING EXTERNAL FIXATION ID140 MM TL-HEX CIRCLE,1346.4,673.2,293.65,1211.76,64
HCPCS,C1713,RING EXTERNAL FIXATION ID150 MM MAXFRAME ALUMINUM 5/8 MULTIAXIAL CORRECTION SYSTEM,1073.92,536.96,234.22,966.53,64
HCPCS,C1713,RING EXTERNAL FIXATION ID150 MM MAXFRAME ALUMINUM FULL MULTIAXIAL CORRECTION SYSTEM,1125.2,562.6,245.41,1012.68,64
HCPCS,C1713,RING EXTERNAL FIXATION ID155 MM SMART TSF HALF,1700.02,850.01,370.77,1530.02,64
HCPCS,C1713,RING EXTERNAL FIXATION ID160 MM FOOT MRI SAFE CARBON FIBER,692.1,346.05,150.95,622.89,64
HCPCS,C1713,RING EXTERNAL FIXATION ID160 MM MRI SAFE CARBON FIBER 5/8,621.98,310.99,135.65,559.78,64
HCPCS,C1713,RING EXTERNAL FIXATION ID160 MM TL-HEX FULL,1346.4,673.2,293.65,1211.76,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM FOOT MRI SAFE CARBON FIBER LONG,704.23,352.12,153.59,633.81,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM FOOT MRI SAFE CARBON FIBER SHORT,704.23,352.12,153.59,633.81,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM FOOT SMART TSF LONG,2010.04,1005.02,438.39,1809.04,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM MAXFRAME ALUMINUM 5/8 MULTIAXIAL CORRECTION SYSTEM,1073.92,536.96,234.22,966.53,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM MAXFRAME ALUMINUM FULL MULTIAXIAL CORRECTION SYSTEM,1125.2,562.6,245.41,1012.68,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM MAXFRAME ALUMINUM HALF,1205.02,602.51,262.81,1084.52,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM MRI SAFE CARBON FIBER 5/8,634.11,317.06,138.3,570.7,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM SMART TSF 2/3,1371.75,685.88,299.18,1234.58,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM SMART TSF FULL,1712.72,856.36,373.54,1541.45,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM SMART TSF HALF,1700.02,850.01,370.77,1530.02,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180 MM TL-HEX CIRCLE,1346.4,673.2,293.65,1211.76,64
HCPCS,C1713,RING EXTERNAL FIXATION ID180+ MM FOOT MRI SAFE NA TITANIUM LONG,917.14,458.57,200.03,825.43,64
HCPCS,C1713,RING EXTERNAL FIXATION ID200 MM MRI SAFE CARBON FIBER 5/8,645.58,322.79,140.8,581.02,64
HCPCS,C1713,RING EXTERNAL FIXATION ID200+ MM FOOT MRI SAFE TITANIUM LONG,950.08,475.04,207.21,855.07,64
HCPCS,C1713,RING EXTERNAL FIXATION ID205 MM SMART TSF FULL,1712.72,856.36,373.54,1541.45,64
HCPCS,C1713,RING EXTERNAL FIXATION ID210 MM MAXFRAME ALUMINUM 5/8 MULTIAXIAL CORRECTION SYSTEM,1073.92,536.96,234.22,966.53,64
HCPCS,C1713,RING EXTERNAL FIXATION ID210 MM MAXFRAME ALUMINUM FULL MULTIAXIAL CORRECTION SYSTEM,1125.2,562.6,245.41,1012.68,64
HCPCS,C1713,RING EXTERNAL FIXATION ID240 MM MAXFRAME ALUMINUM 5/8 MULTIAXIAL CORRECTION SYSTEM,1073.92,536.96,205.66,966.53,65
HCPCS,C1713,RING EXTERNAL FIXATION ID240 MM MAXFRAME ALUMINUM FULL MULTIAXIAL CORRECTION SYSTEM,1125.2,562.6,215.48,1012.68,65
HCPCS,C1713,RING EXTERNAL FIXATION ILIZAROV 180MM ID ALUMINUM FULL-RING TAYLOR SPATIAL FRAME,750.0,375.0,163.58,675.0,64
HCPCS,C1713,RING EXTERNAL FIXATION OD100 MM FOOT MRI SAFE TITANIUM LONG,790.61,395.31,172.43,711.55,64
HCPCS,C1713,RING EXTERNAL FIXATION OD100 MM FOOT MRI SAFE TITANIUM SHORT,790.61,395.31,172.43,711.55,64
HCPCS,C1713,RING EXTERNAL FIXATION OD100 MM MRI SAFE CARBON FIBER HALF,551.2,275.6,120.22,496.08,64
HCPCS,C1713,RING EXTERNAL FIXATION OD100 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,517.24,258.62,112.81,465.52,64
HCPCS,C1713,RING EXTERNAL FIXATION OD110 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,521.43,260.72,113.72,469.29,64
HCPCS,C1713,RING EXTERNAL FIXATION OD120 MM MRI SAFE CARBON FIBER HALF,563.33,281.67,122.86,507.0,64
HCPCS,C1713,RING EXTERNAL FIXATION OD120 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,539.51,269.76,117.67,485.56,64
HCPCS,C1713,RING EXTERNAL FIXATION OD130 MM TITANIUM 5/8 DISTRACTION OSTEOGENESIS SYSTEM,610.3,305.15,133.11,549.27,64
HCPCS,C1713,RING EXTERNAL FIXATION OD130 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,544.15,272.08,118.68,489.74,64
HCPCS,C1713,RING EXTERNAL FIXATION OD140 MM FOOT MRI SAFE TITANIUM LONG,850.05,425.03,185.4,765.05,64
HCPCS,C1713,RING EXTERNAL FIXATION OD140 MM FOOT MRI SAFE TITANIUM SHORT,850.05,425.03,185.4,765.05,64
HCPCS,C1713,RING EXTERNAL FIXATION OD140 MM MRI SAFE CARBON FIBER FULL,821.01,410.51,179.06,738.91,64
HCPCS,C1713,RING EXTERNAL FIXATION OD140 MM MRI SAFE CARBON FIBER HALF,574.79,287.4,125.36,517.31,64
HCPCS,C1713,RING EXTERNAL FIXATION OD140 MM TITANIUM FULL DISTRACTION OSTEOGENESIS SYSTEM,739.73,369.87,161.34,665.76,64
HCPCS,C1713,RING EXTERNAL FIXATION OD140 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,551.2,275.6,120.22,496.08,64
HCPCS,C1713,RING EXTERNAL FIXATION OD150 MM TITANIUM 5/8 DISTRACTION OSTEOGENESIS SYSTEM,634.11,317.06,138.3,570.7,64
HCPCS,C1713,RING EXTERNAL FIXATION OD150 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,563.33,281.67,122.86,507.0,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM FOOT MRI SAFE CARBON FIBER SHORT,692.1,346.05,150.95,622.89,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM FOOT MRI SAFE TITANIUM LONG,883.47,441.74,192.68,795.12,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM FOOT MRI SAFE TITANIUM SHORT,883.47,441.74,192.68,795.12,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM MR CONDITIONAL TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,581.63,290.82,126.85,523.47,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM MRI SAFE CARBON FIBER FULL,911.55,455.78,198.81,820.4,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM MRI SAFE CARBON FIBER HALF,597.95,298.98,130.41,538.16,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM TITANIUM 5/8 DISTRACTION OSTEOGENESIS SYSTEM,657.04,328.52,143.3,591.34,64
HCPCS,C1713,RING EXTERNAL FIXATION OD160 MM TITANIUM FULL DISTRACTION OSTEOGENESIS SYSTEM,848.72,424.36,185.11,763.85,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM FOOT MRI SAFE TITANIUM SHORT,917.14,458.57,200.03,825.43,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM MRI SAFE CARBON FIBER FULL,1003.32,501.66,218.82,902.99,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM MRI SAFE CARBON FIBER HALF,610.3,305.15,133.11,549.27,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM SEGMENT HOFFMANN ALUMINUM LIMB RECONSTRUCTION FRAME,1140.27,570.14,248.69,1026.24,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM TITANIUM 5/8 DISTRACTION OSTEOGENESIS SYSTEM,704.89,352.45,153.74,634.4,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM TITANIUM FULL DISTRACTION OSTEOGENESIS SYSTEM,911.55,455.78,198.81,820.4,64
HCPCS,C1713,RING EXTERNAL FIXATION OD180 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,597.95,298.98,130.41,538.16,64
HCPCS,C1713,RING EXTERNAL FIXATION OD200 MM FOOT MRI SAFE TITANIUM SHORT,950.08,475.04,207.21,855.07,64
HCPCS,C1713,RING EXTERNAL FIXATION OD200 MM MRI SAFE CARBON FIBER FULL,1093.86,546.93,238.57,984.47,64
HCPCS,C1713,RING EXTERNAL FIXATION OD200 MM MRI SAFE CARBON FIBER HALF,621.98,310.99,135.65,559.78,64
HCPCS,C1713,RING EXTERNAL FIXATION OD200 MM TITANIUM 5/8 DISTRACTION OSTEOGENESIS SYSTEM,715.91,357.96,156.14,644.32,64
HCPCS,C1713,RING EXTERNAL FIXATION OD200 MM TITANIUM FULL DISTRACTION OSTEOGENESIS SYSTEM,989.77,494.89,215.87,890.79,64
HCPCS,C1713,RING EXTERNAL FIXATION OD200 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,617.57,308.79,134.69,555.81,64
HCPCS,C1713,RING EXTERNAL FIXATION OD220 MM FOOT ANKLE SALVATION FULL,1352.21,676.11,294.92,1216.99,64
HCPCS,C1713,RING EXTERNAL FIXATION OD220 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,634.11,317.06,138.3,570.7,64
HCPCS,C1713,RING EXTERNAL FIXATION OD240 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,645.58,322.79,140.8,581.02,64
HCPCS,C1713,RING EXTERNAL FIXATION OD80 MM TITANIUM HALF DISTRACTION OSTEOGENESIS SYSTEM,506.0,253.0,110.36,455.4,64
HCPCS,C1713,RING FIXATION 10MM ID 12.30 OD 24MML PMMA TYPE 14 F/CAPSULAR TENSION MORCHER,179.0,89.5,39.04,161.1,64
HCPCS,C1713,RING FIXATION 11MM ID 13MM OD GREATER THAN 28MML PMMA TYPE 14C F/CAPSULAR TENSION MORCHER,179.0,89.5,39.04,161.1,64
HCPCS,C1713,RING FIXATION 12MM ID 14.50 OD 28MML PMMA TYPE 14A F/CAPSULAR TENSION MORCHER,179.0,89.5,39.04,161.1,64
HCPCS,C1713,RING FIXATION 22MM OD MEDIUM PMMA SYMBLEPHARON TRANSLUCENT,55.0,27.5,12.0,49.5,64
HCPCS,C1713,RING SPINAL 0 D ROUND END PRESS FIT OD12 MM TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,RING SPINAL 2.5 D ROUND END PRESS FIT OD12 MM TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,RING TENSION PARTIAL RING AHMED PMMA 10.14MM CAPSULE TYPE 6E SEGMENT STERILE,215.0,107.5,46.89,193.5,64
HCPCS,C1713,ROD  6.0 MM  COBALT CHROMIUM  STRAIGHT  HEX  600MM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD 1554006260 5.5 TI AL STRT PERC 260MM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD 1555006220 5.5 CCM STRT PERC 220MM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD 5.5MM 70MM MAX SPINAL,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD 60MM ISOBAR SPINAL,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD ASTRA STRAIGHT COCR 6X450MM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD EUROPA STL 4.5X300MM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD EXTERNAL FIXATION 100MM LARGE ILIZAROV TELESCOPIC GRADUATED DELUXE SET ADULT TIBIA,693.12,346.56,151.17,623.81,64
HCPCS,C1713,ROD EXTERNAL FIXATION 100MM THREAD,117.5,58.75,25.63,105.75,64
HCPCS,C1713,ROD EXTERNAL FIXATION 11MM 100MM CARBON FIBER MR CONDITIONAL NONSTERILE,164.67,82.34,35.91,148.2,64
HCPCS,C1713,ROD EXTERNAL FIXATION 11MM 150MM HOFFMANN 3 VECTRAN CARBON MODULAR CONNECT MRI SAFE,206.04,103.02,44.94,185.44,64
HCPCS,C1713,ROD EXTERNAL FIXATION 11MM 220MM SEMICIRCLE CURVE HOFFMANN 3,276.42,138.21,60.29,248.78,64
HCPCS,C1713,ROD EXTERNAL FIXATION 11MM 550MM HOFFMANN 3 VECTRAN CARBON MODULAR CONNECT MRI SAFE,293.76,146.88,56.26,264.38,65
HCPCS,C1713,ROD EXTERNAL FIXATION 11MM 550MM LARGE CARBON FIBER MR CONDITIONAL,209.32,104.66,45.65,188.39,64
HCPCS,C1713,ROD EXTERNAL FIXATION 120MM ILIZAROV STAINLESS STEEL THREAD,117.5,58.75,25.63,105.75,64
HCPCS,C1713,ROD EXTERNAL FIXATION 120MM LONG STANDARD MAXFRAME THREAD MR CONDITIONAL,45.37,22.69,9.9,40.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION 150MM HOFFMANN THREAD NONSTERILE LATEX FREE DISPOSABLE LIMB RECONSTRUCTION FRAME,62.69,31.35,13.67,56.42,64
HCPCS,C1713,ROD EXTERNAL FIXATION 150MM ILIZAROV STAINLESS STEEL GRADUATE TELESCOPIC,1018.02,509.01,222.03,916.22,64
HCPCS,C1713,ROD EXTERNAL FIXATION 150MM ILIZAROV STAINLESS STEEL THREAD,23.5,11.75,5.13,21.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION 165MM THREAD BALL PROFILE RING SYSTEM,71.58,35.79,15.61,64.42,64
HCPCS,C1713,ROD EXTERNAL FIXATION 200MM EZ-FIX THREAD BALL PROFILE NONSTERILE LATEX FREE DISPOSABLE,73.5,36.75,16.03,66.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION 200MM ILIZAROV STAINLESS STEEL THREAD,164.05,82.03,35.78,147.65,64
HCPCS,C1713,ROD EXTERNAL FIXATION 250MM ILIZAROV STAINLESS STEEL THREAD,187.9,93.95,40.98,169.11,64
HCPCS,C1713,ROD EXTERNAL FIXATION 300MM ILIZAROV STAINLESS STEEL THREADED DELUXE SET ADULT TIBIA,42.24,21.12,9.21,38.02,64
HCPCS,C1713,ROD EXTERNAL FIXATION 350MML STAINLESS STEEL SMALL BONE THREADED F/FOOT ANKLE SYSTEM ILIZAROV NON-STERILE REUSABLE,35.0,17.5,7.63,31.5,64
HCPCS,C1713,ROD EXTERNAL FIXATION 400MM ILIZAROV STAINLESS STEEL THREAD ADULT TIBIA,257.75,128.88,56.22,231.98,64
HCPCS,C1713,ROD EXTERNAL FIXATION 4MM FULL TITANIUM PREBENT MANDIBLE,572.0,286.0,124.75,514.8,64
HCPCS,C1713,ROD EXTERNAL FIXATION 4MM FULL TITANIUM PREBENT MANDIBLE RAMUS,668.8,334.4,145.87,601.92,64
HCPCS,C1713,ROD EXTERNAL FIXATION 5MM 15MM 250MM HOFFMANN II CARBON CONNECTING TUBE,64.26,32.13,14.02,57.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION 5MM 65MM STRAIGHT COMPACT HOFFMANN II CARBON FIBER CONNECT RADIOLUCENCY LIGHTWEIGHT RADIUS DISTAL DISPOSABLE,57.12,28.56,12.46,51.41,64
HCPCS,C1713,ROD EXTERNAL FIXATION 6MM 120MM THREAD HOFFMANN LIMB RECONSTRUCTION FRAME,62.69,31.35,13.67,56.42,64
HCPCS,C1713,ROD EXTERNAL FIXATION 80MM ILIZAROV STAINLESS STEEL THREAD,117.5,58.75,25.63,105.75,64
HCPCS,C1713,ROD EXTERNAL FIXATION 8MM 174MM CURVE HOFFMANN SEMICIRCULAR NONSTERILE LATEX FREE DISPOSABLE,188.7,94.35,41.16,169.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION 8MM 350MM HOFFMANN CONNECT NONSTERILE LATEX FREE REUSABLE,244.8,122.4,53.39,220.32,64
HCPCS,C1713,ROD EXTERNAL FIXATION FULL PREBENT LEVEL ONE CMF MANDIBLE,739.48,369.74,161.28,665.53,64
HCPCS,C1713,ROD EXTERNAL FIXATION L100 MM CONNECT OD5 MM HOFFMANN,97.92,48.96,21.36,88.13,64
HCPCS,C1713,ROD EXTERNAL FIXATION L100 MM OD4 MM CARBON FIBER TITANIUM MANDIBLE,34.0,17.0,7.42,30.6,64
HCPCS,C1713,ROD EXTERNAL FIXATION L100 MM STRAIGHT CONNECT RADIOLUCENCY RELATIVE ELASTICITY LIGHTWEIGHT OD5 MM COMPACT HOFFMANN II CARBON FIBER RADIUS DISTAL,57.12,28.56,12.46,51.41,64
HCPCS,C1713,ROD EXTERNAL FIXATION L100 MM THREAD SLOT DISTRACTION OSTEOGENESIS RING SYSTEM,45.37,22.69,9.9,40.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L120 MM OD4 MM CARBON FIBER TITANIUM MANDIBLE,34.0,17.0,7.42,30.6,64
HCPCS,C1713,ROD EXTERNAL FIXATION L120 MM THREAD SIDEKICK FREEDOM,60.7,30.35,13.24,54.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L125 MM MR CONDITIONAL OD11 MM CARBON FIBER,162.63,81.32,35.47,146.37,64
HCPCS,C1713,ROD EXTERNAL FIXATION L140 MM SMALL OD4 MM CARBON FIBER MANDIBLE,64.03,32.02,13.96,57.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L146 MM CURVE SEMICIRCLE OD5 MM HOFFMANN COMPACT,98.94,49.47,21.58,89.05,64
HCPCS,C1713,ROD EXTERNAL FIXATION L150 MM CONNECT OD5 MM COMPACT HOFFMANN II CARBON FIBER FOOT ANKLE,64.26,32.13,14.02,57.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L150 MM CONNECT OD5 MM HOFFMANN,97.92,48.96,18.75,88.13,65
HCPCS,C1713,ROD EXTERNAL FIXATION L150 MM CONNECT OD8 MM HOFFMANN,231.54,115.77,50.5,208.39,64
HCPCS,C1713,ROD EXTERNAL FIXATION L150 MM LONG THREAD MR SAFE,45.37,22.69,9.9,40.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L150 MM THREAD FREEDOM,60.7,30.35,13.24,54.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L160 MM OD4 MM CARBON FIBER WRIST,64.03,32.02,13.96,57.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L160 MM OD8 MM CARBON FIBER,133.5,66.75,29.12,120.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION L165 MM THREAD SIDEKICK,69.65,34.83,15.19,62.69,64
HCPCS,C1713,ROD EXTERNAL FIXATION L180 MM OD4 MM CARBON FIBER WRIST,64.03,32.02,13.96,57.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L190 MM LONG BRIDGE OD11 MM CARBON FIBER KNEE LARGE EX-FIX,575.98,287.99,125.62,518.38,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM CONNECT OD5 MM COMPACT HOFFMANN II VECTRAN CARBON YELLOW,97.92,48.96,21.36,88.13,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM CONNECT OD5 MM HOFFMANN HOFFMANN II CARBON FIBER FOOT ANKLE,64.26,32.13,14.02,57.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM CONNECT OD8 MM HOFFMANN,237.66,118.83,51.83,213.89,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM LONG THREAD MR SAFE DISTRACTION OSTEOGENESIS RING SYSTEM,48.02,24.01,10.47,43.22,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM MR CONDITIONAL OD11 MM CARBON FIBER,162.63,81.32,35.47,146.37,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM OD4 MM CARBON FIBER WRIST,64.03,32.02,13.96,57.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM OD8 MM CARBON FIBER DISTAL RADIUS,129.77,64.89,28.3,116.79,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM STRAIGHT CONNECTING OD8 MM HOFFMANN II CARBON FIBER LONG BONE,183.6,91.8,40.04,165.24,64
HCPCS,C1713,ROD EXTERNAL FIXATION L200 MM THREAD SIDEKICK,69.65,34.83,15.19,62.69,64
HCPCS,C1713,ROD EXTERNAL FIXATION L207 MM 45DEG LARGE CURVE OD11 MM CARBON FIBER,431.76,215.88,94.17,388.58,64
HCPCS,C1713,ROD EXTERNAL FIXATION L220 MM LIGHTWEIGHT RADIOLUCENT OD8 MM CARBON FIBER PHALANX,129.77,64.89,28.3,116.79,64
HCPCS,C1713,ROD EXTERNAL FIXATION L220 MM OD4 MM EX-FIX CARBON FIBER,133.5,66.75,29.12,120.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION L240 MM OD8 MM CARBON FIBER DISTAL RADIUS,129.77,64.89,28.3,116.79,64
HCPCS,C1713,ROD EXTERNAL FIXATION L250 MM CONNECT OD8 MM HOFFMANN,237.66,118.83,51.83,213.89,64
HCPCS,C1713,ROD EXTERNAL FIXATION L250 MM LARGE T BAR MR CONDITIONAL OD11 MM EX-FIX CARBON FIBER,176.56,88.28,38.51,158.9,64
HCPCS,C1713,ROD EXTERNAL FIXATION L250 MM LONG STANDARD THREAD MR SAFE MAXFRAME DISTRACTION OSTEOGENESIS RING SYSTEM,48.02,24.01,10.47,43.22,64
HCPCS,C1713,ROD EXTERNAL FIXATION L250 MM STRAIGHT CONNECTING BRAIDED OD8 MM HOFFMANN II CARBON FIBER LONG BONE,183.6,91.8,40.04,165.24,64
HCPCS,C1713,ROD EXTERNAL FIXATION L280 MM MEDIUM OD8 MM CARBON FIBER MANDIBLE,133.5,66.75,29.12,120.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION L300 MM CONNECT OD8 MM HOFFMANN,244.8,122.4,53.39,220.32,64
HCPCS,C1713,ROD EXTERNAL FIXATION L300 MM LONG STANDARD THREAD MR SAFE,97.64,48.82,21.3,87.88,64
HCPCS,C1713,ROD EXTERNAL FIXATION L300 MM MR CONDITIONAL OD11 MM CARBON FIBER,176.56,88.28,38.51,158.9,64
HCPCS,C1713,ROD EXTERNAL FIXATION L320 MM CONNECT MRI SAFE OD8 MM CARBON FIBER PHALANX MINI EXTERNAL FIXATOR,133.5,66.75,29.12,120.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION L350 MM LONG STANDARD THREAD MR SAFE MAXFRAME,97.64,48.82,21.3,87.88,64
HCPCS,C1713,ROD EXTERNAL FIXATION L350 MM MR CONDITIONAL OD11 MM CARBON FIBER,176.56,88.28,38.51,158.9,64
HCPCS,C1713,ROD EXTERNAL FIXATION L382 MM 95DEG LARGE CURVE OD11 MM CARBON FIBER,474.6,237.3,103.51,427.14,64
HCPCS,C1713,ROD EXTERNAL FIXATION L400 MM CONNECT OD8 MM HOFFMANN,250.92,125.46,54.73,225.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L400 MM MR CONDITIONAL OD11 MM CARBON FIBER,193.67,96.84,42.24,174.3,64
HCPCS,C1713,ROD EXTERNAL FIXATION L400 MM OD8 MM CARBON FIBER,144.19,72.1,31.45,129.77,64
HCPCS,C1713,ROD EXTERNAL FIXATION L45 MM OD3 MM CARBON FIBER PHALANGES METACARPALS,58.99,29.5,12.87,53.09,64
HCPCS,C1713,ROD EXTERNAL FIXATION L450 MM CONNECT OD8 MM HOFFMANN,250.92,125.46,54.73,225.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L450 MM MR CONDITIONAL OD11 MM CARBON FIBER,193.67,96.84,42.24,174.3,64
HCPCS,C1713,ROD EXTERNAL FIXATION L450 MM STRAIGHT CONNECTING OD8 MM HOFFMANN II CARBON LONG BONE,224.4,112.2,48.94,201.96,64
HCPCS,C1713,ROD EXTERNAL FIXATION L499 MM 135DEG LARGE CURVE OD11 MM CARBON FIBER,518.16,259.08,113.01,466.34,64
HCPCS,C1713,ROD EXTERNAL FIXATION L50 MM MICRO CONNECT OD3 MM HOFFMANN II CARBON,60.18,30.09,13.13,54.16,64
HCPCS,C1713,ROD EXTERNAL FIXATION L500 MM CONNECT OD8 MM HOFFMANN,265.2,132.6,57.84,238.68,64
HCPCS,C1713,ROD EXTERNAL FIXATION L500 MM MR CONDITIONAL OD11 MM CARBON FIBER,193.67,96.84,42.24,174.3,64
HCPCS,C1713,ROD EXTERNAL FIXATION L540 MM 180 DEG LARGE CURVE MR CONDITIONAL OD11 MM CARBON FIBER,559.18,279.59,121.96,503.26,64
HCPCS,C1713,ROD EXTERNAL FIXATION L60 MM ACUMED CARBON FIBER,96.0,48.0,20.94,86.4,64
HCPCS,C1713,ROD EXTERNAL FIXATION L60 MM MICRO CONNECT OD3 MM HOFFMANN,60.18,30.09,13.13,54.16,64
HCPCS,C1713,ROD EXTERNAL FIXATION L60 MM OD3 MM CARBON FIBER PHALANGES METACARPALS,58.99,29.5,12.87,53.09,64
HCPCS,C1713,ROD EXTERNAL FIXATION L60 MM OD4 MM CARBON FIBER,34.0,17.0,7.42,30.6,64
HCPCS,C1713,ROD EXTERNAL FIXATION L60 MM THREAD SLOT DISTRACTION OSTEOGENESIS RING SYSTEM,45.37,22.69,9.9,40.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION L60 MM THREAD STRUT OD6 MM EZ-FIX,59.06,29.53,12.88,53.15,64
HCPCS,C1713,ROD EXTERNAL FIXATION L600 MM CONNECT MRI MODULAR OD11 MM HOFFMANN 3 CARBON,335.58,167.79,64.26,302.02,65
HCPCS,C1713,ROD EXTERNAL FIXATION L600 MM LARGE MR CONDITIONAL OD11 MM CARBON FIBER LARGE FIXATOR,209.32,104.66,45.65,188.39,64
HCPCS,C1713,ROD EXTERNAL FIXATION L65 MM CONNECT OD5 MM HOFFMANN II COMPACT CARBON YELLOW,97.92,48.96,21.36,88.13,64
HCPCS,C1713,ROD EXTERNAL FIXATION L650 MM CONNECT MRI VECTRAN OD11 MM HOFFMANN 3 CARBON FIBER,335.58,167.79,73.19,302.02,64
HCPCS,C1713,ROD EXTERNAL FIXATION L650 MM MR CONDITIONAL OD11 MM CARBON FIBER,209.32,104.66,45.65,188.39,64
HCPCS,C1713,ROD EXTERNAL FIXATION L75 MM OD3 MM EX-FIX CARBON FIBER,58.99,29.5,12.87,53.09,64
HCPCS,C1713,ROD EXTERNAL FIXATION L80 MM SMALL OD4 MM CARBON FIBER TITANIUM MANDIBLE,34.0,17.0,7.42,30.6,64
HCPCS,C1713,ROD EXTERNAL FIXATION L80 MM THREAD SIDEKICK FREEDOM,60.7,30.35,13.24,54.63,64
HCPCS,C1713,ROD EXTERNAL FIXATION L80 MM THREAD SLOT,45.37,22.69,9.9,40.83,64
HCPCS,C1713,ROD EXTERNAL FIXATION LARGE 250MML STAINLESS STEEL THREADED GRADUATED TELESCOPIC F/FOOT  ANKLE SYSTEM ILIZAROV PVC-FREE NON-STERILE REUSABLE,449.45,224.73,98.03,404.51,64
HCPCS,C1713,ROD EXTERNAL FIXATION LONG 400MML CARBON THREADED F/DISTRACTION OSTEOGENESIS SYSTEM MRI-SAFE NON-STERILE,127.77,63.89,27.87,114.99,64
HCPCS,C1713,ROD EXTERNAL FIXATION MANDIBLE EXTERNAL FIXATOR II PREBENT,756.87,378.44,165.07,681.18,64
HCPCS,C1713,ROD EXTERNAL FIXATION REPROCESSED 11MM DIA 150MML CARBON FIBER DISTAL RADIAL STRAIGHT CONNECTING F/LARGE FIXATOR SYSTEM HOFFMANN II MRI-SAFE NON-STERILE,116.88,58.44,25.49,105.19,64
HCPCS,C1713,ROD EXTERNAL FIXATION REPROCESSED ATTACHMENT LARGE CARBON FIBER DISTAL RADIAL MULTI-PIN POSITIONX4 F/FIXATOR SYSTEM HOFFMANN II MRI-SAFE NON-STERILE,217.94,108.97,47.53,196.15,64
HCPCS,C1713,ROD EXTRL FIX THRD 60MM,94.2,47.1,20.55,84.78,64
HCPCS,C1713,ROD IFUSE TORQ TNT IMPLANT 8.7 MM  145MM,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1713,ROD INTRAMEDULLARY 10.7MM 215MM 50MM DISTRACTION TITANIUM FEMORAL STRAIGHT RETROGRADE LIMB LENGTHENING PRECICE STERILE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,ROD INTRAMEDULLARY 10.7MM 335MM 80MM DISTRACTION TITANIUM TIBIAL 10DEG ANGLED ANTEGRADE LIMB LENGTHENING PRECICE STERILE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,ROD INTRAMEDULLARY 12.5MM 365MM 80MM DISTRACTION TITANIUM FEMORAL 10DEG ANGLED ANTEGRADE LIMB LENGTHENING PRECICE STERILE,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,ROD INTRAMEDULLARY 3.2MM 260MM STAINLESS STEEL PEDIATRIC THREADED DISTAL LOCKING SLIM STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L145 MM 2 INTERLOCK SCREW HOLE OD3 MM ACUMED FIBULA ANKLE,1517.0,758.5,290.51,1365.3,65
HCPCS,C1713,ROD INTRAMEDULLARY L145 MM 2 INTERLOCK SCREW HOLE OD3.6 MM ACUMED ANKLE FIBULA,1517.0,758.5,290.51,1365.3,65
HCPCS,C1713,ROD INTRAMEDULLARY L190 MM 50 MM UNIVERSAL STRAIGHT STROKE OD10.7 MM PRECICE FEMUR,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1713,ROD INTRAMEDULLARY L20 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L21 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L210 MM OD3 MM ACUMED HAND WRIST ULNA,1860.0,930.0,356.19,1674.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L22 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L23 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L25 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L26 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L27 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L28 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD INTRAMEDULLARY L29 CM OSS FEMORAL,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1713,ROD MALIBU STR 5.5X450MM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD MULTI PIN CLAMP LG,375.0,187.5,81.79,337.5,64
HCPCS,C1713,ROD ORTHOPEDIC L150 MM LOCK OD11 MM POLARUS HUMERUS,1924.0,962.0,368.45,1731.6,65
HCPCS,C1713,ROD ORTHOPEDIC L190 MM RADIUS INTRAMEDULLARY IMPLANT OD3 MM ACUMED RIGHT RADIAL WRIST HAND,2005.0,1002.5,383.96,1804.5,65
HCPCS,C1713,ROD ORTHOPEDIC L230 MM ULNA INTRAMEDULLARY IMPLANT OD3 MM ACUMED,1860.0,930.0,356.19,1674.0,65
HCPCS,C1713,ROD RELINE TI  5.5X500MM TL,1435.0,717.5,274.8,1291.5,65
HCPCS,C1713,ROD RELINE-O LORD 6X90MM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAAL NEON 3 240MM OD4MM HEXAGONAL COCR UNIV,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 120MM STRAIGHT POLYAXIAL,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 1MM DIA 85MML TITANIUM ALLOY SYMPHONY PRE-LORDOSED PRE-CUT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 2.5MM DIA 14MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.2/3.5MM OFFSET INFINITY DOMINO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ROD SPINAL 3.5-6MM DIA TITANIUM UNID NON-STERILE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL 3.5/4MM 220MM TITANIUM ALLOY OCCIPITOCERVICOTHORACIC SYMPHONY STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 3.5/5.5MM 385MM ATOLL TRANSITION,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 120MM STRAIGHT TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 120MM TITANIUM CONTOURED YUKON OCT NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 240MM OASYS TITANIUM OCCIPITO CERVICO THORACIC SPINE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 450MM TITANIUM STRAIGHT HEXAGONAL LEVELX1 EXPEDIUM NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 50MM PRE BENT RELINE-C TITANIUM NONSTERILE LATEX FREE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 55MM LORDOTIC TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 60MM LORDOTIC TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 70MM CURVE CAPITOL,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 80MM ATOLL TITANIUM OCCIPITOCERVICOTHORACIC NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM 90MM CCM PRECUT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 100MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 110MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 120MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 120MML TITANIUM POSTERIOR CERVICAL STRAIGHT PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 240MML TITANIUM POSTERIOR CERVICAL STRAIGHT PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 30MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 30MML TITANIUM POSTERIOR CERVICAL STRAIGHT PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 40MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 50MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 600MML COBALT CHROMIUM TRANSITION DENALI,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 60MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 60MML TITANIUM POSTERIOR CERVICAL STRAIGHT PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 70MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 80MML TITANIUM CERVICAL PRE-BENT BLACKBIRD,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 90MML TITANIUM POSTERIOR CERVICAL CURVED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM DIA 90MML TITANIUM POSTERIOR CERVICAL STRAIGHT PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 3.5MM LARGE CONTOUR SIERRA CROSSBAR TITANIUM LOW PROFILE TELESCOPE PIVOT ROTATOR NONSTERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL 3.5MM MEDIUM CONTOUR SIERRA CROSSBAR TITANIUM LOW PROFILE TELESCOPE PIVOT ROTATOR NONSTERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL 3.5X5.5MM DIA 300MML TITANIUM TRANSITION PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4-5.5MM 600MM TITANIUM ALLOY OCCIPITOCERVICOTHORACIC DUAL DIAMETER SYMPHONY STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,ROD SPINAL 4-5.5MM DIA 420MML TITANIUM ALLOY PRE-LORDOSED F/OCT SYSTEM SYMPHONY,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,ROD SPINAL 4.5/6MM 600MM TITANIUM ALLOY STRAIGHT TAPERED REVERE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 100MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 105MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 110MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 115MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 120MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 35MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 400MML MORE SUPERALLOY EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 40MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 45MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 55MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 60MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 70MML COCR PRE-LORDOSED,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 70MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 75MML MORE PRE-LORDOSED EUROPA,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 80MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 80MML TITANIUM PRE-BENT HEX PRE-CUT XIA MERCURY-FREE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 85MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.5MM DIA 95MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL 4.75MM 30MM CURVE CD HORIZON SOLERA COCRMO PREBENT NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4.75MM 50MM CURVE CD HORIZON SOLERA COCRMO PREBENT NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4.75MM 60MM CURVE CD HORIZON SOLERA COCRMO PREBENT NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4.75MM 70MM CURVE CD HORIZON SOLERA COCRMO PREBENT NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4/6.35MM 600MM TITANIUM DUAL DIAMETER F/OCT SYSTEM SYMPHONY,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,ROD SPINAL 4/6MM 200/500MM TITANIUM TRANSVERSE RELINE-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 40MML TITANIUM THORACOLUMBAR STRAIGHT VIPER NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 100MM TITANIUM OCCIPITOCERVICOTHORACIC PRE-LORDOSED PRE-CUT SYMPHONY NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 100MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 110MM TITANIUM OCCIPITO-CERVICO-THORACIC PRE-LORDOSED PRE-CUT SYMPHONY STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 110MM TITANIUM OCCIPITOCERVICOTHORACIC PRE-LORDOSED PRE-CUT SYMPHONY NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 110MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 120MM TITANIUM PRE-BENT RELINE-C,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 220MM TITANIUM ALLOY OCCIPITOCERVICOTHORACIC SYMPHONY STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM 240MM OCCIPITAL 130DEG ANGLED QUARTEX,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL 4MM 240MM OCCIPITOCERVICOTHORACIC 115DEG ANGLED QUARTEX,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL 4MM 240MM STRAIGHT TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 240MM TITANIUM POSTERIOR CERVICAL STRAIGHT PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 25MM TITANIUM PRE-BENT RELINE-C,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 30MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 40MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 40MM TITANIUM PRE-BENT RELINE-C NON-STERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 50MM TITANIUM PRE-BENT RELINE-C,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 60MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 60MM TITANIUM PRE-BENT RELINE-C,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 70MM CURVE QUARTEX NONSTERILE LATEX FREE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 70MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 70MM TITANIUM PRE-BENT RELINE-C,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM 80/215MM COBALT CHROMIUM 115DEG PRE-BENT YUKON OCT NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM 80MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 90MM TITANIUM POSTERIOR CERVICAL CURVED BULLETED PROFICIENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM 90MM TITANIUM PRE-BENT RELINE-C,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 100MML TITANIUM CURVED QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 4MM DIA 105MML CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 110MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 120MML TITANIUM CURVED QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 4MM DIA 120MML TITANIUM OCCIPITOCERVICOTHORACIC PRE-LORDOSED PRE-CUT SYMPHONY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 120MML TITANIUM STRAIGHT RADIUS F/INTERNAL FIXATION SYSTEM YUKON NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 25MML TITANIUM CONTOURED F/INTERNAL FIXATION SYSTEM YUKON NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 25MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 30MML TITANIUM CURVED QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 4MM DIA 35MML TITANIUM ALLOY PRE-LORDOSED PRE-CUT SYMPHONY STERILE OCCIPITOCERVICOTHORACIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 35MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 40MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 45MML TITANIUM ALLOY OCCIPITOCERVICOTHORACIC PRE-LORDOSED PRE-CUT SYMPHONY NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 45MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 50MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 60MML TITANIUM CURVED QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 4MM DIA 60MML TITANIUM PRE-LORDOSED PRE-CUT SYMPHONY OCCIPITO CERVICO THORACIC SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 65MML TITANIUM CONTOURED F/INTERNAL FIXATION SYSTEM YUKON NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 65MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 65MML TITANIUM LORDOSED,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 75MML TITANIUM OCCIPITOCERVICOTHORACIC PRE-CUT PRE-LORDOSED SYMPHONY NON-STERILE 1/EA,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 80-125MML COCR PRE-BENT/115DEG ANGLED NO-TRANSITION F/INTERNAL FIXATION SYSTEM YUKON NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 80MML TITANIUM CURVED QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 4MM DIA 80MML TITANIUM STRAIGHT RADIUS F/INTERNAL FIXATION SYSTEM YUKON NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 85MML TITANIUM CURVED QUARTEX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 4MM DIA 95MML TITANIUM PRE-CUT PRE-LORDOSED SYMPHONY 1/EA,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 4MM LEFT OCCIPITAL JOINTED QUARTEX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5 X 600MML TITANIUM ALLOY STRAIGHT HEXAGONAL DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM RADIUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM STRAIGHT CAPSURE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM TITANIUM LORDOTIC F/MIS INVICTUS VI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 100MM VITALLIUM PRE-BENT HEXAGONAL PRE-CUT RADIUS NON-STERILE LASER ETCHED,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 105MM TITANIUM ALLOY CURVED CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 110MM CURVED CAPLOX II,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 110MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 110MM RADIUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 110MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 110MM TITANIUM LORDOTIC F/MIS INVICTUS VI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 110MM TITANIUM STRAIGHT BULLET HEXAGONAL DENALI MI NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 120MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 120MM PREBENT STREAMLINE QUANTUM THORACOLUMBAR FIXATION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 120MM RADIUS SPINE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 120MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 120MM TITANIUM LORDOTIC F/MIS INVICTUS VI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 130MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 130MM TITANIUM LORDOTIC F/MIS INVICTUS VI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 130MM TITANIUM STRAIGHT BULLET HEXAGONAL DENALI MI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 140MM PERCUTANEOUS STRAIGHT MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 140MM TITANIUM LORDOTIC F/MIS INVICTUS VI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 140MM TITANIUM STRAIGHT BULLET HEXAGONAL DENALI MI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 150MM CURVE CREO TITANIUM NONSTERILE LATEX FREE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 150MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 150MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 200MM CREO COCR HEXAGONAL NONSTERILE LATEX FREE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 200MM TITANIUM STRAIGHT HEXAGONAL DENALI NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 250MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 300MM TITANIUM PRE-CONTOURED REVERE NON-STERILE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 5.5MM 30MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 30MM RADIUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 30MM TITANIUM THORACOLUMBAR PRE-BENT THUNDERBOLT,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 35MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 35MM TITANIUM CURVED F1 MPS NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 35MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 35MM TITANIUM THORACOLUMBAR PRE-BENT THUNDERBOLT,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 35MM VITALLIUM PRE-BENT HEXAGONAL PRE-CUT RADIUS NON-STERILE LASER ETCHED,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 380MM PRE-CONTOURED ULTRA EXPEDIUM ALTALYNE VIPER,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 400MM COBALT CHROMIUM RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 400MM TITANIUM RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 400MM TITANIUM STRAIGHT PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM MARINER PRECONTOUR NONSTERILE LATEX FREE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM RADIUS TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM TITANIUM ALLOY PRE-LORDOSED BEVEL END TRIALTIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM TITANIUM ALLOY PRE-LORDOSED BEVEL END TRIALTIS STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM TITANIUM CURVED F1 MPS NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 40MM TITANIUM STRAIGHT BULLET HEXAGONAL DENALI MI NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM MARINER PRECONTOUR NONSTERILE LATEX FREE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM PRECONTOURED,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM RADIUS TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM TITANIUM ALLOY PRE-LORDOSED BEVEL END TRIALTIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM TITANIUM CURVED F1 MPS NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 45MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 480MM STRAIGHT HEX ULTRA EXPEDIUM ALTALYNE VIPER,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 500MM COBALT CHROMIUM PERCUTANEOUS STRAIGHT CD HORIZON LONGITUDE II,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 500MM STRAIGHT LONGITUDE II COCRMO NONSTERILE PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 500MM TITANIUM ALUMINIDE PERCUTANEOUS STRAIGHT CD HORIZON,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 500MM TITANIUM OFFSET EVEREST NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 50MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 50MM RADIUS TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 50MM STRAIGHT CAPSURE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 50MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 50MM TITANIUM CURVED F1 MPS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 50MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 55MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 55MM TITANIUM ALLOY PRE-LORDOSED BEVEL END TRIALTIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 55MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 55MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 60MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 60MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 60MM TITANIUM CURVED F1 MPS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 60MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 65MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 65MM TITANIUM ALLOY PRE-LORDOSED BEVEL END TRIALTIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 65MM TITANIUM CURVED CAPSURE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 65MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 70MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 70MM RADIUS TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 70MM TITANIUM ALUMINIDE PERCUTANEOUS STRAIGHT CD HORIZON,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 70MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 70MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 70MM UCR TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 75MM TITANIUM ALLOY PRE-LORDOSED BEVEL END TRIALTIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 75MM TITANIUM CURVED F1 MPS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 80MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 80MM SPIRAL RADIUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 80MM TITANIUM CURVED BULLET TIP PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 80MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 80MM TITANIUM STRAIGHT BULLET HEXAGONAL DENALI MI NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 80MM UCR TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 85MM TITANIUM CURVED CAPSURE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM CURVE CREO TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM MAGEC ACTUATOR OFFSET STERILE LATEX FREE BRACE DISTRACTION SYSTEM,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM MALIBU PRECONTOUR NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM MAX RADIUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM PERCUTANEOUS CURVED MULTI-ANGLED SNIPER 1/EA,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM TITANIUM - 486615090,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM TITANIUM CURVED PRODIGY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM 90MM TITANIUM STRAIGHT BULLET HEXAGONAL DENALI MI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 100MML TITANIUM LUMBAR STRAIGHT SMOOTH DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 100MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 100MML TITANIUM PERCUTANEOUS STRAIGHT MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 100MML TITANIUM STRAIGHT F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 100MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 110MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 110MML TITANIUM PEDICLE STRAIGHT CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 110MML TITANIUM PERCUTANEOUS STRAIGHT MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 110MML TITANIUM STRAIGHT F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 110MML TITANIUM THORACOLUMBAR PRE-BENT THUNDERBOLT,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 110MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 120MML COCR LUMBAR STRAIGHT VIPER 2 NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 120MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 120MML TITANIUM LUMBAR STRAIGHT SMOOTH DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 120MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 120MML TITANIUM PERCUTANEOUS LORDOSED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 130MML TITANIUM PERCUTANEOUS STRAIGHT MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 130MML TITANIUM STRAIGHT SMOOTH DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 140MML TITANIUM LUMBAR STRAIGHT SMOOTH DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 140MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 150MML TITANIUM LORDOTIC MULTI-AXIAL RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 150MML TITANIUM PEDICLE STRAIGHT BULLET NOSE HEXAGONAL DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 150MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 160MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 170MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 300MML COBALT CHROMIUM STRAIGHT HEXAGONAL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 300MML TITANIUM STRAIGHT HEXAGONAL,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 300MML TITANIUM STRAIGHT POLYAXIAL CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 30MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 30MML TITANIUM PERCUTANEOUS LORDOSED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 30MML TITANIUM POSTERIOR THORACOLUMBAR STRAIGHT HARD MATRIX MERCURY-FREE NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 32MML TITANIUM POSTERIOR PEDICLE THORACOLUMBAR STRAIGHT POLYAXIAL CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 35MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 35MML TITANIUM PERCUTANEOUS CURVED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 400MML TITANIUM STRAIGHT HEXAGONAL CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 40MML PERCUTANEOUS CURVED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 40MML TITANIUM LORDOTIC MULTI-AXIAL RELINE-O 1355040,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 40MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 450MML TITANIUM POSTERIOR PEDICLE THORACOLUMBAR STRAIGHT CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 46MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 50MML COBALT CHROMIUM MOLYBDENUM PERCUTANEOUS CAPPED CD HORIZON SOLERA NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 50MML TITANIUM PERCUTANEOUS CURVED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 50MML TITANIUM THORACOLUMBAR PRE-BENT THUNDERBOLT,250.0,125.0,47.88,225.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 51MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 55MML TITANIUM CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 55MML TITANIUM PERCUTANEOUS LORDOSED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 60MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 60MML TITANIUM PERCUTANEOUS LORDOSED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 65MML TITANIUM CURVED F1 MPS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 65MML TITANIUM PEDICLE STRAIGHT CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 70MML COCRMO PERCUTANEOUS STRAIGHT CD HORIZON SOLERA NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 70MML PERCUTANEOUS CURVED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 70MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 70MML TITANIUM PEDICLE STRAIGHT CONTOURED SMOOTH DENALI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 70MML TITANIUM THORACOLUMBAR STRAIGHT VIPER 2 NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 75MML TITANIUM CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 80MML CURVED CAPLOX II,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 80MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 80MML TITANIUM PEDICLE STRAIGHT CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 80MML TITANIUM PERCUTANEOUS CURVED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 90MML PERCUTANEOUS CURVED MULTI-ANGLED SNIPER 11-4091,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA 90MML TITANIUM PEDICLE CURVED CAPSURE PS3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5.5MM DIA UNIVERSAL 440MML TITANIUM THORACOLUMBAR STRAIGHT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 5.5MM LARGE CONTOUR MALIBU CROSSBAR TITANIUM NONSTERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL 5.5MM MEDIUM CONTOUR MALIBU CROSSBAR TITANIUM NONSTERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL 5.5MM MEDIUM PRE-CONTOURED EXPEDIUM ALTALYNE ULTRA VIPER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,ROD SPINAL 5.5MM SMALL CONTOUR MALIBU CROSSBAR TITANIUM NONSTERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL 50MML TITANIUM THORACOLUMBAR STRAIGHT VIPER NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5MM DIA 500MML STRAIGHT RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 5MM DIA 90MML OFFSET MAGEC,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL 6.35MM 500MM TITANIUM ALLOY HEXAGONAL CREO DLX,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6.35MM 600MM TITANIUM POSTERIOR PEDICLE THORACOLUMBAR STRAIGHT HEXAGONAL EXPEDIUM NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 125MML TITANIUM ALLOY CURVED CREO DLX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 150MML TITANIUM ALLOY CURVED CREO DLX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 150MML TITANIUM ALLOY STRAIGHT CREO DLX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 200MML TITANIUM ALLOY HEX-ENDED,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 45MML TITANIUM CURVED CREO DLX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 80MML TITANIUM ALLOY CURVED CREO DLX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 6.35MM DIA 95MML TITANIUM ALLOY CURVED CREO DLX,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 60MM MAX XIA,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 60MML TITANIUM THORACOLUMBAR STRAIGHT VIPER NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 60X5.5MM RADIUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 100MM DIAPASON TITANIUM UNION NONSTERILE THORACOLUMBAR SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 110MM DIAPASON TITANIUM UNION NONSTERILE THORACOLUMBAR SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 115MM TITANIUM ALLOY CURVED CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 120MM DIAPASON TITANIUM UNION NONSTERILE THORACOLUMBAR SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 120MM TITANIUM ALLOY CURVED CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 120MM XIA TITANIUM ALLOY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 13MM XIA 3 TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 140MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 14MM XIA TITANIUM ALLOY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 150MM DIAPASON TITANIUM UNION NONSTERILE THORACOLUMBAR SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 150MM TITANIUM ALLOY CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 150MM TITANIUM STRAIGHT RELINE MAS NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 15MM XIA TITANIUM ALLOY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 160MM DIAPASON TITANIUM UNION NONSTERILE THORACOLUMBAR SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 160MM TITANIUM ALLOY STRAIGHT CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 170MM TITANIUM ALLOY STRAIGHT CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 200MM TITANIUM ALLOY STRAIGHT CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 200MM TITANIUM STRAIGHT MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 300MM DIAPASON TITANIUM UNION NONSTERILE THORACOLUMBAR SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 300MM TITANIUM ALLOY STRAIGHT HEXAGONAL END TRIALTIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 300MM TITANIUM STRAIGHT MULTI-AXIAL RELINE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 6MM 30MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 320MM TITANIUM PASS LP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM 35MM TITANIUM ALLOY CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 35MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 360MM TITANIUM PASS LP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM 40MM LORDOTIC ASTRA TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 40MM TITANIUM CONTOURED BULLET HEXAGONAL EVEREST NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 40MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 450MM TITANIUM ALLOY PRE-CONTOURED CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 45MM TITANIUM ALLOY CURVED CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 45MM TITANIUM CONTOURED BULLET HEXAGONAL EVEREST NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 45MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 480MM XIA 3 TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 500MM COBALT CHROMIUM RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 500MM TITANIUM STRAIGHT MULTI-AXIAL RELINE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL 6MM 50MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 50MM XIA 3 TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 55MM TITANIUM ALLOY STRAIGHT CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 55MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 60MM TITANIUM ALLOY CURVED CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 60MM TITANIUM CONTOURED BULLET HEXAGONAL EVEREST NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 60MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 60MM XIA TITANIUM ALLOY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 65MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 70MM LORDOTIC ASTRA TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 70MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 70MM TITANIUM STRAIGHT BULLETED HEX EVEREST MI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 70MM XIA TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 75MM TITANIUM ALLOY STRAIGHT CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 75MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 80MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 80MM TITANIUM STRAIGHT BULLETED HEX EVEREST MI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 90MM LORDOTIC ASTRA TITANIUM NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM 90MM TITANIUM ALLOY CURVED CREO MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM 95MM TITANIUM LORDOSED MULTI-AXIAL RELINE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 100MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 100MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 100MML TITANIUM PRE-BENT PASS LP MERCURY-FREE NON-STERILE,147.0,73.5,28.15,132.3,65
HCPCS,C1713,ROD SPINAL 6MM DIA 100MML TITANIUM STRAIGHT PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 110MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 120MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 120MML TITANIUM PASS LP MERCURY-FREE NON-STERILE,147.0,73.5,28.15,132.3,65
HCPCS,C1713,ROD SPINAL 6MM DIA 125MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 125MML TITANIUM STRAIGHT PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 12MMW 100MM-200MM OFFSET TITANIUM Z-SHAPED CREO STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 130MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 140MML TITANIUM PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 150MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 150MML TITANIUM STRAIGHT PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 160MML TITANIUM PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 200MML TITANIUM HEX END CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 200MML TITANIUM PASS LP NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 200MML TITANIUM STRAIGHT PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 220MML TITANIUM PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 240MML TITANIUM PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 300MML TITANIUM PRE-CONTOURED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 300MML TITANIUM STRAIGHT HEXAGONAL,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 300MML TITANIUM STRAIGHT SALVO NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 35MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 40MML TITANIUM CURVED CREO,125.0,62.5,23.94,112.5,65
HCPCS,C1713,ROD SPINAL 6MM DIA 40MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 40MML TITANIUM PRE-BENT PASS LP NON-STERILE,129.0,64.5,24.7,116.1,65
HCPCS,C1713,ROD SPINAL 6MM DIA 45MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 45MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 45MML TITANIUM LORDOTIC RELINE-O,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 500MML TITANIUM RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 50MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 50MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 50MML TITANIUM LORDOTIC RELINE-O,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 50MML TITANIUM PRE-BENT PASS LP NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 55MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 55MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 60MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 60MML TITANIUM LORDOTIC RELINE-O,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 60MML TITANIUM PRE-BENT PASS LP NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 65MML TITANIUM BULLET HEXAGON RADIUS EVEREST,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 65MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 65MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 65MML TITANIUM LORDOTIC RELINE-O,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 70MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 70MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 70MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 70MML TITANIUM LORDOTIC RELINE-O,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 70MML TITANIUM PRE-BENT PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 75MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 75MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 75MML TITANIUM LORDOTIC RELINE-O,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 80MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 80MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 80MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 80MML TITANIUM PRE-BENT PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 85MML TITANIUM CURVED CREO,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 85MML TITANIUM CURVED F/MIS CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 85MML TITANIUM CURVED PROTEX THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA 90MML TITANIUM PRE-BENT PASS LP MERCURY-FREE NON-STERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL 6MM DIA MEDIUM TITANIUM LATERAL OFFSET RELINE-O,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ARMADA L35 MM OD5.5 MM TITANIUM ARM15T,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL ASTRA 6MM 30MM LORDOSED FIXED TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ASTRA L45 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL ASTRA L50 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L120 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L30 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L45 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L50 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L55 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L60 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L65 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L75 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L80 MM OD3.5 MM CURVE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L85 MM OD3.5 MM CURVE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L90 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CAPITOL L95 MM OD3.5 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CASPIAN L120 MM OD3.5 MM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CASPIAN L125 MM OD3.5 MM PREBENT 115 D,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CASPIAN L240 MM OD3.5 MM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CASPIAN L300 MM OD3.5/5.5 MM TRANSITION TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CASPIAN L80 MM OD3.5 MM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L100 MM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L100 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L110 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L120 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L30 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L30 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L35 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L35 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L40 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L40 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L45 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L45 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L50 CM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L50 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L50 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD5.5 MM CHROMALOY PLUS STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD5.5 MM COCRMO STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD5.5 MM LINE HEXAGONAL TITANIUM CP GRADE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD5.5 MM LINE TITANIUM COCRMO STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD5.5 MM LINE TITANIUM STRAIGHT CP4,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD6 MM COCRMO PLUS STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L500 MM OD6 MM LINE COCRMO PLUS STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L55 CM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L55 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L55 MM OD5.5 MM PREBENT CENTRAL POST TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L55 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L60 CM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L60 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L60 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L600 MM OD6 MM COCRMO PLUS STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L65 CM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L70 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L700 MM OD6 MM COCRMO PLUS STRAIGHT 1606200700,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L75 MM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L80 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L80 MM OD6.35 MM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L85 MM OD5.5 MM PREBENT CENTRAL POST TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L90 CM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L90 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L90 MM OD5.5 MM TITANIUM CURVE CP4,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON L90 MM OD6.35 MM PRECUT PREBENT CENTRAL POST TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L100 MM OD4.75 MM COCRMO PLUS STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L100 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L110 MM OD4.75 MM COCRMO PLUS STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L120 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L130 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L160 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L190 MM OD4.75 MM COCRMO PLUS STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L190 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L230 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L260 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON LONGITUDE II L80 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L100 MM OD4.75 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L100 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L110 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L120 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L120 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L130 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L140 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L150 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L160 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L170 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L180 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L190 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L200 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L30 MM OD4.75 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L35 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L35 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L35 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L40 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L40 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L45 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L45 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L45 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L45 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L50 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L500 MM OD4.75 MM COCRMO PLUS STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L500 MM OD4.75 MM COCRMO STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L55 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L55 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L55 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L55 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L60 MM OD4.75 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L60 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L60 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L60 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L60 MM OD5.5 MM TITANIUM PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L65 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L65 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L65 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L70 MM OD4.75 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L70 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L75 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L80 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L80 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L80 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L85 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L90 MM OD4.75 MM PREBENT COCRMO CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L90 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L90 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L95 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SOLERA L95 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SPINAL SYSTEM L200 MM OD4.5 MM SAGITTAL STAINLESS STEEL,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CD HORIZON SPINAL SYSTEM L70 MM OD5.5 MM SAGITTAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L100 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L100 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L100 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L100-200 MM OD5.5 MM OFFSET TITANIUM 12 MM Z,500.0,250.0,95.75,450.0,65
HCPCS,C1713,ROD SPINAL CREO L110 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L125 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L125 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L130 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L140 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L15 MM OD5.5 MM CLOSED OFFSET,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L150 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L150 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L160 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L180 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L200 MM OD5.5 MM HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L200 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L200 MM OD6 MM HEXAGONAL COCR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L250 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L30 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L300 MM OD5.5 MM HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L300 MM OD6 MM HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L35 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L40 MM OD5.5 MM TITANIUM CURVE MIS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L45 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L45 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L50 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L50 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L500 MM OD5.5 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L500 MM OD6 MM HEXAGONAL COCR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L500 MM OD6 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L55 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L55 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L55 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L60 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L60 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L60 MM OD6 MM CURVED TITANIUM ALLOY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L65 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L65 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L65 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L70 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L70 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L75 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L75 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L75 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L80 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L80 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L85 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L85 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L85 MM OD5.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L85 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L90 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L95 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL CREO L95 MM OD5.5 MM TITANIUM CURVE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL CREO L95 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L100 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L100 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L110 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L110 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L110 MM OD5.5 MM TITANIUM STRAIGHT GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L125 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L130 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L140 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L150 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L150 MM OD5.5 MM TITANIUM STRAIGHT GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L175 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L200 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L200 MM OD5.5 MM TITANIUM STRAIGHT GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L250 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L30 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L30 MM OD5.5 MM TITANIUM STRAIGHT GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L300 MM OD5.5 MM 2 HEXAGONAL TITANIUM CONTOUR GRAY DEFORMITY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L300 MM OD5.5 MM OFFSET,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L35 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L35 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L40 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L40 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L40 MM OD5.5 MM TITANIUM STRAIGHT GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L45 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L45 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L50 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L50 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L50 MM OD5.5 MM TITANIUM STRAIGHT GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L500 MM OD5.5 MM 2 HEXAGONAL COCR STRAIGHT GRAY DEFORMITY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L500 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT GRAY DEFORMITY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L55 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L55 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L60 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L60 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L65 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L65 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L70 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L70 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L75 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L75 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L80 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L80 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L85 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L85 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L90 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L90 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL DENALI L95 MM OD5.5 MM HEXAGONAL TITANIUM CONTOUR BULLET MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL DENALI L95 MM OD5.5 MM TITANIUM CONTOUR GRAY,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE L120 MM OD3.5 MM COCR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE L240 MM OD3.5 MM COCR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE L350 MM OD3.5-6 MM TITANIUM TAPER POSTERIOR OCCIPITOCERVICOTHORACIC SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE L350 MM OD3.5-6.35 MM TITANIUM TAPER POSTERIOR OCCIPITOCERVICOTHORACIC SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE L350 MM OD3.5-6.5 MM TITANIUM TAPER POSTERIOR OCCIPITOCERVICOTHORACIC SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE L40 MM OD3.5 MM TITANIUM POSTERIOR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE TITANIUM LEFT POSTERIOR OCCIPITOCERVICOTHORACIC SYSTEM,900.0,450.0,172.35,810.0,65
HCPCS,C1713,ROD SPINAL ELLIPSE TITANIUM RIGHT POSTERIOR OCCIPITOCERVICOTHORACIC SYSTEM,900.0,450.0,172.35,810.0,65
HCPCS,C1713,ROD SPINAL ES2 L100 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ES2 L130 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ES2 L140 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ES2 L140 MM OD6 MM HEXAGONAL VITALLIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ES2 L480 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL ES2 L70 MM OD5.5 MM HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ES2 RADIUS L35 MM OD5.5 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL ES2 RADIUS L45 MM OD5.5 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EUROPA MORE L250 MM OD4.5 MM MOLYBDENUM-RHENIUM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL EUROPA MORE L450 MM OD4.5 MM MOLYBDENUM-RHENIUM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL EVEREST L110 MM OD6 MM TITANIUM CONTOUR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EVEREST L130 MM OD6 MM TITANIUM CONTOUR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EVEREST L40 MM OD6 MM TITANIUM CONTOUR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EVEREST L500 MM OD6 MM 2 HEXAGONAL COCR CONTOUR DEFORMITY,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL EVEREST L500 MM OD6 MM 2 HEXAGONAL TITANIUM CONTOUR DEFORMITY,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL EVEREST L500 MM OD6 MM 2 HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L100 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L105 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L110 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L115 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L120 MM OD5.5 MM PRECUT HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L120 MM OD6.35 MM HEX END TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L120 MM PREBENT LINE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L125 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L130 MM PREBENT LINE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L135 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L30 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L300 MM OD5.5 MM BIAS TITANIUM Z,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L300 MM OD5.5 MM PRECUT HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L300 MM OD5.5 MM TITANIUM Z,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L300 MM OD6.35 MM HEXAGONAL TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L35 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L35 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L40 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L40 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L430 MM OD4.5 MM HEXAGONAL TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L45 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L45 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L450 MM OD4.5 MM HEXAGONAL COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L450 MM OD6.35 MM HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L455 MM OD5.5 MM COCR CONTOUR,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L480 MM OD5.5 MM HEXAGONAL STAINLESS STEEL,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L480 MM OD5.5 MM PRECUT HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L480 MM OD5.5 MM ULTRA STRENGTH STAINLESS STEEL 200 KSI,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L50 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L50 MM OD6.35 MM HEXAGONAL COCR STRAIGHT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L55 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L55 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L55 MM OD6.35 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L60 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L600 MM OD6.35 MM HEXAGONAL COCR STRAIGHT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L65 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L65 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L70 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L75 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L75 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L80 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L85 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L85 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L90 MM OD5.5 MM PREBENT LINE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L95 MM OD5.5 MM LINE PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM L95 MM OD6.35 MM PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL EXPEDIUM VIPER 2 L600 MM OD5.5 MM COCR STRAIGHT MIS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL FIREBIRD L110 MM OD5.5 MM ANODIZE TITANIUM STRAIGHT POSTERIOR THORACOLUMBAR SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL FIREBIRD L70 MM OD5.5 MM PREBENT ANODIZE TITANIUM POSTERIOR THORACOLUMBAR SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL FIREBIRD L75 MM OD5.5 MM ANODIZE TITANIUM PREBENT POSTERIOR THORACOLUMBAR SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL FIREBIRD L80 MM OD5.5 MM PREBENT ANODIZE TITANIUM POSTERIOR THORACOLUMBAR SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INFINITY L240 MM OD3.2 MM STANDARD,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY L30 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY L40 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY L420 MM OD3.5/4.75 MM TAPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INFINITY L50 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY L70 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L100 MM OD3.5 MM ADJUSTABLE TITANIUM OCCIPITOCERVICAL,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L200 MM OD3.5 MM ADJUSTABLE COCRMO OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L200 MM OD3.5 MM ADJUSTABLE TITANIUM OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L200 MM OD3.5 MM PRECURVE COCRMO OCCIPITOCERVICOTHORACIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L200 MM OD3.5 MM PRECURVE TITANIUM OCCIPITOCERVICOTHORACIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L420 MM OD3.5/5.5 MM TAPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L80 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L100 MM OD5.5 MM TITANIUM VITALLIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L110 MM OD5.5 MM TITANIUM VITALLIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L130 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L25 MM OD3.5 MM TITANIUM LORDOTIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INVICTUS L30 MM OD5.5 MM VITALLIUM TITANIUM LORDOTIC 15235-55-045,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L30 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L300 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L300 MM OD5.5 MM TITANIUM STRAIGHT MIS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L35 MM OD3.5 MM TITANIUM LORDOTIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INVICTUS L35 MM OD4 MM TITANIUM LORDOTIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INVICTUS L40 MM OD5.5 MM LIPPED TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L50 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INVICTUS L70 MM OD4 MM TITANIUM LORDOTIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INVICTUS L75 MM OD4 MM TITANIUM LORDOTIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL INVICTUS L80 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L110 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L150 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L35 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L40 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L45 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L50 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L60 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L65 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL INVICTUS VIPER 2 L70 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL JOGGED 5.5MM DIA 400MML TITANIUM END,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL L120 MM OD3.5 MM EXTRA HARD TITANIUM CONTOUR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L125 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L125 MM OD6 MM HARD TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L240 MM OD3.5 MM PREBENT TITANIUM 110 D OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L240 MM OD3.5 MM TITANIUM OCCIPITAL GOLD,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L35 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L40 MM OD3.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L40 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L400 MM OD5.5 MM HARD TITANIUM STRAIGHT ROSE RED,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL L400 MM OD5.5 MM PRECONTOUR EXTRA HARD TITANIUM STRAIGHT L80 MM LIGHT GREEN,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L45 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L50 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L500 MM OD5.5/6 MM CONNECT HARD TITANIUM TAPER ROSE RED,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL L55 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L60 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L65 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L70 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L75 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L80 MM OD3.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L80 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL L85 MM OD5.5 MM HARD TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL LONG 6MM 15MM OPEN OFFSET CREO,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L100 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L120 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L130 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L160 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L180 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L80 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LONGITUDE II L90 MM OD5.5 MM TITANIUM STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL LOTUS L60 MM OD3.5 MM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MAGEC L70 MM OD4.5 MM ACTUATOR TITANIUM STANDARD BRACE DISTRACTION SYSTEM,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL MAGEC L70 MM OD5.5 MM ACTUATOR STANDARD BRACE DISTRACTION SYSTEM,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL MAGEC L90 MM OD4.5 MM ACTUATOR EXTENSION REMOTE CONTROL TITANIUM STANDARD BRACE DISTRACTION SYSTEM,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL MAGEC L90 MM OD4.5 MM ACTUATOR OFFSET MS1-4590R,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL MAGEC L90 MM OD5 MM ACTUATOR STANDARD BRACE DISTRACTION SYSTEM,17500.0,8750.0,3351.25,15750.0,65
HCPCS,C1713,ROD SPINAL MARINER L40 MM OD6 MM PRECONTOUR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MAS L35 MM PREBENT PLIF,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL MAS PLIF L60 MM PREBENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL MAS PLIF L65 MM PREBENT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL MOMENTUM L66 MM OD6 MM TITANIUM CURVE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL MONARCH L600 MM OD5.5 MM TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L35 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L45 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L55 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L65 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L75 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L85 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI L95 MM OD5.5 MM 1 INNIE TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L100 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L120 MM OD3.5 MM PREBENT TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L120 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L200 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L200 MM OD3.5 MM PREBENT TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L25 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L30 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L35 MM OD3.5 MM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L40 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L420 MM OD3.5-4.5 MM 2 DIAMETER COCR OCCIPITOCERVICOTHORACIC SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L420 MM OD3.5-5.5 MM 2 DIAMETER TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L45 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L50 MM OD3.5 MM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L55 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L60 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L65 MM OD3.5 MM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L70 MM OD3.5 MM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L72-220 MM OD3.5 MM LOW PROFILE ADJUSTABLE OCCIPITOCERVICOTHORACIC SYSTEM,240.0,120.0,45.96,216.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L75 MM OD3.5 MM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L80 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L90 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL MOUNTAINEER L95 MM OD3.5 MM LOW PROFILE TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL NEON3 110 MM OD4 MM TITANIUM CURVE UNIVERSAL OCCIPITOCERVICOTHORACIC STABILIZATION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL NEON3 L120 MM OD4 MM TITANIUM CURVE UNIVERSAL OCCIPITOCERVICOTHORACIC STABILIZATION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL NORTHSTAR L200 MM OD4 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L120 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L120 MM OD3.5 MM VITALLIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L240 MM OD3.5 MM VITALLIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L25 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L350 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L40 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L50 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L60 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L70 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L80 MM OD3.5 MM TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL OASYS L80 MM OD3.5 MM VITALLIUM OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL PRE-CUT 4MM DIA 25MML TITANIUM ALLOY PRE-LORDOSED F/OCT SYSTEM SYMPHONY,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PRECEPT L30 MM PREBENT TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PRECEPT L35 MM PREBENT TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PRECEPT L40 MM PREBENT TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PRECEPT L45 MM PREBENT TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PROFICIENT L55 MM OD3.5 MM TITANIUM CURVE CERVICAL POSTERIOR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PROFICIENT L80 MM OD4 MM TITANIUM CURVE CERVICAL POSTERIOR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL PROFICIENT L90 MM OD4 MM TITANIUM CURVE CERVICAL POSTERIOR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL QUARTEX L120 MM OD4 MM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL QUARTEX L240 MM OD4 MM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL QUARTEX L500 MM OD4-5.5 MM TAPER,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL QUARTEX L75 MM OD4 MM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL QUARTEX L80 MM OD4 MM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RADIUS L35 MM OD5.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RADIUS L40 MM OD5.5 MM PREBENT HEXAGONAL VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RADIUS L40 MM OD5.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RADIUS L400 MM OD5.5 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RADIUS L45 MM OD5.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RADIUS L600 MM OD5.5 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RADIUS L600 MM OD5.5 MM VITALLIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RADIUS L70 MM OD5.5 MM HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RADIUS L80 MM OD5.5 MM HEXAGONAL TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L100 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L100 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L100 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L110 MM OD5.5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L110 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L110 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L110 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L120 MM OD5.5 MM MULTIAXIAL SCREW TITANIUM LORDOTIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L120 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L120 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L130 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L140 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L140 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L160 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L25 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L25 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L250 MM OD5.5 MM TITANIUM STRAIGHT MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L30 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L30 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L30 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD4.5 MM TITANIUM STRAIGHT SMALL STATURE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD5.5 MM COCR J,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD5.5 MM COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD5.5 MM TITANIUM STRAIGHT MAS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD6 MM COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L300 MM OD6 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L35 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L35 MM OD5.5 MM MULTIAXIAL SCREW TITANIUM LORDOTIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L35 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L40 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L40 MM OD5.5 MM MULTIAXIAL SCREW TITANIUM LORDOTIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L40 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L40 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L400 MM OD6 MM COCR THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L45 MM OD5.5 MM MULTIAXIAL SCREW TITANIUM LORDOTIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L45 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L50 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L50 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD5 MM COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD5.5 MM COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD5.5 MM COCR THORACOLUMBAR,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD5.5 MM TITANIUM STRAIGHT MAS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD6 MM COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L500 MM OD6 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L55 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L55 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L60 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L60 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L60 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L600 MM OD5.5 MM COCR STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L600 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L600 MM OD6 MM COCR STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L65 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L65 MM OD5.5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L65 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L65 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L70 MM OD5 MM COCR LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L70 MM OD5.5 MM MULTIAXIAL SCREW TITANIUM LORDOTIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L70 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L75 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L75 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L80 MM OD5.5 MM MULTIAXIAL SCREW TITANIUM LORDOTIC,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L80 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L80 MM OD6 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L85 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L90 MM OD5.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE L90 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE L95 MM OD5.5 MM TITANIUM LORDOTIC MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE OD5.5 MM LATERAL OFFSET TITANIUM MEDIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RELINE-C L110 MM OD4.0 MM TITANIUM PRE BENT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE-C L240 MM OD4.0 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE-C L250/100 MM OD3.5 MM PB OCCIP TITANIUM,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL RELINE-C L40 MM OD3.5 MM TITANIUM PRE BENT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE-C L80 MM OD3.5 MM TITANIUM PRE BENT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL RELINE-O 6X500MM COCR THORACOLUM,1435.0,717.5,274.8,1291.5,65
HCPCS,C1713,ROD SPINAL RESPONSE L400 MM OD6 MM COCR S STRAIGHT L80 MM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL RESPONSE L500 MM OD5.5 MM TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL REVERE L75 MM OD5.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L120 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L35 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L40 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L40 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM STRAIGHT PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L45 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L50 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L60 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L70 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L80 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SAVANNAH-T L90 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SIZE 1 6MM DIA TITANIUM UNID NON-STERILE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL SIZE 13 6MM DIA TITANIUM UNID,900.0,450.0,172.35,810.0,65
HCPCS,C1713,ROD SPINAL SIZE 2 6MM DIA TITANIUM UNID NON-STERILE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL SNIPER L65 MM OD5.5 MM CURVE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL SNIPER L75 MM OD5.5 MM CURVE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL SNIPER L85 MM OD5.5 MM CURVE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL SOLANAS L120 MM OD3.3 MM TITANIUM CERVICAL POSTERIOR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SOLANAS L240 MM OD3.3 MM TITANIUM CERVICOTHORACIC POSTERIOR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SPHERX DBR III L40 MM PREBENT 2 BALL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL SPHERX DBR III L40 MM PREBENT TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL SPHERX II L60 MM OD5.5 MM 1 BALL TITANIUM ALUMINUM VANADIUM,135.0,67.5,25.85,121.5,65
HCPCS,C1713,ROD SPINAL SYMPHONY L120 MM OD4 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L220 MM OD3.5 MM ADJUSTABLE TITANIUM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L240 MM OD3.5 MM TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L240 MM OD4 MM COCR STRAIGHT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L30 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L35 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L35 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L40 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L40 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L45 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L50 MM OD3.5 MM TITANIUM PREBENT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L50 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L55 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L65 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L70 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L70 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L75 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L80 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L80 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L90 MM OD3.5 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYMPHONY L90 MM OD4 MM TITANIUM LORDOTIC,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L30 MM OD3.5 MM PREBENT TITANIUM CURVE GOLD OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L35 MM OD3.5 MM TITANIUM CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L45 MM OD3.5 MM TITANIUM CURVE PREBENT GOLD OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L50 MM OD3.5 MM PREBENT TITANIUM CURVE GOLD OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L60 MM OD3.5 MM PREBENT TITANIUM CURVE GOLD OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L70 MM OD3.5 MM PREBENT TITANIUM CURVE GOLD OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL SYNAPSE L85 MM OD3.5 MM PREBENT TITANIUM CURVE GOLD OCCIPITOCERVICAL FUSION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L40 MM OD6 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L45 MM OD6 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L480 MM OD5.5 MM 2 HEX TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L480 MM OD6 MM 2 HEX TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L50 MM OD6 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L65 MM OD6 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L75 MM OD5.5 MM COCR LORDOSIS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L85 MM OD5.5 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L85 MM OD6 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L95 MM OD5.5 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS L95 MM OD6 MM TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS VIPER L20 MM OD6 MM HEX TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS VIPER L40 MM OD6 MM HEX TITANIUM LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TRIALTIS VIPER L75 MM OD5.5 MM TITANIUM BULLET LORDOSIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL TSRH SPINAL SYSTEM L55 MM OD5.5 MM CHROMALOY PLUS CURVE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL TSRH-2D L100 MM OD6.35 MM PRECUT BENT,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL TSRH-2D L30 MM OD6.35 MM PREBENT PRECUT TITANIUM CONTOUR PEDICLE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL UNID EXPEDIUM OD6 MM TITANIUM 4 D UP LARGE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNID OD3.5 MM 4 UP LEVEL EXPAND COCR OCCIPITOCERVICOTHORACIC SYSTEM,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNID OD5.5 MM 1-3 LEVEL TITANIUM,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNID OD5.5 MM 4+ LEVEL COCR,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNID OD5.5 MM 4+ LEVEL TITANIUM,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNID OD6 MM COCR 02,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNID OD6 MM EXPAND 1-3 LEVEL TITANIUM OCCIPITOCERVICOTHORACIC SYSTEM,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 3.5MM 40MM TITANIUM CERVICAL PRE-BENT BLACKBIRD,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 3.5MM DIA 60MML TITANIUM CERVICAL PRE-BENT BLACKBIRD,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM 55MM TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM DIA 100MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM DIA 35MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM DIA 40MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM DIA 50MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM DIA 60MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL UNIVERSAL 5.5MM DIA 70MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,ROD SPINAL VERTEX L300 MM OD3.5 MM CHROMALOY PLUS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VERTEX L300 MM OD3.5 MM COCR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX MAX L240 MM OD3.2 MM THREAD TITANIUM RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX MAX L240 MM OD3.2 MM TITANIUM RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX MAX L360 MM OD5.5 MM THREAD TITANIUM RECONSTRUCTION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VERTEX RECONSTRUCTION SYSTEM L240 MM OD3.5 MM CHROMALOY PLUS,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX RECONSTRUCTION SYSTEM L80 MM OD3.5 MM PRECUT CCM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L100 MM OD3.5 MM PRECUT COCRMO PLUS RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L120 MM OD3.5 MM THREAD TITANIUM RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L200 MM OD3.5 MM PRECURVE RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L220 MM OD3.5 MM ADJUSTABLE OCCIPITOCERVICAL RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L240 MM OD3.5 MM THREAD TITANIUM RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L240 MM OD3.5 MM TITANIUM RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L25 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L30 MM OD3.5 MM PRECUT COCRMO PLUS RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L30 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L300 MM OD3.5 MM THREAD TITANIUM RECONSTRUCTION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L35 MM OD3.5 MM PRECUT COCRMO PLUS RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L40 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L420 MM OD3.5/5.5 MM COCRMO PLUS RECONSTRUCTION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L45 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L50 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L55 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L60 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L600 MM OD3.5/4.75 MM TITANIUM TAPER RECONSTRUCTION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L70 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L80 MM OD3.5 MM PRECUT COCRMO PLUS RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VERTEX SELECT L80 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L100 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L110 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L120 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L120 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L130 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L150 MM OD5.5 MM LORDOTIC TITANIUM PREBENT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L180 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L200 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L30 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L35 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L40 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L45 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L45 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L480 MM OD5.5 MM COCR STRAIGHT MIS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L480 MM OD5.5 MM TITANIUM STRAIGHT MIS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L50 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L55 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L60 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L65 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L70 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L75 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L80 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L80 MM OD5.5 MM TITANIUM STRAIGHT MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L90 MM OD5.5 MM TITANIUM KYPHOSE MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L90 MM OD5.5 MM TITANIUM LORDOTIC MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER 2 L90 MM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L35 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L40 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L45 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L55 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L60 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L65 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L70 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L75 MM OD5.5 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VIPER L85 MM PREBENT TITANIUM MIS,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II HINGE TITANIUM,700.0,350.0,134.05,630.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II L120 MM OD3.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II L240 MM OD3.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II L240 MM PRECURVE TITANIUM 45 D,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II L50 MM OD3.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II L60 MM OD3.5 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II L80 MM OD3.5 MM PRECONTOUR TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT II OD3.5-5.5 MM TRANSITION XLONG,1680.0,840.0,321.72,1512.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT L240 MM OD3.5 MM COCR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL VUEPOINT OD3.5/5.5 MM COCR TAPER OCCIPITOCERVICOTHORACIC SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL XIA 3 L40 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 L480 MM OD6 MM HEXAGONAL TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL XIA 3 L480 MM OD6 MM TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL XIA 3 L600 MM OD6 MM HEXAGONAL TITANIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L100 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L110 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L120 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L35 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L40 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L45 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L50 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L60 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L70 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L80 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 3 RADIUS L90 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 L480 MM OD4.5 MM TITANIUM LONG,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 L600 MM OD4.5 MM VITALLIUM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 L70 MM OD4.5 MM PRECUT PREBENT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L100 MM OD4.5 MM PREBENT PRECUT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L30 MM OD4.5 MM PREBENT PRECUT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L30 MM OD4.5 MM PREBENT PRECUT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L35 MM OD4.5 MM PREBENT PRECUT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L35 MM OD4.5 MM PREBENT PRECUT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L40 MM OD4.5 MM PRECUT PREBENT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L40 MM OD4.5 MM PRECUT PREBENT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L45 MM OD4.5 MM PREBENT PRECUT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L45 MM OD4.5 MM PRECUT PREBENT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L50 MM OD4.5 MM PREBENT PRECUT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L50 MM OD4.5 MM PRECUT PREBENT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L60 MM OD4.5 MM PREBENT PRECUT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L60 MM OD4.5 MM PRECUT PREBENT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L70 MM OD4.5 MM PREBENT PRECUT TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L80 MM OD4.5 MM PREBENT PRECUT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA 4.5 RADIUS L90 MM OD4.5 MM PREBENT PRECUT VITALLIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL XIA L30 MM OD6 MM TITANIUM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L100 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L240 MM OD4 MM TITANIUM STRAIGHT OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L25 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L35 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L35 MM OD4 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L45 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L45 MM OD4 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L55 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L55 MM OD4 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L65 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L75 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L75 MM OD4 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPINAL YUKON L85 MM OD3.5 MM TITANIUM CONTOUR OCCIPITOCERVICOTHORACIC SYSTEM,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD SPNL VRST L80 MM OD6 MM TI CONTOUR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,ROD TI 3.5X025 LOR,120.0,60.0,22.98,108.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 11 X 35MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 11 X 45MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 11 X 50MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 11 X 55MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 11 X 60MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 9.5 X 40MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 9.5 X 45MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 9.5 X 50MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SACROILIAC JOINT FUSION IMPLANT 9.5 X 55MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,SCREW 0 MM FULL THREAD CAP BONE POLARUS 3,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW 10 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW 10 MM OD2.7 MM SELF TAP LOCK BONE RAYHACK,214.92,107.46,41.16,193.43,65
HCPCS,C1713,SCREW 10 MM OD3.5 MM T15 TITANIUM CORTICAL SELF TAP YELLOW SMALL FRAGMENT BONE AXSOS 3 PANGEA,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW 10 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,108.46,54.23,20.77,97.61,65
HCPCS,C1713,SCREW 115 MM 32MM OD6.5 MM TITANIUM COMPRESSION CANN BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW 12 MM OD2 MM TITANIUM FOOT HAND ANKLE SELF TAP SELF DRILL SNAP OFF BONE CHARLOTTE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW 12 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW 13 MM OD2.7 MM TITANIUM FOOT HAND ANKLE SELF TAP SELF DRILL SNAP OFF BONE CHARLOTTE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW 14 MM L1.8 MM OD2.5 MM ODSEC1.9 MM T8 REVERSE CUT FLUTE TAPER TITANIUM SMALL BONE CANNULATED SELF DRILL SELF TAP HEAD LOBE DRIVE BONE MINI,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW 14 MM OD4 MM FULL THREAD CANCELLOUS ANKLE FOOT SELF TAP PREDRILL GREEN BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW 14MM VST,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW 16MM OD3 MIS COMPRESSION BONE UNITE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW 18 MM OD2.7 MM STAINLESS STEEL LOCK BONE CLAW CHARLOTTE,142.29,71.15,27.25,128.06,65
HCPCS,C1713,SCREW 18MM OD3 MIS COMPRESSION BONE UNITE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW 2.5 MM EDGE HEAD BONE DART-FIRE,639.0,319.5,122.37,575.1,65
HCPCS,C1713,SCREW 22 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW 22MM OD3 MM COMPRESSION BONE UNITE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW 22MM OD4 MM SPINE CANNULATED BNE NEON 3,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW 24 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW 25630017570 BS CNCMAS 7.5X70 T/C,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW 26 MM OD2.5 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW 28MM OD2 MM T7 MINI TITANIUM COMPRESSION SELF DRILL CANNULATED PURPLE BONE FUZEFIZ,305.0,152.5,58.41,274.5,65
HCPCS,C1713,SCREW 28MM OD4MM T12 MM MINI TITANIUM COMPRESSION SELF TAP SELF DRILL CANNULATED BLUE BONE FUZEFIX,305.0,152.5,58.41,274.5,65
HCPCS,C1713,SCREW 3.0MMX38MM CANNULATED HD,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW 3.5MM X 16MM HEADLESS HEXALOBE,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW 3.5MM X 30MM HEADLESS HEXALOBE,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW 3.5MMX14MM VARIABLE ANGLE LOCKING,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW 3.5MMX18MM NON LOCKING,215.0,107.5,41.17,193.5,65
HCPCS,C1713,SCREW 3.5MMX20MM FULLY THREADED TAPERED MF,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW 3.5MMX20MM VARIABLE ANGLE LOCKING,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW 3.5MMX22MM NON LOCKING,215.0,107.5,41.17,193.5,65
HCPCS,C1713,SCREW 3.5X12MM CORTICAL LOCKING,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW 30 MM OD3.7 MM STAINLESS STEEL SILVER LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW 32 MM OD3.5 MM FULL THREAD MIS FOOT RECON SYSTEM BONE MEDLINE UNITE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW 32 MM OD4 MM STAINLESS STEEL CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW 32 MM OD4.5MM SHORT THREAD CANNULATED HEADLESS BONE TIGER,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW 32.5 MM OD3.5 MM ANKLE FIX ANGLE LOCK BONE MAXLOCK EXTREME,122.39,61.2,23.44,110.15,65
HCPCS,C1713,SCREW 34 MM OD4 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW 34MM OD3.5MM VARIABLE ANGLE LOCK BONE VARIABLE ANGLE LOCKING SCREW 3.5MM X 34MM,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW 35 MM OD5.5 MM SPINE PEDICLE POLYAXIAL REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW 36 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW 4.0MM X 24MM MINI TITANIUM COMPRESSION SELF TAP SELF DRILL CANNULATED BLUE BONE FUZEFIX,305.0,152.5,58.41,274.5,65
HCPCS,C1713,SCREW 4.0MMX30MM COPRESSION MF,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW 4.0MMX38MM CANNULATED HD,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW 4.0MMX38MM COMPRESSION MF,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW 4.0X32MM CANNULATED HEADED T15,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW 4.0X44MM NON LOCKING,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW 4.5X14MM VR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW 40 MM OD4.5 MM SPINE PEDICLE POLYAXIAL 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW 42 MM OD3 MM CANNULATED CHAMFER MIS BUNION SYSTEM BONE PRECISION,995.0,497.5,190.54,895.5,65
HCPCS,C1713,SCREW 42.5 MM OD4 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW 44 MM OD4 MM FULL THREAD MIS FOOT RECON SYSTEM BONE MEDLINE UNITE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW 4X26MM CANN HD MINI-MONSTER SHRT THRD ANKL/FT TI NS,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW 4X35MM LCK PRECICE F/IM LMB LGNTH SYS,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW 5.5MAS 4.0X50,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW 5.5MM X 35MM STTHCS,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW 5.5MMX65MM HEADLESS HL,660.0,330.0,126.39,594.0,65
HCPCS,C1713,SCREW 5.5MMX70MM HEADLESS HL,660.0,330.0,126.39,594.0,65
HCPCS,C1713,SCREW 5.5X44MM CANN HDLS MINI-MONSTER SHRT THRD ANKL/FT TI NS,325.0,162.5,62.24,292.5,65
HCPCS,C1713,SCREW 50 MM L20 MM OD6.5 MM TITANIUM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW 50 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW 50 MM OD4 MM CANNULATED CHAMFER MIS BUNION SYSTEM BONE PRECISION,1375.0,687.5,263.31,1237.5,65
HCPCS,C1713,SCREW 50 MM OD6.5 MM SPINE PEDICLE UNIAXIAL 5.5/6 MM ROD BONE RESPONSE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW 50 MM OD7 MM PEDICLE POLYAXIAL LOW PROFILE REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW 55 MM OD4 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL HEXAGON SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW 7.5X105MM CANN COMP HDLS ACUTRAK 2 FT ST/CUT HELI RLF FLUT HND WRST HEX DRV TI NS,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW 7.5X55MM CANN COMP HDLS ACUTRAK 2 FT ST/CUT HELI RLF FLUT HND WRST HEX DRV TI NS,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW 70 MM L22 MM OD22 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW 80 MM 40 MM OD8 MM CANNULATED FASTENER VARIABLE THREAD BONE 8.0 X 80MM CANN SCREW FASTENER 40MM VAR THD,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW 85 MM 43 MM OD8 MM CANNULATED FASTENER VARIABLE THREAD BONE 8.0 X 85MM CANN SCREW FASTENER 43MM VAR THD,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW 85 MM OD6 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW 90 MM 32 MM OD7.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL CANNULATED BONE CAPTIVATE,230.0,115.0,44.05,207.0,65
HCPCS,C1713,SCREW 90 MM 46 MM OD8 MM STAINLESS STEEL VARIABLE THREADED CANNULATED FASTNER BONE 8.0 X 90MM CANN SCREW FASTENER 46MM VAR THD,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW 95 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW ABSORBABLE OD10 MM TCP PLGA ACL L35 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW ABSORBABLE OD11 MM TCP PLGA ACL L35 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW ABSORBABLE OD8 MM TCP PLGA ACL L23 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW ABSORBABLE OD9 MM TCP PLGA ACL L23 MM INTERFERENCE,420.0,210.0,80.43,378.0,65
HCPCS,C1713,SCREW ABSORBABLE OD9 MM TCP PLGA ACL L35 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW ACETABULAR 4.5MM 50MM TITANIUM LOCKING REDAPT,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW ACETABULAR 5.5MM DIA 18MML GRIPTION TITANIUM FOAM CANCELLOUS DOME SELF-TAPPING POLYAXIAL PINNACLE,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW ACETABULAR 5.5MM DIA 20MML GRIPTION TITANIUM FOAM CANCELLOUS DOME SELF-TAPPING POLYAXIAL PINNACLE STERILE,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW ACETABULAR 5.5MM DIA 22MML GRIPTION TITANIUM FOAM CANCELLOUS DOME SELF-TAPPING POLYAXIAL PINNACLE,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW ACETABULAR 5.5MM DIA 40MML GRIPTION TITANIUM FOAM CANCELLOUS DOME SELF-TAPPING POLYAXIAL PINNACLE,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW ACETABULAR 6.5MM DIA 20MML EMPOWR,78.4,39.2,15.01,70.56,65
HCPCS,C1713,SCREW ACETABULAR 6.5MM DIA 30MML G7 STERILE HIP,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW ARTHRODESIS 2.0MM X 28MM TI,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW BASEPLATE L0 MM AEQUALIS FLEX REVIVE SHOULDER,773.0,386.5,148.03,695.7,65
HCPCS,C1713,SCREW BASEPLATE L14 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM SHOULDER GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L15 MM CENTRAL GLENOID RECONSTRUCTION SYSTEM GLENOID RECONSTRUCTION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW BASEPLATE L15 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L18 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L18 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM SHOULDER GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L20 MM AEQUALIS FLEX REVIVE SHOULDER,773.0,386.5,148.03,695.7,65
HCPCS,C1713,SCREW BASEPLATE L20 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L20 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L20 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L22 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM SHOULDER GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L23 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L23 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L25 MM CENTRAL MODULAR SHOULDER,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW BASEPLATE L25 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L25 MM REVERSE CENTRAL OD6.5 MM AEQUALIS PERFORM GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L25 MM REVERSE CENTRAL OD9.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L26 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L26 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L26 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L29 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L29 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L30 MM AEQUALIS FLEX REVIVE SHOULDER,773.0,386.5,148.03,695.7,65
HCPCS,C1713,SCREW BASEPLATE L30 MM CENTRAL MODULAR UNIVERS REVERS,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW BASEPLATE L30 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L30 MM REVERSE CENTRAL OD6.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L30 MM REVERSE CENTRAL OD9.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L30 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L32 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L32 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L34 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L35 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L35 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L35 MM REVERSE CENTRAL OD6.5 MM AEQUALIS PERFORM GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L35 MM REVERSE CENTRAL OD9.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L35 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L38 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L38 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L38 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L40 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L40 MM REVERSE CENTRAL OD6.5 MM AEQUALIS PERFORM GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L40 MM REVERSE CENTRAL OD9.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L41 MM COMPRESSION OD4.5 MM AEQUALIS REVERSED TITANIUM GLENOID,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW BASEPLATE L41 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L42 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM SHOULDER GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L44 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L45 MM REVERSE CENTRAL OD6.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L45 MM REVERSE CENTRAL OD9.5 MM AEQUALIS PERFORM SHOULDER GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L46 MM PERIPHERAL OD5 MM AEQUALIS PERFORM REVERSED GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BASEPLATE L47 MM SELF TAP LOCK MULTIDIRECTIONAL OD4.5 MM AEQUALIS REVERSED TITANIUM SHOULDER,83.0,41.5,15.89,74.7,65
HCPCS,C1713,SCREW BASEPLATE L50 MM AEQUALIS FLEX REVIVE SHOULDER,773.0,386.5,148.03,695.7,65
HCPCS,C1713,SCREW BASEPLATE L50 MM OD6.5 MM POROUS KNEE TIBIA,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BASEPLATE L50 MM REVERSE CENTRAL OD6.5 MM AEQUALIS PERFORM GLENOID,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BASEPLATE L50 MM REVERSE PERIPHERAL OD5 MM AEQUALIS PERFORM SHOULDER GLENOID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BIO INTERFERENCE OD10 MM PEEK-OPTIMA L23 MM INTERFERENCE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW BIO INTERFERENCE OD7 MM PEEK-OPTIMA L23 MM INTERFERENCE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW BIO INTERFERENCE OD8 MM PEEK L23 MM INTERFERENCE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW BIO INTERFERENCE OD9 MM PEEK-OPTIMA L23 MM INTERFERENCE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW BIO TENODESIS RECONSTRUCTION OD8 MM L12 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BIO-COMPRESSION SCREW CANNULATED SELF COMPRESS THREAD PITCH OD2.7-3.7 MM POLY L LACTIC ACID SMALL BONE L20 MM TAPER INTERFERENCE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BIO-COMPRESSION SCREW CANNULATED SELF COMPRESS THREAD PITCH OD3-3.7 MM POLY L LACTIC ACID L18 MM TAPER INTERFERENCE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BIO-COMPRESSION SCREW CANNULATED SELF COMPRESS THREAD PITCH OD3-3.7 MM POLY L LACTIC ACID L22 MM TAPER INTERFERENCE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BIO-COMPRESSION SCREW CANNULATED SELF COMPRESS THREAD PITCH OD3-3.7 MM POLY L LACTIC ACID SMALL BONE L16 MM TAPER INTERFERENCE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BIO-COMPRESSION SCREW CANNULATED SELF COMPRESS THREAD PITCH OD3-3.7 MM POLY L LACTIC ACID SMALL BONE L24 MM TAPER INTERFERENCE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BIO-COMPRESSION SCREW CANNULATED SELF COMPRESS THREAD PITCH OD3-3.7 MM POLY L LACTIC ACID SMALL BONE L26 MM TAPER INTERFERENCE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED BLUNT OD11 MM POLY L LACTIC ACID ACL PCL L28 MM FULL THREAD INTERFERENCE,142.0,71.0,27.19,127.8,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED OD7 MM POLY L LACTIC ACID ACL PCL L28 MM FULL THREAD INTERFERENCE,142.0,71.0,27.19,127.8,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED OD9 MM POLY L LACTIC ACID ACL PCL L28 MM FULL THREAD INTERFERENCE,142.0,71.0,27.19,127.8,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED OD9 MM TITANIUM ACL PCL L20 MM INTERFERENCE REPROCESSED,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED OD9 MM TITANIUM ACL PCL L25 MM INTERFERENCE REPROCESSED,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED SHEATH OD10 MM POLY L LACTIC ACID ACL PCL L23 MM INTERFERENCE,142.0,71.0,27.19,127.8,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED SHEATH OD8 MM POLY-L-LACTIC ACID ACL PCL L23 MM INTERFERENCE,142.0,71.0,27.19,127.8,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED SHEATH OD9 MM POLY L LACTIC ACID ACL PCL L23 MM INTERFERENCE,142.0,71.0,27.19,127.8,65
HCPCS,C1713,SCREW BIO-INTERFERENCE CANNULATED SHEATH OD9 MM TITANIUM ACL PCL L20 MM INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW BIO-TENODESIS RECONSTRUCTION OD6.25 MM POLY L LACTIC ACID L15 MM INTERFERENCE ACL PCL,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BIOABSORBABLE L30 MM OD7-9 MM TAPER,390.0,195.0,74.69,351.0,65
HCPCS,C1713,SCREW BIOABSORBABLE L30 MM OD8-10 MM TAPER,390.0,195.0,74.69,351.0,65
HCPCS,C1713,SCREW BIOABSORBABLE OD6-8 MM PEEK-OPTIMA ACL L30 MM TAPER INTERFERENCE,390.0,195.0,74.69,351.0,65
HCPCS,C1713,SCREW BIOCOMPOSITE CANNULATED FULL SEAT REDUCE HEAD OD10 MM BIOCOMPOSITE ACL PCL L28 MM BLUNT FULL THREAD STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOCOMPOSITE CANNULATED FULL SEAT REDUCE HEAD OD11 MM BIOCOMPOSITE ACL PCL L28 MM BLUNT FULL THREAD STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOCOMPOSITE CANNULATED FULL SEAT REDUCE HEAD OD9 MM BIOCOMPOSITE ACL PCL L28 MM BLUNT FULL THREAD STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOCOMPOSITE CANNULATED OD10 MM BIOCOMPOSITE ACL L35 MM DELTA INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOCOMPOSITE CANNULATED OD9 MM BIOCOMPOSITE ACL L35 MM DELTA INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOCOMPOSITE CANNULATED REDUCE HEAD OD6 MM BIOCOMPOSITE ACL PCL L23 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIORCI BIOABSORBABLE CANNULATE OD9 MM ODSEC1.5 MM L25 MM INTERFERENCE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW BIORCI BIOABSORBABLE CANNULATED BLUNT THREAD OD10 MM HA ACL PCL L35 MM INTERFERENCE,277.95,138.98,53.23,250.16,65
HCPCS,C1713,SCREW BIOSCREW OD9 MM PLLA L25 MM UNIVERSAL WEDGE INTERFERENCE,91.33,45.67,17.49,82.2,65
HCPCS,C1713,SCREW BIOSCREW TRUSS HEAD OD8 MM ID1.5 MM L20 MM UNIVERSAL INTERFERENCE,91.33,45.67,17.49,82.2,65
HCPCS,C1713,SCREW BIOSTEON BIOABSORBABLE WEDGE OD9 MM PLLA HA ACL L23 MM INTERFERENCE ARTHROSCOPIC,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW BIOSURE ABSORBABLE OD10 MM HA PLLA ACL PCL L20 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE ABSORBABLE OD12 MM HA PLLA ACL PCL L35 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE ABSORBABLE OD9 MM HA PLLA ACL PCL L25 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE ABSORBABLE REVERSE THREAD OD10 MM REGENESORB L30 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE NONABSORBABLE OD10 MM PEEK-OPTIMA ACL PCL L25 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE NONABSORBABLE OD7 MM PEEK-OPTIMA ACL PCL L20 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE NONABSORBABLE OD8 MM PEEK-OPTIMA ACL PCL L25 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE OD10 MM HA ACL L25 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD10 MM HA ACL L30 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD10 MM REGENESORB L20 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OD11 MM HA ACL L25 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD11 MM HA ACL L30 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD11 MM REGENESORB L25 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OD6 MM HA ACL PCL L20 MM INTERFERENCE GRAFT FIXATION,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD6 MM PLLA HA ACL PCL L25 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD6 MM REGENESORB L25 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OD7 MM HA ACL L25 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD7 MM HA L30 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD7 MM PEEK-OPTIMA L25 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE OD7 MM REGENESORB L25 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OD8 MM HA ACL L20 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD8 MM HA ACL L25 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD8 MM PEEK ACL L20 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE OD9 MM HA ACL L20 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD9 MM HA ACL L30 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD9 MM HA ACL L35 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BIOSURE OD9 MM PEEK-OPTIMA L20 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE OD9 MM PEEK-OPTIMA L25 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE OD7 MM REGENESORB L20 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE OD9 MM REGENESORB L20 MM INTERFERENCE GRAFT INTEGRATION,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE OD9 MM REGENESORB L30 MM INTERFERENCE GRAFT INTEGRATION,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE SOLID ABSORBABLE DRIVER OD5 MM REGENESORB L25 MM 5 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE SOLID ABSORBABLE OD11 MM REGENESORB L30 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE SOLID ABSORBABLE OD5 MM REGENESORB L20 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE OPEN ARCHITECTURE SOLID ABSORBABLE REVERSE THREAD OD7 MM REGENESORB L30 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE REGENESORB OD8 MM L20 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE SOLID OD8 MM REGENESORB L30 MM FULL LENGTH INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE SOLID OD9 MM REGENESORB L25 MM FULL LENGTH INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE SOLID OPEN ARCHITECTURE OD10 MM REGENESORB L25 MM INTERFERENCE,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE SOLID OPEN ARCHITECTURE OD6 MM REGENESORB L20 MM INTERFERENCE GRAFT INTEGRATION,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE SOLID OPEN ARCHITECTURE OD8 MM REGENESORB L25 MM INTERFERENCE GRAFT INTEGRATION,299.0,149.5,57.26,269.1,65
HCPCS,C1713,SCREW BIOSURE TAPERED BIOCOMPATIBLE FRACTURE RESISTANCE OD7 MM PLA HA ACL L20 MM INTERFERENCE,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW BN 2.3MM 3MM 24MM 2.3MM SM HDLS SCR CSS TI,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW BN 2.9 MM 16MM TITANIUM RIB SELF TAP LOCK BONE,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BN 2.9 MM 18MM TITANIUM RIB SELF TAP LOCK BONE,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BN 4MM 36MM MINI HDLS NS,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BN 4MM 50MM MINI HDLS NS,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE  27.5 MM OD4.5 MM FULL THREAD INTRAMEDULLARY LIMB LENGTHEN SYSTEM PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE  42.5 MM OD5 MM PARTIAL THREAD TITANIUM PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BONE 1.2MM 1.6MM 9MM EMERGENCY CRUCIFORM TITANIUM NONSTERILE CRANIOFACIAL TEAL,419.1,209.55,80.26,377.19,65
HCPCS,C1713,SCREW BONE 1.2MM 10MM PROFYLE ROUND 1 STEP PICK UP SELF TAP CROSS PIN HEAD STERILE HAND WRIST YELLOW,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.2MM 12MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 1.2MM 12MM PROFYLE SELF TAP CROSS PIN HEAD STERILE HAND YELLOW,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.2MM 6MM APTUS HEXADRIVE 4 TITANIUM HAND ELBOW,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 1.2MM 6MM VARIAX BLUNT SELF TAP CROSSPIN NONSTERILE HAND WRIST,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.2MM 7MM APTUS 4MM HEAD HEXADRIVE 4 TITANIUM HAND CORTICAL,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 1.2MM 7MM PROFYLE LOW PROFILE BLUNT ROUND 1 STEP PICK UP SELF TAP CROSS PIN HEAD STERILE HAND WRIST YELLOW,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.2MM 8MM EMERGENCY FLUTE TIP TITANIUM,419.1,209.55,80.26,377.19,65
HCPCS,C1713,SCREW BONE 1.2MM 8MM VARIAX SELF TAP LOCK BLUNT TIP LOW PROFILE TITANIUM HAND,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.2MM 9MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 1.3MM 10MM FLUTE SELF TAP TITANIUM CORTEX GOLD,280.8,140.4,53.77,252.72,65
HCPCS,C1713,SCREW BONE 1.3MM 11MM T4 SELF TAP SELF RETAIN STARDRIVE STAINLESS STEEL NONSTERILE CORTEX GOLD HAND PLATE SYSTEM,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW BONE 1.3MM 12MM T4 SELF TAP SELF RETAIN STARDRIVE STAINLESS STEEL NONSTERILE CORTEX GOLD HAND PLATE SYSTEM,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW BONE 1.3MM 2.4MM 4MM SELF DRILL PLUSDRIVE TITANIUM NONSTERILE CRANIOMAXILLOFACIAL CORTEX GOLD,410.0,205.0,78.52,369.0,65
HCPCS,C1713,SCREW BONE 1.3MM 5MM SELF TAP STARDRIVE TITANIUM NONSTERILE CRANIOFACIAL CORTICAL MODULAR FIXATION MIDFACE DISTRACTOR SYSTEM,296.0,148.0,56.68,266.4,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 12MM MATRIXMIDFACE SELF TAP TITANIUM NONSTERILE MIDFACE BRONZE,76.45,38.23,14.64,68.81,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 3MM MATRIXMIDFACE SELF DRILL TITANIUM NONSTERILE MIDFACE SILVER,78.1,39.05,14.96,70.29,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 4MM MATRIXMIDFACE SELF DRILL TITANIUM NONSTERILE MIDFACE SILVER,78.65,39.33,15.06,70.79,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 5MM MATRIXMIDFACE SELF DRILL TITANIUM NONSTERILE MIDFACE SILVER,78.65,39.33,15.06,70.79,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 6MM MATRIXMIDFACE EMERGENCY TITANIUM NONSTERILE MIDFACE LIGHT BLUE,78.1,39.05,14.96,70.29,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 6MM MATRIXMIDFACE SELF DRILL TITANIUM NONSTERILE MIDFACE SILVER,78.65,39.33,15.06,70.79,65
HCPCS,C1713,SCREW BONE 1.55MM 2.65MM 8MM MATRIXMIDFACE SELF DRILL TITANIUM NONSTERILE MIDFACE SILVER,78.1,39.05,14.96,70.29,65
HCPCS,C1713,SCREW BONE 1.5MM 10MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 11MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM NONSTERILE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW BONE 1.5MM 11MM APTUS HEXADRIVE 4 TITANIUM CORTICAL HAND,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 1.5MM 12MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 13MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,267.24,133.62,51.18,240.52,65
HCPCS,C1713,SCREW BONE 1.5MM 14MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 14MM SELF TAP TITANIUM CORTEX,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW BONE 1.5MM 15MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 16MM 5MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 17MM 5MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 18MM 5MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 19MM 5MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM NONSTERILE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW BONE 1.5MM 2.2MM 10MM 4MM T4 COMPRESSION SELF TAP SELF DRILL STARDRIVE STAINLESS STEEL STERILE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW BONE 1.5MM 2.2MM 14MM 4MM T4 COMPRESSION SELF TAP SELF DRILL STARDRIVE STAINLESS STEEL STERILE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW BONE 1.5MM 2.2MM 15MM 4MM T4 COMPRESSION SELF TAP SELF DRILL STARDRIVE STAINLESS STEEL STERILE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW BONE 1.5MM 2.2MM 19MM 5MM T4 COMPRESSION SELF TAP SELF DRILL STARDRIVE STAINLESS STEEL STERILE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW BONE 1.5MM 2.2MM 9MM 4MM T4 COMPRESSION SELF TAP SELF DRILL STARDRIVE STAINLESS STEEL STERILE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW BONE 1.5MM 2.5MM 3MM MATRIXNEURO SELF DRILL TITANIUM NONSTERILE CRANIOMAXILLOFACIAL,187.5,93.75,35.91,168.75,65
HCPCS,C1713,SCREW BONE 1.5MM 2.5MM 4MM MATRIXNEURO SELF DRILL TITANIUM NONSTERILE CRANIOMAXILLOFACIAL,37.5,18.75,7.18,33.75,65
HCPCS,C1713,SCREW BONE 1.5MM 2.5MM 5MM MATRIXNEURO SELF DRILL TITANIUM NONSTERILE CRANIOMAXILLOFACIAL,37.5,18.75,7.18,33.75,65
HCPCS,C1713,SCREW BONE 1.5MM 20MM 6MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 3MM 4MM SELF TAP CRUCIFORM TITANIUM NONSTERILE CORTEX GOLD,272.25,136.13,52.14,245.03,65
HCPCS,C1713,SCREW BONE 1.5MM 4MM STERILETRAC SELF DRILL CROSS DRIVE EMERGENCY TITANIUM MIDFACE THINFLAP PLATE SYSTEM,92.0,46.0,17.62,82.8,65
HCPCS,C1713,SCREW BONE 1.5MM 5MM RESORBABLE STERILE CORTEX ORTHOMESH,182.09,91.05,34.87,163.88,65
HCPCS,C1713,SCREW BONE 1.5MM 7MM SELF DRILL PLUSDRIVE TITANIUM NONSTERILE CRANIOMAXILLOFACIAL CORTEX SILVER,332.2,166.1,63.62,298.98,65
HCPCS,C1713,SCREW BONE 1.5MM 9MM 4MM COMPRESSION HEADLESS TITANIUM NIOBIUM ALUMINUM STERILE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW BONE 1.5MM 9MM CENTER-DRIVE SELF TAP HIGH TORQUE CROSS DRIVE TITANIUM MIDFACE GOLD,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW BONE 1.5MM DIA 7MML TITANIUM CROSS DRIVE MAXDRIVE STERILE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW BONE 1.65MM 5MM SELF DRILL HIGH TORQUE CROSS DRIVE TITANIUM MIDFACE GREEN LORENZ PLATE SYSTEM,92.0,46.0,17.62,82.8,65
HCPCS,C1713,SCREW BONE 1.7MM 10MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE RED VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 11MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE MODULE,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 11MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 11MM VARIAX T5 LOCK NONSTERILE,82.59,41.3,15.82,74.33,65
HCPCS,C1713,SCREW BONE 1.7MM 11MM VARIAX T5 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 1.7MM 12MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE MODULE,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 12MM VARIAX SELF TAP LOCK CROSS PIN HEAD TITANIUM NONSTERILE HAND WRIST,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 13MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 1.7MM 13MM SELF TAP LOCK CROSS PIN HEAD LOW PROFILE TITANIUM NONSTERILE HAND WRIST RED,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 14MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 14MM VARIAX T5 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 1.7MM 15MM VARIAX T5 LOCK NONSTERILE,82.59,41.3,15.82,74.33,65
HCPCS,C1713,SCREW BONE 1.7MM 2.4MM 10MM FLUTE EMERGENCY CRUCIFORM TITANIUM NONSTERILE CRANIOFACIAL TEAL,291.2,145.6,55.76,262.08,65
HCPCS,C1713,SCREW BONE 1.7MM 2.4MM 4MM SELF TAP EMERGENCY PLUSDRIVE TITANIUM NONSTERILE CRANIOMAXILLOFACIAL CORTEX TEAL 1.3MM STRIP,401.5,200.75,76.89,361.35,65
HCPCS,C1713,SCREW BONE 1.7MM 20MM VARIAX PROFYLE 1 STEP PICK UP SELF TAP LOW PROFILE CROSS PIN STERILE HAND WRIST RED,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 22MM VARIAX BLUNT SELF TAP CROSSPIN NONSTERILE HAND WRIST,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 4MM DELTA RESORBABLE POLY L-LACTIDE POLYGLYCOLIDE POLY D-LACTIDE CRANIOMAXILLOFACIAL,906.3,453.15,173.56,815.67,65
HCPCS,C1713,SCREW BONE 1.7MM 5MM DELTA RESORBABLE POLY L-LACTIDE POLYGLYCOLIDE POLY D-LACTIDE CRANIOMAXILLOFACIAL,906.3,453.15,173.56,815.67,65
HCPCS,C1713,SCREW BONE 1.7MM 5MM SELF TAP LOCK CROSS PIN HEAD LOW PROFILE TITANIUM NONSTERILE HAND WRIST RED,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 6MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 1.7MM 6MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 6MM VARIAX T5 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 1.7MM 7MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE MODULE,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 7MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE RED VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 7MM VARIAX T5 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 1.7MM 8MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,333.35,166.68,63.84,300.02,65
HCPCS,C1713,SCREW BONE 1.7MM 8MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE MODULE,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 8MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE RED VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 8MM VARIAX T5 LOCK NONSTERILE,82.59,41.3,15.82,74.33,65
HCPCS,C1713,SCREW BONE 1.7MM 8MM VARIAX T5 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 1.7MM 9MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE RED VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 1.7MM 9MM VARIAX SELF TAP CROSS PIN STERILE HAND WRIST,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 1.7MM 9MM VARIAX T5 LOCK NONSTERILE,82.59,41.3,15.82,74.33,65
HCPCS,C1713,SCREW BONE 1.85MM 2.65MM 5MM MATRIXMIDFACE EMERGENCY TITANIUM NONSTERILE MIDFACE LIGHT BLUE,78.1,39.05,14.96,70.29,65
HCPCS,C1713,SCREW BONE 1.85MM 2.65MM 8MM MATRIXMIDFACE EMERGENCY TITANIUM NONSTERILE MIDFACE LIGHT BLUE,78.65,39.33,15.06,70.79,65
HCPCS,C1713,SCREW BONE 1.85MM 8MM MATRIXWAVE SELF DRILL LOCK TITANIUM NONSTERILE MAXILLOMANDIBULAR,112.2,56.1,21.49,100.98,65
HCPCS,C1713,SCREW BONE 1.8MM 4MM STERILETRAC SELF DRILL CROSS DRIVE EMERGENCY TITANIUM MIDFACE THINFLAP PLATE SYSTEM,92.0,46.0,17.62,82.8,65
HCPCS,C1713,SCREW BONE 1.8MM 7MM HIGH TORQUE CROSS DRIVE MIDFACE MAGENTA,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW BONE 10.35MM 125MM TFN-ADVANCED CANNULATED TITANIUM NIOBIUM ALUMINUM NONSTERILE FEMORAL PROXIMAL GOLD,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW BONE 10.35MM 95MM TFN-ADVANCED CANNULATED TITANIUM NIOBIUM ALUMINUM STERILE FEMORAL PROXIMAL GOLD,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW BONE 10.5MM 100MM GAMMA3 LAG TITANIUM STERILE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 105MM GAMMA3 LAG TITANIUM STERILE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 110MM GAMMA3 LAG TITANIUM STERILE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 115MM GAMMA3 LAG TITANIUM STERILE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 120MM GAMMA3 LAG TITANIUM STERILE HIP TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 75MM GAMMA3 LAG TITANIUM STERILE HIP TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 80MM GAMMA3 LAG TITANIUM STERILE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 85MM GAMMA3 LAG TITANIUM STERILE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 90MM GAMMA3 LAG TITANIUM STERILE LATEX FREE DISPOSABLE TROCHANTER NAIL 180,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10.5MM 95MM GAMMA LAG STERILE,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW BONE 10MM CREO MIS POLYAXIAL TULIP REDUCTION MODULAR NONSTERILE SPINE LATEX FREE,330.0,165.0,63.2,297.0,65
HCPCS,C1713,SCREW BONE 110MM 105MM LAG COMPRESSION KIT,598.74,299.37,114.66,538.87,65
HCPCS,C1713,SCREW BONE 11MM 100MM INTERTAN LAG SUBTROCHANTERIC,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE 11MM 105MM INTERTAN LAG SUBTROCHANTERIC,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE 11MM 110MM INTERTAN LAG SUBTROCHANTERIC,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE 11MM 115MM INTERTAN LAG SUBTROCHANTERIC,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE 11MM 30MM INTERTAN COMPRESSION TROCHANTER,163.2,81.6,31.25,146.88,65
HCPCS,C1713,SCREW BONE 11MM 90MM INTERTAN LAG TITANIUM SUBTROCHANTERIC,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE 11MM 95MM INTERTAN LAG TITANIUM SUBTROCHANTER TRIGEN INTERTAN,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE 12.7MM 8MM 2.7MM 50MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL STERILE HIP CONDYLAR 1 STEP INSERTION,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW BONE 12.7MM 8MM 2.7MM 55MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL NONSTERILE HIP CONDYLAR 1 STEP INSERTION,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW BONE 12.7MM 9MM 100MM 21MM AMBI IMHS CLASSIC CHS STANDARD COMPRESSION LAG PROXIMAL LOCK HEXAGONAL STAINLESS STEEL STERILE HIP SUPRACONDYLAR INTRAMEDULLARY NAIL SYSTEM,223.4,111.7,42.78,201.06,65
HCPCS,C1713,SCREW BONE 12.7MM 9MM 80MM 21MM AMBI IMHS CLASSIC STANDARD LAG COMPRESSION STAINLESS STEEL STERILE HIP SUPRACONDYLAR INTRAMEDULLARY NAIL SYSTEM,206.85,103.43,39.61,186.17,65
HCPCS,C1713,SCREW BONE 12.7MM 9MM 90MM 21MM AMBI IMHS CLASSIC CHS STANDARD COMPRESSION LAG PROXIMAL LOCK HEXAGONAL STAINLESS STEEL STERILE HIP SUPRACONDYLAR INTRAMEDULLARY SYSTEM,223.4,111.7,42.78,201.06,65
HCPCS,C1713,SCREW BONE 120/115MM LAG COMPRESSION,598.74,299.37,114.66,538.87,65
HCPCS,C1713,SCREW BONE 125/120MM LAG COMPRESSION,598.74,299.37,114.66,538.87,65
HCPCS,C1713,SCREW BONE 12MM 8MM 2.7MM 145MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL STERILE HIP CONDYLAR 1 STEP INSERTION,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW BONE 14MM 8MM 2.7MM 120MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL STERILE HIP CONDYLAR 1 STEP INSERTION,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW BONE 14MM 8MM 2.7MM 145MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL STERILE HIP CONDYLAR,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW BONE 14MM 8MM 2.7MM 60MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL STERILE HIP CONDYLAR 1 STEP INSERTION,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW BONE 14MM 8MM 2.7MM 80MM 22MM DHS DCS LAG CANNULATED STAINLESS STEEL STERILE HIP CONDYLAR 1 STEP INSERTION,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW BONE 18 MM OD4.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 2.1MM 12MM TI6 CANNULATED LOW PROFILE HEAD TITANIUM NONSTERILE LATEX FREE INTERNAL FIXATION SYSTEM,162.0,81.0,31.02,145.8,65
HCPCS,C1713,SCREW BONE 2.2MM 22MM 8MM APTUS COMPRESSION SELF DRILL CANNULATED HEXADRIVE 7 TITANIUM HAND FOOT ELBOW WRIST,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM LOCK CROSS DRIVE MANDIBLE GOLD LORENZ TRAUMAONE,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM LOCKING SOLID,213.0,106.5,40.79,191.7,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM NON-LOCKING SOLID,154.0,77.0,29.49,138.6,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM T7 LOCK,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM VARIAX PROFYLE SELF TAP LOW PROFILE ROUND CROSS PIN HEAD TITANIUM STERILE HAND WRIST LOCK PLATE SYSTEM,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM VARIAX SELF TAP CROSS PIN LOCK NONSTERILE LATEX FREE,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM VARIAX T6 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 2.3MM 10MM VARIAX T7 NONSTERILE LATEX FREE,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 11MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 11MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE SYSTEM,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 11MM VARIAX SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE HAND GREEN,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 11MM VARIAX T6 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 2.3MM 12MM NON-LOCKING SOLID,154.0,77.0,29.49,138.6,65
HCPCS,C1713,SCREW BONE 2.3MM 12MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 12MM VARIAX PROFYLE SELF TAP LOW PROFILE ROUND CROSS PIN HEAD TITANIUM STERILE HAND WRIST LOCK PLATE SYSTEM,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 12MM VARIAX SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE HAND GREEN,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 12MM VARIAX T6 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 2.3MM 12MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 13MM MINI SELF RETAINING CROSS DRIVE TITANIUM MANDIBLE,317.7,158.85,60.84,285.93,65
HCPCS,C1713,SCREW BONE 2.3MM 13MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 13MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE GREEN,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 13MM VARIAX T6 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 2.3MM 14MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE GREEN VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 14MM SELF TAP LOW PROFILE ROUND CROSS PIN HEAD TITANIUM STERILE HAND,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 14MM TRAUMAONE NONLOCK CROSS DRIVE MANDIBLE GOLD,128.0,64.0,24.51,115.2,65
HCPCS,C1713,SCREW BONE 2.3MM 14MM VARIAX LOCKING T7 DRIVE TITANIUM DISTAL RADIUS,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 14MM VARIAX T6 LOCK NONSTERILE,82.59,41.3,15.82,74.33,65
HCPCS,C1713,SCREW BONE 2.3MM 14MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 15MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 15MM PROFYLE SELF TAP LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX LOCK PLATE SYSTEM,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 15MM VARIAX T6 NONSTERILE,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW BONE 2.3MM 16MM TRAUMAONE NONLOCK CROSS DRIVE MANDIBLE GOLD,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 2.3MM 16MM VARIAX SELF TAP CROSS PIN HEAD TITANIUM NONSTERILE HAND WRIST,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 16MM VARIAX SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE HAND GREEN,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 16MM VARIAX T6 LOCK NONSTERILE,82.59,41.3,15.82,74.33,65
HCPCS,C1713,SCREW BONE 2.3MM 16MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 16MM VARIAX T7 NONSTERILE LATEX FREE,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 17MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 18MM T7 FULL THREAD TITANIUM STERILE RADIUS DISTAL VARIAX LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 18MM TRAUMAONE NONLOCK CROSS DRIVE MANDIBLE GOLD,128.0,64.0,24.51,115.2,65
HCPCS,C1713,SCREW BONE 2.3MM 18MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 20MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 20MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 22MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE GREEN VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 22MM T7 FULL THREAD TITANIUM STERILE RADIUS DISTAL VARIAX LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 22MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 24MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 24MM VARIAX T7 LOCK NONSTERILE LATEX FREE,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 26MM VARIAX T7 FULL THREAD TITANIUM STERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 26MM VARIAX T7 LOCK TITANIUM NONSTERILE DISTAL RADIUS,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 28MM T7 FULL THREAD LOCK TITANIUM NONSTERILE RADIUS DISTAL VARIAX LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 28MM VARIAX T7 FULL THREAD TITANIUM STERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 30MM VARIAX T7 LOCK NONSTERILE LATEX FREE,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 30MM VARIAX T7 NONSTERILE LATEX FREE,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 32MM VARIAX T7 LOCK NONSTERILE LATEX FREE,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 32MM VARIAX T7 NONLOCK DRIVE TITANIUM NONSTERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 34MM VARIAX T7 LOCK NONSTERILE LATEX FREE,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 34MM VARIAX T7 NONSTERILE LATEX FREE,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 36MM VARIAX T7 LOCK NONSTERILE LATEX FREE,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 36MM VARIAX T7 NONLOCK DRIVE TITANIUM NONSTERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 38MM VARIAX T7 LOCK NONSTERILE LATEX FREE,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.3MM 38MM VARIAX T7 NONLOCK DRIVE TITANIUM NONSTERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.3MM 5MM CROSS DRIVE NONSTERILE MANDIBLE LATEX FREE GOLD TRAUMAONE SYSTEM,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 2.3MM 6MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM STERILE HAND WRIST VARIAX PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 6MM VARIAX PROFYLE SELF TAP LOW PROFILE ROUND CROSS PIN HEAD TITANIUM STERILE HAND WRIST LOCK PLATE SYSTEM,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 8MM NON-LOCKING SOLID,154.0,77.0,29.49,138.6,65
HCPCS,C1713,SCREW BONE 2.3MM 8MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 8MM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE GREEN VARIAX HAND PLATE SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 8MM VARIAX SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE HAND GREEN,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.3MM 9MM PROFYLE SELF TAP CROSS FIT MODULAR TITANIUM HAND WRIST SMALL FRAGMENT SYSTEM,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW BONE 2.3MM 9MM VARIAX LOW PROFILE SELF TAP LOCK CROSS PIN TITANIUM NONSTERILE HAND WRIST,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW BONE 2.3MM 9MM VARIAX SELF TAP LOCK LOW PROFILE CROSS PIN HEAD TITANIUM NONSTERILE HAND GREEN,75.62,37.81,14.48,68.06,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM EVOS T7 SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM EVOS T7 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,139.7,69.85,26.75,125.73,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,87.45,43.73,16.75,78.71,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM STERNALOCK BLU SELF DRILL LOCK STERNAL CANCELLOUS GOLD PRIMARY CLOSURE SYSTEM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.4MM 10MM VLP T7 LOCK SELF TAP TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 11MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 11MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM EVOS T7 LOCK SELF TAP STERILE CORTEX,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,139.7,69.85,26.75,125.73,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM STERNALOCK BLU SELF DRILL LOCK STERNAL CANCELLOUS GOLD PRIMARY CLOSURE SYSTEM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM VLP T7 LOCK SELF TAP TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 12MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 13MM T7 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 13MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM EVOS T7 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM EVOS T7 SELF TAP SELF RETAINING DRIVE STAINLESS STEEL SMALL BONE LONG BONE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,150.5,75.25,28.82,135.45,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,87.45,43.73,16.75,78.71,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM STERNALOCK BLU SELF DRILL LOCK STERNAL CANCELLOUS GOLD PRIMARY CLOSURE SYSTEM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM T7 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM USS CORTEX SCREW SELF TAPPING TITANIUM NONSTERILE,418.0,209.0,80.05,376.2,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM VLP LOCK SELF TAP T7 DRIVER TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 14MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 15MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 15MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,94.5,47.25,18.1,85.05,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM STERNALOCK BLU SELF DRILL LOCK STERNAL CANCELLOUS GOLD PRIMARY CLOSURE SYSTEM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM T7 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM VLP T7 LOCK SELF TAP TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 16MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 17MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.4MM 18MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 18MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 18MM VARIAX T8 FULL THREAD NONSTERILE LATEX FREE,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 18MM VLP LOCK SELF TAP T7 DRIVER TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 18MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM EVOS NONSTERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM EVOS T7 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM T8 SELF TAP STARDRIVE STAINLESS STEEL NONSTERILE CORTEX,236.0,118.0,45.19,212.4,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM VARIAX T8,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM VLP T7 LOCK SELF TAP TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 20MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 22MM EVOS MINI T7 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 22MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 22MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 22MM VLP LOCK SELF TAP T7 DRIVER TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 22MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 24MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 24MM T8 LOCK VARIABLE ANGLE STARDRIVE TITANIUM NONSTERILE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW BONE 2.4MM 24MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 24MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 24MM VLP T7 LOCK SELF TAP TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 26MM EVOS CADDY STAINLESS STEEL STERILE WRIST CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 26MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 26MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 26MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 26MM VLP T7 LOCK SELF TAP TITANIUM FOOT,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2.4MM 28MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 28MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 28MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 28MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 28MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 11MM 4MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 14MM 4MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 16MM 4MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 19MM 7MM T8 LONG THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 21MM 4MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 23MM 4MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 27MM 6MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 28MM 10MM T8 LONG THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 28MM 6MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 2MM 38MM 9MM T8 SHORT THREAD FLUTE COMPRESSION SELF TAP CANNULATED HEADLESS STAINLESS STEEL STERILE ACCEPTS 1.1MM GUIDEWIRE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW BONE 2.4MM 3.5MM 22MM SELF TAP CRUCIFORM TITANIUM NONSTERILE CORTEX MINI FRAGMENT SET MODULAR HAND SYSTEM,57.94,28.97,11.1,52.15,65
HCPCS,C1713,SCREW BONE 2.4MM 3.5MM 26MM SELF TAP CRUCIFORM STAINLESS STEEL NONSTERILE CORTEX,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 11MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 11MM EVOS MINI T7 SELF TAP DRIVER STERILE LONG BONE SMALL BONE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 12MM EVOS MINI T7 SELF TAP DRIVER STERILE LONG BONE SMALL BONE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 13MM EVOS MINI T7 LOCK DRIVER STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 13MM EVOS MINI T7 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 14MM EVOS 1.6MM LOCK T7 DRIVER FLAT HEAD NONSTERILE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 15MM 3.5MM T7 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 15MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 16MM EVOS MINI LOCK T7 DRIVER STAINLESS STEEL NONSTERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 16MM EVOS MINI T7 LOCK STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 17MM 3.5MM T7 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 18MM EVOS MINI T7 SELF TAP DRIVER STERILE LONG BONE SMALL BONE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 19MM 3.5MM T7 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 22MM EVOS 1.6MM T7 DRIVER FLAT HEAD NONSTERILE SMALL BONE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 22MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 24MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 26MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 26MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 28MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 28MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 34MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 34MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 36MM EVOS MINI T7 LOCK STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 38MM EVOS MINI SELF TAP T7 DRIVER STAINLESS STEEL NONSTERILE CORTICAL,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 40MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 6MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 7MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 3.8MM 9MM EVOS MINI T7 LOCK STAINLESS STEEL STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 30MM EVOS MINI T7 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 30MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 30MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 30MM VLP T7 SELF TAP TITANIUM FOOT CORTICAL,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 32MM EVOS MINI T7 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 32MM EVOS T7 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 32MM EVOS T7 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 32MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 32MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 32MM VLP MINI-MOD T7 SELF TAP TITANIUM STERILE CORTEX LATEX FREE,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 34MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 34MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 34MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 36MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 36MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 36MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 36MM VLP T7 SELF TAP TITANIUM NONSTERILE CORTEX,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2.4MM 38MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 38MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 40MM EVOS T7 SELF TAP CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 42MM EVOS MINI T7 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 42MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 44MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 44MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 46MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 46MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 4MM 24MM LCP T8 SELF TAP STARDRIVE TITANIUM NONSTERILE CORTEX MINI FRAGMENT SET,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW BONE 2.4MM 55MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 5MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,94.5,47.25,18.1,85.05,65
HCPCS,C1713,SCREW BONE 2.4MM 65MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 6MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,87.45,43.73,16.75,78.71,65
HCPCS,C1713,SCREW BONE 2.4MM 6MM SELF TAP TITANIUM NONSTERILE CORTEX MODULAR FIXATION SYSTEM,418.0,209.0,80.05,376.2,65
HCPCS,C1713,SCREW BONE 2.4MM 6MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 70MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 75MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 7MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 80MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM LOCK STAINLESS STEEL STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,139.7,69.85,26.75,125.73,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE LIGHT BLUE,94.5,47.25,18.1,85.05,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM STERNALOCK BLU SELF DRILL LOCK STERNAL CANCELLOUS GOLD PRIMARY CLOSURE SYSTEM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.4MM 8MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.4MM 9MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.4MM 9MM TITANIUM CORTICAL T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.5MM 10MM APTUS 7 HEXADRIVE TITANIUM WRIST CORTICAL,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 2.5MM 10MM CAPTURE SELF TAP SELF DRILL CANNULATED TITANIUM FOREFOOT MIDFOOT,251.93,125.97,48.24,226.74,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM CAPTURE SELF TAP SELF DRILL CANNULATED TITANIUM FOREFOOT MIDFOOT,251.93,125.97,48.24,226.74,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM FIXOS SELF DRILL SELF TAP CANNULATED COMPRESSION TITANIUM NONSTERILE FOOT ANKLE LATEX FREE .9MM KIRSHNER WIRE,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM FRS T7 FULL THREAD 4 CUT EDGE COMPRESSION HEADLESS HEXALOBE DRIVE TIMAX NONSTERILE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM MINI HEADLESS NONSTERILE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM NONLOCKING SELF TAPPING CROSSPIN EMERGENCY STERILE HAND,74.63,37.32,14.29,67.17,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM PARTIAL THREAD LOW PROFILE CANNULATED SELF DRILL SELF TAP STAINLESS STEEL STERILE,132.0,66.0,25.28,118.8,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM PERI-LOC T7 SELF TAPPING LOCKING CORTICAL,62.27,31.14,11.92,56.04,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM SELF TAP STAINLESS STEEL RADIUS CORTICAL DISTAL VOLAR,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 2.5MM 12MM TITANIUM CORTICAL HEXADRIVE 7 TAPERED CORE DOUBLE THREADED SELF-TAPPING ATRAUMATIC TIP SELF-RETAINING GOLD APTUS 5/PK WRIST,132.5,66.25,25.37,119.25,65
HCPCS,C1713,SCREW BONE 2.5MM 14MM CAPTURE SELF TAP SELF DRILL CANNULATED TITANIUM FOREFOOT MIDFOOT,251.93,125.97,48.24,226.74,65
HCPCS,C1713,SCREW BONE 2.5MM 14MM LOCKING SELF TAPPING DISTAL CORTICAL VOLAR RADIUS,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 2.5MM 14MM MINI T8 CANNULATED TAPER DISTAL TIP HEXALOBE DRIVE HEADLESS TITANIUM,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 2.5MM 14MM PERI-LOC T7 SELF TAPPING LOCKING CORTICAL,62.27,31.14,11.92,56.04,65
HCPCS,C1713,SCREW BONE 2.5MM 16MM FIXOS COMPRESSION SELF TAP CANNULATED TITANIUM NONSTERILE FOOT ANKLE LATEX FREE .9MM KIRSHNER WIRE,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2.5MM 16MM MINI HEADLESS NONSTERILE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 2.5MM 18MM LOCKING SELF TAPPING DISTAL CORTICAL VOLAR RADIUS,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 2.5MM 18MM PARTIAL THREAD CANNULATED SELF DRILLING SELF TAPPING LOW PROFILE HEAD STAINLESS STEEL HAND,132.0,66.0,25.28,118.8,65
HCPCS,C1713,SCREW BONE 2.5MM 18MM PERI-LOC T7 SELF TAPPING LOCKING CORTICAL,62.27,31.14,11.92,56.04,65
HCPCS,C1713,SCREW BONE 2.5MM 20MM FIXOS SELF DRILL SELF TAP CANNULATED COMPRESSION TITANIUM NONSTERILE FOOT ANKLE LATEX FREE .9MM KIRSHNER WIRE,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2.5MM 20MM GEMINUS POLYAXIAL CANNULATED LOCK COCR NONSTERILE VOLAR DISTAL RADIUS PLATE SYSTEM,129.0,64.5,24.7,116.1,65
HCPCS,C1713,SCREW BONE 2.5MM 20MM LOCKING SELF TAPPING DISTAL CORTICAL VOLAR RADIUS,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 2.5MM 20MM PERI-LOC T7 SELF TAPPING LOCKING CORTICAL,62.27,31.14,11.92,56.04,65
HCPCS,C1713,SCREW BONE 2.5MM 22MM CANNULATED,132.0,66.0,25.28,118.8,65
HCPCS,C1713,SCREW BONE 2.5MM 22MM CAPTURE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM,161.92,80.96,31.01,145.73,65
HCPCS,C1713,SCREW BONE 2.5MM 22MM CAPTURE SELF TAP SELF DRILL CANNULATED TITANIUM FOREFOOT MIDFOOT,251.93,125.97,48.24,226.74,65
HCPCS,C1713,SCREW BONE 2.5MM 24MM APTUS 7 HEXADRIVE TITANIUM CORTICAL,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 2.5MM 24MM PERI-LOC SELF TAPPING LOCKING STAINLESS STEEL DISTAL VOLAR RADIAL,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 2.5MM 28MM APTUS TRILOCK 7 HEXADRIVE TITANIUM WRIST,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW BONE 2.5MM 3.4MM 14MM FIXOS CANNULATED COMPRESSION SELF DRILL SELF TAP TITANIUM NONSTERILE FOOT ANKLE .9MM KIRSHNER WIRE,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2.5MM 3.4MM 18MM FIXOS CANNULATED COMPRESSION SELF DRILL SELF TAP TITANIUM NONSTERILE FOOT ANKLE .9MM KIRSHNER WIRE,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2.5MM 3.4MM 22MM FIXOS CANNULATED COMPRESSION SELF DRILL SELF TAP TITANIUM NONSTERILE FOOT ANKLE .9MM KIRSHNER WIRE,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2.5MM 3.5MM 18MM MINI T8 CANNULATED TAPER DISTAL TIP HEXALOBE DRIVER HEADLESS TITANIUM,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 2.5MM 3.5MM 20MM MINI T8 CANNULATED TAPER DISTAL TIP HEXALOBE DRIVE HEADLESS TITANIUM,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 2.5MM 8MM PARTIAL THREAD CANNULATED SELF DRILLING SELF TAPPING LOW PROFILE HEAD STAINLESS STEEL HAND,132.0,66.0,25.28,118.8,65
HCPCS,C1713,SCREW BONE 2.5MM CHS INTERMEDIATE COMPRESSION HEXAGONAL HEAD STAINLESS STEEL PEDIATRIC HIP,82.62,41.31,15.82,74.36,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM EVOS LOCK NONSTERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM MATRIXMANDIBLE SELF TAP EMERGENCY TITANIUM NONSTERILE MANDIBLE PINK,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM MATRIXRIB SELF DRILL LOCK TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM PERI-LOC SELF TAP STAINLESS STEEL FIBULA TIBIA CORTICAL DISTAL PROXIMAL SMALL FRAGMENT SYSTEM,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,28.38,14.19,5.43,25.54,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM PERI-LOC T15 LOCK SELF TAP NONSTERILE LATEX FREE,73.64,36.82,14.1,66.28,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM STERNALOCK BLU LOCK EMERGENCY STERNAL CANCELLOUS MAGENTA PRIMARY CLOSURE SYSTEM,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM VARIAX LOCKING T7 DRIVE TITANIUM STERILE DISTAL RADIUS,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 10MM VARIAX T7 SELF TAP LOCK SCREWDRIVER TITANIUM NONSTERILE FOOT BLUE VARIAX PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 11MM EVOS T8 SELF TAP STERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 11MM MATRIXRIB LOCK SELF DRILL TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM EVOS LOCK T8 DRIVER NONSTERILE LONG BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM EVOS T8 SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM MATRIXMANDIBLE SELF TAP EMERGENCY TITANIUM NONSTERILE MANDIBLE PINK,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM MATRIXRIB LOCK SELF DRILL TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,29.5,14.75,5.65,26.55,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX LATEX FREE,51.14,25.57,9.79,46.03,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM T8 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM TRAUMAONE LORENZ EMERGENCY NONLOCK CROSS DRIVE MANDIBLE MAGENTA,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 12MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 13MM EVOS T8 SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 13MM MATRIXRIB LOCK SELF DRILL TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.7MM 13MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM FLEX-THREAD T8 ZERO PROFILE INTERLOCK STERILE CORTEX LATEX FREE DISPOSABLE,292.0,146.0,55.92,262.8,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM MATRIXMANDIBLE SELF TAP EMERGENCY TITANIUM NONSTERILE MANDIBLE PINK,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM MATRIXRIB LOCK SELF DRILL TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM MINIBUNION NONLOCK STERILE LATEX FREE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,27.65,13.83,5.29,24.89,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM PERI-LOC T15 SELF TAP CORTEX SMALL FRAGMENT SET,51.17,25.59,9.8,46.05,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM PERI-LOC T15 SELF TAP LOCK,73.64,36.82,14.1,66.28,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM T7 FULL THREAD TITANIUM NONSTERILE RADIUS DISTAL VARIAX LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM T8 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM VARIAX T8 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 14MM VARIAX T8 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 15MM EVOS T8 SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 15MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM EVOS T8 SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM MINIBUNION NONLOCK STERILE LATEX FREE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,28.49,14.25,5.46,25.64,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM PERI-LOC T15 SELF TAP LOCK,73.64,36.82,14.1,66.28,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX LATEX FREE,51.19,25.6,9.8,46.07,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM STAINLESS STEEL CORTICAL HEXAGONAL DRIVE HEAD FULLY THREADED SELF-TAPPING CUTTING FLUTEX3 F/SMALL FRAGMENT SET AXSOS SPS LATERAL DISTAL PERIARTICULAR FEMORAL,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM STERNALOCK BLU LOCK EMERGENCY STERNAL CANCELLOUS MAGENTA PRIMARY CLOSURE SYSTEM,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM T8 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIAL DISTAL RADIUS LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,80.94,40.47,15.5,72.85,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM VARIAX T7 SELF TAP TITANIUM NONSTERILE FOOT YELLOW LOCK PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM VARIAX T8 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 16MM VLP SELF TAPPING LOCKING STERILE CORTICAL FOREFOOT MIDFOOT,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 17MM T8 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM FLEX-THREAD T8 ZERO PROFILE INTERLOCK STERILE CORTEX LATEX FREE,292.0,146.0,55.92,262.8,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM PERI-LOC T15 SELF TAP CORTEX,51.22,25.61,9.81,46.1,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM SELF TAP LOCK LOW PROFILE HEXAGONAL STAINLESS STEEL NONSTERILE FOREFOOT MIDFOOT CORTEX PERI-LOC VLP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM STANDARD FOREFOOT,108.0,54.0,20.68,97.2,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,80.94,40.47,15.5,72.85,65
HCPCS,C1713,SCREW BONE 2.7MM 18MM VARIAX T8 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 19MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM EVOS LOCK NONSTERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM EVOS T8 LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,28.16,14.08,5.39,25.34,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM PERI-LOC T15 SELF TAP CORTEX,51.26,25.63,9.82,46.13,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM STAINLESS STEEL PEDIATRIC CORTICAL T10 HEXALOBE SELF-TAPPING PEDIFRAG NON-STERILE,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM STERNALOCK BLU LOCK EMERGENCY STERNAL CANCELLOUS MAGENTA PRIMARY CLOSURE SYSTEM,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM VARIAX T10 FULL THREAD LOCK NONSTERILE LATEX FREE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM VARIAX T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,80.94,40.47,15.5,72.85,65
HCPCS,C1713,SCREW BONE 2.7MM 20MM VARIAX T8 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 21MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,28.69,14.35,5.49,25.82,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM PERI-LOC T15 SELF TAP CORTEX,51.27,25.64,9.82,46.14,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM VARIAX T7 FULL THREAD TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,80.94,40.47,15.5,72.85,65
HCPCS,C1713,SCREW BONE 2.7MM 22MM VARIAX T8 FULL THREAD NONSTERILE LATEX FREE,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,28.86,14.43,5.53,25.97,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX LATEX FREE,51.31,25.66,9.83,46.18,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE RADIUS DISTAL,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM VARIAX T7 FULL THREAD TITANIUM STERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,80.94,40.47,15.5,72.85,65
HCPCS,C1713,SCREW BONE 2.7MM 24MM VARIAX T7 SELF TAP TITANIUM NONSTERILE FOOT YELLOW LOCK PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,30.42,15.21,5.83,27.38,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM PERI-LOC T15 LOCK SELF TAP,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX LATEX FREE,51.34,25.67,9.83,46.21,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM VARIAX T7 FULL THREAD LOCK TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,83.22,41.61,15.94,74.9,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM VARIAX T7 NONSTERILE LATEX FREE,62.32,31.16,11.93,56.09,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM VARIAX T7 PARTIAL THREAD TITANIUM NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,80.94,40.47,15.5,72.85,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM VARIAX T8 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 26MM VLP SELF TAPPING LOCKING STERILE CORTICAL FOREFOOT MIDFOOT,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM EVOS T8 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM EVOS T8 SELF TAP NONSTERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX LATEX FREE,51.36,25.68,9.84,46.22,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM SELF TAP CORTEX,23.12,11.56,4.43,20.81,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 28MM VLP SELF TAPPING LOCKING STERILE CORTICAL FOREFOOT MIDFOOT,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM EVOS T8 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM PERI-LOC SELF TAP LOCK CORTEX,67.15,33.58,12.86,60.44,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,30.06,15.03,5.76,27.05,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX LATEX FREE,51.39,25.7,9.84,46.25,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM SELF TAP CORTEX,23.64,11.82,4.53,21.28,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 30MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM LOCKING HEXALOBE NONSTERILE ELBOW,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM PERI-LOC T15 SELF TAP CORTEX,51.42,25.71,9.85,46.28,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM SELF TAP CORTEX,23.52,11.76,4.5,21.17,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 32MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM PERI-LOC T15 SELF TAP NONSTERILE CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 34MM VLP SELF TAPPING LOCKING STERILE CORTICAL FOREFOOT MIDFOOT,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM EVOS T8 SELF TAP NONSTERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM VARIAX T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 36MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM PERI-LOC SELF TAPPING STAINLESS STEEL CORTICAL,30.76,15.38,5.89,27.68,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM PERI-LOC VLP LOCKING SELF TAPPING STAINLESS STEEL FOREFOOT MIDFOOT CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM SELF TAP STAINLESS STEEL FIBULA TIBIA CORTICAL DISTAL SMALL FRAGMENT SET,24.01,12.01,4.6,21.61,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 38MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 4.3MM 14MM EVOS 2MM LOCK T8 DRIVER FLAT HEAD NONSTERILE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 4.3MM 14MM T8 2MM SELF TAP LOCK SMALL BONE LONG BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 4.3MM 18MM T8 2MM SELF TAP LOCK SMALL BONE LONG BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 4.3MM 38MM EVOS MINI LOCK T8 DRIVER STAINLESS STEEL NONSTERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 4.3MM 46MM EVOS MINI LOCK T8 DRIVER STAINLESS STEEL NONSTERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 4.3MM 7MM EVOS MINI LOCK T8 DRIVER STAINLESS STEEL NONSTERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 10MM EVOS T8 SELF TAP CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 10MM T8 SELF TAP DRIVE NONSTERILE SMALL BONE LONG BONE CORTICAL EVOS MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 14MM T7 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 17MM EVOS T8 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 18MM EVOS 1MM 2MM T8 THREAD PITCH DRIVER NONSTERILE SMALL BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 20MM T7 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 30MM EVOS T8 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 38MM EVOS T8 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 40MM EVOS T8 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 50MM EVOS MINI 2MM T8 DRIVER FLAT HEAD NONSTERILE SMALL BONE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.5MM 9MM EVOS T8 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 4.7MM 40MM 2.9MM T15 CUT FLUTE LOCK SELF TAP 3 LEAD AGGRESSIVE STERILE CORTICAL BLUE PERI-LOC SMALL FRAGMENT SYSTEM,73.64,36.82,14.1,66.28,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM PERI-LOC T15 SELF TAP CORTEX,51.53,25.77,9.87,46.38,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM SELF TAP CORTEX,24.16,12.08,4.63,21.74,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM SELF TAP LOCK STAINLESS STEEL CORTICAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 40MM VARIAX T7 SELF TAP TITANIUM NONSTERILE FOOT YELLOW LOCK PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 42MM PERI-LOC T15 SELF TAP CORTEX,51.56,25.78,9.87,46.4,65
HCPCS,C1713,SCREW BONE 2.7MM 42MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 42MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 42MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 44MM PERI-LOC T15 SELF TAP CORTEX,51.59,25.8,9.88,46.43,65
HCPCS,C1713,SCREW BONE 2.7MM 44MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 44MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 44MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 45MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 45MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 45MM VARIAX T7 SELF TAP TITANIUM NONSTERILE FOOT YELLOW LOCK PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 46MM PERI-LOC T15 SELF TAP CORTEX,51.61,25.81,9.88,46.45,65
HCPCS,C1713,SCREW BONE 2.7MM 46MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 46MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 48MM EVOS T8 SELF TAP NONSTERILE CORTEX,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 48MM PERI-LOC T15 SELF TAP CORTEX,51.64,25.82,9.89,46.48,65
HCPCS,C1713,SCREW BONE 2.7MM 48MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 48MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM PERI-LOC T15 LOCK SELF TAP NONSTERILE LATEX FREE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM PERI-LOC T15 SELF TAP CORTEX,51.68,25.84,9.9,46.51,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM STAINLESS STEEL PEDIATRIC CORTICAL T10 HEXAGONAL DRIVE F/FRAGMENT SYSTEM PEDILOC STERILE,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM T7 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM VARIAX T7 LOCK SELF TAP TITANIUM NONSTERILE FOOT BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 50MM VARIAX T8 FULL THREAD LOCK NONSTERILE LATEX FREE,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 55MM PERI-LOC T15 SELF TAP CORTEX,51.74,25.87,9.91,46.57,65
HCPCS,C1713,SCREW BONE 2.7MM 55MM SELF TAP CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 2.7MM 55MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 55MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 55MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 5MM 10MM 2.5MM STANDARD SMALL HEXAGONAL SPHERICAL TITANIUM NONSTERILE CORTEX MINI FRAGMENT SET,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW BONE 2.7MM 5MM 18MM T8 SELF TAP STARDRIVE STAINLESS STEEL PEDIATRIC NONSTERILE CORTEX MODULAR MINI FRAGMENT SET,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW BONE 2.7MM 5MM 20MM 2.5MM STANDARD FULL THREAD SPHERICAL HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX MINI FRAGMENT SET,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW BONE 2.7MM 5MM 36MM PERI-LOC T15 FLUTE AGGRESSIVE SELF TAP SELF RETAINING STAINLESS STEEL LONG BONE SMALL BONE CORTICAL BLUE SMALL FRAGMENT SET,51.48,25.74,9.86,46.33,65
HCPCS,C1713,SCREW BONE 2.7MM 5MM 38MM PERI-LOC T15 FLUTE AGGRESSIVE SELF TAP SELF RETAINING STAINLESS STEEL LONG BONE SMALL BONE CORTICAL BLUE SMALL FRAGMENT SET,51.51,25.76,9.86,46.36,65
HCPCS,C1713,SCREW BONE 2.7MM 60MM PERI-LOC SELF TAP STAINLESS STEEL FIBULA TIBIA CORTICAL DISTAL PROXIMAL SMALL FRAGMENT SYSTEM,22.28,11.14,4.27,20.05,65
HCPCS,C1713,SCREW BONE 2.7MM 60MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 60MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 60MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 65MM PERI-LOC SELF TAP STAINLESS STEEL FIBULA TIBIA CORTICAL DISTAL PROXIMAL SMALL FRAGMENT SYSTEM,22.28,11.14,4.27,20.05,65
HCPCS,C1713,SCREW BONE 2.7MM 65MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE 2.7MM 65MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 65MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 6MM EVOS T8 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 6MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 70MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 70MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 70MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 70MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 2.7MM 75MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE 2.7MM 7MM EVOS T8 SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 7MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 80MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM EVOS T8 SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM MATRIXRIB SELF DRILL LOCK TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM T8 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,80.6,40.3,15.43,72.54,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM T8 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM VARIAX T7 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 2.7MM 8MM VARIAX T7 SELF TAP TITANIUM NONSTERILE FOOT YELLOW LOCK PLATE SYSTEM,60.04,30.02,11.5,54.04,65
HCPCS,C1713,SCREW BONE 2.7MM 9MM EVOS T8 SELF TAP SELF RETAINING DRIVE STAINLESS STEEL SMALL BONE LONG BONE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2.7MM 9MM MATRIXRIB LOCK SELF DRILL TITANIUM,199.98,99.99,38.3,179.98,65
HCPCS,C1713,SCREW BONE 2.8MM 8MM LOCKING SOLID,213.0,106.5,40.79,191.7,65
HCPCS,C1713,SCREW BONE 2.9MM 10MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE GOLD,160.05,80.03,30.65,144.05,65
HCPCS,C1713,SCREW BONE 2.9MM 10MM MATRIXRIB SELF TAP LOCK TITANIUM NONSTERILE RIB,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BONE 2.9MM 12MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE GOLD,160.05,80.03,30.65,144.05,65
HCPCS,C1713,SCREW BONE 2.9MM 12MM MATRIXRIB SELF TAP LOCK TITANIUM NONSTERILE RIB,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BONE 2.9MM 14MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE GOLD,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW BONE 2.9MM 14MM MATRIXRIB SELF TAP LOCK TITANIUM NONSTERILE RIB,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BONE 2.9MM 16MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE GOLD,160.05,80.03,30.65,144.05,65
HCPCS,C1713,SCREW BONE 2.9MM 18MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW BONE 2.9MM 6MM MATRIXRIB SELF TAP LOCK TITANIUM NONSTERILE RIB,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BONE 2.9MM 8MM MATRIXRIB SELF TAP LOCK TITANIUM NONSTERILE RIB,178.7,89.35,34.22,160.83,65
HCPCS,C1713,SCREW BONE 2MM .87MM 12MM FIXOS TWIST-OFF SELF TAP SELF REAM TITANIUM NONSTERILE FOOT ANKLE CANCELLOUS W FIX,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2MM 10MM 8MM LEVEL ONE MAXDRIVE DRILL FREE TITANIUM ALUMINUM VANADIUM STERILE CRANIOMAXILLOFACIAL LATEX FREE MANDIBULO MAXILLARY FIXATION,656.4,328.2,125.7,590.76,65
HCPCS,C1713,SCREW BONE 2MM 10MM LOCK X DRIVE,94.0,47.0,18.0,84.6,65
HCPCS,C1713,SCREW BONE 2MM 10MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE SILVER,113.3,56.65,21.7,101.97,65
HCPCS,C1713,SCREW BONE 2MM 10MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE,60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW BONE 2MM 10MM QUICKFIX,209.0,104.5,40.02,188.1,65
HCPCS,C1713,SCREW BONE 2MM 10MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 10MM VLP MINI-MOD T6 SELF TAP LOCK TITANIUM STERILE,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE 2MM 11MM 5MM ASNIS MICRO REVERSE CUT FLUTE SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD TITANIUM NONSTERILE FOOT HAND,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE 2MM 11MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 12MM 5MM ASNIS CANNULATED NONSTERILE LATEX FREE,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE 2MM 12MM LOCK X DRIVE,94.0,47.0,18.0,84.6,65
HCPCS,C1713,SCREW BONE 2MM 12MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE SILVER,113.3,56.65,21.7,101.97,65
HCPCS,C1713,SCREW BONE 2MM 12MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE SILVER,60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW BONE 2MM 12MM QUICKFIX ANKLE FOOT,209.0,104.5,40.02,188.1,65
HCPCS,C1713,SCREW BONE 2MM 13MM APTUS TAPER 2 THREAD HEXADRIVE 6 SELF TAP ATRAUMATIC TIP PRECISION CUT TITANIUM HAND WRIST CORTICAL,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 2MM 13MM QUICK INSERTION TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 2MM 13MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 14MM EXPLOR NONLOCK,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW BONE 2MM 14MM FULL THREAD CORTICAL,65.1,32.55,12.47,58.59,65
HCPCS,C1713,SCREW BONE 2MM 14MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE SILVER,327.5,163.75,62.72,294.75,65
HCPCS,C1713,SCREW BONE 2MM 15MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 15MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 16MM EXPLOR NONLOCK NONSTERILE LATEX FREE,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW BONE 2MM 16MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE SILVER,65.5,32.75,12.54,58.95,65
HCPCS,C1713,SCREW BONE 2MM 16MM PLUSDRIVE EMERGENCY TITANIUM,295.35,147.68,56.56,265.82,65
HCPCS,C1713,SCREW BONE 2MM 16MM QUICKFIX SELF DRILL SELF TAP LOW PROFILE TI6AL4V HAND,209.0,104.5,40.02,188.1,65
HCPCS,C1713,SCREW BONE 2MM 16MM TRAUMAONE LOCK CROSS DRIVE TITANIUM MANDIBLE SILVER,94.0,47.0,18.0,84.6,65
HCPCS,C1713,SCREW BONE 2MM 17MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 17MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 18MM EXPLOR LOCK,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW BONE 2MM 18MM MATRIXMANDIBLE SELF TAP TITANIUM,65.5,32.75,12.54,58.95,65
HCPCS,C1713,SCREW BONE 2MM 18MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 19MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 19MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 2.2MM 2MM 13MM FIXOS TWIST-OFF SNAP-OFF SELF TAP SELF DRILL SNAP OFF TITANIUM NONSTERILE FOOT ANKLE CANCELLOUS W FIX,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2MM 2.2MM 2MM 14MM TWIST-OFF FIXOS SELF DRILL SELF TAP SNAPP OFF THREAD TITANIUM NONSTERILE FOOT ANKLE CANCELLOUS W FIX,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW BONE 2MM 20MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 20MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 22MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 24MM T6 SELF TAP NONSTERILE CORTICAL,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2MM 26MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3.3MM 16MM EVOS MINI T6 LOCK DRIVER STERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2MM 3.3MM 7MM EVOS MINI LOCK T6 DRIVER STAINLESS STEEL NONSTERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2MM 3.3MM 8MM EVOS MINI LOCK T6 DRIVER STAINLESS STEEL NONSTERILE LONG BONE SMALL BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 2MM 3.5MM 4MM FLUTE SELF TAP CRUCIFORM TITANIUM NONSTERILE CRANIOFACIAL CORTEX GOLD,277.75,138.88,53.19,249.98,65
HCPCS,C1713,SCREW BONE 2MM 3.5MM 6MM SELF TAP COARSE PITCH CRUCIFORM TITANIUM NONSTERILE MANDIBLE CORTEX GOLD MODULAR FIXATION SYSTEM,297.55,148.78,56.98,267.8,65
HCPCS,C1713,SCREW BONE 2MM 30MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 32MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 34MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 36MM EVOS T6 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 38MM STAINLESS STEEL STERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 11MM EVOS T6 SELF TAP CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 12MM EVOS T6 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 12MM EVOS T6 SELF TAP STERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 13MM EVOS T6 SELF TAP CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 14MM T6 SELF TAP DRIVE NONSTERILE SMALL BONE LONG BONE CORTICAL EVOS MINI PLATE SYSTEM,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2MM 3MM 16MM EVOS T6 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 16MM T6 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 18MM EVOS T6 SELF TAP CORTEX MINI PLATE SYSTEM,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 22MM EVOS T6 SELF TAP NONSTERILE CORTEX MINI PLATE SYSTEM,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2MM 3MM 24MM T6 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 26MM EVOS T6 SELF TAP STAINLESS STEEL NONSTERILE SMALL BONE LONG BONE CORTICAL MINI PLATE SYSTEM,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2MM 3MM 28MM EVOS MINI T6 DRIVER SELF TAP FLAT HEAD STAINLESS STEEL NONSTERILE CORTEX,85.5,42.75,16.37,76.95,65
HCPCS,C1713,SCREW BONE 2MM 3MM 34MM EVOS MINI SELF TAP T6 DRIVER STAINLESS STEEL NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 3MM 40MM T6 SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE CORTEX EVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 4MM EMERGENCY STARDRIVE TITANIUM NONSTERILE CRANIOMAXILLOFACIAL CORTEX,295.35,147.68,56.56,265.82,65
HCPCS,C1713,SCREW BONE 2MM 5MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE SILVER,60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW BONE 2MM 6MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE SILVER,113.3,56.65,21.7,101.97,65
HCPCS,C1713,SCREW BONE 2MM 6MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE SILVER,60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW BONE 2MM 6MM PLUSDRIVE EMERGENCY TITANIUM CRANIOMAXILLOFACIAL TEAL,295.35,147.68,56.56,265.82,65
HCPCS,C1713,SCREW BONE 2MM 6MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 6MM T6 SELF TAP NONSTERILE CORTICAL,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 7MM LEVEL ONE MAXDRIVE DRILL-FREE MINI TITANIUM NONSTERILE CRANIOFACIAL 5 PACK,273.55,136.78,52.38,246.2,65
HCPCS,C1713,SCREW BONE 2MM 7MM OMNIMAX SELF DRILL MAXILLOMANDIBULAR,117.0,58.5,22.41,105.3,65
HCPCS,C1713,SCREW BONE 2MM 7MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 8MM 6MM LEVEL ONE MAXDRIVE STERILE CRANIOMAXILLOFACIAL - 25-198-06-75,656.4,328.2,125.7,590.76,65
HCPCS,C1713,SCREW BONE 2MM 8MM ARCH SELF DRILL STARDRIVE TITANIUM NONSTERILE SPINE CORTEX,35.34,17.67,6.77,31.81,65
HCPCS,C1713,SCREW BONE 2MM 8MM BUTTRESS SELF DRILL STAINLESS STEEL NONSTERILE INTERMAXILLARY,105.6,52.8,20.22,95.04,65
HCPCS,C1713,SCREW BONE 2MM 8MM MATRIXMANDIBLE SELF TAP LOCK TITANIUM NONSTERILE MANDIBLE SILVER,113.3,56.65,21.7,101.97,65
HCPCS,C1713,SCREW BONE 2MM 8MM MATRIXMANDIBLE SELF TAP TITANIUM NONSTERILE MANDIBLE SILVER,60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW BONE 2MM 8MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 9MM LORENZ SELF DRILL HEXAGONAL HEAD MANDIBLE BLUE TRAUMAONE SYSTEM INTERMAXILLARY FIXATION,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW BONE 2MM 9MM OMNIMAX SELF DRILL MAXILLOMANDIBULAR,117.0,58.5,22.41,105.3,65
HCPCS,C1713,SCREW BONE 2MM 9MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE 2MM 9MM TITANIUM CORTICAL T6 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW BONE 2MM DIA 5MML TITANIUM SELF-RETAINING DRILL-FREE MAXDRIVE STERILE SINGLE-USE,273.55,136.78,52.38,246.2,65
HCPCS,C1713,SCREW BONE 3.2MM 10MM WRIST FIXATION SYSTEM LOCK STAINLESS STEEL CORTICAL,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW BONE 3.2MM 16MM LOCK STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW BONE 3.2MM 18MM LAG CORTICAL,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW BONE 3.2MM 20MM LOCK STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW BONE 3.5-3.6MM 24MM ACUTRAK 2 MINI FULL THREAD SELF CUT CANNULATED VARIABLE PITCH HEADLESS TITANIUM STERILE ACCEPTS .045IN GUIDEWIRE,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW BONE 3.5MM 105MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS,33.62,16.81,6.44,30.26,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM ANTHEM LOCK COCR CLAVICLE FUSCHIA 2.7MM DRILL,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM ELLIPSE POLYAXIAL TITANIUM NONSTERILE SPINE,640.0,320.0,122.56,576.0,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM MOTOBAND 24MM 2.5MM LOCK HEXALOBE LAG NITINOL METATARSOPHALANGEAL,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM MOTOBAND CP TITANIUM STERILE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM PERI-LOC SELF TAP LOCK,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM PERI-LOC SELF TAPPING LOCKING T20 STARDRIVE RECESS SMALL BONE LONG BONE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM PERI-LOC VLP 15D 2.5MM SELF TAP LOCK LOW PROFILE HEXAGONAL STERILE FOOT CORTEX 2.7MM DRILL BIT,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM PERI-LOC VLP SELF TAP LOCK NONSTERILE FIBULA,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 10MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 11MM EVOS STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 11MM LOCK TITANIUM NONSTERILE CORTICAL WRIST FOREARM SET,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW BONE 3.5MM 11MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS STERILE,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 120MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM EVOS SELF TAP CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM LOW PROFILE SELF TAP CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM MOTOBAND CP TITANIUM STERILE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM PERI-LOC T20 LOCK SELF TAP NONSTERILE LATEX FREE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM PERI-LOC T20 SELF TAP NONSTERILE CORTEX LATEX FREE,53.16,26.58,10.18,47.84,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM PERI-LOC VLP SELF TAP NONSTERILE CORTEX,30.02,15.01,5.75,27.02,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM SHORELINE ASC SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS STERILE,28.0,14.0,5.36,25.2,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3.5MM 12MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM ENDOSKELETON TCS LOCK TITANIUM SPINE CERVICAL INTERBODY FUSION,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM ENDOSKELETON TCS NONSTERILE SPINE INTERBODY FUSION,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM EVOS T7 SELF TAP STAINLESS STEEL STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM INFINITY MULTIAXIAL STERILE SPINE OCCIPITOCERVICAL UPPER THORACIC LATEX FREE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM LOCK TITANIUM NONSTERILE CORTICAL WRIST FOREARM SET,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM PERI-LOC SELF TAPPING NONLOCKING STAINLESS STEEL CORTICAL,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM PERI-LOC T20 LOCK SELF TAP NONSTERILE LATEX FREE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM SHORELINE ASC SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM TITANIUM CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 14MM VARIAX T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 150MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS,82.3,41.15,15.76,74.07,65
HCPCS,C1713,SCREW BONE 3.5MM 15MM SELF DRILL VARIABLE ANGLE NONSTERILE SPINE CERVICAL ANTERIOR LATEX FREE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM ARTHREX LOW PROFILE NONSTERILE CORTICAL,68.0,34.0,13.02,61.2,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM ATOLL STANDARD SPINE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM AXSOS TITANIUM NONSTERILE CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM EVOS SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM EVOS T7 SELF TAP STAINLESS STEEL STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM PERI-LOC T20 NONSTERILE CORTEX,52.32,26.16,10.02,47.09,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM SHORELINE ASC SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3.5MM 16MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 17MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM ATOLL STANDARD SPINE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM EVOS SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM EVOS T7 SELF TAP STAINLESS STEEL STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM PERI-LOC SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM PERI-LOC SELF TAPPING LOCKING T20 STARDRIVE RECESS SMALL BONE LONG BONE,75.27,37.64,14.41,67.74,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM PERI-LOC T20 LOCK SELF TAP NONSTERILE LATEX FREE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM PERI-LOC T20 SELF TAP CORTEX,53.31,26.66,10.21,47.98,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM TITANIUM CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 18MM VARIAX T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 19MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 2.9MM 38MM T15 FULL THREAD SELF TAP LOCK CONICAL HEAD STARDRIVE TITANIUM NONSTERILE SMALL FRAGMENT SET,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW BONE 3.5MM 2.9MM 40MM T15 FULL THREAD SELF TAP LOCK CONICAL HEAD STARDRIVE TITANIUM NONSTERILE SMALL FRAGMENT SET,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM EVOS SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM EVOS T7 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM MOTOBAND CP STERILE LATEX FREE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM PERI-LOC SELF TAP LOCK STAINLESS STEEL CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM PERI-LOC T20 SELF TAP LOCK,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM PERI-LOC T20 SELF TAP NONSTERILE CORTEX LATEX FREE,53.34,26.67,10.21,48.01,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM PRECICE LOCK NONSTERILE GRAY INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM T10 NONLOCK TITANIUM NONSTERILE VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM TITANIUM NONSTERILE CORTICAL AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM UNI-CP LOCK REPLACEMENT WASHER STAINLESS STEEL STERILE FOOT,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 20MM VARIAX T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM IJS POLYAXIAL NONLOCK TITANIUM ELBOW,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM LOCK TITANIUM NONSTERILE CORTICAL AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM MOTOBAND CP STERILE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM PERI-LOC T20 SELF TAP CORTEX,53.39,26.7,10.22,48.05,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM PERI-LOC VLP SELF TAP STAINLESS STEEL CORTICAL,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM REDUCT CANNULATED SELF TAP COMPRESSION HEADLESS TITANIUM,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM SELF TAP LOCK CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 22MM VARIAX T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM PERI-LOC T20 SELF TAP LOCK,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM PERI-LOC T20 SELF TAP STARDRIVE CORTICAL,61.42,30.71,11.76,55.28,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM PERI-LOC VLP 15D 2.5MM HEXAGON SELF TAP LOCK STAINLESS STEEL STERILE FIBULA TIBIA DISTAL PROXIMAL,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM SELF TAP LOCK STAINLESS STEEL CORTEX PERI-LOC SMALL FRAGMENT SET,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM SURFIX CAP STAINLESS STEEL STERILE,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 24MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3.5MM 25MM PRECICE LOCK NONSTERILE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM IJS POLYAXIAL NONLOCK TITANIUM ELBOW,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM MOTOBAND CP KIT TITANIUM STERILE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM PERI-LOC T20 SELF TAP CORTEX,53.47,26.74,10.24,48.12,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM SELF TAP LOCK CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 26MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM PERI-LOC VLP SELF TAP CORTEX,32.86,16.43,6.29,29.57,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM SELF TAP LOCK CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM SELF TAP STAINLESS STEEL NONSTERILE CORTEX,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM UNI-CP SURFIX LOCK STAINLESS STEEL STERILE MIDFOOT,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 28MM VARIAX T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM 15D SELF TAP LOW PROFILE HEAD CORTEX 2.7MM DRILL BIT,33.21,16.61,6.36,29.89,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM CARBOFIX SELF TAP TITANIUM NONSTERILE YELLOW PROXIMAL HUMERAL PLATE,52.92,26.46,10.13,47.63,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM EVOS SELF TAP NONSTERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM IJS POLYAXIAL NONLOCK TITANIUM ELBOW,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM PERI-LOC T20 SELF TAP CORTEX,53.56,26.78,10.26,48.2,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM PRECICE LOCK NONSTERILE GRAY INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM SELF TAP STAINLESS STEEL NONSTERILE CORTEX,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE YELLOW ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 30MM VARIAX T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM AXSOS 2.5MM FULL THREAD HEXAGON SELF TAP STAINLESS STEEL NONSTERILE FEMUR HUMERUS CORTICAL PROXIMAL SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM PERI-LOC T20 SELF TAP CORTEX,53.61,26.81,10.27,48.25,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM PERI-LOC VLP SELF TAP CORTEX,33.57,16.79,6.43,30.21,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM SELF TAP LOCK CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 32MM VARIAX T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM EVOS SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM PERI-LOC T20 SELF TAP CORTEX,53.66,26.83,10.28,48.29,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM PERI-LOC T20 SELF TAP LOCK,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM PERI-LOC VLP SELF TAP CORTEX,33.94,16.97,6.5,30.55,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 34MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 35MM PRECICE LOCK NONSTERILE GRAY INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM PERI-LOC SELF TAP LOCK STAINLESS STEEL CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM PERI-LOC T20 SELF TAP CORTEX,53.71,26.86,10.29,48.34,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM PERI-LOC VLP SELF TAP CORTEX,34.29,17.15,6.57,30.86,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 36MM VARIAX T10 FULL THREAD LOCK STARDRIVE NONSTERILE,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM PERI-LOC T20 SELF TAP CORTEX,53.74,26.87,10.29,48.37,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM PERI-LOC VLP SELF TAP CORTEX,33.33,16.67,6.38,30.0,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM SURFIX CAP LOCK TITANIUM STERILE FOOT,325.62,162.81,62.36,293.06,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 38MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM EVOS SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM FLEX-THREAD T15 ZERO PROFILE INTERLOCK STERILE CORTEX LATEX FREE DISPOSABLE,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM LARGE LOCK TITANIUM STERILE,325.62,162.81,62.36,293.06,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM PERI-LOC SELF TAP LOCK STAINLESS STEEL CORTEX,74.19,37.1,14.21,66.77,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM PERI-LOC T20 SELF TAP NONSTERILE CORTEX,53.79,26.9,10.3,48.41,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM PERI-LOC VLP SELF TAP CORTEX,34.68,17.34,6.64,31.21,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM PRECICE 2 LOCK FEMUR TIBIA GRAY INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM SELF TAP STAINLESS STEEL NONSTERILE CORTEX,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 40MM TITANIUM NONSTERILE CORTICAL AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM PERI-LOC T20 SELF TAP CORTEX,14.65,7.33,2.81,13.19,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM PERI-LOC VLP SELF TAP CORTEX,35.21,17.61,6.74,31.69,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 42MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM FULL THREAD CANNULATED TIMAX NONSTERILE CORTICAL LATEX FREE,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM PERI-LOC VLP SELF TAP CORTEX,35.25,17.63,6.75,31.73,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM T10 FULL THREAD SELF TAP STARDRIVE TITANIUM NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 44MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 45MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM PERI-LOC T20 LOCK SELF TAP NONSTERILE LATEX FREE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM PERI-LOC T20 SELF TAP CORTEX,14.65,7.33,2.81,13.19,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM PERI-LOC VLP SELF TAP CORTEX,35.94,17.97,6.88,32.35,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 46MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM AXSOS NONSTERILE CORTEX LATEX FREE,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM PERI-LOC VLP SELF TAP CORTEX,36.09,18.05,6.91,32.48,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM PERI-LOC VLP SELF TAP LOCK CORTICAL VARIABLE ANGLE LOCK PLATE SYSTEM,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 48MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM CARBOFIX SELF TAP LOCK TITANIUM NONSTERILE PURPLE PROXIMAL HUMERAL PLATE,108.36,54.18,20.75,97.52,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM EVOS SELF TAP LOCK STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM PERI-LOC SELF TAPPING T20 STARDRIVE RECESS CORTICAL,61.99,31.0,11.87,55.79,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM TITANIUM NONSTERILE CORTICAL AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 50MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 52MM FLEX-THREAD T15 ZERO PROFILE INTERLOCK STERILE CORTEX LATEX FREE,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 3.5MM 54MM FLEX-THREAD T15 ZERO PROFILE INTERLOCK STERILE CORTEX LATEX FREE DISPOSABLE,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM AXSOS TITANIUM NONSTERILE CORTEX LATEX FREE,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM EVOS SELF TAP STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 55MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 10MM 3MM T20 CUT FLUTE SELF TAP AGGRESSIVE SELF RETAIN STERILE CORTEX ORANGE PERI-LOC SMALL FRAGMENT SYSTEM,53.12,26.56,10.17,47.81,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 14MM PERI-LOC T20 CUT FLUTE SELF TAP NONSTERILE CORTEX SMALL FRAGMENT SET,53.21,26.61,10.19,47.89,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 16MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK NONSTERILE SMALL FRAGMENT SET,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 22MM T20 CUT FLUTE SELF TAP LOCK STAINLESS STEEL NONSTERILE ORANGE PERI-LOC SMALL FRAGMENT SET,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 24MM T20 CUT FLUTE SELF TAP STAINLESS STEEL NONSTERILE CORTEX ORANGE PERI-LOC SMALL FRAGMENT SET,53.42,26.71,10.23,48.08,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 26MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK NONSTERILE CORTEX SMALL FRAGMENT SET,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 28MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 28MM PERI-LOC T20 CUT FLUTE SELF TAP NONSTERILE CORTEX SMALL FRAGMENT SET,53.52,26.76,10.25,48.17,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 30MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 32MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 36MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 38MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK NONSTERILE CORTEX SMALL FRAGMENT SET,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 40MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 42MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 44MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,75.27,37.64,14.41,67.74,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 48MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,75.27,37.64,14.41,67.74,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 48MM PERI-LOC T20 CUT FLUTE SELF TAP SELF RETAINING STAINLESS STEEL LONG BONE SMALL BONE CORTICAL ORANGE SMALL FRAGMENT SET,14.65,7.33,2.81,13.19,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 50MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK CORTEX,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 55MM PERI-LOC T20 3 LEAD THREAD 3 SELF TAP FLUTE LOCK HEXAGONAL HEAD NONSTERILE SMALL FRAGMENT SET,75.27,37.64,14.41,67.74,65
HCPCS,C1713,SCREW BONE 3.5MM 6.8MM 55MM PERI-LOC T20 CUT FLUTE SELF TAP SELF RETAINING STAINLESS STEEL LONG BONE SMALL BONE CORTICAL ORANGE SMALL FRAGMENT SET,54.13,27.07,10.37,48.72,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM,775.0,387.5,148.41,697.5,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM PERI-LOC T20 LOCK SELF TAP NONSTERILE LATEX FREE,71.82,35.91,13.75,64.64,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM PERI-LOC T20 SELF TAP CORTEX,54.23,27.12,10.39,48.81,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM SELF TAP STAINLESS STEEL NONSTERILE CORTEX,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS STERILE,31.5,15.75,6.03,28.35,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM TITANIUM CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 60MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM AXSOS NONSTERILE CORTEX LATEX FREE,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM PERI-LOC SELF TAPPING T20 STARDRIVE RECESS CORTICAL,31.57,15.79,6.05,28.41,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM PERI-LOC T20 SELF TAP LOCK,87.18,43.59,16.69,78.46,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM PERI-LOC T20 SELF TAP LOCK NONSTERILE LATEX FREE,87.18,43.59,16.69,78.46,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM PERI-LOC VLP LOCK SELF TAP,74.73,37.37,14.31,67.26,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM PERI-LOC VLP SELF TAP CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 65MM VARIAX T10 SELF TAP TITANIUM NONSTERILE ELBOW PLATE SYSTEM,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 10MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET - 404.010,13.7,6.85,2.62,12.33,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 12MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 14MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,14.91,7.46,2.86,13.42,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 16MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 18MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 20MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 22MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,13.7,6.85,2.62,12.33,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 26MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 28MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,13.7,6.85,2.62,12.33,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 30MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 32MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,15.0,7.5,2.87,13.5,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 34MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,13.7,6.85,2.62,12.33,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 38MM 12MM 2.5MM PARTIAL THREAD SHAFT SPHERICAL HEAD SMALL HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE SMALL FRAGMENT SET,18.2,9.1,3.49,16.38,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM 45MM 2.5MM STANDARD FULL THREAD LOW PROFILE HEAD SMALL HEXAGONAL SOCKET TITANIUM NONSTERILE CORTEX SMALL FRAGMENT SET,13.7,6.85,2.62,12.33,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 6MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM EVOS SELF TAP LOCK,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM PERI-LOC SELF TAPPING T20 STARDRIVE RECESS CORTICAL,31.82,15.91,6.09,28.64,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM PERI-LOC T20 SELF TAP LOCK,87.18,43.59,16.69,78.46,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM PERI-LOC VLP SELF TAP CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM T10 FULL THREAD STARDRIVE NONSTERILE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
HCPCS,C1713,SCREW BONE 3.5MM 70MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
HCPCS,C1713,SCREW BONE 3.5MM 75MM PERI-LOC T20 LOCK SELF TAP NONSTERILE LATEX FREE,87.18,43.59,16.69,78.46,65
HCPCS,C1713,SCREW BONE 3.5MM 75MM PERI-LOC T20 SELF TAP LOCK,87.18,43.59,16.69,78.46,65
HCPCS,C1713,SCREW BONE 3.5MM 75MM PERI-LOC VLP LOCK SELF TAP,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 75MM PERI-LOC VLP SELF TAP CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 75MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 80MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 80MM PERI-LOC VLP SELF TAP CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 3.5MM 80MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 85MM EVOS SELF TAP NONSTERILE CORTEX,49.91,24.96,9.56,44.92,65
HCPCS,C1713,SCREW BONE 3.5MM 85MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 8MM EVOS STERILE CORTEX,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 8MM PERI-LOC VLP SELF TAP CORTEX,32.08,16.04,6.14,28.87,65
HCPCS,C1713,SCREW BONE 3.5MM 8MM PERI-LOC VLP SELF TAP LOCK,101.57,50.79,19.45,91.41,65
HCPCS,C1713,SCREW BONE 3.5MM 8MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM 8MM T10 FULL THREAD LOCK STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW BONE 3.5MM 8MM T10 FULL THREAD STARDRIVE NONSTERILE FOOT ANKLE VARIAX FOOT PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,SCREW BONE 3.5MM 90MM 2.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW BONE 3.5MM 90MM STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW BONE 3.5MM 90MM TITANIUM CORTEX,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 3.5MM 9MM GEMINUS LOCK TITANIUM NONSTERILE CORTEX BRONZE VOLAR DISTAL RADIUS PLATE SYSTEM,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW BONE 3.5MM DIA 8MML STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3.5MM DIA 95MML STAINLESS STEEL CORTICAL SELF-TAPPING F/MINI PLATING SYSTEM EVOS STERILE,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 3MM 10MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 10MM SELF DRILL LOCK TITANIUM NONSTERILE STERNAL FIXATION SYSTEM,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 3MM 10MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 12MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 12MM SELF DRILL LOCK TITANIUM NONSTERILE STERNAL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 3MM 12MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 12MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 14MM ANCHORAGE NONLOCK NONSTERILE LATEX FREE,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 14MM CANNULATED,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 14MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 3MM 14MM MINI HEADLESS NONSTERILE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 3MM 14MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 14MM SELF DRILL LOCK TITANIUM STERNAL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 3MM 14MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 14MM ZERO-P SELF TAP LOCK SELF CENTER TITANIUM STERILE SPINE CERVICAL GOLD,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW BONE 3MM 16MM 4MM ASNIS MICRO REVERSE CUT FLUTE SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD TITANIUM NONSTERILE FOOT HAND,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE 3MM 16MM ANCHORAGE NONLOCK NONSTERILE LATEX FREE,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 16MM CANNULATED HEADLESS SELF DRILLING SELF TAPPING COMPRESSION STAINLESS STEEL HAND,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 16MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 3MM 16MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 16MM SELF DRILL LOCK TITANIUM NONSTERILE STERNAL FIXATION SYSTEM,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 3MM 16MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 18MM 5MM ASNIS MICRO REVERSE CUT FLUTE SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD TITANIUM NONSTERILE FOOT HAND,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE 3MM 18MM CAPTURE SELF TAP SELF DRILL CANNULATED TITANIUM FOREFOOT MIDFOOT,415.2,207.6,79.51,373.68,65
HCPCS,C1713,SCREW BONE 3MM 18MM CAPTURE TRANSFORMING EXTREMITIES SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM FOREFOOT MIDFOOT,182.4,91.2,34.93,164.16,65
HCPCS,C1713,SCREW BONE 3MM 18MM MINIBUNION POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 18MM MOTOBAND 10MM LOCK HEXALOBE METATARSOPHALANGEAL 2MM DRILL,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 18MM QWIX CANNULATED COMPRESSION SELF DRILLING SELF TAPPING HEXAGONAL HEAD TITANIUM STERILE FOREFOOT CORTICAL BLUE,306.6,153.3,58.71,275.94,65
HCPCS,C1713,SCREW BONE 3MM 18MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 18MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 18MM TI6 CANNULATED HYBRID THREAD LOW PROFILE HEAD TITANIUM FOOT HAND,273.92,136.96,52.46,246.53,65
HCPCS,C1713,SCREW BONE 3MM 19MM CANNULATED,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 20MM ANCHORAGE NONLOCK NONSTERILE LATEX FREE,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 20MM CANNULATED HEADLESS SELF DRILLING SELF TAPPING COMPRESSION STAINLESS STEEL HAND,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 20MM MINI HEAD NONSTERILE,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW BONE 3MM 20MM SELF DRILL SELF TAP STAINLESS STEEL,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 20MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 20MM TI6 CANNULATED HYBRID THREAD PATTERN LOW PROFILE HEAD TITANIUM FOOT HAND,273.92,136.96,52.46,246.53,65
HCPCS,C1713,SCREW BONE 3MM 20MM VLP T7 TITANIUM FOOT OSTEOPENIA,68.89,34.45,13.19,62.0,65
HCPCS,C1713,SCREW BONE 3MM 22MM 5MM APTUS COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 TITANIUM HAND FOOT ELBOW WRIST,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW BONE 3MM 22MM CANNULATED,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 22MM CANNULATED HEADLESS SELF DRILLING SELF TAPPING COMPRESSION STAINLESS STEEL HAND,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 22MM MOTOBAND 10MM LOCK HEXALOBE METATARSOPHALANGEAL 2MM DRILL,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 22MM SMALL PARTIAL THREAD CANNULATED TIMAX NONSTERILE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE 3MM 22MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 22MM T8 LOCK STARDRIVE TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW BONE 3MM 24MM 10MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 3MM 24MM 6MM APTUS COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 TITANIUM HAND FOOT ELBOW WRIST,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW BONE 3MM 24MM CAPTURE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 3MM 24MM MINI HEAD NONSTERILE LATEX FREE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 3MM 24MM MOTOBAND CP NONLOCK STERILE LATEX FREE,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE 3MM 24MM PARTIAL THREAD CANNULATED HEADLESS SELF DRILLING SELF TAPPING STAINLESS STEEL SMALL BONE,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 24MM PARTIAL THREAD SELF DRILL SELF TAP STAINLESS STEEL STERILE EXTRAARTICULAR INTRAARTICULAR,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 24MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 26MM 6MM APTUS COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 TITANIUM HAND FOOT ELBOW WRIST,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW BONE 3MM 26MM CANNULATED,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 26MM CAPTURE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 3MM 26MM CAPTURE SELF TAP SELF DRILL CANNULATED TITANIUM FOREFOOT MIDFOOT,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW BONE 3MM 26MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 26MM QUICKFIX CANNULATED COMPRESSION HEADLESS STAINLESS STEEL STERILE METACARPAL TARSAL,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 26MM STANDARD T8 TORX HEAD TITANIUM NONSTERILE BLUE ANCHORAGE FOOT PLATE SYSTEM,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW BONE 3MM 26MM VLP T7 TITANIUM FOOT OSTEOPENIA,68.89,34.45,13.19,62.0,65
HCPCS,C1713,SCREW BONE 3MM 28MM CANNULATED,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 28MM CAPTURE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 3MM 28MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 3.8MM 12MM EVOS MINI T7 STAINLESS STEEL STERILE LONG BONE SMALL BONE OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 3MM 30MM 6MM ASNIS MICRO REVERSE CUT FLUTE SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD TITANIUM NONSTERILE FOOT HAND,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE 3MM 30MM CANNULATED STERILE,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 30MM MOTOBAND CP POLYAXIAL LOCK STERILE LATEX FREE,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW BONE 3MM 30MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 3MM 32MM 13MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 3MM 32MM 14MM MICRO TITANIUM NONSTERILE CANCELLOUS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE 3MM 32MM CANNULATED HEADLESS FEMUR,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 34MM 14MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 3MM 34MM CANNULATED HEADLESS,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 36MM 40MM LAPIPLASTY CANNULATED COMPRESSION INTERFRAGMENTARY LOW PROFILE TITANIUM,525.0,262.5,100.54,472.5,65
HCPCS,C1713,SCREW BONE 3MM 36MM CANNULATED HEADLESS,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 36MM CANNULATED STERILE,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 36MM MINI HEADLESS NONSTERILE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 3MM 38MM 15MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 3MM 40MM CANNULATED HEADLESS STERILE,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE 3MM 40MM PARTIAL THREAD CANNULATED SELF DRILLING SELF TAPPING LOW PROFILE HEAD STAINLESS STEEL HAND,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 40MM STAINLESS STEEL CORTICAL T7 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 3MM 45MM CANNULATED STERILE,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM 50MM CANNULATED STERILE,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE 3MM MATRIXNEURO SELF DRILL TITANIUM NONSTERILE CRANIOMAXILLOFACIAL,37.5,18.75,7.18,33.75,65
HCPCS,C1713,SCREW BONE 4.1MM 36MM ANCHORAGE T10 LAG CROSS PLATE,241.79,120.9,46.3,217.61,65
HCPCS,C1713,SCREW BONE 4.1MM 40MM ANCHORAGE T10 LAG CROSS PLATE,241.79,120.9,46.3,217.61,65
HCPCS,C1713,SCREW BONE 4.3MM 46MM POLARUS 3 HEXALOBE LOW PROFILE NONSTERILE HUMERUS,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW BONE 4.5MM 10MM PERI-LOC T25 BLUNT TIP,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 10MM TITANIUM SPINE OCCIPITAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW BONE 4.5MM 12MM LOCK BLUNT TIP,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 14MM TITANIUM ALLOY CORTICAL SELF-TAPPING EVOS STERILE,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 4.5MM 150MM 18MM SCHANZ BLUNT TROCAR POINT MR CONDITIONAL STAINLESS STEEL HA STERILE HIP CONDYLE LARGE EXTERNAL FIXATOR - 414.858,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW BONE 4.5MM 16MM PERI-LOC SELF TAP LOW PROFILE STAINLESS STEEL CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 16MM TITANIUM ALLOY CORTICAL SELF-TAPPING EVOS STERILE,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 4.5MM 18MM PERI-LOC SELF TAPPING LOCKING T25 STARDRIVE RECESS ANKLE FOOT,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 18MM PERI-LOC T25 SELF TAP CORTEX,24.09,12.05,4.61,21.68,65
HCPCS,C1713,SCREW BONE 4.5MM 18MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM CARBOFIX SELF TAP TITANIUM NONSTERILE DIAPHYSEAL,52.92,26.46,10.13,47.63,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM CD HORIZON SOLERA MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED TITANIUM COCR NONSTERILE SPINE 4.75MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM INSET LOCK REVERSE PERPENDICULAR NONSTERILE SHOULDER LATEX FREE,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM INSET VARIABLE ANGLE REVERSE NONSTERILE SHOULDER LATEX FREE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM PERI-LOC T25 SELF TAP CORTEX,23.86,11.93,4.57,21.47,65
HCPCS,C1713,SCREW BONE 4.5MM 20MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 22.5MM TRIGEN LOW PROFILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 22MM 4.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 22MM EVOS SELF TAP LOCK STAINLESS STEEL STERILE LATEX FREE LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 22MM PERI-LOC T25 SELF TAP CORTEX,24.07,12.04,4.61,21.66,65
HCPCS,C1713,SCREW BONE 4.5MM 22MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 22MM SURFIX STAINLESS STEEL STERILE,306.6,153.3,58.71,275.94,65
HCPCS,C1713,SCREW BONE 4.5MM 24MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 24MM EVOS SELF TAP LOCK STAINLESS STEEL STERILE LATEX FREE LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 24MM EVOS SELF TAP STERILE CORTEX LATEX FREE,27.2,13.6,5.21,24.48,65
HCPCS,C1713,SCREW BONE 4.5MM 24MM INFINITY MULTIAXIAL NONSTERILE SPINE LATEX FREE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 4.5MM 24MM PERI-LOC T25 SELF TAP CORTEX,24.14,12.07,4.62,21.73,65
HCPCS,C1713,SCREW BONE 4.5MM 24MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 25MM INSET LOCK REVERSE PERPENDICULAR NONSTERILE SHOULDER LATEX FREE,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE 4.5MM 25MM INSET VARIABLE ANGLE REVERSE NONSTERILE SHOULDER LATEX FREE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 4.5MM 25MM TITANIUM PARTIALLY THREADED PRECICE STERILE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BONE 4.5MM 25MM TRIGEN LOW PROFILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM EVOS SELF TAP LOCK STAINLESS STEEL STERILE LATEX FREE LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM EVOS SELF TAP STERILE CORTEX LATEX FREE,27.27,13.64,5.22,24.54,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM PERI-LOC T25 SELF TAP CORTEX,24.31,12.16,4.66,21.88,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 26MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 27.5MM CARBOFIX SELF TAP TITANIUM NONSTERILE DIAPHYSEAL,52.92,26.46,10.13,47.63,65
HCPCS,C1713,SCREW BONE 4.5MM 27.5MM TRIGEN LOW PROFILE INTRAMEDULLARY NAILING SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 28MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 28MM EVOS SELF TAP LOCK STAINLESS STEEL STERILE LATEX FREE LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 28MM PERI-LOC SELF TAP LOW PROFILE NONSTERILE CORTEX LATEX FREE DISPOSABLE,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 28MM PERI-LOC SELF TAPPING LOCKING T25 STARDRIVE RECESS ANKLE FOOT,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 28MM PERI-LOC T25 SELF TAP CORTEX,24.41,12.21,4.67,21.97,65
HCPCS,C1713,SCREW BONE 4.5MM 28MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 3.5MM 46MM STANDARD LARGE HEXAGON HEAD STAINLESS STEEL NONSTERILE CORTICAL,12.48,6.24,2.39,11.23,65
HCPCS,C1713,SCREW BONE 4.5MM 3.5MM 76MM PERI-LOC T20 CUT FLUTE SELF TAP LOCK 3 LEAD THREAD 3 FLUTE CORTICAL,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 20MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM STERILE HUMERAL PROXIMAL GOLD,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 22MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM NONSTERILE HUMERAL PROXIMAL GOLD,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 24MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM STERILE HUMERAL PROXIMAL GOLD,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 26MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM STERILE HUMERAL PROXIMAL GOLD,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 48MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM NONSTERILE HUMERAL PROXIMAL GOLD,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 50MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM NONSTERILE HUMERAL PROXIMAL GOLD,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 52MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM STERILE HUMERAL PROXIMAL GOLD,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 54MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM NONSTERILE HUMERAL PROXIMAL GOLD,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW BONE 4.5MM 3.9MM 56MM MULTILOC FULL THREAD BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD TITANIUM NIOBIUM ALUMINUM STERILE HUMERAL PROXIMAL GOLD,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM CARBOFIX SELF TAP TITANIUM NONSTERILE DIAPHYSEAL,52.92,26.46,10.13,47.63,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM PERI-LOC SELF TAP LOW PROFILE NONSTERILE CORTEX LATEX FREE DISPOSABLE,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM PERI-LOC SELF TAPPING LOCKING T25 STARDRIVE RECESS ANKLE FOOT,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,31.72,15.86,6.07,28.55,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM PERI-LOC T25 SELF TAP CORTEX,24.49,12.25,4.69,22.04,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM TITANIUM NONSTERILE CORTICAL AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM TRIGEN LOW PROFILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 30MM XIA POLYAXIAL STAINLESS STEEL NONSTERILE SPINE SCOLIOSIS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 4.5MM 32.5MM CARBOFIX SELF TAP TITANIUM NONSTERILE DIAPHYSEAL,52.92,26.46,10.13,47.63,65
HCPCS,C1713,SCREW BONE 4.5MM 32.5MM TRIGEN LOW PROFILE STERILE LATEX FREE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM EVOS SELF TAP LOCK STERILE LATEX FREE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM INFINITY MULTIAXIAL NONSTERILE SPINE LATEX FREE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,32.21,16.11,6.17,28.99,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM PERI-LOC T25 SELF TAP NONSTERILE CORTEX,24.54,12.27,4.7,22.09,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM SELF TAP LOCK CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 32MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM EVOS SELF TAP STERILE CORTEX LATEX FREE,28.49,14.25,5.46,25.64,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,29.23,14.62,5.6,26.31,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM PERI-LOC T25 SELF TAP CORTEX,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM SELF TAP LOCK CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 34MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 35MM CARBOFIX SELF TAP TITANIUM NONSTERILE DIAPHYSEAL,52.92,26.46,10.13,47.63,65
HCPCS,C1713,SCREW BONE 4.5MM 35MM RESPONSE UNIAXIAL NONSTERILE SPINE PEDICLE 5.5/6MM ROD,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 4.5MM 35MM SPHERX CANNULATED SHANK SPINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BONE 4.5MM 35MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR GRAY INTRAMEDULLARY NAIL,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 4.5MM 35MM TRIGEN LOW PROFILE FEMUR,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 36MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 36MM PERI-LOC SELF TAPPING LOCKING T25 STARDRIVE RECESS ANKLE FOOT,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 36MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,32.09,16.05,6.15,28.88,65
HCPCS,C1713,SCREW BONE 4.5MM 36MM PERI-LOC T25 SELF TAP CORTEX,24.86,12.43,4.76,22.37,65
HCPCS,C1713,SCREW BONE 4.5MM 36MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 36MM SELF TAP LOCK CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 37.5MM TRIGEN LOW PROFILE STERILE LATEX FREE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM EVOS SELF TAP LOCK STERILE LATEX FREE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM PERI-LOC SELF TAP LOW PROFILE NONSTERILE CORTEX LATEX FREE DISPOSABLE,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM PERI-LOC SELF TAPPING LOCKING CORTICAL,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM PERI-LOC SELF TAPPING LOCKING T25 STARDRIVE RECESS ANKLE FOOT,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,32.14,16.07,6.15,28.93,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM PERI-LOC T25 SELF TAP CORTEX,24.91,12.46,4.77,22.42,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 38MM WASHERLOC COMPRESSION TITANIUM STERILE CANCELLOUS,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM EVOS SELF TAP LOCK STERILE LATEX FREE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM PERI-LOC SELF TAP LOW PROFILE NONSTERILE CORTEX LATEX FREE,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM PERI-LOC T25 SELF TAP CORTEX,25.13,12.57,4.81,22.62,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 4.5MM 40MM TRIGEN LOW PROFILE STERILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 42.5MM LOW PROFILE INTERNAL CAPTURE FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 42MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 42MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 42MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,32.42,16.21,6.21,29.18,65
HCPCS,C1713,SCREW BONE 4.5MM 42MM PERI-LOC T25 SELF TAP CORTEX,25.22,12.61,4.83,22.7,65
HCPCS,C1713,SCREW BONE 4.5MM 42MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 44MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,32.73,16.37,6.27,29.46,65
HCPCS,C1713,SCREW BONE 4.5MM 44MM PERI-LOC T25 SELF TAP CORTEX,25.42,12.71,4.87,22.88,65
HCPCS,C1713,SCREW BONE 4.5MM 44MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 44MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 44MM TITANIUM NONSTERILE CORTICAL AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 45MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 4.5MM 45MM TRIGEN LOW PROFILE STERILE LATEX FREE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 46MM 12MM STANDARD PARTIAL THREAD LARGE HEXAGONAL SOCKET SHAFT STAINLESS STEEL NONSTERILE LARGE FRAGMENT SET,16.31,8.16,3.12,14.68,65
HCPCS,C1713,SCREW BONE 4.5MM 46MM PERI-LOC SELF TAP LOW PROFILE STAINLESS STEEL CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 46MM PERI-LOC T25 SELF TAP CORTEX,25.97,12.99,4.97,23.37,65
HCPCS,C1713,SCREW BONE 4.5MM 46MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 46MM SELF TAP STAINLESS STEEL HIP CORTICAL,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 4.5MM 46MM TITANIUM NONSTERILE CORTICAL AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 47.5MM TRIGEN LOW PROFILE INTRAMEDULLARY NAILING SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 48MM INVERSE REVERSE CANCELLOUS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW BONE 4.5MM 48MM PERI-LOC SELF TAPPING T25 STARDRIVE RECESS FOOT ANKLE CORTICAL,33.4,16.7,6.4,30.06,65
HCPCS,C1713,SCREW BONE 4.5MM 48MM PERI-LOC T25 SELF TAP CORTEX,25.72,12.86,4.93,23.15,65
HCPCS,C1713,SCREW BONE 4.5MM 48MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 48MM SELF TAP LOW PROFILE CORTEX,44.13,22.07,8.45,39.72,65
HCPCS,C1713,SCREW BONE 4.5MM 48MM TITANIUM NONSTERILE CORTICAL AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM CHARLOTTE LOW PROFILE HEAD STAINLESS STEEL NONSTERILE FOOT ANKLE JONES FRACTURE,794.0,397.0,152.05,714.6,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM LOW PROFILE INTERNAL CAPTURE FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM ORTHOLOC 2 SOLID CORE CORTICAL THREAD CHAMFER HEADLESS TITANIUM,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM PERI-LOC T25 SELF TAP CORTEX,25.77,12.89,4.93,23.19,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM SELF TAP STAINLESS STEEL HIP CORTICAL,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 4.5MM 50MM TITANIUM NONSTERILE CORTICAL AXSOS 3,44.73,22.37,8.57,40.26,65
HCPCS,C1713,SCREW BONE 4.5MM 52.5MM TRIGEN LOW PROFILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 52MM PERI-LOC LOW PROFILE SELF TAP LOCK STAINLESS STEEL PERIARTICULAR FEMUR CORTICAL LARGE FRAGMENT SET,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 52MM PERI-LOC SELF TAPPING LOCKING T25 STARDRIVE RECESS ANKLE FOOT,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 52MM PERI-LOC T25 SELF TAP CORTEX,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW BONE 4.5MM 52MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 54MM PERI-LOC SELF TAP LOCK FEMUR TIBIA CORTICAL,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 54MM PERI-LOC T25 SELF TAP CORTEX,26.48,13.24,5.07,23.83,65
HCPCS,C1713,SCREW BONE 4.5MM 54MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 54MM SELF TAP STAINLESS STEEL HIP CORTICAL,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE 4.5MM 54MM TITANIUM ALLOY CORTICAL SELF-TAPPING EVOS STERILE,32.0,16.0,6.13,28.8,65
HCPCS,C1713,SCREW BONE 4.5MM 55MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 55MM CHARLOTTE LOW PROFILE HEAD STAINLESS STEEL NONSTERILE FOOT ANKLE JONES FRACTURE,794.0,397.0,152.05,714.6,65
HCPCS,C1713,SCREW BONE 4.5MM 55MM LOW PROFILE INTERNAL CAPTURE FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 55MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 4.5MM 56MM PERI-LOC T25 SELF TAP CORTEX,25.42,12.71,4.87,22.88,65
HCPCS,C1713,SCREW BONE 4.5MM 56MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 57.5MM TRIGEN LOW PROFILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 58MM EVOS SELF TAP LOCK STAINLESS STEEL STERILE LATEX FREE LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 58MM PERI-LOC T25 SELF TAP CORTEX,26.38,13.19,5.05,23.74,65
HCPCS,C1713,SCREW BONE 4.5MM 58MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 6.5MM 1.75MM 24MM 1/3 THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD STAINLESS STEEL NONSTERILE LARGE FRAGMENT SET,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW BONE 4.5MM 6.5MM 1.75MM 60MM 1/3 THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD STAINLESS STEEL NONSTERILE LARGE FRAGMENT SET,151.63,75.82,29.04,136.47,65
HCPCS,C1713,SCREW BONE 4.5MM 60MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 60MM PERI-LOC T25 SELF TAP CORTEX,26.95,13.48,5.16,24.26,65
HCPCS,C1713,SCREW BONE 4.5MM 60MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 60MM SELF TAP LOCK CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 60MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 60MM TRIGEN LOW PROFILE STERILE LATEX FREE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 62.5MM TRIGEN LOW PROFILE INTRAMEDULLARY NAILING SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 62MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 64MM EVOS SELF TAP LOCK STAINLESS STEEL STERILE LATEX FREE LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE 4.5MM 64MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 64MM TITANIUM ALLOY CORTICAL SELF-TAPPING EVOS STERILE,33.57,16.79,6.43,30.21,65
HCPCS,C1713,SCREW BONE 4.5MM 65MM TITANIUM NONSTERILE CORTICAL AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 65MM TRIGEN LOW PROFILE STERILE LATEX FREE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 4.5MM 66MM PERI-LOC LOW PROFILE SELF TAP LOCK STAINLESS STEEL PERIARTICULAR FEMUR CORTICAL LARGE FRAGMENT SET,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 66MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 68MM PERI-LOC T25 SELF TAP CORTEX,25.47,12.74,4.88,22.92,65
HCPCS,C1713,SCREW BONE 4.5MM 68MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 68MM SELF TAP LOW PROFILE CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 70MM PERI-LOC SELF TAP LOW PROFILE STAINLESS STEEL CORTEX,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW BONE 4.5MM 70MM PERI-LOC T25 SELF TAP CORTEX,27.32,13.66,5.23,24.59,65
HCPCS,C1713,SCREW BONE 4.5MM 70MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 70MM SELF TAP LOCK CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 70MM TITANIUM ALLOY CORTICAL SELF-TAPPING EVOS STERILE,34.49,17.25,6.6,31.04,65
HCPCS,C1713,SCREW BONE 4.5MM 70MM TITANIUM NONSTERILE CORTICAL AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 72MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 72MM PERI-LOC T25 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,25.74,12.87,4.93,23.17,65
HCPCS,C1713,SCREW BONE 4.5MM 74MM PERI-LOC LOW PROFILE SELF TAP STAINLESS STEEL PERIARTICULAR FEMUR CORTICAL LARGE FRAGMENT SET,25.21,12.61,4.83,22.69,65
HCPCS,C1713,SCREW BONE 4.5MM 74MM PERI-LOC SELF TAP LOCK LOW PROFILE STAINLESS STEEL CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 74MM PERI-LOC T25 SELF TAP CORTEX,27.6,13.8,5.29,24.84,65
HCPCS,C1713,SCREW BONE 4.5MM 74MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 75MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 76MM PERI-LOC T25 SELF TAP CORTEX,26.88,13.44,5.15,24.19,65
HCPCS,C1713,SCREW BONE 4.5MM 78MM PERI-LOC SELF TAP LOCK LOW PROFILE STAINLESS STEEL CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.5MM 78MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 78MM PERI-LOC T25 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,27.65,13.83,5.29,24.89,65
HCPCS,C1713,SCREW BONE 4.5MM 80MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 80MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 80MM PERI-LOC T25 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,28.02,14.01,5.37,25.22,65
HCPCS,C1713,SCREW BONE 4.5MM 85MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 85MM 34MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 4.5MM 85MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW BONE 4.5MM 85MM PERI-LOC T25 SELF TAP LOCK,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4.5MM 85MM PERI-LOC T25 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,28.43,14.22,5.44,25.59,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 105MM STANDARD LARGE HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE CORTEX LARGE FRAGMENT SET,76.35,38.18,14.62,68.72,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 25MM 12MM 3.5MM PARTIAL THREAD HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE MALLEOLAR LARGE FRAGMENT SET,28.12,14.06,5.38,25.31,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 28MM 12MM STANDARD PARTIAL THREAD SHAFT LARGE HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE CORTEX LARGE FRAGMENT SET,16.0,8.0,3.06,14.4,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 28MM AMBI CLASSIC SELF TAP STAINLESS STEEL HIP CORTICAL,15.46,7.73,2.96,13.91,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 34MM 12MM STANDARD PARTIAL THREAD SHAFT LARGE HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE CORTEX LARGE FRAGMENT SET,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 36MM 12MM STANDARD PARTIAL THREAD SHAFT LARGE HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE CORTEX LARGE FRAGMENT SET,15.52,7.76,2.97,13.97,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 40MM 12MM STANDARD PARTIAL THREAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 40MM 20MM 3.5MM PARTIAL THREAD HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE MALLEOLAR LARGE FRAGMENT SET,28.96,14.48,5.55,26.06,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 42MM 12MM STANDARD PARTIAL THREAD SHAFT LARGE HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE CORTEX LARGE FRAGMENT SET,18.18,9.09,3.48,16.36,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 50MM 24MM 3.5MM HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE MALLEOLAR LARGE FRAGMENT SET,28.96,14.48,5.55,26.06,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 55MM 26MM 3.5MM PARTIAL THREAD HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE MALLEOLAR LARGE FRAGMENT SET,37.83,18.92,7.24,34.05,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 62MM PERI-LOC T25 CUT FLUTE SELF TAP CORTEX,24.14,12.07,4.62,21.73,65
HCPCS,C1713,SCREW BONE 4.5MM 8MM 65MM 30MM 3.5MM PARTIAL THREAD HEXAGONAL SOCKET STAINLESS STEEL NONSTERILE MALLEOLAR LARGE FRAGMENT SET,33.22,16.61,6.36,29.9,65
HCPCS,C1713,SCREW BONE 4.5MM 90MM 3.5MM FULL THREAD SELF TAP HEXAGONAL STAINLESS STEEL NONSTERILE CORTEX SMALL FRAGMENT SET,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW BONE 4.5MM 90MM PERI-LOC T25 SELF TAP STAINLESS STEEL NONSTERILE CORTEX,29.16,14.58,5.58,26.24,65
HCPCS,C1713,SCREW BONE 4.5MM 94MM PERI-LOC SELF TAP LOCK LOW PROFILE STAINLESS STEEL CORTEX,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW BONE 4.75MM 45MM COMPREHENSIVE 3.5MM LOCK FIX ANGLE HEX HEAD TITANIUM STERILE REVERSE SHOULDER SYSTEM,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW BONE 4.7MM 10MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 12MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 14MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 16MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 18MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 20MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 22MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 24MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 26MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 26MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 28MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 28MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 30MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 32MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 32MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 36MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 36MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 38MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 38MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 40MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 40MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 42MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 44MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 46MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 48MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 50MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 55MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 60MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 65MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 70MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 70MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 75MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 75MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 80MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 80MM STAINLESS STEEL PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 85MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 85MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4.7MM 90MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 40MM PERI-LOC T25 SELF TAP LOCK NONSTERILE LATEX FREE,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE 4MM 10MM PERI-LOC VLP FULL THREAD OSTEOPENIA CORTICAL,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 120MM SCHANZ NONSTERILE LATEX FREE,900.0,450.0,196.29,810.0,64
HCPCS,C1713,SCREW BONE 4MM 12MM ATOLL SELF TAP SPINE OCCIPITAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW BONE 4MM 12MM CABO SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 13MM ATLANTIS SELF DRILL VARIABLE ANGLE TITANIUM NONSTERILE SPINE CERVICAL ANTERIOR,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM AMBASSADOR SELF TAP SELF DRILL VARIABLE ANGLE TITANIUM NONSTERILE SPINE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM AXSOS FULL THREAD TITANIUM CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 14MM CABO SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM MAXAN SELF DRILL FIX ANGLE NONSTERILE SPINE ANTERIOR CERVICAL PLATE SYSTEM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM MAXAN SELF DRILL VARIABLE ANGLE NONSTERILE SPINE ANTERIOR CERVICAL PLATE SYSTEM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM SKYLINE 20- D SELF DRILL VARIABLE ANGLE TITANIUM NONSTERILE SPINE GOLD,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM SKYLINE 5- D SELF DRILL CONSTRAIN TITANIUM NONSTERILE SPINE GOLD,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM STALIF C TITANIUM SPINE ANTERIOR CERVICAL INTEGRATE INTERBODY SYSTEM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM VARIABLE SELF TAP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 14MM ZAVATION SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 15MM STALIF C NO-PROFILE ABO STANDARD PRIMARY TITANIUM SPINE ANTERIOR CERVICAL INTEGRATE INTERBODY SYSTEM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 16MM ATLANTIS SELF DRILL FIX ANGLE TITANIUM NONSTERILE SPINE ANTERIOR CERVICAL PLATE SYSTEM,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE 4MM 16MM AXSOS NONSTERILE CANCELLOUS LATEX FREE,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 16MM CABO SELF DRILL VARIABLE ANGLE NONSTERILE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 16MM CABO SELF TAP VARIABLE ANGLE SPINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 4MM 16MM MINI HEADLESS NONSTERILE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 4MM 16MM PERI-LOC VLP FULL THREAD OSTEOPENIA CORTICAL,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 16MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 18MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 2.7MM 1.3MM 40MM EXCEL 6MM FULL THREAD SELF TAP FLUTE CANNULATED TROCAR TIP LOW PROFILE SPHERICAL HEAD STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 20MM AXSOS FULL THREAD TITANIUM CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 20MM DYNANAIL MINI HEADLESS SCREW,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 20MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 20MM LOCK CORTICAL OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 20MM PRECICE FULL THREAD STERILE LATEX FREE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 4MM 20MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 20MM TRIGEN SELF TAP TITANIUM HUMERUS CORTICAL,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW BONE 4MM 20MM VERTEX MAX MULTIAXIAL SPINE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 4MM 22.5MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 4MM 22.5MM PRECICE FULL THREAD STERILE LATEX FREE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 4MM 22MM CAPTURE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM,197.56,98.78,37.83,177.8,65
HCPCS,C1713,SCREW BONE 4MM 22MM FULL THREAD LOCK TITANIUM STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 4MM 22MM PERI-LOC VLP FULLY THREADED OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 22MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 22MM TRIGEN SELF TAP TITANIUM HUMERUS CORTICAL INTRAMEDULLARY NAIL SYSTEM,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW BONE 4MM 24MM CANNULATED TITANIUM,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 24MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 24MM PERI-LOC PARTIAL THREAD SELF TAP LOCK STAINLESS STEEL PERIARTICULAR TIBIA CANCELLOUS SMALL FRAGMENT SET,18.17,9.09,3.48,16.35,65
HCPCS,C1713,SCREW BONE 4MM 24MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 24MM T2 FULL THREAD LOCK TITANIUM STERILE INTRAMEDULLARY NAIL,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 4MM 24MM TRIGEN SELF TAP TITANIUM HUMERUS CORTICAL INTRAMEDULLARY NAIL SYSTEM,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW BONE 4MM 25MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 4MM 25MM LOCK STERILE LATEX FREE INTRAMEDULLARY NAIL,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 4MM 26MM ASNIS CANNULATED NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 26MM AXSOS FULL THREAD TITANIUM CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 26MM CAPTURE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM,197.56,98.78,37.83,177.8,65
HCPCS,C1713,SCREW BONE 4MM 26MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 26MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 26MM LOCK CORTICAL OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 26MM SELF TAP TITANIUM CORTICAL,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW BONE 4MM 26MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 26MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 26MM T2 FULL THREAD LOCK TITANIUM STERILE INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 4MM 27.5MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 4MM 28MM ASNIS III CANNULATED STAINLESS STEEL,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW BONE 4MM 28MM ASNIS III CANNULATED TITANIUM NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 28MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 28MM COMPRESSION HEADLESS,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 28MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 28MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 28MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 28MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 28MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 26MM T25 FULL THREAD SELF TAP LOCK BLUNT TIP 2 LEAD TITANIUM STERILE TIBIAL BLUE EXPERT,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 28MM T25 FULL THREAD SELF TAP LOCK BLUNT TIP 2 LEAD TITANIUM STERILE TIBIAL BLUE EXPERT,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 32MM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP TITANIUM STERILE BLUE EXPERT CANNULATED NAIL SYSTEM,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 36MM T25 FULL THREAD SELF TAP LOCK BLUNT TIP 2 LEAD TITANIUM STERILE TIBIAL BLUE EXPERT,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 46MM T25 FULL THREAD SELF TAP LOCK BLUNT TIP 2 LEAD TITANIUM STERILE TIBIAL BLUE EXPERT,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 48MM T25 FULL THREAD SELF TAP LOCK BLUNT TIP 2 LEAD TITANIUM NONSTERILE TIBIAL BLUE EXPERT,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW BONE 4MM 3.3MM 50MM T25 FULL THREAD SELF TAP LOCK BLUNT TIP 2 LEAD TITANIUM STERILE TIBIAL BLUE EXPERT,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 14MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,133.65,66.83,25.59,120.29,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 22MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,394.0,197.0,75.45,354.6,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 34MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,574.0,287.0,109.92,516.6,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 38MM SELF TAP LOCK CONICAL LARGE HEXAGONAL STAINLESS STEEL NONSTERILE,132.0,66.0,25.28,118.8,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 42MM SELF TAP LOCK LARGE HEXAGONAL CONICAL STAINLESS STEEL NONSTERILE,142.59,71.3,27.31,128.33,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 50MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,132.89,66.45,25.45,119.6,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 54MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,114.46,57.23,21.92,103.01,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 58MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,154.0,77.0,29.49,138.6,65
HCPCS,C1713,SCREW BONE 4MM 3.4MM 62MM 4MM SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL STAINLESS STEEL NONSTERILE PERIARTICULAR PLATE SYSTEM,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW BONE 4MM 30MM 10MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD TITANIUM NONSTERILE ACCEPTS 1.4MM GUIDEWIRE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 30MM 8MM COMPRESSION CANNULATED TITANIUM NONSTERILE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW BONE 4MM 30MM AXSOS 3 NONSTERILE CORTEX LATEX FREE,63.24,31.62,12.11,56.92,65
HCPCS,C1713,SCREW BONE 4MM 30MM CANNULATED,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 30MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 30MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 30MM LINEUM STANDARD SELF TAP TITANIUM ALUMINUM VANADIUM NONSTERILE SPINE GREEN OCCIPITOCERVICOTHORACIC SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 4MM 30MM LOCK CORTICAL OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 30MM MAXTORQUE SHORT THREAD SELF DRILL CANNULATED NONSTERILE FOOT ANKLE,204.0,102.0,39.07,183.6,65
HCPCS,C1713,SCREW BONE 4MM 30MM PERI-LOC PARTIAL THREAD STAINLESS STEEL SMALL BONE LONG BONE CANCELLOUS SMALL FRAGMENT SYSTEM,18.17,9.09,3.48,16.35,65
HCPCS,C1713,SCREW BONE 4MM 30MM PRECICE LOCK NONSTERILE BLUE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 4MM 30MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 30MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 30MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 30MM VLP LOCK STERILE FOREFOOT MIDFOOT OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 32MM ASNIS CANNULATED NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 32MM AXSOS 2.5MM PARTIAL THREAD HEXAGON STAINLESS STEEL NONSTERILE FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW BONE 4MM 32MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 32MM COMPRESSION HEADLESS,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 32MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 32MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 32MM LOCK CORTICAL OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 32MM SELF TAP TITANIUM CORTICAL,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW BONE 4MM 32MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 32MM VLP LOCK STERILE FOREFOOT MIDFOOT OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 34MM ASNIS CANNULATED NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 34MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 34MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 34MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 34MM LOCK CORTICAL OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 34MM MINI HEAD NONSTERILE,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW BONE 4MM 34MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 34MM TITANIUM FULLY THREADED W/SLOTTED HEAD MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW BONE 4MM 35MM EXCEL FULL THREAD FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 35MM LOCK STERILE LATEX FREE INTRAMEDULLARY NAIL,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 4MM 36MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 36MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 36MM FIXOS COMPRESSION HEADLESS NONSTERILE LATEX FREE,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 36MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 36MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 36MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 38MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 38MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 38MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 38MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 38MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 38MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 38MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 38MM T15 SELF TAP LOCK STAINLESS STEEL NONSTERILE AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 12MM EVOS MINI FULL THREAD T8 DRIVER STAINLESS STEEL NONSTERILE OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 12MM T8 FULL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 34MM EVOS MINI FULL THREAD T8 VARIABLE ANGLE SELF RETAINING SCREWDRIVER STERILE LONG BONE SMALL BONE OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 34MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 42MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 44MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER EVOS MINI OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.5MM 46MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 4.9MM 28MM LOCK LOW PROFILE HEAD FOOT PERI-LOC VLP OSTEOPENIA,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE 4MM 4.9MM 30MM FULL THREAD LOW PROFILE HEXAGONAL NONSTERILE FOOT PERI-LOC VLP OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 40MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE TITANIUM STERILE TARSAL METATARSAL,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 40MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD TITANIUM NONSTERILE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 40MM AXSOS SELF TAP LOCK TITANIUM NONSTERILE LATEX FREE,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 40MM CANNULATED,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 40MM DYNANAIL MINI 3MM HEX DRIVE HEADLESS,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE 4MM 40MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 40MM FULL THREAD CORTICAL OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 40MM MINI HEADLESS NONSTERILE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 4MM 40MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 40MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 42MM ASNIS CANNULATED NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 42MM ASNIS III FULL THREAD REVERSE CUT FLUTE SELF DRILL SELF TAP CANNULATED TITANIUM NONSTERILE LONG BONE SMALL BONE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 42MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 42MM FIXOS COMPRESSION HEADLESS NONSTERILE,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 42MM FULL THREAD TITANIUM NONSTERILE CANCELLOUS AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 44MM 15MM AXSOS 3 PARTIAL THREAD TITANIUM NONSTERILE CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 44MM ASNIS CANNULATED NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 44MM ASNIS CANNULATED STERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 44MM ASNIS III FULL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD TITANIUM NONSTERILE TARSAL METATARSAL,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 44MM COMPRESSION HEADLESS FOOT ANKLE,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 44MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 44MM SMALL PARTIAL THREAD SELF DRILL CANNULATED LAG REDUCE HEAD TIMAX NONSTERILE HIP CANCELLOUS,159.0,79.5,30.45,143.1,65
HCPCS,C1713,SCREW BONE 4MM 44MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 45MM CD HORIZON SOLERA MULTIAXIAL TITANIUM COCR NONSTERILE SPINE 5.5/6MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 4MM 45MM EXCEL FULL THREAD FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 46MM 15MM PARTIAL THREAD CANNULATED STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 46MM ASNIS III FULL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD TITANIUM STERILE TARSAL METATARSAL,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 46MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM NONSTERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 46MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM STERILE LATEX FREE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 46MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 46MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 46MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 48MM 16MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD TITANIUM NONSTERILE ACCEPTS 1.4MM GUIDEWIRE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 48MM ASNIS III FULL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD TITANIUM STERILE TARSAL METATARSAL,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 48MM ASNIS III PARTIAL THREAD CANNULATED SELF TAP SELF DRILL STAINLESS STEEL STERILE FOOT ANKLE,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW BONE 4MM 48MM AXSOS 3 LOCK SELF TAP TITANIUM NONSTERILE,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 48MM SMALL PARTIAL THREAD SELF DRILL CANNULATED LAG REDUCE HEAD TIMAX CANCELLOUS,159.0,79.5,30.45,143.1,65
HCPCS,C1713,SCREW BONE 4MM 48MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 48MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 50MM 15MM AXSOS 3 PARTIAL THREAD TITANIUM NONSTERILE CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 50MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE TITANIUM STERILE TARSAL METATARSAL,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 50MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD TITANIUM NONSTERILE - 604750,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 50MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE TITANIUM NONSTERILE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 50MM AXSOS T15 SELF TAP LOCK STAINLESS STEEL NONSTERILE FEMUR HUMERUS TIBIA SMALL FRAGMENT SET,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW BONE 4MM 50MM EXCEL FULL THREAD SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP SF3040 50,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 50MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 50MM PERI-LOC T20 PARTIAL THREAD CANCELLOUS,53.09,26.55,10.17,47.78,65
HCPCS,C1713,SCREW BONE 4MM 50MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 50MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 50MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 54MM LOCK TITANIUM INTRAMEDULLARY NAIL,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 55MM 16MM AXSOS 3 PARTIAL THREAD TITANIUM NONSTERILE CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 55MM ASNIS III PARTIAL THREAD CANNULATED SELF DRILL SELF TAP LOW PROFILE STAINLESS STEEL STERILE PELVIS,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW BONE 4MM 55MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD TITANIUM NONSTERILE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 55MM AXSOS FULL THREAD TITANIUM CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 55MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE 4MM 55MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 55MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 5MM 12MM 2.5MM HEX NONSTERILE OSTEOPENIA,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE 4MM 5MM 32MM MINI T10 REVERSE CUT FLUTE CANNULATED HEXALOBE DRIVE TITANIUM,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW BONE 4MM 5MM 38MM 6.5MM MINI 2.6MM T10 TAPER CANNULATED SELF DRILL COLOR CODED REVERSE CUT FLUTE TITANIUM FOOT ANKLE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 4MM 5MM 42MM MINI T10 REVERSE CUT FLUTE CANNULATED HEXALOBE DRIVE HEADLESS TITANIUM,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 4MM 5MM 46MM 6.5MM MINI 2.6MM T10 TAPER CANNULATED SELF DRILL COLOR CODED REVERSE CUT FLUTE TITANIUM FOOT ANKLE,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 4MM 6.8MM 60MM PERI-LOC T20 PARTIAL THREAD SELF RETAINING CANCELLOUS ORANGE SMALL FRAGMENT SET,19.33,9.67,3.7,17.4,65
HCPCS,C1713,SCREW BONE 4MM 60MM 20MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD TITANIUM NONSTERILE ACCEPTS 1.4MM GUIDEWIRE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 60MM ASNIS III PARTIAL THREAD CANNULATED SELF TAP SELF DRILL STAINLESS STEEL STERILE HIP,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW BONE 4MM 60MM AXSOS FULL THREAD TITANIUM NONSTERILE CANCELLOUS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 60MM LOCK TITANIUM INTRAMEDULLARY NAIL,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 60MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 60MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 65MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE TITANIUM NONSTERILE TARSAL METATARSAL,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 65MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 6MM 1.3MM 44MM 2.9MM PARTIAL THREAD CANNULATED SELF TAP SELF DRILL TROCAR TIP STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 20MM 8MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 22MM 9MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 26MM 12MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 28MM 14MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 30MM 14MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 32MM 14MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 34MM 14MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 38MM 14MM PERI-LOC 2.5MM FLUTE CANNULATED SELF TAP TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 42MM 14MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 48MM 15MM PERI-LOC 2.5MM FLUTE PARTIAL THREAD SELF TAP CANNULATED TROCAR LOW PROFILE STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 50MM 15MM PERI-LOC PARTIAL THREAD SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 52MM 15MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 54MM 15MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 56MM 15MM PERI-LOC PARTIAL THREAD SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 58MM 15MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 60MM 15MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 6MM 65MM 15MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 70MM 23.5MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD TITANIUM NONSTERILE ACCEPTS 1.4MM GUIDEWIRE,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE 4MM 70MM AXSOS FULL THREAD TITANIUM NONSTERILE CANCELLOUS AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW BONE 4MM 70MM EXCEL FULL THREAD FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE 4MM 70MM LOCK TITANIUM INTRAMEDULLARY NAIL,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 70MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 75MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW BONE 4MM 75MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,75.6,37.8,14.48,68.04,65
HCPCS,C1713,SCREW BONE 4MM 80MM LOCK TITANIUM INTRAMEDULLARY NAIL,159.08,79.54,30.46,143.17,65
HCPCS,C1713,SCREW BONE 4MM 80MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE 4MM 80MM STAINLESS STEEL T8 STARDRIVE RECESS PARTIALLY THREADED SELF-RETAINING COUNTERSINK F/OSTEOPENIA EVOS,75.6,37.8,14.48,68.04,65
HCPCS,C1713,SCREW BONE 4MM 8MM 26MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 50MM 3.5MM FULL THREAD SELF TAP LOCK BLUNT TIP HEXAGONAL TITANIUM NONSTERILE BLUE INTRAMEDULLARY NAIL SYSTEM,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 56MM 3.5MM FULL THREAD SELF TAP LOCK BLUNT TIP HEXAGONAL TITANIUM NONSTERILE BLUE INTRAMEDULLARY NAIL SYSTEM,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 58MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 62MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 64MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,159.08,79.54,30.46,143.17,65
HCPCS,C1713,SCREW BONE 4MM 8MM 66MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 68MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 72MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 74MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 76MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM 8MM 78MM 3.5MM FULL THREAD SELF TAP CANNULATED LOCK SELF CUT TROCAR TIP TITANIUM NONSTERILE BLUE EXPERT,154.7,77.35,29.63,139.23,65
HCPCS,C1713,SCREW BONE 4MM SELF DRILL LOW PROFILE TITANIUM,171.25,85.63,32.79,154.13,65
HCPCS,C1713,SCREW BONE 5.0MM X 26MM LOCKING CORTICAL PELVIC RECONSTRUCTION,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW BONE 5.5MM 25MM ENDOSKELETON TAS NONSTERILE SPINE INTERBODY FUSION,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE 5.5MM 30MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 30MM QUARTEX POLYAXIAL NONSTERILE SPINE LATEX FREE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 5.5MM 35MM INFINITY MULTIAXIAL TRANSITION STERILE SPINE LATEX FREE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 5.5MM 35MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 35MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 5.5MM 40MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 40MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 5.5MM 42MM 16MM CANNULATED STAINLESS STEEL STERILE ORTHOPEDIC,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 5.5MM 42MM 17MM COMPRESSION CANNULATED TITANIUM NONSTERILE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW BONE 5.5MM 45MM EUROPA T25 POLYAXIAL SELF TAP HEXALOBE TITANIUM ALUMINUM VANADIUM SPINE PEDICLE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 45MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 45MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 5.5MM 45MM POLYAXIAL LOCK GRIPTION TF STERILE HIP ACETABULAR,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW BONE 5.5MM 50MM CANNULATED FULL THREAD STAINLESS STEEL STERILE ORTHOPEDIC,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 5.5MM 50MM CD HORIZON LEGACY UNIAXIAL SAGITTAL ADJUST STAINLESS STEEL SPINE 5.5MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 50MM EUROPA T25 POLYAXIAL SELF TAP HEXALOBE TITANIUM ALUMINUM VANADIUM SPINE PEDICLE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 50MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 50MM TSRH-3D MPA MINI POLYAXIAL SHORT POST TITANIUM SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 50MM XIA UNIPLANAR STAINLESS STEEL SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 54MM 32MM CANNULATED STAINLESS STEEL STERILE ORTHOPEDIC,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 5.5MM 55MM TITANIUM ACUTRAK 2 NON-STERILE HAND WRIST ANKLE FOOT,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE 5.5MM 60MM SOLERA CD HORIZON MULTIAXIAL COCR NONSTERILE SPINE 5.5MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.5MM 70MM 32MM CANNULATED STAINLESS STEEL STERILE ORTHOPEDIC,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE 5.5MM 75MM 19MM COMPRESSION CANNULATED TITANIUM NONSTERILE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW BONE 5.6/6MM 260MM STAINLESS STEEL PLASMA SPRAYED HYDROXYAPATITE CORTICAL CANCELLOUS 40MML THREADED SELF-DRILLING BLUNT TIP XCALIBER OSTEOTITE STERILE METADIAPHYSEAL,135.0,67.5,25.85,121.5,65
HCPCS,C1713,SCREW BONE 5.75MM 40MM RADIUS MULTIANGLE RAPID TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5.7MM 55MM CANNULATED LOCK,158.0,79.0,30.26,142.2,65
HCPCS,C1713,SCREW BONE 5.7MM 60MM CANNULATED LOCK,158.0,79.0,30.26,142.2,65
HCPCS,C1713,SCREW BONE 5.7MM 70MM CANNULATED LOCK,158.0,79.0,30.26,142.2,65
HCPCS,C1713,SCREW BONE 5.7MM 75MM CANNULATED LOCKING PELVIS TIBIA FEMUR,158.0,79.0,30.26,142.2,65
HCPCS,C1713,SCREW BONE 5.7MM 80MM CANNULATED LOCKING PELVIS TIBIA FEMUR,158.0,79.0,30.26,142.2,65
HCPCS,C1713,SCREW BONE 5301-3513 TCS 3.5MM STD 13MM,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE 5MM 100MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 110MM HEX DRIVE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 12MM AXSOS 3 LOCK TITANIUM NONSTERILE PERIPROSTHETIC,154.02,77.01,29.49,138.62,65
HCPCS,C1713,SCREW BONE 5MM 12MM PERI-LOC VLP FULL THREAD OSTEOPENIA,38.07,19.04,7.29,34.26,65
HCPCS,C1713,SCREW BONE 5MM 14MM AXSOS T20 SELF TAP LOCK STAINLESS STEEL NONSTERILE FEMUR HUMERUS TIBIA SMALL FRAGMENT SET,108.46,54.23,20.77,97.61,65
HCPCS,C1713,SCREW BONE 5MM 14MM LOCK CORTICAL OSTEOPENIA,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW BONE 5MM 14MM LOCK TITANIUM NONSTERILE AXSOS 3 PERIPROSTHETIC,154.02,77.01,29.49,138.62,65
HCPCS,C1713,SCREW BONE 5MM 14MM PERI-LOC VLP FULL THREAD OSTEOPENIA,74.84,37.42,14.33,67.36,65
HCPCS,C1713,SCREW BONE 5MM 16MM AXSOS T20 SELF TAP LOCK STAINLESS STEEL NONSTERILE FEMUR HUMERUS TIBIA SMALL FRAGMENT SET,108.46,54.23,20.77,97.61,65
HCPCS,C1713,SCREW BONE 5MM 16MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,154.02,77.01,29.49,138.62,65
HCPCS,C1713,SCREW BONE 5MM 18MM AXSOS T20 SELF TAP LOCK STAINLESS STEEL NONSTERILE FEMUR HUMERUS TIBIA SMALL FRAGMENT SET,108.46,54.23,20.77,97.61,65
HCPCS,C1713,SCREW BONE 5MM 18MM LOCK,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 18MM LOCK CORTICAL OSTEOPENIA,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW BONE 5MM 18MM SELF TAP LOCK TITANIUM NONSTERILE CORTEX AXSOS 3,154.02,77.01,29.49,138.62,65
HCPCS,C1713,SCREW BONE 5MM 20MM CANNULATED NONSTERILE SPINE FACET,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW BONE 5MM 20MM CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 20MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 20MM HEX DRIVE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 20MM LOCK TITANIUM NONSTERILE AXSOS 3 PERIPROSTHETIC,154.02,77.01,29.49,138.62,65
HCPCS,C1713,SCREW BONE 5MM 22.5MM HEX DRIVE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 22MM PANTA 2 FULL THREAD NONSTERILE LATEX FREE ARTHRODESIS NAIL SYSTEM,492.91,246.46,94.39,443.62,65
HCPCS,C1713,SCREW BONE 5MM 22MM TI-6AL-4V CORTICAL FLATTENED HEAD,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW BONE 5MM 24MM AXSOS LOCK,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 24MM PERI-LOC VLP FULL THREAD OSTEOPENIA,74.84,37.42,14.33,67.36,65
HCPCS,C1713,SCREW BONE 5MM 25MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 25MM HEAD CORTICAL DYNANAIL TIBIOTALOCALCANEAL FUSION SYSTEM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 25MM INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR GOLD TRIGEN INTRAMEDULLARY NAIL SYSTEM,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 5MM 25MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 25MM REFLECTION PERIPHERAL HOLE ACETABULAR,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW BONE 5MM 25MM T2 FULL THREAD LOCK TITANIUM STERILE INTRAMEDULLARY NAIL,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 26MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 26MM PERI-LOC VLP FULL THREAD OSTEOPENIA,74.84,37.42,14.33,67.36,65
HCPCS,C1713,SCREW BONE 5MM 26MM TRIGEN SELF TAP TITANIUM HUMERUS CANCELLOUS INTRAMEDULLARY NAIL SYSTEM,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 27.5MM DYNANAIL HEAD STERILE CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 27.5MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 27.5MM TRIGEN INTERNAL CAPTURE TIBIAL,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 28MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 28MM MINI T10 REVERSE CUT FLUTE HEXALOBE DRIVER HEADLESS NONSTERILE METATARSAL DISTAL,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW BONE 5MM 28MM PANTA 2 FULL THREAD NONSTERILE LATEX FREE ARTHRODESIS NAIL SYSTEM,492.91,246.46,94.39,443.62,65
HCPCS,C1713,SCREW BONE 5MM 3.2MM 100MM T25 PARTIAL THREAD SELF TAP BLUNT TIP STARDRIVE TITANIUM NIOBIUM ALUMINUM STERILE FEMORAL PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW BONE 5MM 3.2MM 125MM T25 PARTIAL THREAD SELF TAP BLUNT TIP STARDRIVE TITANIUM NIOBIUM ALUMINUM STERILE FEMORAL PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW BONE 5MM 30MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 30MM CD HORIZON SOLERA MULTIAXIAL TITANIUM COCR NONSTERILE SPINE 5.5/6MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5MM 30MM DYNANAIL HEADED SECURE FIXATION HINDFOOT CORTICAL TIBIOTALOCALCANEAL ARTHRODESIS,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 30MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 30MM INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR GOLD TRIGEN INTRAMEDULLARY NAIL SYSTEM,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 5MM 30MM LOCK STERILE,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE 5MM 30MM PANTA 2 FULL THREAD NONSTERILE LATEX FREE ARTHRODESIS NAIL SYSTEM,492.91,246.46,94.39,443.62,65
HCPCS,C1713,SCREW BONE 5MM 30MM QUARTEX POLYAXIAL NONSTERILE SPINE LATEX FREE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE 5MM 30MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 30MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 30MM TRIGEN INTERNAL CAPTURE TIBIAL,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 32.5MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 32.5MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 32.5MM T2 ALPHA LOCK STERILE LATEX FREE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 32.5MM T2 FULL THREAD LOCK TITANIUM STERILE FOOT ANKLE,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 32MM OSTEOBRIDGE INTERLOCK TITANIUM NONSTERILE KNEE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW BONE 5MM 32MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 32MM X25 LOCK STERILE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 34MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 34MM MERETE OSTEOBRIDGE INTERLOCK TITANIUM ALUMINUM VANADIUM STERILE,248.85,124.43,47.65,223.97,65
HCPCS,C1713,SCREW BONE 5MM 34MM PANTA 2 FULL THREAD NONSTERILE LATEX FREE ARTHRODESIS NAIL SYSTEM,492.91,246.46,94.39,443.62,65
HCPCS,C1713,SCREW BONE 5MM 34MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 34MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 35MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 35MM DYNANAIL HEAD CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 35MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 35MM PRECICE LOCK NONSTERILE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 35MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 35MM T2 FULL THREAD LOCK TITANIUM STERILE LATEX FREE INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 35MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR GOLD INTRAMEDULLARY NAIL,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 5MM 35MM TRIGEN INTERNAL CAPTURE TIBIAL,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 36MM CAPTURE CORTICAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW BONE 5MM 36MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 36MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 37.5MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 37.5MM LOW PROFILE INTERNAL HEX FEMUR,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 37.5MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 37.5MM PRECICE FULL THREAD STERILE LATEX FREE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 37.5MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 37.5MM T2 FULL THREAD LOCK TITANIUM STERILE FOOT ANKLE,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 38MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 38MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 38MM OSTEOBRIDGE INTERLOCK TITANIUM ALUMINUM VANADIUM STERILE,248.85,124.43,47.65,223.97,65
HCPCS,C1713,SCREW BONE 5MM 38MM PERI-LOC VLP PARTIAL THREAD OSTEOPENIA,38.07,19.04,7.29,34.26,65
HCPCS,C1713,SCREW BONE 5MM 38MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 38MM VLP SELF TAPPING LOCKING CORTICAL FOREFOOT MIDFOOT,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 5MM 4.3MM 34MM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP TITANIUM NONSTERILE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW BONE 5MM 4.3MM 36MM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP TITANIUM STERILE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 5MM 4.3MM 42MM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP TITANIUM STERILE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 5MM 4.3MM 64MM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP TITANIUM STERILE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW BONE 5MM 4.4MM 30MM T25 FULL THREAD SELF TAP LOCK STARDRIVE CONICAL TITANIUM STERILE LARGE FRAGMENT SET,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW BONE 5MM 40MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 40MM AXSOS T20 SELF TAP LOCK STAINLESS STEEL NONSTERILE FEMUR HUMERUS TIBIA,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW BONE 5MM 40MM CAPTURE INTERNAL HEX,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 5MM 40MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 40MM FIXOS COMPRESSION HEADLESS NONSTERILE LATEX FREE,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 40MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 40MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 40MM HEAD CORTICAL DYNANAIL TIBIOTALOCALCANEAL FUSION SYSTEM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 40MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 40MM PRECICE LOCK NONSTERILE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 40MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 40MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 40MM T2 PARTIAL THREAD LOCK TITANIUM STERILE INTRAMEDULLARY NAIL,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 40MM TRIGEN INTERNAL CAPTURE TIBIAL,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 40MM VLP FULL THREAD LOW PROFILE HEX DRIVE RECESS STERILE FOOT OSTEOPENIA,74.84,37.42,14.33,67.36,65
HCPCS,C1713,SCREW BONE 5MM 42.5MM CAPTURE LOCK INTERNAL HEX,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 42.5MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 42.5MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 42MM PERI-LOC VLP 15D 2.5MM PARTIAL THREAD HEXAGON STAINLESS STEEL STERILE FIBULA TIBIA DISTAL PROXIMAL OSTEOPENIA,38.07,19.04,7.29,34.26,65
HCPCS,C1713,SCREW BONE 5MM 42MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 42MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 42MM T20 SELF TAP LOCK STAINLESS STEEL NONSTERILE AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW BONE 5MM 44MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 45MM CAPTURE LOCK INTERNAL HEX,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 45MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 45MM DYNANAIL HEAD CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 45MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 45MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 45MM LOCK STERILE,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE 5MM 45MM PARTIAL THREAD LOCK SHAFT TITANIUM STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 45MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 45MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 45MM TRIGEN HEXAGON INTERNAL CAPTURE TITANIUM FEMUR GOLD INTRAMEDULLARY NAIL SYSTEM,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 5MM 46MM FIXOS COMPRESSION HEADLESS NONSTERILE LATEX FREE,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 46MM PERI-LOC VLP PARTIAL THREAD OSTEOPENIA,38.07,19.04,7.29,34.26,65
HCPCS,C1713,SCREW BONE 5MM 46MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 46MM X25 LOCK STERILE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 47.5MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 47.5MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 47.5MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 48MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 48MM TRIGEN SELF TAP TITANIUM HUMERUS CANCELLOUS INTRAMEDULLARY NAIL SYSTEM,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 5.4MM 32MMX3.3MM VLP 15D 2.5MM LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE STERILE MIDFOOT HINDFOOT OSTEOPENIA,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW BONE 5MM 5.4MM 48MMX3.3MM VLP 15D 2.5MM LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE STERILE MIDFOOT HINDFOOT OSTEOPENIA,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW BONE 5MM 50MM ASNIS III FULL THREAD CANNULATED TITANIUM STERILE,189.05,94.53,36.2,170.15,65
HCPCS,C1713,SCREW BONE 5MM 50MM ASNIS III PARTIAL THREAD CANNULATED SELF TAP SELF DRILL TITANIUM STERILE FOOT,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW BONE 5MM 50MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 50MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 50MM DYNANAIL HEAD CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 50MM EXPEDIUM POLYAXIAL EXTEND TAB TITANIUM NONSTERILE SPINE 6.35MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 5MM 50MM FIXOS COMPRESSION HEADLESS NONSTERILE LATEX FREE,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 50MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 50MM FULLY THREADED PRECICE STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 50MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 50MM PRECICE LOCK NONSTERILE GREEN INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 50MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 50MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 50MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR GOLD INTRAMEDULLARY NAIL,138.08,69.04,26.44,124.27,65
HCPCS,C1713,SCREW BONE 5MM 50MM TRIGEN META-NAIL INTERNAL CAPTURE GOLD,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 52.5MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 52.5MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 52.5MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 52MM LOCK STERILE LATEX FREE DISPOSABLE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 52MM SELF TAP TITANIUM CANCELLOUS,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE 5MM 54MM LOCK STERILE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 54MM METAL POLYMER CORTICAL REVERSED PERIPHERAL AEQUALIS PERFORM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE 5MM 55MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 55MM DYNANAIL HEAD CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW BONE 5MM 55MM FIXOS COMPRESSION HEADLESS NONSTERILE LATEX FREE,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 55MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 55MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM - 1895-5055S,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 55MM LOW PROFILE INTERNAL HEX,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 55MM PARTIAL THREAD LOCK SHAFT TITANIUM STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 55MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 55MM PRECICE LOCK NONSTERILE GREEN INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 55MM SELF TAP LOCK TITANIUM NONSTERILE,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 55MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 57.5MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 57MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 60MM ASNIS CANNULATED NONSTERILE JONES FRACTURE FIXATION SYSTEM,1004.95,502.48,192.45,904.46,65
HCPCS,C1713,SCREW BONE 5MM 60MM AXSOS LOCK NONSTERILE LATEX FREE,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 60MM CARBOFIX SELF TAP TITANIUM NONSTERILE CORTEX PURPLE PICCOLO COMPOSITE NAIL SYSTEM,173.88,86.94,33.3,156.49,65
HCPCS,C1713,SCREW BONE 5MM 60MM DYNANAIL POLYAXIAL HEADLESS STERILE LATEX FREE,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 60MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 60MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 60MM INTERNAL HEX LOW PROFILE,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 60MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 60MM SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK STAINLESS STEEL,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW BONE 5MM 60MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 62.5MM TRIGEN LOW PROFILE FEMUR,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 64MM X25 LOCK STERILE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 65MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 65MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 65MM FULL THREAD TITANIUM STERILE CONDYLE T2 INTRAMEDULLARY NAIL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 65MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 65MM PANTA PARTIAL THREAD PARTIAL THREAD LOWER EXTREMITY,302.96,151.48,58.02,272.66,65
HCPCS,C1713,SCREW BONE 5MM 65MM POLYAXIAL HEADLESS DYNANAIL TIBIOTALOCALCANEAL FUSION SYSTEM,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 65MM PRECICE LOCK NONSTERILE GREEN INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 65MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 66MM X25 LOCK STERILE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 67MM LOW PROFILE INTERNAL HEX FEMUR TRIGEN INTRAMEDULLARY NAIL SYSTEM,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 6MM 30MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP HEXAGONAL DRIVE TITANIUM NONSTERILE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW BONE 5MM 6MM 38MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP HEXAGONAL DRIVE TITANIUM NONSTERILE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW BONE 5MM 6MM 46MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP HEXAGONAL TITANIUM NONSTERILE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW BONE 5MM 6MM 48MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP HEXAGONAL DRIVE TITANIUM NONSTERILE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW BONE 5MM 6MM 55MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF DRILL SELF TAP HEXAGONAL TITANIUM NONSTERILE,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW BONE 5MM 70MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 70MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 70MM FULL THREAD TITANIUM STERILE CONDYLE T2 INTRAMEDULLARY NAIL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 70MM LOCK STERILE,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE 5MM 70MM LOW PROFILE INTERNAL HEX,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 70MM POLYAXIAL HEADLESS DYNANAIL TIBIOTALOCALCANEAL FUSION SYSTEM,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 70MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 70MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 75MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 75MM DYNANAIL POLYAXIAL HEADLESS,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 75MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 75MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 75MM FULL THREAD TITANIUM STERILE CONDYLE T2 INTRAMEDULLARY NAIL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 75MM LOW PROFILE INTERNAL HEX,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5MM 75MM PANTA 2 PARTIAL THREAD CORTICAL,1057.32,528.66,202.48,951.59,65
HCPCS,C1713,SCREW BONE 5MM 75MM PERI-LOC VLP FULL THREAD STAINLESS STEEL STERILE FOOT PERIARTICULAR OSTEOPENIA,43.35,21.68,8.3,39.02,65
HCPCS,C1713,SCREW BONE 5MM 75MM PRECICE FULL THREAD LOCK NONSTERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 75MM PRECICE LOCK NONSTERILE GREEN INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW BONE 5MM 77.5MM HEX DRIVE TRIGEN,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 5MM 78MM X25 LOCK STERILE INTRAMEDULLARY NAIL,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE 5MM 80MM AXSOS 3 SELF TAP LOCK TITANIUM NONSTERILE CORTEX,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 80MM DYNANAIL POLYAXIAL HEADLESS,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 80MM FIXOS COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE 5MM 80MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 80MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 80MM T2 PARTIAL THREAD LOCK TITANIUM STERILE CONDYLE FEMUR INTRAMEDULLARY NAIL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 80MM X25 LOCK INTRAMEDULLARY NAIL,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW BONE 5MM 85MM DYNANAIL POLYAXIAL HEADLESS,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 85MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 85MM FULL THREAD TITANIUM STERILE CONDYLE T2 INTRAMEDULLARY NAIL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 85MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 85MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 90MM DYNANAIL POLYAXIAL HEADLESS,316.0,158.0,60.51,284.4,65
HCPCS,C1713,SCREW BONE 5MM 90MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM 90MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM - 1895-5090S,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 90MM LOCK STERILE,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE 5MM 90MM SELF TAP LOCK TITANIUM NONSTERILE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW BONE 5MM 90MM T2 ALPHA LOCK STERILE,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE 5MM 90MM X25 LOCK LOW PROFILE STERILE INTRAMEDULLARY NAIL,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW BONE 5MM 95MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 5MM 95MM FULL THREAD LOCK TITANIUM STERILE T2 INTRAMEDULLARY NAIL SYSTEM - 1896-5095S,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW BONE 5MM DIA 105MML INTERNAL HEXDRIVE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW BONE 5X40MM TITANIUM CONDYLE,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 6.4MM 100MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 105MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 110MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 115MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 120MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 65MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 70MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 75MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 80MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 85MM TRIGEN INTERNAL CAPTURE HEXAGONAL TITANIUM FEMUR BLUE INTRAMEDULLARY NAIL,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 90MM INTERNAL CAPTURE RECONSTRUCTION HEXAGONAL TITANIUM TROCHANTERIC BLUE TRIGEN INTRAMEDULLARY NAIL SYSTEM,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.4MM 95MM INTERNAL CAPTURE RECONSTRUCTION HEXAGONAL TITANIUM TROCHANTERIC BLUE TRIGEN INTRAMEDULLARY NAIL SYSTEM,359.74,179.87,68.89,323.77,65
HCPCS,C1713,SCREW BONE 6.5MM 100MM 20MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD STAINLESS STEEL NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE 6.5MM 100MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 105MM 22MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 105MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 110MM 22MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 110MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM STERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW BONE 6.5MM 115MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 120MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM STERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW BONE 6.5MM 125MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM NONSTERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW BONE 6.5MM 130MM ASNIS III FULLY THREADED STAINLESS STEEL STERILE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE 6.5MM 130MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM STERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW BONE 6.5MM 15MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 20MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 25MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 30MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 30MM REFLECTION FULL THREAD SELF TAP HIP ACETABULAR CANCELLOUS,96.9,48.45,18.56,87.21,65
HCPCS,C1713,SCREW BONE 6.5MM 30MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 35MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 35MM PITCH CANNULATED 3MM SPINAL SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 35MM STREAMLINE CANNULATED SPINE PEDICLE MIS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW BONE 6.5MM 35MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 4.5MM 80MM 20MM PARTIAL THREAD CANNULATED STAINLESS STEEL STERILE HIP,188.95,94.48,36.18,170.06,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM EVEREST POLYAXIAL NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM MARINER CANNULATED NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM STREAMLINE POLYAXIAL CANNULATED NONSTERILE SPINE PEDICLE LATEX FREE MIS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM TITANIUM CHAMFERED ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM TRIO STANDARD POST TITANIUM SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 40MM XIA POLYAXIAL STAINLESS STEEL NONSTERILE SPINE SCOLIOSIS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM ASNIS CANNULATED NONSTERILE LATEX FREE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM CANCELLOUS DOME MPACT,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM MALIBU LONG POLYAXIAL SELF TAP EXTEND TRAVEL NONSTERILE SPINE DEFORMITY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM MARINER CANNULATED NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM STREAMLINE POLYAXIAL CANNULATED NONSTERILE SPINE LATEX FREE MIS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM STREAMLINE POLYAXIAL NONSTERILE SPINE PEDICLE LATEX FREE THORACOLUMBAR FIXATION SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 45MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM 16MM DARCO HEAD FOOT ANKLE,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM ASNIS III TITANIUM NONSTERILE LATEX FREE,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM EUROPA T25 POLYAXIAL SELF TAP HEXALOBE TITANIUM ALUMINUM VANADIUM SPINE PEDICLE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM MARINER CANNULATED NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 50MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM 16MM DARCO HEAD FOOT ANKLE,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM 20MM ASNIS III SELF DRILL SELF TAP CANNULATED TITANIUM NONSTERILE LONG BONE SMALL BONE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM 22MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM MALIBU POLYAXIAL TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM STAINLESS STEEL CANCELLOUS HEXAGONAL DRIVE 32MML PARTIALLY THREADED CUTTING 3-FLUTE F/BASIC FRAGMENT SET MATTA OMEGA3 SPS NON-STERILE PELVIC,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM STREAMLINE POLYAXIAL NONSTERILE SPINE PEDICLE LATEX FREE THORACOLUMBAR FIXATION SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 55MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 60MM 22MM CANNULATED STAINLESS STEEL STERILE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 60MM STREAMLINE SPINE PEDICLE THORACOLUMBAR FIXATION SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.5MM 60MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM NONSTERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW BONE 6.5MM 60MM TORX ACETABULAR CANCELLOUS TRITANIUM MULTIHOLE SHELL,94.8,47.4,18.15,85.32,65
HCPCS,C1713,SCREW BONE 6.5MM 65MM 16MM DARCO HEAD FOOT ANKLE,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW BONE 6.5MM 65MM 22MM CANNULATED STAINLESS STEEL STERILE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 65MM STAINLESS STEEL CANCELLOUS 3.5MM HEXAGONAL DRIVE FULLY THREADED SELF-TAPPING CUTTING FLUTEX3 MATTA OMEGA3 SPS HIP PELVIC,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW BONE 6.5MM 65MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM STERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW BONE 6.5MM 70MM 16MM DARCO HEAD FOOT ANKLE,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW BONE 6.5MM 70MM 22MM CANNULATED STAINLESS STEEL STERILE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 70MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM STERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW BONE 6.5MM 75MM 20MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD STAINLESS STEEL NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE 6.5MM 75MM 22MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 75MM T25 SELF TAP BLUNT TIP STARDRIVE TITANIUM STERILE FEMORAL LATERAL GOLD RECONSTRUCTION NAIL EXPERT SYSTEM,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW BONE 6.5MM 75MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 80MM 20MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD STAINLESS STEEL NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE 6.5MM 80MM 22MM PARTIAL THREAD CANNULATED STAINLESS STEEL STERILE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 80MM PERI-LOC FULL THREAD LOCK CANNULATED STAINLESS STEEL FEMUR PROXIMAL,175.45,87.73,33.6,157.91,65
HCPCS,C1713,SCREW BONE 6.5MM 80MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 85MM 16MM DARCO HEAD FOOT ANKLE,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW BONE 6.5MM 85MM 22MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 85MM 46MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 85MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD TITANIUM STERILE,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW BONE 6.5MM 85MM STAINLESS STEEL CANCELLOUS 3.5MM HEXAGONAL DRIVE 16MML PARTIALLY THREADED CUTTING FLUTEX3 F/BASIC FRAGMENT SET MATTA OMEGA3 SPS PELVIC,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW BONE 6.5MM 85MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 8MM 60MM 16MM 3.5MM LARGE HEXAGONAL SOCKET TITANIUM NONSTERILE CANCELLOUS LARGE FRAGMENT SET,25.96,12.98,4.97,23.36,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM 16MM DARCO HEAD FOOT ANKLE,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM 22MM CANNULATED STAINLESS STEEL STERILE ORTHOPEDIC,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM 46MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM ASNIS CANNULATED NONSTERILE LATEX FREE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM ASNIS CANNULATED STERILE LATEX FREE,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM CANNULATED LOCK STAINLESS STEEL,162.45,81.23,31.11,146.21,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM FULL THREAD CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 90MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM 95MM 22MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE 6.5MM 95MM ASNIS III PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD TITANIUM NONSTERILE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW BONE 6.5MM 95MM TITANIUM ALLOY XL40 RECESS SELF-TAPPING THREADED RECONSTRUCTION YELLOW F/INTRAMEDULLARY NAIL FRN-ADVANCED NON-STERILE HIP,255.0,127.5,48.83,229.5,65
HCPCS,C1713,SCREW BONE 6.5MM X 105MM TITANIUM CANNULATED LONG THREAD COMPRESSION HEADLESS,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW BONE 6.75MM 35MM RADIUS STANDARD TITANIUM NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.75MM 40MM RADIUS MULTIANGLE RAPID TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6.75MM 40MM RADIUS STANDARD TITANIUM NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 6.7MM 34MM TITANIUM ALLOY FULLY THREADED HIGH TORQUE EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE 6.7MM 55MM TITANIUM ALLOY FULLY THREADED HIGH TORQUE EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE 6.7MM 60MM TITANIUM ALLOY FULLY THREADED HIGH TORQUE EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE 6.7MM 65MM TITANIUM ALLOY FULLY THREADED HIGH TORQUE EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE 6.7MM 70MM TITANIUM ALLOY FULLY THREADED HIGH TORQUE EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE 6.7MM 75MM TITANIUM ALLOY FULLY THREADED HIGH TORQUE EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE 6MM 25MM INSET REVERSE COMPRESSION NONSTERILE SHOULDER LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW BONE 6MM 25MM VU APOD PRIME LOCK NONSTERILE SPINE - 33-14-6025,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW BONE 6MM 30MM WASHERLOC TITANIUM STERILE ACL/PCL CANCELLOUS ARTHROSCOPIC,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 32MM WASHERLOC TITANIUM STERILE ACL/PCL CANCELLOUS ARTHROSCOPIC,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 34MM TITANIUM CANCELLOUS FULLY THREADED F/ACL GRAFT FIXATION WASHERLOC STERILE TIBIAL,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 36MM WASHERLOC TITANIUM STERILE ACL/PCL CANCELLOUS ARTHROSCOPIC,116.45,58.23,22.3,104.81,65
HCPCS,C1713,SCREW BONE 6MM 4.8MM 80MM T25 FULL THREAD SELF TAP LOCK STARDRIVE BLUNT TIP TITANIUM NONSTERILE AQUA EXPERT CANNULATED NAIL SYSTEM,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW BONE 6MM 40MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 6MM 40MM CENTRAL F/SHOULDER SYSTEM INHANCE,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW BONE 6MM 40MM NONSTERILE CANCELLOUS,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW BONE 6MM 40MM VIPER PRIME POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB NONSTERILE SPINE CORTEX 5.5MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW BONE 6MM 46MM WASHERLOC COMPRESSION TITANIUM STERILE CANCELLOUS,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 48MM WASHERLOC COMPRESSION TITANIUM STERILE CANCELLOUS,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 50MM WASHERLOC COMPRESSION TITANIUM STERILE CANCELLOUS,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 52MM WASHERLOC TITANIUM STERILE ACL/PCL CANCELLOUS ARTHROSCOPIC,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 54MM WASHERLOC COMPRESSION TITANIUM STERILE CANCELLOUS,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 56MM WASHERLOC TITANIUM STERILE ACL/PCL CANCELLOUS ARTHROSCOPIC,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 58MM CANCELLOUS,188.5,94.25,36.1,169.65,65
HCPCS,C1713,SCREW BONE 6MM 65MM FULL THREAD TITANIUM NONSTERILE CANCELLOUS AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW BONE 6MM 70MM FULL THREAD TITANIUM NONSTERILE CANCELLOUS AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW BONE 6MM 75MM FULL THREAD TITANIUM NONSTERILE CANCELLOUS AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW BONE 6MM 80MM FULL THREAD TITANIUM NONSTERILE CANCELLOUS AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW BONE 6MM 85MM PRECICE PARTIAL THREAD HEADLESS STERILE LATEX FREE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BONE 6MM 8MM 60MM ROUND BARREL CANNULATED RETROGRADE TITANIUM NONSTERILE FEMUR DISTAL AQUA,164.68,82.34,31.54,148.21,65
HCPCS,C1713,SCREW BONE 6MM 90MM TITANIUM CANCELLOUS 32MM THREADED F/SMALL AND BASIC FRAGMENT PLATING SYSTEM AXSOS NON-STERILE PERIARTICULAR,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW BONE 7 MM 40MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7 MM 90MM 32MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7.3MM 8.2MM 2.9MM 140MM FULL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET STAINLESS STEEL STERILE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW BONE 7.3MM 8.2MM 2.9MM 160MM FULL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET STAINLESS STEEL STERILE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW BONE 7.5MM 30MM TRIO STANDARD POST TITANIUM SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 35MM CAPSURE PS3 POLYAXIAL 2 LEAD THREAD TITANIUM NONSTERILE SPINE,680.0,340.0,130.22,612.0,65
HCPCS,C1713,SCREW BONE 7.5MM 35MM MANTIS POLYAXIAL CANNULATED NONSTERILE SPINE PEDICLE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW BONE 7.5MM 35MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 40MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 40MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 40MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 7.5MM 40MM TSRH-3D MPA MINI POLYAXIAL SHORT POST TITANIUM SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 45MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 45MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 45MM MARINER CANNULATED NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 45MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 45MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM CAPSURE PS3 POLYAXIAL 2 LEAD THREAD TITANIUM NONSTERILE SPINE,680.0,340.0,130.22,612.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM MARINER CANNULATED NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM STREAMLINE SPINE PEDICLE THORACOLUMBAR FIXATION SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 50MM TRIO STANDARD POST TITANIUM SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 55MM 16MM COMPRESSION CANNULATED TITANIUM NONSTERILE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW BONE 7.5MM 55MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 55MM MALIBU POLYAXIAL REDUCTION TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7.5MM 55MM MARINER NONSTERILE SPINE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW BONE 7.5MM 55MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 7.5MM 60MM 16MM DARCO HEAD FOOT ANKLE,266.66,133.33,51.07,239.99,65
HCPCS,C1713,SCREW BONE 7.5MM 60MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 7.5MM 95MM 16MM COMPRESSION CANNULATED TITANIUM NONSTERILE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW BONE 70MM CHS INTERMEDIATE LAG STAINLESS STEEL PEDIATRIC HIP,372.01,186.01,71.24,334.81,65
HCPCS,C1713,SCREW BONE 7MM 100MM 16MM CANNULATED STAINLESS STEEL,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 100MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 105MM 16MM CANNULATED STAINLESS STEEL ANKLE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 105MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 110MM 16MM CANNULATED STAINLESS STEEL STERILE ORTHOPEDIC,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 35MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 40MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7MM 40MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 45MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 45MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 50MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 50MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 7MM 50MM FIXOS COMPRESSION HEADLESS NONSTERILE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 55MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 55MM FIXOS COMPRESSION HEADLESS NONSTERILE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 55MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 60MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 60MM FIXOS COMPRESSION HEADLESS NONSTERILE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 60MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 65MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 65MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 65MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 70MM 16MM PARTIAL THREAD CANNULATED STAINLESS STEEL STERILE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 70MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 70MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 75MM 16MM CANNULATED STAINLESS STEEL STERILE CORTICAL,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 75MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 75MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 75MM FIXOS SHORT COMPRESSION HEADLESS NONSTERILE LATEX FREE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 80MM 16MM CANNULATED STAINLESS STEEL STERILE CORTICAL,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 80MM 32MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 80MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 80MM SHORT THREAD COMPRESSION HEADLESS,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 85MM 16MM CANNULATED STAINLESS STEEL STERILE CORTICAL,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 85MM 16MM DARCO HEADLESS TITANIUM NONSTERILE FOOT,474.62,237.31,90.89,427.16,65
HCPCS,C1713,SCREW BONE 7MM 85MM FIXOS COMPRESSION HEADLESS NONSTERILE LATEX FREE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 90MM 16MM CANNULATED STAINLESS STEEL,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 90MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 95MM 16MM CANNULATED STAINLESS STEEL STERILE CORTICAL,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE 7MM 95MM FIXOS LONG THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 7MM 95MM FIXOS SHORT THREAD COMPRESSION HEADLESS TITANIUM NONSTERILE MIDFOOT REARFOOT,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE 8.5MM 40MM CD HORIZON SOLERA MULTIAXIAL TITANIUM COCR NONSTERILE SPINE 5.5/6MM ROD,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 8.5MM 45MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 8.5MM 50MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 8.5MM 55MM ASTRA POLYAXIAL TITANIUM NONSTERILE SPINE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 8.5MM 55MM SNIPER CANNULATED NONSTERILE SPINE PEDICLE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW BONE 8.5MM 70MM MALIBU POLYAXIAL TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 8.5MM 80MM MALIBU POLYAXIAL TITANIUM NONSTERILE SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW BONE 8MM 100MM LARGE FULL THREAD LOW PROFILE CANNULATED SELF TAPPING SELF DRILLING REVERSE CUTTING FLUTE STAINLESS STEEL STERILE SMALL BONE LONG BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW BONE 8MM 14.5MM T2 COMPRESSION CANNULATED TITANIUM STERILE ANKLE ARTHRODESIS,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW BONE 8MM 140MM FULL THREAD CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW BONE 8MM 75MM FULL THREAD CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW BONE 8MM 85MM 22MM PARTIAL THREAD CANNULATED STAINLESS STEEL,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW BONE 8MM 90MM 24MM CANNULATED STAINLESS STEEL STERILE LONG BONE SMALL BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW BONE 9.5MM 50MM METAL POLYMER CORTICAL POST THREADED AEQUALIS PERFORM,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW BONE 9/16IN 9MM 90MM 21MM AMBI CLASSIC SUPER LAG,238.6,119.3,45.69,214.74,65
HCPCS,C1713,SCREW BONE ADV LOCK 5X42.5 MM,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE ADV LOCK 5X80MM,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE ANTHEM CANNULATED LOCKING COCR 4X38MM,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW BONE ANTHEM CANNULATED LOCKING COCR 4X40MM,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW BONE ASNIS III L70 MM L40 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 10.35MM 105MM TITANIUM FENESTRATED GOLD F/TROCHANTERIC FIXATION NAIL SYSTEM TFN-ADVANCED,531.48,265.74,101.78,478.33,65
HCPCS,C1713,SCREW BONE CANNULATED 2MM 36MM STAINLESS STEEL CORTICAL INFRAME STERILE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1713,SCREW BONE CANNULATED 3MM DIA MICRO 26MML TITANIUM 12MML THREADED SELF-CUTTING REVERSE CUTTING FLUTE VIOLET ASNIS STERILE HAND FOOT,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW BONE CANNULATED 4.5/7MM 58MM STAINLESS STEEL PEDIATRIC CANCELLOUS 3.5MM HEX DRIVE MEDIUM THREADED REVERSE CUTTING FLUTE NON-STERILE,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW BONE CANNULATED 4.5/7MM 65MM STAINLESS STEEL PEDIATRIC CANCELLOUS 3.5MM HEX DRIVE MEDIUM THREADED REVERSE CUTTING FLUTE NON-STERILE,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW BONE CANNULATED 4.5MM 16MM STAINLESS STEEL PEDIATRIC CORTICAL FULLY THREADED SELF-TAPPING PEDIPLATES NON-STERILE,171.81,85.91,32.9,154.63,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 12MM TITANIUM CANCELLOUS FULLY THREADED UNITE,23.5,11.75,4.5,21.15,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 14MM TITANIUM CANCELLOUS FULLY THREADED UNITE,23.5,11.75,4.5,21.15,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 20MM TITANIUM CANCELLOUS FULLY THREADED F/ANKLE FRACTURE PLATING UNITE,23.5,11.75,4.5,21.15,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 30MM STAINLESS STEEL HEXAGONAL DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III NON-STERILE ANKLE FOOT,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 44MM STAINLESS STEEL HEXAGONAL DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE ANKLE FOOT,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 55MM STAINLESS STEEL HEXAGONAL DRIVE SOCKET SPHERICAL HEAD FULLY THREADED SELF-TAPPING STANDARD REVERSE EXTRACTION FLUTE TROCAR TIP GUIDE PIN,131.0,65.5,25.09,117.9,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM 70MM TITANIUM HEXAGONAL RECESS DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE ANKLE FOOT,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM DIA 26MML TITANIUM PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE ANKLE FOOT,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM DIA 30MML STAINLESS STEEL HEXAGONAL DRIVE SOCKET SPHERICAL HEAD FULLY THREADED SELF-TAPPING STANDARD REVERSE EXTRACTION FLUTE TROCAR TIP GUIDE PIN STERILE,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM DIA 60MML STAINLESS STEEL HEXAGONAL DRIVE SOCKET SPHERICAL HEAD FULLY THREADED SELF-TAPPING STANDARD REVERSE EXTRACTION FLUTE TROCAR TIP GUIDE PIN STERILE,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE CANNULATED 4MM DIA 65MML STAINLESS STEEL HEXAGONAL DRIVE SOCKET SPHERICAL HEAD FULLY THREADED SELF-TAPPING STANDARD REVERSE EXTRACTION FLUTE TROCAR TIP GUIDE PIN STERILE,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 40MM STAINLESS STEEL 16MM THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE STERILE,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 42MM STAINLESS STEEL FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 44MM STAINLESS STEEL 16MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 65MM STAINLESS STEEL 32MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE FORESIGHT,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 75MM STAINLESS STEEL 32MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE FORESIGHT,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 80MM STAINLESS STEEL 32MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE FORESIGHT,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 85MM STAINLESS STEEL 32MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE FORESIGHT,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM 90MM STAINLESS STEEL 32MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE FORESIGHT,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM DIA 75MML STAINLESS STEEL 16MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE STERILE,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5.5MM DIA 80MML STAINLESS STEEL 16MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE STERILE,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 36MM SELF-DRILLING/TAPPING HIGH TORQUE CAPTURE,655.0,327.5,125.43,589.5,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 38MM SELF-DRILLING/TAPPING HIGH TORQUE CAPTURE,655.0,327.5,125.43,589.5,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 42MM SELF-DRILLING/TAPPING HIGH TORQUE CAPTURE,655.0,327.5,125.43,589.5,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 42MM STAINLESS STEEL HEXAGONAL DRIVE 1/3 PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,150.25,75.13,28.77,135.23,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 44MM STAINLESS STEEL HEXAGONAL DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,150.25,75.13,28.77,135.23,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 46MM SELF-DRILLING/TAPPING HIGH TORQUE CAPTURE,655.0,327.5,125.43,589.5,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 50MM STAINLESS STEEL HEXAGONAL DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,150.25,75.13,28.77,135.23,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 55MM STAINLESS STEEL HEXAGONAL DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III INTRACAPSULAR FEMORAL NECK ANKLE FOOT,150.25,75.13,28.77,135.23,65
HCPCS,C1713,SCREW BONE CANNULATED 5MM 60MM STAINLESS STEEL HEXAGONAL DRIVE 1/3 PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,150.25,75.13,28.77,135.23,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 105MM STAINLESS STEEL HEXAGONAL DRIVE 40MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 110MM STAINLESS STEEL HEXAGONAL DRIVE 40MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 130MM STAINLESS STEEL HEXAGONAL DRIVE 40MM THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 40MM STAINLESS STEEL HEXAGONAL DRIVE 20MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 70MM STAINLESS STEEL HEXAGONAL DRIVE 20MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 90MM STAINLESS STEEL HEXAGONAL DRIVE 20MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 90MM STAINLESS STEEL HEXAGONAL DRIVE 40MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 95MM STAINLESS STEEL HEXAGONAL DRIVE 20MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6.5MM 95MM STAINLESS STEEL HEXAGONAL DRIVE 40MML THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW BONE CANNULATED 6MM/3.2MM/5MM 46MM STAINLESS STEEL HEXAGONAL DRIVE 15.5MM PARTIALLY THREADED SELF-DRILLING/TAPPING LOW-PROFILE REVERSE CUTTING FLUTE ASNIS III NON-STERILE ANKLE FOOT,150.25,75.13,28.77,135.23,65
HCPCS,C1713,SCREW BONE CANNULATED 7MM DIA LARGE 85MML STAINLESS STEEL HEX DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE F/SMALL BONE FIXATION STERILE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED 7MM DIA LARGE 95MML STAINLESS STEEL HEX DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE F/SMALL BONE FIXATION STERILE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 75MM TITANIUM HEXAGONAL RECESS DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE FEMORAL,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 80MM STAINLESS STEEL 25MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 80MM STAINLESS STEEL FULLY THREADED SELF-TAPPING/DRILLING REVERSE CUTTING FLUTE ASNIS III STERILE,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 80MM TITANIUM HEXAGONAL RECESS DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE FEMORAL,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 90MM STAINLESS STEEL 25MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III ANKLE FOOT,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 90MM TITANIUM HEXAGONAL RECESS DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE ASNIS III STERILE FEMORAL,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW BONE CANNULATED 8MM 95MM STAINLESS STEEL FULLY THREADED SELF-TAPPING/DRILLING REVERSE CUTTING FLUTE ASNIS III STERILE ANKLE FOOT,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION 1.7MM 11MM TITANIUM ALLOY HEXADRIVE 4 TAPERED CORE 5MM LONG THREADED SELF-DRILLING GOLD APTUS NON-STERILE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION 4MM 34MM METAL HEXDERIVE COUNTERSINK TAP OSSIOFIBER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 2-4MM TITANIUM ALLOY DART-FIRE EDGE STERILE ANKLE FOOT,639.0,319.5,122.37,575.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 2.5MM 38MM TITANIUM HEXAGONAL DRIVE PARTIALLY THREADED SELF-DRILLING/TAPPING SILVER DART-FIRE FOOT,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 2.5MM SMALL 30MM TITANIUM PEEK SELF-TAPPING/DRILLING 8MM THREADED CREED RADIOTRANSLUCENT STERILE,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 3MM 32MM CANCELLOUS LONG THREADED SELF-DRILLING NON-STERILE ULNAR,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 4.3MM SMALL 38MM TITANIUM PEEK SELF-TAPPING/DRILLING 10MM THREADED REVERSE CUTTING TIP GOLD GREEN CREED III RADIOTRANSLUCENT STERILE,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 4.3MM SMALL 40MM TITANIUM PEEK SELF-TAPPING/DRILLING 10MM THREADED REVERSE CUTTING TIP GOLD GREEN CREED III RADIOTRANSLUCENT STERILE,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 4.3MM SMALL 44MM TITANIUM PEEK SELF-TAPPING/DRILLING 10MM THREADED REVERSE CUTTING TIP GOLD GREEN CREED III RADIOTRANSLUCENT STERILE,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 4.3MM SMALL 50MM TITANIUM PEEK SELF-TAPPING/DRILLING 10MM THREADED REVERSE CUTTING TIP GOLD GREEN CREED III RADIOTRANSLUCENT STERILE,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 4.3MM SMALL 55MM TITANIUM PEEK SELF-TAPPING/DRILLING 10MM THREADED REVERSE CUTTING TIP GOLD GREEN CREED III RADIOTRANSLUCENT STERILE,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 4MM 70MM TITANIUM SELF-TAPPING FIXOS NON-STERILE MIDFOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.5MM 40MM TITANIUM HEX DRIVE HELICAL FULLY THREADED SELF-TAPPING/CUTTING RELIEF FLUTE F/OSTEOTOMY SYSTEM ACUTRAK 2 NON-STERILE HAND WRIST ANKLE FOOT,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.5MM 45MM TITANIUM HEX DRIVE FULLY THREADED SELF-TAPPING/CUTTING HELICAL RELIEF FLUTE F/OSTEOTOMY SYSTEM ACUTRAK 2 NON-STERILE HAND WRIST ANKLE FOOT,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.5MM 55MM TITANIUM HEX DRIVE FULLY THREADED SELF-TAPPING/CUTTING HELICAL RELIEF FLUTE F/OSTEOTOMY SYSTEM ACUTRAK 2 STERILE WRIST HAND ANKLE FOOT,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.6MM 50MM 32MM THREAD CREED,799.0,399.5,153.01,719.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.6MM 55MM 32MM THREAD CREED,799.0,399.5,153.01,719.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.6MM LARGE 50MM TITANIUM PEEK SELF-TAPPING/DRILLING 16MM THREADED REVERSE CUTTING TIP GOLD BLUE CREED III RADIOTRANSLUCENT STERILE,799.0,399.5,153.01,719.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.6MM LARGE 60MM TITANIUM PEEK SELF-TAPPING/DRILLING 32MM THREADED REVERSE CUTTING TIP GOLD BLUE CREED III RADIOTRANSLUCENT STERILE,799.0,399.5,153.01,719.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.6MM LARGE 65MM TITANIUM PEEK SELF-TAPPING/DRILLING 32MM THREADED REVERSE CUTTING TIP GOLD BLUE CREED III RADIOTRANSLUCENT STERILE,799.0,399.5,153.01,719.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 5.6MM LARGE 70MM TITANIUM PEEK SELF-TAPPING/DRILLING 32MM THREADED REVERSE CUTTING TIP GOLD BLUE CREED III RADIOTRANSLUCENT STERILE,799.0,399.5,153.01,719.1,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 7.5MM 80MM TITANIUM HEXALOBE FULLY THREADED MULTIAXIAL VARIABLE PITCH F/PLATING SYSTEM ACUTRAK 2 STERILE WRIST HAND ANKLE FOOT,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS 7.5MM 90MM TITANIUM 16MML THREADED SELF-DRILLING/TAPPING DARCO ANKLE,266.66,133.33,51.07,239.99,65
HCPCS,C1713,SCREW BONE CANNULATED COMPRESSION HEADLESS SMALL 3MM 18MM STAINLESS STEEL THREADED HEAD SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE DRILL TIP GUIDEWIRE COUNTERSINK,248.0,124.0,47.49,223.2,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2.5MM 20MM TITANIUM SHORT THREADED MINI-MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2.5MM 26MM TITANIUM FULLY THREADED MINI-MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2.5MM 36MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2MM 14MM TITANIUM SHORT THREADED MINI-MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2MM 15MM TITANIUM SHORT THREADED MINI-MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2MM 20MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2MM 22MM TITANIUM SHORT THREADED MINI-MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2MM 24MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 2MM 8MM TITANIUM SHORT THREADED MINI-MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 3.5MM 32MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4.5MM 36MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4.5MM 38MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4.5MM 48MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4.5MM 48MM TITANIUM FULLY THREADED MONSTER ANKLE FOOT,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4.5MM 70MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4MM 48MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4MM 50MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4MM 55MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 4MM 60MM TITANIUM COLOR-CODED UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 5.5MM 52MM TITANIUM FULLY THREADED MONSTER ANKLE FOOT,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 5.5MM 75MM TITANIUM FULLY THREADED MONSTER ANKLE FOOT,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 7MM 60MM TITANIUM FULLY THREADED COLOR-CODED UNITE,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 7MM 75MM TITANIUM FULLY THREADED COLOR-CODED UNITE,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 7MM 90MM 16MM TITANIUM COLOR-CODED UNITE,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW BONE CANNULATED HEADED 7MM 95MM TITANIUM SHORT THREADED MONSTER ANKLE FOOT,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW BONE CANNULATED HEADLESS 2.4MM 28MM T7 DRIVE NON-STERILE,407.0,203.5,77.94,366.3,65
HCPCS,C1713,SCREW BONE CANNULATED HEADLESS 2.5MM 26MM TITANIUM COLOR-CODED UNITE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADLESS 2.5MM 32MM TITANIUM COLOR-CODED UNITE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADLESS 2.5MM 34MM TITANIUM COLOR-CODED UNITE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,SCREW BONE CANNULATED HEADLESS 4.5MM 32MM TITANIUM COLOR-CODED UNITE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,SCREW BONE CANNULATED HEADLESS 4.5MM 34MM TITANIUM COLOR-CODED UNITE,325.0,162.5,62.24,292.5,65
HCPCS,C1713,SCREW BONE CANNULATED INTERLOCKING 3.5MM 16MM TITANIUM SELF-TAPPING NON-STERILE,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE CANNULATED INTERLOCKING 3.5MM 38MM TITANIUM SELF-TAPPING NON-STERILE,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE CANNULATED INTERLOCKING 3.5MM 42MM TITANIUM SELF-TAPPING NON-STERILE,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE CANNULATED INTERLOCKING FASTENER 3.5MM 18MM TITANIUM SELF-TAPPING NON-STERILE,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW BONE CANNULATED LAG 3MM 22MM TAPERED CARPALFIX,1345.0,672.5,257.57,1210.5,65
HCPCS,C1713,SCREW BONE CANNULATED LAG 6.5MM 40MM TIMAX CANCELLOUS 22MML THREADED SELF-DRILLING/TAPPING CUTTING FLUTEX4 F/TRAUMA EXTREMITY NON-STERILE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW BONE CANNULATED LARGE 7MM 100MM STAINLESS STEEL HEX DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED LARGE 7MM 105MM STAINLESS STEEL HEX DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED LARGE 7MM 110MM STAINLESS STEEL HEX DRIVE FULLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED LARGE 7MM 80MM STAINLESS STEEL HEX DRIVE 32MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED LARGE 7MM 85MM STAINLESS STEEL HEX DRIVE 32MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED LARGE 7MM 95MM STAINLESS STEEL HEX DRIVE 32MML PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 2.5MM 26MM COBALT CHROMIUM POLYAXIAL GEMINUS NON-STERILE HUMERAL,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 2.5MM 28MM COBALT CHROMIUM POLYAXIAL GEMINUS NON-STERILE HUMERAL,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 3.5MM 44MM COBALT CHROMIUM POLYAXIAL,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 3.5MM 70MM STAINLESS STEEL PEDIATRIC CORTICAL T15 HEXALOBE DRIVE BLUE F/BLADE PLATE SYSTEM PEDILOC NON-STERILE PROXIMAL FEMORAL,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 3MM 28MM COBALT CHROMIUM POLYAXIAL FULLY THREADED SILVER NON-STERILE PROXIMAL ULNA,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 4.5MM 60MM STAINLESS STEEL PEDIATRIC CORTICAL T20 HEXALOBE DRIVE SELF-TAPPING F/BLADE PLATE SYSTEM PEDILOC NON-STERILE PROXIMAL FEMORAL,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 5.7MM 65MM STAINLESS STEEL CANCELLOUS FULLY THREADED CUTTING FLUTE F/LARGE FRAGMENT SYSTEM PERI-LOC,209.0,104.5,40.02,188.1,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 6.5MM 40MM TITANIUM ALLOY EVOS STERILE,243.0,121.5,46.53,218.7,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 6.5MM 50MM TITANIUM ALLOY EVOS STERILE,243.0,121.5,46.53,218.7,65
HCPCS,C1713,SCREW BONE CANNULATED LOCKING 6.5MM 90MM STAINLESS STEEL CANCELLOUS HEXAGONAL HEAD PARTIALLY THREADED F/LARGE FRAGMENT SYSTEM PERI-LOC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE CANNULATED NON-LOCKING 4.5MM 34MM STAINLESS STEEL PEDIATRIC CORTICAL T20 HEXALOBE DRIVE SELF-TAPPING F/BLADE PLATE SYSTEM PEDILOC NON-STERILE PROXIMAL FEMORAL,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW BONE CANNULATED SMALL 3MM 34MM STAINLESS STEEL PARTIALLY THREADED SELF-DRILLING/TAPPING REVERSE CUTTING FLUTE DRILL TIP GUIDEWIRE,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW BONE CAPSURE CONNECTOR LOCK NONSTERILE SPINE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW BONE CAPTIVATE 4MM 40MM CANNULATED LONG THREADED TITANIUM STERILE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW BONE CAPTIVATE CANNULATED FULLY THREADED STAINLESS STEEL 4X60MM,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW BONE CAPTIVATE SOLA HEADLESS COMPRESSION LONG THREAD STAINLESS STEEL 3X30MM,440.0,220.0,84.26,396.0,65
HCPCS,C1713,SCREW BONE CAPTIVATE SOLA HEADLESS COMPRESSION STAINLESS STEEL 9MM SHORT THREAD 3X34MM,440.0,220.0,84.26,396.0,65
HCPCS,C1713,SCREW BONE CAPTIVATE SOLA HEADLESS COMPRESSION TITANIUM 12MM LONG THREAD 3X30MM,440.0,220.0,84.26,396.0,65
HCPCS,C1713,SCREW BONE CAPTIVATE SOLA HEADLESS COMPRESSION TITANIUM 8MM LONG THREAD 2.5X20MM,440.0,220.0,84.26,396.0,65
HCPCS,C1713,SCREW BONE CARPALFIX 3MM 30MM CANNULATED LAG THREADED TAPERED NON-STERILE 2/PK,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 10MM TITANIUM ALLOY MULTI-THREADED SKY BLUE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 24MM OSSIOFIBER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 30MM OSSIOFIBER,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 30MM TITANIUM ALLOY MULTI-THREADED SKY BLUE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 34MM TITANIUM ALLOY MULTI-THREADED SKY BLUE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 60MM TITANIUM ALLOY MULTI-THREADED SKY BLUE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW BONE COMPRESSION 3.5MM 65MM TITANIUM ALLOY MULTI-THREADED SKY BLUE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW BONE COMPRESSION 4MM 38MM OSSIOFIBER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 2.5MM 38MM TI-6AI-4V PIP-DIP T8 TORX 12MM THREAD SELF-DRILLING SELF-TAPPING HAMMERTHREAD STERILE,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 2.5MM 42MM PIP-DIP HAMMERTHREAD,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 4MM 80MM TITANIUM SELF-TAPPING FIXOS NON-STERILE ANKLE FOOT,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 5MM 24MM TITANIUM SELF-TAPPING FIXOS,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 6.5MM 110MM TITANIUM 16MML THREADED GOLD NON-STERILE,298.11,149.06,57.09,268.3,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 7.5MM 110MM TITANIUM HEXALOBE MULTIAXIAL ACUTRAK 2 NON-STERILE,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 7.5MM 60MM TITANIUM HEXALOBE MULTIAXIAL ACUTRAK 2 NON-STERILE,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 7MM 105MM TITANIUM LONG THREADED FIXOS,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 7MM DIA 120MML TITANIUM LONG THREADED FIXOS NON-STERILE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE COMPRESSION HEADLESS 7MM DIA 125MML TITANIUM LONG THREADED FIXOS NON-STERILE,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW BONE COMPRESSION LAG 15MM 85MM STAINLESS STEEL 22MML THREADED STANDARD OMEGA PLUS SUPER,297.51,148.76,56.97,267.76,65
HCPCS,C1713,SCREW BONE COMPRESSION LOCKING 2.4MM 14MM TITANIUM CORTEX T8 STARDRIVE RECESS PARTIALLY THREADED SELF-TAPPING VARIABLE ANGLE F/MODULAR MINI FRAGMENT SYSTEM LCP STERILE DISTAL RADIAL,63.5,31.75,12.16,57.15,65
HCPCS,C1713,SCREW BONE COMPRESSION LOCKING 3.5MM 36MM TITANIUM T15 STARDRIVE RECESS CONICAL HEAD FULLY THREADED SELF-TAPPING FIXED ANGLE GREEN F/SMALL FRAGMENT SYSTEM LCP STERILE HUMERAL,134.08,67.04,25.68,120.67,65
HCPCS,C1713,SCREW BONE COMPRESSION NON-LOCKING 3.5MM 28MM TITANIUM ALLOY CORTICAL POLYAXIAL FULLY THREADED BLUE IJS NON-STERILE ELBOW,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW BONE COMPRESSION NON-LOCKING 3.5MM 34MM TITANIUM ALLOY CORTICAL POLYAXIAL FULLY THREADED BLUE IJS NON-STERILE ELBOW,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW BONE CORT 4.5X26MM,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW BONE DARCO 3.5MM 34MM HEADED SHORT THREADED TITANIUM,137.31,68.66,26.29,123.58,65
HCPCS,C1713,SCREW BONE DYNANAIL MINI HEADLESS HINDFOOT 4X22MM,274.0,137.0,52.47,246.6,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 16MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 20MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 24MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 26MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 28MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 30MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 32MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 34MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 36MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 38MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 40MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 42MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 44MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 54MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 56MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 74MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,189.0,94.5,36.19,170.1,65
HCPCS,C1713,SCREW BONE FASTENER 4MM 76MM STAINLESS STEEL SELF-TAPPING F/PROXIMAL HUMERUS SYSTEM NON-STERILE,189.0,94.5,36.19,170.1,65
HCPCS,C1713,SCREW BONE FIXATION TI6AL4V F/ENDO-MODEL SL /LINK EVO -W TORQUE LIMITING LINK OPTISTEM,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW BONE HEADED 2.7MM 26MM TITANIUM SHORT THREADED DARCO,129.35,64.68,24.77,116.42,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 100MM STAINLESS STEEL CORTEX HEX DRIVE RECESS SELF-TAPPING YELLOW ANKLE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 105MM STAINLESS STEEL CORTEX HEX DRIVE RECESS SELF-TAPPING YELLOW ANKLE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 110MM STAINLESS STEEL CORTEX HEX DRIVE RECESS SELF-TAPPING YELLOW ANKLE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 22MM TITANIUM FULLY THREADED DARCO,137.31,68.66,26.29,123.58,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 26MM TITANIUM SHORT THREADED DARCO,137.31,68.66,26.29,123.58,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 36MM TITANIUM FULLY THREADED DARCO,137.31,68.66,26.29,123.58,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 58MM STAINLESS STEEL CORTEX HEX DRIVE RECESS SELF-TAPPING YELLOW ANKLE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW BONE HEADED 3.5MM 62MM STAINLESS STEEL CORTEX HEX DRIVE RECESS SELF-TAPPING YELLOW ANKLE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW BONE HEADED 4.5MM 42MM TITANIUM LONG THREADED DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW BONE HEADED 4.5MM 44MM TITANIUM FULLY THREADED DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW BONE HEADED 4.5MM 50MM TITANIUM FULLY THREADED DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW BONE HEADED 4MM 22MM TITANIUM SHORT THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 24MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 24MM TITANIUM SHORT THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 26MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 26MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 28MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 28MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 32MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 32MM TITANIUM SHORT THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 34MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 36MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 38MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 38MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 38MM TITANIUM SHORT THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 40MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 42MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 42MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 44MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 44MM TITANIUM SHORT THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 46MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 46MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 50MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 55MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 55MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 60MM TITANIUM FULLY THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADED 4MM 60MM TITANIUM LONG THREADED DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW BONE HEADLESS LARGE CANNULATION COMPRESSION 2.5MM 36MM TI6AL4V TAPERED HEAD T8 TORX DRIVE SELF-DRILLING/TAPPING REVERSE/FORWARD CUTTING DESIGN YELLOW F/PIP/DIP JOINT ARTHRODESIS HAMMERTHREAD STE,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW BONE HEADLESS LARGE CANNULATION COMPRESSION 2.5MM 40MM TI6AL4V TAPERED HEAD T8 TORX DRIVE SELF-DRILLING/TAPPING REVERSE/FORWARD CUTTING DESIGN YELLOW F/PIP/DIP JOINT ARTHRODESIS HAMMERTHREAD STE,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW BONE INTERLOCKING 4.5MM 27.5MM PEDIATRIC FULLY THREADED STERILE FEMORAL,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW BONE INTERLOCKING 4.5MM 50MM PEDIATRIC FULLY THREADED STERILE FEMORAL,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW BONE INTERLOCKING 4.5MM 52.5MM PEDIATRIC FULLY THREADED STERILE FEMORAL,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW BONE INTERLOCKING 4.5MM 60MM PEDIATRIC FULLY THREADED STERILE FEMORAL,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW BONE INTERLOCKING 4.5MM 70MM PEDIATRIC FULLY THREADED STERILE FEMORAL,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW BONE INTERLOCKING 4.5MM 80MM PEDIATRIC FULLY THREADED STERILE FEMORAL,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM 27.5MM PEDIATRIC FULLY THREADED STERILE FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM 30MM PEDIATRIC FULLY THREADED STERILE FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM 47.5MM PEDIATRIC FULLY THREADED SYSTEM STERILE FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM 65MM PEDIATRIC FULLY THREADED STERILE FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM 75MM PEDIATRIC FULLY THREADED STERILE FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM 85MM PEDIATRIC FULLY THREADED STERILE FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING 5MM DIA 57.5MML PEDIATRIC FULLY THREADED FEMORAL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW BONE INTERLOCKING LONG 5MM 26MM TITANIUM FINE THREADED OSTEOBRIDGE STERILE,248.85,124.43,47.65,223.97,65
HCPCS,C1713,SCREW BONE JONES FX SOLID 4.5 X 55MM,895.0,447.5,171.39,805.5,65
HCPCS,C1713,SCREW BONE L40 MM OD4 MM COLAG,333.0,166.5,63.77,299.7,65
HCPCS,C1713,SCREW BONE LAG 10MM 105MM TITANIUM CORTICAL SELF-TAPPING F/COMPOSITE NAILING SYSTEM PICCOLO COMPOSITE PROXIMAL FEMUR NAIL,445.0,222.5,85.22,400.5,65
HCPCS,C1713,SCREW BONE LAG 10MM 90MM TITANIUM CORTICAL SELF-TAPPING F/COMPOSITE NAILING SYSTEM PICCOLO COMPOSITE PROXIMAL FEMUR NAIL,445.0,222.5,85.22,400.5,65
HCPCS,C1713,SCREW BONE LAG 11MM 110MM TITANIUM SOLID SLIDING F/PERITROCHANTERIC NAIL SYSTEM HIP,576.0,288.0,110.3,518.4,65
HCPCS,C1713,SCREW BONE LAG 11MM 30MM TRIGEN INTERTAN SUBTROCHANTERIC,163.2,81.6,31.25,146.88,65
HCPCS,C1713,SCREW BONE LAG 11MM 65MM TITANIUM SOLID SLIDING F/PERITROCHANTERIC NAIL SYSTEM HIP,576.0,288.0,110.3,518.4,65
HCPCS,C1713,SCREW BONE LAG 11MM 75MM TITANIUM SOLID SLIDING F/PERITROCHANTERIC NAIL SYSTEM HIP,576.0,288.0,110.3,518.4,65
HCPCS,C1713,SCREW BONE LAG 11MM 80MM TITANIUM TRIGEN INTERTAN SUBTROCHANTERIC,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW BONE LAG 11MM 85MM TITANIUM ALLOY F/FEMORAL NAIL SYSTEM ARTEMIS,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW BONE LAG 11MM 90MM TITANIUM ALLOY STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW BONE LAG 11MM 95MM TITANIUM ALLOY STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW BONE LAG 11MM 97.5MM TITANIUM ALLOY F/FEMORAL NAIL SYSTEM ARTEMIS,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW BONE LOCKING 1.2MM 4MM TITANIUM CORTICAL HEXADRIVE 4 DOUBLE THREADED SELF-TAPPING SELF-RETAINING GOLD APTUS HAND,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE LOCKING 1.5MM 17MM TITANIUM CORTICAL HEXADRIVE 4 DOUBLE THREADED SELF-TAPPING SELF-RETAINING GOLD APTUS HAND,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE LOCKING 2.3MM 15MM TI-6AL-4V LEVELX1 DRILL FREE SELF-RETAINING SILVER MAXDRIVE 5/PK STERNAL THORACIC,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 10MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 11MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 11MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 12MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 13MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 13MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 15MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 17MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 17MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 18MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 18MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 19MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE-ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 19MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 19MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 20MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 21MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 22MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 23MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 24MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 24MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 28MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 38MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 40MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 42MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 44MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 46MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 46MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 55MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 6MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 7MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 8MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 8MM TITANIUM T7 STARDRIVE SELF-TAPPING VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM 9MM STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM DIA 17MML STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE-ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM DIA 17MML STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE-ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.4MM DIA 30MML STAINLESS STEEL T7 STARDRIVE RECESS SELF-TAPPING VARIABLE-ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.5MM 10MM TITANIUM CORTICAL HEXADRIVE 7 TAPERED CORE DOUBLE THREADED SELF-TAPPING ATRAUMATIC TIP SELF-RETAINING BLUE APTUS TRILOCK 5/PK WRIST,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 10MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 10MM TITANIUM GREEN RIBLOC,161.0,80.5,30.83,144.9,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 11MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 12MM CORTICAL HEXAGONAL HEAD FOREARM ULNAR ELBOW,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 12MM TITANIUM FUCHSIA RIBLOC,161.0,80.5,30.83,144.9,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 14MM TITANIUM GOLD RIBLOC,161.0,80.5,30.83,144.9,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 16MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 16MM TITANIUM HEXALOBE F/ELBOW PLATING SYSTEM ACU-LOC 2 STERILE,139.0,69.5,26.62,125.1,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 17MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 18MM TITANIUM HEXALOBE F/ELBOW PLATING SYSTEM ACU-LOC 2 STERILE,112.5,56.25,21.54,101.25,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 19MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 22MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 26MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 32MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 32MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 36MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 40MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 42MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 44MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 46MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 46MM TITANIUM T8 STARDRIVE RECESS FULLY THREADED VARIAX 2 NON-STERILE,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 65MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 6MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 6MM TITANIUM BROWN RIBLOC,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 70MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 80MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 8MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 8MM TITANIUM BLUE RIBLOC,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW BONE LOCKING 2.7MM 9MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 10MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 10MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 11MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 12MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 13MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 14MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 14MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 14MM TITANIUM T6 STARDRIVE SELF-TAPPING VLP MINI-MOD NON-STERILE,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 15MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 15MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 16MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 17MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 18MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 18MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 20MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 22MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 24MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 26MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 26MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 30MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 32MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 32MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 40MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 6MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 7MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 2MM 8MM STAINLESS STEEL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 10MM CORTEX T15 SHAPED SELF-TAPPING EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 10MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 10MM TITANIUM T15 SELF-TAPPING EVOS 75413510,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 11MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 12MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 13MM CORTEX T15 SHAPED SELF-TAPPING EVOS,43.26,21.63,8.28,38.93,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 13MM T15 SHAPED SELF-TAPPING EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 15MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 15MM TITANIUM T15 SHAPED SELF-TAPPING EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 16MM TITANIUM T15 SHAPED SELF-TAPPING EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 17MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 32MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 44MM COLOR-CODED UNITE,112.5,56.25,21.54,101.25,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 46MM COLOR-CODED UNITE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 60MM COLOR-CODED UNITE,112.5,56.25,21.54,101.25,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 70MM TITANIUM ALLOY MULTI-THREADED BRONZE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 80MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 8MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 8MM TITANIUM ALLOY MULTI-THREADED BRONZE F/DORSAL SPANNING PLATE NON-STERILE PROXIMAL ULNA,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM 90MM STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM DIA 11MML STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS SELF-TAPPING VARIABLE-ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM DIA 18MML STAINLESS STEEL F/COMPLETE PLATING STAPLE FIXATION SYSTEM UNI-CLIP STERILE LOWER EXTREMITY,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW BONE LOCKING 3.5MM DIA UNIVERSAL SMALL 65MML STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 100MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,118.8,59.4,22.75,106.92,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 14MM TITANIUM COBALT CHROMIUM MOLYBDENUM POLYAXIAL GLENOID,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 18MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 26MM TITANIUM COBALT CHROMIUM MOLYBDENUM POLYAXIAL GLENOID,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 30MM LONG THREAD FITBONE,212.5,106.25,40.69,191.25,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 32MM STAINLESS STEEL T25 DRIVE SELF-TAPPING BLUNT TIP F/LARGE FRAGMENT SYSTEM PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 34MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 34MM TITANIUM COBALT CHROMIUM MOLYBDENUM POLYAXIAL GLENOID,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 35MM LONG THREAD FITBONE,212.5,106.25,40.69,191.25,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 38MM TITANIUM COBALT CHROMIUM MOLYBDENUM POLYAXIAL GLENOID,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 42MM STAINLESS STEEL PEDIATRIC CORTICAL PEDINAIL NON-STERILE FEMORAL,170.06,85.03,32.57,153.05,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 42MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 42MM TITANIUM COBALT CHROMIUM MOLYBDENUM POLYAXIAL GLENOID,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 44MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 46MM STAINLESS STEEL T25 DRIVE SELF-TAPPING BLUNT TIP F/LARGE FRAGMENT SYSTEM PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 46MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 48MM STAINLESS STEEL CORTICAL SELF-TAPPING BLUNT TIP PERI-LOC,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 48MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 50MM LONG THREAD FITBONE,212.5,106.25,40.69,191.25,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 52MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,118.8,59.4,22.75,106.92,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 55MM LONG THREAD FITBONE,212.5,106.25,40.69,191.25,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 58MM STAINLESS STEEL CORTICAL SELF-TAPPING BLUNT TIP PERI-LOC,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 60MM LONG THREAD FITBONE,212.5,106.25,40.69,191.25,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 62MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 65MM LONG THREAD FITBONE,212.5,106.25,40.69,191.25,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 68MM STAINLESS STEEL CORTICAL SELF-TAPPING BLUNT TIP PERI-LOC,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 68MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 70MM STAINLESS STEEL PEDIATRIC CORTICAL T20 HEXALOBE DRIVE FULLY THREADED F/BLADE PLATE SYSTEM PEDILOC NON-STERILE PROXIMAL FEMORAL,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 70MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 72MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 74MM STAINLESS STEEL CORTICAL SELF-TAPPING BLUNT TIP PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 74MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 76MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 78MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 80MM STAINLESS STEEL PEDIATRIC CORTICAL T20 HEXALOBE DRIVE FULLY THREADED F/BLADE PLATE SYSTEM PEDILOC NON-STERILE PROXIMAL FEMORAL,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 85MM STAINLESS STEEL CORTICAL SELF-TAPPING BLUNT TIP PERI-LOC,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 85MM STAINLESS STEEL T25 DRIVE SELF-TAPPING BLUNT TIP F/LARGE FRAGMENT SYSTEM PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 85MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 90MM STAINLESS STEEL CORTICAL SELF-TAPPING BLUNT TIP PERI-LOC,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 90MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE LOCKING 4.5MM 95MM TITANIUM ALLOY SELF-TAPPING EVOS STERILE,187.8,93.9,35.96,169.02,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 10MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 14MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS STERILE,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 16MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS STERILE,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 20MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS STERILE,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 22MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 26MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 28MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 30MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 32MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 34MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 36MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 38MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 40MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 44MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 46MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 48MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 50MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS STERILE,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 60MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 65MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 70MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 75MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4.7MM 80MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 47MM 18MM STAINLESS STEEL FULLY THREADED F/OSTEOPENIA EVOS STERILE,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW BONE LOCKING 4MM 14MM STAINLESS STEEL T15 DRIVE SELF-TAPPING AXSOS PERIARTICULAR,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW BONE LOCKING 4MM 22MM STAINLESS STEEL T15 DRIVE SELF-TAPPING AXSOS PERIARTICULAR,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW BONE LOCKING 4MM 38MM TITANIUM CORTICAL HEXAGONAL HEAD SELF-TAPPING LIGHT BLUE TRIGEN HUMERAL,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 100M ADVANCED THREADED T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 115MM THREADED T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 28MM TITANIUM CANCELLOUS HEXAGONAL HEAD SELF-TAPPING LIME TRIGEN HUMERAL,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 28MM TITANIUM SELF-TAPPING,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 30MM TITANIUM ALLOY SELF TAPPING DUAL LEAD THREAD STERILE,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 32.5MM TITANIUM ALLOY FULLY THREADED F/FEMORAL NAIL SYSTEM ARTEMIS,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW BONE LOCKING 5MM 35MM TITANIUM ALLOY FULLY THREADED F/FEMORAL NAIL SYSTEM ARTEMIS,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW BONE LOCKING EMERGENCY 2.5MM 17MM TI6AL4V SELF-RETAINING LEVEL ONE MAXDRIVE MAXILLOFACIAL,66.19,33.1,12.68,59.57,65
HCPCS,C1713,SCREW BONE LOCKING HEADLESS 6MM 65MM TITANIUM PARTIALLY THREADED PRECICE STERILE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 2.7MM 12MM STAINLESS STEEL SELF-TAPPING F/SMALL FRAGMENT SYSTEM STERILE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 100MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 120MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 45MM STAINLESS STEEL CORTEX HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 50MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 60MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 80MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 85MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE LOCKING UNIVERSAL 3.5MM 90MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE METAGLENE CENTRAL 6MM 20MM F/REVERSE SHOULDER SYSTEM DELTA XTEND,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW BONE METAGLENE CENTRAL 6MM 25MM F/REVERSE SHOULDER SYSTEM DELTA XTEND,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW BONE MINILOCK FT 2.5MM X 16MM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE MINILOCK FT 2.5MM X 20MM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW BONE MINILOCK HD 2.5MM X 16MM,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW BONE MIS FULL THREAD 4 MM 32 MM,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW BONE MODULAR 7.5MM 45MM ROBOTIC CREO ONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW BONE NEOSTEO CANNULATED HEADLESS COMPRESSION 2.6X26MM,509.0,254.5,97.47,458.1,65
HCPCS,C1713,SCREW BONE NON-LOCKING 1.3MM 9MM TIMAX CORTICAL CRUCIATE HEAD SELF-TAPPING TIP MODULAR STAND ALONE A.L.P.S NON-STERILE HAND,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.4MM 20MM POLYAXIAL UNITE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.4MM 24MM POLYAXIAL UNITE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 12MM TITANIUM T8 STARDRIVE RECESS FULLY THREADED VARIAX STERILE,46.77,23.39,8.96,42.09,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 24MM POLYAXIAL UNITE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 26MM POLYAXIAL UNITE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 28MM COLOR-CODED UNITE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 50MM TITANIUM HEXALOBE F/ELBOW PLATING SYSTEM ACU-LOC 2 NON-STERILE,94.0,47.0,18.0,84.6,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 65MM TIMAX CORTICAL HEX DRIVE FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT SYSTEM A.L.P.S NON-STERILE,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 75MM TITANIUM T8 STARDRIVE RECESS FULLY THREADED VARIAX STERILE,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2.7MM 80MM TITANIUM T8 STARDRIVE RECESS FULLY THREADED VARIAX 2 STERILE,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW BONE NON-LOCKING 2MM 40MM STAINLESS STEEL CORTICAL T6 STARDRIVE RECESS SELF-TAPPING VARIABLE ANGLE SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS NON-STERILE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.2MM 22MM TITANIUM BITE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 105MM STAINLESS STEEL CORTICAL SELF-TAPPING PERI-LOC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 24MM CROSS PLATE COLOR-CODED UNITE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 24MM MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 30MM TITANIUM CORTICAL FULLY THREADED SELF-TAPPING POLYAXIAL PRE-DRILL BRONZE F/FRACTURE SYSTEM ORTHOLOC 3DI NON-STERILE ANKLE MIDFOOT,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 32MM MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 38MM TITANIUM ALLOY CORTICAL POLYAXIAL FULLY THREADED BLUE NON-STERILE PROXIMAL ULNA,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 50MM CROSS PLATE COLOR-CODED UNITE,280.0,140.0,53.62,252.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 50MM F/PLATING SYSTEM MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 56MM TITANIUM CORTICAL FULLY THREADED SELF-TAPPING POLYAXIAL BRONZE ORTHOLOC 3DI ANKLE MIDFOOT,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW BONE NON-LOCKING 3.5MM 65MM STAINLESS STEEL CORTICAL T20 DRIVE SELF-TAPPING CUTTING FLUTEX3 F/SMALL FRAGMENT SYSTEM PERI-LOC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 4.2MM 22MM TITANIUM F/R3CON PLATING SYSTEM GORILLA ANKLE FOOT,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING 4.5MM 26MM STAINLESS STEEL CORTICAL SELF-TAPPING COARSE PITCH F/LARGE FRAGMENT SYSTEM PERI-LOC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 4MM 18MM STAINLESS STEEL PEDIATRIC CANCELLOUS FULLY THREADED F/SMALL FRAGMENT SYSTEM PEDILOC NON-STERILE FEMORAL,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW BONE NON-LOCKING 4MM 26MM TIMAX CANCELLOUS HEX DRIVE FULLY THREADED SELF-TAPPING F/SMALL FRAGMENT PLATING SYSTEM A.L.P.S NON-STERILE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING 4MM 40MM TITANIUM CANCELLOUS PARTIALLY THREADED POLYAXIAL SELF-TAPPING GREEN ORTHOLOC 3DI ANKLE MIDFOOT,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW BONE NON-LOCKING L36 MM OD5.5 MM,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING L38 MM OD5.5 MM,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING L42 MM OD5.5 MM,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING L54 MM OD5.5 MM,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING MINI 2.4MM 22MM POLYAXIAL UNITE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW BONE NON-LOCKING MINI T8 2.4X18MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW BONE NON-LOCKING MINI T8 2.4X20MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW BONE ORTHOLOC 2 TITANIUM 45MM 4.5MM SOLID CORE CORTICAL THREAD CHAMFER,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW BONE OSTEOPENIA 4.7MM DIA 80MML STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE OSTEOPENIA 4MM DIA 24MML STAINLESS STEEL CORTICAL T8 STARDRIVE RECESS FULLY THREADED SELF-RETAINING COUNTERSINK F/MINI PLATING SYSTEM EVOS STERILE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW BONE POLYAXIAL HEAD MIS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 12MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 16MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 20MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 24MM COMPRESS REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 24MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 28MM COMPRESS REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 28MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 32MM COMPRESS REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 32MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 4.5MM 36MM LCK REV PERIPH F/GLENOID COMPONENT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SCREW BONE R1 6.5MM 25MM REV F/GLENOID COMPONENT W/LOCKING CAP,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW BONE R1 6.5MM 30MM REV F/GLENOID COMPONENT W/LOCKING CAP,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW BONE RELINE MODULAR TULIP NONSTERILE SPINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW BONE REVERSE BODY STERILE LATEX FREE,163.77,81.89,31.36,147.39,65
HCPCS,C1713,SCREW BONE TFN-ADVANCED 5MM 52MM LOCKING FULLY THREADED FOR 4.2MM IM NAIL SYS STERILE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE TFN-ADVANCED RFN-ADVANCED 4MM 46MM LOCKING THREADED LOW-PROFILE TITANIUM XL25 RECESS FEMORAL TIBIAL F/INTRAMEDULLARY NAILING SYSTEM STERILE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW BONE UNITE MIS BUNION FT 4X34MM,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW BONE UNITE MIS BUNION FT 4X46MM,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW BONE UNITE MIS HV CHAMFER FT 3X22MM,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW BONE UNIVERSAL 3.5MM 125MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE UNIVERSAL 3.5MM 40MM STAINLESS STEEL CORTEX FULLY THREADED SELF-TAPPING NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE UNIVERSAL 3.5MM 70MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE UNIVERSAL 3.5MM 75MM STAINLESS STEEL CORTICAL HEXAGONAL RECESS FULLY THREADED SELF-TAPPING NON-STERILE PELVIC,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW BONE VANGUARD 360 AGC LOCK MODULAR KNEE TIBIA REVISION SYSTEM,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X10MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X16MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X18MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X20MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X32MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X34MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X38MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X44MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X46MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X48MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X60MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X6MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X7MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.4X8MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7 MM 24MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7 MM 28MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X20MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X26MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X34 MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X36MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X38 MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X40MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X42MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X44 MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X46MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X48 MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X50 MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 2.7X54MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE VOLT CORTEX T8 OD2.7 MM L14 MM,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW BONE XD 2.3X11MM 5PK,317.7,158.85,60.84,285.93,65
HCPCS,C1713,SCREW CANCELLOUS CAPTURED FT 6.5X100MM,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW CANCELLOUS CAPTURED FT 6.5X105MM,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW CANCELLOUS CAPTURED FT 6.5X90MM,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW CANN COMPRSS TI 6.5X75MM,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW CANN HEADED 4.5X32MM,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW CANN PTHR SS STL 4X18MM,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW CANN PTHR SS STL 4X24MM,135.01,67.51,25.85,121.51,65
HCPCS,C1713,SCREW CANN STL 3X18MM,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW CANNLUATED HEADED 3X28MM,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW CANNULATED 4.5MM TIGER TRAY LID,240.0,120.0,45.96,216.0,65
HCPCS,C1713,SCREW CANNULATED BLUE BONE GUIDED GROWTH EIGHT-PLATE,154.98,77.49,29.68,139.48,65
HCPCS,C1713,SCREW CANNULATED FULL SEAT REDUCE HEAD BLUNT OD7 MM BIOCOMPOSITE ACL PCL L28 MM FULL THREAD STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW CANNULATED FULL SEAT REDUCE HEAD OD8 MM BIOCOMPOSITE ACL PCL L28 MM BLUNT FULL THREAD STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW CANNULATED GREEN BONE GUIDED GROWTH EIGHT-PLATE,154.98,77.49,29.68,139.48,65
HCPCS,C1713,SCREW CANNULATED OD7 MM TITANIUM ACL PCL L20 MM INTERFERENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED OD8 MM L25 MM FULL THREAD INTERFERENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED OD8 MM L25 MM INTERFERENCE,287.0,143.5,54.96,258.3,65
HCPCS,C1713,SCREW CANNULATED OD9 MM TITANIUM ACL L25 MM INTERFERENCE,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD10 MM TITANIUM ACL PCL L20 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD10 MM TITANIUM ACL PCL L25 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD7 MM TITANIUM ACL PCL L20 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD7 MM TITANIUM ACL PCL L25 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD8 MM TITANIUM ACL PCL L20 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD9 MM TITANIUM ACL PCL L20 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED RECONSTRUCTION OD9 MM TITANIUM ACL PCL L25 MM FULL THREAD ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED REDUCE HEAD OD12 MM BIOCOMPOSITE ACL PCL L28 MM BLUNT FULL THREAD STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW CANNULATED REDUCE HEAD OD7 MM BIOCOMPOSITE ACL PCL L23 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW CANNULATED REDUCE HEAD OD8 MM BIOCOMPOSITE ACL PCL L23 MM STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW CANNULATED REDUCE HEAD OD9 MM BIOCOMPOSITE ACL PCL L23 MM STEP TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW CANNULATED SHEATH OD7 MM TITANIUM ACL PCL L20 MM INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW CANNULATED SHEATH OD7 MM TITANIUM ACL PCL L25 MM INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW CANNULATED SHEATH OD8 MM TITANIUM ACL PCL L20 MM INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW CANNULATED SHEATH OD8 MM TITANIUM ACL PCL L25 MM INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW CANNULATED SHEATH OD8 MM TITANIUM ACL PCL L30 MM INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW CANNULATED SHEATH OD9 MM TITANIUM ACL PCL L25 MM INTERFERENCE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW CANNULATED SOFT OD10 MM TITANIUM ACL PCL L25 MM BLUNT ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CANNULATED SOFT OD8 MM TITANIUM ACL PCL L25 MM BLUNT ROUND INTERFERENCE ACCEPTS 2 MM NITINOL GUIDEPIN,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW CATALYST LS SINGLE HEAD 4.5X30MM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW CCS 7X50 MM HD25,1188.0,594.0,227.5,1069.2,65
HCPCS,C1713,SCREW CD HORIZON DOMINO TITANIUM TOP/TOP 5/6-5/6,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW COCR HUMERAL PROXIMAL BUTTRESS BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW COMPRESSION ACU-LOC 2 VOLAR DISTAL RADIUS PLATING SYSTEM BONE FRAG-LOC,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW COMPRESSION SCREW BONE 60MM TROCHLEAR COMPRESSION MALE HUMERAL FIXATION SET,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW CORT LOW PRO 2.7X22MM ORTHOLOC 3DI SYS  STERILE,162.0,81.0,31.02,145.8,65
HCPCS,C1713,SCREW CORT LOW-PRO 3.5 X 28MM ORTHOLOC 3DI SYS  STERILE,162.0,81.0,31.02,145.8,65
HCPCS,C1713,SCREW CORT LOW-PRO 3.5 X 30MM ORTHOLOC 3DI SYS  STERILE,162.0,81.0,31.02,145.8,65
HCPCS,C1713,SCREW CORT LOW-PRO 3.5 X 32MM ORTHOLOC 3DI SYS  STERILE,162.0,81.0,31.02,145.8,65
HCPCS,C1713,SCREW CORT SLD CORE 4.5X35MM,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW CORTEX ST 2.4X12MM,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW CORTEX ST 2.7X18MM STL,28.64,14.32,5.48,25.78,65
HCPCS,C1713,SCREW CORTEX ST TI 1.3X3MM 5PKSTARDRIVE RECESS,296.0,148.0,56.68,266.4,65
HCPCS,C1713,SCREW CORTEX ST TI 1.3X8MM 5PKSTARDRIVE RECESS,296.0,148.0,56.68,266.4,65
HCPCS,C1713,SCREW CORTICAL 4.5 X 24MM ORTHOLOC SYSTEM,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW CROSS DRIVE LOCK 2.3X12,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW CRTX LOCK ST T6 2X14MMEVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW CRTX ST 2X10MMEVOS MINI,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW CRTX TI 1.2X10 5PKW/FLTD TIP,306.8,153.4,58.75,276.12,65
HCPCS,C1713,SCREW DARCO HEADED 4.5 MM L46 MM SHORT,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW ELBOW 4-40 BONE IJS-E,133.0,66.5,25.47,119.7,65
HCPCS,C1713,SCREW EMER STARDRIVE 2X14 5PK,226.0,113.0,43.28,203.4,65
HCPCS,C1713,SCREW EMER STARDRIVE 2X16 5PK,226.0,113.0,43.28,203.4,65
HCPCS,C1713,SCREW EMER STARDRIVE 2X7 5PK,226.0,113.0,43.28,203.4,65
HCPCS,C1713,SCREW EMER STARDRIVE1.7X14 5PKSTARDRIVE RECESS,306.0,153.0,58.6,275.4,65
HCPCS,C1713,SCREW EVOS 3.5MM X 16MM LCK SCR S-T,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW EXTENSION LINK HEXALOBE BONE ACUMED,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW EXTERNAL FIXATION 2.5MM 4MM 10MM SCHANZ SELF DRILL TITANIUM MANDIBLE RAMUS EXTERNAL FIXATOR II SYSTEM,339.9,169.95,65.09,305.91,65
HCPCS,C1713,SCREW EXTERNAL FIXATION 2.5MM 4MM 14MM SCHANZ SELF DRILL TITANIUM MANDIBLE EXTERNAL FIXATOR II SYSTEM,339.9,169.95,65.09,305.91,65
HCPCS,C1713,SCREW EXTERNAL FIXATION 2.5MM 4MM 20MM SCHANZ SELF DRILL TITANIUM NONSTERILE MANDIBLE RAMUS EXTERNAL FIXATOR II SYSTEM,339.9,169.95,65.09,305.91,65
HCPCS,C1713,SCREW EXTERNAL FIXATION 4MM 130MM SCHANZ,525.0,262.5,114.5,472.5,64
HCPCS,C1713,SCREW EXTERNAL FIXATION 5MM 170MM SCHANZ XLONG BLUNT TROCAR POINT STAINLESS STEEL NONSTERILE LARGE EXTERNAL FIXATOR,91.14,45.57,17.45,82.03,65
HCPCS,C1713,SCREW EXTERNAL FIXATION 5MM 175MM 60MM SCHANZ SELF DRILL MR CONDITIONAL STAINLESS STEEL NONSTERILE HIP CONDYLE LARGE EXTERNAL FIXATOR,127.78,63.89,24.47,115.0,65
HCPCS,C1713,SCREW EXTERNAL FIXATION 6MM 190MM SCHANZ SPADE POINT STAINLESS STEEL NONSTERILE LARGE EXTERNAL FIXATOR,86.73,43.37,16.61,78.06,65
HCPCS,C1713,SCREW EXTERNAL FIXATION SCHANZ 4MM DIA 100MML STAINLESS STEEL 40MML THREADED SELF-DRILLING SPADE POINT MRI-CONDITIONAL NON-STERILE,81.24,40.62,15.56,73.12,65
HCPCS,C1713,SCREW EXTERNAL FIXATION SCHANZ 4MM DIA 100MML STAINLESS STEEL HYDROXYLAPATITE COATED 30MML THREADED SELF-DRILLING BLUNT TROCAR POINT MRI-COMPATIBLE STERILE,200.83,100.42,38.46,180.75,65
HCPCS,C1713,SCREW EXTERNAL FIXATION SCHANZ 4MM DIA 120MML,900.0,450.0,196.29,810.0,64
HCPCS,C1713,SCREW EXTERNAL FIXATION SCHANZ 4MM DIA 150MML STAINLESS STEEL HYDROXYAPATITE 40MML THREADED SELF-DRILLING BLUNT TROCAR POINT MRI-COMPATIBLE STERILE,200.83,100.42,38.46,180.75,65
HCPCS,C1713,SCREW EXTERNAL FIXATION SCHANZ 4MM DIA 80MML,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW EXTERNAL FIXATION TEMPORARY SHORT 6.5MMW X 90MML POLYAXIAL,319.0,159.5,61.09,287.1,65
HCPCS,C1713,SCREW EXTFIX 2X21MM HEX 7MM THRD CENTR,114.36,57.18,21.9,102.92,65
HCPCS,C1713,SCREW EXTFIX WRST LPRO,1075.57,537.79,205.97,968.01,65
HCPCS,C1713,SCREW FA SD XTEND 4.2X16MM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW FASTTHREAD OD10 MM BIOCOMPOSITE KNEE L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD10 MM BIOCOMPOSITE KNEE L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD11 MM BIOCOMPOSITE KNEE L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD12 MM BIOCOMPOSITE KNEE L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD6 MM BIOCOMPOSITE L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD6 MM PEEK L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD7 MM BIOCOMPOSITE KNEE L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD7 MM BIOCOMPOSITE L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD7 MM PEEK L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD8 MM BIOCOMPOSITE KNEE L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD8 MM BIOCOMPOSITE L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD9 MM BIOCOMPOSITE KNEE L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FASTTHREAD OD9 MM BIOCOMPOSITE L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW FENN MOMENTUM 6.5X30MM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW FENN MOMENTUM 7.5X35MM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW FIXATION 5.5MM SPEEDSCREW KNOTLESS PEEK,540.0,270.0,103.41,486.0,65
HCPCS,C1713,SCREW FIXATION 6.5MM SPEEDSCREW KNOTLESS PEEK,2730.0,1365.0,522.8,2457.0,65
HCPCS,C1713,SCREW FIXATION RIBFIX BLU NONSTERILE LATEX FREE,219.0,109.5,41.94,197.1,65
HCPCS,C1713,SCREW FIXED SELF-DRILLING 3.75X14MM CYGNUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW FRACTURE LOCKING,393.0,196.5,75.26,353.7,65
HCPCS,C1713,SCREW FULL THREAD CORTICAL LOCK BONE POLYAXLOCKING CORTICAL SCREW FULL THREAD,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW FULLY THREADED 2.5MM X 18MM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L10 MM X W4 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L15 MM X W4 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L25 MM X W7 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L25 MM X W8 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L5 MM X W15 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L5 MM X W20 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G-FORCE RADIOLUCENT PEEK-OPTIMA FOOT ANKLE L6 MM X W15 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW G2 FEMUR BONE INTELLIJOINT HIP,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW G2 PELVIC BONE INTELLIJOINT HIP,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW GENESYS KNEE PRESERVATION SYSTEM MATRYX PROVEN BONE INGROWTH EMBED ENHANCE THREAD TIP LOW PROFILE ROUND HEAD OD9 MM MICROTCP 96L/4D PLA ACL PCL L25 MM INTERFERENCE,289.33,144.67,55.41,260.4,65
HCPCS,C1713,SCREW GLENOID FIXATION R1 LCK REV,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW GLENOID PRIMA TT CENTRAL COMPRESSEIVE CNACELLOUS 6.5X20MM,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SCREW HDLSS MINI CANN 3X28MM,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW HEADED MINILOCK HD 2.5MM X 20MM,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW HEADLESS 2.5MM LENGTH 10MM,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW HEADLESS 5.5X28MM CANN,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW HEADRING STEREOTACTIC 34MM DIA SHORT ALUMINUM PIN RELOCATABLE RADIONICS INTERFIX STERILE DISPOSABLE,824.0,412.0,179.71,741.6,64
HCPCS,C1713,SCREW HEADRING STEREOTACTIC LONG 48MML ALUMINUM PIN RELOCATABLE F/RADIONIC/INTUBATION RADIONICS CRW STERILE DISPOSABLE,824.0,412.0,179.71,741.6,64
HCPCS,C1713,SCREW IMPLANT 65MM TAPER 3.74MM UNITE FIBULA,695.0,347.5,133.09,625.5,65
HCPCS,C1713,SCREW INFRAME 2.0MM X 24MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,SCREW INSERTER L63 MM CONNECT TITANIUM CANNULATED HUMERAL NAIL EXPERT,433.88,216.94,83.09,390.49,65
HCPCS,C1713,SCREW INSERTION HANDLE SHORT CANNULATED CONNECT,445.24,222.62,85.26,400.72,65
HCPCS,C1713,SCREW INSERTION HANDLE STANDARD CANNULATED CONNECT EXPERT TIBIAL NAIL,433.88,216.94,83.09,390.49,65
HCPCS,C1713,SCREW INSTRUMENT CONNECT CANNULATED TFN-ADVANCED,353.6,176.8,67.71,318.24,65
HCPCS,C1713,SCREW INSTRUMENT L48 MM UNICOMPARTMENTAL HEAD M/G STAINLESS STEEL KNEE EXTRAMEDULLARY INTRAMEDULLARY,46.8,23.4,8.96,42.12,65
HCPCS,C1713,SCREW INTERFERENCE 10MM 20MM ROUND HEAD,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 10MM 25MM CANNULATED ROUND HEAD TITANIUM FEMUR TIBIA,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 10MM 25MM COMPOSITCP 60 ROUND HEAD,372.0,186.0,71.24,334.8,65
HCPCS,C1713,SCREW INTERFERENCE 10MM 30MM FULL THREAD COMPOSITCP ACL,372.0,186.0,71.24,334.8,65
HCPCS,C1713,SCREW INTERFERENCE 11MM 35MM COMPOSITCP FULLY THREADED ACL RECONSTRUCTION MEDIAL PORTAL,372.0,186.0,71.24,334.8,65
HCPCS,C1713,SCREW INTERFERENCE 7MM 20MM TUNNELOC CANNULATED ROUND HEAD TITANIUM FEMUR,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 7MM 3.5MM 20MM GUARDSMAN 2 HELIX THREAD NONTAPER TIP TITANIUM STERILE FEMORAL,108.76,54.38,20.83,97.88,65
HCPCS,C1713,SCREW INTERFERENCE 7MM 3.5MM 20MM TUNNELOC FULL THREAD CANNULATED HEXAGONAL HEAD TAPERED TIP TITANIUM FEMUR TIBIA,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 8MM 20MM FULL THREAD TITANIUM,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 8MM 20MM TUNNELOC ROUND HEAD TITANIUM FEMUR ARTHROSCOPIC,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 8MM 23MM TENODESIS BIOCOMPOSITE STERILE ACL,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW INTERFERENCE 8MM 23MM TENODESIS VENT PEEK-OPTIMA STERILE FOOT ANKLE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW INTERFERENCE 8MM 25MM FULL THREAD TITANIUM,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 8MM 30MM MILAGRO ADVANCE ABSORBABLE TCP PLGA STERILE ACL LATEX FREE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 20MM KUROSAKA ADVANTAGE CANNULATED TITANIUM STERILE,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 20MM TUNNELOC FULL THREAD TITANIUM,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 20MM TUNNELOC ROUND TITANIUM,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 25MM COMPOSITCP 30 FULL THREAD 70% PLDLA 30% BETA TRI-CALCIUM PHOSPHATE TIBIA ACL TOGGLELOC FIXATION DEVICE,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 25MM PROFILE CANNULATED TITANIUM,287.0,143.5,54.96,258.3,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 25MM TUNNELOC CANNULATED FULL THREAD TITANIUM FEMUR,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 25MM TUNNELOC ROUND HEAD TITANIUM FEMUR,228.0,114.0,43.66,205.2,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 30MM COMPOSITCP 60 ROUND HEAD PLDLA BTCP,372.0,186.0,71.24,334.8,65
HCPCS,C1713,SCREW INTERFERENCE 9MM 30MM MILAGRO ADVANCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW INTERFERENCE CANNULATED 12MM DIA 35MML BIOCRYL RAPIDE TAPERED BIOABSORBABLE OSTEOCONDUCTIVE F/SOFT TISSUE GRAFT FIXATION MILAGRO ADVANCE,340.0,170.0,65.11,306.0,65
HCPCS,C1713,SCREW INTERFERENCE CANNULATED 8MM DIA UNIVERSAL 25MML TITANIUM WEDGE SHAPED BLUNT THREADED 3.5 HEX DRIVER F/BTB SOFT TISSUE GRAFT FIXATION,91.33,45.67,17.49,82.2,65
HCPCS,C1713,SCREW INTRAFIX ADVANCE LARGE SHEATH OD10 MM BIOCRYL RAPIDE TIBIAL L30 MM INTERFERENCE FASTENER SYSTEM,891.0,445.5,170.63,801.9,65
HCPCS,C1713,SCREW INTRAFIX ADVANCE LARGE SHEATH OD9 MM BIOCRYL RAPIDE L30 MM INTERFERENCE TIBIAL FASTENER SYSTEM,891.0,445.5,170.63,801.9,65
HCPCS,C1713,SCREW INTRAFIX ADVANCE OD10 MM PEEK TIBIAL L23 MM INTERFERENCE FASTENER SYSTEM,374.0,187.0,71.62,336.6,65
HCPCS,C1713,SCREW INTRAFIX ADVANCE OD11 MM PEEK TIBIAL L30 MM INTERFERENCE FASTENER SYSTEM,374.0,187.0,71.62,336.6,65
HCPCS,C1713,SCREW INTRAFIX ADVANCE SMALL SHEATH OD7 MM BIOCRYL RAPIDE TIBIAL L30 MM INTERFERENCE FASTENER SYSTEM,891.0,445.5,170.63,801.9,65
HCPCS,C1713,SCREW INTRAFIX ADVANCE SMALL SHEATH OD8 MM BIOCRYL RAPIDE L30 MM INTERFERENCE TIBIAL FASTENER SYSTEM,891.0,445.5,170.63,801.9,65
HCPCS,C1713,SCREW L10 MM L1.7 MM OD1.7 MM ODSEC2.4 MM TITANIUM ACCEPTS .7 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,325.0,162.5,62.24,292.5,65
HCPCS,C1713,SCREW L10 MM L2.3 MM OD2.3 MM ODSEC3 MM TITANIUM ACCEPTS .8 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L10 MM L3.5 MM OD3 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 BONE APTUS,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW L10 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L10 MM L4 MM OD2.2 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 7 BONE APTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L10 MM L4 MM OD2.4 MM T8 SHORT THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L10 MM L5 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,143.0,71.5,27.38,128.7,65
HCPCS,C1713,SCREW L10 MM L5 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.97,10.49,4.02,18.87,65
HCPCS,C1713,SCREW L10 MM L8 MM OD2 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE MAXDRIVE,134.48,67.24,25.75,121.03,65
HCPCS,C1713,SCREW L10 MM OD1 MM ODSEC1.6 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L10 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L10 MM OD1.2 MM 4 MM HEAD TITANIUM HAND CORTICAL HEXADRIVE 4 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L10 MM OD1.3 MM ODSEC2.4 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM LOW PROFILE MODULAR MINI FRAGMENT SET BONE,58.45,29.23,11.19,52.61,65
HCPCS,C1713,SCREW L10 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,75.59,37.8,14.48,68.03,65
HCPCS,C1713,SCREW L10 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L10 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L10 MM OD1.3 MM TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L10 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L10 MM OD1.4 MM VARIABLE ANGLE LOCK BONE,137.46,68.73,26.32,123.71,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM HEXADRIVE 4 TITANIUM HAND CORTICAL GREEN BONE APTUS,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM T4 TITANIUM CORTEX SELF TAP STARDRIVE BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM TITANIUM HAND CORTICAL HEXADRIVE 4 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L10 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L10 MM OD1.6 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L10 MM OD1.8 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L10 MM OD2 MM BONE BABY GORILLA,135.0,67.5,25.85,121.5,65
HCPCS,C1713,SCREW L10 MM OD2 MM CORTICAL METACARPAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L10 MM OD2 MM HEXADRIVE 6 TAPER TITANIUM FOOT HAND ELBOW CORTICAL 2 THREAD SELF TAP PRECISION CUT LOCK ATRAUMATIC TIP BLUE BONE TRI-LOCK APTUS,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L10 MM OD2 MM METACARPAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L10 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L10 MM OD2 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L10 MM OD2 MM SHORT THREAD HEAD BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L10 MM OD2 MM STANDARD TITANIUM HAND HPS BONE OSTEOMED,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L10 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L10 MM OD2 MM T6 STAINLESS STEEL SELF TAP LOCK SELF RETAIN STARDRIVE MODULAR MINI FRAGMENT SET BONE,87.22,43.61,16.7,78.5,65
HCPCS,C1713,SCREW L10 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L10 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,91.21,45.61,17.47,82.09,65
HCPCS,C1713,SCREW L10 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L10 MM OD2 MM TITANIUM CORTEX SELF TAP STARDRIVE BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L10 MM OD2 MM TITANIUM HAND CANNULATED HEADLESS BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L10 MM OD2 MM TITANIUM NITRIDE FOREFOOT NONLOCK MAGENTA BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L10 MM OD2.1 MM CRUCIFORM TITANIUM HAND MODULAR SYSTEM BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACUMED,288.0,144.0,55.15,259.2,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM MANDIBLE NONLOCK CROSS DRIVE GOLD BONE TRAUMAONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE POLARUS 3,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM STAINLESS STEEL CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM T6 TITANIUM HAND 2.3 X7MM SELF TAP THREAD SELF RETAINING MULTIDIRECTIONAL LOCK ATRAUMATIC HEAD BLACK BONE LINOS SMARTDRIVE,67.5,33.75,12.93,60.75,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER BONE ACU-LOC 2,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L10 MM OD2.3 MM TITANIUM MANDIBULAR LOCK CROSS PIN GRAY BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM GOLD BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL MODULAR MINI FRAGMENT SET BONE,89.02,44.51,17.05,80.12,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM LOCK LOW PROFILE BONE POLYLOCK,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM NONLOCK BONE POLYLOCK,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM ODSEC4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE LCP,35.92,17.96,6.88,32.33,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM PARTIAL THREAD TITANIUM HAND LAG CANNULATED SELF RETAIN LOW PROFILE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM POLYAXIAL LOCK GOLD BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM T8 PARTIAL THREAD HEXALOBE LOW PROFILE TITANIUM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED SNAP OFF ACCEPTS .034 IN GUIDEWIRE BONE QUICKFIX,133.08,66.54,25.48,119.77,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM T8 TITANIUM RADIUS DISTAL SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,93.21,46.61,17.85,83.89,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD 1.6 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE QUICKFIX,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L10 MM OD2.4 MM TITANIUM VARIABLE ANGLE COMPRESSION BONE KREULOCK,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM COCR NONLOCK BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM COCR POLYAXIAL CANNULATED LOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM LONG THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM ODSEC3.4 MM TITANIUM FOOT ANKLE CANNULATED COMPRESSION SELF DRILL SELF TAP .9 MM KIRSHNER WIRE BONE FIXOS,336.31,168.16,64.4,302.68,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM SHORT THREAD HEAD BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM STAINLESS STEEL LOCK BLUE BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L10 MM OD2.5 MM TITANIUM HAND COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L10 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM COCR VARIABLE ANGLE LOCK HOLE HEXALOBE THREAD SPHERICAL HEAD SMALL FRAGMENT BASE SET BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM CORTICAL LOW PROFILE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM ELBOW LOCKING HEXALOBE BONE ACUMED,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM FOOT ANKLE NONLOCK PURPLE MINI PLATE SYSTEM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM FOOT ANKLE POLYAXIAL LOCK PURPLE MINI PLATE SYSTEM BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK T8 STARDRIVE RECESS 10 MM BONE,89.92,44.96,17.22,80.93,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM LOCK BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM LOWER EXTREMITY FIX ANGLE LOCK MAGENTA BONE MINI MAXLOCK EXTREME,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM MANDIBLE CROSS DRIVE MAGENTA TRAUMAONE SYSTEM BONE TRAUMAONE LORENZ,129.0,64.5,24.7,116.1,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM MIDFOOT COMPRESSION BONE POLYLOCK,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,30.49,15.25,5.84,27.44,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,30.42,15.21,5.83,27.38,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK TRIMED CLAVICLE FIXATION SYSTEM BONE LOCKING CORTICAL SCREW 2.7MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM T8 FOOT 2 LEAD LOCK BONE OSTEOMED,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,94.3,47.15,18.06,84.87,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM TITANIUM ALUMINUM VANADIUM ANKLE BONE ARSENAL,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM TITANIUM CORTICAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM TITANIUM FOOT LOCK BONE DARCO,104.48,52.24,20.01,94.03,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM TITANIUM MANDIBLE CROSS DRIVE BONE WURZBURG,78.0,39.0,14.94,70.2,65
HCPCS,C1713,SCREW L10 MM OD2.7 MM TITANIUM THORACIC RESCUE BONE RIBFIX BLU,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L10 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L10 MM OD3 MM SHORT THREAD HEAD BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L10 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L10 MM OD3 MM SPINE MULTIAXIAL XS BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L10 MM OD3 MM TITANIUM COMPRESSION MULTITHREAD BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L10 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L10 MM OD3 MM TITANIUM LOCK MULTITHREAD BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L10 MM OD3 MM TITANIUM LOW PROFILE LOCK BONE QUICKFIX,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L10 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L10 MM OD3.2 MM CORTICAL HEXAGON BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L10 MM OD3.2 MM CRANIOFACIAL CROSS DRIVE EMERGENCY 2.7 MM SYSTEM BONE CENTER-DRIVE,106.0,53.0,20.3,95.4,65
HCPCS,C1713,SCREW L10 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE LOCKING CORTICAL SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM 2.7 MM STAINLESS STEEL CORTEX PERIARTICULAR LOCK PLATE SYSTEM BONE,23.92,11.96,4.58,21.53,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM 30 D 2.2 MM TIMAX ELBOW FIBULAR DISTAL MULTIDIRECTIONAL COMPOSITE LOW PROFILE CONTOURED ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM 50 D T15 TITANIUM CANCELLOUS SPINE POLYAXIAL SELF TAP GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM CORTEX SELF TAP BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM FOOT ANKLE BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM FOOT ANKLE FIX ANGLE LOCK BONE MAXLOCK EXTREME,122.39,61.2,23.44,110.15,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM FULL THREAD TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL DRIVE SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM MIDFOOT COMPRESSION BONE POLYLOCK,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM MULTITHREAD TITANIUM LOCK BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM NONLOCK GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE MEDIAL LATERAL BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE MULTIAXIAL BONE INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE MULTIAXIAL NONSTANDARD BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM T15 TITANIUM TIBIA CORTICAL PROXIMAL DISTAL LOCKING LOW PROFILE SELF TAPPING TIP ANATOMIC LOCK PLATE SYSTEM BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM CORTICAL LOCK WRIST FOREARM SET BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM ELBOW LOCK SELF TAP BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM SPINE SELF DRILL FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM SPINE SELF TAP FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L10 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD3.8 MM ANKLE CANCELLOUS BONE SIDEWINDER,79.0,39.5,15.13,71.1,65
HCPCS,C1713,SCREW L10 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L10 MM OD4 MM 50 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP GREEN GRAY 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD4 MM ODSEC4.5 MM T8 FULL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA BONE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L10 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L10 MM OD4 MM SMALL BONE CANCELLOUS HEXALOBE DRIVER BONE ACUMED,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L10 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L10 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL LOCK SELF TAP TIP TAPER THREAD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L10 MM OD4 MM T20 FULL THREAD CANCELLOUS BONE PERI-LOC,53.12,26.56,10.17,47.81,65
HCPCS,C1713,SCREW L10 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD4 MM TITANIUM SPINE SELF DRILL FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L10 MM OD4.2 MM SPINE OCCIPITAL BONE QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L10 MM OD4.2 MM SPINE SELF TAP VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L10 MM OD4.5 MM OCCIPITAL BONE VERTEX SELECT,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L10 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L10 MM OD4.5 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L10 MM OD4.5 MM SPINE OCCIPITOCERVICAL BONE INFINITY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L10 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L10 MM OD5 MM TITANIUM LOCK AXSOS 3 PERIPROSTHETIC BONE AXSOS 3,154.02,77.01,29.49,138.62,65
HCPCS,C1713,SCREW L10 MM OD5 MM TITANIUM SPINE CERVICAL OCCIPITAL CORTICAL BONE VERTEX,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L10 MM SPINE CENTER LLIF BONE AMP,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L10 MM X 2 MM L 10 MM X 2.0 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L10 MM X W2 MM L10 MM X W2 MM VAL BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L100 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L100 MM BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L100 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L100 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L100 MM L16 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L100 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L100 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD GOLD LARGE FRAGMENT SET BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L100 MM L20 MM OD6.5 MM TITANIUM HIP FEMUR SELF TAP SELF DRILL CANNULATED BONE ASNIS III,182.09,91.05,34.87,163.88,65
HCPCS,C1713,SCREW L100 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L100 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L100 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L100 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,308.21,154.11,59.02,277.39,65
HCPCS,C1713,SCREW L100 MM L22 MM OD13 MM STANDARD STAINLESS STEEL FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L100 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L100 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L100 MM L25 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L100 MM L32 MM OD6.5 MM FOOT HEAD BONE DARCO,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW L100 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L100 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L100 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L100 MM L40 MM OD6.5 MM LOW PROFILE STAINLESS STEEL LONG BONE PELVIS CANNULA TAP DESIGN BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L100 MM L40 MM OD6.5 MM STAINLESS STEEL PELVIC ACETABULAR THREAD BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L100 MM L46 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L100 MM OD10 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L100 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L100 MM OD10.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD10.5 MM STAINLESS STEEL IRON CHROMIUM NICKEL LAG TELESCOPE INTERLOCK TROCHANTERIC NAIL SYSTEM BONE,895.0,447.5,171.39,805.5,65
HCPCS,C1713,SCREW L100 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L100 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L100 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE SMALL FRAGMENT SET BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L100 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L100 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L100 MM OD4.5 MM T25 STAINLESS STEEL CORTEX SELF TAP BONE PERI-LOC,58.75,29.38,11.25,52.88,65
HCPCS,C1713,SCREW L100 MM OD5 MM 3.5 MM FLUTE STAINLESS STEEL CANNULATED SELF TAP LOCK VARIABLE ANGLE CURVE CONDYLAR PLATE SYSTEM BONE,233.44,116.72,44.7,210.1,65
HCPCS,C1713,SCREW L100 MM OD5 MM FEMUR LOW PROFILE BONE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW L100 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L100 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L100 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L100 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L100 MM OD5 MM T25 CONDYLAR SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,230.13,115.07,44.07,207.12,65
HCPCS,C1713,SCREW L100 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L100 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L100 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L100 MM OD5 MM TITANIUM LOCK INTRAMEDULLARY NAIL BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L100 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L100 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L100 MM OD5.5 MM TITANIUM SPINE LOCK OPEN TULIP BONE ARMADA,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW L100 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L100 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L100 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L100 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L100 MM OD6.5 MM T25 TITANIUM LATERAL FEMORAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L100 MM OD6.5 MM T25 TITANIUM SELF TAP STARDRIVE BLUNT TIP GOLD EXPERT LATERAL FEMORAL NAIL SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L100 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L100 MM OD7 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L100 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L100 MM OD7.5 MM FULL THREAD TITANIUM FOOT ANKLE COMPRESSION CANNULATED HEADLESS ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L100 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD8 MM SPINE 2 LEAD POLYAXIAL FAVOR ANGLE SOLID 5.5/6 MM ROD BONE TRIALTIS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L100 MM OD8 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L100 MM OD8 MM T27 FULL THREAD TITANIUM SPINE ILIAC POLYAXIAL 5.5 MM ROD BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L100 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD8.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD8.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW L100 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD9 MM TITANIUM SPINE POLYAXIAL BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD9.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L100 MM OD9.5 MM SPINE MULTIAXIAL CANNULATED BS CNCMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L100 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L105 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L105 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L105 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L105 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L105 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L105 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L105 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L105 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L105 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L105 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L105 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L105 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L105 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L105 MM L32 MM OD6.5 MM STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L105 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L105 MM L40 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L105 MM L46 MM OD8 MM PARTIAL THREAD STAINLESS STEEL CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L105 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L105 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L105 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L105 MM OD10.5 MM 6.5 MM HIP LAG BONE AFFIXUS,718.2,359.1,137.54,646.38,65
HCPCS,C1713,SCREW L105 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L105 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L105 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE SMALL FRAGMENT SET BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L105 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L105 MM OD5 MM 3.5 MM FLUTE STAINLESS STEEL CANNULATED SELF TAP LOCK VARIABLE ANGLE CURVE CONDYLAR PLATE SYSTEM BONE LCP,233.44,116.72,44.7,210.1,65
HCPCS,C1713,SCREW L105 MM OD5 MM FULL THREAD TITANIUM LOCK T2 INTRAMEDULLARY NAIL SYSTEM BONE,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L105 MM OD5 MM ID3 MM 3.6 MM HIP FEMUR SELF TAP HEXAGONAL DRIVE SOCKET ANTIROTATION BONE AFFIXUS,296.1,148.05,56.7,266.49,65
HCPCS,C1713,SCREW L105 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L105 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L105 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L105 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L105 MM OD6 MM T25 FULL THREAD TITANIUM FEMORAL SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L105 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L105 MM OD6.5 MM CANNULATED BONE ASNIS,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L105 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L105 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD EXPERT BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L105 MM OD6.5 MM T25 TITANIUM SELF TAP STARDRIVE BLUNT TIP GOLD EXPERT LATERAL FEMORAL NAIL SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L105 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L105 MM OD7.3 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L105 MM OD8 MM STNLS STL BN ASNIS 3,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L11 MM L4 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L11 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW L11 MM OD1 MM CORTEX SELF TAP CRUCIFORM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L11 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L11 MM OD1.2 MM TITANIUM HAND SELF TAPPING CROSS FIT BONE PROFYLE,66.67,33.34,12.77,60.0,65
HCPCS,C1713,SCREW L11 MM OD1.3 MM CORTEX SELF TAP CRUCIFORM BONE,58.45,29.23,11.19,52.61,65
HCPCS,C1713,SCREW L11 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,79.98,39.99,15.32,71.98,65
HCPCS,C1713,SCREW L11 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L11 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,27.78,13.89,5.32,25.0,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM STANDARD MICRO TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM TIMAX CORTICAL SELF TAP NONLOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L11 MM OD1.5 MM TITANIUM MIDFACE SELF TAP HIGH TORQUE CROSS DRIVE GOLD BONE CENTER-DRIVE,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L11 MM OD2 MM CORTICAL METACARPAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L11 MM OD2 MM MANDIBLE SELF DRILL HEXAGONAL HEAD BLUE TRAUMAONE SYSTEM INTERMAXILLARY FIXATION BONE LORENZ,188.0,94.0,36.0,169.2,65
HCPCS,C1713,SCREW L11 MM OD2 MM MAXILLOMANDIBULAR SELF DRILL BONE OMNIMAX,211.0,105.5,40.41,189.9,65
HCPCS,C1713,SCREW L11 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.55,13.78,5.28,24.8,65
HCPCS,C1713,SCREW L11 MM OD2 MM SNAP OFF BONE DART-FIRE EDGE,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW L11 MM OD2 MM STANDARD TITANIUM HAND BONE OSTEOMED,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L11 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM BONE QUICKFIX,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM CORTEX SELF TAP STARDRIVE BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM CRANIOMAXILLOFACIAL LOCK BONE LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM FOOT HAND ANKLE SELF TAP SELF DRILL SNAP OFF BONE CHARLOTTE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM LOCK BONE BABY GORILLA,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM MANDIBULAR CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM QUICK INSERTION BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L11 MM OD2 MM TITANIUM SELF TAP LOCK STARDRIVE BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM MINI TITANIUM MANDIBLE SELF RETAINING CROSS DRIVE BONE LEVEL ONE CMF,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM STANDARD TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM TITANIUM MANDIBLE LOCK CROSS DRIVE GREEN BONE THREADLOCK TS,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L11 MM OD2.3 MM TITANIUM STERNAL LOCK SELF RETAIN BONE DRILL-FREE MAXDRIVE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,38.36,19.18,7.35,34.52,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L11 MM OD2.4 MM TITANIUM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L11 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L11 MM OD2.5 MM HEXAGON TAPER TITANIUM WRIST CORTICAL DRIVE 7 SELF RETAINING ADAPTIVE ATRAUMATIC SELF TAPPING BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM LOCK BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM ODSEC4.3 MM T8 LONG BONE LOCK MINI PLATE SYSTEM BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD NONLOCK TAPER BONE DVR,60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD LOCK TAPER HEAD BONE DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L11 MM OD2.7 MM TITANIUM CRANIOMAXILLOFACIAL LOCK MAXDRIVE BONE LEVEL ONE,140.7,70.35,26.94,126.63,65
HCPCS,C1713,SCREW L11 MM OD3.2 MM CORTICAL HEXAGON BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L11 MM OD3.5 MM HEXALOBE ELBOW BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L11 MM OD3.5 MM HEXALOBE ELBOW LOCK BONE ACU-LOC 2,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L11 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L11 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD3.5 MM TITANIUM SPINE SELF DRILL STAND ALONE INTERBODY DEVICE BONE DIVERGENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L11 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4 MM TITANIUM SPINE SELF TAP FIX ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4 MM TITANIUM SPINE SELF TAP FIX ANGLE LOW PROFILE GOLD BONE VENTURE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4 MM TITANIUM SPINE SELF TAP VARIABLE ANGLE LOW PROFILE GREEN BONE VENTURE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4.5 MM SPINE SELF TAP VARIABLE ANGLE BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L11 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOW PROFILE BLUE BONE VENTURE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L11 MM OD4.5 MM TITANIUM SPINE SELF TAP VARIABLE ANGLE LOW PROFILE MAGENTA BONE VENTURE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L110 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L110 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L110 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L110 MM L16 MM OD7 MM ODSEC8 MM REVERSE CUT FLUTE BIODUR 108 CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDEWIRE BONE,260.82,130.41,49.95,234.74,65
HCPCS,C1713,SCREW L110 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L110 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE DHS DCS,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L110 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L110 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L110 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,308.21,154.11,59.02,277.39,65
HCPCS,C1713,SCREW L110 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L110 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L110 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L110 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L110 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L110 MM L32 MM OD6.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L110 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L110 MM L40 MM OD6.5 MM TITANIUM CANNULATED BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L110 MM L46 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L110 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED TAN BONE,468.29,234.15,89.68,421.46,65
HCPCS,C1713,SCREW L110 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L110 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L110 MM OD10.5 MM TIMAX TROCHANTERIC LAG NAIL SYSTEM BONE ATN,364.8,182.4,69.86,328.32,65
HCPCS,C1713,SCREW L110 MM OD3 MM TITANIUM CLAVICLE DIFFERENTIAL PITCH CUTTING FLUTE TAIL EASE INSERTION BONE DUAL-TRAK,1166.0,583.0,223.29,1049.4,65
HCPCS,C1713,SCREW L110 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L110 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE SMALL FRAGMENT SET BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L110 MM OD5 MM 3.5 MM FLUTE STAINLESS STEEL CANNULATED SELF TAP LOCK VARIABLE ANGLE CURVE CONDYLAR PLATE SYSTEM BONE LCP,233.44,116.72,44.7,210.1,65
HCPCS,C1713,SCREW L110 MM OD5 MM FULL THREAD TITANIUM LOCK T2 INTRAMEDULLARY NAIL SYSTEM BONE,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L110 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L110 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L110 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L110 MM OD6 MM T25 FULL THREAD TITANIUM FEMORAL SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L110 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L110 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L110 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L110 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L110 MM OD7 MM SHORT THREAD COMPRESSION HEADLESS BONE FIXOS,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW L110 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L110 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L110 MM OD9.5 MM TITANIUM SPINE MULTIAXIAL CLOSED BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L110 MM STAINLESS STEEL IRON CHROMIUM NICKEL LEFT THREAD LAG TELESCOPE INTERLOCK TROCHANTERIC NAIL SYSTEM BONE,895.0,447.5,171.39,805.5,65
HCPCS,C1713,SCREW L115 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L115 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L115 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L115 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L115 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L115 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L115 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L115 MM L32 MM OD6.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L115 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,217.43,108.72,41.64,195.69,65
HCPCS,C1713,SCREW L115 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L115 MM L46 MM OD8 MM PARTIAL THREAD STAINLESS STEEL CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L115 MM OD10.35 MM 3.5 MM TITANIUM ALUMINUM NIOBIUM CANNULATED TAN BONE,468.29,234.15,89.68,421.46,65
HCPCS,C1713,SCREW L115 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L115 MM OD10.35 MM TITANIUM FEMORAL PROXIMAL CANNULATED GOLD TFN-ADVANCED INTRAMEDULLARY NAIL SYSTEM BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L115 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L115 MM OD3.5 MM 2.5 MM STAINLESS STEEL CORTEX FULL THREAD SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L115 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE SMALL FRAGMENT SET BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L115 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L115 MM OD5 MM FULL THREAD TITANIUM LOCK T2 INTRAMEDULLARY NAIL SYSTEM BONE,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L115 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L115 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L115 MM OD5.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW L115 MM OD6 MM T25 FULL THREAD TITANIUM FEMORAL SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L115 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L115 MM OD6.5 MM CANNULATED BONE ASNIS,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L115 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L115 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L115 MM OD6.5 MM T25 TITANIUM LATERAL FEMORAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L115 MM OD7 MM SHORT THRD CMPR HDLS BN FIXOS,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW L115 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L12 MM L4 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L12 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L12 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L12 MM L4 MM OD2.4 MM T8 SHORT THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED STARDRIVE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L12 MM L4 MM OD2.5 MM TITANIUM HEADLESS COMPRESSION SHORT THREAD BONE CAPTIVATE SOLA,440.0,220.0,84.26,396.0,65
HCPCS,C1713,SCREW L12 MM L5 MM OD1.7 MM LONG THREAD TITANIUM COMPRESSION CANNULATED SELF DRILL HEXADRIVE 4 GOLD BONE APTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM L5 MM OD2 MM ODSEC2.75 MM MICRO PARTIAL THREAD TITANIUM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE BONE ASNIS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW L12 MM L5 MM OD3 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 BONE APTUS,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW L12 MM L5 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L12 MM L5 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.97,10.49,4.02,18.87,65
HCPCS,C1713,SCREW L12 MM L8 MM OD2 MM STAINLESS STEEL MAXILLOMANDIBULAR BONE DRILL-FREE MAXDRIVE,97.19,48.6,18.61,87.47,65
HCPCS,C1713,SCREW L12 MM L8 MM OD2 MM TITANIUM MAXILLOMANDIBULAR SINGLE BONE LEVEL ONE MAXDRIVE DRILL-FREE,97.19,48.6,18.61,87.47,65
HCPCS,C1713,SCREW L12 MM LARGE DIAMETER TITANIUM SPINE VARIABLE ANGLE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD1 MM CORTEX SELF TAP CRUCIFORM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L12 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L12 MM OD1.2 MM 4 MM HEAD HAND CORTICAL HEXADRIVE 4 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L12 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,79.98,39.99,15.32,71.98,65
HCPCS,C1713,SCREW L12 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L12 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L12 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM PHALANGEAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM TIMAX CORTICAL SELF TAP NONLOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L12 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L12 MM OD1.6 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L12 MM OD1.7 MM SELF TAP AXIAL STABILITY LOWER PROFILE BONE AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW L12 MM OD2 MM 3/4 THREAD BITE BREAK OFF BONE MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L12 MM OD2 MM 6 MM HEAD TITANIUM FOOT HAND ELBOW WRIST SELF TAP VARIABLE ANGLE ATRAUMATIC TIP HEXADRIVE 6 BLUE BONE APTUS,447.77,223.89,85.75,402.99,65
HCPCS,C1713,SCREW L12 MM OD2 MM CORTICAL METACARPAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L12 MM OD2 MM ODSEC1.5 MM STAINLESS STEEL CORTICAL HEXAGON HEAD MINI FRAGMENT BONE,23.36,11.68,4.47,21.02,65
HCPCS,C1713,SCREW L12 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,32.55,16.28,6.23,29.3,65
HCPCS,C1713,SCREW L12 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L12 MM OD2 MM SHORT THREAD BITE BONE MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L12 MM OD2 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L12 MM OD2 MM STANDARD TITANIUM HAND HPS BONE OSTEOMED,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L12 MM OD2 MM T6 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L12 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L12 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L12 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L12 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L12 MM OD2 MM T6 VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L12 MM OD2 MM TAPER TITANIUM HAND ELBOW WRIST CORTICAL 2 THREAD HEXADRIVE 6 SELF TAP ATRAUMATIC TIP BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM ALUMINUM VANADIUM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM ALUMINUM VANADIUM CANNULATED HEADLESS BONE TIGER,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM BONE QUICKFIX,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM HAND CANNULATED BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM HAND LAG CANNULATED SELF TAP SELF DRILL HPS BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD GOLD MAGENTA 1.3 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM NITRIDE FOREFOOT NONLOCK MAGENTA BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L12 MM OD2 MM TITANIUM QUICK INSERTION BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L12 MM OD2 MM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L12 MM OD2.1 MM TITANIUM CRUCIFORM BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM ANKLE CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACUMED,288.0,144.0,55.15,259.2,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM MANDIBLE NONLOCK CROSS DRIVE GOLD BONE TRAUMAONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L12 MM OD2.3 MM TITANIUM MANDIBULAR LOCK CROSS PIN GRAY BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM FOOT ANKLE POLYAXIAL LOCK GOLD BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM LOWER EXTREMITY NONLOCK GREEN BONE MINI MAXLOCK EXTREME,98.51,49.26,18.86,88.66,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM MINI NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM MINI NONLOCK POLYAXIAL BONE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM NONLOCK BONE POLYLOCK,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM STANDARD TITANIUM HAND BONE HPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MINI FRAGMENT SET BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM CORTEX LOW PROFILE BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM HAND LAG CANNULATED SOLID CORE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD 1.6 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM THORACIC SELF DRILL LOCK BONE RIBFIX BLU,219.0,109.5,41.94,197.1,65
HCPCS,C1713,SCREW L12 MM OD2.4 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM COCR POLYAXIAL CANNULATED LOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM COCR RADIUS DISTAL NONLOCK BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM FULL COMPRESSION EDGE HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM LONG THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM SHORT THREAD HEAD BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM STAINLESS STEEL ANKLE LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L12 MM OD2.5 MM TITANIUM HAND WRIST COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L12 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L12 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM BONE GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM COCR VARIABLE ANGLE LOCK HOLE HEXALOBE THREAD SPHERICAL HEAD SMALL FRAGMENT BASE SET BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ELBOW LOCKING HEXALOBE BONE ACUMED,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM FOOT ANKLE NONLOCK PURPLE MINI PLATE SYSTEM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM FOOT ANKLE POLYAXIAL LOCK PURPLE BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM HEXALOBE BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ID2.1 MM T8 TITANIUM SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,91.56,45.78,17.53,82.4,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM LOCK BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM LOCKING MDS BONE ALPS MVX,204.0,102.0,39.07,183.6,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM LOWER EXTREMITY LOCK MAGENTA BONE MINI MAXLOCK EXTREME,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM MIDFOOT COMPRESSION BONE POLYLOCK,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ODSEC2.5 MM STAINLESS STEEL CORTICAL SMALL HEXAGON HEAD MINI FRAGMENT BONE,12.48,6.24,2.39,11.23,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ODSEC5 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM SELF DRILL LOCK BONE MATRIXSTERNUM,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM SHORT THREAD BITE BONE MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK TRIMED CLAVICLE FIXATION SYSTEM BONE LOCKING CORTICAL SCREW 2.7MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM STAINLESS STEEL LOW PROFILE LOCK BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM STAINLESS STEEL TOTAL WRIST FUSION SYSTEM BONE SURFIX INTEGRA,508.62,254.31,97.4,457.76,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM T8 FOOT 2 LEAD LOCK BONE OSTEOMED,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L12 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM TITANIUM ELBOW LOCKING SELF TAPPING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM TITANIUM FOOT LOCK BONE DARCO,104.48,52.24,20.01,94.03,65
HCPCS,C1713,SCREW L12 MM OD2.7 MM TITANIUM THORACIC RESCUE BONE RIBFIX BLU,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L12 MM OD2.8 MM T10 SOLID NONLOCK 2 MM DRILL BONE OMNI,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L12 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L12 MM OD2.8-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK,340.0,170.0,65.11,306.0,65
HCPCS,C1713,SCREW L12 MM OD3 MM FULL THREAD CANNULATED BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L12 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L12 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L12 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L12 MM OD3 MM T10 FULL THREAD TITANIUM SELF TAP LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM CERVICAL SELF TAP LOCK SELF CENTER BLUE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM COMPRESSION MULTITHREAD BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM HAND LAG CANNULATED SELF TAP SELF DRILL HPS BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM LOCK MULTITHREAD BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM LOCK VARIABLE ANGLE BONE LOW PROFILE SCREWS,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L12 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L12 MM OD3.2 MM CORTEX HEXAGONAL ANKLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L12 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE OLECRANON SLED,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD3.2 MM STAINLESS STEEL CORTEX LOCK CLAVICLE FIXATION SYSTEM BONE LOCKING HEX SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM 30 D 2.2 MM TIMAX LOW PROFILE MULTIDIRECTIONAL COMPOSITE BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM 50 D T15 TITANIUM CANCELLOUS SPINE POLYAXIAL SELF TAP GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ANKLE NONLOCK BONE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM BIAS ANGLE TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM COCR CLAVICLE LOCK BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM COCR HEXALOBE LOCK BONE,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM CORTICAL LOW PROFILE BONE QUICKFIX,48.0,24.0,9.19,43.2,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM FEMUR CORTICAL DISTAL T15 HEXALOBE DRIVE LOCKING BONE PEDILOC,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM LARGE LOCK TUBE CAP BONE 5MS,113.0,56.5,21.64,101.7,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM MINI SPINE POLYAXIAL BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM NONLOCKING BONE ANCHORAGE,78.61,39.31,15.05,70.75,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ODSEC2.5 MM STAINLESS STEEL CORTICAL SMALL HEXAGON HEAD SMALL FRAGMENT BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE FIX ANGLE BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE MULTIAXIAL BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE POLYAXIAL BONE INVICTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM SQUARE HAND CORTICAL LOCK DRIVE BONE LOCK SCREW SQUARE DRIVE,113.0,56.5,21.64,101.7,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM T15 TIBIA CORTICAL DISTAL SELF TAP LOCK TAPER BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM T15 TIMAX TIBIA CORTICAL DISTAL LOCK LOW PROFILE SELF TAP TIP TAPER THREAD HEAD ALPS BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM T15 TITANIUM CORTICAL SELF TAP YELLOW SMALL FRAGMENT BONE AXSOS 3 PANGEA,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM T15 TITANIUM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM CLAVICLE SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM OLECRANON LOCK MULTITHREAD BRONZE HUMERAL PLATE SET BONE FREEFIX,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM SPINE SELF DRILL FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM SPINE SELF TAP FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD3.6 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD3.7 MM TITANIUM SPINE CERVICAL SELF TAP VARIABLE ANGLE BLUE BONE ZERO-P,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD3.8 MM CANCELLOUS BONE SIDEWINDER,79.0,39.5,15.13,71.1,65
HCPCS,C1713,SCREW L12 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L12 MM OD4 MM 20- D TITANIUM SPINE SELF TAP VARIABLE ANGLE BLUE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM 5- D TITANIUM SPINE SELF DRILL CONSTRAIN BLUE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L12 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS HEXALOBE BONE ACUMED,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L12 MM OD4 MM MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE POLYAXIAL BONE INVICTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE SHARP TIP BONE CERES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE SELF TAP 1662712 BONE COROENT SMALL INTERLOCK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM SPINE THORACIC MEDIAL LATERAL SELF FORM TIP MINIPOLYAXIAL FAVOUR ANGLE LOW PROFILE BLUE VIOLET BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM T15 CANCELLOUS FULL THREAD SELF TAP BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L12 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L12 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER THREAD HEAD ALPS SMALL FRAGMENT BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM CANCELLOUS HEXAGONAL BONE ACUMED,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CANCELLOUS SELF TAP BONE,510.0,255.0,97.67,459.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE COLOR CODED SPHERICAL HEAD BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE CUT FLUTE TIP EMERALD GREEN BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE CERVICAL CANCELLOUS SELF TAP EXPANSION HEAD BONE CSLP,65.0,32.5,12.45,58.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4 MM TITANIUM SPINE SELF DRILL FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4 MM VARIABLE SELF-DRILLING BONE TEMPUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.2 MM SPINE OCCIPITAL BONE QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.2 MM SPINE SELF TAP VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.35 MM SPINE SELF DRILL VARIABLE ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE DEFENDER,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD4.35 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.35 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE COLOR CODED SPHERICAL HEAD BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM 5- D OVERSIZE LARGE DIAMETER TITANIUM SPINE CONSTRAIN BLUE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM ODSEC7.9 MM T25 FLUTE STAINLESS STEEL LONG BONE SMALL BONE 3 LEAD SELF TAP SELF RETAINING LOCK RED LARGE FRAGMENT SET BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM SPINE OCCIPITAL 8976412 BONE VUEPOINT II,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM SPINE OCCIPITOCERVICAL BONE INFINITY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM SPINE VARIABLE ANGLE RESCUE BONE CERES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM T15 TITANIUM OCCIPITAL SELF RETAIN BLUNT TIP STARDRIVE FUSION SYSTEM BONE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED BONE VERTEX RECONSTRUCTION SYSTEM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM TITANIUM SPINE OCCIPITAL BONE VERTEX SELECT,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L12 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM OD4.6 MM SPINE SELF TAP BONE UNIPLATE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM OD5 MM STAINLESS STEEL CONDYLAR SELF TAP VARIABLE ANGLE LOCK THREAD ROUND HEAD PERIPROSTHETIC BONE OPTILINK,304.54,152.27,58.32,274.09,65
HCPCS,C1713,SCREW L12 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,108.46,54.23,20.77,97.61,65
HCPCS,C1713,SCREW L12 MM OD5 MM TITANIUM PERIARTICULAR SELF TAP LOCK STARDRIVE BONE,207.33,103.67,39.7,186.6,65
HCPCS,C1713,SCREW L12 MM OD5.25 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L12 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM TITANIUM SPINE SELF TAP CONSTRAIN BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L12 MM X W1.5 MM 30 D 6 MM OPEN FORWARD CURVE MP35N BLADE BONE,38.36,19.18,7.35,34.52,65
HCPCS,C1713,SCREW L12.5 MM OD3.3-4.6 MM STANDARD TITANIUM FOOT HAND SELF CUT CANNULATED VARIABLE THREAD PITCH HEADLESS BONE ACUTRAK,340.0,170.0,65.11,306.0,65
HCPCS,C1713,SCREW L120 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L120 MM L16 MM OD6.5 MM STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L120 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L120 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE DHS DCS,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L120 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L120 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L120 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L120 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L120 MM L32 MM OD6.5 MM PARTIAL THREAD CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L120 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L120 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L120 MM OD10.35 MM 3.5 MM TITANIUM ALUMINUM NIOBIUM CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L120 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L120 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM CANNULATED TAN BONE TFN-ADVANCED,531.48,265.74,101.78,478.33,65
HCPCS,C1713,SCREW L120 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L120 MM OD10.5 MM 6.5 MM HIP LAG REVERSE BUTTRESS THREAD SELF TAP CANNULATED BONE AFFIXUS,718.2,359.1,137.54,646.38,65
HCPCS,C1713,SCREW L120 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L120 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE SMALL FRAGMENT SET BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L120 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L120 MM OD5 MM FULL THREAD TITANIUM LOCK T2 INTRAMEDULLARY NAIL SYSTEM BONE,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L120 MM OD5 MM LOCKING FEMUR RETROGRADE NAIL SYSTEM BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L120 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L120 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L120 MM OD6 MM T25 FULL THREAD TITANIUM FEMORAL SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L120 MM OD6 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE DARK PURPLE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.16,85.58,32.78,154.04,65
HCPCS,C1713,SCREW L120 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L120 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L120 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L120 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L120 MM OD7 MM SHORT THREAD COMPRESSION HEADLESS BONE FIXOS,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW L120 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L125 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L125 MM L16 MM OD6.5 MM STAINLESS STEEL CANNULATED HEAD BONE PRO-PAK,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L125 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L125 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L125 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L125 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L125 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L125 MM L32 MM OD6.5 MM PARTIAL THREAD CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L125 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L125 MM OD10.35 MM 3.5 MM TITANIUM ALUMINUM NIOBIUM CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L125 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L125 MM OD10.5 MM TITANIUM TROCHANTER LAG NAIL 180 BONE GAMMA3,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW L125 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L125 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE SMALL FRAGMENT SET BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L125 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L125 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L125 MM OD6 MM T25 FULL THREAD TITANIUM FEMORAL SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L125 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L125 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L125 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L125 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L13 MM L4 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L13 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L13 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L13 MM L6 MM OD2 MM MICRO REVERSE CUT FLUTE TITANIUM HAND FOOT CANNULATED COLOR CODED SELF CUT LOW PROFILE BONE ASNIS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW L13 MM OD1 MM CORTEX SELF TAP CRUCIFORM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L13 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L13 MM OD1.2 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L13 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.88,37.44,14.34,67.39,65
HCPCS,C1713,SCREW L13 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L13 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L13 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L13 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L13 MM OD1.4 MM VARIABLE ANGLE LOCK BONE,137.46,68.73,26.32,123.71,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM HAND CORTICAL LOCK BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,32.8,16.4,6.28,29.52,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.68,13.84,5.3,24.91,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM TIMAX CORTICAL SELF TAP NONLOCK SQUARE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L13 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L13 MM OD1.7 MM T5 BONE VARIAX 2,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW L13 MM OD2 MM EDGE SNAP OFF BONE DART-FIRE,342.0,171.0,65.49,307.8,65
HCPCS,C1713,SCREW L13 MM OD2 MM HEADLESS BONE OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L13 MM OD2 MM LONG THREAD BITE BONE MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L13 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.55,13.78,5.28,24.8,65
HCPCS,C1713,SCREW L13 MM OD2 MM SHORT THREAD BITE BONE MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L13 MM OD2 MM T6 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L13 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L13 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L13 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L13 MM OD2 MM TI-6AL-4V CRANIOMAXILLOFACIAL LOCK BONE LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L13 MM OD2 MM TITANIUM MANDIBULAR CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L13 MM OD2.3 MM MINI TITANIUM MANDIBLE SELF RETAINING CROSS DRIVE BONE LEVEL ONE CMF,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L13 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L13 MM OD2.3 MM STANDARD TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP BLUE BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L13 MM OD2.3 MM TAPER TITANIUM CRANIOMAXILLOFACIAL SELF RETAIN LOCK CONCAVE HEAD GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L13 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L13 MM OD2.3 MM TITANIUM STERNAL LOCK SELF RETAIN BONE DRILL-FREE MAXDRIVE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM STAINLESS STEEL CORTEX SELF-TAPPING BONE,38.36,19.18,7.35,34.52,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MINI FRAGMENT SET BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L13 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L13 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L13 MM OD2.5 MM COCR POSITIONING BONE ANTHEM,48.0,24.0,9.19,43.2,65
HCPCS,C1713,SCREW L13 MM OD2.5 MM TITANIUM CORTICAL 7 HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L13 MM OD2.5 MM TITANIUM MANDIBULAR SELF RETAINING EMERGENCY CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,66.19,33.1,12.68,59.57,65
HCPCS,C1713,SCREW L13 MM OD2.5 MM TITANIUM MAXILLOFACIAL SELF RETAINING EMERGENCY CROSS DRIVE BONE LEVEL ONE CMF,66.19,33.1,12.68,59.57,65
HCPCS,C1713,SCREW L13 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM LOCK BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM NONLOCK GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L13 MM OD2.7 MM TITANIUM CRANIOMAXILLOFACIAL LOCK MAXDRIVE BONE LEVEL ONE,140.7,70.35,26.94,126.63,65
HCPCS,C1713,SCREW L13 MM OD3.2 MM CORTICAL HEX BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM CORTEX BONE EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM HEXALOBE ELBOW BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM HEXALOBE ELBOW LOCK BONE ACUMED,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM STAINLESS STEEL LOCK ANKLE FRACTURE SYSTEM BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM TITANIUM CORTICAL LOCK WRIST FOREARM SET BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR BONE DIVERGENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD3.5 MM TITANIUM SPINE SELF DRILL MINI PLATE BONE DIVERGENCE,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW L13 MM OD4 MM 20- D TITANIUM SPINE SELF DRILL VARIABLE ANGLE VIOLET BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE HELIX MINI ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE HELIX MINI ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE 8780213 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE SELF TAP FIX ANGLE 8780313 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM SPINE SELF TAP VARIABLE ANGLE 8780413 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CANCELLOUS VARIABLE ANGLE GREEN ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR CANCELLOUS FIX ANGLE GRAY ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM SPINE RESCUE BONE COROENT SMALL INTERLOCK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM SPINE SELF TAP FIX ANGLE 8780913 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM SPINE SELF TAP VARIABLE ANGLE 8780613 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L13 MM OD4.5 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L13 MM OD4.6 MM SPINE SELF TAP BONE UNIPLATE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L130 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L130 MM L16 MM OD6.5 MM STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L130 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L130 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L130 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L130 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L130 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L130 MM L32 MM OD6.5 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL CANNULATED BONE CAPTIVATE,230.0,115.0,44.05,207.0,65
HCPCS,C1713,SCREW L130 MM L32 MM OD6.5 MM PARTIAL THREAD CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L130 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L130 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L130 MM OD10.35 MM TITANIUM FEMORAL PROXIMAL CANNULATED GOLD TFN-ADVANCED INTRAMEDULLARY NAIL SYSTEM BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L130 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L130 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L130 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,43.78,21.89,8.38,39.4,65
HCPCS,C1713,SCREW L130 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,179.08,89.54,34.29,161.17,65
HCPCS,C1713,SCREW L130 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L130 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L130 MM OD7.3 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L130 MM OD8 MM STAINLESS STEEL CANNULATED BONE ASNIS,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L135 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L135 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L135 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L135 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L135 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L135 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L135 MM L32 MM OD6.5 MM PARTIAL THREAD CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L135 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L135 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L135 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L135 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L136 MM G2 PELVIC BONE INTELLIJOINT HIP,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L14 MM DISTRACTION BONE MAXCESS-C,23.0,11.5,4.4,20.7,65
HCPCS,C1713,SCREW L14 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L14 MM L4 MM OD2 MM T6 SHORT THREAD TITANIUM NIOBIUM ALUMINUM COMPRESSION SELF TAP SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L14 MM L4 MM OD2.4 MM T8 SHORT THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L14 MM L5 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L14 MM L6 MM OD2 MM MICRO TITANIUM CANNULATED BONE ASNIS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW L14 MM LOCK BONE STERNALOCK EZ,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L14 MM OD1 MM CORTEX SELF TAP CRUCIFORM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L14 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L14 MM OD1.2 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L14 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.88,37.44,14.34,67.39,65
HCPCS,C1713,SCREW L14 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L14 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L14 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,88.47,44.24,16.94,79.62,65
HCPCS,C1713,SCREW L14 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM PHALANGEAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM T4 TITANIUM SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM T6 TITANIUM HAND 2 SELF TAP THREAD SELF RETAINING MULTIDIRECTIONAL LOCK ATRAUMATIC HEAD GREEN BONE LINOS SMARTDRIVE,144.0,72.0,27.58,129.6,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM TIMAX CORTICAL SELF TAP NONLOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L14 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L14 MM OD1.7 MM COMPRESSION CANNULATED LONG THREAD BONE CANNCOMPSCREW 1.7MM (SELFDRILL),325.0,162.5,62.24,292.5,65
HCPCS,C1713,SCREW L14 MM OD1.8 MM COCR LOCK PEG BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L14 MM OD2 MM 2 THREAD TAPER TITANIUM CORTICAL ELBOW WRIST HAND SELF TAPPING SELF RETAINING ATRAUMATIC TIP HEXADRIVE 6 BONE APTUS,275.76,137.88,52.81,248.18,65
HCPCS,C1713,SCREW L14 MM OD2 MM LOCK BONE BABY GORILLA,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW L14 MM OD2 MM LOCK BONE POLYLOCK,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW L14 MM OD2 MM MANDIBLE LOCK CROSS DRIVE SILVER TRAUMAONE SYSTEM BONE TRAUMAONE,94.0,47.0,18.0,84.6,65
HCPCS,C1713,SCREW L14 MM OD2 MM METACARPAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L14 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,32.55,16.28,6.23,29.3,65
HCPCS,C1713,SCREW L14 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L14 MM OD2 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD AQUA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L14 MM OD2 MM T6 LOCK VARIAX FOOT PLATE SYSTEM BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L14 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L14 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L14 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L14 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L14 MM OD2 MM T6 VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L14 MM OD2 MM TITANIUM FOOT HAND ANKLE SELF TAP SELF DRILL SNAP OFF BONE CHARLOTTE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L14 MM OD2 MM TITANIUM HAND CANNULATED HEADLESS BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L14 MM OD2 MM TITANIUM HAND LAG CANNULATED SOLID CORE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L14 MM OD2 MM TITANIUM NITRIDE FOREFOOT NONLOCK MAGENTA BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L14 MM OD2 MM TITANIUM QUICK INSERTION BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L14 MM OD2.1 MM TITANIUM CRUCIFORM BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM 1.5 MM FULL THREAD TITANIUM FOREFOOT CORTEX SELF TAP SELF DRILL SOLID HEXAGONAL PROXIMAL OPEN WEDGE OSTEOTOMY BONE LOW PROFILE SCREWS,93.15,46.58,17.84,83.84,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACU-LOC 2,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM LAG HEXALOBE BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM STAINLESS STEEL CORTEX FIX ANGLE ANKLE FIXATION SYSTEM BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACU-LOC 2,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM TITANIUM LOCK VARIABLE ANGLE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L14 MM OD2.3 MM TITANIUM MAXILLOFACIAL LOCK CROSS PIN BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM FULL THREAD BONE OSTEOMED,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM GOLD BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM ID1.9 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM LOCK BONE POLYLOCK,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM LOWER EXTREMITY FIX ANGLE LOCK GREEN BONE MINI MAXLOCK EXTREME,94.53,47.27,18.1,85.08,65
HCPCS,C1713,"SCREW L14 MM OD2.4 MM LOWER EXTREMITY NONLOCK GREEN BONE MINI MAXLOCK EXTREME,EXTREME",98.51,49.26,18.86,88.66,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM MINI FOOT ANKLE POLYAXIAL NONLOCK BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM MINI LOCK POLYAXIAL BONE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE RETAIN STARDRIVE BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM ODSEC4 MM T8 TITANIUM CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE MODULAR MINI FRAGMENT SYSTEM BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR VARIABLE ANGLE LOCK SMOOTH GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM T7 TITANIUM SELF TAP LOCK BONE VLP,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP STARDRIVE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREW,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM HAND CANNULATED BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD 1.6 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM THORACIC SELF DRILL LOCK BONE RIBFIX BLU,219.0,109.5,41.94,197.1,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW L14 MM OD2.4 MM TITANIUM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM 7 TITANIUM WRIST CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM COCR LOCK CANNULATED POLYAXIAL DISTAL ELBOW SET TRAY B BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM COCR RADIUS DISTAL NONLOCK BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM FULL THREAD COMPRESSION SELF TAP CANNULATED HEADLESS MAGENTA 1.8 MM DRILL BONE MAX VPC,346.0,173.0,66.26,311.4,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM HEAD BONE POLYLOCK MINILOCK,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM LONG THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM STAINLESS STEEL LOCK BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM TITANIUM CORTICAL 7 HEXADRIVE BONE APTUS,55.15,27.58,10.56,49.64,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM TITANIUM CORTICAL 7 HEXADRIVE LOCK BONE APTUS,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW L14 MM OD2.5 MM TITANIUM HAND WRIST CANNULATED COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L14 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ANKLE VARIABLE ANGLE LOCK BONE,134.55,67.28,25.77,121.1,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM COCR VARIABLE ANGLE HEXALOBE BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ELBOW LOCKING HEXALOBE BONE ACUMED,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM LOWER EXTREMITY FIX ANGLE LOCK MAGENTA BONE MINI MAXLOCK EXTREME,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM LOWER EXTREMITY NONLOCK MAGENTA BONE MINI MAXLOCK EXTREME,98.51,49.26,18.86,88.66,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM MINI LOCK POLYAXIAL BONE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ODSEC5 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM RECONSTRUCTION GORILLA PLATE SYSTEM BONE GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM SELF DRILL LOCK BONE MATRIXSTERNUM,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK TRIMED CLAVICLE FIXATION SYSTEM BONE LOCKING CORTICAL SCREW 2.7MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM STAINLESS STEEL CORTICAL NONLOCK ANKLE FRACTURE MANAGEMENT SYSTEM BONE LOW PROFILE SCREWS,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM STERNAL CANCELLOUS LOCK EMERGENCY MAGENTA PRIMARY CLOSURE SYSTEM BONE STERNALOCK BLU,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE YELLOW PEDIFRAG SYSTEM BONE PEDILOC FRAGMENT SYSTEM,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM T8 FOOT 2 LEAD LOCK BONE OSTEOMED,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM T8 TITANIUM ELBOW METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,91.56,45.78,17.53,82.4,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L14 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEX DRIVE BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG NONLOCK BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM ELBOW LOCKING SELF TAPPING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM ELBOW SELF TAPPING PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM LOCK BONE DARCO,104.48,52.24,20.01,94.03,65
HCPCS,C1713,SCREW L14 MM OD2.7 MM TITANIUM THORACIC RESCUE BONE RIBFIX BLU,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L14 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L14 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L14 MM OD3 MM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L14 MM OD3 MM COCR POLYAXIAL LOCK CANNULATED BONE HUMERAL FIXATION SET,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW L14 MM OD3 MM FULL THREAD CANNULATED BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L14 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L14 MM OD3 MM ODSEC4 MM ID1.2 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L14 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L14 MM OD3 MM SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS 1.1 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L14 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L14 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L14 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREW,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L14 MM OD3 MM T10 FULL THREAD TITANIUM SELF TAP LOCK COMPREHENSIVE FOOT SYSTEM BONE QUICKFIX,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM CERVICAL SELF TAP LOCK SELF CENTER GOLD BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM COMPRESSION MULTITHREAD BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM LOW PROFILE VARIABLE ANGLE LOCK BONE QUICKFIX,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM MULTITHREAD LOCK DORSAL SPAN PLATE BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L14 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L14 MM OD3.2 MM CORTEX HEXAGONAL ANKLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L14 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE TRIMED ELBOW & FOREARM SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD3.2 MM SHORT THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L14 MM OD3.2 MM STAINLESS STEEL CORTEX LOCK BONE LOCKING HEX SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM 15 D STAINLESS STEEL CANCELLOUS SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM 2.2 MM TIMAX COCR FOOT SELF TAP TIP LOCK MULTIDIRECTIONAL TAPER THREAD ALPS BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM COCR CLAVICLE LOCK BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM COCR VARIABLE ANGLE HEXALOBE SMALL FRAGMENT BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM CORTICAL LOW PROFILE BONE,48.0,24.0,9.19,43.2,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM FOOT ANKLE FIX ANGLE LOCK BONE MAXLOCK EXTREME,122.39,61.2,23.44,110.15,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM MINI SPINE POLYAXIAL BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM ODSEC2.5 MM SMALL HEXAGON STAINLESS STEEL CORTICAL BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM POLYAXIAL BONE MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE CERVICAL POSTERIOR MULTIAXIAL FAVOR ANGLE BONE VUEPOINT,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE CERVICAL SELF DRILL STANDALONE BONE IDENTITI,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE POLYAXIAL BONE INVICTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM SQUARE HAND CORTICAL LOCK DRIVE BONE LOCK SCREW SQUARE DRIVE,113.0,56.5,21.64,101.7,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM STAINLESS STEEL CORTICAL ELBOW NONLOCK BLUE ELBOW PLATE SYSTEM BONE EVOLVE,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM STAINLESS STEEL LOCK ANKLE FRACTURE SYSTEM BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM T15 CORTICAL SELF TAP LOCK LOW PROFILE TAPER BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM T15 TITANIUM CORTICAL LOW PROFILE NONLOCK BONE A.L.P.S.,55.0,27.5,12.0,49.5,64
HCPCS,C1713,SCREW L14 MM OD3.5 MM T8 LOCK QUICK RELEASE TAB COLOR CODED TUBE CAP BONE COLINK,113.0,56.5,21.64,101.7,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM POLYAXIAL SELF TAP GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE POST BONE VERTEX,98.37,49.19,18.84,88.53,65
HCPCS,C1713,SCREW L14 MM OD3.5 MM TITANIUM SPINE SELF DRILL FIX ANGLE SHARP TIP CERVICAL CAGE SYSTEM BONE AVS ANCHOR-C,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD3.6 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD3.7 MM TITANIUM CERVICAL SELF DRILL VARIABLE ANGLE GOLD BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD3.7 MM TITANIUM SPINE CERVICAL SELF TAP VARIABLE ANGLE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L14 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS HEXALOBE BONE ACUMED,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L14 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L14 MM OD4 MM ODSEC4.5 MM T8 FULL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA BONE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L14 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L14 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L14 MM OD4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF START CONSTRAIN MAGENTA BONE PYRENEES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF START FIX ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF START VARIABLE ANGLE HYBRID SYSTEM BONE BLUE RIDGE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF TAP CONSTRAIN MAGENTA BONE PYRENEES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF TAP VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE CERVICAL SELF TAP VARIABLE ANGLE HYBRID SYSTEM BONE BLUE RIDGE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE SHARP TIP BONE CERES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM SPINE SELF TAP FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS CANNULATED SELF TAP HEXALOBE BONE PEDIFRAG,147.6,73.8,28.27,132.84,65
HCPCS,C1713,SCREW L14 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L14 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER THREAD HEAD SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM CANCELLOUS HEXAGONAL BONE ACUMED,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE BOLT EXPAND YELLOW ATTACH PLATE VERTEBRAL BODY REPLACEMENT BONE OSMIUM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CANCELLOUS SELF TAP BONE,510.0,255.0,97.67,459.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE COLOR CODED SPHERICAL HEAD BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE CUT FLUTE TIP LIGHT PURPLE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE BONE ATLANTIS,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL CORTEX SELF DRILL EXPANSION HEAD BONE,65.0,32.5,12.45,58.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL SELF DRILL SELF RETAIN FIX ANGLE BROWN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN FIX ANGLE BROWN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN VARIABLE ANGLE VIOLET BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE SELF RETAIN BONE SYNTHES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.2 MM SPINE OCCIPITAL BONE QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L14 MM OD4.2 MM SPINE SELF DRILL FIX ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE HYPER-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L14 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.2 MM SPINE SELF TAP VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.25 MM SPINE CERVICAL ANTERIOR SELF DRILL PRIMARY BONE EAGLE PLUS SWIFT PLUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L14 MM OD4.25 MM SPINE POLYAXIAL SELF TAP 2 SEQUENTIAL LOCK PRIMARY BONE EAGLE PLUS SWIFT PLUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L14 MM OD4.35 MM SPINE CERVICAL SELF TAP CONSTRAIN MAGENTA BONE PYRENEES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.4 MM SPINE CERVICAL ANTERIOR SELF TAP BONE EAGLE PLUS SWIFT PLUS,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM 20- D OVERSIZE LARGE DIAMETER TITANIUM SPINE VARIABLE ANGLE GOLD BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM 5- D OVERSIZE LARGE DIAMETER TITANIUM SPINE CONSTRAIN GOLD BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE CERVICAL SELF TAP CONSTRAIN MAGENTA BONE PYRENEES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE OCCIPITAL BONE VERTEX,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE OCCIPITOCERVICAL BONE INFINITY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM SPINE VARIABLE ANGLE RESCUE BONE CERES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM STAINLESS STEEL SELF TAP LOCK LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM T15 TITANIUM SPINE OCCIPITAL SELF RETAIN BLUNT TIP STARDRIVE FUSION SYSTEM BONE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM T25 CORTEX SELF TAP BONE PERI-LOC,23.5,11.75,4.5,21.15,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM T25 SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM CORTEX BONE AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM HUMERAL COMPRESSION BONE FREEFIX,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM SPINE CERVICAL SELF DRILL SELF RETAIN VARIABLE ANGLE BLUE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN FIX ANGLE MEDIUM GREEN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L14 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L14 MM OD4.6 MM SPINE SELF DRILL BONE UNIPLATE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD4.6 MM SPINE SELF DRILL VARIABLE ANGLE BONE VIP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM OD5 MM CORTICAL LOCKING BONE,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L14 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L14 MM OD5 MM SHOULDER LOCK GLENOID BASEPLATE BONE RSP,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L14 MM OD5 MM STAINLESS STEEL CONDYLAR SELF TAP VARIABLE ANGLE LOCK THREAD ROUND HEAD PERIPROSTHETIC BONE OPTILINK,304.54,152.27,58.32,274.09,65
HCPCS,C1713,SCREW L14 MM OD5 MM STAINLESS STEEL FEMUR DISTAL LATERAL SELF TAP LOCK T20 DRIVE BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L14 MM OD5 MM STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK PERIPROSTHETIC BONE,257.17,128.59,49.25,231.45,65
HCPCS,C1713,SCREW L14 MM OD5 MM TITANIUM PERIARTICULAR SELF TAP LOCK STARDRIVE BONE,207.33,103.67,39.7,186.6,65
HCPCS,C1713,SCREW L14 MM OD5 MM TITANIUM SPINE BOLT DISTAL WING YELLOW ATTACH PLATE VERTEBRAL BODY REPLACEMENT BONE OSMIUM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L14 MM TITANIUM SPINE SELF TAP CONSTRAIN BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L14 MM TITANIUM SPINE SELF TAP VARIABLE ANGLE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L140 MM L16 MM OD6.5 MM CANNULATED BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L140 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L140 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L140 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L140 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L140 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L140 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,189.81,94.91,36.35,170.83,65
HCPCS,C1713,SCREW L140 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L140 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L140 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,179.08,89.54,34.29,161.17,65
HCPCS,C1713,SCREW L140 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,200.33,100.17,38.36,180.3,65
HCPCS,C1713,SCREW L140 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L140 MM OD7.5 MM 2 MM TITANIUM PITCH BONE SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L145 MM L16 MM OD6.5 MM CANNULATED BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L145 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L145 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L145 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L145 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L145 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L145 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L145 MM OD4.5 MM STAINLESS STEEL CORTEX BONE LC-DCP DHS DCS,76.35,38.18,14.62,68.72,65
HCPCS,C1713,SCREW L145 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L145 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L145 MM OD8 MM STAINLESS STEEL CANNULATED FULL THREAD BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L15 MM ACETABULAR SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L15 MM HIP ACETABULAR BONE DJO SURGICAL EMPOWR,78.4,39.2,15.01,70.56,65
HCPCS,C1713,SCREW L15 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L15 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L15 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L15 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L15 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,88.47,44.24,16.94,79.62,65
HCPCS,C1713,SCREW L15 MM OD1.4 MM CORTICAL BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L15 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L15 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L15 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L15 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L15 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L15 MM OD1.5 MM TITANIUM HAND CORTICAL HEXADRIVE 4 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L15 MM OD1.7 MM T5 BONE VARIAX 2,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW L15 MM OD2 MM COCR LOCK MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L15 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,36.39,18.2,6.97,32.75,65
HCPCS,C1713,SCREW L15 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L15 MM OD2 MM TITANIUM MANDIBULAR CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L15 MM OD2 MM TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L15 MM OD2.3 MM STANDARD TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP BLUE BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L15 MM OD2.3 MM TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L15 MM OD2.3 MM TITANIUM STERNAL LOCK SELF RETAIN BONE DRILL-FREE MAXDRIVE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L15 MM OD2.4 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L15 MM OD2.4 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L15 MM OD2.4 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L15 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L15 MM OD2.5 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L15 MM OD2.5 MM TITANIUM CORTICAL 7 HEXADRIVE VIOLET BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM LOCK GORILLA PLATE SYSTEM BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM RECONSTRUCTION GORILLA PLATE SYSTEM BONE GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM SNAP OFF SELF CUT COLOR CODED BONE MEDLINE UNITE,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM TITANIUM CRANIOMAXILLOFACIAL LOCK MAXDRIVE BONE LEVEL ONE,140.7,70.35,26.94,126.63,65
HCPCS,C1713,SCREW L15 MM OD2.7 MM TITANIUM FOOT HAND ANKLE SELF TAP SELF DRILL SNAP OFF BONE CHARLOTTE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L15 MM OD3 MM FULL THREAD TITANIUM SELF TAP SELF DRILL SNAP OFF 3 PRONG LIGHT BLUE BONE QUICKFIX,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L15 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L15 MM OD3.2 MM CORTICAL HEX BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM CORTEX SELF TAP BONE EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM HEXALOBE ELBOW BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM LOCK HEXALOBE BONE ACUMED,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM TITANIUM CORTEX LOCK BRONZE VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR BONE DIVERGENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD3.5 MM TITANIUM SPINE SELF DRILL MINI PLATE BONE DIVERGENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE HELIX MINI ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE HELIX MINI ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE SELF DRILL FIX ANGLE 8780115 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE SELF DRILL FIX ANGLE 8780715 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE 8780215 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE BONE HELIX R,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE SELF TAP FIX ANGLE 8780815 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM SPINE SELF TAP VARIABLE ANGLE 8780415 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE SELF DRILL STAND ALONE INTERBODY DEVICE NOP BONE DIVERGENCE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE BONE ZEPHIR,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM INSET SHOULDER VARIABLE ANGLE REVERSE BONE SHOULDER INNOVATIONS INSET REVERSE TOTAL SHOULDER,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM SHOULDER LOCK PERPENDICULAR REVERSE BONE INSET,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE HELIX MINI ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM SPINE SELF TAP FIX ANGLE BONE HELIX R,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM SPINE SELF TAP VARIABLE ANGLE 8780615 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TITANIUM SPINE CANCELLOUS VARIABLE ANGLE MAGENTA ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TITANIUM SPINE SELF TAP FIX ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L15 MM OD4.5 MM TIVANIUM HIP SELF TAP BONE TRILOGY,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L15 MM OD6 MM METAGLENE CENTRAL BONE DELTA XTEND,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L15 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L15 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L15 MM OD6.5 MM HIP ACETABULAR CANCELLOUS BONE ALTEON NOVATION,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L15 MM OD6.5 MM LARGE TITANIUM HIP ACETABULAR SELF TAP LOW PROFILE HEXAGONAL HEAD BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L15 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L15 MM TITANIUM LATERAL LUMBAR SPINE 116-03-03 BONE AMP,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L150 MM L16 MM OD6.5 MM CANNULATED BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L150 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L150 MM L25 MM OD8 MM STAINLESS STEEL CANNULATED PARTIAL THREAD SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L150 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L150 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,189.4,94.7,36.27,170.46,65
HCPCS,C1713,SCREW L150 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,200.33,100.17,38.36,180.3,65
HCPCS,C1713,SCREW L150 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LARGE HEX BONE,192.77,96.39,36.92,173.49,65
HCPCS,C1713,SCREW L150 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L150 MM OD8 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L155 MM L16 MM X W4 MM OD7.3 MM ODSEC8.2 MM STAINLESS STEEL CANNULATED SELF TAP SELF DRILL THREAD BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L155 MM L32 MM OD7.3 MM ODSEC8.2 MM 4 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L155 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LARGE HEX LARGE FRAGMENT SET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L155 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L155 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L16 MM L12 MM OD2 MM STAINLESS STEEL MANDIBLE BONE DRILL-FREE MAXDRIVE,97.19,48.6,18.61,87.47,65
HCPCS,C1713,SCREW L16 MM L12 MM OD2 MM TI6AL4V MAXILLOFACIAL DRILL FREE BONE LEVEL ONE MAXDRIVE,97.19,48.6,18.61,87.47,65
HCPCS,C1713,SCREW L16 MM L2.3 MM OD2.3 MM ODSEC3 MM TITANIUM ACCEPTS .8 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L16 MM L4 MM OD2.4 MM T8 SHORT THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L16 MM L4 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L16 MM L5 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L16 MM L5 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L16 MM L5 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L16 MM L6 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L16 MM LOCK BONE STERNALOCK EZ,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L16 MM OD1.2 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L16 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.88,37.44,14.34,67.39,65
HCPCS,C1713,SCREW L16 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP VARIABLE ANGLE STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L16 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,30.66,15.33,5.87,27.59,65
HCPCS,C1713,SCREW L16 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,88.47,44.24,16.94,79.62,65
HCPCS,C1713,SCREW L16 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM 4 TITANIUM HAND CORTICAL HEXAGONAL BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM HAND CORTICAL LOCK BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L16 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L16 MM OD1.8 MM COCR LOCK PEG BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD2 MM COCR LOCK MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L16 MM OD2 MM COCR SPINE LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD2 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L16 MM OD2 MM CORTICAL METACARPAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L16 MM OD2 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L16 MM OD2 MM HAND CANNULATED SOLID CORE HEADLESS BONE HPS OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L16 MM OD2 MM HEADLESS CANNULATED BONE TIGER,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L16 MM OD2 MM LOCK LOW PROFILE BONE POLYLOCK,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW L16 MM OD2 MM LONG THREAD BITE BONE MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L16 MM OD2 MM METACARPAL LOCK BONE HAND PLATING SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD2 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L16 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L16 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L16 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L16 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L16 MM OD2 MM T6 VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L16 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L16 MM OD2 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L16 MM OD2 MM TITANIUM CORTEX SLEF TAP BONE,32.55,16.28,6.23,29.3,65
HCPCS,C1713,SCREW L16 MM OD2 MM TITANIUM NITRIDE FOREFOOT NONLOCK MAGENTA BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L16 MM OD2.1 MM TITANIUM CRUCIFORM BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM CORTEX BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACU-LOC 2,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM LOCK VARIABLE ANGLE BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM MANDIBLE LOCK CROSS DRIVE GOLD LORENZ TRAUMAONE BONE TRAUMAONE LORENZ,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACU-LOC 2,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L16 MM OD2.3 MM TITANIUM MAXILLOFACIAL LOCK CROSS PIN BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM FOOT ANKLE POLYAXIAL LOCK GOLD BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM FOOT POLYAXIAL NONLOCK MINI PLATE SYSTEM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM FULL THREAD TITANIUM HAND LAG LOW PROFILE BONE HPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM HAND CANNULATED SOLID CORE HEADLESS BONE HPS OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM LOWER EXTREMITY FIX ANGLE LOCK GREEN BONE MINI MAXLOCK EXTREME,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM PARTIAL THREAD CORTEX LOW PROFILE LOCK BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM PARTIAL THREAD TITANIUM HAND LAG CANNULATED SELF RETAIN LOW PROFILE BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MINI FRAGMENT SET BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD 1.6 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L16 MM OD2.4 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM 7 TITANIUM HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM 7 TITANIUM WRIST CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM CANNULATED HEAD BONE MINI,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM COCR LOCK CANNULATED POLYAXIAL DISTAL ELBOW SET TRAY B BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM COCR RADIUS DISTAL NONLOCK BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM STAINLESS STEEL LOCK BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM TITANIUM CORTICAL 7 HEXADRIVE BONE APTUS TRILOCK,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,251.93,125.97,48.24,226.74,65
HCPCS,C1713,SCREW L16 MM OD2.5 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED LOW PROFILE BONE CAPTURE TRANSFORMING EXTREMITIES,161.92,80.96,31.01,145.73,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM COCR VARIABLE ANGLE HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,"SCREW L16 MM OD2.7 MM CORTICAL NONLOCK SMALL FRAGMENT PLATE SYSTEM BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM CRUCIFORM TITANIUM HAND WRIST CORTICAL MODULAR BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM FOOT ANKLE NONLOCK PURPLE MINI PLATE SYSTEM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM FOOT POLYAXIAL LOCK PURPLE MINI PLATE SYSTEM BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM LOCK PLATE SYSTEM BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM LOWER EXTREMITY FIX ANGLE LOCK MAGENTA BONE MINI MAXLOCK EXTREME,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM NONLOCK PLATE SYSTEM BONE GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ODSEC30 MM T8 FOOT 2 LEAD LOCK BONE EXTREMILOCK,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ODSEC5 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK TRIMED CLAVICLE FIXATION SYSTEM BONE LOCKING CORTICAL SCREW 2.7MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM STAINLESS STEEL METATARSOPHALANGEAL HEXAGON BONE CHARLOTTE,83.58,41.79,16.01,75.22,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL CORTEX SELF TAP ANKLE FRACTURE MANAGEMENT BONE KNOTLESS SYNDESMOSIS TIGHTROPE,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,91.56,45.78,17.53,82.4,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,104.0,52.0,19.92,93.6,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM TITANIUM FOOT LOCK BONE DARCO,104.48,52.24,20.01,94.03,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L16 MM OD2.7 MM VARIABLE ANGLE LOCK MINI FRAGMENT SYSTEM BONE,134.55,67.28,25.77,121.1,65
HCPCS,C1713,SCREW L16 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L16 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L16 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L16 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L16 MM OD3 MM SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS 1.1 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L16 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L16 MM OD3 MM STAINLESS STEEL CANCELLOUS NONLOCK LOW PROFILE BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L16 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L16 MM OD3 MM T10 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREW,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM ANKLE VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM CERVICAL LOCK BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM HAND LAG CANNULATED SELF TAP SELF DRILL HPS BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM MULTITHREAD COMPRESSION DORSAL SPAN PLATE BONE DORSAL SPANNING PLATE,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM MULTITHREAD LOCK DORSAL SPAN PLATE BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM SPINE CERVICAL SELF TAP LOCK SELF CENTER PURPLE BONE,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW L16 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L16 MM OD3.2 MM CORTICAL HEXAGONAL ANKLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L16 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE LOCKING CORTICAL SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD3.2 MM FULL THREAD CORTICAL LAG SELF TAP BONE LAG SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD3.2 MM LONG THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L16 MM OD3.2 MM SHORT THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM 15 D STAINLESS STEEL CANCELLOUS SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM 30 D 2.2 MM TIMAX ELBOW FIBULAR DISTAL MULTIDIRECTIONAL COMPOSITE LOW PROFILE CONTOURED ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM 50 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM COCR CLAVICLE LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM FULL THREAD SOLID BLUNT TIP BONE MINI-MONSTER,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM LOW PROFILE STAINLESS STEEL RADIUS CORTICAL DISTAL VOLAR SELF TAP SMALL FRAGMENT SYSTEM BONE PERI-LOC,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM NONLOCK BONE MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM ODSEC2.5 MM STAINLESS STEEL CORTICAL SMALL HEXAGON HEAD SMALL FRAGMENT BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM POLYAXIAL LOCK BONE MOTOBAND CP,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM R3CON NON LOCK PLATE BONE GORILLA,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE INTERBODY FUSION BONE ENDOSKELETON TCS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE LOCK INTERBODY FUSION BONE ENDOSKELETON TCS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE POLYAXIAL 4 MM ROD OCT SYSTEM BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM STAINLESS STEEL FOOT LOCK REPLACEMENT WASHER BONE UNI-CP,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM STAINLESS STEEL LOCK ANKLE FRACTURE SYSTEM BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM STAINLESS STEEL TOTAL WRIST FUSION SYSTEM BONE SURFIX INTEGRA,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM T15 CORTICAL SELF TAP LOCK LOW PROFILE TAPER BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE PROXIMAL TIBIA PLATE SYSTEM BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM T15 TITANIUM CORTICAL LOW PROFILE NONLOCK BONE A.L.P.S.T15 LOW PROFILE CORTICAL SCREW,55.0,27.5,12.0,49.5,64
HCPCS,C1713,SCREW L16 MM OD3.5 MM T8 LOCK QUICK RELEASE TAB COLOR CODED TUBE CAP BONE COLINK,113.0,56.5,21.64,101.7,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM CORTICAL LOCK WRIST FOREARM SET BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM HAND WRIST COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM HUMERAL COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L16 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L16 MM OD3.6 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD3.6 MM SPINE SELF TAP FIX ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD3.7 MM TITANIUM CERVICAL SELF DRILL VARIABLE ANGLE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD3.7 MM TITANIUM SPINE CERVICAL SELF TAP VARIABLE ANGLE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD3.8 MM CANCELLOUS BONE SIDEWINDER,79.0,39.5,15.13,71.1,65
HCPCS,C1713,SCREW L16 MM OD4 MM 20- D TITANIUM SPINE SELF DRILL VARIABLE ANGLE MAGENTA BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM 5- D TITANIUM SPINE SELF DRILL CONSTRAIN MAGENTA BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM 5- D TITANIUM SPINE SELF TAP CONSTRAIN MAGENTA BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM ANKLE CANCELLOUS BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM CANCELLOUS HEXALOBE DRIVER BONE ACUMED,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L16 MM OD4 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L16 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L16 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L16 MM OD4 MM ODSEC4.5 MM T8 FULL THREAD SELF RETAINING SCREWDRIVER EVOS MINI OSTEOPENIA BONE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L16 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L16 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD TITANIUM CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L16 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L16 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L16 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE CERVICAL POSTERIOR MULTIAXIAL BONE VUEPOINT,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE CERVICAL SELF START CONSTRAIN GOLD BONE PYRENEES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE CERVICAL SELF START FIX ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE SHARP TIP BONE CERES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L16 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L16 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L16 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L16 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL LOCK SELF TAP TIP TAPER THREAD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM CANCELLOUS HEXAGONAL BONE ACUMED,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CANCELLOUS VARIABLE ANGLE GREEN ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE COLOR CODED SPHERICAL HEAD BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL SELF DRILL SELF RETAIN FIX ANGLE BROWN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL SELF DRILL SELF RETAIN VARIABLE ANGLE VIOLET BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN FIX ANGLE BROWN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN VARIABLE ANGLE VIOLET BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L16 MM OD4.2 MM R3CON NON LOCK PLATE BONE GORILLA,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L16 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.2 MM SPINE SELF TAP FIX ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.2 MM SPINE SELF TAP VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.25 MM SPINE CERVICAL ANTERIOR SELF TAP PRIMARY BONE EAGLE PLUS SWIFT PLUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD4.25 MM SPINE POLYAXIAL SELF DRILL 2 SEQUENTIAL LOCK PRIMARY BONE EAGLE PLUS SWIFT PLUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD4.35 MM SPINE CERVICAL SELF TAP CONSTRAIN GOLD BONE PYRENEES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.4 MM OVERSIZE SPINE SELF TAP BONE EAGLE PLUS SWIFT PLUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM 20- D OVERSIZE LARGE DIAMETER TITANIUM SPINE VARIABLE ANGLE MAGENTA BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM 5- D OVERSIZE LARGE DIAMETER TITANIUM SPINE CONSTRAIN MAGENTA BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL HEXAGONAL DRIVE NONLOCKING LOCKED PLATING SYSTEM BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM SPINE VARIABLE ANGLE RESCUE BONE CERES,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM STAINLESS STEEL SELF TAP LOCK LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM T25 SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM CERVICAL SPINE SELF DRILL SELF RETAIN FIX ANGLE MEDIUM GREEN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM CERVICAL SPINE SELF TAP SELF RETAIN VARIABLE ANGLE BLUE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE CUT FLUTE TIP ORANGE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN FIX ANGLE MEDIUM GREEN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L16 MM OD4.5 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE SELF RETAIN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.6 MM SPINE SELF DRILL VARIABLE ANGLE BONE VIP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD4.6 MM SPINE SELF TAP VARIABLE ANGLE BONE VIP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L16 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L16 MM OD5 MM LOW PROFILE STAINLESS STEEL TIBIA PROXIMAL HUMERUS DISTAL FEMUR LOCK SELF TAP T20 DRIVE BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L16 MM OD5 MM STAINLESS STEEL CONDYLAR SELF TAP VARIABLE ANGLE LOCK THREAD ROUND HEAD PERIPROSTHETIC BONE OPTILINK,304.54,152.27,58.32,274.09,65
HCPCS,C1713,SCREW L16 MM OD5 MM STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK PERIPROSTHETIC BONE,257.17,128.59,49.25,231.45,65
HCPCS,C1713,SCREW L16 MM OD5.5 MM GLENOID PERIPHERAL LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L16 MM SELF TAPPING CANNULATED PURPLE GUIDED GROWTH SYSTEM BONE EIGHT-PLATE PEDIATRIC,154.98,77.49,29.68,139.48,65
HCPCS,C1713,SCREW L16 MM TITANIUM SPINE SELF TAP VARIABLE ANGLE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L160 MM L16 MM OD6.5 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEXAGONAL SOCKET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L160 MM L16 MM X W4 MM OD7.3 MM ODSEC8.2 MM STAINLESS STEEL CANNULATED SELF TAP SELF DRILL THREAD BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L160 MM L32 MM OD6.5 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEXAGONAL SOCKET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L160 MM L32 MM OD7.3 MM ODSEC8.2 MM 4 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L160 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,200.33,100.17,38.36,180.3,65
HCPCS,C1713,SCREW L160 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L160 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L165 MM L16 MM X W4 MM OD7.3 MM ODSEC8.2 MM STAINLESS STEEL CANNULATED SELF TAP SELF DRILL THREAD BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L165 MM L32 MM OD7.3 MM ODSEC8.2 MM 4 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L165 MM L46 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L165 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L165 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L17 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L17 MM L5 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L17 MM L5 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L17 MM L5 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,SCREW L17 MM L6 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L17 MM OD1.8 MM COCR LOCK PEG BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L17 MM OD2 MM COCR LOCK MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L17 MM OD2 MM STANDARD MINI TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L17 MM OD2 MM TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L17 MM OD2.3 MM TAPER TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE HEAD GREEN BONE MAXDRIVE THREADLOCK TS,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L17 MM OD2.3 MM TITANIUM MANDIBLE SELF RETAIN EMERGENCY BONE DRILL-FREE MAXDRIVE THREADLOCK TS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L17 MM OD2.3 MM TITANIUM MANDIBULAR SELF RETAINING BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L17 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L17 MM OD2.5 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L17 MM OD2.5 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L17 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L17 MM OD2.7 MM NONLOCK PLATE SYSTEM BONE GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L17 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L17 MM OD2.7 MM TITANIUM FOOT HAND ANKLE SELF TAP SELF DRILL SNAP OFF BONE CHARLOTTE,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L17 MM OD2.7 MM TITANIUM SELF DRILL SELF TAP SNAP OFF BONE NEXFIX,257.71,128.86,49.35,231.94,65
HCPCS,C1713,SCREW L17 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L17 MM OD3 MM ODSEC4 MM ID1.2 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L17 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE SELF DRILL VARIABLE ANGLE BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE SELF TAP FIX ANGLE 8780817 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE SELF TAP FIX ANGLE BONE HELIX R,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE SELF TAP VARIABLE ANGLE 8780417 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM SPINE SELF TAP VARIABLE ANGLE BONE HELIX R,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4 MM TITANIUM SPINE SELF DRILL FIX ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4.5 MM SPINE SELF TAP FIX ANGLE 8780917 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4.5 MM SPINE SELF TAP VARIABLE ANGLE 8780617 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L17 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17 MM OD4.5 MM TITANIUM SPINE SELF TAP FIX ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L17.5 MM OD3.5 MM TITANIUM CORTICAL BONE ACU-LOC 2,72.0,36.0,13.79,64.8,65
HCPCS,C1713,SCREW L17.5 MM OD3.5 MM TITANIUM SHOULDER HUMERUS CANCELLOUS INTERLOCK BONE POLARUS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L17.5 MM OD5 MM SPINE LUMBAR ANTERIOR STAND-ALONE INTERBODY FUSION DEVICE BONE MONTEREY,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L17.5 MM OD6 MM SPINE BONE MONTEREY AL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L170 MM L16 MM X W4 MM OD7.3 MM ODSEC8.2 MM STAINLESS STEEL CANNULATED SELF TAP SELF DRILL THREAD BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L170 MM L25 MM OD8 MM STAINLESS STEEL CANNULATED PARTIAL THREAD SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L170 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L170 MM L32 MM OD7.3 MM ODSEC8.2 MM 4 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L170 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,200.33,100.17,38.36,180.3,65
HCPCS,C1713,SCREW L170 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L170 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L175 MM L16 MM X W4 MM OD7.3 MM ODSEC8.2 MM STAINLESS STEEL CANNULATED SELF TAP SELF DRILL THREAD BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L175 MM L32 MM OD7.3 MM ODSEC8.2 MM 4 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L175 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L175 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L18 MM FULL THREAD TAPER TITANIUM FOOT HAND COMPRESSION BONE ACUTWIST ACUTRAK,189.0,94.5,36.19,170.1,65
HCPCS,C1713,SCREW L18 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L18 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L18 MM L4 MM OD2.4 MM T8 SHORT THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED STARDRIVE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L18 MM L4 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L18 MM L5 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L18 MM L5 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L18 MM L5 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,SCREW L18 MM L6 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L18 MM L7 MM OD1.7 MM LONG THREAD TITANIUM COMPRESSION CANNULATED SELF DRILL HEXADRIVE 4 GOLD BONE APTUS,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L18 MM L7 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L18 MM L7 MM OD4 MM PARTIAL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L18 MM L8 MM OD2 MM MICRO TITANIUM CANNULATED BONE ASNIS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW L18 MM LOCK BONE STERNALOCK EZ,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L18 MM MINI POLY L-LACTIC ACID COMPRESSION CANNULATED HEADLESS RESORBABLE BONE BIOTRAK,567.0,283.5,108.58,510.3,65
HCPCS,C1713,SCREW L18 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.88,37.44,14.34,67.39,65
HCPCS,C1713,SCREW L18 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L18 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L18 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM 4 TITANIUM CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM MULTI HEXALOBE BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L18 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L18 MM OD1.8 MM COCR LOCK PEG BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L18 MM OD2 MM 6 MM HEAD LOCK BONE APTUS,447.77,223.89,85.75,402.99,65
HCPCS,C1713,SCREW L18 MM OD2 MM 6 TITANIUM CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L18 MM OD2 MM COCR SPINE LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L18 MM OD2 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L18 MM OD2 MM METACARPAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L18 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,32.55,16.28,6.23,29.3,65
HCPCS,C1713,SCREW L18 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L18 MM OD2 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD AQUA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L18 MM OD2 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L18 MM OD2 MM STANDARD HAND BONE HPS OSTEOMED,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L18 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L18 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L18 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L18 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L18 MM OD2 MM TITANIUM HAND CANNULATED SOLID CORE HEADLESS BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM FOOT ANKLE CORTICAL BONE LOW PROFILE SCREWS,93.15,46.58,17.84,83.84,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACU-LOC 2,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM LOCK GOLD BONE X-DRIVE,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM MULTI HEXALOBE BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM STAINLESS STEEL CORTEX FIX ANGLE BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L18 MM OD2.3 MM TITANIUM VARIABLE ANGLE LOCK ORANGE ACU-LOC 2 WRIST PLATE SYSTEM BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM ODSEC3.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR VARIABLE ANGLE LOCK SMOOTH GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM STAINLESS STEEL CORTEX SELF TAPPING BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM STERNAL CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM BONE STERNALOCK BLU,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MINI FRAGMENT SET BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM TITANIUM HAND CANNULATED HEADLESS BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD 1.6 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW L18 MM OD2.4 MM TITANIUM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM BUTTRESS TITANIUM RADIUS DISTAL LOCK FIX ANGLE INTRAMEDULLARY NAIL BONE MICRONAIL,123.0,61.5,23.55,110.7,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM COCR LOCK CANNULATED POLYAXIAL DISTAL ELBOW SET TRAY B BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM COCR RADIUS DISTAL NONLOCK BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM CORTICAL LOCK BONE APTUS,89.55,44.78,17.15,80.6,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM FOOT ANKLE HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM HEAD BONE POLYLOCK MINILOCK,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM LONG THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM SHORT THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM STAINLESS STEEL LOCK BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM TITANIUM CANNULATED SELF TAP COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L18 MM OD2.5 MM TITANIUM CORTICAL HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L18 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM COCR VARIABLE ANGLE LOCK HOLE HEXALOBE THREAD SPHERICAL HEAD SMALL FRAGMENT BASE SET BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM FIX ANGLE LOCK MAGENTA BONE MINI MAXLOCK EXTREME,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM FOOT POLYAXIAL NONLOCK MINI PLATE SYSTEM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM HEXALOBE BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM LOWER EXTREMITY NONLOCK MAGENTA BONE MINI MAXLOCK EXTREME,98.51,49.26,18.86,88.66,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM ODSEC2.5 MM STAINLESS STEEL CORTICAL SELF TAP AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE SPS,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM ODSEC4.5 MM T8 CORTEX SELF TAP MINI PLATE SYSTEM BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK TRIMED CLAVICLE FIXATION SYSTEM BONE LOCKING CORTICAL SCREW 2.7MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM STAINLESS STEEL CORTICAL TRIMED CLAVICLE FIXATION SYSTEM BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM STAINOLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM STERNAL CANCELLOUS LOCK EMERGENCY MAGENTA PRIMARY CLOSURE SYSTEM BONE STERNALOCK BLU,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL CORTEX SELF TAP ANKLE FRACTURE MANAGEMENT BONE KNOTLESS SYNDESMOSIS TIGHTROPE,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM T8 FOOT 2 LEAD LOCK BONE EXTREMILOCK,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,91.56,45.78,17.53,82.4,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,104.0,52.0,19.92,93.6,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG NONLOCK BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L18 MM OD2.7 MM TITANIUM FOOT LOCK BONE DARCO,104.48,52.24,20.01,94.03,65
HCPCS,C1713,SCREW L18 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L18 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L18 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L18 MM OD3 MM MINI HEAD BONE FUZEFIX,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L18 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L18 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L18 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L18 MM OD3 MM T10 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM COMPRESSION MULTITHREAD DORSAL SPAN PLATE BONE DORSAL SPANNING PLATE,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM CORTICAL LOW PROFILE BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM HAND FOOT ELBOW WRIST 10 HEXADRIVE COMPRESSION SELF DRILL CANNULATED BONE APTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L18 MM OD3 MM TITANIUM VARIABLE ANGLE LOW PROFILE LOCK BONE QUICKFIX,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L18 MM OD3.2 MM CORTICAL HEXAGON BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L18 MM OD3.2 MM SHORT THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L18 MM OD3.2 MM STAINLESS STEEL CORTICAL LOCK TRIMED CLAVICLE FIXATION SYSTEM BONE LOCKING HEX SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM 30 D 2.2 MM TIMAX LOW PROFILE MULTIDIRECTIONAL COMPOSITE BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM 50 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM ANKLE FIX ANGLE LOCK BONE MAXLOCK EXTREME,122.39,61.2,23.44,110.15,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM BONE MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM COCR ELBOW NON-LOCKING HEXALOBE BONE ACU-LOC,179.0,89.5,34.28,161.1,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM HEXALOBE HEADLESS LOW PROFILE BONE ACUMED,419.0,209.5,80.24,377.1,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM POLYAXIAL LOCK BONE MOTOBAND CP,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE INTERBODY FUSION BONE ENDOSKELETON TCS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE POLYAXIAL BONE INVICTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM STAINLESS STEEL ANKLE LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM STAINLESS STEEL TOTAL WRIST FUSION SYSTEM BONE SURFIX INTEGRA,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM STANDARD TITANIUM REARFOOT BONE,165.48,82.74,31.69,148.93,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T15 COCR CLAVICLE LOCK FUSCHIA BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T15 TITANIUM CORTICAL SELF TAP SQUARE DRIVE LOW PROFILE HEAD SMALL FRAGMENT ALPS DISTAL TIBIA PLATE SYSTEM BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM T8 LOCK QUICK RELEASE TAB COLOR CODED TUBE CAP BONE COLINK,113.0,56.5,21.64,101.7,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM COMPRESSION HUMERAL FIXATION SET BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM CORTEX LOCK BRONZE VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L18 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L18 MM OD3.6 MM SPINE SELF DRILL VARIABLE ANGLE BONE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD3.7 MM TITANIUM CERVICAL SELF TAP VARIABLE ANGLE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD3.8 MM SPINE INTERBODY FUSION BONE ENDOSKELETON TCS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM 20- D TITANIUM SPINE SELF DRILL VARIABLE ANGLE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM ANKLE CANCELLOUS BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM FULL THREAD CANCELLOUS ANKLE FOOT SELF TAP PREDRILL GREEN BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L18 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L18 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L18 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L18 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L18 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L18 MM OD4 MM ODSEC4.5 MM T8 FULL THREAD SELF RETAINING SCREWDRIVER EVOS MINI OSTEOPENIA BONE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L18 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L18 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD TITANIUM CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L18 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L18 MM OD4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE CERVICAL POSTERIOR MULTIAXIAL FAVOR ANGLE BONE VUEPOINT,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE CERVICAL SELF TAP VARIABLE ANGLE BONE ANODYNE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L18 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L18 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L18 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L18 MM OD4 MM T15 TIMAX FOOT CANCELLOUS SELF TAP TIP LOCK TAPER THREAD ALPS BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE COLOR CODED SPHERICAL HEAD BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE COLOR CODED BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE COLOR CODED SPHERICAL HEAD BONE AVIATOR,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL SELF DRILL FIX ANGLE SELF RETAIN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL SELF DRILL SELF RETAIN VARIABLE ANGLE VIOLET BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN FIX ANGLE BROWN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN VARIABLE ANGLE VIOLET BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L18 MM OD4.2 MM R3CON NON LOCK PLATE BONE GORILLA,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L18 MM OD4.2 MM SPINE SELF TAP VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.25 MM SPINE POLYAXIAL SELF TAP 2 SEQUENTIAL LOCK PRIMARY BONE EAGLE PLUS SWIFT PLUS,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM 20- D OVERSIZE LARGE DIAMETER TITANIUM SPINE VARIABLE ANGLE BONE SKYLINE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM FULL THREAD TITANIUM CORTICAL LOW PROFILE BONE,160.05,80.03,30.65,144.05,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM METAGLENE SHOULDER GLENOID REVERSE SYSTEM BONE DELTA XTEND,116.55,58.28,22.32,104.9,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM ODSEC8 MM STANDARD STAINLESS STEEL CORTEX LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE SYNTHES TRAUMA,51.9,25.95,9.94,46.71,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP WHITE BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM SPINE CERVICAL SELF START VARIABLE ANGLE BONE OZARK,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM TITANIUM COMPRESSION BONE FREEFIX,169.0,84.5,32.36,152.1,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM TITANIUM LOW PROFILE LOCK ANKLE FUSION PLATE SYSTEM BONE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM TITANIUM SPINE CERVICAL SELF DRILL SELF RETAIN VARIABLE ANGLE BLUE BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM TITANIUM SPINE CERVICAL SELF TAP SELF RETAIN FIX ANGLE MEDIUM GREEN BONE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L18 MM OD4.6 MM SPINE SELF TAP BONE UNIPLATE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD4.6 MM SPINE SELF TAP VARIABLE ANGLE BONE VIP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L18 MM OD5 MM FULL THREAD ARTHRODESIS NAIL SYSTEM BONE PANTA 2,492.91,246.46,94.39,443.62,65
HCPCS,C1713,SCREW L18 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L18 MM OD5 MM SHOULDER LOCK GLENOID BASEPLATE BONE RSP,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L18 MM OD5 MM STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK PERIPROSTHETIC BONE,257.17,128.59,49.25,231.45,65
HCPCS,C1713,SCREW L18 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L18 MM OD5 MM TITANIUM PERIARTICULAR SELF TAP LOCK STARDRIVE BONE,207.33,103.67,39.7,186.6,65
HCPCS,C1713,SCREW L18 MM SMALL CONICAL EXTRACTION QUICK COUPLING OLECRANON OSTEOTOMY NAIL BONE NA,245.63,122.82,47.04,221.07,65
HCPCS,C1713,SCREW L18 MM W2.5 MM OD3.5 MM ODSEC6 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL LOW PROFILE SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L18.0 MM 5.0 MM INTERNAL FIXATION COMBO INT SCREW HEAD 20.0 TORX LOCKING FLAT TIP BONE PANGEA,237.6,118.8,45.5,213.84,65
HCPCS,C1713,SCREW L180 MM L16 MM X W4 MM OD7.3 MM ODSEC8.2 MM STAINLESS STEEL CANNULATED SELF TAP SELF DRILL THREAD BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L180 MM L32 MM OD7.3 MM ODSEC8.2 MM 4 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L180 MM L35 MM OD6.2 MM TITANIUM SPINE SELF TAP 2 CORE BONE USS SCHANZ,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L180 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,200.33,100.17,38.36,180.3,65
HCPCS,C1713,SCREW L180 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET BONE,200.12,100.06,38.32,180.11,65
HCPCS,C1713,SCREW L180 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,219.29,109.65,41.99,197.36,65
HCPCS,C1713,SCREW L19 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L19 MM L5 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,257.18,128.59,49.25,231.46,65
HCPCS,C1713,SCREW L19 MM L5 MM OD2.2 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 7 BONE APTUS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L19 MM L5 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,SCREW L19 MM OD2 MM STANDARD MINI TITANIUM ORALMAXILLOFACIAL SELF RETAIN ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L19 MM OD2 MM TAPER TITANIUM CRANIOMAXILLOFACIAL SELF RETAIN LOCK CONCAVE HEAD GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L19 MM OD2.3 MM TITANIUM MANDIBULAR SELF RETAINING BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L19 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L19 MM OD2.5 MM COCR BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L19 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L19 MM OD2.5 MM SHORT THREAD HEAD BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L19 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L19 MM OD2.7 MM NONLOCK GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L19 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L19 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L19 MM OD3.5 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L19 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L19 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE BONE ACP,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L19 MM OD4 MM SPINE SELF TAP FIX ANGLE 8780819 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L19 MM OD4 MM SPINE SELF TAP VARIABLE ANGLE 8780419 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L19 MM OD4 MM TITANIUM SPINE SELF DRILL VARIABLE ANGLE ANTERIOR CERVICAL PLATE SYSTEM BONE ATLANTIS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L19 MM OD4.5 MM SPINE SELF TAP VARIABLE ANGLE 8780619 BONE ARCHON,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L20 MM FINE TIP BONE SYNFIX EVOLUTION,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW L20 MM L23 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM L23 MM OD6.5 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L20 MM L3.5 MM OD3.5 MM ODSEC4.5 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L20 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L20 MM L4 MM OD2.4 MM T8 SHORT THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L20 MM L4 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L20 MM L4.1 MM OD3 MM ODSEC2.1 MM T9 TITANIUM SMALL BONE HEXALOBE DRIVER CANNULATED SELF DRILL HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L20 MM L5 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L20 MM L5 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,"SCREW L20 MM L5 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L20 MM L5 MM OD3 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 BONE APTUS,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW L20 MM L6 MM OD1.5 MM ODSEC2.2 MM T4 STAINLESS STEEL COMPRESSION SELF TAP SELF DRILL STARDRIVE BONE,265.36,132.68,50.82,238.82,65
HCPCS,C1713,SCREW L20 MM L6 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L20 MM L7 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L20 MM L7 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L20 MM L8 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L20 MM L8 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L20 MM L8 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L20 MM L8 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L20 MM L9 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM CANNULATED SELF DRILL SELF TAP CRUCIFORM MODULAR MINI FRAGMENT SYSTEM BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L20 MM LOCK BONE STERNALOCK EZ,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L20 MM O3 MM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L20 MM OD1.2 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L20 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L20 MM OD2 MM 6 MM HEAD CORTICAL BONE APTUS,275.76,137.88,52.81,248.18,65
HCPCS,C1713,SCREW L20 MM OD2 MM CANNULATED HEADLESS BONE OSTEOMED,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L20 MM OD2 MM COCR LOCK BRONZE MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L20 MM OD2 MM METACARPAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L20 MM OD2 MM ODSEC1.5 MM STAINLESS STEEL CORTICAL HEXAGON HEAD MINI FRAGMENT BONE,23.36,11.68,4.47,21.02,65
HCPCS,C1713,SCREW L20 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,32.55,16.28,6.23,29.3,65
HCPCS,C1713,SCREW L20 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L20 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L20 MM OD2 MM T6 STAINLESS STEEL SMALL BONE SELF TAP LOCK SELF RETAIN STARDRIVE MODULAR MINI FRAGMENT SYSTEM BONE LCP,87.22,43.61,16.7,78.5,65
HCPCS,C1713,SCREW L20 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L20 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L20 MM OD2 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.55,13.78,5.28,24.8,65
HCPCS,C1713,SCREW L20 MM OD2 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED LOW PROFILE BONE CAPTURE TRANSFORMING EXTREMITIES,159.34,79.67,30.51,143.41,65
HCPCS,C1713,SCREW L20 MM OD2 MM TITANIUM HAND CANNULATED HEADLESS HPS BONE OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L20 MM OD2 MM TITANIUM HAND LAG CANNULATED SOLID CORE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L20 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACU-LOC 2,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L20 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L20 MM OD2.3 MM STAINLESS STEEL CORTEX FIX ANGLE ANKLE FIXATION SYSTEM BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L20 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L20 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L20 MM OD2.3 MM TITANIUM LOCK VARIABLE ANGLE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM CORTICAL LOW PROFILE BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL MODULAR MINI FRAGMENT SET BONE,89.02,44.51,17.05,80.12,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM ODSEC1.7 MM T7 TITANIUM CORTICAL SELF TAP LOW HEAD PROFILE GREEN MINI-MOD BONE VLP,43.16,21.58,8.27,38.84,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM ODSEC1.7 MM T7 TITANIUM SELF TAP LOCK BONE VLP MINI-MOD,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM ODSEC4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MINI FRAGMENT SET BONE LCP,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR VARIABLE ANGLE LOCK SMOOTH GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE NA,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM STERNAL CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM BONE STERNALOCK BLU,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP STARDRIVE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET BONE,93.21,46.61,17.85,83.89,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM CORTEX LOW PROFILE LASER MARK HEAD BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM HAND CANNULATED HEADLESS BONE OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD 1.6 MM DRILL BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM VARIABLE ANGLE COMPRESSION BONE KREULOCK,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW L20 MM OD2.4 MM TITANIUM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM 7 TITANIUM WRIST CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM BUTTRESS TITANIUM RADIUS DISTAL LOCK FIX ANGLE INTRAMEDULLARY NAIL BONE MICRONAIL,123.0,61.5,23.55,110.7,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM COCR BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM LONG THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM SHORT THREAD FOOT ANKLE COMPRESSION BONE ZP,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM STAINLESS STEEL LOCK BLUE BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM T8 COCR CLAVICLE LOCK BLUE BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L20 MM OD2.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L20 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L20 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM BONE FRS TWIST-OFF,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM FOOT POLYAXIAL LOCK PURPLE MINI PLATE SYSTEM BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,89.92,44.96,17.22,80.93,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM NONLOCK BONE MINI MAXLOCK EXTREME,98.51,49.26,18.86,88.66,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,30.49,15.25,5.84,27.44,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP LOCK VARIAX PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,30.42,15.21,5.83,27.38,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM R3CON NONLOCK PLATE GORILLA BONE GORILLA,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM STAINLESS STEEL LOCK BONE CLAW CHARLOTTE,142.29,71.15,27.25,128.06,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM T8 FOOT 2 LEAD BONE OSTEOMED,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,94.3,47.15,18.06,84.87,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,104.0,52.0,19.92,93.6,65
HCPCS,C1713,SCREW L20 MM OD2.7 MM TITANIUM CORTICAL THREAD PEG NONLOCK HUMERAL PLATE SET BONE FREEFIX,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L20 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS TRILOCK,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L20 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L20 MM OD3 MM COCR CANNULATED LOCK POLYAXIAL BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L20 MM OD3 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L20 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L20 MM OD3 MM H10 MM METATARSOPHALANGEAL LOCK HEXALOBE 2 MM DRILL BONE MOTOBAND,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW L20 MM OD3 MM LOCK POLYAXIAL BONE MINIBUNION,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW L20 MM OD3 MM MINI HEAD BONE FUZEFIX,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L20 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L20 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L20 MM OD3 MM STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,198.01,99.01,37.92,178.21,65
HCPCS,C1713,SCREW L20 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L20 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L20 MM OD3 MM T10 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREW,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L20 MM OD3 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW L20 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L20 MM OD3 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L20 MM OD3 MM TITANIUM LOCK VARIABLE ANGLE LOW PROFILE BONE QUICKFIX,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L20 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L20 MM OD3.2 MM CORTICAL HEXAGONAL BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L20 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE OLECRANON SLED,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L20 MM OD3.2 MM FULL THREAD CORTICAL LAG SELF TAP BONE LAG SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM 2.2 MM COCR SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ALPS TOTAL FOOT SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM 50 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM COCR TIBIA PROXIMAL LOCK BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM CORTICAL BONE LOW PROFILE SCREWS,48.0,24.0,9.19,43.2,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP PEDILOC SMALL FRAGMENT SYSTEM BONE PEDILOC LOCKING PLATE SYSTEM PEDIATRIC,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM MINI FULL THREAD BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP LOCK VARIAX PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE FIX ANGLE BONE LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM STAINLESS STEEL ANKLE NONLOCK BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK BONE,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM T15 LOW PROFILE NONLOCK BONE A.L.P.S.T15 LOW PROFILE CORTICAL SCREW,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM CORTICAL LOCK BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM HAND WIRST CANNULATED COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM HUMERUS CORTICAL BONE POLARUS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM LOCK HUMERAL FIXATION SET BONE FREEFIX,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM SPINE CERVICAL ANTERIOR SELF DRILL VARIABLE BONE ZEVO,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM TITANIUM TROCHLEA DISTAL COMPRESSION BONE FREEFIX,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L20 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L20 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L20 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L20 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM COMPRESSION HEADLESS BONE FIXOS,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW L20 MM OD4 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L20 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L20 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L20 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L20 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L20 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS HEXALOBE BONE ACUMED,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L20 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L20 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L20 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L20 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L20 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L20 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L20 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L20 MM OD4 MM PARTIAL THREAD TITANIUM BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L20 MM OD4 MM PARTIAL THREAD TITANIUM HAND LAG CANNULATED LOW PROFILE SELF RETAIN HPS BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L20 MM OD4 MM SHORT PARTIAL THREAD T15 HEXALOBE LOW PROFILE TITANIUM SMALL BONE CANCELLOUS BIOCOMPATIBLE SELF DRILL SELF TAP CANNULATED ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L20 MM OD4 MM SPINE CERVICAL SELF TAP VARIABLE ANGLE BONE ANODYNE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L20 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L20 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L20 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM CANCELLOUS HEXAGONAL BONE ACUMED,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SELF TAP 2 LEAD BLUNT TIP LOCK BONE SYNFIX EVOLUTION,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE CUT FLUTE TIP LIGHT PURPLE BONE REFLEX HYBRID,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L20 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L20 MM OD4.2 MM SPINE SELF TAP VARIABLE ANGLE BONE XTEND,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L20 MM OD4.3 MM TITANIUM HUMERAL DISTAL HEXALOBE PURPLE INTRAMEDULLARY NAIL SYSTEM BONE AEQUALIS,89.0,44.5,17.04,80.1,65
HCPCS,C1713,SCREW L20 MM OD4.35 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP PINK 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM COCR LOCK BLUNT TIP LARGE FRAGMENT SYSTEM BONE ANTHEM,260.0,130.0,49.79,234.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM FULL THREAD INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM FULL THREAD STAINLESS STEEL CANNULATED SELF TAP LOW PROFILE GENERATION II BONE PEDIPLATES PEDIATRIC,171.81,85.91,32.9,154.63,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM FULL THREAD TIMAX FEMUR DISTAL CORTICAL LOCK BONE POLYAX,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM GLENOID PERIPHERAL NONLOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,151.63,75.82,29.04,136.47,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,153.94,76.97,29.48,138.55,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM SPINE PEDICLE POLYAXIAL 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM SPINE POLYAXIAL XLRF SYSTEM BONE BRIGADE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE NA,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM STAINLESS STEEL LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM STAINLESS STEEL SPINE MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM T20 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM TITANIUM ANKLE CORTICAL LOCK BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM TITANIUM HUMERUS FEMUR TIBIA CORTICAL HEXAGONAL DRIVE LOCKING SELF TAPPING TIP TAPERED THREADED HEAD LARGE FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM TITANIUM LOCK ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L20 MM OD4.5 MM TIVANIUM HIP ACETABULAR SELF TAP BONE TRILOGY,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L20 MM OD4.6 MM SPINE SELF TAP VARIABLE ANGLE BONE VIP,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L20 MM OD4.7 MM SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L20 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L20 MM OD5 MM LOCK ANTERALIGN SPINAL SYSTEM BONE TITAN NANOLOCK,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD5 MM SPINE LUMBAR ANTERIOR STAND-ALONE INTERBODY FUSION DEVICE BONE MONTEREY,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD5 MM T20 STAINLESS STEEL PERIARTICULAR LOCK SELF TAP BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L20 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX NAIL SYSTEM,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L20 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM GLENOID PERIPHERAL LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM HA SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM SPINE FIX ANGLE BONE INDEPENDENCE,287.2,143.6,55.0,258.48,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM SPINE FIX ANGLE BONE SOVEREIGN,99.0,49.5,18.96,89.1,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM SPINE POLYAXIAL XLRF SYSTEM BONE BRIGADE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM SPINE SELF TAP STABILIZE BONE CHESAPEAKE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD5.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD6 MM SPINE CORTICAL CANCELLOUS SELF TAP SELF DRILL CUT FLUTE TIP 2 LEAD THREAD BONE AVS ANCHOR-L,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L20 MM OD6 MM SPINE FIX ANGLE BONE SOVEREIGN,99.0,49.5,18.96,89.1,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM ACETABULAR CANCELLOUS BONE ALTEON,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM FULL THREAD HIP ACETABULAR CANCELLOUS BONE REFLECTION,96.9,48.45,18.56,87.21,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM HIP ACETABULAR CANCELLOUS SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM LARGE TITANIUM HIP ACETABULAR SELF TAP LOW PROFILE HEXAGONAL BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED LARGE HEXAGONAL HEMISPHERICAL BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM SHOULDER CENTRAL BONE UNIVERS REVERS,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM OD6.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L20 MM SHOULDER GLENOID CENTRAL BONE GLENOID RECONSTRUCTION SYSTEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L20 MM TITANIUM LOCK VARIABLE ANGLE BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L21 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L21 MM L5 MM OD2.2 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 7 BONE APTUS,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW L21 MM L8 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L21 MM L8 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L21 MM OD2.5 MM COCR BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L21 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L21 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L22 MM L25 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L22 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L22 MM L3.5 MM OD3.5 MM ODSEC4.5 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L22 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L22 MM L4 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L22 MM L5 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,SCREW L22 MM L6 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L22 MM L8 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L22 MM L8 MM OD3 MM T8 LONG THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L22 MM L9 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L22 MM L9 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L22 MM L9 MM OD2.5 MM TITANIUM LONG THREAD HEADLESS COMPRESSION STERILE BONE CAPTIVATE SOLA,440.0,220.0,84.26,396.0,65
HCPCS,C1713,SCREW L22 MM L9 MM OD3 MM T8 LONG THREAD TITANIUM NIOBIUM ALUMINUM COMPRESSION SELF TAP SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L22 MM L9 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L22 MM L9 MM OD4 MM PARTIAL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L22 MM MINI BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L22 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,27.78,13.89,5.32,25.0,65
HCPCS,C1713,SCREW L22 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.68,13.84,5.3,24.91,65
HCPCS,C1713,SCREW L22 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L22 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L22 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,93.74,46.87,17.95,84.37,65
HCPCS,C1713,SCREW L22 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L22 MM OD2 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L22 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L22 MM OD2 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD AQUA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L22 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L22 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L22 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L22 MM OD2 MM TITANIUM HAND LAG CANNULATED SOLID CORE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L22 MM OD2.3 MM 1.5 MM FULL THREAD TITANIUM FOREFOOT CORTEX LOW PROFILE HEAD SELF TAP PROXIMAL OPEN WEDGE OSTEOTOMY BONE,93.15,46.58,17.84,83.84,65
HCPCS,C1713,SCREW L22 MM OD2.3 MM CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L22 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACUMED,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L22 MM OD2.3 MM T6 BONE VARIAX 2,64.68,32.34,12.39,58.21,65
HCPCS,C1713,SCREW L22 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACU-LOC 2,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L22 MM OD2.3 MM TITANIUM LOCK VARIABLE ANGLE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM FOOT POLYAXIAL NONLOCK MINI PLATE SYSTEM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM ODSEC3.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM ODSEC4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MINI FRAGMENT SET BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR VARIABLE ANGLE LOCK SMOOTH GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM T7 TITANIUM FOOT SELF TAP DRIVER GREEN SMALL BONE PLATE SYSTEM BONE VLP,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP STARDRIVE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM T8 PARTIAL THREAD HEXALOBE LOW PROFILE TITANIUM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED SNAP OFF ACCEPTS .034 IN GUIDEWIRE BONE QUICKFIX,133.08,66.54,25.48,119.77,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM TITANIUM HAND CANNULATED BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM TITANIUM HAND LAG CANNULATED SOLID CORE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L22 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM 7 TITANIUM WRIST CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM BUTTRESS TITANIUM RADIUS DISTAL LOCK FIX ANGLE INTRAMEDULLARY NAIL BONE MICRONAIL,123.0,61.5,23.55,110.7,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM COCR BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM COCR POLYAXIAL CANNULATED LOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM COCR RADIUS DISTAL LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM FULL THREAD COMPRESSION SELF TAP CANNULATED HEADLESS MAGENTA 1.8 MM DRILL BONE MAX VPC,346.0,173.0,66.26,311.4,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM HEADLESS BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L22 MM OD2.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L22 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ELBOW LOCKING HEXALOBE BONE ACUMED,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,64.0,32.0,12.26,57.6,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM FOOT ANKLE POLYAXIAL LOCK PURPLE BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM ODSEC5 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM R3CON NON LOCK PLATE BONE GORILLA,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM STAINLESS STEEL CORTICAL BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK BONE CLAVICLE FIXATION SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM STAINLESS STEEL LOCK BONE CLAW CHARLOTTE,142.29,71.15,27.25,128.06,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T8 FOOT 2 LEAD LOCK BONE EXTREMILOCK,214.0,107.0,40.98,192.6,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,91.56,45.78,17.53,82.4,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L22 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM TITANIUM CORTICAL BONE ACU-LOC 2,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L22 MM OD2.7 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L22 MM OD2.8 MM NONLOCK SOLID BONE OMNI,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L22 MM OD2.8 MM ODSEC2.5 MM MICRO FULL THREAD TITANIUM WRIST HAND ANKLE FOOT CANNULATED COMPRESSION SELF CUTTING HELICAL RELIEF FLUTE HEADLESS BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L22 MM OD2.8 MM T10 LOCK SOLID YELLOW BONE OMNI,193.0,96.5,36.96,173.7,65
HCPCS,C1713,SCREW L22 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L22 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L22 MM OD3 MM COCR POLYAXIAL CANNULATED LOCK HUMERAL PLATE SET BONE FREEFIX,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L22 MM OD3 MM HAND FOOT BONE TIGER HEADLESS CANNULATED SCREWS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L22 MM OD3 MM MINI HEAD BONE FUZEFIX,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L22 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L22 MM OD3 MM ODSEC4.3 MM T9 TAPER TITANIUM FOOT ANKLE CANNULATED SELF DRILL COLOR CODED LOBE DRIVER BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L22 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE LOW PROFILE ANKLE FRACTURE MANAGEMENT SYSTEM BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L22 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREW,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L22 MM OD3 MM TITANIUM ALUMINUM VANADIUM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L22 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L22 MM OD3.2 MM CORTICAL HEXAGONAL BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L22 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE OLECRANON SLED,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM COCR CLAVICLE LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM COCR ELBOW NON-LOCKING HEXALOBE BONE ACU-LOC,179.0,89.5,34.28,161.1,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM FOOT ANKLE FIX ANGLE LOCK BONE MAXLOCK EXTREME,122.39,61.2,23.44,110.15,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP PEDILOC SMALL FRAGMENT SYSTEM BONE PEDILOC LOCKING PLATE SYSTEM PEDIATRIC,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM HUMERAL PROXIMAL NONLOCK UPPER EXTREMITY PLATE SYSTEM BONE OPTILOCK,93.5,46.75,17.91,84.15,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM LOW PROFILE NONLOCK HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM STAINLESS STEEL CORTICAL PERIARTICULAR SELF TAP BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T15 NONLOCK LOW PROFILE BONE A.L.P.S.T15 LOW PROFILE CORTICAL SCREW,69.3,34.65,13.27,62.37,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM T8 NONLOCK QUICK RELEASE TAB COLOR CODED TUBE CAP BONE COLINK,79.0,39.5,15.13,71.1,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM OLECRANON COMPRESSION MULTITHREAD BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM SHOULDER CORTICAL SUTUREPLATE BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L22 MM OD3.7 MM TITANIUM METAPHYSEAL BONE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW L22 MM OD3.8 MM 90 D TITANIUM HUMERUS PROXIMAL LOCK BONE S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,SCREW L22 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L22 MM OD4 MM ANKLE HOOK PLATE BRONZE BONE MEDLINE UNITE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW L22 MM OD4 MM COMPRESSION HEADLESS BONE FIXOS,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW L22 MM OD4 MM FOOT ANKLE POLYAXIAL LOCK SILVER BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L22 MM OD4 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L22 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L22 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L22 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L22 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L22 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L22 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L22 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L22 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD TITANIUM CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L22 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L22 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L22 MM OD4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE HPS BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L22 MM OD4 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL CANNULATED BONE VERTEX RECONSTRUCTION SYSTEM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM SHORT EDGE COMPRESSION HEAD BONE DART-FIRE,272.0,136.0,52.09,244.8,65
HCPCS,C1713,SCREW L22 MM OD4 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L22 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM CANCELLOUS HEXAGONAL BONE ACUMED,70.0,35.0,13.41,63.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM HEAD BONE MINI,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD LOW PROFILE BONE SALVATION,255.72,127.86,48.97,230.15,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC MEDIAL POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD GREEN BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L22 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM FEMUR CORTICAL PROXIMAL SELF TAP LOCK HEXALOBE GREEN BONE PEDILOC,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM NON-LOCKING BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE BLACK BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM ANKLE CORTICAL LOCK BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM CORTEX BONE AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM HUMERAL COMPRESSION BONE FREEFIX,169.0,84.5,32.36,152.1,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM HUMERUS FEMUR TIBIA CORTICAL HEXAGONAL DRIVE LOCKING SELF TAPPING TIP TAPERED THREADED HEAD LARGE FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM LOCK ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L22 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L22 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L22 MM OD5 MM LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L22 MM OD5 MM SHOULDER LOCK GLENOID BASEPLATE BONE RSP,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L22 MM OD5 MM STANDARD TITANIUM ALUMINUM VANADIUM SPINE ANTERIOR BONE LITE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L22 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L22 MM OD5 MM TITANIUM CORTICAL LOW PROFILE BONE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L22 MM OD5 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW L22 MM OD5.5 MM SPINE VARIABLE ANGLE BONE TRUSS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L22 MM OD5.5 MM TITANIUM CANCELLOUS LOCK BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L22 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L22 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L22.5 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L22.5 MM OD3.5 MM TITANIUM HUMERUS CORTICAL BONE POLARUS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L22.5 MM OD4 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L22.5 MM OD4 MM PARTIAL THREAD TITANIUM BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L22.5 MM OD4.5 MM PARTIAL THREAD TITANIUM BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L22.5 MM OD4.5 MM SPINE POLYAXIAL XLRF SYSTEM BONE BRIGADE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L22.5 MM OD5 MM CORTICAL BONE DYNANAIL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L23 MM L2.3 MM OD2.3 MM ODSEC3 MM TITANIUM ACCEPTS .8 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L23 MM L4 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L23 MM L8 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L23 MM OD2.4 MM T7 CORTEX SELF TAP BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW L23 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L24 MM L10 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L24 MM L10 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP BONE CANNULATED COMPRESSION HEADLESS SCREW,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L24 MM L10 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L24 MM L10 MM OD4 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L24 MM L10 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L24 MM L27 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L24 MM L5 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L24 MM L5 MM OD2.4 MM T8 SHORT THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED STARDRIVE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L24 MM L6 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L24 MM L6 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L24 MM L6 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L24 MM L8 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L24 MM L8 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L24 MM OD 4.5 MM LOCKING PLATE SCREW BONE SILVERBACK,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L24 MM OD1.5 MM STAINLESS STEEL NONLOCK MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L24 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L24 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L24 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,93.74,46.87,17.95,84.37,65
HCPCS,C1713,SCREW L24 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L24 MM OD1.5 MM TITANIUM CORTEX SELF TAP BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L24 MM OD2 MM ORTHOPEDIC BONE HPS,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L24 MM OD2 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEAD AQUA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L24 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L24 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L24 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L24 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L24 MM OD2 MM TITANIUM CORTEX SELF TAP BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L24 MM OD2 MM TITANIUM HAND CANNULATED HEADLESS HPS BONE OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L24 MM OD2-2.5 MM FULL THREAD TITANIUM COMPRESSION SELF TAP HEADLESS FUSION BONE ACUTRAK,294.0,147.0,56.3,264.6,65
HCPCS,C1713,SCREW L24 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACUMED,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L24 MM OD2.3 MM STAINLESS STEEL CORTEX FIX ANGLE BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L24 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L24 MM OD2.3 MM TITANIUM LOCK VARIABLE ANGLE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM HAND FOOT BONE TIGER HEADLESS CANNULATED SCREWS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM ODSEC3.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR VARIABLE ANGLE LOCK SMOOTH GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE EXTREMIFIX,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM STAINLESS STEEL CORTICAL BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM T7 TITANIUM FOOT SELF TAP DRIVER GREEN SMALL BONE PLATE SYSTEM BONE VLP,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP STARDRIVE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREW,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN LOW PROFILE STARDRIVE MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L24 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM 7 TITANIUM WRIST HEXADRIVE BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM COCR POLYAXIAL CANNULATED LOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM MINI HEAD BONE FUZEFIX,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM SHORT EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM T8 STAINLESS STEEL ANKLE LOCK LOW PROFILE BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM T8 STAINLESS STEEL ANKLE LOW PROFILE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED LOW PROFILE BONE CAPTURE TRANSFORMING EXTREMITIES,161.92,80.96,31.01,145.73,65
HCPCS,C1713,SCREW L24 MM OD2.5 MM TITANIUM LOCK BONE BABY GORILLA,165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW L24 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L24 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM ELBOW NONLOCK HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM FOOT ANKLE POLYAXIAL LOCK PURPLE BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP BONE SPS,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD LOCK TAPER BONE DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM STAINLESS STEEL CORTICAL BONE HEX CORTICAL SCREW 2.7MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK BONE CLAVICLE FIXATION SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM STAINLESS STEEL LOCK BONE CLAW CHARLOTTE,142.29,71.15,27.25,128.06,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL CORTEX SELF TAP ANKLE FRACTURE MANAGEMENT BONE KNOTLESS SYNDESMOSIS TIGHTROPE,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG NONLOCK BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM TITANIUM ELBOW LOCKING SELF TAPPING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L24 MM OD2.7 MM VARIABLE ANGLE LOCK MINI FRAGMENT SYSTEM BONE,134.55,67.28,25.77,121.1,65
HCPCS,C1713,SCREW L24 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L24 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L24 MM OD3 MM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L24 MM OD3 MM COCR POLYAXIAL CANNULATED LOCK DISTAL ELBOW PLATING SYSTEM BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L24 MM OD3 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L24 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L24 MM OD3 MM H10 MM NITINOL METATARSOPHALANGEAL LOCK HEXALOBE 2 MM DRILL BONE MOTOBAND,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW L24 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L24 MM OD3 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L24 MM OD3 MM SMALL CYLINDER TITANIUM FOOT ANKLE CANNULATED SELF TAP CENTER CANNULA CRUCIATE BLUE BONE CANNULATED SCREW SYSTEM,111.0,55.5,21.26,99.9,65
HCPCS,C1713,SCREW L24 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L24 MM OD3 MM STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,198.01,99.01,37.92,178.21,65
HCPCS,C1713,SCREW L24 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L24 MM OD3 MM T10 FULL THREAD TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L24 MM OD3 MM T10 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L24 MM OD3 MM T10 PARTIAL THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .045 IN GUIDEWIRE BONE QUICKFIX,137.66,68.83,26.36,123.89,65
HCPCS,C1713,SCREW L24 MM OD3 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW L24 MM OD3 MM TITANIUM LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L24 MM OD3 MM TITANIUM VARIABLE ANGLE BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L24 MM OD3.2 MM CORTICAL HEXAGONAL HEAD BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM COCR CLAVICLE LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM CORTEX SELF TAP BONE EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM FOOT ANKLE FIX ANGLE LOCK BONE MAXLOCK EXTREME,122.39,61.2,23.44,110.15,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM HEXALOBE HEADLESS LOW PROFILE BONE ACUMED,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM HUMERUS LOW PROFILE HEXALOBE BONE POLARUS 3,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM HUMERUS PROXIMAL NONLOCK UPPER EXTREMITY PLATE SYSTEM BONE OPTILOCK,93.5,46.75,17.91,84.15,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM LOCK BONE GORILLA PLATING SYSTEM,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM MINI FULL THREAD BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM NONLOCK GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM PARTIAL THREAD SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM STAINLESS STEEL ANKLE LOCK FUSCHIA BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM CANNULATED SELF TAP COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM LOCK BONE FREEFIX,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM OLECRANON COMPRESSION MULTITHREAD BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SHOULDER CORTICAL SUTUREPLATE BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC MEDIAL POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD GREEN BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE POST BONE VERTEX,98.37,49.19,18.84,88.53,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L24 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L24 MM OD4 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L24 MM OD4 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,23.36,11.68,4.47,21.02,65
HCPCS,C1713,SCREW L24 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L24 MM OD4 MM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L24 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L24 MM OD4 MM COCR LOCK BN ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L24 MM OD4 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L24 MM OD4 MM FOOT ANKLE POLYAXIAL LOCK SILVER BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L24 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L24 MM OD4 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L24 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM HUMERAL SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L24 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L24 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L24 MM OD4 MM LOCK BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L24 MM OD4 MM LONG THREAD FOOT ANKLE CANNULATED SELF DRILL BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L24 MM OD4 MM MINI HEAD BONE FUZEFIX,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L24 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L24 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L24 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L24 MM OD4 MM PARTIAL THREAD STAINLESS STEEL FOREARM CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L24 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L24 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L24 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L24 MM OD4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L24 MM OD4 MM PRT THRD STNLS STL CANNULATED HEAD BN,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW L24 MM OD4 MM SHORT THREAD CANNULATED HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM SHORT THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L24 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC HIGH ANGULATION UNIVERSAL FIXATION SYSTEM BONE CORTIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L24 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L24 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TAPER SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L24 MM OD4 MM T15 TIMAX FOOT CANCELLOUS SELF TAP LOCK TAPER ALPS BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM ALUMINUM VANADIUM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM FOOT ANKLE CANNULATED HEADED FULLY THREADED T15 BONE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM HEAD BONE MINI,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM SPINE MULTIAXIAL BLUE RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS POLYAXIAL LOW PROFILE BIAS ANGLE BLUE GREEN BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L24 MM OD4.3 MM HEXALOBE LOW PROFILE HUMERUS BONE POLARUS 3,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM 18 D SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM 40 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP LIGHT BLUE 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM ANKLE LOCK LOW PROFILE BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM FULL THREAD STAINLESS STEEL CANNULATED SELF TAP GENERATION I II BONE PEDIPLATES PEDIATRIC,171.81,85.91,32.9,154.63,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM FULL THREAD STAINLESS STEEL CANNULATED SELF TAP LOW PROFILE GENERATION II BONE PEDIPLATES PEDIATRIC,171.81,85.91,32.9,154.63,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM FULL THREAD TIMAX KNEE CORTICAL NONLOCK HEXAGONAL LARGE FRAGMENT SET BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM GLENOID PERIPHERAL NONLOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM METAGLENE SHOULDER GLENOID LOCK REVERSE SYSTEM BONE DELTA XTEND,195.75,97.88,37.49,176.18,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORETX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM SPINE MULTIAXIAL BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM SPINE POLYAXIAL FAVOR ANGLE BONE NORTHSTAR,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM T20 CORTICAL SELF TAP HEXALOBE BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM TITANIUM ANKLE CORTICAL LOCK BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM TITANIUM CORTEX BONE AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM TITANIUM HUMERAL COMPRESSION BONE FREEFIX,169.0,84.5,32.36,152.1,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L24 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE NONBIAS ANGLE FUCHSIA BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L24 MM OD5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L24 MM OD5 MM STAINLESS STEEL PERIARTICULAR LOCKING SELF TAPPING T20 DRIVE BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L24 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L24 MM OD5 MM TITANIUM CANCELLOUS SELF TAP BONE TRIGEN,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW L24 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L24 MM OD5 MM TITANIUM SELF TAP LOCK BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L24 MM OD5.5 MM GLENOID PERIPHERAL LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L24 MM OD5.5 MM SPINE VARIABLE ANGLE BONE TRUSS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L24 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L24 MM OD5.5 MM TITANIUM MIDFOOT POLYAXIAL OSTEOPENIC THREAD LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L24 MM OD6 MM SPINE BUTTRESS BONE CAYMAN,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM ACETABULAR HIP BONE DJO SURGICAL EMPOWR,78.4,39.2,15.01,70.56,65
HCPCS,C1713,SCREW L25 MM L15 MM OD4.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L25 MM L20 MM OD4 MM TITANIUM SPINE PEDICLE SELF TAP LOCK FINE TIP ALIF BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM L5 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L25 MM L8 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L25 MM L8 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L25 MM OD3.5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L25 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L25 MM OD3.5 MM TITANIUM HUMERUS CORTICAL NONLOCK BONE POLARUS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L25 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L25 MM OD4 MM FEMUR TIBIA LOCK BLUE INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L25 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L25 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4 MM TITANIUM SELF TAP 2 LEAD BLUNT TIP LOCK BONE SYNFIX EVOLUTION,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW L25 MM OD4 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.35 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP PINK 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L25 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM FULL THREAD INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM SPINE POLYAXIAL XLRF SYSTEM BONE BRIGADE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM SPINE THORACIC MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD4.5 MM TIVANIUM HIP SELF TAP BONE TRILOGY,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L25 MM OD5 M SPINE BONE MONTEREY AL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM CONDYLAR VARIABLE ANGLE CANNULATED LOCK BONE OPTILINK,243.64,121.82,46.66,219.28,65
HCPCS,C1713,SCREW L25 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L25 MM OD5 MM GRIPTION TF HIP ACETABULAR CANCELLOUS PERIPHERAL TAPER HEAD BONE PINNACLE,110.4,55.2,21.14,99.36,65
HCPCS,C1713,SCREW L25 MM OD5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L25 MM OD5 MM LOCKING FEMUR RETROGRADE NAIL SYSTEM BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L25 MM OD5 MM SPINE BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM SPINE CORTICAL CANCELLOUS SELF TAP SELF DRILL CUT FLUTE TIP 2 LEAD THREAD BONE AVS ANCHOR-L,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM STANDARD TITANIUM ALUMINUM VANADIUM SPINE ANTERIOR BONE LITE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM FLUTE TITANIUM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE LEGACY CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM GRIPTION TF HIP ACETABULAR POLYAXIAL LOCK BONE GRIPTION,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE 4 HOLE PLATE BONE BRIGADE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE BONE TRAVERSE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE FIX ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE FIX ANGLE BONE SOVEREIGN,99.0,49.5,18.96,89.1,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE LUMBAR BONE PIVOX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE MULTIAXIAL TRANSITION BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE SELF START STABILIZE BONE CHESAPEAKE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE SELF TAP STABILIZE BONE CHESAPEAKE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE THORACIC MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM SPINE VARIABLE ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD6 MM SHOULDER CENTRAL BONE INHANCE,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L25 MM OD6 MM SPINE CORTICAL CANCELLOUS SELF TAP SELF DRILL CUT FLUTE TIP 2 LEAD THREAD BONE AVS ANCHOR-L,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD6 MM TITANIUM SPINE PEDICLE FIX ANGLE 6.35 MM ROD BONE LEGACY CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L25 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM ACETABULAR CANCELLOUS BONE ALTEON,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM ACETABULAR CANCELLOUS HIP SPHERICAL BONE,47.69,23.85,9.13,42.92,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM FULL THREAD TITANIUM ACETABULAR CANCELLOUS HIP SELF TAP BONE,96.9,48.45,18.56,87.21,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM GROOVE LOW PROFILE TITANIUM ACL PCL CANCELLOUS DEPTH MARK STEP DRILL BONE,89.0,44.5,17.04,80.1,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM LARGE TITANIUM HIP ACETABULAR SELF TAP LOW PROFILE HEXAGONAL HEAD BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM SPINE BONE DIVERGENCE-L,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM SPINE VARIABLE ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM STAINLESS STEEL SPINE SAGITTAL ADJUST 5.5 MM ROD BONE LEGACY CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM STANDARD SPINE BONE ENDOSKELETON TAS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM TITANIUM SHOULDER MODULAR PRIMARY BONE SMR,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD6.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 6.35 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L25 MM OD7.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD7.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM OD8 MM +0 MM TITANIUM FEMUR COMPRESSION ADVANCED INTRAMEDULLARY NAIL BONE T2,140.76,70.38,26.96,126.68,65
HCPCS,C1713,SCREW L25 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L25 MM TITANIUM SPINE FINE TIP BONE SYNFIX EVOLUTION,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW L26 MM FULL THREAD TAPER TITANIUM FOOT HAND COMPRESSION BONE ACUTWIST ACUTRAK,189.0,94.5,36.19,170.1,65
HCPCS,C1713,SCREW L26 MM G2 FEMUR BONE INTELLIJOINT HIP,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L26 MM L10 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM L10 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,"SCREW L26 MM L10 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM L10 MM OD3 MM T8 LONG THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L26 MM L10 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM L10 MM OD4 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM L10 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM L12 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L26 MM L12 MM OD4 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L26 MM L25 MM OD5 MM FEMORAL LOW PROFILE BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L26 MM L29 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L26 MM L5 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L26 MM L5 MM OD2.4 MM T8 SHORT THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED STARDRIVE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L26 MM L5 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L26 MM L6 MM OD2 MM MICRO REVERSE CUT FLUTE TITANIUM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD BONE ASNIS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW L26 MM L6 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,SCREW L26 MM L6.5 MM OD4 MM ODSEC2.6 MM T10 REVERSE CUT FLUTE TITANIUM SMALL BONE HEXALOBE DRIVER CANNULATED HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L26 MM L7 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L26 MM L7 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM L7 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM OD2 MM LAG CANNULATED BONE HPS,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L26 MM OD2 MM SHORT THRD CMPNT HDLS BN DART-FIRE EDGE,282.0,141.0,54.0,253.8,65
HCPCS,C1713,SCREW L26 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L26 MM OD2 MM T6 VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L26 MM OD2 MM TITANIUM CORTEX SELF TAP BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L26 MM OD2 MM TITANIUM FOREFOOT MIDFOOT CANNULATED LOW PROFILE DIGITAL FUSION RATCHET BONE CAPTURE,325.2,162.6,62.28,292.68,65
HCPCS,C1713,SCREW L26 MM OD2.3 MM 1.5 MM FULL THREAD TITANIUM CORTICAL SELF DRILL SELF TAP SOLID HEXAGON PROXIMAL OPEN WEDGE OSTEOTOMY BONE LOW PROFILE SCREW,93.15,46.58,17.84,83.84,65
HCPCS,C1713,SCREW L26 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACU-LOC 2,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L26 MM OD2.3 MM STAINLESS STEEL CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L26 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACU-LOC 2,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L26 MM OD2.3 MM TITANIUM LOCK VARIABLE ANGLE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM ODSEC1.9 MM T8 TITANIUM DISTAL SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN LOW PROFILE STARDRIVE MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM T8 TITANIUM CORTEX BRONZE BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM TITANIUM FOOT HAND ANKLE WRIST VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM TITANIUM HAND CANNULATED BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L26 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM 7 TITANIUM WRIST CORTICAL HEXADRIVE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM COCR SPINE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L26 MM OD2.5 MM TITANIUM HAND WRIST COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L26 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L26 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM FOOT HAND ANKLE WRIST HEADLESS SELF CUT CANNULATED VARIABLE PITCH BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM ELBOW NONLOCK HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP BONE SPS,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM FULL THREAD TITANIUM CORTICAL SELF TAPPING BONE NA,20.9,10.45,4.0,18.81,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM NONLOCK GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER BONE DVR,153.0,76.5,29.3,137.7,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM RADIUS DISTAL VOLAR LOCK 3 LEAD TAPER BONE DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM STAINLESS STEEL CORTICAL LOW PROFILE NONLOCK BONE LOW PROFILE SCREWS,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L26 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEX DRIVE BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L26 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG NONLOCK BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L26 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L26 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCK HEXADRIVE 7 TAPER CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L26 MM OD3 MM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L26 MM OD3 MM COCR POLYAXIAL CANNULATED LOCK DISTAL ELBOW PLATING SYSTEM BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L26 MM OD3 MM FULL THREAD CANNULATED BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L26 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L26 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L26 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L26 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L26 MM OD3 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L26 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L26 MM OD3 MM STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,198.01,99.01,37.92,178.21,65
HCPCS,C1713,SCREW L26 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L26 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L26 MM OD3 MM TITANIUM ANKLE VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L26 MM OD3.2 MM CORTICAL HEXAGONAL HEAD BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L26 MM OD3.2 MM STAINLESS STEEL CORTICAL LOCK BONE LOCKING CORTICAL SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM 40 D T15 TITANIUM CORTEX POLYAXIAL SELF TAP UNTHREAD SHAFT GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM CANNULATED HEADED BONE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM COCR CLAVICLE LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM CORTICAL 2 LEAD LOCK BONE CORTICAL SCREW DOUBLE LEAD LOCKING HEAD 3.5MM X 26MM,285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L26 MM OD3.5 MM FEMUR CORTICAL DISTAL T15 HEXALOBE DRIVE LOCKING BONE PEDILOC,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP PEDILOC SMALL FRAGMENT SYSTEM BONE PEDILOC LOCKING PLATE SYSTEM PEDIATRIC,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM FULL THREAD TIMAX CORTICAL NONLOCK SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM HEXALOBE HEADLESS BONE ACUMED,419.0,209.5,80.24,377.1,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM HUMERUS LOW PROFILE HEXALOBE BONE POLARUS 3,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM HUMERUS PROXIMAL NONLOCK UPPER EXTREMITY PLATE SYSTEM BONE OPTILOCK,93.5,46.75,17.91,84.15,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM MINI BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM PARTIAL THREAD FOOT ANKLE LAG CROSS BONE ORTHOLOC 3DI CROSSCHECK,271.64,135.82,52.02,244.48,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM PARTIAL THREAD SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM PARTIAL THREAD TITANIUM SPINE THORACIC MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SPINE PLY SHAFT 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM HUMERAL COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM REARFOOT LOCK SILVER BONE INTEGRA TOTAL FOOT SYSTEM,256.0,128.0,49.02,230.4,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM SHOULDER CORTICAL SUTUREPLATE BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L26 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L26 MM OD3.7 MM STAINLESS STEEL SILVER LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L26 MM OD3.75 MM PARTIAL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L26 MM OD3.8 MM 90 D TITANIUM HUMERUS PROXIMAL LOCK BONE S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,SCREW L26 MM OD3.8 MM CANCELLOUS ANKLE FIXATION SYSTEM BONE SIDEWINDER,79.0,39.5,15.13,71.1,65
HCPCS,C1713,SCREW L26 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L26 MM OD4 MM CANCELLOUS LOCK BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L26 MM OD4 MM FOOT ANKLE POLYAXIAL LOCK SILVER BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L26 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS LIGHT GREEN BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L26 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE FORTE,40.56,20.28,7.77,36.5,65
HCPCS,C1713,SCREW L26 MM OD4 MM ID3.4 MM 4 MM STAINLESS STEEL SELF TAP LOCK THREAD CONICAL HEAD LARGE HEXAGONAL PERIARTICULAR PLATE SYSTEM BONE HEALIX ADVANCE,574.0,287.0,109.92,516.6,65
HCPCS,C1713,SCREW L26 MM OD4 MM LONG EDGE COMPONENT HEAD BONE DART-FIRE,323.0,161.5,61.85,290.7,65
HCPCS,C1713,SCREW L26 MM OD4 MM LOW PROFILE TITANIUM SHOULDER CANCELLOUS LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L26 MM OD4 MM MINI SPINE POLYAXIAL LONG SHANK BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L26 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L26 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L26 MM OD4 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L26 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L26 MM OD4 MM PARTIAL THREAD TITANIUM HAND SELF RETAIN CANNULATED LAG LOW PROFILE HPS BONE OSTEOMED,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L26 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L26 MM OD4 MM SHORT THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L26 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM SPINE MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM STAINLESS STEEL CANCELLOUS BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L26 MM OD4 MM STANDARD BONE ACUTRAK 3,542.0,271.0,103.79,487.8,65
HCPCS,C1713,SCREW L26 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L26 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L26 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L26 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L26 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L26 MM OD4 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4 MM XL25 LOCK IM NL BN NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L26 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L26 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L26 MM OD4.2 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L26 MM OD4.3 MM SHORT THREAD STAINLESS STEEL ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM ANKLE LOCK LOW PROFILE BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM CORTICAL T20 HEXALOBE SELFTAPPING NAIL BONE PEDILOC,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL HEXAGONAL DRIVE NONLOCKING LOCKED PLATING SYSTEM BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP ORANGE BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE CORTICAL POLYAXIAL FIX ANGLE 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE MULTIAXIAL BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM SPINE POLYAXIAL FAVOR ANGLE BONE NORTHSTAR,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM STAINLESS STEEL CORTICAL SELF TAP BONE AMBI CLASSIC,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TI NONLOCK LG FRAG BN ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TITANIUM ANKLE CORTICAL LOCK BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TITANIUM CORTICAL NONLOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TITANIUM SELF TAP TIP LOCK HEXAGONAL TAPER THREAD HEAD LARGE FRAGMENT SET BONE ALPS,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L26 MM OD4.5 MM TITANIUM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L26 MM OD4.7 MM SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L26 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L26 MM OD5 MM ID4.4 MM 3.5 MM TITANIUM SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS BONE,163.76,81.88,31.36,147.38,65
HCPCS,C1713,SCREW L26 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L26 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L26 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L26 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L26 MM OD5 MM SHOULDER LOCK GLENOID BASEPLATE BONE RSP,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L26 MM OD5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L26 MM OD5 MM STAINLESS STEEL LONG BONE LOCKING SELF TAP T20 DRIVE BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L26 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L26 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L26 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L26 MM OD5 MM TITANIUM FEMUR SELF TAP LOCK OSTEOTOMY SYSTEM BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L26 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L26 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L26 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L26 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L26 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L26 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L26 MM OD6 MM SPINE BUTTRESS BONE CAYMAN,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L26 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L260 MM L25 MM OD6 MM ODSEC6-5 MM HA CORTICAL BLUNT TIP BONE XCALIBER OSTEOTITE,135.0,67.5,25.85,121.5,65
HCPCS,C1713,SCREW L260 MM L30 MM OD6 MM ODSEC6-5 MM HA CORTICAL BLUNT TIP BONE XCALIBER OSTEOTITE,130.38,65.19,24.97,117.34,65
HCPCS,C1713,SCREW L27 MM L10 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L27 MM L10 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L27 MM OD2.8-3.5 MM FULL THREAD TITANIUM COMPRESSION SELF TAP HEADLESS FUSION BONE ACUTRAK,294.0,147.0,56.3,264.6,65
HCPCS,C1713,SCREW L27.5 MM OD3.3-4.6 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS BONE ACUTRAK,340.0,170.0,65.11,306.0,65
HCPCS,C1713,SCREW L27.5 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L27.5 MM OD4 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L27.5 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L27.5 MM OD4 MM FULL THREAD LOCKING INTRAMEDULLARY NAIL BONE IMN SCREWS,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L27.5 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L27.5 MM OD5 MM LOCKING FEMUR RETROGRADE NAIL SYSTEM BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L28 MM L10 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L28 MM L10 MM OD3.5 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM L11 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L28 MM L11 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L28 MM L11 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L28 MM L11 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L28 MM L11 MM OD4 MM LONG THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED HEXADRIVE 12 BONE APTUS,572.0,286.0,109.54,514.8,65
HCPCS,C1713,SCREW L28 MM L11 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L28 MM L14 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L28 MM L25 MM OD5 MM FEMORAL LOW PROFILE BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L28 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L28 MM L3.5 MM OD3.5 MM ODSEC4.5 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L28 MM L31 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L28 MM L6 MM OD2 MM MICRO TITANIUM CANNULATED BONE ASNIS,177.11,88.56,33.92,159.4,65
HCPCS,C1713,SCREW L28 MM L6 MM OD2.4 MM ODSEC3.5 MM T8 SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL STARDRIVE ACCEPTS .8 MM GUIDEWIRE BONE,139.1,69.55,26.64,125.19,65
HCPCS,C1713,SCREW L28 MM L6 MM OD3 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L28 MM L7 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L28 MM L7 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L28 MM OD2 MM NANO BONE ACUTRAK 3,542.0,271.0,103.79,487.8,65
HCPCS,C1713,SCREW L28 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L28 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L28 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L28 MM OD2 MM TITANIUM CORTEX SELF TAP BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L28 MM OD2 MM TITANIUM HAND CANNULATED HEADLESS BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L28 MM OD2.3 MM CORTEX NONTOGGLE BONE ACU-LOC 2,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L28 MM OD2.3 MM CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L28 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACUMED,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM 20-55 D TITANIUM HAND FUSION CANNULATED HPS BONE OSTEOMED,456.0,228.0,87.32,410.4,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM ODSEC1.9 MM T8 TITANIUM DISTAL SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM T7 TITANIUM SELF TAP LOCK BONE VLP,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM TITANIUM HAND CANNULATED HEADLESS BONE HPS,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM TITANIUM HAND LAG CANNULATED SOLID CORE BONE HPS,118.0,59.0,22.6,106.2,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L28 MM OD2.4 MM TITANIUM VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM COCR BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM COCR LOCK BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM FOOT ANKLE HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM HEAD BONE MINI,192.04,96.02,36.78,172.84,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM ODSEC3.5 MM TAPER CUT FLUTE TITANIUM ANKLE FOOT CANNULATED SELF DRILL COLOR CODED T8 LOBE DRIVER BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM T8 STAINLESS STEEL ANKLE LOW PROFILE BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L28 MM OD2.5 MM TITANIUM HAND WRIST COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L28 MM OD2.5-2.8 MM MICRO FULL THREAD COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUMED ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM COCR SELF TAP VARIABLE ANGLE LOW PROFILE HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM ELBOW LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM FOOT ANKLE POLYAXIAL LOCK PURPLE BONE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM NONLOCK HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM ODSEC2.5 MM STAINLESS STEEL CORTICAL SELF TAP AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE SPS,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM ODSEC5 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD LOCK TAPER BONE DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD NONLOCK TAPER BONE DVR,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM STAINLESS STEEL CORTICAL BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM STAINLESS STEEL FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION BONE LOW PROFILE SCREWS,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM STAINLESS STEEL LOCK BONE CLAW CHARLOTTE,142.29,71.15,27.25,128.06,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM STAINLESS STEEL LOCK MALE THREAD HEAD PERIARTICULAR PLATE SYSTEM BONE,59.28,29.64,11.35,53.35,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L28 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM TITANIUM ALUMINUM VANADIUM ANKLE BONE ARSENAL,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM TITANIUM ELBOW SELF TAPPING PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L28 MM OD2.7 MM TITANIUM HUMERAL MULTITHREAD LOCK BONE HUMERAL PLATING SYSTEM,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L28 MM OD2.8 MM NONLOCK SOLID BONE OMNI,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L28 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L28 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L28 MM OD3 MM 40 D FULL THREAD SELF TAP SELF DRILL CONSTANT PITCH CHAMFER CUT HEAD BUNION CORRECTION SYSTEM BONE PECA,627.75,313.88,120.21,564.98,65
HCPCS,C1713,SCREW L28 MM OD3 MM BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L28 MM OD3 MM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L28 MM OD3 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L28 MM OD3 MM FULL THREAD CANNULATED BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L28 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L28 MM OD3 MM SHORT COMPONENT HEADLESS BONE DART-FIRE EDGE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L28 MM OD3 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L28 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L28 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L28 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L28 MM OD3 MM T10 SMALL TITANIUM CANNULATED HEADLESS ACCEPTS 4 IN .045 IN K WIRE 2.3 MM PILOT DRILL BONE EXTREMIFIX,237.0,118.5,45.39,213.3,65
HCPCS,C1713,SCREW L28 MM OD3 MM TITANIUM FOOT HAND CANNULATED HYBRID THREAD LOW PROFILE HEAD BONE TI6,273.92,136.96,52.46,246.53,65
HCPCS,C1713,SCREW L28 MM OD3 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW L28 MM OD3.2 MM CORTICAL HEXAGON BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L28 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE LOCKING CORTICAL SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM 2.2 MM COCR TIBIA DISTAL SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM 40 D T15 TITANIUM CORTEX POLYAXIAL SELF TAP UNTHREAD SHAFT GOLD 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM COCR CLAVICLE LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM CORTICAL 2 LEAD LOCK BONE CORTICAL SCREW DOUBLE LEAD LOCKING HEAD 3.5MM X 28MM,285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L28 MM OD3.5 MM FEMUR CORTICAL DISTAL T15 HEXALOBE DRIVE LOCKING BONE PEDILOC,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FOOT ANKLE BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FULL THREAD CORTICAL LOCK BONE PEDILOC,123.01,61.51,23.56,110.71,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP PEDILOC SMALL FRAGMENT SYSTEM BONE PEDILOC LOCKING PLATE SYSTEM PEDIATRIC,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM HUMERUS PROXIMAL NONLOCK UPPER EXTREMITY PLATE SYSTEM BONE OPTILOCK,93.5,46.75,17.91,84.15,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM LOCK BONE TUFFNEK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM LOCK HEXALOBE BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM MINI SPINE POLYAXIAL LONG SHANK BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM ODSEC6 MM T15 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SPINE PLY SHAFT 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SPINE POLYAXIAL BN NORTHSTAR,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM STAINLESS STEEL ANKLE LOCK FUSCHIA BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM STAINLESS STEEL CORTICAL ELBOW NONLOCK BLUE ELBOW PLATE SYSTEM BONE EVOLVE,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM HAND WRIST COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SHOULDER CORTICAL BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC MEDIAL POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD GREEN BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L28 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L28 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L28 MM OD3.8 MM 90 D TITANIUM HUMERUS PROXIMAL LOCK BONE S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,SCREW L28 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L28 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L28 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L28 MM OD4 MM COCR LOCK BN ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM FULL THREAD T15 STAINLESS STEEL ANKLE CANCELLOUS LIGHT GREEN BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L28 MM OD4 MM FULL THREAD TIMAX FIBULA CANCELLOUS DISTAL SOLID SMALL FRAGMENT BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L28 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L28 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L28 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L28 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L28 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L28 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD TITANIUM CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L28 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L28 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L28 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L28 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L28 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L28 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L28 MM OD4 MM SHORT THREAD HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC HIGH ANGULATION UNIVERSAL FIXATION SYSTEM BONE CORTIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC SELF FORM TIP MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE BLUE GREEN BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L28 MM OD4 MM T10 SMALL TITANIUM CANNULATED HEADED ACCEPTS 6 IN .045 IN K WIRE 2.7 MM PILOT DRILL BONE EXTREMIFIX,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW L28 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L28 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L28 MM OD4 MM T15 TITANIUM DISTAL CANCELLOUS TIBIA SELF TAP LOCK TAPER SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM ALUMINUM VANADIUM CANNULATED BONE TIGER,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM CORTICAL SELF TAP BONE TRIGEN,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM SPINE EXTEND POST BONE VERTEX,98.37,49.19,18.84,88.53,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD RECONSTRUCTION SYSTEM BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC MEDIAL POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD GREEN BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4 MM TITANIUM SPINE POST BONE VERTEX,98.37,49.19,18.84,88.53,65
HCPCS,C1713,SCREW L28 MM OD4 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L28 MM OD4 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L28 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L28 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L28 MM OD4.2 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L28 MM OD4.3 MM HUMERUS LOCK HEXALOBE LOW PROFILE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM 40 D T15 TITANIUM SPINE CANCELLOUS POLYAXIAL SELF TAP LIGHT BLUE 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM CORTICAL FLAT HEAD BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM FULL THREAD TIMAX KNEE CORTICAL NONLOCK HEXAGONAL LARGE FRAGMENT SET BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM GLENOID PERIPHERAL NONLOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM LOW PROFILE ANKLE LOCK BONE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM HUMERAL PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SHORT THREAD TITANIUM CANNULATED BONE,322.2,161.1,61.7,289.98,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE CORTICAL POLYAXIAL FIX ANGLE 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE MULTIAXIAL BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM SPINE POLYAXIAL FAVOR ANGLE BONE NORTHSTAR,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM STAINLESS STEEL CORTICAL PERIARTICULAR SELF TAP BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM STAINLESS STEEL FEMORAL PHYSEAL DISTAL LATERAL CANNULATED LOW PROFILE SELF TAP BONE PEDIPLATE,171.81,85.91,32.9,154.63,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM STAINLESS STEEL LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM T20 CORTICAL SELF TAP HEXALOBE GREEN BONE PEDILOC,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM ANKLE CORTICAL LOCK BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM CORTICAL AXSOS 3 BONE AXSOS 3,29.58,14.79,5.66,26.62,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM CORTICAL NONLOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM HUMERUS FEMUR TIBIA CORTICAL HEXAGONAL DRIVE LOCKING SELF TAPPING TIP TAPERED THREADED HEAD LARGE FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE NONBIAS ANGLE FUCHSIA BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD4.5 MM TITANIUM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L28 MM OD4.7 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,484.0,242.0,92.69,435.6,65
HCPCS,C1713,SCREW L28 MM OD5 MM CORTICAL CAPTURE BONE AOS CAPTURED CORTICAL SCREW 5.0MM X 28MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L28 MM OD5 MM CROSS HEAD HINDFOOT TTC/TC NAIL SYSTEM BONE PHANTOM,330.0,165.0,63.2,297.0,65
HCPCS,C1713,SCREW L28 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L28 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L28 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L28 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L28 MM OD5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD5 MM SPINE SELF START ANTEROLATERAL LUMBAR FUSION MIS BONE CAYMAN,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L28 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L28 MM OD5 MM T25 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L28 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,195.32,97.66,37.4,175.79,65
HCPCS,C1713,SCREW L28 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L28 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L28 MM OD5 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW L28 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L28 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL SYSTEM BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L28 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L28 MM OD5.5 MM GLENOID LOCK MODULAR BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L28 MM OD5.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L28 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L28 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L28 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L28 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L29 MM L10 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L29 MM L10 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L29 MM L6 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L3 MM NEURO ONEDRIVE BONE LEVEL ONE DRILL-FREE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L3 MM OD1.2 MM SELF DRILL AXIAL STABILITY LOWER PROFILE BONE AXS,110.39,55.2,21.14,99.35,65
HCPCS,C1713,SCREW L3 MM OD1.2 MM SELF TAP AXIAL STABILITY LOWER PROFILE BONE AXS,99.6,49.8,19.07,89.64,65
HCPCS,C1713,SCREW L3 MM OD1.4 MM EMERGENCY AXIAL STABILITY LOWER PROFILE BONE AXS,102.92,51.46,19.71,92.63,65
HCPCS,C1713,SCREW L3 MM OD1.4 MM TITANIUM UPPER FACE SELF TAP CROSS PIN EMERGENCY PURPLE BONE LEIBINGER UNIVERSAL 2,67.81,33.91,12.99,61.03,65
HCPCS,C1713,SCREW L3 MM OD1.5 MM CRANIAL SELF DRILL AXIAL STABILITY BONE UNIVERSAL NEURO 3,410.0,205.0,78.52,369.0,65
HCPCS,C1713,SCREW L3 MM OD1.7 MM SELF DRILL AXIAL STABILITY LOWER PROFILE BONE AXS,99.6,49.8,19.07,89.64,65
HCPCS,C1713,SCREW L3 MM OD1.7 MM SELF TAP AXIAL STABILITY LOWER PROFILE BONE AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW L3 MM OD1.7 MM TITANIUM MIDFACE SELF DRILL CROSS PIN SILVER BONE LEIBINGER UNIVERSAL 2,61.99,31.0,11.87,55.79,65
HCPCS,C1713,SCREW L3 MM OD1.9 MM EMERGENCY AXIAL STABILITY LOWER PROFILE BONE AXS,97.94,48.97,18.76,88.15,65
HCPCS,C1713,SCREW L3.5 MM OD1.5 MM CRANIOMAXILLOFACIAL BONE LEVEL ONE ONEDRIVE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L3.5 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL CROSS DRIVE BONE THINFLAP,82.0,41.0,15.7,73.8,65
HCPCS,C1713,SCREW L3.5 MM OD1.5 MM TITANIUM MIDFACE SELF DRILL HIGH TORQUE CROSS DRIVE GREEN LORENZ PLATE SYSTEM BONE LORENZ,82.0,41.0,15.7,73.8,65
HCPCS,C1713,SCREW L3.5 MM OD1.8 MM TITANIUM MIDFACE SELF TAP HIGH TORQUE CROSS DRIVE EMERGENCY MAGENTA LORENZ PLATE SYSTEM BONE STERILETRAC,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L30 MM FULL THREAD TAPER TITANIUM COMPRESSION BONE ACUTWIST ACUTRAK,189.0,94.5,36.19,170.1,65
HCPCS,C1713,SCREW L30 MM HIP ACETABULAR BONE DJO SURGICAL EMPOWR,78.4,39.2,15.01,70.56,65
HCPCS,C1713,SCREW L30 MM L10 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L30 MM L10 MM OD3.5 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM L12 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L30 MM L12 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L30 MM L12 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,"SCREW L30 MM L12 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L30 MM L12 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L30 MM L14 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L30 MM L14 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.97,10.49,4.02,18.87,65
HCPCS,C1713,SCREW L30 MM L15 MM OD4 MM PARTIAL THREAD TITANIUM SPINE OCCIPITAL MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM L15 MM OD4.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM L15 MM OD7.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L30 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L30 MM L16 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED LARGE HEXAGONAL HEMISPHERICAL BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L30 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L30 MM L2.6 MM OD4 MM ODSEC2.6 MM T10 TITANIUM HEXALOBE CANNULATED HEADED BONE MINI,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L30 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L30 MM L33 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM L6 MM OD3 MM TITANIUM HAND FOOT ELBOW WRIST COMPRESSION SELF DRILL CANNULATED HEXADRIVE 10 BONE APTUS,239.62,119.81,45.89,215.66,65
HCPCS,C1713,SCREW L30 MM L7 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L30 MM L7 MM OD2.4 MM T8 SHORT THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED STARDRIVE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L30 MM L8 MM OD2 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L30 MM L8 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L30 MM L8 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L30 MM L8 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L30 MM OD2 MM BUTTRESS STAINLESS STEEL RADIUS DISTAL BONE,87.22,43.61,16.7,78.5,65
HCPCS,C1713,SCREW L30 MM OD2 MM CANNULATED LAG BONE HPS,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L30 MM OD2 MM COCR LOCK BRONZE MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L30 MM OD2 MM LONG THREAD CANNULATED HEADLESS BONE MINI-MONSTER,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L30 MM OD2 MM STAINLESS STEEL NONLOCK MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L30 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L30 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L30 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L30 MM OD2 MM TITANIUM CORTEX SELF TAP BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L30 MM OD2.3 MM 1.5 MM PARTIAL THREAD HEXAGON TITANIUM FOREFOOT CANCELLOUS LAG CANNULATED SELF TAP SELF DRILL ACCEPTS .034 IN GUIDEWIRE BONE LOW PROFILE SCREWS,112.76,56.38,21.59,101.48,65
HCPCS,C1713,SCREW L30 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE AMPLATZER,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L30 MM OD2.3 MM STAINLESS STEEL CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L30 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACU-LOC 2,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL MODULAR MINI FRAGMENT SET BONE,89.02,44.51,17.05,80.12,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM PARTIAL THREAD TITANIUM VARIABLE ANGLE LOW PROFILE SMOOTH BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM T7 TITANIUM SELF TAP LOCK BONE VLP,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L30 MM OD2.4 MM TITANIUM VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L30 MM OD2.5 MM COCR TIBIA PROXIMAL LOCK BLUE BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L30 MM OD2.5 MM FOOT ANKLE HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L30 MM OD2.5 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L30 MM OD2.5 MM MICRO FULL THREAD BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L30 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L30 MM OD2.5 MM TITANIUM HAND COMPRESSION CANNULATED HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L30 MM OD2.5-2.8 MM MICRO FULL THREAD TAPER TITANIUM SELF TAP SELF CUT CANNULATED VARIABLE PITCH BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L30 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM FOOT POLYAXIAL NONLOCK PURPLE BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOCK POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM FULL THREAD STAINLESS STEEL SELF TAP POLYAXIAL ON AXIS GRAY FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,89.92,44.96,17.22,80.93,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM RADIUS DISTAL VOLAR NONLOCK 3 LEAD TAPER BONE DVR,46.0,23.0,8.81,41.4,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM STAINLESS STEEL CORTICAL SOLID SHAFT LOW PROFILE KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION BONE KNOTLESS SYNDESMOSIS TIGHTROPE,31.05,15.53,5.95,27.95,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM STAINLESS STEEL LOCK MALE THREAD HEAD PERIARTICULAR PLATE SYSTEM BONE,59.28,29.64,11.35,53.35,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM T15 TIMAX FOOT CORTICAL SELF TAP TIP LOW PROFILE LOCK TAPER THREAD ALPS BONE ALPS,130.2,65.1,24.93,117.18,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM TITANIUM ELBOW CORTICAL DISTAL THREAD PEG NONLOCK BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L30 MM OD2.7 MM TITANIUM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L30 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L30 MM OD3 MM BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L30 MM OD3 MM COCR POLYAXIAL CANNULATED LOCK DISTAL ELBOW PLATING SYSTEM BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L30 MM OD3 MM FULL THREAD CANNULATED BONE DARTFIRE EDGE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L30 MM OD3 MM HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L30 MM OD3 MM MINI HEAD BONE FUZEFIX,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L30 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L30 MM OD3 MM SHORT THREAD CANNULATED HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L30 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L30 MM OD3 MM T10 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L30 MM OD3 MM TAPER CUT FLUTE TITANIUM ANKLE FOOT HEAD BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L30 MM OD3 MM TITANIUM FOREFOOT MIDFOOT SELF TAP SELF DRILL CANNULATED BONE CAPTURE,275.11,137.56,52.68,247.6,65
HCPCS,C1713,SCREW L30 MM OD3.2 MM CORTICAL HEXAGON BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM CANNULATED HEADED BONE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FOOT NONLOCK BONE EPIC FOOT PLATE SYSTEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FULL THREAD BEVEL BONE,779.53,389.77,149.28,701.58,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTICAL SELF TAP PEDILOC SMALL FRAGMENT SYSTEM BONE PEDILOC LOCKING PLATE SYSTEM PEDIATRIC,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM LOW PROFILE NONLOCK HEXALOBE BONE POLARUS 3,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL ARTHROPLASTY BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM MIDFOOT TAP LOCK BONE POLYLOCK,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM MINI SPINE POLYAXIAL LONG SHANK BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP LOCK VARIAX PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM PARTIAL THREAD SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM PARTIAL THREAD SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LONG SHANK BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE POLYAXIAL BONE NORTHSTAR,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM STAINLESS STEEL ANKLE LOCK FUSCHIA BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM STAINLESS STEEL LOCK BONE SURFIX,174.99,87.5,33.51,157.49,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM T15 FULL THREAD TITANIUM SELF TAP LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM T15 NONLOCK LOW PROFILE SILVER BONE ALPS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM COMPRESSION HEADLESS BONE REDUCT,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM HUMERAL LOCK BONE FREEFIX,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,554.4,277.2,106.17,498.96,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE SMOOTH SHANK BIAS ANGLE TULIP HEAD BLUE BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L30 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L30 MM OD3.5-3.6 MM MINI FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .045 IN GUIDEWIRE BONE ACUTRAK 2,426.0,213.0,81.58,383.4,65
HCPCS,C1713,SCREW L30 MM OD3.8 MM CANCELLOUS ANKLE FIXATION SYSTEM BONE SIDEWINDER,79.0,39.5,15.13,71.1,65
HCPCS,C1713,SCREW L30 MM OD4 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L30 MM OD4 MM 2.5 MM FULL THREAD STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L30 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L30 MM OD4 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM 50 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP GREEN GRAY 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L30 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,"SCREW L30 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 30MM",285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L30 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L30 MM OD4 MM FULL THREAD TITANIUM LOCK T2 INTRAMEDULLARY NAIL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L30 MM OD4 MM HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L30 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L30 MM OD4 MM ID3.4 MM STAINLESS STEEL SELF TAP LOCK LARGE HEXAGONAL CONICAL BONE HEALIX ADVANCE,574.0,287.0,109.92,516.6,65
HCPCS,C1713,SCREW L30 MM OD4 MM LONG THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L30 MM OD4 MM LOW PROFILE TITANIUM SHOULDER CANCELLOUS LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L30 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L30 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L30 MM OD4 MM PARTIAL THREAD CANCELLOUS ANKLE FOOT SELF TAP PREDRILL GREEN BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L30 MM OD4 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM PARTIAL THREAD STAINLESS STEEL HIP SELF TAP SELF DRILL CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L30 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEX DRIVE SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L30 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L30 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L30 MM OD4 MM SHORT THREAD CANNULATED HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L30 MM OD4 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE CANNULATED BONE NEON3,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE POLYAXIAL BONE NORTHSTAR,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM STAINLESS STEEL SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM STANDARD FULL THREAD TITANIUM CANNULATED COMPRESSION VARIABLE STEP PITCH BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L30 MM OD4 MM T10 SMALL TITANIUM CANNULATED HEADED ACCEPTS 6 IN .045 IN K WIRE 2.7 MM PILOT DRILL BONE EXTREMIFIX,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 FULL THREAD TIMAX TIBIAL CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L30 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE LIGHT GREEN INTRAMEDULLARY NAIL BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L30 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM HUMERUS CORTICAL SELF TAP INTRAMEDULLARY NAIL SYSTEM BONE TRIGEN,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM MIDFOOT POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM SPINE CORTICAL CANNULATED BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP BLUE 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM SPINE POLYAXIAL REDUCTION 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4 MM XL25 LOCK IM NL BN NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L30 MM OD4 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L30 MM OD4-4.1 MM FULL THREAD STANDARD HEXAGON TITANIUM FOOT HAND ANKLE WRIST SELF CUT CANNULATED COMPRESSION BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L30 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L30 MM OD4.3 MM HUMERUS LOCK HEXALOBE LOW PROFILE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L30 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP PINK 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.35 MM TITANIUM SPINE POLYAXIAL EXTEND TAB 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM 18 D SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM CORTEX SELF TAP HEX HEAD BONE PERI-LOC,39.21,19.61,7.51,35.29,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL HEXAGONAL DRIVE NONLOCKING LOCKED PLATING SYSTEM BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL LOCK BONE POLYAXLOCKING CORTICAL SCREW FULL THREAD,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM METAGLENE SHOULDER GLENOID LOCK REVERSE SYSTEM BONE DELTA XTEND,195.75,97.88,37.49,176.18,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM PEEK SPINE PEDICLE MULTIAXIAL 5.5 MM ROD BONE LEGACY CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SELF TAP LOCK BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE BLUE BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE MULTIAXIAL 4.75 MM ROD BONE CD HORIZON SPINAL SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC HIGH ANGULATION 2 LEAD UNIVERSAL FIXATION SYSTEM BONE CORTIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE POLYAXIAL CANNULATED 4.5 MM ROD LITE CORTICAL TRAJECTORY LUMBAR INTERBODY FUSION BONE XIA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM SPINE POLYAXIAL XLRF SYSTEM BONE BRIGADE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM STAINLESS STEEL HIP CORTICAL SELF TAP BONE CHS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM T20 CORTICAL CANNULATED SELF TAP HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM T20 CORTICAL PROXIMAL LOCK HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TIMAX CORTICAL BONE VERSANAIL,42.0,21.0,8.04,37.8,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM ANKLE CORTICAL LOCK BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM CORTICAL NONLOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM LOCK ANKLE FUSION PLATE SYSTEM BONE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM SPINE POLYAXIAL 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TITANIUM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY BONE HTO PLATE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L30 MM OD4.5 MM TIVANIUM HIP ACETABULAR SELF TAP BONE TRILOGY,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L30 MM OD4.7 MM FULL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L30 MM OD4.7 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,484.0,242.0,92.69,435.6,65
HCPCS,C1713,SCREW L30 MM OD4.7 MM SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L30 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM ACETABULAR PERIPHERAL HOLE BONE REFLECTION,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L30 MM OD5 MM CANC BN AOS CANC SCR 5.0MM X 30.0MM,260.0,130.0,49.79,234.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L30 MM OD5 MM FULL THREAD TITANIUM TIBIAL LOCK BONE AUTOBAHN,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L30 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L30 MM OD5 MM LARGE HIP ACETABULAR BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L30 MM OD5 MM LOCK ANTERALIGN SPINAL SYSTEM BONE TITAN NANOLOCK,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM LOCK GREEN INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L30 MM OD5 MM LOCKING FEMUR RETROGRADE NAIL SYSTEM BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L30 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L30 MM OD5 MM ODSEC3.5 MM PARTIAL THREAD TITANIUM ALUMINUM VANADIUM FEMORAL CORTICAL SELF TAP HEX HEAD RED 9.3 MM NATURAL NAIL BONE NATURAL NAIL,130.66,65.33,25.02,117.59,65
HCPCS,C1713,SCREW L30 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L30 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L30 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L30 MM OD5 MM SHOULDER LOCK GLENOID BASEPLATE BONE RSP,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE BONE MONTEREY AL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE POLYAXIAL 1 INNIE BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE POSTERIOR CERVICAL 4.0 PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE SHANK MAS PLIF 3Z BONE MAS,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L30 MM OD5 MM SPINE THORACIC MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L30 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L30 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP 2 CORE STARDRIVE GOLD INTRAMEDULLARY NAIL BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L30 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L30 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L30 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM ALUMINUM VANADIUM IRON CORTICAL CAPTURE TROCHANTERIC NAIL IMPLANT SYSTEM BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON OSTEOGRIP,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM HIP FEMORAL TRANSVERSE FIXATION MODULAR REVISION SYSTEM KAESSMANN BONE ARCOS,164.5,82.25,31.5,148.05,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SELF TAP LOCK BONE TOMOFIX,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE ANTERIOR MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE CORTICAL FIX ANGLE 5.5 MM ROD BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE POLYAXIAL CANNULATED EXTEND TAB 5.5 MM ROD MIS BONE VIPER 2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM TITANIUM SPINE UNIPLANAR 4.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L30 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L30 MM OD5 MM XL25 MEDULLARY LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE TITANIUM ALUMINUM NIOBIUM,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L30 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L30 MM OD5.0 MM TITANIUM CORTICAL LOW PROFILE BONE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM 3 MM PITCH SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM CCM SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM GRIPTION TF HIP ACETABULAR POLYAXIAL LOCK BONE GRIPTION,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE ALIF BONE ENDOSKELETON TAS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE BONE TRAVERSE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE FIX ANGLE BONE SOVEREIGN,99.0,49.5,18.96,89.1,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE LUMBAR BONE PIVOX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE MULTIAXIAL TRANSITION BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE POLYAXIAL 15004-055-030 BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE POLYAXIAL 4.5 MM ROD LITE CORTICAL TRAJECTORY LUMBAR INTERBODY FUSION BONE XIA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE SELF TAP STABILIZE BONE CHESAPEAKE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE THORACIC MULTIAXIAL BONE RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM CANCELLOUS SELF TAP 2 CORE THREAD BLUNT TIP TSLP BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM MIDFOOT POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM SPINE MULTIAXIAL CLOSED BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD5.7 MM STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LOCK BONE PERI-LOC,158.0,79.0,30.26,142.2,65
HCPCS,C1713,SCREW L30 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L30 MM OD6 MM METAGLENE CENTRAL BONE DELTA XTEND,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L30 MM OD6 MM SHOULDER CENTRAL BONE INHANCE,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L30 MM OD6 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM SPINE BONE STALIF MIDLINE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM SPINE BUTTRESS BONE CAYMAN,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM SPINE STANDALONE CENTER ALIF BONE IDENTITI,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L30 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE ANTERIOR MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE CANNULATED EXTEND TAB MIS 5.5 MM ROD BONE VIPER 2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6 MM TITANIUM SPINE POLYAXIAL CANNULATED 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM ACETABULAR CANCELLOUS BONE ALTEON,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM CANCELLOUS BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM GROOVE LOW PROFILE TITANIUM ACL PCL CANCELLOUS DEPTH MARK STEP DRILL BONE,89.0,44.5,17.04,80.1,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM HIP CANCELLOUS ACETABULAR SPHERICAL BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM HIP CANCELLOUS FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM LARGE TITANIUM HIP ACETABULAR SELF TAP LOW PROFILE HEXAGONAL HEAD BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM ODSEC8 MM FULL THREAD TITANIUM CANCELLOUS HEXAGONAL LARGE FRAGMENT SET BONE LC-DCP,25.96,12.98,4.97,23.36,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE BONE DIVERGENCE-L,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE INTERBODY FUSION BONE ENDOSKELETON TAS,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE LUMBAR ANTERIOR BONE HALO,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED EXTENSION TAB 4.75 MM ROD BONE CD HORIZON SOLERA SPINAL SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA 3 SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE POLYAXIAL 5.5 MM ROD BONE SPHERX,510.0,255.0,97.67,459.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD6.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM OD8.5 MM TITANIUM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L30 MM SPINE FINE TIP BONE SYNFIX EVOLUTION,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW L30 MM SPINE POLYAXIAL TULIP REDUCTION MODULAR BONE CREO MIS,330.0,165.0,63.2,297.0,65
HCPCS,C1713,SCREW L30 MM SPINE TULIP REDUCTION FENESTRATE MIS BONE CREO,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L32 MM L10 MM OD3.5 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM L12 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L32 MM L12 MM OD2.4 MM T8 LONG THREAD FLUTE TITANIUM COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,290.57,145.29,55.64,261.51,65
HCPCS,C1713,SCREW L32 MM L12 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,"SCREW L32 MM L13 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L32 MM L13 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L32 MM L13 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L32 MM L3.5 MM OD3.5 MM ODSEC4.5 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L32 MM L35 MM OD6 MM TITANIUM SPINE CANCELLOUS LOCK STARDRIVE BONE ANTEGRA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L32 MM L7 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L32 MM L7 MM OD4.5 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,274.42,137.21,52.55,246.98,65
HCPCS,C1713,"SCREW L32 MM L8 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L32 MM L8 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L32 MM L8 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L32 MM OD2 MM COCR LOCK MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L32 MM OD2 MM MINI T7 REVERSE CUT FLUTE TITANIUM SELF DRILL SELF TAP CANNULATED HEADLESS ACCEPTS 4 IN .035 IN K WIRE 1.7 MM PILOT DRILL BONE EXTREMIFIX,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L32 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L32 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L32 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L32 MM OD2 MM TITANIUM HAND CANNULATED HEADLESS HPS BONE OSTEOMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L32 MM OD2.3 MM CORTICAL BONE TORX,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L32 MM OD2.3 MM TITANIUM BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM T7 MINI TITANIUM CANNULATED HEADLESS ACCEPTS 6 IN .035 IN K WIRE 1.7 MM PILOT DRILL BONE EXTREMIFIX,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM T7 TITANIUM SELF TAP LOCK BONE VLP,93.56,46.78,17.92,84.2,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP STARDRIVE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM TITANIUM CORTEX SELF TAP BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L32 MM OD2.4 MM TITANIUM FOOT HAND ANKLE WRIST LOCK SELF TAP SOLID VARIABLE ANGLE BONE QUICKFIX,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L32 MM OD2.5 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L32 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L32 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L32 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L32 MM OD2.5 MM TAPER TITANIUM HEADLESS CUT FLUTE BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM ANKLE LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM NONLOCK HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM ODSEC5 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L32 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L32 MM OD2.7 MM TITANIUM ELBOW SELF TAPPING PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L32 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L32 MM OD2.8-3.5 MM FULL THREAD TITANIUM COMPRESSION SELF TAP HEADLESS FUSION BONE ACUTRAK,294.0,147.0,56.3,264.6,65
HCPCS,C1713,SCREW L32 MM OD3 MM COCR CANNULATED LOCK POLYAXIAL BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L32 MM OD3 MM FOOT ANKLE CANNULATED HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L32 MM OD3 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L32 MM OD3 MM FULL THREAD HEAD BONE MINI-MONSTER,170.0,85.0,32.56,153.0,65
HCPCS,C1713,SCREW L32 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L32 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L32 MM OD3 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L32 MM OD3 MM PARTIAL THREAD STAINLESS STEEL EXTRAARTICULAR SELF DRILL SELF TAP GUIDE WIRE BONE QUICKFIX,132.99,66.5,25.47,119.69,65
HCPCS,C1713,SCREW L32 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L32 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L32 MM OD3 MM STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,198.01,99.01,37.92,178.21,65
HCPCS,C1713,SCREW L32 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L32 MM OD3 MM T10 PARTIAL THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .045 IN GUIDEWIRE BONE QUICKFIX,137.66,68.83,26.36,123.89,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM BONE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM COCR TIBIAL PROXIMAL LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM CROSSPLATE GREEN BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM FULL THREAD CORTICAL NONLOCKING BONE PEDILOC LOCKING PLATE SYSTEM,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM HEXALOBE BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM MINI SPINE POLYAXIAL LONG SHANK BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM MULTITHREAD TITANIUM COMPRESSION BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM MULTITHREAD TITANIUM LOCK BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM ODSEC5 MM STAINLESS STEEL CANCELLOUS SELF TAP LOCK SMALL HEXAGONAL BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM PARTIAL THREAD FOOT ANKLE LAG CROSS BONE ORTHOLOC 3DI CROSSCHECK,271.64,135.82,52.02,244.48,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM PARTIAL THREAD SPINE FAVOR ANGLE BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM PARTIAL THREAD SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LONG SHANK BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SPINE PLY 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SPINE PLY SHAFT 4 MM ROD BONE SYMPHONY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM STAINLESS STEEL ANKLE FUSCHIA BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP BONE 3.5MM SCREW FASTENER SELF-TAPPING 32MM,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM STAINLESS STEEL LOCK FUSCHIA SMALL FRAGMENT BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM CORTICAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM HUMERAL COMPRESSION BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM TITANIUM SPINE SHOULDER POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,"SCREW L32 MM OD3.5 MM VARIABLE ANGLE LOCK BONE VARIABLE ANGLE LOCKING SCREW, 3.5MM X 32MM",290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L32 MM OD3.7 MM STAINLESS STEEL SILVER LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L32 MM OD3.75 MM FULL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L32 MM OD3.75 MM PARTIAL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM BLUNT TIP CANNULATED LAG BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L32 MM OD4 MM BONE FIXOS,295.68,147.84,56.62,266.11,65
HCPCS,C1713,SCREW L32 MM OD4 MM FOOT ANKLE HEAD OSTEOTOMY BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,"SCREW L32 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 32MM",285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L32 MM OD4 MM FULL THREAD CANNULATED EDGE BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L32 MM OD4 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L32 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L32 MM OD4 MM FULL THREAD TITANIUM FOOT ANKLE LOCK BONE T2,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L32 MM OD4 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L32 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L32 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L32 MM OD4 MM LONG EDGE COMPONENT HEAD BONE DART-FIRE,323.0,161.5,61.85,290.7,65
HCPCS,C1713,SCREW L32 MM OD4 MM LONG THREAD HEADLESS BONE MINI-MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM MINI SPINE POLYAXIAL LONG SHANK BONE CASPIAN DENALI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L32 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD TITANIUM CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L32 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L32 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L32 MM OD4 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L32 MM OD4 MM SHORT EDGE COMPRESSION HEAD BONE DART-FIRE,272.0,136.0,52.09,244.8,65
HCPCS,C1713,SCREW L32 MM OD4 MM SHORT THREAD CANNULATED HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L32 MM OD4 MM SPINE CERVICAL POSTERIOR MULTIAXIAL BONE VUEPOINT,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L32 MM OD4 MM T10 SMALL TITANIUM CANNULATED HEADLESS ACCEPTS 6 IN .045 IN K WIRE 2.7 MM PILOT DRILL BONE EXTREMIFIX,387.0,193.5,74.11,348.3,65
HCPCS,C1713,SCREW L32 MM OD4 MM T12 MINI TITANIUM COMPRESSION SELF TAP SELF DRILL CANNULATED BLUE BONE FUZEFIX,305.0,152.5,58.41,274.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L32 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TAPER SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L32 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L32 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L32 MM OD4 MM TITANIUM SPINE CORTICAL CANNULATED BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L32 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L32 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L32 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L32 MM OD4.3 MM HUMERUS LOCK HEXALOBE LOW PROFILE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L32 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM 40 D T15 TITANIUM CANCELLOUS POLYAXIAL SELF TAP LIGHT BLUE 3.5 MM ROD BONE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM ANKLE LOCK LOW PROFILE BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM FULL THREAD STAINLESS STEEL SELF TAP CANNULATED LOW PROFILE GENERATION II BONE PEDIPLATE PEDIATRIC,171.81,85.91,32.9,154.63,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL HEXAGONAL DRIVE NONLOCKING LOCKED PLATING SYSTEM BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL LOCK BONE POLYAX,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM GLENOID PERIPHERAL NONLOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM LOW PROFILE STAINLESS STEEL RADIUS CORTICAL DISTAL VOLAR SELF TAP SMALL FRAGMENT SYSTEM BONE PERI-LOC,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM ODSEC6.5 MM TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM T20 CORTICAL PROXIMAL SELF TAP HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE NONBIAS ANGLE FUCHSIA BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD4.5 MM TITANIUM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L32 MM OD5 MM 1/3 THREAD TITANIUM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED BONE ASNIS III,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW L32 MM OD5 MM 3.5 MM HIP FEMUR CORTICAL HEXAGONAL DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L32 MM OD5 MM COMPRESSION HEADLESS BONE FIXOS,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW L32 MM OD5 MM CORTICAL FLAT HEAD BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L32 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L32 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L32 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L32 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L32 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L32 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L32 MM OD5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L32 MM OD5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L32 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L32 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP 2 CORE STARDRIVE GOLD INTRAMEDULLARY NAIL BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L32 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L32 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L32 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,156.24,78.12,29.92,140.62,65
HCPCS,C1713,SCREW L32 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L32 MM OD5 MM TITANIUM CANCELLOUS SELF TAP BONE TRIGEN,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW L32 MM OD5 MM TITANIUM FEMUR SELF TAP LOCK OSTEOTOMY SYSTEM BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L32 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L32 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L32 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L32 MM OD5.5 MM ANKLE POLYAXIAL LOCKING BONE UNITE,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L32 MM OD5.5 MM GLENOID PERIPHERAL LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L32 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L32 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L32 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L32 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L32 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L32 MM X W4 MM CORTEX BONE AXSOS 3,63.24,31.62,12.11,56.92,65
HCPCS,C1713,SCREW L32.5 MM OD3.5 MM CORT BN CORT SCR 3.5MM X 32.5MM,260.0,130.0,49.79,234.0,65
HCPCS,C1713,SCREW L32.5 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L32.5 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L32.5 MM OD4 MM FULL THREAD LOCKING INTRAMEDULLARY NAIL BONE IMN SCREWS,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L32.5 MM OD4.5 MM FULL THREAD INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L32.5 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L32.5 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L32.5 MM OD6 MM TITANIUM SPINE ANTERIOR MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L34 MM L10 MM OD3.5 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM L10 MM OD4 MM PARTIAL THREAD TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM L14 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,"SCREW L34 MM L14 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L34 MM L14 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,"SCREW L34 MM L14 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L34 MM L14 MM OD4 MM LONG THREAD TITANIUM COMPRESSION SELF DRILL CANNULATED HEXADRIVE 12 BONE APTUS,572.0,286.0,109.54,514.8,65
HCPCS,C1713,SCREW L34 MM L14 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L34 MM L7 MM OD4.5 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,288.54,144.27,55.26,259.69,65
HCPCS,C1713,SCREW L34 MM L8 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,"SCREW L34 MM L9 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L34 MM L9 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L34 MM OD2 MM LONG THREAD HEADLESS BONE MINI-MONSTER,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L34 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L34 MM OD2 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM T8 FULL THREAD TITANIUM CORTEX CANNULATED SELF TAP ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L34 MM OD2.4 MM TITANIUM VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L34 MM OD2.5 MM LONG THREAD CANNULATED HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L34 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L34 MM OD2.5 MM SHORT EDGE COMPRESSION HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L34 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L34 MM OD2.5 MM STAINLESS STEEL BLUE SMALL FRAGMENT BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L34 MM OD2.5 MM TAPER TITANIUM HEADLESS CUT FLUTE BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM LOCK GORILLA PLATE SYSTEM BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM NONLOCK HEXALOBE HEAD SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,129.35,64.68,24.77,116.42,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM STAINLESS STEEL CORTICAL ELBOW NONLOCK GREEN ELBOW PLATE SYSTEM BONE EVOLVE,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L34 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L34 MM OD3 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L34 MM OD3 MM FOOT ANKLE CANNULATED HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L34 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L34 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L34 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L34 MM OD3 MM SHORT EDGE COMPRESSION HEAD BONE DART-FIRE,215.0,107.5,41.17,193.5,65
HCPCS,C1713,SCREW L34 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L34 MM OD3 MM STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,198.01,99.01,37.92,178.21,65
HCPCS,C1713,SCREW L34 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP STARDRIVE SOLID COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL PURPLE CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM 2.2 MM COCR TIBIA DISTAL SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM CROSSPLATE GREEN BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FOOT CANNULATED HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FOOT NONLOCK BONE EPIC FOOT PLATE SYSTEM,52.5,26.25,10.05,47.25,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FULL THREAD CORTICAL NONLOCKING BONE PEDILOC LOCKING PLATE SYSTEM,30.11,15.06,5.77,27.1,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FULL THREAD STAINLESS STEEL FEMUR CORTICAL LOCK SMALL FRAGMENT SYSTEM BONE PEDILOC,123.01,61.51,23.56,110.71,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM ID2.9 MM 2.5 MM STAINLESS STEEL SELF TAP LOCK THREAD HEAD SMALL HEXAGONAL CALCANEAL PLATE BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM LOCK HEXALOBE BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL ARTHROPLASTY BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM MINI FULL THREAD BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM NONLOCK BONE MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM PARTIAL THREAD SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEAD GOLD BONE DART-FIRE,120.4,60.2,23.06,108.36,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LONG SHANK BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM STAINLESS STEEL LOCK FUSCHIA SMALL FRAGMENT BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM T15 FULL THREAD TITANIUM NIOBIUM ALUMINUM HUMERAL SELF TAP LOCK STARDRIVE GREEN BONE,134.08,67.04,25.68,120.67,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM COMPRESS BONE FREEFIX,171.0,85.5,32.75,153.9,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM NITRIDE CALCANEAL LOCK PLATE BONE ORTHOLOC,190.05,95.03,36.39,171.05,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L34 MM OD3.7 MM TITANIUM METAPHYSEAL BONE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW L34 MM OD3.75 MM FULL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L34 MM OD3.75 MM PARTIAL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM 2.5 MM FULL THREAD STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L34 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L34 MM OD4 MM ANKLE CANNULATED BONE ARSENAL,385.0,192.5,73.73,346.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM ANKLE CANNULATED HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM BLUNT TIP CANNULATED LAG BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L34 MM OD4 MM CORTEX BONE AXSOS 3,63.24,31.62,12.11,56.92,65
HCPCS,C1713,"SCREW L34 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 34MM",285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L34 MM OD4 MM FULL THREAD REVERSE CUT FLUTE TITANIUM TARSAL METATARSAL CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD BONE ASNIS III,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW L34 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L34 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L34 MM OD4 MM HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L34 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L34 MM OD4 MM LONG THREAD STAINLESS STEEL CANNULATED GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L34 MM OD4 MM LONG THREAD TITANIUM CANCELLOUS CANNULATED BONE ACUMED,461.0,230.5,88.28,414.9,65
HCPCS,C1713,SCREW L34 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L34 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L34 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L34 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L34 MM OD4 MM ODSEC5.8 MM 3 MM MEDIUM THREAD REVERSE CUT FLUTE STAINLESS STEEL CANCELLOUS CANNULATED HEX ACCEPTS 1.25 MM GUIDEWIRE BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,164.25,82.13,31.45,147.83,65
HCPCS,C1713,SCREW L34 MM OD4 MM PARTIAL THREAD SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM PARTIAL THREAD STAINLESS STEEL HIP SELF TAPPING SELF DRILLING CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L34 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS TIMAX,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L34 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L34 MM OD4 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L34 MM OD4 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP HEADLESS ACCEPTS 1.4 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP LOCK ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TAPER SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L34 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L34 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L34 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L34 MM OD4 MM TITANIUM HUMERUS CORTICAL SELF TAP INTRAMEDULLARY NAIL SYSTEM BONE TRIGEN,124.71,62.36,23.88,112.24,65
HCPCS,C1713,SCREW L34 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L34 MM OD4-4.1 MM STANDARD FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .054 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L34 MM OD4.0 MM STANDARD FULL THREAD TITANIUM FOOT HAND ANKLE ELBOW WRIST CANNULATED COMPRESSION VARIABLE STEP PITCH BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L34 MM OD4.2 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L34 MM OD4.2 MM NONLOCK PLATE GORILLA PLATING SYSTEM BONE GORILLA PLATING SYSTEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L34 MM OD4.3 MM HEXALOBE LOW PROFILE HUMERUS BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L34 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM FULL THREAD CORTICAL BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL LOCK BONE POLYAXLOCKING CORTICAL SCREW FULL THREAD,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM LOW PROFILE STAINLESS STEEL RADIUS CORTICAL DISTAL VOLAR SELF TAP SMALL FRAGMENT SYSTEM BONE PERI-LOC,40.3,20.15,7.72,36.27,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,165.57,82.79,31.71,149.01,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE RED BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM SPINE MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM TITANIUM ANKLE LOCK BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L34 MM OD4.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L34 MM OD4.7 MM FULL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L34 MM OD4.7 MM NONLOCK BONE SILVERBACK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L34 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L34 MM OD5 MM 3.5 MM FEMORAL CORTICAL DISTAL HEXAGONAL BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L34 MM OD5 MM CORTICAL FLAT HEAD BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L34 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L34 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L34 MM OD5 MM ID8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L34 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L34 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L34 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L34 MM OD5 MM SHOULDER LOCK GLENOID BASEPLATE BONE RSP,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L34 MM OD5 MM SPINE CORTICAL POLYAXIAL FIX 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L34 MM OD5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L34 MM OD5 MM T20 STAINLESS STEEL HUMERUS FEMUR TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L34 MM OD5 MM T25 STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE LOCK GOLDEN BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L34 MM OD5 MM T25 TITANIUM NIOBIUM ALUMINUM TIBIAL ANGULAR STABLE LOCK STARDRIVE INTRAMEDULLARY NAIL BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L34 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L34 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L34 MM OD5 MM TITANIUM FEMUR SELF TAP LOCK OSTEOTOMY SYSTEM BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L34 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L34 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL SYSTEM BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L34 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L34 MM OD5.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L34 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L34 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L34 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L34 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L34 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L35 MM HIP ACETABULAR BONE DJO SURGICAL EMPOWR,80.8,40.4,15.47,72.72,65
HCPCS,C1713,SCREW L35 MM L14 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L35 MM L15 MM OD4.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM L15 MM OD5.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM L15 MM OD7.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L35 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L35 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L35 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS SELF TAP SELF DRILL CANNULATED ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L35 MM L3.5 MM OD3.5 MM ODSEC4.5 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L35 MM OD3.5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L35 MM OD3.5 MM STAINLESS STEEL CANNULATED CONICAL HEAD ACCEPTS 1.6 MM GUIDEWIRE PERIARTICULAR LOCK PLATE SYSTEM BONE,61.36,30.68,11.75,55.22,65
HCPCS,C1713,SCREW L35 MM OD3.5 MM STAINLESS STEEL SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L35 MM OD3.5 MM T15 STAINLESS STEEL LOCK SELF TAP 3 LEAD THREAD HEXALOBE BLUE PEDILOC BONE PEDIFRAG,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L35 MM OD3.5 MM TITANIUM TROCHLEA DISTAL COMPRESSION BONE HUMERAL FIXATION SET,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L35 MM OD4 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4 MM FULL THREAD CANCELLOUS ANKLE FOOT SELF TAP PREDRILL GREEN BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L35 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L35 MM OD4 MM FULL THREAD TITANIUM LOCK INTRAMEDULLARY NAIL BONE T2,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L35 MM OD4 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L35 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L35 MM OD4 MM PARTIAL THREAD CANCELLOUS ANKLE FOOT SELF TAP PREDRILL GREEN BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L35 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEX DRIVE SMALL FRAGMENT BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L35 MM OD4 MM SHORT THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L35 MM OD4 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4 MM STAINLESS STEEL SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD4 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.35 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD4.35 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD4.35 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD4.35 MM TITANIUM SPINE MEDIAL LATERAL MINIPOLYAXIAL LOW PROFILE SELF FORM TIP PINK 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L35 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM NONLOCK SHOULDER SYSTEM BONE AETOS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM SPINE MONOAXIAL 5.5 MM ROD BONE CREO,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L35 MM OD4.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD4.7 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,484.0,242.0,92.69,435.6,65
HCPCS,C1713,SCREW L35 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM ACETABULAR PERIPHERAL HOLE BONE REFLECTION,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L35 MM OD5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM CONDYLAR VARIABLE ANGLE CANNULATED LOCK BONE OPTILINK,243.64,121.82,46.66,219.28,65
HCPCS,C1713,SCREW L35 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L35 MM OD5 MM FULL THREAD TITANIUM TIBIAL LOCK BONE AUTOBAHN,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L35 MM OD5 MM LARGE TITANIUM HIP ACETABULAR CRUCIATE BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L35 MM OD5 MM LOCK BONE NA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L35 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L35 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE MAS PLIF 3Z BONE MAS,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE PEDICLE POLYAXIAL LOW PROFILE REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE POLYAXIAL 7125035 BONE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L35 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON OSTEOGRIP,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM HIP FEMORAL TRANSVERSE FIXATION MODULAR REVISION SYSTEM KAESSMANN BONE ARCOS,164.5,82.25,31.5,148.05,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM HUMERAL CANCELLOUS PROXIMAL POLARUS BONE ACUMED,179.0,89.5,34.28,161.1,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM RETROGRADE LOCK HEAD NAIL SYSTEM BONE AUTOBAHN EVO,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE ANTERIOR MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE CANNULATED UNIPLANAR 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE EXTEND TAB 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL CANNULATED 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE POLYAXIAL EXTEND TAB 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5 MM TITANIUM SPINE UNIPLANAR 4.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM COCRMO SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON FENESTRATED SCREW SET,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM GRIPTION TF HIP ACETABULAR POLYAXIAL LOCK BONE,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM HEADLESS BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE 4 HOLE PLATE BONE BRIGADE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE FIX ANGLE BONE SOVEREIGN,99.0,49.5,18.96,89.1,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE LUMBAR BONE PIVOX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE MONOAXIAL 5.5 MM ROD BONE CREO,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL 15004-055-035 BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL CANNULATED 4.5 MM ROD LITE CORTICAL TRAJECTORY LUMBAR INTERBODY FUSION BONE XIA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL OCCIPITOCERVICOTHORACIC SYSTEM BONE ASTRA,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM ALLOY LATERAL LUMBAR SPINE 116-04-5535 BONE AMP,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL REDUCTION 5.5/6 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM SPINE BONE TSRH OSTEOGRIP THINLINE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVOLVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD5.5-5.2 MM FULL THREAD FLUTE TITANIUM COMPRESSION CANNULATED SELF CUT HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,467.0,233.5,89.43,420.3,65
HCPCS,C1713,SCREW L35 MM OD6 MM CANCELLOUS BONE AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L35 MM OD6 MM METAGLENE CENTRAL BONE DELTA XTEND,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L35 MM OD6 MM SHOULDER CENTRAL BONE INHANCE,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L35 MM OD6 MM SPINE BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM SPINE CORTEX POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM SPINE CORTICAL FIX ANGLE FENESTRATE EXTEND TAB BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE EXTEND TAB 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6 MM TITANIUM SPINE UNIPLANAR 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM 10 D STAINLESS STEEL SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM 2C SPINE ILIAC POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM 3 MM PITCH SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM ACETABULAR CANCELLOUS BONE ALTEON,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM CANCELLOUS BONE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM COCR SPINE UNIAXIAL 5.5/6 MM ROD BONE SOLERA,2775.0,1387.5,531.41,2497.5,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM LARGE TITANIUM HIP ACETABULAR SELF TAP LOW PROFILE HEXAGONAL HEAD BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM NANO SPINE BONE OSTEOGRIP,850.0,425.0,162.78,765.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE BONE DIVERGENCE-L,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE CORTICAL BONE CD HORIZON MODULEX SPINAL SYSTEM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL CANNULATED 4.5 MM ROD LITE CORTICAL TRAJECTORY LUMBAR INTERBODY FUSION BONE XIA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL REDUCTION 5.5/6 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM SHOULDER REVISION BONE SMR,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD6.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM SPINE POLYAXIAL 1 INNIE BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM SPINE POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM STANDARD TITANIUM SPINE PEDICLE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L35 MM OD7 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7 MM TITANIUM SPINE POLYAXIAL EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L35 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM PEEK SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE POLYAXIAL CANNULATED EXTEND TAB REDUCTION BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM SPINE SHANK BONE SPHERX HELIX-REVOLUTION,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD8 MM SPINE POLYAXIAL FAVOR ANGLE SOLID 5.5/6 MM ROD BONE TRIALTIS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD8 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L35 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8.5 MM SPINE BONE MARINER,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L35 MM OD8.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L35 MM OD8.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD8.5 MM TITANIUM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD9.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L35 MM SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,"SCREW L36 MM L14 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L36 MM L14 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L36 MM L14 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L36 MM L14 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L36 MM L14 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L36 MM L3 MM OD3 MM ODSEC4 MM TITANIUM ACCEPTS 1.1 MM KIRSCHNER WIRE BONE SMALL HEADLESS SCREW CANNULATED SCREW SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1713,SCREW L36 MM L9 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,"SCREW L36 MM L9 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L36 MM L9 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L36 MM L9 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L36 MM L9 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L36 MM OD12.7 MM STAINLESS STEEL CONDYLAR COMPRESSION 1 STEP INSERTION BONE,73.38,36.69,14.05,66.04,65
HCPCS,C1713,SCREW L36 MM OD12.7 MM STAINLESS STEEL CONDYLAR COMPRESSION 1 STEP INSERTION BONE DHS DCS,60.17,30.09,11.52,54.15,65
HCPCS,C1713,SCREW L36 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L36 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L36 MM OD2 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L36 MM OD2.3 MM CORTICAL LOCK BONE ACUMED,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L36 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L36 MM OD2.4 MM LAG CANNULATED BONE OSTEOMED,163.0,81.5,31.21,146.7,65
HCPCS,C1713,SCREW L36 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L36 MM OD2.4 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L36 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L36 MM OD2.4 MM TITANIUM CORTEX SELF TAP CRUCIFORM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L36 MM OD2.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L36 MM OD2.5 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L36 MM OD2.5 MM LONG THREAD CANNULATED HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L36 MM OD2.5 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS .8 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L36 MM OD2.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD MAGENTA BONE DART-FIRE,112.44,56.22,21.53,101.2,65
HCPCS,C1713,SCREW L36 MM OD2.5 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS GRAY BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM ODSEC4.3 MM STAINLESS STEEL SMALL BONE LOCK T8 DRIVER BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM ODSEC5 MM TITANIUM ELBOW LOCKING SELF TAP COLOR CODING BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM STAINLESS STEEL CORTICAL ELBOW NONLOCK GREEN ELBOW PLATE SYSTEM BONE EVOLVE,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM STAINLESS STEEL ELBOW PERIARTICULAR LOCK SMALL FRAGMENT UNIVERSAL SYSTEM BONE,69.68,34.84,13.34,62.71,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM T10 BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L36 MM OD2.7 MM TITANIUM CORTICAL HEXALOBE ROUND HEAD SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L36 MM OD2.8 MM TITANIUM FOREFOOT MIDFOOT LOCKING HEXADRIVE 7 TAPERED CORE ATRAUMATIC TIP BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L36 MM OD3 MM CANNULATED HEADED BONE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L36 MM OD3 MM COCR CANNULATED LOCK POLYAXIAL BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L36 MM OD3 MM ELBOW NONLOCKING HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L36 MM OD3 MM FOOT ANKLE CANNULATED HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L36 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L36 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L36 MM OD3 MM SHORT THREAD COMPONENT HEADLESS BONE DART-FIRE EDGE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L36 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L36 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L36 MM OD3.0 MM CANNULATED HEADLESS BONE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM BONE TUFFNEK,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM CANNULATED HEAD BN UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM COCR NONLOCK BONE ANTHEM,27.0,13.5,5.17,24.3,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM CORTICAL LOCK BONE AOS CORTICAL LOCKING SCREW 3.5MM X 36MM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE QUICKFIX,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM ODSEC5 MM TITANIUM ELBOW LOCKING SELF TAPPING COLOR CODED PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GOLD BONE DART-FIRE,120.4,60.2,23.06,108.36,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LONG SHANK BONE YUKON,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM STAINLESS STEEL CORTICAL ELBOW NONLOCK BLUE ELBOW PLATE SYSTEM BONE EVOLVE,94.53,47.27,18.1,85.08,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM MONOAX,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM STAINLESS STEEL LOCK FUSCHIA SMALL FRAGMENT BONE ANTHEM MONOAX,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM T15 COMPRESSION LAG CANNULATED 2.5 MM DRILL BONE OMNI,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE BLUE BONE PEDILOC,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD HUMERAL FIXATION SET BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM CORTEX LOCK HEXAGONAL BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM CORTICAL BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM LOW PROFILE LOCK BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM OLECRANON LOCK MULTITHREAD BRONZE HUMERAL PLATE SET BONE FREEFIX,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM SHOULDER CORTICAL LOCK SUTUREPLATE BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE SELF FORM TIP SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L36 MM OD3.7 MM STAINLESS STEEL GOLD LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L36 MM OD3.7 MM STAINLESS STEEL SILVER LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L36 MM OD3.75 MM FULL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L36 MM OD3.75 MM PARTIAL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L36 MM OD3.8 MM TITANIUM SHOULDER HUMERUS MULTIDIRECTIONAL BONE S3,104.5,52.25,20.01,94.05,65
HCPCS,C1713,SCREW L36 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L36 MM OD4 MM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L36 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L36 MM OD4 MM CANNULATED JONES FRACTURE FIXATION SYSTEM BONE ASNIS,1004.95,502.48,192.45,904.46,65
HCPCS,C1713,SCREW L36 MM OD4 MM FULL THREAD BONE MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,"SCREW L36 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 36MM",285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L36 MM OD4 MM FULL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW L36 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L36 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L36 MM OD4 MM LONG THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L36 MM OD4 MM LONG THREAD CANNULATED HEADLESS BONE MINI-MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM LONG THREAD TITANIUM CANCELLOUS CANNULATED BONE ACUMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC1.4 MM PARTIAL THREAD LOW PROFILE STAINLESS STEEL TARSUS METATARSUS LARGE DIAMETER GUIDEWIRE REVERSE CUTTING FLUTE CANNULATED SELF DRILLING BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC5.8 MM 3 MM MEDIUM THREAD REVERSE CUT FLUTE STAINLESS STEEL CANCELLOUS CANNULATED HEX ACCEPTS 1.25 MM GUIDEWIRE BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,164.25,82.13,31.45,147.83,65
HCPCS,C1713,SCREW L36 MM OD4 MM ODSEC5.8 MM 3 MM SHORT THREAD REVERSE CUT FLUTE STAINLESS STEEL CANCELLOUS CANNULATED HEX ACCEPTS 1.25 MM GUIDEWIRE BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,164.25,82.13,31.45,147.83,65
HCPCS,C1713,SCREW L36 MM OD4 MM PARTIAL THREAD SPINE OCCIPITOCERVICAL UPPER THORACIC MULTIAXIAL BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT SET BONE ALPS TIMAX,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L36 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L36 MM OD4 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L36 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L36 MM OD4 MM STAINLESS STEEL CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L36 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP LOCK ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS SELF TAP SELF DRILL CANNULATED HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L36 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L36 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L36 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L36 MM OD4 MM TITANIUM CORTICAL CANNULATED BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM TITANIUM SPINE CORTICAL CANCELLOUS CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L36 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD4.3 MM HUMERUS HEXALOBE LOW PROFILE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L36 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM 18 D SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM CORTEX LOW PROFILE SELF TAP BONE PERI-LOC,40.86,20.43,7.82,36.77,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM CORTEX SELF TAP LOCK HEX BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM CORTEX SELF TAP LOW PROFILE BONE PERI-LOC,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM FULL THREAD CORTICAL BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,"SCREW L36 MM OD4.5 MM FULL THREAD HUMERUS CORTICAL BONE BONE SCREW, CORTICAL",60.5,30.25,11.59,54.45,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM HIP LOCK CAPTURE INTRAMEDULLARY NAIL SYSTEM BONE IMHS CP,132.13,66.07,25.3,118.92,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM METAGLENE SHOULDER GLENOID LOCK REVERSE SYSTEM BONE DELTA XTEND,195.75,97.88,37.49,176.18,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ODSEC3.5 MM STANDARD STAINLESS STEEL CORTICAL LARGE HEX LARGE FRAGMENT SET BONE,12.48,6.24,2.39,11.23,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM ODSEC8 MM STANDARD STAINLESS STEEL CORTEX LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,51.9,25.95,9.94,46.71,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM SELF TAP LOCK BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM SPINE MULTIAXIAL BONE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM T20 CORTICAL SELF TAP HEXALOBE BONE PEDILOC,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM T20 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM ANKLE LOCK BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE NONBIAS ANGLE FUCHSIA BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD4.7 MM NONLOCK BONE SILVERBACK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L36 MM OD5 MM 3.5 MM CORTICAL HEXAGONAL DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L36 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L36 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L36 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L36 MM OD5 MM LOW PROFILE LOCK TUBE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L36 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L36 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L36 MM OD5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L36 MM OD5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L36 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L36 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L36 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L36 MM OD5 MM T25 STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE LOCK GOLDEN BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L36 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L36 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L36 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L36 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L36 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA TI,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L36 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L36 MM OD5.5 MM ANKLE POLYAXIAL LOCKING BONE UNITE,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L36 MM OD5.5 MM GLENOID PERIPHERAL LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L36 MM OD5.5 MM SHORT THREAD CANNULATED HEAD BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L36 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L36 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L36 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L36 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L36 MM OD7 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L37 MM OD5 MM LOCK BONE NA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L37 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L37.5 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L37.5 MM OD4 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L37.5 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L37.5 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L38 MM L10 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L38 MM L10 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L38 MM L10 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L38 MM L13 MM OD5 MM TITANIUM PARTIAL THREAD CANNULATED SELF DRILLING TAPPING BONE ASNIS III,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW L38 MM L14 MM OD4.5 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,274.42,137.21,52.55,246.98,65
HCPCS,C1713,"SCREW L38 MM L15 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L38 MM L15 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L38 MM L15 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L38 MM L16 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L38 MM L16 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L38 MM L3.6 MM OD2.5 MM ODSEC1.9 MM T8 TITANIUM SMALL BONE HEXALOBE DRIVER CANNULATED TAPER DISTAL TIP HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L38 MM L4.1 MM OD3 MM ODSEC2.1 MM T9 TITANIUM SMALL BONE HEXALOBE DRIVER CANNULATED SELF DRILL HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L38 MM OD2 MM COCR LOCK BRONZE MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L38 MM OD2 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L38 MM OD2 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L38 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L38 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L38 MM OD2.4 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L38 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L38 MM OD2.4 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L38 MM OD2.5 MM LONG THREAD CANNULATED HEADLESS BONE MINI-MONSTER,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L38 MM OD2.5 MM SHORT COMPRESSION EDGE HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM 2.5 MM STAINLESS STEEL CORTEX SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L38 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L38 MM OD2.7 MM TITANIUM CORTICAL HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L38 MM OD2.8 MM TITANIUM CORTICAL FOOT HEXADRIVE 7 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L38 MM OD3 MM COCR CANNULATED LOCK POLYAXIAL BONE GEMINUS,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L38 MM OD3 MM HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L38 MM OD3 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L38 MM OD3 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L38 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L38 MM OD3 MM T10 PARTIAL THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .045 IN GUIDEWIRE BONE QUICKFIX,137.66,68.83,26.36,123.89,65
HCPCS,C1713,SCREW L38 MM OD3 MM TITANIUM ALUMINUM VANADIUM COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L38 MM OD3 MM TITANIUM ANKLE VARIABLE ANGLE SELF TAP SOLID LOCK BONE LOW PROFILE SCREWS,120.75,60.38,23.12,108.68,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM COCR TIBIAL PROXIMAL LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM ELBOW LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM FOOT ANKLE CROSSPLATE GREEN BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM FULL THREAD STAINLESS STEEL FEMUR CORTICAL LOCK SMALL FRAGMENT SYSTEM BONE PEDILOC,123.01,61.51,23.56,110.71,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM LOW PROFILE NONLOCK HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM MULTITHREAD TITANIUM LOCK BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE BLUE BONE PEDILOC,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM TITANIUM ELBOW LOCKING SELF TAPPING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM TITANIUM OLECRANON COMPRESSION MULTITHREAD BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE BIAS ANGLE TULIP HEAD SILVER BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD3.7 MM STAINLESS STEEL SILVER LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L38 MM OD3.7 MM TITANIUM METAPHYSEAL BONE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW L38 MM OD3.75 MM PARTIAL THREAD TITANIUM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L38 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L38 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L38 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L38 MM OD4 MM CORTEX BONE AXSOS 3,63.24,31.62,12.11,56.92,65
HCPCS,C1713,SCREW L38 MM OD4 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L38 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L38 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L38 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L38 MM OD4 MM LOW PROFILE TITANIUM SHOULDER CANCELLOUS LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L38 MM OD4 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,164.25,82.13,31.45,147.83,65
HCPCS,C1713,SCREW L38 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L38 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L38 MM OD4 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE BONE ASNIS III,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW L38 MM OD4 MM PARTIAL THREAD STAINLESS STEEL SELF TAP SELF DRILL LOW PROFILE HEAD CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L38 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L38 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L38 MM OD4 MM SHORT THREAD HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L38 MM OD4 MM SPINE MULTIAXIAL NONSTANDARD BONE INFINITY,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD4 MM STAINLESS STEEL HIP SELF TAPPING SELF DRILLING CANNULATED PARTIAL THREAD BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L38 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP LOCK ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SOLID SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS SELF TAP SELF DRILL CANNULATED HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L38 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L38 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE BLUE INTRAMEDULLARY NAIL BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L38 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L38 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L38 MM OD4 MM TITANIUM SPINE CORTICAL CANCELLOUS CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM TITANIUM SPINE CORTICAL CANNULATED BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L38 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD4.2 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L38 MM OD4.2 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L38 MM OD4.3 MM HEXALOBE HUMERUS LOW PROFILE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L38 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L38 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINKABLE GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ANKLE LOCK LOW PROFILE BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM CORTEX SELF TAP HEX HEAD BONE PERI-LOC,41.41,20.71,7.93,37.27,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM FULL THREAD CORTICAL BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ODSEC3.5 MM STANDARD STAINLESS STEEL CORTICAL LARGE HEXAGON HEAD BONE,12.48,6.24,2.39,11.23,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM ODSEC8 MM TITANIUM CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM SHORT THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP GREEN BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM SPINE PEDICLE PLY 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L38 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L38 MM OD4.7 MM ODSEC9.4 MM STAINLESS STEEL HIP HEX HEAD BONE VERSA-FX II,45.76,22.88,8.76,41.18,65
HCPCS,C1713,SCREW L38 MM OD4.7 MM SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,173.0,86.5,33.13,155.7,65
HCPCS,C1713,SCREW L38 MM OD5 MM CORTICAL CAPTURE BONE AOS CAPTURED CORTICAL SCREW 5.0MM X 38MM,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L38 MM OD5 MM CORTICAL LOCKING BONE,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L38 MM OD5 MM DISTAL HEX DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L38 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L38 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L38 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L38 MM OD5 MM LOW PROFILE LOCK TUBE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L38 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L38 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L38 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L38 MM OD5 MM SPINE CORTICAL POLYAXIAL FIX 4 MM ROD BONE SYMPHONY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L38 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L38 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L38 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L38 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L38 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L38 MM OD5 MM TITANIUM FEMUR SELF TAP LOCK OSTEOTOMY SYSTEM BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L38 MM OD5 MM TITANIUM NIOBIUM ALUMINUM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L38 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L38 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L38 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L38 MM OD5.2 MM LOCK SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L38 MM OD5.5 MM ANKLE POLYAXIAL LOCKING BONE UNITE,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L38 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L38 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L38 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L38 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L38 MM OD7 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L39 MM OD5.5 MM SPINE VARIABLE ANGLE BONE TRUSS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L39 MM OD5.5 MM TITANIUM CANCELLOUS SELF TAP 2 CORE THREAD BLUNT TIP TSLP BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L4 MM NEURO ONEDRIVE BONE LEVEL ONE DRILL-FREE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L4 MM OD1 MM MICRO TITANIUM MANDIBLE SELF RETAINING ZURICH II BONE CENTRE-DRIVE,68.83,34.42,13.18,61.95,65
HCPCS,C1713,SCREW L4 MM OD1.2 MM UPPER FACE SELF DRILL AXIAL STABILITY LOW PROFILE BONE AXS,110.39,55.2,21.14,99.35,65
HCPCS,C1713,SCREW L4 MM OD1.2 MM UPPER FACE SELF TAP AXIAL STABILITY LOW PROFILE BONE AXS,99.6,49.8,19.07,89.64,65
HCPCS,C1713,SCREW L4 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP VARIABLE ANGLE STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L4 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L4 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM CRANIAL SELF DRILL AXIAL STABILITY BONE UNIVERSAL NEURO 3,410.0,205.0,78.52,369.0,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL CROSS PIN BONE NA,625.0,312.5,119.69,562.5,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM MICRO TITANIUM BONE MAXDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE ONEDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM TITANIUM MIDFACE SELF DRILL HIGH TORQUE CROSS DRIVE GREEN BONE TRAUMAONE LORENZ,92.0,46.0,17.62,82.8,65
HCPCS,C1713,SCREW L4 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L4 MM OD1.7 MM CRANIOFACIAL AXIS EMERGENCY BONE UNIVERSAL NEURO III,384.3,192.15,73.59,345.87,65
HCPCS,C1713,SCREW L4 MM OD1.7 MM CRANIOMAXILLOFACIAL SELF DRILL AXIAL STABILITY LOW PROFILE BONE AXS,99.6,49.8,19.07,89.64,65
HCPCS,C1713,SCREW L4 MM OD1.7 MM EMERGENCY SELF TAP CROSS PIN BONE NA,12.38,6.19,2.37,11.14,65
HCPCS,C1713,SCREW L4 MM OD1.7 MM SELF TAP AXIAL STABILITY LOWER PROFILE BONE AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW L4 MM OD1.7 MM TITANIUM MIDFACE LOCK GRAY BONE LEIBINGER UNIVERSAL 2,362.0,181.0,69.32,325.8,65
HCPCS,C1713,SCREW L4 MM OD1.7 MM TITANIUM MIDFACE SELF TAP CROSS PIN GOLD BONE LEIBINGER UNIVERSAL 2,55.21,27.61,10.57,49.69,65
HCPCS,C1713,SCREW L4 MM OD1.8 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL EMERGENCY BONE LEVEL ONE,61.84,30.92,11.84,55.66,65
HCPCS,C1713,SCREW L4 MM OD2 MM FLUTE SPINE CERVICAL SELF DRILL RIGID SELF RETAIN SQUARE SPLIT TIP MAGENTA LAMINOPLASTY BONE ESCALATE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L4 MM OD2 MM TITANIUM SPINE CORTEX SELF DRILL STARDRIVE BONE ARCH,35.34,17.67,6.77,31.81,65
HCPCS,C1713,SCREW L4 MM OD2 MM TITANIUM SPINE CORTEX SELF TAP STARDRIVE BONE ARCH,32.78,16.39,6.28,29.5,65
HCPCS,C1713,SCREW L4 MM OD2.2 MM SPINE SELF DRILL LAMINOPLASTY BONE RELIEVE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L4 MM OD2.3 MM TITANIUM MANDIBULAR LOCK CROSS PIN GRAY BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L4 MM OD2.6 MM SPINE SELF DRILL LAMINOPLASTY BONE CANOPY,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L40 MM ACETABULAR HIP SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L40 MM L10 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,"SCREW L40 MM L10 MM OD2.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L40 MM L10 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L40 MM L10 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L40 MM L10 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L40 MM L13.5 MM OD4 MM PARTIAL THREAD STAINLESS STEEL HIP CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L40 MM L14 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.97,10.49,4.02,18.87,65
HCPCS,C1713,SCREW L40 MM L14 MM OD4 MM ODSEC6 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L40 MM L15 MM OD4.5 MM ODSEC3 MM 26 D FOOT ANKLE SMALL BONE POLYAXIAL LOW PROFILE HEAD INTRAOSSEOUS FIXATION SYSTEM BONE IO FIX 2.0,672.0,336.0,128.69,604.8,65
HCPCS,C1713,SCREW L40 MM L15 MM OD4.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM L15 MM OD5.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM L15 MM OD7.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM L16 MM OD2.4 MM ID2 MM T8 LONG THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,"SCREW L40 MM L16 MM OD2.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L40 MM L16 MM OD3 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,265.34,132.67,50.81,238.81,65
HCPCS,C1713,SCREW L40 MM L16 MM OD3 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L40 MM L16 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L40 MM L16 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L40 MM L16 MM OD6.5 MM HEADLESS BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L40 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L40 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L40 MM L16 MM OD6.5 MM STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L40 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L40 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L40 MM OD2 MM COCR LOCK BRONZE MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L40 MM OD2 MM T6 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L40 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L40 MM OD2.3 MM HEADLESS DIGITAL FUSION BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L40 MM OD2.4 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L40 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L40 MM OD2.4 MM TITANIUM CORTEX SELF TAP CRUCIFORM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L40 MM OD2.5 MM 1.3 MM TITANIUM SELF TAP NONLOCK SQUARE DRIVE ALPS BONE PEG SCREW,71.23,35.62,13.64,64.11,65
HCPCS,C1713,SCREW L40 MM OD2.5 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM ANKLE BONE ARSENAL,190.0,95.0,36.39,171.0,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,89.92,44.96,17.22,80.93,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM STAINLESS STEEL ELBOW PERIARTICULAR LOCK SMALL FRAGMENT UNIVERSAL SYSTEM BONE,69.68,34.84,13.34,62.71,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM STAINLESS STEEL LOCK MALE THREAD HEAD PERIARTICULAR PLATE SYSTEM BONE,59.28,29.64,11.35,53.35,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L40 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L40 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEX DRIVE BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L40 MM OD3 MM COCR POLYAXIAL CANNULATED LOCK HUMERAL PLATE SET BONE FREEFIX,227.0,113.5,43.47,204.3,65
HCPCS,C1713,SCREW L40 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L40 MM OD3 MM HEAD BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L40 MM OD3 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L40 MM OD3 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L40 MM OD3 MM ODSEC4 MM ID1.2 MM LONG THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE ACCEPTS 1.1 MM GUIDEWIRE BONE,147.87,73.94,28.32,133.08,65
HCPCS,C1713,SCREW L40 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEAD GREEN BONE DART-FIRE,116.42,58.21,22.29,104.78,65
HCPCS,C1713,SCREW L40 MM OD3 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEADLESS BROWN BONE DART-FIRE,155.22,77.61,29.72,139.7,65
HCPCS,C1713,SCREW L40 MM OD3 MM T10 FULL THREAD TITANIUM CORTEX SELF TAP COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM COCR LOCK VARIABLE ANGLE BONE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM COCR TIBIA PROXIMAL NONLOCK BONE ANTHEM,27.0,13.5,5.17,24.3,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM FULL THREAD BEVEL BONE,779.53,389.77,149.28,701.58,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM HEXALOBE BONE ACU-LOC 2,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM ID2.9 MM 2.5 MM STAINLESS STEEL SELF TAP LOCK THREAD HEAD SMALL HEXAGONAL CALCANEAL PLATE BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,134.08,67.04,25.68,120.67,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM LARGE TITANIUM HIP CRUCIATE MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM LOW PROFILE TITANIUM SHOULDER CORTICAL ARTHROPLASTY BONE SUTUREPLATE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE QUICKFIX,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM NON-LOCK BONE MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GOLD BONE DART-FIRE,120.4,60.2,23.06,108.36,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM MONOAX,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM T10 NONLOCK BONE WORKHORSE SCREW,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM T15 CANNULATED HEXALOBE BLUE BONE PEDILOC,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD HUMERAL FIXATION SET BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACU-LOC 2,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM CORTICAL BONE GEMINUS,119.0,59.5,22.79,107.1,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM ELBOW LOCKING SELF TAPPING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM ELBOW SELF TAP BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM SHOULDER CORTICAL LOCK SUTUREPLATE BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM SPINE MINIPOLYAXIAL LOW PROFILE SELF FORM TIP LONG SHANK SILVER 3.5 MM ROD BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM SPINE MULTIAXIAL GREEN BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD3.5 MM UPPER EXTREMITY LOCK BONE OPTILOCK,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L40 MM OD4 MM ANKLE CANNULATED HOOK BONE MEDLINE UNITE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM BLUNT TIP CANNULATED LAG BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L40 MM OD4 MM CANNULATED HEADLESS BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM CANNULATED HEADLESS BONE TIGER,512.0,256.0,98.05,460.8,65
HCPCS,C1713,SCREW L40 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM FOOT ANKLE HEAD OSTEOTOMY BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,"SCREW L40 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 40MM",285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD EDGE COMPONENT HEADLESS BONE DART-FIRE,369.0,184.5,70.66,332.1,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD LOCKING INTRAMEDULLARY NAIL BONE IMN SCREWS,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD STAINLESS STEEL ANKLE CANCELLOUS BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP LOCK SMALL FRAGMENT SET BONE PERI-LOC,18.17,9.09,3.48,16.35,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L40 MM OD4 MM FULL THREAD TITANIUM SPINE CORTICAL CANNULATED BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L40 MM OD4 MM LOCK BLUE INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L40 MM OD4 MM LONG THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L40 MM OD4 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS 1.4 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L40 MM OD4 MM LONG THREAD STAINLESS STEEL CANNULATED GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L40 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L40 MM OD4 MM ODSEC2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L40 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L40 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L40 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE LCP,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L40 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE KASS,206.04,103.02,39.46,185.44,65
HCPCS,C1713,SCREW L40 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL DRIVE SMALL FRAGMENT BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L40 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT SET BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L40 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L40 MM OD4 MM SHORT THREAD CANNULATED HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM STAINLESS STEEL SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L40 MM OD4 MM T10 SMALL TITANIUM CANNULATED HEADED ACCEPTS 6 IN .045 IN K WIRE 2.7 MM PILOT DRILL BONE EXTREMIFIX,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 PARTIAL THREAD STAINLESS STEEL CANCELLOUS CANNULATED HEXALOBE BONE PEDIFRAG,147.6,73.8,28.27,132.84,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP ANKLE FRACTURE MANAGEMENT BONE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK SCREWDRIVER AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L40 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L40 MM OD4 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L40 MM OD4 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,255.72,127.86,48.97,230.15,65
HCPCS,C1713,SCREW L40 MM OD4 MM TITANIUM SHOULDER CANCELLOUS LOCK SUTUREPLATE BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L40 MM OD4 MM TITANIUM SPINE CORTICAL CANCELLOUS CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L40 MM OD4 MM TITANIUM SPINE THORACIC MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L40 MM OD4.3 MM LOW PROFILE HEXALOBE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L40 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L40 MM OD4.35 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD4.35 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD4.35 MM THORAX MEDIAL LATERAL SELF FORM TIP MINIPOLYAXIAL FAVOR ANGLE LOW PROFILE PINK VIOLET BONE MOUNTAINEER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD4.35 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM 2FS SPINE POLYAXIAL BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM CENTER SHOULDER SYSTEM BONE AETOS,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM CHAMFER BONE ORTHOLOC,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM CORTEX SELF TAP LOCK BONE PERI-LOC,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM FOOT ANKLE HEADLESS OSTEOTOMY BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL LOCK BONE POLYAX,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM FULL THREAD TIMAX KNEE CORTICAL NONLOCK HEXAGONAL LARGE FRAGMENT SET BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM OBLIQUE FULL THREAD TIMAX CORTICAL SELF TAP 2 LEAD GREEN AIM VERSANAIL HUMERAL UNIVERSAL NAIL SYSTEM BONE TK2,42.0,21.0,8.04,37.8,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,151.63,75.82,29.04,136.47,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,165.57,82.79,31.71,149.01,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,159.81,79.91,30.6,143.83,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SMALL STATURE SPINE POLYAXIAL DEFORMITY BONE MESA,530.0,265.0,101.5,477.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE PEDICLE POLYAXIAL MAGENTA BONE PRODIGY,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE PEDICLE UNIAXIAL 5.5/6 MM ROD BONE RESPONSE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE POLYAXIAL DEFORMITY BONE MESA 2,530.0,265.0,101.5,477.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM STAINLESS STEEL GOLD LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM T20 CORTICAL SELF TAP HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,33.61,16.81,6.44,30.25,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM T20 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM ANKLE LOCK BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE HTO PLATE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TITANIUM SPINE THORACIC MULTIAXIAL MAGENTA BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM TIVANIUM HIP ACETABULAR SELF TAP BONE TRILOGY,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L40 MM OD4.5 MM VARIABLE PITCH SOLID BONE FUZEFIX JONES,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,SCREW L40 MM OD4.7 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,484.0,242.0,92.69,435.6,65
HCPCS,C1713,SCREW L40 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM 3.5 MM HIP CORTICAL HEXAGONAL DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L40 MM OD5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM CORTICAL CAPTURE BONE AOS CAPTURED,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM CORTICAL FLAT HEAD BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L40 MM OD5 MM FULL THREAD FEMUR INTERLOCK BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L40 MM OD5 MM FULL THREAD TITANIUM TIBIAL LOCK BONE AUTOBAHN,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L40 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L40 MM OD5 MM ID4.4 MM 3.5 MM TITANIUM SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS BONE,163.76,81.88,31.36,147.38,65
HCPCS,C1713,SCREW L40 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L40 MM OD5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L40 MM OD5 MM LOCK BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L40 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L40 MM OD5 MM LOW PROFILE LOCK TUBE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L40 MM OD5 MM ODSEC4.3 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN INTRAMEDULLARY NAIL BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L40 MM OD5 MM ODSEC4.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL LARGE FRAGMENT SET BONE,116.23,58.12,22.26,104.61,65
HCPCS,C1713,SCREW L40 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L40 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L40 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L40 MM OD5 MM PARTIAL THREAD TITANIUM BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE CORTICAL FIX ANGLE FENESTRATE EXTEND TAB BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE PEDICLE POLYAXIAL LOW PROFILE REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE PEDICLE UNIAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD5 MM SPINE SELF START MIS BONE CAYMAN,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L40 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L40 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L40 MM OD5 MM T25 STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE LOCK GOLDEN BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L40 MM OD5 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM CORTICAL LOW PROFILE BONE,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM HUMERAL CANCELLOUS PROXIMAL POLARUS BONE ACUMED,179.0,89.5,34.28,161.1,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SELF TAP LOCK BONE TOMOFIX,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE ANTERIOR MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE CANNULATED FIX ANGLE BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE CANNULATED UNIPLANAR 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE EXTEND TAB 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM TITANIUM SPINE POLYAXIAL EXTEND TAB 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L40 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L40 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM CCM SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM COCR SPINE MULTIAXIAL CANNULATED BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM FLUTE TITANIUM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM LARGE REVERSE CUT FLUTE SELF TAP LOW PROFILE COMPRESSION HEAD PURPLE 2 MM K WIRE BONE FUZEFIX,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP JONES FRACTURE BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM POROUS GLENOID PERIPHERAL MODULAR LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SHORT THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,231.84,115.92,44.4,208.66,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE CORTICAL SHANK BONE CD HORIZON MODULEX,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE LATERAL INTERBODY FUSION BONE AMP,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE LUMBAR BONE PIVOX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE MONOAXIAL 5.5 MM ROD BONE CREO,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE UNIPLANAR BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM SPINE VARIABLE ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM STAINLESS STEEL FOOT ANKLE JONES FRACTURE BONE CHARLOTTE,794.0,397.0,152.05,714.6,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM MIDFOOT POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVOLVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD5.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L40 MM OD6 MM ODSEC3.5 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FEMORAL CANCELLOUS SELF TAP FIX ANGLE HEX HEAD BLACK NATURAL NAIL BONE NATURAL NAIL,138.24,69.12,26.47,124.42,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE CANCELLOUS CORTICAL MODULAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE COLOR CODED 5.5/6 MM ROD BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE POLYAXIAL FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L40 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE CANNULATED EXTEND TAB MIS 5.5 MM ROD BONE VIPER 2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE EXTEND TAB BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE EXTEND TAB 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6 MM TITANIUM SPINE UNIPLANAR BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 3 MM SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 20 D STAINLESS STEEL SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM CCM SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM COCR SPINE UNIAXIAL 5.5/6 MM ROD BONE SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM DOME HIP ACETABULAR CANCELLOUS SELF TAP 4 POINT CUT FLUTE BLUNT TIP BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM FULL THREAD HIP ACETABULAR CANCELLOUS SELF TAP BONE REFLECTION,96.9,48.45,18.56,87.21,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM GROOVE LOW PROFILE TITANIUM ACL/PCL CANCELLOUS DEPTH MARK STEP DRILL BONE,89.0,44.5,17.04,80.1,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM HA SPINE MULTIAXIAL CANNULATED BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM HEADLESS BONE ORTHOLOC,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM HGP II TIVANIUM HIP ACETABULAR SELF TAP BONE HGP II,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM HIP CANCELLOUS FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM LARGE DOME TITANIUM HIP SELF TAP LOW PROFILE HEXAGONAL HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM NANO SPINE SHANK BONE OSTEOGRIP,850.0,425.0,162.78,765.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE CORTICAL BONE CD HORIZON MODULEX,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE MULTIAXIAL COLOR CODED BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL CANNULATED 4.5 MM ROD LITE CORTICAL TRAJECTORY LUMBAR INTERBODY FUSION BONE XIA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL CANNULATED MIS BONE EVEREST,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE 5.5 MM ROD BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE SHANK BONE APTUS,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE SHANK MODULAR BONE PRECEPT,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM SPINE UNIPLANAR BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE PEDICLE CANNULATED SELF TAP LOW TOP ANTICROSS THREAD BONE SAVANNAH-T DUALFIX,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE HTO PLATE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM COCR SPINE 2 LEAD THREAD FORM MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON OSTEOGRIP,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL REDUCTION 5.5/6 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM SHOULDER REVISION BONE SMR,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM SPINE POLYAXIAL BONE ASTRA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L40 MM OD7 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM SPINE PEDICLE POLYAXIAL LOW PROFILE REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM SPINE POLYAXIAL 1 INNIE BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM SPINE POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM SPINE EXTEND TAB BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM SPINE MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7 MM TITANIUM SPINE POLYAXIAL CANNULATED 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7-7.5 MM FULL THREAD CUT FLUTE COMPRESSION SELF TAP REDUCTION HEADLESS BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L40 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM FLUTE TITANIUM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE BONE CD HORIZON MODULEX APTUS,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE CANCELLOUS CORTICAL MODULAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE FENESTRATE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON FENESTRATED SCREW SET,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL 15004-075-040 BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM SPINE SELF TAP MODULAR BONE FIREBIRD,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVERE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD7.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD8 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD8 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE POLYAXIAL FENESTRATE BONE CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9.5 MM SPINE SACROILIAC BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L40 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L41 MM OD5 MM ACETABULAR PERIPHERAL HOLE BONE REFLECTION,96.3,48.15,18.44,86.67,65
HCPCS,C1713,"SCREW L42 MM L11 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L42 MM L11 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L42 MM L14 MM OD4 MM STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,"SCREW L42 MM L17 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L42 MM L17 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L42 MM L17 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L42 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L42 MM OD2.4 MM ODSEC3.8 MM STAINLESS STEEL SMALL BONE LOCK T7 DRIVER BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L42 MM OD2.4 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L42 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L42 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM 2.5 MM STAINLESS STEEL CORTEX SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM CORTEX BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM NONLOCK GORILLA PLATE SYSTEM BONE BABY GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM T10 TITANIUM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM T8 FULL THREAD VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM T8 TITANIUM SELF TAP LOCK VARIABLE ANGLE STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L42 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEX DRIVE BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L42 MM OD2.7 MM TITANIUM ALUMINUM VANADIUM ANKLE LOCK BONE ARSENAL,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L42 MM OD3 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BROWN BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM COCR VARIABLE ANGLE LOCK HOLE HEXALOBE THREAD SPHERICAL HEAD SMALL FRAGMENT BASE SET BONE ACUMED,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM FOOT ANKLE LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM ODSEC2.5 MM STAINLESS STEEL CORTICAL SELF TAP HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM T15 FULL THREAD TITANIUM CORTICAL SELF DRILL SOLID LOCK HEXALOBE BONE QUICKFIX LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM T15 FULL THREAD TITANIUM NIOBIUM ALUMINUM HUMERAL SELF TAP LOCK STARDRIVE GREEN BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM TITANIUM ELBOW SELF TAPPING LOCKING BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM TITANIUM LOCK MULTITHREAD BONE HUMERAL FIXATION SET,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L42 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L42 MM OD3.7 MM TITANIUM METAPHYSEAL BONE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW L42 MM OD4 MM BLUNT TIP CANNULATED LAG BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L42 MM OD4 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,369.0,184.5,70.66,332.1,65
HCPCS,C1713,SCREW L42 MM OD4 MM FULL THREAD BEVEL BONE,779.53,389.77,149.28,701.58,65
HCPCS,C1713,SCREW L42 MM OD4 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL GOLD BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L42 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L42 MM OD4 MM HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L42 MM OD4 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS 1.4 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L42 MM OD4 MM LONG THREAD TITANIUM CANCELLOUS CANNULATED BONE ACUMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L42 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L42 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L42 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD TITANIUM CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L42 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L42 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L42 MM OD4 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE BONE ASNIS III,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW L42 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L42 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L42 MM OD4 MM SHORT EDGE COMPRESSION HEAD BONE DART-FIRE,272.0,136.0,52.09,244.8,65
HCPCS,C1713,SCREW L42 MM OD4 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L42 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L42 MM OD4 MM SHORT THREAD HEADLESS BONE MINI-MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM STANDARD BONE ACUTRAK 3,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP LOCK ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 FULL THREAD TIMAX CANCELLOUS DISTAL TIBIA SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L42 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L42 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L42 MM OD4 MM TITANIUM SHOULDER CANCELLOUS LOCK BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L42 MM OD4 MM TITANIUM SPINE CORTICAL CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L42 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L42 MM OD4.2 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L42 MM OD4.2 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L42 MM OD4.3 MM HUMERUS LOCK LOW PROFILE HEXALOBE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L42 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L42 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM CANNULATED HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM CORTEX SELF TAP LOCK BONE PERI-LOC,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM FULL THREAD CORTICAL BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM METAGLENE SHOULDER GLENOID LOCK REVERSE SYSTEM BONE DELTA XTEND,195.75,97.88,37.49,176.18,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE YELLOW BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE BONE PERI-LOC,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM T20 FEMUR CORTICAL DISTAL LOCK HEXALOBE BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM TITANIUM LOCK BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L42 MM OD4.5 MM TITANIUM LOW PROFILE BONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L42 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L42 MM OD5 MM 3.5 MM HIP CORTICAL HEXAGONAL DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L42 MM OD5 MM CANNULATED BONE ASNIS,189.05,94.53,36.2,170.15,65
HCPCS,C1713,SCREW L42 MM OD5 MM FEMORAL LOW PROFILE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L42 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L42 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L42 MM OD5 MM LOCK BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L42 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L42 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L42 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L42 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L42 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L42 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L42 MM OD5 MM T25 STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE LOCK GOLDEN BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L42 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L42 MM OD5 MM TITANIUM CANNULATED BONE ASNIS III,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW L42 MM OD5 MM TITANIUM SELF TAP LOCK HEAD OSTEOTOMY BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L42 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L42 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA TI,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L42 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L42 MM OD5.2 MM LOCK GORILLA PLATING SYSTEM BONE BABY GORILLA SILVERBACK,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L42 MM OD5.5 MM ANKLE POLYAXIAL LOCKING BONE UNITE,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW L42 MM OD5.5 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L42 MM OD5.5 MM SPINE VARIABLE ANGLE BONE TRUSS,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L42 MM OD5.5 MM TITANIUM CANCELLOUS SELF TAP 2 CORE THREAD BLUNT TIP TSLP BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L42 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L42 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L42.5 MM OD4 MM FULL THREAD PURPLE BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L42.5 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L42.5 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L42.5 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L43 MM OD5 MM FULL THREAD TITANIUM TIBIAL LOCK BONE AUTOBAHN,175.0,87.5,33.51,157.5,65
HCPCS,C1713,"SCREW L44 MM L11 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L44 MM L11 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,"SCREW L44 MM L18 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L44 MM L18 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L44 MM L18 MM OD4.5 MM T15 LONG THREAD TITANIUM NIOBIUM ALUMINUM COMPRESSION SELF TAP SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L44 MM L18 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L44 MM NEURO ONEDRIVE BONE LEVEL ONE DRILL-FREE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L44 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L44 MM OD2.4 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L44 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L44 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM NONLOCK GORILLA PLATING SYSTEM BONE BABY GORILLA,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.14,24.15,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM T10 BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L44 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L44 MM OD3 MM TITANIUM CORTICAL LOW PROFILE BONE,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM 2.2 MM COCR ELBOW FIBULA DISTAL SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM COCR TIBIA PROXIMAL NONLOCK BONE ANTHEM,27.0,13.5,5.17,24.3,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FOOT ANKLE CROSSPLATE GREEN BONE MEDLINE UNITE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FULL THREAD TIMAX CORTICAL NONLOCK HEX DRIVE SMALL FRAGMENT SET BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM STAINLESS STEEL ANKLE FRACTURE SYSTEM BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP BONE 3.5MM SCREW FASTENER SELF-TAPPING 44MM,87.0,43.5,16.66,78.3,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM T10 TITANIUM ELBOW SELF TAP LOCK PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM T20 CORTEX SELF TAP BONE PERI-LOC,24.36,12.18,4.66,21.92,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM TITANIUM CORTICAL HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM TITANIUM OLECRANON LOCK MULTITHREAD BRONZE HUMERAL PLATE SET BONE FREEFIX,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L44 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L44 MM OD3.7 MM STAINLESS STEEL SILVER LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L44 MM OD4 MM 4 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L44 MM OD4 MM CANNULATED BLUNT LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,"SCREW L44 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 44MM",285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L44 MM OD4 MM FULL THREAD STAINLESS STEEL HIP CANNULATED SELF TAPPING SELF DRILLING BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L44 MM OD4 MM HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L44 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L44 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L44 MM OD4 MM LONG THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L44 MM OD4 MM LONG THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L44 MM OD4 MM ODSEC2.5 MM STAINLESS STEEL CANNULATED HEX BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L44 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L44 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L44 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L44 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L44 MM OD4 MM ODSEC5 MM TAPER CUT FLUTE TITANIUM ANKLE FOOT CANNULATED SELF DRILL COLOR CODED T10 LOBE DRIVER BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L44 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L44 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L44 MM OD4 MM SHORT CANNULATED HDLS BN,323.3,161.65,61.91,290.97,65
HCPCS,C1713,SCREW L44 MM OD4 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L44 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L44 MM OD4 MM T12 MINI TITANIUM COMPRESSION SELF TAP SELF DRILL CANNULATED BLUE BONE FUZEFIX,305.0,152.5,58.41,274.5,65
HCPCS,C1713,SCREW L44 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L44 MM OD4 MM T15 FULL THREAD TIMAX TIBIAL CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L44 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L44 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L44 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L44 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L44 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L44 MM OD4 MM TITANIUM ALUMINUM VANADIUM COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L44 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L44 MM OD4 MM TITANIUM SHOULDER CANCELLOUS LOCK SUTUREPLATE BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L44 MM OD4 MM TITANIUM SPINE CORTICAL CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L44 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L44 MM OD4.2 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L44 MM OD4.3 MM HUMERUS LOW PROFILE HEXALOBE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L44 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE CORNERSTONE LASR,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM FOOT ANKLE CANNULATED HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM FULL THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM LONG THREAD HEAD DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM SHORT THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM STAINLESS STEEL GOLD LISFRANC RECONSTRUCTION BONE CHARLOTTE,898.49,449.25,172.06,808.64,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM TITANIUM BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L44 MM OD4.5 MM TITANIUM LOCK LOW PROFILE BONE,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L44 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L44 MM OD5 MM CORTICAL CAPTURE BONE AOS CAPTURED CORTICAL SCREW 5.0MM X 44MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L44 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L44 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L44 MM OD5 MM LARGE FULL THREAD COMPRESSION BONE COMPRESSION FT,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L44 MM OD5 MM LOCK BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L44 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L44 MM OD5 MM ODSEC4.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL LARGE FRAGMENT SET BONE,116.23,58.12,22.26,104.61,65
HCPCS,C1713,SCREW L44 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L44 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L44 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L44 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L44 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L44 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L44 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L44 MM OD5 MM TITANIUM CANCELLOUS SELF TAP BONE TRIGEN,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW L44 MM OD5 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW L44 MM OD5 MM TITANIUM SELF TAP LOCK BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L44 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L44 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L44 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L44 MM OD5.5 MM SHORT THREAD SOLID BLUNT TIP JONES FRACTURE BONE PRECISION,675.0,337.5,129.26,607.5,65
HCPCS,C1713,SCREW L44 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L44 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L45 MM L15 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L45 MM L15 MM OD4.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM L15 MM OD5.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR SHORT BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM L15 MM OD7.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM L15 MM OD8.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM L16 MM OD6.5 MM FOOT HEAD BONE DARCO,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW L45 MM L16 MM OD6.5 MM HEADLESS BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L45 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L45 MM L16 MM OD6.5 MM ODSEC8 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L45 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L45 MM L16 MM OD7 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,222.5,111.25,42.61,200.25,65
HCPCS,C1713,SCREW L45 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L45 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L45 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L45 MM L28 MM OD6.7 MM 3.5 MM PARTIAL THREAD TITANIUM CANNULATED SELF TAP SELF DRILL ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L45 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L45 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L45 MM L32 MM OD6.5 MM ODSEC8 MM PARTIAL THREAD TITANIUM CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,24.58,12.29,4.71,22.12,65
HCPCS,C1713,SCREW L45 MM L32 MM OD6.5 MM STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L45 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L45 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L45 MM OD10.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD10.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD10.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD2.3 MM HEADLESS BONE UNITE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L45 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L45 MM OD2.7 MM CORTEX SELF TAP BONE PERI-LOC,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW L45 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL MODULAR MINI FRAGMENT SET BONE,26.77,13.39,5.13,24.09,65
HCPCS,C1713,SCREW L45 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L45 MM OD3 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM LOCK HEXALOBE HEAD BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM NON-LOCK BONE MOTOBAND CP,134.82,67.41,25.82,121.34,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM NONLOCK HEXALOBE HEAD BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM MONOAX,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM T15 FEMUR PROXIMAL CANNULATED HEXALOBE BLUE BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM TITANIUM LOCK MULTITHREAD DISTAL ELBOW SET TRAY A BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L45 MM OD3.5 MM TITANIUM SHOULDER CORTICAL LOCK SUTUREPLATE BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L45 MM OD4 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEXAGON SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L45 MM OD4 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L45 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L45 MM OD4 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,184.08,92.04,35.25,165.67,65
HCPCS,C1713,SCREW L45 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL DRIVE SMALL FRAGMENT BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L45 MM OD4 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP LOCK ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L45 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP SOLID JONES FRACTURE BONE LOW PROFILE SCREWS,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SHORT THREAD TITANIUM ALUMINUM VANADIUM CANNULATED BONE TIGER,450.0,225.0,86.18,405.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE POLYAXIAL DEFORMITY BONE MESA 2,530.0,265.0,101.5,477.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD4.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L45 MM OD4.7 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,484.0,242.0,92.69,435.6,65
HCPCS,C1713,SCREW L45 MM OD5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM FULL THREAD STAINLESS STEEL PROXIMAL INTERLOCK BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L45 MM OD5 MM FULL THREAD TITANIUM LOCK T2 INTRAMEDULLARY NAIL SYSTEM BONE NA,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW L45 MM OD5 MM FULL THREAD TITANIUM TIBIAL LOCK BONE AUTOBAHN,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L45 MM OD5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L45 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L45 MM OD5 MM PARTIAL THREAD TITANIUM BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L45 MM OD5 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM SPINE CORTICAL FIX ANGLE FENESTRATE EXTEND TAB BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM SPINE PEDICLE UNIAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM SPINE POLYAXIAL 1 INNIE BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD5 MM STAINLESS STEEL SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP 2 CORE STARDRIVE GOLD INTRAMEDULLARY NAIL BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVERE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE EXTEND TAB 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE POLYAXIAL CANNULATED 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 6.35 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 3 MM PITCH SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM CCM SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM FULL THREAD TIMAX TIBIA CANCELLOUS PROXIMAL POLYAXIAL LOCK BONE POLYAX,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM HA SPINE VARIABLE ANGLE BONE INTERCONTINENTAL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM HEADLESS BONE ORTHOLOC,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM LARGE CANNULATED HEAD BONE FUZEFIX,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM NANO BONE OSTEOGRIP,850.0,425.0,162.78,765.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP JONES FRACTURE BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE CORTICAL SHANK BONE CD HORIZON MODULEX SPINAL SYSTEM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE LATERAL LUMBAR INTERBODY FUSION BONE AMP,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE LUMBAR BONE PIVOX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE MULTIAXIAL BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL DEFORMITY BONE MESA 2,530.0,265.0,101.5,477.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM SPINE VARIABLE ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM STAINLESS STEEL FOOT ANKLE JONES FRACTURE BONE CHARLOTTE,868.64,434.32,166.34,781.78,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM STAINLESS STEEL SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE PEDICLE CANNULATED SELF TAP LOW TOP ANTICROSS THREAD BONE SAVANNAH-T,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM CANCELLOUS ANKLE FUSION PLATE SYSTEM BONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL FIX ANGLE 5.5 MM ROD BONE CD HORIZON SOLERA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM SPINE LUMBAR POLYAXIAL BONE LNK,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVOLVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD5.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 6.35 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP SOLID JONES FRACTURE BONE LOW PROFILE SCREWS,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE CORTICAL FIX POLYAXIAL FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE PEDICLE POLYAXIAL LOW PROFILE REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE POLYAXIAL FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6 MM TITANIUM SPINE POLYAXIAL EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 3 MM SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 2S SPINE REDUCTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 2S SPINE UNIPLANAR BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM CANCELLOUS FLAT HEAD BONE MPACT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM CCM SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM COCR SPINE UNIAXIAL 5.5/6 MM ROD BONE SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM HIP ACETABULAR CANCELLOUS BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM HIP ACETABULAR CANCELLOUS SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM LARGE DOME TITANIUM HIP SELF TAP LOW PROFILE HEXAGONAL HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM NANO SPINE SHANK BONE OSTEOGRIP,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE 2 FULL CANNULATED MODULAR FENESTRATE BONE RELINE ONE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA SPINAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE PEDICLE POLYAXIAL REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL 15004-065-045 BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL 8806545A BONE PRECEPT,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL CANNULATED MIS BONE EVEREST,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE 5.5 MM ROD BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL REDUCTION 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE PREASSEMBLE REDUCTION 5.5 MM ROD BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM SPINE SHANK MODULAR BONE PRECEPT,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE PEDICLE CANNULATED SELF TAP LOW TOP ANTICROSS THREAD BONE SAVANNAH-T DUALFIX,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE HTO PLATE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED LOW PROFILE COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL REDUCTION 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SPINE FIX ANGLE ARM15T BONE ARMADA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SPINE MONOAXIAL 4.5 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.5 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L45 MM OD7 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,281.59,140.8,53.92,253.43,65
HCPCS,C1713,SCREW L45 MM OD7 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM SPINE CORTICAL FIX POLYAXIAL FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM SPINE POLYAXIAL EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM SPINE POLYAXIAL FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM T25 XL FULL THREAD TITANIUM COMPRESSION CANNULATION HEADLESS HEXALOBE BONE,637.7,318.85,122.12,573.93,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM SPINE CORTICAL FIX ANGLE 5.5 MM ROD BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM SPINE MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7 MM TITANIUM SPINE POLYAXIAL BONE ASTRA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7-7.5 MM FULL THREAD CUT FLUTE COMPRESSION SELF TAP REDUCTION HEADLESS BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L45 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM 2S SPINE REDUCTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE CANCELLOUS CORTICAL MODULAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE CANCELLOUS CORTICAL UNIPLANAR BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE CORTICAL BONE CD HORIZON MODULEX SPINAL SYSTEM,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE FENESTRATE MODULAR BONE CREO,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL 15004-075-045 BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL 2 FULL CANNULATED BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL FENESTRATE BONE CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL REDUCTION 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM ALLOY SPINE PEDICLE ADVANCED NON-CANNULATED BONE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON OSTEOGRIP,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD7.5 MM TITANIUM SPINE POLYAXIAL REDUCTION LONG ARM 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L45 MM OD8 MM SPINE POLYAXIAL FAVOR ANGLE SOLID 5.5/6 MM ROD BONE TRIALTIS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM HA SPINE MULTIAXIAL 5/6 MM ROD BONE SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE POLYAXIAL FAVOR ANGLE SOLID 5.5/6 MM ROD BONE TRIALTIS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM 3 MM TITANIUM SPINE PITCH BONE SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM SPINE SACROILIAC BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L45 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,"SCREW L46 MM L12 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L46 MM L12 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,"SCREW L46 MM L18 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L46 MM L18 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L46 MM L18 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L46 MM L18 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L46 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L46 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L46 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM NONLOCK GORILLA PLATING SYSTEM BONE BABY GORILLA R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM STAINLESS STEEL CORTICAL BONE,28.5,14.25,5.46,25.65,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM T10 TITANIUM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L46 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L46 MM OD3 MM TITANIUM CORTICAL LOW PROFILE BONE,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM 2.2 MM TIMAX COCR FOOT SELF TAP LOCK MULTIDIRECTIONAL TAPER ALPS BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM CORTEX SELF TAP BONE EVOS,32.4,16.2,6.2,29.16,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,"SCREW L46 MM OD3.5 MM NONLOCK BONE NON-LOCKING SCREW, 3.5MM X 46MM",215.0,107.5,41.17,193.5,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM ODSEC2.7 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR LOCK PLATE SYSTEM BONE,23.92,11.96,4.58,21.53,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GOLD BONE DART-FIRE,120.4,60.2,23.06,108.36,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM T10 NONLOCK BONE WORKHORSE SCREW,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM T15 FULL THREAD TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM TITANIUM COMPRESSION MULTITHREAD BONE HUMERAL FIXATION SET,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L46 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L46 MM OD3.7 MM TITANIUM METAPHYSEAL BONE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW L46 MM OD4 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L46 MM OD4 MM CANNULATED BLUNT LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L46 MM OD4 MM FULL THREAD EDGE COMPONENT HEADLESS BONE DART-FIRE,369.0,184.5,70.66,332.1,65
HCPCS,C1713,SCREW L46 MM OD4 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL GOLD BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L46 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L46 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L46 MM OD4 MM HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L46 MM OD4 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS 1.4 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L46 MM OD4 MM LOW PROFILE TITANIUM SHOULDER CANCELLOUS LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L46 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L46 MM OD4 MM ODSEC4.5 MM PARTIAL THREAD STAINLESS STEEL LONG BONE OSTEOPENIA BONE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L46 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L46 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE CANNULATED CANCELLOUS LAG SCREW,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L46 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION SELF TAP CANNULATED HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L46 MM OD4 MM SHORT THREAD CANNULATED HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L46 MM OD4 MM SHORT THREAD COMPONENT HEAD BONE DART-FIRE EDGE,272.0,136.0,52.09,244.8,65
HCPCS,C1713,SCREW L46 MM OD4 MM SMALL CYLINDER TITANIUM FOOT ANKLE CANNULATED SELF TAP CENTER CANNULA CRUCIATE BRONZE BONE CANNULATED SCREW SYSTEM,123.0,61.5,23.55,110.7,65
HCPCS,C1713,SCREW L46 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 LONG THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 PARTIAL THREAD CANCELLOUS CANNULATED BONE PEDILOC,147.6,73.8,28.27,132.84,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 SHORT THREAD STAINLESS STEEL SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L46 MM OD4 MM T15 TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L46 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L46 MM OD4 MM TITANIUM SPINE CORTICAL CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L46 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L46 MM OD4.2 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L46 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L46 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINKABLE GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ANKLE LOCK LOW PROFILE BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM HEADLESS BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ID3.9 MM FULL THREAD TITANIUM SELF CUT COUNTERSINK HEAD BLUNT TIP SUTURE HOLE GOLD MULTILOC HUMERAL NAIL SYSTEM BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP PURPLE BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM TITANIUM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L46 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L46 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L46 MM OD5 MM 3.5 MM HIP CORTICAL DISTAL HEXAGONAL DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L46 MM OD5 MM CORTICAL CAPTURE BONE AOS CAPTURED CORTICAL SCREW 5.0MM X 46MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L46 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L46 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L46 MM OD5 MM LOW PROFILE LOCK TUBE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L46 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L46 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L46 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L46 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L46 MM OD5 MM T25 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L46 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L46 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L46 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L46 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L46 MM OD5 MM TITANIUM ALUMINUM VANADIUM IRON CORTICAL CAPTURE INTERLOCK TROCHANTERIC NAIL SYSTEM BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L46 MM OD5 MM TITANIUM NIOBIUM ALUMINUM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L46 MM OD5 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW L46 MM OD5 MM TITANIUM SELF TAP LOCK BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L46 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L46 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L46 MM OD5.2 MM LOCK SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L46 MM OD5.5 MM FULL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW L46 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L46 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L47 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L47.5 MM OD4.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L47.5 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L47.5 MM OD5 MM LOCK BONE NA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,"SCREW L48 MM L12 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L48 MM L12 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L48 MM L15 MM OD4 MM PARTIAL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L48 MM L18 MM OD4.5 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,274.42,137.21,52.55,246.98,65
HCPCS,C1713,"SCREW L48 MM L19 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L48 MM L19 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L48 MM L19 MM OD4.5 MM T15 LONG THREAD TITANIUM NIOBIUM ALUMINUM COMPRESSION SELF TAP SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L48 MM L19 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L48 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L48 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L48 MM OD2.4 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L48 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L48 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,99.24,49.62,19.0,89.32,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM 2.5 MM STAINLESS STEEL CORTEX SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM T10 BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L48 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L48 MM OD3 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L48 MM OD3 MM TITANIUM CORTICAL LOW PROFILE BONE,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM 2.2 MM COCR SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM FULL THREAD STAINLESS STEEL CORTICAL LOCK SMALL FRAGMENT SYSTEM BONE PEDILOC LOCKING PLATE SYSTEM,123.01,61.51,23.56,110.71,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM FULL THREAD TIMAX CORTICAL NONLOCK HEX DRIVE SMALL FRAGMENT SET BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM MINI FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GOLD BONE DART-FIRE,120.4,60.2,23.06,108.36,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM SPINE POLYAXIAL BONE QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM STAINLESS STEEL ANKLE FUSCHIA BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE BLUE BONE PEDILOC,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM T15 TAPER TITANIUM CORTICAL SELF TAP LOW PROFILE NONLOCK SMALL FRAGMENT ALPS PROXIMAL TIBIA PLATE SYSTEM BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM TITANIUM BONE KREULOCK,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM TITANIUM ELBOW SELF TAPPING LOCKING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM TITANIUM HEXALOBE SMALL FRAGMENT SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM TITANIUM LOCK MULTITHREAD BONE HUMERAL FIXATION SET,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L48 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L48 MM OD4 MM BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L48 MM OD4 MM CANNULATED BLUNT TIP LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L48 MM OD4 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,369.0,184.5,70.66,332.1,65
HCPCS,C1713,"SCREW L48 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 48MM",285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L48 MM OD4 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL GOLD BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L48 MM OD4 MM FULL THREAD STAINLESS STEEL SMALL BONE SELF DRILLING SELF TAPPING CANNULATED BONE ASNIS III,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L48 MM OD4 MM HEADLESS BONE MINI,334.32,167.16,64.02,300.89,65
HCPCS,C1713,SCREW L48 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L48 MM OD4 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL COMPRESSION LAG SELF TAP SELF DRILL ACCEPTS 1.4 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L48 MM OD4 MM LONG THREAD TITANIUM CANCELLOUS CANNULATED BONE ACUMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L48 MM OD4 MM LOW PROFILE TITANIUM SHOULDER CANCELLOUS LOCK ARTHROPLASTY BONE SUTUREPLATE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L48 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L48 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L48 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L48 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD SMALL FRAGMENT SET BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L48 MM OD4 MM SHORT THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L48 MM OD4 MM SMALL PARTIAL THREAD TITANIUM FOOT SELF TAP SELF DRILL CANNULATED HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L48 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L48 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L48 MM OD4 MM T15 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L48 MM OD4 MM T15 TIMAX FOOT CANCELLOUS SELF TAP LOCK TAPER ALPS BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L48 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L48 MM OD4 MM TITANIUM SPINE CORTICAL CANCELLOUS CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L48 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L48 MM OD4.3 MM HEXALOBE LOW PROFILE HUMERUS BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L48 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L48 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM 3.5 MM CORTICAL LOCK HEXAGONAL PEDINAIL BONE ORTHOPEDIATRICS PEDINAIL INTRAMEDULLARY NAILING SYSTEM PEDIATRIC,170.06,85.03,32.57,153.05,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM FULL THREAD CORTICAL BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM HEADLESS BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM LONG THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,165.57,82.79,31.71,149.01,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L48 MM OD4.5 MM TITANIUM LOCK BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L48 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L48 MM OD5 MM 3.5 MM DISTAL CORTICAL HEXAGONAL DRIVER SOCKET BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L48 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L48 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L48 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L48 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L48 MM OD5 MM LOW PROFILE LOCK TUBE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L48 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L48 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L48 MM OD5 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD BONE ASNIS III,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW L48 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L48 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L48 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L48 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L48 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L48 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,196.47,98.24,37.62,176.82,65
HCPCS,C1713,SCREW L48 MM OD5 MM TITANIUM LOCK SELF TAP BONE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW L48 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L48 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L48 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L48 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L5 MM NEURO ONEDRIVE BONE LEVEL ONE DRILL-FREE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L5 MM OD1.2 MM CORTICAL 4 HANDLE BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L5 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L5 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L5 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L5 MM OD1.4 MM EMERGENCY AXIAL STABILITY LOWER PROFILE BONE AXS,4.12,2.06,0.79,3.71,65
HCPCS,C1713,SCREW L5 MM OD1.4 MM TITANIUM UPPER FACE SELF TAP CROSS PIN EMERGENCY PURPLE BONE LEIBINGER UNIVERSAL 2,67.81,33.91,12.99,61.03,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM CRANIAL SELF DRILL AXIAL STABILITY BONE UNIVERSAL NEURO 3,410.0,205.0,78.52,369.0,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM CRANIOMAXILLOFACIAL BONE LEVEL ONE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM CRANIOMAXILLOFACIAL CROSS PIN SELF DRILL BONE NA,367.7,183.85,70.41,330.93,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL BONE UNIVERSAL NEURO III,410.0,205.0,78.52,369.0,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM MICRO TITANIUM SELF RETAIN BLUE BONE MAXDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM PHALANGEAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN STARDRIVE BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE ONEDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM TITANIUM MIDFACE HIGH TORQUE CROSS DRIVE GOLD LORENZ PLATE SYSTEM BONE LORENZ,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L5 MM OD1.5 MM TITANIUM MIDFACE SELF DRILL HIGH TORQUE CROSS DRIVE GREEN LORENZ PLATE SYSTEM BONE LORENZ,98.0,49.0,18.77,88.2,65
HCPCS,C1713,SCREW L5 MM OD1.7 MM CRANIOMAXILLOFACIAL SELF DRILL AXIAL STABILITY LOW PROFILE BONE AXS,99.6,49.8,19.07,89.64,65
HCPCS,C1713,SCREW L5 MM OD1.7 MM CRANIOMAXILLOFACIAL SELF TAP AXIAL STABILITY LOW PROFILE BONE AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW L5 MM OD1.7 MM MIDFACE LOCK GRAY BONE SMARTLOCK,362.0,181.0,69.32,325.8,65
HCPCS,C1713,SCREW L5 MM OD1.7 MM TITANIUM MIDFACE SELF TAP CROSS PIN GOLD BONE LEIBINGER UNIVERSAL 2,55.21,27.61,10.57,49.69,65
HCPCS,C1713,SCREW L5 MM OD1.8 MM CRANIOFACIAL EMERGENCY BONE LEVEL ONE ONEDRIVE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L5 MM OD1.8 MM CRANIOMAXILLOFACIAL EMERGENCY BONE LEVEL ONE ONEDRIVE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW L5 MM OD1.8 MM MICRO TI-6AL-4V CRANIOMAXILLOFACIAL DRILL FREE EMERGENCY BONE LEVEL ONE MAXDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L5 MM OD1.8 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL EMERGENCY BONE LEVEL ONE,61.84,30.92,11.84,55.66,65
HCPCS,C1713,SCREW L5 MM OD1.8 MM TITANIUM MIDFACE SELF TAP HIGH TORQUE CROSS DRIVE MAGENTA LORENZ PLATE SYSTEM BONE STERILETRAC,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L5 MM OD1.9 MM CRANIOMAXILLOFACIAL EMERGENCY AXIAL STABILITY LOW PROFILE BONE AXS,97.94,48.97,18.76,88.15,65
HCPCS,C1713,SCREW L5 MM OD2 MM MINI TI-6AL-4V CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE MAXDRIVE,54.71,27.36,10.48,49.24,65
HCPCS,C1713,SCREW L5 MM OD2 MM STANDARD MINI TITANIUM CRANIOMAXILLOFACIAL SELF RETAIN ATRAUMATIC TIP BLUE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L5 MM OD2 MM TITANIUM MANDIBULAR SELF RETAIN LOCK CONCAVE GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L5 MM OD2 MM UNIVERSAL MANDIBLE SELF TAP AXIAL STABILITY BONE UNIVERSAL MANDIBLE AXS,112.5,56.25,21.54,101.25,65
HCPCS,C1713,SCREW L5 MM OD2.3 MM STANDARD TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L5 MM OD2.3 MM TAPER TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE HEAD GREEN BONE THREADLOCK TS MAXDRIVE,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L5 MM OD2.3 MM TITANIUM MANDIBULAR SELF RETAINING EMERGENCY CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L5 MM OD2.5 MM MP35N GRAFT BLADE BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L5 MM OD2.6 MM SPINE CERVICAL LAMINA LATERAL MASS BONE LEVERAGE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L5 MM OD2.6 MM SPINE CERVICAL LATERAL MASS BONE LEVERAGE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L5 MM OD2.6 MM TITANIUM SPINE DEEP DRIVE BONE CENTERPIECE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L5 MM OD2.6 MM TITANIUM SPINE SELF TAP STAB GRAB COLOR CODED LAMINOPLASTY BONE CENTERPIECE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L5 MM OD3 MM TITANIUM SPINE SELF TAP STAB GRAB COLOR CODED BONE CENTERPIECE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L50 MM 0 TAPER SHOULDER HUMERAL LOCK EQUINOXE BONE EQUINOXE,584.0,292.0,111.84,525.6,65
HCPCS,C1713,SCREW L50 MM HIP SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L50 MM HUMERAL TROCHLEAR COMPRESSION BONE HUMERAL PLATING SYSTEM,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L50 MM L10 MM OD4.5 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,274.42,137.21,52.55,246.98,65
HCPCS,C1713,"SCREW L50 MM L13 MM OD3.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L50 MM L13 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L50 MM L13 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L50 MM L15 MM OD4 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L50 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM L15 MM OD7.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM L16 MM OD6.5 MM HEADLESS BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L50 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L50 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L50 MM L16 MM OD6.5 MM STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L50 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L50 MM L16 MM OD7 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L50 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L50 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD GOLD LARGE FRAGMENT SET BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L50 MM L16 MM OD7.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L50 MM L17 MM OD4 MM PARTIAL THREAD STAINLESS STEEL HIP SELF DRILL SELF TAP CANNULATED 2.5 MM HEX DRIVE BONE ASNIS III,136.32,68.16,26.11,122.69,65
HCPCS,C1713,SCREW L50 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L50 MM L2.6 MM OD4 MM ODSEC2.6 MM T10 REVERSE CUT FLUTE TAPER TITANIUM SMALL BONE CANNULATED SELF DRILL SELF TAP HEAD LOBE DRIVE BONE MINI,187.06,93.53,35.82,168.35,65
HCPCS,C1713,"SCREW L50 MM L20 MM OD3.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L50 MM L20 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L50 MM L20 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L50 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L50 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L50 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,332.27,166.14,63.63,299.04,65
HCPCS,C1713,SCREW L50 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L50 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L50 MM L22 MM OD6.5 MM 4 CUT FLUTE TIMAX CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L50 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L50 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L50 MM L32 MM OD6.5 MM STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L50 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L50 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL LARGE FRAGMENT SET BONE,189.4,94.7,36.27,170.46,65
HCPCS,C1713,SCREW L50 MM MINI COMPRESSION HEADLESS BONE ACUTRAK 3,665.0,332.5,127.35,598.5,65
HCPCS,C1713,SCREW L50 MM OD10 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD10 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD10.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L50 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L50 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L50 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L50 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM 15 D STAINLESS STEEL CORTEX SELF TAP LOCK POLYAXIAL GREEN CLAW II COMPRESSION PLATE SYSTEM BONE ORTHOLOC,187.06,93.53,35.82,168.35,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,89.92,44.96,17.22,80.93,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,"SCREW L50 MM OD2.7 MM TIMAX ELBOW CORTICAL NONLOCK HEXAGONAL BONE TIMAXCORTICAL SCREW SELF TAPPING, FT",53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L50 MM OD2.7 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L50 MM OD3 MM FULL EDGE COMPONENT HEADLESS BONE DART-FIRE,286.0,143.0,54.77,257.4,65
HCPCS,C1713,SCREW L50 MM OD3 MM HEXALOBE LOCK BONE ACUMED,138.0,69.0,26.43,124.2,65
HCPCS,C1713,SCREW L50 MM OD3 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L50 MM OD3 MM TITANIUM CORTICAL LOW PROFILE BONE,106.2,53.1,20.34,95.58,65
HCPCS,C1713,SCREW L50 MM OD3 MM TITANIUM HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L50 MM OD3 MM TITANIUM LOCK MULTITHREAD BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM 2.2 MM COCR TIBIA PROXIMAL SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM COCR TIBIA PROXIMAL LOCK FUSCHIA BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM FOOT ANKLE NONLOCK BONE MAXLOCK EXTREME,123.38,61.69,23.63,111.04,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM FULL THREAD STAINLESS STEEL SELF TAP LOCK POLYAXIAL ON AXIS PURPLE FOOT RECONSTRUCTION SYSTEM BONE ORTHOLOC,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM GORILLA PLATE SYSTEM BONE R3CON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM HEXALOBE HEADLESS LOW PROFILE BONE ACUMED,419.0,209.5,80.24,377.1,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM LOCK BONE GORILLA R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM LOCK HEXALOBE BONE ACUMED,138.0,69.0,26.43,124.2,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM MICRO FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP LOCK VARIAX PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD GOLD BONE DART-FIRE,120.4,60.2,23.06,108.36,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM STAINLESS STEEL CANNULATED CONICAL HEAD ACCEPTS 1.6 MM GUIDEWIRE PERIARTICULAR LOCK PLATE SYSTEM BONE,61.36,30.68,11.75,55.22,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM MONOAX,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM T10 NONLOCK BONE WORKHORSE SCREW,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM T15 FEMUR PROXIMAL CANNULATED HEXALOBE BLUE BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE LOCK CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM TITANIUM ALUMINUM VANADIUM FEMUR TROCHANTERIC CORTICAL SELF TAP 2 LEAD SHALLOW PROFILE UNIVERSAL LOCK SYSTEM BONE ULS,23.74,11.87,4.55,21.37,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,71.0,35.5,13.6,63.9,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM TITANIUM CORTEX SELF TAP BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L50 MM OD3.5 MM TITANIUM OLECRANON COMPRESSION MULTITHREAD BONE DISTAL ELBOW PLATING SYSTEM,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L50 MM OD4 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L50 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L50 MM OD4 MM ANKLE CANNULATED HOOK BONE MEDLINE UNITE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW L50 MM OD4 MM CANNULATED LOW PROFILE BLUNT TIP BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L50 MM OD4 MM COCR CANNULATED BONE ANTHEM,205.0,102.5,39.26,184.5,65
HCPCS,C1713,SCREW L50 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,"SCREW L50 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 50MM",285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L50 MM OD4 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L50 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L50 MM OD4 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L50 MM OD4 MM FULL THREAD TITANIUM FOOT ANKLE LOCK BONE T2,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L50 MM OD4 MM HELICAL GROOVE REVERSE CUT FLUTE TITANIUM FULLY CANNULATED SELF TAP HEADLESS BONE N-FORCE FIXATION SYSTEM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L50 MM OD4 MM LONG THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD4 MM LONG THREAD STAINLESS STEEL CANNULATED GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L50 MM OD4 MM LONG THREAD TITANIUM CANCELLOUS CANNULATED BONE ACUMED,217.0,108.5,41.56,195.3,65
HCPCS,C1713,SCREW L50 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L50 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L50 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L50 MM OD4 MM ODSEC5 MM ID1.35 MM SHORT THREAD TITANIUM SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,146.91,73.46,28.13,132.22,65
HCPCS,C1713,SCREW L50 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L50 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEXAGONAL SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L50 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT SET BONE ALPS TIMAX,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L50 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L50 MM OD4 MM SHORT THREAD COMPRESSION HEAD BONE DART-FIRE EDGE,272.0,136.0,52.09,244.8,65
HCPCS,C1713,SCREW L50 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L50 MM OD4 MM SHORT THREAD HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD4 MM STAINLESS STEEL CANNULATED BONE ASNIS III,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L50 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L50 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L50 MM OD4 MM T15 FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,34.5,17.25,6.61,31.05,65
HCPCS,C1713,SCREW L50 MM OD4 MM T15 PARTIAL THREAD STAINLESS STEEL CANCELLOUS CANNULATED HEXALOBE BONE PEDIFRAG,147.6,73.8,28.27,132.84,65
HCPCS,C1713,SCREW L50 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L50 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L50 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L50 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,22.96,11.48,4.4,20.66,65
HCPCS,C1713,SCREW L50 MM OD4 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,255.72,127.86,48.97,230.15,65
HCPCS,C1713,SCREW L50 MM OD4 MM TITANIUM MIDFOOT POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L50 MM OD4 MM TITANIUM SPINE CORTICAL CANCELLOUS CANNULATED LAG BONE UCSS,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L50 MM OD4 MM TITANIUM SPINE MULTIAXIAL GOLD BONE VERTEX MAX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L50 MM OD4.3 MM LOCK HEXALOBE LOW PROFILE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L50 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L50 MM OD4.3 MM SHORT THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L50 MM OD4.35 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM FEMUR TIBIA CORTICAL SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM HEAD BRONZE BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM HEADLESS BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM LONG THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,320.0,160.0,61.28,288.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP SOLID JONES FRACTURE BONE LOW PROFILE SCREWS,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM SPINE POLYAXIAL ARM15T BONE ARMADA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM SPINE POLYAXIAL XTD TAB FENESTRATE BN,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM STAINLESS STEEL SELF TAP LOCK LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM T20 FEMUR CORTICAL PROXIMAL LOCK HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,200.14,100.07,38.33,180.13,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM ANKLE FUSION PLATE SYSTEM BONE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM ANKLE LOCK BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM CORTEX SELF TAP BONE,16.98,8.49,3.25,15.28,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L50 MM OD4.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L50 MM OD4.7 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,484.0,242.0,92.69,435.6,65
HCPCS,C1713,SCREW L50 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L50 MM OD5 MM 3.5 MM FEMORAL CORTICAL DISTAL HEXAGONAL BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L50 MM OD5 MM GRIPTION TF HIP ACETABULAR CANCELLOUS PERIPHERAL TAPER HEAD BONE PINNACLE,110.4,55.2,21.14,99.36,65
HCPCS,C1713,SCREW L50 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L50 MM OD5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L50 MM OD5 MM LOCK BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L50 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L50 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L50 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L50 MM OD5 MM ODSEC4.3 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN INTRAMEDULLARY NAIL BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L50 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L50 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN BONE TFN-ADVANCED,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L50 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L50 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,"SCREW L50 MM OD5 MM SMALL TIMAX HIP CANCELLOUS SELF DRILL CANNULATED LAG REDUCE HEAD BONE CANNULATED CANCELLOUS LAG SCREW, REDUCED HEAD",165.0,82.5,31.6,148.5,65
HCPCS,C1713,SCREW L50 MM OD5 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM SPINE PEDICLE UNIAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L50 MM OD5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED SOLID HEADLESS BONE COMPRESSION FT,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L50 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L50 MM OD5 MM T25 FULL THREAD TITANIUM SELF TAP STARDRIVE LOCK BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L50 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L50 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L50 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L50 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,156.24,78.12,29.92,140.62,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM SELF TAP LOCK BONE TOMOFIX,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVERE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L50 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L50 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L50 MM OD5.2 MM LOCK SILVERBACK PLATE SYSTEM BONE BABY GORILLA SILVERBACK,220.0,110.0,42.13,198.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM 3 MM PITCH SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM COCR SPINE SAGITTAL ADJUSTING 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM COCRMO SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON FENESTRATED SCREW SET,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM GRIPTION TF HIP ACETABULAR POLYAXIAL LOCK BONE GRIPTION,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM HEADLESS BONE ORTHOLOC,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM MINI LONG POST TITANIUM SPINE PEDICLE POSTERIOR POLYAXIAL BONE MPA TSRH-3D,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SHORT THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,420.0,210.0,80.43,378.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SOLID BONE JONES FX,895.0,447.5,171.39,805.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE FIX ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE LUMBAR BONE PIVOX,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL 2 FULL CANNULATED BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE 5.5 MM ROD BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE VARIABLE ANGLE BONE INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM SPINE VARIABLE ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM CANCELLOUS ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM SPINE EXTEND POST BONE TSRH-3D,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM SPINE MULTIAXIAL CLOSED BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVOLVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD5.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 6.35 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD5.5-5.2 MM FULL THREAD FLUTE TITANIUM COMPRESSION CANNULATED SELF CUT HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,467.0,233.5,89.43,420.3,65
HCPCS,C1713,SCREW L50 MM OD6 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L50 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L50 MM OD6 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L50 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L50 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE 5.5 MM ROD BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE MONOAXIAL 5.5 MM ROD BONE EXPEDIUM,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6 MM TITANIUM SPINE POLYAXIAL EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM 2S SPINE REDUCTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM 4S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM COCR SPINE MULTIAXIAL REDUCTION 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM COCR SPINE REDUCTION MULTIAXIAL 5.5/6 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM COCR SPINE SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM FLUTE TITANIUM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM HEADLESS BONE ORTHOLOC,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM HGP II TIVANIUM HIP ACETABULAR SELF TAP BONE HGP II,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM LARGE DOME TITANIUM HIP SELF TAP LOW PROFILE HEXAGONAL HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE BONE APTUS,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE FENESTRATE MODULAR BONE CREO,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA SPINAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE MULTIAXIAL COLOR CODED 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE PEDICLE POLYAXIAL REDUCTION 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL 2 FULL CANNULATED BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL 8806550A BONE PRECEPT,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL CANNULATED 3 MM ROD BONE XIA SERRATO,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL CANNULATED MIS BONE EVEREST,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE THREAD BONE CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM SPINE SHANK MODULAR BONE PRECEPT,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.5 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L50 MM OD7 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM SPINE CORTICAL FIX POLYAXIAL FENESTRATE EXTEND TAB 5.5 MM ROD BONE VIPER PRIME,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM SPINE PEDICLE POLYAXIAL LOW PROFILE 5.5/6 MM ROD BONE RESPONSE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L50 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE PREASSEMBLE 5.5 MM ROD BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM T25 XL FULL THREAD TITANIUM COMPRESSION CANNULATION HEXALOBE HEADLESS BONE,637.7,318.85,122.12,573.93,65
HCPCS,C1713,SCREW L50 MM OD7 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM TITANIUM SPINE CORTICAL FIX ANGLE 5.5 MM ROD BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL LARGE FRAGMENT SET BONE,189.4,94.7,36.27,170.46,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 2S SPINE REDUCTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 4S SPINE MODULAR SHANK TRACTION BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM 4S SPINE POLYAXIAL BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM COCRMO SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON FENESTRATED SCREW SET,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM HA SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM PEEK SPINE PEDICLE MULTIAXIAL BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM PHX SYSTEM BONE EXAC LOC,525.0,262.5,100.54,472.5,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE MULTIAXIAL FENESTRATE 5.5/6 MM ROD BONE CD HORIZON,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL 15004-075-050 BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL CANNULATED REDUCTION EXTEND TAB BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL FAVOR ANGLE FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL FENESTRATE BONE CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL REDUCTION 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM ALLOY SPINE PEDICLE ADVANCED NON-CANNULATED BONE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM SPINE BONE TSRH-3D,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD7.5 MM TITANIUM SPINE VARIABLE ANGLE BONE TSRH,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L50 MM OD8 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD8 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM HA SPINE MULTIAXIAL BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM PEEK SPINE MULTIAXIAL CANNULATED BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA SPINAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD9 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE 5.5 MM ROD MIS BONE VIPER,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L50 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD9.5 MM SPINE CANCELLOUS CORTICAL POLYAXIAL BONE INVICTUS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD9.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD9.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L50 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L51 MM OD5.5 MM TITANIUM CANCELLOUS SELF TAP 2 CORE THREAD BLUNT TIP TSLP BONE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L52 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L52 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L52 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,36.39,18.2,6.97,32.75,65
HCPCS,C1713,SCREW L52 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,99.24,49.62,19.0,89.32,65
HCPCS,C1713,SCREW L52 MM OD2.7 MM STAINLESS STEEL COMPRESSION BONE KREULOCK,290.82,145.41,55.69,261.74,65
HCPCS,C1713,SCREW L52 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,116.0,58.0,22.21,104.4,65
HCPCS,C1713,SCREW L52 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L52 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L52 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L52 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L52 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L52 MM OD3.7 MM TITANIUM METAPHYSEAL BONE,186.0,93.0,35.62,167.4,65
HCPCS,C1713,SCREW L52 MM OD4 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L52 MM OD4 MM FULL THREAD BEVEL BONE,779.53,389.77,149.28,701.58,65
HCPCS,C1713,SCREW L52 MM OD4 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL GOLD BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L52 MM OD4 MM FULL THREAD NONLOCK SOLID VARIABLE ANGLE STABLE ANKLE FRACTURE SYSTEM BONE OMNI,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L52 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L52 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L52 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L52 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L52 MM OD4 MM ODSEC5.8 MM 3 MM MEDIUM THREAD REVERSE CUT FLUTE STAINLESS STEEL CANCELLOUS CANNULATED HEX ACCEPTS 1.25 MM GUIDEWIRE BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,164.25,82.13,31.45,147.83,65
HCPCS,C1713,SCREW L52 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L52 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L52 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L52 MM OD4 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L52 MM OD4.3 MM LOW PROFILE HEXALOBE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM STAINLESS STEEL HIP CORTICAL SELF TAP BONE CHS,15.46,7.73,2.96,13.91,65
HCPCS,C1713,SCREW L52 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICOTHORACIC POLYAXIAL LOW PROFILE NONBIAS ANGLE FUCHSIA BONE OASYS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L52 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L52 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L52 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L52 MM OD5 MM LOW PROFILE LOCK TUBE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L52 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L52 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L52 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L52 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L52 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L52 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L52 MM OD5 MM XL25 LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L52 MM OD5.5 MM SHORT THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,420.0,210.0,80.43,378.0,65
HCPCS,C1713,SCREW L52 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L52 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L52.5 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L54 MM L14 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L54 MM L22 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L54 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L54 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L54 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L54 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L54 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L54 MM OD3.5 MM 2.2 MM COCR FOOT CORTICAL SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L54 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L54 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L54 MM OD3.5 MM TITANIUM FOOT ANKLE LOCK BONE LOW PROFILE SCREWS,103.5,51.75,19.82,93.15,65
HCPCS,C1713,SCREW L54 MM OD3.5 MM TITANIUM SELF TAP LOCK BONE,94.6,47.3,18.12,85.14,65
HCPCS,C1713,SCREW L54 MM OD4 MM COCR BONE ANTHEM,205.0,102.5,39.26,184.5,65
HCPCS,C1713,"SCREW L54 MM OD4 MM FULL THREAD CANCELLOUS LOCK BONE CANCELLOUS LOCKING SCREW, FULLY THREADED 4.0MM X 54MM",285.0,142.5,62.16,256.5,64
HCPCS,C1713,SCREW L54 MM OD4 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL GOLD BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L54 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L54 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L54 MM OD4 MM LONG THREAD SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L54 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L54 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE BLUE INTRAMEDULLARY NAIL BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L54 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L54 MM OD4 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L54 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM FULL THREAD CORTICAL BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM OBLIQUE FULL THREAD TIMAX CORTICAL SELF TAP 2 LEAD GREEN AIM VERSANAIL HUMERAL UNIVERSAL NAIL SYSTEM BONE TK2,42.0,21.0,8.04,37.8,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM STAINLESS STEEL SELF TAP LOCK LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM TI NONLOCK BN ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L54 MM OD4.5 MM TITANIUM SHOULDER UNION ADAPTER GLENOID BASEPLATE BONE AEQUALIS,242.0,121.0,46.34,217.8,65
HCPCS,C1713,SCREW L54 MM OD5 MM 3.5 MM FEMORAL CORTICAL DISTAL HEXAGONAL BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L54 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L54 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L54 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L54 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L54 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L54 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L54 MM OD5 MM TITANIUM CANCELLOUS SELF TAP BONE TRIGEN,128.31,64.16,24.57,115.48,65
HCPCS,C1713,SCREW L54 MM OD5 MM TITANIUM LOCK INTRAMEDULLARY NAIL BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L54 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA STERILE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L54 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L54 MM OD5.5 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L54 MM OD5.5 MM LONG THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L54 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L54 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L55 MM L14 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L55 MM L14 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L55 MM L15 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L55 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR LONG BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM L16 MM OD6.5 MM CANNULATED BONE AXSOS 3,408.0,204.0,78.13,367.2,65
HCPCS,C1713,SCREW L55 MM L16 MM OD6.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L55 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L55 MM L16 MM OD6.5 MM ODSEC8 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,"SCREW L55 MM L16 MM OD6.5 MM SHORT THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L55 MM L16 MM OD7 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L55 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L55 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L55 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L55 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L55 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L55 MM L22 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L55 MM L22 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L55 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,"SCREW L55 MM L32 MM OD6.5 MM LONG THREAD TITANIUM COMPRESSION SELF TAP, SELF DRILL CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW",675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L55 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L55 MM L32 MM OD6.5 MM STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L55 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L55 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L55 MM OD10 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD10.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD14 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED 1 STEP SYSTEM BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM 2.5 MM STAINLESS STEEL CORTEX SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM CORTEX SELF TAP MATTA PELVIC SYSTEM BONE PRO,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM ODSEC5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL HEAD MODULAR MINI FRAGMENT SET BONE,33.92,16.96,6.5,30.53,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L55 MM OD2.7 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,78.0,39.0,14.94,70.2,65
HCPCS,C1713,SCREW L55 MM OD2.8 MM HEXAGON TAPER TITANIUM ELBOW DRIVE 7 LAG ATRAUMATIC SELF TAPPING SELF RETAINING GOLD BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L55 MM OD3 MM HEXALOBE BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L55 MM OD3 MM LOCK HEXALOBE BONE ACUMED,138.0,69.0,26.43,124.2,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM CORTICAL LOCK BONE MEDLINE UNITE,115.0,57.5,22.02,103.5,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ELBOW HEXALOBE BONE ACUMED,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ELBOW LOCKING HEXALOBE BONE ACU-LOC 2,138.0,69.0,26.43,124.2,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM HEXALOBE HEADLESS LOW PROFILE BONE,419.0,209.5,80.24,377.1,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,22.73,11.37,4.35,20.46,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,137.31,68.66,26.29,123.58,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM STAINLESS STEEL ELBOW SELF TAPPING LOCKING BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM T15 FEMUR CORTICAL PROXIMAL SELF TAP HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,33.13,16.57,6.34,29.82,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM T15 FEMUR PROXIMAL CANNULATED HEXALOBE BLUE BONE PEDILOC,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM T15 STAINLESS STEEL FEMUR CORTICAL DISTAL LOCK HEXALOBE BLUE BONE PEDILOC TIBIAL PLATE,122.06,61.03,23.37,109.85,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM T15 TAPER TITANIUM CORTICAL SELF TAP NONLOCK LOW PROFILE SMALL FRAGMENT ALPS PROXIMAL TIBIA PLATE SYSTEM BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACU-LOC 2,71.0,35.5,13.6,63.9,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM TITANIUM OLECRANON COMPRESSION MULTITHREAD HUMERAL PLATE SET BONE FREEFIX,146.0,73.0,27.96,131.4,65
HCPCS,C1713,SCREW L55 MM OD3.5 MM TITANIUM OLECRANON MULTITHREAD LOCK BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L55 MM OD4 MM CANNULATED BLUNT LOW PROFILE BONE,158.79,79.4,30.41,142.91,65
HCPCS,C1713,SCREW L55 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
HCPCS,C1713,SCREW L55 MM OD4 MM LONG THREAD CANNULATED BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L55 MM OD4 MM ODSEC2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS HEX AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE NA,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L55 MM OD4 MM ODSEC4.5 MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER EVOS MINI OSTEOPENIA BONE,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L55 MM OD4 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM TARSAL METATARSAL CANNULATED SELF TAP SELF DRILL LOW PROFILE BONE ASNIS III,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SCREW L55 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEX DRIVE SMALL FRAGMENT SET BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L55 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED NONLOCK STANDARD HEAD SMALL FRAGMENT SET BONE CANNULATED CANCELLOUS LAG SCREW,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L55 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TIP TAPER HEAD SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L55 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L55 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L55 MM OD4 MM TITANIUM SPINE CANCELLOUS CANNULATED SELF TAP FIX ANGLE BONE,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L55 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM FOOT ANKLE CANNULATED HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM FULL THREAD STAINLESS STEEL DISTAL INTERLOCK BONE PEDINAIL INTRAMEDULLARY PLATFORM,170.3,85.15,32.61,153.27,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM LONG THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP JONES FRACTURE BONE LOW PROFILE SCREW,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM STAINLESS STEEL CORTICAL SELF TAP BONE OMEGA3,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM T20 CORTICAL LOCK HEXALOBE GREEN BONE LOCKING PROXIMAL FEMUR PLATE SYSTEM,127.46,63.73,24.41,114.71,65
HCPCS,C1713,SCREW L55 MM OD4.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L55 MM OD4.7 MM ODSEC5.6 MM 2.5 MM FULL THREAD STAINLESS STEEL VARIABLE ANGLE LOW PROFILE LOCK HEX OSTEOPENIA BONE EVOS,205.2,102.6,39.3,184.68,65
HCPCS,C1713,SCREW L55 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L55 MM OD5 MM CORTICAL CAPTURE INTRAMEDULLARY NAIL BONE AOS CAPTURED CORTICAL SCREW 5.0MM X 55MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L55 MM OD5 MM GRIPTION TF HIP ACETABULAR CANCELLOUS PERIPHERAL TAPER HEAD BONE PINNACLE,110.4,55.2,21.14,99.36,65
HCPCS,C1713,SCREW L55 MM OD5 MM ID4.4 MM 3.5 MM TITANIUM SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS BONE,166.47,83.24,31.88,149.82,65
HCPCS,C1713,SCREW L55 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L55 MM OD5 MM LARGE TITANIUM HIP CRUCIATE HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L55 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L55 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK HEX BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L55 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L55 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L55 MM OD5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L55 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L55 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L55 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L55 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,156.24,78.12,29.92,140.62,65
HCPCS,C1713,SCREW L55 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L55 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L55 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L55 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L55 MM OD5 MM TITANIUM SELF TAP LOCK BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L55 MM OD5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM FULL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP JONES FRACTURE BONE,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM SPINE POLYAXIAL FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE 5.5 MM ROD BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM STAINLESS STEEL SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM STAINLESS STEEL SPINE SAGITTAL ADJUST 5.5 MM ROD BONE LEGACY CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM ANKLE CANCELLOUS BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM CORTICAL SELF TAP POLYAXIAL LOW PROFILE HEAD ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,90.55,45.28,17.34,81.5,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM SOLID CORE CORTICAL THREAD CHAMFER BONE ORTHOLOC 2,1200.97,600.49,229.99,1080.87,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVERE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD5.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 6.35 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L55 MM OD6 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6 MM TITANIUM SPINE POLYAXIAL CANNULATED 5.5 MM ROD MIS BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM 2 MM PITCH SPINE BONE SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM 20 D STAINLESS STEEL SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM 3 MM PITCH SPINE CANNULATED BONE SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM COCR HA SPINE MULTIAXIAL CANNULATED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM COCRMO SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON FENESTRATED SCREW SET,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM LARGE DOME TITANIUM HIP SELF TAP LOW PROFILE HEXAGONAL HEAD MODULAR SYSTEM BONE S-ROM,104.4,52.2,19.99,93.96,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM MINI TITANIUM SPINE POLYAXIAL THREAD POST BONE TSRH-3D MPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM PARTIAL THREAD CANCELLOUS TIBIA LOCKING PLATE BONE PERI-LOC,22.68,11.34,4.34,20.41,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE SOLERA CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL 2 FENESTRATE BONE RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL FENESTRATE SOLID 5.5/6 MM ROD BONE TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM SPINE VARIABLE ANGLE XLF SYSTEM BONE COROENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM SPINE PEDICLE G4 TECHNOLOGY MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVOLVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.5 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L55 MM OD7 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,281.59,140.8,53.92,253.43,65
HCPCS,C1713,SCREW L55 MM OD7 MM ODSEC8 MM 3.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED STANDARD HEXAGONAL HEMISPHERICAL ACCEPTS 2 MM GUIDEWIRE BONE,226.63,113.32,43.4,203.97,65
HCPCS,C1713,SCREW L55 MM OD7 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD7 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD7 MM SPINE POLYAXIAL SOLID 5.5/6 MM ROD BONE TRIALTIS,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L55 MM OD7 MM T25 TITANIUM PEDICLE POLYAXIAL SELF TAP 2 CORE STARDRIVE 5.5 MM ROD BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L55 MM OD7 MM T25 XL FULL THREAD TITANIUM COMPRESSION CANNULATION HEXALOBE HEADLESS BONE,637.7,318.85,122.12,573.93,65
HCPCS,C1713,SCREW L55 MM OD7 MM TITANIUM SPINE CANNULATED EXTEND TAB LOW PROFILE MIS 5.5 MM ROD BONE VIPER 2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD7 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM 2C SPINE MODULAR SHANK MAS BONE RELINE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM 2C SPINE POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM 2C SPINE POLYAXIAL REDUCTION MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM 2S SPINE MODULAR SHANK BONE RELINE-O,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM 2S SPINE POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM 2S SPINE REDUCTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM CCM SPINE MULTIAXIAL FENESTRATE BONE CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM LONG TITANIUM SPINE 83575557 BONE TSRH OSTEOGRIP,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE CANNULATED MODULAR BONE CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL FAVOR ANGLE FENESTRATE 5.5/6 MM ROD BONE TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE 5.5 MM ROD BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM SPINE POLYAXIAL TRACTION BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM ALLOY SPINE PEDICLE ADVANCED NON-CANNULATED BONE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL REDUCTION 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM SPINE PEDICLE G4 TECHNOLOGY MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8 MM SPINE POLYAXIAL FAVOR ANGLE SOLID 5.5/6 MM ROD BONE TRIALTIS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD8 MM TITANIUM CANNULATED BONE ASNIS,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW L55 MM OD8 MM TITANIUM SPINE CORTICAL POLYAXIAL FIX ANGLE FENESTRATE MIS BONE VIPER EXPEDIUM,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM LONG TITANIUM SPINE BONE TSRH OSTEOGRIP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM SPINE POLYAXIAL EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD8.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVERE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD9 MM TITANIUM SPINE POLYAXIAL BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD9.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L55 MM TROCHLEAR COMPRESSION BONE HUMERAL PLATING SYSTEM,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L56 MM L14 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L56 MM L22 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L56 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L56 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L56 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L56 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L56 MM OD3.5 MM 2.2 MM COCR SELF TAP LOCK MULTIDIRECTIONAL SQUARE DRIVE ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L56 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L56 MM OD3.5 MM T15 COCR TIBIA PROXIMAL LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L56 MM OD3.5 MM TITANIUM SELF TAP LOCK BONE,94.6,47.3,18.12,85.14,65
HCPCS,C1713,SCREW L56 MM OD4 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L56 MM OD4 MM BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L56 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L56 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L56 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L56 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L56 MM OD4 MM SHORT THREAD STAINLESS STEEL COMPRESSION LAG HEADLESS ACCEPTS 1.4 MM GUIDEWIRE BONE CAPTIVATE,270.0,135.0,51.71,243.0,65
HCPCS,C1713,SCREW L56 MM OD4 MM STANDARD FULL THREAD TITANIUM COMPRESSION CANNULATED VARIABLE STEP PITCH BONE,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L56 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE BLUE INTRAMEDULLARY NAIL BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L56 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L56 MM OD4.3 MM LOW PROFILE HEXALOBE BONE POLARUS 3,107.0,53.5,20.49,96.3,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE BONE PERI-LOC,13.48,6.74,2.58,12.13,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM STAINLESS STEEL CORTICAL SELF TAP BONE,15.46,7.73,2.96,13.91,65
HCPCS,C1713,SCREW L56 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L56 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L56 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L56 MM OD5 MM LOW PROFILE LOCK TUBE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L56 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L56 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L56 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L56 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L56 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L56 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L56 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L56 MM OD5 MM XL25 TITANIUM NIOBIUM ALUMINUM FEMORAL LIGHT GREEN BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L56 MM OD5.5 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L56 MM OD5.5 MM SHORT THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,420.0,210.0,80.43,378.0,65
HCPCS,C1713,SCREW L56 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L56 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L57 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L57 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L57.5 MM OD5 MM LOCK BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L58 MM L15 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L58 MM L23 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L58 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L58 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L58 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L58 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L58 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L58 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L58 MM OD3.5 MM HUMERUS LOW PROFILE NONLOCK HEXALOBE BONE POLARUS 3,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L58 MM OD3.5 MM ODSEC2.5 MM FULL THREAD FOOT ANKLE CORTICAL SELF TAP PREDRILL BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L58 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L58 MM OD3.5 MM T15 TIBIA CORTICAL DISTAL SELF TAP LOCK TAPER BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L58 MM OD3.5 MM TITANIUM SELF TAP LOCK BONE,94.6,47.3,18.12,85.14,65
HCPCS,C1713,SCREW L58 MM OD4 MM FULL THREAD NONLOCK SOLID VARIABLE ANGLE STABLE ANKLE FRACTURE SYSTEM BONE OMNI,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L58 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM FOOT HAND COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L58 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L58 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L58 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L58 MM OD4 MM ODSEC5 MM ID1.35 MM 1/2 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L58 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L58 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L58 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L58 MM OD4.5 MM FULL THREAD TIMAX FEMUR CORTICAL DISTAL HEXAGONAL DRIVE NONLOCKING LOCKED PLATING SYSTEM BONE POLYAX,44.0,22.0,8.43,39.6,65
HCPCS,C1713,SCREW L58 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L58 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L58 MM OD4.5 MM TITANIUM CORTEX OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L58 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L58 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L58 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L58 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L58 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L58 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L58 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L58 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L58 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA STERILE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L58 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L58 MM OD6 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE AQUA INTRAMEDULLARY NAIL BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L58 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L6 MM L1.2 MM OD1.5 MM TITANIUM CORTICAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L6 MM OD1 MM ODSEC1.6 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L6 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L6 MM OD1.3 MM ODSEC2.4 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,58.45,29.23,11.19,52.61,65
HCPCS,C1713,SCREW L6 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,79.98,39.99,15.32,71.98,65
HCPCS,C1713,SCREW L6 MM OD1.3 MM T4 CORTEX SELF TAP STARDRIVE BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L6 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L6 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L6 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM CORTICAL PHALANGEAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L6 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L6 MM OD1.6 MM CRANIOFACIAL BONE AUTO-DRIVE,66.5,33.25,12.73,59.85,65
HCPCS,C1713,SCREW L6 MM OD1.7 MM CRANIOMAXILLOFACIAL SELF DRILL AXIAL STABILITY LOW PROFILE BONE AXS,99.6,49.8,19.07,89.64,65
HCPCS,C1713,SCREW L6 MM OD1.7 MM CRANIOMAXILLOFACIAL SELF TAP AXIAL STABILITY LOW PROFILE BONE AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW L6 MM OD1.7 MM TITANIUM MIDFACE LOCK GRAY BONE LEIBINGER UNIVERSAL 2,362.0,181.0,69.32,325.8,65
HCPCS,C1713,SCREW L6 MM OD1.7 MM TITANIUM MIDFACE SELF TAP CROSS PIN GOLD BONE LEIBINGER UNIVERSAL 2,55.21,27.61,10.57,49.69,65
HCPCS,C1713,SCREW L6 MM OD2 MM FLUTE SPINE CERVICAL SELF DRILL RIGID SELF RETAIN SQUARE SPLIT TIP MAGENTA LAMINOPLASTY BONE ESCALATE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L6 MM OD2 MM MANDIBLE LOCK SELF TAP BONE AXS UNIVERSAL,112.5,56.25,21.54,101.25,65
HCPCS,C1713,SCREW L6 MM OD2 MM METACARPAL CORTICAL LOCK BONE HAND PLATING SYSTEM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L6 MM OD2 MM ODSEC1.5 MM STAINLESS STEEL CORTICAL HEXAGON HEAD MINI FRAGMENT BONE,23.36,11.68,4.47,21.02,65
HCPCS,C1713,SCREW L6 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L6 MM OD2 MM T6 LOCK VARIAX FOOT PLATE SYSTEM BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L6 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L6 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L6 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L6 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L6 MM OD2 MM T6 VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L6 MM OD2 MM TITANIUM SPINE CORTEX SELF DRILL STARDRIVE BONE ARCH,35.34,17.67,6.77,31.81,65
HCPCS,C1713,SCREW L6 MM OD2 MM TITANIUM SPINE CORTEX SELF TAP STARDRIVE BONE ARCH,32.78,16.39,6.28,29.5,65
HCPCS,C1713,SCREW L6 MM OD2.1 MM TITANIUM HAND CRUCIFORM MODULAR BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L6 MM OD2.2 MM SPINE SELF DRILL LAMINOPLASTY BONE RELIEVE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L6 MM OD2.2 MM SPINE SELF TAP LAMINOPLASTY BONE RELIEVE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L6 MM OD2.3 MM MANDIBLE NONLOCK CROSS DRIVE GOLD BONE LORENZ,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L6 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L6 MM OD2.3 MM TITANIUM MANDIBULAR LOCK CROSS PIN GRAY BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM ODSEC1.9 MM T8 TITANIUM DISTAL SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE BONE,44.38,22.19,8.5,39.94,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM TITANIUM SPINE CORTEX EMERGENCY STARDRIVE BONE ARCH,34.49,17.25,6.6,31.04,65
HCPCS,C1713,SCREW L6 MM OD2.4 MM TITANIUM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L6 MM OD2.6 MM SPINE CERVICAL LATERAL MASS BONE LEVERAGE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L6 MM OD2.6 MM SPINE SELF DRILL LAMINOPLASTY BONE CANOPY,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L6 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L6 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L6 MM OD3 MM TITANIUM OLECRANON LOCK MULTITHREAD BRONZE DORSAL SPAN PLATE BONE DORSAL SPANNING PLATE,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L6 MM OD4.5 MM SPINE OCCIPITAL 8976406 BONE VUEPOINT II,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM OD4.5 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM OD4.5 MM SPINE OCCIPITOCERVICAL BONE INFINITY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM OD4.5 MM TITANIUM SPINE OCCIPITAL BONE VERTEX SELECT,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L6 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM OD5 MM T15 TITANIUM SPINE OCCIPITAL SELF RETAIN BLUNT TIP STARDRIVE FUSION SYSTEM BONE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM OD5.25 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM OD5.25 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L6 MM TITANIUM CONNECT STARDRIVE BONE,194.84,97.42,37.31,175.36,65
HCPCS,C1713,SCREW L60 MM L12 MM OD4.5 MM SHORT THREAD TITANIUM COMPRESSION HEADLESS BONE,274.42,137.21,52.55,246.98,65
HCPCS,C1713,SCREW L60 MM L15 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L60 MM L15 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L60 MM L15 MM OD6.5 MM SPINE CANNULATED LOW PROFILE 6 POINT STAR SHORT BLADE 5.5/6 MM ROD ACCEPTS 1.3 MM KIRSCHNER WIRE BONE ES2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L60 MM L16 MM OD6.5 MM FOOT ANKLE HEAD BONE DARCO,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW L60 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L60 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L60 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L60 MM L16 MM OD7 MM FOOT ANKLE HEAD BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L60 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L60 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L60 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L60 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L60 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L60 MM L24 MM OD4 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L60 MM L24 MM OD4.5 MM LONG THREAD TITANIUM COMPRESSION HEADLESS BONE,288.54,144.27,55.26,259.69,65
HCPCS,C1713,SCREW L60 MM L24 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L60 MM L24 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L60 MM L24 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L60 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L60 MM L32 MM OD6.5 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L60 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L60 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L60 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L60 MM L32 MM OD7.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L60 MM OD10.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD12.7 MM LAG 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L60 MM OD12.7 MM LAG 1 STEP INSERTION BONE DHS DCS,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L60 MM OD2.4 MM ID4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE STARDRIVE BONE,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L60 MM OD2.4 MM T8 TITANIUM CORTEX SELF TAP VARIABLE ANGLE STARDRIVE BONE,40.29,20.15,7.72,36.26,65
HCPCS,C1713,SCREW L60 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM 2.5 MM STAINLESS STEEL CORTEX SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,89.92,44.96,17.22,80.93,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T10 LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 SELF TAP LOCK BONE,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE PEDIATRIC,25.5,12.75,4.88,22.95,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L60 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L60 MM OD3 MM LOCK HEXALOBE BONE ACUMED,138.0,69.0,26.43,124.2,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM CONICAL PARTIAL THREAD PROXIMAL SELF TAP BONE,127.32,63.66,24.38,114.59,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM CORTEX SELF TAP BONE EVOS,45.51,22.76,8.72,40.96,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM ELBOW LOCKING HEXALOBE BONE ACUMED,138.0,69.0,26.43,124.2,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM FOOT BONE MEDLINE UNITE,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM FULL THREAD STAINLESS STEEL MIDFOOT CORTICAL SELF TAP LOW PROFILE HEAD BRONZE BONE ORTHOLOC,88.56,44.28,16.96,79.7,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM FULL THREAD STAINLESS STEEL PROXIMAL SELF TAP STARDRIVE CONICAL BONE,127.32,63.66,24.38,114.59,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM FULL THREAD TIMAX CORTICAL NONLOCK SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM FULL THREAD TITANIUM CORTEX SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,24.32,12.16,4.66,21.89,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM HEXALOBE BONE ACUMED,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK CONICAL HEAD STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM MULTITHREAD TITANIUM LOCK BONE DISTAL ELBOW PLATING SYSTEM,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM,19.0,9.5,3.64,17.1,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM STAINLESS STEEL LOCK BLUNT TIP BONE ANTHEM,145.0,72.5,27.77,130.5,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM T15 FEMUR PROXIMAL CANNULATED HEXALOBE BLUE BONE PEDILOC,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,71.0,35.5,13.6,63.9,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM TITANIUM ELBOW LOCKING SELF TAPPING BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L60 MM OD3.5 MM TITANIUM SELF TAP LOCK HEXAGONAL BONE TAP-LOC,154.0,77.0,29.49,138.6,65
HCPCS,C1713,SCREW L60 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L60 MM OD4 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,23.36,11.68,4.47,21.02,65
HCPCS,C1713,SCREW L60 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L60 MM OD4 MM CANNULATED LAG BONE,290.0,145.0,55.54,261.0,65
HCPCS,C1713,SCREW L60 MM OD4 MM COCR LOCK BONE ANTHEM,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L60 MM OD4 MM COMPRESSION HEADLESS BONE FIXOS,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW L60 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L60 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L60 MM OD4 MM LONG THREAD HEAD BONE MINI-MONSTER,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW L60 MM OD4 MM LONG THREAD STAINLESS STEEL CANNULATED ANKLE FRACTURE SYSTEM BONE ANTHEM CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L60 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL LOCK SELF TAP BLUNT TIP 2 LEAD BLUE EXPERT CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L60 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L60 MM OD4 MM ODSEC5 MM ID1.35 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L60 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD TITANIUM CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L60 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,20.25,10.13,3.88,18.23,65
HCPCS,C1713,SCREW L60 MM OD4 MM PARTIAL THREAD TIBIA CANCELLOUS DISTAL NONLOCK HEX DRIVE SMALL FRAGMENT BONE ALPS,53.2,26.6,10.19,47.88,65
HCPCS,C1713,SCREW L60 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS CANNULATED SELF DRILL SELF TAP STANDARD HEAD ALPS SMALL FRAGMENT BONE ALPS TIMAX,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L60 MM OD4 MM PARTIAL THREAD TITANIUM FOOT COMPRESSION CANNULATED SELF TAP HEAD DARK BLUE BONE DART-FIRE,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW L60 MM OD4 MM SHORT THREAD FOOT ANKLE HEAD BONE DARCO,160.2,80.1,30.68,144.18,65
HCPCS,C1713,SCREW L60 MM OD4 MM STANDARD BONE ACUTRAK 3,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW L60 MM OD4 MM T15 CANNULATED HEAD BONE MEDLINE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L60 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L60 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L60 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER SMALL FRAGMENT SET BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L60 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L60 MM OD4 MM TITANIUM ALUMINUM VANADIUM COMPRESSION CANNULATED SELF TAP HEADLESS BLUE BONE PROSTEP MICA,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW L60 MM OD4.3 MM LONG THREAD STAINLESS STEEL FOOT ANKLE MULTIUSE COMPRESSION CANNULATED HEADLESS BONE CHARLOTTE,242.78,121.39,46.49,218.5,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM 3.5 MM CORTICAL LOCK HEXAGONAL PEDINAIL BONE ORTHOPEDIATRICS PEDINAIL INTRAMEDULLARY NAILING SYSTEM PEDIATRIC,170.06,85.03,32.57,153.05,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM 3.8 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK GOLD BONE,212.98,106.49,40.79,191.68,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM CORTICAL BONE OSFERION,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM CORTICAL SELF TAPPING LOCKING BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM FOOT ANKLE CANNULATED HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM FULL THREAD FOOT ANKLE HEAD BONE DARCO,164.18,82.09,31.44,147.76,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM HEADLESS BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM MEDIUM THREAD CANNULATED BONE ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,198.79,99.4,38.07,178.91,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM ODSEC3.9 MM FULL THREAD TITANIUM NIOBIUM ALUMINUM PROXIMAL BLUNT TIP SELF CUT SUTURE HOLE COUNTERSINK HEAD GOLD BONE,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,162.14,81.07,31.05,145.93,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,159.81,79.91,30.6,143.83,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM STAINLESS STEEL SELF TAP LOCK LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM TITANIUM CORTICAL LOCK ANKLE FUSION PLATE SYSTEM BONE ORTHOLOC,200.99,100.5,38.49,180.89,65
HCPCS,C1713,SCREW L60 MM OD4.5 MM TITANIUM LOCK ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,195.0,97.5,37.34,175.5,65
HCPCS,C1713,SCREW L60 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L60 MM OD5 MM FULL THREAD FEMUR BONE PEDINAIL INTRAMEDULLARY PLATFORM,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L60 MM OD5 MM FULL THREAD TITANIUM CONDYLE T2 INTRAMEDULLARY NAIL SYSTEM BONE NA,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW L60 MM OD5 MM GRIPTION TF HIP ACETABULAR CANCELLOUS PERIPHERAL TAPER HEAD BONE PINNACLE,110.4,55.2,21.14,99.36,65
HCPCS,C1713,SCREW L60 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L60 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L60 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L60 MM OD5 MM LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L60 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L60 MM OD5 MM ODSEC4.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL LARGE FRAGMENT SET BONE,116.23,58.12,22.26,104.61,65
HCPCS,C1713,SCREW L60 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L60 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L60 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L60 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED SOLID HEADLESS BONE COMPRESSION FT,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L60 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L60 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L60 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L60 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L60 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L60 MM OD5 MM T25 TITANIUM SELF TAP LOCK STARDRIVE BONE,156.24,78.12,29.92,140.62,65
HCPCS,C1713,SCREW L60 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L60 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L60 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L60 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L60 MM OD5 MM TITANIUM SELF TAP LOCK BONE TOMOFIX,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L60 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L60 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM CANNULATED HEADED FULL THREAD BONE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM GRIPTION TF HIP ACETABULAR POLYAXIAL LOCK BONE GRIPTION,90.6,45.3,17.35,81.54,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM HA SPINE MULTIAXIAL BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM ODSEC5.2 MM .062 IN FULL THREAD TITANIUM SELF CUT CANNULATED HEXAGONAL HEADLESS BONE ACUTRAK 2,467.0,233.5,89.43,420.3,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM PARTIAL THREAD TITANIUM METATARSUS SELF TAP SOLID JONES FRACTURE BONE LOW PROFILE SCREWS,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM SPINE SELF DRILL VARIABLE ANGLE BONE INDEPENDENCE,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM STAINLESS STEEL SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM TITANIUM CANCELLOUS ANKLE FUSION PLATE SYSTEM BONE LOW PROFILE SCREWS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM TITANIUM MIDFOOT LOCK POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,273.63,136.82,52.4,246.27,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM TITANIUM MIDFOOT POLYAXIAL OSTEOPENIC THREAD PROFILE LOW PROFILE BONE SALVATION,148.26,74.13,28.39,133.43,65
HCPCS,C1713,SCREW L60 MM OD5.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 6.35 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L60 MM OD5.5-5.2 MM FULL THREAD FLUTE TITANIUM COMPRESSION CANNULATED SELF CUT HEXAGONAL ACCEPTS .062 IN GUIDEWIRE BONE ACUTRAK 2,467.0,233.5,89.43,420.3,65
HCPCS,C1713,SCREW L60 MM OD6 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L60 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L60 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L60 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM 10 D STAINLESS STEEL SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM 2C SPINE ILIAC POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE AXSOS,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM ACETABULAR SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE TITANIUM,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM CANNULATED BONE ASNIS,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM DOME POROCOAT KNEE TIBIA CANCELLOUS LOW PROFILE BONE PFC SIGMA,111.9,55.95,21.43,100.71,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM HGP II TIVANIUM HIP ACETABULAR SELF TAP BONE HGP II,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM LARGE TITANIUM SPINE FIX ANGLE 5.5 MM ROD BONE CD HORIZON,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM ODSEC8 MM FULL THREAD TITANIUM CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,25.96,12.98,4.97,23.36,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM SPINAL MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM SPINE 5.5/6 MM ROD BONE CD HORIZON VOYAGER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM STAINLESS STEEL SPINE UNIAXIAL SAGITTAL ADJUST 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM SPINE PEDICLE POLYAXIAL BONE REVOLVE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 4.5 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM SPINE SHORT POST BONE TSRH-3D,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW L60 MM OD6.5 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD6.7 MM FULL THREAD TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L60 MM OD7 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L60 MM OD7 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,281.59,140.8,53.92,253.43,65
HCPCS,C1713,SCREW L60 MM OD7 MM MEDIUM THREAD CANNULATED HEAD BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L60 MM OD7 MM TITANIUM SPINE CANNULATED EXTEND TAB LOW PROFILE MIS 5.5 MM ROD BONE VIPER 2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L60 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM LONG TITANIUM SPINE BONE TSRH OSTEOGRIP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM PEEK SPINE MULTIAXIAL 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM SPINE CANNULATED MODULAR BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM TITANIUM COCR SPINE 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON OSTEOGRIP,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM 2S SPINE ILIAC CLOSED BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM LONG TITANIUM SPINE BONE TSRH OSTEOGRIP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD9.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM OD9.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L60 MM X W16 MM OD6.5 MM CANNULATED HEADLESS BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L62 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L62 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L62 MM OD4 MM ID3.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,95.75,47.88,18.34,86.18,65
HCPCS,C1713,SCREW L62 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L62 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L62 MM OD4.5 MM FEMUR TIBIA CORTICAL SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L62 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L62 MM OD5 MM FEMORAL LOW PROFILE LOCK RFN-ADVANCED BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L62 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP STARDRIVE LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L62 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L62 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L62 MM OD5 MM T25 FULL THREAD TITANIUM SELF TAP LOCK 2 CORE STARDRIVE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L62 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L62 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L62 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA STERILE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L62 MM OD5 MM XL25 LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L64 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L64 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L64 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L64 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L64 MM OD4 MM ODSEC5 MM ID1.35 MM LONG THREAD REVERSE CUT FLUTE STAINLESSS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L64 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE BLUE INTRAMEDULLARY NAIL BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L64 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L64 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L64 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L64 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L64 MM OD4.5 MM ODSEC6.5 MM PARTIAL THREAD TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL GOLD LARGE FRAGMENT SET BONE,163.24,81.62,31.26,146.92,65
HCPCS,C1713,SCREW L64 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L64 MM OD4.5 MM ODSEC8 MM T25 CUT FLUTE CORTEX SELF TAP BONE PERI-LOC,27.25,13.63,5.22,24.53,65
HCPCS,C1713,SCREW L64 MM OD5 MM LOCK BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L64 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L64 MM OD5 MM LOW PROFILE LOCK TUBE INTRAMEDULLARY NAIL BONE,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L64 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L64 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L64 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE LIGHT GREEN INTRAMEDULLARY NAIL BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L64 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L64 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L64 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L64 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L64 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L65 MM HUMERAL TROCHLEAR COMPRESSION BONE HUMERAL PLATING SYSTEM,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L65 MM L16 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L65 MM L16 MM OD6.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L65 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L65 MM L16 MM OD6.5 MM ODSEC8 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L65 MM L16 MM OD6.5 MM TIMAX LONG BONE CANNULATED BONE CANNULATED SCREW,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SCREW L65 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L65 MM L16 MM OD7 MM HEAD BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L65 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L65 MM L16 MM OD7.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L65 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L65 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L65 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L65 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,268.33,134.17,51.39,241.5,65
HCPCS,C1713,SCREW L65 MM L22 MM OD12.7 MM STANDARD STAINLESS STEEL CONDYLAR CANNULATED LAG 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L65 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L65 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L65 MM L22 MM OD6.5 MM LARGE TIMAX CANCELLOUS SELF TAP SELF DRILL CANNULATED ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L65 MM L22 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L65 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L65 MM L26 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L65 MM L26 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,207.03,103.52,39.65,186.33,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM TITANIUM CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.58,12.29,4.71,22.12,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L65 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L65 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L65 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L65 MM OD2.7 MM ODSEC5 MM T10 TITANIUM ELBOW SELF TAP VARIAX PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L65 MM OD2.7 MM T8 FULL THREAD VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L65 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L65 MM OD2.7 MM T8 STAINLESS STEEL CORTICAL STARDRIVE SELF TAP MODULAR MINI FRAGMENT LCP SYSTEM BONE,39.0,19.5,7.47,35.1,65
HCPCS,C1713,SCREW L65 MM OD2.7 MM T8 STAINLESS STEEL LOCK AQUA BONE VOLT,386.1,193.05,73.94,347.49,65
HCPCS,C1713,SCREW L65 MM OD2.7 MM TITANIUM ELBOW LOCKING SELF TAPPING PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM ELBOW HEXALOBE BONE ACUMED,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM ID2.9 MM T15 PARTIAL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM ODSEC6 MM STANDARD STAINLESS STEEL CORTEX SELF TAP SMALL HEXAGONAL SOCKET BONE,23.25,11.63,4.45,20.93,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM T15 CANNULATED HEXALOBE BLUE BONE PEDILOC,184.17,92.09,35.27,165.75,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL PROXIMAL MEDIAL SELF TAP SMOOTH CONICAL STARDRIVE BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM TI OLECRANON LOCK MULTITHREAD BRONZE,152.0,76.0,29.11,136.8,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM TIMAX CORTICAL NONLOCK HEXAGONAL DRIVE SMALL FRAGMENT BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L65 MM OD3.5 MM TITANIUM PROXIMAL MEDIAL SELF TAP LOCK STARDRIVE SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L65 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L65 MM OD4 MM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L65 MM OD4 MM COMPRESSION HEADLESS BONE FIXOS,322.38,161.19,61.74,290.14,65
HCPCS,C1713,SCREW L65 MM OD4 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L65 MM OD4 MM ODSEC4.5 MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER EVOS MINI OSTEOPENIA BONE,75.6,37.8,14.48,68.04,65
HCPCS,C1713,SCREW L65 MM OD4 MM ODSEC6 MM 2.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.18,10.59,4.06,19.06,65
HCPCS,C1713,SCREW L65 MM OD4 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL DRIVE BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L65 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS LAG CANNULATED BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L65 MM OD4 MM STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK T15 STARDRIVE RECESS BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L65 MM OD4 MM T15 FULL THREAD TIMAX TIBIA CANCELLOUS DISTAL SELF TAP TAPER SMALL FRAGMENT SET BONE ALPS,45.0,22.5,8.62,40.5,65
HCPCS,C1713,SCREW L65 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L65 MM OD4 MM T15 TIMAX CANCELLOUS SELF TAP LOCK TAPER SMALL FRAGMENT BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L65 MM OD4 MM TITANIUM CORTEX SELF TAP BONE,25.65,12.83,4.91,23.09,65
HCPCS,C1713,SCREW L65 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L65 MM OD4.5 MM HEAD BONE MEDLINE UNITE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L65 MM OD4.5 MM STAINLESS STEEL CORTICAL PERIARTICULAR SELF TAP BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L65 MM OD4.7 MM PARTIAL THREAD OSTEOPENIA BONE EVOS,68.6,34.3,13.14,61.74,65
HCPCS,C1713,SCREW L65 MM OD5 MM COCR WASHER LOCK POLYAXIAL RETROGRADE NAILING SYSTEM BONE AUTOBAHN EVO,504.0,252.0,96.52,453.6,65
HCPCS,C1713,SCREW L65 MM OD5 MM FULL THREAD BONE PANTA,492.91,246.46,94.39,443.62,65
HCPCS,C1713,SCREW L65 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L65 MM OD5 MM FULL THREAD REVERSE CUT FLUTE TITANIUM CANNULATED SELF DRILL SELF TAP HEXAGONAL DRIVE BONE ASNIS III,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW L65 MM OD5 MM GRIPTION TF CANCELLOUS PERIPHERAL TAPER HEAD BONE PINNACLE,110.4,55.2,21.14,99.36,65
HCPCS,C1713,SCREW L65 MM OD5 MM ID4.4 MM 3.5 MM TITANIUM SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS BONE,166.47,83.24,31.88,149.82,65
HCPCS,C1713,SCREW L65 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK CONICAL HEAD STARDRIVE LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L65 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L65 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L65 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L65 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L65 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP 2 CORE STARDRIVE GOLD INTRAMEDULLARY NAIL BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L65 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L65 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L65 MM OD5 MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM BONE PHOENIX NAIL SYSTEM,198.0,99.0,37.92,178.2,65
HCPCS,C1713,SCREW L65 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L65 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L65 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L65 MM OD5 MM TITANIUM SELF TAP LOCK HEAD OSTEOTOMY BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L65 MM OD5.5 MM FULL THREAD STAINLESS STEEL ORTHOPEDIC CANNULATED BONE NA,179.52,89.76,34.38,161.57,65
HCPCS,C1713,SCREW L65 MM OD5.5 MM LONG THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,420.0,210.0,80.43,378.0,65
HCPCS,C1713,SCREW L65 MM OD5.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW L65 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED EXTEND TAB 4.75 MM ROD BONE CD HORIZON SOLERA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM DOME 4 POINT CUT FLUTE GRIPTION TF HIP ACETABULAR CANCELLOUS SELF TAP BLUNT TIP HEXAGONAL HEAD REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM STAINLESS STEEL SPINE SAGITTAL ADJUST 5.5 MM ROD BONE LEGACY CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L65 MM OD6.5 MM TITANIUM SPINE UNIAXIAL BONE CD HORIZON SPINAL SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L65 MM OD7 MM LONG THREAD FOOT ANKLE SELF DRILL CANNULATED BONE MAXTORQUE,281.59,140.8,53.92,253.43,65
HCPCS,C1713,SCREW L65 MM OD7 MM TITANIUM SPINE CANNULATED EXTEND TAB LOW PROFILE MIS 5.5 MM ROD BONE VIPER 2,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L65 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL REDUCTION 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD7.5 MM TITANIUM SPINE SELF TAP FIX ANGLE LOCK MECHANISM COLOR CODED 5.5 MM ROD BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L65 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD8.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD8.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD8.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L65 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L66 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L66 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L66 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L66 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L66 MM OD4.5 MM CORTICAL SELF TAPPING LOCKING BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L66 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L66 MM OD4.5 MM STAINLESS STEEL SELF TAP LOCK LARGE FRAGMENT PERIPROSTHETIC PLATE SYSTEM BONE EVOS,166.93,83.47,31.97,150.24,65
HCPCS,C1713,SCREW L66 MM OD4.5 MM T25 CORTEX SELF TAP BONE PERI-LOC,27.38,13.69,5.24,24.64,65
HCPCS,C1713,SCREW L66 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L66 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L66 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L66 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L66 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L66 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L67 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L68 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L68 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L68 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L68 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L68 MM OD4 MM ODSEC5 MM ID1.35 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L68 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L68 MM OD4.5 MM ODSEC6.5 MM FULL THREAD TITANIUM CORTEX SELF TAP CANNULATED LARGE HEXAGONAL LARGE FRAGMENT SET BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L68 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L68 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L68 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L68 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L68 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L68 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L68 MM OD5 MM LOW PROFILE LOCK TUBE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L68 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L68 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L68 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L68 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L68 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L68 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA STERILE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L68 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L68 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L68 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L7 MM OD 1.2MM PHALANGEAL CORT BN HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L7 MM OD1 MM ODSEC1.6 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L7 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L7 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,79.98,39.99,15.32,71.98,65
HCPCS,C1713,SCREW L7 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L7 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L7 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L7 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L7 MM OD1.4 MM VARIABLE ANGLE LOCK BONE,137.46,68.73,26.32,123.71,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM MICRO TITANIUM ORALMAXILLOFACIAL SELF RETAIN PINK BONE MAXDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE ONEDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM TITANIUM CORTEX SELF TAP BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L7 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L7 MM OD1.6 MM TITANIUM CORTICAL BONE LOW PROFILE SCREWS,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L7 MM OD1.8 MM MICRO TITANIUM ORALMAXILLOFACIAL EMERGENCY PINK BONE DRILL-FREE MAXDRIVE,57.36,28.68,10.98,51.62,65
HCPCS,C1713,SCREW L7 MM OD1.8 MM TITANIUM ALUMINUM VANADIUM CRANIOMAXILLOFACIAL EMERGENCY BONE LEVEL ONE,61.84,30.92,11.84,55.66,65
HCPCS,C1713,SCREW L7 MM OD2 MM MANDIBLE SELF DRILL HEXAGONAL HEAD BLUE INTERMAXILLARY FIXATION BONE TRAUMAONE LORENZ,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW L7 MM OD2 MM METACARPAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L7 MM OD2 MM MINI TI-6AL-4V CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE MAXDRIVE,54.71,27.36,10.48,49.24,65
HCPCS,C1713,SCREW L7 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.55,13.78,5.28,24.8,65
HCPCS,C1713,SCREW L7 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L7 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L7 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L7 MM OD2 MM TITANIUM MANDIBULAR CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L7 MM OD2 MM TITANIUM MANDIBULAR SELF RETAINING LOCK CONCAVE GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L7 MM OD2 MM TITANIUM TEMPOROMANDIBULAR FOSSA SELF DRILL CROSS DRIVE BONE INNOVATE,111.0,55.5,21.26,99.9,65
HCPCS,C1713,SCREW L7 MM OD2.3 MM STANDARD TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L7 MM OD2.3 MM TITANIUM ALUMINUM VANADIUM SPINE THORACIC LEVEL 1 LOCK DRILL FREE BONE MAXDRIVE,159.5,79.75,30.54,143.55,65
HCPCS,C1713,SCREW L7 MM OD2.3 MM TITANIUM CRANIOMAXILLOFACIAL SELF RETAIN LOCK THREAD ROD MAXDRIVE BONE LEVEL ONE,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L7 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L7 MM OD2.3 MM TITANIUM TEMPOROMANDIBULAR FOSSA EMERGENCY HIGH TORQUE CROSS DRIVE BONE INNOVATE,111.0,55.5,21.26,99.9,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM CORTICAL BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM ODSEC4 MM T8 STAINLESS STEEL CORTEX SELF TAP LOW PROFILE SELF RETAIN STARDRIVE MODULAR MINI FRAGMENT SET BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L7 MM OD2.4 MM TITANIUM THORACIC SELF DRILL LOCK BONE RIBFIX BLU,219.0,109.5,41.94,197.1,65
HCPCS,C1713,SCREW L7 MM OD2.5 MM TITANIUM MANDIBULAR EMERGENCY SELF RETAINING BONE MAXDRIVE,66.19,33.1,12.68,59.57,65
HCPCS,C1713,SCREW L7 MM OD2.6 MM SPINE CERVICAL LATERAL MASS BONE LEVERAGE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L7 MM OD2.6 MM TITANIUM SPINE DEEP DRIVE BONE CENTERPIECE,224.0,112.0,42.9,201.6,65
HCPCS,C1713,SCREW L7 MM OD2.6 MM TITANIUM SPINE SELF TAP STAB GRAB COLOR CODED LAMINOPLASTY BONE CENTERPIECE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L7 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L7 MM OD2.7 MM TITANIUM CRANIOMAXILLOFACIAL LOCK MAXDRIVE BONE LEVEL ONE,140.7,70.35,26.94,126.63,65
HCPCS,C1713,SCREW L7 MM OD3 MM TITANIUM SPINE SELF TAP STAB GRAB COLOR CODED LAMINOPLASTY BONE CENTERPIECE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L7 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L7 MM OD5.25 MM SPINE OCCIPITOCERVICAL BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L7 MM REVERSE BONE AEQUALIS PERFORM,318.0,159.0,60.9,286.2,65
HCPCS,C1713,SCREW L7.8 MM OD3.5 MM TITANIUM SPINE INNER HEAD TO HEAD CONNECTOR BONE MOUNTAINEER,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW L70 MM HIP ACETABULAR SPHERICAL HEAD BONE,96.3,48.15,18.44,86.67,65
HCPCS,C1713,SCREW L70 MM HUMERAL TROCHLEAR COMPRESSION BONE HUMERAL PLATING SYSTEM,185.0,92.5,35.43,166.5,65
HCPCS,C1713,SCREW L70 MM L16 MM OD4 MM PARTIAL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L70 MM L16 MM OD6.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L70 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L70 MM L16 MM OD6.5 MM ODSEC8 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L70 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L70 MM L16 MM OD6.5 MM TITANIUM COMPRESSION HEADLESS BONE,298.11,149.06,57.09,268.3,65
HCPCS,C1713,SCREW L70 MM L16 MM OD7 MM FOOT ANKLE CANNULATED COLOR CODED OSTEOTOMY BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L70 MM L16 MM OD7 MM STAINLESS STEEL MULTIUSE COMPRESSION BONE CHARLOTTE,636.8,318.4,121.95,573.12,65
HCPCS,C1713,SCREW L70 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L70 MM L18 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L70 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L70 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L70 MM L20 MM OD7 MM CANCELLOUS CANNULATED CANCELLOUS SCREW BONE AOS,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L70 MM L20 MM OD7 MM MEDIUM THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW L70 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR HIP LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L70 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L70 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L70 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L70 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L70 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L70 MM L28 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L70 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL FEMUR CANCELLOUS DISTAL LATERAL HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L70 MM L32 MM OD6.5 MM FOOT ANKLE HEAD BONE DARCO,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW L70 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L70 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L70 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L70 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L70 MM L32 MM OD7 MM STAINLESS STEEL CORTICAL CANNULATED BONE LARGE CANNULATED SCREWS,168.0,84.0,32.17,151.2,65
HCPCS,C1713,SCREW L70 MM L32 MM OD7.3 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L70 MM L40 MM OD8 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L70 MM L46 MM OD6.5 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L70 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM CANNULATED BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L70 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L70 MM OD10.35 MM TITANIUM FEMORAL PROXIMAL CANNULATED GOLD TFN-ADVANCED INTRAMEDULLARY NAIL SYSTEM BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L70 MM OD10.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L70 MM OD12.7 MM LAG 1 STEP INSERTION BONE DHS DCS,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM 2.5 MM STAINLESS STEEL CORTEX SELF TAP SMALL HEX HEAD SMALL FRAGMENT SYSTEM BONE,14.56,7.28,2.79,13.1,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM T10 BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM T8 CORTEX SELF TAP STARDRIVE BONE NA,39.0,19.5,7.47,35.1,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM T8 FULL THREAD VARIAX FOOT PLATE SYSTEM BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM T8 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM T8 STAINLESS STEEL LOCK AQUA BONE VOLT,386.1,193.05,73.94,347.49,65
HCPCS,C1713,SCREW L70 MM OD2.7 MM T8 TITANIUM METAPHYSIS SELF TAP VARIABLE ANGLE LOW PROFILE STARDRIVE BONE,67.39,33.7,12.91,60.65,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM 2.2 MM COCR TIBIA PROXIMAL MULTIDIRECTIONAL LOCK SQUARE DRIVE SELF TAP TIP ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM COCR TIBIA PROXIMAL LOCK FUSCHIA BONE ANTHEM,135.0,67.5,25.85,121.5,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM CORTICAL LOW PROFILE BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM FULL THREAD TIMAX CORTICAL NONLOCK SMALL FRAGMENT ANATOMIC LOCK PLATE SYSTEM BONE ALPS,47.0,23.5,9.0,42.3,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM ID2.9 MM FULL THREAD STAINLESS STEEL SELF TAP SMOOTH CONICAL MINI FRAGMENT SET BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM T15 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM T15 PARTIAL THREAD STAINLESS STEEL MEDIAL PROXIMAL SELF TAP SMOOTH CONICAL STARDRIVE BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK PLATE SYSTEM BONE VARIAX,121.6,60.8,23.29,109.44,65
HCPCS,C1713,SCREW L70 MM OD3.5 MM TITANIUM ELBOW SELF TAPPING LOCKING PLATE SYSTEM BONE VARIAX,62.7,31.35,12.01,56.43,65
HCPCS,C1713,SCREW L70 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L70 MM OD4 MM FULL THREAD TIMAX FEMUR TIBIA PROXIMAL DISTAL POLYAXIAL LOCK SELF TAP BONE POLYAX,121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L70 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L70 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L70 MM OD4 MM ODSEC4.5 MM T8 PARTIAL THREAD SELF RETAINING SCREWDRIVER TAP EVOS MINI OSTEOPENIA BONE,75.6,37.8,14.48,68.04,65
HCPCS,C1713,SCREW L70 MM OD4 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL DRIVE BONE AXSOS,17.91,8.96,3.43,16.12,65
HCPCS,C1713,SCREW L70 MM OD4 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,305.0,152.5,58.41,274.5,65
HCPCS,C1713,SCREW L70 MM OD4 MM PARTIAL THREAD TIMAX CANCELLOUS LAG CANNULATED BONE ALPS,182.0,91.0,34.85,163.8,65
HCPCS,C1713,SCREW L70 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L70 MM OD4 MM T15 TIMAX CANCELLOUS SELF TAP LOCK TAPER THREAD HEAD SMALL FRAGMENT BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L70 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM CORTICAL SELF TAPPING LOCKING BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM TITANIUM CORTEX SELF TAP BONE,22.74,11.37,4.35,20.47,65
HCPCS,C1713,SCREW L70 MM OD4.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L70 MM OD5 MM CANNULATED BONE ASNIS,189.05,94.53,36.2,170.15,65
HCPCS,C1713,SCREW L70 MM OD5 MM FULL THREAD LOCK BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L70 MM OD5 MM ID3 MM 3.6 MM HIP FEMUR SELF TAP HEX DRIVE BONE AFFIXUS,296.1,148.05,56.7,266.49,65
HCPCS,C1713,SCREW L70 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L70 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L70 MM OD5 MM LOCK BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L70 MM OD5 MM LOCK GREEN INTRAMEDULLARY LIMB LENGTHEN SYSTEM BONE PRECICE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW L70 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L70 MM OD5 MM LOW PROFILE LOCK TUBE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L70 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L70 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L70 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L70 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L70 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L70 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L70 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L70 MM OD5 MM T25 TITANIUM STARDRIVE RECONSTRUCTION BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L70 MM OD5 MM TITANIUM CANNULATED BONE ASNIS III,158.21,79.11,30.3,142.39,65
HCPCS,C1713,SCREW L70 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L70 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L70 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L70 MM OD5 MM TITANIUM SELF TAP LOCK HEAD OSTEOTOMY BONE TOMOFIX,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L70 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L70 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L70 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L70 MM OD5.5 MM CANNULATED HEADED FULLY THREADED BONE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L70 MM OD5.5 MM FULL THREAD TIBIA CORTICAL PROXIMAL SOLID BONE DYNAMIC,159.5,79.75,30.54,143.55,65
HCPCS,C1713,"SCREW L70 MM OD5.5 MM FULL THREAD TIMAX TIBIA CANCELLOUS POLYAXIAL LOCK BONE POLYAXPOLYAXIAL SCREW, FT",121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L70 MM OD5.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L70 MM OD6 MM PARTIAL THREAD TITANIUM HEADLESS BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L70 MM OD6 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 5.5 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM 3.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR CANCELLOUS DISTAL LATERAL SMALL FRAGMENT SET BONE AXSOS,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM DOME HIP ACETABULAR LOW PROFILE BONE G7,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM FULL THREAD STAINLESS STEEL CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM TITANIUM CANCELLOUS OPEN WEDGE HIGH TIBIAL OSTEOTOMY PLATE BONE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM TITANIUM HIP ACETABULAR SELF TAP ROOF PILE BONE ULTIMA,115.5,57.75,22.12,103.95,65
HCPCS,C1713,SCREW L70 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD6.5-8 MM SPINE PREASSEMBLE 2 OUTER DIAMETER BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,"SCREW L70 MM OD7 MM FULL THREAD CANCELLOUS CANNULATED BONE AOS CANNULATED CANCELLOUS SCREW, FULLY THREADED 7.0MM X 7",395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L70 MM OD7 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L70 MM OD7 MM LARGE LONG THREAD REVERSE CUT FLUTE SELF TAP LOW PROFILE COMPRESSION HEAD GRAY 2.8 MM K WIRE BONE FUZEFIX,740.0,370.0,141.71,666.0,65
HCPCS,C1713,SCREW L70 MM OD7 MM LONG THREAD FOOT ANKLE CANNULATED SELF DRILL BONE MAXTORQUE,281.59,140.8,53.92,253.43,65
HCPCS,C1713,SCREW L70 MM OD7 MM ODSEC8 MM 3.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED STANDARD HEXAGONAL HEMISPHERICAL ACCEPTS 2 MM GUIDEWIRE BONE,226.63,113.32,43.4,203.97,65
HCPCS,C1713,SCREW L70 MM OD7 MM T25 XL FULL THREAD TITANIUM COMPRESSION CANNULATION HEADLESS HEXALOBE BONE,637.7,318.85,122.12,573.93,65
HCPCS,C1713,SCREW L70 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD7.3 MM FULL THREAD STAINLESS STEEL CANNULATED SELF DRILL BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L70 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,"SCREW L70 MM OD8 MM FULL THREAD TIMAX CANNULATED LOCK BONE POLYAXCANNULATED LOCKING SCREW, FT",253.0,126.5,48.45,227.7,65
HCPCS,C1713,SCREW L70 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM 2S SPINE ILIAC CLOSED BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM ILIAC POLYAXIAL BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM SPINE MULTIAXIAL CANNULATED BS CNCMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM SPINE POLYAXIAL CLOSED BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD8.5 MM TITANIUM SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD9.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L70 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L72 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L72 MM OD4 MM LONG THREAD TITANIUM CANCELLOUS CANNULATED BONE ACUMED,461.0,230.5,88.28,414.9,65
HCPCS,C1713,SCREW L72 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L72 MM OD4 MM ODSEC5 MM ID1.35 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L72 MM OD4 MM ODSEC5 MM ID1.35 MM LONG THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED SMALL HEXAGONAL SMALL FRAGMENT SET BONE,139.56,69.78,26.73,125.6,65
HCPCS,C1713,SCREW L72 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L72 MM OD4.5 MM CORTEX SELF TAP LOCK BONE PERI-LOC,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW L72 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,155.06,77.53,29.69,139.55,65
HCPCS,C1713,SCREW L72 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L72 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,22.18,11.09,4.25,19.96,65
HCPCS,C1713,SCREW L72 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L72 MM OD5 MM LOCK BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L72 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L72 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L72 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L72 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L72 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L72 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L72 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L72 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L72 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L72 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L72 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L72 MM OD7 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L72.5 MM OD5 MM LOW PROFILE BONE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW L74 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L74 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L74 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L74 MM OD5 MM FEMORAL LOW PROFILE BONE,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L74 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L74 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L74 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L74 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L74 MM OD5 MM TITANIUM NIOBIUM ALUMINUM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L74 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L74 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L74 MM OD5 MM XL25 MEDULLARY LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE TITANIUM ALUMINUM NIOBIUM,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L75 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L75 MM L16 MM OD6.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L75 MM L16 MM OD6.5 MM FOOT ANKLE HEAD BONE DARCO,246.76,123.38,47.25,222.08,65
HCPCS,C1713,SCREW L75 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L75 MM L16 MM OD6.5 MM ODSEC8 MM PARTIAL THREAD TITANIUM CANCELLOUS LARGE HEXAGONAL LARGE FRAGMENT SET BONE,24.58,12.29,4.71,22.12,65
HCPCS,C1713,SCREW L75 MM L16 MM OD6.5 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L75 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE CANNULATED COMPRESSION HEADLESS SCREW,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L75 MM L16 MM OD7 MM FOOT ANKLE HEAD BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L75 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L75 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L75 MM L16 MM OD7.5 MM FOOT ANKLE HEAD BONE DARCO,266.66,133.33,51.07,239.99,65
HCPCS,C1713,SCREW L75 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L75 MM L20 MM OD6.5 MM STAINLESS STEEL HIP CANNULATED BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L75 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L75 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L75 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,268.33,134.17,51.39,241.5,65
HCPCS,C1713,SCREW L75 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L75 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L75 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L75 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L75 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L75 MM L22 MM OD8 MM PARTIAL THREAD STAINLESS STEEL CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L75 MM L30 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L75 MM L30 MM OD5.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L75 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L75 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L75 MM L32 MM OD6.5 MM TITANIUM CANNULATED BONE,207.03,103.52,39.65,186.33,65
HCPCS,C1713,SCREW L75 MM L32 MM OD6.5 MM TITANIUM COMPRESSION BONE,298.11,149.06,57.09,268.3,65
HCPCS,C1713,SCREW L75 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,217.43,108.72,41.64,195.69,65
HCPCS,C1713,SCREW L75 MM L32 MM OD7 MM STAINLESS STEEL MULTIUSE COMPRESSION BONE CHARLOTTE,636.8,318.4,121.95,573.12,65
HCPCS,C1713,SCREW L75 MM L32 MM OD7.3 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L75 MM L40 MM OD6.5 MM TITANIUM HIP FEMUR SELF TAP SELF DRILL CANNULATED BONE ASNIS III,182.09,91.05,34.87,163.88,65
HCPCS,C1713,SCREW L75 MM L40 MM OD6.5 MM TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L75 MM L46 MM OD6.5 MM STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L75 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM PROXIMAL CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L75 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L75 MM OD10.35 MM TITANIUM FEMORAL PROXIMAL CANNULATED GOLD TFN-ADVANCED INTRAMEDULLARY NAIL SYSTEM BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L75 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L75 MM OD2.5 MM STAINLESS STEEL NONLOCK 9181.9252 MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L75 MM OD2.7 MM T8 STAINLESS STEEL LOCK AQUA BONE VOLT,386.1,193.05,73.94,347.49,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM 2.2 MM COCR TIBIA PROXIMAL MULTIDIRECTIONAL LOCK SQUARE DRIVE SELF TAP TIP ANATOMIC LOCK PLATE SYSTEM BONE ALPS,155.0,77.5,29.68,139.5,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM 2.7 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR LOCK PLATE SYSTEM BONE,23.92,11.96,4.58,21.53,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM COCR TIBIA PROXIMAL LOCK BONE ANTHEM,135.0,67.5,25.85,121.5,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM ID2.9 MM T15 PARTIAL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM ODSEC6 MM STANDARD STAINLESS STEEL CORTEX SELF TAP SMALL HEXAGONAL SOCKET BONE,23.25,11.63,4.45,20.93,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM T15 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L75 MM OD3.5 MM T15 TITANIUM ELBOW CORTICAL LOCK LOW PROFILE SELF TAP TIP TAPER HEAD BONE SECUR-FIT X-TRA ALPS,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L75 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,21.89,10.95,4.19,19.7,65
HCPCS,C1713,"SCREW L75 MM OD4 MM FULL THREAD TIMAX SELF TAP POLYAXIAL LOCK BONE POLYAXPOLYAXIAL SCREW, FT",121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L75 MM OD4 MM ODSEC6 MM 2.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET BONE,21.38,10.69,4.09,19.24,65
HCPCS,C1713,SCREW L75 MM OD4 MM T15 LONG THREAD STAINLESS STEEL ANKLE CANNULATED HEADLESS GRAY BONE CAPTIVATE,166.0,83.0,31.79,149.4,65
HCPCS,C1713,SCREW L75 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L75 MM OD4 MM T15 TITANIUM TIBIA CANCELLOUS DISTAL SELF TAP LOCK TAPER THREAD HEAD SMALL FRAGMENT SET BONE ALPS,140.7,70.35,26.94,126.63,65
HCPCS,C1713,SCREW L75 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L75 MM OD4.5 MM STAINLESS STEEL CORTICAL PERIARTICULAR SELF TAP BONE,22.88,11.44,4.38,20.59,65
HCPCS,C1713,SCREW L75 MM OD5 MM 3.5 MM TITANIUM SELF DRILL LOCK HEXAGONAL CONICAL LISS BONE,166.47,83.24,31.88,149.82,65
HCPCS,C1713,SCREW L75 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L75 MM OD5 MM LOCK BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L75 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L75 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L75 MM OD5 MM STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L75 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L75 MM OD5 MM T20 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L75 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L75 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L75 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L75 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L75 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L75 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L75 MM OD5 MM TITANIUM SELF TAP LOCK HEAD OSTEOTOMY BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L75 MM OD5.0 MM TITANIUM CORTICAL HEADLESS BONE,595.0,297.5,113.94,535.5,65
HCPCS,C1713,SCREW L75 MM OD5.5 MM FULL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,"SCREW L75 MM OD5.5 MM FULL THREAD TIMAX TIBIA CANCELLOUS POLYAXIAL LOCK BONE POLYAXPOLYAXIAL SCREW, FT",121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L75 MM OD5.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW L75 MM OD6 MM PARTIAL THREAD CANCELLOUS NATURAL NAIL BONE NATURAL NAIL,145.7,72.85,27.9,131.13,65
HCPCS,C1713,SCREW L75 MM OD6 MM PARTIAL THREAD TITANIUM BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L75 MM OD6 MM PARTIAL THREAD TITANIUM HEADLESS BONE PRECICE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM 3.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR CANCELLOUS DISTAL LATERAL SMALL FRAGMENT SET BONE AXSOS,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM FLUTE TITANIUM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE LEGACY CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,23.44,11.72,4.49,21.1,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM STAINLESS STEEL BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM STAINLESS STEEL SPINE MULTIAXIAL SELF TAP LOCK MECHANISM 6.35 MM ROD BONE CD HORIZON LEGACY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L75 MM OD6.5 MM TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED FULL THREAD BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L75 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L75 MM OD7 MM T25 XL FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXALOBE BONE,637.7,318.85,122.12,573.93,65
HCPCS,C1713,SCREW L75 MM OD7.2 MM HINDFOOT THREAD BONE PHANTOM,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,SCREW L75 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L75 MM OD7.5 MM BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L75 MM OD7.5 MM TITANIUM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD BONE CD HORIZON LEGACY,630.0,315.0,120.65,567.0,65
HCPCS,C1713,"SCREW L75 MM OD8 MM POLYAXIAL CANNULATED LOCK BONE POLYAXCANNULATED LOCKING SCREW, FT",253.0,126.5,48.45,227.7,65
HCPCS,C1713,SCREW L75 MM OD8 MM SPINE BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L75 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L75 MM OD8.5 MM THREAD CLEAR BONE,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L75 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L75/70 MM LAG COMPRESSION BONE INTERTAN,598.74,299.37,114.66,538.87,65
HCPCS,C1713,SCREW L76 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L76 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L76 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L76 MM OD4.5 MM FEMUR TIBIA CORTICAL SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L76 MM OD4.5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL SOCKET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L76 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 1/3 THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,157.37,78.69,30.14,141.63,65
HCPCS,C1713,SCREW L76 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L76 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L76 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L76 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L76 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L76 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L76 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L76 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L76 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L76 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L76 MM OD6 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP LOCK STARDRIVE AQUA INTRAMEDULLARY NAIL BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L76 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L77 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L78 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L78 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L78 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L78 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP STARDRIVE LIGHT GREEN BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L78 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L78 MM OD5 MM LOW PROFILE LOCK TUBE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L78 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L78 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L78 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L78 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L78 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L78 MM OD7 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L8 MM L6 MM OD2 MM CRANIOMAXILLOFACIAL BONE LEVEL ONE MAXDRIVE,134.48,67.24,25.75,121.03,65
HCPCS,C1713,SCREW L8 MM OD1 MM CORTEX SELF TAP CRUCIFORM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L8 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L8 MM OD1.3 MM CORTEX SELF TAP CRUCIFORM BONE,58.45,29.23,11.19,52.61,65
HCPCS,C1713,SCREW L8 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,79.98,39.99,15.32,71.98,65
HCPCS,C1713,SCREW L8 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP SELF RETAIN STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L8 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L8 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L8 MM OD1.4 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM 4 TITANIUM HEXADRIVE BONE APTUS SPEEDTIP,212.0,106.0,40.6,190.8,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM HEXADRIVE 4 TITANIUM HAND CORTICAL GREEN BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM PHALANGEAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM T4 TITANIUM CORTEX SELF TAP STARDRIVE BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM TIMAX CORTICAL SELF TAP NONLOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L8 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L8 MM OD1.7 MM SELF TAP AXIAL STABILITY LOWER PROFILE BONE AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW L8 MM OD1.7 MM TITANIUM MIDFACE SELF TAP CROSS PIN GOLD BONE LEIBINGER UNIVERSAL 2,55.21,27.61,10.57,49.69,65
HCPCS,C1713,SCREW L8 MM OD2 MM FLUTE SPINE CERVICAL SELF DRILL RIGID SELF RETAIN SQUARE SPLIT TIP MAGENTA LAMINOPLASTY BONE ESCALATE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW L8 MM OD2 MM METACARPAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L8 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.17,13.59,5.2,24.45,65
HCPCS,C1713,SCREW L8 MM OD2 MM T6 LOCK BONE VARIAX,91.54,45.77,17.53,82.39,65
HCPCS,C1713,SCREW L8 MM OD2 MM T6 STAINLESS STEEL CORTEX SILVER BONE VOLT,140.8,70.4,26.96,126.72,65
HCPCS,C1713,SCREW L8 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L8 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L8 MM OD2 MM TAPER TITANIUM CORTICAL 2 THREAD SELF TAP PRECISION CUT LOCK BLUE BONE TRI-LOCK APTUS,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L8 MM OD2 MM TITANIUM CORTEX SELF TAP STARDRIVE BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L8 MM OD2 MM TITANIUM SPINE CORTEX SELF TAP STARDRIVE BONE ARCH,32.78,16.39,6.28,29.5,65
HCPCS,C1713,SCREW L8 MM OD2 MM UNIVERSAL MANDIBLE AXIAL STABILITY SELF TAP BONE UNIVERSAL MANDIBLE AXS,112.5,56.25,21.54,101.25,65
HCPCS,C1713,SCREW L8 MM OD2.1 MM TITANIUM CORTICAL WRIST HAND CRUCIFORM RECESS BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L8 MM OD2.3 MM FULL THREAD TITANIUM CORTEX LOCK HEXAGONAL GOLD WRIST PLATE SYSTEM BONE ACU-LOC 2,102.0,51.0,19.53,91.8,65
HCPCS,C1713,SCREW L8 MM OD2.3 MM MULTI HEXALOBE BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L8 MM OD2.3 MM TITANIUM CORTEX NONTOGGLE HEXAGONAL SILVER WRIST PLATE SYSTEM BONE ACUMED,76.0,38.0,14.55,68.4,65
HCPCS,C1713,SCREW L8 MM OD2.3 MM TITANIUM MANDIBULAR LOCK CROSS PIN GRAY BONE LEIBINGER UNIVERSAL 2,110.55,55.28,21.17,99.5,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM LOWER EXTREMITY FIX ANGLE LOCK GREEN BONE MINI MAXLOCK EXTREME,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM LOWER EXTREMITY NONLOCK GREEN BONE MINI MAXLOCK EXTREME,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM ODSEC1.9 MM T8 TITANIUM RADIUS DISTAL SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM PARTIAL THREAD LOW PROFILE TITANIUM RADIUS CORTICAL DISTAL VOLAR LOCK SMOOTH VARIABLE ANGLE GOLD BONE,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SELF TAP BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT LOCK HEAD BRONZE GOLD BONE ORTHOLOC,175.12,87.56,33.54,157.61,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM NITRIDE FOREFOOT NONLOCK BRONZE BONE ORTHOLOC,73.63,36.82,14.1,66.27,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM SELF TAP LOCK VARIABLE ANGLE SOLID ACCEPTS .034 IN GUIDEWIRE COMPREHENSIVE FOOT SYSTEM BONE LOW PROFILE SCREWS,112.0,56.0,21.45,100.8,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM THORACIC SELF DRILL LOCK BONE RIBFIX BLU,219.0,109.5,41.94,197.1,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM THORACIC SELF TAP LOCK BONE RIBFIX BLU,219.0,109.5,41.94,197.1,65
HCPCS,C1713,SCREW L8 MM OD2.4 MM TITANIUM VARIABLE ANGLE LOCK BONE,96.6,48.3,18.5,86.94,65
HCPCS,C1713,SCREW L8 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L8 MM OD2.5 MM T8 COCR CLAVICLE LOCK BLUE 1.8 MM DRILL BONE ANTHEM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW L8 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM LOCK BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM LOCK HEXALOBE BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM MANDIBLE NONLOCK X DRIVE MAGENTA BONE TRAUMAONE LORENZ,129.0,64.5,24.7,116.1,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM ODSEC5 MM 2.5 MM STANDARD FULL THREAD TITANIUM CORTEX SPHERICAL HEAD SMALL HEXAGONAL SOCKET MINI FRAGMENT SET BONE,28.73,14.37,5.5,25.86,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM PEEK-OPTIMA LOWER EXTREMITY LOCK MAGENTA BONE MINI MAXLOCK EXTREME,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD LOCK TAPER BONE DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM STAINLESS STEEL CORTICAL LOCK BONE CLAVICLE FIXATION SYSTEM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM STERNAL CANCELLOUS LOCK EMERGENCY MAGENTA PRIMARY CLOSURE SYSTEM BONE STERNALOCK BLU,88.0,44.0,16.85,79.2,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL SELF TAP LOCK ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,82.75,41.38,15.85,74.48,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM T10 STAINLESS STEEL CORTICAL SELF TAP HEXALOBE YELLOW BONE PEDIFRAG,32.34,16.17,6.19,29.11,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM TITANIUM CORTICAL BONE ACUMED,59.0,29.5,11.3,53.1,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM TITANIUM CORTICAL CRUCIFORM MODULAR HAND SYSTEM BONE ACUMED,38.0,19.0,7.28,34.2,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM TITANIUM MANDIBLE HIGH TORQUE CROSS DRIVE BONE WURZBURG,78.0,39.0,14.94,70.2,65
HCPCS,C1713,SCREW L8 MM OD2.7 MM TITANIUM THORACIC RESCUE BONE RIBFIX BLU,197.0,98.5,37.73,177.3,65
HCPCS,C1713,SCREW L8 MM OD3 MM TITANIUM COMPRESSION MULTITHREAD BONE GEMINUS,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L8 MM OD3 MM TITANIUM LOCK MULTITHREAD BONE DORSAL SPANNING PLATE,103.0,51.5,19.72,92.7,65
HCPCS,C1713,SCREW L8 MM OD3.2 MM CORTICAL HEXAGON BONE HEX CORTICAL SCREW 3.2MM,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L8 MM OD3.2 MM FOREARM ELBOW CORTICAL LOCK BONE LOCKING CORTICAL SCREW 3.2MM,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM COCR CLAVICLE LOCK FUSCHIA 2.7 MM DRILL BONE ANTHEM,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM SOLID LOCK VARIABLE ANGLE BONE OMNI STABLE AF,193.0,96.5,36.96,173.7,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM CORTEX HEXAGONAL BONE ACUMED,54.0,27.0,10.34,48.6,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM CORTEX HEXALOBE SMALL FRAGMENT BASE SET BONE ACUMED,58.0,29.0,11.11,52.2,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM CORTEX LOCK BRONZE VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM CORTEX LOCK HEXALOBE SMALL FRAGMENT BASE SET BONE ACU-LOC 2,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM CORTICAL LOCK BONE ACUMED,114.0,57.0,21.83,102.6,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM CORTICAL NONLOCK VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM SPINE POLYAXIAL BONE ELLIPSE,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L8 MM OD3.5 MM TITANIUM SPINE THORACIC POLYAXIAL POSTERIOR STABILIZATION SYSTEM BONE SOLANAS,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW L8 MM OD4.2 MM SPINE OCCIPITAL BONE QUARTEX,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM SPINE OCCIPITAL 8976408 BONE VUEPOINT II,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM SPINE OCCIPITOCERVICAL BONE INFINITY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM TITANIUM OCCIPITAL BONE,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM TITANIUM SPINE LOCK BONE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM TITANIUM SPINE OCCIPITAL BONE VERTEX SELECT,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L8 MM OD4.5 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD5 MM SPINE OCCIPITOCERVICAL BONE INFINITY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD5.25 MM SPINE OCCIPITAL BONE YUKON,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD5.25 MM TITANIUM SPINE OCCIPITOCERVICAL LOW PROFILE BONE MOUNTAINEER,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW L8 MM OD6.5 MM ACETABULAR CANCELLOUS REVISION SYSTEM BONE PINNACLE,129.15,64.58,24.73,116.24,65
HCPCS,C1713,SCREW L80 MM 3.6 MM PROXIMAL FEMUR CORTICAL ANTIROTATION BONE AFFIXUS,296.1,148.05,56.7,266.49,65
HCPCS,C1713,SCREW L80 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L80 MM L16 MM OD6 MM PARTIAL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L80 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L80 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L80 MM L16 MM OD6.5 MM TITANIUM CANNULATED BONE,207.03,103.52,39.65,186.33,65
HCPCS,C1713,SCREW L80 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L80 MM L16 MM OD6.5 MM TITANIUM COMPRESSION HEADLESS BONE,298.11,149.06,57.09,268.3,65
HCPCS,C1713,SCREW L80 MM L16 MM OD7 MM ODSEC6.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L80 MM L16 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L80 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L80 MM L16 MM OD7.5 MM FOOT ANKLE HEAD BONE DARCO,266.66,133.33,51.07,239.99,65
HCPCS,C1713,SCREW L80 MM L16 MM OD7.5 MM T30 SHORT THREAD TITANIUM NIOBIUM ALUMINUM COMPRESSION SELF TAP SELF DRILL CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L80 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L80 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE DHS DCS,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L80 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L80 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED BONE DHS DCS,308.21,154.11,59.02,277.39,65
HCPCS,C1713,SCREW L80 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L80 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L80 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L80 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L80 MM L32 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L80 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L80 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L80 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L80 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L80 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L80 MM L32 MM OD7 MM STAINLESS STEEL MULTIUSE COMPRESSION BONE CHARLOTTE,636.8,318.4,121.95,573.12,65
HCPCS,C1713,SCREW L80 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L80 MM L40 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX CANCELLOUS HIP CANNULATED SELF DRILL SELF TAP BONE,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L80 MM L40 MM OD6.5 MM TITANIUM FEMUR HIP SELF TAPPING SELF DRILLING CANNULATED BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L80 MM L7.3 MM OD7.3 MM ODSEC8.5 MM LONG THREAD STAINLESS STEEL ACCEPTS 2.5 MM KIRSCHNER WIRE BONE LARGE HEADLESS SCREW CANNULATED SCREW SYSTEM,405.0,202.5,77.56,364.5,65
HCPCS,C1713,SCREW L80 MM OD10 MM TITANIUM POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD10.35 MM 3.5 MM T-I6AL-7NB CANNULATED TAN BONE TFN-ADVANCED,531.48,265.74,101.78,478.33,65
HCPCS,C1713,SCREW L80 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L80 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L80 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L80 MM OD10.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD10.5 MM 6.5 MM HIP FEMUR LAG SELF TAP REVERSE BUTTRESS THREAD SQUARE DRIVER SOCKET BONE AFFIXUS,718.2,359.1,137.54,646.38,65
HCPCS,C1713,SCREW L80 MM OD10.5 MM SPINE MULTIAXIAL CANNULATED TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L80 MM OD2.7 MM T8 STAINLESS STEEL LOCK AQUA BONE VOLT,386.1,193.05,73.94,347.49,65
HCPCS,C1713,SCREW L80 MM OD3 MM TITANIUM CLAVICLE DIFFERENTIAL PITCH BONE DUAL-TRAK,1166.0,583.0,223.29,1049.4,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM COCR TIBIA PROXIMAL LOCK BONE ANTHEM,135.0,67.5,25.85,121.5,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET BONE,147.0,73.5,28.15,132.3,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM ID2.9 MM T15 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,100.47,50.24,19.24,90.42,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM ID2.9 MM T15 PARTIAL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM ODSEC6 MM STANDARD STAINLESS STEEL CORTEX SELF TAP SMALL HEXAGONAL BONE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM STAINLESS STEEL ANKLE BONE ANTHEM FUSCHIA,27.0,13.5,5.17,24.3,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP PERIARTICULAR PLATE SYSTEM BONE,20.8,10.4,3.98,18.72,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM T15 FULL THREAD STAINLESS STEEL MEDIAL PROXIMAL SELF TAP SMOOTH CONICAL STARDRIVE BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L80 MM OD3.5 MM TITANIUM TIBIA CORTICAL PROXIMAL DISTAL SQUARE DRIVE NONLOCK LOW PROFILE SELF TAP TIP ANATOMIC PLATE SYSTEM BONE SECUR-FIT X-TRA,57.25,28.63,10.96,51.53,65
HCPCS,C1713,SCREW L80 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,21.89,10.95,4.19,19.7,65
HCPCS,C1713,SCREW L80 MM OD4 MM 2.5 MM PARTIAL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,21.89,10.95,4.19,19.7,65
HCPCS,C1713,SCREW L80 MM OD4 MM FULL THRD STNLS STL CANNULATED HEAD BN,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW L80 MM OD4 MM FULL THREAD COCR TIBIAL PROXIMAL CANCELLOUS LIGHT GREEN 2.7 MM DRILL BONE ANTHEM,41.0,20.5,7.85,36.9,65
HCPCS,C1713,SCREW L80 MM OD4 MM ID3.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP BLUE EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L80 MM OD4 MM ODSEC3.3 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD BLUE EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L80 MM OD4 MM SHORT THREAD CANCELLOUS CANNULATED BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1713,SCREW L80 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L80 MM OD4 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L80 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L80 MM OD4.5 MM CORTEX SELF TAP LOCK BONE PERI-LOC,88.26,44.13,16.9,79.43,65
HCPCS,C1713,SCREW L80 MM OD4.5 MM FEMUR TIBIA CORTICAL SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L80 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L80 MM OD4.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,297.0,148.5,56.88,267.3,65
HCPCS,C1713,SCREW L80 MM OD5 MM 3.5 MM FEMORAL CORTICAL DISTAL HEXAGONAL BONE AFFIXUS,207.9,103.95,39.81,187.11,65
HCPCS,C1713,SCREW L80 MM OD5 MM FEMORAL LOW PROFILE BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L80 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L80 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L80 MM OD5 MM LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L80 MM OD5 MM LOW PROFILE INTERNAL HEX BONE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW L80 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L80 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L80 MM OD5 MM ODSEC6.5 MM 3.5 MM FULL THREAD STAINLESS STEEL FEMUR INTERLOCK HEX BONE PEDINAIL,193.21,96.61,37.0,173.89,65
HCPCS,C1713,SCREW L80 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L80 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L80 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L80 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L80 MM OD5 MM T20 STAINLESS STEEL SELF TAP LOCK AXSOS SMALL FRAGMENT SET EXTREMITY PLATE SYSTEM BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L80 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L80 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L80 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L80 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L80 MM OD5 MM T25 STAINLESS STEEL SELF TAP VARIABLE ANGLE STARDRIVE LOCK GOLDEN BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L80 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L80 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L80 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L80 MM OD5 MM TITANIUM SELF TAP LOCK BONE TOMOFIX,162.22,81.11,31.07,146.0,65
HCPCS,C1713,"SCREW L80 MM OD5.5 MM FULL THREAD TIMAX TIBIA CANCELLOUS POLYAXIAL LOCK BONE POLYAXPOLYAXIAL SCREW, FT",121.0,60.5,23.17,108.9,65
HCPCS,C1713,SCREW L80 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM 10 D TITANIUM SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM 3.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR CANCELLOUS DISTAL LATERAL SMALL FRAGMENT SET BONE AXSOS,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM CANNULATED BONE ASNIS,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS PERIARTICULAR PLATE SYSTEM BONE,24.96,12.48,4.78,22.46,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM FULL THREAD STAINLESS STEEL CANNULATED BONE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM FULL THREAD TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM ODSEC8 MM 3.5 MM FULL THREAD STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.82,12.41,4.75,22.34,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM STAINLESS STEEL BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM T25 TITANIUM SELF TAP STARDRIVE BLUNT TIP GOLD EXPERT LATERAL FEMORAL NAIL SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L80 MM OD6.5 MM TITANIUM SPINE POLYAXIAL 2 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD6.7 MM FULL THREAD TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L80 MM OD7 MM LARGE LONG THREAD REVERSE CUT FLUTE SELF TAP LOW PROFILE COMPRESSION HEAD GRAY 2.8 MM K WIRE BONE FUZEFIX,740.0,370.0,141.71,666.0,65
HCPCS,C1713,SCREW L80 MM OD7 MM ODSEC8 MM 3.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED STANDARD HEXAGONAL HEMISPHERICAL ACCEPTS 2 MM GUIDEWIRE BONE,226.63,113.32,43.4,203.97,65
HCPCS,C1713,SCREW L80 MM OD7 MM SHORT THREAD FOOT ANKLE CANNULATED SELF DRILL BONE MAXTORQUE,281.59,140.8,53.92,253.43,65
HCPCS,C1713,SCREW L80 MM OD7 MM T25 XL FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXALOBE BONE,637.7,318.85,122.12,573.93,65
HCPCS,C1713,SCREW L80 MM OD7 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD7.3 MM ID2.9 MM FULL THREAD STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM 2C SPINE ILIAC POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM SPINE REDUCTION BONE PRECEPT,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM STAINLESS STEEL PROXIMAL LOCK BONE CONQUEST FN,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW L80 MM OD7.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8 MM LARGE FULL THREAD LOW PROFILE STAINLESS STEEL SMALL BONE LONG BONE CANNULATED SELF TAPPING SELF DRILLING REVERSE CUTTING FLUTE BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L80 MM OD8 MM SPINE FENESTRATE 5.5 MM ROD BONE EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L80 MM OD8 MM T27 FULL THREAD TITANIUM SPINE ILIAC POLYAXIAL 5.5 MM ROD BONE VIPER,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8 MM TITANIUM SPINE SACRAL ALAR ILIAC POLYAXIAL BONE VIPER EXPEDIUM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM 20 D STAINLESS STEEL SPINE ILIAC BONE CD HORIZON LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM 2C SPINE ILIAC POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM 2S SPINE ILIAC CLOSED BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM SPINE MULTIAXIAL CANNULATED BS CNCMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM SPINE POLYAXIAL 3 MM ROD BONE XIA SERRATO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL LOW PROFILE 2 LEAD COLOR CODED 4.75 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD9 MM SILICONE SPINE CORE FENESTRATE FAVOR ANGLE BONE INVICTUS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L80 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD9.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD9.5 MM SPINE MULTIAXIAL CANNULATED BS CNCMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD9.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L80 MM OD9.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L80 MM OD9.5 MM SPINE SACROILIAC EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L80 MM OD9.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L82 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L82 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L82 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L82 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA TI,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L82 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L82 MM OD5 MM XL25 TAN LOCK LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L84 MM L16 MM OD7 MM SHORT THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW L84 MM L20 MM OD7 MM MEDIUM THREAD CANNULATED SHARP TIP HEADLESS BONE MONSTER,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW L84 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L84 MM OD5 MM XL25 LOCK LOW PROFILE HEADLESS INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L84 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L84 MM OD7 MM FULL THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L84 MM OD7 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L85 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L85 MM L16 MM OD6.5 MM HEADLESS BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L85 MM L16 MM OD6.5 MM ODSEC7.5 MM TITANIUM COMPRESSION SELF TAP SELF DRILL HEADLESS ACCEPTS 2.8 MM GUIDEWIRE BONE,298.11,149.06,57.09,268.3,65
HCPCS,C1713,SCREW L85 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD BONE,207.03,103.52,39.65,186.33,65
HCPCS,C1713,SCREW L85 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L85 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L85 MM L16 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L85 MM L16 MM OD7 MM FOOT ANKLE HEAD BONE MEDLINE UNITE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW L85 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L85 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD GOLD LARGE FRAGMENT SET BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L85 MM L18 MM OD6.7 MM 3.5 MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L85 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L85 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L85 MM L22 MM OD12 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L85 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L85 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,268.33,134.17,51.39,241.5,65
HCPCS,C1713,SCREW L85 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L85 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L85 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L85 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS SELF TAP SELF DRILL CANNULATED ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L85 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L85 MM L32 MM OD6 MM PARTIAL THREAD TITANIUM CANCELLOUS BONE AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L85 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L85 MM L32 MM OD6.5 MM HEADLESS BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L85 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L85 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L85 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L85 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,217.43,108.72,41.64,195.69,65
HCPCS,C1713,SCREW L85 MM L32 MM OD7 MM STAINLESS STEEL MULTIUSE COMPRESSION BONE CHARLOTTE,636.8,318.4,121.95,573.12,65
HCPCS,C1713,SCREW L85 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L85 MM L32 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L85 MM L40 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L85 MM OD10.35 MM 3.5 MM T-I6AL-7NB CANNULATED TAN BONE TFN-ADVANCED,531.48,265.74,101.78,478.33,65
HCPCS,C1713,SCREW L85 MM OD10.35 MM 3.5 MM TITANIUM ALUMINUM NIOBIUM CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L85 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L85 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L85 MM OD10.5 MM 6.5 MM HIP SELF TAP LAG SQUARE DRIVE BONE AFFIXUS,718.2,359.1,137.54,646.38,65
HCPCS,C1713,SCREW L85 MM OD11 MM SUBTROCHANTERIC LAG BONE INTERTAN,382.5,191.25,73.25,344.25,65
HCPCS,C1713,SCREW L85 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM SELF TAP LOCK BONE EVOS,102.6,51.3,19.65,92.34,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM T10 NONLOCK BONE WORKHORSE SCREW,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM T15 LARGER DIAMETER TITANIUM TIBIA CORTICAL PROXIMAL LOCK SELF TAP TIP 2.7 MM DRILL BIT BONE ALPS,110.0,55.0,21.07,99.0,65
HCPCS,C1713,SCREW L85 MM OD3.5 MM T15 PARTIAL THREAD STAINLESS STEEL MEDIAL PROXIMAL SELF TAP SMOOTH CONICAL STARDRIVE BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L85 MM OD4 MM 2.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR HUMERUS CANCELLOUS PROXIMAL SMALL FRAGMENT SET BONE AXSOS,21.89,10.95,4.19,19.7,65
HCPCS,C1713,SCREW L85 MM OD4 MM STAINLESS STEEL CANCELLOUS BONE NA,21.89,10.95,4.19,19.7,65
HCPCS,C1713,SCREW L85 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L85 MM OD4.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CORTEX SELF TAP LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L85 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L85 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L85 MM OD5 MM LOW PROFILE BONE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW L85 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L85 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT INTRAMEDULLARY NAIL SYSTEM BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L85 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L85 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L85 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L85 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L85 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L85 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L85 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L85 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L85 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L85 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L85 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L85 MM OD5 MM TITANIUM MIDFOOT REARFOOT COMPRESSION HEADLESS BONE FIXOS,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW L85 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L85 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L85 MM OD5 MM TITANIUM SELF TAP LOCK BONE,162.22,81.11,31.07,146.0,65
HCPCS,C1713,SCREW L85 MM OD5.5 MM PARTIAL THREAD STAINLESS STEEL CANNULATED HEAD BONE CAPTIVATE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW L85 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L85 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM 3.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR CANCELLOUS DISTAL LATERAL SMALL FRAGMENT SET BONE AXSOS,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM STAINLESS STEEL BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM STAINLESS STEEL CANNULATED FULLY THREADED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM T25 TITANIUM SELF TAP STARDRIVE BLUNT TIP GOLD EXPERT LATERAL FEMORAL NAIL SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L85 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L85 MM OD6.7 MM FULL THREAD TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L85 MM OD7 MM ODSEC8 MM 3.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED STANDARD HEXAGONAL HEMISPHERICAL ACCEPTS 2 MM GUIDEWIRE BONE,226.63,113.32,43.4,203.97,65
HCPCS,C1713,SCREW L85 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L85 MM OD7.5 MM BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L85 MM OD8 MM FULL THREAD STAINLESS STEEL CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L85 MM OD8 MM TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING BONE ASNIS III,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW L85 MM OD8 MM TITANIUM ORTHOPEDIC CANNULATED PARTIAL THREAD BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L85 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L85 MM OD8.5 MM SPINE MODULAR BONE CREO CREO AMP,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW L85 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L86 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L86 MM OD5 MM TITANIUM NIOBIUM ALUMINUM LOCK INTRAMEDULLARY NAIL BONE NA,190.78,95.39,36.53,171.7,65
HCPCS,C1713,SCREW L86 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L86 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L87 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,199.54,99.77,38.21,179.59,65
HCPCS,C1713,SCREW L88 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L88 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L88 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L9 MM L3 MM OD1.5 MM CANNULATED PARTIALLY THREADED COMPRESSION MICRO BONE,651.0,325.5,124.67,585.9,65
HCPCS,C1713,SCREW L9 MM L4 MM OD1.5 MM TITANIUM NIOBIUM ALUMINUM COMPRESSION HEADLESS BONE,256.05,128.03,49.03,230.45,65
HCPCS,C1713,SCREW L9 MM L4 MM OD2.4 MM ID2 MM T8 SHORT THREAD FLUTE STAINLESS STEEL COMPRESSION SELF TAP CANNULATED HEADLESS ACCEPTS 1.1 MM GUIDEWIRE BONE,296.95,148.48,56.87,267.26,65
HCPCS,C1713,SCREW L9 MM OD1 MM CORTEX SELF TAP CRUCIFORM BONE,56.0,28.0,10.72,50.4,65
HCPCS,C1713,SCREW L9 MM OD1 MM ODSEC1.6 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,74.45,37.23,14.26,67.01,65
HCPCS,C1713,SCREW L9 MM OD1.2 MM TITANIUM HAND CORTICAL HEXADRIVE 4 BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L9 MM OD1.3 MM CORTEX SELF TAP CRUCIFORM BONE,58.45,29.23,11.19,52.61,65
HCPCS,C1713,SCREW L9 MM OD1.3 MM ODSEC2.4 MM TITANIUM CORTEX SELF TAP LOW PROFILE HEAD CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,79.98,39.99,15.32,71.98,65
HCPCS,C1713,SCREW L9 MM OD1.3 MM T4 STAINLESS STEEL CORTEX SELF TAP VARIABLE ANGLE STARDRIVE GOLD HAND PLATE SYSTEM BONE,31.81,15.91,6.09,28.63,65
HCPCS,C1713,SCREW L9 MM OD1.3 MM T4 TITANIUM CORTEX SELF TAP SELF RETAIN LOCK STARDRIVE BONE,33.41,16.71,6.4,30.07,65
HCPCS,C1713,SCREW L9 MM OD1.3 MM T4 TITANIUM HAND SELF TAP SELF RETAIN LOCK STARDRIVE BONE,96.03,48.02,18.39,86.43,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM COCR CORTICAL SELF TAP LOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM HEXADRIVE 4 TITANIUM HAND CORTICAL GREEN BONE APTUS,55.59,27.8,10.65,50.03,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET BONE,27.78,13.89,5.32,25.0,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM ODSEC3 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.68,13.84,5.3,24.91,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE FUCHSIA HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM PHALANGEAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM PHALANGEAL LOCK BONE HPS,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM STANDARD MICRO TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP SELF RETENTION BLUE BONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM T4 STAINLESS STEEL SELF TAP SELF RETAIN STARDRIVE LOCK MODULAR MINI FRAGMENT SET BONE,84.53,42.27,16.19,76.08,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM T4 TITANIUM CORTICAL SELF TAP STARDRIVE MINI FRAGMENT SET BONE,32.5,16.25,6.22,29.25,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM T4 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,100.39,50.2,19.22,90.35,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM T4 TITANIUM SELF TAP LOCK STARDRIVE MINI FRAGMENT SET BONE,88.71,44.36,16.99,79.84,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM TIMAX CORTICAL SELF TAP NONLOCK SQUARE DRIVE BONE ALPS,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L9 MM OD1.5 MM TITANIUM PHALANGEAL HAND HEXADRIVE 4 BONE APTUS TRILOCK,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW L9 MM OD1.6 MM TITANIUM CORTICAL LOW PROFILE BONE,108.01,54.01,20.68,97.21,65
HCPCS,C1713,SCREW L9 MM OD2 MM CONCAVE TITANIUM MANDIBULAR SELF RETAIN LOCK GREEN BONE THREADLOCK TS LEVEL ONE MAXDRIVE,116.18,58.09,22.25,104.56,65
HCPCS,C1713,SCREW L9 MM OD2 MM METACARPAL CORTICAL BONE HPS,74.0,37.0,14.17,66.6,65
HCPCS,C1713,SCREW L9 MM OD2 MM ODSEC3.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,27.55,13.78,5.28,24.8,65
HCPCS,C1713,SCREW L9 MM OD2 MM STANDARD TITANIUM HAND HPS BONE OSTEOMED,61.0,30.5,11.68,54.9,65
HCPCS,C1713,SCREW L9 MM OD2 MM T6 TITANIUM CORTEX SELF TAP STARDRIVE VARIABLE ANGLE LOCK HAND SYSTEM MINI FRAGMENT SET BONE TITANIUM,32.69,16.35,6.26,29.42,65
HCPCS,C1713,SCREW L9 MM OD2 MM T6 TITANIUM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE PURPLE BONE,102.45,51.23,19.62,92.21,65
HCPCS,C1713,SCREW L9 MM OD2 MM T6 TITANIUM SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SET BONE,90.04,45.02,17.24,81.04,65
HCPCS,C1713,SCREW L9 MM OD2 MM TITANIUM MANDIBULAR CONCAVE BONE THREADLOCK TS LEVEL ONE MAXDRIVE,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW L9 MM OD2.3 MM PARTIAL THREAD TITANIUM LAG LOW PROFILE HEAD HEXALOBE YELLOW HAND FRACTURE SYSTEM BONE ACUMED,80.0,40.0,15.32,72.0,65
HCPCS,C1713,SCREW L9 MM OD2.3 MM STANDARD TITANIUM ORALMAXILLOFACIAL SELF RETAINING ATRAUMATIC TIP BLUE BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L9 MM OD2.3 MM TITANIUM CRANIOMAXILLOFACIAL SELF RETAIN LOCK THREAD ROD MAXDRIVE BONE LEVEL ONE,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW L9 MM OD2.3 MM TITANIUM LOCK MULTI VARIABLE ANGLE HEXALOBE HAND FRACTURE SYSTEM BONE ACUMED,96.0,48.0,18.38,86.4,65
HCPCS,C1713,SCREW L9 MM OD2.3 MM TITANIUM ORALMAXILLOFACIAL EMERGENCY ATRAUMATIC TIP SELF RETENTION PINK BONE MAXDRIVE,63.54,31.77,12.17,57.19,65
HCPCS,C1713,SCREW L9 MM OD2.3 MM TITANIUM STERNAL LOCK SELF RETAIN BONE DRILL-FREE MAXDRIVE,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW L9 MM OD2.4 MM ID1.9 MM T8 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD MODULAR MINI FRAGMENT SET BONE,86.81,43.41,16.62,78.13,65
HCPCS,C1713,SCREW L9 MM OD2.4 MM ODSEC4.5 MM STAINLESS STEEL CORTEX SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR HAND SYSTEM BONE,38.36,19.18,7.35,34.52,65
HCPCS,C1713,SCREW L9 MM OD2.4 MM ODSEC4.5 MM TITANIUM CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM BONE,70.79,35.4,13.56,63.71,65
HCPCS,C1713,SCREW L9 MM OD2.4 MM T8 STAINLESS STEEL CORTEX SELF TAP BONE,42.61,21.31,8.16,38.35,65
HCPCS,C1713,SCREW L9 MM OD2.4 MM T8 TITANIUM LOCK VARIABLE ANGLE SELF TAP STARDRIVE BONE,108.86,54.43,20.85,97.97,65
HCPCS,C1713,SCREW L9 MM OD2.4 MM T8 TITANIUM SELF TAP LOCK STARDRIVE CONICAL MINI FRAGMENT SET BONE,90.99,45.5,17.42,81.89,65
HCPCS,C1713,SCREW L9 MM OD2.5 MM 1.5 MM MICRO FULL THREAD TITANIUM COMPRESSION SELF TAP CANNULATED HEX BONE COMPRESSION FT,321.14,160.57,61.5,289.03,65
HCPCS,C1713,SCREW L9 MM OD2.5 MM STAINLESS STEEL NONLOCK 9181.9252 MINI FRAGMENT FRACTURE SYSTEM BONE ANTHEM,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW L9 MM OD2.5 MM TITANIUM ORALMAXILLOFACIAL EMERGENCY ATRAUMATIC TIP SELF RETENTION PINK BONE MAXDRIVE,66.19,33.1,12.68,59.57,65
HCPCS,C1713,SCREW L9 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM LOCK BONE R3CON,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM RADIUS DISTAL VOLAR 3 LEAD THREAD LOCK TAPER BONE DVR,91.0,45.5,17.43,81.9,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,10.29,48.36,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM T8 STAINLESS STEEL CORTEX SILVER BONE VOLT,127.6,63.8,24.44,114.84,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM T8 TITANIUM SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,111.61,55.81,21.37,100.45,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM TITANIUM CRANIOMAXILLOFACIAL LOCK MAXDRIVE BONE LEVEL ONE,140.7,70.35,26.94,126.63,65
HCPCS,C1713,SCREW L9 MM OD2.7 MM TITANIUM CRANIOMAXILLOFACIAL MAXDRIVE BONE LEVEL ONE,105.9,52.95,20.28,95.31,65
HCPCS,C1713,SCREW L9 MM OD3.5 MM TITANIUM CORTEX POLYAXIAL NONLOCK BLUE VOLAR DISTAL RADIUS PLATE SYSTEM BONE GEMINUS,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW L9 MM OD4 MM LOCK BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L9 MM X W1.5 MM 30 D 6 MM OPEN BAYONET LEFT CURVE FORWARD MP35N BLADE BONE,37.14,18.57,7.11,33.43,65
HCPCS,C1713,SCREW L90 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L90 MM L16 MM OD6.5 MM FOOT ANKLE CANNULATED COLOR CODED HEADLESS OSTEOTOMY BONE MEDLINE UNITE,475.0,237.5,90.96,427.5,65
HCPCS,C1713,SCREW L90 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L90 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L90 MM L16 MM OD6.5 MM TITANIUM COMPRESSION HEADLESS BONE,298.11,149.06,57.09,268.3,65
HCPCS,C1713,SCREW L90 MM L16 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L90 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L90 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE TITANIUM CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD GOLD LARGE FRAGMENT SET BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L90 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L90 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L90 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,308.21,154.11,59.02,277.39,65
HCPCS,C1713,SCREW L90 MM L22 MM OD12.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED OCTAGONAL HEAD 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L90 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L90 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L90 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L90 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE TIMAX,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L90 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L90 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L90 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L90 MM L32 MM OD6.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L90 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED HEMISPHERICAL HEAD LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,220.14,110.07,42.16,198.13,65
HCPCS,C1713,SCREW L90 MM L32 MM OD7.3 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L90 MM L32 MM OD7.5 MM TITANIUM COMPRESSION CANNULATED BONE,675.02,337.51,129.27,607.52,65
HCPCS,C1713,SCREW L90 MM L36 MM OD4.5 MM TITANIUM COMPRESSION CANNULATED BONE,400.62,200.31,76.72,360.56,65
HCPCS,C1713,SCREW L90 MM L40 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L90 MM L46 MM OD8 MM PARTIAL THREAD STAINLESS STEEL CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L90 MM OD 7 MM LARGE LONG THREAD REVERSE CUT FLUTE SELF TAP LOW PROFILE COMPRESSION HEAD GRAY 2.8 MM K WIRE BONE FUZEFIX,740.0,370.0,141.71,666.0,65
HCPCS,C1713,SCREW L90 MM OD10.35 MM 3.5 MM T-I6AL-7NB CANNULATED TAN BONE TFN-ADVANCED,531.48,265.74,101.78,478.33,65
HCPCS,C1713,SCREW L90 MM OD10.35 MM 3.5 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L90 MM OD10.35 MM TITANIUM CANNULATED GOLD PROXIMAL FEMORAL NAIL SYSTEM BONE TFN-ADVANCED,571.64,285.82,109.47,514.48,65
HCPCS,C1713,SCREW L90 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L90 MM OD10.5 MM LAG BONE AOS GALILEO,895.0,447.5,171.39,805.5,65
HCPCS,C1713,SCREW L90 MM OD11 MM TITANIUM FEMUR TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L90 MM OD12.7 MM STAINLESS STEEL ONE STEP LAG BONE DHS DCS,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L90 MM OD2.4 MM STAINLESS STEEL HIP COMPRESSION BONE DHHS,129.95,64.98,24.89,116.96,65
HCPCS,C1713,"SCREW L90 MM OD2.4 MM STAINLESS STEEL HIP COMPRESSION BONE LCP DHHS,DHHS",80.26,40.13,15.37,72.23,65
HCPCS,C1713,SCREW L90 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L90 MM OD3.5 MM ID2.9 MM T15 PARTIAL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L90 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L90 MM OD4 MM FULL THREAD TITANIUM ALUMINUM VANADIUM CANCELLOUS BONE AXSOS,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L90 MM OD4 MM STAINLESS STEEL CANCELLOUS BONE NA,21.89,10.95,4.19,19.7,65
HCPCS,C1713,SCREW L90 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
HCPCS,C1713,SCREW L90 MM OD4 MM TITANIUM SELF TAP LOCK AXSOS 3 BONE AXSOS 3,121.38,60.69,23.24,109.24,65
HCPCS,C1713,SCREW L90 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP BONE,26.81,13.41,5.13,24.13,65
HCPCS,C1713,SCREW L90 MM OD4.5 MM T25 SELF TAP LOCK BONE PERI-LOC,83.16,41.58,15.93,74.84,65
HCPCS,C1713,SCREW L90 MM OD5 MM COMPRESSION HEADLESS BONE FIXOS,337.31,168.66,64.59,303.58,65
HCPCS,C1713,SCREW L90 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L90 MM OD5 MM ID4.4 MM T25 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD LARGE FRAGMENT SET BONE,110.91,55.46,21.24,99.82,65
HCPCS,C1713,SCREW L90 MM OD5 MM INTERNAL CAPTURE GOLD BONE TRIGEN META-NAIL,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW L90 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L90 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L90 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L90 MM OD5 MM ODSEC8 MM ID3.4 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 CORE GOLD EXPERT CANNULATED NAIL SYSTEM BONE,199.75,99.88,38.25,179.78,65
HCPCS,C1713,SCREW L90 MM OD5 MM T15 LARGE FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS SOLID BONE,435.84,217.92,83.46,392.26,65
HCPCS,C1713,SCREW L90 MM OD5 MM T20 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L90 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L90 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP 2 CORE LOCK STARDRIVE GOLD EXPERT BONE,159.07,79.54,30.46,143.16,65
HCPCS,C1713,SCREW L90 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L90 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L90 MM OD5 MM T25 SELF TAP VARIABLE ANGLE STARDRIVE LOCK BONE,180.2,90.1,34.51,162.18,65
HCPCS,C1713,SCREW L90 MM OD5 MM TITANIUM HINDFOOT FUSION SYSTEM BONE VALOR,244.77,122.39,46.87,220.29,65
HCPCS,C1713,SCREW L90 MM OD5 MM TITANIUM LOCK INTRAMEDULLARY NAIL BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L90 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L90 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L90 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L90 MM OD6 MM FULL THREAD TITANIUM CANCELLOUS BONE AXSOS,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L90 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L90 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,140.26,70.13,26.86,126.23,65
HCPCS,C1713,SCREW L90 MM OD6 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL MONOAXIAL REVISION 3 MM ROD BONE XIA,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW L90 MM OD6.5 MM 3.5 MM FULL THREAD HEXAGON STAINLESS STEEL FEMUR CANCELLOUS DISTAL LATERAL SMALL FRAGMENT SET BONE AXSOS,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L90 MM OD6.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L90 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L90 MM OD6.5 MM T25 TITANIUM SELF TAP STARDRIVE BLUNT TIP GOLD EXPERT LATERAL FEMORAL NAIL SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L90 MM OD6.5 MM TITANIUM FEMUR LAG CANNULATED BRONZE T2 RECONSTRUCTION NAIL SYSTEM BONE T2,184.62,92.31,35.35,166.16,65
HCPCS,C1713,SCREW L90 MM OD6.5 MM TITANIUM FULLY THREADED CANNULATED SELF TAPPING DRILLING BONE ASNIS III,186.07,93.04,35.63,167.46,65
HCPCS,C1713,SCREW L90 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L90 MM OD7 MM ODSEC8 MM 3.5 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED STANDARD HEXAGONAL HEMISPHERICAL ACCEPTS 2 MM GUIDEWIRE BONE,226.63,113.32,43.4,203.97,65
HCPCS,C1713,SCREW L90 MM OD7 MM SHORT THREAD CANNULATED SHARP TIP BONE MONSTER,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SCREW L90 MM OD7 MM TITANIUM MIDFOOT REARFOOT LONG THREAD COMPRESSION HEADLESS BONE FIXOS,544.27,272.14,104.23,489.84,65
HCPCS,C1713,SCREW L90 MM OD7.3 MM FULL THREAD STAINLESS STEEL CANNULATED SELF DRILL BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L90 MM OD7.5 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L90 MM OD7.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD7.5 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8 MM CANNULATED BONE ASNIS,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L90 MM OD8 MM ODSEC6.5 MM FULL THREAD STAINLESS STEEL FOOT ANKLE CANNULATED SELF DRILL SELF TAP BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L90 MM OD8 MM SPINE 5.5 MM ROD BONE EXPEDIUM VERSE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8 MM TITANIUM SPINE POLYAXIAL 2 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM 2C SPINE ILIAC POLYAXIAL MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM 2S SPINE ILIAC CLOSED BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM SPINE BS CNCMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM SPINE POLYAXIAL BONE EVEREST,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM SPINE POLYAXIAL FENESTRATE BONE EVEREST,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM STAINLESS STEEL PROXIMAL LOCK BONE CONQUEST FN,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM TITANIUM COCR SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD8.5 MM TITANIUM COCR SPINE MULTIAXIAL 5.5/6 MM ROD BONE CD HORIZON SOLERA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9 MM 50- D T25 TITANIUM POSTERIOR POLYAXIAL SELF TAP LOW PROFILE 2 CORE BONE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9 MM TITANIUM SPINE POLYAXIAL 6.35 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM 2S SPINE ILIAC CLOSED BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM 2S SPINE ILIAC POLYAXIAL BONE RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM COCR SPINE MULTIAXIAL 5.5 MM ROD BONE SOLERA CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM SPINE MULTIAXIAL CANNULATED BS CNCMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM SPINE MULTIAXIAL CANNULATED BS CNMAS TC BONE CD HORIZON,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM SPINE SACROILIAC EXTEND TAB FENESTRATE BONE EVEREST,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW L90 MM OD9.5 MM TITANIUM ALUMINUM VANADIUM SPINE ILIOSACRAL POLYAXIAL REVISION 3 MM ROD BONE XIA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L95 MM ANTIROTATE FEMORAL NECK SYSTEM BONE,314.34,157.17,60.2,282.91,65
HCPCS,C1713,SCREW L95 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L95 MM L16 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L95 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM PARTIAL THREAD REVERSE CUT FLUTE TITANIUM SELF TAP SELF DRILL CANNULATED LARGE HEXAGONAL BONE,206.62,103.31,39.57,185.96,65
HCPCS,C1713,SCREW L95 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L95 MM L20 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L95 MM L22 MM OD12 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED OCTAGONAL COUPLING 1 STEP INSERTION BONE,306.64,153.32,58.72,275.98,65
HCPCS,C1713,SCREW L95 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE,305.18,152.59,58.44,274.66,65
HCPCS,C1713,SCREW L95 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,306.75,153.38,58.74,276.08,65
HCPCS,C1713,SCREW L95 MM L22 MM OD12.7 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED BONE DHS DCS,268.33,134.17,51.39,241.5,65
HCPCS,C1713,SCREW L95 MM L22 MM OD13 MM STANDARD STAINLESS STEEL HIP FEMUR LAG BONE OMEGA3,267.66,133.83,51.26,240.89,65
HCPCS,C1713,SCREW L95 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED 1 STEP INSERTION BONE DHS DCS,339.07,169.54,64.93,305.16,65
HCPCS,C1713,SCREW L95 MM L22 MM OD14 MM ODSEC8 MM ID2.7 MM STAINLESS STEEL HIP CONDYLAR LAG CANNULATED STANDARD 1 STEP INSERTION BONE,340.8,170.4,65.26,306.72,65
HCPCS,C1713,SCREW L95 MM L22 MM OD6.5 MM LARGE 4 CUT FLUTE TIMAX HIP CANCELLOUS CANNULATED SELF DRILL SELF TAP ACCEPTS 3.2 MM GUIDE PIN BONE 22MM THREAD CANNULATED CANCELLOUS SCREW,247.5,123.75,47.4,222.75,65
HCPCS,C1713,SCREW L95 MM L25 MM OD8 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,206.96,103.48,39.63,186.26,65
HCPCS,C1713,SCREW L95 MM L32 MM OD6.5 MM 3.5 MM PARTIAL THREAD STAINLESS STEEL CANCELLOUS HEXAGONAL SMALL FRAGMENT SET BONE NA,25.87,12.94,4.95,23.28,65
HCPCS,C1713,SCREW L95 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L95 MM L32 MM OD6.5 MM ODSEC8 MM 3.5 MM STAINLESS STEEL CANCELLOUS LARGE HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L95 MM L32 MM OD7 MM ODSEC8 MM ID2.1 MM 3.5 MM REVERSE CUT FLUTE STAINLESS STEEL CANNULATED LARGE HEXAGONAL SOCKET HEMISPHERICAL BONE,217.43,108.72,41.64,195.69,65
HCPCS,C1713,SCREW L95 MM L32 MM OD7.3 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL SELF TAP SELF DRILL CANNULATED HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L95 MM L40 MM OD6.5 MM PARTIAL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD ACCEPTS 3.2 MM GUIDEWIRE BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L95 MM L46 MM OD8 MM PARTIAL THREAD STAINLESS STEEL CANNULATED BONE NA,207.36,103.68,39.71,186.62,65
HCPCS,C1713,SCREW L95 MM OD10.35 MM 3.5 MM T-I6AL-7NB CANNULATED TAN BONE TFN-ADVANCED,531.48,265.74,101.78,478.33,65
HCPCS,C1713,SCREW L95 MM OD10.35 MM 3.5 MM TITANIUM ALUMINUM NIOBIUM CANNULATED TAN BONE,584.49,292.25,111.93,526.04,65
HCPCS,C1713,SCREW L95 MM OD10.35 MM TITANIUM NIOBIUM ALUMINUM FEMORAL PROXIMAL CANNULATED GOLD BONE TFN-ADVANCED,545.67,272.84,104.5,491.1,65
HCPCS,C1713,SCREW L95 MM OD10.5 MM 6.5 MM HIP SELF TAP SQUARE DRIVE BONE AFFIXUS,718.2,359.1,137.54,646.38,65
HCPCS,C1713,SCREW L95 MM OD10.5 MM LAG TELESCOPING BONE GALILEO,895.0,447.5,171.39,805.5,65
HCPCS,C1713,SCREW L95 MM OD10.5 MM SPINE POLYAXIAL PREASSEMBLE BONE CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW L95 MM OD11 MM TITANIUM TROCHANTER CANNULATED GOLD INTRAMEDULLARY NAIL SYSTEM BONE,550.66,275.33,105.45,495.59,65
HCPCS,C1713,SCREW L95 MM OD3.5 MM 2.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL AXSOS EXTREMITY PLATE SYSTEM SMALL FRAGMENT SET BONE NA,26.87,13.44,5.15,24.18,65
HCPCS,C1713,SCREW L95 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP LOCK STARDRIVE CONICAL HEAD SMALL FRAGMENT SET BONE,95.72,47.86,18.33,86.15,65
HCPCS,C1713,SCREW L95 MM OD3.5 MM ID2.9 MM T15 FULL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L95 MM OD3.5 MM ID2.9 MM T15 PARTIAL THREAD STAINLESS STEEL SELF TAP STARDRIVE SMOOTH CONICAL HEAD PROXIMAL TIBIAL PLATE SYSTEM BONE,125.98,62.99,24.13,113.38,65
HCPCS,C1713,SCREW L95 MM OD3.5 MM STAINLESS STEEL CORTEX SELF TAP LOW PROFILE HEX BONE,29.29,14.65,5.61,26.36,65
HCPCS,C1713,SCREW L95 MM OD3.5 MM TITANIUM CORTICAL BONE AXSOS 3,27.54,13.77,5.27,24.79,65
HCPCS,C1713,SCREW L95 MM OD4.5 MM 3.5 MM FULL THREAD STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SMALL FRAGMENT SET BONE NA,29.85,14.93,5.72,26.87,65
HCPCS,C1713,SCREW L95 MM OD4.5 MM STAINLESS STEEL CORTEX SELF TAP HEXAGONAL SOCKET LARGE FRAGMENT SET BONE,24.39,12.2,4.67,21.95,65
HCPCS,C1713,SCREW L95 MM OD5 MM 3.5 MM FLUTE STAINLESS STEEL CANNULATED SELF TAP LOCK VARIABLE ANGLE CURVE CONDYLAR PLATE SYSTEM BONE,233.44,116.72,44.7,210.1,65
HCPCS,C1713,SCREW L95 MM OD5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM BONE TRIGEN,153.49,76.75,29.39,138.14,65
HCPCS,C1713,SCREW L95 MM OD5 MM ID4.3 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP LIGHT GREEN EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L95 MM OD5 MM LOCKING FEMUR RETROGRADE NAIL SYSTEM BONE T2 ALPHA,149.25,74.63,28.58,134.33,65
HCPCS,C1713,SCREW L95 MM OD5 MM LOW PROFILE LOCK INTRAMEDULLARY NAIL BONE NA,233.17,116.59,44.65,209.85,65
HCPCS,C1713,SCREW L95 MM OD5 MM ODSEC3.2 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,125.58,62.79,24.05,113.02,65
HCPCS,C1713,SCREW L95 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM FEMORAL DISTAL SELF TAP LOCK 2 LEAD HEX GREEN TFN-ADVANCED EXPERT BONE,184.26,92.13,35.29,165.83,65
HCPCS,C1713,SCREW L95 MM OD5 MM ODSEC8 MM 3.5 MM FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP HEXAGONAL GREEN DISTAL FEMORAL NAIL SYSTEM BONE,143.79,71.9,27.54,129.41,65
HCPCS,C1713,SCREW L95 MM OD5 MM STAINLESS STEEL PERIARTICULAR LOCKING SELF TAPPING T20 DRIVE BONE AXSOS,100.98,50.49,19.34,90.88,65
HCPCS,C1713,SCREW L95 MM OD5 MM T25 CONDYLAR SELF TAP VARIABLE ANGLE LOCK STARDRIVE BONE,230.13,115.07,44.07,207.12,65
HCPCS,C1713,SCREW L95 MM OD5 MM T25 FULL THREAD TITANIUM NIOBIUM ALUMINUM TIBIAL SELF TAP BLUNT TIP STARDRIVE LIGHT BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM BONE,171.56,85.78,32.85,154.4,65
HCPCS,C1713,SCREW L95 MM OD5 MM T25 FULL THREAD TITANIUM TIBIAL SELF TAP LOCK BLUNT TIP 2 LEAD LIGHT GREEN EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L95 MM OD5 MM T25 PARTIAL THREAD TITANIUM NIOBIUM ALUMINUM FEMORAL SELF TAP BLUNT TIP STARDRIVE PURPLE LATERAL ENTRY INTRAMEDULLARY NAIL BONE,169.08,84.54,32.38,152.17,65
HCPCS,C1713,SCREW L95 MM OD5 MM TIBIA ADVANCE LOCKING INTRAMEDULLARY NAIL SYSTEM BONE T2 ALPHA,176.12,88.06,33.73,158.51,65
HCPCS,C1713,SCREW L95 MM OD5 MM TITANIUM ALUMINUM VANADIUM IRON ANTIROTATE INTERLOCK TROCHANTERIC NAIL SYSTEM BONE,348.0,174.0,66.64,313.2,65
HCPCS,C1713,SCREW L95 MM OD5 MM TITANIUM CORTEX SELF TAP LOCK BONE AXSOS 3,132.6,66.3,25.39,119.34,65
HCPCS,C1713,SCREW L95 MM OD5 MM TITANIUM PERIARTICULAR CANNULATED BONE,143.97,71.99,27.57,129.57,65
HCPCS,C1713,SCREW L95 MM OD5 MM TITANIUM PERIARTICULAR LOCK CANNULATED BONE,152.72,76.36,29.25,137.45,65
HCPCS,C1713,SCREW L95 MM OD5 MM XL25 LOCK INTRAMEDULLARY NAIL BONE NA,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW L95 MM OD5 MM XL25 LOCK LOW PROFILE INTRAMEDULLARY NAIL BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW L95 MM OD6 MM FULL THREAD TITANIUM CANCELLOUS AXSOS 3 BONE AXSOS 3,33.66,16.83,6.45,30.29,65
HCPCS,C1713,SCREW L95 MM OD6 MM ID4.8 MM T25 FULL THREAD TITANIUM SELF TAP LOCK STARDRIVE BLUNT TIP AQUA EXPERT CANNULATED NAIL SYSTEM BONE,180.94,90.47,34.65,162.85,65
HCPCS,C1713,SCREW L95 MM OD6 MM T25 FULL THREAD TITANIUM SELF TAP LOCK BLUNT TIP 2 LEAD AQUA EXPERT BONE,131.59,65.8,25.2,118.43,65
HCPCS,C1713,SCREW L95 MM OD6.5 MM FULL THREAD STAINLESS STEEL LONG BONE SMALL BONE CANNULATED BONE NA,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW L95 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,197.16,98.58,37.76,177.44,65
HCPCS,C1713,SCREW L95 MM OD6.5 MM T25 TITANIUM FEMORAL LATERAL SELF TAP BLUNT TIP STARDRIVE GOLD RECONSTRUCTION NAIL EXPERT SYSTEM BONE,137.3,68.65,26.29,123.57,65
HCPCS,C1713,SCREW L95 MM OD6.5 MM T25 TITANIUM SELF TAP STARDRIVE BLUNT TIP GOLD EXPERT LATERAL FEMORAL NAIL SYSTEM BONE,186.58,93.29,35.73,167.92,65
HCPCS,C1713,SCREW L95 MM OD6.7 MM FULL THREAD METAL FOOT ANKLE SELF DRILL SELF TAP CANNULATED BONE LOW PROFILE SCREWS,220.27,110.14,42.18,198.24,65
HCPCS,C1713,SCREW L95 MM OD7 MM LARGE LONG THREAD REVERSE CUT FLUTE SELF TAP LOW PROFILE COMPRESSION HEAD GRAY 2.8 MM K WIRE BONE FUZEFIX,740.0,370.0,141.71,666.0,65
HCPCS,C1713,SCREW L95 MM OD7 MM LARGE SHORT THREAD REVERSE CUT FLUTE COMPRESSION HEADLESS GREY 2.8 MM K WIRE BONE FUZEFIX,780.0,390.0,149.37,702.0,65
HCPCS,C1713,SCREW L95 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM FULL THREAD REVERSE CUT FLUTE STAINLESS STEEL CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD LARGE FRAGMENT SET BONE,196.75,98.38,37.68,177.08,65
HCPCS,C1713,SCREW L95 MM OD7.5 MM FULL THREAD TITANIUM COMPRESSION CANNULATED HEADLESS HEXAGONAL ACCEPTS .094 IN GUIDEWIRE BONE ACUTRAK 2,493.0,246.5,94.41,443.7,65
HCPCS,C1713,SCREW L95 MM OD8 MM ODSEC6.5 MM FULL THREAD STAINLESS STEEL FOOT ANKLE CANNULATED SELF DRILL SELF TAP BONE ASNIS III,199.0,99.5,38.11,179.1,65
HCPCS,C1713,SCREW L95 MM OD8 MM TITANIUM CANNULATED BONE ASNIS III,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW L95 MM OD8 MM TITANIUM HIP FEMUR CANNULATED FULL THREAD BONE ASNIS III,193.03,96.52,36.97,173.73,65
HCPCS,C1713,SCREW L95 MM OD8 MM TITANIUM SPINE POLYAXIAL 1 INNIE 5.5 MM ROD BONE EXPEDIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW LAG 10.5X130MM TI,420.24,210.12,80.48,378.22,65
HCPCS,C1713,SCREW LARGE FIFTH METATARSAL RIGHT HOOK BONE MEDLINE UNITE,975.0,487.5,212.65,877.5,64
HCPCS,C1713,SCREW LCK ER 1.5MMX5MM CROSS-DRIVE RECES MAXDRIVE LVL1 SLF-RET/TAP DRL-FR TI STRL MXLFCL,50.31,25.16,9.63,45.28,65
HCPCS,C1713,SCREW LOCK CARDLE JAZZ,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SCREW LOCK T20 3.5X14MM,75.27,37.64,14.41,67.74,65
HCPCS,C1713,SCREW LOCK XD2.3X13MM,127.99,64.0,24.51,115.19,65
HCPCS,C1713,SCREW LOCKING 10MM MINT,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW LOCKING 12MM PURPLE,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW LOCKING 2.4MM X 20MM,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW LOCKING 26MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW LOCKING 3.5 X 20MM,317.0,158.5,60.71,285.3,65
HCPCS,C1713,SCREW LOCKING 3.5 X 24MM,317.0,158.5,60.71,285.3,65
HCPCS,C1713,SCREW LOCKING 3.5 X 32MM,288.75,144.38,55.3,259.88,65
HCPCS,C1713,SCREW LOCKING 3.5 X 55MM ORTHOLOC 3DI PLATING SYSTEM,171.14,85.57,32.77,154.03,65
HCPCS,C1713,SCREW LOCKING 30MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW LOCKING L26 MM XL25 OD5 MM TITANIUM NIOBIUM ALUMINUM FEMORAL LIGHT GREEN,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW LOCKING L40 MM XL25 OD5 MM NA TITANIUM NIOBIUM ALUMINUM FEMORAL LIGHT GREEN,212.34,106.17,40.66,191.11,65
HCPCS,C1713,SCREW LOCKING L72 MM LOW PROFILE LOCK TUBE OD5 MM NA INTRAMEDULLARY NAIL,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW LOCKING L76 MM LOW PROFILE LOCK TUBE OD5 MM NA INTRAMEDULLARY NAIL,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW LONG COMPRESSION ACU-LOC 2 VOLAR DISTAL RADIUS PLATE SYSTEM BONE FRAG-LOC,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW LONG TIMAX HIP COMPRESSION CAPTURE BONE TK2,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW LPR LOCK 5X28MMFOR MEDULLARY NAIL,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW MATRIXNEURO SD TI 4MM 04.503.104.05,187.5,93.75,35.91,168.75,65
HCPCS,C1713,SCREW MICA 4.0MMX30MM FULL THREAD,579.09,289.55,110.9,521.18,65
HCPCS,C1713,SCREW MIS CHAMFERED FT 3X20MM,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW MIS FT CHAMFERED 3.5X38MM,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW MIS HV CHAMFER FT 4.0 x 52,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW MIS HV CHAMFER FT 4.0 x 54,795.0,397.5,152.24,715.5,65
HCPCS,C1713,SCREW MODULAR 6.5X40 MM ROBOTIC CREO ONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW MODULAR 6.5X50 MM ROBOTIC CREO ONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW MULTILOC TI 4.5X32MM STL,253.63,126.82,48.57,228.27,65
HCPCS,C1713,SCREW NA WEDGE NONBIOABSORBABLE OD10 MM ID1.5 MM ACL L20 MM UNIVERSAL INTERFERENCE,91.33,45.67,17.49,82.2,65
HCPCS,C1713,SCREW NA WEDGE OD7 MM L20 MM UNIVERSAL HEXAGON INTERFERENCE,91.33,45.67,17.49,82.2,65
HCPCS,C1713,SCREW NAIL T2 CONDYLE 5X50MM,158.1,79.05,30.28,142.29,65
HCPCS,C1713,SCREW NEURO BONE LEVEL ONE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW NEURO EMER ST TI 4 5PK,171.25,85.63,32.79,154.13,65
HCPCS,C1713,SCREW OD10 MM 5.5 MM ANT ANG SPINE ILIAC SADDLE BN RELINE,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1713,SCREW OD10 MM BIOCOMPOSITE L23 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW OD10 MM BIOCOMPOSITE SHOULDER L28 MM DELTA TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW OD10 MM L23 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD10 MM L30 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD10 MM PEEK L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW OD10 MM PEEK L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW OD11 MM BIOCOMPOSITE SHOULDER L28 MM DELTA ROUND TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW OD11 MM L30 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD11 MM PEEK L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW OD12 MM L30 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD12 MM TITANIUM SPINE LOCK BONE X-CORE MINI,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW OD14 MM MINI TITANIUM SPINE LOCK BONE X-CORE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW OD15 MM LOCK BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW OD2.4 MM CORTEX BONE,109.1,54.55,20.89,98.19,65
HCPCS,C1713,SCREW OD21 MM MEDIUM PEEK SPINE RADIOLUCENT EXPAND VERTEBRAL BODY REPLACEMENT ENDPLATE BONE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW OD25 MM LOCK BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW OD27 MM LARGE PEEK SPINE RADIOLUCENT EXPAND VERTEBRAL BODY REPLACEMENT ENDPLATE BONE XRL,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SCREW OD3 MM L24 MM NONLOCK BONE MINIBUNION,178.5,89.25,34.18,160.65,65
HCPCS,C1713,SCREW OD3.5 MM SPINE INNER OCCIPITOCERVICOTHORACIC SYSTEM BONE MOUNTAINEER,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW OD3.5 MM TITANIUM SPINE OCCIPITOCERVICAL INNER BONE MOUNTAINEER,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW OD30 MM LOCK BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW OD30 MM SMALL CAGE ARTHROPLASTY BONE ECLIPSE,1863.0,931.5,356.76,1676.7,65
HCPCS,C1713,SCREW OD35 MM LOCK BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW OD35 MM MEDIUM CAGE ARTHROPLASTY BONE ECLIPSE,1863.0,931.5,356.76,1676.7,65
HCPCS,C1713,SCREW OD4 MM L100 MM L30 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM L100 MM L30 MM SELF DRILL TITANIUM EXTERNAL FIXATION,151.32,75.66,28.98,136.19,65
HCPCS,C1713,SCREW OD4 MM L120 MM SPADE POINT MR CONDITIONAL STAINLESS STEEL PELVIC EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,81.24,40.62,15.56,73.12,65
HCPCS,C1713,SCREW OD4 MM L125 MM L40 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM L125 MM L40 MM SELF DRILL STAINLESS STEEL HA HIP CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATION SYSTEM,200.83,100.42,38.46,180.75,65
HCPCS,C1713,SCREW OD4 MM L150 MM L40 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM L175 MM L40 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM L175 MM L40 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,136.41,68.21,26.12,122.77,65
HCPCS,C1713,SCREW OD4 MM L175 MM L40 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL HA HIP CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,200.83,100.42,38.46,180.75,65
HCPCS,C1713,SCREW OD4 MM L60 MM L20 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLAR EXTERNAL FIXATION,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM L60 MM SPADE POINT STAINLESS STEEL EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,81.24,40.62,15.56,73.12,65
HCPCS,C1713,SCREW OD4 MM L80 MM L20 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM L80 MM SPADE POINT STAINLESS STEEL EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,81.24,40.62,15.56,73.12,65
HCPCS,C1713,SCREW OD4 MM ODSEC2.5 MM L65 MM L18 MM TROCAR POINT SCHANZ STAINLESS STEEL EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,120.42,60.21,23.06,108.38,65
HCPCS,C1713,SCREW OD4 MM ODSEC2.5 MM L80 MM L20 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM ODSEC2.5 MM L80 MM L20 MM TROCAR POINT SCHANZ STAINLESS STEEL EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,120.42,60.21,23.06,108.38,65
HCPCS,C1713,SCREW OD4 MM ODSEC3 MM L100 MM L20 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM ODSEC3 MM L65 MM L18 MM SELF DRILL MR CONDITIONAL SCHANZ STAINLESS STEEL CONDYLE EXTERNAL FIXATION,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM ODSEC3 MM L80 MM L20 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,135.63,67.82,25.97,122.07,65
HCPCS,C1713,SCREW OD4 MM ODSEC3 MM L80 MM L20 MM SELF DRILL TITANIUM EXTERNAL FIXATION,151.32,75.66,28.98,136.19,65
HCPCS,C1713,SCREW OD4 MM ODSEC3 MM L80 MM L20 MM TROCAR POINT MR CONDITIONAL SCHANZ STAINLESS STEEL EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,81.24,40.62,15.56,73.12,65
HCPCS,C1713,SCREW OD4 MM STAINLESS STEEL CANCELLOUS BONE NA,21.89,10.95,4.19,19.7,65
HCPCS,C1713,SCREW OD4.5 MM L150 MM L18 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL PELVIC SHORT THREAD EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,80.78,40.39,15.47,72.7,65
HCPCS,C1713,SCREW OD4.5 MM L175 MM L18 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL PELVIC SHORT THREAD EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,86.73,43.37,16.61,78.06,65
HCPCS,C1713,SCREW OD4.5 MM L200 MM L18 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL PELVIC SHORT THREAD EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,86.73,43.37,16.61,78.06,65
HCPCS,C1713,SCREW OD4.5 MM L38 MM POLYAXIAL LOCKING,140.0,70.0,26.81,126.0,65
HCPCS,C1713,SCREW OD4.5 MM L46 MM CANNULATED HEAD,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW OD40 MM LARGE CAGE BONE ECLIPSE,1863.0,931.5,356.76,1676.7,65
HCPCS,C1713,SCREW OD40 MM LOCK BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW OD45 MM LOCK BONE,126.0,63.0,24.13,113.4,65
HCPCS,C1713,SCREW OD45 MM XL CAGE ARTHROPLASTY BONE ECLIPSE,1863.0,931.5,356.76,1676.7,65
HCPCS,C1713,SCREW OD5 MM D25 MM SPINE LATERAL STAND ALONE ALIF BONE IDENTITI,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW OD5 MM L100 MM L30 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,127.78,63.89,24.47,115.0,65
HCPCS,C1713,SCREW OD5 MM L100 MM L30 MM SELF DRILL STAINLESS STEEL HA HIP CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATION SYSTEM,206.16,103.08,39.48,185.54,65
HCPCS,C1713,SCREW OD5 MM L125 MM BLUNT TROCAR POINT STAINLESS STEEL XLONG EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,85.19,42.6,16.31,76.67,65
HCPCS,C1713,SCREW OD5 MM L125 MM L40 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,127.78,63.89,24.47,115.0,65
HCPCS,C1713,SCREW OD5 MM L125 MM L40 MM SELF DRILL STAINLESS STEEL HA CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATION SYSTEM,206.16,103.08,39.48,185.54,65
HCPCS,C1713,SCREW OD5 MM L150 MM BLUNT TROCAR POINT STAINLESS STEEL XLONG EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,85.19,42.6,16.31,76.67,65
HCPCS,C1713,SCREW OD5 MM L150 MM L50 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL HA PELVIC XLONG EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,125.78,62.89,24.09,113.2,65
HCPCS,C1713,SCREW OD5 MM L150 MM L60 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,127.78,63.89,24.47,115.0,65
HCPCS,C1713,SCREW OD5 MM L150 MM L60 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL HA CONDYLE EXTERNAL FIXATION,221.46,110.73,42.41,199.31,65
HCPCS,C1713,SCREW OD5 MM L170 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL HA XLONG EXTERNAL FIXATION,131.7,65.85,25.22,118.53,65
HCPCS,C1713,SCREW OD5 MM L175 MM L60 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL HA CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,221.46,110.73,42.41,199.31,65
HCPCS,C1713,SCREW OD5 MM L200 MM L50 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL HA PELVIC XLONG EXTERNAL FIXATION,131.7,65.85,25.22,118.53,65
HCPCS,C1713,SCREW OD5 MM L200 MM L80 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,127.78,63.89,24.47,115.0,65
HCPCS,C1713,SCREW OD5 MM L200 MM L80 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL HA CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,221.46,110.73,42.41,199.31,65
HCPCS,C1713,SCREW OD5 MM L24 MM CORTICAL FLAT HEAD BONE BONE SCREWS,55.0,27.5,10.53,49.5,65
HCPCS,C1713,SCREW OD5 MM L250 MM BLUNT TROCAR POINT MR CONDITIONAL STAINLESS STEEL PELVIC EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,91.14,45.57,17.45,82.03,65
HCPCS,C1713,SCREW OD5 MM L250 MM L50 MM BLUNT TROCAR POINT SCHANZ STAINLESS STEEL HA PELVIC XLONG EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,131.7,65.85,25.22,118.53,65
HCPCS,C1713,SCREW OD5 MM L250 MM L80 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL HA CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,221.46,110.73,42.41,199.31,65
HCPCS,C1713,SCREW OD5 MM L44 MM FEMORAL LOW PROFILE RFN-ADVANCED BONE NA,254.73,127.37,48.78,229.26,65
HCPCS,C1713,SCREW OD5 MM L80 MM SELF DRILL EXTERNAL FIXATION,127.78,63.89,24.47,115.0,65
HCPCS,C1713,SCREW OD5 MM ODSEC4.5 MM SPINE LOCK BONE RELINE RSS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW OD5.0 MM L200 MM BLUNTED TROCAR POINT MR CONDITIONAL SCHANZ STAINLESS STEEL EXTERNAL FIXATION ADJUSTABLE LARGE FIXATOR,91.14,45.57,17.45,82.03,65
HCPCS,C1713,SCREW OD5.5 MM SPINE LOCK OPEN TULIP BONE RELINE,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW OD5.5 MM SPINE POLYAXIAL TULIP BONE CREO CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW OD5.5 MM SPINE POLYAXIAL TULIP THREAD BONE CREO CREO AMP,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW OD5.5/6 MM SPINE CORTICAL CONNECTOR TOP SIDE BONE CD HORIZON MODULEX,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW OD6 MM D30 MM SPINE LATERAL STAND ALONE ALIF BONE IDENTITI,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW OD6 MM L160 MM L50 MM SPADE POINT SCHANZ STAINLESS STEEL HA EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,157.46,78.73,30.15,141.71,65
HCPCS,C1713,SCREW OD6 MM L175 MM L60 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,136.41,68.21,26.12,122.77,65
HCPCS,C1713,SCREW OD6 MM L190 MM L50 MM SPADE POINT SCHANZ STAINLESS STEEL HA EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,157.46,78.73,30.15,141.71,65
HCPCS,C1713,SCREW OD6 MM L200 MM L80 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL CONDYLE EXTERNAL FIXATION LARGE EXTERNAL FIXATOR,136.41,68.21,26.12,122.77,65
HCPCS,C1713,SCREW OD6 MM L200 MM L80 MM SELF DRILL MR CONDITIONAL STAINLESS STEEL HA HIP CONDYLE EXTERNAL FIXATION,234.57,117.29,44.92,211.11,65
HCPCS,C1713,SCREW OD6 MM SPINE LOCK OPEN TULIP BONE RELINE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW OD6 MM TITANIUM HUMERUS COMPRESSION INTRAMEDULLARY NAIL BONE T2,134.64,67.32,25.78,121.18,65
HCPCS,C1713,SCREW OD6-7 MM L30 MM TAPER INTERFERENCE,390.0,195.0,74.69,351.0,65
HCPCS,C1713,SCREW OD7 MM L23 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD7 MM L30 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD8 MM BIOCOMPOSITE SHOULDER L28 MM DELTA TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW OD8 MM L20 MM INTERFERENCE,287.0,143.5,54.96,258.3,65
HCPCS,C1713,SCREW OD8 MM PEEK L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW OD8 MM TITANIUM TIBIAL COMPRESSION BONE T2,142.8,71.4,27.35,128.52,65
HCPCS,C1713,SCREW OD9 MM BIOCOMPOSITE SHOULDER L28 MM DELTA TAPER INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW OD9 MM L23 MM INTERFERENCE,350.0,175.0,67.03,315.0,65
HCPCS,C1713,SCREW OD9 MM L30 MM INTERFERENCE,392.0,196.0,75.07,352.8,65
HCPCS,C1713,SCREW OD9 MM PEEK L20 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW OD9 MM PEEK L30 MM INTERFERENCE,295.0,147.5,56.49,265.5,65
HCPCS,C1713,SCREW ORTHOPEDIC GUIDE HEADED 3.2MM 27MM INNER HEXAGON HUB FEMALE THREADED NON-STERILE,130.0,65.0,24.9,117.0,65
HCPCS,C1713,SCREW ORTHOPEDIC GUIDE HEADED 3.2MM 67MM TRIANGLE HUB THREADED NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW ORTHOPEDIC GUIDE HEADED 3.2MM 76MM 3-KANT TRIANGLE HUB THREADED NON-STERILE,210.0,105.0,40.22,189.0,65
HCPCS,C1713,SCREW ORTHOPEDIC GUIDE HEADLESS 3.2MM 76MM THREADED NON-STERILE,210.0,105.0,40.22,189.0,65
HCPCS,C1713,SCREW PA CNN LCK 3 X 46 MM BONE HUMERAL FIXATION SET,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW PACK BICORTICAL BUNION CORRECTION SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW POLYAXIAL LOCKING 3.0 MM X 50MM CANNULATED COCR BONE HUMERAL FIXATION SET,277.0,138.5,53.05,249.3,65
HCPCS,C1713,SCREW POROUS GLENOSPHERE MODULAR LOCK BONE UNIVERS REVERS,85.0,42.5,16.28,76.5,65
HCPCS,C1713,SCREW RADIOSURGICAL 2.5X12MM IMPLANT LOCKING SCREWS ANTHEM DISTAL RADIUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW RADIOSURGICAL 2.5X14MM IMPLANT LOCKING SCREWS ANTHEM DISTAL RADIUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW RADIOSURGICAL 2.5X16MM IMPLANT LOCKING SCREWS ANTHEM DISTAL RADIUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW RADIOSURGICAL 2.5X18MM IMPLANT LOCKING SCREWS ANTHEM DISTAL RADIUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW RADIOSURGICAL 2.5X24MM IMPLANT LOCKING SCREWS ANTHEM DISTAL RADIUS,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW RELINE-O 8.5X55MM TRACTION POLY,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW RESCUE 16MM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW RETROSCREW ACL REVERSE THREAD DESIGN OD10 MM BIOCOMPOSITE TIBIA L20 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW RETROSCREW BIOCOMPOSITE L8 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW RETROSCREW RECONSTRUCTION REVERSE THREAD OD8 MM POLY-L-LACTIC ACID TIBIAL ACL L20 MM INTERFERENCE,194.0,97.0,37.15,174.6,65
HCPCS,C1713,SCREW RETROSCREW REVERSE THREAD DESIGN OD20 MM BIOCOMPOSITE TIBIA ACL L7 MM INTERFERENCE,235.0,117.5,45.0,211.5,65
HCPCS,C1713,SCREW SET 8MM 17.5MM GAMMA3 TITANIUM STERILE HIP LONG NAIL,150.96,75.48,28.91,135.86,65
HCPCS,C1713,SCREW SET 90 D LOCK S3,71.5,35.75,13.69,64.35,65
HCPCS,C1713,SCREW SET ASTRA T30 NONSTERILE SPINE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET CAP SMALL,35.0,17.5,6.7,31.5,65
HCPCS,C1713,SCREW SET COCRMO L50 MM OD6.5 MM SPINE FENESTRATE MULTIAXIAL CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SET EUROPA SPINE PEDICLE MIS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET EXPEDIUM 1 INNER MONOAXIAL TITANIUM SPINE 5.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET GIBRALT TITANIUM SPINE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SET INFINITY STANDARD STERILE SPINE LATEX FREE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET INVICTUS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET LARGE SPINE OPEN HOOK RESPONSE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET LOCK TITANIUM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET M6 SPINE OCCIPITOCERVICAL UPPER THORACIC INFINITY,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET M6 SPINE VERTEX,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET MARINER POINT LOCK NONSTERILE SPINE LATEX FREE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET MINI SPINE CASPIAN ATR,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET MULTIAXIAL 2 PK STERILE 559200007,690.0,345.0,132.14,621.0,65
HCPCS,C1713,SCREW SET OD5.5/6 MM CD HORIZON SOLERAL VOYAGER,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET OD8 MM GREATER TROCHANTER T2 ALPHA,147.26,73.63,28.2,132.53,65
HCPCS,C1713,SCREW SET SPINAL M10X1.0 F/EUROPA,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINAL M8X1.0 F/EUROPA,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE CLOSED INVICTUS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE DENALI ATR,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE EXPEDIUM VERSE 5.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE FIREBIRD NXG,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE FLAT CONNECTOR CROSSLINK,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE FLAT CONNECTOR INFINITY,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE INVICTUS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE MULTIAXIAL CONNECTOR LOCK CROSSLINK,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE MULTIAXIAL CONNECTOR VERTEX RECONSTRUCTION SYSTEM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE OCCIPITOCERVICOTHORACIC YUKON,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE PRECEPT,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE ROD CONNECTOR VUEPOINT,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE TULIP LAMINAR HOOK VUEPOINT II,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET SPINE UNITIZE EXPEDIUM VERSE 5.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET STAINLESS STEEL MULTIAXIAL CD HORIZON MODULEX,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW SET STANDARD SPINE INFINITY,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET STREAMLINE SPINE THORACOLUMBAR FIXATION SYSTEM,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM L13 MM SPINE PEDICLE ANTICROSS THREAD SAVANNAH-T,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM M8 SPINE BREAK OFF CD HORIZON,40.0,20.0,7.66,36.0,65
HCPCS,C1713,SCREW SET TITANIUM M8 SPINE BREAK OFF CD HORIZON SEXTANT,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM OD.25 IN SPINE BREAK OFF 2 HEXAGONAL TSRH-3D,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM OD1/4 IN STANDARD 32 THREAD SPINE BREAK OFF CAP CD HORIZON,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE 1 INNER VIPER 5.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE 1 INNIE EXPEDIUM 4.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE 1 INNIE EXPEDIUM 6.35 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON 4.75 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON 5.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON LEGACY,160.7,80.35,30.77,144.63,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON LEGACY 5.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON LEGACY 6.35 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON SEXTANT 5.5/6 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF CD HORIZON SPINAL SYSTEM 4.5 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE BREAK OFF REDUCTION CD HORIZON 5.5/6 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE CD HORIZON 4.75 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE CD HORIZON 5.5/6 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE CD HORIZON LEGACY 6.35 MM ROD,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SET TITANIUM SPINE PERCUTANEOUS SOLERA 4.75 MM ROD,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM T15 STANDARD SPINE LOCK CAP SYMPHONY,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM X10 SPINE PEDICLE BREAK OFF REVERSE ANGLE THREAD CROSSLINK,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET TITANIUM X25 SPINE VARIABLE ANGLE CONNECTOR M7,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SET UNIVERSAL SPINE LOCK END CAP X-CORE MINI,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SHANK CANNULATED OSTEOGRIP FENESTRATED 7.5 X 50 TI,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW SHANK CD HORIZON MODULEX ILIAC CANNUALATED 9.5X90MM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW SHOULDER GLENOSPHERE LOCK REVERSE BONE EQUINOXE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SMOOTH PED LOCKING 2.0MM X14MM TI,81.0,40.5,15.51,72.9,65
HCPCS,C1713,SCREW SOFTSILK CANNULATED CORKSCREW TIP ROUND HEAD SOFT THREAD ARTHROSCOPIC OD8 MM ODSEC1.5 MM TITANIUM ACL PCL L20 MM INTERFERENCE,160.0,80.0,30.64,144.0,65
HCPCS,C1713,SCREW SOFTSILK CANNULATED ROUND HEAD OD9 MM ODSEC1.5 MM TITANIUM ACL PCL L25 MM INTERFERENCE,194.67,97.34,37.28,175.2,65
HCPCS,C1713,SCREW SOFTSILK CANNULATED ROUND OD7 MM ODSEC1.5 MM TITANIUM ACL PCL L20 MM INTERFERENCE,194.67,97.34,37.28,175.2,65
HCPCS,C1713,SCREW SOFTSILK CANNULATED ROUND OD8 MM ODSEC1.5 MM TITANIUM ACL PCL L20 MM INTERFERENCE,194.67,97.34,37.28,175.2,65
HCPCS,C1713,SCREW SOFTSILK CANNULATED ROUND OD9 MM ODSEC1.5 MM TITANIUM ACL PCL L20 MM INTERFERENCE,194.67,97.34,37.28,175.2,65
HCPCS,C1713,SCREW SPINAL 10.5MM 40MM EVEREST SACROILIAC,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 40MM TITANIUM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 45MM EVEREST SACROILIAC,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 50MM 2S POLYAXIAL RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 50MM EVEREST SACROILIAC,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 55MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 70MM 2S POLYAXIAL RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 10.5MM 90MM 2S POLYAXIAL RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 10MM 30MM HYDROXYAPATITE SLOTTED SI-LOK STERILE SACROILIAC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,SCREW SPINAL 10MM 35MM HYDROXYAPATITE SLOTTED SI-LOK STERILE SACROILIAC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,SCREW SPINAL 10MM 40MM HYDROXYAPATITE SLOTTED SI-LOK STERILE SACROILIAC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,SCREW SPINAL 10MM 45MM HYDROXYAPATITE SLOTTED SI-LOK STERILE SACROILIAC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,SCREW SPINAL 10MM 50MM HYDROXYAPATITE SLOTTED SI-LOK STERILE SACROILIAC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,SCREW SPINAL 11.5MM 90MM 2S POLYAXIAL RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 2.4MM 8MM TITANIUM CORTICAL STARDRIVE RECESS SELF-TAPPING ARCH ANTERIOR CERVICAL,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SPINAL 20MM FAVOR ANGLE OD3.5MM VUEPOINT,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 22MM FAVOR ANGLE OD4MM VUEPOINT,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 24MM FAVOR ANGLE OD 3.5MM VUEPOINT LI,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 10MM POLYAXIAL BLACKBIRD,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 12MM COBALT CHROMIUM PEDICLE TAPERED TIP POLYAXIAL ELLIPSE POSTERIOR OCCIPITO-CERVICO-THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 12MM POLYAXIAL BLACKBIRD,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 12MM POLYAXIAL BLACKBIRD CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 12MM SELF-DRILLING VARIABLE ANGLE TOMCAT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 12MM TITANIUM FIXED ANGLE RELINE-C NON-STERILE THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 14MM POLYAXIAL BLACKBIRD,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 14MM SELF-DRILLING VARIABLE ANGLE CODA,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 14MM SELF-DRILLING VARIABLE ANGLE TOMCAT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 14MM SELF-TAPPING CONSTRAINED CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 14MM SELF-TAPPING VARIABLE ANGLE CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 14MM TITANIUM FIXED ANGLE RELINE-C NON-STERILE THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 16MM POLYAXIAL BLACKBIRD,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 16MM POLYAXIAL BLACKBIRD CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 16MM SELF-DRILLING VARIABLE ANGLE CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 16MM SELF-DRILLING VARIABLE ANGLE TOMCAT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 16MM SELF-TAPPING VARIABLE ANGLE CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 16MM TITANIUM SELF-DRILLING VARIABLE ANGLE CASTLELOC-P CERVICAL,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 18MM SELF-DRILLING VARIABLE ANGLE CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 18MM SELF-TAPPING VARIABLE ANGLE CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 19MM TITANIUM SELF-DRILLING VARIABLE ANGLE ZEVO ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 3.5MM 22MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT NON-STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 24MM POLYAXIAL SHAFT F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 28MM TITANIUM PARTIALLY THREADED FAVORED ANGLE VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 30MM POLYAXIAL SHAFT F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 30MM TITANIUM POLYAXIAL QUARTEX SHOULDER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 32MM TITANIUM POLYAXIAL QUARTEX SHOULDER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 34MM POLYAXIAL F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 34MM POLYAXIAL SHAFT F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 34MM TITANIUM POLYAXIAL QUARTEX SHOULDER,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 36MM POLYAXIAL SHAFT F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL 3.5MM 38MM POLYAXIAL SHAFT F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL 3.6MM 14MM TITANIUM SELF-TAPPING VARIABLE ANGLE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 3.6MM 16MM TITANIUM SELF-TAPPING VARIABLE ANGLE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 3.75MM DIA 18MML SELF-DRILLING VARIABLE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 3.8MM 10MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 12MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 12MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 14MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 14MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 16MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 18MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 20MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 22MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 22MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 24MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 24MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 26MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 26MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 28MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 28MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 3.8MM 30MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.25MM 14MM SELF-TAPPING VARIABLE ANGLE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 4.25MM DIA 16MML SELF-TAPPING VARIABLE,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 4.2MM 10MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 12MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 14MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 14MM SELF-TAPPING FIXED ANGLE F/ANTERIOR CERVICAL PLATE SYSTEM HYPER-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 14MM TITANIUM SELF-TAPPING VARIABLE ANGLE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 4.2MM 16MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 16MM SELF-DRILLING VARIABLE ANGLE F/ANTERIOR CERVICAL PLATE SYSTEM HYPER-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 16MM TITANIUM SELF-TAPPING VARIABLE ANGLE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 4.2MM 18MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 18MM TITANIUM SELF-TAPPING VARIABLE ANGLE COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL 4.2MM 20MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 22MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 24MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 26MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 26MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 28MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 30MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.2MM 32MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 4.35MM 16MM VARIABLE/SELF-DRILLING DEFENDER ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.3MM 16MM PURPLE KWIK-FIX ANTERIOR CERVICAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.3MM 18MM KWIK-FIX ANTERIOR CERVICAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 10MM RELINE-C OCCIPITAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 12MM RELINE-C NON-STERILE OCCIPITAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 12MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 14MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 14MM TITANIUM SELF-TAPPING FIXED ANGLE RESCUE GREEN APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 14MM TITANIUM SELF-TAPPING VARIABLE ANGLE RESCUE PURPLE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 15MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 16MM SELF-TAPPING VARIABLE ANGLE OZARK ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 16MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 16MM TITANIUM SELF-TAPPING FIXED ANGLE RESCUE GREEN APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 16MM TITANIUM SELF-TAPPING VARIABLE ANGLE RESCUE PURPLE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 18MM TITANIUM SELF-TAPPING FIXED ANGLE RESCUE GREEN APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 18MM TITANIUM SELF-TAPPING VARIABLE ANGLE RESCUE PURPLE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM 20MM FIXED ANGLE RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 20MM MULTIAXIAL INFINITY OCCIPITOCERVICAL UPPER THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 22MM F/MEDIAL LATERAL YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 24MM TITANIUM POLYAXIAL QUARTEX OCCIPITO-CERVICO-THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 25MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 25MM CORTICAL CANCELLOUS MULTIAXIAL RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 26MM FIXED ANGLE RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 28MM F/MEDIAL LATERAL YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 30MM 2S UNIPLANAR RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 30MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 30MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5/6MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 30MM POLYAXIAL EVEREST,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 30MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5/6MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM POLYAXIAL EVEREST,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 35MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 40MM 2S UNIPLANAR RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 40MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 40MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 40MM PEDICLE POLYAXIAL SEAFOAM F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 40MM POLYAXIAL EVEREST,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 40MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED EXTENDED TAB VIPER PRIME NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 45MM PEDICLE POLYAXIAL SEAFOAM F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 45MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 4.5MM 8MM TITANIUM RELINE-C NON-STERILE OCCIPITAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4.5MM DIA 14MML TITANIUM SELF-STARTING PYRENEES ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.6MM 14MM TITANIUM SELF-TAPPING VARIABLE ANGLE VIP ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4.6MM 24MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.6MM 28MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.6MM 32MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.6MM 36MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 4.6MM 36MM TITANIUM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4.75MM/6.35MM DIA 20MML OFFSET,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW SPINAL 4.75MM/6.35MM DIA 30MML OFFSET,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW SPINAL 4.75MM/6.35MM DIA 40MML OFFSET,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW SPINAL 4.75MM/6MM DIA 20MML OFFSET,425.0,212.5,81.39,382.5,65
HCPCS,C1713,SCREW SPINAL 435MM 14MM VARIABLE/SELF-DRILLING DEFENDER ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 12MM SELF-DRILLING VARIABLE ANGLE DEFENDER NON-STERILE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 12MM TITANIUM SELF-DRILLING FIXED ANGLE GOLD APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 12MM TITANIUM SELF-DRILLING VARIABLE ANGLE DARK BLUE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 12MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 13MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM GREEN KWIK-FIX ANTERIOR CERVICAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM SELF-DRILLING FIXED,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM SELF-DRILLING FIXED ANGLE APTITUDE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM SELF-DRILLING FIXED ANGLE F/ANTERIOR CERVICAL PLATE SYSTEM HYPER-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM SELF-DRILLING FIXED ANGLE TOMCAT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM SELF-DRILLING VARIABLE ANGLE F/ANTERIOR CERVICAL PLATE SYSTEM HYPER-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM SELF-TAPPING VARIABLE ANGLE OVERSIZED CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM TITANIUM SELF-DRILLING VARIABLE ANGLE DARK BLUE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM TITANIUM SELF-DRILLING/TAPPING FIXED ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM TITANIUM SELF-TAPPING VARIABLE ANGLE PURPLE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 14MM VARIABLE/SELF-DRILLING DEFENDER ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 15MM TITANIUM HEXALOBE HEAD SELF-TAPPING FIXED ANGLE CONSTRAINED SKYLINE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 15MM TITANIUM HEXALOBE HEAD SELF-TAPPING VARIABLE ANGLE SKYLINE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 15MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM BLUE KWIK-FIX ANTERIOR CERVICAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM FIXED ANGLE RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM MONOAXIAL RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM SELF-DRILLING FIXED ANGLE APTITUDE ANTERIOR CERVICAL C154-4016-FSD,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM SELF-DRILLING FIXED ANGLE APTITUDE ANTERIOR CERVICAL C154-4016-VSD,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM SELF-DRILLING FIXED ANGLE TOMCAT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM SELF-DRILLING VARIABLE ANGLE F/ANTERIOR CERVICAL PLATE SYSTEM HYPER-C,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM TEAL KWIK-FIX ANTERIOR CERVICAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM TITANIUM SELF-TAPPING FIXED ANGLE GREEN APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM TITANIUM SELF-TAPPING VARIABLE ANGLE F/PLATE FIXATION SYSTEM CODA NON-STERILE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 16MM VARIABLE/SELF-DRILLING DEFENDER ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 17MM TITANIUM HEXALOBE HEAD SELF-TAPPING FIXED ANGLE CONSTRAINED SKYLINE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM HIGH ANGLE KWIK-FIX ANTERIOR CERVICAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM POLYAXIAL F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM SELF-DRILLING FIXED ANGLE APTITUDE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM SELF-TAPPING VARIABLE ANGLE OVERSIZED CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM TITANIUM SELF-DRILLING VARIABLE ANGLE DARK BLUE APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM TITANIUM SELF-DRILLING/TAPPING VARIABLE ANGLE AMBASSADOR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL 4MM 18MM TITANIUM SELF-TAPPING FIXED ANGLE GREEN APTITUDE,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 20MM FIXED ANGLE RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4MM 20MM MONOAXIAL RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4MM 20MM POLYAXIAL F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 4MM 20MM SELF-STARTING VARIABLE ANGLE OZARK NON-STERILE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 20MM TITANIUM HEXALOBE HEAD SELF-DRILLING VARIABLE ANGLE SKYLINE ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 20MM TITANIUM SELF-DRILLING VARIABLE ANGLE ATLANTIS TRANSLATIONAL ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4MM 22MM FIXED ANGLE RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 4MM 25MM TITANIUM POLYAXIAL THREADED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4MM 26MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT MEDIAL LATERAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4MM 28MM MULTIAXIAL PARTIAL THREADED INFINITY OCCIPITOCERVICAL UPPER THORACIC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 4MM 30MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 4MM 30MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4MM 32MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT NON-STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4MM 34MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT NON-STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4MM 36MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 4MM DIA 14MML TITANIUM SELF-TAPPING VARIABLE ANGLE ZEVO ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL 4X12MM POLYAXIAL TITAN NONSTRL,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 5.5-4.5MM 35MM TITANIUM CORTICAL MODULAR CREO AMP THORACOLUMBAR,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW SPINAL 5.5-4.5MM 40MM TITANIUM CORTICAL MODULAR CREO AMP THORACOLUMBAR,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 24MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 25MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 25MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 25MM SELF DRILLING VARIABLE ANGLE F/INTERBODY FUSION CAGE INDEPENDENCE MIS STERILE ANTERIOR LUMBAR,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 26MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 27.5MM TITANIUM FIXED ANGLE INDEPENDENCE ANTERIOR CERVICAL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 28MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 28MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 28MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM 2C POLYAXIAL RELINE MAS ILIAC,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM 2FS POLYAXIAL RELINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5/6MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 30MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 32MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 32MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 32MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 32MM TITANIUM POLYAXIAL QUARTEX OCCIPITO-CERVICO-THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 34MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM 2FS POLYAXIAL RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM COBALT CHROMIUM HYDROXYAPATITE MULTIAXIAL F/4.75MM ROD CD HORIZON,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM PEDICLE POLYAXIAL BLUE F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 35MM POLYAXIAL TRACTION RELINE-O POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 36MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 36MM POLYAXIAL EXTENDED TAB PROFICIENT POSTERIOR CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 36MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 38MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM PEDICLE POLYAXIAL BLUE F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 40MM POLYAXIAL PROFICIENT POSTERIOR CERVICAL,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 44MM SELF-STARTING CAYMAN LATERAL LUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 45MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 45MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 45MM PEDICLE POLYAXIAL BLUE F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 45MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 45MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 50MM 2MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 50MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 50MM PEDICLE POLYAXIAL BLUE F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 50MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 50MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 50MM POLYAXIAL FENESTRATED F/5.5/6MM ROD TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 55MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM 55MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM COBALT CHROMIUM PEDICLE HOUSING F1 MPS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM COBALT CHROMIUM TULIP HEAD POLYAXIAL F/5.5MM ROD CREO AMP THORACOLUMBAR,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 28MML POLYAXIAL F/4MM ROD SYMPHONY OCT,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 40MML 2MM PITCH SALVO NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 40MML TITANIUM CANCELLOUS CORTICAL T25 STARDRIVE RECESS DUAL CORE/LEAD THREADED POLYAXIAL SELF-TAPPING GREEN F/5.5MM ROD MATRIX NON-STERILE POSTERIOR PEDICLE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 45MML 2MM PITCH SALVO NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 50MML CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 55MML POLYAXIAL CREO DLX STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA 55MML SELF-DRILLING INDEPENDENCE ANTERIOR CERVICAL,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL 5.5MM DIA TRANS FACET CONNECTOR KIT JAZZ SYSTEM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SCREW SPINAL 5MM 20MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 22MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 22MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 24MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 25MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 25MM CORTICAL CANCELLOUS RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 5MM 25MM TITANIUM STAND-ALONE HARRIER,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW SPINAL 5MM 26MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITOCERVICOTHORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 28MM CORTICAL POLYAXIAL FIX THREAD F/4MM ROD SYMPHONY OCCIPITO-CERVICO-THORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM 2C POLYAXIAL RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM CORTICAL CANCELLOUS RELINE-C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM TITANIUM CORTICAL PEDICLE POLYAXIAL FENESTRATED EXTENDED TAB F/5.5MM ROD VIPER PRIME NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM TITANIUM PEDICLE UNIPLANAR F/5.5MM ROD VIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 30MM TITANIUM STAND-ALONE HARRIER,245.0,122.5,46.92,220.5,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM 2C POLYAXIAL RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM 2S UNIPLANAR RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM MULTIAXIAL RELINE-C THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM TITANIUM CORTICAL PEDICLE POLYAXIAL FENESTRATED EXTENDED TAB F/5.5MM ROD VIPER PRIME NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5MM 35MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5MM 36MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT OCCIPITOCERVICOTHORACIC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM 2S POLYAXIAL RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM 2S UNIPLANAR RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM TITANIUM CORTICAL PEDICLE POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 40MM TITANIUM MULTIAXIAL VUEPOINT II,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL 5MM 44MM SELF-STARTING CAYMAN LATERAL LUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL 5MM 45MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 5MM 45MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 5MM 45MM TITANIUM CORTICAL PEDICLE POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM 45MM TITANIUM CORTICAL PEDICLE POLYAXIAL FENESTRATED EXTENDED TAB F/5.5MM ROD VIPER PRIME STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5MM 50MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 5MM 50MM TITANIUM CORTICAL PEDICLE POLYAXIAL FENESTRATED EXTENDED TAB F/5.5MM ROD VIPER PRIME,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5MM 50MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 5MM DIA 20MML TITANIUM CORTICAL FIXED ANGLE F/5.5MM ROD VIPER NON-STERILE PEDICLE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 5MM DIA 25MML TITANIUM CORTICAL FIXED ANGLE F/5.5MM ROD VIPER NON-STERILE PEDICLE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6-5MM 40MM TITANIUM CORTICAL MODULAR CREO AMP THORACOLUMBAR,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 6.5-5.5MM 40MM TITANIUM CORTICAL MODULAR CREO AMP THORACOLUMBAR,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 6.5-5.5MM DIA 45MML TITANIUM CORTICAL MODULAR CREO AMP THORACOLUMBAR,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 30MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 30MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 30MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 30MM TITANIUM POLYAXIAL TRACTION RELINE-O NON-STERILE POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 35MM 2FS POLYAXIAL RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 35MM PEDICLE POLYAXIAL LIME GREEN F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 35MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 35MM POLYAXIAL THREADED FENESTRATED CREO THORACOLUMBAR,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM PEDICLE POLYAXIAL LIME GREEN F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM POLYAXIAL FENESTRATED F/5.5/6MM ROD TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM TITANIUM HYDROXYAPATITE POLYAXIAL THREADED F/5.5MM ROD CREO STERILE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 40MM TITANIUM VARIABLE ANGLE COROENT XL-F,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM 4C POLYAXIAL RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM FENESTRATED POLYAXIAL CREO DLX,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM MODULAR CREO ONE ROBOTIC,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM PEDICLE POLYAXIAL LIME GREEN F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM POLYAXIAL FENESTRATED F/5.5/6MM ROD TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 45MM TITANIUM HYDROXYAPATITE POLYAXIAL THREADED F/5.5MM ROD CREO STERILE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM FENESTRATED POLYAXIAL CREO DLX,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM PEDICLE POLYAXIAL LIME GREEN F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM POLYAXIAL FENESTRATED F/5.5/6MM ROD TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM TITANIUM HYDROXYAPATITE POLYAXIAL THREADED F/5.5MM ROD CREO STERILE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 50MM TITANIUM UNIPLANAR XIA 3,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 55MM 2S MONOAXIAL RELINE-O,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 55MM FENESTRATED POLYAXIAL CREO DLX,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6.5MM 55MM PEDICLE POLYAXIAL LIME GREEN F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 55MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 55MM POLYAXIAL THREADED FENESTRATED CREO THORACOLUMBAR,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM 60MM POLYAXIAL THREADED FENESTRATED CREO THORACOLUMBAR,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 30MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 35MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 40MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 40MML TITANIUM POLYAXIAL EVEREST,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 45MML 2MM PITCH SALVO CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 45MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 50MML 2MM PITCH SALVO NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 50MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 55MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6.5MM DIA 60MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 6MM 20MM TITANIUM STAND-ALONE F/INTERBODY CAGE MONTEREY NON-STERILE ANTERIOR LUMBAR,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL 6MM 30MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6MM 30MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6MM 35MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6MM 35MM POLYAXIAL FENESTRATED F/5.5/6MM ROD TRIALTIS,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6MM 35MM TITANIUM CORTICAL POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6MM 35MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6MM 40MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6MM 40MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6MM 40MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6MM 40MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 6MM 40MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6MM 45MM 2S REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6MM 45MM 2S UNIPLANAR REDUCTION RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 6MM 45MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6MM 45MM TITANIUM PEDICLE UNIPLANAR F/5.5MM ROD VIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6MM 45MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6MM 50MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 6MM 50MM TITANIUM CORTICAL POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME 186760450,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6MM 50MM TITANIUM PEDICLE UNIPLANAR F/5.5MM ROD VIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6MM 55MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 6MM 55MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6MM 55MM TITANIUM CORTICAL POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME 1867-60-255,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6MM 55MM TITANIUM CORTICAL POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME 1867-60-455,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 6MM DIA 35MML TITANIUM UNIAXIAL VIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 6MM DIA 40MML TITANIUM UNIAXIAL VIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7.5MM 30MM POLYAXIAL TRACTION RELINE-O POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 35MM PEDICLE POLYAXIAL MAGENTA F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 35MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM 1134.174,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM PEDICLE POLYAXIAL MAGENTA F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM POLYAXIAL THREADED FENESTRATED CREO THORACOLUMBAR,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM TITANIUM PEDICLE POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7.5MM 40MM TITANIUM POLYAXIAL PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,575.0,287.5,110.11,517.5,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM 2S UNIPLANAR RELINE-O,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM 4C POLYAXIAL RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM PEDICLE POLYAXIAL MAGENTA F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM POLYAXIAL CREO DLX THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM TITANIUM HYDROXYAPATITE POLYAXIAL THREADED F/5.5MM ROD CREO STERILE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 45MM TITANIUM PEDICLE POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7.5MM 50MM PEDICLE POLYAXIAL MAGENTA F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 50MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 50MM TITANIUM PEDICLE POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7.5MM 55MM 2MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 55MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 55MM TITANIUM PEDICLE POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7.5MM 60MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 60MM POLYAXIAL EVEREST,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 60MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 70MM 2S CLOSED RELINE-O ILIAC,500.0,250.0,109.05,450.0,64
HCPCS,C1713,SCREW SPINAL 7.5MM 70MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 80MM 2S CLOSED RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 80MM 2S POLYAXIAL RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 80MM PEDICLE POLYAXIAL COLOR-CODED F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 80MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM 90MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM DIA 45MML 2MM PITCH SALVO NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM DIA 45MML CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM DIA 50MML 2MM PITCH SALVO NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM DIA 50MML CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM DIA 55MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7.5MM X 50MM OSTEPGRIP SHANK CD HORIZON TITANIUM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW SPINAL 7.5MMODX35MML F/INTERNAL FIXATION SYSTEM NON-STERILE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 75MM 40MM COBALT CHROMIUM MOLYBDENUM MULTIAXIAL FENESTRATED CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 75MM 80MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 7MM 35MM TITANIUM POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 7MM 45MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7MM 50MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7MM 50MM TITANIUM POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7MM 55MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 7MM 55MM TITANIUM POLYAXIAL EXTENDED TAB F/5.5MM ROD VIPER PRIME,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 7MM 55MM TITANIUM POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 7MM 60MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 7MM 60MM TITANIUM POLYAXIAL EXTENDED TAB FENESTRATED F/5.5MM ROD VIPER PRIME,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 7MM DIA 35MML TITANIUM CANCELLOUS CORTICAL T25 STARDRIVE RECESS DUAL CORE/LEAD THREADED POLYAXIAL SELF-TAPPING PRE-ASSEMBLED LIGHT GREEN F/5.5MM ROD MATRIX NON-STERILE POSTERIOR PEDICLE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 100MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 100MM 2S CLOSED RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 100MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 100MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 35MM PEDICLE POLYAXIAL DUAL LEAD THREADED TOP LOADING F/5.5/6MM ROD EVEREST,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 40MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 40MM 2FS POLYAXIAL RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 40MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 40MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 40MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM 2FS POLYAXIAL RELINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM 2MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM COBALT CHROMIUM MOLYBDENUM MULTIAXIAL FENESTRATED CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM PEDICLE POLYAXIAL BRONZE F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 45MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 50MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 50MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 50MM COBALT CHROMIUM MOLYBDENUM MULTIAXIAL FENESTRATED CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 50MM POLYAXIAL CREO DLX THORACOLUMBAR,700.0,350.0,134.05,630.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 50MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 50MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 55MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 55MM 2C POLYAXIAL RELINE MAS ILIAC,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 55MM 3MM PITCH TITANIUM SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 55MM COBALT CHROMIUM MOLYBDENUM MULTIAXIAL FENESTRATED CD HORIZON,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 55MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 55MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 60MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 60MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 80MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 80MM 2FC POLYAXIAL RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 80MM 2S POLYAXIAL RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 80MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 80MM PEDICLE POLYAXIAL COLOR-CODED F/MIS THUNDERBOLT THORACOLUMBAR,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 80MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 90MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 90MM 2S POLYAXIAL RELINE RSS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 90MM BIASED ANGLE POLYAXIAL SERRATO MEDIAL,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 90MM POLYAXIAL DUAL LEAD THREADED TOP LOADING CAPSURE PS3,570.0,285.0,109.16,513.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 90MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 8.5MM 90MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 8MM 40MM POLYAXIAL FAVORED ANGLE SOLID F/5.5/6MM ROD TRIALTIS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL 8MM 45MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 8MM 60MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 8MM 80MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 8MM DIA 50MML TITANIUM CANCELLOUS CORTICAL T25 STARDRIVE RECESS DUAL CORE/LEAD THREADED POLYAXIAL SELF-TAPPING BRONZE F/5.5MM ROD MATRIX NON-STERILE POSTERIOR PEDICLE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL 8MM DIA 90MML TITANIUM T27 VIPER ILIAC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL 9.5MM 100MM 2S CLOSED RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 100MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 40MM POLYAXIAL TRACTION RELINE-O POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 40MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 45MM 2C POLYAXIAL REDUCTION RELINE MAS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 45MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 45MM POLYAXIAL TRACTION RELINE-O POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 45MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 45MM TITANIUM POLYAXIAL THREADED PREASSEMBLED F/5.5MM ROD CREO NON-STERILE THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 50MM EVEREST SACROILIAC,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 50MM POLYAXIAL TRACTION RELINE-O POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 50MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 55MM POLYAXIAL TRACTION RELINE-O POSTERIOR THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 55MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 60MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 70MM 2S CLOSED RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 80MM 2FC POLYAXIAL RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 80MM 2S CLOSED RELINE-O ILIAC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 80MM 3MM PITCH SALVO,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 80MM EVEREST SACROILIAC,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 80MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM 90MM POLYAXIAL XIA 3 SERRATO,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL 9.5MM DIA 70MML 3MM PITCH CAPSURE NON-STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL 9MM 40MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL 9MM 45MM TITANIUM CORTICAL PEDICLE POLYAXIAL FIXED ANGLE FENESTRATED F/5.5MM ROD VIPER,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL ANCHOR 7MM 50MM NARROW HEAD F/FUSION SYSTEM SIROS SACROILIAC JOINT,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1713,SCREW SPINAL ANTERALIGN LS 5X20MM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL ANTERALIGN LS 5X25MM,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 12MM REDUCTION STERILE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 14MM REDUCTION,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 16MM REDUCTION,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 18MM REDUCTION,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 20MM REDUCTION NON-STERILE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 20MM REDUCTION STERILE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM 22MM REDUCTION NON-STERILE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM DIA 14MML POLYAXIAL REDUCTION F/4MM ROD SYMPHONY NON-STERILE 1/EA OCCIPITOCERVICOTHORACIC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 3.5MM DIA 18MML POLYAXIAL REDUCTION F/4MM ROD SYMPHONY NON-STERILE 1/EA OCCIPITOCERVICOTHORACIC,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.35MM 25MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.35MM DIA 30MML TITANIUM DUAL LEAD THREADED POLYAXIAL TOP NOTCH INTERFACE F/5.5MM ROD VIPER NON-STERILE PEDICLE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.35MM DIA 35MML TITANIUM DUAL LEAD THREADED POLYAXIAL TOP NOTCH INTERFACE F/5.5MM ROD VIPER NON-STERILE PEDICLE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.5MM 25MM HYDROXYAPATITE MODULAR CREO AMP NON-STERILE THORACOLUMBAR,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.5MM 30MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.5MM 30MM TITANIUM POLYAXIAL FENESTRATED EXTENDED TAB EVEREST E5111 SACROILIAC,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.5MM 35MM COBALT CHROMIUM CANCELLOUS MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA LUMBAR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.5MM 35MM POLYAXIAL FENESTRATED EXTENDED TAB EVEREST SACROILIAC,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 4.5MM 40MM COBALT CHROMIUM CANCELLOUS MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA LUMBAR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 30MM COBALT CHROMIUM CANCELLOUS MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA LUMBAR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 30MM CORTICAL FIXATION REDUCTION NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 30MM POLYAXIAL FENESTRATED EXTENDED TAB EVEREST SACROILIAC,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 35MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5/6MM ROD CD HORIZON SOLERA VOYAGER NON-STERILE LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 35MM PEDICLE MARINER,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 35MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 35MM TITANIUM PEDICLE T27 HEXALOBE DRIVE TULIP HEAD POLYAXIAL SELF-TAPPING EXTENDED TOP UNDERCUT SQUARE THREAD GREEN PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM 3MM PITCH SALVO THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM PEDICLE MARINER,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM TITANIUM CORTICAL CANCELLOUS PEDICLE 6 POINT STAR HEAD 15MML THREADED CUTTING FLUTE SHORT BLADE BLUE ES2 SMALL BONE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM TITANIUM PEDICLE POLYAXIAL F/MIS TOWERLOX THORACOLUMBOSACRAL,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM TITANIUM PEDICLE T27 HEXALOBE DRIVE TULIP HEAD POLYAXIAL SELF-TAPPING EXTENDED TOP UNDERCUT SQUARE THREAD GREEN PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 40MM TITANIUM POLYAXIAL,985.0,492.5,188.63,886.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 45MM PEDICLE MODULAR F1 MPS,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 45MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 45MM POLYAXIAL XIA 3 SERRATO,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 45MM TITANIUM PEDICLE POLYAXIAL F/MIS TOWERLOX THORACOLUMBOSACRAL,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 45MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 45MM TITANIUM PEDICLE T27 HEXALOBE DRIVE TULIP HEAD POLYAXIAL SELF-TAPPING EXTENDED TOP UNDERCUT SQUARE THREAD GREEN PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 50MM PEDICLE MODULAR F1 MPS,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 50MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 50MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM 55MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5.5MM DIA 45MML POLYAXIAL LNK P523-5545,985.0,492.5,188.63,886.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 20MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 24MM CORTICAL FIXATION REDUCTION NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 26MM CORTICAL FIXATION REDUCTION NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 28MM CORTICAL FIXATION REDUCTION NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 28MM CORTICAL FIXATION REDUCTION STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 30MM CORTICAL FIXATION REDUCTION NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 30MM CORTICAL FIXATION REDUCTION STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 32MM CORTICAL FIXATION REDUCTION NON-STERILE,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 5MM 45MM HYDROXYAPATITE MODULAR CREO AMP NON-STERILE THORACOLUMBAR,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 30MM POLYAXIAL XIA 3 SERRATO,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 30MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 35MM F1 MPS BODY,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 35MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER 962720,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 35MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER 999244,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 35MM POLYAXIAL XIA 3 SERRATO,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 35MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 35MM TITANIUM PEDICLE T27 HEXALOBE DRIVE TULIP HEAD POLYAXIAL SELF-TAPPING EXTENDED TOP UNDERCUT SQUARE THREAD DARK BLUE PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 40MM F1 MPS BODY,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 40MM PEDICLE F/MINIMALLY INVASIVE SURGERY EUROPA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 40MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 40MM TITANIUM PEDICLE T27 HEXALOBE DRIVE TULIP HEAD POLYAXIAL SELF-TAPPING EXTENDED TOP UNDERCUT SQUARE THREAD DARK BLUE PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 45MM PEDICLE EUROPA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 45MM PEDICLE MODULAR F1 MPS,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 45MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 45MM TITANIUM PEDICLE POLYAXIAL,985.0,492.5,188.63,886.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 45MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 45MM TITANIUM PEDICLE T27 HEXALOBE DRIVE TULIP HEAD POLYAXIAL SELF-TAPPING EXTENDED TOP UNDERCUT SQUARE THREAD DARK BLUE PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 50MM PEDICLE EUROPA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 50MM PEDICLE MODULAR F1 MPS,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 50MM TITANIUM PEDICLE POLYAXIAL,985.0,492.5,188.63,886.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 50MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 55MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 55MM POLYAXIAL REDUCTION EXTENDED TAB INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6.5MM 55MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6MM 25MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 6MM 60MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 30MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 35MM HYDROXYAPATITE MODULAR CREO AMP NON-STERILE THORACOLUMBAR,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 35MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 40MM PEDICLE EUROPA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 40MM PEDICLE MODULAR F1 MPS,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 40MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 45MM COBALT CHROMIUM CANCELLOUS MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA LUMBAR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 45MM F1 MPS BODY,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 45MM PEDICLE EUROPA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 45MM TITANIUM PEDICLE POLYAXIAL F/MIS TOWERLOX THORACOLUMBOSACRAL,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 45MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 50MM PEDICLE EUROPA,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 50MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 55MM 3MM PITCH SALVO THORACOLUMBAR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 55MM POLYAXIAL REDUCTION EXTENDED TAB INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM 55MM TITANIUM PEDICLE POLYAXIAL PRODIGY,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7.5MM DIA 45MML COBALT CHROMIUM MULTI-AXIAL F/5.5MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR PEDICLE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7MM 60MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 7MM 70MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 135MM 2MM PITCH SALVO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 35MM HYDROXYAPATITE MODULAR CREO AMP NON-STERILE THORACOLUMBAR,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 45MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 50MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 50MM POLYAXIAL FENESTRATED EXTENDED TAB EVEREST SACROILIAC,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 80MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 90MM COBALT CHROMIUM PEDICLE MULTIAXIAL F/5.5MM ROD CD HORIZON SOLERA VOYAGER LUMBAR POSTERIOR,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8.5MM 90MM HYDROXYAPATITE MODULAR CREO AMP NON-STERILE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8MM 55MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8MM 60MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8MM 65MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8MM 70MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8MM 80MM CORTICAL POLYAXIAL DUAL LEAD SOLID FAVORED F/MIS TRIALTIS SACRAL ALAR ILIAC,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 8MM 80MM TITANIUM PEDICLE TAPERED POLYAXIAL F/5.5MM ROD EXPEDIUM VERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED 9.5MM 100MM POLYAXIAL FENESTRATED EXTENDED TAB EVEREST SACROILIAC,915.0,457.5,175.22,823.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED 9MM 100MM CORTICAL POLYAXIAL DUAL LEAD SOLID FAVORED F/MIS TRIALTIS SACRAL ALAR ILIAC,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL CANNULATED HEADLESS COMPRESSION 4.3MM 46MM 10MM THREAD CREED STERILE,483.0,241.5,92.49,434.7,65
HCPCS,C1713,SCREW SPINAL CANNULATED LOCKING 6.5MM 40MM PEDICLE POLYAXIAL DUAL LEAD THREADED SNIPER THORACOLUMBAR,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED/ASSEMBLY 6.5MM 50MM POLYAXIAL SNIPER,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL CANNULATED/TAP 5.5MM PEDICLE,200.0,100.0,38.3,180.0,65
HCPCS,C1713,SCREW SPINAL CATALYFT LS SINGLE LEAD 4.5X35MM,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW SPINAL CD HORIZON MODULEX SHANK ILIAC 8.5X100MM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL CD HORIZON MODULEX SHANK ILIAC 8.5X80MM,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SCREW SPINAL CD HORIZON MODULEX SHANK ILIAC 9.5X80MM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 10MM 45MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PINK F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 11MM 50MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PINK F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 11MM 55MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PINK F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 11MM 80MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PINK F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 11MM 90MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PINK F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 5.5MM 50MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING INNIEX1 BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 5MM 35MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING BLUNT TIP TOP NOTCH INTERFACE BLUE F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 5MM 40MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING BLUNT TIP TOP NOTCH INTERFACE BLUE F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6.5MM 35MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING INNIEX1 BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6.5MM 55MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING INNIEX1 BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6MM 30MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6MM 35MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6MM 40MM STAINLESS STEEL PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD TOP NOTCH INTERFACE GREEN F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6MM 40MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6MM 45MM TITANIUM PEDICLE TAPERED FULLY/DOUBLE LEAD THREADED POLYAXIAL SELF-TAPPING BLUNT TIP TOP NOTCH INTERFACE GREEN F/5.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 6MM 60MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE GREEN F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 7MM 60MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PURPLE F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 7MM 70MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE PURPLE F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 8MM 60MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE GOLD F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 8MM 70MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE GOLD F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL DUAL LOCKING 8MM 85MM TITANIUM PEDICLE TAPERED POLYAXIAL THREADED DOUBLE LEAD BLUNT TIP TOP NOTCH INTERFACE GOLD F/6.35MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL EVEREST 6.5X45MM UNIPLANAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL EVEREST 6.5X50MM UNIPLANAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL INSIGNIA VARIABLE ANGLE SELF TAPPING SINGLE LEAD 4X20MM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL INVICTUS 9MM 60MM FAVORED ANGLE TITANIUM SI CORE FENESTRATED,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L10 MM SELF TAP AXIAL STABILITY LOWER PROFILE OD1.7 MM AXS,88.81,44.41,17.01,79.93,65
HCPCS,C1713,SCREW SPINAL L10 MM SELF TAPPING SELF DRILLING VARIABLE ANGLE OD4 MM AMBASSADOR TITANIUM ANTERIOR CERVICAL,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SCREW SPINAL L100 MM 2 LEAD POLYAXIAL FAVOR ANGLE SOLID OD8 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L12 MM SELF DRILL VARIABLE ANGLE OD3.5 MM CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL L12 MM SELF TAP CONSTRAIN OD3.5 MM CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL L12 MM SELF TAP VARIABLE ANGLE OD3.5 MM CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL L12 MM SELF TAP VARIABLE ANGLE OD3.6 MM COALITION,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINAL L12 MM SELF TAP VARIABLE ANGLE OD4 MM CODA ANTERIOR CERVICAL,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL L14 MM 20- D SELF TAP VARIABLE ANGLE OD4 MM SKYLINE TITANIUM GOLD,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL L14 MM 5- D SELF TAP CONSTRAIN OD4 MM SKYLINE TITANIUM GOLD,75.0,37.5,14.36,67.5,65
HCPCS,C1713,SCREW SPINAL L14 MM OD4.5 MM RELINE C OCCIPITAL,125.0,62.5,23.94,112.5,65
HCPCS,C1713,SCREW SPINAL L16 MM BOLT EXPAND OD4 MM OSMIUM TITANIUM GREEN ATTACH PLATE VERTEBRAL BODY REPLACEMENT,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL L16 MM SELF DRILL VARIABLE ANGLE OD4.2 MM RESONATE,120.0,60.0,22.98,108.0,65
HCPCS,C1713,SCREW SPINAL L20 MM OD6.5 MM DIVERGENCE-L SPINE,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SCREW SPINAL L20 MM PLY SHAFT OD3.5 MM SYMPHONY SPINE 4 MM ROD,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL L22 MM MULTIAXIAL OD4.5 MM RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL L25 MM OFF CLOSED LNG RELINE-C CONNECTOR,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SCREW SPINAL L26 MM FAVOR ANGLE OD4 MM RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL L30 MM MULTIAXIAL OD4 MM RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL L30 MM POLYAXIAL CANNULATED REDUCTION SHAFT OD4 MM SYMPHONY OCT,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL L30 MM SINGLE LEAD OD5 MM CATALYFT LS,225.0,112.5,43.09,202.5,65
HCPCS,C1713,SCREW SPINAL L30 MM UNIPLANAR OD5.5 MM MESA 2 SPINE DEFORMITY,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL L32 MM PARTIAL THREAD FAVOR ANGLE OD4 MM RELINE C,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL L34 MM POLYAXIAL CANNULATED REDUCTION FIXED ANGLE CORTICAL OD5 MM SYMPHONY OCT,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L35 MM MULTIAXIAL OD4.5 MM RELINE C THORACIC,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL L35 MM OD6.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL L36 MM PARTIAL THREAD MULTIAXIAL OD3.5 MM INFINITY SPINE OCCIPITOCERVICAL UPPER THORACIC,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL L38 MM POLYAXIAL SHAFT OD3.5 MM SYMPHONY 4 MM ROD,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL L40 MM POLYAXIAL FAVOR ANGLE FENESTRATE SOLID OD9 MM TRIALTIS 5.5/6 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L40 MM POLYAXIAL FENESTRATE OD5 MM TRIALTIS 5.5/6 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L40 MM POLYAXIAL FENESTRATE OD7 MM TRIALTIS 5.5/6 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L40 MM POLYAXIAL SHAFT OD3.5 MM SYMPHONY 4 MM ROD,1400.0,700.0,268.1,1260.0,65
HCPCS,C1713,SCREW SPINAL L40 MM POLYAXIAL THREAD OD6.5 MM CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L45 MM POLYAXIAL FAVOR ANGLE FENESTRATE OD7.5 MM TRIALTIS 5.5/6 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L45 MM POLYAXIAL FAVOR ANGLE SOLID OD9 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L45 MM POLYAXIAL FENESTRATED THREAD OD6.5 MM CREO,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L50 MM CANN FENESTRATE EXTEND TAB POLYAXIAL OD7.5 MM INVICTUS CORT CANC,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L50 MM POLYAXIAL FAVOR ANGLE SOLID OD10 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L50 MM POLYAXIAL FAVOR ANGLE SOLID OD8 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L50 MM POLYAXIAL FENESTRATE SOLID OD5 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L50 MM POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB OD6 MM VIPER PRIME SPINE CORTEX 5.5 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L50 MM POLYAXIAL FIX ANGLE FENESTRATE EXTEND TAB OD7 MM VIPER PRIME 5.5 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L50 MM POLYAXIAL OD8.5 MM THUNDERBOLT PEDICLE BRONZE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL L50 MM ROBOTIC MODULAR OD5.5 MM CREO ONE,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SCREW SPINAL L55 MM CANNULATED FENESTRATE EXTEND TAB POLYAXIAL OD6.5 MM INVICTUS SPINE CANCELLOUS CORTICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L55 MM CANNULATED FENESTRATE EXTEND TAB POLYAXIAL OD7.5 MM INVICTUS SPINE CANCELLOUS CORTICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L55 MM POLYAXIAL FAVOR ANGLE FENESTRATE OD8 MM TRIALTIS 5.5/6 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L55 MM POLYAXIAL SOLID OD5 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L60 MM POLYAXIAL FAVOR ANGLE FENESTRATE OD8 MM TRIALTIS 5.5/6 MM ROD,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SCREW SPINAL L60 MM POLYAXIAL FAVOR ANGLE SOLID OD8 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L80 MM 2 LEAD POLYAXIAL FAVOR ANGLE SOLID OD9 MM TRIALTIS 5.5/6 MM ROD,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SCREW SPINAL L90 MM PREASSEMBLE 2 OUTER DIAMETER OD9-10.5 MM CREO,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL LARGE CANNULATED COMPRESSION HEADLESS 2.5MM 34MM TI6AI4V TAPERED HEAD T8 TORX INTERFACE SELF-DRILLING/TAPPING 12MM THREAD CREED HAMMERTHREAD STERILE PIP-DIP,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW SPINAL LARGE CANNULATED COMPRESSION HEADLESS 2.5MM 44MM TI6AI4V TAPERED HEAD T8 TORX INTERFACE SELF-DRILLING/TAPPING 12MM THREAD CREED HAMMERTHREAD STERILE PIP-DIP,355.0,177.5,67.98,319.5,65
HCPCS,C1713,SCREW SPINAL LOCKING 3.5MM 12MM TITANIUM 14DEG ANGLED SELF-TAPPING TIFIX CHESAPEAKE ANTERIOR CERVICAL,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 3.5MM 14MM TITANIUM 14DEG ANGLED SELF-TAPPING TIFIX CHESAPEAKE ANTERIOR CERVICAL,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 3.5MM 16MM TITANIUM 14DEG ANGLED SELF-TAPPING TIFIX CHESAPEAKE ANTERIOR CERVICAL,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 3.7MM 16MM TITANIUM T25 STARDRIVE RECESS SELF-DRILLING/TAPPING VARIABLE ANGLE GOLD ZERO-P STERILE ANTERIOR CERVICAL,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 3.7MM 18MM TITANIUM T25 STARDRIVE RECESS SELF-DRILLING/TAPPING VARIABLE ANGLE BROWN ZERO-P STERILE ANTERIOR CERVICAL,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4.5MM 25MM TITANIUM PEDICLE POLYAXIAL 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4.5MM 30MM TITANIUM PEDICLE POLYAXIAL 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4.5MM 35MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4.5MM 40MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4.5MM 45MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4.5MM T30 STARDRIVE RECESS HEXAGONAL HEAD ANNEX,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 25MM TITANIUM PEDICLE POLYAXIAL 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 30MM TITANIUM PEDICLE POLYAXIAL 1 STEP MESA,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 30MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 35MM TITANIUM PEDICLE POLYAXIAL 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 35MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 40MM STAINLESS STEEL FULLY THREADED GOLD PRECICE NON-STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 40MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 50MM STAINLESS STEEL FULLY THREADED GOLD PRECICE NON-STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW SPINAL LOCKING 4MM 70MM FULLY THREADED GOLD PRECICE NON-STERILE,247.0,123.5,47.3,222.3,65
HCPCS,C1713,SCREW SPINAL LOCKING 5.5-6MM DIA,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 5.5MM 25MM SELF-DRILLING F/FUSION HEDRON,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 5.5MM 35MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 5.5MM 40MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 5MM 35MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 5MM 40MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 6.5MM 40MM TITANIUM PEDICLE UNIPLANAR 1 STEP MESA,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL LOCKING 6MM 35MM TITANIUM PEDICLE POLYAXIAL THREADED FULLY SINGLE LEAD TOP NOTCH INTERFACE F/4.5MM ROD EXPEDIUM POSTERIOR THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL LOCKING F/MINIMALLY INVASIVE SURGERY SNIPER,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SPINAL LOCKING T15 CT,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW SPINAL LONG SHANK 3.5MM 28MM TITANIUM POLYAXIAL F/INTERNAL FIXATION SYSTEM YUKON OCT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL MARINER 6.5MM 35MM CANNULATED SHANK CORTICAL TI,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL MULTIAXIAL SELF TAP CD HORIZON MODULEX SPINAL SYSTEM STAINLESS STEEL 4.75/5 MM ROD 559200015,605.0,302.5,115.86,544.5,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 4.5MM 30MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 4.5MM 35MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 4.5MM 40MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 4.5MM 45MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 5.5MM 35MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 5.5MM 40MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 6.5MM 40MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 6.5MM 45MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 7.5MM 40MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 7.5MM 45MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 7.5MM 50MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 7.5MM 55MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 8.5MM 45MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 8.5MM 50MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL NON-CANNULATED 8.5MM 80MM PEDICLE EUROPA,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL OPEN 7.5MM DIA 30MML TITANIUM CANCELLOUS CORTICAL 60DEG ANGLED TIP BUTTRESS THREADED POLYAXIAL GREEN F/4.5MM ROD XIA 4.5 PEDICLE THORACOLUMBAR 50DEG ANGULATION,590.0,295.0,112.99,531.0,65
HCPCS,C1713,SCREW SPINAL REDUCTION UNIPLANAR 5.5MM DIA 35MML TITANIUM BUTTRESS THREADED BLUE XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL REDUCTION UNIPLANAR 6.5MM DIA 40MML TITANIUM BUTTRESS THREADED GRAY XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL REDUCTION UNIPLANAR 6.5MM DIA 45MML TITANIUM BUTTRESS THREADED GRAY XIA 3 NON-STERILE PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL REDUCTION UNIPLANAR 6.5MM DIA 50MML TITANIUM BUTTRESS THREADED GRAY XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL RELINE RSS 4MM 35MM 2S REDUCTION,660.0,330.0,126.39,594.0,65
HCPCS,C1713,SCREW SPINAL RELINE-O 7MM 50MM 2S POLYAXIAL ILIAC,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW SPINAL RESPONSE POLYAXIAL PEDICLE 6X70MM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SCREW SPINAL SET ADVANCED,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SPINAL SHANK 5.5MM 35MM C2 MODULAR RELINE MAS CERVICAL,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW SPINAL SHANK 5.5MM 35MM CORTICAL CD HORIZON MODULEX,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW SPINAL SHANK 6.5MM 35MM C2 MODULAR RELINE MAS CERVICAL,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW SPINAL SHANK 7.5MM 45MM THREADED CD HORIZON MODULEX ATS,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW SPINAL SHANK 7.5MM 50MM THREADED CD HORIZON MODULEX ATS,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW SPINAL SHOULDER 3.5MM DIA 28MML TITANIUM POLYAXIAL QUARTEX,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINAL SMOOTH SHANK 3.8MM 24MM POLYAXIAL TRANSLATION PROFICIENT CERVICOTHORACIC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL SMOOTH SHANK 3.8MM 26MM POLYAXIAL TRANSLATION PROFICIENT CERVICOTHORACIC 2712597,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL SMOOTH SHANK 3.8MM 26MM POLYAXIAL TRANSLATION PROFICIENT CERVICOTHORACIC 2714789,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL SMOOTH SHANK 3.8MM 28MM POLYAXIAL TRANSLATION PROFICIENT CERVICOTHORACIC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL SMOOTH SHANK 3.8MM 34MM POLYAXIAL PROFICIENT CERVICOTHORACIC,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL SYMPHONY 4.5MM 12MM POLYAXIAL FIXED ANGLE THREADED CORTICAL TITANIUM OCCIPITOCERVICOTHORACIC F/4MM ROD STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW SPINAL TRACTION SHANK 6.5MM 55MM MODULAR RELINE-O POSTERIOR THORACOLUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL TRACTION SHANK 7.5MM 55MM MODULAR RELINE-O POSTERIOR THORACOLUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL TRACTION SHANK 8.5MM 40MM MODULAR RELINE-O POSTERIOR THORACOLUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL TRACTION SHANK 8.5MM 45MM MODULAR RELINE-O POSTERIOR THORACOLUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL TRACTION SHANK 8.5MM 50MM MODULAR RELINE-O POSTERIOR THORACOLUMBAR,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SCREW SPINAL TRIALTIS 6MM 55MM POLYAXIAL SOLID F/5.5/6MM ROD,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 5.5MM DIA 30MML TITANIUM BUTTRESS THREADED STANDARD BLUE XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 5.5MM DIA 35MML TITANIUM BUTTRESS THREADED STANDARD BLUE XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 5.5MM DIA 40MML TITANIUM BUTTRESS THREADED STANDARD BLUE XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 5.5MM DIA 45MML TITANIUM BUTTRESS THREADED STANDARD BLUE XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 5MM DIA 35MML TITANIUM BUTTRESS THREADED STANDARD LIGHT BLUE XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 6.5MM DIA 35MML TITANIUM BUTTRESS THREADED STANDARD GRAY XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 6.5MM DIA 40MML TITANIUM BUTTRESS THREADED STANDARD GRAY XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL UNIPLANAR 6.5MM DIA 45MML TITANIUM BUTTRESS THREADED STANDARD GRAY XIA 3 PEDICLE THORACOLUMBAR,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SCREW SPINAL VADER 6.5MM 55MM CANNULATED POLYAXIAL PEDICLE CARBON PEEK FENESTRATED F/MIS,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SCREW SPINAL ZERO-P VARIABLE ANGLE LOCKING SELF-DRILLING T25 ANTERIOR CERVICAL STERILE 3.7X14MM,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW SPINE 4.0 X 14MM,480.0,240.0,91.92,432.0,65
HCPCS,C1713,SCREW SPINE 5.5/6 MM IMPLANT BONE BANDLOC,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,SCREW SPINE LOCK CLOSED TULIP 13000000 BONE RELINE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SPINE LOCK CLOSED TULIP 13100000 BONE RELINE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SPINE LOCK CORPECTOMY CAGE SYSTEM BONE CAPRI,100.0,50.0,19.15,90.0,65
HCPCS,C1713,SCREW SPINE LOCK FIXATION MAS PLIF BONE MAS,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SPINE MODULAR BONE PRECEPT,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW SPINE MODULAR REDUCTION EXTENSION TULIP MAS BONE RELINE,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPINE MODULAR TULIP BONE RELINE,380.0,190.0,72.77,342.0,65
HCPCS,C1713,SCREW SPINE MODULAR TULIP MAS PLIF BONE MAS,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW SPINE OPEN LOCK BONE RELINE C,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW SPINE POLYAXIAL MODULAR TULIP BONE INVICTUS,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW SPNL L55 MM OD8.5 MM OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SCREW STAINLESS STEEL SPINE MULTIAXIAL SELF TAP 4.75/5 MM ROD 559200016 BONE CD HORIZON MODULEX SPINAL SYSTEM,1220.0,610.0,233.63,1098.0,65
HCPCS,C1713,SCREW STREAMLINE 6.5X50MM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREW T METATARSAL 4 HOLE BONE UNITE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW T METATARSAL 5 HOLE BONE UNITE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW TALL STAINLESS STEEL CORTICAL T25 DRIVE CABLE SADDLE BONE,382.0,191.0,73.15,343.8,65
HCPCS,C1713,SCREW TENODESIS HANDLE INSERTER OD3 MM BIOCOMPOSITE SOFT TISSUE L8 MM INTERFERENCE,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SCREW TENODESIS HANDLE INSERTER VENT OD3 MM PEEK-OPTIMA FOOT ANKLE L8 MM INTERFERENCE,365.0,182.5,69.9,328.5,65
HCPCS,C1713,SCREW TENODESIS OD4 MM BIOCOMPOSITE ACL L10 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS OD5.5 MM BIOCOMPOSITE ACL L15 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS OD6.25 MM BIOCOMPOSITE ACL L15 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS OD7 MM BIOCOMPOSITE ACL L10 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS OD7 MM BIOCOMPOSITE ACL L23 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS OD9 MM BIOCOMPOSITE ACL L23 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS RECONSTRUCTION OD5.5 MM PEEK ACL L12 MM INTERFERENCE,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW TENODESIS RECONSTRUCTION OD5.5 MM PEEK-OPTIMA ACL L8 MM INTERFERENCE,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW TENODESIS SCREW DISPOSABLE DRIVER PACK OD4 MM BIOCOMPOSITE L10 MM INTERFERENCE,385.0,192.5,73.73,346.5,65
HCPCS,C1713,SCREW TENODESIS SCREW DISPOSABLE DRIVER PACK OD6.25 MM BIOCOMPOSITE L15 MM INTERFERENCE,385.0,192.5,73.73,346.5,65
HCPCS,C1713,SCREW TENODESIS SCREW OD4.75 MM BIOCOMPOSITE ACL L15 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS SCREW OD8 MM BIOCOMPOSITE ACL L12 MM INTERFERENCE,345.0,172.5,66.07,310.5,65
HCPCS,C1713,SCREW TENODESIS SCREW RECONSTRUCTION OD5.5 MM PEEK-OPTIMA ACL L10 MM INTERFERENCE,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SCREW TENODESIS SCREW VENT OD4 MM PEEK FOOT ANKLE L10 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS SCREW VENT OD4.75 MM PEEK FOOT ANKLE L15 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS SCREW VENT OD9 MM PEEK FOOT ANKLE L23 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS VENT OD5.5 MM PEEK-OPTIMA FOOT ANKLE L15 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS VENT OD6.25 MM PEEK-OPTIMA FOOT ANKLE L15 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS VENT OD7 MM PEEK-OPTIMA FOOT ANKLE L10 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS VENT OD7 MM PEEK-OPTIMA FOOT ANKLE L23 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW TENODESIS VENT OD8 MM PEEK-OPTIMA FOOT ANKLE L12 MM INTERFERENCE,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SCREW THOR LVL1 RIB 2.3X7MMDRILL FREE MAXDRIVE,638.0,319.0,122.18,574.2,65
HCPCS,C1713,SCREW TITANIUM ALUMINUM VANADIUM SPINE THORACIC LEVEL 1 LOCK DRILL FREE BONE MAXDRIVE,1595.0,797.5,305.44,1435.5,65
HCPCS,C1713,SCREW TITANIUM CRANIOMAXILLOFACIAL DRILL FREE BONE LEVEL ONE,39.84,19.92,7.63,35.86,65
HCPCS,C1713,SCREW TITANIUM NONREVERSE ADAPTER HEMIPROSTHESIS BONE AEQUALIS,387.5,193.75,74.21,348.75,65
HCPCS,C1713,SCREW TITANIUM SIDE TOP OD5/6 MM ROD BONE CD HORIZON,650.0,325.0,124.48,585.0,65
HCPCS,C1713,SCREW TITANIUM SPINE LOCK BONE OMNI VBR,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW TITANIUM SPINE LOCK BONE X-CORE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SCREW TITANIUM SPINE LOCK STARDRIVE BONE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SCREW TITANIUM TOP HAT LATARJET BONE NA,252.0,126.0,48.26,226.8,65
HCPCS,C1713,SCREW TRACTION L10 MM DEVICE NA THUMB PELVIC LATERAL,147.18,73.59,28.18,132.46,65
HCPCS,C1713,SCREW TRILOCK HD4 1.5X12MM,90.01,45.01,17.24,81.01,65
HCPCS,C1713,SCREW TRILOCK HD4 1.5X14MMSPEEDTIP,67.7,33.85,12.96,60.93,65
HCPCS,C1713,SCREW TRIM-IT CANNULATED OD2.7 MM POLY L LACTIC ACID ACL L30 MM HEXAGON INTERFERENCE,193.0,96.5,36.96,173.7,65
HCPCS,C1713,SCREW TROCHLEAR COMPRESSION BONE HUMERAL PLATING SYSTEM,338.0,169.0,64.73,304.2,65
HCPCS,C1713,SCREW TROCHLEAR COMPRESSION LOCK CAP BONE TIBEAM,241.0,120.5,46.15,216.9,65
HCPCS,C1713,SCREW VARIABLE SD 3.75X12MMCYGNUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW VARIABLE SD 3.75X14MMCYGNUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW VARIABLE SD 3.75X16MM CYGNUS,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SCREW VOYAGER MAS 5.5 X 40,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW VOYAGER MAS 5.5X35MM,630.0,315.0,120.65,567.0,65
HCPCS,C1713,SCREW VSD 4.0MMX12MM,105.0,52.5,20.11,94.5,65
HCPCS,C1713,SCREW Z MINI LARGE FOOT METATARSAL BONE MEDLINE UNITE,975.0,487.5,212.65,877.5,64
HCPCS,C1713,SCREW l30 MM OD4 MM LONG EDGE COMPONENT HEAD BONE DART FIRE,323.0,161.5,61.85,290.7,65
HCPCS,C1713,"SCREW, MOMENTUM 6.5X60MM",500.0,250.0,95.75,450.0,65
HCPCS,C1713,SCREWDRIVER SURGICAL CEMENT T27 F/SPINE SYSTEM TRIALTIS,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,SCREWDRIVER T15 STARDRIVE CANNULATED SURGICAL,552.64,276.32,120.53,497.38,64
HCPCS,C1713,SCREWDRIVER T25 COUPLING SURGICAL MULTILOC PROXIMAL HUMERAL NAIL SYSTEM,450.99,225.5,86.36,405.89,65
HCPCS,C1713,SCREWDRIVER T25 HEXAGONAL STARDRIVE SELF RETAIN OD3.5 MM SURGICAL,690.59,345.3,132.25,621.53,65
HCPCS,C1713,SCRW BONE ASNIS III CANNULATED PARTIALLY THREADED SELF-DRILLING TITANIUM STERILE 4X65MM,173.13,86.57,33.15,155.82,65
HCPCS,C1713,SEALANT TISSUE BONE MATRIX 2GM ABSORBABLE W/SPATULA HEMASORB STERILE DISPOSABLE,169.0,84.5,32.36,152.1,65
HCPCS,C1713,SEALANT TISSUE BONE MATRIX 4GM ABSORBABLE W/SPATULA HEMASORB STERILE DISPOSABLE,259.0,129.5,49.6,233.1,65
HCPCS,C1713,SET ENDOSCOPIC INSTRUMENT 220CM 3.2MM OTSC 2-2.5MM NITINOL STERILE LATEX FREE DISPOSABLE,529.0,264.5,101.3,476.1,65
HCPCS,C1713,SET EXTERNAL FIXATION YELLOW 310X130X36MM 15MM MONOTUBE TRIAX WRIST T WRENCH PIN CLAMP CARBON FIBER TUBE SOFT TISSUE PROTECTOR PIN DRIVER STERILE,1457.58,728.79,317.9,1311.82,64
HCPCS,C1713,SET IMPLANT 3.5 MM 2 2 NEEDLE LIGAMENT AUGMENTATION INTERNALBRACE SWIVELOCK FIBERTAPE,975.0,487.5,212.65,877.5,64
HCPCS,C1713,SET IMPLANT 4 MM CANNULATED DRILL GUIDEPIN RULER SCREW TENDON SHUTTLE BIO-TENODESIS CMC LIGAMENT RECONSTRUCTION SYSTEM,595.0,297.5,113.94,535.5,65
HCPCS,C1713,SET IMPLANT L6 MM CANNULATED DRILL GUIDEPIN INTERFERENCE SCREW REAMER OD4.5 MM MEDIAL PATELLOFEMORAL LIGAMENT PACK,1487.0,743.5,284.76,1338.3,65
HCPCS,C1713,SET INSTRUMENT CURVE GUIDE CENTERING SLEEVE FLEXIBLE DRILL BIT DISPOSABLE,282.0,141.0,54.0,253.8,65
HCPCS,C1713,SET NAIL INTRAMEDULLARY 2.4MM 30MM TRIMMABLE OSSIOFIBER,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SET PIN UNIVERS II STERILE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SET SCREW 130 D SERRATE SURFACE TITANIUM TROCHANTERIC FIXATION NAIL,181.63,90.82,34.78,163.47,65
HCPCS,C1713,SET SCREW INTEGRATE META-TAN,160.03,80.02,30.65,144.03,65
HCPCS,C1713,SET SCREW L100 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW L105 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW L110 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW L115 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW L85 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW L90 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW L95 MM U BLADE LAG OD10.5 MM GAMMA TITANIUM,612.0,306.0,117.2,550.8,65
HCPCS,C1713,SET SCREW LUMBAR ONE LEVEL EVEREST,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SET SCREW MARINER SPINE NONSTERILE LATEX FREE,30.0,15.0,5.75,27.0,65
HCPCS,C1713,SET SCREW SPIN STABILINK,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SET SCREW SPINAL 8MM DIA 45MML TITANIUM CANCELLOUS CORTICAL T25 STARDRIVE RECESS DUAL CORE/LEAD THREADED POLYAXIAL SELF-TAPPING BRONZE F/5.5MM ROD MATRIX NON-STERILE POSTERIOR PEDICLE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SET SCREW SPINAL 9.7MM 5.6MML SCREW-HEXA F/6MM ROD,90.0,45.0,17.24,81.0,65
HCPCS,C1713,SET SCREW SPINAL BLACKBIRD CERVICAL,900.0,450.0,172.35,810.0,65
HCPCS,C1713,SET SCREW SPINAL CAPTIVA,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SET SCREW SPINAL CD HORIZON MODULEX BIASED RMAS SINGLE PACK HEAD STAINLESS STEEL,1180.0,590.0,225.97,1062.0,65
HCPCS,C1713,SET SCREW SPINAL E3,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SET SCREW SPINAL LANCER,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SET SCREW SPINAL LANCER THUNDERBOLT PEDICLE THORACOLUMBAR,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SET SCREW SPINAL LOCKING TITANIUM CAPSURE,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SET SCREW SPINAL PRODIGY,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SET SCREW SPINAL STABILINK,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SET SCREW SPINAL T27 F/5.5/6MM ROD SPINE SYSTEM TRIALTIS,50.0,25.0,9.58,45.0,65
HCPCS,C1713,SET SCREW SPINAL TITANIUM LOCKING MONARCH,60.0,30.0,11.49,54.0,65
HCPCS,C1713,SHAFT EXTERNAL FIXATION L90 MM FIXATOR ACUMED SMALL BONE,107.0,53.5,23.34,96.3,64
HCPCS,C1713,SHAFT SCREWDRIVER T25 HEXAGONAL QUICK COUPLING SELF RETAIN STARDRIVE L280 MM OD3.5 MM,408.71,204.36,78.27,367.84,65
HCPCS,C1713,SHANK SCREW CD HORIZON MODULEX SPINAL SYSTEM,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L35 MM OD5.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L40 MM NANO OD5.5 MM CD HORIZON MODULEX OSTEOGRIP SPINE,850.0,425.0,162.78,765.0,65
HCPCS,C1713,SHANK SCREW L40 MM OD5.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L40 MM OD7.5 MM CD HORIZON MODULEX SPINAL SYSTEM SPINE CORTICAL,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SHANK SCREW L40 MM OD7.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L40 MM OD9.5 MM OSTEOGRIP SPINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SHANK SCREW L45 MM OD5.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L45 MM OD6.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L45 MM THREAD TRANSARTICULAR OD6.5 MM CD HORIZON MODULEX SPINAL SYSTEM SPINE ANTERIOR,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SHANK SCREW L50 MM 2C MODULAR OD6.5 MM RELINE SPINE MAS,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SHANK SCREW L50 MM OD6.5 MM MODULEX OSTEOGRIP SPINE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SHANK SCREW L55 MM 2C MODULAR OD6.5 MM RELINE SPINE MAS,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SHANK SCREW L55 MM OD5.5 MM MODULEX OSTEOGRIP SPINE,285.0,142.5,54.58,256.5,65
HCPCS,C1713,SHANK SCREWDRIVER L40 MM OD6.5 MM MAS SPINE MAS PLIF 3Z,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SHANK SCREWDRIVER L45 MM OD6.5 MM MAS SPINE MAS PLIF 3Z,315.0,157.5,60.32,283.5,65
HCPCS,C1713,SHANK SCREWDRIVER L50 MM OD6.5 MM MAS 3Z PLIF,357.0,178.5,68.37,321.3,65
HCPCS,C1713,SHEATH ARTHROSCOPIC FIXATION L30 MM LARGE TIBIAL,418.0,209.0,80.05,376.2,65
HCPCS,C1713,SHEATH ARTHROSCOPIC FIXATION L30 MM SMALL TIBIA,418.0,209.0,80.05,376.2,65
HCPCS,C1713,SHELL ACETABULAR HIP 48MM TRIDENT D HEMISPHERE CLUSTER 3 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,SHOE MEDIUM LONG ROCKER EXTERNAL FIXATION,1561.16,780.58,340.49,1405.04,64
HCPCS,C1713,"SIDEPLATE BN L90 MM 130 D STD BARREL 4 HOLE LCP DHHS,DHHS",483.24,241.62,92.54,434.92,65
HCPCS,C1713,SIDEPLATE BONE 108MM LCP DHHS 150D STANDARD BARREL HIP STAINLESS STEEL 5 HOLE 38MM STERILE,529.2,264.6,101.34,476.28,65
HCPCS,C1713,SIDEPLATE BONE 54MM LCP DHHS 130D STANDARD BARREL HIP STAINLESS STEEL 2 HOLE 38MM STERILE,536.4,268.2,102.72,482.76,65
HCPCS,C1713,SIDEPLATE BONE 54MM LCP DHHS 135D STANDARD BARREL HIP STAINLESS STEEL 2 HOLE 38MM STERILE,536.4,268.2,102.72,482.76,65
HCPCS,C1713,SIDEPLATE BONE 90MM LCP DHHS 150D STANDARD BARREL HIP STAINLESS STEEL 4 HOLE 38MM STERILE,536.4,268.2,102.72,482.76,65
HCPCS,C1713,SIDEPLATE BONE L108 MM 130 D STANDARD BARREL 5 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L108 MM 135 D STANDARD BARREL 5 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L108 MM 140 D STANDARD BARREL 5 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L108 MM 145 D STANDARD BARREL 5 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L126 MM 130 D STANDARD BARREL 6 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L126 MM 135 D STANDARD BARREL 6 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L126 MM 140 D STANDARD BARREL 6 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L126 MM 145 D STANDARD BARREL 6 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L126 MM 150 D STANDARD BARREL 6 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,524.2,262.1,100.38,471.78,65
HCPCS,C1713,"SIDEPLATE BONE L162 MM 130 D STANDARD BARREL 8 HOLE LCP DHHS,DHHS STAINLESS STEEL L38 MM HIP",645.66,322.83,123.64,581.09,65
HCPCS,C1713,SIDEPLATE BONE L162 MM 135 D STANDARD BARREL 8 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,645.66,322.83,123.64,581.09,65
HCPCS,C1713,SIDEPLATE BONE L162 MM 140 D STANDARD BARREL 8 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,645.66,322.83,123.64,581.09,65
HCPCS,C1713,SIDEPLATE BONE L198 MM 135 D STANDARD BARREL 10 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,645.66,322.83,123.64,581.09,65
HCPCS,C1713,SIDEPLATE BONE L234 MM 135 D STANDARD BARREL 12 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,645.66,322.83,123.64,581.09,65
HCPCS,C1713,SIDEPLATE BONE L54 MM 140 D STANDARD BARREL 2 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 130 D SHORT BARREL 3 HOLE LCP DHHS STAINLESS STEEL L25 MM HIP,524.2,262.1,100.38,471.78,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 130 D STANDARD BARREL 3 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 135 D SHORT BARREL 3 HOLE LCP DHHS STAINLESS STEEL L25 MM HIP,524.2,262.1,100.38,471.78,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 135 D STANDARD BARREL 3 HOLE LCP DHHS L38 MM,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 140 D SHORT BARREL 3 HOLE LCP DHHS STAINLESS STEEL L25 MM HIP,524.2,262.1,100.38,471.78,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 140 D STANDARD BARREL 3 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L72 MM 145 D STANDARD BARREL 3 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L90 MM 130 D SHORT BARREL 4 HOLE LCP DHHS STAINLESS STEEL L25 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,"SIDEPLATE BONE L90 MM 130 D STANDARD BARREL 4 HOLE LCP DHHS,DHHS STAINLESS STEEL L38 MM HIP",527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L90 MM 135 D SHORT BARREL 4 HOLE COMPRESSION LCP DHHS STAINLESS STEEL L25 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L90 MM 135 D STANDARD BARREL 4 HOLE LCP DHHS L38 MM,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L90 MM 140 D SHORT BARREL 4 HOLE LCP DHHS STAINLESS STEEL L25 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L90 MM 140 D STANDARD BARREL 4 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SIDEPLATE BONE L90 MM 145 D STANDARD BARREL 4 HOLE LCP DHHS STAINLESS STEEL L38 MM HIP,527.73,263.87,101.06,474.96,65
HCPCS,C1713,SLEEVE CENTERING 38.1MM 9MM 12.7MM SET SCREW IMHS CP HIP INTRAMEDULLARY,184.65,92.33,35.36,166.19,65
HCPCS,C1713,SLEEVE COMPRESSION FRAG-LOC BONE SCREW,209.0,104.5,40.02,188.1,65
HCPCS,C1713,SLEEVE EXTERNAL FIXATION 6MM CENTERING ILIZAROV TAYLOR SPATIAL FRAME,240.0,120.0,52.34,216.0,64
HCPCS,C1713,SLEEVE HOLDING 8-11MM ELASTIC INSERTION T2 NAIL STERILE,110.45,55.23,21.15,99.41,65
HCPCS,C1713,SLEEVE LOCKING 120D TITANIUM NONSTERILE LIGHT BLUE 9-12MM FEMORAL NAIL SPIRAL BLADE,289.06,144.53,55.35,260.15,65
HCPCS,C1713,SLEEVE LOCKING 130D TITANIUM NONSTERILE PINK 9-12MM FEMORAL NAIL,266.99,133.5,51.13,240.29,65
HCPCS,C1713,SLEEVE LOCKING ASLS 4 MM SCREW POLY RESORBABLE INNER THREAD,157.91,78.96,30.24,142.12,65
HCPCS,C1713,SLEEVE LOCKING ASLS 5 MM SCREW POLY RESORBABLE INNER THREAD,157.91,78.96,30.24,142.12,65
HCPCS,C1713,SOCKET EXTERNAL FIXATION 20MM ILIZAROV TIBIAL STAINLESS STEEL THREAD DELUXE SET ADULT,39.26,19.63,8.56,35.33,64
HCPCS,C1713,SOCKET EXTERNAL FIXATION 60MM ILIZAROV TIBIAL STAINLESS STEEL THREAD DELUXE SET ADULT,55.23,27.62,12.05,49.71,64
HCPCS,C1713,SOCKET EXTERNAL FIXATION ILIZAROV THREAD NONSTERILE LATEX FREE DISPOSABLE,39.26,19.63,8.56,35.33,64
HCPCS,C1713,SOCKET THREADED 30MM,39.26,19.63,8.56,35.33,64
HCPCS,C1713,SPACER ACDF W14 MM X H10 MM 7 D D12 MM LARGE COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H10 MM 7 D D12 MM LARGE COLONIAL PEEK TITANIUM SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H11 MM 7 D D12 MM LARGE COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H5 MM 7 D D12 MM COALITION PEEK SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H6 MM 7 D D12 MM COALITION PEEK SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H6 MM 7 D D12 MM LARGE COLONIAL PEEK TITANIUM SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H7 MM 7 D D12 MM LARGE COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H8 MM 7 D D12 MM LARGE COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W14 MM X H9 MM 7 D D12 MM LARGE COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H6 MM 7 D D14 MM XL COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H6 MM 7 D D14 MM XL COLONIAL PEEK TITANIUM SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H7 MM 0 D D14 MM XL COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H7 MM 7 D D14 MM XL COLONIAL PEEK TITANIUM SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H7 MM 7 D D14 MM XL LORDOTIC COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H8 MM 0 D D14 MM XL COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H8 MM 7 D D14 MM XL COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ACDF W16 MM X H9 MM 0 D D14 MM XL COLONIAL PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER ALIF L32 MM X W25 MM X H13.5-8.2 MM 14 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL 2.2 CC,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER ALIF L36 MM X W28 MM X H13.5-9.4 MM 10 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER ALLOGRAFT L10 MM PARALLEL FREEZE DRIED ARCH OPEN DOOR LAMINOPLASTY,1004.87,502.44,192.43,904.38,65
HCPCS,C1713,SPACER ALLOGRAFT L12 MM X W14 MM X H7 MM LORDOTIC FORGE CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SPACER ALLOGRAFT L30 MM X H12 MM LORDOTIC CRESCENT,1320.0,660.0,252.78,1188.0,65
HCPCS,C1713,SPACER ALLOGRAFT L4 MM X W9 MM X H6 MM 7.5 D FREEZE DRY NOTCH END ARCH SPINE OPEN DOOR LAMINOPLASTY,1004.87,502.44,192.43,904.38,65
HCPCS,C1713,SPACER ALLOGRAFT L4 MM X W9 MM X H6 MM PARALLEL FREEZE DRIED NOTCH END ARCH SPINE OPEN DOOR LAMINOPLASTY,1004.87,502.44,192.43,904.38,65
HCPCS,C1713,SPACER ALLOGRAFT L6 MM X W9 MM X H6 MM 7.5 D FREEZE DRY NOTCH END ARCH SPINE OPEN DOOR LAMINOPLASTY,1004.87,502.44,192.43,904.38,65
HCPCS,C1713,SPACER ANTERIOR CERVICAL INTERBODY FUSION H10 MM STANDARD LORDOTIC PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER ANTERIOR CERVICAL INTERBODY FUSION H7 MM LARGE LORDOTIC PEEK-OPTIMA TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER CERVICAL INTERBODY FUSION W16 MM X H14 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER CERVICAL INTERBODY FUSION W16 MM X H6 MM PREVAIL PEEK-OPTIMA STANDALONE SPINAL OD14 MM,1960.0,980.0,375.34,1764.0,65
HCPCS,C1713,SPACER CONNECTING PLATES L20 MM STANDOFF,80.95,40.48,17.66,72.86,64
HCPCS,C1713,SPACER CONNECTING PLATES L40 MM STANDOFF MRI SAFE DISTRACTION OSTEOGENESIS RING SYSTEM,85.36,42.68,18.62,76.82,64
HCPCS,C1713,SPACER CORPECTOMY SYSTEM W14 MM X H21 MM 5 D D12 MM SMALL NIKO PEEK SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER CORPECTOMY SYSTEM W14 MM X H23 MM 0 D D12 MM SMALL NIKO PEEK SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER CORPECTOMY SYSTEM W14 MM X H23 MM 5 D D12 MM SMALL NIKO PEEK SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER EXPAND 12D 10X28X10MMPROLIFT,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER EXPAND 12D 10X28X8MMPROLIFT,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER EXPAND 7D 10X28X8MMPROLIFT,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER EXTERNAL FIXATION L30 MM SALVATION FOOT ANKLE,64.68,32.34,14.11,58.21,64
HCPCS,C1713,SPACER EXTERNAL FIXATION L60 MM SALVATION FOOT ANKLE,73.63,36.82,16.06,66.27,64
HCPCS,C1713,SPACER EXTERNAL FIXATION L80 MM SALVATION FOOT ANKLE,81.59,40.8,17.79,73.43,64
HCPCS,C1713,SPACER H12 MM 14 D SMALL SYNFIX EVOLUTION SPINAL H6.7 MM 1.9 CC BLUE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER H6 MM LORDOTIC VARIABLE ANGLE SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER HUMERAL +8 MM SMALL SCREW ALTIVATE REVERSE METAL SHOULDER,1240.26,620.13,237.51,1116.23,65
HCPCS,C1713,SPACER HUMERAL L20 MM OD13 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1713,SPACER HUMERAL L20 MM OD15 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1713,SPACER INTERBODY FUSION 16MM X 13MM X 8MM PEEK POROUS CERVICAL 7DEG INSPIRE,810.0,405.0,155.12,729.0,65
HCPCS,C1713,SPACER INTERBODY FUSION 18MM X 14MM X 7MM PEEK POROUS CERVICAL 7DEG INSPIRE,810.0,405.0,155.12,729.0,65
HCPCS,C1713,SPACER INTERBODY FUSION L26 MM X W12 MM X H11 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER INTERBODY FUSION L26 MM X W12 MM X H13 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER INTERBODY FUSION L26 MM X W12 MM X H9 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER INTERBODY FUSION L37 MM X W27 MM X H14 MM 12 D MEDIUM CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL LUMBAR,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER INTERBODY FUSION MEDIUM 16MM X 14MM X 8MM PEEK CERVICAL 6DEG LORDOTIC ACCENT,680.0,340.0,130.22,612.0,65
HCPCS,C1713,SPACER L13 MM COALITION ANCHOR SPINAL,95.0,47.5,18.19,85.5,65
HCPCS,C1713,SPACER L22 MM X W10 MM X H10 MM 15 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1713,SPACER L22 MM X W10 MM X H11 MM 15 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L22 MM X W10 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L22 MM X W10 MM X H8 MM 10 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L22 MM X W10 MM X H9 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L22 MM X W8 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L22 MM X W8 MM X H8 MM 10 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L22 MM X W8 MM X H9 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L23 MM X H7 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER L23 MM X H8 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER L23 MM X H9 MM STANDARD ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER L23 MM X H9 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER L26 MM X W10 MM X H10 MM 15 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W10 MM X H10 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W10 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W10 MM X H8 MM 10 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W10 MM X H8-12 MM 8 D ALTERA SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W10 MM X H9-13 MM 8 D ALTERA SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W12 MM X H10 MM 15 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W12 MM X H10 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W12 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W12 MM X H8 MM 10 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L26 MM X W8 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L28 MM X H9 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER L28 MM X W10 MM X H13 MM OPAL REVOLVE SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER L30 MM X W10 MM X H10 MM 15 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L30 MM X W10 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L30 MM X W10 MM X H8 MM 10 D RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L30 MM X W12 MM 8DEG 9-16 MM SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1713,SPACER L30 MM X W12 MM X H10 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L30 MM X W12 MM X H7 MM RISE SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L30 MM X W24 MM X H11 MM 15 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L30 MM X W24 MM X H11 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L30 MM X W24 MM X H13 MM 15 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L30 MM X W24 MM X H13 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L30 MM X W24 MM X H15 MM 20 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L31 MM X W10 MM X H8-12 MM 8 D ALTERA SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L31 MM X W10 MM X H9-13 MM 15 D ALTERA SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H11 MM 15 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H11 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H13 MM 15 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H13 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H15 MM 15 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H15 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H17 MM 15 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H17 MM 20 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L34 MM X W26 MM X H17 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L39 MM X W29 MM X H13 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER L39 MM X W29 MM X H15 MM 8 D INDEPENDENCE MIS SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION 100-08225510-S L60 MM X W22 MM X H8 MM 10 D IDENTITI LIF TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L45 MM X W22 MM X H6 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W18 MM X H10 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W18 MM X H12 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W18 MM X H6 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W18 MM X H8 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W22 MM X H10 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W22 MM X H8 M 15 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L50 MM X W22 MM X H8 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L55 MM X W18 MM X H10 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L55 MM X W18 MM X H6 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L55 MM X W18 MM X H8 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L55 MM X W22 MM X H10 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L55 MM X W22 MM X H8 MM 15 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L60 MM X W18 MM X H10 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL INTERBODY FUSION L60 MM X W18 MM X H8 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L45 MM X W18 MM X H11 MM 6 D SMALL TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L45 MM X W18 MM X H13 MM 6 D SMALL TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L50 MM X W22 MM X H11 MM 6 D LARGE TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L50 MM X W22 MM X H13 MM 6 D LARGE TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L50 MM X W22 MM X H13 MM 6 D MEDIUM TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L50 MM X W22 MM X H9 MM 6 D LARGE TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L55 MM X W20 MM X H9 MM 6 D TRANSCONTINENTAL M PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L55 MM X W22 MM X H11 MM 10 D LARGE TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LATERAL LUMBAR INTERBODY FUSION L60 MM X W22 MM X H17 MM 10 D XL TRANSCONTINENTAL PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LIF 100-08225510-S L55 MM X W22 MM X H8 MM 10 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LIF L45 MM X W22 MM X H8 MM 15 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LIF L55 MM X W22 MM X H6 MM 15 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LIF L60 MM X W22 MM X H6 MM 15 D IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LIF W18 MM X H6 MM 10 D D60 MM IDENTITI TITANIUM POROUS SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION H10 MM SMALL VERTE-STACK CENTERPIECE PEEK SPINAL,466.05,233.03,89.25,419.45,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L22 MM X W10 MM X H9 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L22 MM X W8 MM X H11 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L22 MM X W8 MM X H12 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L22 MM X W8 MM X H13 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L22 MM X W8 MM X H15 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L22 MM X W8 MM X H9 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L26 MM X W10 MM X H13 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L30 MM X W10 MM X H12 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L30 MM X W10 MM X H13 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L32 MM X W23 MM X H10 MM 12 D SMALL CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L32 MM X W23 MM X H14 MM 12 D SMALL CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L32 MM X W23 MM X H16 MM 8 D SMALL CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L37 MM X W27 MM X H10 MM 8 D MEDIUM CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L37 MM X W27 MM X H12 MM 8 D MEDIUM CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L37 MM X W27 MM X H18 MM 12 D MEDIUM CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L42 MM X W30 MM X H12 MM 12 D LARGE CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER LUMBAR INTERBODY FUSION L42 MM X W30 MM X H18 MM 12 D LARGE CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER PLIF TLIF L24 MM X W10 MM X H10.5 MM 12 D FORZA TITANIUM EXPAND LARGE GRAFT WINDOW SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER PLIF TLIF L24 MM X W10 MM X H6.5 MM 7 D FORZA TITANIUM EXPAND LARGE GRAFT WINDOW SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER PLIF TLIF L24 MM X W10 MM X H8.5 MM 12 D FORZA TITANIUM EXPAND LARGE GRAFT WINDOW SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER PLIF TLIF L28 MM X W10 MM X H10.5 MM 11 D FORZA TITANIUM EXPAND LARGE GRAFT WINDOW SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER PLIF TLIF L28 MM X W10 MM X H6.5 MM 7 D FORZA TITANIUM EXPAND LARGE GRAFT WINDOW SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER PLIF TLIF L28 MM X W10 MM X H8.5 MM 11 D FORZA TITANIUM EXPAND LARGE GRAFT WINDOW SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER SHORELINE 7D 16X14X8MM,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SPACER SHORELINE 7D 16X14X9MM,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SPACER SPINAL 10D 16X14X9MM SHORELINE STANDALONE STERILE LATEX FREE ANTERIOR CERVICAL INTERBODY FUSION,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SPACER SPINAL 10MM X 22MM X 10MM TITANIUM LUMBAR LORDOTIC EXPANDABLE LEVA STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER SPINAL 10MM X 22MM X 12MM TITANIUM LUMBAR 10DEG LORDOTIC EXPANDABLE LEVA STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER SPINAL 10MM X 22MM X 13MM TITANIUM LUMBAR 10DEG LORDOTIC EXPANDABLE LEVA STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER SPINAL 10MM X 22MM X 14MM TITANIUM LUMBAR 10DEG LORDOTIC EXPANDABLE LEVA STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER SPINAL 10MM X 26MM X 9-13MM TITANIUM 15DEG LORDOTIC ALTERA,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER SPINAL 12MM X 14MM X 16MM PEEK-OPTIMA VERTEBRAL 6DEG LORDOTIC HAWKEYE VBR STERILE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER SPINAL 14MM X 12MM X 6MM PEEK CERVICAL 6DEG ACCENT NON-STERILE,680.0,340.0,130.22,612.0,65
HCPCS,C1713,SPACER SPINAL 14MM X 12MM X 7MM PEEK CERVICAL 6DEG ACCENT NON-STERILE,680.0,340.0,130.22,612.0,65
HCPCS,C1713,SPACER SPINAL 14MM X 18-24MMH THORACOLUMBAR 0DEG SPIKELESS FOOTPRINT FORTIFY-R,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1713,SPACER SPINAL 14MM X 25MM X 12MM TITANIUM 0-7DEG SPIKELESS STATIC F/CORPECTOMY FORTIFY I-R,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1713,SPACER SPINAL 14MM X 27MM X 12MM TITANIUM 0-7DEG SPIKELESS STATIC F/CORPECTOMY FORTIFY I-R,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1713,SPACER SPINAL 14MM X 6MM X 12MM PEEK TITANIUM ANTERIOR CERVICAL 7DEG LORDOTIC COALITION MIS,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER SPINAL 15D 28X10X8MM PROLIFT EXPAND STERILE LATEX FREE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER SPINAL 16MM X 7MM X 14MM PEEK TITANIUM ANTERIOR CERVICAL 7DEG LORDOTIC COALITION MIS,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER SPINAL 16MMW X 16MMD X 20-25MMH TITANIUM ANTERIOR CERVICAL OPTIMIZED FIT SPIKELESS F/CORPECTOMY FORTIFY,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1713,SPACER SPINAL 18MM X 14MM X 9MM PEEK POROUS CERVICAL 7DEG F/INTERBODY FUSION INSPIRE,810.0,405.0,155.12,729.0,65
HCPCS,C1713,SPACER SPINAL 18MMW X 15MML X 7MMH TITANIUM ANTERIOR CERVICAL 7DEG ANGLED SELF-DISTRACTING RIDGED TEETH 3D PRINTED HEDRON C STERILE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SPACER SPINAL 20MM X 45MM X 7-14MM ELSA,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER SPINAL 20MM X 55MM X 10-17MM TITANIUM 5-20DEG ELSA,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER SPINAL 20MM X 55MM X 7-14MM ELSA,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER SPINAL 20MM X 60MM X 10-17MM TITANIUM 5-20DEG ELSA,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1713,SPACER SPINAL 22X10X11MM RISE NONSTERILE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER SPINAL 25MM X 16MM X 15MM TITANIUM LUMBAR 10DEG LORDOTIC EXPANDABLE LEVA STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1713,SPACER SPINAL 28MM X 9MM X 12MM PEEK HA FUSE TRANSFORAMINAL LUMBAR 8DEG 3D PRINTED INSPIRE TA,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1713,SPACER SPINAL 7D 12MM LARGE 14X8MM COLONIAL PEEK TITANIUM STERILE LATEX FREE ACDF,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER SPINAL 7D 14MM XL 16X9MM COLONIAL PEEK NONSTERILE LATEX FREE ACDF,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SPACER SPINAL 7D 16X14X10MM SHORELINE STANDALONE STERILE LATEX FREE ANTERIOR CERVICAL INTERBODY FUSION,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SPACER SPINAL 7D 18X15X11MM SHORELINE STANDALONE STERILE LATEX FREE ANTERIOR CERVICAL INTERBODY FUSION,580.0,290.0,111.07,522.0,65
HCPCS,C1713,SPACER SPINAL SMALL 14MM X 12MM X 8MM PEEK CERVICAL 6DEG LORDOTIC ACCENT NON-STERILE,680.0,340.0,130.22,612.0,65
HCPCS,C1713,SPACER SPNL 15D 39X30X12MM VU APOD PRIME,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SPACER STANDOFF L100 MM MAXFRAME,124.95,62.48,27.25,112.46,64
HCPCS,C1713,SPACER STANDOFF L120 MM MAXFRAME,142.94,71.47,31.18,128.65,64
HCPCS,C1713,SPACER STANDOFF L30 MM MRI SAFE DISTRACTION OSTEOGENESIS RING SYSTEM,82.93,41.47,18.09,74.64,64
HCPCS,C1713,SPACER STANDOFF L50 MM MRI SAFE DISTRACTION OSTEOGENESIS RING SYSTEM,94.18,47.09,20.54,84.76,64
HCPCS,C1713,SPACER VERTEBRAL BODY REPLACEMENT L25 MM X H10 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER VERTEBRAL BODY REPLACEMENT L25 MM X H11 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER VERTEBRAL BODY REPLACEMENT L25 MM X H12 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER VERTEBRAL BODY REPLACEMENT L25 MM X H9 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1713,SPACER W12 MM X H15 MM 0 D D12 MM FORTIFY NO SPIKE SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H16 MM 0 D D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H17 MM 3.5 D D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H18 MM FORTIFY SPINAL DEPTH 12 MM,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H19 MM D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H21 MM D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H25 MM D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H33 MM D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W12 MM X H48 MM D12 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 0 D D12 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 0 D D12 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 0 D D12 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 0 D D12 MM FORTIFY I FOOTPRINT LOWER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 0 D D12 MM FORTIFY I FOOTPRINT UPPER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 3.5 D D12 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 3.5 D D12 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 3.5 D D12 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 3.5 D D12 MM FORTIFY I FOOTPRINT LOWER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 3.5 D D12 MM FORTIFY I FOOTPRINT UPPER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 7 D D12 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 7 D D12 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 7 D D12 MM FORTIFY I FOOTPRINT LOWER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H12 MM 7 D D12 MM FORTIFY I FOOTPRINT UPPER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W14 MM X H21 MM 7 D D12 MM FORTIFY I-R STATIC FOOTPRINT SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1713,SPACER W14 MM X H23 MM 0 D D12 MM FORTIFY I FOOTPRINT NO SPIKE SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W14 MM X H23 MM 0 D D12 MM FORTIFY I-R STATIC FOOTPRINT SPINAL,3750.0,1875.0,718.13,3375.0,65
HCPCS,C1713,SPACER W14 MM X H23 MM 3.5 D D12 MM FORTIFY I FOOTPRINT NO SPIKE SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W14 MM X H7 MM 7 D D12 MM COALITION MIS SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER W14 MM X H8 MM 12 D D12 MM COALITION MIS SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER W14 MM X H8 MM 7 D D12 MM COALITION MIS SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 0 D D14 MM FORTIFY LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 0 D D14 MM FORTIFY UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 3.5 D D14 MM FORTIFY LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 3.5 D D14 MM FORTIFY UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 7 D D14 MM FORTIFY I FOOTPRINT LOWER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 7 D D14 MM FORTIFY I FOOTPRINT UPPER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 7 D D14 MM FORTIFY LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H12 MM 7 D D14 MM FORTIFY UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W16 MM X H52 MM D16 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W16 MM X H6 MM 7 D D14 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1713,SPACER W18 MM X H16 MM 0 D D18 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W18 MM X H16 MM 0 D D18 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W18 MM X H8 MM 7 D D15 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SPACER W20 MM X H20 MM 0 D D20 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W20 MM X H20 MM 0 D D20 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W20 MM X H20 MM 4 D D20 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W20 MM X H26 MM D20 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W20 MM X H31 MM D20 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W20 MM X H41 MM D20 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W20 MM X H62 MM D20 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W20 MM X H90 MM D20 MM FORTIFY SPINAL,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1713,SPACER W23 MM X H20 MM 0 D D21 MM FORTIFY I FOOTPRINT LOWER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W23 MM X H20 MM 8 D D21 MM FORTIFY I FOOTPRINT UPPER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W30 MM X H16 MM 0 D D16 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W30 MM X H20 MM 0 D D25 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W30 MM X H20 MM 0 D D25 MM FORTIFY FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W30 MM X H20 MM 8 D D25 MM FORTIFY FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W34 MM X H11 MM 8 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W34 MM X H13 MM 8 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W34 MM X H15 MM 8 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W39 MM X H13 MM 15 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W39 MM X H15 MM 15 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W39 MM X H17 MM 15 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W39 MM X H19 MM 15 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1713,SPACER W40 MM X H20 MM 0 D D22 MM FORTIFY I FOOTPRINT UPPER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W40 MM X H20 MM 4 D D22 MM FORTIFY I FOOTPRINT LOWER ENDPLATE NO SPIKE SPINAL,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SPACER W40 MM X H8-15 MM 6 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W45 MM X H8-15 MM 6 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W45 MM X H8-17 MM 5-20 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W50 MM X H7-14 MM D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W50 MM X H8-15 MM 6 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W55 MM X H11-20 MM 15-30 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W55 MM X H8-15 MM 6 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W55 MM X H8-17 MM 5-20 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W60 MM X H8-17 MM 5-20 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPACER W65 MM X H8-15 MM 6 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1713,SPHERE EYE OD16 MM CURVE POLYETHYLENE POROUS MEDPOR SST-EZ SUTURE HOLE RECONSTRUCTION,668.22,334.11,127.96,601.4,65
HCPCS,C1713,SPRING CRANIOTOMY 7N SMARTFLEX,2333.0,1166.5,446.77,2099.7,65
HCPCS,C1713,STAPLE 9 MM CHARLOTTE STAINLESS STEEL BONE,165.17,82.59,31.63,148.65,65
HCPCS,C1713,STAPLE ACL PCL L20 MM X W11 MM COCR BONE LOW PROFILE SPIKE LIGAMENT,79.0,39.5,15.13,71.1,65
HCPCS,C1713,STAPLE ACL PCL L20 MM X W6 MM COCR BONE LOW PROFILE SPIKE LIGAMENT,79.0,39.5,15.13,71.1,65
HCPCS,C1713,STAPLE ACL PCL L20 MM X W8 MM COCR BONE LOW PROFILE SPIKE LIGAMENT,79.0,39.5,15.13,71.1,65
HCPCS,C1713,STAPLE BONE 10X10X1.2-1.5MM 2MM EASYCLIP FOOT ANKLE NITINOL REAMER LOW PROFILE CONSTANT COMPRESSION FIXATION SYSTEM NONSTERILE,718.39,359.2,137.57,646.55,65
HCPCS,C1713,STAPLE BONE 10X10X10MM DYNACLIP BONE STERILE LATEX FREE,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,STAPLE BONE 10X10X10MM MEMOFIX INTEGRA DOME NITINOL SUPERELASTIC COLOR CODED MICROEDGE BARB BIOCOMPATIBLE,1758.67,879.34,336.79,1582.8,65
HCPCS,C1713,STAPLE BONE 10X12X1.2-1.5MM 2MM EASYCLIP SI ANKLE FOOT NITINOL REAMER LOW PROFILE CONSTANT COMPRESSION FIXATION SYSTEM NONSTERILE,718.39,359.2,137.57,646.55,65
HCPCS,C1713,STAPLE BONE 12X12X12MM DYNAFORCE NITINOL ELASTIC STERILE,1147.86,573.93,219.82,1033.07,65
HCPCS,C1713,STAPLE BONE 14X14X14MM DYNACLIP BONE STERILE LATEX FREE,1235.0,617.5,236.5,1111.5,65
HCPCS,C1713,STAPLE BONE 15X15X15MM DYNAFORCE NITINOL BONE FRAGMENT OSTEOTOMY FIXATION JOINT ARTHRODESIS STERILE LATEX FREE,1435.14,717.57,274.83,1291.63,65
HCPCS,C1713,STAPLE BONE 18-14MM DYNAFORCE HIMAX 0D THK1.8MM 3.2MM 2.7MM NITINOL 18MM DYNABUNION PLATE,1493.1,746.55,285.93,1343.79,65
HCPCS,C1713,STAPLE BONE 18X18X18MM DYNAFORCE HIMAX NITINOL BONE FRAGMENT OSTEOTOMY FIXATION JOINT ARTHRODESIS STERILE LATEX FREE,1493.1,746.55,285.93,1343.79,65
HCPCS,C1713,STAPLE BONE 18X18X18MM DYNAFORCE NITINOL ELASTIC BONE FRAGMENT OSTEOTOMY FIXATION JOINT ARTHRODESIS STERILE,1550.22,775.11,296.87,1395.2,65
HCPCS,C1713,STAPLE BONE 18X18X18MM HIMAX PLUS STERILE,1761.06,880.53,337.24,1584.95,65
HCPCS,C1713,STAPLE BONE 18X18X18MM MOTOCLIP HIMAX NITINOL FOOT FRAGMENT OSTEOTOMY FIXATION JOINT ARTHRODESIS STERILE LATEX FREE,1493.1,746.55,285.93,1343.79,65
HCPCS,C1713,STAPLE BONE 20X18X18MM DYNACLIP STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,STAPLE BONE 20X20MM TRIMAX NITINOL ELASTIC BONE FRAGMENT OSTEOTOMY FIXATION JOINT ARTHRODESIS STERILE LATEX FREE,2297.82,1148.91,440.03,2068.04,65
HCPCS,C1713,STAPLE BONE 20X20X20MM DYNAFORCE NITINOL,1550.22,775.11,296.87,1395.2,65
HCPCS,C1713,STAPLE BONE 20X22X22MM DYNACLIP,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,STAPLE BONE 22X25X1.6-2.5MM 3MM EASYCLIP SI LOW PROFILE HAND FOOT ANKLE NITINOL MONOCORTICAL SUPERELASTIC REAMER DRILL NONSTERILE,1227.83,613.92,235.13,1105.05,65
HCPCS,C1713,STAPLE BONE 23.22X11.11MM MEDIUM SPIKE COCR FIXATION SPIKE OSTEOTOMY,151.08,75.54,28.93,135.97,65
HCPCS,C1713,STAPLE BONE 23.22X14.29MM LARGE REGULAR ORTHOPEDIC COCR SPIKE OSTEOTOMY,151.08,75.54,28.93,135.97,65
HCPCS,C1713,STAPLE BONE 25X22X22MM DYNAFORCE NITINOL ELASTIC STERILE,1550.22,775.11,296.87,1395.2,65
HCPCS,C1713,STAPLE BONE 26X20X20MM DYNACLIP STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1713,STAPLE BONE 8X8X1.2-1.5MM 2MM EASYCLIP SUPERELASTIC DRILL MONOCORTICAL,718.39,359.2,137.57,646.55,65
HCPCS,C1713,STAPLE BONE 8X8X8MM DYNACLIP STERILE LATEX FREE,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,STAPLE BONE 9X9X9MM DYNAFORCE NITINOL ELASTIC STERILE,1147.86,573.93,219.82,1033.07,65
HCPCS,C1713,STAPLE BONE FIXATION 12MMW X 12MML 2MML REAMER NITINOL FUSEFORCE,875.0,437.5,167.56,787.5,65
HCPCS,C1713,STAPLE BONE FIXATION 15MMW X 15MML X 15MMH NITINOL SUPERELASTIC FOREFOOT F/OSTEOTOMY JOINT ARTHRODESIS DYNAFORCE STERILE,1147.86,573.93,219.82,1033.07,65
HCPCS,C1713,STAPLE BONE FIXATION 18MM X 19MM X 17MM NITINOL SUPERELASTIC MICROEDGE BARB MEMOFIX NON-STERILE BIOCOMPATIBLE,2344.9,1172.45,449.05,2110.41,65
HCPCS,C1713,STAPLE BONE FIXATION 18MMW X 20MMW X 20MMH W/DISPOSABLE PRELOADED INSERTER DYNACLIP STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,STAPLE BONE FIXATION 26MMW X 20MML X 20MMH LEGX4 INLINE W/DISPOSABLE PRELOADED INSERTER DYNACLIP STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,STAPLE BONE FIXATION 30MMW X 20MML X 20MMH LEGX4 INLINE W/DISPOSABLE PRELOADED INSERTER DYNACLIP STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1713,STAPLE BONE FIXATION SMALL 15MMW X 12/12MML NITINOL ELASTIC ASYMMETRICAL MEMORY STERILE,1075.0,537.5,205.86,967.5,65
HCPCS,C1713,STAPLE BONE FIXATION TRIMAX 18MM X 18MM X 18MM SUPERELASTIC NITINOL F/KEEL-LOCK STERILE SINGLE PACKED,2297.82,1148.91,440.03,2068.04,65
HCPCS,C1713,STAPLE FOOT ANKLE L15 MM X W15 MM CHARLOTTE STAINLESS STEEL BONE COMPRESSION,341.29,170.65,65.36,307.16,65
HCPCS,C1713,STAPLE FOOT ANKLE L17 MM X W13 MM CHARLOTTE STAINLESS STEEL BONE COMPRESSION,341.29,170.65,65.36,307.16,65
HCPCS,C1713,STAPLE FOOT ANKLE L20 MM X W20 MM CHARLOTTE STAINLESS STEEL BONE COMPRESSION,341.29,170.65,65.36,307.16,65
HCPCS,C1713,STAPLE FOOT ANKLE L20 MM X W25 MM CHARLOTTE STAINLESS STEEL BONE COMPRESSION,341.29,170.65,65.36,307.16,65
HCPCS,C1713,STAPLE FOOT ANKLE L25 MM X W20 MM CHARLOTTE STAINLESS STEEL BONE COMPRESSION,341.29,170.65,65.36,307.16,65
HCPCS,C1713,STAPLE FOOT HAND WRIST L15-13 MM X W10 MM LOW PROFILE EASYCLIP NITINOL BONE OD2 MM 1 PIECE NOTCH BICORTICAL SUPERELASTIC FIXATION SYSTEM,718.39,359.2,137.57,646.55,65
HCPCS,C1713,STAPLE HAND FOOT L14 MM X W25 MM DYNAFORCE HIMAX NITINOL BONE L22 MM X W18 MM ELASTIC,1550.22,775.11,296.87,1395.2,65
HCPCS,C1713,STAPLE HAND L10 MM X W10 MM FUSEFORCE BONE,759.19,379.6,145.38,683.27,65
HCPCS,C1713,STAPLE HAND L12 MM X W12 MM FUSEFORCE BONE,759.19,379.6,145.38,683.27,65
HCPCS,C1713,STAPLE HAND L15 MM X W15 MM FUSEFORCE BONE 2 MM REAMER,1055.7,527.85,202.17,950.13,65
HCPCS,C1713,STAPLE HAND L16 MM X W18 MM FUSEFORCE BONE,1055.7,527.85,202.17,950.13,65
HCPCS,C1713,STAPLE HAND L20 MM X W20 MM FUSEFORCE BONE,1055.7,527.85,202.17,950.13,65
HCPCS,C1713,STAPLE HAND L8 MM X W8 MM X H2 MM FUSEFORCE BONE,759.19,379.6,145.38,683.27,65
HCPCS,C1713,STAPLE HAND WRIST L13 MM 1.5 MM NITINOL BONE L15/13 MM KIT CONTINUOUS ACTIVE COMPRESSION,745.58,372.79,142.78,671.02,65
HCPCS,C1713,STAPLE HIMAX SINGLE IMPL 20MM X 14MM X 14MM STERILE,1493.1,746.55,285.93,1343.79,65
HCPCS,C1713,STAPLE L10 MM X W9 MM DYNANITE NITINOL TITANIUM BONE,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,STAPLE L12 MM W12 MM MINI REFLEX BONE KIT,1470.0,735.0,281.51,1323.0,65
HCPCS,C1713,STAPLE L15 MM X W12 MM X H12 MM DOME MEMOFIX INTEGRA NITINOL BONE SUPERELASTIC COLOR CODED MICROEDGE BARB BIOCOMPATIBLE,2344.9,1172.45,449.05,2110.41,65
HCPCS,C1713,STAPLE L15 MM X W15 MM X H15 MM DOME MEMOFIX NITINOL BONE SUPER ELASTIC COLOR CODED MICROEDGE BARB TECHNOLOGY,2344.9,1172.45,449.05,2110.41,65
HCPCS,C1713,STAPLE L18 MM X W14 MM X H14 MM DOME MEMOFIX NITINOL BONE SUPERELASTIC COLOR CODED MICROEDGE BARB BIOCOMPATIBLE,2344.9,1172.45,449.05,2110.41,65
HCPCS,C1713,STAPLE L18 MM X W15 MM X H18 MM HIMAX BONE SINGLE,1493.1,746.55,285.93,1343.79,65
HCPCS,C1713,STAPLE L20 MM X W20 MM DYNANITE SUPERMX NITINOL BONE H1 MM COMPRESSION LOW PROFILE TROCAR TIP FLAT BOTTOM PIN,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1713,STAPLE L20 MM X W25 MM EASYFUSE BONE 2 LEG,1300.0,650.0,248.95,1170.0,65
HCPCS,C1713,STAPLE L25 MM THK1.3-1.6 MM HIMAX PLUS WIDEBODY NITINOL BONE W5 MM PREP KIT ELASTIC LOW PROFILE BRIDGE,585.06,292.53,112.04,526.55,65
HCPCS,C1713,STAPLE METATARSOPHALANGEAL L23 MM X W16 MM THK1.5 1.7 MM REFLEX NITINOL BONE W5.0 MM BONE RECONSTRUCTION ULTRA STABILITY 4-LEG LAPIDUS,2030.0,1015.0,388.75,1827.0,65
HCPCS,C1713,STAPLE NON STERILE RELFEX MINI 12X12MM,1260.0,630.0,241.29,1134.0,65
HCPCS,C1713,STAPLE SPINE ANTERIOR EXPEDIUM BONE 1 HOLE,269.85,134.93,51.68,242.87,65
HCPCS,C1713,STAPLE SPINE ANTERIOR L13 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
HCPCS,C1713,STAPLE SPINE ROSTRAL ANTERIOR L21 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
HCPCS,C1713,STEM FEMORAL 160MM 12.7MM HIP 127D 10 46MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,STEM FEMORAL 260MM 18MM HIP CALCAR +15MM REVISION LATERAL PROXIMAL FLARE LEFT BOW ECHELON COCR POROUS STERILE,29.85,14.93,5.72,26.87,65
HCPCS,C1713,STEM FEMORAL 7 2 TAPER FLAT LATERALIZE MECTAGRIP MASTERLOC HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1713,STOPPER EXTERNAL FIXATION APPLICATOR TRUELOK,132.0,66.0,28.79,118.8,64
HCPCS,C1713,STOPPER EXTERNAL FIXATION WIRE PIN SMART TSF,688.38,344.19,150.14,619.54,64
HCPCS,C1713,STRIP BONE GRAFT 100MML 10MM THK DBM CORTICAL 7ML OSTEOCONDUCTIVE 3DEMIN 2/PK,1550.0,775.0,296.83,1395.0,65
HCPCS,C1713,STRIP BONE GRAFT 200MML 10MM THK DBM CORTICAL 14ML OSTEOCONDUCTIVE 3DEMIN 2/PK,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1713,STRIP BONE GRAFT 50MMW X 10MML X 7MMH DBM UPPER EXTREMITY OSTEOCONDUCTIVE INTERCONNECTED POROSITY OSTEOSPONGE STERILE SINGLE-USE,1175.0,587.5,225.01,1057.5,65
HCPCS,C1713,STRIP BONE GRAFT ALLOGRAFT 22MM X 50MM TRICORTICAL ILIUM PRESERVON MATRIGRAFT AMBIENT STORAGE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1713,STRUT EXTERNAL FIXATION 116-152MM FAST FX SHORT TAYLOR SPATIAL FRAME,806.89,403.45,175.98,726.2,64
HCPCS,C1713,STRUT EXTERNAL FIXATION 116-178MM ILIZAROV STANDARD MEDIUM TAYLOR SPATIAL FRAME CIRCULAR FIXATOR,2021.41,1010.71,440.87,1819.27,64
HCPCS,C1713,STRUT EXTERNAL FIXATION 143-205MM FAST FX MEDIUM TAYLOR SPATIAL FRAME,806.89,403.45,175.98,726.2,64
HCPCS,C1713,STRUT EXTERNAL FIXATION 195-311MM FAST FX LONG TAYLOR SPATIAL FRAME,806.89,403.45,175.98,726.2,64
HCPCS,C1713,STRUT EXTERNAL FIXATION 75-96MM ILIZAROV STANDARD XSHORT TAYLOR SPATIAL FRAME CIRCULAR FIXATOR,781.23,390.62,170.39,703.11,64
HCPCS,C1713,STRUT EXTERNAL FIXATION 91-121MM FAST FX XSHORT TAYLOR SPATIAL FRAME,806.89,403.45,175.98,726.2,64
HCPCS,C1713,STRUT EXTERNAL FIXATION BLUE 138-201MM MEDIUM TELESCOPIC,1538.27,769.14,335.5,1384.44,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L101-126 MM XS QUICK ADJUST MAXFRAME,1080.51,540.26,235.66,972.46,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L145-213 MM MEDIUM QUICK ADJUST MAXFRAME,1080.51,540.26,235.66,972.46,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L184-309 MM LONG STANDARD MAXFRAME,1049.93,524.97,228.99,944.94,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L205-311 MM LONG TELESCOPIC ROD SMART FX,1639.03,819.52,357.47,1475.13,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L59-76 MM STANDARD 2XSHORT ILIZAROV TAYLOR SPATIAL FRAME CIRCULAR FIXATOR,2021.41,1010.71,440.87,1819.27,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L80-105 MM XSHORT TELESCOPIC ROD SMART FX,1544.64,772.32,336.89,1390.18,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L81-103 MM XS STANDARD MAXFRAME,1049.93,524.97,228.99,944.94,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L97-193 MM SHORT MAXFRAME AUTOSTRUT,2080.0,1040.0,453.65,1872.0,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L98-142 MM SHORT TELESCOPIC ROD SMART FX,1639.03,819.52,357.47,1475.13,64
HCPCS,C1713,STRUT EXTERNAL FIXATION L99-122 MM SHORT TL-HEX HEXAPOD SYSTEM,1166.88,583.44,254.5,1050.19,64
HCPCS,C1713,STRUT EXTERNAL FIXATION LONG HEXAPOD MAXFRAME AUTOSTRUT,2080.0,1040.0,453.65,1872.0,64
HCPCS,C1713,STRUT EXTERNAL FIXATION MEDIUM HEXAPOD MAXFRAME AUTOSTRUT,2080.0,1040.0,453.65,1872.0,64
HCPCS,C1713,STRUT EXTERNAL FIXATION MEDIUM QUICK SALVATION,1566.13,783.07,341.57,1409.52,64
HCPCS,C1713,STRUT EXTERNAL FIXATION MEDIUM RAPID TRUELOK PLUS 180CE,700.0,350.0,152.67,630.0,64
HCPCS,C1713,STRUT EXTERNAL FIXATION MEDIUM SHOULDER BOLT PATIENT ADJUSTMENT DIAL ACUTE ADJUSTMENT BAND SMART FX,1639.03,819.52,357.47,1475.13,64
HCPCS,C1713,STRUT EXTERNAL FIXATION ORTHEX SHOULDER BOLT MS NONSTERILE LATEX FREE,51.45,25.73,11.22,46.31,64
HCPCS,C1713,STRUT EXTERNAL FIXATION ORTHEX TELESCOPE C/O 93-170 NONSTERILE LATEX FREE,1105.8,552.9,241.17,995.22,64
HCPCS,C1713,STRUT EXTERNAL FIXATION SHORT HEXAPOD MAXFRAME AUTOSTRUT,2080.0,1040.0,453.65,1872.0,64
HCPCS,C1713,STRUT EXTERNAL FIXATION YELLOW 119-161MM SHORT TELESCOPIC,1538.27,769.14,335.5,1384.44,64
HCPCS,C1713,SUBSTITUTE BONE GRAFT 1.5 ML PUTTY KIT MASTERGRAFT,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 1.6ML ACTIFUSE SHAPE MEDIUM CYLINDER 45MM 15MM SILICATE CALCIUM PHOSPHATE POROUS RESORBABLE SCAFFOLD OSTEOSTIMULATIVE GRANULE STERILE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 10 CC BIMODAL FOAM PACK VITOSS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 10 CC BIOACTIVE PUTTY KINEX PLUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 10 ML MATRIX BLOCK EXTENSION VOID FILLER MASTERGRAFT,640.53,320.27,122.66,576.48,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 10ML VITOSS BTCP COLLAGEN FOAM BIOACTIVE VOID FILLER COMPRESSION RESISTANT BA2X,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 12.5 CC BIOACTIVE FIBERGRAFT LARGE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 15CC HYDROSET HA INJECTABLE OSTEOCONDUCTIVE RADIOPAQUE,3985.05,1992.53,763.14,3586.55,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 1CC I FACTOR ALLOGRAFT PUTTY SYRINGE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 2 CC BIOACTIVE PUTTY KINEX PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 2.5CC I FACTOR ALLOGRAFT PUTTY SYRINGE,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 2.5ML VITOSS BBTRAUMA FOAM STERILE,282.0,141.0,54.0,253.8,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 2.5ML VITOSS BTCP COLLAGEN FOAM PACK BIOACTIVE,250.0,125.0,47.88,225.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 2CC NANOSS ABGS STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 5 CC BIOACTIVE PUTTY KINEX PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 5CC HYDROSET HA INJECTABLE OSTEOCONDUCTIVE RADIOPAQUE,1441.5,720.75,276.05,1297.35,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 5CC I FACTOR ALLOGRAFT PUTTY SYRINGE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 5CC NANOSS ABGS STERILE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 6.25CC MEDIUM BIOACTIVE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 75% CASO4 25% CAPO4 15 CC INJECTABLE PRO-DENSE,2984.0,1492.0,571.44,2685.6,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT 9 CC PUTTY MASTERGRAFT,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT B-TCP COLLAGEN 15 ML CANISTER CLOSED SYSTEM VITOSS STANDARD,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT B-TCP COLLAGEN 15 ML VOID FILLER CANISTER VITOSS MICRO,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP COLLAGEN 30 ML VOID FILLER VITOSS MACRO,1950.0,975.0,373.43,1755.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP COLLAGEN 5 ML VOID FILLER FOAM PACK VITOSS,500.0,250.0,95.75,450.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP COLLAGEN L100 MM X W25 MM X H4 MM VOID FILLER FOAM STRIP BIOACTIVE VITOSS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP COLLAGEN L100 MM X W25 MM X H8 MM VOID FILLER FOAM STRIP FLEXIBLE COMPRESSION RESISTANT VITOSS 25 MM X 100 MM X 8 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP HA 10 CC VIAL BIOLOGIC GRANULES MASTERGRAFT,395.0,197.5,75.64,355.5,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP L47 MM X W18 MM X H3 MM VOID FILLER 2 STRIP CHRONOS,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT BTCP VOID FILLER WEDGE ANGLE SEMICIRCULAR CHRONOS 10 D,657.84,328.92,125.98,592.06,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM PHOSPHATE COLLAGEN 10 ML VOID FILLER MATRIX PUTTY MASTERGRAFT,697.45,348.73,133.56,627.71,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM PHOSPHATE COLLAGEN 3 ML VOID FILLER PUTTY MASTERGRAFT,268.0,134.0,51.32,241.2,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM PHOSPHATE COLLAGEN 5 CC VIAL VOID FILLER GRANULE MASTERGRAFT,300.0,150.0,57.45,270.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM PHOSPHATE COLLAGEN 6 ML KIT PUTTY VOID FILLER MASTERGRAFT,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM SULFATE OD3 MM 10 CC PELLET INJECTOR OSTEOSET,400.0,200.0,76.6,360.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM SULFATE OD3 MM 5 CC OSTEOSET,266.0,133.0,50.94,239.4,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM SULFATE OD4.8 MM 10 ML PELLET INJECTOR OSTEOSET,557.0,278.5,106.67,501.3,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT CALCIUM SULFATE OD4.8 MM 20 ML PELLET INJECTOR OSTEOSET,607.0,303.5,116.24,546.3,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT COLLAGEN BIOACTIVE GLASS HYALURONIC ACID 5 CC PUTTY KINEX WHITE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT DEMINERALIZED BONE MATRIX 3 ML PLUS XEMPLIFI,375.0,187.5,71.81,337.5,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT DEMINERALIZED BONE MATRIX 8 ML PLUS XEMPLIFI,1000.0,500.0,191.5,900.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT HA 3 CC INJECTABLE OSTEOCONDUCTIVE RADIOPAQUE HYDROSET,900.24,450.12,172.4,810.22,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT HA BOVINE COLLAGEN MATRIX TRICALCIUM PHOSPHATE STRIP FORMAGRAFT 2 LARGE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT L10 CM 12 ML STRIP MASTERGRAFT SPINE,750.0,375.0,143.63,675.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT L20 CM STRIP MASTERGRAFT SPINE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT TYPE I BOVINE COLLAGEN BTCP BIOACTIVE GLASS BIMODAL FOAM PACK VITOSS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SUBSTITUTE BONE GRAFT XL BLOCK FORMAGRAFT LARGE,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SUPPORT SPACER OBLIQUE,482.8,241.4,105.3,434.52,64
HCPCS,C1713,SURFACE ARTICULAR H14 MM NEXGEN LPS 5-7 F KNEE MOBILE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1713,SURFIX STE. - S. STEEL - DIA3.5 L32MM - STERILE,341.55,170.78,65.41,307.4,65
HCPCS,C1713,SUTURE CHORD-X 2-0 .5 CIRCLE 18MM 16MM 2 ARM LOOP PLEDGET 3 CHORDAL NONABSORBABLE,2575.0,1287.5,493.11,2317.5,65
HCPCS,C1713,SUTURE CHORD-X 2-0 .5 CIRCLE 18MM 2 ARM LOOP PLEDGET ADJUSTABLE NONABSORBABLE,2575.0,1287.5,493.11,2317.5,65
HCPCS,C1713,SUTURE CHORD-X 2-0 .5 CIRCLE 18MM 20MM 2 ARM LOOP PLEDGET 3 CHORDAL NONABSORBABLE,2575.0,1287.5,493.11,2317.5,65
HCPCS,C1713,SUTURE CHORD-X 2-0 .5 CIRCLE 18MM 24MM 2 ARM LOOP PLEDGET 3 CHORDAL NONABSORBABLE,2575.0,1287.5,493.11,2317.5,65
HCPCS,C1713,SUTURE COLLAGEN FIBERTAPE FIBERWIRE BLUE 2 TAPER L7 IN X W2 MM BRAID NONABSORBABLE,450.0,225.0,86.18,405.0,65
HCPCS,C1713,SUTURE DYNACORD 2 MO-7 L36 IN MULTIPACK BRAID COMPOSITE NONABSORBABLE,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,SUTURE FIBERSNARE FIBERWIRE BLACK WHITE 2 L26 IN L2 IN CLOSED LOOP NONABSORBABLE,525.0,262.5,100.54,472.5,65
HCPCS,C1713,SUTURE FIBERTAPE 36INX2MM REVERSE CUT NEEDLE CLOSURE NONABSORBABLE BLACK WHITE STERNAL,875.0,437.5,167.56,787.5,65
HCPCS,C1713,SUTURE FIBERTAPE BLUE WHITE L36 IN REVERSE CUT NEEDLE STERNAL CLOSURE OD2 MM NONABSORBABLE,175.0,87.5,33.51,157.5,65
HCPCS,C1713,SUTURE FIBERTAPE FIBERWIRE BLUE 2 1/2 CIRCLE TAPER L17 IN L26.5 MM NEEDLE NONABSORBABLE,456.0,228.0,87.32,410.4,65
HCPCS,C1713,SUTURE FIBERWIRE BLACK BLUE WHITE 2 L38 IN L26.5 MM BRAIDED W/TAPPERED NEEDLE NONABSORBABLE,576.0,288.0,110.3,518.4,65
HCPCS,C1713,SUTURE FORCE FIBER 2 L38 IN COBRAID NONABSORBABLE,20.0,10.0,3.83,18.0,65
HCPCS,C1713,SUTURE MICRORAPTOR MINITAPE BLUE COBRAID KNOTLESS NONABSORBABLE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SUTURE MICRORAPTOR MINITAPE BLUE KNOTLESS NONABSORBABLE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SUTURE MICRORAPTOR MINITAPE WHITE COBRAID KNOTLESS NONABSORBABLE,360.0,180.0,68.94,324.0,65
HCPCS,C1713,SUTURE NONABSORBABLE 1.3MM 36IN 22MM 1/2 CIRCLE MO-7 TAPER POINT BLUE PERMATAPE BRAIDED,775.0,387.5,148.41,697.5,65
HCPCS,C1713,SUTURE NUROLON BLACK 3-0 RB-1 L18 IN CONTROL RELEASE BRAID 8 STRAND NONABSORBABLE,121.39,60.7,23.25,109.25,65
HCPCS,C1713,SUTURE POLYBLEND FIBERTAPE BLUE 2 MM L17 IN X W2 MM BRAIDED W/STRAIGHT NEEDLE NONABSORBABLE,1125.99,563.0,215.63,1013.39,65
HCPCS,C1713,SUTURE PROLENE WITH HEMOSEAL BLUE 5-0 BV-1 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE CARDIOVASCULAR,847.92,423.96,162.38,763.13,65
HCPCS,C1713,SUTURE SUPRAMID EXTRA II 5-0 FS-2 3/8 CIRCLE 20IN LOOP NONABSORBABLE WHITE STERILE LHR-40,187.5,93.75,35.91,168.75,65
HCPCS,C1713,SUTURE TIGERTAPE BLUNT NEEDLE STERNAL CLOSURE NONABSORBABLE,875.0,437.5,190.84,787.5,64
HCPCS,C1713,SUTURE ULTRABRAID 2 L38 IN COBRAID NEEDLE NONABSORBABLE,213.1,106.55,40.81,191.79,65
HCPCS,C1713,SWAB PREP REGULAR 70% ISOPROPYL ALCOHOL NONSTERILE,40.27,20.14,7.71,36.24,65
HCPCS,C1713,SWABSTICK 70% ISOPROPYL ALCOHOL 3.15% CHG 5.1ML CHLORASCRUB PREVANTICS MEDICATED 2 SIDE APPLICATOR LATEX FREE,275.0,137.5,52.66,247.5,65
HCPCS,C1713,SYSTEM ANCHOR LOCKING ARTELON FLEXBAND TWIST .12,5110.0,2555.0,1114.49,4599.0,64
HCPCS,C1713,SYSTEM BONE ANCHORING ANCHORSURE,510.0,255.0,97.67,459.0,65
HCPCS,C1713,SYSTEM BONE CEMENT CONFIDENCE 11CC SPINE,1050.0,525.0,229.01,945.0,64
HCPCS,C1713,SYSTEM BONE CEMENT KIVA FIRST KIT SPINE LEFT VERTEBRAL COMPRESSION FRACTURE,3596.0,1798.0,688.63,3236.4,65
HCPCS,C1713,SYSTEM DELIVERY ENSEMBLE II 18MM TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH POLYETHER NYLON PTFE STERILE ACCEPTS .889MM GUIDEWIRE,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1713,SYSTEM EXTERNAL FIXATION 5 HOLE CUBE RANCHO,191.05,95.53,41.67,171.95,64
HCPCS,C1713,SYSTEM EXTERNAL FIXATION AGEE DIGIT WIDGET STERILE LATEX DISPOSABLE PIP JOINT FLEXION CONTRACTURE,1775.0,887.5,387.13,1597.5,64
HCPCS,C1713,SYSTEM EXTERNAL FIXATION ILIZAROV 1 HOLE POST CUBE RANCHO SYSTEM,167.51,83.76,36.53,150.76,64
HCPCS,C1713,SYSTEM EXTERNAL FIXATION ILIZAROV 4 HOLE CUBE STAINLESS STEEL RANCHO SYSTEM,172.88,86.44,37.71,155.59,64
HCPCS,C1713,SYSTEM FIXATION 2 2 HOLE BUTTRESS PLATE TIGHTROPE SYNDESMOSIS,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1713,SYSTEM FIXATION 2 PRELOAD LOOP DISPOSABLE PUNCH SPEEDBRIDGE SWIVELOCK FIBERTAPE OD4.75 MM BLACK BLUE WHITE,1910.0,955.0,365.77,1719.0,65
HCPCS,C1713,SYSTEM FIXATION 2 PRELOAD LOOP DISPOSABLE PUNCH SWIVELOCK C OD4.75 MM PEEK,1600.0,800.0,306.4,1440.0,65
HCPCS,C1713,SYSTEM FIXATION CANNULATED DRILL BIT GUIDEWIRE NEEDLE SPEEDBRIDGE SWIVELOCK FIBERWIRE ACHILLES PARS MIDSUBSTANCE,2750.0,1375.0,526.63,2475.0,65
HCPCS,C1713,SYSTEM FIXATION CPR MINI SCORPION DX,950.0,475.0,181.93,855.0,65
HCPCS,C1713,SYSTEM FIXATION DELIVERY SUTUREBRIDGE ACHILLES,1240.0,620.0,237.46,1116.0,65
HCPCS,C1713,SYSTEM FIXATION DRILL FIBERTAG TIGHTROPE FLIPCUTTER III FIBERSTICK,1015.0,507.5,194.37,913.5,65
HCPCS,C1713,SYSTEM FIXATION FLIP SUTURE TIGHTROPE II RT,465.0,232.5,89.05,418.5,65
HCPCS,C1713,SYSTEM FIXATION INTERNAL BRACE LIGAMENT AUGMENTATION REPAIR CONVENIENCE KIT INTERNALBRACE HAND WRIST,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,SYSTEM FIXATION KIT BIOABSORBABLE HANDLE INSERTER PRELOAD SPEEDBRIDGE FIBERTAPE SWIVELOCK L24 MM OD5.5 MM BIOCOMPOSITE ARTHROSCOPY,1780.0,890.0,340.87,1602.0,65
HCPCS,C1713,SYSTEM FIXATION L4.75 MM KNOTLESS NEEDLE PRELOAD PUNCH SPEEDBRIDGE SWIVELOCK BIOCOMPOSITE,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1713,SYSTEM FIXATION N TACK SWIVELOCK FIBERLINK SUTURETAPE BIOCOMPOSITE TENODESIS,800.0,400.0,153.2,720.0,65
HCPCS,C1713,SYSTEM FIXATION PUSHLOCK SHORT OD2.9 MM BIOCOMPOSITE,705.0,352.5,135.01,634.5,65
HCPCS,C1713,SYSTEM FIXATION RELOAD SNAPSHOT,294.0,147.0,56.3,264.6,65
HCPCS,C1713,SYSTEM FIXATION RT-IB DRILL TIGHTROPE II FLIPCUTTER III,1055.0,527.5,202.03,949.5,65
HCPCS,C1713,SYSTEM FIXATION SECONDARY SWIVELOCK L19.1 MM OD4.75 MM BIOCOMPOSITE,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SYSTEM FIXATION SECONDARY SWIVELOCK L19.1 MM OD4.75 MM PEEK,725.0,362.5,138.84,652.5,65
HCPCS,C1713,SYSTEM FIXATION SPEEDBRIDGE ACHILLES BIOCOMPOSITE,1740.0,870.0,333.21,1566.0,65
HCPCS,C1713,SYSTEM FIXATION SPEEDBRIDGE ACHILLES MIDSUBSTANCE,975.0,487.5,186.71,877.5,65
HCPCS,C1713,SYSTEM FIXATION SPEEDBRIDGE ACHILLES PEEK,1740.0,870.0,333.21,1566.0,65
HCPCS,C1713,SYSTEM FIXATION SWIVELOCK 4.75MM 19.1MM CANNULATED PRELOAD BIOCOMPOSITE STERILE,1740.0,870.0,333.21,1566.0,65
HCPCS,C1713,SYSTEM FIXATION SWIVELOCK ACL,600.0,300.0,114.9,540.0,65
HCPCS,C1713,SYSTEM FIXATION TIGHTROPE II FIBERTAPE BONE TENDON BONE INTERNALBRACE,645.0,322.5,123.52,580.5,65
HCPCS,C1713,SYSTEM FIXATION TIGHTROPE II FLIPCUTTER III FIBERSTICK BONE TENDON,1135.0,567.5,217.35,1021.5,65
HCPCS,C1713,SYSTEM FIXATION TIGHTROPE II RT FIBERTAPE INTERNALBRACE,565.0,282.5,108.2,508.5,65
HCPCS,C1713,SYSTEM FIXATION TIGHTROPE MPFL RECONSTRUCTION,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,SYSTEM FIXATION TIGHTROPE XP STAINLESS STEEL SYNDESMOSIS REPAIR,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,SYSTEM FIXATION TIGHTROPE XP TITANIUM SYNDESMOSIS REPAIR,1495.0,747.5,326.06,1345.5,64
HCPCS,C1713,SYSTEM IMPLANT ANCHOR SLOT DRILL GUIDE FIBERTAK BICEPS OD1.9 MM,625.0,312.5,119.69,562.5,65
HCPCS,C1713,SYSTEM IMPLANT ANTEROLATERAL LIGAMENT RECONSTRUCTION,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SYSTEM IMPLANT BIOCOMPOSITE BIO-TENODESIS BICEPSBUTTON FIBERLOOP DISTAL BICEPS REPAIR,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SYSTEM IMPLANT BIOCOMPOSITE SWIVELOCK ANCHOR SCREW FASTTHREAD L20 MM L17.9 MM OD3.9 MM ODSEC6 MM MEDIAL PATELLOFEMORAL LIGAMENT,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,SYSTEM IMPLANT BIOTENODESIS 5.5 MM FLEXOR DIGITORUM LONGUS,1495.0,747.5,286.29,1345.5,65
HCPCS,C1713,SYSTEM IMPLANT DRILL PIN NEEDLE SHOEHORN CANNULA OD3.2 MM FIBERLOOP PROXIMAL TENODESIS,675.0,337.5,147.22,607.5,64
HCPCS,C1713,SYSTEM IMPLANT GRAFTLINK INTERNALBRACE,1955.0,977.5,374.38,1759.5,65
HCPCS,C1713,SYSTEM IMPLANT INTERNALBRACE FOREFOOT PEEK,1395.0,697.5,267.14,1255.5,65
HCPCS,C1713,SYSTEM IMPLANT QUADLINK 10 MM,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,SYSTEM IMPLANT QUADLINK 11 MM,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,SYSTEM IMPLANT QUADLINK 9 MM,2175.0,1087.5,416.51,1957.5,65
HCPCS,C1713,SYSTEM IMPLANT SPINAL 10.5MM 70MM TITANIUM POROUS SACROILIAC JOINT OMNICAPTURE TULIP EZDRIVE TIP INTELLIHARVEST FLUTES GYROID FENISTRATION IFUSE BEDROCK GRANITE,3380.0,1690.0,647.27,3042.0,65
HCPCS,C1713,SYSTEM IMPLANT SPINAL 11.5MM 90MM TITANIUM POROUS SACROILIAC JOINT OMNICAPTURE TULIP EZDRIVE TIP INTELLIHARVEST FLUTES GYROID FENISTRATION IFUSE BEDROCK GRANITE,3380.0,1690.0,647.27,3042.0,65
HCPCS,C1713,SYSTEM IMPLANT SPINAL 5.5MM 480MM BEVEL END W/ULTRA ROD EXPEDIUM ALTALYNE VIPER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SYSTEM IMPLANT SPINAL 5.5MM LONG PRE-CONTOURED W/ULTRA ROD EXPEDIUM ALTALYNE VIPER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,SYSTEM INTERNAL FIXATION DYNACLIP L12 MM X W12 MM X H12 MM,1050.0,525.0,201.08,945.0,65
HCPCS,C1713,SYSTEM INTERNAL FIXATION DYNACLIP L18 MM X W18 MM X H18 MM,1235.0,617.5,236.5,1111.5,65
HCPCS,C1713,SYSTEM INTERNAL FIXATION DYNACLIP QUATTRO 22X20X20MM 4 LEG ROTATIONAL STABILITY RELIABILITY LOW PROFILE NITINOL BONE FIXATION SYSTEM,3570.0,1785.0,683.66,3213.0,65
HCPCS,C1713,SYSTEM INTERNAL FIXATION FIBERLOCK SUSPENSION SYSTEM FIBERLOCK,1595.0,797.5,305.44,1435.5,65
HCPCS,C1713,SYSTEM INTERNAL FIXATION LAPIPLASTY BIPLANAR 2.5MM 2.5MM 14X3.6MM 12MM PLATE LOW PROFILE LOCK SCREW MULTIPLANAR STERILE,3895.0,1947.5,745.89,3505.5,65
HCPCS,C1713,SYSTEM NAIL INTRAMEDULLARY CANNULATED 2.4MM 50MM ANKLE FOOT HAND WRIST HEXAGONAL TAPERED END TRIMMABLE W/DISPOSABLE 2-1.1MM K-WIRE DRILL BIT DEPTH GAUGE INSERTION SLEEVE TAMP F/FIXATION OSSIOFIBER STE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1713,SYSTEM NAIL INTRAMEDULLARY CANNULATED 4MM 100MM TRIMMABLE FIXATION OSSIOFIBER,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1713,SYSTEM ORTHOPEDIC SCREW,3150.0,1575.0,603.23,2835.0,65
HCPCS,C1713,SYSTEM ROD SPINAL 4MM 120MM OCCIPITOCERVICOTHORACIC CONTOURED YUKON OCT NON-STERILE,150.0,75.0,28.73,135.0,65
HCPCS,C1713,SYSTEM SPACER INTERBODY FUSION 10MM X 24MM X 11MM TITANIUM POSTERIOR LUMBAR 12DEG PRINTED CALLISTO 3DR,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SYSTEM SPACER INTERBODY FUSION 10MM X 26MM X 10MM TITANIUM POSTERIOR LUMBAR 12DEG PRINTED CALLISTO 3DR,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SYSTEM SPACER INTERBODY FUSION 10MM X 26MM X 11MM TITANIUM POSTERIOR LUMBAR 12DEG PRINTED CALLISTO 3DR,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SYSTEM SPACER INTERBODY FUSION 10MM X 26MM X 9MM TITANIUM POSTERIOR LUMBAR 12DEG PRINTED CALLISTO 3DR,1200.0,600.0,229.8,1080.0,65
HCPCS,C1713,SYSTEM SPINAL 4.5 X 5.5 VITALLIUM TRANSITION ROD XIA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SYSTEM SPINAL FIXATION 7MM 45MM TRIANGLE IFUSE IMPLANT SYSTEM TITANIUM POROUS SACROILIAC STERILE LATEX FREE DISPOSABLE MINIMALLY INVASIVE SURGERY,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1713,SYSTEM SPINAL FIXATION IFUSE IMPLANT SYSTEM 7MM 80MM TRIANGLE TITANIUM POROUS SACROILIAC,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1713,SYSTEM SPINAL FIXATION IFUSE IMPLANT SYSTEM 7MM 85MM TRIANGLE TITANIUM POROUS SACROILIAC,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1713,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 50MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1713,SYSTEM SPINAL ROD 4.5 X 5.5 VITALLIUM TRANSITION ROD XIA,180.0,90.0,34.47,162.0,65
HCPCS,C1713,SYSTEM STAPLE BONE FIXATION 20MM X 20MM COMPRESSION OSSIOFIBER,2586.5,1293.25,564.12,2327.85,64
HCPCS,C1713,T2 SCN SYSTEM SUPRACONDYLAR NAIL 0.13 X 360MM,1577.94,788.97,302.18,1420.15,65
HCPCS,C1713,TACK ORTHOPEDIC H.04 IN PLATE ACUTRAK 2,77.0,38.5,16.79,69.3,64
HCPCS,C1713,TAP 25MM 54MM MINI QUICK COUPLING SURGICAL 2MM CORTEX SCREW 1.5MM DRILL BIT,115.19,57.6,22.06,103.67,65
HCPCS,C1713,TAP 3.5MM QUICK CONNECT SURGICAL 3.5MM SCREWS DISPOSABLE,87.09,43.55,16.68,78.38,65
HCPCS,C1713,TAP SPINAL STRAIGHT OD4.5 MM VUEPOINT LI OCCIPITAL,72.0,36.0,13.79,64.8,65
HCPCS,C1713,TAP SURGICAL 1.5 MM SCREWS,105.32,52.66,20.17,94.79,65
HCPCS,C1713,TAP SURGICAL AO QUICK CONNECT OD2.7 MM EVOS,60.48,30.24,11.58,54.43,65
HCPCS,C1713,TAP SURGICAL OD6.5 MM RELINE-O,695.0,347.5,133.09,625.5,65
HCPCS,C1713,TAP SURGICAL SELF DRILL COUPLING OD1.7 MM DELTA 3/4 MM SCREW,427.8,213.9,81.92,385.02,65
HCPCS,C1713,TAP SURGICAL TFN-ADVANCED SCREW,603.49,301.75,115.57,543.14,65
HCPCS,C1713,TEMPLATE 22 HOLE L262 MM BENDING 3.5 MM RECONSTRUCTION PLATE,85.04,42.52,16.29,76.54,65
HCPCS,C1713,TEMPLATE 37 HOLE BENDING RECONSTRUCTION PLATE,40.15,20.08,7.69,36.14,65
HCPCS,C1713,TEMPLATE SIZING GOLD LARGE STANDARD UPPER FACE ORBITAL FLOOR 1.2MM SCREW NONSTERILE,45.97,22.99,8.8,41.37,65
HCPCS,C1713,TEMPLATE SIZING L500 MM MESA POSTERIOR SPINAL ROD FUSION,80.25,40.13,15.37,72.23,65
HCPCS,C1713,TEMPLATE STRAIGHT MATRIXMANDIBLE BENDING 2.5/2.8MM RECONSTRUCTION PLATE,75.9,37.95,14.53,68.31,65
HCPCS,C1713,TI 3.5X085 LOR ROD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,TI 3.5X095 LOR ROD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,TI 4.0-5.5X420 DD ROD,1100.0,550.0,210.65,990.0,65
HCPCS,C1713,TI 4.0X095 LOR ROD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,TIBIAL NAIL 9 MM LENGTH 435 MM STERILE,1601.41,800.71,306.67,1441.27,65
HCPCS,C1713,TONGS HALO GARDNER-WELLS SET PIN 4.75-7IN 3IN COMPOSITE MEDIUM CRANIUM TRACTION DISPOSABLE,1168.0,584.0,254.74,1051.2,64
HCPCS,C1713,TOOL INSERTION CLAVICLE SCREW ACUMED,347.0,173.5,66.45,312.3,65
HCPCS,C1713,TOP SCREW MODULAR NONCANNULATE FIREBIRD,300.0,150.0,57.45,270.0,65
HCPCS,C1713,TRANSCONNECTOR ROD L30-33 MM 4 TRANSVERSE SNAP ON OD5.5 MM ODSEC6 MM TITANIUM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,TRANSCONNECTOR ROD L33-38 MM 5 TRANSVERSE SNAP ON OD5.5 MM ODSEC6 MM TITANIUM PEDICLE POSTERIOR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,TRANSCONNECTOR ROD L38-47 MM 6 TRANSVERSE SNAP ON OD5.5 MM ODSEC6 MM TITANIUM PEDICLE POSTERIOR,500.0,250.0,95.75,450.0,65
HCPCS,C1713,TRANSCONNECTOR ROD L47-62 MM 7 TRANSVERSE SNAP ON OD5.5 MM ODSEC6 MM TITANIUM POSTERIOR PEDICLE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,TRANSCONNECTOR ROD L60 MM TRANSVERSE OD3.5 MM TITANIUM SPINE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,TRANSCONNECTOR ROD L62-90 MM 8 TRANSVERSE SNAP ON OD5.5 MM ODSEC6 MM TITANIUM POSTERIOR PEDICLE,500.0,250.0,95.75,450.0,65
HCPCS,C1713,TRAY COMPONENT TIBIAL 3.2MM DIA 194MML STAINLESS STEEL FEMALE F/ASSY,1700.0,850.0,325.55,1530.0,65
HCPCS,C1713,TRAY COMPONENT TIBIAL IBALANCE SIZE 2 CEMENTED RIGHT MEDIAL LEFT LATERAL,695.0,347.5,133.09,625.5,65
HCPCS,C1713,TRAY IMPLANT SPINAL 14MM LAMINA DUAL BASE STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY IMPLANT SPINAL 8MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY IMPLANT SPINAL LOCKING 10MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY IMPLANT SPINAL LOCKING 12MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY IMPLANT SPINAL LOCKING 14MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY IMPLANT SPINAL LOCKING 18MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY IMPLANT SPINAL LOCKING 8MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1713,TRAY TIBIAL SIZE 4 RIGHT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1713,TRIAL SPINAL H5 MM 0 D MEDIUM ROUND RADIOLUCENT EXPAND ENDPLATE OD21 MM PEEK THORACOLUMBAR GREEN VERTEBRAL BODY REPLACEMENT,500.0,250.0,95.75,450.0,65
HCPCS,C1713,VIPER T27 ILIAC SCR 10X100 TI,725.0,362.5,138.84,652.5,65
HCPCS,C1713,VIPER T27 ILIAC SCREW 8X70 TI,725.0,362.5,138.84,652.5,65
HCPCS,C1713,VIPER T27 ILIAC SCREW 8X90 TI,850.0,425.0,162.78,765.0,65
HCPCS,C1713,VIPER T27 ILIAC SCREW 9X100TI,725.0,362.5,138.84,652.5,65
HCPCS,C1713,VIPER T27 ILIAC SCREW 9X70 TI,850.0,425.0,162.78,765.0,65
HCPCS,C1713,VIPER T27 ILIAC SCREW 9X80 TI,725.0,362.5,138.84,652.5,65
HCPCS,C1713,VIPER T27 ILIAC SCREW 9X90 TI,725.0,362.5,138.84,652.5,65
HCPCS,C1713,VLP MINI-MOD 2.4MM TALUS PLATE MEDIAL L RIGHT STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1713,VLP TI 2.4MM X 16MM LCK SCR T7 S-T NS,93.56,46.78,17.92,84.2,65
HCPCS,C1713,VLP TI 2.4MM X 28MM LCK SCR T7 S-T,93.56,46.78,17.92,84.2,65
HCPCS,C1713,VLP TI 2.4MM X 30MM LCK SCR T7 S-T,93.56,46.78,17.92,84.2,65
HCPCS,C1713,VLP TI 2.4MM X 32MM LCK SCR T7 S-T,93.56,46.78,17.92,84.2,65
HCPCS,C1713,VLP TI 2.4MM X 34MM CTX SCR T7 S-T,43.16,21.58,8.27,38.84,65
HCPCS,C1713,VLP TI 2.4MM X 34MM LCK SCR T7 S-T,93.56,46.78,17.92,84.2,65
HCPCS,C1713,VLP TI 2.4MM X 36MM LCK SCR T7 S-T,93.56,46.78,17.92,84.2,65
HCPCS,C1713,VLP TITANIUM 2.4MM X 18MM LOCKING SCREW T7 SELF-TAPPING NON-STERILE,93.56,46.78,17.92,84.2,65
HCPCS,C1713,WAND ELECTROSURGICAL 3.75MM AMBIENT SUPER MULTIVAC 50D,278.0,139.0,53.24,250.2,65
HCPCS,C1713,WASHER 1 HOLE WASHER AND WIRE PLATE ORTHOPEDIC STAINLESS STEEL,90.0,45.0,17.24,81.0,65
HCPCS,C1713,WASHER 1 MM ORTHOPEDIC,13.74,6.87,3.0,12.37,64
HCPCS,C1713,WASHER 1.7MM PROFYLE ORTHOPEDIC TITANIUM,27.86,13.93,5.34,25.07,65
HCPCS,C1713,WASHER 12.7MM 6.5MM ORTHOPEDIC,212.52,106.26,40.7,191.27,65
HCPCS,C1713,WASHER 13MM TC-100 ORTHOPEDIC STAINLESS STEEL NONSTERILE,149.34,74.67,28.6,134.41,65
HCPCS,C1713,WASHER 14MM FLAT NO PROFILE ORTHOPEDIC,300.0,150.0,57.45,270.0,65
HCPCS,C1713,WASHER 14MM TIBIA FIXATION DEVICE WASHERLOC ORTHOPEDIC TITANIUM,526.5,263.25,100.82,473.85,65
HCPCS,C1713,WASHER 14MM TIBIA NO PROFILE ORTHOPEDIC TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1713,WASHER 16MM TIBIA EXTEND TIP SPIKE WASHERLOC ORTHOPEDIC TITANIUM,526.5,263.25,100.82,473.85,65
HCPCS,C1713,WASHER 16MM TIBIA SOFT TISSUE FIXATION WASHERLOC ARTHROTEK ORTHOPEDIC TITANIUM,526.5,263.25,100.82,473.85,65
HCPCS,C1713,WASHER 18MM TIBIA TISSUE FIXATION WASHERLOC ORTHOPEDIC TITANIUM,526.5,263.25,100.82,473.85,65
HCPCS,C1713,WASHER 3 HOLE WIRE PLATE ORTHOPEDIC,365.0,182.5,69.9,328.5,65
HCPCS,C1713,WASHER 3.5MM EVOS,64.8,32.4,12.41,58.32,65
HCPCS,C1713,WASHER 7MM EVOS ORTHOPEDIC 2.7MM SCREW MINI PLATING SYSTEM,58.8,29.4,11.26,52.92,65
HCPCS,C1713,WASHER 7MM HEXAGON TC-100 ORTHOPEDIC STAINLESS STEEL NONSTERILE,111.9,55.95,21.43,100.71,65
HCPCS,C1713,WASHER 8MM 4MM THK1MM ORTHOPEDIC STAINLESS STEEL STERILE,25.91,12.96,4.96,23.32,65
HCPCS,C1713,WASHER ASNIS III ORTHOPEDIC STAINLESS STEEL 4 MM CANNULATED SCREW,21.89,10.95,4.19,19.7,65
HCPCS,C1713,WASHER ASNIS III ORTHOPEDIC TITANIUM 4 MM SCREW,19.9,9.95,3.81,17.91,65
HCPCS,C1713,WASHER ASNIS III ORTHOPEDIC TITANIUM 5 MM SCREW,25.87,12.94,4.95,23.28,65
HCPCS,C1713,WASHER BONE L35-60 MM CANNULATED SELF DRILL COMPRESSION LOW PROFILE OD4 MM ANKLE FIXATION SYSTEM 1.6 MM K WIRE,70.0,35.0,13.41,63.0,65
HCPCS,C1713,WASHER CAPTIVATE ORTHOPEDIC STAINLESS STEEL 4 MM CANNULATED SCREW STERILE,25.0,12.5,4.79,22.5,65
HCPCS,C1713,WASHER CUP ORTHOPEDIC TIMAX,128.1,64.05,24.53,115.29,65
HCPCS,C1713,WASHER DARCO ORTHOPEDIC 4/4.5 MM HEAD SCREW SYSTEM,18.91,9.46,3.62,17.02,65
HCPCS,C1713,WASHER DENTAL HEALING 17MML 0.5MM THK OPRA 12,460.0,230.0,88.09,414.0,65
HCPCS,C1713,WASHER DENTAL HEALING 21MML 0.5MM THK OPRA 12,460.0,230.0,88.09,414.0,65
HCPCS,C1713,WASHER DISTAL ELBOW PLATING SYSTEM ORTHOPEDIC BRONZE DISTAL ELBOW PLATE SYSTEM,42.0,21.0,8.04,37.8,65
HCPCS,C1713,WASHER DOME ORTHOLOC 2 LAPIFUSE ORTHOPEDIC LAPIDUS,119.4,59.7,22.87,107.46,65
HCPCS,C1713,WASHER ENDOSCOPIC 2 CURVE NEEDLE SUTURE FIBERWIRE TITANIUM ARTHROSCOPY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,WASHER EVOS ORTHOPEDIC 3.5 MM SCREW NONSTERILE,64.8,32.4,12.41,58.32,65
HCPCS,C1713,WASHER EXTERNAL FIXATION 14MM ILIZAROV THK2MM FEMORAL STAINLESS STEEL SLOT BASIC SET ADULT,14.08,7.04,3.07,12.67,64
HCPCS,C1713,WASHER EXTERNAL FIXATION BLUE 4MM HOFFMANN LIMB RECONSTRUCTION FRAME,22.89,11.45,4.99,20.6,64
HCPCS,C1713,WASHER EXTERNAL FIXATION SALVATION LATEX-FREE,13.93,6.97,3.04,12.54,64
HCPCS,C1713,WASHER EXTERNAL FIXATION SIDEKICK FREEDOM THK1MM FOOT ANKLE CIRCULAR FIXATOR SYSTEM,23.88,11.94,5.21,21.49,64
HCPCS,C1713,WASHER EXTERNAL FIXATION SLOT SIDEKICK FREEDOM CIRCULAR FIXATOR SYSTEM,30.85,15.43,6.73,27.77,64
HCPCS,C1713,WASHER EXTERNAL FIXATION SPACE MRI SAFE OD2 MM,14.41,7.21,3.14,12.97,64
HCPCS,C1713,WASHER EXTERNAL FIXATION SPHERICAL COUPLING MRI SAFE,30.59,15.3,6.67,27.53,64
HCPCS,C1713,WASHER EXTERNAL FIXATION THK2.5 MM SLOT COMPRESSION SALVATION FOOT ANKLE,13.93,6.97,3.04,12.54,64
HCPCS,C1713,WASHER IMPLANT HEALING 17MM X 10MM OPRA FIXTURE BIOHELIX,483.0,241.5,92.49,434.7,65
HCPCS,C1713,WASHER INSET N-FORCE FIXATION SYSTEM ORTHOPEDIC,50.0,25.0,9.58,45.0,65
HCPCS,C1713,WASHER INSTRUMENT LAG SCREW STOP OD4.5 MM IO FREEDOM,138.0,69.0,26.43,124.2,65
HCPCS,C1713,WASHER LARGE ASNIS III ORTHOPEDIC TITANIUM 6.5/8MM CANNULATED SCREW NONSTERILE DISPOSABLE,25.87,12.94,4.95,23.28,65
HCPCS,C1713,WASHER LARGE ROUND SPHERICAL ORTHOPEDIC STAINLESS STEEL 6.5/7.3 MM CANNULATED SCREW,180.26,90.13,34.52,162.23,65
HCPCS,C1713,WASHER LEFT LOCK ATTACHMENT 10 D NA ORTHOPEDIC STAINLESS STEEL RFNA,1195.6,597.8,228.96,1076.04,65
HCPCS,C1713,WASHER LEFT LOCK ATTACHMENT 5 D NA ORTHOPEDIC STAINLESS STEEL RFNA,1195.6,597.8,228.96,1076.04,65
HCPCS,C1713,WASHER MEDIAL MALLEOLAR SLED WASHERS ORTHOPEDIC,135.0,67.5,25.85,121.5,65
HCPCS,C1713,WASHER MEDLINE UNITE ORTHOPEDIC 3/3.5 MM CANNULATED SCREW OSTEOTOMY,125.0,62.5,23.94,112.5,65
HCPCS,C1713,WASHER NA ORTHOPEDIC 14/7 MM SCREW,67.67,33.84,12.96,60.9,65
HCPCS,C1713,WASHER NA ORTHOPEDIC SILICONE GUIDE BLOCK ATTACHMENT SCREW,10.75,5.38,2.06,9.68,65
HCPCS,C1713,WASHER OD10 MM ORTHOPEDIC STAINLESS STEEL 4.5 MM CANNULATED SCREW,26.22,13.11,5.02,23.6,65
HCPCS,C1713,WASHER OD10 MM ORTHOPEDIC TITANIUM 4.5 MM CANNULATED SCREW,22.64,11.32,4.34,20.38,65
HCPCS,C1713,WASHER OD12.7 MM ROUND ORTHOPEDIC,62.21,31.11,11.91,55.99,65
HCPCS,C1713,WASHER OD12.7 MM ROUND ORTHOPEDIC STAINLESS STEEL H8 MM,50.64,25.32,9.7,45.58,65
HCPCS,C1713,WASHER OD13 MM ORTHOPEDIC STAINLESS STEEL 6.5/7/7.3 MM CANNULATED SCREW,21.3,10.65,4.08,19.17,65
HCPCS,C1713,WASHER OD13 MM ORTHOPEDIC TITANIUM LARGE SCREW,21.3,10.65,4.08,19.17,65
HCPCS,C1713,WASHER OD13.5 MM ID4 MM SPIKE ORTHOPEDIC STAINLESS STEEL SMALL FRAGMENT SET,115.14,57.57,22.05,103.63,65
HCPCS,C1713,WASHER OD13.5 MM ID5.5 MM SPIKE ORTHOPEDIC STAINLESS STEEL SMALL FRAGMENT SET,91.28,45.64,17.48,82.15,65
HCPCS,C1713,WASHER OD14 MM LOW PROFILE SPIKE ORTHOPEDIC TITANIUM CANCELLOUS SCREW,100.0,50.0,19.15,90.0,65
HCPCS,C1713,WASHER OD18 MM ACL SUTURE ORTHOPEDIC TITANIUM CANCELLOUS SCREW,100.0,50.0,19.15,90.0,65
HCPCS,C1713,WASHER OD18 MM LOW PROFILE SPIKE ORTHOPEDIC TITANIUM CANCELLOUS SCREW,100.0,50.0,19.15,90.0,65
HCPCS,C1713,WASHER OD4.5 MM ORTHOPEDIC STAINLESS STEEL MINI FRAGMENT SCREW,18.22,9.11,3.49,16.4,65
HCPCS,C1713,WASHER OD5 MM ASNIS III ORTHOPEDIC STAINLESS STEEL 7 MM CANNULATED SCREW,24.88,12.44,4.76,22.39,65
HCPCS,C1713,WASHER OD5.0 MM HAND MULTIDIRECTIONAL LOCK SCREW HOLE LINOS ORTHOPEDIC TITANIUM H.1.2 MM,111.6,55.8,21.37,100.44,65
HCPCS,C1713,WASHER OD5.5 MM ODSEC6 MM ORTHOPEDIATRICS CANNULATED SCREW SYSTEM ORTHOPEDIC CANNULATED SCREW,41.4,20.7,7.93,37.26,65
HCPCS,C1713,WASHER OD5.5 MM THREAD HEXAGONAL ORTHOPEDIC STAINLESS STEEL H3 MM 3 MM CANNULATED SCREW,93.23,46.62,17.85,83.91,65
HCPCS,C1713,WASHER OD6 MM TC-100 ORTHOPEDIC,130.5,65.25,24.99,117.45,65
HCPCS,C1713,WASHER OD6.5 MM DARCO ORTHOPEDIC,18.91,9.46,3.62,17.02,65
HCPCS,C1713,WASHER OD6.5 MM ODSEC3.3 MM ORTHOPEDIC STAINLESS STEEL 3 MM CANNULATED SCREW,22.16,11.08,4.24,19.94,65
HCPCS,C1713,WASHER OD6.5 MM ORTHOPEDIC TITANIUM,27.27,13.64,5.22,24.54,65
HCPCS,C1713,WASHER OD6.6 MM CANNULATED ASNIS III ORTHOPEDIC STAINLESS STEEL L8 IN 6.5/8 MM SCREW,29.85,14.93,5.72,26.87,65
HCPCS,C1713,WASHER OD7 MM DOME MAXTORQUE ORTHOPEDIC,152.24,76.12,29.15,137.02,65
HCPCS,C1713,WASHER OD7 MM FLAT MAXTORQUE ORTHOPEDIC,100.5,50.25,19.25,90.45,65
HCPCS,C1713,WASHER OD7 MM FLAT ORTHOPEDIC,395.0,197.5,75.64,355.5,65
HCPCS,C1713,WASHER OD7 MM ID3.6 MM ACUMED ORTHOPEDIC CANNULATED SCREW SMALL FRAGMENT BASE SET,50.0,25.0,9.58,45.0,65
HCPCS,C1713,WASHER OD7 MM ORTHOPEDIC STAINLESS STEEL,19.25,9.63,3.69,17.33,65
HCPCS,C1713,WASHER OD7 MM QUICKFIX ORTHOPEDIC,31.65,15.83,6.06,28.49,65
HCPCS,C1713,WASHER OD7 MM QUICKFIX ORTHOPEDIC TITANIUM 4 MM QUICKFIX SCREW,32.12,16.06,6.15,28.91,65
HCPCS,C1713,WASHER OD8 MM ID3.2 MM SPIKE ORTHOPEDIC STAINLESS STEEL SMALL FRAGMENT SET,55.1,27.55,10.55,49.59,65
HCPCS,C1713,WASHER OD9 MM ASNIS III ORTHOPEDIC STAINLESS STEEL H1 MM 3.5 MM CANNULATED SCREW,23.88,11.94,4.57,21.49,65
HCPCS,C1713,WASHER OD9.5 MM RIBFIX ADVANTAGE RIBFIX ADVANTAGE ORTHOPEDIC,215.0,107.5,41.17,193.5,65
HCPCS,C1713,WASHER OLECRANON LOW PROFILE FIXATION WASHERS ORTHOPEDIC,230.0,115.0,44.05,207.0,65
HCPCS,C1713,WASHER ORTHOLOC ORTHOPEDIC 3.5/4 MM SCREW,19.9,9.95,3.81,17.91,65
HCPCS,C1713,WASHER ORTHOPEDIATRICS CANNULATED SCREW SYSTEM ORTHOPEDIC 3.5/4 MM CANNULATED SCREW,19.53,9.77,3.74,17.58,65
HCPCS,C1713,WASHER ORTHOPEDIATRICS CANNULATED SCREW SYSTEM ORTHOPEDIC 4.5/5 MM CANNULATED SCREW,41.11,20.56,7.87,37.0,65
HCPCS,C1713,WASHER ORTHOPEDIC 17MM DIA 10-12 HEALING OPRA,483.0,241.5,92.49,434.7,65
HCPCS,C1713,WASHER ORTHOPEDIC 17MM DIA 5-12 HEALING OPRA,460.0,230.0,88.09,414.0,65
HCPCS,C1713,WASHER ORTHOPEDIC 2.7MM X 5MM 2MM TITANIUM F/VOLAR DISTAL RADIUS PLATING SYSTEM GEMINUS,37.0,18.5,7.09,33.3,65
HCPCS,C1713,WASHER ORTHOPEDIC 21MM DIA 5-12 HEALING OPRA,460.0,230.0,88.09,414.0,65
HCPCS,C1713,WASHER ORTHOPEDIC CANNULATED LAG TITANIUM SELF-DRILLING W/4/4.5MM SCREW UNITE,170.0,85.0,32.56,153.0,65
HCPCS,C1713,WASHER ORTHOPEDIC CANNULATED LAG TITANIUM SELF-DRILLING W/7MM SCREW UNITE,222.5,111.25,42.61,200.25,65
HCPCS,C1713,WASHER ORTHOPEDIC STAINLESS STEEL ROUND COUNTERSINK F/6.5/8.0MM CANNULATED SCREW ASNIS III STERILE,51.74,25.87,9.91,46.57,65
HCPCS,C1713,WASHER ORTHOPEDIC TITANIUM 3.75 MM SCREW,50.0,25.0,9.58,45.0,65
HCPCS,C1713,WASHER RIGHT LOCK ATTACHMENT 10 D NA ORTHOPEDIC STAINLESS STEEL RFNA,1195.6,597.8,228.96,1076.04,65
HCPCS,C1713,WASHER RIGHT LOCK ATTACHMENT 5 D NA ORTHOPEDIC STAINLESS STEEL RFNA,1195.6,597.8,228.96,1076.04,65
HCPCS,C1713,WASHER SMALL OVAL SPHERICAL ORTHOPEDIC STAINLESS STEEL 6.5/7.3 MM CANNULATED SCREW,180.26,90.13,34.52,162.23,65
HCPCS,C1713,WASHER SPINAL MOUNTAINEER SPINE OCCIPITOCERVICAL LATERAL,360.0,180.0,68.94,324.0,65
HCPCS,C1713,WASHER SUTURE 17MM STERILE,86.0,43.0,16.47,77.4,65
HCPCS,C1713,WASHER T15 PANGEA ORTHOPEDIC 3.5 MM 4 MM SCREW HUMERUS PLATE SYSTEM,48.76,24.38,9.34,43.88,65
HCPCS,C1713,WASHER THREAD ALPS ORTHOPEDIC,35.0,17.5,6.7,31.5,65
HCPCS,C1713,WASHER TNT 16.0 MM,45.0,22.5,8.62,40.5,65
HCPCS,C1713,WASHER VARIAX ORTHOPEDIC 3.5 MM SCREW,68.4,34.2,13.1,61.56,65
HCPCS,C1713,WASHER VARIAX ORTHOPEDIC NONSTERILE,18.91,9.46,3.62,17.02,65
HCPCS,C1713,WEDGE AUGMENTATION H4.5 MM D16 MM LIGHT PURPLE ANATOMIC BIOSYNC COTTON,1995.0,997.5,382.04,1795.5,65
HCPCS,C1713,WEDGE AUGMENTATION H5 MM PRESERVE COTTON PLANTARFLEXION OSTEOTOMY,800.0,400.0,153.2,720.0,65
HCPCS,C1713,WEDGE AUGMENTATION H7 MM PRESERVE COTTON PLANTARFLEXION OSTEOTOMY,800.0,400.0,153.2,720.0,65
HCPCS,C1713,WEDGE AUGMENTATION W14 MM THK5.5 MM D16 MM FOOTPRINT PRESIZE BIOFOAM COTTON,1246.0,623.0,238.61,1121.4,65
HCPCS,C1713,WEDGE AUGMENTATION W18 MM THK12 MM D18 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1713,WEDGE AUGMENTATION W22 MM THK8 MM D22 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1713,WEDGE TIBIAL 5 D 6 D SMALL MEDIUM IBALANCE PEEK KNEE HIGH TIBIAL OSTEOTOMY PLATE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,WEDGE TIBIAL 8 D 9 D LARGE XL IBALANCE PEEK KNEE HIGH TIBIAL OSTEOTOMY PLATE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1713,WIRE BONE FIXATION KIRSCHNER 3MM 280MM FITBONE,76.5,38.25,14.65,68.85,65
HCPCS,C1713,WIRE CERCLAGE 175MM .5MM MANDIBLE STAINLESS STEEL PRECUT NONSTERILE,82.5,41.25,15.8,74.25,65
HCPCS,C1713,WIRE CERCLAGE L10 MR COIL OD1 MM STAINLESS STEEL,52.21,26.11,10.0,46.99,65
HCPCS,C1713,WIRE CERCLAGE L10 MR COIL OD1.25 MM STAINLESS STEEL,52.21,26.11,10.0,46.99,65
HCPCS,C1713,WIRE CERCLAGE NA OD.4 MM L150 MM PRECUT STAINLESS STEEL,43.55,21.78,8.34,39.2,65
HCPCS,C1713,WIRE CERCLAGE NA OD.6 MM L175 MM PRECUT STAINLESS STEEL,61.84,30.92,11.84,55.66,65
HCPCS,C1713,WIRE EXTERNAL FIXATION 1.5MM DIA 400MML SMOOTH F/DISTRACTION OSTEOGENESIS SYSTEM MRI-SAFE NON-STERILE,48.09,24.05,9.21,43.28,65
HCPCS,C1713,WIRE EXTERNAL FIXATION 385MM 1.8MM ILIZAROV DRILL TIP STERILE,119.23,59.62,26.0,107.31,64
HCPCS,C1713,WIRE EXTERNAL FIXATION 450MM 1.8MM DIAMOND POINT,82.59,41.3,18.01,74.33,64
HCPCS,C1713,WIRE EXTERNAL FIXATION KIRSCHNER OD3.2 MM L375 MM THREAD,60.3,30.15,11.55,54.27,65
HCPCS,C1713,WIRE EXTERNAL FIXATION L400 MM REDUCTION MR CONDITIONAL OD2 MM,192.16,96.08,36.8,172.94,65
HCPCS,C1713,WIRE EXTERNAL FIXATION L400 MM REDUCTION MRI SAFE OD1.8 MM,192.16,96.08,36.8,172.94,65
HCPCS,C1713,WIRE EXTERNAL FIXATION L400 MM SMOOTH MR CONDITIONAL OD2 MM,48.09,24.05,9.21,43.28,65
HCPCS,C1713,WIRE EXTERNAL FIXATION L400 MM SMOOTH MRI SAFE OD1.8 MM,48.09,24.05,9.21,43.28,65
HCPCS,C1713,WIRE EXTERNAL FIXATION OLIVE 450MM 1.8MM DIAMOND POINT HOFFMANN LIMB RECONSTRUCTION FRAME,100.5,50.25,21.92,90.45,64
HCPCS,C1713,WIRE EXTERNAL FIXATION REDUCTION HALF POINT TIP MRI SAFE OD1.8 MM,192.16,96.08,36.8,172.94,65
HCPCS,C1713,WIRE EXTERNAL FIXATION REDUCTION HALF POINT TIP MRI SAFE OD2 MM,192.16,96.08,36.8,172.94,65
HCPCS,C1713,WIRE EXTERNAL FIXATION SALVATION OD2 MM FOOT ANKLE,162.0,81.0,31.02,145.8,65
HCPCS,C1713,WIRE EXTERNAL FIXATION SALVATION OD2 MM OLIVE TIP FOOT ANKLE,214.0,107.0,40.98,192.6,65
HCPCS,C1713,WIRE EXTERNAL FIXATION SMOOTH HALF POINT TIP MRI SAFE OD2 MM,48.09,24.05,9.21,43.28,65
HCPCS,C1713,WIRE EXTERNAL FIXATION SMOOTH MRI SAFE HALF POINT TIP OD1.8 MM,48.09,24.05,9.21,43.28,65
HCPCS,C1713,WIRE EXTERNAL FIXATION TRUELOK OD1.8 MM L400 MM BAYONET STOPPER STAINLESS STEEL,146.4,73.2,28.04,131.76,65
HCPCS,C1713,WIRE FIXATION .9MM KIRSCHNER NONTHREAD,32.84,16.42,6.29,29.56,65
HCPCS,C1713,WIRE FIXATION 1.1MM 120MM KIRSCHNER TITANIUM CANNULATED,87.5,43.75,16.76,78.75,65
HCPCS,C1713,WIRE FIXATION 1.25MM 150MM KIRSCHNER STAINLESS STEEL TROCAR POINT NONSTERILE,69.03,34.52,13.22,62.13,65
HCPCS,C1713,WIRE FIXATION 1.2MM KIRSCHNER NONTHREAD,32.84,16.42,6.29,29.56,65
HCPCS,C1713,WIRE FIXATION 1.6 MM L150 MM KIRSCHNER STAINLESS STEEL 2 TROCAR,28.86,14.43,5.53,25.97,65
HCPCS,C1713,WIRE FIXATION 1.6MM 12IN KIRSCHNER FLEX-THREAD SPADE TIP NONSTERILE LATEX FREE,24.0,12.0,5.23,21.6,64
HCPCS,C1713,WIRE FIXATION 1.6MM 150MM KIRSCHNER,6.97,3.49,1.33,6.27,65
HCPCS,C1713,WIRE FIXATION 1.6MM 150MM KIRSCHNER STAINLESS STEEL TROCAR POINT STERILE,90.48,45.24,19.73,81.43,64
HCPCS,C1713,WIRE FIXATION 1.8MM 370MM TITANIUM CORTICAL BAYONET POINT,43.2,21.6,8.27,38.88,65
HCPCS,C1713,WIRE FIXATION 1.8MM LONG PROVISIONAL,86.88,43.44,16.64,78.19,65
HCPCS,C1713,WIRE FIXATION 285MM 2MM KIRSCHNER AXSOS 5MM LOCKING INSTRUMENT,199.0,99.5,38.11,179.1,65
HCPCS,C1713,WIRE FIXATION 3MM 285MM KIRSCHNER STERILE LATEX FREE,106.47,53.24,23.22,95.82,64
HCPCS,C1713,WIRE FIXATION KIRSCHNER 0.045IN DIA 7INL SMOOTH DOUBLE END DIAMOND POINT NON-STERILE,113.94,56.97,21.82,102.55,65
HCPCS,C1713,WIRE FIXATION KIRSCHNER 2MM 255MM DRILL TIP,1701.0,850.5,370.99,1530.9,64
HCPCS,C1713,WIRE FIXATION KIRSCHNER 2MM 350MM DRILL TIP,412.5,206.25,89.97,371.25,64
HCPCS,C1713,WIRE FIXATION KIRSCHNER SPHERX STAINLESS STEEL LONG SPINE,19.0,9.5,3.64,17.1,65
HCPCS,C1713,WIRE FIXATION KIRSCHNER SPINE SHARP CANNULATED,13.25,6.63,2.54,11.93,65
HCPCS,C1713,WIRE FIXATION L35 MM SLED MALLEOLAR MEDIAL,650.0,325.0,124.48,585.0,65
HCPCS,C1713,WIRE FIXATION L50 MM SLED OLECRANON SLED NEUTRAL,740.0,370.0,141.71,666.0,65
HCPCS,C1713,WIRE FIXATION L70 MM SLED OLECRANON SLED,830.0,415.0,158.95,747.0,65
HCPCS,C1713,WIRE FIXATION OD.035 IN L4 IN KIRSCHNER HAND 2 TROCAR,29.0,14.5,5.55,26.1,65
HCPCS,C1713,WIRE FIXATION OD.035 IN L6 IN KIRSCHNER 2 TROCAR,29.0,14.5,5.55,26.1,65
HCPCS,C1713,WIRE FIXATION OD.062 IN L5.75 IN KIRSCHNER TITANIUM 1 TROCAR THREAD,44.0,22.0,8.43,39.6,65
HCPCS,C1713,WIRE FIXATION OD.062 IN L6 IN KIRSCHNER OSTEOMED 2 TROCAR,29.0,14.5,5.55,26.1,65
HCPCS,C1713,WIRE FIXATION OD.062 IN L9 IN KIRSCHNER STAINLESS STEEL 1 END DIAMOND POINT,113.94,56.97,24.85,102.55,64
HCPCS,C1713,WIRE FIXATION OD1.1 MM CALIBRATE,232.05,116.03,50.61,208.85,64
HCPCS,C1713,WIRE FIXATION OD1.1 MM L150 MM KIRSCHNER STAINLESS STEEL 2 TROCAR,28.86,14.43,5.53,25.97,65
HCPCS,C1713,WIRE FIXATION OD1.1 MM L152 MM KIRSCHNER STANDARD HPS PLS,43.0,21.5,9.38,38.7,64
HCPCS,C1713,WIRE FIXATION OD1.1 MM L229 MM KIRSCHNER STANDARD HPS PLS,49.0,24.5,10.69,44.1,64
HCPCS,C1713,WIRE FIXATION OD1.2 MM L30 CM LUQUE STAINLESS STEEL SPINE LOOP,263.12,131.56,50.39,236.81,65
HCPCS,C1713,WIRE FIXATION OD1.4 MM L228 MM KIRSCHNER,23.0,11.5,4.4,20.7,65
HCPCS,C1713,WIRE FIXATION OD1.5 MM L127 MM KIRSCHNER 1 DIAMOND,49.0,24.5,10.69,44.1,64
HCPCS,C1713,WIRE FIXATION OD1.5 MM L229 MM KIRSCHNER 1 DIAMOND TIP,52.0,26.0,11.34,46.8,64
HCPCS,C1713,WIRE FIXATION OD1.6 MM KIRSCHNER TROCHAR TIP,24.0,12.0,5.23,21.6,64
HCPCS,C1713,WIRE FIXATION OD1.6 MM L150 MM TITANIUM TROCAR POINT,79.65,39.83,15.25,71.69,65
HCPCS,C1713,WIRE FIXATION OD1.6 MM L75 MM KIRSCHNER PLATE HOLD THREAD TROCAR TIP,40.0,20.0,7.66,36.0,65
HCPCS,C1713,WIRE FIXATION OD1.8 MM L150 MM KIRSCHNER APTUS STAINLESS STEEL LANCET TIP,18.93,9.47,3.63,17.04,65
HCPCS,C1713,WIRE FIXATION OD1.8 MM L385 MM ILIZAROV TAYLOR SPATIAL FRAME OLIVE DRILL TIP,178.2,89.1,38.87,160.38,64
HCPCS,C1713,WIRE FIXATION OD1.8 MM L400 MM ILIZAROV DRILL TIP,1230.0,615.0,268.26,1107.0,64
HCPCS,C1713,WIRE FIXATION OD2 MM L150 MM KIRSCHNER TROCAR POINT,67.15,33.58,12.86,60.44,65
HCPCS,C1713,WIRE FIXATION OD2 MM L150 MM L15 MM KIRSCHNER STAINLESS STEEL TROCAR POINT THREAD,132.93,66.47,25.46,119.64,65
HCPCS,C1713,WIRE FIXATION OD2 MM L152 MM KIRSCHNER 1 DIAMOND TIP,45.0,22.5,9.81,40.5,64
HCPCS,C1713,WIRE FIXATION OD2 MM L152 MM KIRSCHNER 1 DIAMOND TIP STOP,76.0,38.0,16.58,68.4,64
HCPCS,C1713,WIRE FIXATION OD2 MM L225 MM KIRSCHNER EVOS TROCAR TIP,1166.4,583.2,223.37,1049.76,65
HCPCS,C1713,WIRE FIXATION OD2.3 MM L300 MM KIRSCHNER STAINLESS STEEL 1 END TROCAR TIP SMOOTH,18.0,9.0,3.45,16.2,65
HCPCS,C1713,WIRE FIXATION OD2.5 MM L230 MM KIRSCHNER CHARLOTTE THREAD,20.9,10.45,4.0,18.81,65
HCPCS,C1713,WIRE FIXATION OD3.2 MM L300 MM ORTHOPEDIATRICS INSTRUMENTATION SMOOTH,102.17,51.09,19.57,91.95,65
HCPCS,C1713,WIRE FIXATION OD3.2 MM L375 MM ORTHOPEDIATRICS INSTRUMENTATION SMOOTH,58.57,29.29,11.22,52.71,65
HCPCS,C1713,WIRE FIXATION PRECEPT KIRSCHNER STAINLESS STEEL SPINE THREAD,19.0,9.5,3.64,17.1,65
HCPCS,C1713,WIRE FIXATION RELINE MAS NITINOL SPINE BLUNT THREAD,22.0,11.0,4.21,19.8,65
HCPCS,C1713,WIRE KIRSCHNER NEOSTEO WITH LANCET/ROUND TIP 1X80MM,15.0,7.5,2.87,13.5,65
HCPCS,C1713,WIRE SPINAL FIXATION 18GA BEADED ISOLA,25.0,12.5,4.79,22.5,65
HCPCS,C1713,WIRE SPINAL FIXATION KIRSCHNER 1.4MM 600MM BLUNT,25.0,12.5,4.79,22.5,65
HCPCS,C1713,WIRE SPINAL FIXATION KIRSCHNER 24IN NITINOL BLUNT TIP LANCER THUNDERBOLT,60.0,30.0,11.49,54.0,65
HCPCS,C1713,WIRE SPINAL FIXATION KIRSCHNER 24INL NITINOL 24DEG ANGLED BLUNT-TROCAR LANCER THUNDERBOLT,40.0,20.0,7.66,36.0,65
HCPCS,C1713,WIRE SPINAL FIXATION KIRSCHNER LONG NITINOL BEVELED PRECEPT,23.0,11.5,4.4,20.7,65
HCPCS,C1713,WIRE SPINAL FIXATION KIRSCHNER TITANIUM BEVELED PRECEPT,145.22,72.61,31.67,130.7,64
HCPCS,C1713,XIA 4.5 4.5-5.5 X 600MM TITANIUM TRANSITION ROD,150.0,75.0,28.73,135.0,65
HCPCS,C1713,XIA 4.5 9.5 X 80 POLYAXIAL SCREW,590.0,295.0,112.99,531.0,65
HCPCS,C1713,YOKE SPINAL ASSEMBLY 5.5-6MM DIA,300.0,150.0,57.45,270.0,65
HCPCS,C1713,YUKON SCREW POLYAXIAL SCREW O4.0X20 MM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,YUKON SCREW POLYAXIAL SCREW O4.0X22 MM,500.0,250.0,95.75,450.0,65
HCPCS,C1713,YUKON SCREW POLYAXIAL SCREW O5.0X26 MM,500.0,250.0,95.75,450.0,65
HCPCS,C1714,CATHETER ATHERECTOMY 1.6MM 1.1MM 6FR 146CM CROSSER OTW TAPER TRANSMISSION WIRE GUIDEWIRE LUMEN HIGH FREQUENCY 152CM HYDROPHILIC PERIPHERAL DISPOSABLE 14S CHRONIC TOTAL OCCLUSION,1895.0,947.5,413.3,1705.5,64
HCPCS,C1714,CATHETER ATHERECTOMY 5FR 1.3MM 154CM CROSSER RECANALIZATION STEERABLE FLEXIBLE PERIPHERAL TRANSLUMINAL S6 CHRONIC TOTAL OCCLUSION,1895.0,947.5,413.3,1705.5,64
HCPCS,C1714,CATHETER ATHERECTOMY L113 CM PLAQUE EXCISION XTEND TIP OD4.5-6.5 MM SILVERHAWK MEC L9 CM PERIPHERAL LARGE VESSEL ACCEPTS 7/8 FR SHEATH,2695.0,1347.5,587.78,2425.5,64
HCPCS,C1714,CATHETER ATHERECTOMY L135 CM .08 IN PLAQUE EXCISION XL TIP OD2-3 MM SILVERHAWK MEC L6 CM PERIPHERAL XS VESSEL ACCEPTS 6 FR SHEATH,2000.0,1000.0,436.2,1800.0,64
HCPCS,C1715,NEEDLE BRACHYTHERAPY PROSTATE STABILIZATION SET OD18 GA L20 CM STABILIZATION SET ECHOGENIC TIP HUB DESIGN PROSTATE,785.0,392.5,171.21,706.5,64
HCPCS,C1716,"Brachytx, non-str, Gold-198",,,885.7,1085.41,5
HCPCS,C1717,"Brachytx, non-str,HDR Ir-192",,,349.24,427.99,5
HCPCS,C1719,"Brachytx, NS, Non-HDRIr-192",,,575.79,705.63,5
HCPCS,C1722,DEFIBRILLATOR EMBLEM 130 GM D12.7 MM W83.1 MM X H69.1 MM CARDIAC,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1722,DEFIBRILLATOR EMBLEM S-ICD 130 GM D12.7 MM W83.1 MM X H69.1 MM CARDIAC,21500.0,10750.0,4117.25,19350.0,65
HCPCS,C1724,BURR ATHERECTOMY 1.25MM 135CM EXCHANGE ROTALINK,1925.0,962.5,419.84,1732.5,64
HCPCS,C1724,BURR ATHERECTOMY 1.5MM 135CM EXCHANGEABLE DIAMOND ROTABLATOR ROTALINK,750.0,375.0,163.58,675.0,64
HCPCS,C1724,BURR ATHERECTOMY 1.5MM 135MM PRECONNECT ADVANCE DEVICE ROTAPRO,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,BURR ATHERECTOMY 1.5MM PRECONNECT EXCHANGEABLE CATHETER STERILE ROTAPRO LATEX FREE DISPOSABLE,1925.0,962.5,419.84,1732.5,64
HCPCS,C1724,BURR ATHERECTOMY 1.75MM 135CM EXCHANGE ROTALINK,1925.0,962.5,419.84,1732.5,64
HCPCS,C1724,BURR ATHERECTOMY 135CM 1.25MM EXCHANGEABLE ROTALINK,750.0,375.0,163.58,675.0,64
HCPCS,C1724,BURR ATHERECTOMY 135CM 1.75MM EXCHANGEABLE ROTALINK,750.0,375.0,163.58,675.0,64
HCPCS,C1724,BURR ATHERECTOMY 2MM 135CM EXCHANGE ROTALINK,1925.0,962.5,419.84,1732.5,64
HCPCS,C1724,CATHETER ATHERECTOMY .58IN 135CM ROTAPRO 2.5MM PRECONNECT BURR ADVANCE DEVICE,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,CATHETER ATHERECTOMY 1.5MM DIA 135CML TEFLON PTFE PERIPHERAL EXCHANGEABLE ROTATION PRE-CONNECTED ROTALINK LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1724,CATHETER ATHERECTOMY 1.75MM 180CM DIAMONDBACK RADIAL ACCESS 30MM PERIPHERAL STERILE LATEX FREE DISPOSABLE,3595.0,1797.5,784.07,3235.5,64
HCPCS,C1724,CATHETER ATHERECTOMY 1.75MM DIA 135CML TEFLON PTFE PERIPHERAL EXCHANGEABLE ROTATION PRE-CONNECTED ROTALINK LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1724,CATHETER ATHERECTOMY 2MM 135CM ROTABLATOR ROTALINK EXCHANGEABLE DIAMOND,750.0,375.0,163.58,675.0,64
HCPCS,C1724,CATHETER ATHERECTOMY 2MM 145CM DIAMONDBACK 360 GLIDEASSIST MAX CROWN EXCHANGEABLE,3965.0,1982.5,864.77,3568.5,64
HCPCS,C1724,CATHETER ATHERECTOMY 5FR 200CM DIAMONDBACK 360 1.5MM ORBITAL SOLID CROWN PERIPHERAL,3595.0,1797.5,784.07,3235.5,64
HCPCS,C1724,CATHETER ATHERECTOMY 6FR 110CM ROTAREX SET GUIDEWIRE ROTATIONAL EXCISIONAL SYSTEM,3000.0,1500.0,654.3,2700.0,64
HCPCS,C1724,CATHETER ATHERECTOMY 6FR 135CM ROTAREX SET GUIDEWIRE ROTATIONAL EXCISIONAL SYSTEM,3000.0,1500.0,654.3,2700.0,64
HCPCS,C1724,CATHETER ATHERECTOMY 8FR 110CM ROTAREX SET GUIDEWIRE STERILE ROTATIONAL EXCISIONAL SYSTEM,3000.0,1500.0,654.3,2700.0,64
HCPCS,C1724,CATHETER ATHERECTOMY 8FR 85CM ROTAREX SET GUIDEWIRE ROTATIONAL EXCISIONAL SYSTEM,3000.0,1500.0,654.3,2700.0,64
HCPCS,C1724,CATHETER ATHERECTOMY L130 CM 2.2 MM OD6 FR PHOENIX ACCEPTS .014 IN GUIDEWIRE,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1724,CATHETER ATHERECTOMY L135 CM 2.25 MM PRECONNECT BURR ADVANCE DEVICE OD.58 IN ROTAPRO,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,CATHETER ATHERECTOMY L149 CM OTW LOW PROFILE FRONT CUT TRACK OD1.5 MM PHOENIX ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1724,CATHETER ATHERECTOMY L149 CM ROTATIONAL OTW FRONT CUT LOW PROFILE OD2.2 MM PHOENIX ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 3 MM VESSEL,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1724,CATHETER ATHERECTOMY ROTAPRO PRECONNECT EXCHANGEABLE BURR ADVANCE DEVICE STERILE LATEX FREE DISPOSABLE ACCEPTS 1.25MM GUIDEWIRE,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,CATHETER ATHERECTOMY ROTAPRO PRECONNECT EXCHANGEABLE BURR ADVANCE DEVICE STERILE LATEX FREE DISPOSABLE ACCEPTS 1.75MM GUIDEWIRE,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,CATHETER ATHERECTOMY ROTAPRO PRECONNECT EXCHANGEABLE BURR ADVANCE DEVICE STERILE LATEX FREE DISPOSABLE ACCEPTS 2MM GUIDEWIRE,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,CATHETER SURGICAL L50 CM PLUG OD5 FR ODSEC9 FR MILLER CARDIOVASCULAR ATRIOSEPTOSTOMY,799.0,399.5,174.26,719.1,64
HCPCS,C1724,SYSTEM ATHERECTOMY CATHETER HANDLE WIRE CLIP OTW PHOENIX L149 CM OD1.8 MM ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 2.5 MM VESSEL,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1724,SYSTEM ATHERECTOMY OTW FRONT CUT LOW PROFILE NONDEFLECT PHOENIX L127 CM OD2.4 MM ACCEPTS .014 IN GUIDEWIRE,2650.0,1325.0,577.97,2385.0,64
HCPCS,C1724,SYSTEM ATHERECTOMY PRECONNECT BURR ADVANCE DEVICE ROTATIONAL ROTAPRO L135 CM OD.58- IN ODSEC2.15 MM,1995.0,997.5,435.11,1795.5,64
HCPCS,C1724,SYSTEM CATHETER ATHERECTOMY ROTATIONAL 1.25MM 0.58IN DIA 135CML PRE-CONNECTED EXCHANGEABLE BURR ADVANCING DEVICE ROTAPRO,1995.0,997.5,435.11,1795.5,64
HCPCS,C1725,BAL ATLAS PTA 16X2X75CM,250.0,125.0,54.53,225.0,64
HCPCS,C1725,BAL NC APEX RX 2.25X8MM,75.0,37.5,16.36,67.5,64
HCPCS,C1725,BAL POWERFLEX PRO 5X40MM 80CM,134.0,67.0,29.23,120.6,64
HCPCS,C1725,BAL SAPPHIRE 2 PRO OTW 1X10MMPTCA STL LF,155.0,77.5,33.81,139.5,64
HCPCS,C1725,BAL STERLING OTW 7X120X150CM,160.0,80.0,34.9,144.0,64
HCPCS,C1725,BALLOON CUTTING L143 CM BUMPER TIP MIDSHAFT RADIOPAQUE ODSEC2.25 MM WOLVERINE MONORAIL ZGLIDE L6 MM ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON FLEXTOME MONORAIL CUTTING 2.5MM 142CM 15MM INFLATE PORT RADIOPAQUE NYLON ACCEPTS .07IN GUIDE CATHETER PTCA,700.0,350.0,152.67,630.0,64
HCPCS,C1725,BALLOON FLEXTOME MONORAIL CUTTING 2MM 142CM 15MM INFLATE PORT RADIOPAQUE NYLON ACCEPTS .07IN GUIDE CATHETER PTCA,700.0,350.0,152.67,630.0,64
HCPCS,C1725,BALLOON FLEXTOME MONORAIL CUTTING 3.25MM 142CM 10MM INFLATE PORT RADIOPAQUE NYLON ACCEPTS .07IN GUIDE CATHETER PTCA,700.0,350.0,152.67,630.0,64
HCPCS,C1725,BALLOON WOLVERINE CUTTING 4MM 100CM 15MM BUMPER TIP MIDSHAFT MANIFOLD BLADE Z-GLIDE ANGIOPLASTY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL 3.25MM 6MM CUTTING BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE 143CM ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2.25MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2.5MM 100MM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2.5MM 143CM 15MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2.5MM 143CM 6MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2.75MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2.75MM 6MM 100CM BUMPER TIP MIDSHAFT PROXIMAL MARK MANIFOLD ZGLIDE ANGIOPLASTY ATHEROTOMES,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 2MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3.25MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3.5MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3.5MM 143CM 15MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3.5MM 143CM 6MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3.75MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3MM 143CM 15MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 3MM 143CM 6MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,BALLOON WOLVERINE MONORAIL CUTTING 4MM 143CM 10MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
HCPCS,C1725,CATHETER 4MM 130CM 80MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C1725,CATHETER ANGIOPLASTY 10MM DIA 75CML 8CML FIBER COMPOSITE PERIPHERAL MAX-TAPERED TIP OTW ULTRA LOW-PROFILE COAXIAL NON-COMPLIANT HIGH PRESSURE W/REWRAP TOOL F/PTA CONQUEST LATEX-FREE NON-RADIOLUCENT MA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 10MM DIA 80CML 60MML PEBAX BIOSLIDE HYDROPHILIC COATED PERIPHERAL TAPERED TIP OTW LOW-PROFILE COAXIAL SEMI-COMPLIANT F/PTA STERLING MONORAIL 6FR DIA SHEATH 0.018IN GUIDEWIRE COMPA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 22MM DIA 120CML 2CML FIBER COMPOSITE ILIAC ARTERY LOW-PROFILE COAXIAL NON-COMPLIANT F/PTA PTCA ATLAS GOLD,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 25MM DIA 110CML 4CML DURALYN PERIPHERAL OTW COAXIAL COMPLIANT HIGH PRESSURE F/PTA MAXI LD LATEX-FREE NON-RADIOLUCENT MARKER 7FR DIA SHAFT 0.035IN GUIDEWIRE COMPATIBLE,255.0,127.5,55.62,229.5,64
HCPCS,C1725,CATHETER ANGIOPLASTY 4.5MM DIA 142CML 15CML DURALYN NYLON PERIPHERAL RX LOW-PROFILE COAXIAL COMPLIANT MODERATE PRESSURE F/PTA AVIATOR PLUS LATEX-FREE NON-RADIOLUCENT MARKER 4FR DIA SHEATH 0.04IN GUIDE,218.0,109.0,47.55,196.2,64
HCPCS,C1725,CATHETER ANGIOPLASTY 4.5MM DIA 142CML 3CML DURALYN NYLON PERIPHERAL RX LOW-PROFILE COAXIAL COMPLIANT MODERATE PRESSURE F/PTA AVIATOR PLUS LATEX-FREE NON-RADIOLUCENT MARKER 4/6FR DIA SHEATH 0.014IN GUI,218.0,109.0,47.55,196.2,64
HCPCS,C1725,CATHETER ANGIOPLASTY 4MM DIA 75CML 120MML NYBAX LUBRICIOUS MEDIGLIDE COATED PERIPHERAL TAPERED TIP LOW-PROFILE NON-COMPLIANT HIGH PRESSURE F/PTA MUSTANG LATEX-FREE NON-RADIOLUCENT MARKER 5FR DIA SHEAT,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 4MM DIA 80CML 60MML PEBAX BIOSLIDE HYDROPHILIC COATED PERIPHERAL TAPERED TIP OTW LOW-PROFILE COAXIAL SEMI-COMPLIANT F/PTA STERLING LATEX-FREE NON-RADIOLUCENT MARKER 4FR DIA SHEATH,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 4MM DIA 80CML 80MML PEBAX BIOSLIDE HYDROPHILIC COATED PERIPHERAL TAPERED TIP OTW LOW-PROFILE COAXIAL SEMI-COMPLIANT F/PTA STERLING LATEX-FREE NON-RADIOLUCENT MARKER 4FR DIA SHEATH,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 4MM DIA 90CML 120MML PEBAX BIOSLIDE HYDROPHILIC COATED PERIPHERAL TAPERED TIP OTW LOW-PROFILE COAXIAL SEMI-COMPLIANT F/PTA STERLING SL LATEX-FREE NON-RADIOLUCENT MARKER 4FR DIA SH,170.0,85.0,37.08,153.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 6MM DIA 90CML 120MML PEBAX BIOSLIDE HYDROPHILIC COATED PERIPHERAL TAPERED TIP OTW LOW-PROFILE COAXIAL SEMI-COMPLIANT F/PTA STERLING LATEX-FREE NON-RADIOLUCENT MARKER 5FR DIA SHEAT,170.0,85.0,37.08,153.0,64
HCPCS,C1725,CATHETER ANGIOPLASTY 9MM DIA 80CML 80MML PEBAX BIOSLIDE HYDROPHILIC COATED PERIPHERAL TAPERED TIP OTW LOW-PROFILE COAXIAL SEMI-COMPLIANT F/PTA STERLING LATEX-FREE NON-RADIOLUCENT MARKER 6FR DIA SHEATH,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER ARMADA 6MM 40MM 150CM OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018IN GUIDEWIRE PTA JETCOAT BALLOON DILATATION,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER ATLAS 20MM 4CM 75CM RADIOPAQUE RAPID INFLATION COAXIAL SHAFT ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA BALLOON DILATATION,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLON 4X40MM SERRANATOR PTA,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER BALLON 5X120MM SERRANATOR PTA,1675.0,837.5,365.32,1507.5,64
HCPCS,C1725,CATHETER BALLON 5X40MM SERRANATOR PTA,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER BALLON 6X120MM SERRANATOR PTA,1675.0,837.5,365.32,1507.5,64
HCPCS,C1725,CATHETER BALLON 6X40MM SERRANATOR PTA,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 1.5MM X 10MM OPN NC 6FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 2.5MM X 10MM OPN NC 6FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 2.5MM X 15MM OPN NC 6FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 3.0MM X 10MM OPN NC 6FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 3.0MM X 15MM OPN NC 7FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 3.5MM X 10MM OPN NC 6FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 3.5MM X 20MM OPN NC 7FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY 4.0MM X 10MM OPN NC 6FR SHEATH 35ATM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 10MM X 40MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 10MM X 80MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 12MM X 20MM 135CM NYBAX LUBRICIOUS MEDIGLIDE PERIPHERAL TAPERED TIP OTW  NON-COMPLIANT LOW-PROFILE HIGH PRESSURE F/PTA MUSTANG RADIOPAQUE MARKER 0.035IN GW,133.0,66.5,29.01,119.7,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 12MM X 2CM 120CM PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 12MM X 2CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 14MM X 2CM 120CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 14MM X 2CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 15MM X 3CM 100CM PERIPHERAL TAPERED TIP NON-COMPLIANT COAXIAL LOW-PROFILE HIGH PRESSURE F/PTA Z-MED II 0.035IN GW,633.0,316.5,138.06,569.7,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 16MM X 2CM 120CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 16MM X 2CM 120CM PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 16MM X 2CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 18MM X 2CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 20MM X 2CM 120CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 20MM X 2CM 75CM PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS RADIOPAQUE MARKER 0.035IN GW,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 20MM X 2CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 20MM X 4CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 24MM X 4CM 80CM FIBER COMPOSITE PERIPHERAL OTW NON-COMPLIANT COAXIAL ULTRA LOW-PROFILE W/REWRAP TOOL F/PTA ATLAS GOLD RADIOPAQUE MARKER 0.035IN GW,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 3.5MM X 30CM 130CM ULTRA-CROSS DUAL LAYER HYDROPHILIC PERIPHERAL OTW SEMI-COMPLIANT COAXIAL DISTAL TIP F/PTA ULTRAVERSE RADIOPAQUE MARKER 0.018IN GW,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 4MM X 20MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 4MM X 40MM 50CM PERIPHERAL TAPERED TIP OTW NON-COMPLIANT LOW-PROFILE BRAIDED ULTRA HIGH PRESSURE F/PTA ATHLETIS 0.035IN GW,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 5MM X 10MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 5MM X 30MM 135CM NYBAX LUBRICIOUS MEDIGLIDE PERIPHERAL TAPERED TIP OTW  NON-COMPLIANT LOW-PROFILE HIGH PRESSURE F/PTA MUSTANG RADIOPAQUE MARKER 0.035IN GW,133.0,66.5,29.01,119.7,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 5MM X 40MM 50CM PERIPHERAL TAPERED TIP OTW NON-COMPLIANT LOW-PROFILE BRAIDED ULTRA HIGH PRESSURE F/PTA ATHLETIS 0.035IN GW,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 5MM X 60MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 5MM X 80MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 6MM X 15MM 75CM POLYARMOR PERIPHERAL TAPERED TIP COMPLIANT HIGH PRESSURE F/PTA ULTRA-THIN DIAMOND RADIOPAQUE MARKERX2 0.035IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 6MM X 20MM 135CM NYBAX LUBRICIOUS MEDIGLIDE PERIPHERAL TAPERED TIP OTW  NON-COMPLIANT LOW-PROFILE HIGH PRESSURE F/PTA MUSTANG RADIOPAQUE MARKER 0.035IN GW,133.0,66.5,29.01,119.7,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 6MM X 20MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 6MM X 40MM 50CM PERIPHERAL TAPERED TIP OTW NON-COMPLIANT LOW-PROFILE BRAIDED ULTRA HIGH PRESSURE F/PTA ATHLETIS 0.035IN GW,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 6MM X 60MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 6MM X 80MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 7MM  X 60MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT COAXIAL LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 7MM X 100MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 7MM X 20MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 7MM X 80MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 8MM X 40MM 50CM PERIPHERAL TAPERED TIP OTW NON-COMPLIANT LOW-PROFILE BRAIDED ULTRA HIGH PRESSURE F/PTA ATHLETIS 0.035IN GW,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 9MM X 40MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT 9MM X 60MM 80CM PEBAX BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA STERLING RADIOPAQUE MARKER 0.018IN GW,290.0,145.0,63.25,261.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILAT SCORING 4MM X 40MM 90CM NITINOL PERIPHERAL TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTA ANGIOSCULPT RADIOPAQUE MARKERX2 0.018IN GW,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION 2MM X 60MM 190CM PERIPHERAL F/PTA SABERX RADIANZ 4FR SHEATH,275.0,137.5,59.98,247.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION 3.5MM 80MM NYLON OTW SEMI-COMPLIANT F/PTA SERRANATOR 0.018IN GW 6FR SHEATH,1375.0,687.5,299.89,1237.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION 3MM X 200MM 190CM PERIPHERAL F/PTA SABERX RADIANZ 4FR SHEATH,325.0,162.5,70.88,292.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION 3MM X 300MM 190CM PERIPHERAL F/PTA SABERX RADIANZ 4FR SHEATH,325.0,162.5,70.88,292.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION 4MM 80MM 75CM GLADIATOR ELITE,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION 8MM X 60MM 80CM PERIPHERAL NON-COMPLIANT W/STYLET F/PTA VACCESS,100.0,50.0,21.81,90.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE 10MM X 20MM 80CM DURALYN PERIPHERAL OTW 2-LUMEN LOW-PROFILE MODERATE PRESSURE F/PTA OPTA PRO RADIOPAQUE MARKER 0.035IN GW 6FR SHEATH,98.0,49.0,21.37,88.2,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE 3MM X 60MM 130CM NYLON ULTRA-CROSS PERIPHERAL OTW SEMI-COMPLIANT COAXIAL LOW-PROFILE GEOALIGN F/PTA ULTRAVERSE 018 RADIOPAQUE MARKER 0018IN GW 4FR SHE,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE 5MM X 40MM 75CM POLYMER PERIPHERAL NON-COMPLIANT ULTRA LOW-PROFILE/HIGH PRESSURE BRAIDED F/PTA ATHLETIS 0.035IN GW 6FR SHEATH,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE 9MM X 40MM 75CM POLYMER PERIPHERAL NON-COMPLIANT ULTRA LOW-PROFILE/HIGH PRESSURE BRAIDED F/PTA ATHLETIS 0.035IN GW 6FR SHEATH,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE STERLING SL MONORAIL 3.5MM X 100MM 150CM RX SEMI-COMPLIANT COAXIAL F/PTA LOW-PROFILE PEBAX LUBRICIOUS BIOSLIDE PERIPHERAL RADIOPAQUE MARKER 0.018IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE STERLING SL MONORAIL 3.5MM X 120MM 150CM RX SEMI-COMPLIANT COAXIAL F/PTA LOW-PROFILE PEBAX LUBRICIOUS BIOSLIDE PERIPHERAL RADIOPAQUE MARKER 0.018IN GW,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY DILATATION WORKHORSE STERLING SL MONORAIL 3.5MM X 150MM 150CM RX SEMI-COMPLIANT COAXIAL F/PTA LOW-PROFILE PEBAX LUBRICIOUS BIOSLIDE PERIPHERAL RADIOPAQUE MARKER 0.018IN GW,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILAT 4MM X 6MM 143CM CORONARY RX NON-COMPLIANT LOW-PROFILE SHORT TIP F/PTCA NC QUANTUM APEX MONORAIL RADIOPAQUE 0.014IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILAT 5MM X 20MM 143CM CORONARY RX NON-COMPLIANT LOW-PROFILE SHORT TIP F/PTCA NC QUANTUM APEX MONORAIL RADIOPAQUE 0.014IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILAT 5MM X 6MM 143CM CORONARY RX NON-COMPLIANT LOW-PROFILE SHORT TIP F/PTCA NC QUANTUM APEX MONORAIL RADIOPAQUE 0.014IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILATATION 8MM X 30MM 75CM FIBER COMPOSITE PERIPHERAL OTW ULTRA NON-COMPLIANT COAXIAL LOW-PROFILE HIGH PRESSURE F/PTA CONQUEST 40 RADIOPAQUE MARKER 0.035IN GW 9FR SHE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILATATION DUAL-BALLOON 3.5MM X 8MM 135CM CORONARY RX SEMI-COMPLIANT LOW PRESSURE F/PTCA FLASH MINI OSTIAL NON-RADIOLUCENT MARKER 0.014IN GW,999.0,499.5,217.88,899.1,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILATATION DUAL-BALLOON 4MM X 8MM 135CM CORONARY RX SEMI-COMPLIANT LOW PRESSURE F/PTCA FLASH MINI OSTIAL NON-RADIOLUCENT MARKER 0.014IN GW,999.0,499.5,217.88,899.1,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY POST-DILATION 5MM X 30MM PERIPHERAL CAROTID W/INTEGRATED EMBOLIC PROTECTION F/PTA PALADIN,1200.0,600.0,261.72,1080.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.2MM PUSH X 15MM 144CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP RX SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE MONORAIL 0.07IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.2MM PUSH X 8MM 144CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP RX SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE MONORAIL 0.07IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.2MM X 12MM 144CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP RX SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE MONORAIL 0.07IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.2MM X 15MM 144CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP RX SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE MONORAIL 0.07IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.2MM X 20MM 144CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP RX SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE MONORAIL 0.07IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.2MM X 8MM 144CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP RX SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE MONORAIL 0.07IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 1.5MM PUSH X 8MM 143CM OPTILEAP HYDROPHILIC CORONARY TAPERED TIP OTW SEMI-COMPLIANT LOW-PROFILE F/PTCA EMERGE 0.088IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 3.5MM X 10MM 140CM NITINOL CORONARY RX SEMI-COMPLIANT F/PTCA CHOCOLATE XD 0.014IN GW,1050.0,525.0,229.01,945.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY PRE-DILAT 3.5MM X 15MM 140CM NITINOL CORONARY RX SEMI-COMPLIANT F/PTCA CHOCOLATE XD 0.014IN GW,1050.0,525.0,229.01,945.0,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY SABER DILATATION WORKHORSE 1.5MM X 100MM 150CM OTW COAXIAL F/PTA LOW-PROFILE HYDROPHILIC-COATED PERIPHERAL RADIOPAQUE MARKER 0.014IN GW 4FR SHEATH,215.0,107.5,46.89,193.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY WOLVERINE CUTTING BALLOON MONORAIL MICRO-DILATATION 2.25MM X 15MM BLADE RX SMALL-PROFILE BUMPER TIP F/PTCA ZGLIDE HYDROPHILIC,745.0,372.5,162.48,670.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY WOLVERINE CUTTING BALLOON MONORAIL MICRO-DILATATION 2.75MM X 15MM BLADE RX SMALL-PROFILE BUMPER TIP F/PTCA ZGLIDE HYDROPHILIC,745.0,372.5,162.48,670.5,64
HCPCS,C1725,CATHETER BALLOON ANGIOPLASTY WOLVERINE CUTTING BALLOON MONORAIL MICRO-DILATATION 3.25MM X 15MM BLADE RX SMALL-PROFILE BUMPER TIP F/PTCA ZGLIDE HYDROPHILIC,745.0,372.5,162.48,670.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ADVANCE 8MM 20CM 150CM OTW 2 LUMEN LOW PROFILE FLEXIBLE TIP ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA ILIAC INFRAPOPLITEAL POPLITEAL RENAL ARTERY STERILE LATEX FREE,195.0,97.5,42.53,175.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION AGENT 3.5MM 20MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION AGENT 3.5MM 30MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION AGENT 4MM 15MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2.5MM 10MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2.5MM 15MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2.5MM 6MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2MM 10MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2MM 15MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2MM 40MM 155CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA NITINOL,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 2MM 6MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 3.5MM 15MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 3.5MM 6MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 3MM 10MM 137CM RAPID EXCHANGE SCORING TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 3MM 15MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 3MM 6MM 137CM RAPID EXCHANGE TAPER TIP ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER PTCA NITINOL,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 4MM 200MM 137CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 5MM 200MM 137CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 5MM 40MM 90CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 6MM 200MM 137CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 6MM 20MM 90CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL,875.0,437.5,190.84,787.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 6MM 40MM 90CM RECTANGULAR SCORING EDGE LOCK LOW DISSECTION RATE MINIMAL SLIPPAGE HELICAL ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 7MM 40MM 137CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 7MM 40MM 90CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT 8MM 40MM 90CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2.5MM 10MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2.5MM 15MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2.5MM 20MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2.5MM 6MM RAPID EXCHANGE SCORE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2MM 10MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2MM 15MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2MM 20MM RAPID EXCHANGE SCORE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 2MM 6MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3.5MM 10MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3.5MM 15MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3.5MM 20MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3.5MM 6MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3MM 10MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3MM 15MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3MM 20MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT EVO 3MM 6MM RAPID EXCHANGE PTCA HYDROPHILIC STERILE LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 2MM 100MM 155CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 3MM 100MM 155CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 3MM 40MM 155CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 4MM 100MM 137CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 4MM 40MM 137CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 5MM 100MM 137CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 5MM 40MM 137CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 6MM 100MM 137CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 6MM 20MM 137CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,875.0,437.5,190.84,787.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ANGIOSCULPT XL 6MM 40MM 137CM OTW RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA NITINOL FEMOROPOPLITEAL ARTERY STERILE LATEX FREE,950.0,475.0,207.2,855.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX 3.5MM 30MM 142CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX 3MM 30MM 142CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX 4MM 8MM 142CM OTW RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 1.5MM 15MM 142CM PUSH RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 1.5MM 20MM 142CM PUSH RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 2.5MM 20MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 2.5MM 40MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 2MM 40MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 3.5MM 20MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 3.5MM 40MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 3MM 40MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 4.5MM 12MM 142CM FLEX RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 4.5MM 15MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 4.5MM 8MM 142CM FLEX RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 4MM 40MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 5MM 12MM 142CM FLEX RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 5MM 15MM 142CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION APEX MONORAIL 5MM 8MM 142CM FLEX RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA OPTILEAP,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATB ADVANCE 10MM 4CM 80CM 2 LUMEN EXPAND RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL STERILE,95.0,47.5,20.72,85.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATB ADVANCE 6MM 4CM 80CM 2 LUMEN EXPAND RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL STERILE,95.0,47.5,20.72,85.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATB ADVANCE 7MM 4CM 80CM 2 LUMEN EXPAND RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL STERILE,95.0,47.5,20.72,85.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATB ADVANCE 8MM 4CM 80CM ACCEPTS .035IN GUIDEWIRE,95.0,47.5,20.72,85.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATHLETIS 10MM 40MM 75CM PTA STERILE LATEX FREE,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATHLETIS 10MM 80MM 75CM PTA STERILE LATEX FREE,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATHLETIS 6MM 40MM 75CM PTA STERILE LATEX FREE,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATHLETIS 7MM 40MM 75CM PTA STERILE LATEX FREE,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATHLETIS 8MM 20MM 75CM PTA STERILE LATEX FREE,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATHLETIS 8MM 40MM 75CM PTA STERILE LATEX FREE,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 12MM 2CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 12MM 4CM 120CM RADIOPAQUE RAPID INFLATION COAXIAL SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 12MM 4CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER SHORT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 12MM 6CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 14MM 2CM 120CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 14MM 2CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 14MM 4CM 120CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 14MM 4CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER SHORT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 14MM 6CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 16MM 4CM 120CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 16MM 4CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER SHORT ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 16MM 6CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 18MM 2CM 120CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 18MM 2CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 18MM 4CM 120CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 18MM 4CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 18MM 6CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 20MM 4CM 120CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 22MM 2CM 75CM RAPID INFLATE COAXIAL SHAFT RADIOPAQUE LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 22MM 4CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 22MM 4CM 75CM RADIOPAQUE RAPID INFLATION COAXIAL SHAFT ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 24MM 4CM 120CM ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 24MM 4CM 75CM RADIOPAQUE RAPID INFLATION COAXIAL SHAFT ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 26MM 4CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 12FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS 26MM 4CM 75CM RADIOPAQUE RAPID INFLATION COAXIAL SHAFT ACCEPTS .035IN GUIDEWIRE 12FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 12MM 4CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 12MM 4CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 12MM 6CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 12MM 6CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 14MM 4CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 14MM 4CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 14MM 6CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 14MM 6CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 16MM 4CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 16MM 4CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 16MM 6CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 16MM 6CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 18MM 2CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 18MM 4CM 120CM ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 18MM 4CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 18MM 6CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 18MM 6CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 20MM 4CM 120CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ATLAS GOLD 22MM 4CM 80CM SHORT SHOULDER LARGE DIAMETER ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION BIB 22MM 4CM 110CM 4 IMAGE BAND 3CM ACCEPTS .035IN GUIDEWIRE 11FR INTRODUCER COARCTATION STENT PLACEMENT,1075.0,537.5,234.46,967.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 12MM 30MM 75CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 12MM 60MM 75CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 12MM 80MM 75CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 6MM 40MM 75CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 7MM 100MM 135CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 8MM 100MM 75CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 8MM 200MM 135CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,85.0,42.5,18.54,76.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CHARGER 8MM 80MM 135CM OTW NONCOMPLIANT 2 LUMEN SHAFT LOW PROFILE TAPER TIP ACCEPTS .035IN GUIDEWIRE PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 10MM 2CM 75CM RAPID INFLATION RADIOPAQUE SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 12MM 2CM 75CM RAPID INFLATION RADIOPAQUE SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 12MM 4CM 75CM RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 10MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 10MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 12MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 12MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 4MM 4CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 4MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 4MM 8CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 5MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 5MM 4CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 5MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 5MM 6CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 5MM 8CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 5MM 8CM 75CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 6MM 10CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 6MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 6MM 4CM 50CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 6MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 6MM 8CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 6MM 8CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 7MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 7MM 4CM 50CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 7MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 7MM 6CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 7MM 6CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 10CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 2CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 4CM 50CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 6CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 8CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 8MM 8CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 9MM 2CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 9MM 4CM 50CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 9MM 4CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 9MM 8CM 50CM TAPER TIP ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 40 9MM 8CM 75CM OTW TAPER TIP LOW PROFILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 5.8FR 10MM 4CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 5MM 2CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 5MM 8CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 6FR 5MM 4CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 6MM 2CM 50CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 6MM 2CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 6MM 4CM 50CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 6MM 4CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 6MM 8CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 2CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 4CM 50CM RAPID INFLATION RADIOPAQUE SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 6CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 6FR SHEATH 4CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 8CM 50CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 8CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH 40 PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 7MM 8CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 8MM 2CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 8MM 3CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 8MM 4CM 50CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 8MM 4CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 8MM 6CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 8MM 8CM 75CM RAPID INFLATE SHEATHLESS ENTRY RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 9MM 2CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CONQUEST 9MM 4CM 75CM RADIOPAQUE RAPID INFLATION SHEATHLESS ENTRY ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 1.5MM 40MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2.5MM 100MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2.5MM 120MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2.5MM 150MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2.5MM 220MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2.5MM 60MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2.5MM 80MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2MM 100MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2MM 120MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2MM 150MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2MM 220MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2MM 60MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 2MM 80MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3.5MM 100MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3.5MM 120MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3.5MM 150MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3.5MM 220MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3.5MM 60MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3.5MM 80MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3MM 100MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3MM 120MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3MM 150MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3MM 220MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3MM 60MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 3MM 80MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 4MM 100MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 4MM 120MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 4MM 150MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 4MM 220MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 4MM 60MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE 4MM 80MM 150CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 1.5MM 20MM 142CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 2.5MM 20MM 143CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 2.5MM 40MM 145CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 2MM 20MM 142CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 2MM 40MM 144CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 3.5MM 20MM 143CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 3.5MM 40MM 145CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 3MM 20MM 143CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 3MM 40MM 145CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 4MM 20MM 143CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES 4MM 40MM 145CM OTW ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES MONORAIL 2MM 20MM 143CM RAPID EXCHANGE ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES MONORAIL 3MM 30MM 144CM RAPID EXCHANGE ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION COYOTE ES MONORAIL 4MM 20MM 144CM RAPID EXCHANGE ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA NYBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 5MM 20MM 135CM OTW ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 5MM 20MM 50CM OTW ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 5MM 20MM 90CM OTW ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 6MM 20MM 135CM OTW ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 6MM 20MM 50CM OTW ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 6MM 20MM 90CM OTW ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 7MM 20MM 90CM OTW ACCEPTS .018IN GUIDEWIRE 7FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 8MM 20MM 50CM OTW ACCEPTS .018IN GUIDEWIRE 7FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION CUTTING BALLOON 8MM 20MM 90CM OTW ACCEPTS .018IN GUIDEWIRE 7FR SHEATH PERIPHERAL,825.0,412.5,179.93,742.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 10MM 2CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 10MM 4CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 10MM 8CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 10CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 10CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 15CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 2CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 4CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 4CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 4MM 4CM 40CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 10CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 10CM 135CM 3 LUMEN ULTRA NONCOMPLIANT ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 12CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 17CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 2CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 4CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 4CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 6CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 5MM 8CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 10CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 17CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 20CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 2CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 4CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 4CM 40CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 4CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 6CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 6CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 8CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 6MM 8CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 10CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 12CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 15CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 17CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 2CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 2CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 4CM 120CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 4CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 4CM 40CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 4CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 7MM 8CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 10CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 10CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 2CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 2CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 4CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 4CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 8MM 8CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 9MM 2CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 9MM 4CM 135CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 9MM 4CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION DORADO CHECKER 9MM 8CM 80CM 3 LUMEN ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 1.2MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE PUSH ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 1.5MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE PUSH ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 1.5MM 20MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE PUSH ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 1.5MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE PUSH ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 2MM 30MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE WORKHORSE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 3.5MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE WORKHORSE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE 4MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE WORKHORSE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 1.2MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE PUSH RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 1.5MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE PUSH RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 1.5MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE PUSH RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 2.25MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 2.25MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 2.25MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 2.75MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 3.25MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 3.25MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 3.25MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 3.25MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 3.75MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 3MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 4.5MM 15MM RADIOPAQUE 2 SHAFT ULTRA LOW PROFILE HYPOTUBE ACCEPTS 6FR GUIDE CATHETER PTCA ZGLIDE PTFE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 4.5MM 8MM RADIOPAQUE 2 SHAFT ULTRA LOW PROFILE ACCEPTS 6FR GUIDE CATHETER PTCA ZGLIDE PTFE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 5MM 12MM RADIOPAQUE 2 SHAFT ULTRA LOW PROFILE HYPOTUBE ACCEPTS 6FR GUIDE CATHETER PTCA ZGLIDE PTFE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL 5MM 8MM RADIOPAQUE 2 SHAFT ULTRA LOW PROFILE ACCEPTS 6FR GUIDE CATHETER PTCA ZGLIDE PTFE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 1.5MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.25MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.5MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.5MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.5MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.5MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.5MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2.75MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 2MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3.25MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3.5MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3.75MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3.75MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3.75MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3.75MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE MONORAIL WORKHORSE 3MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 1.2MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 1.2MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 1.2MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 1.5MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 1.5MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 1.5MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2.25MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2.25MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2.5MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2.5MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2.5MM 20MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2.5MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 2MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 3.5MM 20MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 3.5MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 3MM 12MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 3MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 3MM 20MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 3MM 8MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EMERGE WORKHORSE 4MM 20MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION EVERCROSS 7MM 200MM 135CM OTW LOW PROFILE .035IN ACCEPTS 5FR SHEATH PTA STERILE LATEX FREE DISPOSABLE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM OD1.9-2.4-2.6 FR ODSEC3.5 MM SPRINTER LEGEND MICRO-BRITE OTW RADIOPAQUE CROSS PROFILE MINIWRAP FOLD ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC1.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC1.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC2 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC2.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC2.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC3 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC3.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC3.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM L142 CM ODSEC4 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.024 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM OD2.75 MM EUPHORA LOW PROFILE SEMICOMPLIANT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L10 MM ODSEC1.25 MM SPRINTER LEGEND RAPID EXCHANGE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 CM L190 CM ODSEC7 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA D,323.0,161.5,70.45,290.7,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW FLEXIBLE DISTAL END LOW PROFILE ACCEPTS 5 FR SHEATH .035 IN GUIDEWIRE PTA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC4 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC4 MM CORDIS POWERFLEX PRO 2 LUMEN OTW LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA DURALYN MDX,140.7,70.35,30.69,126.63,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC5 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC6 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L135 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC2 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC3 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC4 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC6 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L190 CM ODSEC4 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA D,293.86,146.93,64.09,264.47,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L190 CM ODSEC6 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA D,293.86,146.93,64.09,264.47,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L200 CM ODSEC2 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L200 CM ODSEC3 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L100 MM L200 CM ODSEC4 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L138 CM ODSEC2.5 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L138 CM ODSEC3 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L138 CM ODSEC3.5 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM OD1.9-2.4-2.6 FR ODSEC3.5 MM SPRINTER LEGEND MICRO-BRITE OTW RADIOPAQUE CROSS PROFILE MINIWRAP FOLD ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC1.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC1.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2 MM NC EUPHORA RAPID EXCHANGE LOW GROWTH PROFILE RADIOPAQUE NONCOMPLIANT PTCA DURATRAC NYLON PLATINUM IRIDIUM,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC2.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC3.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC4 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC4 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.024 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC4.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L142 CM ODSEC5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC1.2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC1.5 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE CORONARY ACCEPTS .014 IN GUIDEWIRE PTCA CROSSFLEX2 TUNGSTEN PEBAX HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC1.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2.75 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC2.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC3 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC3.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC3.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC3.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC4 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC4.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM L145 CM ODSEC5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC1.2 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC1.5 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2 MM MINI TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC2.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3.5 MM TREK RAPID EXCHANGE RADIOPAQUE FLEXIBLE DISTAL SHAFT TRANSITIONLESS TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC3.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC4 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC4.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC4.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L12 MM ODSEC5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L120 CM ODSEC5 MM ID5 FR CHOCOLATE OTW GUIDEWIRE INTRODUCER SHEATH PLAQUE CHANNEL GROOVE .018 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L120 CM ODSEC6 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .018 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC3.5 MM CHOCOLATE OTW GROOVE PILLOW ACCEPTS .014 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC4 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .014 IN 5 FR INTRODUCER SHEATH PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC6 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L135 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM OD2 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM OD2.5 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM OD3 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM OD3.5 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM OD4 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC2 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC2.5 MM CHOCOLATE OTW GUIDEWIRE PILLOW GROOVE .014 IN ACCEPTS 5 FR INTRODUCER SHEATH PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC3 MM ARMADA 14 OTW TAPER TIP LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA JETCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC3 MM CHOCOLATE OTW ACCEPTS .014 IN GUIDEWIRE 5 FR INTRODUCER PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC4 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC6 MM ARMADA 18 OTW COAXIAL LARGE CONTRAST LUMEN GUIDEWIRE PERIPHERAL 5 FR SHEATH PTA HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L200 CM ODSEC1.5 MM SABERX RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTA,248.0,124.0,54.09,223.2,64
HCPCS,C1725,CATHETER BALLOON DILATATION L120 MM L80 CM ODSEC6 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L143 CM L20 MM ODSEC3 MM NC TREK RAPID EXCHANGE RADIOPAQUE SOFT TIP FLEXIBLE CORONARY ACCEPTS .014 IN GUIDEWIRE PTCA TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC3.25 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC3.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC3.75 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC4 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC4.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC5.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L12 MM ODSEC6 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC3.25 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC3.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC3.75 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC4 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC4.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC5.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L15 MM ODSEC6 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC3.25 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC3.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC3.75 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC4 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC4.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC5.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L20 MM ODSEC6 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L25 MM ODSEC3.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L6 MM ODSEC3.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L8 MM ODSEC1.5 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY ACCEPTS .014 IN GUIDEWIRE PTCA TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L8 MM ODSEC3.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L8 MM ODSEC3.75 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L8 MM ODSEC4.5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L145 CM L8 MM ODSEC5 MM NC TREK NEO RAPID EXCHANGE FLEXIBLE PUSHABILITY CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L135 CM ODSEC4 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L135 CM ODSEC5.5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L135 CM ODSEC6 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L135 CM ODSEC6.5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L135 CM ODSEC7 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L138 CM ODSEC1.5 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.021 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L138 CM ODSEC2 MM SPRINTER LEGEND MICRO-BRITE OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L138 CM ODSEC2.5 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM OD1.9-2.4-2.6 FR ODSEC1.5 MM SPRINTER LEGEND MICRO-BRITE OTW RADIOPAQUE CROSS PROFILE MINIWRAP FOLD ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC1.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC1.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURATRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE OTW CROSS PROFILE RADIOPAQUE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC2.75 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC3.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC4 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC4 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC4 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC4.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC5.5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC6 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L142 CM ODSEC7 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 5 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L143 CM ODSEC1.5 MM NC TREK FLEXIBLE 2 MARKER RAPID EXCHANGE SOFT TIP CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE PEBAX TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L143 CM ODSEC4.5 MM NC TREK FLEXIBLE 2 MARKER RAPID EXCHANGE SOFT TIP CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE PEBAX TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L143 CM ODSEC5 MM NC TREK FLEXIBLE 2 MARKER RAPID EXCHANGE SOFT TIP CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE PEBAX TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC1.5 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC1.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2.75 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC2.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC3.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC3.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC3.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L145 CM ODSEC4 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM L152 CM ODSEC1.25 MM SPRINTER LEGEND MICRO-BRITE OTW CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC1.2 MM MINI TREK II OTW ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC1.2 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC1.5 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2 MM MINI TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC2.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC3.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC4 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC4.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L15 MM ODSEC5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM CATHETER L80 MM ODSEC2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L120 MM ODSEC2.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L120 MM ODSEC2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L120 MM ODSEC3.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L150 MM ODSEC2.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L150 MM ODSEC3.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L210 MM ODSEC2-1.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L210 MM ODSEC2.5-2 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L210 MM ODSEC3-2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L40 MM ODSEC2.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L60 MM ODSEC2.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L60 MM ODSEC2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L60 MM ODSEC3.5 MM HIGHLANDER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L80 MM ODSEC3.0 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 CM L80 MM ODSEC3.5 MM HIGHLANDER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L135 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L135 CM ODSEC6 MM EVERCROSS OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR INTRODUCER SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L150 CM ODSEC3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L150 CM ODSEC6 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L190 CM ODSEC3 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS 4 FR SHEATH PTA DURALYN HYDROPHILIC,293.86,146.93,64.09,264.47,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L200 CM ODSEC2 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L200 CM ODSEC3 MM R2P METACROSS RAPID EXCHANGE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L200 CM ODSEC4 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L200 CM ODSEC6 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L200 CM ODSEC7 MM R2P METACROSS RAPID EXCHANGE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L150 MM L200 IN ODSEC5 MM R2P CROSSTELLA PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L18 MM L18 MM ODSEC2.75 MM SAPPHIRE NC24 RAPID EXCHANGE CORONARY PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L2 CM L120 CM ODSEC12 MM ATLAS SHORT SHOULDER LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L110 CM OD5 FR ODSEC5 MM POWERFLEX P3 2 LUMEN OTW FLEXIBLE TAPER TIP RADIOPAQUE L7.5 MM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L110 CM ODSEC12 MM POWERFLEX P3 OTW 2 LUMEN FLEXIBLE TAPER TIP RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L110 CM ODSEC6 MM POWERFLEX P3 OTW 2 LUMEN FLEXIBLE TAPER TIP RADIOPAQUE L7.5 MM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC10 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC12MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC14 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC4 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC4 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC4.5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC5 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC5 MM CORDIS POWERFLEX PRO 2 LUMEN OTW LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA DURALYN MDX,140.7,70.35,30.69,126.63,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC6 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC6 MM EVERCROSS OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR INTRODUCER SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC6 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC7 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC7 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC8 MM ARMADA LOW PROFILE TIP SEMICOMPLIANT BALLOON ACCEPTS .035 IN GUIDEWIRE 5-7 FR SHEATH PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC8 MM POWERFLEX P3 OTW 2 LUMEN FLEXIBLE TAPER TIP RADIOPAQUE L7.5 MM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L135 CM ODSEC9 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM OD5 MM AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE CAROTID PERIPHERAL RENAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC1.25 MM SPRINTER LEGEND MICRO-BRITE OTW CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC1.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC1.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC1.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC2.75 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC3.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC4 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC4 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC4.5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC4.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC5.5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC6 MM AVIATOR PLUS RAPID EXCHANGE LOW PROFILE RADIOPAQUE CAROTID PERIPHERAL RENAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L142 CM ODSEC7 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 5 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L143 CM ODSEC2.75 MM NC TREK FLEXIBLE 2 MARKER RAPID EXCHANGE SOFT TIP CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE PEBAX TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC1.2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC1.5 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE CORONARY ACCEPTS .014 IN GUIDEWIRE PTCA CROSSFLEX2 TUNGSTEN PEBAX HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC1.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2.75 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC2.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC3 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC3.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC3.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC3.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L145 CM ODSEC4 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC2 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC2 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC2.5 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC3 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC3 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC4 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC4 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L75 CM ODSEC10 MM ATHLETIS PTA,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L75 CM ODSEC12 MM ATHLETIS PTA,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L75 CM ODSEC9 MM ATHLETIS PTA,171.0,85.5,37.3,153.9,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM OD5 FR ODSEC10 MM 2 LUMEN OTW FLEXIBLE TAPER TIP RADIOPAQUE L7.5 MM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC10 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC12 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC14 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC4 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC6 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC7 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC8 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC8 MM CORDIS POWERFLEX P3 OTW 2 LUMEN FLEXIBLE TAPER TIP RADIOPAQUE L7.5 MM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC8 MM CORDIS POWERFLEX PRO 2 LUMEN OTW LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA DURALYN MDX,140.7,70.35,30.69,126.63,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC9 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM L80 CM ODSEC9 MM CORDIS POWERFLEX PRO 2 LUMEN OTW LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA DURALYN MDX,140.7,70.35,30.69,126.63,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC1.2 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC1.5 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2 MM MINI TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC2.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC3.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC3.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC3.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC3.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC3.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC4 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L20 MM ODSEC4.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L135 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,100.0,50.0,21.81,90.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L135 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L135 CM ODSEC7 MM EVERCROSS OTW LOW PROFILE FLEXIBLE DISTAL END .035 IN ACCEPTS 6 FR INTRODUCER SHEATH PTA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC2 MM ARMADA 14 OTW TAPER TIP LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA JETCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC2.5 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC3 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC4 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC6 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L200 CM ODSEC2 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L200 CM ODSEC3 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L200 CM ODSEC4 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L200 CM ODSEC5 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L200 CM ODSEC5 MM R2P METACROSS RAPID EXCHANGE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L200 MM L200 CM ODSEC6 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L21 MM L138 CM ODSEC3.5 MM NC SPRINTER RAPID EXCHANGE CROSS PROFILE RADIOPAQUE L3.5 MM OD.027 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM PLUS DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L150 CM ODSEC3.5-3 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L150 CM ODSEC4-3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L170 CM ODSEC2 MM RAPIDCROSS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA LUBRICIOUS,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L170 CM ODSEC2.5 MM RAPIDCROSS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA LUBRICIOUS,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L170 CM ODSEC3 MM RAPIDCROSS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA LUBRICIOUS,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L170 CM ODSEC3.5 MM RAPIDCROSS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA LUBRICIOUS,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L210 MM L170 CM ODSEC4 MM RAPIDCROSS RAPID EXCHANGE LOW PROFILE RADIOPAQUE LUBRICIOUS PERIPHERAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L22 MM L22 MM ODSEC2 MM SAPPHIRE NC24 RAPID EXCHANGE CORONARY PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L22 MM ODSEC3.25 MM SAPPHIRE NC24 RAPID EXCHANGE PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L22 MM ODSEC4.5 MM SAPPHIRE NC24 RAPID EXCHANGE PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC2.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC3.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC3.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC2.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC2.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC2.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC3 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC3.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC3.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC3.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM L145 CM ODSEC4 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM OD2.75 MM EUPHORA LOW PROFILE SEMICOMPLIANT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC2 MM MINI TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC2.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC2.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC2.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC2.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC3 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC3.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC3.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC3.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC3.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L25 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L26 MM L26 MM ODSEC2 MM SAPPHIRE NC24 RAPID EXCHANGE CORONARY PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC2.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC2.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC3 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC3.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC3.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC3.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L27 MM L142 CM ODSEC4 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC4 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC5.5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC6 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L135 CM ODSEC7 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC2 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC4 MM AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC4 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC5.5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC6 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L142 CM ODSEC7 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 5 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L80 CM ODSEC4 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L80 CM ODSEC4.5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L80 CM ODSEC5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM L80 CM ODSEC6 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM ODSEC2 MM MINI TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM ODSEC2.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM ODSEC3.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM ODSEC3.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L30 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 CM L190 CM ODSEC8 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA DU,315.0,157.5,68.7,283.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L110 CM OD7 FR ODSEC15 MM CORDIS MAXI LD OTW BRAID INNER BODY RADIOPAQUE COAXIAL LARGE DIAMETER AORTA ILIAC PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 8 FR SHEATH PTA DURA,288.75,144.38,62.98,259.88,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L110 CM ODSEC18 MM MAXI LD OTW BRAID INNER BODY RADIOPAQUE COAXIAL LARGE AORTA ESOPHAGEAL PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 10 FR SHEATH PTA DURALYN,275.0,137.5,59.98,247.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L110 CM ODSEC22 MM CORDIS MAXI LD OTW BRAID INNER BODY RADIOPAQUE COAXIAL LARGE DIAMETER AORTA ESOPHOGEAL PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 10 FR SHEATH PTA DURAL,288.75,144.38,62.98,259.88,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L110 CM ODSEC7 MM POWERFLEX P3 OTW 2 LUMEN FLEXIBLE TAPER TIP RADIOPAQUE L7.5 MM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA DURALYN MDX,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L120 CM ODSEC5 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .018 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L120 CM ODSEC6 MM ID6 FR CHOCOLATE OTW GUIDEWIRE INTRODUCER SHEATH PLAQUE CHANNEL GROOVE .018 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L130 CM ODSEC10 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L130 CM ODSEC12 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 9 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM OD5 FR ODSEC9 MM CORDIS POWERFLEX PRO 2 LUMEN OTW LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA DURALYN MDX,140.7,70.35,30.69,126.63,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC12 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 7 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC12MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC3 MM SHOCKWAVE S4 PERIPHERAL ACCEPTS 5 FR SHEATH HYDROPHILIC,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC4 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC4 MM ID5 FR CHOCOLATE OTW GUIDEWIRE INTRODUCER SHEATH PLAQUE CHANNEL GROOVE .014 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC4 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC6 MM ARMADA 35 LOW PROFILE TIP SEMICOMPLIANT PUSHABILITY REWRAP ACCEPTS .035 IN GUIDEWIRE 5-7 FR SHEATH PTA RNA BIND PROTEIN,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC6 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC7 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC7 MM EVERCROSS OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR INTRODUCER SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC7 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC8 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC8 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 CM ODSEC9 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L135 MM ODSEC3.5 MM CHOCOLATE OTW GUIDEWIRE PILLOW GROOVE .014 IN ACCEPTS 5 FR INTRODUCER SHEATH PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L137 CM ODSEC8 MM ANGIOSCULPT XL OTW RADIOPAQUE FEMOROPOPLITEAL ARTERY ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA NITINOL,1150.0,575.0,250.82,1035.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L142 CM ODSEC4 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L142 CM ODSEC4.5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L142 CM ODSEC5 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,252.0,126.0,54.96,226.8,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L142 CM ODSEC6 MM CORDIS AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 4 FR SHEATH PTA DURALYN,510.0,255.0,111.23,459.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L142 CM ODSEC7 MM AVIATOR PLUS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN CAROTID PERIPHERAL RENAL ACCEPTS 5 FR SHEATH PTA DURALYN,240.0,120.0,52.34,216.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC2 MM ARMADA 14 OTW TAPER TIP LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA JETCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC2.5 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC2.5 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .014 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC2.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC3 MM ARMADA 14 OTW TAPER TIP LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA JETCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC3 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .014 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC3 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC4 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC4 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L200 CM ODSEC1.5 MM SABERX RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTA,248.0,124.0,54.09,223.2,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L200 CM ODSEC3 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L200 CM ODSEC4 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L200 CM ODSEC5 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L200 CM ODSEC6 MM R2P CROSSTELLA RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L200 CM ODSEC6 MM R2P METACROSS RAPID EXCHANGE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L40 CM ODSEC10 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L40 CM ODSEC12 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 9 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L40 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L40 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L40 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC10 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC10 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC12 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC14 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC4.5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 4 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC5 MM ARMADA LOW PROFILE TIP SEMICOMPLIANT BALLOON ACCEPTS .035 IN GUIDEWIRE 5-7 FR SHEATH PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC5 MM VIATRAC 14 PLUS RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE PERIPHERAL ACCEPTS 6 FR GUIDE CATHETER 5 FR SHEATH PTA XCELON HYDROPHOBIC,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC6 MM ARMADA LOW PROFILE TIP SEMICOMPLIANT BALLOON ACCEPTS .035 IN GUIDEWIRE 5-7 FR SHEATH PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC6 MM OPTA PRO OTW 2 LUMEN LOW PROFILE FLEXIBLE TAPER TIP ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA DURALYN,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC7 MM ARMADA 35 OTW LOW PROFILE CRESCENT CONTRAST LUMEN PTA ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC8 MM ARMADA LOW PROFILE TIP SEMICOMPLIANT BALLOON ACCEPTS .035 IN GUIDEWIRE 5-7 FR SHEATH PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC8 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC9 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC9 MM CORDIS POWERFLEX PRO 2 LUMEN OTW LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA DURALYN MDX,140.7,70.35,30.69,126.63,64
HCPCS,C1725,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC9 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 CM L130 CM ODSEC4 MM ULTRAVERSE OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L138 CM ODSEC1.5 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.021 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L138 CM ODSEC2 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L138 CM ODSEC2.5 MM SPRINTER OTW CROSS PROFILE RADIOPAQUE L2.5 MM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L138 CM ODSEC4 MM NC SPRINTER RAPID EXCHANGE CROSS PROFILE RADIOPAQUE L3.5 MM OD.029 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM PLUS DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM OD1.25 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC1.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC1.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.02 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2 MM NC EUPHORA RAPID EXCHANGE LOW GROWTH PROFILE RADIOPAQUE NONCOMPLIANT PTCA DURATRAC NYLON PLATINUM IRIDIUM,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2 MM SPRINTER LEGEND MICRO-BRITE OTW RADIOPAQUE CROSS PROFILE MINIWRAP FOLD ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.022 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC2.75 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3 MM SPRINTER LEGEND MICRO-BRITE OTW CROSS PROFILE RADIOPAQUE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3.25 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3.25 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3.5 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3.5 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.023 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC3.75 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC4 MM EUPHORA RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE PTCA ULTRA-SLIM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC4 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L142 CM ODSEC4 MM SPRINTER LEGEND MICRO-BRITE RAPID EXCHANGE CROSS PROFILE L21 CM OD.024 IN ACCEPTS .056 IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L143 CM ODSEC3 MM NC TREK FLEXIBLE 2 MARKER RAPID EXCHANGE SOFT TIP CORONARY PTCA ACCEPTS .014 IN GUIDEWIRE PEBAX TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC1.2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC1.5 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC1.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2.75 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC2.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC3 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC3.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC3.25 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC3.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC3.75 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM L145 CM ODSEC4 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC1.2 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC1.25 MM SPRINTER LEGEND OTW,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC1.5 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC2.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC2.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC2.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC3.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC3.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC3.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC3.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L6 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 CM L190 CM ODSEC8 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA DU,323.0,161.5,70.45,290.7,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC10 MM EVERCROSS BEVEL 360 OTW FLEXIBLE DISTAL END LOW PROFILE ACCEPTS 7 FR SHEATH .035 IN GUIDEWIRE PTA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC12 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 7 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC4 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC6 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L135 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM OD2 MM HIGHLANDER ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM OD2.5 MM HIGHLANDER ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM OD3 MM HIGHLANDER ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM OD4 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC2.5 MM ARMADA 14 OTW TAPER TIP LOW PROFILE RADIOPAQUE PERIPHERAL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA JETCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC2.5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC3 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC3.5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC4 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC5.5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC6 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L190 CM ODSEC6 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA DU,315.0,157.5,68.7,283.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L200 CM ODSEC8 MM R2P METACROSS RAPID EXCHANGE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L40 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L40 CM ODSEC9 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC10 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC10 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 7 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC12 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC12 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 7 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC5 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC6 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC7 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC8 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC8 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC9 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 CM L135 CM ODSEC5 MM ADVANCE SERENITY FEMORAL ILIAC POPLITEAL RENAL ARTERY ACCEPTS .018 IN GUIDEWIRE 4 FR...,318.99,159.5,69.57,287.09,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 CM L150 CM ODSEC1.5 MM ULTRAVERSE REINFORCE INNER LUMEN RADIOAPQUE FLEX POINT ACCEPTS .014 IN GUIDEWIRE PTA ULTRA-CROSS HYDROPHILIC,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC2 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC2.25 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC2.5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC2.75 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC3 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC3.25 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC3.5 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC3.75 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC4 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC4.5 MM NC EUPHORA RAPID EXCHANGE NONCOMPLIANT RADIOPAQUE DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L142 CM ODSEC5 MM NC EUPHORA RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC1.2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC1.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC2 MM MINI TREK II OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC2 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC2.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC2.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC2.50 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC2.75 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC3 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC3 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC3.25 MM NC TREK NEO RAPID EXCHANGE PUSHABILITY FLEXIBLE CORONARY PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC3.5 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L145 CM ODSEC4 MM TREK OTW 2 LUMEN RADIOPAQUE TRANSITIONLESS TIP ACCEPTS .014 IN GUIDEWIRE PTCA PEBAX HYDROCOAT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM L8 MM ODSEC2.75 MM SAPPHIRE NC24 RAPID EXCHANGE CORONARY PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC1.2 MM MINI TREK RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2 MM MINI TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2.5 MM TREK RAPID EXCHANGE RADIOPAQUE FLEXIBLE DISTAL SHAFT TRANSITIONLESS TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC2.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.25 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.25 MM SAPPHIRE NC24 RAPID EXCHANGE PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.25 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.5 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.75 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.75 MM SAPPHIRE NC24 RAPID EXCHANGE PTCA,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC3.75 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC4 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC4 MM TREK SLIM SEAL RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC4.5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L8 MM ODSEC5 MM NC TREK RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP CORONARY PTCA CROSSFLEX2 TUNGSTEN,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L120 CM ODSEC5 MM CHOCOLATE CAGE SEGMENT PILLOW GROOVE ACCEPTS .018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L120 CM ODSEC6 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .018 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC3 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC3.5 MM CHOCOLATE OTW ATRAUMATIC TAPER TIP BRAID SHAFT DISTAL END ACCEPTS .014 IN GUIDEWIRE PTA,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC4 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC4 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .014 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC4 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC6 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC6 MM EVERCROSS OTW LOW PROFILE .035 IN ACCEPTS 5 FR SHEATH PTA,95.0,47.5,20.72,85.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L135 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM OD2 MM HIGHLANDER ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM OD2.5 MM HIGHLANDER ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM OD3 MM HIGHLANDER LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA,190.0,95.0,41.44,171.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC2 MM CORDIS SLEEK OTW LOW PROFILE COAXIAL RADIOPAQUE INFRAPOPLITEAL VESSEL ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA QUADFLEX,300.0,150.0,65.43,270.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC2 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC2.5 MM ARMADA STREAMLINE TIP LOW PROFILE RAPID DEFLATION FLEXIBLE MARKER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC2.5 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .014 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC3 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC3 MM CHOCOLATE OTW GUIDEWIRE PLAQUE CHANNEL GROOVE .014 IN PTA NITINOL,790.0,395.0,172.3,711.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC4 MM ARMADA FLEXIBLE MARKER STREAMLINE TIP RAPID DEFLATION LOW PROFILE ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH PTA TUNGSTEN,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC4 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC5 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC6 MM ARMADA OTW 2 LUMEN RADIOPAQUE COAXIAL ACCEPTS .018 IN GUIDEWIRE PTA JETCOAT,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L150 CM ODSEC6 MM NANOCROSS ELITE OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .014 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA THERMOFLEX CROSSCOAT,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L170 CM ODSEC4 MM RAPIDCROSS RAPID EXCHANGE LOW PROFILE GUIDEWIRE RADIOPAQUE .014 IN PERIPHERAL ACCEPTS 4 FR SHEATH PTA LUBRICIOUS,175.0,87.5,38.17,157.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L190 CM ODSEC6 MM SABERX RADIANZ RADIANZ RADIAL 2 LAYER LOW CROSS PROFILE ATRAUMATIC TAPER TIP RAPID EXCHANGE PERIPHERAL ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA DU,315.0,157.5,68.7,283.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L200 CM ODSEC8 MM R2P METACROSS RAPID EXCHANGE PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L40 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC4 MM INPACT ADMIRAL OTW 2 LUMEN 3 FOLD RADIOPAQUE SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC5 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC5 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC6 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC6 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE .035 IN PERIPHERAL ACCEPTS 5 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC6 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC7 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC7 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC8 MM ARMADA OTW LOW PROFILE TIP ACCEPTS .035 IN GUIDEWIRE PTA,89.0,44.5,19.41,80.1,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC8 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC9 MM EVERCROSS BEVEL 360 OTW LOW PROFILE GUIDEWIRE ROBUST SHAFT .035 IN PERIPHERAL ACCEPTS 6 FR SHEATH PTA CROSSCOAT NYLON,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION LITHOPLASTY 4.5MM 60MM 110CM OTW BALLOON .064IN ACCEPTS .014IN GUIDEWIRE 6FR INTRODUCER SHEATH PERIPHERAL LATEX FREE,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION LUTONIX 035 10MM 60MM 75CM ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA PACLITAXEL LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION LUTONIX 035 4MM 150MM 130CM ACCEPTS .035IN GUIDEWIRE PTA PACLITAXEL LATEX FREE,2008.5,1004.25,438.05,1807.65,64
HCPCS,C1725,CATHETER BALLOON DILATATION LUTONIX 035 5MM 150MM 130CM ACCEPTS .035IN GUIDEWIRE PTA PACLITAXEL LATEX FREE,2008.5,1004.25,438.05,1807.65,64
HCPCS,C1725,CATHETER BALLOON DILATATION LUTONIX 035 6MM 150MM 130CM ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PACLITAXEL LATEX FREE,2008.5,1004.25,438.05,1807.65,64
HCPCS,C1725,CATHETER BALLOON DILATATION LUTONIX 5MM 40MM 130CM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL LATEX FREE,1250.0,625.0,272.63,1125.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MAVERICK2 MONORAIL TRAKTIP 3MM 30MM 142CM TAPER DISTAL SHAFT LOW PROFILE COREWIRE ACCEPTS .014IN GUIDEWIRE PTCA FG PEBAX LEAP BIOSLIDE,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MAXI LD 18MM 40MM 110CM OTW BRAID INNER BODY RADIOPAQUE COAXIAL LARGE ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PTA DURALYN AORTA ESOPHAGEAL PERIPHERAL LATEX FREE,275.0,137.5,59.98,247.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 1.5MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 1.5MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 1.5MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE PUSH ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 1.5MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 1.5MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE PUSH ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2.25MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2.75MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2.75MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2.75MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2MM 15MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2MM 20MM 143CM OTW 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 8FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 2MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3.5MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3.5MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3.5MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3.5MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 3MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 4MM 12MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 4MM 15MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 4MM 20MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL EMERGE 4MM 30MM 144CM 2 LUMEN ULTRA LOW PROFILE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA ZGLIDE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC EMERGE 2.75MM 143CM 12MM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC EMERGE 3.5MM 143CM 8MM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC EMERGE BI-SEGMENT 2MM 143CM 15MM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS 6FR GUIDE WIRE PTCA HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC EMERGE BI-SEGMENT 5.5MM 143CM 8MM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS 6FR GUIDE WIRE PTCA HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC EMERGE BI-SEGMENT 5MM 143CM 6MM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE HYDROPHILIC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.5MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.5MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.5MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.5MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.75MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.75MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.75MM 6MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2.75MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 2MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.25MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.25MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.5MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.5MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.5MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.5MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.75MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.75MM 143CM 6MM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3.75MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3MM 6MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 3MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 4.5MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 4.5MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 4MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 4MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL NC QUANTUM APEX 4MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL STERLING 4MM 80CM 20MM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MONORAIL STERLING 5MM 20MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 135CM 60MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 135CM 80MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 30MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 10MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 30MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 60MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 12MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 7FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 100MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 100MM 40CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 120MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 150MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 180MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 200MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 60MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 3MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 100MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 100MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 120MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 150MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 180MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 200MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 40MM 40CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 60MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 4MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 100MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 100MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 120MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 120MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 135CM 40MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 150MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 180MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 200MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 30MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 60MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 5MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 100MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 100MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 120MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 120MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 135CM 150MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 135CM 60MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 180MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 200MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 75CM 20MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 75CM 40MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 6MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 100MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 120MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 120MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 150MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 180MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 200MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 60MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 75CM 100MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 7MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 100MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 100MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 120MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 120MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 135CM 60MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 135CM 80MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 150MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 180MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 200MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,140.0,70.0,30.53,126.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 75CM 60MM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 8MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 20MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 20MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 30MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 30MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 40MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 60MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 60MM 40CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 60MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 80MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION MUSTANG 9MM 80MM 75CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH NYBAX,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.25MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.25MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.25MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.25MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.25MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.25MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.5MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.5MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.5MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.5MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.5MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.5MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.75MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.75MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.75MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.75MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2.75MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA ZGLIDE STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA ZGLIDE STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 2MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA ZGLIDE STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.25MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.25MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.25MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.25MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.25MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.25MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.5MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.5MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.5MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.5MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.5MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.75MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.75MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.75MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.75MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.75MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3.75MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 3MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4.5MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4.5MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4.5MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4.5MM 6MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4.5MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4MM 30MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4MM 6MM 143CM PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 4MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5.5MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5.5MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5.5MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 5MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 6MM 12MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 6MM 15MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 6MM 20MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EMERGE MONORAIL 6MM 8MM 143CM 2 LUMEN TAPER TIP LUER PORT HUB RADIOPAQUE .017IN ACCEPTS .014IN GUIDEWIRE PTCA ZGLIDE XTRA STAINLESS STEEL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC EUPHORA 3.75MM 6MM 142CM RAPID EXCHANGE LOW PROFILE RADIOPAQUE PTCA DURA-TRAC NYLON LATEX FREE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.25MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.25MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.25MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.25MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.5MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.5MM 6MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.75MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2.75MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2MM 15MM RADIOPAQUE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 2MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.25MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.25MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.25MM 6MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.5MM 20MM PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.5MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.5MM 6MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.75MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.75MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3.75MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 3MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 4.5MM 15MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 4.5MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 4MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 4MM 30MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 4MM 6MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 5MM 12MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 5MM 15MM 143CM PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 5MM 20MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 5MM 8MM 143CM RADIOPAQUE ACCEPTS .014IN GUIDEWIRE PTCA,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC TREK NEO 2.50MM 12MM 145CM RAPID EXCHANGE PUSHABILITY FLEXIBLE PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC CORONARY STERILE LATEX FREE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC TREK NEO 3MM 15MM 145CM RAPID EXCHANGE PUSHABILITY FLEXIBLE PTCA PEBAX GRILAMID TUNGSTEN HYDROPHILIC CORONARY STERILE LATEX FREE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION NC TREK NEO 4MM 145CM 8MM RAPID EXCHANGE FLEXIBLE PUSHABILITY PTCA ACCEPTS .014IN GUIDEWIRE HYDROCOAT TUNGSTEN PEBAX GRILAMID CORONARY STERILE LATEX FREE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 1.5MM 15MM TWIN WALL 2 MARKER TRIFOLD LESION ENTRY PROFILE PTCA PLATINUM IRIDIUM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 1.5MM 20MM TWIN WALL 2 MARKER TRIFOLD LESION ENTRY PROFILE PTCA PLATINUM IRIDIUM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 2.5MM 20MM TWIN WALL 2 MARKER TRIFOLD LESION ENTRY PROFILE PTCA PLATINUM IRIDIUM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 2MM 10MM TWIN WALL 2 MARKER TRIFOLD LESION ENTRY PROFILE PTCA PLATINUM IRIDIUM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 2MM 15MM TWIN WALL 2 MARKER TRIFOLD LESION ENTRY PROFILE PTCA PLATINUM IRIDIUM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 2MM 20MM TWIN WALL 2 MARKER TRIFOLD LESION ENTRY PROFILE PTCA PLATINUM IRIDIUM,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 3.5MM 15MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 6FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 3MM 20MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 6FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 4.5MM 10MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 7FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 4.5MM 15MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 7FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 4.5MM 20MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 7FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 4MM 15MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 7FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION OPN NC 4MM 20MM THIN WALL LOW LESION ENTRY PROFILE 35 ATM 7FR GUIDING CATHETER PTCA,1015.0,507.5,221.37,913.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION POWERFLEX P3 9MM 20MM 110CM OTW 2 LUMEN FLEXIBLE TAPER TIP RADIOPAQUE 7.5MM ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA DURALYN MDX PERIPHERAL LATEX FREE,105.0,52.5,22.9,94.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P CROSSTELLA 3MM 150MM 200CM RAPID EXCHANGE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P CROSSTELLA 5MM 100MM 200CM RAPID EXCHANGE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P CROSSTELLA 6MM 100MM 200CM RAPID EXCHANGE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 3MM 40MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 5MM 40MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 6MM 100MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 6MM 120MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 6MM 60MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 6MM 80MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 7MM 40MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 7MM 60MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 7MM 80MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION R2P METACROSS 8MM 40MM 200CM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA PERIPHERAL LATEX FREE,330.0,165.0,71.97,297.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.25MM 10MM CORONARY,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.25MM 15MM CORONARY,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.5MM 10MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.5MM 15MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 10MM STERILE LATEX FREE,155.0,77.5,33.81,139.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 15MM RADIOPAQUE OTW PTFE,155.0,77.5,33.81,139.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 2.36FR 140CM 15MM RADIOPAQUE KINK RESISTANT TAPER TIP ULTRA LOW PROFILE P-TECH STAINLESS STEEL PTFE CORONARY,155.0,77.5,33.81,139.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 5MM STERILE LATEX FREE,155.0,77.5,33.81,139.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5MM 12MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 2MM 10MM RADIOPAQUE RAPID EXCHANGE PTFE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 2MM 12MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE II PRO 3MM 12MM RADIOPAQUE RAPID EXCHANGE PTFE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 2.5MM 10MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 2.5MM 12MM RADIOPAQUE PTFE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 2.5MM 8MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 2.75MM 12MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 2.75MM 15MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 3.5MM 12MM RADIOPAQUE PTFE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 3.5MM 8MM PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC PLUS 3MM 12MM RADIOPAQUE PTFE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.25MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.5MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.75MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.75MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.75MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.75MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2.75MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 2MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.25MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.25MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.25MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.25MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.25MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.5MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.75MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.75MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.75MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.75MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.75MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3.75MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 18MM RAPID EXCHANGE PTCA CORONARY STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 3MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4.5MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4.5MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4.5MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4.5MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4.5MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4.5MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 4MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 10MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 12MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 15MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 18MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 22MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 26MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SAPPHIRE NC24 5MM 8MM RAPID EXCHANGE PTCA STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 1.75MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 1.75MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2.25MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2.25MM 11MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2.50MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2.50MM 11MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2.75MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2.75MM 11MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 2MM 11MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 3.50MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,750.0,375.0,163.58,675.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 3.50MM 11MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 3MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,750.0,375.0,163.58,675.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 3MM 11MM 15MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,750.0,375.0,163.58,675.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION SCOREFLEX 4MM 11MM 10MM 2 WIRE SYSTEM NONCOMPLIANT HUB TO TIP CONTROL PLAQUE MODIFICATION NYLON NITINOL HYDROPHILIC HYDROPHOBIC,675.0,337.5,147.22,607.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SPRINTER 1.5MM 12MM OTW SEMICOMPLIANT FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SPRINTER 2.5MM 25MM 138CM OTW CROSS PROFILE RADIOPAQUE 2.5MM .023IN ACCEPTS .056IN GUIDE CATHETER PTCA FULCRUM DURA-TRAC LATEX FREE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SPRINTER 2MM 10MM 138CM OTW SEMICOMPLIANT FULCRUM DURA-TRAC STERILE LATEX FREE DISPOSABLE,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SPRINTER FASTRAC MINIWRAP 1.5MM 10MM 138CM OTW FLEXIBLE TIP CROSS PROFILE FOLD .021IN 2.5MM FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION SPRINTER FASTRAC MINIWRAP 2.5MM 10MM 138CM OTW CROSS PROFILE FOLD FLEXIBLE TIP .023IN 2.5MM FULCRUM DURA-TRAC,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 10MM 20MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 10MM 20MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2.5MM 20MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2.5MM 220MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2.5MM 30MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2.5MM 40MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2.5MM 60MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2MM 20MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2MM 220MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2MM 40MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 2MM 60MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3.5MM 20MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3.5MM 20MM 90CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3.5MM 220MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3.5MM 40MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3.5MM 60MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3MM 20MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3MM 20MM 90CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3MM 220MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3MM 40MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3MM 40MM 90CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 3MM 60MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 100MM 135CM OTW TAPER TIP LOW PROFILE INFLATION PORT ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 20MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 20MM 80CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 220MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 40MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 40MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 60MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 4MM 80MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 100MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 120MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 120MM 90CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 150MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 200MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 20MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 20MM 40CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 20MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 220MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 40MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 40MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 60MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 5MM 80MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 100MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 100MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 135CM 20MM OTW TAPER TIP LOW PROFILE ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 150CM 120MM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 150MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 200MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 20MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 220MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 40MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 40MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 60MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 6MM 80MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 100MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 6FR SHEATH 8FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 120MM 90CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 5FR INTRODUCER SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 135CM 20MM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 150MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 20MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 220MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 5FR INTRODUCER SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 40MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 40MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 60MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 5FR INTRODUCER SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 7MM 80MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 6FR INTRODUCER SHEATH 8FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 8MM 20MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 8MM 20MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 8MM 40MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 8MM 40MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 8MM 60MM 135CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 5FR INTRODUCER SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 8MM 80MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 6FR SHEATH 8FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 9MM 20MM 135CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING 9MM 20MM 80CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 4MM 20MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 4MM 40MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 5.5MM 20MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 5MM 20MM 80CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 5MM 30MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 5MM 40MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 6.5MM 20MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 6MM 20MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 6MM 20MM 80CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 6MM 30MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 6MM 60MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 7MM 15MM 80CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING MONORAIL 7MM 20MM 135CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 6FR GUIDE CATHETER PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2.5MM 100MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2.5MM 120MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2.5MM 150MM 150CM OTW INFLATE PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2.5MM 80MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2MM 100MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2MM 120MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2MM 150MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 2MM 80MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3.5MM 100MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3.5MM 120MM 150CM OTW INFLATE PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3.5MM 150MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3MM 100MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3MM 120MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3MM 150MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 3MM 80MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 4MM 100MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 4MM 120MM 150CM OTW TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 4MM 150MM 150CM OTW INFLATE PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL 4MM 80MM 150CM OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018IN GUIDEWIRE 4FR INTRODUCER SHEATH PTA PEBAX BIOSLIDE,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL MONORAIL 3MM 150MM 150CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA PEBAX BIOSLIDE PERIPHERAL,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION STERLING SL MONORAIL 3MM 80MM 150CM TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA PEBAX BIOSLIDE PERIPHERAL,150.0,75.0,32.72,135.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION THREADER 1.2MM 12MM 150CM OTW PREDILATATION GUIDEWIRE EXCHANGE MICRO PTCA HYDROPHILIC,400.0,200.0,87.24,360.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TREK SLIM SEAL 3.5MM 20MM RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE DISTAL SHAFT PTCA CROSSFLEX2 TUNGSTEN CORONARY,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE 20MM 4.5CM 110CM RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE VALVULOPLASTY AORTA,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE 24MM 4.5CM 110CM RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE VALVULOPLASTY AORTA,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE 26MM 4.5CM 110CM RUPTURE RESISTANT 13FR SHEATH VALVULOPLASTY,650.0,325.0,141.77,585.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE 28MM 4.5CM 110CM RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE VALVULOPLASTY AORTA,650.0,325.0,141.77,585.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE DILATATION 18MM 4.5CM 110CM RUPTURE RESISTANT ACCEPTS 11FR SHEATH CATASTROPHIC FAILURE,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE DILATATION 21MM 4.5CM 110CM OTW 2 LUMEN COAXIAL RADIOPAQUE ACCEPTS .035IN GUIDEWIRE VALVULOPLASTY,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE DILATATION 22MM 4.5CM 110CM ACCEPTS 12FR SHEATH VALVULOPLASTY AORTIC,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE DILATATION 23MM 4.5CM 110CM OTW 2 LUMEN COAXIAL RADIOPAQUE ACCEPTS .035IN GUIDEWIRE VALVULOPLASTY,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TRUE DILATATION 25MM 4.5CM 110CM OTW 2 LUMEN COAXIAL RADIOPAQUE ACCEPTS .035IN GUIDEWIRE VALVULOPLASTY,1650.0,825.0,359.87,1485.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION TYSHAK MINI 10MM 2CM 65CM RAPID EXCHANGE 2 TAPER BALLOON LOW PROFILE RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PEDIATRIC LA,495.0,247.5,107.96,445.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION TYSHAK MINI 4MM 2CM 65CM RAPID EXCHANGE 2 TAPER BALLOON LOW PROFILE RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 3FR INTRODUCER PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PEDIATRIC LAT,495.0,247.5,107.96,445.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION TYSHAK MINI 5MM 3CM 65CM LOW PROFILE DEHP FREE ACCEPTS .014IN GUIDEWIRE 3FR INTRODUCER PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PEDIATRIC LATEX FREE,495.0,247.5,107.96,445.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION TYSHAK MINI 6MM 2CM 65CM RAPID EXCHANGE 2 TAPER BALLOON LOW PROFILE RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 3FR INTRODUCER PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PEDIATRIC LAT,495.0,247.5,107.96,445.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION TYSHAK MINI 7MM 2CM 65CM RAPID EXCHANGE 2 TAPER BALLOON LOW PROFILE RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 3FR INTRODUCER PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PEDIATRIC LAT,495.0,247.5,107.96,445.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION TYSHAK MINI 8MM 2CM 65CM LOW PROFILE PVC FREE DEHP FREE ACCEPTS .014IN GUIDEWIRE 3FR INTRODUCER PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PEDIATRIC LATEX FREE,495.0,247.5,107.96,445.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 1.5MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 1.5MM 2CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 1.5MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 150MM 200CM RAPID EXCHANGE REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2.5MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2MM 2CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 2MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3.5MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 20MM 150CM RAPID EXCHANGE REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRACROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 3MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 4MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 4MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 4MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 4MM 2CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 4MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 4MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 5MM 12CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 5MM 2CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 5MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 5MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 014 6MM 40MM 150CM RAPID EXCHANGE REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,160.0,80.0,34.9,144.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2.5MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2.5MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2.5MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2.5MM 4CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2.5MM 6CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2.5MM 8CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 12CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 22CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 4CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 2MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3.5MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3.5MM 30CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 12CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 15CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 22CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 22CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 6CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 3MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 10CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 10CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 15CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 22CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 4MM 8CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 10CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 12CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 15CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 15CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 22CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 2CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 2CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 4CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 4CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 6CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 5MM 8CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 10CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 15CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 22CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 2CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 30CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 4CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 6MM 8CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 7MM 4CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 8MM 4CM 130CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 6FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 GEOALIGN 3MM 300MM 150CM REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH PTA,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 018 GEOALIGN 5MM 300MM 150CM REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 10MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 12MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 12MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 12MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 12MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 12MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 12MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 120MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 150MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 200MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 3MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 200MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 200MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 4MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 120MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 150MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 200MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 5MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 120MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 150MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 200MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 300MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 6MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 120MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 150MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 150MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 200MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 250MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,85.0,42.5,18.54,76.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 7MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 100MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 150MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 200MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 8MM 80MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 100MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 20MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 20MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 40MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 60MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 60MM 75CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE 035 GEOALIGN 9MM 80MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE CHECKER GEOALIGN 2MM 8CM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE GEOALIGN 12MM 40MM 130CM OTW RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA STERILE,60.0,30.0,13.09,54.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION ULTRAVERSE GEOALIGN 2MM 40MM 150CM OTW REINFORCE INNER LUMEN RADIOPAQUE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH PTA ULTRA-CROSS,120.0,60.0,26.17,108.0,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIATRAC 14 PLUS 5.5MM 20MM 135CM RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE ACCEPTS 6FR GUIDE CATHETER 5FR SHEATH PTA XCELON HYDROPHOBIC PERIPHERAL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIATRAC 14 PLUS 5MM 15MM 135CM RAPID EXCHANGE LOW PROFILE FLEXIBLE KINK RESISTANCE ACCEPTS 6FR GUIDE CATHETER 5FR SHEATH PTA XCELON HYDROPHOBIC PERIPHERAL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 12MM 2CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,375.0,187.5,81.79,337.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 14MM 2CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,375.0,187.5,81.79,337.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 14MM 4CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,375.0,187.5,81.79,337.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 16MM 2CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,375.0,187.5,81.79,337.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 18MM 2CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,375.0,187.5,81.79,337.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 18MM 4CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,375.0,187.5,81.79,337.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 20MM 2CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,425.0,212.5,92.69,382.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 20MM 4CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,425.0,212.5,92.69,382.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION VIDA 24MM 4CM 100CM LOW PROFILE PREDICTABLE RUPTURE RESISTANT ACCEPTS .035IN GUIDEWIRE 10FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY PERIPHERAL STERILE LATEX FREE,425.0,212.5,92.69,382.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL 14MM 20MM 120CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL 14MM 40MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL 16MM 20MM 120CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL 18MM 40MM 120CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 12MM 20MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 14MM 40MM 120CM SCRATCH RESISTANT ACCEPTS .035IN GUIDEWIRE 7FR INTRODUCER SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 14MM 60MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR INTRODUCER SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 16MM 20MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 16MM 40MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 16MM 60MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 18MM 40MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON DILATATION XXL QUADRA-FOLD 18MM 60MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
HCPCS,C1725,CATHETER BALLOON OCCLUSION 10-37 MM L4 CM L90 CM GORE MOLDING MOLD STENT GRAFT OPTIMIZE SEAL ACCEPTS .035 IN GUIDEWIRE,512.0,256.0,111.67,460.8,64
HCPCS,C1725,CATHETER BALLOON OCCLUSION LARGE OD26-42 MM GORE TRI-LOBE BALLOON CATHETER TAG THORAX TRILOBE ENDOPROSTHESIS,618.0,309.0,134.79,556.2,64
HCPCS,C1725,CATHETER BALLOON OCCLUSION SMALL ODSEC16-34 MM GORE TRI-LOBE BALLOON CATHETER TRILOBE STENT PLACEMENT,618.0,309.0,134.79,556.2,64
HCPCS,C1725,CATHETER BALLOON RINGER PERFUSION 2.5 X 20MM,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1725,CATHETER BALLOON RINGER PERFUSION 3.0 X 20MM,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1725,CATHETER BALLOON RINGER PERFUSION 3.5 X 20MM,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1725,CATHETER BALLOON RINGER PERFUSION 4.0 X 20MM,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1725,CATHETER BALLOON RINGER PERFUSION 4.5 X 20MM,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 3 FOLD RADIOPAQUE SECOD4 MM IN.PACT ADMIRAL PACLITAXEL UREA L40 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 3 FOLD RADIOPAQUE SECOD4 MM IN.PACT ADMIRAL PACLITAXEL UREA L40 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 3 FOLD RADIOPAQUE SECOD4 MM IN.PACT ADMIRAL PACLITAXEL UREA L60 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE ODSEC5 MM INPACT ADMIRAL PACLITAXEL UREA L120 MM ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE ODSEC5 MM INPACT ADMIRAL PACLITAXEL UREA L80 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD5 MM IN.PACT ADMIRAL PACLITAXEL UREA L40 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD6 MM IN.PACT ADMIRAL PACLITAXEL UREA L40 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD7 MM IN.PACT ADMIRAL PACLITAXEL UREA L40 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD7 MM IN.PACT ADMIRAL PACLITAXEL UREA L60 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C1725,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 3 FOLD ODSEC4 MM INPACT PACLITAXEL UREA L80 MM ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA,1225.0,612.5,267.17,1102.5,64
HCPCS,C1725,CATHETER BLN DIL L12 MM ODSEC4.5 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L15 MM ODSEC5 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L20 MM OD5 MM EMERGE 2 SHAFT FLXB MONORAIL,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L20 MM ODSEC4.5 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L40 MM ODSEC2 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L40 MM ODSEC2.5 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L40 MM ODSEC3 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L40 MM ODSEC3.5 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER BLN DIL L40 MM ODSEC4 MM EMERGE RADOPQ 2 SHAFT,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER EMERGE MONORAIL 4MM 8MM 144CM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6FR GUIDE CATHETER PTCA OPTILEAP XTRA BALLOON DILATATION,75.0,37.5,16.36,67.5,64
HCPCS,C1725,CATHETER INTERVENTIONAL TRAPIT 2FR 2.5MM 15MM 100-110CM OTW TRAP AUTO STOP BALLOON ACCEPTS 6FR 7FR 8FR GUIDE CATHETER PIC,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 10MM SHOCKWAVE 6 PERIPHERAL 30MM PULSES 300 MAX ACCEPTS 8FR SHEATH .093 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 12MM SHOCKWAVE 6 PERIPHERAL 30MM PULSES 300 MAX ACCEPTS 8FR SHEATH .095 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 3.5MM SHOCKWAVE M5 PERIPHERAL 60MM ACCEPTS 6FR SHEATH COMMERCIAL DISTRIBUTION END DATE: DECEMBER 16 2020,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 4.5MM SHOCKWAVE M5 PERIPHERAL 60MM ACCEPTS 6FR SHEATH,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 5.5MM SHOCKWAVE M5 PERIPHERAL 60MM ACCEPTS 6FR SHEATH,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 5.5MM SHOCKWAVE M5 PERIPHERAL 60MM PULSES 300 MAX ACCEPTS 6FR SHEATH .064 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 6.5MM SHOCKWAVE M5 PERIPHERAL 60MM ACCEPTS 7FR SHEATH,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 7MM SHOCKWAVE M5 PERIPHERAL 60MM PULSES 300 MAX ACCEPTS 6FR SHEATH .068 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 8MM SHOCKWAVE 6 PERIPHERAL 30MM PULSES 300 MAX ACCEPTS 7FR SHEATH .087 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 110CM 9MM .089IN PERIPHERAL 30MM ACCEPTS .018IN GUIDEWIRE 7FR SHEATH,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM .014IN 2.5-.052MM SHOCKWAVE S4 10 ATM 6 ATM HYDROPHILIC MINIATURIZE EMITTER RADIOPAQUE 3 PORT HUB GUIDEWIRE 40MM ACCEPTS 5FR SHEATH INTRAVASCULAR LITHOTRIPSY STERILE LATEX F,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM .014IN 3.5-.052MM SHOCKWAVE S4 10 ATM 6 ATM HYDROPHILIC MINIATURIZE EMITTER RADIOPAQUE 3 PORT HUB GUIDEWIRE 40MM ACCEPTS 5FR SHEATH INTRAVASCULAR LITHOTRIPSY STERILE LATEX F,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM 3.5MM SHOCKWAVE S4 PERIPHERAL HYDROPHILIC 40MM ACCEPTS 5FR SHEATH,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM 4MM SHOCKWAVE S4 PERIPHERAL HYDROPHILIC 40MM ACCEPTS 5FR SHEATH,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM 5MM SHOCKWAVE M5 PERIPHERAL 60MM PULSES 300 MAX ACCEPTS 6FR SHEATH .061 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM 8MM SHOCKWAVE M5 PERIPHERAL 60MM PULSES 300 MAX ACCEPTS 7FR SHEATH .074 CROSS PROFILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 135CM ODSEC 2.5MM SHOCKWAVE S4 PERIPHERAL HYDROPHILIC 40MM ACCEPTS 5FR SHEATH,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 40MM .014IN 3-.052MM SHOCKWAVE S4 10 ATM 6 ATM HYDROPHILIC MINIATURIZE EMITTER RADIOPAQUE 3 PORT HUB GUIDEWIRE ACCEPTS 5FR SHEATH INTRAVASCULAR LITHOTRIPSY STERILE LATEX FREE DISP,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 40MM .014IN 4-.052MM SHOCKWAVE S4 10 ATM 6 ATM HYDROPHILIC MINIATURIZE EMITTER RADIOPAQUE 3 PORT HUB GUIDEWIRE ACCEPTS 5FR SHEATH INTRAVASCULAR LITHOTRIPSY STERILE LATEX FREE DISP,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 60MM 3.5MM 7MM SHOCKWAVE M5 CROSSING RANGE .054IN SHEATH 6F PULSES 300 MAX 110CM,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 60MM 4.5MM 7MM SHOCKWAVE M5 CROSSING RANGE .058IN SHEATH 6F PULSES MAX 300 110CM,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 60MM 4MM 7MM SHOCKWAVE M5 CROSSING RANGE .054IN SHEATH 6F PULSES MAX 300 110CM,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 60MM 6.5MM 7MM SHOCKWAVE M5 CROSSING RANGE .054IN SHEATH 6F PULSES 300 MAX 110CM,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER LITHOTRIPSY 60MM 7MM SHOCKWAVE M5 110MM ACCEPTS 7FR SHEATH .073 CROSS PROFILE,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER MUSTANG 6MM 40MM 135CM HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH NYBAX BALLOON DILATATION,130.0,65.0,28.35,117.0,64
HCPCS,C1725,CATHETER OD5.5 FR L100 CM H1 CURVE CEREBRAL POLYETHYLENE HIGH-FLO SILVER ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,97.5,48.75,21.26,87.75,64
HCPCS,C1725,CATHETER PERFUSION TRUE FLOW 24MM 14FR 110CM 3.5CM BALLOON VALVULOPLASTY,2200.0,1100.0,479.82,1980.0,64
HCPCS,C1725,CATHETER SHOCKWAVE M5 4MM 60MM 110CM ACCEPTS 6FR SHEATH PERIPHERAL BALLOON DILATATION,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER SHOCKWAVE M5+ 6.0MM 60MM PERIPHERAL INTRAVASCULAR LITHOTRIPSY,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1725,CATHETER TRAPPING BALLOON TRAP-IT 15MM X 2.5MM X 90CM,250.0,125.0,54.53,225.0,64
HCPCS,C1725,CATHETER ULTRASOUND 5MM DIA 60MML 110CML WORKING PERIPHERAL VESSEL HIGH LUMEN GAIN LOW-PROFILE EMITTER DESIGN LITHOPLASTY LATEX-FREE SINGLE-USE,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER ULTRASOUND 6MM DIA 60MML 110CML WORKING PERIPHERAL VESSEL HIGH LUMEN GAIN LOW-PROFILE EMITTER DESIGN LITHOPLASTY LATEX-FREE SINGLE-USE,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1725,CATHETER VASCULAR 120CM 3MM SERRANATOR 3 STRIPS,1675.0,837.5,365.32,1507.5,64
HCPCS,C1725,CATHETER VASCULAR 120MM 2.5MM SERRANATOR 3 STRIPS,1675.0,837.5,365.32,1507.5,64
HCPCS,C1725,CATHETER VASCULAR 120MM 3.5MM SERRANATOR 3 STRIPS,1675.0,837.5,365.32,1507.5,64
HCPCS,C1725,CATHETER VASCULAR 40MM 2.5MM SERRANATOR 3 STRIPS,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER VASCULAR 40MM 3.5MM SERRANATOR 3 STRIPS,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER VASCULAR 40MM 3MM SERRANATOR 3 STRIPS,1275.0,637.5,278.08,1147.5,64
HCPCS,C1725,CATHETER VASCULAR 80MM 3MM SERRANATOR 3 STRIPS,1475.0,737.5,321.7,1327.5,64
HCPCS,C1725,CATHETER VASCULAR L80 MM 3 STRIPS OD2.5 MM SERRANATOR,1475.0,737.5,321.7,1327.5,64
HCPCS,C1725,"CATHETER, BALLOON ATLAS 20MM X 120CM 9FR",400.0,200.0,87.24,360.0,64
HCPCS,C1725,GLADIATOR 10.0 X40 75CM,85.0,42.5,18.54,76.5,64
HCPCS,C1725,GLADIATOR 4.0 X40 75CM,85.0,42.5,18.54,76.5,64
HCPCS,C1725,GLADIATOR ELITE 3.0 X40 75CM,85.0,42.5,18.54,76.5,64
HCPCS,C1725,GLADIATOR ELITE 5.0 X40 75CM,85.0,42.5,18.54,76.5,64
HCPCS,C1725,GLADIATOR ELITE 6.0 X40 75CM,85.0,42.5,18.54,76.5,64
HCPCS,C1725,GLADIATOR ELITE 9.0 X80 75CM,85.0,42.5,18.54,76.5,64
HCPCS,C1725,SERRANATOR BALLOON CATHETER 4MM X 120MM,1675.0,837.5,365.32,1507.5,64
HCPCS,C1725,STENT NEUROGUARD IEP 8/6/7 X 30,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP 8/6/7 X 40,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP 9/7/8 X 30,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP 9/7/8 X 40,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP SYSTEM 6X30,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP SYSTEM 6X40,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP SYSTEM 7X30,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,STENT NEUROGUARD IEP SYSTEM 7X40,4995.0,2497.5,1089.41,4495.5,64
HCPCS,C1725,TUBE TRACHEOSTOMY 10.8MM SHILEY UNCUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR 6 PLASTICIZER 74MM,39.81,19.91,8.68,35.83,64
HCPCS,C1725,TUBE TRACHEOSTOMY 12.2MM SHILEY UNCUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR 8 PLASTICIZER 79MM,39.81,19.91,8.68,35.83,64
HCPCS,C1726,BALLOON ENDOSCOPE 35MM,335.0,167.5,73.06,301.5,64
HCPCS,C1726,BALLOON EXTRACTION L200 CM .035 IN INJECTION ABOVE OD6.6 FR ODSEC12-20 MM FUSION NATURAL RUBBER BILIARY STONE,158.0,79.0,34.46,142.2,64
HCPCS,C1726,BALLOON EXTRACTOR OD12-15 MM DISTAL ABOVE INJECTION BILIARY RETRIEVAL,142.0,71.0,30.97,127.8,64
HCPCS,C1726,BALLOON EXTRACTOR OD6-7 FR ODSEC15-18 MM L200 CM 3 LUMEN ABOVE INJECTION SQUARE SHOULDER BILIARY RETRIEVAL ACCEPTS .035 IN GUIDEWIRE,130.5,65.25,28.46,117.45,64
HCPCS,C1726,BALLOON RETRIEVAL EXTRACTOR PRO RX 200CM 6-7FR 9-12MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER ACCEPTS .035IN GUIDEWIRE LATEX STERILE DISPOSABLE,130.5,65.25,28.46,117.45,64
HCPCS,C1726,CATHETER ABLATION HALOFLEX ENERGY GENERATOR BIPOLAR ELECTRODE BALLOON BARRX 360+ L4 CM L3 CM OD18 MM ESOPHAGUS,1890.0,945.0,412.21,1701.0,64
HCPCS,C1726,CATHETER BALLOON 9MM,550.0,275.0,119.96,495.0,64
HCPCS,C1726,CATHETER BALLOON DILATATION AERIS 6MM 30MM,575.0,287.5,125.41,517.5,64
HCPCS,C1726,CATHETER BALLOON DILATATION L16 CM ENDOFLIP,2332.09,1166.05,508.63,2098.88,64
HCPCS,C1726,CATHETER BALLOON DILATATION L2 CM L200 CM OD10-7 FR FUSION TAPER DOME TIP BILIARY ACCEPTS .035 IN GUIDEWIRE,116.0,58.0,25.3,104.4,64
HCPCS,C1726,CATHETER BALLOON DILATATION L2 CM L200 CM OD7-5 FR FUSION TAPER DOME TIP BILIARY ACCEPTS .035 IN GUIDEWIRE,116.0,58.0,25.3,104.4,64
HCPCS,C1726,CATHETER BALLOON DILATATION L3 CM L200 CM OD8.5 FR ODSEC5 FR SOEHENDRA TAPER TIP RADIOPAQUE BILIARY PANCREATIC ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1726,CATHETER BALLOON DILATATION L4 CM L190 CM ODSEC10 MM FUSION LOW PROFILE GUIDEWIRE MULTIPORT RADIOPAQUE .035 IN BILIARY,210.0,105.0,45.8,189.0,64
HCPCS,C1726,CATHETER BALLOON DILATATION L4 CM L190 CM ODSEC4 MM FUSION LOW PROFILE GUIDEWIRE MULTIPORT RADIOPAQUE .035 IN BILIARY,210.0,105.0,45.8,189.0,64
HCPCS,C1726,CATHETER BALLOON DILATATION L4 CM L190 CM ODSEC6 MM FUSION LOW PROFILE GUIDEWIRE MULTIPORT RADIOPAQUE .035 IN BILIARY,210.0,105.0,45.8,189.0,64
HCPCS,C1726,CATHETER BALLOON DILATATION L4 CM L190 CM ODSEC8 MM FUSION LOW PROFILE GUIDEWIRE MULTIPORT RADIOPAQUE .035 IN BILIARY,210.0,105.0,45.8,189.0,64
HCPCS,C1726,CATHETER BALLOON DILATATION L4 CM L200 CM OD10 FR COTTON GRADUATE RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1726,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC10 MM FORTREX OTW LOW PROFILE GUIDEWIRE FLEXIBLE SHAFT .035 IN PERIPHERAL ACCEPTS 7 FR SHEATH PTA,135.0,67.5,29.44,121.5,64
HCPCS,C1726,CATHETER BALLOON DILATATION NEPHROMAX AMPLATZ 30FR 12CM 55CM RADIOPAQUE LOW PROFILE HIGH PRESSURE STOPCOCK FIRM RENAL SHEATH 17CM NEPHROSTOMY PTFE SILICONE LATEX FREE,232.47,116.24,50.7,209.22,64
HCPCS,C1726,CATHETER BALLOON DILATATION NEPHROMAX AMPLATZ 7FR 30FR 15CM 55CM HIGH PRESSURE STOPCOCK FIRM RENAL SHEATH RADIOPAQUE LOW PROFILE 20CM NEPHROSTOMY PTFE SILICONE LATEX FREE,232.47,116.24,50.7,209.22,64
HCPCS,C1726,CATHETER BALLOON DILATION L65 CM LIGHTWEIGHT 4 WAY STEERING 2 LIGHT SOURCE OD6 MM SPYGLASS DISCOVER L40 MM,190.0,95.0,41.44,171.0,64
HCPCS,C1726,CATHETER BALLOON DILATION L65 CM LIGHTWEIGHT 4 WAY STEERING 2 LIGHT SOURCE OD7 MM SPYGLASS DISCOVER L40 MM,190.0,95.0,41.44,171.0,64
HCPCS,C1726,CATHETER BALLOON DILATION L65 CM LIGHTWEIGHT 4 WAY STEERING 2 LIGHT SOURCE OD8 MM SPYGLASS DISCOVER L40 MM,190.0,95.0,41.44,171.0,64
HCPCS,C1726,CATHETER BALLOON DILATION X-FORCE U30 5MM 4CM INFLATION DEVICE PUNCTURE RESISTANT LOW PROFILE URETEROSCOPIC STERILE LATEX FREE DISPOSABLE,350.0,175.0,76.34,315.0,64
HCPCS,C1726,CATHETER BALLOON ENDOSCOPIC 8.5-6FR DIA TIP 200CML 2CML BILIARY DOME TAPERED INTEGRATED W/0.035IN DIA GUIDEWIRE PURPLE FUSION STERILE SINGLE-USE 4.2MM ACCESSORY CHANNEL,116.0,58.0,25.3,104.4,64
HCPCS,C1726,CATHETER BLN 12-13.5-15MM 100CM 5.5CM HERCULES 100 TRANSNASAL ESPH,350.0,175.0,76.34,315.0,64
HCPCS,C1726,CATHETER BLN 15-16.5-18MM 100CM 5.5CM HERCULES 100 TRANSNASAL ESPH,350.0,175.0,76.34,315.0,64
HCPCS,C1726,CATHETER BLN 18-19-20MM 100CM 5.5CM HERCULES 100 TRANSNASAL ESPH,350.0,175.0,76.34,315.0,64
HCPCS,C1726,CATHETER BLN 8-9-10MM 100CM 5.5CM HERCULES 100 TRANSNASAL ESPH,350.0,175.0,76.34,315.0,64
HCPCS,C1726,CATHETER DILATATION CRE RX BILIARY 10-12 MM. 5.5 CM,270.0,135.0,58.89,243.0,64
HCPCS,C1726,CATHETER SPECIMEN RETRIEVAL OD7-6 FR ODSEC9-12 MM ABOVE INJECTION SQUARE SHOULDER BALLOON EXTRACTOR L200 CM BILIARY ACCEPTS .035 IN GUIDEWIRE,142.0,71.0,30.97,127.8,64
HCPCS,C1726,CATHETER URETERAL BALLOON 18FR DIA 3CML WITH INFLATION DEVICE OPTILUME,2095.0,1047.5,456.92,1885.5,64
HCPCS,C1726,CATHETER URETERAL BALLOON 36FR DIA 3CML WITH INFLATION DEVICE OPTILUME,2095.0,1047.5,456.92,1885.5,64
HCPCS,C1726,CATHETER URETERAL DRUG COATED 18FR 3CM SEMI-COMPLIANT W/BALLOON INFLATION DEVICE F/ANTERIOR STRICTURE OPTILUME LATEX-FREE SINGLE-USE,2095.0,1047.5,456.92,1885.5,64
HCPCS,C1726,CATHETER URETERAL DRUG COATED 24FR 3CM SEMI-COMPLIANT W/18FR 3CM BASIC BALLOON INFLATION DEVICE F/ANTERIOR STRICTURE OPTILUME LATEX-FREE SINGLE-USE,2395.0,1197.5,522.35,2155.5,64
HCPCS,C1726,CATHETER URETERAL DRUG COATED 24FR 5CM SEMI-COMPLIANT W/18FR 3CM BASIC BALLOON INFLATION DEVICE F/ANTERIOR STRICTURE OPTILUME LATEX-FREE SINGLE-USE,2395.0,1197.5,522.35,2155.5,64
HCPCS,C1726,CATHETER VALVULOPLASTY 22MM DIA 100CML 4CML LOW-PROFILE F/PTV VIDA LATEX-FREE,467.5,233.75,101.96,420.75,64
HCPCS,C1726,DEVICE INFLATION COOK 30 ATM QUICK RELEASE LOCK LEVER 20 ML,61.99,31.0,13.52,55.79,64
HCPCS,C1726,DILATOR AMPLATZ 24FR 8FR 35CM TAPER RENAL FIRM KINK RESISTANT GRADUATE LATEX FREE SURGICAL,40.29,20.15,8.79,36.26,64
HCPCS,C1726,DILATOR AMPLATZ 8FR 3FR 35CM TAPER RENAL FIRM KINK RESISTANT GRADUATE LATEX FREE SURGICAL,40.29,20.15,8.79,36.26,64
HCPCS,C1726,DILATOR ENDOSCOPIC 12MM 13.5MM 15MM OD 7.5FR DIA 180CML 8CML ADOLESCENT ADULT ESOPHAGUS FIXED WIRE ELATION NON-RADIOLUCENT MARKER SCOTLAND ONLY,175.0,87.5,38.17,157.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC 15MM 16.5MM 18MM OD 7.5FR DIA 180CML 8CML ADOLESCENT ADULT ESOPHAGUS FIXED WIRE ELATION NON-RADIOLUCENT MARKER,175.0,87.5,38.17,157.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC 18MM 19MM 20MM OD 7.5FR DIA 180CML 8CML ADOLESCENT ADULT ESOPHAGUS FIXED WIRE ELATION NON-RADIOLUCENT MARKER,175.0,87.5,38.17,157.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC CRE PULMONARY RADIOPAQUE BALLOON L75 CM L3 CM OD12-13.5-15 MM ACCEPTS .035 IN GUIDEWIRE,290.0,145.0,63.25,261.0,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L2 CM OD10-11-12 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L2 CM OD12-13.5-15 MM 2.8 MM WORKING CHANNEL,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L2 CM OD6-7-8 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L2 CM OD8-9-10 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L3 CM OD10-11-12 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L3 CM OD12-13.5-15 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY 3 STAGE EXCEPTION BALLOON CATHETER L100 CM L5.5 CM OD12-13.5-15 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY BALLOON CATHETER L100 CM L5.5 CM OD15-16.5-18 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY BALLOON CATHETER L100 CM L5.5 CM OD18-19-20 MM,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC ELATION PULMONARY CATHETER BALLOON L100 CM L3 CM ODSEC24-27-30 FR ACCEPTS 2.8 MM WORKING CHANNEL,315.0,157.5,68.7,283.5,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES 2.8 MM GASTROINTESTINAL TRACT 3 STAGE BALLOON RADIOPAQUE GUIDEWIRE L5.5 CM L240 CM OD15-16.5-18 MM ODSEC8 FR,214.0,107.0,46.67,192.6,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES 2.8 MM NITINOL ESOPHAGUS 3 STAGE BALLOON FLEXIBLE ATRAUMATIC TIP KINK RESISTANT L8 CM L180 CM OD10-11-12 MM ODSEC7 FR,173.0,86.5,37.73,155.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES 2.8 MM NITINOL ESOPHAGUS 3 STAGE BALLOON FLEXIBLE ATRAUMATIC TIP KINK RESISTANT L8 CM L180 CM OD12-13.5-15 MM ODSEC7 FR,173.0,86.5,37.73,155.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES 2.8 MM NITINOL ESOPHAGUS 3 STAGE BALLOON FLEXIBLE ATRAUMATIC TIP KINK RESISTANT L8 CM L180 CM OD15-16.5-18 MM ODSEC7 FR,173.0,86.5,37.73,155.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES 2.8 MM NITINOL ESOPHAGUS 3 STAGE BALLOON FLEXIBLE ATRAUMATIC TIP KINK RESISTANT L8 CM L180 CM OD18-19-20 MM ODSEC7 FR,173.0,86.5,37.73,155.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES 2.8 MM NITINOL ESOPHAGUS 3 STAGE BALLOON FLEXIBLE ATRAUMATIC TIP KINK RESISTANT L8 CM L180 CM OD8-9-10 MM ODSEC7 FR,515.63,257.82,112.46,464.07,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES GASTROINTESTINAL TRACT 3 STAGE BALLOON RADIOPAQUE GUIDEWIRE L5.5 CM L240 CM OD12-13.5-15 MM ODSEC8 FR 2.8 MM MINIMUM ACCESSORY CHANNEL,214.0,107.0,46.67,192.6,64
HCPCS,C1726,DILATOR ENDOSCOPIC HERCULES GASTROINTESTINAL TRACT 3 STAGE BALLOON RADIOPAQUE GUIDEWIRE L5.5 CM L240 CM OD8-9-10 MM ODSEC8 FR 2.8 MM MINIMUM ACCESSORY CHANNEL,214.0,107.0,46.67,192.6,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC .035 IN BILIARY BALLOON CATHETER GUIDEWIRE L180 CM L3 CM OD18 FR ODSEC4.5-6.8 FR,170.0,85.0,37.08,153.0,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD10 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD12 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD14 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD16 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD18 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD6 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC BALLOON CATHETER 3 WAY STOPCOCK L5.5 CM L240 CM OD8 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR ENDOSCOPIC TTC GASTROINTESTINAL TRACT 3 WAY STOPCOCK BALLOON CATHETER L5.5 CM L240 CM OD20 MM ODSEC7 FR,103.0,51.5,22.46,92.7,64
HCPCS,C1726,DILATOR VASCULAR 12FR DIA 20CML STANDARD 0.035IN GUIDEWIRE COMPATIBLE,16.0,8.0,3.49,14.4,64
HCPCS,C1726,GUIDE DRILL SPEAR DILATOR 3.9 MM KNOTLESS CORKSCREW,450.0,225.0,98.15,405.0,64
HCPCS,C1726,PROBE BALLOON DILATATION L23 CM RADIOPAQUE OD6 FR FOGARTY 1.24 ML BILIARY,114.09,57.05,24.88,102.68,64
HCPCS,C1726,SET CATHETER 2.5MM 2CM .014IN ADVANCE SALIVARY DUCT 2 LUMEN GUIDEWIRE BALLOON STERILE DISPOSABLE,440.0,220.0,95.96,396.0,64
HCPCS,C1726,SET CATHETER 2MM 2CM .014IN ADVANCE SALIVARY DUCT 2 LUMEN GUIDEWIRE BALLOON STERILE DISPOSABLE,440.0,220.0,95.96,396.0,64
HCPCS,C1726,SET CATHETER 3MM 2CM .014IN ADVANCE SALIVARY DUCT 2 LUMEN GUIDEWIRE BALLOON STERILE DISPOSABLE,440.0,220.0,95.96,396.0,64
HCPCS,C1726,SET L15 CM OD10 MM TAPER ULTRAXX NEPHROSTOMY BALLOON CATHETER SHEATH INFLATION DEVICE RADIOPAQUE PERCUTANEOUS CLEAR,321.75,160.88,70.17,289.58,64
HCPCS,C1726,SYSTEM BALLOON DILATATION RELIEVA SPINPLUS 6 MM 16 MM 3 GUIDE KIT STERILE LATEX FREE,1950.0,975.0,425.3,1755.0,64
HCPCS,C1728,CATHETER BRACHYTHERAPY 3.5FR DIA 180CML DISPOSABLE,3850.0,1925.0,839.69,3465.0,64
HCPCS,C1728,DEVICE BRACHYTHERAPY CAVITY EVALUATION SLEEVE F/MAMMOSITE,155.0,77.5,33.81,139.5,64
HCPCS,C1728,DEVICE ENDOCAVITY BALLOON INFLATION,336.0,168.0,73.28,302.4,64
HCPCS,C1728,GRID RADIOLOGY 18GA ACCUCARE TEMPLATE STERILE DISPOSABLE,329.0,164.5,71.75,296.1,64
HCPCS,C1728,SEED BRACHYTHERAPY PD-103 LOOSE VIAL THERASEED,37.0,18.5,7.09,33.3,65
HCPCS,C1729,CATHETER 6FR AL2 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,8.04,37.8,65
HCPCS,C1729,CATHETER BALLOON DILATATION L2 CM OD7 FR ODSEC5-4 FR GEENEN GRADUATE OD.025 IN 2.8 MM ACCESSORY CHANNEL,65.0,32.5,14.18,58.5,64
HCPCS,C1729,CATHETER BALLOON DILATATION L3 CM L200 CM OD5 FR SOEHENDRA TAPER TIP RADIOPAQUE BILIARY PANCREATIC ACCEPTS .035 IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1729,CATHETER BALLOON DILATATION L3 CM L200 CM OD6 FR ODSEC4 FR SOEHENDRA TAPER TIP RADIOPAQUE BILIARY PANCREATIC ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,12.45,58.5,65
HCPCS,C1729,CATHETER BALLOON DILATATION L4 CM L200 CM OD8.5 FR COTTON GRADUATE RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,12.45,58.5,65
HCPCS,C1729,CATHETER BILIARY HEYER-SCHULTE 12FR DIA 24MML SILICONE SIDE HOLEX36 W/PLASTIC LUER-LOCK ADAPTER LATEX-FREE NON-RADIOLUCENT MARKER STERILE,144.0,72.0,27.58,129.6,65
HCPCS,C1729,CATHETER BILIARY OD10 FR L25 CM PIGTAIL CURVE DRAINAGE SKATER CHOICE LOCK SLIP-COAT POLYURETHANE TROCAR STYLET LARGE LUMEN HUB STIFFEN CANNULA ACCEPTS .038 IN GUIDEWIRE,330.0,165.0,71.97,297.0,64
HCPCS,C1729,CATHETER BILIARY OD10 FR L40 CM DRAINAGE RESOLVE HYDROPHILIC 17 HOLE PIGTAIL,325.0,162.5,62.24,292.5,65
HCPCS,C1729,CATHETER BILIARY OD12 FR L25 CM PIGTAIL CURVE DRAINAGE SKATER CHOICE LOCK SLIP-COAT POLYURETHANE LOCK TROCAR STYLET LARGE LUMEN HUB STIFFEN CANNULA ACCEPTS .038 IN GUIDEWIRE,330.0,165.0,71.97,297.0,64
HCPCS,C1729,CATHETER BILIARY OD14 FR L25 CM PIGTAIL CURVE DRAINAGE SKATER CHOICE LOCK SLIP-COAT POLYURETHANE LOCK TROCAR STYLET LARGE LUMEN HUB STIFFEN CANNULA ACCEPTS .038 IN GUIDEWIRE,750.0,375.0,163.58,675.0,64
HCPCS,C1729,CATHETER BILIARY OD8 FR L25 CM PIGTAIL CURVE DRAINAGE SKATER CHOICE LOCK SLIP-COAT POLYURETHANE LOCK TROCAR STYLET LARGE LUMEN HUB STIFFEN CANNULA ACCEPTS .038 IN GUIDEWIRE,715.0,357.5,136.92,643.5,65
HCPCS,C1729,CATHETER CENTESIS 6FR SIZE 10CML 18GA 12CML NEEDLE ECHOGENIC TIP SLIP FIT LOCK STERILE CENTEZE,178.0,89.0,38.82,160.2,64
HCPCS,C1729,CATHETER CHOLANGIOGRAM 30IN 4.5FR 21GA TAUT,500.0,250.0,95.75,450.0,65
HCPCS,C1729,CATHETER CHOLANGIOGRAM 76CM 16GA 19GA KUMAR CHOLANGIOGRAPHY NEEDLE 1.25CM STERILE DISPOSABLE,795.0,397.5,173.39,715.5,64
HCPCS,C1729,CATHETER CHOLANGIOGRAM ACCESS DELIVERY SPYGLASS,2450.0,1225.0,534.35,2205.0,64
HCPCS,C1729,CATHETER CHOLANGIOGRAM L18 IN SUPPORT TUBE MAXIMUM RETENTION ANGLE TIP OD4.5 FR ODSEC7.5 FR TAUT,540.0,270.0,117.77,486.0,64
HCPCS,C1729,CATHETER CHOLANGIOGRAM L18 IN SUPPORT TUBE OD4.5 FR TAUT METAL,540.0,270.0,117.77,486.0,64
HCPCS,C1729,CATHETER DELIVERY ACCESS SPYGLASS SPYSCOPE,2450.0,1225.0,534.35,2205.0,64
HCPCS,C1729,CATHETER DIALYSIS 15FR 8FR 62CM 1 CUFF HIGH KINK RESISTANT RADIOPAQUE STRIPE ARGYLE CURL CATH SILICONE STERILE LATEX FREE,106.16,53.08,20.33,95.54,65
HCPCS,C1729,CATHETER DRAINAGE 1-STEP 6FR 25CM W/19GA TROCAR LOCKING PIGTAIL SKATER 0.035IN GW,314.0,157.0,60.13,282.6,65
HCPCS,C1729,CATHETER DRAINAGE 10.2FR 50CM UNIVERSAL 6 SIDEPORT AMPLATZ ULTRATHANE STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,98.99,49.5,18.96,89.09,65
HCPCS,C1729,CATHETER DRAINAGE 10.2FR 60CM 6 SIDEPORT LOCK LOOP RADIOPAQUE MAC-LOC ULTRATHANE HYDROPHILIC STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,174.99,87.5,33.51,157.49,65
HCPCS,C1729,CATHETER DRAINAGE 10FR 25CM APD LOOP FIRM DUROMETER FLEXIBLE STIFF CANNULA LOCK FLEXIMA APD POLYURETHANE HYDROPHILIC ABSCESS,80.25,40.13,17.5,72.23,64
HCPCS,C1729,CATHETER DRAINAGE 10FR 25CM APD LOOP REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK FLEXIMA POLYURETHANE HYDROPHILIC ABSCESS,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE 10FR 30CM POLYURETHANE HYDROPHILIC SLIP-COAT PIGTAIL ALL PURPOSE LOCK W/FLEXIBLE STIFFENER METAL STYLET/CANNULA SKATER 5/BX 0.038IN GW,750.0,375.0,163.58,675.0,64
HCPCS,C1729,CATHETER DRAINAGE 10FR 35CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA FLEXIMA METAL BILIARY,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE 10FR 35CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA FLEXIMA METAL BILIARY STERILE LATEX FREE DISPOSABLE,72.43,36.22,13.87,65.19,65
HCPCS,C1729,CATHETER DRAINAGE 10FR 45CM PIGTAIL CURVE 6 SIDEHOLE THERMAL MOLD TIP LOW PROFILE HUB TOTAL ABSCESSION BLUE SILK PERCUTANEOUS STERILE DISPOSABLE,336.0,168.0,64.34,302.4,65
HCPCS,C1729,CATHETER DRAINAGE 10FR DIA 40CML BILIARY W/LOCKING PIGTAIL SKATER NON-RADIOLUCENT MARKER STERILE SINGLE-USE 0.038IN GUIDEWIRE COMPATIBLE,330.0,165.0,71.97,297.0,64
HCPCS,C1729,CATHETER DRAINAGE 12FR 25CM APD LOOP REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK FLEXIMA POLYURETHANE HYDROPHILIC ABSCESS,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE 12FR 25CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK APD FLEXIMA POLYURETHANE ABSCESS,80.25,40.13,15.37,72.23,65
HCPCS,C1729,CATHETER DRAINAGE 12FR 25CM STANDARD PIGTAIL CURVE ARRAY MULTIPURPOSE EXODUS STERILE LATEX FREE DISPOSABLE,374.0,187.0,71.62,336.6,65
HCPCS,C1729,CATHETER DRAINAGE 12FR 35CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA FLEXIMA METAL BILIARY STERILE LATEX FREE DISPOSABLE,72.43,36.22,13.87,65.19,65
HCPCS,C1729,CATHETER DRAINAGE 12FR 45CM LONG LENGTH LOOP PIGTAIL CURVE SMOOTH TAPER TIP LOCK LOW PROFILE HUB FLEXIBLE STIFF CANNULA EXPEL APD TWIST-LOC FLEXITHANE METAL HYDROPHILIC,95.1,47.55,18.21,85.59,65
HCPCS,C1729,CATHETER DRAINAGE 14FR 25CM LOOP REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK APD FLEXIMA POLYURETHANE ABSCESS,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE 14FR 25CM STANDARD PIGTAIL CURVE ARRAY MULTIPURPOSE EXODUS STERILE LATEX FREE DISPOSABLE,325.0,162.5,62.24,292.5,65
HCPCS,C1729,CATHETER DRAINAGE 14FR 35CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA RADIOPAQUE FLEXIMA BILIARY,72.43,36.22,13.87,65.19,65
HCPCS,C1729,CATHETER DRAINAGE 14FR DIA 20CML HYDROPHILIC COATED PIGTAIL MULTIPURPOSE REINFORCED TIP LOCKING MECHANISM W/METAL CANNULA FLEXIBLE OBTURATOR 6FR DIA TROCAR F/ABSCESS GP LATEX-FREE NON-RADIOLUCENT STER,300.0,150.0,57.45,270.0,65
HCPCS,C1729,CATHETER DRAINAGE 14GA 2IN 6 SIDEHOLE STYLET NEEDLE PLUG CONNECT TUBE SEROMACATH PTFE,275.0,137.5,59.98,247.5,64
HCPCS,C1729,CATHETER DRAINAGE 16FR 40CM 32 SIDEPORT COPE LOCK LOOP LOCK MECHANISM FIRM MAC-LOC ULTRATHANE HYDROPHILIC BILIARY STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C1729,CATHETER DRAINAGE 16FR DIA 20CML HYDROPHILIC COATED PIGTAIL LOCKING W/ASA ASPIRATION FLUSH ADAPTER F/ABSCESS ULTI-FLO LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,490.0,245.0,106.87,441.0,64
HCPCS,C1729,CATHETER DRAINAGE 16FR DIA 23CML HYDROPHILIC-COATED W/LOCKING PIGTAIL ASA ASPIRATION FLUSH ADAPTER ULTI-FLO LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,650.0,325.0,141.77,585.0,64
HCPCS,C1729,CATHETER DRAINAGE 16FR SIDEHOLE RADIOPAQUE MARKER LUER LOCK ADAPTER SILICONE TANTALUM BILIARY STERILE,164.0,82.0,31.41,147.6,65
HCPCS,C1729,CATHETER DRAINAGE 18FR 25CM .038IN 6 SIDEPORT COPE TYPE LOCK LOOP RADIOPAQUE ULTRATHANE HYDROPHILIC PERCUTANEOUS STERILE DISPOSABLE,127.99,64.0,24.51,115.19,65
HCPCS,C1729,CATHETER DRAINAGE 18FR 40CM 32CM 32 SIDEPORT RADIOPAQUE LOCK SECUREMENT DEVICE MAC-LOC ULTRATHANE HYDROPHILIC BILIARY STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C1729,CATHETER DRAINAGE 18FR OPEN END SIDEHOLE RADIOPAQUE MARKER SILICONE BILIARY STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1729,CATHETER DRAINAGE 20FR 41CM GENERAL PURPOSE ULTI-FLO UREFLEX HYDROPHILIC COATED PERCUTANEOUS,98.0,49.0,21.37,88.2,64
HCPCS,C1729,CATHETER DRAINAGE 24FR 20IN 2CM RIGHT ANGLE 6 SMOOTH SIDE EYE OPEN DISTAL TIP BEVEL CONNECTOR DEPTH MARK ARGYLE SENTINEL LINE SENTINEL EYE PVC THORACIC STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST,119.88,59.94,22.96,107.89,65
HCPCS,C1729,CATHETER DRAINAGE 24FR SOFT SIDEHOLE RADIOPAQUE TANTALUM MARKER PLASTIC LUER LOCK ADAPTERS SILICONE BILIARY STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1729,CATHETER DRAINAGE 3.5FR DIA 200CML 100CML STYLET NON FERROUS ALLOY SHORT TAPERED BLUE CONNECTOR GLO-TIP LATEX NON-RADIOLUCENT STERILE DISPOSABLE 0.025IN GUIDEWIRE COMPATIBLE,51.0,25.5,11.12,45.9,64
HCPCS,C1729,CATHETER DRAINAGE 6.3FR 25CM .035IN 5 SIDEPORT MULTIPURPOSE LOCK LOOP DAWSON-MUELLER ULTRATHANE HYDROPHILIC STERILE DISPOSABLE,98.99,49.5,18.96,89.09,65
HCPCS,C1729,CATHETER DRAINAGE 6FR 20CM MINI PIGTAIL METAL CANNULA OBTURATOR TROCAR LOCKING GP HYDROPHILIC UREFLEX SOFT STERILE DISPOSABLE,300.0,150.0,65.43,270.0,64
HCPCS,C1729,CATHETER DRAINAGE 6FR 25CM APD LOOP REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK FLEXIMA POLYURETHANE HYDROPHILIC ABSCESS,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE 7FR 20CM LOCK PIGTAIL SKATER HYDROPHILIC,330.0,165.0,71.97,297.0,64
HCPCS,C1729,CATHETER DRAINAGE 8FR 25CM APD LOOP FIRM DUROMETER FLEXIBLE STIFF CANNULA LOCK FLEXIMA APD POLYURETHANE HYDROPHILIC ABSCESS,80.25,40.13,17.5,72.23,64
HCPCS,C1729,CATHETER DRAINAGE 8FR 25CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK APD FLEXIMA POLYURETHANE ABSCESS,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE 8FR 30CM POLYURETHANE HYDROPHILIC SLIP-COAT PIGTAIL ALL PURPOSE LOCK W/FLEXIBLE STIFFENER METAL STYLET/CANNULA SKATER 5/BX 0.038IN GW,750.0,375.0,163.58,675.0,64
HCPCS,C1729,CATHETER DRAINAGE 8FR 35CM FIRM DUROMETER FLEXIBLE STIFF CANNULA FLEXIMA METAL BILIARY,80.25,40.13,17.5,72.23,64
HCPCS,C1729,CATHETER DRAINAGE 8FR 35CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA FLEXIMA METAL BILIARY,80.25,40.13,17.5,72.23,64
HCPCS,C1729,CATHETER DRAINAGE 8FR 35CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA RADIOPAQUE FLEXIMA BILIARY,72.43,36.22,13.87,65.19,65
HCPCS,C1729,CATHETER DRAINAGE 8FR 40CM PIGTAIL CURVE SIDEHOLE THERMAL MOLD TIP LOW PROFILE HUB TOTAL ABSCESSION BLUE SILK BILIARY STERILE DISPOSABLE,383.0,191.5,83.53,344.7,64
HCPCS,C1729,CATHETER DRAINAGE 8FR DIA 25CML MULTIPURPOSE STANDARD LOOP TIP EXODUS 5/BX,325.0,162.5,62.24,292.5,65
HCPCS,C1729,CATHETER DRAINAGE CENTEZE SILICONE L15 CM L17 CM OD5 FR ODSEC19 GA 3 LARGE SKIVED HOLE ECHOGENIC TIP SLIP FIT LOCK CLEAR NEEDLE HUB CENTESIS,184.0,92.0,40.13,165.6,64
HCPCS,C1729,CATHETER DRAINAGE FOGARTY MALECOT 10FR DIA 20CML 20ML CAPACITY BILIARY J-CURVED TIP APD LOOP LARGE HOLE W/TROCAR METAL/FLEXIBLE STIFFENING CANNULA FLEXIMA LATEX NON-RADIOLUCENT STERILE SINGLE-USE,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER DRAINAGE FOGARTY REGULAR MATERIAL 10FR DIA 35CML BILIARY W/METAL/FLEXIBLE STIFFENING CANNULA FLEXIMA LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,72.43,36.22,15.8,65.19,64
HCPCS,C1729,CATHETER DRAINAGE FOGARTY REGULAR MATERIAL 6FR DIA 20CML J-CURVED TIP SIDE PORTX3 LOW-PROFILE W/TROCAR METAL/FLEXIBLE STIFFENING CANNULA FLEXIMA LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,64.94,32.47,12.44,58.45,65
HCPCS,C1729,CATHETER DRAINAGE FOGARTY REGULAR MATERIAL 8FR DIA 35CML BILIARY W/METAL/FLEXIBLE STIFFENING CANNULA FLEXIMA LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,72.43,36.22,15.8,65.19,64
HCPCS,C1729,CATHETER DRAINAGE HEYER-SCHULTE 14FR DIA 24MML SILICONE BILIARY SIDE HOLEX36 W/PLASTIC LUER-LOCK ADAPTER LATEX-FREE NON-RADIOLUCENT MARKER STERILE,117.5,58.75,22.5,105.75,65
HCPCS,C1729,CATHETER DRAINAGE HEYER-SCHULTE 20FR DIA 24MML SILICONE BILIARY SIDE HOLEX36 W/PLASTIC LUER-LOCK ADAPTER LATEX-FREE NON-RADIOLUCENT MARKER STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1729,CATHETER DRAINAGE HEYER-SCHULTE 22FR DIA 24MML SILICONE BILIARY SIDE HOLEX36 W/PLASTIC LUER-LOCK ADAPTER LATEX-FREE NON-RADIOLUCENT MARKER STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1729,CATHETER DRAINAGE HEYER-SCHULTE 26FR DIA 24MML SILICONE BILIARY SIDE HOLEX36 W/PLASTIC LUER-LOCK ADAPTER LATEX-FREE NON-RADIOLUCENT MARKER STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1729,CATHETER DRAINAGE HEYER-SCHULTE 28FR DIA 24MML SILICONE BILIARY SIDE HOLEX36 W/PLASTIC LUER-LOCK ADAPTER LATEX-FREE NON-RADIOLUCENT MARKER STERILE,155.0,77.5,29.68,139.5,65
HCPCS,C1729,CATHETER ENDOSCOPIC L200 CM 3 LUMEN RADIOPAQUE TAPER TIP SIDE RAMP OD8-6 FR RAMP BILIARY PANCREATIC PURPLE ACCEPTS .035 IN TRACER METRO DIRECT GUIDEWIRE,82.0,41.0,17.88,73.8,64
HCPCS,C1729,CATHETER EXTERNAL DRAINAGE 36CM 3.1CM 1.5CM STRAIGHT CURVE VENTRICULAR RADIOPAQUE TROCAR FEMALE LUER LOCK CONNECTOR CAP SILICONE STERILE,365.0,182.5,69.9,328.5,65
HCPCS,C1729,CATHETER LUMBAR OD1.5 MM ID.7 MM L80 CM DRAINAGE HERMETIC CLOSED TIP LUER ADAPTER,171.61,85.81,37.43,154.45,64
HCPCS,C1729,CATHETER NEPHROSTOMY DILATATION 7FR 30FR BALLOON 55CM 12CM BALLOON SILICONE SHORT TAPERED TIP HIGH PRESSURE LOW-PROFILE NON-COMPLIANT BALLOON W/30FR 17CM CLEAR SHEATH STOPCOCK NEPHROMAX NON-RADIOLUCEN,266.49,133.25,58.12,239.84,64
HCPCS,C1729,CATHETER NEPHROSTOMY FLEXIMA 12FR 25CM REGULAR DUROMETER FLEXIBLE STIFF CANNULA METAL,70.01,35.01,13.41,63.01,65
HCPCS,C1729,CATHETER NEPHROSTOMY L25 CM PIGTAIL LOCK OD10 FR SKATER ACCEPTS .038 IN GUIDEWIRE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,CATHETER NEPHROSTOMY L25 CM PIGTAIL LOCK OD12 FR SKATER ACCEPTS .038 IN GUIDEWIRE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,CATHETER NEPHROSTOMY L25 CM REGULAR DUROMETER KIT OD12 FR FLEXIMA,154.5,77.25,29.59,139.05,65
HCPCS,C1729,CATHETER NEPHROSTOMY L30 CM LOCK FLEXIBLE STIFFENER METAL STYLET CANNULA OD8 FR SKATER ACCEPTS .038- IN GUIDEWIRE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,CATHETER NEPHROSTOMY L30 CM PIGTAIL LOCK FLEXIBLE STIFFENER METAL STYLET CANNULA OD10 FR SKATER ACCEPTS .038 IN GUIDEWIRE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,CATHETER OD10 FR L25 CM MINI PIGTAIL CURVE DRAINAGE RESOLVE HYDROPHILIC 8 HOLE LOCK TAPER TIP RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE,351.5,175.75,67.31,316.35,65
HCPCS,C1729,CATHETER OD10 FR ODSEC3.4 MM L25 CM TIGHT PIGTAIL CURVE DRAINAGE EXODUS ARRAY MULTIPURPOSE,374.0,187.0,71.62,336.6,65
HCPCS,C1729,CATHETER OD12 FR L25 CM PIGTAIL CURVE DRAINAGE RESOLVE POLYURETHANE HYDROPHILIC 8 HOLE LOCKING FLEXIBLE RADIOPAQUE MARKER BAND YELLOW,351.5,175.75,67.31,316.35,65
HCPCS,C1729,CATHETER OD6 FR L20 CM DRAINAGE SKATER CHOICE LOCK SLIP-COAT POLYURETHANE ALL PURPOSE LOW PROFILE TROCAR STYLET ACCEPTS .035- IN GUIDEWIRE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,CATHETER OD6 FR L20 CM PIGTAIL CURVE DRAINAGE SKATER CHOICE LOCK SLIP-COAT POLYURETHANE NONLOCK TROCAR STYLET LARGE LUMEN HUB RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE,330.0,165.0,71.97,297.0,64
HCPCS,C1729,CATHETER OD8 FR ODSEC2.7 MM L25 CM STANDARD PIGTAIL CURVE DRAINAGE EXODUS ARRAY MULTIPURPOSE,374.0,187.0,71.62,336.6,65
HCPCS,C1729,CATHETER PERCUTANEOUS OD10 FR L30 CM PIGTAIL CURVE DRAINAGE TOTAL ABSCESSION BLUE SILK 6 SIDEHOLE THERMAL MOLD TIP LOW PROFILE HUB,336.0,168.0,64.34,302.4,65
HCPCS,C1729,CATHETER PERCUTANEOUS OD12 FR L30 CM PIGTAIL CURVE DRAINAGE TOTAL ABSCESSION BLUE SILK 6 SIDEHOLE THERMAL MOLD TIP LOW PROFILE HUB,336.0,168.0,64.34,302.4,65
HCPCS,C1729,CATHETER PERCUTANEOUS OD8 FR L30 CM PIGTAIL CURVE DRAINAGE TOTAL ABSCESSION BLUE SILK 6 SIDEHOLE THERMAL MOLD TIP LOW PROFILE HUB,336.0,168.0,73.28,302.4,64
HCPCS,C1729,CATHETER THORACIC 8.5MM ID 20INL SILICONE MEDIASTINAL FILTERED SUMP LUMEN LARGE EYE W/CLOT STOP AXIOM,408.71,204.36,89.14,367.84,64
HCPCS,C1729,CATHETER THORACIC OD32 FR L20 IN 2 CM STRAIGHT DRAINAGE ARGYLE PVC 6 SMOOTH SIDE EYE OPEN DISTAL TIP BEVEL CONNECTOR DEPTH MARK CLEAR CLOSED CHEST TUBE THORACOSTOMY,66.6,33.3,12.75,59.94,65
HCPCS,C1729,CATHETER VENTRICULAR DRAINAGE 1.3MM ID 2.5MM OD STANDARD 6CML BARIUM IMPREGNATED STAINLESS STEEL STYLET SHALLOW DEPTH W/UNITIZED SNAP ASSEMBLY RESERVOIR BASE BURR HOLE CSF-SNAP LATEX-FREE,154.63,77.32,33.72,139.17,64
HCPCS,C1729,CATHETER VENTRICULAR DRAINAGE 1.3MM ID 2.5MM OD STANDARD 7CML BARIUM IMPREGNATED STAINLESS STEEL STYLET SHALLOW DEPTH W/UNITIZED SNAP ASSEMBLY RESERVOIR BASE BURR HOLE CSF-SNAP LATEX-FREE,154.63,77.32,33.72,139.17,64
HCPCS,C1729,CATHETER VENTRICULAR DRAINAGE 1.3MM ID 2.5MM OD STANDARD 9CML BARIUM IMPREGNATED STAINLESS STEEL STYLET SHALLOW DEPTH W/UNITIZED SNAP ASSEMBLY RESERVOIR BASE BURR HOLE CSF-SNAP LATEX-FREE,153.35,76.68,33.45,138.02,64
HCPCS,C1729,CATHETER VENTRICULAR DRAINAGE 18FR DIA 20INL VINYL LEFT VENTRICLE BULLET TIP ARGYLE FERGUSON PVC NON-RADIOLUCENT,278.2,139.1,60.68,250.38,64
HCPCS,C1729,CATHETER VENTRICULAR DRAINAGE CEREBROSPINAL FLUID 1.5MM ID 2.8MM OD 20CML BARIUM IMPREGNATED STYLET LUER-LOCK CONNECTOR LUBRICATED RED-END PLUG 3 LENGTH MARKER ROWX4 HOLEX4 W/ACCESSORIES BECKER,88.71,44.36,19.35,79.84,64
HCPCS,C1729,CONNECTOR SHUNT STANDARD STEPDOWN TUBE NA,91.56,45.78,17.53,82.4,65
HCPCS,C1729,CONNECTOR SHUNT WAYX3 METAL Y SHAPED,276.61,138.31,52.97,248.95,65
HCPCS,C1729,DRAIN CHEST CLOTSTOP 9MM SILICONE MEDIASTINAL TOP/BOTTOM/SIDE EYELET RADIOPAQUE,184.08,92.04,40.15,165.67,64
HCPCS,C1729,DRAIN INCISION .75 FLUTE FLAT .25IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL STERILE LATEX FREE DISPOSABLE,151.0,75.5,32.93,135.9,64
HCPCS,C1729,DRAIN INCISION 10FR 1/8IN .75 FLUTE ROUND 1/8IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE TROCAR STERILE LATEX FREE DISPOSABLE,142.5,71.25,31.08,128.25,64
HCPCS,C1729,DRAIN INCISION 10FR 1/8IN FULL FLUTE ROUND 1/8IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE HUBLESS TROCAR STERILE LATEX FREE DISPOSABLE,142.0,71.0,30.97,127.8,64
HCPCS,C1729,DRAIN INCISION 10FR 1/8IN FULL FLUTE ROUND 1/8IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE TROCAR STERILE LATEX FREE DISPOSABLE,142.5,71.25,31.08,128.25,64
HCPCS,C1729,DRAIN INCISION 10FR FULL FLUTE ROUND 1/8IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE STERILE LATEX FREE DISPOSABLE,151.0,75.5,32.93,135.9,64
HCPCS,C1729,DRAIN INCISION 15FR 3/16IN FULL FLUTE ROUND 3/16IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE HUBLESS TROCAR STERILE LATEX FREE DISPOSABLE,130.5,65.25,28.46,117.45,64
HCPCS,C1729,DRAIN INCISION 15FR FULL FLUTE ROUND 3/16IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL TROCAR STERILE LATEX FREE DISPOSABLE,130.5,65.25,28.46,117.45,64
HCPCS,C1729,DRAIN INCISION 15X5/8IN ABRAMSON SILICONE PERITONEAL 3 LUMEN ANTIBACTERIAL FILTER SUMP SHEATH STERILE LATEX FREE DISPOSABLE,117.5,58.75,25.63,105.75,64
HCPCS,C1729,DRAIN INCISION 19FR 3/16IN .75 FLUTE ROUND .25IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE TROCAR STERILE LATEX FREE DISPOSABLE,142.5,71.25,31.08,128.25,64
HCPCS,C1729,DRAIN INCISION 19FR 3/16IN FULL FLUTE ROUND .25IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE TROCAR STERILE LATEX FREE DISPOSABLE,142.5,71.25,31.08,128.25,64
HCPCS,C1729,DRAIN INCISION 19FR FULL FLUTE ROUND .25IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE STERILE LATEX FREE DISPOSABLE,151.0,75.5,32.93,135.9,64
HCPCS,C1729,DRAIN INCISION 19FR FULL FLUTE ROUND .25IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL TROCAR STERILE LATEX FREE DISPOSABLE,142.0,71.0,30.97,127.8,64
HCPCS,C1729,DRAIN INCISION 24FR FULL FLUTE ROUND 5/16IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE HUBLESS DEPTH MARK STERILE LATEX FREE DISPOSABLE,142.5,71.25,31.08,128.25,64
HCPCS,C1729,DRAIN INCISION 24FR ROUND 5/16IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL FULL FLUTE STERILE LATEX FREE DISPOSABLE,127.5,63.75,27.81,114.75,64
HCPCS,C1729,DRAIN INCISION 28FR FULL FLUTE ROUND 3/8IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL DEPTH MARK STERILE LATEX FREE DISPOSABLE,223.3,111.65,48.7,200.97,64
HCPCS,C1729,DRAIN INCISION 3/16IN FULL FLUTE FLAT .25IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE TROCAR STERILE LATEX FREE DISPOSABLE,130.5,65.25,28.46,117.45,64
HCPCS,C1729,DRAIN INCISION 32FR FULL FLUTE ROUND .25IN SILICONE RADIOPAQUE 4 FREE FLOW CHANNEL DEPTH MARK STERILE LATEX FREE DISPOSABLE,223.3,111.65,48.7,200.97,64
HCPCS,C1729,DRAIN WOUND 19FR DIA SILICONE ROUND FULL FLUTED LATEX-FREE DEHP-FREE PVC-FREE NON-RADIOLUCENT STERILE,125.0,62.5,27.26,112.5,64
HCPCS,C1729,DRAIN WOUND CHANNELX4 7MM DIA 20CML SILICONE FLAT FULL FLUTED W/HUB EXTENSION TUBING ADAPTER W/O TROCAR WHITE BLAKE LATEX-FREE NON-RADIOLUCENT STERILE,110.0,55.0,23.99,99.0,64
HCPCS,C1729,DRAIN WOUND PENROSE 3/4INW X 36INL SILICONE W/TUBING LATEX-FREE NON-RADIOLUCENT STERILE,297.0,148.5,64.78,267.3,64
HCPCS,C1729,HC SYSTEM INTRACOMPART PRESSURE,654.45,327.23,142.74,589.01,64
HCPCS,C1729,KIT CATHETER 1000ML STARTER 4 BOTTLE PLEURX PLEURAL,803.4,401.7,175.22,723.06,64
HCPCS,C1729,KIT CATHETER DRAINAGE STARTER 15.5FR DIA PLEURAL W/1000ML VACCUM BOTTLE PLEURX LATEX-FREE,803.4,401.7,175.22,723.06,64
HCPCS,C1729,KIT CATHETER HEMODIALYSIS CHRONIC STANDARD 10FR 13CM 10CM TIP TO CUFF POLYURETHANE STRAIGHT TIP 2-LUMEN W/AIRGUARD VALVED INTRO GLIDEPATH,400.0,200.0,87.24,360.0,64
HCPCS,C1729,KIT CATHETER NEPHROSTOMY 12FR DIA 25CML FLEXIMA PERCUTANEOUS PIGTAIL TIP REGULAR W/METAL FLEXIBLE CANNULA LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,70.01,35.01,15.27,63.01,64
HCPCS,C1729,KIT CATHETER THORACENTESIS PARACENTESIS 5FR 4 3/4IN VALVED W/STOPCOCK 16GA 1.5IN NDL EXTENSION SAFETY SCALPEL LATEX-FREE,350.0,175.0,76.34,315.0,64
HCPCS,C1729,KIT CATHETER THORACENTESIS THORA-PARA PARACENTESIS 5FR 10CM NON-VALVED W/LL SYR 5-IN-1 WALL SUCTION ADAPTER SAFETY SCALPEL STOPCOCK NDL STERILE,320.0,160.0,69.79,288.0,64
HCPCS,C1729,KIT CATHETERIZATION 14FR 22GA 5ML 9IN .035IN GUIDEWIRE NEEDLE SYRINGE DRAPE ARROW ADVANCER BLUE FLEXTIP POLYURETHANE,483.0,241.5,105.34,434.7,64
HCPCS,C1729,KIT DECOMPRESSION COLON OD14 FR ODSEC6 FR L175 CM COOK .035 IN 10 DRAINAGE SIDEPORT CATHETER GUIDEWIRE,140.0,70.0,26.81,126.0,65
HCPCS,C1729,KIT DECOMPRESSION OD8.5 FR MARCON PIGTAIL CURVE,121.0,60.5,23.17,108.9,65
HCPCS,C1729,KIT DRAINAGE 1000ML STARTER VALVE CAP PLEURX DISPOSABLE STERILE LATEX FREE PLEURAL,250.0,125.0,54.53,225.0,64
HCPCS,C1729,KIT DRAINAGE 1000ML VACUUM BOTTLE PLEURX,510.0,255.0,111.23,459.0,64
HCPCS,C1729,KIT DRAINAGE 14FR 9IN .035IN STRAIGHT CAVITY DRAINAGE SELDINGER INSERTION RADIOPAQUE EXTENSION LINE BLUE FLEXTIP ARROW ADVANCER POLYURETHANE LATEX FREE PERCUTANEOUS,1335.0,667.5,291.16,1201.5,64
HCPCS,C1729,KIT DRAINAGE 500ML VACUUM BOTTLE PLEURX,510.0,255.0,111.23,459.0,64
HCPCS,C1729,KIT DRAINAGE 6FR PIGTAIL CURVE CATHETER VACUUM EXTENSION SET SAFE-T-CENTESIS FUTURA POINT-LOK SILICONE STERILE LATEX FREE,650.0,325.0,141.77,585.0,64
HCPCS,C1729,KIT DRAINAGE 8FR PIGTAIL CURVE CATHETER VACUUM EXTENSION SET SAFE-T-CENTESIS FUTURA POINT-LOK SILICONE STERILE LATEX FREE,700.0,350.0,152.67,630.0,64
HCPCS,C1729,KIT DRAINAGE CATHETER PLEURX PERITONEAL,5500.0,2750.0,1199.55,4950.0,64
HCPCS,C1729,KIT DRAINAGE CUFF CATHETER INSERTION TRAY OD15.5 FR ASPIRA HYDRO-GLIDE SILICONE PLEURAL,500.0,250.0,95.75,450.0,65
HCPCS,C1729,KIT DRAINAGE LOCKABLE DRAINAGE LINE DISPOSABLE STERILE LATEX FREE PLEURX PERITX CATHETER SYSTEM,245.0,122.5,53.43,220.5,64
HCPCS,C1729,KIT DRAINAGE NO HEIMLICH VALVE ARROW PNEUMOTHORAX,545.0,272.5,104.37,490.5,65
HCPCS,C1729,KIT PERICARDIOCENTESIS L40 CM PIGTAIL CATHETER OD8.3 FR MERIT MEDICAL,125.0,62.5,27.26,112.5,64
HCPCS,C1729,KIT PERICARDIOCENTESIS L40 CM STRAIGHT CATHETER OD8 FR MERIT MEDICAL,500.0,250.0,109.05,450.0,64
HCPCS,C1729,KIT SHUNT L80 CM CATHETER NEEDLE OD14 GA SPETZLER ADULT L3.5 IN LUMBAR PERITONEAL,1291.0,645.5,247.23,1161.9,65
HCPCS,C1729,KIT THORACENTESIS CMC CUSTOM PRE PACKED F/REMOVING EXCESS FLUID DISPOSABLE,351.5,175.75,76.66,316.35,64
HCPCS,C1729,KIT THORACENTESIS L7 1/2 IN 3 WAY STOPCOCK NEEDLE CATHETER SELF SEAL VALVE LUER LOCK SYRINGE OD8 FR ODSEC18 GA ARROW-CLARKE PLEURA-SEAL SHARPSAWAY II CHLORAPREP HI-LITE ORANGE POLYURETHANE L1 1/2 IN 5,281.0,140.5,61.29,252.9,64
HCPCS,C1729,NEEDLE CENTESIS 19GA 5FR 10CM 4 SIDEPORT HOLLOW STYLET STRAIGHT CATHETER STERILE DISPOSABLE YUEH CENTESIS STAINLESS STEEL PERCUTANEOUS,15.99,8.0,3.49,14.39,64
HCPCS,C1729,NEEDLE CENTESIS 19GA 5FR 7CM 4 SIDEPORT HOLLOW STYLET STRAIGHT CATHETER STERILE DISPOSABLE YUEH CENTESIS STAINLESS STEEL PERCUTANEOUS,16.99,8.5,3.71,15.29,64
HCPCS,C1729,NEEDLE PROCEDURE L20 CM OD19 GA ODSEC4 FR YUEH CENTESIS 4 SIDEPORT HOLLOW STYLET STRAIGHT CATHETER STAINLESS STEEL PERCUTANEOUS,20.99,10.5,4.58,18.89,64
HCPCS,C1729,RESERVOIR EXTERNAL DRAINAGE 1.5CM 0.31ML CAPACITY FLAT BOTTOM SIDE INLET W/SMALL PUDENZ VENT/RIGHT ANGLED GUIDE CATH F/CSF,546.0,273.0,104.56,491.4,65
HCPCS,C1729,RESERVOIR EXTERNAL DRAINAGE BURR HOLE 6.4MM DIA 0.8MMD STAINLESS STEEL POLYPROPYLENE CAP SHALLOW W/X-RAY DETECTABLE SIDE ARM LATEX-FREE,192.0,96.0,36.77,172.8,65
HCPCS,C1729,RESERVOIR SHUNT 15CM LARGE CSF VENTRICULAR CATHETER BASE CODMAN HOLTER RICKHAM STAINLESS STEEL 9.5MM BURR HOLE STERILE,440.11,220.06,84.28,396.1,65
HCPCS,C1729,RESERVOIR SHUNT CATHETER SIDE INLET OD18 MM OMMAYA,416.42,208.21,90.82,374.78,64
HCPCS,C1729,RESERVOIR VENTRICULAR L23 MM CSF 28 MM BOTTOM INLET CATHETER STYLET OD2.1 MM ODSEC23 IN ID1.2 MM NA BARIUM STAINLESS STEEL 1.1 ML,416.42,208.21,90.82,374.78,64
HCPCS,C1729,SET CATHETER DRAINAGE GENERAL PURPOSE 24FR DIA 41CML HYDROPHILIC COATED POLYURETHANE PIGTAIL TAPERED LOCKING W/0.038IN DIA CANNULA F/ABSCESS ULTI-FLO LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,98.0,49.0,18.77,88.2,65
HCPCS,C1729,SET CATHETER NEPHROSTOMY 14FR 25CM HYDROPHILIC LOCKING PIGTAIL/SHOULDER TIP ALL-PURPOSE SNAP-OFF TAB LARGE SKIVED HOLE W/0.038IN GW 14GA TROCAR STYLET 1-METAL/FLEXIBLE STIFF CANN REMOVABLE STRAIGHTENE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,SET CATHETER NEPHROSTOMY 16FR 30CM HYDROPHILIC PERCUTANEOUS LOCKING PIGTAIL/SHOULDER TIP ALL-PURPOSE SNAP-OFF TAB LARGE SKIVED HOLE W/0.038IN GW 14GA TROCAR STYLET 1-METAL/FLEXIBLE STIFF CANN REMOVABL,330.0,165.0,63.2,297.0,65
HCPCS,C1729,SET CATHETER NEPHROSTOMY 7FR 20CM HYDROPHILIC PERCUTANEOUS LOCKING PIGTAIL/SHOULDER TIP ALL-PURPOSE SNAP-OFF TAB LARGE SKIVED HOLE W/0.035IN GW 18GA TROCAR STYLET 1-METAL/FLEXIBLE STIFF CANN REMOVABLE,330.0,165.0,63.2,297.0,65
HCPCS,C1729,SET DRAINAGE 16FR 41CM J 9 SIDEPORT ABSCESS CATHETER RADIOPAQUE COAXIAL INSERTER PVC THAL-QUICK ECHOTIP STERILE DISPOSABLE CLEAR ACCEPTS .038IN GUIDEWIRE,132.99,66.5,29.01,119.69,64
HCPCS,C1729,SET DRAINAGE 18FR 41CM J 9 SIDEPORT ABSCESS CATHETER RADIOPAQUE COAXIAL INSERTER PVC THAL-QUICK ECHOTIP STERILE DISPOSABLE CLEAR ACCEPTS .038IN GUIDEWIRE,155.49,77.75,29.78,139.94,65
HCPCS,C1729,SET DRAINAGE 20FR 41CM J 9 SIDEPORT ABSCESS CATHETER RADIOPAQUE COAXIAL INSERTER PVC THAL-QUICK ECHOTIP STERILE DISPOSABLE CLEAR ACCEPTS .038IN GUIDEWIRE,132.99,66.5,29.01,119.69,64
HCPCS,C1729,SET DRAINAGE 24FR 41CM J 9 SIDEPORT ABSCESS CATHETER RADIOPAQUE COAXIAL INSERTER PVC THAL-QUICK ECHOTIP STERILE DISPOSABLE CLEAR ACCEPTS .038IN GUIDEWIRE,132.99,66.5,29.01,119.69,64
HCPCS,C1729,SET DRAINAGE 28FR 41CM J 9 SIDEPORT ABSCESS CATHETER RADIOPAQUE COAXIAL INSERTER PVC THAL-QUICK ECHOTIP STERILE DISPOSABLE CLEAR ACCEPTS .038IN GUIDEWIRE,132.99,66.5,25.47,119.69,65
HCPCS,C1729,SET DRAINAGE 7FR 250CM PIGTAIL CURVE 5 SIDEHOLE CATHETER TRANSFER TUBE NASOBILIARY STERILE DISPOSABLE PURPLE ACCEPTS .035IN GUIDEWIRE,115.0,57.5,22.02,103.5,65
HCPCS,C1729,SET L25 CM OD8 FR SKATER NEPHROSTOMY LOCK,330.0,165.0,63.2,297.0,65
HCPCS,C1729,SHUNT VENTRICULAR 1.3MM ID 2.5MM OD STANDARD 5CML BARIUM IMPREGNATED W/UNITIZED SNAP ASSEMBLY RESERVOIR BASE BURR HOLE STAINLESS STEEL STYLET CSF-SNAP,154.63,77.32,29.61,139.17,65
HCPCS,C1729,SYSTEM DRAINAGE CSF CLOSED VOLUME LIMIT VALVE STRIP PRESSURE TUBE LIMITORR 20 ML GREEN,286.63,143.32,62.51,257.97,64
HCPCS,C1729,SYSTEM DRAINAGE TLS 15ML 7FR EVACUATE TUBE RADIOPAQUE RESERVOIR ROUND DRAIN SILICONE STERILE LATEX FREE DISPOSABLE,217.36,108.68,47.41,195.62,64
HCPCS,C1729,SYSTEM EXTERNAL DRAINAGE DUET 35CM MONITORING SMARTSITE NEEDLELESS INJECTION SITE CATHETER VENTRICLE,444.08,222.04,96.85,399.67,64
HCPCS,C1729,SYSTEM VALVE VENTRICULAR DRAINAGE SMALL IN-LINE PROGRAMMABLE NON-SIPHONGUARD W/INTEGRATED PLATIC CONNECTORS SIPHON GAURD DEVICE PRIMARY ADAPTER PLASTIC CERTAS,4645.49,2322.75,889.61,4180.94,65
HCPCS,C1729,TRAY CATHETER DRAINAGE SAFE-T-CENTESIS 6FR 16CM PIGTAIL ECHOGENIC CM DEPTH SELF-SEALING VALVE W/VERESS INTRO 5ML SYR 22/25GA 1 1/2IN NDL W/O LIDOCAINE SILICONE COATED 0.035/0.038IN GW 10/CA LATEX-FREE,750.0,375.0,163.58,675.0,64
HCPCS,C1729,TRAY CATHETER THORACENTESIS THORA-PARA SAFE-T PLUS PARACENTESIS 5FR 4 3/4IN VALVED FOAM STOP W/3ML CHLORAPREP SAFETYGLIDE NDL LL SYR LATEX-FREE,700.0,350.0,152.67,630.0,64
HCPCS,C1729,TRAY CATHETER THORACENTESIS THORA-PARA SAFE-T PLUS PARACENTESIS 5FR 4 3/4IN VALVED NON-MEDICATED W/INTRO NDL SAFETY SCALPEL 10/60ML LL SYR FENESTRATED DRAPE LATEX-FREE,510.0,255.0,111.23,459.0,64
HCPCS,C1729,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK 16FR 350ML FOLEY URINE METER ADVANCE 2 CONNECTOR BACTI-GUARD NATURAL RUBBER HYDROGEL STERILE LATEX DISPOSABLE,258.0,129.0,56.27,232.2,64
HCPCS,C1729,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK SURESTEP 16FR FOLEY DRAINAGE BAG BACTI-GUARD NATURAL RUBBER STERILE LATEX DISPOSABLE,146.9,73.45,32.04,132.21,64
HCPCS,C1729,TRAY CATHETERIZATION SURESTEP BARD LUBRI-SIL 8FR 350ML FOLEY URINE METER STERILE LATEX FREE DISPOSABLE,230.4,115.2,50.25,207.36,64
HCPCS,C1729,TRAY CHEST TUBE INSERTION 20/22/25GA 1.5/3.5/0.625IN NEEDLE Y-SHAPED/STRAIGHT CONNECTOR W/SUTURE SCISSORS FORCEPS SCALPEL 10ML SYRINGE,259.0,129.5,49.6,233.1,65
HCPCS,C1729,TRAY DRAINAGE FUHRMAN L15 CM OD8.5 FR ODSEC18 GA POLYURETHANE .028 IN L40 CM L7 CM PLEURAL PNEUMOPERICARDIAL 6 SIDEPORT CATHETER 3 WAY STOPCOCK NEEDLE GUIDEWIRE,999.0,499.5,217.88,899.1,64
HCPCS,C1729,TRAY DRAINAGE L41 CM 4 SIDEPORT CATHETER CHEST TUBE NEEDLE OD24 FR,229.7,114.85,43.99,206.73,65
HCPCS,C1729,TRAY DRAINAGE L41 CM 4 SIDEPORT RADIOPAQUE ENTRY NEEDLE SCALPEL OD14 FR THORACIC,229.7,114.85,43.99,206.73,65
HCPCS,C1729,TRAY DRAINAGE THAL-QUICK L41 CM OD28 FR 4 SIDEPORT CATHETER CHEST TUBE NEEDLE,221.6,110.8,42.44,199.44,65
HCPCS,C1729,TRAY PERICARDIOCENTESIS COOK L40 CM OD8.3 FR ODSEC18 GA PIGTAIL CURVE L15 CM PERICARDIAL SAC 6 SIDEPORT LOCK CATHETER ALLIGATOR CLIP CABLE ACCEPTS .038 IN GUIDEWIRE,175.0,87.5,38.17,157.5,64
HCPCS,C1729,TRAY SURGICAL L3 1/2 IN OD8 FR PNEUMOTHORAX,478.39,239.2,104.34,430.55,64
HCPCS,C1729,TRAY THORACENTESIS 6FR SAFE-T-CENTESIS DRAINAGE CATHETER LATEX FREE,800.0,400.0,174.48,720.0,64
HCPCS,C1729,TRAY THORACENTESIS/PARACENTESIS 8FR THORA-PARA POLYURETHANE CATHETER STERILE LATEX FREE,520.0,260.0,113.41,468.0,64
HCPCS,C1729,TRAY THORACENTESIS/PARACENTESIS SAFE-T PLUS L4.75 IN OD8 FR POLYURETHANE L1.5 IN VACUUM EXTENSION SET DRAINAGE CATHETER 3 WAY STOPCOCK FLUID COLLECTION BAG,660.0,330.0,143.95,594.0,64
HCPCS,C1729,TUBING DRAINAGE 30CM 10FR SILICONE TRANSLUCENT CROSS ARM T,279.0,139.5,53.43,251.1,65
HCPCS,C1729,TUBING DRAINAGE 30CM 16FR SILICONE SOFT PLIABLE T,279.0,139.5,53.43,251.1,65
HCPCS,C1729,VALVE SHUNT 1.14MM ID 2.5MM OD CYLINDRICAL UNITIZED W/PRECHAMBER 14CML VENTRICULAR CATHETER/STRAIGHT CONNECTOR F/HYDROCEPHALUS HAKIM,6434.2,3217.1,1232.15,5790.78,65
HCPCS,C1729,VALVE SHUNT 20CM H2O W/DISTAL CATHETER SHUNTASSISTANT 2.0,1285.6,642.8,246.19,1157.04,65
HCPCS,C1729,VALVE SHUNT 25CM H2O W/DISTAL CATHETER SHUNTASSISTANT 2.0,1285.6,642.8,246.19,1157.04,65
HCPCS,C1729,VALVE SHUNT 4.2MM 12MM 1.9MM CONNECTOR TITANIUM TANTALUM/SAPPHIRE BALL 30CM H2O OPENING PRESSURE X-RAY DETECTABLE W/1.2/2.5MM 900MM DISTAL CATH F/CSF MIETHKE SYSTEM SHUNTASSISTANT 2.0 MRI-COMPATIBLE,1285.6,642.8,246.19,1157.04,65
HCPCS,C1729,VALVE SHUNT MICRO UNITIZED W/PLASTIC PRIMING/RIGHT ANGLED ADAPTOR/STAINLESS STEEL STYLET/STRAIGHT TITANIUM CONNECTOR F/HYDROCEPHALUS HAKIM,6434.2,3217.1,1232.15,5790.78,65
HCPCS,C1729,VALVE SHUNT MICRO W/RICKHAM RESERVOIR 14CM VENTRICULAR CATHETER/STRAIGHT CONNECTOR F/HYDROCEPHALUS HAKIM,6434.2,3217.1,1232.15,5790.78,65
HCPCS,C1729,VALVE SMALL STRATA II POLYPROPYLENE SILICONE ELASTOMER SHUNT FULL PORT STERILE LATEX FREE,4800.0,2400.0,919.2,4320.0,65
HCPCS,C1730,CABLE CATHETER 1.96MR ACHIEVE ADVANCE 10 PIN STERILE LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
HCPCS,C1730,CATH PACING 5F 110CM,175.0,87.5,38.17,157.5,64
HCPCS,C1730,CATHETER 4FR INQUIRY ELECTROPHYSIOLOGY STERILE LATEX FREE DISPOSABLE,580.0,290.0,126.5,522.0,64
HCPCS,C1730,CATHETER 6FR INQUIRY ELECTROPHYSIOLOGY STERILE LATEX FREE DISPOSABLE,424.0,212.0,92.47,381.6,64
HCPCS,C1730,CATHETER 8 ELECTRODE LOOP 3.3FR 20MM 4MM 1MM 165CM ACHIEVE ELECTROPHYSIOLOGY 146CM,750.0,375.0,163.58,675.0,64
HCPCS,C1730,CATHETER ABLATION 12 PIN DEFLECTABLE 2 DIRECTIONAL EZ STEER 2-8-2 MM SPACE D-F CURVE OD7 FR CORONARY SINUS REPROCESSED,546.0,273.0,119.08,491.4,64
HCPCS,C1730,CATHETER ABLATION BIDIRECTIONAL 12 PIN AUTO ID DEFLECTABLE TIP EZ STEER 2-8-2 MM SPACING D-F CURVE OD7 FR CORONARY SINUS,546.0,273.0,119.08,491.4,64
HCPCS,C1730,CATHETER ABLATION DECAPOLAR 5FR 2-8-2MM SPACE CSL CURVE 120CM SUPREME ELECTROPHYSIOLOGY,355.0,177.5,77.43,319.5,64
HCPCS,C1730,CATHETER ABLATION QUADRIPOLAR 6FR 2-5-2MM SPACE JOSEPHSON CURVE 120CM SUPREME ELECTROPHYSIOLOGY,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER CRYOABLATION CIRCULAR MAP ODSEC20 MM POLARMAP,800.0,400.0,174.48,720.0,64
HCPCS,C1730,CATHETER DECAPOLAR 6FR 1MM 2-5-2MM SPACE XL CURL CURVE 115CM LIVEWIRE ELECTROPHYSIOLOGY 2MM,477.0,238.5,104.03,429.3,64
HCPCS,C1730,CATHETER DECAPOLAR LUMEN 7FR 2-8MM SPACE CSL CURVE 65CM RESPONSE ELECTROPHYSIOLOGY,424.0,212.0,92.47,381.6,64
HCPCS,C1730,CATHETER DECAPOLAR ROTARY DIAL BAND ELECTRODE 6FR 1MM 2-5-2MM SPACE 115CM LIVEWIRE ELECTROPHYSIOLOGY REPROCESSED,477.0,238.5,104.03,429.3,64
HCPCS,C1730,CATHETER DECAPOLAR STEERABLE 4FR 2-5-2MM SPACE LARGE CURVE 110CM INQUIRY ELECTROPHYSIOLOGY 1MM,580.0,290.0,126.5,522.0,64
HCPCS,C1730,CATHETER DECAPOLAR STEERABLE 6FR 2-5-2MM SPACING LARGE 4 CURVE 110CM EP XT ELECTROPHYSIOLOGY,400.0,200.0,87.24,360.0,64
HCPCS,C1730,CATHETER DECAPOLAR TORQUE CONTROL BAND ELECTRODE 6FR 2-8-2MM SPACE CSL CURVE 65CM RESPONSE ELECTROPHYSIOLOGY,352.0,176.0,76.77,316.8,64
HCPCS,C1730,CATHETER DECAPOLAR TORQUE CONTROL FIX 6FR 2-8-2MM SPACE CSL CURVE 120CM RESPONSE ELECTROPHYSIOLOGY,352.0,176.0,76.77,316.8,64
HCPCS,C1730,CATHETER DECAPOLAR UNIDIRECTIONAL STEERABLE MAP 6FR 270D 2.5-5-2.5MM SPACE STANDARD CURVE 105CM POLARIS X ELECTROPHYSIOLOGY PLATINUM IRIDIUM REPROCESSED,450.0,225.0,98.15,405.0,64
HCPCS,C1730,CATHETER DIAGNOSTIC 100CM 5FR TAPCATH 205 ESOPHAGEAL BIPOLAR PACING RECORDING 3.55MM NONSTERILE LATEX FREE DISPOSABLE,1745.0,872.5,380.58,1570.5,64
HCPCS,C1730,CATHETER DUO DECAPOLAR STEERABLE 7FR 2-5-2MM SPACE SUPER LARGE CURL 95CM LIVEWIRE ELECTROPHYSIOLOGY 2MM,1099.0,549.5,239.69,989.1,64
HCPCS,C1730,CATHETER ELECTROHEMOSTASIS ARRAY BALLOON,17500.0,8750.0,3816.75,15750.0,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 4FR DIA 5MM SPACING 110CML 1MML TIP MEDIUM CURVE QUADRIPOLAR STEERABLE PUSH/PULL HANDLE INQUIRY STERILE SINGLE-USE,530.0,265.0,115.59,477.0,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 5FR 2-5-2MM SPACING 110CM 1MM TIP RIGHT ATRIAL VENTRICULAR HIS BUNDLE A CURVED QUADRIPOLAR FIXED W/REDEL 10-PIN CONNECTOR YELLOW,113.0,56.5,24.65,101.7,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 5FR 5-5-5MM SPACING 120CM CRD-2 HEXAPOLAR FIXED TORQUE CONTROL PUSHABILITY W/1MM BAND ELECTRODE SUPREME,165.0,82.5,35.99,148.5,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 5FR DIA 10MM SPACING 110CML COURNAND CURVE QUADRIPOLAR FIXED W/4-PIN EASY-MATE CABLE CONNECTOR WOVEN STERILE SINGLE-USE,200.0,100.0,43.62,180.0,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 5FR DIA 2-5-2MM SPACING 65CML CORONARY SINUS CURVE DECAPOLAR,300.0,150.0,65.43,270.0,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 5FR DIA 2-8-2MM SPACING 65CML FIXED CURVE,300.0,150.0,65.43,270.0,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 5FR DIA 5MM SPACING 110CML E CURVE QUADRIPOLAR STEERABLE PUSH/PULL HANDLE INQUIRY STERILE SINGLE-USE,504.0,252.0,109.92,453.6,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 6FR DIA 2-5-2MM SPACING 110CML 2MML XL CURVED DECAPOLAR STEERABLE BIDIRECTIONAL PUSH/PULL HANDLE INQUIRY NON-RADIOLUCENT STERILE SINGLE-USE,431.2,215.6,94.04,388.08,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 6FR DIA 2-5-2MM SPACING 120CML JOSEPHSON CURVE QUADRIPOLAR FIXED TORQUE CONTROL PUSHABILITY W/1MM BAND ELECTRODE RESPONSE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,128.0,64.0,27.92,115.2,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 6FR DIA 5MM SPACING 110CML POLYURETHANE LARGE 4 CURVE QUADRIPOLAR STEERABLE ROTARY PUSH/PULL HANDLE W/4-PIN CONNECTOR EP XT LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,310.0,155.0,67.61,279.0,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY 7FR DIA 2-5-2MM SPACING 115CML 2MML TIP MEDIUM SWEEP DECAPOLAR STEERABLE LIVEWIRE STERILE SINGLE-USE,477.0,238.5,104.03,429.3,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L115 CM OD6 FR 2 MM SPACE A CURVE REDEL 10 PIN CONNECTOR HEXAPOLAR WEBSTER L1 MM YELLOW,179.0,89.5,39.04,161.1,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L115 CM OD6 FR 2-5-2 MM SPACE 10 PIN CONNECTOR DEFLECTABLE QUADRAPOLAR REDEL REPROCESSED L1 MM ORANGE,316.0,158.0,68.92,284.4,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L115 CM OD7 FR 2 MM SPACE D CURVE DEFLECTABLE OCTAPOLAR 10 PIN CONNECTOR REGULAR TIP REDEL L1 MM,452.0,226.0,98.58,406.8,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L120 CM OD5 FR 5 MM SPACE DAO CURVE QUADRIPOLAR SUPREME REPROCESSED,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L120 CM OD6 FR 1 MM 2-5-2 MM SPACE JOSEPHSON CURVE DECAPOLAR SUPERB TORQUE CONTROL RESPONSE,218.0,109.0,47.55,196.2,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L60 CM OD6 FR 2-8-2 MM SPACE P CURVE DECAPOLAR 10 PIN CONNECTOR FIX WEBSTER L1 MM,274.0,137.0,59.76,246.6,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L65 CM OD6 FR 5-5-5 MM SPACE CSL CURVE MAPPING DECAPOLAR FIX CURVE RESPONSE,352.0,176.0,76.77,316.8,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L92 CM OD6 FR 10 MM SPACE REGULAR D CURVE DEFLECTABLE QUADRAPOLAR AUTO ID REDEL WEBSTER L1 MM,316.0,158.0,68.92,284.4,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY L92 CM OD6 FR 2-8-2 MM SPACE REGULAR D CURVE 10 PIN CONNECTOR DEFLECTABLE DECAPOLAR REDEL WEBSTER L1 MM BLUE,479.0,239.5,104.47,431.1,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY OD5 FR 2 MM SPACE MEDIUM CURVE OCTAPOLAR STEERABLE INQUIRY,437.5,218.75,95.42,393.75,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY OD8 FR ESOPHASTAR ESOPHAGEAL,409.0,204.5,89.2,368.1,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY REPROCESSED 6FR DIA 2MM SPACING 115CML HEXAPOLAR FIXED W/REDEL 10-PIN CONNECTOR,52.0,26.0,11.34,46.8,64
HCPCS,C1730,CATHETER ELECTROPHYSIOLOGY REPROCESSED QUADPOLAR 5FR COURNAND CURVE 120CML 5MM SPACING,102.0,51.0,22.25,91.8,64
HCPCS,C1730,CATHETER EP NEXUS F CRV 6FRX5MM SPC 92CM DECAPL W/REDEL 10-PIN CONN 1MM,479.0,239.5,104.47,431.1,64
HCPCS,C1730,CATHETER FIX 2F 5-5-5MM SPACE 130CM EPSTAR ELECTROPHYSIOLOGY,1500.0,750.0,327.15,1350.0,64
HCPCS,C1730,CATHETER MAPPING 15MM ACHIEVE ADVANCE ELECTROPHYSIOLOGY,750.0,375.0,163.58,675.0,64
HCPCS,C1730,CATHETER MAPPING 2-8-2 MM SPACE F-J CURVE OD7 FR WEBSTER CS,546.0,273.0,119.08,491.4,64
HCPCS,C1730,CATHETER MAPPING 20MM ACHIEVE ADVANCE ELECTROPHYSIOLOGY,750.0,375.0,163.58,675.0,64
HCPCS,C1730,CATHETER MAPPING BI-DIRECTIONAL ADVISOR  SENSOR ENABLED HD GRID X,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1730,CATHETER MAPPING L110 CM GRID DVISOR HD SENSOR ENABLED SENSOR ENABLED,2100.0,1050.0,458.01,1890.0,64
HCPCS,C1730,CATHETER MAPPING OPTRELL DF CURVE 36 ELECTRODE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1730,CATHETER MAPPING OPTRELL FJ CURVE 36 ELECTRODE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1730,CATHETER OCTAPOLAR SOFT EXTENDED SHAFT SEGMENT BIDIRECTIONAL HIGH TORQUE STEERABLE 7FR 2.5/5/2.5MM STANDARD CURVE 110CM STEEROCATH-DX ELECTROPHYSIOLOGY CORONARY SINUS M004 626S 0 CABLE,635.0,317.5,138.49,571.5,64
HCPCS,C1730,CATHETER OCTAPOLAR STEERABLE 5FR 2MM SPACING 1MM MEDIUM SWEEP 115CM LIVEWIRE COURNAND-2 ELECTROPHYSIOLOGY 2MM,583.0,291.5,127.15,524.7,64
HCPCS,C1730,CATHETER PACING BIPOLAR 10FR 97.5CM 10.2MM ELECTRODE STAINLESS STEEL ESOPHAGEAL F/RECORDING TAPSCOPE 210 LATEX-FREE NON-STERILE SINGLE PATIENT USE,1725.0,862.5,376.22,1552.5,64
HCPCS,C1730,CATHETER PACING L110 CM 10 MM BIPOLAR TEMPORARY TORQUE DIRECT ELECTRODE SPACE SHROUD PIN OD5 FR ARROW,615.0,307.5,134.13,553.5,64
HCPCS,C1730,CATHETER PACING L110 CM D10 CM 1 CM SPACE RIGHT HEART CURVE BIPOLAR SHROUD PIN FLEXIBLE SYRINGE OD5 FR PACEL POLYURETHANE L2 MM VENTRICLE ACCEPTS 6 FR INTRODUCER,103.0,51.5,22.46,92.7,64
HCPCS,C1730,CATHETER QUADRIPOLAR 4FR 5MM SPACE COURNAND CURVE 120CM SUPREME ELECTROPHYSIOLOGY,144.0,72.0,31.41,129.6,64
HCPCS,C1730,CATHETER QUADRIPOLAR 4FR 5MM SPACE COURNAND-2 CURVE 120CM SUPREME ELECTROPHYSIOLOGY,144.0,72.0,31.41,129.6,64
HCPCS,C1730,CATHETER QUADRIPOLAR 5FR 5MM SPACE JOSEPHSON CURVE 120CM RESPONSE ELECTROPHYSIOLOGY,128.0,64.0,27.92,115.2,64
HCPCS,C1730,CATHETER QUADRIPOLAR 6FR 5MM SPACE COURNAND 2 CURVE 120CM SUPREME ELECTROPHYSIOLOGY STERILE,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER QUADRIPOLAR 6FR 5MM SPACE COURNAND CURVE 120CM SUPREME ELECTROPHYSIOLOGY,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER QUADRIPOLAR 6FR 5MM SPACE JOSEPHSON CURVE 115CM VIKING ELECTROPHYSIOLOGY STABILENE STAINLESS STEEL,78.0,39.0,17.01,70.2,64
HCPCS,C1730,CATHETER QUADRIPOLAR TORQUE CONTROL 5FR 10MM SPACE COURNAND 2 CURVE 120CM SUPREME ELECTROPHYSIOLOGY,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER QUADRIPOLAR TORQUE CONTROL 5FR 2-5-2MM SPACE JOSEPHSON CURVE 120CM SUPREME ELECTROPHYSIOLOGY,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER QUADRIPOLAR TORQUE CONTROL 5FR 5MM SPACE COURNAND 2 CURVE 120CM SUPREME ELECTROPHYSIOLOGY,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER QUADRIPOLAR TORQUE CONTROL 5FR 5MM SPACE JOSEPHSON CURVE 120CM SUPREME ELECTROPHYSIOLOGY,91.0,45.5,19.85,81.9,64
HCPCS,C1730,CATHETER QUADRIPOLAR TORQUE CONTROL PUSHABILITY CABLE 4FR 5MM SPACE JSN CURVE 120CM SUPREME ELECTROPHYSIOLOGY,144.0,72.0,31.41,129.6,64
HCPCS,C1730,TRAY SURGICAL L110 CM CUSTOM ELECTRODE BIPOLAR PACEMAKER OD5 FR THERMOPLASTIC ELASTOMER,975.0,487.5,212.65,877.5,64
HCPCS,C1731,CATHETER 20 POLE BIDIRECTIONAL STEERABLE CABLE DUODECAPOLAR 7FR 2-20-2-25MM SPACE SUPER LARGE CURVE 100CM BLAZER DX-20 ELECTROPHYSIOLOGY,1000.0,500.0,218.1,900.0,64
HCPCS,C1731,CATHETER BIDIRECTIONAL BACKSTEER DUODECAPOLAR TORQUE 7FR 2/8/2MM SPACE SUPER LARGE CURVE 100CM BLAZER DX-20 ELECTROPHYSIOLOGY,1000.0,500.0,218.1,900.0,64
HCPCS,C1731,CATHETER DUO DECAPOLAR BIDIRECTIONAL STEERABLE EXTEND DISTAL TIP 7FR 2-10-2MM SPACE SUPER LARGE CURVE 100CM BLAZER DX-20 ELECTROPHYSIOLOGY,1000.0,500.0,218.1,900.0,64
HCPCS,C1731,CATHETER DUO DECAPOLAR BIDIRECTIONAL STEERABLE EXTEND DISTAL TIP 7FR 2-5-2MM SPACE SUPER LARGE CURVE 100CM BLAZER DX-20 ELECTROPHYSIOLOGY,1000.0,500.0,218.1,900.0,64
HCPCS,C1731,CATHETER ELECTROPHYSIOLOGY L15 MM OD7 FR 3 20 POLE DEFLECTABLE CARTO LASSO,1785.0,892.5,389.31,1606.5,64
HCPCS,C1731,CATHETER MAPPING DF CURVE 48 ELECTRODE OPTRELL,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1731,CATHETER MAPPING FJ CURVE 48 ELECTRODE OPTRELL,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER 7.5FR 110CM 4MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR STARIGHT TIP OPEN IRRIGATE INTELLANAV ABLATION,2100.0,1050.0,458.01,1890.0,64
HCPCS,C1732,CATHETER 7.5FR 7FR 110CM 2.5MM SPACE STRAIGHT STANDARD RADIUS CURVE QUADRIPOLAR OPEN IRRIGATED DISPERSIVE PAD INTELLANAV VALLEYLAB ABLATION,2100.0,1050.0,458.01,1890.0,64
HCPCS,C1732,CATHETER 7FR 110CM 4MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR INTELLANAV ST ABLATION,2100.0,1050.0,458.01,1890.0,64
HCPCS,C1732,CATHETER 7FR 110CM 8MM 2-5-2MM SPACE 1MM UNIVERSAL LARGE CURVE BIDIRECTIONAL TEMPERATURE MONITOR STEER LOCK SAFIRE TX ABLATION,1055.0,527.5,230.1,949.5,64
HCPCS,C1732,CATHETER 7FR 110CM 8MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR STRAIGHT TIP INTELLANAV MIFI ABLATION,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1732,CATHETER 7FR 115CM 4MM 2-5-2MM SPACE 1MM MEDIUM CURL QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITOR STEER LOCK SAFIRE COMFORTGRIP ABLATION,737.0,368.5,160.74,663.3,64
HCPCS,C1732,CATHETER 8FR 115CM 3.5MM 2-2-2MM SPACE DAMATO TYPE FIX CURVE BIDIRECTIONAL IRRIGATE CONTACT FORCE FIBER OPTIC TACTICATH ABLATION,3150.0,1575.0,687.02,2835.0,64
HCPCS,C1732,CATHETER 8FR 115CM 3.5MM 2-2-2MM SPACE F-J CURVE IRRIGATE BIDIRECTIONAL TACTICATH SENSOR ENABLED ABLATION,3150.0,1575.0,687.02,2835.0,64
HCPCS,C1732,CATHETER ABLATION 10 PIN CONNECTOR QUADRIPOLAR THERMISTOR DEFLECTABLE CELSIUS REDEL 2-5-2 MM SPACE F CURVE L115 CM L4 MM OD7 FR,776.0,388.0,169.25,698.4,64
HCPCS,C1732,CATHETER DECAPOLAR 5FR 2-8-2MM SPACE CSL CURVE 65CM SUPREME ELECTROPHYSIOLOGY,355.0,177.5,77.43,319.5,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 2-2-2-2-2 MM SPACE D CURVE OCTARAY,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 2-2-2-2-2 MM SPACE F CURVE OCTARAY,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 2-3-2-3-2 MM SPACE D CURVE OCTARAY,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 2-5-2-5-2 MM SPACE F CURVE OCTARAY,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 3-3-3-3-3 MM SPCAE D CURVE OCTARAY,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 3-3-3-3-3 MM SPCAE F CURVE OCTARAY,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 5FR DIA 2-8-2MM SPACING 60CML P CURVED DECAPOLAR SUPER LATEX-FREE,273.0,136.5,59.54,245.7,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 6FR DIA 5-5-5MM SPACING 65CML 10MML TIP STAR FIXED,650.0,325.0,141.77,585.0,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY 7FR DIA 2-5-2MM SPACING UNIVERSAL 115CML 5MML TIP MEDIUM CURVE QUADRIPOLAR BI-DIRECTIONAL THERMOCOUPLE COMFORT GRIP HANDLE W/THERMISTOR SAFIRE LATEX-FREE NON-RADIOLUCENT STE,737.0,368.5,160.74,663.3,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY L110 CM OD5 FR 10 MM SPACE F CURVE 10 PIN CONNECTOR FIX QUADRAPOLAR REDEL L1 MM,113.0,56.5,24.65,101.7,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY L92 CM OD5 FR 10 MM SPACE D CURVE DEFLECTABLE OCTAPOLAR REDEL 10 PIN CONNECTOR WEBSTER L1 MM BLUE,452.0,226.0,98.58,406.8,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY L92 CM OD6 FR 2-5-2 MM SPACE D CURVE QUADRAPOLAR DEFLECT HIGH TORQUE SHAFT WEBSTER L1 MM,316.0,158.0,68.92,284.4,64
HCPCS,C1732,CATHETER ELECTROPHYSIOLOGY OD6 FR CSF10 PIN AUTO ID DODECAPOLAR WEBSTER CS,479.0,239.5,104.47,431.1,64
HCPCS,C1732,CATHETER MAPPING 115CM 8.5FR INTELLAMAP ORION 180D 3-22MM CURVE 64 ELECTRODE HIGH RESOLUTION BIDIRECTIONAL,2650.0,1325.0,577.97,2385.0,64
HCPCS,C1732,CATHETER MAPPING OD7 FR NOGA-STAR,2600.0,1300.0,567.06,2340.0,64
HCPCS,C1732,CATHETER PACING L110 CM 1 CM SPACE STRAIGHT SHROUDED BIPOLAR TEMPORARY FLOW DIRECT OD5 FR PACEL POLYURETHANE,103.0,51.5,22.46,92.7,64
HCPCS,C1732,CATHETER QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITOR STEER LOCK 7FR 1MM 2-5-2MM SPACE XL CURVE 110CM SAFIRE TX COMFORTGRIP ELECTROPHYSIOLOGY 8MM,1055.0,527.5,230.1,949.5,64
HCPCS,C1732,PATCH REFERENCE L8 FT REFSTAR PLUS QWIKPATCH,472.0,236.0,102.94,424.8,64
HCPCS,C1733,CATHETER 217F5 FREEZOR XTRA5 LG ORANGE7F,1200.0,600.0,261.72,1080.0,64
HCPCS,C1733,CATHETER 7FR 108CM 6MM 2-5-2MM SPACING 49MM REACH SHORT CRYOABLATION CRYOMAPPING UNIDIRECTIONAL STEERABLE FREEZOR XTRA 1 ABLATION CARDIAC RED,1250.0,625.0,272.63,1125.0,64
HCPCS,C1733,CATHETER 7FR 110CM 4MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR STANDARD DISTAL SHAFT BLAZER II HTD ABLATION STERILE LATEX FREE,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 110CM 4MM 2.5MM SPACE SMALL CURVE QUADRIPOLAR STANDARD DISTAL SHAFT TEMPERATURE BLAZER II ABLATION,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 110CM 4MM 2.5MM SPACE STANDARD CURVE QUADRIPOLAR EXTEND DISTAL SHAFT TEMPERATURE BLAZER II ABLATION,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 110CM 4MM 2.5MM SPACE STANDARD CURVE QUADRIPOLAR STANDARD DISTAL SHAFT TEMPERATURE BLAZER II HTD ABLATION,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 110CM 8MM 2-5-2MM SPACE 1MM UNIVERSAL MEDIUM CURVE BIDIRECTIONAL TEMPERATURE MONITOR STEER LOCK SAFIRE TX ABLATION,1055.0,527.5,230.1,949.5,64
HCPCS,C1733,CATHETER 7FR 115CM 1MM 4MM 2-5-2MM SPACE LARGE SWEEP CURVE QUADRIPOLAR BIDIRECTIONAL THERMOCOUPLE IRRIGATE TIP SAFIRE COMFORTGRIP ABLATION,737.0,368.5,160.74,663.3,64
HCPCS,C1733,CATHETER 7FR 115CM 4MM 2-5-2MM SPACE 1MM MEDIUM SWEEP QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITOR STEERING LOCK SAFIRE COMFORTGRIP ABLATION,737.0,368.5,160.74,663.3,64
HCPCS,C1733,CATHETER 7FR 4MM TEMPERATURE BLAZER II ABLATION STERILE LATEX FREE,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 8FR 110CM 5MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR STANDARD DISTAL SHAFT TEMPERATURE BLAZER II ABLATION,675.0,337.5,129.26,607.5,65
HCPCS,C1733,CATHETER 7FR 8FR 110CM 5MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR STANDARD DISTAL SHAFT TEMPERATURE BLAZER II HTD ABLATION,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 8FR 110CM 5MM 2.5MM SPACE STANDARD CURVE QUADRIPOLAR DISTAL SHAFT TEMPERATURE BLAZER II HTD ABLATION,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER 7FR 8FR 110CM 8MM 2.5MM SPACE LARGE CURVE STRAIGHT QUADRIPOLAR STANDARD DISTAL SHAFT TEMPERATURE BLAZER II XP ABLATION,1275.0,637.5,278.08,1147.5,64
HCPCS,C1733,CATHETER 7FR 8FR 110CM 8MM 2.5MM SPACE STANDARD CURVE STRAIGHT QUADRIPOLAR STANDARD DISTAL SHAFT TEMPERATURE BLAZER II XP ABLATION,1275.0,637.5,278.08,1147.5,64
HCPCS,C1733,CATHETER 8FR 115CM 4MM 1-4-1MM SPACE D-F CURVE 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE FLEXABILITY ABLATION,1795.0,897.5,391.49,1615.5,64
HCPCS,C1733,CATHETER 8FR 7FR 110CM 5MM 2.5MM SPACE STANDARD CURVE QUADRIPOLAR EXTEND DISTAL SHAFT TEMPERATURE BLAZER II ABLATION,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER ABLATION 2 SENSOR BIDIRECTIONAL REDEL 10 PIN CONNECTOR THERMOCOUPLE EZ STEER 1-7-4 MM SPACE D-F CURVE L115 CM L4 MM OD7 FR,861.0,430.5,187.78,774.9,64
HCPCS,C1733,CATHETER ABLATION 5FR DIA 2-5-2MM SPACING 80CML 35MM CURVE SINGLE CURVE QUADRIPOLAR STEERABLE THERMOCOUPLE RF MARINR LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,475.0,237.5,103.6,427.5,64
HCPCS,C1733,CATHETER ABLATION 7FR 2.5-5-2.5 ELECTRODE SPACING SHORT 108CM 6MM 49MM FLEXIBLE RED FREEZOR XTRA SINGLE-USE 8FR INTRODUCER,1200.0,600.0,261.72,1080.0,64
HCPCS,C1733,CATHETER ABLATION 8FR DIA 2.5MM SPACING 110CML 5MML TIP STANDARD CURVED QUADRIPOLAR DISTAL HIGH TORQUE SHAFT BLAZER II LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER ABLATION 8FR DIA 5MM SPACING 110CML 5MML TIP LARGE STANDARD CURVED QUADRIPOLAR DISTAL HIGH TORQUE SHAFT BLAZER II LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,675.0,337.5,147.22,607.5,64
HCPCS,C1733,CATHETER ABLATION 9FR 3.5-5-2 ELECTRODE SPACING MEDIUM 90CM 8MM 55MM FLEXIBLE BLUE FREEZOR MAX SINGLE-USE 10FR INTRODUCER,1900.0,950.0,414.39,1710.0,64
HCPCS,C1733,CATHETER ABLATION BIDIRECTIONAL 10 PIN CONNECTOR THERMISTOR DEFLECTABLE TIP EZ STEER REDEL 1-7-4 MM SPACE F-J CURVE L115 CM L4 MM OD7 FR,861.0,430.5,187.78,774.9,64
HCPCS,C1733,CATHETER ABLATION BIDIRECTIONAL REDEL 10 PIN CONNECTOR THERMISTOR DEFLECTABLE EZ STEER 1-7-4 MM SPACING D-F CURVE L115 CM L4 MM OD7 FR,861.0,430.5,187.78,774.9,64
HCPCS,C1733,CATHETER ABLATION OTW BIDIRECTIONAL PULSE FIELD SELF CENTER PULSESELECT 20 D 170 D L55.9 IN L99 IN OD9 FR ODSEC25 MM,6300.0,3150.0,1374.03,5670.0,64
HCPCS,C1733,CATHETER CRYOABLATION 23MM ARCTIC FRONT ADVANCE PRO,4200.0,2100.0,916.02,3780.0,64
HCPCS,C1733,CATHETER CRYOABLATION 28MM ARCTIC FRONT ADVANCE PRO,4200.0,2100.0,916.02,3780.0,64
HCPCS,C1733,CATHETER CRYOABLATION 95CM 10.5FR 28MM ARCTIC FRONT ADVANCE STERILE LATEX FREE DISPOSABLE,4200.0,2100.0,916.02,3780.0,64
HCPCS,C1733,CATHETER CRYOABLATION BALLOON FIT POLARX,4200.0,2100.0,916.02,3780.0,64
HCPCS,C1733,CATHETER CRYOABLATION BALLOON SHORT TIP OD28 MM ODSEC31 MM POLARX FIT,4200.0,2100.0,916.02,3780.0,64
HCPCS,C1733,CATHETER CRYOABLATION BLUE 108CM 7FR FREEZOR 3 4MM MEDIUM 53MM STERILE LATEX FREE DISPOSABLE,1250.0,625.0,272.63,1125.0,64
HCPCS,C1733,CATHETER CRYOABLATION BLUE 7FR FREEZOR XTRA3 MEDIUM,1200.0,600.0,261.72,1080.0,64
HCPCS,C1733,CATHETER CRYOABLATION BLUE 90CM 9FR FREEZOR MAX 3 3-5-2MM SPACE 55MM REACH MEDIUM CARDIAC CRYOABLATION CRYOMAPPING UNIDIRECTIONAL STEERABLE 8MM,1900.0,950.0,414.39,1710.0,64
HCPCS,C1733,CATHETER CRYOABLATION ORANGE 108CM 7FR FREEZOR XTRA 5 2-5-2MM SPACE 60MM REACH LONG CARDIAC CRYOABLATION CRYOMAPPING UNIDIRECTIONAL STEERABLE 6MM,1250.0,625.0,272.63,1125.0,64
HCPCS,C1733,CATHETER CRYOABLATION ORANGE 90CM 9FR FREEZOR MAX 5 CURVE,1900.0,950.0,414.39,1710.0,64
HCPCS,C1733,CATHETER CRYOABLATION ORANGE 9FR FREEZOR MAX5 LONG,1900.0,950.0,414.39,1710.0,64
HCPCS,C1733,CATHETER CRYOABLATION RED 108CM 7FR FREEZOR 1 2-5-2MM SPACE 47MM REACH SHORT FLEXIBLE STEERABLE 4MM DISPOSABLE,1250.0,625.0,272.63,1125.0,64
HCPCS,C1733,CATHETER DUO DECAPOLAR STEERABLE 7FR 2-10-2MM SPACE SUPER LARGE CURL CURVE 95CM LIVEWIRE ELECTROPHYSIOLOGY 2MM REPROCESSED,1099.0,549.5,239.69,989.1,64
HCPCS,C1733,CATHETER ELECTROPHYSIOLOGY 7FR DIA 2-5-2MM SPACING UNIVERSAL 115CML 5MML TIP LARGE CURVE QUADRIPOLAR BIDIRECTIONAL THERMOCOUPLE COMFORT GRIP W/HANDLE THERMISTOR SAFIRE LATEX-FREE NON-RADIOLUCENT STERI,737.0,368.5,160.74,663.3,64
HCPCS,C1733,CATHETER QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITOR STEER LOCK 7FR 2-5-2MM SPACE 1MM LARGE CURL 115CM SAFIRE COMFORTGRIP ELECTROPHYSIOLOGY 4MM,737.0,368.5,160.74,663.3,64
HCPCS,C1733,CATHETER QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITOR STEERING LOCK 7FR 2-5-2MM SPACE 1MM SMALL CURL 115CM SAFIRE COMFORTGRIP ELECTROPHYSIOLOGY 4MM,737.0,368.5,160.74,663.3,64
HCPCS,C1733,CATHETER SPHERE-9,11000.0,5500.0,2399.1,9900.0,64
HCPCS,C1733,ELECTRODE ELECTROSURGICAL BIPOLAR CARDIOBLATE BP2 STERILE CARDIOVASCULAR DISPOSABLE,2575.0,1287.5,561.61,2317.5,64
HCPCS,C1733,KIT SHEATH CATHETER 63CML 180CML RF WIRE TRANSSEPTAL 45DEG CURVE PIGTAIL STEERABLE W/0.035IN DIA GUIDEWIRE DISPERSIVE ELECTRODE VERSACROSS,1020.0,510.0,222.46,918.0,64
HCPCS,C1734,GRAFT BONE 1.5 CC ALLOGRAFT INJECTABLE AUGMENT,1350.0,675.0,258.53,1215.0,65
HCPCS,C1734,GRAFT BONE DEMINERALIZED BONE MATRIX L10 CM X W1 CM MAGNIFUSE,1975.0,987.5,378.21,1777.5,65
HCPCS,C1734,KIT BONE GRAFT 1.5 CC AUGMENT,1200.0,600.0,229.8,1080.0,65
HCPCS,C1734,KIT BONE GRAFT 3 CC AUGMENT,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1734,KIT BONE GRAFT 3 CC AUGMENT INJECTABLE,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1747,CYSTOSCOPE FLEXIBLE L15.4 IN STANDARD DEFLECTION OD16.2 FR ASCOPE 4,875.0,437.5,190.84,787.5,64
HCPCS,C1747,DEVICE RETRIEVAL LITHOVUE EMPOWER DEPLOYMENT,150.0,75.0,32.72,135.0,64
HCPCS,C1747,LITHOVUE ELITE REVERSE DEFLECTION WITHOUT PRESSURE MONITORING,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,LITHOVUE ELITE STANDARD DEFLECTION WITHOUT PRESSURE MONITORING,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,URETEROSCOPE ENDOSCOPIC REVERSE DEFLECTION LITHOVUE EMPOWER,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,URETEROSCOPE ENDOSCOPIC STANDARD DEFLECTION LITHOVUE EMPOWER,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,URETEROSCOPE FLEXIBLE 9.5FR 7.7FR 3.6FR LITHOVUE STANDARD INTEGRATE CAMERA HEAD MOBILE CART LASER LITHOTRIPSY DISPOSABLE,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,URETEROSCOPE FLEXIBLE GLOBAL REVERSE LITHOVUE,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,URETEROSCOPE FLEXIBLE LITHOVUE REVERSE DEFLECTION PRESSURE MONITOR DIGITAL DISPOSABLE,2400.0,1200.0,523.44,2160.0,64
HCPCS,C1747,URETEROSCOPE FLEXIBLE STANDARD 9.5FR OD 3.6FR ID 7.7FR DIA TIP DIGITAL GLOBAL LITHOVUE SINGLE-USE,1500.0,750.0,327.15,1350.0,64
HCPCS,C1747,URETEROSCOPE LITHOVUE ELITE STANDARD DEFLECTION WITH PRESSURE MONITORING,2400.0,1200.0,523.44,2160.0,64
HCPCS,C1748,BRONCHOSCOPE FLEXIBLE 3.8MM/1.2MM INSERTION TUBE WORKING CHANNEL 60CM 180DEG UP/DOWN 90DEG FIELD SLIM LED LIGHT AIRWAY SUCTION EXALT MODEL B STERILE SINGLE-USE 5/BX 5MM/35FR ETT,1750.0,875.0,381.68,1575.0,64
HCPCS,C1748,BRONCHOSCOPE FLEXIBLE 5.8MM/2.8MM INSERTION TUBE/WORKING CHANNEL LARGE 60CM 180DEG UP/DOWN 90DEG FIELD LED LIGHT AIRWAY SUCTION EXALT MODEL B STERILE SINGLE-USE 5/BX 7MM ETT,1750.0,875.0,381.68,1575.0,64
HCPCS,C1748,BRONCHOSCOPE FLEXIBLE 5MM/2.2MM INSERTION TUBE WORKING CHANNEL REGULAR 60CM 180DEG UP/DOWN 90DEG FIELD LED LIGHT AIRWAY SUCTION EXALT MODEL B STERILE SINGLE-USE 5/BX 6MM/41FR ETT,1750.0,875.0,381.68,1575.0,64
HCPCS,C1750,CATHETER DIALYSIS 15FR 31CM STANDARD 2 CUFF CLAMP ADAPTER TENCKHOFF ARGYLE CURL CATH BETA-CAP QUINTON SILICONE FELT PERITONEAL,40.2,20.1,7.7,36.18,65
HCPCS,C1750,CATHETER DIALYSIS 15FR 8FR 31CM UNIVERSAL 1 SUBCUTANEOUS CUFF RADIOPAQUE STRIPE ARGYLE TENCKHOFF SILICONE PEDIATRIC PERITONEAL STERILE,40.2,20.1,7.7,36.18,65
HCPCS,C1750,CATHETER DIALYSIS L62 CM COIL 2 CUFF PERITONEUM FLEX-NECK EXXTENDED ADULT L16 CM,550.0,275.0,119.96,495.0,64
HCPCS,C1750,CATHETER DIALYSIS OD2.5 FR ID3.7 MM L42 CM 1 CUFF RADIOPAQUE STRIPE DISTAL PERITONEUM FLEX-NECK SILICONE 2.1 ML PEDIATRIC,219.0,109.5,41.94,197.1,65
HCPCS,C1750,CATHETER DIALYSIS OD3.7 MM ID2.5 MM L42 CM 2 CUFF COILED CLASSIC BLUE RADIOPAQUE STRIPE PERITONEUM FLEX-NECK SILICONE PLASTIC 2.1 ML PEDIATRIC,219.0,109.5,41.94,197.1,65
HCPCS,C1750,CATHETER DIALYSIS OD5.3 MM ODSEC3.5 MM L52 MM 2 CUFF RADIOPAQUE STRIPE BLUE FLEX-NECK PEDIATRIC COIL,184.0,92.0,35.24,165.6,65
HCPCS,C1750,CATHETER DIALYSIS OD5.3 MM ODSEC4.5 MM ID3.5 MM L62 CM STRAIGHT INTER CUFF SEGMENT COILED TENCKHOFF STYLE CLASSIC PERITONEUM FLEX-NECK 6 ML ADULT STANDARD,174.0,87.0,33.32,156.6,65
HCPCS,C1750,CATHETER HEMODIALYSIS 13FR 20CM GLIDEPATH SYMMETRIC TIP POLYURETHANE STANDARD STRAIGHT,255.0,127.5,48.83,229.5,65
HCPCS,C1750,CATHETER HEMODIALYSIS 14.5FR 28CM GLIDEPATH AIRGUARD STANDARD KIT SYMMETRIC SMOOTH TAPER TIP PRELOAD STYLET STRAIGHT,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,CATHETER HEMODIALYSIS 14.5FR 47CM 42CM GLIDEPATH STANDARD KIT AIRGUARD VALVED INTRODUCER SYMMETRIC TIP PRELOADED LONG TERM POLYURETHANE STRAIGHT NONSTERILE DISPOSABLE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,CATHETER HEMODIALYSIS 16FR 24CM 19CM EQUISTREAM XK AIRGUARD STANDARD KIT PRELOADED STYLET POLYURETHANE STRAIGHT LONG TERM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,CATHETER HEMODIALYSIS 16FR 28CM 23CM EQUISTREAM XK AIRGUARD STANDARD KIT PRELOADED STYLET POLYURETHANE STRAIGHT LONG TERM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,CATHETER HEMODIALYSIS CHRONIC 14.5FR DIA 40CM 23CML INSERTION CARBOTHANE 1.9/1.9ML A/V PRIMING 3LUM HIGH PRESSURE SIDE SLOT W/ACCESSORIES PALINDROME NON-RADIOLUCENT,1122.0,561.0,214.86,1009.8,65
HCPCS,C1750,CATHETER PERITONEAL DIALYSIS 42CM 2 CUFF CLAMP ADAPTER RADIOPAQUE TENCKHOFF BETA-CAP ARGYLE 15FR SILICONE,40.2,20.1,7.7,36.18,65
HCPCS,C1750,CATHETER PERITONEAL DIALYSIS ARGYLE 62.5CM SWAN NECK CURL RIGHT CUFFX2 SILICONE NON-RADIOLUCENT BX/1,145.7,72.85,27.9,131.13,65
HCPCS,C1750,CATHETER PERITONEAL DIALYSIS SWAN NECK CURL CATH RIGHT 14FR DIA 62CML CUFFX2 ARGYLE LATEX-FREE STERILE SINGLE-USE,145.7,72.85,27.9,131.13,65
HCPCS,C1750,KIT ACCESSORY COMPONENT HERO,605.0,302.5,115.86,544.5,65
HCPCS,C1750,KIT CATHETER 10FR 18CM 15CM STANDARD STRAIGHT SMOOTH TAPER SYMMETRIC TIP LUMEN GLIDEPATH AIRGUARD POLYURETHANE LONG TERM,400.0,200.0,76.6,360.0,65
HCPCS,C1750,KIT CATHETER 14.5FR 15FR 28CM 23CM STRAIGHT VALVE INTRODUCER SYMMETRIC TIP PRELOAD STYLET EXCHANGE GLIDEPATH AIRGUARD DUALATOR POLYURETHANE DISPOSABLE STERILE LATEX FREE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,KIT CATHETER 14.5FR 15FR 32CM 27CM STANDARD STRAIGHT VALVE INTRODUCER SYMMETRIC TIP PRELOAD STYLET GLIDEPATH AIRGUARD DUALATOR POLYURETHANE DISPOSABLE STERILE LATEX FREE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,KIT CATHETER 14.5FR 15FR 36CM 31CM STANDARD STRAIGHT VALVE INTRODUCER SYMMETRIC TIP PRELOAD STYLET GLIDEPATH AIRGUARD DUALATOR POLYURETHANE DISPOSABLE STERILE LATEX FREE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,KIT CATHETER 14.5FR 23CM 28CM 360D STANDARD 2 BRANCH STRAIGHT LARGE LUMEN NONRESTRICTIVE TIP MULTIPLANE SIDEHOLE MALLEABLE TUNNELER HEMOSPLIT AIRGUARD POLYURETHANE PTFE DISPOSABLE STERILE LATEX FREE L,1250.0,625.0,272.63,1125.0,64
HCPCS,C1750,KIT CATHETER 14.5FR 50CM 50CM STANDARD VALVE INTRODUCER SMOOTH TAPER SYMMETRIC TIP PRELOAD STYLET GLIDEPATH AIRGUARD,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,KIT CATHETER 55CM STRAIGHT 1UP BASIC STACK TIP DURAMAX PG,245.0,122.5,46.92,220.5,65
HCPCS,C1750,KIT CATHETER 62.5CM 2 CUFF SWAN NECK CURL CATH PERITONEAL LEFT,295.45,147.73,56.58,265.91,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS CHRONIC 14.5FR DIA 48CM 28CML INSERTION CARBOTHANE 2.5/2.5ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW REVERSE-TUNNELED SIDE SLOT W/ACCESSORIES PALINDROME PRECISION NON-RADIOL,1300.0,650.0,248.95,1170.0,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS CHRONIC STANDARD 10FR 15CM 12CM TIP TO CUFF POLYURETHANE STRAIGHT TIP 2-LUMEN W/AIRGUARD VALVED INTRO GLIDEPATH LATEX-FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS CHRONIC STANDARD 10FR 26CM 23CM TIP TO CUFF POLYURETHANE STRAIGHT TIP 2-LUMEN W/AIRGUARD VALVED INTRO GLIDEPATH,400.0,200.0,76.6,360.0,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS CHRONIC STANDARD 16FR DIA 32CM 27CML INSERTION POLYURETHANE STRAIGHT 2LUM HIGH FLOW OTW SPLIT TIP 360DEG SIDE HOLE W/AIRGUARD VALVED INTRO PRELOADED STYLET EQUISTREAM XK 1/CA,472.5,236.25,90.48,425.25,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS CHRONIC STANDARD 7.5FR 11CM 8CM TIP TO CUFF POLYURETHANE STRAIGHT TIP 2-LUMEN W/AIRGUARD VALVED INTRO GLIDEPATH,435.0,217.5,83.3,391.5,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS DURAMAX CHRONIC BASIC 15.5FR DIA 48CM FEMORAL VEIN CURVED STAGGERED/ANGLED VENOUS TIP 2LUM HIGH FLOW W/ACCESSORIES DURATHANE THERMOPLASTIC POLYURETHANE LUER POLYESTER CUFF BX,345.0,172.5,66.07,310.5,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS LONG TERM 10FR 19CM PEDIATRIC STRAIGHT STANDARD GLIDEPATH,400.0,200.0,76.6,360.0,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS LONG TERM 7.5FR 10CM PEDIATRIC STRAIGHT STANDARD GLIDEPATH,435.0,217.5,83.3,391.5,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS PALINDROME PRECISION CHRONIC 14.5FR DIA 40CM 23CML INSERTION 2LUM HIGH,1122.0,561.0,214.86,1009.8,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS PALINDROME PRECISION CHRONIC 14.5FR DIA 40CM 28CML INSERTION 2LUM HIGH,1122.0,561.0,214.86,1009.8,65
HCPCS,C1750,KIT CATHETER HEMODIALYSIS PALINDROME PRECISION CHRONIC 14.5FR DIA 72CM 55CML INSERTION 2LUM HIGH,1122.0,561.0,214.86,1009.8,65
HCPCS,C1750,KIT CATHETER HEMODY ARROW-CLARK VECTORFLOW LNGTRM ACCESS CTR 15FRX19CM 19CM TO CUF 2LUM HI-FLO,240.0,120.0,45.96,216.0,65
HCPCS,C1750,KIT CATHETER HEMODY ARROW-CLARK VECTORFLOW LNGTRM ACCESS CTR 15FRX23CM 23CM TO CUF 2LUM HI-FLO,241.0,120.5,46.15,216.9,65
HCPCS,C1750,KIT CATHETER HEMODY ARROW-CLARK VECTORFLOW LNGTRM ACCESS CTR 15FRX27CM 27CM TO CUF 2LUM HI-FLO,241.0,120.5,46.15,216.9,65
HCPCS,C1750,KIT CATHETER HEMODY ARROW-CLARK VECTORFLOW LNGTRM ACCESS CTR 15FRX42CM 42CM TO CUF 2LUM HI-FLO,241.0,120.5,46.15,216.9,65
HCPCS,C1750,KIT CATHETER L19 CM OD15.5 FR STANDARD STRAIGHT DECATHLON TAPERED SPLIT TIP STYLET HEMODIALYSIS,750.0,375.0,143.63,675.0,65
HCPCS,C1750,KIT GRAFT VASC HERO ALLY REVIS PTFE ARTERIAL W/ADAPTER/SUPPORT SEAL/GRAFT EXPANDER/VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1750,KIT GRAFT VASCULAR 5MM ID 6.3MM OD 40CML PTFE VENOUS OUTFLOW COMPONENT TITANIUM CONNECTOR DISTAL TIP W/ACCESSORIES HERO STERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1750,KIT HEMODIALYSIS 10FR 40CM BIO-FLEX TESIO ARTERY,130.0,65.0,24.9,117.0,65
HCPCS,C1750,KIT HEMODIALYSIS 14.5FR 24CM 19CM STANDARD STRAIGHT VALVE INTRODUCER SYMMETRIC TIP PRELOAD GLIDEPATH AIRGUARD POLYURETHANE DISPOSABLE NONSTERILE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1750,KIT HEMODIALYSIS OD16 FR ODSEC20 FR DELIVERY STYLET DILATOR DISPOSABLE CLAMP Y ADAPTER OD10 FR ODSEC12 FR HERO,560.0,280.0,107.24,504.0,65
HCPCS,C1750,KIT HEMODIALYSIS SUPER HERO,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1750,KIT REPAIR 15CM CATHETER EXTENSION ADAPTER CLAMP CAP QUINTON ARGYLE PERI-PATCH BETA-CAP SILICONE RUBBER PERITONEAL DIALYSIS,40.2,20.1,7.7,36.18,65
HCPCS,C1750,KT HEMODY PALINDRM PRECSN CHRNC 14.5FRX50CM 33CM IMPL 2LUM HI-FLO OTW CRBTHN SYM TIP SDE SLOT W/TAL,1122.0,561.0,214.86,1009.8,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS CHRONIC SPORT 14.5FR DIA 36CM 19CML INSERTION CARBOTHANE 1.6/1.6ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW SIDE SLOT W/ACCESSORIES PALINDROME PRECISION NON-RADIOLUCENT 5/CA,1020.0,510.0,195.33,918.0,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS CHRONIC SPORT 14.5FR DIA 45CM 28CML INSERTION CARBOTHANE 2.1/2.1ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW SIDE SLOT W/ACCESSORIES PALINDROME PRECISION NON-RADIOLUCENT,1020.0,510.0,195.33,918.0,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS CHRONIC SPORT 14.5FR DIA 50CM 33CML INSERTION CARBOTHANE 2.3/2.3ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW SIDE SLOT W/ACCESSORIES PALINDROME PRECISION NON-RADIOLUCENT 5/CT,1020.0,510.0,195.33,918.0,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS PALINDROME PRECISION CHRONIC SPORT 14.5FR DIA 36CM 19CML INSER 1.6/1.6ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW OTW SIDE SLOT W/TAL VENATRAC STYLET ACCESSORIES CARBOTHANE,1020.0,510.0,195.33,918.0,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS PALINDROME PRECISION CHRONIC SPORT 14.5FR DIA 40CM 23CML INSER 1.9/1.9ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW OTW SIDE SLOT W/TAL VENATRAC STYLET ACCESSORIES CARBOTHANE,1122.0,561.0,214.86,1009.8,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS PALINDROME PRECISION CHRONIC SPORT 14.5FR DIA 45CM 28CML INSER 2.1/2.1ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW OTW SIDE SLOT W/TAL VENATRAC STYLET ACCESSORIES CARBOTHANE,1020.0,510.0,195.33,918.0,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS PALINDROME PRECISION H CHRONIC SPORT 14.5FR DIA 36CM 19CML INSER 1.6/1.6,1323.0,661.5,253.35,1190.7,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS PALINDROME PRECISION H CHRONIC SPORT 14.5FR DIA 40CM 23CML INSER 1.9/1.9ML A/V PRIMING SYMMETRIC TIP 2LUM HIGH FLOW NON-ELUTING SIDE SLOT W/ACCESSORIES CARBOTHANE HEPARIN CO,1323.0,661.5,253.35,1190.7,65
HCPCS,C1750,PACK CATHETER HEMODIALYSIS PALINDROME PRECISION H CHRONIC SPORT 14.5FR DIA 45CM 28CML INSER 2.1/2.1,1323.0,661.5,253.35,1190.7,65
HCPCS,C1750,SCREW L48 MM OD4 MM T15 SHORT THREAD TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE BONE QUICKFIX,151.43,75.72,29.0,136.29,65
HCPCS,C1750,SET CATHETER 10FR 15CM STRAIGHT SPLIT CATH III CUFF GUIDEWIRE INTRODUCER NEEDLE SCALPEL,380.0,190.0,72.77,342.0,65
HCPCS,C1750,SET CATHETER 10FR 18GA 18CM STRAIGHT SPLIT CATH III TRINIFLEX CUFF INTRODUCER NEEDLE GUIDEWIRE SCALPEL HEMODIALYSIS,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1750,SET CATHETER 10FR 24CM STRAIGHT SPLIT CATH III POLYURETHANE CUFF INTRODUCER NEEDLE GUIDEWIRE SCALPEL HEMODIALYSIS,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1750,SET CATHETER 12.5FR 18CM 13CM HEMO-CATH SILICONE 2 LUMEN BASIC CUFF STERILE LATEX FREE DISPOSABLE,228.0,114.0,43.66,205.2,65
HCPCS,C1750,SET CATHETER 8FR 18CM STRAIGHT HEMO-CATH LT SILICONE 2 LUMEN BASIC INTRODUCER NEEDLE INJECTION CAP HEMODIALYSIS,103.0,51.5,19.72,92.7,65
HCPCS,C1750,SET CATHETER 8FR 24CM STRAIGHT HEMO-CATH LT SILICONE PEDIATRIC 2 LUMEN RADIOPAQUE INTRODUCER NEEDLE INJECTION CAP HEMODIALYSIS,1345.0,672.5,257.57,1210.5,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS ACUTE SHORT TERM 11.5FR DIA 24CML SILICONE STRAIGHT TAPERED TIP DOUBLE-D INTERNAL LUMEN FAST TRACK STYLET HEMO-CATH ST LATEX-FREE,515.0,257.5,98.62,463.5,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS CHRONIC 10FR DIA 18CM TRINIFLEX PEDIATRIC STRAIGHT 2LUM ANTEGRADE SIDE HOLE CUFFED W/FAST TRACK STYLET ACCESSORIES SPLIT CATH III 1/EA,425.0,212.5,81.39,382.5,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS CHRONIC 15FR DIA 24CM 19CML TIP TO CUFF POLYURETHANE CRESCENT/V-TIP HIGH FLOW RETROGRADE REPLACEABLE HUB TUNNELED W/ACCESSORIES ARROW CANNON II PLUS NON-RADIOLUCENT,328.0,164.0,62.81,295.2,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS CHRONIC 15FR DIA 32CM 27CML TIP TO CUFF POLYURETHANE CRESCENT/V-TIP HIGH FLOW RETROGRADE REPLACEABLE HUB TUNNELED W/ACCESSORIES BLUE ARROW CANNON II PLUS,355.0,177.5,67.98,319.5,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS CHRONIC BASIC 12.5FR DIA 32CM SILICONE PRECURVED ANGLED ARTERIAL TIP 2LUM ANTEGRADE STEP TIP W/ACCESSORIES HEMO-CATH LT MRI-COMPATIBLE NON-RADIOLUCENT 5/BX,1020.0,510.0,195.33,918.0,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS CHRONIC BASIC 15.5FR 19CM 19CM FROM TIP CUFF POLYURETHANE STRAIGHT TIP 2-LUMEN HIGH FLOW LOW PRESSURE ANTEGRADE ANTI-WALL SUCTION SIDE HOLE W/GW 16FR VALVED INTRO 12FR/14FR D,235.0,117.5,45.0,211.5,65
HCPCS,C1750,SET CATHETER HEMODIALYSIS CHRONIC BASIC 15.5FR 23CM 23CM FROM TIP CUFF POLYURETHANE STRAIGHT TIP 2-LUMEN HIGH FLOW LOW PRESSURE ANTEGRADE ANTI-WALL SUCTION SIDE HOLE W/GW 16FR VALVED INTRO 12FR/14FR D,235.0,117.5,45.0,211.5,65
HCPCS,C1750,SET CATHETER L11 CM 2 LUER LOCK CAP INTRODUCER NEEDLE TUNNEL DILATOR OD15 FR ODSEC16 FR CANNON II PLUS SMARTSEAL POLYURETHANE L5 IN CHRONIC HEMODIALYSIS,335.0,167.5,73.06,301.5,64
HCPCS,C1750,SET CATHETER L31 CM .038 IN 2 LUER LOCK CAP INTRODUCER NEEDLE TUNNEL DILATOR SCALPEL OD15 FR ODSEC18 GA CANNON II PLUS SMARTSEAL POLYURETHANE L2.5 IN CHRONIC HEMODIALYSIS,328.0,164.0,62.81,295.2,65
HCPCS,C1750,SET EXTENSION HEMODIALYSIS CATHETER 10FR DIA VENOUS W/ACCESSORIES F/TESIO 10/BX,130.0,65.0,24.9,117.0,65
HCPCS,C1750,TRAY CATHETER HEMODIALYSIS ACUTE FULL 8FR DIA 18CM SILICONE STRAIGHT ROUND TAPERED TIP 2LUM W/FAST TRACK STYLET ACCESSORIES HEMO-CATH MRI-SAFE NON-RADIOLUCENT 5/BX,235.0,117.5,45.0,211.5,65
HCPCS,C1751,CANNULA PERFUSION DUAL STAGE VENOUS 1/2IN ACCEPTANCE 36/46FR DIA 16INL WIRE REINFORCED NON-VENTED CONNECTOR W/OBTURATOR ATRIAL BASKETX1 THIN-FLEX LATEX-FREE,569.7,284.85,124.25,512.73,64
HCPCS,C1751,CATHETER 19FR 21CM 2 LUMEN BICAVAL AVALON ELITE ANGIOGRAPHIC,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER ARTERIAL 7FR DIA 12MM BALLOON 110CML PULMONARY ARTERY T STYLE LUMENX4 WEDGE PRESSURE ARROW,110.0,55.0,21.07,99.0,65
HCPCS,C1751,CATHETER CENTRAL VENOUS 14FR X 33CM 50CM OVERALL PALINDROME EMERALD HEPARIN SPORTPACK VENATRAC,1323.0,661.5,288.55,1190.7,64
HCPCS,C1751,CATHETER CENTRAL VENOUS BASIC 5FR DIA 55CML CUFF 2CM FROM HUB POLYURETHANE 2-LUMEN POWER INJECTABLE W/STYLET INTRODUCER NEEDLE PTFE TEAR-AWAY 10ML SYRINGE GW MINI SCALPEL TAPE MEASURE TUNNELER NEEDLEL,199.0,99.5,38.11,179.1,65
HCPCS,C1751,CATHETER CENTRAL VENOUS BASIC 5FR DIA 60CML CUFF 2CM FROM HUB POLYURETHANE 1-LUMEN POWER INJECTABLE W/STYLET INTRODUCER NEEDLE PTFE TEAR-AWAY 10ML SYRINGE GW MINI SCALPEL TAPE MEASURE TUNNELER NEEDLEL,995.0,497.5,190.54,895.5,65
HCPCS,C1751,CATHETER CENTRAL VENOUS BASIC 6FR DIA 60CML CUFF 2CM FROM HUB POLYURETHANE 2-LUMEN POWER INJECTABLE W/STYLET INTRODUCER NEEDLE PTFE TEAR-AWAY 10ML SYRINGE GW MINI SCALPEL TAPE MEASURE TUNNELER NEEDLEL,995.0,497.5,190.54,895.5,65
HCPCS,C1751,CATHETER CENTRAL VENOUS FIRST PICC 1.9FR 50CM SILICONE STERILE LATEX FREE,409.5,204.75,78.42,368.55,65
HCPCS,C1751,CATHETER CENTRAL VENOUS HANDS-OFF BLUE FLEXTIP 7FR 3 LUMEN RADIOPAQUE 1 PIECE INJECTION SITE CAP 30CM POLYURETHANE PERCUTANEOUS,196.0,98.0,37.53,176.4,65
HCPCS,C1751,CATHETER CENTRAL VENOUS POWERPICC SV MICROEZ 4FR 19/21GA 2 LUMEN IR GUIDEWIRE MICROINTRODUCER KIT 70CM NITINOL POLYURETHANE,505.0,252.5,96.71,454.5,65
HCPCS,C1751,CATHETER CHOLANGIOGRAM GOLD 23CM 4.8MM 1.5MM 90D STANDARD NYLON LAPAROSCOPIC WHISTLE TIP,130.0,65.0,28.35,117.0,64
HCPCS,C1751,CATHETER HEMODIALYSIS 32FR 34CM CRESCENT 2 LUMEN CONNECTOR RADIOPAQUE INFUSION PORT 3/8IN JUGULAR STERILE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1751,CATHETER INFUSION 2.9FR 150CM 1 LUMEN FLEXIBLE MICROMEWI 10CM ACCEPTS .018IN GUIDEWIRE,151.0,75.5,32.93,135.9,64
HCPCS,C1751,CATHETER INFUSION 2.9FR 150CM 1 LUMEN FLEXIBLE MICROMEWI 5CM ACCEPTS .018IN GUIDEWIRE,151.0,75.5,32.93,135.9,64
HCPCS,C1751,CATHETER INFUSION 2.9FR 180CM 1 LUMEN MULTIPLE SIDEHOLE RADIOPAQUE STANDARD LUER LOCK ADAPTER MICROMEWI PLATINUM 5CM PERIPHERAL ACCEPTS .018IN GUIDEWIRE,151.0,75.5,32.93,135.9,64
HCPCS,C1751,CATHETER INFUSION 5FR 135CM 1 LUMEN RADIOPAQUE VALVE TIP CRAGG-MCNAMARA 30CM ACCEPTS .038IN GUIDEWIRE,118.0,59.0,25.74,106.2,64
HCPCS,C1751,CATHETER INFUSION L40 CM CRAGG-MCNAMARA VALVE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD13 FR ODSEC1/4 IN L11 CM AVALON ELITE 2 LUMEN BICAVAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER INFUSION OD2.9 FR L180 CM L10 CM MICROMEWI PERIPHERAL 1 LUMEN MULTIPLE SIDEHOLE RADIOPAQUE STANDARD LUER LOCK ADAPTER PLATINUM ACCEPTS .018 IN GUIDEWIRE,151.0,75.5,32.93,135.9,64
HCPCS,C1751,CATHETER INFUSION OD20 FR ODSEC3/8 IN L31 CM AVALON ELITE 2 LUMEN BICAVAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER INFUSION OD23 FR ODSEC3/8 IN L31 CM AVALON ELITE 2 LUMEN BICAVAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER INFUSION OD27 FR ODSEC3/8 IN L31 CM AVALON ELITE 2 LUMEN BICAVAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER INFUSION OD31 FR ODSEC3/8 IN L31 CM AVALON ELITE 2 LUMEN BICAVAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER INFUSION OD4 FR L100 CM L10 CM .035 IN CRAGG-MCNAMARA PROSTREAM 1 LUMEN RADIOPAQUE GUIDEWIRE VALVE TIP,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L100 CM L20 CM CRAGG-MCNAMARA CRAGG MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L100 CM L5 CM CRAGG-MCNAMARA 1 LUMEN RADIOPAQUE VALVE TIP ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L135 CM L10 CM .035 IN CRAGG-MCNAMARA PROSTREAM 1 LUMEN RADIOPAQUE GUIDEWIRE VALVE TIP,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L135 CM L20 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE SIDEHOLE VALVE TIP ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L135 CM L5 CM CRAGG-MCNAMARA CRAGG MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L40 CM L10 CM MICRO CRAGG-MCNAMARA 1 LUMEN RADIOPAQUE VALVE TIP ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L40 CM L20 CM .035 IN CRAGG-MCNAMARA CRAGG MICROVALVE 1 LUMEN VALVE TIP DRUG DELIVERY GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L65 CM L20 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE MARKER SIDEHOLE VALVE TIP ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD4 FR L65 CM L5 CM .035 IN CRAGG-MCNAMARA CRAGG MICROVALVE 1 LUMEN RADIOPAQUE MARKER SIDEHOLE VALVE TIP,90.0,45.0,19.63,81.0,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L100 CM L10 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L100 CM L20 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L100 CM L30 CM .038 IN CRAGG-MCNAMARA PROSTREAM 1 LUMEN RADIOPAQUE GUIDEWIRE VALVE TIP,118.0,59.0,25.74,106.2,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L100 CM L40 CM .038 IN CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE GUIDEWIRE SIDEHOLE,115.0,57.5,25.08,103.5,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L100 CM L5 CM CRAGG-MCNAMARA PROSTREAM 1 LUMEN VALVE TIP .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L100 CM L50 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,118.0,59.0,25.74,106.2,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L135 CM L10 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L135 CM L20 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L135 CM L40 CM .038 IN CRAGG-MCNAMARA PROSTREAM 1 LUMEN RADIOPAQUE GUIDEWIRE VALVE TIP,118.0,59.0,25.74,106.2,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L135 CM L5 CM .038 IN CRAGG-MCNAMARA PROSTREAM 1 LUMEN RADIOPAQUE GUIDEWIRE VALVE TIP,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L135 CM L50 CM .038 IN CRAGG-MCNAMARA PROSTREAM 1 LUMEN RADIOPAQUE GUIDEWIRE VALVE TIP,115.0,57.5,25.08,103.5,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L40 CM L10 CM CRAGG-MCNAMARA CRAGG MICROVALVE 1 LUMEN RADIOPAQUE MARKER LUER LOCK ADAPTER LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L40 CM L20 CM CRAGG-MCNAMARA CRAGG MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L65 CM L10 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,75.0,37.5,16.36,67.5,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L65 CM L20 CM CRAGG-MCNAMARA 1 LUMEN RADIOPAQUE VALVE TIP ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L65 CM L5 CM CRAGG-MCNAMARA CRAGG-MICROVALVE 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .038 IN GUIDEWIRE,81.0,40.5,17.67,72.9,64
HCPCS,C1751,CATHETER INFUSION OD5 FR L90 CM L30 CM UNI-FUSE FLOW-THRU HUB RADIOPAQUE OCCLUDE WIRE ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER IV OD18 GA L1.75 IN CLOSED SYSTEM NEEDLE FREE CONNECTOR BD NEXIVA DIFFUSICS BD MAXZERO,559.2,279.6,121.96,503.28,64
HCPCS,C1751,CATHETER OD16 FR L14 CM 2 LUMEN BICAVAL AVALON ELITE ANGIOGRAPHIC,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1751,CATHETER PERFUSION TRUE FLOW 20MM 11FR 110CM 3.5CM VALVULOPLASTY,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1751,CATHETER POWERMIDLINE  4F SL,429.0,214.5,93.56,386.1,64
HCPCS,C1751,CATHETER PRESSURE MONITOR 110CM 7FR PULMONARY WEDGE,200.0,100.0,43.62,180.0,64
HCPCS,C1751,CATHETER PULMONARY ARTERY 110CM 7FR SWAN-GANZ STANDARD 4 LUMEN THERMODILUTION STERILE LATEX DISPOSABLE,525.0,262.5,114.5,472.5,64
HCPCS,C1751,CATHETER THROMBECTOMY 3FR DIA 90CML 2CML DUAL CHECK VALVE W/Y-CONNECTOR LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,265.0,132.5,57.8,238.5,64
HCPCS,C1751,CATHETER THROMBECTOMY INFUSION 4FR DIA 135CML 20CML HYDROPHILIC COATED OCCLUDING BALL WIRE PRESSURE OUTLET UNI-FUSE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.035IN GUIDEWIRE COMPATIBLE,105.0,52.5,22.9,94.5,64
HCPCS,C1751,CATHETER THROMBECTOMY INFUSION 4FR DIA 90CML 5CML HYDROPHILIC COATED OCCLUDING BALL WIRE PRESSURE OUTLET UNI-FUSE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.035IN GUIDEWIRE COMPATIBLE,266.0,133.0,58.01,239.4,64
HCPCS,C1751,CATHETER THROMBECTOMY INFUSION 5FR DIA 45CML 10CML HYDROPHILIC COATED OCCLUDING BALL WIRE PRESSURE OUTLET UNI-FUSE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.035IN GUIDEWIRE COMPATIBLE,279.0,139.5,60.85,251.1,64
HCPCS,C1751,CATHETER THROMBECTOMY L135 CM L10 CM OD4 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY L135 CM L10 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY L135 CM L20 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY L135 CM L30 CM OD5 FR INFUSION RADIOPAQUE UNIFUSE ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY L135 CM L50 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY L90 CM L20 CM OD4 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY UNI-FUSE FLOW-THRU HUB 4FR 90CM 10CM INFUSION RADIOPAQUE STERILE ACCEPTS .035IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,CATHETER THROMBECTOMY UNI-FUSE FLOW-THRU HUB 5FR 90CM 20CM INFUSION RADIOPAQUE STERILE ACCEPTS .035IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1751,GUIDEWIRE VASCULAR OD.035 IN L145 CM L12 CM PROSTREAM MULTIPLE SIDEHOLE INFUSION,170.0,85.0,37.08,153.0,64
HCPCS,C1751,GUIDEWIRE VASCULAR OD.035 IN L145 CM L6 CM PROSTREAM INFUSION,170.0,85.0,37.08,153.0,64
HCPCS,C1751,GUIDEWIRE VASCULAR OD.035 IN L145 CM L9 CM PROSTREAM MULTIPLE SIDEHOLE INFUSION,170.0,85.0,37.08,153.0,64
HCPCS,C1751,GUIDEWIRE VASCULAR OD.035 IN L175 CM L12 CM PROSTREAM INFUSION,170.0,85.0,37.08,153.0,64
HCPCS,C1751,GUIDEWIRE VASCULAR OD.035 IN L175 CM L6 CM PROSTREAM MULTIPLE SIDEHOLE INFUSION,170.0,85.0,37.08,153.0,64
HCPCS,C1751,GUIDEWIRE VASCULAR OD.035 IN L175 CM L9 CM PROSTREAM MULTIPLE SIDEHOLE INFUSION,170.0,85.0,37.08,153.0,64
HCPCS,C1751,HC PICC SOLO POWER 5F DL,473.55,236.78,90.68,426.2,65
HCPCS,C1751,HC POWERPICC PROVENA DL 4FR SHERLOCK,1569.4,784.7,300.54,1412.46,65
HCPCS,C1751,KIT ARTERIAL LINE CUSTOM ARROW,424.0,212.0,81.2,381.6,65
HCPCS,C1751,KIT CATHETER 18GA 2.25IN BASIC ACCUCATH ACE DISPOSABLE STERILE LATEX FREE,822.0,411.0,157.41,739.8,65
HCPCS,C1751,KIT CATHETER 20GA 5ML 12CM 2IN .025IN GUIDEWIRE NEEDLE SYRINGE DRAPE POLYURETHANE LATEX FREE PEDIATRIC CENTRAL VENOUS,121.0,60.5,23.17,108.9,65
HCPCS,C1751,KIT CATHETER 3FR 20CM 1 LUMEN MIDLINE MAXIMUM BARRIER PROBE COVER PROVENA BIOPATCH DISPOSABLE STERILE LATEX FREE,514.08,257.04,112.12,462.67,64
HCPCS,C1751,KIT CATHETER 4FR 18GA 70CM .018IN LUMEN GUIDEWIRE INJECTABLE REVERSE TAPER POWERPICC RADSTIC PURPLE NITINOL POLYURETHANE STATLOCK,404.0,202.0,77.37,363.6,65
HCPCS,C1751,KIT CATHETER ARTERIAL 2.5FR DIA 5CML POLYETHYLENE RADIAL ARTERY 1-LUMEN W/0.015IN STRAIGHT GW 21GA TW NDL BASEPLATE,33.02,16.51,7.2,29.72,64
HCPCS,C1751,KIT CATHETER ARTERIAL SAFETY 18GA 16CM RADIAL W/0.025IN SPRING GW 25/20GA SAFETYGLIDE/ INTRO NDL LIDOCAINE 5ML SYRINGE 2-0 SILK SUTURE POLYURETHANE LATEX-FREE DEHP NON-RADIOLUCENT,484.0,242.0,92.69,435.6,65
HCPCS,C1751,KIT CATHETER ARTERIAL SHARP SAFETY 20GA 1 3/4INL POLYURETHANE COATED RADIAL ARTERY W/ACCESSORIES ARROW LATEX-FREE STERILE DISPOSABLE,427.0,213.5,81.77,384.3,65
HCPCS,C1751,KIT CATHETER ARTERIAL SHARP SAFETY 20GA 1 3/4INL POLYURETHANE RADIAL ARTERY W/ACCESSORIES ARROW LATEX-FREE STERILE DISPOSABLE,169.0,84.5,32.36,152.1,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 12FR DIA 16CML POLYURETHANE 3-LUMEN INDWELLING ANTIMICROBIAL LARGE BORE HIGH VOLUME INFUSION BLUE FLEXTIP W/0.035IN STRAIGHT SOFT J-TIP GUIDEWIRE TISSUE DILATORX1 SYRINGE A,521.0,260.5,99.77,468.9,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 16GA 16CML POLYURETHANE INTERNAL JUGULAR INDWELLING BLUE FLEXTIP W/0.035IN STRAIGHT SOFT TIP GW TISSUE DILATORX1 SYRX1 NDLX3 DRAPEX1 PREP SPONGE SWAB GAUZE PADX1 LATEX-FREE,83.0,41.5,15.89,74.7,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 3FR 5CM,75.0,37.5,16.36,67.5,64
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 4FR 5CM POLYURETHANE 2-LUMEN INDWELLING ANTIMICROBIAL FLEXTIP W/0.018IN STRT SOFT/J-TIP SPRING GW TISSUE 2-DIL 3-NDL ARROWG+ARD BLUE,382.0,191.0,83.31,343.8,64
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 5.5FR 13CM POLYURETHANE CHLORHEXIDINE PEDIATRIC 3-LUMEN INDWELLING ANTIMICROBIAL PRESSURE INJECTABLE FLEXTIP W/0.018IN STRT SOFT/J-TIP GW 2-DIL SYR 4-NDL LIDOCAINE ARROWG+A,400.0,200.0,87.24,360.0,64
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 5.5FR DIA 8CML POLYURETHANE PEDIATRIC 3-LUMEN INDWELLING ANTIMICROBIAL PRESSURE INJECTABLE FLEXTIP W/0.018IN STRT SOFT J-TIP GW TISSUE DILATORX2 SYR NDLX4 ARROWG+ARD BLUE L,400.0,200.0,76.6,360.0,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 7FR DIA 16CML POLYURETHANE 2-LUMEN INDWELLING BLUE FLEXTIP W/EXTENSION LINE CLAMP CONTAMINATION GUARD DUST CAP LATEX-FREE,118.0,59.0,22.6,106.2,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 7FR DIA 8INL 3-LUMEN PRESSURE INJECTABLE ARROWG+ARD BLUE PLUS,612.0,306.0,117.2,550.8,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 8FR DIA 6INL 2-LUMEN PRESSURE INJECTABLE ARROWG+ARD BLUE PLUS,608.0,304.0,132.6,547.2,64
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS 9FR DIA DISTAL 11.5CML 2-LUMEN W/ACCESSORIES ARROWG+ARD BLUE MAC LATEX-FREE PHTHALATE DEHP,909.0,454.5,198.25,818.1,64
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS SAFETY 7FR DIA 20CML POLYURETHANE 3-LUMEN INDWELLING PRESSURE INJECTABLE FLEXTIP W/0.032IN 60CM STRT J-TIP GW NDLX3 SYR DILATOR ARROWG+ARD BLUE PLUS LATEX-FREE DEHP RADIOPA,436.0,218.0,83.49,392.4,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS SAFETY 7FR DIA 30CML POLYURETHANE 3-LUMEN INDWELLING ANTIMICROBIAL FLEXTIP W/0.032IN STRAIGHT SOFT J-TIP GW DILATORX1 RAULERSON SYRX1 CUPX1 18GA NEEDLE ARROWG+ARD BLUE PLUS,486.0,243.0,93.07,437.4,65
HCPCS,C1751,KIT CATHETER CENTRAL VENOUS SAFETY MAXIMAL BARRIER 7FR 20CM POLYURETHANE CHLORHEXIDINE 2-LUMEN INDWELLING ANTIMICROBIAL BLUE FLEXTIP W/0.032IN 60CM STRT/J-TIP GW 4-NDL 3/10ML 2-SYR AGB PLUS DEHP ERGOP,594.0,297.0,113.75,534.6,65
HCPCS,C1751,KIT CATHETER L16 CM OD7 FR ARROWG+ARD BLUE PLUS CHLORHEXIDINE LIDOCAINE PHTHALATE DEHP CENTRAL VENOUS PRESSURE INJECTABLE 3 LUMEN ANTIMICROBIAL SHARP SAFETY,725.0,362.5,158.12,652.5,64
HCPCS,C1751,KIT CATHETER L16 CM OD8 FR ARROWG+ARD BLUE DEHP CENTRAL VENOUS 2 LUMEN ACCESS ANTIMICROBIAL,699.0,349.5,152.45,629.1,64
HCPCS,C1751,KIT CATHETER L20 CM OD7 FR ARROWG+ARD BLUE PLUS DEHP CENTRAL VENOUS 3 LUMEN PRESSURE INJECTABLE ANTIMICROBIAL,725.0,362.5,138.84,652.5,65
HCPCS,C1751,KIT CATHETER L6 IN L2 1/2 IN OD16 GA ODSEC18 GA OD.032 IN OPSITE POLYURETHANE PEDIATRIC 3 ML JUGULAR CENTRAL VENOUS 1 LUMEN GUIDEWIRE NEEDLE,92.0,46.0,17.62,82.8,65
HCPCS,C1751,KIT CATHETER PICC BIOFLO MAX BARRIER 5FR 55CM 2-LUMEN PASV VALVED W/NITINOL GWX2 5/PK,1290.0,645.0,247.04,1161.0,65
HCPCS,C1751,KIT CATHETER PICC CUSTOM RESTRICTED ACCESS 5FR DIA 55CML 3-LUMEN POWER INJECTABLE FLEXIBLE POWERPICC 2/CA CMC MAIN ONLY,494.0,247.0,94.6,444.6,65
HCPCS,C1751,KIT CATHETER REPAIR 2.7FR .9MM .5MM .15ML 71CM 1 LUMEN SPLICE CONNECTOR STENT EXTERNAL SEGMENT INJECTION CAP BROVIAC SILICONE STERILE WHITE CENTRAL VENOUS,198.0,99.0,43.18,178.2,64
HCPCS,C1751,KIT CATHETER REPAIR 7FR 2 LUMEN COMPLETE EXTERNAL SEGMENT CONNECTOR BLUNT TIP HICKMAN SILICONE STERILE LATEX RED WHITE CENTRAL VENOUS,219.0,109.5,47.76,197.1,64
HCPCS,C1751,KIT CATHETER REPAIR F/HICKMAN 9.6FR 1-LUMEN,127.72,63.86,27.86,114.95,64
HCPCS,C1751,KIT CATHETER REPAIR HEMODIALYSIS W/ACCESSORIES F/14.5FR ARGYLE PALINDROME/MAHURKAR BX/1,84.6,42.3,16.2,76.14,65
HCPCS,C1751,KIT CATHETER REPAIR RED WHITE F/HICKMAN 12FR 2-LUMEN CVC NON-RADIOLUCENT,209.0,104.5,45.58,188.1,64
HCPCS,C1751,KIT CATHETERIZATION 18GA 22GA 6.35CM 1.5IN .035IN 2 LUMEN GUIDEWIRE NEEDLE MAC ARROWG+ARD BLUE POLYURETHANE LATEX FREE CENTRAL VENOUS,1235.0,617.5,236.5,1111.5,65
HCPCS,C1751,KIT CATHETERIZATION L13 CM 2 LUMEN BLUE FLEXTIP PEDIATRIC OD4 FR CENTRAL VENOUS,160.0,80.0,30.64,144.0,65
HCPCS,C1751,KIT CATHETERIZATION L13 CM 2 LUMEN BLUE FLEXTIP PEDIATRIC OD5 FR CENTRAL VENOUS LIDOCAINE,160.0,80.0,30.64,144.0,65
HCPCS,C1751,KIT INTRODUCER CATHETER EMERGENCY 8.5FR 8.9CM FLUOROPOLYMER INFUSION W/0.035IN 33.5CM GW DILATOR 17GA 14CM TW NDLEDLE #11 SCALPEL ARROW EID,324.0,162.0,70.66,291.6,64
HCPCS,C1751,KIT REPAIR HICKMAN CENTRAL VENOUS CATHETER RED LEG,198.0,99.0,43.18,178.2,64
HCPCS,C1751,KIT REPAIR HICKMAN CENTRAL VENOUS CATHETER WHITE LEG,198.0,99.0,43.18,178.2,64
HCPCS,C1751,SET CATHETER 16GA 8IN LIDOCANE CENTRAL VENOUS LATEX FREE,166.0,83.0,31.79,149.4,65
HCPCS,C1751,SET CATHETER 4FR 12CM .018IN STANDARD POLYURETHANE CENTRAL VENOUS 2 LUMEN GUIDEWIRE 21GA NEEDLE,77.2,38.6,14.78,69.48,65
HCPCS,C1751,SET CATHETER L13 CM 2 LUMEN ANTIMICROBIAL OD4 FR ARROWG+ARD BLUE BLUE FLEXTIP CHLORHEXIDINE LIDOCAINE PEDIATRIC,382.0,191.0,83.31,343.8,64
HCPCS,C1751,SET CATHETER L13 CM 3 LUMEN OD5.5 FR BLUE FLEXTIP LIDOCAINE PEDIATRIC CENTRAL VENOUS,277.0,138.5,53.05,249.3,65
HCPCS,C1751,SET CATHETER L5 CM 2 LUMEN OD4 FR BLUE FLEXTIP LIDOCAINE PEDIATRIC CENTRAL VENOUS,160.0,80.0,30.64,144.0,65
HCPCS,C1751,SET CATHETER PICC BASIC MST 2FR 50CM POLYURETHANE PEDIATRIC 2-LUMEN TAPERFREE W/GW TEAR-AWAY 24GA SAFETY NDL STYLET VASCU-PICC TLS NON-RADIOLUCENT,170.5,85.25,32.65,153.45,65
HCPCS,C1751,SET CATHETER PICC SPECTRUM MICROPUNCTURE 4FR 60CM 1-LUMEN ANTIMICROBIAL W/4.5FR PEEL-AWAY 0.018IN 65CM SS GW ECHOTIP NDL SILICONE MINOCYCLINE RIFAMPIN,122.55,61.28,23.47,110.3,65
HCPCS,C1751,TRAY CATHETER 18GA 2.25IN INTRAVASCULAR ACCUCATH BASIC RADIOPAQUE ECHOGENIC GUIDEWIRE POWER INJECTABLE NITINOL 6ML/SEC LATEX FREE DISPOSABLE STERILE,798.0,399.0,174.04,718.2,64
HCPCS,C1751,TRAY CATHETER 20GA 2.25IN INTRAVASCULAR ACCUCATH ACE BASIC CONTROL VALVE ECHOGENIC GUIDEWIRE POWER INJECTABLE 6ML/SEC,822.0,411.0,157.41,739.8,65
HCPCS,C1751,TRAY CATHETER 4FR 135CM POWERPICC 1 LUMEN MAXIMAL BARRIER NURSING MICROINTRODUCER PICC POLYURETHANE STERILE,404.0,202.0,77.37,363.6,65
HCPCS,C1751,TRAY CATHETER CENTRAL VENOUS 4FR DIA 12CML POLYURETHANE 1-LUMEN W/0.021IN STRAIGHT 2MM J-TIP GUIDEWIRE 20GA TW NEEDLE,114.4,57.2,21.91,102.96,65
HCPCS,C1751,TRAY CATHETER CENTRAL VENOUS 4FR DIA 12CML POLYURETHANE RIGHT SUBCLAVIAN 2-LUMEN STANDARD W/0.018IN STRT 2MM J-TIP GW 21GA TW CURVE NDL SUTURE LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,119.0,59.5,22.79,107.1,65
HCPCS,C1751,TRAY CATHETER CENTRAL VENOUS 5FR 30CM 3-LUMEN STANDARD W/0.025IN GW DIL ACCESS NDL 6ML SYR POLYURETHANE,191.0,95.5,41.66,171.9,64
HCPCS,C1751,TRAY CATHETER CENTRAL VENOUS FULL 7FR DIA 20CML POLYURETHANE MINOCYCLINE RIFAMPIN HYDROPHILIC RIGHT SUBCLAVIAN 3-LUMEN ANTIMICROBIAL POWER INJECTABLE STANDARD W/0.032IN STRT 3MM J-TIP GW 18GA TW CURVE,210.0,105.0,40.22,189.0,65
HCPCS,C1751,TRAY CATHETER HEMODIALYSIS ACUTE 12FR DIA 20CM THERMOSENSITIVE POLYURETHANE 400ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 2LUM REINFORCED HUB W/ACCESSORIES MAHURKAR ELITE 5/CT,325.0,162.5,62.24,292.5,65
HCPCS,C1751,TRAY CATHETER IV INTERMEDIATE 20GA 2.25IN POWER INJECTABLE W/ACCUTIP NT GW PINK ACCUCATH ACE NON-RADIOLUCENT,508.8,254.4,110.97,457.92,64
HCPCS,C1751,TRAY CATHETER L12 CM SPECTRUM 2 LUMEN CURVE NEEDLE SUTURE HOLDER MINOCYCLINE RIFAMPIN POLYURETHANE .018 IN OD4 FR CENTRAL VENOUS,175.0,87.5,33.51,157.5,65
HCPCS,C1751,TRAY CATHETER L12 CM SPECTRUM 3 LUMEN CURVE NEEDLE SUTURE HOLDER MINOCYCLINE RIFAMPIN POLYURETHANE .025 IN OD5 FR CENTRAL VENOUS,177.5,88.75,38.71,159.75,64
HCPCS,C1751,TRAY CATHETER L15 CM COOK 3 LUMEN GUIDEWIRE POLYURETHANE PEDIATRIC .025 IN OD5 FR CENTRAL VENOUS,158.0,79.0,30.26,142.2,65
HCPCS,C1751,TRAY CATHETER L25 CM SPECTRUM 3 LUMEN CURVED NEEDLE SUTURE HOLDER POLYURETHANE MINOCYCLINE RIFAMPIN .032 IN OD7 FR CENTRAL VENOUS,175.0,87.5,33.51,157.5,65
HCPCS,C1751,TRAY CATHETER L5 CM SPECTRUM 2 LUMEN CURVE NEEDLE SUTURE HOLDER MINOCYCLINE RIFAMPIN POLYURETHANE .018 IN OD4 FR CENTRAL VENOUS,173.0,86.5,33.13,155.7,65
HCPCS,C1751,TRAY CATHETER L5 CM SPECTRUM 3 LUMEN STRAIGHT NEEDLE SUTURE MINOCYCLINE RIFAMPIN POLYURETHANE PEDIATRIC .025 IN OD5 FR CENTRAL VENOUS,176.9,88.45,33.88,159.21,65
HCPCS,C1751,TRAY CATHETER L8 CM SPECTRUM 2 LUMEN CURVE NEEDLE SUTURE HOLDER MINOCYCLINE RIFAMPIN POLYURETHANE .018 IN OD4 FR CENTRAL VENOUS,175.0,87.5,33.51,157.5,65
HCPCS,C1751,TRAY CATHETER L8 CM SPECTRUM 3 LUMEN CURVE NEEDLE SUTURE HOLDER MINOCYCLINE RIFAMPIN POLYURETHANE .025 IN OD5 FR CENTRAL VENOUS,177.5,88.75,33.99,159.75,65
HCPCS,C1751,TRAY CATHETER MIDLINE 20GA 10CML POLYURETHANE FULL POWER INJECTABLE W/0.014IN 1.3INL NITINOL GUIDEWIRE STATLOCK COLOR-CODED POWERGLIDE LATEX-FREE NON-RADIOLUCENT NON-PYROGENIC,790.0,395.0,151.29,711.0,65
HCPCS,C1751,TRAY CATHETER MIDLINE FULL 20GA 8CML POLYURETHANE 0.13ML CAPACITY POWER INJECTABLE NON-TRIMMABLE W/STATLOCK PREP PAD 3ML CHLORAPREP GUARDIVA DRAPE POWERGLIDE LATEX-FREE NON-RADIOLUCENT NON-PYROGENIC,790.0,395.0,151.29,711.0,65
HCPCS,C1751,TRAY CATHETER PICC IR 6FR DIA 18GA 55CML POLYURETHANE 0.62/0.62ML CAPACITY 2-LUMEN REVERSE TAPER POWER INJECTABLE W/0.018IN 70CM SS GW 10CM MICROINTRO 21GA NDL STATLOCK POWERPICC NON-PYROGENIC,389.5,194.75,74.59,350.55,65
HCPCS,C1751,TRAY LUMEN CVC 3FR X 8CM SINGLE,110.0,55.0,23.99,99.0,64
HCPCS,C1751,TRAY PRESSURE MONITOR 3FR .018IN 5CM STRAIGHT 1 LUMEN CATHETER GUIDEWIRE NEEDLE BASEPLATE SYRINGE ARTERIAL POLYETHYLENE STERILE LATEX FREE DISPOSABLE,79.2,39.6,15.17,71.28,65
HCPCS,C1751,TRAY PRESSURE MONITOR COOK L8 CM OD3 FR ODSEC.018 IN POLYURETHANE STRAIGHT J L2 MM CENTRAL VENOUS LUMEN GUIDEWIRE,91.0,45.5,17.43,81.9,65
HCPCS,C1751,TRAY PRESSURE MONITOR L2.5 CM .015 IN OD2.5 FR POLYETHYLENE ARTERIAL,110.0,55.0,21.07,99.0,65
HCPCS,C1751,TUBE TRACHEOSTOMY L68 MM CUFF DISPOSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD10.1 MM 5 PLASTICIZER,44.45,22.23,9.69,40.01,64
HCPCS,C1752,CATHETER HEMODIALYSIS 11.5FR 8IN HEMO-CATH 2 LUMEN DILATOR ADHESIVE WOUND DRESSING INTRODUCER NEEDLE SILICONE STRAIGHT,1185.0,592.5,226.93,1066.5,65
HCPCS,C1752,CATHETER HEMODIALYSIS ACUTE 12.5FR 16CM POLYURETHANE 400ML/MIN STRAIGHT EXTENSION 3-LARGE MODIFIED LUMEN HIGH FLOW SIDE SLOT REINFORCED HUB W/3-SEALING CAP GREEN MAHURKAR ELITE 5/CT,290.0,145.0,55.54,261.0,65
HCPCS,C1752,CATHETER HEMODIALYSIS ACUTE 12FR DIA 16CM THERMOSENSITIVE POLYURETHANE 400ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 2LUM REINFORCED HUB MAHURKAR ELITE 5/CT,160.0,80.0,30.64,144.0,65
HCPCS,C1752,CATHETER HEMODIALYSIS ACUTE 12FR DIA 20CM THERMOSENSITIVE POLYURETHANE 400ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 2LUM REINFORCED HUB MAHURKAR ELITE 5/CT,160.0,80.0,30.64,144.0,65
HCPCS,C1752,CATHETER HEMODIALYSIS MAHURKAR ELITE ACUTE 12.5FR 20CM 3-LARGE MODIFIED LUMEN HIGH FLOW POLYURETHANE STRAIGHT EXTENSION SIDE SLOT REINFORCED HUB W/3-SEALING CAP GREEN 400ML/MIN,290.0,145.0,55.54,261.0,65
HCPCS,C1752,CATHETER HEMODIALYSIS SHORT TERM 7FR DIA 7CM STRAIGHT DUO-FLOW SOFT LINE,67.0,33.5,12.83,60.3,65
HCPCS,C1752,KIT CATH HEMOLYSIS MAHURKAR ELITE AC 13.5FR 16CM 450ML/MIN STR EXT SYTIP 2LUM,290.0,145.0,55.54,261.0,65
HCPCS,C1752,KIT CATH HEMOLYSIS MAHURKAR ELITE AC 13.5FR 20CM 450ML/MIN STR EXT SYTIP 2LUM,290.0,145.0,55.54,261.0,65
HCPCS,C1752,KIT CATHETER 13FR 15CM STRAIGHT 2 LUMEN SHORT TERM DIALYSIS EXTENSION LEG KINK RESISTANT DUOGLIDE POLYURETHANE STERILE LATEX FREE,459.0,229.5,87.9,413.1,65
HCPCS,C1752,KIT CATHETER 13FR 15CM STRAIGHT 3 LUMEN KINK RESISTANCE SYMMETRIC TIP POWER INJECTABLE POWER-TRIALYSIS POLYURETHANE STERILE SHORT TERM HEMODIALYSIS,765.0,382.5,146.5,688.5,65
HCPCS,C1752,KIT CATHETER 13FR 24CM STRAIGHT 2 LUMEN SHORT TERM DIALYSIS EXTENSION LEG KINK RESISTANT SYMMETRICAL TIP DUOGLIDE POLYURETHANE STERILE LATEX FREE,459.0,229.5,87.9,413.1,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS ACUTE 11.5FR DIA 19.5CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 1.2/1.3ML A/V PRIMING 350ML/MIN STRAIGHT EXTENSION CONICAL TIP 2LUM SIDE SLOT W/ACCESSORIES MAHURKAR NON-RAD,250.0,125.0,47.88,225.0,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS ACUTE 12.5FR 16CM THERMOSENSITIVE POLYURETHANE 400ML/MIN CURVED EXTENSION SYMMETRIC TIP 3-LUMEN REINFORCED HUB W/ACCESSORIES MAHURKAR ELITE 5/PK TLC,355.0,177.5,67.98,319.5,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS ACUTE 12.5FR 16CM THERMOSENSITIVE POLYURETHANE 400ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 3LUM REINFORCED HUB W/ACCESSORIES MAHURKAR ELITE 5/CT,355.0,177.5,67.98,319.5,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS ACUTE 12FR DIA 20CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 1.6/1.7/0.5ML A/D/M PRIMING CURVED EXTENSION 3LUM HIGH FLOW/PRESSURE SIDE SLOT REINFORCED HUB W/ACCESSORIES GREE,355.0,177.5,67.98,319.5,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS ACUTE 12FR DIA 24CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 1.6/1.7/0.5ML A/V/I PRIMING CURVED EXTENSION 3LUM HIGH FLOW/PRESSURE SIDE SLOT REINFORCED HUB W/ACCESSORIES GREE,355.0,177.5,67.98,319.5,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS ACUTE EXTENSION 8FR DIA 9CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 0.8/0.9ML A/V PRIMING STRAIGHT 2LUM W/ACCESSORIES MAHURKAR 5/CA,250.0,125.0,47.88,225.0,65
HCPCS,C1752,KIT CATHETER HEMODIALYSIS MAHURKAR ACUTE 10FR DIA 12CML IMPLANTABLE 0.9/1ML A/V PRIMING CURVED EXTENSION 2LUM SIDE HOLE W/ACCESSORIES THERMOSENSITIVE POLYURETHANE NON-RADIOLUCENT CT/5,250.0,125.0,47.88,225.0,65
HCPCS,C1752,SET CATHETER 9FR 12CM STRAIGHT DUO-FLOW POLYURETHANE 2 LUMEN SHORT TERM BASIC INTRODUCER NEEDLE DILATOR HEMODIALYSIS,62.5,31.25,11.97,56.25,65
HCPCS,C1752,SET CATHETER 9FR 15CM STRAIGHT SOFT-LINE POLYURETHANE 2 LUMEN INTRODUCER NEEDLE GUIDEWIRE INJECTION CAP DILATOR HEMODIALYSIS,312.5,156.25,59.84,281.25,65
HCPCS,C1752,SET CATHETER HEMODIALYSIS ACUTE 11.5FR DIA 15CM SILICONE STRAIGHT ROUND TAPERED TIP 2LUM OTW W/FAST TRACK STYLET ACCESSORIES HEMO-CATH ST MRI-SAFE NON-RADIOLUCENT 10/BX,515.0,257.5,98.62,463.5,65
HCPCS,C1752,SET CATHETER HEMODIALYSIS ACUTE BASIC 11.5FR DIA 15CM SILICONE STRAIGHT ROUND TAPERED TIP 2LUM OTW W/FAST TRACK STYLET ACCESSORIES HEMO-CATH ST MRI-SAFE NON-RADIOLUCENT 5/BX,465.0,232.5,89.05,418.5,65
HCPCS,C1752,SET CATHETER HEMODIALYSIS ACUTE BASIC 11.5FR DIA 20CM SILICONE STRAIGHT ROUND TAPERED TIP 2LUM OTW W/FAST TRACK STYLET ACCESSORIES HEMO-CATH ST MRI-SAFE NON-RADIOLUCENT 5/BX,465.0,232.5,89.05,418.5,65
HCPCS,C1752,SET CATHETER HEMODIALYSIS ACUTE BASIC 8FR DIA 12CM SILICONE STRAIGHT ROUND TAPERED TIP 2LUM OTW W/FAST TRACK STYLET ACCESSORIES HEMO-CATH ST MRI-SAFE NON-RADIOLUCENT 5/BX,120.0,60.0,22.98,108.0,65
HCPCS,C1752,SET CATHETER HEMODIALYSIS ACUTE BASIC 9FR DIA 12CM THERMOSENSITIVE POLYURETHANE STRAIGHT TAPERED TIP 2LUM SOFT TIP ERIAL PORT W/ACCESSORIES SOFT-LINE MRI-SAFE NON-RADIOLUCENT 5/BX,312.5,156.25,59.84,281.25,65
HCPCS,C1752,SET CATHETER HEMODIALYSIS ACUTE BASIC 9FR DIA 15CM THERMOSENSITIVE POLYURETHANE STRAIGHT TAPERED TIP 2LUM STEP TIP W/ACCESSORIES DUO-FLOW MRI-SAFE 5/BX,312.5,156.25,59.84,281.25,65
HCPCS,C1752,TRAY CATHETER 15CM 13FR POWER-TRIALYSIS STRAIGHT 3 LUMEN ACUTE DIALYSIS SHORT TERM STERILE,1010.0,505.0,193.42,909.0,65
HCPCS,C1752,TRAY CATHETER GREEN 20CM 13.5FR MAHURKAR ELITE LARGE POLYURETHANE 2 LUMEN HIGH FLOW PASS STRAIGHT EXTENSION HEMODIALYSIS,116.55,58.28,22.32,104.9,65
HCPCS,C1752,TRAY CATHETER GREEN 24CM 13.5FR MAHURKAR ELITE LARGE POLYURETHANE 2 LUMEN HIGH FLOW PASS STRAIGHT EXTENSION HEMODIALYSIS,116.55,58.28,22.32,104.9,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE 13FR 12.5CM INSERTION THERMOSENSITIVE POLYURETHANE 400ML/MIN CURVED EXTENSION SYMMETRIC TIP 3LUM HIGH FLOW MSB POWER INJECTABLE W/ACCESSORIES POWER-TRIALYSIS 5/CA,1060.5,530.25,203.09,954.45,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE IC SAFETY 11.5FR DIA 13.5CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 1/1.1ML A/V PRIMING 350ML/MIN STRAIGHT EXTENSION CONICAL TIP 2LUM SIDE SLOT W/ACCESSORIES MAHURKA,325.0,162.5,62.24,292.5,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE IC SAFETY 11.5FR DIA 19.5CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 1.2/1.3ML A/V PRIMING 350ML/MIN STRAIGHT EXTENSION CONICAL TIP 2LUM SIDE SLOT W/ACCESSORIES MAHUR,325.0,162.5,62.24,292.5,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE IC SAFETY 12FR DIA 20CML IMPLANTABLE THERMOSENSITIVE POLYURETHANE 1.5/1.6/0.5ML A/D/M PRIMING STRAIGHT EXTENSION 3LUM HIGH FLOW/PRESSURE SIDE SLOT REINFORCED HUB W/ACC,435.0,217.5,83.3,391.5,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE PASS 12.5FR 16CM THERMOSENSITIVE POLYURETHANE 400ML/MIN CURVED EXTENSION SYMMETRIC TIP 3LUM REINFORCED HUB W/ACCESSORIES MAHURKAR ELITE EA,120.0,60.0,22.98,108.0,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE PASS 12FR 24CM IMPLANTABLE POLYURETHANE 1.7/1.7/0.5ML A/D/M PRIMING STRAIGHT EXTENSION 3-LUMEN HIGH FLOW/PRESSURE SIDE SLOT REINFORCED HUB W/J/STR GW 18GA INTRO NDL GR,120.0,60.0,22.98,108.0,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS ACUTE PASS 12FR DIA 16CM THERMOSENSITIVE POLYURETHANE 400ML/MIN CURVED EXTENSION SYMMETRIC TIP 2LUM REINFORCED HUB W/ACCESSORIES MAHURKAR ELITE,100.0,50.0,19.15,90.0,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS MAHURKAR ELITE ACUTE IC SAFETY 12.5FR DIA 20CM 400ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 3-LUMEN REINFORCED HUB W/ACCESSORIES THERMOSENSITIVE POLYURETHANE CT/5,435.0,217.5,83.3,391.5,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS MAHURKAR ELITE ACUTE IC SAFETY 12.5FR DIA 24CM 400ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 3-LUMEN REINFORCED HUB W/ACCESSORIES THERMOSENSITIVE POLYURETHANE CT/5,435.0,217.5,83.3,391.5,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS MAHURKAR ELITE ACUTE IC SAFETY 13.5FR DIA 16CM 450ML/MIN CURVED EXTENSION SYMMETRIC TIP 2LUM HIGH FLOW REINFORCED HUB W/ACCESSORIES THERMOSENSITIVE POLYURETHANE CT/5,390.0,195.0,74.69,351.0,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS MAHURKAR ELITE ACUTE IC SAFETY 13.5FR DIA 20CM 450ML/MIN CURVED EXTENSION SYMMETRIC TIP 2LUM HIGH FLOW REINFORCED HUB W/ACCESSORIES THERMOSENSITIVE POLYURETHANE CT/5,390.0,195.0,74.69,351.0,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS MAHURKAR ELITE ACUTE IC SAFETY 13.5FR DIA 24CM 450ML/MIN STRAIGHT EXTENSION SYMMETRIC TIP 2LUM HIGH FLOW REINFORCED HUB W/ACCESSORIES THERMOSENSITIVE POLYURETHANE CT/5,390.0,195.0,74.69,351.0,65
HCPCS,C1752,TRAY CATHETER HEMODIALYSIS SHORT-TERM 12.5FR 19GA 20CM POLYURETHANE STRAIGHT EXTENSION HIGH PRESSURE MODIFIED DOUBLE-D TRIPLE LUMEN REINFORCED HUB W/IC SAFETY COMPONENT 18GA SAFETY INTRODUCER MAGELLAN,120.0,60.0,22.98,108.0,65
HCPCS,C1752,TRAY CATHETER L16 CM MAHURKAR ELITE DOUBLE-D 3 LUMEN INFECTION CONTROL ATRAUMATIC TIP STRAIGHT EXTENSION POLYURETHANE LARGE OD12.5 FR GREEN HEMODIALYSIS,435.0,217.5,83.3,391.5,65
HCPCS,C1753,BALLOON ENDOSCOPIC ULTRAMATRIX RADIAL ULTRASOUND,368.27,184.14,80.32,331.44,64
HCPCS,C1753,CATHETER DIAGNOSTIC IMAGING DRAGONFLY OPSTAR,875.0,437.5,190.84,787.5,64
HCPCS,C1753,CATHETER ULTRASOUND .014 IN CURVE OD6 FR L120 CM REENTRY IVUS PIONEER PLUS,2400.0,1200.0,523.44,2160.0,64
HCPCS,C1753,CATHETER ULTRASOUND .014P INTRAVASCULAR DIGITAL VISIONS PV ACCEPTS 5 FR GUIDEWIRE,725.0,362.5,158.12,652.5,64
HCPCS,C1753,CATHETER ULTRASOUND .035 IN OD8.5 FR L90 CM L100 CM INTRAVASCULAR LARGE VESSEL OTW RADIOPAQUE DIGITAL IMAGE GUIDEWIRE GLYDX VISIONS PV,950.0,475.0,207.2,855.0,64
HCPCS,C1753,CATHETER ULTRASOUND 20MHZ OD3.3-2.9 FR ODSEC20 MM L150 CM L24 CM RAPID EXCHANGE LUMEN RADIOPAQUE TAPER TIP GLYDX EAGLE EYE PLATINUM ACCEPTS .014 IN GUIDEWIRE TRAK BACK II R-100 PULLBACK DEVICE,725.0,362.5,158.12,652.5,64
HCPCS,C1753,CATHETER ULTRASOUND 20MHZ OD3.4 FR L135 CM INTRAVASCULAR SCANNER TRANSDUCER ARRAY VISIONS PV ACCEPTS .018 IN GUIDEWIRE,725.0,362.5,158.12,652.5,64
HCPCS,C1753,CATHETER ULTRASOUND 5FR 20MM 150CM 20MHZ SHORT TAPER TRANSDUCER RAPID EXCHANGE LUMEN RADIOPAQUE SHAFT MARKER EAGLE EYE GLYDX PLATINUM ST PERIPHERAL LATEX FREE ACCEPTS .014IN GUIDEWIRE IVUS,725.0,362.5,158.12,652.5,64
HCPCS,C1753,CATHETER ULTRASOUND 5FRD DIA 20MML GLYDX PLATINUM HYDROPHILIC COATED STRAIGHT OTW EAGLE EYE LATEX-FREE NON-RADIOLUCENT MARKER STERILE SINGLE-USE 0.014IN GUIDEWIRE COMPATIBLE,725.0,362.5,158.12,652.5,64
HCPCS,C1753,CATHETER ULTRASOUND 6FR DIA 135CML IMA OPTICROSS IVUS LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,600.0,300.0,130.86,540.0,64
HCPCS,C1753,CATHETER ULTRASOUND INTRAVASCULAR DIGITAL VISIONS PV 0.018IN GW,760.0,380.0,165.76,684.0,64
HCPCS,C1753,CATHETER ULTRASOUND OPTICROSS 5FR INTRAVASCULAR,600.0,300.0,130.86,540.0,64
HCPCS,C1753,CATHETER ULTRASOUND OPTICROSS 6 6FR INTRAVASCULAR,600.0,300.0,130.86,540.0,64
HCPCS,C1753,CATHETER ULTRASOUND OPTICROSS 6HD 3.6FR 1.18MM 135CM 60MHZ IMAGE CORONARY STERILE LATEX FREE DISPOSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1753,CATHETER ULTRASOUND OPTICROSS 6HD 6FR 1.18MM 135CM 60MHZ IMAGE CORONARY STERILE LATEX FREE DISPOSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1753,CATHETER ULTRASOUND OPTICROSS HD 3FR 1MM 135CM IMAGING CORONARY STERILE LATEX FREE REUSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1753,CATHETER ULTRASOUND OPTICROSS HD 5FR 1MM 135CM IMAGING CORONARY STERILE LATEX FREE REUSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1753,CATHETER VASCULAR PV .018 IN OTW RECONNAISSANCE,760.0,380.0,165.76,684.0,64
HCPCS,C1753,"KIT CATHETER L135 CM OD2.7 FR 20 MM DRAGONFLY OPTIS,OPTIS HYDROPHILIC 3 ML RADIOPAQUE IMAGE 1 SYRINGE RAPID EXCHANGE TIP ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE",650.0,325.0,141.77,585.0,64
HCPCS,C1753,MICROCATHETER VASCULAR 5-8FR 335CM 26CM RX FFR NAVVUS II 0.014IN GW,3750.0,1875.0,817.88,3375.0,64
HCPCS,C1753,TRANSDUCER ULTRASOUND ROTATIONAL SHORT TIP REFINITY INTRAVASCULAR,650.0,325.0,141.77,585.0,64
HCPCS,C1754,TAMP SURGICAL 10/2 KIT EXPRESS II OSTEO INTRODUCER SYSTEM,3506.0,1753.0,764.66,3155.4,64
HCPCS,C1754,TAMP SURGICAL 15/2 INFLATABLE EXPRESS II,1000.0,500.0,218.1,900.0,64
HCPCS,C1754,TAMP SURGICAL 15/2 KIT ADDITION EXPRESS II,2000.0,1000.0,436.2,1800.0,64
HCPCS,C1754,TRAY BONE CEMENT KYPHOPAK 15/2 FIRST FRACTURE,3989.0,1994.5,870.0,3590.1,64
HCPCS,C1754,TRAY BONE CEMENT KYPHOPAK KYPHON EXPRESS II 15/2 DELIVERY SYSTEM BUNDLE INFLATABLE TAMP,3506.0,1753.0,764.66,3155.4,64
HCPCS,C1755,CATHETER INTRATHECAL L114 CM 2 PIECE CONNECTOR PIN FLEXIBLE CLOSED TIP OD4 FR ID.5 MM ASCENDA SILICONE POLYMER L86 CM,600.0,300.0,114.9,540.0,65
HCPCS,C1755,CATHETER INTRATHECAL L55 IN LONG 2 PIECE INNER LUMEN RADIOPAQUE SUTURELESS PUMP CONNECTOR OD4 FR ID.5 MM ASCENDA POLYURETHANE SILICONE L66 CM .296 ML SPINE,600.0,300.0,114.9,540.0,65
HCPCS,C1755,CATHETER LUMBAR DRAINAGE 14GA 46CML TUOHY NEEDLE STYLET LUER-LOCK CONNECTOR CODMAN LATEX-FREE NON-RADIOLUCENT STERILE,175.5,87.75,38.28,157.95,64
HCPCS,C1755,CATHETER PROMETRA INTRATHECAL,900.0,450.0,172.35,810.0,65
HCPCS,C1755,KIT ACCESSORY 2 ATTACH COLLET SPINAL SEGMENT REVISION CATHETER CONNECTOR ASCENDA,580.0,290.0,111.07,522.0,65
HCPCS,C1755,KIT ACCESSORY 2 ATTACHED COLLET CATHETER CONNECTOR ANCHOR REMOVAL TOOL DISPENSER ASCENDA INTRATHECAL DRUG DELIVERY,150.0,75.0,28.73,135.0,65
HCPCS,C1755,KIT INTRATHECAL REVISION CATHETER CONNECTOR PUMP SEGMENT ASCENDA,300.0,150.0,57.45,270.0,65
HCPCS,C1756,CATHETER ELECTROPHYSIOLOGY L110 CM OD5 FR 1 CM SPACE RIGHT HEART CURVE SHROUD BIPOLAR TEMPORARY FLOW DIRECT PACEL POLYURETHANE,103.0,51.5,22.46,92.7,64
HCPCS,C1757,CANNULA ANGIOVAC F18 PTO W/ CIRCUIT,14500.0,7250.0,2776.75,13050.0,65
HCPCS,C1757,CATH REPERFUSION JET DHI-FLOW,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,CATHETER DELIVERY SYSTEM 088 7IN STERILE LATEX FREE TENZING DISPOSABLE,5150.0,2575.0,1123.22,4635.0,64
HCPCS,C1757,CATHETER DIAGNOSTIC 4.5FR DIA 145CML W/FILTER BASKET LOCKING SYRINGE F/VASCULAR EMBOLIC TEMPORARY OCCLUSION QUICKCAT LATEX-FREE NON-RADIOLUCENT MARKER,650.0,325.0,141.77,585.0,64
HCPCS,C1757,CATHETER EMBOLECTOMY 2FR DIA 4.5MM DIA 40CML POLYETHER BLOCK AMIDE 0.05ML CAPACITY ARTERIAL ROUND TIP LUMENX1 W/ELECTRONIC INSTRUCTION LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-USE,35.0,17.5,7.63,31.5,64
HCPCS,C1757,CATHETER EMBOLECTOMY 2FR DIA 4.5MM DIA 60CML POLYETHER BLOCK AMIDE 0.05ML CAPACITY ARTERIAL ROUND TIP LUMENX1 RUPTURE RESISTANT W/INFLATION PORT SYRINGE LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-U,69.0,34.5,15.05,62.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY 2FR DIA 60CML POLYETHER BLOCK AMIDE LUMENX1 W/ELECTRONIC INSTRUCTION LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-USE,35.0,17.5,7.63,31.5,64
HCPCS,C1757,CATHETER EMBOLECTOMY 3FR DIA 80CML SILICONE STAINLESS STEEL VINYL 0.5ML CAPACITY ARTERIAL ROUND TIP LUMENX1 W/ELECTRONIC INSTRUCTION LEMAITRE LATEX NON-RADIOLUCENT PVC STERILE SINGLE-USE 0.035IN GUIDE,40.0,20.0,8.72,36.0,64
HCPCS,C1757,CATHETER EMBOLECTOMY 3FR DIA 8MM DIA 40CML POLYETHER BLOCK AMIDE BALLOON 0.2ML CAPACITY ARTERIAL ROUND TIP LUMENX1 W/ELECTRONIC INSTRUCTION LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-USE,32.0,16.0,6.98,28.8,64
HCPCS,C1757,CATHETER EMBOLECTOMY 4FR DIA 10.5MM 40CML POLYETHER BLOCK AMIDE BALLOON 0.75ML CAPACITY ARTERIAL ROUND TIP LUMENX1 W/ELECTRONIC INSTRUCTION LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-USE,27.0,13.5,5.89,24.3,64
HCPCS,C1757,CATHETER EMBOLECTOMY 5FR 11MM DIA INFLATED BALLOON 40CML OTW LATEX-FREE,125.0,62.5,27.26,112.5,64
HCPCS,C1757,CATHETER EMBOLECTOMY 5FR 12MM 40CM .035IN OTW BALLOON GUIDEWIRE NOVASIL 1.5ML,99.0,49.5,21.59,89.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY 5FR DIA 13.5MM DIA 80CML POLYETHER BLOCK AMIDE VINYL 1.50ML CAPACITY ARTERIAL ROUND TIP OTW LUMENX1 RUPTURE RESISTANT W/INFLATION PORT SYRINGE LEMAITRE LATEX PVC NON-RADIOLUCENT S,40.0,20.0,8.72,36.0,64
HCPCS,C1757,CATHETER EMBOLECTOMY 5FR DIA 13MM DIA 40CML POLYETHER BLOCK AMIDE 1.5ML BALLOON ARTERIAL ROUND TIP OTW LUMENX1 RUPTURE RESISTANT W/INFLATION PORT SYRINGE LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-,26.0,13.0,5.67,23.4,64
HCPCS,C1757,CATHETER EMBOLECTOMY 5FR DIA 33FR DIA INFLATED BALLOON 80CML VASCULAR OTW NON-FRAGMENTING FLEXIBLE TIP SYMMETRICAL PYTHON LATEX-FREE,125.0,62.5,27.26,112.5,64
HCPCS,C1757,CATHETER EMBOLECTOMY 6FR DIA 80CML POLYETHER BLOCK AMIDE 1.25ML CAPACITY ARTERIAL ROUND TIP OTW LUMENX1 RUPTURE RESISTANT W/ELECTRONIC INSTRUCTION LEMAITRE LATEX NON-RADIOLUCENT STERILE SINGLE-USE,69.0,34.5,15.05,62.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY 6FR DIA 80CML SILICONE STAINLESS STEEL VINYL 1.25ML CAPACITY ARTERIAL ROUND TIP OTW LUMENX1 W/INFLATION PORT SYRINGE LEMAITRE LATEX PVC NON-RADIOLUCENT STERILE SINGLE-USE 0.035IN ,40.0,20.0,8.72,36.0,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 3FR 6MM 80CM .018IN C.2ML 1 LUMEN BALLOON OTW GUIDEWIRE RAPID EXCHANGE STERILE LATEX DISPOSABLE GREEN,119.0,59.5,25.95,107.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 3FR 8MM 80CM .20ML STERILE LATEX DISPOSABLE,69.0,34.5,15.05,62.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 4FR 10.5MM 80CM 75ML STERILE LATEX DISPOSABLE,69.0,34.5,15.05,62.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 4FR 10MM 40CM .025IN C.75ML 2 LUMEN OTW IRRIGATION RAPID EXCHANGE GUIDEWIRE LATEX RED,119.0,59.5,25.95,107.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 4FR 10MM 80CM .025IN 1 LUMEN BALLOON OTW GUIDEWIRE .75ML STERILE LATEX,119.0,59.5,25.95,107.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 5+ FR 12MM 80CM .035IN C1.5ML 1 LUMEN BALLOON OTW GUIDEWIRE RAPID EXCHANGE STERILE LATEX DISPOSABLE WHITE,119.0,59.5,25.95,107.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 6FR 13MM 40CM C1.6ML 2 LUMEN OTW STERILE LATEX BLUE ACCEPTS .035IN GUIDEWIRE 7FR INTRODUCER,119.0,59.5,25.95,107.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY LEMAITRE 6FR 13MM 80CM .035IN C1.6ML 1 LUMEN BALLOON OTW GUIDEWIRE RAPID EXCHANGE STERILE LATEX DISPOSABLE BLUE,119.0,59.5,25.95,107.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY NOVASIL 3FR 6MM 80CM 1 LUMEN BALLOON SILICONE .2ML STERILE LATEX FREE DISPOSABLE,159.0,79.5,34.68,143.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY NOVASIL 4FR 9MM 40CM BALLOON 1 LUMEN .6ML LATEX FREE,149.0,74.5,32.5,134.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY NOVASIL 4FR 9MM 80CM 1 LUMEN BALLOON SILICONE .6ML STERILE LATEX FREE DISPOSABLE,159.0,79.5,34.68,143.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY NOVASIL 5FR 11MM 80CM 1 LUMEN BALLOON SILICONE 1ML STERILE LATEX FREE DISPOSABLE,159.0,79.5,34.68,143.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY NOVASIL 6FR 13MM 80CM 1 LUMEN BALLOON 1.6ML LATEX FREE,149.0,74.5,32.5,134.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY OD5.5 FR ODSEC11 MM L80 CM OTW RADIOPAQUE FOGARTY THRULUMEN STAINLESS STEEL SILICONE NATURAL RUBBER ARTERIAL ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER,141.0,70.5,30.75,126.9,64
HCPCS,C1757,CATHETER EMBOLECTOMY OD6 FR ODSEC10 MM L80 CM ADHERENT CLOT FOGARTY,306.0,153.0,66.74,275.4,64
HCPCS,C1757,CATHETER EMBOLECTOMY SYNTEL 3FR 40CM CYLINDRICAL NONFRAGMENT SYMMETRICAL BALLOON SPRING TIP LATEX FREE,139.0,69.5,30.32,125.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY SYNTEL 3FR 80CM NONFRAGMENT CYLINDRICAL SYMMETRICAL BALLOON FLEXIBLE SPRING TIP VASCULAR LATEX FREE,159.0,79.5,34.68,143.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY SYNTEL 4FR 40CM CYLINDRICAL NONFRAGMENT SYMMETRICAL BALLOON SPRING TIP LATEX FREE,139.0,69.5,30.32,125.1,64
HCPCS,C1757,CATHETER EMBOLECTOMY SYNTEL 4FR 9MM 80CM 1 LUMEN BALLOON SPRING TIP NONFRAGMENT SILICONE .75ML 1.7ML,134.0,67.0,29.23,120.6,64
HCPCS,C1757,CATHETER INFUSION 5FR 45CM RADIOPAQUE OCCLUDE WIRE UNI-FUSE FLOW-THRU HUB 15CM STERILE ACCEPTS .035IN GUIDEWIRE,175.0,87.5,38.17,157.5,64
HCPCS,C1757,"CATHETER RAPTOR ASPIRATION .074, 120CM",2395.0,1197.5,522.35,2155.5,64
HCPCS,C1757,"CATHETER RAPTOR ASPIRATION .074, 132CM",2395.0,1197.5,522.35,2155.5,64
HCPCS,C1757,CATHETER REPERFUSION ASPIRATION TUBING RED 43,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,CATHETER REPERFUSION L132 CM LARGE BORE REDGLIDE COATING SENDIT TECH LUMEN .072 IN 1.83 MM OD.085 IN 2.16 MM RED 72 TEST,4900.0,2450.0,1068.69,4410.0,64
HCPCS,C1757,CATHETER REPERFUSION L138 CM RED 62 KIT PENUMBRA ASPIRATION TUBING RED,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,CATHETER REPERFUSION L143 CM OD6-4.3 FR ID.041 IN 4MAX,1350.0,675.0,294.44,1215.0,64
HCPCS,C1757,CATHETER REPERFUSION L160 CM .043 IN OD1.52 MM RED 43,2390.0,1195.0,521.26,2151.0,64
HCPCS,C1757,CATHETER THROMBECTOMY ID.041 IN REPERFUSION PENUMBRA SYSTEM,1450.0,725.0,316.25,1305.0,64
HCPCS,C1757,CATHETER THROMBECTOMY INFUSION 5FR DIA 135CML 5CML HYDROPHILIC COATED OCCLUDING BALL WIRE PRESSURE OUTLET UNI-FUSE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.035IN GUIDEWIRE COMPATIBLE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY L132 CM OD6-5 FR ID.064 IN IDSEC.054 IN LARGE LUMEN ASPIRATION ADVANCE TRACK REPERFUSION INDIGO PERIPHERAL SEPARATOR 5,1120.0,560.0,244.27,1008.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L132 CM PENUMBRA,2390.0,1195.0,521.26,2151.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L132 CM REPERFUSION CATHETER PENUMBRA ASPIRATION TUBING NO CE RED 68,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L132 CM REPERFUSION CATHETER PENUMBRA ASPIRATION TUBING NO CE RED 72,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L132 CM REPERFUSION PENUMBRA SYSTEM 5MAX ACE,1990.0,995.0,434.02,1791.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L136 CM OD5 FR REPERFUSION PENUMBRA SYSTEM,1350.0,675.0,294.44,1215.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L138 CM L25 CM LOW PROFILE RAPID EXCHANGE PRONTO ACCEPTS .014- IN GUIDEWIRE 5+ FR GUIDE CATHETER,390.0,195.0,85.06,351.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L138 CM OD5.5 FR 2 LUMEN RAPID EXCHANGE FILTER PRONTO V4 HYDROPHILIC CORONARY PERIPHERAL .014 IN GUIDEWIRE,390.0,195.0,85.06,351.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L138 CM OD6 FR 2 LUMEN RAPID EXCHANGE FILTER PRONTO V4 HYDROPHILIC CORONARY PERIPHERAL .014 IN GUIDEWIRE,390.0,195.0,85.06,351.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L138 CM RED 62,2390.0,1195.0,521.26,2151.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L140 CM OD.044 IN ASPIRATION KIT INDIGO SYSTEM CORONARY,1900.0,950.0,414.39,1710.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L140 CM OD6 FR 2 LOCK SYRINGE RAPID EXCHANGE EXTRACTION PRELOAD STYLET PRONTO LP SILVA HYDROPHILIC CORONARY PERIPHERAL ACCEPTS .014 IN GUIDEWIRE,390.0,195.0,85.06,351.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L140 CM OD6 FR ID.07 IN ASPIRATION FULL WALL VARIABLE BRAID FORWARD FACE TIP EXPORT AP ACCEPTS .014 IN GUIDEWIRE,350.0,175.0,76.34,315.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L140 CM OD6 FR ODSEC.36 MM TAPER ASPIRATION LARGE EXTRACTION LUMEN DISTAL TIP PRONTO V3 HYDROPHILIC PERCUTANEOUS ACCEPTS .014 IN GUIDEWIRE,350.0,175.0,76.34,315.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L150 CM OD3.4-4.1 FR ID.041 IN IDSEC.032 IN LARGE LUMEN ASPIRATION ADVANCED TRACK REPERFUSION INDIGO PERIPHERAL SEPARATOR 3,1120.0,560.0,244.27,1008.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L45 CM L20 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY L50 CM OD8 FR INDIGO,2670.0,1335.0,582.33,2403.0,64
HCPCS,C1757,CATHETER THROMBECTOMY L65 CM OD6 FR ROTATIONAL 2 POWER CELL LOW PROFILE RADIOPAQUE CLEANERXT,595.0,297.5,129.77,535.5,64
HCPCS,C1757,CATHETER THROMBECTOMY L65 CM OD7 FR ODSEC15 MM ROTATIONAL 1 SINUSOIDAL WIRE HIGH TORQUE GUIDEWIRE CLEANER15,725.0,362.5,158.12,652.5,64
HCPCS,C1757,CATHETER THROMBECTOMY L90 CM L10 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY L90 CM L40 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY L90 CM L50 CM OD5 FR INFUSION RADIOPAQUE UNI-FUSE FLOW-THRU HUB ACCEPTS .035 IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY PENUMBRA SYSTEM STERILE LATEX FREE,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,CATHETER THROMBECTOMY REPERFUSION 5MAX ACE 64,2650.0,1325.0,577.97,2385.0,64
HCPCS,C1757,CATHETER THROMBECTOMY STALIF L FLX 18MM 65CM INTRILL,2200.0,1100.0,479.82,1980.0,64
HCPCS,C1757,CATHETER THROMBECTOMY UNI-FUSE FLOW-THRU HUB 5FR 45CM 5CM INFUSION RADIOPAQUE STERILE ACCEPTS .035IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY UNIFUSE 5FR 90CM 5CM INFUSION RADIOPAQUE STERILE ACCEPTS .035IN GUIDEWIRE,332.0,166.0,72.41,298.8,64
HCPCS,C1757,CATHETER THROMBECTOMY WOLF SMARTCLAW 20MM,3995.0,1997.5,871.31,3595.5,64
HCPCS,C1757,CATHETER THROMBECTOMY WOLF SMARTCLAW 30MM,3995.0,1997.5,871.31,3595.5,64
HCPCS,C1757,CONNECTOR DRUG DELIVERY THROMBECTOMY W/Y-SET TUBE CLAMPX2 F/ANGIOJET ULTRA INJECTION POWER PULSE LATEX-FREE NON-RADIOLUCENT,370.0,185.0,80.7,333.0,64
HCPCS,C1757,DEVICE THROMBECTOMY 3D REVASCULARIZATION,2990.0,1495.0,652.12,2691.0,64
HCPCS,C1757,DEVICE THROMBECTOMY 8MM EXCIPIO SV STERILE 0.014IN GW,2990.0,1495.0,652.12,2691.0,64
HCPCS,C1757,F/VENOUS THROMBOEMBOLISM PRICE PER PROCEDURE,12000.0,6000.0,2617.2,10800.0,64
HCPCS,C1757,GLUE EMBOLIZATION LIQUID 1GM VIALX2 TRUFILL N-BCA,4200.0,2100.0,916.02,3780.0,64
HCPCS,C1757,GUIDE CATHETER BALLOON GUIDE 8 F BOBBY L95 CM,1750.0,875.0,381.68,1575.0,64
HCPCS,C1757,KIT CATHETER EMBOLECTOMY ASPIRATION 6FR DIA 145CM SS HYDROPHILIC COATED TAPER TIP BRAIDED LOW-PROFILE W/ACCESSORIES ASAPLP,371.0,185.5,80.92,333.9,64
HCPCS,C1757,KIT THROMBOLYTIC L132 CM OD6 FR REPERFUSION CATHETER ACE 68,2750.0,1375.0,599.78,2475.0,64
HCPCS,C1757,KIT THROMBOLYTIC L132 CM PENUMBRA SYSTEM 5MAX ACE,2350.0,1175.0,512.54,2115.0,64
HCPCS,C1757,KIT THROMBOLYTIC L140 CM OD6 FR TAPER BRAIDED SYRINGE TUBING BASIN BASKET ASAP HYDROPHILIC L12 CM ACCEPTS .014 IN GUIDEWIRE,397.5,198.75,86.69,357.75,64
HCPCS,C1757,SEPARATOR THROMBECTOMY 12 INDIGO SYSTEM CE,1895.0,947.5,413.3,1705.5,64
HCPCS,C1757,SEPARATOR THROMBECTOMY 3 OD.028 IN INDIGO,690.0,345.0,150.49,621.0,64
HCPCS,C1757,SEPARATOR THROMBECTOMY 3MAX SEPARATOR REPERFUSION CATHETER,2450.0,1225.0,534.35,2205.0,64
HCPCS,C1757,SEPARATOR THROMBECTOMY 4 INDIGO SYSTEM,855.0,427.5,186.48,769.5,64
HCPCS,C1757,SEPARATOR THROMBECTOMY 5 OD.045 IN INDIGO,690.0,345.0,150.49,621.0,64
HCPCS,C1757,SEPARATOR THROMBECTOMY L142 CM OD.035 IN PENUMBRA SYSTEM SEPARATOR FLEX L175 CM .041 IN 4MAX REPERFUSION CATHETER,2350.0,1175.0,512.54,2115.0,64
HCPCS,C1757,SEPARATOR THROMBECTOMY L150 CM 8 LARGE LUMEN ASPIRATION TUBE OD.072 IN INDIGO,1855.0,927.5,404.58,1669.5,64
HCPCS,C1757,SEPARATOR THROMBECTOMY L175 CM 6 LARGE LUMEN ASPIRATION TUBE OD.055 IN INDIGO,1055.0,527.5,230.1,949.5,64
HCPCS,C1757,SET THROMBECTOMY 3-4FR 1.5MM 145CM 15MM ANGIOJET ULTRA SOLENT DISTA OTW CATHETER POWER PULSE DELIVERY SPIRAL CUT PROXIMAL SHAFT LATEX FREE HYDROPHILIC NITINOL PERIPHERAL ACCEPTS .014IN GUIDEWIRE 4FR S,4295.0,2147.5,936.74,3865.5,64
HCPCS,C1757,SET THROMBECTOMY 6FR 3MM 50CM 15MM TAPER ANGIOJET ULTRA AVX OTW SHEATH CATHETER MARKER BAND LATEX FREE PERIPHERAL ACCEPTS .035IN GUIDEWIRE,1450.0,725.0,316.25,1305.0,64
HCPCS,C1757,SHEATH 8F BASE CAMP 2.0 80 CM,1250.0,625.0,272.63,1125.0,64
HCPCS,C1757,SHEATH 8F BASE CAMP 2.0 90 CM,1250.0,625.0,272.63,1125.0,64
HCPCS,C1757,SYSTEM 070 ACCESS 070 AND TENZING 7,5150.0,2575.0,1123.22,4635.0,64
HCPCS,C1757,SYSTEM DELIVERY BASE CAMP 8FR SHEATH STERILE LATEX FREE DISPOSABLE,1050.0,525.0,229.01,945.0,64
HCPCS,C1757,SYSTEM EMBOLIC PROTECTION SENTINEL PROTECTION CEREBRAL STERILE LATEX FREE DISPOSABLE,4000.0,2000.0,872.4,3600.0,64
HCPCS,C1757,SYSTEM THROMBECTOMY OD7 FR ODSEC15 MM L135 CM CLEANER15 SINUSOIDAL WIRE AMPLITUDE ROTATIONAL POWER TORQUE,996.0,498.0,217.23,896.4,64
HCPCS,C1758,CATHETER RENAL L65 CM COBRA CURVE INNER BRAID OD6 FR TORCON STAINLESS STEEL ACCEPTS .038 IN GUIDEWIRE,42.8,21.4,9.33,38.52,64
HCPCS,C1758,CATHETER URETERAL 5FR 70CM CONE TIP 8FR ADAPTER KINK RESISTANT GRADUATE STERILE LATEX FREE DISPOSABLE POLYURETHANE BARD ACCEPTS .038IN GUIDEWIRE,146.4,73.2,31.93,131.76,64
HCPCS,C1758,CATHETER URETERAL 5FR 70CM NONPORT EYE FLEXIBLE OPEN TIP STERILE LATEX FREE DISPOSABLE POLYURETHANE BARD TIGERTAIL ACCEPTS .038IN GUIDEWIRE,120.0,60.0,26.17,108.0,64
HCPCS,C1758,CATHETER URETERAL 5FR DIA 70CML VINYL OPEN END F/DRAINAGE RETROGRADE PYELOGRAM SOF-FLEX PVC SINGLE-USE 0.038IN GW COMPATIBLE,14.6,7.3,3.18,13.14,64
HCPCS,C1758,CATHETER URETERAL 6FR DIA 70CML PLASTIC LUMENX1 OPEN END TIP W/LUER-LOCK ADAPTERX2 C-FLEX NON-RADIOLUCENT SINGLE-USE 0.038IN GUIDEWIRE COMPATIBLE,33.48,16.74,7.3,30.13,64
HCPCS,C1758,CATHETER URETERAL FLEXI-TIP OD6/10 FR ODSEC.05 IN L50 CM 2 LUMEN AQ,70.0,35.0,15.27,63.0,64
HCPCS,C1758,CATHETER URETERAL POLLACK 5FR DIA UNIVERSAL 70CML VINYL ROUND TIP PVC SINGLE-USE,119.0,59.5,25.95,107.1,64
HCPCS,C1758,CATHETER URETERAL SOF-FLEX OD4 FR L70 CM OPEN END ACCEPTS .025 IN GUIDEWIRE,14.6,7.3,3.18,13.14,64
HCPCS,C1758,CATHETER URODYNAMIC 7FR 19.7IN SENSOR LUMEN BLADDER SHAFT POLYETHYLENE AIR-CHARGED URETHRA DISPOSABLE,495.0,247.5,107.96,445.5,64
HCPCS,C1758,SET CATHETER URETERAL 6FR DIA 70CML POLYURETHANE LEFT PIGTAIL TIP SIDEPORT W/145CML STAINLESS STEEL 0.038IN GUIDEWIRE COMPATIBLE,64.36,32.18,14.04,57.92,64
HCPCS,C1758,TRAY CATHETERIZATION LUBRI-SIL IC 16FR 350ML ADVANCE URINE METER DRAINAGE TUBE STATLOCK FOLEY STABILIZATION DEVICE 60IN LATEX,337.4,168.7,73.59,303.66,64
HCPCS,C1759,CATHETER ULTRASOUND 9FR 110CM CORONARY F/GALAXY SYSTEM ULTRA ICE,99.0,49.5,21.59,89.1,64
HCPCS,C1759,CATHETER ULTRASOUND OD10 FR NUVISION ICE,3800.0,1900.0,828.78,3420.0,64
HCPCS,C1759,CATHETER ULTRASOUND VIEWFLEX XTRA ICE,2495.0,1247.5,544.16,2245.5,64
HCPCS,C1759,PACK CATHETER VIEWFLEX ECO ICE DIAGNOSTIC,5100.0,2550.0,1112.31,4590.0,64
HCPCS,C1760,DEVICE ANGIO-SEAL EVOLUTION 8FR .038IN GUIDEWIRE BYPASS TUBE SUTURE RELEASE REFERENCE INDICATOR CLOSURE VASCULAR,1900.0,950.0,363.85,1710.0,65
HCPCS,C1760,DEVICE CELT ACD 5FR CLOSURE VASCULAR STERILE LATEX FREE DISPOSABLE ESP,950.0,475.0,207.2,855.0,64
HCPCS,C1760,DEVICE CELT ACD 6FR CLOSURE VASCULAR STERILE LATEX FREE DISPOSABLE ESP,950.0,475.0,207.2,855.0,64
HCPCS,C1760,DEVICE CELT ACD 7FR CLOSURE VASCULAR STERILE LATEX FREE DISPOSABLE ESP,950.0,475.0,207.2,855.0,64
HCPCS,C1760,DEVICE CLOSURE 6-7FR DIA POLYETHYLEN GLYCOL VASCULAR W/GRIP TECHNOLOGY MYNX ACE LATEX-FREE STERILE SINGLE-USE,193.0,96.5,36.96,173.7,65
HCPCS,C1760,DEVICE CLOSURE CORDIS EXOSEAL ABSORBABLE PLUG APPLIER SHEATH INTRODUCER DELIVERY SHAFT FEMORAL ARTERY OD6 FR,1550.0,775.0,296.83,1395.0,65
HCPCS,C1760,DEVICE CLOSURE CORDIS MYNXGRIP BALLOON CATHETER INTEGRATE SEALANT LOCK SYRINGE ATRAUMATIC TIP VASCULAR OD6-7 FR 10 ML GREEN,1850.0,925.0,354.28,1665.0,65
HCPCS,C1760,DEVICE CLOSURE EXOSEAL VASCULAR OD5 FR,1550.0,775.0,296.83,1395.0,65
HCPCS,C1760,DEVICE CLOSURE L50 CM 360 D .038 IN STARCLOSE SE CLIP APPLIER J TIP GUIDEWIRE DILATOR EXCHANGE SHEATH VASCULAR OD6 FR,1890.0,945.0,361.94,1701.0,65
HCPCS,C1760,DEVICE CLOSURE L70 CM ANGIO-SEAL VIP BONDEK-PLUS HEMOSTATIC BIOABSORBABLE INSERTION SHEATH GUIDEWIRE VASCULAR POLYGLYD OD8 FR ODSEC.038 IN,1950.0,975.0,373.43,1755.0,65
HCPCS,C1760,DEVICE CLOSURE L70 CM ANGIO-SEAL VIP HEMOSTATIC BIOABSORBABLE INSERTION SHEATH GUIDEWIRE VASCULAR CO-POLYMER COLLAGEN OD6 FR,1950.0,975.0,373.43,1755.0,65
HCPCS,C1760,DEVICE CLOSURE MANTA DEPTH LOCATOR OD14 FR,375.0,187.5,81.79,337.5,64
HCPCS,C1760,DEVICE CLOSURE MYNX CONTROL 2 MODE BALLOON CATHETER SEALANT LOCK SYRINGE OD5 FR 10 ML,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1760,DEVICE CLOSURE MYNX CONTROL BALLOON CATHETER SEALANT LOCK SYRINGE VASCULAR OD6-7 FR 10 ML,2200.0,1100.0,479.82,1980.0,64
HCPCS,C1760,DEVICE CLOSURE MYNXGRIP BALLOON CATHETER INTEGRATE SEALANT LOCK SYRINGE ATRAUMATIC TIP VASCULAR OD5 FR 10 ML GRAY,1850.0,925.0,354.28,1665.0,65
HCPCS,C1760,DEVICE SEALING BIOABSORBABLE OD5 FR VASCADE COLLAGEN VASCULAR,995.0,497.5,190.54,895.5,65
HCPCS,C1760,DEVICE VASCADE 6/7FR BIOABSORBABLE COLLAGEN CLOSURE VASCULAR,995.0,497.5,190.54,895.5,65
HCPCS,C1760,DEVICE VENOUS VASCULAR CLOSURE MYNX CONTROL 6F-12F,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1760,DEVICE WATCHMAN LAAC 12F,17000.0,8500.0,3255.5,15300.0,65
HCPCS,C1760,PATCH HEMOSTATIC LARGE 9.5X4.8CM ABSORBABLE SEALANT TACHOSIL FIBRIN LATEX FREE,777.0,388.5,148.8,699.3,65
HCPCS,C1760,SYSTEM CLOSURE VASCADE MVP 6-12FR VENOUS,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1760,SYSTEM CLOSURE VASCADE MVPXL 10-12FR VENOUS,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1762,ALLOCYTE CELLULAR BONE MATRIX 5CC,1500.0,750.0,287.25,1350.0,65
HCPCS,C1762,ALLOGRAFT BONE 10MM OSTEOCHONDRAL FEMORAL FRESH PRE-CUT CORE ASEPTIC,2900.0,1450.0,555.35,2610.0,65
HCPCS,C1762,ALLOGRAFT HUMAN TISSUE SEGMENT 154SQCM FIBULA CRYOPRESERVED NON-MESHED,270.0,135.0,51.71,243.0,65
HCPCS,C1762,ALLOGRAFT HUMAN TISSUE SEGMENT 500SQCM NON-MESHED,1275.0,637.5,244.16,1147.5,65
HCPCS,C1762,CHIPS BONE GRAFT 4-10MM CANCELLOUS 30ML FREEZE-DRIED,400.0,200.0,76.6,360.0,65
HCPCS,C1762,CHIPS BONE GRAFT SUBSTITUTE 1-8MM DIA CANCELLOUS 20ML PRESERVON CRUSHED READIGRAFT STERILE SINGLE-USE,230.0,115.0,44.05,207.0,65
HCPCS,C1762,CUBE 15ML 6-10MM CANC FRZDR BG,300.0,150.0,57.45,270.0,65
HCPCS,C1762,CUBE BONE GRAFT 10MMW X 10MML X 10MMH CANCELLOUS 40ML FREEZE-DRIED READIGRAFT STERILE SINGLE-USE,460.0,230.0,88.09,414.0,65
HCPCS,C1762,FILLER BONE VOID 1 CC BIOCARTILAGE BIOCARTILAGE,980.0,490.0,187.67,882.0,65
HCPCS,C1762,FILLER BONE VOID 1 CC DBX DBX ALLOGRAFT FREEZE DRIED PUTTY,254.0,127.0,48.64,228.6,65
HCPCS,C1762,FILLER BONE VOID 5 CC DBX DBX ALLOGRAFT FREEZE DRIED MIX,1230.0,615.0,235.55,1107.0,65
HCPCS,C1762,FILLER GRAFT CELLULAR BONE MATRIX 2ML ALLOCYTE ADVANCED,600.0,300.0,114.9,540.0,65
HCPCS,C1762,GRAFT 1CMX1CMX.5MM SOFT TISSUE PERICARDIUM FREEZE DRIED,275.0,137.5,52.66,247.5,65
HCPCS,C1762,GRAFT ALLOCYTE 15CC CELLULAR BONE MATRIX ALLOGRAFT BONE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1762,GRAFT ALLOMAX TUTOPLAST 3.9X2.8IN 1MM RECTANGULAR SOFT TISSUE HUMAN DERMAL COLLAGEN TIGHT TOLERANCE STERILE 2 LATERAL BREAST RECONSTRUCTION,2480.0,1240.0,474.92,2232.0,65
HCPCS,C1762,GRAFT AMNIOFILL 1000MG,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1762,GRAFT AMNIOFILL 500MG SOFT TISSUE ALLOGRAFT,1150.0,575.0,220.23,1035.0,65
HCPCS,C1762,GRAFT ARTHROFLEX MATRACELL 30X25MM 8SQ CM THK1MM SOFT TISSUE DERMIS ALLOGRAFT DECELLULARIZE,1140.0,570.0,218.31,1026.0,65
HCPCS,C1762,GRAFT AVANCE 30MM ALLOGRAFT 4-5MM NERVE NERVE,4101.09,2050.55,785.36,3690.98,65
HCPCS,C1762,GRAFT AVANCE 30MM ALLOGRAFT MULTIPLE CLEAN 3-4MM NERVE NERVE,4101.09,2050.55,785.36,3690.98,65
HCPCS,C1762,GRAFT AVANCE 70MM ALLOGRAFT 2-3MM NERVE STERILE,7671.73,3835.87,1469.14,6904.56,65
HCPCS,C1762,GRAFT BIO4 2.5CC VIABLE BONE MATRIX ALLOGENIC COMPRESSIBLE MOLDABLE BONE,750.0,375.0,143.63,675.0,65
HCPCS,C1762,GRAFT BIO4 5CC VIABLE BONE MATRIX BONE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1762,GRAFT BONE 15 ML FREEZE DRIED CRUSHED 1-4 MM,172.5,86.25,33.03,155.25,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT 0.5-3MM DIA CORTICAL CANCELLOUS 30ML CHIPS STERILE,400.0,200.0,76.6,360.0,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT 10MM LARGE CANCELLOUS PLUG CRUSHED,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT 10MM SMALL CANCELLOUS PLUG CRUSHED,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT CARTIFORM DISC OD10 MM,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT PAT LT,11654.0,5827.0,2231.74,10488.6,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT REVISION FLEXIGRAFT XLONG DOWEL OD14 MM,1147.5,573.75,219.75,1032.75,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT REVISION FLEXIGRAFT XLONG DOWEL OD16 MM,1147.5,573.75,219.75,1032.75,65
HCPCS,C1762,GRAFT BONE ALLOGRAFT REVISION FLEXIGRAFT XLONG DOWEL OD18 MM,1147.5,573.75,219.75,1032.75,65
HCPCS,C1762,GRAFT BONE CANCELLOUS 1 CC ALLOGRAFT FROZEN VIABLE CELL MORSELIZE TRINITY EVOLUTION,580.0,290.0,111.07,522.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS 30 CC ALLOGRAFT FREEZE DRIED CHIPS CRUSH READIGRAFT 1-8 MM,345.0,172.5,66.07,310.5,65
HCPCS,C1762,GRAFT BONE CANCELLOUS 30 ML PRESERVON CHIP CRUSHED READIGRAFT 1-8 MM,345.0,172.5,66.07,310.5,65
HCPCS,C1762,GRAFT BONE CANCELLOUS 5 CC ALLOGRAFT FROZEN VIABLE CELL MORSELIZE TRINITY EVOLUTION,2750.0,1375.0,526.63,2475.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS ALLOGRAFT FROZEN VIABLE CELL MORSELIZE TRINITY ELITE SMALL,360.0,180.0,68.94,324.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS CORTIC ALLOGRAFT L14 MM X W11 MM X H10 MM TRIAD LORDOTIC,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS CORTICAL ALLOGRAFT L14 MM X W11 MM X H7 MM TRIAD SPINE,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS CORTICAL ALLOGRAFT L14 MM X W11 MM X H8 MM TRIAD LORDOTIC SPINE,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS CORTICAL ALLOGRAFT L14 MM X W11 MM X H9 MM TRIAD LORDOTIC,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE CANCELLOUS L30-35 MM ALLOGRAFT FULL CANNULATED REVISION DOWEL CHAMFER TIP FLEXIGRAFT XLONG OD10 MM,1147.5,573.75,219.75,1032.75,65
HCPCS,C1762,GRAFT BONE CANCELLOUS L36- MM X W12 MM ALLOGRAFT FREEZE DRIED REVISION CORE,1055.0,527.5,202.03,949.5,65
HCPCS,C1762,GRAFT BONE CELLULAR BONE MATRIX 1 CC OSTEOCEL PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1762,GRAFT BONE CELLULAR BONE MATRIX 10 CC ALLOGRAFT BIO4,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1762,GRAFT BONE CELLULAR BONE MATRIX 10 CC OSTEOCEL PLUS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1762,GRAFT BONE CELLULAR BONE MATRIX 5 CC ALLOGRAFT BIO4,1500.0,750.0,287.25,1350.0,65
HCPCS,C1762,GRAFT BONE CELLULAR BONE MATRIX 5 CC OSTEOCEL PLUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1762,GRAFT BONE CERVICAL L12 MM X W14.5 MM X H7.22 MM ALLOGRAFT TEXTURE SURFACE BULLET NOSE VERTIGRAFT PARALLEL,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL CANCELLOUS L12 MM X W14 MM X H8 MM ALLOGRAFT TEXTURE SURFACE VG2 PRESERVON VERTIGRAFT LORDOTIC BULLET NOSE ACDF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL CANCELLOUS L12 MM X W14.5 MM X H4.75-6.22 MM ALLOGRAFT TEXTURE SURFACE VG2 PRESERVON VERTIGRAFT LORDOTIC BULLET NOSE ACDF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL CANCELLOUS L12 MM X W14.5 MM X H7 MM ALLOGRAFT TEXTURE SURFACE VG2 PRESERVON VERTIGRAFT 7 D LORDOSIS BULLET NOSE ACDF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL CANCELLOUS L12 MM X W14.5 MM X H7.75-9.22 MM ALLOGRAFT TEXTURE SURFACE VG2 PRESERVON VERTIGRAFT LORDOTIC BULLET NOSE ACDF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL CANCELLOUS L12 MM X W14.5 MM X H8.75-10.22 MM ALLOGRAFT TEXTURE SURFACE VG2 PRESERVON VERTIGRAFT LORDOTIC BULLET NOSE ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL CANCELLOUS L12 MM X W14.5 MM X H9.75-11.22 MM ALLOGRAFT TEXTURE SURFACE VG2 PRESERVON VERTIGRAFT LORDOTIC BULLET NOSE ACDF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,GRAFT BONE CORTICAL FEMUR L200 MM X W20 MM ALLOGRAFT STRUT FROZEN VERTIGRAFT,436.8,218.4,83.65,393.12,65
HCPCS,C1762,GRAFT BONE CORTICOCANCELLOUS L14 MM X W11 MM X H6 MM ALLOGRAFT TRIAD LORDOTIC SPINE,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE COSTAL CARTILAGE L30-59 MM X W7+ MM FROZEN OD7+ MM,325.0,162.5,62.24,292.5,65
HCPCS,C1762,GRAFT BONE COSTAL CARTILAGE L60-90 MM X W7+ MM ALLOGRAFT FROZEN ORACELL OD7+ MM,325.0,162.5,62.24,292.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZE BONE MATRIX 5 CC ALLOGRAFT PUTTY PASTE INTERGRO,625.0,312.5,119.69,562.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE FIBER 3 CC ALLOGRAFT 2 CANNULA SET ACCELERATE GRAFTON,995.0,497.5,190.54,895.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE FIBER 3 CC ALLOGRAFT INJECTION GRAFTON,375.0,187.5,71.81,337.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX 1 CC ALLOGRAFT PASTE GRAFTON PLUS,125.0,62.5,23.94,112.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX 1 CC ALLOGRAFT VIAL CONTAINER BIO DBM PUTTY,110.0,55.0,21.07,99.0,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX 10 CC ALLOGRAFT VIAL CONTAINER BIO DBM PUTTY,1100.0,550.0,210.65,990.0,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX 10 CC ALLOGRAFT VIAL CONTAINER BIO DBM PUTTY PLUS,1250.0,625.0,239.38,1125.0,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX 2.5 CC ALLOGRAFT VIAL CONTAINER BIO DBM PUTTY,275.0,137.5,52.66,247.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX 5 CC ALLOGRAFT PUTTY NA,465.0,232.5,89.05,418.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX CANCELLOUS 5 CC ALLOGRAFT CHIPS OSTEOCONDUCTIVE BIO DBM 1-8 MM,80.0,40.0,15.32,72.0,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX CANCELLOUS ALLOGRAFT PUTTY BIO DBM,625.0,312.5,119.69,562.5,65
HCPCS,C1762,GRAFT BONE DEMINERALIZED BONE MATRIX L5 CM X W1 CM MAGNIFUSE SPINE CERVICAL POSTERIOR,1950.0,975.0,373.43,1755.0,65
HCPCS,C1762,GRAFT BONE FIBULAR SHAFT L60 MM SEGMENT CUT MATRIGRAFT D8-15 MM,486.2,243.1,93.11,437.58,65
HCPCS,C1762,GRAFT BONE H6 MM 1 PIECE LORDOSIS SOLID CENTRAL VOID CHAMFERED SURFACE VERTIGRAFT VG1 7 D CERVICAL SPINE H4 MM,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE H7 MM 1 PIECE LORDOSIS SOLID CENTRAL VOID CHAMFERED SURFACE VERTIGRAFT VG1 7 D CERVICAL SPINE H5 MM,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE ILIAC CREST H12 MM FREEZE DRIED WEDGE VERTIGRAFT,438.51,219.26,83.97,394.66,65
HCPCS,C1762,GRAFT BONE ILIAC CREST H18 MM FREEZE DRIED WEDGE VERTIGRAFT,541.91,270.96,103.78,487.72,65
HCPCS,C1762,GRAFT BONE ILIAC CREST H20 MM ALLOGRAFT FREEZE DRIED WEDGE MATRIGRAFT,504.31,252.16,96.58,453.88,65
HCPCS,C1762,GRAFT BONE ILIAC CREST H9 MM FREEZE DRIED WEDGE VERTIGRAFT,388.69,194.35,74.43,349.82,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H5.22 MM ANTERIOR CERVICAL FUSION PARALLEL SOLID CENTRAL VOID VERTIGRAFT VG1,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H6 MM ANTERIOR CERVICAL FUSION PARALLEL SOLID CENTRAL VOID BULLETED NOSE VERTIGRAFT VG1,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H7 MM ANTERIOR CERVICAL FUSION PARALLEL SOLID CENTRAL VOID BULLETED NOSE VERTIGRAFT VG1,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H8 MM PRESERVON VERTIGRAFT VG1 7 D LORDOTIC H6 MM ANTERIOR CERVICAL FUSION,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H8 MM VERTIGRAFT VG1 LORDOTIC PARALLEL ANTERIOR CERVICAL FUSION,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H9 MM ALLOGRAFT PRESERVON VERTIGRAFT VG1 7 D H7 MM ANTERIOR CERVICAL FUSION,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L12 MM X W14.5 MM X H9 MM ANTERIOR CERVICAL FUSION PARALLEL SOLID CENTRAL VOID BULLETED NOSE VERTIGRAFT VG1,700.0,350.0,134.05,630.0,65
HCPCS,C1762,GRAFT BONE L25 MM X W20 MM CARTIFORM,11000.0,5500.0,2106.5,9900.0,65
HCPCS,C1762,GRAFT BONE L30-35 MM ALLOGRAFT REVISION DOWEL FLEXIGRAFT PRESERVON XLONG OD12 MM,1147.5,573.75,219.75,1032.75,65
HCPCS,C1762,GRAFT BONE L60-80 MM ALLOGRAFT FROZEN PRESUTURE FLEXIGRAFT GRAFTLINK OD7.5-10.5 MM,2196.0,1098.0,420.53,1976.4,65
HCPCS,C1762,GRAFT BONE L65-95 MM ALLOGRAFT FROZEN 3 STRAND GRAFTLINK FLEXIGRAFT OD8.5-12.5 MM,2196.0,1098.0,420.53,1976.4,65
HCPCS,C1762,GRAFT BONE RHBMP-2 BOVINE COLLAGEN L26 MM 8 CC ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE INFUSE LARGE II SPINE OD18 MM LUMBAR TAPER FUSION DEVICE,5732.7,2866.35,1097.81,5159.43,65
HCPCS,C1762,GRAFT BONE SUBSTITUTE SEMITENDINOSUS,1400.0,700.0,268.1,1260.0,65
HCPCS,C1762,GRAFT BONE VIABLE CELL BONE MATRIX 2.5 CC ALLOGRAFT BIO4,750.0,375.0,143.63,675.0,65
HCPCS,C1762,GRAFT BONE W14 MM X H5 MM ALLOGRAFT C PLUG BIO AVS 4 D LORDOSIS D12 MM,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT BONE W14 MM X H6 MM ALLOGRAFT C PLUG BIO AVS 4 D D12 MM,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT CORNERSTONE ASR 14X11X5MM LORDOTIC CORTICAL FREEZE DRIED BLOCK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT CORNERSTONE L-ASCR 14X6MM 11MM LORDOTIC CORTICAL ALLOGRAFT FREEZE DRIED BLOCK BONE,540.0,270.0,103.41,486.0,65
HCPCS,C1762,GRAFT EXPONENT 3CC DEMINERALIZED BONE MATRIX ALLOGRAFT BONE STERILE,297.0,148.5,56.88,267.3,65
HCPCS,C1762,GRAFT EXPONENT 5CC DEMINERALIZED BONE MATRIX ALLOGRAFT BONE STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1762,GRAFT GRAFTON 5ML SMALL DEFECT DEMINERALIZED BONE MATRIX ORTHOBLEND JAR BONE,625.0,312.5,119.69,562.5,65
HCPCS,C1762,GRAFT HUMAN TISSUE 1-8MM LARGE DEMINERALIZED CANCELLOUS CORTICAL 20ML ORAGRAFT,300.0,150.0,57.45,270.0,65
HCPCS,C1762,GRAFT HUMAN TISSUE ALLOGRAFT 16-19.4CML TENDON ACHILLES FROZEN W/O CALCANEUS LATEX-FREE STERILE SINGLE-USE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1762,GRAFT HUMAN TISSUE ALLOGRAFT 6MMW X 22CML POSTERIOR TIBIALIS TENDON FROZEN IRRADIATED LATEX-FREE STERILE SINGLE-USE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1762,GRAFT HUMAN TISSUE CORTICAL 5ML DEMINERALIZED FIBER PUREBONE,625.0,312.5,119.69,562.5,65
HCPCS,C1762,GRAFT INTERGRO 5CC DEMINERALIZE BONE MATRIX POROUS CALCIUM ALLOGRAFT GRANULE BONE STERILE LATEX FREE,625.0,312.5,119.69,562.5,65
HCPCS,C1762,GRAFT NERVE L50 MM ALLOGRAFT OD2-3 MM AVANCE PERIPHERAL,6138.99,3069.5,1175.62,5525.09,65
HCPCS,C1762,GRAFT RIGHT LATERAL FEMORAL CONDYLE ALLOGRAFT FRESH BONE,11425.0,5712.5,2187.89,10282.5,65
HCPCS,C1762,GRAFT SKIN L5 CM X W2 CM ALLOGRAFT HYDRATE ALLOPATCH HD THK.4-.7 MM THIN ACELLULAR DERMIS,355.55,177.78,68.09,320.0,65
HCPCS,C1762,GRAFT SKIN L5 CM X W5 CM ALLOGRAFT HYDRATE ALLOPATCH HD THK1.8-3.9 MM ULTRATHICK ACELLULAR DERMIS,1900.0,950.0,363.85,1710.0,65
HCPCS,C1762,GRAFT SKIN L5 CM X W5 CM ALLOGRAFT REGENERATIVE NONMESH GRAFTJACKET THK1.1 MM STANDARD ACELLULAR DERMAL MATRIX,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1762,GRAFT SKIN L7 CM X W4 CM ALLOGRAFT REGENERATIVE NONMESH GRAFTJACKET THK1.5 MM ACELLULAR DERMAL MATRIX,1900.0,950.0,363.85,1710.0,65
HCPCS,C1762,GRAFT SOFT TISSUE 30-53 MM SPACE L8-13 CM X W10-10.5 MM ALLOGRAFT FROZEN SHAPE BONE BLOCK HEMIPATELLA BONE TENDON BONE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1762,GRAFT SOFT TISSUE 5+ CM 30-80 MM SPACE L13-20 MM X W13-40 MM QUADRICEPS ALLOGRAFT FROZEN WHOLE PATELLA BONE TENDON BONE,5400.0,2700.0,1034.1,4860.0,65
HCPCS,C1762,GRAFT SOFT TISSUE ALLOGRAFT FROZEN GRACILIS TENDON,1000.0,500.0,191.5,900.0,65
HCPCS,C1762,GRAFT SOFT TISSUE ARTHROFLEX THK1.5 MM L25 MM X W20 MM 5CM2   ALLOGRAFT PATCH DECELLULARIZE BIOCOMPATIBLE DERMAL MATRIX,1045.0,522.5,200.12,940.5,65
HCPCS,C1762,GRAFT SOFT TISSUE FLEXIGRAFT DOWEL OD10 MM ALLOGRAFT PREFORM PATELLAR LIGAMENT TENDON,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1762,GRAFT SOFT TISSUE FLEXIGRAFT L230 MM OD4+ MM ALLOGRAFT FROZEN GRACILIS TENDON,1000.0,500.0,191.5,900.0,65
HCPCS,C1762,GRAFT SOFT TISSUE FLEXIGRAFT L230+ MM OD7.5+ MM ALLOGRAFT FROZEN ANTERIOR TIBIALIS TENDON,1621.27,810.64,310.47,1459.14,65
HCPCS,C1762,GRAFT SOFT TISSUE L10 MM ALLOGRAFT PRESHAPE FROZEN ACHILLES TENDON CALCANEUS,1900.0,950.0,363.85,1710.0,65
HCPCS,C1762,GRAFT SOFT TISSUE L10 MM FROZEN PRESHAPE PATELLA TENDON,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1762,GRAFT SOFT TISSUE L19.5+ CM X W10-20 MM ALLOGRAFT FROZEN ACHILLES TENDON,1900.0,950.0,363.85,1710.0,65
HCPCS,C1762,GRAFT SOFT TISSUE L19.5+ CM X W10-20 MM ALLOGRAFT FROZEN ACHILLES TENDON CALCANEUS,2075.0,1037.5,397.36,1867.5,65
HCPCS,C1762,GRAFT SOFT TISSUE L20-38 CM X W6-12 MM OD6-12 MM ALLOGRAFT FROZEN ANTERIOR TIBIALIS TENDON,1575.0,787.5,301.61,1417.5,65
HCPCS,C1762,GRAFT SOFT TISSUE L220-300 MM ALLOGRAFT FROZEN SEMITENDINOSUS TENDON,1300.0,650.0,248.95,1170.0,65
HCPCS,C1762,GRAFT SOFT TISSUE MTF L22-38 CM X W6-12 MM OD6-12 MM ALLOGRAFT FROZEN POSTERIOR TIBIALIS TENDON,1575.0,787.5,301.61,1417.5,65
HCPCS,C1762,GRAFT SOFT TISSUE MTF L26-38 CM X W3-10 MM ALLOGRAFT FROZEN SEMITENDINOSUS TENDON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1762,GRAFT SOFT TISSUE MTF SMALL DIAMETER ALLOGRAFT ANTERIOR TIBIALIS TENDON,1350.0,675.0,258.53,1215.0,65
HCPCS,C1762,GRAFT SOFT TISSUE READIGRAFT FRESH LEFT LATERAL FEMORAL HEMICONDYLE OSTEOCHONDRAL,11039.95,5519.98,2114.15,9935.96,65
HCPCS,C1762,GRAFT SOFT TISSUE TEXAGEN L4 CM X W4 CM 16CM2 ALLOGRAFT AMNIOTIC MEMBRANE,1460.0,730.0,279.59,1314.0,65
HCPCS,C1762,GRAFT SPEEDGRAFT SOFT TISSUE TENDON ALLOGRAFT PRESUTURE,1950.0,975.0,373.43,1755.0,65
HCPCS,C1762,GRAFT TUTOPLAST IOPATCH 1.5X1.5CM SOFT TISSUE PERICARDIUM ALLOGRAFT STERILE,273.6,136.8,52.39,246.24,65
HCPCS,C1762,GRAFT VERSAGRAFT SOFT TISSUE TENDON ALLOGRAFT PRESUTURE PRESIZE,1290.0,645.0,247.04,1161.0,65
HCPCS,C1762,IMPLANT HUMAN TISSUE 8MM-15MM DIA 40MML FIBULAR SEGMENT ROUND FREEZE-DRIED MATRIGRAFT STERILE SINGLE-USE,453.7,226.85,86.88,408.33,65
HCPCS,C1762,IMPLANT HUMAN TISSUE ALLOGRAFT 10MMW X 16MML X 7MMH 7DEG COALITION AGX,540.0,270.0,103.41,486.0,65
HCPCS,C1762,IMPLANT HUMAN TISSUE ALLOGRAFT 3-10MMW X 20-25.9CML ANTERIOR TIBIALIS TENDON FROZEN IRRADIATED STERILE SEMITENDINOSUS,1700.0,850.0,325.55,1530.0,65
HCPCS,C1762,IMPLANT HUMAN TISSUE ALLOGRAFT 4CMW X 4CML AMNIOTIC MEMBRANE ACTIVEBARRIER STERILE SINGLE-USE AMBIANT TEMPERATURE,2695.0,1347.5,516.09,2425.5,65
HCPCS,C1762,KIT BONE GRAFT 12 CC ACCELERATE GRAFTON DEMINERALIZED CORTICAL FIBER CANNULA,2670.0,1335.0,511.31,2403.0,65
HCPCS,C1762,KIT BONE GRAFT 6 CC ACCELERATE GRAFTON DEMINERALIZED CORTICAL FIBER CANNULA,1740.0,870.0,333.21,1566.0,65
HCPCS,C1762,KIT PROCEDURE CORE DECOMPRESSION PRO-DENSE 15 CC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1762,MATRIX BONE GRAFT VOID FILLER DBM 5ML FREEZE-DRIED PRIME HD,453.6,226.8,86.86,408.24,65
HCPCS,C1762,MATRIX TISSUE BIOCARTILAGE,750.0,375.0,143.63,675.0,65
HCPCS,C1762,MATRIX TISSUE NA ALLOGRAFT PUTTY,225.0,112.5,43.09,202.5,65
HCPCS,C1762,MATRIX TISSUE SOFT 2CM X 4CM AVIVE+,1950.0,975.0,373.43,1755.0,65
HCPCS,C1762,MATRIX TISSUE V92 BONE SCAFFOLD CELLULAR BONE MATRIX 5.0 CC ALLOGENEIC BONE MARROW,1500.0,750.0,287.25,1350.0,65
HCPCS,C1762,PACK SURGICAL AUTOGRAFT GRAFTLINK,680.0,340.0,130.22,612.0,65
HCPCS,C1762,PROTECTOR NERVE 3.5MM 40MM PROTECTIVE BARRIER STERILE AXOGUARD,2754.68,1377.34,527.52,2479.21,65
HCPCS,C1762,PROTECTOR NERVE 7MM 20MM REINFORCED WRAP STERILE AXOGUARD PORCINE EXTRACELLULAR MATRIX,2320.64,1160.32,444.4,2088.58,65
HCPCS,C1762,PUTTY BONE GRAFT 1-8MM DBM 10ML W/CHIPS,1050.0,525.0,201.08,945.0,65
HCPCS,C1762,PUTTY BONE GRAFT 1-8MM DBM 15ML W/CHIPS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1762,SHAFT BONE GRAFT ALLOGRAFT 14-18MM X 100MM FIBULA FREEZE-DRIED CORE,650.0,325.0,124.48,585.0,65
HCPCS,C1762,SPACER ALLOGRAFT 14 MM X W13 MM X H9-7.5 MM 7 D MEDIUM 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1762,SPACER ALLOGRAFT L12 MM X W14 MM X H6 MM 5 D LORDOTIC OVAL FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF CORTICAL SPINE ACF,1100.35,550.18,210.72,990.32,65
HCPCS,C1762,SPACER ALLOGRAFT L12 MM X W14 MM X H6 MM LORDOTIC FORGE CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1762,SPACER ALLOGRAFT L12 MM X W14 MM X H7 MM 5 D OVAL FREEZE DRY MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF CORTICAL SPINE ACF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,SPACER ALLOGRAFT L12 MM X W14 MM X H8 MM 5 D OVAL FREEZE DRIED PYRAMIDAL TEETH LARGE CENTRAL LUMEN MONOLITHIC ACF CORTICAL SPINE ACF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,SPACER ALLOGRAFT L12 MM X W14 MM X H9 MM 5 D LORDOTIC OVAL FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF CORTICAL SPINE ACF,900.0,450.0,172.35,810.0,65
HCPCS,C1762,SPACER ALLOGRAFT L8 MM X W9 MM X H6 MM PARALLEL FREEZE DRIED NOTCH END ARCH SPINE OPEN DOOR LAMINOPLASTY,1004.87,502.44,192.43,904.38,65
HCPCS,C1762,SPACER ALLOGRAFT W14 MM X H6 MM 7 D D11 MM BLOCK DENSE GRAFTECH CANCELLOUS CERVICAL,540.0,270.0,103.41,486.0,65
HCPCS,C1762,SPACER SPINAL ACF 14MMW X 12MML X 7MMH CORTICAL CANCELLOUS CERVICAL PARALLEL FREEZE-DRIED IRRADIATED STERILE SINGLE-USE PRECISION,1100.35,550.18,210.72,990.32,65
HCPCS,C1762,SPACER SPINAL ACF 14MMW X 12MML X 8MMH CORTICAL CANCELLOUS CERVICAL PARALLEL FREEZE-DRIED IRRADIATED STERILE SINGLE-USE,1100.35,550.18,210.72,990.32,65
HCPCS,C1762,SPACER SPINAL ACF 14MMW X 12MML X 9MMH CORTICAL CANCELLOUS CERVICAL PARALLEL FREEZE-DRIED IRRADIATED STERILE SINGLE-USE,1100.35,550.18,210.72,990.32,65
HCPCS,C1762,STICK BONE GRAFT 5CMW X 10CML CORTICAL FREEZE-DRIED MATRIGRAFT STERILE SINGLE-USE,327.5,163.75,62.72,294.75,65
HCPCS,C1762,STRIP DEMINERAL CANC 50X20X5PUREBONE,1620.0,810.0,310.23,1458.0,65
HCPCS,C1762,SUBSTITUTE BONE GRAFT 1.2ML BBTRAUMA VITOSS FOAM PACK,150.0,75.0,28.73,135.0,65
HCPCS,C1762,SUBSTITUTE BONE GRAFT 10ML BBTRAUMA VITOSS FOAM PACK BIOACTIVE OSTEOCONDUCTIVE SCAFFOLD,875.0,437.5,167.56,787.5,65
HCPCS,C1762,SUBSTITUTE BONE GRAFT 5ML BBTRAUMA VITOSS FOAM STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1762,SUBSTITUTE BONE GRAFT B-TCP COLLAGEN 5 ML VOID FILLER CANISTER VITOSS STANDARD,500.0,250.0,95.75,450.0,65
HCPCS,C1762,SUBSTITUTE BONE GRAFT BTCP COLLAGEN 1.2 ML VOID FILLER FOAM PACK VITOSS,120.0,60.0,22.98,108.0,65
HCPCS,C1762,SUBSTITUTE BONE GRAFT BTCP COLLAGEN 10 ML FOAM PACK BIOACTIVE VITOSS,1000.0,500.0,191.5,900.0,65
HCPCS,C1762,TENDON SPEEDGRAFT QUADLINK,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1762,WEDGE AUGMENTATION L16 MM X H6.5 MM ANATOMIC BIOSYNC COTTON,1995.0,997.5,382.04,1795.5,65
HCPCS,C1762,WEDGE AUGMENTATION THK5.5 MM D16 MM GREEN BIOSYNC COTTON,1995.0,997.5,382.04,1795.5,65
HCPCS,C1762,WEDGE AUGMENTATION W14 MM THK4.5 MM D16 MM KEYSTONE SMALL FOOTPRINT PRESIZE BIOFOAM COTTON W10 MM,1246.0,623.0,238.61,1121.4,65
HCPCS,C1762,WEDGE AUGMENTATION W14 MM THK5.5 MM D20 MM KEYSTONE LARGE FOOTPRINT PRESIZE BIOFOAM COTTON W10 MM,1246.0,623.0,238.61,1121.4,65
HCPCS,C1762,WEDGE AUGMENTATION W14 MM THK6.5 MM D16 MM KEYSTONE SMALL FOOTPRINT PRESIZE CENTRAL AUXILIARY HOLE BIOFOAM COTTON W10 MM,1246.0,623.0,238.61,1121.4,65
HCPCS,C1762,WEDGE AUGMENTATION W18 MM THK10 MM D18 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1762,WEDGE AUGMENTATION W18 MM THK8 MM D18 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1762,WEDGE AUGMENTATION W20 MM THK12 MM D20 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1762,WEDGE AUGMENTATION W20 MM THK8 MM D20 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1762,WEDGE AUGMENTATION W22 MM THK12 MM D22 MM FOOTPRINT PRESIZE EVANS BIOFOAM,1330.0,665.0,254.7,1197.0,65
HCPCS,C1762,WEDGE BONE GRAFT 20MMW 7.5MM THK COTTON BIOFOAM STERILE SINGLE-USE,1335.0,667.5,255.65,1201.5,65
HCPCS,C1762,WEDGE BONE GRAFT 20MMW 8.5MM THK COTTON BIOFOAM STERILE SINGLE-USE,1335.0,667.5,255.65,1201.5,65
HCPCS,C1762,WEDGE BONE GRAFT 20MMW 9.5MM THK COTTON BIOFOAM STERILE SINGLE-USE,1335.0,667.5,255.65,1201.5,65
HCPCS,C1762,WEDGE BONE GRAFT BLOCK 8-17MM/10-17MMW X 14-20MML 10-12MM THK ILIAC CREST TRICORTICAL FREEZE-DRIED STRUCTURAL IRRADIATED STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1763,CONNECTOR NERVE 10MM 6MM AXOGUARD PORCINE EXTRACELLULAR MATRIX COAPTATION AID STERILE,1343.25,671.63,257.23,1208.93,65
HCPCS,C1763,CONNECTOR NERVE 10MM 7MM AXOGUARD PORCINE EXTRACELLULAR MATRIX COAPTATION AID STERILE,1343.25,671.63,257.23,1208.93,65
HCPCS,C1763,DRESSING PURAPLY AM 3X4CM 12SQ CM ANTIMICROBIAL WOUND PHMB MATRIX STERILE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1763,GRAFT 6CM COSTAL CARTILAGE SALINE FREEZE DRIED BONE,675.0,337.5,129.26,607.5,65
HCPCS,C1763,GRAFT BIODESIGN .6CM .9CM SOFT TISSUE REPAIR OTOLOGY,245.0,122.5,46.92,220.5,65
HCPCS,C1763,GRAFT BIODESIGN 2.5X2.5CM SOFT TISSUE STERILE OTOLOGIC REPAIR,295.0,147.5,56.49,265.5,65
HCPCS,C1763,GRAFT BIODESIGN 3X2CM SOFT TISSUE ENT REPAIR,285.0,142.5,54.58,256.5,65
HCPCS,C1763,GRAFT BIODESIGN 5X5CM SOFT TISSUE STERILE OTOLOGIC REPAIR,475.0,237.5,90.96,427.5,65
HCPCS,C1763,GRAFT BIODESIGN 7X4CM SOFT TISSUE NATURAL ENT REPAIR,525.0,262.5,100.54,472.5,65
HCPCS,C1763,GRAFT DURAL 1CMW X 2CML PORCINE COLLAGEN MATRIX STENTED LOW-ENDOTOXIN LEVEL BIODESIGN NON-PYROGENIC STERILE SINGLE-USE PEEL-OPEN PACKAGE,235.0,117.5,45.0,211.5,65
HCPCS,C1763,GRAFT DURAL 2.5CMW X 2.5CML PORCINE COLLAGEN MATRIX STENTED LOW-ENDOTOXIN LEVEL BIODESIGN NON-PYROGENIC STERILE SINGLE-USE PEEL-OPEN PACKAGE,395.0,197.5,75.64,355.5,65
HCPCS,C1763,GRAFT DURAL 2CMW X 3CML COLLAGEN MATRIX SOFT SMOOTH BOTTOM PREVENT CSF LEAKAGE F/REPAIRING DURA MATER BIODESIGN STERILE,418.0,209.0,80.05,376.2,65
HCPCS,C1763,GRAFT DURAL 7INW X 20INL COLLAGEN MATRIX SOFT SMOOTH BOTTOM PREVENT CSF LEAKAGE F/REPAIRING DURA MATER BIODESIGN STERILE,1223.0,611.5,234.2,1100.7,65
HCPCS,C1763,GRAFT DURAPLASTY 1CMW X 2CML .25MM THK PORCINE COLLAGEN MATRIX STENTED LOW-ENDOTOXIN LEVEL BIODESIGN NON-PYROGENIC STERILE SINGLE-USE PEEL-OPEN PACKAGE,235.0,117.5,45.0,211.5,65
HCPCS,C1763,GRAFT DURAPLASTY 2.5CMW X 2.5CML .25MM THK PORCINE COLLAGEN MATRIX STENTED LOW-ENDOTOXIN LEVEL BIODESIGN NON-PYROGENIC STERILE SINGLE-USE PEEL-OPEN PACKAGE,395.0,197.5,75.64,355.5,65
HCPCS,C1763,GRAFT SOFT TISSUE BIODESIGN L10 CM X W7 CM 4 SHEET FREEZE DRIED PORCINE ACELLULAR COLLAGEN MATRIX HERNIA REPAIR,1600.0,800.0,306.4,1440.0,65
HCPCS,C1763,GRAFT SOFT TISSUE BIODESIGN L7 CM X W4 CM 4 LAYER PORCINE ACELLULAR COLLAGEN MATRIX,899.0,449.5,172.16,809.1,65
HCPCS,C1763,GRAFT SOFT TISSUE BIODESIGN L7 CM X W4 CM NONPYROGENIC PORCINE COLLAGEN MATRIX,705.0,352.5,135.01,634.5,65
HCPCS,C1763,IMPLANT BIOLOGICAL TISSUE LARGE COLLAGEN MINI-OPEN BIOINDUCTIVE SCAFFOLD,1900.0,950.0,363.85,1710.0,65
HCPCS,C1763,IMPLANT BIOLOGICAL TISSUE MEDIUM BOVINE ACHILLES TENDON DELIVERY DEVICE BIOINDUCTIVE IMPLANT REGENETEN ROTATOR CUFF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1763,KIT PATCH LAMINAR PRECUT SPHERICAL DISC EPIDISC TYMPANIC MEMBRANE MYRINGOPLASTY,214.0,107.0,40.98,192.6,65
HCPCS,C1763,MESH LARGE ARTHROSCOPIC COLLAGEN RECONSTITUTE SCAFFOLD SURGICAL,1900.0,950.0,363.85,1710.0,65
HCPCS,C1763,MESH MEDIUM ARTHROSCOPIC COLLAGEN RECONSTITUTE SCAFFOLD SURGICAL,1900.0,950.0,363.85,1710.0,65
HCPCS,C1763,PATCH DURAGUARD 8X14CM,703.84,351.92,134.79,633.46,65
HCPCS,C1763,PATCH DURAL L3 IN X W3 IN THK3.5 MM REGENERATION MEMBRANE SPONGE LAYER DURAMATRIX-ONLAY PLUS DURAMATRIX-ONLAY PLUS NONPOROUS CRANIOMAXILLOFACIAL,846.73,423.37,162.15,762.06,65
HCPCS,C1763,PROTECTOR NERVE 6MM 2 BRANCH 20MM END TAB AXOGUARD NERVE CAP SIS MATRIX,2333.0,1166.5,446.77,2099.7,65
HCPCS,C1763,SHEETING SILASTIC 12INW X 12INL 0.04IN THK REINFORCED,467.0,233.5,89.43,420.3,65
HCPCS,C1763,SHEETING SILASTIC 4INW X 8INL 0.04IN THK SILICONE SIL-TEC,108.0,54.0,20.68,97.2,65
HCPCS,C1763,SHEETING SILASTIC 6INW X 8INL 0.20IN THK SILICONE SIL-TEC STERILE,196.0,98.0,37.53,176.4,65
HCPCS,C1764,DEVICE CARDIAC IMPLANTABLE BIOMONITOR,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1764,SYSTEM CARDIAC MONITOR REVEAL LINQ MYCARELINK INSERTABLE LOOP RECORDER AUTOMATIC ACTIVATE,4300.0,2150.0,823.45,3870.0,65
HCPCS,C1764,SYSTEM CARDIAC MONITOR REVEAL LINQ STERILE LATEX FREE DISPOSABLE,4300.0,2150.0,823.45,3870.0,65
HCPCS,C1766,CATHETER ABLATION 2 DIRECTIONAL STEERABLE SHEATH FLEXCATH CONTOUR L82 CM L13 MM OD14 FR ID10 FR,1100.0,550.0,239.91,990.0,64
HCPCS,C1766,CATHETER ABLATION 2 DIRECTIONAL STEERABLE SHEATH FLEXCATH CONTOUR L82 CM L20 MM OD14 FR ID10 FR,1100.0,550.0,239.91,990.0,64
HCPCS,C1766,INTRODUCER CATHETER SUPRACROSS SHEATH 8.5FR 17MM SMALL 65CM 67CM DILATOR SWIVEL BI-DIRECTIONAL RADIOFREQUENCY STEERABLE WIRE JUGULAR SUBCLAVIAN NON-RADIOLUCENT MARKER 0.035IN GW,1700.0,850.0,370.77,1530.0,64
HCPCS,C1766,INTRODUCER CATHETER SUPRACROSS SHEATH 8.5FR 22MM MEDIUM 65CM 67CM DILATOR SWIVEL BI-DIRECTIONAL RADIOFREQUENCY STEERABLE WIRE JUGULAR SUBCLAVIAN NON-RADIOLUCENT MARKER 0.035IN GW,1700.0,850.0,370.77,1530.0,64
HCPCS,C1766,INTRODUCER CATHETER SUPRACROSS SHEATH 8.5FR 50MM LARGE 65CM 67CM DILATOR SWIVEL BI-DIRECTIONAL RADIOFREQUENCY STEERABLE WIRE JUGULAR SUBCLAVIAN NON-RADIOLUCENT MARKER 0.035IN GW,1700.0,850.0,370.77,1530.0,64
HCPCS,C1766,SET INTRODUCER CATHETER SUPRACROSS 8.5FR LARGE 65CM 50MM CURVE BI-DIRECTIONAL STEERABLE TRANSSEPTAL W/67CM J-TIP DILATOR 0.035IN GW,850.0,425.0,185.39,765.0,64
HCPCS,C1766,SET INTRODUCER CATHETER SUPRACROSS 8.5FR MEDIUM 65CM 22MM CURVE BI-DIRECTIONAL STEERABLE TRANSSEPTAL W/67CM J-TIP DILATOR 0.035IN GW,850.0,425.0,185.39,765.0,64
HCPCS,C1766,SET INTRODUCER CATHETER SUPRACROSS 8.5FR SMALL 65CM 17MM CURVE BI-DIRECTIONAL STEERABLE TRANSSEPTAL W/67CM J-TIP DILATOR 0.035IN GW,850.0,425.0,185.39,765.0,64
HCPCS,C1766,SHEATH 12FR .189IN .157IN 80CM 45D DELIVERY AMPLATZER TORQVUE DEHP PHTHALATE STERILE LATEX FREE REUSABLE,800.0,400.0,174.48,720.0,64
HCPCS,C1766,SHEATH 12FR 20MM CATHETER STEERABLE RADIOPAQUE VARIABLE BRAID SHAFT HEMOSTASIS VALVE FLEXCATH CONTOUR,1100.0,550.0,239.91,990.0,64
HCPCS,C1766,SHEATH 12FR CATHETER STEERABLE RADIOPAQUE BRAID SHAFT FLEXCATH CONTOUR,1100.0,550.0,239.91,990.0,64
HCPCS,C1766,SHEATH 7FR 45CM 9MM 180D CATHETER STEERABLE TOURGUIDE HYDROPHILIC,418.7,209.35,91.32,376.83,64
HCPCS,C1766,SHEATH CATHETER L90 CM L17 MM ID8.5 FR TOURGUIDE 180 D HYDROPHOBIC STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT,450.5,225.25,98.25,405.45,64
HCPCS,C1766,SHEATH DELIVERY L80 CM OD14 FR ODSEC.215 IN ID.184 IN AMPLATZER TORQVUE 45 D DEHP PHTHALATE,800.0,400.0,174.48,720.0,64
HCPCS,C1766,SHEATH ENDOSCOPIC L92 CM MEDIUM CURVE BIDIRECTIONAL DILATOR STEERABLE SYMMETRIC OD12 FR ID9 FR ZURPAZ ACCEPTS .032 IN GUIDEWIRE,850.0,425.0,185.39,765.0,64
HCPCS,C1766,SHEATH FLEXCATH 10F STEERDCD,1150.0,575.0,250.82,1035.0,64
HCPCS,C1766,SHEATH INTRODUCER L71 CM 50 MM LARGE CURVE OD11.5 FR ID8.5 FR VIZIGO,950.0,475.0,207.2,855.0,64
HCPCS,C1766,SHEATH INTRODUCER L71 CM BIDIRECTIONAL GUIDING CARTO VIZIGO,950.0,475.0,207.2,855.0,64
HCPCS,C1766,SHEATH INTRODUCER L74 CM STEERABLE ID13 FR FARADRIVE,1300.0,650.0,283.53,1170.0,64
HCPCS,C1766,SHEATH INTRODUCER VIZIGO STERILE LATEX FREE DISPOSABLE,950.0,475.0,207.2,855.0,64
HCPCS,C1766,SYSTEM DELIVERY LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE 45 D L80 CM OD7 FR STAINLESS STEEL PTFE,680.0,340.0,148.31,612.0,64
HCPCS,C1767,GENERATOR NEUROSTIMULATOR L1.95 IN X H2.19 IN THK1.34 CM 25.5-MA 2-1200HZ 30.4 CU CM 5 IMPLANTABLE PULSE TONIC STIMULATION MODE BATTERY PROCLAIM ELITE 1.7 OZ,19500.0,9750.0,3734.25,17550.0,65
HCPCS,C1767,GENERATOR NEUROSTIMULATOR L2.8 CM X W1.1 CM THK4.9 MM MICRO 0-10.2 MA 2-1499 HZ 16 CONTACT IMPLANTABLE PULSE,14500.0,7250.0,2776.75,13050.0,65
HCPCS,C1767,GENERATOR NEUROSTIMULATOR L5.02 CM X H6.68 CM THK1.35 CM 25.5-MA 2-1200HZ 38.6 CU CM 7 IMPLANTABLE PULSE TONIC STIMULATION MODE BATTERY PROCLAIM ELITE 58.3 GM,19500.0,9750.0,3734.25,17550.0,65
HCPCS,C1767,GENERATOR NEUROSTIMULATOR PULSE EL IPG,10000.0,5000.0,1915.0,9000.0,65
HCPCS,C1767,GENERATOR NEUROSTIMULATOR REMEDE IMPLANTABLE PULSE PHRENIC NERVE STIMULATION STERILE LATEX FREE,25500.0,12750.0,4883.25,22950.0,65
HCPCS,C1767,KIT NEUROSTIMULATOR L70.9 MM X W49.5 MM X H11.3 MM 33 CU CM PULSE GENERATOR PORT PLUG HEADER PRECISION NOVI TITANIUM SILICONE EPOXY,14500.0,7250.0,2776.75,13050.0,65
HCPCS,C1767,NEUROSTIMULATOR IMPLANTABLE ENTERRA II INTRAMUSCULAR,10750.0,5375.0,2058.63,9675.0,65
HCPCS,C1767,NEUROSTIMULATOR L2 IN X H1.7 IN INTERSTIM X IMPLANTABLE THK.3 IN 10-14HZ 0-4V 14 ML 22 GM SACRAL NERVE 4 ELECTRODE LEAD GENERATOR,11000.0,5500.0,2106.5,9900.0,65
HCPCS,C1768,GRAFT ADVANTA VXT SLIDER GDS 6MM 80CM THIN WALL HELIX SHEATH HYBRID ARCHITECTURE TRANSFER SLEEVE PREATTACH TUNNELER VASCULAR PTFE STERILE,960.11,480.06,183.86,864.1,65
HCPCS,C1768,GRAFT ARTEGRAFT 8MM 30CM FIBROUS MATRIX WOVEN CROSS LINK CONDUIT VASCULAR BOVINE CAROTID ARTERY STERILE LATEX FREE,3839.0,1919.5,735.17,3455.1,65
HCPCS,C1768,GRAFT BIOLOGICAL TISSUE PATCH 2CMW X 9CML BOVINE PERICARDIUM 1-PIECE BIOCOMPATIBLE F/CARDIAC VASCULAR RECONSTRUCTION REINFORCING SUTURE LINE XENOSURE STERILE SINGLE-USE JAR CONTAINING 0.2% GLUTARALDEH,336.0,168.0,64.34,302.4,65
HCPCS,C1768,GRAFT BIOLOGICAL TISSUE PATCH 5CMW X 10CML 0.2-0.4MM THK BOVINE PERICARDIUM RECTANGLE ANTICALCIFICATION W/ENCAP AC TECHNOLOGY,275.0,137.5,52.66,247.5,65
HCPCS,C1768,GRAFT CARDIOVASCULAR L30 CM OD10 MM POLYESTER STRAIGHT TUBE KNIT HEMASHIELD GOLD,488.22,244.11,93.49,439.4,65
HCPCS,C1768,GRAFT CRYOARTERY 11CM 5MM BIFURCATED SOFT TISSUE ALLOGRAFT 4-5MM 8-15MM AORTOILIAC ARTERY,19500.0,9750.0,3734.25,17550.0,65
HCPCS,C1768,GRAFT CRYOVEIN 70CM SOFT TISSUE SAPHENOUS VEIN ALLOGRAFT 3-6MM,7300.0,3650.0,1397.95,6570.0,65
HCPCS,C1768,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L14 CM L6.5 CM OD14.5 MM ODSEC32 MM TRUNK IPSILATERAL LEG ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1768,GRAFT ENDOVASCULAR STENT 22MM 24MM 17MM 100MM WOVEN POLYESTER THORAFLEX LATEX-FREE STERILE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1768,GRAFT HEMODIALYSIS HERO VENOUS,1000.0,500.0,191.5,900.0,65
HCPCS,C1768,GRAFT INTERGARD CARDIOVASCULAR 28MM 30CM STRAIGHT WOVEN COLLAGEN POLYESTER VELOUR,467.04,233.52,89.44,420.34,65
HCPCS,C1768,GRAFT SOFT TISSUE AMNIOEXCEL 2 CM DISC ALLOGRAFT AMNIOTIC EXTRACELLULAR MATRIX MEMBRANE,481.0,240.5,92.11,432.9,65
HCPCS,C1768,GRAFT SOFT TISSUE PRESHAPED BTB PRESHAPED 11/11MM <45MM PATELLA TENDON FROZEN,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1768,GRAFT STENT 10-16MM 93MM AAA ENDURANT II NITINOL POLYESTER INFRARENAL DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL,4609.8,2304.9,882.78,4148.82,65
HCPCS,C1768,GRAFT STENT OD16-16 MM ODSEC14 FR L124 MM NITINOL POLYESTER HYDROPHILIC DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE ENDURANT II ENDOVASCULAR AAA,4609.8,2304.9,882.78,4148.82,65
HCPCS,C1768,GRAFT STENT OD20-16 MM ODSEC16 FR L124 MM L178 MM L177-197 MM NITINOL POLYESTER DELIVERY SYSTEM CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,4915.3,2457.65,941.28,4423.77,65
HCPCS,C1768,GRAFT VASCULAR 10MM DIA 30CML BOVINE COLLAGEN IMPREGNATED POLYESTER AORTA STRAIGHT MICROVEL KNITTED DOUBLE VELOUR 1-LAYER HEMASHIELD GOLD STERILE SINGLE-USE,488.22,244.11,93.49,439.4,65
HCPCS,C1768,GRAFT VASCULAR 6-7MM DIA 15CML BOVINE COLLAGEN CAROTID ARTERY WOVEN F/LOWER EXTREMITY BYPASS ARTEGRAFT,1649.0,824.5,315.78,1484.1,65
HCPCS,C1768,GRAFT VASCULAR 7MM ID 30CML BOVINE COLLAGEN IMPREGNATED POLYESTER AORTIC ARCH STRAIGHT KNITTED DOUBLE VELOUR HEMASHIELD GOLD LATEX-FREE STERILE SINGLE-USE 1-LAYER SOFT FLEXIBLE COMPLIANT,488.22,244.11,93.49,439.4,65
HCPCS,C1768,GRAFT VASCULAR ARTEGRAFT 5MM 45CM WOVEN BOVINE COLLAGEN CAROTID ARTERY F/LOWER EXTREMITY BYPASS,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID3 MM HEPARIN PROPATEN PTFE SHUNT COATED GORE PROPATEN THIN WALL PEDIATRIC,950.0,475.0,181.93,855.0,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID3.5 MM HEPARIN PROPATEN PTFE SHUNT COATED GORE PROPATEN THIN WALL PEDIATRIC,950.0,475.0,181.93,855.0,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID4 MM HEPARIN PROPATEN PTFE SHUNT COATED GORE PROPATEN THIN WALL PEDIATRIC,950.0,475.0,181.93,855.0,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID5 MM HEPARIN PROPATEN PTFE SHUNT COATED GORE PROPATEN THIN WALL PEDIATRIC,950.0,475.0,181.93,855.0,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID6 MM GORE-TEX STRETCH GORE-TEX THIN WALL PERIPHERAL,195.0,97.5,37.34,175.5,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID6 MM HEPARIN PROPATEN PTFE STRETCH COATED GORE PROPATEN STANDARD WALL,333.0,166.5,63.77,299.7,65
HCPCS,C1768,GRAFT VASCULAR L10 CM ID7 MM GORE-TEX STRETCH GORE-TEX THIN WALL PERIPHERAL,195.0,97.5,37.34,175.5,65
HCPCS,C1768,GRAFT VASCULAR L100 CM L70 CM ID8 MM GORE-TEX STRETCH REMOVABLE RING LINE GORE-TEX THIN WALL PERIPHERAL,1850.0,925.0,354.28,1665.0,65
HCPCS,C1768,GRAFT VASCULAR L15 CM ID6 MM HEPARIN PROPATEN PTFE SHUNT COATED GORE PROPATEN THIN WALL PEDIATRIC,1140.0,570.0,218.31,1026.0,65
HCPCS,C1768,GRAFT VASCULAR L20 CM ID20 MM GORE-TEX RING GORE-TEX STANDARD WALL TAPER,814.0,407.0,155.88,732.6,65
HCPCS,C1768,GRAFT VASCULAR L20 CM ID6 MM GORE-TEX STRETCH GORE-TEX THIN WALL PERIPHERAL,370.0,185.0,70.86,333.0,65
HCPCS,C1768,GRAFT VASCULAR L20 CM ID6 MM STRETCH GORE-TEX STANDARD WALL PERIPHERAL,336.0,168.0,64.34,302.4,65
HCPCS,C1768,GRAFT VASCULAR L20 CM L15 CM ID32 MM GELWEAVE GELATIN WOVEN IMPREGNATE ARCH RADIOPAQUE VASCUTEK GELWEAVE L30 CM OD12X8X8X10 MM 1 BRANCH,3775.0,1887.5,722.91,3397.5,65
HCPCS,C1768,GRAFT VASCULAR L20 CM OD28 MM MAIN BORE BRANCH HYBRID RADIOPAQUE VASCUTEK GELWEAVE ARCH THORACIC,3775.0,1887.5,722.91,3397.5,65
HCPCS,C1768,GRAFT VASCULAR L30 CM ID12 MM GORE-TEX RING GORE-TEX STANDARD WALL,1105.0,552.5,211.61,994.5,65
HCPCS,C1768,GRAFT VASCULAR L30 CM ID14 MM GORE-TEX RING GORE-TEX STANDARD WALL,1105.0,552.5,211.61,994.5,65
HCPCS,C1768,GRAFT VASCULAR L30 CM ID16 MM GORE-TEX RING GORE-TEX STANDARD WALL,1105.0,552.5,211.61,994.5,65
HCPCS,C1768,GRAFT VASCULAR L30 CM ID8 MM MICROVEL 2 VELOUR KNIT SIZER ACCESSORY HEMASHIELD GOLD STRAIGHT,488.22,244.11,93.49,439.4,65
HCPCS,C1768,GRAFT VASCULAR L30 CM OD12 MM 2 VELOUR MICROVEL KNIT SIZER HEMASHIELD GOLD STRAIGHT,488.22,244.11,93.49,439.4,65
HCPCS,C1768,GRAFT VASCULAR L40 CM ID6 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL PERIPHERAL,562.0,281.0,107.62,505.8,65
HCPCS,C1768,GRAFT VASCULAR L40 CM ID6 MM HEPARIN PROPATEN PTFE STRETCH COATED GORE PROPATEN VASCULAR GRAFT STANDARD WALL,1090.0,545.0,208.74,981.0,65
HCPCS,C1768,GRAFT VASCULAR L40 CM OD6 CM PTFE 3 LAYER ACUSEAL,1344.0,672.0,257.38,1209.6,65
HCPCS,C1768,GRAFT VASCULAR L45 CM L5 CM ID6 MM PTFE RADIAL SUPPORT STRETCH LINE GORE INTERING STANDARD WALL,799.0,399.5,153.01,719.1,65
HCPCS,C1768,GRAFT VASCULAR L50 CM ID6 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL PERIPHERAL,679.0,339.5,130.03,611.1,65
HCPCS,C1768,GRAFT VASCULAR L50 CM L40 CM ID6 MM HEPARIN PROPATEN PTFE REMOVABLE RING STRETCH GORE PROPATEN THIN WALL,1860.0,930.0,356.19,1674.0,65
HCPCS,C1768,GRAFT VASCULAR L50 CM L40 CM ID7 MM HEPARIN PROPATEN PTFE REMOVABLE RING STRETCH GORE PROPATEN VASCULAR GRAFT THIN WALL,1860.0,930.0,356.19,1674.0,65
HCPCS,C1768,GRAFT VASCULAR L50 CM L40 CM ID8 MM HEPARIN PROPATEN PTFE REMOVABLE RING STRETCH GORE PROPATEN VASCULAR GRAFT THIN WALL,1860.0,930.0,356.19,1674.0,65
HCPCS,C1768,GRAFT VASCULAR L50 CM L5 CM ID6 MM IDSEC6 MM NITINOL PTFE HYBRID REINFORCED COATED GORE HYBRID VASCULAR GRAFT,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1768,GRAFT VASCULAR L50 CM L5 CM ID6 MM IDSEC7 MM NITINOL PTFE HYBRID REINFORCED COATED GORE HYBRID VASCULAR GRAFT,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1768,GRAFT VASCULAR L50 CM L5 CM ID6 MM IDSEC8 MM NITINOL PTFE HYBRID REINFORCED COATED GORE HYBRID VASCULAR GRAFT,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1768,GRAFT VASCULAR L55 CM ID4-7 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL TAPER PERIPHERAL,776.0,388.0,148.6,698.4,65
HCPCS,C1768,GRAFT VASCULAR L60 CM ID6 MM GORE-TEX STRETCH GORE-TEX THIN WALL PERIPHERAL,929.0,464.5,177.9,836.1,65
HCPCS,C1768,GRAFT VASCULAR L60 CM ID8 MM PTFE RADIAL SUPPORT STRETCH LINE GORE INTERING THIN WALL,1328.0,664.0,254.31,1195.2,65
HCPCS,C1768,GRAFT VASCULAR L80 CM ID4-7 MM HEPARIN PROPATEN PTFE STRETCH COATED GORE PROPATEN VASCULAR GRAFT STANDARD WALL TAPER,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1768,GRAFT VASCULAR L90 CM L40 CM ID8 MM IDSEC8 MM GORE-TEX STRETCH REMOVABLE RING GORE-TEX STANDARD WALL AXILLOBIFEMORAL,2174.0,1087.0,416.32,1956.6,65
HCPCS,C1768,GRAFT VASCULAR STANDARD WALL 4-6MM DIA 40CML EPTFE AORTA STRAIGHT LINED GORE-TEX LATEX-FREE STERILE SINGLE-USE,482.0,241.0,92.3,433.8,65
HCPCS,C1768,GRAFT VASCULAR STANDARD WALL 6MM ID 10CML EPTFE AORTA STRAIGHT STRETCH F/OCCLUSIVE/ANEURYSMAL VESSEL REPLACEMENT GORE-TEX LATEX-FREE STERILE SINGLE-USE,185.0,92.5,35.43,166.5,65
HCPCS,C1768,GRAFT VASCULAR STANDARD WALL 6MM ID 45CML 5CML RINGED SECTION EPTFE AORTA STRAIGHT REMOVABLE RING F/OCCLUSIVE/ANEURYSMAL VESSEL REPLACEMENT GORE-TEX STERILE SINGLE-USE,750.0,375.0,143.63,675.0,65
HCPCS,C1768,GRAFT VASCULAR STANDARD WALL 8MM ID 40CML EPTFE HEPARIN COATED TAPERED STRETCH REMOVABLE RING F/OCCLUSIVE/ANEURYSMAL VESSEL REPLACEMENT GORE PROPATEN STERILE,1090.0,545.0,208.74,981.0,65
HCPCS,C1768,GRAFT VASCUTEK GELWEAVE LUPIAE ASSORTED LENGTH BRANCH RADIOPAQUE VASCULAR THORACIC ARCH,3775.0,1887.5,722.91,3397.5,65
HCPCS,C1768,"IMPLANT BREAST 800 CC P5 CM MODERATE PLUS PROFILE ROUND TEXTURE MEMORYGEL, SILTEX SILTEX GEL OD16.6 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1768,PATCH CARDIOVASCULAR THK.2-.4 MM L14 CM X W9 CM SOFT FLEXIBLE DURABLE SJM BOVINE PERICARDIUM ENCAP CARDIAC,460.0,230.0,88.09,414.0,65
HCPCS,C1768,PATCH CARDIOVASCULAR THK.4 MM L6 CM X W3 CM GORE-TEX GORE-TEX,225.0,112.5,43.09,202.5,65
HCPCS,C1768,PATCH CARDIOVASCULAR THK.4 MM L9 CM X W2 CM GORE-TEX GORE-TEX,222.0,111.0,42.51,199.8,65
HCPCS,C1768,PATCH CARDIOVASCULAR THK.5 MM L7.5 CM X W.8 CM LOW THROMBOGENICITY CONFORMABLE HIGH STRENGTH RECONSTRUCTION ACUSEAL GORE-TEX SUTURE LINE BLEEDING,180.0,90.0,34.47,162.0,65
HCPCS,C1768,PATCH VASCULAR 10CMW X 15CML BOVINE COLLAGEN AORTA PERICARDIAL 1-LAYER SOFT FLEXIBLE STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1768,PATCH VASCULAR 1CMW X 10CML 6-PLY THK PORCINE SMALL INTESTINE SUBMUCOSA ACELLULAR MATRIX HEMOSTATIC NON-CROSSLINKED GOOD SUTURE RETENTION STRENGTH F/CARDIAC VASCULATURE REPAIR ECM MRI-CONDITIONAL STER,1975.0,987.5,378.21,1777.5,65
HCPCS,C1768,PATCH VASCULAR 4CMW X 5CML 0.15-0.25MM THK BOVINE PERICARDIUM RECTANGULAR ANTICALCIFICATION W/ENCAP AC TECHNOLOGY F/CARDIAC REPAIR LATEX-FREE,575.0,287.5,110.11,517.5,65
HCPCS,C1768,PATCH VASCULAR 8X.8CM XENOSURE BOVINE PERICARDIAL TISSUE STERILE,249.0,124.5,47.68,224.1,65
HCPCS,C1768,PATCH VASCULAR 9X2CM NONPYROGENIC XENOSURE BOVINE PERICARDIAL GLUTARALDEHYDE STERILE,369.0,184.5,70.66,332.1,65
HCPCS,C1768,PATCH VASCULAR FELT 1/2INW X 4INL 1.65MM THK PTFE SQUARE KNITTED WOVEN STERILE SINGLE-USE 10/CA,749.0,374.5,143.43,674.1,65
HCPCS,C1768,PATCH VASCULAR FELT 4INW X 4INL 1.85MM THK PTFE SQUARE KNITTED WOVEN LOW POROSITY STERILE SINGLE-USE 5/CA,585.0,292.5,112.03,526.5,65
HCPCS,C1768,PATCH VASCULAR GRAFT 0.8CMW X 0.8CML 0.4MM THK ADAPTED COLLAGEN SCAFFOLD CARDIOVASCULAR PRE-CUT W/TAPERED END OFF-WHITE VASCUCEL STERILE,419.0,209.5,80.24,377.1,65
HCPCS,C1768,PATCH VASCULAR GRAFT 2CMW X 8CML 0.4MM THK ADAPTED COLLAGEN SCAFFOLD CARDIOVASCULAR PRE-CUT W/TAPERED END OFF-WHITE VASCUCEL STERILE,629.0,314.5,120.45,566.1,65
HCPCS,C1768,PATCH VASCULAR PATCH 0.8CM X 8CM BOVINE PERICARDIUM TAPERED XENOSURE 0.8P8,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1768,PATCH VASCULAR THK.35-.75MM TAPER 10X1CM BIOLOGIC XENOSURE BOVINE PERICARDIUM,235.0,117.5,45.0,211.5,65
HCPCS,C1768,SHEATH INTRODUCER L25 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM CORONARY ACCEPTS .038 IN GUIDEWIRE,222.5,111.25,42.61,200.25,65
HCPCS,C1768,STENT COVERA 8MM 8FR 80MM 120CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1768,SYSTEM ENDOPROSTHESIS STENT 34MM GRAFT ALTO ABDOMINAL PROXIMAL,13999.0,6999.5,2680.81,12599.1,65
HCPCS,C1768,TRIAL GRAFT AORTOILIAC ARTERY ABABO BLOOD GROUP,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1768,VALVE AORTIC MASTERS HEMASHIELD 27MM COLLAGEN 12CM MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL STERILE LATEX FREE,5385.0,2692.5,1031.23,4846.5,65
HCPCS,C1769,ACCESS VERSACROSS CONNECT LAAC 180J D0,1000.0,500.0,218.1,900.0,64
HCPCS,C1769,ACCESS VERSACROSS CONNECT LAAC 180P D0,1000.0,500.0,218.1,900.0,64
HCPCS,C1769,ACCESS VERSACROSS CONNECT LAAC 230P D0,1000.0,500.0,218.1,900.0,64
HCPCS,C1769,CABLE ELECTROSURGICAL HABIB ERBE VIO 3 ICC200 ICC300 ICC355 22 MM ADAPTER BIPOLAR RADIOFREQUENCY,395.0,197.5,86.15,355.5,64
HCPCS,C1769,DEVICE LOCKING GUIDEWIRE FUSION BILIARY PANCREATIC FUJINON OLYMPUS SCOPE ERCP,129.0,64.5,28.13,116.1,64
HCPCS,C1769,EXTENSION GUIDEWIRE 0.014IN 145CM STRAIGHT TIP CINCH QR,95.0,47.5,20.72,85.5,64
HCPCS,C1769,EXTENSION GUIDEWIRE 115CM .035IN EXCHANGE VASCULAR STAINLESS STEEL POLYETHYLENE VERSACORE LOC,215.0,107.5,46.89,193.5,64
HCPCS,C1769,EXTENSION GUIDEWIRE 150CM .014IN ASAHI STERILE LATEX FREE DISPOSABLE,350.0,175.0,76.34,315.0,64
HCPCS,C1769,EXTENSION GUIDEWIRE ADDWIRE 0.014IN 145CM,355.0,177.5,77.43,319.5,64
HCPCS,C1769,EXTENSION GUIDEWIRE STINGRAY 0.014IN 145CM CORONARY INTERMEDIATE RE-ENTRY HYDROPHILIC F/CTO,98.0,49.0,21.37,88.2,64
HCPCS,C1769,GDWR ASAHI MB12 .014X180,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GDWR HT FLEX-T .018INX145CM,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GDWR HT FLEX-T .018INX200CM,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GDWR VICTORY 14 300CM 25G,191.98,95.99,41.87,172.78,64
HCPCS,C1769,GDWR VICTORY 14 300CM 30G,191.98,95.99,41.87,172.78,64
HCPCS,C1769,GLIDEWIRE ENDOSCOPIC 0.018IN DIA 260CML PTFE HYDROPHILIC COATED BILIARY ANGLED TIP HIGH PERFORMANCE DISTAL F/CANNULATION DUCT NAVIPRO LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,495.0,247.5,107.96,445.5,64
HCPCS,C1769,GLIDEWIRE UROLOGICAL 0.035IN DIA 150CML STRAIGHT,130.0,65.0,28.35,117.0,64
HCPCS,C1769,GUIDE L62 CM OD16 FR ODSEC22 MM ROTATIONAL KNOB MOTORIZE CONTROL RADIOPAQUE TAILOR ENDOGRAFT FIXATION HELI-FX SURGICAL THORACIC AAA,1351.5,675.75,294.76,1216.35,64
HCPCS,C1769,GUIDE PIN ORTHOPEDIC L200 MM NONTHREAD OD2.5 MM MEDLINE UNITE,25.0,12.5,5.45,22.5,64
HCPCS,C1769,GUIDEPIN ORTHOPEDIC 3.2MM 358MM COBALT CHROMIUM FLUTED PERI-LOC VLP,259.2,129.6,56.53,233.28,64
HCPCS,C1769,GUIDEPIN ORTHOPEDIC 3.2MM DIA 358MML THREADED PERI-LOC STERILE DISPOSABLE,526.5,263.25,114.83,473.85,64
HCPCS,C1769,GUIDEWIRE .7MM 150MM ORTHOPEDIC 2 TROCAR,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE 0.9X150MM DOUBLE TROCAR,32.0,16.0,6.98,28.8,64
HCPCS,C1769,GUIDEWIRE 1.6MM 150MM ORTHOPEDIC TROCAR TIP PLAIN,33.0,16.5,7.2,29.7,64
HCPCS,C1769,GUIDEWIRE 1.6MM 200MM ORTHOPEDIC SMOOTH CANNULATED SCREW SYSTEM,85.0,42.5,18.54,76.5,64
HCPCS,C1769,GUIDEWIRE 10CM 145CM 3MM RADIUS J CURVE NEWTON TAPER .035IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,13.99,7.0,3.05,12.59,64
HCPCS,C1769,GUIDEWIRE 145CM 3MM RADIUS J CURVE .025IN VASCULAR STERILE LATEX FREE DISPOSABLE,110.0,55.0,23.99,99.0,64
HCPCS,C1769,GUIDEWIRE 15CM STRAIGHT .015IN VASCULAR FIX CORE STERILE,14.99,7.5,3.27,13.49,64
HCPCS,C1769,GUIDEWIRE 160CM J CURVE 1.6MM VASCULAR TEFLON STERILE LATEX FREE DISPOSABLE ANGIOGRAPHIC,55.0,27.5,12.0,49.5,64
HCPCS,C1769,GUIDEWIRE 260CM .018IN VASCULAR STERILE LATEX FREE DISPOSABLE,950.0,475.0,207.2,855.0,64
HCPCS,C1769,GUIDEWIRE 2MM 200MM ORTHOPEDIC ASNIS JONES FRACTURE FIXATION SYSTEM,76.62,38.31,16.71,68.96,64
HCPCS,C1769,GUIDEWIRE 3.2MM 320MM ORTHOPEDIC LAG SCREW PHOENIX ANKLE ARTHRODESIS NAIL SYSTEM,99.0,49.5,21.59,89.1,64
HCPCS,C1769,GUIDEWIRE 315CM .014IN VASCULAR NITINOL WORKHORSE FILTER DELIVERY RADIOPAQUE FRAME COIL,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE 4.5CM 145CM 1.5MM RADIUS ROSEN CURVE TAPER 1.5CM .035IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP,14.99,7.5,3.27,13.49,64
HCPCS,C1769,GUIDEWIRE 4.5CM 80CM 1.5MM RADIUS ROSEN TAPER 1.5CM .035IN VASCULAR STAINLESS STEEL PTFE FIX CORE FLEXIBLE TIP,16.99,8.5,3.71,15.29,64
HCPCS,C1769,GUIDEWIRE 50CM STRAIGHT .015IN VASCULAR,28.0,14.0,6.11,25.2,64
HCPCS,C1769,GUIDEWIRE 520MM ORTHOPEDIC 2 BLUNT THREADED NITINOL SPINE,18.0,9.0,3.93,16.2,64
HCPCS,C1769,GUIDEWIRE 6CM 260CM 2CM STRAIGHT TAPER .035IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,16.99,8.5,3.71,15.29,64
HCPCS,C1769,GUIDEWIRE 7CM 145CM STRAIGHT TAPER 2CM .021IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,14.99,7.5,3.27,13.49,64
HCPCS,C1769,GUIDEWIRE 7CM 145CM STRAIGHT TAPER 2CM .025IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,11.99,6.0,2.62,10.79,64
HCPCS,C1769,GUIDEWIRE 7CM 50CM STRAIGHT TAPER 2CM .018IN VASCULAR STAINLESS STEEL PTFE FIX CORE FLEXIBLE TIP,16.99,8.5,3.71,15.29,64
HCPCS,C1769,GUIDEWIRE 7CM 50CM STRAIGHT TAPER 2CM .021IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,16.99,8.5,3.71,15.29,64
HCPCS,C1769,GUIDEWIRE ACUITY WHISPER VIEW 190CM .014IN VASCULAR HYDROPHILIC STERILE LATEX DISPOSABLE,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE ADDWIRE 145CM .014IN VASCULAR EXTENSION,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE AMPLATZ 7CM 180CM 3MM RADIUS 3CM CURVE TAPER .035IN VASCULAR STAINLESS STEEL PTFE FLOPPY TIP EXTRA STIFF SUPPORT,22.99,11.5,5.01,20.69,64
HCPCS,C1769,GUIDEWIRE AMPLATZ 7CM 260CM 3CM 3MM RADIUS CURVE TAPER .035IN VASCULAR STAINLESS STEEL PTFE FLOPPY TIP EXTRA STIFF,30.99,15.5,6.76,27.89,64
HCPCS,C1769,GUIDEWIRE AMPLATZ 7CM 300CM STRAIGHT TAPER 3CM .035IN VASCULAR STAINLESS STEEL PTFE FLOPPY TIP EXTRA STIFF SUPPORT,33.49,16.75,7.3,30.14,64
HCPCS,C1769,GUIDEWIRE AMPLATZ 8CM 180CM 3CM 3MM RADIUS CURVE .032IN VASCULAR STAINLESS STEEL PTFE FLOPPY TIP EXTRA STIFF,22.99,11.5,5.01,20.69,64
HCPCS,C1769,GUIDEWIRE AMPLATZ 8CM 260CM 3MM RADIUS CURVE TAPER 3CM .032IN VASCULAR STAINLESS STEEL PTFE FLOPPY TIP EXTRA STIFF SUPPORT,30.99,15.5,6.76,27.89,64
HCPCS,C1769,GUIDEWIRE AMPLATZ SUPER STIFF 3MM J .035IN 180CM UROLOGICAL 7CM,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE AMPLATZ SUPER STIFF 7CM 260CM 3MM J .035IN VASCULAR PERIPHERAL,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE AMPLATZ SUPER STIFF STRAIGHT .035IN 180CM UROLOGICAL 7CM,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE AMPLATZ SUPER STIFF STRAIGHT .035IN 260CM UROLOGICAL 7CM,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE AMPLATZ SUPER STIFF STRAIGHT .038IN 180CM UROLOGICAL FLOPPY TIP FLAT COIL WIRE STAINLESS STEEL PTFE 6CM PERIPHERAL,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE AMPLATZ SUPER STIFF STRAIGHT SHORT TAPER .035IN 260CM UROLOGICAL 1CM PERIPHERAL,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE ANGIOGRAPHIC L300 CM J RADIOPAQUE RIBBON TIP INTERMEDIATE COVER OD.014 IN HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL ELASTINITE POLYMER HYDROPHILIC L3 CM CORONARY PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE ANGIOGRAPHIC L300 CM STRAIGHT OD.014 IN HI-TORQUE WIGGLE L30 CM CORONARY,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE AQUATRACK 260CM ANGLE SHORT TAPER VASCULAR NITINOL HYDROPHILIC RADIOPAQUE LATEX FREE,270.64,135.32,59.03,243.58,64
HCPCS,C1769,GUIDEWIRE AQUATRACK 5IN 260CM ANGLE SHORT TAPER .035IN VASCULAR NITINOL HYDROPHILIC PERIPHERAL STEERABLE STIFF TORQUE DEVICE DISPOSABLE,270.64,135.32,59.03,243.58,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE .018IN VASCULAR STANDARD PROFILE STERILE LATEX FREE DISPOSABLE,635.0,317.5,138.49,571.5,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE .018IN VASCULAR SUPPORT STERILE LATEX FREE DISPOSABLE,635.0,317.5,138.49,571.5,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 10CM 200CM 35CM 30CM .014IN VASCULAR NITINOL HYDROPHILIC SOFT PROFILE RADIOPAQUE FLATTEN CORE TUBE,515.0,257.5,112.32,463.5,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 10CM 200CM 35CM 30CM .014IN VASCULAR NITINOL HYDROPHILIC STANDARD PROFILE RADIOPAQUE FLATTEN CORE TUBE,515.0,257.5,112.32,463.5,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 10CM 200CM 46CM 35CM .024IN VASCULAR NITINOL HYDROPHILIC SOFT PROFILE RADIOPAQUE FLATTEN CORE TUBE,740.0,370.0,161.39,666.0,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 10CM 200CM 46CM 35CM .024IN VASCULAR NITINOL HYDROPHILIC STANDARD PROFILE RADIOPAQUE FLATTEN CORE TUBE,740.0,370.0,161.39,666.0,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 10CM 300CM 35CM 30CM .014IN VASCULAR NITINOL HYDROPHILIC STANDARD PROFILE EXCHANGE RADIOPAQUE FLATTEN CORE,540.0,270.0,117.77,486.0,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 10CM RADIOPAQUE 200CM OD 0.024IN VASCULAR 24 GUIDEWIRE SUPPORT PROFILE WIRE HYCROPHILIC COATING 46CM,740.0,370.0,161.39,666.0,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 14 10CM 300CM 35CM 30CM 46CM .014IN VASCULAR NITINOL HYDROPHILIC SOFT PROFILE EXCHANGE RADIOPAQUE FLATTEN CORE,540.0,270.0,117.77,486.0,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE 200CM .018IN VASCULAR SOFT PROFILE STERILE LATEX FREE DISPOSABLE,635.0,317.5,138.49,571.5,64
HCPCS,C1769,GUIDEWIRE ARISTOTLE STANDARD VASCULAR STERILE LATEX FREE DISPOSABLE,1300.0,650.0,283.53,1170.0,64
HCPCS,C1769,GUIDEWIRE ARTHROSCOPIC BIOSURE OD1.2 MM L12 IN ACL PCL HA,200.0,100.0,43.62,180.0,64
HCPCS,C1769,GUIDEWIRE ARTHROSCOPIC BIOSURE OD1.2 MM L18 IN ACL PCL HA,230.0,115.0,50.16,207.0,64
HCPCS,C1769,GUIDEWIRE ARTHROSCOPIC TROCAR TIP LASER LINE OD.034 IN,127.63,63.82,27.84,114.87,64
HCPCS,C1769,GUIDEWIRE ASAHI CHIKAI 10 3CM 200CM 9.5CM 170CM STRAIGHT .01IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE ASAHI CHIKAI 5CM 200CM 30CM 170CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE ASAHI CONFIANZA PRO 12 20CM 180CM STRAIGHT TAPER .014IN VASCULAR TRUTORQ HYBRID RADIOPAQUE STERILE LATEX FREE DISPOSABLE PTCA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI FIELDER XT-A 16CM 190CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL JACKET CORE WIRE PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA FIRST 15CM 190CM 40CM .014IN .010IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL UNCOATED DISTAL TIP PRESHAPE PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA NEXT 1 15CM 190CM 1MM 15CM 40CM .011IN .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL FLEXIBLE UNCOAT DISTAL TIP PTCA PTA,600.0,300.0,114.9,540.0,65
HCPCS,C1769,GUIDEWIRE ASAHI GAIA NEXT 2 15CM 190CM 1MM 15CM 40CM .012IN .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL FLEXIBLE UNCOAT DISTAL TIP PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA NEXT 3 15CM 190CM 1MM 15CM 40CM .012IN .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL FLEXIBLE UNCOAT DISTAL TIP PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA SECOND 15CM 190CM 15CM 40CM .014IN .011IN VASCULAR SLIP-COAT HYDROPHILIC PRESHAPE RADIOPAQUE UNCOATED DISTAL TIP SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA SECOND 15CM 300CM 15CM MICRO J CURVE .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL PRESHAPE UNCOAT DISTAL TIP PTCA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA THIRD 15CM 190CM 15CM 40CM .014IN .012IN VASCULAR SLIP-COAT HYDROPHILIC PRESHAPE RADIOPAQUE UNCOATED DISTAL SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GAIA THIRD 15CM 300CM 15CM .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL PRESHAPE UNCOAT DISTAL TIP PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GLADIUS 3CM 200CM 11CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC PERIPHERAL RADIOPAQUE SPRING COIL,825.0,412.5,179.93,742.5,64
HCPCS,C1769,GUIDEWIRE ASAHI GLADIUS 3CM 300CM 11CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC PERIPHERAL RADIOPAQUE SPRING COIL,825.0,412.5,179.93,742.5,64
HCPCS,C1769,GUIDEWIRE ASAHI GLADIUS MONGO 8.5CM 190CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC PTFE RADIOPAQUE SPRING COIL JACKET PURPOSE BUILT PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI GLADIUS MONGO 8.5CM 300CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHILIC PTFE RADIOPAQUE SPRING COIL JACKET PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI RG3 8CM 330CM 3CM 170CM 160CM STRAIGHT .010IN VASCULAR SLIP-COAT HYDROPHILIC HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI SILVERWAY 260CM J SHAPE .035IN VASCULAR,200.0,100.0,43.62,180.0,64
HCPCS,C1769,GUIDEWIRE ASAHI SION 3CM 180CM 28CM 280MM STRAIGHT .014IN VASCULAR HYDROPHILIC RADIOPAQUE SPRING COIL,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI SION 3CM 300CM 28CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL PTCA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI SION ACT ONE 12CM 190CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL JACKET HIGH FLEXIBILE TIP BLACK PTCA PTA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE ASAHI SION ACT ONE 28CM 190CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL FLEXIBLE TORQUE RESPONSE PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASAHI SION BLACK 3CM 300CM 12CM STRAIGHT .014IN VASCULAR HYDROPHILIC RADIOPAQUE SPRING COIL PTCA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE ASAHI SION BLUE 3CM 180CM 20CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHILIC RADIOPAQUE SPRING COIL TIP PTCA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE ASAHI SION BLUE ACT ONE 20CM 190CM 3CM J .014IN VASCULAR HYBRID RADIOPAQUE SPRING COIL FLEXIBLE TORQUE RESPONSE PTCA PTA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE ASAHI SION BLUE ACT ONE 20CM 190CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT HYBRID RADIOPAQUE SPRING COIL FLEXIBLE TORQUE RESPONSE PTCA PTA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE ASAHI SUOH 03 19CM 300CM 3CM 52CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL FLEXIBLE TIP PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE ASNIS III 1.4MM 150MM ORTHOPEDIC THREAD NONSTERILE 4MM SCREW,71.64,35.82,15.62,64.48,64
HCPCS,C1769,GUIDEWIRE ASNIS III 1.4MM 150MM ORTHOPEDIC THREAD STERILE 4MM SCREW,69.65,34.83,15.19,62.69,64
HCPCS,C1769,GUIDEWIRE ASNIS III 3.2MM 300MM ORTHOPEDIC CALIBRATE QUICK RELEASE FIT NONSTERILE 6.5/8MM SCREW,52.74,26.37,11.5,47.47,64
HCPCS,C1769,GUIDEWIRE ASNIS III 3.2MM 300MM ORTHOPEDIC NONSTERILE 6.5/8MM SCREW,40.8,20.4,8.9,36.72,64
HCPCS,C1769,GUIDEWIRE ASNIS III 3.2MM 300MM ORTHOPEDIC THREAD NONSTERILE 6.5/8MM SCREW,40.8,20.4,8.9,36.72,64
HCPCS,C1769,GUIDEWIRE ASTATO XS 20 17CM 180CM 17CM STRAIGHT .014IN .008IN VASCULAR SLIP-COAT HYDROPHILIC PERIPHERAL RADIOPAQUE SPRING COIL UNCOATED DISTAL TIP,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE ASTATO XS 20 17CM 300CM 17CM STRAIGHT .014IN .008IN VASCULAR SLIP-COAT HYDROPHILIC PERIPHERAL RADIOPAQUE SPRING COIL UNCOATED DISTAL TIP,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE BACK-UP MEIER 16CM 185CM J .035IN VASCULAR STAINLESS STEEL TUNGSTEN PERIPHERAL FLEXIBLE TIP RADIOPAQUE SPRING COIL,320.0,160.0,69.79,288.0,64
HCPCS,C1769,GUIDEWIRE BENTSON 18CM 145CM STANDARD STRAIGHT TAPER 6CM .025IN VASCULAR STAINLESS STEEL PTFE FIX CORE FLEXIBLE TIP,15.99,8.0,3.49,14.39,64
HCPCS,C1769,GUIDEWIRE CHOICE 3CM 182CM J CURVE .014IN VASCULAR FLOPPY RADIOPAQUE LIGHT RAIL SUPPORT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE CHOICE 3CM 182CM STRAIGHT .014IN VASCULAR RADIOPAQUE EXTRA RAIL,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE CHOICE 3CM 300CM STRAIGHT .014IN VASCULAR RADIOPAQUE EXTRA RAIL SUPPORT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE CHOICE PT 35CM 182CM J .014IN VASCULAR RADIOPAQUE EXTRA RAIL SUPPORT,71.0,35.5,15.49,63.9,64
HCPCS,C1769,GUIDEWIRE CHOICE PT 35CM 182CM J .014IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC RADIOPAQUE FLOPPY TIP LIGHT RAIL SUPPORT SLEEVE,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE CHOICE PT 35CM 182CM STRAIGHT .014IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC RADIOPAQUE EXTRA RAIL SUPPORT INTERMEDIATE,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE CHOICE PT 35CM 185CM STRAIGHT .014IN VASCULAR FLOPPY RADIOPAQUE LIGHT RAIL SUPPORT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE CHOICE PT 35CM 300CM J CURVE .014IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC RADIOPAQUE INTERMEDIATE TIP EXTRA RAIL SUPPORT,71.0,35.5,15.49,63.9,64
HCPCS,C1769,GUIDEWIRE CHOICE PT 35CM 300CM STRAIGHT .014IN VASCULAR FLOPPY LIGHT RAIL SUPPORT,71.0,35.5,15.49,63.9,64
HCPCS,C1769,GUIDEWIRE CONFIANZA PRO 20CM 180CM STRAIGHT .014IN .009IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL UNCOATED DISTAL TIP PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE CONFIANZA PRO 20CM 300CM 20CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHOBIC RADIOPAQUE UNCOATED DISTAL SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE CONFIANZA PRO 20CM 300CM STRAIGHT .014IN .009IN VASCULAR SLIP-COAT HYDROPHILIC RADIOPAQUE SPRING COIL UNCOATED DISTAL TIP PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE CONFIDA 260CM .89MM VASCULAR STERILE LATEX FREE DISPOSABLE,975.0,487.5,212.65,877.5,64
HCPCS,C1769,GUIDEWIRE COUGAR XT 190CM J CURVE .014IN VASCULAR HYDRO-TRACK NITINOL FORM RIBBON TIP 2 COIL MEDIUM SUPPORT,300.0,150.0,65.43,270.0,64
HCPCS,C1769,GUIDEWIRE CPS COURIER 195CM MEDIUM VASCULAR STERILE LATEX FREE DISPOSABLE,99.0,49.5,21.59,89.1,64
HCPCS,C1769,GUIDEWIRE CPS COURIER 195CM VASCULAR EXTRA FIRM STERILE LATEX FREE DISPOSABLE,99.0,49.5,21.59,89.1,64
HCPCS,C1769,GUIDEWIRE CPS COURIER 195CM VASCULAR FIRM STERILE LATEX FREE DISPOSABLE,99.0,49.5,21.59,89.1,64
HCPCS,C1769,GUIDEWIRE CPS COURIER 195CM VASCULAR SOFT STERILE LATEX FREE DISPOSABLE,99.0,49.5,21.59,89.1,64
HCPCS,C1769,GUIDEWIRE CROSSLEAD 200CM .035IN VASCULAR STERILE LATEX FREE DISPOSABLE,825.0,412.5,179.93,742.5,64
HCPCS,C1769,GUIDEWIRE CROSSLEAD 300CM .035IN VASCULAR STERILE LATEX FREE DISPOSABLE,825.0,412.5,179.93,742.5,64
HCPCS,C1769,GUIDEWIRE DIAGNOSTIC HI-TORQUE WIGGLE OD.014 IN L190 CM SOFT RIBBON TIP RADIOPAQUE MICROGLIDE STAINLESS STEEL STRAIGHT L2 CM PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE DIAGNOSTIC INQWIRE OD.035 IN L180 CM FIX CORE FINGER STRAIGHTEN SMOOTH SURFACE FLUSH HOOP PTFE 1.5 MM ROSEN J CURVE,107.1,53.55,23.36,96.39,64
HCPCS,C1769,GUIDEWIRE DYNANAIL 3.1MM 400MM ORTHOPEDIC TROCAR TIP DISPOSABLE TIBIOTALOCALCANEAL ARTHRODESIS,145.0,72.5,31.62,130.5,64
HCPCS,C1769,GUIDEWIRE DYNANAIL 3.1MM 500MM ORTHOPEDIC BEAD TIP DISPOSABLE TIBIOTALOCALCANEAL ARTHRODESIS,145.0,72.5,31.62,130.5,64
HCPCS,C1769,GUIDEWIRE DYNANAIL MINI 2.4MM 229MM ORTHOPEDIC DISPOSABLE,119.0,59.5,25.95,107.1,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC 0.025IN DIA 260CML HYDROPHILIC BILIARY PANCREATIC ANGLED TIP BLUE DELTA WIRE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,94.0,47.0,20.5,84.6,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC 0.025IN DIA 260CML HYDROPHILIC BILIARY PANCREATIC STRAIGHT TIP BLUE DELTA WIRE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,94.0,47.0,20.5,84.6,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC 0.025IN DIA 270CML 7CML FLUORINE HYDROPHILIC COATED ANGLED TIP OPTIMAL STIFFNESS F/RETROGRADE CHOLANGIOPANCREATOGRAM VISIGLIDE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,153.75,76.88,33.53,138.38,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC 0.035IN DIA 260CML NITINOL ENDO-GLIDE COATED BILIARY STRAIGHT ROUND TIP EXTENDABLE HIGH PERFORMANCE JAGWIRE LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,245.0,122.5,53.43,220.5,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC 0.035IN OD 260CML BILIARY STRAIGHT ROUND TIP STIFF SHAFT EXTENDABLE JAGWIRE SINGLE-USE,245.0,122.5,53.43,220.5,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC ACROBAT,178.0,89.0,38.82,160.2,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC ACROBAT OD.025 IN L260 CM L5.8 CM STRAIGHT RADIOPAQUE CALIBRATE TIP HYDROPHILIC L4 CM,178.0,89.0,38.82,160.2,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC ACROBAT OD.025 IN L450 CM CALIBRATE TIP SPRING COIL HYDROPHILIC L4 CM,163.0,81.5,35.55,146.7,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC ACROBAT OD.025 IN L450 CM STRAIGHT CALIBRATE TIP RADIOPAQUE HYDROPHILIC L4 CM,178.0,89.0,38.82,160.2,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC ACROBAT OD.035 IN L205 CM L5.8 CM STRAIGHT RADIOPAQUE CALIBRATED TIP HYDROPHILIC L4 CM,178.0,89.0,38.82,160.2,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC ACROBAT OD.035 IN L450 CM STRAIGHT CALIBRATE TIP RADIOPAQUE HYDROPHILIC L4 CM,178.0,89.0,38.82,160.2,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC BARRX RFA OD.038 IN L230 CM STRAIGHT DISTAL TIP FLEXIBLE STAINLESS STEEL,161.6,80.8,35.24,145.44,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC CLEANGUIDE L80 CM 4 CM OTW RADIOPAQUE DILATOR SPRING TIP CALIBRATE POLYVINYL ESOPHAGEAL,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC E-Z GLIDER OD.038 IN L150 CM STRAIGHT FLEXIBLE L3 CM,184.04,92.02,40.14,165.64,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC GYRUS ACMI OD.038 IN L150 CM STRAIGHT FLEXIBLE EXTRA FIRM STAINLESS STEEL PTFE L3 CM,87.55,43.78,19.09,78.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC MAXXWIRE OD.035 IN L180 CM STRAIGHT SUPER STIFF SHAFT,280.0,140.0,61.07,252.0,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.021 IN L260 CM STRAIGHT RADIOPAQUE KINK RESISTANT CORE AQUA HYDROPHILIC L5 CM BLACK,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.021 IN L480 CM ANGLE STRAIGHT TIP RADIOPAQUE KINK RESISTANT VIVID SPIRAL HYDROPHILIC L5 CM BLACK,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.025 IN L260 CM STRAIGHT RADIOPAQUE HYDROPHILIC L5 CM BLUE,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.025 IN L480 CM STRAIGHT AQUA COAT RADIOPAQUE TIP KINK RESISTANT CORE COLORED SPIRAL SMOOTH NAVIGATION L5 CM BLUE,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.035 IN L260 CM STRAIGHT RADIOPAQUE KINK RESISTANT CORE AQUA HYDROPHILIC L5 CM PURPLE,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.035 IN L480 CM STRAIGHT RADIOPAQUE HYDROPHILIC L5 CM PURPLE,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC METRO OD.035 IN L600 CM STRAIGHT RADIOPAQUE HYDROPHILIC L5 CM,245.0,122.5,53.43,220.5,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC SAVARY-GILLIARD L200 CM FLEXIBLE TIP STAINLESS STEEL,110.0,55.0,23.99,99.0,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC SAVARY-GILLIARD L250 CM,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC VISIGLIDE OD.025 IN L450 CM ANGLE SUPERELASTIC FLUORINE HYDROPHILIC L7 CM,173.9,86.95,37.93,156.51,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC WIRE OD.035 IN L260 CM ANGLE HYDROPHILIC BILIARY PANCREATIC DUCT PURPLE,94.0,47.0,20.5,84.6,64
HCPCS,C1769,GUIDEWIRE ENDOSCOPIC WIRE OD.035 IN L260 CM STRAIGHT HYDROPHILIC BILIARY PANCREATIC DUCT PURPLE,94.0,47.0,20.5,84.6,64
HCPCS,C1769,GUIDEWIRE ENROUTE 95CM .014IN VASCULAR ERGONOMIC CONTROL,725.0,362.5,158.12,652.5,64
HCPCS,C1769,GUIDEWIRE FATHOM 10CM 180CM STRAIGHT .016IN VASCULAR PERIPHERAL 16 STEERABLE EMBOLIZATION,297.0,148.5,64.78,267.3,64
HCPCS,C1769,GUIDEWIRE FATHOM 10CM 215CM STRAIGHT .016IN VASCULAR PERIPHERAL 16 STEERABLE EMBOLIZATION,340.0,170.0,74.15,306.0,64
HCPCS,C1769,GUIDEWIRE FATHOM 25CM 200CM STRAIGHT .016IN VASCULAR NITINOL STEERABLE,340.0,170.0,74.15,306.0,64
HCPCS,C1769,GUIDEWIRE FIELDER 12CM 180CM 12CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER CORE TO TIP RADIOPAQUE SPRING COIL JACKET STERILE LATEX FREE DISPOSABLE PTCA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE FIELDER FC 11CM 180CM 3CM 20CM J CURVE .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL JACKET PTCA PTA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE FIELDER FC 11CM 300CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL JACKET PTCA PTA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE FIELDER FC 3CM 180CM 11CM 20CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL PTCA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE FIELDER XT 16CM 190CM 16CM STRAIGHT .014IN .009IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPING COIL FLEXIBLE PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE FIELDER XT 16CM 300CM 16CM STRAIGHT .014IN .009IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL FLEXIBLE PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE FIELDER XT-R 16CM 300CM 16CM 17CM STRAIGHT TAPER .014IN .01IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL PTCA PTA,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE FIGHTER SENTAI 19CM 190CM TAPER .009IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC PTFE RADIOPAQUE JACKET WIRE CORE TO TIP SPRING COIL CLEAR,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE FIXOS 1.4MM 150MM ORTHOPEDIC NONSTERILE LATEX FREE DISPOSABLE,139.3,69.65,30.38,125.37,64
HCPCS,C1769,GUIDEWIRE FIXOS 3.2MM 230MM ORTHOPEDIC THREAD NONSTERILE LATEX FREE DISPOSABLE,82.59,41.3,18.01,74.33,64
HCPCS,C1769,GUIDEWIRE GLIDEWIRE 3CM 80CM STANDARD .032IN VASCULAR NITINOL POLYURETHANE HYDROPHILIC FLEXIBLE ANGLE TIP RADIOPAQUE KINK RESISTANCE,145.0,72.5,31.62,130.5,64
HCPCS,C1769,GUIDEWIRE GLIDEWIRE 400CM 45DL STANDARD .035IN VASCULAR HYDROPHILIC,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE GRAND SLAM 4CM 180CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE GRAND SLAM 4CM 300CM 4CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE ALL STAR 3CM 190CM J .014IN VASCULAR,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE ALL STAR 3CM 300CM J CURVE VASCULAR STAINLESS STEEL POLYMER HYDROPHOBIC RADIOPAQUE INTERMEDIATE COVER CORE TO TIP DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE HEAVYWEIGHT 4.5CM 300CM STRAIGHT .014IN VASCULAR ELASTINITE HYDROPHILIC CORONARY RIBBON TIP RADIOPAQUE BARE COIL FLEXIBLE STERILE LATEX FREE DISPOSABLE,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE MIDDLEWEIGHT 3CM 190CM STRAIGHT VASCULAR ELASTINITE HYDROPHOBIC CORONARY SOFT RIBBON TIP RADIOPAQUE BARE COIL DISPOSABLE PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE MIDDLEWEIGHT ELITE 3CM 190CM J VASCULAR ELASTINITE HYDROPHILIC CORONARY CORE TO TIP BARE COIL MARKER DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE MIDDLEWEIGHT ELITE 3CM 300CM J VASCULAR ELASTINITE HYDROPHILIC CORONARY CORE TO TIP BARE COIL MARKER DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II 3CM 190CM J VASCULAR ELASTINITE POLYMER HYDROPHILIC CORONARY RIBBON TIP NO MARKER DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II 3CM 190CM STRAIGHT VASCULAR ELASTINITE POLYMER HYDROPHILIC CORONARY RIBBON TIP NO MARKER DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II 3CM 300CM STRAIGHT VASCULAR ELASTINITE POLYMER HYDROPHILIC CORONARY RIBBON TIP NO MARKER DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE CONNECT 250T 300CM .018IN VASCULAR PERIPHERAL CORE TO TIP,675.0,337.5,147.22,607.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE CONNECT 300CM .018IN VASCULAR POLYMER PERIPHERAL CORE TO TIP SUPPORTIVE BODY COVER,500.0,250.0,109.05,450.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE CONNECT FLEX 300CM .018IN VASCULAR PERIPHERAL CORE TO TIP,500.0,250.0,109.05,450.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE CROSS-IT 100XT 3CM 300CM J .014IN VASCULAR HYDROPHILIC CORONARY RADIOPAQUE STERILE LATEX FREE DISPOSABLE PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE CROSS-IT 100XT 3CM 300CM STRAIGHT .014IN VASCULAR HYDROCOAT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE EXTRA SPORT 3CM 190CM STRAIGHT VASCULAR STAINLESS STEEL HYDROPHOBIC RADIOPAQUE BARE COIL CORE TO TIP DISPOSABLE PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE FLOPPY II 2CM 190CM J CURVE .014IN VASCULAR,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE FLOPPY II 2CM 300CM STRAIGHT .014IN VASCULAR,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE IRON MAN 3CM 190CM J .014IN VASCULAR STAINLESS STEEL HYDROPHOBIC CORONARY RADIOPAQUE BARE COIL CORE TO TIP STERILE LATEX FREE DISPOSABLE,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE PROGRESS 140T 3CM 190CM STRAIGHT VASCULAR HYDROPHILIC STEERABLE DISTAL END DISPOSABLE PTCA PTA,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE PROGRESS 200T 3CM 190CM STRAIGHT VASCULAR HYDROPHILIC STEERABLE DISTAL END DISPOSABLE PTCA PTA,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE PROGRESS 200T 3CM 300CM STRAIGHT VASCULAR DURASTEEL POLYMER HYDROPHILLIC PARABOLIC CORE GRIND COVER CORE TO TIP STEERABLE DISPOSABLE PTCA PTA,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE PROGRESS 40 3CM 190CM STRAIGHT VASCULAR HYDROPHILIC STEERABLE DISTAL END DISPOSABLE PTCA PTA,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE PROGRESS 80 3CM 190CM STRAIGHT VASCULAR HYDROPHILIC STEERABLE DISTAL END DISPOSABLE PTCA PTA,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE SPARTACORE 10CM 300CM .014IN VASCULAR STAINLESS STEEL HYDROPHOBIC PERIPHERAL RADIOPAQUE SOFT TIP CORE TO TIP STEERABLE DISPOSABLE PTCA PTA,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE SPARTACORE 4CM 190CM .014IN VASCULAR STAINLESS STEEL HYDROPHOBIC PERIPHERAL ATRAUMATIC CORE TO TP RADIOPAQUE EXTRA SUPPORT,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE SPARTACORE 5CM 130CM .014IN VASCULAR STAINLESS STEEL HYDROPHOBIC PERIPHERAL CORE TO TIP RADIOPAQUE STEERABLE PTCA PTA,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE STEELCORE 5CM 190CM .018IN VASCULAR PLATINUM STAINLESS STEEL PERIPHERAL CORE TO TIP RADIOPAQUE STEERABLE FLEXIBLE DISPOSABLE PTCA PTA,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE STEELCORE LT 3CM 190CM J .018IN VASCULAR NICKEL PLATINUM STAINLESS STEEL PERIPHERAL CORE TO TIP COIL,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE STEELCORE LT 3CM 300CM J .018IN VASCULAR PLATINUM STAINLESS STEEL NICKEL PERIPHERAL,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE TURNTRAC FLEX 3CM 190CM STRAIGHT .014IN VASCULAR ELASTINITE HYDROPHILIC CORE TO TIP RADIOPAQUE KINK RESISTANT STEERABLE STERILE LATEX FREE DISPOSABLE PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSACORE 145CM .035IN VASCULAR PERIPHERAL FLOPPY CORE TO TIP,285.0,142.5,62.16,256.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSACORE 145CM MODIFY J CURVE .035IN VASCULAR POLYETHYLENE SILICON PERIPHERAL CORE TO TIP SOFT TIP FLEXIBLE,285.0,142.5,62.16,256.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSACORE 145CM STANDARD .035IN VASCULAR STAINLESS STEEL PTFE PERIPHERAL CORE TO TIP STEERABLE DISPOSABLE,285.0,142.5,62.16,256.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSACORE 175CM MODIFY J CURVE .035IN VASCULAR POLYETHYLENE SILICON PERIPHERAL CORE TO TIP SOFT TIP FLEXIBLE,285.0,142.5,62.16,256.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSACORE 260CM J CURVE .035IN VASCULAR STAINLESS STEEL PTFE PERIPHERAL RADIOPAQUE MODIFY CORE TO TIP FLEXIBILE DISPOSABLE PTA PTCA,325.0,162.5,70.88,292.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSACORE 300CM MODIFY J CURVE .035IN VASCULAR POLYETHYLENE SILICON PERIPHERAL CORE TO TIP SOFT TIP FLEXIBLE,325.0,162.5,70.88,292.5,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE VERSATURN 3CM 190CM STRAIGHT .014IN VASCULAR ELASTINITE HYDROPHILIC CORE TO TIP RADIOPAQUE KINK RESISTANT STEERABLE STERILE LATEX FREE DISPOSABLE PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE WHISPER MS 3CM 190CM J .014IN VASCULAR,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE WINN 40 300CM .014IN VASCULAR DURASTEEL HYDROPHILIC PERIPHERAL CORE TO TIP DISPOSABLE PTCA PTA,450.0,225.0,98.15,405.0,64
HCPCS,C1769,GUIDEWIRE HI-TORQUE WINN 80 300CM .014IN VASCULAR DURASTEEL HYDROPHILIC PERIPHERAL CORE TO TIP DISPOSABLE PTCA PTA,450.0,225.0,98.15,405.0,64
HCPCS,C1769,GUIDEWIRE HORNET 10 SENTAI 15CM 190CM TAPER .008IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE CORONARY PENETRATION WIRE SPRING COIL RADIOPAQUE CORE TO TIP,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE HORNET 14 SENTAI 15CM 190CM TAPER .008IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE PENETRATION WIRE SPRING COIL RADIOPAQUE CORE TO TIP,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE JAGWIRE .035IN 180CM ENDOSCOPIC PULMONARY DISPOSABLE,235.0,117.5,51.25,211.5,64
HCPCS,C1769,GUIDEWIRE JAGWIRE STRAIGHT .035IN 450CM ENDOSCOPIC TRIM TIP RAPID EXCHANGE 5CM BILIARY STERILE DISPOSABLE,213.25,106.63,46.51,191.93,64
HCPCS,C1769,GUIDEWIRE JOURNEY 2CM 300CM STRAIGHT .014IN VASCULAR NITINOL HYDROPHILIC PERIPHERAL RADIOPAQUE FLEXIBLE,95.0,47.5,20.72,85.5,64
HCPCS,C1769,GUIDEWIRE LUGE 3CM 182CM STRAIGHT .014IN VASCULAR RADIOPAQUE MODERATE RAIL SUPPORT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE MAILMAN 3CM 182CM STRAIGHT .014IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC SPRING COIL RADIOPAQUE SUPER RAIL SUPPORT SLEEVE,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE MAILMAN 3CM 300CM STRAIGHT .014IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC SPRING COIL RADIOPAQUE SUPER RAIL SUPPORT SLEEVE,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE MARVEL SENTAI 17CM 190CM TAPER .014IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE RADIOPAQUE WORKHORSE WIRE SPRING COIL CORE TO TIP,390.0,195.0,85.06,351.0,64
HCPCS,C1769,GUIDEWIRE MARVEL SENTAI 17CM 300CM TAPER .014IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE RADIOPAQUE WORKHORSE WIRE SPRING COIL CORE TO TIP,390.0,195.0,85.06,351.0,64
HCPCS,C1769,GUIDEWIRE MAXXWIRE 2.7FR 260CM ENDOSCOPIC SUPER STIFF FLEXIBLE,250.0,125.0,54.53,225.0,64
HCPCS,C1769,GUIDEWIRE MEIER 10CM 260CM C .035IN VASCULAR,320.0,160.0,69.79,288.0,64
HCPCS,C1769,GUIDEWIRE MINAMO ACT ONE 20CM 190CM 3CM STRAIGHT .014IN VASCULAR NITINOL HYBRID RADIOPAQUE SPRING COIL SUPERIOR TORQUE RESPONSE PTCA PTA,375.0,187.5,81.79,337.5,64
HCPCS,C1769,GUIDEWIRE MIRACLEBROS 12 11CM 300CM 11CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE MIRACLEBROS 3 11CM 180CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE MIRACLEBROS 3 11CM 300CM 11CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE MIRACLEBROS 6 11CM 180CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE MIRACLEBROS 6 11CM 300CM 11CM STRAIGHT .014IN VASCULAR SILICONE HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE NITREX 9CM 260CM 0D STRAIGHT .035IN VASCULAR NITINOL PERIPHERAL RADIOPAQUE STIFF SHAFT INTERMEDIATE TIP KINK RESISTANCE,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 1.45MM DIA LARGE THREADED BLUNT,204.0,102.0,44.49,183.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 1.4MM 508MM NITINOL DOUBLE BLUNT CAPTIVA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 1.6 MM TREPHINE STOP OD3.2 MM STAINLESS STEEL FOOT,37.84,18.92,8.25,34.06,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 1.6MM DIA 150MML LARGE FRAGMENT LOCKING INSTRUMENT SINGLE W/THREADED TROCAR TIP,60.0,30.0,13.09,54.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 24INL THREADED BLUNT TIP,18.6,9.3,4.06,16.74,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 3.2IN DIA 20MML COBALT CHROMIUM PEDIATRIC,55.9,27.95,12.19,50.31,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 3MM DIA NOSE BALL TIP F/TROCHANTERIC NAIL SYSTEM,398.0,199.0,86.8,358.2,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC 4MM BALL TIP STERILE,126.0,63.0,27.48,113.4,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUMED 00.9 X 150 MM SINGLE TROCAR THIN,54.0,27.0,11.78,48.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUMED OD.7 MM L150 MM 1 TROCAR,64.0,32.0,13.96,57.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUMED OD1.1 MM L150 MM 2 TROCAR 3.5 MINI 4 STANDARD,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUMED OD1.3 MM L150 MM NONTHREAD,14.0,7.0,3.05,12.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUMED OD1.5 MM L4 IN 1 TROCAR THREAD STAINLESS STEEL,40.0,20.0,8.72,36.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 KIRSCHNER OD.094 IN L9.25 IN,16.0,8.0,3.49,14.4,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.035 IN L5.75 IN TROCAR STAINLESS STEEL,14.0,7.0,3.05,12.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.035 IN L5.75 IN TROCAR TIP THREAD ELBOW TITANIUM,44.0,22.0,9.6,39.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.035 IN L6 IN 1 TROCAR,16.0,8.0,3.49,14.4,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.035 IN L6 IN 2 TROCAR,17.0,8.5,3.71,15.3,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.035 IN PARALLEL MICRO,254.0,127.0,55.4,228.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.045 IN L6 IN TROCAR STAINLESS STEEL,14.0,7.0,3.05,12.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.062 IN L6 IN 1 TROCAR TIP STAINLESS STEEL STANDARD,11.0,5.5,2.4,9.9,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.062 IN L9.25 IN,16.0,8.0,3.49,14.4,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.094 IN L9.25 IN THREAD 7.5 MM SCREW,16.0,8.0,3.49,14.4,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 45 OD.054 IN L7 IN TROCAR STAINLESS STEEL,14.0,7.0,3.05,12.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ACUTRAK 6/7 OD.094 IN L8 IN SMOOTH TROCAR POINT STAINLESS STEEL 4 MM,16.0,8.0,3.49,14.4,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC AEQUALIS PERFORM OD2.5 MM L220 MM,68.0,34.0,14.83,61.2,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ASNIS III OD3.2 MM L300 MM THREAD 6.5/8 MM SCREW,109.45,54.73,23.87,98.51,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ASNIS OD3.2 MM THREAD L450 MM,54.73,27.37,11.94,49.26,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC EXPEDIUM VIPER2 OD1.45 MM,37.5,18.75,8.18,33.75,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC HUDSON OD2 MM L700 MM MODULAR BALL NOSE PROXIMAL NITINOL 6-7.5 MM REAMER HUMERAL UNIVERSAL NAIL SYSTEM,184.0,92.0,40.13,165.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC INVICTUS L18 IN TROCAR TIP NITINOL,52.5,26.25,11.45,47.25,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC KIRSCHNER OD.054 IN L6 IN TROCAR STAINLESS STEEL,14.0,7.0,3.05,12.6,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC KIRSCHNER OD1.25 MM STAINLESS STEEL,21.72,10.86,4.74,19.55,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L100 MM OD.8 MM,52.92,26.46,11.54,47.63,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L12 IN OD.062 IN,45.0,22.5,9.81,40.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM NON THREADED OD1.4 MM REFLEX,15.0,7.5,3.27,13.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM NON THREADED OD1.6 MM REFLEX,15.0,7.5,3.27,13.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM NONTHREAD OD1.1 MM STAINLESS STEEL 3 MM CANNULATED SCREW,26.64,13.32,5.81,23.98,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM NONTHREAD OD1.25 MM 3.5 MM CANNULATED SCREW,26.64,13.32,5.81,23.98,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM NONTHREADED OD1.6 MM,26.64,13.32,5.81,23.98,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM OD1.4 MM,76.28,38.14,16.64,68.65,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L150 MM TROCAR TIP OD1.1 MM,58.8,29.4,12.82,52.92,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L157 MM TROCAR TIP OD1.6 IN,90.0,45.0,19.63,81.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L230 MM DRILL TIP THREAD OD3 MM STAINLESS STEEL,141.52,70.76,30.87,127.37,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L230 MM NONTHREAD SPADE POINT OD2 MM STAINLESS STEEL 7 MM CANNULATED SCREW,30.85,15.43,6.73,27.77,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L4 IN OD.09 IN,79.0,39.5,17.23,71.1,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L6 IN OD.062 IN,40.0,20.0,8.72,36.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L7 IN OD.062 IN,40.0,20.0,8.72,36.0,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC L8 IN TROCAR TIP OD.092 IN,83.76,41.88,18.27,75.38,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC LOCKING PROXIMAL FEMUR PLATE SYSTEM (LPF) OD2.5 MM L200 MM FEMUR PROXIMAL,55.9,27.95,12.19,50.31,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC METRX OD.062 IN L30 CM MEDIUM,12.6,6.3,2.75,11.34,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC OD1.35 MM,41.0,20.5,8.94,36.9,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC OD1.6 MM 3.7 MM CANNULATED LOCK SCREW,190.12,95.06,41.47,171.11,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC ORTHOPEDIATRICS OD1.25 MM L150 MM THREAD CANNULATED SCREW SYSTEM,29.29,14.65,6.39,26.36,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PEDI-LOC OD1.6 MM SMOOTH,20.92,10.46,4.56,18.83,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PEDILOC OD1.6 MM L230 MM FEMUR PROXIMAL 3.5 MM PLATE SYSTEM,84.24,42.12,18.37,75.82,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PEDILOC OD2 MM L150 MM FEMUR PROXIMAL 3.5/4.5 MM PLATE SYSTEM,84.24,42.12,18.37,75.82,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PEDINAIL OD3.2 MM THREAD,85.61,42.81,18.67,77.05,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PENDING OD.9 MM L150 MM NONTHREAD,15.0,7.5,3.27,13.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PENDING OD1.1 MM L150 MM,15.0,7.5,3.27,13.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC PHOENIX OD2.6 MM L80 CM BEAD TIP PHOENIX ANKLE ARTHRODESIS NAIL SYSTEM,88.0,44.0,19.19,79.2,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC QUICKFIX OD.045 IN TROCAR TIP CANNULATED LASER LINE,83.76,41.88,18.27,75.38,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC THREAD OD2.3 MM MAXTORQUE,21.89,10.95,4.77,19.7,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC TROCAR TIP OD.062 IN 5 MM SCREW,15.0,7.5,3.27,13.5,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC TROCAR TIP THREAD LASER LINE OD.034 IN 2.5 MICRO COMPRESSION FT SCREW,150.83,75.42,32.9,135.75,64
HCPCS,C1769,GUIDEWIRE ORTHOPEDIC VIPER 2 OD1.45 MM SHARP,37.5,18.75,8.18,33.75,64
HCPCS,C1769,GUIDEWIRE PLATINUM PLUS 180CM SHORT TAPER .018IN VASCULAR MEDIGLIDE PERIPHERAL,70.0,35.0,15.27,63.0,64
HCPCS,C1769,GUIDEWIRE PLATINUM PLUS 3CM 260CM STRAIGHT SHORT TAPER .018IN VASCULAR GLIDEX PERIPHERAL NONRADIOLUCENT LATEX FREE,92.0,46.0,20.07,82.8,64
HCPCS,C1769,GUIDEWIRE PLATINUM PLUS 5CM 180CM STRAIGHT .014IN VASCULAR SPRING COIL RADIOPAQUE SUPER RAIL SUPPORT,213.0,106.5,46.46,191.7,64
HCPCS,C1769,GUIDEWIRE PLATINUM PLUS 5CM 300CM STRAIGHT .014IN VASCULAR SPRING COIL RADIOPAQUE SUPER RAIL SUPPORT,213.0,106.5,46.46,191.7,64
HCPCS,C1769,GUIDEWIRE POWERWIRE 250CM 20D .035IN VASCULAR NITINOL PERIPHERAL CONNECTOR CABLE RADIOPAQUE ATRAUMATIC TIP ACCEPTS 4FR CATHETER,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1769,GUIDEWIRE PROTRACK 152CM 175CM 13CM PIGTAIL .025IN 4.1CM VASCULAR STAINLESS STEEL FLEXIBLE CUSHION ATRAUMATIC TIP STIFF SPIRAL COIL,190.0,95.0,41.44,171.0,64
HCPCS,C1769,GUIDEWIRE PROTRACK 207CM 230CM 13CM .025IN 4.1CM VASCULAR STAINLESS STEEL FLEXIBLE CUSHION ATRAUMATIC TIP STIFF PIGTAIL WIRE,190.0,95.0,41.44,171.0,64
HCPCS,C1769,GUIDEWIRE PROWATER 20CM 180CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT HYBRID RADIOPAQUE SPRING COIL MODERATE CORE WIRE PTCA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE PROWATER 20CM 300CM 3CM STRAIGHT .014IN VASCULAR SLIP-COAT POLYMER HYDROPHILIC RADIOPAQUE SPRING COIL JACKET PTCA PTA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE PROWATERFLEX 20CM 300CM 3CM 17CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHILIC HYDROPHOBIC RADIOPAQUE SPRING COIL SOFT TIP PTCA PTA,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE PROWATERFLEX 3CM 180CM 20CM STRAIGHT .014IN VASCULAR SLIP-COAT HYDROPHOBIC RADIOPAQUE SPRING COIL PTCA PTA CHRONIC TOTAL OCCLUSION,350.0,175.0,76.34,315.0,64
HCPCS,C1769,GUIDEWIRE PT GRAPHIX 3CM 182CM J CURVE .014IN VASCULAR INTERMEDIATE MODERATE RAIL SUPPORT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE PT2 2CM 185CM STRAIGHT 2CM .014IN VASCULAR RADIOPAQUE MODERATE RAIL SUPPORT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE PT2 2CM 300CM STRAIGHT .014IN VASCULAR MODERATE RAIL SUPPORT RADIOPAQUE,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE RADIFOCUS GLIDEWIRE 3CM 180CM .89MM VASCULAR FLEXIBLE TIP STERILE LATEX FREE DISPOSABLE,214.0,107.0,46.67,192.6,64
HCPCS,C1769,GUIDEWIRE REGALIA XS 1 12CM 300CM STRAIGHT TAPER .014IN VASCULAR SLIP-COAT POLYMER PTFE PERIPHERAL JOINTLESS SPRING COIL TIP RADIOPAQUE 1 PIECE CORE STERILE LATEX FREE DISPOSABLE PTCA,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE ROADRUNNER PC NIMBLE 11.5CM 180CM 3CM ANGLE TAPER .035IN VASCULAR NITINOL FLOPPY TIP RADIOPAQUE FLEXIBLE SHAFT MANDRIL,94.99,47.5,20.72,85.49,64
HCPCS,C1769,GUIDEWIRE ROTAWIRE 2.2CM 330CM VASCULAR,800.0,400.0,174.48,720.0,64
HCPCS,C1769,GUIDEWIRE ROTAWIRE WIRECLIP 2.2CM 330CM .009IN VASCULAR TORQUER DRIVE FLOPPY,850.0,425.0,185.39,765.0,64
HCPCS,C1769,GUIDEWIRE ROTAWIRE WIRECLIP 330CM .009IN VASCULAR TORQUER,850.0,425.0,185.39,765.0,64
HCPCS,C1769,GUIDEWIRE RUNTHROUGH NS 3CM 180CM .014IN VASCULAR HYPERCOAT NITINOL CORONARY FLEXIBLE STRAIGHT TIP RADIOPAQUE,950.0,475.0,207.2,855.0,64
HCPCS,C1769,GUIDEWIRE RUNTHROUGH NS 3CM 300CM .014IN VASCULAR HYPERCOAT NITINOL CORONARY FLEXIBLE STRAIGHT TIP RADIOPAQUE,950.0,475.0,207.2,855.0,64
HCPCS,C1769,GUIDEWIRE RUNTHROUGH NS 3CM 300CM .014IN VASCULAR NITINOL HYDROPHILIC CORONARY ATRAUMATIC EXTRA FLOPPY STRAIGHT TIP RADIOPAQUE,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE SAFARI2 2.9X3.2CM 275CM XS CURVE VASCULAR LUBRIGREEN STAINLESS STEEL PTFE STREAMLINE DEVICE DELIVERY PRESHAPE,1210.0,605.0,263.9,1089.0,64
HCPCS,C1769,GUIDEWIRE SAFARI2 275X4.2X4.2CM SMALL CURVE .035IN VASCULAR LUBRIGREEN STAINLESS STEEL PTFE STREAMLINE DEVICE DELIVERY PRESHAPE,1100.0,550.0,239.91,990.0,64
HCPCS,C1769,GUIDEWIRE SAFARI2 EXTRA SUPPORT 275X4.2X4.2CM SMALL CURVE .035IN VASCULAR LUBRIGREEN STAINLESS STEEL PTFE STREAMLINE DEVICE DELIVERY PRESHAPE 5 PACK,1210.0,605.0,263.9,1089.0,64
HCPCS,C1769,GUIDEWIRE SAFE-T-J 6CM 145CM 3MM RADIUS TAPER 2.5CM .032IN VASCULAR STAINLESS STEEL PTFE FIX CORE FLEXIBLE TIP,11.99,6.0,2.62,10.79,64
HCPCS,C1769,GUIDEWIRE SAFE-T-J 6CM 180CM 2.5CM 3MM RADIUS CURVE TAPER .032IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,15.99,8.0,3.49,14.39,64
HCPCS,C1769,GUIDEWIRE SAFE-T-J 7CM 180CM 3MM RADIUS 2.5CM TAPER .025IN VASCULAR STAINLESS STEEL PTFE PERIPHERAL FLEXIBLE TIP FIX CORE,15.99,8.0,3.49,14.39,64
HCPCS,C1769,GUIDEWIRE SAFE-T-J 7CM 260CM 3MM RADIUS TAPER 2.5CM .021IN VASCULAR STAINLESS STEEL PTFE FLEXIBLE TIP FIX CORE,22.99,11.5,5.01,20.69,64
HCPCS,C1769,GUIDEWIRE SAMURAI 20CM 300CM .014IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE SPRING COIL TIP RADIOPAQUE WORKHOUSE WIRE STERILE LATEX FREE DISPOSABLE,390.0,195.0,85.06,351.0,64
HCPCS,C1769,GUIDEWIRE SAMURAI RC SENTAI 24CM 190CM .014IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE RADIOPAQUE VERSATILE WIRE EXTEND SPRING COIL COMPOUND TAPER CORE,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SENTAI FIGHTER 3.5CM 300CM STRAIGHT .014IN VASCULAR STAINLESS STEEL POLYMER HYDROPHILIC PTFE CORE TO TIP SPRING COIL RADIOPAQUE CROSS,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SENTAI HORNET 14 15CM 300CM STRAIGHT .008IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE CORE TO TIP SPRING COIL RADIOPAQUE,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SENTAI JUDO 1 190CM VASCULAR,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SENTAI JUDO 3 15CM 190CM TAPER .008IN VASCULAR STAINLESS STEEL PTFE HYDROPHILIC SPRING COIL RADIOPAQUE CORE TO TIP ATRAUMATIC,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SENTAI JUDO 6 15CM 190CM TAPER .008IN VASCULAR STAINLESS STEEL PTFE HYDROPHILIC SPRING COIL RADIOPAQUE CORE TO TIP ATRAUMATIC,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SENTAI SAMURAI 20CM 190CM TAPER .014IN VASCULAR STAINLESS STEEL HYDROPHILIC PTFE RADIOPAQUE WORKHORSE WIRE SPRING COIL MODERATE RAIL SUPPORT,390.0,195.0,85.06,351.0,64
HCPCS,C1769,GUIDEWIRE SION ACT ONE 12CM 190CM J .014IN VASCULAR POLYMER HYDROPHILIC RADIOPAQUE TORQUE RESPONSE HIGH TIP FLEXIBLEY BLACK,425.0,212.5,92.69,382.5,64
HCPCS,C1769,GUIDEWIRE STARTER 10CM 260CM J CURVE TAPER .035IN VASCULAR PTFE PERIPHERAL FIX CORE FINGER STRAIGHTEN,70.0,35.0,15.27,63.0,64
HCPCS,C1769,GUIDEWIRE STARTER BENTSON 15CM 180CM STANDARD STRAIGHT TAPER .035IN VASCULAR PTFE PERIPHERAL,74.12,37.06,16.17,66.71,64
HCPCS,C1769,GUIDEWIRE STARTER BENTSON 15CM 260CM STRAIGHT TAPER STANDARD .035IN VASCULAR PTFE PERIPHERAL,95.54,47.77,20.84,85.99,64
HCPCS,C1769,GUIDEWIRE STARTER ROSEN 4CM 180CM 1.5MM RADIUS STANDARD TAPER J CURVE .035IN VASCULAR PTFE,61.0,30.5,13.3,54.9,64
HCPCS,C1769,GUIDEWIRE STARTER ROSEN 4CM 260CM 1.5MM RADIUS J CURVE TAPER .035IN VASCULAR PTFE PERIPHERAL,82.65,41.33,18.03,74.39,64
HCPCS,C1769,GUIDEWIRE STINGRAY LP 185CM 180D .014IN VASCULAR HYDROPHILIC CORONARY SELF ORIENT FLAT BALLOON RADIOPAQUE REENTRY CHRONIC TOTAL OCCLUSION,371.25,185.63,80.97,334.13,64
HCPCS,C1769,GUIDEWIRE STRETCH 150CM .014IN VASCULAR EXTENSION,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE SURGICAL SPYGLASS DISCOVER JAGWIRE 0.035IN 180CM 5CM HYDROPHILIC SINGLE-USE,250.0,125.0,54.53,225.0,64
HCPCS,C1769,GUIDEWIRE T2 2.5MM 800MM ORTHOPEDIC BALL TIP TITANIUM STERILE HUMERAL NAIL SYSTEM,153.23,76.62,33.42,137.91,64
HCPCS,C1769,GUIDEWIRE T2 3MM 1250MM ORTHOPEDIC BALL TIP STERILE,158.21,79.11,34.51,142.39,64
HCPCS,C1769,GUIDEWIRE T2 3MM 800MM ORTHOPEDIC BALL TIP TITANIUM STERILE FEMORAL NAIL SYSTEM,161.19,80.6,35.16,145.07,64
HCPCS,C1769,GUIDEWIRE T2 3MM 800MM ORTHOPEDIC SMOOTH TIP TITANIUM STERILE FEMORAL NAIL SYSTEM,158.21,79.11,34.51,142.39,64
HCPCS,C1769,GUIDEWIRE TORAYGUIDE 140MM 230CM .025IN VASCULAR STAINLESS STEEL SPRING COIL,195.0,97.5,42.53,175.5,64
HCPCS,C1769,GUIDEWIRE TREASURE 12 15CM 300CM 15CM STRAIGHT .018IN VASCULAR SLIP-COAT HYDROPHILIC PERIPHERAL RADIOPAQUE SPRING COIL UNCOATED DISTAL TIP,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE URO 0.038INX150CM GLIDEWIRE FLXB ANG REG SHFT HYDRCT LF,216.3,108.15,47.18,194.67,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN 150CM HYDROPHILIC 3CM STRAIGHT TIP REGULAR SHAFT GLIDEWIRE STERILE,216.3,108.15,47.18,194.67,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN DIA 145CML 5CML STAINLESS STEEL PTFE COATED AMPLATZ STRAIGHT TIP ULTRA STIFF FLEXIBLE TIP MRI-UNSAFE STERILE SINGLE-USE,40.71,20.36,8.88,36.64,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN DIA 145CML 7CML PTFE COATED AMPLATZ BENTSON TIP SUPER STIFF LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,24.05,12.03,5.25,21.65,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN DIA 150CM NITINOL CORE HYDROPHILIC JACKET 3CM FLEXIBLE STRAIGHT TIP STIFF BODY E-Z GLIDER TC SUREGLIDE,76.0,38.0,16.58,68.4,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN DIA 150CM STAINLESS STEEL CORE PTFE FLOPPY DISTAL FLAT 3CM STRAIGHT TIP MEDIUM-FLEX REGULAR BODY STIFF PROXIMAL SHAFT,85.0,42.5,18.54,76.5,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN DIA 150CML 3CML HYDROPHILIC COATED ANGLED TIP REGULAR GLIDEWIRE LATEX-FREE STERILE DISPOSABLE,216.3,108.15,47.18,194.67,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.035IN DIA 150CML 3CML NITINOL HYDROPHILIC COATED ANGLED TAPER TIP STEERABLE STIFF FLEXIBLE ZIPWIRE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,312.0,156.0,68.05,280.8,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.038IN 145CM 5CM TIP STAINLESS STEEL PTFE AMPLATZ FLEXIBLE STRAIGHT TIP FIXED CORE ULTRA STIFF,40.71,20.36,8.88,36.64,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL 0.038IN DIA 150CML 9CML STAINLESS STEEL PTFE COATED STRAIGHT TIP FIXED CORE FLOPPY STERILE SINGLE-USE,75.0,37.5,16.36,67.5,64
HCPCS,C1769,GUIDEWIRE UROLOGICAL ANGLED DOUBLE FIXED FLEX TIP 3CM .038IN NITINOL PTFE COATED/LUBRICATED 150CML,196.55,98.28,42.87,176.9,64
HCPCS,C1769,GUIDEWIRE V-14 CONTROLWIRE 8CM 182CM STRAIGHT TAPER .014IN VASCULAR,100.0,50.0,21.81,90.0,64
HCPCS,C1769,GUIDEWIRE V-14 CONTROLWIRE 8CM 300CM STRAIGHT .014IN VASCULAR PERIPHERAL,100.0,50.0,21.81,90.0,64
HCPCS,C1769,GUIDEWIRE VASC INQWIRE 0.035INX80CM 1.5MM JTP RSN FXCR SS PTFE,107.1,53.55,23.36,96.39,64
HCPCS,C1769,GUIDEWIRE VASC INQWIRE EXCH 0.035INX260CM STR FXCR SUP STFF SS PTFE,250.0,125.0,54.53,225.0,64
HCPCS,C1769,GUIDEWIRE VASC LAUREATE 0.035INX150CMX3CM TIP STR FXCR TORQUEING FLXB STF NTNL HYDRPHL,159.0,79.5,34.68,143.1,64
HCPCS,C1769,GUIDEWIRE VASC OD.014 IN ODSEC.008 IN L200 CM L16 CM BANDIT,770.0,385.0,167.94,693.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 182CM 3CM TIP SS POLYMER HYDROPHILIC STRAIGHT LIGHT SUPPORT CHOICE,71.0,35.5,15.49,63.9,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 182CM 3CM TIP SS POLYMER HYDROPHILIC STRAIGHT TIP LIGHT SUPPORT CHOICE,71.0,35.5,15.49,63.9,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 185CM 3CM TIP SLYDX PTFE STRAIGHT TIP PRESSURE SENSOR W/TORQUE DEVICE PRIMEWIRE PRESTIGE,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 190CM 3CM TIP DURASTEEL HYDROPHILIC POLYMER STRAIGHT TIP CORE-TO-TIP LIGHT SUPPORT HI-TORQUE WHISPER,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 190CM 3CM TIP ELASTINITE NITINOL HYDROPHILIC HYDROPHOBIC 0.6GM J-TIP BARE COIL HI-TORQUE BALANCE MIDDLEWEIGHT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 190CM 3CM TIP SS HYDROPHOBIC 0.8GM STRAIGHT TIP CORE-TO-TIP BARE COIL HI-TORQUE ALL STAR,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 300CM 2CM TIP NITINOL POLYMER HYDROPHILIC 2.9GM J-TIP MODERATE SUPPORT INTERMEDIATE FLEXIBLE PT2,71.0,35.5,15.49,63.9,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 300CM 35CM TIP SS POLYMER HYDROPHILIC STRAIGHT TIP EXTRA SUPPORT CHOICE PT,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 300CM 3CM TIP DURASTEEL HYDROPHILIC POLYMER J-TIP CORE-TO-TIP RESPONSEASE PARABOLIC HI-TORQUE PILOT 150,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 300CM 3CM TIP DURASTEEL HYDROPHILIC POLYMER J-TIP CORE-TO-TIP RESPONSEASE PARABOLIC HI-TORQUE PILOT 200,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.014IN 300CM 3CM TIP DURASTEEL HYDROPHILIC POLYMER STRAIGHT TIP CORE-TO-TIP LIGHT SUPPORT HI-TORQUE WHISPER,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN 130CM 7CM TIP SS STRAIGHT TIP DOUBLE-ENDED SOLID PROXIMAL SOFT STIFF SPRING DISTAL COIL,168.0,84.0,36.64,151.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN 145CM 7CM 2CM SS PTFE STRAIGHT TIP TAPERED FIXED CORE SUPPORT,14.99,7.5,3.27,13.49,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN 50CM NITINOL DOUBLE-ENDED FLEXIBLE BABYWIRE,165.0,82.5,35.99,148.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN 50CM SS PERIPHERAL 2MM STRAIGHT TIP J-TIP CURVED DOUBLE-ENDED FLEXIBLE,35.7,17.85,7.79,32.13,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN 70CML NITINOL W/RADIOPAQUE TIP,71.5,35.75,15.59,64.35,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN 80CM NITINOL/PLATINUM CORE/TIP COAXIAL SATIN,290.0,145.0,63.25,261.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN DIA 180CML 3CML GLIDEX/COATED PERIPHERAL SHORT TAPERED STEERABLE STIFF SHAFT PLATINUM PLUS NON-RADIOLUCENT,70.0,35.0,15.27,63.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.018IN DIA 180CML 8CML MEDIGLIDE SILICONE COATED LONG TAPERED STEERABLE STIFF SHAFT PLATINUM PLUS LATEX-FREE NON-RADIOLUCENT,70.0,35.0,15.27,63.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.025IN 150CM SS NITINOL PLATINUM PTFE HYDROPHILIC STRAIGHT 1.5MM J-TIP DOUBLE-ENDED VSI,84.0,42.0,18.32,75.6,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.025IN 180CM 7CM 2CM SS PTFE STRAIGHT TIP TAPERED FIXED CORE HEAVY DUTY,14.99,7.5,3.27,13.49,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.030IN 140CM 5CM FLOPPY SPRING WIRE SUPER SHEATH,200.0,100.0,43.62,180.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.032IN 68CM SS STRAIGHT J-TIP DOUBLE-ENDED SOFT SPRING WIRE,309.0,154.5,67.39,278.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 145CM 10CM 3CM SS PTFE CEREBRAL STRAIGHT TIP NEWTON TAPERED FIXED CORE FLEXIBLE,11.99,6.0,2.62,10.79,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 145CM 15CM 3CM SS PTFE CEREBRAL STRAIGHT TIP NEWTON TAPERED FIXED CORE FLEXIBLE,11.99,6.0,2.62,10.79,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 145CM 15CM 6CM SS PTFE HEPARIN STRAIGHT TIP BENTSON TAPERED FIXED CORE SUPPORT,14.0,7.0,3.05,12.6,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 145CM 7CM 2.5CM SS PTFE 3MM CURVED TAPERED FIXED CORE HEAVY DUTY,13.99,7.0,3.05,12.59,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 145CM 7CM 3CM SS PTFE CURVED AMPLATZ TAPERED SUPPORT EXTRA STIFF,31.99,16.0,6.98,28.79,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 180CM 10CM SS SLX 3MM MODIFIED J-TIP STANDARD STEERABLE W/TORQUE DEVICE STORQ,225.0,112.5,49.07,202.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 180CM 15CM 6CM SS PTFE HEPARIN STRAIGHT TIP BENTSON TAPERED FIXED CORE SUPPORT,17.0,8.5,3.71,15.3,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 180CM 4CM PTFE 1.5MM ROSEN J-TIP TAPERED STANDARD SPRING COIL STARTER 5/BX,61.0,30.5,13.3,54.9,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 180CM 6CM 2.5CM SS PTFE 3MM SAFE-T-J FIXED CORE SUPPORT FLOPPY,13.99,7.0,3.05,12.59,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 185CM 15CM SS PTFE J-TIP SPRING COIL SOFT SUPER STIFF MEIER 5/BX,320.0,160.0,69.79,288.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 210CM PTFE 3MM J-TIP FIXED CORE STANDARD INQWIRE,93.4,46.7,20.37,84.06,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 260CM 7.5MM PTFE J-TIP SHORT ATRAUMATIC FLEXIBLE DISTAL MIGHTY WIRE,700.0,350.0,152.67,630.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 260CM 9.5CM 3CM SS PTFE STRAIGHT TIP AMPLATZ TAPERED ULTRA-STIFF,97.0,48.5,21.16,87.3,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 275CM 4.2CM X 4.2CM STAINLESS STEEL LUBRIGREEN GRAY PTFE SMALL CURVE F/TAVI PROCEDURE SAFARI2 EXTRA SUPPORT 1/EA,242.0,121.0,52.78,217.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 275CM 4.9CM X 5CM STAINLESS STEEL LUBRIGREEN GRAY PTFE LARGE CURVE F/TAVI PROCEDURE SAFARI2 EXTRA SUPPORT 1/EA,242.0,121.0,52.78,217.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 275CM SS LUBRIGREEN XS CURVED SAFARI2,220.0,110.0,47.98,198.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 300CM 10CM SS PTFE C-TIP SPRING COIL SOFT SUPER STIFF MEIER 5/BX,360.0,180.0,78.52,324.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 300CM 11CM 4CM SS PTFE STRAIGHT TIP TAPERED SUPPORT FLOPPY EXTRA STIFF LUNDERQUIST,823.0,411.5,179.5,740.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN 80CM 7CM 2.5CM SS PTFE SAFE-T-J CURVED TAPERED FIXED CORE HEAVY DUTY,16.99,8.5,3.71,15.29,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.035IN DIA 150CML 3CML TAPER SUPERELASTIC NITINOL POLYURETHANE JACKET COATED STRAIGHT TIP STEERABLE STIFF SHAFT FLEXIBLE ZIPWIRE NON-RADIOLUCENT,205.0,102.5,44.71,184.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.038IN 180CM 6CM PERIPHERAL STRAIGHT TIP AMPLATZ ATRAUMATIC FLOPPY SUPER STIFF 5/BX,171.25,85.63,37.35,154.13,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.038IN 260CM 6CM SS PTFE STRAIGHT TIP AMPLATZ SUPER STIFF 5/BX,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR 0.038IN 80CM 6CM 2.5CM SS PTFE 3MM SAFE-T-J FIXED CORE SUPPORT FLOPPY,14.99,7.5,3.27,13.49,64
HCPCS,C1769,GUIDEWIRE VASCULAR 145CM NITINOL HYDROPHILIC-COATED STERILE,75.0,37.5,16.36,67.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR CHOICE FRONTLINE 0.014IN 300CM 3CM TIP 0.8GM J-TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 5/BX,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 182CM 35CM TIP 2GM J-TIP EXTRA SUPPORT SS POLYMER HYDROPHILIC 5/BX,355.0,177.5,77.43,319.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR COMET II 0.014IN 185CM FLEXIBLE PRESSURE HYDROPHILIC,650.0,325.0,141.77,585.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR EXCHANGE 0.035IN 150CM SS PTFE HEPARIN 23CM BENTSON STRAIGHT TIP FIXED CORE INQWIRE,107.1,53.55,23.36,96.39,64
HCPCS,C1769,GUIDEWIRE VASCULAR EXCHANGE 0.035IN 260CM SS PTFE 3MM J-TIP FIXED CORE STANDARD W/RINGMASTER INQWIRE,107.1,53.55,23.36,96.39,64
HCPCS,C1769,GUIDEWIRE VASCULAR EXCHANGE WORKHORSE 0.038IN 260CM 5CM TIP STAINLESS STEEL PTFE 3MM J-TIP FIXED CORE STANDARD GUIDERIGHT,60.0,30.0,13.09,54.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR EXCHANGE WORKHORSE CLASSIC 0.035IN 180CM 2CM TIP 6CM TAPER STAINLESS STEEL MANDREL PTFE PERIPHERAL STRAIGHT TIP FIXED CORE STANDARD FLEXIBLE FLOPPY,13.99,7.0,3.05,12.59,64
HCPCS,C1769,GUIDEWIRE VASCULAR FRONTLINE 0.014IN 190CM 3CM TIP SS PTFE HYDROPHILIC 0.9GM STRAIGHT TIP COMPOUND TAPERED CORE-TO-TIP MODERATE SUPPORT SENTAI MARVEL,390.0,195.0,85.06,351.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR FRONTLINE SPECIALTY 0.014IN 300CM 11CM LONG TAPER SCITANIUM ICE POLYMER SLEEVE 3GM PERIPHERAL SHAPEABLE STRAIGHT TIP STIFF RAIL SUPPORT ROBUST V-14 CONTROLWIRE NON-RADIOLUCENT TIP,100.0,50.0,21.81,90.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR FRONTLINE WORKHORSE 0.014IN 190CM 3CM TIP SS DURASTEEL HYDROPHILIC 0.9GM J-TIP CORE-TO-TIP BARE COIL HT-TORQUE POWERTURN ULTRA FLEX,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR FRONTLINE WORKHORSE 0.014IN 300CM 3CM TIP ELASTINITE NITINOL HYDROPHILIC 0.8GM STRAIGHT TIP CORE-TO-TIP BARE COIL HI-TORQUE BALANCE MIDDLEWEIGHT ELITE,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR FRONTLINE WORKHORSE 0.014IN 300CM 3CM TIP SS DURASTEEL HYDROPHILIC 0.9GM J-TIP CORE-TO-TIP BARE COIL HI-TORQUE POWERTURN FLEX,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L175 CM PRESSUREWIRE X HYDROPHILIC,3000.0,1500.0,654.3,2700.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L185 CM OMNIWIRE STRAIGHT PRESSURE NITINOL,675.0,337.5,147.22,607.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR L185 CM VERRATA PLUS STRAIGHT PRESSURE FLAT IFR MODALITY FRACTIONAL FLOW RESERVE MEASUREMENT,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II J CURVE RADIOPAQUE CORONARY HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL J RADIOPAQUE HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE IRONMAN STRAIGHT RADIOPAQUE CORE TO TIP BARE COIL STAINLESS STEEL HYDROPHOBIC PTCA PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE PILOT 150 STRAIGHT CORE TO TIP CORONARY DURASTEEL POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE PILOT 200 J CURVE RADIOPAQUE CORE TO TIP COVER DURASTEEL POLYMER HYDROPHILIC PTCA PTA,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE PILOT 200 STRAIGHT RADIOPAQUE CORE TO TIP COVER DURASTEEL POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE PILOT J CURVE RADIOPAQUE CORE TO TIP FULL COVER DURASTEEL POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L190 CM L3 CM HI-TORQUE WHISPER MS STRAIGHT RADIOPAQUE CORE TO TIP COVER DURASTEEL POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L200 CM STEERANT J 1 TIP,736.0,368.0,160.52,662.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR L280 CM WATTSON,700.0,350.0,152.67,630.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM COUGAR XT STRAIGHT RIBBON 2 COIL MEDIUM SUPPORT HYDRO-TRACK NITINOL,300.0,150.0,65.43,270.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L2 CM HI-TORQUE WIGGLE STRAIGHT RADIOPAQUE BARE COIL SHAPE RIBBON STAINLESS STEEL HYDROPHOBIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE ALL STAR STRAIGHT CORE TO TIP CORONARY STAINLESS STEEL POLYMER HYDROPHOBIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT RIBBON TIP BARE COIL CORONARY ELASTINITE HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II J RIBBON TIP MARKER CORONARY ELASTINITE POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II STRAIGHT RIBBON TIP RADIOPAQUE CORONARY ELASTINITE POLYMER HYDROPHILIC,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL STRAIGHT RADIOPAQUE HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE EXTRA SPORT J CURVE RADIOPAQUE BARE COIL CORE TO TIP STAINLESS STEEL HYDROPHOBIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE IRON MAN STRAIGHT BARE COIL CORE TO TIP CORONARY STAINLESS STEEL HYDROPHOBIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE WHISPER MS J CURVE RADIOPAQUE CORE TO TIP COVER DURASTEEL POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM L3 CM HI-TORQUE WHISPER MS STRAIGHT RADIOPAQUE CORE TO TIP COVER DURASTEEL POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR L300 CM VERRATA STRAIGHT PRESSURE FLAT IFR MODALITY FRACTIONAL FLOW RESERVE MEASUREMENT,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR NITINOL W/HYDROPHILIC COATING STRAIGHT RADIOPAQUE TIP,71.5,35.75,15.59,64.35,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD 0.014 IN L300 CM L18 CM APPROACH MICRO TAPER 10 CM FLEXIBLE TIP PERIPHERAL STAINLESS STEEL PLATINUM PTFE CTO,169.99,85.0,37.07,152.99,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.01 IN L200 CM L10 CM X-PEDION SOFT FLEXIBLE TIP HYDROPHILIC,364.0,182.0,79.39,327.6,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L115 CM TRAXCESS ATRAUMATIC TIP PUSH PULL CONTROL KINK RESISTANT DOCK NITINOL STAINLESS STEEL HYDROPHILIC,150.0,75.0,32.72,135.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L150 CM RUNTHROUGH NS ATRAUMATIC EXTRA FLOPPY STRAIGHT TIP RADIOPAQUE CORONARY NITINOL HYDROPHILIC,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L180 CM L1 CM GLIDEWIRE ADVANTAGE ANGLE FLEXIBLE TIP PERIPHERAL NITINOL HYDROPHILIC PTFE,200.0,100.0,43.62,180.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L180 CM L3 CM RUNTHROUGH NS IZANAI JOINT-DUO CORE SOFT STRAIGHT TIP RADIOPACITY CORONARY M-COAT NITINOL HYDROPHILIC BLUE,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L180 CM L3 CM RUNTHROUGH NS IZANAI JOINT-DUO CORE SOFT STRAIGHT TIP RADIOPACITY CORONARY M-COAT NITINOL HYDROPHILIC WHITE,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L180 CM L5 CM NITREX 15 D ANGLE INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL,310.0,155.0,67.61,279.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L185 CM VERRATA PRESSURE,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM HI-TORQUE COMMAND ES PERIPHERAL,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L2 CM HI-TORQUE FLOPPY II STRAIGHT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L25 CM SPECTRE L42 CM L3 CM STRAIGHT 2 CORE NONTAPER KINK RESISTANCE TORQUE CONTROL NITINOL STAINLESS STEEL,475.0,237.5,103.6,427.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM COUGAR XT STRAIGHT 2 COIL MEDIUM SUPPORT HYDRO-TRACK NITINOL,60.0,30.0,13.09,54.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT ELITE STRAIGHT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT J HYDROCOAT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT HYDROCOAT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II STRAIGHT RADIOPAQUE RIBBON TIP BARE COIL FLEXIBLE CORONARY ELASTINITE POLYMER HYDROPHILIC PTCA PTA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL STRAIGHT RADIOPAQUE RIBBON TIP INTERMEDIATE COVER CORONARY ELASTINITE POLYMER HYDROPHILIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE CROSS-IT 100XT J,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE CROSS-IT 100XT STRAIGHT CORONARY HYDROPHILIC,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE EXTRA SPORT J RADIOPAQUE CORONARY HYDROPHOBIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE PILOT 150 J,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE PILOT 50 STRAIGHT RADIOPAQUE CORE TO TIP FULL COVER CORONARY DURASTEEL POLYMER HYDROPHILIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE POWERTURN STRAIGHT RADIOPAQUE CORE TO TIP BARE COIL FLEX CORONARY DURASTEEL HYDROPHILIC,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE POWERTURN STRAIGHT RADIOPAQUE CORE TO TIP BARE COIL ULTRA FLEX CORONARY DURASTEEL HYDROPHILIC,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE TURNTRAC STRAIGHT RADIOPAQUE CORE TO TIP BARE COIL CORONARY ELASTINITE HYDROPHILIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE VERSATURN STRAIGHT RADIOPAQUE CORE TO TIP BARE COIL CORONARY ELASTINITE HYDROPHILIC PTA PTCA,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE WHISPER ES J,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L3 CM HI-TORQUE WHISPER ES STRAIGHT,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L190 CM L5 CM HI-TORQUE SPARTACORE PERIPHERAL,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L205 CM L5 CM AVGO HYDROPHILIC,495.0,247.5,107.96,445.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM HI-TORQUE COMMAND ES CORE TO TIP PERIPHERAL,120.0,60.0,26.17,108.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE ANGLE FLEXIBLE TIP PERIPHERAL NITINOL HYDROPHILIC PTFE,225.0,112.5,49.07,202.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE TRACK 35 D L25 CM RADIOPAQUE FLEXIBLE TAPER TIP JACKET HIGH DEFORMATION RESISTANCE PERIPHERAL NITINOL STAINLESS STEEL POLYURETHANE PTFE,248.0,124.0,54.09,223.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L1.5 MM ENTEER 28 D FLEXIBLE REENTRY PERIPHERAL,250.0,125.0,54.53,225.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L1.5 MM ENTEER 28 D STANDARD OTW REENTRY SELF ORIENT BALLOON PERIPHERAL PTA,250.0,125.0,54.53,225.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L2.5 MM ENTEER 28 D STIFF SHAFT REENTRY PERIPHERAL,250.0,125.0,54.53,225.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT J RADIOPAQUE RIBBON TIP BARE COIL CORONARY ELASTINITE HYDROPHILIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT J SOFT RIBBON TIP KINK RESISTANT RADIOPAQUE STEERABLE HYDROCOAT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE COMMAND RADIOPAQUE PERIPHERAL NITINOL STAINLESS STEEL HYDROPHILIC,600.0,300.0,130.86,540.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE PILOT 150 STRAIGHT RADIOPAQUE CORE TO TIP FULL COVER CORONARY DURASTEEL POLYMER HYDROPHILIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE PILOT 200 STRAIGHT RADIOPAQUE CORE TO TIP FULL COVER CORONARY DURASTEEL POLYMER HYDROPHILIC PTA PTCA CTO,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE PILOT 50 J RADIOPAQUE CORONARY HYDROPHILIC PTA PTCA,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE PILOT STRAIGHT RADIOPAQUE CORE TO TIP FULL COVER CORONARY DURASTEEL POLYMER HYDROPHILIC PTA PTCA STENT CTO,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE POWERTURN STRAIGHT RADIOPAQUE CORE TO TIP BARE COIL FLEX CORONARY DURASTEEL HYDROPHILIC,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE WHISPER ES J,80.0,40.0,17.45,72.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L3 CM HI-TORQUE WHISPER ES STRAIGHT,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L5 CM HI-TORQUE SPARTACORE CORE TO TIP PERIPHERAL,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM L5 CM NITREX 15 D TAPER INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT MANDRIL PERIPHERAL NITINOL,338.0,169.0,73.72,304.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L300 CM PHOENIX FLOPPY TIP LIGHT SUPPORT NITINOL SILICONE,625.0,312.5,136.31,562.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN L80 CM L5 CM NITREX 15 D ANGLE INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT MANDRIL PERIPHERAL CORONARY NITINOL TUNGSTEN GOLD,215.0,107.5,46.89,193.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.014 IN ODSEC.012 IN L200 CM L40 CM TRAXCESS L3 CM RADIOPAQUE SOFT ATRAUMATIC TIP KINK RESISTANT NITINOL STAINLESS STEEL HYDROPHILIC,356.25,178.13,77.7,320.63,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L1 CM GLIDEWIRE ADVANTAGE ANGLE FLEXIBLE TIP PERIPHERAL NITINOL HYDROPHILIC PTFE,195.0,97.5,42.53,175.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L2 CM GLIDEWIRE GT 45 D 25 CM STANDARD FLEXIBLE TIP RADIOPAQUE KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,186.0,93.0,40.57,167.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L2 CM GLIDEWIRE GT 60 D 90 D 25 CM STANDARD FLEXIBLE TIP RADIOPAQUE KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,186.0,93.0,40.57,167.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L2 CM GLIDEWIRE GT 90 D 25 CM STANDARD FLEXIBLE TIP RADIOPAQUE KINK RESISTANCE NITINOL HYDROPHILIC,186.0,93.0,40.57,167.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L2 CM NITREX 0 D S RADIOPAQUE KINK RESISTANT MANDRIL STANDARD TIP PERIPHERAL NITINOL TUNGSTEN GOLD,243.0,121.5,53.0,218.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L20 CM NITREX 15 D ATRAUMATIC FLOPPY TIP RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL,243.0,121.5,53.0,218.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L25 CM GLIDEWIRE GT 45 D STANDARD FLEXIBLE TIP RADIOPAQUE KINK RESISTANT JACKET NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,172.0,86.0,37.51,154.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L25 CM GLIDEWIRE GT STRAIGHT STANDARD FLEXIBLE TIP RADIOPAQUE KINK RESISTANT JACKET NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,186.0,93.0,40.57,167.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L180 CM L5 CM NITREX 15 D TAPER INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT MANDRIL PERIPHERAL NITINOL TUNGSTEN GOLD,243.0,121.5,53.0,218.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L190 CM L3 CM HI-TORQUE STEELCORE LONG TAPER RADIOPAQUE CORE TO TIP FLEXIBILE DISTAL PERIPHERAL PLATINUM STAINLESS STEEL PTA PTCA,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L260 CM IMPELLA RADIOPAQUE,500.0,250.0,109.05,450.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM HI-TORQUE STEELCORE CORE TO TIP PERIPHERAL STAINLESS STEEL PTCA PTA,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE ANGLE FLEXIBLE TIP PERIPHERAL NITINOL HYDROPHILIC PTFE,220.0,110.0,47.98,198.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE TRACK 35 D L25 CM RADIOPAQUE FLEXIBLE TAPER TIP JACKET HIGH DEFORMATION RESISTANCE PERIPHERAL NITINOL STAINLESS STEEL POLYURETHANE PTFE,242.0,121.0,52.78,217.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L10 CM HI-TORQUE COMMAND STRAIGHT FLEXIBLE SHAPEABLE TIP PARABOLIC CORE TRANSITIONLESS WELD PERIPHERAL NITINOL STAINLESS STEEL POLYMER HYDROPHILIC PTA,120.0,60.0,26.17,108.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L2 CM NITREX 0 D STRAIGHT STANDARD RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL,414.0,207.0,90.29,372.6,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L25 CM HI-TORQUE COMMAND STRAIGHT SHAPEABLE SOFT TIP PARABOLIC CORE TRANSITIONLESS WELD PERIPHERAL NITINOL STAINLESS STEEL POLYMER HYDROPHILIC PTA,120.0,60.0,26.17,108.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L3 CM GLIDEWIRE GOLD 45 D L1 MM FLEXIBLE TIP RADIOPAQUE SMALL VESSEL NITINOL HYDROPHILIC,189.0,94.5,41.22,170.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L3 CM HI-TORQUE STEELCORE LT BARE COIL CORE TO TIP PERIPHERAL MICROGLIDE STAINLESS STEEL,59.0,29.5,12.87,53.1,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L5 CM NITREX 15 D ANGLE RADIOPAQUE KINK RESISTANT INTERMEDIATE TIP PERIPHERAL CORONARY NITINOL,414.0,207.0,90.29,372.6,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L300 CM L8 CM SV STRAIGHT DISTAL TAPER RADIOPAQUE STEERABLE PTFE,68.25,34.13,14.89,61.43,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L40 CM MERIT MAK COAXIAL SATIN FINISH NITINOL PLATINUM,220.0,110.0,47.98,198.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L60 CM L5 CM NITREX 0 D STRAIGHT ATRAUMATIC RADIOPAQUE INTERMEDIATE TIP KINK RESISTANT PERIPHERAL CORONARY NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L60 CM L7 CM NITREX 0 D STRAIGHT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L80 CM L2 CM NITREX 0 D STRAIGHT STANDARD RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL,155.0,77.5,33.81,139.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.018 IN L80 CM L5 CM NITREX 15 D ANGLE RADIOPAQUE KINK RESISTANT INTERMEDIATE MANDRIL PERIPHERAL CORONARY NITINOL TUNGSTEN GOLD,155.0,77.5,33.81,139.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.025 IN L145 CM L5 CM REUTER DEFLECT REUTER TIP HEPARIN,72.0,36.0,15.7,64.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.025 IN L180 CM L2 CM NITREX 0 D STRAIGHT STANDARD RADIOPAQUE KINK RESISTANT PERIPHERAL NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.025 IN L180 CM L8 CM NITREX 15 D ANGLE INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.025 IN L260 CM L8 CM NITREX 15 D ATRAUMATIC INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL NITINOL,216.0,108.0,47.11,194.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.032 IN L145 CM L6 CM COOK STRAIGHT TAPER L2 CM FIX CORE FLEXIBLE TIP STAINLESS STEEL PTFE,11.99,6.0,2.62,10.79,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.032 IN L180 CM L7 CM GUIDERIGHT 3 MM RADIUS J CURVE FIX CORE SUPER STIFF SHAFT STAINLESS STEEL PTFE,87.5,43.75,19.08,78.75,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 CM L260 CM WHOLEY MODIFY J CURVE INTERMEDIATE EXCHANGE LENGTH PERIPHERAL,185.0,92.5,40.35,166.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM L14 CM NITREX 0 D STRAIGHT FLOPPY TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL CORONARY NITINOL TUNGSTEN GOLD,148.0,74.0,32.28,133.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM L14 CM NITREX 45 D ANGLE FLOPPY TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,148.0,74.0,32.28,133.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM L15 CM NITREX 0 D STRAIGHT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT FLEXIBLE SHAFT PERIPHERAL NITINOL,148.0,74.0,32.28,133.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM L15 CM NITREX 45 D ANGLE TAPER FLEXIBLE SHAFT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL TUNGSTEN GOLD,148.0,74.0,32.28,133.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM L9 CM NITREX 0 D STRAIGHT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,148.0,74.0,32.28,133.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM TEFCOR 3 MM RADIUS CURVE MOVABLE CORE,26.0,13.0,5.67,23.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM WHOLEY ATRAUMATIC TIP STEERABLE PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM WHOLEY MODIFY J CURVE INTERMEDIATE EXTENSION PERIPHERAL,165.0,82.5,35.99,148.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L145 CM WHOLEY STRAIGHT ATRAUMATIC EXTENSION STANDARD TIP PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L150 CM L3 CM GLIDEWIRE STANDARD FLEXIBLE ANGLE TIP RADIOPAQUE KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,145.0,72.5,31.62,130.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L150 CM L3 CM GLIDEWIRE STANDARD STRAIGHT RADIOPAQUE FLEXIBLE JACKET KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,145.0,72.5,31.62,130.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L155 CM WHOLEY STRAIGHT EXTENSION ATRAUMATIC STANDARD STIFFNESS PERIPHERAL,132.0,66.0,28.79,118.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L175 CM WHOLEY STRAIGHT FLOPPY TIP EXTENSION ATRAUMATIC PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L175 CM WHOLEY STRAIGHT STANDARD TIP EXTENSION ATRAUMATIC PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L15 CM NITREX 0 D STRAIGHT TAPER FLEXIBLE SHAFT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL NITINOL TUNGSTEN GOLD,153.0,76.5,33.37,137.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L3 CM GLIDEWIRE 1.5 MM J CURVE STANDARD FLEXIBLE ATRAUMATIC TIP RADIOPAQUE KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,198.5,99.25,43.29,178.65,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L3 CM GLIDEWIRE ANGLE STANDARD FLEXIBLE TAPER RAIOPAQUE SHAPE RETENTION CORE TO TIP NITINOL HYDROPHILIC,198.5,99.25,43.29,178.65,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L3 CM GLIDEWIRE STANDARD FLEXIBLE STRAIGHT SHAPEABLE TIP RADIOPAQUE KINK RESISTANCE NITINOL POLYURETHANE HYDROPHILIC,198.5,99.25,43.29,178.65,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L4 CM NITREX 45 D STANDARD TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,153.0,76.5,33.37,137.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L5 CM GLIDEWIRE ADVANTAGE ANGLE FLEXIBLE TIP PERIPHERAL NITINOL HYDROPHILIC PTFE,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L180 CM L9 CM NITREX 0 D STRAIGHT TAPER STIFF SHAFT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT PERIPHERAL CORONARY NITINOL TUNGSTEN GOLD,153.0,76.5,33.37,137.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L190 CM HI-TORQUE SUPRA CORE ATRAUMATIC CORE TO TIP PERIPHERAL HYDROPHOBIC,60.0,30.0,13.09,54.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L210 CM INQWIRE 1.5 MM J CURVE FIX CORE FINGER STRAIGHTEN STANDARD SHAFT SMOOTH SURFACE PTFE HERAPIN,93.4,46.7,20.37,84.06,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM ANGIOGRAPHIC GUIDE WIRE EXCHANGE ANGIOGRAPHIC,110.0,55.0,23.99,99.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM HYDROSTEER STANDARD ANGLE J RADIUS KINK RESISTANT REGULAR TAPER TIP NITINOL POLYMER HYDROPHILIC,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L1.5 MM AMPLATZER MODIFY J CURVE SUPER STIFF SHAFT,53.0,26.5,11.56,47.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L14 CM NITREX 0 D STRAIGHT FLOPPY TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L15 CM NITREX 45 D ANGLE INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT FLEXIBLE SHAFT PERIPHERAL NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L3 CM GLIDEWIRE 1.5 MM J CURVE STANDARD TAPER FLEXIBLE ATRAUMATIC TIP RADIOPAQUE KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,222.0,111.0,48.42,199.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L3 CM GLIDEWIRE ANGLE RADIOPAQUE STIFF FLEXIBLE JACKET NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,249.25,124.63,54.36,224.33,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L3 CM GLIDEWIRE ANGLE STANDARD FLEXIBLE TAPER RAIOPAQUE SHAPE RETENTION CORE TO TIP NITINOL HYDROPHILIC,222.0,111.0,48.42,199.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L3 CM GLIDEWIRE FLEXIBLE ANGLE TIP RADIOPAQUE STIFF NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,249.25,124.63,54.36,224.33,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L3 CM GLIDEWIRE STANDARD STRAIGHT RADIOPAQUE FLEXIBLE SHAPEABLE TIP KINK RESISTANCE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC,222.0,111.0,48.42,199.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L3 CM J FIX CORE PTFE,148.0,74.0,32.28,133.2,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L4 CM NITREX 45 D STANDARD TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,175.0,87.5,38.17,157.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L5 CM GLIDEWIRE ADVANTAGE ANGLE FLEXIBLE TIP PERIPHERAL NITINOL HYDROPHILIC PTFE,200.0,100.0,43.62,180.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM L7 CM GUIDERIGHT STRAIGHT STANDARD FLEXIBLE TIP FIX CORE EXCHANGE STAINLESS STEEL PTFE,55.0,27.5,12.0,49.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 CM WHOLEY STRAIGHT FLOPPY TIP EXCHANGE ATRAUMATIC PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L260 MM WHOLEY STRAIGHT ATRAUMATIC STANDARD TIP EXCHANGE PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM HI-TORQUE SUPRA CORE ATRAUMATIC CORE TO TIP PERIPHERAL HYDROPHOBIC,60.0,30.0,13.09,54.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM L9 CM NITREX 0 D STRAIGHT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL SILICONE,203.0,101.5,44.27,182.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM STORQ ANGLE SOFT TIP,336.0,168.0,73.28,302.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM STORQ ANGLE STANDARD STEERABLE,336.0,168.0,73.28,302.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM STORQ MODIFY J CURVE STANDARD,336.0,168.0,73.28,302.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM STORQ STRAIGHT STEERABLE SLX,336.0,168.0,73.28,302.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM WHOLEY MODIFY J INTERMEDIATE STIFFNESS ATRAUMATIC EXCHANGE PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM WHOLEY STRAIGHT ATRAUMATIC STANDARD TIP EXCHANGE PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L300 CM WHOLEY STRAIGHT FLOPPY TIP EXCHANGE ATRAUMATIC PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L400 CM L15 CM NITREX 0 D STRAIGHT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT FLEXIBLE SHAFT PERIPHERAL NITINOL,260.0,130.0,56.71,234.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L400 CM L9 CM NITREX 0 D STRAIGHT INTERMEDIATE TIP RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,203.0,101.5,44.27,182.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.035 IN L80 CM L9 CM NITREX 0 D STRAIGHT RADIOPAQUE KINK RESISTANT STIFF SHAFT PERIPHERAL NITINOL,125.0,62.5,27.26,112.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.038 IN L150 CM L3 CM GLIDEWIRE ANGLE STANDARD TAPER FLEXIBLE RADIOPAQUE SHAPE RETENTION NITINOL HYDROPHILIC,145.0,72.5,31.62,130.5,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.038 IN L180 CM L3 CM GLIDEWIRE STANDARD FLEXIBLE ANGLE TIP RADIOPAQUE KINK RESISTANCE NITINOL POLYURETHANE HYDROPHILIC,198.5,99.25,43.29,178.65,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.038 IN L260 CM L3 CM GLIDEWIRE STANDARD FLEXIBLE ANGLE TIP RADIOPAQUE KINK RESISTANCE NITINOL POLYURETHANE HYDROPHILIC,222.0,111.0,48.42,199.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.089 CM L175 CM WHOLEY V03,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.36 MM L180 CM L3 CM RUNTHROUGH RADIOPAQUE EXTRA FLOPPY PTCA,400.0,200.0,87.24,360.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.889IN L145 CM ANGIOGRAPHIC GUIDE WIRE 3 MM J,110.0,55.0,23.99,99.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD.89 MM L150 CM L3 CM GLIDEWIRE RADIFOCUS FLEXIBLE TIP,159.5,79.75,34.79,143.55,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD0.014 IN L175 CM VISIONWIRE STRAIGHT FLOPPY TIP INSULATED,67.5,33.75,14.72,60.75,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD0.018 IN ODSEC0.013 IN L300 CM L15 CM ASTATO 30 SLIP-COAT STRAIGHT RADIOPAQUE SPRING COIL UNCOAT DISTAL TIP HYDROPHILIC PERIPHERAL VASCULAR,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OD27 IN L260 CM L9.3 CM IMPELLA STARIGHT,500.0,250.0,109.05,450.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR OPTICAL PRESSURE SENSOR 0.014IN 185CM HYDROPHILIC PTFE FLEXIBLE COMET,650.0,325.0,141.77,585.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR PTFE 0.035IN DIA X 150CML FIXED CORE STRAIGHT BENSTON STERILE,106.0,53.0,23.12,95.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR REUTER REUTER TIP DEFLECT,81.99,41.0,17.88,73.79,64
HCPCS,C1769,GUIDEWIRE VASCULAR SAVVYWIRE 3.2CM XSMALL 2.9CM PRE-SHAPED 1ST GEN INTEGRATED PRESSURE SENSOR F/TAVR SOLUTION,4500.0,2250.0,981.45,4050.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR SAVVYWIRE 4.2CM SMALL 3.6CM PRE-SHAPED 1ST GEN INTEGRATED PRESSURE SENSOR F/TAVR SOLUTION,4500.0,2250.0,981.45,4050.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR SECONDLINE 0.014IN 180CM 5CM TIP SS SILICONE STRAIGHT TIP SUPER SUPPORT INTERMEDIATE SPRING COIL PLATINUM PLUS,213.0,106.5,46.46,191.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR SECONDLINE 0.018IN 180CM 5CM TIP SS SILICONE STRAIGHT TIP SUPER SUPPORT INTERMEDIATE SPRING COIL PLATINUM PLUS,213.0,106.5,46.46,191.7,64
HCPCS,C1769,GUIDEWIRE VASCULAR SPECIALITY 0.014IN 300CM 3.5CM TIP SS PTFE HYDROPHILIC 1.5GM STRAIGHT TIP COMPOUND TAPERED CORE-TO-TIP SENTAI FIGHTER,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR SPECIALITY 0.014IN 300CM 3.5CM TIP SS PTFE HYDROPHILIC 14GM STRAIGHT TIP COMPOUND TAPERED CORE-TO-TIP SENTAI HORNET 14,550.0,275.0,119.96,495.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR SPECIALTY CROSSING 0.014IN 300CM STAINLESS STEEL HYDROPHILIC POLYMER SLEEVE 12GM PERIPHERAL SHAPEABLE STRAIGHT TIP VICTORY 14 NON-RADIOLUCENT TIP EA,230.0,115.0,50.16,207.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR SPECIALTY CROSSING 0.014IN 300CM STAINLESS STEEL HYDROPHILIC POLYMER SLEEVE 30GM PERIPHERAL SHAPEABLE STRAIGHT TIP VICTORY 14 NON-RADIOLUCENT TIP EA,282.0,141.0,61.5,253.8,64
HCPCS,C1769,GUIDEWIRE VASCULAR SPECIALTY CROSSING 0.018IN 300CM 14CM TIP STAINLESS STEEL HYDROPHILIC POLYMER SLEEVE 12GM PERIPHERAL SHAPEABLE STRAIGHT TIP VICTORY 18 RADIOPAQUE TIP,140.0,70.0,30.53,126.0,64
HCPCS,C1769,GUIDEWIRE VASCULAR SPECIALTY CTO CROSSING 0.018IN 300CM STAINLESS STEEL HYDROPHILIC POLYMER SLEEVE 30GM PERIPHERAL STRAIGHT TIP VICTORY 18 NON-RADIOLUCENT,256.0,128.0,55.83,230.4,64
HCPCS,C1769,GUIDEWIRE VASCULAR STABILIZER PLUS 0.014IN 300CM 3CM TIP STRAIGHT TIP SUPERSOFT STEERABLE EXTRA SUPPORT DURAGLIDE PTFE,306.8,153.4,66.91,276.12,64
HCPCS,C1769,GUIDEWIRE VICTORY 300CM STRAIGHT .018IN VASCULAR PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 200CM SPRING .012IN .014IN VASCULAR PERIPHERAL STERILE LATEX FREE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 335CM .018IN VASCULAR PERIPHERAL TIP,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 335CM SPRING .014IN VASCULAR PERIPHERAL FLEXIBLE STERILE LATEX FREE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 335CM SPRING .014IN VASCULAR PERIPHERAL STERILE LATEX FREE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 335CM SPRING .017IN .014IN VASCULAR PERIPHERAL STERILE LATEX FREE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 335CM SPRING .018IN .014IN VASCULAR PERIPHERAL FLEXIBLE STERILE LATEX FREE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VIPERWIRE ADVANCE 475CM SPRING .014IN VASCULAR PERIPHERAL EXTEND LENGTH STERILE LATEX FREE DISPOSABLE,750.0,375.0,163.58,675.0,64
HCPCS,C1769,GUIDEWIRE VISIGLIDE STRAIGHT .025IN 270CM ENDOSCOPIC SUPERELASTIC FLUORINE HYDROPHILIC 7CM STERILE DISPOSABLE,173.9,86.95,37.93,156.51,64
HCPCS,C1769,GUIDEWIRE VISIGLIDE STRAIGHT .025IN 450CM ENDOSCOPIC SUPERELASTIC FLUORINE HYDROPHILIC 7CM STERILE DISPOSABLE,173.9,86.95,37.93,156.51,64
HCPCS,C1769,GUIDEWIRE ZIPWIRE ANGLE .035IN 260CM UROLOGICAL STANDARD SHAFT HYDROPHILIC 3CM,200.0,100.0,43.62,180.0,64
HCPCS,C1769,GUIDEWIRE ZIPWIRE ANGLE TAPER .035IN 150CM UROLOGICAL STIFF SHAFT 3CM,205.0,102.5,44.71,184.5,64
HCPCS,C1769,GUIDEWIRE ZIPWIRE ANGLE TAPER .035IN 180CM UROLOGICAL STIFF SHAFT 3CM,205.0,102.5,44.71,184.5,64
HCPCS,C1769,GUIDEWIRE ZIPWIRE STRAIGHT .035IN 260CM UROLOGICAL KINK RESISTANT MODERATE RAIL SUPPORT STIFF SHAFT NITINOL HYDROPHILIC 3CM PERIPHERAL,205.0,102.5,44.71,184.5,64
HCPCS,C1769,GUIDEWIRE ZIPWIRE STRAIGHT .038IN 150CM UROLOGICAL RADIOPAQUE STANDARD SHAFT STEERABLE KINK RESISTANT NITINOL POLYURETHANE HYDROPHILIC 3CM URETERAL,255.72,127.86,55.77,230.15,64
HCPCS,C1769,GUIDEWIRE ZIPWIRE STRAIGHT TAPER .035IN 180CM UROLOGICAL STIFF SHAFT HYDROPHILIC 3CM,205.0,102.5,44.71,184.5,64
HCPCS,C1769,GUIDEWRIE F-14 TAPERED 30  0.014IN X 300CM,975.0,487.5,212.65,877.5,64
HCPCS,C1769,KIT CATHETER INSERTION L6 IN 3 WAY STOPCOCK DILATOR INTRODUCER SHEATH MALE LUER CAP OD8 FR ODSEC18 GA SENSATION PLUS 50 CC,150.42,75.21,32.81,135.38,64
HCPCS,C1769,KIT CATHETER INSERTION OD7.5 FR SENSATION PLUS 40 CC,150.42,75.21,32.81,135.38,64
HCPCS,C1769,KIT DILATOR 18GA 180CM .035IN GUIDEWIRE INSERTION NEEDLE SCALPEL PROTECTIVE SHEATH DISPOSABLE VASCULAR,270.0,135.0,58.89,243.0,64
HCPCS,C1769,KIT GASTROSTOMY 12-14FR 16FR SMALL DILATOR PEEL AWAY SHEATH SCALPEL SLIP TIP SYRINGE ENTUIT START COONS STERILE,102.99,51.5,22.46,92.69,64
HCPCS,C1769,KIT GASTROSTOMY 20-24FR 22-26FR LARGE DILATOR PEEL AWAY SHEATH SCALPEL SLIP TIP SYRINGE ENTUIT START COONS STERILE,102.99,51.5,22.46,92.69,64
HCPCS,C1769,KIT GUIDEWIRE OD1.7 MM NIAGARA STAINLESS STEEL LATERAL ACCESS SYSTEM,103.5,51.75,22.57,93.15,64
HCPCS,C1769,KIT INTRODUCER CATHETER 2.2MM ID 6FR 13CM HYDROPHILIC RADIAL ARTERY W/0.018IN 40CM NT GW PT TIP 21GA 4CM NDL FLEXOR RADIOPAQUE BAND,38.29,19.15,8.35,34.46,64
HCPCS,C1769,KIT MICROINTRODUCER L60 CM .018 IN MANDREL SOFT TIP REGULAR DILATOR OD4 FR ODSEC21 VSI STAINLESS STEEL NITINOL L7 CM CENTRAL VENOUS,335.0,167.5,73.06,301.5,64
HCPCS,C1769,KIT MICROINTRODUCER VASCULAR 4FR NITINOL MANDREL REGULAR SMOOTH W/0.018IN 40CM TG SOFT TIP GW STIFF DILATOR 21GA 7CM NDL VSI,180.0,90.0,39.26,162.0,64
HCPCS,C1769,SAVION DLVR 300 CM J TIP 1-PACK,223.7,111.85,48.79,201.33,64
HCPCS,C1769,SAVION FLX 300 CM STR 1-PACK,255.75,127.88,55.78,230.18,64
HCPCS,C1769,SCREW L90 MM L32 MM OD6.5 MM CANNULATED BONE ILIZAROV SYSTEMS,599.0,299.5,130.64,539.1,64
HCPCS,C1769,SET INTUBATION L70 CM RETROGRADE OD14 FR COOK 5+ MM ENDOTRACHEAL TUBE,219.0,109.5,47.76,197.1,64
HCPCS,C1769,"SHEATH VLAK (180-J RF WIRE, 67CM/D1 DILATOR)",975.0,487.5,212.65,877.5,64
HCPCS,C1769,"SHEATH VLAK (180-P RF WIRE, 67CM/D0 DILATOR)",975.0,487.5,212.65,877.5,64
HCPCS,C1769,"SHEATH VXSK-180J RF WIRE, 63CM/45DEG/D0",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-180J RF WIRE, 63CM/45DEG/D1",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-180J RF WIRE, 63CM/55DEG/D0",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-180J RF WIRE, 63CM/55DEG/D1",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-180J RF WIRE, 63CM/90DEG/D1",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-180P RF WIRE, 63CM/55DEG/D0",949.0,474.5,206.98,854.1,64
HCPCS,C1769,"SHEATH VXSK-180P RF WIRE, 63CM/55DEG/D1",949.0,474.5,206.98,854.1,64
HCPCS,C1769,"SHEATH VXSK-180P RF WIRE, 63CM/90DEG/D0",949.0,474.5,206.98,854.1,64
HCPCS,C1769,"SHEATH VXSK-230J RF WIRE, 63CM/45DEG/D0",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-230J RF WIRE, 63CM/45DEG/D1",925.0,462.5,201.74,832.5,64
HCPCS,C1769,"SHEATH VXSK-230P RF WIRE, 63CM/55DEG/D0",949.0,474.5,206.98,854.1,64
HCPCS,C1769,"SHEATH VXSK-230P RF WIRE, 81CM/45DEG/D0",949.0,474.5,206.98,854.1,64
HCPCS,C1769,SPHINCTEROTOME 200CM 30MM 5.5FR ULTRATOME XL BILIARY PANCREAS 3 LUMEN CUT WIRE SHORT NOSE STERILE DISPOSABLE ENDOSCOPIC ACCEPTS .035IN DREAMWIRE 5MM,126.28,63.14,27.54,113.65,64
HCPCS,C1769,SPHINCTEROTOME L25 MM L320 CM OD6-5 FR COTTON 2 LUMEN BRAID CANNULATED ENDOSCOPIC ACCEPTS .035 IN GUIDEWIRE XLONG,275.0,137.5,59.98,247.5,64
HCPCS,C1769,SPHINCTEROTOME L30 MM L260 CM OD4.4 FR ODSEC.035 IN JAGTOME BILIARY PANCREAS CHOLANGIOGRAM KIT CANNULATED GUIDEWIRE CENTER LUMEN ENDOSCOPIC L5 MM,318.0,159.0,69.36,286.2,64
HCPCS,C1769,SPHINCTEROTOME L30 MM L450 CM OD3.9 FR JAGTOME BILIARY PANCREATIC CHOLANGIOGRAM KIT CANNULATED RAPID EXCHANGE ENDOSCOPIC .025 IN,318.0,159.0,69.36,286.2,64
HCPCS,C1769,SPHINCTEROTOME L450 CM OD.035 IN HYDRATOME ENDOSCOPIC,424.94,212.47,92.68,382.45,64
HCPCS,C1769,SYSTEM BILIARY STENT FUSION OASIS 8.5FR 5FR 195CM 170CM RADIOPAQUE 1 ACTION CATHETER BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE ST-2 SOEHENDRA TANNENBAUM COTTON-HUIBREGTSE,105.0,52.5,22.9,94.5,64
HCPCS,C1769,SYSTEM BILIARY STENT RADIOPAQUE 1 ACTION CATHETER OASIS BILIARY L195 CM OD9 FR ODSEC5.5 FR L170 CM PURPLE ACCEPTS .035 IN GUIDEWIRE 4.2 MM MINIMUM ACCESSORY CHANNEL ST-2 SOEHENDRA TANNENBAUM COTTON-HU,105.0,52.5,22.9,94.5,64
HCPCS,C1769,TOOL CONNECTOR GUIDEWIRE FLUSH LEAD ACUITY X4,15.0,7.5,3.27,13.5,64
HCPCS,C1769,TRAY TRACHEOSTOMY CIAGLIA BLUE RHINO G2 OD24-26-28 FR PERCUTANEOUS 2 CANNULA TUBE SHILEY CUFFED PLIANT TIP,490.0,245.0,106.87,441.0,64
HCPCS,C1769,TRAY TRACHEOSTOMY SHILEY CIAGLIA BLUE RHINO OD24-28 FR STANDARD PERCUTANEOUS 2 CANNULA DILATOR CUFF,415.0,207.5,90.51,373.5,64
HCPCS,C1769,TUBE NASOJEJUNAL L50 CM .035 IN FEED SMALL BOWEL OD10 FR COOK L260 CM,328.13,164.07,71.57,295.32,64
HCPCS,C1769,WIRE FIXATION 3.2MM 450MM KIRSCHNER STERILE,109.45,54.73,23.87,98.51,64
HCPCS,C1769,WIRE FIXATION KIRSCHNER 3.2MM W/WASHER GAMMA3 STERILE,133.33,66.67,29.08,120.0,64
HCPCS,C1769,WIRE FIXATION OD1.25 MM L150 MM PEDILOC STAINLESS STEEL SMOOTH PEDIFRAG SYSTEM,20.92,10.46,4.56,18.83,64
HCPCS,C1769,WIRE FIXATION OD1.6 MM L8 CM GORILLA HALF OLIVE ANKLE SMOOTH,80.0,40.0,17.45,72.0,64
HCPCS,C1769,WIRE FIXATION PHANTOM 1.8 MM OLIVE TARGET GUIDE THREAD LAPIDUS,105.0,52.5,22.9,94.5,64
HCPCS,C1769,"WIRE ORTHOPEDIC L260 MM OD1 MM TRAJECTORY WIRE, DYNAFUSE",119.0,59.5,25.95,107.1,64
HCPCS,C1772,PUMP INTRATHECAL 87.5MM DIA 19.5MM THK 20ML CAPACITY 165/185GM EMPTY/FULL W/0.22 UM FILTER LITHIUM BATTERY F/MEDICATION DELIVERY SYNCHROMED II,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1772,PUMP INTRATHECAL 87.5MM DIA 26MM THK 40ML CAPACITY 175/215GM EMPTY/FULL W/0.22 UM FILTER LITHIUM BATTERY F/MEDICATION DELIVERY SYNCHROMED II RESERVOIR,9800.0,4900.0,1876.7,8820.0,65
HCPCS,C1772,PUMP PROMETRA 2 PROGRAMMABLE,10500.0,5250.0,2010.75,9450.0,65
HCPCS,C1773,DEVICE LEAD LOCKING 65CM .013-.016IN LLD 1 TRANSVENOUS PLATINUM IRIDIUM EZ PROXIMAL LOOP FLEXIBLE STABLE 12LB DISPOSABLE,1810.0,905.0,394.76,1629.0,64
HCPCS,C1773,DEVICE LEAD LOCKING 65CM .015-.023IN LLD PLATINUM IRIDIUM LOW PROFILE RADIOPAQUE 19LB DISPOSABLE,1810.0,905.0,394.76,1629.0,64
HCPCS,C1773,DEVICE LEAD LOCKING 65CM .017-.026IN LLD 2 TRANSVENOUS PLATINUM IRIDIUM EZ PROXIMAL LOOP FLEXIBLE STABLE 24LB DISPOSABLE,1810.0,905.0,394.76,1629.0,64
HCPCS,C1773,FORCEPS GRASPING L230 CM RAT TOOTH OD2.4 MM RESCUE W7 MM,375.0,187.5,81.79,337.5,64
HCPCS,C1773,GUIDEWIRE VASCULAR OD.018 IN AMPLATZ EXTRA STIFF SUPPORT HEPARIN,16.42,8.21,3.58,14.78,64
HCPCS,C1773,GUIDEWIRE VASCULAR OD.035 IN L145 CM BENTSON,30.0,15.0,6.54,27.0,64
HCPCS,C1773,KIT LEAD LOCKING .012IN .015-.026IN 1 PIECE STYLETE LLD DISPOSABLE STERILE VASCULAR,1810.0,905.0,394.76,1629.0,64
HCPCS,C1773,KIT SNARE 2.3-3FR 2MM 200CM 175CM 90D MICRO CATHETER LOOP COIL AMPLATZ GOOSENECK NITINOL TUNGSTEN GOLD,620.0,310.0,135.22,558.0,64
HCPCS,C1773,KIT SNARE 6FR 25MM 65CM 48CM 90D CATHETER CABLE LOOP RADIOPAQUE AMPLATZ GOOSE NECK NITINOL TUNGSTEN GOLD REUSABLE STERILE LATEX FREE,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L100 CM 3 LOOP DELIVERY CATHETER NONINTERWOVEN INTRODUCER OD12-20 MM ODSEC6 FR ATRIEVE VASCULAR SNARE,309.0,154.5,67.39,278.1,64
HCPCS,C1773,KIT SNARE L120 CM 15 D MINI DELIVERY CATHETER RADIOPAQUE OD18-30 MM ODSEC7 FR ATRIEVE NITINOL PLATINUM L100 CM,309.0,154.5,67.39,278.1,64
HCPCS,C1773,KIT SNARE L120 CM 90 D CATHETER KINK RESISTANCE PREFORM LOOP RADIOPAQUE OD20 MM ODSEC6 FR AMPLATZ GOOSE NITINOL,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L120 CM CATHETER INTRODUCER TORQUE DEVICE RADIOPAQUE OD35 MM ODSEC6 FR AMPLATZ GOOSENECK NITINOL L102 CM,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L120 CM CATHETER PREFORM LOOP RADIOPAQUE OD10 MM ODSEC4 FR AMPLATZ GOOSENECK NITINOL L102 CM,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L120 CM CATHETER PREFORM LOOP RADIOPAQUE OD15 MM ODSEC6 FR AMPLATZ GOOSENECK NITINOL L102 CM,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L120 CM CATHETER PREFORM LOOP RADIOPAQUE OD25 MM ODSEC6 FR AMPLATZ GOOSENECK NITINOL L102 CM,250.0,125.0,54.53,225.0,64
HCPCS,C1773,KIT SNARE L120 CM CATHETER PREFORM LOOP RADIOPAQUE OD30 MM ODSEC6 FR AMPLATZ GOOSENECK NITINOL L102 CM,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L120 CM CATHETER PREFORM LOOP RADIOPAQUE OD5 MM ODSEC4 FR AMPLATZ GOOSE NECK NITINOL L102 CM,295.0,147.5,64.34,265.5,64
HCPCS,C1773,KIT SNARE L175 CM MICRO CATHETER PREFORM LOOP RADIOPAQUE OD7 MM ODSEC2.3-3 FR AMPLATZ GOOSE NECK NITINOL L150 CM,550.0,275.0,119.96,495.0,64
HCPCS,C1773,KIT SNARE L200 CM 90 D MICROCATHETER LOOP COIL SUPER ELASTIC OD2.3-3 FR ODSEC7 MM AMPLATZ GOOSENECK NITINOL TUNGSTEN GOLD L175 CM,620.0,310.0,135.22,558.0,64
HCPCS,C1773,KIT SNARE L200 CM MICRO OD4 MM AMPLATZ GOOSE NECK,620.0,310.0,135.22,558.0,64
HCPCS,C1773,KIT SNARE VASCULAR 27-45MM DIA 120CML NITINOL PLATINUM STRAND 15DEG ANGLED TIP W/7FR 100CML CATHETER INTRODUCER TORQUE DEVICE ATRIEVE,309.0,154.5,67.39,278.1,64
HCPCS,C1773,KIT SNARE VASCULAR 4-8MM DIA 150CML NITINOL PLATINUM STRAND 15DEG ANGLED TIP W/5FR 100CML CATHETER INTRODUCER TORQUE DEVICE ATRIEVE LATEX-FREE NON-RADIOLUCENT BAND STERILE SINGLE-USE,995.0,497.5,217.01,895.5,64
HCPCS,C1773,KIT SNARE VASCULAR 6-10MM DIA STANDARD 120CML 100CML NITINOL PLATINUM STRAND THREE PREFORMED LOOP TORQUE CONTROL ATRIEVE LATEX-FREE NON-RADIOLUCENT BAND STERILE SINGLE-USE,309.0,154.5,67.39,278.1,64
HCPCS,C1773,SHEATH .119IN DILATOR ROTATE TIGHTRAIL SUB-C STERILE LATEX FREE DISPOSABLE,1855.0,927.5,404.58,1669.5,64
HCPCS,C1773,SHEATH .171IN DILATOR ROTATE TIGHTRAIL SUB-C STERILE LATEX FREE DISPOSABLE,1855.0,927.5,404.58,1669.5,64
HCPCS,C1773,SNARE 230CM 25GA 5MM 2.5MM ISNARE LARIAT ALTERNATE INJECTION NEEDLE OLYMPUS ACTIVE CORD CONNECTOR MULTIFUCTIONAL HANDLE ENDOSCOPIC POLYPECTOMY,515.0,257.5,112.32,463.5,64
HCPCS,C1773,SNARE ENDOSCOPIC POLYPECTOMY 2.4MM OD 240CML 15MMW LOOP ROUND BRAIDED WIRE CAPTIVATOR II LATEX-FREE STERILE SINGLE-USE 20/BX 2.8MM MINIMUM WORKING CHANNEL,258.0,129.0,56.27,232.2,64
HCPCS,C1773,SNARE VASCULAR 0.035IN OD 35MM DIA 150CML SYMPRO ELITE,291.0,145.5,63.47,261.9,64
HCPCS,C1773,SNARE VASCULAR AMPLATZ GOOSE NECK OD2 MM ODSEC2.3-3 FR L200 CM L150 CM MICRO,620.0,310.0,135.22,558.0,64
HCPCS,C1773,SNARE VASCULAR AMPLATZ GOOSE NECK OD4 MM ODSEC2.3-3 FR L175 CM L150 CM MICRO,620.0,310.0,135.22,558.0,64
HCPCS,C1776,ACETABULAR SHELL CLUSTERHOLE HA 52MM E,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,ADAPTER ACETABULAR LINER 135DEG F/HUMERAL STEM IDENTITY,125.0,62.5,23.94,112.5,65
HCPCS,C1776,ADAPTER ACETABULAR LINER F/HUMERAL HEAD IDENTITY,125.0,62.5,23.94,112.5,65
HCPCS,C1776,ADAPTER FEMORAL 3 MM OFFSET REVISION CONNECTOR GMK KNEE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,ADAPTER FEMORAL 5 MM OFFSET REVISION CONNECTOR GMK KNEE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,ADAPTER FEMORAL ATTUNE LPS +0MM KNEE SLEEVE REVISION,601.15,300.58,115.12,541.04,65
HCPCS,C1776,ADAPTER FEMORAL L25 MM X H8 MM OFFSET EVOLUTION KNEE,967.0,483.5,185.18,870.3,65
HCPCS,C1776,ADAPTER FEMORAL TAPER FEMALE TO MALE COMPRESS,729.0,364.5,139.6,656.1,65
HCPCS,C1776,ADAPTER HEAD +0 MM LEGACY UNIPOLAR HIP FEMUR,100.0,50.0,19.15,90.0,65
HCPCS,C1776,ADAPTER HEAD +3.5 MM 12/14 ACUMATCH UNIPOLAR SLEEVE FEMUR L SERIES,60.0,30.0,11.49,54.0,65
HCPCS,C1776,ADAPTER HEAD +4 MM LEGACY UNIPOLAR FEMUR,100.0,50.0,19.15,90.0,65
HCPCS,C1776,ADAPTER HEAD +4 MM STANDARD TAPER SMR ECCENTRICAL SHOULDER,205.0,102.5,39.26,184.5,65
HCPCS,C1776,ADAPTER HEAD -4 MM LEGACY UNIPOLAR HIP FEMUR,100.0,50.0,19.15,90.0,65
HCPCS,C1776,ADAPTER HEAD AEQUALIS NONREVERSE HEMIPROSTHESIS,1506.0,753.0,288.4,1355.4,65
HCPCS,C1776,ADAPTER HEAD TITANIUM +2 MM STANDARD SMR TAPER ECCENTRICAL REVISION HUMERUS SHOULDER,205.0,102.5,39.26,184.5,65
HCPCS,C1776,ADAPTER HEAD TITANIUM +8 MM STANDARD SMR REVISION TAPERED ECCENTRICAL,205.0,102.5,39.26,184.5,65
HCPCS,C1776,ADAPTER HEAD TITANIUM SMR ANATOMIC OD36 MM REVERSE HUMERAL BODY CUFF TEAR ARTHROPATHY,430.0,215.0,82.35,387.0,65
HCPCS,C1776,ADAPTER ORTHOPEDIC OFFSET TAPER ANATOMIC INHANCE,472.5,236.25,90.48,425.25,65
HCPCS,C1776,ANCHOR ACHILLES SPEEDBRIDGE OD3.9 MM PEEK SUTURE,2750.0,1375.0,526.63,2475.0,65
HCPCS,C1776,ANCHOR HEALICOIL PEEK 5.5 MM 3 MINITAPE SUTURE COBRAID BLUE COBRAID WHITE,425.0,212.5,81.39,382.5,65
HCPCS,C1776,ASSEMBLY LINER OD38 MM ID22 MM MULTIPOLAR UHMWPE HIP,200.0,100.0,38.3,180.0,65
HCPCS,C1776,ASSEMBLY LINER OD39 MM ID22 MM MULTIPOLAR UHMWPE HIP,200.0,100.0,38.3,180.0,65
HCPCS,C1776,ASSEMBLY LINER OD64/66 MM ID28 MM MULTIPOLAR UHMWPE HIP,200.0,100.0,38.3,180.0,65
HCPCS,C1776,AUGMENT ACETABULAR 10 D SHIM TRABECULAR METAL HIP REVISION SYSTEM,616.0,308.0,117.96,554.4,65
HCPCS,C1776,AUGMENT ACETABULAR 15MM ID 66MM OD TRABECULAR METAL HIP PARTIAL HEMISPHERICAL REVISION,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,AUGMENT ACETABULAR CONE REVISION OD13 MM AMF REVISION TT CONES TRIATHLON HIP FEMUR TIBIAL MEDIAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1776,AUGMENT ACETABULAR CONE REVISION OD18 MM AMF REVISION TT CONES TRIATHLON HIP FEMUR TIBIAL MEDIAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1776,AUGMENT ACETABULAR CONE REVISION OD18 MM TRIATHLON MEDIAL FEMUR TIBIAL MEDIAL,3200.0,1600.0,612.8,2880.0,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 1 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 1 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 1 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 2 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 3 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 3 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 3 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 4 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 4 KNEE POSTERIOR TOTAL STABILIZE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 4 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 5 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 5 KNEE RIGHT TOTAL STABILIZE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 5 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 6 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 6 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 6 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 7 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 7 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 7 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 8 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 8 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 10MM TRIATHLON 8 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 50MML TIVANIUM PROXIMAL DISTAL KNEE TAPERED SEGMENTAL MALE-FEMALE NEXGEN ZSS STERILE,2984.0,1492.0,571.44,2685.6,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 1 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 1 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 1 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 2 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 2 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 2 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 3 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 3 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 4 POSTERIOR,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 5 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 6 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 6 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 6 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 7 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 7 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 7 POSTERIOR TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 8 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL 5MM TRIATHLON 8 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
HCPCS,C1776,AUGMENT FEMORAL H10 MM KNEE DISTAL ADVANCE 3,779.0,389.5,149.18,701.1,65
HCPCS,C1776,AUGMENT FEMORAL H10 MM KNEE POSTERIOR NEXGEN E,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,AUGMENT FEMORAL H10 MM KNEE POSTERIOR NEXGEN F,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 3,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 4,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 3,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM KNEE LEFT PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H12 MM KNEE RIGHT PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H15 MM KNEE DISTAL PERSONA 11 11+,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT FEMORAL H15 MM KNEE DISTAL PERSONA 7 7+,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 3,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 4,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE LEFT PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H16 MM COMBO KNEE RIGHT PFC SIGMA TITANIUM 6,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H30 MM KNEE RIGHT DIAPHYSIS NEXGEN MEDIUM CONE,2940.0,1470.0,563.01,2646.0,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM CEMENT COMBO KNEE POSTERIOR PFC SIGMA TITANIUM 4,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM CEMENT COMBO KNEE POSTERIOR PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM CEMENT KNEE POSTERIOR PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE LEFT PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE LEFT PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE LEFT PFC SIGMA TITANIUM 3,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE LEFT PFC SIGMA TITANIUM 4,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE RIGHT PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE RIGHT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE RIGHT PFC SIGMA TITANIUM 3,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H4 MM KNEE RIGHT PFC SIGMA TITANIUM 4,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H5 MM KNEE DISTAL PERSONA 3 3+,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM CEMENT COMBO KNEE POSTERIOR PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM CEMENT COMBO KNEE POSTERIOR PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM CEMENT COMBO KNEE POSTERIOR PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM CEMENT KNEE RIGHT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM KNEE LEFT PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM KNEE LEFT PFC SIGMA TITANIUM 2,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM KNEE LEFT PFC SIGMA TITANIUM 4,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM KNEE RIGHT PFC SIGMA TITANIUM 1.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM KNEE RIGHT PFC SIGMA TITANIUM 2.5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL H8 MM KNEE RIGHT PFC SIGMA TITANIUM 5,563.4,281.7,107.89,507.06,65
HCPCS,C1776,AUGMENT FEMORAL L57.5 MM X H10 MM REVISION KNEE POSTERIOR VANGUARD 360 UNIVERSAL,787.5,393.75,150.81,708.75,65
HCPCS,C1776,AUGMENT FEMORAL REVISION KNEE LEFT EXPRT A,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,AUGMENT GLENOID FIXATION CSR SM 3-PEG 10DEG F/TOTAL SHOULDER SYSTEM,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,AUGMENT GLENOID FIXATION SIZE 2 UHMWPE 2-PEG MODULAR PREFABRICATED F/FOSSA PROSTHESIS ALLIANCE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,AUGMENT GLENOID FIXATION SIZE 4 UHMWPE LEFT SHOULDER 4-PEG MODULAR PREFABRICATED F/FOSSA PROSTHESIS ALLIANCE STERILE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,AUGMENT TIB CD L/L 5MM,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 1 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 1 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 2 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 2 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 3 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 4 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 5 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 5 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 6 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 6 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 7 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 10MM TRIATHLON 7 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 1 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 2 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 2 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 4 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 4 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 5 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 6 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 6 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 7 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 7 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 8 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL 5MM TRIATHLON 8 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
HCPCS,C1776,AUGMENT TIBIAL CEMENTED SIZE 7/8 10MML LEFT MEDIAL RIGHT LATERAL F/REVISION SYSTEM ATTUNE,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL CEMENTED SIZE 7/8 10MML RIGHT MEDIAL LEFT LATERAL F/REVISION SYSTEM ATTUNE,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL CEMENTED SIZE 7/8 15MML RIGHT MEDIAL LEFT LATERAL F/REVISION SYSTEM ATTUNE,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H10 MM HALF BLOCK PERSONA GH KNEE RIGHT MEDIAL,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT TIBIAL H10 MM REVISION CEMENT ATTUNE 3/4 KNEE LEFT MEDIAL RIGHT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H10 MM REVISION CEMENT ATTUNE 3/4 KNEE RIGHT MEDIAL LEFT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H10 MM REVISION CEMENT ATTUNE 5/6 KNEE RIGHT MEDIAL LEFT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM HALF BLOCK PERSONA CD KNEE RIGHT LATERAL,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM HALF BLOCK PERSONA CD KNEE RIGHT MEDIAL,770.0,385.0,147.46,693.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM NEXGEN TIVANIUM PMMA 3 HALF TAPER KNEE LEFT MEDIAL RIGHT LATERAL,954.0,477.0,182.69,858.6,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM PRECOAT NEXGEN TIVANIUM PMMA 6 TAPER KNEE LEFT MEDIAL RIGHT LATERAL,954.0,477.0,182.69,858.6,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM REVISION CEMENT ATTUNE 3/4 KNEE LEFT MEDIAL RIGHT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM REVISION CEMENT ATTUNE 3/4 KNEE RIGHT MEDIAL LEFT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM REVISION CEMENT ATTUNE 5/6 KNEE LEFT MEDIAL RIGHT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM REVISION CEMENT ATTUNE 5/6 KNEE RIGHT MEDIAL LEFT LATERAL,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H15 MM SCREW FIX GMK TITANIUM ALUMINUM VANADIUM 5 KNEE RIGHT MEDIAL LEFT LATERAL REVISION SYSTEM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1776,AUGMENT TIBIAL H34 MM NEXGEN MEDIUM CONE OD46 MM KNEE,2940.0,1470.0,563.01,2646.0,65
HCPCS,C1776,AUGMENT TIBIAL H34 MM TRABECULAR METAL LARGE CONE OD51 MM KNEE LEFT,2940.0,1470.0,563.01,2646.0,65
HCPCS,C1776,AUGMENT TIBIAL H36 MM TRABECULAR METAL LARGE CONE OD60 MM KNEE LEFT,2940.0,1470.0,563.01,2646.0,65
HCPCS,C1776,AUGMENT TIBIAL H5 MM BOLT VANGUARD 360 KNEE,35.0,17.5,6.7,31.5,65
HCPCS,C1776,AUGMENT TIBIAL H5 MM REVISION CEMENT ATTUNE 5/6 UNIVERSAL KNEE,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H5 MM REVISION CEMENT ATTUNE 9/10 UNIVERSAL KNEE,810.0,405.0,155.12,729.0,65
HCPCS,C1776,AUGMENT TIBIAL H5 MM REVISION HALF BLOCK EVOLUTION 6 KNEE MEDIAL,899.0,449.5,172.16,809.1,65
HCPCS,C1776,AUGMENT TIBIAL H5 MM REVISION HALF BLOCK EVOLUTION 6+/7 KNEE LATERAL,899.0,449.5,172.16,809.1,65
HCPCS,C1776,AUGMENT TIBIAL L55/59 MM X H20 MM REDUCE OSS KNEE LEFT MEDIAL RIGHT LATERAL,864.0,432.0,165.46,777.6,65
HCPCS,C1776,AUGMENT TIBIAL L55/59 MM X H20 MM REDUCE OSS KNEE RIGHT MEDIAL LEFT LATERAL,864.0,432.0,165.46,777.6,65
HCPCS,C1776,AUGMENT TIBIAL REVISION SYMMETRIC CONE EMPOWER LARGE KNEE,5400.0,2700.0,1034.1,4860.0,65
HCPCS,C1776,BASE PLATE LOCKING NUT/SET SCREW SHORT RSA STD INSET REVERSE TOTAL SHOULDER,150.0,75.0,28.73,135.0,65
HCPCS,C1776,BASEPLATE GLENOID +3 MM REVERSE LATERALIZE AUGMENT OD29 MM AEQUALIS PERFORM SHOULDER,1488.0,744.0,284.95,1339.2,65
HCPCS,C1776,BASEPLATE GLENOID +6 MM LATERALIZE AUGMENT REVERSE OD29 MM TORNIER AEQUALIS PERFORM SHOULDER,1488.0,744.0,284.95,1339.2,65
HCPCS,C1776,BASEPLATE GLENOID 10 D 8 D SUPERIOR POSTERIOR AUGMENT EQUINOXE SHOULDER RIGHT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,BASEPLATE GLENOID 10 D OBLIQUE FULL AUGMENT OD24 MM,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID 10D OBLIQUE 24MM FULL AUGMENT STERILE LATEX FREE,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID 15 D FULL WEDGE AUGMENT OD29 MM AEQUALIS PERFORM+ SHOULDER,1566.0,783.0,299.89,1409.4,65
HCPCS,C1776,BASEPLATE GLENOID 35 D HALF WEDGE AUGMENT OD25 MM AEQUALIS PERFORM,1566.0,783.0,299.89,1409.4,65
HCPCS,C1776,BASEPLATE GLENOID 35 D HALF WEDGE AUGMENT OD29 MM AEQUALIS PERFORM SHOULDER,1566.0,783.0,299.89,1409.4,65
HCPCS,C1776,BASEPLATE GLENOID 8 D POSTERIOR AUGMENT EQUINOXE SHOULDER RIGHT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,BASEPLATE GLENOID FIXATION 20MM FULL WEDGE GRS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,BASEPLATE GLENOID FIXATION R1 AUGMENTED 10DEG REV,1150.0,575.0,220.23,1035.0,65
HCPCS,C1776,BASEPLATE GLENOID FIXATION R1 STD REV,950.0,475.0,181.93,855.0,65
HCPCS,C1776,BASEPLATE GLENOID H29 MM LARGE INHANCE,1365.0,682.5,261.4,1228.5,65
HCPCS,C1776,BASEPLATE GLENOID INSET H+3MM 0MM OFFSET 33MM SHOULDE REVERSE STERILE LATEX FREE,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,BASEPLATE GLENOID L20 MM +6 MM OD24.5 MM SHOULDER,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,BASEPLATE GLENOID L20 MM OD2.4 MM GLENOID RECONSTRUCTION SYSTEM GLENOID RECONSTRUCTION SYSTEM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,BASEPLATE GLENOID L24 MM +2 MM MODULAR LATERALIZE SHOULDER,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID L24 MM +4 MM MODULAR UNIVERS REVERS SHOULDER,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID L24 MM MODULAR SHOULDER,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID L25 MM PRESSFIT LONG POST OD25 MM AEQUALIS REVERSED II HA SHOULDER,1097.0,548.5,210.08,987.3,65
HCPCS,C1776,BASEPLATE GLENOID L25 MM THREAD POST REVERSE II OD25 MM AEQUALIS SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,BASEPLATE GLENOID L25 MM THREAD POST REVERSE II OD29 MM AEQUALIS SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,BASEPLATE GLENOID L28 MM +2 MM MODULAR LATERALIZE SHOULDER,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID L28 MM MODULAR SHOULDER,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,BASEPLATE GLENOID L30 MM RSP P2 SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,BASEPLATE GLENOID L30 MM THREAD OD24.5 MM SHOULDER SYSTEM SHOULDER,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE GLENOID L30 MM THREAD POST REVERSE II OD25 MM AEQUALIS SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,BASEPLATE GLENOID L30 MM THREAD POST REVERSE II OD29 MM AEQUALIS SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,BASEPLATE GLENOID L35 MM THREAD POST REVERSE II OD25 MM AEQUALIS SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,BASEPLATE GLENOID L35 MM THREAD POST REVERSE II OD29 MM AEQUALIS SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,BASEPLATE GLENOID LONG POST OD29 MM AEQUALIS REVERSED SHOULDER,1097.0,548.5,210.08,987.3,65
HCPCS,C1776,BASEPLATE GLENOID REUNION 28MM SHOULDER STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE GLENOID SMALL HYBRID REVERSE SCREW SMR TRABECULAR TITANIUM SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE GLENOID SMALL METAL BACK SMR TRABECULAR TITANIUM SHOULDER,902.0,451.0,172.73,811.8,65
HCPCS,C1776,BASEPLATE GLENOID SMALL R METAL BACK SMR TRABECULAR TITANIUM SHOULDER,902.0,451.0,172.73,811.8,65
HCPCS,C1776,BASEPLATE GLENOID STANDARD HYBRID REVERSE SCREW SMR TRABECULAR TITANIUM SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE GLENOID STANDARD METAL BACK SMR TRABECULAR TITANIUM SHOULDER,902.0,451.0,172.73,811.8,65
HCPCS,C1776,BASEPLATE GLENOID TORNIER AEQUALIS PERFORM +6MM 25MM SHOULDER LATERALIZE AUGMENT REVERSE,1488.0,744.0,284.95,1339.2,65
HCPCS,C1776,BASEPLATE GLENOID W22.8 MM X H27.3 MM THK2 MM OD62 MM ODSEC10.6 MM TITAN TITANIUM L13 MM SHOULDER,1458.0,729.0,279.21,1312.2,65
HCPCS,C1776,BASEPLATE GRS FULL WEDGE 10,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,BASEPLATE TIBIAL 0 KNEE LEFT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 0 KNEE LEFT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 0 KNEE RIGHT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 0 KNEE RIGHT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 00 KNEE LEFT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 00 KNEE RIGHT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 1 KNEE LEFT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 1 KNEE RIGHT 3D GMK METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL 1 KNEE RIGHT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 10 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE LEFT 3D GMK METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE LEFT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE LEFT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE RIGHT 3D GMK METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE RIGHT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE RIGHT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE LEFT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE LEFT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE LEFT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE LEFT WITHOUT TAPER JOURNEY NONPOROUS,1504.5,752.25,288.11,1354.05,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE RIGHT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 3 KNEE RIGHT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 3 KNEE RIGHT 3D GMK METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE LEFT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE LEFT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE LEFT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE RIGHT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE RIGHT CEMENT MODULAR NATURAL-KNEE II,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 4 KNEE RIGHT CEMENT MODULAR STEM NATURAL-KNEE II NONPOROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 D A KNEE LEFT CEMENT STEM PERSONA TIVANIUM,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 D B KNEE RIGHT CEMENT STEM PERSONA TIVANIUM,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 D E KNEE RIGHT CEMENT PERSONA STEMMED,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 D H KNEE RIGHT CEMENT STEM PERSONA TIVANIUM,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 KNEE LEFT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 KNEE LEFT FIN EMPOWR 3D KNEE NONPOROUS,850.0,425.0,162.78,765.0,65
HCPCS,C1776,BASEPLATE TIBIAL 5 KNEE RIGHT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 6 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 6 KNEE LEFT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 6 KNEE LEFT 3D GMK METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL 7 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 7 RIGHT KNEE,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL 8 KNEE FIX BEARING ATTUNE,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL 8 KNEE RIGHT FIN EMPOWR 3D KNEE NONPOROUS,850.0,425.0,162.78,765.0,65
HCPCS,C1776,BASEPLATE TIBIAL 9 KNEE LEFT JOURNEY,1461.0,730.5,279.78,1314.9,65
HCPCS,C1776,BASEPLATE TIBIAL 9 KNEE RIGHT JOURNEY,1461.0,730.5,279.78,1314.9,65
HCPCS,C1776,BASEPLATE TIBIAL ATTUNE 9 KNEE FIX BEARING,2430.0,1215.0,465.35,2187.0,65
HCPCS,C1776,BASEPLATE TIBIAL C KNEE LEFT 2 PEG PERSONA TIVANIUM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL ELEOS KNEE TAPER SCREW LIMB SALVAGE SYSTEM,663.0,331.5,126.96,596.7,65
HCPCS,C1776,BASEPLATE TIBIAL JOURNEY II 6 KNEE RIGHT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL JOURNEY II 7 KNEE LEFT,2040.0,1020.0,390.66,1836.0,65
HCPCS,C1776,BASEPLATE TIBIAL L65 MM X H18 MM KNEE PRIMARY MOLD POSTERIOR STABILIZE AGC INTERLOK COCR UHMWPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL L80 MM X H10 MM KNEE PRIMARY MOLD POSTERIOR STABILIZE AGC INTERLOK COCR UHMWPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL L85 MM X H14 MM KNEE PRIMARY MOLD POSTERIOR STABILIZE AGC INTERLOK COCR UHMWPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BASEPLATE TIBIAL LARGE MODULAR CONVERTIBLE INHANCE UNITI OD29 MM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 1 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 2 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 2 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 3 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 3 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 4 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 4 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 5 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 5 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 6 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 6 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 7 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 7 KNEE RIGHT MEDIAL LEFT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL RESTORIS 8 KNEE LEFT MEDIAL RIGHT LATERAL ONLAY MULTICOMPARTMENTAL STERILE MCK SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE 2 COBALT CHROMIUM POSTERIOR STABILIZED MOBILE FLUTED NEXGEN STERILE,925.0,462.5,177.14,832.5,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE 2 LEFT NON-TAPERED NON-POROUS JOURNEY,1504.5,752.25,288.11,1354.05,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE 4 MINUS LEFT NON-POROUS EMPOWR KNEE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE 5 74MM/46MML 17MM THK POLYETHYLENE UHMWPE LEFT/RIGHT KNEE POSTERIOR STABILIZED STRIPED GREEN NEXGEN LEGACY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE 9 MINUS RIGHT FINNED POSTERIOR STABILIZED NON-POROUS EMPOWR KNEE STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE CD/4 66MM/46MML 17MM THK POLYETHYLENE UHMWPE POSTERIOR STABILIZED YELLOW NEXGEN LEGACY STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE EF/6 74MM/50MML 10MM THK POLYETHYLENE UHMWPE POSTERIOR STABILIZED GREEN NEXTGEN LEGACY STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL SIZE EF/6 74MM/50MML 12MM THK POLYETHYLENE UHMWPE POSTERIOR STABILIZED GREEN NEXGEN LEGACY STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 1 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 1 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 1 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 2 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 2 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 2 LEFT MEDIAL RIGHT LATERAL PARTIAL KNEE RESURFACE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 2 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 3 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 3 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 3 LEFT MEDIAL RIGHT LATERAL PARTIAL KNEE RESURFACE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 3 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 4 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 4 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 4 LEFT MEDIAL RIGHT LATERAL PARTIAL KNEE RESURFACE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 4 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 5 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 5 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 5 LEFT MEDIAL RIGHT LATERAL PARTIAL KNEE RESURFACE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 5 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 6 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 6 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 6 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 7 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 7 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 7 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 8 KNEE CEMENT PRIMARY STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 8 KNEE TRITANIUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,BASEPLATE TIBIAL TRIATHLON 8 UNIVERSAL KNEE CEMENT TOTAL STABILIZE COCR STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,BEARING ACETABULAR 28MM ID 52MM OD POLYETHYLENE NON-CONSTRAINED LONGEVITY,750.0,375.0,143.63,675.0,65
HCPCS,C1776,BEARING ACETABULAR BIPOLAR OUTER 28MM 46MM POLYETHYLENE FEMORAL DUAL MOBILITY EMPOWR,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING HIP 2 MOBILITY OD40 MM ID28 MM EMPOWR ACETABULAR POLYETHYLENE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING HIP 2 MOBILITY OD44 MM ID28 MM EMPOWR ACETABULAR POLYETHYLENE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING HIP A OD32 MM ID22.2 MM ACTIVE ARTICULATION E1 G7 2 MOBILITY SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,BEARING HIP I LUMEN OD54 MM ID28 MM VIVACITE VIVACIT-E,600.0,300.0,114.9,540.0,65
HCPCS,C1776,BEARING HIP LUMEN OD48 MM ID28 MM VIVACIT-E VIVACIT-E,600.0,300.0,114.9,540.0,65
HCPCS,C1776,BEARING HIP LUMEN OD52 MM ID28 MM VIVACIT-E VIVACIT-E,600.0,300.0,114.9,540.0,65
HCPCS,C1776,BEARING HUMERAL +3 MM RETENTION OD44-41 MM COMPREHENSIVE E1 SHOULDER REVERSE SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BEARING HUMERAL +3 MM RETENTIVE OD44-36 MM COMPREHENSIVE E1 SHOULDER REVERSE SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BEARING HUMERAL +3 MM STANDARD OD44-41 MM COMPREHENSIVE E1 SHOULDER REVERSE SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BEARING HUMERAL +3MM 40MM OFFSET +10MM THK TAPERED REVERSE COMPREHENSIVE,875.0,437.5,167.56,787.5,65
HCPCS,C1776,BEARING TIBIAL 71/75MML 1MM THK POSTERIOR STABILIZED VANGUARD,775.0,387.5,148.41,697.5,65
HCPCS,C1776,BEARING TIBIAL ARTICULAR SURFACE SIZE C 8MM THK VIVACIT-E RIGHT MEDIAL PERSONA STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BEARING TIBIAL H10 MM KNEE IBALANCE VITAMIN E POLYETHYLENE 3 UNICOMPARTMENTAL,347.0,173.5,66.45,312.3,65
HCPCS,C1776,BEARING TIBIAL H11 MM KNEE VITAMIN E 7 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,BEARING TIBIAL H14 MM KNEE OSS POLY REDUCE SIZE,828.0,414.0,158.56,745.2,65
HCPCS,C1776,BEARING TIBIAL H15 MM KNEE MENISCAL LCS COMPLETE LARGE STANDARD+ ROTATE PLATFORM DEEP DISH BRIDGE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL H16 MM KNEE OSS POLY REDUCE SIZE,828.0,414.0,158.56,745.2,65
HCPCS,C1776,BEARING TIBIAL H17.5 MM KNEE MENISCAL LCS COMPLETE LARGE STANDARD+ ROTATE PLATFORM DEEP DISH BRIDGE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL H18 MM KNEE OSS POLY REDUCE SIZE,828.0,414.0,158.56,745.2,65
HCPCS,C1776,BEARING TIBIAL H20 MM KNEE OSS POLY REDUCE SIZE,828.0,414.0,158.56,745.2,65
HCPCS,C1776,BEARING TIBIAL H22 MM KNEE OSS POLY REDUCE SIZE,828.0,414.0,158.56,745.2,65
HCPCS,C1776,BEARING TIBIAL H3 MM KNEE RIGHT MENISCAL OXFORD ARCOM XL PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H3 MM KNEE RIGHT MENISCAL OXFORD ARCOM XS BAYONET POINT SMOOTH,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H5 MM KNEE LEFT MENISCAL OXFORD ARCOM XS PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H5 MM KNEE RIGHT MENISCAL OXFORD ARCOM XL PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H6 MM KNEE LEFT MENISCAL OXFORD ARCOM XS PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H6 MM KNEE RIGHT MENISCAL OXFORD ARCOM XS BAYONET POINT SMOOTH,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H7 MM KNEE LEFT MENISCAL OXFORD ARCOM XS PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H7 MM KNEE RIGHT MENISCAL OXFORD ARCOM XS BAYONET POINT SMOOTH,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H8 MM KNEE IBALANCE VITAMIN E POLYETHYLENE 3 UNICOMPARTMENTAL,347.0,173.5,66.45,312.3,65
HCPCS,C1776,BEARING TIBIAL H8 MM KNEE LEFT MENISCAL OXFORD ARCOM XS PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H8 MM KNEE RIGHT MENISCAL OXFORD ARCOM XS BAYONET POINT SMOOTH,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H9 MM KNEE IBALANCE VITAMIN E POLYETHYLENE 1 UNICOMPARTMENTAL,347.0,173.5,66.45,312.3,65
HCPCS,C1776,BEARING TIBIAL H9 MM KNEE IBALANCE VITAMIN E POLYETHYLENE 2 UNICOMPARTMENTAL,347.0,173.5,66.45,312.3,65
HCPCS,C1776,BEARING TIBIAL H9 MM KNEE LEFT MENISCAL OXFORD ARCOM LARGE PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H9 MM KNEE LEFT MENISCAL OXFORD ARCOM XS PHASE 3 UNICOMPARTMENTAL,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL H9 MM KNEE RIGHT MEDIAL PERSONA VIVACIT-E E,850.0,425.0,162.78,765.0,65
HCPCS,C1776,BEARING TIBIAL H9 MM KNEE RIGHT MENISCAL OXFORD ARCOM XS BAYONET POINT SMOOTH,800.0,400.0,153.2,720.0,65
HCPCS,C1776,BEARING TIBIAL KNEE 63/67MMX11MM VANGUARD POSTERIOR STABILIZE DIRECT COMPRESSION MOLD INLAY ARCOM 0D,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL KNEE LEFT OSS LOCK RING AUGMENT UNIPOLAR AVL,369.0,184.5,70.66,332.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 10MM LCS COMPLETE BRIDGE LARGE STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 10MM LCS COMPLETE BRIDGE SMALL STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 10MM LCS COMPLETE BRIDGE SMALL+ STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 12.5MM LCS COMPLETE BRIDGE LARGE STANDARD+ STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 12.5MM LCS COMPLETE BRIDGE SMALL STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 12.5MM LCS COMPLETE BRIDGE SMALL+ STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 15MM LCS COMPLETE BRIDGE LARGE STANDARD+ STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 15MM LCS COMPLETE BRIDGE SMALL STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 15MM LCS COMPLETE BRIDGE SMALL+ STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 17.5MM LCS COMPLETE BRIDGE LARGE STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 17.5MM LCS COMPLETE BRIDGE LARGE STANDARD+ STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 17.5MM LCS COMPLETE BRIDGE SMALL STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE MENISCAL 17.5MM LCS COMPLETE BRIDGE SMALL+ STANDARD STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
HCPCS,C1776,BEARING TIBIAL KNEE RIGHT LATERAL OXFORD E4 FIX,1250.0,625.0,239.38,1125.0,65
HCPCS,C1776,BEARING TIBIAL L59 MM X H10 MM KNEE VANGUARD ARCOM 0 D ANTERIOR STABILIZE INLAY,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L59 MM X H10 MM KNEE VANGUARD E1 POSTERIOR STABILIZE PLUS,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L63 MM X H11 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L63 MM X H16 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L63 MM X H18 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L67 MM X H14 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71 MM X H13 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71 MM X H16 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71 MM X H16 MM KNEE VANGUARD MONO-LOCK CRUCIATE RETAIN LIPPED,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BEARING TIBIAL L71 MM X H18 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H10 MM KNEE MAXIM ARCOM PRIMARY CRUCIATE RETAIN DIRECT COMPRESSION MOLD LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H11 MM KNEE VANGUARD E1 POSTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H12 MM KNEE MAXIM ARCOM PRIMARY DIRECT COMPRESSION MOLD,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H12 MM VANGUARD CRUCIATE RETAIN,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H14 MM KNEE VANGUARD ARCOM 0 D CRUCIATE RETAIN DIRECT COMPRESSION MOLD INLAY LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H16 MM KNEE MAXIM ARCOM POSTERIOR STABILIZE DIRECT COMPRESSION MOLD,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H16 MM KNEE VANGUARD ARCOM 0 D CRUCIATE RETAIN DIRECT COMPRESSION MOLD INLAY LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H16 MM VANGUARD VIVACIT-E POSTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H18 MM KNEE AGC TRADITION PRIMARY,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L71/75 MM X H18 MM KNEE VANGUARD E1 CRUCIATE RETAIN,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L75 MM X H11 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L75 MM X H14 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L75 MM X H14 MM KNEE VANGUARD MONO-LOCK POSTERIOR STABILIZE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BEARING TIBIAL L75 MM X H18 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L79 MM X H14 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L79 MM X H18 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L79/83 MM X H14 MM KNEE VANGUARD ARCOM 0 D CRUCIATE RETAIN DIRECT COMPRESSION MOLD INLAY LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L79/83 MM X H14 MM KNEE VANGUARD E1 CRUCIATE RETAIN LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L83 MM X H14 MM KNEE VANGUARD MONO-LOCK POSTERIOR STABILIZE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,BEARING TIBIAL L87 MM X H12 MM KNEE VANGUARD E1 ANTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L87/91 MM X H10 MM KNEE VANGUARD ARCOM 0 D CRUCIATE RETAIN DIRECT COMPRESSION MOLD INLAY LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L87/91 MM X H12 MM KNEE VANGUARD E1 CRUCIATE RETAIN LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L87/91 MM X H14 MM KNEE VANGUARD E1 CRUCIATE RETAIN LIPPED,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL L87/91 MM X H16 MM KNEE VANGUARD E1 POSTERIOR STABILIZE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL SIZE D5 LEFT LATERAL FIXED OXFORD,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,BEARING TIBIAL W63 MM X H14 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W63/67 MM X H10 MM KNEE VANGUARD VIVACIT-E CRUCIATE RETAIN MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W63/67 MM X H12 MM KNEE VANGUARD VIVACIT-E CRUCIATE RETAIN MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W67 MM X H10 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W67 MM X H12 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W67 MM X H14 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W71 MM X H14 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W71 MM X H16 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,775.0,387.5,148.41,697.5,65
HCPCS,C1776,BEARING TIBIAL W71/75 MM X H14 MM KNEE VANGUARD VIVACIT-E CRUCIATE RETAIN MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W79 MM X H10 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W79 MM X H14 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W83 MM X H10 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,550.0,275.0,105.33,495.0,65
HCPCS,C1776,BEARING TIBIAL W83 MM X H14 MM KNEE VANGUARD VIVACIT-E ANTERIOR STABILIZE MODULAR,775.0,387.5,148.41,697.5,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 2 H10 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 2 H5 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 2 H5 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 3 HALF TAPER H15 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL TIVANIUM PMMA,954.0,477.0,182.69,858.6,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 5 H10 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 5 H10 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 5 H5 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 7 H10 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 7 H10 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 7 H5 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
HCPCS,C1776,BLOCK AUGMENTATION NEXGEN 7 HALF TAPER H15 MM KNEE TIBIA RIGHT MEDIAL LEFT LATERAL PRECOAT TIVANIUM PMMA,954.0,477.0,182.69,858.6,65
HCPCS,C1776,BLOCK AUGMENTATION VANGUARD L67.5 MM KNEE LEFT FEMUR TITANIUM,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,BLOCK AUGMENTATION VANGUARD L70 MM KNEE LEFT FEMUR TITANIUM,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,BODY BROACHED H175 MM HIGH OFFSET TAPER 1 PIECE REVISION OD13 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM HIGH OFFSET TAPER 1 PIECE REVISION OD14 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM HIGH OFFSET TAPER 1 PIECE REVISION OD15 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM HIGH OFFSET TAPER 1 PIECE REVISION OD18 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM STANDARD OFFSET TAPER 1 PIECE REVISION OD13 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM STANDARD OFFSET TAPER 1 PIECE REVISION OD14 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM STANDARD OFFSET TAPER 1 PIECE REVISION OD15 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM STANDARD OFFSET TAPER 1 PIECE REVISION OD18 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY BROACHED H175 MM STANDARD OFFSET TAPER 1 PIECE REVISION OD9.5 MM ARCOS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,BODY CONE FEMUR HIP 16.6 MM 36 MM AA REDUCE OFFSET L80 MM X H35 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 17.7 MM 46 MM A EXTEND OFFSET L100 MM X H55 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 18.9 MM 40 MM B STANDARD OFFSET L100 MM X H55 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 20 MM 40 MM C STANDARD OFFSET L100 MM X H55 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 20 MM 40 MM C STANDARD OFFSET L80 MM X H35 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 21.2 MM 40 MM D STANDARD OFFSET L80 MM X H35 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 21.2 MM 46 MM D EXTEND OFFSET L80 MM X H35 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 22.5 MM 40 MM E STANDARD OFFSET L80 MM X H35 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY CONE HIP FEMUR 23.7 MM 40 MM F STANDARD OFFSET L80 MM X H35 MM ZMR TIVANIUM PLASMA SPRAY POROUS MODULAR REVISION,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY FEMORAL EXPRT LATERAL OFFSET 65MM HIP PROXIMAL REVISION STERILE LATEX FREE,4619.6,2309.8,884.65,4157.64,65
HCPCS,C1776,BODY FEMORAL EXPRT LATERAL OFFSET 85MM HIP PROXIMAL REVISION STERILE LATEX FREE,4619.6,2309.8,884.65,4157.64,65
HCPCS,C1776,BODY FEMORAL EXPRT STANDARD OFFSET 65MM HIP PROXIMAL REVISION STERILE LATEX FREE,4619.6,2309.8,884.65,4157.64,65
HCPCS,C1776,BODY FEMORAL L93 MM 45 12/14 EXTEND OFFSET TAPER OD23 MM ZMR XL TIVANIUM POROUS HIP,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY FEMORAL L93 MM 45 12/14 STANDARD OFFSET TAPER OD23 MM ZMR XL TIVANIUM POROUS HIP,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BODY HUMERAL +9 MM EXTENSION SMR TITANIUM ALUMINUM VANADIUM SHOULDER,750.0,375.0,143.63,675.0,65
HCPCS,C1776,BODY HUMERAL 0 MM OFFSET KIT FIX ANGLE REPLICATOR EQUINOXE SHOULDER,850.0,425.0,162.78,765.0,65
HCPCS,C1776,BODY HUMERAL FINNED REVERSE LOCKING SCREW SMR TITANIUM SHOULDER,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,BODY HUMERAL LOCK SCREW FIN REVISION SMR TITANIUM,1020.0,510.0,195.33,918.0,65
HCPCS,C1776,BODY HUMERAL LOCK SCREW REVERSE SMR TITANIUM ALUMINUM VANADIUM SHOULDER,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,BODY HUMERAL MEDIUM LOCKING SCREW REVISION SMR TITANIUM SHOULDER,1020.0,510.0,195.33,918.0,65
HCPCS,C1776,BODY HUMERAL SHORT LOCKING SCREW REVERSE REVISION SMR TITANIUM ELECTIVE SURGERY,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,BODY HUMERAL SHORT LOCKING SCREW REVISION SMR TITANIUM,1020.0,510.0,195.33,918.0,65
HCPCS,C1776,BODY HUMERAL TITAN STANDARD SHOULDER REVERSE SCREW,1701.0,850.5,325.74,1530.9,65
HCPCS,C1776,BODY SPOUT L80 MM X H35 MM 17.7 MM 46 MM A EXTEND OFFSET REVISION MODULAR ZMR TIVANIUM PLASMA SPRAY POROUS HIP FEMUR,3339.0,1669.5,639.42,3005.1,65
HCPCS,C1776,BUMPER FEMORAL TRIATHLON 0DEG ROTATING HINGED STERILE,652.5,326.25,124.95,587.25,65
HCPCS,C1776,BUSHING FEMORAL KINEMATIC STANDARD KNEE DURATION ROTATE HINGE,285.45,142.73,54.66,256.91,65
HCPCS,C1776,CAGE GLENOID FIXATION LASER CAGE SMALL ALPHA GLENOID 0DEG,1545.0,772.5,295.87,1390.5,65
HCPCS,C1776,CAGE SPINAL 28X10X8MM CASCADIA 7D TITANIUM POROUS TLIF STERILE LATEX FREE,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,CAGE SPINAL TEZO-P L24 MM X W10 MM X H9 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE PLIF,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,CAP END 10 MM OFFSET TIBIA OD11.5 MM T2 ALPHA,147.26,73.63,28.2,132.53,65
HCPCS,C1776,CAP END TIBIAL MODULAR BASE STEM ADVANCE,130.0,65.0,24.9,117.0,65
HCPCS,C1776,CAP ORTHOPEDIC KIT GLENOSPHERE EXTEND LOCK OD38 MM EQUINOXE,1135.0,567.5,217.35,1021.5,65
HCPCS,C1776,CENTRALIZER STEM 46MM DISTAL C-STEM,63.0,31.5,12.06,56.7,65
HCPCS,C1776,CENTRALIZER STEM 5 STANMORE HIP DISTAL,50.0,25.0,9.58,45.0,65
HCPCS,C1776,CENTRALIZER STEM 8MM INVIS HIP FEMUR PMMA RECONSTRUCTION,91.5,45.75,17.52,82.35,65
HCPCS,C1776,CENTRALIZER STEM CEMENT VOID OD10 MM C-STEM PMMA HIP FEMUR,63.0,31.5,12.06,56.7,65
HCPCS,C1776,CENTRALIZER STEM CEMENT VOID OD12 MM C-STEM PMMA FEMUR,63.0,31.5,12.06,56.7,65
HCPCS,C1776,CENTRALIZER STEM CEMENT VOID OD14 MM C-STEM PMMA HIP FEMUR,63.0,31.5,12.06,56.7,65
HCPCS,C1776,CENTRALIZER STEM CEMENT VOID OD16 MM C-STEM PMMA HIP FEMUR,63.0,31.5,12.06,56.7,65
HCPCS,C1776,CENTRALIZER STEM CEMENT VOID OD18 MM C-STEM PMMA FEMUR,63.0,31.5,12.06,56.7,65
HCPCS,C1776,CENTRALIZER STEM OD10 MM CPCS HIP FEMUR,153.0,76.5,29.3,137.7,65
HCPCS,C1776,CENTRALIZER STEM OD12 MM FEMUR,153.0,76.5,29.3,137.7,65
HCPCS,C1776,CENTRALIZER STEM OD14 MM FEMUR,153.0,76.5,29.3,137.7,65
HCPCS,C1776,CENTRALIZER STEM OD16 MM FEMUR,153.0,76.5,29.3,137.7,65
HCPCS,C1776,CENTRALIZER STEM OD8 MM FEMUR,153.0,76.5,29.3,137.7,65
HCPCS,C1776,CENTRALIZER STEM POSITIONER OD14 MM PMMA HIP DISTAL ANSWER IMPACT INTEGRAL,50.0,25.0,9.58,45.0,65
HCPCS,C1776,CENTRALIZER STEM RECONSTRUCTION OD10 MM INVIS PMMA HIP FEMUR,91.5,45.75,17.52,82.35,65
HCPCS,C1776,CENTRALIZER STEM RECONSTRUCTION OD12 MM INVIS PMMA HIP FEMUR,91.5,45.75,17.52,82.35,65
HCPCS,C1776,CENTRALIZER STEM RECONSTRUCTION OD14 MM INVIS PMMA HIP FEMUR,91.5,45.75,17.52,82.35,65
HCPCS,C1776,CENTRALIZER STEM RECONSTRUCTION OD9 MM INVIS PMMA HIP FEMUR,91.5,45.75,17.52,82.35,65
HCPCS,C1776,COMPONENT ELBOW JOINT ASSEMBLY REGULAR 8IN TIVANIUM HUMERAL TRIANGULAR LONG FLANGED W/LOCKING PIN COONRAD/MORREY,500.0,250.0,95.75,450.0,65
HCPCS,C1776,COMPONENT FEM VAN PS 57.5MM LT,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE LEFT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE LEFT MEDIAL PARTIAL PERSONA,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE LEFT PATELLOFEMORAL CEMENT PRECOAT NEXGEN GENDER SOLUTION,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 RIGHT MEDIAL LEFT LATERAL PARTIAL KNEE RESURFACE TRIATHLON,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 1 SPHERE KNEE RIGHT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 1+ SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 1+ SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 1.5 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 1.5 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 10 STANDARD KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 11 STANDARD KNEE LEFT CRUCIATE RETAIN POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 11 STANDARD POSTERIOR STABILIZE CEMENT PERSONA TIVANIUM STERILE LATEX FREE,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL 13 81X58MM KNEE RIGHT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,3980.0,1990.0,762.17,3582.0,65
HCPCS,C1776,COMPONENT FEMORAL 175MM KNEE STEM EXTENSION REMEDY STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT CEMENT GMK SPHERIKA TOTAL KNEE SYSTEM,1275.0,637.5,244.16,1147.5,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT CRUCIATE RETAIN LEGION HA POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT CEMENT GMK SPHERIKA TOTAL KNEE SYSTEM,1275.0,637.5,244.16,1147.5,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT CRUCIATE RETAIN CEMENTLESS LEGION COCR POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT MEDIAL PARTIAL PERSONA,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 2 SPHERE KNEE LEFT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 2 SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 2+ SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 2+ SPHERE KNEE LEFT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 2+ SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 2.5 KNEE LEFT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 2.5 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 2.5 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT CRUCIATE RETAIN COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE LEFT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT CEMENT GMK SPHERE,1275.0,637.5,244.16,1147.5,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT CEMENT GMK SPHERIKA TOTAL KNEE SYSTEM,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 LEFT MEDIAL RIGHT LATERAL PARTIAL KNEE RESURFACE TRIATHLON,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 NARROW KNEE RIGHT CRUCIATE RETAIN COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 3 SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 3 SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 3 SPHERE KNEE RIGHT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 3 STANDARD KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 3+ SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 3+ SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 3.5 KNEE LEFT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3.5 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3.5 KNEE RIGHT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 3.5 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT CEMENT GMK SPHERIKA TOTAL KNEE SYSTEM,1275.0,637.5,244.16,1147.5,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT CRUCIATE RETAIN PRIMARY COCR NONPOROUS ADVANCE,1967.0,983.5,376.68,1770.3,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT NONPOROUS EMPOWR 3D KNEE,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE LEFT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE LATEX FREE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT POSTERIOR STABILIZE CEMENT OPTETRAK LOGIC,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 NARROW KNEE LEFT CRUCIATE RETAIN COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 4 SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 4 SPHERE KNEE LEFT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 4 SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 4+ SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 4+ SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 4+ SPHERE KNEE RIGHT TITANIUM NIOBIUM NITRIDE GMK,3588.0,1794.0,687.1,3229.2,65
HCPCS,C1776,COMPONENT FEMORAL 4.5 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 4.5 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 61X39MM KNEE RIGHT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,3980.0,1990.0,762.17,3582.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT CRUCIATE RETAIN PRIMARY COCR NONPOROUS ADVANCE,1967.0,983.5,376.68,1770.3,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT NONPOROUS EMPOWR 3D KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT PATELLOFEMORAL CEMENT PRECOAT NEXGEN GENDER SOLUTION,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT POSTERIOR STABILIZE CEMENT TRULIANT,1530.0,765.0,293.0,1377.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE LEFT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT CEMENT GMK SPHERIKA TOTAL KNEE SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT CRUCIATE RETAIN LEGION POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT NONPOROUS EMPOWR 3D KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 LEFT MEDIAL RIGHT LATERAL PARTIAL KNEE RESURFACE TRIATHLON,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 NARROW KNEE LEFT CRUCIATE RETAIN COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 5 NARROW KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 NARROW KNEE RIGHT CRUCIATE RETAIN PPS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 5 NARROW KNEE RIGHT POSTERIOR STABILIZE COCR POROUS PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 5 SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 5 SPHERE KNEE RIGHT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 5 STANDARD KNEE RIGHT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 5+ SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 5+ SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT CRUCIATE RETAIN LEGION HA POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE LATEX FREE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT CRUCIATE RETAIN LEGION HA POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT CRUCIATE RETAIN POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 NARROW KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 6 RIGHT MEDIAL LEFT LATERAL PARTIAL KNEE RESURFACE TRIATHLON,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 6 SPHERE KNEE LEFT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 6 SPHERE KNEE RIGHT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 6 STANDARD KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 6 STANDARD KNEE RIGHT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 6+ SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 6+ SPHERE KNEE LEFT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 6+ SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 6+ SPHERE KNEE RIGHT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 6-7 KNEE HINGE LINK ASSAY LEGION,705.0,352.5,135.01,634.5,65
HCPCS,C1776,COMPONENT FEMORAL 7 66X44MM KNEE LEFT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,3980.0,1990.0,762.17,3582.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 66X44MM KNEE RIGHT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,3980.0,1990.0,762.17,3582.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT CRUCIATE RETAIN LEGION HA POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT CRUCIATE RETAIN POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT PRESS FIT EMPOWR 3D KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE LEFT PRESS FIT EMPOWR KNEE BP,684.0,342.0,130.99,615.6,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT CRUCIATE RETAIN COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT NONPOROUS EMPOWR 3D KNEE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 NARROW KNEE RIGHT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 7 PERSONA STERILE LATEX FREE,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 SPHERE KNEE LEFT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 7 SPHERE KNEE LEFT CEMENTLESS GMK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 7 SPHERE KNEE RIGHT CEMENT GMK,1259.0,629.5,241.1,1133.1,65
HCPCS,C1776,COMPONENT FEMORAL 7 STANDARD KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 7- KNEE LEFT PRESS FIT EMPOWR KNEE BP,684.0,342.0,130.99,615.6,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT CRUCIATE RETAIN COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT CRUCIATE RETAIN HA POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT NONPOROUS EMPOWR 3D KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE LEFT PRESS FIT EMPOWR KNEE BP,684.0,342.0,130.99,615.6,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE PERSONA,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT CRUCIATE RETAIN CEMENT TRIATHLON STERILE LATEX FREE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT CRUCIATE RETAIN CEMENTLESS COCR POROUS LEGION,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT CRUCIATE RETAIN LEGION HA POROUS,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT MEDIAL LEFT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT NONPOROUS EMPOWR PS KNEE,1325.0,662.5,253.74,1192.5,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT POSTERIOR STABILIZE CEMENT TRIATHLON STERILE LATEX FREE TOTAL KNEE ARTHROPLASTY,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT POSTERIOR STABILIZE TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL 8 KNEE RIGHT PRESS FIT EMPOWR KNEE BP,684.0,342.0,130.99,615.6,65
HCPCS,C1776,COMPONENT FEMORAL 9 71X49MM KNEE LEFT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,3980.0,1990.0,762.17,3582.0,65
HCPCS,C1776,COMPONENT FEMORAL 9 71X49MM KNEE RIGHT TOTAL STABILIZE REVISION MODULAR LFIT SCORPIO COCR,3980.0,1990.0,762.17,3582.0,65
HCPCS,C1776,COMPONENT FEMORAL 9 KNEE LEFT NONPOROUS EMPOWR 3D KNEE,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 9 KNEE RIGHT NONPOROUS EMPOWR 3D KNEE,2722.5,1361.25,521.36,2450.25,65
HCPCS,C1776,COMPONENT FEMORAL 9 NARROW KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL 9 STANDARD KNEE LEFT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL 9 STANDARD KNEE RIGHT POSTERIOR STABILIZE COCR POROUS PERSONA,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE 10 COBALT CHROMIUM POROUS RIGHT NARROW POSTERIOR STABILIZED PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE 10 STANDARD COBALT CHROMIUM RIGHT KNEE POSTERIOR STABILIZED POROUS PERSONA STERILE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE 12 STANDARD COBALT CHROMIUM LEFT KNEE POSTERIOR STABILIZED POROUS PERSONA STERILE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE 4 COBALT CHROMIUM POROUS LEFT NARROW POSTERIOR STABILIZED PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE 5 STANDARD COBALT CHROMIUM LEFT KNEE POSTERIOR STABILIZED POROUS PERSONA STERILE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE 6 LEFT KNEE POSTERIOR STABILIZED TRIATHLON PRO,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTED SIZE F6 COBALT CHROMIUM POROUS RIGHT POSTERIOR STABILIZED COLUMBUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 2+ POROUS TIGROWTHC HYDROXYAPATITE RIGHT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 3 POROUS TIGROWTHC HYDROXYAPATITE LEFT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 3+ POROUS TIGROWTHC HYDROXYAPATITE RIGHT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 4 POROUS TIGROWTHC HYDROXYAPATITE RIGHT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 4+ POROUS TIGROWTHC HYDROXYAPATITE LEFT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 4+ POROUS TIGROWTHC HYDROXYAPATITE RIGHT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 5 POROUS TIGROWTHC HYDROXYAPATITE LEFT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 5+ POROUS TIGROWTHC HYDROXYAPATITE RIGHT GMK SPHERE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL CEMENTLESS SIZE 8 STANDARD 71.3MM 65/56MM 9MM THK PPS COBALT CHROMIUM LEFT POSTERIOR STABILIZED PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL F4 KNEE LEFT POSTERIOR STABILIZE CEMENT VEGA SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1776,COMPONENT FEMORAL F4 KNEE RIGHT POSTERIOR STABILIZE CEMENT VEGA SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1776,COMPONENT FEMORAL F6N KNEE LEFT POSTERIOR STABILIZE CEMENT VEGA SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1776,COMPONENT FEMORAL F6N KNEE RIGHT POSTERIOR STABILIZE CEMENT VEGA SYSTEM,1550.0,775.0,296.83,1395.0,65
HCPCS,C1776,COMPONENT FEMORAL GMK SPHERIKA CEMENTED S2L,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,COMPONENT FEMORAL KNEE CRUCIATE RETAIN CEMENT TRIATHLON,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,COMPONENT FEMORAL KNEE POSTERIOR STABILIZE PRIMARY LUG,120.0,60.0,22.98,108.0,65
HCPCS,C1776,COMPONENT FEMORAL L67.5 MM KNEE RIGHT CRUCIATE RETAIN TITANIUM VANGUARD,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL L70 MM KNEE LEFT POSTERIOR STABILIZE CLOSED BOX TITANIUM VANGUARD,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL L72.5 MM KNEE LEFT CRUCIATE RETAIN TITANIUM VANGUARD,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL L72.5 MM KNEE RIGHT POSTERIOR STABILIZE CLOSED BOX TITANIUM VANGUARD,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL L75 MM KNEE RIGHT CRUCIATE RETAIN TITANIUM VANGUARD,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,COMPONENT FEMORAL LARGE THICK KNEE UNICOMPARTMENTAL GENESIS,1680.0,840.0,321.72,1512.0,65
HCPCS,C1776,COMPONENT FEMORAL MEDIUM KNEE STEM REMEDY STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT FEMORAL POSTERIOR REUNION 52MM TOTAL SHOULDER ARTHROPLASTY,858.8,429.4,164.46,772.92,65
HCPCS,C1776,COMPONENT FEMORAL SIZE 2 RIGHT MEDIAL LEFT LATERAL MULTICOMPARTMENTAL MAKO RESTORIS,1550.0,775.0,296.83,1395.0,65
HCPCS,C1776,COMPONENT FEMORAL SIZE 8 COBALT CHROMIUM POROUS LEFT NARROW POSTERIOR STABILIZED PERSONA,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,COMPONENT FEMORAL SMALL KNEE ROTATE HINGE BUMPER MODULAR S-ROM NOILES,88.8,44.4,17.01,79.92,65
HCPCS,C1776,COMPONENT FEMORAL XL 11X21.5MM CEMENT TAPER POST RESURFACE HEMICAP TITANIUM 36/35MM STERILE LATEX FREE PATELLOFEMORAL ARTHROPLASTY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT FEMORAL XL KNEE UNICOMPARTMENTAL OXFORD,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,COMPONENT GLENOID +2 MM SMALL CONNECTOR SCREW SMR SHOULDER RIGHT TITANIUM ALUMINUM VANADIUM,153.0,76.5,29.3,137.7,65
HCPCS,C1776,COMPONENT GLENOID +2 MM SMALL STANDARD CONNECTOR SCREW SMR SHOULDER TITANIUM ALUMINUM VANADIUM,153.0,76.5,29.3,137.7,65
HCPCS,C1776,COMPONENT GLENOID +4 MM SMALL STANDARD CONNECTOR SCREW SMR SHOULDER TITANIUM ALUMINUM VANADIUM,153.0,76.5,29.3,137.7,65
HCPCS,C1776,COMPONENT GLENOID 0 D 27 MM STANDARD MEDIUM LASER CAGE ALPHA EQUINOXE SHOULDER,1545.0,772.5,295.87,1390.5,65
HCPCS,C1776,COMPONENT GLENOID 0 D 27 MM STANDARD MEDIUM LASER CAGE BETA EQUINOXE SHOULDER,1545.0,772.5,295.87,1390.5,65
HCPCS,C1776,COMPONENT GLENOID 15 D SMALL AUGMENT UNIVERS VAULTLOCK SHOULDER RIGHT,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,COMPONENT GLENOID 15 D XL AUGMENT UNIVERS VAULTLOCK SHOULDER RIGHT,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,COMPONENT GLENOID 22MM CIRCULAR 6MM IN LINE PERIPHERAL PEG SHOULDER,1975.0,987.5,378.21,1777.5,65
HCPCS,C1776,COMPONENT GLENOID 25 D LARGE AUGMENT UNIVERS VAULTLOCK SHOULDER LEFT,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1776,COMPONENT GLENOID 40MM +3MM REVERSE GLENOSPHERE COMPREHENSIVE VERSA-DIAL SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT GLENOID 40MM MEDIUM PEG AEQUALIS PERFORM SHOULDER STERILE ALL POLY LATEX FREE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID 50MM XL PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID 8 D SMALL CAGE AUGMENT EQUINOXE SHOULDER LEFT,1545.0,772.5,295.87,1390.5,65
HCPCS,C1776,COMPONENT GLENOID FIXATION 24MM SMALL UNITI HYBRID,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION 26.5MM MEDIUM UNITI HYBRID,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION 29MM LARGE UNITI HYBRID,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION 31.5MM XL POLYETHYLENE ANATOMIC FOSSA 1/EA,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION 31.5MM XL UNITI HYBRID,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION 52MM DIA UHMWPE SHOULDER ALLIANCE 1/EA,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION KEELED 60MM DIA LARGE UHMWPE SHOULDER AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION KEELED MEDIUM 30MM DIA UHMWPE SHOULDER AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION LARGE 60CML PEGGED AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION LARGE LEFT 25DEG ANGLED CORTILOC AEQUALIS PERFORM +,2340.0,1170.0,448.11,2106.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION PEGGED LARGE 40MM DIA UHMWPE SHOULDER AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION PEGGED LARGE 50MM DIA UHMWPE SHOULDER AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION PEGGED MEDIUM 35MM DIA UHMWPE SHOULDER AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION PEGGED SMALL 30MM DIA UHMWPE SHOULDER AEQUALIS PERFORM STERILE,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID FIXATION SIZE 3 SHOULDER PEGGED ALLIANCE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID FIXATION SIZE 5 3-PEG ALLIANCE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID LARGE ANATOMIC CAGE BETA EQUINOXE SHOULDER UHMWPE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1776,COMPONENT GLENOID LARGE CEMENTED KEEL UNIVERS II SHOULDER POLYETHYLENE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID LARGE KEEL AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT GLENOID LARGE METAL BACK SMR METAL BACK SHOULDER TITANIUM POROUS,1195.0,597.5,228.84,1075.5,65
HCPCS,C1776,COMPONENT GLENOID LARGE PEG AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT GLENOID LARGE UNIVERS VAULTLOCK,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM CAGE ALPHA EQUINOXE SHOULDER UHMWPE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM CAGE POLY AUGMENT EQUINOXE RIGHT,1545.0,772.5,295.87,1390.5,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM CEMENTED BETA CAGE EQUINOXE,1375.0,687.5,263.31,1237.5,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM CEMENTED KEEL UNIVERS II SHOULDER POLYETHYLENE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM CEMENTED PEG UNIVERS II SHOULDER POLYETHYLENE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM KEEL AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM PEG AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM PEGGED ALPHA EQUINOXE SHOULDER,1040.0,520.0,199.16,936.0,65
HCPCS,C1776,COMPONENT GLENOID MEDIUM VAULTLOCK UNIVERS,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID OD20 MM MODULAR POST UNIVERS REVERS POROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID OD25 MM MODULAR CENTRAL POST UNIVERS REVERS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID OD25 MM MODULAR POST UNIVERS REVERS POROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID OD30 MM MEDIUM PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD30 MM MODULAR POST UNIVERS REVERS POROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID OD30 MM SMALL KEEL AEQUALIS PERFORM SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD30 MM SMALL PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD33 MM ODSEC24 MM +4 LATERALIZE GLENOSPHERE TAPER BASEPLATE MODULAR UNIVERS REVERS SHOULDER,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,COMPONENT GLENOID OD35 MM MEDIUM KEEL AEQUALIS PERFORM SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD35 MM MEDIUM PEG BACKSIDE CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD35 MM MODULAR POST UNIVERS REVERS POROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT GLENOID OD35 MM SMALL KEEL AEQUALIS PERFORM SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD35 MM SMALL PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD35 MM SMALL PEG AEQUALIS PERFORM SHOULDER ALL POLY,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD36 MM GLENOSPHERE EXTRA LATERAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,COMPONENT GLENOID OD38 MM +4 MM EXPAND GLENOSPHERE LATERAL OFFSET EQUINOXE,1710.0,855.0,327.47,1539.0,65
HCPCS,C1776,COMPONENT GLENOID OD38 MM EXPAND GLENOSPHERE EQUINOXE,1710.0,855.0,327.47,1539.0,65
HCPCS,C1776,COMPONENT GLENOID OD38 MM GLENOSPHERE REVERSE EQUINOXE SHOULDER,1135.0,567.5,217.35,1021.5,65
HCPCS,C1776,COMPONENT GLENOID OD38 MM PEG DJO SURGICAL ALTIVATE E-PLUS ALL POLY,1350.0,675.0,258.53,1215.0,65
HCPCS,C1776,COMPONENT GLENOID OD39 MM ODSEC24 MM +4 MM LATERALIZE GLENOSPHERE SHOULDER,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM +6 MM REVERSE GLENOSPHERE COMPREHENSIVE VERSA-DIAL SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM GLENOSPHERE SMR SHOULDER COCRMO,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM LARGE KEEL AEQUALIS PERFORM SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM LARGE PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM MEDIUM KEEL AEQUALIS PERFORM SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM MEDIUM PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM SMALL KEEL AEQUALIS PERFORM SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM SMALL PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM SMALL PEG AEQUALIS PERFORM SHOULDER ALL POLY,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD40 MM XL PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD41 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,COMPONENT GLENOID OD42 MM EXPAND GLENOSPHERE EQUINOXE,1710.0,855.0,327.47,1539.0,65
HCPCS,C1776,COMPONENT GLENOID OD42 MM GLENOSPHERE EQUINOXE SHOULDER,1135.0,567.5,217.35,1021.5,65
HCPCS,C1776,COMPONENT GLENOID OD47 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,COMPONENT GLENOID OD50 MM LARGE PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD60 MM LARGE PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID OD60 MM XL PEG AEQUALIS PERFORM CORTILOC SHOULDER,1293.0,646.5,247.61,1163.7,65
HCPCS,C1776,COMPONENT GLENOID SMALL 3 PEG CSR SHOULDER STERILE LATEX FREE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,COMPONENT GLENOID SMALL CAGE ALPHA EQUINOXE SHOULDER,1375.0,687.5,263.31,1237.5,65
HCPCS,C1776,COMPONENT GLENOID SMALL CEMENT KEEL UNIVERS II SHOULDER POLYETHYLENE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID SMALL CEMENTED PEG UNIVERS II SHOULDER POLYETHYLENE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID SMALL KEEL AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT GLENOID SMALL METAL BACK SMR SHOULDER RIGHT TITANIUM ALUMINUM VANADIUM POROTI,1195.0,597.5,228.84,1075.5,65
HCPCS,C1776,COMPONENT GLENOID SMALL STANDARD CONNECTOR SCREW REVISION SMR TITANIUM,153.0,76.5,29.3,137.7,65
HCPCS,C1776,COMPONENT GLENOID SMALL UNIVERS VAULTLOCK,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,COMPONENT GLENOID STANDARD METAL BACK SMR SHOULDER TITANIUM POROUS,1195.0,597.5,228.84,1075.5,65
HCPCS,C1776,COMPONENT GLENOID XL CAGE BETA EQUINOXE SHOULDER,1375.0,687.5,263.31,1237.5,65
HCPCS,C1776,COMPONENT GLENOID XL KEEL AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT GLENOID XL PEG AEQUALIS SHOULDER,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,COMPONENT HEAD 3 STEMLESS LASER EQUINOXE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,COMPONENT HUMERAL 0 D +0 REVERSE SHOULDER SYSTEM SHOULDER METAPHYSIS ARTHROPLASTY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT HUMERAL 1.5 MM OFFSET REPLICATOR PLATE EQUINOXE TITANIUM SHOULDER,665.0,332.5,127.35,598.5,65
HCPCS,C1776,COMPONENT HUMERAL 4.5 MM OFFSET REPLICATOR PLATE EQUINOXE TITANIUM SHOULDER,665.0,332.5,127.35,598.5,65
HCPCS,C1776,COMPONENT HUMERAL 6IN COONRAD/MORREY SMALL ELBOW TIVANIUM ZIMALOY UHMWPE 2 PIECE LOCK PIN LONG FLANGE PLASMA SPRAY STERILE,3850.0,1925.0,737.28,3465.0,65
HCPCS,C1776,COMPONENT HUMERAL 6IN COONRAD/MORREY XS ELBOW TIVANIUM ZIMALOY UHMWPE 2 PIECE LOCK PIN PROXIMAL FLANGE PLASMA SPRAY STERILE,3850.0,1925.0,737.28,3465.0,65
HCPCS,C1776,COMPONENT HUMERAL CEMENTLESS ECCENTRIC SIZE 1 POROCOAT LEFT EPIPHYSIS 145DEG MODULAR F/REVERSE SHOULDER SYSTEM DELTA XTEND,1550.0,775.0,296.83,1395.0,65
HCPCS,C1776,COMPONENT HUMERAL COONRAD MORREY SMALL 8INL TIVANIUM ELBOW TRIANGULAR LONG FLANGE W/LOCKING PIN STERILE SINGLE-USE,5400.0,2700.0,1034.1,4860.0,65
HCPCS,C1776,COMPONENT HUMERAL LINER +9MM/0 REVERSE METAPHYSIS,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 32MM ASYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 32MM ASYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 32MM ASYMMETRIC TRIATHLON X3 KNEE STERILE - 5551-G-320-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 35MM ASYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 35MM ASYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 35MM ASYMMETRIC TRIATHLON X3 KNEE STERILE - 5551-G-350-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 36MM SYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 36MM SYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 10MM 36MM SYMMETRIC TRIATHLON X3 KNEE STERILE - 5550-G-360-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11 MEDIALIZE DOME 10MM 38/44IN SCORPIO X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11 UNIVERSAL DOME 10MM 38MM SCORPIO X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 38MM ASYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 38MM ASYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 38MM ASYMMETRIC TRIATHLON X3 KNEE STERILE - 5551-G-381,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 39MM SYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 39MM SYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 39MM SYMMETRIC TRIATHLON X3 KNEE STERILE - 5550-G-391,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 40MM ASYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 40MM ASYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 11MM 40MM ASYMMETRIC TRIATHLON X3 KNEE STERILE - 5551-G-401-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 26MM DIA 8MM THK E-PLUS DOME,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR 29MM DIA 7.5MM THK POLYETHYLENE KNEE ROUND POSTERIOR RETAINING ANATOMIC JOURNEY STERILE,627.0,313.5,120.07,564.3,65
HCPCS,C1776,COMPONENT PATELLAR 3 PEG LINKSYMPHOKNEE KNEE 25,205.0,102.5,39.26,184.5,65
HCPCS,C1776,COMPONENT PATELLAR 30MM RECESS SCORPIO X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 32MM DIA STANDARD 7.5MM THK POLYETHYLENE KNEE ROUND POSTERIOR RETAINING ANATOMIC RESURFACE JOURNEY STERILE,627.0,313.5,120.07,564.3,65
HCPCS,C1776,COMPONENT PATELLAR 5 MEDIALIZE DOME 10MM 32/35IN SCORPIO X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 7 MEDIALIZE DOME 10MM 34/38IN SCORPIO X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 7.5MM 35MM DIA STANDARD ROUND RESURFACE JOURNEY,627.0,313.5,120.07,564.3,65
HCPCS,C1776,COMPONENT PATELLAR 8MM 27MM SYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 8MM 27MM SYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 8MM 27MM SYMMETRIC TRIATHLON X3 KNEE STERILE - 5550-G-278-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 8MM 29MM SYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 8MM 29MM SYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 8MM 29MM SYMMETRIC TRIATHLON X3 KNEE STERILE - 5550-G-298-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9 MEDIALIZE DOME 10MM 36/41IN SCORPIO X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 29MM ASYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 29MM ASYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 29MM ASYMMETRIC TRIATHLON X3 KNEE STERILE - 5551-G-299,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 31MM SYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 31MM SYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 31MM SYMMETRIC TRIATHLON X3 KNEE STERILE - 5550-G-319-E,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 33MM SYMMETRIC TRIATHLON POLYETHYLENE KNEE STERILE,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 33MM SYMMETRIC TRIATHLON X3 KNEE STERILE,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR 9MM 33MM SYMMETRIC TRIATHLON X3 KNEE STERILE - 5550-G-339,518.0,259.0,99.2,466.2,65
HCPCS,C1776,COMPONENT PATELLAR H10 MM CRUCIATE RETAIN NATURAL-KNEE II ALL POLY POLYETHYLENE KNEE 0,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR H10 MM CRUCIATE RETAIN NATURAL-KNEE II ALL POLY POLYETHYLENE KNEE 2,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR H10 MM OD29 MM PRIMARY NEXGEN POROUS KNEE MICRO,500.0,250.0,95.75,450.0,65
HCPCS,C1776,COMPONENT PATELLAR H10 MM OD35 MM 3 PEG VEGA SYSTEM KNEE P4,360.0,180.0,68.94,324.0,65
HCPCS,C1776,COMPONENT PATELLAR H10 MM OD38 MM PRIMARY NEXGEN POLYETHYLENE POROUS KNEE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,COMPONENT PATELLAR H10 MM OD41 MM PRIMARY NEXGEN POLYETHYLENE POROUS KNEE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,COMPONENT PATELLAR H29 MM CEMENT ATTUNE AOX KNEE MEDIALIZE DOME,716.4,358.2,137.19,644.76,65
HCPCS,C1776,COMPONENT PATELLAR H32 MM CEMENT ATTUNE AOX KNEE MEDIALIZE DOME,716.4,358.2,137.19,644.76,65
HCPCS,C1776,COMPONENT PATELLAR H35 MM CEMENT ATTUNE AOX KNEE MEDIALIZE DOME,716.4,358.2,137.19,644.76,65
HCPCS,C1776,COMPONENT PATELLAR H35 MM MEDIALIZE ATTUNE AFFIXIUM AOX POROUS KNEE DOME,250.0,125.0,47.88,225.0,65
HCPCS,C1776,COMPONENT PATELLAR H38 MM CEMENT ATTUNE AOX KNEE MEDIALIZE DOME,716.4,358.2,137.19,644.76,65
HCPCS,C1776,COMPONENT PATELLAR H38 MM MEDIALIZE ATTUNE AFFIXIUM AOX POROUS KNEE DOME,250.0,125.0,47.88,225.0,65
HCPCS,C1776,COMPONENT PATELLAR H41 MM CEMENT ATTUNE AOX KNEE MEDIALIZE DOME,716.4,358.2,137.19,644.76,65
HCPCS,C1776,COMPONENT PATELLAR H41 MM MEDIALIZE ATTUNE AFFIXIUM AOX POROUS KNEE DOME,250.0,125.0,47.88,225.0,65
HCPCS,C1776,COMPONENT PATELLAR H6.2 MM OD31 MM 1 PEG WIRE VANGUARD KNEE THIN SERIES A,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR H7 MM CRUCIATE RETAIN NATURAL-KNEE II ALL POLY POLYETHYLENE KNEE 1,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR H7 MM CRUCIATE RETAIN NATURAL-KNEE II ALL POLY POLYETHYLENE KNEE 2,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR H7 MM OD26 MM 3 PEG AESCULAP KNEE P1,200.0,100.0,38.3,180.0,65
HCPCS,C1776,COMPONENT PATELLAR H7.5 MM OD26 MM RESURFACE GENESIS II KNEE,624.0,312.0,119.5,561.6,65
HCPCS,C1776,COMPONENT PATELLAR H7.5 MM OD29 MM RESURFACE GENESIS II KNEE,624.0,312.0,119.5,561.6,65
HCPCS,C1776,COMPONENT PATELLAR H7.5 MM OD32 MM RESURFACE GENESIS II KNEE,624.0,312.0,119.5,561.6,65
HCPCS,C1776,COMPONENT PATELLAR H7.5 MM OD35 MM RESURFACE GENESIS II KNEE,624.0,312.0,119.5,561.6,65
HCPCS,C1776,COMPONENT PATELLAR H8 MM OD29 MM 3 PEG VEGA SYSTEM KNEE P2,360.0,180.0,68.94,324.0,65
HCPCS,C1776,COMPONENT PATELLAR H8 MM OD29 MM ELEOS LIMB SALVAGE SYSTEM,744.0,372.0,142.48,669.6,65
HCPCS,C1776,COMPONENT PATELLAR H8 MM OD32 MM 3 ELEOS LIMB SALVAGE SYSTEM,744.0,372.0,142.48,669.6,65
HCPCS,C1776,COMPONENT PATELLAR H8 MM OD32 MM PEG SCORPIO N2/VAC KNEE 5 UNIVERSAL DOME,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR H8 MM OD34 MM SCORPIO N2/VAC KNEE 7 UNIVERSAL DOME,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR H8.6 MM OD37 MM 1 PEG WIRE VANGUARD KNEE THIN SERIES A,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR L5 MM X H10 MM OD32/35 MM PEG SCORPIO N2/VAC KNEE 5 1.5 MM OFFSET MEDIALIZE DOME 1 AXIS SYSTEM,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR L5 MM X H10 MM OD34/38 MM PEG SCORPIO N2/VAC KNEE 7 1.5 MM OFFSET MEDIALIZE DOME 1 AXIS SYSTEM,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR L5 MM X H10 MM OD36/41 MM PEG SCORPIO N2/VAC KNEE 9 1.5 MM OFFSET MEDIALIZE DOME 1 AXIS SYSTEM,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR L5 MM X H10 MM OD38/44 MM PEG SCORPIO N2/VAC KNEE 11 1.5 MM OFFSET MEDIALIZE DOME 1 AXIS SYSTEM,159.0,79.5,30.45,143.1,65
HCPCS,C1776,COMPONENT PATELLAR LARGE 40MM AVON KNEE,712.8,356.4,136.5,641.52,65
HCPCS,C1776,COMPONENT PATELLAR MEDIUM 30MM AVON KNEE,712.8,356.4,136.5,641.52,65
HCPCS,C1776,COMPONENT PATELLAR OD26 MM 3 PEG OPTETRAK POLYETHYLENE KNEE,260.0,130.0,49.79,234.0,65
HCPCS,C1776,COMPONENT PATELLAR OD28 MM 3 POST BIOMET KNEE SYSTEM ARCOM KNEE ANTERIOR POSTERIOR XS,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR OD29 MM 3 PEG OPTETRAK POLYETHYLENE KNEE,260.0,130.0,49.79,234.0,65
HCPCS,C1776,COMPONENT PATELLAR OD32 MM 3 PEG OPTETRAK POLYETHYLENE KNEE,260.0,130.0,49.79,234.0,65
HCPCS,C1776,COMPONENT PATELLAR OD35 MM 3 PEG OPTETRAK POLYETHYLENE KNEE,260.0,130.0,49.79,234.0,65
HCPCS,C1776,COMPONENT PATELLAR OD38 MM 3 PEG OPTETRAK POLYETHYLENE KNEE,260.0,130.0,49.79,234.0,65
HCPCS,C1776,COMPONENT PATELLAR OD38 MM RESURFACE GENESIS II KNEE,624.0,312.0,119.5,561.6,65
HCPCS,C1776,COMPONENT PATELLAR OD41 MM 3 PEG OPTETRAK POLYETHYLENE KNEE,260.0,130.0,49.79,234.0,65
HCPCS,C1776,COMPONENT PATELLAR OD41 MM PERSONA ALL POLY KNEE,315.0,157.5,60.32,283.5,65
HCPCS,C1776,COMPONENT PATELLAR OD41 MM RESURFACE GENESIS II KNEE,624.0,312.0,119.5,561.6,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK 1,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK 2,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK 3,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK 4,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK E-CROSS 1,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK E-CROSS 2,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK E-CROSS 3,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACE GMK E-CROSS 4,300.0,150.0,57.45,270.0,65
HCPCS,C1776,COMPONENT PATELLAR RESURFACING 26MM DIA STANDARD 7.5MM THK POLYETHYLENE KNEE ROUND POSTERIOR RETAINING ANATOMIC JOURNEY STERILE,627.0,313.5,120.07,564.3,65
HCPCS,C1776,COMPONENT PATELLAR SMALL 20MM AVON KNEE,712.8,356.4,136.5,641.52,65
HCPCS,C1776,COMPONENT PRIMA TT GLENOID GLENOSPERE ECCENTRICAL DIA 36MM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT SUBTALAR L14 MM CONCAVE BIOABSORBABLE OD8 MM PROSTOP PLUS TITANIUM POLY L LACTIC ACID FOOT ANKLE ARTHROEREISIS,1025.0,512.5,196.29,922.5,65
HCPCS,C1776,COMPONENT TALAR H3 MM 1 LONG ANTERIOR PEG FIX BEARING INVISION ANKLE RIGHT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TALAR H3 MM 1 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE LEFT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TALAR H3 MM 2 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE LEFT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TALAR H3 MM 2 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE RIGHT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TALAR H3 MM 3 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE LEFT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TALAR H3 MM 3 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE RIGHT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TALAR H3 MM 4 STANDARD LONG ANTERIOR PEG FIX BEARING INVISION ANKLE RIGHT,2723.0,1361.5,521.45,2450.7,65
HCPCS,C1776,COMPONENT TIBIAL 11MM TRIATHLON 5 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 13MM 4 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 13MM TRIATHLON 5 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 13MM TRIATHLON 7 KNEE ALL POLYETHYLENE POSTERIOR STABILIZE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 16MM 3 KNEE ALL POLYETHYLENE POSTERIOR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 16MM 4 KNEE ALL POLYETHYLENE POSTERIOR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 16MM 5 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 16MM 6 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 16MM TRIATHLON 3 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 9MM 4 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL 9MM TRIATHLON 6 KNEE ALL POLYETHYLENE CONDYLAR STABILIZE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL CEMENTED SIZE B 60.8MM 42.5/37.2MM MEDIAL/LATERAL NON-POROUS LEFT 0DEG KEEL PERSONA OSSEOTI,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT TIBIAL CEMENTED SIZE H 83MM 59.8/53.3MM MEDIAL/LATERAL NON-POROUS LEFT 0DEG KEEL PERSONA OSSEOTI,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT TIBIAL CEMENTED SIZE H 83MM 59.8/53.3MM MEDIAL/LATERAL NON-POROUS RIGHT 0DEG KEEL PERSONA OSSEOTI,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT TIBIAL CEMENTLESS SIZE A 57.7MM 40.2/35.1MM MEDIAL/LATERAL POROUS RIGHT 0DEG KEEL PERSONA OSSEOTI,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT TIBIAL CEMENTLESS SIZE J 88.1MM 63.5/56.7MM MEDIAL/LATERAL POROUS LEFT 0DEG KEEL PERSONA OSSEOTI,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE 0 D G PERSONA KEEL,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE 11 LINKSYMPHOKNEE ALL POLY POSTERIOR STABILIZE MONOBLOCK,1175.0,587.5,225.01,1057.5,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H10 MM 7 G/H NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H11 MM 2 TRIATHLON ALL POLYETHYLENE POSTERIOR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H12 MM 3 C/D NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H12 MM 3 E/F NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H12 MM 4 E/F NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H14 MM 6 E/F NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H14 MM 7 E/F NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H16 MM 2 TRIATHLON ALL POLYETHYLENE POSTERIOR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H16 MM 5 TRIATHLON ALL POLYETHYLENE POSTERIOR STABILIZE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H17 MM 3 E/F NEXGEN LPS POLYETHYLENE MONOBLOCK,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE H7 MM LINKSYMPHOKNEE MONOBLOCK,775.0,387.5,148.41,697.5,65
HCPCS,C1776,COMPONENT TIBIAL KNEE L70 MM X W45 MM T2 VEGA SYSTEM CEMENT POSTERIOR STABILIZE PLATEAU ADVANCE SURFACE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE LEFT 0 D F PERSONA OSSEOTI KEEL,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE LEFT MEDIAL C OXFORD PPS HA PARTIAL CEMENTLESS SLOT,850.0,425.0,162.78,765.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE RIGHT 0 D F PERSONA CEMENT KEEL,650.0,325.0,124.48,585.0,65
HCPCS,C1776,COMPONENT TIBIAL KNEE RIGHT MEDIAL C OXFORD CEMENTLESS UNICOMPARTMENTAL,850.0,425.0,162.78,765.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 2 11MM THK POLYETHYLENE CRUCIATE SUBSTITUTING TRIATHLON,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 3 11MM THK POLYETHYLENE CRUCIATE SUBSTITUTING TRIATHLON,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 3 9MM THK POLYETHYLENE CRUCIATE SUBSTITUTING TRIATHLON STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 4 11MM THK POLYETHYLENE CRUCIATE SUBSTITUTING TRIATHLON STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 6 11MM THK POLYETHYLENE CRUCIATE SUBSTITUTING F/PARTIAL KNEE RESURFACING TRIATHLON,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 6 16MM THK POLYETHYLENE POSTERIOR STABILIZED F/PARTIAL KNEE RESURFACING TRIATHLON STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE 7 16MM THK POLYETHYLENE POSTERIOR STABILIZED TRIATHLON STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,COMPONENT TIBIAL SIZE EF/3 66/42MML 17MM THK POLYETHYLENE UHMWPE LEFT/RIGHT POSTERIOR STABILIZED STRIPED YELLOW NEXGEN LEGACY STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,COMPONENT TIBIAL TRIATHLON SIZE 1 16MM THK POSTERIOR STABILIZED POLYETHYLENE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1776,CONNECTOR ROD L32-37 MM OD5.5 MM SPINE LATERAL EXPEDIUM SFX TITANIUM A3,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CONSTRUCT CATALYST STEM W/OXI HEAD & R3,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1776,COUPLER HUMERAL LOW OFFSET HEAD PERFORM TITANIUM SHOULDER,324.0,162.0,62.05,291.6,65
HCPCS,C1776,COUPLER ORTHOPEDIC ANGLE OFFSET LEGION KNEE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1776,CUP ACETABULAR 48MM DIA W/HOLEX2 MPACT 3D,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR 50MM DIA POROUS COATED HIP REDAPT,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,CUP ACETABULAR 50MML HOLEX2 3-D IMPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR 60MM DIA W/HOLEX2 MPACT 3D,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS 3-HOLE 64MM EMPHASYS,825.0,412.5,157.99,742.5,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS SIZE E 52MM DIA HIP HEMISPHERICAL NO-HOLE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS SIZE E 54MM DIA HIP HEMISPHERICAL NO-HOLE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS SIZE F 56MM DIA HIP HEMISPHERICAL NO-HOLE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS SIZE F 58MM DIA HIP HEMISPHERICAL NO-HOLE MPACT,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS SIZE G 60MM DIA HIP HEMISPHERICAL NO-HOLE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR CEMENTLESS SIZE G 62MM DIA HIP HEMISPHERICAL NO-HOLE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR EMPOWR SIZE H 58MM 11-HOLE MULTI-HOLE HEMISPHERICAL REVISION P2,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR EMPOWR SIZE H 58MM 3-HOLE CLUSTER-HOLE HEMISPHERICAL REVISION P2 W/DOME HOLE PLUG,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR EMPOWR SIZE J 64MM 5-HOLE CLUSTER-HOLE HEMISPHERICAL REVISION P2,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR HIP REVISION CLAUSE,100.0,50.0,19.15,90.0,65
HCPCS,C1776,CUP ACETABULAR MULTI HOLE SIZE 56H HOLEX11 P2 HEMISPHERICAL EMPOWR,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR MULTI HOLE SIZE 60I HOLEX11 P2 HEMISPHERICAL EMPOWR,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR MULTI-HOLE SIZE F 52MM 11-HOLE P2 HIP HEMISPHERICAL REVISION EMPOWR,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR NO-HOLE 46MM EMPHASYS,825.0,412.5,157.99,742.5,65
HCPCS,C1776,CUP ACETABULAR NO-HOLE SIZE C 48MM DIA UHMWPE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR OD44 MM CLUSTER HOLE MODULAR HIP,700.0,350.0,134.05,630.0,65
HCPCS,C1776,CUP ACETABULAR OD44 MM ID38 MM M2A-MAGNUM PRESS FIT HIP COCR POROUS,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,CUP ACETABULAR OD46 MM ALTEON CLUSTER HOLE GROUP 2 HIP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,CUP ACETABULAR OD48 MM ALTEON CLUSTER HOLE GROUP 3 HIP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,CUP ACETABULAR OD48 MM HEMISPHERICAL EMPOWR ACETABULAR CLUSTER HOLE HIP,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR OD50 MM ALTEON CLUSTER HOLE GROUP 4 HIP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,CUP ACETABULAR OD50 MM HEMISPHERICAL EMPOWR ACETABULAR MULTIHOLE HIP,900.0,450.0,172.35,810.0,65
HCPCS,C1776,CUP ACETABULAR OD50 MM PINNACLE SECTOR HIP GRIPTION,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,CUP ACETABULAR OD52 MM ALTEON CLUSTER HOLE GROUP 5 HIP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,CUP ACETABULAR OD52 MM PINNACLE HIP GRIPTION SECTOR SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,CUP ACETABULAR OD54 MM ALTEON CLUSTER HOLE GROUP 6 HIP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,CUP ACETABULAR OD54 MM HEMISPHERICAL EMPOWR ACETABULAR MULTIHOLE HIP,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR OD54 MM RESTORATION ADM PERIPHERAL SELF LOCK HIP RIGHT X3 HA MOBILE BEARING SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP ACETABULAR OD56 MM PINNACLE HIP GRIPTION SECTOR SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,CUP ACETABULAR OD56 MM RESTORATION ADM PERIPHERAL SELF LOCK HIP RIGHT X3 HA MOBILE BEARING SYSTEM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP ACETABULAR OD58 MM ALTEON CLUSTER HOLE GROUP 7 HIP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,CUP ACETABULAR OD58 MM PINNACLE HIP GRIPTION SECTOR SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,CUP ACETABULAR OD60 MM HEMISPHERICAL EMPOWR ACETABULAR CLUSTER HOLE HIP,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR OD60 MM MODULAR HIP,700.0,350.0,134.05,630.0,65
HCPCS,C1776,CUP ACETABULAR OD60 MM PINNACLE HIP GRIPTION SECTOR SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,CUP ACETABULAR OD68 MM HEMISPHERE EMPOWR ACETABULAR CLUSTER HOLE HIP,500.0,250.0,95.75,450.0,65
HCPCS,C1776,CUP ACETABULAR OD76 MM MULTIHOLE MODULAR REVISION HIP,700.0,350.0,134.05,630.0,65
HCPCS,C1776,CUP ACETABULAR SECTOR 66MM OD GRIPTION PRIMARY PINNACLE,825.0,412.5,157.99,742.5,65
HCPCS,C1776,CUP ACETABULAR SIZE I 68MM OD HOLEX13 TRITANIUM MULTIHOLE TRIDENT II,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP ACETABULAR SPIKED 69MM OD CSTI POROUS COATED HEMISPHERICAL PRESS-FIT FLARED RIM W/SEALED SCREW HOLE CONVERGE,725.0,362.5,138.84,652.5,65
HCPCS,C1776,CUP ACETABULAR TRIDENT HIP 48MM 28MM ALL POLY CROSSFIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP ACETABULAR TRIDENT HIP 48MM 32MM ALL POLY CROSSFIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP HUMERAL +2 MM OD33 MM UNIVERS REVERS CALCIUM PHOSPHATE SHOULDER LEFT,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL +2 SUTURE OD39 MM UNIVERS REVERS SHOULDER LEFT,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL +2 SUTURE OD39 MM UNIVERS REVERS SHOULDER RIGHT,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL +2 SUTURE OD42 MM UNIVERS REVERS SHOULDER RIGHT,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL 0 MM OFFSET CONSTRAIN ID36 MM EQUINOXE,635.0,317.5,121.6,571.5,65
HCPCS,C1776,CUP HUMERAL 2 SUTURE OD36 MM UNIVERS REVERS LEFT,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL 2 SUTURE OD36 MM UNIVERS REVERS SHOULDER RIGHT,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL 28MM XS +8MM REVERSE F/SHOULDER SYSTEM INHANCE,1150.0,575.0,220.23,1035.0,65
HCPCS,C1776,CUP HUMERAL 44MM XL +8MM REVERSE F/SHOULDER SYSTEM INHANCE,1150.0,575.0,220.23,1035.0,65
HCPCS,C1776,CUP HUMERAL NEUTRAL OD36 MM UNIVERS REVERS CALCIUM PHOSPHATE SHOULDER ARTHROPLASTY,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL NEUTRAL SUTURE OD33 MM UNIVERS REVERS,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL NEUTRAL SUTURE OD39 MM UNIVERS REVERS SHOULDER,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL REUNION SHOULDER 36MM 4MM STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP HUMERAL SHOULDER 32MM THK4MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP HUMERAL SHOULDER 36MM 10MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,CUP HUMERAL SUTURE OD36 MM UNIVERS REVERS,1225.0,612.5,234.59,1102.5,65
HCPCS,C1776,CUP HUMERAL THK21 MM OD46 MM EQUINOXE SHOULDER,1710.0,855.0,327.47,1539.0,65
HCPCS,C1776,CUP HUML SHLDR 40X4MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,DOME PATELLAR H30 MM BEARING ROTATE HINGE S-ROM NOILES KNEE UHMWPE,600.6,300.3,115.01,540.54,65
HCPCS,C1776,DOME PATELLAR H35 MM BEARING ROTATE HINGE S-ROM NOILES KNEE UHMWPE,600.6,300.3,115.01,540.54,65
HCPCS,C1776,DOME PATELLAR OD29 MM H8 MM 3 PEG DJO SURGICAL KNEE E PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,DOME PATELLAR OD32 MM H8 MM 3 PEG 3DKNEE KNEE METAL ALL POLY,300.0,150.0,57.45,270.0,65
HCPCS,C1776,DOME PATELLAR OD32 MM H8 MM 3 PEG DJO SURGICAL KNEE E PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,DOME PATELLAR OD35 MM H9 MM 3 PEG DJO SURGICAL KNEE E PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,DOME PATELLAR OD38 MM H9 MM 3 PEG DJO SURGICAL KNEE E PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,DOME TALAR 1 SULCUS INBONE ANKLE,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,DOME TALAR 2 SULCUS INBONE ANKLE,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,DOME TALAR 3 SULCUS INBONE ANKLE,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,DOME TALAR INBONE 4 ANKLE SULCUS,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,DOME TALAR L31.5 MM X W30 MM X H10 MM 1 STANDARD SYMMETRIC INVISION COCR ANKLE,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1776,DOME TALAR L34 MM X W33 MM X H10 MM 2 STANDARD SYMMETRIC INVISION COCR ANKLE,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1776,ENDPLATE SPINAL W14 MM X H15 MM 0 D D14 MM FOOTPRINT NO SPIKE FORTIFY-R,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1776,EXTENSION STEM BASE STATION CHIRP,700.0,350.0,134.05,630.0,65
HCPCS,C1776,EXTENSION STEM L100 MM L145 MM OD24 MM ROTATE HINGE KNEE TIBIA NEXGEN STRAIGHT,833.0,416.5,159.52,749.7,65
HCPCS,C1776,EXTENSION STEM L155 MM REVISION KNEE TIBIA TITANIUM NATURAL-KNEE II,903.0,451.5,172.92,812.7,65
HCPCS,C1776,EXTENSION STEM L60 MM REVISION KNEE TIBIA TITANIUM NATURAL-KNEE II,903.0,451.5,172.92,812.7,65
HCPCS,C1776,EXTENSION STEM L90 MM REVISION KNEE TIBIA TITANIUM NATURAL-KNEE II,903.0,451.5,172.92,812.7,65
HCPCS,C1776,FLANGE HUMERAL LARGE DISTAL SHOULDER W/SCREW F/SEGMENTAL REVISION SYSTEM COMPREHENSIVE STERILE,540.0,270.0,103.41,486.0,65
HCPCS,C1776,GLENOSPHERE LOCKING BOLT MEDIUM/LONG INSET REVERSE TOTAL SHOULDER,150.0,75.0,28.73,135.0,65
HCPCS,C1776,GMK SPHERE FEMUR POROUS TIGROWTHC+HA S5+L,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,GRAFT BONE 24 MM BASEPLATE 10 DEGREE FULL AUGMENT +2 LATERALIZED OBLIQUE GLENOID SYSTEM FULL WEDGE,1514.0,757.0,289.93,1362.6,65
HCPCS,C1776,GRAFT BONE BICORTICAL L20 MM X W22 MM X H12 MM ALLOGRAFT ALLOPURE WEDGE EVANS,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1776,GRAFT SOFT TISSUE MENISCUS ALLOGRAFT FRESH FROZEN ASEPTIC BONE BLOCK RIGHT MEDIAL,4750.0,2375.0,909.63,4275.0,65
HCPCS,C1776,GRAFT SYNTHETIC TISSUE L24.5 CM X W4 MM STANDARD HUNTER POLYESTER SILICONE BARIUM TENDON,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,GRAFT SYNTHETIC TISSUE L24.5 CM X W5 MM STANDARD HUNTER POLYESTER SILICONE BARIUM TENDON,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,GRS BASEPLATE - O24.5X20 - FULL WEDGE 15DEGREES,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,GUIDE SURGICAL LEFT SHOULDER GLENOID AUGMENT 4-REAMER PEG ALLIANCE II,65.0,32.5,12.45,58.5,65
HCPCS,C1776,GUIDEWIRE ZOOM WIRE 10CM RADIOPAGUE 200CM OD 0.014IN VASCULAR 14 GUIDEWIRE X-SUPPORT PROFILE WIRE MICROFABRICATED LENGTH 35CM,575.0,287.5,110.11,517.5,65
HCPCS,C1776,GUIDEWIRE ZOOM WIRE 10CM RADIOPAQUE 200CM OD 0.014IN VASCULAR 14 GUIDEWIRE SUPPORT PROFILE WIRE MICROFACRICATED 35CM,575.0,287.5,110.11,517.5,65
HCPCS,C1776,GUIDEWIRE ZOOM WIRE 10CM RADIOPAQUE 300CM OD 0.014IN VASCULAR 14 GUIDEWIRE SUPPORT EXCHANGE WIRE MICROFABRICATED LENGTH 35CM,605.0,302.5,115.86,544.5,65
HCPCS,C1776,HEAD BIPOLAR 36MM 22MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 41MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 42MM 22MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 42MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 43MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 44MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 44MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 45MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 45MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 46MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 46MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 47MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 47MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 48MM 22MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 48MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 48MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 49MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 49MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 50MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 50MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 51MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 51MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 52MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 52MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 53MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 53MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 54MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 54MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 55MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 55MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 56MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 56MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 58MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 61MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 68MM 26MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR 72MM 28MM UHR UNIVERSAL HIP FEMUR COCR UHMWPE,567.0,283.5,108.58,510.3,65
HCPCS,C1776,HEAD BIPOLAR GRAY 43MM 28MM SELF-CENTERING HIP FEMUR STERILE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD39 MM ID28 MM SELF-CENTERING HIP FEMUR RUST,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD40 MM ID28 MM SELF-CENTERING FEMUR RUST,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD41 MM ID28 MM SELF-CENTERING HIP FEMUR RUST,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD42 MM ID28 MM SELF-CENTERING FEMUR RUST,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD44 MM ID28 MM SELF-CENTERING HIP FEMUR GRAY,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD45 MM ID28 MM SELF-CENTERING HIP FEMUR GRAY,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD46 MM ID28 MM SELF-CENTERING HIP FEMUR BROWN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD47 MM ID28 MM SELF-CENTERING HIP FEMUR BROWN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD48 MM ID28 MM SELF-CENTERING HIP FEMUR BROWN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD49 MM ID28 MM SELF-CENTERING FEMUR BROWN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD50 MM ID28 MM SELF-CENTERING HIP FEMUR BROWN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD51 MM ID28 MM SELF-CENTERING FEMUR BROWN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD52 MM ID28 MM SELF-CENTERING FEMUR BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD53 MM ID28 MM SELF-CENTERING HIP FEMUR BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD54 MM ID28 MM SELF-CENTERING FEMUR BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD55 MM ID28 MM SELF-CENTERING HIP FEMUR BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD56 MM ID28 MM SELF-CENTERING FEMUR BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD57 MM ID28 MM SELF-CENTERING FEMUR BLUE,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OD59 MM ID28 MM SELF-CENTERING FEMUR GREEN,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD BIPOLAR OUTER SHELL MIRROR POLISH METALLIC BEARING OD41 MM ID22 MM STAINLESS STEEL UHMWPE HIP HEMIARTHROPLASTY,104.0,52.0,19.92,93.6,65
HCPCS,C1776,HEAD BIPOLAR OUTER SHELL MIRROR POLISH METALLIC BEARING OD42 MM ID22 MM STAINLESS STEEL UHMWPE HIP HEMIARTHROPLASTY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD BIPOLAR OUTER SHELL MIRROR POLISH METALLIC BEARING OD47 MM ID28 MM STAINLESS STEEL UHMWPE HIP HEMIARTHROPLASTY,104.0,52.0,19.92,93.6,65
HCPCS,C1776,HEAD FEMORAL +0MM C TAPER 26MM HIP COCR,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 22MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 26MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 28MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 28MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 32MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 36MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET C TAPER 44MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 22.2MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 26MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 28MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 32MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 32MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 32MM HIP PRIMARY COCR V40 LFIT,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 36MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 36MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 36MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +0MM OFFSET TAPER 40MM HIP PRIMARY COCR V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM TAPER UNIVERSAL 28MM HIP BIOLOX DELTA STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM TAPER UNIVERSAL 32MM HIP BIOLOX DELTA STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM TAPER UNIVERSAL 36MM HIP BIOLOX DELTA STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +0MM TAPER UNIVERSAL 40MM HIP BIOLOX DELTA STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +10MM C TAPER 26MM HIP COCR,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +10MM OFFSET C TAPER 28MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +10MM OFFSET C TAPER 32MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +10MM OFFSET C TAPER 36MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +10MM OFFSET TAPER 36MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +12MM OFFSET TAPER 26MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +12MM OFFSET TAPER 28MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +12MM OFFSET TAPER 32MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +12MM OFFSET TAPER 40MM HIP PRIMARY COCR V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET C TAPER 28MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET C TAPER 28MM HIP INTERLOCK COCR LFIT,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET C TAPER 32MM HIP INTERLOCK COCR LFIT,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET C TAPER 36MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET C TAPER 36MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +2.5MM OFFSET TAPER 36MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +3MM OFFSET TAPER 22.2MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +4MM OFFSET TAPER 26MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +4MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +4MM OFFSET TAPER 32MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +4MM OFFSET TAPER 32MM HIP BIOLOX DELTA V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +4MM OFFSET TAPER 32MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +4MM OFFSET TAPER 40MM HIP PRIMARY COCR V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM C TAPER 26MM HIP COCR,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 22MM HIP COCR LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 26MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 28MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 28MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 28MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 36MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 36MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 36MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET TAPER 36MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET TAPER 36MM HIP BIOLOX DELTA V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +5MM OFFSET TAPER 36MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +7.5MM OFFSET C TAPER 28MM HIP INTERLOCK COCR LFIT,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +7.5MM OFFSET C TAPER 32MM HIP INTERLOCK COCR LFIT,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +7.5MM OFFSET C TAPER 36MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +7.5MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +7.5MM OFFSET TAPER 36MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +8MM OFFSET TAPER 22.2MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +8MM OFFSET TAPER 26MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +8MM OFFSET TAPER 28MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +8MM OFFSET TAPER 32MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL +8MM OFFSET TAPER 40MM HIP PRIMARY COCR V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL +8MM TAPER 32MM HIP COCR V40,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -10MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -2.5 OFFSET C TAPER 36MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -2.5MM OFFSET C TAPER 28MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -2.5MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -2.5MM OFFSET TAPER 36MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -2.7MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -3MM OFFSET C TAPER 28MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -3MM OFFSET TAPER 26MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -4MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -4MM OFFSET TAPER 28MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -4MM OFFSET TAPER 32MM HIP ALUMINA CERAMIC V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -4MM OFFSET TAPER 32MM HIP BIOLOX DELTA V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -4MM OFFSET TAPER 32MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -4MM OFFSET TAPER 40MM HIP PRIMARY COCR V40 LFIT STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -5MM OFFSET C TAPER 32MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -5MM OFFSET C TAPER 36MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -5MM OFFSET C TAPER 36MM HIP COCR LFIT STERILE LATEX FREE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL -5MM OFFSET C TAPER 40MM HIP COCR LFIT STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -5MM OFFSET TAPER 36MM HIP BIOLOX DELTA V40 STERILE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL -5MM OFFSET TAPER 36MM HIP PRIMARY COCR V40 LFIT STERILE,296.0,148.0,56.68,266.4,65
HCPCS,C1776,HEAD FEMORAL 0MM 12/14 MEDIUM TAPER 32MM HIP MODULAR BIOLOX DELTA TRINITY STERILE ADVANCED BEARING ACETABULAR SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,HEAD FEMORAL 0MM OFFSET C TAPER 36MM HIP BIOLOX DELTA CERAMIC,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL 26MM DIA -3.5MML NECK ZIMALOY HIP 12/14 TAPERED ENDOPROSTHESIS VERSYS STERILE,350.0,175.0,67.03,315.0,65
HCPCS,C1776,HEAD FEMORAL 28MM DIA SMALL MECTACER BIOLOX DELTA,575.0,287.5,110.11,517.5,65
HCPCS,C1776,HEAD FEMORAL 28MM DIA XL MECTACER BIOLOX DELTA,675.0,337.5,129.26,607.5,65
HCPCS,C1776,HEAD FEMORAL 32MM DIA -4MML NECK 12/14 TAPERED MODULAR BIOLOX DELTA TAPERFIT TRINITY,500.0,250.0,95.75,450.0,65
HCPCS,C1776,HEAD FEMORAL 36MM DIA +1.5MML NECK METAL HIP 12/14 TAPERED MODULAR M-SPECIFICATION ARTICUL/EZE STERILE,350.0,175.0,67.03,315.0,65
HCPCS,C1776,HEAD FEMORAL 36MM DIA LONG +4MML NECK BIOLOX DELTA CERAMIC HIP 12/14 TAPER MODULAR TAPERFIT TRINITY,500.0,250.0,95.75,450.0,65
HCPCS,C1776,HEAD FEMORAL 36MM DIA MEDIUM 0MML NECK BIOLOX DELTA CERAMIC HIP 12/14 TAPER MODULAR TAPERFIT TRINITY,500.0,250.0,95.75,450.0,65
HCPCS,C1776,HEAD FEMORAL 36MM DIA SHORT BIOLOX DELTA CERAMIC 12/14 TAPERED MODULAR TAPERFIT TRINITY,500.0,250.0,95.75,450.0,65
HCPCS,C1776,HEAD FEMORAL 40MM +0MM NECK COBALT CHROMIUM 12/14 TAPERED,450.0,225.0,86.18,405.0,65
HCPCS,C1776,HEAD FEMORAL 40MM DIA +8MML NECK BIOLOX DELTA CERAMIC HIP TAPERED MODULAR,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL 40MM DIA LARGE MECTACER BIOLOX DELTA,675.0,337.5,129.26,607.5,65
HCPCS,C1776,HEAD FEMORAL 40MM DIA MEDIUM MECTACER BIOLOX DELTA,675.0,337.5,129.26,607.5,65
HCPCS,C1776,HEAD FEMORAL 40MM DIA SMALL MECTACER BIOLOX DELTA,675.0,337.5,129.26,607.5,65
HCPCS,C1776,HEAD FEMORAL CERAMIC 28MM +3.5 HIP BIOLOX DELTA FMP STERILE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL LARGE HIP BIOLOX OPTION MECTACER SLEEVE,125.7,62.85,24.07,113.13,65
HCPCS,C1776,HEAD FEMORAL MEDIUM HIP BIOLOX OPTION MECTACER SLEEVE,125.7,62.85,24.07,113.13,65
HCPCS,C1776,HEAD FEMORAL NEUTRAL 28MM HIP BIOLOX DELTA FMP STERILE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD22 MM -2.5 MM 12/14 SMALL HIP COCR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD22 MM 12/14 MEDIUM HIP COCR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD22 MM 6 D +3.5 MEDIUM HIP ZIMALOY LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD22 MM 6 D +7 MM MEDIUM+ HIP ZIMALOY LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD22 MM NEUTRAL OFFSET HIP COCR FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD22.2 MM HIP BIOLOX V40,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD FEMORAL OD22.225 MM +4 MM 12/14 STANDARD TAPER HIP COCR ARTICUL/EZE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD22.225 MM +7 MM 12/14 STANDARD TAPER HIP COCR ARTICUL/EZE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD26 MM +0 MM 12/14 TAPER HIP COCR VERSYS,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +0 MM 10/12 TAPER HIP BANTAM,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +0 MM 14/16 BALL TAPER HIP COCR,546.0,273.0,104.56,491.4,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +1.5 MM 12/14 BALL TAPER HIP COCR ARTICUL/EZE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +11 MM 14/16 BALL TAPER HIP COCR,546.0,273.0,104.56,491.4,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +12 MM 11/13 TAPER HIP COCR S-ROM MODULAR SYSTEM,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +12 MM 12/14 TAPER HIP COCR ARTICUL/EZE SKIRT,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +15 MM 14/16 BALL TAPER HIP COCR,546.0,273.0,104.56,491.4,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +15.5 MM 12/14 TAPER HIP COCR ARTICUL/EZE SKIRT,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +3 MM 14/16 BALL TAPER HIP COCR,546.0,273.0,104.56,491.4,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +4 MM 12/14 LARGE TAPER HIP PROTASUL-20 LEGACY NECK,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +5 MM 12/14 BALL TAPER HIP COCR ARTICUL/EZE M SPECIFICATION,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +5 MM 14/16 BALL TAPER HIP COCR,546.0,273.0,104.56,491.4,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +6 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +6 MM HIP HIGH CARBON M2A NECK,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +7 MM OFFSET HIP COCR FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +8 MM 12/14 TAPER XL HIP PROTASUL-20 LEGACY NECK,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +8.5 MM 12/14 TAPER HIP COCR ARTICUL/EZE M SPECIFICATION,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM +9 MM 11/13 STANDARD TAPER HIP ULTAMET COCR S-ROM MODULAR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM -3.5 HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM -4 MM 12/14 TAPER SMALL HIP PROTASUL-20 LEGACY NECK,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 1.5 MM 12/14 BALL TAPER HIP COCR ARTICUL/EZE M SPECIFICATION,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 12/14 LARGE HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 12/14 MEDIUM HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 12/14 XL HIP COCR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 5 MM 12/14 TAPER HIP COCR ARTICUL/EZE M SPECIFICATION,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 6 D +0 MM SHORT HIP ZIMALOY LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 6 D +3.5 MM SHORT+ HIP ZIMALOY LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD28 MM 6 D +7 MM MEDIUM HIP ZIMALOY LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +0 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +0 MM 12/14 TAPER HIP COCR,705.0,352.5,135.01,634.5,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +1 MM 12/14 STANDARD TAPER HIP COCR ARTICUL/EZE,589.95,294.98,112.98,530.96,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +13 MM 12/14 STANDARD HIP COCR ARTICUL/EZE,589.95,294.98,112.98,530.96,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +3.5 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +4 MM 12/14 LARGE HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +4 MM 12/14 TAPER HIP COCR,705.0,352.5,135.01,634.5,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +8 MM 12/14 TAPER XL HIP PROTASUL-20 LEGACY NECK,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM +9 MM 12/14 STANDARD HIP COCR ARTICUL/EZE,589.95,294.98,112.98,530.96,65
HCPCS,C1776,HEAD FEMORAL OD32 MM -3 MM 12/14 TAPER HIP COCR,705.0,352.5,135.01,634.5,65
HCPCS,C1776,HEAD FEMORAL OD32 MM -3 MM OFFSET HIP BIOLOX DELTA G7 MODULAR TYPE 1,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM -3.5 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM -4 HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM -4 MM 12/14 SMALL HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM 0 MM 12/14 MEDIUM HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM 12/14 2XL HIP COCR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD32 MM 12/14 XL HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +0 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +0 MM HIP CERAMIC LINEAGE MEDIUM NECK,850.0,425.0,162.78,765.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +10.5 MM 12/14 TAPER UNIVERSAL HIP COCR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +3.5 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +4 MM HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +6 MM TAPER HIP BIOLOX DELTA MODULAR TYPE 1,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM +7 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM -2 MM CERAMIC ARTICUL/EZE,1835.55,917.78,351.51,1652.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM -3.5 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM -4 HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM 12/14 2XL HIP COCR,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM 12/14 LARGE HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM 12/14 MEDIUM HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM 12/14 SMALL HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM 12/14 XL HIP BIOLOX DELTA MECTACER,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD36 MM NEUTRAL HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,"HEAD FEMORAL OD38 MM 12/14 TAPER HIP ZIMALOY VERSYS LEGACY,LEGACY UNIPOLAR ENDOPROSTHESIS",300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD FEMORAL OD38 MM 5 D +0 MM 12/14 MEDIUM HIP PROTASUL-20 COCR LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD38 MM 5 D +4 MM 12/14 LARGE HIP PROTASUL-20 COCR LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD38 MM 5 D +8 MM 12/14 XL HIP PROTASUL-20 COCR LEGACY,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +0 MM 12/14 HIP ACETABULAR METASUL TRILOGY IT,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +0 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +1.5 MM 12/14 OFFSET TAPER HIP METAL ARTICUL/EZE M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +12 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +12 MM 12/14 OFFSET TAPER HIP METAL ARTICUL/EZE M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +15.5 MM 12/14 OFFSET TAPER HIP METAL ARTICUL/EZE M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +3 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +3.5 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +4 MM HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +5 MM 12/14 OFFSET TAPER HIP METAL ARTICUL/EZE M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +6 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +7 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +8.5 MM 12/14 OFFSET TAPER HIP METAL ARTICUL/EZE M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM +9 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM -2 MM 12/14 OFFSET TAPER HIP METAL ARTICUL/EZE M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM -3 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD40 MM -3.5 MM 12/14 ACETABULAR METASUL TRILOGY IT,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM -3.5 MM 12/14 TAPER HIP BIOLOX DELTA NOVATION,690.0,345.0,132.14,621.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM -4 HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM HIP BIOLOX DELTA FMP OPTION,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD40 MM NEUTRAL HIP BIOLOX DELTA FMP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,HEAD FEMORAL OD44 MM +12 MM OFFSET HIP ACETABULAR COCR G7 TYPE 1,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD44 MM +3 MM 11/13 TAPER HIP METAL S-ROM M SPECIFICATION,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,HEAD FEMORAL OD44 MM +9 MM OFFSET HIP ACETABULAR COCR G7 TYPE 1,400.0,200.0,76.6,360.0,65
HCPCS,C1776,HEAD FEMORAL OD44 MM -6 MM OFFSET HIP ACETABULAR COCR G7 TYPE 1,400.0,200.0,76.6,360.0,65
HCPCS,C1776,"HEAD FEMORAL OD60 MM 12/14 TAPER HIP ZIMALOY VERSYS LEGACY,LEGACY UNIPOLAR ENDOPROSTHESIS",300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD FEMORAL OD63 MM 12/14 TAPER HIP ZIMALOY VERSYS LEGACY UNIPOLAR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD FEMORAL UNIPOLAR 49MM COBALT CHROMIUM MODULAR TANDEM,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD FEMORAL V40 CERAMIC +3MM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,HEAD GLENOID 2 MM OFFSET GLENOSPHERE CONCENTRIC OD40 MM REUNION,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 39MM 14MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 40MM 15MM 22MM SHORT STEM ARTICULATION SHOULDER STERILE LATEX FREE TOTAL SHOULDER ARTHROPLASTY,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL 40MM 15MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 40MM 18MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 40MM 18MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 40MM 21MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 40MM 24MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 40MM 24MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 41MM 15MM COBALT CHROMIUM MODULAR PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL 41MM 15MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 42MM 15MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 42MM 16MM 23MM SHORT STEM ARTICULATION SHOULDER STERILE LATEX FREE TOTAL SHOULDER ARTHROPLASTY,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL 42MM DIA 16.3MMH COCR MORSE TAPERED,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 43MM 14MM COBALT CHROMIUM MODULAR PERFORM STERILE,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL 43MM 16MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 44MM 15MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 44MM 16MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 44MM 18MM COBALT CHROMIUM MOLYBDENUM SHOULDER MONOBLOC W/DIFFERENT HEIGHT SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL 44MM 18MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 45MM 16MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 45MM 19MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 46MM 15MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 46MM 16MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 46MM 17MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 46MM 18MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 46MM 24MM STANDARD MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 46MM 27MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 46MM 30MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 46MM DIA 17.9MMH COCR MORSE TAPERED,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 48MM 17MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 48MM 17MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 48MM 18MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 48MM 18MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 48MM 20MM COBALT CHROMIUM MODULAR PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL 48MM 20MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 48MM 21MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 48MM DIA 18.7MMH COCR MORSE TAPERED,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 50MM 16MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 50MM 19MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 50MM 21MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 51MM 18MM COBALT CHROMIUM SHOULDER INHANCE 1/EA,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,HEAD HUMERAL 51MM 18MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 51MM 21MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 52MM 18MM SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 52MM 19MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 52MM 19MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 52MM 21MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 52MM 23MM REMOVABLE ANATOMICAL SHOULDER PROTASUL-21WF SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 52MM 23MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 52MM 27MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 52MM 30MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 52MM 33MM OFFSET MODULAR BIGLIANI/FLATOW ZIMALOY SHOULDER STERILE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 52MM DIA,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 54MM 19MM COBALT CHROMIUM SHOULDER INHANCE 1/EA,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,HEAD HUMERAL 54MM 21MM 4MM ECCENTRIC HIGH OFFSET AEQUALIS ASCEND SHOULDER,2190.0,1095.0,419.39,1971.0,65
HCPCS,C1776,HEAD HUMERAL 54MM 22MM COBALT CHROMIUM SHOULDER INHANCE 1/EA,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,HEAD HUMERAL 54MM 22MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 54MM 25MM IDENTITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,HEAD HUMERAL 54MM DIA 21.1MMH COCR MORSE TAPERED,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 56 23MM OFFSET BIGLIANI/FLATOW,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 56MM 18MM SOFT TISSUE BALANCE SIMPLICITI SHOULDER STERILE LATEX FREE,3969.0,1984.5,760.06,3572.1,65
HCPCS,C1776,HEAD HUMERAL 56MM 19MM OFFSET BIGLIANI/FLATOW LATEX FREE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 56MM 21MM BIGLIANI/FLATOW SHOULDER STERILE LATEX FREE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 56MM 24MM OFFSET BIGLIANI/FLATOW,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL 56MM 27MM OFFSET BIGLIANI/FLATOW,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL CSR SIZE H PRESS FIT F/TOTAL SHOULDER SYSTEM,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1776,HEAD HUMERAL CSR SIZE I PRESS FIT F/TOTAL SHOULDER SYSTEM,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1776,HEAD HUMERAL DOUBLE ECCENTER 0-5MM OFFSET,200.0,100.0,38.3,180.0,65
HCPCS,C1776,HEAD HUMERAL EQUINOXE STEMLESS ALPHA L41 MM X W13 MM,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,HEAD HUMERAL OD38 MM SHORT SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD39 MM H14 MM SHOULDER AEQUALIS CEMENT REVERSE,1291.0,645.5,247.23,1161.9,65
HCPCS,C1776,HEAD HUMERAL OD40 MM H14 MM PROTASUL-21WF ANATOMICAL SHOULDER REMOVABLE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD40 MM H15 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD40 MM H15.75 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD40 MM H18 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD41 MM SHORT EQUINOXE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,HEAD HUMERAL OD41 MM SHORT SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD41 MM TALL SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD42 MM H14.5 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD42 MM H16.5 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD42 MM H17 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD42 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD43 MM H16 MM 3.5 MM ECCENTRIC SHOULDER PYROCARBON TORNIER FLEX SHOULDER SYSTEM,5150.0,2575.0,986.23,4635.0,65
HCPCS,C1776,HEAD HUMERAL OD43 MM H16 MM SHOULDER AEQUALIS CEMENT REVERSE,1291.0,645.5,247.23,1161.9,65
HCPCS,C1776,HEAD HUMERAL OD43 MM H16 MM SHOULDER PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H14 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H15 MM ECCENTRIC SHOULDER GLOBAL UNITE,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H15.25 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H17 MM REVERSE CUFF ARTHROPATHY,1007.0,503.5,192.84,906.3,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H17 MM SHOULDER COCRMO BIO-MODULAR EAS,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H17 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H17.25 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H18 MM SHOULDER GLOBAL UNITE MODULAR ECCENTRIC PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD44 MM H21 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD44 MM SHORT EQUINOXE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM SHORT SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD44 MM SHOULDER COCR MOLYBDENUM SMR REVISION,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD44 MM TALL SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD46 MM COCR SMR REVISION,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD46 MM H15 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD46 MM H17 MM SHOULDER AEQUALIS CEMENT REVERSE,1291.0,645.5,247.23,1161.9,65
HCPCS,C1776,HEAD HUMERAL OD46 MM H17 MM SHOULDER PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD46 MM H18 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD46 MM H19 MM SHOULDER PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD47 MM SHORT EQUINOXE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,HEAD HUMERAL OD47 MM SHORT SHOULDER EQUINOXE HEMIARTHROPLASTY,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD47 MM TALL SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H15 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H16 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H16 MM SHOULDER PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H18 MM ECCENTRIC SHOULDER GLOBAL UNITE,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H18 MM SHOULDER AEQUALIS CEMENT REVERSE,1291.0,645.5,247.23,1161.9,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H18 MM SHOULDER PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H19 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H20 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD48 MM H21 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD48 MM SHOULDER COCR MOLYBDENUM SMR REVISION,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD48.5 MM H17 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD48.5 MM H19.5 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H16 MM SHOULDER AEQUALIS CEMENT REVERSE,1291.0,645.5,247.23,1161.9,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H16 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H19 MM SHOULDER PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H19 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H21 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H21 MM SHOULDER UNIVERS II ANATOMIC RESTORATION VARIABLE ADJUSTMENT,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM H22 MM COCR PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM MEDIUM SHOULDER COCRMO SMR REVISION,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM SHORT EQUINOXE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,HEAD HUMERAL OD50 MM SHORT SHOULDER EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD51 MM H20.5 MM SHOULDER INHANCE,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD52 MM COCR SMR REVISION,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H15 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H18 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H19 MM SHOULDER AEQUALIS CEMENT REVERSE,1291.0,645.5,247.23,1161.9,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H19 MM SHOULDER COCR PERFORM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H20 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H21 MM ECCENTRIC SHOULDER GLOBAL UNITE,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL OD52 MM H30 MM STANDARD SHOULDER ZIMALOY BIGLIANI/FLATOW MODULAR,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,HEAD HUMERAL OD53 MM H16 MM 1.5 MM ECCENTRIC SHOULDER PYROCARBON TORNIER FLEX SHOULDER SYSTEM,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1776,HEAD HUMERAL OD53 MM SHORT SHOULDER COCR EQUINOXE,1085.0,542.5,207.78,976.5,65
HCPCS,C1776,HEAD HUMERAL OD54 MM H18 MM SHOULDER COCRMO SMR,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD54 MM H21 MM SHOULDER UNIVERS,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,HEAD HUMERAL OD54 MM H27 MM SHOULDER AEQUALIS CEMENT REVERSE,1441.0,720.5,275.95,1296.9,65
HCPCS,C1776,HEAD HUMERAL OD54 MM SHOULDER COCR MOLYBDENUM SMR REVISION,760.0,380.0,145.54,684.0,65
HCPCS,C1776,HEAD HUMERAL OD56 MM H21 MM ECCENTRIC SHOULDER GLOBAL UNITE MODULAR PLATFORM ARTHROPLASTY SYSTEM,1544.4,772.2,295.75,1389.96,65
HCPCS,C1776,HEAD HUMERAL REVERS COBALT ALLOY RTSA 40/17,1007.0,503.5,192.84,906.3,65
HCPCS,C1776,HEAD HUMERAL SHOULDER TITANIUM PERFORM CENTER COUPLER,324.0,162.0,62.05,291.6,65
HCPCS,C1776,HEAD HUMERAL TITANIUM HIGH OFFSET MODULAR COUPLER PERFORM STERILE,324.0,162.0,62.05,291.6,65
HCPCS,C1776,HEAD HUMERAL TORNIER 39MM 1.5MM 14MM ECCENTRIC LOW OFFSET PYROCARBON F/FLEX SHOULDER SYSTEM,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1776,HEAD RADIAL +2 MM MODULAR OD20 MM EVOLVE PROLINE ELBOW,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL +2 MM MODULAR OD26 MM EVOLVE PROLINE ELBOW,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL 22MM EVOLVE +2MM ELBOW PROLINE MODULAR STERILE,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL 24MM EVOLVE +2MM ELBOW PROLINE MODULAR STERILE,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL 24MM EVOLVE +4MM ELBOW PROLINE MODULAR STERILE,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL 24MM EVOLVE STANDARD ELBOW PROLINE MODULAR STERILE,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL 26MM EVOLVE STANDARD ELBOW PROLINE MODULAR STERILE,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL 28MM EVOLVE +2MM ELBOW PROLINE MODULAR STERILE,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL H10 MM MODULAR OD24 MM EXPLOR ELBOW,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,HEAD RADIAL H12 MM OD24 MM EXPLOR ELBOW,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,HEAD RADIAL STANDARD MODULAR OD18 MM EVOLVE PROLINE ELBOW,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL STANDARD MODULAR OD20 MM EVOLVE PROLINE ELBOW,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL STANDARD MODULAR OD22 MM EVOLVE PROLINE ELBOW,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD RADIAL STANDARD MODULAR OD28 MM EVOLVE PROLINE ELBOW,1165.0,582.5,223.1,1048.5,65
HCPCS,C1776,HEAD UNIPOLAR 12/14 TAPER MODULAR OD42 MM CENTERPULSE LEGACY ZIMALOY HIP FEMUR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD UNIPOLAR 12/14 TAPER MODULAR OD44 MM CENTERPULSE LEGACY ZIMALOY HIP FEMUR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD UNIPOLAR 12/14 TAPER MODULAR OD46 MM CENTERPULSE LEGACY ZIMALOY HIP FEMUR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD UNIPOLAR 12/14 TAPER MODULAR OD48 MM CENTERPULSE LEGACY ZIMALOY FEMUR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD UNIPOLAR 12/14 TAPER MODULAR OD52 MM CENTERPULSE LEGACY ZIMALOY FEMUR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD UNIPOLAR 12/14 TAPER MODULAR OD60 MM CENTERPULSE LEGACY ZIMALOY HIP FEMUR ENDOPROSTHESIS,300.0,150.0,57.45,270.0,65
HCPCS,C1776,HEAD UNIPOLAR OD42 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD43 MM TANDEM COCR FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD44 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD45 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD46 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD47 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD48 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD49 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD50 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD51 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD52 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD53 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD55 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HEAD UNIPOLAR OD57 MM TANDEM COCR HIP FEMUR,334.5,167.25,64.06,301.05,65
HCPCS,C1776,HUMERAL STEM PROSTHESIS 8X95MM INSET 95 PRIMARY LONG STEM,1847.02,923.51,353.7,1662.32,65
HCPCS,C1776,IMPLANT ANKLE JOINT COTTON WEDGE 14MM X 22MM 6MMTHK TITANIUM ANATOMIC W/LARGE FOOTPRINT TIDAL,1995.0,997.5,382.04,1795.5,65
HCPCS,C1776,IMPLANT ANKLE JOINT FLAT-CUT KINOS AXIOM PSR,800.0,400.0,153.2,720.0,65
HCPCS,C1776,IMPLANT ANKLE JOINT HIGH COMPLEX TALUS F/TOTAL REPLACE,195.0,97.5,37.34,175.5,65
HCPCS,C1776,IMPLANT ANKLE JOINT PILL 40MM X 42MM TITANIUM ALLOY OSSERA AFX,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1776,IMPLANT DISTAL JOINT CUSTOM RIGHT TALAR HIGH COMPLEXITY W/O STEM 9000-0004-B,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1776,IMPLANT FINGER JOINT SIZE 50 SILICONE METACARPOPHALANGEAL ASCENSION,1940.4,970.2,371.59,1746.36,65
HCPCS,C1776,IMPLANT FIXATION ARSENAL L65 MM OD4.5 MM ANKLE MALLEOLUS,2975.0,1487.5,569.71,2677.5,65
HCPCS,C1776,IMPLANT HIP 0 HIGH STEM HIGH OFFSET INSIGNIA STEM 93.0 MM NK 33.5 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP 1 HIGH STEM HIGH OFFSET INSIGNIA STEM 96 MM NK 33.5 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP 2 HIGH STEM HIGH OFFSET INSIGNIA STEM 99 MM NK 36 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP 3 HIGH STEM HIGH OFFSET INSIGNIA STEM 101 MM NK 36 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP 36MM (NECK) INSIGNIA 4 HIP STEM HIGH OFFSET 103MM (STEM) STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP 41MM (NECK) INSIGNIA 8 HIP STEM HIGH OFFSET 111MM (STEM) STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP 6 HIGH STEM HIGH OFFSET INSIGNIA STEM 107 MM NK 38.5 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP INSIGNIA 11 HIGHT COLLAR,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT HIP STEM 105MM NK 38.5MM INSIGNIA 5 HIGH STEM HIGH OFFSET STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,IMPLANT KNEE 3 D BUMPER HINGE TRIATHLON,652.5,326.25,124.95,587.25,65
HCPCS,C1776,IMPLANT MANDIBULAR TEMPOROMANDIBULAR JOINT,16500.0,8250.0,3159.75,14850.0,65
HCPCS,C1776,IMPLANT ORTHOPEDIC 24MM INSET PLUS 5D SHOULDER GLENOID UHMWPE CIRCULAR IN LINE PEG STERILE LATEX,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1776,IMPLANT TOE JOINT CANNULATED 2.5MM TITANIUM ALLOY INTRAMEDULLARY 0DEG SCREW/ANCHOR BLADE F/HAMERTOE DEFORMITY DIGIFUSE,127.7,63.85,24.45,114.93,65
HCPCS,C1776,IMPLANT TOE JOINT L14.1 MM X H2 MM OD4.5-3 MM FINGER TOE TITANIUM CANNULATED PHALINX 0 D MEDIUM,709.44,354.72,135.86,638.5,65
HCPCS,C1776,IMPLANT TOE JOINT L15.2 MM X H2 MM OD5-3.3 MM FINGER TOE TITANIUM CANNULATED PHALINX 0 D LARGE,709.44,354.72,135.86,638.5,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 10.9MM 56MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 12.9MM 60MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 14.9MM 58MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 5.9MM 46MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 7.9MM 50MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 8.9MM 52MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 9.9MM 54MM 28MM DURATION,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM 0D 9.9MM 54MM 28MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM C 36MM 22.2MM X3 STERILE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM D 38MM 22.2MM X3 STERILE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM E 42MM 28MM X3 STERILE LATEX FREE MDM,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM G 48MM 28MM X3 STERILE LATEX FREE MDM,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP ADM H 52MM 28MM X3 STERILE LATEX FREE MDM,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP C 36MM 22.2MM X3 STERILE LATEX FREE MDM LINER,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP D 38MM 22.2MM X3 STERILE LATEX FREE MDM LINER,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP OMNIFIT 10D 50MM 32MM CROSSFIRE STERILE LATEX FREE SERIES II,902.0,451.0,172.73,811.8,65
HCPCS,C1776,INSERT ACETABULAR HIP OMNIFIT 10D 54MM 32MM CROSSFIRE STERILE LATEX FREE SERIES II,902.0,451.0,172.73,811.8,65
HCPCS,C1776,INSERT ACETABULAR HIP OMNIFIT 10D 58MM 32MM CROSSFIRE STERILE LATEX FREE SERIES II,902.0,451.0,172.73,811.8,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D C 4.9MM 32MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D C 7.9MM 26MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D D 22MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D D 28MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D D 3.9MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D D 32MM X3 STERILE LATEX FREE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D D 36MM X3 STERILE LATEX FREE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D D 5.9MM 32MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E 3.8MM 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E 32MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E 36MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E 36MM X3 STERILE LATEX FREE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E 5.9MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E 7.9MM 32MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D E ECCENTRIC 32MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D F 32MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D F 36MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D F 36MM X3 STERILE LATEX FREE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D F 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D F 5.8MM 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D F 7.9MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D G 26MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D G 36MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D G 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D G 5.4MM 44MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D G 7.4MM 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D G 9.4MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D H 28MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D H 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D H 7.1MM 44MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D H 9.1MM 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 0D I 10.6MM 40MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D D 28MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D D 32MM X3 STERILE LATEX FREE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D D 5.9MM 32MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D E 12.8MM 22MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D E 28MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D E 32MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D E 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D E 5.9MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D E 7.9MM 32MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D F 12.9MM 26MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D F 32MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D F 36MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D F 7.9MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D G 32MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D G 36MM CROSSFIRE,329.0,164.5,63.0,296.1,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D G 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT 10D G 9.4MM 36MM X3,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT E 32MM ALUMINA,950.0,475.0,181.93,855.0,65
HCPCS,C1776,INSERT ACETABULAR HIP TRIDENT F 32MM ALUMINA,950.0,475.0,181.93,855.0,65
HCPCS,C1776,INSERT ACETABULAR ID40 MM 0 D E HIP X3 TRIDENT,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR MDM X3 28X38MM,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT ACETABULAR OD40 MM ID28 MM HIP 2 MOBILITY E-CLASS,1440.0,720.0,275.76,1296.0,65
HCPCS,C1776,INSERT ACETABULAR OD47 MM ID28 MM HIP PRIMARY HOOD DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD48 MM ID28 MM HIP 2 MOBILITY BIRMINGHAM HIP,654.0,327.0,125.24,588.6,65
HCPCS,C1776,INSERT ACETABULAR OD49 MM ID28 MM HIP PRIMARY HOOD DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD50 MM ID28 MM HIP 2 MOBILITY BIRMINGHAM HIP,654.0,327.0,125.24,588.6,65
HCPCS,C1776,INSERT ACETABULAR OD51 MM ID28 MM HIP PRIMARY HOOD DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD55 MM ID28 MM HIP PRIMARY HOOD DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD55 MM ID38 MM STANDARD HIP PRIMARY DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD57 MM ID28 MM HIP PRIMARY HOOD DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD57 MM ID32 MM HIP PRIMARY HOOD DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD57 MM ID32 MM STANDARD HIP PRIMARY DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD57 MM ID38 MM STANDARD HIP PRIMARY DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD59 MM ID38 MM STANDARD HIP PRIMARY DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ACETABULAR OD61 MM ID38 MM STANDARD HIP PRIMARY DURASUL EPSILON,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H11 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H11 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H11 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H13 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H16 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H19 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H9 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 00-0 H9 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 C-H MICRO L58 MM X W40 MM X H10 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX PURPLE STRIPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 C-H MICRO L58 MM X W40 MM X H12 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX PURPLE STRIPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 C-H MICRO L58 MM X W40 MM X H14 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX PURPLE STRIPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 C-H MICRO L58 MM X W40 MM X H20 MM KNEE PROLONG NEXGEN CR-FLEX PURPLE STRIPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H11 MM KNEE CRUCIATE RETAIN XLPE LEGION,1230.0,615.0,235.55,1107.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H11 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H11 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H11 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H12 MM KNEE RIGHT MEDIAL DISH XLPE JOURNEY II,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H13 MM KNEE CRUCIATE RETAIN XLPE LEGION,1230.0,615.0,235.55,1107.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H13 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H13 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H13 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H15 MM KNEE CRUCIATE RETAIN XLPE LEGION,1230.0,615.0,235.55,1107.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H15 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H15 MM KNEE RIGHT MEDIAL DISH XLPE JOURNEY II,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H16 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H16 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H16 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H18 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H19 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H19 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H21 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H25 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H9 MM KNEE CRUCIATE RETAIN XLPE LEGION,1291.5,645.75,247.32,1162.35,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H9 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H9 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 1-2 H9 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-4 C-H STANDARD L66 MM X W42 MM X H20 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX YELLOW,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H11 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H11 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H13 MM KNEE CRUCIATE RETAIN XLPE LEGION,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H13 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H13 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H13 MM KNEE RIGHT MEDIAL DISH XLPE JOURNEY II,838.0,419.0,160.48,754.2,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H14 MM KNEE RIGHT BICRUCIATE STABILIZE XLPE JOURNEY II,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H15 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H18 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H21 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H25 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H9 MM KNEE CRUCIATE RETAIN XLPE LEGION,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT ARTICULAR 3-4 H9 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 3-4 SMALL H10 MM LEFT KNEE BICRUCIATE STABILIZE,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT ARTICULAR 3-4 SMALL H13 MM KNEE RIGHT BICRUCIATE STABILIZE,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H11 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H11 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H11 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H13 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H13 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H16 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H16 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H9 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H9 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 3-5 H9 MM KNEE TIBIA RIGHT CRUCIATE RETAIN CONGRUENT PROLONG GENDER SOLUTIONS NATURAL-KNEE FLEX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 4 H10 MM KNEE NET MOLD UNICOMPARTMENTAL HIGH FLEXION UHMWPE HIGH FLEX,576.0,288.0,110.3,518.4,65
HCPCS,C1776,INSERT ARTICULAR 4 H10 MM KNEE TIBIA UNICOMPARTMENTAL VIVACIT-E ZUK,705.0,352.5,135.01,634.5,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H11 MM KNEE CRUCIATE RETAIN HIGH FLEXION LOCK XLPE LEGION JOURNEY,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H11 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H11 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H13 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H13 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H15 MM KNEE CRUCIATE RETAIN UHMWPE GENESIS II,900.0,450.0,172.35,810.0,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H15 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H15 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H18 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H18 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H21 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H25 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H9 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 5-6 H9 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 5-8 H11 MM KNEE CRUCIATE RETAIN XLPE LEGION,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT ARTICULAR 7-10 C-H STANDARD L82 MM X W51 MM X H14 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX BLUE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 7-10 C-H STANDARD L82 MM X W51 MM X H17 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX BLUE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 7-10 C-H STANDARD L82 MM X W51 MM X H20 MM KNEE NET MOLD UHMWPE NEXGEN CR-FLEX BLUE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 7-10 C-H STANDARD L82 MM X W51 MM X H20 MM KNEE PROLONG NEXGEN CR-FLEX BLUE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H11 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H11 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H13 MM KNEE LEFT MEDIAL DISH XLPE JOURNEY II,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H13 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H13 MM KNEE RIGHT MEDIAL DISH XLPE JOURNEY II,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H15 MM KNEE CRUCIATE RETAIN UHMWPE GENESIS II,900.0,450.0,172.35,810.0,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H15 MM KNEE LEFT MEDIAL DISH XLPE JOURNEY II,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H15 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H18 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H21 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H25 MM KNEE POSTERIOR STABILIZE HIGH FLEXION UHMWPE GENESIS II,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT ARTICULAR 7-8 H9 MM KNEE POSTERIOR STABILIZE UHMWPE GENESIS II,907.5,453.75,173.79,816.75,65
HCPCS,C1776,INSERT ARTICULAR LARGE H10 MM KNEE LEFT GENESIS,726.0,363.0,139.03,653.4,65
HCPCS,C1776,INSERT ARTICULAR T1/1+ H10 MM KNEE POSTERIOR STABILIZE GLIDE SURFACE VEGA SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1776,INSERT ARTICULAR T2/2+ H10 MM KNEE POSTERIOR STABILIZE GLIDE SURFACE VEGA SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1776,INSERT ARTICULAR T2/2+ H14 MM KNEE POSTERIOR STABILIZE GLIDE SURFACE VEGA SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 10 RIGHT POSTERIOR STABILIZED NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 11 LEFT NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 4 RIGHT POSTERIOR STABILIZED NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 6 RIGHT POSTERIOR STABILIZED NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 8 LEFT POSTERIOR STABILIZED NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 9 LEFT NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT FEMORAL SIZE 9 RIGHT POSTERIOR STABILIZED NON-POROUS EMPOWR PS KNEE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,INSERT HUMERAL +0 MM RING OD32 MM POLY SHOULDER R1 REVERSE SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +3 MM LINER CONSTRAIN OD33 MM UNIVERS REVERS SHOULDER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +3 MM LINER OD33 MM UNIVERS REVERS,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +3 MM MEDIUM OD39 MM UNIVERS REVERS SHOULDER ARTHROPLASTY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +3 MM SMALL OD36 MM UNIVERS REVERS SHOULDER ARTHROPLASTY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +6 MM MEDIUM CONSTRAIN OD39 MM UNIVERS REVERS SHOULDER ARTHROPLASTY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +6 MM SMALL CONSTRAIN OD36 MM UNIVERS REVERS SHOULDER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL +6 MM SMALL OD36 MM UNIVERS REVERS SHOULDER ARTHROPLASTY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL H+0 MM 3/4 REVERSE SYMMETRIC RETENTIVE OD39 MM PERFORM VITAMIN E SHOULDER,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,INSERT HUMERAL H+12 MM LATERALIZE ADAPTER PRIMARY OD36 MM AEQUALIS REVERSED SHOULDER,922.0,461.0,176.56,829.8,65
HCPCS,C1776,INSERT HUMERAL H+12 MM STANDARD LATERALIZE OD42 MM AEQUALIS SHOULDER,949.0,474.5,181.73,854.1,65
HCPCS,C1776,INSERT HUMERAL H+3 MM CONSTRAIN COMBINATION OD36 MM ODSEC42 MM UNIVERS REVERS SHOULDER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL H+3/33 MM OD36 MM SHOULDER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL H+6 MM 12.5 D B REVERSE RETENTIVE OD42 MM AEQUALIS ASCEND FLEX SHOULDER,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H+6 MM 17.5 D REVERSE OD36 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H+6 MM 7.5 D REVERSE OD36 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H+6 MM LATERALIZE ADAPTER PRIMARY OD36 MM AEQUALIS REVERSED SHOULDER,922.0,461.0,176.56,829.8,65
HCPCS,C1776,INSERT HUMERAL H+6 MM STANDARD REVERSE LATERALIZE OD36 MM AEQUALIS SHOULDER,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT HUMERAL H+6/33 MM COMBO OD36 MM SHOULDER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT HUMERAL H+9 MM 12.5 D REVERSE OD36 MM AEQUALIS ASCEND FLEX SHOULDER,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H+9 MM 7.5 D REVERSE OD36 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H+9 MM LATERALIZE ADAPTER PRIMARY OD36 MM AEQUALIS REVERSED SHOULDER,922.0,461.0,176.56,829.8,65
HCPCS,C1776,INSERT HUMERAL H4 MM CONSTRAIN OD36 MM REUNION X3 SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL H6 MM STANDARD OD40 MM REUNION X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL H6+ MM 12.5 D B RETENTIVE REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H6+ MM 17.5 D A RETENTIVE REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H6+ MM 17.5 D A REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H6+ MM 7.5 D C REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H6+ MM A 17.5 D REVERSE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H6+ MM A 17.5 D REVERSE RETENTIVE OD36 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H6+ MM A 17.5 D REVERSE RETENTIVE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H6+ MM B 12.5 D REVERSE RETENTIVE OD36 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H6+ MM C 7.5 D REVERSE RETENTIVE OD36 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H6+ MM C 7.5 D REVERSE RETENTIVE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM 12.5 D B RETENTIVE REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM 17.5 D A RETENTIVE REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM 17.5 D A REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H9+ MM 7.5 D C REVERSE OD39 MM AEQUALIS ASCEND FLEX SHOULDER,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H9+ MM A 17.5 D REVERSE OD36 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H9+ MM A 17.5 D REVERSE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL H9+ MM A 17.5 D REVERSE RETENTIVE OD36 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM A 17.5 D REVERSE RETENTIVE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM B 12.5 D REVERSE RETENTIVE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM C 7.5 D REVERSE RETENTIVE OD36 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM C 7.5 D REVERSE RETENTIVE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,1119.0,559.5,214.29,1007.1,65
HCPCS,C1776,INSERT HUMERAL H9+ MM C 7.5 REVERSE OD42 MM AEQUALIS ASCEND FLEX SHOULDER CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,INSERT HUMERAL SHOULDER 4MM 32MM X3 CONSTRAIN,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER 6MM 36MM X3 CONSTRAIN,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER 8MM 36MM X3 CONSTRAIN,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER AEQUALIS REVERSED H+9MM 42MM LATERALIZE ADAPTER PRIMARY,949.0,474.5,181.73,854.1,65
HCPCS,C1776,INSERT HUMERAL SHOULDER REUNION 10MM 36MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER REUNION X3 STANDARD 4MM 36MM STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER REUNION X3 THK6MM STANDARD 36MM STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER STANDARD 10MM 36MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER STANDARD 12MM 36MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER STANDARD 4MM 32MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER STANDARD 6MM 32MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL SHOULDER STANDARD 8MM 36MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT HUMERAL STANDARD 8MM 32MM X3,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,INSERT KN RT 12 GH 16MM PERSONA VIVACIT-E ARTC,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT KN RT 4-5 EF 16MM PERSONA VIVACIT-E ARTC,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT KNEE 1-2 9MM GENESIS II UHMWPE ARTICULAR POSTERIOR STABILIZE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,INSERT KNEE 3-4 11MM LEGION XLPE ARTICULAR CRUCIATE RETAIN,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT KNEE 3-4 18MM GENESIS II UHMWPE ARTICULAR POSTERIOR STABILIZE HIGH FLEXION,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT KNEE 3-4 9MM GENESIS II UHMWPE ARTICULAR POSTERIOR STABILIZE HIGH FLEXION,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT KNEE 5-8 9MM LEGION XLPE ARTICULAR CRUCIATE RETAIN,1320.0,660.0,252.78,1188.0,65
HCPCS,C1776,INSERT KNEE 7-8 13MM GENESIS II UHMWPE ARTICULAR POSTERIOR STABILIZE HIGH FLEXION,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT KNEE 7-8 9MM GENESIS II UHMWPE ARTICULAR POSTERIOR STABILIZE HIGH FLEXION,978.0,489.0,187.29,880.2,65
HCPCS,C1776,INSERT KNEE TIBIA 2 8MM VIVACIT-E ARTICULAR UNICOMPARTMENTAL STERILE,705.0,352.5,135.01,634.5,65
HCPCS,C1776,INSERT KNEE TIBIA 4 9MM VIVACIT-E ARTICULAR UNICOMPARTMENTAL STERILE,705.0,352.5,135.01,634.5,65
HCPCS,C1776,INSERT KNEE TIBIA 5 9MM VIVACIT-E ARTICULAR UNICOMPARTMENTAL STERILE,705.0,352.5,135.01,634.5,65
HCPCS,C1776,INSERT KNEE TIBIA 6 8MM VIVACIT-E ARTICULAR UNICOMPARTMENTAL STERILE,705.0,352.5,135.01,634.5,65
HCPCS,C1776,INSERT RESTORATION ADMX3 28X52,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT SOCKET +4 MM OD32 MM RSP HXE PLUS HUMERAL,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET +4 MM OD36 MM ALTIVATE REVERSE E+ SHOULDER HUMERAL,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET +4 MM SMALL SEMICONSTRAIN OD32 MM ALTIVATE REVERSE E-PLUS SHOULDER,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET 32 MM +4 MM SMALL NEUTRAL ALTIVATE REVERSE E-PLUS SHOULDER,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET 32 MM SMALL SEMICONSTRAIN DJO SURGICAL ALTIVATE REVERSE E-PLUS SHOULDER,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET NEUTRAL SMALL OD32 MM DJO SURGICAL ALTIVATE REVERSE E-PLUS SHOULDER,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET NEUTRAL SMALL SEMICONSTRAIN OD36 MM DJO SURGICAL ALTIVATE REVERSE E-PLUS SHOULDER,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET SEMICONSTRAIN RSP DJO SURGICAL HXE+ HUMERAL,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT SOCKET STANDARD SEMICONSTRAIN OD32 MM ALTIVATE REVERSE E+ SHOULDER HUMERAL,600.0,300.0,114.9,540.0,65
HCPCS,C1776,INSERT TALUS 1 VANTAGE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,INSERT TALUS 3 VANTAGE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,INSERT TALUS 3 VANTAGE ANKLE LEFT,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1776,INSERT TALUS 4 VANTAGE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,INSERT TIB KN TRTHLN 2 11MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIB KN TRTHLN 3 19MM X3 TOTAL STABILIZE + 5537-G-319-E,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIB KN TRTHLN 4 11MM X3 TOTAL STABILIZE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIB KN TRTHLN 4 16MM X3 TOTAL STABILIZE +,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIB KN TRTHLN 6 13MM X3 CNDRL STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIB KN TRTHLN 6 19MM X3 POSTERIOR STABILIZ,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIB KN TRTHLN 8 11MM X3 CNDRL STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIB TRIATHLON PS 1 13X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIB TRIATHLON PS X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 00-0 NATURAL-KNEE II H16 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1 SPHERE GMK H10 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 1 SPHERE GMK H10 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 1 SPHERE GMK H12 MM KNEE RIGHT FLEX E-CROSS,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT TIBIAL 1 TRIATHLON H10 MM KNEE CONDYLAR STABILIZE BEARING X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 1 TRIATHLON H16 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 1 TRIATHLON H9 MM KNEE CONDYLAR STABILIZE BEARING X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 H10 MM RIGHT LATERAL LEFT MEDIAL UNICOMPARTMENTAL POLY,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT TIBIAL 1-2 H11 MM RIGHT LATERAL LEFT MEDIAL UNICOMPARTMENTAL POLY,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT TIBIAL 1-2 JOURNEY II H10 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 1-2 JOURNEY II H11 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 1-2 JOURNEY II H8 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 1-2 JOURNEY II H8 MM KNEE RIGHT MEDIAL LEFT LATERAL MODULAR UNICOMPARTMENTAL XLPE,651.0,325.5,124.67,585.9,65
HCPCS,C1776,INSERT TIBIAL 1-2 JOURNEY II H9 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H11 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H11 MM KNEE RIGHT CRUCIATE RETAIN CONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H11 MM KNEE RIGHT POSTERIOR STABILIZE UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H13 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H13 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H16 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H19 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H19 MM KNEE LEFT POSTERIOR STABILIZE UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H19 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1-2 NATURAL-KNEE II H9 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H10 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H12.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H15 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H17.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H20 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H22.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H25 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 SIGMA TC3 H30 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 1.5 TRULIANT H10 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 1.5 TRULIANT H12 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 1.5 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 11 SCORPIO-FLEX H10 MM KNEE POSTERIOR STABILIZE X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 2 GMK H12 MM POSTERIOR STABILIZE FIX PRIMARY,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 GMK H14 MM POSTERIOR STABILIZE FIX PRIMARY,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 H11 MM KNEE RIGHT MEDIAL LEFT LATERAL UNICOMPARTMENTAL POLYETHYLENE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1776,INSERT TIBIAL 2 PFC SIGMA H12.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2 PFC SIGMA H15 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2 PFC SIGMA H17.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2 PFC SIGMA H20 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2 SIGMA H8 MM KNEE UNICONDYLAR RIGHT MEDIAL LEFT LATERAL HIGH PERFORMANCE AOX,900.0,450.0,172.35,810.0,65
HCPCS,C1776,INSERT TIBIAL 2 SIGMA TC3 H12.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2 SIGMA TC3 H20 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2 SIGMA TC3 H22.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2 SIGMA TC3 H25 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2 SIGMA TC3 H30 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H10 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H10 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H10 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H10 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H12 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H12 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H13 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H13 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK H17 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 SPHERE GMK SPHERE H12 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 2 TRIATHLON H13 MM KNEE BEARING CRUCIATE RETAIN X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 2 TRIATHLON H13 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H10 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H11 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H12 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H13 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H15 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2 TRULIANT H9 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 OPTETRAK LOGIC H11 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 PFC SIGMA H10 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2.5 PFC SIGMA H12.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2.5 PFC SIGMA H15 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2.5 PFC SIGMA H17.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2.5 PFC SIGMA H20 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 2.5 SIGMA TC3 H10 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2.5 SIGMA TC3 H15 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2.5 SIGMA TC3 H22.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2.5 SIGMA TC3 H25 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2.5 SIGMA TC3 H30 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H10 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H10 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H11 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H12 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H9 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 2.5 TRULIANT H9 MM POSTERIOR STABILIZE CONSTRAIN ACTIVIT-E,745.0,372.5,142.67,670.5,65
HCPCS,C1776,INSERT TIBIAL 3 A-B NEXGEN LPS L66 MM X W42 MM X H10 MM KNEE CEMENT ALL POLY,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 3 A-B NEXGEN LPS L66 MM X W42 MM X H12 MM KNEE CEMENT ALL POLY,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 3 H11 MM KNEE RIGHT MEDIAL LEFT LATERAL UNICOMPARTMENTAL POLYETHYLENE,1350.0,675.0,258.53,1215.0,65
HCPCS,C1776,INSERT TIBIAL 3 NEUTRAL TRULIANT H10 MM CRUCIATE RETAIN ACTIVIT-E,745.0,372.5,142.67,670.5,65
HCPCS,C1776,INSERT TIBIAL 3 NEXGEN L66 MM X W42 MM X H10 MM KNEE CRUCIATE RETAIN CEMENT UHMWPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 3 OPTETRAK LOGIC H11 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 OPTETRAK LOGIC H9 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 PFC SIGMA H10 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 3 PFC SIGMA H15 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 3 PFC SIGMA H17.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 3 PFC SIGMA H20 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 3 PFC SIGMA H22.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 3 PFC SIGMA H25 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 3 SIGMA TC3 H12.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 3 SIGMA TC3 H17.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 3 SIGMA TC3 H22.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 3 SIGMA TC3 H25 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 3 SIGMA TC3 H30 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,"INSERT TIBIAL 3 SIGMA TC3,TC3 H15 MM KNEE ROTATE PLATFORM GVF UHMWPE",1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H10 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H10 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H10 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H11 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H11 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H11 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H11 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H12 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H12 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H12 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H13 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H14 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H17 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK H20 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 SPHERE GMK SPHERE H10 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 STANDARD GMK H12 MM FIX PRIMARY,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 3 TRIATHLON H16 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 3 TRIATHLON H19 MM KNEE CONDYLAR STABILIZE BEARING X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H10 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H10 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H11 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H12 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H13 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H15 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3-4 C-H NEXGEN H17 MM KNEE CRUCIATE RETAIN PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H11 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H12 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H8 MM KNEE LEFT MEDIAL RIGHT LATERAL MODULAR UNICOMPARTMENTAL XLPE,651.0,325.5,124.67,585.9,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H8 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H8 MM KNEE RIGHT MEDIAL LEFT LATERAL MODULAR UNICOMPARTMENTAL XLPE,651.0,325.5,124.67,585.9,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H9 MM KNEE LEFT MEDIAL RIGHT LATERAL MODULAR UNICOMPARTMENTAL XLPE,651.0,325.5,124.67,585.9,65
HCPCS,C1776,INSERT TIBIAL 3-4 JOURNEY II H9 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 3-4-5 NATURAL-KNEE II H11 MM KNEE LEFT CRUCIATE RETAIN CONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3-4-5 NATURAL-KNEE II H11 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3-4-5 NATURAL-KNEE II H11 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3-4-5 NATURAL-KNEE II H13 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3-4-5 NATURAL-KNEE II H9 MM KNEE LEFT CRUCIATE RETAIN ULTRACONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3-4-5 NATURAL-KNEE II H9 MM KNEE RIGHT CRUCIATE RETAIN CONGRUENT DURASUL,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 3.5 OPTETRAK LOGIC H11 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3.5 OPTETRAK LOGIC H9 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3.5 TRULIANT H10 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3.5 TRULIANT H11 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3.5 TRULIANT H12 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 3.5 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 AOX H7 MM KNEE UNICONDYLAR LEFT MEDIAL RIGHT LATERAL HIGH PERFORMANCE POLYETHYLENE,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,INSERT TIBIAL 4 C-D NEXGEN LPS L66 MM X W46 MM X H10 MM KNEE CEMENT ALL POLY,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 4 EMPOWR 3D KNEE H10 MM KNEE LEFT E-PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 4 EMPOWR PS KNEE H13 MM KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 4 EMPOWR VVC KNEE H10 MM KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 4 GMK SPHERE H10 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 NEXGEN L66 MM X W46 MM X H14 MM KNEE CRUCIATE RETAIN CEMENT UHMWPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 4 OPTETRAK LOGIC H11 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H10 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H12.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H15 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H17.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H20 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H22.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 PFC SIGMA H25 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H10 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H15 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H17.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H20 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H22.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H25 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SIGMA TC3 H30 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H10 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H10 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H10 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H11 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H11 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H11 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H11 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H12 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H12 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H12 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H12 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H13 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H13 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H13 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 SPHERE GMK H14 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 4 THK22 MM TRIATHLON H22 MM KNEE REVISION X3 POLYETHYLENE,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 4 TRIATHLON H16 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 4 TRIATHLON H19 MM KNEE CONDYLAR STABILIZE BEARING X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 4 TRIATHLON H9 MM KNEE CONDYLAR STABILIZE BEARING X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H10 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H10 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H12 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H12 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H13 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H13 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4.5 TRULIANT H10 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4.5 TRULIANT H10 MM KNEE POSTERIOR STABILIZE ACTIVIT-E,745.0,372.5,142.67,670.5,65
HCPCS,C1776,INSERT TIBIAL 4.5 TRULIANT H12 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 4.5 TRULIANT H9 MM KNEE POSTERIOR STABILIZE,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 5 ATTUNE H14 MM KNEE LEFT CRUCIATE RETAIN MEDIAL STABILIZE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT TIBIAL 5 E-F NEXGEN LPS L74 MM X W46 MM X H14 MM KNEE CEMENT ALL POLY,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 5 EMPOWR VVC KNEE H10 MM KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 5 EMPOWR VVC KNEE H14 MM KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 5 GMK SPHERE H10 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H10 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H12.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H15 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H17.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H20 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H22.5 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 PFC SIGMA H25 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 5 SCORPIO-FLEX H10 MM KNEE POSTERIOR STABILIZE HYPEREXTENSION UHMWPE COCR 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 5 SCORPIO-FLEX H10 MM KNEE POSTERIOR STABILIZE X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 5 SCORPIO-FLEX H12 MM KNEE POSTERIOR STABILIZE X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 5 SCORPIO-FLEX H8 MM KNEE POSTERIOR STABILIZE HYPEREXTENSION UHMWPE COCR 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 5 SIGMA TC3 H10 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 5 SIGMA TC3 H12.5 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 5 SIGMA TC3 H20 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 5 SIGMA TC3 H30 MM KNEE ROTATE PLATFORM GVF UHMWPE,1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,"INSERT TIBIAL 5 SIGMA TC3,TC3 H15 MM KNEE ROTATE PLATFORM GVF UHMWPE",1592.4,796.2,304.94,1433.16,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H10 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H10 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H10 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H11 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H11 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H11 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H12 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H12 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H13 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H13 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H14 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H14 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK H14 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 SPHERE GMK SPHERE H12 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 5 TRIATHLON H16 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 5 TRIATHLON H22 MM KNEE POSTERIOR STABILIZE BEARING X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 5 TRIATHLON H9 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 5 TRULIANT H11 MM KNEE POSTERIOR STABILIZE CONSTRAIN,495.0,247.5,94.79,445.5,65
HCPCS,C1776,INSERT TIBIAL 5 TRULIANT H9 MM POSTERIOR STABILIZE CONSTRAIN ACTIVIT-E,745.0,372.5,142.67,670.5,65
HCPCS,C1776,INSERT TIBIAL 5-6 H10 MM RIGHT LATERAL LEFT MEDIAL UNICOMPARTMENTAL POLY,633.0,316.5,121.22,569.7,65
HCPCS,C1776,INSERT TIBIAL 5-6 JOURNEY II H10 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 5-6 JOURNEY II H8 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 5-6 JOURNEY II H8 MM KNEE RIGHT MEDIAL LEFT LATERAL MODULAR UNICOMPARTMENTAL XLPE,651.0,325.5,124.67,585.9,65
HCPCS,C1776,INSERT TIBIAL 5-6 JOURNEY II H9 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 5-6 JOURNEY II H9 MM KNEE RIGHT MEDIAL LEFT LATERAL MODULAR UNICOMPARTMENTAL XLPE,651.0,325.5,124.67,585.9,65
HCPCS,C1776,INSERT TIBIAL 6 EVOLUTION BIOFOAM SCREWLESS LEFT,2308.0,1154.0,441.98,2077.2,65
HCPCS,C1776,INSERT TIBIAL 6 NEXGEN L74 MM X W50 MM X H12 MM KNEE CRUCIATE RETAIN CEMENT UHMWPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 6 PFC SIGMA H10 MM KNEE STABILIZE ROTATE PLATFORM GVF,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H10 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H10 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H10 MM KNEE RIGHT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H10 MM KNEE RIGHT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H11 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H12 MM KNEE LEFT FIX FLEX,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6 SPHERE GMK H12 MM KNEE LEFT FLEX E-CROSS,800.0,400.0,153.2,720.0,65
HCPCS,C1776,INSERT TIBIAL 6-7 C-D PERSONA H18 MM KNEE RIGHT FIX BEARING ARTICULAR SURFACE CONGRUENT VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL 6-7 JOURNEY II H8 MM KNEE LATERAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 7 EMPOWR 3D KNEE H10 MM KNEE LEFT E-PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 7 EMPOWR VVC KNEE H12 MM KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 7 G-H NEXGEN LPS L82 MM X W50 MM X H10 MM KNEE CEMENT ALL POLY,650.0,325.0,124.48,585.0,65
HCPCS,C1776,INSERT TIBIAL 7 SCORPIO NRG H12 MM KNEE POSTERIOR STABILIZE BEARING N2VAC,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 7 SCORPIO-FLEX H10 MM KNEE POSTERIOR STABILIZE X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 7 SCORPIO-FLEX H15 MM KNEE CRUCIATE RETAIN HYPEREXTENSION UHMWPE COCR 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 7 SCORPIO-FLEX H15 MM KNEE POSTERIOR STABILIZE X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 7 SCORPIO-FLEX H8 MM KNEE POSTERIOR STABILIZE X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 7 TRIATHLON H11 MM KNEE BEARING CRUCIATE RETAIN X3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL 7 TRIATHLON H22 MM KNEE REVISION X3,2520.0,1260.0,482.58,2268.0,65
HCPCS,C1776,INSERT TIBIAL 7-8 JOURNEY II H10 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 7-8 JOURNEY II H11 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 7-8 JOURNEY II H8 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 7-8 JOURNEY II H9 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 8 ATTUNE H10 MM KNEE LEFT CRUCIATE RETAIN MEDIAL STABILIZE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT TIBIAL 8 EMPOWR 3D KNEE H10 MM KNEE LEFT E-PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 8 EMPOWR 3D KNEE H10 MM KNEE RIGHT E-PLUS,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,INSERT TIBIAL 8 EMPOWR 3D KNEE H12 MM KNEE LEFT E-PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 8 STANDARD EVOLUTION MP KNEE RIGHT SCREWLESS BIOFOAM,2308.0,1154.0,441.98,2077.2,65
HCPCS,C1776,INSERT TIBIAL 9 ATTUNE H6 MM KNEE RIGHT CRUCIATE RETAIN MEDIAL STABILIZE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,INSERT TIBIAL 9 EMPOWR 3D KNEE H12 MM KNEE LEFT E-PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 9 EMPOWR 3D KNEE H12 MM KNEE RIGHT E-PLUS,1435.0,717.5,274.8,1291.5,65
HCPCS,C1776,INSERT TIBIAL 9 EMPOWR VVC KNEE H19 MM KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,INSERT TIBIAL 9 SCORPIO-FLEX H12 MM KNEE POSTERIOR STABILIZE HYPEREXTENSION UHMWPE COCR 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 9 SCORPIO-FLEX H15 MM KNEE POSTERIOR STABILIZE HYPEREXTENSION UHMWPE COCR 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 9 SCORPIO-FLEX H8 MM KNEE POSTERIOR STABILIZE HYPEREXTENSION UHMWPE COCR 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL 9-10 JOURNEY II H10 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 9-10 JOURNEY II H8 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL 9-10 JOURNEY II H9 MM KNEE MEDIAL UNICOMPARTMENTAL XLPE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL A NATURAL-KNEE H19 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL A NATURAL-KNEE H9 MM KNEE RIGHT CRUCIATE RETAIN ULTRACONGRUENT PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TIBIAL AXSOS FEMUR LATERAL DISTAL LOCK STAINLESS STEEL SMALL FRAGMENT,34.68,17.34,6.64,31.21,65
HCPCS,C1776,INSERT TIBIAL B NA KNEE SEGMENT POLYETHYLENE,258.0,129.0,49.41,232.2,65
HCPCS,C1776,INSERT TIBIAL FEMUR LATERAL DISTAL AXSOS STAINLESS STEEL LOCK NONSTERILE BASIC FRAGMENT SET,40.8,20.4,7.81,36.72,65
HCPCS,C1776,INSERT TIBIAL KNEE DISTAL GMRS M2 2 MEDIUM LARGE 10MM BEARING MODULAR ROTATE HINGE,1077.45,538.73,206.33,969.71,65
HCPCS,C1776,INSERT TIBIAL KNEE DISTAL GMRS M2 2 MEDIUM LARGE 13MM BEARING MODULAR ROTATE HINGE,1077.45,538.73,206.33,969.71,65
HCPCS,C1776,INSERT TIBIAL KNEE DISTAL GMRS M2 2 MEDIUM LARGE 16MM BEARING MODULAR ROTATE HINGE,1077.45,538.73,206.33,969.71,65
HCPCS,C1776,INSERT TIBIAL KNEE DISTAL GMRS M2 2 MEDIUM LARGE 20MM BEARING MODULAR ROTATE HINGE,1077.45,538.73,206.33,969.71,65
HCPCS,C1776,INSERT TIBIAL KNEE DISTAL GMRS M2 2 MEDIUM LARGE 24MM BEARING MODULAR ROTATE HINGE,1077.45,538.73,206.33,969.71,65
HCPCS,C1776,INSERT TIBIAL KNEE LEFT ATTUNE 10 5MM CRUCIATE RETAIN MEDIAL STABILIZE,716.4,358.2,137.19,644.76,65
HCPCS,C1776,INSERT TIBIAL KNEE LEFT ATTUNE 8 12MM CRUCIATE RETAIN MEDIAL STABILIZE,716.4,358.2,137.19,644.76,65
HCPCS,C1776,INSERT TIBIAL KNEE MEDIAL JOURNEY II 3-4 10MM XLPE UNICOMPARTMENTAL STERILE LATEX FREE,633.6,316.8,121.33,570.24,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 1 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 2 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 2 9MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 3 10MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 3 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 3 9MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 4 10MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 4 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 4 9MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 5 10MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 5 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 5 9MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 6 10MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 6 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 6 9MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 7 8MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 7 9MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE RESTORIS 8 10MM ONLAY MULTICOMPARTMENTAL STERILE LATEX FREE,400.0,200.0,76.6,360.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO 11 12MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO 7 18MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 11 10MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 11 12MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 5 10MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 5 12MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 5 15MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 5 8MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 7 10MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 7 12MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 7 15MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 7 18MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 7 8MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 9 10MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 9 12MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 9 15MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 9 21MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO NRG 9 8MM X3 POSTERIOR STABILIZE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO-FLEX 11 10MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO-FLEX 11 12MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO-FLEX 11 8MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO-FLEX 7 15MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE SCORPIO-FLEX 7 18MM UHMWPE COCR POSTERIOR STABILIZE HYPEREXTENSION STERILE 1 AXIS KNEE SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 14MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 16MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 25MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 1 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 11MM POLYETHYLENE POSTERIOR STABILIZE BEARING STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 12MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 13MM POSTERIOR STABILIZE BEARING STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 13MM X3 CRUCIATE RETAIN,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 14MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 16MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 19MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 22MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 25MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 28MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 31MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 9MM X3 BEARING CRUCIATE RETAIN STERILE LATEX FREE - 5530-G-209,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-209-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-209,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 2 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-311,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-311,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-311-E,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 12MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-313,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-313,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 14MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 14MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 16MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 16MM X3 POSTERIOR S,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-316-E,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 19MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 25MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 28MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 9MM POLYETHYLENE CONDYLAR STABILIZE BEARING STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-309-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-309,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 3 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-411,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-411,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 12MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-413-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-413,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-413,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 14MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 16MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-416-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-416-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 19MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-419,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 22MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 25MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 28MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 9MM POLYETHYLENE POSTERIOR STABILIZE BEARING STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 9MM X3 BEARING CRUCIATE RETAIN STERILE LATEX FREE - 5530-G-409,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-409,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-409,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 4 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-511-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-511,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-511,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 12MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-513-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 14MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 14MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 19MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 25MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-509,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-509,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 5 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-611,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-611,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 12MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 13MM POLYETHYLENE POSTERIOR STABILIZE BEARING STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-613,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 14MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 16MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-616,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 19MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-619-E,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 28MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 31MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 BEARING CRUCIATE RETAIN STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 BEARING CRUCIATE RETAIN STERILE LATEX FREE - 5530-G-609-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-609,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-609,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-711,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-711,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 12MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 13MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 14MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 16MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-716-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 19MM X3 BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 19MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 19MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE - 5537-G-722-E,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 25MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-709,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-709,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 7 9MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 10MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 10MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 11MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-811,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 11MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 12MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 13MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-813,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 16MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-816,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 16MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 19MM POLYETHYLENE CONDYLAR STABILIZE BEARING STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 22MM X3 TOTAL STABILIZE PLUS STERILE LATEX FREE,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-809-E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE TRIATHLON 8 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-809,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT TIBIAL KNEE UNITY KNEE 5 11MM POSTERIOR STABILIZE FIX BEARING,500.0,250.0,95.75,450.0,65
HCPCS,C1776,INSERT TIBIAL PERSONA H18 MM KNEE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,INSERT TRIATHLON CS 2 13MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY 4 9,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY 5 9,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY 6 9,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY 7 9,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY1 13,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY1 9,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY2 13,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY2 19,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY2 22,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY3 22,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY4 22,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY5 13,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY5 19,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY5 22,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY7 11,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY7 13,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY7 16,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY7 19,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY7 25,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TIB TS PLUS POLY8 13,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,INSERT X3 TRIATHLON CR 3 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CR 7 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CR 8 13MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS #4 10MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 1 11MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 2 11MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 3 13MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 3 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 5 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 5 19MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 6 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON CS 7 13MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 1 11MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 1 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 1 9MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 3 22MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 3 96MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 4 19MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 4 22MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 5 16MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 5 19MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 7 13MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INSERT X3 TRIATHLON PS 7 19MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,INTRODUCER SHEATH OD6 FR L23 CM GUIDEWIRE HEMOSTASIS VALVE SIDEPORT DILATOR SNAP LOCK MAXIMUM .038 IN L80 CM,116.25,58.13,22.26,104.63,65
HCPCS,C1776,JOINT FINGER 1 PIP SILICONE 1 PIECE FLEXIBLE HINGE STEM STERILE LATEX FREE,1940.4,970.2,371.59,1746.36,65
HCPCS,C1776,JOINT FINGER SILICONE 05 MCP,1940.4,970.2,371.59,1746.36,65
HCPCS,C1776,JOINT FINGER SMALL BASE REFLEXION PHALANX,1141.0,570.5,218.5,1026.9,65
HCPCS,C1776,JOINT FINGER TRANSFORMING EXTREMITIES 30D 40 METACARPOPHALANGEAL SILICONE CEMENTLESS PREFLEX,1940.4,970.2,371.59,1746.36,65
HCPCS,C1776,JOINT TOE MEDIUM METATARSOPHALANGEAL REPLACEMENT,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,KIT ARTHROSCOPIC FIXATION 2 2.4MM CANNULATION GUIDE PIN PUSHER TAPER NEEDLE TOGGLELOC MAXBRAID ELBOW SYSTEM,1372.0,686.0,262.74,1234.8,65
HCPCS,C1776,KIT GRAFT HARVEST OD10 MM OATS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,KIT ORTHOPEDIC POLYETHYLENE F/PROCEDURE AXIOM STERILE,925.0,462.5,177.14,832.5,65
HCPCS,C1776,KIT SCREW REVERSE TORQUE DEFINE EQUINOXE REVERSE SHOULDER,205.0,102.5,39.26,184.5,65
HCPCS,C1776,KIT TKR SIZE C FEMORAL BUSHING HINGE ROTATING NEXGEN STERILE 1/EA SERVICE,1092.0,546.0,209.12,982.8,65
HCPCS,C1776,KIT TKR SIZE D FEMORAL BUSHING HINGE ROTATING NEXGEN STERILE 1/EA SERVICE,1092.0,546.0,209.12,982.8,65
HCPCS,C1776,KIT TKR SIZE F FEMORAL BUSHING HINGE ROTATING NEXGEN STERILE 1/EA SERVICE,1092.0,546.0,209.12,982.8,65
HCPCS,C1776,LEGION FINNED TIB WEDGE SZ2 15MM RIGHT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,LEGION FINNED TIB WEDGE SZ3 15MM RIGHT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,LINER ACET X3 0D 32MM C,633.0,316.5,121.22,569.7,65
HCPCS,C1776,LINER ACET X3 0D 36MM G,633.0,316.5,121.22,569.7,65
HCPCS,C1776,LINER ACET X3 10D XFIRE 36F,633.0,316.5,121.22,569.7,65
HCPCS,C1776,LINER ACETABULAR +0 L32 MM POLYETHYLENE +0 RING POLY,1250.0,625.0,239.38,1125.0,65
HCPCS,C1776,LINER ACETABULAR +1 SIZE A 28MM VIVACIT-E 10DEG ANGLED NON-CONSTRAINED G7,725.0,362.5,138.84,652.5,65
HCPCS,C1776,LINER ACETABULAR +3MM 28 40MM HIGH WALL ARCOMXL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR 10 D 36E HXE+ HOOD HIP EMPOWR SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR 22MM 32MM XLPE DUAL MOBILITY OR3O,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR 22MM 34MM XLPE DUAL MOBILITY OR30,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR 32D NEUTRAL HXE+ HIP STERILE LATEX FREE EMPOWR SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR 32MM 44MM XLPE DUAL MOBILITY OR3O,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER ACETABULAR 36E NEUTRAL HXE+ HIP STERILE LATEX FREE EMPOWR SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR 36F NEUTRAL HXE+ HIP STERILE LATEX FREE EMPOWR SYSTEM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR 36MM ID 68MM OD LONGEVITY XL UHMWPE FULL-HEMISPHERE CONSTRAINED MODULAR LOCKING RING TRILOGY STERILE,575.0,287.5,110.11,517.5,65
HCPCS,C1776,LINER ACETABULAR 40E METAL EMPOWR ACETABULAR 2 MOBILITY,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR 44G METAL EMPOWR ACETABULAR 2 MOBILITY HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR 44MM ID 62MM OD XLPE 0DEG ANGLED R3 STERILE,575.0,287.5,110.11,517.5,65
HCPCS,C1776,LINER ACETABULAR 4MM OFFSET SIZE E 36MM DIA HYDROPHYLIC COATED FLAT MPACT,650.0,325.0,124.48,585.0,65
HCPCS,C1776,LINER ACETABULAR 54MM OD 28MM ID DUAL MOBILITY BIRMINGHAM HIP,660.0,330.0,126.39,594.0,65
HCPCS,C1776,LINER ACETABULAR 7 32MM ID 46MM OD FF SHELL 6.7MM THK LONGEVITY HXLPE CONTINUUM STERILE,575.0,287.5,110.11,517.5,65
HCPCS,C1776,LINER ACETABULAR BIPOLAR 26MM IS 42/43MM OD UHMWPE VERSYS LD/FX MULTIPOLAR STERILE,175.0,87.5,33.51,157.5,65
HCPCS,C1776,LINER ACETABULAR CEMENTED 44MM ID 64MM OD XLPE 0DEG ANGLED LORDOTIC REDAPT,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,LINER ACETABULAR ELEVATED 36MM ID 70MM OD RR SHELL 12.7MM THK LONGEVITY HXLPE CONTINUUM STERILE,575.0,287.5,110.11,517.5,65
HCPCS,C1776,LINER ACETABULAR EMPHASYS +4 NEUTRAL 46MM 32MM POLYETHYLENE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR EMPHASYS +4 NEUTRAL 54MM 36MM POLYETHYLENE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR EMPHASYS +4MM NEUTRAL 60-62MM 36MM AOX,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR EMPHASYS 56-58MM 36MM ELEVATE AOX,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR EMPHASYS NEUTRAL 54MM 40MM AOX HIP,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR EMPHASYS NEUTRAL 60-62MM 40MM AOX,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR FACE CHANGING SIZE B 28MM UHMWPE 10DEG ANGLED HIGH CROSS MPACT,650.0,325.0,124.48,585.0,65
HCPCS,C1776,LINER ACETABULAR FACE CHANGING SIZE E 36MM UHMWPE 10DEG ANGLED HIGH CROSS MPACT,650.0,325.0,124.48,585.0,65
HCPCS,C1776,LINER ACETABULAR FACE CHANGING SIZE F 40MM UHMWPE 10DEG ANGLED HIGH CROSS MPACT,650.0,325.0,124.48,585.0,65
HCPCS,C1776,LINER ACETABULAR G7 I 40MM LUMEN VIVACIT-E HIP STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR G7 SIZE B 32MM NON-CONSTRAINED LONGEVITY,575.0,287.5,110.11,517.5,65
HCPCS,C1776,LINER ACETABULAR ID26 MM 22 ARCOM RINGLOC HIGH WALL RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM +3 MM 21 ARCOMXL RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM +3 MM 21 ARCOMXL RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 10 D 24 E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 10 D 25 E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 10 D 26 E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 10 D 27 E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 10 D 28 E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 25 E-POLY RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 26 E-POLY RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 26 E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 27 E-POLY RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 28 E-POLY RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM 28 STANDARD E-POLY RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID28 MM A NEUTRAL E1 G7 HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID32 MM A COCR G7 2 MOBILITY HIP,1344.0,672.0,257.38,1209.6,65
HCPCS,C1776,LINER ACETABULAR ID32 MM NEUTRAL ALTEON GROUP 3 HIP,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR ID32 MM NEUTRAL CONNEXION GXL NOVATION GROUP 1 HIP CROWN CUP SYSTEM,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER ACETABULAR ID36 MM +3 MM 23 ARCOMXL RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 10 D 24 ARCOMXL RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 10 D 25 ARCOMXL RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 24 ARCOM RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 26 ARCOM RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 27 ARCOM RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 28 ARCOM RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,"LINER ACETABULAR ID36 MM 44 RINGLOC RX90-2,RX90-2 HIP",600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 45 ARCOMXL RX90-2 HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 46 ARCOMXL RX90-2 HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 47 RX90-2 HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM 48 ARCOMXL RX90-2 HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM D NEUTRAL ARCOMXL G7 HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM F ARCOMXL G7 HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM I VIVACIT-E G7 LUMEN HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM J VIVACIT-E G7 LUMEN HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM NEUTRAL ALTEON GROUP 4 HIP,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM NEUTRAL ALTEON GROUP 5 HIP,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR ID36 MM NEUTRAL CONNEXION GXL NOVATION GROUP 2 HIP CROWN CUP SYSTEM,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER ACETABULAR ID36 MM NEUTRAL CONNEXION GXL NOVATION GROUP 3 HIP CROWN CUP SYSTEM,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER ACETABULAR ID36 MM NEUTRAL XLE NOVATION GROUP 2,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR ID38 MM 28 E-POLY RINGLOC HIP,1450.0,725.0,277.68,1305.0,65
HCPCS,C1776,LINER ACETABULAR ID40 MM +3 MM 27 ARCOMXL RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID40 MM +3 MM 27 ARCOMXL RINGLOC HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID40 MM +3 MM 28 ARCOMXL RINGLOC HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID40 MM DYNASTY 2 MOBILITY GROUP D HIP,1680.0,840.0,321.72,1512.0,65
HCPCS,C1776,LINER ACETABULAR ID40 MM NEUTRAL ALTEON GROUP 7 HIP,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR ID44 MM H E1 G7 HIGH WALL HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR ID60 MM J COCR G7 2 MOBILITY HIP,1344.0,672.0,257.38,1209.6,65
HCPCS,C1776,LINER ACETABULAR MDM C 36MM COCR HIP 22.2MM FEMORAL HEAD,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR MDM D 38MM COCR HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR MDM F 46MM COCR HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR MDM G 48MM COCR HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR MDM H 52MM COCR HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR MDM I 54MM COCR HIP 28MM FEMORAL HEAD,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR MP9 NEUTRAL 40MM NONHOOD HXE+ HIP STERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR NEUTRAL 40MM 64MM STANDARD 9.9MM THK LONGEVITY 0DEG ANGLED FULL HEMISPHERE PRIMARY MODULAR TRILOGY STERILE,575.0,287.5,110.11,517.5,65
HCPCS,C1776,LINER ACETABULAR NEUTRAL 50MM 32MM AOX POLYETHYLENE EMPHASYS,725.0,362.5,138.84,652.5,65
HCPCS,C1776,LINER ACETABULAR NEUTRAL 64-66MM 36MM AOX POLYETHYLENE EMPHASYS,725.0,362.5,138.84,652.5,65
HCPCS,C1776,LINER ACETABULAR NEUTRAL SIZE H 40MM HLE PLUS F/56/58MM HEAD EMPOWR,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR NEUTRAL SIZE I 40MM ID 60/62MM HXE+ EMPOWR,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD28 MM B HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM C HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM C HIGHCROSS UHMWPE MPACT HOOD HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM D HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM D HIGHCROSS UHMWPE MPACT HOOD HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM E HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM E HIGHCROSS UHMWPE MPACT HOOD HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM F HIGHCROSS UHMWPE MPACT HOOD HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD32 MM G HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD36 MM E HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD36 MM F HIGHCROSS UHMWPE MPACT HOOD HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD40 MM F HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD40 MM G HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD42 MM F METAL EMPOWR ACETABULAR 2 MOBILITY HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR OD42 MM ID28 MM POLY EMPOWR ACETABULAR 2 MOBILITY BEARING HIP,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR OD44 MM ID22 MM 0 D STANDARD NEUTRAL H7.1 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD44 MM ID22 MM DMB HIGHCROSS UHMWPE VERSAFITCUP 2 MOBILITY HIP,807.0,403.5,154.54,726.3,65
HCPCS,C1776,LINER ACETABULAR OD44 MM ID28 MM 0 D STANDARD NEUTRAL H5.2 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD44 MM ID28 MM EE ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD44 MM ID28 MM EE NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD46 MM H METAL EMPOWR ACETABULAR 2 MOBILITY HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR OD46 MM ID28 MM 10 D H6.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD46 MM ID28 MM FF ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD46 MM ID28 MM FF NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM F HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID28 MM 10 D H6.2 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID28 MM 20 D H6.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID28 MM GG ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID28 MM GG NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID32 MM 45 D 7 MM OFFSET GG LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID32 MM 7 MM OFFSET H5.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID36 MM +4 MM AOX EMPHASYS NEUTRAL,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR OD48 MM ID36 MM AOX EMPHASYS ELEVATE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR OD50 MM ID28 MM HH ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD50 MM ID28 MM HH NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD50 MM ID28 MM II NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD50 MM ID32 MM 45 D 7 MM OFFSET HH LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD50 MM ID36 MM +4 MM NEUTRAL AOX EMPHASYS HIP,725.0,362.5,138.84,652.5,65
HCPCS,C1776,LINER ACETABULAR OD50 MM ID36 MM 0 D XLPE R3 HIP,1774.75,887.38,339.86,1597.28,65
HCPCS,C1776,LINER ACETABULAR OD50-54 MM ID26 MM 10 D H8.2 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD50-54 MM ID28 MM 10 D H7.2 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD50-54 MM ID28 MM 20 D H7.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD52 MM G HIGHCROSS UHMWPE MPACT FLAT HEAD HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD52 MM ID28 MM II NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD54 MM ID28 MM JJ ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD54 MM ID28 MM JJ NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD54 MM ID28 MM JJ NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD54 MM ID32 MM 45 D 7 MM OFFSET JJ LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD54 MM ID32 MM JJ ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD54-56 MM ID28 MM 0 D F CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD54-56 MM ID36 MM 0 D F XLPE HIP,1488.0,744.0,284.95,1339.2,65
HCPCS,C1776,LINER ACETABULAR OD54-56 MM ID36 MM 20 D F XLPE HIP,1488.0,744.0,284.95,1339.2,65
HCPCS,C1776,LINER ACETABULAR OD54-56 MM ID36 MM EXP ONVOY HOOD HIP,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID28 MM 0 D STANDARD NEUTRAL H8.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID28 MM 20 D H8.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID28 MM KK NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID32 MM 0 D STANDARD NEUTRAL H6.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID32 MM 45 D 7 MM OFFSET KK LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID32 MM 45 D KK OBLIQUE LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56 MM ID32 MM KK ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD56-58 MM ID36 MM NEUTRAL AOX EMPHASYS HIP,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID22 MM 0 D STANDARD NEUTRAL H12.2 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID26 MM 0 D STANDARD NEUTRAL H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID28 MM 0 D STANDARD NEUTRAL H9.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID28 MM 10 D H9.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID28 MM 20 D H9.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID28 MM POLY EMPOWR ACETABULAR 2 MOBILITY BEARING HIP,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID32 MM 0 D STANDARD NEUTRAL H7.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID32 MM 20 D H7.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID32 MM 45 D 7 MM OFFSET LL LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID32 MM 7 MM OFFSET H7.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID32 MM LL ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID32 MM LL NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM ID36 MM 45 D LL OBLIQUE LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD58 MM K METAL EMPOWR ACETABULAR 2 MOBILITY HIP,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,LINER ACETABULAR OD58-60 MM ID28 MM 0 D G CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD58-60 MM ID36 MM 0 D G XLPE HIP,1488.0,744.0,284.95,1339.2,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID28 MM 0 D STANDARD NEUTRAL H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID28 MM 10 D H10.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID28 MM 7 MM OFFSET H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID32 MM 20 D H8.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID32 MM 45 D 7 MM OFFSET MM LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID32 MM 7 MM OFFSET H8.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID32 MM MM ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60 MM ID32 MM MM NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD60-62 MM ID36 MM NEUTRAL AOX EMPHASYS,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR OD60-62 MM ID40 MM +4 MM NEUTRAL AOX EMPHASYS,150.0,75.0,28.73,135.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID28 MM 0 D STANDARD NEUTRAL H11.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID28 MM 10 D H11.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID32 MM 10 D H9.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID32 MM 20 D H9.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID32 MM 45 D 7 MM OFFSET NN LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID32 MM 7 MM OFFSET H9.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62 MM ID32 MM NN ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD62-64 MM ID28 MM 0 D H CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD62-64 MM ID32 MM 0 D H CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD62-64 MM ID36 MM 0 D NEUTRAL LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID28 MM 7 MM OFFSET H12.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM 0 D STANDARD NEUTRAL H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM 10 D H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM 20 D H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM 45 D 7 MM OFFSET OO LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM 45 D OO LONGEVITY CONSTRAIN HIP,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM 7 MM OFFSET H10.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM OO ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM OO ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID32 MM OO NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD64 MM ID36 MM 45 D OO LONGEVITY CONSTRAIN HIP,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID32 MM 0 D STANDARD NEUTRAL H11.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID32 MM 10 D H11.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID32 MM 45 D 7 MM OFFSET PP LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID32 MM 7 MM OFFSET H11.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID32 MM PP ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID36 MM 45 D 7 MM OFFSET PP LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID36 MM PP NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID36 MM QU ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID40 MM 0 D STANDARD NEUTRAL H10.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66 MM ID40 MM PP NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD66-68 MM ID28 MM 0 D J CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD66-68 MM ID32 MM 0 D J CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD66-70 MM ID40 MM 0 D NEUTRAL LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD66-70 MM ID40 MM 10 D OBLIQUE LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD66-70 MM ID52 MM OR3O 2 MOBILITY,1595.0,797.5,305.44,1435.5,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID32 MM 10 D H12.4 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID32 MM 45 D 7 MM OFFSET QU LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID32 MM QU ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID36 MM 45 D 7 MM OFFSET QU LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID36 MM QU ELEVATE LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID36 MM QU ELEVATE VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID36 MM QU NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD68 MM ID40 MM QU NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70 MM ID32 MM 10 D H13.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70 MM ID32 MM 20 D H13.3 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70 MM ID36 MM 0 D STANDARD NEUTRAL H14.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70 MM ID36 MM 45 D 7 MM OFFSET RR LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70 MM ID36 MM RR NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70 MM ID40 MM RR NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD70-76 MM ID28 MM 0 D K CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD70-76 MM ID32 MM 0 D K CONSTRAIN HIP,1965.0,982.5,376.3,1768.5,65
HCPCS,C1776,LINER ACETABULAR OD72 MM ID36 MM 0 D STANDARD NEUTRAL H15.8 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD72 MM ID36 MM SS NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD72 MM ID40 MM 0 D STANDARD NEUTRAL H13.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD72 MM ID40 MM SS NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD72 MM ID40 MM SS NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD72-74 MM ID36 MM 0 D NEUTRAL LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD72-74 MM ID40 MM 0 D NEUTRAL LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD74 MM ID36 MM TT NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD74 MM ID40 MM 0 D STANDARD NEUTRAL H14.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD74 MM ID40 MM TT NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD76 MM ID36 MM 10 D H17.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD76 MM ID36 MM 45 D 7 MM OFFSET UU LONGEVITY HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD76 MM ID36 MM 45 D UU LONGEVITY CONSTRAIN HIP,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1776,LINER ACETABULAR OD76 MM ID36 MM UU NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD76 MM ID40 MM UU NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD76-80 MM ID36 MM 0 D NEUTRAL LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD76-80 MM ID40 MM 0 D NEUTRAL LONGEVITY REVISION SHELL HIP,1295.0,647.5,247.99,1165.5,65
HCPCS,C1776,LINER ACETABULAR OD78 MM ID36 MM 10 D H18.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP ELEVATE RIM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD78-80 MM ID36 MM VV NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD78-80 MM ID40 MM VV NEUTRAL LONGEVITY HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD78-80 MM ID40 MM VV NEUTRAL VIVACIT-E HIP CONTINUUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR OD80 MM ID40 MM 0 D STANDARD NEUTRAL H17.9 MM LONGEVITY TRILOGY PRIMARY MODULAR CUP HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR RINGLOC 25 36MM ARCOM HIP,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR SIZE 2 35/22MM DIA ECIMA DUAL,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR SIZE 2 35MM DIA COCR DUAL MOBILITY TRINITY,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER ACETABULAR SIZE A 28MM ID NEUTRAL VIVACIT-E NON-CONSTRAINED G7,725.0,362.5,138.84,652.5,65
HCPCS,C1776,LINER ACETABULAR TRIDENT ALPHA CODE B LUMEN/INNER 32MM NON CONSTRAINED POLYETHYLENE STERILE,633.0,316.5,121.22,569.7,65
HCPCS,C1776,LINER G7 HI-WALL F 36MMLONGEVITY,600.0,300.0,114.9,540.0,65
HCPCS,C1776,LINER GLENOID STANDARD CONVERSION COMPREHENSIVE E1 SHOULDER,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,LINER HUMERAL +0 MM REVERSE CONSTRAIN OD38 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +0 MM REVERSE CONSTRAINED OD42 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +0 MM REVERSE OD38 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +0 MM REVERSE OD42 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +0 MM SMALL REVERSE OD40 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +0MM 36MM DIA UHMWPE SHOULDER REVERSED STERILE SINGLE-USE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL +0MM 42MM DIA 20.8MMH HCPE SHOULDER REVERSE STERILE SINGLE-USE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL +2.5 MM REVERSE CONSTRAIN OD38 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +2.5 MM REVERSE OD38 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +2.5 MM REVERSE OD42 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +2.5 MM SMALL REVERSE CONSTRAIN OD40 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +2.5 MM SMALL REVERSE OD40 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL +3 MM COMBINATION OD36 MM UNIVERS REVERS 36 MM GLENOSPHERE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL +3 MM REVERSE OD36 MM SMR LIMAVIT SHOULDER,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL +3 MM REVISION REVERSE OD36 MM SMR UHMWPE SHOULDER,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL +6 MM RETENTIVE REVERSE REVISION OD36 MM SMR UHMWPE,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL +6 MM REVERSE OD36 MM SMR UHMWPE SHOULDER,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL +6 MM REVERSE OD40 MM SMR SHOULDER,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL +6MM 36MM LIMAVIT UHMWPE REVERSE F/MODULAR SHOULDER REPLACEMENT SMR STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,LINER HUMERAL 0 MM OFFSET OD36 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL 145 D +0 MM CONSTRAIN OD38 MM EQUINOXE POLYETHYLENE SHOULDER FRACTURE REVERSE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL 145 D +0 MM CONSTRAIN OD40 MM EQUINOXE POLYETHYLENE SHOULDER SMALL REVERSE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL 145 D +2.5 MM CONSTRAIN OD36 MM EQUINOXE POLYETHYLENE SHOULDER SMALL REVERSE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL 145 D +2.5 MM CONSTRAIN OD40 MM EQUINOXE POLYETHYLENE SHOULDER SMALL REVERSE,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL 2.5 MM OFFSET ID 36 MM EQUINOXE SHOULDER,635.0,317.5,121.6,571.5,65
HCPCS,C1776,LINER HUMERAL 32MM DIA +0MM OFFSET HCPE REVERSE SHOULDER,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 36MM DIA +6MM OFFSET 24.4MMH HCPE SHOULDER REVERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 39MM DIA +0MM 19.1MML HXLPE W/REVERSE METAPHYSIS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 39MM DIA +3MM OFFSET REVERSE HCPE STERILE SINGLE-USE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 39MM DIA +6MM OFFSET 25.1MMH HCPE SHOULDER REVERSE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 40MM +0MM X-LINKED VITAMIN E PE REVERSE F/SHOULDER SYSTEM INHANCE,900.0,450.0,172.35,810.0,65
HCPCS,C1776,LINER HUMERAL 40MM +0MM X-LINKED VITAMIN E PE REVERSE RETENTIVE F/SHOULDER SYSTEM INHANCE,900.0,450.0,172.35,810.0,65
HCPCS,C1776,LINER HUMERAL 40MM +3MM POLYETHYLENE SHOULDER REVERSE SMR STERILE,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL 40MM +4MM X-LINKED VITAMIN E PE REVERSE F/SHOULDER SYSTEM INHANCE,900.0,450.0,172.35,810.0,65
HCPCS,C1776,LINER HUMERAL 40MM +4MM X-LINKED VITAMIN E PE REVERSE RETENTIVE F/SHOULDER SYSTEM INHANCE,900.0,450.0,172.35,810.0,65
HCPCS,C1776,LINER HUMERAL 40MM +6MM VITAMIN E HIGHLY CROSSLINKED UHMWPE SHOULDER REVERSE LIMAVIT SMR,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 42+3MM DIA REVERSE HCPE STERILE SINGLE-USE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL 42MM +2.5MM THK POLYETHYLENE 145DEG REVERSE CONSTRAINED EQUINOXE STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL 42MM DIA 6MM THK TITANIUM 7.5DEG ANGLED REVERSED REVISION AEQUALIS,848.0,424.0,162.39,763.2,65
HCPCS,C1776,LINER HUMERAL 42MM OD 6MML REVERSE SHOULDER,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER HUMERAL H+3 MM REVERSE OD36 MM SHOULDER SYSTEM HIGH CHLORINATE POLYETHYLENE UHMWPE SHOULDER ARTHROPLASTY,1300.0,650.0,248.95,1170.0,65
HCPCS,C1776,LINER HUMERAL R1 32MM +0MM THK REV PE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL R1 32MM +4MM THK REV PE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL R1 36MM +0MM THK REV PE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL R1 36MM +4MM THK REV PE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL R1 40MM +4MM THK REV PE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL SIZE 3-4 JOURNEY TIBIA MEDIAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER HUMERAL STANDARD REVERSE OD36 MM SMR UHMWPE,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER HUMERAL XS LINER 33+6MM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER SHOULDER +3 MM REVERSE OD40 MM SMR,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER SHOULDER +3 MM REVERSE RETENTIVE OD40 MM SMR,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER SHOULDER +6 MM REVERSE RETENTIVE OD40 MM SMR,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER SHOULDER HUMERUS 12D 65D H+3MM 40MM REVERSE RETENTIVE POLYETHYLENE STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,LINER SHOULDER HUMERUS 65D +0MM 36MM RETENTIVE TRABECULAR METAL POLYETHYLENE STERILE REVERSE SYSTEM,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,LINER SHOULDER HUMERUS 7D STANDARD 6+ MM 40MM REVERSE POLYETHYLENE STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,LINER SHOULDER HUMERUS 7D STANDARD H+0MM 40MM REVERSE POLYETHYLENE STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,LINER SHOULDER STANDARD REVERSE OD40 MM SMR,690.0,345.0,132.14,621.0,65
HCPCS,C1776,LINER TIBIAL ARTICULAR SURFACE CONGRUENT SIZE J/12 14MM THK VIVACIT-E LEFT MEDIAL MULTICOMPARTMENTAL FIXED BEARING PERSONA STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL ARTICULAR SURFACE SIZE CD/1-2 20MM THK UHMWPE POSTERIOR STABILIZED FIXED FLEXION PROLONGED NEXGEN LEGACY STERILE,675.0,337.5,129.26,607.5,65
HCPCS,C1776,LINER TIBIAL ARTICULAR SURFACE SIZE CD/6-9 20MM THK POLYETHYLENE LEFT POSTERIOR STABILIZED FIXED PERSONA STERILE,675.0,337.5,129.26,607.5,65
HCPCS,C1776,LINER TIBIAL ARTICULAR SURFACE SIZE E/1-2 20MM THK UHMWPE POSTERIOR STABILIZED FIXED FLEXION PROLONGED NEXGEN LEGACY STERILE,675.0,337.5,129.26,607.5,65
HCPCS,C1776,LINER TIBIAL EMPOWR PS KNEE SIZE 8 10MM THK POSTERIOR STABILIZED SYMMETRIC E-PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SCORPIO SIZE 9 10MM THK ARTICULAR SURFACE POSTERIOR STABILIZED HYPEREXTENSION FLEXION,500.0,250.0,95.75,450.0,65
HCPCS,C1776,LINER TIBIAL SIZE 1 10MM THK POLYETHYLENE LEFT FIXED FLEXION GMK SPHERE,675.0,337.5,129.26,607.5,65
HCPCS,C1776,LINER TIBIAL SIZE 10 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 10 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 10 12MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 11 13MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 11 14MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 2 61MM/39MM 22.5MM THK GVF POLYETHYLENE POSTERIOR STABILIZED TRICOMPARTMENTAL ROTATING PLATFORM PFC SIGMA,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,LINER TIBIAL SIZE 3 13MM THK RIGHT FIXED FLEXION GMK SPHERE,675.0,337.5,129.26,607.5,65
HCPCS,C1776,LINER TIBIAL SIZE 4 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 4 12MM AOX RIGHT FIXED BEARING MEDIAL STABILIZED ATTUNE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 4 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 4 12MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 4 47MM/74MM 14MM THK E-CROSS RIGHT FIXED FLEX GMK SPHERE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 4 9MM THK X3 POSTERIOR STABILIZING ROTATION TRIATHLON,850.0,425.0,162.78,765.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 10MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC BRIDGE UP EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC BRIDGE UP EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC BRIDGE UP EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 12MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 13MM THK POLYETHYLENE RIGHT FIXED GMK SPHERE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 5 14MM THK BRIDGE UP EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5 50MM/79MM 14MM THK E-CROSS RIGHT FIXED FLEX GMK SPHERE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 5-6 14MM THK XLPE LEFT BI-CRUCIATE STABILIZED CONSTRAINED JOURNEY II,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,LINER TIBIAL SIZE 5-6 14MM THK XLPE RIGHT BI-CRUCIATE STABILIZED CONSTRAINED JOURNEY II 7193-5483,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 10MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 10MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 12MM AOX KNEE RIGHT FIXED BEARING MEDIAL STABILIZED ATTUNE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 6 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 12MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 13MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 6 79MM/50MM 20MM THK GVF POLYETHYLENE POSTERIOR STABILIZED TRICOMPARTMENTAL ROTATING PLATFORM PFC SIGMA,1350.9,675.45,258.7,1215.81,65
HCPCS,C1776,LINER TIBIAL SIZE 6 9MM THK X3 POSTERIOR STABILIZING ROTATION TRIATHLON,850.0,425.0,162.78,765.0,65
HCPCS,C1776,LINER TIBIAL SIZE 7 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 7 12MM THK AOX POLYETHYLENE RIGHT MEDIAL STABILIZED FIXED BEARING ATTUNE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 7 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 7 14MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 7 16MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 8 10MM RIGHT MEDIAL STABILIZED CRUCIATE RETAINING FIXED ATTUNE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 8 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 8 12MM THK AOX RIGHT MEDIAL FIXED BEARING STABILIZED ATTUNE,775.0,387.5,148.41,697.5,65
HCPCS,C1776,LINER TIBIAL SIZE 8 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 8 13MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC BRIDGE UP EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 8 13MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 9 10MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 9 11MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 9 12MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 9 12MM THK EMPOWR VVC KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL SIZE 9 13MM THK E-PLUS POSTERIOR STABILIZED SYMMETRIC EMPOWR PS KNEE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,LINER TIBIAL TRIATHLON SIZE 4 22MM THK CRUCIATE STABILIZED X3 UHMWPE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,LINER TIBIAL VITALITE SIZE 3-4 12MM THK RIGHT POSTERIOR CRUCIATE SUBSTITUTING UHMWPE,750.0,375.0,143.63,675.0,65
HCPCS,C1776,NAIL OD12 MM L330 MM TIBIA T2 ALPHA INTRAMEDULLARY,1246.74,623.37,238.75,1122.07,65
HCPCS,C1776,NECK FEMORAL AA TAPER MODULAR KINECTIV HIP MEDIAL LATERAL ANTEVERT RETROVERT,350.0,175.0,67.03,315.0,65
HCPCS,C1776,NECK FEMORAL DD TAPER MODULAR KINECTIV HIP MEDIAL LATERAL ANTEVERT RETROVERT,350.0,175.0,67.03,315.0,65
HCPCS,C1776,NECK FEMORAL E2 TAPER MODULAR KINECTIV HIP MEDIAL LATERAL ANTEVERT RETROVERT,350.0,175.0,67.03,315.0,65
HCPCS,C1776,NECK FEMORAL R1 TAPER MODULAR KINECTIV HIP MEDIAL LATERAL ANTEVERT RETROVERT,350.0,175.0,67.03,315.0,65
HCPCS,C1776,NECK FEMORAL S2 TAPER MODULAR KINECTIV HIP MEDIAL LATERAL ANTEVERT RETROVERT,350.0,175.0,67.03,315.0,65
HCPCS,C1776,NECK FEMORAL X1 TAPER MODULAR KINECTIV HIP MEDIAL LATERAL ANTEVERT RETROVERT,350.0,175.0,67.03,315.0,65
HCPCS,C1776,NUT SPINAL LOCK QUARTEX HEAD TO HEAD T CONNECTOR,30.0,15.0,5.75,27.0,65
HCPCS,C1776,PAD PRESCRIPTION TAMPER RESIST,725.0,362.5,138.84,652.5,65
HCPCS,C1776,PEG BONE FIXATION 17.6MM MEDIUM TITANIUM GLENOID STANDARD SMR AXIOMA,1080.0,540.0,206.82,972.0,65
HCPCS,C1776,PIN INTRD JAMSHIDI 8X13G STL,15.0,7.5,2.87,13.5,65
HCPCS,C1776,PLATE 10 D GLENOID SUPERIOR AUGMENT EQUINOXE BONE,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,PLATE 8 D GLENOID POSTERIOR AUGMENT EQUINOXE BONE,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,PLATE ANKLE 3 DOME TALAR INVISION,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1776,PLATE BONE COMPRESSION 130MM 7-HOLE STAINLESS STEEL BROAD WAISTED SPS,158.21,79.11,30.3,142.39,65
HCPCS,C1776,PLATE GLENOID 10 D SMALL REVERSE SUPERIOR AUGMENT EQUINOXE SHOULDER,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,PLATE GLENOID 8 D SMALL REVERSE POSTERIOR AUGMENT EQUINOXE SHOULDER LEFT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,PLATE GLENOID 8 D SMALL REVERSE POSTERIOR AUGMENT EQUINOXE SHOULDER RIGHT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,PLATE GLENOID SMALL REVERSE SUPERIOR POSTERIOR AUGMENT EQUINOXE SHOULDER LEFT,1850.0,925.0,354.28,1665.0,65
HCPCS,C1776,PLATE GLENOID STANDARD REVERSE EQUINOXE SHOULDER,1210.0,605.0,231.72,1089.0,65
HCPCS,C1776,PLATE L116 MM 1/3 TUBULAR 9 HOLE COLLAR STAINLESS STEEL SPS BONE SMALL FRAGMENT SET,49.75,24.88,9.53,44.78,65
HCPCS,C1776,PLATE L38 MM ULNA WIREFORMS ULNAR SLED BONE,305.0,152.5,58.41,274.5,65
HCPCS,C1776,PLATE TIBIAL NEXGEN KNEE CEMENT MODULAR PEG PRECOAT L58 MM X W40 MM 1 TIVANIUM PMMA PURPLE STRIPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,PLATE TIBIAL NEXGEN KNEE CEMENT MODULAR PEG PRECOAT L89 MM X W57 MM 10 TIVANIUM PMMA BLUE STRIPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,PLATE TIBIAL NEXGEN OPTION KNEE CEMENT MODULAR FLUTE STEM L62 MM X W41 MM 7 D 2 MICRO TIVANIUM UHMWPE PURPLE STRIPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,PLATE TIBIAL NEXGEN OPTION KNEE CEMENT MODULAR FLUTE STEM L66 MM X W42 MM 3 D 3 TIVANIUM UHMWPE YELLOW STRIPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,PLATE TIBIAL NEXGEN OPTION KNEE CEMENT MODULAR FLUTE STEM L74 MM X W46 MM 3 D 4 TIVANIUM UHMWPE YELLOW STRIPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,PLATE TIBIAL NEXGEN OPTION KNEE CEMENT MODULAR STEM L82 MM X W54 MM 8 TIVANIUM BLUE STRIPE,650.0,325.0,124.48,585.0,65
HCPCS,C1776,PLUG ACETABULAR CUP SCREW HOLE CONTINUUM,115.0,57.5,22.02,103.5,65
HCPCS,C1776,PLUG DOME HOLE 4 D TAPER APICAL OPTIONAL RINGLOC HIP SYSTEM HIP ACETABULAR,140.0,70.0,26.81,126.0,65
HCPCS,C1776,PLUG DOME HOLE G7 ACETABULAR,125.0,62.5,23.94,112.5,65
HCPCS,C1776,PLUG DOME HOLE SCREW SHELL MPACT ACETABULAR,25.0,12.5,4.79,22.5,65
HCPCS,C1776,POST ORTHO 6.5MM 25MM CENTER W/LOCKING CAP,275.0,137.5,52.66,247.5,65
HCPCS,C1776,RING ACETABULAR 51 MM REVISION CEMENT ROOF RECONSTRUCTION OD56 MM ID52 MM ZCA TITANIUM HIP,1190.0,595.0,227.89,1071.0,65
HCPCS,C1776,RING ACETABULAR 56MM 52MM CONTOUR HIP LEFT RECONSTRUCTION,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1776,RING ACETABULAR LOCK OD25 MM RINGLOC HIP,77.0,38.5,14.75,69.3,65
HCPCS,C1776,RING ACETABULAR LOCK OD27 MM RINGLOC HIP,77.0,38.5,14.75,69.3,65
HCPCS,C1776,RING ACETABULAR LOCK OD38 MM DURALOC DYNAMIC BANTAM HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD40 MM DURALOC DYNAMIC BANTAM HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD42 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD44 MM DURALOC DYNAMIC BANTAM HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD46 MM DURALOC DYNAMIC BANTAM HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD48 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD50 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD54 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD58 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD60-72 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD62-74 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR LOCK OD66 MM DURALOC DYNAMIC HIP,197.1,98.55,37.74,177.39,65
HCPCS,C1776,RING ACETABULAR MODULAR CUP LOCK REPLACEMENT OD60 MM TRILOGY HIP,75.0,37.5,14.36,67.5,65
HCPCS,C1776,RING ACETABULAR RECONSTRUCTION OD50 MM ID46 MM HIP,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1776,RING ACETABULAR SIZE 42 POLYETHYLENE HIP LOCKING LINER RINGLOC STERILE X-RAY WIRE,104.0,52.0,19.92,93.6,65
HCPCS,C1776,SCREW BASEPLATE L20 MM CENTRAL POST MODULAR UNIVERS REVERS SHOULDER,650.0,325.0,124.48,585.0,65
HCPCS,C1776,SCREW BASEPLATE L40 MM AEQUALIS FLEX REVIVE SHOULDER,773.0,386.5,148.03,695.7,65
HCPCS,C1776,SCREW BONE 2.3MM 12MM VARIAX T7 FULL THREAD TITANIUM STERILE RADIUS DISTAL,62.32,31.16,11.93,56.09,65
HCPCS,C1776,SCREW KNEE FEMUR POSTERIOR STABILIZE CONSTRAIN BONE VANGUARD SSK,59.5,29.75,11.39,53.55,65
HCPCS,C1776,SCREW KNEE LOCK HOOK GUIDE INSERT BONE LEGION,84.6,42.3,16.2,76.14,65
HCPCS,C1776,SCREW L10 MM KNEE DISTAL WEDGE BONE LEGION,89.1,44.55,17.06,80.19,65
HCPCS,C1776,SCREW L15 MM DISTAL WEDGE BONE LEGION,89.1,44.55,17.06,80.19,65
HCPCS,C1776,SCREW OD5 MM KNEE DISTAL WEDGE BONE LEGION,89.1,44.55,17.06,80.19,65
HCPCS,C1776,SCREW SET LEGION LOCK KNEE,90.0,45.0,17.24,81.0,65
HCPCS,C1776,SCREW TITANIUM REVERSE SPACER HEMIPROSTHESIS BONE AEQUALIS,387.5,193.75,74.21,348.75,65
HCPCS,C1776,SET SCREW LOCK OSS FEMUR DIAPHYSEAL,270.0,135.0,51.71,243.0,65
HCPCS,C1776,SHELL ACET TRINITY CLS 3 50MM,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR 56MM EMPHASYS 0 HOLE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,SHELL ACETABULAR 56MM EMPHASYS 3 HOLE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 42MM 43.8MM TRIDENT PSL B CLUSTER 3 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 42MM TRIDENT A HEMISPHERE MULTIHOLE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 44MM 45.8MM TRIDENT PSL C CLUSTER 3 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 44MM A HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 46MM 47.8MM TRIDENT PSL D CLUSTER 3 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 46MM 47.8MM TRIDENT PSL D SOLID BACK RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 46MM TRIDENT C HEMISPHERE CLUSTER 3 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 46MM TRIDENT II C CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 48MM 49.8MM TRIDENT PSL D CLUSTER 3 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 48MM TRIDENT D HEMISPHERE CLUSTER 3 SCREW HOLE METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 48MM TRIDENT D HEMISPHERE SOLID BACK METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 48MM TRIDENT II D CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM 51.8MM TRIDENT PSL E CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM D HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM D HEMISPHERE SOLID BACK PRIMARY TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM TRIDENT D HEMISPHERE CLUSTER 3 SCREW HOLE METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM TRIDENT D HEMISPHERE CLUSTER 3 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM TRIDENT D HEMISPHERE SOLID BACK METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 50MM TRIDENT II D CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 52MM 53.8MM TRIDENT PSL E CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 52MM TRIDENT E HEMISPHERE CLUSTER 5 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 52MM TRIDENT E HEMISPHERE SOLID BACK METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 52MM TRIDENT II E CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 52MM TRINITY 3 TAPER CLUSTER TITANIUM,600.0,300.0,114.9,540.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 54MM 55.8MM TRIDENT PSL F CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 54MM E HEMISPHERE SOLID BACK PRIMARY TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 54MM TRIDENT E HEMISPHERE CLUSTER 5 SCREW HOLE METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 54MM TRIDENT E HEMISPHERE CLUSTER 5 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 54MM TRIDENT E HEMISPHERE SOLID BACK METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 54MM TRIDENT II E CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 56MM 57.8MM TRIDENT PSL F CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 56MM E HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 56MM E HEMISPHERE SOLID BACK PRIMARY TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 56MM FMP HEMISPHERE CLUSTER 2 SCREW HOLE P2 STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 56MM TRIDENT F HEMISPHERE SOLID BACK METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 56MM TRIDENT II F CLUSTER HOLE HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 58MM 59.8MM TRIDENT PSL G CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 58MM EMPHASYS 3 HOLE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 58MM F HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 58MM F HEMISPHERE SOLID BACK PRIMARY TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 58MM TRIDENT F HEMISPHERE CLUSTER 5 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 58MM TRIDENT II F CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 60MM 61.8MM TRIDENT PSL G CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 60MM EMPHASYS 3 HOLE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 60MM F HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 60MM F HEMISPHERE SOLID BACK PRIMARY TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 60MM TRIDENT G HEMISPHERE SOLID BACK METAL HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 60MM TRIDENT II G CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 62MM 63.8MM TRIDENT PSL H CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 62MM EMPHASYS 3 HOLE,150.0,75.0,28.73,135.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 62MM G HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 62MM R3 STANDARD MULTIHOLE STERILE,1428.0,714.0,273.46,1285.2,65
HCPCS,C1776,SHELL ACETABULAR HIP 62MM TRIDENT II G CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 64MM 56MM REDAPT THK4MM REVISION POROUS,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR HIP 64MM 65.8MM TRIDENT PSL H CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 64MM G HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 64MM TRIDENT H HEMISPHERE CLUSTER 5 SCREW HOLE METAL STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 64MM TRIDENT II H CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 66MM 67.8MM TRIDENT PSL I CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 66MM TRIDENT II H CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 70MM TRIDENT II I MULTIHOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP 72MM 73.8MM TRIDENT PSL J CLUSTER 5 SCREW HOLE RIM HA STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR HIP NO HOLE 62MM,150.0,75.0,28.73,135.0,65
HCPCS,C1776,SHELL ACETABULAR OD40 MM HIP 2 HOLE LINER RINGLOC 20 UNIVERSAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD40 MM HIP POLY POROUS R3 SMALL,1323.0,661.5,253.35,1190.7,65
HCPCS,C1776,SHELL ACETABULAR OD42 MM HIP CLUSTER HOLE MODULAR TANTALUM TITANIUM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD42 MM HIP LIMIT HOLE COLOR CODED OSSEOTI G7 A HEMISPHERE OFFSET,1960.0,980.0,375.34,1764.0,65
HCPCS,C1776,SHELL ACETABULAR OD44 MM HIP CLUSTER HOLE TRITANIUM TRIDENT II B,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR OD44 MM HIP LIMIT HOLE OSSEOTI G7 A,1960.0,980.0,375.34,1764.0,65
HCPCS,C1776,SHELL ACETABULAR OD44 MM HIP MULTIHOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM EE HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD44 MM HIP MULTIHOLE MODULAR TANTALUM TITANIUM,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP 2 HOLE MPACT B,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP 3 HOLE CERAMIC TAPER,1515.0,757.5,290.12,1363.5,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP CLUSTER HOLE PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP MULTIHOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM FF HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP MULTIHOLE PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM HIP SOLID BACK TRITANIUM TRIDENT II C,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM ID22-26-28 MM HIP 3 HOLE POROUS D,1515.0,757.5,290.12,1363.5,65
HCPCS,C1776,SHELL ACETABULAR OD46 MM ODSEC22.2 MM 2 MOBILITY LINER UHMWPE HIGHCROSS VERSAFITCUP DM,807.0,403.5,154.54,726.3,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM 2 HOLE MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP 2 HOLE MPACT C,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP CLUSTER HOLE HA TRIDENT II D,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD48 MM HIP CLUSTER HOLE NOVATION CROWN CUP,CROWN CUP",835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP SECTOR GRIPTION PINNACLE,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD48 MM HIP SOLID BACK TRITANIUM TRIDENT II D,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD48 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 22",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD49 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD49 MM HIP SCREW HOLE FLARE RIM POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP 2 HOLE MPACT D,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,"SHELL ACETABULAR OD50 MM HIP CLUSTER HOLE NOVATION CROWN CUP,CROWN CUP",835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP MODULAR CUP MPACT D HEMISPHERE,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP MPACT DME,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP MULTIHOLE R3 STANDARD,1428.0,714.0,273.46,1285.2,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD50 MM HIP SOLID BACK TRITANIUM TRIDENT II D,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD50 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 22",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD51 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD51 MM HIP SCREW HOLE FLARE RIM POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP 2 HOLE MPACT 3D,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP 2 HOLE MPACT E,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP APEX HOLE RINGLOC 23 UNIVERSAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP CLUSTER HOLE GROUP 2 CROWN CUP NOVATION,835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP E,1515.0,757.5,290.12,1363.5,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP MULTIHOLE R3 STANDARD,1428.0,714.0,273.46,1285.2,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP REVISION TIVANIUM,2233.0,1116.5,427.62,2009.7,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP SOLID BACK TRITANIUM TRIDENT II E,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD52 MM HIP TITANIUM REGENEREX RINGLOC+,RINGLOC+ 23",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM HIP UNIHOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM II HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD52 MM ID44 MM HIP REVISION POROUS THK4 MM,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR OD53 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD53 MM HIP SCREW HOLE FLARE RIM POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM 2 HOLE MPACT 3D,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP 2 HOLE MPACT E,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP CLUSTER HOLE GROUP 2 CROWN CUP NOVATION,835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP CLUSTER HOLE ONVOY,776.0,388.0,148.6,698.4,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP CLUSTER TITANIUM TRINITY 4 TAPER,600.0,300.0,114.9,540.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP GRIPTION PINNACLE SECTOR SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP REVISION TIVANIUM,2233.0,1116.5,427.62,2009.7,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP SOLID BACK TRITANIUM TRIDENT II E,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+ 23,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM ID44 MM HIP REGENEREX,2233.0,1116.5,427.62,2009.7,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM ID46 MM HIP REVISION POROUS THK4 MM,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR OD54 MM MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,SHELL ACETABULAR OD55 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD55 MM HIP SCREW HOLE FLARE RIM POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM 2 HOLE MPACT 3D,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP 2 HOLE MPACT F,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,"SHELL ACETABULAR OD56 MM HIP CLUSTER HOLE NOVATION CROWN CUP,CROWN CUP",835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP MULTIHOLE R3 STANDARD,1428.0,714.0,273.46,1285.2,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP REVISION TIVANIUM,2233.0,1116.5,427.62,2009.7,65
HCPCS,C1776,SHELL ACETABULAR OD56 MM HIP SOLID BACK TRITANIUM TRIDENT II F,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD56 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 24",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD57 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM 2 HOLE MPACT 3D,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP 2 HOLE MPACT F,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,"SHELL ACETABULAR OD58 MM HIP CLUSTER HOLE NOVATION CROWN CUP,CROWN CUP",835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP LIMIT HOLE FIN RINGLOC+ 25,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP MULTIHOLE R3 STANDARD,1428.0,714.0,273.46,1285.2,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM HIP SOLID BACK TRITANIUM TRIDENT II F,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD58 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 24",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM ID50 MM HIP REVISION POROUS THK4 MM,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR OD58 MM MPACT,900.0,450.0,172.35,810.0,65
HCPCS,C1776,SHELL ACETABULAR OD59 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD60 MM HIP 2 HOLE MPACT G,800.0,400.0,153.2,720.0,65
HCPCS,C1776,SHELL ACETABULAR OD60 MM HIP 3 HOLE POLY POROUS R3 STANDARD,1290.0,645.0,247.04,1161.0,65
HCPCS,C1776,SHELL ACETABULAR OD60 MM HIP CLUSTER HOLE NOVATION CROWN CUP,835.0,417.5,159.9,751.5,65
HCPCS,C1776,SHELL ACETABULAR OD60 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD60 MM HIP SOLID BACK TRITANIUM TRIDENT II G,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,"SHELL ACETABULAR OD60 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 25",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD60 MM ID52 MM HIP REVISION POROUS THK4 MM,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR OD61 MM HIP CLUSTER HOLE POROUS CONVERGE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD62 MM HIP 2 HOLE LINER RINGLOC 26 UNIVERSAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD62 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,SHELL ACETABULAR OD62 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD62 MM HIP RINGLOC FULL HEMISPHERE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD62 MM HIP SECTOR GRIPTION PINNACLE,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,"SHELL ACETABULAR OD62 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 25",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD64 MM HIP PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD64 MM HIP SECTOR GRIPTION PINNACLE,2147.4,1073.7,411.23,1932.66,65
HCPCS,C1776,"SHELL ACETABULAR OD64 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 26",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD66 MM HIP 2 HOLE LINER RINGLOC 27 UNIVERSAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD66 MM HIP CLUSTER HOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM PP HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD66 MM HIP CLUSTER HOLE PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD66 MM HIP CLUSTER HOLE PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD66 MM HIP LIMIT HOLE COLOR CODED OSSEOTI G7 I HEMISPHERE OFFSET,1960.0,980.0,375.34,1764.0,65
HCPCS,C1776,"SHELL ACETABULAR OD66 MM HIP SOLID TITANIUM POROUS REGENEREX RINGLOC+,RINGLOC+ 26",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD66 MM HIP SPIKE TITANIUM J LARGE,1323.0,661.5,253.35,1190.7,65
HCPCS,C1776,SHELL ACETABULAR OD68 MM HIP CEMENT POROUS,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR OD68 MM HIP CLUSTER HOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM QU HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,"SHELL ACETABULAR OD70 MM HIP APEX HOLE MALLORY-HEAD RINGLOC,RINGLOC",700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD70 MM HIP CLUSTER HOLE PRIMARY TIVANIUM POROUS TRILOGY,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD70 MM HIP LIMIT HOLE FIN RINGLOC+ 27,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD70 MM HIP LIMIT HOLE POROUS RANAWAT/BURSTEIN RINGLOC 28,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD70 MM HIP MULTIHOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM RR HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD70 MM ID62 MM HIP REVISION POROUS THK4 MM,1551.0,775.5,297.02,1395.9,65
HCPCS,C1776,SHELL ACETABULAR OD74 MM HIP LIMIT HOLE FIN RINGLOC+ 28,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD74 MM HIP MULTIHOLE PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD74 MM HIP REVISION TIVANIUM,2233.0,1116.5,427.62,2009.7,65
HCPCS,C1776,SHELL ACETABULAR OD76 MM HIP LIMIT HOLE RINGLOC+ 28,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD76 MM HIP MULTIHOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM UU HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD80 MM HIP LIMIT HOLE FIN RINGLOC+ 28,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD80 MM HIP MULTIHOLE 12 SCALLOP SNAP FIT INTEGRATE LOCK MECHANISM TIVANIUM CONTINUUM VV HEMISPHERE TAPER,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL ACETABULAR OD80 MM HIP MULTIHOLE PRIMARY MODULAR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,SHELL BIPOLAR OD38 MM MULTIPOLAR METAL HIP,300.0,150.0,57.45,270.0,65
HCPCS,C1776,SHELL BIPOLAR OD39 MM MULTIPOLAR METAL HIP,300.0,150.0,57.45,270.0,65
HCPCS,C1776,SHELL BIPOLAR OD62 MM MULTIPOLAR METAL HIP,300.0,150.0,57.45,270.0,65
HCPCS,C1776,SHELL BIPOLAR OD64 MM MULTIPOLAR METAL HIP,300.0,150.0,57.45,270.0,65
HCPCS,C1776,SHELL BIPOLAR UNIVERSAL OD51 MM CONVENE COCR HIP ACETABULAR,264.0,132.0,50.56,237.6,65
HCPCS,C1776,SLEEVE CENTERING HIP FEMORAL OD16 MM FEMORAL CENTERING SLEEVE PMMA,50.0,25.0,9.58,45.0,65
HCPCS,C1776,SLEEVE FEMORAL +4 12/14 TAPER MODULAR TITANIUM HIP,141.0,70.5,27.0,126.9,65
HCPCS,C1776,SLEEVE FEMORAL +4MM OFFSET CERAMIC HIP 12/14 TAPERED BIOLOX DELTA STERILE,70.0,35.0,13.41,63.0,65
HCPCS,C1776,SLEEVE FEMORAL +8 12/14 TAPER MODULAR TITANIUM HIP,141.0,70.5,27.0,126.9,65
HCPCS,C1776,SLEEVE FEMORAL COMPRESS 16MM CENTERING PMMA,333.0,166.5,63.77,299.7,65
HCPCS,C1776,SLEEVE HUMERAL 15MM POSITIONING COMPREHENSIVE SHOULDER,220.0,110.0,42.13,198.0,65
HCPCS,C1776,SLEEVE HUMERAL POSITIONING OD8 MM COMPREHENSIVE SHOULDER,220.0,110.0,42.13,198.0,65
HCPCS,C1776,SLEEVE HUMERAL POSITIONING OD9 MM COMPREHENSIVE SHOULDER,220.0,110.0,42.13,198.0,65
HCPCS,C1776,SPACER FEMORAL SIZE 0 TITANIUM LEFT MEDIAL KNEE REVISION CONSTRAINED ADAPTER NON-POROUS NATURAL-KNEE II STERILE R/C,1040.0,520.0,199.16,936.0,65
HCPCS,C1776,SPACER FEMORAL SIZE 1 TITANIUM LEFT MEDIAL KNEE REVISION CONSTRAINED ADAPTER NON-POROUS NATURAL-KNEE II STERILE R/C,1040.0,520.0,199.16,936.0,65
HCPCS,C1776,SPACER HUMERAL +6 MM OD33 MM UNIVERS REVERS SHOULDER,490.0,245.0,93.84,441.0,65
HCPCS,C1776,SPACER HUMERAL +6 MM OD36 MM UNIVERS REVERS TITANIUM SHOULDER,490.0,245.0,93.84,441.0,65
HCPCS,C1776,SPACER HUMERAL +9 MM OD36 MM UNIVERS REVERS TITANIUM SHOULDER,490.0,245.0,93.84,441.0,65
HCPCS,C1776,SPACER HUMERAL L20 MM OD11 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L20 MM OD17 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L20 MM OD19 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L20 MM OD9 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L30 MM OD11 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L30 MM OD13 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L30 MM OD15 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L30 MM OD17 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L30 MM OD19 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER HUMERAL L30 MM OD9 MM AEQUALIS FLEX REVIVE SHOULDER,2320.0,1160.0,444.28,2088.0,65
HCPCS,C1776,SPACER TIBIAL H4 MM 0 NATURAL-KNEE II CSTI POROUS KNEE MEDIAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H4 MM 1 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT MEDIAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H4 MM 1 NATURAL-KNEE II CSTI POROUS KNEE LATERAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H4 MM 1 NATURAL-KNEE II CSTI POROUS KNEE MEDIAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H4 MM 2 NATURAL-KNEE II CSTI POROUS KNEE MEDIAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H8 MM 0 NATURAL-KNEE II CSTI POROUS KNEE MEDIAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H8 MM 00 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT LATERAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H8 MM 00 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT MEDIAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H8 MM 1 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT LATERAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H8 MM 1 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT MEDIAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H8 MM 1 NATURAL-KNEE II CSTI POROUS KNEE MEDIAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H8 MM 2 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT MEDIAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H8 MM 2 NATURAL-KNEE II CSTI POROUS KNEE MEDIAL,745.5,372.75,142.76,670.95,65
HCPCS,C1776,SPACER TIBIAL H8 MM 3 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT MEDIAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPACER TIBIAL H8 MM 4 MODULAR CEMENT BASEPLATE NATURAL-KNEE II TITANIUM UHMWPE POROUS KNEE LEFT MEDIAL,861.0,430.5,164.88,774.9,65
HCPCS,C1776,SPHERE GLENOID +2 MM ECCENTRIC REVERSE OD36 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +3 MM OFFSET ECCENTRIC REVERSE OD39 MM AEQUALIS PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +33 MM LATERALIZE REVERSE OD33 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +33 MM LATERALIZE REVERSE OD39 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +33 MM LATERALIZE REVERSE OD42 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +33 MM REVERSE LATERALIZE OD36 MM AEQUALIS PERFORM TORNIER SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +4 MM GLENOSPHERE LATERALIZE TAPER BASEPLATE MODULAR OD42 MM ODSEC24 MM UNIVERS REVERS BIOSYNC POROUS SHOULDER,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,SPHERE GLENOID +4 MM LATERALIZE GLENOSPHERE OD36 MM ODSEC24 MM UNIVERS REVERS SHOULDER,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,SPHERE GLENOID +4 MM OFFSET ECCENTRIC REVERSE OD42 MM AEQUALIS PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID +4 MM TAPER LATERALIZE TAPER BASEPLATE OD36 MM ODSEC28 MM UNIVERS REVERS SHOULDER,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,SPHERE GLENOID 24.5MM DIA 32MML COBALT CHROMIUM MOLYBDENUM REVERSE SHOULDER,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 24.5MM DIA 39MM DIA SHOULDER,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 24.5MM DIA 42MML COBALT CHROMIUM MOLYBDENUM W/SECURING SCREW,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 32MM +8MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID 32MM THK2MM CONCENTRIC SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SPHERE GLENOID 36MM +8MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID 36MM DIA 24.5MM OD SHOULDER LATERALIZED REVERSE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 36MM DIA 27MM OD SHOULDER LATERALIZED REVERSE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 36MM REUNION 2MM OFFSET SHOULDER CONCENTRIC STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SPHERE GLENOID 36MM THK2MM 2MM ECCENTRIC SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SPHERE GLENOID 39MM DIA 24.5MM OD SHOULDER LATERALIZED REVERSE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 40MM +4MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID 40MM +8MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID 42MM DIA 24.5MM OD SHOULDER LATERALIZED REVERSE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,SPHERE GLENOID 6MM 32MM CONCENTRIC SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SPHERE GLENOID 6MM 36MM CONCENTRIC SHOULDER,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,SPHERE GLENOID CENTER OD42 MM AEQUALIS REVERSED II COCR SHOULDER 29 MM BASEPLATE,1701.0,850.5,325.74,1530.9,65
HCPCS,C1776,SPHERE GLENOID CENTERED OD36 MM AEQUALIS REVERSED II COCR SHOULDER 29 MM BASEPLATE,1701.0,850.5,325.74,1530.9,65
HCPCS,C1776,SPHERE GLENOID ECCENTRIC 36MM +8MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID ECCENTRIC 40MM +4MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID ECCENTRIC 40MM +8MM F/SHOULDER SYSTEM INHANCE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID ECCENTRIC OD40 MM SMR SHOULDER,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,SPHERE GLENOID EXTEND LOCK CAP KIT OD42 MM EQUINOXE,1135.0,567.5,217.35,1021.5,65
HCPCS,C1776,SPHERE GLENOID H19 MM THK5 MM 2 MM CONCENTRIC REVERSE OD38 MM TITAN COCR SHOULDER,1566.0,783.0,299.89,1409.4,65
HCPCS,C1776,SPHERE GLENOID H22.3 MM SMALL REVERSE OD36 MM EQUINOXE SHOULDER,1135.0,567.5,217.35,1021.5,65
HCPCS,C1776,SPHERE GLENOID H24.3 MM SMALL REVERSE OD40 MM EQUINOXE SHOULDER,1135.0,567.5,217.35,1021.5,65
HCPCS,C1776,SPHERE GLENOID H26.1 MM EXPAND SMALL REVERSE OD36 MM EQUINOXE SHOULDER,1710.0,855.0,327.47,1539.0,65
HCPCS,C1776,SPHERE GLENOID H28.1 MM EXPAND SMALL REVERSE OD40 MM EQUINOXE SHOULDER,1710.0,855.0,327.47,1539.0,65
HCPCS,C1776,SPHERE GLENOID L36 MM OD24.5 MM SHOULDER - TINBN COATING SENSITIN SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,SPHERE GLENOID PEGGED 40MM DIA 5MM THK HCPE BARBED CENTRAL POST W/SHORT STEM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID PEGGED 44MM DIA 5MM THK HCPE BARBED CENTRAL POST W/SHORT STEM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID PEGGED 46MM DIA 5MM THK HCPE BARBED CENTRAL POST W/SHORT STEM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID PEGGED 50MM DIA 5MM THK HCPE BARBED CENTRAL POST W/SHORT STEM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID PEGGED 54MM DIA 5MM THK HCPE BARBED CENTRAL POST W/SHORT STEM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID PEGGED 58MM DIA 5MM THK HCPE BARBED CENTRAL POST W/SHORT STEM,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID R1 32MM REV LAT,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID R1 32MM STD REV,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID R1 36MM REV LAT,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID R1 40MM STD REV LAT,1200.0,600.0,229.8,1080.0,65
HCPCS,C1776,SPHERE GLENOID REVERSE CENTER OD36 MM AEQUALIS COCR SHOULDER 25 MM BASEPLATE,1701.0,850.5,325.74,1530.9,65
HCPCS,C1776,SPHERE GLENOID REVERSE CENTER OD42 MM AEQUALIS REVERSED II COCR SHOULDER 25 MM BASEPLATE,1701.0,850.5,325.74,1530.9,65
HCPCS,C1776,SPHERE GLENOID STANDARD REVERSE OD36 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID STANDARD REVERSE OD39 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID STANDARD REVERSE OD42 MM PERFORM SHOULDER,1791.0,895.5,342.98,1611.9,65
HCPCS,C1776,SPHERE GLENOID TAPER MODULAR BASEPLATE OD33 MM ODSEC24 MM UNIVERS REVERS SHOULDER,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,STEM CATALYST COLLARED HIGH OFFSET SIZE 7,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1776,STEM CATALYSTEM COLLARED HIGH OFFSET SIZE 5,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1776,STEM ELBOW JOINT SIZE 4 115MML RIGHT ULNAR CONSTRAINED NEXEL,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1776,STEM EXTENSION 120MM 12MM CEMENT STRAIGHT LEGION KNEE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,STEM EXTENSION 160MM 11MM PRESS FIT STRAIGHT LEGION KNEE TITANIUM,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION 160MM 9MM PRESS FIT STRAIGHT LEGION KNEE TITANIUM,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L100 MM MODULAR CANAL FILL OD14 MM ADVANCE KNEE,774.0,387.0,148.22,696.6,65
HCPCS,C1776,STEM EXTENSION L105 MM CEMENT OD16 MM GMK KNEE,725.0,362.5,138.84,652.5,65
HCPCS,C1776,STEM EXTENSION L105 MM FLUTE CEMENTLESS OD22 MM GMK KNEE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1776,STEM EXTENSION L120 MM REVISION NATURAL-KNEE II TITANIUM TIBIA,903.0,451.5,172.92,812.7,65
HCPCS,C1776,STEM EXTENSION L120 MM STRAIGHT CEMENT OD10 MM LEGION TITANIUM KNEE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,STEM EXTENSION L120 MM STRAIGHT CEMENT OD14 MM LEGION TITANIUM KNEE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,STEM EXTENSION L120 MM STRAIGHT CEMENT OD16 MM LEGION KNEE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,STEM EXTENSION L120 MM STRAIGHT CEMENT OD18 MM LEGION TITANIUM KNEE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,STEM EXTENSION L120 MM STRAIGHT CEMENT OD20 MM LEGION TITANIUM KNEE,1050.0,525.0,201.08,945.0,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD10 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD12 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD13 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD14 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD15 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD16 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD18 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD20 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD22 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L160 MM STRAIGHT PRESS FIT OD24 MM LEGION TITANIUM KNEE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,STEM EXTENSION L30 MM PRIMARY OD11 MM GMK KNEE,559.0,279.5,107.05,503.1,65
HCPCS,C1776,STEM EXTENSION L40 MM REVISION SPLINE OD12 MM VANGUARD 360 KNEE VERSION 2,1155.0,577.5,221.18,1039.5,65
HCPCS,C1776,STEM EXTENSION L65 MM PRIMARY OD11 MM GMK KNEE,559.0,279.5,107.05,503.1,65
HCPCS,C1776,STEM EXTENSION L80 MM MODULAR SPLINE KNEE,418.0,209.0,80.05,376.2,65
HCPCS,C1776,STEM EXTENSION L90 MM STRAIGHT OD11.5 MM OSS POROUS KNEE FEMUR INTRAMEDULLARY,1863.0,931.5,356.76,1676.7,65
HCPCS,C1776,STEM EXTENSION L90 MM STRAIGHT OD15.5 MM OSS POROUS KNEE FEMUR INTRAMEDULLARY,1863.0,931.5,356.76,1676.7,65
HCPCS,C1776,STEM FEMORAL 0 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 0 COLLAR AVENIR COMPLETE HIP COXA VARA,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 0 COLLAR LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 0 STANDARD CEMENT CALCAR ADAPTER HIGH NITROGEN STAINLESS STEEL AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 0 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 0 STANDARD COLLAR QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 0 STANDARD SHORT NECK TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 01 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 1 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 1 LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 SHORT NECK LATERALIZE TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 STANDARD CEMENT CALCAR ADAPTER HIGH NITROGEN STAINLESS STEEL AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 STANDARD COLLAR CALCAR ADAPTER PROXIMAL COAT TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 STANDARD COLLAR QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 STANDARD QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 1 STANDARD SHORT NECK TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 10 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 10 HIGH COLLAR INSIGNIA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 10 LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 10 STANDARD COLLAR INSIGNIA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 10 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 10 STANDARD SHORT NECK TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 10 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 101MM 9MM HIP 3 35.5 STANDARD OFFSET INSIGNIA 32.5MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 103MM 10MM HIP 4 37 STANDARD OFFSET INSIGNIA 32.5MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 105MM 11MM HIP 5 40 STANDARD OFFSET INSIGNIA 35MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 105MM HIP 132D 4 38MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 108MM HIP 132D 5 40MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 109MM 14MM HIP 7 14 HIGH OFFSET INSIGNIA 41MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 11 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 11 SOLID LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 11 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 110MM 8.9MM HIP 127D 5 39MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 110MM 8.9MM HIP 132D 5 35MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 110MM HIP 127D 1 38MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 110MM HIP 132D 1 34MM OFFSET ACCOLADE TMZF STERILE LATEX FREE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 110MM HIP 132D 5 29MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 111MM HIP 127D 6 35MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 111MM HIP 132D 6 41MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 113MM HIP 9 STANDARD OFFSET INSIGNIA 38MM STERILE LATEX FREE DISPOSABLE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 114MM HIP 127D 7 50MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 114MM HIP 132D 7 46MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 115MM HIP 125D 33MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 115MM HIP 127D 2 39MM OFFSET ACCOLADE HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 115MM HIP 127D 2 39MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 115MM HIP 132D 2 35MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 117MM HIP 127D 8 51MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 117MM HIP 132D 8 47MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 118MM HIP 127D 2.5 40MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 118MM HIP 132D 2.5 36MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 12 SOLID LATERALIZE COLLAR SMS HIP,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL 12 SOLID LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 12 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 12/14 TAPER HIP PROSTHESIS CEMENT LESS SIZE 5,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM FEMORAL 120MM 10MM HIP 127D 6 33MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM 11MM HIP RIGHT 132D 2 36MM OFFSET PRESS FIT CITATION TMZF HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM 12MM HIP 127D 6 33MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM 6.9MM HIP 127D 6 37.2MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM 9.6MM HIP 127D 6 30MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 120MM 9.6MM HIP 132D 5 29MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM 9.6MM HIP 132D 6 36MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 120MM HIP 127D 3 43MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM HIP 127D 9 53MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM HIP 132D 3 39MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM HIP 132D 5 30MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 120MM HIP 132D 6 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 120MM HIP 132D 9 49MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 123MM HIP 127D 10 57MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 123MM HIP 132D 10 51MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 124MM HIP 127D 2 30MM OFFSET CEMENT ACCOLADE C STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 124MM HIP 127D 3.5 43MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 124MM HIP 132D 2 35MM OFFSET CEMENT ACCOLADE C,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 124MM HIP 132D 3.5 39MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 125 D 13 12/14 STANDARD OFFSET COLLAR HA CORAIL HIP,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1776,STEM FEMORAL 125MM HIP 125D 00 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 125MM HIP 125D 35.5MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 125MM HIP 127D 4 44MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 125MM HIP 132D 4 40MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 126MM HIP 132D 11 53MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 127 D 1 12/14 51 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 127 D 10 12/14 56.25 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 127 D 12 12/14 57.75 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 127 D 3 HEAD CENTER ANTEVERSION MINIMAX HIP RIGHT,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 127 D 4 12/14 52.5 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 127 D 5 12/14 53 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 127 D 8 12/14 54.88 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 129 D 9 12/14 48.5 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 129MM HIP 127D 4.5 45MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 129MM HIP 132D 4.5 41MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 13 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 130MM 10.4MM HIP 127D 7 45MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 130MM 10.4MM HIP 132D 7 35MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 130MM 13MM HIP 127D 7 39MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 130MM 7.4MM HIP 127D 7 41.5MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 130MM HIP 127D 5 48MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 130MM HIP 132D 5 44MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 130MM HIP 132D 7 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 130MM HIP 132D 7 C TAPER SECUR-FIT 30MM STERILE LATEX FREE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 131MM HIP 127D 3 43MM OFFSET CEMENT ACCOLADE C STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 131MM HIP 132D 3 39MM OFFSET CEMENT ACCOLADE C,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 133MM HIP 127D 5.5 49MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 135MM 11.3MM HIP 132D 8 42MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 135MM HIP 127D 6 49MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 136MM 8.1MM HIP 127D 8 42.4MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 136MM 8.1MM HIP 132D 8 38.4MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 137 D 1 12/14 37 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 137 D 11 12/14 43 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 137 D 14 12/14 45.25 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 137 D 4 12/14 38.5 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 137 D 7 12/14 40.25 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 137 D 9 12/14 41.5 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 137MM HIP 127D 4 46MM OFFSET CEMENT ACCOLADE C STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 137MM HIP 132D 4 42MM OFFSET CEMENT ACCOLADE C,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 14 LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 14 SOLID LATERALIZE COLLAR SMS HIP,1275.0,637.5,244.16,1147.5,65
HCPCS,C1776,STEM FEMORAL 140 D 12 12/14 37.75 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 140 D 3 12/14 32 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 140 D 6 12/14 33.62 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 140 D 7 12/14 34.25 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 140 D 8 12/14 34.88 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 140 D 9 12/14 35.5 MM ROUGH BLAST PROTASUL-64 FITMORE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 140MM 11.2MM HIP 127D 8 40MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 140MM 11.2MM HIP 132D 8 36MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 140MM 12MM HIP 127D 8 40MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 140MM 14MM HIP 127D 8 40MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 140MM HIP 127D 7 53MM OFFSET ACCOLADE HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 140MM HIP 127D 7 53MM OFFSET ACCOLADE TMZF,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 140MM HIP 127D 8 42MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 140MM HIP 132D 8 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 142MM 8.9MM HIP 127D 9 46.9MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 142MM 8.9MM HIP 132D 9 42.6MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 145MM 13.8MM HIP 127D 10 52MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 145MM HIP 127D 5 48MM OFFSET CEMENT ACCOLADE C STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 145MM HIP 132D 5 44MM OFFSET CEMENT ACCOLADE C,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 148MM 9.7MM HIP 127D 10 48.1MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 148MM 9.7MM HIP 132D 10 43.8MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 150MM 11.9MM HIP 132D 9 41.8MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 150MM 13MM HIP 127D 9 45MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 150MM 14.8MM HIP 132D 11 48MM OFFSET CEMENT CONDYLAR STABILIZE OMNIFIT EON COCR STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM 15MM HIP 127D 9 45MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 0 37.5MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 0 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 1 37.5MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 1 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 1 50MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 2 37.5MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 2 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 3 37.5MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 3 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 3 50MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 4 37.5MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 4 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 125D 4 50MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 127D 9 46MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 150MM HIP 132D 9 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 155MM 9.7MM HIP 127D 11 52.6MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 155MM 9.7MM HIP 132D 11 47.9MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 158MM HIP 127D 6 49MM OFFSET CEMENT ACCOLADE C STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 158MM HIP 127D 7 52MM OFFSET CEMENT ACCOLADE C STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 158MM HIP 132D 6 45MM OFFSET CEMENT ACCOLADE C,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 160MM 10.7MM HIP 127D 12 53.7MM OFFSET PRESS FIT SECUR-FIT ADVANCED PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 160MM 12.7MM HIP 132D 10 42MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 160MM 14MM HIP 127D 10 46MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 160MM 16MM HIP 127D 10 46MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 160MM HIP 132D 10 42MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 160MM HIP 132D 10 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 13.5MM HIP 132D 11 47MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 14.7MM HIP 132D 12 47MM OFFSET PRESS FIT SECUR-FIT MAX HA STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 15MM HIP 127D 11 51MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 16MM HIP 127D 12 52MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 17MM HIP 127D 11 51MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 17MM HIP 127D 13 53MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM 18MM HIP 127D 12 52MM OFFSET PRIMARY POLISH NECK FLUTE DISTAL END 3 SLOT SECUR-FIT PLUS MAX PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM HIP 132D 11 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM HIP 132D 12 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 170MM HIP 132D 13 C TAPER COLLAR SECUR-FIT TITANIUM HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 195MM 14MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 15MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 16MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 18MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 19MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 20MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 21MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 24MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 195MM 25MM HIP DISTAL STRAIGHT CONICAL REVISION MODULAR RESTORATION PUREFIX TITANIUM,2370.0,1185.0,453.86,2133.0,65
HCPCS,C1776,STEM FEMORAL 2 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 2 COLLAR AVENIR COMPLETE HIP COXA VARA,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 2 LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 SHORT NECK LATERALIZE TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD AVENIR COMPLETE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD CEMENT CALCAR ADAPTER HIGH NITROGEN STAINLESS STEEL AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD CEMENT COLLAR CALCAR ADAPTER TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD COLLAR CALCAR ADAPTER PROXIMAL COAT TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD COLLAR QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 2 STANDARD SHORT NECK TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 200MM HIP 125D 3 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 205MM HIP 2 44MM LONG OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 220MM HIP 125D 3 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 240MM HIP 125D 3 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 25MM HIP 6 C TAPER OMNIFIT STERILE LATEX FREE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 260MM HIP 125D 3 44MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 3 CEMENT LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 COLLAR LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD CEMENT CALCAR ADAPTER HIGH NITROGEN STAINLESS STEEL AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD COLLAR CALCAR ADAPTER PROXIMAL COAT TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD COLLAR REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD OFFSET COLLARLESS ACTIS HIP,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 3 STANDARD SHORT NECK TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 4 COLLAR AVENIR COMPLETE HIP COXA VARA,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 4 COLLAR LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 REGULAR NECK LATERALIZE TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD CEMENT COLLAR CALCAR ADAPTER TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD COLLAR CALCAR ADAPTER PROXIMAL COAT TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD COLLAR QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD OFFSET COLLARLESS ACTIS HIP,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 4 STANDARD SHORT NECK TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 5 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 5 CALCAR ADAPTER LATERALIZE TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 5 COLLAR AVENIR COMPLETE HIP COXA VARA,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 5 REGULAR NECK LATERALIZE TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 5 STANDARD 2 TAPER FLAT MECTAGRIP MASTERLOC HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 5 STANDARD COLLAR REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 5 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 5 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 6 COLLAR AVENIR COMPLETE HIP COXA VARA,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 6 COLLAR LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 SHORT NECK LATERALIZE TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 STANDARD CEMENT CALCAR ADAPTER HIGH NITROGEN STAINLESS STEEL AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 STANDARD COLLAR CALCAR ADAPTER PROXIMAL COAT TITANIUM NIOBIUM HA AMISTEM HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 STANDARD COLLAR REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 6.5 HIGH OFFSET COLLAR AVENIR COMPLETE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 7 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 7 2 TAPER FLAT LATERALIZE PLUS MECTAGRIP MASTERLOC HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 COLLAR AVENIR COMPLETE HIP COXA VARA,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 7 COLLAR LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 SHORT NECK LATERALIZE TITANIUM NIOBIUM HA QUADRA HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 STANDARD AVENIR COMPLETE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 7 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 STANDARD COLLAR REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 STANDARD REGULAR NECK QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 7.5 HIGH OFFSET AVENIR COMPLETE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 75MML COCR REVISION LATERAL OFFSET PROXIMAL BODY EXPRT,4619.6,2309.8,884.65,4157.64,65
HCPCS,C1776,STEM FEMORAL 8 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 8 2 TAPER FLAT LATERALIZE MECTAGRIP MASTERLOC HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 8 COLLAR LATERALIZE REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 8 LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 8 STANDARD CEMENT REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 8 STANDARD COLLAR INSIGNIA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 8 STANDARD COLLAR QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 8 STANDARD REGULAR NECK TITANIUM NIOBIUM HA QUADRA-P HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 8 STANDARD SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 9 12/14 STRAIGHT TAPER PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL 9 LATERALIZE SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 9 STANDARD SOLID SMS HIP,1726.0,863.0,330.53,1553.4,65
HCPCS,C1776,STEM FEMORAL 93MM HIP 127D 0 32MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 93MM HIP 132D 0 28MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 95MM HIP 125D 30MM OFFSET CEMENT EXETER V40 ORTHINOX STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL 96MM 7MM HIP 1 31.5 STANDARD OFFSET INSIGNIA 30.5MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 96MM HIP 132D 1 29MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL 99MM 8MM HIP 2 34 STANDARD OFFSET INSIGNIA 32.5MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 0 HIGH NITROGEN STAINLESS STEEL HIP STANDARD OFFSET SHORT NECK QUADRA-C,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 1 37.5MM OFFSET 125MML ORTHINOX HIP 125DEG ANGLED DOUBLE TAPERED COLLARLESS EXTENDED RANGE POLISHED EXETER V40 STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 1 44MM DIA 125MML STAINLESS STEEL 125DEG ANGLED DOUBLE TAPERED COLLARLESS OFFSET EXETER V40 STERILE,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 1 HIGH NITROGEN STAINLESS STEEL HIP STANDARD OFFSET SHORT NECK QUADRA-C,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 1 LATERALIZED OFFSET QUADRA-P,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 1 STAINLESS STEEL HIP 135DEG ANGLED STANDARD F/TOTAL ARTHROPLASTY POLARSTEM STERILE,1025.0,512.5,196.29,922.5,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 2 HIGH NITROGEN STAINLESS STEEL HIP STANDARD OFFSET SHORT NECK QUADRA-C,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 3 HIGH NITROGEN STAINLESS STEEL HIP STANDARD OFFSET SHORT NECK QUADRA-C,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 4 HIGH NITROGEN STAINLESS STEEL HIP STANDARD OFFSET SHORT NECK QUADRA-C,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 4 LATERALIZED OFFSET QUADRA-P,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 5 HIGH NITROGEN STAINLESS STEEL HIP STANDARD QUADRA-P,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED SIZE 7 LATERALIZED OFFSET QUADRA-P,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL CEMENTED XS 95MML ZIMALOY HIP 12/14 TAPERED PRIMARY POLISHED CPT STERILE,1025.0,512.5,196.29,922.5,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS 8MM 145MM TITANIUM 40% POROUS PLASMA SPRAY LEFT HIP 135DEG ANGLED 3DEG TAPERED BI-PLANAR BALANCE STERILE,575.0,287.5,110.11,517.5,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 2 TITNIUM NIOBIUM ALLOY TITANIUM PLASMA SPRAY HA COATED HIP LATERALIZED OFFSET COLLARED QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 3 36.8MM SHORT 16.7/18.4MMW X 25.8MML TITANIUM HYDROXYAPATITE COATED HIP 130DEG ANGLED STANDARD OFFSET MINIHIP,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 4 35.6MM OFFSET SHORT 93.8MML 32.5MML NECK TITANIUM HYDROXYAPATITE COATED HIP 130DEG ANGLED STANDARD MINIHIP,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 5 36.8MM OFFSET SHORT 98.5MML 33.5MML NECK TITANIUM HYDROXYAPATITE COATED HIP 130DEG ANGLED STANDARD MINIHIP,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 5 TITNIUM NIOBIUM ALLOY TITANIUM PLASMA SPRAY HA COATED HIP LATERALIZED OFFSET COLLARED QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 6 37.9MM OFFSET SHORT 103.3MML 34.5MML NECK TITANIUM HYDROXYAPATITE COATED HIP 130DEG ANGLED STANDARD MINIHIP,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL CEMENTLESS SIZE 8 MECTAGRIP HIP STANDARD OFFSET MASTERLOC,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL EXTENSION 13MM DIA 30MML 75MML COMBINED TIVANIUM TIBIAL KNEE STRAIGHT PRE-COATED OFFSET FLUTED SHARP W/REPLACEMENT SCREW NEXGEN STERILE SINGLE-USE,725.0,362.5,138.84,652.5,65
HCPCS,C1776,STEM FEMORAL EXTENSION 13MM DIA 60MML 105MML COMBINED TIVANIUM TIBIAL KNEE STRAIGHT PRE-COATED OFFSET FLUTED SHARP W/REPLACEMENT SCREW NEXGEN STERILE SINGLE-USE,725.0,362.5,138.84,652.5,65
HCPCS,C1776,STEM FEMORAL EXTENSION CEMENTED 11MM DIA 65MML KNEE F/TOTAL REVISION SYSTEM GMK,725.0,362.5,138.84,652.5,65
HCPCS,C1776,STEM FEMORAL H12 MM OD10.5 MM OVERSIZE PRIMARY DISTAL TEXTURE APR HIP RIGHT,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL HIP LEFT 6 SHORT CITATION TMZF HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL HIP RIGHT 2 SHORT CITATION TMZF HA,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL INSIGNIA SIZE 0 STANDARD COLLARED,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL L105 MM X W7.5 MM 0 12/14 37 MM EXTEND OFFSET PRIMARY CEMENT POLISH ZIMALOY CPT HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L106 MM 1 12/14 HIGH OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L106 MM 1 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT HIP,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L107 MM OD13 MM 6 41.5 STANDARD OFFSET INSIGNIA HIP L35 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL L109 MM OD14 MM 7 45 STANDARD OFFSET INSIGNIA HIP L38 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,"STEM FEMORAL L110 MM 2 12/14 HIGH OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,"STEM FEMORAL L110.5 MM 2 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L113 MM OD16 MM 9 14 HIGH OFFSET INSIGNIA HIP L41 MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL L114 MM OD15 MM 135 D STANDARD OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L114 MM OD7.5 MM 12/14 37 MM STRAIGHT STANDARD OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L115 MM 3 12/14 HIGH OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,"STEM FEMORAL L115 MM 3 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L115 MM OD10 MM 12/14 33 MM STANDARD OFFSET STANDARD BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L115 MM OD10 MM 33 MM STANDARD NECK OFFSET TAPER STANDARD BODY PRIMARY FIBER METAL HA TCP POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L117 MM OD9 MM 12/14 38 MM STRAIGHT STANDARD OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L118 MM OD8.75 MM 135 D LATERALIZE OFFSET PRESS FIT SELF STABILIZE TAPER DISTAL TITANIUM PROVIDENT HIP,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,STEM FEMORAL L119 MM OD10 MM 12/14 39 MM STRAIGHT STANDARD OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L119 MM OD10 MM 12/14 49 MM STRAIGHT EXTEND OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L119 MM OD17 MM 130 D HIGH OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L119.5 MM 4 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,"STEM FEMORAL L120 MM 4 12/14 HIGH OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L120 MM OD11 MM 12/14 41 MM EXTEND OFFSET STANDARD BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L120 MM OD11 MM 36 MM STANDARD OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN,ADVOCATE,V-LIGN HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L120 MM OD6.9 MM 132 D 6 33.6 MM OFFSET PRESS FIT PUREFIX TITANIUM SECUR-FIT ADVANCED HIP,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM FEMORAL L121 MM OD11 MM 12/14 49 MM STRAIGHT EXTEND OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L121.5 MM OD18 MM 130 D HIGH OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC,BI-METRIC HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L124 MM 5 12/14 HIGH OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,"STEM FEMORAL L124 MM 5 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L124 MM OD12.5 MM 12/14 40 MM STRAIGHT STANDARD OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L124 MM OD12.5 MM 12/14 50 MM STRAIGHT EXTEND OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L125 MM OD12 MM 12/14 39 MM STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L125 MM OD12 MM 12/14 44 MM EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L125 MM OD12 MM 39 MM STANDARD NECK OFFSET TAPER STANDARD BODY PRIMARY FIBER METAL HA TCP POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L125 MM OD12 MM 39 MM STANDARD OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN,ADVOCATE,V-LIGN HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L126 MM OD13.5 MM 12/14 50 MM STRAIGHT EXTEND OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L126.5 MM OD20 MM 130 D HIGH OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC,BI-METRIC HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L128.5 MM 6 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,"STEM FEMORAL L129 MM 1 44.75 MM LATERAL OFFSET PROTASUL-64WF HA AVENIR MULLER,MULLER HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L129 MM 6 12/14 HIGH OFFSET TAPER CEMENT C-STEM AMT,AMT HIP",1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L129 MM OD15 MM 12/14 41 MM STRAIGHT STANDARD OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L129 MM OD15 MM 12/14 51 MM STRAIGHT EXTEND OFFSET PRIMARY TIVANIUM HA TCP M/L TAPER HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM 01 12/14 39 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD10 MM 33 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD11 MM 36 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD11 MM 41 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD11 MM 41 MM STRAIGHT EXTEND OFFSET STANDARD BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD13 MM 12/14 39 MM STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD13 MM 12/14 44 MM EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD13 MM 39 MM STANDARD NECK OFFSET TAPER STANDARD BODY PRIMARY FIBER METAL HA TCP POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L130 MM OD13 MM 44 MM EXTEND OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L135 MM 2 45.17 MM LATERAL OFFSET PROTASUL-64WF HA AVENIR MULLER,MULLER HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L135 MM OD14 MM 12/14 47 MM EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L135 MM OD14 MM 12/14 47 MM EXTEND OFFSET TAPER PRIMARY CEMENT PROXIMAL CENTRALIZER SLEEVE ZIMALOY PMMA VERSYS HERITAGE HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L135 MM OD14 MM 42 MM STANDARD NECK OFFSET TAPER STANDARD BODY PRIMARY FIBER METAL HA TCP POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L135 MM OD14 MM 47 MM EXTEND NECK OFFSET TAPER STANDARD BODY PRIMARY FIBER METAL HA TCP POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L135 MM OD14 MM 47 MM EXTEND OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L137 MM OD9 MM LATERAL OFFSET PRIMARY TITANIUM POROUS TAPERLOC HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L137.5 MM 8 12/14 STANDARD OFFSET TAPER CEMENT C-STEM AMT HIP,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,STEM FEMORAL L138 MM 1 12/14 41 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD12 MM 39 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD12 MM 39 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY BEAD MIDCOAT ZIMALOY POLYSULFONE POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD12 MM 39 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD13 MM 39 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY ALIGNMENT GUIDE COLLAR FIBER METAL HA TCP MIDCOAT VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD13 MM 44 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD14 MM 42 MM STRAIGHT STANDARD NECK OFFSET STANDARD BODY PRIMARY ALIGNMENT GUIDE COLLAR FIBER METAL HA TCP MIDCOAT VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD14 MM 42 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD14 MM 42 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY BEAD MIDCOAT ZIMALOY POLYSULFONE POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD14 MM 47 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD15 MM 12/14 42 MM STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD15 MM 12/14 47 MM EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L140 MM OD15 MM 42 MM STANDARD NECK OFFSET TAPER STANDARD BODY PRIMARY FIBER METAL HA TCP POROUS VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L140 MM OD15 MM 42 MM STANDARD OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN,ADVOCATE,V-LIGN HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L141 MM 3 45.67 MM LATERAL OFFSET CEMENT PROTASUL-S30 AVENIR HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L143 MM 2 12/14 42 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L145 MM OD16 MM 12/14 45 MM STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L145 MM OD16 MM 12/14 45 MM STANDARD OFFSET TAPER PRIMARY CEMENT PROXIMAL CENTRALIZER SLEEVE ZIMALOY PMMA VERSYS HERITAGE,HERITAGE HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L145 MM OD16 MM 12/14 50 MM EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L145 MM OD16 MM 12/14 50 MM EXTEND OFFSET STANDARD BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L145 MM OD16 MM 12/14 50 MM EXTEND OFFSET TAPER PRIMARY CEMENT PROXIMAL CENTRALIZER SLEEVE ZIMALOY PMMA VERSYS HERITAGE,HERITAGE HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L145 MM OD16 MM 45 MM STANDARD OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN,ADVOCATE,V-LIGN HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L145 MM OD16 MM 50 MM EXTEND OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L147 MM 3 12/14 43 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L150 MM OD17 MM 12/14 45 MM STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L150 MM OD17 MM 12/14 45 MM STANDARD OFFSET TAPER PRIMARY CEMENT PROXIMAL CENTRALIZER SLEEVE ZIMALOY PMMA VERSYS HERITAGE,HERITAGE HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L150 MM OD17 MM 12/14 50 MM EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L150 MM OD17 MM 12/14 50 MM EXTEND OFFSET STANDARD BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L150 MM OD17 MM 45 MM STANDARD OFFSET PRIMARY CEMENT SATIN FINISH ZIMALOY VERSYS ADVOCATE V-LIGN,ADVOCATE,V-LIGN HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L151 MM 4 12/14 45 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L155 MM OD18 MM 12/14 48 MM STANDARD OFFSET STANDARD BODY PRIMARY TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L156 MM 5 12/14 46 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L157 MM OD18.5 MM LATERAL OFFSET PRIMARY TITANIUM POROUS TAPERLOC HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L159 MM 6 47.65 MM LATERAL OFFSET CEMENT PROTASUL-S30 AVENIR HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD15 MM 47 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD16 MM 135 D STANDARD OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD16 MM 45 MM STRAIGHT STANDARD NECK OFFSET STANDARD BODY PRIMARY ALIGNMENT GUIDE COLLAR FIBER METAL HA TCP MIDCOAT VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD16 MM 45 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD16 MM 45 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD16 MM 50 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD17 MM 45 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD17 MM 45 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD17 MM 50 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD18 MM 48 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD18 MM 48 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD18 MM 53 MM STRAIGHT EXTEND OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD19 MM 48 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD19 MM 48 MM STRAIGHT STANDARD OFFSET STANDARD BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L160 MM OD20 MM 48 MM STRAIGHT STANDARD OFFSET LARGE METAPHYSEAL BODY PRIMARY COLLAR MIDCOAT TIVANIUM FIBER METAL VERSYS HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L161 MM 6 12/14 47 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L166 MM 7 12/14 48 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L167 MM OD24 MM 133 D STANDARD OFFSET TAPER PRESS FIT FULL PROFILE PPS TITANIUM TAPERLOC HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L170 MM OD18 MM 130 D LATERAL OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L170 MM OD18 MM 135 D STANDARD OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L172 MM 8 12/14 50 MM STRAIGHT PRIMARY PROTASUL-100 POROUS ALLOCLASSIC SL HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L175 MM 14 +15 MM TAPER CEMENT PROXIMAL GROOVE COCR CALCAR,3606.0,1803.0,690.55,3245.4,65
HCPCS,C1776,STEM FEMORAL L175 MM 16 +15 MM TAPER CEMENT PROXIMAL GROOVE COCR CALCAR,3606.0,1803.0,690.55,3245.4,65
HCPCS,C1776,STEM FEMORAL L175 MM OD19 MM 135 D STANDARD OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L177 MM 9 50.54 MM LATERAL OFFSET PROTASUL-64WF HA AVENIR MULLER,MULLER HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L180 MM OD20 MM 130 D LATERAL OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L180 MM OD20 MM 135 D STANDARD OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L185 MM OD21 MM 130 D LATERAL OFFSET PRIMARY PRESS FIT PPS BI-METRIC HIP X SERIES,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L225 MM OD22 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L265 MM OD14 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L265 MM OD20 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L265 MM OD21 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L265 MM OD23 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L265 MM OD25 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L305 MM OD17 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L305 MM OD18 MM 135 D 12/14 TAPER PROTASUL-100 POROUS WAGNER SL REVISION HIP,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1776,STEM FEMORAL L80 MM OD12 MM TITANIUM POROUS BALANCE MICROPLASTY HIP RIGHT,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L94 MM OD7 MM 130 D HIGH OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC,BI-METRIC HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,"STEM FEMORAL L94 MM OD7 MM 135 D STANDARD OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC,BI-METRIC HIP",1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL L96.5 MM OD8 MM 130 D HIGH OFFSET FULL PROXIMAL PROFILE PPS ECHO BI-METRIC HIP,1826.0,913.0,349.68,1643.4,65
HCPCS,C1776,STEM FEMORAL SIZE 0 STANDARD OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 1 STANDARD OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 1 V2 STANDARD SOLID SINGLE-USE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 13 TITANIUM NIOBIUM HIP LATERALIZED OFFSET SOLID SMS,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 2 LATERALIZED OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 2 STANDARD OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 3 LATERALIZED OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 3 STANDARD OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 3 TITANIUM NIOBIUM LATERALIZED OFFSET SMS,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 4 STANDARD OFFSET SHORT NECK QUADRA-P,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM FEMORAL SIZE 4 TITANIUM NIOBIUM STANDARD OFFSET SMS,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HIP SECUR-FIT MAX 7 132MM,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 125MM 17MM 125D SHOULDER AEQUALIS PRESS FIT MODULAR STERILE LATEX FREE,2212.0,1106.0,423.6,1990.8,65
HCPCS,C1776,STEM HUMERAL 125MM 17MM 130D SHOULDER AEQUALIS PRESS FIT MODULAR STERILE LATEX FREE,2212.0,1106.0,423.6,1990.8,65
HCPCS,C1776,STEM HUMERAL 125MM 17MM 135D SHOULDER AEQUALIS PRESS FIT MODULAR STERILE LATEX FREE,2212.0,1106.0,423.6,1990.8,65
HCPCS,C1776,STEM HUMERAL 125MM 17MM 140D SHOULDER AEQUALIS PRESS FIT MODULAR STERILE LATEX FREE,2212.0,1106.0,423.6,1990.8,65
HCPCS,C1776,STEM HUMERAL 130MM 10MM ANATOMICAL SHOULDER PROTASUL-100 STERILE,3150.0,1575.0,603.23,2835.0,65
HCPCS,C1776,STEM HUMERAL 130MM 11MM BIGLIANI/FLATOW ZIMALOY,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 12MM ANATOMICAL SHOULDER PROTASUL-100 STERILE,3150.0,1575.0,603.23,2835.0,65
HCPCS,C1776,STEM HUMERAL 130MM 12MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 13MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 14MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 15MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 16MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 17MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 18MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 7MM SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 8MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 130MM 9MM STANDARD SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 18MM 44MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 18MM 48MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 18MM 52MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 18MM 56MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 21MM 44MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 21MM 48MM LONG SHOULDER AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 21MM 52MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 21MM 56MM LONG AFFINITI EH2,1575.0,787.5,301.61,1417.5,65
HCPCS,C1776,STEM HUMERAL 6 SHOULDER ARTHREX UNIVERS REVERS STERILE,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL 60MM 7MM SHOULDER BIGLIANI/FLATOW ZIMALOY MODULAR STERILE,1900.0,950.0,363.85,1710.0,65
HCPCS,C1776,STEM HUMERAL 86MM 127.5D 6A SHOULDER AEQUALIS ASCEND TITANIUM GRIT BLAST SURFACE COLLARLESS LOW PROFILE LATERAL BORDER,1800.0,900.0,344.7,1620.0,65
HCPCS,C1776,STEM HUMERAL CEMENTLESS 14MM SHORT 57MM POROCOAT GLOBAL UNITE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,STEM HUMERAL CEMENTLESS 8MM TITANIUM PROXIMAL/DISTAL SHOULDER TRAPEZOIDAL CYLINDRICAL PRIMARY PRESS-FIT FLUTED EQUINOXE STERILE,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL CEMENTLESS SIZE 10 METAPHYSEAL 135DEG ANGLED,575.0,287.5,110.11,517.5,65
HCPCS,C1776,STEM HUMERAL CEMENTLESS SIZE 11 METAPHYSEAL 135DEG ANGLED,575.0,287.5,110.11,517.5,65
HCPCS,C1776,STEM HUMERAL CEMENTLESS SIZE 8 METAPHYSEAL 135DEG ANGLED,575.0,287.5,110.11,517.5,65
HCPCS,C1776,STEM HUMERAL H150 MM OD13 MM CEMENTED REVISION SMR TITANIUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL H150 MM OD13 MM CEMENTLESS REVISION SMR TITANIUM SHOULDER,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL H150 MM OD14 MM CEMENTLESS REVISION SMR TITNAIUM SHOULDER,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL H150 MM OD15 MM CEMENTLESS REVISION SMR TITANIUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL H180 MM OD13 MM CEMENTLESS REVISION SMR TITANIUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL H180 MM OD14 MM CEMENTLESS REVISION SMR TITANIUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL H180 MM OD16 MM CEMENTLESS REVISION SMR TITANIUM,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1776,STEM HUMERAL L111 MM CORE SET PROXIMAL FILL UNIVERS REVERS CALCIUM PHOSPHATE 6 SHOULDER ARTHROPLASTY,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL L119 MM CORE SET PROXIMAL FILL UNIVERS REVERS CALCIUM PHOSPHATE 8 SHOULDER ARTHROPLASTY,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL L123 MM CORE SET PROXIMAL FILL UNIVERS REVERS CALCIUM PHOSPHATE 9 SHOULDER ARTHROPLASTY,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL L130 MM OD12 MM AEQUALIS HA SHOULDER,2212.0,1106.0,423.6,1990.8,65
HCPCS,C1776,STEM HUMERAL L130 MM OD6.5 MM AEQUALIS HA SHOULDER,2212.0,1106.0,423.6,1990.8,65
HCPCS,C1776,STEM HUMERAL L130 MM PERFORM FX 12,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1776,STEM HUMERAL L130 MM PERFORM FX 14,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1776,STEM HUMERAL L130 MM PERFORM FX 16,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1776,STEM HUMERAL L130 MM PERFORM FX 17,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1776,STEM HUMERAL L130 MM PERFORM FX 9,6500.0,3250.0,1244.75,5850.0,65
HCPCS,C1776,STEM HUMERAL L150 MM PROXIMAL FILL REVISION UNIVERS REVERS CALCIUM PHOSPHATE 6 LONG SHOULDER ARTHROPLASTY,1275.0,637.5,244.16,1147.5,65
HCPCS,C1776,STEM HUMERAL L207 MM OD10 MM REVISION MONOBLOC CEMENT DELTA XTEND 2 LONG L180 MM SHOULDER EPIPHYSIS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,STEM HUMERAL L223 MM OD14 MM REVISION MONOBLOC CEMENT DELTA XTEND 1 LONG L196 MM SHOULDER EPIPHYSIS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,STEM HUMERAL L224 MM OD14 MM REVISION MONOBLOC CEMENT DELTA XTEND 2 LONG L196 MM SHOULDER EPIPHYSIS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,STEM HUMERAL L44 MM INHANCE XL STANDARD,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1776,STEM HUMERAL L60 MM OD11 MM CEMENTLESS SMR TITANIUM MINI,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L60 MM OD12 MM CEMENTLESS SMR TITANIUM ALUMINUM VANADIUM MINI SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L60 MM OD13 MM CEMENTLESS SMR TITANIUM MINI,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD14 MM FINNED CEMENTLESS SMR TITANIUM,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD15 MM CEMENTLESS FIN SMR TITANIUM ALUMINUM VANADIUM SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD16 MM CEMENTLESS FIN SMR TITANIUM ALUMINUM VANADIUM SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD17 MM CEMENTLESS FIN SMR TITANIUM ALUMINUM VANADIUM SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD18 MM FIN SMR TITANIUM ALUMINUM VANADIUM SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD18 MM FINNED CEMENTLESS SMR TITANIUM SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD20 MM FIN SMR TITANIUM ALUMINUM VANADIUM SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD21 MM FINNED CEMENTLESS SMR TITANIUM,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD22 MM FINNED CEMENTLESS SMR TITANIUM,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD23 MM FINNED CEMENTLESS SMR TITANIUM,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L80 MM OD24 MM FINNED CEMENTLESS SMR TITANIUM,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL L83 MM OD7 MM COMPREHENSIVE MINI TOTAL SHOULDER SYSTEM,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD11 MM AEQUALIS FLEX REVIVE SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD11 MM PARTIAL COATED AEQUALIS FLEX REVIVE PTC SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD13 MM AEQUALIS FLEX REVIVE SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD13 MM PARTIAL COATED AEQUALIS FLEX REVIVE PTC SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD15 MM AEQUALIS FLEX REVIVE SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD15 MM PARTIAL COATED AEQUALIS FLEX REVIVE PTC SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD17 MM AEQUALIS FLEX REVIVE SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD19 MM AEQUALIS FLEX REVIVE SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L90 MM OD9 MM AEQUALIS FLEX REVIVE SHOULDER DISTAL,3480.0,1740.0,666.42,3132.0,65
HCPCS,C1776,STEM HUMERAL L95 MM OD 4 MM SHOULDER INNOVATIONS INSET 95 HUMERAL STEM,1847.02,923.51,353.7,1662.32,65
HCPCS,C1776,STEM HUMERAL L95 MM OD6 MM SHOULDER INNOVATIONS INSET 95 HUMERAL STEM,1847.02,923.51,353.7,1662.32,65
HCPCS,C1776,STEM HUMERAL OD10 MM EQUINOXE,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD11 MM PRESS FIT PRIMARY EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD12 MM PRESS FIT EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD13 MM PRESS FIT PRIMARY EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD14 MM PRESS FIT EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD15 MM CEMENTLESS FIN SMR TITANIUM ALUMINUM VANADIUM SHORT SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL OD15 MM PRESS FIT EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD17 MM PRESS FIT PRIMARY EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD18 MM FIN SMR SHORT SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL OD20 MM FIN SMR SHORT SHOULDER,1015.0,507.5,194.37,913.5,65
HCPCS,C1776,STEM HUMERAL OD39 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,STEM HUMERAL OD43 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,STEM HUMERAL OD45 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,STEM HUMERAL OD49 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,STEM HUMERAL OD5 MM UNIVERS REVERS,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL OD51 MM TRUNION ECLIPSE SHOULDER,1895.0,947.5,362.89,1705.5,65
HCPCS,C1776,STEM HUMERAL OD7 MM PRESS FIT PRIMARY EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL OD8 MM CEMENTED MONOBLOC DELTA XTEND COCR 1 LONG LENGTH SHOULDER EPIPHYSIS REVERSE SYSTEM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,STEM HUMERAL OD9 MM PRESS FIT PRIMARY EQUINOXE SHOULDER,1600.0,800.0,306.4,1440.0,65
HCPCS,C1776,STEM HUMERAL R1 36MM LONG REV,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,STEM HUMERAL R1 36MM SHORT REV,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1776,STEM HUMERAL SIZE 10 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 11 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 12 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 14 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 4 STANDARD IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 5 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 7 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 8 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL SIZE 9 MICRO IDENTITY,1950.0,975.0,373.43,1755.0,65
HCPCS,C1776,STEM HUMERAL UNCEMENTED 8 SHOULDER,3150.0,1575.0,603.23,2835.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS 6 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS 7 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS 8 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS 9 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS UNIVERS APEX 11 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS UNIVERS APEX 12 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS UNIVERS APEX 13 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS UNIVERS APEX 15 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS UNIVERS APEX 8 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUMERAL UNIVERS REVERS UNIVERS APEX 9 SHOULDER,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM HUML UNIVERS REVERS 7,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,STEM RADIAL +4 MM MODULAR OD5.5 MM EVOLVE PROLINE ELBOW,1400.0,700.0,268.1,1260.0,65
HCPCS,C1776,STEM RADIAL 0+ MM 8MM 2L ELBOW STERILE LATEX FREE,1580.0,790.0,302.57,1422.0,65
HCPCS,C1776,STEM RADIAL L10 MM STANDARD SLIDE-LOC ELBOW ANATOMIC RADIAL HEAD,1669.0,834.5,319.61,1502.1,65
HCPCS,C1776,STEM RADIAL L50 MM LONG OD6 MM SLIDE-LOC ELBOW RIGHT ANATOMIC RADIAL HEAD,2390.0,1195.0,457.69,2151.0,65
HCPCS,C1776,STEM TIBIAL BASE PLASMA OD16 MM INBONE ANKLE,628.0,314.0,120.26,565.2,65
HCPCS,C1776,STEM TIBIAL BASE PLASMA OD18 MM INBONE ANKLE,628.0,314.0,120.26,565.2,65
HCPCS,C1776,STEM TIBIAL EXTENSION 14MM 58MM KNEE PERSONA CANTURIO TE,1240.0,620.0,237.46,1116.0,65
HCPCS,C1776,STEM TIBIAL L160 MM SPLINE EXTENSION REVISION OD12 MM VANGUARD 360 KNEE,1155.0,577.5,221.18,1039.5,65
HCPCS,C1776,STEM TIBIAL L200 MM SPLINE EXTENSION REVISION OD20 MM VANGUARD 360 KNEE,1155.0,577.5,221.18,1039.5,65
HCPCS,C1776,STEM TIBIAL L80 MM FLUTE MODULAR BASE PRIMARY AGC KNEE,418.0,209.0,80.05,376.2,65
HCPCS,C1776,STEM TIBIAL MID PLASMA OD14 MM INBONE ANKLE,577.0,288.5,110.5,519.3,65
HCPCS,C1776,STEM TIBIAL MID PLASMA OD16 MM INBONE ANKLE,577.0,288.5,110.5,519.3,65
HCPCS,C1776,STEM TIBIAL MID PLASMA OD18 MM INBONE ANKLE,577.0,288.5,110.5,519.3,65
HCPCS,C1776,STEM TIBIAL TOP PLASMA OD12 MM INBONE ANKLE,577.0,288.5,110.5,519.3,65
HCPCS,C1776,STEM TIBIAL TOP PLASMA OD14 MM INBONE ANKLE,577.0,288.5,110.5,519.3,65
HCPCS,C1776,STEM TIBIAL TOP PLASMA OD16 MM INBONE ANKLE,577.0,288.5,110.5,519.3,65
HCPCS,C1776,STEM ULNAR 5 LT 75MM,3825.0,1912.5,732.49,3442.5,65
HCPCS,C1776,STEM ULNAR 75MM 4 NEXEL RIGHT,3825.0,1912.5,732.49,3442.5,65
HCPCS,C1776,STEM UNIVERS REVERS APEX SZ 10,1700.0,850.0,325.55,1530.0,65
HCPCS,C1776,SURFACE ARTICULAR 11MM GENDER SOLUTIONS NATURAL-KNEE FLEX 1-2 KNEE RIGHT PROLONG CRUCIATE RETAIN CONGRUENT,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR 9MM GENDER SOLUTIONS NATURAL-KNEE FLEX 1-2 KNEE RIGHT PROLONG CRUCIATE RETAIN CONGRUENT,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR 9MM GENDER SOLUTIONS NATURAL-KNEE FLEX 3-5 KNEE RIGHT PROLONG CRUCIATE RETAIN CONGRUENT,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM LINKSYMPHOKNEE 1-2 ULTRACONGRUENT FIX BEARING E-DUR,555.0,277.5,106.28,499.5,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM NEXGEN LPS-FLEX 3-4 G KNEE FIX BEARING PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM NEXGEN LPS-FLEX 5-6 C-D KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 1-2 C-D KNEE LEFT CRUCIATE RETAIN POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 10-11 E-F KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 10-11 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 3-5 E-F KNEE LEFT POSTERIOR STABILIZE CONSTRAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 3-5 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 3-6 A-B KNEE LEFT CRUCIATE RETAIN POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 3-6 A-B KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 7-9+ C-D KNEE RIGHT CONDYLAR CONSTRAIN REVISION VIVACIT-E,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H10 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 10-11 E-F KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 10-12 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 3-5 C-D KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 3-5 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 6-9 C-D KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 6-9 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H11 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM NEXGEN LPS-FLEX 1-2 C-D KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM NEXGEN LPS-FLEX 1-2 E KNEE FIX BEARING PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 10-12 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 10-12 G-H KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 10-12 J KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 10-12 J KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-5 A-B KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-5 C-D KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-5 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 3-6 A-B KNEE LEFT CRUCIATE RETAIN POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 6-9 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 6-9 E-F KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 6-9 E-F KNEE RIGHT POSTERIOR STABILIZE CONSTRAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 7-9+ C-D KNEE RIGHT CONDYLAR CONSTRAIN REVISION VIVACIT-E,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H12 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 10-11 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 10-11 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 6-9 CD KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H13 MM PERSONA MEDIAL CONGRUENT 8-9 C-D KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM NEXGEN LPS-FLEX 1-2 C-D KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM NEXGEN LPS-FLEX 5-6 C-D KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 10-11 EF KNEE RIGHT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 10-12 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 10-12 G-H KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 10-12 J KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 3-5 C-D KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 6-9 C-D KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H14 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 10-11 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 11-13 G-H KNEE RIGHT CONDYLAR CONSTRAIN REVISION VIVACIT-E,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 3-9 C-D KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 3-9 C-D KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 6-9 C-D KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 7-12 G-H KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 7-12 G-H KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA MEDIAL CONGRUENT 12 G-H KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H16 MM PERSONA MEDIAL CONGRUENT 6-7 C-D KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H17 MM NEXGEN LPS-FLEX 5-6 C-D KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 10-11 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 10-11 E-F KNEE RIGHT POSTERIOR STABILIZE CONSTRAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-11 E-F KNEE LEFT CRUCIATE RETAIN POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-11 E-F KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-5 C-D KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-9 C-D KNEE LEFT CRUCIATE RETAIN POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 3-9 C-D KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 6-9 C-D KNEE LEFT POSTERIOR STABILIZE CONSTRAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 6-9 C-D KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 6-9 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 6-9 EF KNEE RIGHT POSTERIOR STABILIZE VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 6-9 G-H KNEE LEFT POSTERIOR STABILIZE CONSTRAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 7-12 G-H KNEE LEFT CRUCIATE RETAIN POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 7-12 G-H KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 7-12 G-H KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 7-9+ E-F KNEE LEFT CONDYLAR CONSTRAIN REVISION VIVACIT-E,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 9-12 J KNEE RIGHT TIBIA CRUCIATE RETAIN FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA MEDIAL CONGRUENT 12 G-H KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA MEDIAL CONGRUENT 4-5 C-D KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA MEDIAL CONGRUENT 4-5 E-F KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H18 MM PERSONA MEDIAL CONGRUENT 8-11 G-H KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM NEXGEN LPS-FLEX 3-4 G KNEE FIX BEARING PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM NEXGEN LPS-FLEX 7-10 E-F KNEE FIX BEARING PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 1-2 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 1-2 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 1-2 C-D KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 1-2 C-D KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 10-11 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 10-12 G-H KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 10-12 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 3-4 A-B KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 3-4 A-B KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 3-5 C-D KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 3-5 C-D KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 3-5 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 6-9 E-F KNEE LEFT POSTERIOR STABILIZE CONSTRAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 6-9 E-F KNEE LEFT POSTERIOR STABILIZE POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 6-9 E-F KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 6-9 G-H KNEE RIGHT TIBIA POSTERIOR STABILIZE FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 7-9 C-D KNEE LEFT CONDYLAR CONSTRAIN REVISION VIVACIT-E,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 9-12 J KNEE LEFT ULTRACONGRUENT POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA 9-12 J KNEE RIGHT TIBIA ULTRACONGRUENT FIX BEARING POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA MEDIAL CONGRUENT 12 G-H KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H20 MM PERSONA MEDIAL CONGRUENT 8-9 C-D KNEE LEFT CRUCIATE RETAIN VIVACIT-E,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H22 MM PERSONA 7-9 C-D KNEE LEFT CONDYLAR CONSTRAIN REVISION VIVACIT-E,1750.0,875.0,335.13,1575.0,65
HCPCS,C1776,SURFACE ARTICULAR H23 MM LPS-FLEX 7-10 EF XL KNEE FIX,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H23 MM NEXGEN LPS-FLEX 1-2 C-D KNEE FIX BEARING PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H23 MM NEXGEN LPS-FLEX 3-4 E-F KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H23 MM NEXGEN LPS-FLEX 7-10 G-H KNEE FIX BEARING PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR H8 MM VIVACIT-E 4 KNEE TIBIA UNICOMPARTMENTAL VIVACIT-E,779.0,389.5,149.18,701.1,65
HCPCS,C1776,SURFACE ARTICULAR H8 MM ZUK 3 KNEE TIBIA UNICOMPARTMENTAL VIVACIT-E,705.0,352.5,135.01,634.5,65
HCPCS,C1776,SURFACE ARTICULAR H8 MM ZUK 5 KNEE TIBIA UNICOMPARTMENTAL VIVACIT-E,705.0,352.5,135.01,634.5,65
HCPCS,C1776,SURFACE ARTICULAR L58 MM X W40 MM X H10 MM NEXGEN 1-2 C-H MICRO KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L58 MM X W40 MM X H10 MM NEXGEN CR-FLEX 1-2 C-H STANDARD KNEE UHMWPE PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L58 MM X W40 MM X H12 MM NEXGEN CR-FLEX 1-2 C-H STANDARD KNEE UHMWPE PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L58 MM X W40 MM X H17 MM NEXGEN 1-2 C-H MICRO KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L66 MM X W42 MM X H10 MM NEXGEN LPS-FLEX 3-4 C-D STANDARD KNEE MACHINE MOLD FIX POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L66 MM X W42 MM X H10 MM NEXGEN LPS-FLEX 3-4 E-F STANDARD KNEE MACHINE MOLD FIX POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L66 MM X W42 MM X H12 MM NEXGEN LPS-FLEX 3-4 C-D STANDARD KNEE MACHINE MOLD FIX POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L74 MM X W46 MM X H10 MM NEXGEN 5-6 C-H STANDARD KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L74 MM X W46 MM X H10 MM NEXGEN LPS-FLEX 5-6 E-F STANDARD KNEE MACHINE MOLD FIX POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L74 MM X W46 MM X H14 MM NEXGEN LPS-FLEX 5-6 E-F STANDARD KNEE MACHINE MOLD FIX POLYETHYLENE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L74 MM X W46 MM X H20 MM NEXGEN CR-FLEX 5-6 C-H STANDARD KNEE UHMWPE PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L82 MM X W51 MM X H10 MM NEXGEN 7-10 C-H STANDARD KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L82 MM X W51 MM X H14 MM NEXGEN 7-10 C-H STANDARD KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L82 MM X W51 MM X H17 MM NEXGEN 7-10 C-H STANDARD KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L82 MM X W51 MM X H20 MM NEXGEN CR-FLEX 7-10 C-H STANDARD KNEE UHMWPE PROLONG,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR L82 MM X W51 MM X H23 MM NEXGEN 7-10 C-H STANDARD KNEE CRUCIATE RETAIN ANTERIOR CONSTRAIN MACHINE MOLD UHMWPE,550.0,275.0,105.33,495.0,65
HCPCS,C1776,SURFACE ARTICULAR LINKSYMPHOKNEE 7-8 14 KNEE POSTERIOR STABILIZE PLUS XLPE VITAMIN E,1040.0,520.0,199.16,936.0,65
HCPCS,C1776,SYSTEM DIAGNOSTIC CATHETER IVAS ELITE 10MM OD 10GA,2426.67,1213.34,529.26,2184.0,64
HCPCS,C1776,SYSTEM DRAINAGE MONITOR TRANSDUCER ATTACHMENT BECKER EDMS II VENTRICULAR L35 CM 700 ML BLUE,252.07,126.04,48.27,226.86,65
HCPCS,C1776,SYSTEM IMPLANT ECLIPSE SPEEDSCAP TITANIUM SHOULDER,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1776,SYSTEM LINER ACETABULAR EMPOWR SIZE J 40MM NEUTRAL HXE+ VITAMIN E POLYETHYLENE,850.0,425.0,162.78,765.0,65
HCPCS,C1776,SYSTEM SPINAL FIXATION 7MM 40MM IFUSE IMPLANT SYSTEM SACROILIAC STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1776,SYSTEM SPINAL FIXATION 7MM 55MM TRIANGLE IFUSE IMPLANT SYSTEM TITANIUM PLASMA SPRAY POROUS SACROILIAC STERILE LATEX FREE MINIMALLY INVASIVE SURGERY,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1776,SYSTEM SPINAL FIXATION 7MM 60MM IFUSE IMPLANT SYSTEM SACROILIAC STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1776,SYSTEM SPINAL FIXATION IFUSE IMPLANT SYSTEM 7MM 35MM SACROILIAC STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1776,SYSTEM SPINAL FIXATION IFUSE IMPLANT SYSTEM 7MM 70MM TRIANGLE TITANIUM POROUS SACROILIAC,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1776,SYSTEM SPINAL FIXATION IFUSE-3D IMPLANT 7MM 50MM TRIANGLE TITANIUM PLASMA SPRAY POROUS SACROILIAC MINIMALLY INVASIVE SURGERY,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1776,SYSTEM TKR OXFORD STANDARD CEMENT FEMUR TIBIA ARTICULAR SURFACE,3200.0,1600.0,612.8,2880.0,65
HCPCS,C1776,SYSTEM TSR SIZE 1 F/HEMI ARTHROPLASTY HEMI-1 DEPUY,1100.0,550.0,210.65,990.0,65
HCPCS,C1776,SYSTEM TSR STEMLESS CEMENTLESS 32MM SMALL SHOULDER 1/EA,3200.0,1600.0,612.8,2880.0,65
HCPCS,C1776,TIBIAL BEARING INSRT PSX 3,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TIBIAL CONE SIZE 4 EVOLUTION,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1776,TIBIAL INSERT TRIATH X3  SZ3 9MM TS,1738.4,869.2,332.9,1564.56,65
HCPCS,C1776,TRAY HUMERAL 33MM INSET 0MM SHOULDER TITANIUM REVERSE STERILE LATEX FREE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1776,TRAY HUMERAL AEQUALIS ASCEND FLEX +0 MM 0 MM CENTER OFFSET SHOULDER REVERSE CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,TRAY HUMERAL AEQUALIS ASCEND FLEX +12 MM 0 MM CENTER OFFSET SHOULDER REVERSE CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,TRAY HUMERAL AEQUALIS ASCEND FLEX +6 MM 0 MM CENTER OFFSET SHOULDER REVERSE CONVERTIBLE SYSTEM,848.0,424.0,162.39,763.2,65
HCPCS,C1776,TRAY HUMERAL COMPREHENSIVE +6 MM +5 MM SHOULDER REVERSE,1040.0,520.0,199.16,936.0,65
HCPCS,C1776,TRAY HUMERAL COMPREHENSIVE STANDARD SHOULDER TITANIUM REVERSE,1040.0,520.0,199.16,936.0,65
HCPCS,C1776,TRAY HUMERAL EQUINOXE +10 MM SHOULDER ADAPTER FRACTURE REVERSE,875.0,437.5,167.56,787.5,65
HCPCS,C1776,TRAY HUMERAL EQUINOXE +15 MM SHOULDER ADAPTER FRACTURE REVERSE,875.0,437.5,167.56,787.5,65
HCPCS,C1776,TRAY STERILIZATION HIP ACCESS SYSTEM,500.0,250.0,95.75,450.0,65
HCPCS,C1776,TRAY TIBIAL 1 KNEE LEFT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 1 KNEE LEFT MEDIAL RIGHT LATERAL IBALANCE CEMENT UNICONDYLAR KNEE ARTHROPLASTY,695.0,347.5,133.09,625.5,65
HCPCS,C1776,TRAY TIBIAL 1 KNEE RIGHT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 1.5F/1.5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 1F/1T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 2 KNEE LEFT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 2 KNEE RIGHT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 2 KNEE UNICONDYLAR RIGHT MEDIAL LEFT LATERAL IBALANCE CEMENT RESURFACE,630.0,315.0,120.65,567.0,65
HCPCS,C1776,TRAY TIBIAL 2 LONG ANKLE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 2 LONG ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 2 STANDARD ANKLE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 2 STANDARD ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 2.5F/1.5T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 2.5F/1.5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 2.5F/2.5T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 2.5F/2.5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 2F/2T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 2F/3T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3 KNEE LEFT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 3 KNEE RIGHT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 3 LONG ANKLE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 3 LONG ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 3 STANDARD ANKLE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 3 STANDARD ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 3.5F/2.5T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3.5F/2.5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3.5F/3.5T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3.5F/3.5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3F/2T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3F/3T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3F/3T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 3F/4T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 4 KNEE LEFT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 4 KNEE RIGHT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 4 LONG ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 4 LONG KNEE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 4 STANDARD ANKLE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 4 STANDARD ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 4.5F/4.5T KNEE TRULIANT CEMENT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 4F/4T KNEE OPTETRAK LOGIC CEMENT FIT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 4F/4T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 4F/5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 5 KNEE LEFT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 5 KNEE RIGHT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 5 LONG ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 5 LONG KNEE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 5 STANDARD ANKLE LEFT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 5 STANDARD ANKLE RIGHT INBONE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1776,TRAY TIBIAL 5F/5T KNEE TRULIANT,775.0,387.5,148.41,697.5,65
HCPCS,C1776,TRAY TIBIAL 6 KNEE LEFT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL 6 KNEE RIGHT GMK CEMENT FIX PRIMARY COCR,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL CEMENTED SIZE 3+ LEFT FIXED GMK,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL CEMENTED SIZE T4-I3 COBALT CHROMIUM MOLYBDENUM RIGHT KNEE FIXED GMK SPHERE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL KNEE ASCENT MAXIM PRIMARY L63 MM TITANIUM POROUS,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE REGENEREX PRIMARY CRUCIATE RETAIN POSTERIOR STABILIZE L59 MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL KNEE REGENEREX PRIMARY CRUCIATE RETAIN POSTERIOR STABILIZE L63 MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL KNEE REGENEREX PRIMARY CRUCIATE RETAIN POSTERIOR STABILIZE L67 MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL KNEE REGENEREX PRIMARY CRUCIATE RETAIN POSTERIOR STABILIZE L75 MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL KNEE REGENEREX PRIMARY CRUCIATE RETAIN POSTERIOR STABILIZE L79 MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL KNEE REGENEREX PRIMARY CRUCIATE RETAIN POSTERIOR STABILIZE L83 MM,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP G2 LOCK BAR L59-67 MM,87.5,43.75,16.76,78.75,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP G2 LOCK BAR L79-81 MM,87.5,43.75,16.76,78.75,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L63 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L65 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L67 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L71 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L73 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L75 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L79 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L83 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L87 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY CRUCIATE RETAIN L91 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY L67 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY L73 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY L75 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY L83 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL KNEE VANGUARD XP PRIMARY L87 MM INTERLOK,650.0,325.0,124.48,585.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 11 STANDARD KNEE PRIMARY POSTERIOR STABILIZE CRUCIATE RETAIN WAFFLE SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 3 STANDARD KNEE CEMENT SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 4 STANDARD KNEE CEMENT SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 5 STANDARD KNEE PRIMARY POSTERIOR STABILIZE CRUCIATE RETAIN WAFFLE SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 6 STANDARD KNEE PRIMARY POSTERIOR STABILIZE CRUCIATE RETAIN WAFFLE SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 7 STANDARD KNEE PRIMARY POSTERIOR STABILIZE CRUCIATE RETAIN WAFFLE SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SCORPIO 9 STANDARD KNEE PRIMARY POSTERIOR STABILIZE CRUCIATE RETAIN WAFFLE SERIES 7000,1000.0,500.0,191.5,900.0,65
HCPCS,C1776,TRAY TIBIAL SIZE 3 LEFT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL SIZE 3 RIGHT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL SIZE 4 LEFT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL SIZE 5 LEFT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL SIZE CH/4 66MM/46MML 10MM THK UHMWPE LEFT/RIGHT CRUCIATE RETAINING YELLOW NEXGEN STERILE,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL SIZE T3I4 LEFT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL SIZE T3I4 RIGHT GMK 3D METAL,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL T3I4 KNEE LEFT GMK CEMENT FIX,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL T3I4 KNEE RIGHT GMK CEMENT FIX,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRAY TIBIAL T4I3 KNEE LEFT GMK CEMENT FIX,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRIAL DIST JOINT 100% F/TOTAL TALUS REPLACE,195.0,97.5,37.34,175.5,65
HCPCS,C1776,TRIAL DIST JOINT 105% F/TOTAL TALUS REPLACE,195.0,97.5,37.34,175.5,65
HCPCS,C1776,TRIAL DIST JOINT 95% F/TOTAL TALUS REPLACE,195.0,97.5,37.34,175.5,65
HCPCS,C1776,TRIAL HIP +1.5 44 MM HEAD OD44 MM FEMORAL,1466.55,733.28,280.84,1319.9,65
HCPCS,C1776,TRIAL OD36 MM ECCENTRICAL GLENOSPHERE SMR SHOULDER,1500.0,750.0,287.25,1350.0,65
HCPCS,C1776,TRIAL TIBIAL SIZE 6 LEFT LEGION FP,56.4,28.2,10.8,50.76,65
HCPCS,C1776,TRIATHLON PS X3 TIBIAL INSERT 119E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRIATHLON PS X3 TIBIAL INSERT 219E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,TRIATHLON PS X3 TIBIAL INSERT 819E,700.0,350.0,134.05,630.0,65
HCPCS,C1776,UNIT NAVIGATION KNEEALIGN 2 STERILE LATEX FREE DISPOSABLE,1035.0,517.5,198.2,931.5,65
HCPCS,C1776,WEDGE AUGMENTATION W12 MM THK12 MM D18 MM ANATOMIC SMALL FOOTPRINT RESTOR3D OSTEOTOMY WEDGE COTTON,1995.0,997.5,382.04,1795.5,65
HCPCS,C1776,WEDGE FEMORAL 10MM LEGION 6 KNEE DISTAL HINGE,840.0,420.0,160.86,756.0,65
HCPCS,C1776,WEDGE FEMORAL 15MM LEGION 6 KNEE DISTAL HINGE,840.0,420.0,160.86,756.0,65
HCPCS,C1776,WEDGE FEMORAL 5MM LEGION 3 KNEE DISTAL HINGE,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL 5MM LEGION 5 KNEE DISTAL HINGE,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H10 MM 3 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H10 MM 4 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H10 MM 5 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H10 MM SCREW HINGE KNEE LEGION DISTAL,104.4,52.2,19.99,93.96,65
HCPCS,C1776,WEDGE FEMORAL H10 MM SCREW LEGION KNEE POSTERIOR,89.1,44.55,17.06,80.19,65
HCPCS,C1776,WEDGE FEMORAL H15 MM 3 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H15 MM 4 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H15 MM 5 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H15 MM SCREW HINGE KNEE LEGION DISTAL,104.4,52.2,19.99,93.96,65
HCPCS,C1776,WEDGE FEMORAL H20 MM 3 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H20 MM 4 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H20 MM 5 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H20 MM 6 HINGE LEGION KNEE DISTAL,840.0,420.0,160.86,756.0,65
HCPCS,C1776,WEDGE FEMORAL H20 MM SCREW HINGE KNEE LEGION DISTAL,104.4,52.2,19.99,93.96,65
HCPCS,C1776,WEDGE FEMORAL H5 MM 4 HINGE DISTAL,898.5,449.25,172.06,808.65,65
HCPCS,C1776,WEDGE FEMORAL H5 MM 6 HINGE LEGION KNEE DISTAL,840.0,420.0,160.86,756.0,65
HCPCS,C1776,WEDGE FEMORAL H5 MM SCREW HINGE KNEE LEGION DISTAL,104.4,52.2,19.99,93.96,65
HCPCS,C1776,WEDGE FEMORAL H5 MM SCREW LEGION KNEE POSTERIOR,89.1,44.55,17.06,80.19,65
HCPCS,C1776,WEDGE FEMORAL SIZE 13 5MM THK DISTAL AUGMENT REVISION PERSONA STERILE,908.0,454.0,173.88,817.2,65
HCPCS,C1776,WEDGE LEGION FINNED TIB SZ3 20MM,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 2 FIN LEGION KNEE LEFT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 2 FIN LEGION KNEE RIGHT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 3 FIN LEGION KNEE LEFT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 3 FIN LEGION KNEE RIGHT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 4 FIN LEGION KNEE LEFT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 4 FIN LEGION KNEE RIGHT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 5 FIN LEGION KNEE LEFT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 6 FIN LEGION KNEE LEFT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL H10 MM 7 FIN LEGION KNEE LEFT,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL SCREW LEGION,96.0,48.0,18.38,86.4,65
HCPCS,C1776,WEDGE TIBIAL SIZE 4 20MM LEFT FINNED LEGION,1351.5,675.75,258.81,1216.35,65
HCPCS,C1776,WEDGE TIBIAL SIZE 5 15MMH RIGHT FINNED LEGION,1351.5,675.75,258.81,1216.35,65
HCPCS,C1777,LEAD DEFIB PAMIRA S 65CM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD DEFIBRILLATOR CARDIAC L65 CM PLEXA PROMRI L15 CM DF4 S DX,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD DEFIBRILLATOR CARDIAC L65 CM PLEXA PROMRI L17 CM DF4 S DX,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD DEFIBRILLATOR L60 CM PLEXA,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD DEFIBRILLATOR L60 CM PLEXA PROMRI MODEL S 60,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD DEFIBRILLATOR L64 CM OD7.3 FR RELIANCE 4-FRONT EZ-4 MP35N IROX SILICONE PTFE 1 COIL RADIOPAQUE SUTURE SLEEVE CONNECTOR TOOL VEIN PICK INTRODUCER 8F DF4-LLHO,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD DEFIBRILLATOR PAMIRA S DX SIZE 65/17 CM RIGHT VENTRICULAR ATRIAL SENSING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD DEFIBRILLATOR RIGHT VENTRICLE L59 CM OD7.3 FR RELIANCE 4-FRONT MP35N IROX STEROID SILICONE L12 MM 1 COIL TERMINAL RING RADIOPAQUE ACTIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD DEFIBRILLATOR RIGHT VENTRICLE L59 CM OD7.3 FR RELIANCE 4-FRONT MP35N IROX STEROID SILICONE L12 MM 1 COIL TERMINAL RING RADIOPAQUE PASSIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD ICD ENDOCARDIAL L59 CM ENDOTAK RELIANCE S STEROID ELUTING ACTIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD ICD ENDOCARDIAL L64 CM ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE LUBRICIOUS 1 COIL STANDARD DF4 TERMINAL CONNECTOR PASSIVE FIXATION CARDIOVERTER DEFIBRILLATOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD ICD ENDOCARDIUM L59 CM ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE 1 COIL PASSIVE FIXATION IMPLANTABLE CARDIOVERTER DEFIBRILLATOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD ICD ENDOCARDIUM L64 CM OD9 FR ENDOTAK RELIANCE S STEROID ELUTING 1 COIL,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1777,LEAD ICD L60 CM 1 COIL PROTEGO S,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1777,LEAD ICD L65 CM 1 COIL PROTEGO S,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1777,LEAD ICD L65 CM LINOX SMART L170 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1777,LEAD ICD L65 CM PLEXA PROMRI S DF-1,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD ICD LINOXSMART S DX 65CM 1 COIL IS-1X2 CONNECTOR RETRACTABLE HELIX ATRIAL SENSE 15MM RIGHT VENTRICLE DEXAMETHASONE ACETATE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1777,LEAD ICD PLEXA PROMRI S 65,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD ICD RIGHT VENTRICULAR PLEXA PROMRI DF-1 S DX 65/15,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD ICD SPRINT QUATTRO SECURE S 55CM TRIPOLAR SCREW IN DF-4 RIGHT VENTRICLE STEROID SILICONE STERILE LATEX FREE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD ICD SPRINT QUATTRO SECURE S 62CM TRIPOLAR SCREW IN DF-4 RIGHT VENTRICLE STEROID SILICONE STERILE LATEX FREE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD PACING SPRINT QUATTRO SECURE 52CM 1 COIL ACTIVE FIXATION DEFIBRILLATION TRIPOLAR 8.6FR HELIX VENTRICLE STEROID ELUTING SILICONE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD PACING SPRINT QUATTRO SECURE 75CM SILICONE DEXAMETHASON ACETATE DEXAMETHASON SODIUM PHOSPHATE STERILE LATEX FREE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,LEAD PACING SPRINT QUATTRO SECURE S 65CM TRIPOLAR 1 COIL ACTIVE FIXATION DF-1 CONNECTOR 8.6FR RIGHT VENTRICLE SILICONE STEROID TACHYARRHYTHMIA,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1777,PAMIRA S DX 65/15 RV AND ATRIAL SENSING LEAD,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1778,90CM SURPASS-C LEAD KIT,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1778,ACCESSORY NEUROSTIMULATOR BURR HOLE KIT DBS,250.0,125.0,47.88,225.0,65
HCPCS,C1778,HC LEAD KIT 70 CM,11550.0,5775.0,2211.83,10395.0,65
HCPCS,C1778,KIT LEAD NEUROSTIMULATOR IMPLANTABLE 45CML DIRECTIONAL W/TUNGSTEN STYLET VERCISE STERILE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1778,KIT LEAD NEUROSTIMULATOR PAIN MANAGEMENT 50CML SPINAL CORD W/STYLET 4INL INSERTION NEEDLE SUTURE SLEEVEX2 LEAD BLANKX2 STYLET RING CABLE EXTENTION PRECISION M365SC2138500,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1778,KIT LEAD NEUROSTIMULATOR PNS 25CM 4-CONTACT TINED WITH INTRODUCER,1000.0,500.0,191.5,900.0,65
HCPCS,C1778,KIT LEAD NEUROSTIMULATOR PNS 40CM 4-CONTACT TINED WITH 14CM TEARAWAY INTRODUCER SHEATH 45CM STYLET,1000.0,500.0,191.5,900.0,65
HCPCS,C1778,KIT LEAD NEUROSTIMULATOR PNS 60CM 8-CONTACT WITH ANCHOR 14GA 4.5IN SPOONBILL NDL 65CM BENT STYLET TORQUE WRENCH,1000.0,500.0,191.5,900.0,65
HCPCS,C1778,KIT NEUROSTILMULATOR L70 CM INFINION PRO LEAD,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 1.3MM 90CM 8 ELECTRODE SUBCOMPACT LEAD OCTAPOLAR CONNECTOR RADIOPAQUE TIP MARKER STYLET HANDLE VECTRIS SURESCAN DISPOSABLE STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 3.5IN LEAD INTRODUCER NEEDLE DILATOR GROUND PAD INTERSTIM DISPOSABLE STERILE LATEX FREE,275.0,137.5,52.66,247.5,65
HCPCS,C1778,KIT NEUROSTIMULATOR 50CM 32 CONTACT PADDLE TIGHT LEAD COVEREDGE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 50CM 5MM SPACING LEAD BLUE,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 50CM 5MM SPACING TRAIL LEAD NEVRO DISPOSABLE STERILE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 50CM LEAD SURPASS STERILE LATEX FREE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 60CM 8 ELECTRODE LEAD OCTRODE PERCUTANEOUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 70CM 5MM SPACING LEAD DISPOSABLE STERILE LATEX FREE BLUE,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 70CM LEAD SURPASS DISPOSABLE STERILE LATEX FREE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR 90CM 5MM SPACE LEAD NEVRO DISPOSABLE STERILE LATEX FREE BLUE,500.0,250.0,95.75,450.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR CLOSED EXTENSION BOOT OCTAPOLAR IN LINE PLUG RESTORE DISPOSABLE STERILE LATEX FREE CHRONIC PAIN THERAPY,150.0,75.0,28.73,135.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR L28 CM MRI LEAD KIT INTERSTIM SURESCAN 2.16 MM SPACING,3665.0,1832.5,701.85,3298.5,65
HCPCS,C1778,KIT NEUROSTIMULATOR L45 CM 8 CONTACT DIRECTIONAL VERCISE CARTESIA DEEP BRAIN STIMULATION,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR L50 CM 67 MM 1 MM SPACE 16 CONTACT LEAD 3 SPAN VERTEBRAL LEVEL OD1.3 MM INFINION PRO,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR L70 CM 16 CONTACT LEAD INFINION CX,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR L90 CM LEAD OCTRODE PERCUTANEOUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR PASS ELEVATOR,250.0,125.0,47.88,225.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR REVISION EXTENSION BOOT TWISTLOCK ANCHOR TUNNELING GUIDE TIP INTERSTIM,290.0,145.0,55.54,261.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR SHORT LEAD BAROSTIM NEO STERILE LATEX FREE CAROTID SINUS MODEL 1036,7000.0,3500.0,1340.5,6300.0,65
HCPCS,C1778,KIT NEUROSTIMULATOR WRENCH SCREW ACCESSORY DISPOSABLE STERILE LATEX FREE,60.0,30.0,11.49,54.0,65
HCPCS,C1778,KIT NEUROSURGICAL PROCEDURE SUPPLIES INTERSTIM,395.0,197.5,75.64,355.5,65
HCPCS,C1778,KIT STIMULATOR 70CM LEAD SURPASS DISPOSABLE STERILE LATEX FREE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1778,LEAD COVREDG 50CM PDL 32- CNTCT NEURSTM,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1778,LEAD ICD NEXT GENERATION,4295.0,2147.5,822.49,3865.5,65
HCPCS,C1778,LEAD NERVE STIMULATOR L65 CM VECTRIS 2 COLUMN 16 ELECTRODE MRI,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1778,LEAD NERVE STIMULATOR RESPIRATORY,3375.0,1687.5,646.31,3037.5,65
HCPCS,C1778,LEAD NERVE STIMULATOR RESPISTIM LQS 65CM STIMULATION QUADPOLAR DISTAL BIAS INLINE CONNECTOR STERILE LATEX FREE,10000.0,5000.0,1915.0,9000.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR 20MM DIA RIGHT EXTENDED LENGTH,10000.0,5000.0,1915.0,9000.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR 24MM DIA RIGHT NORMAL LENGTH REMEDE,10000.0,5000.0,1915.0,9000.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR BLANK,50.0,25.0,9.58,45.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR INSPIRE 3 ELECTRODE CUFF TUNNEL ROD STERILE LATEX FREE,1950.0,975.0,373.43,1755.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR INTERSTIM PERCUTANEOUS NERVE EVALUATION,60.0,30.0,11.49,54.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR INTERSTIM TEST STIMULATION,100.0,50.0,19.15,90.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L28 CM INTERSTIM,3665.0,1832.5,701.85,3298.5,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L33 CM TINE INTERSTIM MICRO SSMRI,3665.0,1832.5,701.85,3298.5,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L41 CM TINE INTERSTIM SSMRI,3665.0,1832.5,701.85,3298.5,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L56 CM 8 CONTACT MRI AVISTA PERCUTANEOUS,1775.0,887.5,339.91,1597.5,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L60 CM OD1.3 MM 8 ELECTRODE STYLET VECTRIS SURESCAN 1.5 MM SPACING L3 MM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L60 CM OD1.3 MM KIT 1 X 8 ELECTRODE VECTRIS L3 MM,750.0,375.0,143.63,675.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L60 CM OD5 MM 1 X 8 ELECTRODE MRI VECTRIS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L60 CM OD5 MM 1 X 8 ELECTRODE TRIAL VECTRIS,750.0,375.0,143.63,675.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L75 CM 1 X 8 ELECTRODE MRI VECTRIS L5 MM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L75 CM 1 X 8 ELECTRODE SUB COMPACT WITHOUT PERCUTANEOUS EXTENSION OCTAD SPINAL CORD CHRONIC PAIN,1700.0,850.0,325.55,1530.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR L90 CM 2 X 8 ELECTRODE MRI SPECIFY SURESCAN SPINAL CORD STIMULATION CHRONIC PAIN,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR PADDLE 50CML 32-CONTACT COVEREDGE 1/EA,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR PRECISION 50CM LINEAR 3-4 ENHANCE STYLET PERCUTANEOUS SPINAL CORD STIMULATOR SYSTEM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR PRECISION ARTISAN PLATNALOCK 50X8X2CM PADDLE LIM SPINAL CORD STIMULATOR SYSTEM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR SPECIFY 30CM 5-6-5 SPINE STERILE LATEX FREE DISPOSABLE,5100.0,2550.0,976.65,4590.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR SPECIFY SURESCAN MRI 5-6-5,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1778,LEAD NEUROSTIMULATOR TEST STIMULATION INTERSTIM,40.0,20.0,7.66,36.0,65
HCPCS,C1778,NEUROSTIMULATOR IMPLANTABLE 35CM ENTERRA LEAD,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1778,STIMULATOR SPRINT EXTENSA NERVE NONSTERILE LATEX FREE DISPOSABLE,7800.0,3900.0,1493.7,7020.0,65
HCPCS,C1778,SYSTEM STIMULATOR PERIPHERAL NERVE DUAL LEAD SPRINT F/PAIN MANAGEMENT,7800.0,3900.0,1493.7,7020.0,65
HCPCS,C1778,SYSTEM STIMULATOR PERIPHERAL NERVE LEAD SINGLE SPRINT F/PAIN MANAGEMENT 9243,4900.0,2450.0,938.35,4410.0,65
HCPCS,C1779,LEAD PACING L45 CM SOLIA JT 1 CHAMBER,338.0,169.0,64.73,304.2,65
HCPCS,C1781,CATHETER ASPIRATION L127 CM LOW PROFILE RADIOPAQUE KINK RESISTANCE TRACKABLE OD4 FR ID.038 IN SOCRATES 38 HYDROPHILIC NITINOL POLYMER L90 CM ACCEPTS .035 IN GUIDEWIRE .058 IN GUIDE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1781,CATHETER ASPIRATION L156 CM LOW PROFILE RADIOPAQUE KINK RESISTANCE TRACKABLE OD4 FR ID.038 IN SOCRATES 38 HYDROPHILIC NITINOL POLYMER L90 CM ACCEPTS .035 IN GUIDEWIRE .058 IN GUIDE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1781,GRAFT ALLOMAX 1.6X.8IN RECTANGULAR SOFT TISSUE HUMAN DERMAL COLLAGEN REGENERATIVE STERILE HERNIA ABDOMINAL WALL REPAIR,385.0,192.5,73.73,346.5,65
HCPCS,C1781,GRAFT ALLOMAX 4.7X1.6IN RECTANGULAR SOFT TISSUE HUMAN DERMAL COLLAGEN REGENERATIVE STERILE HERNIA ABDOMINAL WALL REPAIR,1520.0,760.0,291.08,1368.0,65
HCPCS,C1781,GRAFT ALLOMAX TUTOPLAST 3.1X2IN RECTANGLE SOFT TISSUE HUMAN DERMAL COLLAGEN REGENERATIVE STERILE HERNIA ABDOMINAL WALL REPAIR,1260.0,630.0,241.29,1134.0,65
HCPCS,C1781,GRAFT SYNTHETIC TISSUE L15 CM X W9 CM BIOABSORBABLE REINFORCEMENT SCAFFOLD GORE BIO-A TISSUE REINFORCEMENT TISSUE,765.0,382.5,146.5,688.5,65
HCPCS,C1781,GRAFT SYNTHETIC TISSUE L8 CM X W8 CM BIOABSORBABLE REINFORCEMENT SCAFFOLD BIO-A TISSUE,425.0,212.5,81.39,382.5,65
HCPCS,C1781,IMPLANT BIOLOGICAL TISSUE 30X23IN BIOBRACE BIOCOMPOSITE BIOINDUCTIVE REINFORCE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1781,IMPLANT BIOLOGICAL TISSUE 40X60MM BIOBRACE BIOCOMPOSITE BIOINDUCTIVE REINFORCE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1781,IMPLANT SOFT TISSUE L250 MM X W5 MM OFF THE SHELF OPTIMIZE REINFORCE BIOBRACE FA,2575.0,1287.5,493.11,2317.5,65
HCPCS,C1781,MESH 3DMAX 5X3IN MEDIUM CONTOUR CURVE POLYPROPYLENE SEAL EDGE LAPAROSCOPIC INGUINAL HERNIA REPAIR SURGICAL GROIN LEFT STERILE,259.0,129.5,49.6,233.1,65
HCPCS,C1781,MESH 3DMAX 5X3IN MEDIUM MID INGUINAL HERNIA REPAIR SURGICAL LEFT,369.0,184.5,70.66,332.1,65
HCPCS,C1781,MESH 3DMAX 5X3IN MEDIUM MID INGUINAL HERNIA REPAIR SURGICAL RIGHT,369.0,184.5,70.66,332.1,65
HCPCS,C1781,MESH 3DMAX 6X4IN LARGE CURVE CONTOUR POLYPROPYLENE SEAL EDGE LAPAROSCOPIC INGUINAL HERNIA REPAIR SURGICAL GROIN RIGHT STERILE,276.0,138.0,52.85,248.4,65
HCPCS,C1781,MESH 4X1.8IN SOFT PRESHAPE KEYHOLE SURGICAL HERNIA,390.0,195.0,74.69,351.0,65
HCPCS,C1781,MESH BARD 3DMAX 5X3IN MEDIUM CURVE CONTOUR POLYPROPYLENE SEAL EDGE LAPAROSCOPIC INGUINAL HERNIA REPAIR SURGICAL GROIN RIGHT STERILE,259.0,129.5,49.6,233.1,65
HCPCS,C1781,MESH BARD COMPOSIX 9X7IN ELLIPTICAL POLYPROPYLENE EPTFE MONOFILAMENT NONABSORBABLE SEAL EDGE LOW PROFILE VENTRAL HERNIA REPAIR SURGICAL,1520.0,760.0,291.08,1368.0,65
HCPCS,C1781,MESH CIRCLE SYNECOR GORE SYNECOR OD12 CM KNIT FILM SURGICAL,628.0,314.0,120.26,565.2,65
HCPCS,C1781,MESH COMPOSIX 9.2X7.2IN ELLIPSE POLYPROPYLENE EPTFE 2 LAYER LARGE PORE LIGHTWEIGHT LOW PROFILE HERNIA SURGICAL VENTRAL STERILE LATEX FREE,1520.0,760.0,291.08,1368.0,65
HCPCS,C1781,MESH CRANIUM LEVEL ONE NEURO H.6 MM TITANIUM 7 STANDARD DYNAMIC PRECONTOURED POSTERIOR PARASAGITTAL APPROACH RIGID DETACHABLE IDENTIFICATION TAG,2564.73,1282.37,491.15,2308.26,65
HCPCS,C1781,MESH DUALMESH PLUS 10X7.5CM THK1MM GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE BIOMATERIAL ANTIMICROBIAL HERNIA REPAIR SURGICAL SOFT TISSUE STERILE,295.0,147.5,56.49,265.5,65
HCPCS,C1781,MESH DUALMESH PLUS 24X18CM THK1MM GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE BIOMATERIAL ANTIMICROBIAL HERNIA REPAIR SURGICAL SOFT TISSUE STERILE,1260.0,630.0,241.29,1134.0,65
HCPCS,C1781,MESH DULEX 10X7.5CM THK1MM EPTFE 2 SIDE HERNIA SURGICAL VENTRAL STERILE,196.0,98.0,37.53,176.4,65
HCPCS,C1781,MESH FLAT HERNIA REPAIR L15 CM X W15 CM VICRYL KNIT WOVEN SURGICAL,954.0,477.0,182.69,858.6,65
HCPCS,C1781,MESH HERNIA 2.4X5.4 / 6X13.7CM LG SOFT PRESHAPED W/KEYHOLE,218.19,109.1,41.78,196.37,65
HCPCS,C1781,MESH HERNIA REPAIR L6 IN X W3 IN POLYPROPYLENE BARD SOFT LARGE PORE MONOFILAMENT SMOOTH ROUND CORNER LIGHTWEIGHT SURGICAL,394.5,197.25,75.55,355.05,65
HCPCS,C1781,MESH HERNIA REPAIR LEFT L6 IN X W4 IN POLYESTER MACROPOROUS PARIETEX RIGID SURGICAL,141.32,70.66,27.06,127.19,65
HCPCS,C1781,MESH HERNIA REPAIR RIGHT L6 IN X W4 IN POLYESTER MACROPOROUS PARIETEX RIGID SURGICAL,141.32,70.66,27.06,127.19,65
HCPCS,C1781,MESH HIATAL HERNIA REPAIR TISSUE L10 CM X W7 CM SYNTHETIC GORE BIO-A TISSUE REINFORCEMENT REINFORCEMENT SURGICAL,535.0,267.5,102.45,481.5,65
HCPCS,C1781,MESH LARGE HERNIA L1.9 IN X W1.6 IN PERFIX PLUG LIGHT PRE ONLAY PATCH SURGICAL,1965.0,982.5,376.3,1768.5,65
HCPCS,C1781,MESH LARGE INGUINAL HERNIA REPAIR L5.4 IN X W2.4 IN POLYPROPYLENE BARD KEYHOLE MONOFILAMENT SPERMATIC CORD OPEN PRESHAPE SURGICAL,378.3,189.15,72.44,340.47,65
HCPCS,C1781,MESH LEVEL ONE NEURO H.6 MM TITANIUM 11 STANDARD CONTOUR CRANIAL FRONTOTEMPORAL PARIENTAL,5042.12,2521.06,965.57,4537.91,65
HCPCS,C1781,MESH LEVEL ONE NEURO L80 MM X W80 MM X H.3 MM TITANIUM CRANIAL 1.5 MM SCREW,1466.55,733.28,280.84,1319.9,65
HCPCS,C1781,MESH OVAL INGUINAL HERNIA REPAIR L4.7 IN X W2.4 IN ULTRAPRO OD4 IN ONLAY UNDERLAY PATCH CONNECTOR PARTIAL ABSORBABLE SURGICAL,811.0,405.5,155.31,729.9,65
HCPCS,C1781,MESH OVAL L15 CM X W10 CM SYNECOR GORE SYNECOR KNIT FILM SURGICAL,775.0,387.5,148.41,697.5,65
HCPCS,C1781,MESH OVAL PREPERITONEAL L15 CM X W10 CM SYNECOR GORE SYNECOR PREPERITONEAL BIOMATERIAL KNIT WEB SURGICAL,790.0,395.0,151.29,711.0,65
HCPCS,C1781,MESH P4HB SCAFFOLD 17CMGALAFLEX LITE,3564.0,1782.0,682.51,3207.6,65
HCPCS,C1781,MESH PHASIX 6X4IN RECTANGLE POLY-4-HYDROXYBUTERATE MONOFILAMENT SCAFFOLD FULL RESORBABLE HERNIA REPAIR SURGICAL,2551.5,1275.75,488.61,2296.35,65
HCPCS,C1781,MESH PHASIX ST UMBILICAL HERNIA PATCH MEDIUM CIRCLE WITH STRAP 2.5IN (6.4CM),850.0,425.0,162.78,765.0,65
HCPCS,C1781,MESH PREPERITONEAL L10 CM X W10 CM POROUS GORE ENFORM 2 SIDE TEXTURE SMOOTH SURGICAL,1355.0,677.5,259.48,1219.5,65
HCPCS,C1781,MESH PRESHAPE INGUINAL HERNIA REPAIR GROIN L4 IN X W1.8 IN POLYPROPYLENE BARD MARLEX MONOFILAMENT KEYHOLE SURGICAL,321.0,160.5,61.47,288.9,65
HCPCS,C1781,MESH RECTANGLE INGUINAL HERNIA REPAIR GROIN L6 IN X W3 IN POLYPROPYLENE MONOFILAMENT BARD MARLEX MONOFILAMENT FLAT SHEET SURGICAL,323.7,161.85,61.99,291.33,65
HCPCS,C1781,MESH RECTANGLE L30 CM X W25 CM GALAFLEX LITE SCAFFOLD SURGICAL,10500.0,5250.0,2010.75,9450.0,65
HCPCS,C1781,MESH RECTANGLE LAPAROSCOPIC VENTRAL HERNIA REPAIR L25 CM X W20 CM POLYESTER COLLAGEN SYMBOTEX 2 SIDE COMPOSITE MONOFILAMENT BIOABSORBABLE FILM SURGICAL GREEN WHITE,1235.0,617.5,236.5,1111.5,65
HCPCS,C1781,MESH RESORB TSB2020 SLF GRIPPING,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1781,MESH RESORB TSB4030 SLF GRIPPING,19500.0,9750.0,3734.25,17550.0,65
HCPCS,C1781,MESH RIGHT CRANIUM LEVEL ONE NEURO H.6 MM TITANIUM 5 STANDARD DYNAMIC PRECONTOURED PARIETAL APPROACH RIGID DETACHABLE IDENTIFICATION TAG,2564.73,1282.37,491.15,2308.26,65
HCPCS,C1781,MESH SMALL L1.35 IN X W1 IN POLYPROPYLENE PERFIX DART SURGICAL,163.0,81.5,31.21,146.7,65
HCPCS,C1781,MESH SQUARE INGUINAL HERNIA REPAIR GROIN L6 IN X W6 IN POLYPROPYLENE BARD MARLEX MONOFILAMENT GOLD STANDARD FLAT SHEET SURGICAL,720.6,360.3,137.99,648.54,65
HCPCS,C1781,MESH SURGICAL 17CM POLY-4-HYDROXYBUTYRATE CIRCULAR 2D BIORESORBABLE SCAFFOLD GALAFLEX LITE,3564.0,1782.0,682.51,3207.6,65
HCPCS,C1781,MESH SURGICAL PARTIALLY ABSORBABLE 9CM DIA 1.7MM THK POLYESTER PORCINE COLLAGEN VENTRAL ROUND OPEN SKIRT KNITTED TRIMMABLE INGROWTH W/O FIXATION SUTURE PARIETEX LATEX-FREE STERILE SINGLE-USE,342.95,171.48,65.67,308.66,65
HCPCS,C1781,MESH THK1 MM HERNIA REPAIR SOFT TISSUE L10 CM X W7.5 CM GORE-TEX DUALMESH BIOMATERIAL SURGICAL,327.0,163.5,62.62,294.3,65
HCPCS,C1781,MESH THK1 MM HERNIA REPAIR SOFT TISSUE L24 CM X W18 CM GORE-TEX DUALMESH BIOMATERIAL SURGICAL,1441.0,720.5,275.95,1296.9,65
HCPCS,C1781,MESH VENTRALIGHT ST SEPRA ECHO PS 13X10IN ELLIPSE SEPRAFILM POLYPROPYLENE HYDROGEL MONOFILAMENT LIGHTWEIGHT ABSORBABLE LOW PROFILE VENTRAL HERNIA REPAIR SURGICAL STERILE LATEX FREE,3457.8,1728.9,662.17,3112.02,65
HCPCS,C1781,PATCH SOFT TISSUE THK2MM 15X10CM TRIM GORE-TEX STERILE HERNIA REPAIR,1299.0,649.5,248.76,1169.1,65
HCPCS,C1781,PATCH SURGICAL L10 CM X W5 CM THK1 MM SOFT CONFORMABLE TRIM STRONG GORE-TEX GORE-TEX HERNIA REPAIR,296.0,148.0,56.68,266.4,65
HCPCS,C1781,PATCH SURGICAL L20 CM X W15 CM THK1 MM SOFT CONFORMABLE TRIM STRONG GORE-TEX GORE-TEX HERNIA REPAIR,1425.0,712.5,272.89,1282.5,65
HCPCS,C1781,PATCH SURGICAL L30 CM X W20 CM THK2 MM TRIMMABLE GORE-TEX GORE-TEX INGUINAL HERNIA REPAIR,4480.0,2240.0,857.92,4032.0,65
HCPCS,C1781,PATCH SURGICAL SMALL 7X6CM FLAP SOFT FLEXIBLE CRURASOFT EPTFE HIATAL PARAESOPHAGEAL HERNIA,267.0,133.5,51.13,240.3,65
HCPCS,C1781,PLUG SURGICAL BIOABSORBABLE BIO-A HERNIA REPAIR,152.0,76.0,29.11,136.8,65
HCPCS,C1782,COLONOSCOPE FLEXIBLE CATHETER 3.2MM PRELOADED APPLICATOR NON-THERMAL F/RESECTION SCARRED COLORECTAL LESION COLON MUCOSECTOMY ENDOROTOR EPR OLYMPUS/PENTAX,1007.0,503.5,219.63,906.3,64
HCPCS,C1782,GASTROSCOPE FLEXIBLE CATHETER 3.2MM PRELOADED APPLICATOR NON-THERMAL F/RESECTION SCARRED COLORECTAL LESION GASTRO MUCOSECTOMY ENDOROTOR EPR OLYMPUS/PENTAX,1007.0,503.5,219.63,906.3,64
HCPCS,C1782,GUIDE MORCELLATOR F/PEDIATRIC CATHETER ENDOROTOR,262.0,131.0,57.14,235.8,64
HCPCS,C1782,KIT UPGRADE PURGE ENDOROTOR PED,1004.0,502.0,218.97,903.6,64
HCPCS,C1782,RESECTOSCOPE ENDOSCOPIC MORCELLATOR,281.0,140.5,61.29,252.9,64
HCPCS,C1783,DRAIN GLAUCOMA AHMED CLEARPATH MODEL 250,1000.0,500.0,191.5,900.0,65
HCPCS,C1783,DRAIN GLAUCOMA THK.9MM BLUNT TAPER AHMED FLEXIBLE PLATE SILICONE 16X13MM .635MM .305MM VALVE THINNER PLATE CANNULA AQUEOUS PERCOLATION HOLE 25MM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1783,DRAIN GLAUCOMA THK.9MM TAPER AHMED GLAUCOMA VALVE FLEXIBLE PLATE SILICONE 10X9.6MM .635MM .305MM NONOBSTRUCTIVE AQUEOUS PERCOLATION HOLE THINNER PLATE PEDIATRIC 25MM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1783,DRAIN GLAUCOMA TUBE EXTENDER SILICONE 4.75X3.05X1.14MM .635MM .305MM LEAKPROOF JUNCTION SUTURED 24.13MM,125.0,62.5,23.94,112.5,65
HCPCS,C1783,HYDRUS MICROSTENT,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1783,STENT ISTENT INJECT 230UM 80UM 360UM 2 PRELOAD PIECE REAR FLANGE SYMMETRICAL 50UM TITANIUM STEARALKONIUM HEPARIN OPHTHALMIC INTRAOCULAR STERILE TRABECULAR MICRO BYPASS,1850.0,925.0,354.28,1665.0,65
HCPCS,C1783,STENT ISTENT INJECT 360UM 80UM 360UM 2 PRELOAD 1 PIECE REAR FLANGE SYMMETRICAL 50UM TITANIUM ALUMINUM VANADIUM STEARALKONIUM HEPARIN OPHTHALMIC INTRAOCULAR STERILE TRABECULAR MICRO BYPASS SYSTEM,1850.0,925.0,354.28,1665.0,65
HCPCS,C1783,STENT ISTENT OPHTHALMIC LEFT STERILE LATEX FREE TRABECULAR MICRO BYPASS,1425.0,712.5,272.89,1282.5,65
HCPCS,C1783,VALVE AHMED CLEARPATH DRAINAGE DEVICE,1000.0,500.0,191.5,900.0,65
HCPCS,C1784,GAS INTRAOCULAR OCTAFLUOROPROPANE 20GM VITREOUS CAVITY W/PATIENT BRACELET CARDX20 COLORLESS ODORLESS F/HOSPITAL OFFICE BASED PNEUMO PROCEDURE MEDICAL GRADE CYLINDER,980.0,490.0,213.74,882.0,64
HCPCS,C1784,IMPLANT OPHTHALMIC DETACH STRIP 3.5MMW X 125MML SILICONE BUCKLING STYLE 41 SCLERA,69.0,34.5,13.21,62.1,65
HCPCS,C1785,BASKET SPECIMEN RETRIEVAL L120 CM LOW PROFILE FLATTENED DISTAL SURFACE FLEXIBLE WIRE MULTI LAYER SHEATH OD16 MM ODSEC1 MM ZEROTIP NITINOL POLYIMIDE PTFE 14.2 CC 29.1 GM PULMONARY AIRWAY,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1785,PACEMAKER 13.7 CC 24.8 GM ACCOLADE LATITUDE NXT PACESAFE EASYVIEW D.75 CM 1 CHAMBER IS-1 CONNECTOR RIGHT ATRIUM VENTRICLE LEFT VENTRICLE CARDIAC,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1785,PACEMAKER 15.8 CC 29.1 GM ACCOLADE MRI EL D.75 CM 2 CHAMBER IS-1 CONNECTOR AUTOMATIC MONITOR CARDIAC,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1785,PACEMAKER ADAPTA 2 CHAMBER BIPOLAR SMALL CARDIAC,3045.0,1522.5,583.12,2740.5,65
HCPCS,C1785,PACEMAKER ADAPTA DR 2 CHAMBER IS-1 GENERATOR BATTERY 7.5MM 2.8V 1.3AH 12.1ML 27.1GM LITHIUM IODINE CARDIAC ATRIUM VENTRICLE,3045.0,1522.5,583.12,2740.5,65
HCPCS,C1785,PACEMAKER ALTRUA 60DR 2 CHAMBER RATE RESPONSIVE MINUTE VENTILATION SENSOR MULTIPROGRAM IS-1 THK8MM MODIFIED ELLIPSE 49X43MM 12.1ML 29.6GM CARDIAC ATRIUM VENTRICLE,4300.0,2150.0,823.45,3870.0,65
HCPCS,C1786,PACEMAKER 12.2 CC 24.8 GM ACCOLADE LATITUDE NXT IMAGEREADY RIGHTRATE D.75 CM W4.45 CM X H5.02 CM 2 CHAMBER IS-1 CONNECTOR AUTOMATIC MONITOR RIGHT ATRIUM RIGHT VENTRICLE CARDIAC,2625.0,1312.5,502.69,2362.5,65
HCPCS,C1786,PACEMAKER 23.5 GM ADVANTIO THK.3 IN MODIFY ELLIPSE CARDIAC,2050.0,1025.0,392.58,1845.0,65
HCPCS,C1786,PACEMAKER ADAPTA SR CHAMBER IS-1 CONNECTOR IMPLANTABLE PULSE GENERATOR BATTERY 7.5MM 2.8V .92AH 9.7ML 21.5GM LITHIUM IODINE CARDIAC ATRIUM,2833.0,1416.5,542.52,2549.7,65
HCPCS,C1786,PACEMAKER ADVISA DR MRI CHAMBER 8MM 11.9ML 21GM TITANIUM POLYURETHANE SILICONE RUBBER CARDIAC,2833.0,1416.5,542.52,2549.7,65
HCPCS,C1786,PACEMAKER AVEIR LEADLESS RIGHT VENTRICULAR CARDIAC,7000.0,3500.0,1340.5,6300.0,65
HCPCS,C1786,PACEMAKER MICRA SURESCAN 1 CHAMBER TRANSCATHETER 25.9MM 1.75GM TITANIUM CARDIAC 20.1FR,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1786,PACEMAKER MICRA VR2 LEADLESS BUNDLE CARDIAC SINGLE CHAMBER,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1786,PACEMAKER MODEL 6290 COMMUNICATOR SR 13.2 ML 23.6 GM LATITUDE NXT ESSENTIO D.75 CM 13.2 CU CM W4.45 CM X H4.81 CM 2 CHAMBER IS-1 CONNECTOR HEADER RADIO FREQUENCY TELEMETRY RIGHT ATRIUM RIGHT VENTRICLE,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1786,PACEMAKER VR 13.2 CC 23.6 GM ESSENTIO PACESAFE RIGHTRATE EASYVIEW D.75 CM W4.45 CM X H4.81 CM 1 CHAMBER IS-1 CONNECTOR RIGHT ATRIUM RIGHT VENTRICLE CARDIAC,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1786,SYSTEM PACEMAKER LEADLESS PACEMAKER 38.5 MM RV AVEIR 19.5 F,7000.0,3500.0,1340.5,6300.0,65
HCPCS,C1786,SYSTEM PACING MICRA TRANSCATHETER,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1787,CONTROL NEUROSTIMULATOR REMOTE CONTROL VERCISE DBS,600.0,300.0,130.86,540.0,64
HCPCS,C1787,CONTROL REMOTE NONSTERILE LATEX FREE,801.0,400.5,174.7,720.9,64
HCPCS,C1787,CONTROLLER NEUROSTIMULATOR,800.0,400.0,174.48,720.0,64
HCPCS,C1787,CONTROLLER NEUROSTIMULATOR PROGRAMMER PROCLAIM APPLE IPOD TOUCH,975.0,487.5,212.65,877.5,64
HCPCS,C1787,CONTROLLER PATIENT FOR INCEPTIV NEUROSTIMULATOR,900.0,450.0,196.29,810.0,64
HCPCS,C1787,FREELINK REMOTE CONTROL KIT BLE US,800.0,400.0,174.48,720.0,64
HCPCS,C1787,HC KIT CONTROL REMOTE NEUROSTIMULATOR FREELINK,4620.0,2310.0,1007.62,4158.0,64
HCPCS,C1787,KIT ADAPTER 25.5CMX16.6MM 33.8MM 1X4 POCKET SPINAL CORD STIMULATOR,400.0,200.0,87.24,360.0,64
HCPCS,C1787,KIT NEUROSTIMULATOR COMMUNICATOR HANDSET,1950.0,975.0,425.3,1755.0,64
HCPCS,C1787,KIT NEUROSTIMULATOR PATIENT PROGRAMMER FREELINK,1104.0,552.0,211.42,993.6,65
HCPCS,C1787,KIT NEUROSTIMULATOR PATIENT PROGRAMMING PRECISION SPECTRA SPINAL CORD,1104.0,552.0,240.78,993.6,64
HCPCS,C1787,KIT NEUROSTIMULATOR PATIENT REMOTE 3000 BLUETOOTH,800.0,400.0,174.48,720.0,64
HCPCS,C1787,KIT NEUROSTIMULATOR PATIENT REMOTE OMNIA DISPOSABLE NONSTERILE LATEX FREE 2500,1000.0,500.0,218.1,900.0,64
HCPCS,C1787,KIT NEUROSTIMULATOR REMOTE CONTROL WAVEWRITER,1200.0,600.0,229.8,1080.0,65
HCPCS,C1787,KIT NEUROSTIMULATOR REMOTE MONITOR NEUROPACE,2975.0,1487.5,648.85,2677.5,64
HCPCS,C1787,KIT STIMULATOR COMMUNICATOR HANDSET PROXIMATE,500.0,250.0,109.05,450.0,64
HCPCS,C1787,PATIENT REMOTE KIT,1000.0,500.0,191.5,900.0,65
HCPCS,C1787,PROGRAMMER INFUSION PUMP PERSONAL THERAPY NA,750.0,375.0,163.58,675.0,64
HCPCS,C1787,PROGRAMMER NEUROSTIMULATOR CONTROLLER INTELLIS PAIN PTM INTELLIS PAPER,800.0,400.0,174.48,720.0,64
HCPCS,C1787,PROGRAMMER NEUROSTIMULATOR HANDSET,800.0,400.0,174.48,720.0,64
HCPCS,C1787,PROGRAMMER NEUROSTIMULATOR MYSTIM,895.0,447.5,195.2,805.5,64
HCPCS,C1787,PROGRAMMER NEUROSTIMULATOR NAVIGATOR KEYPAD AUDIO ALERT MYSTIM,800.0,400.0,174.48,720.0,64
HCPCS,C1787,PROGRAMMER NEUROSTIMULATOR PATIENT PERCEPT PC DEVICE,1635.0,817.5,356.59,1471.5,64
HCPCS,C1787,REMOTE SLEEP BLUETOOTH,1400.0,700.0,305.34,1260.0,64
HCPCS,C1787,VERCISE DBS REMOTE CONTROL 3 KIT,600.0,300.0,130.86,540.0,64
HCPCS,C1788,CATHETER HEMODIALYSIS OD14 FR L24 CM SCHON 18 GA XL 2 LUMEN SILICONE,475.0,237.5,90.96,427.5,65
HCPCS,C1788,KIT PORT INFUSION POWER INJECTABLE INTERMEDIATE IMPLANTABLE 9.6FR PLASTIC ADULT 1-TRIANGULAR LUMEN FULL-SIZE PROFILE SILICONE FILLED SUTURE HOLE W/ATTACHABLE CATH AIRGUARD VALVED INTRO POWERPORT M.R.I,273.0,136.5,52.28,245.7,65
HCPCS,C1788,PORT BIOFLO ENDEXO OD8 FR 1 LUMEN CATHETER FILL SUTURE HOLE RADIOPAQUE NONVALVE PLASTIC IMPLANTABLE INFUSION,305.0,152.5,58.41,274.5,65
HCPCS,C1788,PORT INFUSION 12/11.4FR DIA INTRODUCER TITANIUM SILICONE DUAL DETACHED VORTEX LP LATEX-FREE MRI-CONDITIONAL,315.0,157.5,60.32,283.5,65
HCPCS,C1788,PORT INFUSION CONVENTIONAL 5FR DIA TITANIUM SILICONE LUMENX1 DETACHED W/5FR DIA INTRODUCER NEEDLE GUIDEWIRE VEIN PICK VORTEX MP LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,425.0,212.5,81.39,382.5,65
HCPCS,C1788,PORT INFUSION CONVENTIONAL 9.6FR DIA CATHETER TITANIUM SILICONE LUMENX1 DETACHED W/10FR DIA INTRODUCER VORTEX VX LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,148.5,74.25,28.44,133.65,65
HCPCS,C1788,PORT INFUSION POWER INJECTABLE 1.4MM ID 2.2MM OD CATHETER 55CML TITANIUM CARBOTHANE POLYURETHANE LOW-PROFILE DETACHED HIGH PERFORMANCE W/ACCESSORIES SMART PORT CT LATEX-FREE MRI-CONDITIONAL NON-RADIOL,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT INFUSION POWER INJECTABLE 1.4MM ID 6.6FR OD CATHETER MINI 55CML TITANIUM CARBOTHANE POLYURETHANE 0.016/0.3ML LUMENX1 DETACHED W/7FR DIA VALVED INTRODUCER SAFE SHEATH SMART PORT CT LATEX-FREE MRI-,215.0,107.5,41.17,193.5,65
HCPCS,C1788,PORT INFUSION POWER INJECTABLE 1.6MM ID 9.6FR OD CATHETER 66CML TITANIUM SILICONE FLUOROMAX 0.02/0.7ML LUMENX1 DETACHED W/10FR DIA INTRODUCER SAFE SHEATH SMARTPORT CT LATEX-FREE MRI-CONDITIONAL NON-RA,385.0,192.5,73.73,346.5,65
HCPCS,C1788,PORT INFUSION POWER INJECTABLE 6FR DIA TITANIUM POLYURETHANE OPEN-ENDED LUMENX1 W/SP 6FCF POWERPORT CLEARVUE SLIM STERILE SINGLE-USE,279.3,139.65,53.49,251.37,65
HCPCS,C1788,PORT INFUSION POWER INJECTABLE 8FR DIA TITANIUM POLYURETHANE OPEN-ENDED LUMENX1 W/SP 6FCF POWERPORT CLEARVUE SLIM STERILE,279.3,139.65,53.49,251.37,65
HCPCS,C1788,PORT POWERFLOW 16GA IMPLANTABLE INFUSION INTRAVENOUS,441.0,220.5,84.45,396.9,65
HCPCS,C1788,PORT POWERFLOW 9.6FR IMPLANTABLE INFUSION TITANIUM SILICONE POWER INJECTABLE FUNNEL,625.0,312.5,119.69,562.5,65
HCPCS,C1788,PORT POWERPORT 8FR IMPLANTABLE INFUSION CHRONOFLEX MICROINTRODUCER SLIM FIT POWER INJECTABLE LIGHTWEIGHT,333.0,166.5,63.77,299.7,65
HCPCS,C1788,PORT POWERPORT AIRGUARD 8FR IMPLANTABLE INFUSION CHRONOFLEX TITANIUM 1 LUMEN ATTACHABLE CATHETER INTERMEDIATE KIT OPEN SUTURE PLUG STERILE LATEX FREE,1365.0,682.5,261.4,1228.5,65
HCPCS,C1788,PORT POWERPORT AIRGUARD 8FR IMPLANTABLE INFUSION CHRONOFLEX TITANIUM 1 LUMEN ATTACHABLE CATHETER INTERMEDIATE KIT SILICONE FILL SUTURE PLUG STERILE LATEX FREE,273.0,136.5,52.28,245.7,65
HCPCS,C1788,PORT POWERPORT AIRGUARD 8FR IMPLANTABLE INFUSION CHRONOFLEX TITANIUM SILICONE LIGHTWEIGHT CATHETER POWER INJECTABLE ATTACHABLE OPEN END,338.0,169.0,64.73,304.2,65
HCPCS,C1788,PORT POWERPORT CLEARVUE AIRGUARD 8FR IMPLANTABLE INFUSION SILICONE POLYURETHANE 1 LUMEN LIGHTWEIGHT INTERMEDIATE STERILE LATEX FREE,333.0,166.5,63.77,299.7,65
HCPCS,C1788,PORT POWERPORT CLEARVUE CHRONOFLEX AIRGUARD 8FR IMPLANTABLE INFUSION INTERMEDIATE SLIM FIT LIGHTWEIGHT CATHETER LATEX FREE,333.0,166.5,63.77,299.7,65
HCPCS,C1788,PORT POWERPORT CLEARVUE ISP IMPLANTABLE INFUSION 8 FLOAT POINT UNIT SIOM INTERMEDIATE ATTACHABLE LATEX FREE,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT POWERPORT DUO MRI AIRGUARD 9.5FR IMPLANTABLE INFUSION CHRONOFLEX 2 LUMEN ATTACHABLE CATHETER MICROINTRODUCER KIT SILICONE FILL SUTURE PLUG STERILE LATEX FREE,288.0,144.0,55.15,259.2,65
HCPCS,C1788,PORT POWERPORT DUO MRI AIRGUARD 9.5FR IMPLANTABLE INFUSION CHRONOFLEX SILICONE PLASTIC 2 LUMEN POWER INJECTABLE RADIO TRANSLUCENT SUTURE HOLE STERILE LATEX FREE,328.0,164.0,62.81,295.2,65
HCPCS,C1788,PORT POWERPORT ISP MRI 8FR IMPLANTABLE INFUSION 1 LUMEN ATTACHABLE CHRONOFLEX CATHETER SUTURE PLUG INTERMEDIATE KIT MICROINTRODUCER,273.0,136.5,52.28,245.7,65
HCPCS,C1788,PORT POWERPORT ISP MRI 8FR IMPLANTABLE INFUSION 1 LUMEN ATTACHABLE CHRONOFLEX CATHETER WITHOUT SUTURE PLUG INTERMEDIATE KIT MICROINTRODUCER,273.0,136.5,52.28,245.7,65
HCPCS,C1788,PORT POWERPORT SLIM AIRGUARD 6FR IMPLANTABLE INFUSION CHRONOFLEX TITANIUM 1 LUMEN ATTACHABLE CATHETER MICROINTRODUCER KIT SILICONE FILL SUTURE PLUG STERILE LATEX FREE,273.0,136.5,52.28,245.7,65
HCPCS,C1788,PORT POWERPORT SLIM AIRGUARD 6FR IMPLANTABLE INFUSION CHRONOFLEX TITANIUM SILICONE 1 LUMEN ATTACHABLE CATHETER INTERMEDIATE KIT SUTURE PLUG STERILE LATEX FREE,271.0,135.5,51.9,243.9,65
HCPCS,C1788,PORT SMART PORT 6.6FR 7FR 1.4MM 55CM .4ML .016ML IMPLANTABLE INFUSION CARBOTHANE TITANIUM POLYURETHANE DETACH CATHETER INTRODUCER LOW PROFILE CT,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT SMART PORT FLUOROMAX 9.6FR IMPLANTABLE INFUSION SILICONE TITANIUM STANDARD 1 LUMEN LOW PROFILE FILL SUTURE HOLE DETACH CATHETER,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT SMART PORT FLUOROMAX OD6.6 FR 1 LUMEN LOW PROFILE FILL SUTURE HOLE DETACH CATHETER TITANIUM POLYURETHANE SILICONE IMPLANTABLE INFUSION CT,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT SMART PORT FLUOROMAX STANDARD OD7.5 FR 1 LUMEN LOW PROFILE FILL SUTURE HOLE DETACH CATHETER SILICONE TITANIUM IMPLANTABLE INFUSION,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT SMART PORT FLUOROMAX STANDARD OD8 FR 1 LUMEN LOW PROFILE FILL SUTURE HOLE DETACH CATHETER TITANIUM POLYURETHANE IMPLANTABLE INFUSION,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT SMART PORT VORTEX 6.6FR 7FR 1.4MM 55CM .3ML .016ML IMPLANTABLE INFUSION CARBOTHANE TITANIUM POLYURETHANE MINI DETACH CATHETER INTRODUCER POWER INJECTABLE RADIOPAQUE BLUE CT,235.0,117.5,45.0,211.5,65
HCPCS,C1788,PORT VACCESS CT 8FR IMPLANTABLE INFUSION CUFF POWER INJECTABLE LATEX FREE,182.0,91.0,34.85,163.8,65
HCPCS,C1788,PORT VACCESS CT 8FR IMPLANTABLE INFUSION POLYURETHANE SILICONE CATHETER INTERMEDIATE LOW PROFILE SUTURE PLUG STERILE LATEX FREE DISPOSABLE,182.0,91.0,34.85,163.8,65
HCPCS,C1788,PORT VORTEX PEELPRO OD11.4 FR ID12 FR 2 DETACH CATHETER INTRODUCER PATENT BAYONET LOCK TITANIUM SILICONE PTFE IMPLANTABLE INFUSION,315.0,157.5,60.32,283.5,65
HCPCS,C1788,PORT XCELA OD9.6 FR ID.9 MM 2 LUMEN POWER INJECTABLE ATTACH CATHETER FILL SUTURE HOLE SILICONE POLYURETHANE IMPLANTABLE INFUSION 10 ML,275.0,137.5,52.66,247.5,65
HCPCS,C1788,SET PORT INFUSION NON POWER 6FR DIA 21.7MMW X 24.7MMW X 8.2MMH 75CML POLYURETHANE 0.2ML/1ML CAPACITY 6.7GM PEDIATRIC ARM CHEST TAPERED LUMENX1 LOW-PROFILE ATTACHABLE INTERMEDIATE X-PORT SLIMPORT STERI,191.0,95.5,36.58,171.9,65
HCPCS,C1789,EXPANDER TISSUE 225-280 CC SMOOTH SURFACE INTEGRATE PORT W12 CM X H9.8 CM P5.2-6 CM MID HEIGHT ALLOX BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,C1789,"EXPANDER TISSUE 450 CC STYLE 9200 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W12.7 CM X H10.8 CM P7 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,C1789,EXPANDER TISSUE 500-600 CC TEXTURE INTEGRATE PORT W15 CM X H11.5 CM P6.4-7.9 CM MID HEIGHT DERMASPAN BREAST,1295.0,647.5,247.99,1165.5,65
HCPCS,C1789,"EXPANDER TISSUE 535 CC W12 CM X H12 CM P8 CM ULTRA HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,C1789,"EXPANDER TISSUE 650 CC STYLE 9200 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W14.6 CM X H12.6 CM P7.6 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,C1789,"EXPANDER TISSUE 700 CC W13.5 CM X H13.5 CM P8.3 CM ULTRA HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,C1789,"EXPANDER TISSUE 850 CC INJECTION DOME ULTRA HIGH PROFILE MENTOR, ARTOURA, SILTEX",1925.0,962.5,368.64,1732.5,65
HCPCS,C1789,IMPLANT BREAST 100 CC P2.7 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MODERATE BASE MEMORYGEL SILICONE OD8.2 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 110 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 115 CC P3.1 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD8.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 125 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 125 CC P2 CM LOW PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 125 CC P2.8 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MODERATE BASE MENTOR MEMORYGEL SILICONE OD8.9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 125 CC P3.5 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD8.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 125-150 CC P2.7 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD9.4 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 130 CC P2.4 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD9.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 130 CC P3.1 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD8.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 130 CC P3.5 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD8.4 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 135 CC P4.1 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD7.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 140 CC HIGH PROFILE ROUND STYLE 20 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 140 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 140 CC P3 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD19.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 145 CC P2.6 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 150 CC MODERATE PLUS PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 150 CC P2.5 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MENTOR MEMORYGEL COHESIVE I SILICONE OD10.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 150 CC P3.7 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD8.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 150 CC P3.7 CM ROUND NARROW HIGH PROFILE GEL TEXTURE SHELL BARRIER LAYER MENTOR MEMORYGEL SILICONE OD8.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 150-175 CC P3.1-3.7 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL COHESIVE I SALINE OD9.6-10 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 160 CC P3.3 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD9.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 165 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 170 CC P2.2 CM LOW PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 170 CC P2.6 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD10.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 170 CC P3.8 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD9.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 175 CC P3.3 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD10 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 175 CC P3.9 CM ROUND HIGH PROFILE GEL TEXTURE SHELL BARRIER LAYER MEMORYGEL SILICONE OD9.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 175-200 CC P3.3-3.9 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE SALINE OD10-10.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 175-210 ML P4.2-3.5 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD9.3-9.5 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 180 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 180 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 180 CC P4.4 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD8.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 185 CC P3.9 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD9.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 190 CC P2.7 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MENTOR MEMORYGEL COHESIVE I SILICONE OD11 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 190 CC P2.8 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 190 CC P3.4 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD10 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 194 CC MODERATE PLUS PROFILE ROUND SMOOTH NATRELLE SILICONE OD10.3 CM,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 195 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 200 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 200 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 200 CC P4 CM HIGH PROFILE ROUND NARROW BASE GEL SMOOTH SHELL BARRIER LAYER MEMORYGEL SILICONE OD9.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 200 CC P4.4 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD9 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 200 CC P4.5 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD9.2 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 200 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 200-225 CC P3.4-3.9 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL COHESIVE I SALINE OD10.4-11 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 200-240 ML P3.7-4.4 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD9.7-10 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 205 CC P2.9 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 210 CC P3.5 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 210 CC P4.1 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD9.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 210-250 ML P4.2-5.3 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD9.5-9.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 213 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 215 CC P2.8 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD11.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 215 CC P2.9 CM MODERATE PROFILE ROUND TEXTURE MEMORYGEL, SILTEX SILTEX GEL OD11.5 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 215 CC P3.6 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD10.4 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 215 CC P4.5 CM ULTRA HIGH PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL NARROWER BASE WIDTH MENTOR MEMORYGEL OD8.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 220 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 220 CC P3 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 225 CC LOW PROJECTION ROUND STYLE 68LP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 225 CC P3.3 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD10.9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 225 CC P3.5 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX OD10.9 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 225 CC P4.2 CM HIGH PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL NARROWER BASE WIDTH MEMORYGEL OD10.1 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 225 CC P4.5 CM EXTRA FULL PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 225-250 CC P3.5-4 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD10.9-11.5 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 225-270 CC P3.5 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD10.8 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 225-270 ML P3.8-4.6 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD10.1-10.4 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 230 CC P2.4 CM LOW PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD12 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 230 CC P4.2 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD10.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 230-275 ML P4.3-5.5 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD9.8-10 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 234 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 235 CC P2.9 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD11.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 235 CC P3 CM MODERATE PROFILE ROUND TEXTURE MEMORYGEL, SILTEX SILTEX GEL OD11.7 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 235 CC P3.1 CM LOW PLUS PROFILE ROUND SMOOTH GEL NATRELLE INSPIRA SILICONE OD11.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 235 CC P4.7 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD9.5 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 235 CC P4.9 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD9.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 240 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 240 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 240 CC P3.7 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD10.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 240 CC P3.7 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 240 CC P4.7 CM ULTRA HIGH PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL NARROWER BASE WIDTH MEMORYGEL OD9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 240-270 CC P3.8-4.2 CM MODERATE PROFILE ROUND STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD11-11.1 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 250 CC P3.1 CM ROUND LOW PLUS PROFILE SMOOTH RESPONSIVE NATRELLE INSPIRA OD12 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 250 CC P3.4 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD11.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 250 CC P3.6 CM MODERATE PLUS PROFILE ROUND SILTEX TEXTURE MEMORYGEL, SILTEX COHESIVE I SILICONE GEL OD11.3 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 250 CC P4.3 CM HIGH PROFILE ROUND SMOOTH SHELL SURFACE NARROWER BASE WIDTH MEMORYGEL OD10.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 250 CC P4.5 CM HIGH PROFILE ROUND GEL TEXTURE MEMORYGEL COHESIVE I SILTEX OD10.5 CM,875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 250-270 CC P3.2-3.5 CM LOW PROFILE ROUND SMOOTH NATRELLE SALINE OD11.9-11.7 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 250-275 CC P3.6-4.1 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD11.9-11.2 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 250-300 ML P4-4.7 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD10.5-10.8 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 250-300 ML P4.5-5.6 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD10-10.2 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 255 CC P2.9 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD12.2 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 255 CC P3.1 CM MODERATE PROFILE ROUND MEMORYGEL, SILTEX SILTEX OD12.1 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 255 CC P3.8 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 255 CC P4.3 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD10.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 255 CC P4.8 CM EXTRA FULL PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 260 CC HIGH PROFILE ROUND SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 260 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 260 CC P4.8 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD9.8 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 260 CC P5 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD9.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 265 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 265 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 270 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 270 CC P3.8 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD11.4 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 270 CC P4.8 CM ULTRA HIGH PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL NARROWER BASE WIDTH MEMORYGEL OD9.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 270-300 CC P4.3-3.9 CM ROUND MODERATE PROFILE STYLE 68 SMOOTH ANTERIOR DIAPHRAGM VALVE GEL NATRELLE INSPIRA SALINE OD11.6-11.5 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 270-325 ML P4.6-5.8 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD10.2-10.4 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 275 CC LOW PROJECTION ROUND STYLE 68LP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 275 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 275 CC P3 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL FILL SMOOTH MEMORYGEL SILICONE OD12.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 275 CC P3.2 CM MODERATE PROFILE ROUND SILTEX TEXTURE MEMORYGEL, SILTEX GEL OD12.3 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 275 CC P3.7 CM MODERATE PLUS PROFILE ROUND GEL TEXURED SURFACE SHELL BARRIER LAYER MEMORYGEL COHESIVE I SILTEX SILTEX OD11.7 CM,875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 275 CC P4.4 CM HIGH PROFILE ROUND SMOOTH SHELL BARRIER LAYER MEMORYGEL GEL OD10.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 275 ML P3.5 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL BARRIER LAYER BASE MEMORYGEL SILICONE OD11.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 275-300 CC P3.7-4.2 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL SALINE OD11.7-12.3 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 275-330 CC P3.8 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD11.6 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 275-330 ML P4.1-4.9 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD10.8-11 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 280 CC HIGH PROFILE ROUND SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 280 CC P3.3 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD12.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 280 CC P4.4 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD10.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 280-300 CC P4.7-5.2 CM HIGH PROFILE ROUND SMOOTH NATRELLE SALINE OD10.6-10.5 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 285 CC P4.9 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD10.3 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 285 CC P5 CM EXTRA FULL PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 285 CC P5 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD10.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 285 ML P4 CM MODERATE PROJECTION ROUND COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY OPUS LUXE HSC SILICONE W11.4 CM,600.0,300.0,114.9,540.0,65
HCPCS,C1789,IMPLANT BREAST 286 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 290 CC P2.6 CM LOW PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD13 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 290-350 CC P4.7-5.9 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH DIAPHRAGM VALVE SELF SEAL MEMORYGEL SALINE OD10.5-10.8 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 295 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 295 CC P3.9 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 295 CC P4 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD11.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 295 CC P5 CM ULTRA HIGH PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL NARROWER BASE WIDTH MEMORYGEL OD9.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 300 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 300 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 300 CC P3.1 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD12.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 300 CC P3.3 CM MODERATE PROFILE ROUND TEXTURE MEMORYGEL, SILTEX SILTEX GEL OD12.6 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 300 CC P3.6 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD12 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 300 CC P3.7 CM MODERATE PLUS PROFILE ROUND SILTEX TEXTURE MEMORYGEL, SILTEX GEL OD12 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 300 CC P4.5 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD11.1 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 300 CC P4.7 CM HIGH PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD11.1 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 300 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 300-325 CC P3.7-4.3 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD12.1-12.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 300-330 CC P4.1-4.4 CM MODERATE PROFILE ROUND SMOOTH NATRELLE SALINE OD11.9-11.8 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 300-360 ML P4.3-5 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD11.2-11.5 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 304 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 305 ML P4 CM MODERATE PROJECTION ROUND COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY OPUS LUXE HSC SILICONE W11.7 CM,600.0,300.0,114.9,540.0,65
HCPCS,C1789,IMPLANT BREAST 310 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 310 CC P4.6 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD11.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 310 CC P5.2 CM EXTRA FULL PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD10.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 310-375 CC P4.8-6 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD10.7-11 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 320 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 320 CC P3.2 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD13 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 320 CC P3.4 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD13 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 320 CC P5.1 CM ULTRA HIGH PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL NARROWER BASE WIDTH MEMORYGEL OD9.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 325 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,"IMPLANT BREAST 325 CC P3.8 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD12.3 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 325 CC P4.1 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD11.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 325 CC P4.4 CM MODERATE PLUS PROJECTION ROUND HIGH STRENGTH COHESIVE TEXTURE GEL OPUS LUXE HSC SILICONE W11.8 CM,600.0,300.0,114.9,540.0,65
HCPCS,C1789,IMPLANT BREAST 325 CC P4.6 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD11.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 325 CC P4.8 CM HIGH PROFILE ROUND MEMORYGEL, SILTEX SILTEX GEL OD11.5 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 325 CC P5.3 CM HIGH PROFILE GEL SMOOTH SOFT MEMORYGEL BOOST OD10.5 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 325 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 325 ML P3.8 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL BARRIER LAYER BASE MEMORYGEL SILICONE OD12.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 325-345 CC P3.5-3.8 CM LOW PROFILE ROUND SMOOTH NATRELLE SALINE OD12.9-12.7 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 325-375 ML P3.8-4.5 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SURFACE MENTOR SALINE OD12.3-13 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 325-390 CC P4 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD12.4 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 325-390 ML P4.4-5.2 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD11.5-11.9 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 330 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 330 CC P4.1 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD12.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 330 CC P4.7 CM MODERATE HIGH PROFILE ROUND COHESIVE GEL SMOOTH MEMORYGEL XTRA OD11.4 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 330-360 CC P4.2-4.5 CM MODERATE PROFILE ROUND SMOOTH NATRELLE SALINE OD12.3-12.2 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 330-400 CC P4.8-6.2 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MEMORYGEL SALINE OD11-11.3 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 335 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 335 CC P5.4 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD10.7 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 339 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 340 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 340 CC P3.2 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH WIDE BASE MEMORYGEL SILICONE OD13.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 340 CC P5.4 CM EXTRA FULL PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD11 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 345 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 345 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 350 CC P2.8 CM LOW PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD14 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 350 CC P3.9 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD12.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 350 CC P4.1 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD12.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 350 CC P4.8 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD11.6 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 350 CC P5.2 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD10.1 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 350 ML P4.8 CM HIGH PROFILE ROUND GEL SMOOTH SURFACE SHELL MODERATE BASE MEMORYGEL SILICONE OD11.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 350 ML ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 350-370 CC P3.6-3.8 CM LOW PROFILE ROUND SMOOTH NATRELLE SALINE OD13.3-13.2 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 350-380 CC P4.9-5.5 CM HIGH PROFILE ROUND SMOOTH NATRELLE SALINE OD11.6-11.4 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 350-400 CC P3.9-4.7 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD12.6-13.3 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 350-420 ML P4.5-5.3 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD11.7-12.1 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 355 CC P5.5 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD11 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 360 CC P3.3 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD13.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 360 CC P3.5 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD13.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 360 CC P4.2 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD12.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 365 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 370 CC P4.1 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD12.6 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 370 CC P5.4 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD11 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 375 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 375 CC P4 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD12.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 375 CC P4.8 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL COHESIVE I SILICONE OD12 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 375 CC P4.9 CM MODERATE HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL XTRA SILICONE OD11.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 375 CC P5.6 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD11.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 375 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 375 ML 5.3 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL BARRIER LAYER MEMORYGEL SILICONE OD10.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 375-425 CC P4-4.8 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD12.8-13.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 375-450 CC P4-1 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD13.5 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 375-450 CC P4.6-5.4 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYSHAPE SALINE OD12-12.3 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 380 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 380 CC P5.5 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD11.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 380-450 ML P5.2-6.4 CM ROUND HIGH PROFILE STYLE 3000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEALING SILTEX SALINE OD11.4-11.7 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 385 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 385 CC P3.3 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD13.9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 390 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 390 CC P4.1 CM ROUND MODERATE PLUS PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL BOOST OD12.7 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 397 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 400 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,"IMPLANT BREAST 400 CC P3.2 CM MODERATE PROFILE ROUND MEMORYGEL, SILTEX SILTEX GEL OD14.5 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 400 CC P4.9 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD12.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 400 CC P5.4 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD10.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 400 CC P5.8 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD11.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 400 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 400 ML P4 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL MEMORYGEL SILICONE OD13.1 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 400-480 CC P4.7-5.5 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MEMORYGEL SALINE OD12.3-12.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 405 CC P3.4 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL BARRIER LAYER MEMORYGEL SILICONE OD14.2 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 405 CC P4.4 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD12.7 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 405 CC P4.4 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD13.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 405 CC P5.6 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD11.2 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 410 CC P3 CM LOW PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD15 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 415 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 415 CC P5.8 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD11.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 420 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 420 CC MODERATE PROJECTION ROUND STYLE 68MP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 420 CC P5.9 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD11.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 420-500 CC P5.4-6.7 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD11.7-12 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 421 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 425 CC P3.4 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD14.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 425 CC P4.1 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD13.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 425 CC P4.2 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD13.5 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 425 ML P5 CM HIGH PROFILE ROUND GEL SMOOTH SURFACE SHELL MODERATE BASE MEMORYGEL COHESIVE SILICONE OD12.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 425-455 CC P5.3-5.9 CM HIGH PROFILE ROUND SMOOTH NATRELLE SALINE OD12.3-12.1 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 425-475 CC P4.1-4.9 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD13.5-14.2 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 425-510 CC P4.2 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD14 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 430 CC P5.1 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD12.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 430 CC P5.6 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD10.9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 430 CC P5.8 CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I SILTEX GEL OD11.1 CM,875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 440 CC P3.8 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD14.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 440 CC P4.2 CM ROUND LOW PLUS PROFILE SMOOTH RESPONSIVE NATRELLE INSPIRA OD16 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 440 CC P4.5 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD13.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 440 CC P5.8 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD11.6 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 445 CC P4.5 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD13.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 445 CC P6 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD12 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 445 ML P3.5 CM MODERATE CLASSIC PROFILE STANDARD ROUND WIDE BASE SMOOTH SURFACE SHELL GEL MEMORYGEL OD14.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 450 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 450 CC MODERATE PROJECTION ROUND STYLE 68MP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 450 CC P4.2 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL COHESIVE I SILICONE OD13.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 450 CC P5.9 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD11.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 450 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,"IMPLANT BREAST 450 ML P4.1 CM MODERATE PLUS PROFILE ROUND GEL TEXTURED SURFACE SHELL BARRIER LAYER MEMORYGEL, SILTEX SILICONE OD13.7 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 450-500ML P6.1CM CONTOUR PROFILE HIGH PROFILE STYLE 2700 TEXTURE ANTERIOR DIAPHRAGM VALVE POSTERIOR ORIENTATION TAB SELF SEAL 13.2X11CM STERILE,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 450-540 ML P4.9-5.7 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MEMORYGEL SALINE OD12.8-13 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 455 CC P5.7 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD11.2 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 457 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 460 CC LOW PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 460-550 CC P5.5-6.9 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD12.1-12.4 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 465 CC P4.7 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD13.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 465 CC P5.8 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD12.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 465-505 CC P5.6-6.1 CM HIGH PROFILE ROUND STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD12.5-12.6 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 470 CC P3.5 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD15 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 470 CC P5.2 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD12.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 470 CC P6.1 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD12.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 475 CC HIGH PROFILE ROUND STYLE 20 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 475 CC P4.2 CM MODERATE PLUS PROFILE STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR MEMORYGEL COHESIVE I OD14 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 475 CC P5.3 CM HIGH PROFILE ROUND NARROW BASE GEL SMOOTH SHELL BARRIER LAYER MENTOR MEMORYGEL COHESIVE I SILICONE OD12.9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 475-525 CC P4.2-4.9 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL COHESIVE I SALINE OD14.2-14.8 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 475-570 CC P5-5.8 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SALINE OD13-13.3 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 475-570 ML P4.4-5.4 CM MODERATE PROFILE ROUND STYLE 1400 SMOOTH SHELL SURFACE ADJUSTABLE POSTERIOR VALVE PREPLACED FILL TUBE SPECTRUM SALINE OD13.8-14.3 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 480 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 480 CC P5.8 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD12.2 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 480 CC P5.8 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD11.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 480-510 CC P4.6-4.7 CM MODERATE PROFILE ROUND SMOOTH NATRELLE SALINE OD14.1-14 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 485 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 485 CC P4.6 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD14 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 490 CC P3.7 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD15.2 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 490 CC P3.9 CM LOW PLUS PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD15 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 490 CC P4.7 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD13.6 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 490 CC P5.8 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD12.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 492 CC ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 495 CC XFULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,"IMPLANT BREAST 500 CC P4.2 CM MODERATE PLUS PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD14.1 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 500 CC P5.2 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL COHESIVE GEL MEMORYGEL XTRA OD13.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 500 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 500 ML P4.3 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL MEMORYGEL SILICONE OD14.1 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 500-540 CC P5.7-6.3 CM HIGH PROFILE ROUND STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD12.8-13 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 500-600 CC P5.1-5.9 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD13.2-13.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 500-600 CC P5.6-7.1 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL COHESIVE I SALINE OD12.4-12.8 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 510 CC P3.7 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD15.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 510-540 CC P4.6-4.7 CM MODERATE PROFILE ROUND STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD14.3-14.4 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 520 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 520 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 520 CC P6 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD12.3 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 525 CC P4.4 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MODERATE BASE MEMORYGEL SILICONE OD14.3 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 525 CC P4.6 CM MODERATE PLUS PROFILE ROUND GEL SHELL BARRIER LAYER TEXTURE MEMORYGEL, SILTEX OD14.4 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 525 CC P4.7 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD13.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 525 CC P6.2 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD12.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 525-575 ML P4.2-5.1 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MEMORYGEL SALINE OD14.5-15 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 525-630 CC P4.4 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD15 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 535 CC P6 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD12.7 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 535 CC P6.1 CM ROUND STANDARD ULTRA HIGH PROFILE GEL SMOOTH SURFACE SHELL BARRIER LAYER REPOSABLE MEMORYGEL OD12 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 540 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 545 CC P4.9 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD14 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 545 CC P5.5 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD13.4 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 545 CC P6.1 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD12.5 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 545 CC P6.2 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD13 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,"IMPLANT BREAST 550 CC P4.4 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD14.4 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,"IMPLANT BREAST 550 CC P5.6 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD13.5 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 550 ML P4.5 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL MEMORYGEL SILICONE OD14.6 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 550-590 CC P5.8-6.4 CM HIGH PROFILE ROUND STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE NATRELLE SALINE OD13.3-13.1 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 550-660 CC P5.3-6.1 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD13.7-14 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 555 CC P3.8 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD15.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 560 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 560 CC P4.8 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD14.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 560 CC P4.9 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD14.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 560 CC P6.3 CM HIGH PROFILE ROUND SMOOTH SHELL SURFACE MEMORYGEL OD12.7 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 560 CC P6.3 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD13.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 560-675 ML P5.7-7.3 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD13.1-13.4 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 575 CC P4.6 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MODERATE BASE MEMORYGEL SILICONE OD14.9 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 575-625 CC P4.5-5.1 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SHELL SURFACE SELF SEAL ANTERIOR DIAPHRAGM VALVE MENTOR SMOOTH ROUND MODERATE PROFILE SALINE OD14.8-15 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 575-690 ML P4.8-6 CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM SALINE OD14.2-14.7 CM,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST 580 CC P5.5 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD13.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 580 CC P6.4 CM ROUND EXTRA FULL PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD13.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 585 CC P6.3 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD12.8 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 590 CC P6.3 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD12.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 595 CC P3.8 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL OD16.1 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 595 CC P6.3 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD13.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 600 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 600 CC MODERATE PROJECTION ROUND STYLE 68MP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,"IMPLANT BREAST 600 CC P4.5 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD14.7 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 600 ML P4.6 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL MEMORYGEL SILICONE OD15 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 600-720 CC P5.5-6.3 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SHELL SURFACE SELF SEAL ANTERIOR DIAPHRAGM VALVE MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD14.1-14.5 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 605 CC FULL PROFILE ROUND SMOOTH SHELL SURFACE COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 605 CC P5.1 CM MODERATE PLUS PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD14.5 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 615 CC P6.4 CM ROUND EXTRA FULL PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD13.75 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 625-700 CC P4.6-5.6 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD14.9-15.2 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 630 CC P5.1 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD14.7 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 630-750 ML P5.9-7.4 CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR SMOOTH ROUND HIGH PROFILE SALINE OD13.4-13.8 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 635 CC P6.4 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD13.2 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 640 CC LOW PLUS PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 640 CC P5 CM MODERATE PROFILE ROUND SMOOTH SHELL SURFACE NATRELLE INSPIRA OD15.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 645 CC P5.1 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD14.9 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 650 CC FULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 650 CC MODERATE PROJECTION ROUND STYLE 68MP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 650 CC P4.7 CM ROUND MODERATE PLUS PROFILE MODERATE BASE GEL SMOOTH SHELL BARRIER LAYER MEMORYGEL SILICONE OD15.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 650 CC P5.7 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD14.4 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 650 CC P5.8 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD14.3 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 650 CC P5.9 CM HIGH PROFILE ROUND STYLE 20 SMOOTH SHELL SURFACE GEL NATRELLE SILICONE OD14.2 CM,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST 650 CC P6.5 CM ULTRA HIGH PROFILE ROUND SMOOTH GEL MEMORYGEL OD12.9 IN,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 650 CC XFULL PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 650-780 ML P5.6-6.5 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD14.4-14.8 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 680 CC P3.9 CM MODERATE PROFILE ROUND CLASSIC SMOOTH GEL MEMORYGEL OD17 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 685 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 685 CC P5.2 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD15.3 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 685 CC P6.4 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD13.7 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 695 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 700 CC MODERATE PROJECTION ROUND STYLE 68MP SMOOTH NATRELLE SALINE,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 700 CC P4.9 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MODERATE BASE MENTOR MEMORYGEL COHESIVE I SILICONE OD15.8 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 700 CC P6.5 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD14.1 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 700 CC P6.6 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD14.25 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 700-775 CC P4.9-5.8 CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR SALINE OD14.9-15.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 740 CC P6.6 CM GEL SMOOTH HIGH PROFILE SOFT MEMORYGEL BOOST OD14.1 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 745 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 750 CC P4 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD17.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 750 CC P5.1 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD16.2 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 750 CC P5.9 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MENTOR MEMORYGEL COHESIVE I SILICONE OD15.2 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 750 CC P6.6 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD13.7 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 750 CC P6.7 CM ROUND MODERATE PROFILE SMOOTH RESPONSIVE GEL NATRELLE INSPIRA OD14.5 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 750-800 CC P6.5-7.2 CM HIGH PROFILE ROUND SMOOTH NATRELLE SALINE OD14.6-14.4 CM,322.0,161.0,61.66,289.8,65
HCPCS,C1789,IMPLANT BREAST 750-900 ML P5.9-6.8 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL MENTOR SMOOTH ROUND MODERATE PLUS PROFILE SALINE OD15.1-15.6 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST 755 CC MODERATE PROFILE SMOOTH SHELL SURFACE NATRELLE INSPIRA,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 755 CC P5.4 CM MODERATE PLUS PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD15.7 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 755 CC P6.7 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD14.4 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,"IMPLANT BREAST 765 CC P6.7 CM HIGH PROFILE ROUND GEL TEXTURE SURFACE MEMORYGEL, SILTEX SILTEX OD14.7 CM",1050.0,525.0,201.08,945.0,65
HCPCS,C1789,IMPLANT BREAST 770 CC FULL PROFILE ROUND SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH NATRELLE INSPIRA SILICONE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 775 CC P6 CM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD15.2 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 775 CC P6.6 CM ROUND HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL BOOST OD14.4 CM,1125.0,562.5,215.44,1012.5,65
HCPCS,C1789,IMPLANT BREAST 790 CC P6.7 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD14.8 CM,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST 800 CC P4.1 CM MODERATE CLASSIC PROFILE STANDARD PROJECTION ROUND GEL SMOOTH SHELL SURFACE WIDER BASE MEMORYGEL SILICONE OD18 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,"IMPLANT BREAST 800 CC P4.4 CM MODERATE CLASSIC ROUND TEXTURE MEMORYGEL, SILTEX SILTEX GEL OD17.6 CM",875.0,437.5,167.56,787.5,65
HCPCS,C1789,IMPLANT BREAST 800 CC P5.1 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MODERATE BASE MEMORYGEL SILICONE OD16.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 800 CC P6 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MENTOR MEMORYGEL COHESIVE I SILICONE OD15.5 CM,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST 800 CC P6.7 CM: XFULL PROFILE ROUND SMOOTH SURFACE NATRELLE INSPIRA SILICONE GEL OD15 CM,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST 800-960 ML P6-7 CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL SILTEX SALINE OD15.5-16.1 CM,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST EXTRA-FULL PROFILE 9.50CM DIA 4.2CM SILICONE GEL 200ML ROUND SMOOTH NATRELLE INSPIRA STYLE SRX LATEX-FREE MRI-COMPATIBLE STERILE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST MODERATE PLUS EXTRA PROFILE 10.1CM 3.5CM SILICONE GEL 190ML ROUND SILTEX RESTERILIZABLE,1050.0,525.0,201.08,945.0,65
HCPCS,C1789,IMPLANT BREAST P5.9 CM MODERATE HIGH PROFILE ROUND SMOOTH SURFACE SHELL GEL MEMORYGEL XTRA OD14.6 CM 700 CC,1000.0,500.0,191.5,900.0,65
HCPCS,C1789,IMPLANT BREAST ROUND MODERATE PLUS PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST SALINE 125-150CC P3-3.4CM MODERATE PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR 9.1-9.5CM STERILE,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST SALINE 175-200CC P4.3CM CONTOUR PROFILE MODERATE PROJECTION WIDE BASE 10.2X8.5CM STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST SALINE 175-210CC P3.1CM ROUND STYLE 1400 ADJUSTABLE SMOOTH SPECTRUM 10.3CM STERILE,975.0,487.5,186.71,877.5,65
HCPCS,C1789,IMPLANT BREAST SALINE 225ML CONTOUR PROFILE DIAPHRAGM VALVE SILTEX,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST SALINE 275-300CC P4.5CM CONTOUR PROFILE MODERATE PROJECTION WIDE BASE 12.2X10.3CM STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST SALINE 350-400CC P5.3CM HIGH PROJECTION SILTEX TEXTURE SELF SEAL DIAPHRAGM VALVE 12.3X10.5CM MEMORYGEL CONTOUR PROFILE STERILE,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST SALINE 370CC FULL PROJECTION CONTOUR TEXTURE 13X11CM NATRELLE BIOCELL STERILE LATEX FREE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST SALINE 375-425CC P4CM MODERATE PROFILE ROUND TEXTURE 13.6CM STERILE,515.0,257.5,98.62,463.5,65
HCPCS,C1789,IMPLANT BREAST SALINE 425-510CC P4.8-5.6CM MODERATE PLUS PROFILE ROUND STYLE 2000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE SELF SEAL 12.5-12.9CM STERILE,450.0,225.0,86.18,405.0,65
HCPCS,C1789,IMPLANT BREAST SALINE 510CC FULL PROJECTION CONTOUR TEXTURE 14.4X12.2CM NATRELLE BIOCELL STERILE LATEX FREE,725.0,362.5,138.84,652.5,65
HCPCS,C1789,IMPLANT BREAST SALINE 650-725CC P6.6CM HIGH PROJECTION SILTEX TEXTURE SELF SEAL DIAPHRAGM VALVE 15X12.7CM MEMORYGEL CONTOUR PROFILE STERILE,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT BREAST SILICONE 280CC P5.3CM XFULL PROFILE FULL HEIGHT STYLE 410FX TEXTURE SHELL SURFACE HIGH COHESIVE GEL ORIENTATION MARK 11X11.5CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,65
HCPCS,C1789,IMPLANT BREAST SILICONE 315CC P5.5CM XFULL PROFILE FULL HEIGHT STYLE 410FX TEXTURE SHELL SURFACE HIGH COHESIVE GEL ORIENTATION MARK 11.5X12CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,65
HCPCS,C1789,IMPLANT BREAST SILICONE 360CC P5.7CM XFULL PROFILE FULL HEIGHT STYLE 410FX TEXTURE SHELL SURFACE HIGH COHESIVE GEL ORIENTATION MARK 12CMX12.5IN NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,65
HCPCS,C1789,IMPLANT BREAST SILICONE 400CC P5.1CM XHIGH PROFILE ROUND STYLE 45 SMOOTH SHELL SURFACE GEL NATRELLE 11.2CM STERILE LATEX FREE,800.0,400.0,153.2,720.0,65
HCPCS,C1789,IMPLANT BREAST SILICONE 740CC CONTOUR STYLE 410FF TEXTURE COHESIVE NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,65
HCPCS,C1789,IMPLANT BREAST SILTEX SALINE 275-300CC P5.1CM HIGH PROJECTION TEXTURE SELF SEAL DIAPHRAGM VALVE 11.5X9.5CM MEMORYGEL CONTOUR PROFILE STERILE,825.0,412.5,157.99,742.5,65
HCPCS,C1789,IMPLANT TOE JOINT L11.2 MM X H1.8 MM OD3.2-2.5 MM FINGER TOE TITANIUM CANNULATED PHALINX 0 D XS,709.44,354.72,135.86,638.5,65
HCPCS,C1789,OCCLUDER AMPLATZER AMULET 25MM 32MM NITINOL PLASTIC 10X19-22MM 12- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1789,SIZER IMPLANT 600 CC P5.7CM HIGH PROFILE ROUND NATRELLE STYLE 20 RESTERILIZABLE GEL SMOOTH SHELL SILICONE L13.8 CM,800.0,400.0,153.2,720.0,65
HCPCS,C1789,SIZER IMPLANT OD16.5 CM 640 ML P3.9 CM ROUND MEMORYGEL RESTERILIZABLE GEL MODERATE CLASSIC PROFILE,825.0,412.5,157.99,742.5,65
HCPCS,C1813,KIT ACCESSORY SUBURETHRAL SLING ADVANCE POLYPROPYLENE MALE,6850.0,3425.0,1311.78,6165.0,65
HCPCS,C1813,KIT IMPLANT INFLATABLE PENILE PROSTHESIS TUBE TITAN STERILE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1813,PLUG TRUE LOCK,95.0,47.5,18.19,85.5,65
HCPCS,C1813,PROSTHESIS PENILE TITAN 18CM 0D CYLINDER PUMP SET INFLATABLE FLUID FILL SOFT MOLD TIP BIOFLEX SILICONE HYDROPHILIC SCROTAL LATEX FREE,10826.0,5413.0,2073.18,9743.4,65
HCPCS,C1813,PROSTHESIS PENILE TITAN 22CM 0D CYLINDER PUMP SET INFLATABLE FLUID FILL SOFT MOLD TIP BIOFLEX SILICONE HYDROPHILIC INFRAPUBIC LATEX FREE,10826.0,5413.0,2073.18,9743.4,65
HCPCS,C1813,PROSTHESIS PENILE TITAN COLOPLAST LOCK-OUT L20 CM PUMP SET INFLATABLE FLUID FILL SOFT MOLD TIP SCROTAL BIOFLEX SILICONE HYDROPHILIC 0 D CYLINDER,10826.0,5413.0,2073.18,9743.4,65
HCPCS,C1813,PROSTHESIS PENILE TITAN L16 CM NARROW BASE INFRAPUBIC NARROW CORPORA CAVERNOSA,10826.0,5413.0,2073.18,9743.4,65
HCPCS,C1813,PROSTHESIS PENILE TITAN L16 CM TOUCH NARROW BASE INFRAPUBIC NARROW CORPORA CAVERNOSA,10826.0,5413.0,2073.18,9743.4,65
HCPCS,C1813,PROSTHESIS PENILE TITAN LOCK-OUT 22CM 0D PUMP SET INFLATABLE FLUID FILL SOFT MOLD TIP BIOFLEX HYDROPHILIC PENOSCROTAL LATEX FREE,10826.0,5413.0,2073.18,9743.4,65
HCPCS,C1813,PROSTHESIS PENILE TITAN LOCK-OUT STANDARD INFLATABLE SELF CONTAIN FLUID FILL BIOFLEX SILICONE HYDROPHILIC LATEX FREE,652.0,326.0,124.86,586.8,65
HCPCS,C1814,SYRINGE OPHTHALMIC PREFILLED SILICONE OIL 10ML CAPACITY W/CX5720 VISCOUS ADATO PRESERVATIVE-FREE SINGLE-USE,459.95,229.98,88.08,413.96,65
HCPCS,C1815,PROSTHESIS PENILE AMS 800 3 PLUG STRAIGHT CONNECTOR STERILE,161.24,80.62,30.88,145.12,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 16MM 22MM NITINOL PLASTIC 7.5X11-13MM 10- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 18MM 24MM NITINOL PLASTIC 7.5X13-15MM 10- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 20MM 26MM NITINOL PLASTIC 7.5X15-17MM 10- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 22MM 28MM NITINOL PLASTIC 7.5X17-19MM 10- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 28MM 35MM NITINOL PLASTIC 10X22-25MM 12- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 31MM 38MM NITINOL PLASTIC 10X25-28MM 12- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER AMPLATZER AMULET 34MM 41MM NITINOL PLASTIC 10X28-31MM 12- MM CARDIOVASCULAR HEMOSTASIS VALVE DELIVERY CABLE LOADER BRAID LEFT ATRIAL APPENDAGE,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L4.25 MM WAIST OD3 MM DISC 9 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L4.25 MM WAIST OD4 MM DISC 10 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L4.25 MM WAIST OD5 MM DISC 11 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L5 MM DESCENDING AORTA OD12 MM PULMONARY ARTERY 10MM RETENTION SKIRT 18MM DUCT SELF EXPAND SECURE POSITION AMPLATZER NITINOL MESH POLYESTER CONE,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L5 MM OD5-4 MM ODSEC9 MM DUCT SELF EXPAND SECURE POSITION RETENTION SKIRT AMPLATZER NITINOL POLYESTER CONE,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L6.25 MM WAIST OD3 MM DISC 9 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L6.25 MM WAIST OD4 MM DISC 10 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L6.25 MM WAIST OD5 MM DISC 11 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L6.25 MM WAIST OD6 MM DISC 12 MM DUCT OCCLUDER II AMPLATZER NITINOL MESH POLYESTER MATERIAL,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L7 MM DESCENDING AORTA OD6 MM PULMONARY ARTERY 4MM RETENTION SKIRT 10MM DUCT SELF EXPAND SECURE POSITION AMPLATZER NITINOL MESH POLYESTER CONE,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L7 MM DESCENDING AORTA OD8 MM PULMONARY ARTERY 6MM RETENTION SKIRT 12MM DUCT SELF EXPAND SECURE POSITION AMPLATZER NITINOL MESH POLYESTER CONE,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,OCCLUDER CARDIOVASCULAR L8 MM DESCENDING AORTA OD10 MM PULMONARY ARTERY 8MM RETENTION SKIRT 16MM DUCT SELF EXPAND SECURE POSITION AMPLATZER NITINOL MESH POLYESTER CONE,4305.0,2152.5,824.41,3874.5,65
HCPCS,C1817,PLUG OCCLUSION L16 MM MICRO MECHANICAL DETACHABLE FULL RESHEATHABLE OD5-7 MM MVP NITINOL PTFE VASCULAR,1795.0,897.5,343.74,1615.5,65
HCPCS,C1819,DEVICE BREAST BIOPSY THUMB WHEEL EVIVA,1030.0,515.0,224.64,927.0,64
HCPCS,C1819,HANDPIECE BREAST BIOPSY L13 CM 12 MM PETITE ULTRASOUND OD3.7 MM EVIVA,1000.0,500.0,218.1,900.0,64
HCPCS,C1819,HANDPIECE BREAST BIOPSY L14 CM 12 MM PETITE CANNULA NEEDLE APERTURE OD9 GA ATEC STEREOTACTIC,1200.0,600.0,261.72,1080.0,64
HCPCS,C1819,INSTRUMENT BIOPSY 16CM 14GA BARD MAX-CORE 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR ANGLE NOTCH STERILE LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
HCPCS,C1819,INSTRUMENT BIOPSY PINK 10CM 16GA MAX-CORE ANGLE 22MM 2 TRIGGER ULTRA SHARP TIP BEVEL 7.8CM STERILE LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
HCPCS,C1819,KIT DEVICE BIOPSY CORE 18GA 25CML W/COMPATIBLE COAXIAL MARQUEE LATEX-FREE STERILE DISPOSABLE,340.0,170.0,74.15,306.0,64
HCPCS,C1819,KIT DEVICE BIOPSY MISSION 18GA 25CM 10MM/20MM THROW 9.4/18.8MM SAMPLE NOTCH CORE SEMI-AUTOMATED SOFT TISSUE W/17GA 22.9CM NDL TROCAR COAXIAL CANNULA 10MM ADAPTER BLUNT TIP STYLET STERILE DISPOSABLE 5/,200.0,100.0,43.62,180.0,64
HCPCS,C1819,NEEDLE LOCALIZATION L12.5 CM OD20 GA HOMER 2 PART STABILIZER REPOSITIONABLE DEPTH MARK BREAST NITINOL STAINLESS STEEL J CURVE,325.0,162.5,70.88,292.5,64
HCPCS,C1819,SYSTEM BREAST BIOPSY BREVERA STERILE LATEX FREE DISPOSABLE,1140.0,570.0,248.63,1026.0,64
HCPCS,C1820,ACCESSORY NEUROSTIMULATOR BURR HOLE COVER SPARE KIT SURETEK,250.0,125.0,47.88,225.0,65
HCPCS,C1820,GENERATOR NEUROSTIMULATOR 16 CONTACT PRECISION MONTAGE MRI,16500.0,8250.0,3159.75,14850.0,65
HCPCS,C1820,KIT STIMULATOR BRAIN W/WRENCH/HEADER PORT PLUGS IMPLANTABLE PULSE GENERATO VERCISE GENUS P16 1/EA,17000.0,8500.0,3255.5,15300.0,65
HCPCS,C1820,TOOL TUNNELING L35 CM LONG NA,100.0,50.0,19.15,90.0,65
HCPCS,C1820,VERCISE PHYS SPARE KIT,250.0,125.0,47.88,225.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 10MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 12MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 12MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 14MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 14MMW LAMINAR BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 8MMW C2 PLATE BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,IMPLANT SPINAL LOCKING 8MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,1650.0,825.0,315.98,1485.0,65
HCPCS,C1821,TRAY IMPLANT SPINAL 8MMW C2 BASE F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1822,KIT IPG INCLUDES STIM UNIT LEADS ETC,21500.0,10750.0,4117.25,19350.0,65
HCPCS,C1822,PROGRAMMER NEUROSTIMULATOR W7.3 CM X H14 CM THK2 CM TOUCHSCREEN BATTERY RECHARGEABLE AXIUM LITHIUM ION .2 KG,2711.5,1355.75,591.38,2440.35,64
HCPCS,C1830,NEEDLE BIOPSY L152 MM ONCONTROL,935.0,467.5,203.92,841.5,64
HCPCS,C1830,TRAY BIOPSY 102MM 11GA ARROW ONCONTROL BONE MARROW,922.0,461.0,201.09,829.8,64
HCPCS,C1874,CORONARY STENT INTEGRITY MICROTRAC 4MM 18MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1874,CORONARY STENT ONYX FRONTIER 3.5MM 30MM ZOTAROLIMUS LARGE VESSEL STERILE SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1874,CORONARY STENT ONYX FRONTIER 4.5MM 12MM RAPID EXCHANGE SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1874,CORONARY STENT RESOLUTE ONYX 2.75MM 26MM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR 140CM MEDIUM VESSEL STERILE ACCEPTS .014IN GUIDEWIRE 5FR GUIDE CATHETER SYSTEM,300.0,150.0,57.45,270.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 12MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 16MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 20MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 24MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 28MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 32MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 3.5MM 8MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 12MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 16MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 20MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 24MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 28MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 32MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4.5MM 8MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 12MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 16MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 20MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 24MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 28MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 32MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 4MM 8MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 12MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 16MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 20MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 24MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 28MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 32MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MEGATRON 5MM 8MM EVEROLIMUS PLATINUM CHROMIUM LARGE VESSEL PROXIMAL SYSTEM,800.0,400.0,153.2,720.0,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 12MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 16MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 20MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 24MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 28MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 32MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 38MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.25MM 8MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 12MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 16MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 20MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 24MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 28MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 32MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 38MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.5MM 8MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 12MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 16MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 20MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 24MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 28MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 32MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 38MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 2.75MM 8MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 12MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 16MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 20MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 24MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 28MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 32MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 38MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3.5MM 8MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 12MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 16MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 20MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 28MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 32MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 38MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 3MM 8MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 12MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 16MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 20MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 24MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 28MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 32MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 38MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 4MM 8MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY MONORAIL 5MM 24MM PLATINUM CHROMIUM STERILE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD 2.25MM 8MM EVEROLIMUS SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD 3.5MM 48MM EVEROLIMUS SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1874,CORONARY STENT SYNERGY XD 3MM 48MM EVEROLIMUS SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.25MM 38MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 38MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 48MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.5MM 8MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 38MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 48MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,700.0,350.0,134.05,630.0,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 2.75MM 8MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 38MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3.5MM 8MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 38MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 3MM 8MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4.5MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4.5MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4.5MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4.5MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4.5MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4.5MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 38MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 4MM 8MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 5MM 12MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 5MM 16MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 5MM 20MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 5MM 24MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 5MM 28MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT SYNERGY XD MONORAIL 5MM 32MM DELIVERY SYSTEM 1 ACCESS PORT RADIOPAQUE INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM STERILE ACCEPTS .014- IN GUIDEWIRE SYSTEM,395.0,197.5,75.64,355.5,65
HCPCS,C1874,CORONARY STENT XIENCE ALPINE 2.75MM 33MM RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR 145CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1874,CORONARY STENT XIENCE ALPINE 2.75MM 38MM RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR 145CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1874,CORONARY STENT XIENCE ALPINE 3.25MM 15MM RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR 145CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1874,CORONARY STENT XIENCE ALPINE 4MM 28MM RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR 145CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,630.0,315.0,120.65,567.0,65
HCPCS,C1874,CORONARY STENT XIENCE SKYPOINT MULTI-LINK 2.5MM 23MM DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER 145CM SYSTEM,345.0,172.5,66.07,310.5,65
HCPCS,C1874,DEVICE EMBOLIZATION L12 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD3.75 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1874,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1874,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3.25 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1874,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3.75 MM PIPELINE FLEX,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1874,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4.75 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1874,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD5 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1874,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD2.75 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1874,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3.5 MM PIPELINE FLEX,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1874,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1874,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4.5 MM PIPELINE FLEX,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1874,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD5 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1874,DEVICE EMBOLIZATION L30 MM OD4.5 MM PIPELINE,16500.0,8250.0,3598.65,14850.0,64
HCPCS,C1874,ENDOPROS AORT 15F 20MMX4.5CMEXLUDER CONFORMABLE AAA,4117.0,2058.5,788.41,3705.3,65
HCPCS,C1874,ESOPHAGEAL OVER THE WIRE - 16MM X 15CM 6MM FULLY COVER,2030.0,1015.0,388.75,1827.0,65
HCPCS,C1874,EXCLDR 15FR 20MMX12MMX12CM,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,EXTENDER AORTIC 4.5CM 32MM CONFORMABLE ACTIVE CONTROL EXCLUDER ACCEPTS 18FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,4117.0,2058.5,788.41,3705.3,65
HCPCS,C1874,EXTENDER AORTIC L4.5 CM CONFORMABLE ACTIVE CONTROL OD26 MM EXCLUDER ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,4117.0,2058.5,788.41,3705.3,65
HCPCS,C1874,EXTENDER AORTIC L4.5 CM CONFORMABLE ACTIVE CONTROL OD28.5 MM EXCLUDER ACCEPTS 16 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,4117.0,2058.5,788.41,3705.3,65
HCPCS,C1874,GRAFT ENDOVASCULAR 10MM 9FR 60MM FLUENCY PLUS CARBON EPTFE 80CM 2 LAYER KINK RESISTANCE INNER CATHETER RADIOPAQUE ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 12FR 121MM ZENITH 45MM ABDOMINAL AORTIC ANEURYSM VISCERAL FENESTRATION DISTAL BIFURCATED BODY,3708.0,1854.0,710.08,3337.2,65
HCPCS,C1874,GRAFT ENDOVASCULAR 13.5MM DIA STENT 10FR DIA CATHETER 40MML 117CML EPTFE NITINOL SELF-EXPANDING W/0.035IN DIA GUIDEWIRE FLUENCY PLUS LATEX-FREE 1/EA,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 13.5MM DIA STENT 10FR DIA CATHETER 60MML 117CML EPTFE NITINOL SELF-EXPANDING W/0.035IN DIA GUIDEWIRE FLUENCY PLUS LATEX-FREE 1/EA,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 13.5MM DIA STENT 10FR DIA CATHETER 80MML 80CML EPTFE NITINOL SELF-EXPANDING W/0.035IN DIA GUIDEWIRE F/IN-STENT RESTENOSIS TREATMENT FLUENCY PLUS LATEX-FREE NON-PYROGENIC STERILE SIN,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 31-37MM 20FR 173MM VALIANT NAVION HYDROPHILIC TAPER THORACIC FREEFLO FLEXIBLE STENT,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT ENDOVASCULAR 40-46MM 22FR 200MM VALIANT NAVION HYDROPHILIC TAPER THORACIC COVERSEAL FLEXIBLE STENT,18270.75,9135.38,3498.85,16443.68,65
HCPCS,C1874,GRAFT ENDOVASCULAR 7MM 50MM FLAIR EPTFE 80CM ARTERIOVENOUS 2 LAYER ENCAPSULATION STENT SELF EXPAND ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 7MM 70MM FLAIR EPTFE FLARED VEIN STENT CARBON IMPREGNATION TECHNOLOGY HIGH VELOCITY JET DISTAL OUTLET SEALED ENCAPSULATION,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 7MM 8FR 40MM FLUENCY PLUS CARBON EPTFE 80CM RADIOPAQUE 2 LAYER KINK RESISTANCE INNER CATHETER ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 7MM DIA STENT 9FR DIA CATHETER 80MML 80CML EPTFE NITINOL SELF-EXPANDING W/0.035IN GW FLUENCY PLUS LATEX-FREE EA,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 50MM FLAIR EPTFE FLARE 80CM ARTERIOVENOUS 2 LAYER ENCAPSULATION STENT SELF EXPAND STERILE ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 9FR 40MM FLUENCY PLUS EPTFE CARBON 117CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 9FR 40MM FLUENCY PLUS EPTFE CARBON 80CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 9FR 60MM FLUENCY PLUS EPTFE CARBON 117CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 9FR 60MM FLUENCY PLUS EPTFE CARBON 80CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 9FR 80MM FLUENCY PLUS CARBON EPTFE 80CM 2 LAYER KINK RESISTANCE INNER CATHETER RADIOPAQUE ACCEPTS .035IN GUIDEWIRE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 8MM 9FR 80MM FLUENCY PLUS EPTFE CARBON 117CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 9FR 10MM 40MM FLUENCY PLUS EPTFE CARBON 80CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR 9MM 9FR 40MM FLUENCY PLUS EPTFE CARBON 80CM ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR ENDURANT II 2 BRANCH L146 MM OD13 MM ODSEC16 FR ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT ENDOVASCULAR ENDURANT II 2 BRANCH L146 MM OD16 MM ODSEC20 FR ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT ENDOVASCULAR ENDURANT II 2 BRANCH L146 MM OD16 MM ODSEC24 FR ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT ENDOVASCULAR ENDURANT II 2 BRANCH L146 MM OD16 MM ODSEC28 FR ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT ENDOVASCULAR EXCLUDER ACTIVE CONTROL L12 CM L5.5 CM OD14.5 MM ODSEC23 MM TRUNK IPSILATERAL LEG ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L12 CM L5.5 CM OD12 MM ODSEC23 MM TRUNK IPSILATERAL LEG ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L12 CM L5.5 CM OD12 MM ODSEC26 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L12 CM L5.5 CM OD12 MM ODSEC28.5 MM TRUNK IPSILATERAL LEG ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L12 CM L5.5 CM OD14.5 MM ODSEC20 MM TRUNK IPSILATERAL LEG ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L12 CM L5.5 CM OD14.5 MM ODSEC26 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 10MM DIA 9FR DIA CATHETER 60MML 117CML EPTFE NITINOL SELF-EXPANDING FLUENCY PLUS LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 1/EA 0.035IN GUIDEWIRE COMPATIBLE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 22MM P/D 150MM NITINOL HYDROPHILIC THORACIC STRAIGHT PROXIMAL FREEFLO C DISTAL CROSS-PROFILE CAPTIVIA TU F/TAA VALIANT MRI-CONDITIONAL NON-RADIOLUCENT 22FR CATH,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 23MM DIA 3.3CML NITINOL EPTFE ABDOMINAL AORTA CONTRALATERAL LEG ILIAC EXTENDER SUTURELESS CONSTRUCTION SEALING CUFF EXCLUDER LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE,2941.0,1470.5,563.2,2646.9,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 24MM DIA P/D 22FR OD CATHETER 150MML 152MML TOTAL COVERED MONOFILAMENT POLYESTER NITINOL HYDROPHILIC COATED STRAIGHT FREEFLOW CLOSED WEB CONFORMABLE CAPTIVIA TU DELIVERY SYSTE,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 30/26MM P/D 150MM MONOFILAMENT POLYESTER NITINOL HYDROPHILIC TAPERED C DISTAL CLOSED WEB CAPTIVIA TU DELIVERY SYSTEM F/TAA VALIANT MRI-CONDITIONAL NON-RADIOLUCENT 22FR CATH,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 36MM DIA P/D 24FR OD CATHETER 100MML MONOFILAMENT POLYESTER NITINOL WIRE STRAIGHT WOVEN CLOSED WEB CONFORMABLE CAPTIVIA TU DELIVERY SYSTEM F/THORACIC AORTIC ANEURYSM VALIANT S,15205.32,7602.66,2911.82,13684.79,65
HCPCS,C1874,GRAFT ENDOVASCULAR STENT 7MM DIA 60MML 80CML NITINOL EPTFE SELF-EXPANDING F/IN-STENT RESTENOSIS TREATMENT FLUENCY PLUS LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE 1/EA 8FR DIA CATHET,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR ZENITH 2 PROXIMAL INTERNAL STENT FENESTRATE POLYESTER WOVEN L107 MM OD34 MM ACCEPTS 20 FR INTRODUCER SHEATH AAA,11000.0,5500.0,2106.5,9900.0,65
HCPCS,C1874,GRAFT ENDOVASCULAR ZENITH FLEX BIFURCATED MAIN BODY INTRODUCTION SYSTEM ANCILLARY COMPONENTS INTRODUCER SHEATH STAINLESS STEEL POLYESTER 2 BRANCH L96 MM OD22 MM ODSEC7.1 MM ID18 FR,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1874,GRAFT STENT 10MM 9FR 100MM 117CM ACCEPTS .035IN GUIDEWIRE FLUENCY PLUS EPTFE CARBON ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT STENT 10MM 9FR 40MM 117CM ACCEPTS .035IN GUIDEWIRE FLUENCY PLUS EPTFE CARBON ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT STENT 12MM 10FR 80MM 117CM ACCEPTS .035IN GUIDEWIRE FLUENCY PLUS EPTFE CARBON ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT STENT 14MM 10FR 60MM 80CM FLARE ACCEPTS .035IN GUIDEWIRE FLUENCY PLUS NITINOL EPTFE ENDOVASCULAR SELF EXPAND RADIOPAQUE COAXIAL CATHETER 2 FEMALE LUER LOCK PORT STERILE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1874,GRAFT STENT 16-24MM 16FR 82MM 132MM 2 BRANCH ENDURANT II LIMB C DISTAL E DELIVERY SYSTEM CATHETER,4188.6,2094.3,802.12,3769.74,65
HCPCS,C1874,GRAFT STENT 24MM 100MM STRAIGHT THORACIC AORTIC ANEURYSM REPAIR VALIANT PROXIMAL MAIN SECTION FREE FLOW CAPTIVIA DELIVERY SYSTEM,15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT 28-16MM 16FR 156MM AAA ENDURANT II NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT 28-16MM 16FR 93MM 147MM 166MM AAA ENDURANT II NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE,4609.8,2304.9,882.78,4148.82,65
HCPCS,C1874,GRAFT STENT 28MM 20FR 174MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC FREEFLO FLEXIBLE,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT STENT 28MM 22FR 117MM 100MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER,15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT 32MM 100MM THORACIC AORTIC ANEURYSM REPAIR VALIANT ENDOVASCULAR PROXIMAL MAIN SECTION FREEFLO CLOSED WEB CAPTIVIA DELIVERY,15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT 32MM 22FR 150MM 150MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC CLOSED WEB RADIOPAQUE MARKER,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT STENT 34MM 150MM STRAIGHT THORACIC AORTIC ANEURYSM REPAIR VALIANT ENDOVASCULAR PROXIMAL MAIN SECTION CLOSED WEB,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT STENT 34MM 20FR 174MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC FREEFLO FLEXIBLE,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT STENT 34MM 24FR 200MM 212MM STRAIGHT SINUSOIDAL THORACIC AORTIC ANEURYSM REPAIR VALIANT HYDROPHILIC ENDOVASCULAR SYSTEM CROSSING PROFILE PROXIMAL FREEFLO COMPONENT CAPTIVIA DELIVERY,18247.32,9123.66,3494.36,16422.59,65
HCPCS,C1874,GRAFT STENT 36MM 24FR 167MM 150MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT STENT 37MM 174MM 174MM STRAIGHT VALIANT CAPTIVIA FREEFLO RADIOPAQUE LOW PROFILE,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT STENT 38MM 150MM THORACIC AORTIC ANEURYSM REPAIR VALIANT ENDOVASCULAR PROXIMAL MAIN SECTION FREEFLO CLOSED WEB CAPTIVIA DELIVERY,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT STENT 38MM 24FR 100MM 107MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL HYDROPHILIC THORACIC RADIOPAQUE C DISTAL PROXIMAL 8 PEAK CROSS PROFILE,15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT 38MM 24FR 100MM 107MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL HYDROPHILIC THORACIC RADIOPAQUE CATHETER B DISTAL BARE SPRING,15205.32,7602.66,2911.82,13684.79,65
HCPCS,C1874,GRAFT STENT 40MM 22FR 175MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC COVER SEAL FLEXIBILE,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT STENT 40MM 24FR 107MM 100MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER,15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT 43MM 22FR 183MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC FREEFLO FLEXIBLE,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT STENT 46MM 22FR 183MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC FREEFLO FLEXIBLE,16995.75,8497.88,3254.69,15296.18,65
HCPCS,C1874,GRAFT STENT 46MM 25FR 212MM 200MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER,18247.32,9123.66,3494.36,16422.59,65
HCPCS,C1874,GRAFT STENT 6MM 8FR 40MM 80CM ACCEPTS .035IN GUIDEWIRE FLUENCY PLUS EPTFE CARBON ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,GRAFT STENT OD10-16 MM L156 MM NITINOL POLYESTER DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT OD13 MM ODSEC16 FR L156 MM ENDURANT II LIMB,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT OD13-16 MM L124 MM NITINOL POLYESTER DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,4915.3,2457.65,941.28,4423.77,65
HCPCS,C1874,GRAFT STENT OD16 MM ODSEC16 FR L146 MM 2 BRANCH ENDURANT II ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT OD16 MM ODSEC16 FR L156 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT OD16-10 MM ODSEC14 FR L82 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,4188.6,2094.3,802.12,3769.74,65
HCPCS,C1874,GRAFT STENT OD16-13 MM ODSEC14 FR L93 MM 2 BRANCH POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,4609.8,2304.9,882.78,4148.82,65
HCPCS,C1874,GRAFT STENT OD16-16 MM L82 MM NITINOL POLYESTER DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,4188.6,2094.3,802.12,3769.74,65
HCPCS,C1874,GRAFT STENT OD16-20 MM ODSEC16 FR L156 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT OD16-24 MM L156 MM NITINOL POLYESTER DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,6323.2,3161.6,1210.89,5690.88,65
HCPCS,C1874,GRAFT STENT OD16-24 MM ODSEC16 FR L93 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,4609.8,2304.9,882.78,4148.82,65
HCPCS,C1874,GRAFT STENT OD16-28 MM L82 MM NITINOL POLYESTER DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,4188.6,2094.3,802.12,3769.74,65
HCPCS,C1874,GRAFT STENT OD16-28 MM ODSEC16 FR L124 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,4915.3,2457.65,941.28,4423.77,65
HCPCS,C1874,GRAFT STENT OD22 MM L100 MM L112 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT OD24 MM ODSEC16 FR L82 MM NITINOL POLYESTER HYDROPHILIC DELIVERY SYSTEM C DISTAL 3 PIECE EXTENSION ENDURANT II ENDOVASCULAR AAA,4609.8,2304.9,882.78,4148.82,65
HCPCS,C1874,GRAFT STENT OD28-22 MM ODSEC25 FR L112 MM L100 MM SINUSOIDAL TAPER NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT STENT OD28-32 MM ODSEC22 FR L150 MM SINUSOIDAL TAPER NITINOL HYDROPHILIC RADIOPAQUE CLOSED WEB C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT STENT OD30 MM ODSEC22 FR L150 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC C DISTAL CLOSED WEB RADIOPAQUE CROSS PROFILE VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT STENT OD30-34 MM ODSEC24 FR L160 MM L150 MM SINUSOIDAL TAPER NITINOL HYDROPHILIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT STENT OD32 MM ODSEC22 FR L200 MM L192 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,18247.32,9123.66,3494.36,16422.59,65
HCPCS,C1874,GRAFT STENT OD34-30 MM ODSEC24 FR L167 MM L150 MM SINUSOIDAL TAPER NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,"GRAFT STENT OD36 MM ODSEC24 FR L100 MM L107 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA,CAPTIVIA THORACIC",15907.32,7953.66,3046.25,14316.59,65
HCPCS,C1874,GRAFT STENT OD36-40 MM L160 MM L150 MM SINUSOIDAL STRAIGHT TAPER NITINOL HYDROPHILIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT STENT OD38-34 MM L150 MM L167 MM SINUSOIDAL STRAIGHT TAPER NITINOL HYDROPHILIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1874,GRAFT STENT OD40 MM ODSEC24 FR L160 MM L150 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
HCPCS,C1874,GRAFT STENT OD40 MM ODSEC24 FR L200 MM L212 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,18247.32,9123.66,3494.36,16422.59,65
HCPCS,C1874,GRAFT STENT OD40 MM ODSEC25 FR L200 MM L207 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,18247.32,9123.66,3494.36,16422.59,65
HCPCS,C1874,GRAFT STENT VALIANT NAVION 40MM X34MM X 200MM,18270.75,9135.38,3498.85,16443.68,65
HCPCS,C1874,STENT 20MM 10.5FR 10CM 180CM RADIOPAQUE INTRODUCER FULL COVER NITINOL ESOPHAGEAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE TTS,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1874,STENT 20MM 10.5FR 8CM 180CM RADIOPAQUE FULL COVER INTRODUCER TTS NITINOL ESOPHAGEAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1874,STENT AERO 10MM 16FR 20MM 63CM OTW FULL COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER GEOMETRIC NITINOL POLYURETHANE HYDROPHILIC TRACHEOBRONCHIAL BRONCHIAL NONSTERILE DISPOSABLE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT ALIMAXX-ES 16FR 18MM 67CM 70MM FULL COVER PROXIMAL SUTURE KNOT ANTIMIGRATION STRUT LOW PROFILE POLYURETHANE SILICONE ESOPHAGEAL,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1874,STENT BIOLINX ZOTAROLIMUS COCR ID4.5 MM L18 MM RESOLUTE ONYX L140 CM CORONARY DRUG ELUTE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER EXTRA LARGE VESSEL,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT CORONARY DRUG ELUTING 3.5MM DIA 48MML EVEROLIMUS PLATINUM CHROMIUM MONORAIL SYNERGY XD,900.0,450.0,172.35,810.0,65
HCPCS,C1874,STENT COVERA 10MM 8FR 30MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 10MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 10MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 10MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 10MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT COVERA 10MM 9FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 10MM 9FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 30MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 6MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 8FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 8FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 8FR 30MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 7MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,4995.0,2497.5,956.54,4495.5,65
HCPCS,C1874,STENT COVERA 7MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 30MM 80CM HELICAL STRUT ATRAUMATIC TIP THUMBWHEEL COVER STRAIGHT VASCULAR 8FR SHEATH,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 9FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 8MM 9FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 8FR 30MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 8FR 40MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,4995.0,2497.5,956.54,4495.5,65
HCPCS,C1874,STENT COVERA 9MM 8FR 60MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 8FR 80MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 9FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP FLARE VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT COVERA 9MM 9FR 100MM 80CM COVER HELICAL STRUT THUMBWHEEL ATRAUMATIC TIP STRAIGHT VASCULAR ARTERIOVENOUS,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1874,STENT ELUVIA 6MM 40MM 130CM DELIVERY SYSTEM VASCULAR,1995.0,997.5,382.04,1795.5,65
HCPCS,C1874,STENT ELUVIA 7MM 40MM 130CM DRUG ELUTE DELIVERY SYSTEM VASCULAR,1995.0,997.5,382.04,1795.5,65
HCPCS,C1874,STENT EPIC 12MM 60MM 157CM SELF EXPAND 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD12 MM L70 CM FULLY COVERED ALIMAXX-ES,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD14 MM L70 CM FULLY COVERED ALIMAXX-ES,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD19 MM ODSEC24 FR L100 MM L90 CM FULL COVER LOW PROFILE FLEXIBLE DELIVERY SYSTEM ENDOMAXX SILICONE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD19 MM ODSEC24 FR L120 MM L90 CM FULLY COVERED LOW PROFILE FLEXIBLE DELIVERY SYSTEM ENDOMAXX SILICONE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD19 MM ODSEC24 FR L150 MM L90 CM OTW FULLY COVERED LOW PROFILE FLEXIBLE ENDOMAXX SILICONE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD19 MM ODSEC24 MM L70 MM FULLY COVERED ANTIMIGRATION STRUT METAL SUTURE SILICON COVERING DELIVERY SYSTEM ENDOMAXX SILICONE,2550.0,1275.0,556.16,2295.0,64
HCPCS,C1874,STENT ESOPHAGEAL OD20 MM ODSEC25 MM L12.5 CM L8 MM CONTROL RELEASE PARTIAL COVER EVOLUTION SILICONE ACCEPTS .035 IN GUIDEWIRE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD20 MM ODSEC25 MM L15 CM L8 MM CONTROL RELEASE PARTIAL COVER LASSO LOOP EVOLUTION SILICONE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD23 MM L70 MM FULL ANTIMIGRATION STRUT METAL SUTURE SILICON COVER ENDOMAXX SILICONE,2550.0,1275.0,556.16,2295.0,64
HCPCS,C1874,STENT ESOPHAGEAL OD23 MM ODSEC24 FR L100 MM L90 CM OTW LOW PROFILE FLEXIBLE TAPER TIP ENDOMAXX SILICONE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD23 MM ODSEC24 FR L90 CM L150 CM FULLY COVERED OTW LOW PROFILE FLEXIBLE ENDOMAXX SILICONE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD23 MM ODSEC28 MM L120 MM L90 CM OD24 FR OTW LOW PROFILE FLEXIBLE TAPER TIP ENDOMAXX SILICONE,2550.0,1275.0,488.33,2295.0,65
HCPCS,C1874,STENT ESOPHAGEAL OD25 MM ODSEC20 MM L12 CM .035 IN CONTROL RELEASE 2 LASSO LOOP FLANGE EVOLUTION SILICONE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT EVERFLEX 6MM 150MM 80CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 4.5-5.5MM LUMEN,850.0,425.0,162.78,765.0,65
HCPCS,C1874,STENT EVERFLEX 6MM 30MM 80CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 4.5-5.5MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT EVERFLEX 7MM 100MM 80CM 3 WAVE PEAK SELF EXPAND FLEXIBLE SPIRAL CELL CONNECTION VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 5.5-6.5MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT EVERFLEX 7MM 120MM 80CM 3 WAVE PEAK SELF EXPAND FLEXIBLE SPIRAL CELL CONNECTION VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 5.5-6.5MM LUMEN,750.0,375.0,143.63,675.0,65
HCPCS,C1874,STENT EVERFLEX 8MM 150MM 80CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 6.5-7.5MM LUMEN,850.0,425.0,162.78,765.0,65
HCPCS,C1874,STENT EVERFLEX 8MM 30MM 120CM RADIOPAQUE SELF EXPAND 3 WAVE PEAK SPIRAL CELL VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR SHEATH 6.5-7.5MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT EVEROLIMUS OD2.25 MM L33 MM XIENCE SIERRA CORONARY RAPID EXCHANGE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,STENT EVEROLIMUS OD2.25 MM L38 MM XIENCE SIERRA CORONARY RAPID EXCHANGE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD2.5 MM L18 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD2.5 MM L28 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD2.5 MM L38 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3 MM L18 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3 MM L28 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3 MM L38 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3.5 MM L18 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3.5 MM L28 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3.5 MM L38 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3.75 MM L18 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3.75 MM L28 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVEROLIMUS POLY L LACTIDE POLY D LACTIDE OD3.75 MM L38 MM ESPRIT CORONARY RADIOPAQUE ACCEPTS 5 FR SHEATH RESORBABLE SCAFFOLD SYSTEM BTK INFRAPOPLITEAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,STENT EVOLUTION 20MM 25MM 10CM 8MM CONTROL RELEASE PARTIAL COVER SILICONE ESOPHAGEAL STERILE ACCEPTS .035IN GUIDEWIRE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT EVOLUTION 20MM 25MM 8CM 8MM CONTROL RELEASE PARTIAL COVER LASSO LOOP SILICONE ESOPHAGEAL STERILE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT EVOLUTION 25MM 20MM 10CM 2 LASSO LOOP CONTROL RELEASE FLANGE SILICONE ESOPHAGEAL STERILE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT EVOLUTION 25MM 20MM 8CM 2 LASSO LOOP CONTROL RELEASE SILICONE ESOPHAGEAL STERILE,1550.0,775.0,296.83,1395.0,65
HCPCS,C1874,STENT GORE TAG DRYSEAL FLEX OD15 MM ODSEC12 MM L6 MM L2.5 MM,7800.0,3900.0,1493.7,7020.0,65
HCPCS,C1874,STENT GORE TAG DRYSEAL FLEX OD20 MM ODSEC12 MM L6 CM L2.5CM THORACIC AORTA AORTIC COMPONENT DELIVERY SYSTEM ENDOPROSTHESIS,7800.0,3900.0,1493.7,7020.0,65
HCPCS,C1874,STENT GORE VIABIL 10MM 6CM 200CM NO HOLE ENDOPROSTHESIS ENDOSCOPIC,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT GORE VIABIL 10MM 8CM 200CM NO HOLE ENDOPROSTHESIS ENDOSCOPIC,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT GORE VIABIL 8MM 100MM 200CM NO HOLE FULL COVER SELF EXPAND METAL ENDOPROSTHESIS ENDOSCOPIC,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT GORE VIABIL 8MM 60MM 200CM NO HOLE FULL COVER SELF EXPAND METAL ENDOPROSTHESIS ENDOSCOPIC,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT GORE VIABIL 8MM 80MM 200CM NO HOLE FULL COVER SELF EXPAND METAL ENDOPROSTHESIS ENDOSCOPIC,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT ICAST 10MM 7FR 38MM 80CM COVER CATHETER INTRODUCER STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 5MM 6FR 16MM 80MM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 5MM 6FR 22MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 5MM 7FR 59MM 120CM COVER BALLOON EXPAND .035IN STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 6MM 6FR 16MM 80CM COVERED CATHETER INTRODUCER .035IN PTFE TRACHEOBRONCHIAL,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 6MM 7FR 38MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 6MM 7FR 38MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 6MM 7FR 59MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 6MM 7FR 59MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 16MM 120CM COVER TRACHEOBRONCHIAL,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 22MM 120CM COVER CATHETER INTRODUCER STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 22MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 38MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 38MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 59MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 7MM 7FR 59MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 8MM 7FR 38MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 9MM 7FR 38MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 9MM 7FR 59MM 120CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT ICAST 9MM 7FR 59MM 80CM COVER CATHETER INTRODUCER BALLOON EXPAND STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT INNOVA 8MM 40MM 75CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1874,STENT INNOVA 8MM 60MM 75CM SELF EXPAND RADIOPAQUE TRIAXIAL DELIVERY SYSTEM VASCULAR BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1874,STENT INTRACRANIAL L15 MM OD3 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
HCPCS,C1874,STENT INTRACRANIAL L21 MM OD4.5 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
HCPCS,C1874,STENT LIFESTREAM 10MM 38MM 80CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1874,STENT LIFESTREAM 12MM 38MM 80CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1874,STENT LIFESTREAM 6MM 16MM 80CM BALLOON EXPANDABLE LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT LIFESTREAM 6MM 26MM 80CM COVER BALLOON EXPAND LOW PROFILE VASCULAR ACCEPTS .035IN GUIDEWIRE,2325.0,1162.5,445.24,2092.5,65
HCPCS,C1874,STENT LIFESTREAM 6MM 37MM 80CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1874,STENT LIFESTREAM 7MM 26MM 80CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2325.0,1162.5,445.24,2092.5,65
HCPCS,C1874,STENT LIFESTREAM 7MM 37MM 80CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1874,STENT LIFESTREAM 8MM 16MM 80CM BALLOON EXPANDABLE LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1874,STENT LIFESTREAM 8MM 26MM 80CM BALLOON EXPANDABLE LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT LIFESTREAM 8MM 37MM 135CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1874,STENT LIFESTREAM 8MM 37MM 80CM BALLOON EXPANDABLE LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT LIFESTREAM 9MM 38MM 80CM BALLOON EXPAND LOW PROFILE COVER VASCULAR ACCEPTS .035IN GUIDEWIRE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1874,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L120 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1874,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L150 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1874,STENT NITINOL OD10 MM ODSEC.079 IN L20 MM L80 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT NITINOL OD10 MM ODSEC.079 IN L30 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT NITINOL OD12 MM ODSEC.079 IN L20 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT NITINOL OD14 MM ODSEC.079 IN L20 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT NITINOL OD14 MM ODSEC.079 IN L20 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT NITINOL OD14 MM ODSEC.079 IN L30 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT NITINOL OD5 MM ODSEC.079 IN L20 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT NITINOL OD6-8 MM CAROTID ARTERY L40 MM L132 CM SELF EXPANDABLE RAPID EXCHANGE LOW PROFILE OPEN CELL ACCULINK VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER TAPER,1875.0,937.5,359.06,1687.5,65
HCPCS,C1874,STENT NITINOL OD7 MM ODSEC6 FR PERIPHERAL L60 MM L120 CM OTW FLEXIBLE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1695.0,847.5,324.59,1525.5,65
HCPCS,C1874,STENT NITINOL OD7-10 MM CAROTID ARTERY L40 MM L132 CM SELF EXPANDABLE RAPID EXCHANGE LOW PROFILE OPEN CELL ACCULINK VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER TAPER,1875.0,937.5,359.06,1687.5,65
HCPCS,C1874,STENT NITINOL OD8 MM CAROTID ARTERY L40 MM L132 CM SELF EXPANDABLE RAPID EXCHANGE LOW PROFILE OPEN CELL ACCULINK VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER STRAIGHT,1800.0,900.0,344.7,1620.0,65
HCPCS,C1874,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L30 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD4 MM L22 MM ONYX FRONTIER CORONARY RAPID EXCHANGE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT OD5 MM L18 MM L80 CM RADIOPAQUE BALLOON EXPAND FLEXIBLE LOW PROFILE PARAMOUNT MINI GPS BILIARY ACCEPTS .018 IN GUIDEWIRE 5 FR CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD5 MM L21 MM L80 CM LOW PROFILE BALLOON EXPAND PARAMOUNT MINI GPS BILIARY ACCEPTS .014 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD5 MM L21 MM L80 CM RADIOPAQUE BALLOON EXPAND FLEXIBLE LOW PROFILE PARAMOUNT MINI GPS BILIARY ACCEPTS .018 IN GUIDEWIRE 5 FR CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD5 MM L57 MM L135 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PERIPHERAL,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD6 MM L18 MM L80 CM LOW PROFILE BALLOON EXPAND PARAMOUNT MINI GPS BILIARY ACCEPTS .014 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD6 MM L26 MM L135 CM BALLOON EXPANDABLE LOW PROFILE COVER LIFESTREAM VASCULAR ACCEPTS .035 IN GUIDEWIRE,2325.0,1162.5,445.24,2092.5,65
HCPCS,C1874,STENT OD6 MM L80 CM L21 MM BALLOON EXPAND PARAMOUNT MINI GPS BILIARY ACCEPTS .018 IN GUIDEWIRE 5 FR CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD6 MM PERIPHERAL L100 MM L80 CM SELF EXPAND 3 WAVE PEAK FLEXIBLE SPIRAL CELL CONNECTION EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD6 MM PERIPHERAL L120 MM L80 CM 3 WAVE PEAK SELF EXPAND FLEXIBLE SPIRAL CELL CONNECTION EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,750.0,375.0,143.63,675.0,65
HCPCS,C1874,STENT OD6 MM PERIPHERAL L20 MM L80 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD6 MM PERIPHERAL L60 MM L125 CM OTW DRUG ELUTE DELIVERY SYSTEM ZILVER VASCULAR ACCEPTS .035 IN GUIDEWIRE,1260.0,630.0,241.29,1134.0,65
HCPCS,C1874,STENT OD6 MM PERIPHERAL L80 MM L125 CM OTW DRUG ELUTE DELIVERY SYSTEM ZILVER VASCULAR ACCEPTS .035 IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1874,STENT OD7 MM L18 MM L80 CM LOW PROFILE BALLOON EXPAND PARAMOUNT MINI GPS BILIARY ACCEPTS .014 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT OD7 MM PERIPHERAL L150 MM L80 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,850.0,425.0,162.78,765.0,65
HCPCS,C1874,STENT OD7 MM PERIPHERAL L30 MM L80 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD7 MM PERIPHERAL L40 MM L80 CM RADIOPAQUE SELF EXPAND DELIVERY SYSTEM 3 WAVE PEAK EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD7 MM PERIPHERAL L60 MM L80 CM SELF EXPAND 3 WAVE PEAK FLEXIBLE SPIRAL CELL CONNECTION EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD7 MM PERIPHERAL L80 MM L125 CM OTW DRUG ELUTE DELIVERY SYSTEM ZILVER VASCULAR ACCEPTS .035 IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1874,STENT OD8 MM L150 MM L120 CM RADIOPAQUE SELF EXPAND 3 WAVE PEAK SPIRAL CELL EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 6.5-7.5 MM LUMEN,850.0,425.0,162.78,765.0,65
HCPCS,C1874,STENT OD8 MM L30 MM SELF EXPAND RADIOPAQUE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 6.5-7.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD8 MM PERIPHERAL L100 MM L80 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD8 MM PERIPHERAL L20 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT OD8 MM PERIPHERAL L40 MM L80 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 34MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 38MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.25MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 34MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 38MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.5MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 34MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 38MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2.75MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 2MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,395.0,197.5,75.64,355.5,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 34MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 38MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3.5MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 34MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 38MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 3MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4.5MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4.5MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4.5MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4.5MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4.5MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 34MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 38MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 4MM 8MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 5MM 12MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 5MM 15MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 5MM 18MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 5MM 22MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 5MM 26MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT ONYX FRONTIER 5MM 30MM RAPID EXCHANGE CORONARY STERILE LATEX FREE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,STENT PROMUS 2.75MM 28MM 143CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE TAPER BALLOON EVEROLIMUS COCR CORONARY ACCEPTS .014- IN GUIDEWIRE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT PROMUS 3MM 28MM 143CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE TAPER BALLOON EVEROLIMUS COCR CORONARY ACCEPTS .014- IN GUIDEWIRE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT PROMUS 4MM 18MM 143CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE TAPER BALLOON EVEROLIMUS COCR CORONARY ACCEPTS .014- IN GUIDEWIRE,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT PROTEGE GPS 10MM .079IN 20MM 120CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE NITINOL BILIARY ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 9.5-11MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT PROTEGE GPS 9MM 30MM SELF EXPAND RADIAL STRENGTH FLEXIBLE LOW PROFILE LARGE DIAMETER TANTALUM BILIARY PERIPHERAL 7.5-8.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT PROTEGE GPS EXPRT 12MM .079IN 30MM 80CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE LARGE DIAMETER NITINOL BILIARY ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 9.5-11MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT PROTEGE GPS EXPRT 9MM .079IN 20MM 80CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE LARGE DIAMETER NITINOL BILIARY ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 7.5-8.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1874,STENT PULSERIDER 4MM 8MM ARCH Y INTRACRANIAL,12500.0,6250.0,2393.75,11250.0,65
HCPCS,C1874,STENT STAINLESS STEEL OD3.8 MM ODSEC9-12 MM L26 MM 5 CELL BALLOON EXPANDABLE UNMOUNT ROUND EDGE INTRASTENT MEGA BILIARY LARGE DIAMETER PTA ACCEPTS 9 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD5 MM L17 MM L135 CM BALLOON EXPANDABLE RADIOPAQUE OPEN LATTICE MOUNT VISI-PRO BILIARY L20 MM ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD5 MM L17 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD5 MM L27 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD5 MM L37 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD5 MM L57 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD6 MM L12 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD6 MM L14 MM L80 CM RADIOPAQUE LOW PROFILE BALLOON EXPAND OPEN LATTICE PARAMOUNT BILIARY L17 MM ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD7 MM L12 MM L80 CM BALLOON EXPANDABLE RADIOPAQUE OPEN LATTICE MOUNT VISI-PRO BILIARY L15 MM ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD7 MM L14 MM L80 CM LOW PROFILE RADIOPAQUE BALLOON EXPAND OPEN LATTICE PARAMOUNT MINI GPS MICRO-GRIP BILIARY L17 MM ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 7 FR GUIDE CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD7 MM L14 MM L80 CM RADIOPAQUE LOW PROFILE BALLOON EXPAND OPEN LATTICE PARAMOUNT BILIARY L17 MM ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH 7 FR GUIDE CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT STAINLESS STEEL OD7 MM L18 MM L80 CM RADIOPAQUE LOW PROFILE BALLOON EXPAND OPEN LATTICE PARAMOUNT BILIARY L20 MM ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH 7 FR CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT TANTALUM NITINOL OD6 MM CAROTID ARTERY L60 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR INTRODUCER SH,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD6 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 4.5-5.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD6 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 4.5-5.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD7 MM CAROTID ARTERY PERIPHERAL L60 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP RADIOPAQUE PROTEGE GPS EXPRT VASCULAR ACCEPTS .014 IN GUIDEWIRE 5.5-6.5 MM LUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD7 MM ODSEC6 FR CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 5.5-6.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD7 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 5.5-6.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD7 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 5.5-6.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD7-10 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 5.5-9,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD8 MM CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR INTRODUCER SH,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD8 MM CAROTID ARTERY PERIPHERAL L60 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP RADIOPAQUE PROTEGE GPS EXPRT VASCULAR ACCEPTS .014 IN GUIDEWIRE 6.5-7.5 MM LUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD8 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 6.5-7.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD8 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 6.5-7.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD8/6 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 4.5-7.,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD9 MM CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR INTRODUCER SH,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD9 MM CAROTID ARTERY PERIPHERAL L60 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP RADIOPAQUE PROTEGE GPS EXPRT VASCULAR ACCEPTS .014 IN GUIDEWIRE 7.5-8.5 MM LUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD9 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 7.5-8.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM NITINOL OD9 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 7.5-8.5 ,1400.0,700.0,268.1,1260.0,65
HCPCS,C1874,STENT TANTALUM STAINLESS STEEL OD7 MM L21 MM L80 CM HIGH VISIBILITY BALLOON EXPANDABLE RADIOPAQUE MARKER FLEXIBLE PARAMOUNT GPS MICRO-GRIP BILIARY L24 MM LOW PROFILE ACCEPTS .14 IN GUIDEWIRE 7 FR SHEA,575.0,287.5,110.11,517.5,65
HCPCS,C1874,STENT TRACHEAL Y SHAPED MAIN BODY OD 18 MM X 60 MM,4995.0,2497.5,956.54,4495.5,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD10 MM ODSEC16 FR L30 MM L62 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD10 MM ODSEC16 FR L40 MM L61 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD12 MM ODSEC16 FR L20 MM L63 CM GEOMETRIC OTW FULL COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD12 MM ODSEC16 FR L30 MM L62 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD12 MM ODSEC16 FR L40 MM L61 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD14 MM ODSEC16 FR L20 MM L63 CM GEOMETRIC OTW FULL COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD14 MM ODSEC16 FR L30 MM L62 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD14 MM ODSEC16 FR L40 MM L61 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER BRONCHIAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD16 MM ODSEC22 FR L40 MM L61 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER TRACHEAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD18 MM L60 MM OTW FULL COVER AERO NITINOL,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD18 MM ODSEC22 FR L61 MM OTW FLEXIBLE LOW PROFILE PRELOADED CATHETER ANTIMIGRATION STRUT AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD20 MM L60 MM OTW FULL COVER AERO POLYURETHANE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD8 MM ODSEC12.5 FR L115 MM L15 MM TAPER TIP DISTAL FLEX ZONE AEROMINI,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT TRACHEOBRONCHIAL OD8 MM ODSEC12.5 FR L20 MM L70 CM LASER CUT ANTIMIGRATION STRUT PURSE STRING FULL COVER AEROMINI NITINOL POLYURETHANE MEMBRANE,2650.0,1325.0,507.48,2385.0,65
HCPCS,C1874,STENT VASCULAR 5MM DIA 26MML 80CML BALLOON EXPANDING COVERED LIFESTREAM LATEX-FREE STERILE 0.035IN GUIDEWIRE COMPATIBLE,3750.0,1875.0,718.13,3375.0,65
HCPCS,C1874,STENT VASCULAR 5MM DIA 37MML 80CML BALLOON EXPANDING COVERED LIFESTREAM LATEX-FREE STERILE 0.035IN GUIDEWIRE COMPATIBLE STENT VASCULAR 5MM DIA 37MML 80CML BALLOON EXPANDING COVERED LIFESTREAM LATEX-FR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1874,STENT VASCULAR 7MM DIA 16MML 80CML BALLOON EXPANDING COVERED LIFESTREAM LATEX-FREE STERILE 0.035IN GUIDEWIRE COMPATIBLE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1874,STENT VENOVO 10F 16X40MMX120CM VENOUS,1300.0,650.0,248.95,1170.0,65
HCPCS,C1874,STENT WALLFLEX 8MM 8.5FR 80MM 70MM PARTIAL COVER GUIDEWIRE CATHETER .035IN PERMALUME METAL BILIARY DISPOSABLE TRANSHEPATIC,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1874,STENT ZILVER PTX 6MM 100MM 125CM OTW DRUG ELUTE DELIVERY SYSTEM VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1874,STENT ZILVER PTX 7MM 100MM 125CM OTW DRUG ELUTE DELIVERY SYSTEM VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1874,STENT ZILVER PTX 7MM 60MM 125CM OTW DRUG ELUTE DELIVERY SYSTEM VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE,1260.0,630.0,241.29,1134.0,65
HCPCS,C1874,STENT ZILVER PTX 8MM 100MM 125CM OTW DRUG ELUTE DELIVERY SYSTEM VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR SHEATH,1575.0,787.5,301.61,1417.5,65
HCPCS,C1874,STENT ZILVER PTX 8MM 60MM 125CM OTW DRUG ELUTE DELIVERY SYSTEM VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE,1260.0,630.0,241.29,1134.0,65
HCPCS,C1874,STENT ZILVER PTX 8MM 80MM 125CM OTW DRUG ELUTE DELIVERY SYSTEM VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L12 MM OD5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L140 CM ID4.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CAT,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.75 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD2.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD3.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD4.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L12 MM OD5 MM RESOLUTE ONYX ZOTAROLIMUS,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DRUG ELUTE DELIVERY SYSTEM RADIOPAQUE BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID4.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CAT,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 CM ID5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 MM OD3 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 MM OD4 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 MM OD4.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 6 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L140 MM OD5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 6 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.75 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM L15 MM OD5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD2.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD3 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD3.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L15 MM OD4.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DRUG ELUTE DELIVERY SYSTEM RADIOPAQUE BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L140 CM ID5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.75 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM L18 MM OD5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM OD2.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM OD3 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM OD3.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L18 MM OD4.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L20 MM L140 CM OD3 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DRUG ELUTE DELIVERY SYSTEM RADIOPAQUE BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID4.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CAT,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L22 MM L140 CM ID5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.75 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L145 CM OD4 MM XIENCE XPEDITION RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,675.0,337.5,129.26,607.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM L23 MM OD5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD2.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD3 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD3.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD3.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L23 MM OD4.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DRUG ELUTE DELIVERY SYSTEM RADIOPAQUE BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID4.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CAT,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 CM ID5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L26 MM L140 MM OD3.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.75 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L28 MM OD4.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM L28 MM OD5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM OD2.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM OD3.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L28 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DRUG ELUTE BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID4.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CAT,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L30 MM L140 CM ID5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR EXTRA LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM L33 MM OD5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY PEAK TO VALLEY,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD3 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD3.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD3.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L33 MM OD4.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L34 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L34 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L34 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L34 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L34 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L34 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETE,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY EVEROLIMUS PEBAX COCR,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM OD3 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM OD3.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM OD3.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L38 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID2 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,395.0,197.5,75.64,355.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID2.25 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID2.5 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR SMALL VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID2.75 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID3 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR MEDIUM VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID3.5 MM RESOLUTE ONYX RAPID EXCHANGE DRUG ELUTE DELIVERY SYSTEM RADIOPAQUE BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L140 CM ID4 MM RESOLUTE ONYX RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT BIOLINX ZOTAROLIMUS COCR LARGE VESSEL ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER,300.0,150.0,57.45,270.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEAK TO VALLEY PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.75 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD2.75 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATED COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3.25 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3.25 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3.25 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3.5 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3.5 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD3.5 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD4 MM XIENCE ALPINE OTW RADIOPAQUE SIDEARM ADAPTER EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD4 MM XIENCE ALPINE RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT EVEROLIMUS COCR ACCEPTS .014- IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM L145 CM OD4 MM XIENCE SKYPOINT MULTI-LINK DELIVERY SYSTEM PEBAX EVEROLIMUS COCR FLUORINATE COPOLYMER,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD2.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD2.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD2.75 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD3 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD3.25 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD3.5 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT L8 MM OD4 MM XIENCE SIERRA RAPID EXCHANGE EVEROLIMUS,345.0,172.5,66.07,310.5,65
HCPCS,C1874,SYSTEM CORONARY STENT XIENCE SKYPOINT EVEROLIMUS ELUTING CORONARY STENT SYSTEM 2.50 MM X 48 MM / RAPID-EXCHANGE,550.0,275.0,105.33,495.0,65
HCPCS,C1874,SYSTEM CORONARY STENT XIENCE SKYPOINT EVEROLIMUS ELUTING CORONARY STENT SYSTEM 2.75 MM X 48 MM / RAPID-EXCHANGE,550.0,275.0,105.33,495.0,65
HCPCS,C1874,SYSTEM CORONARY STENT XIENCE SKYPOINT EVEROLIMUS ELUTING CORONARY STENT SYSTEM 3.00 MM X 48 MM / RAPID-EXCHANGE,550.0,275.0,105.33,495.0,65
HCPCS,C1874,SYSTEM CORONARY STENT XIENCE SKYPOINT EVEROLIMUS ELUTING CORONARY STENT SYSTEM 3.50 MM X 48 MM / RAPID-EXCHANGE,550.0,275.0,105.33,495.0,65
HCPCS,C1874,SYSTEM CORONARY STENT XIENCE SKYPOINT EVEROLIMUS ELUTING CORONARY STENT SYSTEM 4.00 MM X 48 MM / RAPID-EXCHANGE,550.0,275.0,105.33,495.0,65
HCPCS,C1874,SYSTEM ENDOPROSTHESIS STENT 23MM GRAFT DELIVERY CATHETER ALTO ABDOMINAL STERILE LATEX FREE DISPOSABLE,13999.0,6999.5,2680.81,12599.1,65
HCPCS,C1874,SYSTEM STENT CORONARY DRUG ELUTING 2.5MM DIA 8MML 144CML EVEROLIMUS RX BALLOON-EXPANDING PRE-MOUNTED COMPLIANT THIN STRUT F/SMALL WORKHORSE PROMUS ELITE MONORAIL LATEX-FREE NON-RADIOLUCENT 1/EA 0.014I,585.0,292.5,112.03,526.5,65
HCPCS,C1874,SYSTEM STENT CORONARY DRUG ELUTING 2.75MM DIA 20MML 144CML EVEROLIMUS RX BALLOON-EXPANDING PRE-MOUNTED COMPLIANT THIN STRUT F/SMALL WORKHORSE PROMUS ELITE MONORAIL LATEX-FREE NON-RADIOLUCENT 1/EA 0.01,585.0,292.5,112.03,526.5,65
HCPCS,C1874,SYSTEM STENT CORONARY DRUG ELUTING 3.5MM DIA 48MML 144CML EVEROLIMUS PLCR ABLUMINAL RX BIOABSORBABLE POLYMER SYNERGY XD MONORAIL 0.014IN DIA GUIDEWIRE COMPATIBLE,700.0,350.0,134.05,630.0,65
HCPCS,C1874,SYSTEM STENT VASCULAR 6MM 200MM 160/130CM NITINOL SFPA OTW SELF-EXPANDING W/TRIAXIAL DELIVERY SYSTEM INNOVA MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GW 6FR SHEATH HYBRID CELL,1795.0,897.5,343.74,1615.5,65
HCPCS,C1875,STENT ICAST 5MM 7FR 38MM 120CM COVER CATHETER INTRODUCER STAINLESS STEEL PTFE TRACHEOBRONCHIAL STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,2275.0,1137.5,435.66,2047.5,65
HCPCS,C1875,STENT MONORAIL EXPRESS SD 4MM 19MM 90CM RADIOPAQUE BALLOON EXPAND PREMOUNT CATHETER STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1875,STENT MONORAIL EXPRESS SD 7MM 19MM 90CM RADIOPAQUE BALLOON EXPAND PREMOUNT CATHETER STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 6FR SHEATH 7FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT INTEGRITY MICROTRAC 3.5MM 12MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT INTEGRITY MICROTRAC 3.5MM 18MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT INTEGRITY MICROTRAC 3MM 15MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT INTEGRITY MICROTRAC 3MM 9MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT INTEGRITY MICROTRAC 4MM 12MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT INTEGRITY MICROTRAC 4MM 9MM OTW 1 STRAND INTEGRATE TIP FULCRUM COCR SYSTEM,525.0,262.5,100.54,472.5,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 2.5MM 16MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 2.5MM 28MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 2.75MM 12MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3.5MM 12MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3.5MM 16MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3.5MM 20MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3.5MM 24MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3.5MM 32MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3MM 20MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3MM 24MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 3MM 28MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4.5MM 12MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4.5MM 16MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4.5MM 20MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4.5MM 24MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4.5MM 28MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4.5MM 32MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4MM 12MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT REBEL MONORAIL 4MM 16MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,CORONARY STENT SYNERGY MONORAIL 3MM 24MM RADIOPAQUE 1 ACCESS PORT INFLATE LUMEN EVEROLIMUS PLATINUM CHROMIUM PLGA 144CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,775.0,387.5,148.41,697.5,65
HCPCS,C1876,DEVICE EMBOLIZATION L14 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD3.75 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1876,DEVICE EMBOLIZATION L18 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD2.5 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR 12FR DIA INTRODUCER 3.4CML AORTIC UNMOUNTED COVERED BALLOON EXPANDABLE ZIGX8 W/0.035IN DIA GUIDEWIRE CP STENT LATEX-FREE,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 11MM 100MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 13FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 11MM 80MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 13FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 13MM 100MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 13FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 15MM 140MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 13FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 17MM 120MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 14FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 18FR 120CM 28MM BIFURCATE TREO,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 20MM 120MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 14FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 24MM 100MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 18FR 0,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 24MM 120MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 14FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 24MM 80MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 14FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 26MM 80MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 18FR 0.,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 28MM 100MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 18FR 0,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 30MM 55MM NITINOL POLYESTER PRELOADED SELF-EXPANDING PROXIMAL CUFF EXTENSION WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0.035I,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 30MM 80MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0.,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 33MM 100MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT ENDOVASCULAR STENT 36MM 100MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT STENT 12-14MM 12FR 10FR 160MM 210MM AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
HCPCS,C1876,GRAFT STENT 12-14MM 13FR 10FR 100MM 150MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
HCPCS,C1876,GRAFT STENT 15MM 101MM TREO ENDOVASCULAR ABDOMINAL CATHETER STERILE LATEX FREE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT STENT 22-14MM 15MM 12FR 120MM 170MM 14FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
HCPCS,C1876,GRAFT STENT 22MM 14FR 12FR 45MM 14FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC EXTENSION DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
HCPCS,C1876,GRAFT STENT 34MM 24FR 100MM 100MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL HYDROPHILIC THORACIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB,15205.32,7602.66,2911.82,13684.79,65
HCPCS,C1876,GRAFT STENT 44MM 25FR 150MM 157MM STRAIGHT THORACIC ENDOVASCULAR AORTIC REPAIR VALIANT CAPTIVIA FREEFLO NITINOL HYDROPHILIC DISTAL C PROXIMAL 8 PEAK MARKER STERILE LATEX FREE,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1876,GRAFT STENT OD14 MM ODSEC36 MM L120 MM OD19 FR CATHETER TREO ENDOVASCULAR ABDOMINAL,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT STENT OD14 MM ODSEC36 MM L80 MM OD19 FR CATHETER TREO ENDOVASCULAR ABDOMINAL,8750.0,4375.0,1675.63,7875.0,65
HCPCS,C1876,GRAFT STENT OD20 MM L100 MM CATHETER TREO ENDOVASCULAR ABDOMINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT STENT OD24 MM L103 MM CATHETER TREO ENDOVASCULAR ABDOMINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1876,GRAFT STENT OD32 MM ODSEC24 MM L167 MM L150 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1876,GRAFT STENT OD38 MM ODSEC24 FR L150 MM L167 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1876,GRAFT STENT OD44 MM L157 MM L150 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE C DISTAL PROXIMAL 8 PEAK CATHETER VALIANT CAPTIVIA FREEFLO THORACIC,17311.32,8655.66,3315.12,15580.19,65
HCPCS,C1876,INSTRUMENT ORTHOPEDIC GENERAL HIP UC,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT 7FR 10CM DELIVERY SYSTEM DUODENAL BEND FLEXIMA PLASTIC BILIARY STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT 7FR 7CM BARB TO BARB DELIVERY SYSTEM DUODENAL BEND FLEXIMA PLASTIC BILIARY ACCEPTS .035IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT 8.5FR 10CM DELIVERY SYSTEM RAPID EXCHANGE DUODENAL BEND PLASTIC BILIARY ACCEPTS .035IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT BIL 7X26MMX80CM VALEO BLN-XPD MNT 0.035IN GW SS,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT BILIARY 5MM DIA 18MML 80CML COBALT CHROMIUM TRANSHEPATIC OTW BALLOON EXPANDING W/5FR DIA SHEATH PALMAZ BLUE LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GUIDEWIRE COMPATIBLE CLOSED CELL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT BILIARY AMSTERDAM 7FR DIA 4CML POLYETHYLENE CURVED TAPERED TIP W/PROXIMAL/DISTAL FLAP COTTON-LEUNG,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT COCR OD10 MM PERIPHERAL L39 MM L135 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD10 MM PERIPHERAL L39 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD4 MM ODSEC3.3-2.9 FR ID6 FR L12 MM L135 CM RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND LOW PROFILE HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD4 MM ODSEC3.3-2.9 FR ID6 FR L15 MM L135 CM RADIOPAQUE BALLOON EXPANDABLE RAPID EXCHANGE LOW PROFILE HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD4 MM ODSEC3.3-2.9 FR ID6 FR L18 MM L135 CM RAPID EXCHANGE RADIOPAQUE LOW PROFILE BALLOON EXPAND HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD5 MM ODSEC3.3-2.9 FR ID6 FR L12 MM L135 CM RADIOPAQUE BALLOON EXPANDABLE RAPID EXCHANGE LOW PROFILE HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD5 MM ODSEC3.3-2.9 FR L18 MM L135 CM RADIOPAQUE BALLOON EXPANDABLE RAPID EXCHANGE LOW PROFILE HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD6 MM ID5 FR L14 MM L80 CM OTW DELIVERY SYSTEM CLOSED CELL BALLOON EXPAND CORDIS PALMAZ BLUE BILIARY L17 MM ACCEPTS .018 IN GUIDEWIRE 6 FR GUIDE CATHETER TRANSHEPATIC,840.0,420.0,160.86,756.0,65
HCPCS,C1876,STENT COCR OD6 MM L17 MM L80 CM OTW DELIVERY SYSTEM CLOSED CELL BALLOON EXPAND CORDIS PALMAZ BLUE BILIARY L20 MM ACCEPTS .018 IN GUIDEWIRE 6 FR GUIDE CATHETER TRANSHEPATIC,840.0,420.0,160.86,756.0,65
HCPCS,C1876,STENT COCR OD6 MM ODSEC3.6-3.3 FR ID6 FR L12 MM L135 CM RAPID EXCHANGE RADIOPAQUE LOW PROFILE BALLOON EXPAND HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD6 MM ODSEC3.6-3.3 FR ID6 FR L15 MM L135 CM RAPID EXCHANGE RADIOPAQUE LOW PROFILE BALLOON EXPAND HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD6 MM ODSEC3.6-3.3 FR ID6 FR L18 MM L135 CM RAPID EXCHANGE RADIOPAQUE LOW PROFILE BALLOON EXPAND HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD6 MM PERIPHERAL L29 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD6 MM PERIPHERAL L39 MM L135 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD6 MM PERIPHERAL L39 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD6 MM PERIPHERAL L59 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD7 MM L19 MM L135 CM BALLOON EXPAND 2 LAYER LOW PROFILE THIN STRUT OMNILINK ELITE VASCULAR 6 FR SHEATH 8 MM DIALATATION,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD7 MM ODSEC3.3-3.5 FR ID6 FR L15 MM L135 CM RAPID EXCHANGE RADIOPAQUE LOW PROFILE BALLOON EXPAND HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD7 MM ODSEC3.3-3.5 FR ID6 FR L18 MM L135 CM RAPID EXCHANGE RADIOPAQUE LOW PROFILE BALLOON EXPAND HERCULINK ELITE BILIARY ACCEPTS .014 IN GUIDEWIRE RENAL,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT COCR OD7 MM PERIPHERAL L29 MM L135 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD7 MM PERIPHERAL L39 MM L80 CM OTW BALLOON EXPAND LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD7 MM PERIPHERAL L59 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD8 MM PERIPHERAL L29 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD8 MM PERIPHERAL L39 MM L135 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD8 MM PERIPHERAL L39 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD8 MM PERIPHERAL L59 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD9 MM PERIPHERAL L29 MM L135 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD9 MM PERIPHERAL L29 MM L80 CM BALLOON EXPANDABLE OTW LOW PROFILE 2 LAYER OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 MM POST DILATION THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COCR OD9 MM PERIPHERAL L39 MM L80 CM OTW BALLOON EXPANDABLE LOW PROFILE OMNILINK ELITE VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH THIN,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT COTTON-LEUNG 10FR 15CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT COTTON-LEUNG 7FR 18CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT COTTON-LEUNG 8.5FR 15CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT COTTON-LEUNG 8.5FR 18CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT COTTON-LEUNG 8.5FR 7CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT E-LUMINEXX 12MM 6FR 120MM 80CM CATHETER GUIDEWIRE .035IN BILIARY,1493.5,746.75,286.01,1344.15,65
HCPCS,C1876,STENT E-LUMINEXX 14MM 6FR 100MM 80CM CATHETER GUIDEWIRE .035IN BILIARY,1493.5,746.75,286.01,1344.15,65
HCPCS,C1876,STENT E-LUMINEXX 14MM 6FR 120MM 135CM CATHETER GUIDEWIRE .035IN BILIARY,1493.5,746.75,286.01,1344.15,65
HCPCS,C1876,STENT E-LUMINEXX 4MM 6FR 20MM 135CM CATHETER GUIDEWIRE .035IN BILIARY,1493.5,746.75,286.01,1344.15,65
HCPCS,C1876,STENT E-LUMINEXX 6MM 6FR 30MM 80CM PERFORMAXX GRIP BILIARY,1493.5,746.75,286.01,1344.15,65
HCPCS,C1876,STENT ENDOPROSTHESIS 12MM DIA 90MML 75CML CATHETER ELGILOY ILIOFEMORAL VEIN SELF EXPANDING VENOUS WALLSTENT 1/EA,1100.0,550.0,210.65,990.0,65
HCPCS,C1876,STENT ENDOPROSTHESIS 14MM DIA 60MML 75CML CATHETER ELGILOY ILIOFEMORAL VEIN SELF EXPANDING VENOUS WALLSTENT,990.0,495.0,189.59,891.0,65
HCPCS,C1876,STENT ENDOPROSTHESIS 16MM DIA 90MML 75CML CATHETER ELGILOY ILIOFEMORAL VEIN SELF EXPANDING VENOUS WALLSTENT,1100.0,550.0,210.65,990.0,65
HCPCS,C1876,STENT ENROUTE 10-8MM 40MM 57CM DELIVERY SYSTEM TAPER NITINOL VASCULAR TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 10MM .078IN 40MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 8-9MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 6MM .065IN 30MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 7MM .065IN 30MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 5-6MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 7MM .065IN 40MM 57CM DELIVERY SYSTEM NITINOL VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 5-6MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 8-6MM 30MM 57CM DELIVERY SYSTEM TAPER NITINOL VASCULAR TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 8-6MM 40MM 57CM DELIVERY SYSTEM TAPER NITINOL VASCULAR TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 8MM .065IN 30MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 6-7MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 8MM .065IN 40MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 6-7MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 9-7MM 40MM 57CM DELIVERY SYSTEM TAPER NITINOL VASCULAR TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 9MM .078IN 30MM 57CM DELIVERY SYSTEM NITINOL VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 7-8MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE 9MM .078IN 40MM 57CM DELIVERY SYSTEM NITINOL VASCULAR ACCEPTS .014/.038IN GUIDEWIRE 7-8MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE UBER FLEX 10MM 6FR 30MM 57CM PRELOAD DELIVERY SYSTEM SELFEXPAND CATHETER SHORT STRAIGHT NITINOL VASCULAR ACCEPTS .014IN GUIDEWIRE 8-9MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE UBER FLEX 6MM 20MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER STRAIGHT VASCULAR ACCEPTS .035IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT ENROUTE UBER FLEX 6MM 40MM 57CM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY VASCULAR ACCEPTS .035IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,STENT EPIC 10MM 30MM 154CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 10MM 40MM 110CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 10MM 40MM 155CM SELF EXPAND 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 10MM 60MM 112CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 10MM 80MM 114CM SELF EXPAND 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 10MM 80MM 159CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 12MM 30MM 109CM SELF EXPAND 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 12MM 30MM 154CM SELF EXPAND 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 12MM 40MM 110CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 12MM 40MM 155CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 12MM 60MM 112CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 6MM 20MM 154CM SELF EXPAND OTW GUIDEWIRE RADIOPAQUE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 6MM 30MM 154CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 7MM 30MM 154CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 8MM 100MM 75CM SELF EXPAND NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 8MM 30MM 154CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 120CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 9MM 30MM 109CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 9MM 40MM 110CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EPIC 9MM 60MM 112CM RADIOPAQUE OTW SELF EXPAND GUIDEWIRE .035IN 75CM NITINOL VASCULAR ILIAC ARTERY ACCEPTS 6FR SHEATH,500.0,250.0,95.75,450.0,65
HCPCS,C1876,STENT EVERFLEX 7MM 100MM 120CM SELF EXPAND DELIVERY CATHETER SPIRAL CELL PEAK TO PEAK CONNECTION NODE VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 5.5-6.5MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT EVERFLEX 7MM 20MM 120MM SELF EXPAND DELIVERY SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 6.5-7.5MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT EVERFLEX ENTRUST 6MM 100MM 150CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH 4.5-5.5MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT EVOLUTION 10MM 11MM 4CM RADIOPACITY PUSHABILITY UNCOVERED CONTROLLED RELEASE PLATINUM BILIARY STERILE DISPOSABLE,1715.0,857.5,328.42,1543.5,65
HCPCS,C1876,STENT EVOLUTION 10MM 11MM 6CM RADIOPAQUE PUSHABLE UNCOVER CONTROL RELEASE PLATINUM BILIARY STERILE ACCEPTS .035IN GUIDEWIRE,1715.0,857.5,328.42,1543.5,65
HCPCS,C1876,STENT EVOLUTION 10MM 11MM 8CM RADIOPAQUE PUSHABLE UNCOVER CONTROL RELEASE PLATINUM BILIARY STERILE ACCEPTS .035IN GUIDEWIRE,1715.0,857.5,328.42,1543.5,65
HCPCS,C1876,STENT EVOLUTION 8MM 9MM 8CM 3.2MM RADIOPAQUE SELF EXPAND CONTROL RELEASE UNCOVER PLATINUM BILIARY STERILE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,1715.0,857.5,328.42,1543.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 10MM 25MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 10MM 25MM 75CM RADIOPAQUE OTW NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 10MM 37MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 10MM 37MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 10MM 57MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 10MM 57MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 5MM 17MM 75CM OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE 20MM STAINLESS STEEL BILIARY ILIAC STERILE DISPOSABLE,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 17MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 20MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 27MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 27MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 37MM 135CM RADIOPAQUE OTW NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 37MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 57MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 6MM 57MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 7MM 17MM 75CM RADIOPAQUE OTW NONCOMPLIANT BALLOON PREMOUNT 20MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 7MM 27MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 7MM 37MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 7MM 57MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 7MM 57MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 8MM 17MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 20MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 8MM 17MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 20MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 8MM 37MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 6FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 8MM 57MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 8MM 57MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 9MM 25MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 9MM 25MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 30MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 9MM 37MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 9MM 37MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 40MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 9MM 57MM 135CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS LD TANDEM ARCHITECTURE 9MM 57MM 75CM OTW RADIOPAQUE NONCOMPLIANT BALLOON PREMOUNT 60MM METAL BILIARY ILIAC STERILE ACCEPTS 7FR INTRODUCER SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 4MM 15MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STAINLESS STEEL BILIARY RENAL STERILE DISPOSABLE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 4MM 15MM 90CM PREMOUNT CATHETER METAL BILIARY RENAL STERILE LATEX FREE ACCEPTS 5FR SHEATH 6FR GUIDE,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 4MM 19MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STAINLESS STEEL BILIARY RENAL STERILE DISPOSABLE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 5MM 19MM 150CM RADIOPAQUE BALLOON EXPAND CATHETER PREMOUNT STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 6MM 14MM 90CM PREMOUNT CATHETER METAL BILIARY RENAL STERILE LATEX FREE ACCEPTS 5FR SHEATH 6FR GUIDE,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 6MM 18MM 150CM RADIOPAQUE BALLOON EXPAND PREMOUNT CATHETER METAL BILIARY STERILE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 6MM 18MM 90CM PREMOUNT CATHETER METAL BILIARY RENAL STERILE LATEX FREE ACCEPTS 5FR SHEATH 6FR GUIDE,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 7MM 15MM 150CM RADIOPAQUE BALLOON EXPAND CATHETER PREMOUNT STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT EXPRESS SD MONORAIL 7MM 19MM 150CM RADIOPAQUE BALLOON EXPAND CATHETER PREMOUNT STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 6FR SHEATH 7FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT FLEXIMA PLASTIC OD10 FR L12 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT FLEXIMA PLASTIC OD10 FR L5 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT FLEXIMA PLASTIC OD7 FR L12 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT FLEXIMA PLASTIC OD7 FR L5 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT FLEXIMA PLASTIC OD8.5 FR L10 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT FLEXIMA PLASTIC OD8.5 FR L12 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT HERCULINK ELITE 5MM 3.3-2.9FR 6FR 15MM 135CM RADIOPAQUE BALLOON EXPAND RAPID EXCHANGE LOW PROFILE COCR VASCULAR RENAL STERILE DISPOSABLE ACCEPTS .014IN GUIDEWIRE,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT ID2.5 MM L22 MM INTEGRITY CORONARY RAPID EXCHANGE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,STENT ID3 MM L18 MM INTEGRITY CORONARY,315.0,157.5,60.32,283.5,65
HCPCS,C1876,STENT INNOVA 5MM 100MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 5MM 120MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT INNOVA 5MM 150MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,585.0,292.5,112.03,526.5,65
HCPCS,C1876,STENT INNOVA 5MM 40MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 5MM 60MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 5MM 80MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 6MM 100MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 6MM 120MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT INNOVA 6MM 150MM 75CM RADIOPAQUE SELF EXPAND TRIAXIAL DELIVERY SYSTEM VASCULAR BLUE ACCEPTS .035IN GUIDEWIRE,585.0,292.5,112.03,526.5,65
HCPCS,C1876,STENT INNOVA 6MM 20MM 130CM SELF EXPAND RADIOPAQUE TRIAXIAL DELIVERY SYSTEM VASCULAR BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 6MM 40MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 6MM 40MM 75CM RADIOPAQUE SELF EXPAND TRIAXIAL DELIVERY SYSTEM METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 6MM 60MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 6MM 80MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 100MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 120MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT INNOVA 7MM 150MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,585.0,292.5,112.03,526.5,65
HCPCS,C1876,STENT INNOVA 7MM 20MM 130CM SELF EXPAND RADIOPAQUE TRIAXIAL DELIVERY SYSTEM VASCULAR BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 40MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 40MM 75CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 60MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 60MM 75CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 7MM 80MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 8MM 100MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 8MM 150MM 130CM SELF EXPAND RADIOPAQUE TRIAXIAL DELIVERY SYSTEM VASCULAR BLUE,585.0,292.5,112.03,526.5,65
HCPCS,C1876,STENT INNOVA 8MM 40MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INNOVA 8MM 80MM 130CM TRIAXIAL DELIVERY SYSTEM RADIOPAQUE SELF EXPAND METAL VASCULAR SUPERFICIAL FEMORAL ARTERY BLUE ACCEPTS .035IN GUIDEWIRE,545.0,272.5,104.37,490.5,65
HCPCS,C1876,STENT INTEGRITY MICROTRAC 4MM 15MM RAPID EXCHANGE INTEGRATE TIP FULCRUM COCR CORONARY,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT INTRACRANIAL L21 MM OD3 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
HCPCS,C1876,STENT INTRACRANIAL L24 MM OD3 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
HCPCS,C1876,STENT INTRACRANIAL L24 MM OD4 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
HCPCS,C1876,STENT INTRACRANIAL L30 MM OD4.5 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
HCPCS,C1876,STENT INTRASTENT DOUBLESTRUT 3.8MM 9-12MM 16MM FLEXIBLE BALLOON EXPANDABLE UNMOUNT ROUND EDGE LARGE DIAMETER STAINLESS STEEL BILIARY PTA ACCEPTS 8FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT INTRASTENT MEGA 3.8MM 9-12MM 36MM 5 CELL BALLOON EXPANDABLE UNMOUNT ROUND EDGE LARGE DIAMETER STAINLESS STEEL BILIARY PTA ACCEPTS 9FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT JOHLIN 8.5FR 20CM WEDGE PRELOAD INTRODUCER PANCREATIC STERILE ACCEPTS .035IN GUIDEWIRE,115.0,57.5,22.02,103.5,65
HCPCS,C1876,STENT JOHLIN 8.5FR 22CM WEDGE PRELOADED INTRODUCER GUIDEWIRE .035IN PANCREATIC STERILE DISPOSABLE,115.0,57.5,22.02,103.5,65
HCPCS,C1876,STENT LIFESTAR 10MM 40MM 80CM GUIDEWIRE .035IN BILIARY VASCULAR,824.0,412.0,157.8,741.6,65
HCPCS,C1876,STENT LIFESTAR 10MM 80MM 80CM BILIARY,824.0,412.0,157.8,741.6,65
HCPCS,C1876,STENT LIFESTAR 12MM 40MM 80CM BILIARY,824.0,412.0,157.8,741.6,65
HCPCS,C1876,STENT LIFESTAR 12MM 80MM 80CM BILIARY,824.0,412.0,157.8,741.6,65
HCPCS,C1876,STENT LIFESTAR 14MM 120MM 135CM BILIARY,824.0,412.0,157.8,741.6,65
HCPCS,C1876,STENT LIFESTAR 6MM 20MM 80CM BILIARY,824.0,412.0,157.8,741.6,65
HCPCS,C1876,STENT MONORAIL EXPRESS SD 5MM 15MM 150CM RADIOPAQUE BALLOON EXPAND PREMOUNT CATHETER STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT MONORAIL EXPRESS SD 6MM 14MM 150CM RADIOPAQUE BALLOON EXPAND PREMOUNT CATHETER STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 5FR SHEATH 6FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT MONORAIL EXPRESS SD 7MM 15MM 90CM RADIOPAQUE BALLOON EXPAND PREMOUNT CATHETER STAINLESS STEEL BILIARY RENAL STERILE ACCEPTS 6FR SHEATH 7FR GUIDE PTRA,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD6 MM PERIPHERAL L100 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD6 MM PERIPHERAL L120 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD6 MM PERIPHERAL L150 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD6 MM PERIPHERAL L20 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD7 MM PERIPHERAL L100 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD7 MM PERIPHERAL L120 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD7 MM PERIPHERAL L150 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD7 MM PERIPHERAL L20 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD7 MM PERIPHERAL L60 MM L120 CM TRIAXIAL SELF EXPAND LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD8 MM CAROTID ARTERY L30 MM SELF EXPAND FLEXIBLE XACT VASCULAR 6 FR SHEATH STRAIGHT,1800.0,900.0,344.7,1620.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L100 MM L120 CM TRIAXIAL SELF EXPAND LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L100 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L120 MM L120 CM TRIAXIAL SELF EXPAND LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L150 MM L120 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT NICKEL TITANIUM OD8 MM PERIPHERAL L20 MM L80 CM SELF EXPAND TRIAXIAL LOW PROFILE ROTATE THUMB WHEEL EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM VESSEL,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT NITINOL OD10 MM CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD10 MM CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD10 MM L80 MM L120 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD10 MM ODSEC.079 IN L20 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD10 MM ODSEC.079 IN L30 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD10 MM ODSEC.079 IN L40 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD10 MM ODSEC.079 IN L60 MM L80 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD10 MM ODSEC.079 IN L80 MM L80 CM OTW SELF EXPAND LOW PROFILE DELIVERY SYSTEM PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 8.5-9.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD10 MM VENOUS ILIOFEMORAL VEIN L40 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD10 MM VENOUS L100 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1675.0,837.5,320.76,1507.5,65
HCPCS,C1876,STENT NITINOL OD10 MM VENOUS L120 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD10 MM VENOUS L150 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD10 MM VENOUS L60 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD10 MM VENOUS L80 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD12 MM L30 MM L120 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM ODSEC.079 IN L40 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM ODSEC.079 IN L40 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM ODSEC.079 IN L60 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM ODSEC.079 IN L60 MM L80 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM ODSEC.079 IN L60 MM L80 CM OTW SELF EXPAND LOW PROFILE DELIVERY SYSTEM PROTEGE GPS EXPRT VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 9.5-11 MM LUMEN LARGE DIAMETER,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM ODSEC.079 IN L80 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 9.5-11 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD12 MM VENOUS L100 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD12 MM VENOUS L120 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD12 MM VENOUS L150 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1675.0,837.5,320.76,1507.5,65
HCPCS,C1876,STENT NITINOL OD12 MM VENOUS L60 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD12 MM VENOUS L80 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD14 MM ILIOFEMORAL VEIN L80 MM SELF EXPAND ROTATE THUMBWHEEL HEMOSTATIC VALVE INNER SHAFT ABRE VASCULAR,1695.0,847.5,324.59,1525.5,65
HCPCS,C1876,STENT NITINOL OD14 MM L40 MM L120 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM ODSEC.079 IN L30 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM ODSEC.079 IN L40 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM ODSEC.079 IN L60 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM ODSEC.079 IN L60 MM L80 MM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM ODSEC.079 IN L80 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM ODSEC.079 IN L80 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 11.5-13 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD14 MM VENOUS L100 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD14 MM VENOUS L120 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD14 MM VENOUS L150 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1695.0,847.5,324.59,1525.5,65
HCPCS,C1876,STENT NITINOL OD14 MM VENOUS L60 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1876,STENT NITINOL OD16 MM ILIOFEMORAL VEIN L120 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD16 MM VENOUS L100 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD16 MM VENOUS L150 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1675.0,837.5,320.76,1507.5,65
HCPCS,C1876,STENT NITINOL OD16 MM VENOUS L60 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1876,STENT NITINOL OD16 MM VENOUS L80 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1876,STENT NITINOL OD18 MM ILIOFEMORAL VEIN L100 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD18 MM ILIOFEMORAL VEIN L120 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD18 MM ILIOFEMORAL VEIN L150 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,1675.0,837.5,320.76,1507.5,65
HCPCS,C1876,STENT NITINOL OD18 MM ILIOFEMORAL VEIN L80 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,1495.0,747.5,286.29,1345.5,65
HCPCS,C1876,STENT NITINOL OD18 MM VENOUS ILIOFEMORAL VEIN L60 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1876,STENT NITINOL OD20 MM ILIOFEMORAL VEIN L100 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,1475.0,737.5,282.46,1327.5,65
HCPCS,C1876,STENT NITINOL OD20 MM ILIOFEMORAL VEIN L120 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD20 MM ILIOFEMORAL VEIN L150 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE ROTATE THUMBWHEEL ABRE VASCULAR,1595.0,797.5,305.44,1435.5,65
HCPCS,C1876,STENT NITINOL OD20 MM VENOUS L60 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1876,STENT NITINOL OD20 MM VENOUS L80 MM SELF EXPAND 3 AXIAL SHAFT HEMOSTATIC VALVE OPEN CELL ABRE VASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1876,STENT NITINOL OD4.5 MM ODSEC6 FR PERIPHERAL L100 MM L120 CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014 IN/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD4.5 MM ODSEC6 FR PERIPHERAL L120 MM L120 CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD4.5 MM ODSEC6 FR PERIPHERAL L40 MM L120 CM OTW SELF EXPAND CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD4.5 MM ODSEC6 FR PERIPHERAL L60 MM L120 CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD4.5 MM ODSEC6 FR PERIPHERAL L80 MM L120 CM OTW SELF EXPAND CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5 MM CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD5 MM CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD5 MM ODSEC.079 IN L120 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN,750.0,375.0,143.63,675.0,65
HCPCS,C1876,STENT NITINOL OD5 MM ODSEC.079 IN L20 MM L80 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL OD5 MM ODSEC.079 IN L40 MM L120 CM RADIOPAQUE DELIVERY SYSTEM SELF EXPAND OTW PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL OD5 MM ODSEC.079 IN L40 MM L80 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL OD5 MM ODSEC.079 IN L80 MM L120 CM RADIOPAQUE DELIVERY SYSTEM SELF EXPAND OTW PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT NITINOL OD5 MM ODSEC6 FR PERIPHERAL L60 MM L120 CM OTW RADIOPAQUE SELF EXPAND CLOSED END SUPERA VASCULAR ACCEPTS .014 IN/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L100 MM L120 CM OTW SELF EXPANDABLE RADIOPAQUE CLOSED END SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L120 MM L120 CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014 IN/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L150 MM L120 CM OTW SELF EXPAND CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L20 MM L120 CM OTW SELF EXPANDABLE CLOSED END BRAID RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L40 MM L120 CM OTW SELF EXPANDABLE RADIOPAQUE CLOSED END SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L60 MM L120 CM OTW SELF EXPANDABLE CLOSED END BRAID RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD5.5 MM ODSEC6 FR PERIPHERAL L80 MM L120 CM OTW SELF EXPAND CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD6 MM CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD6 MM CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD6 MM CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD6 MM PERIPHERAL L100 MM L135 CM RADIOPAQUE SELF EXPAND FLEXIBLE TRIAXIAL ABSOLUTE PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD6 MM PERIPHERAL L20 MM L135 CM OTW RADIOPAQUE SELF EXPAND TRIAXIAL ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD6 MM PERIPHERAL L40 MM L135 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD6 MM PERIPHERAL L60 MM L135 CM RADIOPAQUE SELF EXPAND FLEXIBLE TRIAXIAL ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD6-8 MM CAROTID ARTERY L30 MM SELF EXPAND CLOSED CELL FLARE END FREESTYLE XACT VASCULAR ACCEPTS 8 FR GUIDE 6 FR SHEATH TAPER,1875.0,937.5,359.06,1687.5,65
HCPCS,C1876,STENT NITINOL OD6.5 MM ODSEC6 FR PERIPHERAL L100 MM L120 CM OTW SELF EXPANDABLE RADIOPAQUE CLOSED END SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD6.5 MM ODSEC6 FR PERIPHERAL L120 MM L120 CM OTW SELF EXPANDABLE CLOSED END BRAID RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD6.5 MM ODSEC6 FR PERIPHERAL L150 MM L120 CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD6.5 MM ODSEC6 FR PERIPHERAL L30 MM L120 CM OTW SELF EXPANDABLE CLOSED END BRAID RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD6.5 MM ODSEC6 FR PERIPHERAL L40 MM L120 CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD6.5 MM ODSEC6 FR PERIPHERAL L80 MM L120 CM OTW SELF EXPANDABLE RADIOPAQUE CLOSED END SUPERA VASCULAR ACCEPTS .014/.018 IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT NITINOL OD7 MM CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD7 MM CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD7 MM PERIPHERAL L40 MM L80 CM OTW RADIOPAQUE SELF EXPAND TRIAXIAL ABSOLUTE PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD8 MM CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD8 MM CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD8 MM ODSEC6 FR L6 CM L200 CM RADIOPAQUE SELF EXPAND FLEXIBLE 635 BILIARY ACCEPTS .035 IN GUIDEWIRE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT NITINOL OD8 MM ODSEC6 FR L8 CM L200 CM RADIOPAQUE SELF EXPAND FLEXIBLE 635 BILIARY ACCEPTS .035 IN GUIDEWIRE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT NITINOL OD8 MM PERIPHERAL L40 MM L80 CM OTW RADIOPAQUE SELF EXPAND TRIAXIAL ABSOLUTE PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD8 MM PERIPHERAL L60 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL OD8-6 MM CAROTID ARTERY L40 MM L136 CM SELF EXPANDABLE ERGONOMIC HANDLE FLEXIBLE XACT VASCULAR ACCEPTS 6 FR SHEATH TAPER,1875.0,937.5,359.06,1687.5,65
HCPCS,C1876,STENT NITINOL OD9 MM CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD9 MM CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT PRECISE PRO RX VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT NITINOL OD9 MM L80 MM L120 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 7.5-8.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD9 MM ODSEC.079 IN L20 MM L120 CM DELIVERY SYSTEM SELF EXPAND OTW LOW PROFILE PROTEGE GPS BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 7.5-8.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD9 MM ODSEC.079 IN L30 MM L120 CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND PROTEGE GPS BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 7.5-8.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD9 MM ODSEC.079 IN L60 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE PROTEGE GPS EXPRT BILIARY LARGE DIAMETER ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 7.5-8.5 MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT NITINOL OD9 MM PERIPHERAL L40 MM L135 CM OTW RADIOPAQUE SELF EXPAND TRIAXIAL ABSOLUTE PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L100 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L100 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L120 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,750.0,375.0,143.63,675.0,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L30 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L60 MM L120 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L60 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT NITINOL TANTALUM OD5 MM ODSEC.079 IN L80 MM L80 CM OTW DELIVERY SYSTEM SELF EXPAND RADIOPAQUE PROTEGE EVERFLEX BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 3.5-4.5 MM LUMEN PERIPHERAL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD10 FR L5 CM RAPID EXCHANGE DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT OD10 MM L57 MM L135 CM BALLOON EXPANDABLE RADIOPAQUE MARKER SOLID RADIAL STRENGTH FLEXIBLE VISI-PRO BILIARY L60 MM ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD10 MM PERIPHERAL L40 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD10 MM PERIPHERAL L60 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD10 MM PERIPHERAL L80 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD11.5 FR L10 CM RAPID EXCHANGE DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT OD4.5 MM ODSEC12 MM L26 MM UNMOUNT LOW PROFILE BALLOON FLEXIBLE INTRASTENT MAX BILIARY LARGE DIAMETER PTA,787.5,393.75,150.81,708.75,65
HCPCS,C1876,STENT OD4.5 MM ODSEC12 MM L36 MM UNMOUNT LOW PROFILE BALLOON FLEXIBLE INTRASTENT MAX BILIARY LARGE DIAMETER PTA,787.5,393.75,150.81,708.75,65
HCPCS,C1876,STENT OD5 MM L14 MM L80 CM RADIOPAQUE BALLOON EXPAND FLEXIBLE LOW PROFILE PARAMOUNT MINI GPS BILIARY ACCEPTS .018 IN GUIDEWIRE 5 FR CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD5 MM L37 MM L135 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PERIPHERAL,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD5 MM L60 MM DRUG ELUTE ZILVER VASCULAR ACCEPTS .035 IN GUIDEWIRE,1260.0,630.0,241.29,1134.0,65
HCPCS,C1876,STENT OD5 MM ODSEC6 FR PERIPHERAL L100 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD5 MM ODSEC6 FR PERIPHERAL L120 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD5 MM ODSEC6 FR PERIPHERAL L40 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD5 MM ODSEC6 FR PERIPHERAL L80 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 FR ODSEC6 MM PERIPHERAL L200 CM L120 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 FR ODSEC6 MM PERIPHERAL L200 CM L80 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 FR ODSEC7 MM PERIPHERAL L200 CM L120 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 FR ODSEC7 MM PERIPHERAL L200 CM L60 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 FR ODSEC7 MM PERIPHERAL L200 CM L80 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 FR ODSEC8 MM PERIPHERAL L200 CM L60 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 FR ODSEC8 MM PERIPHERAL L200 CM L80 MM SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 MM L14 MM L80 CM LOW PROFILE BALLOON EXPAND PARAMOUNT MINI GPS BILIARY ACCEPTS .014 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD6 MM L80 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L100 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L100 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L120 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L150 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L150 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L40 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L40 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,895.0,447.5,171.39,805.5,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L60 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L60 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD6 MM ODSEC6 FR PERIPHERAL L80 MM L120 CM SUPERA VASCULAR,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L100 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUME,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L100 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L120 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L120 MM L120 CM SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,750.0,375.0,143.63,675.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L120 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,900.0,450.0,172.35,810.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L150 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L150 MM L120 CM SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L150 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,900.0,450.0,172.35,810.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L20 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L20 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L20 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L200 MM L120 CM 3 WAVE PEAK DELIVERY SYSTEM SPIRAL CELL SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 4.5-5.5 MM LUMEN,1900.0,950.0,363.85,1710.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L30 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L40 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,525.0,262.5,100.54,472.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L40 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L40 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L40 MM L80 CM SELF EXPAND DELIVERY SYSTEM 1 HAND LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L40 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L57 MM L60 MM BALLOON EXPANDABLE FLEXIBLE SOLID RADIAL STRENGTH RADIOPAQUE MARKER VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 80 CM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L60 MM L120 CM 3 WAVE PEAK DELIVERY SYSTEM SPIRAL CELL SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 4.5-5.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L60 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L60 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L60 MM L80 CM SELF EXPAND DELIVERY SYSTEM 1 HAND LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L60 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L80 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L80 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L80 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 4.5-5.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L80 MM L80 CM SELF EXPAND DELIVERY SYSTEM 1 HAND LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH 4.5-5.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD6 MM PERIPHERAL L80 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD7 FR L10 CM RAPID EXCHANGE DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT OD7 MM L40 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD7 MM L60 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD7 MM L80 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD7 MM ODSEC6 FR PERIPHERAL L100 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD7 MM ODSEC6 FR PERIPHERAL L150 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD7 MM ODSEC6 FR PERIPHERAL L40 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L100 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L100 MM L135 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L100 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L120 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L120 MM L120 CM SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,750.0,375.0,143.63,675.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L120 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,900.0,450.0,172.35,810.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L150 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,825.0,412.5,157.99,742.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L150 MM L120 CM SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,850.0,425.0,162.78,765.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L150 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,900.0,450.0,172.35,810.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L17 MM L20 MM BALLOON EXPANDABLE FLEXIBLE SOLID RADIAL STRENGTH RADIOPAQUE MARKER VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 80 CM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L20 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L20 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L200 MM L120 CM 3 WAVE PEAK DELIVERY SYSTEM SPIRAL CELL SELF EXPAND EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 5.5-6.5 MM LUMEN,1900.0,950.0,363.85,1710.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L30 MM L120 CM RADIOPAQUE SELF EXPAND 3 WAVE PEAK SPIRAL CELL EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L40 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L40 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L40 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L40 MM L80 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L60 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L60 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L60 MM L80 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L60 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L80 MM L120 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L80 MM L120 CM SELF EXPAND DELIVERY CATHETER SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L80 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD7 MM PERIPHERAL L80 MM L80 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 5.5-6.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD8 MM L40 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD8 MM ODSEC6 FR PERIPHERAL L100 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD8 MM ODSEC6 FR PERIPHERAL L40 MM L200 CM RAPID EXCHANGE SELF EXPAND R2P MISAGO VASCULAR,950.0,475.0,181.93,855.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L100 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L100 MM SELF EXPAND DELIVERY CATHETER SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L120 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUME,750.0,375.0,143.63,675.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L120 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,900.0,450.0,172.35,810.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L150 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,900.0,450.0,172.35,810.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L20 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L20 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L40 MM L120 CM SELF EXPAND DELIVERY CATHETER SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L40 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L40 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L40 MM L80 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L60 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L60 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L60 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L60 MM L80 CM SELF EXPAND 3 WAVE PEAK FLEXIBLE SPIRAL CELL CONNECTION EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L60 MM L80 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L60 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L80 MM L120 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L80 MM L120 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L80 MM L150 CM SELF EXPAND 1 HAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,775.0,387.5,148.41,697.5,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L80 MM L80 CM SELF EXPAND DELIVERY CATHETER SYSTEM SPIRAL CELL PEAK TO PEAK CONNECTION NODE EVERFLEX VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT OD8 MM PERIPHERAL L80 MM L80 CM SELF EXPAND DELIVERY SYSTEM LOW PROFILE EVERFLEX ENTRUST VASCULAR ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6.5-7.5 MM LUMEN,740.0,370.0,141.71,666.0,65
HCPCS,C1876,STENT OD9 MM PERIPHERAL L40 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OD9 MM PERIPHERAL L60 MM L80 CM SELF EXPAND OTW ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1876,STENT OMNILINK ELITE 10MM 29MM 80CM OTW BALLOON EXPANDABLE LOW PROFILE THIN COCR VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 7FR SHEATH,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT OMNILINK ELITE 7MM 29MM 80CM OTW BALLOON EXPANDABLE LOW PROFILE THIN COCR VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR SHEATH,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT OMNILINK ELITE 8MM 19MM 135CM OTW BALLOON EXPANDABLE LOW PROFILE THIN COCR VASCULAR PERIPHERAL ACCEPTS .035IN GUIDEWIRE 6FR SHEATH,625.0,312.5,119.69,562.5,65
HCPCS,C1876,STENT PLASTIC OD10 FR L10 CM DELIVERY SYSTEM RAPID EXCHANGE FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT PLASTIC OD10 FR L12 CM DELIVERY SYSTEM RAPID EXCHANGE RX BILIARY BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT PLASTIC OD10 FR L7 CM TEMPORARY DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C1876,STENT PLASTIC OD7 FR L12 CM DELIVERY SYSTEM RAPID EXCHANGE FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT PLASTIC OD7 FR L7 CM DELIVERY SYSTEM RAPID EXCHANGE FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C1876,STENT PLATINOL METAL OD10 MM ODSEC8 FR L40 MM L194 CM RAPID EXCHANGE SELF EXPAND DELIVERY SYSTEM UNCOVER WALLFLEX BILIARY .035 IN ACCEPTS .035 IN GUIDEWIRE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1876,STENT PLATINOL METAL OD8 MM ODSEC8 FR L100 MM L194 CM RAPID EXCHANGE UNCOVER SELF EXPAND DELIVERY SYSTEM WALLFLEX BILIARY ACCEPTS .035 IN DREAMWIRE HYDRA JAGWIRE,100.0,50.0,19.15,90.0,65
HCPCS,C1876,STENT POLYETHYLENE OD10 FR L10 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD10 FR L12 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD10 FR L18 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD10 FR L4 CM TAPER TIP ZIMMON BILIARY .035 IN 2 PIGTAIL CURVE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD10 FR L5 CM TAPER TIP SOFT PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY GENTLE CURVE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD10 FR L7 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD7 FR L10 CM TAPER TIP GUIDEWIRE POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY .035 IN GENTLE CURVE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD7 FR L4 CM TAPER TIP ZIMMON BILIARY 2 PIGTAIL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD7 FR L5 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD7 FR L7 CM TAPER TIP ZIMMON BILIARY 2 PIGTAIL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD8.5 FR L12 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT POLYETHYLENE OD8.5 FR L5 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT PRECISE PRO RX 8MM 40MM 135CM RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT NITINOL VASCULAR CAROTID ARTERY ACCEPTS .014IN GUIDEWIRE 5FR SHEATH 7FR GUIDE CATHETER 6-7MM VESSEL,1386.0,693.0,265.42,1247.4,65
HCPCS,C1876,STENT PROTEGE EXPRT GPS 7-10MM 6FR 40MM 135CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE TAPER TANTALUM NITINOL VASCULAR CAROTID ARTERY ACCEPTS .014IN GUIDEWIRE 5.5-9.5MM LUM,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT PROTEGE GPS 10MM .079IN 40MM 120CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND NITINOL BILIARY STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH 8.5-9.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT PROTEGE GPS 10MM .079IN 60MM 120CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND NITINOL BILIARY STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH 8.5-9.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT PROTEGE GPS 9MM .079IN 40MM 120CM OTW RADIOPAQUE DELIVERY SYSTEM SELF EXPAND NITINOL BILIARY STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE 6FR SHEATH 7.5-8.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT PROTEGE GPS EXPRT 9MM .079IN 40MM 80CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE LARGE DIAMETER NITINOL BILIARY ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 7.5-8.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT PROTEGE GPS EXPRT 9MM .079IN 60MM 120CM OTW DELIVERY SYSTEM SELF EXPAND LOW PROFILE LARGE DIAMETER NITINOL BILIARY ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 7.5-8.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT PROTEGE GPS EXPRT 9MM .079IN 80MM 80CM RADIOPAQUE DELIVERY SYSTEM SELF EXPAND OTW LARGE DIAMETER NITINOL BILIARY ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH 7.5-8.5MM LUMEN,650.0,325.0,124.48,585.0,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM ID8 FR L59 MM DELIVERY SYSTEM UNMOUNT CLOSED CELL BALLOON EXPAND PALMAZ GENESIS BILIARY XDIAMETER OPTA PRO PTA TRANSHEPATIC,700.0,350.0,134.05,630.0,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM ILIAC ARTERY L37 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH L40 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM L17 MM L135 CM BALLOON EXPANDABLE RADIOPAQUE OPEN LATTICE MOUNT VISI-PRO BILIARY L20 MM ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM L17 MM L80 CM BALLOON EXPANDABLE OPEN LATTICE RADIOPAQUE FLEXIBLE VISI-PRO BILIARY L20 MM ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM L27 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY L30 MM ACCEPTS 7 FR INTRODUCER SHEATH .035 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM L57 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY L60 MM ACCEPTS 7 FR INTRODUCER SHEATH .035 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM PERIPHERAL ILIAC ARTERY L37 MM L135 CM RADIOPAQUE BALLOON EXPAND MOUNT TUBE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10 MM PERIPHERAL L27 MM L80 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH L30 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10-12 MM ID8 FR L19 MM DELIVERY SYSTEM UNMOUNT CLOSED CELL BALLOON EXPAND CORDIS PALMAZ GENESIS BILIARY XDIAMETER OPTA PRO PTA TRANSHEPATIC,735.0,367.5,140.75,661.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10-12 MM ID8 FR L25 MM DELIVERY SYSTEM UNMOUNT CLOSED CELL BALLOON EXPAND CORDIS PALMAZ GENESIS BILIARY XDIAMETER OPTA PRO PTA TRANSHEPATIC,735.0,367.5,140.75,661.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD10-12 MM ID8 FR L29 MM DELIVERY SYSTEM UNMOUNT CLOSED CELL BALLOON EXPAND CORDIS PALMAZ GENESIS BILIARY XDIAMETER OPTA PRO PTA TRANSHEPATIC,735.0,367.5,140.75,661.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD3.8 MM L56 MM ROUND EDGE NONCOMPLIANT BALLOON EXPAND OPEN LATTICE INTRASTENT DOUBLESTRUT LD BILIARY LARGE DIAMETER ACCEPTS 8 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD3.8 MM L76 MM ROUND EDGE BALLOON EXPAND OPEN LATTICE INTRASTENT DOUBLESTRUT LD BILIARY LARGE DIAMETER ACCEPTS 8 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD3.8 MM ODSEC9-12 MM L16 MM 5 CELL BALLOON EXPANDABLE UNMOUNT ROUND EDGE INTRASTENT MEGA BILIARY LARGE DIAMETER PTA ACCEPTS 9 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD3.8 MM ODSEC9-12 MM L26 MM FLEXIBLE BALLOON EXPANDABLE UNMOUNT ROUND EDGE INTRASTENT DOUBLESTRUT BILIARY LARGE DIAMETER PTA ACCEPTS 8 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD3.8 MM ODSEC9-12 MM L36 MM FLEXIBLE BALLOON EXPANDABLE UNMOUNT ROUND EDGE INTRASTENT DOUBLESTRUT BILIARY LARGE DIAMETER PTA ACCEPTS 8 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD4.5 MM ODSEC12 MM L16 MM 6 CELL DESIGN BALLOON EXPANDABLE UNMOUNT ROUND EDGE INTRASTENT MAX BILIARY LARGE DIAMETER ACCEPTS 11 FR SHEATH,787.5,393.75,150.81,708.75,65
HCPCS,C1876,STENT STAINLESS STEEL OD5 MM L14 MM L80 CM LOW PROFILE RADIOPAQUE BALLOON EXPANDABLE OPEN LATTICE PARAMOUNT MINI GPS MICRO-GRIP BILIARY L17 MM ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD5 MM L18 MM L80 CM LOW PROFILE RADIOPAQUE BALLOON EXPANDABLE OPEN LATTICE PARAMOUNT MINI GPS MICRO-GRIP BILIARY L20 MM ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD5 MM PERIPHERAL ILIAC ARTERY L27 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH L30 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L135 CM L37 MM RADIOPAQUE BALLOON EXPAND VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L17 MM L135 CM BALLOON EXPANDABLE RADIOPAQUE OPEN LATTICE MOUNT VISI-PRO BILIARY L20 MM ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L17 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L18 MM L80 CM RADIOPAQUE LOW PROFILE BALLOON EXPAND OPEN LATTICE PARAMOUNT BILIARY L20 MM ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L27 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L27 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L37 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD6 MM L57 MM L135 CM BALLOON EXPANDABLE RADIOPAQUE OPEN LATTICE MOUNT VISI-PRO BILIARY L60 MM ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM L21 MM L80 CM RADIOPAQUE LOW PROFILE BALLOON EXPAND OPEN LATTICE PARAMOUNT BILIARY L24 MM ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH 7 FR CATHETER,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM L27 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM L37 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM L37 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,550.0,275.0,105.33,495.0,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM L57 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM L57 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD7 MM PERIPHERAL L17 MM L135 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH L20 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM L27 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM L27 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM L37 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM L37 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM L57 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM L57 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM PERIPHERAL L17 MM L135 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH L20 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD8 MM PERIPHERAL L17 MM L80 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH L20 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM L17 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM L27 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY L30 MM ACCEPTS 7 FR INTRODUCER SHEATH .035 IN GUIDEWIRE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM L27 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM L37 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM L37 MM L80 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM L57 MM L135 CM BALLOON EXPANDABLE RADIOPAQUE OPEN LATTICE MOUNT VISI-PRO BILIARY L60 MM ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM PERIPHERAL L17 MM L135 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH L20 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL OD9 MM PERIPHERAL L57 MM L80 CM RADIOPAQUE BALLOON EXPAND RADIAL STRENGTH FLEXIBLE VISI-PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH L60 MM,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT STAINLESS STEEL TANTALUM OD6 MM L21 MM L80 CM LOW PROFILE RADIOPAQUE BALLOON EXPANDABLE OPEN LATTICE PARAMOUNT MINI GPS MICRO-GRIP BILIARY L24 MM ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 6 FR GUIDE,575.0,287.5,110.11,517.5,65
HCPCS,C1876,STENT SUPERA 5.5MM 6FR 30MM 120CM OTW SELF EXPANDABLE CLOSED END BRAID RADIOPAQUE NITINOL VASCULAR PERIPHERAL STERILE ACCEPTS .014/.018IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT SUPERA 6.5MM 6FR 60MM 120CM OTW SELF EXPANDABLE CLOSED END RADIOPAQUE NITINOL VASCULAR PERIPHERAL STERILE LATEX FREE DISPOSABLE ACCEPTS .014/.018IN GUIDEWIRE,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT TACK OD 6FR 8MM 135CM RADIOPAQUE OTW 6 PRELOAD NITINOL VASCULAR,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,STENT TANTALUM NITINOL OD10 MM CAROTID ARTERY L20 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR INTRODUCER S,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT TANTALUM NITINOL OD10 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 8.5-9.5,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT TANTALUM NITINOL OD10 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 8.5-9.5,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT TANTALUM NITINOL OD10 MM ODSEC6 FR CAROTID ARTERY L60 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 8.5-9.5,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT TANTALUM NITINOL OD10/7 MM ODSEC6 FR CAROTID ARTERY L30 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR ACCEPTS .014 IN GUIDEWIRE 5.5-9,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT TANTALUM NITINOL OD8/6 MM ODSEC6 FR CAROTID ARTERY L40 MM L135 CM RAPID EXCHANGE SELF EXPAND FLEXIBLE ATRAUMATIC TIP LOW CROSS PROFILE PROTEGE EXPRT GPS VASCULAR 4.5-7.5 MM LUMEN .014 IN TAPER,1400.0,700.0,268.1,1260.0,65
HCPCS,C1876,STENT VENOVO 10F 20X40MMX80CM VENOUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 10F 20X60MMX80CMVENOUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 10MM 60MM 120MM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 12MM 100MM 80CM CATHETER GUIDEWIRE .035IN VASCULAR VENOUS ACCEPTS 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 12MM 120MM 80CM 3 AXIAL DELIVERY SYSTEM CATHETER FLARE END OPTIMAL BALANCE VASCULAR VENOUS ILIOFEMORAL ACCEPTS .035IN GUIDEWIRE 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 12MM 160MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 8FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 12MM 40MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 12MM 60MM 120MM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 12MM 60MM 80CM CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 12MM 80MM 80CM CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 8FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 100MM 120CM RADIOPAQUE CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 100MM 80CM 3 AXIAL DELIVERY SYSTEM CATHETER FLARE END OPTIMAL BALANCE VASCULAR VENOUS ILIOFEMORAL ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 120MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 140MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM .035IN VASCULAR VENOUS ACCEPTS 9FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 14MM 140MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 14MM 160MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM .035IN VASCULAR VENOUS ACCEPTS 9FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 14MM 160MM 80CM RADIOPAQUE CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 14MM 40MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 40MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 60MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 60MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 80MM 80CM CATHETER GUIDEWIRE .035IN VASCULAR VENOUS ACCEPTS 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 14MM 80MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 9FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 100MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 100MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 120MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 120MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 140MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM .035IN VASCULAR VENOUS ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 16MM 140MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 16MM 160MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM .035IN VASCULAR VENOUS ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 16MM 160MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 16MM 60MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 60MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 80MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 16MM 80MM 80CM CATHETER GUIDEWIRE .035IN VASCULAR VENOUS ACCEPTS 10FR SHEATH,1300.0,650.0,248.95,1170.0,65
HCPCS,C1876,STENT VENOVO 18MM 100MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 100MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 120MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 120MM 80CM RADIOPAQUE CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 140MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 140MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 160MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 160MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 40MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 60MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 60MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 80MM 120CM CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH .035IN GUIDEWIRE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 18MM 80MM 80CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 100MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 120MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 120MM 80CM RADIOPAQUE CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 140MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 140MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 160MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 160MM 800MM VASCULAR VENOUS ANTIPHOSPHOLIPID SYNDROME ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 40MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 60MM RADIOPAQUE FLARE END TRIAXIAL DELIVERY SYSTEM 2 SPEED THUMB WHEEL 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 80MM 120CM CATHETER GUIDEWIRE DELIVERY SYSTEM FLARE END .035IN 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT VENOVO 20MM 80MM 80CM RADIOPAQUE CATHETER DELIVERY SYSTEM FLARE END 3MM VASCULAR VENOUS ILIOFEMORAL VEIN ACCEPTS .035IN GUIDEWIRE 10FR SHEATH,1500.0,750.0,287.25,1350.0,65
HCPCS,C1876,STENT WALLFLEX 10MM 60MM BILIARY TRANSHEPATIC STERILE LATEX FREE,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1876,STENT WALLFLEX 10MM 80MM FULL COVER BILIARY TRANSHEPATIC ACCEPTS .035IN GUIDEWIRE,2700.0,1350.0,517.05,2430.0,65
HCPCS,C1876,STENT WALLFLEX 8MM 80MM 75CM GUIDEWIRE CATHETER UNCOVER .035IN METAL BILIARY TRANSHEPATIC ACCEPTS 9FR SHEATH,1950.0,975.0,373.43,1755.0,65
HCPCS,C1876,STENT WALLSTENT 14MM 60MM RADIOPAQUE CATHETER SELF EXPAND STOPCOCK 75CM ELGILOY ENDOPROSTHESIS VENOUS,990.0,495.0,189.59,891.0,65
HCPCS,C1876,STENT WALLSTENT 14MM 90MM RADIOPAQUE CATHETER SELF EXPAND STOPCOCK 75CM ELGILOY ENDOPROSTHESIS VENOUS,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT 16MM 40MM RADIOPAQUE CATHETER SELF EXPAND STOPCOCK 75CM ELGILOY ENDOPROSTHESIS VENOUS,990.0,495.0,189.59,891.0,65
HCPCS,C1876,STENT WALLSTENT 16MM 90MM RADIOPAQUE CATHETER SELF EXPAND STOPCOCK 75CM ELGILOY ENDOPROSTHESIS VENOUS,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT 18MM 40MM RADIOPAQUE CATHETER SELF EXPAND STOPCOCK 75CM ELGILOY ENDOPROSTHESIS VENOUS,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT 18MM 60MM CATHETER 75CM ENDOPROSTHESIS VENOUS ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT 18MM 90MM CATHETER 75CM ENDOPROSTHESIS VENOUS ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT 20MM 40MM CATHETER 75CM ENDOPROSTHESIS VENOUS ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT 20MM 55MM CATHETER 75CM ENDOPROSTHESIS VENOUS ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 10MM 24MM 135CM CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE METAL ENDOPROSTHESIS CAROTID ACCEPTS 6FR SHEATH 8FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 10MM 31MM 135CM CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE METAL ENDOPROSTHESIS CAROTID ACCEPTS 6FR SHEATH 8FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 10MM 36MM DELIVERY SYSTEM FLEXIBLE METAL ENDOPROSTHESIS ACCEPTS 6FR SHEATH 8FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 6MM 22MM DELIVERY SYSTEM FLEXIBLE METAL ENDOPROSTHESIS ACCEPTS 5FR SHEATH 7FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 8MM 21MM DELIVERY SYSTEM FLEXIBLE METAL ENDOPROSTHESIS ACCEPTS 5FR SHEATH 7FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 8MM 29MM DELIVERY SYSTEM FLEXIBLE METAL ENDOPROSTHESIS ACCEPTS 5FR SHEATH 7FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT MONORAIL 8MM 36MM DELIVERY SYSTEM FLEXIBLE METAL ENDOPROSTHESIS ACCEPTS 5FR SHEATH 7FR GUIDE CATHETER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT WALLSTENT RP 10MM 68MM CATHETER METAL ENDOPROSTHESIS ACCEPTS 7FR SHEATH TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT,785.0,392.5,150.33,706.5,65
HCPCS,C1876,STENT WALLSTENT UNISTEP PLUS 20MM 11FR 80MM 75CM DELIVERY SYSTEM FLEXIBLE 100CM METAL ENDOPROSTHESIS TRACHEOBRONCHIAL ACCEPTS 11FR SHEATH,785.0,392.5,150.33,706.5,65
HCPCS,C1876,STENT WALLSTENT UNISTEP PLUS 22MM 10FR 70MM 100CM CATHETER UNCONSTRAIN FLEXIBLE 75CM METAL ENDOPROSTHESIS TRACHEOBRONCHIAL ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT UNISTEP PLUS 22MM 35MM CATHETER METAL ENDOPROSTHESIS TRACHEOBRONCHIAL ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT UNISTEP PLUS 24MM 11FR 35MM 100CM CATHETER UNCONSTRAIN FLEXIBLE 75CM METAL ENDOPROSTHESIS TRACHEOBRONCHIAL ACCEPTS 12FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT WALLSTENT UNISTEP PLUS 24MM 11FR 70MM 100CM CATHETER UNCONSTRAIN FLEXIBLE 75CM METAL ENDOPROSTHESIS TRACHEOBRONCHIAL ACCEPTS 11FR SHEATH,1000.0,500.0,191.5,900.0,65
HCPCS,C1876,STENT ZILVER 635 6MM 6FR 6CM 200CM RADIOPAQUE SELF EXPAND FLEXIBLE NITINOL BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT ZILVER 635 8MM 6IN 12CM SELF EXPAND GUIDEWIRE .035IN BILIARY 2.8MM MINIMUM ACCESSORY CHANNEL,1450.0,725.0,277.68,1305.0,65
HCPCS,C1876,STENT ZILVER PTX 5MM 100MM DRUG ELUTE VASCULAR ACCEPTS .035IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1876,STENT ZILVER PTX 5MM 80MM DRUG ELUTE VASCULAR ACCEPTS .035IN GUIDEWIRE,1575.0,787.5,301.61,1417.5,65
HCPCS,C1876,STENT ZIMMON 10FR 5CM TAPER TIP 2 PIGTAIL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT ZIMMON 10FR 7CM TAPER TIP 2 PIGTAIL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,STENT ZIMMON 7FR 10CM TAPER TIP 2 PIGTAIL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM ID2.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM ID2.75 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM ID3 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD2 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD2.25 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD2.5 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD2.75 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD3 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD3.5 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L12 MM OD4 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L13 MM OD4.5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L13 MM OD5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L14 MM ID2.25 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L14 MM ID2.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L14 MM ID2.75 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM ID3 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM L140 MM OD2.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM L140 MM OD3.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD2 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD2.25 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD2.5 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD2.75 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD3 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD3.5 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L15 MM OD4 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM ID2.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM ID2.75 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD2 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD2.25 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD2.5 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD2.75 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD3 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD3.5 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD4 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD4.5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L18 MM OD5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L20 MM L140 CM OD4.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 6 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L20 MM L140 MM OD2.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L20 MM L140 MM OD3.5 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L22 MM ID2.25 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L22 MM ID2.75 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L22 MM ID3 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L22 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L22 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD2 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD2.25 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD2.5 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD2.75 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD3 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD3.5 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L23 MM OD4 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L26 MM ID2.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L26 MM ID3 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L26 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L26 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L26 MM L140 MM OD3 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L26 MM L140 MM OD4 MM PK PAPYRUS DELIVERY SYSTEM COVER NONWOVEN GUIDEWIRE PROBIO COCR POLYURETHANE THK90 UM .014 IN ACCEPTS 5 FR GUIDE CATHETER,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD2 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD2.25 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD2.5 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD2.75 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD3 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD3.5 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD4 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD4.5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L28 MM OD5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L30 MM ID3 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L30 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L30 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L38 MM OD4.5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L38 MM OD5 MM MULTI-LINK ULTRA RAPID EXCHANGE LOW PROFILE RADIOPAQUE SMOOTH SURFACE XCELON MICROGLIDE STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD2 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD2.25 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD2.5 MM MULTI-LINK MINI VISION RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD2.75 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD3 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD3.5 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L8 MM OD4 MM MULTI-LINK VISION RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND COCR ACCEPTS .014 IN GUIDEWIRE,300.0,150.0,57.45,270.0,65
HCPCS,C1876,SYSTEM CORONARY STENT L9 MM ID3 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L9 MM ID3.5 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM CORONARY STENT L9 MM ID4 MM INTEGRITY MICROTRAC RAPID EXCHANGE 1 STRAND INTEGRATE TIP FULCRUM COCR,315.0,157.5,60.32,283.5,65
HCPCS,C1876,SYSTEM ENDOPROSTHESIS STENT 12FR 120MM 14MM 12MM GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
HCPCS,C1876,SYSTEM ENDOPROSTHESIS STENT 14FR 140MM 22MM 14MM GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
HCPCS,C1876,SYSTEM ENDOPROSTHESIS STENT 23MM 14FR GRAFT ILIAC EXTENSION TRIVASCULAR OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,11399.0,5699.5,2182.91,10259.1,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 28MM 155MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 28MM 95MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 30MM 95MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 32MM 155MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 34MM 145MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 36MM 145MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 36MM 145MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 40MM 145MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 21FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR BARE STENT COVERED 46MM 155MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035IN GW,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 26MM 104MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 28MM 104MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 28MM 164MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 30MM 104MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 20FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 32MM 164MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 21FR 0.035IN,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 34MM 154MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 21FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 34MM 154MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 21FR 0.035IN,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 36MM 154MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 36MM 154MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035IN,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 38MM 154MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 38MM 154MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035IN,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 40MM 114MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 40MM 154MM NITINOL POLYESTER THORACIC STRAIGHT SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 22FR 0.035I,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 42MM 159MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 23FR 0.035IN,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR NON-BARE STENT COVERED 44MM 164MM NITINOL POLYESTER THORACIC TAPERED SELF-EXPANDING LOW-PROFILE CLASP RELEASE RELAYPRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 23FR 0.035IN,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR STENT 26MM 19FR 155MM THORACIC RELAYPRO 1/EA,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR STENT 26MM 19FR 164MM THORACIC RELAYPRO NBS 1/EA,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR STENT 32/28MM 20FR 155MM THORACIC RELAYPRO 1/EA,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR STENT 40/36MM 21FR 145MM THORACIC RELAYPRO 1/EA,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM GRAFT ENDOVASCULAR STENT 46/42MM 22FR 155MM THORACIC RELAYPRO 1/EA,18000.0,9000.0,3447.0,16200.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 10MM DIA 60MML 80CML NITINOL SUPERFICIAL FEMORAL/PROXIMAL POPLITEAL ARTERY SELF-EXPANDING W/6/8FR DIA SHEATH DELIVERY HANDLE SMART CONTROL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 10MM DIA 80MML 75CML PLATINOL TRANSHEPATIC RX SELF-EXPANDING NON-COVERED WALLFLEX LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE 1/EA 8FR SHEATH 0.035IN GUIDEWIRE COMPATIBLE,1950.0,975.0,373.43,1755.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 10MM DIA 80MML 80CML NITINOL TRANSHEPATIC SELF-EXPANDING W/6/7FR DIA SHEATH SMART CONTROL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 12MM 80MM 120CM NITINOL TRANSHEPATIC SELF-EXPANDING W/6/7FR SHEATH SMART CONTROL MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GW,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 14MM DIA 80MML 80CML NITINOL TRANSHEPATIC SELF-EXPANDING W/6-7FR SHEATH DELIVERY HANDLE SMART CONTROL LATEX-FREE NON-RADIOLUCENT 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 17MM 75CM 6MM X 20MM BLN STAINLESS STEEL ILIAC ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED EXPRESS LD MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GW 6FR SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,SYSTEM STENT BILIARY 4MM DIA 19MML 150CML STAINLESS STEEL RX BALLOON EXPANDING PRE-MOUNTED EXPRESS SD MONORAIL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 5FR SHEATH,585.0,292.5,112.03,526.5,65
HCPCS,C1876,SYSTEM STENT BILIARY 4MM DIA 8CML 125CML NITINOL OTW SELF-EXPANDING PRE-LOADED ZILVER 518 LATEX-FREE NON-RADIOLUCENT STERILE 5FR SHEATH 0.018IN GUIDEWIRE COMPATIBLE,650.0,325.0,124.48,585.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 5MM DIA 18MML 80CML COBALT CHROMIUM TRANSHEPATIC OTW BALLOON-EXPANDING PALMAZ BLUE LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 5FR SHEATH 0.018IN GUIDEWIRE COMPATIBLE CLOSED CELL,840.0,420.0,160.86,756.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 6MM DIA 18MML 80CML STAINLESS STEEL BALLOON EXPANDING MOUNTED VALEO LATEX-FREE MRI-CONDITIONAL 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 7MM DIA 18MML 80CML COBALT CHROMIUM TRANSHEPATIC OTW BALLOON-EXPANDING PALMAZ BLUE LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 5FR SHEATH 0.018IN GUIDEWIRE COMPATIBLE CLOSED CELL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 7MM DIA 19MML 150CML STAINLESS STEEL RX BALLOON EXPANDING PRE-MOUNTED EXPRESS SD MONORAIL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 7FR SHEATH,525.0,262.5,100.54,472.5,65
HCPCS,C1876,SYSTEM STENT BILIARY 7MM LARGE 26MM 80CM STAINLESS STEEL TRANSHEPATIC BALLOON-EXPANDING MOUNTED W/SLALOM CATH PALMAZ GENESIS 0.018IN GW 5/6FR SHEATH 7/8FR GUIDE CATH CLOSED CELL,550.0,275.0,105.33,495.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 8MM DIA 26MML 80CML STAINLESS STEEL BALLOON EXPANDING MOUNTED VALEO LATEX-FREE MRI-CONDITIONAL 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT BILIARY 8MM DIA 60MML 135CML STAINLESS STEEL ILIAC ARTERY OTW BALLOON EXPANDING PRE-MOUNTED EXPRESS LD LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 6FR SHEATH,585.0,292.5,112.03,526.5,65
HCPCS,C1876,SYSTEM STENT BILIARY 9MM DIA 80MML 80CML NITINOL TRANSHEPATIC SELF-EXPANDING SMART CONTROL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 6/7FR SHEATH 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT CAROTID 8MM DIA 30MML TRANSCAROTID F/ARTERIAL SHEATH ENROUTE STERILE SINGLE-USE,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1876,SYSTEM STENT CORONARY DRUG ELUTING 3.5MM DIA 9MML 140CML ZOTAROLIMUS BARE METAL OTW BALLOON EXPANDING PRE-MOUNTED SEMI-COMPLIANT LOW CROSSING THIN STRUT F/MEDIUM/LARGE VESSEL INTEGRITY LATEX-FREE NON-,375.0,187.5,71.81,337.5,65
HCPCS,C1876,SYSTEM STENT VASCULAR 12MM 100MM 80CM SELF-EXPANDING ZILVER VENA 0.035IN GW 7FR SHEATH,1799.0,899.5,344.51,1619.1,65
HCPCS,C1876,SYSTEM STENT VASCULAR 12MM 140MM 80CM SELF-EXPANDING ZILVER VENA 0.035IN GW 7FR SHEATH,1799.0,899.5,344.51,1619.1,65
HCPCS,C1876,SYSTEM STENT VASCULAR 14MM 140MM 80CM SELF-EXPANDING ZILVER VENA 0.035IN GW 7FR SHEATH,1799.0,899.5,344.51,1619.1,65
HCPCS,C1876,SYSTEM STENT VASCULAR 16MM 100MM 80CM SELF-EXPANDING ZILVER VENA 0.035IN GW 7FR SHEATH,1799.0,899.5,344.51,1619.1,65
HCPCS,C1876,SYSTEM STENT VASCULAR 16MM 140MM 80CM SELF-EXPANDING ZILVER VENA 0.035IN GW 7FR SHEATH,1799.0,899.5,344.51,1619.1,65
HCPCS,C1876,SYSTEM STENT VASCULAR 5MM DIA 40MML 135CML CAROTID ARTERY RX PRE-LOADED SELF-EXPANDING W/5/6FR DIA SHEATH PRECISE PRO MRI-CONDITIONAL NON-RADIOLUCENT 0.014IN GUIDEWIRE COMPATIBLE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 6FR DIA 3.5-6MM DIA 135CML NITINOL W/RADIOPAQUE MARKER TACK STERILE 1/EA,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 6MM 120MM 120CM NITINOL SUPERFICIAL FEMORAL ARTERY SELF-EXPANDING W/6/8FR SHEATH SMART CONTROL MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GW,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 6MM 150MM 120CM NITINOL SUPERFICIAL FEMORAL ARTERY SELF-EXPANDING W/6/8FR SHEATH SMART CONTROL MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GW,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 6MM DIA 80MML 80CML NITINOL ILIAC ARTERY SELF-EXPANDING W/6FR SHEATH SMART CONTROL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 7MM DIA 20MML 135CML CAROTID ARTERY RX PRE-LOADED SELF-EXPANDING W/5/6FR DIA SHEATH PRECISE PRO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 0.014IN GUIDEWIRE COMPATIBLE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 7MM DIA 80MML 80CML NITINOL ILIAC ARTERY SELF-EXPANDING W/6FR SHEATH SMART CONTROL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GUIDEWIRE COMPATIBLE,450.0,225.0,86.18,405.0,65
HCPCS,C1876,SYSTEM STENT VASCULAR 8MM DIA 80MML 80CML ILIAC ARTERY SELF-EXPANDING W/6FR DIA SHEATH SMART CONTROL LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT 0.035IN GUIDEWIRE COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1876,VENOVO VENOUS STENT 14MMX120MMX120CM,1300.0,650.0,248.95,1170.0,65
HCPCS,C1877,BONASTENT TB 20MM X 4CM,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1877,BONASTENT TB 20MM X 6CM,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1877,DUO EXTEND STENT 12MMX120MMX120CM 9F,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1877,DUO EXTEND STENT 14MMX120MMX120CM 9F,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1877,DUO HYBRID STENT 14MMX120MMX120CM 9F,2600.0,1300.0,497.9,2340.0,65
HCPCS,C1877,DUO HYBRID STENT 16MMX140MMX120CM 10F,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1877,DUO HYBRID STENT 16MMX160MMX120CM 10F,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1877,STENT BONASTENT 10MM 8FR 20MM 900MM DELIVERY DEVICE TRACHEOBRONCHIAL,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1877,STENT BONASTENT 10MM 8FR 30MM 900MM DELIVERY DEVICE TRACHEOBRONCHIAL,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1877,STENT BONASTENT 10MM 8FR 40MM 900MM DELIVERY DEVICE TRACHEOBRONCHIAL,2495.0,1247.5,477.79,2245.5,65
HCPCS,C1877,STENT COCR OD5 MM ID5 FR L11 MM L80 CM OTW DELIVERY SYSTEM CLOSED CELL BALLOON EXPAND CORDIS PALMAZ BLUE BILIARY L15 MM ACCEPTS .018 IN GUIDEWIRE 6 FR GUIDE CATHETER TRANSHEPATIC,840.0,420.0,160.86,756.0,65
HCPCS,C1877,STENT E-LUMINEXX 9MM 6FR 20MM 135CM CATHETER GUIDEWIRE .035IN BILIARY,1493.5,746.75,286.01,1344.15,65
HCPCS,C1877,STENT E-LUMINEXX SAFE PERFORMAXX 10MM 6FR 40MM 80CM DELIVERY SYSTEM RADIOPAQUE CATHETER GUIDEWIRE .035IN NITINOL VASCULAR,1493.5,746.75,286.01,1344.15,65
HCPCS,C1877,STENT INTRASTENT MEGA LD 3.8 36MM BILIARY,900.0,450.0,172.35,810.0,65
HCPCS,C1877,STENT NITINOL OD9 MM CAROTID ARTERY L40 MM L132 CM SELF EXPANDABLE RAPID EXCHANGE LOW PROFILE OPEN CELL ACCULINK VASCULAR ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER STRAIGHT,1800.0,900.0,344.7,1620.0,65
HCPCS,C1877,STENT NITINOL OD9 MM PERIPHERAL L100 MM L135 CM OTW RADIOPAQUE SELF EXPAND TRIAXIAL ABSOLUTE PRO VASCULAR ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,475.0,237.5,90.96,427.5,65
HCPCS,C1877,STENT OD10 MM PERIPHERAL L100 MM L135 CM OTW SELF EXPAND ABSOLUTE PRO VASCULAR,475.0,237.5,90.96,427.5,65
HCPCS,C1877,STENT TRYTON 2.5-3MM 19MM 140CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE SIDE BRANCH .02IN COCR NYLON CORONARY ACCEPTS .014IN GUIDEWIRE 5FR GUIDE CATHETER,1300.0,650.0,248.95,1170.0,65
HCPCS,C1877,STENT TRYTON 2.5MM 19MM 140CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE SIDE BRANCH .02IN COCR NYLON CORONARY ACCEPTS .014IN GUIDEWIRE 5FR GUIDE CATHETER,1300.0,650.0,248.95,1170.0,65
HCPCS,C1877,STENT TRYTON 3-3.5MM 15MM 140CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE SIDE BRANCH .02IN COCR NYLON CORONARY ACCEPTS .014IN GUIDEWIRE 5FR GUIDE CATHETER,1300.0,650.0,248.95,1170.0,65
HCPCS,C1877,STENT TRYTON 3.5-4MM 15MM 140CM RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE SIDE BRANCH .02IN COCR NYLON CORONARY ACCEPTS .014IN GUIDEWIRE 6FR GUIDE CATHETER,1300.0,650.0,248.95,1170.0,65
HCPCS,C1877,SYSTEM CORONARY STENT L16 MM OD2.8 MM GRAFTMASTER RAPID EXCHANGE STAINLESS STEEL EPTFE GRAFT SYSTEM,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1877,SYSTEM CORONARY STENT L16 MM OD3.5 MM GRAFTMASTER RAPID EXCHANGE STAINLESS STEEL EPTFE GRAFT SYSTEM,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1877,SYSTEM CORONARY STENT L16 MM OD4 MM GRAFTMASTER RAPID EXCHANGE STAINLESS STEEL EPTFE GRAFT SYSTEM,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1877,SYSTEM CORONARY STENT L19 MM OD2.8 MM GRAFTMASTER RAPID EXCHANGE STAINLESS STEEL EPTFE GRAFT SYSTEM,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1877,SYSTEM CORONARY STENT L19 MM OD3.5 MM GRAFTMASTER RAPID EXCHANGE STAINLESS STEEL EPTFE GRAFT SYSTEM,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1877,SYSTEM CORONARY STENT L19 MM OD4 MM GRAFTMASTER RAPID EXCHANGE STAINLESS STEEL EPTFE GRAFT SYSTEM,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1878,KIT IMPLANT OTOLARYNGOLOGY VOCAL FOLD CALCIUM HYDROXYLAPATITE 1ML PREFILLED INJECTABLE W/NEEDLE PROLARYN PLUS NON-PYROGENIC STERILE,735.0,367.5,140.75,661.5,65
HCPCS,C1880,FILTER BTG SENTRY BIOCONVERTIBLE IVC,1250.0,625.0,239.38,1125.0,65
HCPCS,C1880,FILTER EMBOLIZATION L100 CM INTRODUCER SHEATH LOW PROFILE OPEN LUMEN OD30- MM ID5 FR OPTION ELITE VENA CAVA,1050.0,525.0,201.08,945.0,65
HCPCS,C1880,FILTER EMBOLIZATION VENA CAVA FEMORAL DELIVERY KIT STERILE LATEX FREE DISPOSABLE NITINOL DENALI,1775.0,887.5,339.91,1597.5,65
HCPCS,C1880,FILTER EMBOLIZATION VENA CAVA JUGULAR DELIVERY KIT STERILE LATEX FREE DISPOSABLE NITINOL DENALI,1775.0,887.5,339.91,1597.5,65
HCPCS,C1880,FILTER IVC L70 CM DELIVERY SHEATH CURVE PUSHER OD32- MM ID5 FR OPTION ELITE FEMORAL JUGULAR ACCESS,1050.0,525.0,201.08,945.0,65
HCPCS,C1880,SET FILTER VASCULAR 30MM DIA 8.5FR DIA INTRODUCER 48MML 65CML NITINOL FEMORAL VENA CAVA W/3-WAY STOPCOCK ANGIOGRAPHIC DILATOR PRE LOADED CATHETER CELECT LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,1200.0,600.0,229.8,1080.0,65
HCPCS,C1880,SYSTEM FILTER VASCULAR UPTO 32MM DIA 70CML VENA CAVA 1-PIECE LOW-PROFILE OPTION LATEX-FREE STERILE DISPOSABLE,1050.0,525.0,201.08,945.0,65
HCPCS,C1883,55CM 8 CONTACT EXTENSION,500.0,250.0,95.75,450.0,65
HCPCS,C1883,ACCESSORY NEUROSTIMULATOR L55CM 16 CONTACT EXTENSION KIT VERCISE CARTESIA,1800.0,900.0,344.7,1620.0,65
HCPCS,C1883,ADAPTER LEAD 17CM LEFT VENTRICLE IS-1 CONNECTOR LEVEL1 UNIPOLAR BIPOLAR IMPLANTABLE 4403,500.0,250.0,95.75,450.0,65
HCPCS,C1883,ADAPTER LEAD 60CM 8 CHANNEL M,850.0,425.0,162.78,765.0,65
HCPCS,C1883,ADAPTER LEAD L17 CM IS-1 CONNECTOR LEVEL1 UNIPOLAR BIPOLAR IMPLANTABLE LEFT VENTRICLE,500.0,250.0,95.75,450.0,65
HCPCS,C1883,ADAPTER NEUROSTIMULATOR 2MM 4MM SPINAL CORD STIMULATION POCKET STERILE LATEX FREE DISPOSABLE,900.0,450.0,172.35,810.0,65
HCPCS,C1883,ADAPTOR LEAD 15CM BY OSCOR,500.0,250.0,95.75,450.0,65
HCPCS,C1883,ELECTRODE NEUROSTIMULATOR INTERSTIM L100 CM 2.16MM SPACING,80.0,40.0,15.32,72.0,65
HCPCS,C1883,EXTENDER LEAD 17CM OSCOR,500.0,250.0,95.75,450.0,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR 20CM 4.7-1.3MM RESTORE SPINAL CORD 8 CONNECTOR OCTAPOLAR INLINE,650.0,325.0,124.48,585.0,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR 40CML BILATERAL MARKER SINGLE SET SCREW CONNECTION F/DEEP BRAIN STIMULATION DIRECTIONAL LEAD SYSTEM SENSIGHT,994.0,497.0,190.35,894.6,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR 40CML PERCUTANEOUS SINGLE-COIL W/O TUNNELING TOOL F/SPINAL STIMULATION STRETCH-COIL DEEP BRAIN,773.53,386.77,148.13,696.18,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR 40CML SINGLE SET SCREW CONNECTION F/DEEP BRAIN STIMULATION DIRECTIONAL LEAD SYSTEM SENSIGHT,994.0,497.0,190.35,894.6,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR 55CM SPINAL CORD PHASE III,800.0,400.0,153.2,720.0,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR 60CM 1.3-3.8MM 1.5MM STANDARD QUADRIPOLAR DISTAL OCTAPOLAR PROXIMAL CONNECTOR INLINE LEAD DEEP BRAIN STIMULATION STERILE,773.53,386.77,148.13,696.18,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR AXONICS PERCUTANEOUS STERILE LATEX FREE,91.0,45.5,19.85,81.9,64
HCPCS,C1883,EXTENSION NEUROSTIMULATOR CABLE 30CML 8-CONTACT,650.0,325.0,124.48,585.0,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR CABLE 35CML 4-CONTACT,650.0,325.0,124.48,585.0,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR L35 CM PHASE III LEAD PRECISION,800.0,400.0,153.2,720.0,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR L60 CM DBS,994.0,497.0,190.35,894.6,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR L60 CM RADIOPAQUE DBS,994.0,497.0,190.35,894.6,65
HCPCS,C1883,EXTENSION NEUROSTIMULATOR NO TUNNEL TOOL DBS,773.53,386.77,148.13,696.18,65
HCPCS,C1883,HC SINGLE 8 EXTENSION( 20 30 60 CM),3436.15,1718.08,658.02,3092.54,65
HCPCS,C1883,KIT ADAPTER NEUROSTIMULATOR 15CML W/M8 TORQUE WRENCH VERCISE,1000.0,500.0,218.1,900.0,64
HCPCS,C1883,KIT LEAD EXTENSION 55CM 2X8,1850.0,925.0,354.28,1665.0,65
HCPCS,C1883,KIT NEUROSTIMULATOR L50 CM LEAD EXTENSION AXIUM,663.0,331.5,126.96,596.7,65
HCPCS,C1883,KIT NEUROSTIMULATOR REMOTE CONTROL FREELINK,1104.0,552.0,211.42,993.6,65
HCPCS,C1883,KIT NEUROSTIMULATOR TRIAL WAVEWRITER ALPHA,50.0,25.0,9.58,45.0,65
HCPCS,C1883,KIT PACING 37CM BIPOLAR IS-1,20.0,10.0,3.83,18.0,65
HCPCS,C1883,KIT STIMULATOR 2X8 SPLITTER PRECISION,1100.0,550.0,239.91,990.0,64
HCPCS,C1883,KIT STIMULATOR ANCHOR NEVRO DISPOSABLE STERILE LATEX FREE N300,135.0,67.5,25.85,121.5,65
HCPCS,C1883,STIMULATOR LEAD EXTENSION PRECISION NERVE L25 CM SPINAL CORD,800.0,400.0,153.2,720.0,65
HCPCS,C1884,GUIDEWIRE VASCULAR EMBOLIC CAPTURE 0.014IN 180CM NITINOL POLYURETHANE MEDIUM SUPPORT FLOPPY W/INTRODUCER DEPLOYMENT SHEATH F/4.5-5.5MM VESSEL ANGIOGUARD RX,1105.0,552.5,241.0,994.5,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION ACCUNET 6.5MM 5-6MM 190CM .014IN RADIOPAQUE RAPID EXCHANGE LOW PROFILE GUIDEWIRE STERILE DISPOSABLE ACCEPTS 6FR SHEATH 8FR GUIDE CATHETER,1350.0,675.0,294.44,1215.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION FILTERWIRE EZ 2.25-3.5MM 190CM .014IN 110UM GUIDEWIRE FILTER RADIOPAQUE SPRING COIL TIP NITINOL PTFE CAROTID ARTERY STERILE DISPOSABLE ACCEPTS 6FR GUIDE CATHETER,1275.0,637.5,278.08,1147.5,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION FILTERWIRE EZ 6FR 3.5-5.5MM 190CM .014IN 110UM 3.2FR GUIDEWIRE FILTER LOOP SPINNER TUBE NITINOL POLYURETHANE PTFE CAROTID ARTERY,1275.0,637.5,278.08,1147.5,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION FILTERWIRE EZ 6FR 3.5-5.5MM 300CM .014IN 110UM 3.2FR GUIDEWIRE FILTER LOOP SPINNER TUBE NITINOL POLYURETHANE PTFE CAROTID ARTERY,1275.0,637.5,278.08,1147.5,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L190 CM .014 IN LARGE CAROTID ARTERY OD4-7 MM ODSEC5-6 FR GUIDEWIRE RADIOPAQUE STAINLESS STEEL PTFE EMBOSHIELD NAV6,1350.0,675.0,294.44,1215.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L190 CM .014 IN SMALL CAROTID ARTERY OD2.5-4.8 MM ODSEC5-6 FR GUIDEWIRE RADIOPAQUE STAINLESS STEEL PTFE EMBOSHIELD NAV6,1350.0,675.0,294.44,1215.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L190 CM 4 MM CAROTID OD.014 IN RADIOPAQUE FILTER CAPTURE WIRE BRAID NITINOL TUNGSTEN GOLD SPIDERFX ACCEPTS .066 IN GUIDE CATHETER,1150.0,575.0,250.82,1035.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L190 CM CAROTID OD5 MM RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER TUNGSTEN NITINOL SPIDERFX GOLD,1150.0,575.0,250.82,1035.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L320 CM 3 MM CAROTID OD.014 IN RADIOPAQUE FILTER CAPTURE WIRE BRAID NITINOL TUNGSTEN GOLD SPIDERFX ACCEPTS .066 IN GUIDE CATHETER,900.0,450.0,196.29,810.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L320 CM 4 MM CAROTID OD.014 IN RADIOPAQUE FILTER CAPTURE WIRE BRAID NITINOL TUNGSTEN GOLD SPIDERFX ACCEPTS .066 IN GUIDE CATHETER,900.0,450.0,196.29,810.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L320 CM 7 MM CAROTID OD.014 IN RADIOPAQUE FILTER CAPTURE WIRE BRAID NITINOL TUNGSTEN GOLD SPIDERFX ACCEPTS .066 IN GUIDE CATHETER,900.0,450.0,196.29,810.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L320 CM CAROTID OD5 MM RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER TUNGSTEN NITINOL SPIDERFX GOLD,900.0,450.0,196.29,810.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L320 CM CAROTID OD6 MM RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER TUNGSTEN NITINOL SPIDERFX GOLD,900.0,450.0,196.29,810.0,64
HCPCS,C1884,SYSTEM EMBOLIC PROTECTION L6 CM CEREBRAL PROXIMAL OD9 FR ID.083 IN 2 OCCLUSION BALLOON SHEATH RADIOPAQUE RUBBER MOMA ULTRA ACCEPTS .035 IN GUIDEWIRE,1615.0,807.5,352.23,1453.5,64
HCPCS,C1885,CATHETER ATHERECTOMY 1.5MM 150CM AURYON OTW STERILE DISPOSABLE,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1885,CATHETER ATHERECTOMY 2.3MM .091IN 120CM TURBO-POWER .081IN LASER MAXIMAL LUMINAL GAIN STERILE LATEX FREE DISPOSABLE ACCEPTS .018IN GUIDEWIRE 7FR SHEATH,3595.0,1797.5,784.07,3235.5,64
HCPCS,C1885,CATHETER ATHERECTOMY 2MM .081IN 150CM TURBO-POWER 3+ MM LASER ACCEPTS .018IN GUIDEWIRE 6FR SHEATH,3595.0,1797.5,784.07,3235.5,64
HCPCS,C1885,CATHETER ATHERECTOMY L135 CM OD2 MM ID.014 IN AURYON EXIMO HYDROPHILIC,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1885,CATHETER ATHERECTOMY L150 CM OTW OD.9 MM ODSEC4 FR AURYON HYDROPHILIC ACCEPTS .014 IN GUIDEWIRE,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1886,APPLICATOR CRYOABLATION 14CML STAINLESS STEEL W/THERMOCOUPLE SOLERO MICROWAVE,3570.0,1785.0,778.62,3213.0,64
HCPCS,C1886,APPLICATOR CRYOABLATION 29CML STAINLESS STEEL W/THERMOCOUPLE SOLERO MICROWAVE,3570.0,1785.0,778.62,3213.0,64
HCPCS,C1886,APPLICATOR SURGICAL L19 CM MICROWAVE TISSUE ABLATION SYSTEM SOLERO,3856.0,1928.0,840.99,3470.4,64
HCPCS,C1886,CATHETER CRYOABLATION FOCAL PEAR CRYOBALLOON,2650.0,1325.0,577.97,2385.0,64
HCPCS,C1886,CATHETER CRYOABLATION STANDARD 30MML FOCAL FLEXIBLE CRYOBALLOON,2100.0,1050.0,458.01,1890.0,64
HCPCS,C1886,CATHETER ELECTROSURGICAL 8FR DIA 180CML BIPOLAR HABIB,1595.0,797.5,347.87,1435.5,64
HCPCS,C1886,DEVICE CERENE CRYOTHERAPY,1000.0,500.0,218.1,900.0,64
HCPCS,C1886,HANDPIECE ULTRASONIC ASPIRATOR SONATA RADIOFREQUENCY ABLATION HANDPIECE STERILE,3450.0,1725.0,752.45,3105.0,64
HCPCS,C1886,KIT SONATA CASE,3500.0,1750.0,763.35,3150.0,64
HCPCS,C1886,PROBE ABLATION L25 CM MICROWAVE OD13 GA NEUWAVE SR,2100.0,1050.0,458.01,1890.0,64
HCPCS,C1886,PROBE COAGULATION 7.2FT 6.9FR FIAPC CIRCUMFERENTIAL PLUG PLAY FUNCTIONALITY FILTER,2550.0,1275.0,556.16,2295.0,64
HCPCS,C1886,PROBE ELECTROSURGICAL 220CM 2.3MM FIAPC FLEXIBLE SIDE FIRE STERILE DISPOSABLE,2550.0,1275.0,556.16,2295.0,64
HCPCS,C1886,PROBE ELECTROTHERAPY L10 MM 2 RADIOFREQUENCY OD17 GA OSTEOCOOL,5546.0,2773.0,1209.58,4991.4,64
HCPCS,C1886,PROBE ELECTROTHERAPY L15 MM 2 RADIOFREQUENCY OD17 GA OSTEOCOOL,5546.0,2773.0,1209.58,4991.4,64
HCPCS,C1886,PROBE ELECTROTHERAPY L7 MM RADIOFREQUENCY OD17 GA OSTEOCOOL L2 MM,5546.0,2773.0,1209.58,4991.4,64
HCPCS,C1886,SET THERMOABLATION GENESYS HTA PROCERVA STERILE LATEX FREE DISPOSABLE,1460.0,730.0,318.43,1314.0,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 6F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 105CM BER",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 6F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 105CM SIM2",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 6F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 115CM BER",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 6F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 115CM SIM2",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 6F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 95CM BER",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 6F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 95CM SIM2",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 7F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 105CM BER",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 7F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 105CM SIM2",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 7F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 95CM BER",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,"ACCESS SYSTEM ZEBRA 7F NEUROVASCULAR (INCLUDES CATHETER, DILATOR AND SELCT CATHETER) 95CM SIM2",1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,BALLOON CATHETER FIXATION 2FR 2.4MM X 10MM TRAPPER EXCHANGE,545.0,272.5,118.86,490.5,64
HCPCS,C1887,BALLOON SIZING L70 CM 3 LUMEN SOFT DISTAL TIP FLEXIBLE SHAFT RADIOPAQUE OD7 FR AMPLATZER L4.5 CM ACCEPTS .035 IN GUIDEWIRE,310.0,155.0,67.61,279.0,64
HCPCS,C1887,BALLOON SIZING L70 CM 3 LUMEN SOFT DISTAL TIP FLEXIBLE SHAFT RADIOPAQUE OD8 FR AMPLATZER L5.5 CM ACCEPTS .035 IN GUIDEWIRE,310.0,155.0,67.61,279.0,64
HCPCS,C1887,BRONCHOSCOPE FLEXIBLE CATHETER FULLY ARTICULATING 8-LIFE IF 1000 ION,7800.0,3900.0,1701.18,7020.0,64
HCPCS,C1887,CATH ARMADILLO 7FR 95CM,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,CATH ATTAIN COMMAND 6250EH01DCD,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATH CHOL 6F 40CM,58.0,29.0,12.65,52.2,64
HCPCS,C1887,CATH FRONTRUNNER 4.5X127CM,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATH GUIDE ACUITY HK 54CM,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATH GUIDE ACUITY IC130 63CM,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATH GUIDE ACUITY STR 54CM,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATH GUIDE ACUITY WD 54CM,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATH GUIDE CONVEY 7F JR4,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATH GUIDE LAUNCHER 5F ERADLST,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATH GUIDE LAUNCHER 6F CHAMP10,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATH MICRO ASAHI CORSAIR 150CM,850.0,425.0,185.39,765.0,64
HCPCS,C1887,CATH TEMPO FLUSH PIG 5F 65,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER .035 IN RDC CURVE OD8 FR L55 CM GUIDING VISTA BRITE TIP,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER 1.9FR 15MM SPACE 135CM QUICK-CROSS EXTREME RADIOPAQUE LOW PROFILE TAPER TIP GUIDING STAINLESS STEEL HYDROPHILIC STERILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER 115 D ID7 FR L39 CM GUIDING SELECTRA,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 130 D ID7 FR L39 CM GUIDING SELECTRA,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 130 D ID7 FR L42 CM GUIDING SELECTRA,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 170 D ID7 FR L42 CM GUIDING SELECTRA,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 2.1FR .038-.044IN 45D 15MM SPACE 150CM QUICK-CROSS SELECT LOW PROFILE TAPER TIP RADIOPAQUE BRAID 4MM GUIDING STAINLESS STEEL HYDROPHILIC DISPOSABLE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 5FR GUI,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER 2.4MM 1.8MM 40CM GUIDING STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 3.2FR 50MM SPACE 150CM QUICK-CROSS RADIOPAQUE GUIDING ACCEPTS GUIDEWIRE .035IN 5FR SHEATH,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER 3.3FR CB CURVE 60CM SIDEHOLE MONGOOSE ANGIOGRAPHIC PEDIATRIC ACCEPTS .03IN GUIDEWIRE,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER 3.3FR JL1 CURVE 60CM SIDEHOLE MONGOOSE ANGIOGRAPHIC PEDIATRIC ACCEPTS .03IN GUIDEWIRE,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER 3.3FR JR1 CURVE 60CM SIDEHOLE MONGOOSE ANGIOGRAPHIC PEDIATRIC ACCEPTS .03IN GUIDEWIRE,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER 3.3FR MP CURVE 60CM SIDEHOLE MONGOOSE ANGIOGRAPHIC PEDIATRIC PERIPHERAL ACCEPTS .03IN GUIDEWIRE,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER 3.3FR PIGTAIL CURVE 60CM SIDEHOLE MONGOOSE ANGIOGRAPHIC PEDIATRIC PERIPHERAL ACCEPTS .03IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER 3.3FR PIGTAIL CURVE 80CM SIDEHOLE MONGOOSE ANGIOGRAPHIC PEDIATRIC PERIPHERAL ACCEPTS .03IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER 3DRC CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE THREE DIMENSIONAL CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 3DRC CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 4FR C2 CURVE 100CM 2 BRAID GLIDECATH RADIFOCUS ANGIOGRAPHIC STAINLESS STEEL HYDROPHILIC VISCERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER 4FR KA2 CURVE 30CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,70.0,35.0,15.27,63.0,64
HCPCS,C1887,CATHETER 4FR KA2 CURVE 40CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 4FR MIKAELSSON 90CM SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL STERILE ACCEPTS .035IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 4FR OMNI CURVE 90CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 4FR PIGTAIL CURVE 65CM 10 SIDEHOLE RADIOPAQUE FLUSH TAPER TIP IMPRESS ANGIOGRAPHIC POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 4FR SIDEWINDER 2 CURVE 100CM RADIOPAQUE SELECTIVE ULTRA TORQUE SHAFT BRAID SOFT-VU ANGIOGRAPHIC CEREBRAL ACCEPTS .035IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER 4FR SOS OMNI 2 CURVE 80CM RADIOPAQUE SELECTIVE ULTRA TORQUE SHAFT BRAID SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .035IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER 5FR 1 CURVE 100CM RADIOPAQUE BRAID SELECTIVE IMAGER II ANGIOGRAPHIC CEREBRAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 5FR 1 CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR 1.8MM PIGTAIL CURVE 110CM NONBRAID SOFT-VU ANGIOGRAPHIC STERILE LATEX FREE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 5FR 30D MULTIAORTIC 3 CURVE 100CM LAUNCHER GUIDING CORONARY,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR 50CM FLOTATION STANDARD FLOW TAPER TIP ARROW-BERMAN ANGIOGRAPHIC PVC IPSILATERAL STERILE PINK ACCEPTS .032IN GUIDEWIRE 5FR INTRODUCER BALLOON OCCLUSION FEMORAL ANGIOGRAPY,142.0,71.0,30.97,127.8,64
HCPCS,C1887,CATHETER 5FR 80CM FLOTATION STANDARD FLOW TAPER TIP ARROW-BERMAN ANGIOGRAPHIC PVC IPSILATERAL STERILE ACCEPTS .032IN GUIDEWIRE 5FR INTRODUCER BALLOON OCCLUSION FEMORAL ANGIOGRAPY,139.0,69.5,30.32,125.1,64
HCPCS,C1887,CATHETER 5FR AL1.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR AL2.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR AL3 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR ANGLE HEADHUNTER 1 CURVE 100CM MULTIPURPOSE TORCON NB ADVANTAGE BEACON TIP ANGIOGRAPHIC STAINLESS STEEL NYLON CEREBRAL ACCEPTS .035IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR AP2 CURVE 110CM 12 SIDEHOLE RADIOPAQUE BRAID ATRAUMATIC TIP TORCON NB ADVANTAGE ANGIOGRAPHIC STAINLESS STEEL NYLON PULMONARY STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,95.0,47.5,20.72,85.5,64
HCPCS,C1887,CATHETER 5FR AR2 CURVE 100CM VISTA BRITE TIP EXTRA LARGE LUMEN RADIOPAQUE GUIDING STAINLESS STEEL NYLON PTFE CORONARY STERILE LATEX FREE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER 5FR BERENSTEIN CURVE 130CM BRAID MARINER ANGIOGRAPHIC HYDROPHILIC STERILE LATEX FREE,450.0,225.0,98.15,405.0,64
HCPCS,C1887,CATHETER 5FR BERN CURVE 100CM RADIOPAQUE BRAID SELECTIVE IMAGER II ANGIOGRAPHIC CEREBRAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 5FR BERN CURVE 65CM RADIOPAQUE BRAID SELECTIVE IMAGER II ANGIOGRAPHIC CEREBRAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 5FR BERN CURVE 65CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE CEREBRAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1887,CATHETER 5FR C1 CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR C1 CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR C2 CURVE 65CM BEACON ANGIOGRAPHIC STERILE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR CHG-C CURVE 80CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON TIP ANGIOGRAPHIC STAINLESS STEEL NYLON VISCERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR COBRA 2 CURVE 65CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .038IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR DAV CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR ERADL CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR ERADR CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR HSI CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR IL3.75 CURVE 100CM HEARTRAIL III LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT GUIDING PTFE CORONARY,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 5FR IR1 CURVE 100CM HEARTRAIL III LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT GUIDING PTFE CORONARY,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 5FR KA2 CURVE 65CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC LEGATO STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,32.0,16.0,6.98,28.8,64
HCPCS,C1887,CATHETER 5FR KMP CURVE 40CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON TIP ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR KMP CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR LARA CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR LEV1 CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR LONG IM CURVE 100CM VISTA BRITE TIP EXTRA LARGE LUMEN RADIOPAQUE GUIDING STAINLESS STEEL NYLON PTFE CORONARY STERILE LATEX FREE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER 5FR LONG JR4 CURVE 100CM VISTA BRITE TIP EXTRA LARGE LUMEN RADIOPAQUE GUIDING STAINLESS STEEL NYLON PTFE CORONARY STERILE LATEX FREE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER 5FR LONG MPA1 CURVE 100CM VISTA BRITE TIP EXTRA LARGE LUMEN RADIOPAQUE GUIDING STAINLESS STEEL NYLON PTFE CORONARY STERILE LATEX FREE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER 5FR LONG XB3.5 CURVE 100CM VISTA BRITE TIP EXTRA LARGE LUMEN RADIOPAQUE GUIDING STAINLESS STEEL NYLON PTFE CORONARY STERILE LATEX FREE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER 5FR MAC3 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR MAC3.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR MIK CURVE 80CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR MIKAL CURVE 80CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR MPA CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR MPA CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR MPA1 CURVE 65CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1887,CATHETER 5FR MPC CURVE 90CM ENVOY LARGE INNER LUMEN RADIOPAQUE BRAID SOFT DISTAL TIP GUIDING STAINLESS STEEL NYLON POLYURETHANE PTFE NEUROVASCULAR,456.0,228.0,99.45,410.4,64
HCPCS,C1887,CATHETER 5FR MRESS CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR OMNI CURVE 100CM 20CM RADIOPAQUE FLUSH SEGMENT SIZING ACCU-VU ANGIOGRAPHIC ACCEPTS .035IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER 5FR OMNI CURVE 65CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .035IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 5FR OMNI CURVE 70CM 20CM RADIOPAQUE FLUSH SEGMENT SIZING ACCU-VU ANGIOGRAPHIC ACCEPTS .035IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER 5FR OMNI CURVE 70CM 2CM RADIOPAQUE FLUSH SEGMENT SIZING ACCU-VU ANGIOGRAPHIC ACCEPTS .038IN GUIDEWIRE,240.0,120.0,52.34,216.0,64
HCPCS,C1887,CATHETER 5FR OMNI CURVE 90CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .035IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 5FR OMNI FLUSH CURVE 100CM RADIOPAQUE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC ACCEPTS .038IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 5FR PIGTAIL CURVE 65CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC ACCEPTS .035IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER 5FR PIGTAIL CURVE 90CM 10 SIDEHOLE RADIOPAQUE FLUSH TAPER TIP IMPRESS ANGIOGRAPHIC POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,110.0,55.0,23.99,99.0,64
HCPCS,C1887,CATHETER 5FR RDC CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON TIP ANGIOGRAPHIC STAINLESS STEEL NYLON VISCERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR RIM CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR RIM CURVE 65CM RADIOPAQUE BRAID ATRAUMATIC TIP TORCON NB ADVANTAGE ANGIOGRAPHIC STAINLESS STEEL NYLON VISCERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER 5FR RIM CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR RRAD CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR SIDEWINDER 2 CURVE 100CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC CEREBRAL ACCEPTS .038IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR SIM1 CURVE 100CM BRAID SELECTIVE IMAGER II ANGIOGRAPHIC CEREBRAL ACCEPTS .038IN GUIDEWIRE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 5FR SIM1 CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR SIM1 CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR SIM1 CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR SIM2 CURVE 100CM RADIOPAQUE BRAID ATRAUMATIC TIP TORCON NB ADVANTAGE ANGIOGRAPHIC STAINLESS STEEL NYLON CEREBRAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE_2,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER 5FR SIM2 CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON TIP ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR SIM2 CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR SOS OMNI 0 CURVE 80CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .035IN GUIDEWIRE,72.5,36.25,15.81,65.25,64
HCPCS,C1887,CATHETER 5FR SOS OMNI 0 CURVE 80CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .038IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR STANDARD JL4.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR STANDARD JL5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR STANDARD JR4.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR STANDARD JR5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 5FR STRAIGHT ART CURVE TAPER 90CM 1CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC CEREBRAL ACCEPTS .035IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR TEGT CURVE 100CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR TIG3.5 CURVE 100CM CONVEY LARGE INNER LUMEN RADIOPAQUE ULTRATHIN 1X2 FLAT WIRE BRAID GUIDING HYDROPHILIC TRANSRADIAL STERILE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 5FR VANSCHIE 3 CURVE 65CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,140.0,70.0,30.53,126.0,64
HCPCS,C1887,CATHETER 5FR VERT CURVE 100CM RADIOPAQUE BRAID TAPER TIP BEACON TIP TORCON NB ADVANTAGE ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR VERT CURVE 100CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR VERT CURVE 125CM RADIOPAQUE BRAID TAPER TIP IMPRESS ANGIOGRAPHIC STAINLESS STEEL POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER 5FR VERT CURVE 125CM RADIOPAQUE BRAID TAPER TIP TORCON NB ADVANTAGE BEACON ANGIOGRAPHIC STAINLESS STEEL NYLON STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER 5FR VTK CURVE 125CM RADIOPAQUE BRAID ATRAUMATIC TIP TORCON NB ADVANTAGE ANGIOGRAPHIC STAINLESS STEEL NYLON CEREBRAL STERILE LATEX FREE ACCEPTS .038IN GUIDEWIRE,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER 5FR WR CURVE 100CM FULL LENGTH WIRE BRAID ROBUST SHAFT EXPO ANGIOGRAPHIC TRILON FEMORAL,39.25,19.63,8.56,35.33,64
HCPCS,C1887,CATHETER 5FR XB3 CURVE 100CM VISTA BRITE TIP EXTRA LARGE LUMEN RADIOPAQUE GUIDING STAINLESS STEEL NYLON PTFE CORONARY STERILE LATEX FREE BLUE YELLOW,107.1,53.55,23.36,96.39,64
HCPCS,C1887,CATHETER 6FR .071IN JUDKINS RIGHT 3.5 CURVE 100CM LAUNCHER SIDEHOLE LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY GUIDING NYLON CORONARY,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR 120CM GUIDEZILLA RADIOPAQUE HYPOTUBE SHAFT EXTENSION ATRAUMATIC TIP GUIDING STAINLESS STEEL POLYMER HYDROPHILIC,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER 6FR 150CM GUIDEZILLA II EXTENSION: RADIOPAQUE HYPOTUBE SHAFT ATRAUMATIC TIP GUIDING STAINLESS STEEL POLYMER HYDROPHILIC,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER 6FR 155D PIGTAIL CURVE 110CM 2 WIRE BRAID STIFF PROXIMAL SHAFT SOFT DISTAL SEGMENT IMPULSE ANGIOGRAPHIC PERIPHERAL CARDIAC,39.25,19.63,8.56,35.33,64
HCPCS,C1887,CATHETER 6FR 2.2MM RUNWAY GUIDING NONSTERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR 30D MAC3 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR 3DRIGHT CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR 63CM ACUITY BREAK-AWAY GUIDING STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 6FR 6F EBU3.75 CRV 100CM GUIDING STERILE LATEX FREE DISPOSABLE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR 90CM FLOTATION STANDARD FLOW TAPER TIP ARROW-BERMAN ANGIOGRAPHIC PVC IPSILATERAL STERILE PINK ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER BALLOON OCCLUSION FEMORAL ANGIOGRAPY,139.0,69.5,30.32,125.1,64
HCPCS,C1887,CATHETER 6FR AL.75 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AL.75 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR AL1 CURVE 100CM Z2 GUIDING PERIPHERAL CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AL1 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AL1 CURVE 125CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR AL2 CURVE 100CM Z2 GUIDING CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AL2 CURVE 90CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR AL3 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AR1 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AR1 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AR1 CURVE 90CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR AR2 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AR2 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR AR2 CURVE 90CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR ART3 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR ART3.5 CURVE 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR ART4 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR ART4 CURVE 100CM RUNWAY LARGE LUMEN SIDEHOLE RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR C2 CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR CHAMP2 CURVE 100CM LAUNCHER GUIDING,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR CLS3 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR CLS3.5 CURVE 110CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR CLS4 CURVE 85CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR CS-IC 130 CURVE 68CM ACUITY BREAK-AWAY INTEGRATE HEMOSTASIS VALVE INNER GUIDING CORONARY SINUS STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 6FR EBU3 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR EBU3 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR EBU4 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR EBU4.5 CURVE 100CM LAUNCHER GUIDING,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR ECR4.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR ERADLLT CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR ERADLST CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR ERADRST CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR FL4 CURVE 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR FL4 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR FR4 CURVE 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR FR4 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR HS CURVE 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR HS CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR HS CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR HSI CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR HSII CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR IL3.5 CURVE 100CM HEARTRAIL III RADIOPAQUE LARGE INNER LUMEN FLEXIBLE SHAFT GUIDING PTFE CORONARY,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR IL3.75 CURVE 100CM HEARTRAIL III LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT GUIDING PTFE CORONARY,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR IM CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR IM CURVE 90CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR IMA CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR IMA CURVE 55CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JACKY RADIAL 3.5 CURVE 100CM LARGE LUMEN 2 SIDEHOLE 2 BRAID SOFT TIP OPTITORQUE ANGIOGRAPHIC STAINLESS STEEL NYLON POLYURETHANE CORONARY,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER 6FR JL3 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL3 CURVE 100CM Z2 GUIDING CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JL3.5 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL3.5 CURVE 100CM RUNWAY LARGE LUMEN SIDEHOLE RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL3.5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JL4 CURVE 125CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL4.5 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JL5 CURVE 125CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL6 CURVE 100CM CONVEY LARGE INNER LUMEN SIDEHOLE RADIOPAQUE ULTRATHIN 1X2 FLAT WIRE BRAID GUIDING HYDROPHILIC FEMORAL STERILE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL6 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JL6 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JR3.5 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JR3.5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JR3.5 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JR4 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JR4 CURVE 100CM RUNWAY LARGE LUMEN SIDEHOLE RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JR4 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JR4 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR JR4.5 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR JR5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR KIMNY CURVE 110CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE TRANSRADIAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR LARA CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT INNER JACKET GUIDING NYLON POLYMER CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR LCB CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR LCB CURVE 90CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR LEFTBU3 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR LEFTBU3.5 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR LEFTBU3.75 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR LEFTBU4 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR LIMA CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR LONG 150CM GUIDEZILLA II EXTENSION: RADIOPAQUE HYPOTUBE SHAFT ATRAUMATIC TIP GUIDING STAINLESS STEEL POLYMER HYDROPHILIC,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER 6FR MB1 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR MB1 CURVE 90CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR MP CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR MP CURVE 90CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR MP1 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR MP1 CURVE 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR MP1 CURVE 125CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR MP2 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON NEURO STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR MP2 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR NOTO CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR PK1 CURVE 47CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER 6FR Q-CURVE 3.5 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR Q-CURVE 4 100CM RUNWAY LARGE LUMEN SIDEHOLE RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR Q-CURVE 4 125CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR RADIAL TIG 4 CURVE 110CM LARGE LUMEN SIDEHOLE 2 BRAID SOFT TIP OPTITORQUE ANGIOGRAPHIC STAINLESS STEEL NYLON POLYURETHANE CORONARY,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER 6FR RBU3.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RBU3.5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RBU4.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RCB CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RCB CURVE 90CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR RCB CURVE 90CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RDC CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 6FR RIGHT BACKUP 4 CURVE 100CM LAUNCHER SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RIGHT CURVE 100CM LAUNCHER 3D LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR RMHSII CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR STANDARD JL2.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR STANDARD JL3 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR STANDARD JR3 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR STANDARD JR4 CURVE 110CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 6FR STANDARD RDC CURVE 55CM LAUNCHER RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER 6FR VL3.5 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR VL4 CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 6FR WRP CURVE 100CM RUNWAY LARGE LUMEN RADIOPAQUE 4X2 ROUND BRAID GUIDING PTFE FEMORAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 7.1FR 130D 57CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS POSTERIOR STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 130D 65CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 130D LONG 65CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 90D 57CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS POSTERIOR STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 90D 65CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 90D LONG 65CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 90D SHORT 65CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS POSTERIOR STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.1FR 90D SHORT 65CM ATTAIN SELECT II SUREVALVE RADIOPAQUE LEAD DELIVERY SYSTEM GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 CORONARY SINUS STERILE LATEX FREE,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER 7.62FR 90D 59CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7.62FR 90D 65CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7.62FR ACUTE CURVE 59CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7.62FR ACUTE CURVE 65CM CPS AIM SL SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS STERILE LATEX FREE,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7.62FR CN-AL2 CURVE 65CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7.62FR CN-CSL CURVE 65CM CPS AIM SL SLITTABLE INNER GUIDING PEBAX CORONARY SINUS STERILE LATEX FREE,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7.62FR OBTUSE CURVE 59CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7FR 072 105CM ARMADILLO SLCTFLEX DILATOR,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,CATHETER 7FR 115D 42CM SELECTRA GUIDING STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 7FR 150CM GUIDEZILLA II EXTENSION RADIOPAQUE HYPOTUBE SHAFT ATRAUMATIC TIP GUIDING STAINLESS STEEL POLYMER HYDROPHILIC,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER 7FR 35CM DE 120,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1887,CATHETER 7FR 5.4FR 30CM FIX GUIDING,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 7FR 5.4FR 30CM FIX GUIDING STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 7FR 90D 59CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7FR 90D 65CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7FR ACUTE CURVE 59CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7FR ACUTE CURVE 65CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7FR AL1 CURVE 90CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR AL1.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR AL2 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR AL4 CURVE 100CM SHERPA NX BALANCED SOFT TIP DISTAL SLEEVE FLEXIBLE DISTAL SEGMENT GUIDING HDPE CORONARY PERIPHERAL STERILE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR AR1 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR EBU3.5 CURVE 100CM SHERPA NX BALANCED SIDEHOLE SOFT TIP DISTAL SLEEVE FLEXIBLE DISTAL SEGMENT GUIDING HDPE PERIPHERAL TRANSRADIAL STERILE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR EBU3.75 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR EBU3.75 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR EBU4.5 CURVE 100CM SHERPA NX BALANCED SIDEHOLE SOFT TIP DISTAL SLEEVE FLEXIBLE DISTAL SEGMENT GUIDING HDPE CORONARY STERILE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR ECR4 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR FL3.5 CURVE 100CM CONVEY LARGE INNER LUMEN RADIOPAQUE ULTRATHIN 1X2 FLAT WIRE BRAID GUIDING HYDROPHILIC FEMORAL STERILE,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER 7FR LCB CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR MP CURVE 90CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 7FR MP1 CURVE 100CM SHERPA NX BALANCED SOFT TIP DISTAL SLEEVE FLEXIBLE DISTAL SEGMENT GUIDING HDPE PERIPHERAL STERILE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR MP1 CURVE 55CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER 7FR MP1 CURVE 90CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR OBTUSE CURVE 59CM CPS AIM SL DIRECT-TO-TARGET SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE GUIDING PEBAX CORONARY SINUS,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER 7FR RBU3.5 CURVE 110CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR RBU4 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR RCB CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR RDC CURVE 55CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER 7FR RDC CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 7FR RDC1 CURVE 55CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE PERIPHERAL STERILE LATEX FREE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER 7FR STANDARD JL3 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR STANDARD JL3.5 CURVE 90CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR STANDARD JL4 CURVE 90CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 7FR STANDARD JL5 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8.4FR 40CM SELECTSITE LEAD DELIVERY SYSTEM STEERABLE DEFLECTABLE GUIDING CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 8.4FR 5.7FR SHORT 30CM SELECTSITE DEFLECTABLE GUIDING STERILE LATEX FREE GLOBAL,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 8.4FR 9FR 5.7FR 45CM DEFLECTABLE 30CM SELECTSITE BRAID 40CM GUIDING,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER 8FR .09IN THIN WALL JUDKINS RIGHT 4 CURVE 100CM LAUNCHER LARGE LUMEN FLEXIBLE DISTAL SEGMENT RADIOPAQUE SIDEHOLE GUIDING NYLON CORONARY STERILE PERCUTANEOUS CORONARY INTERVENTION,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR 150CM GUIDEZILLA II EXTENSION RADIOPAQUE HYPOTUBE SHAFT ATRAUMATIC TIP GUIDING STAINLESS STEEL POLYMER HYDROPHILIC,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER 8FR 54CM ACUITY BREAK-AWAY GUIDING STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 8FR AL2 CURVE 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 8FR AL2 CURVE 100CM Z2 GUIDING CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AL2 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AL2 CURVE 90CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AL3 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AL3 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AR1 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AR1 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR AR2 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR CS-ST CURVE 49CM ACUITY BREAK-AWAY INTEGRATE HEMOSTASIS VALVE OUTER GUIDING CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 8FR EBU3 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR EBU3.75 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR EBU4 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR EBU4.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR EBU4.5 CURVE 90CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR HSII CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR IMA CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR JL3.5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR JL4 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR JL5 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR JR4 CURVE 100CM Z2 GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR JR4 CURVE 100CM Z2 SIDEHOLE GUIDING CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR LCB CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR MP1 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON PERIPHERAL STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR Q-CURVE 4 100CM MACH1 LARGE LUMEN RADIOPAQUE 2X2 ROUND BRAID GUIDING PTFE FEMORAL PERIPHERAL STERILE LATEX FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER 8FR RBU3.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR RBU3.5 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR RCB CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR SL4 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JL3.5 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JL4 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JL4 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JL4 CURVE 90CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JL5 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JR3.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JR3.5 CURVE 100CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JR4 CURVE 90CM LAUNCHER LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 8FR STANDARD JR4.5 CURVE 100CM LAUNCHER LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT GUIDING NYLON CORONARY STERILE LATEX FREE,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER 9.9FR 7.2FR 45CM ATTAIN DEFLECTABLE GUIDING STERILE LATEX FREE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER 9FR 3D CURVE 45CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR CS-EH ST R CURVE 45CM ACUITY PRO RADIOPAQUE LOW PROFILE OUTER GUIDING CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR EH CURVE 50CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR EHXL CURVE 57.5CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR MB2 CURVE 45CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR MB2X CURVE 50CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR MP CURVE 50CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR MPR CURVE 45CM ATTAIN COMMAND SUREVALVE GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR MPX CURVE 50CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR STRAIGHT 45CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR STRAIGHT 50CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER 9FR STRAIGHT 57.5CM ATTAIN COMMAND SUREVALVE 2 BRAID DIAMOND CANNULATION TAPER SHAFT NONPYROGENIC GUIDING POLYETHER BLOCK AMIDE POLYAMIDE 12 HYDROPHILIC CORONARY SINUS STERILE LATEX FREE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER ABSORBABLE MICRO OD3.1-2.8 FR PHENOM,2196.0,1098.0,478.95,1976.4,64
HCPCS,C1887,CATHETER AIRWAY EXCHANGE 4-7MM J DUCKBILL VALVE SELF EXPAND ZEPHYR NITINOL SILICONE ENDOBRONCHIAL STERILE LATEX FREE DISPOSABLE,565.0,282.5,123.23,508.5,64
HCPCS,C1887,CATHETER AIRWAY EXCHANGE 5.5-8.5MM DUCKBILL VALVE SELF EXPAND ZEPHYR NITINOL SILICONE ENDOBRONCHIAL STERILE LATEX FREE DISPOSABLE,565.0,282.5,123.23,508.5,64
HCPCS,C1887,CATHETER AL 0.75 CURVE OD8 FR SIDEHOLE L90 CM GUIDING LAUNCHER,43.0,21.5,9.38,38.7,64
HCPCS,C1887,CATHETER AL.75 CURVE OD6 FR L100 CM GUIDING CORONARY Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD6 FR LARGE LUMEN RADIOPAQUE AMPLATZ CURVE L90 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD8 FR LARGE LUMEN RADIOPAQUE AMPLATZ CURVE L90 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL.75 CURVE OD8 FR SIDEHOLE L90 CM GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE 4 X 2 ROUND BRAID L100 CM GUIDING FEMORAL RUNWAY PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER AL1 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD8 FR L100 CM GUIDING PERIPHERAL Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1 CURVE OD8 FR SIDEHOLE L90 CM GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL1.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL2 CURVE OD5 FR LARGE LUMEN RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL2 CURVE OD6 FR LARGE LUMEN RADIOPAQUE 4 X 2 ROUND BRAID L100 CM GUIDING FEMORAL RUNWAY PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER AL2 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL2 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL2 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL2 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL2 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AL7.5 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ALR1.2 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AMPLATZ RIGHT 1 CURVE OD5 FR ID.058 IN LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ANG MARINER SLCT 5FRX80CM SOS OMNI NBRD HTORQ SHFT DURATION HYDRCT 0.035IN GW LF STRL SUD,195.0,97.5,42.53,175.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 3.3FR 40CM HYDROPHILIC PEDIATRIC PIGTAIL MONGOOSE 0.030IN GW,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 3.3FR 80CM HYDROPHILIC PEDIATRIC MULTIPURPOSE MONGOOSE 0.030IN GW,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 4FR 100CM PEBAX NYLON AMPLATZ LEFT 1 BUMPER TIP WINGED HUB PERFORMA 0.038IN GW,55.25,27.63,12.05,49.73,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 4FR 150CM 2CM TIP PEBAX NYLON POLYCARBONATE PERIPHERAL TRANSRADIAL BERNSTEIN NSP FLAT WIRE BRAIDED WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,320.0,160.0,69.79,288.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 4FR 65CM PEBAX NYLON FEP-TEFLON PEDIATRIC PIGTAIL BUMPER TIP 4SH WINGED HUB PERFORMA 0.021IN GW,210.0,105.0,45.8,189.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 4FR 65CM PEBAX NYLON POLYCARBONATE PERIPHERAL BERNSTEIN BUMPER TIP NSP FLAT WIRE BRAIDED LARGE INNER LUMEN TORQUE WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,62.85,31.43,13.71,56.57,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 4FR 80CM HYDROPHILIC PEDIATRIC PIGTAIL MONGOOSE 0.035IN GW,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5.2FR 100CM POLYURETHANE TRANSRADIAL BRACHIAL RADIAL BILATERAL4 2SH GRAY SUPER TORQUE PLUS RADIOPAQUE 0.038IN GW,116.4,58.2,25.39,104.76,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM HYDROPHILIC MULTIPURPOSE A 6SH BRAIDED SOFT ATRAUMATIC SELF-DILATING TIP MARINER RADIOPAQUE 0.038IN GW,195.0,97.5,42.53,175.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM INSLIDE POLYMER TRANSRADIAL ULTRA4 WINGED HUB DXTERITY TRA 0.038IN GW,155.0,77.5,33.81,139.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM NYLON STAINLESS STEEL HYDROPHILIC BENTSON1 BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.038IN GW,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM NYLON STAINLESS STEEL HYDROPHILIC BENTSON2 BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.035IN GW,95.0,47.5,20.72,85.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM NYLON STAINLESS STEEL HYDROPHILIC CEREBRAL BENTSON1 BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.038IN GW,95.0,47.5,20.72,85.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM NYLON STAINLESS STEEL HYDROPHILIC KMP BRAIDED BEACON TIP TORCON NB ADVANTAGE G47164  0.035IN GW,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM NYLON STAINLESS STEEL HYDROPHILIC VENTRICULAR-AORTIC MULTIPURPOSE A TIP BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.038IN GW,95.0,47.5,20.72,85.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM PEBAX NYLON POLYCARBONATE PERIPHERAL BENTSON3 NSP FLAT WIRE BRAIDED HIGH TORQUE SHAFT WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,62.85,31.43,13.71,56.57,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM PEBAX NYLON POLYCARBONATE PERIPHERAL BERNSTEIN NSH FLAT WIRE BRAIDED HIGH TORQUE SHAFT WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,62.85,31.43,13.71,56.57,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM PEBAX NYLON POLYCARBONATE PERIPHERAL VERTEBRAL NSP FLAT WIRE BRAIDED HIGH-TORQUE SHAFT WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,62.85,31.43,13.71,56.57,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM POLYURETHANE CORONARY JUDKINS LEFT3 3-STAGE BRAIDED TRUELUMEN HIGH FLOW SOFT TIP INFINITI RADIOPAQUE 0.038IN GW,168.75,84.38,36.8,151.88,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM STAINLESS STEEL HYDROPHILIC PERIPHERAL BENTSON1 SINGLE BRAIDED SMALL-PROFILE GLIDECATH 0.038IN GW,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 100CM STAINLESS STEEL LEGATO PERIPHERAL HEADHUNTER3 NSH FLAT WIRE BRAIDED HIGH TORQUE SHAFT WINGED HUB IMPRESS RADIOPAQUE 0.038IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 125CM NYLON STAINLESS STEEL HYDROPHILIC MPA BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.038IN GW,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 125CM NYLON STAINLESS STEEL HYDROPHILIC SIMMONS2 BRAIDED BEACON TIP TORCON NB ADVANTAGE G11517 RADIOPAQUE 0.038IN GW,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 125CM STAINLESS STEEL LEGATO PERIPHERAL BERENSTEIN TAPERED NSH FLAT WIRE BRAIDED HIGH TORQUE SHAFT WINGED HUB IMPRESS RADIOPAQUE 0.038IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 150CM 2CM TIP PEBAX NYLON POLYCARBONATE PERIPHERAL TRANSRADIAL BERNSTEIN NSP FLAT WIRE BRAIDED WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,320.0,160.0,69.79,288.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM NYLON STAINLESS STEEL HYDROPHILIC BENSTON1 BRAIDED BEACON TIP TORCON NB ADVANTAGE G47184 RADIOPAQUE 0.038IN GW,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM NYLON STAINLESS STEEL HYDROPHILIC COBRA 1 BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.035IN GW,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM NYLON STAINLESS STEEL HYDROPHILIC KMP BRAIDED BEACON TIP TORCON NB ADVANTAGE  0.035IN GW,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM NYLON STAINLESS STEEL HYDROPHILIC VANSCHIE3 BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.035IN GW,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM NYLON STAINLESS STEEL HYDROPHILIC VANSCHIE4 BRAIDED BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE 0.035IN GW,215.0,107.5,46.89,193.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM PEBAX NYLON POLYCARBONATE PERIPHERAL COBRA2 SPX2 FLAT WIRE BRAIDED HIGH-TORQUE SHAFT WINGED HUB PERFORMA 5584-23 RADIOPAQUE 0.038IN GW,62.85,31.43,13.71,56.57,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM PEBAX NYLON POLYCARBONATE PERIPHERAL VERTEBRAL NSP FLAT WIRE BRAIDED WINGED HUB PERFORMA RADIOPAQUE 0.038IN GW,62.85,31.43,13.71,56.57,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 65CM POLYURETHANE NYLON STAINLESS STEEL HYDROPHILIC PERIPHERAL ANGLED DOUBLE BRAIDED LARGE LUMEN SMALL-PROFILE GLIDECATH XP RADIOPAQUE 0.038IN GW,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR 80CM HYDROPHILIC PEDIATRIC PIGTAIL MONGOOSE 0.038IN GW,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR DIA 100CML 0.046IN ID STAINLESS STEEL HYDROPHILIC COATED BERENSTEIN NO SIDE HOLE BRAIDED IMPRESS LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.038IN GUIDEWIRE COMPATIBLE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR DIA 123CML PERIPHERAL BRAIDED PERFORMA ULTIMATE 1 LATEX-FREE NON-RADIOLUCENT 0.038IN GUIDEWIRE COMPATIBLE,320.0,160.0,69.79,288.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 5FR DIA 65CML NYLON TUNGSTEN-FILLED NEON TIP HYDROPHILIC SLX COATED BERENSTEIN NO SIDE HOLE BRAIDED SHAFT TEMPO LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE-USE 0.038IN GUIDEWIR,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 6FR 100CM INSLIDE POLYMER RADIAL FEMORAL JUDKINS RIGHT4 MODIFIED WINGED HUB DXTERITY 0.038IN GW,50.0,25.0,10.91,45.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 6FR 100CM PEBAX NYLON FEP-TEFLON ADULT PIGTAIL BUMPER TIP 6SH WINGED HUB PERFORMA 0.035IN GW,210.0,105.0,45.8,189.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC 7FR 90CM PULMONARY ARTERY TAPERED 2-LUMEN WEDGE PRESSURE W/1ML CONTROL STROKE SYRINGE ARROW-BERMAN RADIOPAQUE 0.038IN GW,205.0,102.5,44.71,184.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 4FR 100CM HYDROPHILIC OMNI 6SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,290.0,145.0,63.25,261.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 4FR 110CM HYDROPHILIC PIGTAIL 10SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 4FR 65CM HYDROPHILIC PIGTAIL 10SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,103.8,51.9,22.64,93.42,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 4FR DIA 100CML BERENSTEIN NO SIDE HOLE BRAIDED ULTRA TORQUE SHAFT SOFT-VU LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE-PATIENT USE 0.038IN GUIDEWIRE COMPATIBLE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR 110CM HYDROPHILIC PIGTAIL 10SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR 110CM NYLON STAINLESS STEEL TUNGSTEN-FILLED SLX UNIVERSAL 5SH BRAIDED NEON TIP GRAY TEMPO RADIOPAQUE TIP 0.035IN GW,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR 65CM HYDROPHILIC STRAIGHT 6SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR 65CM STAINLESS STEEL LEGATO PERIPHERAL MODIFIED HOOK SPX6 NON-BRAIDED IMPRESS RADIOPAQUE 0.038IN GW,250.0,125.0,54.53,225.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR 65CM STAINLESS STEEL LEGATO PERIPHERAL STRAIGHT SPX10 NON-BRAIDED IMPRESS 0.035IN GW,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR 90CM HYDROPHILIC PIGTAIL 10SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU H787107085025 RADIOPAQUE 0.038IN GW,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH 5FR DIA 100CML NYLON HYDROPHILIC SLX COATED PIGTAIL SIDE HOLEX5 BRAIDED FLEXIBLE SOFT TIP GRAY TEMPO LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.038IN GUIDEWIRE COMPATI,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH SIZING 4FR 100CM 20CM PIGTAIL 10SH NON-BRAIDED SOFT TRAUMATIC TIP ACCU-VU RADIOPAQUE 0.035IN GW,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH SIZING 4FR 70CM 20CM OMNI 6SH NON-BRAIDED SOFT TRAUMATIC TIP ACCU-VU RADIOPAQUE 0.035IN GW,750.0,375.0,163.58,675.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH SIZING 5FR 70CM 20CM OMNI 6SH NON-BRAIDED SOFT TRAUMATIC TIP ACCU-VU RADIOPAQUE 0.038IN GW,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH SIZING 5FR 70CM 28CM PIGTAIL 10SH NON-BRAIDED SOFT TRAUMATIC TIP ACCU-VU RADIOPAQUE 0.035IN GW,544.0,272.0,118.65,489.6,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH SIZING 5FR 70CM PIGTAIL NON-BRAIDED SOFT TRAUMATIC TIP ACCU-VU RADIOPAQUE 0.035IN GW,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC FLUSH STANDARD 5FR 65CM 1.5CM TIP NYLON STRAIGHT TAPERED 6SH NON-BRAIDED HIGH TORQUE SHAFT SOFT-VU RADIOPAQUE TIP 0.038IN GW,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC GLIDECATH XP 5FR 125CM RAVI MG1 PERIPHERAL DOUBLE BRAIDED LARGE LUMEN SMALL-PROFILE NYLON STAINLESS STEEL POLYURETHANE HYDROPHILIC 0.038IN GW,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC HEADHUNTER 1 CURVE NON-BRAIDED SOFT-VU,132.0,66.0,28.79,118.8,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 100CM HYDROPHILIC ANGLED VERTEBRAL 2SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 100CM HYDROPHILIC BERNSTEIN NSH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 100CM HYDROPHILIC CEREBRAL NEWTON 2 NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,103.0,51.5,22.46,92.7,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 100CM HYDROPHILIC CEREBRAL SIDEWINDER 1 BRAIDED ULTRA TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,103.0,51.5,22.46,92.7,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 40CM HYDROPHILIC ANGLED KUMPE NSH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 65CM HYDROPHILIC BERNSTEIN NSH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 65CM HYDROPHILIC STRAIGHT ART NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP MARINER RADIOPAQUE 0.038IN GW,193.0,96.5,42.09,173.7,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 80CM HYDROPHILIC VISCERAL SOS OMNI 0 4SH BRAIDED ULTRA TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 80CM HYDROPHILIC VISCERAL SOS OMNI 2 2SH BRAIDED ULTRA TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 80CM HYDROPHILIC VISCERAL SOS OMNI3 2SH BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 100CM HYDROPHILIC HEADHUNTER1 NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,87.55,43.78,19.09,78.8,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 100CM NYLON TUNGSTEN-FILLED NEON HYDROPHILIC SLX VISCERAL COBRA2 NSH BRAIDED SHAFT FLEXIBLE SOFT TIP GRAY TEMPO RADIOPAQUE 0.038IN GW,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 65CM HYDROPHILIC BERNSTEIN NSH BRAIDED ULTRA TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 65CM HYDROPHILIC VISCERAL COBRA 1 2SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,54.0,27.0,11.78,48.6,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 65CM NYLON STAINLESS STEEL VISCERAL RIGHT CORONARY2 TAPERED NSP BRAIDED LOW-PROFILE BEACON TIP TORCON NB ADVANTAGE RADIOPAQUE TIP 0.038IN GW,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 80CM HYDROPHILIC SOS OMNI 1 2SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 80CM HYDROPHILIC SOS OMNI1 BRAIDED ULTRA TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP MARINER RADIOPAQUE 0.038IN GW,173.0,86.5,37.73,155.7,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR DIA 100CML DURATION HYDROPHILIC COATED SIDEWINDER SIMMONS1 NON-BRAIDED HIGH-TORQUE SHAFT SOFT TIP MARINER LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE PATIENT USE ,193.0,96.5,42.09,173.7,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE 5FR DIA 65CML NYLON TUNGSTEN-FILLED NEON TIP HYDROPHILIC SLX COATED COBRA1 NO SIDE HOLE BRAIDED SHAFT TEMPO LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE-USE 0.038IN GU,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SELECTIVE FLUSH 5FR 90CM HYDROPHILIC VISCERAL COBRA 2 2SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC SOFT-VU SELECTIVE STANDARD 4FR 40CM ANGLED KUMPE TAPERED 3CM TIP NON-BRAIDED HIGH TORQUE SHAFT NYLON 0.038IN GW RADIOPAQUE TIP,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER ANGIOGRAPHIC VESSEL-SIZING 5FR 100CM PEBAX NYLON POLYCARBONATE PERIPHERAL PIGTAIL SPX10 FLAT WIRE BRAIDED HIGH TORQUE SHAFT BANDX20 1CM SPACING WINGED HUB PERFORMA RADIOPAQUE 0.035IN GW,150.0,75.0,32.72,135.0,64
HCPCS,C1887,CATHETER AR1 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR1 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR1 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR2 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR2 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR2 CURVE OD7 FR LARGE LUMEN RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR2 CURVE OD7 FR SIDEHOLE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER AR2 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ART3.5 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE 2 X 2 ROUND BRAID L100 CM GUIDING FEMORAL PERIPHERAL MACH1 PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER ARTERIAL LINE CONNECTOR TAPER SILICONE RUBBER HEPATIC ARTERY,287.0,143.5,54.96,258.3,65
HCPCS,C1887,CATHETER ARTERIAL LINE L100 CM THERMODILUTION PORT OD5 FR SWAN-GANZ L24 CM PULMONARY ARTERY,146.0,73.0,31.84,131.4,64
HCPCS,C1887,CATHETER ATTAIN COMMAND SUREVALVE GUIDING STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER BALLOON DILATATION ATTAIN 6FR 10MM 80CM VENOGRAM BALLOON LEAD DELIVERY POLYURETHANE CORONARY SINUS NONSTERILE LATEX,90.0,45.0,19.63,81.0,64
HCPCS,C1887,CATHETER BALLOON DILATATION L103 CM OD8 FR CELLO ASPIRATION PORT FLOW RESTORATION L10 MM INTRAVASCULAR SILICONE,1095.0,547.5,238.82,985.5,64
HCPCS,C1887,CATHETER BALLOON DILATATION WALRUS 8FR 90CM STRAIGHT,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,CATHETER BALLOON DILATATION WALRUS VARIABLE STIFFNESS RADIOPAQUE STRAIGHT ACCEPTS .038IN GUIDEWIRE STERILE LATEX FREE,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,CATHETER BALLOON GORE TRI-LUMEN CATHETER,980.0,490.0,213.74,882.0,64
HCPCS,C1887,CATHETER BALLOON OCCLUSION CORDIS OUTBACK ELITE 80CM REENTRY HANDLE CANNULA NITINOL,1680.0,840.0,366.41,1512.0,64
HCPCS,C1887,CATHETER BALLOON OCCLUSION L120 CM CORDIS OUTBACK ELITE NITINOL REENTRY HANDLE CANNULA,1680.0,840.0,366.41,1512.0,64
HCPCS,C1887,CATHETER BALLOON OCCLUSION OUTBACK LTD 5.9FR 120CM .014IN REENTRY LUMEN PERCUTANEOUS STERILE LATEX FREE ACCEPTS 6FR SHEATH,1680.0,840.0,366.41,1512.0,64
HCPCS,C1887,CATHETER BIO2 CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER BIPOLAR TEMPORARY PACING BALLOON ELECTRODE ECG ADAPTER 5FR 1CM SPACING 110CM BARD ELECTROPHYSIOLOGY LATEX FREE,1077.45,538.73,234.99,969.71,64
HCPCS,C1887,CATHETER CARDIAC CPS LOCATOR LARGE PERCUTANEOUS 3D STERILE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CARDIAC CPS LOCATOR MEDIUM EXTRA LONG PERCUTANEOUS 3D STERILE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CARDIAC CPS LOCATOR SMALL PERCUTANEOUS 3D STERILE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CHAMP1.5 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE PERIPHERAL CURVE L55 CM GUIDING CORONARY LAUNCHER NYLON,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER CLS3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE 2 X 2 ROUND BRAID L100 CM GUIDING FEMORAL PERIPHERAL MACH1 PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER CONTRAI CURVE OD8 FR RADIOPAQUE INTRODUCER HEMOSTASIS VALVE L55 CM GUIDING PERIPHERAL VISTA BRITE TIP IG STAINLESS STEEL NYLON PTFE BLUE YELLOW,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER CROSSCATH L135 CM OD3.4-2.2 FR SUPPORT .018 IN,124.88,62.44,27.24,112.39,64
HCPCS,C1887,CATHETER CROSSCATH L135 CM OD4.8-3.7 FR SUPPORT .035 IN,124.88,62.44,27.24,112.39,64
HCPCS,C1887,CATHETER CROSSCATH L150 CM OD3.4-2.2 FR SUPPORT .018 IN,124.88,62.44,27.24,112.39,64
HCPCS,C1887,CATHETER CROSSCATH L90 CM OD4.8-3.7 FR SUPPORT .035 IN,124.88,62.44,27.24,112.39,64
HCPCS,C1887,CATHETER CROSSING SUPPORT BOSSCSC SINGLE CATH .035IN X 135CM,875.0,437.5,190.84,787.5,64
HCPCS,C1887,CATHETER CS-A6 CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L54 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-A6 CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L45 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-A6 CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L54 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-EH CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L49 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-EH R CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L45 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-EH R CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L54 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-EH ST R CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L49 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-EH ST R CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L54 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-H CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L49 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-H CURVE OD9 FR L45 CM GUIDING ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-IC 130 CURVE OD7 FR RADIOPAQUE LOW PROFILE INNER L60 CM GUIDING CORONARY SINUS ACUITY PRO,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER CS-IC 130 CURVE OD7 FR RADIOPAQUE LOW PROFILE INNER L69 CM GUIDING CORONARY SINUS ACUITY PRO,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER CS-IC 90 CURVE OD7 FR RADIOPAQUE LOW PROFILE INNER L60 CM GUIDING CORONARY SINUS ACUITY PRO,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER CS-IC 90 CURVE OD7 FR RADIOPAQUE LOW PROFILE INNER L69 CM GUIDING CORONARY SINUS ACUITY PRO,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER CS-MP CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L49 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-MP CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L54 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-MP CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L45 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-ST CURVE OD9 FR L45 CM GUIDING ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-W CURVE OD8 FR INTEGRATE HEMOSTASIS VALVE OUTER L49 CM GUIDING CORONARY SINUS ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-W CURVE OD9 FR 3.1MM RADIOPAQUE LOW PROFILE OUTER SINGLE USE L45 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CS-W CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L54 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER CSL CURVE OD7 FR SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE L65 CM GUIDING CORONARY SINUS CPS AIM SL DIRECT-TO-TARGET PEBAX,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER DELIVERY INTRODUCER .035 8FR 40CM C SHAPE SSPC1,300.0,150.0,65.43,270.0,64
HCPCS,C1887,CATHETER DELIVERY INTRODUCER .035 8FR 40CM EXTENDED HOOK SSPC3,300.0,150.0,65.43,270.0,64
HCPCS,C1887,CATHETER DELIVERY INTRODUCER .035 8FR 40CM MULTIPURPOSE SSPC2,300.0,150.0,65.43,270.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM 2.8MM EMPHASYS FLEXIBLE ZEPHYR 4,565.0,282.5,123.23,508.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L115 CM HIGH FLOW LANTERN 45 D MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L115 CM HIGH FLOW LANTERN 90 D MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L115 CM HIGH FLOW STRAIGHT TIP LANTERN MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L135 CM HIGH FLOW LANTERN 45 D MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L135 CM HIGH FLOW LANTERN 90 D MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L135 CM HIGH FLOW STRAIGHT TIP LANTERN MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L150 CM HIGH FLOW LANTERN 45 D MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L150 CM HIGH FLOW LANTERN 90 D MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM ID.025 IN L150 CM HIGH FLOW STRAIGHT TIP LANTERN MICRO,590.0,295.0,128.68,531.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD10 FR L80 CM AMPLATZER TORQVUE 45 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD12 FR L80 CM AMPLATZER TORQVUE 45 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD2.6-2.95 FR ID.025 IN L160 CM REPERFUSION PX 400 VELOCITY MICRO 3D 4MAX 5MAX ACCEPTS .014 IN GUIDEWIRE,930.0,465.0,202.83,837.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD4 FR ODSEC1.4 MM ID1.17 MM L80 CM LOW PROFILE RADIOPAQUE HEMOSTASIS VALVE LOADER AMPLATZER TORQVUE,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD5 FR ID.04 IN L120 CM LUMEN RADIOPACITY NEURON SELECT STAINLESS STEEL .035 IN .038 IN SIM CURVE FULL LENGTH L9 CM,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD5 FR ID.04 IN L130 CM LUMEN FULL LENGTH RADIOPAQUE MARKER NEURON PROXIMAL DISTAL INTRACRANIAL STAINLESS STEEL .038 IN SIMS CURVE L9 CM,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD5 FR ID.07 IN L120 CM BENCHMARK BERENSTEIN CURVE MULTIPURPOSE L95 CM ACCEPTS .035?.038 IN GUIDEWIRE,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD5 FR ID.07 IN L120 CM BENCHMARK BERENSTEIN CURVE STRAIGHT L95 CM ACCEPTS .035?.038 IN GUIDEWIRE,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD5 FR L60 CM SHEATH DILATOR REINFORCE HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 180 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ID.07 IN L105 CM LUMEN HYBRID SHAFT DESIGN FLEXIBLE RADIOPACITY NEURON DISTAL STAINLESS STEEL PLATINUM HYDROPHILIC .035 IN .038 IN STRAIGHT L8 CM,595.0,297.5,129.77,535.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ID.07 IN L130 CM BENCHMARK BERENSTEIN CURVE L105 CM,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ID.07 IN L95 CM LUMEN MULTIPURPOSE TIP FLEXIBLE RADIOPAQUE MARKER NEURON PROXIMAL DISTAL STAINLESS STEEL .035 IN .038 IN L6 CM,595.0,297.5,129.77,535.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ID.07 IN L95 CM RADIOPAQUE LUMEN FLEXIBLE NEURON INTRACRANIAL STAINLESS STEEL HYDROPHILIC STRAIGHT L6 CM ACCEPTS .035/.038 IN GUIDEWIRE,595.0,297.5,129.77,535.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR L125 CM SELECT BERENSTEIN CURVE L90 CM,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR L125 CM SELECT SIM CURVE L90 CM,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR L60 CM LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 45 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR L90 CM MULTIPURPOSE TIP BMX96 BERNSTEIN CURVE,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ODSEC5-5.6 FR ID.04 IN L125 CM BRAID SOFT DISTAL SHAFT NEURON SELECT STAINLESS STEEL POLYMER SIMMONS CURVE L9 CM ACCEPTS .035/.038 IN GUIDEWIRE,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ODSEC5-5.6 FR ID.04 IN L125 CM NEURON MAX SELECT STAINLESS STEEL POLYMER SIMMONS V CURVE L9 CM ACCEPTS .035/.038 IN GUIDEWIRE,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ODSEC5-5.6 FR ID.04 IN L125 CM NEURON SELECT STAINLESS STEEL H1 CURVE L9 CM ACCEPTS .035/.038 IN GUIDEWIRE,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD6 FR ODSEC5.6 FR ID.04 IN L125 CM SELECT NEURON STAINLESS STEEL BERENSTEIN CURVE L9 CM ACCEPTS .035-.038 IN GUIDEWIRE,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD7 FR L105 CM LASER CUT BENCHMARK BMX81,895.0,447.5,195.2,805.5,64
HCPCS,C1887,"CATHETER DELIVERY SYSTEM OD7 FR L80 CM LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE,TORQVUE STAINLESS STEEL PTFE 180 D",680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD7 FR L95 CM LASER CUT BENCHMARK BMX81,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD8 FR ID.096 IN L90 CM ACCESS SOFT ATRAUMATIC TIP DILATOR BENCHMARK BMX96 STAINLESS STEEL ACCEPTS .038 IN GUIDEWIRE,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD8 FR L80 CM LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 45 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD8 FR L80 CM SHEATH REINFORCE RADIOPAQUE CABLE AMPLATZER TORQVUE STAINLESS STEEL PTFE 180 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD9 FR L80 CM CABLE SHEATH DILATOR HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 180 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DELIVERY SYSTEM OD9 FR L80 CM LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 45 D,680.0,340.0,148.31,612.0,64
HCPCS,C1887,CATHETER DIAGNOSTIC 110CM 6FR .056IN DXTERITY PIGTAIL 145 CURVE INSLIDE LARGE LUMEN 6 SIDEHOLE RADIOPAQUE 2 BRAID WIRE ACCEPTS .038IN GUIDEWIRE STERILE,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATHETER DIAGNOSTIC 120CM 10.5FR DXTERITY BERN CURVE RADIAL,120.0,60.0,26.17,108.0,64
HCPCS,C1887,CATHETER DIAGNOSTIC 120CM 10.5FR DXTERITY SIM CURVE RADIAL,108.0,54.0,23.55,97.2,64
HCPCS,C1887,CATHETER DIAGNOSTIC 130CM 10.5FR DXTERITY BERN CURVE RADIAL,120.0,60.0,26.17,108.0,64
HCPCS,C1887,CATHETER DIAGNOSTIC 130CM 10.5FR DXTERITY SIM CURVE RADIAL,108.0,54.0,23.55,97.2,64
HCPCS,C1887,CATHETER EBU3 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT KINK RESISTANCE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD5 FR LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD6 FR L100 CM GUIDING PERIPHERAL TRANSRADIAL Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT INNER JACKET L100 CM GUIDING CORONARY LAUNCHER NYLON POLYMER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L110 CM GUIDING PERIPHERAL TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING PERIPHERAL TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD8 FR L100 CM GUIDING PERIPHERAL TRANSRADIAL Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING PERIPHERAL TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD8 FR LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.5 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING TRANSRADIAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD8 FR LARGE LUMEN RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU3.75 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4 CURVE OD5 FR LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4 CURVE OD7 FR LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4.5 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4.5 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU4.5 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EBU5 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ECR3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE ECR CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ECR3.5 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ECR4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE ECR CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER ECR4 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EL G CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EMBOLECTOMY MERIT MAESTRO 2.8FR 150CM MICRO NO TAPER SWAN NECK,270.0,135.0,58.89,243.0,64
HCPCS,C1887,CATHETER EMBOLECTOMY OD2.9 FR L130 CM NO TAPER SWAN NECK MAESTRO .027 IN MICRO,270.0,135.0,58.89,243.0,64
HCPCS,C1887,CATHETER ENDOSCOPIC ION NONSTERILE LATEX FREE DISPOSABLE,5000.0,2500.0,1090.5,4500.0,64
HCPCS,C1887,CATHETER ERADRST RIGHT CURVE OD5 FR L100 CM GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER EXCHANGE SYSTEM 145CM 2.9FR .027IN PROTRACK .038IN MICRO PTFE GUIDEWIRE COAXIAL INJECTABLE RADIOPAQUE TIP MARKER REMOVABLE HUB,500.0,250.0,109.05,450.0,64
HCPCS,C1887,CATHETER EXCHANGE SYSTEM 200CM 5FR VIPERCATH XC STRAIGHT PERIPHERAL,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATHETER EXTENSION OD6 FR TELESCOPE CORONARY PERIPHERAL COMPATIBLE GUIDE 6 FR,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER EXTENSION OD7 FR TELESCOPE CORONARY PERIPHERAL,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER FL5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE 4 X 2 ROUND BRAID L125 CM GUIDING FEMORAL RUNWAY PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER FR5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE 4 X 2 ROUND BRAID L100 CM GUIDING FEMORAL RUNWAY PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDE 59MM 2.46MM 8FR CPS AIM UNIVERSAL II SLITTABLE INNER STERILE LATEX FREE DISPOSABLE,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER GUIDE CPS AIM UNIVERSAL 59MM 2.46MM 8FR II SLITTABLE INNER STERILE LATEX FREE DISPOSABLE,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER GUIDING 2.7FR 135CM HYDROPHILIC DRAGONFLY OPTIS,125.0,62.5,27.26,112.5,64
HCPCS,C1887,CATHETER GUIDING 3FR DIA 69CML RIGHT HEART STEERABLE SELECTSITE LATEX-FREE STERILE SINGLE-USE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER GUIDING 5FR 0.056IN ID 100CM PTFE LINER SS NYLON AL1 BRAIDED LARGE LUMEN ULTRA-SOFT TIP MULTI-SEGMENT GRAY VISTA BRITE TIP NON-RADIOLUCENT,107.1,53.55,23.36,96.39,64
HCPCS,C1887,CATHETER GUIDING 5FR 0.056IN ID 100CM PTFE LINER SS NYLON CORONARY JL5 BRAIDED LUMEN ULTRA-SOFT TIP MULTI-SEGMENT GRAY VISTA BRITE TIP NON-RADIOLUCENT,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER GUIDING 5FR 0.056IN ID 100CM PTFE LINER SS NYLON CORONARY XB LAD LEFT3.5 BRAIDED LUMEN ULTRA-SOFT MULTI-SEGMENT GRAY LONG VISTA BRITE TIP NON-RADIOLUCENT,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER GUIDING 5FR 0.056IN ID 100CM PTFE LINER SS NYLON CORONARY XB LEFT4 BRAIDED LUMEN ULTRA-SOFT MULTI-SEGMENT GRAY LONG VISTA BRITE TIP NON-RADIOLUCENT,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER GUIDING 5FR 0.056IN ID 100CM PTFE LINER SS NYLON HS LBT BRAIDED LUMEN ULTRA-SOFT TIP MULTI-SEGMENT GRAY VISTA BRITE TIP,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER GUIDING 5FR 100CM SS HYDROPHILIC ANGLED SINGLE-BRAIDED GLIDECATH XP 0.038IN GW,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER GUIDING 5FR DIA 100CML VESTAN JUDKINS LEFT 3 NO SIDE HOLE 3-STAGE BRAIDED THRULUMEN SOFT TIP INFINITI LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.038IN GUIDEWIRE COMPATIBLE,168.75,84.38,36.8,151.88,64
HCPCS,C1887,CATHETER GUIDING 5FR OD 100CML 0.056IN ID STAINLESS STEEL PTFE NYLON JUDKINS RIGHT 3.5 LONG NO SIDE HOLE BRAIDED MULTI-SEGMENT COAXIAL TRUELUMEN GRAY VISTA BRITE TIP LATEX-FREE NON-RADIOLUCENT STERILE,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL AL1 SH 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL ART3 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL ART3.5 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL ART3.5 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL FL3 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL FL3.5 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY 1/EA H74938969060,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL FL4 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL FR4 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL HS SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL LCB SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL MP1 SH 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER FEMORAL MP1 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY 1/EA,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER LEFT BU3.5 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER LEFT BU4 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER LEFT BU4.5 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 100CM PTFE LINER Q CURVE3.5 SH 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 90CM PTFE LINER FEMORAL IMA 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID 90CM PTFE LINER MP 2X2 ROUND BRAIDED LARGE LUMEN ATRAUMATIC TIP MACH 1 1/EA,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID ML4.5 RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID PTFE LINER ART4.5 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID PTFE LINER FEMORAL FL6 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY 1/EA,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID PTFE LINER JR3 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID PTFE LINER TRANSRADIAL ML3.5 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 0.07IN ID PTFE LINER TRANSRADIAL ML4 4X2 ROUND BRAIDED FIRM SHAFT RUNWAY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 6FR 125CM NON-RADIOLUCENT,2300.0,1150.0,501.63,2070.0,64
HCPCS,C1887,CATHETER GUIDING 6FR 80CM PTFE LINER SS HYPOTUBE HYDROPHILIC BENCHMARK 1/EA,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER GUIDING 6FR DIA 100CML 125CML PTFE LINER STAINLESS STEEL HYPOTUBE HYDROPHILIC COATED STRAIGHT BER TIP BENCHMARK BMX96 1/EA,895.0,447.5,195.2,805.5,64
HCPCS,C1887,CATHETER GUIDING 6FR DIA 55CML 0.07IN ID PTFE LINER COBRA1 2X2 ROUND BRAIDED LARGE LUMEN ATRAUMATIC TIP MACH 1 LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE PATIENT USE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER GUIDING 6FR DIA 90CML 0.07IN ID PTFE LINER STRAIGHT 2X2 ROUND BRAIDED LARGE LUMEN ATRAUMATIC TIP MACH 1 LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE PATIENT USE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER GUIDING 6FR OD 55CML 0.07IN ID 2.5MML TIP STAINLESS STEEL PTFE NYLON STRAIGHT NO SIDE HOLE BRAIDED MULTI-SEGMENT COAXIAL THRULUMEN GREEN VISTA BRITE TIP LATEX-FREE NON-RADIOLUCENT TIP STERILE,54.0,27.0,11.78,48.6,64
HCPCS,C1887,CATHETER GUIDING 7FR 0.081IN ID 100CM PTFE LINER FEMORAL FR4 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 7FR DIA 55CML 0.081IN ID PTFE LINER COBRA2 2X2 ROUND BRAIDED LARGE LUMEN ATRAUMATIC TIP MACH 1 LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE PATIENT USE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER GUIDING 7FR HYDROPHILIC FEMORAL AL0.75 ULTRA-THIN 1X2 FLAT WIRE BRAIDED CONVEY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 7FR HYDROPHILIC FEMORAL AL2 ULTRA-THIN 1X2 FLAT WIRE BRAIDED CONVEY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 7FR HYDROPHILIC FEMORAL IM ULTRA-THIN 1X2 FLAT WIRE BRAIDED CONVEY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 7FR HYDROPHILIC FEMORAL MP A ULTRA-THIN 1X2 FLAT WIRE BRAIDED CONVEY,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 8FR 0.088IN ID 55CM PTFE LINER SS NYLON PERIPHERAL RDC SH LARGE LUMEN STIFF SHAFT FLEXIBLE DISTAL SEGMENT BLUE YELLOW VISTA BRITE TIP NON-RADIOLUCENT,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER GUIDING 8FR 0.088IN ID 90CM PTFE LINER SS NYLON HS BRAIDED LUMEN ULTRA-SOFT TIP MULTI-SEGMENT BLUE VISTA BRITE TIP NON-RADIOLUCENT,35.5,17.75,7.74,31.95,64
HCPCS,C1887,CATHETER GUIDING 8FR 0.091IN ID 100CM PTFE LINER FEMORAL AL1 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 8FR 0.091IN ID 100CM PTFE LINER FEMORAL KR4S SH 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 8FR 0.091IN ID 100CM PTFE LINER POLYMER ART3 2X2 ROUND BRAIDED ATRAUMATIC TIP MACH 1 1/EA,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING 8FR DIA 55CML 0.091IN ID PTFE LINER MULTIPURPOSE 2X2 ROUND BRAIDED LARGE LUMEN MACH 1 LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE-PATIENT USE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER GUIDING 8FR DIA 90CML 0.091IN ID PTFE LINER STRAIGHT 2X2 ROUND BRAIDED LARGE LUMEN ATRAUMATIC TIP MACH 1 LATEX-FREE NON-RADIOLUCENT TIP STERILE SINGLE PATIENT USE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER GUIDING 8FR OD 95CML 0.088IN ID 2.5MML TIP TEFLON LINER PERIPHERAL MULTIPURPOSE A1 NO SIDE HOLE LARGE LUMEN STIFF SHAFT FLEXIBLE DISTAL SEGMENT SOFT TIP W/DILATOR SLIX VALVE BLUE YELLOW VISTA,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER GUIDING CPS DIRECT 9FR PL OUTER 145DEG CURVED INTRACARDIAC PEELABLE EVENPEEL STRIPE,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER GUIDING DISTAL DELIVERY 6FR 105CM 9CM SS BERN NEURON SELECT 0.035/0.038IN GW,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER GUIDING DISTAL DELIVERY 6FR 105CM 9CM SS H1 NEURON SELECT 0.035/0.038IN GW,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER GUIDING GROLLMAN 5FR DIA 110CML SPIRAL PIGTAIL IMPRESS,135.0,67.5,29.44,121.5,64
HCPCS,C1887,CATHETER GUIDING HSG 7FR 10/BX,185.0,92.5,40.35,166.5,64
HCPCS,C1887,CATHETER GUIDING LAUNCHER WORKHORSE 6FR 100CM HSI,50.0,25.0,10.91,45.0,64
HCPCS,C1887,CATHETER GUIDING LAUNCHER WORKHORSE 8FR 90CM EBU LEFT3.75 SH BRAID WIRE CORONARY BLUE LABEL NYLON,40.0,20.0,8.72,36.0,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR AL0.75 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR AL1 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR AL2 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR AR1 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR CLS3.5 SH 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR CLS4 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR FL3.5 2X2 ROUND BRAIDED PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR HS SH 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR IM 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR JL3.5 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR JL4 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR JR3.5 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR JR4 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR JR4 SH 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR MP2 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR RBL3.5 2X2 ROUND BRAIDED TRANSRADIAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR RBL4 2X2 ROUND BRAIDED TRANSRADIAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 6FR RBR3.5 2X2 ROUND BRAIDED TRANSRADIAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 7FR HS 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 8FR 90CM IM SH 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 8FR 90CM MP1 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING MACH 1 8FR IM 2X2 ROUND BRAIDED FEMORAL PTFE LINER POLYMER,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER GUIDING SPEX LP SUPPORT 2.5FR 150CM SHAPEABLE TIP HYDROPHILIC 0.018IN GW,160.0,80.0,34.9,144.0,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 2.2/1.4FR 90CM HYDROPHILIC BRAIDED LOW-PROFILE CUSTOMIZABLE TIP SPEXLP NON-RADIOLUCENT 0.014IN GW,160.0,80.0,34.9,144.0,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 4.6FR 135CM HYDROPHILIC CUSTOMIZABLE TIP SPEX NON-RADIOLUCENT 0.035IN GW,800.0,400.0,174.48,720.0,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 5FR 150CM BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED ULTRA LOW-PROFILE RUBICON 5/BX 0.035IN GW,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 5FR 90CM BIOSLIDE HYDROPHILIC PERIPHERAL TAPERED ULTRA LOW-PROFILE RUBICON 5/BX 0.035IN GW,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 6FR 0.017/0.015IN ID 135CM POLYMER HYDROPHILIC CORONARY TAPERED LOW CROSSING-PROFILE THREADED TIP MINNIE 0.018IN GW,111.0,55.5,24.21,99.9,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 6FR 65CM 50MM BAND SPACING HYDROPHILIC PERIPHERAL ANGLED TAPERED BRAIDED 1-LUMEN LOW-PROFILE TRAILBLAZER 0.035IN GW 5FR SHEATH,760.0,380.0,165.76,684.0,64
HCPCS,C1887,CATHETER GUIDING SUPPORT 8FR 150CM BIOSLIDE HYDROPHILIC PERIPHERAL STRAIGHT TIP ULTRA LOW-PROFILE RUBICON 5/BX 0.018IN GW,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 5FR 0.058IN ID 100CM HDPE LINER HYDROPHILIC CORONARY ERAD LEFT SHORT TIP FLAT WIRE BRAIDED DISTAL SEGMENT GRAY LABEL SHERPA NX ACTIVE,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 5FR 0.058IN ID 100CM NYLON CORONARY 3D RIGHT BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GRAY LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 5FR 0.058IN ID 100CM NYLON CORONARY ERAD LEFT LONG TIP BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GRAY LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 5FR 0.058IN ID 100CM NYLON CORONARY SHORT AL0.75 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GRAY LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 5FR 0.058IN ID 100CM NYLON CORONARY STANDARD JCL3.5 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GRAY LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY 3DRC SH BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY EBU LEFT2.5 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY ECR3.5 SH BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY LARA LONG TIP BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY RADIAL RIGHT BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY SHORT AL0.75 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY SHORT AL0.75 SH BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY SHORT AL1 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY STANDARD JCL3 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 100CM NYLON CORONARY STANDARD JCL3.5 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 6FR 0.071IN ID 90CM NYLON CORONARY EBU LEFT3 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT GREEN LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY 3D RIGHT BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY AL3 SH BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY ECR3.5 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY SHORT AL0.75 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY STANDARD JCL3.5 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY STANDARD JCL3.5 SH BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 100CM NYLON CORONARY STANDARD JCL4 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 90CM NYLON CORONARY AL2 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 90CM NYLON CORONARY LCB BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 90CM NYLON CORONARY RCB BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 7FR 0.081IN ID 95CM NYLON CORONARY STANDARD JR4 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT ORANGE LABEL LAUNCHER,40.0,20.0,8.72,36.0,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 8FR 0.090IN ID 100CM NYLON CORONARY AL0.75 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT BLUE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 8FR 0.090IN ID 90CM NYLON CORONARY AL1.5 BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT BLUE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER GUIDING WORKHORSE 8FR 0.090IN ID 90CM NYLON CORONARY AR1 SH BRAIDED WIRE LARGE LUMEN FLEXIBLE DISTAL SEGMENT BLUE LABEL LAUNCHER,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER HOCKEY STICK CURVE OD7 FR BRAID SHAFT EXTRA LARGE LUMEN INTRODUCER SHEATHLESS INSERTION L55 CM GUIDING VISTA BRITE TIP IG,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER HOOK CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER HOOK CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L55 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER HS CURVE OD8 FR RADIOPAQUE INTRODUCER HEMOSTASIS VALVE L55 CM GUIDING PERIPHERAL VISTA BRITE TIP IG STAINLESS STEEL NYLON PTFE BLUE YELLOW,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER HSI CURVE OD6 FR L100 CM GUIDING CORONARY Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER HSI CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER HSI CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER HSII CURVE OD6 FR LARGE LUMEN RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER HSII CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER HSII CURVE OD7 FR LARGE LUMEN RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IC-90 CURVE OD5 FR INTEGRATE SLITTABLE VALVE L59 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC LEAD DELIVERY SYSTEM,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER IL3.5 CURVE OD5 FR LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT L100 CM GUIDING CORONARY HEARTRAIL III PTFE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER IL4 CURVE OD6 FR LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT L100 CM GUIDING CORONARY HEARTRAIL III PTFE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER IMA CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IMA CURVE OD6 FR L90 CM GUIDING PERIPHERAL Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IMA CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IMA CURVE OD6 FR SIDEHOLE L90 CM GUIDING PERIPHERAL Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IMA CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L55 CM GUIDING PERIPHERAL LAUNCHER NYLON,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER IMA CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IMA CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L55 CM GUIDING PERIPHERAL LAUNCHER NYLON,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATHETER IMA CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER IMA CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER INFUSION .029IN .024IN .017IN ROUND DISTAL TIP PHENOM 45D CURVE,1365.0,682.5,297.71,1228.5,64
HCPCS,C1887,CATHETER INFUSION 3.3FR 145CM ASAHI SASUKE STERILE LATEX FREE DISPOSABLE,425.0,212.5,92.69,382.5,64
HCPCS,C1887,CATHETER INFUSION OD1.3-2.1 FR ID.0165 IN L167 CM STRAIGHT MICRO HEADWAY DUO HYBRID BRAID COIL 1 MARKER TIP HYDROPHILIC,1140.0,570.0,248.63,1026.0,64
HCPCS,C1887,CATHETER INFUSION OD2.8 FR ID.027 IN L145 CM MICRO REBAR 27 1 LUMEN REINFORCE SERMIRIGID PROXIMAL SHAFT RADIOPAQUE MARKER STAINLESS STEEL HYDROPHILIC ACCEPTS .021 IN GUIDEWIRE,208.0,104.0,45.36,187.2,64
HCPCS,C1887,CATHETER INFUSION OD2.8-3.2 FR ID.027 IN L135 CM L10 CM MICRO MARKSMAN PERIPHERAL CORONARY 1 LUMEN RADIOPAQUE MARKER COIL BRAID STAINLESS STEEL HYDROPHILIC PIPELINE EMBOLISATION DEVICE,1299.0,649.5,283.31,1169.1,64
HCPCS,C1887,CATHETER INFUSION OD2.8-3.2 FR ID.027 IN L160 CM L10 CM MICRO MARKSMAN ACCEPTS .021 IN GUIDEWIRE,1299.0,649.5,283.31,1169.1,64
HCPCS,C1887,CATHETER INFUSION OD3.2-2.8 FR ID.027 IN L150 CM L10 CM MICRO MARKSMAN ACCEPTS .021 IN GUIDEWIRE,1299.0,649.5,283.31,1169.1,64
HCPCS,C1887,CATHETER INTERVENTIONAL .018 IN L140 CM MICRO OD2.4 FR L130 CM L70 CM PERIPHERAL RADIOPAQUE COAXIAL KINK RESISTANCE PTFE TUNGSTEN HYDROPHILIC PROGREAT,520.0,260.0,113.41,468.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL .021 IN 750 PSI OD2.4 FR L150 CM L90 CM MICROCATHETER HEMOSTATIC VALVE RADIOPAQUE GUIDEWIRE TUNGSTEN HYDROPHILIC PTFE PROGREAT,310.0,155.0,67.61,279.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL .021 IN MICRO OD2.4-2.9 FR ID.022 IN L130 CM MARKER BAND HYDROPHILIC PROGREAT,310.0,155.0,67.61,279.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL .021 IN OD2.8-3 FR ID.027 IN L130 CM L17 CM MICROCATHETER PROGREAT OMEGA,310.0,155.0,67.61,279.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL 0D 2.7-3.4FR 2FR 135CM 20MM OTW 2 LUMEN RADIOPAQUE BRAID STAINLESS STEEL HYDROPHILIC TWIN-PASS ACCEPTS .014- IN GUIDEWIRE 5+ FR GUIDE CATHETER,340.0,170.0,74.15,306.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL 120 D MICRO OD2.4-3.2 FR ID.017 -.018 IN L130 CM L80 CM ANGLE TIP FLEXIBLE KINK RESISTANT STEERABLE PTFE HYDROPHILIC SUPERCROSS ACCEPTS .014 IN GUIDEWIRE,545.0,272.5,118.86,490.5,64
HCPCS,C1887,CATHETER INTERVENTIONAL 180- D OD2.4-2.9 FR ID.021 IN L125 CM STRAIGHT TIP 3D STEERING SWIFTNINJA,2400.0,1200.0,523.44,2160.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL 45 D .014 IN MICRO OD2.1-2.5 FR ID.017-.021 IN L130 CM L40 CM DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE PTFE HYDROPHILIC SUPERCROSS,545.0,272.5,118.86,490.5,64
HCPCS,C1887,CATHETER INTERVENTIONAL 6FR ODSEC5.1 FR L150 CM L13 CM RAPID EXCHANGE GUIDE EXTENSION RADIOPAQUE WIRE TRAP HYDROPHILIC TRAPLINER ACCEPTS 6-8 FR GUIDE CATHETER,653.0,326.5,142.42,587.7,64
HCPCS,C1887,CATHETER INTERVENTIONAL 90 D MICRO OD2.4-3.2 FR ID.017-.018 IN L130 CM L80 CM OTW ANGLE TIP SUPERCROSS ACCEPTS .014 IN GUIDEWIRE,482.0,241.0,105.12,433.8,64
HCPCS,C1887,CATHETER INTERVENTIONAL CANTATA 2.8FR .025IN 135CM MICRO SUPERSELECTIVE KINK RESISTANCE BRAID HYDROPHILIC STERILE,399.99,200.0,87.24,359.99,64
HCPCS,C1887,CATHETER INTERVENTIONAL GUIDELINER 5.5FR 3.5FR COAST STERILE LATEX FREE DISPOSABLE,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER INTERVENTIONAL MICRO OD2.4 FR L110 CM HEMOSTATIC VALVE SHAPE MANDREL RADIOPAQUE KINK RESISTANT TUNGSTEN PTFE HYDROPHILIC PROGREAT,310.0,155.0,67.61,279.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL MICRO OD2.4 FR L150 CM L90 CM PERIPHERAL DISTAL RADIOPAQUE COAXIAL KINK RESISTANCE TUNGSTEN PTFE HYDROPHILIC PROGREAT ACCEPTS .021 IN GUIDEWIRE,520.0,260.0,113.41,468.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL MICRO OD2.4-2.6 FR ID.021 IN L125 CM L80 CM STEERABLE RADIOPAQUE SWIFTNINJA 0.53 ML ACCEPTS .018 IN GUIDEWIRE,1800.0,900.0,392.58,1620.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL MICRO OD2.8 FR ID.027 IN L110 CM L50 CM RADIOPAQUE COAXIAL HYDROPHILIC PROGREAT ACCEPTS .021 IN GUIDEWIRE,520.0,260.0,113.41,468.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL MICRO OD2.8 FR ID.027 IN L130 CM L70 CM RADIOPAQUE KINK RESISTANCE HEMOSTATIC VALVE SHAPE MANDREL TUNGSTEN PTFE HYDROPHILIC PROGREAT GLIDEWIRE 2.5 ML ACCEPTS .021 IN GUIDEWIRE,520.0,260.0,113.41,468.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL MICRO OD2.8 FR ID.027 IN L150 CM L90 CM RADIOPAQUE COAXIAL HYDROPHILIC PROGREAT ACCEPTS .021 IN GUIDEWIRE,520.0,260.0,113.41,468.0,64
HCPCS,C1887,CATHETER INTERVENTIONAL OD.012 IN OD5.5 FR ODSEC4.8 FR ID.051 IN L150 CM L25 CM RAPID EXCHANGE GUIDE EXTENSION HALF PIPE COLLAR GUIDELINER ACCEPTS 6 FR GUIDE CATHETER,387.0,193.5,84.4,348.3,64
HCPCS,C1887,CATHETER INTERVENTIONAL OD.012 IN OD6 FR ODSEC5.1 FR ID.056 IN L150 CM L25 CM RAPID EXCHANGE GUIDE EXTENSION GUIDELINER V3 ACCEPTS 6 FR GUIDEWIRE,387.0,193.5,84.4,348.3,64
HCPCS,C1887,CATHETER INTERVENTIONAL OD5 FR ID.056 IN IDSEC.046 IN L150 CM L25 CM RAPID EXCHANGE COAXIAL GUIDE EXTENSION FLEXIBLE COLLAR RADIOPAQUE STAINLESS STEEL POLYMER GUIDELINER,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER INTERVENTIONAL OD7 FR L150 CM L25 CM RAPID EXCHANGE RADIOPAQUE GUIDELINER V3,387.0,193.5,84.4,348.3,64
HCPCS,C1887,CATHETER INTERVENTIONAL OD8 FR ID.088 IN IDSEC.071 IN L150 CM L25 CM RAPID EXCHANGE GUIDE EXTENSION FLEXIBLE COAXIAL GUIDELINER,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER INTERVENTIONAL ODSEC5.7 FR L150 CM L13 CM RAPID EXCHANGE GUIDE EXTENSION RADIOPAQUE WIRE TRAP HYDROPHILIC TRAPLINER ACCEPTS 7-8 FR GUIDE CATHETER,765.0,382.5,166.85,688.5,64
HCPCS,C1887,CATHETER INTERVENTIONAL ODSEC6.5 FR L150 CM L13 CM RAPID EXCHANGE GUIDE EXTENSION RADIOPAQUE WIRE TRAP HYDROPHILIC TRAPLINER ACCEPTS 8 FR GUIDE CATHETER,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER INTRAUTERINE 9FR 23CM ANGLE 2ML ACCESS BALLOON OBTURATOR SEMIRIGID 2 LUMEN CHECK-FLO PERFORMER SILICONE STERILE DISPOSABLE,106.2,53.1,23.16,95.58,64
HCPCS,C1887,CATHETER IR1 CURVE OD6 FR LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT L100 CM GUIDING CORONARY HEARTRAIL III PTFE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER IR1.5 CURVE OD6 FR LARGE INNER LUMEN RADIOPAQUE FLEXIBLE SHAFT L100 CM GUIDING CORONARY HEARTRAIL III PTFE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER IR2 CURVE OD6 FR RADIOPAQUE LARGE INNER LUMEN FLEXIBLE SHAFT L100 CM GUIDING CORONARY HEARTRAIL III PTFE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER JL3.5 CURVE OD5 FR EXTRA LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY VISTA BRITE TIP STAINLESS STEEL NYLON PTFE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER JL3.5 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER JL4 CURVE OD5 FR EXTRA LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY VISTA BRITE TIP STAINLESS STEEL NYLON PTFE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER JL4 CURVE OD6 FR L100 CM GUIDING Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER JL4 CURVE OD6 FR SIDEHOLE L100 CM GUIDING Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER JR3.5 ST CURVE OD6 FR COAST GUIDING GUIDELINER,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER JR3.5 ST CURVE OD7 FR COAST GUIDING GUIDELINER,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER JR3.5 ST CURVE OD8 FR COAST GUIDING GUIDELINER,375.0,187.5,81.79,337.5,64
HCPCS,C1887,CATHETER JR4 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER JR5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER LCB CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER LCB CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER LCB CURVE OD7 FR LARGE LUMEN RADIOPAQUE BYPASS CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER LONG JFL CURVE OD5 FR EXTRA LARGE LUMEN RADIOPAQUE L100 CM GUIDING PERIPHERAL VISTA BRITE TIP STAINLESS STEEL NYLON PTFE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CATHETER MAC CURVE OD6 FR GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MAC3 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MAC3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MAC4 CURVE OD5 FR LARGE LUMEN L100 CM GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MB1 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MB1 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MB1 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MB2 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY SINUS LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MB2 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY SINUS LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MICRO OD3-3.2 FR BRAID STRAIGHT TIP FLAT COIL STABLE DISTAL SEGMENT L154 CM GUIDING VIA,1350.0,675.0,294.44,1215.0,64
HCPCS,C1887,CATHETER MICRO RX 1.3F 0.014IN 135CM HYDROPHILIC,350.0,175.0,76.34,315.0,64
HCPCS,C1887,CATHETER MP1 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MP1 CURVE OD6 FR L100 CM GUIDING PERIPHERAL Z2,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MP1 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MP1 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER MP1 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L55 CM GUIDING PERIPHERAL LAUNCHER NYLON,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATHETER MRESS CURVE OD6 FR LARGE LUMEN RADIOPAQUE RADIAL SPECIALITY CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .018 IN GUIDEWIRE L135 CM RADIOPAQUE ANGLE TIP 2 BRAID BELOW THE KNEE COLLATERAL STAINLESS STEEL SUPPORT 40-60 MM SPACE,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .018 IN GUIDEWIRE L135 CM RADIOPAQUE STRAIGHT TIP 2 BRAID BELOW THE KNEE COLLATERAL STAINLESS STEEL SUPPORT 40-60 MM SPACE,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .018 IN GUIDEWIRE L150 CM RADIOPAQUE STRAIGHT TIP 2 BRAID BELOW THE KNEE COLLATERAL STAINLESS STEEL SUPPORT 40-60 MM SPACE,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .018 IN GUIDEWIRE L65 CM RADIOPAQUE ANGLE TIP 2 BRAID STAINLESS STEEL SUPPORT 40 MM 60 MM SPACE,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .018 IN GUIDEWIRE L90 CM RADIOPAQUE STRAIGHT TIP 2 BRAID STAINLESS STEEL SUPPORT 40 MM 60 MM SPACE,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .035 IN GUIDEWIRE 4 FR INTRODUCER SHEATH L135 CM L12 MM STRAIGHT TIP 2 BRAID RADIOPAQUE STAINLESS STEEL HYDROPHILIC SUPPORT 30 D PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .035 IN GUIDEWIRE 4 FR INTRODUCER SHEATH L135 CM L40 CM 2 BRAID RADIOPAQUE STRAIGHT TAPER TIP STAINLESS STEEL HYDROPHILIC SUPPORT 12 MM PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .035 IN GUIDEWIRE 4 FR INTRODUCER SHEATH L90 CM L40 CM 2 BRAID RADIOPAQUE STRAIGHT TAPER TIP STAINLESS STEEL HYDROPHILIC SUPPORT 12 MM PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVICROSS ACCEPTS .035 IN GUIDEWIRE 4 FR INTRODUCER SHEATH L90 CM L40 CM 2 BRAID RADIOPAQUE TAPER TIP STAINLESS STEEL HYDROPHILIC SUPPORT 30 D 12 MM PERIPHERAL,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER NAVIEN ACCEPTS .038 IN GUIDEWIRE L115 CM L8 CM OD6 FR ID.072 IN MULTIPURPOSE 25 D TIP SUPPORT INTRACRANIAL,1185.0,592.5,258.45,1066.5,64
HCPCS,C1887,CATHETER NAVIEN ACCEPTS .038 IN GUIDEWIRE L125 CM L8 CM OD5 FR ID.058 IN STRAIGHT TIP SUPPORT INTRACRANIAL,1495.0,747.5,326.06,1345.5,64
HCPCS,C1887,CATHETER NAVIEN ACCEPTS .038 IN GUIDEWIRE L130 CM L8 CM OD5 FR ID.058 IN NITINOL SUPPORT STRAIGHT INTRACRANIAL,1495.0,747.5,326.06,1345.5,64
HCPCS,C1887,CATHETER OBTUSE CURVE OD7 FR SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE L65 CM GUIDING CORONARY SINUS CPS AIM SL DIRECT-TO-TARGET PEBAX,99.0,49.5,21.59,89.1,64
HCPCS,C1887,CATHETER OCCLUSION L150 CM .038 IN CROSS LOW PROFILE FLEXIBLE FAST SPIN TORQUE HANDLE VIANCE TRUELUMEN STAINLESS STEEL ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH,1795.0,897.5,391.49,1615.5,64
HCPCS,C1887,CATHETER OCCLUSION L150 CM .038 IN STANDARD LOW PROFILE BALLOON TORQUE HANDLE ID.0175 IN VIANCE TRUELUMEN STAINLESS STEEL HYDROPHILIC ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH,1395.0,697.5,304.25,1255.5,64
HCPCS,C1887,CATHETER OD4 FR ID.04 IN ODSEC.041 IN L125 CM 2 BRAID KINK RESISTANCE RAVI MG1 CURVE STAINLESS STEEL NYLON HYDROPHILIC GLIDECATH ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR ID.041 IN L65 CM 2 BRAID C1 CURVE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L100 CM 2 BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L100 CM 2 BRAID MPA CURVE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L100 CM LARGE INNER LUMEN RADIOPAQUE SELECTIVE AL2 CURVE CORONARY FEMORAL VESTAN STAINLESS STEEL INFINITI ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,42.3,21.15,9.23,38.07,64
HCPCS,C1887,CATHETER OD4 FR L100 CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT STRAIGHT ART CURVE DURATION HYDROPHILIC MARINER ANGIOGRAPHIC L1.5 CM ACCEPTS .038 IN GUIDEWIRE,193.0,96.5,42.09,173.7,64
HCPCS,C1887,CATHETER OD4 FR L120 CM 2 BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L120 CM 2 BRAID STRAIGHT PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L150 CM 2 BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L150 CM RADIOPAQUE SELECTIVE ULTRA TORQUE SHAFT BRAID BERENSTEIN CURVE DURATION HYDROPHILIC MARINER ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,385.0,192.5,83.97,346.5,64
HCPCS,C1887,CATHETER OD4 FR L50 CM FLOTATION STANDARD FLOW TAPER TIP IPSILATERAL PVC ARROW-BERMAN ANGIOGRAPHIC PINK ACCEPTS .021 IN GUIDEWIRE 5 FR INTRODUCER BALLOON OCCLUSION FEMORAL ANGIOGRAPY,197.0,98.5,42.97,177.3,64
HCPCS,C1887,CATHETER OD4 FR L65 CM 2 BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L65 CM 2 BRAID C2 CURVE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L65 CM 2 BRAID STRAIGHT PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD4 FR L65 CM 6 SIDEHOLE RADIOPAQUE ULTRA TORQUE SHAFT BRAID ANGLE BERENSTEIN CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER OD4 FR L65 CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT OMNI CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER OD4 FR L65 CM RADIOPAQUE SELECTIVE ULTRA TORQUE SHAFT BRAID ROSCH INFERIOR MESENTRIC CURVE VISCERAL SOFT-VU ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER OD4 FR OTW RADIOPAQUE STEERABLE WIRE CONTROL L140 CM GUIDING VENTURE ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER,741.0,370.5,161.61,666.9,64
HCPCS,C1887,CATHETER OD5 FR ID.042 IN L65 CM RADIOPAQUE BRAID SELECTIVE LOW FRICTION MULTIPURPOSE ADULT CURVE SLX TEMPO ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR ID.046 IN L135 CM 0 SIDE PORT BRAID BERENSTEIN PERIPHERAL PERFORMA  ANGIOGRAPHIC L8 CM ACCEPTS .038 IN GUIDEWIRE,320.0,160.0,69.79,288.0,64
HCPCS,C1887,CATHETER OD5 FR ID0.058 IN BACK UP SUPPORT LEFT CURVED FLEXIBLE DISTAL SEGMENT FLAT-WIRE BRAID L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD5 FR ID0.058 IN BYPASS CURVE FLEXIBLE DISTAL SEGMENT FLAT-WIRE BRAID LCB L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD5 FR ID0.058 IN CURVED AMPLATZ RIGHT FLEXIBLE DISTAL SEGMENT FLAT-WIRE BRAID L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD5 FR L100 CM 10 SIDEHOLE RADIOPAQUE VESSEL SIZING PIGTAIL CURVE PERIPHERAL PEBAX POLYCARBONATE NYLON PERFORMA ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,150.0,75.0,32.72,135.0,64
HCPCS,C1887,CATHETER OD5 FR L100 CM 2 BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH XP ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM 6 SIDEHOLE RADIOPAQUE ULTRA TORQUE SHAFT BRAID ANGLE BERENSTEIN CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID C2 CURVE VISCERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID H1 CURVE CEREBRAL STAINLESS STEEL HYDROPHILIC GLIDECATH ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID MP CURVE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID SIM1 CURVE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID SIM2 CURVE CEREBRAL STAINLESS STEEL HYDROPHILIC GLIDECATH ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID SIM3 CURVE CEREBRAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM BRAID STRAIGHT TAPER PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM LARGE LUMEN 2 SIDEHOLE 2 BRAID SOFT TIP JACKY RADIAL 3.5 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD5 FR L100 CM LARGE LUMEN SIDEHOLE 2 BRAID SOFT TIP RADIAL TIG 4 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD5 FR L100 CM LARGE LUMEN SIDEHOLE 2 BRAID SOFT TIP RADIAL TIG 4.5 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE BRAID ATRAUMATIC TIP JR4 CURVE CORONARY STAINLESS STEEL NYLON NB ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,95.0,47.5,20.72,85.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE BRAID SELECTIVE BERN CURVE CEREBRAL SLX NYLON TEMPO ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE BRAID SELECTIVE SIM1 CURVE CEREBRAL SLX NYLON TEMPO ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE BRAID SELECTIVE SIM2 CURVE CEREBRAL SLX TEMPO ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE BRAID TAPER TIP KMP CURVE STAINLESS STEEL NYLON BEACON ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE BRAID ULTRA TORQUE SHAFT SELECTIVE SIM2 CURVE CEREBRAL SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER OD5 FR L100 CM RADIOPAQUE FLUSH SEGMENT SIZING PIGTAIL CURVE ACCU-VU ANGIOGRAPHIC L20 CM ACCEPTS .035 IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER OD5 FR L110 CM 6 SIDEHOLE 20 BAND MARKER PIGTAIL CURVE POLYURETHANE GOLD ALLOY SUPER TORQUE ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,294.0,147.0,64.12,264.6,64
HCPCS,C1887,CATHETER OD5 FR L110 CM LARGE LUMEN 2 SIDEHOLE 2 BRAID SOFT TIP JACKY RADIAL 3.5 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD5 FR L110 CM LARGE LUMEN 2 SIDEHOLE 2 BRAID SOFT TIP SARAH RADIAL 4 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD5 FR L110 CM LARGE LUMEN SIDEHOLE 2 BRAID SOFT TIP RADIAL TIG 4 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD5 FR L135 CM 2 BRAID KINK RESISTANCE RAVI MG2 CURVE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH XP ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L40 CM RADIOPAQUE BRAID TAPER TIP KA2 CURVE PERIPHERAL STAINLESS STEEL POLYURETHANE IMPRESS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1887,CATHETER OD5 FR L40 CM RADIOPAQUE HIGH TORQUE SHAFT SELECTIVE ANGLE KMP CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM 5 SIDEHOLE RADIOPAQUE BRAID FLUSH STRAIGHT SLX NYLON TEMPO ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR L65 CM 5 SIDEHOLE RADIOPAQUE BRAID FLUSH UNIV CURVE SLX NYLON TEMPO ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR L65 CM 8 SIDEHOLE RADIOPAQUE BRAID CALIBRATE PIGTAIL CURVE POLYURETHANE SUPER TORQUE ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,294.0,147.0,64.12,264.6,64
HCPCS,C1887,CATHETER OD5 FR L65 CM BRAID ANGLE PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM BRAID C1 CURVE VISCERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM BRAID C2 CURVE VISCERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM BRAID STRAIGHT PERIPHERAL STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE BRAID ATRAUMATIC TIP SIM1 CURVE CEREBRAL STAINLESS STEEL NYLON NB ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,102.99,51.5,22.46,92.69,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE BRAID SELECTIVE C2 CURVE VISCERAL SLX TEMPO ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,68.25,34.13,14.89,61.43,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE BRAID TAPER TIP CB2 CURVE PERIPHERAL STAINLESS STEEL POLYURETHANE IMPRESS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE BRAID TAPER TIP JB1 CURVE STAINLESS STEEL NYLON BEACON  ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE BRAID TAPER TIP KA2 CURVE PERIPHERAL STAINLESS STEEL POLYURETHANE IMPRESS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT PIGTAIL CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE HIGH TORQUE SHAFT ANGLE OMNI SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,130.0,65.0,28.35,117.0,64
HCPCS,C1887,CATHETER OD5 FR L65 CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT ANGLE BERENSTEIN CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L70 CM RADIOPAQUE FLUSH SEGMENT SIZING PIGTAIL CURVE ACCU-VU ANGIOGRAPHIC L20 CM ACCEPTS .038 IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER OD5 FR L80 CM RADIOPAQUE BRAID TAPER TIP C2 CURVE STAINLESS STEEL NYLON BEACON ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER OD5 FR L80 CM RADIOPAQUE BRAID TAPER TIP MPB CURVE STAINLESS STEEL NYLON BEACON ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER OD5 FR L80 CM RADIOPAQUE BRAID TAPER TIP VS1 CURVE STAINLESS STEEL NYLON BEACON ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,118.99,59.5,25.95,107.09,64
HCPCS,C1887,CATHETER OD5 FR L80 CM RADIOPAQUE HIGH TORQUE SHAFT SELECTIVE MIK CURVE VISCERAL SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L80 CM RADIOPAQUE HIGH TORQUE SHAFT SELECTIVE SOS OMNI 2 CURVE VISCERAL SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L80 CM RADIOPAQUE NONBRAID HIGH TORQUE SHAFT SOS OMNI 1 CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
HCPCS,C1887,CATHETER OD5 FR L90 CM RADIOPAQUE BRAID TAPER TIP RBT CURVE STAINLESS STEEL NYLON BEACON ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,335.99,168.0,73.28,302.39,64
HCPCS,C1887,CATHETER OD5.2 FR L100 CM RADIOPAQUE BRAID IM BC MOD CURVE POLYURETHANE SUPER TORQUE PLUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,116.4,58.2,25.39,104.76,64
HCPCS,C1887,CATHETER OD6 FR ID0.071 IN AMPLATZ LEFT FLEXIBLE DISTAL SEGMENT CURVE FLAT-WIRE BRAID L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR ID0.071 IN RIGHT CORONARY CURVE STANDARD FLEXIBLE DISTAL SEGMENT L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR ID0.090 IN FLEXIBLE DISTAL SEGMENT SHORT TIP LEFT CORONARY CURVE L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR L100 CM 2 SIDEHOLE RADIOPAQUE BRAID MPA2 CURVE FEMORAL POLYURETHANE SUPER TORQUE PLUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,42.3,21.15,9.23,38.07,64
HCPCS,C1887,CATHETER OD6 FR L100 CM BRAID .038 IN PIGTAIL CURVE SOFT-VU ANGIOGRAPHIC,85.0,42.5,18.54,76.5,64
HCPCS,C1887,CATHETER OD6 FR L100 CM LARGE LUMEN 2 SIDEHOLE 2 BRAID SOFT TIP SARAH RADIAL 4 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD6 FR L100 CM LARGE LUMEN SIDEHOLE 2 BRAID SOFT TIP RADIAL TIG 4 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD6 FR L110 CM LARGE LUMEN 2 SIDEHOLE 2 BRAID SOFT TIP JACKY RADIAL 3.5 CURVE CORONARY STAINLESS STEEL NYLON POLYURETHANE OPTITORQUE ANGIOGRAPHIC,180.0,90.0,39.26,162.0,64
HCPCS,C1887,CATHETER OD6 FR L125 CM 8 SIDEHOLE OUTER LUMEN 5 SIDEHOLE INNER LUMEN BRAID GUIDEWIRE 145 D PIGTAIL CURVE .038 IN PERIPHERAL CARDIAC LANGSTON ANGIOGRAPHIC,945.0,472.5,206.1,850.5,64
HCPCS,C1887,CATHETER OD6 FR L60 CM FLOTATION STANDARD FLOW TAPER TIP IPSILATERAL PVC ARROW-BERMAN ANGIOGRAPHIC PINK ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER BALLOON OCCLUSION FEMORAL ANGIOGRAPY,139.0,69.5,30.32,125.1,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE ERADL CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE ERADR CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE SHORT CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L90 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE BYPASS CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE MULTIPURPOSE CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD6 FR SIDEHOLE LARGE LUMEN RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD7 FR ID0.081 IN FLEXIBLE DISTAL SEGMENT BYPASS CURVE FLAT-WIRE BRAID L100 CM GUIDING LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD7 FR ID1.219 MM L100 CM WOVEN GOODALE-LUBIN ANGIOGRAPHIC,525.0,262.5,114.5,472.5,64
HCPCS,C1887,CATHETER OD7 FR L100 CM 12 SIDEHOLE RADIOPAQUE BRAID ATRAUMATIC TIP APC CURVE PULMONARY STAINLESS STEEL NYLON TORCON NB ADVANTAGE ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1887,CATHETER OD7 FR L100 CM GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD7 FR L110 CM FLOTATION STANDARD FLOW TAPER TIP IPSILATERAL PVC ARROW-BERMAN ANGIOGRAPHIC PINK ACCEPTS .038 IN GUIDEWIRE 7 FR INTRODUCER BALLOON OCCLUSION FEMORAL ANGIOGRAPY,186.0,93.0,40.57,167.4,64
HCPCS,C1887,CATHETER OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE AMPLATZ CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD8 FR L49 CM GUIDING ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER OD8 FR L54 CM GUIDING ACUITY BREAK-AWAY,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER OD8 FR LARGE LUMEN RADIOPAQUE EBU CURVE L90 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD8 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER OD9 FR L54 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER OUTER GUIDING ACUITY PRO,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER PACING 43CM 2.4MM 1.8MM STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER PACING 6FR DIA 47CML CORONARY SINUS EXTENDED HOOK RAPIDO CUT AWAY,100.0,50.0,21.81,90.0,64
HCPCS,C1887,CATHETER PACING LARGE XLONG 3-DIMENSIONAL CPS LOCATOR,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER PACING MULTIPURPOSE,300.0,150.0,65.43,270.0,64
HCPCS,C1887,CATHETER PACING RIGHT SITE FIXED 20CM 7FR 5.4FR STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER PERFUSION REPERFUSION FULL LENGTH 138CM PTFE LINER SS/NITINOL WIND PROXIMAL HYBRID PRECISION TIP REDGLIDE RED 43,2390.0,1195.0,521.26,2151.0,64
HCPCS,C1887,CATHETER PK1 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L47 CM GUIDING PERIPHERAL LAUNCHER NYLON,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER PULMONARY ARTERY 110CM 7FR 10MM ARROW 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP 1.25CC ACCEPTS .038IN GUIDEWIRE 7FR INTRODUCER STERILE,310.0,155.0,67.61,279.0,64
HCPCS,C1887,CATHETER PULMONARY ARTERY L110 CM 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP OD6 FR ODSEC9 MM ARROW 1 CC ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER,337.5,168.75,73.61,303.75,64
HCPCS,C1887,CATHETER PULMONARY ARTERY L60 CM 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP OD4 FR ODSEC6 MM ARROW .6 CC ACCEPTS .021 IN GUIDEWIRE 5 FR INTRODUCER,177.0,88.5,38.6,159.3,64
HCPCS,C1887,CATHETER PULMONARY ARTERY L60 CM 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP OD5 FR ODSEC8 MM ARROW .75 CC ACCEPTS .025 IN GUIDEWIRE 5 FR INTRODUCER,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER PULMONARY ARTERY L60 CM 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP OD6 FR ODSEC9 MM ARROW 1 CC ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER,55.0,27.5,12.0,49.5,64
HCPCS,C1887,CATHETER PUSHING L170 CM OD7 FR COOK ACCEPTS .035 IN GUIDEWIRE ENDOSCOPIC STENT PLACEMENT,38.0,19.0,8.29,34.2,64
HCPCS,C1887,CATHETER PUSHING L170 CM PUSH OD6 FR FUSION BILIARY DUCT PURPLE ACCEPTS .035 IN GUIDEWIRE,60.0,30.0,13.09,54.0,64
HCPCS,C1887,CATHETER PUSHING PURPLE 170CM 5FR FUSION BILIARY DUCT PUSH ACCEPTS .035IN GUIDEWIRE STERILE DISPOSABLE,60.0,30.0,13.09,54.0,64
HCPCS,C1887,CATHETER R2P NAVICROSS 0.035CM ANGLED,395.0,197.5,86.15,355.5,64
HCPCS,C1887,CATHETER R2P NAVICROSS 0.035CM STRAIGHT,395.0,197.5,86.15,355.5,64
HCPCS,C1887,CATHETER RADIAL CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RADIAL CURVE OD6 FR GUIDING LAUNCHER,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RBU3.5 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RBU3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RBU4 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RBU4 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RBU4 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RBU4 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RCB CURVE OD6 FR LARGE LUMEN RADIOPAQUE BYPASS CURVE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER RDC CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L55 CM GUIDING PERIPHERAL LAUNCHER NYLON,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATHETER RDC1 CURVE SMALL OD7 FR RADIOPAQUE INTRODUCER HEMOSTASIS VALVE L55 CM GUIDING PERIPHERAL VISTA BRITE TIP IG STAINLESS STEEL NYLON PTFE BLUE YELLOW,85.05,42.53,18.55,76.55,64
HCPCS,C1887,CATHETER REVERE HYBRID ACCESS 55CM SINGLE LUMEN VASCULAR PERCUTANEOUS,546.0,273.0,119.08,491.4,64
HCPCS,C1887,CATHETER REVERE HYBRID ACCESS 65CM SINGLE LUMEN VASCULAR PERCUTANEOUS,546.0,273.0,119.08,491.4,64
HCPCS,C1887,CATHETER SCR4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L55 CM GUIDING PERIPHERAL LAUNCHER NYLON,45.0,22.5,9.81,40.5,64
HCPCS,C1887,CATHETER SIZING PIGTAIL CURVE OD5 FR L70 CM L20 CM 10 SIDEHOLE RADIOPAQUE ACCU-VU ACCEPTS .035 IN GUIDEWIRE,625.0,312.5,136.31,562.5,64
HCPCS,C1887,CATHETER SL3 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE SHORT CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD AL1 CURVE OD6 FR RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD EBU4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD EBU4 CURVE OD8 FR LARGE LUMEN SIDEHOLE RADIOPAQUE EBU CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD IMA CURVE OD6 FR RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY PERIPHERAL LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3.5 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3.5 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3.5 CURVE OD6 FR RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3.5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL3.5 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L90 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4 CURVE OD7 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4.5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL4.5 CURVE OD8 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY LEFT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JL6 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR3.5 CURVE OD5 FR LARGE LUMEN RADIOPAQUE L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR3.5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR3.5 CURVE OD7 FR LARGE LUMEN RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR4 CURVE OD5 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR4 CURVE OD6 FR SIDEHOLE LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR4 CURVE OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L100 CM GUIDING CORONARY LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR4 CURVE OD7 FR LARGE LUMEN SIDEHOLE RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR4.5 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD JR5 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE STANDARD CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STANDARD OD7 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT L55 CM GUIDING CORONARY LAUNCHER NYLON,47.5,23.75,10.36,42.75,64
HCPCS,C1887,CATHETER STANDARD RBU4 CURVE OD6 FR LARGE LUMEN RADIOPAQUE BACK SUPPORT CURVE L100 CM GUIDING CORONARY RIGHT LAUNCHER NYLON,42.0,21.0,9.16,37.8,64
HCPCS,C1887,CATHETER STRAIGHT OD5 FR L115 CM GUIDING SOFIA EX,1615.0,807.5,352.23,1453.5,64
HCPCS,C1887,CATHETER STRAIGHT OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER SUCTION L125 CM LARGE BORE 71,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1887,CATHETER SUCTION L132 CM LARGE BORE 71,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1887,CATHETER SUPPORT 135CM 1.5FR .026-.039IN QUICK-CROSS 15MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 5FR GUIDE DISPOSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 135CM 1.8FR QUICK-CROSS 15MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 5FR GUIDE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 135CM 1.9FR .034-.042IN QUICK-CROSS SELECT 45D 15MM SPACE STAINLESS STEEL HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE BRAID 4MM ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 5FR GUIDE,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 135CM 2.1FR ASAHI TORNUS STAINLESS STEEL RADIOPAQUE REINFORCE COVER TUBE TAPER TIP ACCEPTS .014IN GUIDEWIRE PTCA STERILE,735.0,367.5,160.3,661.5,64
HCPCS,C1887,CATHETER SUPPORT 135CM 2.6FR TORNUS STAINLESS STEEL RADIOPAQUE TAPER TIP REINFORCE COVER TUBE ACCEPTS .014IN GUIDEWIRE PTCA STERILE,735.0,367.5,160.3,661.5,64
HCPCS,C1887,CATHETER SUPPORT 135CM 3.1FR QUICK-CROSS 50MM SPACE RADIOPAQUE ACCEPTS GUIDEWIRE .035IN 6FR GUIDE 5FR SHEATH,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 135CM 3.2FR .052-.059IN QUICK-CROSS SELECT 45D 50MM SPACE .035IN STAINLESS STEEL HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE BRAID 7MM 5FR SHEATH,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 135CM QUICK-CROSS EXTREME .035IN STAINLESS STEEL HYDROPHILIC STRAIGHT TIP RADIOPAQUE,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 135CM TRAILBLAZER 50MM SPACE HYDROPHILIC 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 5FR GUIDE SHEATH 4FR INTRODUCER SHEATH,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER SUPPORT 150CM 1.5FR .026-.039IN QUICK-CROSS 15MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 5FR GUIDE DISPOSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 150CM 1.8FR QUICK-CROSS 15MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 5FR GUIDE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 150CM 2.6FR CXI ANGLE STAINLESS STEEL HYDROPHILIC RADIOPAQUE BRAID LOW PROFILE ACCEPTS .018IN GUIDEWIRE STERILE,174.99,87.5,38.17,157.49,64
HCPCS,C1887,CATHETER SUPPORT 150CM 3.1FR .05-.063IN QUICK-CROSS 50MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .035IN GUIDEWIRE 5FR SHEATH 6FR GUIDE DISPOSABLE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 150CM 3.2FR .052-.059IN QUICK-CROSS SELECT 45D 15MM SPACE STAINLESS STEEL HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE BRAID 4MM ACCEPTS .014IN GUIDEWIRE 4FR SHEATH 5FR GUIDE DISPOSAB,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 150CM QUICK-CROSS .018IN STRAIGHT,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 150CM QUICK-CROSS .035IN STRAIGHT,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 65CM 3.1FR QUICK-CROSS 50MM SPACE RADIOPAQUE ACCEPTS GUIDEWIRE .035IN 6FR GUIDE 5FR SHEATH,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 65CM QUICK-CROSS .035IN ANGLE,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 90CM .056IN TRAILBLAZER 50MM ANGLE STAINLESS STEEL HYDROPHILIC ULTRA LOW PROFILE TIP LOW PROFILE SHAFT KINK RESISTANCE,160.0,80.0,34.9,144.0,64
HCPCS,C1887,CATHETER SUPPORT 90CM 1.8FR .03-.044IN QUICK-CROSS 15MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .018IN GUIDEWIRE 4FR SHEATH 5FR GUIDE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 90CM 2.5FR SPEX HYDROPHILIC LOW PROFILE RADIOPAQUE SEAMLESS REINFORCE ACCEPTS .018IN GUIDEWIRE 4FR SHEATH CRTICAL LIMB ISCHEMIA,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER SUPPORT 90CM 2.6FR TRAILBLAZER 15MM ANGLE STAINLESS STEEL HYDROPHILIC ULTRA LOW PROFILE TIP LOW PROFILE SHAFT KINK RESISTANCE,800.0,400.0,174.48,720.0,64
HCPCS,C1887,CATHETER SUPPORT 90CM 3.1FR .05-.063IN QUICK-CROSS 50MM SPACE HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE TRANSLUCENT SHAFT ACCEPTS .035IN GUIDEWIRE 5FR SHEATH 6FR GUIDE,700.0,350.0,152.67,630.0,64
HCPCS,C1887,CATHETER SUPPORT 90CM 3.2FR .052-.059IN QUICK-CROSS SELECT 45D 50MM SPACE STAINLESS STEEL HYDROPHILIC LOW PROFILE TAPER TIP RADIOPAQUE BRAID 7MM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH DISPOSABLE,885.0,442.5,193.02,796.5,64
HCPCS,C1887,CATHETER SUPPORT 90CM SPEX SHAPEABLE ACCEPTS .035IN GUIDEWIRE STERILE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1887,CATHETER SUPPORT CLEAR PURPLE 135CM 3.4FR RUBICON 14 15MM SPACE NYLON HYDROPHILIC RADIOPAQUE ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER SUPPORT CLEAR PURPLE 150CM 3.4FR RUBICON 14 15MM SPACE NYLON HYDROPHILIC RADIOPAQUE ULTRA LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR SHEATH,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER SUPPORT CLEAR PURPLE 90CM 5.1FR RUBICON 35 50MM SPACE NYLON HYDROPHILIC RADIOPAQUE ULTRA LOW PROFILE ACCEPTS .035IN GUIDEWIRE 5FR SHEATH,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER SUPPORT PURPLE 135CM 5.1FR RUBICON STRAIGHT HYDROPHILIC ACCEPTS .035IN GUIDEWIRE 5FR SHEATH,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER THROMBECTOMY L120 CM NEURON,124.0,62.0,27.04,111.6,64
HCPCS,C1887,CATHETER THROMBECTOMY L132 CM NO CE RED 68,2390.0,1195.0,521.26,2151.0,64
HCPCS,C1887,CATHETER THROMBECTOMY OD7 FR ASPIRATION TUBE INDIGO,2670.0,1335.0,582.33,2403.0,64
HCPCS,C1887,CATHETER TIG4 CURVE OD6 FR RADIOPAQUE LARGE INNER LUMEN FLEXIBLE SHAFT L100 CM GUIDING CORONARY HEARTRAIL III PTFE,80.0,40.0,17.45,72.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .014 IN GUIDEWIRE 4 FR INTRODUCER SHEATH 5 FR GUIDE SHEATH L60 CM OD.03 IN RADIOPAQUE TAPER LOW PROFILE TIP 1 LUMEN BRAID HYDROPHILIC SUPPORT 15 MM SPACE ANGLE PERIPHERAL,800.0,400.0,174.48,720.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L135 CM 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE HYDROPHILIC SUPPORT 15 MM SPACE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L150 CM 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE HYDROPHILIC SUPPORT 15 MM SPACE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .018 IN GUIDEWIRE 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L135 CM 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE HYDROPHILIC SUPPORT 15 MM SPACE,550.0,275.0,119.96,495.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .018 IN GUIDEWIRE 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L150 CM 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE HYDROPHILIC SUPPORT 15 MM SPACE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .018 IN GUIDEWIRE 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L90 CM 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE HYDROPHILIC SUPPORT 15 MM SPACE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .035 IN GUIDEWIRE 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L65 CM 1 LUMEN TAPER LOW PROFILE TIP NONBRAID RADIOPAQUE HYDROPHILIC SUPPORT 50 MM SPACE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .046 MM GUIDEWIRE FG L150 CM OD4 FR ODSEC.58 MM SUPPORT ANGLE,800.0,400.0,174.48,720.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS .089 MM GUIDEWIRE FG L135 CM OD4 FR ODSEC1.04 MM SUPPORT ANGLE,760.0,380.0,165.76,684.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L150 CM BRAID SHAFT SUPPORT .014 IN 15 MM SPACE ANGLE,800.0,400.0,174.48,720.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS 5 FR GUIDE SHEATH 4 FR INTRODUCER SHEATH L150 CM RADIOPAQUE SUPPORT .035 IN 50 MM SPACE ANGLE,760.0,380.0,165.76,684.0,64
HCPCS,C1887,CATHETER TRAILBLAZER ACCEPTS 6 FR GUIDE SHEATH 5 FR INTRODUCER SHEATH L150 CM OD.035 IN RADIOPAQUE NONBRAID TRANSLUCENT SHAFT STRAIGHT TIP HYDROPHILIC SUPPORT 50 MM SPACE,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRAILBLAZER PUSHPLUS ACCEPTS .035 IN GUIDEWIRE L90 CM 1 LUMEN TAPER LOW PROFILE TIP MARKER CROSSCOAT SUPPORT 50 MM SPACE PERCUTANEOUS,600.0,300.0,130.86,540.0,64
HCPCS,C1887,CATHETER TRIGUIDE GUIDING 5F AXIS SHAPE 0.048IN 65CM,179.0,89.5,39.04,161.1,64
HCPCS,C1887,CATHETER VASCULAR 105CM .072IN SELECTFLEX WAHOO NEUROVASCULAR ACCESS SYSTEM,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,CATHETER VASCULAR 200CM VIPERCATH XC SUPPORT ACCEPTS .035IN GUIDEWIRE NONSTERILE LATEX FREE DISPOSABLE,200.0,100.0,43.62,180.0,64
HCPCS,C1887,CATHETER VASCULAR 4FR WAVELINQ,7000.0,3500.0,1526.7,6300.0,64
HCPCS,C1887,CATHETER VASCULAR L 105CM STRAIGHT RADIAL ACCESS ARMADILLO 7F SELECTFLEX L 27CM,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,CATHETER VASCULAR L135 CM MULTILAYER SHAFT FLEXIBLE TAPER TIP OD2.6-2.9 FR ODSEC1.6 FR TURNPIKE ACCEPTS .014- IN GUIDEWIRE,613.0,306.5,133.7,551.7,64
HCPCS,C1887,CATHETER VASCULAR L140 CM MICRO RADIOPAQUE TIGHT COIL STRUCTURE SPIRAL REINFORCEMENT FLEXIBLE ATRAUMATIC DISTAL TIP OD2.8 FR ID.027 IN PG PRO HYDROPHILIC PERIPHERAL ACCEPTS .021 IN GUIDEWIRE AZUR VASC,495.0,247.5,107.96,445.5,64
HCPCS,C1887,CATHETER VASCULAR L165 CM MICRO RADIOPAQUE TIGHT COIL STRUCTURE SPIRAL REINFORCEMENT FLEXIBLE ATRAUMATIC DISTAL TIP OD2.8 FR ID.027 IN PG PRO HYDROPHILIC PERIPHERAL ACCEPTS .021 IN GUIDEWIRE AZUR VASC,575.0,287.5,125.41,517.5,64
HCPCS,C1887,CATHETER VL3.5 CURVE OD6 FR LARGE LUMEN SIDEHOLE RADIOPAQUE 4 X 2 ROUND BRAID L100 CM GUIDING FEMORAL RUNWAY PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER VL5 CURVE OD6 FR LARGE LUMEN RADIOPAQUE 4 X 2 ROUND BRAID L100 CM GUIDING FEMORAL RUNWAY PTFE,48.0,24.0,10.47,43.2,64
HCPCS,C1887,CATHETER XBLAD 3.5 CURVE OD5 FR RADIOPAQUE HYBRID BRAID TORQUE CONTROL L100 CM GUIDING PERIPHERAL VISTA BRITE TIP STAINLESS STEEL NYLON PTFE BLUE YELLOW,40.4,20.2,8.81,36.36,64
HCPCS,C1887,CONVERTER WIRE 145CM 290CM .014IN 4FR LOCK MARKER HYDROPHILIC PIGGYBACK STERILE DISPOSABLE,1070.0,535.0,233.37,963.0,64
HCPCS,C1887,ELEMENT 17 F VASCULAR ACCESS SYSTEM 13CM,935.0,467.5,203.92,841.5,64
HCPCS,C1887,ELEMENT 17 F VASCULAR ACCESS SYSTEM 33CM,935.0,467.5,203.92,841.5,64
HCPCS,C1887,ELEMENT 17 F VASCULAR ACCESS SYSTEM 45CM,935.0,467.5,203.92,841.5,64
HCPCS,C1887,ELEMENT 17 F VASCULAR ACCESS SYSTEM 65CM,935.0,467.5,203.92,841.5,64
HCPCS,C1887,ELEMENT 7 PACK - ELEMENT 17 F VASCULAR ACCESS SYSTEM 65CM,4500.0,2250.0,981.45,4050.0,64
HCPCS,C1887,ENVOY 7F 90 CM MPC,425.0,212.5,92.69,382.5,64
HCPCS,C1887,GUIDE CATH ENVOY MPA 5F 90CM,456.0,228.0,99.45,410.4,64
HCPCS,C1887,GUIDE RUNWAY 6F 100CM JL4,48.0,24.0,10.47,43.2,64
HCPCS,C1887,INTRODUCER CATHETER 5FR 25CM THIN WALL HALO ONE 0.035IN GW,90.0,45.0,19.63,81.0,64
HCPCS,C1887,INTRODUCER CATHETER PASSPORT SHEATH 6.5FR 55CM 9MM CURVE STEERABLE TWIST STANDARD SHAFT W/73CM DILATOR HYDROPHILIC,850.0,425.0,185.39,765.0,64
HCPCS,C1887,INTRODUCER LEAD CORODYN P1 VENOGRAM BALLOON,90.0,45.0,19.63,81.0,64
HCPCS,C1887,INTRODUCER LEAD L55 CM OD8.7 FR SELECTRA INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM PEBAX HYDROPHILIC EXTEND HOOK CURVE CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1887,INTRODUCER LEAD L75 CM OD5 FR ID.046 IN WORLEY ERGONOMIC WING HUB BRAID SHAFT VEIN SELECTOR HOOK CURVE TAPER,78.08,39.04,17.03,70.27,64
HCPCS,C1887,INTRODUCER SHEATH OD10 FR ODSEC80MM DELIVERY SYSTEM ANGLED AMPLATZER TREVISIO .035 IN,680.0,340.0,148.31,612.0,64
HCPCS,C1887,INTRODUCER SHEATH OD10.06 FR L54 CM CPS DIRECT STRAIGHT,170.0,85.0,37.08,153.0,64
HCPCS,C1887,INTRODUCER STEERABLE LARGE CURL 13F,1350.0,675.0,294.44,1215.0,64
HCPCS,C1887,INTRODUCER STEERABLE MEDIUM CURL 13F,1350.0,675.0,294.44,1215.0,64
HCPCS,C1887,INTRODUCER VASCULAR 6.5FR 55CM HYDROPHILIC 7MM CURVE BEND STEERABLE STANDARD STRAIGHT SHAFT W/73CM DILATOR PASSPORT,1049.0,524.5,228.79,944.1,64
HCPCS,C1887,INTRODUCER VASCULAR 6.5FR 90CM HYDROPHILIC 9MM CURVE BEND STEERABLE STANDARD STRAIGHT SHAFT W/108CM DILATOR PASSPORT,1049.0,524.5,228.79,944.1,64
HCPCS,C1887,INTRODUCER VASCULAR 7FR 45CM HYDROPHILIC 9MM CURVE BEND STEERABLE STANDARD STRAIGHT SHAFT W/63CM DILATOR PASSPORT,1049.0,524.5,228.79,944.1,64
HCPCS,C1887,KIT ARTERIAL LINE L5 IN .025 IN CATHETER RADIOPAQUE INJECTION NEEDLE SYRINGE OD20 GA ODSEC18 GA ARROW 1% LIDOCAINE HCL 10% POVIDONE IODINE L1 1/2 IN 3 ML RADIAL ARTERY,132.0,66.0,25.28,118.8,65
HCPCS,C1887,KIT CATHETER ARTERIAL 18GA 1 3/4INL POLYURETHANE RADIAL ARTERY W/0.025IN GW INTRO NDL 25/18/1/1.5/1.5IN NDLX3 3ML SYR 5ML 1% LIDOCAINE HYDROCHLORIDE ALCOHOL PREP 1.5ML APPLICATOR 2% CHG 70% IPA FREPP ,179.0,89.5,39.04,161.1,64
HCPCS,C1887,KIT CATHETER ARTERIAL 20GA 1 1/2INL POLYURETHANE RADIAL ARTERY W/ACCESSORIES ARROW LATEX-FREE METRO ANESTHESIA ONLY,178.0,89.0,34.09,160.2,65
HCPCS,C1887,KIT CATHETER ARTERIAL 20GA 1 3/4INL POLYURETHANE RADIAL ARTERY W/0.018IN GW INTRO NDL 25/18/18GA 1/1.5/1.5IN NDLX3 3ML SYR 5ML 1% LIDOCAINE HYDROCHLORIDE ALCOHOL PREP 1.5ML APPLICATOR 2% CHG 70% IPA F,209.0,104.5,40.02,188.1,65
HCPCS,C1887,KIT CATHETER ARTERIAL 20GA 1 3/4INL POLYURETHANE RADIAL ARTERY W/0.018IN GW NDL INTEGRAL 25/18/18GA 1/1.5/1.5IN NDLX3 3ML SYR 5ML 1% LIDOCAINE HYDROCHLORIDE ALCOHOL PREP 1.5ML APPLICATOR LATEX-FREE NO,234.0,117.0,44.81,210.6,65
HCPCS,C1887,KIT IMPLANT .038IN STANDARD GUIDEWIRE CPS,20.0,10.0,4.36,18.0,64
HCPCS,C1887,KIT JEJUNOSTOMY L45 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE L3.5 CM 7-10 ML,336.05,168.03,64.35,302.45,65
HCPCS,C1887,KIT LEAD DELIVERY IS-1 TORQUE DEVICE ROTATE HEMOSTASIS VALVE GUIDE CATHETER,100.0,50.0,21.81,90.0,64
HCPCS,C1887,KIT PACING L110 CM TEMPORARY BIPOLAR BALLOON SHROUD PIN EXTRA THIN WALL INTRODUCER NEEDLE OD5 FR ODSEC18 GA ARROW ADVANCER CHLORAPREP HI-LITE ORANGE L2 1/2 IN,1785.0,892.5,389.31,1606.5,64
HCPCS,C1887,MICROCATHETER 45 D ID.0175 IN CEREBROVASCULAR VIA,1350.0,675.0,294.44,1215.0,64
HCPCS,C1887,MICROCATHETER 90 D ID.0175 IN CEREBROVASCULAR VIA,1350.0,675.0,294.44,1215.0,64
HCPCS,C1887,MICROCATHETER CEREBROVASCULAR 135CM MAMBA FLEX STERILE DISPOSABLE,615.0,307.5,134.13,553.5,64
HCPCS,C1887,MICROCATHETER CEREBROVASCULAR 135CM MAMBA STERILE LATEX FREE DISPOSABLE,615.0,307.5,134.13,553.5,64
HCPCS,C1887,MICROCATHETER CEREBROVASCULAR 150CM MAMBA FLEX STERILE DISPOSABLE,615.0,307.5,134.13,553.5,64
HCPCS,C1887,MICROCATHETER GUIDING 135CM .85-.62MM .48MM .55MM .4MM CARAVEL HYDROPHILIC LOW PROFILE BRAID SHAFT INNER LUMEN TAPER TIP 70CM,395.0,197.5,86.15,355.5,64
HCPCS,C1887,MICROCATHETER GUIDING 150CM .85-.62MM .48MM .55MM .4MM CARAVEL HYDROPHILIC LOW PROFILE BRAID SHAFT INNER LUMEN TAPER TIP 85CM,395.0,197.5,86.15,355.5,64
HCPCS,C1887,MICROCATHETER GUIDING L130 CM TAPER BRAID DISTAL SEGMENT SHAFT OD2.5-1.8 FR ID.021-.018 IN FINECROSS M3 STAINLESS STEEL HYDROPHILIC L75 CM CORONARY ACCEPTS .014 IN GUIDEWIRE,468.0,234.0,102.07,421.2,64
HCPCS,C1887,MICROCATHETER GUIDING L130 CM TAPER TIP FLOPPY DISTAL SEGMENT OD1.8-2.6 FR FINECROSS MG STAINLESS STEEL HYDROPHILIC CORONARY ACCEPTS .014 IN GUIDEWIRE,425.0,212.5,92.69,382.5,64
HCPCS,C1887,MICROCATHETER GUIDING L140 CM 2 LUMEN OTW REINFORCE BALLOON DILATATION OD5 FR RECROSS HYDROPHILIC CORONARY,995.0,497.5,217.01,895.5,64
HCPCS,C1887,MICROCATHETER GUIDING L150 CM OD.84-.61 FR FINECROSS CORONARY,468.0,234.0,102.07,421.2,64
HCPCS,C1887,MICROCATHETER GUIDING L150 CM TAPER TIP FLOPPY DISTAL SEGMENT OD1.8-2.6 FR FINECROSS MG STAINLESS STEEL HYDROPHILIC CORONARY ACCEPTS .014 IN GUIDEWIRE,425.0,212.5,92.69,382.5,64
HCPCS,C1887,MICROCATHETER INFUSION 105CM 3-2.8FR .027IN RENEGADE HI-FLO HYDROPHILIC KIT RADIOPAQUE BRAID STRAIGHT TIP 10CM ACCEPTS .018IN GUIDEWIRE,303.45,151.73,66.18,273.11,64
HCPCS,C1887,MICROCATHETER INFUSION 105CM 3-2.8FR .027IN RENEGADE HI-FLO HYDROPHILIC KIT RADIOPAQUE BRAID STRAIGHT TIP 20CM ACCEPTS .018IN GUIDEWIRE,303.45,151.73,66.18,273.11,64
HCPCS,C1887,MICROCATHETER INFUSION 130CM 3-2.5FR RENEGADE VORTEC HYDRO PASS PTFE BRAID DISTAL TIP RADIOPAQUE,315.0,157.5,68.7,283.5,64
HCPCS,C1887,MICROCATHETER INFUSION 135CM 2.1FR ASAHI CORSAIR PRO XS STERILE LATEX FREE DISPOSABLE,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER INFUSION 135CM 2.3FR 3.3FR NHANCER RX HYDROPHILIC 2 LUMEN SOFT TAPER TIP REINFORCE SHAFT RADIOPAQUE ACCEPTS 5FR GUIDE CATHETER .014IN .14IN GUIDEWIRE,495.0,247.5,107.96,445.5,64
HCPCS,C1887,MICROCATHETER INFUSION 135CM 2.6-2.8FR ASAHI CORSAIR POLYMER HYDROPHILIC RADIOPAQUE BRAID TAPER SOFT TIP ACCEPTS .014IN GUIDEWIRE STERILE,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER INFUSION 135CM 2.6-2.8FR ASAHI CORSAIR PRO SPIRAL PROTECTOR TAPER SOFT TIP ACCEPTS .014IN GUIDEWIRE,550.0,275.0,119.96,495.0,64
HCPCS,C1887,MICROCATHETER INFUSION 135CM 3-2.8FR .027IN RENEGADE HI-FLO HYDROPHILIC BRAID STRAIGHT TIP RADIOPAQUE 10CM ACCEPTS .018IN GUIDEWIRE,303.45,151.73,66.18,273.11,64
HCPCS,C1887,MICROCATHETER INFUSION 135CM 3-2.8FR .027IN RENEGADE HI-FLO KIT RADIOPAQUE BRAID STRAIGHT TIP 20CM ACCEPTS .018IN GUIDEWIRE,303.45,151.73,66.18,273.11,64
HCPCS,C1887,MICROCATHETER INFUSION 150CM 2.1FR ASAHI CORSAIR PRO XS STERILE LATEX FREE DISPOSABLE,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER INFUSION 150CM 2.6-2.8FR CORSAIR PRO SPIRAL PROTECTOR TAPER SOFT TIP ACCEPTS .014IN GUIDEWIRE,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER INFUSION 150CM 3-2.5FR RENEGADE VORTEC HYDRO PASS PTFE RADIOPAQUE BRAID DISTAL TIP,433.5,216.75,94.55,390.15,64
HCPCS,C1887,MICROCATHETER INFUSION 150CM 3-2.5FR RENEGADE VORTEC HYDRO PASS PTFE RADIOPAQUE BRAID DISTAL TIP 10CM,315.0,157.5,68.7,283.5,64
HCPCS,C1887,MICROCATHETER INFUSION 150CM 3-2.8FR .027IN RENEGADE HI-FLO HYDROPHILIC KIT RADIOPAQUE BRAID STRAIGHT TIP 10CM ACCEPTS .018IN GUIDEWIRE,303.45,151.73,66.18,273.11,64
HCPCS,C1887,MICROCATHETER INFUSION L150 CM STRAIGHT RADIOPAQUE HYBRID BRAID OD1.7-2.4 FR HEADWAY ADVANCE HYDROPHILIC PERIPHERAL,780.0,390.0,170.12,702.0,64
HCPCS,C1887,MICROCATHETER INFUSION L150 CM STRAIGHT RADIOPAQUE HYBRID BRAID OD2-2.5 FR HEADWAY HYDROPHILIC PERIPHERAL,830.0,415.0,181.02,747.0,64
HCPCS,C1887,MICROCATHETER INFUSION L156 CM SMOOTH TRACKABLE SEGMENT TIGHT PITCH COIL REINFORCEMENT STRAIGHT TIP OD2-2.5 FR ID.021 IN HEADWAY HYDROPHILIC,1040.0,520.0,226.82,936.0,64
HCPCS,C1887,MICROCATHETER INFUSION L165 CM STRAIGHT KINK RESISTANCE BRAID TAPER INNER LUMEN POWER INJECTION OD1.9-2.8 FR ID.019 IN PROGREAT LAMBDA PERIPHERAL ACCEPTS .016 IN GUIDEWIRE ACCEPTS .018 IN EMBOLIZATION,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER L115 CM CEREBROVASCULAR BENCHMARK 70,895.0,447.5,195.2,805.5,64
HCPCS,C1887,MICROCATHETER L154 CM OD2.2-2.5 FR ID.0175 IN 2 TIP MARKER CEREBROVASCULAR VIA,1350.0,675.0,294.44,1215.0,64
HCPCS,C1887,MICROCATHETER THIN WALL L130 CM L70 CM OD2 FR ID.019 IN RADIOPAQUE STRAIGHT TIP LOW PROFILE LARGE LUMEN CEREBROVASCULAR PROGREAT ALPHA TUNGSTEN HYDROPHILIC,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER THIN WALL L150 CM L90 CM OD2 FR ID.019 IN RADIOPAQUE STRAIGHT TIP LOW PROFILE LARGE LUMEN CEREBROVASCULAR PROGREAT ALPHA TUNGSTEN HYDROPHILIC,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 1.9/2.8FR P/D 0.019IN ID 900PSI 165CM PERIPHERAL TRIPLE ANGLE ASYMMETRIC BRAIDED PROGREAT LAMBDA RADIOPAQUE MARKER 5/CT 0.016IN GW,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 2.2/1.3FR OD 135CM HYDROPHILIC LOW-PROFILE CORAFORCE 0.014IN GW 5FR MINI CATH,700.0,350.0,152.67,630.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 2.9-2.4FR 125CM CORONARY STEERABLE SWIFTNINJA 0.018IN GW,2400.0,1200.0,523.44,2160.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 2FR 110CM PTFE LINER HYDROPHILIC STRAIGHT COAXIAL LARGE LUMEN DISTAL GOLD MARKER TIP W/HEMOSTATIC VALVE SHAPING MANDREL PROGREAT ALPHA NON-RADIOLUCENT 0.016IN GW,850.0,425.0,185.39,765.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 5FR 0.029IN OD 135CM 0.018IN DISTAL TIP STAINLESS STEEL BRAID POLYMER JACKET HYDROPHILIC FLEXIBLE CORAFLEX NON-RADIOLUCENT 0.014IN GW,700.0,350.0,152.67,630.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 5FR 0.029IN OD 150CM 0.018IN DISTAL TIP STAINLESS STEEL BRAID POLYMER JACKET HYDROPHILIC FLEXIBLE CORAFLEX NON-RADIOLUCENT 0.014IN GW,700.0,350.0,152.67,630.0,64
HCPCS,C1887,MICROCATHETER VASCULAR 5FR 0.040IN 120CM 9CM STAINLESS STEEL POLYMER H1 TIP BRAIDED NEURON SELECT 0.035/0.038IN GW,124.0,62.0,27.04,111.6,64
HCPCS,C1887,MICROCATHETER VASCULAR PROGREAT ALPHA 2FR 130CM 70CM 70DEG PERIPHERAL LARGE LUMEN THIN-WALL LOW-PROFILE SHAPING MANDREL PTFE LINER TUNGSTEN HYDROPHILIC RADIOPAQUE MARKER 0.016IN GW,765.0,382.5,166.85,688.5,64
HCPCS,C1887,MICROCATHETER VASCULAR SUPERSELECTIVE 2.5FR 0.021IN ID 100CM HYDROPHILIC HAND SHAPEABLE FULL BRAIDED 1-MARKER CANTATA RADIOPAQUE MARKER 0.035IN GW 500UM PARTICLE COMPATIBLE,450.99,225.5,98.36,405.89,64
HCPCS,C1887,MIRCOCATHETER ACCESS25 DELIVERY 025 - 45,945.0,472.5,206.1,850.5,64
HCPCS,C1887,MIRCOCATHETER ACCESS25 DELIVERY 025 - 90,945.0,472.5,206.1,850.5,64
HCPCS,C1887,MIRCOCATHETER ACCESS25 DELIVERY 025 - STRAIGHT,945.0,472.5,206.1,850.5,64
HCPCS,C1887,NEEDLE SUTURE C-13 1/2 CIRCLE LONG L36.6 MM REVERSE CUT LOOP NITINOL,228.0,114.0,49.73,205.2,64
HCPCS,C1887,PACK CATHETER ANGIOGRAPHIC SELECTIVE 4FR 110CM VESTAN NYLON 155DEG PIGTAIL MODIFIED JUDKINS RIGHT/LEFT4 6SH W/AVANTI INTRO RED QUICK CARE INFINITI PRIMOPAC RADIOPAQUE 0.038IN GW,315.1,157.55,68.72,283.59,64
HCPCS,C1887,RESUSCITATOR MANUAL ADULT BAG RESERVOIR MASK MANOMETER FILTER DISPOSABLE LIFESAVER,150.0,75.0,32.72,135.0,64
HCPCS,C1887,SET CATHETER L12 CM OD20 GA ARROW ARTERIAL,214.0,107.0,40.98,192.6,65
HCPCS,C1887,SET INTRODUCER CATH DESTINO TWIST GUID 7FRX45CM 9MM RAD UNI- DRCT DFLCT HEMSTS VLV STD SHFT BRD,1049.0,524.5,228.79,944.1,64
HCPCS,C1887,SET SHEATH 90CM 6.5FR DESTINO FLEXSTEER SURESEAL 9MM CURVE BEND HYDROPHOBIC RADIOPAQUE DEFLECTABLE STEERABLE ROTATE COLLAR 108CM STERILE DISPOSABLE,900.0,450.0,196.29,810.0,64
HCPCS,C1887,SHEATH 6.5FR 55CM 9MM 180D CATHETER STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT TOURGUIDE HYDROPHOBIC,418.7,209.35,91.32,376.83,64
HCPCS,C1887,SHEATH 6.5FR 90CM 9MM 180D CATHETER STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT TOURGUIDE HYDROPHOBIC,450.5,225.25,98.25,405.45,64
HCPCS,C1887,SHEATH 7FR 55CM 73CM 9MM CURVE GUIDING STEERABLE DEFLECTABLE RADIOPAQUE ATRAUMATIC TIP DESTINO TWIST HYDROPHOBIC,450.0,225.0,98.15,405.0,64
HCPCS,C1887,SHEATH 7FR 90CM 9MM 180D CATHETER STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT TOURGUIDE HYDROPHOBIC,450.5,225.25,98.25,405.45,64
HCPCS,C1887,SHEATH 8FR 80MM .035IN DELIVERY DELIVERY SYSTEM ANGLED AMPLATZER TREVISIO STERILE LATEX FREE,680.0,340.0,148.31,612.0,64
HCPCS,C1887,SHEATH CATHETER L55 CM L9 MM ID7 FR TOURGUIDE 180 D HYDROPHILIC STEERABLE,418.7,209.35,91.32,376.83,64
HCPCS,C1887,SHEATH DELIVERY OD9 FR ODSEC80MM AMPLATZER TREVISIO DELIVERY SYSTEM ANGLED .035 IN,680.0,340.0,148.31,612.0,64
HCPCS,C1887,SHEATH GUIDING L45 CM LEFT INTERNAL MAMMARY ARTERY CURVE RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1887,SHEATH GUIDING L45 CM STRAIGHT RADIOPAQUE KINK RESISTANT CROSSCUT VALVE OD5 FR ODSEC.098 IN ID.076 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L35 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1887,SHEATH INTRODUCER L80 CM LONG MULTIPURPOSE CURVE SOFT TIP CROSSCUT ROTATE HEMOSTATIC VALVE DILATOR OD6 FR ODSEC8 FR ID.088 IN NEURON MAX STAINLESS STEEL HYDROPHILIC L4 CM ACCEPTS .035/.038 IN GUIDEWIR,395.0,197.5,86.15,355.5,64
HCPCS,C1887,SHEATH TOURGUIDE 8.5FX55CM17MM DEFLECTION,418.7,209.35,91.32,376.83,64
HCPCS,C1887,SHEATH VERSACROSS  63CM 45DEG D0,205.0,102.5,44.71,184.5,64
HCPCS,C1887,SHEATH VERSACROSS  63CM 45DEG D1,205.0,102.5,44.71,184.5,64
HCPCS,C1887,SHEATH VERSACROSS  63CM 55DEG D0,205.0,102.5,44.71,184.5,64
HCPCS,C1887,SHEATH VERSACROSS  63CM 55DEG D1,205.0,102.5,44.71,184.5,64
HCPCS,C1887,SHEATH VERSACROSS  63CM 90DEG D1,205.0,102.5,44.71,184.5,64
HCPCS,C1887,"SHEATH VERSACROSS STEERABLE (72CM, L CURL, D1)",930.0,465.0,202.83,837.0,64
HCPCS,C1887,"SHEATH VERSACROSS STEERABLE (72CM, M CURL, D0)",930.0,465.0,202.83,837.0,64
HCPCS,C1887,"SHEATH VERSACROSS STEERABLE (72CM, M CURL, D1)",930.0,465.0,202.83,837.0,64
HCPCS,C1887,"SHEATH VERSACROSS STEERABLE (72CM, S CURL, D1)",930.0,465.0,202.83,837.0,64
HCPCS,C1887,SLIP-CATH 5FR 100CM ANGLED MULTIPURPOSE DAVIS BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM ANGLED MULTIPURPOSE KMP BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM ANGLED MULTIPURPOSE VERTEBRAL CEREBRAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM BENTSON2 CEREBRAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM HN4 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM JB1 NSP CEREBRAL BRAIDED BEACON TIP HYDROPHILIC 0.038IN GW NON-RADIOLUCENT,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM MANI CEREBRAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM SIMMONS 3 CEREBRAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM SIMMONS1 NSP CEREBRAL WIRE BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW RADIOPAQUE TIP,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM STRAIGHT BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM TEGT BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 100CM VITEK NSP CEREBRAL WIRE BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW RADIOPAQUE TIP,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM ANGLED MULTIPURPOSE DAV BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM HOOK 1 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM JB1 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM SIMMONS 1 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM SIMMONS2 CEREBRAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM STRAIGHT BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM TEGT BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 125CM VITEK NSP CEREBRAL WIRE BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW RADIOPAQUE TIP,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 40CM ANGLED MULTIPURPOSE KMP BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM ANGLED MULTIPURPOSE KUMPE NSP WIRE BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW RADIOPAQUE TIP,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM ANGLED MULTIPURPOSE TEGT BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM COBRA 1 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM COBRA 2 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM COBRA 3 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM DAVIS BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM LEV1 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM MULTIPURPOSE A BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM RDC BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM RIGHT CORONARY2 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM RIM SHUTTLE BRAIDED BEACON TIP NYLON STAINLESS STEEL 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM SIMMONS 1 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 65CM SIMMONS 2 BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 80CM COBRA2 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 80CM MULTIPURPOSE A PERIPHERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 80CM VS VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 80CM VS1 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 80CM VS2 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH 5FR 80CM VS3 VISCERAL BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SLIP-CATH BEACON TIP HYDROPHILIC ANGIOGRAPHIC CATHETER,288.99,144.5,63.03,260.09,64
HCPCS,C1887,SYS DEL TORQVUE 6F 180D 80CMAMPLATZER,680.0,340.0,148.31,612.0,64
HCPCS,C1887,SYSTEM DELIVERY ENSEMBLE II 20MM TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH POLYETHER NYLON PTFE STERILE ACCEPTS .889MM GUIDEWIRE,6500.0,3250.0,1417.65,5850.0,64
HCPCS,C1887,SYSTEM DELIVERY ENSEMBLE II 22MM TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH POLYETHER NYLON PTFE STERILE ACCEPTS .889MM GUIDEWIRE,6500.0,3250.0,1417.65,5850.0,64
HCPCS,C1887,SYSTEM DELIVERY ENVEO R LOAD STERILE LATEX FREE DISPOSABLE,390.0,195.0,85.06,351.0,64
HCPCS,C1887,SYSTEM DELIVERY EVOLUT FX LOAD 23-29 MM,390.0,195.0,85.06,351.0,64
HCPCS,C1887,SYSTEM DELIVERY EVOLUT FX LOAD 34 MM,390.0,195.0,85.06,351.0,64
HCPCS,C1887,SYSTEM DELIVERY EVOLUTE PRO+ 34MM LOAD INFLOW OUTFLOW CONE BACKPLATE,390.0,195.0,85.06,351.0,64
HCPCS,C1887,SYSTEM DELIVERY L80 CM 90 D OD4 FR ODSEC.055 IN ID.046 IN AMPLATZER TORQVUE STAINLESS STEEL PTFE POLYMER L195 CM,680.0,340.0,148.31,612.0,64
HCPCS,C1887,SYSTEM DELIVERY L80 CM 90 D OD5 FR ODSEC.068 IN ID.059 IN AMPLATZER TORQVUE STAINLESS STEEL PTFE POLYMER L195 CM,680.0,340.0,148.31,612.0,64
HCPCS,C1887,SYSTEM INTRODUCER LEAD DELIVERY 7FR DIA 45CML HYDROPHILIC INNER COATING RIGHT CORONARY SINUS HOOK MULTIPURPOSE EP SELECTRA,170.0,85.0,37.08,153.0,64
HCPCS,C1887,SYSTEM LEAD DELIVERY 55CML RIGHT SELECTRA,115.0,57.5,25.08,103.5,64
HCPCS,C1887,SYSTEM LOADING EVOLUT PRO+ DISPOSABLE 23MM 26MM 29MM TRANSCATHETER AORTIC VALVE,390.0,195.0,85.06,351.0,64
HCPCS,C1887,SYSTEM MICROCATHETER HEMOSTATIC VALVE SHAPING MANDREL RADIOPAQUE KINK RESISTANT PROGREAT .7 MM 900 PSI L150 CM OD2.8 FR ID.021 IN HYDROPHILIC TUNGSTEN L90 CM DIMETHYLSULFOXIDE,310.0,155.0,67.61,279.0,64
HCPCS,C1887,SYSTEM PACEMAKER LEADLESS VR DEL CATH AVEIR,1750.0,875.0,381.68,1575.0,64
HCPCS,C1887,TRAY PRESSURE MONITOR L5 CM .015 IN STRAIGHT 1 LUMEN NEEDLE HUB BASEPLATE OD2.5 FR POLYETHYLENE ARTERIAL,110.0,55.0,23.99,99.0,64
HCPCS,C1888,KIT PROCEDURE 21GA 65CM .035IN GUIDEWIRE NEEDLE NEVERTOUCH GOLD FIBER DISPOSABLE STERILE,373.0,186.5,81.35,335.7,64
HCPCS,C1888,KIT SURGICAL 21GA 90CM LONG ACCESS GUIDEWIRE NEEDLE NEVERTOUCH FRS VENACURE EVLT GOLD FIBER,373.0,186.5,81.35,335.7,64
HCPCS,C1888,STYLET INTERVENTIONAL L12 CM OD6 FR CLOSURERFS ACCEPTS .035 IN GUIDEWIRE,630.0,315.0,120.65,567.0,65
HCPCS,C1889,40UM EMBOZENE 2ML COLORED - US,195.0,97.5,37.34,175.5,65
HCPCS,C1889,40UM ONCOZENE 3ML - US,3300.0,1650.0,631.95,2970.0,65
HCPCS,C1889,75UM EMBOZENE 2ML COLORED - US,195.0,97.5,37.34,175.5,65
HCPCS,C1889,ADAPTER HEAD 2 MM SMR STEMLESS SCREW ECCENTRICAL SHOULDER,205.0,102.5,39.26,184.5,65
HCPCS,C1889,ADAPTER HEAD SMR STEMLESS SCREW NEUTRAL SHOULDER,205.0,102.5,39.26,184.5,65
HCPCS,C1889,ALLOGRAFT GROWTH FCTR 1CCPROTEIOS,885.0,442.5,169.48,796.5,65
HCPCS,C1889,ALLOGRAFT HUMAN TISSUE WEDGE 3-6CM X 6MM CORTICAL TIBIAL 2-PIECE FREEZE-DRIED IRRADIATED,1055.0,527.5,202.03,949.5,65
HCPCS,C1889,ALLOGRAFT HUMAN TISSUE WEDGE 3-6CM X 8MM CORTICAL TIBIAL 2-PIECE FREEZE-DRIED IRRADIATED,1055.0,527.5,202.03,949.5,65
HCPCS,C1889,ANCHOR SPINAL 30MM ANTERIOR LUMBAR F/MIS INDEPENDENCE,180.0,90.0,34.47,162.0,65
HCPCS,C1889,BAR PECTUS 12.5IN STAINLESS STEEL ROUND END BLUNT EDGE,1971.0,985.5,377.45,1773.9,65
HCPCS,C1889,BAR PECTUS L13 IN BLUNT PECTUS SYSTEM,1971.0,985.5,377.45,1773.9,65
HCPCS,C1889,BAR PECTUS L13.5 IN ROUND END BLUNT EDGE PECTUS SYSTEM STAINLESS STEEL,1971.0,985.5,377.45,1773.9,65
HCPCS,C1889,BAR PECTUS L15.5 IN ROUND END BLUNT EDGE PECTUS SYSTEM STAINLESS STEEL,1971.0,985.5,377.45,1773.9,65
HCPCS,C1889,BAR SUPPORT L11 IN ROUND END BLUNT EDGE PECTUS STAINLESS STEEL PECTUS,1971.0,985.5,377.45,1773.9,65
HCPCS,C1889,BAR SUPPORT L7 IN ROUND END BLUNT EDGE PECTUS STAINLESS STEEL PECTUS,1971.0,985.5,377.45,1773.9,65
HCPCS,C1889,BASEPLATE GLENOID 24MM 20 DEGREE FULL AUG,1514.0,757.0,289.93,1362.6,65
HCPCS,C1889,BLADE RETRACTOR L17.5 MM X W5 MM MODULUS ALIF,1000.0,500.0,191.5,900.0,65
HCPCS,C1889,BLADE RETRACTOR L20 MM X W5 MM MODULUS ALIF,1000.0,500.0,191.5,900.0,65
HCPCS,C1889,BLADE SPINAL 5MM 22.5MM F/ALIF MODULUS,750.0,375.0,143.63,675.0,65
HCPCS,C1889,BLOCK CUTTING 1.5CM X 4CM X 7CM SILICONE EXTRA FIRM,264.0,132.0,50.56,237.6,65
HCPCS,C1889,BOLT SPINAL L17.5 MM FIXATION OD5 MM MODULUS ALIF,500.0,250.0,95.75,450.0,65
HCPCS,C1889,BOLT SPINAL L20 MM FIX OD5 MM MODULUS ALIF,500.0,250.0,95.75,450.0,65
HCPCS,C1889,BOLT SPINAL L22.5 MM OD5 MM MODULUS ALIF,500.0,250.0,95.75,450.0,65
HCPCS,C1889,BOLT SPINAL L25 MM FIXATION OD5 MM MODULUS ALIF,500.0,250.0,95.75,450.0,65
HCPCS,C1889,BURR CARBIDE ROUND OD1.4 MM SURGICAL REINFORCE TIP CONNECT LOCK CONCAVE FINGER REST COLOR BAND S2 MINI,199.32,99.66,38.17,179.39,65
HCPCS,C1889,BUTTON GASTROSTOMY 10FR DIA 2.3CML STOMA LOW-PROFILE MINIACE ENFIT LATEX-FREE STERILE,225.0,112.5,43.09,202.5,65
HCPCS,C1889,BUTTON GASTROSTOMY 10FR DIA 3.5CML TUBE SILICONE F/ANTEGRADE ENEMA MINIACE,260.0,130.0,49.79,234.0,65
HCPCS,C1889,BUTTON GASTROSTOMY 10FR DIA 3CML TUBE SILICONE F/ANTEGRADE ENEMA MINIACE,260.0,130.0,49.79,234.0,65
HCPCS,C1889,BUTTON GASTROSTOMY 10FR DIA 4CML TUBE SILICONE F/ANTEGRADE ENEMA MINIACE,260.0,130.0,49.79,234.0,65
HCPCS,C1889,BUTTON GASTROSTOMY 10FR DIA 5.5CML STOMA LOW-PROFILE MINIACE ENFIT LATEX-FREE STERILE,260.0,130.0,49.79,234.0,65
HCPCS,C1889,BUTTON GASTROSTOMY 10FR DIA 5CML STOMA LOW-PROFILE MINIACE ENFIT LATEX-FREE STERILE,225.0,112.5,43.09,202.5,65
HCPCS,C1889,CAGE CERV LORDTC FLT 13X12X6,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE PEEK RIGEL 10D 14X12X6MM,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE PROLIFT LATERAL EXPANDABLE INTERBODY TI 15D 22X50X11-15MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE PROLIFT LATERAL EXPANDABLE INTERBODY TI 7D 18X50X8-12MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL 10-12MM X 25MM 6DEG SPLIT SHIM FLAREHAWK 9,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 22MM X 10MM TITANIUM ALLOY 8DEG LORDOTIC BIPLANAR EXPANDABLE F/INTERBODY FUSION EXCEED STERILE,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 22MM X 10MM TITANIUM TRANSFORAMINAL POSTERIOR LUMBAR 0DEG LORDOTIC BIPLANAR EXPANDABLE DUAL TAPER NOSE TICELL NANO ADVANCED SURFACE OPEN ARCHITECTURE INTEGRATED GRAFTING F/INTERBODY,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 22MM X 9MM 0DEG LORDOTIC BIPLANAR EXPANDABLE EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 25MM X 11MM 8DEG LORDOTIC BIPLANAR EXPANDABLE EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 25MM X 12MM 15DEG LORDOTIC BIPLANAR EXPANDABLE EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 25MM X 12MM 8DEG LORDOTIC EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 25MM X 14MM 8DEG LORDOTIC BIPLANAR EXPANDABLE EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 25MM X 9MM 0DEG LORDOTIC BIPLANAR EXPANDABLE EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 28MM LORDOTIC X-PAC,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 10MM X 31MM X 12MM TRITANIUM TRANSFORAMINAL POSTERIOR LUMBAR 12DEG CURVED,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,CAGE SPINAL 11-13MM X 25MM 6DEG SPLIT SHIM FLAREHAWK,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 11-13MM X 26MM 6DEG SHIM FLAREHAWK 7,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 11-14MM X 26MM PEEK TITANIUM 0DEG SHIM FLAREHAWK7 STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 11MM X 34MM X 8MM TITANIUM 8DEG MODULUS TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL 11MMW X 34MML X 10MMH TRANSFORAMINAL LUMBAR 15DEG MODULUS TLIF-A IMPLANT,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL 11MMW X 34MML X 10MMH TRANSFORAMINAL LUMBAR 8DEG MODULUS TLIF-A CERVICAL,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL 11MMW X 34MML X 8MMH 15DEG ANGLED F/TLIF MODULUS TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL 12-14MM X 25MM 6DEG FLAREHAWK FHPA-S3-06-23-X STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 12MM 88MM TITANIUM T1-T5 THORACOLUMBAR ROUND F/VERTEBRAL BODY REPLACEMENT SYNMESH NON-STERILE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1889,CAGE SPINAL 12MM PEEK 6DEG LUNA 3D GEN2 STERILE,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1889,CAGE SPINAL 12MM X 14MM X 18MM CERVICAL 7DEG SOLID F/CORPECTOMY CAPRI,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,CAGE SPINAL 12MM X 25MM X 33MM TITANIUM ANTERIOR LUMBAR 10DEG STAND-ALONE MONTEREY AL,6000.0,3000.0,1149.0,5400.0,65
HCPCS,C1889,CAGE SPINAL 12MMW X 15MML X 5MMH 7DEG MODULUS STERILE,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL 12MMX14MMX6MM TITANIUM CERVICAL 6DEG LORDOTIC TIGERSHARK,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,CAGE SPINAL 12X14X7MM ZEUS-C PEEK RADIOPAQUE AGGRESSIVE TEETH INTERIOR GRAFT SPACE ANTERIOR CURVATURE CERVICAL INTERBODY FUSION NONSTERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL 12X14X8MM ZEUS-C PEEK RADIOPAQUE AGGRESSIVE TEETH INTERIOR GRAFT SPACE ANTERIOR CURVATURE CERVICAL INTERBODY FUSION NONSTERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL 12X14X9MM ZEUS-C PEEK RADIOPAQUE AGGRESSIVE TEETH INTERIOR GRAFT SPACE ANTERIOR CURVATURE CERVICAL INTERBODY FUSION NONSTERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 10MM PEEK CERVICAL F/INTERVERTEBRAL BODY FUSION SYSTEM C-FUSE,680.0,340.0,130.22,612.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 5MM TITANIUM 6DEG TIGERSHARK C STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 6MM PEEK CERVICAL F/INTERVERTEBRAL BODY FUSION SYSTEM C-FUSE,680.0,340.0,130.22,612.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 7MM PEEK CERVICAL F/INTERVERTEBRAL BODY FUSION SYSTEM C-FUSE,680.0,340.0,130.22,612.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 7MM TITANIUM 6DEG TIGERSHARK C STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 8MM PEEK CERVICAL F/INTERVERTEBRAL BODY FUSION SYSTEM C-FUSE C-1412-9,680.0,340.0,130.22,612.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 8MM PEEK CERVICAL F/INTERVERTEBRAL BODY FUSION SYSTEM C-FUSE C1412-8,680.0,340.0,130.22,612.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 12MM X 8MM TITANIUM 6DEG TIGERSHARK C STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 17MM X 5MM CERVICAL 7DEG MODULUS,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 25MM X 33MM TITANIUM ANTERIOR LUMBAR 15DEG STAND-ALONE MONTEREY AL,6000.0,3000.0,1149.0,5400.0,65
HCPCS,C1889,CAGE SPINAL 14MM X 40MM X 10MM TITANIUM 15DEG MODULUS TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL 14X12X5MM ENDOSKELETON TCS 6D SMALL TITANIUM INTERBODY FUSION NONSTERILE LATEX FREE,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL 14X17X8MM ZEUS-C PEEK RADIOPAQUE AGGRESSIVE TEETH INTERIOR GRAFT SPACE ANTERIOR CURVATURE CERVICAL INTERBODY FUSION NONSTERILE LATEX FREE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL 14X6MM ENDOSKELETON TCS 6D 12MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW ZERO PROFILE ORIGINAL SURFACE CERVICAL INTERBODY FUSION,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL 14X6MM ROI-C 7D 12MM PEEK-OPTIMA TAPER PROFILE FLAT ENDPLATE .35CC CERVICAL INTERBODY FUSION STERILE LATEX FREE,580.0,290.0,111.07,522.0,65
HCPCS,C1889,CAGE SPINAL 14X7MM ROI-C 7D 12MM PEEK-OPTIMA TAPER PROFILE FLAT ENDPLATE .41CC CERVICAL INTERBODY FUSION STERILE LATEX FREE,580.0,290.0,111.07,522.0,65
HCPCS,C1889,CAGE SPINAL 15MM X 12MM X 6MM TITANIUM CERVICAL 7DEG LORDOTIC 3D PRINTED TECHNOLOGY TIRBOLOX-C STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 15MM X 12MM X 7MM TITANIUM CERVICAL 7DEG LORDOTIC 3D PRINTED TECHNOLOGY TIRBOLOX-C STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 15MM X 12MM X 8MM TITANIUM CERVICAL 7DEG LORDOTIC 3D STRONGHOLD C,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 15MM X 7MM X 9MM PEEK TITANIUM ANTERIOR 6DEG LEVELX1 DUAL CONSTRUCT PYRAMIDAL TOOTHED DIVERGENCE,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL 15MMW X 12MML X 10MMH TITANIUM CERVICAL LORDOTIC 3-DIMENSIONAL,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 15MMW X 12MML X 5MMH TITANIUM CERVICAL LORDOTIC 3-DIMENSIONAL,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 15MMW X 12MML X 7MMH TITANIUM CERVICAL LORDOTIC 3-DIMENSIONAL,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 15X12MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 15X14MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 16X14X7MM ENDOSKELETON TCS 6D MEDIUM TITANIUM INTERBODY FUSION STERILE LATEX FREE,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL 16X14X8MM ENDOSKELETON TC 6D MEDIUM TITANIUM INTERBODY FUSION STERILE LATEX FREE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 16X14X8MM ENDOSKELETON TCS 6D MEDIUM TITANIUM INTERBODY FUSION STERILE LATEX FREE,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL 16X6MM ENDOSKELETON TC 6D 14MM MEDIUM CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW ORIGINAL SURFACE SMOOTH LEAD EDGE INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CAGE SPINAL 16X6MM ENDOSKELETON TCS 6D 14MM MEDIUM TITANIUM RADIOPAQUE LARGE WINDOW ZERO PROFILE CERVICAL INTERBODY FUSION,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL 16X8MM ENDOSKELETON TC 6D 14MM MEDIUM CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW ORIGINAL SURFACE SMOOTH LEAD EDGE INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CAGE SPINAL 16X9MM ENDOSKELETON TC 6D 14MM MEDIUM CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW ORIGINAL SURFACE SMOOTH LEAD EDGE INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CAGE SPINAL 17.5MM X 14MM X 5MM TITANIUM CERVICAL 7DEG LORDOTIC 3-DIMENSIONAL STRONGHOLD C,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 17.5MM X 14MM X 6MM TITANIUM CERVICAL 7DEG LORDOTIC 3-DIMENSIONAL STRONGHOLD C,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 17MM X 12MM X 7MM TITANIUM CERVICAL 7DEG LORDOTIC BULLET TIP STAND-ALONE W/3-SCREW CHESAPEAKE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1889,CAGE SPINAL 17MM X 12MM X 9MM TITANIUM CERVICAL 7DEG LORDOTIC BULLET TIP STAND-ALONE W/SCREWX3 CHESAPEAKE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1889,CAGE SPINAL 17MM X 14MM X 5MM TRITANIUM ANTERIOR CERVICAL 6DEG,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL 17MM X 22MM X 32MM TITANIUM T1-T5 THORACOLUMBAR OBLONG F/VERTEBRAL BODY REPLACEMENT SYNMESH NON-STERILE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1889,CAGE SPINAL 17X7MM ROI-C 14MM PEEK-OPTIMA CURVE SUPERIOR SURFACE .67CC CERVICAL INTERBODY FUSION STERILE LATEX FREE,580.0,290.0,111.07,522.0,65
HCPCS,C1889,CAGE SPINAL 18MM X 13MM X 8MM TITANIUM CERVICAL 7DEG LORDOTIC BULLET TIP STAND-ALONE W/SCREWX3 CHESAPEAKE,1750.0,875.0,335.13,1575.0,65
HCPCS,C1889,CAGE SPINAL 18MM X 14MM X 8MM PEEK TITANIUM 0.77ML GRAFT CERVICAL 7DEG,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 18MM X 31MM X 36MM TITANIUM ANTERIOR LUMBAR 15DEG STAND-ALONE MONTEREY AL,6000.0,3000.0,1149.0,5400.0,65
HCPCS,C1889,CAGE SPINAL 18MM X 6MM X 14MM TITANIUM PLASMA PEEK CERVICAL 7DEG LORDOTIC MULTI-DIRECTIONAL SELF-DISTRACTING LEADING EDGE AGGRESSIVE TEETH ROBUST INSERTER LATERAL WINDOW SAGE RADIOPAQUE MARKER,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 18MM X 7MM X 14MM TITANIUM PLASMA PEEK CERVICAL 7DEG LORDOTIC MULTI-DIRECTIONAL SELF-DISTRACTING LEADING EDGE AGGRESSIVE TEETH ROBUST INSERTER LATERAL WINDOW SAGE RADIOPAQUE MARKER,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 18X16X7MM ENDOSKELETON TCS 6D LARGE TITANIUM INTERBODY FUSION STERILE LATEX FREE,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL 18X6MM ENDOSKELETON TC 6D 16MM LARGE CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 18X7MM ENDOSKELETON TC 6D 16MM LARGE CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CAGE SPINAL 18X7MM ENDOSKELETON TC 6D 16MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE CERVICAL INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 18X9MM ENDOSKELETON TC NANOLOCK 6D 16MM LARGE CERVICAL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL 20X14MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 21X9X8-13MM CONCORDE LIFT CONVEX TITANIUM,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL 24MM X 30MM X 15MM ANTERIOR LUMBAR 5-16DEG LORDOTIC EXPANDABLE SAHARA,3900.0,1950.0,746.85,3510.0,65
HCPCS,C1889,CAGE SPINAL 25MM 9DEG LORDOTIC FLAREHAWK,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 25MM X 10MM X 10MM 8DEG LORDOTIC EXPANDABLE BIPLANAR EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,CAGE SPINAL 25X14MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 26X9X12MM 8DEG POST IBF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL 26X9X12MM ENDOSKELETON TO 4D LARGE TITANIUM PLIF STERILE LATEX FREE,2340.0,1170.0,448.11,2106.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 36MM X 13MM ANTERIOR LUMBAR 5DEG LORDOTIC EXPANDABLE SAHARA,3900.0,1950.0,746.85,3510.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 10MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8 DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 11MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 12MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 13MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 14MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 16MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 8MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28MM X 9MM X 9MM TITANIUM PLASMA PEEK TRANSFORAMINAL LUMBAR 8DEG SAVANT,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 28X10X12MM LEOPARD BANANA PARALLEL CFRP TLIF NONSTERILE LATEX FREE,2375.0,1187.5,454.81,2137.5,65
HCPCS,C1889,CAGE SPINAL 28X11X12MM 0D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF STERILE LATEX FREE,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL 30MM X 40MM X 13MM ANTERIOR LUMBAR 5-13DEG LORDOTIC EXPANDABLE SAHARA,3900.0,1950.0,746.85,3510.0,65
HCPCS,C1889,CAGE SPINAL 30MM X 40MM X 15MM ANTERIOR LUMBAR 5-13DEG LORDOTIC EXPANDABLE SAHARA,3900.0,1950.0,746.85,3510.0,65
HCPCS,C1889,CAGE SPINAL 30MML X 10MMH TITANIUM TRANSFORAMINAL LUMBAR LORDOTIC CURVED 3-DIMENSIONAL PIV,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 30MML X 12MMH TITANIUM TRANSFORAMINAL LUMBAR LORDOTIC CURVED 3-DIMENSIONAL PIV,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 30MML X 13MMH TITANIUM TRANSFORAMINAL LUMBAR LORDOTIC CURVED 3-DIMENSIONAL PIV,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 30MML X 8MMH TITANIUM TRANSFORAMINAL LUMBAR LORDOTIC CURVED 3-DIMENSIONAL PIV,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 30X11X10MM ENDOSKELETON TT 4D LARGE TITANIUM PLIF STERILE LATEX FREE,2340.0,1170.0,448.11,2106.0,65
HCPCS,C1889,CAGE SPINAL 30X11X11MM ENDOSKELETON TT 4D LARGE TITANIUM PLIF STERILE LATEX FREE,2340.0,1170.0,448.11,2106.0,65
HCPCS,C1889,CAGE SPINAL 30X11X12MM ENDOSKELETON TT 4D LARGE TITANIUM PLIF NONSTERILE LATEX FREE,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL 30X12MM ROI-A 14D 27MM MEDIAN PEEK-OPTIMA LT1 TITANIUM ALIF STERILE LATEX FREE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1889,CAGE SPINAL 30X12MM ROI-A 6D 27MM MEDIAN PEEK-OPTIMA LT1 TITANIUM ALIF STERILE LATEX FREE,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1889,CAGE SPINAL 32MM X 12MM X 12MM TITANIUM TRANSFORAMINAL LUMBAR 12DEG EIT,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 32X10MM ENDOSKELETON TAS 12D 21MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL 32X21MM ENDOSKELETON TAS 12D 11MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE ALIF,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL 32X21MM ENDOSKELETON TAS 7D 11MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE ALIF,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL 35X11MM ENDOSKELETON TT 4D 11MM XL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL 35X12MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 35X14MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 36X14MM ENDOSKELETON TAS 7D 24MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL 36X24MM ENDOSKELETON TAS 12D 12MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE ALIF,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL 36X24MM ENDOSKELETON TAS 12D 13MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE ALIF,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL 40X13MM ENDOSKELETON TAS 12D 27MM XL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL 40X9MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 45X13MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 45X14MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 50X10MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 50X11MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 50X14MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 50X14MM VUMESH LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,CAGE SPINAL 50X8MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 55X10MM ENDOSKELETON TL 7D 18MM INTERBODY FUSION STERILE LATEX FREE,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL 6MM LATERAL 10DEG HYPERLORDOTIC ACIS PROTI 360,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,CAGE SPINAL 7MM DIA TITANIUM 4DEG DISPOSABLE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 7MM X 11MM X 28MM POSTERIOR LUMBAR 17DEG EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 7MM X 11MM X 32MM POSTERIOR LUMBAR 17DEG EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 7MM X 9MM X 24MM POSTERIOR LUMBAR 17DEG EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 7MM X 9MM X 28MM POSTERIOR LUMBAR 17DEG EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 7MM X 9MM X 32MM POSTERIOR LUMBAR 17DEG EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 7MMH 10DEG ANTERIOR ACIS PROTI 360,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,CAGE SPINAL 8MM X 28MM X 10-16MM TITANIUM POSTERIOR LUMBAR 8DEG EXPANDABLE PROLIFT,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 8MM X 28MM X 8-13MM TITANIUM POSTERIOR LUMBAR 7DEG EXPANDABLE F/INTERBODY PROLIFT,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 8MM X 28MM X 8-13MM TITANIUM POSTERIOR LUMBAR 8DEG EXPANDABLE F/INTERBODY PROLIFT,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 8MMH 10DEG HYPERLORDOTIC ACIS PROTI 360,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,CAGE SPINAL 9-12MM X 25MM 0DEG SPLIT SHIM FLAREHAWK 9 STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL 9.5MM X 22MM X 10MM TIRBOLOX-C TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MM X 22MM X 12-16.5MM TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL STRONGHOLD,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MM X 22MM X 14-18.5MM TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL STRONGHOLD,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MM X 22MM X 7MM TITANIUM LUMBAR 6DEG LORDOTIC,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 10MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 10MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL 1/EA,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 11MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 11MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL 1/EA,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 12MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 12MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL 1/EA,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 13MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 14MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 14MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL 1/EA,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 7MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 8MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 8MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL 1/EA,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 9MMH TITANIUM LUMBAR 15DEG LORDOTIC 3-DIMENSIONAL,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9.5MMW X 22MML X 9MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL 1/EA,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 11MM X 32MM POSTERIOR LUMBAR 22DEG HYPERLORDOTIC EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 22MM X 12MM TITANIUM POSTERIOR LUMBAR 4DEG F/INTERBODY FUSION STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 22MM X 9MM TITANIUM POSTERIOR LUMBAR 4DEG EIT,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 23MM X 10MM TRITANIUM POSTERIOR LUMBAR 12DEG,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 28MM X 11MM TRITANIUM POSTERIOR LUMBAR 12DEG,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 9MM X 28MM POSTERIOR LUMBAR 22DEG HYPERLORDOTIC EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 9MM X 9MM X 32MM POSTERIOR LUMBAR 22DEG HYPERLORDOTIC EXPANDABLE MODULUS,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,CAGE SPINAL 9MMW X 22MML X 10MMH TITANIUM 4DEG ANGLED EIT PLIF,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL ACIS H6 MM 10 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ACIS H7 MM 10 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ACIS H7 MM 12 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ACIS H8 MM 10 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ACIS H8 MM 12 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ACIS H8 MM 15 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ACIS H9 MM 10 D MEDIUM PROTI,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ADDPLUS H25-41 MM 12 D TITANIUM THORACOLUMBAR ANTERIOR INTEGRATE LOW PROFILE PLATE GEAR DRIVEN VERTEBRAL BODY REPLACEMENT OD12 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC PEEK CERVICAL FUSION SYSTEM WITH NANOTECHNOLOGY L14 MM X W11 MM X H6 MM 4.6 D PEEK ANATOMIC,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC PEEK CERVICAL FUSION SYSTEM WITH NANOTECHNOLOGY L16 MM X W14 MM X H6 MM 4.6 D PEEK ANATOMIC,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC PEEK CERVICAL FUSION SYSTEM WITH NANOTECHNOLOGY L16 MM X W14 MM X H7 MM 10 D PEEK ANATOMIC,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC PEEK CERVICAL FUSION SYSTEM WITH NANOTECHNOLOGY L16 MM X W14 MM X H9 MM 4.6 D PEEK ANATOMIC,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H11 MM D11 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H5 MM D11 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H6 MM D11 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H6 MM D11 MM PEEK RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H7 MM D11 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H7 MM D11 MM PEEK RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H8 MM D11 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H8 MM D11 MM PEEK RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W14 MM X H9 MM D11 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W16 MM X H10 MM D14 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W16 MM X H6 MM D14 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W16 MM X H6 MM D14 MM PEEK RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W16 MM X H7 MM D14 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W16 MM X H8 MM D14 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL ANATOMIC W16 MM X H9 MM D14 MM PEEK PTC RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W14 MM X H6 MM 4 D D12 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W14 MM X H7 MM 0 D D12 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W14 MM X H7 MM 4 D D12 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W16 MM X H6 MM 4 D D14 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W16 MM X H6 MM 8 D D14 MM PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W16 MM X H7 MM 4 D D14 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W16 MM X H7 MM 8 D D14 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL AVS ANCHOR-C W16 MM X H8 MM 8 D D14 MM RECTANGULAR PEEK-OPTIMA LT1 CERVICAL ANTERIOR RADIOPAQUE HOLLOW,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL BASE L34 MM X W24 MM X H10 MM 10 D TITANIUM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL BASE L34 MM X W24 MM X H6 MM 10 D TITANIUM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL BASE L34 MM X W24 MM X H8 MM 15 D TITANIUM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL BASE L34 MM X W24 MM X H8 MM 20 D TITANIUM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H4 MM 7 D LARGE CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H4 MM 7 D STANDARD CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H5 MM 7 D LARGE CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H5 MM 7 D STANDARD CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H6 MM 7 D LARGE CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H6 MM 7 D STANDARD CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H7 MM 7 D LARGE CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H7 MM 7 D STANDARD CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H8 MM 7 D STANDARD CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL BENGAL H9 MM 7 D STANDARD CFRP CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H17 MM 7 D CORPECTOMY,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H21 MM 0-21 D 18-21 MM SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H22 MM 7 D CORPECTOMY,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H24 MM 0-20 D 20-24 MM SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H28 MM 0 D 22-28 MM SET SCREW ORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H36 MM 0 D 20 D 26-36 MM SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H54 MM 5 D SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H64 MM 5 D SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L12 MM X W14 MM X H74 MM 10 D 20 D 58-74 MM SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L13 MM X W16 MM X H26 MM 7 D CORPECTOMY,3500.0,1750.0,670.25,3150.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L13 MM X W16 MM X H46 MM 0 D 32-46 MM SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CAPRI L13 MM X W16 MM X H54 MM 5 D 38-54 MM SET SCREW CORPECTOMY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL CASCADIA L40 MM X W18 MM X H10 MM 8 D LATERAL INTERBODY FUSION,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,CAGE SPINAL CASCADIA L55 MM X W22 MM X H10 MM 8 D TITANIUM POROUS LATERAL INTERBODY FUSION,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,CAGE SPINAL CENTERPIECE L13 MM C,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL CENTERPIECE L20 MM C,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL CENTERPIECE L20 MM D,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL CENTERPIECE L25 MM C,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L40 MM X H10 MM 0 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L40 MM X H10 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L40 MM X H8 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L45 MM X H10 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L45 MM X H12 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L45 MM X H14 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L45 MM X H8 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L45 MM X W22 MM X H8 MM 6 D PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X H10 MM 0 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X H10 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X H12 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X H14 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X H8 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X W22 MM X H10 MM 6 D PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L50 MM X W22 MM X H8 MM 6 D PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L55 MM X H10 MM 0 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L55 MM X H14 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L55 MM X H8 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L55 MM X W22 MM X H10 MM 6 D PEEK PTC RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L55 MM X W22 MM X H10 MM 6 D PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L55 MM X W22 MM X H8 MM 6 D PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L60 MM X H12 MM 6 D PEEK RADIOPAQUE HOLLOW LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CLYDESDALE L60 MM X W22 MM X H12 MM 12 D PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COALESCE L23 MM X W10 MM X H9 MM 8 D STRAIGHT,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL COALESCE L23 MM X W8 MM X H9 MM 8 D STRAIGHT,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL COALESCE L28 MM X W10 MM X H11 MM 8 D STRAIGHT,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL COALESCE L28 MM X W9 MM X H10 MM 8 D STRAIGHT,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MM X W12 MM X H6 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MM X W12 MM X H6 MM 7 DEG PEEK SCORIA CERVICAL LORDOTIC PEEK,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MM X W12 MM X H7 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MM X W12 MM X H7 MM 7 D PEEK SCORIA LOW PROFILE MATTE FINISH CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MM X W12 MM X H8 MM 7 D PEEK SCORIA LOW PROFILE MATTE FINISH CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MM X W12 MM X H9 MM 7 D CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L14 MMX W12 MM X H8 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H10 MM 7 D PEEK SCORIA LOW PROFILE MATTE FINISH CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H6 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H6 MM 7 D CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H7 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H7 MM 7 D CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H8 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H8 MM 7 DEG LORDOTIC PEEK CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL COHERE L16 MM X W14 MM X H9 MM 7 D CERVICAL INTERBODY FUSION,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L23 MM X W11 MM X H13 MM 5 D BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L23 MM X W11 MM X H13 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L23 MM X W9 MM X H11 MM 5 D BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L23 MM X W9 MM X H11 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W11 MM X H12 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W11 MM X H13 MM 5 D BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W11 MM X H13 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W9 MM X H11 MM 5 D BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W9 MM X H11 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W9 MM X H7 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W9 MM X H8 MM 5 D BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W9 MM X H8 MM PARALLEL BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONCORDE L27 MM X W9 MM X H9 MM 5 D BULLET NOSE CFRP RADIOPAQUE PLIF TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONDUIT L22 MM X W9 MM X H13 MM 8 D EIT PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONDUIT L22 MM X W9 MM X H8 MM 4 D STRAIGHT BULLET EIT ROUGH ELEVATE SURFACE FOOTPRINT SOLID EDGE TLIF PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONDUIT L22 MM X W9 MM X H9 MM 8 D EIT PLIF,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL CONDUIT L26 MM X W9 MM X H10 MM 12 D STRAIGHT EIT ROUGH ELEVATE SURFACE FOOTPRINT TLIF PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL CONDUIT L26 MM X W9 MM X H10 MM 8 D EIT PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL COROENT L14 MM X W11 MM X H6 MM SMALL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT L20 MM X W9 MM X H11 MM 4 D PEEK LARGE IMPACT,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL COROENT L23 MM X W9 MM X H11 MM 4 D LARGE PEEK MAS PLIF,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,CAGE SPINAL COROENT L25 MM X W10 MM X H10 MM 4 D OBLIQUE PEEK TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL COROENT L25 MM X W10 MM X H6 MM 4 D OBLIQUE TITANIUM TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL COROENT L25 MM X W8 MM X H10 MM 4 D OBLIQUE PEEK TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL COROENT L30 MM X W8 MM X H11 MM 8 D PEEK ANTERIOR TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL COROENT L35 MM X W16 MM X H6 MM XL PEEK THORACIC,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L38 MM X W28 MM X H12 MM 8 D XL PEEK RADIOPAQUE LUMBAR INTERBODY FUSION,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL COROENT L45 MM X W18 MM X H8 MM XL PEEK TLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L45 MM X W22 MM X H8 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W18 MM X H10 MM 10 D XL PEEK LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W18 MM X H10 MM XL PEEK TLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W18 MM X H12 MM XL PEEK TLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W18 MM X H8 MM XL PEEK TLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H10 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H10 MM 15 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H10 MM XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H12 MM 15 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H14 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H8 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L50 MM X W22 MM X H8 MM XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W18 MM X H10 MM 10 D XL PEEK LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W18 MM X H10 MM XL PEEK TLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W18 MM X H12 MM 10 D XL PEEK LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W22 MM X H10 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W22 MM X H10 MM XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W22 MM X H12 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W22 MM X H14 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L55 MM X W22 MM X H8 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L60 MM X W22 MM X H10 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L60 MM X W22 MM X H10 MM 10 D XL+ WIDE TITANIUM,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT L60 MM X W22 MM X H12 MM 10 D XL WIDE PEEK,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COROENT M4 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT M5 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT M7 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT S5 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT S6 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT S7 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT S8 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT SMALL ACR L14 MM X W17 MM X H7 MM 10 D PEEK RADIOPAQUE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT SMALL ACR L15 MM X W12 MM X H11 MM 10 D PEEK RADIOPAQUE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT SMALL ACR L15 MM X W12 MM X H5 MM 10 D PEEK RADIOPAQUE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COROENT SMALL ACR L19 MM X W16 MM X H8 MM 10 D PEEK RADIOPAQUE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL COUGAR H14 MM 5 D MEDIUM CFRP ALIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L40 MM X W18 MM X H10 MM LORDOTIC,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L40 MM X W18 MM X H8 MM LORDOTIC LATERAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L45 MM X W18 MM X H10 MM 15 D LATERAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L45 MM X W18 MM X H10 MM LORDOTIC,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L45 MM X W18 MM X H12 MM 15 D LORDOTIC,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L50 MM X W18 MM X H10 MM LORDOTIC,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L55 MM X W18 MM X H10 MM PARALLEL LATERAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL COUGAR LS L55 MM X W18 MM X H12 MM LORDOTIC LATERAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL CRYSTAL 11MM,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W15 MM X H5 MM D12 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W15 MM X H5 MM D12 MM LORDOTIC PEEK RADIOPAQUE STANDALONE MINI PLATE ANTERIOR CERVICAL INTERBODY FUSION,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W15 MM X H6 MM D12 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W15 MM X H6 MM D12 MM LORDOTIC PEEK RADIOPAQUE STANDALONE MINI PLATE ANTERIOR CERVICAL INTERBODY FUSION,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W15 MM X H7 MM D12 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W15 MM X H8 MM D12 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W17 MM X H6 MM D14 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W17 MM X H6 MM D14 MM LORDOTIC PEEK RADIOPAQUE STANDALONE MINI PLATE ANTERIOR CERVICAL INTERBODY FUSION,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W17 MM X H7 MM D14 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W17 MM X H7 MM D14 MM LORDOTIC PEEK RADIOPAQUE STANDALONE MINI PLATE ANTERIOR CERVICAL INTERBODY FUSION,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W17 MM X H8 MM D14 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE W17 MM X H9 MM D14 MM LORDOTIC PEEK NUCLEUS PULPOSUS RADIOPAQUE STANDALONE NARROW PROFILE ANTERIOR CERVICAL INTERBODY FUSION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE-L L32 MM X W25 MM X H16 MM 12 D SMALL ANTERIOR OLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL DIVERGENCE-L L37 MM X W29 MM X H16 MM 12 D MEDIUM ANTERIOR OLIF,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL EIT CIF CAGE H6 MM 4 D LARGE EIT CERVICAL INTERBODY FUSION,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL EIT LLIF CAGE L50 MM X W22 MM X H10 MM 8 D EIT ROUGH ELEVATE SURFACE FOOTPRINT LATERAL LUMBAR INTERBODY FUSION,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL EIT PLIF CAGE L22 MM X W9 MM X H10 MM 8 D EIT PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT PLIF CAGE L22 MM X W9 MM X H11 MM 4 D EIT PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT PLIF CAGE L26 MM X W9 MM X H11 MM 12 D EIT PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT PLIF CAGE L26 MM X W9 MM X H11 MM 8 D PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT PLIF CAGE L26 MM X W9 MM X H13 MM 12 D PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT PLIF CAGE L26 MM X W9 MM X H9 MM 8 D EIT PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT TLIF CAGE L28 MM X W10 MM X H11 MM 8 D EIT TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EIT TLIF CAGE L32 MM X W12 MM X H12 MM 8 D EIT TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W32 MM X H10 MM 7 D D21 MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W32 MM X H12 MM 12 D D21 MM STANDARD TITANIUM ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W32 MM X H13 MM 12 D D21 MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W32 MM X H14 MM 12 D D21 MM STANDARD TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W36 MM X H10 MM 7 D D24 MM LARGE TITANIUM ALIF2307-0211,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W36 MM X H12 MM 12 D D24 MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W36 MM X H12 MM 7 D D24 MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W36 MM X H13 MM 12 D D24 MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W36 MM X H13 MM 7 D D24 MM LARGE TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TAS W40 MM X H17 MM 7 D D27 MM XL TITANIUM ALIF,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TC L18 MM X W16 MM X H10 MM 6 D LARGE TITANIUM INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TC W14 MM X H5 MM 6 D D12 MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE CERVICAL INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TC W14 MM X H6 MM 6 D D12 MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE CERVICAL INTERBODY FUSION,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TC W14 MM X H6 MM 6 D D12 MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE CERVICAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TC W14 MM X H7 MM 6 D D12 MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW SMOOTH LEAD EDGE ORIGINAL SURFACE CERVICAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TCS L14 MM X W12 MM X H7 MM 6 D SMALL TITANIUM INTERBODY FUSION,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TCS L16 MM X W14 MM X H6 MM 6 D MEDIUM TITANIUM INTERBODY FUSION,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TCS L16 MM X W14 MM X H7 MM 6 D MEDIUM TITANIUM INTERBODY FUSION,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L40 MM X W18 MM X H10 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L45 MM X W18 MM X H11 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L45 MM X W18 MM X H8 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L50 MM X W18 MM X H12 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L50 MM X W18 MM X H13 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L50 MM X W18 MM X H9 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L50 MM X W22 MM X H12 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL L55 MM X W18 MM X H14 MM 7 D TITANIUM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL W45 MM X H10 MM 7 D D18 MM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TL W45 MM X H12 MM 7 D D18 MM INTERBODY FUSION,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TO L22 MM X W9 MM X H10 MM 0 D STANDARD CONVEX TITANIUM PLIF,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TO L31 MM X W11 MM X H15 MM 0 D STANDARD CONVEX OBLIQUE TITANIUM PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TT L30 MM X W11 MM X H10 MM 4 D LARGE TITANIUM PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TT L30 MM X W11 MM X H11 MM 4 D LARGE TITANIUM PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TT L30 MM X W11 MM X H8 MM 4 D LARGE TITANIUM PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL ENDOSKELETON TT L30 MM X W11 MM X H9 MM 4 D LARGE TITANIUM PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL EXPANDABLE TLIF INTERBODY L22XW11 H12-16MM 15,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL EXPANDABLE TLIF INTERBODY L22XW11 H12-16MM 20,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL F3D L16.5 MM X W14 MM X H7 MM 7 D CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL F3D L16.5 MM X W14 MM X H8 MM 7 D CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL FUSE L24 MM X H12 MM 8 D TITANIUM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL GIZA H18-22 MM 2 D 5 D TITANIUM THORACOLUMBAR FIX INFERIOR ENDPLATE HOLDER DISTRACTOR ROTATE SUPERIOR 1 STEP LOCK SCREW VERTEBRAL BODY REPLACEMENT OD14 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL H32 MM ROUND TITANIUM VERTEBRAL BODY REPLACEMENT OD12 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL H88 MM ROUND TITANIUM VERTEBRAL BODY REPLACEMENT OD15 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL INTER FIX L-CAGE L20 MM X H18 MM TITANIUM THREAD CONNECTION LUMBAR INTERBODY FUSION,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL IO EXPANDABLE LUMBAR INTERBODY LORDOTIC 10X22MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL LARGE 5MM TITANIUM CERVICAL 8DEG LORDOTIC DOME ELEVATED ROUGH SURFACE F/INTERBODY FUSION EIT CIF STERILE,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL LARGE 7MM TITANIUM CERVICAL 4DEG CONDUIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL LARGE 9MM TITANIUM ANTERIOR CERVICAL 10DEG ANGLED HYPERLORDOTIC ACIS PROTI 360,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,CAGE SPINAL LARGE 9MM TITANIUM CERVICAL 8DEG CONDUIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL LT-CAGE L23 MM X W19.5 MM TITANIUM LUMBAR TAPER FUSION DEVICE OD16 MM,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL LT-CAGE L26 MM X W20 MM TITANIUM LUMBAR TAPER FUSION DEVICE OD16 MM,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MESH 14MM X 20MM X 12MM METALLIC COLOSSEUM,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,CAGE SPINAL MESH 14MM X 32MM X 12MM METALLIC CURVED COLOSSEUM,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,CAGE SPINAL MINI 17MM X 14MM X 8MM PEEK TITANIUM ANTERIOR LORDOTIC PLATE WIRE MARKER DIVERGENCE,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL MINI 17MM X 9MM X 11.4MM PEEK TITANIUM ANTERIOR LORDOTIC PLATE WIRE MARKER DIVERGENCE,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L15 MM X W12 MM X H6 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L15 MM X W12 MM X H7 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L15 MM X W12 MM X H8 MM 10 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L15 MM X W12 MM X H8 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L17 MM X W14 MM X H6 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L17 MM X W14 MM X H7 MM 10 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L17 MM X W14 MM X H7 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L17 MM X W14 MM X H8 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L19 MM X W16 MM X H8 MM 7 D CERVICAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W10 MM X H11 MM 8 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W11 MM X H11 MM 15 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W11 MM X H11 MM 8 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W11 MM X H8 MM 15 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W11 MM X H8 MM 8 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W11 MM X H9 MM 15 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W11 MM X H9 MM 8 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W8 MM X H9 MM 8 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MODULUS L30 MM X W9 MM X H9 MM 8 D TLIF-A,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL MONTEREY AL W33 MM X H10 MM 10 D D25 MM LUMBAR ANTERIOR,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL MONTEREY AL W36 MM X H14 MM 15 D D28 MM LUMBAR ANTERIOR,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL MONTEREY W33 MM X H12 MM 15 D D25 MM LUMBAR ANTERIOR STAND-ALONE INTERBODY FUSION DEVICE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL MONTEREY W36 MM X H12 MM 15 D D28 MM LUMBAR ANTERIOR STAND-ALONE INTERBODY FUSION DEVICE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL NA L22 MM X W17 MM X H70 MM OVAL TITANIUM MESH LUMBAR INTERBODY FUSION,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL NA L28 MM X W22 MM X H90 MM OVAL TITANIUM MESH LUMBAR INTERBODY FUSION,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL RIGEL L14 MM X W12 MM X H5 MM 6DEG TITANIUM CERVICAL 3D PRINTED,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL RIGEL L14 MM X W12 MM X H8 MM 6DEG TITANIUM CERVICAL 3D PRINTED,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL RIGEL SA 12 DEG CERVICAL TITANIUM 15X12X8MM 3D PRINTED,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL RIGEL SA 12 DEG CERVICAL TITANIUM 15X12X9MM 3D PRINTED,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,CAGE SPINAL SHELL 25MM TITANIUM LORDOTIC FLAREHAWK9,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL SHELL 29MM TITANIUM LORDOTIC FLAREHAWK9,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL SHELL SHORT 25MM TITANIUM FLAREHAWK9,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL SHELL TALL 30MM TITANIUM TIHAWK7,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL SHIM 14MM X 26MM X 12MM 6DEG FLAREHAWK7 STERILE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL SHIM SPLIT 13MMW X 23MML 10MM 0DEG FLAREHAWK,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL SHORT 25MM SYNTHETIC POLYMER SHELL FLAREHAWK,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL SHORT 26MM SHELL FLAREHAWK 7,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL SMALL 12MM X 16MM X 5MM TITANIUM CERVICAL 8DEG LORDOTIC EIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL 12MM X 16MM X 6MM TITANIUM CERVICAL 8DEG LORDOTIC CIF,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL 12MM X 16MM X 7MM TITANIUM CERVICAL 8DEG LORDOTIC CIF,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL 5MM TITANIUM CERVICAL 4DEG CONDUIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL 6MM TITANIUM CERVICAL 4DEG CONDUIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL 7MM TITANIUM CERVICAL 4DEG CONDUIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL 8MMH TITANIUM CERVICAL 8DEG ANGLED CONDUIT,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CAGE SPINAL SMALL VBR ADD H16-25 MM 0 D TITANIUM THORACIC LUMBAR CONTINUOUS EXPAND ADJUSTABLE OD12 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL SMALL VBR ADD H16-25 MM 6 D TITANIUM THORACIC LUMBAR CONTINUOUS EXPAND ADJUSTABLE OD12 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL SMALL VBR ADD H16-25 MM 6 D TITANIUM THORACIC LUMBAR CONTINUOUS EXPAND ADJUSTABLE OD14 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL SMALL VBR ADD H24-40 MM 6 D TITANIUM THORACIC LUMBAR CONTINUOUS EXPAND ADJUSTABLE OD12 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL STRONGHOLD C L12 MM X W15 MM X H10 MM 7 D TITANIUM CERVICAL 3D INTERBODY DEVICE SYSTEM,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL STRONGHOLD L22 MM X W9.5 MM X H11 MM 6 D TITANIUM LUMBAR 3D INTERBODY DEVICE SYSTEM,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,CAGE SPINAL SYNMESH H20 MM ROUND TITANIUM VERTEBRAL BODY REPLACEMENT OD12 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL SYNMESH H88 MM CONTOUR ROUND TITANIUM VERTEBRAL BODY REPLACEMENT OD15 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL T2 ALTITUDE CENTERPIECE L21 MM TITANIUM COCR NITINOL THORACOLUMBAR ANTERIOR 22A EXPAND CORPECTOMY SYSTEM OD22 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL T2 ALTITUDE CENTERPIECE L31 MM TITANIUM COCR NITINOL THORACOLUMBAR ANTERIOR 25C EXPAND CORPECTOMY SYSTEM OD25 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL T2 ALTITUDE CENTERPIECE L33 MM TITANIUM COCR NITINOL THORACOLUMBAR ANTERIOR 16E EXPAND CORPECTOMY SYSTEM OD16 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL T2 ALTITUDE CENTERPIECE L41 MM TITANIUM COCR NITINOL THORACOLUMBAR ANTERIOR 16F EXPAND CORPECTOMY SYSTEM OD16 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL T2 ALTITUDE CENTERPIECE L48 MM TITANIUM COCR NITINOL THORACOLUMBAR ANTERIOR 25E EXPAND CORPECTOMY SYSTEM OD25 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL T2 ALTITUDE CENTERPIECE L69 MM TITANIUM COCR NITINOL THORACOLUMBAR ANTERIOR 19F EXPAND CORPECTOMY SYSTEM OD19 MM,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TALL 26MM SHELL FLAREHAWK 7,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL TEZO-P L24 MM X W10 MM X H10 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE PLIF,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,CAGE SPINAL TEZO-P L24 MM X W10 MM X H11 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE PLIF,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,CAGE SPINAL TEZO-P L24 MM X W10 MM X H12 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE PLIF,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,CAGE SPINAL TEZO-P L29 MM X W10 MM X H11 MM 12 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE PLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TEZO-T L29 MM X W11 MM X H11 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TEZO-T L29 MM X W11 MM X H13 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TEZO-T L29 MM X W11 MM X H14 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TEZO-T L29 MM X W14 MM X H14 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TEZO-T L34 MM X W16 MM X H13 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TEZO-T L34 MM X W16 MM X H14 MM 5 D TITANIUM POROUS OPTIMAL TOOTH LARGE GRAFT WINDOW INNER ROUGH SURFACE TLIF,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,CAGE SPINAL TITAN H7 MM 6 D MEDIUM CERVICAL,810.0,405.0,155.12,729.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK L45 MM X W20 MM X H5.8 MM 12 D D10 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK L45 MM X W20 MM X H5.9 MM 6 D D8 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK L45 MM X W20 MM X H7.9 MM 6 D D10 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK L45 MM X W20 MM X H9.9 MM 6 D D12 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK L50 MM X W20 MM X H5.8 MM 12 D D10 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK L50 MM X W20 MM X H9.9 MM 6 D D12 MM ANTERALIGN SPINAL SYSTEM,4230.0,2115.0,810.05,3807.0,65
HCPCS,C1889,CAGE SPINAL TITAN NANOLOCK W23 MM X H12 MM LARGE MINI PLATE ANTERALIGN SPINAL SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,CAGE SPINAL TLIF 11MMH 12DEG METALLIC INTERBODY FUSION,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,CAGE SPINAL TLX L11 MM X W11 MM X H26 MM 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L11 MM X W11 MM X H31 MM 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 IN X W11 IN X H10 IN 20 D 5902026P2,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 IN X W11 IN X H10 IN 20 D 5902031P2,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 IN X W11 IN X H7 IN 20 D 5902726P2,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 IN X W11 IN X H7 IN 20 D 5902731P2,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 IN X W11 IN X H8 IN 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W11 MM X H10 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W11 MM X H11 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W11 MM X H12 MM 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W11 MM X H7 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W11 MM X H8 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W11 MM X H9 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L26 MM X W9 MM X H11 MM 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 IN X W11 IN X H8 IN 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W11 MM X H10 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W11 MM X H11 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W11 MM X H12 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W11 MM X H12 MM 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W11 MM X H7 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W11 MM X H9 MM 15 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TLX L31 MM X W9 MM X H11 MM 20 D,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L12 MM X W14 MM X H5 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L12 MM X W14 MM X H6 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L12 MM X W14 MM X H7 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L12 MM X W14 MM X H8 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L12 MM X W14 MM X H9 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H6 MM 10 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H6 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H7 MM 10 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H7 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H8 MM 10 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H8 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM C L14 MM X W17 MM X H9 MM 6 D TRITANIUM CERVICAL ANTERIOR,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM L28 MM X W9 MM X H9 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H10 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H11 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H11 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H11 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H12 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H12 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H12 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H13 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H13 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W11 MM X H7 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H10 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H11 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H11 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H12 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H14 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H7 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H8 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H9 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L23 MM X W9 MM X H9 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H10 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H10 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H11 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H11 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H12 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H13 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H13 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H14 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H14 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H7 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H7 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H8 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H9 MM 0 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W11 MM X H9 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H10 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H11 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H12 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H13 MM 12 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H13 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H14 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H7 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H8 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL TRITANIUM PL L28 MM X W9 MM X H9 MM 6 D TRITANIUM SOLID TIP LARGE WINDOW SMOOTH WEDGE NOSE PLIF,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,CAGE SPINAL UCERV W15 MM X H6 MM 6 D D13 MM MEDIUM TITANIUM RADIOLUCENT AGGRESSIVE TEETH LARGE CENTER CORE ANTERIOR CERVICAL INTERBODY DEVICE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,CAGE SPINAL VLIFT H32 MM TITANIUM LUMBAR INTERBODY FUSION OD18 MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,CAGE SPINAL X-CORE 2 H16 MM TITANIUM STATIC FOOTPRINT VERTEBRAL BODY REPLACEMENT 7180016 OD18 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL X-CORE 2 H26-41 MM TITANIUM EXPAND VERTEBRAL BODY REPLACEMENT OD16 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL X-CORE H28-40 MM EXPAND VERTEBRAL BODY REPLACEMENT OD18 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL X-CORE MINI H15-20 MM EXPAND VERTEBRAL BODY REPLACEMENT OD12 MM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,CAGE SPINAL X-PAC L25 MM X H10 MM LORDOTIC,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL X-PAC L25 MM X H10 MM LORDOTIC TALL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL X-PAC L28 MM X H10 MM LORDOTIC TALL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,CAGE SPINAL XL WIDE 22MM X 60MM X 10MM PEEK 10DEG COHERE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,CAGE SPINAL XL XWIDE 12MM X 26MM X 50MM PEEK COROENT,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL XL XWIDE 12MM X 26MM X 55MM PEEK 10DEG COROENT,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL XL XWIDE 12MM X 26MM X 55MM PEEK COROENT,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CAGE SPINAL XL XWIDE 12MM X 26MM X 60MM PEEK COROENT,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,CANNULA PERFUSION 29FR 16FR 28-46CM 3/8IN ADVANCE SUPPORT MECHANICAL CIRCULATORY SUPPORT PROTEKDUO,13000.0,6500.0,2489.5,11700.0,65
HCPCS,C1889,CANNULA PERFUSION 31FR 51CM 2 LUMEN INTRODUCER PROTEKDUO VENO VENOUS STERILE LATEX FREE DISPOSABLE,13000.0,6500.0,2489.5,11700.0,65
HCPCS,C1889,CAP END 5 MM RFN-ADVANCED NA,207.43,103.72,39.72,186.69,65
HCPCS,C1889,CAP END SHORT SHOULDER HINDFOOT NAIL PHANTOM,294.0,147.0,56.3,264.6,65
HCPCS,C1889,CAP LOCKING CREO 4.75IN SPINE THREAD,30.0,15.0,5.75,27.0,65
HCPCS,C1889,CARTRIDGE FILTER SOLID W/SERVICE CACTUS SMART LINK,105.99,53.0,20.3,95.39,65
HCPCS,C1889,CATHETER ARTERIAL LIMFLOW TRANSCATHETER ARTERIALZATION DEEP VEIN SYSTEM,25000.0,12500.0,4787.5,22500.0,65
HCPCS,C1889,CATHETER CECOSTOMY 20CM 10.2FR CHAIT PERCUTANEOUS LOW PROFILE MULTICURL TIP STIFFEN CANNULA 6- CM STERILE DISPOSABLE,181.99,91.0,34.85,163.79,65
HCPCS,C1889,CATHETER IAB OD8 FR 50 CC MEGA,994.26,497.13,190.4,894.83,65
HCPCS,C1889,CIF UI H 6MM 8DEG L,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CIF UI H 7MM 8DEG L,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CIF UI H 8MM 8DEG L,1860.0,930.0,356.19,1674.0,65
HCPCS,C1889,CLIP ANEURYSM PERMANENT 18MM 13.3MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
HCPCS,C1889,CLIP ANEURYSM PERMANENT 9MM 7.3MM MAXIMUM OPENING TITANIUM J-CURVED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
HCPCS,C1889,CLIP ANEURYSM PERMANENT MINI 3MM 3.8MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
HCPCS,C1889,CLIP ANEURYSM PERMANENT MINI 5MM 4.7MM MAXIMUM OPENING TITANIUM STRONG CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
HCPCS,C1889,COIL AZUR CX .018IN 2MMX2CM,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL BALT PLUS HELICAL XTRA 1.5MMX3CM,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 2MM DIA 2CML PLATINUM 1.34CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 2MM DIA 2CML POLYGLYCOLIC LACTIC ACID 1.34CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 2MM DIA 4CML PLATINUM 2.68CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 2MM DIA 6CML PLATINUM 4.02CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 3MM DIA 4CML PLATINUM 2.68CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 3MM DIA 6CML PLATINUM 4.02CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 3MM DIA 8CML PLATINUM 5.36CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 3MM DIA 8CML POLYGLYCOLIC LACTIC ACID 5.36CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0115IN ID 4MM DIA 10CML PLATINUM 7.92CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 4MM DIA 12CML PLATINUM 9.50CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 4MM DIA 12CML POLYGLYCOLIC LACTIC ACID 9.50CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 4MM DIA 8CML PLATINUM 6.33CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 5MM DIA 10CML PLATINUM 7.92CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 5MM DIA 10CML POLYGLYCOLIC LACTIC ACID 7.92CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 5MM DIA 15CML PLATINUM 11.88CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 5MM DIA 15CML POLYGLYCOLIC LACTIC ACID 11.88CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 5MM DIA 20CML PGLA 15.83CUMM NEUROVASCULAR 3D DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 5MM DIA 6CML POLYGLYCOLIC LACTIC ACID 6.33CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0125IN ID 6MM DIA 20CML PLATINUM 15.83CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 10MM DIA 20CML PLATINUM 18.47CUMM NEUROVASCULAR HELICAL DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 10MM DIA 30CML PGLA NEUROVASCULAR 3D DETACHABLE AXIUM MRI-CONDITIONAL,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 7MM DIA 20CML PLATINUM 18.47CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 7MM DIA 30CML POLYGLYCOLIC LACTIC ACID 27.7CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 8MM DIA 20CML PLATINUM 18.47CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 8MM DIA 30CML PLATINUM 27.7CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0135IN ID 8MM DIA 30CML POLYGLYCOLIC LACTIC ACID 27.70CUMM NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,1085.0,542.5,207.78,976.5,65
HCPCS,C1889,COIL EMBOLIZATION 0.0145IN ID 12MM DIA 40CML PLATINUM 42.61CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 0.0145IN ID 16MM DIA 40CML PLATINUM 42.61CUMM NEUROVASCULAR 3D SHAPED DETACHABLE FIBERED AXIUM MRI-CONDITIONAL STERILE SINGLE-USE,798.0,399.0,152.82,718.2,65
HCPCS,C1889,COIL EMBOLIZATION 1.5MM OPTIBLOCK 10CM,3995.0,1997.5,765.04,3595.5,65
HCPCS,C1889,COIL EMBOLIZATION 10CM 3MM IDC .018IN HELICAL DACRON PLATINUM 2D OCCLUSION,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 10CM 4MM INTERLOCK FIBERED IDC 2D DACRON PLATINUM 35 COIL OCCLUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 10CM 6MM INTERLOCK FIBERED IDC CUBE 35 COIL OCCLUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 10CM 6MM INTERLOCK FIBERED IDC DACRON PLATINUM 35 COIL 2D OCCLUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 10CM 8MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 12CM 4MM INTERLOCK FIBERED IDC 18 COIL DETACHABLE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 14.2CM 10-4MM TORNADO MICROCOIL PLATINUM FIBER PRELOAD CARTRIDGE ACCEPTS .018IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 10MM NESTER MICROCOIL FIBER 4.5 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 3MM NESTER MICROCOIL FIBER 14.9 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 5MM NESTER MICROCOIL FIBER 8.9 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 6MM NESTER MICROCOIL FIBER 7.4 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 8MM INTERLOCK FIBERED IDC DIAMOND 35 COIL OCCLUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 8MM NESTER ARTERIAL VENOUS PLATINUM SYNTHETIC FIBER 5.6 LOOP CATHETER END HOLE ACCEPTS .035IN GUIDEWIRE STERILE,93.96,46.98,17.99,84.56,65
HCPCS,C1889,COIL EMBOLIZATION 14CM 8MM NESTER MICROCOIL FIBER 5.6 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 2.5MM 3MM VORTX DIAMOND PLATINUM DIAMOND 18 COIL 22MM,425.0,212.5,81.39,382.5,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 10MM AXIUM 3D FRAME V01,2095.0,1047.5,401.19,1885.5,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 10MM INTERLOCK FIBERED IDC DACRON PLATINUM 35 COIL 2D OCCLUSION,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 10MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 12MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 12MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 14MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 15MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 18MM INTERLOCK FIBERED IDC 35 COIL 2D OCCLUSION,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 5MM AXIUM 3D NEUROVASCULAR FRAME V01,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 6MM INTERLOCK FIBERED IDC CUBE 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 6MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 6MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 8MM .038IN AZUR HYDROCOIL PERIPHERAL PLATINUM HYDROGEL DETACHABLE LOOP 150CM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 8MM INTERLOCK FIBERED IDC CUBE 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 8MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 20CM 8MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 25CM 10MM INTERLOCK FIBERED IDC CUBE DACRON PLATINUM 35 COIL OCCLUSION,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 25CM 15MM INTERLOCK FIBERED IDC CUBE 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL EMBOLIZATION 2CM 2MM HILAL EMBOLIZATION MICROCOILS PLATINUM FIBER MULTICURL ACCEPTS .018IN CATHETER,192.0,96.0,36.77,172.8,65
HCPCS,C1889,COIL EMBOLIZATION 2MM DIA 4CML PGLA PERIPHERAL 3D DETACHABLE FIBERED CONCERTO MRI-CONDITIONAL STERILE SINGLE-USE 0.0165IN MICROCATHETER COMPATIBLE,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL EMBOLIZATION 3-2MM TORNADO MICROCOIL PLATINUM FIBER ACCEPTS .018IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 10MM AXIUM 3D FRAME V01,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 10MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 12MM .012IN ORBIT GALAXY G2 NEUROVASCULAR PLATINUM COMPLEX FILL DETACHABLE,2340.0,1170.0,448.11,2106.0,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 12MM AXIUM 3D FRAME V01,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 12MM INTERLOCK FIBERED IDC STANDARD DACRON PLATINUM 18 COIL 2D OCCLUSION,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 14MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 18 COIL DETACHABLE RADIOPAQUE ACCEPTS .021IN LUMEN MICROCATHETER .018IN FIBER MICROCOIL OCCLUSION SYSTEM STERILE,443.0,221.5,84.83,398.7,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 8MM AXIUM 3D FRAME V01,2095.0,1047.5,401.19,1885.5,65
HCPCS,C1889,COIL EMBOLIZATION 30CM 9MM AXIUM PRIME 3D FRAME V01,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION 30MM 4MM VORTX VASCULAR PLATINUM FIBER 35 COIL PUSHABLE OCCLUSION SYSTEM,310.0,155.0,59.37,279.0,65
HCPCS,C1889,COIL EMBOLIZATION 35MM 5MM VORTX DIAMOND PLATINUM FIBER PUSHABLE OCCLUSION SYSTEM,275.0,137.5,52.66,247.5,65
HCPCS,C1889,COIL EMBOLIZATION 3CM 2MM NESTER .018IN PERIPHERAL PLATINUM FIBER 4.8 LOOP SOFT RADIOPAQUE MICROCOIL STERILE,90.46,45.23,17.32,81.41,65
HCPCS,C1889,COIL EMBOLIZATION 3MM 4CML PGLA 3D CONCERTO 0.0165IN GW,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL EMBOLIZATION 3MM 6MM COMPLEX HELICAL PLATINUM FIBER 18 COIL,346.08,173.04,66.27,311.47,65
HCPCS,C1889,COIL EMBOLIZATION 4-2MM TORNADO MICROCOIL PLATINUM FIBER ACCEPTS .018IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 10MM INTERLOCK FIBERED IDC CUBE DACRON PLATINUM 35 COIL OCCLUSION,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 10MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 12MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 15MM INTERLOCK FIBERED IDC 2D DACRON PLATINUM 35 COIL OCCLUSION,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 15MM INTERLOCK FIBERED IDC CUBE 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 18MM INTERLOCK FIBERED IDC STANDARD LENGTH 2D 35 COIL DETACHABLE OCCLUSION SYSTEM STERILE,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 20MM INTERLOCK FIBERED IDC CUBE DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SMALL ARM ACCEPTS 5FR CATHETER,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 40CM 8MM INTERLOCK FIBERED IDC DACRON PLATINUM 35 COIL 2D OCCLUSION,800.0,400.0,153.2,720.0,65
HCPCS,C1889,COIL EMBOLIZATION 4CM 2MM AZUR HYDROCOIL 18D .018IN PERIPHERAL PLATINUM HYDROGEL DETACHABLE,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL EMBOLIZATION 4CM 2MM FIBERED IDC 18 COIL OCCLUSION SYSTEM,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 4CM 2MM IDC .018IN HELICAL DACRON PLATINUM 2D OCCLUSION,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 4CM 3MM INTERLOCK FIBERED IDC 35 COIL 2D OCCLUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 4CM 4MM IDC .018IN HELICAL DACRON PLATINUM OCCLUSION SYSTEM,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 5-3MM TORNADO PLATINUM FIBER .035IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 50CM 12MM AXIUM 3D NEUROVASCULAR FRAME V01,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION 50CM 14MM AXIUM 3D NEUROVASCULAR FRAME V01,2095.0,1047.5,401.19,1885.5,65
HCPCS,C1889,COIL EMBOLIZATION 50CM 6MM PRESTIGE PLUS COMPLEX PACK ULTRA DETACHMENT CONTROLLER STERILE LATEX FREE,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL EMBOLIZATION 53MM 6MM VORTX DIAMOND PLATINUM FIBER PUSHABLE OCCLUSION SYSTEM,392.7,196.35,75.2,353.43,65
HCPCS,C1889,COIL EMBOLIZATION 5CM 5-2MM TORNADO MICROCOILS PLATINUM SYNTHETIC FIBER PRELOAD CARTRIDGE .018IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 5MM 2MM .018IN PERIPHERAL DACRON PLATINUM 18 COIL PUSHABLE INTRODUCER 10MM,346.08,173.04,66.27,311.47,65
HCPCS,C1889,COIL EMBOLIZATION 6-2MM TORNADO MICROCOIL PLATINUM FIBER ACCEPTS .018IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 6-3MM TORNADO PLATINUM FIBER .035IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 60CM 12-14MM POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL EMBOLIZATION 6CM 2MM FIBERED IDC 18 COIL OCCLUSION SYSTEM,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 6CM 2MM PRESTIGE PLUS HELICAL HELICAL XTRA PACK STERILE,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL EMBOLIZATION 6CM 3.5MM AXIUM PRIME 3D FRAME V01,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION 6CM 3MM AXIUM 3D FRAME V01,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION 6CM 3MM IDC .018IN HELICAL DACRON PLATINUM 2D OCCLUSION,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 6CM 4MM INTERLOCK FIBERED IDC CUBE DACRON PLATINUM 35 COIL OCCLUSION,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 10MM NESTER PLATINUM FIBER 2.2 LOOP ACCEPTS .035IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 2MM NESTER MICROCOIL FIBER 11.1 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 3MM NESTER MICROCOIL FIBER 7.4 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 3MM NESTER PLATINUM FIBER 7.4 LOOP ACCEPTS .035IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 4MM NESTER PLATINUM FIBER 5.6 LOOP ACCEPTS .035IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 6MM NESTER MICROCOIL FIBER 3.7 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 8MM NESTER MICROCOIL FIBER 2.8 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7CM 8MM NESTER PLATINUM FIBER 2.8 LOOP ACCEPTS .035IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL EMBOLIZATION 7MM DIA 40CML PLATINUM NITINOL 3D COMPLEX LOW-PROFILE RESHEATHABLE/DETACHABLE MICROCATHETER DELIVERY LP RUBY LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL EMBOLIZATION 8CM 3.5MM AXIUM 3D NEUROVASCULAR FRAME V01,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION 8CM 4MM IDC SOFT INTERLOCK DETACHABLE,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 8CM 5MM IDC .018IN HELICAL DACRON PLATINUM 2D SOFT OCCLUSION,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION 8CM 8-4MM TORNADO PLATINUM SYNTHETIC FIBER PRELOAD ACCEPTS .035IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION 8MM DIA 60CML PLATINUM NITINOL 3D COMPLEX LOW-PROFILE RESHEATHABLE/DETACHABLE MICROCATHETER DELIVERY LP RUBY LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL EMBOLIZATION 9.5CM 8-4MM TORNADO MICROCOILS PLATINUM SYNTHETIC FIBER PRELOAD CARTRIDGE .018IN CATHETER,116.99,58.5,22.4,105.29,65
HCPCS,C1889,COIL EMBOLIZATION COMPLEX FRAMING STANDARD 0.02IN ID 14MM DIA 40CML PLATINUM NITINOL PERIPHERAL FULLY DETACHABLE RESHEATHABLE RUBY LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL EMBOLIZATION COMPLEX SOFT FILLING 0.02IN ID 10MM DIA 35CML PLATINUM NITINOL PERIPHERAL FULLY DETACHABLE RESHEATHABLE RUBY LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL EMBOLIZATION FINISHING 1MM DIA 2CML PLATINUM TUNGSTEN NEUROVASCULAR HELICAL DETACHABLE 2 TIP MARKER TENZING TECHNOLOGY TARGET ULTRA LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1889,COIL EMBOLIZATION FINISHING 2.5MM DIA 4CML PLATINUM TUNGSTEN NEUROVASCULAR HELICAL DETACHABLE 2 TIP MARKER TENZING TECHNOLOGY TARGET ULTRA LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1889,COIL EMBOLIZATION FINISHING 2.5MM DIA 6CML PLATINUM TUNGSTEN NEUROVASCULAR HELICAL DETACHABLE 2 TIP MARKER TENZING TECHNOLOGY TARGET ULTRA LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1889,COIL EMBOLIZATION FINISHING 3MM DIA 8CML PLATINUM TUNGSTEN NEUROVASCULAR HELICAL DETACHABLE 2 TIP MARKER TENZING TECHNOLOGY TARGET NANO LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,1125.0,562.5,215.44,1012.5,65
HCPCS,C1889,COIL EMBOLIZATION FRAMING 16MM DIA 50CML STAINLESS STEEL NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM PRIME LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION FRAMING 18MM DIA 50CML STAINLESS STEEL NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM PRIME LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION FRAMING 22MM DIA 50CML STAINLESS STEEL NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM PRIME LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION FRAMING 25MM DIA 50CML STAINLESS STEEL NEUROVASCULAR 3D SHAPED DETACHABLE AXIUM PRIME LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,2158.0,1079.0,413.26,1942.2,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  1X2,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  2.5X3,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  2.5X4,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  2.5X6,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  2X4,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  3X4,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  3X6,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4.5X10,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4.5X14,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4.5X18,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4.5X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4X10,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4X15,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  4X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  515,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  5X10,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  5X20,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  6X10,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  6X20,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  7X12,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK  7X24,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 1.5X2,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 1.5X3,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 1.5X4,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 1X3,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 2.5X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 2X2,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 2X6,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3.5X10,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3.5X15,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3.5X6,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3.5X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3X10,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3X15,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 3X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 4X6,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 5X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 6X15,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 6X25,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 7X18,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 8X15,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 8X20,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 8X26,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION NUMEN SILK 8X35,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATION OCCLUSION 4MM DIA 40.5CML RESTRAINED PLATINUM PERIPHERAL DIAMOND INTERLOCKING DETACHABLE FIBERED INTERLOCK-35 IDC STERILE SINGLE-USE 0.035IN ID CATHETER COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION OCCLUSION 6MM DIA 9CML RESTRAINED PLATINUM PERIPHERAL DIAMOND INTERLOCKING DETACHABLE FIBERED INTERLOCK-35 IDC STERILE SINGLE-USE 0.035IN ID CATHETER COMPATIBLE,500.0,250.0,95.75,450.0,65
HCPCS,C1889,COIL EMBOLIZATION SOFT OCCLUSION 0.018IN ID 2MM DIA 2CML PLATINUM PERIPHERAL HELICAL DETACHABLE FIBERED INTERLOCK-18 IDC LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION SOFT OCCLUSION 0.018IN ID 2MM DIA 4CML PLATINUM PERIPHERAL 2D SHAPED DETACHABLE FIBERED INTERLOCK-18 IDC LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATION SOFT OCCLUSION 0.018IN ID 5MM DIA 12CML PLATINUM PERIPHERAL 2D SHAPED DETACHABLE FIBERED INTERLOCK-18 IDC LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,442.0,221.0,84.64,397.8,65
HCPCS,C1889,COIL EMBOLIZATIONNUMEN SILK  2X3,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATIONNUMEN SILK  7X30,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL EMBOLIZATOIN NUMEN SILK 2X8,1900.0,950.0,363.85,1710.0,65
HCPCS,C1889,COIL L1 CM EMBOLIZATION MICROCOIL PLATINUM .018 IN CATHETER,105.99,53.0,20.3,95.39,65
HCPCS,C1889,COIL L1 CM OD.02 IN ODSEC2 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L1 CM OD1 MM 10 COIL SUPER SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L1 CM OD1 MM EXTRA PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM EMBOLIZATION PACKING COIL LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM GEN II EMBOLIZATION SWIFTPAC,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L10 CM L150 CM OD4 MM ODSEC.018 IN DETACHABLE LOOP EMBOLIZATION AZUR HYDROCOIL PLATINUM HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L10 CM OD.02 IN ODSEC4 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE FRAME STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM OD2 MM EMBOLIZATION RUBY LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM OD3 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L10 CM OD3 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L10 CM OD3 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM OD3 MM EMBOLIZATION RUBY LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM OD3 MM HELICAL EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM OD3 MM HELICAL XTRA PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM OD4 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L10 CM OD4 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM OD4 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L10 CM OD4 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L10 CM OD4 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM OD4 MM ODSEC.0115 IN HELIX EMBOLIZATION AXIUM MICROFX PEPTIDE GLYCINE-LEUCINE AMIDE,1377.0,688.5,263.7,1239.3,65
HCPCS,C1889,COIL L10 CM OD5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L10 CM OD5 MM 10 COIL SUPER SOFT OPEN LOOP SPIRAL CUT HYPOTUBE HELICAL EMBOLIZATION OPTIMA STAINLESS STEEL,1116.0,558.0,213.71,1004.4,65
HCPCS,C1889,COIL L10 CM OD5 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L10 CM OD5 MM EMBOLIZATION RUBY LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM OD5 MM ODSEC.0115 IN DETACHABLE SUPER SOFT HELICAL EMBOLIZATION AXIUM PRIME,1600.0,800.0,306.4,1440.0,65
HCPCS,C1889,COIL L10 CM OD6 MM EMBOLIZATION RUBY LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L10 CM OD6 MM FRAME 3D EMBOLIZATION AXIUM V01,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1889,COIL L11 CM OD6 MM 10 COIL COMPLEX OPEN LOOP STANDARD SOFT EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L11 CM OD6 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L12 CM OD.02 IN ODSEC3 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L12 CM OD.02 IN ODSEC5 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L12 CM OD2 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L12 CM OD2.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L12 CM OD3.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L12 CM OD4 MM COMPLEX SOFT EMBOLIZATION OPTIMA COIL SYSTEM XCEL DETACHMENT CONTROLLER,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L12 CM OD4 MM COMPLEX SOFT EMBOLIZATION PENUMBRA COIL 400,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1889,COIL L13 CM OD4 MM 10 COIL SPIRAL CUT HYPOTUBE COMPLEX EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L13 CM OD4 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L13 CM OD4 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L13 CM OD4 MM HELICAL EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L13 CM OD5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L13 CM OD7 MM 10 COIL COMPLEX SPIRAL CUT HYPOTUBE STANDARD SOFT EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L13 CM OD7 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L15 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM EMBOLIZATION PACKING COIL LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM GEN II EMBOLIZATION SWIFTPAC,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L15 CM L135 CM OD6 MM ODSEC.038 IN DETACHABLE .035 IN EMBOLIZATION AZUR PLATINUM HYDROGEL PERIPHERAL,1400.0,700.0,268.1,1260.0,65
HCPCS,C1889,COIL L15 CM L150 CM OD12 MM ODSEC.038 IN DETACHABLE LOOP EMBOLIZATION AZUR HYDROCOIL PLATINUM HYDROGEL PERIPHERAL,1400.0,700.0,268.1,1260.0,65
HCPCS,C1889,COIL L15 CM OD.02 IN ODSEC3 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE SOFT EMBOLIZATION RUBY PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM OD.02 IN ODSEC4 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM OD3 MM EMBOLIZATION RUBY LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM OD3 MM HELICAL XTRA PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM OD4 MM EMBOLIZATION RUBY LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM OD5 MM DETACHABLE RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L15 CM OD5 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L15 CM OD5 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L15 CM OD6 MM 10 COIL OPEN LOOP STANDARD SOFT SPIRAL CUT HYPOTUBE HELICAL EMBOLIZATION OPTIMA STAINLESS STEEL,1116.0,558.0,213.71,1004.4,65
HCPCS,C1889,COIL L15 CM OD6 MM COMPLEX SOFT EMBOLIZATION OPTIMA COIL SYSTEM XCEL DETACHMENT CONTROLLER,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L15 CM OD6 MM COMPLEX SOFT EMBOLIZATION PENUMBRA COIL 400,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1889,COIL L15 CM OD7 MM SOFT .02 IN COMPLEX EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1889,COIL L15 CM PACK J-SOFT EMBOLIZATION POD,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L16 CM OD5 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L16 CM OD8 MM 10 COIL SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L16 CM OD8 MM 10 COIL STANDARD SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L17 CM OD5 MM 10 COIL COMPLEX OPEN LOOP STANDARD SOFT EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L17 CM OD5 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L17 CM OD5 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L17 CM OD5 MM HELICAL EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L2 CM L190 CM OD2 MM 12 COIL STRETCH RESISTANT DETACHABLE EMBOLIZATION GALAXY G3 NEUROVASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1889,COIL L2 CM OD.02 IN ODSEC2 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L2 CM OD1 MM 10 COIL SUPER SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L2 CM OD1 MM EMBOLIZATION RUBY LP,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L2 CM OD1.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L2 CM OD2 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L2 CM OD2 MM EMBOLIZATION RUBY LP,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L20 CM L150 CM OD10 MM ODSEC.038 IN DETACHABLE LOOP EMBOLIZATION AZUR HYDROCOIL PLATINUM HYDROGEL PERIPHERAL,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,COIL L20 CM OD.02 IN ODSEC3 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD.02 IN ODSEC4 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD.02 IN ODSEC6 MM COMPLEX LARGE VOLUME FULL DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD.02 IN ODSEC6 MM LARGE VOLUME FULL DETACHABLE STANDARD COMPLEX EMBOLIZATION RUBY,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD3 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD3.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD4 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD4 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD5 MM COMPLEX SOFT EMBOLIZATION OPTIMA COIL SYSTEM XCEL DETACHMENT CONTROLLER,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L20 CM OD5 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L20 CM OD5 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD5 MM ODSEC.0115 IN DETACHABLE SUPER SOFT HELICAL EMBOLIZATION AXIUM PRIME,1600.0,800.0,306.4,1440.0,65
HCPCS,C1889,COIL L20 CM OD6 MM 10 COIL COMPLEX OPEN LOOP STANDARD SOFT EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L20 CM OD6 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L20 CM OD6 MM 10 COIL SPIRAL CUT HYPOTUBE STANDARD SOFT OPEN LOOP HELICAL EMBOLIZATION OPTIMA STAINLESS STEEL,1116.0,558.0,213.71,1004.4,65
HCPCS,C1889,COIL L20 CM OD6 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD6 MM DETACHABLE RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L20 CM OD6 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L20 CM OD6 MM HELICAL EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD6 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD6 MM ID.021-.027 IN DETACHABLE SOFT FLEXIBLE DESIGN VARIABLE LOOP MICROCATHETER .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L20 CM OD6 MM ODSEC.0115 IN DETACHABLE SUPER SOFT HELICAL EMBOLIZATION AXIUM PRIME,1600.0,800.0,306.4,1440.0,65
HCPCS,C1889,COIL L20 CM OD6 MM ODSEC.0125 IN 3D FRAME DETACHABLE EMBOLIZATION AXIUM PRIME,2395.0,1197.5,458.64,2155.5,65
HCPCS,C1889,COIL L20 CM OD7 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD7 MM COMPLEX PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD7 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L20 CM OD7 MM ODSEC.0135 IN 3D FRAME DETACHABLE EMBOLIZATION AXIUM PRIME,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1889,COIL L20 CM OD8 MM FRAME 3D EMBOLIZATION AXIUM V01,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1889,COIL L20 CM OD9 MM ODSEC.0135 IN 3D FRAME DETACHABLE EMBOLIZATION AXIUM PRIME,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,COIL L20 MM OD3 MM EMBOLIZATION POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L24 CM L150 CM OD7 MM ODSEC.018 IN DETACHABLE LOOP .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L24 CM OD7 MM 10 COIL SOFT OPEN LOOP SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L24 CM OD7 MM 10 COIL STANDARD SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L25 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L25 CM OD.02 IN ODSEC7 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L25 CM OD.02 IN ODSEC8 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE FRAME STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L27 CM OD8 MM 10 COIL COMPLEX SOFT OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L27 CM OD8 MM 10 COIL STANDARD SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L28 CM L150 CM OD8 MM ODSEC.018 IN DETACHABLE LOOP .018 IN EMBOLIZATION AZUR CX HYDROCOIL HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L3 CM EMBOLIZATION PACKING COIL LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L3 CM OD1 MM 10 COIL SUPER SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L3 CM OD1 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L3 CM OD1.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L3 CM OD1.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L3 CM OD2 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L3 CM OD2.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L30 CM EMBOLIZATION PACKING COIL LP,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM GEN II EMBOLIZATION SWIFTPAC,1960.0,980.0,375.34,1764.0,65
HCPCS,C1889,COIL L30 CM OD.02 IN ODSEC5 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE FRAME STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD.02 IN ODSEC6 MM COMPLEX LARGE VOLUME FULL DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD.02 IN ODSEC6 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD.02 IN ODSEC9 MM LARGE VOLUME FULL DETACHABLE STANDARD COMPLEX EMBOLIZATION RUBY,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD10 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L30 CM OD10 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELICAL EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L30 CM OD12 MM DETACHABLE RESHEATHABLE SOFT HELICAL EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L30 CM OD14 MM DETACHABLE RESHEATHABLE SOFT HELICAL EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L30 CM OD3.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM OD4 MM COMPLEX OCCULUSION DEVICE EMBOLIZATION RUBY POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L30 CM OD4 MM EMBOLIZATION RUBY LP,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD5 MM COMPLEX OCCULUSION DEVICE EMBOLIZATION RUBY POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L30 CM OD5 MM EMBOLIZATION RUBY LP,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD6 MM EMBOLIZATION RUBY LP,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L30 CM OD7 MM DETACHABLE RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L30 CM OD7 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L30 CM OD8 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM OD8 MM COMPLEX PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM OD8 MM DETACHABLE RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L30 CM OD8 MM DETACHABLE RESHEATHABLE SOFT HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L30 CM OD8 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM OD9 MM 10 COIL STANDARD SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L30 CM OD9 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM OD9 MM COMPLEX PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM OD9 MM DETACHABLE RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L30 CM OD9 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELICAL EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L30 CM OD9 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L30 CM PACK J-SOFT EMBOLIZATION POD,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L32 CM OD10 MM ID.021-.027 IN DETACHABLE SOFT FLEXIBLE DESIGN VARIABLE LOOP MICROCATHETER .018 IN EMBOLIZATION AZUR CX HYDROCOIL HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L34 CM OD10 MM 10 COIL STANDARD SOFT COMPLEX OPEN LOOP EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L34 CM OD14 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L34 CM OD14 MM DETACHABLE NONHYDROGEL .035 IN EMBOLIZATION AZUR HYDROCOIL PLATINUM PERIPHERAL,1190.0,595.0,227.89,1071.0,65
HCPCS,C1889,COIL L35 CM OD.02 IN ODSEC10 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L35 CM OD.02 IN ODSEC4 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L35 CM OD.02 IN ODSEC8 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L35 CM OD4 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L35 CM OD6 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L35 CM OD7 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L36 CM OD18 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L38 CM OD12 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L39 CM L150 CM OD16 MM ODSEC.018 IN DETACHABLE LOOP .018 IN EMBOLIZATION AZUR CX HYDROCOIL HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L4 CM OD.02 IN ODSEC2 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L4 CM OD1 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L4 CM OD1.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L4 CM OD12 MM DETACHABLE COMPLEX FRAME RESHEATHABLE 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L4 CM OD2 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L4 CM OD2 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L4 CM OD2 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L4 CM OD2 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L4 CM OD2 MM EMBOLIZATION RUBY LP,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L4 CM OD2 MM EXTRA SOFT CURVE EMBOLIZATION PENUMBRA COIL 400,1726.0,863.0,330.53,1553.4,65
HCPCS,C1889,COIL L4 CM OD2 MM EXTRA SOFT HELIX EMBOLIZATION SMART COIL,1070.0,535.0,204.91,963.0,65
HCPCS,C1889,COIL L4 CM OD2 MM HELICAL XTRA PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L4 CM OD2.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L4 CM OD2.5 MM 10 COIL SUPER SOFT OPEN LOOP SPIRAL CUT HYPOTUBE HELICAL EMBOLIZATION OPTIMA STAINLESS STEEL,1116.0,558.0,213.71,1004.4,65
HCPCS,C1889,COIL L4 CM OD2.5 MM HELIX EMBOLIZATION SMART COIL,1070.0,535.0,204.91,963.0,65
HCPCS,C1889,COIL L4 CM OD3 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L4 CM OD3 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L4 CM OD3 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L4 CM OD3 MM EMBOLIZATION RUBY LP,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L40 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L40 CM OD.02 IN ODSEC12 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE SOFT EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L40 CM OD.02 IN ODSEC8 MM COMPLEX LARGE VOLUME FULL DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L40 CM OD10 MM COMPLEX FRAME DETACHMENT HANDLE PULL WIRE STANDARD EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,2125.0,1062.5,406.94,1912.5,65
HCPCS,C1889,COIL L40 CM OD10 MM COMPLEX PACK HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L40 CM OD10 MM FRAME 3D EMBOLIZATION AXIUM NEUROVASCULAR V01,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1889,COIL L40 CM OD10 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L40 CM OD12 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L40 CM OD12 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L40 CM OD12 MM ODSEC.0145 IN 3D FRAME DETACHABLE EMBOLIZATION AXIUM PRIME,2915.0,1457.5,558.22,2623.5,65
HCPCS,C1889,COIL L40 CM OD14 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L40 CM OD16 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L40 CM OD16 MM DETACHABLE RESHEATHABLE SOFT HELICAL EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L40 CM OD18 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L40 CM OD18 MM DETACHABLE RESHEATHABLE SOFT HELIX EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L40 CM OD20 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L40 CM OD4 MM HELICAL PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L40 CM OD5 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L40 CM OD5 MM HELICAL PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM EMBOLIZATION PACKING COIL LP,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L45 CM GEN II EMBOLIZATION SWIFTPAC,1960.0,980.0,375.34,1764.0,65
HCPCS,C1889,COIL L45 CM OD10 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM OD11 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM OD12 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM OD13 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM OD14 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM OD8 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L45 CM PACK J-SOFT EMBOLIZATION POD,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L47 CM OD14 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L5 CM L150 CM OD3 MM ODSEC.018 IN DETACHABLE LOOP EMBOLIZATION AZUR HYDROCOIL PLATINUM HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L5 CM L150 CM OD4 MM ODSEC.018 IN DETACHABLE LOOP EMBOLIZATION AZUR HYDROCOIL PLATINUM HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L5 CM OD.02 IN ODSEC3 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L5 CM OD.02 IN ODSEC3 MM LARGE VOLUME FULL DETACHABLE STANDARD COMPLEX EMBOLIZATION RUBY,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L5 CM OD1 MM EMBOLIZATION RUBY LP,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L5 CM OD2.5 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L5 CM OD2.5 MM HELICAL EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L5 CM OD2.5 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L5 CM OD3.5 MM HELICAL PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L5 CM PACK SOFT J EMBOLIZATION POD,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L50 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L50 CM L150 CM OD.035 IN ODSEC20 MM 35 COIL DETACHABLE LOOP FRAME EMBOLIZATION AZUR HYDROCOIL HYDROGEL PLATINUM PERIPHERAL,1275.0,637.5,244.16,1147.5,65
HCPCS,C1889,COIL L50 CM OD.02 IN ODSEC16 MM COMPLEX SOFT FILL FULLY DETACHABLE EMBOLIZATION RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L50 CM OD20 MM DETACHABLE RESHEATHABLE SOFT HELICAL EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .021 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L50 CM OD6 MM COMPLEX EMBOLIZATION RUBY POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L50 CM OD6 MM HELICAL PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L50 CM OD7 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L50 CM OD7 MM HELICAL PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L50 MM OD6 MM EMBOLIZATION POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L55 CM OD16 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L6 CM EMBOLIZATION PACKING COIL LP,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L6 CM OD.02 IN ODSEC4 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L6 CM OD1.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L6 CM OD2 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD2 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD2 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L6 CM OD2 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L6 CM OD2.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD2.5 MM ODSEC.0108 MM DETACHABLE EXTRA SOFT HELICAL EMBOLIZATION AXIUM PRIME,1525.0,762.5,292.04,1372.5,65
HCPCS,C1889,COIL L6 CM OD3 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD3 MM 10 COIL STRETCH RESISTANT ADVANCE DELIVERY SYSTEM EMBOLIZATION HYDROCOIL HYDROFRAME V-TRAK ACCEPTS .0165+ IN MICROCATHETER,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,COIL L6 CM OD3 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD3 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L6 CM OD3.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD3.5 MM COMPLEX SOFT EMBOLIZATION OPTIMA COIL SYSTEM XCEL DETACHMENT CONTROLLER,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD4 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L6 CM OD4 MM EMBOLIZATION RUBY LP,790.0,395.0,151.29,711.0,65
HCPCS,C1889,COIL L6 CM OD4 MM ODSEC.0115 IN DETACHABLE SUPER SOFT HELICAL EMBOLIZATION AXIUM PRIME,1910.0,955.0,365.77,1719.0,65
HCPCS,C1889,COIL L60 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM EMBOLIZATION PACKING COIL LP,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM GEN II EMBOLIZATION SWIFTPAC,1960.0,980.0,375.34,1764.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC12 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC14 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC16 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC18 MM COMPLEX LARGE VOLUME DETACHABLE FRAME STANDARD EMBOLIZATION RUBY PLATINUM NITINOL PERIPHERAL .025-.027 IN HIGH FLOW MICROCATHETER,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC20 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC20 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION RUBY PLATINUM NITINOL PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC24 MM COMPLEX LARGE VOLUME DETACHABLE FRAME STANDARD EMBOLIZATION RUBY PLATINUM NITINOL PERIPHERAL .025-.027 IN HIGH FLOW MICROCATHETER,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC28 MM COMPLEX LARGE VOLUME FUL DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC32 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE STANDARD EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD.02 IN ODSEC8 MM COMPLEX LARGE VOLUME FULLY DETACHABLE RESHEATHABLE EMBOLIZATION PENUMBRA COIL 400 RUBY PERIPHERAL,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD10-12 MM EMBOLIZATION POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L60 CM OD18 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L60 CM OD36 MM STANDARD EMBOLIZATION RUBY,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD40 MM STANDARD EMBOLIZATION RUBY,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L60 CM OD8 MM COMPLEX OCCULUSION DEVICE EMBOLIZATION RUBY POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L60 CM OD8-10 MM EMBOLIZATION POD,1690.0,845.0,323.64,1521.0,65
HCPCS,C1889,COIL L60 CM PACK J-SOFT EMBOLIZATION POD,1280.0,640.0,245.12,1152.0,65
HCPCS,C1889,COIL L65 CM OD10 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD10 MM HELICAL PACK ULTRA DETACHMENT CONTROLLER EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD12 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD14 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD14 MM EMBOLIZATION OPTIBLOCK,3995.0,1997.5,765.04,3595.5,65
HCPCS,C1889,COIL L65 CM OD15 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD16 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD18 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD20 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD20 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD22 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD22 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD24 MM COMPLEX 18 HELICAL EMBOLIZATION PRESTIGE PLUS,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD24 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD8 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD8 MM HELICAL PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L65 CM OD9 MM COMPLEX PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,1185.0,592.5,226.93,1066.5,65
HCPCS,C1889,COIL L7 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,980.0,490.0,187.67,882.0,65
HCPCS,C1889,COIL L7 CM L190 CM OD4 MM 12 COIL STRETCH RESISTANT DETACHABLE EMBOLIZATION GALAXY G3 NEUROVASCULAR,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1889,COIL L7 CM OD3 MM COMPLEX EXTRA PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L7 CM OD4 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD.018 IN ODSEC3 MM 35 COIL DETACHABLE LOOP SOLID CORE EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,COIL L8 CM OD1.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L8 CM OD2 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD2 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L8 CM OD2 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L8 CM OD2 MM HELICAL XTRA PACK HELICAL EMBOLIZATION PRESTIGE PLUS,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L8 CM OD2.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L8 CM OD3 MM 10 COIL SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD3 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD3 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L8 CM OD3.5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD3.5 MM COMPLEX XTRA PACK EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L8 CM OD3.5 MM HELICAL EMBOLIZATION PRESTIGE PLUS ULTRA DETACHMENT CONTROLLER,775.0,387.5,148.41,697.5,65
HCPCS,C1889,COIL L8 CM OD4 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD4 MM DETACHABLE COMPLEX FRAME RESHEATHABLE SOFT 3D EMBOLIZATION CONCERTO POLY LACTIC CO GLYCOLIC ACID PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,650.0,325.0,124.48,585.0,65
HCPCS,C1889,COIL L8 CM OD4 MM DETACHABLE RESHEATHABLE SOFT DISTAL PUSHER HELIX EMBOLIZATION CONCERTO NYLON PERIPHERAL ACCEPTS .0165 IN MICROCATHETER,700.0,350.0,134.05,630.0,65
HCPCS,C1889,COIL L8 CM OD5 MM 10 COIL SUPER SOFT COMPLEX SPIRAL CUT HYPOTUBE EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,COIL L8 CM OD5 MM 10 COIL SUPER SOFT OPEN LOOP SPIRAL CUT HYPOTUBE HELICAL EMBOLIZATION OPTIMA STAINLESS STEEL,1116.0,558.0,213.71,1004.4,65
HCPCS,C1889,COIL L9 CM OD5 MM 10 COIL SPIRAL CUT HYPOTUBE COMPLEX EMBOLIZATION OPTIMA STAINLESS STEEL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,"COIL, OPTI BLOCK 1MM X 6CM",3995.0,1997.5,765.04,3595.5,65
HCPCS,C1889,COMPONENT FEMORAL 54X41.6X9.5MM KNEE REMEDY GENTAMICIN PMMA STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,COMPONENT FEMORAL 64X49.3X10.5MM KNEE REMEDY GENTAMICIN PMMA STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,COMPONENT FEMORAL 74X56.3X11.5MM KNEE REMEDY GENTAMICIN PMMA STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,COMPONENT TIBIAL 60MM REMEDY KNEE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,CONNECTOR ROD L13 MM SPINE LATERAL INFINITY CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CONNECTOR ROD L15 MM SPINE INVICTUS 28 D 2 OPEN POLYAXIAL REVISION MIS,500.0,250.0,95.75,450.0,65
HCPCS,C1889,CONNECTOR ROD L20 MM OD4.75 MM ODSEC5.5 MM SPINE LATERAL CD HORIZON CLOSED,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CONNECTOR ROD OD3.2 MM ODSEC3.2 MM SPINE INFINITY EXTENSION,300.0,150.0,57.45,270.0,65
HCPCS,C1889,CONNECTOR ROD OD3.5 MM ODSEC4-5.5 MM SPINE VERTEX SELECT TITANIUM AXIAL DOMINO,145.8,72.9,27.92,131.22,65
HCPCS,C1889,CONNECTOR ROD OD4.75 MM ODSEC5.5 MM SPINE MONARCH TITANIUM SIDE TO SIDE 2,425.0,212.5,81.39,382.5,65
HCPCS,C1889,CONNECTOR SIDE/SIDE,430.0,215.0,82.35,387.0,65
HCPCS,C1889,CRANIAL IMPLANT CUSTOM HTR-PEKK,10500.0,5250.0,2010.75,9450.0,65
HCPCS,C1889,DEPTH ELECTRODE 10-CONTACT PLATINUM,578.0,289.0,110.69,520.2,65
HCPCS,C1889,DEVICE ATRICLIP FLEXV 35MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT CLOSURE STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE ATRICLIP FLEXV 40MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT CLOSURE STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE ATRICLIP FLEXV 45MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT CLOSURE STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE ATRICLIP FLEXV 50MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT CLOSURE STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE ATRICLIP PROV 45MM TIP FIRST OPEN END CLIP CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM 12MM PORT,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,DEVICE CLOSURE L39.6 MM X W6.9 MM X H11 MM 35 MM D19 MM PENDITURE ATRICLIP FLEX V ATRAUMATIC CURVE CLIP ACTUATION LEVER LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,DEVICE CLOSURE L50 MM X W8.1 MM X H11 MM 45 MM D23.2 MM PENDITURE ATRICLIP FLEX V ATRAUMATIC CURVE CLIP ACTUATION LEVER LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,DEVICE CLOSURE L55 MM X W8.8 MM X H11 MM 50 MM D20 MM PENDITURE ATRICLIP FLEX V ATRAUMATIC CURVE CLIP ACTUATION LEVER LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L10 MM 55 D 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD3 MM PIPELINE FLEX 75% COCR 25% PLATINUM TUNGSTEN NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L10 MM 55 D 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD3.25 MM PIPELINE FLEX 75% COCR 25% PLATINUM TUNGSTEN NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L10 MM 55 D 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD4.25 MM PIPELINE FLEX 75% COCR 25% PLATINUM TUNGSTEN NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L10 MM 55 D 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD4.75 MM PIPELINE FLEX 75% COCR 25% PLATINUM TUNGSTEN NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L10 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD3.5 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L12 MM 55 D 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD2.75 MM PIPELINE FLEX 75% COCR 25% PLATINUM TUNGSTEN NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L12 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD3.25 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1889,DEVICE EMBOLIZATION L12 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4.5 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1889,DEVICE EMBOLIZATION L12 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD5 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L14 MM 48 STRAND BRAID MESH RADIOPAQUE LOW PROFILE DISTAL TIP OD2.5 MM PIPELINE FLEX NEUROVASCULAR,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1889,DEVICE EMBOLIZATION L14 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4 MM PIPELINE FLEX,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1889,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD2.5 MM PIPELINE FLEX NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3.5 MM PIPELINE FLEX,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1889,DEVICE EMBOLIZATION L18 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4.25 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1889,DEVICE EMBOLIZATION L18 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4.5 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1889,DEVICE EMBOLIZATION L18 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4.75 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1889,DEVICE EMBOLIZATION L18 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L20 MM 48 STRAND BRAID MESH RADIOPAQUE LOW PROFILE DISTAL TIP OD4.25 MM PIPELINE FLEX NEUROVASCULAR,14079.0,7039.5,2696.13,12671.1,65
HCPCS,C1889,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
HCPCS,C1889,DEVICE EMBOLIZATION L20 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4.75 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C1889,DEVICE EMBOLIZATION L35 MM 48 STRAND BRAID MESH RADIOPAQUE LOW PROFILE DISTAL TIP OD4.25 MM PIPELINE FLEX NEUROVASCULAR,164.0,82.0,31.41,147.6,65
HCPCS,C1889,DEVICE EMBOLIZATION L50 MM SHIELD TECHNOLOGY OD550 MM PIPELINE VANTAGE,16500.0,8250.0,3159.75,14850.0,65
HCPCS,C1889,DEVICE FUSION L11 MM CORE OD12 MM MONOLITH SPINE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,DEVICE FUSION L14 MM CORE OD12 MM MONOLITH SPINE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,DEVICE INTERBODY FUSION 10MM X 22MM X 11MM TI-6AL-4V ELI 8DEG LORDOTIC BIPLANAR EXPANDABLE EXCEED,4200.0,2100.0,804.3,3780.0,65
HCPCS,C1889,DEVICE INTERBODY FUSION 12-14MM X 26MM TITANIUM 6DEG SHIM FLAREHAWK7 NON-STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE INTERBODY FUSION 8-11MM X 25MM TITANIUM 0 DEG SHIM FLAREHAWK 9 VERSION C NON-STERILE,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE INTERBODY FUSION SHIM 12-14MM X 29MM 6DEG VERSION C FLAREHAWK9,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,DEVICE PENDITURE ATRICLIP FLEX V 44.6X7.4X11MM 40MM 19.9MM ATRAUMATIC CURVE CLIP ACTUATION LEVER CLOSURE STERILE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,DEVICE VBR 18WX15DX10HMM 12DEG CERVICAL 3D PRINTED SA TITANIUM,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,DISC ARTIFICIAL W17 MM X H6 MM D14 MM LARGE FOOTPRINT ENDPLATE LOW PROFILE SHEATH M6-C TITANIUM UHMWPE POLYMER SPINE CERVICAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC ARTIFICIAL W17 MM X H6 MM D16 MM LARGE LONG FOOTPRINT ENDPLATE LOW PROFILE SHEATH M6-C TITANIUM UHMWPE POLYMER SPINE CERVICAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 15X5MM MOBI-C 13MM SPINE CERVICAL COCRMO TITANIUM UHMWPE HA FLAT SPHERICAL PLATE MOBILE INSERT STERILE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 15X5MM MOBI-C 13MM SPINE CERVICAL COCRMO UHMWPE TITANIUM HA 1 LEVEL 2 LATERAL STOP FLAT SPHERICAL PLATE MOBILE INSERT STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 15X6MM MOBI-C 13MM SPINE CERVICAL TITANIUM COCRMO UHMWPE MOBILE INSERT TWO LATERAL STOP FLAT SPHERICAL PLATE STERILE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 15X6MM MOBI-C 15MM SPINE CERVICAL COCRMO UHMWPE HA TITANIUM FLAT SPHERICAL PLATE MOBILE INSERT 1 LEVEL TWO LATERAL STOP STERILE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 17X5MM MOBI-C 13MM CERVICAL SPINE COCRMO UHMWPE TITANIUM HA 1 LEVEL 2 LATERAL STOP FLAT SPHERICAL PLATE MOBILE INSERT STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 17X5MM MOBI-C 15MM SPINE CERVICAL COCRMO UHMWPE TITANIUM HA LEVEL 1 2 LATERAL STOP FLAT SPHERICAL PLATE MOBILE INSERT STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 17X5MM MOBI-C 17MM STANDARD SPINE CERVICAL TITANIUM HA STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 17X6MM MOBI-C 13MM SPINE CERVICAL COCRMO UHMWPE TITANIUM HA FLAT SPHERICAL PLATE MOBILE INSERT LEVEL TWO LATERAL STOP STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 17X6MM MOBI-C 15MM CERVICAL SPINE COCRMO UHMWPE TITANIUM HA 1 LEVEL 2 LATERAL STOP FLAT SPHERICAL PLATE MOBILE INSERT STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL 17X6MM MOBI-C 17MM STANDARD SPINE CERVICAL TITANIUM HA STERILE LATEX FREE,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H4 MM 2 SIMPLIFY SPINE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H4 MM SMALL ARTIFICIAL SIMPLIFY SPINE CERVICAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H5 MM 2 SIMPLIFY SPINE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H5 MM 3 SIMPLIFY SPINE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H5 MM SMALL ARTIFICIAL SIMPLIFY SPINE CERVICAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H6 MM D14 MM PRESTIGE LP TITANIUM SPINE CERVICAL,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL H7 MM D18 MM PRESTIGE LP TITANIUM SPINE CERVICAL,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,DISC INTERVERTEBRAL LARGE 5MM CERVICAL ARTIFICIAL SIMPLIFY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL LARGE 6MM CERVICAL ARTIFICIAL SIMPLIFY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL MEDIUM 4MM CERVICAL ARTIFICIAL SIMPLIFY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL MEDIUM 5MM CERVICAL ARTIFICIAL SIMPLIFY,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,DISC INTERVERTEBRAL W15 MM X H5 MM D14 MM MEDIUM DEEP TOTAL REPLACEMENT TRAPEZOIDAL FOOTPRINT STREAMLINE 1 STEP KEELLESS CENTER ROTATION,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,DISC INTERVERTEBRAL W17 MM X H5 MM D14 MM LARGE FLAT KEEL TRAPEZOIDAL PRODISC C SK COCRMO TITANIUM UHMWPE CERVICAL SPINE,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,DISC INTERVERTEBRAL W17 MM X H6 MM D14 MM LARGE SUPERIOR KEEL-LESS TRAPEZOIDAL PRODISC C VIVO COCRMO TITANIUM UHMWPE CERVICAL SPINE,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,DISC INTERVERTEBRAL W19 MM X H5 MM D16 MM XL TOTAL REPLACEMENT TRAPEZOIDAL FOOTPRINT LOW PROFILE KEEL CENTER ROTATION PRODISC C SK COCRMO TITANIUM UHMWPE SPINE CERVICAL,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,DISC INTERVERTEBRAL W19 MM X H6 MM D16 MM XL TOTAL REPLACEMENT TRAPEZOIDAL FOOTPRINT STREAMLINE 1 STEP KEELLESS CENTER ROTATION PRODISC C VIVO COCRMO TITANIUM UHMWPE SPINE CERVICAL,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,ELECTRODE EEG 27MML 2.4MM STYLET CONTACTX6 RECORDING DEPTH REMOVABLE SINGLE-USE,549.0,274.5,105.13,494.1,65
HCPCS,C1889,ELECTRODE EEG 37MML 2.4MM STYLET CONTACTX6 RECORDING DEPTH REMOVABLE SINGLE-USE,565.0,282.5,108.2,508.5,65
HCPCS,C1889,ELECTRODE EEG MACRO MINI DEPTHX8 CONTACTX16 MICROWIRE,1615.0,807.5,309.27,1453.5,65
HCPCS,C1889,ELECTRODE EEG SPENCER PROBE 0.86MM DIAMETER DEPTH 5MM SPACING 10 CONTACT POINT,725.0,362.5,138.84,652.5,65
HCPCS,C1889,ELECTRODE EEG SPENCER PROBE 0.86MM DIAMETER DEPTH 5MM SPACING 6 CONTACT POINT,555.0,277.5,106.28,499.5,65
HCPCS,C1889,END CAP SPINAL 14MM VUMESH 5D LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1889,END CAP SPINAL 14MM VUMESH 7.5D LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,200.0,100.0,43.62,180.0,64
HCPCS,C1889,END CAP X-CORE 2 H24-33 MM OD18 MM AUTOLOCK SPINAL TITANIUM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1889,ENDCAP SPINAL 12MM X 14MM X 3MM 0DEG ANGLED COLOSSEUM,300.0,150.0,57.45,270.0,65
HCPCS,C1889,ENDCAP SPINAL 14MM X 16MM X 3MM 3.5DEG ANGLED COLOSSEUM,300.0,150.0,57.45,270.0,65
HCPCS,C1889,ENDPLATE INFERIOR MEDIUM 8D,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,ENDPLATE INTERVERTEBRAL DISC 3D MEDIUM SPINE LUMBAR SUPERIOR,3825.0,1912.5,732.49,3442.5,65
HCPCS,C1889,ENDPLATE SPINAL 12MM VUMESH 2.5D LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1889,ENDPLATE SPINAL 14MM VUMESH 0D LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1889,ENDPLATE SPINAL 14MM VUMESH 2.5D LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,200.0,100.0,38.3,180.0,65
HCPCS,C1889,FILLER BONE VOID 10CC 20CC CALCIUM SULFATE STIMULAN RAPID CURE KIT PASTE BEAD,1250.0,625.0,239.38,1125.0,65
HCPCS,C1889,FILLER BONE VOID 20CC 50CC STIMULAN RAPID CURE PASTE BEAD POWDER SOLUTION,2150.0,1075.0,411.73,1935.0,65
HCPCS,C1889,FILLER BONE VOID 3CC 7CC CALCIUM SULFATE STIMULAN RAPID CURE PASTE BEAD,595.0,297.5,113.94,535.5,65
HCPCS,C1889,FILLER BONE VOID 5CC 12.5CC CALCIUM SULFATE STIMULAN RAPID CURE KIT PASTE BEAD,850.0,425.0,162.78,765.0,65
HCPCS,C1889,GRAFT AMNIOFIX PURION 12X2CM SOFT TISSUE AMNIOTIC MEMBRANE SHEET,1044.0,522.0,199.93,939.6,65
HCPCS,C1889,GRAFT BONE 1 ML ALLOGRAFT ARTHROCELL PLUS,300.0,150.0,57.45,270.0,65
HCPCS,C1889,GRAFT BONE 10 CC ALLOGRAFT ARTHROCELL PLUS,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,GRAFT BONE 5 CC ALLOGRAFT VIABLE ARTHROCELL PLUS,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,GRAFT BONE BONE FIBER 2.5 CC ALLOGRAFT FREEZE DRIED MOLDABLE PLIAFX PRIME,312.5,156.25,59.84,281.25,65
HCPCS,C1889,GRAFT BONE BONE FIBER 5 CC ALLOGRAFT FREEZE DRIED MOLDABLE PLIAFX PRIME,625.0,312.5,119.69,562.5,65
HCPCS,C1889,GRAFT BONE BONE FIBERS 1.0 CC DEMINERALIZED MOLDABLE PLIAFX,125.0,62.5,23.94,112.5,65
HCPCS,C1889,GRAFT BONE CORTICAL BONE FIBERS CANCELLOUS 1 CC DEMINERALIZED FIBER CHIP FREEZE-DRIED PLIAFX PAK CORTICAL CANCELLOUS ACDF ALIF SCOLIOSIS CORRECTION FUSION,125.0,62.5,23.94,112.5,65
HCPCS,C1889,GRAFT BONE CORTICAL BONE FIBERS CANCELLOUS 1 CC DEMINERALIZED INTERLOCKING FIBER CHIP PLIAFX PAK CORTICAL CANCELLOUS OWHTO DISTAL FEMUR FRACTURE,125.0,62.5,23.94,112.5,65
HCPCS,C1889,GRAFT BONE CORTICAL BONE FIBERS CANCELLOUS 2.5 CC DEMINERALIZED FIBER CHIP FREEZE-DRIED PLIAFX PAK CORTICAL CANCELLOUS ACDF ALIF SCOLIOSIS CORRECTION FUSION,312.5,156.25,59.84,281.25,65
HCPCS,C1889,GRAFT BONE CORTICAL BONE FIBERS CANCELLOUS 2.5 CC DEMINERALIZED INTERLOCKING FIBER CHIP PLIAFX PAK CORTICAL CANCELLOUS OWHTO DISTAL FEMUR FRACTURE,312.5,156.25,59.84,281.25,65
HCPCS,C1889,GRAFT BONE CORTICAL BONE FIBERS CANCELLOUS 5 CC DEMINERALIZED FIBER CHIP FREEZE-DRIED PLIAFX PAK CORTICAL CANCELLOUS ACDF ALIF SCOLIOSIS CORRECTION FUSION,625.0,312.5,119.69,562.5,65
HCPCS,C1889,GRAFT BONE CORTICAL BONE FIBERS CANCELLOUS 5 CC DEMINERALIZED INTERLOCKING FIBER CHIP PLIAFX PAK CORTICAL CANCELLOUS OWHTO DISTAL FEMUR FRACTURE,625.0,312.5,119.69,562.5,65
HCPCS,C1889,GRAFT BONE DEMINERALIZE CORTICAL CANCELLOUS 2.5 CC ALLOGRAFT VIABLE ARTHROCELL PLUS,750.0,375.0,143.63,675.0,65
HCPCS,C1889,GRAFT BONE L10 MM X W16 MM X H9 MM ALLOGRAFT COALITION AGX 7 D,540.0,270.0,103.41,486.0,65
HCPCS,C1889,GRAFT BUTTERFLY BIODESIGN OTOLOGIC G60285,349.0,174.5,66.83,314.1,65
HCPCS,C1889,GRAFT MENISCUS CARTILAGE BLOCK ASEPTIC FRESH FROZEN BONE LEFT MEDIAL,4750.0,2375.0,909.63,4275.0,65
HCPCS,C1889,GRAFT NERVE REPAIR CUFF 10MM X 10MM COLLAGEN MEMBRANE PERIPHERAL NERVALIGN,650.0,325.0,124.48,585.0,65
HCPCS,C1889,GRAFT NERVE REPAIR CUFF 20MM X 30MM COLLAGEN MEMBRANE PERIPHERAL NERVALIGN,1050.0,525.0,201.08,945.0,65
HCPCS,C1889,GRAFT NERVE REPAIR CUFF 30MM X 40MM COLLAGEN MEMBRANE PERIPHERAL NERVALIGN,1350.0,675.0,258.53,1215.0,65
HCPCS,C1889,GRAFT OSTEOAMP SELECT 10CC ALLOGRAFT FIBER BONE,2392.5,1196.25,458.16,2153.25,65
HCPCS,C1889,GRAFT OSTEOAMP SELECT 2.5CC ALLOGRAFT FIBER BONE,1015.0,507.5,194.37,913.5,65
HCPCS,C1889,GRAFT SYNTHETIC TISSUE L24.5 CM X W6 MM STANDARD HUNTER POLYESTER SILICONE BARIUM TENDON,1791.0,895.5,342.98,1611.9,65
HCPCS,C1889,HEAD FEMORAL 54MM 50.9MM HIP MODULAR REMEDY,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,HEAD HUMERAL 40MM 25MM MODULAR REMEDY PMMA GENTAMICIN SHOULDER STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,HOOK SPINAL EXTEND BODY CD HORIZON TITANIUM LARGE 5.5 MM ROD,300.0,150.0,57.45,270.0,65
HCPCS,C1889,HOOK SPINAL L4.5 MM X W5.5 MM OPEN REDUCE DISTANCE EXPEDIUM TITANIUM,300.0,150.0,57.45,270.0,65
HCPCS,C1889,IMPLANT ANKLE JOINT TIDAL 12MM X 18MM 6MM THK COTTON WEDGE ANATOMIC TITANIUM W/SMALL FOOTPRINT,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,IMPLANT IFUSE TORQ 87X140MM,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,IMPLANT NASAL 1 SYSTEM ABSORBABLE LATERA UPPER LOWER CARTILAGE,1545.0,772.5,295.87,1390.5,65
HCPCS,C1889,IMPLANT SPINAL 4 LARGE STANDARD PEEK RADIOLUCENT EXPAND CENTER BODY COMPRESS H22-27 MM XRL OD27 MM THORACOLUMBAR BLUE VERTEBRAL BODY REPLACEMENT,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,IMPLANT SPINAL 9 MEDIUM STANDARD PEEK RADIOLUCENT EXPAND CENTER BODY FULL COMPRESS H44-59 MM OD21 MM THORACOLUMBAR VERTEBRAL BODY REPLACEMENT,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,IMPLANT SPINAL CENTER PIECE 1 FIX 1 VARIABLE END CAP H19-27.5 MM SOLIDITY OD13 MM TURQUOISE VERTEBRAL BODY REPLACEMENT,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,IMPLANT SPINAL TWO FIXED ANGULATION PLATE CENTER PIECE H13-17.5 MM SOLIDITY 13MM OD13 MM LIGHT BLUE,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,IMPLANT STANDARD US MOBI-C M 13X15 H4.5,3450.0,1725.0,660.68,3105.0,65
HCPCS,C1889,IMPLANT UROLOGICAL UROLIFT ATC STERILE LATEX FREE DISPOSABLE,1250.0,625.0,239.38,1125.0,65
HCPCS,C1889,INLAY INTERVERTEBRAL DISC 10 MM MEDIUM RADIOPAQUE PRODISC-L TITANIUM POLYETHYLENE LUMBOSACRAL,850.0,425.0,162.78,765.0,65
HCPCS,C1889,INSERT TIBIAL KNEE REMEDY LARGE 80MMX48MM SPACER,500.0,250.0,95.75,450.0,65
HCPCS,C1889,INSERT TIBIAL KNEE REMEDY MEDIUM 42X70X10MM GENTAMICIN SPACER STERILE,500.0,250.0,95.75,450.0,65
HCPCS,C1889,KIT ARTHROSCOPIC FIXATION KNEE FIBERTAK,495.0,247.5,94.79,445.5,65
HCPCS,C1889,KIT BLOOD PUMP 31FR VENO VENOUS CANNULA PROTEKDUO TANDEMHEART DISPOSABLE STERILE LATEX FREE,21500.0,10750.0,4117.25,19350.0,65
HCPCS,C1889,KIT ELECTROTHERAPY REZUM BENIGN PROSTATIC HYPERPLASIA,7250.0,3625.0,1388.38,6525.0,65
HCPCS,C1889,KIT IMPLANT 12D 12MM LUNA XD DISPOSABLE STERILE LATEX FREE,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,KIT IMPLANT 12D 14MM LUNA XD STERILE LATEX FREE,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1889,KIT IMPLANT 13MM PARALLEL LUNA 3D DISPOSABLE STERILE LATEX FREE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,KIT MIXING LAVA LIQUID EMBOLIC SYSTEM 2ML,150.0,75.0,28.73,135.0,65
HCPCS,C1889,KIT MIXING LAVA LIQUID EMBOLIC SYSTEM 6ML,150.0,75.0,28.73,135.0,65
HCPCS,C1889,KIT THE LIMFLOW SYSTEM,25000.0,12500.0,4787.5,22500.0,65
HCPCS,C1889,MESH OVAL HERNIA REPAIR L22 MM X W17 MM X H90 MM TITANIUM MONOFILAMENT PLIABILIZE SURGICAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,MESH OVOID LUMBAR INTERBODY FUSION L17 MM X W13 MM X H10 MM TITANIUM PYRAMESH CAGE SURGICAL,2163.0,1081.5,414.21,1946.7,65
HCPCS,C1889,MESH OVOID LUMBAR INTERBODY FUSION L17 MM X W13 MM X H9 MM TITANIUM PYRAMESH CAGE SURGICAL,2163.0,1081.5,414.21,1946.7,65
HCPCS,C1889,MESH ROUND H70 MM TITANIUM PYRAMESH OD13 MM SURGICAL,1237.5,618.75,236.98,1113.75,65
HCPCS,C1889,MESH ROUND LUMBAR INTERBODY FUSION L13 MM X H13 MM TITANIUM PYRAMESH CAGE SURGICAL,1064.0,532.0,203.76,957.6,65
HCPCS,C1889,MESH ROUND LUMBAR INTERBODY FUSION L16 MM X H9 MM TITANIUM PYRAMESH CAGE SURGICAL,1064.0,532.0,203.76,957.6,65
HCPCS,C1889,MICROSPHERE EMBOLIZATION 100UM X 3ML SYRINGE ONCOZENE,2450.0,1225.0,469.18,2205.0,65
HCPCS,C1889,MOLD CEMENT LARGE SPACER SURESPACE TIBIAL,1479.5,739.75,283.32,1331.55,65
HCPCS,C1889,NAIL OD10.7 MM L365 MM FEMUR PRECICE INTRAMEDULLARY RETROGRADE STRAIGHT LIMB LENGTHEN SYSTEM,18133.0,9066.5,3472.47,16319.7,65
HCPCS,C1889,OBELISC END PIECE BLUE 32 MM ANGLE 0 DEG,250.0,125.0,47.88,225.0,65
HCPCS,C1889,OCCLUDER VASCULAR PRESTIGE PLUS 4MMX12CM COIL,980.0,490.0,187.67,882.0,65
HCPCS,C1889,PARTICLES EMBOLIZATION 100-300UM 2ML VIAL LC BEAD YELLOW,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,PARTICLES EMBOLIZATION 1000-1180 UM 5 VIAL CONTOUR PVA,850.0,425.0,162.78,765.0,65
HCPCS,C1889,PARTICLES EMBOLIZATION 150-250UM PVA FOAM 2ML MICROSPHERES INTERLOCKING SYRINGE DELIVERY SYSTEM CONTOUR LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,199.5,99.75,38.2,179.55,65
HCPCS,C1889,PARTICLES EMBOLIZATION 2.5 MM 1 ML SYRINGE EMBOCUBE GELATIN 100 MG GREEN ID.024 IN MICROCATHETER,344.5,172.25,65.97,310.05,65
HCPCS,C1889,PARTICLES EMBOLIZATION 355-500UM 2 VIAL CONTOUR POLYVINYL ALCOHOL,360.0,180.0,68.94,324.0,65
HCPCS,C1889,PARTICLES EMBOLIZATION 500-710UM PVA FOAM 3ML MICROSPHERES INTERLOCKING SYRINGE DELIVERY SYSTEM CONTOUR LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,360.0,180.0,68.94,324.0,65
HCPCS,C1889,PARTICLES EMBOLIZATION 710-1000UM PVA FOAM 3ML MICROSPHERES INTERLOCKING SYRINGE DELIVERY SYSTEM F/PERIPHERAL HYPERVASCULAR TUMOUR CONTOUR LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,360.0,180.0,68.94,324.0,65
HCPCS,C1889,PLATE D14 MM SMALL 1 VERSION 2 LEG RATCHET MECHANISM TITANIUM STERNAL TALON BONE CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
HCPCS,C1889,PLATE L52 MM 1.9H SPINE CERVICAL ANTERIOR 3 LEVEL ACP BONE,600.0,300.0,114.9,540.0,65
HCPCS,C1889,PLATE LOCK COVER TCS BONE,200.0,100.0,38.3,180.0,65
HCPCS,C1889,PLATE SPINAL L95 MM LEVEL 5 CODA ANTERIOR CERVICAL,800.0,400.0,153.2,720.0,65
HCPCS,C1889,PLATE SPINE KEEL ADJUSTABLE VUEPOINT II BONE,1470.0,735.0,281.51,1323.0,65
HCPCS,C1889,PLATE W16 MM X H7 MM SPINE REDUCE PROFILE COALITION AGX BONE,580.0,290.0,111.07,522.0,65
HCPCS,C1889,PLUG CARDIOVASCULAR OBSIDIO CONFORMABLE EMBOLIC STERILE LATEX FREE DISPOSABLE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,PROTECTOR GRAFT VERSAWRAP 1IN X 2IN XENOGRAFT BIORESORBABLE HYDROGEL IMPLANT TENDON EA,2178.0,1089.0,417.09,1960.2,65
HCPCS,C1889,PROTECTOR TENDON 2X2IN BIORESORBABLE HYDROGEL SHEET ULTRA THIN TRANSLUCENT FLEXIBLE VERSAWRAP HYALURONIC ACID ALGINATE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,PUTTY BONE GRAFT 5ML SETTABLE NON-ABSORBABLE HEMOSTATIC PERMATAGE,2099.0,1049.5,401.96,1889.1,65
HCPCS,C1889,RETRIEVER ENDOSCOPIC 2.5MM DIA SHEATH 230CML PLATINUM STERILE SINGLE-USE,475.0,237.5,90.96,427.5,65
HCPCS,C1889,RING ANNULOPLASTY MECHANICAL 30MM POLYESTER MITRAL TRICUSPID VALVE SEMI-RIGID SIMUFORM MRI-CONDITIONAL,2095.0,1047.5,401.19,1885.5,65
HCPCS,C1889,ROD SPINAL 4.75MM 40MM CURVE CD HORIZON SOLERA COCRMO PREBENT NONSTERILE,120.0,60.0,22.98,108.0,65
HCPCS,C1889,ROD SPINAL RELINE L120 MM OD5.5 MM TITANIUM STRAIGHT MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1889,ROD SPINAL RELINE L130 MM OD5.5 MM TITANIUM STRAIGHT MAS,150.0,75.0,28.73,135.0,65
HCPCS,C1889,ROD SPINAL UNID OD4.75 MM 1-3 LEVEL EXPAND COCR,1375.0,687.5,263.31,1237.5,65
HCPCS,C1889,ROD SPINAL UNID OD5.5 MM 1-3 LEVEL EXPAND COCR,1375.0,687.5,263.31,1237.5,65
HCPCS,C1889,ROD SPINAL UNID OD5.5 MM 4 UP LEVEL EXPAND COCR,1375.0,687.5,263.31,1237.5,65
HCPCS,C1889,SACROILIAC JOINT FUSION IMPLANT 11 X 40MM,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1889,SCREW FULLY THREADED MINILOCK POLYLOCK 2.5MM X 14 MM,480.0,240.0,91.92,432.0,65
HCPCS,C1889,SCREW L40 MM OD5 MM LOCK ANTERALIGN SPINAL SYSTEM BONE TITAN NANOLOCK,180.0,90.0,34.47,162.0,65
HCPCS,C1889,SCREW SPINAL 11.5MM 80MM TITANIUM FULLY THREADED SELF-TAPPING IFUSE-TORQ SACROILIAC,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SET BARS,2100.0,1050.0,402.15,1890.0,65
HCPCS,C1889,SET INSTRUMENT VERTIFLEX PLATFORM DILATOR CANNULA REAMER STERILE LATEX FREE DISPOSABLE,300.0,150.0,57.45,270.0,65
HCPCS,C1889,SIZER IMPLANT MEDIUM SURESPACE TIBIALSPACER MOLD,1479.5,739.75,283.32,1331.55,65
HCPCS,C1889,SLEEVE SCLERAL BUCKLING STYLE 72 1.5MM DIA SILICONE VITREO RETINAL ROUND ASYMMETRICAL LABTICIAN LATEX-FREE STERILE SINGLE-USE,174.0,87.0,33.32,156.6,65
HCPCS,C1889,SPACER ACDF L11 MM X W11 MM X H6 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L14 MM X W11 MM X H11 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L14 MM X W11 MM X H14 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L14 MM X W11 MM X H5 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L14 MM X W11 MM X H7 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L14 MM X W11 MM X H7 MM SMALL CONVEX ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L16 MM X W13 MM X H6 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF L16 MM X W13 MM X H7 MM 7 D SMALL ALEUTIAN PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ACDF W14 MM X H7 MM 7 D D12 MM LARGE COLONIAL PEEK TITANIUM SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER ALIF 232-06342410-S W34 MM X H6 MM 10 D D24 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF 232-06382820-S W38 MM X H6 MM 20 D D28 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF 232-08342420-S W34MM X H8 MM 80D D24MM IDENTI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF 232-09382815-S W38 MM X H9 MM 15 D D28 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF D25 MM IDENTITI STANDALONE CANNULATED GRAFT BOLT SPINAL OD8.5 MM,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER ALIF H14 MM 8 D LARGE PERIMETER PEEK-OPTIMA ADD ON SPINAL,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,SPACER ALIF L25 MM IDENTITI STANDALONE GRAFT BOLT SPINAL OD8.5 MM,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER ALIF L30 MM IDENTITI GRAFTBOLT CANNULATED STANDALONE SPINAL OD9 MM,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER ALIF L30 MM IDENTITI STANDALONE GRAFT BOLT SPINAL OD8.5 MM,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER ALIF L32 MM X W25 MM X H10.5-8.7 MM 6 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L32 MM X W28 MM X H13.5-11.7 MM 6 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN DEEP SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L32 MM X W28 MM X H13.5-6.4 MM 18 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN DEEP SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L36 MM X W28 MM X H10.5-6.4 MM 10 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L36 MM X W28 MM X H12-5.9 MM 14 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L36 MM X W28 MM X H12-7.9 MM 10 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L36 MM X W28 MM X H17-8.9 MM 18 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L36 MM X W31 MM X H13.5-7.5 MM 14 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN DEEP SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L36 MM X W31 MM X H15-7 MM 18 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN DEEP SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L40 MM X W31 MM X H13.5-8.9 MM 10 D LARGE BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L40 MM X W31 MM X H15-6 MM 18 D LARGE BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF L40 MM X W31 MM X H15-8.2 MM 14 D LARGE BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF W34 MM X H12 MM 15 D D24 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF W34 MM X H4 MM 20 D D24 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF W38 MM X H4 MM 20 D D28 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF W38 MM X H5 MM 15 D D28 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF W38 MM X H7 MM 15 D D28 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALIF W42 MM X H10 MM 15 D D30 MM IDENTITI STANDALONE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER ALLOGRAFT 14 MM X W13 MM X H7-5.5 MM 7 D MEDIUM 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER ALLOGRAFT 14 MM X W13 MM X H8-6.5 MM 7 D MEDIUM 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER ALLOGRAFT L12.5 MM X W11.5 MM X H6-5 MM 7 D SMALL 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER ALLOGRAFT L12.5 MM X W11.5 MM X H7-6 MM 7 D SMALL 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER ALLOGRAFT L12.5 MM X W11.5 MM X H8-7 MM 7 D SMALL 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER ALLOGRAFT L14 MM X W13 MM X H5-3.5 MM 7 D MEDIUM 2 ENDPLATE TEXTURE MULTIPLE FOOTPRINT SAGITTAL BALANCE VERTIGRAFT ACIS VG2 CANCELLOUS CORTICAL ANTERIOR CERVICAL DISCECTOMY FUSION,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER ANTERIOR CERVICAL INTERBODY FUSION H7 MM LARGE LORDOTIC PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER BONE GRAFT ALLOGRAFT ACIS MEDIUM 6MM CERVICAL 7DEG LORDOTIC PRESERVON VERTIGRAFT/VG2 AMBIENT STORAGE,900.0,450.0,172.35,810.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W11 MM X H6 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA STRUT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W11 MM X H8 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W11 MM X H8 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W11 MM X H9 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H10 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H10 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H11 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H11 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H12 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H4 MM 4 D D12 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H4 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H44 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA STRUT SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H7 MM 4 D D12 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H7 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H8 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H8 MM D14 MM CORNERSTONE PSR PEEK-OPTIMA SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W14 MM X H9 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W16 MM X H13 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W16 MM X H4 MM 4 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W16 MM X H6 MM 4 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W16 MM X H7 MM 4 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CERVICAL INTERBODY FUSION W16 MM X H9 MM 4 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CONTOUR MD 6X14X17MMCOROENT,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER CORPECTOMY SYSTEM W14 MM X H17 MM 7 D D12 MM SMALL NIKO PEEK SPINAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,SPACER CORPECTOMY SYSTEM W14 MM X H19 MM 7 D D12 MM SMALL NIKO PEEK SPINAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,SPACER CORPECTOMY SYSTEM W14 MM X H25 MM 5 D D12 MM SMALL NIKO PEEK SPINAL,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,SPACER EXPAND 15D 10X28X10-16PROLIFT,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H11 MM LONG CATALYFT PL SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H11 MM SHORT CATALYFT PL SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H11 MM SHORT CATALYFT PL40 SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H6 MM MEDIUM LORDOTIC ACIS PROTI 360 SPINAL,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER H7 MM LARGE LORDOTIC ACIS SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER H7 MM LONG CATALYFT PL SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H7 MM LONG CATALYFT PL40 SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H7 MM MEDIUM LORDOTIC ACIS PROTI 360 SPINAL,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER H7 MM SHORT CATALYFT PL SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H7 MM SHORT CATALYFT PL40 SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H8 MM MEDIUM LORDOTIC ACIS PEEK TITANIUM SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER H9 MM LONG CATALYFT PL SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H9 MM LONG CATALYFT PL40 SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H9 MM MEDIUM LORDOTIC ACIS PROTI 360 DEGREE SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER H9 MM SHORT CATALYFT PL SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER H9 MM SHORT CATALYFT PL40 SPINAL,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER HUMERAL +6 MM OD39 MM UNIVERS REVERS TITANIUM SHOULDER,490.0,245.0,93.84,441.0,65
HCPCS,C1889,SPACER HUMERAL HIGH RELEASE OD46 MM INTERSPACE STAINLESS STEEL GENTAMICIN PMMA SHOULDER,5650.0,2825.0,1081.98,5085.0,65
HCPCS,C1889,SPACER IDTI II PC S 8X10X30MM 10,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 14MM X 12MM X 7MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 14MM X 12MM X 8MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 16MM X 14MM X 7MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 16MM X 14MM X 8MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 16MM X 14MM X 9MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 18MM X 14MM X 10MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 18MM X 14MM X 7MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 18MM X 14MM X 8MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 18MM X 14MM X 9MM TITANIUM CERVICAL 8DEG LORDOTIC LATITUDE-C,950.0,475.0,181.93,855.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 18MM X 55MM X 8-13MM TITANIUM LATERAL 7DEG EXPANDABLE PROLIFT,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER INTERBODY FUSION 22MM X 45MM X 8-13MM TITANIUM LATERAL 7DEG EXPANDABLE PROLIFT,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER INTERBODY FUSION L27 MM X H10 MM 6 D CAPSTONE CONTROL PEEK SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER INTERBODY FUSION L27 MM X H12 MM 12 D CAPSTONE CONTROL PEEK SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER INTERVERTEBRAL BODY FUSION L50 MM X W22 MM X H12 MM 8 D AVS ARIA PEEK-OPTIMA SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,SPACER IO EXPANDABLE LUMBAR10X22MM LORDOTIC,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER L14 MM X W13 MM X H8 MM STANDARD LORDOTIC ACIS PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SPACER L22 MM X W10 MM X H6 MM 8 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L22 MM X W10 MM X H7 MM 15 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L22 MM X W10 MM X H9 MM 8 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L22 MM X W30 MM X H14 MM 12 D RECTANGULAR AVS ANCHOR-L PEEK RADIOPAQUE HOLLOW SPINAL LUMBAR,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SPACER L23 MM X H11 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER L25 MM X W12 MM X H13 MM 10 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L26 MM X W10 MM X H10 MM 15 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L26 MM X W10 MM X H6 MM 8 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L26 MM X W10 MM X H7 MM 15 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L26 MM X W10 MM X H9 MM 8 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L28 MM X H11 MM STANDARD ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER L28 MM X W10 MM X H10-9.2 MM 5 D BULLET NOSE T-PAL PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L28 MM X W7 MM ADAPTIX SPINAL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,SPACER L28 MM X W8 MM X H10-16 MM 7 DEG PROLIFT TITANIUM EXPANDABLE SPINAL POSTERIOR LUMBAR,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER L28 MM X W9 MM ADAPTIX SPINAL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,SPACER L30 MM X W10 MM X H10 MM 22 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L30 MM X W10 MM X H6 MM 8 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L30 MM X W10 MM X H7 MM 10 D IDENTITI TITANIUM POROUS SPINAL POSTERIOR,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L30 MM X W10 MM X H7 MM 5 D IDENTITI TITANIUM POROUS SPINAL POSTERIOR,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L30 MM X W10 MM X H9 MM 8 D SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L30 MM X W12 MM 15DEG 10-17 MM SABLE SPINAL,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER L30 MM X W12 MM X H10 MM 10 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L30 MM X W12 MM X H12 MM 10 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L30 MM X W12 MM X H8 MM 10 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L30 MM X W12 MM X H8 MM 5 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L30 MM X W12 MM X H9 MM 10 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L32 MM X W12 MM X H9-8 MM 5 D BULLET NOSE T-PAL PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L35 MM X W10 MM X H8 MM 15 D IDENTITI TITANIUM POROUS SPINAL POSTERIOR,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L35 MM X W12 MM X H13 MM 20 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER L36 MM X W28 MM X H12-10.1 MM 6 D MEDIUM SYNCAGE EVOLUTION PEEK SPINAL,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,SPACER L36 MM X W28 MM X H12-8.5 MM 10 D MEDIUM SYNCAGE EVOLUTION PEEK SPINAL,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,SPACER L40 MM X W31 MM X H13.5-7.3 MM 14 D LARGE SYNCAGE EVOLUTION PEEK SPINAL,1950.0,975.0,373.43,1755.0,65
HCPCS,C1889,SPACER L50 MM X W22 MM X H14 MM 15 D ALEUTIAN PEEK SPINAL,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L22 MM X H10 MM CAPSTONE PEEK PTC SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L22 MM X H12 MM CAPSTONE PEEK PTC SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L22 MM X H16 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L22 MM X H7 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L22 MM X H8 MM CAPSTONE PEEK PTC SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L26 MM X H11 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L26 MM X H13 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L26 MM X H8 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L26 MM X H8 MM VERTE-STACK CAPSTONE PEEK-OPTIMA END PIECE SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L26 MM X H9 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L26 MM X W10 MM X H9 MM OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L32 MM X H13 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L32 MM X H14 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L32 MM X W23 MM X H12 MM 12 D SMALL CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L32 MM X W23 MM X H14 MM 8 D SMALL CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L37 MM X W27 MM X H14 MM 8 D MEDIUM CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER LUMBAR INTERBODY FUSION L42 MM X W30 MM X H14 MM 12 D LARGE CRESCENT SOVEREIGN PEEK COVER PLATE SPINAL,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER MD CATALYFT 10MM ANT EXPANDABLE SPINAL,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1889,SPACER PLIF L20 MM X W9 MM X H14 MM 0 D RECTANGULAR AVS PL PEEK HOLLOW SPINAL,1440.0,720.0,275.76,1296.0,65
HCPCS,C1889,SPACER PLIF L25 MM X W11 MM X H12 MM 0 D RECTANGULAR AVS PL PEEK HOLLOW SPINAL,1440.0,720.0,275.76,1296.0,65
HCPCS,C1889,SPACER PLIF L25 MM X W8 MM X H9 MM 8 D WEDGE AVS PL PEEK HOLLOW SPINAL,1440.0,720.0,275.76,1296.0,65
HCPCS,C1889,SPACER PLIF TLIF L20 MM X W9 MM X H9 MM 0 D WEDGE NOSE AVS UNILIF PEEK HOLLOW SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER PLIF TLIF L25 MM X W8 MM X H16 MM 0 D WEDGE NOSE AVS UNILIF PEEK HOLLOW SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER PLIF TLIF L30 MM X W11 MM X H8 MM 0 D WEDGE NOSE AVS UNILIF PEEK HOLLOW SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER POSTERIOR OBLIQUE L30 MM X W10 MM X H8 MM 15 D IDENTITI TITANIUM POROUS SPINAL,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER SABLE 8 DEGREE 12X26X9-16MM,7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPACER SPINAL 10MM X 22MM X 9-15MM TITANIUM POSTERIOR LUMBAR 22DEG SABLE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER SPINAL 10MM X 26MM X 9-17MM TITANIUM POSTERIOR LUMBAR 22DEG SABLE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER SPINAL 10MM X 30MM X 10-17MM TITANIUM POSTERIOR LUMBAR 15DEG SABLE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER SPINAL 10MM X 30MM X 7-14MM TITANIUM POSTERIOR LUMBAR 15DEG SABLE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER SPINAL 10MMW X 28MML X 12MMH PEEK 0.77ML GRAFT TRANSFORAMINAL POSTERIOR LUMBAR SELF-DISTRACTING PYRAMIDAL TOOTHED T-PAL NON-RADIOLUCENT MARKERX2 NON-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SPACER SPINAL 10MMW X 28MML X 7MMH PEEK 0.39ML GRAFT TRANSFORAMINAL POSTERIOR LUMBAR SELF-DISTRACTING PYRAMIDAL TOOTHED T-PAL NON-RADIOLUCENT MARKERX2 NON-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SPACER SPINAL 10MMW X 28MML X 8MMH PEEK 0.5ML GRAFT TRANSFORAMINAL POSTERIOR LUMBAR SELF-DISTRACTING PYRAMIDAL TOOTHED T-PAL NON-RADIOLUCENT MARKERX2 NON-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SPACER SPINAL 12MM 14X20MM MAXFUSE VERTEBRAL BODY REPLACEMENT,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1889,SPACER SPINAL 12MM X 14MM X 20MM VERTEBRAL 6DEG LORDOTIC HAWKEYE STERILE,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER SPINAL 12MM X 26MM X 6-12MM TITANIUM POSTERIOR LUMBAR 8DEG SABLE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER SPINAL 12MM X 30MM X 10MM TITANIUM 5DEG ARTIC-L,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER SPINAL 12MM X 35MM X 10MM TITANIUM 10DEG ARTIC-L,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER SPINAL 12MM X 35MM X 10MM TITANIUM 5DEG ARTIC-L,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER SPINAL 12MM X 35MM X 12MM TITANIUM 10DEG ARTIC-L,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 25MM X 12MM FORTIFY I-R 3.5/3.5DEG SPIKELESS,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 25MM X 12MM FORTIFY I-R 3.5/3.5DEG SPIKELESS TITANIUM F/CORPECTOMY STATIC,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 5MM X 12MM TITANIUM 7DEG HEDRON C,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 5MM X 8MM TITANIUM 7DEG HEDRON IC,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 6MM X 12MM TITANIUM 0DEG HEDRON C,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 6MM X 12MM TITANIUM 7DEG HEDRON C,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 7MM X 12MM 7DEG LORDOTIC COALITION,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 7MM X 8MM TITANIUM 7DEG HEDRON IC,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 14MM X 8MM X 12MM TITANIUM 7DEG HEDRON C,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 14MM X 12MM TITANIUM MESH COLOSSEUM,5500.0,2750.0,1053.25,4950.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 14MM X 7MM PEEK CERVICAL 6DEG ACCENT NON-STERILE,680.0,340.0,130.22,612.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 6MM X 10MM TITANIUM 7DEG HEDRON IC,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 6MM X 14MM PEEK TITANIUM ANTERIOR CERVICAL 7DEG LORDOTIC COALITION MIS,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 7MM X 10MM TITANIUM 7DEG HEDRON IC,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 8MM X 10MM TITANIUM 7DEG HEDRON IC,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER SPINAL 16MM X 9MM X 14MM TITANIUM 7DEG HEDRON C,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER SPINAL 20MM X 60MM X 7-14MM ELSA,7860.0,3930.0,1505.19,7074.0,65
HCPCS,C1889,SPACER SPINAL 29MM X 39MM X 13MM TITANIUM 20DEG CONVEX HEDRON IA STERILE,6000.0,3000.0,1149.0,5400.0,65
HCPCS,C1889,SPACER SPINAL 39MM X 15MM X 29MM TITANIUM 8DEG HEDRON IA STERILE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER SPINAL 8MM X 28MM X 8-13MM TITANIUM LUMBAR 15DEG EXPANDABLE PROLIFT,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER SPINAL 9MM X 22MM X 7MM PEEK CERVICAL 8DEG LORDOTIC CONVEX EXPANDABLE TANTALUM MARKER STAXX XD STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER SPINAL 9MM X 22MM X 7MM PEEK CERVICAL CONVEX EXPANDABLE TANTALUM MARKER STAXX XD STERILE 8-WAFERS,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER SPINAL 9MM X 25MM X 7MM PEEK CERVICAL 8DEG LORDOTIC EXPANDABLE TANTALUM MARKER STAXX XD STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER SPINAL 9MM X 25MM X 7MM PEEK CERVICAL CONVEX EXPANDABLE TANTALUM MARKER STAXX XD STERILE,3800.0,1900.0,727.7,3420.0,65
HCPCS,C1889,SPACER SPINAL HYBRID PROFILE 12MM X 14MM X 8MM PEEK CERVICAL 4DEG HEXAGONAL TOMCAT,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,SPACER SPINAL HYBRID PROFILE 12MM X 14MM X 9MM PEEK CERVICAL 4DEG HEXAGONAL TOMCAT,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,SPACER SPINAL HYBRID PROFILE 14MM X 16MM X 8MM PEEK CERVICAL 4DEG HEXAGONAL TOMCAT,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,SPACER SPINAL HYBRID PROFILE 14MM X 16MM X 9MM PEEK CERVICAL 4DEG HEXAGONAL TOMCAT,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,SPACER SPINAL LARGE 6MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL LARGE 7MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL LARGE 7MM TITANIUM ANTERIOR CERVICAL 12DEG HYPERLORDOTIC ACIS PROTI 360,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,SPACER SPINAL LARGE 8MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL LARGE 9MM TITANIUM ANTERIOR CERVICAL 12DEG HYPERLORDOTIC ACIS PROTI 360,2350.0,1175.0,450.03,2115.0,65
HCPCS,C1889,SPACER SPINAL LARGE DIAMETER 12X1MM VUMESH SQUARE FOOTPRINT PEEK-OPTIMA NONSTERILE THORACOLUMBAR INTERBODY FUSION,100.0,50.0,19.15,90.0,65
HCPCS,C1889,SPACER SPINAL LARGE DIAMETER 12X2MM VUMESH SQUARE FOOTPRINT PEEK-OPTIMA NONSTERILE THORACOLUMBAR INTERBODY FUSION,100.0,50.0,19.15,90.0,65
HCPCS,C1889,SPACER SPINAL LARGE DIAMETER 14X1MM VUMESH SQUARE FOOTPRINT PEEK-OPTIMA NONSTERILE THORACOLUMBAR INTERBODY FUSION,100.0,50.0,21.81,90.0,64
HCPCS,C1889,SPACER SPINAL LARGE DIAMETER 14X2MM VUMESH SQUARE FOOTPRINT PEEK-OPTIMA NONSTERILE THORACOLUMBAR INTERBODY FUSION,100.0,50.0,19.15,90.0,65
HCPCS,C1889,SPACER SPINAL LONG 11MM CATALYFT PL40,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1889,SPACER SPINAL MEDIUM 12MM PEEK ANTERIOR LUMBAR 14DEG LORDOTIC SYNCAGE EVOLUTION STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SPACER SPINAL MEDIUM 14MM X 16MM X 6MM CERVICAL 6DEG LORDOTIC ACCENT,680.0,340.0,130.22,612.0,65
HCPCS,C1889,SPACER SPINAL MEDIUM 15MM PEEK ANTERIOR LUMBAR 10DEG LORDOTIC SYNCAGE EVOLUTION STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SPACER SPINAL MEDIUM 5MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL REVEL-S 12X14MM 7 DEGREE 5-8MM,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1889,SPACER SPINAL REVEL-S 14X16MM 7 DEGREE 6-9MM,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1889,SPACER SPINAL SMALL 5MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL SMALL 6MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL SMALL 7MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL SMALL 8MM PEEK TITANIUM ANTERIOR CERVICAL 360DEG LORDOTIC ACIS PROTI NON-STERILE,810.0,405.0,155.12,729.0,65
HCPCS,C1889,SPACER SPINAL XL XWIDE 10MM X 26MM X 50MM PEEK COROENT,2820.0,1410.0,540.03,2538.0,65
HCPCS,C1889,SPACER SPINAL ZERO-PROFILE 12MM X 14MM X 6MM PEEK CERVICAL 4DEG HEXAGONAL TOMCAT,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,SPACER SPNL 12X14MM 7D 7-10MM,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1889,SPACER TIBIAL 42X70X25MM 14MM REMEDY MEDIUM KNEE GENTAMICIN PMMA 8.2MM STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,SPACER TIBIAL 48X80X25MM 14MM REMEDY LARGE KNEE GENTAMICIN PMMA 8.8MM STERILE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1889,SPACER TITAN NANOLOCK SURFACE TECHNOLOGY L28 MM X W10 MM ADAPTIX SPINAL,1800.0,900.0,344.7,1620.0,65
HCPCS,C1889,SPACER TLIF II L32 MM X W12 MM X H11 MM 7 D ALEUTIAN PEEK SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER TLIF L26 MM X H12 MM 4 D AVS NAVIGATOR PEEK RADIOPAQUE HOLLOW SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER TLIF L28 MM X W10 MM X H8 MM BULLET NOSE OPAL PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER TLIF L32 MM X W10 MM X H12 MM BULLET NOSE OPAL PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SPACER VERTEBRAL BODY REPLACEMENT L25 MM X W10 MM X H10 MM 6 D STRAIGHT BULLET NOSE VERTE-STACK CRESCENT PEEK RADIOPAQUE TEETH SPINAL THORACOLUMBAR,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER VERTEBRAL BODY REPLACEMENT L30 MM X H9 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
HCPCS,C1889,SPACER W14 MM X H7 MM 12 D D12 MM COALITION MIS SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W14 MM X H7 MM 7 D D12 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W14 MM X H7 MM 7 D D12 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER W14 MM X H8 MM 0 D D12 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W14 MM X H8 MM 12 D D12 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER W16 MM X H5 MM 7 D D14 MM IDENTITI STAND ALONE SPINAL CERVICAL,1620.0,810.0,310.23,1458.0,65
HCPCS,C1889,SPACER W16 MM X H6 MM 7 D D14 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER W16 MM X H7 MM 4DEG LORDOTIC D14MM TOMCAT PEEK HA STANDALONE HYBRID PROFILE HEXAGONAL INTERBODY SPINAL ANTERIOR CERVICAL,2400.0,1200.0,459.6,2160.0,65
HCPCS,C1889,SPACER W16 MM X H7 MM 7 D D14 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W16 MM X H7 MM 7 D D14 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER W16 MM X H8 MM 12 D D14 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER W16 MM X H8 MM 7 D D14 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W16 MM X H8 MM 7 D D14 MM HEDRON C SPINAL,750.0,375.0,143.63,675.0,65
HCPCS,C1889,SPACER W16 MM X H9 MM 7 D D14 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W18 MM X H7 MM 7 D D15 MM COALITION MIS TITANIUM SPINAL,1080.0,540.0,206.82,972.0,65
HCPCS,C1889,SPACER W30 MM X H11 MM 15 D D24 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W30 MM X H11 MM 8 D D24 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W30 MM X H13 MM 15 D D24 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W30 MM X H13 MM 8 D D24 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W30 MM X H15 MM 15 D D24 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W34 MM X H11 MM 15 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W34 MM X H13 MM 15 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W34 MM X H13 MM 20 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W34 MM X H15 MM 15 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W34 MM X H15 MM 20 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W34 MM X H17 MM 15 D D26 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W39 MM X H11 MM 8 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W39 MM X H13 MM 8 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W39 MM X H15 MM 20 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W39 MM X H17 MM 20 D D29 MM HEDRON IA SPINAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SPACER W55 MM X H6 MM 15DEG D22 MM NANOTEC LTX SPINAL,1875.0,937.5,359.06,1687.5,65
HCPCS,C1889,SPACER W55 MM X H8 MM 15DEG D22 MM NANOTEC LTX SPINAL,654.71,327.36,125.38,589.24,65
HCPCS,C1889,SPACER l22 MM X W 10 MM X H 15 MM15 D SUSTAIN-IR SPINAL,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,"SPACER, 26MM X W12 MM H7-14MM SABLE SPINAL",7500.0,3750.0,1436.25,6750.0,65
HCPCS,C1889,SPHERE EMBOLIZATION 100 UM SYRINGE EMBOZENE 2 ML ORANGE,215.0,107.5,41.17,193.5,65
HCPCS,C1889,SPHERE EMBOLIZATION 1100 UM MICRO HYDROPEARL 2 ML PURPLE HYPERVASCULAR TUMOR SYMPTOMIC UTERINE FIBROID ARTERIOVENOUS MALFORMATION,248.0,124.0,47.49,223.2,65
HCPCS,C1889,SPHERE EMBOLIZATION 200 UM MICRO PREFILL SALINE SYRINGE HYDROPEARL PEG 2 ML 20 CC YELLOW,248.0,124.0,47.49,223.2,65
HCPCS,C1889,SPHERE EMBOLIZATION 250 UM SYRINGE EMBOZENE 2 ML YELLOW,215.0,107.5,41.17,193.5,65
HCPCS,C1889,SPHERE EMBOLIZATION 2ML SYRINGE NON-RADIOACTIVE,2200.0,1100.0,421.3,1980.0,65
HCPCS,C1889,SPHERE EMBOLIZATION 400 UM MICRO PREFILL SALINE SYRINGE HYDROPEARL PEG 2 ML 20 CC BLUE,248.0,124.0,47.49,223.2,65
HCPCS,C1889,SPHERE EMBOLIZATION 600 UM MICRO PREFILL SALINE SYRINGE HYDROPEARL PEG 2 ML 20 CC RED,248.0,124.0,47.49,223.2,65
HCPCS,C1889,SPHERE EMBOLIZATION 75 UM MICRO PREFILL SALINE SYRINGE HYDROPEARL PEG 2 ML 20 CC ORANGE,248.0,124.0,47.49,223.2,65
HCPCS,C1889,SPHERE EMBOLIZATION 800 UM MICRO PREFILL SALINE SYRINGE HYDROPEARL PEG 2 ML 20 CC GREEN,248.0,124.0,47.49,223.2,65
HCPCS,C1889,SPHERE EMBOLIZATION ONCOZENE 15-75UM MICRO 2ML PREFILLED SYR,1650.0,825.0,315.98,1485.0,65
HCPCS,C1889,SPHERE EMBOLIZATION PERFLUORINATED POLYMER HYDROGEL COATED 100MICROM 2ML SMALL SPHERICAL BIOCOMPATIBLE,1650.0,825.0,315.98,1485.0,65
HCPCS,C1889,SPHERE RADIOLOGY SPHERE PASSIVE 4 SHPERES IN TRAY,40.0,20.0,7.66,36.0,65
HCPCS,C1889,STAPLE L8 MM X W8 MM EXPRESS STAPLE SYSTEM NITINOL BONE LOW PROFILE COMPRESSION,1115.0,557.5,213.52,1003.5,65
HCPCS,C1889,STAPLE L9 MM X W10 MM EXPRESS STAPLE SYSTEM NITINOL BONE LOW PROFILE COMPRESSION,1115.0,557.5,213.52,1003.5,65
HCPCS,C1889,STEM HUMERAL 116MM 10.5MM 19MM MEDIUM SHOULDER REMEDY STAINLESS STEEL PMMA GENTAMICIN 12.6X10.5MM MODULAR STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,STEM HUMERAL SMALL SHORT SHOULDER,1238.0,619.0,237.08,1114.2,65
HCPCS,C1889,STENT PULSERIDER 4MM 8MM ARCH T INTRACRANIAL,12500.0,6250.0,2393.75,11250.0,65
HCPCS,C1889,STRUT SPINAL W14 MM X H5 MM D11 MM VERTE-STACK PEEK CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,STRUT SPINAL W16 MM X H5 MM D14 MM VERTE-STACK PEEK CERVICAL,600.0,300.0,114.9,540.0,65
HCPCS,C1889,SUTURE NONABSORBABLE 3-0 36INL 22MML 1/2 CIRCLE CV-4 TH-22 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 3200A MONOFILAMENT PTFE,408.0,204.0,78.13,367.2,65
HCPCS,C1889,SYNCAGE EVOLUTION SPACER-MED 10.5MM HEIGHT/10DEG-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SYNCAGE EVOLUTION SPACER-MED 10.5MM HEIGHT/6DEG-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SYNCAGE EVOLUTION SPACER-MED 13.5MM HEIGHT/10DEG-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SYNCAGE EVOLUTION SPACER-SMALL 10.5MM HEIGHT/10DEG-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SYNCAGE EVOLUTION SPACER-SMALL 10.5MM HEIGHT/6DEG-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SYNCAGE EVOLUTION SPACER-SMALL 12MM HEIGHT/10DEG-STERILE,2500.0,1250.0,478.75,2250.0,65
HCPCS,C1889,SYNFIX EVOLUTION SPACER LARGE/15MM HEIGHT/10-STER,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SYNFIX EVOLUTION SPACER MED/12MM HEIGHT/6-STERILE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SYNFIX EVOLUTION SPACER MED/13.5MM HEIGHT/6-STERILE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SYNFIX EVOLUTION SPACER MED/15MM HEIGHT/10-STERILE,4500.0,2250.0,861.75,4050.0,65
HCPCS,C1889,SYRINGE INDIVIDUAL BARRIGEL TRIAL - ST LUKES & BAYCARE ONLY,1260.0,630.0,241.29,1134.0,65
HCPCS,C1889,SYS CALLISTO 3DR PLIF 10X26MM11MMX5D,1200.0,600.0,229.8,1080.0,65
HCPCS,C1889,SYSTEM CAGE SPINAL 16MM X 13MM X 20-24MM CERVICAL 0-20DEG W/SET SCREW F/CORPECTOMY CAPRI,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1889,SYSTEM CAGE SPINAL 16MM X 13MM X 22-28MM CERVICAL 0-20DEG W/SET SCREW F/CORPECTOMY CAPRI,5250.0,2625.0,1005.38,4725.0,65
HCPCS,C1889,SYSTEM DETACHMENT INZONE STERILE LATEX FREE DISPOSABLE,228.0,114.0,43.66,205.2,65
HCPCS,C1889,SYSTEM EMBOLIC LAVA LIQUID LAVA 18 2ML VIAL,1850.0,925.0,354.28,1665.0,65
HCPCS,C1889,SYSTEM EMBOLIC LAVA LIQUID LAVA 18 6ML VIAL,5100.0,2550.0,976.65,4590.0,65
HCPCS,C1889,SYSTEM EMBOLIC LAVA LIQUID LAVA 34 2ML VIAL,1850.0,925.0,354.28,1665.0,65
HCPCS,C1889,SYSTEM EMBOLIC LAVA LIQUID LAVA 34 6ML VIAL,5100.0,2550.0,976.65,4590.0,65
HCPCS,C1889,SYSTEM EMBOLIZATION 18 DETACHABLE AZUR HYDROCOIL PERIPHERAL L10 CM OD5 MM ODSEC.018 IN PLATINUM HYDROGEL POLYMER,850.0,425.0,162.78,765.0,65
HCPCS,C1889,SYSTEM EMBOLIZATION DETACHABLE AZUR HYDROCOIL .018 IN PERIPHERAL L10 CM OD3 MM PLATINUM HYDROGEL POLYMER,850.0,425.0,162.78,765.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE 10.5MM 100MM STERILE LATEX FREE GRANITE SYSTEM,3380.0,1690.0,647.27,3042.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE IMPLANT SYSTEM 7MM 65MM TRIANGLE TITANIUM POROUS SACROILIAC,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 35MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 40MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 45MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 55MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 65MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 70MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 75MM LAG STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 75MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 80MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 85MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM 90MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 10MM LAG 50MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 11.5MM 40MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 11.5MM 45MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 13.5MM 35MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION IFUSE TORQ 13.5MM 45MM STERILE LATEX FREE,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION L60 MM OD10 MM IFUSE TORQ,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM SPINAL FIXATION L90 MM OD11.5 MM IFUSE TORQ,2850.0,1425.0,545.78,2565.0,65
HCPCS,C1889,SYSTEM VALVE SHUNT UNITIZED TITANIUM STAINLESS STEEL SPRING CYLINDRICAL PROGRAMMABLE RICKHAM RESERVOIR W/14/120CM VENT/NON-UNITIZED DISTAL CATH HAKIM,6434.2,3217.1,1232.15,5790.78,65
HCPCS,C1889,TRAY IMPLANT SPINAL 10MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1889,TRAY IMPLANT SPINAL 12MMW DUAL LAMINA F/MIS INTERLAMINAR FIXATION SYSTEM STABILINK,2800.0,1400.0,536.2,2520.0,65
HCPCS,C1889,TRIAL SPINAL H5 MM 0 D MEDIUM RADIOLUCENT EXPAND ENDPLATE OD24 MM ODSEC21 MM PEEK THORACOLUMBAR GREEN VERTEBRAL BODY REPLACEMENT,500.0,250.0,95.75,450.0,65
HCPCS,C1889,TRITANIUM TL 31 X 10 X 10 X 12?,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,TRITANIUM TL 35 X 10 X 10 X 12?,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,TRITANIUM TL 35 X 10 X 11 X 12?,2250.0,1125.0,430.88,2025.0,65
HCPCS,C1889,TUBE VENTILATION 1.02MM 2.7MM 1.1MM REUTER BOBBIN FLUOROPLASTIC EAR,161.0,80.5,30.83,144.9,65
HCPCS,C1889,TUBE VENTILATION 1.02MM PAPARELLA MICROGEL,111.44,55.72,21.34,100.3,65
HCPCS,C1889,VALVE MITRAL 25MM OPEN PIVOT MECHANICAL STANDARD SERIES,3965.0,1982.5,759.3,3568.5,65
HCPCS,C1889,VALVE ZEPHYR AIRWAY 5.5-8.5MM ENDOBRONCHIAL 1 WAY,2480.0,1240.0,474.92,2232.0,65
HCPCS,C1889,VALVE ZEPHYR ENDOBRONCHIAL OD 5.5- 8.5MM LOW PROFILE,2480.0,1240.0,474.92,2232.0,65
HCPCS,C1892,CATHETER 9FR 115D 47CM CPS DIRECT PL RADIOPAQUE OUTER PEELABLE ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR 135D 47CM CPS DIRECT PL RADIOPAQUE OUTER ATRAUMATIC TIP PEELABLE GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR 145D 47CM CPS DIRECT PL RADIOPAQUE OUTER ATRAUMATIC TIP PEELABLE GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR MP CURVE 47CM CPS DIRECT PL RADIOPAQUE OUTER ATRAUMATIC TIP PEELABLE GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR MP CURVE 54CM CPS DIRECT PL RADIOPAQUE OUTER PEELABLE ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR RIGHT SIDE CURVE 47CM CPS DIRECT PL RADIOPAQUE OUTER PEELABLE ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR STRAIGHT 47CM CPS DIRECT PL RADIOPAQUE OUTER ATRAUMATIC TIP PEELABLE GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR STRAIGHT 54CM CPS DIRECT PL RADIOPAQUE OUTER ATRAUMATIC TIP PEELABLE GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,CATHETER 9FR WIDE CURVE 47CM CPS DIRECT PL RADIOPAQUE PEELABLE OUTER SOFT ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,350.0,175.0,76.34,315.0,64
HCPCS,C1892,INTRODUCER CATH PRELUDE SNAP 11FRX13CM HEMSTS VLV SPLITTABLE SDPRT XPND WNG 0.038IN 50CM GW DILATR,165.0,82.5,35.99,148.5,64
HCPCS,C1892,INTRODUCER LEAD 6FR DIA 25CML HEMOSTASIS VALVE PEEL-AWAY SPLITTABLE 3-WAY STOPCOCK SNAP-LOCK W/18GA GAUGE NDL DILATOR J-TIP GW SYR GREEN CLASSICSHEATH NON-PYROGENIC,195.7,97.85,42.68,176.13,64
HCPCS,C1892,INTRODUCER LEAD 9FR DIA LONG 50CML CORONARY SINUS STANDARD CURVED BRAIDED HEMOSTATIC SOFT TIP W/SIDE PORT SAFESHEATH CSG WORLEY NON-RADIOLUCENT STERILE SINGLE-USE,350.0,175.0,76.34,315.0,64
HCPCS,C1892,INTRODUCER LEAD L40 CM OD9 FR ODSEC.035 IN WORLEY BRAID CORE TIP PEEL AWAY SIDE PORT RADIOPAQUE PEBAX 3 MM STANDARD CURVE,283.05,141.53,61.73,254.75,64
HCPCS,C1892,INTRODUCER SHEATH 10FR 25CM SPLITTABLE PRELUDE SNAP PEEL AWAY,450.0,225.0,98.15,405.0,64
HCPCS,C1892,INTRODUCER SHEATH 7FR 25CM 3 WAY STOPCOCK SPLITTABLE HEMOSTATIC GUIDEWIRE CLASSIC SHEATH .038IN LONG ORANGE,365.0,182.5,79.61,328.5,64
HCPCS,C1892,INTRODUCER SHEATH OD10 FR ID.131 IN L13 CM ROBUST VALVE SPLITTABLE SIDEPORT HUB PRELUDE SNAP FUCHSIA,205.0,102.5,44.71,184.5,64
HCPCS,C1892,INTRODUCER SHEATH OD10.5 FR ID.105 IN L13 CM SPLITTABLE PRELUDE SNAP PEEL-AWAY,40.0,20.0,8.72,36.0,64
HCPCS,C1892,INTRODUCER SHEATH OD18 GA ID9.5 FR L13 CM 3 WAY STOPCOCK SPLITTABLE GUIDEWIRE DILATOR CLASSIC SHEATH .038 IN STANDARD J L45 CM,136.5,68.25,29.77,122.85,64
HCPCS,C1892,INTRODUCER SHEATH OD6 FR ID.083 IN L13 CM 3 WAY STOPCOCK SPLITTABLE HEMOSTATIC GUIDEWIRE CLASSIC SHEATH .038 IN STANDARD GREEN,136.5,68.25,29.77,122.85,64
HCPCS,C1892,INTRODUCER SHEATH OD7 FR ID.092 IN L25 CM ROBUST VALVE SPLITTABLE SIDEPORT HUB PRELUDE SNAP ORANGE,215.0,107.5,46.89,193.5,64
HCPCS,C1892,INTRODUCER SHEATH OD7 FR ODSEC18 GA L13 CM SPLITTABLE HEMOSTATIC VALVE NEEDLE GUIDEWIRE CLASSIC SHEATH .038 IN STANDARD L45 CM,68.0,34.0,14.83,61.2,64
HCPCS,C1892,INTRODUCER SHEATH OD8 FR ID.083 IN L25 CM ROBUST VALVE SPLITTABLE SIDEPORT HUB PRELUDE SNAP BLUE,50.0,25.0,10.91,45.0,64
HCPCS,C1892,INTRODUCER SHEATH OD8 FR L13 CM ROBUST VALVE SPLITTABLE SIDEPORT HUB PRELUDE SNAP BLUE,205.0,102.5,44.71,184.5,64
HCPCS,C1892,INTRODUCER SHEATH OD9 FR L25 CM ROBUST VALVE SEAMLESS SIDEPORT EXPAND WING PRELUDE SNAP BLACK,255.0,127.5,55.62,229.5,64
HCPCS,C1892,INTRODUCER SHEATH OD9 FR ODSEC18 GA L13 CM SPLITTABLE HEMOSTATIC VALVE NEEDLE HUB GUIDEWIRE CLASSIC SHEATH SAFESHEATH .038 IN STANDARD BLACK,68.0,34.0,14.83,61.2,64
HCPCS,C1892,INTRODUCER SHTH 6FR LONG 25CM PRELUDE SNAP,500.0,250.0,109.05,450.0,64
HCPCS,C1892,KIT INTRODUCER CATHETER 12FR 13CM SPLITTABLE SEAMLESS ROBUST HEMOSTATIC VALVE SIDE-PORT W/0.038IN GW 18GA NDL DILATOR SYRINGE BROWN PRELUDE SNAP,165.0,82.5,35.99,148.5,64
HCPCS,C1892,KIT INTRODUCER CATHETER 3.5FR 11CM PEDIATRIC KNOBX2 W/0.018IN SAFE-J-T SS GW PEEL-AWAY,96.0,48.0,20.94,86.4,64
HCPCS,C1892,KIT INTRODUCER LEAD 6FR DIA 13CML HEMOSTASIS VALVED SPLITTABLE NO SIDE-PORT EXPANDED WINGED W/0.038IN 50CM GW DILATOR 18GA 7CM ADVANCE NDL 12ML SYR GREEN PRELUDE SNAP NON-PYROGENIC,165.0,82.5,35.99,148.5,64
HCPCS,C1892,KIT INTRODUCER LEAD 6FR DIA 25CML HEMOSTASIS VALVED SPLITTABLE NO SIDE-PORT EXPANDED WINGED W/0.038IN 80CM GW DILATOR 18GA 7CM ADVANCE NDL 12ML SYR GREEN PRELUDE SNAP NON-PYROGENIC,280.0,140.0,61.07,252.0,64
HCPCS,C1892,KIT INTRODUCER LEAD 7FR DIA 13CML HEMOSTASIS VALVED SPLITTABLE NO SIDE-PORT EXPANDED WINGED W/0.038IN 50CM GW DILATOR 18GA 7CM ADVANCE NDL 12ML SYR ORANGE PRELUDE SNAP NON-PYROGENIC,225.0,112.5,49.07,202.5,64
HCPCS,C1892,KIT INTRODUCER LEAD 7FR DIA 25CML HEMOSTASIS VALVED SPLITTABLE NO SIDE-PORT EXPANDED WINGED W/0.038IN 80CM GW DILATOR 18GA 7CM ADVANCE NDL 12ML SYR ORANGE PRELUDE SNAP NON-PYROGENIC,280.0,140.0,61.07,252.0,64
HCPCS,C1892,KIT INTRODUCER LEAD 8FR DIA 25CML HEMOSTASIS VALVED SPLITTABLE 3-WAY STOPCOCK SNAP-LOCK W/18GA GAUGE NEEDLE DILATOR J-TIP GUIDEWIRE SYRINGE BLUE CLASSICSHEATH LATEX-FREE NON-RADIOLUCENT STERILE SINGLE,175.0,87.5,38.17,157.5,64
HCPCS,C1892,SET INTRODUCER CATHETER STANDARD 18FR 20CM PERCUTANEOUS MCDOWELL KNOBX2 W/0.038IN SAFE-J-T SS GW F/BALLOON ELECTRODE CLOSED NON-TAPERED END VASCULAR NONVASCULAR PEEL-AWAY,68.69,34.35,14.98,61.82,64
HCPCS,C1892,SET SHEATH 20CM 16FR PEEL-AWAY SAFE-T-J .038IN PERCUTANEOUS STAINLESS STEEL 2 KNOB 15.5CM STERILE DISPOSABLE,60.99,30.5,13.3,54.89,64
HCPCS,C1892,SYSTEM INTRODUCER LEAD 7FR DIA 62CML LATERAL VEIN HOCKEY STICK 120DEG ANGLED CURVED BRAIDED HEMOSTATIC W/SIDE PORT TARGET SELECTOR F/TELESCOPIC LVI SAFESHEATH WORLEY,2325.0,1162.5,507.08,2092.5,64
HCPCS,C1892,SYSTEM INTRODUCER LEAD 7FR DIA 65CML LATERAL VEIN 67DEG CURVED MULTIPURPOSE BRAIDED HEMOSTATIC W/SIDEPORT TARGET SELECTOR SAFESHEATH WORLEY,2325.0,1162.5,507.08,2092.5,64
HCPCS,C1892,"TUNNELER, DISPOSABLE, SHEATH, 45CM",236.0,118.0,51.47,212.4,64
HCPCS,C1893,CATHETER 10.06FR 115D CPS DIRECT GUIDING STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER 10.06FR STRAIGHT UNIVERSAL CPS DIRECT GUIDING STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER 10.06FR UNIVERSAL 47CM CPS DIRECT SL II BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER 9FR 135D 54CM CPS DIRECT SL II BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER 9FR 7FR 115D 57.7CM CPS DIRECT SL II SITEMARK OUTER SLITTABLE HUB ATRAUMATIC TIP 54CM GUIDING PEBAX CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER 9FR WIDE 54CM CPS DIRECT SL II BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP GUIDING PEBAX CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER 9FR XWIDE CURVE 54CM CPS DIRECT SL II DIRECT-TO-TARGET OUTER ATRAUMATIC TIP SLITTABLE BRAID REINFORCE GUIDING PEBAX CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER AL6 CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC LEAD DELIVERY SYSTEM,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER CARDIAC CPS LOCATOR MEDIUM PERCUTANEOUS 3D STERILE,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER EXTEND HOOK CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC LEAD DELIVERY SYSTEM,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER IC-50 CURVE OD5 FR INTEGRATE SLITTABLE VALVE L59 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC LEAD DELIVERY SYSTEM,100.0,50.0,21.81,90.0,64
HCPCS,C1893,CATHETER MPH CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER MPH CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L55 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1893,CATHETER RIGHT CURVE OD8.7 FR INTEGRATE SLITTABLE VALVE OUTER LEAD DELIVERY SYSTEM L45 CM GUIDING CORONARY SINUS SELECTRA PEBAX HYDROPHILIC,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER CATHETER 40CM 8.5FR 17GA EPICARDIUM RESPONSE AGILIS NXT STEERABLE ATRAUMATIC TIP INTEGRATE HEMOSTASIS VALVE 11.4CM ACCEPTS .032IN GUIDEWIRE,1219.0,609.5,265.86,1097.1,64
HCPCS,C1893,INTRODUCER CATHETER 63CM 8FR .032IN 180CM SL1 CURVE TRANSSEPTAL FAST-CATH SWARTZ GUIDEWIRE HEMOSTASIS VALVE SIDEHOLE RADIOPAQUE 67CM,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER LEAD BYRD SIZE B 10.4FR/11.9FR DIA STAINLESS STEEL,400.0,200.0,87.24,360.0,64
HCPCS,C1893,INTRODUCER LEAD SCOUTPRO FLEXIBLE SYSTEM CORONARY SINUS,370.0,185.0,80.7,333.0,64
HCPCS,C1893,INTRODUCER SHEATH 10.06FR 47CM CPS DIRECT WIDE STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 10.06FR CPS DIRECT 135D UNIVERSAL STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 12FR 36IN CURVE STAINLESS STEEL NITINOL TFE FEMORAL STERILE DISPOSABLE,219.0,109.5,47.76,197.1,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 145CM 63CM HEMOSTASIS SWARTZ .038IN SR2 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 145CM 63CM HEMOSTASIS SWARTZ .038IN SR4 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 145CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE SWARTZ .038IN 3MM SR1 CURVE,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 180CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP SUPER STIFF GUIDEWIRE FAST-CATH SWARTZ .032IN 3MM SL1 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 180CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP SUPER STIFF GUIDEWIRE SWARTZ .032IN 3MM SL2 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 180CM 67CM GUIDEWIRE HEMOSTASIS VALVE BRAID SIDEPORT SWARTZ .032IN SL1 CURVE TRANSSEPTUM,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 180CM 81CM GUIDEWIRE HEMOSTASIS BRAID RADIOPAQUE SWARTZ .032IN 85CM SL1 CURVE TRANSSEPTAL,234.0,117.0,51.04,210.6,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 180CM 81CM SUPERSTIFF GUIDEWIRE HEMOSTASIS VALVE BRAID SWARTZ .032IN SL0 CURVE TRANSSEPTAL,234.0,117.0,51.04,210.6,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 18MM 145CM 60CM HEMOSTASIS FAST-CATH .038IN RAMP CURVE TRANSSEPTAL,149.0,74.5,32.5,134.1,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 28MM 145CM 60CM HEMOSTASIS FAST-CATH .038IN RAMP1 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 60CM HEMOSTASIS FAST-CATH .032IN TRANSSEPTAL,67.0,33.5,14.61,60.3,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 60CM HEMOSTASIS FAST-CATH .038IN TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 63CM GUIDE FAST-CATH STERILE LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8.5FR 67CM 63CM GUIDEWIRE HEMOSTASIS VALVE BRAID SIDEPORT SWARTZ .032IN SHORT LEFT 0 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 145CM 60CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE FAST-CATH SWARTZ .038IN 3MM CSTA CURVE,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 145CM 63CM GUIDEWIRE HEMOSTASIS VALVE SIDEHOLE RADIOPAQUE FAST-CATH SWARTZ .038IN 3MM J SR2 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 145CM 63CM HEMOSTASIS FAST-CATH SWARTZ .038IN J SR0 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 145CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE FAST-CATH SWARTZ .038IN 3MM SR3 CURVE,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 145CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE SWARTZ .038IN 3MM SR4 CURVE,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 180CM 63CM HEMOSTASIS FAST-CATH SWARTZ .032IN SL2 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 180CM 63CM HEMOSTASIS FAST-CATH SWARTZ .032IN SL3 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 180CM 63CM HEMOSTASIS SWARTZ .032IN SL0 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 180CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP SUPER STIFF GUIDEWIRE FAST-CATH SWARTZ .032IN 3MM SL4 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 180CM 81CM SUPERSTIFF GUIDEWIRE HEMOSTASIS VALVE SIDEPORT SWARTZ .032IN SL1 CURVE TRANSSEPTAL,191.0,95.5,41.66,171.9,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 18MM 145CM 60CM HEMOSTASIS FAST-CATH .038IN 3MM RAMP CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 28MM 145CM 60CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE FAST-CATH .038IN 3MM RAMP-1 CURVE,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 8FR 67CM 63CM GUIDWIRE HEMOSTASIS VALVE BRAID SIDEPORT SWARTZ SL ULTIMUM .032IN SL2 CURVE TRANSSEPTUM,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 47CM BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP CPS DIRECT SL II DIRECT-TO-TARGET PEBAX STRAIGHT CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 47CM BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP CPS DIRECT SL II PEBAX 115D CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 47CM BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP CPS DIRECT SL II PEBAX 135D CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 47CM BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP CPS DIRECT SL II PEBAX RIGHT SIDE CURVE CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 47CM BRAID REINFORCE OUTER SLITTABLE ATRAUMATIC TIP CPS DIRECT SL II PEBAX XWIDE CURVE CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 47CM BRAID REINFORCE SLITTABLE OUTER ATRAUMATIC TIP CPS DIRECT SL II PEBAX WIDE CURVE CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH 9FR 54CM OUTER ATRAUMATIC TIP SLITTABLE BRAID REINFORCE CPS DIRECT SL II PEBAX STRAIGHT CORONARY SINUS,170.0,85.0,37.08,153.0,64
HCPCS,C1893,INTRODUCER SHEATH OD8 FR ODSEC.81 MM L60 CM TRANSSEPTAL CATHETER INTRODUCTION SET MULLINS ADULT .032 IN L67 CM TRANSSEPTAL,70.0,35.0,15.27,63.0,64
HCPCS,C1893,INTRODUCER SHEATH OD8.5 FR L63 CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE SWARTZ .038 IN 3 MM SR3 CURVE L145 CM,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH OD8.5 FR L63 CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP SUPER STIFF GUIDEWIRE SWARTZ .032 IN 3 MM SL3 CURVE L180 CM TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1893,INTRODUCER SHEATH PEDIATRIC 7FR 44CM HEMOSTASIS VALVE MULLINS TRANSSEPTAL,70.0,35.0,15.27,63.0,64
HCPCS,C1893,KIT INTRODUCER CATHETER 8.5FR 60CM TRANSSEPTAL 150DEG CURVE BRAIDED 3-WAY STOPCOCK INTEGRATED HEMOSTATIC VALVE SOFT HOLEX2 SNAP-FIT LOCK W/TAPERED DILATOR J-TIP GW TSX RADIOPAQUE MARKER,165.0,82.5,35.99,148.5,64
HCPCS,C1893,KIT INTRODUCER CATHETER GUIDING 10FR 63CM TRANSSEPTAL SL1 CURVED HEMOSTATIC VALVE SH SIDE-PORT W/0.032IN 180CM SUPER STIFF STR FINGER 3MM J-TIP GW 10FR 67CM DIL FAST-CATH NON-RADIOLUCENT 1/BX,318.0,159.0,69.36,286.2,64
HCPCS,C1893,KIT INTRODUCER CATHETER GUIDING 8.5FR 63CM TRANSSEPTAL SL4 CURVE HEMOSTATIC VALVE SIDE-PORT W/0.032IN 180CM SUPER STIFF FINGER STRAIGHTENABLE 3MM J-TIP GW DILATOR FAST-CATH SWARTZ RADIOPAQUE EA,175.0,87.5,38.17,157.5,64
HCPCS,C1893,KIT INTRODUCER CATHETER GUIDING 8FR 63CM TRANSSEPTAL SL0 CURVE HEMOSTATIC VALVE SIDE-PORT W/0.032IN 180CM SUPER STIFF FINGER STRAIGHTENABLE 3MM J-TIP GW DILATOR FAST-CATH SWARTZ RADIOPAQUE EA,175.0,87.5,38.17,157.5,64
HCPCS,C1893,KIT INTRODUCER CATHETER GUIDING 8FR 81CM TRANSSEPTAL SR0 CURVE HEMOSTATIC VALVE SIDE-PORT W/0.038IN 180CM FINGER STRAIGHTENABLE 3MM J-TIP GW DILATOR FAST-CATH SWARTZ RADIOPAQUE EA,191.0,95.5,41.66,171.9,64
HCPCS,C1893,NEEDLE TRANSSEPTAL 65CM FLEXCATH CROSS FLEXCATH ADVANCE,650.0,325.0,141.77,585.0,64
HCPCS,C1893,PASSER SURGICAL L60 CM CATHETER CD HORIZON,85.0,42.5,18.54,76.5,64
HCPCS,C1893,SYSTEM INTRODUCER LEAD DELIVERY 5FR DIA 69CML HYDROPHILIC INNER COATING CORONARY SINUS IC-50 STEROID ELUTING PASSIVE FIXATION IS-1 DUAL CONNECTOR F/CARDIAC RESYCHRONIZATION THERAPY SELECTRA STERILE SI,100.0,50.0,21.81,90.0,64
HCPCS,C1893,TOOL PACEMAKER AGILIS HISPRO SLITTER,170.0,85.0,37.08,153.0,64
HCPCS,C1894,CATHETER 5FR SH CURVE 65CM 6 SIDEHOLE RADIOPAQUE FLUSH TAPER TIP IMPRESS ANGIOGRAPHIC POLYURETHANE PERIPHERAL STERILE LATEX FREE ACCEPTS .035IN GUIDEWIRE,110.0,55.0,23.99,99.0,64
HCPCS,C1894,CATHETER ANGIOGRAPHIC 4FR 80CM PEDIATRIC PIGTAIL SPX5 BANDX2 1CM SPACING PERFORMA 0.035IN GW,325.0,162.5,70.88,292.5,64
HCPCS,C1894,CATHETER CHOLANGIOGRAM MIXTER 25GA 4FR DIA 50CML 52CML STYLET POLYETHYLENE STAINLESS STEEL W/3-WAY STOPCOCK F/DIAGNOSTIC EVALUATION OF THE BILE DUCTS DURING PERCUTANEOUS CHOLECYSTECTOMY PROCEDURE ECHO,54.0,27.0,11.78,48.6,64
HCPCS,C1894,CATHETER DELIVERY MRI SCANS AVEIR,1750.0,875.0,381.68,1575.0,64
HCPCS,C1894,CATHETER DELIVERY SYSTEM ID.088 IN L100 CM DILATOR NEURON MAX MULTIPURPOSE CURVE,395.0,197.5,86.15,355.5,64
HCPCS,C1894,CATHETER DELIVERY SYSTEM ID.088 IN L90 CM DILATOR NEURON MAX STRAIGHT,395.0,197.5,86.15,355.5,64
HCPCS,C1894,CATHETER DELIVERY SYSTEM OD6 FR L60 CM LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 180 D,680.0,340.0,148.31,612.0,64
HCPCS,C1894,CATHETER DELIVERY SYSTEM OD7 FR L60 CM LOW FRICTION RADIOPAQUE TIP HEMOSTASIS VALVE AMPLATZER TORQVUE STAINLESS STEEL PTFE 45 D,680.0,340.0,148.31,612.0,64
HCPCS,C1894,CATHETER THROMBECTOMY L140 CM OD6 FR ID.07 IN LARGE EXTRACTION LUMEN ASPIRATION REMOVABLE PRELOAD STYLET KINK RESISTANCE EXPORT ADVANCE ACCEPTS .014 IN GUIDEWIRE,350.0,175.0,76.34,315.0,64
HCPCS,C1894,CATHETER THROMBECTOMY STALIF L FLX 8FR 18MM SHEATH INTRILL,1800.0,900.0,392.58,1620.0,64
HCPCS,C1894,CATHETER VENTRICULAR ASSIST 9FR DIA IMPELLA LD LATEX-FREE STERILE SINGLE-PATIENT USE,25000.0,12500.0,5452.5,22500.0,64
HCPCS,C1894,DILATOR VASCULAR 6FR 23CM PRELUDE STERILE LATEX FREE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,67.5,33.75,14.72,60.75,64
HCPCS,C1894,ENDOAVF ACCESS KIT,395.0,197.5,86.15,355.5,64
HCPCS,C1894,INTRD PTFE TEARAWAY 6F 10,184.04,92.02,40.14,165.64,64
HCPCS,C1894,INTRODUCER 26GA INTROSYTE-N AUTOGUARD SHIELD STERILE LATEX FREE YELLOW CATHETER,645.0,322.5,140.67,580.5,64
HCPCS,C1894,INTRODUCER CATH 16FRX14CM PEEL VLV 1/EA HEAT INACT,30.0,15.0,6.54,27.0,64
HCPCS,C1894,INTRODUCER CATHETER 1.7MM ID 5FR 48CM MULLINS DESIGN PERFORMER RADIOPAQUE BAND 0.032IN GW,76.99,38.5,16.79,69.29,64
HCPCS,C1894,INTRODUCER CATHETER 1.9FR DIA 23GA 1INL NEONATE/PEDIATRIC LOW-PROFILE LATEX DEHP-FREE,210.0,105.0,45.8,189.0,64
HCPCS,C1894,INTRODUCER CATHETER 10.5CM 5FR PEEL-APART SHEATH LONG T HANDLE LOCK LUER COLLAR HUB TAPER VESSEL DILATOR PTFE LATEX,273.0,136.5,59.54,245.7,64
HCPCS,C1894,INTRODUCER CATHETER 10FR 25CM HYDROPHILIC CORONARY CROSS-CUT VALVE SMOOTH TRANSITION W/SS SPRING COIL 2.5CM PROTRUDING DILATOR W/O GW PINNACLE 10/BX,222.5,111.25,48.53,200.25,64
HCPCS,C1894,INTRODUCER CATHETER 11FR 10CM HYDROPHILIC CORONARY CROSS-CUT VALVE SMOOTH TRANSITION W/SS SPRING COIL 2.5CM PROTRUDING DILATOR W/O GW PINNACLE 10/BX,95.0,47.5,20.72,85.5,64
HCPCS,C1894,INTRODUCER CATHETER 15.5CM 6FR PERCUTANEOUS PEEL-AWAY MULTIPURPOSE DISPOSABLE STERILE 20CM ACCEPTS .035IN GUIDEWIRE,50.99,25.5,11.12,45.89,64
HCPCS,C1894,INTRODUCER CATHETER 15CM 10FR PEEL-APART SHEATH LONG T HANDLE LOCK LUER COLLAR HUB TAPER VESSEL DILATOR PTFE LATEX,387.0,193.5,84.4,348.3,64
HCPCS,C1894,INTRODUCER CATHETER 16FR 14CM PEELABLE VALVED,30.0,15.0,6.54,27.0,64
HCPCS,C1894,INTRODUCER CATHETER 2.3MM ID 7FR 63CM MULLINS PERFORMER 0.038IN GW,58.99,29.5,12.87,53.09,64
HCPCS,C1894,INTRODUCER CATHETER 2.6MM ID 8FR 63CM MULLINS DESIGN PERFORMER RADIOPAQUE BAND 0.038IN GW,58.99,29.5,12.87,53.09,64
HCPCS,C1894,INTRODUCER CATHETER 2MM ID 6FR 63CM MULLINS DESIGN PERFORMER RADIOPAQUE BAND 0.038IN GW,58.99,29.5,12.87,53.09,64
HCPCS,C1894,INTRODUCER CATHETER 3.3FR 5CM PEDIATRIC W/O GW SUPER SHEATH RADIOPAQUE,200.0,100.0,43.62,180.0,64
HCPCS,C1894,INTRODUCER CATHETER 30CM 8FR CHECK-FLO PERFORMER RADIOPAQUE DISPOSABLE STERILE 37CM ACCEPTS .038IN GUIDEWIRE,29.99,15.0,6.54,26.99,64
HCPCS,C1894,INTRODUCER CATHETER 30CM 9FR CHECK-FLO RADIOPAQUE DISPOSABLE STERILE 37CM BLUE ACCEPTS .038IN GUIDEWIRE,44.99,22.5,9.81,40.49,64
HCPCS,C1894,INTRODUCER CATHETER 3MM ID 9FR 75CM MULLINS DESIGN PERFORMER RADIOPAQUE BAND 0.038IN GW,58.99,29.5,12.87,53.09,64
HCPCS,C1894,INTRODUCER CATHETER 4FR 6CM PLATINUM IRIDIUM CROSS-CUT VALVE SMOOTH TRANSITION W/0.038IN MINI SS SPRING COIL GW 2.5CM PROTRUDING DILATOR PINNACLE R/O II NON-RADIOLUCENT MARKER,280.0,140.0,61.07,252.0,64
HCPCS,C1894,INTRODUCER CATHETER 4MM ID 12FR 45CM PERFORMER RADIOPAQUE BAND 0.038IN GW,155.0,77.5,33.81,139.5,64
HCPCS,C1894,INTRODUCER CATHETER 5.3MM ID 16FR 80CM PERFORMER RADIOPAQUE BAND 0.038IN GW,293.0,146.5,63.9,263.7,64
HCPCS,C1894,INTRODUCER CATHETER 5FR 1.92MM 45CM HYDROPHILIC VASCULAR STRAIGHT W/HEMOSTASIS VALVE 2-DILATOR CATAPULT US,405.0,202.5,88.33,364.5,64
HCPCS,C1894,INTRODUCER CATHETER 5FR 1.92MM 60CM HYDROPHILIC VASCULAR STRAIGHT W/HEMOSTASIS VALVE 2-DILATOR CATAPULT US,475.0,237.5,103.6,427.5,64
HCPCS,C1894,INTRODUCER CATHETER 5FR 10CM W/0.035IN 45CM SPRING COIL SS MINI GW 2.5CM PROTRUDING DILATOR PINNACLE TIF TIP 10/BX,135.0,67.5,29.44,121.5,64
HCPCS,C1894,INTRODUCER CATHETER 5FR 13CM SPLITTABLE PRELUDE PRESTIGE PLPS-1005,140.0,70.0,30.53,126.0,64
HCPCS,C1894,INTRODUCER CATHETER 5FR 60CM HYDROPHILIC VASCULAR STRAIGHT W/HEMOSTASIS VALVE 2-DILATOR CATAPULT US,475.0,237.5,103.6,427.5,64
HCPCS,C1894,INTRODUCER CATHETER 5FR 6CM PLATINUM IRIDIUM SMOOTH TRANSITION KINK-RESISTANT W/0.038IN MINI SS SPRING COIL GW 2.5CM PROTRUDING DILATOR PINNACLE R/O II,280.0,140.0,61.07,252.0,64
HCPCS,C1894,INTRODUCER CATHETER 5FR TUNGSTEN TAPERED DUAL LAYER SLIX ATRAUMATIC MANICURED TIP SMOOTH TRANSITION KINK-RESISTANT W/25MM DILATOR 35CM SILICONE CANNULA W/O MINI-WIRE GRAY BRITE TIP RADIOPAQUE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER CATHETER 6FR 45CM HYDROPHILIC STRAIGHT MULTIPURPOSE W/2CML PROTRUDING DILATOR W/O GW PINNACLE DESTINATION 0.038IN GW,86.0,43.0,18.76,77.4,64
HCPCS,C1894,INTRODUCER CATHETER 6FR 90CM SS COIL PTFE NYLON LAYER HYDROPHILIC MULTIPURPOSE CROSS-CUT VALVE W/5CM PROTRUDING DILATOR PINNACLE DESTINATION 0.038IN GW,96.0,48.0,20.94,86.4,64
HCPCS,C1894,INTRODUCER CATHETER 7FR 45CM SS COIL PTFE NYLON LAYER HYDROPHILIC LEFT INTERNAL MAMMARY ARTERY TUOHY-BORST VALVE W/2CM PROTRUDING DILATOR PINNACLE DESTINATION 0.038IN GW,86.0,43.0,18.76,77.4,64
HCPCS,C1894,INTRODUCER CATHETER 7FR 90CM SS COIL PTFE NYLON LAYER HYDROPHILIC MULTIPURPOSE CROSS-CUT VALVE W/5CM PROTRUDING DILATOR PINNACLE DESTINATION 0.038IN GW,96.0,48.0,20.94,86.4,64
HCPCS,C1894,INTRODUCER CATHETER 8FR 13CM PEEL-AWAY SPLITTABLE SIDE-PORT W/45CM GW 20CM DILATOR SSV,200.0,100.0,43.62,180.0,64
HCPCS,C1894,INTRODUCER CATHETER GUIDING 4FR 45CM HYDROPHILIC STRAIGHT TIP REGULAR BODY PRELUDE ROADSTER 0.035IN GW,102.0,51.0,22.25,91.8,64
HCPCS,C1894,INTRODUCER CATHETER GUIDING 7FR 45CM HYDROPHILIC STRAIGHT TUOHY-BORST VALVE SMOOTH TRANSITION ATRAUMATIC W/PROTRUDING DILATOR PINNACLE DESTINATION,86.0,43.0,18.76,77.4,64
HCPCS,C1894,INTRODUCER CATHETER GUIDING 8FR 45CM HYDROPHILIC STRAIGHT TIP EXTRA BODY PRELUDE ROADSTER 0.038IN GW,75.0,37.5,16.36,67.5,64
HCPCS,C1894,INTRODUCER CATHETER GUIDING 8FR 90CM HYDROPHILIC STRAIGHT TIP EXTRA BODY PRELUDE ROADSTER 0.038IN GW,123.0,61.5,26.83,110.7,64
HCPCS,C1894,INTRODUCER CATHETER L35 CM OD16 FR ID5.3 MM LARGE PERFORMER RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE,393.75,196.88,85.88,354.38,64
HCPCS,C1894,INTRODUCER CATHETER L40 CM OD18 FR PERFORMER RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE,126.12,63.06,27.51,113.51,64
HCPCS,C1894,INTRODUCER CATHETER L8.5 CM OD7 FR .025 IN TRANSSEPTAL FAST-CATH HEMOSTASIS,210.0,105.0,45.8,189.0,64
HCPCS,C1894,INTRODUCER CATHETER L80 CM OD14 FR CHECK-FLO PERFORMER RADIOPAQUE,252.0,126.0,54.96,226.8,64
HCPCS,C1894,INTRODUCER CATHETER L85 CM OD18 FR ID5.9 MM LARGE PERFORMER RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE,126.12,63.06,27.51,113.51,64
HCPCS,C1894,INTRODUCER CATHETER L90 CM OD6 FR FLEXOR RAABE MODIFICATION RADIOPAQUE HYDROPHILIC ACCEPTS .038 IN GUIDEWIRE,61.99,31.0,13.52,55.79,64
HCPCS,C1894,INTRODUCER CATHETER R/O 7FR 7CM PERIPHERAL SINGLE LUMEN SUPER SHEATH,800.0,400.0,174.48,720.0,64
HCPCS,C1894,INTRODUCER CATHETER SHIELDED 3FR 3.2CM VIALON PERCUTANEOUS PUSH BUTTON NOTCHED NDL PINK INTROSYTE-N AUTOGUARD,263.7,131.85,57.51,237.33,64
HCPCS,C1894,INTRODUCER CATHETER SUPER 3.5FR 5CM PTFE PEELABLE 5/BX,75.0,37.5,16.36,67.5,64
HCPCS,C1894,INTRODUCER ELECTROSURGICAL 6CM STARBURST XL HARD RADIOFREQUENCY ABLATION COAXIAL ACCESS SYSTEM STERILE DISPOSABLE,141.0,70.5,30.75,126.9,64
HCPCS,C1894,INTRODUCER LEAD L40 CM OD9 FR SAFESHEATH CSG WORLEY PEEL-AWAY BRAID CURVE,350.0,175.0,76.34,315.0,64
HCPCS,C1894,INTRODUCER LEAD L50 CM OD9 FR ODSEC18 GA WORLEY BRAID CORE SHEATH GUIDEWIRE NEEDLE .035 IN 3 MM JUMBO CURVE L135 CM VEIN LATERAL,283.05,141.53,61.73,254.75,64
HCPCS,C1894,INTRODUCER LEAD L50 CM OD9 FR ODSEC18 GA WORLEY BRAID CORE SHEATH GUIDEWIRE NEEDLE .035 IN 3 MM LONG CURVE L135 CM VEIN LATERAL,283.05,141.53,61.73,254.75,64
HCPCS,C1894,INTRODUCER SAFESHEATH LEAD 9FR 19.13CM,800.0,400.0,174.48,720.0,64
HCPCS,C1894,INTRODUCER SHEATH 10F 41.5CM,525.0,262.5,114.5,472.5,64
HCPCS,C1894,INTRODUCER SHEATH 10FR 50CM 12CM 2 DISTAL GUIDEWIRE HEMOSTASIS ADAPTER SIDEPORT DILATOR FAST-CATH TRIO CATH-LOCK .038IN,32.0,16.0,6.98,28.8,64
HCPCS,C1894,INTRODUCER SHEATH 11FR 20CM 15.5CM PEEL-AWAY PERCUTANEOUS STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,50.99,25.5,11.12,45.89,64
HCPCS,C1894,INTRODUCER SHEATH 11FR 5CM 30CM MULTIPURPOSE PEEL-AWAY PERCUTANEOUS STERILE DISPOSABLE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,INTRODUCER SHEATH 12FR 15.5CM PEEL-AWAY PERCUTANEOUS STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,50.99,25.5,11.12,45.89,64
HCPCS,C1894,INTRODUCER SHEATH 12FR 50CM 12CM HEMOSTASIS ADAPTER MULTIPLE SIDEPORT LOCK HUB DILATOR CATH-LOCK FAST-CATH TRIO .038IN INTRACARDIAC,160.0,80.0,34.9,144.0,64
HCPCS,C1894,INTRODUCER SHEATH 12FR 50CM 12CM MULTIPLE SIDEPORT COLOR CODED LUER LOCK 2 PORT HEMOSTASIS ADAPTER FAST-CATH DUO CATH-LOCK .038IN INTRACARDIAC,135.0,67.5,29.44,121.5,64
HCPCS,C1894,INTRODUCER SHEATH 12FR DIA 100CML HYDROPHILIC COATED JUDKINS LEFT2 W/0.038IN GUIDEWIRE CHECK-FLO PERFORMER LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE,133.0,66.5,29.01,119.7,64
HCPCS,C1894,INTRODUCER SHEATH 14FR 20CM 15.5CM PEEL-AWAY PERCUTANEOUS STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,50.99,25.5,11.12,45.89,64
HCPCS,C1894,INTRODUCER SHEATH 18FR 20CM 15.5CM PEEL-AWAY LARGE PERCUTANEOUS STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,50.99,25.5,11.12,45.89,64
HCPCS,C1894,INTRODUCER SHEATH 23FR 69.9CM 55.7CM MICRA HYDROPHILIC STERILE LATEX FREE DISPOSABLE,600.0,300.0,130.86,540.0,64
HCPCS,C1894,INTRODUCER SHEATH 5FR 2.5CM 10CM GUIDEWIRE DILATOR RADIOPAQUE KINK RESISTANT PINNACLE R/O II .038IN,301.5,150.75,65.76,271.35,64
HCPCS,C1894,INTRODUCER SHEATH 6FR 21GA 45CM 11CM SPRING COIL WIRE STRAIGHT FLOPPY TIP GUIDEWIRE STIFF PRELUDE IDEAL BOW TIE STAINLESS STEEL HYDROPHILIC .021IN 17CM GREEN,252.0,126.0,54.96,226.8,64
HCPCS,C1894,INTRODUCER SHEATH 6FR 50CM 8.5CM HEMOSTASIS VALVE FAST-CATH .021IN TRANSSEPTAL,210.0,105.0,45.8,189.0,64
HCPCS,C1894,INTRODUCER SHEATH 6FR DIA 45CML VASCULAR MULTIPURPOSE CURVED CROSS-CUT VALVE W/DILATOR PINNACLE DESTINATION LATEX-FREE NON-RADIOLUCENT 0.038IN GUIDEWIRE COMPATIBLE,185.0,92.5,40.35,166.5,64
HCPCS,C1894,INTRODUCER SHEATH 7FR 40CM HEMOSTASIS FAST-CATH 60D TRANSSEPTAL,77.0,38.5,16.79,69.3,64
HCPCS,C1894,INTRODUCER SHEATH 7FR 85CM HEMOSTASIS FAST-CATH J CURVE TRANSSEPTAL,100.0,50.0,21.81,90.0,64
HCPCS,C1894,INTRODUCER SHEATH 7FR 85CM HEMOSTASIS FAST-CATH TRANSSEPTAL,100.0,50.0,21.81,90.0,64
HCPCS,C1894,INTRODUCER SHEATH 7FR DIA 98CML 40DEG ANGLED SNAP LOCK W/HEMOSTASIS VALVE SIDE-PORT DILATOR 0.038IN GUIDEWIRE FAST-CATH LATEX-FREE,48.0,24.0,10.47,43.2,64
HCPCS,C1894,INTRODUCER SHEATH 8.5FR 180CM 63CM SUPERSTIFF GUIDEWIRE HEMOSTASIS VALVE BRAID SWARTZ .032IN SL2 CURVE TRANSSEPTAL,175.0,87.5,38.17,157.5,64
HCPCS,C1894,INTRODUCER SHEATH 8FR 145CM 60CM HEMOSTASIS FAST-CATH .038IN,175.0,87.5,38.17,157.5,64
HCPCS,C1894,INTRODUCER SHEATH 8FR 145CM 63CM HEMOSTASIS VALVE SIDEPORT DILATOR J TIP GUIDEWIRE FAST-CATH SWARTZ .038IN 3MM SR1 CURVE,175.0,87.5,38.17,157.5,64
HCPCS,C1894,INTRODUCER SHEATH 8FR 2.5CM 10CM DILATOR KINK RESISTANT PINNACLE HYDROPHILIC PTFE CORONARY,95.0,47.5,20.72,85.5,64
HCPCS,C1894,INTRODUCER SHEATH 8FR 2.5CM 10CM GUIDEWIRE DILATOR RADIOPAQUE KINK RESISTANT PINNACLE R/O II .038IN,301.5,150.75,65.76,271.35,64
HCPCS,C1894,INTRODUCER SHEATH 8FR 60CM FAST-CATH STERILE LATEX FREE DISPOSABLE,149.0,74.5,32.5,134.1,64
HCPCS,C1894,INTRODUCER SHEATH 9FR 15.5CM PEEL-AWAY PERCUTANEOUS STERILE DISPOSABLE,50.99,25.5,11.12,45.89,64
HCPCS,C1894,INTRODUCER SHEATH CBDE SPYGLASS SILICONE SPYGLASS DISCOVER DIGITAL CATHETER,390.0,195.0,85.06,351.0,64
HCPCS,C1894,INTRODUCER SHEATH ID4 FR L25 CM DILATOR RADIOPAQUE MARKER PINNACLE R/O II L2.5 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,INTRODUCER SHEATH ID5 FR L6 CM RADIOPAQUE DILATOR NO MINI GUIDEWIRE PINNACLE L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,INTRODUCER SHEATH ID6 FR L10 CM RADIOPAQUE KINK RESISTANT DILATOR PINNACLE R/O II L2.5 CM ACCEPTS .038 IN GUIDEWIRE,301.5,150.75,65.76,271.35,64
HCPCS,C1894,INTRODUCER SHEATH ID6 FR L23 CM WITHOUT MINIWIRE KINK RESISTANT CANNULA RADIOPAQUE BRITE TIP SILICONE GREEN ACCEPTS .035 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH ID6 FR L4 CM DILATOR RADIOPAQUE MARKER PINNACLE R/O II HIFLO .038 IN,245.0,122.5,53.43,220.5,64
HCPCS,C1894,INTRODUCER SHEATH ID6 FR L65 CM GUIDING STRAIGHT TUOHY BORST VALVE PINNACLE DESTINATION HYDROPHILIC PTFE,99.0,49.5,21.59,89.1,64
HCPCS,C1894,INTRODUCER SHEATH ID7 FR L45 CM GUIDING MP CURVE TUOHY BORST VALVE PINNACLE DESTINATION HYDROPHILIC PTFE,86.0,43.0,18.76,77.4,64
HCPCS,C1894,INTRODUCER SHEATH ID9 FR L10 CM DILATOR RADIOPAQUE KINK RESISTANT PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,INTRODUCER SHEATH ID9 FR L6 CM DILATOR RADIOPAQUE MARKER PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,INTRODUCER SHEATH L10 CM TEARAWAY,50.0,25.0,10.91,45.0,64
HCPCS,C1894,INTRODUCER SHEATH L14 CM TEARAWAY,50.0,25.0,10.91,45.0,64
HCPCS,C1894,INTRODUCER SHEATH OD10 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L45 MM ENDOVASCULAR FUCHSIA ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD10 FR L23 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L45 MM ENDOVASCULAR FUCHSIA ACCEPTS .035 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD10.5 FR ID.138 IN L25 CM ROBUST VALVE SPLITTABLE SIDEPORT HUB PRELUDE SNAP LIGHT FUCHSIA,255.0,127.5,55.62,229.5,64
HCPCS,C1894,INTRODUCER SHEATH OD11 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L45 MM ENDOVASCULAR YELLOW ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD11 FR L23 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L45 MM ENDOVASCULAR YELLOW ACCEPTS .035 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD12 FR ODSEC80MM DELIVERY SYSTEM ANGLED AMPLATZER TREVISIO .035 IN,680.0,340.0,148.31,612.0,64
HCPCS,C1894,INTRODUCER SHEATH OD16 FR L35 CM RADIOPAQUE HEMOSTASIS VALVE SIDEPORT GUIDEWIRE ULTIMUM .035 IN TAPER,72.0,36.0,15.7,64.8,64
HCPCS,C1894,INTRODUCER SHEATH OD18 FR L30 CM RADIOPAQUE HEMOSTASIS VALVE SIDEPORT GUIDEWIRE ULTIMUM .035 IN TAPER,70.0,35.0,15.27,63.0,64
HCPCS,C1894,INTRODUCER SHEATH OD4 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L25 MM ENDOVASCULAR RED ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD4 FR L23 CM RED HUB GUIDEWIRE HEMOSTASIS VALVE PRELUDE .035 IN L80 CM,67.5,33.75,14.72,60.75,64
HCPCS,C1894,INTRODUCER SHEATH OD4 FR L25 CM GUIDEWIRE HEMOSTASIS VALVE SIDEPORT DILATOR ENGAGE .035 IN,260.0,130.0,56.71,234.0,64
HCPCS,C1894,INTRODUCER SHEATH OD4 FR L8.5 CM 2 DISTAL GUIDEWIRE HEMOSTASIS VALVE SIDEPORT DILATOR FAST-CATH .021 IN 2 STRAIGHT L50 CM TRANSSEPTAL,210.0,105.0,45.8,189.0,64
HCPCS,C1894,INTRODUCER SHEATH OD4 FR ODSEC21 GA L7 CM MANDREL WIRE ANGLE FLOPPY TIP NEEDLE DILATOR PRELUDE IDEAL NITINOL PLATINUM HYDROPHILIC L13 CM L40 CM RED .018 IN GUIDEWIRE,262.5,131.25,57.25,236.25,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR L10 CM SET COAXIAL CATHETER MICROPUNCTURE NITINOL PEDIATRIC .018 IN L40 CM,34.99,17.5,7.63,31.49,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L25 MM ENDOVASCULAR GRAY ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR L23 CM GRAY HUB GUIDEWIRE HEMOSTASIS VALVE PRELUDE .038 IN L50 CM,67.5,33.75,14.72,60.75,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR L23 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L25 MM ENDOVASCULAR GRAY ACCEPTS .035 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR L45 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L25 MM ENDOVASCULAR GRAY ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR L8.5 CM HEMOSTASIS VALVE FAST-CATH .021 IN L50 CM TRANSSEPTAL,210.0,105.0,45.8,189.0,64
HCPCS,C1894,INTRODUCER SHEATH OD5 FR ODSEC21 GA L23 CM SPRING COIL WIRE STRAIGHT FLOPPY TIP NEEDLE DILATOR PRELUDE IDEAL STAINLESS STEEL HYDROPHILIC L29 CM L80 CM GRAY ACCEPTS .021 IN GUIDEWIRE,273.0,136.5,59.54,245.7,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR GREEN ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L12 CM 2 DISTAL GUIDEWIRE HEMOSTASIS VALVE SIDEPORT DILATOR FAST-CATH LUER LOCK .038 IN STANDARD L50 CM,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L23 CM GREEN HUB GUIDEWIRE HEMOSTASIS VALVE PRELUDE .038 IN L50 CM,67.5,33.75,14.72,60.75,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L35 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR GREEN ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L4 CM NO WIRE PRELUDE SHORT SHEATH SHORT GREEN,95.0,47.5,20.72,85.5,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L45 CM GUIDING MP CURVE TUOHY BORST VALVE PINNACLE DESTINATION HYDROPHILIC PTFE,86.0,43.0,18.76,77.4,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L45 CM GUIDING PINNACLE DESTINATION HYDROPHILIC PTFE,86.0,43.0,18.76,77.4,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L45 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR GREEN ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L5.5 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR GREEN ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L55 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR GREEN ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR L90 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR GREEN ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD6 FR ODSEC21 GA L23 CM SPRING COIL WIRE STRAIGHT FLOPPY TIP ULTRA THIN WALL LOW PROFILE PRELUDE IDEAL STAINLESS STEEL HYDROPHILIC .021 IN L29 CM L80 CM GREEN,273.0,136.5,59.54,245.7,64
HCPCS,C1894,INTRODUCER SHEATH OD6.5 FR L37 CM LIEBERMAN MODIFICATION RADIOPAQUE DESILETS-HOFFMAN ACCEPTS .038 IN GUIDEWIRE,58.99,29.5,12.87,53.09,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR ORANGE ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L12 CM HEMOSTASIS VALVE SIDEPORT DILATOR FAST-CATH .038 IN STANDARD L50 CM,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L23 CM KINK RESISTANT CANNULA HEMOSTASIS VALVE RADIOPAQUE WITHOUT MINI GUIDEWIRE BRITE TIP SLIX SILICONE 3 MM L35 MM ORANGE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L35 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR ORANGE ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L45 CM KIT MULTIPURPOSE AXCESS PERCUTANEOUS INTRODUCER CURVE ORANGE ACCEPTS .035-.038 IN GUIDEWIRE,557.0,278.5,121.48,501.3,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L45 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR ORANGE ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L5.5 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR ORANGE ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L55 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR ORANGE ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L85 CM HEMOSTASIS FAST-CATH .038 IN GSPC CURVE TRANSSEPTAL,189.0,94.5,41.22,170.1,64
HCPCS,C1894,INTRODUCER SHEATH OD7 FR L90 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR ORANGE ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L11 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLUE ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L12 CM DILATOR GUIDEWIRE LUER LOCK HUB FAST-CATH .038 IN,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L13 CM HEMOSTATIC VALVE DILATOR CAP POSITIVE LOCK CONNECTOR SAFESHEATH ULTRA LITE TEAR-AWAY PEEL-AWAY L18 CM BLUE,170.0,85.0,37.08,153.0,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L23 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLUE ACCEPTS .035 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L35 CM RADIOPAQUE KINK RESISTANT CANNULA WITHOUT MINI GUIDEWIRE BRITE TIP 3 MM L35 MM,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L45 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLUE ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L5.5 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLUE ACCEPTS .035 IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD8 FR L55 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLUE ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH OD9 FR L11 CM RADIOPAQUE KINK RESISTANT CANNULA WITHOUT MINI GUIDEWIRE BRITE TIP 3 MM L35 MM,55.0,27.5,12.0,49.5,64
HCPCS,C1894,INTRODUCER SHEATH OD9 FR L23 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLACK ACCEPTS .035 IN GUIDEWIRE,105.0,52.5,22.9,94.5,64
HCPCS,C1894,INTRODUCER SHEATH OD9 FR L35 CM RADIOPAQUE HEMOSTASIS VALVE BRITE TIP SILICONE L35 MM ENDOVASCULAR BLACK ACCEPTS .035 IN GUIDEWIRE,42.0,21.0,9.16,37.8,64
HCPCS,C1894,INTRODUCER SHEATH PEDIATRIC 3.3FR 5CM DILATOR TAPER WIRE SUPER SHEATH .018IN,250.0,125.0,54.53,225.0,64
HCPCS,C1894,INTRODUCER SHEATH PEEL-AWAY 1.4FR STERILE LATEX FREE DISPOSABLE,225.0,112.5,49.07,202.5,64
HCPCS,C1894,INTRODUCER SUPRAPUBIC 16FR SHARP TIP SHIELD TROCAR HANDLE CANNULA LAWRENCE SUPRA-FOLEY STAINLESS STEEL LATEX FREE ORANGE,204.0,102.0,44.49,183.6,64
HCPCS,C1894,INTRODUCER VASCULAR 5FR 90CM HYDROPHILIC STRAIGHT CATAPULT US,625.0,312.5,136.31,562.5,64
HCPCS,C1894,INTRODUCER VASCULAR 8FR 10CM PINNACLE TIF TIP 0.035IN MINI GW,135.0,67.5,29.44,121.5,64
HCPCS,C1894,KIT BIOPSY L60 CM STRAIGHT CURVE 4 SWAB SHEATH STIFFENER CATHETER OD7 FR ODSEC19 GA TLAB METAL L65 CM,540.0,270.0,117.77,486.0,64
HCPCS,C1894,KIT CATHETER CENTRAL VENOUS 9FR DIA 11.5CML 2-LUMEN SHEATH ARROW LATEX-FREE,720.0,360.0,157.03,648.0,64
HCPCS,C1894,KIT CATHETER CONVENIENCE REBOA,290.0,145.0,63.25,261.0,64
HCPCS,C1894,KIT CATHETERIZATION L16 CM ARROW OD18 GA ARTERIAL,407.0,203.5,88.77,366.3,64
HCPCS,C1894,KIT DEVICE CLOSURE ACCESS 14FR DIA 75CML PEBAX PTFE VASCULAR TRANSSEPTAL SINGLE CURVED W/DILATOR WATCHMAN NON-RADIOLUCENT 1/EA,1000.0,500.0,218.1,900.0,64
HCPCS,C1894,KIT GASTROSTOMY 11 LOW PROFILE SYRINGE DILATOR INTRODUCER OD24 FR ODSEC20 FR AVANOS* POLYURETHANE 12 ML FEED TUBE,221.15,110.58,48.23,199.04,64
HCPCS,C1894,KIT GUIDEWIRE INTRODUCER TORQUE DEVICE ROTATABLE HEMOSTATIC VALVE CORONARY,20.0,10.0,4.36,18.0,64
HCPCS,C1894,KIT INTRODUCER 10.5FR 18GA 14CM 50CM 3MM .038IN DILATOR SHEATH J TIP GUIDEWIRE XTW NEEDLE PEEL-AWAY DI-LOCK,192.5,96.25,41.98,173.25,64
HCPCS,C1894,KIT INTRODUCER 12FR 18GA 14CM 50CM 3MM .038IN DILATOR SHEATH J TIP GUIDEWIRE XTW NEEDLE PEEL-AWAY DI-LOCK,38.5,19.25,8.4,34.65,64
HCPCS,C1894,KIT INTRODUCER 4FR 50CM 15CM .018IN MICROWIRE EXTENSION TUBE NEEDLE STIFF DILATOR SILK ROAD,1300.0,650.0,283.53,1170.0,64
HCPCS,C1894,KIT INTRODUCER 5FR 21GA 30CM 15CM .018IN MICRO MARK TROCAR NEEDLE LOCK STYLET BRAID SHEATH MANDREL GUIDEWIRE GREBSET NITINOL,1166.0,583.0,254.3,1049.4,64
HCPCS,C1894,KIT INTRODUCER 8.9MM 25FR 30CM INTRODUCER SHEATH AVEIR HYDROPHILIC COATED DISPOSABLE STERILE,600.0,300.0,130.86,540.0,64
HCPCS,C1894,KIT INTRODUCER 8FR 15CM PEEL APART GROSHONG PTFE LATEX FREE PERCUTANEOUS,1650.0,825.0,359.87,1485.0,64
HCPCS,C1894,KIT INTRODUCER ARROWG+ARD BLUE PERCUTANEOUS 7.5-8 FR CATHETER,554.0,277.0,120.83,498.6,64
HCPCS,C1894,KIT INTRODUCER CATH 4FRX10CM SAFTY PTFE TEARAWAY 65CM GW 21GAX7CM SCPL NDL SS NTNL,145.0,72.5,31.62,130.5,64
HCPCS,C1894,KIT INTRODUCER CATH MAK MINI ACCESS 4FRX10CM COAX 0.018IN 40CM SS PT TIP GW 21GAX7CM STD NDL STRL,189.0,94.5,41.22,170.1,64
HCPCS,C1894,KIT INTRODUCER CATHETER 10.5FR 13CM SPLIT-AWAY VALVE SIDE-PORT W/0.038IN 45CM GW 20CM DILATOR INPUT SSV 5/BX,45.0,22.5,9.81,40.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER 10FR 12CM HEMOSTATIC VALVE MULTIPLE SIDE-PORT W/0.038IN 50CM DOUBLE DISTAL STRAIGHT/J-TIP GW DILATOR 2-PORT ADAPTER 5FR DIAX2CATHETER COLOR-CODED FAST-CATH DUO 5/BX,27.0,13.5,5.89,24.3,64
HCPCS,C1894,KIT INTRODUCER CATHETER 11FR 13CM HYDROPHOBIC PEEL-AWAY HEMOSTATIC VALVE SIDE-PORT W/FLEXIBLE STRAIGHT J-TIP GW STRAIGHTENER 18CM DILATOR SYR NDL PROTECTOR SNAP-LOCK CONNECTOR ADELANTE SAFESHEATH ULTR,145.0,72.5,31.62,130.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER 4FR SHEATH 10CM COAXIAL VASCULAR ENTRY STIFF SHAFT W/NITINOL TUNGSTEN TIP 21GA X 7CM ECHOGENIC NEEDLE MINI-STICK MAX 0.018IN GW,213.0,106.5,46.46,191.7,64
HCPCS,C1894,KIT INTRODUCER CATHETER 5FR 11CM HYDROPHILIC RADIAL ARTERY SLIM PROFILE W/0.021IN 45CM SPRING STRAIGHT FLOPPY TIP GW 21GA 4CM ADVANCE NDL PRELUDEEASE NON-PYROGENIC,150.0,75.0,32.72,135.0,64
HCPCS,C1894,KIT INTRODUCER CATHETER 5FR 11CM HYDROPHILIC RADIAL ARTERY SLIM PROFILE W/0.021IN 45CM STRAIGHT FLOPPY TIP SS STIFF SPRING GW 21GA 4CM ADVANCE NDL PRELUDEEASE NON-PYROGENIC,150.0,75.0,32.72,135.0,64
HCPCS,C1894,KIT INTRODUCER CATHETER 5FR 11CM HYDROPHILIC RADIAL ARTERY ULTRA THIN WALL W/0.021IN 45CM SPRING STIFF STRAIGHT FLOPPY TIP GW 21GA 4CM ADVANCE NDL PRELUDE IDEAL NON-PYROGENIC,215.0,107.5,46.89,193.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER 5FR 15CM TAPERED PEELABLE W/0.018IN 60CM SS PT TIP GW LOCKING DILATOR 21GA ENTRY NDL VAXCEL MINI-STICK,423.5,211.75,92.37,381.15,64
HCPCS,C1894,KIT INTRODUCER CATHETER 6FR 11CM HYDROPHILIC RADIAL ARTERY SLIM PROFILE W/0.021IN 45CM SPRING STRAIGHT FLOPPY TIP GW 21GA 4CM ADVANCE NDL PRELUDEEASE NON-PYROGENIC,150.0,75.0,32.72,135.0,64
HCPCS,C1894,KIT INTRODUCER CATHETER 6FR SHORT 4CM LARGE BORE STOPCOCK ANGLED SIDE-ARM TUBING PINCH CLAMP W/0.035IN 50CM SS DOUBLE ENDED 3MM J FLOPPY TIP GW GREEN PRELUDE RADIOPAQUE 5/BX,120.0,60.0,26.17,108.0,64
HCPCS,C1894,KIT INTRODUCER CATHETER 7FR 11CM HYDROPHILIC RADIAL ARTERY ULTRA THIN WALL W/0.021IN 45CM SPRING STIFF STRAIGHT FLOPPY TIP GW 21GA 4CM ADVANCE NDL PRELUDE IDEAL NON-PYROGENIC,215.0,107.5,46.89,193.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER 7FR 13CM SPLIT-AWAY VALVE SIDE-PORT W/0.038IN 45CM GW 20CM DILATOR INPUT SSV 5/BX,225.0,112.5,49.07,202.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER 7FR SHORT 4CM LARGE BORE STOPCOCK ANGLED SIDE-ARM TUBING PINCH CLAMP W/0.035IN 50CM SS DOUBLE ENDED 3MM J FLOPPY TIP GW ORANGE PRELUDE RADIOPAQUE 5/BX,120.0,60.0,26.17,108.0,64
HCPCS,C1894,KIT INTRODUCER CATHETER 8FR 23CM POLYETHYLENE HEMOSTATIC VALVE SMOOTH TRANSITION KINK-RESISTANT W/0.038IN 80CM GW BLUE PRELUDE RADIOPAQUE HOLSTER PACK,67.5,33.75,14.72,60.75,64
HCPCS,C1894,KIT INTRODUCER CATHETER 9FR 13CM HYDROPHOBIC PEEL-AWAY HEMOSTATIC VALVE SIDE-PORT W/FLEXIBLE STRAIGHT J-TIP GW STRAIGHTENER 18CM DILATOR SYR NDL PROTECTOR SNAP-LOCK CONNECTOR ADELANTE SAFESHEATH ULTRA,145.0,72.5,31.62,130.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER 9FR 13CM SPLIT-AWAY VALVE SIDE-PORT W/0.038IN 45CM GW 20CM DILATOR INPUT SSV 5/BX,225.0,112.5,49.07,202.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER MICRO-ACCESS 5FR 10CM PTFE TEAR-AWAY W/0.018IN 65CM SS SOFT TIP MARKED NT MANDREL GW 21GA 7CM SAFETY NDL #11 SCALPEL 5/BX,145.0,72.5,31.62,130.5,64
HCPCS,C1894,KIT INTRODUCER CATHETER SAFETY 9FR 10CM POLYURETHANE INTEGRATED HEMOSTATIC VALVE SIDE-PORT W/0.035IN 45CM STRT J-TIP GW DILATOR CATH-GARD ARROW-FLEX,364.0,182.0,79.39,327.6,64
HCPCS,C1894,KIT INTRODUCER CATHETER STANDARD 9FR 14CM PTFE TEAR-AWAY PEELPRO 5/BX,275.0,137.5,59.98,247.5,64
HCPCS,C1894,KIT INTRODUCER L10 CM .018 IN STIFFENED DILATOR NITINOL GUIDEWIRE PLATINUM TIP ECHO ENHANCED NEEDLE MINI ACCESS OD5 FR ODSEC21 GA S-MAK L7 CM,360.0,180.0,78.52,324.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .021 IN 25 MM 2 WALL PUNCTURE DILATOR NEEDLE SHORTANGLE MINIWIRE OD5 FR ODSEC22 GA GLIDESHEATH SLENDER PLASTIC L45 CM,450.0,225.0,98.15,405.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .021 IN L35 MM FLEX STRAIGHT SHEATH DILATOR ANTERIOR WALL PUNCTURE NEEDLE OD6 FR ODSEC21 GA GLIDESHEATH SLENDER STAINLESS STEEL HYDROPHILIC L45 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .021 IN L45 CM NEEDLE JACKET SHORT TAPER ANGLE GUIDEWIRE OD5 FR ODSEC22 GA GLIDESHEATH PLASTIC HYDROPHILIC L1 IN 2 WALL PUNCTURE RADIAL ACCESS,425.0,212.5,92.69,382.5,64
HCPCS,C1894,KIT INTRODUCER L10 CM .021 IN SHEATH DILATOR 2 WALL PUNCTURE SHORT ANGLE MINIWIRE OD6 FR ODSEC22 GA GLIDESHEATH SLENDER PLASTIC L45 CM,450.0,225.0,98.15,405.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .021 IN SPRING STRAIGHT GUIDEWIRE BASIC OD4 FR GLIDESHEATH HYDROPHILIC L45 CM RADIAL ACCESS,191.25,95.63,41.71,172.13,64
HCPCS,C1894,KIT INTRODUCER L10 CM .021 IN SPRING STRAIGHT GUIDEWIRE BASIC OD5 FR GLIDESHEATH HYDROPHILIC L45 CM RADIAL ACCESS,191.25,95.63,41.71,172.13,64
HCPCS,C1894,KIT INTRODUCER L10 CM .025 IN 35 MM ANTERIOR WALL PUNCTURE DILATOR NEEDLE FLEX STRAIGHT MINIWIRE OD5 FR ODSEC20 GA GLIDESHEATH SLENDER PLASTIC L45 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .025 IN L32 MM SHORT ANGLE SHEATH DILATOR 2 WALL PUNCTURE NEEDLE OD6 FR ODSEC20 GA GLIDESHEATH SLENDER PLASTIC HYDROPHILIC L45 CM,450.0,225.0,98.15,405.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .025 IN L32 MM SHORT ANGLE SHEATH DILATOR 2 WALL PUNCTURE NEEDLE OD7 FR ODSEC20 GA GLIDESHEATH SLENDER PLASTIC HYDROPHILIC L45 CM,450.0,225.0,98.15,405.0,64
HCPCS,C1894,KIT INTRODUCER L10 CM .035 IN SPRING J TIP GUIDEWIRE BASIC TRANSITION OD6 FR GLIDESHEATH HYDROPHILIC L45 CM RADIAL ACCESS,191.25,95.63,41.71,172.13,64
HCPCS,C1894,KIT INTRODUCER L10 CM OD7 FR GLIDESHEATH SLENDER TERUMO GLIDE TECHNOLOGY NITINOL,83.39,41.7,18.19,75.05,64
HCPCS,C1894,KIT INTRODUCER L16 CM .021 IN 25 MM 2 WALL PUNCTURE DILATOR NEEDLE SHORTANGLE MINIWIRE OD6 FR ODSEC22 GA GLIDESHEATH SLENDER PLASTIC L80 CM,450.0,225.0,98.15,405.0,64
HCPCS,C1894,KIT INTRODUCER L16 CM .021 IN 25 MM 2 WALL PUNCTURE DILATOR NEEDLE SHORTANGLE MINIWIRE OD7 FR ODSEC22 GA GLIDESHEATH SLENDER PLASTIC L80 CM,450.0,225.0,98.15,405.0,64
HCPCS,C1894,KIT INTRODUCER L16 CM .021 IN L35 MM DILATOR FLEX STRAIGHT MINIWIRE ANTERIOR WALL PUNCTURE NEEDLE OD6 FR ODSEC21 GA GLIDESHEATH SLENDER STAINLESS STEEL L80 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,KIT INTRODUCER L16 CM .021 IN L35 MM DILATOR FLEX STRAIGHT MINIWIRE NEEDLE OD7 FR ODSEC21 GA GLIDESHEATH SLENDER STAINLESS STEEL L80 CM ANTERIOR WALL PUNCTURE,260.0,130.0,56.71,234.0,64
HCPCS,C1894,KIT INTRODUCER L25 CM .021 IN SPRING STRAIGHT GUIDEWIRE BASIC OD5 FR GLIDESHEATH HYDROPHILIC L80 CM RADIAL ACCESS,191.25,95.63,41.71,172.13,64
HCPCS,C1894,KIT INTRODUCER L25 CM .021 IN SPRING STRAIGHT GUIDEWIRE BASIC OD6 FR GLIDESHEATH HYDROPHILIC L80 CM RADIAL ACCESS,191.25,95.63,41.71,172.13,64
HCPCS,C1894,KIT INTRODUCER L25 CM .035 IN SPRING J TIP GUIDEWIRE KINK RESISTANCE OD6 FR ID.087 IN IDSEC.082 IN GLIDESHEATH L80 CM RADIAL ACCESS,191.25,95.63,41.71,172.13,64
HCPCS,C1894,KIT INTRODUCER L25 CM LONG OD14FR IMPELLA,700.0,350.0,152.67,630.0,64
HCPCS,C1894,KIT INTRODUCER L4 1/8 IN SHEATH CATHETER INTEGRAL HEMOSTASIS VALVE SIDEPORT OD8.5 FR ODSEC7-7.5 FR ARROWG+ARD BLUE ARROW-FLEX POLYURETHANE L2 1/2 IN PERCUTANEOUS,530.0,265.0,115.59,477.0,64
HCPCS,C1894,KIT INTRODUCER L4 IN .035 IN SHEATH GUIDEWIRE NEEDLE OD6 FR ODSEC18 GA ARROW-FLEX POLYURETHANE L6.35 CM PERCUTANEOUS 4-6 FR CATHETER,332.0,166.0,72.41,298.8,64
HCPCS,C1894,KIT INTRODUCER L50 CM INTRODUCER SHEATH OD8.9 MM 25 FR AVEIR HYDROPHILIC COATED,600.0,300.0,130.86,540.0,64
HCPCS,C1894,KIT MICROINTRODUCER 5FR 50CM 7CM UNIVERSAL GUIDEWIRE BEVEL A NEEDLE SMOOTH DILATOR ERGONOMIC HANDLE FLEXURA MICROEZ DISPOSABLE STERILE,429.0,214.5,93.56,386.1,64
HCPCS,C1894,KIT MICROINTRODUCER 6FR 10CM 70CM WIRE RADSTIC STAINLESS STEEL PTFE LATEX FREE RADIOLOGY,695.0,347.5,151.58,625.5,64
HCPCS,C1894,KIT MICROINTRODUCER L45 CM .018 IN GUIDEWIRE B BEVEL OD5 FR STAINLESS STEEL L7 CM,308.0,154.0,67.17,277.2,64
HCPCS,C1894,KIT MICROINTRODUCER L7 CM MAX COAXIAL STIFFEN GUIDEWIRE ECHOGENIC NEEDLE OD4 FR ODSEC21 GA MINI STICK TUNGSTEN NITINOL,264.0,132.0,57.58,237.6,64
HCPCS,C1894,KIT MICROINTRODUCER L7 CM MAX COAXIAL STIFFEN GUIDEWIRE ECHOGENIC NEEDLE OD5 FR ODSEC21 GA MINI STICK TUNGSTEN NITINOL,264.0,132.0,57.58,237.6,64
HCPCS,C1894,KIT MICROINTRODUCER VASCULAR 4FR 10CM SMOOTH TRANSITION KINK-RESISTANT W/40CM NT SS GW 21GA 7CM ECHOGENIC NDL,250.0,125.0,54.53,225.0,64
HCPCS,C1894,KIT MICROINTRODUCER VASCULAR 4FR 10CM STIFFENED W/0.018IN 45CM TG TIP NT GW 7CM SUPER SHARP 21GA ECHOGENIC NDL 10/BX,600.0,300.0,130.86,540.0,64
HCPCS,C1894,KIT MICROINTRODUCER VASCULAR 5FR 10CM STIFFEN W/40CM NT AU GW 21GA 7CM ECHOGENIC NDL GALT 10/BX,180.0,90.0,39.26,162.0,64
HCPCS,C1894,KIT MICROINTRODUCER VASCULAR 5FR 10CM STIFFENED W/0.018IN 45CM NT TIP TG GW 7CM B BEVELED 21GA ECHOGENIC NDL 10/BX,264.0,132.0,57.58,237.6,64
HCPCS,C1894,KIT NEUROSTIMULATOR L22 CM BIG CURVE DELIVERY SHEATH AXIUM,663.0,331.5,144.6,596.7,64
HCPCS,C1894,KIT PEG 18GA 4X4IN 11 LONG 3 DILATOR INTRODUCER NEEDLE SAFETY SCALPEL WATER SOLUBLE LUBRICANT STERILE GASTROSTOMY,141.0,70.5,30.75,126.9,64
HCPCS,C1894,KIT SHEATH 1.95MM 1.5MM 105CM 115CM GUIDE BIOPSY FORCEPS CYTOLOGY BRUSH DISPOSABLE WHITE ACCEPTS 2MM CHANNEL,127.6,63.8,27.83,114.84,64
HCPCS,C1894,KIT SHEATH 2.55MM 1.9MM 105CM 115CM GUIDE BIOPSY FORCEPS CYTOLOGY BRUSH DISPOSABLE WHITE ACCEPTS 2.6MM CHANNEL,127.6,63.8,27.83,114.84,64
HCPCS,C1894,KIT SHEATH CATHETER 63CML 230CML RF WIRE TRANSSEPTAL 45DEG CURVE PIGTAIL STEERABLE W/0.035IN DIA GUIDEWIRE DISPERSIVE ELECTRODE VERSACROSS,1020.0,510.0,222.46,918.0,64
HCPCS,C1894,KIT STIMULATOR 65CM KIT INTRODUCER PRECISION SPINAL CORD STIMULATOR,50.0,25.0,10.91,45.0,64
HCPCS,C1894,SET 12FR GALT TEAR AWAY INTRODUCER,104.5,52.25,22.79,94.05,64
HCPCS,C1894,SET 14FR GALT TEAR AWAY INTRODUCER,184.04,92.02,40.14,165.64,64
HCPCS,C1894,SET ACCESS 85CM 12FR VERSACROSS CURVE 1 CONNECT TRANSSEPTAL DILATOR PIGTAIL RF WIRE 230CM ACCEPTS .035IN GUIDEWIRE NONSTERILE LATEX FREE DISPOSABLE,1000.0,500.0,218.1,900.0,64
HCPCS,C1894,SET ACCESS L10 CM .018 IN COAXIAL CATHETER ECHOGENIC NEEDLE GUIDEWIRE TRANSITIONLESS TIP OD5 FR ODSEC21 GA MICROPUNCTURE PLATINUM STAINLESS STEEL L7 CM,33.99,17.0,7.41,30.59,64
HCPCS,C1894,SET ACCESS L10 CM .018 IN COAXIAL CATHETER GUIDEWIRE STIFF CANNULA OD4 FR ODSEC21 GA MICROPUNCTURE STAINLESS STEEL L7 CM,44.99,22.5,9.81,40.49,64
HCPCS,C1894,SET ACCESS L40 CM .018 IN COAXIAL CATHETER GUIDEWIRE ECHOGENIC NEEDLE TIP OD4 FR ODSEC21 GA MICROPUNCTURE STAINLESS STEEL L10 CM,31.99,16.0,6.98,28.79,64
HCPCS,C1894,SET ACCESS L40 CM .018 IN COAXIAL CATHETER GUIDEWIRE NEEDLE TIP OD4 FR ODSEC21 GA MICROPUNCTURE NITINOL PLATINUM L10 CM,33.99,17.0,7.41,30.59,64
HCPCS,C1894,SET ACCESS L40 CM .018 IN STIFFEN CANNULA COAXIAL CATHETER GUIDEWIRE ECHOGENIC NEEDLE TIP OD5 FR ODSEC21 GA MICROPUNCTURE NITINOL PLATINUM L10 CM,30.99,15.5,6.76,27.89,64
HCPCS,C1894,SET CATHETER 2 LUMEN INTEGRAL HEMOSTASIS VALVE MAC LIDOCAINE PHTHALATE DEHP CENTRAL VENOUS 7-7.5 FR CATHETER,506.0,253.0,110.36,455.4,64
HCPCS,C1894,SET CATHETER L16 CM OD18 GA SAFETYGLIDE LIDOCAINE ARTERIAL,494.0,247.0,107.74,444.6,64
HCPCS,C1894,SET CATHETER L2 IN SPRING GUIDEWIRE STRAIGHT SOFT TIP TISSUE DILATOR OD7 FR ODSEC.025 IN RIC ARROW-FLEX POLYURETHANE L13 1/8 IN INTRAVENOUS,309.0,154.5,67.39,278.1,64
HCPCS,C1894,SET CATHETER NEEDLE GUIDE SHEATH DILATOR GORE TIPS,540.0,270.0,117.77,486.0,64
HCPCS,C1894,SET INTRODUCER 8-14FR 18GA 14CM 10CM SP TUBE NEEDLE DILATOR GUIDEWIRE .035IN STRAIGHT STERILE STAINLESS STEEL,146.0,73.0,31.84,131.4,64
HCPCS,C1894,SET INTRODUCER CATHETER 1.7MM ID 5.5FR 13CM PEDIATRIC W/0.025IN STRAIGHT 3MM J-TIP GW PERFORMER 0.25IN GW,63.0,31.5,13.74,56.7,64
HCPCS,C1894,SET INTRODUCER CATHETER 11FR 80CM HYDROPHILIC PERCUTANEOUS TRI-CUSPED STEERABLE 3-WAY STOPCOCK INTEGRATED HEMOSTATIC VALVE SIDE-PORT W/SNAP-LOCK VESSEL DILATOR OBTURATOR CAP W/O GW YELLOW SUPER ARROW-,385.0,192.5,83.97,346.5,64
HCPCS,C1894,SET INTRODUCER CATHETER GUIDING STANDARD 6.5FR 55CM HYDROPHOBIC MULTIPURPOSE BRAIDED STEERABLE W/7MM BEND CURVE GREEN DESTINO TWIST RADIOPAQUE,1049.0,524.5,228.79,944.1,64
HCPCS,C1894,SET INTRODUCER CATHETER STANDARD 4FR 5CM HEMOSTATIC VALVE W/0.021IN 50CM DOUBLE DISTAL STRAIGHT TIPX2 GW DILATOR FAST-CATH RADIOPAQUE 10/BX,210.0,105.0,45.8,189.0,64
HCPCS,C1894,SET INTRODUCER CATHETER TEARAWAY MICRO ACCESS 3FR 5CM FUNNEL SPLITTABLE WINGED SECURE LOCK CORE VASCULAR W/SHEATH DIL PTFE 10/BX 0.018IN GW,160.0,80.0,34.9,144.0,64
HCPCS,C1894,SET INTRODUCER L11 CM .035 IN 3 WAY STOPCOCK TISSUE DILATOR OBTURATOR INTEGRAL HEMOSTASIS VALVE OD6 FR ODSEC8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,323.0,161.5,70.45,290.7,64
HCPCS,C1894,SET INTRODUCER L11 CM 3 WAY STOPCOCK VESSEL DILATOR SNAP LOCK OBTURATOR CAP OD9 FR SUPER ARROW-FLEX ADULT BLACK ACCEPTS .035-.038 IN GUIDEWIRE,485.0,242.5,105.78,436.5,64
HCPCS,C1894,SET INTRODUCER L15.5 CM .038 IN OD15 FR PEEL-AWAY PERCUTANEOUS,50.99,25.5,11.12,45.89,64
HCPCS,C1894,SET INTRODUCER L17 3/4 IN 3 WAY STOPCOCK TISSUE DILATOR OBTURATOR INTEGRAL HEMOSTASIS VALVE OD7 FR ODSEC8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,479.0,239.5,104.47,431.1,64
HCPCS,C1894,SET INTRODUCER L25 5/8 IN 3 WAY STOPCOCK TISSUE DILATOR OBTURATOR INTEGRAL HEMOSTASIS VALVE OD8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,715.0,357.5,155.94,643.5,64
HCPCS,C1894,SET INTRODUCER L30 CM OD12 FR ID4 MM PERFORMER L41 CM ACCEPTS .038 IN GUIDEWIRE,73.99,37.0,16.14,66.59,64
HCPCS,C1894,SET INTRODUCER L4 3/8 IN 3 WAY STOPCOCK TISSUE DILATOR OBTURATOR INTEGRAL HEMOSTASIS VALVE OD7 FR ODSEC8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS ACCEPTS .035-.038 IN GUIDEWIRE,380.0,190.0,82.88,342.0,64
HCPCS,C1894,SET INTRODUCER L45 CM 3 WAY STOPCOCK SHEATH INTEGRAL HEMOSTASIS VALVE SIDEPORT OD6 FR SUPER ARROW-FLEX PERCUTANEOUS GREEN,505.0,252.5,110.14,454.5,64
HCPCS,C1894,SET INTRODUCER L5 CM 4 WAY STOPCOCK SHEATH RADIOPAQUE INTEGRAL HEMOSTASIS VALVE OD7 FR ARROW POLYURETHANE PEDIATRIC PERCUTANEOUS ARROW-TREROTOLA PTD,155.0,77.5,33.81,139.5,64
HCPCS,C1894,SET INTRODUCER L65 CM TRANSLUCENT RADIOPAQUE TRE-SHEATH HYDROPHILIC,930.0,465.0,202.83,837.0,64
HCPCS,C1894,SET INTRODUCER L7 CM .18 IN HEMOSTASIS VALVE GUIDEWIRE NEEDLE PEDAL OD5 FR ODSEC21 GA ID2.9 FR MICROPUNCTURE NITINOL PLATINUM L4 CM,61.99,31.0,13.52,55.79,64
HCPCS,C1894,SET INTRODUCER L80 CM 3 WAY STOPCOCK SHEATH RADIOPAQUE INTEGRAL HEMOSTASIS VALVE OBTURATOR OD7 FR ODSEC8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,247.23,123.62,53.92,222.51,64
HCPCS,C1894,SET INTRODUCER L80 CM 3 WAY STOPCOCK SHEATH RADIOPAQUE INTEGRAL HEMOSTASIS VALVE OD8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,286.0,143.0,62.38,257.4,64
HCPCS,C1894,SET INTRODUCER L9 3/8 IN 3 WAY STOPCOCK TISSUE DILATOR OBTURATOR INTEGRAL HEMOSTASIS VALVE OD8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS ACCEPTS .035-.038 IN GUIDEWIRE,485.0,242.5,105.78,436.5,64
HCPCS,C1894,SET INTRODUCER L9 3/8 IN 3 WAY STOPCOCK TISSUE DILATOR RADIOPAQUE INTEGRAL HEMOSTASIS VALVE OD9 FR ODSEC8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,440.0,220.0,95.96,396.0,64
HCPCS,C1894,SET INTRODUCER L90 CM 3 WAY STOPCOCK SHEATH RADIOPAQUE INTEGRAL HEMOSTASIS VALVE OD6 FR ODSEC8 FR SUPER ARROW-FLEX ADULT PERCUTANEOUS,247.23,123.62,53.92,222.51,64
HCPCS,C1894,SET INTRODUCER LEAD 60FR DIA EP MANIPULATED,200.9,100.45,43.82,180.81,64
HCPCS,C1894,SET INTRODUCER SUBMANDIBULAR SALIVARY DUCT .074IN 5.5CM GUIDEWIRE .018IN KOLENDA,215.0,107.5,46.89,193.5,64
HCPCS,C1894,SET MICRO INTRODUCER 5FR 40CM 21GA 7CM .018IN NITINOL MANDREL TUNGSTEN COIL 10CM STIFFEN,306.0,153.0,66.74,275.4,64
HCPCS,C1894,SET NANO 125MM W/ HF SHEATH CONTAINS AR-3210-0043 AND AR-3210-0051,525.0,262.5,114.5,472.5,64
HCPCS,C1894,SET VENTRICULAR ASSIST L6 CM INSERTION KIT GRAFT LOCK X2 OD23 FR IMPELLA AXILLARY ARTERY,250.0,125.0,54.53,225.0,64
HCPCS,C1894,SHEATH .145IN DILATOR ROTATE TIGHTRAIL SUB-C STERILE LATEX FREE DISPOSABLE,1855.0,927.5,404.58,1669.5,64
HCPCS,C1894,SHEATH 11-13FR 28CM ACCESS RADIOPAQUE 2 TAPER DILATOR TIP UNIQUE HUB NAVIGATOR STAINLESS STEEL HYDROPHILIC LATEX FREE URETERAL URETEROSCOPIC,106.94,53.47,23.32,96.25,64
HCPCS,C1894,SHEATH 11-13FR 36CM ACCESS RADIOPAQUE 2 TAPER DILATOR TIP UNIQUE HUB NAVIGATOR STAINLESS STEEL HYDROPHILIC LATEX FREE URETERAL URETEROSCOPIC,106.94,53.47,23.32,96.25,64
HCPCS,C1894,SHEATH 11-13FR 46CM ACCESS RADIOPAQUE 2 TAPER DILATOR TIP HUB NAVIGATOR STAINLESS STEEL HYDROPHILIC LATEX FREE URETERAL URETEROSCOPIC,106.94,53.47,23.32,96.25,64
HCPCS,C1894,SHEATH 11FR 18FR 11.2FR 6.1IN 23FR DILATOR FLEXIBLE SHAFT BLADE ROTATE BIDIRECTIONAL TIGHTRAIL MINI,1855.0,927.5,404.58,1669.5,64
HCPCS,C1894,SHEATH 12FR 65CM GUIDING FLEXCATH ADVANCE STERILE LATEX FREE DISPOSABLE,1000.0,500.0,218.1,900.0,64
HCPCS,C1894,SHEATH 13.5MM 60MM ENDOSCOPIC BRAINPATH FIBER STERILE DISPOSABLE,1989.0,994.5,433.8,1790.1,64
HCPCS,C1894,SHEATH 13.5MM 75MM ENDOSCOPIC BRAINPATH FIBER STERILE DISPOSABLE,1989.0,994.5,433.8,1790.1,64
HCPCS,C1894,SHEATH 14-18FR 12FR 35CM 2 TAPER ACCESS DILATOR KINK RESISTANT CONTINUOUS WORK CHANNEL FORTE AXP HYDROPHILIC STERILE LATEX FREE URETER,630.0,315.0,137.4,567.0,64
HCPCS,C1894,SHEATH 14FR 43CM DILATOR VISISHEATH,270.0,135.0,58.89,243.0,64
HCPCS,C1894,SHEATH 16.4FR 12.8FR 33CM 45D SMALL DILATOR BEVEL TIP TRANSPARENT CONTRAST WINDOW VISISHEATH PEBAX TEFLON POLYPROPYLENE GOLD ACCEPTS 12FR GLIDELIGHT LASER,270.0,135.0,58.89,243.0,64
HCPCS,C1894,SHEATH 16FR 28CM .035IN INTRODUCER RADIOPAQUE REINFORCE COIL DILATOR LOCK MECHANISM GUIDEWIRE SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH 180CM PIGTAIL GUIDING 1 TRANSSEPTAL DILATOR 1RF WIRE WITH CONNECTOR CABLE (SINGLE USE) VERSACROSS STERILE,1000.0,500.0,218.1,900.0,64
HCPCS,C1894,SHEATH 2.5FR 90CM GUIDING RAABE MODIFICATION RADIOPAQUE FLEXOR CHECK-FLO STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,61.99,31.0,13.52,55.79,64
HCPCS,C1894,SHEATH 45CM 6FR STRAIGHT GUIDING INTRODUCER MAX GUIDEWIRE 0.35IN CATAPULT STERILE,545.0,272.5,118.86,490.5,64
HCPCS,C1894,SHEATH 45CM 7FR STRAIGHT GUIDING INTRODUCER MAX GUIDEWIRE 0.35IN CATAPULT STERILE,545.0,272.5,118.86,490.5,64
HCPCS,C1894,SHEATH 4FR 150CM .014IN RETRIEVAL BENT TIP FILTERWIRE EZ,80.0,40.0,17.45,72.0,64
HCPCS,C1894,SHEATH 6.5FR 45CM 17MM 180D CATHETER STEERABLE TOURGUIDE HYDROPHILIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 6.5FR 45CM 9MM 180D CATHETER STEERABLE TOURGUIDE HYDROPHILIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 6.5FR 70CM 55CM 180D CATHETER STEERABLE TOURGUIDE HYDROPHILIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 60CM 7FR STRAIGHT GUIDING INTRODUCER MAX GUIDEWIRE 0.35IN RDC CATAPULT STERILE,595.0,297.5,129.77,535.5,64
HCPCS,C1894,SHEATH 6FR .109IN .087IN 45CM 35CM STRAIGHT GUIDING RADIOPAQUE CROSS CUT VALVE KINK RESISTANT PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE ACCEPTS .038IN GUIDEWIRE,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH 6FR .109IN .087IN 90CM 15CM MULTIPURPOSE CURVE GUIDING RADIOPAQUE KINK RESISTANT PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL NYLON HYDROPHILIC PTFE,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH 6FR 43CM DILATOR VISISHEATH,270.0,135.0,58.89,243.0,64
HCPCS,C1894,SHEATH 7FR .122IN .101IN 45CM 35CM STRAIGHT GUIDING RADIOPAQUE CROSS CUT VALVE KINK RESISTANT PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE ACCEPTS .038IN GUIDEWIRE,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH 7FR .122IN .101IN 65CM 35CM STRAIGHT GUIDING RADIOPAQUE KINK RESISTANT CROSS CUT VALVE PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE,99.0,49.5,21.59,89.1,64
HCPCS,C1894,SHEATH 7FR 45CM 17MM 180D CATHETER STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT TOURGUIDE HYDROPHOBIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 7FR 55CM 17MM 180D CATHETER STEERABLE TOURGUIDE HYDROPHILIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 8.5FR .033IN 63CM 180CM 45D .032IN GUIDING RADIOPAQUE 3 WAY STOPCOCK HEMOSTATIC VALVE GUIDEWIRE TORFLEX STERILE LATEX FREE DISPOSABLE TRANSSEPTAL,150.0,75.0,32.72,135.0,64
HCPCS,C1894,SHEATH 8.5FR .033IN 63CM 180CM 55D .032IN J GUIDING GUIDEWIRE TORFLEX STERILE LATEX FREE DISPOSABLE TRANSSEPTAL,150.0,75.0,32.72,135.0,64
HCPCS,C1894,SHEATH 8.5FR 45CM 180D CATHETER STEERABLE REINFORCE BRAID CURVE RETENSION TOURGUIDE HYDROPHOBIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 8.5FR 55CM 22MM 180D CATHETER STEERABLE TOURGUIDE HYDROPHILIC,418.7,209.35,91.32,376.83,64
HCPCS,C1894,SHEATH 8FR 45CM 35CM STRAIGHT GUIDING COIL RADIOPAQUE RESIST KINK SMOOTH TRANSITION PINNACLE DESTINATION TUOHY BORST STAINLESS STEEL GOLD NYLON HYDROPHILIC,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH 90CM 6FR STRAIGHT GUIDING INTRODUCER MAX GUIDEWIRE 0.35IN CATAPULT STERILE,625.0,312.5,136.31,562.5,64
HCPCS,C1894,SHEATH 9FR 15.9FR 9.2FR 6.1IN 20FR DILATOR ROTATE FLEXIBLE BIDIRECTIONAL EXTRACTION DEVICE TIGHTRAIL MINI,1855.0,927.5,404.58,1669.5,64
HCPCS,C1894,SHEATH 9FR 3.2MM 70CM GUIDING RAABE MODIFICATION RADIOPAQUE FLEXOR CHECK-FLO STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,61.99,31.0,13.52,55.79,64
HCPCS,C1894,SHEATH CATHETER 6FR DIA THIN WALLED HALO ONE 0.035IN GUIDEWIRE COMPATIBLE,90.0,45.0,19.63,81.0,64
HCPCS,C1894,SHEATH CATHETER L80 CM OD8 F AMPLATZER TALISMAN TIP ANGLE 45 INNER OD 2.69 MM OUTER OD 3.45 MM DELIVERY,773.0,386.5,168.59,695.7,64
HCPCS,C1894,SHEATH CATHETER L80 CM OD9 FR ODSEC3.81 MM IDSEC3 MM AMPLATZER TALISMAN 45 D,773.0,386.5,168.59,695.7,64
HCPCS,C1894,SHEATH CYSTOURETHROSCOPE L22 CM LUER-LOCK OD22 FR BLUE,1153.4,576.7,251.56,1038.06,64
HCPCS,C1894,SHEATH DILATOR 1 ACCESS OD7 FR,250.0,125.0,54.53,225.0,64
HCPCS,C1894,SHEATH DILATOR L18 CM TEAR AWAY HEMOSTATIC VALVE CAP ERGONOMIC DESIGN POSITIVE LOCK CONNECTOR OD8.5 FR SAFE SHEATH ULTRA LITE SILICONE L13 CM LIGHT BLUE,170.0,85.0,37.08,153.0,64
HCPCS,C1894,SHEATH DILATOR L18 CM TEAR AWAY HEMOSTATIC VALVED PINK CAP ERGONOMIC DESIGN POSITIVE LOCKING CONNECTOR OD10 FR SAFE SHEATH ULTRA LITE SILICONE L13 CM,170.0,85.0,37.08,153.0,64
HCPCS,C1894,SHEATH GUIDING L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID10 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH GUIDING L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID11 FR PINNACLE L2.5 CM PERIPHERAL,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH GUIDING L25 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE R/O II L2.5 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH GUIDING L25 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID5 FR PINNACLE L2.5 CM CORONARY,222.5,111.25,48.53,200.25,64
HCPCS,C1894,SHEATH GUIDING L25 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID6 FR PINNACLE L2.5 CM CORONARY,222.5,111.25,48.53,200.25,64
HCPCS,C1894,SHEATH GUIDING L25 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID8 FR PINNACLE L2.5 CM CORONARY,222.5,111.25,48.53,200.25,64
HCPCS,C1894,SHEATH GUIDING L25 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID9 FR PINNACLE L2.5 CM CORONARY,222.5,111.25,48.53,200.25,64
HCPCS,C1894,SHEATH GUIDING L40 CM BALKIN CURVE RADIOPAQUE OD6 FR FLEXOR CHECK-FLO ACCEPTS .035 IN GUIDEWIRE,191.0,95.5,41.66,171.9,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL0 CURVE RADIOPAQUE HEMOSTASIS VALVE STRAIGHT TIP OD5 FR ID1.9 MM FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,51.99,26.0,11.34,46.79,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL0 CURVE RADIOPAQUE HIGH FLEX DILATOR OD12 FR ID4.1 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL0 CURVE RADIOPAQUE NONTAPER END CATHETER STRAIGHT TIP OD9 FR ID3.2 MM FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,61.99,31.0,13.52,55.79,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL1 CURVE RADIOPAQUE HEMOSTASIS VALVE OD6 FR ID2.2 MM FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL1 CURVE RADIOPAQUE HEMOSTASIS VALVE OD8 FR ID2.9 MM FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,61.99,31.0,13.52,55.79,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL1 CURVE RADIOPAQUE OD9 FR FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,61.99,31.0,13.52,55.79,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL1 CURVE STRAIGHT TIP CLOSED NONTAPER END CATHETER OD10 FR ID3.4 MM FLEXOR ACCEPTS .035 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL2 CURVE RADIOPAQUE HEMOSTASIS VALVE OD5 FR ID1.9 MM FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,51.99,26.0,11.34,46.79,64
HCPCS,C1894,SHEATH GUIDING L45 CM ANL2 CURVE RADIOPAQUE HEMOSTASIS VALVE OD6 FR ID2.2 MM FLEXOR HYDROPHILIC ACCEPTS .018/.038 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L45 CM HOCKEY STICK CURVE RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM MULTIPURPOSE CURVE CROSS CUT VALVE KINK RESIST RADIOPAQUE OD7 FR ODSEC.122 IN ID.1 IN PINNACLE DESTINATION STAINLESS STEEL NYLON PTFE HYDROPHILIC L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM MULTIPURPOSE CURVE CROSS CUT VALVE KINK RESISTANT ATRAUMATIC TIP RADIOPAQUE OD5 FR PINNACLE DESTINATION STAINLESS STEEL L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM MULTIPURPOSE CURVE RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM RD CURVE RADIOPAQUE CROSS CUT VALVE KINK RESISTANT OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM ACCEPTS .038 IN GUIDEWIRE,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM RENAL DOUBLE CURVE RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM STRAIGHT CROSSCUT VALVE RADIOPAQUE KINK RESISTANT OD8 FR PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L35 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM STRAIGHT CURVE RADIOPAQUE KINK RESISTANT OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM STRAIGHT RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM STRAIGHT RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L45 CM STRAIGHT RADIOPAQUE KINK RESISTANT OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL NYLON HYDROPHILIC PTFE L5 CM,86.0,43.0,18.76,77.4,64
HCPCS,C1894,SHEATH GUIDING L48 CM RADIOPAQUE SIDEARM FIT LARGE VALVE OD6 FR ID2 MM PERFORMER FEP POLYMER ACCEPTS .032 IN GUIDEWIRE,58.99,29.5,12.87,53.09,64
HCPCS,C1894,SHEATH GUIDING L55 CM ANL0 CURVE RADIOPAQUE HIGH FLEX DILATOR OD5 FR ID1.9 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L55 CM ANL0 CURVE RADIOPAQUE HIGH FLEX DILATOR OD6 FR ID2.2 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L55 CM ANL1 CURVE RADIOPAQUE HIGH FLEX DILATOR OD5 FR ID1.9 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,76.99,38.5,16.79,69.29,64
HCPCS,C1894,SHEATH GUIDING L6 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH GUIDING L6 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID8 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH GUIDING L65 CM STRAIGHT CROSS CUT VALVE ATRAUMATIC TIP RADIOPAQUE OD8 FR ODSEC.136 IN ID.115 IN PINNACLE DESTINATION STAINLESS STEEL HYDROPHILIC L35 CM,99.0,49.5,21.59,89.1,64
HCPCS,C1894,SHEATH GUIDING L65 CM STRAIGHT RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L35 CM,99.0,49.5,21.59,89.1,64
HCPCS,C1894,SHEATH GUIDING L70 CM ANL0 CURVE RADIOPAQUE HIGH FLEX DILATOR OD7 FR ID2.5 MM HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,88.99,44.5,19.41,80.09,64
HCPCS,C1894,SHEATH GUIDING L70 CM ANL0 CURVE RADIOPAQUE HIGH FLEX DILATOR STRAIGHT TIP OD5 FR ID1.9 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,88.99,44.5,19.41,80.09,64
HCPCS,C1894,SHEATH GUIDING L70 CM ANL1 CURVE RADIOPAQUE HIGH FLEX DILATOR MULTIPURPOSE TIP OD7 FR ID2.5 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,88.99,44.5,19.41,80.09,64
HCPCS,C1894,SHEATH GUIDING L70 CM ANL1 CURVE RADIOPAQUE HIGH FLEX DILATOR MULTIPURPOSE TIP OD8 FR ID2.9 MM FLEXOR HYDROPHILIC ACCEPTS .035 IN GUIDEWIRE,88.99,44.5,19.41,80.09,64
HCPCS,C1894,SHEATH GUIDING L70 CM RAABE MODIFICATION OD7 FR ID2.5 MM FLEXOR ACCEPTS .038 IN GUIDEWIRE,51.42,25.71,11.21,46.28,64
HCPCS,C1894,SHEATH GUIDING L70 CM RAABE MODIFICATION RADIOPAQUE OD6 FR FLEXOR ACCEPTS .038 IN GUIDEWIRE,51.42,25.71,11.21,46.28,64
HCPCS,C1894,SHEATH GUIDING L90 CM MULTIPURPOSE CURVE RADIOPAQUE KINK RESISTANT OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL NYLON HYDROPHILIC PTFE L15 CM,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH GUIDING L90 CM STRAIGHT RADIOPAQUE CROSS CUT VALVE OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL HYDROPHILIC L15 CM,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH GUIDING L90 CM STRAIGHT RADIOPAQUE KINK RESISTANT CROSS CUT VALVE OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L15 CM,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH GUIDING L90 CM STRAIGHT RADIOPAQUE KINK RESISTANT CROSSCUT VALVE OD8 FR PINNACLE DESTINATION STAINLESS STEEL NYLON HYDROPHILIC PTFE L60 CM,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH GUIDING L90 CM STRAIGHT RADIOPAQUE KINK RESISTANT OD6 FR ODSEC.109 IN ID.087 IN PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL NYLON HYDROPHILIC PTFE L15 CM,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH GUIDING L90 CM STRAIGHT RADIOPAQUE KINK RESISTANT OD7 FR ODSEC.122 IN ID.101 IN PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL NYLON HYDROPHILIC PTFE L15 CM,96.0,48.0,20.94,86.4,64
HCPCS,C1894,SHEATH GUIDING L95 CM 90 D STRAIGHT DISTAL ACCESS CEREBASE,499.99,250.0,109.05,449.99,64
HCPCS,C1894,SHEATH GUIDING TOTAL INTEGRATE FIT TAPER ECHOGENIC BACK BEVEL CUT NEEDLE STIFF OD5 FR SEAL-TIGHT NITINOL ACCEPTS .021 IN GUIDEWIRE,340.0,170.0,74.15,306.0,64
HCPCS,C1894,SHEATH INTRO L33 CM DIL VLV INFLATION SYRINGE OD6.7 MM ID18,607.0,303.5,132.39,546.3,64
HCPCS,C1894,SHEATH INTRO L33 CM OD24 FR ODSEC8.8 MM ID8 MM GORE DRYSEAL,607.0,303.5,132.39,546.3,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .021 IN L35 MM FLEX STRAIGHT SHEATH DILATOR ANTERIOR WALL PUNCTURE NEEDLE OD5 FR ODSEC21 GA GLIDESHEATH SLENDER STAINLESS STEEL HYDROPHILIC L45 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .021 IN L35 MM FLEX STRAIGHT SHEATH DILATOR ANTERIOR WALL PUNCTURE NEEDLE OD7 FR ODSEC21 GA GLIDESHEATH SLENDER STAINLESS STEEL HYDROPHILIC L45 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID11 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID5 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID6 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID7 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID8 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM .035 IN SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE ID9 FR PINNACLE STAINLESS STEEL L2.5 CM PERIPHERAL,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID4 FR PINNACLE R/O II L2.5 CM ACCEPTS .035 IN GUIDEWIRE,301.5,150.75,65.76,271.35,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID5 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE R/O II L2.5 CM ACCEPTS .038 IN GUIDEWIRE,301.5,150.75,65.76,271.35,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID8 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM RADIOPAQUE DILATOR KINK RESISTANT ID4 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID6 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID9 FR PINNACLE R/O II L2.5 CM ACCEPTS .038 IN GUIDEWIRE,301.5,150.75,65.76,271.35,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT ID6 FR PINNACLE L2.5 CM PERIPHERAL,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID10 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM PERIPHERAL ACCEPTS .038 IN GUIDEWIRE,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID4 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM PERIPHERAL ACCEPTS .035 IN GUIDEWIRE,108.7,54.35,23.71,97.83,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID5 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM PERIPHERAL ACCEPTS .038 IN GUIDEWIRE,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM PERIPHERAL ACCEPTS .038 IN GUIDEWIRE,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID8 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM PERIPHERAL ACCEPTS .038 IN GUIDEWIRE,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH INTRODUCER L10 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID9 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM PERIPHERAL ACCEPTS .038 IN GUIDEWIRE,125.0,62.5,27.26,112.5,64
HCPCS,C1894,SHEATH INTRODUCER L25 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID5 FR PINNACLE R/O II L2.5 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH INTRODUCER L25 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID8 FR PINNACLE R/O II L2.5 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH INTRODUCER L25 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID9 FR PINNACLE R/O II L2.5 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH INTRODUCER L25 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID6 FR PINNACLE R/O II L2.5 CM,260.0,130.0,56.71,234.0,64
HCPCS,C1894,SHEATH INTRODUCER L25 CM SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION ID11 FR PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L2.5 CM CORONARY ACCEPTS .038 IN GUIDEWIRE,222.5,111.25,48.53,200.25,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK GUIDEWIRE ID12 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK GUIDEWIRE ID14 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK GUIDEWIRE ID18 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK GUIDEWIRE ID20 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK MECHANISM GUIDEWIRE ID22 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK MECHANISM GUIDEWIRE ID24 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM .035 IN RADIOPAQUE REINFORCE COIL DILATOR LOCK MECHANISM GUIDEWIRE OD26 FR SENTRANT HYDROPHILIC,159.0,79.5,34.68,143.1,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM DILATOR VALVE INFLATION SYRINGE ID12 FR DRYSEAL HYDROPHILIC,261.0,130.5,56.92,234.9,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM DILATOR VALVE INFLATION SYRINGE ID16 FR DRYSEAL HYDROPHILIC,261.0,130.5,56.92,234.9,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM DILATOR VALVE INFLATION SYRINGE ID18 FR GORE DRYSEAL HYDROPHILIC,346.0,173.0,75.46,311.4,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM DILATOR VALVE INFLATION SYRINGE ID20 FR GORE DRYSEAL HYDROPHILIC,308.0,154.0,67.17,277.2,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM OD22 FR ODSEC8.3 MM ID7.3 MM GORE DRYSEAL HYDROPHILIC,343.0,171.5,74.81,308.7,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM OD5 MM ID12 FR GORE DRYSEAL PERIPHERAL,261.0,130.5,56.92,234.9,64
HCPCS,C1894,SHEATH INTRODUCER L28 CM OD8 MM ID20 FR GORE DRYSEAL PERIPHERAL AAA,295.0,147.5,64.34,265.5,64
HCPCS,C1894,SHEATH INTRODUCER L33 CM OD20 FR ODSEC7.5 MM ID6.7 MM GORE DRYSEAL FLEX HYDROPHILIC,607.0,303.5,132.39,546.3,64
HCPCS,C1894,SHEATH INTRODUCER L4 CM .035 IN RADIOPAQUE DILATOR KINK RESISTANT SPRING SHORT GUIDEWIRE ID7 FR PINNACLE R/O II HI-FLO,245.0,122.5,53.43,220.5,64
HCPCS,C1894,SHEATH INTRODUCER L4 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID6 FR PINNACLE R/O II HI-FLO ACCEPTS .035/.038 IN GUIDEWIRE,245.0,122.5,53.43,220.5,64
HCPCS,C1894,SHEATH INTRODUCER L4 CM DILATOR KINK RESISTANT SMOOTH TRANSITION ID8 FR PINNACLE R/O II HI-FLO ACCEPTS .035/.038 IN GUIDEWIRE,245.0,122.5,53.43,220.5,64
HCPCS,C1894,SHEATH INTRODUCER L45 CM OD4.7 MM ID12 FR GORE DRYSEAL FLEX HYDROPHILIC,660.0,330.0,143.95,594.0,64
HCPCS,C1894,SHEATH INTRODUCER L6 CM RADIOPAQUE DILATOR KINK RESISTANT SMOOTH TRANSITION ID7 FR PINNACLE R/O II L2.5 CM ACCEPTS .038 IN GUIDEWIRE,280.0,140.0,61.07,252.0,64
HCPCS,C1894,SHEATH INTRODUCER L6 CM RADIOPAQUE KINK RESISTANT DILATOR SMOOTH TRANSITION ID6 FR PINNACLE R/O II L2.5 CM,235.0,117.5,51.25,211.5,64
HCPCS,C1894,SHEATH INTRODUCER L90 CM LONG MULTIPURPOSE CURVE SOFT TIP CROSSCUT ROTATE HEMOSTATIC VALVE DILATOR OD6 FR ODSEC8 FR ID.088 IN NEURON MAX STAINLESS STEEL HYDROPHILIC L4 CM ACCEPTS .035/.038 IN GUIDEWIR,395.0,197.5,86.15,355.5,64
HCPCS,C1894,SHEATH TUNNELER L12 IN LARGE RADIOPAQUE SMOOTH BULLET TIP ID8 MM SCANLAN POLYMER VASCULAR ORANGE 8 MM GRAFT,334.0,167.0,72.85,300.6,64
HCPCS,C1894,SHEATH TUNNELER L12 IN RADIOPAQUE SMOOTH BULLET TIP ID7 MM AV ACCESS POLYMER VASCULAR YELLOW 6 MM GRAFT,334.0,167.0,72.85,300.6,64
HCPCS,C1894,SHEATH URETERAL ACCESS 10/12FR DIA 38CML TAPERED DILATOR TIP UROPASS,509.0,254.5,111.01,458.1,64
HCPCS,C1894,SHEATH URETERAL L35 CM ID12 FR FLEXOR DILATION CONTINUOUS WORK CHANNEL SMALL FLEXIBLE SCOPE LOW FRICTION SURFACE HYDROPHILIC ACCESS,199.1,99.55,43.42,179.19,64
HCPCS,C1894,SHEATH UROLOGICAL 12-16FR DIA 10FR DIA DILATOR SIZE 1 35CML HYDROPHILIC COATED LUMENX1 FORTE AXP LATEX-FREE STERILE SINGLE-USE 6/BX,630.0,315.0,137.4,567.0,64
HCPCS,C1894,"SHEATH VLAK (180-P RF WIRE, 67CM/D1 DILATOR)",975.0,487.5,212.65,877.5,64
HCPCS,C1894,"SHEATH VLAK (230-P RF WIRE, 67CM/D0 DILATOR)",975.0,487.5,212.65,877.5,64
HCPCS,C1894,"SHEATH VLAK (230-P RF WIRE, 67CM/D1 DILATOR)",975.0,487.5,212.65,877.5,64
HCPCS,C1894,"SHEATH VXSK-180P RF WIRE, 63CM/45DEG/D0",949.0,474.5,206.98,854.1,64
HCPCS,C1894,"SHEATH VXSK-180P RF WIRE, 63CM/45DEG/D1",949.0,474.5,206.98,854.1,64
HCPCS,C1894,"SHEATH VXSK-230P RF WIRE, 63CM/45DEG/D0",949.0,474.5,206.98,854.1,64
HCPCS,C1894,"SHEATH VXSK-230P RF WIRE, 63CM/45DEG/D1",949.0,474.5,206.98,854.1,64
HCPCS,C1894,"SHEATH VXSK-230P RF WIRE, 63CM/55DEG/D1",949.0,474.5,206.98,854.1,64
HCPCS,C1894,SYSTEM ACCESS SHEATH DILATOR WATCHMAN 2 CURVE L75 CM OD14 FR PTFE,1000.0,500.0,218.1,900.0,64
HCPCS,C1894,SYSTEM DELIVERY KIT AMPLATZER TREVISIO,680.0,340.0,148.31,612.0,64
HCPCS,C1894,SYSTEM EPICARDIAL ACCESS ENDOSCOPIC 22GA NEEDLE BLUNT DISSECTION TIP DISTAL SUCTION PORT EPI-EASE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C1894,SYSTEM INTRODUCER ECHOGENIC NEEDLE FIX CORE GUIDEWIRE PINNACLE PRECISION ACCESS REGULAR OD5 FR NITINOL,340.0,170.0,74.15,306.0,64
HCPCS,C1894,SYSTEM INTRODUCER ECHOGENIC NEEDLE FIX CORE GUIDEWIRE PINNACLE PRECISION REGULAR OD4 FR NITINOL,340.0,170.0,74.15,306.0,64
HCPCS,C1894,SYSTEM INTRODUCER ECHOGENIC NEEDLE FIX CORE GUIDEWIRE SEAL-TIGHT REGULAR OD6 FR NITINOL,340.0,170.0,74.15,306.0,64
HCPCS,C1894,SYSTEM INTRODUCER ECHOGENIC NEEDLE FIXED CORE GUIDEWIRE SEAL-TIGHT REGULAR OD7 FR NINITOL,340.0,170.0,74.15,306.0,64
HCPCS,C1894,SYSTEM INTRODUCER ECHOGENIC NEEDLE GUIDEWIRE PINNACLE PRECISION ACCESS SYSTEM REGULAR OD6 FR STAINLESS STEEL,320.0,160.0,69.79,288.0,64
HCPCS,C1894,SYSTEM INTRODUCER ROTALINK ROTATIONAL ADVANCER ATHERECTOMY DRIVE SHAFT CORONARY,195.0,97.5,42.53,175.5,64
HCPCS,C1894,SYSTEM TRUSEAL ACCESS WATCHMAN FLX PROCEDURE,1000.0,500.0,218.1,900.0,64
HCPCS,C1894,VALVE HEMOSTASIS AORTIC EXTENSION STERILE LATEX FREE AFX INTRODUCER SYSTEM,499.0,249.5,108.83,449.1,64
HCPCS,C1894,VALVE HEMOSTASIS KIT BLEEDBACK CONTROL VALVE INTRODUCER TORQUE DEVICE GUIDEWIRE ID.096- IN INDEFLATOR COPILOT,24.0,12.0,5.23,21.6,64
HCPCS,C1895,LEAD DEFIBRILLATOR BK-IS4/DF4,25.0,12.5,4.79,22.5,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 52CM 1 COIL TRUE BIPOLAR ACTIVE FIXATION EXTENDABLE 6.8FR 11MM SPACE ENDOCARDIUM STEROID ELUTING SILICONE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 52CM 2 COIL TRUE BIPOLAR ACTIVE FIXATION 7FR 21CM SPACE ENDOCARDIUM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 52CM DF4 CONNECTOR TRUE BIPOLAR ACTIVE FIXATION DUAL COIL 7FR ENDOCARDIAL STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 58CM 1 COIL TRUE BIPOLAR ACTIVE FIXATION EXTENDABLE 6.8FR 11MM SPACE ENDOCARDIUM STEROID ELUTING SILICONE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 58CM DF-4 CONNECTOR 2 COIL TRUE BIPOLAR ACTIVE FIXATION 7FR ENDOCARDIAL STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 60CM 2 COIL DF1 IS-1 CONNECTOR EXTENSION 7FR 21CM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 60CM BIPOLAR ACTIVE FIXATION EXTENDABLE 1 COIL 7FR 17CM SPACE ENDOCARDIUM STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 60CM TRUE BIPOLAR ACTIVE FIXATION 2 COIL 7FR ENDOCARDIUM STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 65CM 1 COIL TRUE BIPOLAR ACTIVE FIXATION EXTENDABLE 6.8FR 11MM SPACE ENDOCARDIUM STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 65CM 2 COIL DF1 IS-1 CONNECTOR EXTENSION 7FR 21CM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 65CM 2 COIL TRUE BIPOLAR ACTIVE FIXATION 7FR 21CM SPACE ENDOCARDIUM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 65CM BIPOLAR ACTIVE FIXATION EXTENDABLE 1 COIL 7FR 17CM SPACE ENDOCARDIUM STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 65CM DF-4 CONNECTOR 2 COIL TRUE BIPOLAR ACTIVE FIXATION 7FR ENDOCARDIAL STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 65CM TRUE BIPOLAR ACTIVE FIXATION 2 COIL 7FR ENDOCARDIUM STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA 75CM TRUE BIPOLAR ACTIVE FIXATION 2 COIL 7FR ENDOCARDIUM STEROID ELUTING,5700.0,2850.0,1091.55,5130.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR DURATA SJ4 58CM 2 COIL TRUE BIPOLAR ACTIVE FIXATION 7FR 21CM SPACE ENDOCARDIUM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR IMPLANTABLE 65/18CML DUAL-COIL PLEXA PROMRI,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR IMPLANTABLE 65/18CML SINGLE-COIL DF-1 S CONNECTOR PLEXA PROMRI,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR OPTISURE 58CM 1 COIL DF4 CONNECTOR TRUE BIPOLAR SENSE HELIX EXTENSION RETRACTION 8FR ENDOCARDIUM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR OPTISURE 65CM 1 COIL DF1IS-1 CONNECTOR TRUE BIPOLAR SENSE HELIX EXTENSION RETRACTION 8FR ENDOCARDIUM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR OPTISURE 65CM 1 COIL DF4 CONNECTOR TRUE BIPOLAR SENSE HELIX EXTENSION RETRACTION 8FR ENDOCARDIUM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR OPTISURE DURATA 58CM 2 COIL DF4 CONNECTOR TRUE BIPOLAR HELIX EXTENSION RETRACTION 8FR 17CM OPTIM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD DEFIBRILLATOR RIGHT VENTRICLE L59 CM OD7.3 FR RELIANCE 4-FRONT MP35N IROX STEROID SILICONE L12 MM 2 COIL TERMINAL RING RADIOPAQUE ACTIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD DEFIBRILLATOR RIGHT VENTRICLE L64 CM OD7.3 FR RELIANCE 4-FRONT MP35N IROX STEROID SILICONE L12 MM 2 COIL TERMINAL RING RADIOPAQUE PASSIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD DEFIBRILLATOR SPRINT QUATTRO SECURE 58CM 1 COIL PACE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD ICD ENDOCARDIAL L59 CM ENDOTAK RELIANCE G 4 SITE GORE STEROID SILICONE 2 COIL GDT-LLHH CONNECTOR EXTEND RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIAL L59 CM ENDOTAK RELIANCE SG STEROID SILICONE 1 COIL IS-1/DF-1 CONNECTOR EXTEND RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIAL L64 CM ENDOTAK RELIANCE 4 SITE STEROID SILICONE 2 COIL GDT-LLHH CONNECTOR EXTEND RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIAL L64 CM ENDOTAK RELIANCE SG STEROID SILICONE 1 COIL IS-1/DF-1 CONNECTOR EXTEND RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIAL L64 CM ENDOTAK RELIANCE STEROID SILICONE 2 COIL IS-1/DF-1 CONNECTOR EXTEND RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIAL L70 CM ENDOTAK RELIANCE G STEROID SILICONE 2 COIL IS-1/DF-1 CONNECTOR EXTEND RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L59 CM ENDOTAK RELIANCE 4 SITE 2 COIL PASSIVE FIXATION CARDIOVERTER DEFIBRILLATOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L59 CM ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE 2 COIL DF-4 TERMINAL CONNECTOR CARDIOVERTER DEFIBRILLATOR PASSIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L59 CM ENDOTAK RELIANCE GORE MP35N STEROID SILICONE 1 COIL ACTIVE DF4 TERMINAL CONNECTOR EXTENDABLE RETRACTABLE HELIX FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L59 CM ENDOTAK RELIANCE STEROID ELUTING SILICONE 4 SITE 2 COIL CARDIOVERTER DEFIBRILLATOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L64 CM ENDOTAK RELIANCE 4 SITE 2 COIL PASSIVE FIXATION CARDIOVERTER DEFIBRILLATOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L64 CM ENDOTAK RELIANCE GORE STEROID ELUTING SILICONE 4 SITE 2 COIL ACTIVE FIXATION CARDIOVERTER DEFIBRILLATOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L64 CM OD8.1 FR ENDOTAK RELIANCE SG GORE L18 CM 4 SITE 1 COIL CONNECTOR,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L70 CM OD9 FR ENDOTAK RELIANCE SG GORE STEROID ELUTING SILICONE 1 COIL IMPLANTABLE CARDIOVERTER DEFIBRILLATOR ACTIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD ENDOCARDIUM L90 CM ENDOTAK RELIANCE G STEROID ELUTING SILICONE EPTFE HELIX 2 COIL BIPOLAR EXTENDABLE RETRACTABLE,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD L59 CM ENDOTAK RELIANCE SILICONE 2 COIL DF 1 IS 1 CONNECTOR BIPOLAR IMAGEREADY MR CONDITIONAL SYSTEM,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD L64 CM 4 SITE 2 COIL ACTIVE DF-4 TERMINAL CONNECTOR CARDIOVERTER DEFIBRILLATOR ENDOTAK RELIANCE GORE STEROID ELUTING SILICONE ENDOCARDIUM,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD L64 CM ENDOTAK RELIANCE SILICONE 2 COIL DF 1 IS 1 CONNECTOR BIPOLAR IMAGEREADY MR CONDITIONAL SYSTEM,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD LINOX 75CM 2.6MM 180MM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD ICD RIGHT VENTRICLE L64 CM OD7.3 FR RELIANCE 4-FRONT MP35N IROX STEROID SILICONE L12 MM 2 COIL TERMINAL RING RADIOPAQUE ACTIVE FIXATION,2255.0,1127.5,431.83,2029.5,65
HCPCS,C1895,LEAD ICD SPRINT QUATTRO SECURE MRI SURESCAN 100CM 2 COIL QUADRIPOLAR DF-1 IS-1 CONNECTOR 8.6FR 4.3FR HELIX VENTRICLE ISOGLIDE STEROID SILICONE PTFE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD ICD SPRINT QUATTRO TENSI-LOCK 55CM 2 COIL DF4 CONNECTOR QUADRIPOLAR ACTIVE FIXATION 8.6FR HELIX STANDARD RIGHT VENTRICLE SUPERIOR VENA CAVA ISOGLIDE STEROID SILICONE ETFE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD ICD TENSI-LOCK SPRINT QUATTRO 49CM 2 COIL DF4 CONNECTOR QUADRIPOLAR ACTIVE FIXATION 8.6FR HELIX STANDARD RIGHT VENTRICLE SUPERIOR VENA CAVA ISOGLIDE SILICONE ETFE STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD ICD TENSI-LOCK SPRINT QUATTRO 62CM 2 COIL DF-4 CONNECTOR QUADRIPOLAR ACTIVE FIXATION 8.6FR HELIX STANDARD RIGHT VENTRICLE SUPERIOR VENA CAVA ISOGLIDE STEROID SILICONE ETFE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD ICD TENSI-LOCK SPRINT QUATTRO 72CM 2 COIL DF4 CONNECTOR QUADRIPOLAR ACTIVE FIXATION 8.6FR HELIX STANDARD RIGHT VENTRICLE SUPERIOR VENA CAVA ISOGLIDE SILICONE ETFE STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD ICD TENSI-LOCK SPRINT QUATTRO 97CM 2 COIL DF4 CONNECTOR QUADRIPOLAR ACTIVE FIXATION 8.6FR HELIX STANDARD RIGHT VENTRICLE SUPERIOR VENA CAVA ISOGLIDE SILICONE ETFE STEROID ELUTING,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD LINOXSMART SD 65 359066,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD PACING DURATA SJ4 58CM TRUE BIPOLAR ACTIVE FIXATION 2 COIL 7FR 17CM ENDOCARDIUM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING DURATA SJ4 65CM TRUE BIPOLAR ACTIVE FIXATION 2 COIL 7FR 17CM ENDOCARDIUM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING ENDOTAK RELIANCE S 59CM DF4-LLHO CONNECTOR 1 COIL STYLET ENDOCARDIAL SILICONE,3895.0,1947.5,745.89,3505.5,65
HCPCS,C1895,LEAD PACING ENDOTAK RELIANCE S 64CM DF4-LLHO CONNECTOR 1 COIL STYLET ENDOCARDIAL SILICONE,3895.0,1947.5,745.89,3505.5,65
HCPCS,C1895,LEAD PACING L60 CM OD7.8 FR LINOXSMART SD 2 COIL RETRACTABLE ACTIVE FIXATION SILGLIDE PROTEK SHOCK COIL DESIGN SOFT MAP COLLAR L16 CM TACHYARRHYTHMIA,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD PACING LINOXSMART S SILGLIDE 65CM TRIPOLAR ACTIVE FIXATION 7.8FR 11MM TIP TO RING STRAIGHT DXA SILICONE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD PACING LINOXSMART SD 65CM 2 CHAMBER 1 SHOCK COIL ACTIVE FIXATION 18CM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD PACING LINOXSMART TD 65CM 2 CHAMBER 2 COIL 18CM SUPERIOR VENA CAVA,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD PACING SPRINT QUATTRO 75CM 2 DEFIBRILLATION COIL ACTIVE FIXATION TRUE BIPOLAR 8.6FR SILICONE STEROID,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING SPRINT QUATTRO SECURE 49CM 1 COIL ACTIVE FIXATION DEFIBRILLATION 8.6FR HELIX VENTRICLE STEROID ELUTING SILICONE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING SPRINT QUATTRO SECURE 58CM QUADRIPOLAR SCREW IN DEFIBRILLATOR RIGHT VENTRICULAR SUPERIOR VENA CAVA,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING SPRINT QUATTRO SECURE 65CM QUADRIPOLAR DEFIBRILLATOR SCREW 8.6FR RIGHT VENTRICLE SUPERIOR VENA CAVA STEROID ELUTING SILICONE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING SPRINT QUATTRO SECURE S 72CM HELIX ELECTRODE DF-4 CONNECTOR TRIPOLAR DEFIBRILLATION COIL 8.6FR VENTRICULAR ISOGLIDE STEROID ELUTING SILICONE ETFE STERILE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING SPRINT QUATTRO SECURE S 97CM HELIX ELECTRODE DF-4 CONNECTOR TRIPOLAR DEFIBRILLATION COIL 8.6FR VENTRICULAR ISOGLIDE STEROID ELUTING SILICONE ETFE STERILE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1895,LEAD PACING SUPERIOR VENA CAVA L65 CM OD2.6 MM LINOXSMART TD L16 CM,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,LEAD PACING VENTRICLE ENDOCARDIUM L60 CM OD7.8 FR 11 MM TIP TO RING STRAIGHT LINOX SMART S SILGLIDE TRIPOLAR ACTIVE FIXATION 1 IS-1 DXA SILICONE,3000.0,1500.0,574.5,2700.0,65
HCPCS,C1895,TOOL FIXATION TURNING DF4 PIN CONNECTOR ACTIVE FIXATION LEAD DH DF4 BLUE,18.0,9.0,3.45,16.2,65
HCPCS,C1896,ELECTRODE DEFIBRILLATOR 7FR 45CM 8CM 12FR 9FR SUBCUTANEOUS TRIPOLAR ANCHOR HOLE SUTURE SLEEVE Q-TRAK SILICONE POLYPROPYLENE S-ICD,4000.0,2000.0,766.0,3600.0,65
HCPCS,C1896,ELECTRODE DEFIBRILLATOR L45 CM 3 POLAR COIL CONNECTOR PIN EMBLEM S-ICD MP35N POLYURETHANE OD9 FR ODSEC7 FR,5000.0,2500.0,957.5,4500.0,65
HCPCS,C1896,LEAD DEFIBRILLATOR 58CM SUBCUTANEOUS STERILE LATEX FREE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1896,LEAD DEFIBRILLATOR EPSILA EV MRI SURESCAN 52CM SUBSTERNAL STERILE DISPOSABLE,5390.0,2695.0,1032.19,4851.0,65
HCPCS,C1896,LEAD ICD EPSILA EV 63CM QUADRIPOLAR PASSIVE FIXATION SUBSTERNAL,5390.0,2695.0,1032.19,4851.0,65
HCPCS,C1896,LEAD PACING EPICARDIAL LEFT VENTRICULAR L54 CM MYOPORE BIPOLAR,338.0,169.0,64.73,304.2,65
HCPCS,C1896,LEAD PACING TRANSVENE 58CM CS SVC COIL 7.5FR VENTRICLE SILICONE POLYURETHANE,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1897,KIT LEAD IMP SNM PNE,260.0,130.0,49.79,234.0,65
HCPCS,C1897,KIT LEAD NEUROSTIMULATOR TRIAL 60CM 8-CONTACT WITH 14GA SPOONBILL NDL 65CM BENT STYLET,750.0,375.0,143.63,675.0,65
HCPCS,C1897,KIT NEUROSTIMULATOR 3MM 60CM 4MM SPACE 8 ELECTRODE TRIAL OCTRODE PERCUTANEOUS,750.0,375.0,143.63,675.0,65
HCPCS,C1897,KIT NEUROSTIMULATOR 70CM 5MM SPACING TRAIL LEAD NEVRO DISPOSABLE STERILE LATEX FREE,750.0,375.0,143.63,675.0,65
HCPCS,C1897,KIT NEUROSTIMULATOR SPECTRA WAVEWRITER REUSABLE NONSTERILE LATEX FREE,70.0,35.0,13.41,63.0,65
HCPCS,C1897,KIT STIMULATOR NEUROMUSCULAR LEAD SJM SPINAL CORD STIMULATION,297.5,148.75,56.97,267.75,65
HCPCS,C1897,LEAD NEUROSTIMULATOR AXONICS STERILE LATEX FREE DISPOSABLE PERCUTANEOUS NERVE EVALUATION,40.0,20.0,7.66,36.0,65
HCPCS,C1897,LEAD NEUROSTIMULATOR L70 CM LINEAR PRELOAD ENHANCE STYLET PRECISION STRAIGHT PERCUTANEOUS SPINAL CORD SYSTEM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1897,LEAD NEUROSTIMULATOR PRECISION 50CM LINEAR STRAIGHT TIP PRELOAD PERCUTANEOUS SPINAL CORD STIMULATOR SYSTEM,1500.0,750.0,287.25,1350.0,65
HCPCS,C1897,SYSTEM 2-LEAD TRIAL,1700.0,850.0,325.55,1530.0,65
HCPCS,C1897,SYSTEM NEUROSTIMULATOR L50 CM 5 MM SPACE FRONT LOAD 4 ELECTRODE OD1 MM AXIUM SLIMTIP DORSAL ROOT GANGLION STIMULATION,600.0,300.0,114.9,540.0,65
HCPCS,C1897,TRAIL LEAD NEUROSTIMULATOR PRECISION 50CM LINEAR 3-4 SPINAL CORD STIMULATOR SYSTEM,870.0,435.0,166.61,783.0,65
HCPCS,C1897,TRIAL KIT NEUROMUSCULAR L70 CM 16 LEAD CONTACT INFINION,750.0,375.0,143.63,675.0,65
HCPCS,C1897,TRIAL KIT NEUROSTIMULATOR 50CM 1X16 SPLITTER LEAD INFINION,750.0,375.0,143.63,675.0,65
HCPCS,C1897,TRIAL LEAD NEUROSTIMULATOR LINEAR ST 50CM ENHANCE STYLET PRECISION SPINAL CORD STIMULATOR SYSTEM,870.0,435.0,166.61,783.0,65
HCPCS,C1898,CATHETER ELECTROPHYSIOLOGY L110 CM OD5 FR 60 D 1 CM SPACE CURVE SHROUDED BIPOLAR TEMPORARY TORQUE CONTROL PACEL ACCEPTS 5 FR INTRODUCER STAINLESS STEEL POLYURETHANE VENTRICULAR,400.0,200.0,76.6,360.0,65
HCPCS,C1898,INGEVITY +IS-1 BI POS FIX 52CM,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD CAPSURE EPI UNI 35 496535DCD,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD CAPSURE SP BIP58CM 509258DCD,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD CAPSURE Z NOVUS 52 505452DCD,443.0,221.5,84.83,398.7,65
HCPCS,C1898,LEAD CAPSURE Z NOVUS 58 505458DCD,443.0,221.5,84.83,398.7,65
HCPCS,C1898,LEAD DEFIB PAMIRA S 60CM,2300.0,1150.0,440.45,2070.0,65
HCPCS,C1898,LEAD PACING 35CM IS-1 UNIPOLAR FIX SCREW 6.6FR MYOCARDIUM SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING 6.6FR 35CM MYOCARDIUM IS-1 UNIPOLAR FIX SCREW SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ATRIAL L45 CM OD6 FR J CURVE INGEVITY MRI PASSIVE FIXATION BIPOLAR INTRODUCER WITHOUT GUIDEWIRE SILICONE PTFE ETFE POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIAL L52 CM OD6 FR INGEVITY MRI PASSIVE FIXATION BIPOLAR INTRODUCER WITHOUT GUIDEWIRE SILICONE PTFE ETFE POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIAL VENTRICULAR L45 CM LONG TAPER INGEVITY+ EXTENDABLE RETRACTABLE FIXATION IS-1 CONNECTOR RADIOPAQUE STEROID STAINLESS STEEL SILICONE RUBBER POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIAL VENTRICULAR L45 CM OD6 FR STRAIGHT INGEVITY BIPOLAR ACTIVE FIXATION RADIOPAQUE IS-1 CONNECTOR IROX MP35N SILICONE POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIAL VENTRICULAR L52 CM OD6 FR STRAIGHT INGEVITY BIPOLAR ACTIVE FIXATION RADIOPAQUE IS-1 CONNECTOR IROX MP35N SILICONE POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIAL VENTRICULAR L58 CM FINELINE II STEROX BIPOLAR IS-1 CONNECTOR,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIAL VENTRICULAR L59 CM LONG TAPER INGEVITY+ EXTENDABLE RETRACTABLE FIXATION IS-1 CONNECTOR RADIOPAQUE STEROID STAINLESS STEEL SILICONE RUBBER POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIUM VENTRICLE L45 CM OD7 FR THK1.7 MM STRAIGHT FINELINE II STEROX EZ BIPOLAR ACTIVE FIXATION STEROID POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ATRIUM VENTRICLE L59 CM INGEVITY STYLET PACE STEROID,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING CAPSURE 60CM BIPOLAR SUTURE FIXATION IS-1 CONNECTOR 8FR EPICARDIAL SILICONE STEROID STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE EPI 25CM BIPOLAR EPICARDIAL STEROID SILICONE RUBBER STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE EPI 35CM BIPOLAR SUTURE FIXATION IS-1 8FR EPICARDIUM MYOCARDIUM STEROID ELUTE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE EPI 50CM UNIPOLAR SUTURE FIXATION IS-1 4.5FR EPICARDIUM MYOCARDIUM STEROID ELUTING SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE SENSE 45CM BIPOLAR INTRODUCER ELECTRODE J TIP 5.3FR 7FR ATRIUM POLYURETHANE SILICONE TITANIUM NITRIDE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE SENSE 52CM 4 TINE BIPOLAR IS-1 CONNECTOR ATRIUM RIGHT VENTRICLE TRANSVENOUS STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE SENSE 53CM BIPOLAR TINE IS-1 CONNECTOR LOW POLARIZATION 5.3FR J VENTRICLE STEROID,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE SENSE 58CM BIPOLAR TINED LOW POLARIZATION 5.3FR 7FR TRANSVENOUS STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSURE SP NOVUS 52CM IS-1 BIPOLAR TINE 5.3FR VENTRICLE STEROID ELUTING POLYURETHANE,426.0,213.0,81.58,383.4,65
HCPCS,C1898,LEAD PACING CAPSURE SP NOVUS 58CM BIPOLAR HYBRID STERILE LATEX FREE,500.0,250.0,95.75,450.0,65
HCPCS,C1898,LEAD PACING CAPSUREFIX 45CM BIPOLAR SCREW IN 7.2FR ATRIAL,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX 53CM 7.2FR CENTRAL VENOUS SILICONE STEROID,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX MRI SURESCAN 52CM BIPOLAR SCREW IN HELICAL TIP 6.9FR ATRIUM RIGHT VENTRICLE TRANSVENOUS STEROID SILICONE,500.0,250.0,95.75,450.0,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 35CM BIPOLAR ACTIVE SCREW IN IS-1 5.7FR ATRIUM VENTRICLE TRANSVENOUS STEROID ELUTING POLYURETHANE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 45CM BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION 6.2FR 2MM 10MM SPACE SMALL STRAIGHT ATRIUM VENTRICLE STEROID ELUTING PLATINUM SILICONE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 52CM BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION 6.2FR 2MM 10MM SPACE SMALL STRAIGHT ATRIUM VENTRICLE STEROID ELUTING PLATINUM SILICONE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 52CM BIPOLAR TINED SCREW IN IS-1 5.7FR ATRIAL VENTRICULAR STEROID ELUTING POLYURETHANE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 58CM BIPOLAR ACTIVE SCREW IN IS-1 5.7FR ATRIUM VENTRICLE TRANSVENOUS STEROID ELUTING POLYURETHANE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 58CM BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION 6.2FR 2MM 10MM SPACE SMALL STRAIGHT ATRIUM VENTRICLE STEROID ELUTING PLATINUM SILICONE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 65CM BIPOLAR SCREW IN ELECTRODE ATRIAL VENTRICULAR STEROID ELUTING POLYURETHANE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 65CM IS-1 BIPOLAR ACTIVE FIXATION SCREW IN 6FR ATRIUM VENTRICLE RIGHT STEROID ELUTING SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 85CM BIPOLAR ACTIVE SCREW IN IS-1 CONNECTOR 5.7FR ATRIUM VENTRICLE TRANSVENOUS POLYURETHANE SILICONE STEROID,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS 85CM SCREW IN BIPOLAR EXTENDABLE RETRACTABLE 6.2FR 10MM SPACE STRAIGHT ATRIUM VENTRICLE STEROID ELUTING SILICONE LATEX FREE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN 45CM BIPOLAR IS-1 CONNECTOR 5.7FR STRAIGHT ATRIUM VENTRICLE STEROID STAINLESS STEEL POLYURETHANE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL ATRIAL L45 CM OD7 FR FINELINE II STEROX AJ BIPOLAR PASSIVE FIXATION IS-1 POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL ATRIAL VENTRICLE L52 CM OD1.7 MM FINELINE II IS-1 BIPOLAR CONNECTOR SCREW STEROX EZ POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL ATRIAL VENTRICLE L58 CM OD1.7 MM FINELINE II IS-1 BIPOLAR CONNECTOR SCREW STEROX EZ POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL L45 CM PROMRI SOLIA S BIPOLAR ACTIVE FIXATION STEROID,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL L52 CM INGEVITY STYLET PACE STEROID,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL L53 CM PROMRI SOLIA S BIPOLAR ACTIVE FIXATION STEROID,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL L58 CM OD7 FR FINELINE II STEROX BIPOLAR PASSIVE FIXATION IS-1 CONNECTOR INTRODUCER STEROID ELUTING POLYURETHANE IRIDIUM OXIDE 4457,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL L60 CM PROMRI SOLIA S BIPOLAR ACTIVE FIXATION STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL RIGHT ATRIUM RIGHT VENTRICLE L45 CM OD6.7 FR 10 MM SPACE DEXTRUS IS-1 BIPOLAR CONNECTOR SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL RIGHT ATRIUM RIGHT VENTRICLE L59 CM FLEXTEND IS-1 BIPOLAR CONNECTOR STEROID SILICONE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIAL VENTRICULAR L52 CM OD6 FR FINELINE II STEROX BIPOLAR PASSIVE FIXATION IS-1 SILICONE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM ATRIUM L52 CM OD7 FR FINELINE II STEROX BIPOLAR IS-1 CONNECTOR PASSIVE FIXATION STEROID POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM ATRIUM VENTRICLE L45 CM HELIX FLEXTEND IS-1 CONNECTOR BIPOLAR EXTEND RETRACTABLE SCREW FIXATION STEROID SILICONE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM ATRIUM VENTRICLE L52 CM HELIX FLEXTEND IS-1 CONNECTOR BIPOLAR EXTEND STEROID SILICONE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM ATRIUM VENTRICLE L52 CM OD7 MM FINELINE II STEROX EZ IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION SCREW STEROID SILICONE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM L45 CM RING SETROX S IS-1 BIPOLAR CONNECTOR ELECTRODE DXA SILICONE,450.0,225.0,86.18,405.0,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM RIGHT ATRIUM RIGHT VENTRICLE L60 CM OD6.7 FR 10 MM SPACE HELIX DEXTRUS IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTEND SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ENDOCARDIUM VENTRICLE L60 CM OD7.2 FR 15 MM TIP TO RING STRAIGHT SELOX ST BIPOLAR PASSIVE FIXATION 1 IS-1 DXA SILICONE,450.0,225.0,86.18,405.0,65
HCPCS,C1898,LEAD PACING FINELINE II STEROX EZ PASSIVE FIXATION SILICONE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING IMPLANTABLE BIPOLAR 52CML ENDOCARDIAL STEROID ELUTING CAPSURE SP NOVUS,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ISOFLEX 46CM BIPOLAR PASSIVE FIXATION IS-1 7FR 10MM SPACING S CURVE ATRIUM STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ISOFLEX 52CM BIPOLAR PASSIVE FIXATION IS-1 7FR 10MM SPACING S CURVE ATRIUM STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ISOFLEX OPTIM 46CM BIPOLAR PASSIVE FIXATION IS-1 7FR 10MM SPACING VENTRICLE STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ISOFLEX OPTIM 52CM BIPOLAR PASSIVE FIXATION IS1 7FR 10MM SPACE VENTRICLE STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ISOFLEX OPTIM 58CM BIPOLAR PASSIVE FIXATION IS-1 7FR 10MM SPACING VENTRICLE STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING L53 CM OD2.2 MM SELOX,450.0,225.0,86.18,405.0,65
HCPCS,C1898,LEAD PACING L53 CM OD6.7 FR 10 MM STRAIGHT SETROX S BIPOLAR ACTIVE FIXATION IS-1 CONNECTOR DXA SILICONE STEROID ELUTING,450.0,225.0,86.18,405.0,65
HCPCS,C1898,LEAD PACING L53 CM SOLIA JT,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING L53 CM SOLIA T BIPOLAR,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING L60 CM SETROX S,450.0,225.0,86.18,405.0,65
HCPCS,C1898,LEAD PACING L60 CM SOLIA T 3 CHAMBER,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING MYOPORE 35CM BIPOLAR IS-1 CONNECTOR ENDOCARDIUM SILICONE MYOCARDIAL,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING MYOPORE 54CM BIPOLAR ACTIVE FIXATION IS-1 CONNECTOR SUTURELESS ENDOCARDIUM SILICONE MYOCARDIAL,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING RIGHT ATRIUM RIGHT VENTRICLE L53 CM OD6.7 FR 10 MM SPACE HELIX DEXTRUS IS-1 CONNECTOR BIPOLAR EXTEND RETRACTABLE SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING SELECTSECURE 59CM SCREW IN IS-1 CATHETER DELIVERY 4FR ATRIUM VENTRICLE TRANSVENOUS STEROID SILICONE LATEX FREE BIPOLAR,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING SELECTSECURE 69CM BIPOLAR FIXED SCREW IN ATRIUM VENTRICLE CATHETER DELIVER,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING SELECTSECURE 74CM BIPOLAR FIX SCREW IN CATHETER DELIVER 4.1FR ATRIUM VENTRICLE STERILE LATEX FREE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING STREAMLINE 4MM TEMPORARY .7MM ATRIUM ADULT STERILE,375.0,187.5,71.81,337.5,65
HCPCS,C1898,LEAD PACING STREAMLINE 53CM TEMPORARY BIPOLAR COAXIAL MYOCARDIUM STERILE LATEX FREE,420.0,210.0,80.43,378.0,65
HCPCS,C1898,LEAD PACING STREAMLINE UNIPOLAR TEMPORARY .48MM 3MM ATRIAL PURPLE,165.0,82.5,31.6,148.5,65
HCPCS,C1898,LEAD PACING TENDRIL MRI 46CM,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL MRI 52CM,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL MRI 58CM IS-1 BIPOLAR CONNECTOR 2 FILTER EXTEND RETRACTABLE HELIX 8FR ENDOCARDIUM OPTIM SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL ST 46CM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE 6FR 10MM SPACE HELIX STRAIGHT VENTRICLE OPTIM STERIOD ELUTING SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL ST 52CM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE 6FR 10MM SPACE HELIX STRAIGHT VENTRICLE OPTIM STERIOD ELUTING SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL ST 52CM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE 7FR 10MM SPACE J HELIX ATRIUM OPTIM STEROID ELUTING TITANIUM NITRIDE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL ST 58CM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE 6FR 10MM SPACE HELIX STRAIGHT VENTRICLE OPTIM STERIOD ELUTING SILICONE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL STS 100CM BIPOLAR ACTIVE FIXATION EXTENDABLE IS 1 6FR HELIX ENDOCARDIUM STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL STS 46CM BIPOLAR ACTIVE FIXATION EXTENDABLE IS 1 6FR HELIX ENDOCARDIUM TITANIUM NITRIDE OPTIM STERILE LATEX FREE DISPOSABLE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL STS 52CM BIPOLAR ACTIVE FIXATION IS-1 CONNECTOR EXTENDABLE 6FR HELIX ENDOCARDIUM TITANIUM NITRIDE OPTIM STERILE LATEX FREE DISPOSABLE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING TENDRIL STS 58CM BIPOLAR ACTIVE FIXATION EXTENDABLE IS 1 6FR HELIX ENDOCARDIUM STEROID ELUTING,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ULTIPACE 46CM MR CONDITIONAL BIPOLAR STEROID SILICONE POLYURETHANE PTFE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ULTIPACE 52CM MR CONDITIONAL BIPOLAR STEROID SILICONE POLYURETHANE PTFE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ULTIPACE 58CM MR CONDITIONAL BIPOLAR STEROID SILICONE POLYURETHANE PTFE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING ULTIPACE 65CM MR CONDITIONAL BIPOLAR STEROID SILICONE POLYURETHANE PTFE STERILE,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING VENTRICULAR ENDOCARDIAL L52 CM FINELINE II EZ STEROX OTHER THAN TRANSVENOUS VDD 1 PASS BIPOLAR IMPLANTABLE POLYURETHANE,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD PACING VENTRICULAR L58 CM FINELINE II STEROX BIPOLAR IS-1,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD PACING VENTRICULAR L59 CM OD6 FR STRAIGHT INGEVITY BIPOLAR IS-1 BI CONNECTOR TINED FIXATION RADIOPAQUE IROX STAINLESS STEEL POLYURETHANE SILICONE IS-1 PORT,330.0,165.0,63.2,297.0,65
HCPCS,C1898,LEAD TEDRIL STS 2088TC100,338.0,169.0,64.73,304.2,65
HCPCS,C1898,LEAD Z ATRIAL J BIP53CM 555453DCD,443.0,221.5,84.83,398.7,65
HCPCS,C1898,SYSTEM GENERATOR NEUROSTIMULATOR EXTERNAL PULSE TRIAL 1 LEAD,1365.0,682.5,261.4,1228.5,65
HCPCS,C1898,WIRE PACING MEDIUM 61CML TAPERED TIP MIRROR FINISH DOUBLE ACTION WINGED WHITE MYOWIRE,378.0,189.0,72.39,340.2,65
HCPCS,C1898,WIRE PACING PK 83 B/1 5M STERILE,24.75,12.38,4.74,22.28,65
HCPCS,C1898,WIRE PACING SIZE 2-0 61CML TAPERED TIP MIRROR FINISH DOUBLE ACTION ORANGE MYOWIRE,416.0,208.0,79.66,374.4,65
HCPCS,C1898,WIRE PACING TEMPORARY 60CML ATRIAL MIRROR FINISH DOUBLE ACTION VO60B,466.0,233.0,89.24,419.4,65
HCPCS,C1900,CATHETER LEADLESS VR RET CATH TRI LOOP GUIDING AVEIR,2900.0,1450.0,632.49,2610.0,64
HCPCS,C1900,LEAD ICD LEFT VENTRICULAR SENTUS PROMRI OTW QUADRIPOLAR L-75/49,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD ICD LEFT VENTRICULAR SENTUS PROMRI OTW QUADRIPOLAR S-75/49,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING ATTAIN 78CM OTW BIPOLAR LEFT VENTRICLE CARDIAC VEIN,1500.0,750.0,287.25,1350.0,65
HCPCS,C1900,LEAD PACING ATTAIN 88CM OTW BIPOLAR CARDIAC VEIN LEFT VENTRICLE,1500.0,750.0,287.25,1350.0,65
HCPCS,C1900,LEAD PACING ATTAIN ABILITY 78CM 2 ELECTRODE OTW VEIN,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ATTAIN ABILITY 78CM 2 ELECTRODE TINED OTW STRAIGHT CORONARY VEIN,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ATTAIN ABILITY 88CM 2 ELECTRODE TINED OTW STRAIGHT CORONARY VEIN,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ATTAIN ABILITY 88CM OTW STEERABLE BIPOLAR ATRAUMATIC TIP 4FR VENTRICLE LEFT STEROID,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ATTAIN ABILITY PLUS 78CM 2 ELECTRODE OTW BIPOLAR TAPER DISTAL END 4.6-5.3FR 21MM LEFT VENTRICULE IS-1,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ATTAIN ABILITY PLUS 88CM OWT 2 ELECTRODE 5.3FR LEFT HEART,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ATTAIN PERFORMA MRI SURESCAN 78CM OTW QUADRIPOLAR IS-4 CONNECTOR GUIDEWIRE 5.3FR 5.1FR 3.9FR .36-.46MM LEFT VENTRICLE STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE 5.7FR DELIVERY SYST,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING ATTAIN PERFORMA MRI SURESCAN 78CM OTW QUADRIPOLAR IS4-LLLL CONNECTOR GUIDEWIRE 5.3FR 5.1FR 3.9FR .36-.46MM S LEFT VENTRICLE STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE 5.7FR DELIVER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING ATTAIN PERFORMA MRI SURESCAN 78CM QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE TINE FIXATION GUIDEWIRE 5.3FR 5.1FR 3.9FR .36-.46MM STRAIGHT LEFT VENTRICLE STEROID PLATINUM IRIDIUM SI POLYIMIDE P,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING ATTAIN PERFORMA MRI SURESCAN 88CM OTW QUADRIPOLAR IS4-LLLL CONNECTOR 5.3FR 5.1FR 3.9FR S LEFT VENTRICLE STEROID SI POLYIMIDE POLYURETHANE PLATINUM IRIDIUM .36-.46MM GUIDEWIRE 5.7FR DELIVER,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING ATTAIN PERFORMA MRI SURESCAN 88CM OTW QUADRIPOLAR IS4-LLLL CONNECTOR GUIDEWIRE 5.3FR 5.1FR 3.9FR .36-.46MM STRAIGHT LEFT VENTRICLE STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE 5.7FR ,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING ATTAIN PERFORMA MRI SURESCAN 88CM QUADRIPOLAR OTW IS4-LLLL CONNECTOR GUIDEWIRE 5.3FR 5.1FR 3.9FR .36-.46MM LEFT VENTRICLE STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE 5.7FR DELIVERY ,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING CORONARY VENOUS L80 CM ACUITY BIPOLAR STEERABLE STEROID,1075.0,537.5,205.86,967.5,65
HCPCS,C1900,LEAD PACING CORONARY VENOUS L80 CM OD5.4 FR ODSEC6 FR EASYTRAK 2 BIPOLAR LV-1 CONNECTOR STEROID TITANIUM POLYURETHANE SILICONE RUBBER,1075.0,537.5,205.86,967.5,65
HCPCS,C1900,LEAD PACING CORONARY VENOUS LEFT VENTRICLE L90 CM EASYTRAK 3 LV-1 CONNECTOR BIPOLAR PASSIVE FIXATION 2 ELECTRODE SILICONE POLYURETHANE,1075.0,537.5,205.86,967.5,65
HCPCS,C1900,LEAD PACING CORONARY VENOUS LEFT VENTRICULAR L80 CM OD6 FR EASYTRAK 2 BIPOLAR PASSIVE FIXATION IS-1 2 ELECTRODE STEROID SILICONE POLYURETHANE,1075.0,537.5,205.86,967.5,65
HCPCS,C1900,LEAD PACING CORONARY VENOUS LEFT VENTRICULAR L80 CM OD6 FR EASYTRAK 3 BIPOLAR PASSIVE FIXATION IS-1 2 ELECTRODE STEROID SILICONE POLYURETHANE,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING CORONARY VENOUS LEFT VENTRICULAR L90 CM EASYTRAK 3 IS-1 CONNECTOR BIPOLAR PASSIVE FIXATION 2 ELECTRODE STEROID SILICONE POLYURETHANE,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING ENDOCARDIUM LEFT VENTRICLE L100 CM OD4.1-2.6 FR SPIRAL TAPER ACUITY 1 CONNECTOR IS-1 S UNIPOLAR SILICONE POLY,1075.0,537.5,205.86,967.5,65
HCPCS,C1900,LEAD PACING ENDOCARDIUM MYOCARDIUM RIGHT VENTRICLE L35 CM INNOMEDICA IS-1 CONNECTOR BIPOLAR TRANSVENOUS VDD 1 PASS,330.0,165.0,71.97,297.0,64
HCPCS,C1900,LEAD PACING L77 CM OD1.95 MM COROX OTW BIPOLAR,1100.0,550.0,210.65,990.0,65
HCPCS,C1900,LEAD PACING L77 CM OD1.95 MM COROX OTW L 75-BP SILGLIDE DXA OTW 75 BP,1100.0,550.0,210.65,990.0,65
HCPCS,C1900,LEAD PACING LEFT VENTRICLE CORONARY VENOUS L90 CM OD4.1-2.6 FR SPIRAL ACUITY IS-1 CONNECTOR UNIPOLAR MP35N PLATINUM IRIDIUM ACCEPTS .014 IN GUIDEWIRE,1075.0,537.5,205.86,967.5,65
HCPCS,C1900,LEAD PACING LEFT VENTRICULAR L77 CM OD1.95 CM COROX OTW 75 BP,1100.0,550.0,210.65,990.0,65
HCPCS,C1900,LEAD PACING LEFT VENTRICULAR L77 CM SENTUS OTW QUADRIPOLAR L-75,2000.0,1000.0,383.0,1800.0,65
HCPCS,C1900,LEAD PACING LEFT VENTRICULAR L85 CM LARGE COROX OTW BIPOLAR,1100.0,550.0,210.65,990.0,65
HCPCS,C1900,LEAD PACING LEFT VENTRICULAR L85 CM SMALL COROX OTW BIPOLAR,1100.0,550.0,210.65,990.0,65
HCPCS,C1900,LEAD PACING LEFT VENTRICULAR L87 CM SENTUS PROMRI QUADRIPOLAR OTW THREAD DISTAL END BEND STEROID SILICONE S-85/49,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING LEFT VENTRICULAR L90 CM EASYTRAK 2 IS-1 CONNECTOR BIPOLAR PASSIVE FIXATION 2 ELECTRODE STEROID SILICONE POLYURETHANE,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING MYOCARDIAL L54 CM INNOMEDICA BIPOLAR SUTURELESS SILICONE,330.0,165.0,71.97,297.0,64
HCPCS,C1900,LEAD PACING QUARTET 75CM IS4-LLLL CONNECTOR STEERABLE TIP LOW PROFILE 4.7FR 47MM SPACE 16 CURVE LEFT HEART OPTIM,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUARTET 75CM LOW PROFILE 4.7FR 40MM SPACE SMALL 8 CURVE S LEFT VENTRICULAR OPTIM,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUARTET 86CM 4 ELECTRODE IS-4 CONNECTOR STEERABLE TIP LOW PROFILE 4.7FR 60MM SPACE TRADITIONAL S LEFT HEART OPTIM NONSTERILE LATEX FREE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUARTET 86CM 4 ELECTRODE IS4 CONNECTOR STEERABLE TIP LOW PROFILE 4.7FR 47MM SPACE TRADITIONAL S LEFT HEART OPTIM,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUARTET 86CM IS4-LLLL CONNECTOR STEERABLE TIP LOW PROFILE 4.7FR 47MM SPACE 16 CURVE LEFT HEART OPTIM,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUARTET 92CM 4 ELECTRODE IS4 CONNECTOR STEERABLE TIP 5FR LOW PROFILE S CURVE NARROW LEFT HEART OPTIM,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUARTET OPTIM 47MM SPACE TRADITIONAL S LEFT VENTRICLE,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING QUICKFLEX 75CM IS 1 CONNECTOR BIPOLAR STEERABLE TIP OPTIM INSULATION 4.3FR MICRO S CURVE LEFT VENTRICULAR STEROID ELUTING,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING QUICKFLEX 86CM IS 1 CONNECTOR BIPOLAR STEERABLE TIP OPTIM INSULATION 4.3FR MICRO S CURVE LEFT VENTRICULAR STEROID ELUTING,1094.0,547.0,238.6,984.6,64
HCPCS,C1900,LEAD PACING QUICKFLEX 92CM IS 1 CONNECTOR BIPOLAR STEERABLE TIP OPTIM INSULATION 4.3FR MICRO S CURVE LEFT VENTRICULAR STEROID ELUTING,1094.0,547.0,209.5,984.6,65
HCPCS,C1900,LEAD PACING SENTUS 87CM QUADRIPOLAR OTW LEFT VENTRICULAR STEROID ELUTE SILICONE L 85/49,1450.0,725.0,277.68,1305.0,65
HCPCS,C1900,LEAD PACING VENTRICLE LEFT CORONARY VEIN L87 CM OD5.4 FR 18 MM 2 CURVE HELIX COROX BIPOLAR PASSIVE FIXATION OTW IS-1 DXA SILICONE,1100.0,550.0,210.65,990.0,65
HCPCS,C1900,STENT OD7 FR L5 CM DELIVERY SYSTEM RAPID EXCHANGE FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17834.8,21856.38,5
HCPCS,C2617,SET STENT 5FR 5CM GEENEN PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP STERILE POLYETHYLENE PANCREATIC PURPLE ACCEPTS .035IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2617,SET STENT 8.5FR 22CM PIGTAIL CURVE AMPLATZ RB INTRODUCER CATHETER POSITIONER STRING 6 SIDEPORT STERILE AQ ULTRATHANE STAINLESS STEEL PTFE URETERAL ACCEPTS .035IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
HCPCS,C2617,SET STENT 8.5FR 26CM PIGTAIL CURVE AMPLATZ RB INTRODUCER CATHETER POSITIONER STRING 6 SIDEPORT STERILE AQ ULTRATHANE STAINLESS STEEL PTFE URETERAL ACCEPTS .035IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
HCPCS,C2617,SET STENT 8.5FR 28CM PIGTAIL CURVE AMPLATZ RB INTRODUCER CATHETER POSITIONER STRING 6 SIDEPORT STERILE AQ ULTRATHANE STAINLESS STEEL PTFE URETER ACCEPTS .035IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
HCPCS,C2617,SET STENT L12 CM SMALL 2 PIGTAIL CURVE COUDE RADIOPAQUE CATHETER POSITIONER OD6 FR SOF-FLEX STAINLESS STEEL POLYURETHANE NYLON PEDIATRIC URETERAL ACCEPTS .018 IN GUIDEWIRE,177.1,88.55,33.91,159.39,65
HCPCS,C2617,SET STENT L14 CM PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP OD7 FR GEENEN POLYETHYLENE PANCREATIC GREEN,60.0,30.0,11.49,54.0,65
HCPCS,C2617,SET STENT L75 CM 5 MM PIGTAIL CURVE RADIOPAQUE CATHETER RETAINER OD7 FR BANDER SOF-FLEX STAINLESS STEEL PTFE L100 CM URETERAL WHITE ACCEPTS .038 IN GUIDEWIRE,158.6,79.3,30.37,142.74,65
HCPCS,C2617,SET STENT L9 CM 0.035 IN DRAIN OBSTRUCT OD5 FR ZIMMON PLASTIC PANCREAS,127.0,63.5,24.32,114.3,65
HCPCS,C2617,SET STENT PANCREATIC ZIMMON 5FR 7CM DUODENAL PIGTAIL TAPERED TIP SPIRAL SIDE HOLE DUCTAL FLAP BLUE POLYETHYLENE NON-RADIOLUCENT 0.035IN GW 2MM CHANNEL,127.0,63.5,24.32,114.3,65
HCPCS,C2617,SET STENT URETERAL 6FR 24CM HYDROPLUS DOUBLE PIGTAIL TAPERED LARGE LUMEN FIXED LENGTH LOW-PROFILE W/0.035IN 3CM STRAIGHT FLEX STIFF ZIPWIRE GW RETRIEVAL LINE CONTOUR PERCUFLEX,174.35,87.18,33.39,156.92,65
HCPCS,C2617,SET STENT URETERAL 6FR DIA 24CML SILICONE DOUBLE J ANGLED TIP OPEN/OPEN END LOOPX2 W/0.035IN ORCHESTRA NITINOL GUIDEWIRE STEERABLE PUSHER IMAJIN STERILE HYDROPHILIC COATED,148.2,74.1,28.38,133.38,65
HCPCS,C2617,SHEATH 14-18FR 12FR 55CM ACCESS CONTINUOUS WORK CHANNEL SEAMLESS TRANSITION TAPER DILATOR DILATION FORTE AXP HYDROPHILIC LATEX URETERAL,630.0,315.0,120.65,567.0,65
HCPCS,C2617,STENT .035 IN PIGTAIL CURVE OD5 FR L2 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT .035 IN PIGTAIL CURVE OD5 FR L6 CM RADIOPAQUE PUSH CATHETER GUIDEWIRE TAPER TIP ZIMMON PANCREATIC POLYETHYLENE 2 MM MINIMUM ACCESSORY CHANNEL PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT .035 IN PIGTAIL CURVE OD5 FR L7 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT .035 IN PIGTAIL CURVE OD7 FR L10 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT .035 IN PIGTAIL CURVE OD7 FR L8 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT 2 MM CONTOUR OD5 FR L5 CM SPIRAL SIDEHOLE GEENEN PANCREATIC POLYETHYLENE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT 8FR 20CM FLEXIBLE STIFF CANNULA DUROMETER DRAINAGE HOLE CATHETER LARGE REGULAR PIGTAIL CURVE GLIDEX PERCUFLEX URETERAL NEPHROURETERAL,110.0,55.0,21.07,99.0,65
HCPCS,C2617,STENT 8FR 24CM DUROMETER DRAINAGE HOLE CATHETER FLEXIBLE STIFF CANNULA LARGE REGULAR PIGTAIL CURVE PERCUFLEX GLIDEX URETERAL NEPHROURETERAL,110.0,55.0,21.07,99.0,65
HCPCS,C2617,STENT 8FR 24CM RADIOPAQUE TAPER TIP RETENTION COIL SMOOTH SURFACE PIGTAIL CURVE PERCUFLEX URETERAL,75.6,37.8,14.48,68.04,65
HCPCS,C2617,STENT 8FR 26CM TAPER TIP COIL STRAIGHTENER CANNULA STABILIZER ASSEMBLY ATTACH SUTURE PIGTAIL CURVE PERCUFLEX URETERAL LATEX FREE DISPOSABLE,75.6,37.8,14.48,68.04,65
HCPCS,C2617,STENT BARD INLAY 6FR 22CM PUSHER FLUORO MARKER LUBRICIOUS TAPER TIP 2 PIGTAIL CURVE HYDROPHILIC URETERAL STERILE LATEX FREE DISPOSABLE BLUE,71.25,35.63,13.64,64.13,65
HCPCS,C2617,STENT BARD INLAY 6FR 26CM PUSHER FLUORO MARKER LUBRICIOUS TAPER TIP 2 PIGTAIL CURVE HYDROPHILIC URETERAL STERILE LATEX FREE DISPOSABLE BLUE,71.25,35.63,13.64,64.13,65
HCPCS,C2617,STENT BARD INLAY 6FR 28CM PUSHER FLUORO MARKER LUBRICIOUS TAPER TIP 2 PIGTAIL CURVE HYDROPHILIC URETERAL STERILE LATEX FREE DISPOSABLE BLUE,71.25,35.63,13.64,64.13,65
HCPCS,C2617,STENT BILIARY 7FR DIA 12CML POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP COTTON-HUIBREGTSE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY 7FR DIA 15CML POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP COTTON-HUIBREGTSE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY 8.5FR DIA 12CML POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP COTTON-HUIBREGTSE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY 8.5FR DIA 15CML POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP COTTON-HUIBREGTSE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY COTTON-HUIBREGTSE 10FR 12CM POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP PROXIMAL/DISTAL FLAP PURPLE 0.035IN GW 3.7MM CHANNEL,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY COTTON-HUIBREGTSE 10FR 15CM POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP PROXIMAL/DISTAL FLAP PURPLE 0035IN GW 37MM CHANNEL,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY COTTON-HUIBREGTSE 10FR 5CM POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP PROXIMAL/DISTAL FLAP PURPLE 0035IN GW 37MM CHANNEL,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT BILIARY COTTON-HUIBREGTSE 10FR 9CM POLYETHYLENE BILE DUCT ANATOMICAL ANGLED TAPERED TIP PROXIMAL/DISTAL FLAP PURPLE 0035IN GW 37MM CHANNEL,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT CONTOUR OD5 FR L3 CM PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP GEENEN PANCREATIC POLYETHYLENE ACCEPTS .018 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT COPE MAC-LOC 8.5FR 22CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C2617,STENT COPE MAC-LOC 8.5FR 26CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C2617,STENT COTTON-HUIBREGTSE 10FR 7CM DRAIN OBSTRUCT POSITION SLEEVE ENDOSCOPE CHANNEL DUODENAL FLAP POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT COTTON-LEUNG 10FR 9CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT COTTON-LEUNG 11.5FR 5CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP NATURAL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT EXPEL TWIST-LOC 10FR 12CM FLEXIBLE STIFF CANNULA STABILIZER RADIOPAQUE LOW PROFILE HUB SHORT LENGTH FLEXITHANE METAL HYDROPHILIC URETERAL,115.0,57.5,22.02,103.5,65
HCPCS,C2617,STENT EXPEL TWIST-LOC 10FR 24CM 2 PIGTAIL TIP FLEXIBLE STIFF CANNULA INTERNAL EXTERNAL DRAINAGE FLEXITHANE METAL HYDROPHILIC NEPHROURETERAL STERILE LATEX FREE,95.0,47.5,18.19,85.5,65
HCPCS,C2617,STENT EXPEL TWIST-LOC 8FR 12CM RADIOPAQUE 2 PIGTAIL TIP FLEXIBLE STIFF CANNULA STABILIZER FLEXITHANE HYDROPHILIC URETERAL STERILE LATEX FREE DISPOSABLE,152.95,76.48,29.29,137.66,65
HCPCS,C2617,STENT EXPEL TWIST-LOC 8FR 16CM RADIOPAQUE 2 PIGTAIL TIP FLEXIBLE STIFF CANNULA STABILIZER FLEXITHANE HYDROPHILIC URETERAL STERILE LATEX FREE DISPOSABLE,152.95,76.48,29.29,137.66,65
HCPCS,C2617,STENT EXPEL TWIST-LOC 8FR 28CM 2 PIGTAIL TIP FLEXIBLE STIFF CANNULA INTERNAL EXTERNAL DRAINAGE FLEXITHANE METAL HYDROPHILIC NEPHROURETERAL STERILE LATEX FREE DISPOSABLE,95.0,47.5,18.19,85.5,65
HCPCS,C2617,STENT FLEXIMA HYDROPLUS PTFE OD6 FR L22-30 CM STRETCH VL TAPER TIP ATTACH SUTURE STIFF SHAFT GUIDEWIRE FLEXIBLE URETERAL .038 IN PIGTAIL CURVE STRAIGHT L3 CM,116.24,58.12,22.26,104.62,65
HCPCS,C2617,STENT GEENEN 5FR 10CM PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP CONTOUR POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .018IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT GEENEN 7FR 10CM PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT GEENEN SOF-FLEX 5FR 3CM SPIRAL SIDEHOLE 2MM CONTOUR POLYETHYLENE PANCREATIC STERILE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT GLIDEX PERCUFLEX OD10 FR L22 CM PERCUFLEX RADIOPAQUE DRAINAGE FLEXIBLE STIFF CANNULA URETERAL PIGTAIL CURVE TAPER NEPHROURETERAL,110.0,55.0,21.07,99.0,65
HCPCS,C2617,STENT GLIDEX PERCUFLEX OD8 FR L22 CM PERCUFLEX FLEXIBLE STIFF CANNULA DUROMETER DRAINAGE HOLE CATHETER URETERAL LARGE REGULAR PIGTAIL CURVE NEPHROURETERAL,110.0,55.0,21.07,99.0,65
HCPCS,C2617,STENT INLAY 4.7FR 22CM PUSHER FLUORO MARKER LUBRICIOUS 2 PIGTAIL CURVE TAPER HYDROPHILIC URETERAL STERILE LATEX FREE DISPOSABLE BLUE,210.0,105.0,40.22,189.0,65
HCPCS,C2617,STENT INLAY OPTIMA 4.7FR 22-32CM PUSHER FLUORO MARKER ATRAUMATIC INSERTION MULTILENGTH TAPER POLYMER PHREECOAT URETERAL STERILE LATEX FREE DISPOSABLE LIME GREEN,95.0,47.5,18.19,85.5,65
HCPCS,C2617,STENT INLAY OPTIMA 4.7FR 24CM PUSHER FLUORO MARKER ATRAUMATIC INSERTION TAPER POLYMER PHREECOAT URETERAL STERILE LATEX FREE DISPOSABLE LIME GREEN,95.0,47.5,18.19,85.5,65
HCPCS,C2617,STENT INLAY OPTIMA 4.7FR 26CM PUSHER FLUORO MARKER ATRAUMATIC INSERTION TAPER POLYMER PHREECOAT URETERAL STERILE LATEX FREE DISPOSABLE LIME GREEN,82.4,41.2,15.78,74.16,65
HCPCS,C2617,STENT INLAY OPTIMA 4.7FR 28CM PUSHER FLUORO MARKER ATRAUMATIC INSERTION TAPER POLYMER PHREECOAT URETERAL STERILE LATEX FREE DISPOSABLE LIME GREEN,95.0,47.5,18.19,85.5,65
HCPCS,C2617,STENT OD7 FR L12 CM PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP GEENEN PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT OD7 FR L5 CM PUSH CATHETER DRAIN OBSTRUCT POSITION SLEEVE DUODENAL FLAP GEENEN PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PANCREATIC 10FR DIA 8CML PLASTIC STRAIGHT LEADING BARB ADVANIX MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE 1/EA,85.0,42.5,16.28,76.5,65
HCPCS,C2617,STENT PANCREATIC 5FR DIA 3CML 170/320CML POLYETHYLENE DUODENAL PIGTAIL TAPERED TIP FIBERED W/O FLAP ZIMMON 0.025IN GUIDEWIRE COMPATIBLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PANCREATIC 5FR DIA 5CML 170/320CML POLYETHYLENE DUODENAL PIGTAIL TAPERED TIP FIBERED W/O FLAP ZIMMON 0.025IN GUIDEWIRE COMPATIBLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PANCREATIC 5FR DIA 7CML 170/320CML POLYETHYLENE DUODENAL PIGTAIL TAPERED TIP FIBERED W/O FLAP ZIMMON 0.025IN GUIDEWIRE COMPATIBLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PANCREATIC ZIMMON 4FR 8CM DUODENAL PIGTAIL TAPERED TIP SPIRAL SIDE HOLE BLACK POLYETHYLENE NON-RADIOLUCENT 0.021IN GW 2MM CHANNEL,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PERCUFLEX GLIDEX OD10 FR L26 CM PERCUFLEX FLEXIBLE STIFF CANNULA DUROMETER DRAINAGE HOLE CATHETER URETERAL LARGE REGULAR PIGTAIL CURVE NEPHROURETERAL,110.0,55.0,21.07,99.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD3 FR L4 CM RADIOPAQUE PUSHABLE TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .018 IN GUIDEWIRE GREEN,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD4 FR L4 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .018 IN GUIDEWIRE BLACK,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD5 FR L10 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD5 FR L4 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD5 FR L8 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD5 FR L9 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD7 FR L15 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD7 FR L4 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD7 FR L5 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PIGTAIL CURVE OD7 FR L7 CM RADIOPAQUE PUSH CATHETER TAPER TIP ZIMMON PANCREATIC POLYETHYLENE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT POLYETHYLENE OD5 FR L3 CM TAPER TIP ZIMMON BILIARY 2 PIGTAIL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT POLYETHYLENE OD7 FR L7 CM DRAIN OBSTRUCT POSITION SLEEVE ENDOSCOPE CHANNEL DUODENAL FLAP COTTON-HUIBREGTSE BILIARY ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT POLYETHYLENE OD7 FR L9 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT PORGES COLOPLAST 6FR 26CM 2 LOOP 2 OPEN CONNECTABLE PUSHER SILICONE URETERAL STERILE LATEX FREE DISPOSABLE,506.0,253.0,96.9,455.4,65
HCPCS,C2617,STENT PORGES COLOPLAST STENOSTENT 12FR 24CM 2 LOOP CONNECTABLE PUSHER FIX CORE GUIDEWIRE SILICONE URETERAL STERILE LATEX FREE DISPOSABLE,228.8,114.4,43.82,205.92,65
HCPCS,C2617,STENT PORGES COLOPLAST STENOSTENT 12FR 26CM 2 LOOP OPEN CONNECTABLE PUSHER FIX CORE GUIDEWIRE SILICONE URETERAL STERILE LATEX FREE DISPOSABLE,228.8,114.4,43.82,205.92,65
HCPCS,C2617,STENT PORGES COLOPLAST STENOSTENT 12FR 28CM 2 LOOP OPEN CONNECTABLE PUSHER FIX CORE GUIDEWIRE SILICONE URETERAL STERILE LATEX FREE DISPOSABLE,228.8,114.4,43.82,205.92,65
HCPCS,C2617,STENT TEMPTIP 8FR 26CM PERCUFLEX HYDROPHILIC URETERAL,110.0,55.0,21.07,99.0,65
HCPCS,C2617,STENT TRIA 4.8FR 20CM BRAID SUTURE FIRM 3 LAYER LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 4.8FR 22CM BRAID SUTURE FIRM 3 LAYER LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 4.8FR 24CM FIRM URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 4.8FR 26CM BRAID SUTURE FIRM 3 LAYER LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 4.8FR 28CM BRAID SUTURE FIRM 3 LAYER LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 4.8FR 30CM BRAID SUTURE FIRM 3 LAYER LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 20CM FIRM URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 20CM SOFT DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 22CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 22CM SOFT URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 24CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 24CM SOFT URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 26CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 26CM SOFT URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 28CM SIDE HOLE FIRM URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 28CM SOFT URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 30CM FIRM URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 6FR 30CM SOFT URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 20CM 3 LAYER LARGE INNER LUMEN SOFT MONOFILAMENT SUTURE URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 20CM FIRM MONOFILAMENT SUTURE LARGE INNER LUMEN THIN OUTER WALL URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 22CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 22CM MONOFILAMENT SUTURE SOFT 3 LAYER LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 24CM 3 LAYER FIRM DUROMETER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 24CM 3 LAYER LARGE INNER LUMEN SOFT MONOFILAMENT SUTURE URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 26CM 3 LAYER LARGE INNER LUMEN SOFT MONOFILAMENT SUTURE URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 26CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 28CM 3 LAYER LARGE INNER LUMEN SOFT MONOFILAMENT SUTURE URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 28CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 7FR 30CM SOFT MONOFILAMENT SUTURE LARGE INNER LUMEN THIN OUTER WALL URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 8FR 22CM 3 LAYER LARGE INNER LUMEN FIRM MONOFILAMENT SUTURE URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 8FR 24CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 8FR 26CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 8FR 28CM FIRM DUROMETER 3 LAYER MONOFILAMENT SUTURE LARGE INNER LUMEN URETERAL,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA 8FR 30CM SOFT URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA FIRM 7FR 2.3MM 30CM SIDE HOLE URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA SOFT 8FR 2.7MM 20CM SIDE HOLE URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA SOFT 8FR 2.7MM 22CM SIDE HOLE URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA SOFT 8FR 2.7MM 24CM SIDE HOLE URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA SOFT 8FR 2.7MM 26CM SIDE HOLE URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT TRIA SOFT 8FR 2.7MM 28CM SIDE HOLE URETERAL STERILE LATEX FREE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT UNIVERSA 8FR 18CM RADIOPAQUE POSITIONER BRAID TETHER STRAIGHTENER 2 PIGTAIL CURVE AQ URETERAL STERILE,158.9,79.45,30.43,143.01,65
HCPCS,C2617,STENT URET 4.8X10 TRIA FIRM,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URET 4.8X12 TRIA FIRM,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URET 4.8X16 TRIA FIRM,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URET 4.8X18TRIA FIRM,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URETERAL 4.5FR DIA 10CML TECOFLEX DOUBLE PIGTAIL TIP OPEN END DUROMETERX1 W/PUSH CATHETER STERILE SINGLE-USE HYDROPHILIC COATED,56.0,28.0,10.72,50.4,65
HCPCS,C2617,STENT URETERAL 4.5FR DIA 16CML TECOFLEX DOUBLE PIGTAIL TIP OPEN END DUROMETERX1 W/PUSH CATHETER STERILE SINGLE-USE HYDROPHILIC COATED,56.0,28.0,10.72,50.4,65
HCPCS,C2617,STENT URETERAL 4.5FR DIA 18CML TECOFLEX DOUBLE PIGTAIL TIP OPEN END DUROMETERX1 W/PUSH CATHETER STERILE SINGLE-USE HYDROPHILIC COATED,56.0,28.0,10.72,50.4,65
HCPCS,C2617,STENT URETERAL 6FR DIA 22CML MONOFILAMENT SUTURE SOFT TRIA,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URETERAL 6FR DIA 24CML TECOFLEX DOUBLE PIGTAIL TIP OPEN END DUROMETERX1 W/PUSH CATHETER STERILE HYDROPHILIC COATED,56.0,28.0,10.72,50.4,65
HCPCS,C2617,STENT URETERAL 6FR DIA 24CML TRI-LAYER SOFT MONOFILAMENT SUTURE TRIA,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URETERAL 6FR DIA 26CML SILICONE DOUBLE J ANGLED TIP OPEN END LOOPX2 W/CONNECTABLE ORCHESTRA GUIDEWIRE PUSHER IMAJIN LATEX-FREE,147.2,73.6,28.19,132.48,65
HCPCS,C2617,STENT URETERAL 6FR DIA 26CML TECOFLEX DOUBLE PIGTAIL TIP OPEN END DUROMETERX1 W/PUSH CATHETER STERILE HYDROPHILIC COATED,56.0,28.0,10.72,50.4,65
HCPCS,C2617,STENT URETERAL 6FR DIA 28CML FIRM MONOFILAMENT W/O GUIDEWIRE TRIA,158.0,79.0,30.26,142.2,65
HCPCS,C2617,STENT URETERAL 7FR DIA 20CML PERCUSHIELD SOFT TRIA RADIOPAQUE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URETERAL 7FR DIA 22CML PERCUSHIELD SOFT TRIA RADIOPAQUE,199.0,99.5,38.11,179.1,65
HCPCS,C2617,STENT URETERAL 7FR DIA 30CML PERCUSHIELD SOFT TRIA RADIOPAQUE 1/EA,200.99,100.5,38.49,180.89,65
HCPCS,C2617,STENT URETERAL 8.5FR DIA 30CML TECOFLEX CLASSICAL DOUBLE PIGTAIL TIP OPEN END DUROMETERX1 W/PUSH CATHETER STERILE HYDROPHILIC COATED,56.0,28.0,10.72,50.4,65
HCPCS,C2617,STENT ZIMMON 4FR 6CM RADIOPAQUE PUSH CATHETER TAPER TIP PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE BLACK ACCEPTS .021IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 5FR 12CM GUIDEWIRE PANCREATIC 2MM MINIMUM ACCESSORY CHANNEL,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 5FR 15CM RADIOPAQUE PUSH CATHETER TAPER TIP PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 5FR 3CM RADIOPAQUE PUSH CATHETER TAPER TIP PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 5FR 5CM RADIOPAQUE PUSH CATHETER TAPER TIP PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 7FR 12CM GUIDEWIRE .035IN PANCREATIC,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 7FR 15CM TAPER TIP 2 PIGTAIL CURVE POLYETHYLENE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 7FR 18CM TAPER TIP PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,STENT ZIMMON 7FR 3CM RADIOPAQUE PUSH CATHETER TAPER TIP PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,50.0,25.0,9.58,45.0,65
HCPCS,C2617,STENT ZIMMON 7FR 6CM RADIOPAQUE PUSH CATHETER TAPER TIP .035IN PIGTAIL CURVE POLYETHYLENE PANCREATIC STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,60.0,30.0,11.49,54.0,65
HCPCS,C2617,TRIA URETERAL STENT 8 FR 20CM SOFT,199.0,99.5,38.11,179.1,65
HCPCS,C2618,CATHETER CRYOABLATION 180DEG PEAR F/BARRETTS ESOPHAGUS C2 CRYOBALLOON,2750.0,1375.0,599.78,2475.0,64
HCPCS,C2618,CATHETER CRYOABLATION STANDARD 180DEG F/BARRETTS ESOPHAGUS C2 CRYOBALLOON,2650.0,1325.0,577.97,2385.0,64
HCPCS,C2618,CRYOPROBE ENDOCARE FOR IR EC ISOLIS 15CM ELLIP,4300.0,2150.0,937.83,3870.0,64
HCPCS,C2618,ICEROD 1.5C X 90 CRYOABLATION NEEDLE,1750.0,875.0,381.68,1575.0,64
HCPCS,C2618,KIT CRYOABLATION F/CRYOSURGICAL EQUIPMENT 101,5000.0,2500.0,1090.5,4500.0,64
HCPCS,C2618,KIT CRYOSURGERY 2.4MM DIA W/V-PROBE TEMPPROB F/MINIMALLY INVASIVE ENDOCARE STERILE,4500.0,2250.0,981.45,4050.0,64
HCPCS,C2618,NEEDLE CRYOABLATION 14GA 23CML 2.1MMW X 13MML TRACK ABLATION RADIAL 90DEG ANGLED NON-STICK COATING ICEPEARL 2.1 CX L STERILE DISPOSABLE,1750.0,875.0,381.68,1575.0,64
HCPCS,C2618,NEEDLE CRYOABLATION 14GA 23CML 2.5MMW X 29MML TRACK ABLATION RADIAL STRAIGHT NON-STICK COATING ICEFORCE 2.1 CX L STERILE DISPOSABLE,1750.0,875.0,381.68,1575.0,64
HCPCS,C2618,NEEDLE CRYOABLATION 17GA 17.5CML 90DEG ANGLED SEEDNET ICESEED STERILE,2095.0,1047.5,456.92,1885.5,64
HCPCS,C2618,NEEDLE ICEFORCE 2.1 CX 90D FPRPR3602,1750.0,875.0,381.68,1575.0,64
HCPCS,C2618,PROBE CRYOABLATION 18IN 8MM CRYOSPHERE 180D UP BALL TIP REINFORCE PROXIMAL BENDABLE DISTAL SHAFT BRAID INSULATION,2695.0,1347.5,587.78,2425.5,64
HCPCS,C2618,PROBE CRYOABLATION L11 IN OD8 MM CRYOICE CRYOSPHERE,2500.0,1250.0,545.25,2250.0,64
HCPCS,C2618,PROBE CRYOICE CRYOSPHERE+ MAX CRYOABLATION 11IN 10MM BALL,2800.0,1400.0,610.68,2520.0,64
HCPCS,C2618,PROBE CRYOSURGERY 1.15MR 2.4MM CRYOPROBE FLEXIBLE ERBECRYO 2 DISPOSABLE,1687.0,843.5,367.93,1518.3,64
HCPCS,C2618,PROBE CRYOSURGERY 2.4MM V-PROBE ENDOCARE RIGHT ANGLE CRYOPROBE STERILE LATEX FREE DISPOSABLE,1200.0,600.0,261.72,1080.0,64
HCPCS,C2618,PROBE CRYOSURGICAL 1.15MM 1.7MM ERBECRYO FLEXIBLE LIGHT PLUG DISPOSABLE,1687.0,843.5,367.93,1518.3,64
HCPCS,C2618,PROBE CRYOSURGICAL 100MM SURGIFROST STAINLESS STEEL ADJUSTABLE TEMPERATURE TOUCH SCREEN CONSOLE CONTROL CRYOADHESION STERILE DISPOSABLE,2200.0,1100.0,479.82,1980.0,64
HCPCS,C2618,PROBE CRYOSURGICAL 15CM 1.7MM 8MM ENDOCARE CRYOPROBE PERCRYO ISOTHERM RIGHT ANGLE ERGONOMIC HANDLE INTEGRATE THERMOCOUPLE 34MM STERILE DISPOSABLE,1350.0,675.0,294.44,1215.0,64
HCPCS,C2618,PROBE CRYOSURGICAL 15CM 1.7MM 8MM ENDOCARE CRYOPROBE PERCRYO RIGHT ANGLE OBLONG ERGONOMIC HANDLE SLIMLINE ROUND ICE BALL STERILE DISPOSABLE,1100.0,550.0,239.91,990.0,64
HCPCS,C2618,PROBE CRYOSURGICAL 15CM 2.4MM 8MM ENDOCARE CRYOPROBE PERCRYO ISOTHERM RIGHT ANGLE ERGONOMIC HANDLE INTEGRATE THERMOCOUPLE 34MM STERILE DISPOSABLE,1100.0,550.0,239.91,990.0,64
HCPCS,C2618,PROBE CRYOSURGICAL 23CM 2.4MM 8MM ENDOCARE CRYOPROBE RENALCRYO ANGLE RIGHT OBLONG ICE BALL ERGONOMIC HANDLE SLIMLINE STERILE DISPOSABLE,1100.0,550.0,239.91,990.0,64
HCPCS,C2618,PROBE EC CRYOPROBE 1.7MM PCS,1133.0,566.5,247.11,1019.7,64
HCPCS,C2623,CATHETER 4MM 130CM 100MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 4MM 130CM 120MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 4MM 130CM 150MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER 4MM 130CM 60MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 4MM 135CM 100MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 4MM 135CM 40MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 4MM 135CM 60MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 4MM 135CM 80MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 4MM 150CM 120MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1395.0,697.5,304.25,1255.5,64
HCPCS,C2623,CATHETER 4MM 150CM 150MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1595.0,797.5,347.87,1435.5,64
HCPCS,C2623,CATHETER 4MM 150CM 200MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1995.0,997.5,435.11,1795.5,64
HCPCS,C2623,CATHETER 4MM 75CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 5MM 130CM 120MM LUTONIX BALLOON TRANSLUMINAL LOW PROFILE SHORT INFLATION NONRADIOPAQUE RULER ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 5MM 130CM 150MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER 5MM 130CM 40MM LUTONIX BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 5MM 130CM 60MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 5MM 130CM 80MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 5MM 135CM 100MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 5MM 135CM 40MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 5MM 135CM 60MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 5MM 135CM 80MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 5MM 150CM 120MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1395.0,697.5,304.25,1255.5,64
HCPCS,C2623,CATHETER 5MM 150CM 150MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1595.0,797.5,347.87,1435.5,64
HCPCS,C2623,CATHETER 5MM 150CM 200MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1995.0,997.5,435.11,1795.5,64
HCPCS,C2623,CATHETER 5MM 75CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 6MM 130CM 100MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 6MM 130CM 120MM LUTONIX BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA STERILE LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 6MM 130CM 150MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER 6MM 130CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 6MM 130CM 60MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 6MM 130CM 80MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 6MM 135CM 100MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 6MM 135CM 40MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 6MM 135CM 60MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 6MM 135CM 80MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 6MM 150CM 120MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1395.0,697.5,304.25,1255.5,64
HCPCS,C2623,CATHETER 6MM 150CM 200MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1995.0,997.5,435.11,1795.5,64
HCPCS,C2623,CATHETER 6MM 75CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 7MM 130CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 7MM 130CM 60MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 7MM 135CM 40MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 7MM 135CM 60MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 7MM 135CM 80MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER 7MM 150CM 150MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1595.0,797.5,347.87,1435.5,64
HCPCS,C2623,CATHETER 7MM 150CM 200MM RANGER BALLOON TRANSLUMINAL OTW PTA PACLITAXEL,1995.0,997.5,435.11,1795.5,64
HCPCS,C2623,CATHETER 7MM 75CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 7MM 75CM 60MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA LATEX FREE PACLITAXEL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER 8MM 75CM 40MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER 8MM 75CM 60MM LUTONIX 035 BALLOON TRANSLUMINAL ACCEPTS .035IN GUIDEWIRE 6FR SHEATH PTA,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON ANGIOPLASTY DILAT 5MM X 250MM 80CM PACLITAXEL PERIPHERAL OTW COAXIAL 6-FOLD LOW-PROFILE F/PTA INPACT ADMIRAL RADIOPAQUE MARKERX2 0.035IN GW,1950.0,975.0,425.3,1755.0,64
HCPCS,C2623,CATHETER BALLOON ANGIOPLASTY DILATATION DCB RANGER GLOBAL 5MM X 40MM 80CM OTW SEMI-COMPLIANT COAXIAL F/PTA LOW-PROFILE PACLITAXEL PERIPHERAL SFA POPLITEAL RADIOPAQUE MARKER 0.014IN/0.018IN GW 5FR SHEA,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER BALLOON ANGIOPLASTY PRE/POST-DILAT 4MM X 300MM 100CM PACLITAXEL PERIPHERAL OTW F/PTA LUTONIX RADIOPAQUE MARKER 0.018IN GW,2600.0,1300.0,567.06,2340.0,64
HCPCS,C2623,CATHETER BALLOON ANGIOPLASTY PRE/POST-DILAT 5MM X 300MM 100CM PACLITAXEL PERIPHERAL OTW F/PTA LUTONIX RADIOPAQUE MARKER 0.018IN GW,2600.0,1300.0,567.06,2340.0,64
HCPCS,C2623,CATHETER BALLOON ANGIOPLASTY PRE/POST-DILAT 6MM X 300MM 100CM PACLITAXEL PERIPHERAL OTW F/PTA LUTONIX RADIOPAQUE MARKER 0.018IN GW,2600.0,1300.0,567.06,2340.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION 100 MM 135CM ODSEC 7MM SURVEIL OTW PERIPHERAL,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION 80 MM 135 CM ODSEC 7MM,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.25MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.25MM 15MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.25MM 20MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.25MM 30MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.5MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.5MM 15MM DRUG COATED,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.75MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.75MM 15MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.75MM 20MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2.75MM 30MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2MM 15MM DRUG COATED,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2MM 20MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 2MM 30MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 3.5MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 3.5MM 15MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 3MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 3MM 15MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 3MM 20MM DRUG COATED,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 3MM 30MM DRUG COATED,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 4MM 12MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION AGENT 4MM 20MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION L100 MM OD4 MM IN PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L100 MM OD5 MM IN PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L100 MM OD6 MM IN PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM L130 CM ODSEC4 MM INPACT ADMIRAL OTW 2 LUMEN 3 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM L80 CM ODSEC4 MM INPACT OTW 3 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM L80 CM ODSEC5 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM OD4 MM IN.PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM OD5 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM OD6 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L120 MM ODSEC6 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L150 MM L200 CM OD4 MM INPACT ADMIRAL LOW PROFILE OTW 3 FOLD ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1855.0,927.5,404.58,1669.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L150 MM L200 CM OD5 MM INPACT ADMIRAL LOW PROFILE OTW 6 FOLD ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1855.0,927.5,404.58,1669.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L150 MM L200 CM OD6 MM INPACT ADMIRAL LOW PROFILE OTW 6 FOLD ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1855.0,927.5,404.58,1669.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L250 MM L130 CM OD4 MM INPACT ADMIRAL OTW 2 LUMEN 3 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA PACLITAXEL UREA,1990.0,995.0,434.02,1791.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION L250 MM L130 CM OD5 MM INPACT ADMIRAL OTW 6 FOLD ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL,1990.0,995.0,434.02,1791.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION L250 MM L130 CM ODSEC6 MM INPACT ADMIRAL OTW 6 FOLD ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1990.0,995.0,434.02,1791.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L130 CM ODSEC5 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L130 CM ODSEC6 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC10 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC12 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 9 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC4 MM INPACT OTW 3 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC6 MM IN.PACT AV OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC6 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC7 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC8 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM L80 CM ODSEC9 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM OD4 MM IN.PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM OD5 MM IN.PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM OD6 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L40 MM OD7 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L130 CM OD5 MM INPACT ADMIRAL OTW 2 LUMEN 3 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L130 CM ODSEC4 MM INPACT ADMIRAL OTW 2 LUMEN 3 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L130 CM ODSEC6 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC4 MM INPACT OTW 3 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC5 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC6 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC7 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM L80 CM ODSEC9 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM OD4 MM IN.PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM OD5 MM INPACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM OD6 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L60 MM OD7 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM L130 CM ODSEC7 MM INPACT ADMIRAL OTW 2 LUMEN 6 FOLD RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA PACLITAXEL UREA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM L40 CM ODSEC8 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC5 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC6 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC7 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1225.0,612.5,267.17,1102.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM L80 CM ODSEC8 MM INPACT OTW 6 FOLD ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA PACLITAXEL UREA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM OD4 MM IN.PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM OD5 MM IN.PACT DRUG COATED ACCEPTS .018 IN GUIDEWIRE,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM OD6 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION L80 MM OD7 MM IN.PACT,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 10MM 40MM 75CM ACCEPTS .035IN GUIDEWIRE 8FR SHEATH PTA PACLITAXEL LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 12MM 40MM 100CM ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA PACLITAXEL LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 12MM 40MM 75CM ACCEPTS .035IN GUIDEWIRE 9FR SHEATH PTA PACLITAXEL LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 12MM 60MM 100CM STERILE LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 4MM 60MM 75CM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL LATEX FREE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 5MM 100MM 130CM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL LATEX FREE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 5MM 60MM 75CM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL LATEX FREE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 8MM 40MM 100CM ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PACLITAXEL LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 035 9MM 60MM 75CM ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PACLITAXEL LATEX FREE,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 12MM 60MM 75CM DRUG COATED ACCEPTS .035IN GUIDEWIRE 7FR SHEATH ARTERIOVENOUS FISTULA,1550.0,775.0,338.06,1395.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 4MM 40MM 130CM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL STERILE LATEX FREE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX 6MM 60MM 75CM ACCEPTS .035IN GUIDEWIRE 5FR SHEATH PTA PACLITAXEL LATEX FREE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX GEOALIGN 5MM 100MM 130CM REINFORCE INNER LUMEN DRUG COATED ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA STERILE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX GEOALIGN 5MM 150MM 130CM REINFORCE INNER LUMEN DRUG COATED ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA STERILE,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX GEOALIGN 5MM 60MM 130CM REINFORCE INNER LUMEN DRUG COATED ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA STERILE,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX GEOALIGN 6MM 150MM 130CM REINFORCE INNER LUMEN DRUG COATED ACCEPTS .018IN GUIDEWIRE 5FR SHEATH PTA STERILE,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE 5MM 300MM 130CM DRUG COAT REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,2600.0,1300.0,567.06,2340.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE 6MM 80MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE 7MM 150MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 100MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 150MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1500.0,750.0,327.15,1350.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 300MM 130CM DRUG COAT REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,2600.0,1300.0,567.06,2340.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 40MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 60MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 4MM 80MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 5MM 40MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 5MM 80MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 6MM 100MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 6MM 300MM 130CM DRUG COAT REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,2600.0,1300.0,567.06,2340.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 6MM 40MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 6MM 60MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 7MM 40MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION LUTONIX ULTRAVERSE GEOALIGN 7MM 60MM 130CM DRUG COATED REINFORCE INNER LUMEN ACCEPTS .018IN GUIDEWIRE PTA,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION RANGER 6MM 150MM 150CM OTW PTA PACLITAXEL,1595.0,797.5,347.87,1435.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION RANGER 7MM 100MM 135CM OTW PTA PACLITAXEL,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION RANGER 7MM 120MM 150CM OTW PTA PACLITAXEL,1395.0,697.5,304.25,1255.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 100MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 120MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 150MM 135CM OTW DRUG COATED ACCEPTS .035IN GUIDEWIRE STERILE LATEX FREE,1450.0,725.0,316.25,1305.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 200MM 135CM OTW DRUG COATED ACCEPTS .035IN GUIDEWIRE STERILE LATEX FREE,1950.0,975.0,425.3,1755.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 40MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 60MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 4MM 80MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 5MM 100MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 5MM 120MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 5MM 150MM 135CM OTW DRUG COATED ACCEPTS .035IN GUIDEWIRE STERILE LATEX FREE,1450.0,725.0,316.25,1305.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 5MM 200MM 135CM OTW DRUG COATED ACCEPTS .035IN GUIDEWIRE STERILE LATEX FREE,1950.0,975.0,425.3,1755.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 5MM 60MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 5MM 80MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 100MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 120MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1295.0,647.5,282.44,1165.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 150MM 135CM OTW DRUG COATED ACCEPTS .035IN GUIDEWIRE STERILE LATEX FREE,1450.0,725.0,316.25,1305.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 200MM 135CM OTW DRUG COATED ACCEPTS .035IN GUIDEWIRE STERILE LATEX FREE,1950.0,975.0,425.3,1755.0,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 40MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 60MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON DILATATION STELLAREX 6MM 80MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT,1195.0,597.5,260.63,1075.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 3 FOLD RADIOPAQUE SECOD4 MM IN.PACT ADMIRAL PACLITAXEL UREA L80 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE ODSEC6 MM IN.PACT ADMIRAL PACLITAXEL UREA L120 MM ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD5 MM IN.PACT ADMIRAL PACLITAXEL UREA L120 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD5 MM IN.PACT ADMIRAL PACLITAXEL UREA L80 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD6 MM IN.PACT ADMIRAL PACLITAXEL UREA L80 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD7 MM IN.PACT ADMIRAL PACLITAXEL UREA L40 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L130 CM OTW 2 LUMEN 6 FOLD RADIOPAQUE SECOD7 MM IN.PACT ADMIRAL PACLITAXEL UREA L60 MM SUPERFICIAL FEMORAL POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PTA,1135.0,567.5,247.54,1021.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 6 FOLD ODSEC8 MM INPACT PACLITAXEL UREA L60 MM ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER BALLOON TRANSLUMINAL L80 CM OTW 6 FOLD ODSEC9 MM INPACT PACLITAXEL UREA L80 MM ARTERIOVENOUS ACCEPTS .035 IN GUIDEWIRE 7 FR INTRODUCER SHEATH PTA,1525.0,762.5,332.6,1372.5,64
HCPCS,C2623,CATHETER STELLAREX 5MM 40MM 135CM OTW 2 LUMEN TAPER TIP RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH PTA ENDURACOAT BALLOON DILATATION,1195.0,597.5,260.63,1075.5,64
HCPCS,C2625,DEVICE EMBOLIZATION L12 MM 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD4 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
HCPCS,C2625,IMPLANT NASAL 16MM PROPEL CONTOUR 370 MCG MINI MOMETASONE FUROATE,995.0,497.5,190.54,895.5,65
HCPCS,C2625,IMPLANT NASAL 23MM PROPEL 370 MCG MOMETASONE FUROATE,995.0,497.5,190.54,895.5,65
HCPCS,C2625,KIT ENDOPYELOTOMY 6-10FR 12FR 78CM 35CM 28CM 7-10FR ACCESS SHEATH STENT ACUCISE,1545.0,772.5,295.87,1390.5,65
HCPCS,C2625,SET STENT 10.2FR 22CM PIGTAIL CURVE RB AMPLATZ POSITIONER INTRODUCER CATHETER 6 SIDEPORT STRING STERILE ULTRATHANE AQ STAINLESS STEEL TFE URETER DISPOSABLE ACCEPTS .038IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
HCPCS,C2625,SET STENT 10.2FR 24CM PIGTAIL CURVE AMPLATZ RB INTRODUCER CATHETER POSITIONER STRING 6 SIDEPORT STERILE AQ ULTRATHANE STAINLESS STEEL PTFE URETER ACCEPTS .038IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
HCPCS,C2625,SET STENT 10FR 7CM 2 PIGTAIL CURVE ZIMMON PUSH CATHETER SMOOTH CANNULATION TAPER TIP STERILE POLYETHYLENE BILIARY PURPLE ACCEPTS .035IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT 5FR 10CM 2 PIGTAIL CURVE ZIMMON PUSH CATHETER SMOOTH CANNULATION TAPER TIP STERILE POLYETHYLENE BILIARY PURPLE ACCEPTS .035IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT 7FR 12CM 2 PIGTAIL CURVE ZIMMON PUSH CATHETER SMOOTH CANNULATION TAPER TIP STERILE POLYETHYLENE BILIARY PURPLE ACCEPTS .035IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT BILIARY 10FR DIA 12CML SOF-FLEX BILE DUCT DOUBLE PIGTAIL W/10FR DIA INTRODUCER SOLUS LATEX-FREE NON-RADIOLUCENT 0.035IN GUIDEWIRE COMPATIBLE,111.0,55.5,21.26,99.9,65
HCPCS,C2625,SET STENT L10 CM PIGTAIL CURVE POSITIONER INTRODUCER CATHETER 6 SIDEPORT STRING OD8.5 FR RB AMPLATZ ULTRATHANE AQ STAINLESS STEEL TFE URETER ACCEPTS .035 IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
HCPCS,C2625,SET STENT L11 CM POSITION SLEEVE OD7 FR COTTON-LEUNG POLYETHYLENE BILIARY PURPLE,115.0,57.5,22.02,103.5,65
HCPCS,C2625,SET STENT L4 CM 2 PIGTAIL CURVE PUSH CATHETER SMOOTH CANNULATION TAPER TIP OD10 FR ZIMMON POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT L4 CM 2 PIGTAIL CURVE PUSH CATHETER SMOOTH CANNULATION TAPER TIP OD5 FR ZIMMON POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT L4 CM 2 PIGTAIL TAPER TIP OD7 FR ZIMMON POLYETHYLENE L170 CM BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE 2.8 MM MINIMUM ACCESSORY CHANNEL DRAIN OBSTRUCT,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT L5 CM NATURAL CURVE PUSH CATHETER POSITION SLEEVE OD10 FR COTTON-LEUNG POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,115.0,57.5,22.02,103.5,65
HCPCS,C2625,SET STENT L5 CM NATURAL CURVE PUSH CATHETER POSITION SLEEVE OD7 FR COTTON-LEUNG POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,115.0,57.5,22.02,103.5,65
HCPCS,C2625,SET STENT L7 CM 2 PIGTAIL CURVE PUSH CATHETER SMOOTH CANNULATION TAPER TIP OD5 FR ZIMMON POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT L7 CM 2 PIGTAIL CURVE PUSH CATHETER SMOOTH CANNULATION TAPER TIP OD7 FR ZIMMON POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SET STENT L9 CM NATURAL CURVE PUSH CATHETER POSITION SLEEVE OD10 FR COTTON-LEUNG POLYETHYLENE BILIARY PURPLE ACCEPTS .035 IN GUIDEWIRE,115.0,57.5,22.02,103.5,65
HCPCS,C2625,SHUNT CARDIOVASCULAR CAROTID 9FR DIA TUBE DUAL BALLOON T PORT W/O DOPPLER SMITHWICK,1750.0,875.0,335.13,1575.0,65
HCPCS,C2625,STENT COPE MAC-LOC 10.2FR 22CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,149.49,74.75,28.63,134.54,65
HCPCS,C2625,STENT COPE MAC-LOC 10.2FR 24CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C2625,STENT COPE MAC-LOC 10.2FR 26CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C2625,STENT COPE MAC-LOC 8.5FR 24CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C2625,STENT COPE MAC-LOC 8.5FR 28CM RADIOPAQUE SIDEPORT LOW PROFILE DISTAL SEGMENT PIGTAIL CURVE ULTRATHANE NEPHROURETEROSTOMY STERILE ACCEPTS .038IN GUIDEWIRE,127.99,64.0,24.51,115.19,65
HCPCS,C2625,STENT ENROUTE 9-7MM 30MM 57CM DELIVERY SYSTEM TAPER NITINOL VASCULAR TRANSCAROTID ARTERY REVASCULARIZATION,2450.0,1225.0,469.18,2205.0,65
HCPCS,C2625,STENT FLEXIMA PLASTIC OD10 FR L10 CM DELIVERY SYSTEM FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
HCPCS,C2625,STENT INLAY OPTIMA 6FR 24CM PUSHER FLUORO MARKER ATRAUMATIC INSERTION GRADUAL TAPER TIP PHREECOAT POLYMER URETERAL STERILE LATEX FREE DISPOSABLE LIME GREEN,95.0,47.5,18.19,85.5,65
HCPCS,C2625,STENT NICKEL TITANIUM OD9 MM CAROTID ARTERY L30 MM SELF EXPANDABLE ERGONOMIC HANDLE FLEXIBLE XACT VASCULAR 6 FR SHEATH STRAIGHT,1800.0,900.0,344.7,1620.0,65
HCPCS,C2625,STENT NITINOL OD7-9 MM CAROTID ARTERY L40 MM SELF EXPAND CLOSED CELL FLARE END FREESTYLE XACT VASCULAR ACCEPTS 8 FR GUIDE 6 FR SHEATH TAPER,1875.0,937.5,359.06,1687.5,65
HCPCS,C2625,STENT NITINOL OD8-10 MM CAROTID ARTERY L40 MM SELF EXPAND CLOSED CELL FLARE END FREESTYLE XACT VASCULAR ACCEPTS 8 FR GUIDE 6 FR SHEATH TAPER,1875.0,937.5,359.06,1687.5,65
HCPCS,C2625,STENT OD10 FR ODSEC5 FR L9 CM L210 CM TRACER METRO DIRECT GUIDEWIRE INTRODUCER GUIDE CATHETER SOLUS BILIARY .035 IN 2 PIGTAIL CURVE PURPLE,111.0,55.5,21.26,99.9,65
HCPCS,C2625,STENT PLASTIC OD10 FR L18 CM PRELOAD TEMPORARY RAPID EXCHANGE DELIVERY SYSTEM ADVANIX BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,129.0,64.5,24.7,116.1,65
HCPCS,C2625,STENT PLASTIC OD10 FR L7 CM DELIVERY SYSTEM RADIOPAQUE PRELOAD RAPID EXCHANGE ADVANIX BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,129.0,64.5,24.7,116.1,65
HCPCS,C2625,STENT PLASTIC OD10 FR L7 CM DELIVERY SYSTEM RAPID EXCHANGE RX BILIARY BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,107.8,53.9,20.64,97.02,65
HCPCS,C2625,STENT PLASTIC OD2.3 MM L18 CM PRELOAD TEMPORARY RAPID EXCHANGE DELIVERY SYSTEM ADVANIX BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,129.0,64.5,24.7,116.1,65
HCPCS,C2625,STENT PLASTIC OD8.5 FR L15 CM DUODENAL BEND PRELOAD ADVANIX BILIARY,129.0,64.5,24.7,116.1,65
HCPCS,C2625,STENT PLASTIC OD8.5 FR L18 CM PRELOAD RAPID EXCHANGE DELIVERY SYSTEM TEMPORARY ADVANIX BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,129.0,64.5,24.7,116.1,65
HCPCS,C2625,STENT POLYETHYLENE OD8.5 FR L10 CM TAPER TIP POSITION SLEEVE PROXIMAL DISTAL FLAP COTTON-LEUNG BILIARY NATURAL CURVE ACCEPTS .035 IN GUIDEWIRE PURPLE,60.0,30.0,11.49,54.0,65
HCPCS,C2625,STENT SOLUS 10FR 5FR 5CM 210CM TRACER METRO DIRECT GUIDEWIRE INTRODUCER GUIDE CATHETER .035IN 2 PIGTAIL CURVE BILIARY STERILE DISPOSABLE PURPLE,111.0,55.5,21.26,99.9,65
HCPCS,C2625,STENT SOLUS DOUBLE PIGTAIN SOF-FLEX STENT 10FR 10CM 210CM INTRODUCER GUIDE CATHETER 2 PIGTAIL CURVE BILIARY STERILE PURPLE ACCEPTS .035IN GUIDEWIRE,111.0,55.5,21.26,99.9,65
HCPCS,C2625,STENT URETERAL CLASSIC 4.5FR 14CM TECOFLEX DOUBLE PIGTAIL FIRM NYLON TETHER W/RAMROD METAL TIP PUSH CATHETER HYDROPHILIC COAT,56.0,28.0,10.72,50.4,65
HCPCS,C2625,SYSTEM STENT BILIARY 10FR DIA 15CML 170CML POLYETHYLENE BILE DUCT DOUBLE PIGTAIL TAPERED TIP W/PUSHING CATHETER STRAIGHTENER ZIMMON LATEX-FREE NON-RADIOLUCENT STERILE 0.035IN GUIDEWIRE COMPATIBLE 2.8M,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SYSTEM STENT BILIARY 7FR DIA 15CML 170CML POLYETHYLENE BILE DUCT DOUBLE PIGTAIL TAPERED TIP W/PUSHING CATHETER STRAIGHTENER ZIMMON LATEX-FREE NON-RADIOLUCENT STERILE 0.035IN GUIDEWIRE COMPATIBLE 2.8MM,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SYSTEM STENT BILIARY 7FR DIA 18CML 170CML POLYETHYLENE BILE DUCT DOUBLE PIGTAIL TAPERED TIP W/PUSHING CATHETER STRAIGHTENER ZIMMON LATEX-FREE NON-RADIOLUCENT STERILE 0.035IN GUIDEWIRE COMPATIBLE 2.8MM,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SYSTEM STENT BILIARY 7FR DIA 6CML 170CML POLYETHYLENE BILE DUCT DOUBLE PIGTAIL TAPERED TIP W/PUSHING CATHETER STRAIGHTENER ZIMMON LATEX-FREE NON-RADIOLUCENT STERILE 0.035IN GUIDEWIRE COMPATIBLE 2.8MM ,127.0,63.5,24.32,114.3,65
HCPCS,C2625,SYSTEM STENT BILIARY 7FR DIA 9CML 170CML POLYETHYLENE BILE DUCT DOUBLE PIGTAIL TAPERED TIP W/PUSHING CATHETER STRAIGHTENER ZIMMON LATEX-FREE NON-RADIOLUCENT STERILE 0.035IN GUIDEWIRE COMPATIBLE 2.8MM ,127.0,63.5,24.32,114.3,65
HCPCS,C2627,CATHETER SUPRAPUBIC MALECOT 16FR DIA 40CML POLYETHYLENE WING TIPX4 FUNNEL END AMBER LATEX STERILE SINGLE-USE,17.0,8.5,3.26,15.3,65
HCPCS,C2628,CATHETER BALLOON DILATATION 6FR 80CM 2 LUMEN BALLOON J CURVE VENOGRAPHY CORONARY SINUS,450.0,225.0,98.15,405.0,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION .01 IN L4 MM L15 MM L150 CM OD2.2-2.8 FR ODSEC5 MM HYPERGLIDE X-PEDION HYDROPHILIC GUIDEWIRE,1975.0,987.5,430.75,1777.5,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION BRIDGE 20MM 80MM 90CM 60CC LASER LEAD EXTRACTION LATEX FREE,930.0,465.0,202.83,837.0,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION EQUALIZER 7FR 27MM 65CM STANDARD 2 LUMEN COAXIAL RADIOPAQUE INFLATE NYLON PERIPHERAL LATEX ACCEPTS .038IN GUIDEWIRE,315.0,157.5,68.7,283.5,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION L5 MM L10 MM L150 CM OD2.1-2.8 FR ODSEC4 MM SCEPTER C HYDROPHILIC 3 TIP MARKER COMPLIANT FLEXIBLE COAXIAL LUMEN SOFT ACCEPTS .014 IN GUIDEWIRE,1330.0,665.0,290.07,1197.0,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION L5 MM LONG MICRO LOW PROFILE L11 MM L150 CM OD2.1-2.8 FR ODSEC4 MM SCEPTER XC HYDROPHILIC 3 TIP MARKER COMPLIANT FLEXIBLE COAXIAL LUMEN SOFT ACCEPTS .014 IN GUIDEWIRE,1615.0,807.5,352.23,1453.5,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION L5 MM LONG MICRO LOW PROFILE L15 MM L150 CM OD2.1-2.8 FR ODSEC4 MM SCEPTER C HYDROPHILIC 3 TIP MARKER COMPLIANT FLEXIBLE COAXIAL LUMEN SOFT ACCEPTS .014 IN GUIDEWIRE,1330.0,665.0,290.07,1197.0,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION L90 CM OD6 FR EASYTRAK CORONARY VENOUS GUIDEWIRE PRESSURE,22.0,11.0,4.8,19.8,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION PRUITT 3FR 7MM 27CM,399.0,199.5,87.02,359.1,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION PRUITT 4FR 9MM 27CM STOPCOCK SYRINGE AORTIC,399.0,199.5,87.02,359.1,64
HCPCS,C2628,CATHETER BALLOON OCCLUSION PRUITT 5FR 11MM 27CM 3ML SYRINGE STERILE DISPOSABLE,399.0,199.5,87.02,359.1,64
HCPCS,C2628,CATHETER INTRAVASCULAR OCCLUSION 9FR DIA BALLOON RX W/SPIRAL WEDGE TORQUE SHAFT OCELOT PRUITT LATEX-FREE STERILE SINGLE-USE EIFU,419.0,209.5,91.38,377.1,64
HCPCS,C2628,CATHETER INTRAVASCULAR TEMPORARY OCCLUDING,7650.0,3825.0,1668.47,6885.0,64
HCPCS,C2628,CATHETER OCCLUSION 24CM 12FR PRUITT AORTA STERILE LATEX FREE DISPOSABLE,549.0,274.5,119.74,494.1,64
HCPCS,C2628,OCCLUDER VASCULAR 12MM 2.5MM FLO-RESTER CORONARY ARTERY SILICONE RUBBER RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE,348.0,174.0,75.9,313.2,64
HCPCS,C2628,SNIPER BALLOON OCCLUSION MICROCATHETER,1595.0,797.5,347.87,1435.5,64
HCPCS,C2629,DILATOR SHEATH 5.9MM VISISHEATH STERILE LATEX FREE DISPOSABLE,270.0,135.0,58.89,243.0,64
HCPCS,C2629,SHEATH 16FR 43CM DILATOR VISISHEATH,270.0,135.0,58.89,243.0,64
HCPCS,C2629,SHEATH 19.3FR 15FR 33CM 45D MEDIUM DILATOR BEVEL TIP TRANSPARENT CONTRAST WINDOW VISISHEATH PEBAX TEFLON POLYPROPYLENE GOLD ACCEPTS 14FR GLIDELIGHT LASER,270.0,135.0,58.89,243.0,64
HCPCS,C2629,SHEATH 4.2MM DILATOR VISISHEATH STERILE LATEX FREE DISPOSABLE,255.0,127.5,55.62,229.5,64
HCPCS,C2629,SHEATH 5.9MM DILATOR VISISHEATH STERILE LATEX FREE DISPOSABLE,255.0,127.5,55.62,229.5,64
HCPCS,C2629,SHEATH 5MM DILATOR VISISHEATH STERILE LATEX FREE DISPOSABLE,255.0,127.5,55.62,229.5,64
HCPCS,C2630,CATHETER 7.5FR 110CM 4.5MM 2.5MM SPACE LARGE CURVE QUADRIPOLAR OPEN IRRIGATE INTELLANAV MIFI ABLATION,2850.0,1425.0,621.59,2565.0,64
HCPCS,C2630,CATHETER 7.5FR 4.5MM OPEN IRRIGATE INTELLANAV MIFI ABLATION STERILE LATEX FREE,2850.0,1425.0,621.59,2565.0,64
HCPCS,C2630,CATHETER 7FR 110CM 2-5-2MM SPACE 4MM MEDIUM CURL QUADRIPOLAR BIDIRECTIONAL THERMOCOUPLE IRRIGATE TIP SAFIRE BLU DUO COMFORTGRIP ABLATION,1595.0,797.5,347.87,1435.5,64
HCPCS,C2630,CATHETER 8FR 115CM 4MM 1-4-1MM SPACE F CURVE 4 HOLE IRRIGATE UNIDIRECTIONAL HANDLE FLEXABILITY ABLATION,1795.0,897.5,391.49,1615.5,64
HCPCS,C2630,CATHETER 8FR FLEXABILITY ABLATION STERILE LATEX FREE,1795.0,897.5,391.49,1615.5,64
HCPCS,C2630,CATHETER ABLATION BIDIRECTIONAL HANDLE IRRIGATE FLEXABILITY SENSOR ENABLED ENSITE PRECISION MEDIGUIDE 1-4-1 MM SPACE F-J CURVE L115 CM L4 MM OD8 FR,1850.0,925.0,403.49,1665.0,64
HCPCS,C2630,"CATHETER ABLATION BIDIRECTIONAL HANDLE IRRIGATE FLEXABILITY SENSOR ENABLED ENSITE PRECISION MEDIGUIDE,SENSOR ENABLED,ENSITE PRECISION,MEDIGUIDE 1-4-1 MM SPACE D-F CURVE L115 CM L4 MM OD8 FR",1850.0,925.0,403.49,1665.0,64
HCPCS,C2630,CATHETER ABLATION INTELLANAV STABLEPOINT DS 7.5/110/2.5/7-4 QD STUS,3200.0,1600.0,697.92,2880.0,64
HCPCS,C2630,CATHETER ABLATION RING ELECTRODE INTELLANAV STABLEPOINT L4 MM OD8 FR,3200.0,1600.0,697.92,2880.0,64
HCPCS,C2630,CATHETER ELECTROPHYSIOLOGY L115 CM OD7 FR ODSEC15 MM 4.5 MM SPACE 20 POLE DEFLECT 10 PIN CONNECTOR CIRCULAR MAPPING LASSO REDEL,1785.0,892.5,389.31,1606.5,64
HCPCS,C2630,CATHETER ELECTROPHYSIOLOGY OD7 FR 2-8-2 MM SPACE FJ CURVE BIDIRECTIONAL 12 PIN CONNECTOR DEFLECT TIP AUTO ID EZ STEER WEBSTER CS REPROCESSED,546.0,273.0,119.08,491.4,64
HCPCS,C2630,EPI-SENSE GUIDED 6130 DEVICE 3 CM,11500.0,5750.0,2508.15,10350.0,64
HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,166.1,203.55,5
HCPCS,C2635,"Brachytx, non-str, HA, P-103",,,70.77,86.73,5
HCPCS,C2636,"Brachy linear, non-str,P-103",,,53.97,66.14,5
HCPCS,C2638,"Brachytx, stranded, I-125",,,37.78,46.3,5
HCPCS,C2639,"Brachytx, non-stranded,I-125",,,35.81,43.89,5
HCPCS,C2640,SEED BRACHYTHERAPY IMPLANT PALLADIUM RELIABLE DOSIMETRY CALIBRATED THERASEED,55.0,27.5,10.53,87.11,70
HCPCS,C2641,"Brachytx, non-stranded,P-103",,,81.37,99.71,5
HCPCS,C2642,SEED BRACHYTHERAPY 0.84MM DIA 4MML CESIUM-131,78.0,39.0,14.94,134.83,70
HCPCS,C2642,SEED BRACHYTHERAPY LOAD STRANDED PRELOADED W/NEEDLE STERILE,78.0,39.0,14.94,134.83,70
HCPCS,C2643,"Brachytx, non-stranded,C-131",,,98.49,120.7,5
HCPCS,C2645,"Brachytx planar, p-103",,,4.78,5.86,5
HCPCS,C2698,"Brachytx, stranded, NOS",,,37.78,46.3,5
HCPCS,C2699,"Brachytx, non-stranded, NOS",,,35.81,43.89,5
HCPCS,C5271,HC SKN SUB GRFT TRNK/ARM/LEG LC,1098.15,549.08,210.3,988.34,69
HCPCS,C5272,HC SKN SUB GRFT T/A/L ADD-ON LC,1098.15,549.08,210.3,988.34,64
HCPCS,C5273,APC,,,1774.58,2174.73,5
HCPCS,C5275,HC SKN SUB GRFT FACE/NK/HF/G LC,1098.15,549.08,210.3,988.34,69
HCPCS,C5277,HC SKN SUB GRFT F/N/HF/G CHILD LC,1482.35,741.18,283.87,1334.12,69
HCPCS,C7557,HC CATH CORONARY ANGIOGRAPHY W/INJECT AND CORONARY FFR,7504.75,3752.38,778.87,6754.28,65
HCPCS,C7558,HC CATH CORONARY & BYPASS GRAFT ANGIO WITH MED ADMIN AND RESPONSE,7504.75,3752.38,778.87,6754.28,65
HCPCS,C7562,HC RIGHT & LEFT HEART ANGIO W/FFR AND 3D MAPPING,42372.25,21186.13,778.87,38135.03,65
HCPCS,C7563,HC TRANSLUMINAL BALLOON ANGIOPLASTY OPEN OR PERQ ALL ARTERIES,18149.25,9074.63,778.87,16334.33,65
HCPCS,C7564,HC PERQ VEIN MECHANICAL THROMBECTOMY W/INTRAVASC US,13047.95,6523.98,778.87,11743.16,65
HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,28.9,35.42,5
HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,89.74,109.97,5
HCPCS,C7903,"Hopd mntl hlt, grp",,,28.9,35.42,5
HCPCS,C8001,3d anat seg imaging preop,,,151.79,186.01,5
HCPCS,C8002,"Prep skin cell susp, automtd",,,7033.87,8619.94,5
HCPCS,C8003,Imp extar knee shck absrb,,,17840.59,21863.47,5
HCPCS,C8004,Sim ang w/prs cath rad emb,,,11001.74,13482.52,5
HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,16977.62,20805.91,5
HCPCS,C8006,Inst pleu-perit shnt w pump,,,6053.32,7418.28,5
HCPCS,C8900,HC MRI MRA ABDOMEN W CONTRAST,3814.55,1907.28,346.46,3433.1,69
HCPCS,C8901,HC MRI MRA ABDOMEN W/O CONTRAST,3499.3,1749.65,234.5,3149.37,69
HCPCS,C8902,HC MRI MRA ABDOMEN W & W/O CONTRAST,4684.05,2342.03,346.46,4215.65,138
HCPCS,C8903,"MRI w/cont, breast,  uni",,,172.7,211.64,5
HCPCS,C8905,HC MRI BREAST UNI W W/O CONTRAST,3587.05,1793.53,346.46,3228.35,69
HCPCS,C8906,"MRI w/cont, breast,  bi",,,346.46,424.58,5
HCPCS,C8908,HC MRI BREAST BIL W W/O CONTRAST,7174.15,3587.08,346.46,6456.74,69
HCPCS,C8909,HC MRI MRA CHEST W CONTRAST,3626.95,1813.48,346.46,3264.26,69
HCPCS,C8910,HC MRI MRA CHEST W/O CONTRAST,3055.05,1527.53,234.5,2749.55,69
HCPCS,C8911,HC MRA CHEST W & W/O CONTRAST,4576.8,2288.4,346.46,4119.12,69
HCPCS,C8912,HC MRI MRA EXTREMITY LOWER W CONTRAST,4166.2,2083.1,346.46,3749.58,69
HCPCS,C8913,HC MRI MRA EXTREMITY LOWER W/O CONTRAST,3457.6,1728.8,234.5,3111.84,69
HCPCS,C8914,HC MRA EXTREMITY LOWER W&W/O CONTRAST,4599.15,2299.58,346.46,4139.24,69
HCPCS,C8918,HC MRI MRA PELVIS W CONTRAST,3834.1,1917.05,346.46,3450.69,69
HCPCS,C8919,HC MRA PELVIS W/O CONTRAST,2103.85,1051.93,234.5,1893.47,69
HCPCS,C8920,HC MRI MRA PELVIS W & W/O CONTRAST,4713.8,2356.9,346.46,4242.42,69
HCPCS,C8921,HC 2D TTE CONG ANOM W/CNTRST CMPLTE,1763.4,881.7,261.3,1587.06,70
HCPCS,C8922,HC ECHO TRANSTHORACIC W/CONTRAST,837.8,418.9,182.72,939.28,70
HCPCS,C8923,HC 2D TTE W/CONTRAST COMPLETE,1431.85,715.93,261.3,1288.67,70
HCPCS,C8924,HC ECHO 2D LIMITED W/CONTRAST,1218.85,609.43,261.3,1096.97,140
HCPCS,C8925,HC ECHO TRANSESOPHAGEAL W/CONTRST,3183.25,1591.63,261.3,2864.93,70
HCPCS,C8926,HC TEE W OR W/O FOL W/CONTRAST CONGENTIAL,4203.3,2101.65,261.3,3782.97,70
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,766.45,939.28,5
HCPCS,C8928,HC ECHO TRANSTHORACIC W/WO CONT,2062.55,1031.28,261.3,1856.3,70
HCPCS,C8929,HC TTE 2D DOPPLER/COLOR FLOW W/CONTR,3560.1,1780.05,261.3,3204.09,70
HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,766.45,939.28,5
HCPCS,C8931,HC MRA SPINAL CANAL W CONTRAST MATERIAL,966.5,483.25,210.79,1446.3,69
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,234.5,287.37,5
HCPCS,C8933,HC MRI MRA SPINE W & W/O CONTRAST,1110.65,555.33,242.23,1446.3,69
HCPCS,C8934,"MRA, w/dye, upper extremity",,,346.46,424.58,5
HCPCS,C8935,"MRA, w/o dye, upper extr",,,234.5,287.37,5
HCPCS,C8936,HC MRA EXTREMITY UPPER W & W/O CONTRAST C8936,4210.8,2105.4,346.46,3789.72,69
HCPCS,C8937,HC MRI BREAST CAD,52.35,26.18,11.42,1446.3,64
HCPCS,C8957,HC INFUSION TX/DX >8 HRS W PUMP,435.65,217.83,62.81,394.34,70
HCPCS,C9046,COCAINE 4 % NASAL SOLUTION,901.8,450.9,196.68,811.62,65
HCPCS,C9047,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,34311.75,17155.88,7483.39,30880.58,65
HCPCS,C9067,Gallium ga-68 dotatoc,,,4.13,5.06,5
HCPCS,C9088,BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN,725.7,362.85,158.28,653.13,65
HCPCS,C9088,BUPIVACAINE-MELOXICAM ER 400 MG-12 MG/14 ML SURGICAL SITE INSTILL SOLN,1375.2,687.6,299.93,1237.68,65
HCPCS,C9089,APC,,,0.85,1.05,5
HCPCS,C9143,COCAINE 4 % NASAL SOLUTION,1024.6,512.3,223.47,922.14,65
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.52,0.64,5
HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.95,2.39,5
HCPCS,C9174,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION,19614.3,9807.15,4277.88,17652.87,65
HCPCS,C9250,Artiss fibrin sealant,,,144.73,177.37,5
HCPCS,C9254,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,129.075,64.53999999999999,19.38,311.04,1235
HCPCS,C9257,Bevacizumab injection,,,1.87,2.29,5
HCPCS,C9293,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",164721.0,82360.5,35925.65,148248.9,65
HCPCS,C9305,APC,,,32.78,40.17,5
HCPCS,C9306,APC,,,146.87,179.99,5
HCPCS,C9355,LENS CONTACT COHEN BENNER,490.0,245.0,93.84,441.0,65
HCPCS,C9358,GRAFT BIOLOGICAL TISSUE 3CMW X 3CML 0.75-1.54MMMM THK NON-DENATURED FETAL BOVINE DERMIS COLLAGEN SQUARE BIOACTIVE FLAT DRY TRIMMABLE NON-INFLAMMATORY SURGIMEND LATEX-FREE STERILE,162.0,81.0,31.02,145.8,65
HCPCS,C9359,FILLER BONE VOID 1CC DEMINERALIZED BONE MATRIX ALLOFUSE PUTTY,120.0,60.0,22.98,108.0,65
HCPCS,C9359,GRAFT ALLOFUSE 5ML DEMINERALIZED BONE MATRIX PUTTY FREEZE DRIED BONE,480.0,240.0,91.92,432.0,65
HCPCS,C9399,ABIRATERONE 500 MG TABLET,2662.6,1331.3,580.71,2396.34,65
HCPCS,C9399,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,4737.0,2368.5,1033.14,4263.3,130
HCPCS,C9399,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,30050.0,15025.0,6553.91,27045.0,65
HCPCS,C9399,DUPILUMAB 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,6668.5,3334.25,1454.4,6001.65,130
HCPCS,C9399,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS PEN INJECTOR,6193.35,3096.68,1350.77,5574.02,65
HCPCS,C9399,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,7383.75,3691.88,1610.4,6645.38,130
HCPCS,C9399,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,7383.75,3691.88,1610.4,6645.38,130
HCPCS,C9399,MIDOSTAURIN 25 MG CAPSULE,45127.95,22563.98,9842.41,40615.16,65
HCPCS,C9399,OMIDUBICEL-ONLV CULTURED FRACTION,2028000.0,1014000.0,442306.8,1825200.0,64
HCPCS,C9399,OMIDUBICEL-ONLV INTRAVENOUS SUSPENSION,2028000.0,1014000.0,442306.8,1825200.0,64
HCPCS,C9399,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,150.4,75.2,32.8,135.36,130
HCPCS,C9399,QUIZARTINIB 17.7 MG TABLET,45864.0,22932.0,6668.63,55036.8,130
HCPCS,C9399,SARILUMAB 200 MG/1.14 ML SUBCUTANEOUS PEN INJECTOR,8512.3,4256.15,1856.53,7661.07,65
HCPCS,C9399,SARILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,8512.3,4256.15,1856.53,7661.07,65
HCPCS,C9399,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,2993.75,1496.88,652.94,2694.38,65
HCPCS,C9399,SULBACTAM SODIUM 1 GRAM INTRAVENOUS SOLUTION,856.6,428.3,186.82,770.94,65
HCPCS,C9460,CANGRELOR 50 MG INTRAVENOUS SOLUTION,3695.05,1847.53,20.38,3325.55,140
HCPCS,C9462,DELAFLOXACIN 300 MG INTRAVENOUS SOLUTION,353.0,176.5,76.99,317.7,65
HCPCS,C9482,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,14517.0,7258.5,25.55,13065.3,70
HCPCS,C9488,CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV,3321.0,1660.5,724.31,2988.9,65
HCPCS,C9507,COVID-19 convalescent plasma,,,434.13,532.03,5
HCPCS,C9600,HC PERC DRUG-EL COR STENT SING LC,36403.5,18201.75,778.87,32763.15,70
HCPCS,C9601,HC PERC DRUG-EL COR STENT BRAN LC,15441.55,7720.78,778.87,13897.4,65
HCPCS,C9602,HC PERC D-E COR STENT ATHER S,68873.4,34436.7,778.87,61986.06,70
HCPCS,C9603,HC ATHERECTOMY + STENT DRUG ELUTING CORONARY ARTERY EA ADDLT,35324.2,17662.1,778.87,31791.78,65
HCPCS,C9604,HC PERC D-E COR REVASC T CABG S,36403.5,18201.75,778.87,32763.15,70
HCPCS,C9605,HC PERC D-E COR REVASC T CABG B,15441.55,7720.78,778.87,13897.4,65
HCPCS,C9606,HC PERC D-E COR REVASC W AMI S,46767.55,23383.78,778.87,42090.8,65
HCPCS,C9607,HC PERC D-E COR REVASC CHRO SING LD,68873.4,34436.7,778.87,61986.06,70
HCPCS,C9608,"HC CTO DES STENT, ATHERECTOMY AND/OR PTCA EA ADDLT",36403.5,18201.75,778.87,32763.15,65
HCPCS,C9725,Place endorectal app,,,884.47,1083.91,5
HCPCS,C9727,Insert palate implants,,,1437.02,1761.06,5
HCPCS,C9728,"Place device/marker, non pro",,,1327.38,1626.69,5
HCPCS,C9733,Non-ophthalmic FVA,,,346.46,424.58,5
HCPCS,C9734,"U/S trtmt, not leiomyomata",,,12482.39,15297.04,5
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,4931.73,6043.79,5
HCPCS,C9740,Cysto impl 4 or more,,,8970.86,10993.71,5
HCPCS,C9751,APC,,,3638.44,4458.88,5
HCPCS,C9757,Spine device implant surgery,,,12482.39,15297.04,5
HCPCS,C9758,Blind interatrial shunt ide,,,16977.62,20805.91,5
HCPCS,C9760,Non-blind interatrial shunt,,,26678.84,32694.66,5
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,8970.86,10993.71,5
HCPCS,C9762,Cardiac mri seg dys strain,,,531.92,651.86,5
HCPCS,C9763,Cardiac mri seg dys stress,,,531.92,651.86,5
HCPCS,C9764,HC INTRAVASC-LITHO-PLASTY,15797.35,7898.68,778.87,14217.62,70
HCPCS,C9764,HC SP LITHOPLASTY SINGLE VESSEL(CHG),15233.2,7616.6,2917.16,13709.88,69
HCPCS,C9765,HC INTRAVASC-LITHOTRIP-STENT,41345.65,20672.83,778.87,37211.09,70
HCPCS,C9765,HC SP LITHOPLASTY AND STENT PLACEMENT IN A SINGLE VESSEL (CHG),39869.0,19934.5,7634.91,35882.1,69
HCPCS,C9766,HC INTRAVASC-LITHOTRIP-ATHER,31191.25,15595.63,778.87,28072.13,70
HCPCS,C9766,HC SP LITHOPLASTY AND ATHERECTOMY IN A SINGLE VESSEL (CHG),30077.25,15038.63,5759.79,27069.53,69
HCPCS,C9767,HC INTRAVASC-LITHO-ATHER-STENT,39283.05,19641.53,778.87,35354.75,70
HCPCS,C9772,HC REVASC W/LITHO TIBIAL/PERONEAL,14813.9,7406.95,2836.86,13482.52,69
HCPCS,C9773,HC REVASC W/ LITHO TIBIAL/PERONEAL W/ STENT,38771.7,19385.85,7424.78,34894.53,69
HCPCS,C9774,HC REVASC W / LITHO TIBIAL/PERONEAL W/ ATHEREC,29249.45,14624.73,5601.27,26324.51,69
HCPCS,C9775,"HC REVASC W / LITHO, ATHERECT AND STENT",38771.7,19385.85,7424.78,34894.53,69
HCPCS,C9777,Esophag muc integ w/eso egd,,,3690.86,4523.11,5
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,4788.96,5868.82,5
HCPCS,C9779,Esd endoscopy or colonoscopy,,,3690.86,4523.11,5
HCPCS,C9780,Insert cv cath inf & sup app,,,8003.99,9808.81,5
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,12482.39,15297.04,5
HCPCS,C9782,Blind myocar trpl bon marrow,,,16977.62,20805.91,5
HCPCS,C9783,Blind cor sinus reducer impl,,,11001.74,13482.52,5
HCPCS,C9784,APC,,,10100.15,12377.64,5
HCPCS,C9785,Endo outlet restrict w/tube,,,10100.15,12377.64,5
HCPCS,C9789,HC INSTILLATION PHARM INTO RENAL/PELVIS,6926.3,3463.15,1326.39,6233.67,69
HCPCS,C9791,Mri hyperpolarized xenon129,,,1213.14,1486.69,5
HCPCS,C9792,Blind/nonblind trans atrial,,,9459.17,11592.13,5
HCPCS,C9793,HC CT PREPLAN 3D MODEL WITH CARDIAC CT ANGIOGRAPHY,1198.25,599.13,261.34,1209.55,69
HCPCS,C9796,Rpr intst excl anrect fist,,,2660.45,3260.36,5
HCPCS,C9797,HC IR VASC EMBO OR OCCL PROC W USE OF PRESSURE-GEN CATHETER,16153.25,8076.63,3093.35,21348.3,69
HCPCS,C9804,HC ON-Q POST OP PAIN PUMP SYSTEM,2534.4,1267.2,552.75,2280.96,64
HCPCS,C9901,Endo defect closure gi tract,,,10100.15,12377.64,5
HCPCS,E0112,Crutch underarm pair wood,,,33.53,58.82,2
HCPCS,E0114,Crutch underarm pair no wood,,,31.12,79.02,9
HCPCS,E0441,"Stationary O2 contents, gas",,,67.81,83.1,5
HCPCS,E0442,"Stationary O2 contents, liq",,,67.81,83.1,5
HCPCS,E0443,"Portable 02 contents, gas",,,61.43,75.29,5
HCPCS,E0444,"Portable 02 contents, liquid",,,61.43,75.29,5
HCPCS,E0447,"Port o2 cont, liq over 4 lpm",,,92.16,112.94,5
HCPCS,E0491,Oral dv nm mouthpc hw remote,,,105.37,129.13,5
HCPCS,E0570,Nebulizer with compression,,,15.86,161.33,2
HCPCS,E1353,Oxygen supplies regulator,,,40.36,49.46,5
HCPCS,E1355,Oxygen supplies stand/rack,,,30.42,37.28,5
HCPCS,E1701,Repl cushions for jaw motion,,,15.11,18.51,5
HCPCS,E1702,Repl measr scales jaw motion,,,32.15,39.4,5
HCPCS,G0008,Admin influenza virus vac,,,39.24,53.04,5
HCPCS,G0008,HC ADMIN INFLUENZA VIRUS VAC,121.7,60.85,26.54,109.53,69
HCPCS,G0009,Admin pneumococcal vaccine,,,41.46,53.04,4
HCPCS,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,118.15,59.08,25.77,106.34,69
HCPCS,G0010,Admin hepatitis b vaccine,,,14.73,53.04,2
HCPCS,G0010,HC ADMIN HEPATITIS B VACCINE,118.15,59.08,25.77,106.34,69
HCPCS,G0011,"Hiv prep counsel, md 15-30m",,,22.9,31.63,10
HCPCS,G0012,Injection of hiv prep drug,,,13.2,84.61,10
HCPCS,G0013,"Hiv prep counsel, clin staff",,,8.13,35.42,10
HCPCS,G0017,Crisis psychotherapy 60m,,,177.72,253.23,10
HCPCS,G0018,Crisis psychotherapy add 30m,,,88.19,124.1,10
HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,45.92,109.97,10
HCPCS,G0022,Comm hlth intg svs add 30 m,,,32.19,57.83,10
HCPCS,G0023,HC PRINCIPAL ILLNESS NAVIGATION 60 MIN PER MTH,308.9,154.45,67.37,278.01,69
HCPCS,G0023,Pin service 60m per month,,,45.92,57.4,5
HCPCS,G0024,HC PRINCIPAL ILLNESS NAVIGATION EA ADDL 30 MINS PER MTH,154.45,77.23,33.69,139.01,69
HCPCS,G0024,Pin srv add 30 min pr m,,,32.19,40.24,5
HCPCS,G0027,Semen analysis,,,6.63,8.13,5
HCPCS,G0071,APC,,,13.64,16.71,5
HCPCS,G0076,Care manag h vst new pt 20 m,,,46.41,58.01,10
HCPCS,G0077,Care manag h vst new pt 30 m,,,69.24,86.55,10
HCPCS,G0078,Care manag h vst new pt 45 m,,,113.17,141.47,10
HCPCS,G0079,Care manag h vst new pt 60 m,,,148.72,185.9,10
HCPCS,G0080,Care manag h vst new pt 75 m,,,193.39,241.74,10
HCPCS,G0081,Care man h v ext pt 20 mi,,,45.49,56.86,10
HCPCS,G0082,Care man h v ext pt 30 m,,,73.45,91.81,10
HCPCS,G0083,Care man h v ext pt 45 m,,,114.45,143.07,10
HCPCS,G0084,Care man h v ext pt 60 m,,,161.07,201.34,10
HCPCS,G0085,Care man h v ext pt 75 m,,,193.39,241.74,10
HCPCS,G0086,Care man home care plan 30 m,,,68.64,85.8,10
HCPCS,G0087,Care man home care plan 60 m,,,96.28,120.35,10
HCPCS,G0101,CA screen;pelvic/breast exam,,,24.83,109.97,15
HCPCS,G0102,HC PROSTATE CANCER SCREEN DIGITAL RECTAL EXAM,7.45,3.73,1.62,26.64,70
HCPCS,G0102,Prostate ca screening; dre,,,8.13,10.16,5
HCPCS,G0103,HC PSA-SCREENING,208.35,104.18,19.7,187.52,69
HCPCS,G0103,PSA screening,,,28.86,28.86,1
HCPCS,G0104,CA screen;flexi sigmoidscope,,,51.92,1083.91,10
HCPCS,G0105,Colorectal scrn; hi risk ind,,,84.2,1083.91,17
HCPCS,G0108,Diab manage trn  per indiv,,,17.82,129.59,22
HCPCS,G0108,HC DIAB MANAGE TRN PER INDIV,240.35,120.18,51.96,216.32,69
HCPCS,G0109,Diab manage trn ind/group,,,9.98,35.74,17
HCPCS,G0109,HC CONSULT TRAINING GROUP 30MIN,146.75,73.38,14.88,132.08,69
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,23.76,71.9,10
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,37.46,46.83,10
HCPCS,G0121,Colon ca scrn not hi rsk ind,,,84.41,1083.91,18
HCPCS,G0123,Screen cerv/vag thin layer,,,20.67,25.33,5
HCPCS,G0124,Screen c/v thin layer by MD,,,23.0,28.75,10
HCPCS,G0127,HC CLINIC TRIM NAILS DYSTROPHIC,88.25,44.13,19.25,79.43,69
HCPCS,G0127,Trim nail(s),,,6.73,8.64,14
HCPCS,G0128,CORF skilled nursing service,,,8.6,10.75,10
HCPCS,G0130,Single energy x-ray study,,,10.33,126.43,21
HCPCS,G0136,Adm of pa/n assess 5-15 m,,,8.43,35.42,10
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,159.51,773.36,10
HCPCS,G0140,Nav srv peer sup 60 min pr m,,,45.92,109.97,10
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,23.0,28.75,10
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.59,33.81,5
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,44.85,54.96,5
HCPCS,G0145,HC PAP TRIPATH AUTO/MANUAL,273.25,136.63,27.02,245.93,69
HCPCS,G0146,Nav srv peer sup add 30 pr m,,,32.19,57.83,10
HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.55,22.74,5
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,32.58,39.93,5
HCPCS,G0166,"Extrnl counterpulse, per tx",,,89.52,153.25,10
HCPCS,G0168,Wound closure by adhesive,,,13.2,111.23,11
HCPCS,G0175,"OPPS Service,sched team conf",,,413.1,506.25,5
HCPCS,G0177,HC OPPS/PHP; TRAIN & EDUC SERV,402.9,201.45,87.87,362.61,64
HCPCS,G0179,Md recertification hha pt,,,38.86,98.6,13
HCPCS,G0180,Md certification hha patient,,,49.49,128.3,17
HCPCS,G0181,Home health care supervision,,,97.69,122.12,10
HCPCS,G0182,Hospice care supervision,,,96.58,120.73,10
HCPCS,G0183,Software meas of cardiac vol,,,85.42,104.68,5
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,440.33,652.22,10
HCPCS,G0235,HC PET/CT LIMITED AMYVID,1152.6,576.3,251.38,1037.34,69
HCPCS,G0237,HC THERAPEUTIC PROCD STRG ENDUR,148.25,74.13,23.76,133.43,70
HCPCS,G0237,Therapeutic procd strg endur,,,10.4,13.0,5
HCPCS,G0238,"HC OTH RESP PROC, INDIV",148.25,74.13,23.76,133.43,70
HCPCS,G0238,HC PEP THERAPY TO IMPROVE RESP FUNCTION EA 15 MIN,148.25,74.13,23.76,133.43,70
HCPCS,G0238,"Oth resp proc, indiv",,,9.2,11.5,5
HCPCS,G0239,"HC RT OTH RESP PROC, GROUP",183.2,91.6,38.08,164.88,70
HCPCS,G0239,"Oth resp proc, group",,,11.9,14.88,5
HCPCS,G0245,Initial foot exam pt lops,,,36.81,153.21,10
HCPCS,G0246,Followup eval of foot pt lop,,,18.58,153.21,11
HCPCS,G0247,Routine footcare pt w lops,,,20.2,236.23,10
HCPCS,G0248,Demonstrate use home inr mon,,,89.22,153.21,10
HCPCS,G0249,Provide INR test mater/equip,,,56.23,153.21,10
HCPCS,G0250,MD INR test revie inter mgmt,,,8.13,21.32,11
HCPCS,G0257,HC UNSCHED DIALYSIS ESRD PT HOS,2001.85,1000.93,311.55,1801.67,70
HCPCS,G0260,HC INJECTION SACROILIAC JOINT,1833.6,916.8,351.13,1650.24,69
HCPCS,G0267,Physician Fee Schedule,,,75.59,77.1,9
HCPCS,G0268,Removal of impacted wax md,,,30.14,59.39,10
HCPCS,G0269,HC PLACEMENT OF OCCLUSIVE DEVICE,1313.25,656.63,251.49,1181.93,64
HCPCS,G0270,HC MNT IND RE-ASSESS 2ND REF EA 15 M,74.8,37.4,16.31,67.32,69
HCPCS,G0270,MNT subs tx for change dx,,,25.55,31.94,5
HCPCS,G0271,Group MNT 2 or more 30 mins,,,14.29,17.86,5
HCPCS,G0271,HC MNT GRP RE-ASSESS 2ND REF EA 30 MIN,125.4,62.7,16.11,112.86,69
HCPCS,G0276,Pild/placebo control clin tr,,,338.6,8493.0,10
HCPCS,G0277,HC HYPERBARIC SESSION 0-30 MIN,1367.3,683.65,133.78,1230.57,70
HCPCS,G0277,"Hbot, full body chamber, 30m",,,142.34,196.51,14
HCPCS,G0278,"Iliac art angio,cardiac cath",,,11.86,14.83,10
HCPCS,G0279,"Tomosynthesis, mammo",,,14.08,50.9,38
HCPCS,G0281,Elec stim unattend for press,,,10.83,13.54,10
HCPCS,G0283,Elec stim other than wound,,,11.73,14.66,5
HCPCS,G0283,HC OT ELEC STIM OTHER THAN WOUND,154.25,77.13,11.96,138.83,69
HCPCS,G0283,HC PT ELEC STIM OTHER THAN WOUND,154.25,77.13,11.96,138.83,69
HCPCS,G0288,"HC VASC RECON, CTA FOR SURG PLAN",2443.0,1221.5,42.17,2198.7,69
HCPCS,G0288,"Recon, CTA for surg plan",,,41.34,868.32,10
HCPCS,G0289,"Arthro, loose body + chondro",,,77.17,96.47,10
HCPCS,G0293,"Non-cov surg proc,clin trial",,,38.08,46.66,5
HCPCS,G0294,"Non-cov proc, clinical trial",,,38.08,46.66,5
HCPCS,G0296,HC LUNG CANCER SCREENING COUNSEL,190.15,95.08,41.47,171.14,69
HCPCS,G0296,Visit to determ ldct elig,,,23.46,127.52,11
HCPCS,G0302,Pre-op service LVRS complete,,,514.75,630.82,5
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,302.1,370.22,5
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,514.75,630.82,5
HCPCS,G0305,Post op service LVRS min 6,,,514.75,630.82,5
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.93,9.71,5
HCPCS,G0307,CBC without platelet,,,6.6,8.09,5
HCPCS,G0316,Prolong inpt eval add15 m,,,28.38,69.79,16
HCPCS,G0317,Prolong nursin fac eval 15m,,,28.08,36.6,10
HCPCS,G0318,Prolong home eval add 15m,,,27.78,36.22,10
HCPCS,G0323,Care manage beh svs 20mins,,,28.9,49.91,10
HCPCS,G0328,Fecal blood scrn immunoassay,,,19.76,26.25,13
HCPCS,G0328,HC BLD OCCULT FECAL HGB 1 - 3 MCR,91.3,45.65,18.41,82.17,69
HCPCS,G0329,Electromagntic tx for ulcers,,,9.64,12.06,10
HCPCS,G0330,Facility svs dental rehab,,,3146.17,3855.6,5
HCPCS,G0337,Hospice evaluation preelecti,,,65.71,80.53,5
HCPCS,G0339,"Robot lin-radsurg com, first",,,2735.48,3419.35,5
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,2138.32,2672.9,5
HCPCS,G0341,Percutaneous islet celltrans,,,286.0,1769.4,10
HCPCS,G0342,Laparoscopy islet cell trans,,,686.78,858.48,10
HCPCS,G0343,Laparotomy islet cell transp,,,1121.05,1401.32,10
HCPCS,G0372,MD service required for PMD,,,8.11,10.14,10
HCPCS,G0378,HC HB OBSERVATION CARVE-OUT - CARDIOLOGY,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBS CARVE-OUT DIALYSIS,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBS CARVE-OUT EEG,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBS CARVE-OUT INFUSION THERAPY,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBS CARVE-OUT NONINVASIVE VASCULAR,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBS CARVE-OUT PULMONARY,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBS CARVE-OUT THERAPIES,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBSERVATION CARVE-OUT - GASTROINTESTINAL,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBSERVATION CARVE-OUT - RADIOLOGY,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBSERVATION CARVE-OUT - RESPIRATORY,3.15,1.58,0.69,1679.0,65
HCPCS,G0378,HC OBSERVATION PER MINUTE,3.15,1.58,0.69,1679.0,65
HCPCS,G0379,HC DIRECT ADMIT TO OBSERVATION,1047.0,523.5,228.35,1679.0,70
HCPCS,G0380,HC ER LEVEL 1-B VISIT,373.95,186.98,75.38,1530.0,72
HCPCS,G0381,HC ER LEVEL 2-B VISIT,719.3,359.65,75.38,1530.0,72
HCPCS,G0382,HC ER LEVEL 3-B VISIT,1196.3,598.15,75.38,1530.0,72
HCPCS,G0383,HC ER LEVEL 4-B VISIT,1830.8,915.4,75.38,1647.72,72
HCPCS,G0384,HC ER LEVEL 5-B VISIT,3085.35,1542.68,75.38,2776.82,72
HCPCS,G0390,HC ER LEVEL 3 TRAUMA ALERT,4994.9,2497.45,1089.39,10944.33,72
HCPCS,G0390,HC ER LVL 1 TRAUMA ACTVTN FULL TEAM,14876.75,7438.38,1283.64,32596.45,72
HCPCS,G0390,HC ER LVL 1 TRAUMA ACTVTN PARTIAL TM,12302.8,6151.4,1283.64,26956.67,72
HCPCS,G0390,HC ER LVL 1 TRAUMA ALERT,8488.45,4244.23,1283.64,18599.04,72
HCPCS,G0390,HC ER LVL 3 TRAUMA ACTVTN FULL TEAM,9987.9,4993.95,1283.64,21884.49,72
HCPCS,G0390,HC ER LVL 3 TRAUMA ACTVTN PARTIAL TM,6559.25,3279.63,1283.64,14371.97,72
HCPCS,G0396,Alcohol/subs interv 15-30mn,,,28.9,36.99,10
HCPCS,G0397,Alcohol/subs interv >30 min,,,57.93,191.02,10
HCPCS,G0398,Home sleep test/type 2 Porta,,,151.79,186.01,5
HCPCS,G0399,Home sleep test/type 3 Porta,,,151.79,186.01,5
HCPCS,G0400,Home sleep test/type 4 Porta,,,302.1,370.22,5
HCPCS,G0402,HC CLINIC INITIAL PREVENTATIVE PHYSICAL EXM,252.75,126.38,55.12,227.48,69
HCPCS,G0402,Initial preventive exam,,,121.39,262.75,11
HCPCS,G0403,EKG for initial prevent exam,,,13.12,53.51,13
HCPCS,G0404,EKG tracing for initial prev,,,5.61,9.24,6
HCPCS,G0404,HC EKG TRACING FOR INITIAL PREV,259.65,129.83,23.76,233.69,70
HCPCS,G0405,EKG interpret & report preve,,,7.51,23.67,16
HCPCS,G0406,Inpt/tele follow up 15,,,37.69,47.11,10
HCPCS,G0407,Inpt/tele follow up 25,,,66.93,83.66,10
HCPCS,G0408,Inpt/tele follow up 35,,,96.8,121.01,10
HCPCS,G0409,CORF related serv 15 mins ea,,,21.48,26.85,10
HCPCS,G0410,HC GROUP PSYCHOTHERAPY 45-50 MIN PH,314.3,157.15,47.74,282.87,65
HCPCS,G0412,Open tx iliac spine uni/bil,,,668.69,835.86,10
HCPCS,G0413,Pelvic ring fracture uni/bil,,,884.09,8493.0,19
HCPCS,G0414,Pelvic ring fx treat int fix,,,925.87,1157.34,10
HCPCS,G0415,Open tx post pelvic fxcture,,,1259.98,1574.98,10
HCPCS,G0416,HC PROSTATE BIOPSY,629.65,314.83,137.33,566.69,69
HCPCS,G0416,"Prostate biopsy, any mthd",,,148.95,504.25,33
HCPCS,G0420,Ed svc CKD ind per session,,,101.02,126.28,10
HCPCS,G0421,Ed svc CKD grp per session,,,24.31,30.39,10
HCPCS,G0422,HC INTENSIVE CARDIAC REHAB W/ EXERCISE,465.3,232.65,57.79,418.77,70
HCPCS,G0422,Intens cardiac rehab w/exerc,,,120.57,150.71,5
HCPCS,G0423,HC INTENSIVE CARDIAC REHAB W/OUT EXERCISE,465.3,232.65,57.79,418.77,70
HCPCS,G0423,Intens cardiac rehab no exer,,,120.57,150.71,5
HCPCS,G0425,Inpt/ED teleconsult30,,,85.53,106.91,10
HCPCS,G0426,Inpt/ED teleconsult50,,,120.91,151.14,10
HCPCS,G0427,Inpt/ED teleconsult70,,,172.51,215.64,10
HCPCS,G0429,Dermal filler injection(s),,,59.54,2174.73,11
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.96,24.46,5
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.66,22.86,5
HCPCS,G0435,Oral HIV-1/HIV-2 screen,,,12.22,14.98,5
HCPCS,G0438,"PPPS, initial visit",,,153.44,379.6,16
HCPCS,G0439,"PPPS, subseq visit",,,120.61,253.89,17
HCPCS,G0442,Annual alcohol screen 15 min,,,8.43,35.42,11
HCPCS,G0443,Brief alcohol misuse counsel,,,28.06,109.97,11
HCPCS,G0444,Depression screen annual,,,8.43,28.58,13
HCPCS,G0444,HC CLINIC MCARE ANNUAL DEPRESSION SCREEN 5-15 MIN,13.3,6.65,2.9,35.42,69
HCPCS,G0445,High inten beh couns STD 30m,,,27.76,109.97,10
HCPCS,G0446,Intens behave ther cardio dx,,,28.06,35.42,10
HCPCS,G0447,Behavior counsel obesity 15m,,,28.06,59.8,9
HCPCS,G0447,HC CLINIC BEHAVIOR COUNSELING FOR OBESITY 15 MIN,45.05,22.53,9.83,109.97,69
HCPCS,G0451,Devlopment test interpt&rep,,,10.4,109.97,10
HCPCS,G0452,Molecular pathology interpr,,,2.91,57.24,20
HCPCS,G0453,Cont intraop neuro monitor,,,29.25,36.57,10
HCPCS,G0454,MD document visit by NPP,,,8.13,10.17,10
HCPCS,G0455,Fecal microbiota prep instil,,,41.87,1083.91,19
HCPCS,G0459,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy",,,40.79,50.99,10
HCPCS,G0460,Autolog prp not diab ulcer,,,1774.58,2174.73,5
HCPCS,G0463,HC CLINIC HOSPITAL OUTPATIENT VISIT,185.25,92.63,40.4,166.73,69
HCPCS,G0463,HC HOSPITAL OUTPATIENT VISIT,491.95,245.98,107.29,442.76,69
HCPCS,G0463,HC HOSPITAL OUTPATIENT VISIT OB LD,1069.35,534.68,125.02,962.42,69
HCPCS,G0463,HC PAIN CENTER HOSPITAL OUTPATIENT VISIT,491.95,245.98,107.29,442.76,69
HCPCS,G0463,HC PSYCH CLINIC HOSPITAL OUTPATIENT VISIT,203.2,101.6,44.32,182.88,69
HCPCS,G0465,Autolog prp diab wound ulcer,,,84.16,2174.73,10
HCPCS,G0471,ven blood coll SNF/HHA,,,11.31,13.86,5
HCPCS,G0472,HC HEP C AB SCREEN HIGH RISK,349.15,174.58,47.28,314.24,69
HCPCS,G0472,Hep c screen high risk/other,,,15.09,19.85,3
HCPCS,G0473,Group behave couns 2-10,,,10.65,35.42,10
HCPCS,G0475,Hiv combination assay,,,24.56,30.1,5
HCPCS,G0476,Hpv combo assay ca screen,,,35.79,43.86,5
HCPCS,G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,72.75,74.21,9
HCPCS,G0480,HC DEFINITIVE DRUG SCRN 1-7 CLASS,282.05,141.03,61.52,253.85,70
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,111.92,114.16,9
HCPCS,G0481,HC DEFINITIVE DRUG SCRN 8-14 CLASS,564.0,282.0,123.01,507.6,69
HCPCS,G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,151.09,154.11,9
HCPCS,G0482,HC DEFINITIVE DRUG SCRN 15-21 CLASS,846.0,423.0,184.51,761.4,69
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,195.86,199.78,9
HCPCS,G0483,HC DEFINITIVE DRUG SCRN =>22 CLASS,1127.9,563.95,245.99,1015.11,69
HCPCS,G0498,Chemo extend iv infus w/pump,,,198.62,394.34,10
HCPCS,G0499,HC HEPATITIS B SCREEN HIGH RISK NON PREG INDIVIDUAL,171.65,85.83,28.84,154.49,69
HCPCS,G0500,Mod sedat endo service &gt;5yrs,,,5.08,63.63,12
HCPCS,G0506,Comp asses care plan ccm svc,,,40.3,72.46,10
HCPCS,G0508,Crit care telehea consult 60,,,191.13,238.91,10
HCPCS,G0509,Crit care telehea consult 50,,,175.64,219.55,10
HCPCS,G0511,APC,,,53.23,65.23,5
HCPCS,G0512,APC,,,135.28,165.79,5
HCPCS,G0513,"Prolong prev svcs, first 30m",,,54.63,73.15,10
HCPCS,G0514,"Prolong prev svcs, addl 30m",,,54.63,73.15,10
HCPCS,G0516,"insert drug implant,>=4",,,89.61,474.41,10
HCPCS,G0517,Remove drug implant,,,102.17,474.41,10
HCPCS,G0518,Remove w insert drug implant,,,167.57,474.41,10
HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,8.43,35.42,10
HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,8.43,109.97,10
HCPCS,G0539,"HC CAREGIVER TRAIN BEHAVIOR MANAGE/MODIFY, W/OUT PT, FIRST 30 MINS",326.6,163.3,51.37,293.94,70
HCPCS,G0539,Initial care training 30 m,,,43.48,54.35,5
HCPCS,G0540,"HC CAREGIVER TRAIN BEHAVIOR MANAGE/MODIFY, W/OUT PT, EA ADD'L 15 MINS",163.3,81.65,25.37,146.97,70
HCPCS,G0540,Train for caregiver add 15,,,23.37,29.21,5
HCPCS,G0541,No pt prsnt train initial 30,,,43.48,62.96,10
HCPCS,G0542,No pt prsnt train add 15,,,23.37,31.09,10
HCPCS,G0543,Group train w/o patient,,,10.05,26.04,10
HCPCS,G0544,"HC POST ED D/C PHONE FOLLOWUP FOR BEHAVIORAL HEALTH CRISIS, 4 CALLS/MTH",307.9,153.95,67.15,277.11,70
HCPCS,G0544,Post d/c phone follow up,,,46.22,57.78,5
HCPCS,G0545,Inherent visit to inpt,,,41.46,51.83,10
HCPCS,G0546,Phone/internet ehr assess,,,16.46,20.58,10
HCPCS,G0547,Phone/internet svs 11-20 m,,,33.22,41.53,10
HCPCS,G0548,Phone/inter svs 21-30 m,,,50.19,62.74,10
HCPCS,G0549,Phone/inter for treat>31m,,,67.25,84.06,10
HCPCS,G0550,Phone/inter for dx/treat >5m,,,31.29,39.11,10
HCPCS,G0551,Phn/intr svs fr dx treat 30m,,,32.79,40.99,10
HCPCS,G0552,Supply of digital device,,,125.02,153.21,5
HCPCS,G0553,Monthly tx for dmht 20mins,,,28.4,153.21,10
HCPCS,G0554,Add 20 m of monthly tx,,,27.48,47.46,10
HCPCS,G0555,Replacment pt electronic sys,,,986.99,1209.55,5
HCPCS,G0556,Adv prim care mgmt lvl 1,,,11.51,35.42,10
HCPCS,G0557,Adv prim care mgmt lvl 2,,,28.9,43.81,10
HCPCS,G0558,Adv prim care mgmt lvl 3,,,76.97,109.97,10
HCPCS,G0559,Unrelat prac follow up visit,,,8.22,10.28,10
HCPCS,G0560,HC SAFETY PLAN INTERVENTIONS SUICIDE/SUBSTANCE ABUSE CRISIS EACH 20 MINS,73.15,36.58,15.95,90.45,70
HCPCS,G0560,Safety plan interven,,,40.4,50.5,5
HCPCS,G0562,Complex simulation w/pet-ct,,,1892.22,2318.9,5
HCPCS,G0563,Sbrt w/positron emission del,,,3638.44,4458.88,5
HCPCS,G0566,3d bn img algor drvd fr mri,,,151.79,186.01,5
HCPCS,G0659,Drug test def simple all cl,,,63.38,77.68,5
HCPCS,G2000,Blinded conv. tx mdd clin tr,,,514.75,630.82,5
HCPCS,G2001,Post D/C H Vst new pt 20 m,,,46.41,58.01,10
HCPCS,G2002,Post-D/C H Vst new pt 30 m,,,69.24,86.55,10
HCPCS,G2003,Post-d/c h vst new pt 45 m,,,113.17,141.47,10
HCPCS,G2004,Post-d/c h vst new pt 60 m,,,148.72,185.9,10
HCPCS,G2005,Post-d/c h vst new pt 75 m,,,193.39,241.74,10
HCPCS,G2006,Post-d/c h vst ext pt 20 m,,,45.49,56.86,10
HCPCS,G2007,Post-d/c h vst ext pt 30 m,,,73.45,91.81,10
HCPCS,G2008,Post-d/c h vst ext pt 45 m,,,114.45,143.07,10
HCPCS,G2009,Post-d/c h vst ext pt 60 m,,,161.07,201.34,10
HCPCS,G2010,Remot image submit by pt,,,8.43,14.29,10
HCPCS,G2011,Alcohol/sub misuse assess,,,14.12,39.77,16
HCPCS,G2011,HC CLINIC ALCOHOL/SUBSTANCE ABUSE ASSESSMENT,74.45,37.23,16.24,67.01,69
HCPCS,G2012,Physician Fee Schedule,,,16.41,16.74,9
HCPCS,G2013,Post-d/c h vst ext pt 75 m,,,193.39,241.74,10
HCPCS,G2014,Post-d/c care plan overs 30m,,,68.64,85.8,10
HCPCS,G2015,Post-d/c care plan overs 60m,,,96.28,120.35,10
HCPCS,G2023,Physician Fee Schedule,,,23.46,23.93,9
HCPCS,G2024,Physician Fee Schedule,,,25.46,25.97,9
HCPCS,G2025,Dis site tele svcs RHC/FQHC,,,91.87,112.58,5
HCPCS,G2066,Fee Schedule,,,35.57,161.35,6
HCPCS,G2082,Visit esketamine 56m or less,,,32.24,1367.8,10
HCPCS,G2083,"Visit esketamine, > 56m",,,32.24,1724.46,11
HCPCS,G2086,Off base opioid tx 70min,,,155.87,475.94,10
HCPCS,G2087,"Off base opioid tx, 60 m",,,155.87,449.0,10
HCPCS,G2088,"Off base opioid tx, add30",,,34.87,66.06,10
HCPCS,G2211,Complex e/m visit add on,,,15.0,18.75,10
HCPCS,G2212,Prolong outpt/office vis,,,28.68,69.67,16
HCPCS,G2213,Initiat med assist tx in er,,,53.06,71.2,10
HCPCS,G2214,Init/sub psych care m 1st 30,,,32.7,109.97,26
HCPCS,G2250,"Remot img sub by pt, non E/M",,,8.43,14.29,10
HCPCS,G2251,"Brief chkin, 5-10, non-E/M",,,11.81,16.64,10
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,23.41,30.76,10
HCPCS,G3002,Chronic pain mgmt 30 mins,,,69.17,95.82,10
HCPCS,G3003,Chronic pain mgmt addl 15m,,,23.92,35.15,10
HCPCS,G6001,APC,,,163.39,200.23,5
HCPCS,G6001,Fee Schedule,,,37.09,200.23,3
HCPCS,G6001,MPFS,,,29.67,166.24,12
HCPCS,G6002,APC,,,70.05,85.84,5
HCPCS,G6002,Fee Schedule,,,24.18,85.84,3
HCPCS,G6002,MPFS,,,19.34,71.27,12
HCPCS,G6003,APC,,,138.62,169.88,5
HCPCS,G6003,Fee Schedule,,,169.88,169.88,1
HCPCS,G6003,MPFS,,,135.9,141.04,4
HCPCS,G6004,APC,,,112.34,137.68,5
HCPCS,G6004,Fee Schedule,,,137.68,137.68,1
HCPCS,G6004,MPFS,,,110.14,114.31,4
HCPCS,G6005,APC,,,112.34,137.68,5
HCPCS,G6005,Fee Schedule,,,137.68,137.68,1
HCPCS,G6005,MPFS,,,110.14,114.31,4
HCPCS,G6006,APC,,,111.73,136.93,5
HCPCS,G6006,Fee Schedule,,,136.93,136.93,1
HCPCS,G6006,MPFS,,,109.54,113.69,4
HCPCS,G6007,APC,,,199.42,244.38,5
HCPCS,G6007,Fee Schedule,,,244.39,244.39,1
HCPCS,G6007,MPFS,,,195.51,202.91,4
HCPCS,G6008,APC,,,154.73,189.62,5
HCPCS,G6008,Fee Schedule,,,189.61,189.61,1
HCPCS,G6008,MPFS,,,151.69,157.43,4
HCPCS,G6009,APC,,,155.95,191.11,5
HCPCS,G6009,Fee Schedule,,,191.11,191.11,1
HCPCS,G6009,MPFS,,,152.89,158.68,4
HCPCS,G6010,APC,,,153.5,188.12,5
HCPCS,G6010,Fee Schedule,,,188.11,188.11,1
HCPCS,G6010,MPFS,,,150.49,156.19,4
HCPCS,G6011,APC,,,203.91,249.9,5
HCPCS,G6011,Fee Schedule,,,249.9,249.9,1
HCPCS,G6011,MPFS,,,199.92,207.49,4
HCPCS,G6012,APC,,,204.22,250.27,5
HCPCS,G6012,Fee Schedule,,,250.28,250.28,1
HCPCS,G6012,MPFS,,,200.22,207.8,4
HCPCS,G6013,APC,,,205.14,251.39,5
HCPCS,G6013,Fee Schedule,,,251.39,251.39,1
HCPCS,G6013,MPFS,,,201.11,208.72,4
HCPCS,G6014,APC,,,203.91,249.9,5
HCPCS,G6014,Fee Schedule,,,249.9,249.9,1
HCPCS,G6014,MPFS,,,199.92,207.49,4
HCPCS,G6015,APC,,,318.23,389.98,5
HCPCS,G6015,Fee Schedule,,,389.99,389.99,1
HCPCS,G6015,MPFS,,,311.99,323.8,4
HCPCS,G6016,APC,,,317.35,388.91,5
HCPCS,G6016,Fee Schedule,,,388.91,388.91,1
HCPCS,G6016,MPFS,,,311.13,322.91,4
HCPCS,G6017,Fee Schedule,,,120.26,120.26,1
HCPCS,G6017,MPFS,,,96.21,99.85,4
HCPCS,G9037,APC,,,38.93,47.71,5
HCPCS,G9037,Fee Schedule,,,47.71,47.71,1
HCPCS,G9037,MPFS,,,38.17,39.61,4
HCPCS,G9038,APC,,,48.57,59.52,5
HCPCS,G9038,Fee Schedule,,,59.53,59.53,1
HCPCS,G9038,MPFS,,,47.62,49.42,4
HCPCS,G9143,Warfarin respon genetic test,,,123.13,150.9,5
HCPCS,G9157,Transesoph doppl cardiac mon,,,87.1,108.88,10
HCPCS,G9187,Bpci home visit,,,43.01,53.76,10
HCPCS,G9481,Remote e/m new pt 10mins,,,16.6,20.75,10
HCPCS,G9482,Remote E/M new pt 20mins,,,31.59,39.49,10
HCPCS,G9483,Remote E/M new pt 30mins,,,49.37,61.72,10
HCPCS,G9484,Remote E/M new pt 45mins,,,83.76,104.71,10
HCPCS,G9485,Remote E/M new pt 60mins,,,109.85,137.31,10
HCPCS,G9486,Remote E/M est. pt 10mins,,,16.6,20.75,10
HCPCS,G9487,Remote E/M est. pt 15mins,,,33.53,41.91,10
HCPCS,G9488,Remote E/M est. pt 25mins,,,51.75,64.69,10
HCPCS,G9489,Remote E/M est. pt 40mins,,,72.77,90.96,10
HCPCS,G9490,CMMI mod home visit,,,43.01,53.76,10
HCPCS,G9685,Acute nursing facility care,,,172.73,215.91,10
HCPCS,G9868,CMMI asyntelehealth <10min,,,25.88,32.35,10
HCPCS,G9869,CMMI asyntelehealth 10-20min,,,34.61,43.26,10
HCPCS,G9870,CMMI asyntelehealth >20min,,,43.34,54.18,10
HCPCS,G9978,Remote E/M new pt 10mins,,,25.59,56.32,10
HCPCS,G9979,Remote E/M new pt 20mins,,,43.57,82.92,10
HCPCS,G9980,Remote E/M new pt 30 mins,,,70.04,122.0,10
HCPCS,G9981,Remote E/M new pt 45mins,,,118.21,187.45,10
HCPCS,G9982,Remote E/M new pt 60mins,,,157.48,243.27,10
HCPCS,G9983,Remote E/M est. pt 10mins,,,25.59,56.32,10
HCPCS,G9984,Remote E/M est. pt  15mins,,,50.6,92.45,10
HCPCS,G9985,Remote E/M est. pt 25mins,,,76.61,132.08,10
HCPCS,G9986,Remote E/M est. pt 40mins,,,111.11,181.57,10
HCPCS,G9987,BPCI Advanced In home visit,,,43.01,53.76,10
HCPCS,H0001,Alcohol and/or drug assess,,,19.22,19.6,9
HCPCS,H0005,Alcohol and/or drug services,,,7.08,7.22,9
HCPCS,H0031,MH health assess by non-md,,,19.22,19.6,9
HCPCS,H0035,HC PARTIAL HOSPITALIZATION,1387.6,693.8,302.64,1248.84,64
HCPCS,H0040,HC ACTT,495.2,247.6,173.32,445.68,29
HCPCS,H0040,HC ACTT/HOME,495.2,247.6,173.32,445.68,29
HCPCS,H1001,Antepartum management,,,188.23,188.23,1
HCPCS,J0121,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,2318.3,1159.15,4.06,2086.47,142
HCPCS,J0122,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,360.4,180.2,1.25,324.36,198
HCPCS,J0129,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,5622.6,2811.3,44.99,5060.34,71
HCPCS,J0129,ABATACEPT 125 MG/ML SUBCUTANEOUS SYRINGE,5502.25,2751.13,44.99,4952.03,71
HCPCS,J0129,ABATACEPT 50 MG/0.4 ML SUBCUTANEOUS SYRINGE,5527.25,2763.63,44.99,4974.53,71
HCPCS,J0129,ABATACEPT 87.5 MG/0.7 ML SUBCUTANEOUS SYRINGE,5502.25,2751.13,44.99,4952.03,71
HCPCS,J0129,Abatacept injection,,,28.88,106.01,3
HCPCS,J0130,Abciximab injection,,,1418.81,1418.81,1
HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",33.3,16.65,0.05,54.0,726
HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,262.20000000000005,131.10500000000002,30.86,808.74,1170
HCPCS,J0133,ACYCLOVIR 100 MG IN NS 100 ML IVPB (SIMPLE),45.4,22.7,0.06,40.86,66
HCPCS,J0133,ACYCLOVIR IV SYRINGE 7 MG/ML (NEO/PED) IN NS FROM STOCK SOLN,45.9,22.95,0.06,41.31,66
HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.0,25.0,0.06,99.14,792
HCPCS,J0134,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,132
HCPCS,J0136,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",33.6,16.8,0.06,30.24,66
HCPCS,J0137,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",25.2,12.6,0.05,22.68,132
HCPCS,J0138,Inj acetaminoph 10mg/ibu 3mg,,,0.04,0.05,5
HCPCS,J0139,ADALIMUMAB 20 MG/0.2 ML SUBCUTANEOUS SYRINGE KIT,26859.8,13429.9,93.56,24173.82,70
HCPCS,J0139,ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS PEN KIT,26859.8,13429.9,93.56,24173.82,70
HCPCS,J0139,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,19647.45,9823.725,93.56,24173.82,140
HCPCS,J0139,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT,26859.8,13429.9,93.56,24173.82,70
HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,156.8,78.4,0.66,807.3,1122
HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,25.275,12.64,0.66,49.95,924
HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,54.900000000000006,27.455,0.66,55.31,198
HCPCS,J0153,ADENOSINE 360 MG/120 ML IVPB,2372.4,1186.2,0.66,2135.16,66
HCPCS,J0153,Adenosine inj 1mg,,,0.93,3.57,9
HCPCS,J0165,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,50.2,25.1,10.95,45.18,130
HCPCS,J0165,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,247.8,123.905,20.56,361.22,195
HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION KIT,325.45,162.73,70.98,292.91,65
HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,1125.0,562.5,245.36,1012.5,65
HCPCS,J0165,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,89.55,44.78,19.53,80.6,130
HCPCS,J0166,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,279.02500000000003,139.51500000000001,21.74,412.52,195
HCPCS,J0166,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,277.4,138.7,60.5,249.66,65
HCPCS,J0166,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,49.95,24.98,10.89,44.96,130
HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,57.9,28.95,12.63,52.11,65
HCPCS,J0169,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,91.05,45.53,19.86,81.95,130
HCPCS,J0169,EPINEPHRINE 1 MG/ML INJECTION KIT,91.05,45.53,19.86,81.95,65
HCPCS,J0169,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,554.175,277.09000000000003,116.96,514.89,130
HCPCS,J0171,Fee Schedule,,,0.62,1.79,6
HCPCS,J0171,Others,,,0.83,0.83,1
HCPCS,J0172,APC,,,6.1,7.47,5
HCPCS,J0173,Others,,,1.91,1.91,1
HCPCS,J0174,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1945.625,972.815,1.35,2327.27,142
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg",,,4.22,5.17,5
HCPCS,J0177,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,10735.0,5367.5,317.61,9661.5,140
HCPCS,J0178,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,7610.0,3805.0,786.99,6849.0,71
HCPCS,J0178,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE,7585.0,3792.5,786.99,6826.5,71
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,347.84,432.63,6
HCPCS,J0180,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,31334.9,15667.45,222.5,28201.41,71
HCPCS,J0180,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4497.1,2248.55,222.5,4047.39,71
HCPCS,J0184,AMISULPRIDE 10 MG/4 ML (2.5 MG/ML) INTRAVENOUS SOLUTION,432.2,216.1,9.48,388.98,142
HCPCS,J0184,AMISULPRIDE 5 MG/2 ML (2.5 MG/ML) INTRAVENOUS SOLUTION,259.35,129.68,9.48,233.42,71
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.67,2.05,6
HCPCS,J0202,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION,60741.85,30370.93,2388.87,54667.67,71
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.82,5.94,6
HCPCS,J0207,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,4007.65,2003.83,874.07,3606.89,132
HCPCS,J0208,"Inj, pedmark, 100 mg",,,96.12,118.89,6
HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,495.0,247.5,0.81,445.5,66
HCPCS,J0210,Methyldopate hcl injection,,,42.1,42.1,1
HCPCS,J0211,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,984.9,492.45,2.28,886.41,70
HCPCS,J0215,Others,,,42.46,42.46,1
HCPCS,J0216,ALFENTANIL 500 MCG/ML INJECTION SOLUTION,39.05,19.53,2.75,35.15,66
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,432.08,581.54,6
HCPCS,J0218,OLIPUDASE ALFA-RPCP 20 MG INTRAVENOUS SOLUTION,30329.95,15164.98,401.53,27296.96,71
HCPCS,J0219,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,7814.6,3907.3,78.01,7033.14,71
HCPCS,J0220,Alglucosidase alfa injection,,,229.41,229.41,1
HCPCS,J0221,ALGLUCOSIDASE ALFA 50 MG INTRAVENOUS SOLUTION,3998.45,1999.23,210.72,3598.61,71
HCPCS,J0222,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION,39165.0,19582.5,101.88,35248.5,71
HCPCS,J0223,GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION,170489.0,85244.5,119.23,153440.1,71
HCPCS,J0223,Inj givosiran 0.5 mg,,,171.61,171.61,1
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,335.63,411.32,6
HCPCS,J0225,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,477404.0,238702.0,5103.71,429663.6,71
HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2334.7,1167.35,6.48,2307.96,142
HCPCS,J0248,REMDESIVIR 100 MG/20 ML (5 MG/ML) IV SOLN (FOR PTS 40 KG OR MORE),2105.0,1052.5,6.48,1894.5,71
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION",45.5,22.75,5.42,40.95,142
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION",45.55,22.78,5.42,41.0,142
HCPCS,J0256,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 4,000 MG INTRAVENOUS SOLUTION",45.55,22.78,5.42,41.0,71
HCPCS,J0257,ALPHA-1-PROTEINASE INHIBITOR(HUMAN) 1 GRAM/50 ML(2 %) INTRAVENOUS SOLN,45.4,22.7,5.72,40.86,71
HCPCS,J0270,ALPROSTADIL 20 MCG INTRACAVERNOSAL KIT,1859.9,929.95,10.59,2353.86,198
HCPCS,J0270,ALPROSTADIL 20 MCG INTRACAVERNOSAL SOLUTION,510.45,255.23,10.59,459.41,66
HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,689.9,344.95,10.59,652.23,396
HCPCS,J0275,Alprostadil urethral suppos,,,65.26,65.26,1
HCPCS,J0278,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",69.4,34.7,0.92,154.89,594
HCPCS,J0278,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,50.55,25.28,0.92,88.7,594
HCPCS,J0278,AMIKACIN INTRAOCULAR INJ 0.4 MG/0.1 ML,47.7,23.85,0.92,42.93,66
HCPCS,J0278,AMIKACIN INTRAOCULAR INJ 1 MG/0.5 ML,45.05,22.53,0.92,40.55,66
HCPCS,J0278,AMIKACIN IV SYRINGE 5 MG/ML (NEO/PED) IN NS FROM STOCK SOLN,46.95,23.48,0.92,42.26,66
HCPCS,J0278,Amikacin sulfate injection,,,2.51,2.51,1
HCPCS,J0280,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,120.1,60.05,5.7,108.09,132
HCPCS,J0280,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,85.0,42.5,5.7,76.5,132
HCPCS,J0280,Aminophyllin 250 MG inj,,,0.87,17.03,7
HCPCS,J0281,AMINOCAPROIC ACID 10 G/500 ML INFUSION (SIMPLE),46.5,23.25,10.14,41.85,65
HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,66.225,33.115,10.85,70.47,520
HCPCS,J0282,AMIODARONE 150 MG/3 ML INTRAVENOUS SYRINGE,74.95,37.48,0.48,67.46,66
HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,0.48,89.78,858
HCPCS,J0282,AMIODARONE 900 MG/500 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,148.0,74.0,0.48,133.2,66
HCPCS,J0283,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",120.4,60.2,4.04,108.36,66
HCPCS,J0283,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",142.6,71.3,4.04,128.34,66
HCPCS,J0285,AMPHOTERICIN B 0.15 % EYE DROP,94.8,47.4,10.59,85.32,66
HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,235.5,117.75,10.59,211.95,66
HCPCS,J0285,AMPHOTERICIN B INTRAVITREAL SYR 5 MCG/0.1 ML,130.85,65.43,10.59,117.77,66
HCPCS,J0285,AMPHOTERICIN B IV SYRINGE 0.1 MG/ML (NEO/PED) FROM STOCK SOLN,46.55,23.275,10.1,42.12,132
HCPCS,J0287,AMPHOTERICIN B LIPID COMPLEX 5 MG/ML INTRAVENOUS SUSPENSION,510.4,255.2,10.5,459.36,71
HCPCS,J0289,AMPHOTERICIN B LIPOSOMAL INTRAVITREAL SYR 5 MCG/0.1 ML,130.85,65.43,21.91,117.77,71
HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,468.5,234.255,21.91,1082.34,284
HCPCS,J0290,AMPICILLIN 0.2 MG/ML IN NS (SOLN A) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,1.12,27.0,66
HCPCS,J0290,AMPICILLIN 1 GRAM INTRAVENOUS SOLUTION,89.7,44.85,1.12,80.73,66
HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.65,23.83,1.12,51.98,1452
HCPCS,J0290,AMPICILLIN 10 GRAM SOLUTION FOR INJECTION,163.7,81.85,1.12,147.33,66
HCPCS,J0290,AMPICILLIN 125 MG SOLUTION FOR INJECTION,48.15,24.08,1.12,43.34,132
HCPCS,J0290,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,150.5,75.25,1.12,135.45,132
HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,52.95,26.475,1.12,62.15,1650
HCPCS,J0290,AMPICILLIN 20 MG/ML IN NS (SOLN C) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,1.12,27.0,66
HCPCS,J0290,AMPICILLIN 250 MG SOLUTION FOR INJECTION,46.85,23.43,1.12,43.29,726
HCPCS,J0290,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.2,23.6,1.12,43.47,1122
HCPCS,J0290,AMPICILLIN IV SYRINGE 30 MG/ML (NEO/PED) FROM STOCK SOLN,47.8,23.9,1.12,43.02,66
HCPCS,J0291,PLAZOMICIN 50 MG/ML INTRAVENOUS SOLUTION,1717.25,858.625,3.57,1579.05,142
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,47.8,23.9,1.97,43.02,66
HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.2,23.6,1.97,49.5,1518
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM INTRAVENOUS SOLUTION,58.55,29.28,1.97,52.7,132
HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,52.55,26.275,1.97,67.46,1386
HCPCS,J0295,AMPICILLIN-SULBACTAM IV SYRINGE 30 MG/ML AMPICILLIN (NEO/PED) FROM STOCK SOLN,45.7,22.85,1.97,41.13,66
HCPCS,J0295,Ampicillin sulbactam 1.5 gm,,,8.05,8.05,1
HCPCS,J0300,AMOBARBITAL 500 MG SOLUTION FOR INJECTION,2737.0,1368.5,192.86,2463.3,66
HCPCS,J0330,SUCCINYLCHOLINE 600 MG/300 ML INFUSION (FOR OR),2137.2,1068.6,0.89,1923.48,66
HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,28.45,14.23,0.89,104.63,2178
HCPCS,J0330,"SUCCINYLCHOLINE(PF)100 MG/5 ML (20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",48.35,24.175,0.89,73.71,264
HCPCS,J0330,"SUCCINYLCHOLINE(PF)200 MG/10 ML(20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",77.25,38.625,0.89,90.45,264
HCPCS,J0348,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION,213.05,106.53,0.51,191.75,66
HCPCS,J0349,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,12292.05,6146.03,10.26,11062.85,71
HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,50.2,25.1,4.93,189.81,1188
HCPCS,J0360,HYDRALAZINE IV SYRINGE 1 MG/ML (NEO) FROM STOCK SOLN,22.325,11.165,4.68,20.88,132
HCPCS,J0391,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,32271.0,16135.5,52.87,38725.2,140
HCPCS,J0400,Aripiprazole injection,,,0.61,0.61,1
HCPCS,J0401,"ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7758.25,3879.13,7.28,6982.43,213
HCPCS,J0401,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE",7758.25,3879.13,7.28,6982.43,71
HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",10336.0,5168.0,7.28,9302.4,142
HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",10336.0,5168.0,7.28,9302.4,71
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.15,7.53,6
HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,47.175,23.59,2.89,69.39,1056
HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,174.025,87.015,2.72,170.91,462
HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,298.35,149.18,2.72,269.87,462
HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.72,2.11,5
HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE,57.925,28.965,0.09,81.63,660
HCPCS,J0461,ATROPINE 0.4 MG/ML INJECTION SOLUTION,109.35,54.675,0.09,175.19,396
HCPCS,J0461,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,24.45,12.23,0.09,23.45,396
HCPCS,J0461,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,39.475,19.740000000000002,0.09,62.78,462
HCPCS,J0461,ATROPINE 1.2 MG/3 ML (0.4 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,45.0,22.5,0.09,40.5,66
HCPCS,J0461,Atropine sulfate injection,,,0.22,1.23,4
HCPCS,J0470,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION,781.55,390.78,56.29,703.4,66
HCPCS,J0475,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",602.4,301.2,80.06,779.85,213
HCPCS,J0475,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SYRINGE",917.5,458.75,184.85,825.75,71
HCPCS,J0475,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3805.6,1902.8,184.85,3425.04,355
HCPCS,J0475,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",1305.1,652.55,154.68,1537.2,213
HCPCS,J0475,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1909.125,954.565,184.85,2492.78,355
HCPCS,J0475,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE",2672.95,1336.48,184.85,2405.66,71
HCPCS,J0475,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,1206.45,603.225,184.85,1085.85,142
HCPCS,J0476,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,392.2,196.1,41.56,352.98,66
HCPCS,J0476,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,222.85,111.43,41.56,200.57,198
HCPCS,J0480,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,16909.8,8454.9,3688.03,15218.82,70
HCPCS,J0485,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3710.6,1855.3,3.96,3339.54,70
HCPCS,J0485,Belatacept injection,,,4.28,4.28,1
HCPCS,J0490,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,2564.0,1282.0,55.61,2307.6,71
HCPCS,J0490,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,8487.8,4243.9,55.61,7639.02,71
HCPCS,J0490,Belimumab injection,,,57.61,124.78,4
HCPCS,J0491,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21360.85,10680.43,18.37,19224.77,71
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,19.36,40.82,2
HCPCS,J0500,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,75.45,37.73,9.33,366.93,990
HCPCS,J0515,BENZTROPINE 1 MG/ML INJECTION SOLUTION,145.75,72.88,18.25,228.83,462
HCPCS,J0517,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,20698.6,10349.3,167.88,18628.74,71
HCPCS,J0558,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,284
HCPCS,J0558,"PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,142
HCPCS,J0558,PenG benzathine/procaine inj,,,2.19,38.39,3
HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1550.65,775.33,23.24,1395.59,142
HCPCS,J0561,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",2300.5,1150.25,23.24,2070.45,142
HCPCS,J0561,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",810.15,405.08,23.24,729.14,142
HCPCS,J0561,Penicillin g benzathine inj,,,2.67,49.42,9
HCPCS,J0565,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,15224.85,7612.43,40.62,13702.37,142
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,112.17,150.46,6
HCPCS,J0571,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,102.1,51.05,1.89,253.08,528
HCPCS,J0571,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,158.6,79.305,1.89,363.42,660
HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,151.675,75.84,2.15,625.32,528
HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,116.65,58.33,3.42,587.03,528
HCPCS,J0573,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,263.975,131.99,4.43,474.26,396
HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,136.9,68.455,1.64,1120.77,660
HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,206.5,103.25,4.41,756.0,594
HCPCS,J0575,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,424.8,212.4,7.13,735.21,132
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,429.05,525.8,6
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1716.2,2103.18,6
HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,314.6,157.3,0.24,1822.55,1320
HCPCS,J0583,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION,270.425,135.215,0.24,262.13,198
HCPCS,J0584,BUROSUMAB-TWZA 10 MG/ML SUBCUTANEOUS SOLUTION,12495.1,6247.55,451.95,11245.59,71
HCPCS,J0584,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION,24890.0,12445.0,451.95,22401.0,142
HCPCS,J0584,BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION,37498.7,18749.35,451.95,33748.83,142
HCPCS,J0585,"Injection,onabotulinumtoxinA",,,6.9,15.66,11
HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,1835.0,917.5,6.63,1651.5,71
HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2609.0,1304.5,6.63,2348.1,71
HCPCS,J0585,ONABOTULINUMTOXINA 2 UNIT/0.08 ML INJECTION,63.05,31.53,6.63,56.75,71
HCPCS,J0585,ONABOTULINUMTOXINA 20 UNITS/ML (OR ONLY),659.0,329.5,6.63,593.1,71
HCPCS,J0585,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION,5193.0,2596.5,6.63,4673.7,71
HCPCS,J0585,ONABOTULINUMTOXINA 25 UNIT/0.5 ML SYRINGE (PED),817.5,408.75,6.63,735.75,71
HCPCS,J0585,ONABOTULINUMTOXINA 25 UNITS/ ML (FOR OR),817.5,408.75,6.63,735.75,71
HCPCS,J0585,ONABOTULINUMTOXINA 50 UNITS/ML (FOR OR),1610.0,805.0,6.63,1449.0,71
HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2139.0,1069.5,8.93,1925.1,71
HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,3547.0,1773.5,8.93,3192.3,71
HCPCS,J0586,AbobotulinumtoxinA,,,9.33,9.33,1
HCPCS,J0587,"Inj, rimabotulinumtoxinB",,,31.16,31.16,1
HCPCS,J0587,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",5080.65,2540.33,13.55,4572.59,71
HCPCS,J0587,"RIMABOTULINUMTOXINB 2,500 UNIT/0.5 ML INTRAMUSCULAR SOLUTION",1587.7,793.85,13.55,1428.93,71
HCPCS,J0587,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION",2540.35,1270.18,13.55,2286.32,71
HCPCS,J0588,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,2413.95,1206.98,5.55,2172.56,71
HCPCS,J0588,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,3847.3,1923.65,5.55,3462.57,71
HCPCS,J0588,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1277.9,638.95,5.55,1150.11,71
HCPCS,J0588,Incobotulinumtoxin a,,,5.58,12.74,7
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.21,3.94,5
HCPCS,J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,78.6,39.305,4.58,75.74,264
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,89.03,109.11,6
HCPCS,J0594,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,1501.7,750.85,0.9,1917.14,630
HCPCS,J0595,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,40.1,20.05,3.1,36.09,132
HCPCS,J0595,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,48.9,24.45,3.1,44.01,132
HCPCS,J0596,"Injection, ruconest",,,37.19,45.96,6
HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,14608.15,7304.08,71.42,13147.34,71
HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION,14608.15,7304.08,71.42,13147.34,71
HCPCS,J0598,"C-1 esterase, cinryze",,,66.91,82.03,6
HCPCS,J0599,"Inj., haegarda 10 units",,,11.57,14.67,6
HCPCS,J0600,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION,916.75,458.38,199.94,8010.47,71
HCPCS,J0601,SEVELAMER CARBONATE 800 MG TABLET,290.925,145.465,0.98,5374.22,1495
HCPCS,J0602,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,696.6,348.3,1.93,5346.0,715
HCPCS,J0602,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,729.9,364.95,2.13,5346.0,650
HCPCS,J0603,SEVELAMER HCL 800 MG TABLET,2239.1,1119.55,8.11,4478.36,390
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.9,0.9,1
HCPCS,J0605,SUCROFERRIC OXYHYDROXIDE 500 MG CHEWABLE TABLET,5948.3,2974.15,1297.32,5353.47,65
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,3.94,3.94,1
HCPCS,J0607,LANTHANUM 500 MG CHEWABLE TABLET,2498.4,1249.2,272.55,3596.4,390
HCPCS,J0609,FERRIC CITRATE 210 MG IRON TABLET,5556.8,2778.4,1211.94,5001.12,65
HCPCS,J0612,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",69.1,34.55,0.05,62.19,132
HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,100.60000000000001,50.300000000000004,0.05,214.74,528
HCPCS,J0612,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",125.2,62.6,0.05,112.68,132
HCPCS,J0613,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",72.4,36.2,0.1,65.16,132
HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",125.2,62.6,0.1,112.68,132
HCPCS,J0614,"Inj, treosulfan, 50 mg",,,32.98,40.41,5
HCPCS,J0615,CALCIUM ACETATE 667 MG TABLET,109.2,54.6,23.82,98.28,65
HCPCS,J0615,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,292.8,146.4,1.04,608.4,910
HCPCS,J0616,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.7,10.35,4.47,19.26,1105
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.5,34.75,15.16,62.55,130
HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,53.2,26.6,9.68,74.34,520
HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,2810.525,1405.2649999999999,494.67,2649.24,355
HCPCS,J0636,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,38.0,19.005,1.05,35.69,198
HCPCS,J0637,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,312.5,156.25,6.02,1428.08,396
HCPCS,J0637,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,482.85,241.43,6.02,1482.89,264
HCPCS,J0638,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,80911.45,40455.73,132.97,72820.31,71
HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),57.349999999999994,28.674999999999997,4.96,130.5,396
HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),91.75,45.875,4.96,152.1,396
HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),115.27499999999999,57.64,4.96,162.9,396
HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG INJECTION (POWDER FOR RECON),56.3,28.15,4.96,76.5,264
HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG INJECTION (POWDER FOR RECON),390.2,195.1,4.96,410.36,198
HCPCS,J0640,Leucovorin calcium injection,,,11.52,18.0,4
HCPCS,J0641,LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION,937.0,468.5,0.07,843.3,66
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.64,1.64,1
HCPCS,J0650,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,263.35,131.68,9.67,282.78,396
HCPCS,J0650,LEVOTHYROXINE 200 MCG INTRAVENOUS POWDER FOR SOLUTION,620.85,310.43,9.67,558.77,66
HCPCS,J0650,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION,1515.25,757.63,9.67,1363.73,66
HCPCS,J0651,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,1825.65,912.83,6.97,1643.09,71
HCPCS,J0651,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,329.85,164.93,6.97,296.87,142
HCPCS,J0652,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,254.25,127.13,5.24,228.83,71
HCPCS,J0665,"BUPIVACAINE (PF) 0.125 %(1,250 MCG/ML)IN 0.9% SODIUM CHLORIDE EPIDURAL",62.5,31.25,12.0,63.0,130
HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.025,23.515,10.05,57.96,2210
HCPCS,J0665,BUPIVACAINE (PF) 0.25 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION,100.0,50.0,18.54,103.5,130
HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,47.45,23.73,10.05,61.74,1690
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,28.6,14.3,4.91,27.09,650
HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.425,24.215,10.21,63.18,1105
HCPCS,J0665,BUPIVACAINE 0.125% 750 ML ON-Q CB6004 (SIMPLE),133.0,66.5,29.01,119.7,65
HCPCS,J0665,BUPIVACAINE 0.125% EPIDURAL (ONE-STEP),70.75,35.375,13.3,72.45,130
HCPCS,J0665,BUPIVACAINE 0.25 % 335 ML ON-Q P270X5 (SIMPLE),383.45,191.73,83.63,345.11,65
HCPCS,J0665,BUPIVACAINE 0.25 % 550 ML ON-Q P400X4D (SIMPLE),613.5,306.75,133.8,552.15,65
HCPCS,J0665,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,65.2,32.6,10.17,85.41,585
HCPCS,J0665,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,47.25,23.63,10.12,92.7,715
HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.01,0.05,2
HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1425.475,712.74,1.43,1609.92,350
HCPCS,J0668,"Instill, bupivac and meloxic",,,0.78,0.96,5
HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,34.05,17.03,3.65,30.65,132
HCPCS,J0670,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,33.575,16.79,3.65,41.49,198
HCPCS,J0670,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,29.325000000000003,14.665000000000001,3.65,33.93,198
HCPCS,J0670,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,47.7,23.85,3.65,42.93,132
HCPCS,J0670,MEPIVACAINE 2 % INJECTION SOLUTION,48.9,24.45,3.65,44.01,132
HCPCS,J0670,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE,21.05,10.53,3.65,18.95,66
HCPCS,J0675,"Inj, carboprost, 0.1 mg",,,52.07,63.81,5
HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,1.11,1.36,5
HCPCS,J0687,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION,45.1,22.55,0.97,40.59,140
HCPCS,J0687,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,50.0,25.0,0.97,45.0,140
HCPCS,J0688,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION,48.15,24.08,0.94,43.34,142
HCPCS,J0688,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,54.15,27.08,0.94,48.74,142
HCPCS,J0689,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,61.9,30.95,1.32,55.71,66
HCPCS,J0689,CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,94.6,47.3,1.32,85.14,66
HCPCS,J0690,CEFAZOLIN 0.2 MG/ML (SOLN A) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
HCPCS,J0690,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,47.4,23.7,0.84,42.66,132
HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.9,22.95,0.84,41.99,792
HCPCS,J0690,CEFAZOLIN 1 GRAM/10 ML IN STERILE WATER INTRAVENOUS SYRINGE,71.4,35.7,0.84,64.26,66
HCPCS,J0690,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,101.8,50.9,0.84,91.62,66
HCPCS,J0690,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,66.125,33.065,0.84,85.46,924
HCPCS,J0690,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.8,25.4,0.84,45.72,132
HCPCS,J0690,CEFAZOLIN 2 GRAM/20 ML IN STERILE WATER INTRAVENOUS SYRINGE,57.675,28.84,0.84,54.77,132
HCPCS,J0690,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,111.55,55.78,0.84,100.4,66
HCPCS,J0690,CEFAZOLIN 2 MG/ML (SOLN B) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
HCPCS,J0690,CEFAZOLIN 20 MG/ML (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
HCPCS,J0690,CEFAZOLIN 200 MG/ML (SOLN D) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
HCPCS,J0690,CEFAZOLIN 3 GRAM/30 ML IN STERILE WATER INTRAVENOUS SYRINGE,48.35,24.18,0.84,43.52,66
HCPCS,J0690,CEFAZOLIN 300 GRAM SOLUTION FOR INJECTION,1300.0,650.0,0.84,1170.0,66
HCPCS,J0690,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,46.0,23.005,0.84,42.66,462
HCPCS,J0690,CEFAZOLIN IV SYRINGE 20 MG/ML (NEO/PED) FROM STOCK SOLN,45.675,22.84,0.84,41.31,132
HCPCS,J0690,Cefazolin sodium injection,,,2.58,2.58,1
HCPCS,J0691,Inj lefamulin 1 mg,,,0.72,0.72,1
HCPCS,J0692,CEFEPIME 0.04 MG/ML IN NS (SOLN A) (DESENSITIZATION),30.0,15.0,1.4,27.0,66
HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.7,11.35,1.4,31.73,924
HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,68.9,34.45,1.4,76.77,1056
HCPCS,J0692,CEFEPIME 20 MG/ML IN NS (SOLN C) IVPB (DESENSITIZATION),30.0,15.0,1.4,27.0,132
HCPCS,J0692,CEFEPIME INTRAOCULAR INJ 11.25 MG/0.5 ML SYRINGE,45.05,22.53,1.4,40.55,66
HCPCS,J0692,CEFEPIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,54.55,27.275,1.4,54.54,132
HCPCS,J0692,CEFEPIME IV SYRINGE 40 MG/ML IN NS (NEO/PED) FROM STOCK SOLN,24.3,12.15,1.4,21.87,66
HCPCS,J0692,Cefepime HCl for injection,,,4.48,4.48,1
HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,47.6,23.8,5.64,71.96,528
HCPCS,J0694,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",128.85,64.43,5.64,115.97,66
HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,65.475,32.74,5.64,129.42,462
HCPCS,J0694,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,211.05,105.53,5.64,189.95,66
HCPCS,J0694,CEFOXITIN IV SYRINGE 40 MG/ML IN NS (NEO/PED) FROM STOCK SOLN,77.5,38.75,5.64,69.75,66
HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,831.0,415.5,8.18,747.9,71
HCPCS,J0696,CEFTRIAXONE 0.01 MG/ML IN NS (SOLN A) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,66
HCPCS,J0696,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,47.55,23.78,0.55,42.8,132
HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.175,23.09,0.55,42.12,990
HCPCS,J0696,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,213.525,106.765,0.55,264.38,132
HCPCS,J0696,CEFTRIAXONE 1 MG/ML IN NS (SOLN B) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,66
HCPCS,J0696,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,84.2,42.1,0.55,117.41,396
HCPCS,J0696,CEFTRIAXONE 10 MG/ML IN NS (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,132
HCPCS,J0696,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,54.5,27.25,0.55,49.05,132
HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.9,23.45,0.55,43.11,990
HCPCS,J0696,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,45.9,22.955,0.55,42.39,528
HCPCS,J0696,CEFTRIAXONE 40 MG/ML IN NS 100 ML PED BULK DILUTION,524.0,262.0,0.55,471.6,66
HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.75,10.375,0.55,19.8,726
HCPCS,J0696,CEFTRIAXONE IV SYRINGE 40 MG/ML IN NS (PED) FROM STOCK SOLN,46.475,23.240000000000002,0.55,42.08,132
HCPCS,J0696,Ceftriaxone sodium injection,,,0.71,29.14,10
HCPCS,J0697,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,54.2,27.1,2.25,48.92,330
HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,47.175,23.59,2.25,42.71,198
HCPCS,J0698,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,663.95,331.975,3.64,1147.5,198
HCPCS,J0698,CEFOTAXIME 2 GRAM SOLUTION FOR INJECTION,2525.0,1262.5,3.64,2272.5,132
HCPCS,J0698,CEFOTAXIME IV SYRINGE 40 MG/ML IN SWI (NEO/PED) FROM STOCK SOLN,77.5,38.75,3.64,69.75,66
HCPCS,J0699,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,1101.35,550.68,2.32,991.22,142
HCPCS,J0701,Inj. cefepime hcl (baxter),,,6.03,6.03,1
HCPCS,J0702,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,216.2,108.1,7.56,222.12,396
HCPCS,J0702,Betamethasone acet&sod phosp,,,8.39,17.05,10
HCPCS,J0703,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,133.4,66.7,5.64,120.06,66
HCPCS,J0703,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,189.4,94.7,5.64,170.46,66
HCPCS,J0706,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,29.15,14.58,1.65,59.9,858
HCPCS,J0712,CEFTAROLINE FOSAMIL 0.1 MG/ML (SOLN A) SOLUTION (DESENSITIZATION),30.0,15.0,4.11,27.0,71
HCPCS,J0712,CEFTAROLINE FOSAMIL 1 MG/ML (SOLN B) SOLUTION (DESENSITIZATION),30.0,15.0,4.11,27.0,71
HCPCS,J0712,CEFTAROLINE FOSAMIL 30 MG/ML (SOLN C) SOLUTION (DESENSITIZATION),30.0,15.0,4.11,27.0,71
HCPCS,J0712,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,1254.95,627.48,4.11,1129.46,142
HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1254.95,627.48,4.11,1129.46,142
HCPCS,J0712,CEFTAROLINE IV SYRINGE 12 MG/ML (PED) FROM STOCK SOLN USING 400 MG VIAL,936.55,468.28,4.11,842.9,71
HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,47.95,23.98,1.88,45.09,330
HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,57.6,28.805,1.88,67.46,330
HCPCS,J0713,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,148.95,74.48,1.88,134.28,198
HCPCS,J0713,CEFTAZIDIME INTRAOCULAR INJ PF 11.25 MG/0.5 ML SYR,45.05,22.53,1.88,40.55,66
HCPCS,J0713,CEFTAZIDIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,118.6,59.3,1.88,190.98,198
HCPCS,J0713,CEFTAZIDIME IV SYRINGE 100 MG/ML (NEO/PED),116.45,58.23,1.88,104.81,66
HCPCS,J0713,CEFTAZIDIME IV SYRINGE 40 MG/ML (NEO/PED) FROM STOCK SOLN,60.099999999999994,30.049999999999997,10.56,65.33,132
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,2038.55,1019.28,106.82,1834.7,140
HCPCS,J0714,CEFTAZIDIME-AVIBACTAM IV SYRINGE 40 MG CEFTAZIDIME/ML (PED) FROM STOCK SOLN,1774.75,887.38,106.82,1597.28,70
HCPCS,J0716,Centruroides immune f(ab),,,4969.38,6089.93,5
HCPCS,J0717,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT,24047.75,12023.88,3.99,21642.98,71
HCPCS,J0717,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,43756.274999999994,21878.14,3.99,59048.46,142
HCPCS,J0717,Certolizumab pegol inj 1mg,,,5.88,5.9,2
HCPCS,J0720,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION,240.95,120.48,51.2,216.86,66
HCPCS,J0725,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",801.775,400.89,25.72,957.02,132
HCPCS,J0725,"CHORIONIC GONADOTROPIN, HUMAN 5,000 UNIT INTRAMUSCULAR POWDER FOR SOLN",780.25,390.13,25.72,702.23,66
HCPCS,J0725,Chorionic gonadotropin/1000u,,,6.88,56.55,6
HCPCS,J0735,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",109.6,54.8,9.99,122.85,330
HCPCS,J0735,Clonidine hydrochloride,,,20.45,51.55,5
HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.25,23.625,2.03,117.45,1914
HCPCS,J0736,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,57.150000000000006,28.575000000000003,2.03,59.76,264
HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,49.6,24.8,2.03,61.92,462
HCPCS,J0736,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.6,27.8,2.03,70.56,462
HCPCS,J0736,CLINDAMYCIN INTRAOCULAR INJ 1 MG/0.1 ML,20.05,10.03,2.03,18.05,66
HCPCS,J0737,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,49.6,24.8,1.87,44.64,132
HCPCS,J0737,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,55.6,27.8,1.87,50.04,132
HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,16.46,20.17,5
HCPCS,J0739,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",14864.724999999999,7432.365,6.79,14513.31,213
HCPCS,J0740,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,2153.0249999999996,1076.5149999999999,458.52,1983.33,142
HCPCS,J0741,"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER",18104.7,9052.35,24.12,16294.23,71
HCPCS,J0741,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER",27157.05,13578.53,24.12,24441.35,71
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,25.39,25.39,2
HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION,1486.35,743.18,2.66,1337.72,142
HCPCS,J0743,Cilastatin sodium injection,,,16.84,16.84,1
HCPCS,J0743,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION,58.8,29.4,8.99,53.55,198
HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.25,42.13,8.99,185.54,462
HCPCS,J0744,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.400000000000006,23.700000000000003,2.15,43.02,528
HCPCS,J0744,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.0,24.0,10.29,65.33,528
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.77,2.17,5
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,72.75,89.16,5
HCPCS,J0752,"Hiv prep, oral lenacapavir",,,458.01,561.29,5
HCPCS,J0759,"Inj, clevidipine, 1 mg",,,2.9,3.56,5
HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,88.8,44.4,15.44,162.99,528
HCPCS,J0775,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,27389.85,13694.93,70.88,24650.87,71
HCPCS,J0775,"Collagenase, clost hist inj",,,49.62,159.62,3
HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.674999999999997,11.34,3.81,92.39,1914
HCPCS,J0780,Prochlorperazine injection,,,3.94,9.96,4
HCPCS,J0791,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9836.8,4918.4,131.31,8853.12,71
HCPCS,J0801,CORTICOTROPIN 80 UNIT/ML INJECTION GEL,158564.0,79282.0,4545.23,142707.6,66
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3581.74,3581.74,1
HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,180.3,90.15,21.78,281.61,330
HCPCS,J0834,COSYNTROPIN 1 MCG/ML (FROM 250 MCG/250 ML DILUTION),100.5,50.25,21.92,90.45,66
HCPCS,J0834,COSYNTROPIN 10 MCG/ML INJ SYRINGE (NEO/PED) FROM STOCK SOLUTION,100.2,50.1,21.85,90.18,66
HCPCS,J0834,COSYNTROPIN 5 MCG/ML INJ. DILUTION RECORD,100.5,50.25,21.92,90.45,66
HCPCS,J0834,"Inj., cosyntropin, 0.25 mg",,,68.31,146.5,6
HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,5321.8,2660.9,1160.68,4789.62,140
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1066.05,1306.44,5
HCPCS,J0850,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,6327.725,3163.865,1346.55,5833.31,213
HCPCS,J0870,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,40747.1,20373.55,58.17,36672.39,70
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.04,0.05,5
HCPCS,J0873,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,87.1,43.55,0.04,78.39,70
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.07,0.07,1
HCPCS,J0875,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,6582.85,3291.43,15.93,5924.57,71
HCPCS,J0875,"Injection, dalbavancin",,,27.08,27.08,1
HCPCS,J0877,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,419.0,209.5,0.06,377.1,66
HCPCS,J0878,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,105.42500000000001,52.715,0.04,99.86,198
HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,155.39999999999998,77.705,0.04,1885.46,858
HCPCS,J0878,Daptomycin injection,,,0.17,0.63,6
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.06,0.25,6
HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,2.98,3.66,6
HCPCS,J0882,DARBEPOETIN ALFA 10 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,362.55,181.28,2.98,326.3,142
HCPCS,J0882,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,2650.1,1325.05,2.98,2385.09,142
HCPCS,J0882,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,2650.1,1325.05,2.98,2385.09,142
HCPCS,J0882,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,3962.7,1981.35,2.98,3566.43,142
HCPCS,J0882,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,5275.25,2637.63,2.98,4747.73,71
HCPCS,J0882,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,5275.25,2637.63,2.98,4747.73,71
HCPCS,J0882,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,868.8,434.4,2.98,781.92,142
HCPCS,J0882,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,868.8,434.4,2.98,781.92,142
HCPCS,J0882,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,7900.35,3950.18,2.98,7110.32,71
HCPCS,J0882,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1375.1,687.55,2.98,1237.59,142
HCPCS,J0882,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,1375.1,687.55,2.98,1237.59,142
HCPCS,J0882,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,13150.55,6575.28,2.98,11835.5,71
HCPCS,J0882,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2050.1,1025.05,2.98,1845.09,142
HCPCS,J0882,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,2050.1,1025.05,2.98,1845.09,71
HCPCS,J0883,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,402.125,201.065,0.81,523.58,280
HCPCS,J0883,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,447.45,223.73,0.81,1373.22,420
HCPCS,J0885,"Epoetin alfa, non-esrd",,,8.71,10.68,6
HCPCS,J0887,Epoetin beta esrd use,,,1.8,1.8,1
HCPCS,J0888,Epoetin beta non esrd,,,1.49,1.83,6
HCPCS,J0891,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,436.5,218.25,1.85,392.85,142
HCPCS,J0892,Argatroban dialysis (accord),,,1.95,1.95,1
HCPCS,J0893,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,0.83,405.0,132
HCPCS,J0894,DECITABINE 50 MG INTRAVENOUS SOLUTION,546.35,273.18,1.88,6055.34,990
HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,157.45,78.73,9.2,170.06,330
HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,62.05,31.03,9.2,173.34,330
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,45.54,45.54,1
HCPCS,J0896,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,14138.75,7069.38,41.1,12724.88,71
HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,42366.0,21183.0,41.1,38129.4,71
HCPCS,J0897,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,13408.7,6704.35,26.95,12067.83,71
HCPCS,J0897,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,7032.424999999999,3516.215,26.95,6571.53,142
HCPCS,J0897,Denosumab injection,,,18.06,59.27,9
HCPCS,J0898,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,840.0,420.0,1.66,833.85,142
HCPCS,J0899,"Argatroban dialysis, auromed",,,4.11,4.11,1
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.54,8.01,5
HCPCS,J1000,Depo-estradiol cypionate inj,,,52.89,75.17,2
HCPCS,J1000,ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL,993.45,496.73,39.68,894.11,66
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,93.10000000000001,46.555,0.12,301.95,1207
HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,53.05,26.53,0.12,257.0,923
HCPCS,J1030,Fee Schedule,,,5.71,18.64,10
HCPCS,J1040,Fee Schedule,,,10.85,29.18,10
HCPCS,J1050,MEDROXYPROGESTERONE 104 MG/0.65 ML SUBCUTANEOUS SYRINGE,292.0,146.0,50.03,262.8,66
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,219.375,109.69,10.28,262.8,1386
HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,254.0,127.0,27.22,286.02,198
HCPCS,J1050,Medroxyprogesterone acetate,,,0.22,1.25,6
HCPCS,J1071,Inj testosterone cypionate,,,0.04,0.08,9
HCPCS,J1071,TESTOSTERONE CYPIONATE 100 MG/ML INTRAMUSCULAR OIL,151.5,75.75,0.03,136.35,66
HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,109.5,54.75,0.03,522.59,792
HCPCS,J1072,"Inj, testosterone, azmiro",,,1.35,1.66,5
HCPCS,J1096,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2100.0,1050.0,99.86,1890.0,142
HCPCS,J1097,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2360.0,1180.0,94.02,2124.0,284
HCPCS,J1100,DEXAMETHASONE INTRAOCULAR INJ 2000 MCG/0.5 ML,45.35,22.68,0.13,40.82,66
HCPCS,J1100,DEXAMETHASONE IV SYRINGE 0.1 MG/ML (NEO) FROM STOCK SOLN,45.85,22.93,0.13,42.03,198
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,21.799999999999997,10.899999999999999,0.13,22.01,792
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SYRINGE,22.65,11.33,0.13,20.39,66
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,22.15,11.075,0.13,51.3,594
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.95,10.48,0.13,48.47,1518
HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE,22.25,11.13,0.13,20.03,66
HCPCS,J1100,Dexamethasone sodium phos,,,0.15,0.35,11
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.61,0.88,6
HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,272.675,136.34,46.99,3936.83,726
HCPCS,J1110,Inj dihydroergotamine mesylt,,,132.02,132.02,1
HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,162.25,81.13,13.5,220.59,396
HCPCS,J1120,ACETAZOLAMIDE IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,87.1,43.55,19.0,78.39,66
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.22,0.22,1
HCPCS,J1160,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,571.325,285.665,10.44,573.26,132
HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.95,11.48,4.87,573.26,330
HCPCS,J1160,DIGOXIN 500 MCG/2 ML (250 MCG/ML) (0.5 MG/2 ML) INJECTION SOLUTION,505.7,252.85,10.44,455.13,66
HCPCS,J1160,DIGOXIN IV SYRINGE 20 MCG/ML (NEO/PED) FROM STOCK SOLN,587.25,293.63,10.44,528.53,66
HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,17687.55,8843.78,3857.65,15918.8,210
HCPCS,J1163,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,79.15,39.58,17.26,71.24,130
HCPCS,J1163,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,49.15,24.58,10.21,103.5,1820
HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.75,10.88,0.7,19.89,528
HCPCS,J1170,Others,,,5.09,5.09,1
HCPCS,J1171,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,65
HCPCS,J1171,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,27.95,13.98,6.02,25.52,390
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION,27.9,13.95,6.08,25.11,130
HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,28.15,14.08,5.99,25.65,390
HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,67.425,33.715,11.37,536.4,1170
HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION,26.6,13.305,5.66,24.53,260
HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,27.9,13.955,6.01,25.43,195
HCPCS,J1171,HYDROMORPHONE 0.25 MG/0.5 ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,130
HCPCS,J1171,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,27.0,13.5,5.85,24.48,260
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SOLUTION,27.5,13.75,6.0,24.75,130
HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,27.575,13.79,5.94,25.11,260
HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,97.52499999999999,48.765,11.14,129.56,260
HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,28.275,14.14,6.03,26.01,260
HCPCS,J1190,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,338.775,169.39,60.9,440.69,426
HCPCS,J1190,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,672.45,336.23,64.32,1113.93,639
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,21.3,10.65,0.89,62.1,660
HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE,21.85,10.93,0.89,19.67,66
HCPCS,J1200,Diphenhydramine hcl injectio,,,1.33,2.6,10
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,16.73,20.64,6
HCPCS,J1202,Miglustat oral 65 mg,,,34.2,34.2,1
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,93.04,114.02,5
HCPCS,J1205,CHLOROTHIAZIDE IV SYRINGE 25 MG/ML (NEO/PED) FROM STOCK SOLN,175.7,87.85,38.32,158.13,66
HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,240.75,120.38,32.18,1830.92,528
HCPCS,J1212,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2698.6,1349.3,588.56,2428.74,71
HCPCS,J1230,METHADONE 1 MG/ML (1 ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,72.0,36.0,5.67,81.0,198
HCPCS,J1230,"METHADONE 10 MG/ML IN SODIUM CHLORIDE,ISO-OSMOTIC INTRAVENOUS SYRINGE",252.0,126.0,21.83,226.8,66
HCPCS,J1230,METHADONE 10 MG/ML INJECTION SOLUTION,1130.15,565.075,12.8,1778.49,264
HCPCS,J1230,METHADONE 10 MG/ML INTRAVENOUS SYRINGE,271.65,135.83,21.83,244.49,66
HCPCS,J1240,DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION,28.05,14.03,6.12,25.25,66
HCPCS,J1245,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,129.35,64.68,4.13,116.42,132
HCPCS,J1250,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",136.0,68.0,10.93,142.65,132
HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,58.5,29.255,10.53,63.68,528
HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,86.5,43.25,18.54,79.2,198
HCPCS,J1250,DOBUTAMINE 50 MG/50 ML IN 0.9 % SODIUM CHLORIDE (STRESS LAB),47.45,23.73,10.35,65.33,66
HCPCS,J1250,DOBUTAMINE 50 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS (STRESS LAB),46.7,23.35,10.19,65.33,66
HCPCS,J1250,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",122.5,61.25,10.93,115.65,198
HCPCS,J1260,Dolasetron mesylate,,,5.98,5.98,1
HCPCS,J1265,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,88.0,44.0,19.19,79.2,65
HCPCS,J1265,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.775000000000006,23.89,10.35,43.29,260
HCPCS,J1265,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,50.925,25.465,10.38,48.83,260
HCPCS,J1265,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",71.5,35.75,13.96,92.7,260
HCPCS,J1265,DOPAMINE 800 MCG/ML INFUSION (NEO) (NH),45.5,22.75,9.92,40.95,65
HCPCS,J1265,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",112.0,56.0,19.52,121.05,195
HCPCS,J1265,"DOPAMINE 800 MG/500 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",145.0,72.5,31.62,130.5,65
HCPCS,J1267,Others,,,0.87,0.87,1
HCPCS,J1270,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.95,23.48,0.42,57.29,660
HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,91.6,45.8,16.11,152.64,1300
HCPCS,J1290,Ecallantide injection,,,591.56,724.96,6
HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,26142.0,13071.0,45.72,23527.8,70
HCPCS,J1300,Fee Schedule,,,255.4,255.4,1
HCPCS,J1300,Others,,,229.99,229.99,1
HCPCS,J1301,"Injection, edaravone, 1 mg",,,21.41,26.24,6
HCPCS,J1302,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION,7695.45,3847.73,18.26,6925.91,71
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,257.88,257.88,1
HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,53370.35,26685.175,226.0,75468.06,142
HCPCS,J1304,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,57204.6,28602.3,161.32,51484.14,71
HCPCS,J1305,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION,108644.70000000001,54322.350000000006,182.93,151879.14,142
HCPCS,J1306,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13661.0,6830.5,12.56,12294.9,71
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,14.02,14.02,1
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,562.54,689.39,5
HCPCS,J1308,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.65,10.33,4.47,18.72,715
HCPCS,J1308,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,22.174999999999997,11.09,4.48,47.43,520
HCPCS,J1308,FAMOTIDINE IV SYRINGE 2 MG/ML (NEO/PED) FROM STOCK SOLUTION,20.6,10.3,4.49,18.54,65
HCPCS,J1322,ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLUTION,5965.0,2982.5,311.77,5368.5,71
HCPCS,J1323,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,41262.825,20631.415,187.75,47027.61,280
HCPCS,J1324,Enfuvirtide injection,,,0.71,0.71,1
HCPCS,J1325,EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,132
HCPCS,J1325,EPOPROSTENOL (GLYCINE) 1.5 MG INTRAVENOUS SOLUTION,265.0,132.5,17.71,238.5,66
HCPCS,J1325,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,198
HCPCS,J1325,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,167.05,83.525,15.07,238.5,198
HCPCS,J1326,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,6450.0,3225.0,34.38,5805.0,70
HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,324.5,162.25,24.87,438.3,528
HCPCS,J1327,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,152.75,76.38,24.87,172.26,330
HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,200.85000000000002,100.43,14.38,558.0,1320
HCPCS,J1335,Ertapenem injection,,,32.63,90.0,7
HCPCS,J1364,ERYTHROMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,142.75,71.38,31.13,128.48,66
HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,303.65,151.83,33.69,309.56,396
HCPCS,J1380,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,724.2,362.1,10.25,756.81,132
HCPCS,J1380,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,1007.8,503.9,10.25,1290.96,198
HCPCS,J1380,Estradiol valerate 10 MG inj,,,38.22,38.22,1
HCPCS,J1410,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,1742.15,871.08,379.96,1567.94,71
HCPCS,J1411,ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION,17500000.0,8750000.0,3758972.0,15750000.0,69
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,12804.79,15692.14,5
HCPCS,J1413,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,16000000.0,8000000.0,3382791.84,14400000.0,69
HCPCS,J1426,"Injection, casimersen, 10 mg",,,169.38,207.58,6
HCPCS,J1427,Inj. viltolarsen,,,61.14,61.14,1
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,170.69,209.18,6
HCPCS,J1429,Inj golodirsen 10 mg,,,172.83,172.83,1
HCPCS,J1430,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,2329.3,1164.65,508.02,2096.37,71
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.9,3.55,5
HCPCS,J1437,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION,12083.65,6041.83,20.17,10875.29,71
HCPCS,J1438,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION,6737.825,3368.915,587.81,9702.45,142
HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,3956.45,1978.23,862.9,3560.81,142
HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION,3956.45,1978.23,862.9,3560.81,71
HCPCS,J1438,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS PEN INJECTOR,7912.9,3956.45,927.33,7121.61,142
HCPCS,J1438,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,7912.9,3956.45,927.33,7121.61,142
HCPCS,J1439,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4056.05,2028.03,1.13,3650.45,71
HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.16,2.77,4
HCPCS,J1440,"FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA",54810.0,27405.0,65.12,49329.0,140
HCPCS,J1442,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,1616.85,808.43,1.02,1455.17,71
HCPCS,J1442,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1525.45,762.73,1.02,1372.91,142
HCPCS,J1442,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2059.9,1029.95,1.02,1853.91,213
HCPCS,J1442,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,2429.05,1214.53,1.02,2186.15,142
HCPCS,J1443,Others,,,0.03,0.03,1
HCPCS,J1445,Others,,,0.17,0.17,1
HCPCS,J1447,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,944.3,472.15,0.29,1096.83,213
HCPCS,J1447,TBO-FILGRASTIM 300 MCG/ML SUBCUTANEOUS SOLUTION,877.8,438.9,0.29,790.02,71
HCPCS,J1447,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1506.5,753.25,0.29,1746.72,213
HCPCS,J1447,TBO-FILGRASTIM 480 MCG/1.6 ML SUBCUTANEOUS SOLUTION,1404.85,702.43,0.29,1264.37,71
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.56,6.83,6
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,21.29,31.74,6
HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,50.8,25.4,3.1,59.76,462
HCPCS,J1450,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,55.6,27.8,10.69,65.33,528
HCPCS,J1451,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,2394.05,1197.025,6.4,4431.47,284
HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,191.875,95.94,0.15,1414.67,1254
HCPCS,J1453,FOSAPREPITANT 150 MG/250 ML IN 0.9% SOD. CHLORIDE INTRAVENOUS PREMIX,125.5,62.75,0.15,112.95,66
HCPCS,J1453,Fosaprepitant injection,,,0.34,2.39,6
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,175.68,719.38,6
HCPCS,J1455,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1453.125,726.565,16.4,2176.88,497
HCPCS,J1455,FOSCARNET INTRACAMERAL INJ 12 MG/0.5 ML,45.65,22.83,9.96,63.14,71
HCPCS,J1456,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,1470.6,735.3,1.05,1323.54,70
HCPCS,J1458,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION,9829.0,4914.5,2143.7,8846.1,65
HCPCS,J1459,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",6018.4,3009.2,44.92,14406.66,568
HCPCS,J1459,Inj IVIG privigen 500 mg,,,56.28,117.58,3
HCPCS,J1460,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",1338.7,669.355,50.01,1982.12,284
HCPCS,J1551,Inj cutaquig 100 mg,,,14.86,14.86,1
HCPCS,J1552,"Inj, alyglo, 500 mg",,,132.84,162.8,5
HCPCS,J1554,Inj. asceniv,,,500.77,620.92,6
HCPCS,J1555,"Inj cuvitru, 100 mg",,,17.03,21.05,6
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,44.92,44.92,1
HCPCS,J1557,Gammaplex injection,,,64.96,79.6,5
HCPCS,J1558,"Inj. xembify, 100 mg",,,15.14,18.56,6
HCPCS,J1559,Hizentra injection,,,13.85,17.92,6
HCPCS,J1560,Gamma globulin > 10 CC inj,,,173.89,562.98,6
HCPCS,J1561,Gamunex-C/Gammaked,,,59.38,124.07,3
HCPCS,J1561,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,3126.525,1563.2649999999999,44.92,3494.75,284
HCPCS,J1561,IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,778.75,389.38,44.92,700.88,142
HCPCS,J1561,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,6228.05,3114.025,44.92,6966.99,284
HCPCS,J1561,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,9405.0,4702.5,44.92,8464.5,142
HCPCS,J1561,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,423.775,211.89,44.92,468.95,284
HCPCS,J1561,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,1532.5,766.25,44.92,1379.25,142
HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION",5419.9,2709.95,44.92,4877.91,142
HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION",2722.45,1361.23,44.92,2450.21,142
HCPCS,J1566,"Immune globulin, powder",,,91.19,91.19,1
HCPCS,J1568,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",2805.125,1402.565,44.92,3068.55,142
HCPCS,J1568,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",3409.5,1704.75,44.92,9160.65,355
HCPCS,J1568,Octagam injection,,,51.73,108.09,2
HCPCS,J1569,Gammagard liquid injection,,,53.98,78.99,4
HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2972.3500000000004,1486.1750000000002,44.92,10632.96,852
HCPCS,J1570,GANCICLOVIR INTRACAMERAL INJ 20 MG/0.5 ML SYRINGE,46.9,23.45,10.23,49.86,66
HCPCS,J1570,GANCICLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,252.65,126.33,49.86,227.39,66
HCPCS,J1570,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,246.7,123.35,43.63,272.12,528
HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2776.7,1388.35,66.17,2499.03,284
HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION,785.95,392.98,66.17,707.36,71
HCPCS,J1572,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3397.6,1698.8,44.92,6093.18,213
HCPCS,J1573,"Hepagam b intravenous, inj",,,67.97,93.66,6
HCPCS,J1574,"Inj, ganciclovir (exela)",,,52.62,52.62,1
HCPCS,J1575,"IGG 10 GRAM/100 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",10044.3,5022.15,18.28,9039.87,71
HCPCS,J1575,"IGG 2.5 GRAM/25 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",2511.1,1255.55,18.28,2259.99,71
HCPCS,J1575,"IGG 20 GRAM/200 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",20088.6,10044.3,18.28,18079.74,71
HCPCS,J1575,"IGG 30 GRAM/300 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",30132.9,15066.45,18.28,27119.61,71
HCPCS,J1575,"IGG 5 GRAM/50 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",5022.15,2511.08,18.28,4519.94,71
HCPCS,J1576,"Inj, panzyga, 500 mg",,,44.92,91.25,6
HCPCS,J1580,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,48.3,24.15,10.53,65.33,66
HCPCS,J1580,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,48.15,24.08,2.98,43.34,66
HCPCS,J1580,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,46.0,23.0,10.03,65.33,66
HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION,47.55,23.78,2.98,153.32,924
HCPCS,J1580,GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,47.85,23.93,10.44,65.33,66
HCPCS,J1580,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,48.0,24.0,2.98,43.2,66
HCPCS,J1580,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,47.95,23.98,2.98,43.16,66
HCPCS,J1580,GENTAMICIN SUBCONJUNCTIVAL INJ 40 MG/ML,45.5,22.75,2.98,40.95,66
HCPCS,J1580,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,47.650000000000006,23.83,2.98,43.52,396
HCPCS,J1580,Garamycin gentamicin inj,,,1.91,7.33,9
HCPCS,J1595,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,650.4250000000001,325.21500000000003,44.65,986.54,210
HCPCS,J1595,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,426.45,213.23,93.01,383.81,70
HCPCS,J1596,GLYCOPYRROLATE (PF) IN STERILE WATER 0.2 MG/ML INJECTION SYRINGE,20.85,10.43,0.47,18.77,142
HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,23.25,11.63,0.47,168.71,4189
HCPCS,J1596,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,38.45,19.225,0.47,37.08,284
HCPCS,J1597,GLYCOPYRROLATE (PF) 0.2 MG/ML INJECTION SOLUTION,22.35,11.18,4.85,20.21,260
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.37,1.68,5
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,104.63,104.63,1
HCPCS,J1602,GOLIMUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,28341.9,14170.95,11.26,25507.71,71
HCPCS,J1602,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7778.0,3889.0,11.26,7000.2,71
HCPCS,J1602,GOLIMUMAB 50 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,24648.4,12324.2,11.26,22183.56,71
HCPCS,J1602,Golimumab for iv use 1mg,,,14.75,32.56,5
HCPCS,J1610,GLUCAGON 1 MG SOLUTION FOR INJECTION,1304.75,652.38,185.1,1280.66,284
HCPCS,J1610,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,396.875,198.44,86.55,357.21,213
HCPCS,J1611,GLUCAGON HCL 1 MG SOLUTION FOR INJECTION,993.85,496.93,132.44,894.47,142
HCPCS,J1611,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,608.6,304.305,115.76,617.81,426
HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,3.52,4.31,5
HCPCS,J1626,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,47.825,23.915,0.5,43.11,132
HCPCS,J1626,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,47.0,23.5,0.5,42.57,198
HCPCS,J1626,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,75.4,37.7,0.5,298.53,264
HCPCS,J1626,Granisetron hcl injection,,,1.41,8.05,2
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.37,5.73,6
HCPCS,J1628,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,58261.65,29130.83,77.49,52435.49,142
HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,21.6,10.8,1.57,149.81,594
HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,97.35,48.68,6.02,724.59,1452
HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,67.65,33.83,6.0,98.28,792
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,78.41,78.41,1
HCPCS,J1640,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,43787.0,21893.5,34.86,39408.3,140
HCPCS,J1642,HEPARIN (PORCINE)(PF) 20 UNIT/20 ML (1 UNIT/ML) IN 0.9% NACL IV SYRING,45.5,22.75,0.02,40.95,66
HCPCS,J1642,HEPARIN 100 UNITS/ML IN NS 50 ML (STOCK DILUTION),21.4,10.7,0.02,19.26,66
HCPCS,J1642,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML INTRAVENOUS SOLUTION,21.5,10.75,0.02,19.35,66
HCPCS,J1642,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,21.55,10.775,0.02,19.44,132
HCPCS,J1642,"HEPARIN, PORCINE (PF) 1 UNIT/ML INTRAVENOUS SYRINGE",20.85,10.43,0.02,18.77,132
HCPCS,J1642,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.5,10.25,0.02,18.59,594
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION",22.6,11.3,0.02,20.34,66
HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.575000000000003,10.29,0.02,18.59,660
HCPCS,J1642,Inj heparin sodium per 10 u,,,0.52,0.52,1
HCPCS,J1643,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",33.175,16.59,4.9,38.88,264
HCPCS,J1643,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",27.225,13.615,4.9,27.99,264
HCPCS,J1643,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",71.7,35.85,4.9,64.53,66
HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",48.0,24.0,0.3,44.1,594
HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,47.48,3432
HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",23.175,11.59,0.3,54.0,1386
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",73.75,36.875,0.3,100.8,528
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",89.5,44.75,0.3,83.25,396
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN",67.0,33.5,0.3,60.3,66
HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",95.5,47.75,0.3,103.5,198
HCPCS,J1644,"HEPARIN (PORCINE) 30,000 UNIT/1,000 ML IN 0.9 % SOD CHLORIDE IV",55.0,27.5,0.3,49.5,66
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/500 ML(10 UNIT/ML) IN 0.9 % NACL IV SOLN",83.5,41.75,0.3,108.9,198
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML (1 ML) INJECTION CARTRIDGE",22.4,11.2,0.3,20.16,132
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.25,11.125,0.3,64.4,1716
HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SYRINGE",22.8,11.4,0.3,20.52,66
HCPCS,J1644,HEPARIN (PORCINE)(PF) 50 UNIT/50 ML (1 UNIT/ML) IN 0.9% NACL IV SYRING,127.9,63.95,0.3,115.11,66
HCPCS,J1644,HEPARIN 25 UNITS IN DEXTROSE 10 % AND 0.2 % SODIUM CHLORIDE 50 ML SYRINGE SIMPLE (NEO),45.4,22.7,0.3,40.86,66
HCPCS,J1644,HEPARIN 25 UNITS IN DEXTROSE 10 % IN WATER (D10W) 50 ML SYRINGE SIMPLE (NEO),45.4,22.7,0.3,40.86,66
HCPCS,J1644,HEPARIN 25 UNITS IN DEXTROSE 5 % WATER (D5W) 50 ML SYRINGE (NEO),46.0,23.0,0.3,41.4,66
HCPCS,J1644,HEPARIN 50 UNITS AND SODIUM ACETATE 3.85 MEQ IN STERILE WATER 50 ML SYRINGE SIMPLE (NEO),45.35,22.68,0.3,40.82,66
HCPCS,J1644,HEPARIN 50 UNITS IN SODIUM CHLORIDE 0.2% 50 ML SYRINGE,46.0,23.0,0.3,41.4,66
HCPCS,J1644,HEPARIN 50 UNITS WITH SODIUM ACETATE 1.925 MEQ IN STERILE WATER SYRINGE SIMPLE (NEO),45.35,22.68,0.3,40.82,66
HCPCS,J1644,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",29.4,14.7,0.3,51.3,264
HCPCS,J1644,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SOLUTION",22.4,11.2,0.3,20.16,132
HCPCS,J1644,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML SUBCUTANEOUS SYRINGE",24.15,12.075,0.3,22.95,264
HCPCS,J1644,"HEPARIN, PORCINE (PF) 5,000 UNIT/ML INJECTION SYRINGE",33.3,16.65,0.3,29.97,66
HCPCS,J1644,Inj heparin sodium per 1000u,,,0.33,0.65,6
HCPCS,J1644,SODIUM CHLORIDE 0.45 % WITH HEPARIN 50 UNITS 50 ML SYRINGE (NEO) SIMPLE,45.35,22.68,0.3,40.82,66
HCPCS,J1645,Dalteparin sodium,,,19.32,19.32,1
HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,81.0,1122
HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,49.45,24.725,0.76,97.2,1254
HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,59.9,29.95,0.76,61.7,858
HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.05,11.03,0.76,24.3,1254
HCPCS,J1650,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,160.4,80.2,0.76,294.48,330
HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.174999999999997,11.09,0.76,39.87,1452
HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,26.15,13.08,0.76,59.9,1320
HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,79.83,1122
HCPCS,J1650,ENOXAPARIN SQ SYRINGE 20 MG/ML (NEO/PED) FROM STOCK SOLN,73.475,36.74,0.76,105.8,132
HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,147.4,73.7,1.21,470.7,726
HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,40.675,20.34,1.21,52.52,660
HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,139.35,69.68,1.21,397.53,792
HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,139.35,69.68,1.21,395.51,726
HCPCS,J1655,Others,,,4.61,4.61,1
HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2151.5,1075.75,469.24,1936.35,142
HCPCS,J1720,HYDROCORTISONE IV SYRINGE 2 MG/ML (NEO/PED) FROM STOCK SOLN,45.65,22.83,9.96,41.09,66
HCPCS,J1720,"HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION",793.5,396.75,19.81,714.15,66
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,150.3,75.15,19.81,135.72,132
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,257.35,128.675,19.81,233.01,132
HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION,408.8,204.4,19.81,367.92,66
HCPCS,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,121.05000000000001,60.525000000000006,19.81,110.61,132
HCPCS,J1720,Hydrocortisone sodium succ i,,,2.65,42.9,9
HCPCS,J1726,"Makena, 10 mg",,,21.27,21.27,1
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,16.21,16.21,1
HCPCS,J1738,Inj. meloxicam 1 mg,,,3.29,3.29,1
HCPCS,J1740,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,799.375,399.69,28.41,1041.75,198
HCPCS,J1741,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,159.4,79.7,34.77,143.46,130
HCPCS,J1741,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,160.45,80.23,34.99,144.41,65
HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,441.05,220.53,82.1,407.25,213
HCPCS,J1743,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION,12944.6,6472.3,569.63,11650.14,71
HCPCS,J1744,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,7113.15,3556.58,133.0,40131.0,350
HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,3440.75,1720.375,31.71,4098.51,142
HCPCS,J1745,Infliximab not biosimil 10mg,,,38.59,90.42,9
HCPCS,J1746,IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION,5920.0,2960.0,80.84,5328.0,140
HCPCS,J1747,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION,167419.7,83709.85,67.04,150677.73,70
HCPCS,J1750,IRON DEXTRAN 1 MG/ML IN SW 50 ML (STOCK DILUTION),133.6,66.8,18.47,120.24,71
HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,241.9,120.95,18.47,217.71,142
HCPCS,J1750,Inj iron dextran,,,19.69,42.09,2
HCPCS,J1756,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,213.2,106.6,0.25,191.88,264
HCPCS,J1756,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION,338.6,169.3,0.25,304.74,132
HCPCS,J1756,IRON SUCROSE 200 MG/110 ML NS IVPB (SIMPLE),338.5,169.25,0.25,304.65,66
HCPCS,J1756,Iron sucrose injection,,,0.4,1.27,8
HCPCS,J1786,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,6961.55,3480.78,44.05,6265.4,71
HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,45.025,22.515,9.42,42.08,396
HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,33.0,16.5,4.71,39.96,264
HCPCS,J1805,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,22.925,11.465,0.28,99.86,528
HCPCS,J1805,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",311.5,155.75,0.28,663.75,528
HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",376.25,188.13,0.28,338.63,66
HCPCS,J1806,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN STERILE WATER INTRAVENOUS SOLN",442.5,221.25,0.48,398.25,66
HCPCS,J1806,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN",473.75,236.88,0.48,426.38,66
HCPCS,J1807,"Inj, ethacrynate sod, 1 mg",,,21.39,26.21,5
HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION,117.3,58.65,23.29,115.02,130
HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,17.31,21.21,5
HCPCS,J1811,Fiasp for insulin pump use,,,7.27,10.32,6
HCPCS,J1812,Inj. insulin (fiasp),,,1.53,1.53,1
HCPCS,J1813,Lyumjev for insulin pump use,,,16.65,16.65,1
HCPCS,J1814,Inj. insulin (lyumjev),,,1.44,1.44,1
HCPCS,J1815,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,100.0,50.0,0.24,90.0,198
HCPCS,J1815,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,85.7,42.85,0.24,77.13,198
HCPCS,J1815,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,264
HCPCS,J1815,INSULIN DEGLUDEC (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
HCPCS,J1815,INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,194.075,97.03999999999999,0.24,257.45,132
HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,462
HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
HCPCS,J1815,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,264
HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN,108.05,54.03,0.24,97.25,132
HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,660
HCPCS,J1815,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (50-50) SUBCUTANEOUS SUSP,2200.0,1100.0,0.24,1980.0,66
HCPCS,J1815,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,66
HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,100.0,50.0,0.24,90.0,198
HCPCS,J1815,INSULIN REGULAR 0.2 UNITS/ML INFUSION 2 ML (NEO HIGH),100.0,50.0,0.24,90.0,66
HCPCS,J1815,INSULIN REGULAR HUMAN 1 UNIT/ML IN DILUENT (10 ML) VIAL (NEO),1.5,0.75,0.24,1.35,66
HCPCS,J1815,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1313.85,656.93,0.24,1182.47,66
HCPCS,J1815,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN,5443.95,2721.98,0.24,4899.56,66
HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,100.0,50.0,0.24,90.0,330
HCPCS,J1815,Insulin injection,,,0.35,0.76,3
HCPCS,J1817,Insulin for insulin pump use,,,8.83,8.83,1
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,505.46,619.43,6
HCPCS,J1826,Interferon Beta-1A inj,,,2247.2,2753.93,5
HCPCS,J1830,Interferon beta-1b / .25 MG,,,541.01,541.01,1
HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1607.825,803.915,1.03,1499.13,142
HCPCS,J1834,"Inj, isoniazid, 1 mg",,,0.32,0.4,5
HCPCS,J1835,Itraconazole injection,,,46.93,46.93,1
HCPCS,J1836,METRONIDAZOLE 0.005 MG.ML (SOLN A) INJECTION (DESENSITIZATION),30.0,15.0,0.02,27.0,66
HCPCS,J1836,METRONIDAZOLE 0.05 MG/ML (SOLN B) INJECTION (DESENSITIZATION),30.0,15.0,0.02,27.0,66
HCPCS,J1836,METRONIDAZOLE 0.5 MG/ML (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.02,27.0,66
HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,47.0,23.5,0.02,43.38,858
HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.0,10.5,0.29,19.67,1917
HCPCS,J1885,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.05,10.53,0.29,25.79,1207
HCPCS,J1885,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.2,10.6,0.29,19.67,994
HCPCS,J1885,Ketorolac tromethamine inj,,,0.69,2.67,11
HCPCS,J1920,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,56.55,28.28,9.89,65.39,390
HCPCS,J1920,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,49.5,24.75,9.86,229.01,1430
HCPCS,J1921,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,45.974999999999994,22.990000000000002,9.9,41.9,195
HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,38248.0,19124.0,34.73,34423.2,71
HCPCS,J1930,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,24352.0,12176.0,34.73,21916.8,71
HCPCS,J1930,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE,32432.05,16216.03,34.73,29188.85,71
HCPCS,J1930,Lanreotide injection,,,62.97,132.74,2
HCPCS,J1931,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION,4478.55,2239.28,40.04,4030.7,71
HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,23297.4,11648.7,30.44,20967.66,71
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.275,10.64,4.46,20.75,4355
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SYRINGE,80.75,40.38,17.61,72.68,130
HCPCS,J1938,FUROSEMIDE IV SYRINGE 2.5 MG/ML (NEO/PED) FROM STOCK SOLN,61.15,30.58,13.34,55.04,65
HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.7,23.35,0.37,43.34,2100
HCPCS,J1940,Fee Schedule,,,1.23,2.25,3
HCPCS,J1940,Others,,,0.63,0.63,1
HCPCS,J1941,"Inj, furoscix, 20 mg",,,236.27,236.27,1
HCPCS,J1943,"ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE",8104.9,4052.45,3.31,7294.41,71
HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE",12775.7,6387.85,3.41,11498.13,71
HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION, EXT.REL. IM SYRINGE",5295.2,2647.6,3.41,4765.68,71
HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE",7948.8,3974.4,3.41,7153.92,71
HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",10590.3,5295.15,3.41,9531.27,71
HCPCS,J1950,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,20965.1,10482.55,1673.34,18868.59,71
HCPCS,J1950,LEUPROLIDE 11.25 MG (PEDIATRIC 1 MONTH) INTRAMUSCULAR KIT,15262.7,7631.35,1673.34,13736.43,71
HCPCS,J1950,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,45788.2,22894.1,1673.34,41209.38,71
HCPCS,J1950,LEUPROLIDE 15 MG (PEDIATRIC 1 MONTH) INTRAMUSCULAR KIT,16810.3,8405.15,1673.34,15129.27,71
HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,6988.35,3494.18,1524.16,6289.52,71
HCPCS,J1950,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,50431.15,25215.58,1673.34,45388.04,71
HCPCS,J1950,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,100862.2,50431.1,1673.34,90775.98,71
HCPCS,J1950,LEUPROLIDE 7.5 MG (PEDIATRIC 1 MONTH) INTRAMUSCULAR KIT,8006.65,4003.33,1673.34,7205.99,71
HCPCS,J1950,Leuprolide acetate /3.75 MG,,,837.96,3781.62,5
HCPCS,J1951,Inj fensolvi 0.25 mg,,,140.98,176.24,6
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,63.96,98.65,6
HCPCS,J1953,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",79.6,39.8,0.07,170.46,924
HCPCS,J1953,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",98.19999999999999,49.099999999999994,0.07,214.74,858
HCPCS,J1953,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,59.2,29.6,0.07,75.96,594
HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.675,23.34,0.07,306.36,1650
HCPCS,J1954,Inj leu acet lutr dpt 7.5 mg,,,720.8,883.33,5
HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,157.375,78.69,33.52,159.89,396
HCPCS,J1956,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION,111.2,55.6,1.01,100.08,66
HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.2,23.6,1.01,58.41,660
HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,50.05,25.025,1.01,85.14,726
HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.15,24.08,1.01,88.11,858
HCPCS,J1961,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,39025.0,19512.5,22.6,35122.5,142
HCPCS,J1980,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,363.5,181.755,39.36,374.45,198
HCPCS,J2001,Fee Schedule,,,0.05,0.08,8
HCPCS,J2001,Others,,,0.03,0.03,1
HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,71.5,35.75,0.01,68.4,140
HCPCS,J2002,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,64.75,32.375,0.01,64.35,140
HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.225,10.615,4.53,29.7,2730
HCPCS,J2003,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,32.1,16.05,6.38,33.12,325
HCPCS,J2003,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,41.05,20.53,4.48,46.89,195
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.3,10.65,4.55,34.65,1430
HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,21.45,10.73,4.68,19.31,130
HCPCS,J2003,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,22.4,11.205,4.85,20.3,325
HCPCS,J2003,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,49.1,24.55,4.8,68.58,260
HCPCS,J2003,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,91.0,45.504999999999995,13.86,106.61,260
HCPCS,J2003,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.950000000000003,10.975000000000001,4.47,32.4,1495
HCPCS,J2003,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.825,10.915,4.54,35.64,1365
HCPCS,J2003,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION,29.7,14.85,6.22,27.81,195
HCPCS,J2004,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.2,11.1,4.38,54.27,1040
HCPCS,J2004,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",20.924999999999997,10.465,4.55,18.9,325
HCPCS,J2004,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",24.675,12.34,4.37,44.01,780
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",30.6,15.3,6.13,28.22,325
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",32.4,16.2,4.97,47.97,390
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",41.0,20.505,5.06,64.08,455
HCPCS,J2004,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",32.25,16.125,4.84,38.07,260
HCPCS,J2010,LINCOMYCIN 300 MG/ML INJECTION SOLUTION,157.975,78.99000000000001,10.93,143.06,132
HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 200 MG/100 ML INTRAVENOUS PIGGYBACK,285.4,142.7,3.66,256.86,132
HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,109.6,54.8,3.66,310.05,1122
HCPCS,J2021,LINEZOLID 600 MG/300 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,279.55,139.775,21.45,274.95,132
HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION,27.175,13.59,1.24,110.61,1254
HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SYRINGE,28.15,14.08,1.24,25.34,132
HCPCS,J2062,Loxapine for inhalation 1 mg,,,16.22,19.88,5
HCPCS,J2150,MANNITOL 25 % INTRAVENOUS SOLUTION,27.8,13.9,2.88,30.24,264
HCPCS,J2175,MEPERIDINE (BULK) 100 % POWDER,600.0,300.0,8.1,540.0,66
HCPCS,J2175,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,34.85,17.43,7.6,31.37,132
HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,27.15,13.58,5.92,24.44,132
HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,34.125,17.064999999999998,7.19,31.77,264
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,27.2,13.6,5.93,24.48,132
HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,38.05,19.03,8.1,34.25,132
HCPCS,J2175,Meperidine hydrochl /100 MG,,,4.55,4.55,1
HCPCS,J2182,"Injection, mepolizumab, 1mg",,,34.57,34.57,1
HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,12221.4,6110.7,31.9,10999.26,71
HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS AUTO-INJECTOR,15198.0,7599.0,31.9,13678.2,71
HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,15198.0,7599.0,31.9,13678.2,71
HCPCS,J2182,MEPOLIZUMAB 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,6079.25,3039.63,31.9,5471.33,71
HCPCS,J2183,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,198.4,99.2,1.65,178.56,140
HCPCS,J2184,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,183.05,91.53,2.26,164.75,66
HCPCS,J2184,MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,137.9,68.95,2.26,124.11,66
HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,52.6,26.3,0.5,130.5,1320
HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.2,23.604999999999997,0.5,43.16,1254
HCPCS,J2185,Meropenem,,,1.88,1.88,1
HCPCS,J2186,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,1133.35,566.68,2.23,1020.02,140
HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,107.6,53.805,19.9,111.56,264
HCPCS,J2210,Methylergonovin maleate inj,,,30.98,30.98,1
HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,785.5,392.75,171.32,706.95,65
HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,785.5,392.75,171.32,706.95,130
HCPCS,J2212,METHYLNALTREXONE 8 MG/0.4 ML SUBCUTANEOUS SYRINGE,785.5,392.75,171.32,706.95,65
HCPCS,J2247,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,158.15,79.08,0.36,142.34,132
HCPCS,J2247,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,99.9,49.95,0.36,89.91,132
HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,179.65,89.83,0.84,800.46,660
HCPCS,J2248,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,120.85,60.43,0.84,411.48,792
HCPCS,J2250,Inj midazolam hydrochloride,,,0.34,0.51,8
HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,74.35,37.175,0.16,74.88,264
HCPCS,J2250,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",148.0,74.0,0.16,141.3,264
HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,25.950000000000003,12.975000000000001,0.16,23.81,528
HCPCS,J2250,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE,27.65,13.83,0.16,24.89,132
HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,25.85,12.925,0.16,23.31,264
HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SYRINGE,28.0,14.0,0.16,25.7,264
HCPCS,J2250,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,143.35,71.675,0.16,167.22,264
HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.6,12.8,0.16,28.58,1584
HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.95,25.979999999999997,0.16,174.78,1914
HCPCS,J2251,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,166.60000000000002,83.30000000000001,0.3,169.92,264
HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,53.95,26.975,1.73,107.64,1320
HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,109.6,54.8,1.73,98.64,132
HCPCS,J2260,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,175.0,87.5,1.73,186.66,528
HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1315.5,657.75,2.72,1183.95,140
HCPCS,J2267,MIRIKIZUMAB-MRKZ 100 MG/ML SUBCUTANEOUS PEN INJECTOR,20114.75,10057.38,43.91,18103.28,140
HCPCS,J2267,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,38397.9,19198.95,43.91,34558.11,70
HCPCS,J2270,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INJECTION SYRINGE,27.0,13.5,5.18,24.3,66
HCPCS,J2270,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,80.45,40.23,5.18,72.41,66
HCPCS,J2270,MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,89.35,44.675,5.18,87.03,132
HCPCS,J2270,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,27.15,13.58,5.18,24.44,132
HCPCS,J2270,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,27.525,13.765,5.18,25.92,264
HCPCS,J2270,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,27.2,13.605,5.18,24.71,264
HCPCS,J2270,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,93.975,46.989999999999995,5.18,218.88,264
HCPCS,J2270,MORPHINE 30 MG/30 ML (1 MG/ML) INTRAVENOUS PCA SYRINGE,80.8,40.4,5.18,72.72,66
HCPCS,J2270,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION,27.1,13.55,5.18,24.39,132
HCPCS,J2270,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,27.4,13.7,5.18,25.2,264
HCPCS,J2270,MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,89.8,44.9,5.18,80.82,66
HCPCS,J2270,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,145.725,72.865,5.18,162.9,132
HCPCS,J2272,MORPHINE 10 MG/ML INJECTION SOLUTION,26.85,13.43,5.86,24.17,132
HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SOLUTION,26.65,13.33,5.81,23.99,132
HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,132
HCPCS,J2272,MORPHINE 4 MG/ML INJECTION SOLUTION,26.7,13.35,5.82,24.03,132
HCPCS,J2272,MORPHINE 4 MG/ML INJECTION SYRINGE,27.025,13.515,5.83,24.57,198
HCPCS,J2272,MORPHINE 5 MG/ML INJECTION SYRINGE,26.5,13.25,5.78,23.85,66
HCPCS,J2272,MORPHINE 8 MG/ML INJECTION SOLUTION,26.75,13.38,5.83,24.08,132
HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,118.65,59.325,12.48,152.64,264
HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,104.15,52.075,12.48,124.2,264
HCPCS,J2274,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,822.7,411.35,12.48,740.43,66
HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1551.1,775.55,12.48,1397.07,132
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,25.72,31.52,5
HCPCS,J2278,ZICONITIDE 100 MCG/ML INTRATHECAL SOLUTION FOR ANAZAO PUMP,600.0,300.0,10.34,540.0,70
HCPCS,J2278,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION FOR ANAZAO PUMP,600.0,300.0,10.34,540.0,70
HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,169.0,84.5,10.46,152.1,66
HCPCS,J2281,"MOXIFLOXACIN 400 MG/250 ML-SODIUM ACET,SUL-WATER INTRAVENOUS PIGGYBACK",211.0,105.5,6.21,189.9,66
HCPCS,J2290,NAFCILLIN 0.01 MG/ML IN NS (SOLN A) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J2290,NAFCILLIN 0.1 MG/ML IN NS (SOLN B) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J2290,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,51.75,25.88,10.48,47.7,520
HCPCS,J2290,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,219.2,109.6,43.89,264.65,195
HCPCS,J2290,NAFCILLIN 10 MG/ML IN NS (SOLN C) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J2290,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,58.95,29.48,11.93,72.5,780
HCPCS,J2290,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,220.0,110.0,47.98,198.0,65
HCPCS,J2290,NAFCILLIN 50 MG/ML IN NS (SOLN D) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J2290,NAFCILLIN IV SYRINGE 100 MG/ML (NEO/PED) FROM STOCK SOLN,58.4,29.2,12.74,52.56,65
HCPCS,J2290,NAFCILLIN IV SYRINGE 25 MG/ML (NEO/PED) FROM STOCK SOLN,46.4,23.2,10.12,41.76,65
HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION,26.875,13.44,3.12,160.29,462
HCPCS,J2300,NALBUPHINE 20 MG/ML INJECTION SOLUTION,31.6,15.805,3.12,29.39,264
HCPCS,J2305,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,161.5,80.75,1.38,145.35,66
HCPCS,J2305,NITROGLYCERIN 2 MG/10 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS (PROCEDURAL USE ONLY),45.6,22.8,1.38,41.04,66
HCPCS,J2305,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS,139.0,69.5,1.38,125.1,66
HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,94.3,47.15,1.38,84.87,132
HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,149.5,74.75,1.38,134.55,66
HCPCS,J2310,Others,,,8.09,8.09,1
HCPCS,J2311,Others,,,6.16,6.16,1
HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION,73.8,36.9,4.79,275.63,1625
HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SYRINGE,54.9,27.45,5.63,75.6,260
HCPCS,J2312,NALOXONE 1 MG/ML INJECTION SYRINGE,56.6,28.3,10.89,51.08,520
HCPCS,J2315,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",6275.9,3137.95,4.24,5648.31,142
HCPCS,J2315,"Naltrexone, depot form",,,4.09,4.09,1
HCPCS,J2323,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,34175.9,17087.95,24.48,30758.31,71
HCPCS,J2323,Natalizumab injection,,,14.09,60.91,5
HCPCS,J2326,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,551628.25,275814.13,1241.34,496465.43,71
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.03,38.02,5
HCPCS,J2327,RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS PEN INJECTOR,86848.0,43424.0,15.24,78163.2,71
HCPCS,J2327,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,40271.1,20135.55,15.24,36243.99,71
HCPCS,J2329,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,44465.05,22232.53,72.17,40018.55,70
HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,65.38,150.48,6
HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,82588.85,41294.43,60.6,74329.97,71
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,48.18,59.04,5
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",12924.4,6462.2,207.65,11631.96,142
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16925.4,8462.7,207.65,15232.86,142
HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",25332.0,12666.0,207.65,22798.8,142
HCPCS,J2353,"Octreotide injection, depot",,,235.41,509.89,2
HCPCS,J2354,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",495.25,247.63,1.32,445.73,66
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,29.1,14.55,1.32,26.19,132
HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.35,11.18,1.32,136.71,924
HCPCS,J2354,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,128.4,64.205,1.32,134.82,264
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE,20.55,10.28,1.32,18.5,132
HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,23.45,11.73,1.32,70.47,726
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML (1 ML) INJECTION SYRINGE,83.35,41.68,1.32,75.02,132
HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,62.699999999999996,31.355,1.32,549.45,1056
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,21.77,32.97,3
HCPCS,J2356,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,17474.1,8737.05,18.37,15726.69,71
HCPCS,J2357,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,5689.5,2844.75,42.2,5120.55,71
HCPCS,J2357,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,5689.5,2844.75,42.2,5120.55,142
HCPCS,J2357,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS AUTO-INJECTOR,11354.0,5677.0,42.2,10218.6,71
HCPCS,J2357,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,11354.0,5677.0,42.2,10218.6,71
HCPCS,J2357,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,2326.2,1163.105,42.2,2571.53,142
HCPCS,J2357,Omalizumab injection,,,27.32,44.96,4
HCPCS,J2358,Olanzapine long-acting inj,,,2.98,3.65,6
HCPCS,J2359,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,158.52499999999998,79.265,1.02,273.56,462
HCPCS,J2360,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,37.3,18.65,5.01,77.81,330
HCPCS,J2371,PHENYLEPHRINE 0.4 MG/10 ML (40 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,50.5,25.25,10.14,48.15,195
HCPCS,J2371,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,54.15,27.08,9.92,238.37,4680
HCPCS,J2371,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,259.0,129.5,56.49,233.1,65
HCPCS,J2371,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,174.25,87.125,10.41,258.75,390
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.19,0.19,1
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.14,0.18,5
HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,88.45,44.23,0.04,95.81,264
HCPCS,J2401,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,93.025,46.515,0.04,100.58,264
HCPCS,J2401,CHLOROPROCAINE 10 MG/ML (1 %) INJECTION SOLUTION,90.0,45.0,0.04,81.0,66
HCPCS,J2401,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,92.35,46.18,0.04,83.12,132
HCPCS,J2402,CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLUTION,85.25,42.63,0.32,76.73,132
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.59,0.73,5
HCPCS,J2404,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,127.35,63.68,11.14,114.71,390
HCPCS,J2404,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,215.2,107.6,40.0,222.3,195
HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,59.95,29.98,12.1,104.9,520
HCPCS,J2404,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,295.3,147.65,59.89,284.4,195
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.475,22.740000000000002,0.17,42.39,1650
HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE,46.75,23.38,0.17,42.08,66
HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,58.0,29.0,0.17,123.62,594
HCPCS,J2405,Ondansetron hcl injection,,,0.17,11.89,10
HCPCS,J2406,"Injection, oritavancin 10 mg",,,43.33,53.1,6
HCPCS,J2407,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,8593.150000000001,4296.575000000001,29.25,11589.48,142
HCPCS,J2410,Oxymorphone hcl injection,,,3.19,3.19,1
HCPCS,J2425,Palifermin injection,,,36.26,44.44,5
HCPCS,J2426,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE,6785.6,3392.8,15.32,6107.04,71
HCPCS,J2426,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,8250.349999999999,4125.174999999999,15.32,8143.02,142
HCPCS,J2426,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,13571.4,6785.7,15.32,12214.26,71
HCPCS,J2426,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE,2261.7,1130.85,15.32,2035.53,71
HCPCS,J2426,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE,4523.65,2261.83,15.32,4071.29,71
HCPCS,J2427,PALIPERIDONE PALMITATE (3 MONTH) 273 MG/0.88 ML INTRAMUSCULAR SYRINGE,13570.95,6785.48,13.06,12213.86,71
HCPCS,J2427,PALIPERIDONE PALMITATE (3 MONTH) 410 MG/1.32 ML INTRAMUSCULAR SYRINGE,20356.75,10178.38,13.06,18321.08,71
HCPCS,J2427,PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE,27143.35,13571.68,13.06,24429.02,71
HCPCS,J2427,PALIPERIDONE PALMITATE (3 MONTH) 819 MG/2.63 ML INTRAMUSCULAR SYRINGE,40714.0,20357.0,13.06,36642.6,71
HCPCS,J2427,"PALIPERIDONE PALMITATE (6 MONTH) 1,092 MG/3.5 ML INTRAMUSCULAR SYRINGE",54286.65,27143.33,13.06,48857.99,71
HCPCS,J2427,"PALIPERIDONE PALMITATE (6 MONTH) 1,560 MG/5 ML INTRAMUSCULAR SYRINGE",81428.0,40714.0,13.06,73285.2,71
HCPCS,J2428,"Inj, erzofri, 1 mg",,,17.1,20.96,5
HCPCS,J2430,PAMIDRONATE 30 MG INTRAVENOUS SOLUTION,114.6,57.3,9.85,103.14,66
HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,81.15,40.58,9.85,78.89,132
HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,180.05,90.025,9.85,176.49,132
HCPCS,J2440,PAPAVERINE 30 MG/ML INJECTION SOLUTION,115.82499999999999,57.915,19.66,209.88,594
HCPCS,J2468,"Inj, palonosetron (posfrea)",,,59.4,72.8,5
HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,51.4,25.7,1.03,585.0,990
HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE,125.85,62.93,1.03,113.27,132
HCPCS,J2469,Palonosetron hcl,,,2.45,7.85,4
HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.95,23.48,10.1,46.94,1885
HCPCS,J2471,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,54.35,27.175,10.38,54.99,195
HCPCS,J2501,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,21.85,10.93,0.74,20.75,264
HCPCS,J2501,PARICALCITOL 2 MCG/ML SOLUTION FOR HEMODIALYSIS PORT INJECTION,24.0,12.0,0.74,21.6,66
HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,39.675,19.84,0.74,103.73,396
HCPCS,J2501,PARICALCITOL 5 MCG/ML SOLUTION FOR HEMODIALYSIS PORT INJECTION,60.0,30.0,0.74,54.0,132
HCPCS,J2502,"Inj, pasireotide long acting",,,584.42,1315.24,6
HCPCS,J2503,Others,,,779.87,779.87,1
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,17983.8,8991.9,54.2,16185.42,71
HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,17983.8,8991.9,54.2,16185.42,71
HCPCS,J2507,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,99415.25,49707.63,3476.2,89473.73,71
HCPCS,J2508,PEGUNIGALSIDASE ALFA-IWXJ 2 MG/ML INTRAVENOUS SOLUTION,8708.8,4354.4,223.33,7837.92,71
HCPCS,J2510,PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML INTRAMUSCULAR SYRINGE,358.85,179.43,40.65,322.97,71
HCPCS,J2510,"PENICILLIN G PROCAINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",256.1,128.05,40.65,230.49,142
HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2047.4,1023.7,55.59,2716.25,462
HCPCS,J2540,PENICILLIN G POT 3 MILLION UNIT/50 ML 0.9% SODIUM CHLORIDE IV PIGGYBACK,48.3,24.15,0.86,43.47,66
HCPCS,J2540,PENICILLIN G POT 3 MILLION UNIT/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,110.5,55.25,0.86,99.45,66
HCPCS,J2540,PENICILLIN G POTASSIUM 1 MU/ML SOLN FOR INJ (DESENSITIZATION) SOLN E,30.0,15.0,0.86,27.0,66
HCPCS,J2540,"PENICILLIN G POTASSIUM 1,000 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN B",30.0,15.0,0.86,27.0,66
HCPCS,J2540,"PENICILLIN G POTASSIUM 10,000 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN C",30.0,15.0,0.86,27.0,66
HCPCS,J2540,PENICILLIN G POTASSIUM 100 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN A,30.0,15.0,0.86,27.0,66
HCPCS,J2540,"PENICILLIN G POTASSIUM 100,000 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN D",30.0,15.0,0.86,27.0,66
HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,128.95,64.48,0.86,117.86,264
HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,49.15,24.58,0.86,46.53,660
HCPCS,J2540,"PENICILLIN G POTASSIUM IV SYRINGE 100,000 UNIT/ML FROM STOCK SOLUTION (NEO/PED)",47.75,23.88,0.86,42.98,66
HCPCS,J2540,Penicillin g potassium inj,,,2.39,2.39,1
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.3,23.655,1.3,60.3,1386
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 22.5 MG/500 ML D5W IVPB (SOLN B) (DESENSITIZATION),30.0,15.0,1.3,27.0,66
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.875,23.939999999999998,1.3,81.9,1782
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,51.075,25.54,1.3,100.8,1980
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,279.82500000000005,139.91500000000002,1.3,275.81,462
HCPCS,J2543,PIPERACILLIN-TAZOBACTAM IV SYRINGE IN NS 80 MG PIPERACILLIN/ML (PED) FROM STOCK SOLN,46.95,23.475,1.3,42.84,132
HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,521.325,260.665,55.85,694.31,264
HCPCS,J2547,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,864.15,432.075,1.67,1447.47,284
HCPCS,J2550,PROMETHAZINE 12.5 MG/50 ML-0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,20.55,10.28,3.99,18.5,66
HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.35,10.68,3.99,20.84,1056
HCPCS,J2550,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,22.35,11.175,3.99,20.88,264
HCPCS,J2550,Promethazine hcl injection,,,2.46,7.72,9
HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.2,92.1,34.89,246.92,594
HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,80.0,40.0,15.74,149.85,726
HCPCS,J2561,PHENOBARBITAL SODIUM 100 MG INTRAVENOUS SOLUTION,585.7,292.85,1.22,527.13,70
HCPCS,J2562,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,1090.1,545.05,25.84,35930.07,355
HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,58.75,29.38,0.91,292.1,594
HCPCS,J2590,OXYTOCIN 20 UNIT/1000 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,115.0,57.5,0.91,103.5,66
HCPCS,J2590,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,104.5,52.25,17.88,130.5,924
HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,454.425,227.215,3.59,2118.96,2059
HCPCS,J2597,DESMOPRESSIN IV SYRINGE 0.4 MCG/ML (NEO) FROM STOCK SOLN,124.65,62.33,3.59,112.19,71
HCPCS,J2597,Inj desmopressin acetate,,,20.58,20.58,1
HCPCS,J2598,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION,230.2,115.1,1.95,207.18,132
HCPCS,J2598,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,174.4,87.2,1.95,156.96,66
HCPCS,J2598,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN DEXTROSE 5 % INTRAVENOUS,1409.0,704.5,1.95,1268.1,66
HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,127.6,63.8,1.95,894.47,1188
HCPCS,J2599,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,69.35,34.68,0.49,62.42,132
HCPCS,J2601,"Inj, vasopressin (baxter)",,,2.05,2.51,5
HCPCS,J2675,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,84.475,42.24,1.02,167.4,264
HCPCS,J2679,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,440.95,220.48,7.48,396.86,71
HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,242.55,121.275,10.16,644.72,528
HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1309.2,654.605,66.58,2081.84,284
HCPCS,J2690,PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE,315.5,157.75,68.81,368.36,71
HCPCS,J2690,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,1260.875,630.44,84.81,1919.61,284
HCPCS,J2700,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,50.7,25.355,1.17,77.85,396
HCPCS,J2700,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,262.4,131.2,1.17,517.5,330
HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,75.425,37.715,1.17,144.0,594
HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,29.85,14.925,0.14,153.9,2706
HCPCS,J2710,NEOSTIGMINE 5 MG/5 ML IN STERILE WATER INJECTION SYRINGE,21.05,10.53,1.79,18.95,66
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,149.9,74.95,1.79,160.61,198
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,37.85,18.925,1.79,139.82,1650
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,74.92500000000001,37.465,1.79,70.97,396
HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,64.5,32.25,1.79,59.67,264
HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,120.975,60.49,1.84,163.35,396
HCPCS,J2724,Protein c concentrate,,,15.34,18.8,6
HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,400.8,200.4,87.41,360.72,132
HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION,1781.25,890.63,302.45,1747.22,426
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.875,10.44,1.22,19.17,858
HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SYRINGE,21.8,10.9,1.22,19.62,66
HCPCS,J2765,METOCLOPRAMIDE IV SYRINGE 0.1 MG/ML (NEO/PED) FROM STOCK SOLN,45.1,22.55,1.22,40.59,66
HCPCS,J2765,Metoclopramide hcl injection,,,0.63,3.45,3
HCPCS,J2770,QUINUPRISTIN-DALFOPRISTIN 500 MG INTRAVENOUS SOLUTION,2179.15,1089.58,4.35,1961.24,71
HCPCS,J2777,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION,9183.6,4591.8,34.55,8265.24,71
HCPCS,J2777,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SYRINGE,9158.6,4579.3,34.55,8242.74,71
HCPCS,J2778,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SYRINGE,4680.0,2340.0,88.11,4212.0,71
HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SYRINGE,7800.0,3900.0,88.11,7020.0,71
HCPCS,J2779,"Inj, Susvimo 0.1 mg",,,80.51,98.67,6
HCPCS,J2780,Others,,,6.28,6.28,1
HCPCS,J2781,PEGCETACOPLAN (PF) 15 MG/0.1 ML INTRAVITREAL SOLUTION,8872.6,4436.3,141.96,7985.34,71
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,107.23,131.41,5
HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4387.55,2193.78,385.07,3948.8,210
HCPCS,J2783,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,21837.65,10918.83,385.07,19653.89,70
HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,94.30000000000001,47.155,9.32,847.17,528
HCPCS,J2785,Regadenoson injection,,,26.68,152.59,8
HCPCS,J2786,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION,4393.0,2196.5,10.88,3953.7,71
HCPCS,J2787,RIBOFLAV 0.146% EYE DROPS-RIBOFLAV 0.146% IN 20% DEXTRAN VISC EYE DROP,16600.05,8300.03,2183.71,14940.05,66
HCPCS,J2788,RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) INTRAMUSCULAR SYRINGE,148.9,74.45,26.42,134.01,132
HCPCS,J2790,HC INJECTION RH IMMUNE GLOBULIN,280.15,140.08,61.1,252.14,66
HCPCS,J2790,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",392.5,196.25,80.7,373.5,528
HCPCS,J2790,Rho d immune globulin inj,,,76.08,200.48,11
HCPCS,J2791,HC INJECTION RHO(D) IMMUNE GLOBULIN RHOPHYLAC 1500IU,54.4,27.2,5.17,48.96,66
HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",371.3,185.65,5.17,334.17,66
HCPCS,J2791,Rhophylac injection,,,12.01,12.01,1
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",2175.05,1087.5300000000002,25.97,1971.68,284
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 15,000 UNIT (3,000 MCG)/13 ML INJ. SOLN",19370.2,9685.105,25.97,19554.89,213
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 2,500 UNIT (500 MCG)/2.2 ML INJECT.SOLN",2534.9,1267.45,25.97,2281.41,142
HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN",5841.05,2920.53,25.97,5256.95,142
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1298.2,649.1,11.2,1380.33,284
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2453.65,1226.83,11.2,2208.29,142
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",3115.5249999999996,1557.7649999999999,11.2,3312.54,284
HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",4154.15,2077.08,11.2,4416.89,284
HCPCS,J2795,ROPIVACAINE (PF) 0.2 % 2000 MG/1000 ML,675.0,337.5,0.09,607.5,66
HCPCS,J2795,"ROPIVACAINE (PF) 0.2 %-0.9 % NACL 745 ML INFIL,LOW VAR RATE ELAST PUMP",867.825,433.91499999999996,0.09,788.63,132
HCPCS,J2795,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,56.95,28.48,0.09,135.81,396
HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,76.1,38.05,0.09,411.75,3300
HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,50.2,25.1,0.09,225.54,1914
HCPCS,J2795,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,97.325,48.665000000000006,0.09,130.5,462
HCPCS,J2795,"ROPIVACAINE(PF) 0.2 %-0.9 % SODCHL 545 ML INFIL,HI VAR RATE ELAST PUMP",1916.15,958.08,0.09,1724.54,66
HCPCS,J2795,"ROPIVACAINE(PF) 0.2 %-0.9 %SODCHL 745 ML INFILT,HI VAR RATE ELAST PUMP",948.8,474.4,0.09,853.92,66
HCPCS,J2795,"ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM INJECTION SOLUTION",337.5,168.75,0.09,337.5,132
HCPCS,J2796,Others,,,102.7,102.7,1
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.93,0.93,1
HCPCS,J2798,RISPERIDONE ER 120 MG SUBCUTANEOUS EXTENDED RELEASE SUSPENSION SYRINGE,10744.95,5372.48,12.38,9670.46,71
HCPCS,J2798,RISPERIDONE ER 90 MG SUBCUTANEOUS EXTENDED RELEASE SUSPENSION SYRINGE,8064.85,4032.43,12.38,7258.37,142
HCPCS,J2799,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,9033.6,4516.8,25.54,8130.24,71
HCPCS,J2799,RISPERIDONE ER 125 MG/0.35 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,11291.75,5645.88,25.54,10162.58,71
HCPCS,J2799,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,18066.55,9033.28,25.54,16259.9,71
HCPCS,J2799,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,22583.5,11291.75,25.54,20325.15,71
HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,57.65,28.83,6.28,162.32,1188
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,12.94,16.29,6
HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,5530.6,2765.3,11.23,4977.54,70
HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,11036.0,5518.0,11.23,9932.4,70
HCPCS,J2802,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,22046.9,11023.45,11.23,19842.21,70
HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,377.4,188.70499999999998,64.79,389.21,260
HCPCS,J2804,RIFAMPIN IV SYRINGE 6 MG/ML (NEO/PED) FROM STOCK SOLN,93.4,46.7,20.37,84.06,65
HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,383.7,191.85,69.72,553.64,325
HCPCS,J2810,Inj theophylline per 40 MG,,,0.42,0.42,1
HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1422.35,711.18,51.37,1280.12,142
HCPCS,J2840,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION,40865.0,20432.5,537.24,36778.5,71
HCPCS,J2850,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,2570.4,1285.2,41.33,2313.36,70
HCPCS,J2860,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6217.85,3108.93,156.1,5596.07,71
HCPCS,J2860,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,24721.4,12360.7,156.1,22249.26,71
HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,60.974999999999994,30.49,10.44,210.29,975
HCPCS,J2916,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,118.42500000000001,59.215,2.63,171.72,396
HCPCS,J2919,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",289.35,144.68,0.21,260.42,71
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,68.1,34.05,0.21,61.38,355
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.125,26.065,0.21,46.98,426
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,269.0,134.5,0.21,242.1,71
HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) IV SYRINGE 10 MG/ML (NEO/PED) FROM STOCK SOLN,74.05,37.03,0.21,132.8,213
HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",101.05,50.53,0.21,231.66,355
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,54.3,27.155,0.21,68.31,568
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,438.6,219.3,0.21,394.74,71
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,47.525,23.765,0.21,49.55,426
HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,142.4,71.2,0.21,137.93,213
HCPCS,J2920,Fee Schedule,,,3.29,10.39,10
HCPCS,J2930,Fee Schedule,,,5.94,14.04,11
HCPCS,J2941,SOMATROPIN 10 MG/1.5 ML (6.7 MG/ML) SUBCUTANEOUS CARTRIDGE,4762.95,2381.48,49.9,4286.66,71
HCPCS,J2941,SOMATROPIN 10 MG/2 ML (5 MG/ML) SUBCUTANEOUS PEN INJECTOR,4732.2,2366.1,49.9,4258.98,71
HCPCS,J2941,SOMATROPIN 5 MG (15 UNIT) SOLUTION FOR INJECTION,2614.7,1307.35,49.9,2353.23,71
HCPCS,J2993,Reteplase injection,,,2962.67,3630.72,6
HCPCS,J2997,ALTEPLASE 1 MG/1 ML INTRA-CATHETER SOLUTION (PHARMACY PREPARED),451.85,225.93,95.15,406.67,71
HCPCS,J2997,ALTEPLASE 1 MG/ML INFUSION (PED CATHETER),2672.3,1336.15,94.28,4421.07,142
HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,34170.4,17085.2,95.15,30753.36,142
HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,843.45,421.73,95.15,790.79,213
HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,17097.7,8548.85,95.15,15387.93,142
HCPCS,J2997,ALTEPLASE INTRAOCULAR INJ 12.5 MCG/0.1 ML (TV=0.5 ML),55.55,27.78,12.12,118.06,71
HCPCS,J2997,Alteplase recombinant,,,131.66,218.42,2
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,31.57,40.96,6
HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION,276.6,138.3,36.08,248.94,66
HCPCS,J3010,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,270.625,135.315,1.07,696.38,660
HCPCS,J3010,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,35.75,17.875,1.07,33.03,132
HCPCS,J3010,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,27.65,13.83,1.07,25.34,264
HCPCS,J3010,FENTANYL (PF) 20 MCG/2 ML (10 MCG/ML) IN 0.9 % SOD CHLORIDE IV SYRINGE,35.95,17.98,1.07,32.36,66
HCPCS,J3010,FENTANYL (PF) 250 MCG/5 ML (50 MCG/ML) INTRAVENOUS SYRINGE,49.15,24.58,1.07,44.24,66
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.2,26.1,1.07,106.47,2376
HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,26.85,13.43,1.07,24.17,132
HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,212.4,106.2,29.05,396.18,462
HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,25.3,12.65,4.85,244.62,792
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,98.38,153.74,3
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,3.43,3.43,1
HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7577.6,3788.8,20.04,6819.84,71
HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,20.27,42.73,2
HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,4662.0,2331.0,74.07,4195.8,70
HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,62160.0,31080.0,74.07,55944.0,70
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,41.93,51.39,6
HCPCS,J3070,Pentazocine injection,,,23.57,23.57,1
HCPCS,J3090,Inj tedizolid phosphate,,,1.9,2.46,6
HCPCS,J3095,TELAVANCIN 750 MG INTRAVENOUS SOLUTION,2453.4,1226.7,7.26,2208.06,70
HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,32218.4,16109.2,169.93,28996.56,142
HCPCS,J3105,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,21.25,10.63,4.56,24.98,462
HCPCS,J3105,Terbutaline sulfate inj,,,5.61,5.61,1
HCPCS,J3110,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,14806.4,7403.2,3229.28,13325.76,65
HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,9.79,12.05,4
HCPCS,J3111,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE,5063.3,2531.6549999999997,11.9,4732.07,142
HCPCS,J3111,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,5063.3,2531.6549999999997,11.9,4732.07,142
HCPCS,J3121,Inj testostero enanthate 1mg,,,0.05,0.07,2
HCPCS,J3145,Testosterone undecanoate 1mg,,,2.04,2.59,6
HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,107.85,53.93,15.33,133.88,660
HCPCS,J3240,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8088.5,4044.25,1764.1,7279.65,142
HCPCS,J3240,Thyrotropin injection,,,2263.94,2263.94,1
HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,70069.55,35034.78,336.41,63062.6,71
HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,175.0,87.5,0.81,671.54,726
HCPCS,J3244,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,213.15,106.58,2.96,191.84,132
HCPCS,J3245,TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE,53271.2,26635.6,130.0,47944.08,142
HCPCS,J3246,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,618.75,309.38,4.62,1013.63,330
HCPCS,J3246,"TIROFIBAN 250 MCG/ML CONCENTRATE,INTRAVENOUS",271.05,135.53,4.62,243.95,66
HCPCS,J3246,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,363.75,181.875,4.62,403.2,198
HCPCS,J3247,Inj secukinumab intrav 1mg,,,18.2,22.3,5
HCPCS,J3250,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION,269.05,134.53,53.09,242.15,66
HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,263.7,131.85,2.95,369.9,726
HCPCS,J3260,TOBRAMYCIN 10 MG/ML INJECTION SOLUTION,59.1,29.55,2.95,53.19,132
HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,48.15,24.08,2.95,140.49,924
HCPCS,J3260,TOBRAMYCIN IV SYRINGE 10 MG/ML (PED) FROM STOCK SOLN,101.7,50.85,2.95,91.53,66
HCPCS,J3260,Tobramycin sulfate injection,,,3.11,3.11,1
HCPCS,J3262,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,4558.3,2279.15,5.82,4102.47,71
HCPCS,J3262,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,5177.3,2588.65,5.82,4659.57,71
HCPCS,J3262,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,10648.3,5324.15,5.82,9583.47,71
HCPCS,J3262,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,2085.95,1042.98,5.82,1877.36,71
HCPCS,J3262,Tocilizumab injection,,,6.69,14.48,4
HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,37198.8,18599.4,40.2,33478.92,70
HCPCS,J3285,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,1892.05,946.03,55.8,5036.27,213
HCPCS,J3285,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,45864.55,22932.28,55.8,55488.38,213
HCPCS,J3285,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,4173.9,2086.95,55.8,13888.98,213
HCPCS,J3285,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,8322.8,4161.4,55.8,27755.46,213
HCPCS,J3299,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION,6625.0,3312.5,48.93,5962.5,142
HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,2119.725,1059.865,4.24,3141.86,142
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,67.1,33.55,1.05,60.39,66
HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,57.7,28.85,1.05,295.2,1650
HCPCS,J3301,Triamcinolone acet inj NOS,,,1.26,4.35,11
HCPCS,J3303,Triamcinolone hexacetonl inj,,,3.73,3.73,1
HCPCS,J3304,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2178.45,1089.225,18.66,2038.23,284
HCPCS,J3315,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,8875.2,4437.6,442.33,7987.68,142
HCPCS,J3315,TRIPTORELIN PAMOATE 22.5 MG IM SUSPENSION,17750.4,8875.2,442.33,15975.36,142
HCPCS,J3315,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,2983.4,1491.7,442.33,2685.06,142
HCPCS,J3315,Triptorelin pamoate,,,936.86,936.86,1
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3544.96,3544.96,1
HCPCS,J3316,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,89190.7,44595.35,3893.62,80271.63,140
HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION,58303.0,29151.5,152.39,52472.7,71
HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,56553.9,28276.95,152.39,50898.51,71
HCPCS,J3357,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,113107.7,56553.85,152.39,101796.93,71
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,165.48,165.48,1
HCPCS,J3358,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8499.45,4249.73,13.25,7649.51,71
HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,14.64,14.64,1
HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SOLUTION,253.2,126.6,6.06,227.88,66
HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SYRINGE,83.25,41.63,6.06,128.75,858
HCPCS,J3370,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,143.5,71.75,2.56,129.15,66
HCPCS,J3370,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,173.5,86.75,2.56,156.15,66
HCPCS,J3370,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,202.0,101.0,2.56,181.8,66
HCPCS,J3370,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,232.0,116.0,2.56,279.0,198
HCPCS,J3370,VANCOMYCIN 100 GRAM SOLUTION FOR INJECTION,2025.0,1012.5,2.56,1822.5,66
HCPCS,J3370,VANCOMYCIN 1500 MG/250 ML NSS VIAL-MATE (SIMPLE),247.0,123.5,2.56,222.3,66
HCPCS,J3370,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,262.0,131.0,2.56,272.25,198
HCPCS,J3370,VANCOMYCIN 2.25 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,58.0,29.0,2.56,52.2,66
HCPCS,J3370,VANCOMYCIN 2.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,61.0,30.5,2.56,54.9,66
HCPCS,J3370,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,130.75,65.375,2.56,193.95,132
HCPCS,J3370,VANCOMYCIN 750 MG/250 ML NSS VIAL-MATE (SIMPLE),113.5,56.75,2.56,102.15,66
HCPCS,J3370,VANCOMYCIN ENEMA 500 MG IN 250 ML NS (SIMPLE),10.5,5.25,2.29,9.45,66
HCPCS,J3370,VANCOMYCIN INTRAOCULAR INJ 1 MG/0.1 ML,45.05,22.53,2.56,40.55,66
HCPCS,J3370,VANCOMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,46.5,23.25,2.56,355.5,264
HCPCS,J3371,Others,,,6.38,6.38,1
HCPCS,J3372,Others,,,7.04,7.04,1
HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,197.8,98.9,43.14,178.02,65
HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.525000000000006,23.765,10.16,54.9,1755
HCPCS,J3373,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,94.9,47.45,20.7,85.41,130
HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,302.4,151.2,27.6,978.75,780
HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,119.35,59.68,21.19,392.49,520
HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.025000000000006,23.515,10.11,43.02,1365
HCPCS,J3373,VANCOMYCIN 500 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,58.0,29.0,10.16,62.46,130
HCPCS,J3373,VANCOMYCIN 500 MG/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,74.8,37.4,16.31,67.32,65
HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,78.75,39.38,11.9,75.65,780
HCPCS,J3373,VANCOMYCIN 750 MG/150 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,102.4,51.2,22.33,92.16,65
HCPCS,J3374,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,117.775,58.89,18.16,122.85,520
HCPCS,J3374,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,128.025,64.015,18.11,564.17,520
HCPCS,J3374,VANCOMYCIN 1.75 GRAM INTRAVENOUS SOLUTION,230.7,115.35,50.32,207.63,130
HCPCS,J3374,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION,260.05,130.03,56.72,234.05,130
HCPCS,J3374,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,66.45,33.230000000000004,11.81,70.88,260
HCPCS,J3375,VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK,99.4,49.7,21.68,89.46,130
HCPCS,J3375,VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK,118.0,59.0,25.74,106.2,130
HCPCS,J3375,VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK,136.6,68.3,29.79,122.94,130
HCPCS,J3375,VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK,155.2,77.6,33.85,139.68,130
HCPCS,J3375,VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK,173.8,86.9,37.91,156.42,130
HCPCS,J3375,VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK,80.8,40.4,17.62,72.72,130
HCPCS,J3380,Inj vedolizumab iv 1 mg,,,18.62,55.57,6
HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,37464.65,18732.33,21.74,33718.19,71
HCPCS,J3385,VELAGLUCERASE ALFA 400 UNIT INTRAVENOUS SOLUTION,5956.1,2978.05,388.99,5360.49,71
HCPCS,J3391,"Inj, atidarsagene autotemcel",,,4595100.0,5631250.0,5
HCPCS,J3392,"Inj, exagamglogene autotem",,,2378640.0,2915000.0,5
HCPCS,J3393,"Inj, betibeglogene autotemce",,,3004654.8,3682175.0,5
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,3313414.63,4060557.14,5
HCPCS,J3396,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,6488.85,3244.43,11.77,5839.97,71
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,285.53,349.91,5
HCPCS,J3398,Inj luxturna 1 billion vec g,,,2981.77,3753.23,6
HCPCS,J3399,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",11610221.8,5805110.9,27261.82,10449199.62,70
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1020.82,1281.8,6
HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,209752.8,257050.0,5
HCPCS,J3403,"Revakinagene, per implant",,,262650.0,321875.0,5
HCPCS,J3410,HYDROXYZINE HCL 25 MG/ML INTRAMUSCULAR SOLUTION,104.2,52.1,10.99,93.78,66
HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,128.45,64.23,10.99,122.09,132
HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.2,11.6,4.74,35.51,1300
HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,47.1,23.55,10.27,42.39,130
HCPCS,J3420,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.95,10.98,1.6,85.41,1584
HCPCS,J3420,Vitamin b12 injection,,,1.32,6.36,10
HCPCS,J3424,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,3715.6,1857.8,5.09,3344.04,71
HCPCS,J3425,"HYDROXOCOBALAMIN 1,000 MCG/ML INTRAMUSCULAR SOLUTION",160.4,80.2,0.01,144.36,70
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,21.049999999999997,10.530000000000001,3.22,19.49,330
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,121.0,60.504999999999995,3.22,119.48,198
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,115.05,57.53,3.22,103.86,462
HCPCS,J3430,PHYTONADIONE (VITAMIN K1) IV SYRINGE 0.05 MG/ML (NEO/PED) FROM STOCK SOLUTION,25.45,12.73,3.22,22.91,66
HCPCS,J3430,Vitamin k phytonadione inj,,,7.03,8.43,2
HCPCS,J3465,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,145.75,72.88,1.28,571.82,660
HCPCS,J3470,HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION,186.55,93.28,40.69,167.9,66
HCPCS,J3473,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",284.8,142.4,0.4,256.32,198
HCPCS,J3475,Inj magnesium sulfate,,,0.78,2.28,5
HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.2,23.6,0.77,43.11,660
HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.150000000000006,24.075000000000003,0.77,85.41,1254
HCPCS,J3475,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,55.0,27.5,0.77,52.2,264
HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,65.7,990
HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,48.025,24.015,0.77,60.03,396
HCPCS,J3475,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",67.0,33.5,0.77,65.7,264
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,25.8,12.9,0.77,90.0,1056
HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,195.8,97.9,0.77,176.22,132
HCPCS,J3475,MAGNESIUM SULFATE 6 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE IV PIGGYBACK,51.4,25.7,0.77,46.26,66
HCPCS,J3475,MAGNESIUM SULFATE IV SYRINGE 100 MG/ML (NEO/PED) FROM STOCK SOLN,47.95,23.98,0.77,61.92,198
HCPCS,J3480,Inj potassium chloride,,,0.13,0.66,8
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,49.900000000000006,24.950000000000003,0.13,197.46,396
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,50.05,25.025,10.03,65.33,132
HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,13.3,71.1,330
HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,47.6,23.8,0.13,138.6,1056
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,53.8,26.9,0.13,197.46,396
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,49.6,24.8,0.13,48.69,132
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,61.0,30.5,12.0,65.33,264
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,61.0,30.5,12.0,65.33,330
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,85.0,42.5,14.61,211.5,264
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,64.0,32.0,12.0,71.1,330
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,70.0,35.0,13.3,71.1,330
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,56.5,28.25,10.69,65.7,462
HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,73.0,36.5,14.61,71.1,132
HCPCS,J3480,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,13.3,71.1,330
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,50.5,25.25,10.03,65.33,132
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,67.0,33.5,13.3,65.7,264
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,73.0,36.5,13.3,71.1,264
HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,13.3,71.1,330
HCPCS,J3480,POTASSIUM CHLORIDE IV SYRINGE 0.4 MEQ/ML (NEO/PED) FROM STOCK SOLN,45.8,22.9,0.13,41.22,66
HCPCS,J3480,POTASSIUM CHLORIDE IVPB 20 MEQ IN 0.9 % NACL 100 ML,48.0,24.0,0.13,43.2,66
HCPCS,J3485,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,161.9,80.95,1.68,145.71,132
HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,131.6,65.8,10.82,268.16,858
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,141.6,70.8,7.71,127.44,66
HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,158.1,79.05,7.71,1041.75,726
HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,236.4,118.2,7.71,4358.52,594
HCPCS,J3489,Zoledronic acid 1mg,,,10.65,120.75,6
HCPCS,J3490,ACETIC ACID (BULK) 3 % LIQUID,22.0,11.0,4.8,19.8,65
HCPCS,J3490,ACETIC ACID 0.25 % IRRIGATION SOLUTION,42.0,21.0,6.54,43.2,260
HCPCS,J3490,ACETIC ACID 2 % EAR SOLUTION,109.025,54.515,17.66,123.39,130
HCPCS,J3490,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT,398.35,199.18,86.88,358.52,65
HCPCS,J3490,ACETYLCYSTEINE 10 % OPHTHALMIC SOLN,8.4,4.2,1.83,7.56,65
HCPCS,J3490,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,55.45,27.73,5.51,54.14,520
HCPCS,J3490,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,46.575,23.29,5.02,71.91,975
HCPCS,J3490,ACYCLOVIR 5 % TOPICAL OINTMENT,155.0,77.5,18.08,312.12,325
HCPCS,J3490,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,4.1,2.05,0.74,4.32,130
HCPCS,J3490,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.275,1.64,0.68,3.15,1430
HCPCS,J3490,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,3.45,1.73,0.75,3.11,65
HCPCS,J3490,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,262.5,131.25,49.07,270.0,195
HCPCS,J3490,AMINO ACID 10 % INTRAVENOUS SOLUTION,250.0,125.0,51.91,235.8,132
HCPCS,J3490,AMINO ACID 2 % PED-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,292.5,146.25,63.79,263.25,132
HCPCS,J3490,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,339.375,169.69,65.33,315.0,132
HCPCS,J3490,AMINO ACID 3.5 % PED-D10-CALC 2.33 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,286.25,143.13,62.43,257.63,66
HCPCS,J3490,AMMONIUM LACTATE 12 % TOPICAL CREAM,46.2,23.1,3.66,45.36,260
HCPCS,J3490,AMYL NITRITE 0.3 ML SOLUTION FOR INHALATION,2095.2,1047.6,456.96,1885.68,65
HCPCS,J3490,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,1053.45,526.73,229.76,948.11,130
HCPCS,J3490,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7084.8,3542.4,1545.19,6376.32,65
HCPCS,J3490,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",166.3,83.15,36.27,149.67,65
HCPCS,J3490,APRACLONIDINE 0.5 % EYE DROPS,312.175,156.09,46.0,437.63,260
HCPCS,J3490,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.45,6.23,1.12,29.52,845
HCPCS,J3490,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,257.2,128.6,56.1,231.48,65
HCPCS,J3490,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,441.5,220.75,96.29,397.35,65
HCPCS,J3490,ASCORBIC ACID (VITAMIN C) 500 MG/ML INTRAVENOUS SOLUTION,1268.125,634.065,274.92,1148.18,130
HCPCS,J3490,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,30.725,15.364999999999998,5.68,31.86,130
HCPCS,J3490,ATROPINE 1 % EYE DROPS,181.875,90.94,12.55,370.44,780
HCPCS,J3490,ATROPINE 1 % EYE OINTMENT,102.75,51.38,22.41,92.48,65
HCPCS,J3490,ATROPINE SULFATE (PF) 1 % EYE DROPS IN A DROPPERETTE,149.85,74.93,32.68,134.87,65
HCPCS,J3490,AZELASTINE 0.05 % EYE DROPS,239.7,119.85,10.83,269.73,195
HCPCS,J3490,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,62.5,31.25,10.52,103.86,325
HCPCS,J3490,AZELASTINE 137 MCG-FLUTICASONE 50 MCG/SPRAY NASAL SPRAY,319.85,159.93,69.76,287.87,65
HCPCS,J3490,AZELASTINE 205.5 MCG (0.15 %) NASAL SPRAY,62.4,31.2,8.53,140.31,195
HCPCS,J3490,BACITRACIN 500 UNIT/GRAM EYE OINTMENT,533.55,266.78,116.37,480.2,65
HCPCS,J3490,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",30.85,15.43,6.28,66.02,195
HCPCS,J3490,BACLOFEN ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,332.5,166.25,72.52,299.25,130
HCPCS,J3490,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,50.325,25.165,7.56,59.4,130
HCPCS,J3490,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,159.5,79.75,25.53,159.84,325
HCPCS,J3490,BECLOMETHASONE DIPROP (BULK) POWDER,1069.15,534.5799999999999,165.55,1241.33,130
HCPCS,J3490,BECLOMETHASONE DIPROP 40 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL,1012.1,506.05,220.74,910.89,65
HCPCS,J3490,BECLOMETHASONE DIPROP 80 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL,1355.55,677.78,295.65,1220.0,65
HCPCS,J3490,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,671.5,335.75,26.63,1098.81,130
HCPCS,J3490,BENZOCAINE 20 % TOPICAL SPRAY,265.95,132.98,58.0,239.36,65
HCPCS,J3490,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,821.0,410.5,179.06,738.9,130
HCPCS,J3490,BEPOTASTINE BESILATE 1.5 % EYE DROPS,1350.2,675.1,294.48,1215.18,65
HCPCS,J3490,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,1800.85,900.425,283.6,2071.26,130
HCPCS,J3490,"BESIFLOXACIN 0.6 % EYE DROPS,SUSPENSION",1063.3,531.65,231.91,956.97,65
HCPCS,J3490,BETAMETHASONE DIPROPIONATE 0.05 % LOTION,143.3,71.65,31.25,128.97,65
HCPCS,J3490,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,80.1,40.05,16.75,220.68,195
HCPCS,J3490,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,217.9,108.95,13.84,438.21,325
HCPCS,J3490,BETAMETHASONE VALERATE 0.1 % LOTION,263.2,131.6,57.4,236.88,65
HCPCS,J3490,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,72.85,36.43,14.86,132.71,195
HCPCS,J3490,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,49.6,24.8,10.82,44.64,65
HCPCS,J3490,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM",71.5,35.75,11.04,83.16,130
HCPCS,J3490,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",255.9,127.95,32.63,243.23,325
HCPCS,J3490,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1695.025,847.515,330.43,1687.5,130
HCPCS,J3490,BETAXOLOL 0.5 % EYE DROPS,282.9,141.45,61.7,254.61,65
HCPCS,J3490,BIMATOPROST 0.01 % EYE DROPS,1663.05,831.525,279.08,1841.85,130
HCPCS,J3490,BRIMONIDINE 0.1 % EYE DROPS,913.825,456.91499999999996,193.04,848.3,130
HCPCS,J3490,BRIMONIDINE 0.15 % EYE DROPS,719.4,359.705,75.87,1809.23,390
HCPCS,J3490,BRIMONIDINE 0.2 % EYE DROPS,35.675,17.84,2.64,79.38,390
HCPCS,J3490,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,886.5,443.25,107.85,890.6,195
HCPCS,J3490,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",1464.05,732.03,51.98,1826.64,455
HCPCS,J3490,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,28.05,14.03,6.12,25.25,130
HCPCS,J3490,BROMFENAC 0.09 % EYE DROPS,579.425,289.715,126.02,522.95,130
HCPCS,J3490,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,22.35,11.18,1.8,43.47,1170
HCPCS,J3490,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,13.975,6.99,0.93,51.17,1690
HCPCS,J3490,BUDESONIDE 90 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,908.95,454.48,198.24,818.06,65
HCPCS,J3490,BUPIVACAINE 0.175% + FENTANYL 15 MCG IV PF EPIDURAL SYRINGE,50.7,25.35,11.06,45.63,65
HCPCS,J3490,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",21.9,10.95,4.78,19.71,65
HCPCS,J3490,BUPIVACAINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",24.55,12.28,4.83,67.5,910
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:400,000 INJECTION SOLUTION",20.3,10.15,4.43,18.27,65
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",29.55,14.78,4.84,37.62,1040
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:400,000 INJECTION SOLUTION",20.5,10.25,4.47,18.45,65
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",46.8,23.4,10.21,42.12,130
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",87.1,43.55,11.93,114.03,325
HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",91.6,45.8,12.45,98.1,325
HCPCS,J3490,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1272.6,636.3,57.59,1421.82,260
HCPCS,J3490,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,902.95,451.475,77.47,1386.36,260
HCPCS,J3490,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1979.025,989.515,154.14,2035.44,260
HCPCS,J3490,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,654.6,327.3,42.61,893.52,325
HCPCS,J3490,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1437.55,718.775,81.24,1352.97,390
HCPCS,J3490,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,459.625,229.815,63.09,567.0,130
HCPCS,J3490,C.I. ACID BLUE 90  0.025 % INTRAOCULAR SYRINGE,378.5,189.25,82.55,340.65,130
HCPCS,J3490,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,178.35,89.18,38.9,160.52,130
HCPCS,J3490,CALCIPOTRIENE 0.005 % TOPICAL CREAM,446.4,223.2,80.87,427.41,195
HCPCS,J3490,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,251.425,125.715,48.4,252.86,130
HCPCS,J3490,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",79.9,39.95,17.43,71.91,130
HCPCS,J3490,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,86.2,43.1,13.43,189.36,975
HCPCS,J3490,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",135.1,67.55,26.65,133.2,195
HCPCS,J3490,CALCIUM GLUCONATE 2.5 % GEL,286.05,143.025,59.35,270.0,130
HCPCS,J3490,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,1513.45,756.73,330.08,1362.11,65
HCPCS,J3490,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,89.05,44.53,19.42,80.15,65
HCPCS,J3490,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,265.07500000000005,132.54000000000002,31.46,728.06,1560
HCPCS,J3490,CARDIOPLEGIA MAINTENANCE SOLUTION 10 MEQ/1042 ML (POTASSIUM) FOR PERFUSION,50.05,25.03,10.92,45.05,65
HCPCS,J3490,CARDIOPLEGIA SOLUTION SYRINGE (NH),706.0,353.0,153.98,635.4,65
HCPCS,J3490,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,365.0,182.5,79.61,328.5,130
HCPCS,J3490,"CARDIOPLEGIC SOLUTION NO.16 26 MEQ/1,052.8 ML(POTASSIUM) FOR PERFUSION",709.3499999999999,354.67499999999995,12.34,1225.89,132
HCPCS,J3490,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) FOR PERFUSION,110.0,55.0,23.99,99.0,65
HCPCS,J3490,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT,169009.85,84504.93,36861.05,152108.87,65
HCPCS,J3490,CARTEOLOL 1 % EYE DROPS,34.35,17.18,7.49,30.92,65
HCPCS,J3490,CEFOTETAN 1 GRAM SOLUTION FOR INJECTION,80.7,40.35,17.6,72.63,130
HCPCS,J3490,"CELLULOSE, OXIDIZED 2"" X 14"" PADS",2596.2,1298.1,566.23,2336.58,65
HCPCS,J3490,"CELLULOSE, OXIDIZED 2"" X 3"" PADS",314.7,157.35,68.64,283.23,65
HCPCS,J3490,"CELLULOSE, OXIDIZED 2"" X 4"" MISC",425.5,212.75,92.8,382.95,65
HCPCS,J3490,"CELLULOSE, OXIDIZED 3"" X 4"" PADS (SURGICEL NU-KNIT)",271.2,135.6,59.15,244.08,65
HCPCS,J3490,"CELLULOSE, OXIDIZED 4"" X 8"" PADS",5486.9,2743.45,1196.69,4938.21,65
HCPCS,J3490,"CELLULOSE, OXIDIZED 6"" X 9"" MISC",4788.25,2394.13,1044.32,4309.43,65
HCPCS,J3490,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.55,4.28,0.65,83.43,1755
HCPCS,J3490,CHOLESTYRAMINE (BULK) POWDER,525.9,262.95,114.7,473.31,65
HCPCS,J3490,CHOLESTYRAMINE 10 % IN AQUAPHOR OINTMENT,83.05,41.53,18.11,74.75,65
HCPCS,J3490,CHOLESTYRAMINE LIGHT/AQUAPHOR/DESITIN/MAALOX (DR YOUNG'S BUTT PASTE) EMOLLIENT,30.0,15.0,6.54,27.0,65
HCPCS,J3490,CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING,511.95,255.98,111.66,460.76,65
HCPCS,J3490,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING,538.6,269.3,117.47,484.74,65
HCPCS,J3490,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,390.92499999999995,195.46499999999997,81.11,368.96,130
HCPCS,J3490,CHONDROITIN-SOD HYALURON 4 %-3 %(0.5 ML)1 %(0.85 ML)INTRAOCULAR SYRING,1488.2,744.1,324.58,1339.38,65
HCPCS,J3490,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,130.525,65.265,28.03,119.3,195
HCPCS,J3490,CICLOPIROX 0.77 % TOPICAL CREAM,17.2,8.6,2.87,34.02,325
HCPCS,J3490,CICLOPIROX 0.77 % TOPICAL SUSPENSION,274.35,137.18,59.84,246.92,65
HCPCS,J3490,CICLOPIROX 8 % TOPICAL SOLUTION,73.05,36.53,13.77,74.66,130
HCPCS,J3490,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,650.2,325.1,141.81,585.18,65
HCPCS,J3490,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",1685.225,842.615,367.47,1517.04,130
HCPCS,J3490,CIPROFLOXACIN 0.3 % EYE DROPS,58.3,29.15,4.54,118.8,585
HCPCS,J3490,CIPROFLOXACIN 0.3 % EYE OINTMENT,1256.7,628.35,274.09,1131.03,130
HCPCS,J3490,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",526.7,263.35,82.62,1041.66,455
HCPCS,J3490,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,40.65,20.33,4.77,144.09,2015
HCPCS,J3490,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,277.4,138.7,36.41,1296.36,1365
HCPCS,J3490,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,253.2,126.6,55.22,227.88,65
HCPCS,J3490,CITRIC ACID (BULK) POWDER,90.0,45.0,13.09,175.5,195
HCPCS,J3490,CITRIC ACID ANHYDROUS (BULK) 100 % GRANULES,65.1,32.55,14.2,58.59,65
HCPCS,J3490,CLINDAMYCIN 1 % LOTION,75.25,37.63,15.4,332.37,195
HCPCS,J3490,CLINDAMYCIN 1 % TOPICAL GEL,68.6,34.3,14.13,251.6,195
HCPCS,J3490,CLINDAMYCIN 2 % VAGINAL CREAM,318.4,159.2,69.01,288.36,130
HCPCS,J3490,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,71.85,35.925,6.13,170.78,260
HCPCS,J3490,CLOBETASOL 0.05 % SCALP SOLUTION,149.7,74.85,32.65,134.73,65
HCPCS,J3490,CLOBETASOL 0.05 % TOPICAL CREAM,29.9,14.95,2.6,596.03,585
HCPCS,J3490,CLOBETASOL 0.05 % TOPICAL GEL,406.5,203.25,88.66,365.85,65
HCPCS,J3490,CLOBETASOL 0.05 % TOPICAL OINTMENT,45.9,22.95,3.16,129.6,585
HCPCS,J3490,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,120.5,60.254999999999995,20.58,131.99,130
HCPCS,J3490,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,177.55,88.775,8.6,1207.53,650
HCPCS,J3490,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,235.95,117.975,12.87,403.65,585
HCPCS,J3490,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,328.04999999999995,164.02499999999998,17.8,499.23,520
HCPCS,J3490,CLONIDINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,80.75,40.38,8.15,156.51,650
HCPCS,J3490,COCAINE 4 % NASAL SOLUTION,1271.2,635.6,143.01,1493.55,195
HCPCS,J3490,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,219.3,109.65,11.96,1294.38,195
HCPCS,J3490,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,1238.6000000000001,619.3000000000001,75.66,1917.27,130
HCPCS,J3490,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,56.375,28.189999999999998,6.36,75.24,260
HCPCS,J3490,CROMOLYN 4 % EYE DROPS,37.6,18.805,8.17,33.98,130
HCPCS,J3490,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,131.45,65.73,22.39,148.82,390
HCPCS,J3490,CYCLOPENTOLATE 0.5 % EYE DROPS,443.5,221.75,96.73,399.15,65
HCPCS,J3490,CYCLOPENTOLATE 1 % EYE DROPS,96.975,48.489999999999995,5.19,251.15,520
HCPCS,J3490,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,249.0,124.5,8.29,315.0,325
HCPCS,J3490,CYCLOPENTOLATE 2 % EYE DROPS,267.3,133.655,15.75,501.89,390
HCPCS,J3490,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,239.75,119.875,42.44,256.41,130
HCPCS,J3490,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,530.7,265.35,63.34,2253.56,650
HCPCS,J3490,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,422.6,211.3,92.17,380.34,130
HCPCS,J3490,DANTROLENE 20 MG INTRAVENOUS SOLUTION,323.75,161.88,60.5,292.5,260
HCPCS,J3490,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,9280.2,4640.1,2024.01,8352.18,65
HCPCS,J3490,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,736.1,368.05,160.54,662.49,65
HCPCS,J3490,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),294.4,147.2,59.31,807.89,195
HCPCS,J3490,DESONIDE 0.05 % TOPICAL CREAM,41.75,20.88,7.75,111.06,260
HCPCS,J3490,DESONIDE 0.05 % TOPICAL OINTMENT,187.65,93.83,18.61,195.98,195
HCPCS,J3490,DESOXIMETASONE 0.25 % TOPICAL CREAM,54.425,27.215,10.89,53.01,130
HCPCS,J3490,DESOXIMETASONE 0.25 % TOPICAL OINTMENT,47.05,23.529999999999998,5.49,62.06,130
HCPCS,J3490,"DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",367.9,183.95,80.24,331.11,65
HCPCS,J3490,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,286.2,143.1,62.42,257.58,65
HCPCS,J3490,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",274.0,137.0,59.76,246.6,195
HCPCS,J3490,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,57.4,28.7,10.21,272.16,1235
HCPCS,J3490,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,67.4,33.7,10.02,103.5,325
HCPCS,J3490,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,69.4,34.7,13.83,156.69,325
HCPCS,J3490,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,119.2,59.6,20.63,292.5,1885
HCPCS,J3490,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,79.2,39.6,13.83,85.5,260
HCPCS,J3490,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,48.0,20.94,86.4,65
HCPCS,J3490,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 800 MG/100 ML SOLN,49.5,24.75,10.8,44.55,65
HCPCS,J3490,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,58.7,29.35,5.02,84.96,195
HCPCS,J3490,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,45.75,22.875,5.56,65.33,198
HCPCS,J3490,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,89.7,44.85,4.42,87.21,520
HCPCS,J3490,DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT,2460.7,1230.35,461.74,2523.87,130
HCPCS,J3490,DIAZEPAM 2.5 MG RECTAL KIT,711.7750000000001,355.89,99.42,870.93,130
HCPCS,J3490,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,1282.3,641.15,115.44,1261.94,325
HCPCS,J3490,DIAZEPAM 5 MG/ML ORAL CONCENTRATE,173.35,86.68,37.81,156.02,65
HCPCS,J3490,DICLOFENAC 0.1 % EYE DROPS,57.075,28.54,6.92,54.99,260
HCPCS,J3490,DICLOFENAC 1 % TOPICAL GEL,53.7,26.85,4.32,192.78,1495
HCPCS,J3490,DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL 12 HOUR PATCH,837.9,418.95,182.75,754.11,65
HCPCS,J3490,DIFLUPREDNATE 0.05 % EYE DROPS,737.475,368.74,101.87,907.07,130
HCPCS,J3490,DILATERIA EX-THICK KIT,70.35,35.18,15.34,63.32,65
HCPCS,J3490,DILATERIA EX-THIN KIT,70.35,35.18,15.34,63.32,65
HCPCS,J3490,DILATERIA MEDIUM THICK KIT,70.35,35.18,15.34,63.32,65
HCPCS,J3490,DILATERIA THICK KIT,70.35,35.18,15.34,63.32,65
HCPCS,J3490,DILATERIA THIN KIT,70.35,35.18,15.34,63.32,65
HCPCS,J3490,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2361.55,1180.78,515.05,2125.4,130
HCPCS,J3490,DORZOLAMIDE 2 % EYE DROPS,81.45,40.730000000000004,10.4,316.98,520
HCPCS,J3490,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,126.0,63.0,8.77,1007.78,650
HCPCS,J3490,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,415.5,207.75,54.37,523.53,130
HCPCS,J3490,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION,292.35,146.18,63.76,263.12,65
HCPCS,J3490,DOXYCYCLINE IV SYRINGE 1 MG/ML IN NS (PED) FROM STOCK SOLN,47.6,23.8,10.38,42.84,65
HCPCS,J3490,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,7383.75,3691.88,1610.4,6645.38,130
HCPCS,J3490,ECONAZOLE NITRATE 1 % TOPICAL CREAM,46.325,23.165,5.32,77.45,260
HCPCS,J3490,ELECTROLYTE-A INTRAVENOUS SOLUTION,85.0,42.5,13.3,98.1,260
HCPCS,J3490,ELECTROLYTE-M IN 5 % DEXTROSE INTRAVENOUS SOLUTION,55.0,27.5,12.0,65.33,66
HCPCS,J3490,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,55.0,27.5,12.0,65.33,132
HCPCS,J3490,ELECTROLYTE-R INTRAVENOUS SOLUTION,55.0,27.5,12.0,49.5,65
HCPCS,J3490,ELEVIEW SUBMUCOSAL INJECTION,430.0,215.0,93.78,387.0,64
HCPCS,J3490,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,55.55,27.78,10.31,65.12,520
HCPCS,J3490,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,120.5,60.25,13.08,149.85,390
HCPCS,J3490,EPHEDRINE SULFATE 10 MG/2 ML SYRINGE (HPMC OR),27.5,13.75,6.0,24.75,65
HCPCS,J3490,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,58.55,29.28,12.46,53.96,195
HCPCS,J3490,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,44.725,22.365000000000002,6.03,136.8,1950
HCPCS,J3490,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1379.6750000000002,689.84,149.69,2025.54,390
HCPCS,J3490,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1263.325,631.665,124.34,2025.54,520
HCPCS,J3490,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,197.5,98.75,43.07,177.75,130
HCPCS,J3490,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,44.2,22.1,4.82,87.53,715
HCPCS,J3490,ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION,72.125,36.065,15.19,67.14,195
HCPCS,J3490,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,339.15,169.58,17.92,1504.98,585
HCPCS,J3490,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,189.29999999999998,94.655,10.64,320.54,260
HCPCS,J3490,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,201.89999999999998,100.94999999999999,19.14,334.17,260
HCPCS,J3490,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,199.05,99.525,20.04,275.58,130
HCPCS,J3490,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,342.6,171.3,11.47,315.54,195
HCPCS,J3490,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,203.89999999999998,101.94999999999999,19.4,334.17,390
HCPCS,J3490,ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH,191.82500000000002,95.915,19.31,265.59,130
HCPCS,J3490,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,49.6,24.8,10.82,44.64,65
HCPCS,J3490,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,190.97500000000002,95.49000000000001,19.23,264.42,130
HCPCS,J3490,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,199.575,99.79,19.19,317.43,260
HCPCS,J3490,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,5379.825,2689.915,449.24,16697.03,390
HCPCS,J3490,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,5753.0,2876.5,1254.73,5177.7,65
HCPCS,J3490,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,3131.35,1565.68,682.95,2818.22,130
HCPCS,J3490,ETHYL CHLORIDE 100 % TOPICAL SPRAY,174.0,87.0,35.99,178.56,325
HCPCS,J3490,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.675,11.34,4.48,32.76,2145
HCPCS,J3490,EXENATIDE ER 2 MG/0.85 ML SUBCUTANEOUS AUTO-INJECTOR,908.45,454.23,198.13,817.61,65
HCPCS,J3490,FAT EMULSION 20 % INTRAVENOUS,93.75,46.875,14.13,170.1,715
HCPCS,J3490,FAT EMULSION 30 % INTRAVENOUS,147.0,73.5,32.06,132.3,65
HCPCS,J3490,FENOLDOPAM 10 MG/ML INTRAVENOUS SOLUTION,488.875,244.44,60.52,630.23,130
HCPCS,J3490,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL EPIDURAL PUMP RESERVOIR,260.0,130.0,56.71,234.0,65
HCPCS,J3490,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,145.6,72.8,11.21,220.95,195
HCPCS,J3490,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,89.1,44.55,5.78,127.98,260
HCPCS,J3490,"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE",117.55000000000001,58.775000000000006,14.22,152.91,130
HCPCS,J3490,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,288.20000000000005,144.10500000000002,15.64,555.26,390
HCPCS,J3490,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,209.55,104.775,6.29,311.36,520
HCPCS,J3490,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,113.92500000000001,56.965,5.74,174.78,520
HCPCS,J3490,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,170.375,85.19,8.16,253.8,390
HCPCS,J3490,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,280.8,140.4,11.84,402.75,520
HCPCS,J3490,FENTANYL CITRATE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,277.6,138.8,60.54,249.84,65
HCPCS,J3490,FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION,273.0,136.5,59.54,245.7,65
HCPCS,J3490,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,114.60000000000001,57.305,14.1,148.1,195
HCPCS,J3490,FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION,87.3,43.65,19.04,78.57,130
HCPCS,J3490,FIRST - MOUTHWASH BLM,457.525,228.765,83.52,478.89,130
HCPCS,J3490,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,30.5,15.254999999999999,4.94,46.17,650
HCPCS,J3490,FLUOCINONIDE 0.05 % TOPICAL CREAM,122.7,61.355,9.8,327.92,390
HCPCS,J3490,FLUOCINONIDE-EMOLLIENT 0.05 % TOPICAL CREAM,74.1,37.05,16.16,66.69,65
HCPCS,J3490,FLUORESCEIN 0.6 MG EYE STRIPS,189.0,94.5,41.22,170.1,65
HCPCS,J3490,FLUORESCEIN 1 MG EYE STRIPS,79.8,39.9,0.69,297.0,455
HCPCS,J3490,FLUORESCEIN 500 MG/2 ML (25 %) INTRAVENOUS SOLUTION,337.1,168.555,70.41,316.22,195
HCPCS,J3490,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,271.875,135.94,54.91,882.0,390
HCPCS,J3490,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",587.375,293.69,78.06,735.17,130
HCPCS,J3490,"FLUOROMETHOLONE ACETATE 0.1 % EYE DROPS,SUSPENSION",577.9,288.95,126.04,520.11,65
HCPCS,J3490,FLUOROURACIL 5 % TOPICAL CREAM,211.79999999999998,105.89999999999999,27.91,926.64,260
HCPCS,J3490,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,90.875,45.440000000000005,3.49,396.99,845
HCPCS,J3490,FLURBIPROFEN 0.03 % EYE DROPS,202.3,101.15,44.12,182.07,65
HCPCS,J3490,FLUTICASONE PROPIONATE 0.005 % TOPICAL OINTMENT,53.474999999999994,26.74,7.48,61.74,260
HCPCS,J3490,FLUTICASONE PROPIONATE 0.05 % TOPICAL CREAM,27.9,13.95,3.67,122.0,195
HCPCS,J3490,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,28.75,14.38,3.27,86.76,1430
HCPCS,J3490,GANCICLOVIR 0.15 % EYE GEL,2205.25,1102.63,480.97,1984.73,65
HCPCS,J3490,GATIFLOXACIN 0.5 % EYE DROPS,330.95,165.48,54.33,768.2,195
HCPCS,J3490,GELATIN ABSORBABLE EYE FILM,5500.7,2750.35,1199.7,4950.63,65
HCPCS,J3490,GELATIN ABSORBABLE IMPLANT FILM,7904.9,3952.45,1724.06,7114.41,65
HCPCS,J3490,GELATIN ABSORBABLE MUCOSAL POWDER,302.85,151.43,66.05,272.57,65
HCPCS,J3490,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",704.3,352.155,113.31,800.15,130
HCPCS,J3490,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",311.65,155.825,55.7,331.11,130
HCPCS,J3490,GENTAMICIN 0.1 % TOPICAL CREAM,260.775,130.39,25.71,328.73,260
HCPCS,J3490,GENTAMICIN 0.1 % TOPICAL OINTMENT,178.6,89.3,35.96,318.74,195
HCPCS,J3490,GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT,173.8,86.9,37.91,156.42,65
HCPCS,J3490,GENTAMICIN 0.3 % EYE DROPS,29.65,14.83,5.39,28.44,195
HCPCS,J3490,GLYCERIN 100% STERILE INJECTION,191.85,95.93,41.84,172.67,65
HCPCS,J3490,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,72.0,36.0,15.7,64.8,130
HCPCS,J3490,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1644.5,822.25,358.67,1480.05,65
HCPCS,J3490,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,318.4,159.2,43.09,382.28,325
HCPCS,J3490,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,153.3,76.655,25.11,250.2,260
HCPCS,J3490,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,118.5,59.25,17.01,143.1,195
HCPCS,J3490,HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION,377.5,188.75,82.33,339.75,130
HCPCS,J3490,HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION,2178.0,1089.0,475.02,1960.2,65
HCPCS,J3490,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM,898.5,449.25,195.96,808.65,65
HCPCS,J3490,HYDROCORTISONE 100 MG/60 ML ENEMA,203.39999999999998,101.69999999999999,25.91,249.84,325
HCPCS,J3490,HYDROCORTISONE 2.5 % LOTION,41.45,20.73,9.04,37.31,65
HCPCS,J3490,HYDROCORTISONE 2.5 % TOPICAL CREAM,13.2,6.6,2.36,249.03,455
HCPCS,J3490,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,56.35,28.18,7.58,93.33,325
HCPCS,J3490,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,15.025,7.515,2.84,15.35,130
HCPCS,J3490,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,97.4,48.7,1.34,661.5,1430
HCPCS,J3490,HYDROCORTISONE BUTYRATE 0.1 % TOPICAL SOLUTION,152.4,76.2,33.24,137.16,65
HCPCS,J3490,HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM,49.45,24.73,10.79,44.51,65
HCPCS,J3490,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,347.7,173.85,70.12,336.78,195
HCPCS,J3490,HYDROCORTISONE-PRAMOXINE 1 %-1 % RECTAL CREAM,603.45,301.73,131.61,543.11,65
HCPCS,J3490,HYDROCORTISONE-PRAMOXINE 1 %-1 % TOPICAL FOAM,462.75,231.38,100.93,416.48,65
HCPCS,J3490,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,84.6,42.3,9.12,78.71,260
HCPCS,J3490,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % RECTAL CREAM,504.3,252.15,109.99,453.87,65
HCPCS,J3490,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % TOPICAL CREAM,625.3,312.65,119.27,1030.86,195
HCPCS,J3490,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.0625%-NACL EPIDURAL,88.0,44.0,17.88,84.6,130
HCPCS,J3490,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.125 % -NACL EPIDURAL,115.75,57.875,22.79,114.3,130
HCPCS,J3490,HYDROMORPHONE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,HYDROXYUREA (BULK) 100 % POWDER,2302.5,1151.25,502.18,2072.25,65
HCPCS,J3490,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,352.95,176.475,27.94,520.02,130
HCPCS,J3490,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1238.4250000000002,619.215,257.5,1166.58,260
HCPCS,J3490,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,10178.8,5089.4,2220.0,9160.92,65
HCPCS,J3490,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,739.8,369.9,161.35,665.82,130
HCPCS,J3490,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,481.15,240.58,74.54,637.97,390
HCPCS,J3490,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,1340.55,670.28,202.68,1206.99,195
HCPCS,J3490,INDOMETHACIN 100 MG RECTAL SUPPOSITORY,14400.0,7200.0,3140.64,12960.0,65
HCPCS,J3490,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,24037.0,12018.5,5242.47,21633.3,65
HCPCS,J3490,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,218.0,109.0,29.66,270.0,130
HCPCS,J3490,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,76.7,38.35,12.65,85.86,130
HCPCS,J3490,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.425,1.7149999999999999,0.71,3.29,1625
HCPCS,J3490,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,65.7,32.85,13.24,199.13,325
HCPCS,J3490,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,92.30000000000001,46.150000000000006,16.83,194.4,260
HCPCS,J3490,ISONIAZID 100 MG/ML INJECTION SOLUTION,1584.3,792.15,345.54,1425.87,65
HCPCS,J3490,ISOPROTERENOL 0.2 MG IN D5W 50 ML (EP LAB ONLY),146.2,73.1,31.89,131.58,65
HCPCS,J3490,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,316.35,158.18,62.92,2227.5,1430
HCPCS,J3490,ISOPROTERENOL 200 MCG/50 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,508.675,254.34,31.1,787.28,130
HCPCS,J3490,KETAMINE 10 MG/ML INJECTION SOLUTION,55.2,27.6,6.32,96.35,650
HCPCS,J3490,KETAMINE 100 MG/10 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,54.1,27.05,11.8,48.69,65
HCPCS,J3490,KETAMINE 100 MG/ML INJECTION SOLUTION,43.65,21.83,6.38,66.6,520
HCPCS,J3490,KETAMINE 2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,70.5,35.25,15.38,63.45,65
HCPCS,J3490,"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",37.5,18.75,6.54,40.5,130
HCPCS,J3490,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,29.15,14.58,6.36,26.24,130
HCPCS,J3490,KETAMINE 50 MG/ML IN STERILE WATER INJECTION SYRINGE,27.0,13.5,5.89,24.3,65
HCPCS,J3490,KETAMINE 50 MG/ML INJECTION SOLUTION,32.224999999999994,16.115000000000002,5.9,45.54,845
HCPCS,J3490,KETOCONAZOLE 2 % TOPICAL CREAM,104.15,52.08,6.58,138.87,455
HCPCS,J3490,KETOROLAC 0.4 % EYE DROPS,279.7,139.85,61.0,251.73,65
HCPCS,J3490,KETOROLAC 0.5 % EYE DROPS,87.75,43.88,6.28,1202.27,715
HCPCS,J3490,LACOSAMIDE 10 MG/ML ORAL SOLUTION,192.0,96.0,1.18,1949.4,1105
HCPCS,J3490,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,19.95,9.98,0.74,199.26,2925
HCPCS,J3490,LATANOPROST 0.005 % EYE DROPS,54.725,27.365000000000002,5.56,1099.98,520
HCPCS,J3490,LEECH,60.0,30.0,13.09,54.0,65
HCPCS,J3490,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,1922.2,961.1,419.23,1729.98,130
HCPCS,J3490,LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION,1922.2,961.1,419.23,1729.98,130
HCPCS,J3490,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,130
HCPCS,J3490,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,8.325,4.165,1.0,52.38,1040
HCPCS,J3490,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,7.050000000000001,3.5250000000000004,0.69,15.12,715
HCPCS,J3490,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,12.3,6.15,1.93,24.44,325
HCPCS,J3490,LEVOBUNOLOL 0.5 % EYE DROPS,89.1,44.55,19.43,80.19,65
HCPCS,J3490,LEVODOPA (BULK) POWDER,109.0,54.5,9.12,661.73,325
HCPCS,J3490,LIDOCAINE (PF) 100 MG/5 ML (2 %) INJECTION SYRINGE,30.0,15.0,6.54,27.0,65
HCPCS,J3490,LIDOCAINE (PF) 3.5 % EYE GEL,112.025,56.015,24.43,100.85,260
HCPCS,J3490,LIDOCAINE (PF) 50 MG/5 ML (1 %) INJECTION SYRINGE,30.0,15.0,6.54,27.0,65
HCPCS,J3490,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,33.925,16.965,6.11,44.42,390
HCPCS,J3490,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:50,000 INJECTION CARTRIDGE",21.0,10.5,4.58,18.9,65
HCPCS,J3490,LIDOCAINE 5 % TOPICAL OINTMENT,64.35,32.18,6.03,441.0,780
HCPCS,J3490,LIDOCAINE 5 % TOPICAL PATCH,193.875,96.94,1.76,2633.72,520
HCPCS,J3490,LIDOCAINE HCL 2 % MUCOSAL JELLY,186.29999999999998,93.14999999999999,8.05,302.13,195
HCPCS,J3490,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,32.075,16.04,0.91,407.7,1040
HCPCS,J3490,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,147.6,73.8,17.86,225.23,715
HCPCS,J3490,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,157.7,78.85,34.39,141.93,65
HCPCS,J3490,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:100,000 INJECTION SOLUTION",49.05,24.53,10.7,44.15,65
HCPCS,J3490,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,41.25,20.63,2.4,122.31,780
HCPCS,J3490,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL KIT,41.25,20.63,9.0,37.13,65
HCPCS,J3490,LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT,106.8,53.4,21.18,104.85,130
HCPCS,J3490,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1926.15,963.08,409.98,1782.27,195
HCPCS,J3490,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1256.2,628.1,273.98,1130.58,65
HCPCS,J3490,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,2178.8,1089.4,408.81,2234.88,130
HCPCS,J3490,"LOTEPREDNOL ETABONATE 0.2 % EYE DROPS,SUSPENSION",1403.15,701.58,306.03,1262.84,65
HCPCS,J3490,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",710.35,355.18,105.49,1343.25,195
HCPCS,J3490,MAFENIDE 50 GRAM TOPICAL PACKET,2269.625,1134.815,64.91,3817.49,195
HCPCS,J3490,MAFENIDE 85 MG/G TOPICAL CREAM,1254.5,627.25,69.38,1971.81,130
HCPCS,J3490,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,175.55,87.78,38.29,158.0,130
HCPCS,J3490,MANNITOL 20 % INTRAVENOUS SOLUTION,242.5,121.25,28.35,292.5,390
HCPCS,J3490,MEPERIDINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",260.325,130.16500000000002,2.33,4056.93,780
HCPCS,J3490,MESALAMINE 4 GRAM/60 ML ENEMA,55.45,27.729999999999997,9.59,65.16,390
HCPCS,J3490,MESALAMINE RECTAL SUSP ENEMA WITH CLEANSING WIPES 4 GRAM/60 ML KIT,637.25,318.63,138.98,573.53,65
HCPCS,J3490,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE,201.6,100.8,28.05,183.15,195
HCPCS,J3490,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,464.825,232.415,99.54,425.93,130
HCPCS,J3490,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,1525.0,762.5,332.6,1372.5,65
HCPCS,J3490,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,379.4,189.7,14.11,521.64,455
HCPCS,J3490,METRONIDAZOLE 0.75 % TOPICAL GEL,88.6,44.3,18.67,143.37,195
HCPCS,J3490,METRONIDAZOLE 1 % TOPICAL GEL,416.4,208.2,60.98,599.67,260
HCPCS,J3490,MICROFIBRILLAR COLLAGEN HEMOSTAT 35 MM X 35 MM SHEETS,262.0,131.0,57.14,235.8,65
HCPCS,J3490,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 70 MM SHEETS,1016.95,508.48,221.8,915.26,65
HCPCS,J3490,MOMETASONE 0.1 % TOPICAL CREAM,88.6,44.3,4.26,162.09,195
HCPCS,J3490,MOMETASONE 0.1 % TOPICAL OINTMENT,49.45,24.73,10.79,44.51,65
HCPCS,J3490,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,157.25,78.625,14.48,223.29,130
HCPCS,J3490,MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER,1212.75,606.38,213.53,1301.81,130
HCPCS,J3490,MOMETASONE-FORMOTEROL HFA 200 MCG-5 MCG/ACTUATION AEROSOL INHALER,1209.475,604.74,213.53,1295.91,130
HCPCS,J3490,MORPHINE 10 MG RECTAL SUPPOSITORY,265.05,132.53,57.81,238.55,65
HCPCS,J3490,MORPHINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,MOXIFLOXACIN 0.5 % EYE DROPS,146.125,73.065,7.36,836.33,650
HCPCS,J3490,MUPIROCIN 2 % TOPICAL OINTMENT,13.475000000000001,6.74,0.7,161.82,780
HCPCS,J3490,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,166.45,83.23,5.58,1270.35,585
HCPCS,J3490,"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN",45.25,22.63,9.87,40.73,65
HCPCS,J3490,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",88.3,44.15,9.99,80.78,195
HCPCS,J3490,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",60.4,30.2,9.91,59.76,195
HCPCS,J3490,"MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN",45.25,22.63,9.87,40.73,65
HCPCS,J3490,NAFCILLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,133.3,66.65,29.07,119.97,65
HCPCS,J3490,NAFCILLIN 2 GRAM INTRAVENOUS SOLUTION,191.65,95.83,41.8,172.49,65
HCPCS,J3490,NAFTIFINE 1 % TOPICAL CREAM,1279.2,639.6,278.99,1151.28,65
HCPCS,J3490,NALOXONE 4 MG/ACTUATION NASAL SPRAY,344.65,172.33,45.1,340.38,325
HCPCS,J3490,NEBULIZERS,178.975,89.49,18.09,247.5,128
HCPCS,J3490,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS",227.55,113.78,49.63,204.8,65
HCPCS,J3490,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",623.1,311.55,135.9,560.79,65
HCPCS,J3490,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",83.75,41.88,6.19,84.69,195
HCPCS,J3490,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",60.65,30.33,11.98,386.28,260
HCPCS,J3490,NEOMYCIN SULFATE (BULK) POWDER,312.5,156.25,68.16,281.25,65
HCPCS,J3490,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",64.025,32.015,7.11,85.91,130
HCPCS,J3490,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",75.1,37.555,6.77,75.24,260
HCPCS,J3490,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",301.6,150.8,14.22,482.0,390
HCPCS,J3490,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",265.7,132.85,57.67,268.29,195
HCPCS,J3490,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",265.2,132.6,55.38,248.85,130
HCPCS,J3490,NEONATAL 2-IN-1 TPN (GENERIC),471.4,235.7,65.33,424.26,66
HCPCS,J3490,NEONATAL ADMISSION TPN 10 % (NH),50.2,25.1,10.95,65.33,66
HCPCS,J3490,NETARSUDIL 0.02 %-LATANOPROST 0.005 % EYE DROPS,1634.5,817.25,356.48,1471.05,65
HCPCS,J3490,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,4450.975,2225.49,77.63,9367.2,455
HCPCS,J3490,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,48.35,24.18,0.76,234.36,260
HCPCS,J3490,NITROGLYCERIN 0.2 % RECTAL OINT,3.25,1.63,0.71,2.93,65
HCPCS,J3490,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,97.675,48.84,0.75,252.18,260
HCPCS,J3490,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,3086.375,1543.19,64.11,5290.92,130
HCPCS,J3490,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT,2293.6,1146.8,471.59,2237.45,195
HCPCS,J3490,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,62.3,31.15,0.82,282.56,260
HCPCS,J3490,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,94.9,47.45,0.94,115.38,195
HCPCS,J3490,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,110.5,55.255,2.93,186.8,130
HCPCS,J3490,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,595.85,297.925,124.78,557.64,130
HCPCS,J3490,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,111.4,55.7,17.56,566.15,780
HCPCS,J3490,NITROPRUSSIDE 50 MG/100 ML (0.5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SOLN,203.39999999999998,101.69999999999999,34.29,224.64,130
HCPCS,J3490,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.3,24.15,10.12,113.0,1755
HCPCS,J3490,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,244.0,122.0,33.26,286.88,975
HCPCS,J3490,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,143.075,71.54,10.82,170.42,455
HCPCS,J3490,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",29.4,14.704999999999998,4.07,69.53,390
HCPCS,J3490,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",60.125,30.064999999999998,3.91,87.03,650
HCPCS,J3490,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",69.15,34.58,6.08,123.12,845
HCPCS,J3490,NYSTATIN-HYDROCORTISONE-ZINC (DR. BOSWORTH'S) DIAPER CREAM,35.1,17.55,7.66,31.59,65
HCPCS,J3490,NYSTATIN-HYDROCORTISONE-ZINC (GREERS GOO) TOPICAL EMOLLIENT,30.0,15.0,6.54,27.0,65
HCPCS,J3490,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",42.575,21.29,4.21,102.74,585
HCPCS,J3490,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",32.05,16.03,4.19,269.51,585
HCPCS,J3490,OFLOXACIN 0.3 % EAR DROPS,81.5,40.75,9.19,260.28,520
HCPCS,J3490,OFLOXACIN 0.3 % EYE DROPS,61.65,30.83,8.47,541.53,715
HCPCS,J3490,OLOPATADINE 0.1 % EYE DROPS,43.925,21.965,5.33,198.41,780
HCPCS,J3490,OLOPATADINE 0.2 % EYE DROPS,52.925,26.465,10.83,50.58,130
HCPCS,J3490,OLOPATADINE 0.7 % EYE DROPS,86.3,43.15,18.82,77.67,65
HCPCS,J3490,OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH,61.05,30.53,13.32,54.95,65
HCPCS,J3490,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,1525.0,762.5,89.9,2374.02,130
HCPCS,J3490,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,250.5,125.25,46.02,261.0,130
HCPCS,J3490,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,220.5,110.25,48.09,198.45,130
HCPCS,J3490,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,314.5,157.255,60.9,716.81,455
HCPCS,J3490,PERMETHRIN 5 % TOPICAL CREAM,106.4,53.2,22.3,162.0,260
HCPCS,J3490,PHENOL (BULK) 89 % LIQUID,13.9,6.95,3.03,12.51,65
HCPCS,J3490,PHENOL 6 % INJECTION SOLUTION,325.0,162.5,70.88,292.5,65
HCPCS,J3490,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,56.6,28.3,10.88,58.68,520
HCPCS,J3490,PHENYLEPHRINE 10 % EYE DROPS,199.6,99.8,42.66,199.53,260
HCPCS,J3490,PHENYLEPHRINE 2.5 % EYE DROPS,196.35000000000002,98.18,26.2,399.56,520
HCPCS,J3490,PHYSIOLOGICAL IRRIGATION NO.1 140 MEQ-5 MEQ-3 MEQ-98 MEQ/L SOLUTION,30.0,15.0,6.54,27.0,65
HCPCS,J3490,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION,625.0,312.5,136.31,562.5,65
HCPCS,J3490,PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION,363.8,181.9,79.34,327.42,65
HCPCS,J3490,PILOCARPINE 1 % EYE DROPS,264.9,132.45,53.0,389.16,325
HCPCS,J3490,PILOCARPINE 2 % EYE DROPS,247.02499999999998,123.515,39.36,355.41,260
HCPCS,J3490,PILOCARPINE 4 % EYE DROPS,281.225,140.615,57.07,330.35,260
HCPCS,J3490,PIMECROLIMUS 1 % TOPICAL CREAM,615.6,307.805,124.87,1244.16,260
HCPCS,J3490,PN - GENERIC D10W - NEONATE (SIMPLE) WH,215.05,107.525,29.14,266.85,132
HCPCS,J3490,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",60.75,30.38,4.84,58.05,325
HCPCS,J3490,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.1,11.555,4.71,56.21,650
HCPCS,J3490,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2361.7,1180.85,515.09,2125.53,65
HCPCS,J3490,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,3679.75,1839.88,802.55,3311.78,65
HCPCS,J3490,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,700.6,350.3,111.32,2229.3,325
HCPCS,J3490,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,80.8,40.4,10.03,107.28,520
HCPCS,J3490,POTASSIUM PHOS-MONO-DIBASIC 3 MMOL/ML (4.7 MEQ POTASSIUM/ML) IV SOLN,164.25,82.13,35.82,147.83,65
HCPCS,J3490,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,205.0,102.5,41.11,199.35,195
HCPCS,J3490,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,143.55,71.78,15.98,491.63,1755
HCPCS,J3490,"PRAMLINTIDE 1,500 MCG/1.5 ML SUBCUTANEOUS PEN INJECTOR",2394.25,1197.13,522.19,2154.83,65
HCPCS,J3490,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",777.95,388.98,169.67,700.16,65
HCPCS,J3490,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",353.2,176.6,28.4,1701.36,585
HCPCS,J3490,PREDNISOLONE SODIUM PHOSPHATE 1 % EYE DROPS,256.15,128.08,55.87,230.54,65
HCPCS,J3490,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,352.9,176.45,10.55,434.93,195
HCPCS,J3490,PROGESTERONE 100 MG VAGINAL SUPPOSITORY,680.4,340.2,148.4,612.36,65
HCPCS,J3490,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,606.3,303.155,24.05,992.12,130
HCPCS,J3490,PROPARACAINE 0.5 % EYE DROPS,193.7,96.85,32.67,216.05,325
HCPCS,J3490,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,165.2,82.6,36.03,148.68,130
HCPCS,J3490,PYRIDOXAL-5 PHOSPHATE (BULK) 100 % POWDER,1599.5,799.75,165.54,2196.0,130
HCPCS,J3490,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,273.8,136.905,43.48,254.84,650
HCPCS,J3490,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,429.975,214.99,77.81,400.73,520
HCPCS,J3490,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,684.5,342.255,136.17,670.19,195
HCPCS,J3490,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION,64.75,32.38,14.12,58.28,130
HCPCS,J3490,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,177.675,88.84,1.67,2280.87,520
HCPCS,J3490,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,249.3,124.65,1.82,2280.87,975
HCPCS,J3490,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,79.875,39.94,1.82,2280.87,780
HCPCS,J3490,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.25,11.63,4.45,62.1,3445
HCPCS,J3490,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,47.05,23.525,5.73,49.86,390
HCPCS,J3490,ROCURONIUM 75 MG/7.5 ML (10 MG/ML) INTRAVENOUS SYRINGE,72.0,36.0,15.7,64.8,65
HCPCS,J3490,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG,382.5,191.25,83.42,344.25,65
HCPCS,J3490,ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
HCPCS,J3490,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
HCPCS,J3490,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
HCPCS,J3490,ROTIGOTINE 4 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
HCPCS,J3490,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,316.1,158.05,6.49,1985.04,1235
HCPCS,J3490,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH,4337.9,2168.955,75.69,7495.88,130
HCPCS,J3490,SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION,258.95,129.48,56.48,233.06,130
HCPCS,J3490,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1351.175,675.5899999999999,241.79,1434.38,195
HCPCS,J3490,SEMAGLUTIDE (WEIGHT LOSS) 2.4 MG/0.75 ML SUBCUTANEOUS PEN INJECTOR,1559.0,779.5,340.02,1403.1,65
HCPCS,J3490,SEMAGLUTIDE 0.25 MG OR 0.5 MG (2 MG/1.5 ML) SUBCUTANEOUS PEN INJECTOR,3478.45,1739.23,758.65,3130.61,65
HCPCS,J3490,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION,605.35,302.68,132.03,544.82,65
HCPCS,J3490,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",116.95,58.48,25.51,105.26,65
HCPCS,J3490,SILVER NITRATE 0.5 % TOPICAL SOLUTION,847.2,423.6,59.67,1278.72,130
HCPCS,J3490,SILVER SULFADIAZINE 1 % TOPICAL CREAM,50.9,25.45,3.11,237.6,1495
HCPCS,J3490,SOD POLYSTYRENE SULFONATE 30 GRAM-SORBITOL 40 GRAM/120 ML ENEMA,498.0,249.0,108.61,448.2,65
HCPCS,J3490,SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV,73.75,36.88,16.08,66.38,130
HCPCS,J3490,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,90.4,45.2,10.45,103.5,715
HCPCS,J3490,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,130
HCPCS,J3490,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,15863.4,7931.7,2419.6,164378.52,260
HCPCS,J3490,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,58.3,29.15,9.92,65.97,910
HCPCS,J3490,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,117.2,58.6,25.56,105.48,130
HCPCS,J3490,SODIUM BICARBONATE 150 MEQ IN 1000 ML SWFI INFUSION (PREMIX),187.0,93.5,40.78,168.3,65
HCPCS,J3490,"SODIUM BICARBONATE 150 MEQ/1,000 ML IN DEXTROSE 5 % INTRAVENOUS",193.0,96.5,42.09,173.7,65
HCPCS,J3490,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE (NEO/PED),94.65,47.33,20.64,85.19,130
HCPCS,J3490,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION (NEO/PED),33.3,16.65,5.73,40.82,325
HCPCS,J3490,SODIUM BICARBONATE 7.5 % (0.9 MEQ/ML) INTRAVENOUS SYRINGE,139.8,69.9,30.49,125.82,130
HCPCS,J3490,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,77.7,38.85,13.09,81.0,325
HCPCS,J3490,SODIUM CHLORIDE 10 % FOR NEBULIZATION,3.9,1.95,0.85,3.51,65
HCPCS,J3490,SODIUM CHLORIDE 3 % (0.513 MEQ/ML) ORAL SOLUTION,18.0,9.0,3.93,16.2,65
HCPCS,J3490,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.45,1.73,0.72,3.74,325
HCPCS,J3490,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.45,1.73,0.71,3.69,455
HCPCS,J3490,SODIUM CHLORIDE-HYPOCHLOROUS ACID 0.033 % IRRIGATION SOLUTION,101.05,50.53,9.89,141.08,130
HCPCS,J3490,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,45.725,22.865000000000002,6.67,54.77,130
HCPCS,J3490,SODIUM CITRATE 4 % (5 ML) INTRA-CATHETER INJECTION SYRINGE,25.05,12.525,4.38,27.0,130
HCPCS,J3490,SODIUM CITRATE 4 % INTRA-CATHETER SOLUTION,15.5,7.75,3.38,13.95,65
HCPCS,J3490,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,66.75,33.375,12.43,68.85,130
HCPCS,J3490,SODIUM CITRATE 7 % INTRA-CATHETER INJECTION SOLUTION,25.5,12.75,5.56,22.95,65
HCPCS,J3490,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,348.85,174.425,56.22,597.02,260
HCPCS,J3490,SODIUM HYALURONATE 16 MG/ML INTRAOCULAR SYRINGE,706.25,353.13,154.03,635.63,65
HCPCS,J3490,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,594.8,297.4,40.83,535.37,195
HCPCS,J3490,SODIUM HYALURONATE 30 MG/ML INTRAOCULAR COMBO SYRINGE,1132.5,566.25,247.0,1019.25,65
HCPCS,J3490,SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION,495.0,247.5,107.96,445.5,65
HCPCS,J3490,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,15888.75,7944.375,3049.26,16016.85,130
HCPCS,J3490,SODIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLUTION,73.0,36.5,15.92,65.7,65
HCPCS,J3490,SODIUM PHOSPHATE 15 MMOL/250 ML NS VIAL-MATE (SIMPLE) **NOT FOR ORDERING/DISPENSING**,73.0,36.5,15.92,65.7,65
HCPCS,J3490,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,368.1,184.05,80.28,331.29,130
HCPCS,J3490,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,299.6,149.8,63.53,277.11,260
HCPCS,J3490,STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION,682.5,341.25,148.85,614.25,130
HCPCS,J3490,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,877.5,438.75,191.38,789.75,130
HCPCS,J3490,STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER,3660.0,1830.0,798.25,3294.0,65
HCPCS,J3490,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,977.5,488.75,213.19,879.75,130
HCPCS,J3490,SUFENTANIL CITRATE (BULK) POWDER,9066.35,4533.18,1977.37,8159.72,65
HCPCS,J3490,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,35.150000000000006,17.575000000000003,6.14,78.3,325
HCPCS,J3490,SUFENTANIL CITRATE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
HCPCS,J3490,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,915.9499999999999,457.97499999999997,142.7,1059.84,260
HCPCS,J3490,SULFACETAMIDE SODIUM 10 % EYE DROPS,174.47500000000002,87.24000000000001,18.45,237.92,130
HCPCS,J3490,SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) EYE DROPS,65.8,32.9,14.35,59.22,65
HCPCS,J3490,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,808.95,404.48,59.53,1030.68,195
HCPCS,J3490,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY,507.25,253.63,110.63,456.53,65
HCPCS,J3490,SURGIFLO WITH THROMBIN KIT,807.2,403.6,176.05,726.48,65
HCPCS,J3490,TACROLIMUS 0.1 % TOPICAL OINTMENT,286.775,143.39,24.23,416.21,130
HCPCS,J3490,TERCONAZOLE 0.4 % VAGINAL CREAM,168.5,84.25,36.75,151.65,65
HCPCS,J3490,TERCONAZOLE 0.8 % VAGINAL CREAM,157.2,78.6,34.29,141.48,65
HCPCS,J3490,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,198.35000000000002,99.18,24.72,255.02,130
HCPCS,J3490,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,23.65,11.83,5.16,21.29,130
HCPCS,J3490,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET,89.25,44.63,11.83,111.83,130
HCPCS,J3490,TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL,63.975,31.990000000000002,4.02,98.55,195
HCPCS,J3490,TETRACAINE 0.5 % EYE DROPS,220.9,110.45500000000001,19.36,329.54,260
HCPCS,J3490,TETRACAINE HCL (PF) 0.5 % EYE DROPS,72.95,36.48,15.91,65.66,65
HCPCS,J3490,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,337.5,168.75,68.56,315.99,260
HCPCS,J3490,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",1051.3,525.65,229.29,946.17,130
HCPCS,J3490,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE",1203.25,601.63,262.43,1082.93,65
HCPCS,J3490,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",266.6,133.3,58.15,239.94,130
HCPCS,J3490,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE",296.4,148.2,64.64,266.76,65
HCPCS,J3490,TIMOLOL 0.25 % EYE DROPS,593.75,296.88,129.5,534.38,65
HCPCS,J3490,TIMOLOL 0.5 % EYE DROPS,582.05,291.025,110.9,590.04,130
HCPCS,J3490,TIMOLOL MALEATE 0.25 % EYE DROPS,25.3,12.65,2.99,82.71,455
HCPCS,J3490,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,772.7249999999999,386.365,156.9,743.45,130
HCPCS,J3490,TIMOLOL MALEATE 0.5 % EYE DROPS,38.9,19.45,5.73,59.4,910
HCPCS,J3490,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,795.475,397.74,55.87,1111.32,390
HCPCS,J3490,TIMOLOL MALEATE 0.5 % ONCE DAILY EYE DROPS,471.5,235.75,64.88,1216.62,195
HCPCS,J3490,TIRZEPATIDE (WEIGHT LOSS) 2.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1255.45,627.73,273.81,1129.91,65
HCPCS,J3490,TIRZEPATIDE (WEIGHT LOSS) 5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1255.45,627.73,273.81,1129.91,65
HCPCS,J3490,TOBRAMYCIN 0.3 % EYE DROPS,64.275,32.14,5.08,77.36,390
HCPCS,J3490,TOBRAMYCIN 0.3 % EYE OINTMENT,1145.15,572.575,217.23,1164.87,130
HCPCS,J3490,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",248.47500000000002,124.24000000000001,11.54,693.23,650
HCPCS,J3490,TOBRAMYCIN 15 MG/ML OPHTHALMIC SOLUTION,13.15,6.58,2.87,11.84,65
HCPCS,J3490,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,1377.9,688.95,300.52,1240.11,65
HCPCS,J3490,TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS,81.95,40.98,17.87,73.76,65
HCPCS,J3490,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS,79.3,39.65,17.3,71.37,65
HCPCS,J3490,TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN,90.6,45.3,19.76,81.54,65
HCPCS,J3490,"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN",137.25,68.63,29.93,123.53,130
HCPCS,J3490,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,162.1,81.05,35.35,145.89,130
HCPCS,J3490,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",55.0,27.5,10.22,127.26,2795
HCPCS,J3490,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",72.4,36.2,13.96,104.04,650
HCPCS,J3490,TRAVOPROST 0.004 % EYE DROPS,324.9,162.45,70.86,292.41,65
HCPCS,J3490,TRETINOIN 0.01 % TOPICAL GEL,165.075,82.54,18.16,222.21,130
HCPCS,J3490,TRIAMCINOLONE 0.1% CR-HYDROCERIN CR 1-1,33.0,16.5,7.2,29.7,65
HCPCS,J3490,TRIAMCINOLONE 0.1% CR-HYDROCERIN CR 3-1,29.05,14.53,6.34,26.15,65
HCPCS,J3490,TRIAMCINOLONE 0.1% CR-SILVER SULFADIAZINE 1% CR 1-1,85.175,42.59,12.39,102.2,130
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,25.45,12.73,2.62,88.29,585
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,27.799999999999997,13.899999999999999,3.72,32.0,390
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,173.5,86.75,27.22,169.7,195
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,95.425,47.715,19.16,92.7,195
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,27.7,13.85,1.2,107.91,1170
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,29.7,14.855,2.54,134.87,1105
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,30.625,15.315000000000001,5.25,49.19,260
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT,23.200000000000003,11.605,4.87,21.65,130
HCPCS,J3490,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL,86.15,43.08,14.69,94.46,130
HCPCS,J3490,TRIFLURIDINE 1 % EYE DROPS,1062.6,531.3,231.75,956.34,65
HCPCS,J3490,TROPICAMIDE 0.5 % EYE DROPS,30.625,15.315000000000001,4.54,36.41,130
HCPCS,J3490,TROPICAMIDE 1 % EYE DROPS,43.95,21.98,8.11,439.38,325
HCPCS,J3490,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,400.0,200.0,87.24,360.0,65
HCPCS,J3490,UREA 40 % TOPICAL CREAM,156.2,78.1,26.05,237.06,195
HCPCS,J3490,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,52.75,26.38,10.22,47.57,650
HCPCS,J3490,VANCOMYCIN EYE DROPS 50 MG/ML,10.65,5.33,2.32,9.59,65
HCPCS,J3490,VANCOMYCIN OPHTHALMIC SOLUTION 50 MG/ML,18.0,9.0,3.93,16.2,65
HCPCS,J3490,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.775000000000006,23.89,9.83,53.78,1105
HCPCS,J3490,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,69.4,34.7,11.48,89.37,845
HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,52.25,26.125,4.82,112.55,2535
HCPCS,J3490,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",2657.95,1328.98,579.7,2392.16,65
HCPCS,J3490,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,2250.75,1125.38,452.45,2316.87,195
HCPCS,J3490,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,270.0,135.0,58.89,243.0,65
HCPCS,J3490,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,85.95,42.98,18.75,77.36,130
HCPCS,J3490,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,96.825,48.415,16.94,307.44,520
HCPCS,J3490,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,262.825,131.415,53.35,252.95,260
HCPCS,J3535,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,124.8,62.4,10.95,333.23,975
HCPCS,J3535,BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,1213.1,606.5550000000001,263.69,1095.44,130
HCPCS,J3535,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1082.95,541.48,61.5,1022.85,195
HCPCS,J3535,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,947.45,473.73,61.52,929.57,195
HCPCS,J3535,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,368.85,184.425,54.55,649.08,260
HCPCS,J3535,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,582.3,291.15,54.55,814.59,325
HCPCS,J3535,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,741.3,370.65,74.08,1103.49,325
HCPCS,J3535,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,1655.725,827.865,175.85,2254.64,130
HCPCS,J3535,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,1655.725,827.865,175.85,2254.64,130
HCPCS,J3535,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,1173.3,586.65,101.22,1694.25,130
HCPCS,J3535,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,642.475,321.24,70.05,867.38,130
HCPCS,J3535,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,1173.3,586.65,101.22,1694.25,130
HCPCS,J3535,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,860.125,430.065,93.77,1161.27,130
HCPCS,J3535,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER,1016.5999999999999,508.29999999999995,193.0,1033.47,130
HCPCS,J3535,FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,1095.125,547.565,156.17,1326.78,130
HCPCS,J3535,FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER,1575.9250000000002,787.965,298.4,1605.29,130
HCPCS,J3535,FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,1601.525,800.7650000000001,255.26,1829.39,130
HCPCS,J3535,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,752.55,376.275,141.18,772.02,130
HCPCS,J3535,FLUTICASONE PROPIONATE 45 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,965.275,482.64,168.2,1043.42,130
HCPCS,J3535,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION,1980.4,990.2,431.93,1782.36,65
HCPCS,J3535,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER,1418.4,709.2,309.35,1276.56,65
HCPCS,J3535,LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER,292.775,146.39,55.47,298.08,130
HCPCS,J3535,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,1957.5,978.75,426.93,1761.75,65
HCPCS,J3535,TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION,1565.1,782.55,341.35,1408.59,65
HCPCS,J3535,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,1530.75,765.38,62.32,3306.42,195
HCPCS,J3535,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,1201.075,600.54,45.38,1974.69,130
HCPCS,J3535,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,1284.9250000000002,642.465,67.4,2034.72,130
HCPCS,J3535,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,933.1999999999999,466.59999999999997,50.08,1473.12,130
HCPCS,J3590,ALIROCUMAB 75 MG/ML SUBCUTANEOUS PEN INJECTOR,1205.5,602.75,262.92,1084.95,65
HCPCS,J3590,MATRIX TISSUE LENEVA DIABETIC FOOT PRESSURE ULCER TUNNEL WOUND FAT PAD ALLOGRAFT ADIPOSE 3 CC,2375.0,1187.5,517.99,2137.5,65
HCPCS,J3590,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4117.45,2058.73,898.02,3705.71,65
HCPCS,J3590,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,3957.2749999999996,1978.6399999999999,828.15,3705.71,130
HCPCS,J3590,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",1303.2,651.6,265.25,1189.94,260
HCPCS,J3590,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",299.55,149.775,59.61,293.22,260
HCPCS,J4390,TIMOLOL MALEATE (PF) 0.25 % EYE DROPS IN A DROPPERETTE,2070.75,1035.38,451.63,1863.68,65
HCPCS,J7030,Normal saline solution infus,,,2.98,9.45,10
HCPCS,J7040,Normal saline solution infus,,,1.5,6.61,3
HCPCS,J7042,5% dextrose/normal saline,,,1.76,4.49,4
HCPCS,J7050,Normal saline solution infus,,,0.75,7.3,4
HCPCS,J7060,5% dextrose/water,,,2.14,2.14,1
HCPCS,J7070,D5w infusion,,,4.29,4.29,1
HCPCS,J7100,Dextran 40 infusion,,,41.09,41.09,1
HCPCS,J7120,Ringers lactate infusion,,,2.88,16.83,10
HCPCS,J7121,5% dextrose in lac ringers,,,1.35,18.94,6
HCPCS,J7131,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,92.2,46.1,9.87,157.5,650
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.58,1.93,5
HCPCS,J7168,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",45.0,22.5,2.18,40.5,142
HCPCS,J7168,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",45.0,22.5,2.18,40.5,142
HCPCS,J7169,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",8775.0,4387.5,131.55,7897.5,71
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,57.22,70.13,5
HCPCS,J7171,"Inj, adzynma, 10 iu",,,36.3,44.48,5
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,52.12,63.87,5
HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,88.13,108.01,5
HCPCS,J7174,Injection fitusiran 0.04 mg,,,135.92,166.57,5
HCPCS,J7175,COAGULATION FACTOR X 500 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,75.3,37.65,9.97,67.77,70
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.18,1.53,6
HCPCS,J7178,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION",45.0,22.5,1.55,40.5,140
HCPCS,J7179,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,45.0,22.5,1.89,40.5,70
HCPCS,J7179,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",45.0,22.5,1.89,40.5,140
HCPCS,J7180,Factor XIII anti-hem factor,,,10.97,13.45,5
HCPCS,J7181,Factor xiii recomb a-subunit,,,18.32,22.7,6
HCPCS,J7182,"ANTIHEMOPHILIC FVIII, B-DOM TRUNCATED 250 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,000 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,500 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 2,000 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 3,000 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
HCPCS,J7182,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 500 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
HCPCS,J7183,Wilate injection,,,1.31,1.61,5
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELET 1,000 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELET 2,000 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,142
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 250 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 500 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
HCPCS,J7185,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SYRINGE",45.0,22.5,1.38,40.5,71
HCPCS,J7186,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN",45.0,22.5,1.27,40.5,70
HCPCS,J7186,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN",45.0,22.5,1.27,40.5,70
HCPCS,J7186,"ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN",45.0,22.5,1.27,40.5,70
HCPCS,J7186,ANTIHEMOPHILIC FACTOR-VWF 250 (100 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,45.0,22.5,1.27,40.5,70
HCPCS,J7186,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,45.0,22.5,1.27,40.5,140
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.52,40.5,70
HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.52,40.5,70
HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.52,40.5,70
HCPCS,J7188,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION",45.0,22.5,3.29,40.5,70
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",7795.0,3897.5,2.71,7015.5,140
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",15565.0,7782.5,2.71,14008.5,70
HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",38875.0,19437.5,2.71,34987.5,140
HCPCS,J7190,Factor viii,,,1.11,1.36,5
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.65,40.5,70
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,500 (+/-) UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.65,40.5,70
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR (RECOMB) 2,000 (+/-) UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.65,40.5,70
HCPCS,J7192,ANTIHEMOPHILIC FACTOR (RECOMB) 250 (+/-) UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.65,40.5,70
HCPCS,J7192,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.65,40.5,70
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,210
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,140
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,140
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,140
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,210
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 4,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,210
HCPCS,J7193,Factor IX non-recombinant,,,1.42,1.75,5
HCPCS,J7194,Factor ix complex,,,1.73,2.12,5
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,70
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,140
HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 250 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.89,40.5,70
HCPCS,J7195,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,70
HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.89,40.5,140
HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,45.175,22.59,4.19,40.82,210
HCPCS,J7198,ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN,45.0,22.5,2.46,40.5,140
HCPCS,J7198,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN",45.0,22.5,2.46,40.5,70
HCPCS,J7198,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",45.0,22.5,2.46,40.5,140
HCPCS,J7200,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,9.81,40.5,65
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 250 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 2,000 (+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 3,500 (+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
HCPCS,J7202,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 250(+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
HCPCS,J7202,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 500(+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
HCPCS,J7203,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 1,000 (+/-) UNIT IV SOLUTION",52.1,26.05,4.55,46.89,70
HCPCS,J7203,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 2,000 (+/-) UNIT IV SOLUTION",52.1,26.05,4.55,46.89,70
HCPCS,J7203,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 500 (+/-) UNIT IV SOLUTION",52.1,26.05,4.55,46.89,70
HCPCS,J7204,"ANTIHEMOPHIL FVIII REC, B-DOM TRUNC PEG-EXEI 500(+/-) UNIT IV SOLUTION",45.0,22.5,2.27,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,500 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 250 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 5,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 6,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 750 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,140
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,500(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,140
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,140
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 3,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 750 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
HCPCS,J7208,Inj. jivi 1 iu,,,2.7,3.31,5
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.14,1.4,5
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 1,000(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 1,500(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 2,000(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 2,500(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 3,000(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 250 (+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7210,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 500 (+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.6,1.96,5
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.95,2.39,6
HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 1,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 250 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 3,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 4,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 500 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
HCPCS,J7294,Seg acet and eth estr yearly,,,2426.05,2426.05,1
HCPCS,J7295,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,751.75,375.88,104.35,680.13,396
HCPCS,J7296,"Kyleena, 19.5 mg",,,1250.65,2780.14,10
HCPCS,J7296,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,4858.55,2429.28,1059.65,4372.7,66
HCPCS,J7297,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,3726.95,1863.48,782.46,3354.26,66
HCPCS,J7297,"Liletta, 52 mg",,,959.36,959.36,1
HCPCS,J7298,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,4858.55,2429.28,1059.65,4372.7,66
HCPCS,J7298,"Mirena, 52 mg",,,1236.11,2699.17,11
HCPCS,J7300,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,3689.0,1844.5,804.57,3320.1,66
HCPCS,J7300,Intra copp contra (paragard),,,1150.05,2586.59,10
HCPCS,J7301,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,4045.55,2022.78,814.15,3641.0,66
HCPCS,J7301,"Skyla, 13.5 mg",,,1126.14,2314.93,7
HCPCS,J7304,Contraceptive hormone patch,,,44.64,44.64,1
HCPCS,J7307,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,2637.7,1318.85,575.28,2373.93,132
HCPCS,J7307,Etonogestrel implant system,,,1203.07,2756.86,11
HCPCS,J7308,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,1927.55,963.78,399.93,1734.8,71
HCPCS,J7310,Vitrasert,,,20240.0,20240.0,1
HCPCS,J7311,FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT,76100.0,38050.0,319.83,68490.0,71
HCPCS,J7312,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,5517.0,2758.5,208.7,4965.3,71
HCPCS,J7313,FLUOCINOLONE 0.19 MG INTRAVITREAL IMPLANT,36301.0,18150.5,508.1,32670.9,71
HCPCS,J7314,FLUOCINOLONE 0.18 MG INTRAVITREAL IMPLANT,35984.0,17992.0,540.49,32385.6,71
HCPCS,J7315,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1795.0,897.5,391.49,1615.5,130
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1039.4,1039.4,1
HCPCS,J7318,"HYALURONATE SODIUM, STABILIZED 60 MG/3 ML INTRA-ARTICULAR SYRINGE",3733.0,1866.5,6.57,3359.7,71
HCPCS,J7318,"Inj, durolane 1 mg",,,7.04,14.85,2
HCPCS,J7320,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,1844.4,922.2,5.89,1659.96,71
HCPCS,J7321,Hyalgan supartz visco-3 dose,,,83.12,178.68,2
HCPCS,J7321,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,878.3,439.15,70.88,986.85,198
HCPCS,J7322,"Hyaluronan, hymo or hymo one",,,17.97,22.02,6
HCPCS,J7323,Euflexxa inj per dose,,,148.65,321.98,4
HCPCS,J7323,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,508.5,254.25,110.9,457.65,142
HCPCS,J7324,Orthovisc inj per dose,,,138.86,323.0,6
HCPCS,J7324,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE,423.5,211.75,92.37,381.15,71
HCPCS,J7325,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE,2557.45,1278.73,8.11,2301.71,71
HCPCS,J7325,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,1080.2,540.1,8.11,972.18,142
HCPCS,J7325,Synvisc or Synvisc-One,,,11.38,51.36,6
HCPCS,J7326,Gel-one,,,539.84,2070.0,9
HCPCS,J7327,"HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE",2110.75,1055.38,460.35,1899.68,71
HCPCS,J7327,Monovisc inj per dose,,,805.16,1132.1,2
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.71,4.02,5
HCPCS,J7328,SODIUM HYALURONATE 16.8 MG/2 ML INTRA-ARTICULAR SYRINGE,1793.55,896.78,0.52,1614.2,66
HCPCS,J7329,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,2084.15,1042.08,4.78,1875.74,71
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,12.13,12.13,1
HCPCS,J7332,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,2260.4,1130.2,10.47,2034.36,71
HCPCS,J7336,Capsaicin 8% patch,,,3.49,4.28,6
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,248.48,304.51,6
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.83,2.24,6
HCPCS,J7351,Inj bimatoprost itc imp1mcg,,,218.12,267.3,6
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,3002.29,3679.28,6
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,59.47,72.89,5
HCPCS,J7354,"Cantharidin top, applicator",,,667.85,818.45,5
HCPCS,J7355,Inj travoprost intra impl,,,199.64,244.65,5
HCPCS,J7402,Mometasone sinus sinuva,,,11.57,14.18,6
HCPCS,J7500,AZATHIOPRINE 50 MG TABLET,174.6,87.3,0.71,241.65,330
HCPCS,J7500,AZATHIOPRINE 50 MG/ML ORAL SUSPENSION,260.4,130.2,5.06,234.36,66
HCPCS,J7501,AZATHIOPRINE 100 MG SOLUTION FOR INJECTION,1065.05,532.53,232.29,958.55,71
HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE,1713.6,856.8,2.51,2234.39,330
HCPCS,J7502,CYCLOSPORINE 100 MG/ML ORAL SOLUTION,3091.0,1545.5,2.51,2781.9,66
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE,198.375,99.19,1.44,1467.72,792
HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,1912.5,956.25,2.51,2133.18,198
HCPCS,J7503,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",1355.575,677.79,1.93,1876.95,132
HCPCS,J7503,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",1529.5500000000002,764.7750000000001,1.93,2002.32,132
HCPCS,J7503,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",5783.975,2891.99,1.93,8008.56,132
HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",15409.4,7704.7,3360.79,13868.46,142
HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",259.8,129.9,0.26,1539.45,792
HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",266.1,133.05,0.26,2462.76,990
HCPCS,J7507,TACROLIMUS 1 MG/ML ORAL SUSPENSION (AH),1732.2,866.1,0.26,1558.98,66
HCPCS,J7507,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",981.5,490.75,0.26,12313.8,528
HCPCS,J7508,"TACROLIMUS XL 1 MG CAPSULE,EXTENDED RELEASE 24 HR",801.15,400.58,0.61,721.04,66
HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABLET,557.875,278.94,0.26,601.2,264
HCPCS,J7509,METHYLPREDNISOLONE 32 MG TABLET,421.75,210.88,0.26,379.58,66
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET,217.8,108.9,0.26,500.4,660
HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,34.175,17.09,0.26,101.52,528
HCPCS,J7509,METHYLPREDNISOLONE 8 MG TABLET,210.0,105.0,0.26,217.08,132
HCPCS,J7510,PREDNISOLONE 10 MG DISINTEGRATING TABLET,727.15,363.58,28.84,1189.85,130
HCPCS,J7510,PREDNISOLONE 15 MG DISINTEGRATING TABLET,1719.55,859.78,375.03,1547.6,65
HCPCS,J7510,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,1291.2,645.6,59.37,1916.37,195
HCPCS,J7510,PREDNISOLONE 5 MG TABLET,4567.2,2283.6,423.43,5167.8,260
HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,192.7,96.355,1.47,215.01,455
HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,10.425,5.215,1.1,31.55,390
HCPCS,J7511,ANTITHYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4502.9,2251.45,982.08,4052.61,71
HCPCS,J7512,PREDNISONE 1 MG TABLET,98.4,49.2,7.46,832.5,455
HCPCS,J7512,PREDNISONE 10 MG TABLET,82.2,41.1,0.69,778.5,975
HCPCS,J7512,PREDNISONE 2.5 MG TABLET,52.8,26.4,10.47,72.36,260
HCPCS,J7512,PREDNISONE 20 MG TABLET,113.7,56.85,0.69,621.0,1170
HCPCS,J7512,PREDNISONE 5 MG TABLET,96.6,48.3,0.69,607.5,845
HCPCS,J7512,PREDNISONE 5 MG/5 ML ORAL SOLUTION,349.2,174.6,3.79,1226.25,195
HCPCS,J7512,PREDNISONE 5 MG/ML ORAL CONCENTRATE,539.4,269.7,117.64,485.46,65
HCPCS,J7512,PREDNISONE 50 MG TABLET,142.8,71.4,0.72,162.54,455
HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE,508.875,254.44,5.43,559.85,325
HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE,94.9,47.45,0.7,367.2,585
HCPCS,J7515,CYCLOSPORINE MODIFIED 50 MG CAPSULE,155.85,77.925,2.62,269.73,130
HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,202.6,101.3,40.15,312.8,330
HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,1986.4,993.2,272.71,3761.28,455
HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,223.8,111.9,0.72,1964.25,1235
HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG TABLET,326.25,163.125,0.7,3141.0,1040
HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",192.25,96.13,3.65,2978.64,845
HCPCS,J7518,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",245.55,122.78,7.43,5956.88,780
HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,170.65,85.33,27.34,324.18,520
HCPCS,J7520,SIROLIMUS 0.5 MG TABLET,2151.0,1075.5,398.36,5750.28,390
HCPCS,J7520,SIROLIMUS 1 MG TABLET,962.5,481.25,8.31,11499.48,650
HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION,1140.0,570.0,238.95,6571.4,325
HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,1203.9,601.95,262.57,1083.51,71
HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,607.625,303.815,5.05,2146.86,390
HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,2053.2,1026.6,10.09,4293.45,455
HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,178.9,89.45,15.13,6440.27,325
HCPCS,J7606,"Formoterol fumarate, inh",,,4.56,4.56,1
HCPCS,J7608,Acetylcysteine non-comp unit,,,7.57,7.57,1
HCPCS,J7611,Albuterol non-comp con,,,0.19,0.94,5
HCPCS,J7613,Albuterol non-comp unit,,,0.04,0.57,10
HCPCS,J7614,Levalbuterol non-comp unit,,,0.1,2.36,8
HCPCS,J7620,Albuterol ipratrop non-comp,,,0.16,2.51,12
HCPCS,J7626,Budesonide non-comp unit,,,1.11,1.11,1
HCPCS,J7627,Budesonide comp unit,,,0.47,0.47,1
HCPCS,J7631,Cromolyn sodium noncomp unit,,,1.14,1.14,1
HCPCS,J7639,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,648.85,324.43,57.8,583.97,132
HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,3.06,1122
HCPCS,J7644,Ipratropium bromide non-comp,,,0.58,4.03,5
HCPCS,J7674,METHACHOLINE (SOLUTION 1) 100 MG/6.25 ML (16 MG/ML) NEBULIZATION SOLUTION,385.7,192.85,84.12,347.13,65
HCPCS,J7674,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,379.55,189.775,29.44,561.69,195
HCPCS,J7674,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION,420.65,210.33,91.74,378.59,130
HCPCS,J7682,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,55.05,27.53,6.5,547.97,990
HCPCS,J7682,TOBRAMYCIN WITH NEBULIZER 300 MG/5 ML SOLUTION FOR NEBULIZATION,297.5,148.75,24.19,267.75,66
HCPCS,J7686,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,2950.3,1475.15,643.46,2655.27,66
HCPCS,J7699,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,9.8,4.9,2.14,8.82,130
HCPCS,J7699,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION,106502.4,53251.2,23228.17,95852.16,65
HCPCS,J7799,AMINO ACID 2.75 % NO.2-DEXTROSE 5 %-ELECTROLYTES NO.29 IV SOLUTION,223.0,111.5,46.02,211.5,198
HCPCS,J7799,AMINO ACID 4.25 % NO.1 IN DEXTROSE 10 % INTRAVENOUS SOLUTION,269.0,134.5,48.64,283.5,132
HCPCS,J7799,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,266.0,133.0,47.33,283.5,132
HCPCS,J7799,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,265.0,132.5,44.71,292.5,396
HCPCS,J7799,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,241.0,120.5,47.33,292.5,396
HCPCS,J7799,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,303.0,151.5,52.56,328.5,132
HCPCS,J7799,AMINO ACID 5 % NO.6 IN DEXTROSE 20 % INTRAVENOUS SOLUTION,303.0,151.5,52.56,328.5,132
HCPCS,J7799,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,305.0,152.5,57.8,337.5,396
HCPCS,J7799,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,305.0,152.5,57.8,337.5,396
HCPCS,J7799,AMINO ACID 6 % IN DEXTROSE 5 % WATER INTRAVENOUS SOLUTION,271.0,135.5,59.11,243.9,132
HCPCS,J7799,AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION,328.0,164.0,59.11,346.5,264
HCPCS,J7799,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,375.0,187.5,64.34,409.5,264
HCPCS,J7799,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,347.0,173.5,63.03,364.5,264
HCPCS,J7799,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,372.5,186.25,61.07,418.5,264
HCPCS,J7799,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,217.0,108.5,34.24,249.3,132
HCPCS,J7799,PARENTERAL AMINO ACID 10 % NO.5 (PEDIATRIC) INTRAVENOUS SOLUTION,335.0,167.5,65.33,301.5,66
HCPCS,J7799,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,397.5,198.75,65.33,382.5,132
HCPCS,J7799,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,300.0,150.0,57.8,301.5,132
HCPCS,J7799,PARENTERAL AMINO ACID 20 % COMBINATION NO.1 INTRAVENOUS SOLUTION,585.0,292.5,65.33,526.5,66
HCPCS,J7999,1-2-3 CREAM 120G JAR,121.7,60.85,26.54,109.53,65
HCPCS,J7999,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION,1900.0,950.0,65.33,1710.0,66
HCPCS,J7999,ARGININE 25 MG/ML-LYSINE 25 MG/ML IN 0.9 % NACL INTRAVENOUS SOLUTION,625.0,312.5,65.33,562.5,66
HCPCS,J7999,BEVACIZUMAB 1.25 MG/0.05 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,130
HCPCS,J7999,BEVACIZUMAB 2.5 MG/0.1 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,130
HCPCS,J7999,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
HCPCS,J7999,BEVACIZUMAB 3.25 MG/0.13 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
HCPCS,J7999,CALCIUM GLUCONATE 1 GRAM/10 ML (100 MG/ML) IN STERILE WATER IV SYRINGE,68.95,34.48,15.04,62.06,65
HCPCS,J7999,CARDIOPLEGIC SOLUTION NO.10 108 MEQ/500 ML (POTASSIUM) FOR PERFUSION,370.0,185.0,80.7,333.0,65
HCPCS,J7999,CEFUROXIME(PF) 4 MG/0.4 ML IN 0.9% SODIUM CHLORIDE INTRAOCULAR SYRINGE,61.8,30.9,13.48,55.62,65
HCPCS,J7999,DEXAMETHASONE 10 MG/50 ML IN 0.9 % SOD.CHLORIDE  INTRAVENOUS PIGGYBACK,46.9,23.45,10.23,42.21,65
HCPCS,J7999,DEXAMETHASONE 20 MG/50 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,47.5,23.75,10.36,42.75,65
HCPCS,J7999,DEXAMETHASONE 8 MG/50 ML IN 0.9 % SOD.CHLORIDE INTRAVENOUS PIGGYBACK,46.5,23.25,10.14,41.85,65
HCPCS,J7999,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,125.5,62.754999999999995,23.61,128.48,130
HCPCS,J7999,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",142.0,71.0,15.43,152.1,325
HCPCS,J7999,"EPINEPHRINE 1 MG/10 ML (100 MCG/ML) IN SODIUM CHLOR,ISO-OSM IV SYRINGE",30.0,15.0,6.54,27.0,65
HCPCS,J7999,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,272.5,136.25,59.43,245.25,65
HCPCS,J7999,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,41.150000000000006,20.58,8.17,40.37,130
HCPCS,J7999,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLOR IV SOLN,283.0,141.5,36.86,288.45,195
HCPCS,J7999,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,314.5,157.25,68.59,283.05,65
HCPCS,J7999,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE",131.8,65.9,28.75,118.62,65
HCPCS,J7999,FENTANYL (PF) 500 MCG/50 ML (10 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE,166.5,83.25,36.31,149.85,65
HCPCS,J7999,GENTAMICIN 0.3 MG/ML SODIUM CITRATE 3 ML CATHETER DWELL,68.775,34.39,9.83,83.25,130
HCPCS,J7999,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,130.2,65.1,13.15,172.53,195
HCPCS,J7999,HYDROMORPHONE (PF) 1 MG/ML IN STERILE WATER INJECTION SYRINGE,26.45,13.23,5.77,23.81,65
HCPCS,J7999,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,99.1,49.55,11.14,100.26,260
HCPCS,J7999,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,140.95,70.48,11.65,131.72,325
HCPCS,J7999,HYDROMORPHONE (PF) 50 MG/50 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,138.7,69.35,30.25,124.83,65
HCPCS,J7999,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,90.0,45.0,11.04,98.64,455
HCPCS,J7999,HYDROMORPHONE 6 MG/30 ML (0.2 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,62.8,31.4,13.7,56.52,65
HCPCS,J7999,HYDROMORPHONE(PF) 6 MG/30 ML (0.2 MG/ML)-WATER INTRAVENOUS PCA SYRINGE,83.5,41.75,18.21,75.15,65
HCPCS,J7999,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION,67.4,33.7,14.7,60.66,65
HCPCS,J7999,"KETAMINE (PF) 10 MG/ML IN SODIUM CHLORIDE, ISO-OSMOTIC IV SOLUTION",205.0,102.5,44.71,184.5,65
HCPCS,J7999,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,31.75,15.875,5.66,40.5,455
HCPCS,J7999,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGE,27.15,13.58,5.92,24.44,130
HCPCS,J7999,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (5 ML) INJ SYRINGE,36.1,18.05,7.87,32.49,65
HCPCS,J7999,LIDOCAINE 1 % BUFFERED WITH 8.4 % SODIUM BICARBONATE J-TIP INJ SYRINGE (NEO/PED),20.05,10.03,4.37,18.05,65
HCPCS,J7999,LIDOCAINE 2% (5 ML) + BUPIVACAINE 0.75% (5 ML),79.9,39.95,17.43,71.91,65
HCPCS,J7999,LIDOCAINE 4 %-EPINEPHRINE 0.09 %-TETRACAINE 0.5 % TOPICAL GEL,66.2,33.1,14.44,59.58,65
HCPCS,J7999,LIDOCAINE 4 %-EPINEPHRINE 0.18 %-TETRACAINE 0.5 % TOPICAL GEL,51.55,25.78,11.24,46.4,65
HCPCS,J7999,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,50.849999999999994,25.424999999999997,3.41,62.91,260
HCPCS,J7999,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL SOLUTION,70.8,35.405,14.35,1931.76,260
HCPCS,J7999,LIDOCAINE 4% (5 ML) + BUPIVACAINE 0.75% (5 ML),75.6,37.8,16.49,68.04,65
HCPCS,J7999,MAFENIDE-EUCERIN 1:1 (CMPD),358.6,179.3,78.21,322.74,65
HCPCS,J7999,MAFENIDE-EUCERIN 1:2 (CMPD),279.4,139.7,60.94,251.46,65
HCPCS,J7999,MAFENIDE-EUCERIN 1:3 (CMPD),252.15,126.08,54.99,226.94,65
HCPCS,J7999,MAGNESIUM SULFATE 2 G IN 1000 ML 0.9% NACL PREMIX,47.0,23.5,10.25,42.3,65
HCPCS,J7999,MITOMYCIN INTRAOCULAR INJ 0.2 MG/0.5 ML SYR (HPMC),450.0,225.0,98.15,405.0,65
HCPCS,J7999,MITOMYCIN INTRAOCULAR INJ 0.4 MG/1 ML SYRINGE,450.0,225.0,98.15,405.0,65
HCPCS,J7999,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION,54.0,27.0,11.78,48.6,65
HCPCS,J7999,MORPHINE (PF) 2 MG/2 ML (1 MG/ML) IN 0.9% SODIUM CHLORIDE INJ SYRINGE,27.0,13.5,5.89,24.3,65
HCPCS,J7999,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9% SOD.CHLORIDE PCA IV SOLN,275.2,137.6,60.02,247.68,65
HCPCS,J7999,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,93.8,46.9,16.56,103.37,325
HCPCS,J7999,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,111.4,55.7,24.3,100.26,130
HCPCS,J7999,MSUD.3 CUSTOM BLEND 12.3% AMINO ACID (12.9% PROTEIN) INTRAVENOUS SOLUTION,4000.0,2000.0,872.4,3600.0,65
HCPCS,J7999,NICARDIPINE 1 MG/10 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,47.2,23.6,10.29,42.48,65
HCPCS,J7999,NICARDIPINE 25 MG/250 ML (0.1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,113.5,56.75,24.75,102.15,65
HCPCS,J7999,NICARDIPINE 25 MG/250 ML NS VIAL-MATE (SIMPLE),113.5,56.75,24.75,102.15,65
HCPCS,J7999,ONDANSETRON 16 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,47.7,23.85,10.4,42.93,65
HCPCS,J7999,OXYMETAZOLINE 0.05 %-LIDOCAINE 4 % 1:1,224.4,112.2,48.94,201.96,65
HCPCS,J7999,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,55.474999999999994,27.740000000000002,9.85,55.71,520
HCPCS,J7999,PHENYLEPHRINE 2.5%/TROPICAMINE 0.25%/DICLOFENAC 0.05% OPHTH SOLN,24.0,12.0,5.23,21.6,65
HCPCS,J7999,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,111.25,55.63,11.95,112.55,325
HCPCS,J7999,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,72.25,36.13,15.76,65.03,65
HCPCS,J7999,THIAMINE 500 MG/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,80.8,40.4,17.62,72.72,65
HCPCS,J7999,TRIAMCINOLONE ACETONIDE(PF) 40 MG/ML IN 0.9 % SODIUM CHLORIDE INJ SUSP,106.325,53.165,15.46,127.58,130
HCPCS,J7999,VANCOMYCIN OPHTHALMIC SOLUTION 25 MG/ML,18.0,9.0,3.93,16.2,65
HCPCS,J7999,VORICONAZOLE 1 % OPHTHALMIC SOLUTION,249.7,124.85,54.46,224.73,65
HCPCS,J7999,VORICONAZOLE INTRAOCULAR INJ 100 MCG/0.1 ML,45.05,22.53,9.83,40.55,65
HCPCS,J8498,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,239.15,119.58,4.35,526.41,455
HCPCS,J8498,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,148.825,74.41499999999999,4.35,526.41,520
HCPCS,J8499,ABACAVIR 20 MG/ML ORAL SOLUTION,596.4,298.2,128.24,611.28,195
HCPCS,J8499,ABACAVIR 300 MG TABLET,696.9,348.45,6.31,1860.21,910
HCPCS,J8499,ABACAVIR 300 MG-LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,5983.7,2991.85,1305.04,5385.33,65
HCPCS,J8499,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,14412.6,7206.3,3143.39,12971.34,65
HCPCS,J8499,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET,2535.8,1267.9,58.89,4321.44,130
HCPCS,J8499,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",368.925,184.465,0.76,889.38,520
HCPCS,J8499,ACARBOSE 50 MG TABLET,102.6,51.3,22.38,92.34,65
HCPCS,J8499,ACEBUTOLOL 200 MG CAPSULE,261.6,130.8,1.52,260.55,195
HCPCS,J8499,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION,26.75,13.375,2.49,37.89,130
HCPCS,J8499,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ORAL SOLUTION,624.85,312.43,10.52,1081.31,130
HCPCS,J8499,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,116.4,58.2,1.13,157.68,585
HCPCS,J8499,ACETAZOLAMIDE 125 MG TABLET,156.0,78.0,34.02,140.4,65
HCPCS,J8499,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,144.6,72.3,31.54,130.14,65
HCPCS,J8499,ACETAZOLAMIDE 250 MG TABLET,209.1,104.55,2.69,1061.1,650
HCPCS,J8499,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",287.85,143.925,6.23,641.52,455
HCPCS,J8499,ACETYLCYSTEINE 600 MG CAPSULE,38.7,19.35,7.85,37.26,130
HCPCS,J8499,ACYCLOVIR 200 MG CAPSULE,57.3,28.65,0.71,330.75,520
HCPCS,J8499,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,300.4,150.2,0.81,1600.65,585
HCPCS,J8499,ACYCLOVIR 400 MG TABLET,63.3,31.65,0.71,387.0,780
HCPCS,J8499,ACYCLOVIR 800 MG TABLET,65.4,32.7,0.91,310.5,455
HCPCS,J8499,ALBENDAZOLE 200 MG TABLET,191.2,95.6,11.38,384.48,390
HCPCS,J8499,ALBUTEROL SULFATE 2 MG TABLET,240.95,120.475,7.01,2115.0,390
HCPCS,J8499,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,149.02499999999998,74.515,0.72,229.91,260
HCPCS,J8499,ALBUTEROL SULFATE 4 MG TABLET,216.60000000000002,108.30000000000001,42.4,214.92,130
HCPCS,J8499,"ALBUTEROL SULFATE ER 4 MG TABLET,EXTENDED RELEASE,12 HR",663.0,331.5,144.6,596.7,65
HCPCS,J8499,ALENDRONATE 10 MG TABLET,53.1,26.55,5.5,72.9,130
HCPCS,J8499,ALENDRONATE 35 MG TABLET,50.25,25.125,2.31,80.91,130
HCPCS,J8499,ALENDRONATE 70 MG TABLET,44.225,22.115000000000002,3.14,250.25,260
HCPCS,J8499,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",67.525,33.765,10.86,77.76,260
HCPCS,J8499,ALLOPURINOL 100 MG TABLET,99.6,49.8,0.7,873.0,1235
HCPCS,J8499,ALLOPURINOL 20 MG/ML ORAL SUSPENSION,18.0,9.0,3.93,16.2,65
HCPCS,J8499,ALLOPURINOL 300 MG TABLET,116.4,58.2,0.73,438.75,1235
HCPCS,J8499,ALOGLIPTIN 25 MG TABLET,869.25,434.63,189.58,782.33,65
HCPCS,J8499,ALOGLIPTIN 6.25 MG TABLET,910.05,455.03,198.48,819.05,65
HCPCS,J8499,ALOSETRON 0.5 MG TABLET,726.9,363.45,158.54,654.21,65
HCPCS,J8499,ALPRAZOLAM 0.125 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
HCPCS,J8499,ALPRAZOLAM 0.25 MG DISINTEGRATING TABLET,201.9,100.95,1.26,358.2,130
HCPCS,J8499,ALPRAZOLAM 0.25 MG TABLET,37.2,18.6,1.11,1867.68,780
HCPCS,J8499,ALPRAZOLAM 0.5 MG DISINTEGRATING TABLET,330.675,165.34,1.71,588.15,130
HCPCS,J8499,ALPRAZOLAM 0.5 MG TABLET,40.8,20.4,1.11,2326.68,845
HCPCS,J8499,ALPRAZOLAM 1 MG TABLET,47.1,23.55,1.12,3104.64,585
HCPCS,J8499,"ALPRAZOLAM ER 0.5 MG TABLET,EXTENDED RELEASE 24 HR",139.15,69.575,28.9,131.22,130
HCPCS,J8499,ALVIMOPAN 12 MG CAPSULE,12000.0,6000.0,109.05,19638.72,325
HCPCS,J8499,AMANTADINE HCL 100 MG CAPSULE,226.2,113.1,1.17,431.1,1040
HCPCS,J8499,AMANTADINE HCL 100 MG TABLET,312.8,156.4,47.24,368.1,130
HCPCS,J8499,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,19.2,9.6,0.74,148.19,780
HCPCS,J8499,AMBRISENTAN 5 MG TABLET,4608.0,2304.0,321.42,9285.84,325
HCPCS,J8499,AMILORIDE 1 MG/ML ORAL SUSPENSION,87.0,43.5,18.97,78.3,65
HCPCS,J8499,AMILORIDE 5 MG TABLET,120.0,60.0,21.07,290.25,195
HCPCS,J8499,AMILORIDE 5 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,227.39999999999998,113.69999999999999,47.24,214.38,130
HCPCS,J8499,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,2817.5,1408.75,543.78,9370.71,195
HCPCS,J8499,AMINOCAPROIC ACID 500 MG TABLET,457.8,228.9,22.27,2155.82,455
HCPCS,J8499,AMIODARONE 100 MG TABLET,377.325,188.66500000000002,34.71,376.25,260
HCPCS,J8499,AMIODARONE 200 MG TABLET,97.2,48.6,0.7,564.75,975
HCPCS,J8499,AMIODARONE 5 MG/ML ORAL SUSPENSION,64.8,32.4,14.13,58.32,65
HCPCS,J8499,AMITRIPTYLINE 10 MG TABLET,55.2,27.6,0.72,589.5,1040
HCPCS,J8499,AMITRIPTYLINE 100 MG TABLET,173.1,86.55,0.76,472.95,715
HCPCS,J8499,AMITRIPTYLINE 150 MG TABLET,231.0,115.5,46.59,603.9,195
HCPCS,J8499,AMITRIPTYLINE 25 MG TABLET,109.5,54.75,0.72,1102.5,1040
HCPCS,J8499,AMITRIPTYLINE 50 MG TABLET,199.2,99.6,0.74,238.95,1170
HCPCS,J8499,AMITRIPTYLINE 75 MG TABLET,121.35,60.675,0.74,341.1,650
HCPCS,J8499,AMLODIPINE 1 MG/ML ORAL SOLUTION,2181.75,1090.88,475.84,1963.58,65
HCPCS,J8499,AMLODIPINE 10 MG TABLET,41.05,20.53,0.69,254.25,845
HCPCS,J8499,AMLODIPINE 2.5 MG TABLET,17.025,8.515,1.42,45.9,325
HCPCS,J8499,AMLODIPINE 2.5 MG-BENAZEPRIL 10 MG CAPSULE,66.6,33.3,14.53,59.94,65
HCPCS,J8499,AMLODIPINE 5 MG TABLET,37.8,18.9,0.69,2820.6,910
HCPCS,J8499,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE,98.69999999999999,49.349999999999994,16.1,111.24,130
HCPCS,J8499,AMLODIPINE 5 MG-BENAZEPRIL 20 MG CAPSULE,106.5,53.25,17.01,121.5,130
HCPCS,J8499,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,2365.8,1182.9,515.98,2129.22,65
HCPCS,J8499,AMOXAPINE 50 MG TABLET,357.0,178.5,77.86,321.3,65
HCPCS,J8499,AMOXICILLIN 125 MG CHEWABLE TABLET,108.0,54.0,23.55,97.2,65
HCPCS,J8499,AMOXICILLIN 125 MG-POTASSIUM CLAVULANATE 31.25 MG/5 ML ORAL SUSP,1648.9,824.45,359.63,1484.01,65
HCPCS,J8499,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION,8.4,4.2,1.68,18.63,195
HCPCS,J8499,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,39.3,19.65,3.79,58.32,260
HCPCS,J8499,AMOXICILLIN 200 MG/5 ML ORAL SUSPENSION,18.0,9.0,3.93,16.2,65
HCPCS,J8499,AMOXICILLIN 250 MG CAPSULE,28.2,14.1,4.06,64.26,325
HCPCS,J8499,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,325.05,162.53,4.68,424.31,325
HCPCS,J8499,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,213.97500000000002,106.99000000000001,2.32,456.98,650
HCPCS,J8499,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,17.3,8.65,0.7,28.35,910
HCPCS,J8499,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG CHEWABLE TABLET,407.5,203.75,88.88,366.75,65
HCPCS,J8499,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,60.0,30.0,1.0,233.1,975
HCPCS,J8499,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,21.0,10.5,0.73,42.66,715
HCPCS,J8499,AMOXICILLIN 500 MG CAPSULE,54.0,27.0,6.54,236.25,585
HCPCS,J8499,AMOXICILLIN 500 MG TABLET,38.4,19.2,8.38,34.56,65
HCPCS,J8499,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,68.9,34.45,2.18,748.8,715
HCPCS,J8499,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,78.075,39.04,0.74,216.0,715
HCPCS,J8499,AMOXICILLIN 875 MG TABLET,53.1,26.55,2.8,189.0,260
HCPCS,J8499,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,141.6,70.8,3.01,1031.4,1170
HCPCS,J8499,"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR",833.65,416.825,160.28,839.16,130
HCPCS,J8499,AMPICILLIN 500 MG CAPSULE,249.0,124.5,54.31,224.1,65
HCPCS,J8499,ANAGRELIDE 0.5 MG CAPSULE,385.0,192.5,72.63,2752.2,195
HCPCS,J8499,APIXABAN 2.5 MG TABLET,554.8,277.4,90.75,624.15,130
HCPCS,J8499,APIXABAN 5 MG TABLET,513.2,256.6,90.75,624.15,195
HCPCS,J8499,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,865.875,432.94,143.62,965.93,130
HCPCS,J8499,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET,752.7,376.35,163.58,2490.93,195
HCPCS,J8499,ARIPIPRAZOLE 10 MG TABLET,54.55,27.275,1.97,1943.06,1625
HCPCS,J8499,ARIPIPRAZOLE 15 MG DISINTEGRATING TABLET,666.675,333.34000000000003,127.23,675.0,130
HCPCS,J8499,ARIPIPRAZOLE 15 MG TABLET,55.1,27.55,2.91,1943.06,1365
HCPCS,J8499,ARIPIPRAZOLE 2 MG TABLET,57.175,28.59,2.75,1943.06,1625
HCPCS,J8499,ARIPIPRAZOLE 20 MG TABLET,77.6,38.8,1.83,190.53,455
HCPCS,J8499,ARIPIPRAZOLE 30 MG TABLET,68.8,34.4,2.44,201.24,325
HCPCS,J8499,ARIPIPRAZOLE 5 MG TABLET,116.65,58.33,0.67,2067.12,1755
HCPCS,J8499,ARMODAFINIL 150 MG TABLET,218.7,109.35,6.2,3639.74,325
HCPCS,J8499,ARMODAFINIL 200 MG TABLET,52.5,26.25,7.74,62.55,130
HCPCS,J8499,ARMODAFINIL 250 MG TABLET,218.7,109.35,8.56,3639.74,325
HCPCS,J8499,ARMODAFINIL 50 MG TABLET,66.625,33.315,6.52,162.68,260
HCPCS,J8499,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,622.95,311.48,135.87,560.66,65
HCPCS,J8499,ASENAPINE 10 MG SUBLINGUAL TABLET,729.0,364.5,24.33,4400.82,455
HCPCS,J8499,ASENAPINE 5 MG SUBLINGUAL TABLET,713.1,356.55,24.33,4400.82,585
HCPCS,J8499,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",297.95,148.975,43.82,648.81,390
HCPCS,J8499,ATAZANAVIR 150 MG CAPSULE,796.05,398.025,167.3,1255.23,260
HCPCS,J8499,ATAZANAVIR 200 MG CAPSULE,1418.7,709.35,192.56,4869.95,325
HCPCS,J8499,ATAZANAVIR 300 MG CAPSULE,891.0,445.5,194.33,801.9,65
HCPCS,J8499,ATAZANAVIR 300 MG-COBICISTAT 150 MG TABLET,5937.0,2968.5,1294.86,5343.3,65
HCPCS,J8499,ATENOLOL 100 MG TABLET,57.0,28.5,0.7,102.6,260
HCPCS,J8499,ATENOLOL 2 MG/ML ORAL SUSPENSION,3.3,1.65,0.72,2.97,65
HCPCS,J8499,ATENOLOL 25 MG TABLET,45.0,22.5,0.69,248.4,390
HCPCS,J8499,ATENOLOL 50 MG TABLET,21.0,10.5,0.68,43.2,390
HCPCS,J8499,ATOMOXETINE 10 MG CAPSULE,269.025,134.515,38.36,1644.98,650
HCPCS,J8499,ATOMOXETINE 100 MG CAPSULE,286.95,143.48,62.58,258.26,65
HCPCS,J8499,ATOMOXETINE 18 MG CAPSULE,293.05,146.53,41.81,1644.98,325
HCPCS,J8499,ATOMOXETINE 25 MG CAPSULE,228.25,114.13,2.18,1644.98,715
HCPCS,J8499,ATOMOXETINE 40 MG CAPSULE,120.1,60.05,3.56,1787.27,780
HCPCS,J8499,ATOMOXETINE 60 MG CAPSULE,265.35,132.675,3.56,1787.27,520
HCPCS,J8499,ATOMOXETINE 80 MG CAPSULE,225.2,112.6,29.14,215.15,195
HCPCS,J8499,ATORVASTATIN 10 MG TABLET,82.8,41.4,0.69,4050.72,1235
HCPCS,J8499,ATORVASTATIN 20 MG TABLET,65.1,32.55,0.69,5299.7,910
HCPCS,J8499,ATORVASTATIN 40 MG TABLET,96.7,48.35,0.69,5538.47,1820
HCPCS,J8499,ATORVASTATIN 80 MG TABLET,85.9,42.95,0.71,5538.47,1495
HCPCS,J8499,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,631.05,315.525,3.52,2251.44,390
HCPCS,J8499,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,153.95,76.975,10.62,5012.28,1560
HCPCS,J8499,AVACOPAN 10 MG CAPSULE,11583.25,5791.63,2526.31,10424.93,65
HCPCS,J8499,AZITHROMYCIN 500 MG TABLET,254.0,127.0,2.28,651.38,585
HCPCS,J8499,B COMPLEX-C-MIN-FE-FA 106 MG IRON-1 MG TABLET,111.0,55.5,0.7,170.64,195
HCPCS,J8499,BACLOFEN 10 MG TABLET,117.6,58.8,0.73,841.5,1625
HCPCS,J8499,BACLOFEN 20 MG TABLET,157.75,78.875,0.67,320.85,715
HCPCS,J8499,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,2647.7,1323.855,3.06,6040.44,390
HCPCS,J8499,BACLOFEN 5 MG TABLET,84.0,42.0,1.45,248.63,195
HCPCS,J8499,BALOXAVIR MARBOXIL 40 MG TABLET,794.95,397.48,173.38,715.46,65
HCPCS,J8499,BALSALAZIDE 750 MG CAPSULE,302.4,151.2,1.71,6268.77,325
HCPCS,J8499,BARICITINIB 1 MG TABLET,10903.6,5451.8,2378.08,9813.24,65
HCPCS,J8499,BARICITINIB 2 MG TABLET,10903.6,5451.8,2378.08,9813.24,65
HCPCS,J8499,BECLOMETHASONE DIPROP 1 MG/ML IN CORN OIL SUSPENSION,11.625,5.8149999999999995,0.67,18.18,130
HCPCS,J8499,BENZONATATE 100 MG CAPSULE,77.1,38.55,0.74,326.25,1430
HCPCS,J8499,BENZONATATE 200 MG CAPSULE,112.2,56.1,7.55,170.1,455
HCPCS,J8499,BENZTROPINE 0.5 MG TABLET,126.9,63.45,0.74,562.5,650
HCPCS,J8499,BENZTROPINE 1 MG TABLET,96.6,48.3,0.73,189.54,715
HCPCS,J8499,BENZTROPINE 2 MG TABLET,176.7,88.35,0.74,237.06,390
HCPCS,J8499,BETAXOLOL 10 MG TABLET,281.25,140.625,55.72,276.3,130
HCPCS,J8499,BETAXOLOL 20 MG TABLET,436.5,218.25,95.2,392.85,65
HCPCS,J8499,BETHANECHOL 5 MG/ML ORAL SOLUTION,57.4,28.7,12.52,51.66,65
HCPCS,J8499,BETHANECHOL CHLORIDE 10 MG TABLET,123.30000000000001,61.650000000000006,0.69,234.0,390
HCPCS,J8499,BETHANECHOL CHLORIDE 25 MG TABLET,239.4,119.7,0.76,332.1,585
HCPCS,J8499,BETHANECHOL CHLORIDE 5 MG TABLET,63.0,31.5,13.22,120.42,195
HCPCS,J8499,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,15591.15,7795.58,3400.43,14032.04,130
HCPCS,J8499,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,84.45,42.23,18.42,76.01,65
HCPCS,J8499,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,66.1,33.05,14.42,59.49,65
HCPCS,J8499,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,153.4,76.7,4.48,228.42,260
HCPCS,J8499,BISOPROLOL FUMARATE 5 MG TABLET,78.7,39.35,1.45,248.63,390
HCPCS,J8499,BOSENTAN 125 MG TABLET,4803.6,2401.8,938.53,4773.6,130
HCPCS,J8499,BOSENTAN 6.25 MG/ML ORAL SUSPENSION,270.3,135.15,58.95,243.27,65
HCPCS,J8499,BOSENTAN 62.5 MG TABLET,4813.8,2406.9,938.53,15228.0,325
HCPCS,J8499,BREXPIPRAZOLE 0.25 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
HCPCS,J8499,BREXPIPRAZOLE 0.5 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
HCPCS,J8499,BREXPIPRAZOLE 1 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
HCPCS,J8499,BREXPIPRAZOLE 2 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
HCPCS,J8499,BREXPIPRAZOLE 3 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
HCPCS,J8499,BRIVARACETAM 10 MG TABLET,5447.05,2723.53,1188.0,4902.35,65
HCPCS,J8499,BRIVARACETAM 10 MG/ML ORAL SOLUTION,2789.85,1394.925,28.99,4902.12,130
HCPCS,J8499,BRIVARACETAM 100 MG TABLET,7262.725,3631.365,1188.0,8170.56,130
HCPCS,J8499,BRIVARACETAM 25 MG TABLET,7262.725,3631.365,1188.0,8170.56,130
HCPCS,J8499,BRIVARACETAM 50 MG TABLET,7262.725,3631.365,1188.0,8170.56,130
HCPCS,J8499,BROMOCRIPTINE 2.5 MG TABLET,321.3,160.65,7.0,721.17,520
HCPCS,J8499,BROMPHENIRAMINE-PSEUDOEPHEDRINE-DM 2 MG-30 MG-10 MG/5 ML ORAL SYRUP,30.2,15.105,0.87,102.6,260
HCPCS,J8499,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",625.25,312.625,13.0,1860.75,520
HCPCS,J8499,BUMETANIDE 0.5 MG TABLET,166.2,83.1,1.43,243.9,325
HCPCS,J8499,BUMETANIDE 1 MG TABLET,199.35,99.675,0.92,1118.25,1170
HCPCS,J8499,BUMETANIDE 2 MG TABLET,6.95,3.48,1.46,587.25,195
HCPCS,J8499,BUPROPION HCL 100 MG TABLET,65.1,32.55,1.3,652.95,650
HCPCS,J8499,BUPROPION HCL 75 MG TABLET,43.2,21.6,0.88,388.35,715
HCPCS,J8499,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",68.07499999999999,34.04,0.71,1815.48,845
HCPCS,J8499,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",79.05,39.53,0.75,1945.62,845
HCPCS,J8499,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",102.975,51.49,5.34,2890.31,390
HCPCS,J8499,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",76.45,38.225,1.08,7305.03,2080
HCPCS,J8499,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",158.8,79.4,1.61,9643.01,1170
HCPCS,J8499,BUSPIRONE 10 MG TABLET,46.8,23.4,0.69,227.25,910
HCPCS,J8499,BUSPIRONE 15 MG TABLET,44.3,22.15,0.73,245.16,1105
HCPCS,J8499,BUSPIRONE 2.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,BUSPIRONE 30 MG TABLET,43.95,21.975,6.37,52.83,130
HCPCS,J8499,BUSPIRONE 5 MG TABLET,30.6,15.3,0.69,113.4,975
HCPCS,J8499,BUSPIRONE 7.5 MG TABLET,200.55,100.28,1.46,245.7,390
HCPCS,J8499,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG TABLET,554.0,277.0,120.83,498.6,65
HCPCS,J8499,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP,384.25,192.125,81.13,356.85,130
HCPCS,J8499,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,1925.5,962.75,419.95,1732.95,65
HCPCS,J8499,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,187.2,93.6,1.34,1786.5,1495
HCPCS,J8499,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,497.0,248.5,108.07,448.65,130
HCPCS,J8499,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,42.95,21.48,3.4,251.1,585
HCPCS,J8499,CALCITRIOL 0.25 MCG CAPSULE,84.0,42.0,0.93,430.2,845
HCPCS,J8499,CALCITRIOL 0.5 MCG CAPSULE,274.8,137.4,48.42,419.4,260
HCPCS,J8499,CALCITRIOL 1 MCG/ML ORAL SOLUTION,706.45,353.225,73.14,1800.05,260
HCPCS,J8499,CALCIUM ACETATE(PHOSPHAT BINDRS) 667 MG(169 MG CALCIUM)/5 ML ORAL SOLN,792.3,396.15,172.8,713.07,65
HCPCS,J8499,CANAGLIFLOZIN 100 MG TABLET,4642.575000000001,2321.29,506.28,6267.47,130
HCPCS,J8499,CANAGLIFLOZIN 300 MG TABLET,2321.3,1160.65,506.28,2089.17,65
HCPCS,J8499,CANDESARTAN 16 MG TABLET,1067.1,533.55,232.73,960.39,65
HCPCS,J8499,CANDESARTAN 32 MG TABLET,255.0,127.5,55.62,229.5,65
HCPCS,J8499,CANDESARTAN 8 MG TABLET,239.95,119.98,52.33,215.96,65
HCPCS,J8499,CANNABIDIOL 100 MG/ML ORAL SOLUTION,5472.125,2736.065,895.14,6156.0,195
HCPCS,J8499,CAPTOPRIL 1 MG/ML ORAL SUSPENSION,28.2,14.1,6.15,25.38,65
HCPCS,J8499,CAPTOPRIL 12.5 MG TABLET,299.25,149.625,1.4,486.9,650
HCPCS,J8499,CAPTOPRIL 25 MG TABLET,306.0,153.0,1.77,645.3,715
HCPCS,J8499,CAPTOPRIL 25 MG-HYDROCHLOROTHIAZIDE 15 MG TABLET,452.5,226.25,98.69,407.25,65
HCPCS,J8499,CAPTOPRIL 3.125 MG SPLIT TABLET,3.3,1.65,0.72,2.97,65
HCPCS,J8499,CAPTOPRIL 50 MG TABLET,689.0,344.5,124.54,630.0,260
HCPCS,J8499,CARBAMAZEPINE 100 MG CHEWABLE TABLET,157.2,78.6,0.73,178.74,390
HCPCS,J8499,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,11.5,5.75,0.76,397.53,520
HCPCS,J8499,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,298.125,149.065,55.45,826.2,260
HCPCS,J8499,CARBAMAZEPINE 200 MG TABLET,265.2,132.6,0.75,1638.0,715
HCPCS,J8499,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,15.7,7.85,1.64,399.83,585
HCPCS,J8499,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",847.2,423.6,2.13,885.06,390
HCPCS,J8499,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",140.4,70.2,28.13,687.6,390
HCPCS,J8499,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",786.6,393.3,2.13,907.2,455
HCPCS,J8499,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",309.2,154.6,3.72,1372.05,715
HCPCS,J8499,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",876.0,438.0,2.13,885.06,390
HCPCS,J8499,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",518.25,259.125,56.92,697.95,130
HCPCS,J8499,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,46.8,23.4,4.99,83.7,585
HCPCS,J8499,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET,364.0,182.0,79.39,327.6,65
HCPCS,J8499,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET,332.5,166.25,72.52,299.25,65
HCPCS,J8499,CARBIDOPA 25 MG TABLET,416.5,208.25,90.84,374.85,65
HCPCS,J8499,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,337.5,168.75,58.23,367.2,130
HCPCS,J8499,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,81.0,40.5,0.71,654.75,1495
HCPCS,J8499,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,416.5,208.25,72.3,451.35,130
HCPCS,J8499,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,103.2,51.6,0.72,335.25,780
HCPCS,J8499,CARBIDOPA 31.25 MG-LEVODOPA 125 MG-ENTACAPONE 200 MG TABLET,282.0,141.0,61.5,253.8,65
HCPCS,J8499,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,862.5,431.25,72.08,1255.05,130
HCPCS,J8499,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",1901.5,950.75,414.72,1711.35,65
HCPCS,J8499,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",171.3,85.65,0.72,352.35,520
HCPCS,J8499,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",1901.5,950.75,414.72,1711.35,65
HCPCS,J8499,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",297.0,148.5,0.79,332.55,520
HCPCS,J8499,CARIPRAZINE 1.5 MG CAPSULE,3926.9,1963.45,535.28,5301.32,195
HCPCS,J8499,CARIPRAZINE 3 MG CAPSULE,3926.9,1963.45,535.28,5301.32,195
HCPCS,J8499,CARISOPRODOL 350 MG TABLET,46.8,23.4,7.59,387.0,455
HCPCS,J8499,CARVEDILOL 1.25 MG/ML ORAL SUSPENSION,14.4,7.2,3.14,12.96,65
HCPCS,J8499,CARVEDILOL 12.5 MG TABLET,50.099999999999994,25.049999999999997,0.68,1882.08,1105
HCPCS,J8499,CARVEDILOL 25 MG TABLET,29.4,14.7,0.68,213.3,650
HCPCS,J8499,CARVEDILOL 3.125 MG TABLET,47.4,23.7,0.68,213.3,1170
HCPCS,J8499,CARVEDILOL 6.25 MG TABLET,40.2,20.1,0.68,213.3,975
HCPCS,J8499,CEFACLOR 250 MG CAPSULE,238.7,119.35,52.06,214.83,65
HCPCS,J8499,CEFADROXIL 250 MG/5 ML ORAL SUSPENSION,162.0,81.0,35.33,145.8,65
HCPCS,J8499,CEFADROXIL 500 MG CAPSULE,177.15,88.575,24.41,264.6,260
HCPCS,J8499,CEFADROXIL 500 MG/5 ML ORAL SUSPENSION,200.25,100.13,43.67,180.23,65
HCPCS,J8499,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,55.45,27.73,12.09,49.91,65
HCPCS,J8499,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,119.9,59.95,2.18,531.9,585
HCPCS,J8499,CEFDINIR 300 MG CAPSULE,285.15,142.58,3.06,1035.72,650
HCPCS,J8499,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,570.0,285.0,48.88,726.08,195
HCPCS,J8499,CEFIXIME 400 MG CAPSULE,429.2,214.6,93.61,386.28,65
HCPCS,J8499,CEFPODOXIME 100 MG TABLET,258.45,129.225,50.64,256.73,260
HCPCS,J8499,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,362.35,181.175,6.28,590.4,260
HCPCS,J8499,CEFPODOXIME 200 MG TABLET,339.75,169.875,57.84,2175.3,260
HCPCS,J8499,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,32.7,16.35,6.15,169.56,195
HCPCS,J8499,CEFPROZIL 250 MG TABLET,531.75,265.875,83.97,610.65,130
HCPCS,J8499,CEFPROZIL 250 MG/5 ML ORAL SUSPENSION,93.45,46.725,20.28,84.51,130
HCPCS,J8499,CEFPROZIL 500 MG TABLET,375.0,187.5,81.79,337.5,65
HCPCS,J8499,CEFUROXIME AXETIL 250 MG TABLET,84.8,42.4,3.86,455.76,780
HCPCS,J8499,CEFUROXIME AXETIL 500 MG TABLET,196.7,98.35,4.17,286.02,455
HCPCS,J8499,CELECOXIB 10 MG/ML ORAL SUSPENSION,3.2,1.6,0.7,2.88,65
HCPCS,J8499,CELECOXIB 100 MG CAPSULE,168.6,84.3,0.98,3332.52,1235
HCPCS,J8499,CELECOXIB 200 MG CAPSULE,295.8,147.9,1.09,27333.0,1755
HCPCS,J8499,CELECOXIB 400 MG CAPSULE,518.55,259.275,22.54,7846.56,260
HCPCS,J8499,CENOBAMATE 100 MG TABLET,4494.6,2247.3,980.27,4045.14,65
HCPCS,J8499,CENOBAMATE 12.5 MG (14)-25 MG (14) TABLETS IN A DOSE PACK,513.25,256.63,111.94,461.93,65
HCPCS,J8499,CENOBAMATE 50 MG TABLET,4494.6,2247.3,980.27,4045.14,65
HCPCS,J8499,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,60.0,30.0,10.86,57.78,195
HCPCS,J8499,CEPHALEXIN 250 MG CAPSULE,82.80000000000001,41.400000000000006,0.72,135.54,585
HCPCS,J8499,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,69.9,34.95,0.74,1248.3,715
HCPCS,J8499,CEPHALEXIN 500 MG CAPSULE,109.2,54.6,0.71,317.25,845
HCPCS,J8499,CEVIMELINE 30 MG CAPSULE,388.175,194.09,31.45,2723.4,390
HCPCS,J8499,CHLORDIAZEPOXIDE 10 MG CAPSULE,78.6,39.3,1.2,245.7,195
HCPCS,J8499,CHLORDIAZEPOXIDE 25 MG CAPSULE,294.6,147.3,1.2,5974.92,520
HCPCS,J8499,CHLORDIAZEPOXIDE 5 MG CAPSULE,114.6,57.3,1.22,267.75,195
HCPCS,J8499,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,509.2,254.6,6.67,16456.32,585
HCPCS,J8499,CHLOROQUINE 500 MG TABLET,944.4,472.2,205.97,849.96,65
HCPCS,J8499,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,318.8,159.4,69.53,286.92,65
HCPCS,J8499,CHLORPROMAZINE 10 MG TABLET,254.95,127.475,1.37,1100.7,650
HCPCS,J8499,CHLORPROMAZINE 100 MG TABLET,784.5,392.25,4.67,2110.5,715
HCPCS,J8499,CHLORPROMAZINE 200 MG TABLET,1164.5,582.25,253.98,1048.05,65
HCPCS,J8499,CHLORPROMAZINE 25 MG TABLET,364.0,182.0,1.64,1261.35,910
HCPCS,J8499,CHLORPROMAZINE 50 MG TABLET,517.5,258.75,3.17,1532.7,975
HCPCS,J8499,CHLORTHALIDONE 25 MG TABLET,63.0,31.5,0.77,794.7,1105
HCPCS,J8499,CHLORTHALIDONE 50 MG TABLET,75.4,37.7,6.02,135.0,260
HCPCS,J8499,CHLORZOXAZONE 500 MG TABLET,125.4,62.7,24.86,123.12,130
HCPCS,J8499,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,21.925,10.965,0.76,542.7,780
HCPCS,J8499,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,191.9,95.95,0.75,359.1,585
HCPCS,J8499,CILOSTAZOL 100 MG TABLET,129.97500000000002,64.99000000000001,0.94,192.51,390
HCPCS,J8499,CILOSTAZOL 50 MG TABLET,70.4,35.2,0.96,196.29,390
HCPCS,J8499,CINACALCET 30 MG TABLET,85.35,42.675,8.53,3192.84,1170
HCPCS,J8499,CINACALCET 5 MG/ML ORAL SUSPENSION,364.5,182.25,79.5,328.05,65
HCPCS,J8499,CINACALCET 60 MG TABLET,149.7,74.85,25.6,3662.1,650
HCPCS,J8499,CINACALCET 90 MG TABLET,216.0,108.0,43.11,194.76,260
HCPCS,J8499,CIPROFLOXACIN 100 MG TABLET,255.4,127.7,55.7,229.86,65
HCPCS,J8499,CIPROFLOXACIN 250 MG TABLET,68.4,34.2,0.71,2038.95,780
HCPCS,J8499,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,602.5,301.25,131.41,542.25,65
HCPCS,J8499,CIPROFLOXACIN 500 MG TABLET,131.1,65.55,0.69,1909.08,1625
HCPCS,J8499,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,704.0,352.0,153.54,633.6,65
HCPCS,J8499,CIPROFLOXACIN 750 MG TABLET,96.0,48.0,17.73,186.84,325
HCPCS,J8499,CITALOPRAM 10 MG TABLET,26.775,13.39,0.69,70.2,390
HCPCS,J8499,CITALOPRAM 20 MG TABLET,29.700000000000003,14.850000000000001,2.49,3303.72,455
HCPCS,J8499,CITALOPRAM 40 MG TABLET,26.400000000000002,13.200000000000001,3.79,3447.72,325
HCPCS,J8499,CLARITHROMYCIN 125 MG/5 ML ORAL SUSPENSION,412.5,206.25,89.97,371.25,65
HCPCS,J8499,CLARITHROMYCIN 250 MG TABLET,97.2,48.6,5.46,938.7,325
HCPCS,J8499,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,479.375,239.69,66.14,589.95,130
HCPCS,J8499,CLARITHROMYCIN 500 MG TABLET,123.15,61.58,1.74,263.79,585
HCPCS,J8499,"CLARITHROMYCIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1887.0,943.5,396.57,1933.47,195
HCPCS,J8499,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,99.0,49.5,1.82,207.9,650
HCPCS,J8499,CLINDAMYCIN HCL 150 MG CAPSULE,89.4,44.7,0.71,210.6,585
HCPCS,J8499,CLINDAMYCIN HCL 300 MG CAPSULE,127.8,63.9,0.87,498.6,520
HCPCS,J8499,CLOBAZAM 10 MG TABLET,178.2,89.1,3.12,10419.48,650
HCPCS,J8499,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,183.625,91.815,0.76,5213.84,585
HCPCS,J8499,CLOBAZAM 5 MG SPLIT TABLET,5.35,2.68,1.17,4.82,65
HCPCS,J8499,CLOMIPRAMINE 25 MG CAPSULE,232.875,116.44,8.92,3189.24,780
HCPCS,J8499,CLOMIPRAMINE 50 MG CAPSULE,477.85,238.925,35.81,712.35,130
HCPCS,J8499,CLOMIPRAMINE 75 MG CAPSULE,50.4,25.2,10.99,45.36,65
HCPCS,J8499,CLONAZEPAM 0.1 MG/ML ORAL SUSPENSION,12.2,6.1,1.13,17.28,130
HCPCS,J8499,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,157.5,78.75,1.2,252.45,390
HCPCS,J8499,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,170.3,85.15,1.2,233.28,325
HCPCS,J8499,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,173.9,86.95,1.2,233.01,195
HCPCS,J8499,CLONAZEPAM 0.5 MG TABLET,81.0,40.5,1.17,1113.75,1105
HCPCS,J8499,CLONAZEPAM 1 MG DISINTEGRATING TABLET,154.45,77.225,1.2,266.22,390
HCPCS,J8499,CLONAZEPAM 1 MG TABLET,90.6,45.3,1.11,1270.8,1170
HCPCS,J8499,CLONAZEPAM 2 MG TABLET,89.4,44.7,6.94,132.3,130
HCPCS,J8499,CLONIDINE 0.02 MG/ML ORAL SUSPENSION,35.825,17.915000000000003,0.71,61.56,130
HCPCS,J8499,CLONIDINE HCL 0.05 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,CLONIDINE HCL 0.1 MG TABLET,41.7,20.85,0.71,156.6,1040
HCPCS,J8499,CLONIDINE HCL 0.2 MG TABLET,34.5,17.25,0.72,156.6,585
HCPCS,J8499,CLONIDINE HCL 0.3 MG TABLET,35.7,17.85,0.72,69.12,260
HCPCS,J8499,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",428.025,214.015,5.9,2090.88,585
HCPCS,J8499,CLOPIDOGREL 300 MG TABLET,799.3,399.65,6.16,1793.61,650
HCPCS,J8499,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
HCPCS,J8499,CLOPIDOGREL 75 MG TABLET,44.85,22.43,0.69,202.5,1430
HCPCS,J8499,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,1072.5,536.25,74.95,1030.95,325
HCPCS,J8499,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,455.5,227.75,76.12,522.45,260
HCPCS,J8499,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,455.25,227.625,57.32,729.45,390
HCPCS,J8499,CLOTRIMAZOLE 10 MG TROCHE,346.15,173.08,23.73,679.77,455
HCPCS,J8499,CLOZAPINE 100 MG DISINTEGRATING TABLET,1379.3,689.65,7.52,1520.1,195
HCPCS,J8499,CLOZAPINE 100 MG TABLET,307.0,153.5,0.77,425.7,910
HCPCS,J8499,CLOZAPINE 25 MG DISINTEGRATING TABLET,547.95,273.98,2.99,674.1,195
HCPCS,J8499,CLOZAPINE 25 MG TABLET,155.4,77.7,0.72,251.55,650
HCPCS,J8499,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,36.15,18.08,1.12,143.06,1105
HCPCS,J8499,CODEINE SULFATE 15 MG TABLET,330.0,165.0,71.97,297.0,65
HCPCS,J8499,CODEINE SULFATE 30 MG TABLET,299.0,149.5,53.26,287.1,195
HCPCS,J8499,CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE,903.25,451.625,164.12,948.6,130
HCPCS,J8499,COLCHICINE 0.3 MG SPLIT TABLET,3.25,1.63,0.71,2.93,65
HCPCS,J8499,COLCHICINE 0.6 MG TABLET,216.0,108.0,3.15,2394.36,1885
HCPCS,J8499,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,959.325,479.665,151.31,1102.41,130
HCPCS,J8499,COLESEVELAM 625 MG TABLET,411.15,205.575,3.85,2240.15,520
HCPCS,J8499,COLESTIPOL 1 GRAM TABLET,514.8,257.4,97.62,1121.58,195
HCPCS,J8499,COLESTIPOL 5 GRAM ORAL PACKET,300.75,150.38,65.59,270.68,65
HCPCS,J8499,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET,1144.65,572.33,249.65,1030.19,65
HCPCS,J8499,CONJUGATED ESTROGENS 0.3 MG TABLET,2614.8,1307.4,570.29,2353.32,65
HCPCS,J8499,CONJUGATED ESTROGENS 0.45 MG TABLET,2614.8,1307.4,570.29,2353.32,65
HCPCS,J8499,CONJUGATED ESTROGENS 0.625 MG TABLET,2614.8,1307.4,570.29,2353.32,65
HCPCS,J8499,CONJUGATED ESTROGENS 0.9 MG TABLET,2614.8,1307.4,570.29,2353.32,65
HCPCS,J8499,CONJUGATED ESTROGENS 1.25 MG TABLET,2614.8,1307.4,570.29,2353.32,65
HCPCS,J8499,COPPER GLUCONATE 2 MG TABLET,26.4,13.2,5.76,23.76,65
HCPCS,J8499,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,11.55,5.78,1.11,20.12,325
HCPCS,J8499,CYCLOBENZAPRINE 10 MG TABLET,38.1,19.05,0.69,301.5,1625
HCPCS,J8499,CYCLOBENZAPRINE 5 MG TABLET,15.0,7.5,0.73,98.01,780
HCPCS,J8499,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,207.675,103.84,28.47,255.42,260
HCPCS,J8499,CYPROHEPTADINE 4 MG TABLET,49.8,24.9,0.82,2318.4,845
HCPCS,J8499,DABIGATRAN ETEXILATE 150 MG CAPSULE,457.4,228.7,5.99,784.08,390
HCPCS,J8499,DABIGATRAN ETEXILATE 75 MG CAPSULE,416.1,208.05,3.64,784.08,390
HCPCS,J8499,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",527.1,263.55,66.02,7772.13,325
HCPCS,J8499,DANAZOL 200 MG CAPSULE,904.35,452.175,170.45,924.48,130
HCPCS,J8499,DANAZOL 50 MG CAPSULE,906.0,453.0,197.6,815.4,65
HCPCS,J8499,DANTROLENE 25 MG CAPSULE,271.5,135.75,2.16,369.9,520
HCPCS,J8499,DANTROLENE 5 MG/ML ORAL SUSPENSION,38.7,19.35,8.44,34.83,65
HCPCS,J8499,DANTROLENE 50 MG CAPSULE,305.25,152.625,66.41,275.4,130
HCPCS,J8499,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,1875.0,937.5,349.79,1692.9,195
HCPCS,J8499,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,1860.825,930.415,401.45,1692.9,130
HCPCS,J8499,DAPSONE 100 MG TABLET,390.3,195.15,44.17,1045.8,325
HCPCS,J8499,DAPSONE 2 MG/ML ORAL SUSPENSION,10.2,5.1,2.22,9.18,65
HCPCS,J8499,DAPSONE 25 MG TABLET,264.0,132.0,38.59,286.34,195
HCPCS,J8499,DARUNAVIR 100 MG/ML ORAL SUSPENSION,4795.2,2397.6,1045.83,4315.68,65
HCPCS,J8499,DARUNAVIR 600 MG TABLET,2809.0,1404.5,58.1,7536.24,195
HCPCS,J8499,DARUNAVIR 800 MG TABLET,364.2,182.1,5.46,7536.24,455
HCPCS,J8499,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,18301.6,9150.8,3991.58,16471.44,65
HCPCS,J8499,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,9570.85,4785.43,2087.4,8613.77,65
HCPCS,J8499,DEFERASIROX 180 MG TABLET,178.675,89.34,34.79,178.07,130
HCPCS,J8499,DEFERASIROX 360 MG TABLET,720.15,360.08,54.9,22029.3,325
HCPCS,J8499,DEFERASIROX 500 MG DISPERSIBLE TABLET,2565.75,1282.88,115.55,22223.84,325
HCPCS,J8499,DEFERASIROX 90 MG TABLET,397.65,198.83,17.24,4238.28,195
HCPCS,J8499,DELAFLOXACIN 450 MG TABLET,5891.0,2945.5,1284.83,5301.9,65
HCPCS,J8499,DEMECLOCYCLINE 150 MG TABLET,2355.2,1177.6,7.71,4558.68,455
HCPCS,J8499,DEMECLOCYCLINE 300 MG TABLET,2195.8,1097.9,446.23,1986.35,195
HCPCS,J8499,DESIPRAMINE 10 MG TABLET,222.4,111.2,15.7,396.45,260
HCPCS,J8499,DESIPRAMINE 25 MG TABLET,156.6,78.3,19.63,656.1,325
HCPCS,J8499,DESIPRAMINE 50 MG TABLET,541.1,270.55,25.78,867.6,130
HCPCS,J8499,DESMOPRESSIN 0.1 MG TABLET,244.45,122.23,1.66,1712.7,780
HCPCS,J8499,DESMOPRESSIN 0.2 MG TABLET,198.0,99.0,2.54,1973.88,520
HCPCS,J8499,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,99.0,49.5,9.64,128.52,520
HCPCS,J8499,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",628.2,314.1,137.01,565.38,65
HCPCS,J8499,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",117.475,58.739999999999995,21.2,4372.74,390
HCPCS,J8499,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",107.55,53.775,11.04,1822.1,390
HCPCS,J8499,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",117.375,58.69,2.4,1822.1,780
HCPCS,J8499,DEUTETRABENAZINE 6 MG TABLET,19812.0,9906.0,4321.0,17830.8,65
HCPCS,J8499,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",666.15,333.08,145.29,599.54,65
HCPCS,J8499,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",1151.55,575.78,145.65,1283.04,195
HCPCS,J8499,DEXMETHYLPHENIDATE 10 MG TABLET,253.2,126.6,20.94,270.0,260
HCPCS,J8499,DEXMETHYLPHENIDATE 2.5 MG TABLET,148.2,74.1,26.17,281.7,195
HCPCS,J8499,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",641.5,320.75,107.63,2076.3,325
HCPCS,J8499,"DEXMETHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",1273.0,636.5,129.33,2136.15,195
HCPCS,J8499,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",772.5,386.25,111.67,2136.15,455
HCPCS,J8499,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",598.5,299.25,65.87,2086.56,585
HCPCS,J8499,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,294.075,147.04,20.02,675.0,390
HCPCS,J8499,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE",751.5,375.75,163.9,676.35,65
HCPCS,J8499,"DEXTROAMPHETAMINE SULFATE ER 15 MG CAPSULE,EXTENDED RELEASE",1449.0,724.5,316.03,1304.1,65
HCPCS,J8499,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE",735.0,367.5,82.74,665.42,195
HCPCS,J8499,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,175.2,87.6,10.86,3904.2,975
HCPCS,J8499,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,169.8,84.9,23.03,242.46,455
HCPCS,J8499,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,207.6,103.8,29.31,221.94,195
HCPCS,J8499,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,207.6,103.8,6.54,3904.2,910
HCPCS,J8499,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",459.0,229.5,6.0,2370.6,1040
HCPCS,J8499,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",312.5,156.25,63.03,377.55,195
HCPCS,J8499,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",451.5,225.75,78.84,2370.6,260
HCPCS,J8499,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",353.5,176.75,51.17,2370.6,520
HCPCS,J8499,"DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULE,EXTEND RELEASE",347.5,173.75,75.79,312.75,65
HCPCS,J8499,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",388.5,194.25,50.9,2370.6,845
HCPCS,J8499,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,5908.45,2954.225,1269.87,5395.05,130
HCPCS,J8499,DIAZEPAM 10 MG TABLET,45.3,22.65,1.11,83.7,390
HCPCS,J8499,DIAZEPAM 2 MG TABLET,7.8,3.9,1.11,31.86,195
HCPCS,J8499,DIAZEPAM 5 MG TABLET,18.3,9.15,1.1,35.1,325
HCPCS,J8499,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,255.0,127.5,55.62,229.5,65
HCPCS,J8499,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",15.424999999999999,7.715,1.21,16.2,520
HCPCS,J8499,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1273.65,636.83,227.63,1231.74,195
HCPCS,J8499,"DICLOFENAC 50 MG-MISOPROSTOL 200 MCG TABLET,IMMED.AND DELAYED RELEASE",528.6,264.3,115.29,475.74,65
HCPCS,J8499,"DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE",597.6,298.8,115.94,2205.9,195
HCPCS,J8499,"DICLOFENAC ER 100 MG TABLET,EXTENDED RELEASE 24 HR",518.5,259.25,113.08,466.65,65
HCPCS,J8499,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",93.6,46.8,20.41,84.24,65
HCPCS,J8499,DICLOXACILLIN 250 MG CAPSULE,282.6,141.3,59.15,264.6,130
HCPCS,J8499,DICLOXACILLIN 500 MG CAPSULE,459.0,229.5,100.11,413.1,65
HCPCS,J8499,DICYCLOMINE 10 MG CAPSULE,93.0,46.5,0.73,648.0,780
HCPCS,J8499,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,432.82500000000005,216.41500000000002,1.49,483.21,260
HCPCS,J8499,DICYCLOMINE 20 MG TABLET,210.0,105.0,0.73,1497.96,585
HCPCS,J8499,DIFLUNISAL 500 MG TABLET,219.60000000000002,109.80000000000001,40.44,228.42,130
HCPCS,J8499,DIGOXIN 125 MCG (0.125 MG) TABLET,217.8,108.9,0.98,5781.24,1105
HCPCS,J8499,DIGOXIN 250 MCG (0.25 MG) TABLET,218.1,109.05,0.98,372.15,715
HCPCS,J8499,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,342.29999999999995,171.14999999999998,7.51,619.38,260
HCPCS,J8499,DILTIAZEM 120 MG TABLET,171.0,85.5,37.3,153.9,65
HCPCS,J8499,DILTIAZEM 2 % ANAL OINTMENT,17.65,8.83,3.85,15.89,65
HCPCS,J8499,DILTIAZEM 30 MG TABLET,86.1,43.05,0.7,2140.56,845
HCPCS,J8499,DILTIAZEM 5 MG/ML ORAL LIQUID,3.2,1.6,0.68,4.86,325
HCPCS,J8499,DILTIAZEM 60 MG TABLET,93.6,46.8,0.71,587.7,455
HCPCS,J8499,DILTIAZEM 90 MG TABLET,87.6,43.8,10.47,114.48,130
HCPCS,J8499,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",66.45,33.23,0.74,8341.74,715
HCPCS,J8499,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",99.4,49.7,0.73,634.5,845
HCPCS,J8499,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",167.95,83.975,0.74,4858.29,780
HCPCS,J8499,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",122.6,61.3,1.83,629.55,650
HCPCS,J8499,"DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",146.55,73.28,13.2,138.51,195
HCPCS,J8499,"DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE",196.6,98.3,16.61,333.32,195
HCPCS,J8499,"DILTIAZEM ER 240 MG CAPSULE,24 HR,EXTENDED RELEASE",194.975,97.49,20.5,266.36,130
HCPCS,J8499,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",279.225,139.615,30.51,517.19,260
HCPCS,J8499,"DILTIAZEM ER 360 MG CAPSULE,24 HR,EXTENDED RELEASE",212.8,106.4,31.33,624.51,195
HCPCS,J8499,"DILTIAZEM ER 420 MG CAPSULE,24 HR,EXTENDED RELEASE",538.2,269.1,92.85,585.63,130
HCPCS,J8499,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",1273.75,636.875,4.0,1375.65,260
HCPCS,J8499,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",1450.0,725.0,4.71,1617.75,195
HCPCS,J8499,DIPHENHYDRAMINE 50 MG CAPSULE,40.8,20.4,4.71,54.0,130
HCPCS,J8499,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,139.5,69.75,6.32,2106.0,910
HCPCS,J8499,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION,182.9,91.45,39.89,164.61,65
HCPCS,J8499,DIPYRIDAMOLE 25 MG TABLET,300.0,150.0,22.64,532.8,195
HCPCS,J8499,DIPYRIDAMOLE 50 MG TABLET,433.55,216.775,51.17,569.25,130
HCPCS,J8499,DIPYRIDAMOLE 75 MG TABLET,846.0,423.0,102.51,771.75,195
HCPCS,J8499,DISOPYRAMIDE 10 MG/ML ORAL SUSPENSION,101.2,50.6,22.07,91.08,65
HCPCS,J8499,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,987.0,493.5,71.65,896.85,195
HCPCS,J8499,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,899.0,449.5,80.04,1011.15,195
HCPCS,J8499,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",1996.0,998.0,435.33,1796.4,65
HCPCS,J8499,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE",2359.0,1179.5,514.5,2123.1,65
HCPCS,J8499,DISULFIRAM 250 MG TABLET,1340.55,670.28,56.47,2910.51,195
HCPCS,J8499,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",363.5,181.75,0.96,1327.5,585
HCPCS,J8499,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",37.2,18.6,0.98,897.3,585
HCPCS,J8499,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",75.0,37.5,0.69,1678.95,715
HCPCS,J8499,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",109.85,54.925,0.7,2600.64,780
HCPCS,J8499,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",190.5,95.25,0.72,1384.65,910
HCPCS,J8499,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",433.6,216.8,1.12,9743.4,1235
HCPCS,J8499,DOFETILIDE 125 MCG CAPSULE,443.7,221.85,12.41,2234.97,910
HCPCS,J8499,DOFETILIDE 250 MCG CAPSULE,437.85,218.925,13.2,2234.97,910
HCPCS,J8499,DOFETILIDE 500 MCG CAPSULE,443.7,221.85,12.65,2234.97,780
HCPCS,J8499,DOLUTEGRAVIR 50 MG TABLET,8598.5,4299.25,1875.33,7738.65,65
HCPCS,J8499,DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,11447.9,5723.95,2496.79,10303.11,130
HCPCS,J8499,DONEPEZIL 10 MG TABLET,29.7,14.85,0.69,2105.46,715
HCPCS,J8499,DONEPEZIL 23 MG TABLET,253.05,126.53,55.19,227.75,65
HCPCS,J8499,DONEPEZIL 5 MG TABLET,38.9,19.45,0.68,2105.46,845
HCPCS,J8499,DORAVIRINE 100 MG TABLET,6804.0,3402.0,1483.95,6123.6,65
HCPCS,J8499,DORAVIRINE 100 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,10356.25,5178.13,2258.7,9320.63,65
HCPCS,J8499,DOXAZOSIN 1 MG TABLET,104.1,52.05,0.73,259.2,585
HCPCS,J8499,DOXAZOSIN 2 MG TABLET,88.175,44.09,0.79,1301.4,780
HCPCS,J8499,DOXAZOSIN 4 MG TABLET,119.2,59.6,0.73,2249.1,910
HCPCS,J8499,DOXAZOSIN 8 MG TABLET,23.4,11.7,0.74,259.2,325
HCPCS,J8499,DOXEPIN 10 MG CAPSULE,71.1,35.55,0.76,265.68,520
HCPCS,J8499,DOXEPIN 10 MG/ML ORAL CONCENTRATE,149.5,74.755,25.79,162.68,130
HCPCS,J8499,DOXEPIN 100 MG CAPSULE,222.0,111.0,2.02,691.2,325
HCPCS,J8499,DOXEPIN 150 MG CAPSULE,163.2,81.6,35.59,146.88,65
HCPCS,J8499,DOXEPIN 25 MG CAPSULE,99.525,49.765,0.85,292.05,715
HCPCS,J8499,DOXEPIN 50 MG CAPSULE,404.25,202.125,1.18,404.55,260
HCPCS,J8499,DOXEPIN 75 MG CAPSULE,417.0,208.5,23.55,522.9,195
HCPCS,J8499,DOXERCALCIFEROL 0.5 MCG CAPSULE,1466.5,733.25,302.45,1483.65,195
HCPCS,J8499,DOXERCALCIFEROL 2.5 MCG CAPSULE,2207.8,1103.9,461.85,2749.68,195
HCPCS,J8499,DOXYCYCLINE 50 MG/5 ML ORAL SYRUP,2369.75,1184.88,516.84,2132.78,65
HCPCS,J8499,DOXYCYCLINE HYCLATE 100 MG CAPSULE,72.6,36.3,1.38,286.88,455
HCPCS,J8499,DOXYCYCLINE HYCLATE 100 MG TABLET,78.0,39.0,1.46,630.0,1235
HCPCS,J8499,DOXYCYCLINE HYCLATE 50 MG CAPSULE,124.2,62.1,1.57,269.78,195
HCPCS,J8499,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,68.7,34.35,0.76,205.47,455
HCPCS,J8499,DOXYCYCLINE MONOHYDRATE 100 MG TABLET,88.8,44.4,2.43,250.16,195
HCPCS,J8499,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,96.85,48.43,1.77,91.08,195
HCPCS,J8499,DRONEDARONE 400 MG TABLET,2935.45,1467.73,640.22,2641.91,65
HCPCS,J8499,DROXIDOPA 100 MG CAPSULE,462.6,231.3,37.93,13815.72,390
HCPCS,J8499,DROXIDOPA 300 MG CAPSULE,353.7,176.85,77.14,318.33,65
HCPCS,J8499,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",99.75,49.88,1.0,2081.7,1235
HCPCS,J8499,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",79.775,39.89,0.91,2800.67,1950
HCPCS,J8499,"DULOXETINE 40 MG CAPSULE,DELAYED RELEASE",433.95,216.98,94.64,390.56,65
HCPCS,J8499,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",81.0,40.5,0.88,1255.5,1690
HCPCS,J8499,DUTASTERIDE 0.5 MG CAPSULE,40.15,20.08,7.11,111.33,195
HCPCS,J8499,EDOXABAN 15 MG TABLET,1907.55,953.78,416.04,1716.8,65
HCPCS,J8499,EDOXABAN 30 MG TABLET,2002.5,1001.25,436.75,1802.25,65
HCPCS,J8499,EDOXABAN 60 MG TABLET,2002.5,1001.25,436.75,1802.25,65
HCPCS,J8499,EFAVIRENZ 200 MG CAPSULE,3389.775,1694.8899999999999,683.65,3280.5,130
HCPCS,J8499,EFAVIRENZ 400 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,5370.075000000001,2685.04,788.82,6411.02,130
HCPCS,J8499,EFAVIRENZ 600 MG TABLET,400.35,200.18,63.14,3280.64,325
HCPCS,J8499,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,604.05,302.03,89.97,10018.76,325
HCPCS,J8499,EFAVIRENZ 600 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,5439.675,2719.84,819.16,6411.11,130
HCPCS,J8499,ELETRIPTAN 20 MG TABLET,352.4,176.20499999999998,3.04,2016.09,260
HCPCS,J8499,ELETRIPTAN 40 MG TABLET,135.55,67.78,7.51,265.32,260
HCPCS,J8499,ELEXACAFTOR 100 MG-TEZACAFTOR 50MG-IVACAFTOR 75MG(D) MORNING TABLETS,1492.1,746.05,325.43,1342.89,65
HCPCS,J8499,ELTROMBOPAG OLAMINE 12.5 MG TABLET,31305.5,15652.75,6827.73,28174.95,65
HCPCS,J8499,ELTROMBOPAG OLAMINE 50 MG TABLET,26438.05,13219.03,5766.14,23794.25,65
HCPCS,J8499,ELUXADOLINE 100 MG TABLET,6520.35,3260.18,1422.09,5868.32,65
HCPCS,J8499,ELUXADOLINE 75 MG TABLET,6520.35,3260.18,1422.09,5868.32,65
HCPCS,J8499,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,15591.15,7795.58,3400.43,14032.04,65
HCPCS,J8499,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,16355.2,8177.6,3567.07,14719.68,65
HCPCS,J8499,EMPAGLIFLOZIN 10 MG TABLET,2313.15,1156.58,504.5,2081.84,65
HCPCS,J8499,EMTRICITABINE 10 MG/ML ORAL SOLUTION,585.65,292.83,127.73,527.09,65
HCPCS,J8499,EMTRICITABINE 200 MG CAPSULE,2349.75,1174.88,467.3,2232.09,195
HCPCS,J8499,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,14189.2,7094.6,3094.66,12770.28,65
HCPCS,J8499,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET,14189.2,7094.6,3094.66,12770.28,65
HCPCS,J8499,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,8144.2,4072.1,1776.25,7329.78,130
HCPCS,J8499,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,171.2,85.6,1.7,6131.52,585
HCPCS,J8499,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,1364.25,682.13,287.89,2259.36,195
HCPCS,J8499,ENALAPRIL MALEATE 10 MG TABLET,206.4,103.2,3.79,2119.5,650
HCPCS,J8499,ENALAPRIL MALEATE 2.5 MG TABLET,83.7,41.85,2.75,226.8,390
HCPCS,J8499,ENALAPRIL MALEATE 20 MG TABLET,96.6,48.3,4.45,248.85,195
HCPCS,J8499,ENALAPRIL MALEATE 5 MG TABLET,117.30000000000001,58.650000000000006,3.53,254.88,390
HCPCS,J8499,ENTACAPONE 200 MG TABLET,301.0,150.5,4.38,1582.2,845
HCPCS,J8499,ENTECAVIR 0.5 MG TABLET,225.3,112.65,10.4,4567.86,520
HCPCS,J8499,EPLERENONE 25 MG TABLET,232.95,116.48,4.83,1075.5,650
HCPCS,J8499,EPLERENONE 50 MG TABLET,585.45,292.73,127.69,526.91,65
HCPCS,J8499,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",81.3,40.65,1.16,536.85,650
HCPCS,J8499,ERGOLOID 1 MG TABLET,2188.0,1094.0,477.2,1969.2,65
HCPCS,J8499,"ERYTHROMYCIN 250 MG CAPSULE,DELAYED RELEASE",2381.8,1190.9,446.67,2444.04,130
HCPCS,J8499,ERYTHROMYCIN 250 MG TABLET,1110.675,555.3399999999999,128.67,2698.2,650
HCPCS,J8499,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",819.3,409.65,159.55,746.01,195
HCPCS,J8499,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",1024.2,512.1,211.01,2544.12,260
HCPCS,J8499,ERYTHROMYCIN 500 MG TABLET,2090.0,1045.0,266.53,3335.76,195
HCPCS,J8499,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",1154.175,577.0899999999999,223.18,1156.55,130
HCPCS,J8499,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,886.75,443.375,14.81,1790.1,715
HCPCS,J8499,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,1688.55,844.28,368.21,1519.97,195
HCPCS,J8499,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1160.5,580.25,233.59,1901.16,325
HCPCS,J8499,ESCITALOPRAM 10 MG TABLET,69.2,34.6,0.71,5369.04,650
HCPCS,J8499,ESCITALOPRAM 20 MG TABLET,59.400000000000006,29.700000000000003,0.69,121.5,520
HCPCS,J8499,ESCITALOPRAM 5 MG TABLET,55.65,27.83,0.74,5135.4,585
HCPCS,J8499,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,760.8,380.4,1.35,720.36,195
HCPCS,J8499,ESLICARBAZEPINE 200 MG TABLET,4981.35,2490.68,1086.43,4483.22,65
HCPCS,J8499,ESLICARBAZEPINE 400 MG TABLET,4981.35,2490.68,1086.43,4483.22,65
HCPCS,J8499,ESLICARBAZEPINE 600 MG TABLET,9962.65,4981.33,2172.85,8966.39,65
HCPCS,J8499,ESLICARBAZEPINE 800 MG TABLET,4981.35,2490.68,1086.43,4483.22,65
HCPCS,J8499,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",119.35,59.68,13.08,229.91,325
HCPCS,J8499,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",139.6,69.8,12.61,1144.13,780
HCPCS,J8499,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,951.675,475.84,9.27,1193.94,260
HCPCS,J8499,ESTAZOLAM 2 MG TABLET,278.0,139.0,60.63,250.2,65
HCPCS,J8499,ESTERIFIED ESTROGENS 0.625 MG TABLET,1242.0,621.0,270.88,1117.8,65
HCPCS,J8499,ESTERIFIED ESTROGENS 2.5 MG TABLET,1231.0,615.5,268.48,1107.9,65
HCPCS,J8499,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1375.0,687.5,273.72,1347.3,455
HCPCS,J8499,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1390.0,695.0,280.26,1347.3,390
HCPCS,J8499,ESTRADIOL 0.5 MG TABLET,79.2,39.6,9.42,103.68,195
HCPCS,J8499,ESTRADIOL 1 MG TABLET,72.6,36.3,10.47,1903.68,520
HCPCS,J8499,ESTRADIOL 2 MG TABLET,90.0,45.0,19.63,81.0,65
HCPCS,J8499,ESTRADIOL-NORETHINDRONE ACET 1 MG-0.5 MG TABLET,360.65,180.33,78.66,324.59,65
HCPCS,J8499,ESZOPICLONE 1 MG TABLET,27.125,13.565000000000001,5.66,25.47,130
HCPCS,J8499,ESZOPICLONE 2 MG TABLET,74.4,37.2,8.24,99.9,130
HCPCS,J8499,ESZOPICLONE 3 MG TABLET,102.89999999999999,51.449999999999996,10.6,141.48,130
HCPCS,J8499,ETHACRYNIC ACID 25 MG TABLET,975.0,487.5,117.77,8135.28,455
HCPCS,J8499,ETHAMBUTOL 100 MG TABLET,240.0,120.0,45.93,242.46,130
HCPCS,J8499,ETHAMBUTOL 400 MG TABLET,356.0,178.0,60.52,571.95,455
HCPCS,J8499,ETHOSUXIMIDE 250 MG CAPSULE,189.6,94.8,38.73,540.0,195
HCPCS,J8499,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,260.7,130.35,1.31,255.42,195
HCPCS,J8499,ETODOLAC 200 MG CAPSULE,243.89999999999998,121.94999999999999,47.63,242.46,130
HCPCS,J8499,ETODOLAC 300 MG CAPSULE,228.89999999999998,114.44999999999999,48.68,211.14,130
HCPCS,J8499,"ETODOLAC ER 400 MG TABLET,EXTENDED RELEASE 24 HR",286.65,143.325,60.72,265.41,130
HCPCS,J8499,ETRAVIRINE 100 MG TABLET,4854.025,2427.015,849.76,5230.67,130
HCPCS,J8499,ETRAVIRINE 200 MG TABLET,4794.125,2397.065,823.63,5230.67,130
HCPCS,J8499,EXEMESTANE 25 MG TABLET,250.05,125.03,29.44,3831.44,585
HCPCS,J8499,EZETIMIBE 10 MG TABLET,59.25,29.625,2.36,1442.48,1885
HCPCS,J8499,FAMCICLOVIR 500 MG TABLET,101.9,50.95,15.01,188.73,195
HCPCS,J8499,FAMOTIDINE 20 MG TABLET,51.6,25.8,0.68,1650.38,2210
HCPCS,J8499,FAMOTIDINE 40 MG TABLET,46.8,23.4,0.72,72.9,195
HCPCS,J8499,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,131.7,65.85,3.17,228.83,455
HCPCS,J8499,FEBUXOSTAT 40 MG TABLET,94.80000000000001,47.400000000000006,2.22,1372.95,910
HCPCS,J8499,FEBUXOSTAT 80 MG TABLET,126.0,63.0,15.08,1372.95,325
HCPCS,J8499,FELBAMATE 400 MG TABLET,442.55,221.275,84.4,5136.84,260
HCPCS,J8499,FELBAMATE 600 MG TABLET,876.6,438.3,106.76,5887.08,390
HCPCS,J8499,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,623.35,311.68,109.58,6044.09,325
HCPCS,J8499,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",84.0,42.0,18.32,75.6,65
HCPCS,J8499,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",222.0,111.0,16.75,451.8,260
HCPCS,J8499,FENOFIBRATE 160 MG TABLET,210.1,105.05,2.6,446.18,325
HCPCS,J8499,FENOFIBRATE 54 MG TABLET,114.5,57.25,1.07,249.98,975
HCPCS,J8499,FENOFIBRATE MICRONIZED 134 MG CAPSULE,96.0,48.0,12.96,124.74,195
HCPCS,J8499,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,124.75,62.38,1.81,1085.85,325
HCPCS,J8499,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,44.3,22.15,9.66,39.87,65
HCPCS,J8499,"FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE",346.5,173.25,56.73,779.63,195
HCPCS,J8499,FERROUS FUM 110 MG IRON-B12-INT.FACTOR-VIT C-FOLIC ACID 0.5 MG CAPSULE,108.0,54.0,23.55,97.2,65
HCPCS,J8499,"FERROUS SULFATE 105 MG-C 500 MG-FOLIC ACID 800 MCG TABLET,EXTEND.REL",82.65,41.33,18.03,74.39,130
HCPCS,J8499,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",204.6,102.3,35.45,1206.23,390
HCPCS,J8499,"FESOTERODINE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",195.3,97.65,35.45,1206.23,325
HCPCS,J8499,FIDAXOMICIN 200 MG TABLET,9431.6,4715.8,2057.03,8488.44,65
HCPCS,J8499,FINASTERIDE 1 MG TABLET,26.75,13.375,3.18,35.01,130
HCPCS,J8499,FINASTERIDE 5 MG TABLET,52.675,26.34,0.73,590.9,1300
HCPCS,J8499,FLAVOXATE 100 MG TABLET,232.2,116.1,1.54,263.48,260
HCPCS,J8499,FLECAINIDE 100 MG TABLET,192.3,96.15,0.84,422.1,520
HCPCS,J8499,FLECAINIDE 150 MG TABLET,381.0,190.5,57.91,580.05,195
HCPCS,J8499,FLECAINIDE 20 MG/ML ORAL SUSPENSION,125.3,62.65,27.33,112.77,65
HCPCS,J8499,FLECAINIDE 50 MG TABLET,111.8,55.9,1.08,258.3,520
HCPCS,J8499,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,30.45,15.23,6.14,49.37,195
HCPCS,J8499,FLUCONAZOLE 100 MG TABLET,157.425,78.715,1.45,603.0,910
HCPCS,J8499,FLUCONAZOLE 150 MG TABLET,4.45,2.23,0.7,47.97,455
HCPCS,J8499,FLUCONAZOLE 200 MG TABLET,215.65,107.83,2.36,3126.2,1235
HCPCS,J8499,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,88.44999999999999,44.230000000000004,9.67,140.45,260
HCPCS,J8499,FLUCONAZOLE 50 MG TABLET,51.5,25.755000000000003,3.34,75.69,260
HCPCS,J8499,FLUCYTOSINE 250 MG CAPSULE,3328.2,1664.1,62.09,21964.68,845
HCPCS,J8499,FLUCYTOSINE 50 MG/ML SUSPENSION,5857.45,2928.73,1277.51,5271.71,65
HCPCS,J8499,FLUCYTOSINE 500 MG CAPSULE,6286.6,3143.3,103.62,45735.84,845
HCPCS,J8499,FLUDROCORTISONE 0.1 MG TABLET,253.5,126.75,0.67,1226.25,455
HCPCS,J8499,FLUDROCORTISONE 40 MCG/ML ORAL SUSPENSION,19.35,9.68,4.22,17.42,65
HCPCS,J8499,FLUOXETINE 10 MG CAPSULE,33.0,16.5,2.16,4722.12,975
HCPCS,J8499,FLUOXETINE 20 MG CAPSULE,40.2,20.1,2.62,247.5,845
HCPCS,J8499,FLUOXETINE 40 MG CAPSULE,63.900000000000006,31.950000000000003,0.75,226.26,390
HCPCS,J8499,FLUPHENAZINE 1 MG TABLET,345.0,172.5,25.52,666.45,325
HCPCS,J8499,FLUPHENAZINE 10 MG TABLET,261.0,130.5,4.72,1759.5,455
HCPCS,J8499,FLUPHENAZINE 2.5 MG TABLET,535.5,267.75,3.06,1589.85,845
HCPCS,J8499,FLUPHENAZINE 5 MG TABLET,724.5,362.25,3.77,2497.32,1040
HCPCS,J8499,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,732.4499999999999,366.22499999999997,3.34,1304.64,130
HCPCS,J8499,FLUTAMIDE 125 MG CAPSULE,461.7,230.85,100.7,415.53,65
HCPCS,J8499,FLUVOXAMINE 100 MG TABLET,251.4,125.7,28.66,292.5,195
HCPCS,J8499,FLUVOXAMINE 25 MG TABLET,212.8,106.4,32.85,247.5,130
HCPCS,J8499,FLUVOXAMINE 50 MG TABLET,172.2,86.1,19.76,270.0,260
HCPCS,J8499,FOLIC ACID 1 MG TABLET,55.5,27.75,0.69,288.0,1430
HCPCS,J8499,FOLIC ACID 1 MG/ML ORAL SOLUTION,12.75,6.38,0.69,20.12,130
HCPCS,J8499,FOSAMPRENAVIR 700 MG TABLET,3817.2250000000004,1908.6150000000002,725.8,3875.94,130
HCPCS,J8499,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,320.1,160.055,64.05,306.77,325
HCPCS,J8499,FUROSEMIDE 10 MG/ML ORAL SOLUTION,34.75,17.375,0.7,70.65,390
HCPCS,J8499,FUROSEMIDE 20 MG TABLET,35.7,17.85,0.68,325.8,845
HCPCS,J8499,FUROSEMIDE 40 MG TABLET,31.8,15.9,0.68,456.3,910
HCPCS,J8499,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.575,4.79,2.08,8.64,130
HCPCS,J8499,FUROSEMIDE 80 MG TABLET,52.8,26.4,0.69,214.92,390
HCPCS,J8499,GABAPENTIN 100 MG CAPSULE,43.2,21.6,0.68,162.0,845
HCPCS,J8499,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,20.8,10.4,4.54,18.72,130
HCPCS,J8499,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,194.6,97.3,0.69,2036.75,845
HCPCS,J8499,GABAPENTIN 300 MG CAPSULE,57.6,28.8,0.69,2456.64,1625
HCPCS,J8499,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,9.8,4.9,0.75,18.99,325
HCPCS,J8499,GABAPENTIN 400 MG CAPSULE,63.3,31.65,0.69,2947.32,1300
HCPCS,J8499,GABAPENTIN 600 MG TABLET,124.8,62.4,9.16,337.5,195
HCPCS,J8499,GALANTAMINE 4 MG TABLET,69.675,34.84,4.58,471.56,390
HCPCS,J8499,GALANTAMINE 8 MG TABLET,89.85,44.925,19.4,618.57,260
HCPCS,J8499,"GALANTAMINE ER 16 MG 24 HR CAPSULE,EXTENDED RELEASE",495.65,247.82999999999998,61.56,638.15,130
HCPCS,J8499,"GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE",478.725,239.365,46.49,638.15,260
HCPCS,J8499,GEMFIBROZIL 600 MG TABLET,77.4,38.7,0.71,1687.23,845
HCPCS,J8499,GILTERITINIB 40 MG TABLET,115916.4,57958.2,25281.37,104324.76,65
HCPCS,J8499,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,26751.3,13375.655,498.67,46094.54,130
HCPCS,J8499,GLECAPREVIR 50 MG-PIBRENTASVIR 20 MG ORAL PELLETS IN PACKET,10243.65,5121.83,2234.14,9219.29,65
HCPCS,J8499,GLIMEPIRIDE 1 MG TABLET,4.15,2.08,0.75,15.12,195
HCPCS,J8499,GLIMEPIRIDE 2 MG TABLET,80.4,40.2,0.74,215.46,195
HCPCS,J8499,GLIMEPIRIDE 4 MG TABLET,24.0,12.0,0.73,248.85,325
HCPCS,J8499,GLIPIZIDE 10 MG TABLET,20.1,10.05,0.71,243.0,520
HCPCS,J8499,GLIPIZIDE 5 MG TABLET,93.0,46.5,0.71,189.0,780
HCPCS,J8499,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",88.2,44.1,0.89,306.9,325
HCPCS,J8499,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",30.425,15.215,1.25,167.36,650
HCPCS,J8499,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",117.0,58.5,0.69,621.0,780
HCPCS,J8499,GLUTAMINE ORAL SUSPENSION,93.8,46.9,1.66,162.0,130
HCPCS,J8499,GLYBURIDE 1.25 MG TABLET,75.6,37.8,16.49,68.04,65
HCPCS,J8499,GLYBURIDE 2.5 MG TABLET,42.45,21.225,6.15,51.03,130
HCPCS,J8499,GLYBURIDE 5 MG TABLET,124.8,62.4,4.6,194.4,325
HCPCS,J8499,GLYBURIDE MICRONIZED 3 MG TABLET,127.2,63.6,27.74,114.48,65
HCPCS,J8499,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,21913.0,10956.5,4779.23,19721.7,65
HCPCS,J8499,GLYCOPYRROLATE 0.2 MG/ML ORAL SUSPENSION,64.80000000000001,32.400000000000006,9.42,77.76,130
HCPCS,J8499,GLYCOPYRROLATE 1 MG TABLET,49.5,24.75,1.03,350.55,520
HCPCS,J8499,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,596.0,298.0,6.4,2077.43,195
HCPCS,J8499,GLYCOPYRROLATE 2 MG TABLET,214.45,107.225,28.0,270.45,130
HCPCS,J8499,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION,268.6,134.3,55.91,407.84,195
HCPCS,J8499,GRISEOFULVIN ULTRAMICROSIZE 250 MG TABLET,707.1,353.55,154.22,636.39,65
HCPCS,J8499,GUANFACINE 1 MG TABLET,206.75,103.375,1.44,270.0,910
HCPCS,J8499,GUANFACINE 2 MG TABLET,404.0,202.0,88.11,363.6,65
HCPCS,J8499,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",146.4,73.2,10.6,3233.16,455
HCPCS,J8499,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",83.4,41.7,10.86,3233.16,455
HCPCS,J8499,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",181.2,90.6,10.86,3233.16,260
HCPCS,J8499,HALOPERIDOL 0.5 MG TABLET,149.4,74.7,0.74,1170.0,325
HCPCS,J8499,HALOPERIDOL 1 MG TABLET,168.89999999999998,84.44999999999999,0.72,1381.5,520
HCPCS,J8499,HALOPERIDOL 10 MG TABLET,281.0,140.5,0.74,373.05,650
HCPCS,J8499,HALOPERIDOL 2 MG TABLET,256.8,128.4,0.83,281.7,260
HCPCS,J8499,HALOPERIDOL 5 MG TABLET,245.4,122.7,0.72,2905.2,975
HCPCS,J8499,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,45.1,22.55,1.21,114.08,455
HCPCS,J8499,HYDRALAZINE 10 MG TABLET,59.7,29.85,0.7,199.8,910
HCPCS,J8499,HYDRALAZINE 100 MG TABLET,90.9,45.45,8.64,197.64,260
HCPCS,J8499,HYDRALAZINE 12.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,HYDRALAZINE 25 MG TABLET,64.8,32.4,0.69,247.5,1235
HCPCS,J8499,HYDRALAZINE 4 MG/ML ORAL SUSPENSION,317.0,158.5,69.14,285.3,65
HCPCS,J8499,HYDRALAZINE 50 MG TABLET,64.8,32.4,0.71,166.32,910
HCPCS,J8499,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,90.6,45.3,0.7,297.0,780
HCPCS,J8499,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,69.3,34.65,8.77,216.0,260
HCPCS,J8499,HYDROCHLOROTHIAZIDE 25 MG TABLET,24.0,12.0,0.7,108.0,650
HCPCS,J8499,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,28.6,14.3,6.24,25.74,65
HCPCS,J8499,HYDROCHLOROTHIAZIDE 50 MG TABLET,24.6,12.3,1.7,23.76,195
HCPCS,J8499,HYDROCODONE 10 MG-ACETAMINOPHEN 300 MG/15 ML ORAL SOLUTION,938.95,469.48,204.78,845.06,65
HCPCS,J8499,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,126.3,63.15,1.15,904.5,975
HCPCS,J8499,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,232.125,116.065,3.17,259.7,260
HCPCS,J8499,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,89.4,44.7,1.13,267.3,1105
HCPCS,J8499,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,132.0,66.0,1.15,297.0,845
HCPCS,J8499,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,37.1,18.55,2.7,876.96,1365
HCPCS,J8499,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET,370.7,185.35,45.78,478.35,130
HCPCS,J8499,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,40.9,20.45,1.17,47.66,585
HCPCS,J8499,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,215.7,107.85,17.96,315.05,390
HCPCS,J8499,HYDROCORTISONE 10 MG TABLET,158.1,79.05,1.79,706.5,780
HCPCS,J8499,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,27.4,13.7,5.98,24.66,65
HCPCS,J8499,HYDROCORTISONE 20 MG TABLET,249.3,124.65,1.64,376.65,520
HCPCS,J8499,HYDROCORTISONE 5 MG TABLET,49.2,24.6,1.38,250.83,585
HCPCS,J8499,HYDROMORPHONE 1 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
HCPCS,J8499,HYDROMORPHONE 1 MG/ML ORAL LIQUID,44.8,22.4,1.23,2160.45,520
HCPCS,J8499,HYDROMORPHONE 2 MG TABLET,82.2,41.1,1.16,155.52,520
HCPCS,J8499,HYDROMORPHONE 4 MG TABLET,109.8,54.9,1.17,1588.5,455
HCPCS,J8499,HYDROMORPHONE 8 MG TABLET,267.6,133.8,58.36,240.84,65
HCPCS,J8499,HYDROXYCHLOROQUINE 100 MG TABLET,84.6,42.3,18.45,76.14,65
HCPCS,J8499,HYDROXYCHLOROQUINE 200 MG TABLET,245.3,122.65,0.8,2209.5,1430
HCPCS,J8499,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,29.4,14.7,6.41,26.46,65
HCPCS,J8499,HYDROXYUREA 500 MG CAPSULE,222.0,111.0,0.89,310.95,455
HCPCS,J8499,HYDROXYZINE HCL 10 MG TABLET,30.6,15.3,0.69,143.1,455
HCPCS,J8499,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,456.45,228.23,6.4,2090.21,455
HCPCS,J8499,HYDROXYZINE HCL 25 MG TABLET,82.8,41.4,0.7,306.0,975
HCPCS,J8499,HYDROXYZINE HCL 50 MG TABLET,49.8,24.9,0.71,119.88,455
HCPCS,J8499,HYDROXYZINE PAMOATE 25 MG CAPSULE,81.6,40.8,0.72,157.14,390
HCPCS,J8499,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,127.8,63.9,13.87,124.74,195
HCPCS,J8499,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,98.7,49.35,13.09,235.44,390
HCPCS,J8499,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,147.6,73.8,0.72,1040.85,195
HCPCS,J8499,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",180.0,90.0,29.44,532.8,260
HCPCS,J8499,HYOSCYAMINE SULFATE 0.125 MG TABLET,127.8,63.9,13.35,279.45,195
HCPCS,J8499,IBANDRONATE 150 MG TABLET,1174.375,587.1899999999999,27.5,2000.39,130
HCPCS,J8499,IBREXAFUNGERP 150 MG TABLET,2010.4,1005.2,438.47,1809.36,65
HCPCS,J8499,IBUPROFEN 400 MG TABLET,41.4,20.7,0.68,172.8,650
HCPCS,J8499,IBUPROFEN 600 MG TABLET,65.4,32.7,0.7,261.9,845
HCPCS,J8499,IBUPROFEN 800 MG TABLET,69.6,34.8,0.7,279.0,910
HCPCS,J8499,IMATINIB 100 MG TABLET,715.725,357.865,3.6,28048.37,520
HCPCS,J8499,IMIPRAMINE 10 MG TABLET,56.7,28.35,7.07,61.56,390
HCPCS,J8499,IMIPRAMINE 25 MG TABLET,124.8,62.4,8.38,265.5,325
HCPCS,J8499,IMIPRAMINE 50 MG TABLET,101.7,50.85,10.34,163.08,260
HCPCS,J8499,INDAPAMIDE 1.25 MG TABLET,75.0,37.5,9.95,77.22,195
HCPCS,J8499,INDAPAMIDE 2.5 MG TABLET,78.6,39.3,10.34,145.8,260
HCPCS,J8499,INDOMETHACIN 25 MG CAPSULE,68.4,34.2,0.72,387.0,455
HCPCS,J8499,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,8082.200000000001,4041.1000000000004,1615.62,7881.03,130
HCPCS,J8499,INDOMETHACIN 50 MG CAPSULE,70.95,35.475,0.71,69.66,260
HCPCS,J8499,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",78.6,39.3,12.61,89.46,130
HCPCS,J8499,INHALATIONAL SPACING DEVICE,29.95,14.98,6.53,26.96,64
HCPCS,J8499,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,187.85,93.93,4.6,249.08,195
HCPCS,J8499,IRBESARTAN 150 MG TABLET,87.5,43.75,2.79,175.95,325
HCPCS,J8499,IRBESARTAN 300 MG TABLET,1276.2,638.1,278.34,1148.58,65
HCPCS,J8499,IRBESARTAN 75 MG TABLET,110.2,55.1,8.95,177.39,195
HCPCS,J8499,IRON ASP-C-B12-CALCIUM-SA-STOMACH 70 MG-150 MG-10 MCG-2 MG-75MG TABLET,379.35,189.68,82.74,341.42,65
HCPCS,J8499,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,79.8,39.9,0.69,118.8,260
HCPCS,J8499,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,4729.0,2364.5,105.03,4853.93,195
HCPCS,J8499,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,2818.125,1409.065,50.52,4864.14,130
HCPCS,J8499,ISONIAZID 100 MG TABLET,352.75,176.375,13.74,578.25,130
HCPCS,J8499,ISONIAZID 300 MG TABLET,332.5,166.25,1.23,994.5,455
HCPCS,J8499,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1350.45,675.23,294.53,1215.41,65
HCPCS,J8499,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET,571.95,285.98,107.37,1714.77,195
HCPCS,J8499,ISOSORBIDE DINITRATE 10 MG TABLET,261.0,130.5,0.77,1872.0,845
HCPCS,J8499,ISOSORBIDE DINITRATE 20 MG TABLET,266.0,133.0,0.73,823.5,780
HCPCS,J8499,ISOSORBIDE DINITRATE 30 MG TABLET,267.35,133.675,41.88,423.9,260
HCPCS,J8499,ISOSORBIDE DINITRATE 40 MG TABLET,7464.8,3732.4,1628.07,6718.32,65
HCPCS,J8499,ISOSORBIDE DINITRATE 5 MG TABLET,216.45,108.225,0.79,2128.5,390
HCPCS,J8499,ISOSORBIDE MONONITRATE 10 MG TABLET,291.0,145.5,14.13,1327.5,195
HCPCS,J8499,ISOSORBIDE MONONITRATE 20 MG TABLET,254.0,127.0,14.13,1570.5,195
HCPCS,J8499,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",114.0,57.0,1.23,152.82,260
HCPCS,J8499,"ISOSORBIDE MONONITRATE ER 15 MG ORAL SPLIT TABLET, 24 HR",3.15,1.58,0.69,2.84,65
HCPCS,J8499,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",98.1,49.05,0.71,133.65,650
HCPCS,J8499,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",130.2,65.1,0.72,216.0,650
HCPCS,J8499,ISRADIPINE 1 MG/ML ORAL SUSPENSION,69.15,34.58,15.08,62.24,65
HCPCS,J8499,ISRADIPINE 2.5 MG CAPSULE,666.5,333.25,133.59,826.2,195
HCPCS,J8499,ISRADIPINE 5 MG CAPSULE,975.5,487.75,196.29,3288.24,195
HCPCS,J8499,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,1003.5,501.75,164.56,1526.18,260
HCPCS,J8499,ITRACONAZOLE 100 MG CAPSULE,271.5,135.75,2.9,3007.62,780
HCPCS,J8499,IVABRADINE 5 MG TABLET,1845.0,922.5,136.09,2185.52,325
HCPCS,J8499,IVABRADINE 7.5 MG TABLET,1894.8,947.4,158.14,2185.52,195
HCPCS,J8499,IVACAFTOR 150MG(N) EVENING TABLETS,1492.1,746.05,325.43,1342.89,65
HCPCS,J8499,IVERMECTIN 3 MG TABLET,397.70000000000005,198.85000000000002,79.67,387.09,130
HCPCS,J8499,KETOCONAZOLE 200 MG TABLET,341.25,170.625,28.39,355.5,325
HCPCS,J8499,KETOROLAC 10 MG TABLET,443.0,221.5,5.79,597.24,390
HCPCS,J8499,LABETALOL 100 MG TABLET,166.2,83.1,0.72,810.0,975
HCPCS,J8499,LABETALOL 200 MG TABLET,226.5,113.25,0.73,1149.75,1235
HCPCS,J8499,LABETALOL 300 MG TABLET,291.0,145.5,0.81,348.75,585
HCPCS,J8499,LABETALOL 40 MG/ML ORAL SUSPENSION,68.4,34.2,14.92,61.56,65
HCPCS,J8499,LABETALOL 50 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,LACOSAMIDE 100 MG TABLET,65.35,32.675,1.61,4146.12,780
HCPCS,J8499,LACOSAMIDE 150 MG TABLET,416.35,208.175,20.65,664.2,130
HCPCS,J8499,LACOSAMIDE 200 MG TABLET,272.975,136.49,2.01,4392.36,260
HCPCS,J8499,LACOSAMIDE 50 MG TABLET,34.95,17.48,1.26,2652.08,715
HCPCS,J8499,LAMIVUDINE 10 MG/ML ORAL SOLUTION,412.79999999999995,206.39999999999998,87.15,461.16,260
HCPCS,J8499,LAMIVUDINE 100 MG TABLET,2901.425,1450.715,474.63,3263.99,130
HCPCS,J8499,LAMIVUDINE 150 MG TABLET,601.65,300.83,4.67,1729.62,650
HCPCS,J8499,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,667.8,333.9,137.53,3015.81,195
HCPCS,J8499,LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,3770.825,1885.415,689.11,3943.85,130
HCPCS,J8499,LAMOTRIGINE 1 MG/ML ORAL SUSPENSION,3.1,1.55,0.68,2.79,65
HCPCS,J8499,LAMOTRIGINE 100 MG TABLET,48.0,24.0,4.58,3764.16,780
HCPCS,J8499,LAMOTRIGINE 150 MG TABLET,17.5,8.75,0.72,157.68,260
HCPCS,J8499,LAMOTRIGINE 200 MG TABLET,44.3,22.15,0.7,2495.88,780
HCPCS,J8499,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,186.6,93.3,27.48,3871.8,260
HCPCS,J8499,LAMOTRIGINE 25 MG DISINTEGRATING TABLET,518.85,259.43,113.16,466.97,65
HCPCS,J8499,LAMOTRIGINE 25 MG TABLET,23.1,11.55,0.69,3538.44,650
HCPCS,J8499,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,180.0,90.0,14.53,3136.32,325
HCPCS,J8499,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",264.6,132.305,43.18,3053.39,455
HCPCS,J8499,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",272.9,136.455,34.47,1781.73,455
HCPCS,J8499,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",30.45,15.23,3.93,304.29,325
HCPCS,J8499,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",854.65,427.325,4.27,4605.12,910
HCPCS,J8499,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,374.8,187.4,0.76,669.87,325
HCPCS,J8499,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",243.0,121.5,8.36,520.2,195
HCPCS,J8499,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",1291.25,645.63,4.41,4605.12,1105
HCPCS,J8499,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET,84390.0,42195.0,10154.74,109998.0,130
HCPCS,J8499,LEFLUNOMIDE 10 MG TABLET,296.85,148.425,3.23,4973.94,390
HCPCS,J8499,LEFLUNOMIDE 20 MG TABLET,190.1,95.05,2.5,4973.94,585
HCPCS,J8499,LEMBOREXANT 10 MG TABLET,1629.45,814.73,355.38,1466.51,65
HCPCS,J8499,LEMBOREXANT 5 MG TABLET,1629.45,814.73,355.38,1466.51,65
HCPCS,J8499,LETROZOLE 2.5 MG TABLET,27.9,13.95,0.79,2711.25,585
HCPCS,J8499,LEUCOVORIN 1 MG/ML ORAL SUSPENSION,68.05,34.03,14.84,61.25,65
HCPCS,J8499,LEUCOVORIN CALCIUM 10 MG TABLET,254.8,127.4,55.57,229.32,65
HCPCS,J8499,LEUCOVORIN CALCIUM 25 MG TABLET,739.775,369.89,8.87,1271.03,520
HCPCS,J8499,LEUCOVORIN CALCIUM 5 MG TABLET,180.9,90.45,1.84,536.85,585
HCPCS,J8499,"LEVETIRACETAM 1,000 MG TABLET",87.5,43.75,0.71,278.55,325
HCPCS,J8499,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,72.375,36.19,0.68,3071.88,650
HCPCS,J8499,LEVETIRACETAM 250 MG TABLET,90.9,45.45,0.69,3306.96,650
HCPCS,J8499,LEVETIRACETAM 500 MG TABLET,107.4,53.7,0.7,4041.81,1105
HCPCS,J8499,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.5,6.75,1.95,25.38,1365
HCPCS,J8499,LEVETIRACETAM 750 MG TABLET,116.1,58.05,0.71,153.9,390
HCPCS,J8499,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR",104.42500000000001,52.215,11.94,1831.91,325
HCPCS,J8499,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR",116.65,58.33,23.55,188.91,325
HCPCS,J8499,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,126.05,63.03,26.72,144.68,195
HCPCS,J8499,LEVOCARNITINE 100 MG/ML ORAL SOLUTION,186.25,93.13,3.45,210.92,195
HCPCS,J8499,LEVOCARNITINE 330 MG TABLET,351.0,175.5,52.53,375.44,260
HCPCS,J8499,LEVOFLOXACIN 250 MG TABLET,73.2,36.6,10.4,92.34,260
HCPCS,J8499,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,847.0,423.5,101.42,1987.2,260
HCPCS,J8499,LEVOFLOXACIN 500 MG TABLET,79.2,39.6,8.96,108.54,260
HCPCS,J8499,LEVOFLOXACIN 750 MG TABLET,68.45,34.225,9.21,227.88,325
HCPCS,J8499,LEVONORGESTREL 1.5 MG TABLET,18.2,9.1,3.97,16.38,65
HCPCS,J8499,LEVOTHYROXINE 100 MCG TABLET,256.8,128.4,0.75,1759.5,1105
HCPCS,J8499,LEVOTHYROXINE 112 MCG TABLET,191.4,95.7,0.76,1809.0,845
HCPCS,J8499,LEVOTHYROXINE 125 MCG TABLET,174.725,87.36500000000001,0.76,2227.5,1040
HCPCS,J8499,LEVOTHYROXINE 137 MCG TABLET,136.625,68.315,0.67,650.84,585
HCPCS,J8499,LEVOTHYROXINE 150 MCG TABLET,284.1,142.05,0.76,5785.2,910
HCPCS,J8499,LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION,26.4,13.2,5.76,23.76,130
HCPCS,J8499,LEVOTHYROXINE 175 MCG TABLET,261.7,130.85,0.76,2023.2,780
HCPCS,J8499,LEVOTHYROXINE 20 MCG/ML ORAL SOLUTION,667.5,333.75,145.58,600.75,130
HCPCS,J8499,LEVOTHYROXINE 200 MCG TABLET,246.6,123.3,1.23,722.7,455
HCPCS,J8499,LEVOTHYROXINE 25 MCG TABLET,128.4,64.2,0.72,1372.5,975
HCPCS,J8499,LEVOTHYROXINE 25 MCG/ML ORAL SOLUTION,26.4,13.2,5.76,23.76,130
HCPCS,J8499,LEVOTHYROXINE 300 MCG TABLET,71.85,35.925,10.25,87.03,130
HCPCS,J8499,LEVOTHYROXINE 50 MCG TABLET,185.775,92.89,0.73,5781.6,1105
HCPCS,J8499,LEVOTHYROXINE 75 MCG TABLET,202.8,101.4,0.74,722.7,715
HCPCS,J8499,LEVOTHYROXINE 88 MCG TABLET,200.9,100.45,0.69,1858.5,780
HCPCS,J8499,LINACLOTIDE 145 MCG CAPSULE,2202.6,1101.3,480.39,1982.34,65
HCPCS,J8499,LINACLOTIDE 290 MCG CAPSULE,2202.6,1101.3,480.39,1982.34,65
HCPCS,J8499,LINACLOTIDE 72 MCG CAPSULE,2202.6,1101.3,480.39,1982.34,65
HCPCS,J8499,LINAGLIPTIN 5 MG TABLET,5242.7,2621.35,476.43,5242.68,195
HCPCS,J8499,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,2170.125,1085.065,293.94,2271.24,390
HCPCS,J8499,LINEZOLID 600 MG TABLET,338.75,169.375,2.19,18039.69,780
HCPCS,J8499,LIOTHYRONINE 25 MCG TABLET,331.25,165.625,40.04,391.5,520
HCPCS,J8499,LIOTHYRONINE 5 MCG TABLET,271.75,135.875,24.38,302.85,520
HCPCS,J8499,LIOTHYRONINE 50 MCG TABLET,604.0,302.0,119.74,593.1,130
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 10,000-32,000-42,000 UNIT CAPSULE,DELAYED REL",1944.5,972.25,424.1,1750.05,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",2081.0,1040.5,439.36,3453.3,195
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 15,000-47,000-63,000 UNIT CAPSULE,DELAYED REL",2246.8,1123.4,490.03,2022.12,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL",3052.0,1526.0,665.64,2746.8,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 20,880-78,300-78,300 UNIT TABLET",3082.4,1541.2,672.27,2774.16,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",3299.6,1649.8,696.7,6734.7,195
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 25,000-79,000-105,000 UNIT CAPSULE,DELAYED REL",3776.8,1888.4,823.72,3399.12,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 3,000-10,000-14,000 UNIT CAPSULE,DELAYED REL",1031.0,515.5,224.86,927.9,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",605.5,302.75,129.92,553.77,130
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",8278.7,4139.35,1092.77,10392.3,130
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 40,000-126,000-168,000 UNIT CAPSULE, DELAY REL",6023.6,3011.8,1313.75,5421.24,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 5,000-17,000-24,000 UNIT CAPSULE, DELAYED REL",984.0,492.0,214.61,885.6,65
HCPCS,J8499,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",1704.0,852.0,219.84,2160.0,130
HCPCS,J8499,LISDEXAMFETAMINE 10 MG CAPSULE,1872.0,936.0,408.28,1684.8,65
HCPCS,J8499,LISDEXAMFETAMINE 20 MG CAPSULE,2373.2,1186.6,224.95,4302.0,390
HCPCS,J8499,LISDEXAMFETAMINE 30 MG CAPSULE,2485.6,1242.8,449.94,4302.0,325
HCPCS,J8499,LISDEXAMFETAMINE 50 MG CAPSULE,3612.4,1806.2,533.21,4302.0,130
HCPCS,J8499,LISDEXAMFETAMINE 70 MG CAPSULE,4780.0,2390.0,1042.52,4302.0,65
HCPCS,J8499,LISINOPRIL 1 MG/ML ORAL SOLUTION,2524.8,1262.4,550.66,2272.32,65
HCPCS,J8499,LISINOPRIL 10 MG TABLET,18.6,9.3,0.68,91.8,650
HCPCS,J8499,LISINOPRIL 2.5 MG TABLET,13.8,6.9,0.73,89.28,585
HCPCS,J8499,LISINOPRIL 20 MG TABLET,39.3,19.65,0.69,3903.57,780
HCPCS,J8499,LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,84.6,42.3,18.45,76.14,65
HCPCS,J8499,LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,174.9,87.45,21.33,226.8,130
HCPCS,J8499,LISINOPRIL 40 MG TABLET,41.7,20.85,0.69,199.8,390
HCPCS,J8499,LISINOPRIL 5 MG TABLET,19.2,9.6,0.69,81.0,715
HCPCS,J8499,LITHIUM CARBONATE 150 MG CAPSULE,64.2,32.1,7.46,71.28,260
HCPCS,J8499,LITHIUM CARBONATE 300 MG CAPSULE,48.0,24.0,0.7,108.54,390
HCPCS,J8499,LITHIUM CARBONATE 300 MG TABLET,127.8,63.9,14.79,123.66,195
HCPCS,J8499,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",80.69999999999999,40.349999999999994,0.73,191.16,520
HCPCS,J8499,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",171.9,85.95,0.73,253.26,520
HCPCS,J8499,LMFOLATE CA 6 MG-ACETYLCYS 600 MG-MB12 2 MG-ALGAL OIL 90.314 MG TABLET,1144.35,572.18,103.58,1882.13,195
HCPCS,J8499,LOMUSTINE 10 MG CAPSULE,2246.4,1123.2,489.94,2021.76,65
HCPCS,J8499,LOMUSTINE 100 MG CAPSULE,24803.6,12401.8,5409.67,22323.24,65
HCPCS,J8499,LOMUSTINE 40 MG CAPSULE,8985.2,4492.6,1959.67,8086.68,65
HCPCS,J8499,LOPINAVIR-RITONAVIR 100 MG-25 MG TABLET,1241.7,620.85,270.81,1117.53,65
HCPCS,J8499,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET,3456.975,1728.49,641.21,3576.56,130
HCPCS,J8499,LORAZEPAM 0.25 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
HCPCS,J8499,LORAZEPAM 0.5 MG TABLET,52.8,26.4,1.12,12311.64,715
HCPCS,J8499,LORAZEPAM 1 MG TABLET,49.8,24.9,1.11,16446.6,845
HCPCS,J8499,LORAZEPAM 2 MG TABLET,34.8,17.4,1.15,132.3,455
HCPCS,J8499,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,51.15,25.58,1.26,1040.04,455
HCPCS,J8499,LOSARTAN 100 MG TABLET,51.85,25.93,0.73,309.6,650
HCPCS,J8499,LOSARTAN 12.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,LOSARTAN 2.5 MG/ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
HCPCS,J8499,LOSARTAN 25 MG TABLET,69.5,34.75,0.71,1252.26,1040
HCPCS,J8499,LOSARTAN 50 MG TABLET,83.2,41.6,0.71,1677.11,1300
HCPCS,J8499,LOSARTAN 50 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,51.3,25.65,11.19,46.17,65
HCPCS,J8499,LOVASTATIN 10 MG TABLET,22.15,11.075,4.56,21.06,130
HCPCS,J8499,LOVASTATIN 20 MG TABLET,28.275,14.14,4.09,34.02,130
HCPCS,J8499,LOVASTATIN 40 MG TABLET,24.700000000000003,12.350000000000001,5.19,23.04,130
HCPCS,J8499,LOXAPINE SUCCINATE 10 MG CAPSULE,326.75,163.375,64.12,323.55,195
HCPCS,J8499,LOXAPINE SUCCINATE 25 MG CAPSULE,323.5,161.75,63.47,320.4,195
HCPCS,J8499,LOXAPINE SUCCINATE 5 MG CAPSULE,214.2,107.1,38.87,246.15,195
HCPCS,J8499,LOXAPINE SUCCINATE 50 MG CAPSULE,669.5,334.75,146.02,602.55,65
HCPCS,J8499,LUBIPROSTONE 24 MCG CAPSULE,521.1,260.55,12.46,1713.96,520
HCPCS,J8499,LUBIPROSTONE 8 MCG CAPSULE,346.8,173.4,12.46,1713.96,585
HCPCS,J8499,LUMATEPERONE 21 MG CAPSULE,6323.4,3161.7,1379.13,5691.06,65
HCPCS,J8499,LUMATEPERONE 42 MG CAPSULE,5508.0,2754.0,60.06,5691.06,195
HCPCS,J8499,LURASIDONE 120 MG TABLET,3373.4249999999997,1686.715,19.67,5990.99,130
HCPCS,J8499,LURASIDONE 20 MG TABLET,59.599999999999994,29.805,3.23,4013.51,650
HCPCS,J8499,LURASIDONE 40 MG TABLET,54.925,27.465,5.61,4013.51,845
HCPCS,J8499,LURASIDONE 60 MG TABLET,58.45,29.225,3.23,4013.51,520
HCPCS,J8499,LURASIDONE 80 MG TABLET,627.0,313.5,13.27,4013.51,195
HCPCS,J8499,MACITENTAN 10 MG TABLET,40829.1,20414.55,5901.39,49140.0,130
HCPCS,J8499,MARIBAVIR 200 MG TABLET,37349.774999999994,18674.89,5430.66,44819.73,130
HCPCS,J8499,MECLIZINE 25 MG TABLET,114.6,57.3,0.75,796.5,975
HCPCS,J8499,MEDROXYPROGESTERONE 10 MG TABLET,124.8,62.4,1.59,196.2,325
HCPCS,J8499,MEDROXYPROGESTERONE 2.5 MG TABLET,63.9,31.95,12.43,63.72,130
HCPCS,J8499,MEDROXYPROGESTERONE 5 MG TABLET,105.0,52.5,22.9,94.5,65
HCPCS,J8499,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,15.25,7.625,1.83,30.24,1235
HCPCS,J8499,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,190.1,95.05,13.51,298.08,455
HCPCS,J8499,MELOXICAM 15 MG TABLET,23.85,11.925,0.69,78.3,325
HCPCS,J8499,MELOXICAM 7.5 MG TABLET,17.5,8.75,0.69,28.35,325
HCPCS,J8499,MEMANTINE 10 MG TABLET,89.65,44.825,0.72,2479.68,910
HCPCS,J8499,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",532.5,266.25,7.66,4664.66,715
HCPCS,J8499,MEMANTINE 2 MG/ML ORAL SOLUTION,3022.6,1511.3,659.23,2720.34,65
HCPCS,J8499,"MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",152.1,76.05,8.92,412.16,195
HCPCS,J8499,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",532.5,266.25,8.95,2028.78,975
HCPCS,J8499,MEMANTINE 5 MG TABLET,72.0,36.0,0.74,207.9,780
HCPCS,J8499,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",352.725,176.365,8.21,1943.6,650
HCPCS,J8499,MEPERIDINE 50 MG TABLET,4474.7,2237.35,975.93,4027.23,65
HCPCS,J8499,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1492.95,746.48,13.03,3738.56,585
HCPCS,J8499,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),1644.3,822.15,7.33,2438.46,325
HCPCS,J8499,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",1440.6,720.3,12.57,4078.53,195
HCPCS,J8499,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",648.9,324.45,3.21,2122.74,520
HCPCS,J8499,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",2694.75,1347.38,587.72,2425.28,65
HCPCS,J8499,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",2694.75,1347.38,587.72,2425.28,65
HCPCS,J8499,METAXALONE 800 MG TABLET,750.0,375.0,163.58,675.0,65
HCPCS,J8499,"METFORMIN 1,000 MG TABLET",48.0,24.0,10.47,43.2,65
HCPCS,J8499,METFORMIN 500 MG TABLET,16.8,8.4,0.68,62.1,715
HCPCS,J8499,METFORMIN 850 MG TABLET,41.400000000000006,20.700000000000003,0.7,86.4,390
HCPCS,J8499,"METFORMIN ER 1,000 MG TABLET,EXTENDED RELEASE 24HR (OSMOTIC)",500.1,250.05,109.07,450.09,65
HCPCS,J8499,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",30.0,15.0,0.74,226.8,1105
HCPCS,J8499,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24HR (OSMOTIC)",209.9,104.95,45.78,188.91,65
HCPCS,J8499,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",29.4,14.7,0.72,581.4,585
HCPCS,J8499,METHADONE 10 MG TABLET,99.6,49.8,1.15,211.14,650
HCPCS,J8499,METHADONE 10 MG/5 ML ORAL SOLUTION,291.0,145.5,1.21,749.25,195
HCPCS,J8499,METHADONE 10 MG/ML ORAL CONCENTRATE,114.675,57.34,1.1,229.5,585
HCPCS,J8499,METHADONE 5 MG TABLET,110.1,55.05,1.15,122.58,260
HCPCS,J8499,METHADONE 5 MG/5 ML ORAL SOLUTION,6.25,3.125,1.1,172.8,585
HCPCS,J8499,METHAZOLAMIDE 50 MG TABLET,1410.0,705.0,167.5,1288.35,195
HCPCS,J8499,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,3131.65,1565.83,683.01,2818.49,65
HCPCS,J8499,METHENAMINE 81.6 MG-SOD PHOS 40.8 MG-METHYLENE BLUE 0.12MG-HYOS TABLET,1034.5,517.25,156.84,1871.55,195
HCPCS,J8499,METHENAMINE HIPPURATE 1 GRAM TABLET,324.0,162.0,2.33,784.35,520
HCPCS,J8499,METHENAMINE MANDELATE 0.5 GRAM TABLET,624.0,312.0,136.09,561.6,65
HCPCS,J8499,METHIMAZOLE 10 MG TABLET,111.6,55.8,0.76,297.45,520
HCPCS,J8499,METHIMAZOLE 3 MG/ML ORAL SUSPENSION,16.8,8.4,3.66,15.12,65
HCPCS,J8499,METHIMAZOLE 5 MG TABLET,69.6,34.8,0.74,235.98,715
HCPCS,J8499,METHOCARBAMOL 500 MG TABLET,55.5,27.75,0.7,216.0,910
HCPCS,J8499,METHOCARBAMOL 750 MG TABLET,95.85,47.925,0.71,167.4,780
HCPCS,J8499,METHYLDOPA 250 MG TABLET,83.4,41.7,14.0,2246.63,195
HCPCS,J8499,METHYLDOPA 500 MG TABLET,148.2,74.1,32.32,133.38,65
HCPCS,J8499,METHYLERGONOVINE 0.2 MG TABLET,1107.9,553.95,57.23,3149.87,715
HCPCS,J8499,METHYLNALTREXONE 150 MG TABLET,9333.75,4666.88,2035.69,8400.38,65
HCPCS,J8499,METHYLPHENIDATE 10 MG TABLET,106.5,53.25,1.74,494.1,780
HCPCS,J8499,METHYLPHENIDATE 2.5 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
HCPCS,J8499,METHYLPHENIDATE 20 MG TABLET,46.8,23.4,10.21,42.12,65
HCPCS,J8499,METHYLPHENIDATE 5 MG TABLET,69.9,34.95,2.45,346.5,650
HCPCS,J8499,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",1272.75,636.375,268.48,1183.05,130
HCPCS,J8499,"METHYLPHENIDATE CD 20 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",868.0,434.0,189.31,781.2,65
HCPCS,J8499,"METHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2421.925,1210.9650000000001,451.31,2497.1,130
HCPCS,J8499,"METHYLPHENIDATE ER 10 MG TABLET,EXTENDED RELEASE",279.5,139.75,60.96,251.55,65
HCPCS,J8499,"METHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2397.25,1198.63,451.31,2497.1,195
HCPCS,J8499,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",361.5,180.75,3.3,4504.32,845
HCPCS,J8499,"METHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2421.925,1210.9650000000001,451.31,2497.1,130
HCPCS,J8499,METHYLPHENIDATE ER 20 MG CHEWABLE TABLET IMMED AND EXTEN.RELEASE 24 HR,4595.2,2297.6,1002.21,4135.68,65
HCPCS,J8499,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",387.15,193.575,59.32,522.9,260
HCPCS,J8499,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",476.6,238.3,3.33,4617.0,1040
HCPCS,J8499,METHYLPHENIDATE ER 30 MG CHEWABLE TABLET IMMED AND EXTEN.RELEASE 24 HR,4595.2,2297.6,1002.21,4135.68,65
HCPCS,J8499,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",900.25,450.125,73.28,5182.56,390
HCPCS,J8499,METOCLOPRAMIDE 10 MG TABLET,82.2,41.1,0.69,268.38,585
HCPCS,J8499,METOCLOPRAMIDE 5 MG TABLET,96.0,48.0,0.76,257.04,390
HCPCS,J8499,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,18.0,9.0,3.03,86.85,390
HCPCS,J8499,METOLAZONE 1 MG/ML ORAL SUSPENSION,51.15,25.58,11.16,46.04,65
HCPCS,J8499,METOLAZONE 10 MG TABLET,372.5,186.25,18.97,919.35,195
HCPCS,J8499,METOLAZONE 2.5 MG TABLET,276.25,138.125,2.46,1137.6,650
HCPCS,J8499,METOLAZONE 5 MG TABLET,294.5,147.25,2.81,1292.85,910
HCPCS,J8499,METOPROLOL 10 MG/ML ORAL SUSPENSION,7.95,3.98,1.73,7.16,65
HCPCS,J8499,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",136.8,68.4,0.76,531.45,715
HCPCS,J8499,"METOPROLOL SUCCINATE ER 12.5 MG SPLIT TABLET, 24 HR",3.1,1.55,0.68,2.79,65
HCPCS,J8499,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",234.15,117.075,0.77,806.36,260
HCPCS,J8499,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",112.5,56.25,0.72,1264.5,1560
HCPCS,J8499,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",130.8,65.4,0.72,490.5,1365
HCPCS,J8499,METOPROLOL TARTRATE 100 MG TABLET,18.6,9.3,2.22,89.1,325
HCPCS,J8499,METOPROLOL TARTRATE 12.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,METOPROLOL TARTRATE 25 MG TABLET,18.0,9.0,0.68,94.5,910
HCPCS,J8499,METOPROLOL TARTRATE 50 MG TABLET,42.6,21.3,0.68,135.0,910
HCPCS,J8499,METOPROLOL TARTRATE 6.25 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,METRONIDAZOLE 0.025 MG/ML ORAL SUSPENSION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J8499,METRONIDAZOLE 0.25 MG/ML ORAL SUSPENSION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J8499,METRONIDAZOLE 2.5 MG/ML ORAL SUSPENSION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
HCPCS,J8499,METRONIDAZOLE 250 MG TABLET,110.4,55.2,0.71,609.75,650
HCPCS,J8499,METRONIDAZOLE 500 MG TABLET,216.0,108.0,0.75,1089.0,1040
HCPCS,J8499,METRONIDAZOLE 500 MG/5 ML ORAL SUSPENSION,539.5,269.75,3.49,956.7,130
HCPCS,J8499,MEXILETINE 150 MG CAPSULE,159.6,79.8,1.62,474.75,455
HCPCS,J8499,MEXILETINE 200 MG CAPSULE,306.0,153.0,32.72,594.45,390
HCPCS,J8499,MEXILETINE 250 MG CAPSULE,298.5,149.25,60.52,378.9,195
HCPCS,J8499,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),24.925,12.465,1.13,261.27,975
HCPCS,J8499,MIDODRINE 10 MG TABLET,165.5,82.75,0.95,275.85,260
HCPCS,J8499,MIDODRINE 2.5 MG TABLET,76.2,38.1,0.76,268.38,845
HCPCS,J8499,MIDODRINE 5 MG TABLET,104.4,52.2,0.68,283.5,1170
HCPCS,J8499,MIFEPRISTONE 200 MG TABLET,1305.0,652.5,98.15,1944.0,195
HCPCS,J8499,MILNACIPRAN 50 MG TABLET,2482.5,1241.25,541.43,2234.25,65
HCPCS,J8499,MINOCYCLINE 100 MG CAPSULE,129.75,64.875,1.26,259.2,520
HCPCS,J8499,MINOCYCLINE 50 MG CAPSULE,127.8,63.9,24.08,122.04,195
HCPCS,J8499,MINOCYCLINE 50 MG TABLET,759.25,379.625,83.97,1020.15,130
HCPCS,J8499,MINOCYCLINE 75 MG CAPSULE,206.4,103.2,45.02,185.76,65
HCPCS,J8499,MINOXIDIL 10 MG TABLET,120.0,60.0,0.73,250.56,325
HCPCS,J8499,MINOXIDIL 2.5 MG TABLET,98.4,49.2,0.67,226.8,390
HCPCS,J8499,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2360.425,1180.2150000000001,245.59,4595.94,260
HCPCS,J8499,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",2127.75,1063.88,313.87,4595.94,325
HCPCS,J8499,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,74.7,37.35,5.75,592.65,260
HCPCS,J8499,MIRTAZAPINE 15 MG TABLET,63.0,31.5,0.7,265.5,1040
HCPCS,J8499,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,79.3,39.655,14.84,81.5,130
HCPCS,J8499,MIRTAZAPINE 30 MG TABLET,55.75,27.875,0.7,96.66,520
HCPCS,J8499,MIRTAZAPINE 45 MG TABLET,13.9,6.95,0.72,152.82,260
HCPCS,J8499,MIRTAZAPINE 7.5 MG TABLET,141.15,70.575,2.67,275.4,260
HCPCS,J8499,MISOPROSTOL 100 MCG TABLET,235.27499999999998,117.64,2.46,1744.65,780
HCPCS,J8499,MISOPROSTOL 200 MCG TABLET,301.45,150.725,2.31,1467.45,780
HCPCS,J8499,MODAFINIL 100 MG TABLET,347.125,173.565,5.93,5571.72,650
HCPCS,J8499,MODAFINIL 200 MG TABLET,105.175,52.59,9.62,8418.74,520
HCPCS,J8499,MOEXIPRIL 7.5 MG TABLET,451.5,225.75,98.47,406.35,65
HCPCS,J8499,MONTELUKAST 10 MG TABLET,64.2,32.1,0.71,2291.36,1300
HCPCS,J8499,MONTELUKAST 4 MG CHEWABLE TABLET,42.5,21.25,0.83,170.37,520
HCPCS,J8499,MONTELUKAST 4 MG ORAL GRANULES IN PACKET,447.9,223.95,97.69,403.11,65
HCPCS,J8499,MONTELUKAST 5 MG CHEWABLE TABLET,104.25,52.13,0.83,954.72,585
HCPCS,J8499,MORPHINE 0.2 MG/0.5 ML ORAL SYRINGE (NEO),5.15,2.58,1.12,4.64,65
HCPCS,J8499,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.35,3.18,1.1,110.7,780
HCPCS,J8499,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,244.2,122.1,1.35,464.4,325
HCPCS,J8499,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,322.5,161.25,58.34,549.45,195
HCPCS,J8499,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),13.325,6.665,2.86,12.2,195
HCPCS,J8499,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,56.55,28.28,1.12,278.64,650
HCPCS,J8499,"MORPHINE ER 10 MG CAPSULE,EXTENDED RELEASE PELLETS",1233.0,616.5,268.92,1109.7,65
HCPCS,J8499,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",314.5,157.25,3.73,1281.15,455
HCPCS,J8499,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",132.6,66.3,1.2,1908.9,650
HCPCS,J8499,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE",2040.0,1020.0,444.92,1836.0,65
HCPCS,J8499,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",176.4,88.2,1.29,2676.24,845
HCPCS,J8499,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",820.5,410.25,2.34,878.85,260
HCPCS,J8499,MOXIFLOXACIN 400 MG TABLET,424.5,212.25,6.46,1151.33,390
HCPCS,J8499,NABUMETONE 500 MG TABLET,103.8,51.9,1.16,270.45,520
HCPCS,J8499,NABUMETONE 750 MG TABLET,72.6,36.3,15.83,65.34,65
HCPCS,J8499,NADOLOL 10 MG/ML ORAL SUSPENSION,559.6,279.8,122.05,503.64,65
HCPCS,J8499,NADOLOL 20 MG TABLET,87.0,43.5,3.35,2157.3,650
HCPCS,J8499,NADOLOL 40 MG TABLET,129.0,64.5,2.97,655.65,325
HCPCS,J8499,NALDEMEDINE 0.2 MG TABLET,2246.1,1123.05,489.87,2021.49,65
HCPCS,J8499,NALOXEGOL 12.5 MG TABLET,1874.625,937.315,377.76,1815.48,130
HCPCS,J8499,NALOXEGOL 25 MG TABLET,3318.0,1659.0,377.76,4841.28,260
HCPCS,J8499,NALTREXONE 50 MG TABLET,262.2,131.1,2.85,1872.18,975
HCPCS,J8499,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,1107.5,553.75,96.47,3227.4,325
HCPCS,J8499,NAPROXEN 250 MG TABLET,39.3,19.65,0.7,135.0,390
HCPCS,J8499,NAPROXEN 375 MG TABLET,40.8,20.4,0.7,54.0,325
HCPCS,J8499,NAPROXEN 500 MG TABLET,53.1,26.55,0.71,117.18,390
HCPCS,J8499,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",1574.5,787.25,89.31,1492.2,195
HCPCS,J8499,NAPROXEN SODIUM 275 MG TABLET,277.5,138.75,2.88,493.2,455
HCPCS,J8499,NAPROXEN SODIUM 550 MG TABLET,365.25,182.625,3.2,570.15,390
HCPCS,J8499,NARATRIPTAN 2.5 MG TABLET,190.95,95.48,41.65,171.86,65
HCPCS,J8499,NATEGLINIDE 120 MG TABLET,257.55,128.78,3.14,458.1,390
HCPCS,J8499,NATEGLINIDE 60 MG TABLET,241.4,120.7,52.65,217.26,65
HCPCS,J8499,NEBIVOLOL 10 MG TABLET,1521.5749999999998,760.79,176.43,2010.78,130
HCPCS,J8499,NEBIVOLOL 2.5 MG TABLET,931.05,465.53,59.9,1977.48,195
HCPCS,J8499,NEBIVOLOL 5 MG TABLET,286.7,143.35,11.31,2064.24,325
HCPCS,J8499,NEFAZODONE 100 MG TABLET,411.3,205.65,89.7,370.17,65
HCPCS,J8499,NEFAZODONE 150 MG TABLET,431.7,215.85,94.15,388.53,65
HCPCS,J8499,NELFINAVIR 250 MG TABLET,4489.2,2244.6,979.09,4040.28,65
HCPCS,J8499,NELFINAVIR 625 MG TABLET,4489.45,2244.73,979.15,4040.51,65
HCPCS,J8499,NEOMYCIN 500 MG TABLET,322.6,161.3,0.92,434.25,260
HCPCS,J8499,NEVIRAPINE 200 MG TABLET,55.474999999999994,27.740000000000002,9.35,54.14,260
HCPCS,J8499,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,729.6,364.8,159.13,656.64,65
HCPCS,J8499,"NIACIN ER 1,000 MG TABLET,EXTENDED RELEASE",27.0,13.5,5.89,24.3,65
HCPCS,J8499,"NIACIN ER 1,000 MG TABLET,EXTENDED RELEASE 24 HR",277.6,138.8,42.4,269.73,195
HCPCS,J8499,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",162.0,81.0,1.42,174.65,325
HCPCS,J8499,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE",59.7,29.85,6.02,82.62,130
HCPCS,J8499,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",169.6,84.8,36.99,152.64,65
HCPCS,J8499,NICARDIPINE 20 MG CAPSULE,747.9,373.955,162.63,675.14,130
HCPCS,J8499,NIFEDIPINE 10 MG CAPSULE,243.5,121.75,38.87,355.5,390
HCPCS,J8499,NIFEDIPINE 20 MG CAPSULE,621.5,310.75,94.22,823.05,195
HCPCS,J8499,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",130.5,65.25,17.01,164.7,130
HCPCS,J8499,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",144.0,72.0,1.08,542.25,845
HCPCS,J8499,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",231.0,115.5,50.38,207.9,65
HCPCS,J8499,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",120.1,60.05,1.85,900.0,845
HCPCS,J8499,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",199.2,99.6,43.45,179.28,65
HCPCS,J8499,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",198.0,99.0,1.74,961.2,585
HCPCS,J8499,NIMODIPINE 30 MG CAPSULE,166.7,83.35,1.43,510.75,585
HCPCS,J8499,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),263.15,131.58,55.92,254.07,325
HCPCS,J8499,NIMODIPINE 60 MG/10 ML ORAL SOLUTION,9978.65,4989.33,2176.34,8980.79,65
HCPCS,J8499,NIRAPARIB 200 MG TABLET,75505.8,37752.9,16467.81,67955.22,65
HCPCS,J8499,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,3112.175,1556.0900000000001,150.84,4979.48,130
HCPCS,J8499,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",3112.175,1556.0900000000001,150.84,4979.48,130
HCPCS,J8499,"NISOLDIPINE ER 20 MG TABLET,EXTENDED RELEASE 24 HR",3525.2,1762.6,768.85,3172.68,65
HCPCS,J8499,"NISOLDIPINE ER 8.5 MG TABLET,EXTENDED RELEASE 24 HR",1771.0,885.5,377.42,1630.35,130
HCPCS,J8499,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION,2414.1,1207.05,526.52,2172.69,65
HCPCS,J8499,NITAZOXANIDE 125 MG SPLIT TABLET,15568.5,7784.25,3395.49,14011.65,65
HCPCS,J8499,NITAZOXANIDE 500 MG TABLET,3869.65,1934.83,524.49,13448.39,455
HCPCS,J8499,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,282.45,141.225,2.7,497.25,130
HCPCS,J8499,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,1582.0,791.0,223.55,1960.56,195
HCPCS,J8499,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,268.0,134.0,1.53,796.05,715
HCPCS,J8499,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,420.75,210.38,2.2,1979.64,1040
HCPCS,J8499,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,150.6,75.3,22.77,308.25,195
HCPCS,J8499,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,56.55,28.28,1.96,308.25,1430
HCPCS,J8499,NORETHINDRONE ACETATE 5 MG TABLET,387.375,193.69,36.31,1268.33,520
HCPCS,J8499,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,24.975,12.49,3.15,37.98,715
HCPCS,J8499,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,88.9,44.455,14.3,101.03,260
HCPCS,J8499,NORTRIPTYLINE 10 MG CAPSULE,84.0,42.0,0.73,183.6,585
HCPCS,J8499,NORTRIPTYLINE 25 MG CAPSULE,88.2,44.1,0.73,259.2,585
HCPCS,J8499,NORTRIPTYLINE 50 MG CAPSULE,41.6,20.8,0.73,103.14,325
HCPCS,J8499,NORTRIPTYLINE 75 MG CAPSULE,149.4,74.7,12.26,225.18,195
HCPCS,J8499,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",9.75,4.88,0.72,402.3,2015
HCPCS,J8499,"NYSTATIN 500,000 UNIT TABLET",250.2,125.1,54.57,225.18,65
HCPCS,J8499,OLANZAPINE 10 MG DISINTEGRATING TABLET,111.57499999999999,55.79,0.76,2467.17,1105
HCPCS,J8499,OLANZAPINE 10 MG TABLET,44.3,22.15,1.03,2369.34,585
HCPCS,J8499,OLANZAPINE 15 MG TABLET,153.3,76.65,24.34,175.5,130
HCPCS,J8499,OLANZAPINE 2.5 MG TABLET,24.85,12.43,0.75,1666.17,585
HCPCS,J8499,OLANZAPINE 5 MG DISINTEGRATING TABLET,104.75,52.379999999999995,0.73,2088.05,1170
HCPCS,J8499,OLANZAPINE 5 MG TABLET,42.275000000000006,21.14,0.76,1965.74,520
HCPCS,J8499,OLANZAPINE 7.5 MG TABLET,29.174999999999997,14.59,5.15,31.14,260
HCPCS,J8499,OLMESARTAN 20 MG TABLET,23.05,11.53,3.42,62.24,195
HCPCS,J8499,OLMESARTAN 5 MG TABLET,20.0,10.0,4.12,24.8,195
HCPCS,J8499,OLSALAZINE 250 MG CAPSULE,5796.8,2898.4,1264.28,5217.12,65
HCPCS,J8499,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",28.799999999999997,14.399999999999999,4.12,65.34,390
HCPCS,J8499,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",35.8,17.9,0.69,1570.5,1560
HCPCS,J8499,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",48.3,24.15,0.71,118.26,260
HCPCS,J8499,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,1975.95,987.98,2.68,1810.22,195
HCPCS,J8499,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",455.5,227.75,55.62,414.9,195
HCPCS,J8499,OSELTAMIVIR 30 MG CAPSULE,83.45,41.725,7.76,608.22,780
HCPCS,J8499,OSELTAMIVIR 45 MG CAPSULE,53.5,26.75,8.47,608.22,455
HCPCS,J8499,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,55.45,27.73,0.73,662.85,650
HCPCS,J8499,OSELTAMIVIR 75 MG CAPSULE,103.15,51.575,9.86,662.94,780
HCPCS,J8499,OXAPROZIN 600 MG TABLET,606.75,303.375,61.94,1225.8,260
HCPCS,J8499,OXAZEPAM 10 MG CAPSULE,364.75,182.375,2.75,942.3,260
HCPCS,J8499,OXAZEPAM 15 MG CAPSULE,456.75,228.375,3.58,1226.7,260
HCPCS,J8499,OXCARBAZEPINE 150 MG TABLET,169.8,84.9,0.73,1937.52,715
HCPCS,J8499,OXCARBAZEPINE 300 MG TABLET,283.5,141.75,0.75,3538.44,650
HCPCS,J8499,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,372.5,186.25,1.96,2037.38,910
HCPCS,J8499,OXCARBAZEPINE 600 MG TABLET,457.25,228.625,1.35,6503.76,520
HCPCS,J8499,OXYBUTYNIN CHLORIDE 5 MG TABLET,193.8,96.9,0.72,1210.5,1235
HCPCS,J8499,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,102.2,51.1,0.7,2079.59,195
HCPCS,J8499,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",79.8,39.9,3.53,333.45,195
HCPCS,J8499,"OXYBUTYNIN CHLORIDE ER 15 MG TABLET,EXTENDED RELEASE 24 HR",105.6,52.8,23.03,95.04,65
HCPCS,J8499,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",150.0,75.0,1.44,546.75,845
HCPCS,J8499,OXYCODONE 10 MG TABLET,84.45,42.23,1.16,306.0,585
HCPCS,J8499,OXYCODONE 15 MG TABLET,252.5,126.25,1.2,2160.9,1170
HCPCS,J8499,OXYCODONE 2.5 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
HCPCS,J8499,OXYCODONE 20 MG TABLET,114.6,57.3,18.71,200.88,195
HCPCS,J8499,OXYCODONE 20 MG/ML ORAL CONCENTRATE,249.5,124.75,2.26,630.05,325
HCPCS,J8499,OXYCODONE 30 MG TABLET,127.8,63.9,1.1,569.25,325
HCPCS,J8499,OXYCODONE 5 MG TABLET,111.0,55.5,1.15,186.3,975
HCPCS,J8499,OXYCODONE 5 MG/5 ML ORAL SOLUTION,23.35,11.68,1.11,513.0,1170
HCPCS,J8499,OXYCODONE 7.5 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
HCPCS,J8499,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1596.5,798.25,117.29,1885.68,260
HCPCS,J8499,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1937.75,968.875,172.54,2775.96,130
HCPCS,J8499,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2602.3,1301.15,218.51,3516.48,260
HCPCS,J8499,"OXYCODONE ER 30 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1393.7,696.85,303.97,1254.33,65
HCPCS,J8499,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2668.4,1334.2,374.09,6022.44,195
HCPCS,J8499,"OXYCODONE ER 60 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",5952.049999999999,2976.0249999999996,529.92,8526.96,130
HCPCS,J8499,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",7036.049999999999,3518.0249999999996,522.41,10509.12,130
HCPCS,J8499,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,240.3,120.15,1.21,13734.0,1300
HCPCS,J8499,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,91.2,45.6,1.15,398.25,975
HCPCS,J8499,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,129.9,64.95,1.19,640.8,975
HCPCS,J8499,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",762.15,381.08,65.5,1144.53,390
HCPCS,J8499,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",577.35,288.68,12.38,8470.8,910
HCPCS,J8499,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",809.925,404.96500000000003,12.38,6923.88,845
HCPCS,J8499,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",1081.65,540.83,49.47,4732.92,585
HCPCS,J8499,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",100.8,50.4,0.7,104.22,455
HCPCS,J8499,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",58.1,29.05,0.68,154.98,1040
HCPCS,J8499,PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET,596.25,298.13,130.04,536.63,65
HCPCS,J8499,PARICALCITOL 1 MCG CAPSULE,268.6,134.3,39.18,1197.86,325
HCPCS,J8499,PAROMOMYCIN 250 MG CAPSULE,43854.8,21927.4,9564.73,39469.32,65
HCPCS,J8499,PAROXETINE 10 MG TABLET,40.025,20.015,0.76,513.0,1105
HCPCS,J8499,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,1881.25,940.625,375.68,1836.0,130
HCPCS,J8499,PAROXETINE 20 MG TABLET,42.85,21.43,0.7,119.34,845
HCPCS,J8499,PAROXETINE 30 MG TABLET,52.8,26.4,0.76,259.74,455
HCPCS,J8499,PAROXETINE 40 MG TABLET,276.5,138.25,60.3,248.85,65
HCPCS,J8499,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",202.95,101.475,43.77,184.68,130
HCPCS,J8499,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",209.55,104.78,45.7,188.6,65
HCPCS,J8499,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,818.6,409.3,40.09,3308.18,195
HCPCS,J8499,PEG 3350 240 GRAM-ELECTROLYTES 22.72 GRAM-6.72 G-5.84 G POWDR FOR SOLN,72.0,36.0,15.7,64.8,65
HCPCS,J8499,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,132.0,66.0,26.17,129.6,260
HCPCS,J8499,PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION,144.0,72.0,26.17,151.2,195
HCPCS,J8499,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,311.45000000000005,155.72500000000002,56.73,326.52,130
HCPCS,J8499,PEG3350 140 GRAM-SOD SULFATE 9 GRAM-NACL 5.2GRAM-KCL-C ORAL PWDR PACKS,432.85,216.43,94.4,389.57,65
HCPCS,J8499,PENICILLAMINE 250 MG CAPSULE,15614.4,7807.2,1824.97,78391.8,195
HCPCS,J8499,PENICILLAMINE 250 MG TABLET,14472.8,7236.4,2964.07,25170.84,195
HCPCS,J8499,PENICILLIN V POTASSIUM 0.625 MG/ML ORAL SOLUTION,5.3,2.65,1.16,4.77,65
HCPCS,J8499,PENICILLIN V POTASSIUM 125 MG/5 ML ORAL SOLUTION,44.4,22.2,9.68,39.96,65
HCPCS,J8499,PENICILLIN V POTASSIUM 250 MG TABLET,43.2,21.6,8.51,103.68,325
HCPCS,J8499,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,44.4,22.2,7.85,47.52,130
HCPCS,J8499,PENICILLIN V POTASSIUM 500 MG TABLET,66.6,33.3,4.91,176.58,390
HCPCS,J8499,PENICILLIN V POTASSIUM 6.25 MG/ML ORAL SOLUTION,4.25,2.13,0.93,3.83,65
HCPCS,J8499,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",171.6,85.8,28.13,192.78,130
HCPCS,J8499,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,2995.5,1497.75,22.57,5277.92,260
HCPCS,J8499,PERAMPANEL 12 MG TABLET,4537.45,2268.73,989.62,4083.71,65
HCPCS,J8499,PERAMPANEL 2 MG TABLET,2178.25,1089.13,459.24,2066.81,195
HCPCS,J8499,PERAMPANEL 4 MG TABLET,4421.0,2210.505,938.82,4083.71,130
HCPCS,J8499,PERAMPANEL 6 MG TABLET,4421.0,2210.505,938.82,4083.71,130
HCPCS,J8499,PERAMPANEL 8 MG TABLET,4421.0,2210.505,938.82,4083.71,130
HCPCS,J8499,PERPHENAZINE 2 MG TABLET,204.0,102.0,20.15,332.55,455
HCPCS,J8499,PERPHENAZINE 4 MG TABLET,307.0,153.5,1.26,453.6,455
HCPCS,J8499,PERPHENAZINE 8 MG TABLET,373.5,186.75,1.54,551.7,455
HCPCS,J8499,PERPHENAZINE-AMITRIPTYLINE 4 MG-25 MG TABLET,742.0,371.0,161.83,667.8,65
HCPCS,J8499,PHENAZOPYRIDINE 10 MG/ML ORAL SUSPENSION,4.1,2.05,0.89,3.69,65
HCPCS,J8499,PHENAZOPYRIDINE 100 MG TABLET,174.9,87.45,8.81,355.5,715
HCPCS,J8499,PHENAZOPYRIDINE 200 MG TABLET,252.0,126.0,43.84,540.0,520
HCPCS,J8499,PHENELZINE 15 MG TABLET,213.5,106.75,46.56,192.15,65
HCPCS,J8499,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,837.0,418.5,4.74,6626.88,520
HCPCS,J8499,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,669.0,334.5,101.85,783.9,130
HCPCS,J8499,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG/5 ML (5 ML) ELIXIR,151.25,75.63,32.99,136.13,130
HCPCS,J8499,PHENOBARBITAL 100 MG TABLET,446.25,223.125,36.9,603.0,260
HCPCS,J8499,PHENOBARBITAL 16.2 MG TABLET,177.9,88.95,10.99,241.38,520
HCPCS,J8499,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,96.525,48.265,1.13,319.28,1235
HCPCS,J8499,PHENOBARBITAL 30 MG TABLET,118.8,59.4,25.91,106.92,65
HCPCS,J8499,PHENOBARBITAL 32.4 MG TABLET,268.0,134.0,17.67,269.46,585
HCPCS,J8499,PHENOBARBITAL 64.8 MG TABLET,182.3,91.15,18.15,303.75,585
HCPCS,J8499,PHENOBARBITAL 97.2 MG TABLET,457.75,228.875,26.04,3254.4,390
HCPCS,J8499,PHENOXYBENZAMINE 10 MG CAPSULE,9245.2,4622.6,1496.17,17490.96,325
HCPCS,J8499,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,19.8,9.9,0.75,35.24,650
HCPCS,J8499,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,147.2,73.605,19.54,831.87,325
HCPCS,J8499,PHENYTOIN 50 MG CHEWABLE TABLET,169.275,84.64,0.76,930.15,650
HCPCS,J8499,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,219.6,109.8,0.76,5767.2,1300
HCPCS,J8499,PHENYTOIN SODIUM EXTENDED 200 MG CAPSULE,403.75,201.875,28.35,609.75,130
HCPCS,J8499,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,680.75,340.375,146.35,621.45,130
HCPCS,J8499,PHENYTOIN SODIUM EXTENDED 300 MG CAPSULE,221.0,110.505,30.35,272.57,130
HCPCS,J8499,PHYTONADIONE (VITAMIN K) ORAL SOLUTION 1 MG/ML,126.15,63.08,13.76,491.45,195
HCPCS,J8499,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,4079.75,2039.875,59.25,19658.16,780
HCPCS,J8499,PILOCARPINE 5 MG TABLET,235.2,117.6,2.98,306.86,650
HCPCS,J8499,PIMAVANSERIN 34 MG CAPSULE,20480.05,10240.03,4466.7,18432.05,65
HCPCS,J8499,PIMOZIDE 1 MG TABLET,535.5,267.75,116.79,481.95,65
HCPCS,J8499,PIMOZIDE 2 MG TABLET,781.0,390.5,170.34,702.9,65
HCPCS,J8499,PINDOLOL 5 MG TABLET,386.0,193.0,63.47,427.5,260
HCPCS,J8499,PIOGLITAZONE 15 MG TABLET,27.0,13.5,1.01,1616.49,975
HCPCS,J8499,PIOGLITAZONE 30 MG TABLET,52.75,26.38,6.37,1976.31,520
HCPCS,J8499,PIOGLITAZONE 45 MG TABLET,34.325,17.165,7.43,31.14,195
HCPCS,J8499,PIROXICAM 20 MG CAPSULE,466.5,233.25,85.06,488.7,130
HCPCS,J8499,PITAVASTATIN CALCIUM 2 MG TABLET,3422.9,1711.45,746.53,3080.61,65
HCPCS,J8499,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",2096.6,1048.3,27.44,13690.76,975
HCPCS,J8499,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,3861.275,1930.64,522.77,4793.04,130
HCPCS,J8499,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,99.35,49.68,20.44,155.84,195
HCPCS,J8499,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,79.4,39.7,17.32,71.46,130
HCPCS,J8499,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,4.575,2.29,0.73,5.22,130
HCPCS,J8499,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,158.05,79.03,1.07,624.15,1235
HCPCS,J8499,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,44.974999999999994,22.49,1.03,832.28,2340
HCPCS,J8499,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",123.0,61.5,0.76,1577.25,715
HCPCS,J8499,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",81.6,40.8,0.69,261.0,845
HCPCS,J8499,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",125.4,62.7,0.71,258.75,585
HCPCS,J8499,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE",98.1,49.05,19.63,95.58,130
HCPCS,J8499,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",184.925,92.465,0.71,1039.5,1625
HCPCS,J8499,"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE",38.175000000000004,19.09,0.69,65.88,130
HCPCS,J8499,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",211.8,105.9,2.55,801.0,585
HCPCS,J8499,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",160.8,80.4,18.84,571.5,455
HCPCS,J8499,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",153.3,76.65,29.09,280.98,195
HCPCS,J8499,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,1920.6,960.3050000000001,361.34,1966.01,130
HCPCS,J8499,POTASSIUM IODIDE 130 MG TABLET,341.6,170.8,74.5,307.44,130
HCPCS,J8499,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",294.6,147.3,48.29,1010.25,195
HCPCS,J8499,PRAMIPEXOLE 0.125 MG TABLET,54.825,27.415000000000003,6.37,81.18,260
HCPCS,J8499,PRAMIPEXOLE 0.25 MG TABLET,84.80000000000001,42.400000000000006,0.7,330.75,520
HCPCS,J8499,PRAMIPEXOLE 0.5 MG TABLET,29.2,14.6,1.09,134.82,325
HCPCS,J8499,PRAMIPEXOLE 1 MG TABLET,50.25,25.125,1.08,133.52,390
HCPCS,J8499,PRAMIPEXOLE 1.5 MG TABLET,21.1,10.55,4.24,71.46,195
HCPCS,J8499,PRASUGREL HCL 10 MG TABLET,127.175,63.59,1.0,1919.43,650
HCPCS,J8499,PRASUGREL HCL 5 MG TABLET,36.9,18.45,8.05,33.21,65
HCPCS,J8499,PRAVASTATIN 10 MG TABLET,33.5,16.75,0.71,266.76,715
HCPCS,J8499,PRAVASTATIN 20 MG TABLET,117.875,58.94,0.71,241.2,585
HCPCS,J8499,PRAVASTATIN 40 MG TABLET,139.5,69.75,0.76,855.0,910
HCPCS,J8499,PRAVASTATIN 80 MG TABLET,43.75,21.88,0.82,40.86,195
HCPCS,J8499,PRAZIQUANTEL 600 MG TABLET,1860.9250000000002,930.4649999999999,306.82,2083.55,130
HCPCS,J8499,PRAZOSIN 1 MG CAPSULE,96.9,48.45,1.57,2011.5,780
HCPCS,J8499,PRAZOSIN 2 MG CAPSULE,142.6,71.3,1.71,796.95,715
HCPCS,J8499,PRAZOSIN 5 MG CAPSULE,155.1,77.55,2.91,1491.75,780
HCPCS,J8499,PREGABALIN 100 MG CAPSULE,51.85,25.93,1.19,3704.4,845
HCPCS,J8499,PREGABALIN 150 MG CAPSULE,83.2,41.6,1.19,3706.2,585
HCPCS,J8499,PREGABALIN 200 MG CAPSULE,3368.2,1684.1,734.6,3031.38,65
HCPCS,J8499,PREGABALIN 225 MG CAPSULE,72.4,36.2,9.78,3031.38,325
HCPCS,J8499,PREGABALIN 25 MG CAPSULE,48.075,24.04,1.19,3032.64,910
HCPCS,J8499,PREGABALIN 300 MG CAPSULE,153.0,76.5,10.84,3031.38,195
HCPCS,J8499,PREGABALIN 50 MG CAPSULE,76.17500000000001,38.09,1.19,3706.2,910
HCPCS,J8499,PREGABALIN 75 MG CAPSULE,49.15,24.58,1.16,3704.4,1170
HCPCS,J8499,"PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET",104.4,52.2,22.77,93.96,65
HCPCS,J8499,"PRENATAL VITS,CALCIUM NO.78-IRON FUMARATE-FOLIC ACID 29 MG-1 MG TABLET",158.4,79.2,34.55,142.56,65
HCPCS,J8499,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,807.25,403.625,145.91,850.95,130
HCPCS,J8499,PRIMIDONE 250 MG TABLET,161.1,80.55,0.76,22783.68,585
HCPCS,J8499,PRIMIDONE 50 MG TABLET,76.5,38.25,0.74,266.85,520
HCPCS,J8499,PRIMIDONE 50 MG/ML ORAL SUSPENSION,26.4,13.2,5.76,23.76,65
HCPCS,J8499,PROBENECID 500 MG TABLET,333.0,166.5,64.56,740.25,195
HCPCS,J8499,PROBENECID 500 MG-COLCHICINE 0.5 MG TABLET,424.0,212.0,92.47,381.6,65
HCPCS,J8499,PROCHLORPERAZINE MALEATE 10 MG TABLET,252.9,126.45,1.13,258.12,455
HCPCS,J8499,PROCHLORPERAZINE MALEATE 5 MG TABLET,210.60000000000002,105.30000000000001,1.05,233.28,650
HCPCS,J8499,PROGESTERONE MICRONIZED 100 MG CAPSULE,269.75,134.875,24.21,2081.16,585
HCPCS,J8499,PROMETHAZINE 12.5 MG TABLET,45.0,22.5,0.75,242.46,520
HCPCS,J8499,PROMETHAZINE 25 MG TABLET,46.5,23.25,0.7,1503.0,650
HCPCS,J8499,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,51.1,25.55,1.13,99.63,325
HCPCS,J8499,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,61.025000000000006,30.515,0.7,217.13,715
HCPCS,J8499,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,100.375,50.19,0.72,173.7,325
HCPCS,J8499,PROPAFENONE 150 MG TABLET,139.2,69.6,0.73,276.3,715
HCPCS,J8499,PROPAFENONE 20 MG/ML ORAL SUSPENSION,9.0,4.5,1.96,8.1,65
HCPCS,J8499,PROPAFENONE 225 MG TABLET,178.2,89.1,33.37,344.25,455
HCPCS,J8499,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",284.175,142.09,22.86,2406.69,715
HCPCS,J8499,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",249.85,124.93,9.99,1482.84,455
HCPCS,J8499,PROPRANOLOL 10 MG TABLET,103.5,51.75,0.7,1282.5,1105
HCPCS,J8499,PROPRANOLOL 20 MG TABLET,109.95,54.975,0.72,823.5,1235
HCPCS,J8499,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,24.55,12.28,0.71,253.8,390
HCPCS,J8499,PROPRANOLOL 40 MG TABLET,141.0,70.5,0.74,1057.5,780
HCPCS,J8499,PROPRANOLOL 60 MG TABLET,329.75,164.875,70.99,300.6,130
HCPCS,J8499,PROPRANOLOL 80 MG TABLET,213.6,106.8,46.06,252.0,325
HCPCS,J8499,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",272.0,136.0,35.33,1040.4,195
HCPCS,J8499,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",937.75,468.875,79.06,1361.7,130
HCPCS,J8499,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",228.6,114.3,2.55,875.7,455
HCPCS,J8499,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",194.4,97.2,2.65,907.65,325
HCPCS,J8499,PROPYLTHIOURACIL 50 MG TABLET,311.275,155.64,2.69,329.67,520
HCPCS,J8499,PROTRIPTYLINE 10 MG TABLET,2098.0,1049.0,457.57,1888.2,65
HCPCS,J8499,PROTRIPTYLINE 5 MG TABLET,1278.275,639.14,100.01,1888.2,130
HCPCS,J8499,PRUCALOPRIDE 1 MG TABLET,2201.775,1100.8899999999999,449.41,2108.7,130
HCPCS,J8499,PRUCALOPRIDE 2 MG TABLET,2201.775,1100.8899999999999,449.41,2108.7,130
HCPCS,J8499,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,17.85,8.93,1.15,27.41,130
HCPCS,J8499,PYRAZINAMIDE 100 MG/ML ORAL SUSPENSION,276.15,138.08,60.23,248.54,65
HCPCS,J8499,PYRAZINAMIDE 500 MG TABLET,1508.4,754.2,5.41,1949.4,780
HCPCS,J8499,PYRIDOSTIGMINE BROMIDE 30 MG SPLIT TABLET,3.3,1.65,0.72,2.97,65
HCPCS,J8499,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,355.0,177.5,0.94,7196.4,585
HCPCS,J8499,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,2400.95,1200.48,8.34,5845.73,325
HCPCS,J8499,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",1695.3,847.65,217.0,4094.82,325
HCPCS,J8499,PYRIDOXAL 5'-PHOSPHATE 25 MG/ML ORAL SUSPENSION,29.3,14.65,6.39,26.37,65
HCPCS,J8499,PYRIDOXINE (VITAMIN B6) 1 MG/ML ORAL SOLUTION,47.4,23.7,10.34,42.66,65
HCPCS,J8499,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION,4521.0,2260.5,986.03,4068.9,65
HCPCS,J8499,PYRIMETHAMINE 25 MG TABLET,35882.2,17941.1,3489.6,82477.08,390
HCPCS,J8499,QUETIAPINE 10 MG/ML ORAL SUSPENSION,3.2,1.6,0.7,2.88,65
HCPCS,J8499,QUETIAPINE 100 MG TABLET,72.0,36.0,0.7,2219.04,975
HCPCS,J8499,QUETIAPINE 12.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,130
HCPCS,J8499,QUETIAPINE 200 MG TABLET,167.4,83.7,0.72,4186.08,585
HCPCS,J8499,QUETIAPINE 25 MG TABLET,30.6,15.3,0.69,1616.4,845
HCPCS,J8499,QUETIAPINE 300 MG TABLET,67.0,33.5,0.74,193.32,780
HCPCS,J8499,QUETIAPINE 400 MG TABLET,155.4,77.7,0.94,321.3,455
HCPCS,J8499,QUETIAPINE 50 MG TABLET,54.0,27.0,0.71,2124.72,845
HCPCS,J8499,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",139.35,69.68,9.12,2768.04,455
HCPCS,J8499,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",155.55,77.78,10.37,3046.5,390
HCPCS,J8499,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",177.5,88.75,13.04,316.8,195
HCPCS,J8499,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",145.45,72.725,15.63,651.6,260
HCPCS,J8499,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",83.17500000000001,41.59,6.52,2039.58,390
HCPCS,J8499,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",2170.4,1085.2,473.36,1953.36,65
HCPCS,J8499,QUINIDINE SULFATE 200 MG TABLET,1689.6,844.8,368.5,1520.64,65
HCPCS,J8499,QUINIDINE SULFATE 300 MG TABLET,1625.55,812.78,354.53,1463.0,65
HCPCS,J8499,QUININE 324 MG CAPSULE,311.025,155.515,4.84,817.29,390
HCPCS,J8499,RALOXIFENE 60 MG TABLET,195.0,97.5,5.89,2207.88,1105
HCPCS,J8499,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION,1227.825,613.915,10.5,2166.75,130
HCPCS,J8499,RALTEGRAVIR 400 MG TABLET,7703.8,3851.9,1680.2,6933.42,65
HCPCS,J8499,RALTEGRAVIR 600 MG TABLET,7703.8,3851.9,1680.2,6933.42,65
HCPCS,J8499,RAMELTEON 8 MG TABLET,644.0,322.0,3.38,1618.52,325
HCPCS,J8499,RAMIPRIL 10 MG CAPSULE,81.0,40.5,5.1,124.74,130
HCPCS,J8499,RAMIPRIL 2.5 MG CAPSULE,18.0,9.0,3.27,176.58,195
HCPCS,J8499,RAMIPRIL 5 MG CAPSULE,18.0,9.0,3.93,16.2,65
HCPCS,J8499,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",113.8,56.9,2.07,2258.28,455
HCPCS,J8499,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",83.2,41.6,1.49,1719.36,910
HCPCS,J8499,RASAGILINE 0.5 MG TABLET,562.35,281.18,60.88,3047.45,195
HCPCS,J8499,RASAGILINE 1 MG TABLET,1091.7,545.85,80.84,4163.94,390
HCPCS,J8499,RELUGOLIX 120 MG TABLET,11049.5,5524.75,2409.9,9944.55,65
HCPCS,J8499,REPAGLINIDE 0.5 MG TABLET,127.5,63.75,24.21,129.6,130
HCPCS,J8499,REPAGLINIDE 1 MG TABLET,93.0,46.5,3.16,326.16,260
HCPCS,J8499,RIBAVIRIN 200 MG CAPSULE,560.3,280.15,122.2,504.27,65
HCPCS,J8499,RIBAVIRIN 200 MG TABLET,475.45,237.73,103.7,427.91,65
HCPCS,J8499,RIBOCICLIB 600 MG/DAY (200 MG X 3) TABLETS,70632.6,35316.3,15404.97,63569.34,65
HCPCS,J8499,RIFABUTIN 150 MG CAPSULE,3648.3999999999996,1824.1999999999998,468.04,4509.0,260
HCPCS,J8499,RIFABUTIN ORAL SUSPENSION 20 MG/ML,427.5,213.75,93.24,384.75,65
HCPCS,J8499,RIFAMPIN 150 MG CAPSULE,151.3,75.65,3.05,328.95,390
HCPCS,J8499,RIFAMPIN 25 MG/ML ORAL SUSPENSION,80.65,40.33,17.59,72.59,65
HCPCS,J8499,RIFAMPIN 300 MG CAPSULE,270.6,135.3,2.44,1263.6,715
HCPCS,J8499,RIFAPENTINE 150 MG TABLET,289.17499999999995,144.58999999999997,6.01,495.72,130
HCPCS,J8499,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,208.325,104.165,32.25,241.92,130
HCPCS,J8499,RIFAXIMIN 200 MG TABLET,1556.7,778.35,339.52,1401.03,65
HCPCS,J8499,RIFAXIMIN 550 MG TABLET,12807.15,6403.58,2793.24,11526.44,130
HCPCS,J8499,RILPIVIRINE HCL 25 MG TABLET,5755.45,2877.73,1255.26,5179.91,65
HCPCS,J8499,RILUZOLE 50 MG TABLET,281.25,140.625,48.68,305.37,130
HCPCS,J8499,RIMANTADINE 100 MG TABLET,1135.5,567.75,247.65,1021.95,65
HCPCS,J8499,RIOCIGUAT 0.5 MG TABLET,55335.6,27667.8,12068.69,49802.04,65
HCPCS,J8499,RISEDRONATE 35 MG TABLET,297.4,148.7,64.86,267.66,65
HCPCS,J8499,"RISEDRONATE 35 MG TABLET,DELAYED RELEASE",763.3,381.65,166.48,686.97,130
HCPCS,J8499,RISPERIDONE 0.25 MG TABLET,26.85,13.43,0.69,73.98,390
HCPCS,J8499,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,79.15,39.58,1.52,187.61,260
HCPCS,J8499,RISPERIDONE 0.5 MG TABLET,79.2,39.6,0.71,2011.95,455
HCPCS,J8499,RISPERIDONE 1 MG DISINTEGRATING TABLET,112.0,56.0,0.82,180.99,195
HCPCS,J8499,RISPERIDONE 1 MG TABLET,54.0,27.0,0.69,2138.85,585
HCPCS,J8499,RISPERIDONE 1 MG/ML ORAL SOLUTION,85.80000000000001,42.900000000000006,0.76,162.0,520
HCPCS,J8499,RISPERIDONE 2 MG DISINTEGRATING TABLET,134.25,67.13,3.59,344.61,195
HCPCS,J8499,RISPERIDONE 2 MG TABLET,66.975,33.489999999999995,2.44,342.0,390
HCPCS,J8499,RISPERIDONE 3 MG TABLET,54.6,27.3,0.69,82.62,390
HCPCS,J8499,RISPERIDONE 4 MG TABLET,96.6,48.3,0.7,88.56,195
HCPCS,J8499,RITONAVIR 100 MG ORAL POWDER PACKET,1247.25,623.63,272.03,1122.53,65
HCPCS,J8499,RITONAVIR 100 MG TABLET,562.275,281.14,9.08,1122.53,390
HCPCS,J8499,RIVAROXABAN 1 MG/ML ORAL SUSPENSION,2071.6,1035.8,451.82,1864.44,65
HCPCS,J8499,RIVAROXABAN 10 MG TABLET,3522.0750000000003,1761.04,18.08,4972.32,260
HCPCS,J8499,RIVAROXABAN 15 MG TABLET,3522.0750000000003,1761.04,18.08,4972.32,260
HCPCS,J8499,RIVAROXABAN 2.5 MG TABLET,1420.3500000000001,710.1750000000001,9.04,2486.16,260
HCPCS,J8499,RIVAROXABAN 20 MG TABLET,3522.0750000000003,1761.04,18.08,4972.32,260
HCPCS,J8499,RIVASTIGMINE 1.5 MG CAPSULE,157.875,78.94,2.79,1037.7,585
HCPCS,J8499,RIVASTIGMINE 3 MG CAPSULE,87.875,43.94,13.12,104.04,130
HCPCS,J8499,RIVASTIGMINE 6 MG CAPSULE,209.9,104.95,45.78,188.91,65
HCPCS,J8499,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,12.65,6.33,2.76,11.39,65
HCPCS,J8499,RIZATRIPTAN 10 MG TABLET,73.7,36.85,0.67,2202.17,325
HCPCS,J8499,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,13.45,6.73,2.93,12.11,65
HCPCS,J8499,ROFLUMILAST 250 MCG TABLET,296.55,148.28,3.23,1140.84,325
HCPCS,J8499,ROFLUMILAST 500 MCG TABLET,180.375,90.19,2.36,4108.01,650
HCPCS,J8499,ROPINIROLE 0.25 MG TABLET,21.6,10.8,0.71,167.94,455
HCPCS,J8499,ROPINIROLE 0.5 MG TABLET,33.0,16.5,0.72,267.84,390
HCPCS,J8499,ROPINIROLE 1 MG TABLET,69.6,34.8,0.72,252.72,585
HCPCS,J8499,ROPINIROLE 2 MG TABLET,44.4,22.2,0.73,267.84,455
HCPCS,J8499,ROPINIROLE 3 MG TABLET,34.8,17.4,7.07,46.44,195
HCPCS,J8499,ROPINIROLE 4 MG TABLET,41.4,20.7,8.38,231.3,195
HCPCS,J8499,ROPINIROLE 5 MG TABLET,43.2,21.6,7.98,43.74,195
HCPCS,J8499,ROSUVASTATIN 10 MG TABLET,43.75,21.875,0.75,431.55,715
HCPCS,J8499,ROSUVASTATIN 20 MG TABLET,24.85,12.43,0.89,541.8,520
HCPCS,J8499,ROSUVASTATIN 40 MG TABLET,25.05,12.525,0.71,538.2,975
HCPCS,J8499,ROSUVASTATIN 5 MG TABLET,31.9,15.95,1.47,53.96,390
HCPCS,J8499,RUFINAMIDE 200 MG TABLET,1002.5999999999999,501.29999999999995,196.29,5271.71,260
HCPCS,J8499,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,2944.0,1472.0,233.26,5853.96,260
HCPCS,J8499,RUFINAMIDE 400 MG TABLET,1426.275,713.14,181.5,1818.32,130
HCPCS,J8499,RUXOLITINIB 10 MG TABLET,68080.1,34040.05,14848.27,61272.09,65
HCPCS,J8499,RUXOLITINIB 5 MG TABLET,68079.85,34039.93,14848.22,61271.87,65
HCPCS,J8499,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,5163.875,2581.94,563.12,6971.22,130
HCPCS,J8499,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,5163.875,2581.94,563.12,6971.22,130
HCPCS,J8499,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,5163.875,2581.94,563.12,6971.22,130
HCPCS,J8499,SACUBITRIL-VALSARTAN 4 MG/ML ORAL SUSPENSION,383.0,191.5,83.53,344.7,65
HCPCS,J8499,SALSALATE 500 MG TABLET,149.1,74.55,30.36,281.7,260
HCPCS,J8499,SALSALATE 750 MG TABLET,239.4,119.7,52.21,215.46,65
HCPCS,J8499,SAXAGLIPTIN 2.5 MG TABLET,2242.35,1121.18,489.06,2018.12,65
HCPCS,J8499,SAXAGLIPTIN 5 MG TABLET,2243.25,1121.63,489.25,2018.93,65
HCPCS,J8499,SELEGILINE 5 MG CAPSULE,163.8,81.9,30.54,349.65,325
HCPCS,J8499,SELEGILINE 5 MG TABLET,429.3,214.65,93.63,386.37,65
HCPCS,J8499,"SELEXIPAG 1,000 MCG TABLET",105024.0,52512.0,22905.73,94521.6,65
HCPCS,J8499,SELEXIPAG 200 MCG TABLET,57365.8,28682.9,12511.48,51629.22,65
HCPCS,J8499,SERTRALINE 100 MG TABLET,25.674999999999997,12.84,0.73,4957.92,1040
HCPCS,J8499,SERTRALINE 20 MG/ML ORAL CONCENTRATE,230.8,115.4,50.34,207.72,65
HCPCS,J8499,SERTRALINE 25 MG TABLET,27.825000000000003,13.915,0.71,131.76,975
HCPCS,J8499,SERTRALINE 50 MG TABLET,42.7,21.35,0.71,256.5,1235
HCPCS,J8499,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,254.8,127.4,36.64,2872.04,325
HCPCS,J8499,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,98.225,49.115,0.74,18527.94,1235
HCPCS,J8499,SILDENAFIL 50 MG TABLET,37.45,18.73,6.72,144.18,195
HCPCS,J8499,SILODOSIN 4 MG CAPSULE,59.95,29.98,11.58,1141.43,325
HCPCS,J8499,SILODOSIN 8 MG CAPSULE,196.92499999999998,98.46499999999999,11.23,1141.43,260
HCPCS,J8499,SIMVASTATIN 20 MG TABLET,81.6,40.8,0.69,92.88,195
HCPCS,J8499,SIMVASTATIN 40 MG TABLET,51.6,25.8,0.69,77.22,195
HCPCS,J8499,SIMVASTATIN 5 MG TABLET,43.325,21.665,1.89,70.2,130
HCPCS,J8499,SITAGLIPTIN PHOSPHATE 100 MG TABLET,1525.2,762.6,13.32,3660.84,195
HCPCS,J8499,SITAGLIPTIN PHOSPHATE 25 MG TABLET,2593.025,1296.515,332.65,3294.77,130
HCPCS,J8499,SITAGLIPTIN PHOSPHATE 50 MG TABLET,2593.025,1296.515,13.32,3660.84,260
HCPCS,J8499,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,146.375,73.19,0.68,222.26,260
HCPCS,J8499,SODIUM CITRATE-CITRIC ACID 490 MG-640 MG/5 ML ORAL SOLUTION,134.675,67.34,6.4,216.0,130
HCPCS,J8499,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,23.15,11.58,3.5,45.99,780
HCPCS,J8499,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,156.025,78.015,10.47,571.5,1105
HCPCS,J8499,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 0.5 G,3.1,1.55,0.68,2.79,65
HCPCS,J8499,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 1 G,3.2,1.6,0.7,2.88,65
HCPCS,J8499,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 2 G,3.35,1.68,0.73,3.02,65
HCPCS,J8499,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 5G,4.55,2.28,0.99,4.1,65
HCPCS,J8499,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,135.4,67.7,29.21,945.09,260
HCPCS,J8499,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,311.025,155.515,9.76,416.79,390
HCPCS,J8499,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,481.9,240.95,11.47,1182.74,195
HCPCS,J8499,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,481.9,240.95,11.47,1182.74,195
HCPCS,J8499,SOFOSBUVIR 200 MG-VELPATASVIR 50 MG TABLET,96689.6,48344.8,21088.0,87020.64,65
HCPCS,J8499,SOFOSBUVIR 400 MG TABLET,108640.0,54320.0,23694.38,97776.0,65
HCPCS,J8499,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET,31040.05,15520.03,6769.83,27936.05,65
HCPCS,J8499,SOLIFENACIN 10 MG TABLET,25.95,12.98,4.24,1603.8,325
HCPCS,J8499,SOLIFENACIN 5 MG TABLET,35.575,17.79,3.58,1603.8,715
HCPCS,J8499,SOTALOL 120 MG TABLET,54.599999999999994,27.299999999999997,0.71,881.55,520
HCPCS,J8499,SOTALOL 160 MG TABLET,68.4,34.2,14.92,61.56,65
HCPCS,J8499,SOTALOL 40 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,SOTALOL 5 MG/ML ORAL SOLUTION,1067.3,533.65,0.79,1917.9,130
HCPCS,J8499,SOTALOL 80 MG TABLET,63.0,31.5,0.7,465.3,975
HCPCS,J8499,SPIRONOLACTONE 100 MG TABLET,129.0,64.5,0.69,345.6,845
HCPCS,J8499,SPIRONOLACTONE 12.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
HCPCS,J8499,SPIRONOLACTONE 25 MG TABLET,59.4,29.7,0.7,540.0,1495
HCPCS,J8499,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1844.35,922.18,27.11,5081.18,390
HCPCS,J8499,SPIRONOLACTONE 50 MG TABLET,160.8,80.4,0.72,236.25,455
HCPCS,J8499,SUCCIMER 100 MG CAPSULE,8814.0,4407.0,1922.33,7932.6,65
HCPCS,J8499,SUCRALFATE 1 GRAM TABLET,177.9,88.95,0.72,2163.15,845
HCPCS,J8499,SUCRALFATE 100 MG/ML ORAL SUSPENSION,34.95,17.48,4.86,1166.13,2275
HCPCS,J8499,SULFADIAZINE 100 MG/ML ORAL SUSPENSION,19.8,9.9,4.32,17.82,65
HCPCS,J8499,SULFADIAZINE 500 MG TABLET,3533.075,1766.54,765.43,3200.94,130
HCPCS,J8499,SULFAMETHOXAZOLE 0.004 MG-TMP 0.0008 MG/ML ORAL SUSP (DESENSITIZATION) (SOLUTION A),30.0,15.0,6.54,27.0,65
HCPCS,J8499,SULFAMETHOXAZOLE 0.04 MG-TMP 0.008 MG/ML ORAL SUSP (DESENSITIZATION) (SOLN B),150.0,75.0,32.72,135.0,65
HCPCS,J8499,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,78.67500000000001,39.34,0.76,232.47,715
HCPCS,J8499,SULFAMETHOXAZOLE 4 MG-TMP 0.8 MG/ML ORAL SUSP (DESENSITIZATION) (SOLN C),30.0,15.0,6.54,27.0,65
HCPCS,J8499,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,31.8,15.9,0.71,73.98,520
HCPCS,J8499,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,73.2,36.6,0.69,276.75,585
HCPCS,J8499,SULFASALAZINE 100 MG/ML ORAL SUSPENSION,22.2,11.1,4.84,19.98,65
HCPCS,J8499,SULFASALAZINE 500 MG TABLET,390.0,195.0,22.51,832.05,455
HCPCS,J8499,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",408.0,204.0,32.85,883.35,195
HCPCS,J8499,SULINDAC 150 MG TABLET,122.1,61.05,24.86,117.18,130
HCPCS,J8499,SULINDAC 200 MG TABLET,104.4,52.2,21.98,134.46,195
HCPCS,J8499,SUMATRIPTAN 100 MG TABLET,59.75,29.88,13.03,53.78,65
HCPCS,J8499,SUMATRIPTAN 25 MG TABLET,19.875,9.940000000000001,0.71,1287.59,715
HCPCS,J8499,SUMATRIPTAN 50 MG TABLET,40.75,20.38,1.67,2245.41,455
HCPCS,J8499,TADALAFIL 10 MG TABLET,36.2,18.1,3.42,51.03,130
HCPCS,J8499,TADALAFIL 20 MG TABLET,134.5,67.25,1.23,229.5,910
HCPCS,J8499,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),282.07500000000005,141.04000000000002,56.11,13878.68,390
HCPCS,J8499,TADALAFIL 5 MG TABLET,30.55,15.28,0.89,110.03,520
HCPCS,J8499,TAMSULOSIN 0.4 MG CAPSULE,139.2,69.6,0.7,3237.12,1560
HCPCS,J8499,TAPENTADOL 50 MG TABLET,4501.2,2250.6,981.71,4051.08,65
HCPCS,J8499,TAPENTADOL 75 MG TABLET,5259.6,2629.8,1147.12,4733.64,65
HCPCS,J8499,"TAPENTADOL ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5227.95,2613.98,1140.22,4705.16,65
HCPCS,J8499,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR",2826.75,1413.38,616.51,2544.08,65
HCPCS,J8499,TELMISARTAN 40 MG TABLET,51.7,25.85,0.72,160.56,195
HCPCS,J8499,TELMISARTAN 80 MG TABLET,79.05,39.53,0.87,106.79,195
HCPCS,J8499,TEMAZEPAM 15 MG CAPSULE,54.9,27.45,1.21,11419.92,650
HCPCS,J8499,TEMAZEPAM 30 MG CAPSULE,69.3,34.65,13.22,70.2,130
HCPCS,J8499,TEMAZEPAM 7.5 MG CAPSULE,722.55,361.28,2.84,9870.12,585
HCPCS,J8499,TEMOZOLOMIDE 10 MG/ML ORAL SUSPENSION,65.4,32.7,14.26,58.86,65
HCPCS,J8499,TENOFOVIR ALAFENAMIDE 25 MG TABLET,5645.55,2822.78,1231.29,5081.0,65
HCPCS,J8499,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,141.25,70.625,2.0,4171.95,650
HCPCS,J8499,TERAZOSIN 1 MG CAPSULE,90.0,45.0,0.74,151.47,260
HCPCS,J8499,TERAZOSIN 2 MG CAPSULE,74.4,37.2,1.08,220.86,195
HCPCS,J8499,TERAZOSIN 5 MG CAPSULE,78.0,39.0,0.79,161.46,325
HCPCS,J8499,TERBINAFINE HCL 250 MG TABLET,45.0,22.5,7.9,62.64,325
HCPCS,J8499,TERBUTALINE 2.5 MG TABLET,1121.0,560.5,106.87,1958.85,260
HCPCS,J8499,TERBUTALINE 5 MG TABLET,1580.0,790.0,133.04,1914.12,195
HCPCS,J8499,TERIFLUNOMIDE 14 MG TABLET,185.4,92.7,40.44,166.86,65
HCPCS,J8499,TETRABENAZINE 12.5 MG TABLET,1035.45,517.73,73.65,3744.14,325
HCPCS,J8499,TETRABENAZINE 25 MG TABLET,594.2,297.1,129.6,534.78,65
HCPCS,J8499,TETRACYCLINE 250 MG CAPSULE,430.55,215.275,57.71,554.85,260
HCPCS,J8499,TETRACYCLINE 500 MG CAPSULE,1145.5,572.75,184.29,4215.24,520
HCPCS,J8499,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,111.5,55.755,11.13,1313.33,325
HCPCS,J8499,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,274.35,137.18,11.29,251.19,260
HCPCS,J8499,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",1788.5,894.25,390.07,1609.65,65
HCPCS,J8499,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",2126.4,1063.2,463.77,1913.76,65
HCPCS,J8499,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",2613.6,1306.8,570.03,2352.24,65
HCPCS,J8499,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",563.5,281.75,119.96,598.05,195
HCPCS,J8499,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR",3677.6,1838.8,802.08,3309.84,65
HCPCS,J8499,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",436.0,218.0,58.34,549.9,195
HCPCS,J8499,"THEOPHYLLINE ER 450 MG TABLET,EXTENDED RELEASE,12 HR",2132.5,1066.25,465.1,1919.25,65
HCPCS,J8499,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR",883.0,441.5,192.58,794.7,65
HCPCS,J8499,THIOGUANINE 20 MG/ML ORAL SUSPENSION,1744.2,872.1,380.41,1569.78,65
HCPCS,J8499,THIORIDAZINE 10 MG TABLET,188.4,94.2,0.73,225.18,195
HCPCS,J8499,THIORIDAZINE 100 MG TABLET,353.5,176.75,77.1,318.15,65
HCPCS,J8499,THIORIDAZINE 25 MG TABLET,266.4,133.2,0.75,294.75,195
HCPCS,J8499,THIORIDAZINE 50 MG TABLET,246.6,123.3,0.73,249.75,195
HCPCS,J8499,THIOTHIXENE 1 MG CAPSULE,325.75,162.875,67.94,306.0,130
HCPCS,J8499,THIOTHIXENE 2 MG CAPSULE,527.0,263.5,92.91,565.2,130
HCPCS,J8499,THIOTHIXENE 5 MG CAPSULE,707.0,353.5,3.9,1342.35,325
HCPCS,J8499,THYROID (PORK) 15 MG TABLET,417.5,208.75,91.06,375.75,65
HCPCS,J8499,THYROID (PORK) 180 MG TABLET,747.5,373.75,163.03,672.75,65
HCPCS,J8499,THYROID (PORK) 30 MG TABLET,298.35,149.18,59.43,441.0,325
HCPCS,J8499,THYROID (PORK) 60 MG TABLET,347.0,173.5,66.52,490.05,260
HCPCS,J8499,THYROID (PORK) 90 MG TABLET,597.5,298.75,130.31,537.75,65
HCPCS,J8499,TIAGABINE 16 MG TABLET,1714.2,857.1,373.87,1542.78,65
HCPCS,J8499,TIAGABINE 2 MG TABLET,568.35,284.175,40.24,856.98,130
HCPCS,J8499,TIAGABINE 4 MG TABLET,756.3,378.15,64.71,1494.18,260
HCPCS,J8499,TICAGRELOR 90 MG TABLET,160.2,80.1,17.04,2565.0,325
HCPCS,J8499,TIMOLOL 10 MG TABLET,630.0,315.0,137.4,567.0,65
HCPCS,J8499,TIZANIDINE 2 MG TABLET,42.3,21.15,0.83,177.66,650
HCPCS,J8499,TIZANIDINE 4 MG TABLET,91.8,45.9,0.74,2128.28,910
HCPCS,J8499,TOFACITINIB 10 MG TABLET,22458.5,11229.25,4898.2,20212.65,65
HCPCS,J8499,TOFACITINIB 5 MG TABLET,22458.5,11229.25,4898.2,20212.65,65
HCPCS,J8499,TOLTERODINE 1 MG TABLET,127.275,63.64,26.15,664.2,260
HCPCS,J8499,TOLTERODINE 2 MG TABLET,184.0,92.0,26.15,1934.01,325
HCPCS,J8499,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",450.0,225.0,6.37,732.92,325
HCPCS,J8499,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",120.1,60.05,12.61,162.0,195
HCPCS,J8499,TOLVAPTAN 15 MG TABLET,2269.9,1134.95,59.41,18633.47,650
HCPCS,J8499,TOLVAPTAN 30 MG TABLET,11920.05,5960.03,60.08,19330.02,455
HCPCS,J8499,TOPIRAMATE 100 MG TABLET,97.575,48.79,0.75,3816.95,650
HCPCS,J8499,TOPIRAMATE 12.5 MG SPLIT TABLET,19.1,9.55,4.17,17.19,65
HCPCS,J8499,TOPIRAMATE 15 MG SPRINKLE CAPSULE,1006.725,503.365,37.85,1655.91,130
HCPCS,J8499,TOPIRAMATE 20 MG/ML ORAL SUSPENSION,46.2,23.1,10.08,41.58,65
HCPCS,J8499,TOPIRAMATE 200 MG TABLET,60.325,30.165,5.03,4468.86,325
HCPCS,J8499,TOPIRAMATE 25 MG SPRINKLE CAPSULE,1215.25,607.625,44.99,2001.78,130
HCPCS,J8499,TOPIRAMATE 25 MG TABLET,16.025,8.015,1.89,1750.68,585
HCPCS,J8499,TOPIRAMATE 25 MG/ML ORAL SOLUTION,2197.875,1098.94,336.44,2567.84,130
HCPCS,J8499,TOPIRAMATE 50 MG TABLET,9.0,4.5,0.74,15.57,195
HCPCS,J8499,"TOPIRAMATE XR 50 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",928.275,464.14,201.92,837.68,130
HCPCS,J8499,"TOPIRAMATE XR 50 MG CAPSULE,EXTENDED RELEASE 24 HR",2074.5,1037.25,420.45,1999.08,130
HCPCS,J8499,TOREMIFENE 60 MG TABLET,4073.65,2036.83,888.46,3666.29,65
HCPCS,J8499,TORSEMIDE 10 MG TABLET,55.2,27.6,0.71,221.63,325
HCPCS,J8499,TORSEMIDE 100 MG TABLET,182.7,91.35,0.73,363.15,260
HCPCS,J8499,TORSEMIDE 20 MG TABLET,105.6,52.8,0.72,240.3,650
HCPCS,J8499,TORSEMIDE 5 MG TABLET,64.35,32.175,0.71,75.6,260
HCPCS,J8499,TORSEMIDE 50 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,TRAMADOL 25 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
HCPCS,J8499,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,54.0,27.0,1.16,197.1,260
HCPCS,J8499,TRAMADOL 50 MG TABLET,54.6,27.3,1.11,1492.65,1625
HCPCS,J8499,"TRAMADOL ER 300 MG TABLET,EXTENDED RELEASE 24 HR",491.29999999999995,245.655,31.72,753.44,130
HCPCS,J8499,"TRAMADOL ER 300 MG TABLET,EXTENDED RELEASE 24HR MPHASE",604.5,302.25,131.84,544.05,65
HCPCS,J8499,TRANDOLAPRIL 1 MG TABLET,174.0,87.0,37.95,156.6,65
HCPCS,J8499,"TRANDOLAPRIL 2 MG-VERAPAMIL ER 240 MG TABLET,IMMED-EXTEN RELEASE 24 HR",2027.0,1013.5,442.09,1824.3,65
HCPCS,J8499,TRANDOLAPRIL 4 MG TABLET,267.0,133.5,58.23,240.3,65
HCPCS,J8499,TRANEXAMIC ACID 650 MG TABLET,322.2,161.10500000000002,3.57,556.74,520
HCPCS,J8499,TRANYLCYPROMINE 10 MG TABLET,580.5,290.25,116.47,670.05,260
HCPCS,J8499,TRAZODONE 100 MG TABLET,74.4,37.2,0.69,248.4,715
HCPCS,J8499,TRAZODONE 150 MG TABLET,121.35000000000001,60.675000000000004,0.73,177.66,585
HCPCS,J8499,TRAZODONE 25 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,TRAZODONE 50 MG TABLET,38.7,19.35,0.69,243.0,780
HCPCS,J8499,"TREPROSTINIL DIOLAMINE ER 0.125 MG TABLET,EXTENDED RELEASE",1842.0,921.0,94.66,2925.0,130
HCPCS,J8499,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,125.4,62.7,8.51,490.5,195
HCPCS,J8499,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,56.4,28.2,1.05,146.34,325
HCPCS,J8499,TRIAMTERENE 50 MG CAPSULE,4232.8,2116.4,659.97,4895.64,130
HCPCS,J8499,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,38.4,19.2,8.24,35.1,195
HCPCS,J8499,TRIAZOLAM 0.25 MG TABLET,375.0,187.5,58.9,535.95,195
HCPCS,J8499,TRIFLUOPERAZINE 1 MG TABLET,269.0,134.5,1.35,464.85,195
HCPCS,J8499,TRIFLUOPERAZINE 2 MG TABLET,366.25,183.125,2.18,749.7,260
HCPCS,J8499,TRIFLUOPERAZINE 5 MG TABLET,362.25,181.125,2.57,882.0,260
HCPCS,J8499,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR,194.425,97.215,29.09,229.91,130
HCPCS,J8499,TRIHEXYPHENIDYL 2 MG TABLET,88.8,44.4,18.19,205.2,260
HCPCS,J8499,TRIHEXYPHENIDYL 5 MG TABLET,49.2,24.6,10.34,119.88,195
HCPCS,J8499,TRIMETHOPRIM 100 MG TABLET,931.5,465.75,203.16,838.35,130
HCPCS,J8499,TRIMIPRAMINE 25 MG CAPSULE,1107.05,553.525,214.83,1106.19,130
HCPCS,J8499,TRIMIPRAMINE 50 MG CAPSULE,1954.5,977.25,426.28,1759.05,65
HCPCS,J8499,TROSPIUM 20 MG TABLET,140.95,70.475,18.06,259.56,520
HCPCS,J8499,UBROGEPANT 100 MG TABLET,3630.4249999999997,1815.215,114.75,6061.23,130
HCPCS,J8499,UBROGEPANT 50 MG TABLET,2367.6749999999997,1183.84,114.75,3788.28,130
HCPCS,J8499,ULIPRISTAL 30 MG TABLET,207.175,103.59,43.49,193.46,130
HCPCS,J8499,"UPADACITINIB ER 30 MG TABLET,EXTENDED RELEASE 24 HR",26200.8,13100.4,5714.39,23580.72,65
HCPCS,J8499,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",48907.6,24453.8,10666.75,44016.84,65
HCPCS,J8499,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,16856.0,8428.0,875.24,72234.0,195
HCPCS,J8499,URSODIOL 250 MG TABLET,348.25,174.125,2.1,1842.48,520
HCPCS,J8499,URSODIOL 300 MG CAPSULE,371.25,185.63,2.33,1592.55,1365
HCPCS,J8499,URSODIOL 500 MG TABLET,485.5,242.75,99.56,463.05,130
HCPCS,J8499,URSODIOL 60 MG/ML ORAL SUSPENSION,85.35,42.68,18.61,76.82,65
HCPCS,J8499,VALACYCLOVIR 1 GRAM TABLET,113.95,56.98,3.18,524.88,715
HCPCS,J8499,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION,87.5,43.75,19.08,78.75,65
HCPCS,J8499,VALACYCLOVIR 500 MG TABLET,148.075,74.03999999999999,1.79,3981.33,1560
HCPCS,J8499,VALBENAZINE 40 MG CAPSULE,31080.0,15540.0,6778.55,27972.0,65
HCPCS,J8499,VALGANCICLOVIR 450 MG TABLET,1156.2,578.1,12.13,13521.2,845
HCPCS,J8499,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1363.6,681.8,258.34,2839.82,455
HCPCS,J8499,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,5.550000000000001,2.7800000000000002,0.68,8.69,455
HCPCS,J8499,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,56.8,28.4,7.44,1455.93,325
HCPCS,J8499,VALPROIC ACID (AS SODIUM SALT) 500 MG/10 ML (10 ML) ORAL SOLUTION,8.525,4.265,1.08,10.89,260
HCPCS,J8499,VALPROIC ACID 250 MG CAPSULE,123.30000000000001,61.650000000000006,20.02,174.96,390
HCPCS,J8499,VALSARTAN 160 MG TABLET,197.375,98.69,1.24,3052.08,910
HCPCS,J8499,VALSARTAN 320 MG TABLET,124.47500000000001,62.24,17.67,3861.14,260
HCPCS,J8499,VALSARTAN 40 MG TABLET,38.45,19.23,0.94,989.42,650
HCPCS,J8499,VALSARTAN 80 MG TABLET,100.2,50.1,1.1,2838.24,910
HCPCS,J8499,VANCOMYCIN 125 MG CAPSULE,283.825,141.915,1.25,5732.64,650
HCPCS,J8499,VANCOMYCIN 250 MG CAPSULE,211.45,105.73,1.94,849.6,455
HCPCS,J8499,VANCOMYCIN 50 MG/ML ORAL SOLUTION,417.0,208.5,2.74,3075.84,1040
HCPCS,J8499,VARENICLINE TARTRATE 0.5 MG TABLET,1198.1499999999999,599.0749999999999,60.89,1905.39,130
HCPCS,J8499,VARENICLINE TARTRATE 1 MG TABLET,1472.25,736.13,12.85,1905.39,260
HCPCS,J8499,VENLAFAXINE 100 MG TABLET,122.7,61.35,13.74,191.7,260
HCPCS,J8499,VENLAFAXINE 25 MG TABLET,75.6,37.8,1.18,177.66,455
HCPCS,J8499,VENLAFAXINE 37.5 MG TABLET,79.2,39.6,0.75,245.16,715
HCPCS,J8499,VENLAFAXINE 50 MG TABLET,79.8,39.9,11.25,175.5,390
HCPCS,J8499,VENLAFAXINE 75 MG TABLET,86.4,43.2,0.89,382.5,650
HCPCS,J8499,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",80.5,40.25,0.73,6255.18,1105
HCPCS,J8499,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",65.35,32.68,0.74,5125.37,1040
HCPCS,J8499,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",55.65,27.83,0.73,1914.3,975
HCPCS,J8499,VERAPAMIL 120 MG TABLET,39.6,19.8,6.8,148.5,195
HCPCS,J8499,VERAPAMIL 40 MG TABLET,86.4,43.2,14.53,78.3,195
HCPCS,J8499,VERAPAMIL 50 MG/ML ORAL SUSPENSION,18.75,9.38,4.09,16.88,65
HCPCS,J8499,VERAPAMIL 80 MG TABLET,30.6,15.3,5.5,32.94,195
HCPCS,J8499,"VERAPAMIL ER (PM) 100 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",1834.0,917.0,400.0,1650.6,65
HCPCS,J8499,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",113.4,56.7,1.34,458.55,325
HCPCS,J8499,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",77.4,38.7,1.43,490.95,325
HCPCS,J8499,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",142.2,71.1,2.42,832.5,390
HCPCS,J8499,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",579.75,289.875,5.01,1720.35,260
HCPCS,J8499,"VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE",606.5,303.25,126.28,570.6,130
HCPCS,J8499,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",685.25,342.625,142.96,643.5,130
HCPCS,J8499,"VERAPAMIL ER 360 MG 24 HR CAPSULE,EXTENDED RELEASE",2206.5,1103.25,481.24,1985.85,65
HCPCS,J8499,VERICIGUAT 10 MG TABLET,2563.7,1281.85,559.14,2307.33,65
HCPCS,J8499,VERICIGUAT 2.5 MG TABLET,2563.7,1281.85,559.14,2307.33,65
HCPCS,J8499,VIGABATRIN 500 MG ORAL POWDER PACKET,3745.425,1872.7150000000001,42.73,36327.78,390
HCPCS,J8499,VILAZODONE 10 MG TABLET,787.95,393.98,42.17,1591.65,455
HCPCS,J8499,VILAZODONE 20 MG TABLET,1146.0,573.0,45.39,1591.65,195
HCPCS,J8499,VILAZODONE 40 MG TABLET,424.8,212.4,42.13,1591.65,455
HCPCS,J8499,VITAMIN B COMP NO.3-FOLIC ACID 1 MG-VIT C 60 MG-BIOTIN 300 MCG TABLET,78.6,39.3,17.14,70.74,65
HCPCS,J8499,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,84.0,42.0,14.66,254.34,325
HCPCS,J8499,VITAMIN B COMPLEX-VITAMIN C 100 MG-FOLIC ACID 1 MG TABLET,90.0,45.0,19.63,81.0,65
HCPCS,J8499,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,39.3,19.65,5.1,44.28,260
HCPCS,J8499,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 400 MCG TABLET,23.4,11.7,5.1,21.06,65
HCPCS,J8499,VORICONAZOLE 200 MG TABLET,468.375,234.19,13.95,2133.0,845
HCPCS,J8499,VORICONAZOLE 50 MG TABLET,300.45,150.23,6.51,1271.3,780
HCPCS,J8499,VORTIOXETINE 10 MG TABLET,2376.6,1188.3,518.34,2138.94,65
HCPCS,J8499,VORTIOXETINE 20 MG TABLET,2376.6,1188.3,518.34,2138.94,65
HCPCS,J8499,VOXELOTOR 300 MG TABLET,48456.75,24228.38,10568.42,43611.08,130
HCPCS,J8499,VOXELOTOR 300 MG TABLET FOR ORAL SUSPENSION,48456.75,24228.38,10568.42,43611.08,130
HCPCS,J8499,VOXELOTOR 500 MG TABLET,48456.75,24228.38,10568.42,43611.08,65
HCPCS,J8499,WARFARIN 0.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,WARFARIN 1 MG TABLET,59.4,29.7,0.69,87.48,455
HCPCS,J8499,WARFARIN 1.25 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,WARFARIN 1.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,WARFARIN 10 MG TABLET,77.4,38.7,0.7,150.66,325
HCPCS,J8499,WARFARIN 2 MG TABLET,80.4,40.2,0.69,127.98,585
HCPCS,J8499,WARFARIN 2.5 MG TABLET,67.8,33.9,0.69,135.0,585
HCPCS,J8499,WARFARIN 3 MG TABLET,64.2,32.1,0.69,96.12,390
HCPCS,J8499,WARFARIN 3.75 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
HCPCS,J8499,WARFARIN 4 MG TABLET,48.9,24.45,0.69,87.48,390
HCPCS,J8499,WARFARIN 5 MG TABLET,75.0,37.5,0.69,391.5,715
HCPCS,J8499,WARFARIN 6 MG TABLET,70.2,35.1,0.7,150.66,455
HCPCS,J8499,WARFARIN 7.5 MG TABLET,75.3,37.65,0.7,154.44,390
HCPCS,J8499,ZAFIRLUKAST 10 MG TABLET,252.3,126.15,55.03,227.07,65
HCPCS,J8499,ZAFIRLUKAST 20 MG TABLET,263.4,131.7,3.18,328.46,260
HCPCS,J8499,ZALEPLON 5 MG CAPSULE,151.8,75.9,33.11,136.62,65
HCPCS,J8499,ZIDOVUDINE 10 MG/ML ORAL SYRUP,249.5,124.75,43.66,268.92,130
HCPCS,J8499,ZIDOVUDINE 100 MG CAPSULE,973.75,486.875,152.67,1122.75,130
HCPCS,J8499,ZIDOVUDINE 300 MG TABLET,220.875,110.44,30.94,269.91,130
HCPCS,J8499,ZILEUTON 600 MG TABLET,13900.8,6950.4,3031.76,12510.72,65
HCPCS,J8499,ZINC SULFATE 10 MG/ML ELEMENTAL ZINC ORAL SUSPENSION,6.925000000000001,3.4650000000000003,0.67,9.72,130
HCPCS,J8499,ZIPRASIDONE 2.5 MG/ML ORAL SYRUP,2033.6,1016.8,443.53,1830.24,65
HCPCS,J8499,ZIPRASIDONE 20 MG CAPSULE,166.35,83.18,2.55,916.56,845
HCPCS,J8499,ZIPRASIDONE 40 MG CAPSULE,220.3,110.15,1.77,4768.65,910
HCPCS,J8499,ZIPRASIDONE 60 MG CAPSULE,259.35,129.68,1.9,636.12,585
HCPCS,J8499,ZIPRASIDONE 80 MG CAPSULE,261.8,130.9,2.29,644.76,780
HCPCS,J8499,ZOLMITRIPTAN 5 MG DISINTEGRATING TABLET,122.35,61.18,26.68,110.12,65
HCPCS,J8499,ZOLMITRIPTAN 5 MG TABLET,64.275,32.14,9.11,78.12,130
HCPCS,J8499,ZOLPIDEM 10 MG TABLET,20.9,10.45,3.53,48.6,195
HCPCS,J8499,ZOLPIDEM 2.5 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
HCPCS,J8499,ZOLPIDEM 5 MG TABLET,34.5,17.25,1.11,56.16,585
HCPCS,J8499,ZONISAMIDE 100 MG CAPSULE,56.4,28.2,0.75,7418.52,520
HCPCS,J8499,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,1939.5,969.75,423.0,1745.55,65
HCPCS,J8499,ZONISAMIDE 25 MG CAPSULE,76.8,38.4,8.64,5727.96,325
HCPCS,J8499,ZONISAMIDE 50 MG CAPSULE,74.4,37.2,16.23,66.96,65
HCPCS,J8501,APREPITANT 125 MG CAPSULE,2442.4,1221.205,164.09,5501.7,390
HCPCS,J8501,APREPITANT 20 MG/ML ORAL SUSPENSION,5522.8,2761.4,1204.52,4970.52,65
HCPCS,J8501,APREPITANT 40 MG CAPSULE,983.25,491.63,32.67,1978.83,455
HCPCS,J8501,APREPITANT 80 MG CAPSULE,1173.15,586.58,118.53,2347.65,455
HCPCS,J8510,BUSULFAN 2 MG TABLET,2160.7,1080.35,85.89,1959.03,140
HCPCS,J8515,CABERGOLINE 0.5 MG TABLET,150.0,75.0,10.89,246.92,325
HCPCS,J8522,CAPECITABINE 150 MG TABLET,139.325,69.66499999999999,0.04,2840.63,280
HCPCS,J8522,CAPECITABINE 500 MG TABLET,653.2,326.6,0.04,18934.56,840
HCPCS,J8530,CYCLOPHOSPHAMIDE 10 MG/ML ORAL SOLUTION,527.75,263.88,115.1,474.98,65
HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE,882.75,441.375,183.53,1834.56,260
HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE,1523.75,761.875,319.19,3293.64,260
HCPCS,J8540,DEXAMETHASONE 0.5 MG TABLET,61.2,30.6,12.82,78.84,260
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,62.275,31.14,1.06,107.73,130
HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,81.0,40.5,0.69,187.92,195
HCPCS,J8540,DEXAMETHASONE 0.75 MG TABLET,117.0,58.5,23.95,111.78,130
HCPCS,J8540,DEXAMETHASONE 1 MG TABLET,136.8,68.4,27.48,153.36,195
HCPCS,J8540,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),71.52499999999999,35.765,4.46,110.34,130
HCPCS,J8540,DEXAMETHASONE 1.5 MG TABLET,236.10000000000002,118.05000000000001,43.97,243.54,130
HCPCS,J8540,DEXAMETHASONE 2 MG TABLET,279.6,139.8,0.68,264.6,390
HCPCS,J8540,DEXAMETHASONE 4 MG TABLET,463.5,231.75,1.11,488.25,650
HCPCS,J8540,DEXAMETHASONE 6 MG TABLET,662.5,331.25,1.48,674.55,325
HCPCS,J8540,Oral dexamethasone,,,0.11,0.25,5
HCPCS,J8560,ETOPOSIDE 50 MG CAPSULE,2959.825,1479.915,75.95,5014.26,130
HCPCS,J8562,Others,,,90.76,90.76,1
HCPCS,J8597,ONDANSETRON 4 MG DISINTEGRATING TABLET,30.174999999999997,15.09,0.7,48.29,715
HCPCS,J8597,ONDANSETRON 8 MG DISINTEGRATING TABLET,20.4,10.2,0.7,31.95,520
HCPCS,J8597,ONDANSETRON HCL 4 MG TABLET,19.45,9.73,0.75,522.45,845
HCPCS,J8597,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,61.8,30.9,6.6,377.78,715
HCPCS,J8597,ONDANSETRON HCL 8 MG TABLET,18.0,9.0,0.75,242.46,650
HCPCS,J8600,MELPHALAN 2 MG TABLET,2023.75,1011.875,423.88,1893.6,130
HCPCS,J8610,METHOTREXATE SODIUM 10 MG TABLET,5117.3,2558.65,1116.08,4605.57,65
HCPCS,J8610,METHOTREXATE SODIUM 15 MG TABLET,7676.3,3838.15,1674.2,6908.67,65
HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET,238.3,119.15,1.48,1031.85,1105
HCPCS,J8610,METHOTREXATE SODIUM 5 MG TABLET,2559.4,1279.7,558.21,2303.46,65
HCPCS,J8610,METHOTREXATE SODIUM 7.5 MG TABLET,3838.2,1919.1,837.11,3454.38,65
HCPCS,J8611,Oral methotrexate (jylamvo),,,18.84,23.08,5
HCPCS,J8612,Oral methotrexate (xatmep),,,23.13,28.35,5
HCPCS,J8655,"Oral netupitant, palonosetro",,,431.35,528.62,6
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.89,2.32,5
HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE,1097.225,548.615,30.48,4487.58,520
HCPCS,J8700,TEMOZOLOMIDE 140 MG CAPSULE,17015.2,8507.605000000001,182.47,29874.38,130
HCPCS,J8700,TEMOZOLOMIDE 180 MG CAPSULE,15242.0,7621.0,3324.28,13717.8,65
HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE,265.32500000000005,132.66500000000002,10.76,1369.71,455
HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPSULE,123.825,61.915,2.53,185.54,325
HCPCS,J8999,ABEMACICLIB 150 MG TABLET,15097.2,7548.6,3292.7,13587.48,65
HCPCS,J8999,ABIRATERONE 250 MG TABLET,23529.2,11764.6,135.18,41794.74,130
HCPCS,J8999,AFATINIB 40 MG TABLET,47167.1,23583.55,10287.14,42450.39,65
HCPCS,J8999,ANASTROZOLE 1 MG TABLET,56.45,28.23,0.95,5324.22,780
HCPCS,J8999,BICALUTAMIDE 50 MG TABLET,63.75,31.88,5.78,288.9,455
HCPCS,J8999,CHLORAMBUCIL 2 MG TABLET,2428.0,1214.0,529.55,2185.2,65
HCPCS,J8999,DASATINIB 140 MG TABLET,55921.225,27960.615,9676.55,60727.46,130
HCPCS,J8999,DASATINIB 20 MG TABLET,31899.125,15949.564999999999,5749.26,33693.84,130
HCPCS,J8999,DASATINIB 50 MG TABLET,53360.4,26680.2,8053.29,67387.68,195
HCPCS,J8999,DASATINIB 70 MG TABLET,63798.25,31899.125,11498.52,67387.68,130
HCPCS,J8999,ENZALUTAMIDE 40 MG CAPSULE,59623.2,29811.6,13003.82,53660.88,65
HCPCS,J8999,ERLOTINIB 150 MG TABLET,1833.0,916.5,128.59,29512.31,390
HCPCS,J8999,EVEROLIMUS (ANTINEOPLASTIC) 10 MG TABLET,76540.8,38270.4,16693.55,68886.72,65
HCPCS,J8999,EVEROLIMUS (ANTINEOPLASTIC) 2 MG TABLET FOR ORAL SUSPENSION,37705.75,18852.875,567.15,65529.99,130
HCPCS,J8999,EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET,37894.775,18947.390000000003,569.99,65858.49,130
HCPCS,J8999,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,39637.200000000004,19818.600000000002,596.2,68886.72,130
HCPCS,J8999,EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET,39637.200000000004,19818.600000000002,596.2,68886.72,130
HCPCS,J8999,IMATINIB 400 MG TABLET,442.05,221.03,14.15,33704.1,585
HCPCS,J8999,LETERMOVIR 240 MG TABLET,15365.85,7682.93,299.22,27658.53,195
HCPCS,J8999,LETERMOVIR 480 MG TABLET,11524.4,5762.205,299.22,27658.53,260
HCPCS,J8999,MEGESTROL 20 MG TABLET,73.8,36.9,12.96,102.6,195
HCPCS,J8999,MEGESTROL 40 MG TABLET,151.5,75.75,21.33,483.75,390
HCPCS,J8999,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,5502.4,2751.2,1200.07,4952.16,130
HCPCS,J8999,MERCAPTOPURINE 25 MG SPLIT TABLET,9.55,4.78,2.08,8.6,65
HCPCS,J8999,MERCAPTOPURINE 50 MG TABLET,303.05,151.53,32.26,2114.1,260
HCPCS,J8999,REGORAFENIB 40 MG TABLET,24057.6,12028.8,5246.96,21651.84,65
HCPCS,J8999,SORAFENIB 200 MG TABLET,51026.4,25513.2,11128.86,45923.76,65
HCPCS,J8999,TAMOXIFEN 10 MG TABLET,68.6,34.3,4.24,207.36,520
HCPCS,J8999,TAMOXIFEN 20 MG TABLET,57.0,28.5,11.67,54.45,130
HCPCS,J8999,THIOGUANINE 40 MG TABLET,2349.0,1174.5,504.79,44983.35,195
HCPCS,J8999,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,2830.7,1415.35,30.87,4987.8,325
HCPCS,J8999,VENETOCLAX 10 MG TABLET,533.65,266.83,34.06,820.04,130
HCPCS,J8999,VENETOCLAX 100 MG TABLET,14578.15,7289.08,141.93,56234.34,195
HCPCS,J8999,VENETOCLAX 50 MG TABLET,1301.75,650.88,70.98,2050.25,130
HCPCS,J9000,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,264
HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,604.85,302.43,3.64,612.0,594
HCPCS,J9000,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,264
HCPCS,J9000,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1144.25,572.13,3.64,1029.83,66
HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,528
HCPCS,J9000,Doxorubicin hcl injection,,,6.13,24.3,3
HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,52.59,64.45,5
HCPCS,J9015,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,20588.2,10294.1,4490.29,18529.38,71
HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2130.15,1065.08,8.32,2021.94,852
HCPCS,J9017,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,2609.85,1304.925,8.32,4292.73,284
HCPCS,J9021,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,20983.35,10491.68,54.5,18885.02,142
HCPCS,J9022,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",45057.3,22528.65,87.35,40551.57,71
HCPCS,J9022,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,31555.1,15777.55,87.35,28399.59,71
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,96.09,202.57,2
HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,8103.95,4051.98,94.86,7293.56,71
HCPCS,J9024,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",45007.3,22503.65,32.22,40506.57,70
HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION,549.25,274.63,0.4,2151.9,1188
HCPCS,J9026,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6050.0,3025.0,1319.51,5445.0,140
HCPCS,J9026,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,60050.0,30025.0,1595.93,54045.0,140
HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,3102.2,1551.1,4.27,9812.48,497
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,96.56,118.33,5
HCPCS,J9029,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,240050.0,120025.0,52354.91,216045.0,140
HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,756.55,378.28,3.21,680.9,132
HCPCS,J9030,Bcg live intravesical 1mg,,,3.36,3.36,1
HCPCS,J9032,BELINOSTAT 500 MG INTRAVENOUS SOLUTION,9971.75,4985.88,49.85,8974.58,71
HCPCS,J9033,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION,3935.65,1967.825,1.92,5370.12,142
HCPCS,J9033,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,481.825,240.915,1.92,462.29,142
HCPCS,J9033,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,7531.05,3765.53,1.92,6777.95,71
HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,8100.35,4050.18,13.76,7290.32,71
HCPCS,J9034,"Inj., bendeka 1 mg",,,19.19,19.19,1
HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,8019.424999999999,4009.715,74.67,11520.95,142
HCPCS,J9036,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,8214.75,4107.38,12.53,7393.28,71
HCPCS,J9037,Others,,,46.45,46.45,1
HCPCS,J9038,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,32575.0,16287.5,56.76,41602.5,140
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,22274.85,11137.43,148.34,20047.37,71
HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION,22274.85,11137.43,148.34,20047.37,71
HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,396
HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,396
HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,1349.05,674.525,2.1,5815.8,726
HCPCS,J9041,"Injection, bortezomib, 0.1mg",,,3.43,53.45,3
HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,48850.0,24425.0,236.18,43965.0,71
HCPCS,J9042,Brentuximab vedotin inj,,,113.39,543.8,2
HCPCS,J9043,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,57484.95,28742.48,221.08,51736.46,142
HCPCS,J9043,Cabazitaxel injection,,,233.05,233.05,1
HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,499.3,249.65,3.99,1255.91,1650
HCPCS,J9045,Carboplatin injection,,,2.9,301.68,5
HCPCS,J9046,BORTEZOMIB 3.5 MG INTRAVENOUS POWDER FOR SOLUTION,6461.95,3230.98,5.01,5815.76,71
HCPCS,J9047,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION,2407.9,1203.95,50.35,2167.11,71
HCPCS,J9047,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION,7123.7,3561.85,50.35,6411.33,71
HCPCS,J9047,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,14197.4,7098.7,50.35,12777.66,71
HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,53.7,53.7,1
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,16.83,48.2,6
HCPCS,J9050,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1192.025,596.015,101.65,8822.79,710
HCPCS,J9052,"Inj, carmustine (accord)",,,19.68,324.63,6
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,26.67,32.69,5
HCPCS,J9055,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3053.2,1526.6,78.84,2747.88,71
HCPCS,J9055,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6056.4,3028.2,78.84,5450.76,71
HCPCS,J9055,Cetuximab injection,,,82.28,82.28,1
HCPCS,J9056,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,13144.95,6572.48,30.45,11830.46,71
HCPCS,J9057,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20248.4,10124.2,90.33,18223.56,66
HCPCS,J9058,Others,,,22.22,22.22,1
HCPCS,J9059,Others,,,22.22,22.22,1
HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,990
HCPCS,J9060,Cisplatin 10 MG injection,,,3.85,30.95,5
HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,15276.75,7638.38,21.36,13749.08,142
HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,26557.5,13278.75,70.28,23901.75,71
HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,499.35,249.68,10.89,625.55,284
HCPCS,J9070,Fee Schedule,,,10.9,41.87,3
HCPCS,J9071,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,499.35,249.68,0.64,449.42,71
HCPCS,J9072,CYCLOPHOSPHAMIDE 500 MG/ML INTRAVENOUS SOLUTION,14050.0,7025.0,3.84,12645.0,71
HCPCS,J9073,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,757.55,378.78,0.8,887.81,142
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,4.01,4.92,5
HCPCS,J9075,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,788.925,394.46500000000003,0.49,874.49,710
HCPCS,J9075,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1194.0749999999998,597.04,0.49,1746.41,355
HCPCS,J9075,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,573.3,286.655,0.49,556.34,142
HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,451.55,225.78,0.49,406.58,639
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,5.11,6.27,5
HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,450.0,225.0,1.08,405.0,264
HCPCS,J9118,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,100182.5,50091.25,77.95,90164.25,71
HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,42477.05,21238.53,28.23,38229.35,71
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,31.29,65.95,2
HCPCS,J9120,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1672.55,836.28,281.74,9795.78,497
HCPCS,J9130,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,132
HCPCS,J9130,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,396
HCPCS,J9130,Dacarbazine 100 mg inj,,,9.92,23.59,2
HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",42126.05,21063.03,52.46,37913.45,71
HCPCS,J9144,"Daratumumab, hyaluronidase",,,57.09,57.09,1
HCPCS,J9145,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,6918.75,3459.375,66.0,11158.16,284
HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,598.8,299.4,22.13,672.84,497
HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,39635.0,19817.5,247.87,38808.0,213
HCPCS,J9155,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,2912.2749999999996,1456.1399999999999,4.48,3342.33,142
HCPCS,J9155,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION,1370.85,685.43,4.48,1233.77,71
HCPCS,J9155,Degarelix injection,,,4.74,4.74,3
HCPCS,J9171,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
HCPCS,J9171,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION,631.9,315.95,1.07,732.42,132
HCPCS,J9171,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,198
HCPCS,J9171,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,528
HCPCS,J9171,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,501.45,250.725,1.07,1320.75,396
HCPCS,J9171,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,396
HCPCS,J9171,Docetaxel injection,,,1.06,27.82,5
HCPCS,J9172,"Docetaxel (docivyx), 1 mg",,,51.79,63.47,5
HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,10491.925,5245.965,86.32,15202.62,142
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,92.71,142.14,3
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,53.52,65.59,5
HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9152.65,4576.33,7.89,8237.39,71
HCPCS,J9176,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12186.75,6093.38,7.89,10968.08,71
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,11286.0,5643.0,36.65,10157.4,71
HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,16904.0,8452.0,36.65,15213.6,71
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,39.31,39.31,1
HCPCS,J9178,EPIRUBICIN 200 MG/100 ML INTRAVENOUS SOLUTION,820.4,410.205,1.53,989.87,132
HCPCS,J9178,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,1.53,405.0,66
HCPCS,J9179,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,4288.425,2144.215,91.13,5121.0,142
HCPCS,J9181,ETOPOSIDE 10 MG/ML ORAL SOLUTION,450.0,225.0,1.1,405.0,66
HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,474.15,237.08,1.1,510.75,990
HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,758.75,379.38,1.1,682.88,66
HCPCS,J9181,Etoposide injection,,,0.8,1.72,2
HCPCS,J9185,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,491.45,245.73000000000002,69.56,456.89,142
HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,780.55,390.28,69.56,9894.6,355
HCPCS,J9190,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,528
HCPCS,J9190,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,396
HCPCS,J9190,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,462
HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,462
HCPCS,J9190,FLUOROURACIL INTRAOCULAR INJECTION SYRINGE 1 MG/0.1 ML,450.0,225.0,3.57,405.0,66
HCPCS,J9190,FLUOROURACIL INTRAOCULAR INJECTION SYRINGE 10 MG/0.2 ML,450.0,225.0,3.57,405.0,66
HCPCS,J9190,Fluorouracil injection,,,2.07,10.32,4
HCPCS,J9196,Inj gemcitabine hcl (accord),,,9.38,9.38,1
HCPCS,J9198,"Inj. infugem, 100 mg",,,44.71,44.71,1
HCPCS,J9200,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION,7336.475,3668.24,126.05,12685.5,142
HCPCS,J9201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,593.225,296.615,4.05,662.81,330
HCPCS,J9201,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,264
HCPCS,J9201,GEMCITABINE 2 GRAM INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
HCPCS,J9201,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,396
HCPCS,J9201,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,330
HCPCS,J9201,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,330
HCPCS,J9201,In gemcitabine hcl nos 200mg,,,4.77,18.74,4
HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,11730.1,5865.05,651.34,10557.09,71
HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4255.6,2127.8,651.34,3830.04,71
HCPCS,J9202,Goserelin acetate implant,,,719.49,719.49,1
HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN,40230.0,20115.0,241.35,36207.0,71
HCPCS,J9204,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,18804.5,9402.25,239.33,16924.05,71
HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,11674.0,5837.0,66.33,10506.6,71
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,115.79,115.79,2
HCPCS,J9206,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,726
HCPCS,J9206,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,479.65,239.825,2.16,458.37,330
HCPCS,J9206,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,594
HCPCS,J9206,Irinotecan injection,,,3.4,7.35,2
HCPCS,J9207,IXABEPILONE 15 MG INTRAVENOUS SOLUTION,8108.25,4054.13,136.97,7297.43,142
HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,24224.75,12112.38,136.97,21802.28,142
HCPCS,J9208,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,198
HCPCS,J9208,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
HCPCS,J9208,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,468.775,234.39,29.69,438.8,198
HCPCS,J9208,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
HCPCS,J9208,Ifosfamide injection,,,62.18,62.18,1
HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION,72.2,36.1,1.52,299.75,594
HCPCS,J9209,Mesna injection,,,1.99,4.09,2
HCPCS,J9210,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,80924.8,40462.4,392.54,121594.86,142
HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,635.2,317.6,47.65,1379.07,924
HCPCS,J9214,INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) SOLUTION FOR INJECTION,1427.85,713.93,32.87,1285.07,66
HCPCS,J9214,INTERFERON ALFA-2B 50 MILLION UNIT (1 ML) SOLUTION FOR INJECTION,5711.5,2855.75,32.87,5140.35,66
HCPCS,J9215,Interferon alfa-n3 inj,,,31.69,31.69,1
HCPCS,J9216,Interferon gamma 1-b inj,,,8247.01,8247.01,1
HCPCS,J9217,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,24982.85,12491.43,179.98,22484.57,71
HCPCS,J9217,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1768.5,884.25,179.98,1622.52,213
HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,33310.6,16655.3,179.98,29979.54,71
HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,2312.25,1156.13,179.98,2081.03,71
HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,589.5,294.755,126.07,540.86,213
HCPCS,J9217,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,8327.7,4163.85,179.98,7494.93,71
HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,49966.6,24983.3,179.98,44969.94,71
HCPCS,J9217,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2746.975,1373.49,179.98,2596.01,213
HCPCS,J9217,Leuprolide acetate suspnsion,,,187.61,406.36,2
HCPCS,J9218,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT,1935.15,967.575,15.25,2090.16,264
HCPCS,J9218,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLUTION,1829.6,914.8,15.25,1646.64,66
HCPCS,J9218,Leuprolide acetate injeciton,,,24.65,91.01,4
HCPCS,J9218,MICRODOSE LEUPROLIDE ACETATE 40MCG/0.2ML SUBCUTANEOUS SYRINGE,2062.4,1031.2,15.25,1856.16,66
HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,1571.65,785.83,10.16,1414.49,140
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,229.17,229.17,1
HCPCS,J9223,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,32490.0,16245.0,211.27,29241.0,71
HCPCS,J9226,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT,195069.5,97534.75,42544.66,175562.55,71
HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,9938.025,4969.015,81.82,14892.03,142
HCPCS,J9228,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,142084.9,71042.45,176.06,127876.41,71
HCPCS,J9228,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,35558.8,17779.4,176.06,32002.92,71
HCPCS,J9228,Ipilimumab injection,,,157.52,157.52,1
HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN,91682.0,45841.0,2752.01,82513.8,70
HCPCS,J9230,Mechlorethamine hcl inj,,,325.93,325.93,1
HCPCS,J9245,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,779.675,389.84,97.82,5960.16,639
HCPCS,J9246,"Inj., evomela, 1 mg",,,17.64,23.12,6
HCPCS,J9247,Others,,,521.12,521.12,1
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,810.9,993.75,5
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,66.07,80.97,5
HCPCS,J9250,Fee Schedule,,,0.23,1.53,5
HCPCS,J9259,Others,,,15.97,15.97,1
HCPCS,J9260,METHOTREXATE OPHTHALMIC INJ 400 MCG/0.04 ML,450.0,225.0,3.37,405.0,66
HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,450.0,225.0,3.37,405.0,66
HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,726
HCPCS,J9260,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,198
HCPCS,J9261,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1131.6,565.8,81.46,2465.82,1050
HCPCS,J9262,OMACETAXINE 3.5 MG SUBCUTANEOUS SOLUTION,5373.6,2686.8,4.4,4836.24,66
HCPCS,J9263,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,484.125,242.065,0.07,719.01,1122
HCPCS,J9263,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,792
HCPCS,J9263,Oxaliplatin,,,0.08,0.65,4
HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,4116.05,2058.03,10.75,5303.79,355
HCPCS,J9264,Paclitaxel protein bound,,,12.25,29.55,2
HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,74455.55,37227.78,16238.76,67010.0,71
HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",482.0,241.0,0.12,529.2,1320
HCPCS,J9267,Paclitaxel injection,,,0.17,0.29,4
HCPCS,J9268,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION,9311.2,4655.6,2030.77,8380.08,71
HCPCS,J9269,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",135076.6,67538.3,331.76,121568.94,71
HCPCS,J9271,Inj pembrolizumab,,,63.7,134.28,2
HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23178.35,11589.18,57.54,20860.52,213
HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,47227.55,23613.78,240.59,42504.8,71
HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION,28542.0,14271.0,172.44,25687.8,71
HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,81970.0,40985.0,212.05,73773.0,71
HCPCS,J9276,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION,21355.0,10677.5,25.55,25618.5,140
HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,986.05,493.03,20.75,2159.28,710
HCPCS,J9280,MITOMYCIN 20 MG/40 ML (0.5 MG/ML) INTRAVESICAL SYRINGE,750.4,375.2,20.75,675.36,71
HCPCS,J9280,MITOMYCIN 3 MG/6 ML (0.5 MG/ML) INTRAVESICAL SYRINGE,455.0,227.5,20.75,409.5,71
HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,1780.675,890.3399999999999,20.75,4273.56,568
HCPCS,J9280,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,893.525,446.765,20.75,960.62,355
HCPCS,J9280,MITOMYCIN INTRAOCULAR INJ 0.2 MG/0.5 ML SYR,450.0,225.0,20.75,405.0,142
HCPCS,J9280,MITOMYCIN INTRAOCULAR INJ 0.2 MG/1 ML SYRINGE,54.3,27.15,11.84,70.31,71
HCPCS,J9280,Mitomycin injection,,,93.49,93.49,1
HCPCS,J9281,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,88490.0,44245.0,324.9,79641.0,142
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,53.29,53.29,1
HCPCS,J9286,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,39470.8,19735.4,2823.24,56837.97,140
HCPCS,J9289,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",31199.35,15599.68,27.91,28079.42,70
HCPCS,J9292,"Inj, pemetrexed dipotassium",,,83.99,102.93,5
HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",567.25,283.63,24.35,563.99,426
HCPCS,J9294,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,1095.35,547.68,3.62,1813.73,213
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.85,7.16,6
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.58,12.17,6
HCPCS,J9297,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.39,405.0,132
HCPCS,J9298,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,60528.35,30264.18,192.99,54475.52,71
HCPCS,J9299,"Injection, nivolumab",,,27.75,74.63,3
HCPCS,J9299,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,13028.85,6514.43,32.1,11725.97,71
HCPCS,J9299,NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION,15624.7,7812.35,32.1,14062.23,71
HCPCS,J9299,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,31199.35,15599.68,32.1,28079.42,71
HCPCS,J9299,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,5241.6,2620.8,32.1,4717.44,71
HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",34500.9,17250.45,75.23,31050.81,71
HCPCS,J9302,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION,2292.9,1146.45,63.48,2063.61,142
HCPCS,J9303,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,7078.55,3539.28,161.13,6370.7,71
HCPCS,J9303,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,28164.0,14082.0,161.13,25347.6,71
HCPCS,J9303,Panitumumab injection,,,169.34,169.34,1
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,47.25,66.65,6
HCPCS,J9305,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,470.55,235.28,4.44,2736.18,355
HCPCS,J9305,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,605.75,302.88,4.44,2125.13,426
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,11.17,17.06,2
HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,27332.0,13666.0,16.01,24598.8,71
HCPCS,J9307,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,28297.925,14148.965,294.65,26456.18,142
HCPCS,J9307,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,52917.825,26458.915,294.65,52867.31,142
HCPCS,J9308,"Injection, ramucirumab",,,80.05,80.05,1
HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,17681.325,8840.665,74.62,26506.98,142
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,74495.65,37247.83,139.4,67046.09,70
HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,16002.7,8001.35,139.4,14402.43,70
HCPCS,J9311,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",26356.35,13178.18,37.43,23720.72,71
HCPCS,J9311,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",30114.35,15057.18,37.43,27102.92,71
HCPCS,J9312,"Inj., rituximab, 10 mg",,,91.66,109.27,2
HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",11324.25,5662.125,76.72,16956.36,142
HCPCS,J9313,"Inj., Lumoxiti, 0.01 mg",,,23.86,29.24,6
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,15.85,19.81,6
HCPCS,J9316,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",55716.15,27858.08,63.34,50144.54,71
HCPCS,J9316,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,37159.3,18579.65,63.34,33443.37,71
HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,10103.0,5051.5,37.0,9092.7,71
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,29.09,35.65,6
HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,11877.825,5938.915,31.39,11560.14,284
HCPCS,J9320,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION,1622.7,811.35,353.91,1460.43,66
HCPCS,J9321,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION,8078.6,4039.3,56.03,7270.74,71
HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,96943.0,48471.5,56.03,87248.7,71
HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.81,13.25,5
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.13,12.14,6
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,77.32,94.76,5
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,349.3,174.65,71.22,314.37,71
HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,27940.4,13970.2,71.22,25146.36,71
HCPCS,J9328,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION,3734.55,1867.28,10.6,3361.1,70
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,58.59,71.81,5
HCPCS,J9330,TEMSIROLIMUS 10 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION,5350.0,2675.0,27.25,6702.48,284
HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,31939.15,15969.58,86.26,28745.24,71
HCPCS,J9332,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION,24786.55,12393.28,32.79,22307.9,71
HCPCS,J9333,ROZANOLIXIZUMAB-NOLI 140 MG/ML SUBCUTANEOUS SOLUTION,49030.05,24515.03,22.74,66179.3,142
HCPCS,J9334,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",64353.85,32176.93,32.93,57918.47,71
HCPCS,J9340,Others,,,278.8,278.8,1
HCPCS,J9342,THIOTEPA 100 MG SOLUTION FOR INJECTION,7523.5,3761.75,10.75,9863.24,280
HCPCS,J9342,THIOTEPA 15 MG SOLUTION FOR INJECTION,857.1,428.55,10.75,1149.57,350
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,31.1,38.2,6
HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,87963.8,43981.9,143.71,146117.16,140
HCPCS,J9348,NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION,104288.6,52144.3,652.15,93859.74,71
HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5524.0,2762.0,14.55,4971.6,142
HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,58055.7,29027.85,667.72,101129.31,142
HCPCS,J9351,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,680.0,340.0,0.87,3917.39,264
HCPCS,J9351,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,490.5,245.25,0.87,477.9,264
HCPCS,J9352,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION,14807.4,7403.7,347.73,13326.66,71
HCPCS,J9353,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION,10433.25,5216.63,50.32,9389.93,213
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,16008.55,8004.28,39.34,14407.7,71
HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,25583.6,12791.8,39.34,23025.24,71
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,44.54,44.54,1
HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,6283.7,3141.85,76.53,5655.33,142
HCPCS,J9356,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",18751.0,9375.5,62.66,16875.9,71
HCPCS,J9357,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,8273.35,4136.68,1349.81,7446.02,71
HCPCS,J9358,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,11789.0,5894.5,29.13,10610.1,71
HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,30.49,64.29,2
HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,111115.6,55557.8,214.57,100004.04,71
HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.68,405.0,66
HCPCS,J9360,Vinblastine sulfate inj,,,7.65,9.68,2
HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.58,405.0,132
HCPCS,J9370,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,8.58,405.0,132
HCPCS,J9370,Vincristine sulfate 1 MG inj,,,8.47,8.47,1
HCPCS,J9371,Others,,,3619.52,3619.52,1
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,93.56,114.66,5
HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,10620.0,5310.0,32.99,9558.0,71
HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,54162.0,27081.0,32.99,48745.8,71
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,38.42,47.08,5
HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,71300.025,35650.015,33.57,85545.05,210
HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.24,405.0,132
HCPCS,J9390,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,452.5,226.25,8.24,409.5,132
HCPCS,J9393,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,950.0,475.0,47.13,855.0,71
HCPCS,J9394,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2130.15,1065.08,27.3,1917.14,142
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,78.39,78.39,1
HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,714.175,357.09000000000003,6.86,3271.77,1278
HCPCS,J9395,"Injection, Fulvestrant",,,11.5,11.5,1
HCPCS,J9400,ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLUTION,3250.0,1625.0,7.79,2925.0,71
HCPCS,J9600,PORFIMER 75 MG INTRAVENOUS SOLUTION,91941.0,45970.5,20052.33,82746.9,71
HCPCS,J9999,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,45.0,22.5,9.81,40.5,65
HCPCS,K0552,Sup/ext non-ins inf pump syr,,,3.45,4.23,5
HCPCS,K0609,Repl electrode for AED,,,1148.78,1407.81,5
HCPCS,K0672,Removable soft interface LE,,,104.76,128.39,5
HCPCS,K0730,Ctrl dose inh drug deliv sys,,,2579.18,2579.18,1
HCPCS,K0739,Repair/svc DME non-oxygen eq,,,19.97,24.48,5
HCPCS,K1007,Bil hkaf pc s/d micro sensor,,,95081.03,116520.88,5
HCPCS,L0112,Cranial cervical orthosis,,,1729.39,2119.35,5
HCPCS,L0113,Cranial cervical torticollis,,,352.38,431.84,5
HCPCS,L0120,COLLAR CERVICAL 3-6 YEAR REGULAR L37-48 IN ASPEN FLEXTABS CHIN DOT OPEN ADJUSTABLE STRAP VELCRO POLYETHYLENE FOAM COTTON TRACHEOSTOMY,17.85,8.93,3.42,42.36,70
HCPCS,L0120,COLLAR CERVICAL REGULAR MIAMI J PAD BREATHABLE SORBATEX,27.0,13.5,5.17,42.36,70
HCPCS,L0120,COLLAR CERVICAL SHORT MIAMI J PAD SORBATEX II,27.0,13.5,5.17,42.36,70
HCPCS,L0130,Flex thermoplastic collar mo,,,249.97,306.34,5
HCPCS,L0140,Cervical semi-rigid adjustab,,,86.25,105.7,5
HCPCS,L0150,Cerv semi-rig adj molded chn,,,143.84,176.28,5
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,204.81,250.99,5
HCPCS,L0170,Cervical collar molded to pt,,,866.65,1062.08,5
HCPCS,L0172,COLLAR CERVICAL 3-6 YEAR 37-48IN REPLACEMENT PAD SUPPORT STRAP BACK PANEL COTTON FOAM 8.5-13IN,26.78,13.39,5.13,215.34,70
HCPCS,L0172,COLLAR CERVICAL MEDIUM 5.25INH NECK CIRC 13-16INL POLYETHYLENE FOAM TRACH CLOSED ADJUSTABLE STRAP W/CHIN REST PHILADELPHIA CALIFORNIA,35.0,17.5,6.7,215.34,70
HCPCS,L0172,COLLAR CERVICAL PEDIATRIC 9-24 MONTH 29-37IN ASPEN CUSTOM SET REPLACEMENT PAD,26.78,13.39,5.13,215.34,70
HCPCS,L0172,COLLAR CERVICAL PHILADELPHIA LARGE 40.5-48CM NECK CIRC 8.3CMH FOAM TRACHEAL CLOSED ADJUSTABLE STRAP W/CHIN REST F/TRACHEOSTOMY PROCARE,35.0,17.5,6.7,215.34,70
HCPCS,L0172,COLLAR CERVICAL REGULAR ASPEN SET REPLACEMENT PAD,26.78,13.39,5.13,215.34,70
HCPCS,L0172,COLLAR CERVICAL SHORT H2.25 IN ASPEN SET REPLACEMENT PAD,26.78,13.39,5.13,215.34,70
HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,315.67,386.85,5
HCPCS,L0180,Cer post col occ/man sup adj,,,429.3,526.1,5
HCPCS,L0190,Cerv collar supp adj cerv ba,,,646.26,791.99,5
HCPCS,L0200,Cerv col supp adj bar & thor,,,593.42,727.23,5
HCPCS,L0220,Thor rib belt custom fabrica,,,140.74,172.48,5
HCPCS,L0450,Tlso flex trunk/thor pre ots,,,144.12,176.61,5
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,428.54,525.18,5
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,267.53,327.85,5
HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1228.92,1506.03,5
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,767.19,940.19,5
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1101.98,1350.46,5
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1240.37,1520.06,5
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1542.8,1890.69,5
HCPCS,L0464,BRACE LSO RIGID VISTA 637 ORTHOPEDIC,203.3,101.65,38.93,2250.79,70
HCPCS,L0464,ORTHOSIS ORTHOPEDIC VRTX TLSO ONE SIZE STANDARD THORACOLUMBAR 2-PIECE MODULAR COMPRESSION BIVALVED UNDERARM STRAP EASY PULL TAB/HANDLE SLICKTRACK,291.0,145.5,55.73,2250.79,70
HCPCS,L0464,ORTHOSIS ORTHOPEDIC VRTX TLSO ONE SIZE XSMALL THORACOLUMBAR 2-PIECE MODULAR COMPRESSION BIVALVED UNDERARM STRAP EASY PULL TAB/HANDLE SLICKTRACK,291.0,145.5,55.73,2250.79,70
HCPCS,L0466,Tlso r fram soft ant pre cst,,,472.27,578.76,5
HCPCS,L0467,Tlso r fram soft pre ots,,,300.04,367.7,5
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,592.16,725.69,5
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,382.31,468.51,5
HCPCS,L0470,TLSO rigid frame pre subclav,,,843.0,1033.09,5
HCPCS,L0472,TLSO rigid frame hyperex pre,,,529.16,648.48,5
HCPCS,L0480,TLSO rigid plastic custom fa,,,1636.27,2005.24,5
HCPCS,L0482,TLSO rigid lined custom fab,,,1875.79,2298.76,5
HCPCS,L0484,TLSO rigid plastic cust fab,,,2187.12,2680.3,5
HCPCS,L0486,TLSO rigidlined cust fab two,,,2166.6,2655.15,5
HCPCS,L0488,TLSO rigid lined pre one pie,,,1240.37,1520.06,5
HCPCS,L0490,TLSO rigid plastic pre one,,,349.51,428.33,5
HCPCS,L0491,TLSO 2 piece rigid shell,,,948.92,1162.89,5
HCPCS,L0492,TLSO 3 piece rigid shell,,,614.99,753.66,5
HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,75.98,93.11,5
HCPCS,L0622,SIO flex pelvisacral custom,,,298.76,366.13,5
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,136.19,166.9,5
HCPCS,L0625,Lo flex l1-below l5 pre ots,,,42.5,52.09,5
HCPCS,L0626,Lo sag rig pnl stays pre cst,,,96.32,118.04,5
HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,507.93,622.46,5
HCPCS,L0628,Lso flex no ri stays pre ots,,,64.72,79.31,5
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,200.07,245.19,5
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1268.47,1554.5,5
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,354.33,434.23,5
HCPCS,L0635,LSO sagit rigid panel prefab,,,1313.9,1610.18,5
HCPCS,L0636,LSO sagittal rigid panel cus,,,1938.77,2375.94,5
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1682.1,2061.4,5
HCPCS,L0638,LSO sag-coronal panel custom,,,1629.67,1997.15,5
HCPCS,L0639,Lso s/c shell/panel prefab,,,1682.1,2061.4,5
HCPCS,L0640,LSO s/c shell/panel custom,,,1292.96,1584.51,5
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,60.14,73.7,5
HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,317.16,388.68,5
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,124.95,153.13,5
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,792.06,970.66,5
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,221.25,271.14,5
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,916.46,1123.11,5
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,916.46,1123.11,5
HCPCS,L0700,Ctlso a-p-l control molded,,,2660.31,3260.19,5
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2903.9,3558.7,5
HCPCS,L0720,Ctlso a-p-l control custom,,,2265.94,2776.89,5
HCPCS,L0810,Halo cervical into jckt vest,,,3084.99,3780.63,5
HCPCS,L0820,Halo cervical into body jack,,,2495.61,3058.35,5
HCPCS,L0830,Halo cerv into milwaukee typ,,,3603.39,4415.93,5
HCPCS,L0859,MRI compatible system,,,1399.9,1715.56,5
HCPCS,L0861,Halo repl liner/interface,,,266.32,326.38,5
HCPCS,L0970,Tlso corset front,,,131.34,160.95,5
HCPCS,L0972,Lso corset front,,,134.25,164.53,5
HCPCS,L0974,Tlso full corset,,,274.31,336.16,5
HCPCS,L0976,Lso full corset,,,244.99,300.24,5
HCPCS,L0978,Axillary crutch extension,,,221.2,271.08,5
HCPCS,L0980,Peroneal straps pair pre ots,,,20.06,24.59,5
HCPCS,L0982,Stocking sup grips 4 pre ots,,,21.87,26.8,5
HCPCS,L0984,Protect body sock ea pre ots,,,69.77,85.5,5
HCPCS,L1000,Ctlso milwauke initial model,,,2332.97,2859.04,5
HCPCS,L1005,Tension based scoliosis orth,,,3954.81,4846.58,5
HCPCS,L1006,Scoliosis orth sag/ cor,,,1309.09,1604.28,5
HCPCS,L1010,Ctlso axilla sling,,,93.95,115.14,5
HCPCS,L1020,Kyphosis pad,,,128.37,157.31,5
HCPCS,L1025,Kyphosis pad floating,,,145.9,178.8,5
HCPCS,L1030,Lumbar bolster pad,,,97.46,119.44,5
HCPCS,L1040,Lumbar or lumbar rib pad,,,117.32,143.78,5
HCPCS,L1050,Sternal pad,,,101.56,124.46,5
HCPCS,L1060,Thoracic pad,,,114.57,140.4,5
HCPCS,L1070,Trapezius sling,,,117.15,143.56,5
HCPCS,L1080,Outrigger,,,81.17,99.48,5
HCPCS,L1085,Outrigger bil w/ vert extens,,,225.49,276.34,5
HCPCS,L1090,Lumbar sling,,,105.33,129.08,5
HCPCS,L1100,Ring flange plastic/leather,,,185.94,227.86,5
HCPCS,L1110,Ring flange plas/leather mol,,,314.94,385.95,5
HCPCS,L1120,Covers for upright each,,,50.16,61.48,5
HCPCS,L1200,Furnsh initial orthosis only,,,1997.03,2447.34,5
HCPCS,L1210,Lateral thoracic extension,,,300.68,368.48,5
HCPCS,L1220,Anterior thoracic extension,,,254.58,311.99,5
HCPCS,L1230,Milwaukee type superstructur,,,653.22,800.51,5
HCPCS,L1240,Lumbar derotation pad,,,112.41,137.76,5
HCPCS,L1250,Anterior asis pad,,,110.69,135.65,5
HCPCS,L1260,Anterior thoracic derotation,,,113.77,139.43,5
HCPCS,L1270,Abdominal pad,,,113.64,139.26,5
HCPCS,L1280,Rib gusset (elastic) each,,,101.29,124.13,5
HCPCS,L1290,Lateral trochanteric pad,,,114.83,140.73,5
HCPCS,L1300,Body jacket mold to patient,,,1919.53,2352.36,5
HCPCS,L1310,Post-operative body jacket,,,1975.19,2420.58,5
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,148.07,181.46,5
HCPCS,L1610,Ho frejka cov only pre cst,,,50.45,61.83,5
HCPCS,L1620,Ho flex pavlik harns pre cst,,,166.13,203.59,5
HCPCS,L1630,Abduct control hip semi-flex,,,198.25,242.95,5
HCPCS,L1640,Pelv band/spread bar thigh c,,,530.24,649.8,5
HCPCS,L1650,HO abduction hip adjustable,,,281.19,344.6,5
HCPCS,L1652,Ho bi thighcuffs w sprdr bar,,,440.48,539.8,5
HCPCS,L1653,Ho abduction static ots,,,440.48,539.8,5
HCPCS,L1660,HO abduction static plastic,,,196.66,241.0,5
HCPCS,L1680,Pelvic & hip control thigh c,,,1616.8,1981.38,5
HCPCS,L1681,Ho bilateral hip abduction,,,2289.0,2805.15,5
HCPCS,L1685,Post-op hip abduct custom fa,,,1705.99,2090.68,5
HCPCS,L1686,HO post-op hip abduction,,,1144.5,1402.58,5
HCPCS,L1690,Combination bilateral HO,,,2389.39,2928.18,5
HCPCS,L1700,Leg perthes orth toronto typ,,,1987.82,2436.05,5
HCPCS,L1710,Legg perthes orth newington,,,2336.55,2863.43,5
HCPCS,L1720,Legg perthes orthosis trilat,,,1726.01,2115.21,5
HCPCS,L1730,Legg perthes orth scottish r,,,1302.22,1595.86,5
HCPCS,L1755,Legg perthes patten bottom t,,,1895.44,2322.84,5
HCPCS,L1810,SUPPORT LEG LEFT KNEE PATELLA OD16-18 IN LARGE REMOVABLE HINGE LATERAL J BUTTRESS PULL ON OPEN POPLITEAL FORM FIT ORTHOPEDIC OD21-23.5 IN ODSEC15-17 IN,29.0,14.5,5.55,183.33,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA LARGE LEFT LATERAL KNEE 20 7/8-23 5/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA MEDIUM LEFT LATERAL KNEE 18 1/8-20 7/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA MEDIUM RIGHT LATERAL KNEE 18 1/8-20 7/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA MEDIUM RIGHT MEDIAL KNEE 18 1/8-20 7/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA SMALL LEFT LATERAL KNEE 16 1/8-18 1/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA SMALL RIGHT LATERAL KNEE 16 1/8-18 1/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA SMALL RIGHT MEDIAL KNEE 16 1/8-18 1/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA XLARGE LEFT LATERAL KNEE 23 5/8-26 3/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE ORTHOPEDIC FORMFIT EASE OA XLARGE RIGHT LATERAL KNEE 23 5/8-26 3/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,40.49,190.29,70
HCPCS,L1812,BRACE WARRIOR XL REGULAR KNEE HINGE PULL UP 16.5IN 23-25.5IN ORTHOPEDIC TRI-TEX NONSTERILE,86.53,43.27,16.57,104.31,70
HCPCS,L1812,Ko elastic w/joints pre ots,,,64.36,103.31,5
HCPCS,L1820,Ko elas w/ condyle pads & jo,,,81.11,182.59,8
HCPCS,L1821,Ko elas w/ condyle pads otf,,,148.99,182.59,5
HCPCS,L1830,IMMOBILIZER ORTHOPEDIC 12-24IN CIRC UNIVERSAL 26INL FOAM CANVAS KNEE PERFORATED OPEN PATELLA HOOK-LOOP CLOSURE MEDIAL LATERAL POSTERIOR T-BAR STAY TRI-PANEL SUPERLITE LATEX-FREE NON-STERILE,86.0,43.0,16.47,94.0,70
HCPCS,L1830,IMMOBILIZER ORTHOPEDIC 12-24IN THIGH CIRC UNIVERSAL 24INL FOAM KNEE PERFORATED TRIMMABLE CUTAWAY ADJUSTABLE HOOK-LOOP STRAP STARIGHT STAY COOL BLUE LATEX-FREE NON-STERILE,14.83,7.42,2.84,94.0,70
HCPCS,L1830,IMMOBILIZER ORTHOPEDIC LARGE 24IN KNEE CONTOURED STAY FOAM CANVAS,15.43,7.72,2.95,94.0,70
HCPCS,L1830,IMMOBILIZER ORTHOPEDIC MEDIUM 24INL CANVAS FOAM KNEE PERFORATED HOOK-LOOP STRAP T-BAR ADJUSTABLE CONTOURED STAY LATEX-FREE NON-STERILE IMMOBILIZER ORTHOPEDIC MEDIUM 24INL CANVAS FOAM KNEE PERFORATED H,15.43,7.72,2.95,94.0,70
HCPCS,L1830,IMMOBILIZER ORTHOPEDIC UNIVERSAL 18INL FOAM TRICOT KNEE MOVABLE SIDE PANEL HOOK AND LOOP CLOSURE CONTOURED POSTERIOR STAYX3 LATEX-FREE STERILE,17.85,8.93,3.42,94.0,70
HCPCS,L1830,IMMOBILIZER ORTHOPEDIC UNIVERSAL 20INL 29.5INL TOP FOAM KNEE CLOSED PATELLA HOOK-LOOP STRAP MEDIAL/LATERAL CONTOURED POSTERIOR STAY LATEX-FREE,12.9,6.45,2.47,94.0,70
HCPCS,L1830,Ko immob canvas long pre ots,,,55.22,131.22,6
HCPCS,L1831,Knee orth pos locking joint,,,363.64,445.64,5
HCPCS,L1832,BRACE ORTHOPEDIC AVERAGE UNIVERSAL 24-29IN 27IN THIGH KNEE TIBIAL OFFSET MULTIAXIAL SCREW LOCKED HINGED HOOK-LOOP STRAP PADDED,89.1,44.55,17.06,1141.55,70
HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,523.18,677.1,6
HCPCS,L1834,Ko w/0 joint rigid molded to,,,1095.91,1343.03,5
HCPCS,L1836,Ko rigid w/o joints pre ots,,,108.46,132.91,5
HCPCS,L1840,Ko derot ant cruciate custom,,,1151.99,1411.75,5
HCPCS,L1843,Ko single upright pre cst,,,1108.66,1358.65,5
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1921.07,2354.25,5
HCPCS,L1845,Ko double upright pre cst,,,1157.34,1418.31,5
HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1468.46,1799.59,5
HCPCS,L1847,Ko dbl upright w/air pre cst,,,710.72,870.98,5
HCPCS,L1848,Ko dbl upright w/air pre ots,,,710.72,870.98,5
HCPCS,L1850,Ko swedish type pre ots,,,249.79,306.11,5
HCPCS,L1851,BRACE FORM FIT XL KNEE LEFT LATERAL WRAPAROUND LOW PROFILE DYNAMIC FORCE STRAP POLYCENTRIC HINGE 23.5-26.5IN 18-20IN ORTHOPEDIC,211.43,105.72,40.49,893.73,70
HCPCS,L1852,Ko double upright prefab ots,,,695.72,852.6,5
HCPCS,L1860,Ko supracondylar socket mold,,,1282.92,1572.2,5
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,347.57,425.94,5
HCPCS,L1902,Afo ankle gauntlet pre ots,,,51.39,130.46,6
HCPCS,L1902,BRACE ORTHOPEDIC LACE-UP MEDIUM ANKLE PLASTIC STAY FIGURE-8 STRAP BLACK CURAD PERFORMANCE LATEX-FREE,78.0,39.0,14.94,115.68,70
HCPCS,L1904,Afo molded ankle gauntlet,,,540.36,662.2,5
HCPCS,L1906,BOOT WALKER ECONOMY LARGE SIZE 9-12.5/9.5-13 M/F ALUMINUM FOAM SHELL MID-CALF FOOT INNERSOLE CUSHIONED PIVOTING FOREFOOT STRAP J-WALKER,126.0,63.0,24.13,193.53,70
HCPCS,L1906,BOOT WALKING ROCKER LARGE SIZE 11.5-1 PLASTIC PEDIATRIC LEG UPRIGHT NON-SLIP MINITRAX,44.61,22.31,8.54,193.53,70
HCPCS,L1906,BOOT WALKING ROCKER MEDIUM SIZE 8.5-11.5 PLASTIC PEDIATRIC LEG UPRIGHT NON-SLIP MINITRAX,49.02,24.51,9.39,193.53,70
HCPCS,L1906,BOOT WALKING ROCKER SMALL SIZE <8.5 PLASTIC PEDIATRIC LEG UPRIGHT NON-SLIP MINITRAX,49.02,24.51,9.39,193.53,70
HCPCS,L1906,BOOT WALKING SMALL INLINE OPEN HEEL LOW PROFILE ROCKER BOTTOM BLACK,35.41,17.71,6.78,193.53,70
HCPCS,L1907,Afo supramalleolar custom,,,695.27,852.05,5
HCPCS,L1910,Afo sing bar clasp attach sh,,,307.3,376.59,5
HCPCS,L1920,Afo sing upright w/ adjust s,,,401.73,492.31,5
HCPCS,L1930,Afo plastic,,,171.44,333.14,7
HCPCS,L1932,Afo rig ant tib tcf/= custom,,,1102.62,1351.25,5
HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1102.62,1351.25,5
HCPCS,L1940,Afo molded to patient plasti,,,614.33,752.85,5
HCPCS,L1945,Afo molded plas rig ant tib,,,1128.15,1382.54,5
HCPCS,L1950,Afo spiral molded to pt plas,,,855.92,1048.93,5
HCPCS,L1951,Afo spiral prefab custom,,,1037.71,1271.7,5
HCPCS,L1952,Afo spiral prefab ots,,,1037.71,1271.7,5
HCPCS,L1960,Afo pos solid ank plastic mo,,,636.95,780.58,5
HCPCS,L1970,Afo plastic molded w/ankle j,,,942.1,1154.54,5
HCPCS,L1971,"Afo w/ankle joint, prefab",,,579.17,709.76,5
HCPCS,L1980,Afo sing solid stirrup calf,,,421.73,516.83,5
HCPCS,L1990,Afo doub solid stirrup calf,,,541.86,664.05,5
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1165.54,1428.36,5
HCPCS,L2005,KAFO sng/dbl mechanical act,,,5063.24,6204.95,5
HCPCS,L2006,Kaf sng/dbl swg/stn mcpr cus,,,39378.45,48257.9,5
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1062.5,1302.09,5
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1341.77,1644.33,5
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1164.11,1426.6,5
HCPCS,L2034,KAFO pla sin up w/wo k/a cus,,,2537.13,3109.23,5
HCPCS,L2035,KAFO plastic pediatric size,,,214.06,262.33,5
HCPCS,L2036,Kafo plas doub free knee mol,,,2131.99,2612.74,5
HCPCS,L2037,Kafo plas sing free knee mol,,,1964.76,2407.8,5
HCPCS,L2038,Kafo w/o joint multi-axis an,,,1642.93,2013.4,5
HCPCS,L2040,Hkafo torsion bil rot straps,,,209.85,257.18,5
HCPCS,L2050,Hkafo torsion cable hip pelv,,,558.87,684.89,5
HCPCS,L2060,Hkafo torsion ball bearing j,,,717.28,879.03,5
HCPCS,L2070,Hkafo torsion unilat rot str,,,206.05,252.51,5
HCPCS,L2080,Hkafo unilat torsion cable,,,439.45,538.54,5
HCPCS,L2090,Hkafo unilat torsion ball br,,,541.63,663.76,5
HCPCS,L2106,Afo tib fx cast plaster mold,,,781.31,957.49,5
HCPCS,L2108,Afo tib fx cast molded to pt,,,1227.78,1504.64,5
HCPCS,L2112,BOOT WALKING STANDARD SIZE 9-10.5 MALE 9-11.5 FEMALE MEDIUM FOOT ANKLE LOW-PROFILE ROCKER BOTTOM CLOSED HEEL PREMIERPRO TRACKER EX LATEX-FREE,83.27,41.64,15.95,714.44,70
HCPCS,L2114,Afo tib fx semi-rigid,,,666.99,817.39,5
HCPCS,L2116,Afo tibial fracture rigid,,,878.76,1076.91,5
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1563.58,1916.15,5
HCPCS,L2128,Kafo fem fx cast molded to p,,,1970.44,2414.75,5
HCPCS,L2132,Kafo femoral fx cast soft,,,926.98,1136.0,5
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1111.4,1362.01,5
HCPCS,L2136,Kafo femoral fx cast rigid,,,1358.96,1665.39,5
HCPCS,L2180,Plas shoe insert w ank joint,,,134.58,164.93,5
HCPCS,L2182,Drop lock knee,,,105.33,129.08,5
HCPCS,L2184,Limited motion knee joint,,,189.8,232.6,5
HCPCS,L2186,Adj motion knee jnt lerman t,,,210.31,257.74,5
HCPCS,L2188,Quadrilateral brim,,,458.87,562.34,5
HCPCS,L2190,Waist belt,,,119.18,146.05,5
HCPCS,L2192,Pelvic band & belt thigh fla,,,409.72,502.11,5
HCPCS,L2200,Limited ankle motion ea jnt,,,54.63,66.95,5
HCPCS,L2210,Dorsiflexion assist each joi,,,88.64,108.63,5
HCPCS,L2220,Dorsi & plantar flex ass/res,,,101.79,124.74,5
HCPCS,L2230,Split flat caliper stirr & p,,,88.17,108.05,5
HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,146.3,5
HCPCS,L2240,Round caliper and plate atta,,,96.11,117.79,5
HCPCS,L2250,Foot plate molded stirrup at,,,408.32,500.39,5
HCPCS,L2260,Reinforced solid stirrup,,,230.36,282.3,5
HCPCS,L2265,Long tongue stirrup,,,135.33,165.85,5
HCPCS,L2270,Varus/valgus strap padded/li,,,61.71,75.63,5
HCPCS,L2275,Plastic mod low ext pad/line,,,150.16,184.03,5
HCPCS,L2280,Molded inner boot,,,557.83,683.61,5
HCPCS,L2300,Abduction bar jointed adjust,,,314.89,385.9,5
HCPCS,L2310,Abduction bar-straight,,,141.37,173.25,5
HCPCS,L2320,Non-molded lacer,,,236.44,289.75,5
HCPCS,L2330,Lacer molded to patient mode,,,451.22,552.96,5
HCPCS,L2335,Anterior swing band,,,265.43,325.29,5
HCPCS,L2340,Pre-tibial shell molded to p,,,626.36,767.6,5
HCPCS,L2350,Prosthetic type socket molde,,,1023.93,1254.81,5
HCPCS,L2360,Extended steel shank,,,59.46,72.86,5
HCPCS,L2370,Patten bottom,,,294.98,361.5,5
HCPCS,L2375,Torsion ank & half solid sti,,,129.84,159.11,5
HCPCS,L2380,Torsion straight knee joint,,,141.47,173.38,5
HCPCS,L2385,Straight knee joint heavy du,,,153.92,188.63,5
HCPCS,L2387,Add LE poly knee custom KAFO,,,208.88,255.98,5
HCPCS,L2390,Offset knee joint each,,,125.79,154.15,5
HCPCS,L2395,Offset knee joint heavy duty,,,192.05,235.35,5
HCPCS,L2397,Suspension sleeve lower ext,,,134.68,165.05,5
HCPCS,L2405,Knee joint drop lock ea jnt,,,107.74,132.04,5
HCPCS,L2415,Knee joint cam lock each joi,,,150.1,183.95,5
HCPCS,L2425,Knee disc/dial lock/adj flex,,,177.12,217.06,5
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,177.12,217.06,5
HCPCS,L2492,Knee lift loop drop lock rin,,,117.18,143.6,5
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,362.52,444.26,5
HCPCS,L2510,Th/wght bear quad-lat brim m,,,970.6,1189.46,5
HCPCS,L2520,Th/wght bear quad-lat brim c,,,529.38,648.75,5
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1816.17,2225.7,5
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,978.93,1199.68,5
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,269.99,330.88,5
HCPCS,L2540,Thigh/wght bear lacer molded,,,485.83,595.38,5
HCPCS,L2550,Thigh/wght bear high roll cu,,,330.04,404.46,5
HCPCS,L2570,Hip clevis type 2 posit jnt,,,729.78,894.34,5
HCPCS,L2580,Pelvic control pelvic sling,,,691.79,847.79,5
HCPCS,L2600,Hip clevis/thrust bearing fr,,,236.01,289.23,5
HCPCS,L2610,Hip clevis/thrust bearing lo,,,279.07,342.0,5
HCPCS,L2620,Pelvic control hip heavy dut,,,307.24,376.53,5
HCPCS,L2622,Hip joint adjustable flexion,,,352.39,431.85,5
HCPCS,L2624,Hip adj flex ext abduct cont,,,479.06,587.09,5
HCPCS,L2627,Plastic mold recipro hip & c,,,1973.72,2418.78,5
HCPCS,L2628,Metal frame recipro hip & ca,,,2318.48,2841.28,5
HCPCS,L2630,Pelvic control band & belt u,,,284.55,348.71,5
HCPCS,L2640,Pelvic control band & belt b,,,386.16,473.24,5
HCPCS,L2650,Pelv & thor control gluteal,,,137.9,169.0,5
HCPCS,L2660,Thoracic control thoracic ba,,,214.17,262.46,5
HCPCS,L2670,Thorac cont paraspinal uprig,,,196.01,240.21,5
HCPCS,L2680,Thorac cont lat support upri,,,179.82,220.36,5
HCPCS,L2750,Plating chrome/nickel pr bar,,,96.04,117.7,5
HCPCS,L2755,Carbon graphite lamination,,,161.49,197.9,5
HCPCS,L2760,Extension per extension per,,,69.82,85.56,5
HCPCS,L2768,Ortho sidebar disconnect,,,161.0,197.3,5
HCPCS,L2780,Non-corrosive finish,,,82.59,101.21,5
HCPCS,L2785,Drop lock retainer each,,,48.55,59.5,5
HCPCS,L2795,Knee control full kneecap,,,97.64,119.66,5
HCPCS,L2800,Knee cap medial or lateral p,,,122.57,150.21,5
HCPCS,L2810,Knee control condylar pad,,,89.75,109.99,5
HCPCS,L2820,Soft interface below knee se,,,99.79,122.29,5
HCPCS,L2830,Soft interface above knee se,,,112.21,137.51,5
HCPCS,L2840,Tibial length sock fx or equ,,,62.64,76.76,5
HCPCS,L2850,Femoral lgth sock fx or equa,,,71.15,87.19,5
HCPCS,L3000,Ft insert ucb berkeley shell,,,388.16,475.69,5
HCPCS,L3001,Foot insert remov molded spe,,,163.43,200.29,5
HCPCS,L3002,Foot insert plastazote or eq,,,199.55,244.55,5
HCPCS,L3003,Foot insert silicone gel eac,,,215.29,263.84,5
HCPCS,L3010,Foot longitudinal arch suppo,,,215.29,263.84,5
HCPCS,L3020,Foot longitud/metatarsal sup,,,245.15,300.43,5
HCPCS,L3030,Foot arch support remov prem,,,94.31,115.58,5
HCPCS,L3031,Foot lamin/prepreg composite,,,151.32,185.44,5
HCPCS,L3040,Ft arch suprt premold longit,,,58.15,71.26,5
HCPCS,L3050,Foot arch supp premold metat,,,40.7,71.26,6
HCPCS,L3060,Foot arch supp longitud/meta,,,91.14,111.69,5
HCPCS,L3070,Arch suprt att to sho longit,,,39.28,48.14,5
HCPCS,L3080,Arch supp att to shoe metata,,,39.28,48.14,5
HCPCS,L3090,Arch supp att to shoe long/m,,,50.31,61.65,5
HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,53.41,65.45,5
HCPCS,L3140,Abduction rotation bar shoe,,,110.03,134.84,5
HCPCS,L3150,Abduct rotation bar w/o shoe,,,100.58,123.26,5
HCPCS,L3170,Foot plas heel stabi pre ots,,,34.23,86.89,11
HCPCS,L3224,Woman's shoe oxford brace,,,67.58,82.81,5
HCPCS,L3225,Man's shoe oxford brace,,,77.73,95.26,5
HCPCS,L3260,Ambulatory surgical boot eac,,,6.61,11.08,5
HCPCS,L3265,Plastazote sandal each,,,9.2,9.2,1
HCPCS,L3300,Sho lift taper to metatarsal,,,64.41,78.94,5
HCPCS,L3310,Shoe lift elev heel/sole neo,,,100.58,123.26,5
HCPCS,L3330,Lifts elevation metal extens,,,699.28,856.96,5
HCPCS,L3332,Shoe lifts tapered to one-ha,,,91.14,111.69,5
HCPCS,L3334,Shoe lifts elevation heel /i,,,32.99,57.76,6
HCPCS,L3340,Shoe wedge sach,,,105.33,129.08,5
HCPCS,L3350,Shoe heel wedge,,,28.26,34.64,5
HCPCS,L3360,Shoe sole wedge outside sole,,,44.0,53.93,5
HCPCS,L3370,Shoe sole wedge between sole,,,61.3,75.13,5
HCPCS,L3380,Shoe clubfoot wedge,,,61.3,75.13,5
HCPCS,L3390,Shoe outflare wedge,,,61.3,75.13,5
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,50.31,61.65,5
HCPCS,L3410,Shoe metatarsal bar between,,,114.74,140.61,5
HCPCS,L3420,Full sole/heel wedge btween,,,67.55,82.79,5
HCPCS,L3430,Sho heel count plast reinfor,,,198.0,242.65,5
HCPCS,L3440,Heel leather reinforced,,,94.31,115.58,5
HCPCS,L3450,Shoe heel sach cushion type,,,91.26,159.8,6
HCPCS,L3455,Shoe heel new leather standa,,,50.31,61.65,5
HCPCS,L3460,Shoe heel new rubber standar,,,42.41,51.98,5
HCPCS,L3465,Shoe heel thomas with wedge,,,72.28,88.58,5
HCPCS,L3470,Shoe heel thomas extend to b,,,76.99,94.35,5
HCPCS,L3480,Shoe heel pad & depress for,,,76.99,94.35,5
HCPCS,L3500,Ortho shoe add leather insol,,,36.18,44.34,5
HCPCS,L3510,Orthopedic shoe add rub insl,,,36.18,44.34,5
HCPCS,L3520,O shoe add felt w leath insl,,,39.28,48.14,5
HCPCS,L3530,Ortho shoe add half sole,,,39.28,48.14,5
HCPCS,L3540,Ortho shoe add full sole,,,62.87,77.05,5
HCPCS,L3550,O shoe add standard toe tap,,,11.02,13.5,5
HCPCS,L3560,O shoe add horseshoe toe tap,,,28.26,34.64,5
HCPCS,L3570,O shoe add instep extension,,,105.33,129.08,5
HCPCS,L3580,O shoe add instep velcro clo,,,80.14,98.21,5
HCPCS,L3590,O shoe convert to sof counte,,,66.01,80.9,5
HCPCS,L3595,Ortho shoe add march bar,,,51.85,63.54,5
HCPCS,L3600,Trans shoe calip plate exist,,,94.31,115.58,5
HCPCS,L3610,Trans shoe caliper plate new,,,124.12,152.11,5
HCPCS,L3620,Trans shoe solid stirrup exi,,,94.31,115.58,5
HCPCS,L3630,Trans shoe solid stirrup new,,,124.12,152.11,5
HCPCS,L3640,Shoe dennis browne splint bo,,,53.41,65.45,5
HCPCS,L3650,SLEEVE ARM SHOULDER SUSPENSION SYSTEM ORTHOPEDIC,660.0,330.0,67.31,594.0,70
HCPCS,L3650,SUPPORT ORTHO S2S PREMIERPRO ABDUCTION MED UNIV 6.5INX17IN SHOULDER 35DEG WAIST STRAP THUMB LOOP,27.06,13.53,5.18,82.49,70
HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.58,141.64,5
HCPCS,L3670,IMMOBILIZER ORTHOPEDIC LARGE SHOULDER VELPEAU,30.0,15.0,5.75,197.4,70
HCPCS,L3670,IMMOBILIZER SHOULDER SMALL L46 IN X W5 IN FOAM ORTHOPEDIC DEROYAL L16.5 IN X W10 IN ADJUSTABLE STRAP SLING SWATHE COOL BLUE,9.76,4.88,1.87,197.4,70
HCPCS,L3670,PILLOW ABDUCTION L17 IN X H7 IN MEDIUM LINER WICK WAIST STRAP ADJUSTABLE THUMB LOOP QUICK RELEASE BUCKLE PAD II FOAM SHOULDER,41.15,20.58,7.88,197.4,70
HCPCS,L3670,PILLOW ABDUCTION L18 IN X H7 IN LARGE LINER WICK WAIST STRAP ADJUSTABLE THUMB LOOP QUICK RELEASE BUCKLE PAD II FOAM SHOULDER,41.15,20.58,7.88,197.4,70
HCPCS,L3670,SLING ORTHOPEDIC PELVIS STANDARD VELCRO FABRIC AUTOSTOP BUCKLE LOW FRICTION POSTERIOR SLIDER BLUE ORANGE OLIVE DRAB SAM PELVIC SLING II 32-50IN REUSABLE,81.91,40.96,15.69,197.4,70
HCPCS,L3671,HC HUMERAL FX SHLD ORTHOSIS CUSTOM,352.0,176.0,67.41,1241.71,70
HCPCS,L3674,SO airplane w/wo joint CF,,,1329.23,1628.96,5
HCPCS,L3675,So vest canvas/web pre ots,,,197.34,241.84,5
HCPCS,L3702,HC SPLINT EO WITHOUT JOINT CUSTOM,316.0,158.0,60.51,397.94,70
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,163.06,199.83,5
HCPCS,L3720,Forearm/arm cuffs free motio,,,813.4,996.81,5
HCPCS,L3730,HC SPLINT EO WITH JOINT CUSTOM,650.0,325.0,124.48,1312.19,70
HCPCS,L3740,Cuffs adj lock w/ active con,,,1203.36,1474.7,5
HCPCS,L3760,Eo adj jt prefab custom fit,,,562.35,689.15,5
HCPCS,L3761,"Eo, adj lock joint prefab ot",,,562.35,689.15,5
HCPCS,L3762,Eo rigid w/o joints pre ots,,,120.93,148.2,5
HCPCS,L3763,HC SPLINT EWHO WO CUSTOM JOINT,327.0,163.5,62.62,1094.13,70
HCPCS,L3764,HC EWHO W/JOINT(S) CF,649.0,324.5,124.28,1091.15,70
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1441.9,1767.04,5
HCPCS,L3766,EWHFO w/joint(s) CF,,,1526.89,1871.19,5
HCPCS,L3806,HC SPLINT WHFO WITH JOINT CUSTOM,489.0,244.5,93.64,625.98,70
HCPCS,L3807,Whfo w/o joints pre cst,,,196.8,388.65,7
HCPCS,L3808,HC SPLINT WHFO WITHOUT JOINT CUSTOM,365.0,182.5,69.9,460.29,70
HCPCS,L3809,SPLINT ORTHOPEDIC FINGER SMALL 1.5IN WIRE-FOAM SPRING LMB,14.85,7.43,2.84,344.6,70
HCPCS,L3809,SPLINT ORTHOPEDIC THUMB RIGHT WRIST LARGE 8IN FOAM D RING CLOSURE ADJUSTABLE PALMAR STAY LATEX FREE BLACK,12.75,6.38,2.44,344.6,70
HCPCS,L3809,SPLINT ORTHOPEDIC WRIST LEFT LARGE 8IN BLACK,10.42,5.21,2.0,344.6,70
HCPCS,L3809,Whfo w/o joints pre ots,,,177.36,388.65,6
HCPCS,L3900,Hinge extension/flex wrist/f,,,1756.7,2152.81,5
HCPCS,L3901,Hinge ext/flex wrist finger,,,1969.72,2413.88,5
HCPCS,L3904,Whfo electric custom fitted,,,4009.81,4913.99,5
HCPCS,L3905,HC SPLINT WHO WITH JOINT CUSTOM,489.0,244.5,93.64,1366.68,70
HCPCS,L3906,HC SPLINT WRIST HAND ORTHO,365.0,182.5,69.9,581.35,70
HCPCS,L3908,Who cock-up nonmolde pre ots,,,36.68,93.11,12
HCPCS,L3912,Hfo flexion glove pre ots,,,108.07,132.44,5
HCPCS,L3913,HC OT HAND FINGER OTHOSIS WO JOINT,300.0,150.0,57.45,373.26,70
HCPCS,L3915,Who nontorsion jnts pre cst,,,597.78,732.58,5
HCPCS,L3916,Who nontorsion jnts pre ots,,,597.78,732.58,5
HCPCS,L3917,Metacarp fx orthosis pre cst,,,118.79,145.58,5
HCPCS,L3918,Metacarp fx orthosis pre ots,,,118.79,145.58,5
HCPCS,L3919,HC SPLINT HO WITHOUT JOINT CUSTOM,300.0,150.0,57.45,373.26,70
HCPCS,L3921,HC SPLINT HFO WITH JOINT CUSTOM,351.0,175.5,67.22,442.63,70
HCPCS,L3923,HC SPLINT HFO WITHOUT JOINT PF CUSTOM,300.0,150.0,57.45,270.0,70
HCPCS,L3923,Hfo without joints pre cst,,,53.24,135.19,3
HCPCS,L3924,Hfo without joints pre ots,,,53.24,119.88,7
HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,59.39,72.79,5
HCPCS,L3927,Fo pip dip no jt spr pre ots,,,39.34,48.21,5
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,94.67,116.01,5
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,94.67,116.01,5
HCPCS,L3931,WHFO nontorsion joint prefab,,,229.01,280.65,5
HCPCS,L3933,HC SPLINT FO WITHOUT JOINT CUSTOM,229.0,114.5,43.85,294.03,70
HCPCS,L3935,HC SPLINT FO WITH JOINT CUSTOM,238.0,119.0,45.58,304.5,70
HCPCS,L3956,HC SPLINT ADDITION OF SEPARATE PIECE,259.0,129.5,49.6,233.1,65
HCPCS,L3960,Sewho airplan desig abdu pos,,,926.91,1135.93,5
HCPCS,L3961,SEWHO cap design w/o jnts CF,,,1889.33,2315.35,5
HCPCS,L3962,Sewho erbs palsey design abd,,,965.12,1182.75,5
HCPCS,L3967,SEWHO airplane w/o jnts CF,,,2230.66,2733.65,5
HCPCS,L3971,SEWHO cap design w/jnt(s) CF,,,2117.37,2594.81,5
HCPCS,L3973,SEWHO airplane w/jnt(s) CF,,,2230.66,2733.65,5
HCPCS,L3975,SEWHFO cap design w/o jnt CF,,,1889.33,2315.35,5
HCPCS,L3976,SEWHFO airplane w/o jnts CF,,,1889.33,2315.35,5
HCPCS,L3977,SEWHFO cap desgn w/jnt(s) CF,,,2117.37,2594.81,5
HCPCS,L3978,SEWHFO airplane w/jnt(s) CF,,,2230.66,2733.65,5
HCPCS,L3980,Up ext fx orthos humeral nos,,,347.63,426.01,5
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1131.9,1387.14,5
HCPCS,L3982,Upper ext fx orthosis rad/ul,,,429.48,526.33,5
HCPCS,L3984,Upper ext fx orthosis wrist,,,458.44,575.05,6
HCPCS,L3995,Sock fracture or equal each,,,38.45,47.13,5
HCPCS,L4000,Repl girdle milwaukee orth,,,1499.07,1837.1,5
HCPCS,L4010,Replace trilateral socket br,,,843.58,1033.8,5
HCPCS,L4020,Replace quadlat socket brim,,,1053.71,1291.31,5
HCPCS,L4030,Replace socket brim cust fit,,,580.18,711.0,5
HCPCS,L4040,Replace molded thigh lacer,,,469.07,574.84,5
HCPCS,L4045,Replace non-molded thigh lac,,,376.94,461.94,5
HCPCS,L4050,Replace molded calf lacer,,,474.4,581.38,5
HCPCS,L4055,Replace non-molded calf lace,,,307.19,376.46,5
HCPCS,L4060,Replace high roll cuff,,,365.19,447.54,5
HCPCS,L4070,Replace prox & dist upright,,,348.4,426.96,5
HCPCS,L4080,Repl met band kafo-afo prox,,,122.83,150.53,5
HCPCS,L4090,Repl met band kafo-afo calf/,,,108.72,133.24,5
HCPCS,L4100,Repl leath cuff kafo prox th,,,122.63,150.29,5
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,97.45,119.43,5
HCPCS,L4130,Replace pretibial shell,,,670.68,821.91,5
HCPCS,L4205,Ortho dvc repair per 15 min,,,29.74,36.45,5
HCPCS,L4350,Ankle control ortho pre ots,,,65.78,167.01,8
HCPCS,L4350,BRACE ANKLE LEFT MEDIUM L9 IN STIRRUP HOOK LOOP CLOSURE AIRCAST ORTHOPEDIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE ANKLE LEFT SMALL H8 3/4 IN PAD SEMIRIGID SHELL AIR-STIRRUP AIRCAST ORTHOPEDIC VELCRO PLASTIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE ANKLE LEFT UNIVERSAL NARROW H6 IN SEMIRIGID SHELL STREAMLINE AIR-STIRRUP ORTHOPEDIC VELCRO PLASTIC PEDIATRIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE ANKLE RIGHT H6 IN SEMIRIGID SHELL AIRCAST AIR-STIRRUP ORTHOPEDIC PEDIATRIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE ANKLE RIGHT SMALL H8 3/4 IN PAD SEMIRIGID SHELL AIR-STIRRUP AIRCAST ORTHOPEDIC VELCRO PLASTIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE LEFT ANKLE LARGE STIRRUP AIRCAST ORTHOPEDIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE RIGHT ANKLE LARGE STIRRUP AIRCAST ORTHOPEDIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,BRACE RIGHT ANKLE MEDIUM STIRRUP AIRCAST ORTHOPEDIC,19.68,9.84,3.77,148.08,70
HCPCS,L4350,SPLINT ORTHOPEDIC REGULAR 10 1/2INH PLASTIC SHELL GEL FOAM ANKLE STIRRUP HOOK-LOOP STRAPX2 F/ACUTE INDICATION X-CEL LATEX-FREE SCOTLAND ONLY,13.8,6.9,2.64,148.08,70
HCPCS,L4360,BOOT WALKING STANDARD SIZE 6-8.5 MALE 5-8.5 FEMALE SMALL FOOT ANKLE LOW-PROFILE ROCKER BOTTOM CLOSED HEEL PREMIERPRO TRACKER EX LATEX-FREE,83.27,41.64,15.95,414.29,70
HCPCS,L4360,Pneumat walking boot pre cst,,,233.46,236.6,2
HCPCS,L4361,BRACE WALKING 10.5-12 11.5-13 LARGE LOW PROFILE LEG ANKLIZER II PLASTIC FOAM FIX ANKLE CUSHION HEEL ROCKER SOLE LIGHTWEIGHT FOOTBED LATEX FREE,34.0,17.0,6.51,414.29,70
HCPCS,L4361,BRACE WALKING SIZE 7.5-10 MALE/FEMALE MEDIUM 9IN-11INL FOAM ANKLE FOOT LEG LOW-PROFILE FIXED ROCKER BOTTOM CUSHIONED HEEL WIDER FOOTBED W/HOOK LOOP CLOSUREX5 BLACK ANKLIZER LATEX-FREE PLASTIC SHELL ME,25.5,12.75,4.88,414.29,70
HCPCS,L4361,Pneuma/vac walk boot pre ots,,,233.46,467.24,4
HCPCS,L4370,Pneum full leg splnt pre ots,,,216.93,265.85,5
HCPCS,L4386,Non-pneum walk boot pre cst,,,137.1,240.06,6
HCPCS,L4387,BOOT WALKING SIZE MALE 7.5-10.5 FEMALE 8.5-11.5 MEDIUM PRESHAPED LIGHT-WEIGHT POSTOPERATIVE XCELTRAX,24.86,12.43,4.76,240.06,70
HCPCS,L4387,BOOT WALKING STANDARD SIZE 13.5 MALE 14 FEMALE XL FOOT ANKLE LOW-PROFILE ROCKER BOTTOM CLOSED HEEL PREMIERPRO TRACKER EX LATEX-FREE,83.27,41.64,15.95,240.06,70
HCPCS,L4387,BOOT WALKING XL 12 1/2INL/13 1/2INL PLUS 14INL FOAM UNISEX ANKLE FOOT LEG LOW-PROFILE FIXED ROCKER BOTTOM CUSHIONED HEEL WIDER FOOTBED W/HOOK LOOP CLOSUREX5 BLACK ANKLIZER LATEX-FREE,25.5,12.75,4.88,240.06,70
HCPCS,L4387,BRACE ORTHOPEDIC UNIVERSAL 18-27IN KNEE 10DEG ROM HINGED ADJUSTABLE PANEL DROPLOCK TRIMMABLE STRAP REMOVABLE Y-TAB FOAM F/POST-OP,77.53,38.77,14.85,240.06,70
HCPCS,L4387,BRACE WALKING STANDARD SMALL PLASTIC SHELL FOAM LOW-PROFILE NONSKID ROCKER SOLE HOOK-LOOP CLOSURE,28.49,14.25,5.46,240.06,70
HCPCS,L4387,Non-pneum walk boot pre ots,,,135.3,137.1,2
HCPCS,L4392,Replace AFO soft interface,,,29.1,35.66,5
HCPCS,L4394,Replace foot drop spint,,,21.24,26.03,5
HCPCS,L4396,Static or dynami afo pre cst,,,143.23,286.66,7
HCPCS,L4397,Static or dynami afo pre ots,,,207.41,254.18,5
HCPCS,L4398,Foot drop splint pre ots,,,95.45,116.98,5
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1843.94,2259.73,5
HCPCS,L5000,Sho insert w arch toe filler,,,647.9,794.0,5
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1564.83,1917.69,5
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2657.4,3256.61,5
HCPCS,L5050,Ank symes mold sckt sach ft,,,2939.57,3602.41,5
HCPCS,L5060,Symes met fr leath socket ar,,,3381.38,4143.85,5
HCPCS,L5100,Molded socket shin sach foot,,,2946.06,3610.36,5
HCPCS,L5105,Plast socket jts/thgh lacer,,,4252.97,5211.98,5
HCPCS,L5150,Mold sckt ext knee shin sach,,,4299.18,5268.6,5
HCPCS,L5160,Mold socket bent knee shin s,,,4676.13,5730.55,5
HCPCS,L5200,Kne sing axis fric shin sach,,,4478.06,5487.81,5
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2970.73,3640.6,5
HCPCS,L5220,No knee joint with artic ali,,,3376.78,4138.21,5
HCPCS,L5230,Fem focal defic constant fri,,,4657.24,5707.4,5
HCPCS,L5250,Hip canad sing axi cons fric,,,6352.06,7784.39,5
HCPCS,L5270,Tilt table locking hip sing,,,6323.89,7749.86,5
HCPCS,L5280,Hemipelvect canad sing axis,,,6275.46,7690.51,5
HCPCS,L5301,BK mold socket SACH ft endo,,,3367.55,4126.9,5
HCPCS,L5312,"Knee disart, SACH ft, endo",,,4820.42,5907.38,5
HCPCS,L5321,AK open end SACH,,,4881.34,5982.04,5
HCPCS,L5331,Hip disart canadian SACH ft,,,6219.83,7622.34,5
HCPCS,L5341,Hemipelvectomy canadian SACH,,,6474.88,7934.9,5
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1667.22,2043.16,5
HCPCS,L5410,Postop dsg bk ea add cast ch,,,511.51,626.85,5
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,2043.12,2503.83,5
HCPCS,L5430,Postop dsg ak ea add cast ch,,,616.06,754.98,5
HCPCS,L5450,Postop app non-wgt bear dsg,,,501.19,614.2,5
HCPCS,L5460,Postop app non-wgt bear dsg,,,667.75,818.33,5
HCPCS,L5500,Init bk ptb plaster direct,,,1572.33,1926.88,5
HCPCS,L5505,Init ak ischal plstr direct,,,2174.6,2664.95,5
HCPCS,L5510,Prep BK ptb plaster molded,,,1782.35,2184.25,5
HCPCS,L5520,Perp BK ptb thermopls direct,,,1760.53,2157.51,5
HCPCS,L5530,Prep BK ptb thermopls molded,,,2114.56,2591.38,5
HCPCS,L5535,Prep BK ptb open end socket,,,2076.09,2544.23,5
HCPCS,L5540,Prep BK ptb laminated socket,,,2215.84,2715.49,5
HCPCS,L5560,Prep AK ischial plast molded,,,2379.43,2915.96,5
HCPCS,L5570,Prep AK ischial direct form,,,2473.77,3031.58,5
HCPCS,L5580,Prep AK ischial thermo mold,,,2887.95,3539.15,5
HCPCS,L5585,Prep AK ischial open end,,,3554.08,4355.49,5
HCPCS,L5590,Prep AK ischial laminated,,,2943.01,3606.63,5
HCPCS,L5595,Hip disartic sach thermopls,,,5199.23,6371.6,5
HCPCS,L5600,Hip disart sach laminat mold,,,5588.93,6849.18,5
HCPCS,L5610,Above knee hydracadence,,,2534.66,3106.2,5
HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.48,2417.25,5
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3083.91,3779.3,5
HCPCS,L5614,4-bar link above knee w/swng,,,2089.13,2560.21,5
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6841.96,8384.75,5
HCPCS,L5616,Ak univ multiplex sys frict,,,1666.52,2042.3,5
HCPCS,L5617,AK/BK self-aligning unit ea,,,692.69,848.89,5
HCPCS,L5618,Test socket symes,,,366.46,449.09,5
HCPCS,L5620,Test socket below knee,,,340.35,417.1,5
HCPCS,L5622,Test socket knee disarticula,,,443.82,543.9,5
HCPCS,L5624,Test socket above knee,,,445.09,545.45,5
HCPCS,L5626,Test socket hip disarticulat,,,583.71,715.33,5
HCPCS,L5628,Test socket hemipelvectomy,,,624.13,764.86,5
HCPCS,L5629,Below knee acrylic socket,,,389.06,476.79,5
HCPCS,L5630,Syme typ expandabl wall sckt,,,549.43,673.33,5
HCPCS,L5631,Ak/knee disartic acrylic soc,,,537.91,659.2,5
HCPCS,L5632,Symes type ptb brim design s,,,300.21,367.9,5
HCPCS,L5634,Symes type poster opening so,,,372.4,456.38,5
HCPCS,L5636,Symes type medial opening so,,,311.94,382.28,5
HCPCS,L5637,Below knee total contact,,,353.67,433.43,5
HCPCS,L5638,Below knee leather socket,,,616.08,755.0,5
HCPCS,L5639,Below knee wood socket,,,1372.59,1682.1,5
HCPCS,L5640,Knee disarticulat leather so,,,782.82,959.34,5
HCPCS,L5642,Above knee leather socket,,,758.5,929.54,5
HCPCS,L5643,Hip flex inner socket ext fr,,,1905.46,2335.13,5
HCPCS,L5644,Above knee wood socket,,,723.09,886.14,5
HCPCS,L5645,Bk flex inner socket ext fra,,,976.81,1197.08,5
HCPCS,L5646,Below knee cushion socket,,,670.77,822.03,5
HCPCS,L5647,Below knee suction socket,,,973.85,1193.44,5
HCPCS,L5648,Above knee cushion socket,,,806.01,987.76,5
HCPCS,L5649,Isch containmt/narrow m-l so,,,2920.65,3579.23,5
HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,732.43,5
HCPCS,L5651,Ak flex inner socket ext fra,,,1470.22,1801.74,5
HCPCS,L5652,Suction susp ak/knee disart,,,533.75,654.1,5
HCPCS,L5653,Knee disart expand wall sock,,,712.51,873.18,5
HCPCS,L5654,Socket insert symes,,,406.01,497.56,5
HCPCS,L5655,Socket insert below knee,,,344.08,421.66,5
HCPCS,L5656,Socket insert knee articulat,,,461.57,565.65,5
HCPCS,L5658,Socket insert above knee,,,445.13,545.5,5
HCPCS,L5661,Multi-durometer symes,,,745.02,913.01,5
HCPCS,L5665,Multi-durometer below knee,,,626.84,768.19,5
HCPCS,L5666,Below knee cuff suspension,,,85.69,105.01,5
HCPCS,L5668,Bk molded distal cushion,,,138.23,169.4,5
HCPCS,L5670,Bk molded supracondylar susp,,,332.2,407.11,5
HCPCS,L5671,BK/AK locking mechanism,,,703.98,862.73,5
HCPCS,L5672,Bk removable medial brim sus,,,365.06,447.38,5
HCPCS,L5673,Socket insert w lock mech,,,870.51,1066.8,5
HCPCS,L5676,Bk knee joints single axis p,,,443.64,543.68,5
HCPCS,L5677,Bk knee joints polycentric p,,,603.62,739.73,5
HCPCS,L5678,Bk joint covers pair,,,48.61,59.58,5
HCPCS,L5679,Socket insert w/o lock mech,,,725.39,888.96,5
HCPCS,L5680,Bk thigh lacer non-molded,,,405.77,497.26,5
HCPCS,L5681,Intl custm cong/latyp insert,,,1628.51,1995.73,5
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,938.28,5
HCPCS,L5683,Initial custom socket insert,,,1628.51,1995.73,5
HCPCS,L5684,Bk fork strap,,,58.93,72.21,5
HCPCS,L5685,Below knee sus/seal sleeve,,,158.57,194.33,5
HCPCS,L5686,Bk back check,,,62.55,76.65,5
HCPCS,L5688,Bk waist belt webbing,,,74.79,91.65,5
HCPCS,L5690,Bk waist belt padded and lin,,,119.8,146.81,5
HCPCS,L5692,Ak pelvic control belt light,,,162.67,199.35,5
HCPCS,L5694,Ak pelvic control belt pad/l,,,222.09,272.18,5
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,205.01,251.24,5
HCPCS,L5696,Ak/knee disartic pelvic join,,,226.51,277.59,5
HCPCS,L5697,Ak/knee disartic pelvic band,,,98.28,120.44,5
HCPCS,L5698,Ak/knee disartic silesian ba,,,160.7,196.94,5
HCPCS,L5699,Shoulder harness,,,289.51,354.79,5
HCPCS,L5700,Replace socket below knee,,,3507.7,4298.65,5
HCPCS,L5701,Replace socket above knee,,,4212.49,5162.36,5
HCPCS,L5702,Replace socket hip,,,5329.4,6531.13,5
HCPCS,L5703,Symes ankle w/o (SACH) foot,,,2758.03,3379.94,5
HCPCS,L5704,Custom shape cover BK,,,656.22,804.19,5
HCPCS,L5705,Custom shape cover AK,,,1172.55,1436.95,5
HCPCS,L5706,Custom shape cvr knee disart,,,1149.39,1408.56,5
HCPCS,L5707,Custom shape cvr hip disart,,,1515.28,1856.96,5
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,457.86,561.1,5
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,639.88,784.16,5
HCPCS,L5712,Knee-shin exo frict swg & st,,,536.15,657.05,5
HCPCS,L5714,Knee-shin exo variable frict,,,550.71,674.89,5
HCPCS,L5716,Knee-shin exo mech stance ph,,,892.28,1093.48,5
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1115.26,1366.74,5
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1178.22,1443.9,5
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1847.89,2264.58,5
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2129.66,2609.88,5
HCPCS,L5728,Knee-shin fluid swg & stance,,,2913.09,3569.96,5
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1401.65,1717.71,5
HCPCS,L5781,Lower limb pros vacuum pump,,,4953.58,6070.56,5
HCPCS,L5782,HD low limb pros vacuum pump,,,5222.21,6399.76,5
HCPCS,L5783,Add low ext mec limb vol lam,,,3150.07,3860.38,5
HCPCS,L5785,Exoskeletal bk ultralt mater,,,787.9,965.56,5
HCPCS,L5790,Exoskeletal ak ultra-light m,,,880.26,1078.75,5
HCPCS,L5795,Exoskel hip ultra-light mate,,,1752.62,2147.81,5
HCPCS,L5810,Endoskel knee-shin mnl lock,,,596.04,730.44,5
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,892.87,1094.2,5
HCPCS,L5812,Endo knee-shin frct swg & st,,,692.07,848.13,5
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4597.89,5634.68,5
HCPCS,L5816,Endo knee-shin polyc mch sta,,,1047.44,1283.63,5
HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,1440.78,5
HCPCS,L5822,Endo knee-shin pneum swg frc,,,2084.77,2554.86,5
HCPCS,L5824,Endo knee-shin fluid swing p,,,1877.45,2300.8,5
HCPCS,L5826,Miniature knee joint,,,3866.22,4738.01,5
HCPCS,L5827,Endo knee shin single axis,,,7007.51,8587.64,5
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3457.2,4236.76,5
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2323.05,2846.88,5
HCPCS,L5840,Multi-axial knee/shin system,,,4295.32,5263.88,5
HCPCS,L5841,Addition endoskletl knee-shi,,,2870.48,3517.75,5
HCPCS,L5845,Knee-shin sys stance flexion,,,2219.05,2719.43,5
HCPCS,L5848,Knee-shin sys hydraul stance,,,1331.26,1631.45,5
HCPCS,L5850,Endo ak/hip knee extens assi,,,156.61,191.93,5
HCPCS,L5855,Mech hip extension assist,,,420.83,515.73,5
HCPCS,L5856,Elec knee-shin swing/stance,,,29719.96,36421.53,5
HCPCS,L5857,Elec knee-shin swing only,,,10545.73,12923.69,5
HCPCS,L5858,Stance phase only,,,23009.05,28197.36,5
HCPCS,L5859,Knee-shin pro flex/ext cont,,,17962.99,22013.46,5
HCPCS,L5910,Endo below knee alignable sy,,,443.39,543.38,5
HCPCS,L5920,Endo ak/hip alignable system,,,649.58,796.05,5
HCPCS,L5925,Above knee manual lock,,,548.47,672.15,5
HCPCS,L5926,Endoskel posit rotat unit,,,697.41,854.68,5
HCPCS,L5930,High activity knee frame,,,4167.07,5106.7,5
HCPCS,L5940,Endo bk ultra-light material,,,614.09,752.56,5
HCPCS,L5950,Endo ak ultra-light material,,,960.18,1176.69,5
HCPCS,L5960,Endo hip ultra-light materia,,,1180.22,1446.35,5
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5627.8,6896.81,5
HCPCS,L5962,Below knee flex cover system,,,776.72,951.86,5
HCPCS,L5964,Above knee flex cover system,,,1146.54,1405.08,5
HCPCS,L5966,Hip flexible cover system,,,1460.97,1790.4,5
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4498.91,5513.38,5
HCPCS,L5970,Foot external keel sach foot,,,248.64,304.7,5
HCPCS,L5971,"SACH foot, replacement",,,248.64,304.7,5
HCPCS,L5972,Flexible keel foot,,,464.44,569.16,5
HCPCS,L5973,Ank-foot sys dors-plant flex,,,21299.94,26102.86,5
HCPCS,L5974,Foot single axis ankle/foot,,,285.28,349.61,5
HCPCS,L5975,Combo ankle/foot prosthesis,,,573.98,703.41,5
HCPCS,L5976,Energy storing foot,,,685.61,840.21,5
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,357.27,437.83,5
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2793.43,3423.33,5
HCPCS,L5980,Flex foot system,,,4539.15,5562.69,5
HCPCS,L5981,Flex-walk sys low ext prosth,,,3667.02,4493.9,5
HCPCS,L5982,Exoskeletal axial rotation u,,,707.75,867.34,5
HCPCS,L5984,Endoskeletal axial rotation,,,697.41,854.68,5
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,349.58,428.41,5
HCPCS,L5986,Multi-axial rotation unit,,,775.79,950.73,5
HCPCS,L5987,Shank ft w vert load pylon,,,8906.07,10914.3,5
HCPCS,L5988,Vertical shock reducing pylo,,,2473.19,3030.88,5
HCPCS,L5990,User adjustable heel height,,,2246.04,2752.5,5
HCPCS,L5991,Low pros ext osseo connector,,,11755.04,14405.69,5
HCPCS,L6000,Part hand thumb rem,,,1626.65,1993.44,5
HCPCS,L6010,Part hand little/ring,,,1810.19,2218.38,5
HCPCS,L6020,Part hand no fingers,,,1687.71,2068.28,5
HCPCS,L6026,Part hand myo exclu term dev,,,6119.92,7499.9,5
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2325.6,2850.0,5
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3241.29,3972.18,5
HCPCS,L6100,Elb mold sock flex hinge pad,,,2356.19,2887.49,5
HCPCS,L6110,Elbow mold sock suspension t,,,2499.14,3062.68,5
HCPCS,L6120,Elbow mold doub splt soc ste,,,2912.4,3569.11,5
HCPCS,L6130,Elbow stump activated lock h,,,3169.22,3883.85,5
HCPCS,L6200,Elbow mold outsid lock hinge,,,3339.85,4092.95,5
HCPCS,L6205,Elbow molded w/ expand inter,,,4458.18,5463.45,5
HCPCS,L6250,Elbow inter loc elbow forarm,,,3499.39,4288.46,5
HCPCS,L6300,Shlder disart int lock elbow,,,4561.08,5589.56,5
HCPCS,L6310,Shoulder passive restor comp,,,3938.3,4826.35,5
HCPCS,L6320,Shoulder passive restor cap,,,2151.39,2636.51,5
HCPCS,L6350,Thoracic intern lock elbow,,,4795.29,5876.58,5
HCPCS,L6360,Thoracic passive restor comp,,,4312.59,5285.04,5
HCPCS,L6370,Thoracic passive restor cap,,,2580.53,3162.41,5
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1495.35,1832.54,5
HCPCS,L6382,Postop dsg cast chg elb dis/,,,2249.69,2756.98,5
HCPCS,L6384,Postop dsg cast chg shlder/t,,,3112.21,3813.99,5
HCPCS,L6386,Postop ea cast chg & realign,,,491.64,602.5,5
HCPCS,L6388,Postop applicat rigid dsg on,,,538.2,659.56,5
HCPCS,L6400,Below elbow prosth tiss shap,,,2840.74,3481.3,5
HCPCS,L6450,Elb disart prosth tiss shap,,,3795.18,4650.95,5
HCPCS,L6500,Above elbow prosth tiss shap,,,3970.5,4865.81,5
HCPCS,L6550,Shldr disar prosth tiss shap,,,4772.61,5848.79,5
HCPCS,L6570,Scap thorac prosth tiss shap,,,5358.38,6566.64,5
HCPCS,L6580,Wrist/elbow bowden cable mol,,,2045.72,2507.01,5
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1852.87,2270.68,5
HCPCS,L6584,Elbow fair lead cable molded,,,2905.79,3561.01,5
HCPCS,L6586,Elbow fair lead cable dir fo,,,2719.34,3332.53,5
HCPCS,L6588,Shdr fair lead cable molded,,,3573.15,4378.86,5
HCPCS,L6590,Shdr fair lead cable direct,,,3393.93,4159.23,5
HCPCS,L6600,Polycentric hinge pair,,,229.64,281.43,5
HCPCS,L6605,Single pivot hinge pair,,,226.75,277.88,5
HCPCS,L6610,Flexible metal hinge pair,,,217.74,266.84,5
HCPCS,L6611,"Additional switch, ext power",,,509.7,624.64,5
HCPCS,L6615,Disconnect locking wrist uni,,,234.61,287.51,5
HCPCS,L6616,Disconnect insert locking wr,,,86.93,106.54,5
HCPCS,L6620,Flexion/extension wrist unit,,,375.39,460.04,5
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2831.71,3470.24,5
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,1047.08,1283.19,5
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4662.49,5713.84,5
HCPCS,L6625,Rotation wrst w/ cable lock,,,743.95,911.7,5
HCPCS,L6628,Quick disconn hook adapter o,,,586.48,718.73,5
HCPCS,L6629,Lamination collar w/ couplin,,,179.11,219.5,5
HCPCS,L6630,Stainless steel any wrist,,,263.85,323.35,5
HCPCS,L6632,Latex suspension sleeve each,,,91.64,112.3,5
HCPCS,L6635,Lift assist for elbow,,,215.63,264.25,5
HCPCS,L6637,Nudge control elbow lock,,,459.92,563.63,5
HCPCS,L6638,Elec lock on manual pw elbow,,,3095.98,3794.09,5
HCPCS,L6640,Shoulder abduction joint pai,,,408.59,500.73,5
HCPCS,L6641,Excursion amplifier pulley t,,,196.4,240.69,5
HCPCS,L6642,Excursion amplifier lever ty,,,266.21,326.24,5
HCPCS,L6645,Shoulder flexion-abduction j,,,491.37,602.18,5
HCPCS,L6646,Multipo locking shoulder jnt,,,3904.74,4785.23,5
HCPCS,L6647,Shoulder lock actuator,,,642.83,787.79,5
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,4027.16,4935.25,5
HCPCS,L6650,Shoulder universal joint,,,510.16,625.2,5
HCPCS,L6655,Standard control cable extra,,,100.26,122.86,5
HCPCS,L6660,Heavy duty control cable,,,112.37,137.71,5
HCPCS,L6665,Teflon or equal cable lining,,,56.38,69.09,5
HCPCS,L6670,Hook to hand cable adapter,,,62.34,76.4,5
HCPCS,L6672,Harness chest/shlder saddle,,,247.39,303.18,5
HCPCS,L6675,Harness figure of 8 sing con,,,147.02,180.18,5
HCPCS,L6676,Harness figure of 8 dual con,,,169.95,208.28,5
HCPCS,L6677,UE triple control harness,,,367.3,450.13,5
HCPCS,L6680,Test sock wrist disart/bel e,,,284.03,348.08,5
HCPCS,L6682,Test sock elbw disart/above,,,314.04,384.85,5
HCPCS,L6684,Test socket shldr disart/tho,,,426.74,522.96,5
HCPCS,L6686,Suction socket,,,963.67,1180.96,5
HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,865.39,5
HCPCS,L6688,Frame typ sock above elb/dis,,,701.89,860.16,5
HCPCS,L6689,Frame typ socket shoulder di,,,840.96,1030.59,5
HCPCS,L6690,Frame typ sock interscap-tho,,,916.41,1123.05,5
HCPCS,L6691,Removable insert each,,,424.15,519.79,5
HCPCS,L6692,Silicon gel insert w/wo lock,,,684.63,839.01,5
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3514.73,4307.26,5
HCPCS,L6694,Elbow socket ins use w/lock,,,870.51,1066.8,5
HCPCS,L6695,Elbow socket ins use w/o lck,,,725.39,888.96,5
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1628.51,1995.73,5
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1628.51,1995.73,5
HCPCS,L6698,Add up-ex prosthes lock mech,,,703.98,862.73,5
HCPCS,L6700,Ue add ext power myoel,,,29510.19,36164.45,5
HCPCS,L6703,"Term dev, passive hand mitt",,,445.07,545.43,5
HCPCS,L6704,"Term dev, sport/rec/work att",,,716.96,878.63,5
HCPCS,L6706,Term dev mech hook vol open,,,427.17,523.49,5
HCPCS,L6707,Term dev mech hook vol close,,,1574.47,1929.5,5
HCPCS,L6708,Term dev mech hand vol open,,,1029.27,1261.36,5
HCPCS,L6709,Term dev mech hand vol close,,,1483.22,1817.68,5
HCPCS,L6711,"Ped term dev, hook, vol open",,,832.33,1020.01,5
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1532.52,1878.09,5
HCPCS,L6713,"Ped term dev, hand, vol open",,,1934.13,2370.26,5
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1638.27,2007.69,5
HCPCS,L6715,"Term device, multi art digit",,,3908.64,4790.0,5
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2911.82,3568.41,5
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2510.19,3076.21,5
HCPCS,L6805,Term dev modifier wrist unit,,,416.53,510.45,5
HCPCS,L6810,Term dev precision pinch dev,,,236.08,289.31,5
HCPCS,L6880,Elec hand ind art digits,,,29579.67,36249.6,5
HCPCS,L6881,Term dev auto grasp feature,,,5061.33,6202.61,5
HCPCS,L6882,Microprocessor control uplmb,,,3839.33,4705.06,5
HCPCS,L6883,Replc sockt below e/w disa,,,1942.73,2380.8,5
HCPCS,L6884,Replc sockt above elbow disa,,,2883.44,3533.63,5
HCPCS,L6885,Replc sockt shldr dis/interc,,,4312.59,5285.04,5
HCPCS,L6890,Prefab glove for term device,,,208.23,255.19,5
HCPCS,L6895,Custom glove for term device,,,766.02,938.75,5
HCPCS,L6900,Hand restorat thumb/1 finger,,,2186.02,2678.95,5
HCPCS,L6905,Hand restoration multiple fi,,,2173.6,2663.73,5
HCPCS,L6910,Hand restoration no fingers,,,1858.64,2277.75,5
HCPCS,L6915,Hand restoration replacmnt g,,,937.1,1148.41,5
HCPCS,L6920,Wrist disarticul switch ctrl,,,8170.29,10012.61,5
HCPCS,L6925,Wrist disart myoelectronic c,,,10998.63,13478.71,5
HCPCS,L6930,Below elbow switch control,,,8220.96,10074.7,5
HCPCS,L6935,Below elbow myoelectronic ct,,,11169.31,13687.88,5
HCPCS,L6940,Elbow disarticulation switch,,,10741.21,13163.25,5
HCPCS,L6945,Elbow disart myoelectronic c,,,13124.47,16083.91,5
HCPCS,L6950,Above elbow switch control,,,12208.9,14961.89,5
HCPCS,L6955,Above elbow myoelectronic ct,,,14621.81,17918.89,5
HCPCS,L6960,Shldr disartic switch contro,,,16562.87,20297.64,5
HCPCS,L6965,Shldr disartic myoelectronic,,,17664.91,21648.18,5
HCPCS,L6970,Interscapular-thor switch ct,,,18407.12,22557.75,5
HCPCS,L6975,Interscap-thor myoelectronic,,,20131.45,24670.9,5
HCPCS,L7007,Adult electric hand,,,4212.71,5162.64,5
HCPCS,L7008,Pediatric electric hand,,,6630.37,8125.45,5
HCPCS,L7009,Adult electric hook,,,4298.3,5267.53,5
HCPCS,L7040,Prehensile actuator,,,3451.36,4229.61,5
HCPCS,L7045,Pediatric electric hook,,,1978.79,2424.99,5
HCPCS,L7170,Electronic elbow hosmer swit,,,9111.07,11165.53,5
HCPCS,L7180,Electronic elbow sequential,,,39992.59,49010.53,5
HCPCS,L7181,Electronic elbo simultaneous,,,49605.45,60790.99,5
HCPCS,L7185,Electron elbow adolescent sw,,,8997.32,11026.13,5
HCPCS,L7186,Electron elbow child switch,,,10829.15,13271.01,5
HCPCS,L7190,Elbow adolescent myoelectron,,,9450.26,11581.2,5
HCPCS,L7191,Elbow child myoelectronic ct,,,11315.82,13867.43,5
HCPCS,L7259,Electronic wrist rotator any,,,3912.59,4794.84,5
HCPCS,L7360,Six volt bat otto bock/eq ea,,,292.13,358.0,5
HCPCS,L7362,Battery chrgr six volt otto,,,306.73,375.9,5
HCPCS,L7364,Twelve volt battery utah/equ,,,487.84,597.84,5
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,657.14,805.31,5
HCPCS,L7367,Replacemnt lithium ionbatter,,,481.97,590.65,5
HCPCS,L7368,Lithium ion battery charger,,,624.83,765.73,5
HCPCS,L7400,"Add UE prost be/wd, ultlite",,,379.46,465.03,5
HCPCS,L7401,Add UE prost a/e ultlite mat,,,424.81,520.6,5
HCPCS,L7402,Add UE prost s/d ultlite mat,,,458.7,562.14,5
HCPCS,L7403,Add UE prost b/e acrylic,,,455.94,558.75,5
HCPCS,L7404,Add UE prost a/e acrylic,,,688.07,843.23,5
HCPCS,L7405,Add UE prost s/d acrylic,,,899.94,1102.86,5
HCPCS,L7406,Add upp ext mec limb vol lam,,,3150.07,3860.38,5
HCPCS,L7520,Repair prosthesis per 15 min,,,40.39,49.5,5
HCPCS,L7700,Pros soc insert gasket/seal,,,138.17,169.33,5
HCPCS,L8000,Mastectomy bra,,,53.85,65.99,5
HCPCS,L8001,Breast prosthesis bra & form,,,155.28,190.3,5
HCPCS,L8002,Brst prsth bra & bilat form,,,204.28,250.34,5
HCPCS,L8015,Ext breastprosthesis garment,,,74.19,90.93,5
HCPCS,L8020,Mastectomy form,,,279.11,342.05,5
HCPCS,L8030,Breast prosthes w/o adhesive,,,403.72,494.75,5
HCPCS,L8031,Breast prosthesis w adhesive,,,403.72,494.75,5
HCPCS,L8032,Reusable nipple prosthesis,,,48.49,59.43,5
HCPCS,L8035,Custom breast prosthesis,,,4535.66,5558.41,5
HCPCS,L8040,Nasal prosthesis,,,2992.53,3667.31,5
HCPCS,L8041,Midfacial prosthesis,,,3606.94,4420.28,5
HCPCS,L8042,Orbital prosthesis,,,4052.7,4966.55,5
HCPCS,L8043,Upper facial prosthesis,,,4539.05,5562.56,5
HCPCS,L8044,Hemi-facial prosthesis,,,5025.35,6158.51,5
HCPCS,L8045,Auricular prosthesis,,,3147.02,3856.64,5
HCPCS,L8046,Partial facial prosthesis,,,3242.18,3973.26,5
HCPCS,L8047,Nasal septal prosthesis,,,1661.59,2036.26,5
HCPCS,L8300,Truss single w/ standard pad,,,119.24,146.13,5
HCPCS,L8310,Truss double w/ standard pad,,,183.33,224.68,5
HCPCS,L8320,Truss addition to std pad wa,,,80.07,98.13,5
HCPCS,L8330,Truss add to std pad scrotal,,,79.38,97.28,5
HCPCS,L8400,Sheath below knee,,,23.21,28.44,5
HCPCS,L8410,Sheath above knee,,,26.4,32.35,5
HCPCS,L8415,Sheath upper limb,,,26.24,32.16,5
HCPCS,L8417,Pros sheath/sock w gel cushn,,,93.1,114.09,5
HCPCS,L8420,Prosthetic sock multi ply BK,,,30.67,37.59,5
HCPCS,L8430,Prosthetic sock multi ply AK,,,33.75,41.36,5
HCPCS,L8435,Pros sock multi ply upper lm,,,30.27,37.1,5
HCPCS,L8440,Shrinker below knee,,,64.18,78.65,5
HCPCS,L8460,Shrinker above knee,,,89.33,109.48,5
HCPCS,L8465,Shrinker upper limb,,,79.62,97.58,5
HCPCS,L8470,Pros sock single ply BK,,,8.17,10.01,5
HCPCS,L8480,Pros sock single ply AK,,,11.27,13.81,5
HCPCS,L8485,Pros sock single ply upper l,,,13.62,16.69,5
HCPCS,L8500,Artificial larynx,,,807.95,990.14,5
HCPCS,L8501,PROSTHESIS VOICE 22.5FR 6MM PROVOX 2 SILICONE TRACHEOESOPHAGEAL STERILE,440.0,220.0,84.26,396.0,70
HCPCS,L8501,SET OTOLARYNGOLOGY 12.5MM 20FR PROVOX VEGA STAINLESS STEEL FLUOROPLASTIC PUNCTURE NEEDLE DILATOR GUIDEWIRE VOICE PROSTHESIS STERILE DISPOSABLE,438.72,219.36,84.01,394.85,70
HCPCS,L8501,SET PUNCTURE ENT 22.5FRX12.5MM SIL LO BRTH RSIS RDC COUGHING MUC PRDCTN F/PLCMNT OF PROVOX VEGA,425.95,212.98,81.57,383.36,70
HCPCS,L8507,Trach-esoph voice pros pt in,,,51.86,63.55,5
HCPCS,L8509,PROSTHESIS VOICE ESOPHAGEAL INDWELLING LARGE FLANGE 20FR 12MM STAINLESS STEEL,382.69,191.35,73.29,344.42,70
HCPCS,L8510,Voice amplifier,,,312.86,383.41,5
HCPCS,L8511,Indwelling trach insert,,,90.05,110.35,5
HCPCS,L8512,Gel cap for trach voice pros,,,2.7,3.31,5
HCPCS,L8513,Trach pros cleaning device,,,6.47,7.93,5
HCPCS,L8514,Repl trach puncture dilator,,,116.74,143.06,5
HCPCS,L8515,Gel cap app device for trach,,,78.14,95.76,5
HCPCS,L8600,IMPLANT BREAST 150 CC MODERATE PROFILE ROUND STYLE 10 SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,936.86,70
HCPCS,L8600,IMPLANT BREAST 150 CC P4.1 CM HIGH PROFILE ROUND SMOOTH SURFACE SHELL MEMORYGEL OD8.3 CM,1000.0,500.0,191.5,936.86,70
HCPCS,L8600,IMPLANT BREAST 175 ML P3.1 CM MODERATE PLUS PROFILE HIGH PROJECTION ROUND GEL SMOOTH SURFACE SHELL BARRIER LAYER BASE MEMORYGEL SILICONE OD10 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,IMPLANT BREAST 200 CC P3.2 CM MODERATE PLUS PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD10.5 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,"IMPLANT BREAST 350 CC P3.8 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD12.6 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 350 CC P4.9 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD11.7 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 375 CC P3.9 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX OD12.9 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 375 CC P5 CM HIGH PROFILE ROUND MEMORYGEL, SILTEX SILTEX GEL OD12 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 400 CC P4 CM MODERATE PLUS PROFILE ROUND GEL TEXTURE SURFACE SHELL BARRIER LAYER MEMORYGEL, SILTEX SILTEX OD13.2 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,IMPLANT BREAST 400 CC P5 CM ROUND NARROW HIGH PROFILE GEL SMOOTH SHELL BARRIER LAYER MEMORYGEL SILICONE OD12.5 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,"IMPLANT BREAST 400 CC P5.1 CM HIGH PROFILE ROUND SILTEX TEXTURE MEMORYGEL, SILTEX GEL OD12.3 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 425 CC P5.2 CM HIGH PROFILE ROUND GEL TEXTURE MEMORYGEL, SILTEX SILTEX OD12.5 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,IMPLANT BREAST 425 CC ROUND HIGH PROFILE SMOOTH NATRELLE SILICONE,800.0,400.0,153.2,936.86,70
HCPCS,L8600,IMPLANT BREAST 450 CC P5.1 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MEMORYGEL SILICONE OD12.8 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,"IMPLANT BREAST 450 CC P5.2 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD12.7 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 500 CC P5.4 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD13.2 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,IMPLANT BREAST 500 ML P5.3 CM HIGH PROFILE PROJECTION ROUND GEL SMOOTH SURFACE SHELL BARRIER LAYER NARROW BASE MEMORYGEL COHESIVE I SILICONE OD13.2 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,IMPLANT BREAST 550 CC P5.5 CM HIGH PROFILE ROUND STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE MENTOR MEMORYGEL COHESIVE I SILICONE OD13.6 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,IMPLANT BREAST 600 CC P5.6 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD14 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,"IMPLANT BREAST 600 CC P5.7 CM HIGH PROFILE ROUND MEMORYGEL, SILTEX SILTEX GEL OD14 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,IMPLANT BREAST 615CC P6.7CM FULL HEIGHT EXTRA FULL PROJECTION STYLE FX 14.5X15CM NATRELLE 410,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST 650 CC P6.5 CM HIGH PROFILE ROUND EXTRA SMOOTH SHELL SURFACE MEMORYGEL OD13.5 CM,1000.0,500.0,191.5,936.86,70
HCPCS,L8600,IMPLANT BREAST 700 CC P5.8 CM HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE NARROW BASE MENTOR MEMORYGEL COHESIVE I SILICONE OD14.8 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,"IMPLANT BREAST 700 CC P6 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD14.7 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,IMPLANT BREAST 700 CC P6.5 CM ULTRA HIGH PROFILE ROUND SMOOTH MENTOR MEMORYGEL GEL OD13.3 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,IMPLANT BREAST 750 CC P5 CM MODERATE PROFILE GEL SMOOTH ROUND MENTOR MEMORYGEL COHESIVE I OD16.1 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,"IMPLANT BREAST 750 CC P6 CM HIGH PROFILE ROUND TEXTURE SHELL SURFACE MEMORYGEL, SILTEX SILTEX OD15.1 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,"IMPLANT BREAST 800 CC P6.3 CM HIGH PROFILE ROUND SILTEX TEXTURE MEMORYGEL, SILTEX GEL OD15.4 CM",875.0,437.5,167.56,936.86,70
HCPCS,L8600,IMPLANT BREAST 800 CC P6.7 CM ULTRA HIGH PROFILE ROUND GEL SMOOTH SHELL SURFACE MEMORYGEL SILICONE OD14.1 CM,825.0,412.5,157.99,936.86,70
HCPCS,L8600,IMPLANT BREAST SILICONE 185CC CONTOUR STYLE 410FF TEXTURE COHESIVE NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 220CC CONTOUR STYLE 410FF TEXTURE COHESIVE NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 255CC CONTOUR STYLE 410FF TEXTURE COHESIVE NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 290CC CONTOUR STYLE 410FF TEXTURE COHESIVE NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 335CC CONTOUR STYLE 410FF TEXTURE COHESIVE NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 350CC CONTOUR STYLE 410FM TEXTURE HIGHLY COHESIVE 12.5X13CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 375CC CONTOUR HIGH COHESIVE TEXTURE STYLE FF NATRELLE 410 BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 395CC CONTOUR STYLE 410FM TEXTURE HIGHLY COHESIVE 13X13.5CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 425CC CONTOUR HIGH COHESIVE TEXTURE STYLE FF NATRELLE 410 BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 440CC CONTOUR STYLE 410FM TEXTURE HIGHLY COHESIVE 13.5X14CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 475CC CONTOUR HIGH COHESIVE TEXTURE STYLE FF NATRELLE 410 BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 535CC CONTOUR HIGH COHESIVE TEXTURE STYLE FF NATRELLE 410 BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 560CC P6.5CM XFULL PROFILE FULL HEIGHT STYLE 410FX TEXTURE SHELL SURFACE HIGH COHESIVE GEL ORIENTATION MARK 14X14.5CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 595ML P5.8CM FULL HEIGHT FULL PROJECTION STYLE 410 ANATOMICAL GEL 14.5X15CM BIOCELL NATRELLE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 655CC CONTOUR HIGH COHESIVE TEXTURE STYLE FF NATRELLE 410 BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 690CC P7CM XFULL PROFILE FULL HEIGHT STYLE 410FX TEXTURE SHELL SURFACE HIGH COHESIVE GEL ORIENTATION MARK 15X15.5CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,IMPLANT BREAST SILICONE 775CC P7.1CM XFULL PROFILE FULL HEIGHT STYLE 410FX TEXTURE SHELL SURFACE HIGH COHESIVE GEL ORIENTATION MARK 15.5X16CM NATRELLE BIOCELL STERILE LATEX FREE,1095.0,547.5,209.69,985.5,70
HCPCS,L8600,"IMPLANT BREAST SMOOTH MODERATE HIGH PROFILE BOOST, 170CC",1125.0,562.5,215.44,1012.5,70
HCPCS,L8600,"IMPLANT BREAST SMOOTH MODERATE HIGH PROFILE BOOST, 190CC",1125.0,562.5,215.44,1012.5,70
HCPCS,L8603,Collagen imp urinary 2.5 ml,,,536.91,657.98,5
HCPCS,L8605,Inj bulking agent anal canal,,,886.74,1086.69,5
HCPCS,L8606,IMPLANT SYNTHETIC TISSUE 1ML COAPTITE INJECTABLE SYRINGE BULK AGENT,415.6,207.8,79.59,374.04,70
HCPCS,L8606,MPLANT UROLOGICAL BULKAMID BULK URETHRAL STERILE LATEX FREE,1050.0,525.0,201.08,945.0,70
HCPCS,L8606,Synthetic implnt urinary 1ml,,,177.75,389.52,6
HCPCS,L8607,IMPLANT LARYNGEAL INJECTABLE 1ML GEL WATER BASED F/VOCAL FOLD INSUFFICIENCY PROLARYN,735.0,367.5,53.12,661.5,70
HCPCS,L8607,IMPLANT LARYNGEAL INJECTABLE 1ML GEL WATER BASED F/VOCAL FOLD INSUFFICIENCY PROLARYN PLUS,735.0,367.5,53.12,661.5,70
HCPCS,L8607,IMPLANT VOCAL CORD PROLARYN GEL NEEDLE 1CC,735.0,367.5,53.12,661.5,70
HCPCS,L8607,IMPLANT VOCAL CORD PROLARYN PLUS INJECTABLE SYRINGE 2 NEEDLE RESORBABLE SODIUM CARBOXYMETHYLCELLULOSE 1ML STERILE LATEX FREE,735.0,367.5,53.12,661.5,70
HCPCS,L8609,Artificial cornea,,,8066.32,9885.2,5
HCPCS,L8610,BALANCED SALT SOLUTION 500ML GLASS BTL,761.0,380.5,145.73,961.01,70
HCPCS,L8610,IMPLANT OPHTHALMIC 250 SQ MM SILICONE 1 QUADRANT INSERTION FIXATION SUTURE HOLE RECESS KNOT CAPABILITY BAERVELDT ANTERIOR CHAMBER GLAUCOMA,600.0,300.0,114.9,961.01,70
HCPCS,L8610,RING ENDOCAPSULAR 14A CTR TYPE 12MM DIA LEFT PRE-LOADED EYEJET F/CATARACT MORCHER LATEX-FREE STERILE SINGLE-USE,199.0,99.5,38.11,961.01,70
HCPCS,L8610,RING FIXATION CAPSULAR OD13 MM,275.0,137.5,52.66,961.01,70
HCPCS,L8610,RING FX 13MM STABILEYES CPSLR 276US1G00,135.0,67.5,25.85,961.01,70
HCPCS,L8610,RING MANIPULATION EYELET OPEN FLEXIBLE REUSABLE INSERTER OD12 MM STABILEYES TENSION PERSPEX CQ SEMICIRCULAR CAPSULAR,135.0,67.5,25.85,961.01,70
HCPCS,L8610,RING PRELOAD INJECTOR RINGJECT TENSION 12 MM CAPSULAR,275.0,137.5,52.66,961.01,70
HCPCS,L8610,RING TENSION EYEJET CAPSULE TYPE 14 DISPOSABLE INJECTOR PRELOAD LEFT CLOCKWISE INSERTION,199.0,99.5,38.11,961.01,70
HCPCS,L8610,RING TENSION EYEJET CAPSULE TYPE 14 DISPOSABLE INJECTOR PRELOAD RIGHT CLOCKWISE INSERTION,199.0,99.5,38.11,961.01,70
HCPCS,L8610,RING TENSION EYEJET CAPSULE TYPE 14A DISPOSABLE INJECTOR PRELOAD RIGHT CLOCKWISE INSERTION,199.0,99.5,38.11,961.01,70
HCPCS,L8610,RING TENSION EYEJET CAPSULE TYPE 14C DISPOSABLE INJECTOR PRELOAD RIGHT CLOCKWISE INSERTION,199.0,99.5,38.11,961.01,70
HCPCS,L8610,RING TENSION MORCHER EYEJET PMMA 13MM 11MM CAPSULAR TYPE 14C INJECTOR PRELOAD LEFT CLOCKWISE INSERTION,199.0,99.5,38.11,961.01,70
HCPCS,L8612,IMPLANT OPHTHALMIC 350SQ MM BAERVELDT SILICONE ANTERIOR CHAMBER 1 QUADRANT INSERTION FIXATION SUTURE HOLE RECESS KNOT CAPABILITY GLAUCOMA,802.0,401.0,153.58,1013.55,70
HCPCS,L8612,STENT ISTENT OPHTHALMIC RIGHT STERILE LATEX FREE DISPOSABLE TRABECULAR MICRO BYPASS,1425.0,712.5,272.89,1282.5,70
HCPCS,L8613,PISTON OSSICULAR L4.25 MM RIBBON LOOP OD.6 MM RICHARDS PLATINUM FLUOROPLASTIC STAPEDECTOMY STAPEDOTOMY,136.23,68.12,26.09,453.76,70
HCPCS,L8613,PROSTHESIS OSSICULAR .2MM 1.75-4.5MM EAR TTP-VARIAC TITANIUM PARTIAL REPLACEMENT,487.0,243.5,93.26,453.76,70
HCPCS,L8613,PROSTHESIS OSSICULAR .2MM 3-7MM EAR TTP-VARIAC TITANIUM TOTAL REPLACEMENT,487.0,243.5,93.26,453.76,70
HCPCS,L8613,PROSTHESIS OSSICULAR L2.5 MM X W2 MM X H1.2 MM ID1 MM APPLEBAUM CANNULATED EAR INCUDOSTAPEDIAL HA LARGE,322.59,161.3,61.78,453.76,70
HCPCS,L8613,PROSTHESIS OSSICULAR L4 MM OD.4 MM ODSEC.9 MM CLASSIC STAPES PROSTHESIS REGULAR WELL 9 MM ID NARROW SHAFT 4 MM4 MM LONG TITANI PISTON WELL CLASSIC EAR STAPES TITANIUM STANDARD NARROW,176.72,88.36,33.84,453.76,70
HCPCS,L8613,PROSTHESIS OSSICULAR L4 MM OD.4 MM ODSEC1 MM CLASSIC STAPES PROSTHESIS LARGE WELL 1 MM ID NARROW SHAFT 04 MM4 MM LONG TITANIU PISTON WELL CLASSIC EAR STAPES TITANIUM LARGE NARROW,178.44,89.22,34.17,453.76,70
HCPCS,L8614,COIL COCHLEAR AQUA+ SLIMLINE L6 CM CABLE BLUE NUCLEUS 7 SOUND PROCESSOR,191.25,95.63,36.62,28722.88,70
HCPCS,L8614,COIL COCHLEAR AQUA+ SLIMLINE L8 CM CABLE BLUE NUCLEUS 7 SOUND PROCESSOR,191.25,95.63,36.62,28722.88,70
HCPCS,L8614,HEADBAND SOUND PROCESSOR SMALL ANTISLIP STRIP OD50 CM COCHLEAR DARK BLUE KANSO,11.05,5.53,2.12,28722.88,70
HCPCS,L8614,KIT PROCESSOR SOUND SINGLE PROCESSOR KNASO 2 CP1150,10500.0,5250.0,2010.75,28722.88,70
HCPCS,L8614,PROCESSOR BLACK PROCESS UNIT COCHLEAR SOUND PLATINUM CP1000,10500.0,5250.0,2010.75,28722.88,70
HCPCS,L8614,PROCESSOR BROWN COCHLEAR SOUND CP1000,10500.0,5250.0,2010.75,28722.88,70
HCPCS,L8614,PROCESSOR GRAY COCHLEAR SOUND CP1000,10500.0,5250.0,2010.75,28722.88,70
HCPCS,L8614,PROCESSOR HEARING AID SINGLE NUCLEUS 8,11500.0,5750.0,2202.25,28722.88,70
HCPCS,L8614,PROCESSOR SAND COCHLEAR SOUND CP1000,10500.0,5250.0,2010.75,28722.88,70
HCPCS,L8614,PROCESSOR SOUND SLATE GRAY COCHLEAR BAHA 3 POWER KIT ABUTMENT COVER MULTIPACK BATTERY BRUSH BP110,3420.0,1710.0,654.93,28722.88,70
HCPCS,L8614,PROCESSOR WHITE UNIT COCHLEAR SOUND CP1000,10500.0,5250.0,2010.75,28722.88,70
HCPCS,L8614,SINGLE N7 PROCESSOR KIT,11500.0,5750.0,2202.25,28722.88,70
HCPCS,L8615,Coch implant headset replace,,,558.37,684.28,5
HCPCS,L8616,Coch implant microphone repl,,,130.06,159.39,5
HCPCS,L8617,Coch implant trans coil repl,,,113.64,139.26,5
HCPCS,L8618,Coch implant tran cable repl,,,32.46,39.78,5
HCPCS,L8619,Coch imp ext proc/contr rplc,,,10053.97,12321.04,5
HCPCS,L8621,Repl zinc air battery,,,0.77,0.94,5
HCPCS,L8622,Repl alkaline battery,,,0.4,0.49,5
HCPCS,L8623,"Lith ion batt CID,non-earlvl",,,80.07,98.13,5
HCPCS,L8624,"Lith ion batt cid, ear level",,,199.62,244.64,5
HCPCS,L8625,Charger coch impl/aoi battry,,,233.81,286.54,5
HCPCS,L8627,CID ext speech process repl,,,8522.43,10444.15,5
HCPCS,L8628,CID ext controller repl,,,1531.57,1876.93,5
HCPCS,L8629,CID transmit coil and cable,,,221.67,271.65,5
HCPCS,L8630,Metacarpophalangeal implant,,,412.46,505.46,5
HCPCS,L8631,MCP joint repl 2 pc or more,,,2768.01,3392.18,5
HCPCS,L8641,Metatarsal joint implant,,,447.67,548.61,5
HCPCS,L8642,Hallux implant,,,367.48,450.34,5
HCPCS,L8658,Interphalangeal joint spacer,,,384.04,470.64,5
HCPCS,L8659,Interphalangeal joint repl,,,2388.97,2927.66,5
HCPCS,L8670,GRAFT STENT 22MM 13MM 60MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 22MM 16MM 60MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 22MM 16MM 70MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 22MM 16MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 25MM 13MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 25MM 16MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 25MM 16MM 90MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 25MM 75MM 20MM AAA AFX VELA STRATA SUPRARENAL AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,681.49,5129.1,70
HCPCS,L8670,GRAFT STENT 28MM 115MM 28MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,681.49,5129.1,70
HCPCS,L8670,GRAFT STENT 28MM 20MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 28MM 20MM 90MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,681.49,13499.1,70
HCPCS,L8670,GRAFT STENT 28MM 95MM 20MM AAA AFX VELA STRATA SUPRARENAL AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,681.49,5129.1,70
HCPCS,L8670,GRAFT STENT 34MM 100MM 20MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,681.49,5129.1,70
HCPCS,L8670,GRAFT STENT 34MM 80MM 20MM VELA ENDOVASCULAR ABDOMEN AORTA STERILE LATEX FREE,5699.0,2849.5,681.49,5129.1,70
HCPCS,L8670,GRAFT VASCUTEK GELWEAVE CARDIOVASCULAR 32MM 40CM WOVEN STRAIGHT POLYESTER GELATIN THORACIC ABDOMINAL,938.0,469.0,179.63,844.2,70
HCPCS,L8678,Ext sply implt neurostim,,,13.15,16.11,5
HCPCS,L8679,Imp neurosti pls gn any type,,,10330.2,12659.56,5
HCPCS,L8681,Pt prgrm for implt neurostim,,,1398.33,1713.64,5
HCPCS,L8682,Implt neurostim radiofq rec,,,7380.72,9045.0,5
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6496.7,7961.64,5
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,853.14,1045.51,5
HCPCS,L8689,RECHARGER PATIENT FOR INCEPTIV NEUROSTIMULATOR,1200.0,600.0,229.8,2617.05,70
HCPCS,L8690,"Aud osseo dev, int/ext comp",,,5889.51,7217.54,5
HCPCS,L8691,CR230 REMOTE ASSISTANT,297.5,148.75,56.97,2612.85,70
HCPCS,L8693,"Aud osseo dev, abutment",,,1877.27,2300.58,5
HCPCS,L8694,Aoi transducer/actuator repl,,,1169.21,1432.85,5
HCPCS,L8695,External recharg sys extern,,,20.61,25.26,5
HCPCS,L8696,Ext antenna phren nerve stim,,,268.36,328.88,5
HCPCS,L8699,EXPANDER 250CC NATRELLE TISSUE STYLE 133SX SUTURE TAB STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,L8699,EXPANDER 350CC NATRELLE TISSUE SUTURE TAB STYLE 133SX STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,L8699,EXPANDER 350CC SILTEX P6.6CM MEDIUM HEIGHT CPX3 TISSUE 11.7X10CM STYLE 7200 INJECTION DOME SUTURE TAB STERILE,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,EXPANDER 400CC NATRELLE TISSUE STYLE 133SX SUTURE TAB STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,L8699,EXPANDER 500CC NATRELLE TISSUE SUTURE TAB STYLE 133SX STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,L8699,EXPANDER 550CC SILTEX P7.4CM MEDIUM HEIGHT CPX3 CENTERSCOPE TISSUE 13.5X11.7CM STYLE 7200 INJECTION DOME SUTURE TAB STERILE,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,EXPANDER 650CC NATRELLE TISSUE STYLE 133SX SUTURE TAB STERILE LATEX FREE,1350.0,675.0,258.53,1215.0,65
HCPCS,L8699,EXPANDER 650CC SILTEX P7.6CM MEDIUM HEIGHT CPX3 CENTERSCOPE TISSUE 14.6X12.6CM STYLE 7200 INJECTION DOME SUTURE TAB STERILE,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,EXPANDER DERMACLOSE TISSUE KIT SKIN STAPLER STERILE,999.0,499.5,191.31,899.1,65
HCPCS,L8699,EXPANDER TISSUE 100 CC SMOOTH W5.1 CM P5.6 CM RECTANGLE MENTOR SALINE OD6.6 CM,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 100 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L11 CM X W6.9 CM P3.7 CM CRESCENT DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 1000 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE P7.8 CM ROUND DACRON OD15.5 CM,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 150-450 ML SMOOTH REINFORCE BASE REMOTE INJECTION DOME BOTTOM LOAD FILL DESIGN L12 CM X W7 CM P3.2-7.2 CM ELLIPSE DACRON DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 200 CC STYLE 133S SMOOTH SUTURE TAB W11 CM X H7.6 CM P4.7 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 200 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L14.6 CM X W7.5 CM P4.3 CM CRESCENT DACRON DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 230-280 CC SMOOTH SURFACE INTEGRATE PORT W11 CM X H10.2 CM P5.2-6.7 CM FULL HEIGHT ALLOX2 BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,EXPANDER TISSUE 25 CC SMOOTH L6 CM X W4 CM P4.5 CM ELLIPSE DACRON BREAST,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 250 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W11 CM X H9 CM P5.9 CM SHORT HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 250 CC STYLE 133S-MV-T SMOOTH SUTURE TAB PORT FINDER W11 CM X H10 CM P4.9 CM MODERATE HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 250 CC STYLE 133S-SV-T SMOOTH SUTURE TAB PORT FINDER W12 CM X H8.4 CM P5.3 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 250 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L10.4 CM X W7.3 CM P5.6 CM RECTANGLE DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 250 CC STYLE 8100 LOW INJECTION DOME W11.4 CM X H8.1 CM P6.1 CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 250-750 ML SMOOTH L14 CM X W8 CM P4.5-9 CM ELLIPSE DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,"EXPANDER TISSUE 255 CC W10 CM X H10 CM P5.2 CM HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 275 CC STYLE 8200 W10.7 CM X H9.3 CM P6.2 CM MEDIUM HEIGHT CPX4 CENTERSCOPE BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 275 CC STYLE 9100 TEXTURE SELF SEAL PATCH FLEXIBLE W11.4 CM X H8.1 CM P6.1 CM CONTOUR PROFILE LOW HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 275 CC STYLE 9200 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W10.7 CM X H9.3 CM P6.2 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 300 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W13 CM X H9 CM P5.7 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 300 CC STYLE 133S SMOOTH SUTURE TAB W11 CM X H11.5 CM P5 CM FULL HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 300 CC STYLE 133S-MV-T SMOOTH SUTURE TAB PORT FINDER W12 CM X H11 CM P5.2 CM MODERATE HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 300 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L16.5 CM X W10.3 CM P4.7 CM CRESCENT DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,"EXPANDER TISSUE 300 CC W11 CM X H11 CM P6 CM HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 300 ML SMOOTH SUTURE TAB PORT FINDER W11 CM X H10 CM P5.9 CM XPROFILE MODERATE HEIGHT NATRELLE MAGNA-FINDER STYLE 133S XACT,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 340-420 CC SMOOTH SURFACE INTEGRATE PORT W13 CM X H10.6 CM P5.9-6.9 CM MID HEIGHT ALLOX BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,"EXPANDER TISSUE 350 CC INJECTION DOME ULTRA HIGH PROFILE MENTOR, ARTOURA, SILTEX",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 350 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W12 CM X H10 CM P6.3 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 350 CC STYLE 133S-FX-T SMOOTH SUTURE TAB PORT FINDER W11 CM X H11.5 CM P5.9 CM FULL HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 350 CC STYLE 8100 LOW INJECTION DOME W12.7 CM X H9.4 CM P6.5 CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 350 CC STYLE 9100 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W12.7 CM X H9.4 CM P6.5 CM CONTOUR PROFILE LOW HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 350 CC STYLE 9200 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W11.7 CM X H10 CM P6.6 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4 SILTEX,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 350 CC SUTURE TAB STYLE 8200 INJECTION DOME W11.7 CM X H10 CM P6.6 CM MEDIUM HEIGHT CPX4 SILTEX BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 360-430 CC SMOOTH SURFACE INTEGRATE PORT W13 CM X H11.9 CM P5.4-6.3 CM FULL HEIGHT ALLOX2 BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,"EXPANDER TISSUE 375 CC P6.4 CM HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 375 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W14 CM X H9.7 CM P6 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 400 CC SMOOTH NATRELLE 133S,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 400 CC STYLE 133S SMOOTH SUTURE TAB W12 CM X H12.5 CM P5.3 CM FULL HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 400 CC STYLE 133S SMOOTH SUTURE TAB W13 CM X H11 CM P6.7 CM SHORT HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 400 CC STYLE 133S-MV-T SMOOTH SUTURE TAB PORT FINDER W13 CM X H12 CM P5.6 CM MODERATE HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 400 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L10.6 CM X W9.3 CM P6.6 CM RECTANGLE DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 400 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE P5.9 CM ROUND DACRON OD11.3 CM,975.0,487.5,186.71,877.5,65
HCPCS,L8699,"EXPANDER TISSUE 450 CC 9300 TEXTURE SELF SEAL PATCH FLEXIBLE W12.3 CM X H12.9 CM P6.5 CM CONTOUR PROFILE TALL HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 450 CC STYLE 133S NATRELLE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 450 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15 CM X H10.5 CM P6.3 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 450 CC STYLE 7200 SUTURE TAB MEDIUM HEIGHT CPX3 SILTEX BREAST,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,EXPANDER TISSUE 450 CC STYLE 8100 LOW INJECTION DOME W14 CM X H10.2 CM P7.1 CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 450 CC STYLE 8200 SUTURE TAB W12.7 CM X H10.8 CM P7 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4 SILTEX,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 450 CC STYLE 8300 TALL HEIGHT INJECTION DOME W12.3 CM X H12.9 CM P6.5 CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 450 CC STYLE 9100 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W14 CM X H7.1 CM P7.1 CM CONTOUR PROFILE LOW HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 455 CC INJECTION DOME ULTRA HIGH PROFILE MENTOR, ARTOURA, SILTEX",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 460-550 CC SMOOTH SURFACE INTEGRATE PORT W14 CM X H11.2 CM P6-7.3 CM MID HEIGHT ALLOX BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,"EXPANDER TISSUE 475 CC W13 CM X H13 CM P6.8 CM HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 480-575 CC SMOOTH SURFACE INTEGRATE PORT W14 CM X H12.9 CM P6.1-7.3 CM FULL HEIGHT ALLOX2 BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,EXPANDER TISSUE 50 CC SMOOTH L8 CM X W5 CM P2.5 CM ELLIPTICAL MENTOR SALINE,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 50 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L9 CM X W5.7 CM P2.7 CM CRESCENT DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 500 CC STYLE 133S SMOOTH NATRELLE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 500 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W16 CM X H11.3 CM P6.3 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 500 CC STYLE 133S SMOOTH SUTURE TAB W14 CM X H12 CM P7.1 CM SHORT HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 500 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L19.6 CM X W12.4 CM P5.5 CM CRESCENT DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,"EXPANDER TISSUE 500 CC W13.5 CM X H13.5 CM P6.6 CM HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 500 ML SMOOTH SUTURE TAB PORT FINDER W13 CM X H12 CM P6.7 CM XPROFILE MODERATE HEIGHT NATRELLE MAGNA-FINDER STYLE 133S XACT,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 500 ML SMOOTH SUTURE TAB PORT FINDER W14 CM X H13 CM P6 CM VARIABLE PROFILE MODERATE HEIGHT NATRELLE MAGNA-FINDER STYLE 133S XACT,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 500-600 CC SMOOTH SURFACE INTEGRATE PORT W15 CM X H11.5 CM P6.4-7.9 CM MID HEIGHT ALLOX BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,"EXPANDER TISSUE 550 CC 9300 TEXTURE SELF SEAL PATCH FLEXIBLE W13.2 CM X H13.8 CM P6.9 CM CONTOUR PROFILE TALL HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 550 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L13.7 CM X W7.1 CM RECTANGLE MENTOR DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 550 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE P5.8 CM ROUND DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 550 CC STYLE 8100 LOW INJECTION DOME W15 CM X H10.9 CM P7.4 CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 550 CC STYLE 8200 NO SUTURE TAB MAGNETIC DETECTION DEVICE W13.5 CM X H111.7 CM P7.4 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4 SILTEX,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 550 CC STYLE 8300 CENTERSCOPE INJECTION DOME W13.2 CM X H13.8 CM P6.9 CM CONTOUR PROFILE TALL HEIGHT CPX4 SILTEX,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 550 CC STYLE 9100 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W15 CM X H10.9 CM P7.4 CM CONTOUR PROFILE LOW HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 550 CC STYLE 9200 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W13.5 CM X H11.7 CM P7.4 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 550 ML SMOOTH SUTURE TAB PORT FINDER W13 CM X H13.5 CM P6.7 CM XPROFILE FULL HEIGHT NATRELLE MAGNA-FINDER STYLE 133S XACT,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 580-690 CC SMOOTH INTEGRATE PORT W16 CM X H12 CM P6.6-8.2 CM MID HEIGHT ALLOX2 BREAST,1650.0,825.0,315.98,1485.0,65
HCPCS,L8699,EXPANDER TISSUE 600 CC SMOOTH SUTURE TAB PORT FINDER W14 CM X H13 CM P7.1 CM XPROFILE MODERATE HEIGHT NATRELLE MAGNA-FINDER STYLE 133S XACT,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 600 CC STYLE 133S SMOOTH NATRELLE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,"EXPANDER TISSUE 600 CC W14 CM X H14 CM HIGH PROFILE MENTOR, ARTOURA, SILTEX SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 600 ML SMOOTH SUTURE TAB PORT FINDER W15 CM X H14 CM P6.3 CM VARIABLE PROFILE MODERATE HEIGHT NATRELLE MAGNA-FINDER STYLE 133S XACT,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 650 CC 8200 W14.6 CM X H12.6 CM P7.6 CM MEDIUM HEIGHT CPX4 SILTEX,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 650 CC 9300 TEXTURE SELF SEAL PATCH FLEXIBLE W14 CM X H14.6 CM P7.3 CM CONTOUR PROFILE TALL HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 650 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W14 CM X H14.5 CM P7.1 CM FULL HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 650 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15 CM X H13 CM P7.6 CM SHORT HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 650 CC STYLE 8100 LOW INJECTION DOME W15.7 CM X H11.2 CM P7.9 CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 650 CC STYLE 8300 TALL HEIGHT INJECTION DOME W14 CM X H14.6 CM P7.3CM CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 650 CC STYLE 9100 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W15.7 CM X H11.2 CM P7.9 CM CONTOUR PROFILE LOW HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 650 CC W13 CM X H13 CM P8.2 CM ULTRA HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 700 CC 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE P6.7 CM ROUND MENTOR OD14.6 CM,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 700 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15 CM X H14 CM P7.6 CM MODERATE HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 700 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W16 CM X H15 CM P6.6 CM MODERATE HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 700 CC STYLE 1600 SMOOTH SELF SEAL DIAPHRAGM VALVE L15 CM X W8 CM P7.9 CM RECTANGLE DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 75-225 ML SMOOTH REINFORCED REMOTE INJECTION DOME BOTTOM LOADING FILL W10 CM X H6 CM P2.1-6 CM ELLIPSE DACRON DACRON,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 750 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15 CM X H15.5 CM P6.7 CM FULL HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 750 CC STYLE 8300 INJECTION DOME W14.6 CM X H15.3 CM P7.6 CM TALL HEIGHT CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 750 CC STYLE 9100 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W16.5 CM X H11.9 CM P8.1 CM CONTOUR PROFILE LOW HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 750 CC STYLE 9300 TEXTURE SELF SEAL PATCH SUTURE TAB W14.6 CM X H15.3 CM P7.6 CM CONTOUR PROFILE TALL HEIGHT CPX4, SILTEX SILTEX BREAST",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 750 CC TEXTURE SUTURE TAB INTEGRAL INJECTION DOME HIGH PROFILE MENTOR, ARTOURA, SILTEX",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 800 CC STYLE 133S SMOOTH SUTURE TAB W15 CM X H15.5 CM P7.6 CM FULL HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,"EXPANDER TISSUE 800 CC STYLE 9200 TEXTURE SURFACE 3 SUTURE TAB MAGNETIC DETECTION DEVICE W15.6 CM X H13.3 CM P8 CM CONTOUR PROFILE MEDIUM HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 800 CC SUTURE TAB STYLE 8200 INJECTION DOME W15.6 CM X H13.3 CM P8 CM MEDIUM HEIGHT CPX4 SILTEX BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,EXPANDER TISSUE 850 CC SMOOTH P7.2 CM ROUND MENTOR SALINE OD15 CM,975.0,487.5,186.71,877.5,65
HCPCS,L8699,EXPANDER TISSUE 850 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15.5 CM X H14.5 CM P8.1 CM MODERATE HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 850 CC STYLE 133S-FV-T SMOOTH SUTURE TAB PORT FINDER W16 CM X H16.5 CM P6.8 CM FULL HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE 850 CC STYLE 8300 INJECTION DOME W15.4 CM X H15.9 CM P7.9 CM TALL HEIGHT CPX4 BREAST,1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 850 CC STYLE 9300 3 SUTURE TAB MAGNETIC DETECTION DEVICE W15.4 CM X H15.9 CM P7.9 CM TALL HEIGHT CPX4, SILTEX SILTEX",1640.0,820.0,314.06,1476.0,65
HCPCS,L8699,"EXPANDER TISSUE 850 CC W15.5 CM X H15.5 CM P7.8 CM HIGH PROFILE ROUND MENTOR, ARTOURA, SILTEX BREAST",1925.0,962.5,368.64,1732.5,65
HCPCS,L8699,EXPANDER TISSUE 950 CC STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15.5 CM X H16 CM P8.1 CM FULL HEIGHT EXTRA PROJECTION NATRELLE MAGNA-FINDER FOURTE BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,EXPANDER TISSUE STYLE 133S SMOOTH SUTURE TAB PORT FINDER W15.5 CM X H13.5 CM P8.1 CM SHORT HEIGHT VARIABLE PROJECTION NATRELLE MAGNA-FINDER FOURTE 800 CC BREAST,1280.0,640.0,245.12,1152.0,65
HCPCS,L8699,IMPLANT BREAST 630 CC P5.7 MM ROUND MODERATE HIGH PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL XTRA OD14.2 CM,1000.0,500.0,191.5,900.0,65
HCPCS,L8699,IMPLANT EYELID STANDARD 0.6MM THK GOLD 1.4GM TAPERED EDGE ROUNDED CORNER THIN PROFILE DESIGN F/LAGOPHTHALMOS STERILE,325.0,162.5,62.24,292.5,65
HCPCS,L8699,IMPLANT NASAL PLATE 40MM X 50MM 0.5MM THK POLYDIOXANONE RECTANGULAR NON-PERFORATED FLEXIBLE ABSORBABLE,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,IMPLANT UROLOGICAL IMPLANT CARTRIDGE UROLIFT 2,4100.0,2050.0,785.15,3690.0,65
HCPCS,L8699,KIT HANDLE DELIVERY HANDLE IMPLANT CARTRIDGE UROLIFT,1025.0,512.5,196.29,922.5,65
HCPCS,L8699,KIT NEUROSTIMULATOR LEAD ANCHOR NEVRO DISPOSABLE STERILE LATEX FREE,125.0,62.5,23.94,112.5,65
HCPCS,L8699,PLATE L50 MM X W40 MM X H.25 IN NASAL PDS BONE,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,PLATE NASAL L50 MM X W40 MM X H.15 MM RECTANGLE FLEXIBLE PERFORATE PDS PDO VIOLET,1450.0,725.0,277.68,1305.0,65
HCPCS,L8699,SYSTEM IMPLANT LINX 15 BEAD 1.5 TESLA GASTROINTESTINAL GERD,5500.0,2750.0,1053.25,4950.0,65
HCPCS,L8699,VALVE AORTIC EVOLUT FX 26MM,30000.0,15000.0,5745.0,27000.0,65
HCPCS,L8699,VALVE AORTIC EVOLUT FX 29MM,30000.0,15000.0,5745.0,27000.0,65
HCPCS,L8699,VALVE AORTIC EVOLUT FX 34MM,30000.0,15000.0,5745.0,27000.0,65
HCPCS,L8699,WEIGHT EYELID .1GM THINPROFILE PLATINUM THK.6MM ROUND SPHERICAL CURVATURE TAPERED LOWER EDGE,420.0,210.0,80.43,378.0,65
HCPCS,L8699,WEIGHT EYELID .6GM CONTOUR GOLD THK1MM TAPER LOWER EDGE ROUND CORNER,255.0,127.5,48.83,229.5,65
HCPCS,L8699,WEIGHT EYELID .8GM CONTOUR GOLD THK1MM TAPER LOWER EDGE ROUND CORNER,265.0,132.5,50.75,238.5,65
HCPCS,L8699,WEIGHT EYELID .8GM THINPROFILE GOLD THK.6MM SPHERICAL CURVATURE TAPER LOWER EDGE ROUND CORNER,365.0,182.5,69.9,328.5,65
HCPCS,L8699,WEIGHT EYELID .8GM THINPROFILE PLATINUM THK.6MM TREATMENT OF LAGAPHTHALMOS,400.0,200.0,76.6,360.0,65
HCPCS,L8699,WEIGHT EYELID 0.6MM THK GOLD 0.10GM TAPERED EDGE ROUNDED CORNER SLEEK SMOOTH F/LAGOPHTHALMOS TREATMENT THINPROFILE LATEX-FREE STERILE,265.0,132.5,50.75,238.5,65
HCPCS,L8699,WEIGHT EYELID 0.6MM THK GOLD 0.6GM TAPERED EDGE ROUNDED CORNER SLEEK SMOOTH F/LAGOPHTHALMOS TREATMENT THINPROFILE LATEX-FREE STERILE,235.0,117.5,45.0,211.5,65
HCPCS,L8699,WEIGHT EYELID 1.2GM CONTOUR GOLD THK1MM TAPER LOWER EDGE ROUND CORNER,305.0,152.5,58.41,274.5,65
HCPCS,L8699,WEIGHT EYELID 1.2GM THINPROFILE GOLD THK.6MM SPHERICAL CURVATURE TAPER LOWER EDGE ROUND CORNER,325.0,162.5,62.24,292.5,65
HCPCS,L8699,WEIGHT EYELID 1.2GM THINPROFILE PLATINUM THK.6MM SPHERICAL CURVATURE TAPERED LOWER EDGE ROUND CORNER,440.0,220.0,84.26,396.0,65
HCPCS,L8699,WEIGHT EYELID 1.4GM CONTOUR GOLD STERILE LATEX FREE DISPOSABLE,355.0,177.5,67.98,319.5,65
HCPCS,L8699,WEIGHT EYELID 1.6GM CONTOUR GOLD THK1MM ROUND SPHERE TAPER 18.8X5MM CURVATURE LOWER EDGE CORNER STERILE,355.0,177.5,67.98,319.5,65
HCPCS,L8699,WEIGHT EYELID 1.8GM CONTOUR GOLD 1MM SPHERICAL CURVATURE TAPERED LOWER EDGE ROUND CORNER SMOOTH,414.0,207.0,79.28,372.6,65
HCPCS,L8699,WEIGHT EYELID 1MM HOLE STANDARD 5MM X 14.5MM 1MM THK PLATINUM 1.2GM ROUND CORNER TAPERED EDGE F/LAGOPHTHALMOS CONTOUR STERILE,440.0,220.0,84.26,396.0,65
HCPCS,L8699,WEIGHT EYELID 1MM HOLE STANDARD 5MM X 16.6MM 1MM THK PLATINUM 1.4GM ROUND CORNER TAPERED EDGE F/LAGOPHTHALMOS CONTOUR STERILE,485.0,242.5,92.88,436.5,65
HCPCS,L8699,WEIGHT EYELID 1MM THK GOLD 1.2GM TAPERED EDGE ROUNDED CORNER SLEEK SMOOTH F/LAGOPHTHALMOS TREATMENT THINPROFILE LATEX-FREE STERILE,275.0,137.5,52.66,247.5,65
HCPCS,L8699,WEIGHT EYELID 1MM THK GOLD 1GM SPHERICAL CURVATURE TAPERED LOWER EDGE ROUND SLEEK SMOOTH F/LAGOPHTHALMOS TREATMENT CONTOUR LATEX-FREE STERILE,295.0,147.5,56.49,265.5,65
HCPCS,L8699,WEIGHT EYELID 1MMTHK PLATINUM 1.6GM TAPERED EDGE ROUNDED CORNER SLEEK SMOOTH F/LAGOPHTHALMOS TREATMENT THINPROFILE LATEX-FREE STERILE,365.0,182.5,69.9,328.5,65
HCPCS,L8701,Ewh s/d uprt micro sensor,,,34970.13,42855.55,5
HCPCS,L8702,Ewhf s/d uprt micro sensor,,,68801.71,84315.83,5
HCPCS,M0201,Pne flu hepb cov home admin,,,35.75,459.0,14
HCPCS,M0220,HC IV INFUSION TIXAGEVIMAB/CILGAVIMAB EUA MONOCLONAL ANTIBODY,1207.3,603.65,62.81,1086.57,65
HCPCS,M0220,Physician Fee Schedule,,,150.5,153.51,9
HCPCS,M0221,Physician Fee Schedule,,,250.5,255.51,9
HCPCS,M0222,HC IV INFUSION BEBTELOVIMAB EUA MONOCLONAL ANTIBODY,1207.3,603.65,62.81,1086.57,65
HCPCS,M0224,HC PEMIVIBART INFUSION,1207.3,603.65,62.81,1086.57,70
HCPCS,M0235,"Intrav inf, mon anti, fir do",,,437.04,535.59,5
HCPCS,M0236,"Intrav inf, mon anti, sec do",,,437.04,535.59,5
HCPCS,M0237,"Intrav inf, toci, first dose",,,437.04,535.59,5
HCPCS,M0238,"Intrav inf, toci, second dos",,,437.04,535.59,5
HCPCS,M0240,HC IV INFUSE CASIRIVIMAB/IMDEVIMAB EUA MONOCLONAL ANTIBDY SUBSQ REPEAT,1207.3,603.65,62.81,1086.57,65
HCPCS,M0240,Physician Fee Schedule,,,450.0,459.0,9
HCPCS,M0241,Physician Fee Schedule,,,750.0,765.0,9
HCPCS,M0243,HC IV INFUSION CASIRIVIMAB/IMDEVIMAB EUA MONOCLONAL ANTIBODY,1207.3,603.65,62.81,1086.57,65
HCPCS,M0243,Physician Fee Schedule,,,450.0,459.0,9
HCPCS,M0244,Physician Fee Schedule,,,750.0,765.0,9
HCPCS,M0245,HC IV INFUSION BAMLANIVIMAB/ETESEVIMAB EUA MONOCLONAL ANTIBODY,1207.3,603.65,62.81,1086.57,65
HCPCS,M0247,HC IV INFUSION SOTROVIMAB EUA MONOCLONAL ANTIBODY,1207.3,603.65,62.81,1086.57,65
HCPCS,M0247,Physician Fee Schedule,,,450.0,459.0,9
HCPCS,M0248,Physician Fee Schedule,,,750.0,765.0,9
HCPCS,M0249,HC IV INFUSION TOCILIZUMAB EUA MONOCLONAL ANTIBODY 1ST DOSE,1207.3,603.65,62.81,1086.57,70
HCPCS,M0250,HC IV INFUSION TOCILIZUMAB EUA MONOCLONAL ANTIBODY 2ND DOSE,1207.3,603.65,62.81,1086.57,70
HCPCS,P2028,Cephalin floculation test,,,5.05,6.19,5
HCPCS,P2029,Congo red blood test,,,5.05,6.19,5
HCPCS,P2031,Hair analysis,,,5.05,6.19,5
HCPCS,P2033,Blood thymol turbidity,,,5.05,6.19,5
HCPCS,P2038,Blood mucoprotein,,,5.05,6.19,5
HCPCS,P3000,Screen pap by tech w md supv,,,18.55,22.74,5
HCPCS,P3001,Screening pap smear by phys,,,23.0,28.75,10
HCPCS,P9010,HC WHOLE BLOOD SERVICE,1175.7,587.85,85.42,1058.13,70
HCPCS,P9011,Blood split unit,,,144.64,177.25,5
HCPCS,P9012,HC CRYOPRECIPITATE,181.8,90.9,39.65,163.62,70
HCPCS,P9016,"HC RED BLOOD CELLS, L/R",699.75,349.88,85.42,629.78,70
HCPCS,P9017,HC FRESH FROZEN PLASMA,311.1,155.55,67.85,279.99,70
HCPCS,P9019,"Platelets, each unit",,,77.48,94.95,5
HCPCS,P9020,Plaelet rich plasma unit,,,568.47,696.65,5
HCPCS,P9021,HC RED BLOOD CELLS UNIT,689.85,344.93,85.42,620.87,70
HCPCS,P9022,HC WASHED RED CELL SERVICE,1065.3,532.65,85.42,958.77,70
HCPCS,P9023,"Frozen plasma, pooled, sd",,,63.56,77.89,5
HCPCS,P9025,Plasma cryo redu path each,,,137.85,168.94,5
HCPCS,P9026,HC CRYO FIBRINOGEN COMPLX PATHO REDU EA UNIT,2358.05,1179.03,85.42,2122.25,70
HCPCS,P9027,Rbc o2 co2 reduced,,,496.84,608.88,5
HCPCS,P9031,HC PLATELETS LEUKO REDUCED,475.9,237.95,85.42,428.31,70
HCPCS,P9032,"Platelets, irradiated",,,138.5,169.73,5
HCPCS,P9033,HC ACRODOSE PLATELETS IRRADIATED,397.8,198.9,85.42,358.02,70
HCPCS,P9034,"HC PLATELETS,PHERESIS",2786.25,1393.13,85.42,2507.63,70
HCPCS,P9035,HC PLATELETS PHERESIS LEUKO RDCD,2471.65,1235.83,85.42,2224.49,70
HCPCS,P9036,Platelet pheresis irradiated,,,599.4,734.56,5
HCPCS,P9037,HC PLATELETS LEUKO REDUCED IRRAD,2672.15,1336.08,85.42,2404.94,70
HCPCS,P9038,RBC irradiated,,,152.2,186.53,5
HCPCS,P9039,RBC deglycerolized,,,666.81,817.18,5
HCPCS,P9040,HC RBC LEUKOREDUCED IRRADIATED,1118.2,559.1,85.42,1006.38,70
HCPCS,P9041,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",172.95,86.48,37.72,155.66,130
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.23,10.09,5
HCPCS,P9044,HC CRYO REDUCED PLASMA,283.7,141.85,61.87,255.33,70
HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",223.0,111.5,42.64,338.4,980
HCPCS,P9045,"ALBUMIN, HUMAN-KJDA 5 % INTRAVENOUS SOLUTION",275.95,137.98,44.74,312.08,280
HCPCS,P9046,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",150.2,75.1,21.66,135.18,140
HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",297.2,148.6,42.64,440.46,1690
HCPCS,P9047,"ALBUMIN, HUMAN-KJDA 25 % INTRAVENOUS SOLUTION",267.525,133.765,45.58,293.45,260
HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,75.19,92.15,5
HCPCS,P9050,HC GRANULOCYTES PHERESIS EACH UNIT,7993.85,3996.93,85.42,7194.47,65
HCPCS,P9051,"Blood, l/r, cmv-neg",,,175.64,215.25,5
HCPCS,P9052,HC PLATELETS HLA LR APHERESIS,2682.8,1341.4,85.42,2414.52,70
HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,468.41,574.04,5
HCPCS,P9054,"HC BLOOD, L/R, FROZ/DEGLYCED",1835.85,917.93,85.42,1652.27,70
HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,231.8,284.06,5
HCPCS,P9056,HC RESCONSTITUTED WHOLE BLOOD IRRAD,1023.1,511.55,85.42,920.79,70
HCPCS,P9057,HC RBC LEUKORD IRRAD WASHED/DEGLYC,1845.95,922.98,85.42,1661.36,70
HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,227.32,278.58,5
HCPCS,P9059,HC PLASMA FROZEN BETWEEN 8-24 HR EACH UNIT,283.7,141.85,61.87,255.33,70
HCPCS,P9060,Fr frz plasma donor retested,,,49.91,61.16,5
HCPCS,P9070,Pathogen reduced plasma pool,,,57.23,70.14,5
HCPCS,P9071,Pathogen reduced plasma sing,,,298.38,365.66,5
HCPCS,P9073,HC PLATELET PHERESIS PATH RED EACH,2581.8,1290.9,85.42,2323.62,70
HCPCS,P9099,Blood component/product noc,,,49.91,61.16,5
HCPCS,P9100,Pathogen test for platelets,,,57.63,70.62,5
HCPCS,P9612,Catheterize for urine spec,,,3.42,4.83,2
HCPCS,P9612,HC CATHETERIZATION URINE SPEC,290.85,145.43,9.27,261.77,69
HCPCS,P9612,HC ER CATHETERIZATION URINE SPEC,296.3,148.15,9.27,266.67,72
HCPCS,P9615,Urine specimen collect mult,,,9.27,11.36,5
HCPCS,Q0035,Cardiokymography,,,7.73,46.66,20
HCPCS,Q0091,Obtaining screen pap smear,,,16.89,66.91,13
HCPCS,Q0092,Set up port xray equipment,,,23.88,29.85,10
HCPCS,Q0111,Wet mounts/ w preparations,,,4.77,25.63,21
HCPCS,Q0112,HC KOH/SALINE SLIDE,166.65,83.33,5.95,149.99,69
HCPCS,Q0112,Potassium hydroxide preps,,,5.35,9.39,13
HCPCS,Q0113,Pinworm examinations,,,3.77,5.34,14
HCPCS,Q0114,Fern test,,,9.48,15.68,6
HCPCS,Q0114,HC FERN TEST AMNIOTIC FLUID,98.3,49.15,9.93,88.47,69
HCPCS,Q0115,Post-coital mucous exam,,,25.5,31.25,5
HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,1342.45,671.23,0.33,1758.38,213
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,1.23,1.23,1
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.33,0.41,6
HCPCS,Q0144,AZITHROMYCIN 1 GRAM ORAL PACKET,137.05,68.53,21.49,232.11,195
HCPCS,Q0144,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,67.95,33.98,13.74,79.74,195
HCPCS,Q0144,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,67.95,33.98,4.46,132.53,1105
HCPCS,Q0144,AZITHROMYCIN 250 MG TABLET,48.7,24.35,0.76,717.98,2210
HCPCS,Q0144,AZITHROMYCIN 600 MG TABLET,162.375,81.19,5.15,621.68,520
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,1.88,1.88,1
HCPCS,Q0166,GRANISETRON HCL 1 MG TABLET,65.8,32.9,1.24,112.14,520
HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE,544.2,272.1,5.66,1210.5,390
HCPCS,Q0167,DRONABINOL 5 MG CAPSULE,872.8499999999999,436.42499999999995,11.44,857.25,390
HCPCS,Q0169,PROMETHAZINE 50 MG TABLET,46.2,23.1,6.67,50.76,195
HCPCS,Q0224,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2591.7,1295.85,565.25,9048.75,70
HCPCS,Q0249,Tocilizumab for COVID-19,,,7.72,9.46,5
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,960.54,1177.14,5
HCPCS,Q0478,"Power adapter, combo vad",,,227.5,278.8,5
HCPCS,Q0479,"Power module combo vad, rep",,,14835.04,18180.2,5
HCPCS,Q0480,"Driver pneumatic vad, rep",,,111502.61,136645.35,5
HCPCS,Q0481,"Microprcsr cu elec vad, rep",,,17989.68,22046.18,5
HCPCS,Q0482,"Microprcsr cu combo vad, rep",,,5634.71,6905.29,5
HCPCS,Q0483,"Monitor elec vad, rep",,,23212.4,28446.56,5
HCPCS,Q0484,Monitor elec or comb vad rep,,,4507.79,5524.25,5
HCPCS,Q0485,"Monitor cable elec vad, rep",,,435.21,533.35,5
HCPCS,Q0486,Mon cable elec/pneum vad rep,,,362.21,443.89,5
HCPCS,Q0487,"Leads any type vad, rep only",,,422.6,517.89,5
HCPCS,Q0489,"Pwr pck base combo vad, rep",,,20123.89,24661.63,5
HCPCS,Q0490,"Emr pwr source elec vad, rep",,,870.47,1066.75,5
HCPCS,Q0491,Emr pwr source combo vad rep,,,1368.43,1677.0,5
HCPCS,Q0492,"Emr pwr cbl elec vad, rep",,,110.28,135.15,5
HCPCS,Q0493,"Emr pwr cbl combo vad, rep",,,313.85,384.63,5
HCPCS,Q0494,"Emr hd pmp elec/combo, rep",,,265.6,325.49,5
HCPCS,Q0495,"Charger elec/combo vad, rep",,,5171.38,6337.48,5
HCPCS,Q0496,"Battery elec/combo vad, rep",,,1856.1,2274.64,5
HCPCS,Q0497,"Bat clps elec/comb vad, rep",,,579.54,710.23,5
HCPCS,Q0498,"Holster elec/combo vad, rep",,,635.9,779.29,5
HCPCS,Q0499,Belt/vest elec/combo vad rep,,,206.62,253.21,5
HCPCS,Q0500,"Filters elec/combo vad, rep",,,37.8,46.33,5
HCPCS,Q0501,"Shwr cov elec/combo vad, rep",,,632.25,774.81,5
HCPCS,Q0502,BAG EQUIPMENT HEARTMATE II TRAVEL LEFT VENTRICULAR ASSIST DEVICE SYSTEM (LVAD),144.0,72.0,27.58,986.44,70
HCPCS,Q0503,Battery pneum vad replacemnt,,,1609.89,1972.9,5
HCPCS,Q0504,"Pwr adpt pneum vad, rep veh",,,849.48,1041.03,5
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,740.06,1461.51,7
HCPCS,Q0508,ADAPTER AC POWER HEARTWARE VENTRICULAR NONSTERILE LATEX FREE DISPOSABLE,1000.0,500.0,191.5,900.0,65
HCPCS,Q0508,KIT DEVICE VENTRICULAR ASSIST 14INW X 24INL X 10INH F/VAD DRIVELINE MANAGEMENT LATEX-FREE,403.4,201.7,77.25,363.06,65
HCPCS,Q2004,CITRIC AC 1980.6 MG-GLUCONO 59.4 MG-MAG CARB 980.4 MG/30 ML IRRIG.SOLN,32.95,16.48,7.19,29.66,65
HCPCS,Q2009,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.875,11.440000000000001,4.79,27.32,780
HCPCS,Q2009,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,75.6,37.8,12.04,128.07,910
HCPCS,Q2026,Radiesse injection,,,340.09,416.78,5
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.71,1.25,6
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,16.83,16.83,1
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,7.91,7.91,1
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,16.33,16.33,1
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,11.12,11.12,1
HCPCS,Q2039,"Influenza virus vaccine, nos",,,11.42,11.42,1
HCPCS,Q2041,AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION,3021480.0,1510740.0,543894.77,2719332.0,138
HCPCS,Q2042,TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION,3561200.05,1780600.03,603560.73,3205080.05,69
HCPCS,Q2042,TISAGENLECLEUCEL 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION,2933561.5,1466780.75,603560.73,2640205.35,69
HCPCS,Q2043,Sipuleucel-T auto CD54+,,,54444.53,69090.41,6
HCPCS,Q2049,Imported Lipodox inj,,,539.44,661.08,5
HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1855.8,927.9,94.88,5688.9,852
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL 1X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,2544000.0,1272000.0,499090.7,2289600.0,138
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION,2544000.0,1272000.0,499090.7,2289600.0,138
HCPCS,Q2054,LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP,3188102.4,1594051.2,573788.95,2869292.16,69
HCPCS,Q2055,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,3169280.6,1584640.3,568464.29,2852352.54,207
HCPCS,Q2056,CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,3132333.0,1566166.5,577186.32,2819099.7,138
HCPCS,Q2057,Afamitresgene autoleucel,,,786032.4,963275.0,5
HCPCS,Q2058,Obecbtge autol up to 400 mil,,,283815.0,347812.5,5
HCPCS,Q3014,HC ER TELEHEALTH FACILITY FEE,103.7,51.85,22.62,93.33,67
HCPCS,Q3014,HC TELEHEALTH FACILITY FEE,103.7,51.85,22.62,93.33,65
HCPCS,Q3014,Telehealth facility fee,,,20.61,21.02,9
HCPCS,Q3027,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR PEN KIT,31942.6,15971.3,59.59,28748.34,71
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,39.54,39.54,1
HCPCS,Q4001,Cast sup body cast plaster,,,62.36,76.43,5
HCPCS,Q4002,Cast sup body cast fiberglas,,,235.64,288.78,5
HCPCS,Q4003,Cast sup shoulder cast plstr,,,44.78,54.88,5
HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,155.03,189.99,5
HCPCS,Q4005,Cast sup long arm adult plst,,,16.51,20.24,5
HCPCS,Q4006,Cast sup long arm adult fbrg,,,20.26,45.59,7
HCPCS,Q4007,Cast sup long arm ped plster,,,8.25,10.11,5
HCPCS,Q4008,Cast sup long arm ped fbrgls,,,13.01,22.83,7
HCPCS,Q4009,Cast sup sht arm adult plstr,,,11.03,13.51,5
HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,13.5,34.28,11
HCPCS,Q4011,Cast sup sht arm ped plaster,,,5.5,6.74,5
HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,8.7,15.25,7
HCPCS,Q4013,Cast sup gauntlet plaster,,,20.07,24.6,5
HCPCS,Q4014,Cast sup gauntlet fiberglass,,,33.84,41.48,5
HCPCS,Q4015,Cast sup gauntlet ped plster,,,10.05,12.31,5
HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,16.91,20.73,5
HCPCS,Q4017,Cast sup lng arm splint plst,,,11.6,14.26,6
HCPCS,Q4018,Cast sup lng arm splint fbrg,,,10.06,25.55,10
HCPCS,Q4019,Cast sup lng arm splnt ped p,,,4.07,7.11,6
HCPCS,Q4020,Cast sup lng arm splnt ped f,,,5.85,12.83,10
HCPCS,Q4021,Cast sup sht arm splint plst,,,6.01,10.54,7
HCPCS,Q4022,Cast sup sht arm splint fbrg,,,8.43,21.41,11
HCPCS,Q4023,Cast sup sht arm splnt ped p,,,4.31,5.97,6
HCPCS,Q4024,Cast sup sht arm splnt ped f,,,5.43,10.72,8
HCPCS,Q4025,Cast sup hip spica plaster,,,48.12,58.98,5
HCPCS,Q4026,Cast sup hip spica fiberglas,,,150.32,184.21,5
HCPCS,Q4027,Cast sup hip spica ped plstr,,,24.08,29.51,5
HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,75.2,92.16,5
HCPCS,Q4029,Cast sup long leg plaster,,,36.82,45.13,5
HCPCS,Q4030,Cast sup long leg fiberglass,,,67.83,118.78,6
HCPCS,Q4031,Cast sup lng leg ped plaster,,,18.39,22.54,5
HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,33.92,66.98,8
HCPCS,Q4033,Cast sup lng leg cylinder pl,,,34.35,42.1,5
HCPCS,Q4034,Cast sup lng leg cylinder fb,,,85.39,104.65,5
HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,17.17,21.04,5
HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,42.73,52.36,5
HCPCS,Q4037,Cast sup shrt leg plaster,,,20.92,25.64,5
HCPCS,Q4038,Cast sup shrt leg fiberglass,,,36.73,72.53,10
HCPCS,Q4039,Cast sup shrt leg ped plster,,,10.5,12.86,5
HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,18.36,36.26,8
HCPCS,Q4041,Cast sup lng leg splnt plstr,,,25.48,31.23,5
HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,30.44,53.3,6
HCPCS,Q4043,Cast sup lng leg splnt ped p,,,6.94,15.61,6
HCPCS,Q4044,Cast sup lng leg splnt ped f,,,21.78,26.69,5
HCPCS,Q4045,Cast sup sht leg splnt plstr,,,14.79,18.13,5
HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,16.64,32.86,8
HCPCS,Q4047,Cast sup sht leg splnt ped p,,,7.36,10.18,6
HCPCS,Q4048,Cast sup sht leg splnt ped f,,,8.33,14.59,6
HCPCS,Q4049,"Finger splint, static",,,1.88,3.7,8
HCPCS,Q4081,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",698.225,349.115,0.98,667.35,330
HCPCS,Q4081,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",228.10000000000002,114.055,0.98,230.45,264
HCPCS,Q4081,"EPOETIN ALFA 20,000 UNIT/2 ML INJECTION SOLUTION",1458.0,729.0,0.98,1312.2,132
HCPCS,Q4081,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1371.45,685.725,0.98,1312.2,264
HCPCS,Q4081,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",329.625,164.815,0.98,334.35,264
HCPCS,Q4081,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",399.3,199.65,0.98,438.3,264
HCPCS,Q4081,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",1984.85,992.43,0.98,1786.37,132
HCPCS,Q4100,ALLOGRAFT ALLOMEND HUMAN TISSUE 12CM X 6CM 1-2MM THK 72SQCM THICK ACELLULAR DERMAL MATRIX NON-MESHED,2170.0,1085.0,415.56,1953.0,65
HCPCS,Q4100,DRESSING WOUND KERECIS OMEGA3 SURGICLOSE MICRO 19SQ CM DECELLULARIZED FISH SKIN STERILE LATEX FREE,1155.0,577.5,221.18,1039.5,65
HCPCS,Q4100,GRAFT AMNIOFIX 6X2CM SOFT TISSUE SHEET,520.0,260.0,99.58,468.0,65
HCPCS,Q4100,GRAFT AMNIOFIX PURION 4X4CM SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT SHEET STERILE,1442.0,721.0,276.14,1297.8,65
HCPCS,Q4100,GRAFT HUMAN TISSUE 232SQCM 230ML FROZEN NONMESHED CADAVER,406.0,203.0,77.75,365.4,65
HCPCS,Q4100,GRAFT SKIN L3 CM X W7 CM 21CM SQ FENESTRATE OMEGA3 SURGIBIND FISH SKIN,1128.0,564.0,216.01,1015.2,65
HCPCS,Q4100,GRAFT SOFT TISSUE ALLOMEND THK2-3.3 MM XTHICK L16 CM X W4 CM ALLOGRAFT NONMESH L64 CM,2750.0,1375.0,526.63,2475.0,65
HCPCS,Q4101,Apligraf,,,27.7,28.25,9
HCPCS,Q4101,GRAFT APLIGRF 44SQ CM SKIN,1345.0,672.5,33.74,1210.5,66
HCPCS,Q4101,HC APLIGRAFT PER SQ CM APPLIED,95.95,47.98,20.93,86.36,66
HCPCS,Q4102,HC OASIS WND MTX PER SQ CM APPLIED,40.4,20.2,8.81,36.36,65
HCPCS,Q4104,Integra bmwd,,,22.58,52.97,10
HCPCS,Q4105,Integra drt or omnigraft,,,27.1,27.1,1
HCPCS,Q4106,HC SKIN SUB DERMAGRAFT,141.2,70.6,30.8,127.08,66
HCPCS,Q4106,Physician Fee Schedule,,,33.94,34.62,9
HCPCS,Q4110,HC PRIMA REPAIR MESH AG 16 SQ CM,208.8,104.4,45.54,187.92,65
HCPCS,Q4110,HC PRIMA REPAIR MESH PLAIN 16 SQ CM,207.85,103.93,45.33,187.07,65
HCPCS,Q4110,HC PRIMATRIX 14MM DISC 2SQCM PERSQCM,785.15,392.58,171.24,706.64,65
HCPCS,Q4110,HC PRIMATRIX 4X4CM 16SQCM PERSQCM,207.85,103.93,45.33,187.07,65
HCPCS,Q4110,HC PRIMATRIX MESH 2X2CM 4SQCM PERCM,565.0,282.5,123.23,508.5,65
HCPCS,Q4110,HC PRIMATRIX MESH 3X3CM 9SQCM PERCM,289.6,144.8,63.16,260.64,65
HCPCS,Q4115,GRAFT BONE CARTILAGE OFF THE SHELF SHORTER OR TIME LEFT EXTEARNA SMALL COSTAL,3900.0,1950.0,746.85,3510.0,65
HCPCS,Q4115,GRAFT BONE CARTILAGE OFF THE SHELF SHORTER OR TIME RIGHT EXTEARNA LARGE COSTAL,4500.0,2250.0,861.75,4050.0,65
HCPCS,Q4116,Alloderm,,,31.75,32.39,9
HCPCS,Q4116,GRAFT HUMAN TISSUE MATRIX 2SQCM XTHIN 1CMW X 2CML 0.55MM +/- 0.25MM THK ACELLULAR DERMIS RECTANGLE REGENERATIVE CONTOURED ALLODERM SELECT LATEX-FREE STERILE SINGLE-USE,147.0,73.5,28.15,132.3,65
HCPCS,Q4116,MATRIX ALLODERM SELECT 2X4CM 8SQ CM REGENERATIVE 1.6-0.4MM MEDIUM RECTANGLE ACELLULAR DERMAL TISSUE,429.0,214.5,82.15,386.1,65
HCPCS,Q4116,MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM RECTANGLE L7 CM X W3 CM ALLOGRAFT REGENERATIVE ACELLULAR DERMAL,729.0,364.5,139.6,656.1,65
HCPCS,Q4116,MATRIX TISSUE ALLODERM SELECT THK.55-.25 X THIN RECTANGLE L4 CM X W2 CM 8 SQ CM ALLOGRAFT REGENERATIVE ACELLULAR DERMAL,429.0,214.5,82.15,386.1,65
HCPCS,Q4121,Theraskin,,,21.27,49.95,10
HCPCS,Q4122,"DERMACELL POROUS,DECELLULARIZED RETICULAR DERMIS,1.75 X 1.75CM, .2-.5MM,3SQ CM,AMBIENT",595.0,297.5,113.94,535.5,65
HCPCS,Q4122,"DERMACELL POROUS,DECELLULARIZED RETICULAR DERMIS,5 X 5CM, .2-.5MM,25 SQ CM,AMBIENT",1000.0,500.0,191.5,900.0,65
HCPCS,Q4122,GRAFT SOFT TISSUE DERMACELL THK.2-1 MM L3 CM X W3 CM ALLOGRAFT MESH DECELLULARIZE DERMIS,1075.0,537.5,205.86,967.5,65
HCPCS,Q4128,Flexhd/allopatchhd/sq cm,,,153.93,157.01,9
HCPCS,Q4128,GRAFT SKIN L5 CM X W5 CM ALLOGRAFT HYDRATE ALLOPATCH HD THK.8-1.7 MM THICK ACELLULAR DERMIS,1560.0,780.0,298.74,1404.0,65
HCPCS,Q4128,IMPLANT HUMAN TISSUE ULTRA THICK 4CMW X 8CML 1.8-3.9MM THK ACELLULAR HYDRATED DERMIS FREEZE-DRIED FLEXHD LATEX-FREE STERILE SINGLE-USE,2400.0,1200.0,459.6,2160.0,65
HCPCS,Q4132,GRAFT SOFT TISSUE GRAFIX CORE L5 CM X W5 CM ALLOGRAFT PLASTIC 25 SQ CM,2700.0,1350.0,517.05,2430.0,65
HCPCS,Q4132,"Grafix core, grafixpl core",,,116.59,118.92,9
HCPCS,Q4133,GRAFT GRAFIX PRIME 1.5X2CM 3SQ CM SOFT TISSUE PLACENTAL MEMBRANE ALLOGRAFT,780.0,390.0,149.37,702.0,65
HCPCS,Q4133,GRAFT GRAFIX PRIME 2X3CM 6SQ CM SOFT TISSUE PLACENTAL MEMBRANE ALLOGRAFT,980.0,490.0,187.67,882.0,65
HCPCS,Q4133,GRAFT GRAFIXPL PRIME 3X2CM 6SQ CM SOFT TISSUE PLACENTAL MEMBRANE ALLOGRAFT LYOPRESERVED,980.0,490.0,187.67,882.0,65
HCPCS,Q4133,GRAFT SOFT TISSUE GRAFIXPL PRIME 25 SQ CM L5 CM X W5 CM LYOPRESERVE PLACENTAL TISSUE,2500.0,1250.0,478.75,2250.0,65
HCPCS,Q4133,GRAFT SOFT TISSUE GRAFIXPL PRIME L2 CM X W1.5 CM ALLOGRAFT PLACENTAL MEMBRANE 3 CM SQ,780.0,390.0,149.37,702.0,65
HCPCS,Q4133,GRAFT SOFT TISSUE STRAVIX L4 CM X W2 CM ALLOGRAFT PLACENTAL TISSUE 8 CM SQ,1695.0,847.5,324.59,1525.5,65
HCPCS,Q4133,GRAFT SOFT TISSUE STRAVIX L4 CM X W2 CM ALLOGRAFT PLACENTAL TISSUE 8 SQ CM,1695.0,847.5,324.59,1525.5,65
HCPCS,Q4133,Grafix stravix prime pl sqcm,,,134.37,137.06,9
HCPCS,Q4134,Hmatrix,,,173.34,173.34,1
HCPCS,Q4137,GRAFT SOFT TISSUE AMNIOEXCEL L10 CM X W10 CM 100CM2 ALLOGRAFT AMNIOTIC EXTRACELLULAR MATRIX MEMBRANE,4500.0,2250.0,126.17,4050.0,66
HCPCS,Q4137,HC AMNIOEXCEL 25015 2SQCM PER SQCM,1257.0,628.5,126.17,1131.3,66
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,247.66,247.66,1
HCPCS,Q4140,Biodfence 1cm,,,290.4,290.4,1
HCPCS,Q4141,"Alloskin ac, 1 cm",,,42.19,42.19,1
HCPCS,Q4143,"Repriza, 1cm",,,31.74,31.74,1
HCPCS,Q4145,"Epifix, inj, 1mg",,,26.31,26.31,1
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,157.45,157.45,1
HCPCS,Q4148,ALLOGRAFT NEOX CORD RT ST TIS 6X3CM 18CM2,1800.0,900.0,246.58,1620.0,66
HCPCS,Q4148,GRAFT CLARIX 1K 8X3CM THK1MM SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT CRYOPRESERVE REGENERATIVE MATRIX,2700.0,1350.0,246.58,2430.0,66
HCPCS,Q4148,GRAFT NEOX CORD 1K CRYOTEK 6X3CM 18SQ CM SOFT TISSUE AMNIOTIC MEMBRANE UMBILICAL CORD ALLOGRAFT CRYOPRESERVE,2025.0,1012.5,246.58,1822.5,66
HCPCS,Q4148,GRAFT NEOX CORD HUMAN TISSUE ALLOGRAFT RT 3CMX3CM 1MM THICK 2-LAYER CRYOPRESERVED HYDRATED QUICK-PEEL AMNIOTIC MEMBRANE,900.0,450.0,172.35,810.0,66
HCPCS,Q4148,GRAFT NEOX CORD RT 8X3CM ULTRATHICK SOFT TISSUE AMNIOTIC MEMBRANE UMBILICAL CORD ALLOGRAFT STERILE 24CM2,2400.0,1200.0,246.58,2160.0,66
HCPCS,Q4148,MATRIX 1.5X1.5CM CLARIX CORD 1K ALLOGRAFT REGENERATIVE THK1MM AMNIOTIC MEMBRANE UMBILICAL CORD TISSUE,506.0,253.0,96.9,455.4,66
HCPCS,Q4148,MATRIX 2.5X2.5CM CLARIX ALLOGRAFT THK1MM AMNIOTIC MEMBRANE UMBILICAL CORD TISSUE,938.0,469.0,179.63,844.2,66
HCPCS,Q4148,MATRIX CLARIX 6X3CM THK1MM ALLOGRAFT CRYOPRESERVE AMNIOTIC MEMBRANE TISSUE,2025.0,1012.5,246.58,1822.5,66
HCPCS,Q4149,"Excellagen, 0.1 cc",,,152.6,152.6,1
HCPCS,Q4150,IMPLANT HUMAN TISSUE ALLOGRAFT 16SQCM 4CMW X 4CML DOUBLE LAYERED EPITHELIAL COVERED ALLOWRAP DS STERILE SINGLE-USE SPECIALTY,1699.0,849.5,83.05,1529.1,66
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,128.4,130.97,9
HCPCS,Q4151,HC AMNIOBAND 3.0X4.0 (12 SQCM)EA,441.55,220.78,96.3,397.4,66
HCPCS,Q4152,Dermapure 1 square cm,,,53.92,53.92,1
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,124.34,124.34,1
HCPCS,Q4154,Biovance 1 square cm,,,158.78,158.78,1
HCPCS,Q4155,MATRIX CLARIX FLO ALLOGRAFT PARTICULATE AMNIOTIC MEMBRANE UMBILICAL CORD 100MG TISSUE,1250.0,625.0,33.68,1125.0,66
HCPCS,Q4155,MATRIX CLARIX FLO ALLOGRAFT PARTICULATE AMNIOTIC MEMBRANE UMBILICAL CORD 25MG TISSUE,375.0,187.5,33.68,337.5,66
HCPCS,Q4155,MATRIX CLARIX FLO ALLOGRAFT PARTICULATE AMNIOTIC MEMBRANE UMBILICAL CORD 50MG TISSUE,750.0,375.0,33.68,675.0,66
HCPCS,Q4156,MATRIX 7X7CM CLARIX ALLOGRAFT AMNIOTIC MEMBRANE UMBILICAL CORD TISSUE,2450.0,1225.0,157.86,2205.0,66
HCPCS,Q4157,Revitalon 1 square cm,,,168.7,168.7,1
HCPCS,Q4158,DRESSING WOUND KERECIS OMEGA3 MARIGEN 16MM 2SQ CM SKIN FISH SKIN STERILE LATEX FREE,518.0,259.0,87.7,466.2,66
HCPCS,Q4158,DRESSING WOUND KERECIS OMEGA3 MARIGEN 3X7CM 21SQ CM FENESTRATED FISH SKIN STERILE LATEX FREE,1329.0,664.5,87.7,1196.1,66
HCPCS,Q4158,DRESSING WOUND KERECIS OMEGA3 MARIGEN 7X7CM 49SQ CM FISH SKIN STERILE LATEX FREE,1640.0,820.0,87.7,1476.0,66
HCPCS,Q4158,DRESSING WOUND KERECIS OMEGA3 SURGICLOSE MICRO 38SQ CM DECELLULARIZED FISH SKIN STERILE LATEX FREE,2000.0,1000.0,87.7,1800.0,66
HCPCS,Q4158,GRAFT BIOLOGICAL TISSUE 16MM DIA CIRCULAR WOUND OMEGA3 INDIVIDUALLY PACKED,518.0,259.0,87.7,466.2,66
HCPCS,Q4158,GRAFT BIOLOGICAL TISSUE 7CMW X 7CML DECELLULARIZED FISH SKIN WOUND FENESTRATED OMEGA3 INDIVIDUALLY PACKED,1640.0,820.0,87.7,1476.0,66
HCPCS,Q4158,GRAFT OMEGA3 MARIGEN SKIN FISH SKIN 19SQ CM MICRO STERILE LATEX FREE DISPOSABLE,1155.0,577.5,87.7,1039.5,66
HCPCS,Q4158,GRAFT OMEGA3 SURGIBIND 3X12CM 36CM SQ FENESTRATED SKIN FISH SKIN STERILE LATEX FREE,1440.0,720.0,87.7,1296.0,66
HCPCS,Q4158,GRAFT SKIN L1.75 CM X W1.75 CM 4SQ CM OMEGA3 MARIGEN FISH SKIN,550.0,275.0,87.7,495.0,66
HCPCS,Q4158,GRAFT SKIN L3 CM X W3.5 CM 11SQ CM OMEGA3 MARIGEN FISH SKIN,758.0,379.0,87.7,682.2,66
HCPCS,Q4158,HC OMEGA3 1.75X1.75CM WOUND PER EA SQCM,763.05,381.53,87.7,686.75,66
HCPCS,Q4158,HC OMEGA3 14CM DISK WOUND PER EA SQCM,133.65,66.83,29.15,120.29,66
HCPCS,Q4158,HC OMEGA3 16CM DISK WOUND PER EA SQCM,105.95,52.98,23.11,95.36,66
HCPCS,Q4158,HC OMEGA3 3X3.5CM WOUND PER EA SQCM,306.95,153.48,66.95,276.26,66
HCPCS,Q4158,HC OMEGA3 3X7CM FENESTRATED PER EA SQCM,269.4,134.7,58.76,242.46,66
HCPCS,Q4158,HC OMEGA3 3X7CM WOUND PER EA SQCM,244.85,122.43,53.4,220.37,66
HCPCS,Q4159,GRAFT AFFINITY 1.5X1.5CM 3SQ CM SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT FRESH,1150.0,575.0,220.23,1035.0,66
HCPCS,Q4159,GRAFT AFFINITY 2.5X2.5CM 7SQ CM SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT FRESH,1275.0,637.5,244.16,1147.5,66
HCPCS,Q4160,ALLOGRAFT HUMAN TISSUE NUSHIELD 24SQCM 4CM X 6CM DEHYDRATED LAYERLOC PROCESSED PLACENTAL MEMBRANE SHEET ROOM TEMP 5YR SHELFLIFE,1875.0,937.5,108.75,1687.5,66
HCPCS,Q4160,ALLOGRAFT HUMAN TISSUE NUSHIELD 8SQCM 2CM X 4CM DEHYDRATED LAYERLOC PROCESSED PLACENTAL MEMBRANE SHEET ROOM TEMP,950.0,475.0,108.75,855.0,66
HCPCS,Q4160,GRAFT NUSHEILD 4x4CM 16SQ CM SFT TIS ALLOGRAFT MEMBR,1425.0,712.5,108.75,1282.5,66
HCPCS,Q4160,GRAFT NUSHIELD 1.6CM 2SQ CM SOFT TISSUE DISC,395.0,197.5,75.64,355.5,66
HCPCS,Q4160,GRAFT NUSHIELD 2X3CM 6SQ CM SOFT TISSUE ALLOGRAFT,795.0,397.5,108.75,715.5,66
HCPCS,Q4160,GRAFT NUSHIELD 3X4CM 12SQ CM SOFT TISSUE ALLOGRAFT MEMBRANE,1375.0,687.5,108.75,1237.5,66
HCPCS,Q4161,Bio-connekt per square cm,,,147.9,147.9,1
HCPCS,Q4162,"Wndex flw, bioskn flw, 0.5cc",,,1929.38,1929.38,1
HCPCS,Q4163,"Woundex, bioskin, per sq cm",,,180.36,180.36,1
HCPCS,Q4164,"Helicoll, per square cm",,,1428.19,1428.19,1
HCPCS,Q4165,"Keramatrix, kerasorb sq cm",,,31.55,31.55,1
HCPCS,Q4166,HC MATRIX WOUND CYTAL 3X3.5 EA SQ CM,28.3,14.15,6.17,25.47,65
HCPCS,Q4166,HC MATRIX WOUND CYTAL 3X7 EA SQ CM,27.8,13.9,6.06,25.02,65
HCPCS,Q4166,HC MATRIX WOUND CYTAL 7X10 EA SQ CM,18.15,9.08,3.96,16.34,65
HCPCS,Q4166,HC MATRIX WOUND PER CM 5X5 WSM0505,104.1,52.05,22.7,93.69,65
HCPCS,Q4166,MATRIX CYTAL 15X10CM 3 LAYER WOUND PORCINE BLADDER 150SQ CM TISSUE,3832.0,1916.0,733.83,3448.8,65
HCPCS,Q4167,"Truskin, per sq centimeter",,,106.06,106.06,1
HCPCS,Q4168,ALLOGRAFT HUMAN TISSUE PARTICULATE PLACENTAL MATRIX MEMBRANE 80MG SALERA MINI,1332.0,666.0,19.15,1198.8,66
HCPCS,Q4169,"Artacent wound, per sq cm",,,188.3,188.3,1
HCPCS,Q4170,ALLOGRAFT  AMNION PATCH MEDIUM 4CMW X 6CML 24CM2 PLACENTAL MEMBRANE CYGNUS MATRIX,1710.0,855.0,49.37,1539.0,66
HCPCS,Q4171,"Interfyl, 1 mg",,,12.56,12.56,1
HCPCS,Q4173,Palingen or palingen xplus,,,409.89,409.89,1
HCPCS,Q4174,Palingen or promatrx,,,1404.94,1404.94,1
HCPCS,Q4175,Miroderm,,,68.11,68.11,1
HCPCS,Q4186,Epifix 1 sq cm,,,159.86,163.06,9
HCPCS,Q4186,HC EPIFIX 12 CM PER SQ CM MESH,442.7,221.35,96.55,398.43,66
HCPCS,Q4186,HC EPIFIX 4 CM PER SQ CM SHEET,1014.2,507.1,168.25,912.78,66
HCPCS,Q4186,HC EPIFIX 8 CM PER SQ CM MESH,387.0,193.5,84.4,348.3,66
HCPCS,Q4186,HC EPIFIX ALLOGRAFT PER SQCM,758.7,379.35,165.47,682.83,66
HCPCS,Q4186,HC EPIFIX DISC 14MM/PER 2 SQ CM,597.15,298.58,130.24,537.44,66
HCPCS,Q4186,HC EPIFIX DISC 18MM/PER 3 SQ CM,945.35,472.68,168.25,850.82,66
HCPCS,Q4186,HC EPIFIX GRAFT 6 CM PER CM SHEET,726.65,363.33,158.48,653.99,66
HCPCS,Q4187,HC EPICORD PER SQUARE CENTIMETER,793.55,396.78,173.07,714.2,65
HCPCS,Q4192,"Restorigin, 1 cc",,,2183.71,2183.71,1
HCPCS,Q4196,DRESSING 2X4CM PURAPLY SHT COLL MATRX 8SQ CM,900.0,450.0,115.17,810.0,66
HCPCS,Q4196,DRESSING PURAPLY AM 1.6 DISC 2SQ CM ANTIMICROBIAL WOUND PHMB MATRIX STERILE,450.0,225.0,86.18,405.0,66
HCPCS,Q4196,DRESSING PURAPLY AM 2X2CM 4SQ CM ANTIMICROBIAL WOUND PHMB MATRIX STERILE,850.0,425.0,115.17,765.0,66
HCPCS,Q4196,DRESSING PURAPLY AM 4X4CM 16SQ CM ANTIMICROBIAL WOUND EXTRA FENESTRATED PHMB MATRIX STERILE,1560.0,780.0,115.17,1404.0,66
HCPCS,Q4196,DRESSING WOUND 4X3CM 12CM2 EXTRA FENESTRATE PURAPLY AM EXTRACELLULAR MATRIX PHMB STERILE,1320.0,660.0,115.17,1188.0,66
HCPCS,Q4196,DRESSING WOUND PURAPLY XT L4.91 CM X W4.91 CM 24 CMSQ EXTRA FENESTRATE FINISH EXTRACELLULAR MATRIX,1700.0,850.0,115.17,1530.0,66
HCPCS,Q4196,HC PURAPLY AM 25 SQ CM PER SQ CM,426.6,213.3,93.04,383.94,66
HCPCS,Q4196,HC PURAPLY AM 4 SQ CM PER SQ CM,563.75,281.88,115.17,507.38,66
HCPCS,Q4196,HC PURAPLY AM 54 SQ CM PER SQ CM,426.6,213.3,93.04,383.94,66
HCPCS,Q4196,HC PURAPLY AM 8 SQ CM PER SQ CM,426.6,213.3,93.04,383.94,66
HCPCS,Q4196,PROBE ELECTROSURGICAL TRUNODE GAMMA STERILE LATEX FREE DISPOSABLE,315.0,157.5,60.32,283.5,66
HCPCS,Q4199,ALLOGRAFT CYGNUS MATRIX 4X6CM 24CM2,1875.0,937.5,339.92,1687.5,66
HCPCS,Q4205,Membrane graft or wrap sq cm,,,1564.97,1564.97,1
HCPCS,Q4206,Fluid Flow or Fluid GF 1 cc,,,2525.73,2525.73,1
HCPCS,Q4208,Novafix per sq cm,,,350.8,350.8,1
HCPCS,Q4210,Others,,,906.94,906.94,1
HCPCS,Q4212,"Allogen, per cc",,,3367.64,3367.64,1
HCPCS,Q4213,"Ascent, 0.5 mg",,,60.46,60.46,1
HCPCS,Q4217,Woundfix biowound plus xplus,,,835.44,835.44,1
HCPCS,Q4218,Surgicord per sq cm,,,131.55,131.55,1
HCPCS,Q4219,Surgigraft dual per sq cm,,,876.98,876.98,1
HCPCS,Q4221,Amniowrap2 per sq cm,,,1813.87,1813.87,1
HCPCS,Q4222,"Progenamatrix, per sq cm",,,97.41,97.41,1
HCPCS,Q4225,"Amnio or derma tl, per sq cm",,,1525.96,1525.96,1
HCPCS,Q4226,MyOwn harv prep proc sq cm,,,413.35,413.35,1
HCPCS,Q4227,Amniocore per sq cm,,,102.88,102.88,1
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,117.67,117.67,1
HCPCS,Q4231,Others,,,1590.54,1590.54,1
HCPCS,Q4232,"Corplex, per sq cm",,,77.26,77.26,1
HCPCS,Q4234,"Xcellerate, per sq cm",,,672.6,672.6,1
HCPCS,Q4235,Amniorepair or altiply sq cm,,,163.22,163.22,1
HCPCS,Q4237,"Cryo-cord, per sq cm",,,437.95,437.95,1
HCPCS,Q4238,"Derm-maxx, per sq cm",,,1700.51,1700.51,1
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,73.45,73.45,1
HCPCS,Q4246,"Coretext or protext, per cc",,,3174.28,3174.28,1
HCPCS,Q4247,"Amniotext patch, per sq cm",,,566.84,566.84,1
HCPCS,Q4248,Dermacyte amn mem allo sq cm,,,1197.64,1197.64,1
HCPCS,Q4249,"Amniply, per sq cm",,,615.65,615.65,1
HCPCS,Q4251,"Vim, per square centimeter",,,157.86,157.86,1
HCPCS,Q4252,"Vendaje, per square centimet",,,316.55,316.55,1
HCPCS,Q4253,Zenith amniotic membrane psc,,,503.47,503.47,1
HCPCS,Q4254,Novafix dl per sq cm,,,420.96,420.96,1
HCPCS,Q4256,"Mlg complet, per sq cm",,,1399.68,1399.68,1
HCPCS,Q4257,"Relese, per sq cm",,,377.98,377.98,1
HCPCS,Q4258,"Enverse, per sq cm",,,78.77,78.77,1
HCPCS,Q4259,Celera per sq cm,,,999.77,999.77,1
HCPCS,Q4261,"Tag, per square centimeter",,,634.8,634.8,1
HCPCS,Q4262,"Dual layer impax, per sq cm",,,1252.34,1252.34,1
HCPCS,Q4263,"Surgraft tl, per sq cm",,,1127.57,1127.57,1
HCPCS,Q4310,"Procenta, per 100 mg",,,3646.57,3646.57,1
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,12.89,15.8,5
HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,25.48,31.22,5
HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,944.85,472.43,0.39,850.37,213
HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1511.775,755.89,0.39,1360.62,213
HCPCS,Q5101,"Injection, zarxio",,,0.13,0.58,4
HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,2180.95,1090.48,16.37,1962.86,71
HCPCS,Q5103,"Injection, inflectra",,,19.64,66.85,7
HCPCS,Q5104,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,2743.55,1371.78,27.54,2469.2,284
HCPCS,Q5105,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",435.25,217.63,0.8,391.73,142
HCPCS,Q5105,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",125.3,62.65,0.8,112.77,142
HCPCS,Q5105,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",845.45,422.73,0.8,760.91,142
HCPCS,Q5105,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",845.45,422.73,0.8,760.91,142
HCPCS,Q5105,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",175.45,87.73,0.8,157.91,142
HCPCS,Q5105,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",225.55,112.78,0.8,203.0,142
HCPCS,Q5105,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1665.85,832.93,0.8,1499.27,142
HCPCS,Q5106,Inj retacrit non-esrd use,,,8.01,9.81,6
HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,6614.925,3307.465,28.42,9498.47,142
HCPCS,Q5107,Inj mvasi 10 mg,,,28.15,69.58,2
HCPCS,Q5108,"Injection, fulphila",,,129.18,129.18,1
HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,6657.85,3328.925,101.11,5993.37,142
HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,649.0,324.5,0.31,584.1,142
HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,680.95,340.48,0.31,612.86,142
HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1038.4,519.2,0.31,934.56,142
HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,145.03,145.03,1
HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,7026.2,3513.1,108.46,6323.58,71
HCPCS,Q5112,Inj ontruzant 10 mg,,,19.38,44.16,6
HCPCS,Q5113,Inj herzuma 10 mg,,,45.54,86.71,6
HCPCS,Q5114,Inj  ogivri 10 mg,,,42.24,97.89,3
HCPCS,Q5114,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,3242.1000000000004,1621.0500000000002,41.1,2918.52,142
HCPCS,Q5114,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,8982.625,4491.3150000000005,41.1,8086.1,284
HCPCS,Q5115,Inj truxima 10 mg,,,41.49,114.52,5
HCPCS,Q5115,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,7136.4,3568.2,29.97,10674.54,142
HCPCS,Q5116,"Inj., Trazimera, 10 mg",,,20.99,56.72,2
HCPCS,Q5116,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION,3246.5,1623.25,21.39,2921.85,71
HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9000.05,4500.03,21.39,8100.05,142
HCPCS,Q5117,"Inj., Kanjinti, 10 mg",,,21.98,21.98,1
HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5168.8,2584.4,18.44,4651.92,71
HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14382.45,7191.23,18.44,12944.21,142
HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,5118.1,2559.055,26.19,7165.04,142
HCPCS,Q5118,"Inj., Zirabev, 10 mg",,,27.89,27.89,1
HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,6391.075,3195.54,25.42,9556.56,142
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,29.05,292.79,3
HCPCS,Q5120,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12489.45,6244.73,30.93,11240.51,71
HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,2401.5,1200.75,20.81,2161.35,71
HCPCS,Q5121,"Inj. avsola, 10 mg",,,31.85,31.85,3
HCPCS,Q5122,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,7954.15,3977.08,66.0,7158.74,71
HCPCS,Q5123,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,6012.200000000001,3006.1000000000004,27.04,8805.78,142
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,63.03,200.54,6
HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,640.125,320.065,0.38,589.95,142
HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,941.875,470.94,0.38,943.92,142
HCPCS,Q5126,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION,5122.725,2561.365,38.57,7171.56,213
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,188.61,351.48,6
HCPCS,Q5128,RANIBIZUMAB-EQRN 0.3 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,3198.75,1599.38,87.88,2878.88,71
HCPCS,Q5128,RANIBIZUMAB-EQRN 0.5 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,5331.2,2665.6,87.88,4798.08,71
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,40.76,77.44,6
HCPCS,Q5130,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,8135.6,4067.8,140.72,7322.04,71
HCPCS,Q5133,TOCILIZUMAB-BAVI 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,4465.0,2232.5,5.65,4018.5,70
HCPCS,Q5133,TOCILIZUMAB-BAVI 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,8905.0,4452.5,5.65,8014.5,70
HCPCS,Q5133,TOCILIZUMAB-BAVI 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,2245.0,1122.5,5.65,2020.5,70
HCPCS,Q5135,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3573.7,1786.85,4.5,3216.33,70
HCPCS,Q5135,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,7122.4,3561.2,4.5,6410.16,70
HCPCS,Q5135,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1799.4,899.7,4.5,1619.46,70
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,28.09,34.42,5
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,11.88,14.56,5
HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,13.45,16.48,5
HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,14.03,17.19,5
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,10.68,13.09,5
HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,10.64,13.04,5
HCPCS,Q5144,"Inj, idacio, 1 mg",,,7.85,9.62,5
HCPCS,Q5145,"Inj, abrilada, 1 mg",,,19.86,24.34,5
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,40.83,50.03,5
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,876.55,1074.2,5
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.56,0.69,5
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.98,39.19,5
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg",,,41.12,50.39,5
HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,28.69,35.16,5
HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,29.3,35.9,5
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,20.98,20.98,1
HCPCS,Q9953,"Inj Fe-based MR contrast,1ml",,,68.87,68.87,1
HCPCS,Q9954,"Oral MR contrast, 100 ml",,,11.03,11.03,1
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,65.88,73.37,2
HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,702.0,351.0,153.11,631.8,130
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,53.4,237.7,8
HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,500.0,250.0,46.79,450.0,198
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,150.0,75.0,32.72,135.0,65
HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,198.75,99.375,31.08,229.5,130
HCPCS,Q9958,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,138.75,69.38,30.26,124.88,65
HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,0.12,0.12,1
HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,56.4,28.2,0.31,63.68,198
HCPCS,Q9963,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,109.125,54.565,0.24,318.6,330
HCPCS,Q9963,IODIPAMIDE AND DIATRIZOATE MEGLUMINE 52.7 %-26.8 % INJECTION SOLUTION,249.95,124.98,0.24,224.96,66
HCPCS,Q9965,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,32.25,16.13,1.52,29.03,66
HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,90.4,45.2,1.52,89.46,132
HCPCS,Q9966,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,202.5,101.25,0.4,291.6,264
HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,82.15,41.08,0.4,1368.9,462
HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,298.5,149.25,0.4,368.37,264
HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRAVENOUS SOLUTION,294.0,147.0,0.4,264.6,66
HCPCS,Q9966,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,184.5,92.25,0.4,312.3,198
HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.18,0.91,7
HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,225.375,112.69,0.13,729.0,462
HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,73.625,36.815,0.13,1813.5,924
HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,76.5,38.25,0.13,1840.5,726
HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,396.7,198.35,0.13,357.03,66
HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,200.0,100.0,0.13,1014.75,462
HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,256.0,128.0,0.13,1057.5,528
HCPCS,Q9967,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,217.0,108.5,0.13,195.3,66
HCPCS,Q9967,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,92.25,46.13,0.13,144.9,330
HCPCS,Q9967,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,89.5,44.75,0.13,199.13,330
HCPCS,Q9967,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,246.0,123.0,0.13,280.8,198
HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.16,0.32,8
HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,4355.4,2177.7,8.9,3919.86,140
HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,693.4,346.7,8.9,624.06,70
HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,462.25,231.13,8.9,416.03,140
HCPCS,Q9969,HC RX TC-99 FROM NON-HEU SOURCE COST RECOVERY ADD-ON,10.0,5.0,2.18,12.5,69
HCPCS,Q9982,FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION,15840.0,7920.0,1903.92,14256.0,69
HCPCS,Q9983,florbetaben f18 diagnostic,,,1299.24,1592.2,5
HCPCS,Q9991,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,142
HCPCS,Q9992,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,213
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,2192.46,2192.46,1
HCPCS,Q9998,"Inj ustekinumab-aekn, 1 mg",,,41.16,50.44,5
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,33.75,41.36,5
HCPCS,R0070,Transport portable x-ray,,,208.79,260.99,5
HCPCS,S0013,Fee Schedule,,,14.11,14.91,3
HCPCS,S0028,Fee Schedule,,,1.4,2.18,2
HCPCS,S0032,Others,,,22.72,22.72,1
HCPCS,S0080,Others,,,102.82,102.82,1
HCPCS,S0119,Ondansetron 4 mg,,,0.72,0.72,1
HCPCS,S0145,Peg interferon alfa-2A/180,,,1601.49,1601.49,1
HCPCS,S0160,DEXTROAMPHETAMINE SULFATE 10 MG TABLET,279.0,139.5,59.15,258.12,130
HCPCS,S0189,Fee Schedule,,,164.83,164.83,1
HCPCS,S0189,Others,,,113.85,113.85,1
HCPCS,S0190,"Mifepristone, oral, 200 mg",,,56.18,105.35,2
HCPCS,S0280,"Medical home, initial plan",,,50.0,51.0,9
HCPCS,S0281,"Medical home, maintenance",,,150.0,153.0,9
HCPCS,S0353,Cancer treatmentplan initial,,,392.76,392.76,1
HCPCS,S0354,Cancer treatment plan change,,,392.76,392.76,1
HCPCS,S0620,Routine ophthalmological exa,,,75.71,77.22,9
HCPCS,S0621,Routine ophthalmological exa,,,59.29,60.48,9
HCPCS,S2065,Simult panc kidn trans,,,77.93,79.49,9
HCPCS,S2083,HC ADJ GASTRICBAND VIA SUBPORT,38.2,19.1,7.32,34.38,64
HCPCS,S2102,Islet cell tissue transplant,,,1347.37,1374.32,9
HCPCS,S2140,Cord blood harvesting,,,77.93,79.49,9
HCPCS,S2142,Cord blood-derived stem-cell,,,77.93,79.49,9
HCPCS,S2150,BMT harv/transpl 28d pkg,,,77.93,79.49,9
HCPCS,S2235,Implant auditory brain imp,,,796.33,812.26,9
HCPCS,S4024,HYDROXYETHYLCELLULOSE-GLYCERIN IN WATER INTRAUTERINE INFUSION FOAM SYR,875.0,437.5,190.84,787.5,65
HCPCS,S8450,Splint digit,,,18.74,18.74,1
HCPCS,S9152,"Speech therapy, re-eval",,,58.38,58.38,1
HCPCS,S9442,Birthing class,,,8.43,8.6,9
HCPCS,T1000,Private duty/independent nsg,,,188.23,188.23,1
HCPCS,T1001,Nursing assessment/evaluatn,,,188.23,188.23,1
HCPCS,T1017,Targeted case management,,,17.14,17.48,9
HCPCS,U0001,2019-ncov diagnostic p,,,35.91,52.57,24
HCPCS,U0002,Covid-19 lab test non-cdc,,,51.31,75.11,24
HCPCS,U0003,Physician Fee Schedule,,,75.0,76.5,9
HCPCS,U0004,Physician Fee Schedule,,,75.0,76.5,9
HCPCS,U0005,Physician Fee Schedule,,,25.0,25.5,9
HCPCS,V2020,Vision svcs frames purchases,,,98.67,120.93,5
HCPCS,V2100,Lens spher single plano 4.00,,,47.96,58.78,5
HCPCS,V2101,Single visn sphere 4.12-7.00,,,50.53,61.93,5
HCPCS,V2102,Singl visn sphere 7.12-20.00,,,71.68,87.84,5
HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,41.64,51.03,5
HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,46.11,56.51,5
HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,56.47,69.2,5
HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,57.3,70.23,5
HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,60.22,73.8,5
HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,58.41,71.58,5
HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,67.14,82.28,5
HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,78.36,96.03,5
HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,69.07,84.65,5
HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,68.17,83.54,5
HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,94.15,115.38,5
HCPCS,V2114,Spherocylinder over 12.00d,,,83.29,102.08,5
HCPCS,V2115,Lens lenticular bifocal,,,90.56,110.98,5
HCPCS,V2118,Lens aniseikonic single,,,89.78,110.03,5
HCPCS,V2121,"Lenticular lens, single",,,92.69,113.59,5
HCPCS,V2200,Lens spher bifoc plano 4.00d,,,62.77,76.93,5
HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,68.4,83.83,5
HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,80.5,98.65,5
HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,63.32,77.6,5
HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,68.67,84.15,5
HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,75.34,92.33,5
HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,91.73,112.41,5
HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,76.56,93.83,5
HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,77.5,94.98,5
HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,85.24,104.46,5
HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,109.67,134.4,5
HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,93.51,114.6,5
HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,101.77,124.71,5
HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,104.36,127.89,5
HCPCS,V2214,Lens sphcyl bifocal over 12.,,,111.84,137.06,5
HCPCS,V2215,Lens lenticular bifocal,,,121.04,148.34,5
HCPCS,V2218,Lens aniseikonic bifocal,,,123.84,151.76,5
HCPCS,V2219,Lens bifocal seg width over,,,54.51,66.8,5
HCPCS,V2220,Lens bifocal add over 3.25d,,,44.21,54.18,5
HCPCS,V2221,"Lenticular lens, bifocal",,,118.11,144.74,5
HCPCS,V2300,Lens sphere trifocal 4.00d,,,81.51,99.89,5
HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,94.52,115.84,5
HCPCS,V2302,Lens sphere trifocal 7.12-20,,,103.54,126.89,5
HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,85.79,105.14,5
HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,89.78,110.03,5
HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,110.1,134.93,5
HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,102.66,125.81,5
HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,101.79,124.74,5
HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,108.62,133.11,5
HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,127.06,155.71,5
HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,139.77,171.29,5
HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,133.12,163.14,5
HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,117.34,143.8,5
HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,160.16,196.28,5
HCPCS,V2314,Lens sphcyl trifocal over 12,,,175.44,215.0,5
HCPCS,V2315,Lens lenticular trifocal,,,194.77,238.69,5
HCPCS,V2318,Lens aniseikonic trifocal,,,179.58,220.08,5
HCPCS,V2319,Lens trifocal seg width > 28,,,60.8,74.51,5
HCPCS,V2320,Lens trifocal add over 3.25d,,,64.14,78.6,5
HCPCS,V2321,"Lenticular lens, trifocal",,,191.97,235.26,5
HCPCS,V2410,Lens variab asphericity sing,,,109.77,134.53,5
HCPCS,V2430,Lens variable asphericity bi,,,142.9,175.13,5
HCPCS,V2500,Contact lens pmma spherical,,,99.5,121.94,5
HCPCS,V2501,Cntct lens pmma-toric/prism,,,151.57,185.75,5
HCPCS,V2502,Contact lens pmma bifocal,,,186.72,228.83,5
HCPCS,V2503,Cntct lens pmma color vision,,,178.66,218.95,5
HCPCS,V2510,Cntct gas permeable sphericl,,,135.83,166.46,5
HCPCS,V2511,Cntct toric prism ballast,,,195.17,239.18,5
HCPCS,V2512,Cntct lens gas permbl bifocl,,,230.62,282.63,5
HCPCS,V2513,Contact lens extended wear,,,193.62,237.28,5
HCPCS,V2520,Contact lens hydrophilic,,,127.67,156.46,5
HCPCS,V2521,Cntct lens hydrophilic toric,,,222.28,272.4,5
HCPCS,V2522,Cntct lens hydrophil bifocl,,,216.32,265.1,5
HCPCS,V2523,Cntct lens hydrophil extend,,,184.35,225.93,5
HCPCS,V2524,Cntct lens hydrophil photoch,,,154.46,189.29,5
HCPCS,V2530,Contact lens gas impermeable,,,273.04,334.61,5
HCPCS,V2531,Contact lens gas permeable,,,670.31,821.46,5
HCPCS,V2623,Plastic eye prosth custom,,,1098.93,1346.73,5
HCPCS,V2624,Polishing artifical eye,,,74.53,91.34,5
HCPCS,V2625,Enlargemnt of eye prosthesis,,,482.76,591.61,5
HCPCS,V2626,Reduction of eye prosthesis,,,306.28,375.34,5
HCPCS,V2627,Scleral cover shell,,,1753.44,2148.83,5
HCPCS,V2628,Fabrication & fitting,,,400.9,491.3,5
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +10.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +10.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +10.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +10.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +11.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +11.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +11.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +11.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +11.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +12.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +12.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +12.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +13.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +13.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +13.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +13.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +14.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +14.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +14.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +14.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +15.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +15.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +15.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +15.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +16.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +16.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +16.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +16.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +16.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +17.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +17.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +17.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +17.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +18.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +18.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +18.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +18.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +18.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +19.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +19.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +19.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +20.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +20.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +20.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +20.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +21.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +21.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +21.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +21.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +21.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +22.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +22.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +22.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +22.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +22.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +23.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +23.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +23.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +23.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +24.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +24.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +24.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +24.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +25.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +25.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +25.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +25.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +25.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +26.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +26.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +26.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +26.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +26.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +26.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +27.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +27.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +27.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +27.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +27.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +28.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +28.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +29.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +29.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +30.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +5.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +5.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +5.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +5.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +5.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +6.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +6.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +6.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +6.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +6.5 DIOPTER MODIFY C CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +7.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +7.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +7.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +7.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +7.5 DIOPTER MODIFIED C CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +8.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +8.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +8.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +8.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +9.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +9.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +9.5 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +9.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX III +9.5 DIOPTER MODIFIED C CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR KELMAN MULTIFLEX1II +6.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +10.0 DIOPTER CONVEXO-PLANO MODIFIED-C L12.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +11.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +13.0 DIOPTER CONVEXOPLANO THK0.5 MM L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV-ABSORBING ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +14.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +19.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +19.0 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM PMMA LENS 1-PIECE TORIC UV BLOCK ADULT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +20.0 DIOPTER CONVEXO-PLANO MODIFIED-C L12.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +23.0 DIOPTER L12.5 MM L5.5 MM LENS 1-PIECE ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +24.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS ONE-PIECE ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +25.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +27.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +28.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +29.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX +30.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +10.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +12.0 DIOPTER CONVEXO-PLANO MODIFIED-C L12.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +12.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +13.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +14.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +15.0 DIOPTER CONVEXOPLANO MODIFIED-C L12.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +16.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +17.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +17.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +18.0 DIOPTER CONVEXOPLANO MODIFY C L13 MM X H0.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +19.0 DIOPTER CONVEXOPLANO MODIFY C L12.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +20.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +21.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +22.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +23.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +24.0 DIOPTER CONVEXOPLANO MODIFY C L13.5 MM X H0.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBING ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +30.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +5.0 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +7.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +8.0 DIOPTER CONVEXO-PLANO MODIFIED-C L13.5 MM OD5.5 MM PMMA LENS 1-PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III +8.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III KELMAN +15.0 DIOPTER CONVEXOPLANO L13 MM OD6 MM PMMA LENS 1 PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,INTRAOCULAR MULTIFLEX III KELMAN +9.0 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT ANTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2630,LENS IOL KELMAN MULTIFLEX III +12.5 DIOPTER CONVEXOPLANO 1 PIECE UV ABSORBENT PMMA 13MM 5.5MM ANTERIOR CHAMBER STERILE CLEAR APHAKIA 115.3 A-CONSTANT,95.0,47.5,18.19,178.59,70
HCPCS,V2631,Iris support intraoclr lens,,,145.73,178.59,5
HCPCS,V2632,CNA0T4.190 CLAREON TORIC AUTONOME,520.0,260.0,99.58,468.0,70
HCPCS,V2632,INTRAOCULAR +15.0 DIOPTER 5DEG BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT WITH EYELETS POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR +16.0 DIOPTER 5DEG BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT WITH EYELETS POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF +12.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV BLOCK FOLDABLE ADULT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF +26.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF +28.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF +29.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF +30.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6.5 MM PMMA LENS MULTI-PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER CLEAR BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF +36.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV BLOCK FOLDABLE ADULT POSTERIOR CHAMBER,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +10.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +13.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +37.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +40.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 0 D +8.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +10.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +10.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +10.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +10.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +11.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +11.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +11.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +12.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +12.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +12.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +13.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +13.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +13.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +14.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +14.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +14.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +15.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +15.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +15.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +16.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +16.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +17.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +17.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +18.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +18.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +19.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +20.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +21.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +23.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +24 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX ACRYLIC PMMA LENS MULTIPIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA ANTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +25.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +25.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +26.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +26.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +26.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +27.0 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +27.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +27.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +28.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +28.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +28.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +29.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +29.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +29.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +3.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX ACRYLIC LENS MULTIPIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +30.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +6.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +6.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX ACRYLIC LENS MULTIPIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +6.5 DIOPTER MODIFY C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +7.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +7.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +7.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +7.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +8.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +8.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +8.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +8.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +9.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +9.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +9.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6.5 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10 D +9.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10DEG +19.0 DIOPTER BICONVEX MODIFIED C L13 MM OD6 MM PMMA LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 10DEG +28.0 DIOPTER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MULTIPIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D +16.0 DIOPTER MODIFY C BICONVEX L12.5 MM OD5.5 MM MONOFLEX LENS MULTIPIECE ANTERIOR ASYMMETRIC SOFT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D +27.0 DIOPTER MODIFY C BICONVEX L12.5 MM OD5.5 MM MONOFLEX LENS MULTIPIECE ANTERIOR ASYMMETRIC SOFT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D +4.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D +5.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ULTRAVIOLET LIGHT ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D -3.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D -4.0 DIOPTER MODIFIED C MENISCUS L13 MM OD6 MM PMMA LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF 5 D -5.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF EXPAND 5 D -1.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF EXPAND 5 D -2.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF EXPAND 5DEG +3.0 DIOPTER MENISCUS MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MULTIPIECE MONOFOCAL UV FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 D +10.0 DIOPTER MODIFY L ANTERIORASYMMETRIC BICONVEX L13 MM OD6 MM ACRYLIC LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 D +9.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 DEG +8.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE METHACRYLATE COPOLYMER LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ 0 DEG +9.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE METHACRYLATE COPOLYMER LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL +20.0 DIOPTER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL +25.5 DIOPTER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL STABLEFORCE ACRYSERT 0 D +25.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL STABLEFORCE ACRYSERT 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT PO,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL STABLEFORCE ACRYSERT 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT PO,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ NATURAL STABLEFORCE ACRYSERT 0DEG +30.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ANTERIOR ASYMMETRIC UV LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +21.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +24.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +24.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL LENS ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +17.5.0 DIOPTER BICONVEX MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +27.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +6.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE ASPHERIC UV BLUE LIGHT FILTER FOLDABLE APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +13.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APHAKIA 118.7 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +17.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APHAKIA 118.7 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +23.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APHAKIA 118.7 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +27.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APHAKIA 118.7 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +7.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL LENS ASPHERIC UV BLUE LIGHT FILTER 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE,STABLEFORCE,ULTRASERT,TENSIONGLIDE 0 D +10.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APH",155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE,STABLEFORCE,ULTRASERT,TENSIONGLIDE 0 D +15.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APH",155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE,STABLEFORCE,ULTRASERT,TENSIONGLIDE 0 D +18.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APH",155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE,STABLEFORCE,ULTRASERT,TENSIONGLIDE 0 D +24.0 DIOPTER MODIFY L PLANAR L13 MM OD6 MM BASELL PD702 LENS ASPHERIC UV BLUE LIGHT FILTER PRELOAD APH",155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ STABLEFORCE ULTRASERT,STABLEFORCE,ULTRASERT 0 D +11.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM BASELL PD702 LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CO",155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT +14.0 DIOPTER BICONVEX PLANAR L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC SYMMETRIC POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT +8.0 DIOPTER BICONVEX PLANAR L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC SYMMETRIC POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT 0 D +9.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA VISCOAT DISCOVISC PROVISC POSTERIOR CH,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +21.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +22.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +25.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE,ULTRASERT,STABLEFORCE 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTAN",155.0,77.5,29.68,178.59,70
HCPCS,V2632,"INTRAOCULAR ACRYSOF IQ ULTRASERT STABLEFORCE,ULTRASERT,STABLEFORCE 0 D +20.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 118.7 A-CONSTAN",155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX +27.0 DIOPTER 10DEG BICONVEX MODIFIED-C L13 MM OD6 MM ACRYLATE/METHACRYLATE COPOLYMER LENS UV ABSORBENT HYDROPHOBIC FOLDABLE MULTIPIECE ADULT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10 D +16.5 DIOPTER BICONVEX L13 MM OD6 MM ACRYLIC LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +11.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +12.0 DIOPTER BICONCEX MODIFIED C L13 MM OD6 MM PMMA HYDORPHOBIC ACRYLIC LENS UV ABSORBENT POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +13.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE UV ABSORBENT FOLDABLE POSTERIOR CHAMBER CLEAR BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +14.0 DIOPTER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTIPIECE FOLDABLE UV ABSORBING ANTERIOR ASYMMETRIC POSTERIOR CHAMBER CLEAR BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +15.0 DIOPTER BICONCEX MODIFIED C L13 MM OD6 MM PMMA HYDORPHOBIC ACRYLIC LENS UV ABSORBENT POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +16.0 DIOPTER BICONVEX MODIFIED C L13.0 MM OD6.0 MM POLYMETHYL METHACRYLATE HYDROPHOBIC ACRYLIC LENS MULTIPIECE MONOFOCAL TORIC POSTERIOR-CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +17.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +18.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +20.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6.5 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE UV ABSORBENT FOLDABLE POSTERIOR CHAMBER CLEAR BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +21.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +23.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +24.0 DIOPTER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MULTIPIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +29.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 10DEG +6.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTIPIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 5DEG +0.0 DIOPTER MENISCUS MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS MULTI-PIECE UV-ABSORBING FOLDABLE POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 5DEG +1.0 DIOPTER MENISCUS MODIFIED C L13 MM OD6 MM PMMA HYDORPHOBIC ACRYLIC LENS UV ABSORBENT POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX 5DEG -2.0 DIOPTER MENISCUS MODIFIED C L13 MM OD6 MM HYDORPHOBIC ACRYLIC PMMA LENS MULTIPIECE UV ABSORBING POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF MONOFLEX BICONVEX 10DEG +13.5.0 DIOPTER MODIFIED C L13 MM OD6 MM PMMA LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED POSTERIOR CHAMBER CLEAR BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +10.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +10.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +11.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +11.5 DIOPTER BICONVEX L13 MM OD6 MM ACRYLIC LENS MULTIPIECE FOLDABLE 118.4 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +12.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +12.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +13.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +14.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +14.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +15.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER B,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +15.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +16.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +16.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER B,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +17.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +18.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +19.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +20.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +21.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +22.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER B,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +23.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +23.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER B,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +25.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +26.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +26.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +27.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +27.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +28.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +28.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +29.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +29.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL 10 D +30.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER BLU,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL EXPAND 5 D +1.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL EXPAND 5 D +2.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL EXPAND 5 D +4.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL EXPAND 5 D +5.0 DIOPTER MODIFY C MENISCUS L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE UV ABSORBENT APHAKIA 118.9 A-CONSTANT POSTERIOR CHAMBER BLUE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +10.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +11.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +13.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +17.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +18.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +20.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CH,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +21.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +22.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +23.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +24.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +24.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +25.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +25.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +27.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +28.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +30.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +31.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +32.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +33.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +34.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +35.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CH,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +36.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +37.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CH,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +38.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAM,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +8.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +9.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF NATURAL STABLEFORCE 0 D +9.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +10.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +11.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +12.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +13.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +18.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +18.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +20.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +21.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +22.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +23.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +23.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +24.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +24.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +24.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +24.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +25.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +25.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +25.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +25.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +26.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +27.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +27.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +27.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +28.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +28.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA ANTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +30.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +30.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +34.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +39.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +7.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +8.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +9.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +9.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +9.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0.0 D +35.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +10.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +11.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +11.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBING ANTERIOR ASYMMETRIC FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +12.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +14.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +15.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +15.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +16.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +17.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +17.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +17.0 DIOPTER BICONVEX MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +18.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +20.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1-PIECE UV ABSORBENT FOLDABLE ANTERIOR ASYMMETRIC APHAKIA ADULT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +21.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +21.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +22.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +22.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +22.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1-PIECE UV ABSORBENT FOLDABLE ANTERIOR ASYMMETRIC APHAKIA ADULT POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +23.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER CLEAR,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +23.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +26.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +28.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +28.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +30.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +31.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED UV FILTER POSTERIOR CHAMBER,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +32.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER CLEAR,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +33.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE MONOFOCAL PRELOADED UV FILTER POSTERIOR CHAMBER,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +38.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,134.0,67.0,25.66,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +9.0 DIOPTER BICONVEX MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE MONOFOCAL PRE-LOAD UV ABSORBENT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF STABLEFORE 0DEG +29.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED L L13 MM OD6 MM LENS 1 PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT BLUE LIGHT FILTER POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +10.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +11.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +11.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +12.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +12.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +13.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +14.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +14.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +15.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +15.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +16.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +16.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +17.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +17.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +18.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +18.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +19.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +19.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +20.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +20.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +21.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +21.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +22.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +22.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +23.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +23.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +24.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +24.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +25.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +26.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +27.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +28.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +30.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +6.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +6.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +7.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +7.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +8.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +8.5 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR ACRYSOF ULTRASERT +9.0 DIOPTER ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD POSTERIOR CHAMBER,159.0,79.5,30.45,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +10.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +11.0 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +11.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +12.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +13.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +14.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +15.0 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +15.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +16.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +17.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +18.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +19.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +20.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +21.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +22.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +23.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +25.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +26.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +27.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +28.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +29.0 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +29.5 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR AUTONOME CLAREON +30.0 DIOPTER HYDROPHOBIC ACRYLIC LENS ASPHERIC,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +10.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +11.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +12.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +13.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 1-PIECE ASPHERIC PRE-LOADED UV-ABSORBENT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +13.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +15.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +15.5 DIOPTER LENS MONOFOCAL UV ABSORBENT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +16.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +17.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +18.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +18.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +19.0 DIOPTER L13 MM OD6 MM HYDRAPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +19.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +20.5 DIOPTER LENS MONOFOCAL UV ABSORBENT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +21.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +21.0 DIOPTER LENS MONOFOCAL UV ABSORBENT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +21.5 DIOPTER LENS MONOFOCAL UV ABSORBENT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +22.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +22.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +22.0 DIOPTER LENS MONOFOCAL UV ABSORBENT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +23.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +23.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +24.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +24.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +25.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +26.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS PRE-LOADED MONOFOCAL POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +27.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +28.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +29.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +30.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +31.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +32.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +33.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +34.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +6.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +7.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCK MONOFOCAL PRELOADED POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +7.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON +9.0 DIOPTER LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +10.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +13.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +15.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +16.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +17.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +18.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +18.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +18.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +19.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +20.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +21.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER BICONVEX MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMB,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +8.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +9.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D +9.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON 0 D 15.5 D MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC 1 PIECE UV ABSORBENT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME +13.5 DIOPTER LENS UV ABSORBENT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME +19.0 DIOPTER +3.00 CYLINDER 0DEG BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ASPHERIC MOD-L TORIC 1,520.0,260.0,99.58,468.0,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME +21.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ASPHERIC PRELOADED POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +24.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +25.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +8.5 DIOPTER MODIFY L BICONVEX HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +8.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +9.0 DIOPTER MODIFY L BICONVEX HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +9.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +9.5 DIOPTER MODIFY L BICONVEX HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0 D +9.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0DEG +08.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASHPERIC UV-ABSORBING POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0DEG +10.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE PRE-LOAD UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0DEG +28.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME 0DEG +29.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +10.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +12.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOADED UV ABSORBABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +16.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOADED UV ABSORBABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +17.0 DIOPTER MODIFIED-L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1-PIECE UV ABSORBENT FOLDABLE ANTERIOR ASYMMETRIC AUTOMATED PRE-LOADED APHAKIA A,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +19.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASHPERIC PRE-LOADED UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +20.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOADED UV ABSORBABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON AUTONOME STABLEFORCE 0DEG +27.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0 D +20.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0 D +23.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0 D +24.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0 D +25.0 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0 D +25.5 DIOPTER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASYMMETRIC UV ABSORBENT APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC SYMMETRIC APHAKIA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0DEG +11.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0DEG +15.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0DEG +16.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV-ABSORBING POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE 0DEG +17.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ANTERIOR ASYMMETRIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER CLEAR,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +13.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE PRE-LOADED POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +14.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +14.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +18.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +20.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +22.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +23.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +24.0 DIOPTER BICONVEX MODIFIED-L NOZZEL L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE AUTOMATED PRE-LOADED ANTERIOR ASYMMETRIC UV LIGHT FILTER ,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +25.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +25.0 DIOPTER BICONVEX MODIFIED-L NOZZEL L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE AUTOMATED PRE-LOADED ANTERIOR ASYMMETRIC UV LIGHT FILTER ,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +26.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +27.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE PRE-LOADED POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +28.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE MONOFOCAL ASPHERIC PRELOADED UV FILTER POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON STABLEFORCE AUTONOME 0DEG +30.0 DIOPTER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOADED UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,155.0,77.5,29.68,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.065 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.075 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.085 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.095 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.115 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.125 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.135 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.165 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.185 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.195 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.225 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.235 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.245 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.255 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.265 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.275 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.285 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON SY60WF.295 LENS,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR CLAREON VIVITY +16.5 DIOPTER LENS UV ABSORBABLE AUTONOME POSTERIOR CHAMBER,1030.0,515.0,145.73,927.0,70
HCPCS,V2632,INTRAOCULAR ENVISTA +16.0 DIOPTER +1.25 CYLINDER BICONVEX MODIFIED-C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC PRE-LOADED UV ABSORBABLE FENESTRATED POSTERIOR CHAMBER,475.0,237.5,90.96,427.5,70
HCPCS,V2632,INTRAOCULAR ENVISTA +23.0 DIOPTER +1.25 CYLINDER BICONVEX MODIFIED-C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC PRE-LOADED UV ABSORBABLE FENESTRATED POSTERIOR CHAMBER,475.0,237.5,90.96,427.5,70
HCPCS,V2632,INTRAOCULAR ENVISTA +25.0 DIOPTER +1.25 CYLINDER BICONVEX MODIFIED-C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC PRE-LOADED UV ABSORBABLE FENESTRATED POSTERIOR CHAMBER,475.0,237.5,90.96,427.5,70
HCPCS,V2632,INTRAOCULAR ENVISTA +9.0 DIOPTER MODIFY C BICONVEX L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ASPHERIC UV ABSORBENT ABERRATION FREE SQUARE EDGE 119.1 A-CONSTANT POSTERIOR CHAMBER,142.0,71.0,27.19,178.59,70
HCPCS,V2632,INTRAOCULAR ENVISTA 360 DEG +17.50.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FENESTRATED ASPHERIC NON-PRELOAD POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR ENVISTA 360 DEG +18.50.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FENESTRATED ASPHERIC NON-PRELOAD POSTERIOR CHAMBER,115.0,57.5,22.02,178.59,70
HCPCS,V2632,INTRAOCULAR ENVISTA 360 DEG +21.50.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FENESTRATED ASPHERIC NON-PRELOAD POSTERIOR CHAMBER,115.0,57.5,22.02,178.59,70
HCPCS,V2632,INTRAOCULAR ENVISTA 360 DEG +22.50.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FENESTRATED ASPHERIC NON-PRELOAD POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR ENVISTA 360 DEG +25.50.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FENESTRATED ASPHERIC NON-PRELOAD POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR ENVISTA 360 DEG +27.00.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FENESTRATED ASPHERIC NON-PRELOAD POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR LENS SENSAR OPTIEDGE IOL 13.5 5 D -1.5 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT APHAKIA 118.4 A-CONSTANT,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR LENS SENSAR OPTIEDGE IOL 13.5 5 D -2.5 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT APHAKIA 118.4 A-CONSTANT,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR RAYONE EMV 45.0 D +30.0 DIOPTER BICONVEX RAYACRYL LENS 1 PIECE UV ABSORBENT ASPHERIC ANTERIOR 1 HAND PLUNGER ASTIGMATISM PRESBYOPIA 118 A-CONSTANT,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D +1.5 DIOPTER MODIFIED C MENISCUS L13.5 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS FOLDABLE MONOFILAMENT ROUND ANTERIOR EDGE UV BLOCK APHAKIA 118.4 A-CONSTANT,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D +20.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS FOLDABLE UV BLOCK APHAKIA 118.7 A-CONSTANT,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D +25.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS FOLDABLE MONOFILAMENT ROUND ANTERIOR EDGE UV BLOCK APHAKIA 118.4 A-CONSTANT ,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -0 DIOPTER MODIFIED C MENISCUS L13.5 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS FOLDABLE MONOFILAMENT ROUND ANTERIOR EDGE UV BLOCK APHAKIA 118.4 A-CONSTANT P,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -1.0 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -3.0 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -3.5 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,190.0,95.0,36.39,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -4.0 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -4.5 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -5.5 DIOPTER MODIFIED C MENISCUS L13.5 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS FOLDABLE MONOFILAMENT ROUND ANTERIOR EDGE UV BLOCK APHAKIA 118.4 A-CONSTANT,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -6.5 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -8.0 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5 D -8.5 DIOPTER MODIFY C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE APHAKIA 118.4 A-CONSTANT POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5DEG -10.0 DIOPTER MODIFIED C MENISCUS L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE UV BLOCK MONOFILAMENT ROUND ANTERIOR EDGE POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5DEG -2.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL UV BLOCKING FOLDABLE POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5DEG -5.0 DIOPTER BICONVEX MODIFIED-C L13.5 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SENSAR OPTIEDGE 5DEG -6.0 DIOPTER MENISCUS MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL UV BLOCKING FOLDABLE POSTERIOR CHAMBER,100.0,50.0,19.15,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +10.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +11.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +12.0 DIOPTER MODIFY C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +12.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +13.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +14.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +15.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +16.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +17.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +18.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +19.0 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +19.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +20.0 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +20.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +21.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +22.0 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +22.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +23.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +24.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +25.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +26.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +27.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +29.5 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5 D +30.0 DIOPTER MODIFIED C BICONVEX L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT EYELET APHAKIA 118.8 A-CONSTANT POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +10.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +11.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV-ABSORBING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +13.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +14.0 DIOPTER BICONVEX MODIFIED C L12.5 MM OD7 MM PMMA LENS 1 PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +17.0 DIOPTER BICONVEX MODIFIED C L12.5 MM 0D7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +18.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +21.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +23.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +24.0 DIOPTER BICONVEX MODIFY C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +25.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV-ABSORBING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +26.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT EYELET POSTERIOR CHAMBER CLEAR,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +27.0 DIOPTER BICONVEX MODIFY C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +28.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SLANT 5DEG +29.0 DIOPTER BICONVEX MODIFIED-C L12.5 MM OD7 MM PMMA LENS 1-PIECE UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +25.5.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +29.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +32.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +34.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +4.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +6.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR SOFPORT 5 D +9.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM PMMA SILICONE LENS 3 PIECE ASPHERIC PRELOAD SQUARE EDGE APHAKIA 118.7 A-CONSTANT POSTERIOR CHAMBER BLUE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,INTRAOCULAR TECHNIS ITEC +13.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL UV BLOCK POSTERIOR CHAMBER CLEAR,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS +17.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC SURFACE UV BLOCKER 118.8 A-CONSTANT POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS 1.475DEG +20.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3-PIECE MONOFOCAL ASPHERIC UV-ABSORBENT MONOFILAMENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYEHANCE +18.0 DIOPTER MODIFED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYEHANCE +25.0 DIOPTER MODIFED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +16.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +17.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +21.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANC +32.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +11.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +12.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +13.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +14.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +15.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +15.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +17.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +18.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +20.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +20.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +21.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +21.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +22.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +23.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +24.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +28.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMB,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +5.0 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +7.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBE,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE PROTEC 360DEG +19.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOAD UV ABSORBING POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE PROTEC 360DEG +8.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER CLEAR,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE PROTEC 360DEG +9.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE PROTEC TECNIS SIMPLICITY TRI-FIX 360DEG +14.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE PROTEC TRI-FIX +29.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE SIMPLICITY +28.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE MONOFOCAL UV BLOCK HYDROPHOBIC APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +30.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +6.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +23.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +7.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY PROTEC TRI-FIX +13.5 DIOPTER MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY PROTEC TRI-FIX +24.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC +10.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL PRE-LOADED UV BLOCKING POSTERIOR CHAMBER,119.0,59.5,22.79,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC +9.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE MONOFOCAL ANTERIOR ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,119.0,59.5,22.79,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC +11.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV-BLOCKING POSTERIOR CHAMBER,115.0,57.5,22.02,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC +15.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ANTERIOR ASPHERIC PRE-LOAD UV ABSORBENT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC +26.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC +27.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ANTERIOR ASPHERIC PRE-LOAD UV ABSORBENT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC TRI-FIX +19.0 DIOPTER BIOCONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV-LIGHT BLOCK POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC TRIFIX 0DEG +18.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOADED UV BLOCKING POSTERIOR CHAMBER,119.0,59.5,22.79,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS ITEC PROTEC TRIFIX 0DEG +28.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOADED UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE +25.0 DIOPTER MODIFY-C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE UV ABSORBABLE MONOFOCAL POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +11 DIOPTER D5.61 MM BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE MONOFOCAL ANTERIOR ASPHERIC ROUND ANTERIOR EDGE 119.1 A-CONSTANT APHAKIA,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +12.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +12.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +13.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +14.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +14.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.1 A-CONSTANT POSTER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +15.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.1 A-CONSTANT POSTER,162.0,81.0,31.02,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +16.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.1 A-CONSTANT POSTER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +18.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +18.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM 60% BLUE CORE PMMA HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.1 A-CONSTANT POSTER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +19.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,162.0,81.0,31.02,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +21.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5 D +26.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +10.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC 60% BLUE CORE PMMA LENS 1-PIECE MONOFOCAL FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +13.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 3-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +15.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 1-PIECE MONOFOCAL ANTERIOR ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +16.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +17.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +22.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +23.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +24.0 DIOPTER BICONVEX MODIFY C L13 MM OD6 MM BLUE CORE PMMA ACRYLIC LENS 3 PIECE MONOFOCAL ANTERIOR ASPHERIC UV BLOCK APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,162.0,81.0,31.02,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS OPTIEDGE 5DEG +26.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC PMMA LENS 3-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,95.0,47.5,18.19,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC +20.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC +30.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC +34.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC +5.0 DIOPTER MODIFIED-C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC +5.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK FROST EDGE 118.8-119.3 A CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +10.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +10.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +11.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +11.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +12..0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +12..5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +13.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +13.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +14.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +14.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +15.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +15.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +16.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +16.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +17.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +17.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +17.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +18.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +18.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +19.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +19.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +20.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +20.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +21.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +21.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +22.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +22.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +23.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +23.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +24.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +24.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +25.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +25.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +26.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +26.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +27.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +27.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +28.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +28.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +29.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +29.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +30.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +30.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +31.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +31.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +32.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +33.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +33.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +5.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +6.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +6.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +7.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +7.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +8.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +8.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +9.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC 360DEG +9.5 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC ITEC +6.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV BLOCKING POSTERIOR CHAMBER,119.0,59.5,22.79,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +10.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,119.0,59.5,22.79,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +11.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +12.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,119.0,59.5,22.79,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +13.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +14.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +15.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +16.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +26.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +27.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +28.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +29.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +29.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +31.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +32.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +32.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMB,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +33.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +33.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +5.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +6.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +7.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +7.5.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +8.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +8.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC +9.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC 360DEG +12.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV BLOCKING POSTERIOR CHAMBER CLEAR,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS PROTEC TECNIS ITEC 360DEG +31.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC PRE-LOAD UV BLOCKING POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +10.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +10.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +11.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +11.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +12.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +12.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +13.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +13.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +14.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC SURFACE UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONS,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +14.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC SURFACE UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONS,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +15.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +15.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +16.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +16.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +17.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +18.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +19.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +20.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT POSTE,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +21.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT POSTE,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT POSTE,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT POSTE,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +23.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT POSTE,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +25.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +26.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +26.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +27.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +27.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +28.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +28.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +29.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +29.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +30.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +30.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +31.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +31.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +32.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +32.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +33.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +33.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +34.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +5.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +6.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +6.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +7.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +7.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +8.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +8.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +9.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SIMPLICITY TECNIS PROTEC TRI-FIX +9.5 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE APHAKIA 119.3 A-CONSTANT,145.0,72.5,27.77,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +26.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,165.0,82.5,31.6,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC +16.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MONOFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC +30.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC TRI-FIX +14.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ANTERIOR ASPHERIC PRE-LOAD UV BLOCK POSTERIOR CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC TRI-FIX +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK PRELOAD DELIVERY SYSTEM APHAKIA 119.3 A-CONSTANT,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC TRI-FIX +25.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC MONOFOCAL UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR C,150.0,75.0,28.73,178.59,70
HCPCS,V2632,INTRAOCULAR TECNIS TECNIS ITEC PROTEC TRI-FIX 360DEG +23.0 DIOPTER BICONVEX MODIFIED C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV-BLOCKING POSTERIOR-CHAMBER,150.0,75.0,28.73,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 10.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 12.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 13.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 13.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 14.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 15.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 17.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 18.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 19.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 19.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 21.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 21.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 23.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 23.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 24.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 24.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 25.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 26.5,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL ACRYSOF MA30AC 30.0,149.0,74.5,28.53,178.59,70
HCPCS,V2632,IOL RESTORE SN60D3 20.5,895.0,447.5,145.73,805.5,70
HCPCS,V2632,L13 MM 5DEG +0.0 DIOPTER BICONVEX MODIFIED-C MULTI-PIECE MONOFOCAL UV ABSORBENT FOLDABLE OD6 MM ACRYSOF MONOFLEX HYDROPHOBIC ACRYLIC PMMA POSTERIOR CHAMBER,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS INTRAOCULAR IMPLANT MX60UPT125 12.5MM 19.00,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS INTRAOCULAR IMPLANT MX60UPT125 12.5MM 19.50,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS INTRAOCULAR IMPLANT MX60UPT125 12.5MM 20.50,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS INTRAOCULAR IMPLANT MX60UPT200 12.5MM 24.50,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS INTRAOCULAR IMPLANT MX60UPT350 12.5MM 24.50,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS IOL 1-PIECE 0.0 DIOPTER 11MM DIA 13MML HYDROPHILIC ACRYLIC POSTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC UV ABSORPTION 118 A-CONSTANT AKREOS AO60P LATEX-FREE STERILE 360DEG SQUARE EDGE ,115.0,57.5,22.02,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE 7.5 DIOPTER 6MM DIA 13MML DCB00 UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C,145.0,72.5,27.77,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE 9.5 DIOPTER 6MM DIA 13MML DCB00 UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C,165.0,82.5,31.6,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM +26.5 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM +27.0 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM +27.5 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM +29.0 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM +29.5 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM +30.0 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM 33.0 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,142.0,71.0,27.19,178.59,70
HCPCS,V2632,LENS IOL 1-PIECE PREMIUM 34.0 DIOPTER 6MM 12.5MM ACRYLIC POSTERIOR CHAMBER BICONVEX MONOFOCAL ASPHERIC UV ABS MOD-C CLEAR ENVISTA MX60UEPL 0DEG,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL 3-PIECE 6.0-30.0 DIOPTER 13MML ACRYLIC 60% PMMA MONOFILAMENT POSTERIOR CHAMBER BICONVEX FOLDABLE MONOFOCAL ASPHERIC UV BLOCKING MODIFIED C LOOP BLUE SENSAR OPTIEDGE AR40E LATEX-FREE 5DEG HAPT,100.0,50.0,19.15,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +10 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +11 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +11.5 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +12 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +14.5 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +15 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +16.5 DIOPTER MODIFIED C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +17.5 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +18.5 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +20 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +22 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +22.5 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +25 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +26 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +28 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +28.5 DIOPTER MODIFIED C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF 5 D +29 DIOPTER MODIFY C BICONVEX MULTIPIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT MONOFLEX 12.5MM 5.5MM POSTERIOR CHAMBER STERILE BLUE APHAKIA 118.4 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ 0 D +8.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT 0 D +29.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER BASELL 13MM 6MM 118.7 A-CONSTANT,159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT 0 D +7.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT 0 D +9.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +10.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +11.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +14.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +15.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +16.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +17.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +20.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +23.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +24.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +26.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER PRELOAD BASELL PD702 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ STABLEFORCE ULTRASERT TENSIONGLIDE 0 D +27.5 DIOPTER MODIFY L PLANAR ASPHERIC UV BLUE LIGHT FILTER BASELL 13MM 6MM 118.7 A-CONSTANT,159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT +13.5 DIOPTER BICONVEX PLANAR 1 PIECE FOLDABLE ANTERIOR ASPHERIC SYMMETRIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT +8.5 DIOPTER BICONVEX PLANAR 1 PIECE FOLDABLE ANTERIOR ASPHERIC SYMMETRIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT 0D +22.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +12.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +18.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +19.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +21.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF IQ ULTRASERT STABLEFORCE 0 D +25.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.7 A-CONSTANT,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF NATURAL RESTOR STABLEFORCE 0 D +17 DIOPTER MODIFIED L BICONVEX 1 PIECE FOLDABLE APODIZE DIFFRACTIVE OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.1,895.0,447.5,145.73,805.5,70
HCPCS,V2632,LENS IOL ACRYSOF NATURAL RESTOR STABLEFORCE 0 D +20 DIOPTER MODIFIED L BICONVEX 1 PIECE FOLDABLE APODIZE DIFFRACTIVE OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 118.1,895.0,447.5,145.73,805.5,70
HCPCS,V2632,LENS IOL ACRYSOF ULTRASERT +10.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF ULTRASERT +13.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF ULTRASERT +25.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF ULTRASERT +29.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL ACRYSOF ULTRASERT +9.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER PRELOAD DELIVERY SYSTEM ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL AU00T0V065,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL AUTONOME CLAREON +24.5 DIOPTER ASPHERIC HYDROPHOBIC ACRYLIC STERILE LATEX FREE,155.0,77.5,29.68,178.59,70
HCPCS,V2632,LENS IOL CLAREON 0 D +14.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL CLAREON 0 D +17.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL CT LUCIA +18 DIOPTER 1 PIECE MONOFOCAL HYDROPHOBIC ACRYLIC STERILE LATEX FREE,149.0,74.5,28.53,178.59,70
HCPCS,V2632,LENS IOL ENVISTA EEU 1-PIECE NON-PRELOADED 26.0 DIOPTER 6MM 12.5MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC BICONVEX SQUARE EDGE CLEAR ACRYLIC UV ABS MOD-C LOOP 0DEG,95.0,47.5,18.19,178.59,70
HCPCS,V2632,LENS IOL ENVISTA MX60PL 1-PIECE PRELOADED 4.0 DIOPTER 6MM 12.5MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC BICONVEX CLEAR ACRYLIC UV ABS MOD-C LOOP FENESTRATED W/SIMPLIFEYE INSERTER,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL ENVISTA MX60PT 1-PIECE PRELOADED 16.5 DIOPTER 1.25 CYLINDER 6MM 12.5MM POSTERIOR CHAMBER TORIC ASPHERIC BICONVEX ACRYLIC UV ABS MOD-C LOOP FENESTRATED W/SIMPLIFEYE INSERTER,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS IOL ENVISTA MX60PT 1-PIECE PRELOADED 18.5 DIOPTER 1.25 CYLINDER 6MM 12.5MM POSTERIOR CHAMBER TORIC ASPHERIC BICONVEX ACRYLIC UV ABS MOD-C LOOP FENESTRATED W/SIMPLIFEYE INSERTER,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS IOL ENVISTA MX60PT 1-PIECE PRELOADED 21.5 DIOPTER 2 CYLINDER 6MM 12.5MM POSTERIOR CHAMBER TORIC ASPHERIC BICONVEX ACRYLIC UV ABS MOD-C LOOP FENESTRATED W/SIMPLIFEYE INSERTER,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS IOL MULTI-PIECE 12.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 14.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 16.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 16.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 17.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 18.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 18.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 19.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 19.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 20.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 20.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 21.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 21.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,90.0,45.0,17.24,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 22.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 23.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 23.5 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 24.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 30.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 6-34.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FR,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTI-PIECE 7.0 DIOPTER 6MM DIA 13MML SILICONE PMMA MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED-C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX LI61AO LATEX-FREE ,110.0,55.0,21.07,178.59,70
HCPCS,V2632,LENS IOL MULTIPIECE 31.0 DIOPTER 6MM DIA 13MML SILICONE POLYMETHYLMETHACRYLATE MONOFILAMENT ANTERIOR CHAMBER ASYMMETRIC BICONVEX FOLDABLE ASPHERIC MODIFIED C LOOP 118.0 A-CONSTANT BLUE SOFPORT SOFLEX ,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS IOL PC 0 D +27.5 DIOP (SA60WF PRE-LOAD),159.0,79.5,30.45,178.59,70
HCPCS,V2632,LENS IOL SLANT 5 D +28.5 DIOPTER MODIFIED C BICONVEX 1 PIECE UV ABSORBENT EYELET PMMA 12.5MM 7MM POSTERIOR CHAMBER STERILE CLEAR APHAKIA 118.8 A-CONSTANT,95.0,47.5,18.19,178.59,70
HCPCS,V2632,LENS MX60E ENVISTA 3.0 DIOPTER,115.0,57.5,22.02,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 10.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 10.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 11.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 11.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 12.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 12.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 13.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 13.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 14.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 14.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 15.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 15.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 16.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 16.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 17.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 17.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 18.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 18.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 19.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 19.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 20.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 20.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 21.0  DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 21.5  DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 22.0  DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 22.5  DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 23.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 23.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 24.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 24.5 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 25.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 25.5  DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PL ENVISTA 26.0 DIOPTER PRELOAD,125.0,62.5,23.94,178.59,70
HCPCS,V2632,LENS MX60PT ENVISTA TORIC 19.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT125 ENVISTA TORIC 15.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT125 ENVISTA TORIC 18.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT125 ENVISTA TORIC 21.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT125 ENVISTA TORIC 22.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 15.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 15.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 16.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 16.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 17.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 18.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 18.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 19.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 20.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 22.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 22.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT200 ENVISTA TORIC 24.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 16.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 17.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 18.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 19.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 20.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 20.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 21.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT275 ENVISTA TORIC 21.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT350 ENVISTA TORIC 17.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT350 ENVISTA TORIC 19.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT350 ENVISTA TORIC 20.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT350 ENVISTA TORIC 20.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT350 ENVISTA TORIC 21.0 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2632,LENS MX60PT350 ENVISTA TORIC 22.5 DIOPTER PRELOAD,475.0,237.5,90.96,427.5,70
HCPCS,V2700,Balance lens,,,53.63,65.73,5
HCPCS,V2710,Glass/plastic slab off prism,,,78.5,96.2,5
HCPCS,V2715,Prism lens/es,,,14.23,17.44,5
HCPCS,V2718,Fresnell prism press-on lens,,,34.96,42.84,5
HCPCS,V2730,Special base curve,,,25.82,31.64,5
HCPCS,V2744,Tint photochromatic lens/es,,,26.79,32.83,5
HCPCS,V2745,"Tint, any color/solid/grad",,,15.18,18.6,5
HCPCS,V2750,Anti-reflective coating,,,31.16,38.19,5
HCPCS,V2755,UV lens/es,,,22.52,27.6,5
HCPCS,V2760,Scratch resistant coating,,,19.6,24.03,5
HCPCS,V2762,"Polarization, any lens",,,73.81,90.45,5
HCPCS,V2770,Occluder lens/es,,,25.31,31.01,5
HCPCS,V2780,Oversize lens/es,,,20.45,25.06,5
HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,79.68,97.65,5
HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,89.85,110.11,5
HCPCS,V2784,Lens polycarb or equal,,,58.43,71.6,5
HCPCS,V2785,CORNEA MICROKERATOME PRECUT DSAEK,4800.0,2400.0,919.2,4320.0,65
HCPCS,V2787,CCW0T3.205 CLAREON TORIC UVA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,CCW0T4.205 CLAREON TORIC UVA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,CCW0T4.235 CLAREON TORIC UVA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +13.0 DIOPTER 3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPERIC UV BLOCK FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +13.0 DIOPTER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +13.5 DIOPTER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +14.5 DIOPTER +2.25 CYLINDER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +15.5 DIOPTER +1.5 CYLINDER TORIC LENS ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +19.0 DIOPTER +1.5 CYLINDER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +20.5 DIOPTER +2.25 CYLINDER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +21.5 DIOPTER +2.25 CYLINDER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +25.5 DIOPTER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +26.0 DIOPTER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +27.0 DIOPTER LENS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +31.0 DIOPTER TORIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +34.0 DIOPTER 1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPERIC UV BLOCK FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF +6.0 DIOPTER 1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPERIC UV BLOCK FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +10.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +10.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +10.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +10.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +10.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +10.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +11.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +11.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +11.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +11.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +11.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +11.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +12.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +12.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +12.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +12.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +12.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +12.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +13.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +13.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +13.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +13.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +14.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +14.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +14.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +14.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +14.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +15.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +15.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +15.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +15.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +16.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +16.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +16.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +16.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +16.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +16.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +17.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +17.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +17.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +17.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +17.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +18.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +18.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +18.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +18.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +18.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +18.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +19.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +19.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +19.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +19.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +19.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +20.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +20.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +20.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +20.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +20.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +20.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +21.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +21.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +21.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +21.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +21.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +22.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +23.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +23.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +23.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +23.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +23.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +24.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +25.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +25.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +25.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +25.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +25.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +25.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +26.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +26.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +26.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +26.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +26.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +27.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +27.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +28.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +28.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +31.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +6.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +6.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +6.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +7.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +7.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +8.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +8.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +8.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +9.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +9.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0 D +9.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF 0DEG +12.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +11.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +12.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +13.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +14.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +14.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +16.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +17.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +19.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +20.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +20.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +21.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +21.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +22.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +24.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +25.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +26.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +28.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +31.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +31.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +32.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CONSTANT POSTERI,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +32.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +33.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +33.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CONSTANT POSTER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +33.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +34.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CONSTANT POSTER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +9.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0 D +9.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ 0DEG +23.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0 D +32.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT APHAKIA ASTIGMATISM PRESBYOPIA POSTERIOR ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE +30.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +10.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +11.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +11.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +11.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +11.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +11.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +12.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +13.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +14.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +14.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +14.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +14.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +15.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +15.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM STABLEFORCE ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA ASTIGMATISM PRESBYOPIA POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +15.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +15.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +15.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +16.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +16.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +16.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +16.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +16.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +17.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +18.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +19.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +20.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +20.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +20.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +20.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +21.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +21.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +21.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +21.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +22.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +23.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +24.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +24.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +24.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +24.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +25.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +25.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +25.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +25.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +25.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +26 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +26.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +26.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CONSTANT POSTER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +26.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +26.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +26.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +27.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +27.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +27.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +27.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +27.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +27.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +28.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +29.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +30.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +30.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +30.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +30.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +31.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CON,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +32.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +33.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +33.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +34.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +34.0 DIOPTER +4 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR C,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +34.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +34.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +6.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +6.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +6.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +6.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +6.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +8.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +8.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +8.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +8.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +9.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMB,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +9.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM STABLEFORCE ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +9.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CONSTANT POSTERI,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0 D +9.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +10.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +10.0 DIOPTER +4.50 CYLINDER BICONVEX MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +12.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ANTERIOR ASPHERIC UV FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +13.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +14.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +15.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +15.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +18.0 DIOPTER +1.50 CYCLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +18.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +19.0 DIOPTER +2.25 CYCLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +19.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +21.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +22.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +24.0 DIOPTER +1.50 CYCLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +24.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +24.5.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ANTERIOR ASPHERIC UV LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +25.0 DIOPTER +3.00 CYCLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +26.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +27.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1-PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +27.0 DIOPTER +6 CYLINDER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE TORIC ASPHERIC UV FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +28.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +29.0 DIOPTER +2.25 CYLINDER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE TORIC ASPHERIC UV FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +29.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +29.0 DIOPTER +5.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +29.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +30.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +31.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1-PIECE FOLDABLE TORIC ASPHERIC UV BLUE LIGHT FILTER ADULT POSTERIOR CHAM,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +32.0 DIOPTER +1.50 CYLINDER MODIFIED L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-ABSORBING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +32.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +5.25 CYLINDER BICONVEX +14.0 DIOPTER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTERIOR ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +7.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +8.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +8.0 DIOPTER +4.5 CYLINDER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE TORIC ASPHERIC UV FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +8.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE 0DEG +9.0 DIOPTER +2.25 CYCLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ STABLEFORCE BICONVEX 0DEG +18.5.0 DIOPTER MODIFIED L +2.25 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED UV VISIBLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC 0 D +7.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM STABLEFORCE ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER APHAKIA ASTIGMATISM PRESBYOPIA POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +11.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +14.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +16.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT PO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +16.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +20.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT PO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +22.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT PO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +25.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT PO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +25.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +26.0 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +27.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT PO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +31.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +33.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT POSTE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE 0 D +34.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119 A-CONSTANT PO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +10.0 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORB ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER CLEAR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +15.5 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +17.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +19.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIO,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +19.0 DIOPTER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +20.0 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE TORIC ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +20.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +21.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0 D +7.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +11.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFY-L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +11.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV & VISIBLE LIGHT FILTER POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +12.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV & VISIBLE LIGHT FILTER POSTERIOR CHAMBE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +16.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +17.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +19.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL ASPHERIC PRELOADED UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +22.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +23.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +24.0 DIOPTER +4.50 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +25.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC TORIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +27.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE FOLDABLE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +6.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +8.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV & BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORCE 0DEG +9.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORE 0DEG +15.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED L L13 MM OD6 MM LENS 1 PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT BLUE LIGHT FILTER POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR ACRYSOF STABLEFORE 0DEG +20.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT BLUE LIGHT FILTER POSTERIOR CH,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR CLAREON +16.5 DIOPTER TORIC LENS,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON +24.5 DIOPTER TORIC LENS,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +10.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +11.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.0DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +12.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POS,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +13.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +14.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +14.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +14.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +14.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +14.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +14.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +15.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +16.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +16.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +16.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +16.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +16.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +17.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +17.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +17.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +18.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +18.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +18.0DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +18.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +18.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +19.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +20.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +21.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +21.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +21.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +21.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +21.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +22.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +23.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +24.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.0DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +25.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +26.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +27.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +28.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +29.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHA,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +30.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +5.25 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR ,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +6.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR ,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR ,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +7.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR ,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBE,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +8.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.0 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.0 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.0 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR ,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.5 DIOPTER +4.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIO,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERI,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAMBER,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D +9.5 DIOPTER +6 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR ,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON 0 D+16.5 DIOPTER +5.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA 119.1 A-CONSTANT POSTERIOR CHAM,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR CLAREON AUTONOME +8.5 DIOPTER +3.00 CYLINDER 0DEG BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ASPHERIC MOD-L TORIC...,520.0,260.0,99.58,468.0,65
HCPCS,V2787,INTRAOCULAR CLAREON VIVITY 0 D +21.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR Clareon Vivity d +20.5 diopter biconvex l13 mm od6 mm hydrophobic acrylic LENS 1 piece foldable uv absorbent astigmatism aphakia presbyopia posterior chamber,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR Clareon d +19.5 diopter toric LENS,505.0,252.5,96.71,454.5,65
HCPCS,V2787,INTRAOCULAR ENVISTA ASPIRE +23.5 DIOPTER BICONVEX L12.5 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL MOD-C 1 PIECE ASPHERIC SURFACE UV...,145.0,72.5,27.77,130.5,65
HCPCS,V2787,INTRAOCULAR TECHNIS +28.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC MONOFOCAL UV BLOCKING POSTERIOR CHAMBER CLEAR,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECHNIS SIMPLICITY TRI-FIX +18.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE LOADED MONOFOCAL UV ABSORBENT SOFT FOLDABLE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECHNIS SIMPLICITY TRI-FIX +21.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE LOADED MONOFOCAL UV ABSORBENT SOFT FOLDABLE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECHNIS TRI-FIX +13.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC MONOFOCAL UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECHNIS TRI-FIX +5.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC MONOFOCAL UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +10.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +11.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +11.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +11.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +12.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +12.0 DIOPTER +4.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC SQUARE EDGE UV ABSORBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +12.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +12.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +12.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +13.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +13.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +13.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +13.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +13.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.0 DIOPTER +4 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE ANTERIOR TORIC ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +14.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE ANTERIOR TORIC ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +15.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +16.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +17.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTE,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM LENS 1 PIECE TORIC ASPHERIC UV BLOCKING ANTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +18.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.0 DIOPTER +3.75 CYLINDER BICONVEX THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-ABSORBENT FROSTED SOFT FOLDABLE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +19.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +20.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +21.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC SQUARE EDGE UV ABSORBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +22.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POSTERIOR CHAM,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +23.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +23.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +23.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +23.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +23.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +24.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +24.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +24.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +24.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +24.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +25.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +25.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE ANTERIOR TORIC ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +25.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +25.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +25.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +26.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +26.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +26.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS +26.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS +9.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT PO,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +12.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +20.0 DIOPTER +5.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +22.0 DIOPTER +5.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +28.0 DIOPTER +4.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +8.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +10.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED C THK0.46 MM L13 MM OD6 MM LENS 1 PIECE TORIC ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.0 DIOPTER +3.00 CYLINDER BICONVEX THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +11.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC UV ABSORBENT FOLDABLE SOFT POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +12.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +13.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +14.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +15.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC UV ABSORBENT FOLDABLE SOFT POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +16.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC LL ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +17.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC LL ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.0 DIOPTER 4.5 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC LL ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +18.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +19.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +20.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +20.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +20.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +20.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +20.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +20.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +21.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +22.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,"INTRAOCULAR TECNIS EYHANCE +23.0 DIOPTER +1.5 CYLINDER MODIFY-C, BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBABLE ANTERIOR CHAMBER",595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +23.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +24.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.0 DIOPTER +2.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +25.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +26.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC LL ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +27.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +28.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC UV ABSORBENT FOLDABLE SOFT POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +29.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +30.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +31.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.5 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +32.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +33.5 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER +5.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +34.0 DIOPTER 3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +5.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.0 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +6.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +7.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.0 DIOPTER 4.5 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +8.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC LL ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.0 DIOPTER +4.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC PRE-LOADED UV ABSORBENT FOLDABLE SOFT POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.0 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-C,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE +9.5 DIOPTER 4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CON,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE PROTEC +15.0 DIOPTER +4.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE TORIC ASPHERIC PRE-LOAD UV ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE PROTEC TECNIS SIMPLICITY TRI-FIX 360DEG +17.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABS,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE PROTEC TRI-FIX +11.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE PROTEC TRI-FIX +15.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE SIMPLICITY 360DEG +7.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE SIMPLICITY 360DEG +7.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE SIMPLICITY PROTEC +20.0 DIOPTER +2.25 CYLINDER BICONVEX HAPTIC-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL FOLDABLE SQUARE EDGE ANTERIOR ASPHERIC UV BLOCKING ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE SIMPLICITY THK.46 MM +18.0 DIOPTER BICONVEX ASPHERIC MODIFIED-C 3.75D 2.57D L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE MONOFOCAL UV ABSORBENT ADULT POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +11.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +12.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +13.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +13.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +13.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +13.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +14.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +14.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +15.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +15.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +16.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ANTERIOR ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +16.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +17.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +17.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +18.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +18.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +19.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +20.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ANTERIOR ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +20.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +20.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +21.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +21.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +22.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +22.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +23.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +23.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +24.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +24.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +25.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +26.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +26.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +28.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +28.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +30.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +30.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +31.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +31.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +32.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +5.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PR,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +6 .0 DIOPTER +5.25 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ANTERIOR ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMB,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +7.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PR,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECHNIS SIMPLICITY +9.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PR,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +12.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE SOFT FOLDABLE ASPHERIC UV-LIGHT ABSORBING,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +12.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE SOFT FOLDABLE ASPHERIC UV-LIGHT ABSORBING,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +13.0 DIOPTER +5.25 CYLINDER BICONVEX MODIFIED-C THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE SOFT FOLDABLE ASPHERIC UV-LIGHT ABSORBING,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +16.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-C THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE SOFT FOLDABLE ASPHERIC UV-LIGHT ABSORBING,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY +9.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C THK0.46 MM L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE SOFT FOLDABLE ASPHERIC UV-LIGHT ABSORBING,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +13.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +20.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +21.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +22.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +23.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +23.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +24.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY THK0.46 MM +25.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC FOLDABLE ASPHERIC UV ABSORBENT P,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +14.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +15.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +17.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +17.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +19.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +20.0 DIOPTER +4.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +24.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +24.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +34.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +7.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE OD6 MM ANTER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +7.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERI,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +8.5.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE OD6 MM ANT,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX +9.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX PROTEC +10.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDAB,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX PROTEC +11.0 DIOPTER +4.5 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABL,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX PROTEC +16.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDAB,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TECNIS SIMPLICITY TRI-FIX PROTEC +22.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TORIC II SIMPLICITY +21.0 DIOPTER +3 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE MONOFOCAL UV BLOCK HYDROPHOBIC APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TORIC II SIMPLICITY +24.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE MONOFOCAL UV BLOCK HYDROPHOBIC APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TRI-FIX +11.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TRI-FIX +15.0 DIOPTER +4.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TRI-FIX +22.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TRI-FIX +29.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS EYHANCE TRI-FIX PROTEC +14.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE ANTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +15.0 DIOPTER +1.5 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +15.5 DIOPTER +1.5 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +16.0 DIOPTER +1.5 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +17.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +20.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +21.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +21.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +22.5 DIOPTER +1.5 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +23.0 DIOPTER +1.5 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +23.0 DIOPTER +2.25 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +23.5 DIOPTER +1.5 CYLINDER TORIC II L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +23.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +24.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC +12.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POSTE,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +10.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +10.0 DIOPTER +3.0 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +10.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC UV-ABSORBING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +14.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +19.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +20.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +22.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC UV-ABSORBING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +24.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC 360DEG +27.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +10.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +10.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +10.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +10.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +10.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +10.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +11.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.0 DIOPTER +2.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.5 DIOPTER +2.25 ADD MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +12.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +13.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.5 DIOPTER +1.5 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT PO,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +14.5 DIOPTER +4 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT PO,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.5 DIOPTER +1.5 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT PO,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.5 DIOPTER +2.25 ADD MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +16.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC SQUARE EDGE UV BLOCK POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.0 DIOPTER +4.0 CYLINDER BICONVEX MODIFY-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ANTERIOR ASPHERIC UV BLOCK POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +17.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +18.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFY-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ANTERIOR ASPHERIC UV BLOCK POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +18.0 DIOPTER +4 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +18.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +18.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +18.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFY-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ANTERIOR ASPHERIC UV BLOCK POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.0 DIOPTER +3 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.0 DIOPTER +4 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.0 DIOPTER +4.5 ADD MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC SQUARE EDGE UV BLOCK ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +19.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.5 DIOPTER +3 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +20.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.0 DIOPTER +4 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.5 DIOPTER +2.25 ADD MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.0 DIOPTER +4.00 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ASPHERIC UV BLOCK POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.5 DIOPTER +1.5 ADD MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC SQUARE EDGE UV BLOCK ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +22.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED -C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.0 DIOPTER +4.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ANTERIOR ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +24.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +24.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +24.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +24.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +24.5 DIOPTER +2.25 ADD MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +24.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE TORIC ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +25.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +26.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.0 DIOPTER +4 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.5 DIOPTER +4 ADD MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT POST,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +27.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +28 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +28.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +28.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +28.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +28.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +29.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +29.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +29.5 DIOPTER +5.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MOD-C 1 PIECE ANTERIOR...,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +30.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +30.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +31.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +31.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +32.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +32.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 11,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +32.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +33.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTAN,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.0 DIOPTER +6 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTAN,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +5.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTAN,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +6.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +7.5 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +8.5 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTAN,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +4 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +4.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.0 DIOPTER +6 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTA,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA 119.3 A-CONSTANT ,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX +9.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX 360DEG +12.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX 360DEG +13.0 DIOPTER +4.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX 360DEG +23.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX 360DEG +23.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX 360DEG +24.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCK SQUARE EDGE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRI-FIX 360DEG +9.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS PROTEC TRIFIX 360DEG +28.0 DIOPTER 1.50 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCK POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +05.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +05.0 DIOPTER +6.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +12.0 DIOPTER +4.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE TORIC II ASPHERIC PRE-LOAD UV ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +14.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +18.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +19.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +19.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +20.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBE,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +21.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +24.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +25.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE TORIC II ASPHERIC PRE-LOAD UV ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +29.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC II ASPHERIC PRE-LOAD UV-ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SIMPLICITY PROTEC 360DEG +8.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ONE-PIECE TORIC II ASPHERIC PRE-LOAD UV ABSORBING POSTERIOR CHAMBER,595.0,297.5,113.94,535.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +10.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +11.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +13.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +13.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +13.5 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +14.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +14.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +15.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +15.5 DIOPTER +3 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APH,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +16.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +16.0 DIOPTER +3 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APH,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +16.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +17.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +17.0 DIOPTER +3 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APH,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +17.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +18.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +18.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +18.5 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +19.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +19.0 DIOPTER +3 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APH,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +19.5 DIOPTER +3 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APH,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +20.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +20.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +20.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +20.5 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +21.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +21.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM ,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +22.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +22.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +23.5 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +24.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +5.0 DIOPTER +2.25 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +5.0 DIOPTER +3 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +5.0 DIOPTER +3.75 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +11.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +13.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +14.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +15.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +15.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +15.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +16.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +18.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +18.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +18.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +20.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +20.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +21.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +21.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +22.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +23.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +25.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +27.5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +28.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +5.0 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +5.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +6.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMA,995.0,497.5,190.54,895.5,65
HCPCS,V2787,INTRAOCULAR TECNIS TRI-FIX PROTEC +11.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED- C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,450.0,225.0,86.18,405.0,65
HCPCS,V2787,INTRAOCULAR TECNIS TRIFIX +23.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC UV BLOCKING POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,IOL TECNIS TORIC II ZCU225 5.52.25 CYLINDER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +10.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFY L 1-PIECE UV ABSORBING UV BLUE LIGHT FILTER FOLDABLE ASPHERIC TORIC OD6 MM ACRYSOF IQ STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +12.0 DIOPTER +23 CYLINDER BICONVEX MODIFY L 1-PIECE UV ABSORBING UV BLUE LIGHT FILTER FOLDABLE ASPHERIC TORIC OD6 MM ACRYSOF STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +14.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE OD6 MM ACRYSOF IQ STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +17.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L 1-PIECE TORIC ASPHERIC UV BLUE LIGHT FILTER FOLDABLE OD6 MM ACRYSOF IQ STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +20.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFY L 1-PIECE UV ABSORBING UV BLUE LIGHT FILTER FOLDABLE ASPHERIC TORIC OD6 MM ACRYSOF STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +21.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFY L 1-PIECE UV ABSORBING UV BLUE LIGHT FILTER FOLDABLE ASPHERIC TORIC OD6 MM ACRYSOF IQ STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +25.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFY L 1-PIECE UV ABSORBING UV BLUE LIGHT FILTER FOLDABLE ASPHERIC TORIC OD6 MM ACRYSOF IQ STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,L13 MM 0DEG +26.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFY L 1-PIECE UV ABSORBING UV BLUE LIGHT FILTER FOLDABLE ASPHERIC TORIC OD6 MM ACRYSOF IQ STABLEFORCE HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS INTRAOCULAR 15.0D CYL2.25 F/TECNIS ODYSSEY TORIC II,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS INTRAOCULAR TECNIS PROTEC TRI-FIX +30.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR.,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE +11.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +11.5 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW300,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +12.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +15.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +15.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +16.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +16.5 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW300,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +17.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +17.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +18.0 DIOPTER 3.75 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW375,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +18.5 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW300,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +18.5 DIOPTER 3.75 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW375,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +19.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +19.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +19.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +20.0 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW300,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +21.0 DIOPTER 3.75 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW375,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +21.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +22.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +22.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +23.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +23.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +23.0 DIOPTER 3.75 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW375,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +24.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +24.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +24.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +25.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +26.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +26.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE +29.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +30.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW150,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +30.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +8.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW225,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE +9.0 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY TORIC II OPTIBLUE SIMPLICITY DXW300,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE 10.0 DIOPTER 3.75 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT6 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 10.0 DIOPTER 6MM DIA 13MML 1.50D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 10.5 DIOPTER 6MM DIA 13MML 1.50D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 11.0 DIOPTER 4.5 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT7 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 11.0 DIOPTER 5.25 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT8 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 11.5 DIOPTER 6MM DIA 13MML 2.25D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 12.0 DIOPTER 4.5 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT7 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 13.5 DIOPTER 3.75 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT6 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 17.5 DIOPTER 3.75 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT6 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 19.5 DIOPTER 3.75 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT6 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 19.5 DIOPTER 6MM DIA 13MML 3.00D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 23.0 DIOPTER 6 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT9 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 24.5 DIOPTER 6MM DIA 13MML 1.50D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 27.5 DIOPTER 6MM DIA 13MML 1.50D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 27.5 DIOPTER 6MM DIA 13MML 3.00D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 29.0 DIOPTER 6MM DIA 13MML 2.25D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 30.5 DIOPTER 6MM DIA 13MML 1.50D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 32.0 DIOPTER 2.25 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT4 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 32.5 DIOPTER 6MM DIA 13MML 2.25D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 6.0-34.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX SYMMETRIC MONOFOCAL TORIC ASPHERIC UV ABS BLUE LIGHT FILT MOD-L NATURAL ACRYSOF IQ S,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 8.0 DIOPTER 6MM DIA 13MML 6.00D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 8.5 DIOPTER 6MM DIA 13MML 1.50D IOL PLANE UV-BLOCKING HYDROPHOBIC ACRYLIC  POSTERIOR CHAMBER BICONVEX ANTERIOR TORIC ASPHERIC SURFACE TRI-FIX DESIGN MODIFIED C INTEGRAL WITH OPTIC,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE 9.5 DIOPTER 4.5 CYLINDER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX TORIC ASPHERIC UV ABS MOD-L CLEAR ACRYSOF SA6AT7 0DEG,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 12.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 13.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 14.0 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMPL,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 14.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 15.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 15.0 DIOPTER 3.75 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 16.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 17.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 17.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 17.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 18.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 20.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 20.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 21.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 21.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 22.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 23.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 24.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,1095.0,547.5,209.69,985.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 30.0 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 30.5 DIOPTER 2.25 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SI,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 33.5 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMPL,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 34.0 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMPL,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 5.0 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMP,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 5.5 DIOPTER 1.5 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMP,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL 1-PIECE PRELOADED 8.0 DIOPTER 3.75 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIM,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL ACRYSOF 0 D +12.5 DIOPTER +3.75 CYLINDER MODIFY L 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF 0 D +12.5 DIOPTER +4.5 CYLINDER MODIFY L 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF 0 D +13.5 DIOPTER +4.5 CYLINDER MODIFY L 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF 0 D +22.5 DIOPTER +4.5 CYLINDER MODIFY L 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF 0 D +24.5 DIOPTER +6 CYLINDER MODIFY L 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ 0 D +10.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ 0 D +11.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +11.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +12.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +13.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +13.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +14.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +14.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +14.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +15 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +16 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +16.5 DIOPTER +5.25 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +16.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +17.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +17.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +18.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +18.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +19.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +19.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +20.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +21 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +21.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +21.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +22.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +22.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +23.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +23.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +24.5 DIOPTER +5.25 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +24.5 DIOPTER +6 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +25.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +26.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +27.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +28.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +29.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +6 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTAN,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +6.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +6.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +6.5 DIOPTER +6 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CON,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119 A-,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +7.5 DIOPTER +6 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CON,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +8.5 DIOPTER +6 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CON,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +9.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119 A-,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +9.5 DIOPTER +5.25 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ STABLEFORCE 0 D +9.5 DIOPTER +6 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119 A-CON,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +10.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +10.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +11.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +11.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +12.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +12.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +13.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +13.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +14.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +15.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +15.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +15.5 DIOPTER +5.25 CYLINDER MODIFY L 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA PRESBYOPIA 1,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +16.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +16.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +17.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +17.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +18.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +18.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +19.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +19.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +20.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +20.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +21.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +21.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +22.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +23.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +23.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +24.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +24.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +25.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +25.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +26.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +26.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +27.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +27.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +28.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +28.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +29.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 ,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +29.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +6.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +8.5 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +8.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF IQ TORIC STABLEFORCE 0 D +9.5 DIOPTER +4.5 CYLINDER BICONVEX 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF STABLEFORCE 0 D +15 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE FOLDABLE TORIC ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL ACRYSOF STABLEFORCE 0 D +23.5 DIOPTER +4.5 CYLINDER MODIFY L 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE CLEAR ASTIGMATISM APHAKIA P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL CLAREON VIVITY CNWET4 1-PIECE EXTENDED VISION 9.5 DIOPTER 2.25 CYLINDER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL TORIC ASPHERIC WAVEFRONT BICONVEX YELLOW ACRYLIC UV ABS BLUE LIGHT FILT 0DEG,1015.0,507.5,194.37,913.5,65
HCPCS,V2787,LENS IOL TECHNIC SYMFONY 18.5 DIOPTER DXW150,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL TECHNIS 11 1-PIECE +23.5,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECHNIS II 1-PIECE +27.5D,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECHNIS II 1-PIECE +6.5.0D,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECNIS +17.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECNIS +26.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,495.0,247.5,94.79,445.5,65
HCPCS,V2787,"LENS IOL TECNIS DRT225U185 ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRT 225 18.5",995.0,497.5,190.54,895.5,65
HCPCS,V2787,"LENS IOL TECNIS DRT225U190 ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRT 225 19.0",995.0,497.5,190.54,895.5,65
HCPCS,V2787,"LENS IOL TECNIS DRT225U195 ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRT 225 19.5",995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL TECNIS EYHANCE +16.5 DIOPTER +1.50 CYLINDER MODIFY C BICONVEX 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM ANTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYO,595.0,297.5,113.94,535.5,65
HCPCS,V2787,LENS IOL TECNIS EYHANCE +5 DIOPTER +3.75 CYLINDER MODIFY C BICONVEX 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM STERILE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT,595.0,297.5,113.94,535.5,65
HCPCS,V2787,"LENS IOL TECNIS ODYSSEY IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRN00V 17.5",995.0,497.5,190.54,895.5,65
HCPCS,V2787,"LENS IOL TECNIS ODYSSEY IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRN00V 23.0",995.0,497.5,190.54,895.5,65
HCPCS,V2787,"LENS IOL TECNIS ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRT 150 10.5",995.0,497.5,190.54,895.5,65
HCPCS,V2787,"LENS IOL TECNIS ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRT 225 26.5",995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL TECNIS PROTEC TRI-FIX +13.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA PRESBYOPI,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECNIS PROTEC TRI-FIX +18.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA 119,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECNIS PROTEC TRI-FIX +21.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA 119.3 A-C,450.0,225.0,86.18,405.0,65
HCPCS,V2787,LENS IOL TECNIS PROTEC TRI-FIX +8.5 DIOPTER +6 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA PRESBYOPIA 1,495.0,247.5,94.79,445.5,65
HCPCS,V2787,LENS IOL TECNIS SYMFONY TECNIS SMP OPTIBLUE +14.5 D +2.25,995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS IOL TECNIS SYMFONY TECNIS SMP OPTIBLUE +21.5 D +1.5,995.0,497.5,190.54,895.5,65
HCPCS,V2787,"LENS IOL TECNISDRT225U180 ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM, DRT 225 18.0",995.0,497.5,190.54,895.5,65
HCPCS,V2787,LENS SA6AT3 ACRYSOF IQ TORIC IOL 17.5 DIOPTER,495.0,247.5,94.79,445.5,65
HCPCS,V2787,NTRAOCULAR TECNIS +18.5 DIOPTER +5.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT P,495.0,247.5,94.79,445.5,65
HCPCS,V2787,TECNIS SYNERGY TORII SMPCY 15.5D CYL2.25,995.0,497.5,190.54,895.5,65
HCPCS,V2788,ACYSOF IQ VIVITY IOL 15.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,CNWET6.245 CLAREON VIVITY TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,CNWET6.255 CLAREON VIVITY TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,CNWET6.265 CLAREON VIVITY TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,CNWET6.275 CLAREON VIVITY TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,CNWET6.285 CLAREON VIVITY TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,CNWET6.295 CLAREON VIVITY TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,DAT315 24.5 AC UVA VIVITY TOR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 13.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 14.5 AS UVA VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 15.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 16.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 19.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 20.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 22.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 23.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 25.5 AS UVA VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 26.5 AS UVA VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 27.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 28.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT415 29.5 AC UVA VIVITY TOR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 12.5 AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 14.5 D AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 16.5 AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 17.5 AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 18.5 AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 20.5 AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DAT515 23.5 AS UVA VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DFT015 23.5 AS VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DFT415 12.5  AS VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DFT415 13.5 AS VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,DFT415 14.5 AS VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF +22.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF +24.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF +24.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF +25.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF +26.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ 0.0 D +31.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ 0.0 D +31.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +10.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +10.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +10.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +11.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +11.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +12.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +13.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +13.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +14.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +15.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +15.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +15.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +16.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +17.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +17.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +17.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +18.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +18.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +18.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +18.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +19.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +19.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +19.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +20.0 DIOPTER LENS FOLDABLE UV ABSORBENT MULTIFOCAL,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +20.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +20.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +21.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +21.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +21.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +22.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +22.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +23.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +23.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +23.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +23.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +24.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +24.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +25.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +25.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +25.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +26.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +26.5 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +27.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +27.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +29.5 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +30.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +31.0 DIOPTER TORIC LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +8.0 DIOPTER TORIC LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX +9.0 DIOPTER LENS FOLDABLE UV ABSORBENT TRIFOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +10.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +11.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +12.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +14.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +15.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +15.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +15.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +15.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +15.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +16.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +17.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +17.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +17.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +17.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +17.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +17.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +18.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +18.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +18.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +18.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +18.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +18.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +19.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +20.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +20.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +20.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +20.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +20.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +20.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +21.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +21.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +21.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +21.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +22.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +23.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +23.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +23.0 DIOPTER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +23.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +23.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +23.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +24.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +25.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +25.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT 3 FOCAL POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +25.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +25.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +25.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +25.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +26.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +27.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +28.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +29.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +30.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +30.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +30.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +30.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +31.0 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +31.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +31.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +31.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +31.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +32.0 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +32.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +32.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +32.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +32.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +33.0 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +33.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +33.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +33.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +33.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +34.0 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +34.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +34.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +34.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +34.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.5 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +6.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +7.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.5 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +8.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.0 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.5 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0 D +9.5 DIOPTER MODIFY L TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE TRIFOCAL UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0DEG +20.5 DIOPTER +3.75 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TORIC POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX 0DEG +7.0 DIOPTER BICONVEX MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE TRIFOCAL ASPHERIC UV ABSORBING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.0 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.0 DIOPTER +0 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +30.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +30.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +30.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +30.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +31.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +31.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +32.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +32.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +32.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +32.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +32.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +33.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +33.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +33.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +33.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +33.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +34.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +34.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +34.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +34.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +34.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAM,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPI,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAM,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPI,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAM,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPI,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.0 DIOPTER +1.5 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAM,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPI,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.0 DIOPTER +3.75 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.0 DIOPTER L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0.0 D +10.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0.0 D +11.0 DIOPTER +3 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0.0 D +30.0 DIOPTER +2.25 CYLINDER TORIC L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ PANOPTIX STABLEFORCE 0DEG +7.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE TRIFOCAL ASPHERIC UV ABSORBING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 0 D +15.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE MULTIFOCAL APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER APHAKIA ASTIGMATISM POSTERIOR CHA,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +15.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +15.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +17.0 DIOPTER +3 CYLINDER MODIFY C L13 MM OD6 MM MONOFLEX LENS MULTIPIECE FOLDABLE ASPHERIC POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +18.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +19.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +20.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +21.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +23.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +26.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR 10 D +28.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM MONOFLEX LENS FOLDABLE ANTERIOR ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL APHAKIA PRESBYOPIA POSTERIOR CHAMBER BLUE,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0 D +20.0 DIOPTER +2.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL ASTIGMATISM APHAKIA P,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0 D +23.0 DIOPTER +3 ADD BICONVEX L13 MM OD6 MM ACRYLIC LENS FOLDABLE APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER APHAKIA PRESBYOPIA POSTERIOR CHAMBER Y,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0 D +24.0 DIOPTER +2.5 CYLINDER BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE MULTIFOCAL APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER APHAKIA 119.1 A-CONST,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0 D +24.0 DIOPTER +3 ADD BICONVEX L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER APHAKIA PRESBYOPIA POSTERIOR C,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0DEG +18.0 DIOPTER +1.50 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL TORIC ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0DEG +24.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MULTIFOCAL APODIZE DIFFRACTIVE ASPHERIC OPTIC UV & BLUE LIGHT FILTER ,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ RESTOR STABLEFORCE 0DEG +30.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL TORIC APODIZE DIFFRACTIVE ASPHERIC UV FILTER POSTERIOR CHAMB,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTE CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +10.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POST CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTCHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAM,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +11.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POST CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +12.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POST CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +13.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +14.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.205 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.215 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.225 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.245 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +15.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +16.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POST CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POST CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +17.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POST CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +18.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +19.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POST CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +20.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +21.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +22.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +23.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTER CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +24.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POST CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +25.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POST CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +26.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +27.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +28.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +29.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +29.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +29.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +29.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +29.5 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +30.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +30.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT DAT315 POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +30.0 DIOPTER TORIC ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT DAT415 POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.155 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.165 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.175 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.185 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.195 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.205 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.235 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +315.245 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.150 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.165 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.175 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.185 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.195 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.205 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.215 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.225 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.235 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +415.245 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.155 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.165 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.175 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.185 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.195 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.205 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.215 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.225 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.235 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY +515.245 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC WAVEFRONT UV BLUE LIGHT FILTERING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +10.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +11.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +11.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +11.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ANTERIOR ASPHERIC UV ABSORBENT SPHERICAL POSTERIOR ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +12.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +12.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +12.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +12.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +12.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ANTERIOR ASPHERIC UV ABSORBENT SPHERICAL POSTERIOR ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +13.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +13.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +13.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ANTERIOR ASPHERIC UV ABSORBENT SPHERICAL POSTERIOR ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +14.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +14.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +14.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS ANTERIOR ASPHERIC UV ABSORBENT SPHERICAL POSTERIOR ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +15.0 DIOPTER +3.75 CYLINDER +2.57 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +15.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +15.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +16.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +17.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +17.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +17.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +18.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +18.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +18.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +18.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +19.0 DIOPTER +3.75 CYLINDER +2.57 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +19.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +20.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +20.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +20.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +21.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +21.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +21.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +21.5 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +21.5 DIOPTER +3.75 CYLINDER +2.57 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +22.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +22.0 DIOPTER +3.75 CYLINDER +2.57 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +22.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT APHAKIA ASTIGMATISM PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +22.5 DIOPTER +3.75 CYLINDER +2.57 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +23.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +23.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +23.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +25 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +25.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +26.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +26.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +27.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +27.5 DIOPTER +3 CYLINDER +2.06 CYLINDER L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMB,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +27.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +28.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +28.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +28.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0 D +28.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM ACRYLIC LENS 1 PIECE FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY 0DEG +20.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC UV FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY L STABLEFORCE +14.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC METHACRYLATE COPOLYMER LENS UV ABSORBENT FOLDABLE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +10.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV ABSORBABLE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +10.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL ASPHERIC UV ABSORBING NON-DIFFRACTIVE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +11.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL ASPHERIC UV ABSORBING NON-DIFFRACTIVE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +12.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL ASPHERIC UV ABSORBING NON-DIFFRACTIVE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +13.0 DIOPTER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL ASPHERIC UV ABSORBENT NON-DIFFRACTIVE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +21.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL TORIC ASPHERIC UV ABSORBING NON-DIFFRACTIVE POSTERIOR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +26.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL ASPHERIC UV ABSORBING NON-DIFFRACTIVE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY STABLEFORCE 0DEG +27.0 DIOPTER BICONVEX MODIFIED-L L13.0 MM OD6 MM HYDROPHOBIC ACRYLIC LENS MONOFOCAL ASPHERIC UV ABSORBING NON-DIFFRACTIVE POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X WAVE +26.5 DIOPTER ACRYLIC LENS ASPHERIC FOLDABLE UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X WAVE +27.5 DIOPTER ACRYLIC LENS ASPHERIC FOLDABLE UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +10.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +10.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +12.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +13.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +14.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +16.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +17.5 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +19.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF IQ VIVITY X-WAVE +22.0 DIOPTER ACRYLIC LENS FOLDABLE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF STABLEFORCE PANOPTIX 0DEG +7.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TRIFOCAL TORIC ASPHERIC UV ABSORBING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF STABLEFORCE PANOPTIX 0DEG +8.0 DIOPTER +0.0 CYLINDER BICONVEX MODIFIED-L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TRIFOCAL TORIC ASPHERIC UV ABSORBING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR ACRYSOF VIVITY +19.5 DIOPTER TORIC LENS UV ABSORBENT,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +10.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +10.0 DIOPTER TORIC +3.75 CYLINDER HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +10.0 DIOPTER TORIC 3 CYLINDER HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +10.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +11.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +11.0 DIOPTER TORIC +3 CYLINDER HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +11.0 DIOPTER TORIC +3.75 CYLINDER HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +11.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +12.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +12.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +12.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +12.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +12.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +13.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +13.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +13.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +13.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +13.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +14.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +14.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +14.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +14.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +14.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +15.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +15.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +15.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +15.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +15.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +16.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +16.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +16.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +16.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +16.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +17.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +17.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +17.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +17.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +17.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT TRIFOCAL APHAKIA ASTIGMATISM PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +17.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +18.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +18.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +18.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +18.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +18.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +19.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +19.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +19.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +19.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +19.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +20.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +20.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +20.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +20.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +20.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +21.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +21.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +21.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +21.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +21.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +22.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +22.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +22.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +22.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +22.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +23.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +23.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +23.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +23.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +23.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +24.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +24.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +24.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +24.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +25.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +25.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +25.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +25.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +26.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +26.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +26.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +26.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +27.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +27.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +27.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +27.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +27.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +28.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +28.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +28.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +28.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +28.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +29.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +29.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +29.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +29.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +29.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +30.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +30.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMB,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +30.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +30.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +31.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +31.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +32.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +32.0 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +33.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +34.0 DIOPTER LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX +7.5 DIOPTER TORIC HYDROPHOBIC ACRYLIC LENS FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +10.5 DIOPTER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POSTERIOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +17.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +18.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +19.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +20.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.0 DIOPTER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POSTERIOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +24.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR C,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +25.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA ,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CH,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.5 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.0 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.5 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +30.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ASTIGMATISM APHAKIA PRESBYOPIA 1,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +30.0 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +30.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +30.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +30.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +30.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +31.0 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +31.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +31.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +31.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +31.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +32.0 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +32.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +32.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +32.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +32.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +33.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +33.0 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +33.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +33.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +33.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +33.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +34.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +34.0 DIOPTER +1.50 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +34.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +34.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTA,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +34.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CON,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +34.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +6.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +7.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +8.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,130
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTAN,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.1 A-CONSTANT POST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 0 D +9.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX 17.5 DIOPTER L13 MM OD6 MM LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.105 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.115 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.125 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.135 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.145 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.155 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.165 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.185 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.195 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.205 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.215 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.225 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.235 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.245 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.255 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.265 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.275 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.285 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX CNWTT0.295 LENS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON PANOPTIX STABLEFORCE +18.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT TRIFOCAL APHAKIA ASTIGMATISM PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.0 DIOPTER LENS TORC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.0 DIOPTER LENS UV ABSORBENT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +10.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +11.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +11.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +11.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +11.0 DIOPTER LENS TORC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +11.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +11.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +12.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +12.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +12.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +12.0 DIOPTER LENS TORC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +12.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +12.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +13.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +13.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +13.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +13.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +13.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +13.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +14.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +14.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +14.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +14.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +14.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +14.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +15.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +15.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +15.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +15.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +15.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +15.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +16.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +16.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +16.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +16.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +16.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +16.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +17.5 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.0 DIOPT LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +18.5 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.0 DIOPTER LENSTORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +19.5 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +20.5 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +21.5 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +22.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +22.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +22.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +22.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +22.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +22.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +23.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +23.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +23.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +23.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +23.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +23.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +24.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +24.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +24.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +24.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +24.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +24.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +25.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +25.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +25.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +25.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +25.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +25.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +26.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +26.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +26.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +26.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +26.0 DIOPTER LENSTORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +26.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +27.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +27.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +27.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +27.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +27.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +27.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +28.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +28.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +28.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +28.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +28.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +28.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +29.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +29.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +29.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +29.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +29.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +29.5 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +30.0 DIOP LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +30.0 DIOPTER LEN TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +30.0 DIOPTER LENS BLUE LIGHT FILTER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +30.0 DIOPTER LENS TOR,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY +30.0 DIOPTER LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +10.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +11.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +12.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +13.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +14.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +15.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONS,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +16.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +17.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +18.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +19.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.5 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.5 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +20.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.0 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.0 DIOPTER +2.25 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +21.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLATE LENS 1 PIECE FOLDABLE ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +22.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +23.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +24.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +25.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +26.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +27.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +28.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.5 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.5 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.5 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.5 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +29.5 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +30.0 DIOPTER +1.5 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTA,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +30.0 DIOPTER +2.25 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +30.0 DIOPTER +3 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONSTANT,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +30.0 DIOPTER +3.75 CYLINDER MODIFY L L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA 119.2 A-CONST,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY 0 D +30.0 DIOPTER MODIFY L BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV ABSORBENT ASTIGMATISM APHAKIA PRESBYOPIA POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY AUTONOME STABLEFORCE +17.0 DIOPTER +1.50 CYLINDER 0DEG BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS...,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.105 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.115 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.125 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.135 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.145 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.155 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.165 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.225 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.235 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.245 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.255 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.265 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.275 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.285 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET3.295 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.105 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.115 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.125 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.135 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.145 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.155 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.165 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.175 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.185 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.195 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.205 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.215 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.225 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.235 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.245 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.255 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.265 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.275 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.285 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET4.295 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.105 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.115 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.125 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.135 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.145 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.155 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.165 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.175 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.185 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.195 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.205 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.215 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET5.225 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.105 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.115 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.125 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.135 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.145 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.155 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.165 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.175 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.185 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.195 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.205 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.215 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.225 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.235 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.245 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.255 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.265 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.275 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.285 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR CLAREON VIVITY CNWET6.295 LENS TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,INTRAOCULAR TECHNIS +20.0 DIOPTER +2.75 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC MULTIFOCAL UV BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECHNIS SYMFONY +17.0 DIOPTER +3 CYLINDER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC UV BLOCK ANTERIOR ASPHERIC POSTERIOR CHAMBER CLEAR,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS +22.5 DIOPTER +4 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS +23.0 DIOPTER LENS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS +24.5 DIOPTER +2.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS +25.0 DIOPTER +2.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX +19.0 DIOPTER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +10.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +10.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +11.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +11.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +12.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +13.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +13.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +14.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +15.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +16.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +22.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +25.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +26.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +26.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +27.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +27.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +28.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +28.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +29.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +29.5 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS ODYSSEY TECNIS SIMPLICITY +30.0 DIOPTER L13 MM OD6 MM LENS,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +11.0 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +12.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +13.0 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +13.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +14.0 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +14.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +15.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +16.0 DIOPTER +1.5 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +16.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +17.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +18.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +18.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +19.0 DIOPTER +2.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +19.0 DIOPTER +3.25 CYLINDER MODIFIED C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +19.5 DIOPTER +2.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +20.0 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +20.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +21.0 DIOPTER +2.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +21.0 DIOPTER +3.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL ANTERIOR ASPHERIC UV-BLOCK POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +21.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +22.0 DIOPTER +3.25 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM ACRYLIC LENS 1 PIECE MULTIFOCAL ANTERIOR ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MULTIFOCAL ANTERIOR ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +22.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE MULTIFOCAL ANTERIOR ASPHERIC UV BLOCK APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +23.0 DIOPTER +2.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL ASPHERIC UV BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +23.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC +24.5 DIOPTER +3.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL APHAKIA 119.3 A-CONSTANT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC 0DEG +17.0 DIOPTER +3.25 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC 360DEG +24.0 DIOPTER +3.25 CYLINDER BICONVEX MODIFIED C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL TORIC ASPHERIC UV-BLOCKING HAPTIC OFFSET POSTERIOR-CHAMB,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC TRI-FIX +15.0 DIOPTER +3.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL TORIC ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC TRI-FIX +21.5 DIOPTER +2.75 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK MULTIFOCAL ASTIGMATISM APHAKIA 119.3 A-CONSTA,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC TRI-FIX +23.0 DIOPTER +3.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MULTIFOCAL TORIC ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS PROTEC TRIFIX 360DEG +24.0 DIOPTER 2.75 CYLINDER BICONVEX MODIFIED C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCK MULTIFOCAL ADULT POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +10.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC FOLDABLE ASPHERIC UV ABSORBENT POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +11.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +11.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTAN,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +11.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +11.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTAN,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +12.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +12.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +12.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTAN,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +13.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +13.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTAN,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +14.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +14.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +15.5 DIOPTER +2.25 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +15.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +16.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +16.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +16.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +17.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +17.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +17.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +18.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +18.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +18.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +19.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +19.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +19.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +20.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +20.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +20.0 DIOPTER L13 MM OD6 MM LENS POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +20.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +20.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +21.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +22.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +22.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +23.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +23.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +23.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +23.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +24.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +24.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +24.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +24.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +25.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +26.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +26.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +26.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +26.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +26.5 DIOPTER L13 MM LENS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +27.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +27.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +27.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +27.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +28.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +28.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +28.0 DIOPTER L13 MM LENS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +28.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +29.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +30.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV ABSORBER POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +30.5 DIOPTER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR ,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +31.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +31.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +32.0 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +32.5 DIOPTER +1.5 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +34.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +5.5 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY +6.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONSTANT POSTERIOR C,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC +16.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV BLOCKING POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 0DEG +17.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV-BLOCKING EXTENDED POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 0DEG +25.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING EXTENDED POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 360DEG +09.0 DIOPTER +3.00 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 360DEG +09.0 DIOPTER 1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING TORIC POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 360DEG +21.0 DIOPTER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 360DEG +22.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-BLOCKING POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 360DEG +25.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13.0 MM OD6.0 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC 360DEG +25.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV BLOCKING POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +10.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +10.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +11.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +11.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +11.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +11.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +12.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +12.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +12.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV BLOCK FOLDABLE POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +12.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +12.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +13.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +13.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +13.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +14.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +14.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +14.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +14.5 DIOPTER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +15.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFY C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK FOLDABLE POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +15.0 DIOPTER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +15.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +15.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +15.5 DIOPTER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +16.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED C OD13 MM ODSEC6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR C,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +16.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +16.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +16.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +17.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV-BLOCKING FOLDABLE POSTERIOR CHAMBE,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +17.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBE,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +17.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +17.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +18.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED C OD13 MM ODSEC6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR C,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +18.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +18.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBE,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +18.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +18.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +19.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +19.0 DIOPTER +3.0 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMBE,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +19.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +19.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +19.5 DIOPTER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +20.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +20.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +20.5 DIOPTER +2.25 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,895.0,447.5,171.39,805.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +21.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +21.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +21.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +21.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +23.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +23.0 DIOPTER +2.25 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +23.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +23.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +24.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +24.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +24.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +25.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +26.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +26.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE FOLDABLE ASPHERIC UV BLOCKING POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +27.0 DIOPTER +1.50 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE MONOFOCAL TORIC ASPHERIC UV ABSORBENT FOLDABLE POSTERIOR CHAMB,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +27.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +27.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +27.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +28.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +28.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +29.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +29.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +30.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +31.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +31.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +32.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +32.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +32.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +32.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +33.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +33.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +33.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +33.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +34.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOP,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +34.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA ,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +34.0 DIOPTER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONS,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +5.0 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK FOLDABLE ASTIGMATISM APHAKIA PRESBYOPIA,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +5.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +5.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 1,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +5.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.0 DIOPTER +1.5 ADD HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.5 DIOPTER +1.5 ADD HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +6.5 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +7.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +7.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 1,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +7.0 DIOPTER +3.75 CYLINDER HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +7.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +7.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 1,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +8.0 DIOPTER +1.5 ADD HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +8.0 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +8.0 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 1,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +8.5 DIOPTER +1.5 ADD HAPTIC C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +8.5 DIOPTER +2.25 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPI,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +8.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 1,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +9.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +9.5 DIOPTER +3 CYLINDER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV BLOCK FOLDABLE ASTIGMATISM APHAKIA PRESBYOPIA 1,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX +9.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV BLOCK ASTIGMATISM APHAKIA PRESBYOPIA 119.3 A-CONST,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX 0DEG +13.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRI-FIX 0DEG +18.0 DIOPTER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE ASPHERIC UV BLOCKING FOLDABLE POSTERIOR CHAMBER,850.0,425.0,162.78,765.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRIFIX 0DEG +15.0 DIOPTER +1.5 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-ABSORBENT FOLDABLE FROSTED POSTERIOR CHAM,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY PROTEC TRIFIX 0DEG +16.0 DIOPTER +3 CYLINDER BICONVEX MODIFIED-C FROSTED L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC UV-ABSORBENT FOLDABLE FROSTED POSTERIO,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +10.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +10.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +11.0 DIOPTER +1.5 CYLINDER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM A,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +11.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +11.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +13.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +13.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +14.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +14.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +15.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +15.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +16.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +16.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +17.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +18.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +19.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +19.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +20.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +20.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +21.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +22.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +22.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +23.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +23.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +24.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +25.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +25.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +26.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +30.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +31.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +32.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +5.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOP,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +6.0 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOP,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY OPTIBLUE +6.5 DIOPTER BICONVEX TORIC L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ANTERIOR ASPHERIC UV ABSORBENT SQUARE EDGE ASTIGMATISM APHAKIA PRESBYOP,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY PROTEC TRI-FIX +18.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE ASPHERIC UV ABSORBING POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TECNIS SIMPLICITY PROTEC TRI-FIX +18.0 DIOPTER BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS POSTERIOR CHAMBER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYMFONY TRI-FIX +14.0 DIOPTER +3.75 CYLINDER BICONVEX MODIFIED-C L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1-PIECE TORIC ASPHERIC FOLDABLE UV BLOCKING POSTERIOR CHAMBER,940.0,470.0,180.01,846.0,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +10.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +11.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +12.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +13.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +13.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +14.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +14.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +15.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +15.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +16.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +16.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +17.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +17.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +18.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +18.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +19.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +20.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +20.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +21.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +21.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +22.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +22.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +23.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +23.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +24.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +24.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +25.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +25.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +26.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +27.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +30.5 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +31.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +5.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +6.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,INTRAOCULAR TECNIS SYNERGY TECNIS SIMPLICITY PROTEC TRI-FIX +9.0 DIOPTER MODIFY C BICONVEX L13 MM OD6 MM HYDROPHOBIC ACRYLIC LENS 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL ACRYSOF IQ DFT415 26.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL ACRYSOF IQ DFT515 12.5TORIC VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL ACRYSOF IQ DFT515 13.5TORIC VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL ACRYSOF IQ DFT515 14.5TORIC VIVITY,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL ACRYSOF IQ DFT515 25.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL ACRYSOF IQ DFT515 26.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DAT415 10.5 AC UAV VIVITY TRC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DAT515 10.5 DIOPTER LENS Sterile UV Absorbing Acrylic Foldable Aspheric Wavefront-Shaping Toric Posterior Chamber Intraocular Lens,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DFT415.105 AS VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DFT515 27.5 IQ VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DFT515 28.5 IQ VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DFT515.105 AS VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL DFT515.115 AS VIVITY TORIC,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT40 17.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT40 21.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT50 21.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 15.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 22.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 24.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 25.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 26.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 27.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL PANOPTIX TFAT60 28.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL TECNIS ODYSSEY TORIC 150 10.5 DIOPTER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,IOL TECNIS ODYSSEY TORIC 150 11.0 DIOPTER,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS INTRAOCULAR ACRYSOF IQ VIVITY ACRYLIC +25.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +10.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +11.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.115,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +12.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +13.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +13.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.135,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +14.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +14.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.145,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +15.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +15.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.155,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +16.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +16.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +17.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +18.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +19.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +19.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.195,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +20.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +20.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +22.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.225,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +23.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +23.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +24.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.245,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +25.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.255,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +26.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +26.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.265,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +27.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +27.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.275,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +28.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +28.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.285,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +29.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +29.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.295,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +6.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +6.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.065,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +7.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +7.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.075,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +8.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +8.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.085,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +9.5 DIOPTER +3.75 TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX HYDROPHOBIC ACRYLIC +9.5 DIOPTER TORIC POSTERIOR CHAMBER FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER STERILE CNWTT5.095,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX TORIC CNWTT4 18.5D,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX TORIC CNWTT4 22.5D,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX TORIC CNWTT4 6.5D,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX TORIC CNWTT4 7.5D,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX TORIC CNWTT4 8.5D,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS INTRAOCULAR CLAREON PANOPTIX TORIC CNWTT4 9.5D,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS IOL +29.0 DIOPTER ACRYLIC POSTERIOR CHAMBER ASPHERIC UV BLUE LIGHT FILT ACRYSOF IQ VIVITY DFT015,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE +12.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY OPTIBLUE SIMPLICITY DXR00V,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE +24.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY OPTIBLUE SIMPLICITY DXR00V,1095.0,547.5,209.69,985.5,65
HCPCS,V2788,LENS IOL 1-PIECE +26.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY OPTIBLUE SIMPLICITY DXR00V,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE +27.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY OPTIBLUE SIMPLICITY DXR00V,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE +7.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY OPTIBLUE SIMPLICITY DXR00V,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE +9.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER BICONVEX ANTERIOR ASPHERIC UV BLOCK TECNIS SYMFONY OPTIBLUE SIMPLICITY DXR00V,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE 9.5 DIOPTER 6MM 13MM HYDROPHOBIC ACRYLATE/METHACRYLATE COPOLYMER POSTERIOR CHAMBER BICONVEX UV ABS MOD-L CLAREON VIVITY CCWET0 0DEG,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS IOL 1-PIECE PRELOADED 12.0 DIOPTER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX MULTIFOCAL WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMPLICITY DFR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL 1-PIECE PRELOADED 18.0 DIOPTER 3 CYLINDER 6MM 13MM ACRYLIC HYDROPHILIC POSTERIOR CHAMBER BICONVEX TORIC II WAVE FRONT ANTERIOR ASPHERIC 3-POINT FIXATION UV ABS MOD-C LOOP TECNIS SYNERGY SIMPL,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +10.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +10.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER TRIFOCAL POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +11.5 DIOPTER TORIC 3 FOCAL FOLDABLE UV ABSORBENT BLUE LIGHT FILTER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +12.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +12.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER TRIFOCAL POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +14.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +15.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +16.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER TRIFOCAL POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +19.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER TRIFOCAL POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +24.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +25.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +26.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +27.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER TRIFOCAL POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +28.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +29.5 DIOPTER TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +6.5 DIOPTER TORIC FOLDABLE UV BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +7.5 DIOPTER TORIC FOLDABLE UV BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +8.5 DIOPTER TORIC FOLDABLE UV BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX +9.5 DIOPTER TORIC FOLDABLE UV BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOP,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +13.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +18.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +20.5 DIOPTER +0 CYLINDER MODIFY L 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +21.5 DIOPTER +0 CYLINDER MODIFY L 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +23.5 DIOPTER +0 CYLINDER MODIFY L 1 PIECE FOLDABLE UV ABSORBENT TRIFOCAL HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYO,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 0 D +28.5 DIOPTER MODIFY L BICONVEX 1 PIECE FOLDABLE ANTERIOR ASPHERIC UV ABSORBENT HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX 30.065D TORIC FOLDABLE UV ABSORBENT BLUE LIGHT FILTER 3 FOCAL STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +10.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +11.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +12.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +13.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +14.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +15.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +16.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +17.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +18.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +19.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +20.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +21.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +22.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +23.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +24.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +25.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +26.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +27.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +28.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.5 DIOPTER +2.25 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PR,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +29.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +6.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +7.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +8.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.5 DIOPTER +1.5 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA P,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.5 DIOPTER +3 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.5 DIOPTER +3.75 CYLINDER TORIC 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA ,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ PANOPTIX STABLEFORCE 0 D +9.5 DIOPTER 1 PIECE FOLDABLE UV BLUE LIGHT FILTER TRIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE LATEX FREE ASTIGMATISM APHAKIA PRESBYOPIA,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR 0 D +16 DIOPTER +2.25 CYLINDER BICONVEX 1 PIECE MULTIFOCAL APODIZE DIFFRACTIVE ASPHERIC UV ABSORBENT ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 119.1 A-CONSTANT,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR 0 D +23.5 DIOPTER +2.5 CYLINDER BICONVEX 1 PIECE APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE YELLOW APHAKIA 119.1,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR 10 D +27.5 DIOPTER +3 CYLINDER BICONVEX MULTIPIECE FOLDABLE APODIZE DIFFRACTIVE ASPHERIC OPTIC UV BLUE LIGHT FILTER MONOFLEX 13MM 6MM POSTERIOR CHAMBER STERILE BLUE APHAKIA ,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR STABLEFORCE 0 D +21 DIOPTER +3.75 CYLINDER BICONVEX 1 PIECE APODIZE DIFFRACTIVE ASPHERIC OPTIC UV BLUE LIGHT FILTER MULTIFOCAL HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR STABLEFORCE 0 D +21.5 DIOPTER +2.5 CYLINDER BICONVEX 1 PIECE MULTIFOCAL APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE YELLOW A,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR STABLEFORCE 0 D +22.5 DIOPTER +2.25 CYLINDER BICONVEX 1 PIECE APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER MULTIFOCAL ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE YELLOW ,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ RESTOR STABLEFORCE 0 D +22.5 DIOPTER +2.5 CYLINDER BICONVEX 1 PIECE MULTIFOCAL APODIZE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE YELLOW A,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ VIVITY +11.5 DIOPTER TORIC FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ VIVITY +25.5 DIOPTER TORIC FOLDABLE ASPHERIC UV BLUE LIGHT FILTER ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF IQ VIVITY +28.5 DIOPTER TORIC FOLDABLE ASPHERIC UV ABSORBENT WAVEFRONT ACRYLIC POSTERIOR CHAMBER STERILE LATEX FREE,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL ACRYSOF VIVITY +13.5 DIOPTER TORIC UV ABSORBENT,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL CLAREON PANOPTIX +12.5 DIOPTER TORIC FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS IOL CLAREON PANOPTIX +21.5 DIOPTER STERILE UV AND BLUE LIGHT FILTERING HYDROPHOBIC ACRYLIC FOLDABLE DIFFRACTIVE ASPHERIC TORIC POSTERIOR CHAMBER STERILE,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS IOL CLAREON PANOPTIX +21.5 DIOPTER TORIC FOLDABLE DIFFRACTIVE ASPHERIC UV BLUE LIGHT FILTER HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS IOL CLAREON VIVITY CNWET5.235 TORIC,1015.0,507.5,194.37,913.5,65
HCPCS,V2788,LENS IOL POSTERIOR CHAMBER +19.5 DIOPTER +3.25 CYLINDER C HAPTIC BICONVEX TECNIS PROTEC HYDROPHOBIC ACRYLIC 13MM 6MM 1 PIECE MULTIFOCAL ANTERIOR ASPHERIC UV BLOCK STERILE APHAKIA 119.3 A-CONSTANT,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL POSTERIOR CHAMBER +20.5 DIOPTER +3.25 CYLINDER C HAPTIC BICONVEX TECNIS PROTEC HYDROPHOBIC ACRYLIC 13MM 6MM 1 PIECE MULTIFOCAL ANTERIOR ASPHERIC UV BLOCK STERILE APHAKIA 119.3 A-CONSTANT,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL TECNIS ODYSSEY IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM DRN00V 12.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL TECNIS ODYSSEY IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM DRN00V 22.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL TECNIS ODYSSEY IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM DRN00V 24.5,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL TECNIS ODYSSEY TORIC II IOL WITH TECNIS SIMPLICITY DELIVERY SYSTEM  DRT 375 28.0,995.0,497.5,190.54,895.5,65
HCPCS,V2788,LENS IOL TECNIS PROTEC +23.5 DIOPTER MODIFY C BICONVEX 1 PIECE MULTIFOCAL ANTERIOR ASPHERIC UV BLOCK HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER STERILE APHAKIA 119.3 A-CONSTANT,895.0,447.5,171.39,805.5,65
HCPCS,V2788,LENS IOL TECNIS SYMFONY PROTEC TRI-FIX +5.5 DIOPTER +1.5 CYLINDER MODIFY C BICONVEX 1 PIECE ANTERIOR ASPHERIC UV BLOCK FOLDABLE HYDROPHOBIC ACRYLIC 13MM 6MM POSTERIOR CHAMBER ASTIGMATISM APHAKIA PRESB,940.0,470.0,180.01,846.0,65
HCPCS,V2790,GRAFT AMNIOGRAFT 1.5X1CM D SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT CRYOPRESERVE,645.0,322.5,123.52,580.5,65
HCPCS,V2790,GRAFT AMNIOGRAFT 2.5X2CM SOFT TISSUE AMNIOTIC MEMBRANE CRYOPRESERVED STERILE,900.0,450.0,172.35,810.0,65
HCPCS,V2790,GRAFT AMNIOGRAFT 2X1.5CM B SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT CRYOPRESERVE,810.0,405.0,155.12,729.0,65
HCPCS,V2790,GRAFT AMNIOGRAFT 3.5X3.5CM C SOFT TISSUE AMNIOTIC MEMBRANE ALLOGRAFT CRYOPRESERVE,875.0,437.5,167.56,787.5,65
HCPCS,V2790,GRAFT NUCEL LARGE 2CC SOFT TISSUE HUMAN AMNION ALLOGRAFT,3200.0,1600.0,612.8,2880.0,65
HCPCS,V2790,GRAFT NUCEL MEDIUM 1CC SOFT TISSUE HUMAN AMNION ALLOGRAFT,1800.0,900.0,344.7,1620.0,65
HCPCS,V2790,GRAFT PROKERA SLIM SOFT TISSUE CORNEAL BANDAGE,1049.0,524.5,200.88,944.1,65
HCPCS,V2790,GRAFT SOFT TISSUE AMBIO2 L2 CM X W1.5 CM ALLOGRAFT DEHYDRATE AMNIOTIC MEMBRANE,427.5,213.75,81.87,384.75,65
HCPCS,V5264,HC CUSTOM EARMOLD FITTING,15.34,7.67,5.37,13.81,29
HCPCS,V5266,HC HEARING AID BATTERY,4.5,2.25,1.58,4.05,29
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,228372.74,461765.79,20
MS-DRG,001,Heart Transplant for Patient 18 Years and Older,,,263988.0,263988.0,1
MS-DRG,001,Heart Transplant for Patients 18 and Older,,,197959.0,197959.0,3
MS-DRG,001,Heart Transplant for Patients 18 or Older,,,255061.0,263988.0,4
MS-DRG,001,Heart Transplant for Patients Under 18,,,222952.0,334900.0,7
MS-DRG,001,Heart Transplant for Patients Under 18 Years,,,334900.0,334900.0,1
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,92738.51,328340.0,20
MS-DRG,002,Heart Transplant for Patient 18 Years and Older,,,263988.0,263988.0,1
MS-DRG,002,Heart Transplant for Patients 18 and Older,,,197959.0,197959.0,3
MS-DRG,002,Heart Transplant for Patients 18 or Older,,,255061.0,263988.0,4
MS-DRG,002,Heart Transplant for Patients Under 18,,,222952.0,334900.0,7
MS-DRG,002,Heart Transplant for Patients Under 18 Years,,,334900.0,334900.0,1
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,175089.86,412622.59,10
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,212477.59,232177.38,10
MS-DRG,004,"TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,117338.95,272044.89,10
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,189251.93,206798.37,10
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,89809.69,294822.0,27
MS-DRG,005,Liver Transplant,,,301325.0,301325.0,1
MS-DRG,005,Simultaneous Kidney and Liver Transplant,,,370862.0,370862.0,1
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,43933.9,294822.0,27
MS-DRG,006,Liver Transplant,,,301325.0,301325.0,1
MS-DRG,006,Simultaneous Kidney and Liver Transplant,,,370862.0,370862.0,1
MS-DRG,007,LUNG TRANSPLANT,,,108945.56,251613.61,20
MS-DRG,008,Kidney-Pancreas Transplant,,,177704.0,177704.0,1
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,48615.44,104757.5,20
MS-DRG,010,PANCREAS TRANSPLANT,,,68641.1,153504.17,21
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,48232.6,103887.26,20
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,35712.84,79008.54,20
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,23625.97,51020.45,20
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,109206.58,335848.0,19
MS-DRG,014,Allogeneic Related Bone Marrow Transplant,,,119374.0,119374.0,3
MS-DRG,014,Allogeneic Related Bone Marrow Transplant for Patients 18 or Older,,,246717.0,246717.0,3
MS-DRG,014,Allogeneic Related Bone Marrow Transplant for Patients Over 18,,,245455.0,245455.0,1
MS-DRG,014,Allogeneic Related Bone Marrow Transplant for Patients Under 18,,,278148.0,340902.0,6
MS-DRG,014,Allogeneic Unrelated Bone Marrow Transplant,,,304025.0,304025.0,3
MS-DRG,014,Allogeneic Unrelated Bone Marrow Transplant for Patients 18 or Older,,,263930.0,378083.0,5
MS-DRG,014,Allogeneic Unrelated Bone Marrow Transplant for Patients Over 18,,,317095.0,317095.0,1
MS-DRG,014,Allogeneic Unrelated Bone Marrow Transplant for Patients Under 18,,,255005.0,391316.0,5
MS-DRG,014,First Tandem Autologous/Allogeneic Bone Marrow Transplant,,,206484.0,206484.0,2
MS-DRG,014,Subsequent Tandem Autologous/Allogeneic Bone Marrow Transplant,,,215351.0,215351.0,2
MS-DRG,014,Tandem Autologous/Allogeneic Related Bone Marrow Transplant for Patients Over 18,,,378032.0,378032.0,1
MS-DRG,014,Tandem Autologous/Allogeneic Related Bone Marrow Transplant for Patients Under 18,,,417220.0,417220.0,1
MS-DRG,014,Tandem Autologous/Allogeneic Unrelated Bone Marrow Transplant for Patients Over 18,,,449672.0,449672.0,1
MS-DRG,014,Tandem Autologous/Allogeneic Unrelated Bone Marrow Transplant for Patients Under 18,,,486757.0,486757.0,1
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,39662.32,241358.0,19
MS-DRG,016,Autologous Bone Marrow Transplant,,,206484.0,206484.0,2
MS-DRG,016,Autologous Bone Marrow Transplant for Patients 18 or Older,,,127503.0,131966.0,5
MS-DRG,016,Autologous Bone Marrow Transplant for Patients Over 18,,,159436.0,159436.0,1
MS-DRG,016,Autologous Bone Marrow Transplant for Patients Under 18,,,185431.0,204061.0,5
MS-DRG,016,Autologous Bone Marrow Transplant for Patients Under 18 Years,,,204061.0,204061.0,1
MS-DRG,016,First Autologous Bone Marrow Transplant,,,206484.0,206484.0,1
MS-DRG,016,First Tandem Autologous/Autologous Bone Marrow Transplant,,,200470.0,206484.0,2
MS-DRG,016,Subsequent Autologous Bone Marrow Transplant,,,215351.0,215351.0,1
MS-DRG,016,SubsequentTandem Autologous/Autologous Bone Marrow Transplant,,,171015.0,206484.0,2
MS-DRG,016,Tandem Autologous/Autologous Bone Marrow Transplant for Patients Over 18,,,309346.0,309346.0,1
MS-DRG,016,Tandem Autologous/Autologous Bone Marrow Transplant for Patients Under 18,,,324505.0,324505.0,1
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,39662.32,241358.0,19
MS-DRG,017,Autologous Bone Marrow Transplant,,,206484.0,206484.0,2
MS-DRG,017,Autologous Bone Marrow Transplant for Patients 18 or Older,,,127503.0,131966.0,5
MS-DRG,017,Autologous Bone Marrow Transplant for Patients Over 18,,,159436.0,159436.0,1
MS-DRG,017,Autologous Bone Marrow Transplant for Patients Under 18,,,185431.0,204061.0,5
MS-DRG,017,Autologous Bone Marrow Transplant for Patients Under 18 Years,,,204061.0,204061.0,1
MS-DRG,017,First Autologous Bone Marrow Transplant,,,206484.0,206484.0,1
MS-DRG,017,First Tandem Autologous/Autologous Bone Marrow Transplant,,,200470.0,206484.0,2
MS-DRG,017,Subsequent Autologous Bone Marrow Transplant,,,215351.0,215351.0,1
MS-DRG,017,SubsequentTandem Autologous/Autologous Bone Marrow Transplant,,,171015.0,206484.0,2
MS-DRG,017,Tandem Autologous/Autologous Bone Marrow Transplant for Patients Over 18,,,309346.0,309346.0,1
MS-DRG,017,Tandem Autologous/Autologous Bone Marrow Transplant for Patients Under 18,,,324505.0,324505.0,1
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,267069.18,726084.54,20
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,68279.66,152624.31,20
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,69337.94,155200.36,20
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,49297.23,106417.11,20
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,33503.05,67970.79,20
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,50703.52,109840.29,10
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WI,,,70875.98,77447.23,10
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,35648.85,73194.13,20
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,40952.88,86105.19,20
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,29398.86,58887.23,20
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,23272.58,47512.55,20
MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,42514.29,117048.61,20
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,22435.57,64626.55,20
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,13838.48,42845.63,20
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,25369.9,80681.62,20
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,13699.61,41116.71,20
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,13671.84,30718.16,20
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,33877.93,74869.14,20
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,23572.06,43796.72,20
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,16145.53,35292.67,20
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,31846.04,73497.84,20
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,17315.03,31022.36,20
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,12043.78,21913.76,20
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,26531.57,72624.24,20
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,16696.19,43477.12,20
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,13808.79,33839.07,20
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,21497.45,38746.66,20
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,9901.36,17739.71,20
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,14324.02,28862.17,20
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,9761.63,21005.02,20
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,25385.69,48211.44,20
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,14339.46,26950.81,20
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,12127.1,35539.11,20
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,11107.17,23557.97,20
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,8701.48,17181.38,20
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,22545.7,52048.56,20
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,17562.89,34287.67,20
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,15095.98,27046.61,20
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,21313.16,38298.07,20
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,10927.61,19578.38,20
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,7396.47,13251.84,20
MS-DRG,067,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,9974.24,10899.0,10
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,15634.36,28011.19,10
MS-DRG,068,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,7713.15,8428.28,10
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,9472.6,16971.52,10
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,7585.78,15404.33,20
MS-DRG,070,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,22263.19,24327.31,10
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,18685.14,33477.12,10
MS-DRG,071,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,12430.69,13583.19,10
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,11325.21,20290.74,10
MS-DRG,072,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6972.87,7619.36,10
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,8061.65,14443.6,10
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,10621.63,29757.44,20
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,10621.63,20069.33,20
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,8922.7,33161.37,20
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,6586.92,17653.08,20
MS-DRG,077,DRG,,,17810.1,18388.05,4
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,,,11456.73,12518.93,10
MS-DRG,077,Other DRG,,,16616.54,29770.91,6
MS-DRG,078,DRG,,,13472.63,13909.83,4
MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,,,7886.49,8617.69,10
MS-DRG,078,Other DRG,,,10723.43,19212.57,6
MS-DRG,079,DRG,,,10853.07,11205.26,4
MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,,,5192.54,5673.97,10
MS-DRG,079,Other DRG,,,7164.36,12835.98,6
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,12120.4,38271.11,20
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,6931.69,17420.11,20
MS-DRG,082,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH MCC,,,23931.16,44670.81,10
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,23191.18,25341.34,10
MS-DRG,083,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH CC,,,14941.24,26769.37,10
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,16013.37,17498.04,10
MS-DRG,084,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITHOUT CC/MCC,,,10274.25,18407.79,10
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,8245.62,9010.12,10
MS-DRG,085,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH MCC,,,23502.48,43627.3,10
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,14784.66,16155.42,10
MS-DRG,086,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH CC,,,14094.45,25252.23,10
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,10097.78,11033.99,10
MS-DRG,087,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITHOUT CC/MCC,,,9499.46,17019.65,10
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,4611.23,5038.76,10
MS-DRG,088,CONCUSSION WITH MCC,,,11907.79,27160.21,20
MS-DRG,089,CONCUSSION WITH CC,,,8869.07,20641.14,20
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,7571.42,16505.6,20
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,19588.88,35096.29,20
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,11376.79,20383.15,20
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,8481.82,15196.39,20
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,34438.73,70248.42,20
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,22916.32,46153.29,20
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,22916.32,46153.29,20
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,28228.58,69014.3,20
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,17017.02,41765.53,20
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,11342.76,26825.2,20
MS-DRG,100,SEIZURES WITH MCC,,,18422.89,38222.98,20
MS-DRG,101,SEIZURES WITHOUT MCC,,,7177.81,17745.49,20
MS-DRG,102,HEADACHES WITH MCC,,,9624.68,22323.85,20
MS-DRG,103,HEADACHES WITHOUT MCC,,,7719.86,16368.9,20
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,22158.8,43446.32,20
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,10928.09,22758.97,20
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,12449.84,29476.34,20
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,17615.57,32125.56,20
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,10642.7,20766.29,20
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,6604.16,22395.09,20
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,6489.24,13059.31,20
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,8631.19,15464.01,20
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,12324.38,25103.99,20
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,6365.7,15897.2,20
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,17036.17,46420.91,20
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,10511.74,18833.28,20
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,9726.2,26927.25,20
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,5690.53,15662.32,20
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,11435.66,26434.37,20
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,33767.8,81424.79,20
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,20606.4,41365.07,20
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,16897.01,30273.42,20
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,24728.26,63571.48,20
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,14859.36,33821.75,20
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,8640.19,22810.95,20
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,17580.13,44168.31,20
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,8497.49,23966.13,20
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,7004.47,15415.88,20
MS-DRG,149,DYSEQUILIBRIUM,,,8032.64,14391.62,20
MS-DRG,150,EPISTAXIS WITH MCC,,,14853.12,26611.5,20
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,5935.7,14593.77,20
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,7147.17,21848.3,20
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,4930.14,13702.36,20
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,13201.62,31311.15,20
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,8752.24,17974.6,20
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,4990.47,12945.72,20
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,12185.52,31526.79,20
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,8140.28,18109.37,20
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6147.35,12699.28,20
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,42035.65,88740.93,20
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,22810.02,48459.8,20
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,19587.43,35887.59,20
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,32237.42,74129.83,20
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,17980.44,35179.08,20
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,14549.01,26066.64,20
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,24021.49,59079.76,20
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,15142.19,27129.4,20
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,8752.62,15681.57,20
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,16224.06,31122.47,20
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,10661.11,19100.9,20
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,5740.33,14819.03,20
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,18781.86,33650.39,20
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,8673.71,21376.61,20
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,5827.48,16124.39,20
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,11754.56,30560.29,20
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,8828.85,20564.13,20
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,6063.07,14973.06,20
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,16978.68,30419.74,20
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,9299.07,19330.01,20
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,7179.73,14135.55,20
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,12286.08,23823.66,20
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,11047.8,21621.12,20
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,9231.89,16540.25,20
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,6954.81,12460.54,20
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,12191.27,25369.68,20
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,8309.79,15787.46,20
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,5062.3,11988.84,20
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,11432.78,36274.58,20
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,7683.47,19060.47,20
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6411.67,13484.8,20
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,17256.44,33987.32,20
MS-DRG,200,PNEUMOTHORAX WITH CC,,,9114.24,21322.7,20
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6229.71,13036.21,20
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,8380.66,18611.88,20
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,4953.12,13411.64,20
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,6905.83,15614.18,20
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,11872.36,36345.81,20
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,8463.02,17439.37,20
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &gt;96 HOURS,,,56731.24,124513.0,10
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,65577.14,71657.1,10
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &lt;=96 HOURS,,,26807.0,51671.2,10
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,23544.56,25727.49,10
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,88622.75,209740.26,20
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,77136.34,203981.68,20
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,81913.78,185812.63,20
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,55358.69,124333.95,20
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,52634.96,114541.87,20
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,66652.61,148970.09,20
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,45585.57,101977.37,20
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,41168.75,88421.33,20
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,44994.54,95943.47,20
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,30148.7,59805.59,20
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,72602.9,163148.0,20
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,52422.45,117610.8,20
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,67402.52,150489.15,20
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,47659.2,102429.81,20
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,48889.56,113288.5,20
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,38103.91,79170.26,20
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,43530.39,96975.44,20
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,28613.5,56068.59,20
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,11627.19,29070.1,20
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,26243.31,65306.18,20
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,23108.82,43373.16,20
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,18026.41,34745.89,20
MS-DRG,245,AICD GENERATOR PROCEDURES,,,37884.86,94085.56,20
MS-DRG,247,Cardiac,,,31218.1,31218.1,1
MS-DRG,249,Cardiac,,,31218.1,31218.1,1
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,16021.03,44524.49,20
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,15360.23,31218.1,20
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,32712.11,66045.49,20
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,25772.44,49152.91,20
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,17878.93,33681.2,20
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,15265.42,50375.47,20
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,9929.23,32608.81,20
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,9584.36,17171.75,20
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,27769.56,54014.29,20
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,18888.24,33841.0,20
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,25217.63,65579.57,20
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,20010.72,36534.49,20
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,12335.88,29222.2,20
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,26793.54,51638.47,20
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,33223.85,67291.16,20
MS-DRG,265,AICD LEAD PROCEDURES,,,29611.47,68679.3,20
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,52963.21,115340.87,20
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,42791.01,90579.59,20
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,54343.55,128371.3,20
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,31040.32,80105.96,20
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,46178.56,98825.65,20
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,32822.85,66315.03,20
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,25370.66,48174.86,20
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,33401.01,75285.01,20
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,29641.15,60088.61,20
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,61475.26,136060.95,20
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,54573.55,119260.78,20
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,42373.4,89563.03,20
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,40044.43,96328.53,20
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,30351.75,61694.31,20
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,16544.88,31601.87,20
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,9905.66,17747.42,20
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,7791.92,13960.35,20
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,13280.15,37647.32,20
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,6337.93,14266.47,20
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,6032.8,10808.63,20
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,23085.65,42612.66,20
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,11709.92,20979.99,20
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,20005.94,52589.57,20
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,14890.01,30356.21,20
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,10520.33,18848.69,20
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,14021.38,25121.31,20
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,9254.46,16580.68,20
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,4384.26,10564.12,20
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,,,14229.21,15548.47,10
MS-DRG,294,DRG,,,15292.56,15788.82,4
MS-DRG,294,Other DRG,,,13196.09,23642.68,6
MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,,,9152.55,10001.12,10
MS-DRG,295,DRG,,,11826.7,12210.48,4
MS-DRG,295,Other DRG,,,8487.19,15206.02,6
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,17537.04,31544.12,20
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,7569.48,13561.81,20
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,4746.51,9367.89,20
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,12110.82,31143.65,20
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,11504.67,20612.26,20
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6755.47,13735.09,20
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,7535.98,22397.01,20
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,6616.61,12945.72,20
MS-DRG,304,HYPERTENSION WITH MCC,,,12624.4,22618.42,20
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,8067.02,14453.23,20
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,11584.1,28829.44,20
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,6231.62,17835.98,20
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,12958.6,23217.19,20
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,7944.52,14233.74,20
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,5935.7,10772.05,20
MS-DRG,311,ANGINA PECTORIS,,,5464.52,13444.37,20
MS-DRG,312,SYNCOPE AND COLLAPSE,,,8482.17,16775.14,20
MS-DRG,313,CHEST PAIN,,,7666.2,13735.09,20
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,22612.67,41461.34,20
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,10340.88,18527.16,20
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,7336.29,13144.02,20
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,54510.27,119106.76,20
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,33488.15,84574.58,20
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,23888.44,44566.84,20
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,28096.22,54809.44,20
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,17839.66,34832.53,20
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,36883.13,82006.23,20
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,30851.04,61515.26,20
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,27793.79,55104.01,20
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,44305.15,97785.99,20
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,20662.9,46748.21,20
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,10003.93,30679.66,20
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,41898.82,88407.85,20
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,22418.33,45508.32,20
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,15464.62,31786.7,20
MS-DRG,332,RECTAL RESECTION WITH MCC,,,33015.04,66782.88,20
MS-DRG,333,RECTAL RESECTION WITH CC,,,19592.22,40918.4,20
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,17823.32,31933.03,20
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,24213.98,69761.32,20
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,20614.06,40668.11,20
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,12462.29,29555.28,20
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,18180.6,51877.21,20
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,13891.15,28661.94,20
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,13381.99,23975.76,20
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,17721.87,45568.0,20
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,9870.81,24237.6,20
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,8171.88,16959.97,20
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,18723.6,46567.23,20
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,12863.56,28966.14,20
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,8001.42,21228.36,20
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,20323.88,56469.05,20
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,12710.33,32751.28,20
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,12710.33,25668.1,20
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,39318.79,82127.52,20
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,19825.89,43357.76,20
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,11279.56,26089.74,20
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,17945.82,32152.51,20
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,7697.83,19591.85,20
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6205.77,13438.59,20
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,15216.58,33654.24,20
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,9891.88,19817.11,20
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6755.47,13966.13,20
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,22279.69,40650.78,20
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,11909.71,23656.16,20
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,7960.24,17000.4,20
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,19235.96,35005.8,20
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,10594.48,18981.53,20
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,6841.98,12258.39,20
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,12482.4,37048.55,20
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,11703.47,20968.44,20
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,6244.07,14426.27,20
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,8799.16,24339.64,20
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,7321.46,16742.41,20
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,14806.69,31282.27,20
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,9154.46,19108.6,20
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,7203.04,12905.29,20
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,14403.51,28299.98,20
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,6694.18,15433.2,20
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,5594.77,10535.24,20
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,12580.08,24730.48,20
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,7395.2,15023.12,20
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,11132.07,31882.97,20
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,10115.21,18122.85,20
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6200.02,12252.61,20
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,15774.9,47705.08,20
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,14799.99,29133.64,20
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,9936.89,21636.52,20
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,35496.41,75321.59,20
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,41796.99,104518.76,20
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,27372.41,54070.13,20
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,22472.67,41120.56,20
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,28151.96,67410.53,20
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,18941.0,40363.91,20
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,16668.12,29863.33,20
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,27223.02,52683.91,20
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,18709.24,41039.69,20
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,17865.23,32008.11,20
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,24455.32,67458.66,20
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,18516.74,38084.36,20
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,11923.12,26380.46,20
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,20494.35,45754.75,20
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,14737.74,31929.18,20
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,13018.7,25367.75,20
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,22874.19,67953.46,20
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,14306.78,31528.71,20
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,11063.12,28290.36,20
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,30690.77,78309.65,20
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,17680.69,43960.37,20
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,16611.17,29761.29,20
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED IN,,,76014.89,83062.59,10
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,88433.47,201682.88,10
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,59284.22,136748.28,20
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,46648.59,105970.44,20
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,71548.59,160581.57,20
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,44734.19,105323.54,20
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,21052.49,37718.55,20
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,10698.24,20596.86,20
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,5468.35,13409.71,20
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,18419.06,35129.02,20
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,8787.67,21711.61,20
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,8437.76,15117.46,20
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,16544.88,32031.22,20
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,8732.13,16561.43,20
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6609.86,11842.52,20
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,20314.24,36395.87,20
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,10382.79,18602.25,20
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,7551.21,13529.08,20
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,16859.0,32429.75,20
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,11554.41,20879.88,20
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,7085.87,15350.42,20
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,55756.13,129085.59,20
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,37877.7,78619.63,20
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,46313.82,99154.88,20
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,29988.12,59414.76,20
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,72565.74,163057.51,20
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,50974.8,110500.67,20
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,39732.45,83134.45,20
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,54117.17,118149.89,20
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,28230.67,55136.74,20
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,48298.25,103985.45,20
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,27046.8,56769.4,20
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,17347.42,33425.13,20
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,37310.26,98086.33,20
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,32671.01,65945.38,20
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,26328.47,50506.39,20
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,31433.17,62932.28,22
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,20261.58,50287.0,23
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,34723.56,93517.6,20
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,28248.69,55779.79,20
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,23014.97,45579.55,20
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,23428.68,86343.93,20
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,20061.48,41534.5,20
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,12431.64,22393.16,20
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,21431.92,66211.07,20
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,16297.8,45025.07,20
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,12288.95,34189.48,20
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,27114.79,56623.07,20
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,19842.17,39948.05,20
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,14244.53,30542.96,20
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,25165.92,49060.49,20
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,25558.56,61981.18,20
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,22354.82,40833.69,20
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,13473.6,30423.59,20
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,17802.31,37839.85,20
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,12129.97,23842.92,20
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,27142.57,68371.25,20
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,21290.18,46226.45,20
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,14105.67,36299.61,20
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,26467.4,67782.11,20
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,15832.37,37986.17,20
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,13232.26,25849.08,20
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,16314.08,48611.9,20
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,12198.93,22348.88,20
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,23977.43,61006.98,20
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,16146.48,34360.83,20
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,9486.78,26900.29,20
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,21498.96,50954.99,20
MS-DRG,504,FOOT PROCEDURES WITH CC,,,18037.9,33789.02,20
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,13979.25,33789.02,20
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,11674.12,28862.17,20
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,14584.51,37316.16,20
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,11769.89,24847.92,20
MS-DRG,509,ARTHROSCOPY,,,20354.53,22241.69,10
MS-DRG,509,DRG,,,19474.24,20106.2,4
MS-DRG,509,Other DRG,,,18877.5,33821.75,6
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,26387.91,55027.0,20
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,18874.92,37758.98,20
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,11480.67,30954.97,20
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,16179.18,28987.32,20
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,10956.62,19630.36,20
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,28978.44,59537.98,20
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,21491.12,38731.26,20
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,16040.55,28738.95,20
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,30803.78,69002.75,20
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,20875.51,37964.99,20
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,13902.64,27593.4,20
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,24301.13,56116.72,20
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,22253.57,40587.25,20
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,10148.53,29358.9,20
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,4406.29,15671.94,20
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,9087.43,25604.56,20
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,8713.93,15612.26,20
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,6974.78,17693.51,20
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,6974.78,12928.39,20
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,16179.05,38937.27,20
MS-DRG,540,OSTEOMYELITIS WITH CC,,,13906.4,24915.31,20
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,9068.27,16844.45,20
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,20042.36,35908.77,20
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,11400.43,20425.51,20
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6113.83,14549.49,20
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,25566.01,48650.41,20
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,12440.64,22289.2,20
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,8018.67,14366.59,20
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,16376.33,38787.09,20
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,9783.66,23201.79,20
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,6888.59,16598.01,20
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,12303.31,32853.32,20
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,10356.99,18556.04,20
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,10859.13,25144.42,20
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,8968.61,16068.55,20
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,10034.57,25926.09,20
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,8774.11,15720.07,20
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,10094.9,29836.37,20
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,8961.97,16630.74,20
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,19947.8,35739.34,20
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,12236.47,23981.98,20
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,8785.93,20595.6,20
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,9909.11,28176.77,20
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,6599.37,17208.33,20
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,11760.31,30211.81,20
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,10957.7,19632.28,20
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,6418.37,14403.17,20
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,24385.41,57955.38,20
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,17992.03,32235.3,20
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,11892.47,21994.63,20
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,31952.04,118563.82,20
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,23315.68,66709.72,20
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,21372.48,38442.47,20
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,48253.19,103875.71,20
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,25526.96,51266.89,20
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,15198.38,32545.27,20
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,22351.29,62753.23,20
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,17772.63,34135.57,20
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,11124.41,27708.92,20
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,18818.4,33715.85,20
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,17652.45,31626.9,20
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,21773.49,39418.59,20
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,21280.72,38219.13,20
MS-DRG,592,SKIN ULCERS WITH MCC,,,13453.49,39589.94,20
MS-DRG,593,SKIN ULCERS WITH CC,,,8659.34,23540.64,20
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,8659.34,16340.02,20
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,12753.42,40722.02,20
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,6741.11,20814.42,20
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,12597.32,33821.75,20
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,8505.16,20772.06,20
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,8505.16,16459.39,20
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,5445.37,18417.42,20
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,5346.73,11542.17,20
MS-DRG,602,CELLULITIS WITH MCC,,,12949.75,28286.51,20
MS-DRG,603,CELLULITIS WITHOUT MCC,,,7957.36,16958.04,20
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,10672.39,28604.18,20
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,7830.95,17784.0,20
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,8868.12,31003.11,20
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,8080.9,16638.44,20
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,20937.76,43877.59,20
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,15399.02,27589.55,20
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,24809.66,74412.85,20
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,20395.71,37189.09,20
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,13379.84,23971.91,20
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,18309.3,52493.3,20
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,16949.02,30747.04,20
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,13823.15,28144.04,20
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,22241.16,72044.73,20
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,20554.95,36827.14,20
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,10779.31,19312.68,20
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,20319.1,55200.28,20
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,15845.77,29058.55,20
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,10311.34,24391.63,20
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,27309.2,75966.56,20
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,20798.89,43301.92,20
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,15058.37,26979.23,20
MS-DRG,637,DIABETES WITH MCC,,,14717.63,28038.14,20
MS-DRG,638,DIABETES WITH CC,,,8389.28,17658.85,20
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,6132.98,12063.93,20
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,14270.69,25567.98,20
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,7876.92,15044.29,20
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,13311.75,23894.9,20
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,17458.51,31908.0,20
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,8900.68,19896.05,20
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,6362.83,14992.31,20
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,42020.63,149118.0,23
MS-DRG,650,Kidney Transplant for Patients 18 and Older,,,105946.0,105946.0,3
MS-DRG,650,Kidney Transplant for Patients Under 18,,,115897.0,115897.0,3
MS-DRG,650,Simultaneous Kidney and Liver Transplant,,,370862.0,370862.0,1
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,33045.1,149118.0,23
MS-DRG,651,Kidney Transplant for Patients 18 and Older,,,105946.0,105946.0,3
MS-DRG,651,Kidney Transplant for Patients Under 18,,,115897.0,115897.0,3
MS-DRG,651,Simultaneous Kidney and Liver Transplant,,,370862.0,370862.0,1
MS-DRG,652,KIDNEY TRANSPLANT,,,29872.66,149118.0,23
MS-DRG,652,Kidney Transplant for Patients 18 and Older,,,105946.0,105946.0,3
MS-DRG,652,Kidney Transplant for Patients Under 18,,,115897.0,115897.0,3
MS-DRG,652,Simultaneous Kidney and Liver Transplant,,,370862.0,370862.0,1
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,35546.21,107327.77,20
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,19990.61,54333.89,20
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,19990.61,39994.26,20
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,26365.89,62726.27,20
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,18786.81,35196.41,20
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,14327.85,28956.51,20
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,18274.45,49755.53,20
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,11912.58,25799.02,20
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,9611.28,19765.13,20
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,18607.72,60061.66,20
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,11846.5,29407.03,20
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,7935.34,20789.39,20
MS-DRG,665,PROSTATECTOMY WITH MCC,,,32737.42,66107.1,20
MS-DRG,666,PROSTATECTOMY WITH CC,,,11150.27,31715.47,20
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,11044.74,19788.23,20
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,19461.02,56147.52,20
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,13079.04,29794.02,20
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,9109.45,18400.09,20
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,18522.88,33186.4,20
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,11760.42,21070.48,20
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,38716.89,80662.37,20
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,23229.49,44443.63,20
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,16820.71,30136.72,20
MS-DRG,682,RENAL FAILURE WITH MCC,,,16139.42,28916.08,20
MS-DRG,683,RENAL FAILURE WITH CC,,,9475.29,17113.99,20
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,6450.93,11694.27,20
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,12110.82,36305.38,20
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,8046.43,20267.63,20
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,7782.25,13943.02,20
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,11804.36,22531.79,20
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,7043.74,15452.46,20
MS-DRG,693,URINARY STONES WITH MCC,,,9349.83,28309.61,20
MS-DRG,694,URINARY STONES WITHOUT MCC,,,6669.28,15044.29,20
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,5974.97,21713.53,20
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,4611.23,13319.23,20
MS-DRG,697,URETHRAL STRICTURE,,,10765.34,19287.66,20
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,18062.95,32362.37,20
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,10959.85,19636.13,20
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,6405.92,13365.43,20
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,15528.78,37362.37,20
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,14115.25,28542.57,20
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,23352.97,43263.42,20
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,16134.04,28906.45,20
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,15818.96,36784.78,20
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,7742.84,20593.01,20
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,10959.69,27839.84,20
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,8109.63,18092.04,20
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,13489.88,43479.05,20
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,13489.88,27325.78,20
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,11966.21,35723.94,20
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,8260.95,23717.77,20
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,10043.19,33286.51,20
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,8461.1,21619.19,20
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,7829.54,14027.74,20
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,8169.97,24308.84,20
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,5508.58,14331.93,20
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,11131.11,28290.36,20
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,7893.2,15731.63,20
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,6092.76,21195.63,20
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6092.76,11684.65,20
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,15925.26,40485.21,20
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,11903.0,23371.22,20
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,31698.25,75810.61,20
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,17651.0,38475.2,20
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,13079.99,29204.88,20
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,26156.16,76644.27,20
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,17377.1,35007.73,20
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,14652.5,26445.92,20
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,15357.36,35169.46,20
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,9703.21,23078.57,20
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,12353.11,13498.43,10
MS-DRG,744,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,20997.68,37620.36,10
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,8328.94,9101.16,10
MS-DRG,745,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,11012.5,19730.47,10
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,11559.2,32241.07,20
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,8296.38,18390.47,20
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,10576.62,26228.36,20
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,18807.88,49838.32,20
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12184.56,24826.74,20
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,12006.43,34834.45,20
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8106.76,21372.76,20
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,8106.76,18386.62,20
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,11587.93,27248.77,20
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,6508.39,19624.58,20
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5659.89,12321.92,20
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,9680.23,18975.76,20
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,6212.47,12204.48,20
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,8340.44,9113.72,10
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&amp;C,,,5086.0,14713.34,13
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,11438.53,26752.04,20
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,7886.49,8617.69,10
MS-DRG,770,"ABORTION WITH D&amp;C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,11562.7,20716.23,10
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,5383.12,13737.02,20
MS-DRG,779,ABORTION WITHOUT D&C,,,5240.42,5726.29,10
MS-DRG,779,ABORTION WITHOUT D&amp;C,,,10045.36,17997.7,10
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,7410.0,20803.58,23
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,7410.0,14604.76,23
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,7410.0,12893.97,23
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,7410.0,18956.43,23
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,7410.0,14431.64,23
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,7410.0,13148.77,23
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,19837.28,22627.84,14
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,52599.38,89620.82,14
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,25461.84,38914.15,14
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,9024.22,25765.23,14
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,11420.33,39817.34,14
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,3190.03,17815.64,14
MS-DRG,795,NORMAL NEWBORN,,,718.0,7392.51,22
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,12188.39,13318.44,10
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH MCC,,,5086.0,16185.69,13
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,8799.16,9614.98,10
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH CC,,,5086.0,13667.31,13
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,8554.96,9348.13,10
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITHOUT CC/MCC,,,5086.0,13667.31,13
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,33900.91,91544.16,20
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,16299.71,56099.39,20
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,11512.27,31607.65,20
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,33933.31,69018.15,20
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,15234.77,34270.34,20
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,11880.78,21286.12,20
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,7974.6,8713.96,10
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH MCC,,,5086.0,13910.63,13
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,7079.17,7735.51,10
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH CC,,,5086.0,11669.91,13
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,6460.51,7059.49,10
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITHOUT CC/MCC,,,5086.0,10965.15,13
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,18773.4,44095.15,20
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,11019.07,23844.84,20
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,8187.21,18325.01,20
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,15118.55,27087.05,20
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,8778.09,17768.59,20
MS-DRG,813,COAGULATION DISORDERS,,,16634.81,29803.64,20
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,15720.32,40248.4,20
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,8533.89,19562.97,20
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,5141.78,12695.43,20
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,12579.13,48808.28,20
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,10588.11,24797.86,20
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,7501.51,15720.07,20
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,51630.48,112096.74,20
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,20227.16,42980.4,20
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,11234.54,22019.66,20
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,37160.86,90094.41,20
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,22011.32,42345.05,20
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,13226.18,23696.59,20
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,36306.61,91942.7,20
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,23136.59,45435.15,20
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,16380.16,30860.63,20
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,26081.46,59372.4,20
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,13801.13,28157.51,20
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,8419.92,22160.2,20
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,5830.36,14389.69,20
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,5292.14,10007.71,20
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,49297.23,106417.11,20
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,22473.46,41122.48,20
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,13654.94,24464.79,20
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,40113.38,96403.62,20
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,13176.72,39048.93,20
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,8915.04,26384.31,20
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,24330.82,61397.82,20
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,16274.81,30188.7,20
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,9713.75,20252.23,20
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,14236.87,36451.7,20
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,8056.96,23011.19,20
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,8056.96,16110.91,20
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,10952.99,49168.31,19
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,10952.99,24464.79,19
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,4369.89,15766.28,20
MS-DRG,849,RADIOTHERAPY,,,26706.55,51426.69,20
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,78440.0,177356.71,20
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,45136.91,96290.03,20
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,20783.57,38469.42,20
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,13211.2,31297.68,20
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,41126.61,86861.83,20
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,18328.08,41950.36,20
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,9667.78,24805.57,20
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,13507.12,35400.49,20
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,9826.75,19251.07,20
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,7356.9,17289.19,20
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,11238.37,28415.5,20
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,5249.04,17035.05,20
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,16567.86,41284.21,20
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,7977.47,20217.58,20
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,7732.82,13854.46,20
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV &gt;96 HOURS,,,60601.26,133933.49,10
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,70520.68,77058.99,10
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITH MCC,,,21084.73,37776.31,10
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,20274.09,22153.79,10
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITHOUT MCC,,,11079.13,19849.84,10
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,9434.11,10308.79,10
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,36660.48,75656.59,10
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,13161.79,17157.21,5
MS-DRG,881,DEPRESSIVE NEUROSES,,,12809.83,16360.74,5
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,10337.65,18521.39,10
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,19922.01,35693.14,10
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,17947.97,32156.36,10
MS-DRG,885,PSYCHOSES,,,16728.92,25229.3,5
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,19305.19,34588.01,10
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,12781.29,22899.52,10
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,10516.12,11170.27,5
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,15559.13,27876.42,10
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,19136.48,34285.74,10
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,12557.53,15789.79,5
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,32085.15,85300.42,20
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,14478.21,36534.49,20
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,8569.32,23471.33,20
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,34570.33,74337.76,20
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,11025.77,31732.79,20
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,11964.3,42019.67,20
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,37088.37,76698.18,20
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,18398.95,38835.23,20
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,11524.72,24418.58,20
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,9359.41,31157.13,20
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,7138.55,17643.45,20
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,12270.75,33459.79,20
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,6901.04,12785.92,20
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,16028.69,31569.14,20
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,7376.05,17031.2,20
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,14239.74,35109.77,20
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,10916.86,19559.12,20
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6743.98,13240.29,20
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,14059.7,32526.02,20
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,8503.24,19636.13,20
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITH SKIN GRAFT,,,193211.74,456735.07,10
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,120693.54,131883.6,10
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,46953.14,128588.86,20
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,17334.97,61232.24,20
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITHOUT SKIN GRAFT,,,39802.84,83305.81,10
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,50139.34,54787.99,10
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,6294.83,41313.09,20
MS-DRG,935,NON-EXTENSIVE BURNS,,,11644.43,42287.29,20
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,30684.16,61109.02,20
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,17681.65,40650.78,20
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,14846.91,37626.14,20
MS-DRG,945,REHABILITATION WITH CC/MCC,,,16403.77,29389.7,10
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,11997.91,21495.97,10
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,13821.51,24763.21,20
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,8537.7,15296.51,20
MS-DRG,949,AFTERCARE WITH CC/MCC,,,11594.93,47102.71,20
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,6298.23,17784.77,20
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,6092.98,10916.45,20
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,59587.27,131465.26,20
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,35812.58,73592.67,20
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,64616.85,143708.24,20
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,35016.61,79125.98,20
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,18797.34,50903.01,20
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,20927.22,52304.63,20
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,13454.45,28881.43,20
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,9144.89,17570.29,20
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,49854.91,121761.75,20
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,26565.75,51083.98,20
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,29198.78,57493.31,20
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,12646.16,27366.21,20
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,6283.34,19310.76,20
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,15464.62,27760.9,20
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,43180.12,85086.25,15
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,18852.89,43820.16,15
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,13135.54,29857.78,15
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,33283.97,67437.48,20
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,18434.38,33038.15,20
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,9713.75,22246.84,20
NDC,00000953600,ELEXACAFTOR 100 MG-TEZACAFTOR 50MG-IVACAFTOR 75MG(D) MORNING TABLETS,1492.1,746.05,325.43,1342.89,65
NDC,00000953700,IVACAFTOR 150MG(N) EVENING TABLETS,1492.1,746.05,325.43,1342.89,65
NDC,00001174000,AMILORIDE 1 MG/ML ORAL SUSPENSION,87.0,43.5,18.97,78.3,65
NDC,00001191601,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,8.1,4.05,1.77,7.29,65
NDC,00001235900,NADOLOL 10 MG/ML ORAL SUSPENSION,559.6,279.8,122.05,503.64,65
NDC,00001249600,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,878.65,439.33,95.15,790.79,71
NDC,00001249700,ALTEPLASE 1 MG/1 ML INTRA-CATHETER SOLUTION (PHARMACY PREPARED),451.85,225.93,95.15,406.67,71
NDC,00002021301,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002120001,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,17144.4,8572.2,2238.51,15429.96,69
NDC,00002249501,TIRZEPATIDE (WEIGHT LOSS) 5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1255.45,627.73,273.81,1129.91,65
NDC,00002250601,TIRZEPATIDE (WEIGHT LOSS) 2.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,1255.45,627.73,273.81,1129.91,65
NDC,00002322730,ATOMOXETINE 10 MG CAPSULE,1827.75,913.88,398.63,1644.98,65
NDC,00002322830,ATOMOXETINE 25 MG CAPSULE,1827.75,913.88,398.63,1644.98,65
NDC,00002322930,ATOMOXETINE 40 MG CAPSULE,1985.85,992.93,433.11,1787.27,65
NDC,00002323560,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",2313.0,1156.5,504.47,2081.7,65
NDC,00002323830,ATOMOXETINE 18 MG CAPSULE,1827.75,913.88,398.63,1644.98,65
NDC,00002323930,ATOMOXETINE 60 MG CAPSULE,1985.85,992.93,433.11,1787.27,65
NDC,00002324030,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1296.6,648.3,282.79,1166.94,65
NDC,00002324090,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",3111.85,1555.93,678.69,2800.67,65
NDC,00002327030,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1296.6,648.3,282.79,1166.94,65
NDC,00002411230,OLANZAPINE 2.5 MG TABLET,1851.3,925.65,403.77,1666.17,65
NDC,00002411530,OLANZAPINE 5 MG TABLET,2184.15,1092.08,476.36,1965.74,65
NDC,00002411730,OLANZAPINE 10 MG TABLET,2632.6,1316.3,574.17,2369.34,65
NDC,00002418230,BARICITINIB 2 MG TABLET,10903.6,5451.8,2378.08,9813.24,65
NDC,00002418402,RALOXIFENE 60 MG TABLET,2453.2,1226.6,535.04,2207.88,65
NDC,00002445301,OLANZAPINE 5 MG DISINTEGRATING TABLET,92.85,46.43,20.25,83.57,65
NDC,00002445385,OLANZAPINE 5 MG DISINTEGRATING TABLET,2320.05,1160.03,506.0,2088.05,65
NDC,00002445401,OLANZAPINE 10 MG DISINTEGRATING TABLET,137.1,68.55,29.9,123.39,65
NDC,00002445485,OLANZAPINE 10 MG DISINTEGRATING TABLET,2741.3,1370.65,597.88,2467.17,65
NDC,00002473230,BARICITINIB 1 MG TABLET,10903.6,5451.8,2378.08,9813.24,65
NDC,00002533754,ABEMACICLIB 150 MG TABLET,15097.2,7548.6,3292.7,13587.48,65
NDC,00002734901,SOMATROPIN 5 MG (15 UNIT) SOLUTION FOR INJECTION,2614.7,1307.35,49.9,2353.23,71
NDC,00002751001,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002751017,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002751101,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,66
NDC,00002751201,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (50-50) SUBCUTANEOUS SUSP,2200.0,1100.0,0.24,1980.0,66
NDC,00002752901,GLUCAGON 1 MG SOLUTION FOR INJECTION,1304.75,652.38,186.1,1174.28,71
NDC,00002753301,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002757501,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,38397.9,19198.95,43.91,34558.11,70
NDC,00002759701,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,303.95,151.98,1.02,273.56,66
NDC,00002764001,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,3040.2,1520.1,4.44,2736.18,71
NDC,00002766901,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,5910.45,2955.23,74.62,5319.41,71
NDC,00002767801,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,29452.2,14726.1,74.62,26506.98,71
NDC,00002771401,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN,108.05,54.03,0.24,97.25,66
NDC,00002771459,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN,108.05,54.03,0.24,97.25,66
NDC,00002771501,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,286.05,143.03,0.24,257.45,66
NDC,00002773701,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002801101,MIRIKIZUMAB-MRKZ 100 MG/ML SUBCUTANEOUS PEN INJECTOR,20114.75,10057.38,43.91,18103.28,70
NDC,00002801127,MIRIKIZUMAB-MRKZ 100 MG/ML SUBCUTANEOUS PEN INJECTOR,20114.75,10057.38,43.91,18103.28,70
NDC,00002803101,GLUCAGON 1 MG SOLUTION FOR INJECTION,1304.75,652.38,186.1,1174.28,71
NDC,00002821501,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002821517,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00002831501,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,100.0,50.0,0.24,90.0,66
NDC,00002831517,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,100.0,50.0,0.24,90.0,66
NDC,00002840001,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,14806.4,7403.2,3229.28,13325.76,65
NDC,00002850101,INSULIN REGULAR HUMAN U-500(CONCENTRATE) 500 UNIT/ML SUBCUTANEOUS SOLN,5443.95,2721.98,0.24,4899.56,66
NDC,00002871501,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,66
NDC,00002871517,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,66
NDC,00002882427,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1313.85,656.93,0.24,1182.47,66
NDC,00003029305,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,51.9,25.95,1.05,46.71,66
NDC,00003029320,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,263.55,131.78,1.05,237.2,66
NDC,00003029328,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,328.0,164.0,1.05,295.2,66
NDC,00003037113,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3710.6,1855.3,3.96,3339.54,70
NDC,00003049420,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,67.1,33.55,1.05,60.39,66
NDC,00003052411,DASATINIB 70 MG TABLET,74875.2,37437.6,16330.28,67387.68,65
NDC,00003052711,DASATINIB 20 MG TABLET,37437.6,18718.8,8165.14,33693.84,65
NDC,00003052811,DASATINIB 50 MG TABLET,74875.2,37437.6,16330.28,67387.68,65
NDC,00003085722,DASATINIB 140 MG TABLET,67474.95,33737.48,14716.29,60727.46,65
NDC,00003089321,APIXABAN 2.5 MG TABLET,416.1,208.05,90.75,374.49,65
NDC,00003089331,APIXABAN 2.5 MG TABLET,693.5,346.75,151.25,624.15,65
NDC,00003089421,APIXABAN 5 MG TABLET,416.1,208.05,90.75,374.49,65
NDC,00003089431,APIXABAN 5 MG TABLET,693.5,346.75,151.25,624.15,65
NDC,00003089470,APIXABAN 5 MG TABLET,513.2,256.6,111.93,461.88,65
NDC,00003161112,ENTECAVIR 0.5 MG TABLET,5075.4,2537.7,1106.94,4567.86,65
NDC,00003218713,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,5622.6,2811.3,44.99,5060.34,71
NDC,00003218811,ABATACEPT 125 MG/ML SUBCUTANEOUS SYRINGE,5502.25,2751.13,44.99,4952.03,71
NDC,00003229111,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9152.65,4576.33,7.89,8237.39,71
NDC,00003232711,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,35558.8,17779.4,176.06,32002.92,71
NDC,00003232822,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,142084.9,71042.45,176.06,127876.41,71
NDC,00003256016,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,189.9,94.95,2.72,170.91,66
NDC,00003257016,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,299.85,149.93,2.72,269.87,66
NDC,00003281411,ABATACEPT 50 MG/0.4 ML SUBCUTANEOUS SYRINGE,5527.25,2763.63,44.99,4974.53,71
NDC,00003281811,ABATACEPT 87.5 MG/0.7 ML SUBCUTANEOUS SYRINGE,5502.25,2751.13,44.99,4952.03,71
NDC,00003363112,ATAZANAVIR 200 MG CAPSULE,5411.05,2705.53,1180.15,4869.95,65
NDC,00003364111,ATAZANAVIR 300 MG-COBICISTAT 150 MG TABLET,5937.0,2968.5,1294.86,5343.3,65
NDC,00003373413,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,31199.35,15599.68,32.1,28079.42,71
NDC,00003375614,NIVOLUMAB 120 MG/12 ML INTRAVENOUS SOLUTION,15624.7,7812.35,32.1,14062.23,71
NDC,00003377211,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,5241.6,2620.8,32.1,4717.44,71
NDC,00003377412,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,13028.85,6514.43,32.1,11725.97,71
NDC,00003452211,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12186.75,6093.38,7.89,10968.08,71
NDC,00003612001,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",31199.35,15599.68,27.91,28079.42,70
NDC,00003712511,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,60528.35,30264.18,192.99,54475.52,71
NDC,00004003822,VALGANCICLOVIR 450 MG TABLET,15023.55,7511.78,3276.64,13521.2,65
NDC,00004003909,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,3105.0,1552.5,677.2,2794.5,65
NDC,00004005801,CLONAZEPAM 1 MG TABLET,1412.0,706.0,307.96,1270.8,65
NDC,00004006801,CLONAZEPAM 0.5 MG TABLET,1237.5,618.75,269.9,1113.75,65
NDC,00004018683,IBANDRONATE 150 MG TABLET,2222.65,1111.33,484.76,2000.39,65
NDC,00004025901,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,436.5,218.25,95.2,392.85,65
NDC,00004025943,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,2182.5,1091.25,476.0,1964.25,65
NDC,00004026001,MYCOPHENOLATE MOFETIL 500 MG TABLET,872.5,436.25,190.29,785.25,65
NDC,00004026043,MYCOPHENOLATE MOFETIL 500 MG TABLET,3490.0,1745.0,761.17,3141.0,65
NDC,00004026129,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,4179.2,2089.6,911.48,3761.28,65
NDC,00004029809,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,360.2,180.1,78.56,324.18,65
NDC,00004029830,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,360.2,180.1,78.56,324.18,65
NDC,00004035009,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,3797.1,1898.55,828.15,3417.39,65
NDC,00004080085,OSELTAMIVIR 75 MG CAPSULE,736.6,368.3,160.65,662.94,65
NDC,00004080185,OSELTAMIVIR 45 MG CAPSULE,675.8,337.9,147.39,608.22,65
NDC,00004080285,OSELTAMIVIR 30 MG CAPSULE,675.8,337.9,147.39,608.22,65
NDC,00004082205,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,736.5,368.25,160.63,662.85,65
NDC,00004110020,CAPECITABINE 150 MG TABLET,3156.25,1578.13,0.04,2840.63,70
NDC,00004110150,CAPECITABINE 500 MG TABLET,21038.4,10519.2,0.04,18934.56,70
NDC,00005010005,"N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE",853.6,426.8,186.17,768.24,66
NDC,00005200001,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1094.0,547.0,238.6,984.6,71
NDC,00005200002,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1094.0,547.0,238.6,984.6,71
NDC,00005200010,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,1060.8,530.4,231.36,954.72,71
NDC,00006003220,IVERMECTIN 3 MG TABLET,430.1,215.05,93.8,387.09,65
NDC,00006007231,FINASTERIDE 5 MG TABLET,656.55,328.28,143.19,590.9,65
NDC,00006011201,SITAGLIPTIN PHOSPHATE 50 MG TABLET,61.05,30.53,13.32,54.95,65
NDC,00006011228,SITAGLIPTIN PHOSPHATE 50 MG TABLET,4067.6,2033.8,887.14,3660.84,65
NDC,00006011231,SITAGLIPTIN PHOSPHATE 50 MG TABLET,1525.2,762.6,332.65,1372.68,65
NDC,00006011254,SITAGLIPTIN PHOSPHATE 50 MG TABLET,3660.85,1830.43,798.43,3294.77,65
NDC,00006022131,SITAGLIPTIN PHOSPHATE 25 MG TABLET,1525.2,762.6,332.65,1372.68,65
NDC,00006022154,SITAGLIPTIN PHOSPHATE 25 MG TABLET,3660.85,1830.43,798.43,3294.77,65
NDC,00006022761,RALTEGRAVIR 400 MG TABLET,7703.8,3851.9,1680.2,6933.42,65
NDC,00006026701,RIZATRIPTAN 10 MG TABLET,203.95,101.98,44.48,183.56,65
NDC,00006026718,RIZATRIPTAN 10 MG TABLET,2446.85,1223.43,533.66,2202.17,65
NDC,00006027701,SITAGLIPTIN PHOSPHATE 100 MG TABLET,61.05,30.53,13.32,54.95,65
NDC,00006027728,SITAGLIPTIN PHOSPHATE 100 MG TABLET,4067.6,2033.8,887.14,3660.84,65
NDC,00006027731,SITAGLIPTIN PHOSPHATE 100 MG TABLET,1525.2,762.6,332.65,1372.68,65
NDC,00006046102,APREPITANT 80 MG CAPSULE,2022.3,1011.15,441.06,1820.07,65
NDC,00006095154,LOSARTAN 25 MG TABLET,1158.3,579.15,252.63,1042.47,65
NDC,00006095231,LOSARTAN 50 MG TABLET,517.2,258.6,112.8,465.48,65
NDC,00006302500,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,15224.85,7612.43,40.62,13702.37,71
NDC,00006302501,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,15224.85,7612.43,40.62,13702.37,71
NDC,00006302601,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23178.35,11589.18,57.54,20860.52,71
NDC,00006302602,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23178.35,11589.18,57.54,20860.52,71
NDC,00006302604,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,23178.35,11589.18,57.54,20860.52,71
NDC,00006306100,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,1571.85,785.93,0.15,1414.67,66
NDC,00006306101,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,1571.85,785.93,0.15,1414.67,66
NDC,00006306901,DORAVIRINE 100 MG TABLET,6804.0,3402.0,1483.95,6123.6,65
NDC,00006307502,LETERMOVIR 240 MG TABLET,30731.7,15365.85,6702.58,27658.53,65
NDC,00006307503,LETERMOVIR 240 MG TABLET,1371.95,685.98,299.22,1234.76,65
NDC,00006307504,LETERMOVIR 240 MG TABLET,15365.85,7682.93,3351.29,13829.27,65
NDC,00006307601,LETERMOVIR 480 MG TABLET,7682.95,3841.48,1675.65,6914.66,65
NDC,00006307602,LETERMOVIR 480 MG TABLET,30731.7,15365.85,6702.58,27658.53,65
NDC,00006307603,LETERMOVIR 480 MG TABLET,1371.95,685.98,299.22,1234.76,65
NDC,00006307604,LETERMOVIR 480 MG TABLET,15365.85,7682.93,3351.29,13829.27,65
NDC,00006308001,RALTEGRAVIR 600 MG TABLET,7703.8,3851.9,1680.2,6933.42,65
NDC,00006351659,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,206.15,103.08,8.99,185.54,66
NDC,00006351936,DORZOLAMIDE 2 % EYE DROPS,352.2,176.1,76.81,316.98,65
NDC,00006360301,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION,48.15,24.08,10.5,43.34,65
NDC,00006360361,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION,2407.5,1203.75,525.08,2166.75,65
NDC,00006382210,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,1586.75,793.38,6.02,1428.08,66
NDC,00006382310,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,1647.65,823.83,6.02,1482.89,66
NDC,00006384371,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,620.0,310.0,14.38,558.0,66
NDC,00006385601,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION,1486.35,743.18,2.66,1337.72,71
NDC,00006385602,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION,1486.35,743.18,2.66,1337.72,71
NDC,00006409501,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,160.9,80.45,35.09,144.81,66
NDC,00006409502,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,160.9,80.45,35.09,144.81,66
NDC,00006411901,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION",1016.9,508.45,221.79,915.21,65
NDC,00006411903,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION",1016.9,508.45,221.79,915.21,65
NDC,00006412101,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",1422.2,711.1,310.18,1279.98,65
NDC,00006412102,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE",1422.2,711.1,310.18,1279.98,65
NDC,00006417100,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1294.55,647.28,282.34,1165.1,66
NDC,00006417101,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",1294.55,647.28,282.34,1165.1,66
NDC,00006430501,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,2743.55,1371.78,27.54,2469.2,71
NDC,00006430502,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,2743.55,1371.78,27.54,2469.2,71
NDC,00006468100,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",410.85,205.43,89.61,369.77,66
NDC,00006468101,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",410.85,205.43,89.61,369.77,66
NDC,00006482700,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",869.45,434.73,183.32,782.51,66
NDC,00006482701,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",869.45,434.73,183.32,782.51,66
NDC,00006483101,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION,168.75,84.38,36.8,151.88,66
NDC,00006483141,HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION,168.75,84.38,36.8,151.88,66
NDC,00006483701,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,541.2,270.6,118.04,487.08,71
NDC,00006483703,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE,541.2,270.6,118.04,487.08,71
NDC,00006489700,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,170.0,85.0,31.13,153.0,66
NDC,00006489701,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,170.0,85.0,31.13,153.0,66
NDC,00006494300,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION,541.2,270.6,118.04,487.08,71
NDC,00006494301,PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION,541.2,270.6,118.04,487.08,71
NDC,00006499500,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP,204.45,102.23,44.59,184.01,71
NDC,00006499501,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP,212.15,106.08,46.27,190.94,71
NDC,00006500301,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,1922.2,961.1,419.23,1729.98,65
NDC,00006500302,LETERMOVIR 240 MG/12 ML INTRAVENOUS SOLUTION,1922.2,961.1,419.23,1729.98,65
NDC,00006500401,LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION,1922.2,961.1,419.23,1729.98,65
NDC,00006500402,LETERMOVIR 480 MG/24 ML INTRAVENOUS SOLUTION,1922.2,961.1,419.23,1729.98,65
NDC,00006500701,DORAVIRINE 100 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,10356.25,5178.13,2258.7,9320.63,65
NDC,00006502802,VERICIGUAT 2.5 MG TABLET,2563.7,1281.85,559.14,2307.33,65
NDC,00006503001,VERICIGUAT 10 MG TABLET,2563.7,1281.85,559.14,2307.33,65
NDC,00006542302,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,654.3,327.15,142.7,588.87,65
NDC,00006542312,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,654.3,327.15,142.7,588.87,65
NDC,00006542402,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",166.3,83.15,36.27,149.67,65
NDC,00006542505,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1177.6,588.8,256.83,1059.84,65
NDC,00006542515,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,1177.6,588.8,256.83,1059.84,65
NDC,00006911731,MONTELUKAST 10 MG TABLET,1060.8,530.4,231.36,954.72,65
NDC,00006911754,MONTELUKAST 10 MG TABLET,2545.95,1272.98,555.27,2291.36,65
NDC,00006927531,MONTELUKAST 5 MG CHEWABLE TABLET,1060.8,530.4,231.36,954.72,65
NDC,00007414120,CARVEDILOL 12.5 MG TABLET,2091.2,1045.6,456.09,1882.08,65
NDC,00008010001,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN,91682.0,45841.0,2752.01,82513.8,70
NDC,00008083321,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",2127.0,1063.5,463.9,1914.3,65
NDC,00008083621,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",2385.4,1192.7,520.26,2146.86,65
NDC,00008083622,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",6950.2,3475.1,1515.84,6255.18,65
NDC,00008083721,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",2372.85,1186.43,517.52,2135.57,65
NDC,00008083722,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",5694.85,2847.43,1242.05,5125.37,65
NDC,00008092351,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,00008092355,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,00008092360,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,00008103004,SIROLIMUS 1 MG/ML ORAL SOLUTION,7301.55,3650.78,1592.47,6571.4,65
NDC,00008103006,SIROLIMUS 1 MG/ML ORAL SOLUTION,7301.55,3650.78,1592.47,6571.4,65
NDC,00008104005,SIROLIMUS 0.5 MG TABLET,5878.8,2939.4,1282.17,5290.92,65
NDC,00008104010,SIROLIMUS 0.5 MG TABLET,6389.2,3194.6,1393.48,5750.28,65
NDC,00008104105,SIROLIMUS 1 MG TABLET,12777.2,6388.6,2786.71,11499.48,65
NDC,00008104110,SIROLIMUS 1 MG TABLET,12777.2,6388.6,2786.71,11499.48,65
NDC,00008117901,TEMSIROLIMUS 10 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION,7447.2,3723.6,27.25,6702.48,71
NDC,00008121030,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2024.55,1012.28,441.55,1822.1,65
NDC,00008121114,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",944.75,472.38,206.05,850.28,65
NDC,00008121130,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",2024.55,1012.28,441.55,1822.1,65
NDC,00008122201,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",4858.6,2429.3,1059.66,4372.74,65
NDC,00008400101,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,00008400110,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,00008400125,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,00008451001,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN,40230.0,20115.0,241.35,36207.0,71
NDC,00008499019,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,128.2,64.1,0.81,115.38,66
NDC,00008499020,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,128.2,64.1,0.81,115.38,66
NDC,00008499419,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,128.2,64.1,0.81,115.38,66
NDC,00008499420,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,128.2,64.1,0.81,115.38,66
NDC,00009000302,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,269.0,134.5,0.21,242.1,71
NDC,00009000501,"HYDROCORTISONE SOD SUCCINATE (PF) 1,000 MG/8 ML SOLUTION FOR INJECTION",793.5,396.75,19.81,714.15,66
NDC,00009001103,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,150.8,75.4,19.81,135.72,66
NDC,00009001104,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,149.8,74.9,19.81,134.82,66
NDC,00009001201,HYDROCORTISONE 5 MG TABLET,278.7,139.35,60.78,250.83,65
NDC,00009001305,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,258.9,129.45,19.81,233.01,66
NDC,00009001306,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,255.8,127.9,19.81,230.22,66
NDC,00009001612,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION,408.8,204.4,19.81,367.92,66
NDC,00009001758,TRIAZOLAM 0.25 MG TABLET,270.05,135.03,58.9,243.05,65
NDC,00009001820,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",289.35,144.68,0.21,260.42,71
NDC,00009002901,ALPRAZOLAM 0.25 MG TABLET,2075.2,1037.6,452.6,1867.68,65
NDC,00009003101,HYDROCORTISONE 10 MG TABLET,785.0,392.5,171.21,706.5,65
NDC,00009003905,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.05,26.03,0.21,46.85,71
NDC,00009003906,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.05,26.03,0.21,46.85,71
NDC,00009003928,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.05,26.03,0.21,46.85,71
NDC,00009003930,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.05,26.03,0.21,46.85,71
NDC,00009003932,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.2,26.1,0.21,46.98,71
NDC,00009003933,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,52.2,26.1,0.21,46.98,71
NDC,00009004703,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,68.0,34.0,0.21,61.2,71
NDC,00009004704,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,68.0,34.0,0.21,61.2,71
NDC,00009004722,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,68.0,34.0,0.21,61.2,71
NDC,00009004725,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,68.0,34.0,0.21,61.2,71
NDC,00009004727,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,68.2,34.1,0.21,61.38,71
NDC,00009005501,ALPRAZOLAM 0.5 MG TABLET,2585.2,1292.6,563.83,2326.68,65
NDC,00009005602,METHYLPREDNISOLONE 4 MG TABLET,169.2,84.6,0.26,152.28,66
NDC,00009005604,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,35.45,17.73,0.26,31.91,66
NDC,00009007301,METHYLPREDNISOLONE 16 MG TABLET,668.0,334.0,0.26,601.2,66
NDC,00009008202,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00009009001,ALPRAZOLAM 1 MG TABLET,3449.6,1724.8,752.36,3104.64,65
NDC,00009011205,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00009021501,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,689.9,344.95,10.59,620.91,66
NDC,00009021505,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,689.9,344.95,10.59,620.91,66
NDC,00009027101,ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL,993.45,496.73,39.68,894.11,66
NDC,00009028002,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,192.2,96.1,0.12,172.98,71
NDC,00009028003,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,335.5,167.75,0.12,301.95,71
NDC,00009028301,GELATIN ABSORBABLE IMPLANT FILM,7904.9,3952.45,1724.06,7114.41,65
NDC,00009029703,GELATIN ABSORBABLE EYE FILM,5500.7,2750.35,1199.7,4950.63,65
NDC,00009030202,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.6,23.3,2.03,41.94,66
NDC,00009030225,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.6,23.3,2.03,41.94,66
NDC,00009030602,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,254.6,127.3,0.12,229.14,71
NDC,00009031508,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",367.9,183.95,80.24,331.11,65
NDC,00009034201,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",889.05,444.53,193.9,800.15,65
NDC,00009041701,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,119.8,59.9,0.03,107.82,66
NDC,00009041702,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,580.65,290.33,0.03,522.59,66
NDC,00009043304,GELATIN ABSORBABLE MUCOSAL POWDER,302.85,151.43,66.05,272.57,65
NDC,00009043601,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,257.2,128.6,56.1,231.48,65
NDC,00009045003,COLESTIPOL 1 GRAM TABLET,1246.2,623.1,271.8,1121.58,65
NDC,00009055501,LINCOMYCIN 300 MG/ML INJECTION SOLUTION,158.95,79.48,10.93,143.06,66
NDC,00009060204,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.95,23.48,2.03,42.26,66
NDC,00009069801,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",131.65,65.83,0.21,118.49,71
NDC,00009069802,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",92.1,46.05,0.21,82.89,71
NDC,00009072805,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,130.5,65.25,2.03,117.45,66
NDC,00009072809,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,130.5,65.25,2.03,117.45,66
NDC,00009074630,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,292.0,146.0,50.03,262.8,66
NDC,00009074635,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,291.95,145.98,50.03,262.76,66
NDC,00009075801,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,142.4,71.2,0.21,128.16,71
NDC,00009076004,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,177.0,88.5,38.6,159.3,65
NDC,00009077520,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.1,23.55,2.03,42.39,66
NDC,00009077526,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.1,23.55,2.03,42.39,66
NDC,00009082501,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,122.9,61.45,19.81,110.61,66
NDC,00009085001,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,438.6,219.3,0.21,394.74,71
NDC,00009085605,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,451.65,225.83,98.5,406.49,65
NDC,00009085608,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,451.65,225.83,98.5,406.49,65
NDC,00009087021,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.7,23.35,2.03,42.03,66
NDC,00009087026,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.7,23.35,2.03,42.03,66
NDC,00009090106,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.6,23.8,2.03,42.84,66
NDC,00009090125,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.6,23.8,2.03,42.84,66
NDC,00009090211,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.8,23.9,2.03,43.02,66
NDC,00009090218,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.8,23.9,2.03,43.02,66
NDC,00009307301,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,38.8,19.4,0.12,34.92,71
NDC,00009307303,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,38.8,19.4,0.12,34.92,71
NDC,00009316901,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,724.7,362.35,10.59,652.23,66
NDC,00009316906,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,724.7,362.35,10.59,652.23,66
NDC,00009347501,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,48.9,24.45,0.12,44.01,71
NDC,00009347503,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,48.95,24.48,0.12,44.06,71
NDC,00009370108,ALPROSTADIL 20 MCG INTRACAVERNOSAL SOLUTION,510.45,255.23,10.59,459.41,66
NDC,00009379401,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,452.5,226.25,98.69,407.25,71
NDC,00009407303,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.95,23.48,2.03,42.26,66
NDC,00009407304,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.95,23.48,2.03,42.26,66
NDC,00009454402,TOLTERODINE 2 MG TABLET,2148.9,1074.45,468.68,1934.01,65
NDC,00009470913,MEDROXYPROGESTERONE 104 MG/0.65 ML SUBCUTANEOUS SYRINGE,292.0,146.0,50.03,262.8,66
NDC,00009509101,EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,1.53,405.0,66
NDC,00009509301,EPIRUBICIN 200 MG/100 ML INTRAVENOUS SOLUTION,540.95,270.48,1.53,486.86,66
NDC,00009513601,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,2298.0,1149.0,501.19,2068.2,65
NDC,00009513604,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,2523.6,1261.8,550.4,2271.24,65
NDC,00009513701,LINEZOLID IN 5% DEXTROSE IN WATER 200 MG/100 ML INTRAVENOUS PIGGYBACK,285.4,142.7,3.66,256.86,66
NDC,00009513704,LINEZOLID IN 5% DEXTROSE IN WATER 200 MG/100 ML INTRAVENOUS PIGGYBACK,285.4,142.7,3.66,256.86,66
NDC,00009513802,LINEZOLID 600 MG TABLET,20044.1,10022.05,4371.62,18039.69,65
NDC,00009513803,LINEZOLID 600 MG TABLET,871.35,435.68,190.04,784.22,65
NDC,00009514001,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,70.0,35.0,3.66,63.0,66
NDC,00009514004,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,70.0,35.0,3.66,63.0,66
NDC,00009540001,NICOTINE 10 MG INHALATION CARTRIDGE,2352.85,1176.43,513.16,2117.57,65
NDC,00009722401,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",15409.4,7704.7,3360.79,13868.46,71
NDC,00009722402,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",15409.4,7704.7,3360.79,13868.46,71
NDC,00009737611,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,254.0,127.0,50.03,228.6,66
NDC,00009752903,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00009752904,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00009752905,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,509.3,254.65,2.16,458.37,66
NDC,00009752910,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00009766304,EXEMESTANE 25 MG TABLET,4257.15,2128.58,928.48,3831.44,65
NDC,00009780701,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,70.0,35.0,3.66,63.0,66
NDC,00009780702,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,70.0,35.0,3.66,63.0,66
NDC,00013010110,SULFASALAZINE 500 MG TABLET,751.5,375.75,163.9,676.35,65
NDC,00013010250,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",981.5,490.75,214.07,883.35,65
NDC,00013111401,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.25,24.13,10.52,43.43,65
NDC,00013111415,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.25,24.13,10.52,43.43,65
NDC,00013111420,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",55.25,27.63,12.05,49.73,65
NDC,00013111421,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",55.25,27.63,12.05,49.73,65
NDC,00013257605,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,00013257691,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,00013258610,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,00013258691,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,465.05,232.53,47.65,418.55,66
NDC,00013259620,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,656.35,328.18,47.65,590.72,66
NDC,00013259691,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,846.95,423.48,47.65,762.26,66
NDC,00013530117,RIFABUTIN 150 MG CAPSULE,3020.4,1510.2,658.75,2718.36,65
NDC,00013830304,LATANOPROST 0.005 % EYE DROPS,1222.2,611.1,266.56,1099.98,65
NDC,00019086250,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,138.75,69.38,30.26,124.88,65
NDC,00019095305,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,70.75,35.38,0.31,63.68,66
NDC,00019095313,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,38.1,19.05,0.31,34.29,66
NDC,00019095323,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,56.4,28.2,0.31,50.76,66
NDC,00019132300,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,89.5,44.75,0.13,80.55,66
NDC,00019132302,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,22.2,11.1,0.13,19.98,66
NDC,00019132306,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,81.0,40.5,0.13,72.9,66
NDC,00019132311,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,161.0,80.5,0.13,144.9,66
NDC,00019132316,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,92.25,46.13,0.13,83.03,66
NDC,00019132321,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,119.0,59.5,0.13,107.1,66
NDC,00019132370,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,76.2,38.1,0.13,68.58,66
NDC,00019132378,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,89.25,44.63,0.13,80.33,66
NDC,00019132387,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,221.25,110.63,0.13,199.13,66
NDC,00019132390,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,182.0,91.0,0.13,163.8,66
NDC,00019133311,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,175.5,87.75,0.13,157.95,66
NDC,00019133316,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,246.0,123.0,0.13,221.4,66
NDC,00019133321,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,312.0,156.0,0.13,280.8,66
NDC,00019481604,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,95.4,47.7,0.24,85.86,66
NDC,00023114501,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2609.0,1304.5,6.63,2348.1,71
NDC,00023218105,KETOROLAC 0.5 % EYE DROPS,1335.85,667.93,291.35,1202.27,65
NDC,00023320503,BIMATOPROST 0.01 % EYE DROPS,1279.6,639.8,279.08,1151.64,65
NDC,00023320505,BIMATOPROST 0.01 % EYE DROPS,2046.5,1023.25,446.34,1841.85,65
NDC,00023334807,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,5517.0,2758.5,208.7,4965.3,71
NDC,00023361525,GATIFLOXACIN 0.5 % EYE DROPS,853.55,426.78,186.16,768.2,65
NDC,00023391950,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,1835.0,917.5,6.63,1651.5,71
NDC,00023392102,ONABOTULINUMTOXINA 200 UNIT SOLUTION FOR INJECTION,5193.0,2596.5,6.63,4673.7,71
NDC,00023585318,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),2709.4,1354.7,590.92,2438.46,65
NDC,00023585801,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,3726.95,1863.48,782.46,3354.26,66
NDC,00023608201,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,241.9,120.95,18.47,217.71,71
NDC,00023608210,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,241.9,120.95,18.47,217.71,71
NDC,00023614230,SILODOSIN 8 MG CAPSULE,1268.25,634.13,276.61,1141.43,65
NDC,00023614730,SILODOSIN 4 MG CAPSULE,1268.25,634.13,276.61,1141.43,65
NDC,00023615301,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,412.2,206.1,89.9,370.98,65
NDC,00023615308,OXYBUTYNIN 3.9 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,2637.8,1318.9,575.3,2374.02,65
NDC,00023649802,UBROGEPANT 50 MG TABLET,526.15,263.08,114.75,473.54,65
NDC,00023649810,UBROGEPANT 50 MG TABLET,4209.2,2104.6,918.03,3788.28,65
NDC,00023650102,UBROGEPANT 100 MG TABLET,526.15,263.08,114.75,473.54,65
NDC,00023650116,UBROGEPANT 100 MG TABLET,6734.7,3367.35,1468.84,6061.23,65
NDC,00023916330,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,1564.8,782.4,341.28,1408.32,65
NDC,00023916360,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,2503.95,1251.98,546.11,2253.56,65
NDC,00023917705,BRIMONIDINE 0.15 % EYE DROPS,1005.35,502.68,219.27,904.82,65
NDC,00023917710,BRIMONIDINE 0.15 % EYE DROPS,2010.25,1005.13,438.44,1809.23,65
NDC,00023921105,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,989.55,494.78,215.82,890.6,65
NDC,00023932105,BRIMONIDINE 0.1 % EYE DROPS,942.55,471.28,205.57,848.3,65
NDC,00023963704,OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH,61.05,30.53,13.32,54.95,65
NDC,00024065401,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3329.35,1664.68,81.82,2996.42,71
NDC,00024065601,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,16546.7,8273.35,81.82,14892.03,71
NDC,00024159601,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,945.5,472.75,206.21,850.95,65
NDC,00024279201,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,46.05,23.03,2.63,41.45,66
NDC,00024279210,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,46.05,23.03,2.63,41.45,66
NDC,00024279401,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,46.05,23.03,2.63,41.45,66
NDC,00024279410,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,46.05,23.03,2.63,41.45,66
NDC,00024414260,DRONEDARONE 400 MG TABLET,2935.45,1467.73,640.22,2641.91,65
NDC,00024515010,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4387.55,2193.78,385.07,3948.8,70
NDC,00024515011,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4387.55,2193.78,385.07,3948.8,70
NDC,00024515175,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,21837.65,10918.83,385.07,19653.89,70
NDC,00024515411,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4387.55,2193.78,385.07,3948.8,70
NDC,00024582315,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,57484.95,28742.48,221.08,51736.46,71
NDC,00024582411,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,57484.95,28742.48,221.08,51736.46,71
NDC,00024583701,TAMSULOSIN 0.4 MG CAPSULE,3596.8,1798.4,784.46,3237.12,65
NDC,00024584001,ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLUTION,3250.0,1625.0,7.79,2925.0,71
NDC,00024585230,IRBESARTAN 300 MG TABLET,1276.2,638.1,278.34,1148.58,65
NDC,00024586001,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,3749.6,1874.8,4.27,3374.64,71
NDC,00024586201,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,39922.3,19961.15,25.84,35930.07,71
NDC,00024591001,SARILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,8512.3,4256.15,1856.53,7661.07,65
NDC,00024591100,DUPILUMAB 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,6668.5,3334.25,1454.4,6001.65,65
NDC,00024591102,DUPILUMAB 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,6668.5,3334.25,1454.4,6001.65,65
NDC,00024591400,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,7383.75,3691.88,1610.4,6645.38,65
NDC,00024591401,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,7383.75,3691.88,1610.4,6645.38,65
NDC,00024591500,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,7383.75,3691.88,1610.4,6645.38,65
NDC,00024591502,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,7383.75,3691.88,1610.4,6645.38,65
NDC,00024591800,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,7383.75,3691.88,1610.4,6645.38,65
NDC,00024591801,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,7383.75,3691.88,1610.4,6645.38,65
NDC,00024591901,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS PEN INJECTOR,6193.35,3096.68,1350.77,5574.02,65
NDC,00024592201,SARILUMAB 200 MG/1.14 ML SUBCUTANEOUS PEN INJECTOR,8512.3,4256.15,1856.53,7661.07,65
NDC,00024592410,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00024592605,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00025006131,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,1407.0,703.5,306.87,1266.3,65
NDC,00025142160,"DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE",2451.0,1225.5,534.56,2205.9,65
NDC,00025145134,MISOPROSTOL 100 MCG TABLET,1938.5,969.25,422.79,1744.65,65
NDC,00025145160,MISOPROSTOL 100 MCG TABLET,1119.0,559.5,244.05,1007.1,65
NDC,00025146160,MISOPROSTOL 200 MCG TABLET,1630.5,815.25,355.61,1467.45,65
NDC,00025152031,CELECOXIB 100 MG CAPSULE,3702.8,1851.4,807.58,3332.52,65
NDC,00025152034,CELECOXIB 100 MG CAPSULE,3702.8,1851.4,807.58,3332.52,65
NDC,00025152531,CELECOXIB 200 MG CAPSULE,5812.0,2906.0,1267.6,5230.8,65
NDC,00025152534,CELECOXIB 200 MG CAPSULE,6074.0,3037.0,1324.74,5466.6,65
NDC,00025152551,CELECOXIB 200 MG CAPSULE,30370.0,15185.0,6623.7,27333.0,65
NDC,00025153001,CELECOXIB 400 MG CAPSULE,8718.4,4359.2,1901.48,7846.56,65
NDC,00025273231,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",1996.0,998.0,435.33,1796.4,65
NDC,00025274231,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE",2359.0,1179.5,514.5,2123.1,65
NDC,00026378225,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00026378335,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00026378555,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00026378665,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00026378775,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00032004570,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",615.3,307.65,134.2,553.77,65
NDC,00032004770,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",2081.0,1040.5,453.87,1872.9,65
NDC,00032120370,"LIPASE-PROTEASE-AMYLASE 3,000-9,500-15,000 UNIT CAPSULE, DELAYED REL",595.7,297.85,129.92,536.13,65
NDC,00032120601,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",1008.0,504.0,219.84,907.2,65
NDC,00032120607,"LIPASE-PROTEASE-AMYLASE 6,000-19,000-30,000 UNIT CAPSULE,DELAYED REL",2400.0,1200.0,523.44,2160.0,65
NDC,00032121201,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",2014.5,1007.25,439.36,1813.05,65
NDC,00032121207,"LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL",3837.0,1918.5,836.85,3453.3,65
NDC,00032122401,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",3194.4,1597.2,696.7,2874.96,65
NDC,00032122407,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",7483.0,3741.5,1632.04,6734.7,65
NDC,00032263601,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL",3299.6,1649.8,719.64,2969.64,65
NDC,00032301613,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",5010.4,2505.2,1092.77,4509.36,65
NDC,00032301628,"LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL",11547.0,5773.5,2518.4,10392.3,65
NDC,00037043001,FELBAMATE 400 MG TABLET,5707.6,2853.8,1244.83,5136.84,65
NDC,00037043101,FELBAMATE 600 MG TABLET,6541.2,3270.6,1426.64,5887.08,65
NDC,00037044267,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,6715.65,3357.83,1464.68,6044.09,65
NDC,00037440101,PENICILLAMINE 250 MG TABLET,27967.6,13983.8,6099.73,25170.84,65
NDC,00037632190,METHENAMINE 81 MG-M.BLUE 10.8 MG-SOD PHOS 40.8 MG-P.SALICY-HYOS TABLET,3131.65,1565.83,683.01,2818.49,65
NDC,00037682210,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM,898.5,449.25,195.96,808.65,65
NDC,00037682410,HYDROCORTISONE-PRAMOXINE 1 %-1 % TOPICAL FOAM,462.75,231.38,100.93,416.48,65
NDC,00037686010,OLSALAZINE 250 MG CAPSULE,5796.8,2898.4,1264.28,5217.12,65
NDC,00037900105,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,310.95,155.48,39.36,279.86,66
NDC,00046074905,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,1742.15,871.08,379.96,1567.94,71
NDC,00046087221,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,2130.3,1065.15,464.62,1917.27,65
NDC,00046110081,CONJUGATED ESTROGENS 0.3 MG TABLET,2614.8,1307.4,570.29,2353.32,65
NDC,00046110181,CONJUGATED ESTROGENS 0.45 MG TABLET,2614.8,1307.4,570.29,2353.32,65
NDC,00046110281,CONJUGATED ESTROGENS 0.625 MG TABLET,2614.8,1307.4,570.29,2353.32,65
NDC,00046110381,CONJUGATED ESTROGENS 0.9 MG TABLET,2614.8,1307.4,570.29,2353.32,65
NDC,00046110481,CONJUGATED ESTROGENS 1.25 MG TABLET,2614.8,1307.4,570.29,2353.32,65
NDC,00046110711,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET,1144.65,572.33,249.65,1030.19,65
NDC,00049001381,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.5,23.25,1.97,41.85,66
NDC,00049001383,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.5,23.25,1.97,41.85,66
NDC,00049001481,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.97,43.43,66
NDC,00049001483,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.97,43.43,66
NDC,00049005460,ZIPRASIDONE 40 MG CAPSULE,5298.5,2649.25,1155.6,4768.65,65
NDC,00049011628,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION,213.05,106.53,0.51,191.75,66
NDC,00049017001,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",65.0,32.5,14.18,58.5,65
NDC,00049042005,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,47.25,23.63,0.86,42.53,66
NDC,00049042010,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,47.25,23.63,0.86,42.53,66
NDC,00049043020,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,124.8,62.4,0.86,112.32,66
NDC,00049052083,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,47.25,23.63,0.86,42.53,66
NDC,00049052084,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,47.25,23.63,0.86,42.53,66
NDC,00049053028,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,124.8,62.4,0.86,112.32,66
NDC,00049120301,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,192.4,96.2,10.82,173.16,66
NDC,00049120310,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,192.4,96.2,10.82,173.16,66
NDC,00049233045,ELETRIPTAN 20 MG TABLET,2240.1,1120.05,488.57,2016.09,65
NDC,00049233079,ELETRIPTAN 20 MG TABLET,373.35,186.68,81.43,336.02,65
NDC,00049277066,DOXAZOSIN 4 MG TABLET,2499.0,1249.5,545.03,2249.1,65
NDC,00049316044,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,2074.5,1037.25,452.45,1867.05,65
NDC,00049318030,VORICONAZOLE 200 MG TABLET,516.6,258.3,112.67,464.94,65
NDC,00049319028,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,104.75,52.38,1.28,94.28,66
NDC,00049342030,FLUCONAZOLE 100 MG TABLET,188.85,94.43,41.19,169.97,65
NDC,00049343030,FLUCONAZOLE 200 MG TABLET,3473.55,1736.78,757.58,3126.2,65
NDC,00049345019,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,156.05,78.03,34.03,140.45,65
NDC,00049392001,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,297.85,148.93,10.82,268.07,66
NDC,00049392020,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,297.95,148.98,10.82,268.16,66
NDC,00049392083,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,297.95,148.98,10.82,268.16,66
NDC,00049419001,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,104.75,52.38,1.28,94.28,66
NDC,00049491041,SERTRALINE 100 MG TABLET,5508.8,2754.4,1201.47,4957.92,65
NDC,00051845030,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET,124.25,62.13,27.1,111.83,65
NDC,00052027301,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,755.7,377.85,162.6,680.13,66
NDC,00052027303,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,755.7,377.85,162.6,680.13,66
NDC,00052031510,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",540.2,270.1,25.72,486.18,66
NDC,00052060201,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,756.55,378.28,3.21,680.9,66
NDC,00052060202,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,756.55,378.28,3.21,680.9,66
NDC,00052433001,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,2637.7,1318.85,575.28,2373.93,66
NDC,00053009901,ETRANACOGENE DEZAPARVOVEC-DRLB 1X10EXP13 GC/ML INTRAVENOUS SUSPENSION,17500000.0,8750000.0,3758972.0,15750000.0,69
NDC,00053720102,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION",45.55,22.78,5.42,41.0,71
NDC,00053720202,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 4,000 MG INTRAVENOUS SOLUTION",45.55,22.78,5.42,41.0,71
NDC,00053721101,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG INTRAVENOUS SOLUTION",45.55,22.78,5.42,41.0,71
NDC,00053767001,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",259.0,129.5,54.14,233.1,70
NDC,00053768032,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",290.4,145.2,63.34,261.36,65
NDC,00053768033,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",489.4,244.7,106.74,440.46,65
NDC,00053768091,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",290.4,145.2,63.34,261.36,65
NDC,00053768092,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",489.4,244.7,106.74,440.46,65
NDC,00054000713,CALCITRIOL 0.25 MCG CAPSULE,64.65,32.33,14.1,58.19,65
NDC,00054000725,CALCITRIOL 0.25 MCG CAPSULE,205.8,102.9,44.88,185.22,65
NDC,00054001020,FLECAINIDE 50 MG TABLET,285.6,142.8,62.29,257.04,65
NDC,00054001021,FLECAINIDE 50 MG TABLET,85.0,42.5,18.54,76.5,65
NDC,00054001025,FLECAINIDE 50 MG TABLET,287.0,143.5,62.59,258.3,65
NDC,00054001120,FLECAINIDE 100 MG TABLET,469.0,234.5,102.29,422.1,65
NDC,00054001121,FLECAINIDE 100 MG TABLET,240.5,120.25,52.45,216.45,65
NDC,00054001125,FLECAINIDE 100 MG TABLET,469.0,234.5,102.29,422.1,65
NDC,00054001221,FLECAINIDE 150 MG TABLET,265.5,132.75,57.91,238.95,65
NDC,00054001225,FLECAINIDE 150 MG TABLET,644.5,322.25,140.57,580.05,65
NDC,00054001720,PREDNISONE 10 MG TABLET,73.2,36.6,15.96,65.88,65
NDC,00054001725,PREDNISONE 10 MG TABLET,79.8,39.9,17.4,71.82,65
NDC,00054001729,PREDNISONE 10 MG TABLET,325.0,162.5,70.88,292.5,65
NDC,00054001820,PREDNISONE 20 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,00054001825,PREDNISONE 20 MG TABLET,115.2,57.6,25.13,103.68,65
NDC,00054001829,PREDNISONE 20 MG TABLET,475.0,237.5,103.6,427.5,65
NDC,00054001920,PREDNISONE 50 MG TABLET,142.8,71.4,31.14,128.52,65
NDC,00054001925,PREDNISONE 50 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,00054002025,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",258.0,129.0,56.27,232.2,65
NDC,00054002125,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",190.8,95.4,41.61,171.72,65
NDC,00054002821,CILOSTAZOL 50 MG TABLET,105.5,52.75,23.01,94.95,65
NDC,00054004421,CILOSTAZOL 100 MG TABLET,128.55,64.28,28.04,115.7,65
NDC,00054004544,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,221.25,110.63,48.25,199.13,65
NDC,00054004641,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,216.0,108.0,47.11,194.4,65
NDC,00054005746,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,688.2,344.1,150.1,619.38,65
NDC,00054006258,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,253.2,126.6,55.22,227.88,65
NDC,00054006344,RISPERIDONE 1 MG/ML ORAL SOLUTION,180.0,90.0,39.26,162.0,65
NDC,00054006447,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,419.75,209.88,91.55,377.78,65
NDC,00054007725,TORSEMIDE 20 MG TABLET,128.4,64.2,28.0,115.56,65
NDC,00054007729,TORSEMIDE 20 MG TABLET,267.0,133.5,58.23,240.3,65
NDC,00054007928,BALSALAZIDE 750 MG CAPSULE,467.6,233.8,101.98,420.84,65
NDC,00054008013,EXEMESTANE 25 MG TABLET,1505.85,752.93,328.43,1355.27,65
NDC,00054008425,ZALEPLON 5 MG CAPSULE,151.8,75.9,33.11,136.62,65
NDC,00054008813,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,136.3,68.15,29.73,122.67,65
NDC,00054008826,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,569.0,284.5,124.1,512.1,65
NDC,00054016325,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,137.4,68.7,29.97,123.66,65
NDC,00054016329,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,1145.0,572.5,249.72,1030.5,65
NDC,00054016625,MYCOPHENOLATE MOFETIL 500 MG TABLET,329.5,164.75,71.86,296.55,65
NDC,00054016629,MYCOPHENOLATE MOFETIL 500 MG TABLET,1295.0,647.5,282.44,1165.5,65
NDC,00054017613,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,102.1,51.05,1.89,91.89,66
NDC,00054017713,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,101.9,50.95,1.89,91.71,66
NDC,00054018813,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,99.9,49.95,5.1,89.91,66
NDC,00054018913,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,228.45,114.23,9.04,205.61,66
NDC,00054019959,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,768.75,384.38,167.66,691.88,65
NDC,00054021025,PROTRIPTYLINE 5 MG TABLET,2098.0,1049.0,457.57,1888.2,65
NDC,00054021125,PROTRIPTYLINE 10 MG TABLET,2098.0,1049.0,457.57,1888.2,65
NDC,00054023524,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,359.5,179.75,78.41,323.55,65
NDC,00054023525,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,244.2,122.1,53.26,219.78,65
NDC,00054023624,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,610.5,305.25,133.15,549.45,65
NDC,00054023625,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,322.5,161.25,70.34,290.25,65
NDC,00054023749,MORPHINE 10 MG/5 ML ORAL SOLUTION,50.4,25.2,10.99,45.36,65
NDC,00054023763,MORPHINE 10 MG/5 ML ORAL SOLUTION,123.0,61.5,26.83,110.7,65
NDC,00054024324,CODEINE SULFATE 15 MG TABLET,330.0,165.0,71.97,297.0,65
NDC,00054024424,CODEINE SULFATE 30 MG TABLET,244.2,122.1,53.26,219.78,65
NDC,00054024425,CODEINE SULFATE 30 MG TABLET,299.0,149.5,65.21,269.1,65
NDC,00054024822,IMATINIB 100 MG TABLET,4456.45,2228.23,971.95,4010.81,65
NDC,00054027223,CAPECITABINE 500 MG TABLET,2416.35,1208.18,0.04,2174.72,70
NDC,00054031950,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1622.25,811.13,353.81,1460.03,65
NDC,00054032656,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,355.8,177.9,77.6,320.22,65
NDC,00054032756,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,582.3,291.15,127.0,524.07,65
NDC,00054034925,PHENOXYBENZAMINE 10 MG CAPSULE,17749.6,8874.8,3871.19,15974.64,65
NDC,00054038225,CYCLOPHOSPHAMIDE 25 MG CAPSULE,2038.4,1019.2,444.58,1834.56,65
NDC,00054038325,CYCLOPHOSPHAMIDE 50 MG CAPSULE,3659.6,1829.8,798.16,3293.64,65
NDC,00054038663,HYDROMORPHONE 1 MG/ML ORAL LIQUID,858.5,429.25,187.24,772.65,65
NDC,00054039063,OXYCODONE 5 MG/5 ML ORAL SOLUTION,422.5,211.25,92.15,380.25,65
NDC,00054039168,METHADONE 10 MG/ML ORAL CONCENTRATE,255.0,127.5,55.62,229.5,65
NDC,00054039268,METHADONE 10 MG/ML ORAL CONCENTRATE,255.0,127.5,55.62,229.5,65
NDC,00054040013,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",77.8,38.9,16.97,70.02,65
NDC,00054040022,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",219.25,109.63,47.82,197.33,65
NDC,00054040713,RITONAVIR 100 MG TABLET,724.5,362.25,158.01,652.05,65
NDC,00054041525,ETHACRYNIC ACID 25 MG TABLET,3010.0,1505.0,656.48,2709.0,65
NDC,00054042523,RUFINAMIDE 200 MG TABLET,965.4,482.7,210.55,868.86,65
NDC,00054042623,RUFINAMIDE 400 MG TABLET,2020.35,1010.18,440.64,1818.32,65
NDC,00054042725,FLUCYTOSINE 250 MG CAPSULE,24405.2,12202.6,5322.77,21964.68,65
NDC,00054042825,FLUCYTOSINE 500 MG CAPSULE,50817.6,25408.8,11083.32,45735.84,65
NDC,00054047121,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,2053.2,1026.6,447.8,1847.88,65
NDC,00054051741,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,22.35,11.18,4.87,20.12,65
NDC,00054051744,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,56.55,28.28,12.33,50.9,65
NDC,00054051750,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,285.0,142.5,62.16,256.5,65
NDC,00054052021,BOSENTAN 62.5 MG TABLET,4323.6,2161.8,942.98,3891.24,65
NDC,00054052863,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,4747.2,2373.6,1035.36,4272.48,65
NDC,00054060313,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",175.5,87.75,38.28,157.95,65
NDC,00054062263,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,371.35,185.68,80.99,334.22,65
NDC,00054063905,METHYLERGONOVINE 0.2 MG TABLET,2387.75,1193.88,520.77,2148.98,65
NDC,00054070920,METHADONE 5 MG TABLET,114.6,57.3,24.99,103.14,65
NDC,00054071020,METHADONE 10 MG TABLET,103.8,51.9,22.64,93.42,65
NDC,00054074287,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,82.35,41.18,17.96,74.12,65
NDC,00054081221,PYRAZINAMIDE 500 MG TABLET,1363.8,681.9,297.44,1227.42,65
NDC,00054252625,LITHIUM CARBONATE 150 MG CAPSULE,74.4,37.2,16.23,66.96,65
NDC,00054252725,LITHIUM CARBONATE 300 MG CAPSULE,117.0,58.5,25.52,105.3,65
NDC,00054312041,CALCITRIOL 1 MCG/ML ORAL SOLUTION,420.7,210.35,91.75,378.63,65
NDC,00054317644,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),122.6,61.3,26.74,110.34,65
NDC,00054317757,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,208.8,104.4,45.54,187.92,65
NDC,00054317763,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,81.0,40.5,17.67,72.9,65
NDC,00054318544,DIAZEPAM 5 MG/ML ORAL CONCENTRATE,173.35,86.68,37.81,156.02,65
NDC,00054318863,DIAZEPAM 5 MG/5 ML (1 MG/ML) ORAL SOLUTION,255.0,127.5,55.62,229.5,65
NDC,00054329446,FUROSEMIDE 10 MG/ML ORAL SOLUTION,28.8,14.4,6.28,25.92,65
NDC,00054329450,FUROSEMIDE 10 MG/ML ORAL SOLUTION,55.45,27.73,12.09,49.91,65
NDC,00054350049,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,60.0,30.0,13.09,54.0,65
NDC,00054350547,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,147.3,73.65,32.13,132.57,65
NDC,00054353244,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,135.2,67.6,29.49,121.68,65
NDC,00054355344,METHADONE 10 MG/ML ORAL CONCENTRATE,116.85,58.43,25.48,105.17,65
NDC,00054355563,METHADONE 5 MG/5 ML ORAL SOLUTION,180.0,90.0,39.26,162.0,65
NDC,00054355663,METHADONE 10 MG/5 ML ORAL SOLUTION,291.0,145.5,63.47,261.9,65
NDC,00054356699,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),290.3,145.15,63.31,261.27,65
NDC,00054363063,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,3586.0,1793.0,782.11,3227.4,65
NDC,00054372144,PREDNISONE 5 MG/ML ORAL CONCENTRATE,539.4,269.7,117.64,485.46,65
NDC,00054372250,PREDNISONE 5 MG/5 ML ORAL SOLUTION,349.2,174.6,76.16,314.28,65
NDC,00054372263,PREDNISONE 5 MG/5 ML ORAL SOLUTION,1362.5,681.25,297.16,1226.25,65
NDC,00054372763,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,282.0,141.0,61.5,253.8,65
NDC,00054414622,CLOTRIMAZOLE 10 MG TROCHE,362.25,181.13,79.01,326.03,65
NDC,00054414623,CLOTRIMAZOLE 10 MG TROCHE,755.3,377.65,164.73,679.77,65
NDC,00054417925,DEXAMETHASONE 0.5 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,00054418025,DEXAMETHASONE 0.75 MG TABLET,109.8,54.9,23.95,98.82,65
NDC,00054418125,DEXAMETHASONE 1 MG TABLET,136.8,68.4,29.84,123.12,65
NDC,00054418225,DEXAMETHASONE 1.5 MG TABLET,201.6,100.8,43.97,181.44,65
NDC,00054418325,DEXAMETHASONE 2 MG TABLET,277.2,138.6,60.46,249.48,65
NDC,00054418425,DEXAMETHASONE 4 MG TABLET,542.5,271.25,118.32,488.25,65
NDC,00054418625,DEXAMETHASONE 6 MG TABLET,662.5,331.25,144.49,596.25,65
NDC,00054429725,FUROSEMIDE 20 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,00054429731,FUROSEMIDE 20 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,00054429925,FUROSEMIDE 40 MG TABLET,67.8,33.9,14.79,61.02,65
NDC,00054429931,FUROSEMIDE 40 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,00054430125,FUROSEMIDE 80 MG TABLET,76.8,38.4,16.75,69.12,65
NDC,00054449613,LEUCOVORIN CALCIUM 5 MG TABLET,180.9,90.45,39.45,162.81,65
NDC,00054449911,LEUCOVORIN CALCIUM 25 MG TABLET,1412.25,706.13,308.01,1271.03,65
NDC,00054452725,LITHIUM CARBONATE 300 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,00054455015,METHOTREXATE SODIUM 2.5 MG TABLET,300.45,150.23,65.53,270.41,65
NDC,00054455025,METHOTREXATE SODIUM 2.5 MG TABLET,883.0,441.5,192.58,794.7,65
NDC,00054458111,MERCAPTOPURINE 50 MG TABLET,396.25,198.13,86.42,356.63,65
NDC,00054458127,MERCAPTOPURINE 50 MG TABLET,2349.0,1174.5,512.32,2114.1,65
NDC,00054472825,PREDNISONE 5 MG TABLET,108.6,54.3,23.69,97.74,65
NDC,00054472831,PREDNISONE 5 MG TABLET,430.0,215.0,93.78,387.0,65
NDC,00054474125,PREDNISONE 1 MG TABLET,112.2,56.1,24.47,100.98,65
NDC,00054474131,PREDNISONE 1 MG TABLET,925.0,462.5,201.74,832.5,65
NDC,00054474225,PREDNISONE 2.5 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,00054814622,CLOTRIMAZOLE 10 MG TROCHE,397.95,198.98,86.79,358.16,65
NDC,00054817425,DEXAMETHASONE 1 MG TABLET,170.4,85.2,37.16,153.36,65
NDC,00054817525,DEXAMETHASONE 4 MG TABLET,471.5,235.75,102.83,424.35,65
NDC,00054817625,DEXAMETHASONE 2 MG TABLET,282.0,141.0,61.5,253.8,65
NDC,00054817925,DEXAMETHASONE 0.5 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,00054818025,DEXAMETHASONE 0.75 MG TABLET,124.2,62.1,27.09,111.78,65
NDC,00054818125,DEXAMETHASONE 1.5 MG TABLET,270.6,135.3,59.02,243.54,65
NDC,00054818325,DEXAMETHASONE 6 MG TABLET,749.5,374.75,163.47,674.55,65
NDC,00054829725,FUROSEMIDE 20 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,00054829925,FUROSEMIDE 40 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,00054830125,FUROSEMIDE 80 MG TABLET,238.8,119.4,52.08,214.92,65
NDC,00054849619,LEUCOVORIN CALCIUM 5 MG TABLET,403.25,201.63,87.95,362.93,65
NDC,00054852625,LITHIUM CARBONATE 150 MG CAPSULE,79.2,39.6,17.27,71.28,65
NDC,00054852725,LITHIUM CARBONATE 300 MG CAPSULE,120.6,60.3,26.3,108.54,65
NDC,00054852825,LITHIUM CARBONATE 300 MG TABLET,137.4,68.7,29.97,123.66,65
NDC,00054855025,METHOTREXATE SODIUM 2.5 MG TABLET,629.5,314.75,137.29,566.55,65
NDC,00054872425,PREDNISONE 5 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,00054873925,PREDNISONE 1 MG TABLET,97.8,48.9,21.33,88.02,65
NDC,00054874025,PREDNISONE 2.5 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,00054981725,PREDNISONE 10 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,00056047492,EFAVIRENZ 200 MG CAPSULE,3645.0,1822.5,794.97,3280.5,65
NDC,00056051030,EFAVIRENZ 600 MG TABLET,3645.15,1822.58,795.01,3280.64,65
NDC,00065002315,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,89.05,44.53,19.42,80.15,65
NDC,00065009265,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,251.75,125.88,54.91,226.58,65
NDC,00065024610,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1515.05,757.53,330.43,1363.55,65
NDC,00065030355,ATROPINE 1 % EYE DROPS,299.9,149.95,65.41,269.91,65
NDC,00065035902,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,194.6,97.3,42.44,175.14,65
NDC,00065035905,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,284.9,142.45,62.14,256.41,65
NDC,00065039515,CYCLOPENTOLATE 0.5 % EYE DROPS,443.5,221.75,96.73,399.15,65
NDC,00065039602,CYCLOPENTOLATE 1 % EYE DROPS,186.25,93.13,40.62,167.63,65
NDC,00065039605,CYCLOPENTOLATE 1 % EYE DROPS,279.05,139.53,60.86,251.15,65
NDC,00065039702,CYCLOPENTOLATE 2 % EYE DROPS,243.75,121.88,53.16,219.38,65
NDC,00065039705,CYCLOPENTOLATE 2 % EYE DROPS,335.8,167.9,73.24,302.22,65
NDC,00065039715,CYCLOPENTOLATE 2 % EYE DROPS,557.65,278.83,121.62,501.89,65
NDC,00065054301,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,748.5,374.25,4.24,673.65,71
NDC,00065064435,TOBRAMYCIN 0.3 % EYE OINTMENT,996.0,498.0,217.23,896.4,65
NDC,00065064705,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",770.25,385.13,167.99,693.23,65
NDC,00065064725,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",384.5,192.25,83.86,346.05,65
NDC,00065074114,TETRACAINE HCL (PF) 0.5 % EYE DROPS,72.95,36.48,15.91,65.66,65
NDC,00065079515,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,34.65,17.33,7.56,31.19,65
NDC,00065079550,BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION,66.0,33.0,14.39,59.4,65
NDC,00065080050,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,332.5,166.25,72.52,299.25,65
NDC,00065080094,BALANCED SALT SOLUTION COMBINATION NO.1 INTRAOCULAR IRRIGATION,332.5,166.25,72.52,299.25,65
NDC,00065081604,OLOPATADINE 0.7 % EYE DROPS,86.3,43.15,18.82,77.67,65
NDC,00065081701,ATROPINE 1 % EYE DROPS,83.4,41.7,18.19,75.06,65
NDC,00065081702,ATROPINE 1 % EYE DROPS,57.55,28.78,12.55,51.8,65
NDC,00065924007,DIFLUPREDNATE 0.05 % EYE DROPS,1007.85,503.93,219.81,907.07,65
NDC,00067120176,DICLOFENAC 1 % TOPICAL GEL,87.0,43.5,18.97,78.3,65
NDC,00067815202,DICLOFENAC 1 % TOPICAL GEL,45.0,22.5,9.81,40.5,65
NDC,00067815203,DICLOFENAC 1 % TOPICAL GEL,71.4,35.7,15.57,64.26,65
NDC,00068059701,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,430.25,215.13,93.84,387.23,65
NDC,00068059901,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,432.45,216.23,94.32,389.21,65
NDC,00069004302,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",71.7,35.85,4.9,64.53,66
NDC,00069005801,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.15,11.58,4.9,20.84,66
NDC,00069005802,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.15,11.58,4.9,20.84,66
NDC,00069005901,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",31.1,15.55,4.9,27.99,66
NDC,00069005902,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",31.1,15.55,4.9,27.99,66
NDC,00069005903,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",23.35,11.68,4.9,21.02,66
NDC,00069005904,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",23.35,11.68,4.9,21.02,66
NDC,00069013701,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",43.2,21.6,4.9,38.88,66
NDC,00069013703,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",43.2,21.6,4.9,38.88,66
NDC,00069020701,"RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",1248.0,624.0,272.19,1123.2,66
NDC,00069020901,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.8,10.9,0.14,19.62,66
NDC,00069020910,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.8,10.9,0.14,19.62,66
NDC,00069023401,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,26.4,13.2,0.14,23.76,66
NDC,00069023420,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,26.4,13.2,0.14,23.76,66
NDC,00069023801,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,2163.75,1081.88,25.42,1947.38,71
NDC,00069024230,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",1340.25,670.13,292.31,1206.23,65
NDC,00069024430,"FESOTERODINE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",1340.25,670.13,292.31,1206.23,65
NDC,00069024801,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,52.8,26.4,0.14,47.52,66
NDC,00069024810,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,52.8,26.4,0.14,47.52,66
NDC,00069024901,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,10618.4,5309.2,25.42,9556.56,71
NDC,00069027702,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069029101,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,649.0,324.5,0.31,584.1,71
NDC,00069029110,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,649.0,324.5,0.31,584.1,71
NDC,00069029201,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1038.4,519.2,0.31,934.56,71
NDC,00069029210,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1038.4,519.2,0.31,934.56,71
NDC,00069029301,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,680.95,340.48,0.31,612.86,71
NDC,00069029310,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,680.95,340.48,0.31,612.86,71
NDC,00069030501,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9000.05,4500.03,21.39,8100.05,71
NDC,00069030601,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9000.05,4500.03,21.39,8100.05,71
NDC,00069030801,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION,3246.5,1623.25,21.39,2921.85,71
NDC,00069031501,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,2275.05,1137.53,26.19,2047.55,71
NDC,00069032401,PEGFILGRASTIM-APGF 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,7954.15,3977.08,66.0,7158.74,71
NDC,00069034201,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,7961.15,3980.58,26.19,7165.04,71
NDC,00069034302,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069034401,"RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",1248.0,624.0,272.19,1123.2,66
NDC,00069034405,"RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",1248.0,624.0,272.19,1123.2,66
NDC,00069035820,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069046856,VARENICLINE TARTRATE 0.5 MG TABLET,2117.1,1058.55,461.74,1905.39,65
NDC,00069046903,VARENICLINE TARTRATE 1 MG TABLET,2117.1,1058.55,461.74,1905.39,65
NDC,00069046956,VARENICLINE TARTRATE 1 MG TABLET,2117.1,1058.55,461.74,1905.39,65
NDC,00069080901,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,2180.95,1090.48,16.37,1962.86,71
NDC,00069097195,DOXYCYCLINE 50 MG/5 ML ORAL SYRUP,2369.75,1184.88,516.84,2132.78,65
NDC,00069100101,TOFACITINIB 5 MG TABLET,22458.5,11229.25,4898.2,20212.65,65
NDC,00069100201,TOFACITINIB 10 MG TABLET,22458.5,11229.25,4898.2,20212.65,65
NDC,00069130501,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",125.3,62.65,0.8,112.77,71
NDC,00069130510,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",125.3,62.65,0.8,112.77,71
NDC,00069130601,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",175.45,87.73,0.8,157.91,71
NDC,00069130610,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",175.45,87.73,0.8,157.91,71
NDC,00069130701,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",225.55,112.78,0.8,203.0,71
NDC,00069130710,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",225.55,112.78,0.8,203.0,71
NDC,00069130801,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",435.25,217.63,0.8,391.73,71
NDC,00069130810,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",435.25,217.63,0.8,391.73,71
NDC,00069130901,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1665.85,832.93,0.8,1499.27,71
NDC,00069130904,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1665.85,832.93,0.8,1499.27,71
NDC,00069131101,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",845.45,422.73,0.8,760.91,71
NDC,00069131110,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",845.45,422.73,0.8,760.91,71
NDC,00069131801,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",845.45,422.73,0.8,760.91,71
NDC,00069131810,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",845.45,422.73,0.8,760.91,71
NDC,00069153041,AMLODIPINE 5 MG TABLET,3134.0,1567.0,683.53,2820.6,65
NDC,00069154220,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069252201,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,30272.75,15136.38,187.75,27245.48,70
NDC,00069252202,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,30272.75,15136.38,187.75,27245.48,70
NDC,00069303020,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069303120,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069303220,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069303420,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069305101,AZITHROMYCIN 1 GRAM ORAL PACKET,137.05,68.53,29.89,123.35,65
NDC,00069306075,AZITHROMYCIN 250 MG TABLET,71.9,35.95,15.68,64.71,65
NDC,00069314019,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,147.25,73.63,32.12,132.53,65
NDC,00069315083,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,58.8,29.4,2.89,52.92,66
NDC,00069315084,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,58.8,29.4,2.89,52.92,66
NDC,00069335825,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069400405,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069402625,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069403701,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00069406189,AZITHROMYCIN 250 MG TABLET,797.75,398.88,173.99,717.98,65
NDC,00069419068,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,20586.6,10293.3,4489.94,18527.94,65
NDC,00069449401,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,52252.9,26126.45,187.75,47027.61,70
NDC,00069449402,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,52252.9,26126.45,187.75,47027.61,70
NDC,00069531702,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,691.6,345.8,150.84,622.44,65
NDC,00069531720,NIRMATRELVIR 150 MG (10)-RITONAVIR 100 MG (10) TABLETS IN A DOSE PACK,5532.75,2766.38,1206.69,4979.48,65
NDC,00069532103,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",691.6,345.8,150.84,622.44,65
NDC,00069532130,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",5532.75,2766.38,1206.69,4979.48,65
NDC,00069547101,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.95,11.48,5.01,20.66,65
NDC,00069547102,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.95,11.48,5.01,20.66,65
NDC,00069580043,DOFETILIDE 125 MCG CAPSULE,2216.2,1108.1,483.35,1994.58,65
NDC,00069580060,DOFETILIDE 125 MCG CAPSULE,2483.3,1241.65,541.61,2234.97,65
NDC,00069581043,DOFETILIDE 250 MCG CAPSULE,2216.2,1108.1,483.35,1994.58,65
NDC,00069581060,DOFETILIDE 250 MCG CAPSULE,2483.3,1241.65,541.61,2234.97,65
NDC,00069581061,DOFETILIDE 250 MCG CAPSULE,775.7,387.85,169.18,698.13,65
NDC,00069582043,DOFETILIDE 500 MCG CAPSULE,2216.2,1108.1,483.35,1994.58,65
NDC,00069582060,DOFETILIDE 500 MCG CAPSULE,2483.3,1241.65,541.61,2234.97,65
NDC,00069582061,DOFETILIDE 500 MCG CAPSULE,767.9,383.95,167.48,691.11,65
NDC,00069600102,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,23.35,11.68,5.09,21.02,65
NDC,00069600110,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,56.65,28.33,12.36,50.99,65
NDC,00069600121,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,56.65,28.33,12.36,50.99,65
NDC,00069600125,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,23.35,11.68,5.09,21.02,65
NDC,00071000724,PHENYTOIN 50 MG CHEWABLE TABLET,729.0,364.5,158.99,656.1,65
NDC,00071000740,PHENYTOIN 50 MG CHEWABLE TABLET,1033.5,516.75,225.41,930.15,65
NDC,00071015523,ATORVASTATIN 10 MG TABLET,4441.35,2220.68,968.66,3997.22,65
NDC,00071015540,ATORVASTATIN 10 MG TABLET,4500.8,2250.4,981.62,4050.72,65
NDC,00071015623,ATORVASTATIN 20 MG TABLET,5888.55,2944.28,1284.29,5299.7,65
NDC,00071015723,ATORVASTATIN 40 MG TABLET,6153.85,3076.93,1342.15,5538.47,65
NDC,00071015823,ATORVASTATIN 80 MG TABLET,6153.85,3076.93,1342.15,5538.47,65
NDC,00071036924,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,778.0,389.0,169.68,700.2,65
NDC,00071036932,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,6408.0,3204.0,1397.58,5767.2,65
NDC,00071036940,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,858.5,429.25,187.24,772.65,65
NDC,00071041724,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,342.5,171.25,74.7,308.25,65
NDC,00071041813,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,224.25,112.13,48.91,201.83,65
NDC,00071041824,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,342.5,171.25,74.7,308.25,65
NDC,00071073720,GEMFIBROZIL 600 MG TABLET,1874.7,937.35,408.87,1687.23,65
NDC,00071080524,GABAPENTIN 300 MG CAPSULE,2729.6,1364.8,595.33,2456.64,65
NDC,00071080624,GABAPENTIN 400 MG CAPSULE,3274.8,1637.4,714.23,2947.32,65
NDC,00071101268,PREGABALIN 25 MG CAPSULE,3369.6,1684.8,734.91,3032.64,65
NDC,00071101341,PREGABALIN 50 MG CAPSULE,4118.0,2059.0,898.14,3706.2,65
NDC,00071101368,PREGABALIN 50 MG CAPSULE,3369.6,1684.8,734.91,3032.64,65
NDC,00071101441,PREGABALIN 75 MG CAPSULE,4116.0,2058.0,897.7,3704.4,65
NDC,00071101468,PREGABALIN 75 MG CAPSULE,3368.2,1684.1,734.6,3031.38,65
NDC,00071101541,PREGABALIN 100 MG CAPSULE,4116.0,2058.0,897.7,3704.4,65
NDC,00071101568,PREGABALIN 100 MG CAPSULE,3368.2,1684.1,734.6,3031.38,65
NDC,00071101641,PREGABALIN 150 MG CAPSULE,4118.0,2059.0,898.14,3706.2,65
NDC,00071101668,PREGABALIN 150 MG CAPSULE,3369.6,1684.8,734.91,3032.64,65
NDC,00071101768,PREGABALIN 200 MG CAPSULE,3368.2,1684.1,734.6,3031.38,65
NDC,00071101868,PREGABALIN 300 MG CAPSULE,3368.2,1684.1,734.6,3031.38,65
NDC,00071101968,PREGABALIN 225 MG CAPSULE,3368.2,1684.1,734.6,3031.38,65
NDC,00071201244,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,2025.7,1012.85,441.81,1823.13,65
NDC,00071201247,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,2263.05,1131.53,493.57,2036.75,65
NDC,00071221435,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,924.3,462.15,201.59,831.87,65
NDC,00071374066,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,671.0,335.5,146.35,603.9,65
NDC,00074052260,LOPINAVIR-RITONAVIR 100 MG-25 MG TABLET,1241.7,620.85,270.81,1117.53,65
NDC,00074055402,ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS PEN KIT,26859.8,13429.9,93.56,24173.82,70
NDC,00074056111,VENETOCLAX 10 MG TABLET,156.15,78.08,34.06,140.54,65
NDC,00074056114,VENETOCLAX 10 MG TABLET,911.15,455.58,198.72,820.04,65
NDC,00074056607,VENETOCLAX 50 MG TABLET,2278.05,1139.03,496.84,2050.25,65
NDC,00074056611,VENETOCLAX 50 MG TABLET,325.45,162.73,70.98,292.91,65
NDC,00074057611,VENETOCLAX 100 MG TABLET,650.75,325.38,141.93,585.68,65
NDC,00074057622,VENETOCLAX 100 MG TABLET,62482.6,31241.3,13627.46,56234.34,65
NDC,00074057630,VENETOCLAX 100 MG TABLET,14578.15,7289.08,3179.49,13120.34,65
NDC,00074061602,ADALIMUMAB 20 MG/0.2 ML SUBCUTANEOUS SYRINGE KIT,26859.8,13429.9,93.56,24173.82,70
NDC,00074104004,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,1300.3,650.15,283.6,1170.27,65
NDC,00074104008,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,2301.4,1150.7,501.94,2071.26,65
NDC,00074104328,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",48907.6,24453.8,10666.75,44016.84,65
NDC,00074165801,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,57.65,28.83,0.74,51.89,66
NDC,00074165805,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,115.25,57.63,0.74,103.73,66
NDC,00074210001,RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS PEN INJECTOR,86848.0,43424.0,15.24,78163.2,71
NDC,00074210803,LEUPROLIDE 7.5 MG (PEDIATRIC 1 MONTH) INTRAMUSCULAR KIT,8006.65,4003.33,1673.34,7205.99,71
NDC,00074228203,LEUPROLIDE 11.25 MG (PEDIATRIC 1 MONTH) INTRAMUSCULAR KIT,15262.7,7631.35,1673.34,13736.43,71
NDC,00074231030,"UPADACITINIB ER 30 MG TABLET,EXTENDED RELEASE 24 HR",26200.8,13100.4,5714.39,23580.72,65
NDC,00074244003,LEUPROLIDE 15 MG (PEDIATRIC 1 MONTH) INTRAMUSCULAR KIT,16810.3,8405.15,1673.34,15129.27,71
NDC,00074260028,GLECAPREVIR 50 MG-PIBRENTASVIR 20 MG ORAL PELLETS IN PACKET,10243.65,5121.83,2234.14,9219.29,65
NDC,00074262501,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,2286.45,1143.23,498.67,2057.81,65
NDC,00074262528,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,51216.15,25608.08,11170.24,46094.54,65
NDC,00074302313,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE",106.2,53.1,23.16,95.58,65
NDC,00074310832,CYCLOSPORINE MODIFIED 25 MG CAPSULE,254.25,127.13,55.45,228.83,65
NDC,00074310932,CYCLOSPORINE MODIFIED 100 MG CAPSULE,1015.35,507.68,2.51,913.82,66
NDC,00074333330,RITONAVIR 100 MG TABLET,1247.25,623.63,272.03,1122.53,65
NDC,00074334603,LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,24982.85,12491.43,179.98,22484.57,71
NDC,00074339930,RITONAVIR 100 MG ORAL POWDER PACKET,1247.25,623.63,272.03,1122.53,65
NDC,00074347303,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,49966.6,24983.3,179.98,44969.94,71
NDC,00074357501,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,100862.2,50431.1,1673.34,90775.98,71
NDC,00074364103,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,6988.35,3494.18,1524.16,6289.52,71
NDC,00074364203,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,8327.7,4163.85,179.98,7494.93,71
NDC,00074366303,LEUPROLIDE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,20965.1,10482.55,1673.34,18868.59,71
NDC,00074368303,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,33310.6,16655.3,179.98,29979.54,71
NDC,00074372790,LEVOTHYROXINE 137 MCG TABLET,723.15,361.58,157.72,650.84,65
NDC,00074377903,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,45788.2,22894.1,1673.34,41209.38,71
NDC,00074379902,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT,26859.8,13429.9,93.56,24173.82,70
NDC,00074382613,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",1538.5,769.25,335.55,1384.65,65
NDC,00074395646,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,2483.2,1241.6,541.59,2234.88,65
NDC,00074433901,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,12435.1,6217.55,93.56,11191.59,70
NDC,00074433902,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,26859.8,13429.9,93.56,24173.82,70
NDC,00074434190,LEVOTHYROXINE 25 MCG TABLET,723.15,361.58,157.72,650.84,65
NDC,00074437805,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,91.3,45.65,19.91,82.17,65
NDC,00074438010,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,160.1,80.05,34.92,144.09,65
NDC,00074438220,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1440.4,720.2,314.15,1296.36,65
NDC,00074455211,LEVOTHYROXINE 50 MCG TABLET,803.0,401.5,175.13,722.7,65
NDC,00074455219,LEVOTHYROXINE 50 MCG TABLET,6424.0,3212.0,1401.07,5781.6,65
NDC,00074455290,LEVOTHYROXINE 50 MCG TABLET,722.7,361.35,157.62,650.43,65
NDC,00074463701,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,23.05,11.53,0.74,20.75,66
NDC,00074501501,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,40271.1,20135.55,15.24,36243.99,71
NDC,00074518211,LEVOTHYROXINE 75 MCG TABLET,803.0,401.5,175.13,722.7,65
NDC,00074518290,LEVOTHYROXINE 75 MCG TABLET,723.15,361.58,157.72,650.84,65
NDC,00074611413,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",950.5,475.25,207.3,855.45,65
NDC,00074621413,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",1865.5,932.75,406.87,1678.95,65
NDC,00074659490,LEVOTHYROXINE 88 MCG TABLET,723.15,361.58,157.72,650.84,65
NDC,00074662411,LEVOTHYROXINE 100 MCG TABLET,803.0,401.5,175.13,722.7,65
NDC,00074662490,LEVOTHYROXINE 100 MCG TABLET,722.7,361.35,157.62,650.43,65
NDC,00074679922,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET,3973.95,1986.98,866.72,3576.56,65
NDC,00074706811,LEVOTHYROXINE 125 MCG TABLET,803.0,401.5,175.13,722.7,65
NDC,00074706890,LEVOTHYROXINE 125 MCG TABLET,723.15,361.58,157.72,650.84,65
NDC,00074706911,LEVOTHYROXINE 150 MCG TABLET,803.0,401.5,175.13,722.7,65
NDC,00074706919,LEVOTHYROXINE 150 MCG TABLET,6428.0,3214.0,1401.95,5785.2,65
NDC,00074706990,LEVOTHYROXINE 150 MCG TABLET,723.15,361.58,157.72,650.84,65
NDC,00074707090,LEVOTHYROXINE 175 MCG TABLET,722.25,361.13,157.52,650.03,65
NDC,00074712611,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",2284.8,1142.4,498.31,2056.32,65
NDC,00074712653,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",10826.0,5413.0,2361.15,9743.4,65
NDC,00074714811,LEVOTHYROXINE 200 MCG TABLET,803.0,401.5,175.13,722.7,65
NDC,00074726950,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,1912.5,956.25,2.51,1721.25,66
NDC,00074732513,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",997.0,498.5,217.45,897.3,65
NDC,00074732713,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",2889.6,1444.8,630.22,2600.64,65
NDC,00074780413,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",97.8,48.9,21.33,88.02,65
NDC,00074929690,LEVOTHYROXINE 112 MCG TABLET,722.7,361.35,157.62,650.43,65
NDC,00074969403,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,50431.15,25215.58,1673.34,45388.04,71
NDC,00075062001,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,00075062040,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,00075062101,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,12.38,0.76,22.28,66
NDC,00075062160,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,12.38,0.76,22.28,66
NDC,00075062201,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,28.62,66
NDC,00075062280,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,28.62,66
NDC,00075062300,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,37.71,66
NDC,00075062303,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,37.71,66
NDC,00075062401,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.0,11.0,0.76,19.8,66
NDC,00075062430,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.0,11.0,0.76,19.8,66
NDC,00075062603,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,160.4,80.2,0.76,144.36,66
NDC,00075291200,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,50.6,25.3,0.76,45.54,66
NDC,00075291201,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,50.6,25.3,0.76,45.54,66
NDC,00075291500,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,63.1,31.55,0.76,56.79,66
NDC,00075291501,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,63.1,31.55,0.76,56.79,66
NDC,00075801301,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.0,11.0,0.76,19.8,66
NDC,00075801310,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.0,11.0,0.76,19.8,66
NDC,00075801401,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,00075801410,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,00075801601,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,12.38,0.76,22.28,66
NDC,00075801610,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,12.38,0.76,22.28,66
NDC,00075801801,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,28.62,66
NDC,00075801810,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,28.62,66
NDC,00075802001,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,37.71,66
NDC,00075802010,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,37.71,66
NDC,00075802201,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,50.6,25.3,0.76,45.54,66
NDC,00075802210,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,50.6,25.3,0.76,45.54,66
NDC,00075802501,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,63.1,31.55,0.76,56.79,66
NDC,00075802510,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,63.1,31.55,0.76,56.79,66
NDC,00075803001,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,160.4,80.2,0.76,144.36,66
NDC,00078010901,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,347.55,173.78,41.15,312.8,66
NDC,00078010961,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,347.55,173.78,41.15,312.8,66
NDC,00078011022,CYCLOSPORINE 100 MG/ML ORAL SOLUTION,3091.0,1545.5,2.51,2781.9,66
NDC,00078018001,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,78.3,39.15,1.32,70.47,66
NDC,00078018061,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,78.3,39.15,1.32,70.47,66
NDC,00078018101,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,151.9,75.95,1.32,136.71,66
NDC,00078018161,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,151.9,75.95,1.32,136.71,66
NDC,00078018201,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,610.5,305.25,1.32,549.45,66
NDC,00078018261,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,610.5,305.25,1.32,549.45,66
NDC,00078024015,CYCLOSPORINE 25 MG CAPSULE,622.05,311.03,135.67,559.85,65
NDC,00078024061,CYCLOSPORINE 25 MG CAPSULE,24.9,12.45,5.43,22.41,65
NDC,00078024115,CYCLOSPORINE 100 MG CAPSULE,2482.65,1241.33,2.51,2234.39,66
NDC,00078024161,CYCLOSPORINE 100 MG CAPSULE,99.35,49.68,2.51,89.42,66
NDC,00078024615,CYCLOSPORINE MODIFIED 25 MG CAPSULE,408.0,204.0,88.98,367.2,65
NDC,00078024661,CYCLOSPORINE MODIFIED 25 MG CAPSULE,16.35,8.18,3.57,14.72,65
NDC,00078024815,CYCLOSPORINE MODIFIED 100 MG CAPSULE,1630.8,815.4,2.51,1467.72,66
NDC,00078024861,CYCLOSPORINE MODIFIED 100 MG CAPSULE,65.25,32.63,2.51,58.73,66
NDC,00078024915,LETROZOLE 2.5 MG TABLET,3012.5,1506.25,657.03,2711.25,65
NDC,00078027422,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,2370.2,1185.1,2.51,2133.18,66
NDC,00078033184,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,16909.8,8454.9,3688.03,15218.82,70
NDC,00078033705,OXCARBAZEPINE 300 MG TABLET,3931.6,1965.8,857.48,3538.44,65
NDC,00078035752,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,2263.75,1131.88,493.72,2037.38,65
NDC,00078035834,VALSARTAN 80 MG TABLET,3153.6,1576.8,687.8,2838.24,65
NDC,00078035934,VALSARTAN 160 MG TABLET,3391.2,1695.6,739.62,3052.08,65
NDC,00078036034,VALSARTAN 320 MG TABLET,4290.15,2145.08,935.68,3861.14,65
NDC,00078038005,DEXMETHYLPHENIDATE 2.5 MG TABLET,313.0,156.5,68.27,281.7,65
NDC,00078038566,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",3309.6,1654.8,721.82,2978.64,65
NDC,00078038666,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",6618.75,3309.38,1443.55,5956.88,65
NDC,00078040134,IMATINIB 100 MG TABLET,31164.85,15582.43,6797.05,28048.37,65
NDC,00078041420,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,4770.5,2385.25,1040.45,4293.45,65
NDC,00078041461,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,119.3,59.65,26.02,107.37,65
NDC,00078041520,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,7155.85,3577.93,1560.69,6440.27,65
NDC,00078041561,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,178.9,89.45,39.02,161.01,65
NDC,00078041720,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,2385.4,1192.7,520.26,2146.86,65
NDC,00078041761,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,59.65,29.83,13.01,53.69,65
NDC,00078042315,VALSARTAN 40 MG TABLET,1099.35,549.68,239.77,989.42,65
NDC,00078043005,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",2274.0,1137.0,495.96,2046.6,65
NDC,00078043105,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",2307.0,1153.5,503.16,2076.3,65
NDC,00078043205,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",2373.5,1186.75,517.66,2136.15,65
NDC,00078043561,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,4842.8,2421.4,7.71,4358.52,66
NDC,00078043905,METHYLPHENIDATE 5 MG TABLET,385.0,192.5,83.97,346.5,65
NDC,00078044005,METHYLPHENIDATE 10 MG TABLET,549.0,274.5,119.74,494.1,65
NDC,00078045605,OXCARBAZEPINE 150 MG TABLET,2152.8,1076.4,469.53,1937.52,65
NDC,00078045705,OXCARBAZEPINE 600 MG TABLET,7226.4,3613.2,1576.08,6503.76,65
NDC,00078046761,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,192.6,96.3,9.2,173.34,66
NDC,00078046791,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,192.6,96.3,9.2,173.34,66
NDC,00078047015,DEFERASIROX 500 MG DISPERSIBLE TABLET,24693.15,12346.58,5385.58,22223.84,65
NDC,00078049305,"DEXMETHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",2373.5,1186.75,517.66,2136.15,65
NDC,00078049461,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,608.85,304.43,24.19,547.97,66
NDC,00078049471,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,608.85,304.43,24.19,547.97,66
NDC,00078050115,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,2534.3,1267.15,552.73,2280.87,65
NDC,00078050161,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,126.75,63.38,27.64,114.08,65
NDC,00078050215,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,2534.3,1267.15,552.73,2280.87,65
NDC,00078050261,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,126.75,63.38,27.64,114.08,65
NDC,00078050315,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,2534.3,1267.15,552.73,2280.87,65
NDC,00078050361,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,126.75,63.38,27.64,114.08,65
NDC,00078050883,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,918.0,459.0,200.22,826.2,65
NDC,00078050905,CARBAMAZEPINE 200 MG TABLET,1427.0,713.5,311.23,1284.3,65
NDC,00078051005,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",764.0,382.0,166.63,687.6,65
NDC,00078051105,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",1524.5,762.25,332.49,1372.05,65
NDC,00078056651,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,76540.8,38270.4,16693.55,68886.72,65
NDC,00078056661,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,2733.6,1366.8,596.2,2460.24,65
NDC,00078056751,EVEROLIMUS (ANTINEOPLASTIC) 10 MG TABLET,76540.8,38270.4,16693.55,68886.72,65
NDC,00078056845,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,622.95,311.48,135.87,560.66,65
NDC,00078059451,EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET,73176.1,36588.05,15959.71,65858.49,65
NDC,00078059461,EVEROLIMUS (ANTINEOPLASTIC) 2.5 MG TABLET,2613.45,1306.73,569.99,2352.11,65
NDC,00078062051,EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET,76540.8,38270.4,16693.55,68886.72,65
NDC,00078062061,EVEROLIMUS (ANTINEOPLASTIC) 7.5 MG TABLET,2733.6,1366.8,596.2,2460.24,65
NDC,00078062651,EVEROLIMUS (ANTINEOPLASTIC) 2 MG TABLET FOR ORAL SUSPENSION,72811.1,36405.55,15880.1,65529.99,65
NDC,00078062661,EVEROLIMUS (ANTINEOPLASTIC) 2 MG TABLET FOR ORAL SUSPENSION,2600.4,1300.2,567.15,2340.36,65
NDC,00078064930,IMATINIB 400 MG TABLET,37449.0,18724.5,8167.63,33704.1,65
NDC,00078065415,DEFERASIROX 90 MG TABLET,4709.2,2354.6,1027.08,4238.28,65
NDC,00078065615,DEFERASIROX 360 MG TABLET,24477.0,12238.5,5338.43,22029.3,65
NDC,00078065920,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,2581.95,1290.98,563.12,2323.76,65
NDC,00078065967,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,7745.8,3872.9,1689.36,6971.22,65
NDC,00078066913,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION,2292.9,1146.45,63.48,2063.61,71
NDC,00078066961,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION,2292.9,1146.45,63.48,2063.61,71
NDC,00078067461,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,4352.65,2176.33,0.87,3917.39,66
NDC,00078068361,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,2739.8,1369.9,81.46,2465.82,70
NDC,00078068415,ELTROMBOPAG OLAMINE 12.5 MG TABLET,31305.5,15652.75,6827.73,28174.95,65
NDC,00078068655,ELTROMBOPAG OLAMINE 50 MG TABLET,26438.05,13219.03,5766.14,23794.25,65
NDC,00078069620,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,2581.95,1290.98,563.12,2323.76,65
NDC,00078069667,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,7745.8,3872.9,1689.36,6971.22,65
NDC,00078069899,MIDOSTAURIN 25 MG CAPSULE,45127.95,22563.98,9842.41,40615.16,65
NDC,00078072210,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",1691.45,845.73,368.91,1522.31,65
NDC,00078072215,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",2029.6,1014.8,442.66,1826.64,65
NDC,00078072910,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1875.0,937.5,408.94,1687.5,65
NDC,00078073461,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,80911.45,40455.73,132.97,72820.31,71
NDC,00078077720,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,2581.95,1290.98,563.12,2323.76,65
NDC,00078077767,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,7745.8,3872.9,1689.36,6971.22,65
NDC,00078079061,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",12924.4,6462.2,207.65,11631.96,71
NDC,00078079205,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",522.7,261.35,114.0,470.43,65
NDC,00078079761,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16925.4,8462.7,207.65,15232.86,71
NDC,00078079975,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",1157.4,578.7,252.43,1041.66,65
NDC,00078080461,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",25332.0,12666.0,207.65,22798.8,71
NDC,00078081181,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",12924.4,6462.2,207.65,11631.96,71
NDC,00078081301,TOBRAMYCIN 0.3 % EYE OINTMENT,1294.3,647.15,282.29,1164.87,65
NDC,00078081881,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16925.4,8462.7,207.65,15232.86,71
NDC,00078082581,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",25332.0,12666.0,207.65,22798.8,71
NDC,00078084101,CIPROFLOXACIN 0.3 % EYE OINTMENT,1256.7,628.35,274.09,1131.03,65
NDC,00078084619,TISAGENLECLEUCEL 0.2 X10EXP6 TO 2.5X10EXP8 CELL INTRAVENOUS SUSPENSION,3561200.05,1780600.03,603560.73,3205080.05,69
NDC,00078085526,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",1685.6,842.8,367.63,1517.04,65
NDC,00078087463,RIBOCICLIB 600 MG/DAY (200 MG X 3) TABLETS,70632.6,35316.3,15404.97,63569.34,65
NDC,00078087601,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,1377.9,688.95,300.52,1240.11,65
NDC,00078088361,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9836.8,4918.4,131.31,8853.12,71
NDC,00078089778,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,3490.95,1745.48,4.24,3141.86,71
NDC,00078093926,MOXIFLOXACIN 0.5 % EYE DROPS,929.25,464.63,202.67,836.33,65
NDC,00078095819,TISAGENLECLEUCEL 0.6 X 10EXP8 TO 6 X10EXP8 CELL INTRAVENOUS SUSPENSION,2933561.5,1466780.75,603560.73,2640205.35,69
NDC,00078100060,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13661.0,6830.5,12.56,12294.9,71
NDC,00085113204,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,370.25,185.13,80.75,333.23,65
NDC,00085132801,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,5325.6,2662.8,1161.51,4793.04,65
NDC,00085138101,TEMOZOLOMIDE 100 MG INTRAVENOUS SOLUTION,3734.55,1867.28,10.6,3361.1,70
NDC,00085142504,TEMOZOLOMIDE 140 MG CAPSULE,33193.75,16596.88,7239.56,29874.38,65
NDC,00085143003,TEMOZOLOMIDE 180 MG CAPSULE,15242.0,7621.0,3324.28,13717.8,65
NDC,00085432001,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,216.2,108.1,7.56,194.58,66
NDC,00085432402,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",15211.95,7605.98,3317.73,13690.76,65
NDC,00085433101,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,2477.0,1238.5,540.23,2229.3,65
NDC,00085435001,INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) SOLUTION FOR INJECTION,1427.85,713.93,32.87,1285.07,66
NDC,00085435201,INTERFERON ALFA-2B 50 MILLION UNIT (1 ML) SOLUTION FOR INJECTION,5711.5,2855.75,32.87,5140.35,66
NDC,00085461001,MOMETASONE-FORMOTEROL HFA 200 MCG-5 MCG/ACTUATION AEROSOL INHALER,1439.9,719.95,314.04,1295.91,65
NDC,00085461005,MOMETASONE-FORMOTEROL HFA 200 MCG-5 MCG/ACTUATION AEROSOL INHALER,979.05,489.53,213.53,881.15,65
NDC,00085720601,MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER,1446.45,723.23,315.47,1301.81,65
NDC,00085720607,MOMETASONE-FORMOTEROL HFA 100 MCG-5 MCG/ACTUATION AEROSOL INHALER,979.05,489.53,213.53,881.15,65
NDC,00088210201,RIFAPENTINE 150 MG TABLET,27.55,13.78,6.01,24.8,65
NDC,00088210224,RIFAPENTINE 150 MG TABLET,550.8,275.4,120.13,495.72,65
NDC,00088216030,LEFLUNOMIDE 10 MG TABLET,5526.6,2763.3,1205.35,4973.94,65
NDC,00088216130,LEFLUNOMIDE 20 MG TABLET,5526.6,2763.3,1205.35,4973.94,65
NDC,00088221905,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,102.1,51.05,0.24,91.89,66
NDC,00088222033,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00088250033,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00088502101,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00093001006,TOLTERODINE 1 MG TABLET,738.0,369.0,160.96,664.2,65
NDC,00093001701,MOEXIPRIL 7.5 MG TABLET,451.5,225.75,98.47,406.35,65
NDC,00093001806,TOLTERODINE 2 MG TABLET,757.5,378.75,165.21,681.75,65
NDC,00093005101,CARVEDILOL 3.125 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,00093005301,BUSPIRONE 5 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,00093005305,BUSPIRONE 5 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,00093005401,BUSPIRONE 10 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,00093005405,BUSPIRONE 10 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,00093005801,TRAMADOL 50 MG TABLET,15.6,7.8,3.4,14.04,65
NDC,00093005805,TRAMADOL 50 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,00093007301,ZOLPIDEM 5 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,00093010901,CARBAMAZEPINE 200 MG TABLET,639.5,319.75,139.47,575.55,65
NDC,00093013501,CARVEDILOL 6.25 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,00093026215,FLUOCINONIDE 0.05 % TOPICAL CREAM,218.65,109.33,47.69,196.79,65
NDC,00093026230,FLUOCINONIDE 0.05 % TOPICAL CREAM,364.35,182.18,79.46,327.92,65
NDC,00093031401,KETOROLAC 10 MG TABLET,486.0,243.0,106.0,437.4,65
NDC,00093031801,DILTIAZEM 30 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,00093031805,DILTIAZEM 30 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,00093031901,DILTIAZEM 60 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,00093032001,DILTIAZEM 90 MG TABLET,127.2,63.6,27.74,114.48,65
NDC,00093032101,DILTIAZEM 120 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,00093075201,ATENOLOL 50 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,00093075305,ATENOLOL 100 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,00093077198,PRAVASTATIN 10 MG TABLET,130.15,65.08,28.39,117.14,65
NDC,00093077801,CARBAMAZEPINE 100 MG CHEWABLE TABLET,152.4,76.2,33.24,137.16,65
NDC,00093078701,ATENOLOL 25 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,00093081001,NORTRIPTYLINE 10 MG CAPSULE,117.0,58.5,25.52,105.3,65
NDC,00093081005,NORTRIPTYLINE 10 MG CAPSULE,204.0,102.0,44.49,183.6,65
NDC,00093081101,NORTRIPTYLINE 25 MG CAPSULE,88.2,44.1,19.24,79.38,65
NDC,00093081105,NORTRIPTYLINE 25 MG CAPSULE,288.0,144.0,62.81,259.2,65
NDC,00093081201,NORTRIPTYLINE 50 MG CAPSULE,114.6,57.3,24.99,103.14,65
NDC,00093081301,NORTRIPTYLINE 75 MG CAPSULE,149.4,74.7,32.58,134.46,65
NDC,00093083201,CLONAZEPAM 0.5 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,00093083205,CLONAZEPAM 0.5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00093092401,OXAPROZIN 600 MG TABLET,1362.0,681.0,297.05,1225.8,65
NDC,00093092606,LOVASTATIN 10 MG TABLET,23.4,11.7,5.1,21.06,65
NDC,00093092806,LOVASTATIN 40 MG TABLET,25.6,12.8,5.58,23.04,65
NDC,00093098301,"NYSTATIN 500,000 UNIT TABLET",250.2,125.1,54.57,225.18,65
NDC,00093100301,BUSPIRONE 15 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,00093100305,BUSPIRONE 15 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,00093100601,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",409.5,204.75,89.31,368.55,65
NDC,00093101042,MUPIROCIN 2 % TOPICAL OINTMENT,13.9,6.95,3.03,12.51,65
NDC,00093102406,NEFAZODONE 100 MG TABLET,411.3,205.65,89.7,370.17,65
NDC,00093106001,SOTALOL 120 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,00093106101,SOTALOL 80 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,00093106201,SOTALOL 160 MG TABLET,68.4,34.2,14.92,61.56,65
NDC,00093107701,CEFPROZIL 250 MG TABLET,678.5,339.25,147.98,610.65,65
NDC,00093117201,PENICILLIN V POTASSIUM 250 MG TABLET,115.2,57.6,25.13,103.68,65
NDC,00093117401,PENICILLIN V POTASSIUM 500 MG TABLET,196.2,98.1,42.79,176.58,65
NDC,00093117701,NEOMYCIN 500 MG TABLET,482.5,241.25,105.23,434.25,65
NDC,00093171201,WARFARIN 1 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,00093171301,WARFARIN 2 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,00093171401,WARFARIN 2.5 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,00093171501,WARFARIN 3 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,00093171601,WARFARIN 4 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,00093171801,WARFARIN 6 MG TABLET,70.2,35.1,15.31,63.18,65
NDC,00093172001,WARFARIN 10 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,00093172101,WARFARIN 5 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,00093202623,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,67.95,33.98,14.82,61.16,65
NDC,00093202631,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,68.05,34.03,14.84,61.25,65
NDC,00093202694,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,69.6,34.8,15.18,62.64,65
NDC,00093202723,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,67.95,33.98,14.82,61.16,65
NDC,00093206301,QUETIAPINE 25 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,00093206406,CILOSTAZOL 100 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,00093206506,CILOSTAZOL 50 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,00093206901,DOXAZOSIN 2 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00093217801,LIOTHYRONINE 25 MCG TABLET,360.5,180.25,78.63,324.45,65
NDC,00093217901,LIOTHYRONINE 5 MCG TABLET,274.5,137.25,59.87,247.05,65
NDC,00093220301,METOCLOPRAMIDE 10 MG TABLET,18.6,9.3,4.06,16.74,65
NDC,00093220305,METOCLOPRAMIDE 10 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,00093220310,METOCLOPRAMIDE 10 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,00093220401,METOCLOPRAMIDE 5 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,00093220405,METOCLOPRAMIDE 5 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,00093221001,SUCRALFATE 1 GRAM TABLET,155.4,77.7,33.89,139.86,65
NDC,00093221005,SUCRALFATE 1 GRAM TABLET,542.5,271.25,118.32,488.25,65
NDC,00093221098,SUCRALFATE 1 GRAM TABLET,96.7,48.35,21.09,87.03,65
NDC,00093226701,AMOXICILLIN 125 MG CHEWABLE TABLET,108.0,54.0,23.55,97.2,65
NDC,00093227234,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG CHEWABLE TABLET,407.5,203.75,88.88,366.75,65
NDC,00093227434,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,169.35,84.68,36.94,152.42,65
NDC,00093227534,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,202.6,101.3,44.19,182.34,65
NDC,00093227973,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,259.0,129.5,56.49,233.1,65
NDC,00093240101,HYDROXYCHLOROQUINE 200 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,00093300256,QUININE 324 MG CAPSULE,278.1,139.05,60.65,250.29,65
NDC,00093300819,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",66.7,33.35,14.55,60.03,65
NDC,00093300893,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",4444.8,2222.4,969.41,4000.32,65
NDC,00093300919,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",66.7,33.35,14.55,60.03,65
NDC,00093300993,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",4444.8,2222.4,969.41,4000.32,65
NDC,00093301765,TADALAFIL 5 MG TABLET,61.05,30.53,13.32,54.95,65
NDC,00093301956,TADALAFIL 20 MG TABLET,174.45,87.23,38.05,157.01,65
NDC,00093306634,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,3458.65,1729.33,133.0,3112.79,70
NDC,00093309056,ARMODAFINIL 50 MG TABLET,72.75,36.38,15.87,65.48,65
NDC,00093309256,ARMODAFINIL 150 MG TABLET,218.7,109.35,47.7,196.83,65
NDC,00093309456,ARMODAFINIL 250 MG TABLET,218.7,109.35,47.7,196.83,65
NDC,00093309819,RISEDRONATE 35 MG TABLET,297.4,148.7,64.86,267.66,65
NDC,00093310701,AMOXICILLIN 250 MG CAPSULE,71.4,35.7,15.57,64.26,65
NDC,00093310953,AMOXICILLIN 500 MG CAPSULE,55.5,27.75,12.1,49.95,65
NDC,00093312301,DICLOXACILLIN 250 MG CAPSULE,294.0,147.0,64.12,264.6,65
NDC,00093312501,DICLOXACILLIN 500 MG CAPSULE,459.0,229.5,100.11,413.1,65
NDC,00093312701,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,987.0,493.5,215.26,888.3,65
NDC,00093312901,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,899.0,449.5,196.07,809.1,65
NDC,00093314501,CEPHALEXIN 250 MG CAPSULE,79.2,39.6,17.27,71.28,65
NDC,00093314701,CEPHALEXIN 500 MG CAPSULE,130.8,65.4,28.53,117.72,65
NDC,00093316006,CEFDINIR 300 MG CAPSULE,1150.8,575.4,250.99,1035.72,65
NDC,00093317431,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,160.55,80.28,35.02,144.5,65
NDC,00093319653,CEFADROXIL 500 MG CAPSULE,175.8,87.9,38.34,158.22,65
NDC,00093321201,CLONAZEPAM 1 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,00093321205,CLONAZEPAM 1 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,00093323401,SULFASALAZINE 500 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,00093323921,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,375.85,187.93,81.97,338.27,65
NDC,00093323940,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1503.3,751.65,327.87,1352.97,65
NDC,00093330101,TRAMADOL 50 MG TABLET,15.6,7.8,3.4,14.04,65
NDC,00093330105,TRAMADOL 50 MG TABLET,129.0,64.5,28.13,116.1,65
NDC,00093333406,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),261.6,130.8,57.05,235.44,65
NDC,00093342201,CYCLOBENZAPRINE 10 MG TABLET,10.8,5.4,2.36,9.72,65
NDC,00093342501,LORAZEPAM 0.5 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,00093342505,LORAZEPAM 0.5 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,00093342601,LORAZEPAM 1 MG TABLET,22.8,11.4,4.97,20.52,65
NDC,00093342605,LORAZEPAM 1 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,00093342701,LORAZEPAM 2 MG TABLET,34.8,17.4,7.59,31.32,65
NDC,00093342705,LORAZEPAM 2 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,00093354143,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,82.15,41.08,17.92,73.94,65
NDC,00093354256,ATOMOXETINE 10 MG CAPSULE,555.15,277.58,121.08,499.64,65
NDC,00093354656,ATOMOXETINE 60 MG CAPSULE,603.15,301.58,131.55,542.84,65
NDC,00093356026,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,362.8,181.4,79.13,326.52,65
NDC,00093365522,METHYLERGONOVINE 0.2 MG TABLET,1107.9,553.95,241.63,997.11,65
NDC,00093365528,METHYLERGONOVINE 0.2 MG TABLET,2067.0,1033.5,450.81,1860.3,65
NDC,00093365721,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,264.05,132.03,57.59,237.65,65
NDC,00093365740,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1056.1,528.05,230.34,950.49,65
NDC,00093365821,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,385.1,192.55,83.99,346.59,65
NDC,00093365840,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1540.4,770.2,335.96,1386.36,65
NDC,00093406106,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,86.55,43.28,18.88,77.9,65
NDC,00093406119,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,86.55,43.28,18.88,77.9,65
NDC,00093406130,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,76.9,38.45,16.77,69.21,65
NDC,00093406701,PRAZOSIN 1 MG CAPSULE,82.2,41.1,17.93,73.98,65
NDC,00093406801,PRAZOSIN 2 MG CAPSULE,282.6,141.3,61.64,254.34,65
NDC,00093406901,PRAZOSIN 5 MG CAPSULE,156.6,78.3,34.15,140.94,65
NDC,00093408563,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,108.9,54.45,23.75,98.01,66
NDC,00093412573,PENICILLIN V POTASSIUM 125 MG/5 ML ORAL SOLUTION,44.4,22.2,9.68,39.96,65
NDC,00093412773,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,36.0,18.0,7.85,32.4,65
NDC,00093412774,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,52.8,26.4,11.52,47.52,65
NDC,00093413773,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,591.0,295.5,128.9,531.9,65
NDC,00093414645,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,9.45,4.73,2.06,8.51,65
NDC,00093414656,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,9.45,4.73,2.06,8.51,65
NDC,00093414719,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,12.3,6.15,2.68,11.07,65
NDC,00093415573,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,22.2,11.1,4.84,19.98,65
NDC,00093415579,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,19.7,9.85,4.3,17.73,65
NDC,00093415580,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,31.5,15.75,6.87,28.35,65
NDC,00093416173,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,47.4,23.7,10.34,42.66,65
NDC,00093416176,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,23.7,11.85,5.17,21.33,65
NDC,00093417573,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,64.2,32.1,14.0,57.78,65
NDC,00093417773,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,72.6,36.3,15.83,65.34,65
NDC,00093417774,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,158.4,79.2,34.55,142.56,65
NDC,00093435901,CLOZAPINE 25 MG TABLET,229.8,114.9,50.12,206.82,65
NDC,00093435919,CLOZAPINE 25 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,00093435993,CLOZAPINE 25 MG TABLET,154.8,77.4,33.76,139.32,65
NDC,00093503056,TIAGABINE 2 MG TABLET,952.2,476.1,207.67,856.98,65
NDC,00093503156,TIAGABINE 4 MG TABLET,952.2,476.1,207.67,856.98,65
NDC,00093506005,HYDROXYZINE HCL 10 MG TABLET,159.0,79.5,34.68,143.1,65
NDC,00093506101,HYDROXYZINE HCL 25 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00093523456,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,998.4,499.2,217.75,898.56,65
NDC,00093524519,OLANZAPINE 5 MG DISINTEGRATING TABLET,3.9,1.95,0.85,3.51,65
NDC,00093524565,OLANZAPINE 5 MG DISINTEGRATING TABLET,116.65,58.33,25.44,104.99,65
NDC,00093524619,OLANZAPINE 10 MG DISINTEGRATING TABLET,12.0,6.0,2.62,10.8,65
NDC,00093524665,OLANZAPINE 10 MG DISINTEGRATING TABLET,299.1,149.55,65.23,269.19,65
NDC,00093529501,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",1314.5,657.25,286.69,1183.05,65
NDC,00093541701,CLOZAPINE 25 MG DISINTEGRATING TABLET,749.0,374.5,163.36,674.1,65
NDC,00093541719,CLOZAPINE 25 MG DISINTEGRATING TABLET,13.7,6.85,2.99,12.33,65
NDC,00093541784,CLOZAPINE 25 MG DISINTEGRATING TABLET,547.95,273.98,119.51,493.16,65
NDC,00093541901,CLOZAPINE 100 MG DISINTEGRATING TABLET,1689.0,844.5,368.37,1520.1,65
NDC,00093541919,CLOZAPINE 100 MG DISINTEGRATING TABLET,34.5,17.25,7.52,31.05,65
NDC,00093541984,CLOZAPINE 100 MG DISINTEGRATING TABLET,1379.3,689.65,300.83,1241.37,65
NDC,00093542088,CABERGOLINE 0.5 MG TABLET,274.35,137.18,59.84,246.92,65
NDC,00093551798,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,119.9,59.95,26.15,107.91,65
NDC,00093552706,ATAZANAVIR 200 MG CAPSULE,1418.7,709.35,309.42,1276.83,65
NDC,00093555001,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",310.5,155.25,67.72,279.45,65
NDC,00093555101,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",493.5,246.75,107.63,444.15,65
NDC,00093555201,"DEXMETHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",593.0,296.5,129.33,533.7,65
NDC,00093557101,ERYTHROMYCIN 250 MG TABLET,2458.8,1229.4,536.26,2212.92,65
NDC,00093557156,ERYTHROMYCIN 250 MG TABLET,917.25,458.63,200.05,825.53,65
NDC,00093557201,ERYTHROMYCIN 500 MG TABLET,3706.4,1853.2,808.37,3335.76,65
NDC,00093573101,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1182.5,591.25,257.9,1064.25,65
NDC,00093573201,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2205.0,1102.5,480.91,1984.5,65
NDC,00093573301,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2668.4,1334.2,581.98,2401.56,65
NDC,00093590786,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),2044.8,1022.4,445.97,1840.32,65
NDC,00093598519,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",686.35,343.18,149.69,617.72,65
NDC,00093598527,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1372.65,686.33,299.37,1235.39,65
NDC,00093598619,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",693.25,346.63,151.2,623.93,65
NDC,00093598627,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1386.5,693.25,302.4,1247.85,65
NDC,00093645098,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",255.45,127.73,55.71,229.91,65
NDC,00093645156,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",85.15,42.58,18.57,76.64,65
NDC,00093645198,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",273.25,136.63,59.6,245.93,65
NDC,00093681519,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,41.8,20.9,9.12,37.62,65
NDC,00093681545,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,43.6,21.8,9.51,39.24,65
NDC,00093681555,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,41.8,20.9,9.12,37.62,65
NDC,00093681573,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,43.6,21.8,9.51,39.24,65
NDC,00093681619,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,49.2,24.6,10.73,44.28,65
NDC,00093681645,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,53.2,26.6,11.6,47.88,65
NDC,00093681655,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,49.2,24.6,10.73,44.28,65
NDC,00093681673,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,53.2,26.6,11.6,47.88,65
NDC,00093711306,NEFAZODONE 150 MG TABLET,431.7,215.85,94.15,388.53,65
NDC,00093716501,CELECOXIB 100 MG CAPSULE,559.0,279.5,121.92,503.1,65
NDC,00093716601,CELECOXIB 200 MG CAPSULE,996.5,498.25,217.34,896.85,65
NDC,00093719801,FLUOXETINE 40 MG CAPSULE,162.6,81.3,35.46,146.34,65
NDC,00093720198,PRAVASTATIN 20 MG TABLET,135.55,67.78,29.56,122.0,65
NDC,00093720298,PRAVASTATIN 40 MG TABLET,187.4,93.7,40.87,168.66,65
NDC,00093727156,PIOGLITAZONE 15 MG TABLET,24.5,12.25,5.34,22.05,65
NDC,00093727198,PIOGLITAZONE 15 MG TABLET,73.45,36.73,16.02,66.11,65
NDC,00093727256,PIOGLITAZONE 30 MG TABLET,52.75,26.38,11.5,47.48,65
NDC,00093729001,RALOXIFENE 60 MG TABLET,1939.0,969.5,422.9,1745.1,65
NDC,00093729056,RALOXIFENE 60 MG TABLET,580.05,290.03,126.51,522.05,65
NDC,00093729501,CARVEDILOL 12.5 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,00093729505,CARVEDILOL 12.5 MG TABLET,177.0,88.5,38.6,159.3,65
NDC,00093729601,CARVEDILOL 25 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,00093733401,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,321.5,160.75,70.12,289.35,65
NDC,00093735201,CALCITRIOL 0.25 MCG CAPSULE,478.0,239.0,104.25,430.2,65
NDC,00093735301,CALCITRIOL 0.5 MCG CAPSULE,466.0,233.0,101.63,419.4,65
NDC,00093735556,FINASTERIDE 5 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,00093735598,FINASTERIDE 5 MG TABLET,297.0,148.5,64.78,267.3,65
NDC,00093738456,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",45.9,22.95,10.01,41.31,65
NDC,00093738498,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",126.4,63.2,27.57,113.76,65
NDC,00093738556,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",55.65,27.83,12.14,50.09,65
NDC,00093738598,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",153.9,76.95,33.57,138.51,65
NDC,00093738656,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",80.5,40.25,17.56,72.45,65
NDC,00093738698,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",198.75,99.38,43.35,178.88,65
NDC,00093747489,CAPECITABINE 500 MG TABLET,954.6,477.3,0.04,859.14,70
NDC,00093751631,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,573.0,286.5,124.97,515.7,65
NDC,00093753656,ANASTROZOLE 1 MG TABLET,58.35,29.18,12.73,52.52,65
NDC,00093762056,LETROZOLE 2.5 MG TABLET,25.6,12.8,5.58,23.04,65
NDC,00093762998,IMATINIB 100 MG TABLET,545.85,272.93,119.05,491.27,65
NDC,00093770456,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,138.6,69.3,30.23,124.74,65
NDC,00093777201,CLOZAPINE 100 MG TABLET,324.5,162.25,70.77,292.05,65
NDC,00093777219,CLOZAPINE 100 MG TABLET,4.05,2.03,0.88,3.65,65
NDC,00093777293,CLOZAPINE 100 MG TABLET,337.0,168.5,73.5,303.3,65
NDC,00093803501,GLYBURIDE MICRONIZED 3 MG TABLET,127.2,63.6,27.74,114.48,65
NDC,00093807656,TIAGABINE 16 MG TABLET,1714.2,857.1,373.87,1542.78,65
NDC,00093811956,FAMCICLOVIR 500 MG TABLET,101.9,50.95,22.22,91.71,65
NDC,00093816201,QUETIAPINE 100 MG TABLET,343.0,171.5,74.81,308.7,65
NDC,00093816301,QUETIAPINE 200 MG TABLET,224.4,112.2,48.94,201.96,65
NDC,00093816601,QUETIAPINE 50 MG TABLET,328.5,164.25,71.65,295.65,65
NDC,00093818064,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,252.0,126.0,54.96,226.8,65
NDC,00093831119,ELETRIPTAN 40 MG TABLET,64.55,32.28,14.08,58.1,65
NDC,00093834201,GLYBURIDE 1.25 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,00093834301,GLYBURIDE 2.5 MG TABLET,28.2,14.1,6.15,25.38,65
NDC,00093834398,GLYBURIDE 2.5 MG TABLET,56.7,28.35,12.37,51.03,65
NDC,00093834401,GLYBURIDE 5 MG TABLET,22.8,11.4,4.97,20.52,65
NDC,00093834410,GLYBURIDE 5 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,00093834498,GLYBURIDE 5 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,00093867578,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,172.8,86.4,37.69,155.52,65
NDC,00093873901,MEXILETINE 150 MG CAPSULE,527.5,263.75,115.05,474.75,65
NDC,00093874001,MEXILETINE 200 MG CAPSULE,351.5,175.75,76.66,316.35,65
NDC,00093874101,MEXILETINE 250 MG CAPSULE,421.0,210.5,91.82,378.9,65
NDC,00093901819,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.4,1.7,0.74,3.06,65
NDC,00093901865,CYCLOSPORINE MODIFIED 25 MG CAPSULE,101.7,50.85,22.18,91.53,65
NDC,00093901919,CYCLOSPORINE MODIFIED 50 MG CAPSULE,12.0,6.0,2.62,10.8,65
NDC,00093901965,CYCLOSPORINE MODIFIED 50 MG CAPSULE,299.7,149.85,65.36,269.73,65
NDC,00093902019,CYCLOSPORINE MODIFIED 100 MG CAPSULE,8.6,4.3,1.88,7.74,66
NDC,00093902065,CYCLOSPORINE MODIFIED 100 MG CAPSULE,257.6,128.8,2.51,231.84,66
NDC,00093914701,VENLAFAXINE 25 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,00093914801,VENLAFAXINE 37.5 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,00093914901,VENLAFAXINE 50 MG TABLET,157.2,78.6,34.29,141.48,65
NDC,00093916301,VENLAFAXINE 100 MG TABLET,159.0,79.5,34.68,143.1,65
NDC,00093922206,DIFLUNISAL 500 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,00093922489,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",1890.6,945.3,412.34,1701.54,65
NDC,00093929019,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,5.65,2.83,1.23,5.09,65
NDC,00093929067,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,280.5,140.25,61.18,252.45,65
NDC,00093929119,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,5.5,2.75,1.2,4.95,65
NDC,00093929167,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,170.3,85.15,37.14,153.27,65
NDC,00093929319,CLONAZEPAM 1 MG DISINTEGRATING TABLET,5.5,2.75,1.2,4.95,65
NDC,00093929367,CLONAZEPAM 1 MG DISINTEGRATING TABLET,170.3,85.15,37.14,153.27,65
NDC,00093936401,GLYBURIDE 5 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,00093961413,SILVER NITRATE 0.5 % TOPICAL SOLUTION,273.6,136.8,59.67,246.24,65
NDC,00093970101,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,00093970201,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,00113172011,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,66.4,33.2,14.48,59.76,65
NDC,00115107001,DIPYRIDAMOLE 25 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,00115107101,DIPYRIDAMOLE 50 MG TABLET,234.6,117.3,51.17,211.14,65
NDC,00115107201,DIPYRIDAMOLE 75 MG TABLET,470.0,235.0,102.51,423.0,65
NDC,00115136529,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,778.05,389.03,169.69,700.25,65
NDC,00115136530,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,10.4,5.2,2.27,9.36,65
NDC,00115140408,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",2236.2,1118.1,487.72,2012.58,65
NDC,00115148601,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",346.5,173.25,75.57,311.85,65
NDC,00115148701,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",539.0,269.5,117.56,485.1,65
NDC,00115148901,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",539.0,269.5,117.56,485.1,65
NDC,00115155510,"FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE",346.5,173.25,75.57,311.85,65
NDC,00115164301,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,338.5,169.25,73.83,304.65,65
NDC,00115164501,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,552.5,276.25,120.5,497.25,65
NDC,00115165901,PROPRANOLOL 10 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,00115166001,PROPRANOLOL 20 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,00115166101,PROPRANOLOL 40 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,00115166201,PROPRANOLOL 80 MG TABLET,211.8,105.9,46.19,190.62,65
NDC,00115168974,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,49.2,24.6,10.73,44.28,65
NDC,00115168976,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,49.2,24.6,10.73,44.28,65
NDC,00115169430,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",570.1,285.05,124.34,513.09,65
NDC,00115169449,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1140.15,570.08,248.67,1026.14,65
NDC,00115169606,HYDROCORTISONE 5 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,00115169701,HYDROCORTISONE 10 MG TABLET,264.6,132.3,57.71,238.14,65
NDC,00115170001,HYDROCORTISONE 20 MG TABLET,418.5,209.25,91.27,376.65,65
NDC,00115174801,METAXALONE 800 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,00115175701,CYPROHEPTADINE 4 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,00115180001,METHYLPHENIDATE 5 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00115180101,METHYLPHENIDATE 10 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,00115191101,RIMANTADINE 100 MG TABLET,1135.5,567.75,247.65,1021.95,65
NDC,00115201101,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",455.5,227.75,99.34,409.95,65
NDC,00115261101,TERBUTALINE 2.5 MG TABLET,1294.5,647.25,282.33,1165.05,65
NDC,00115262201,TERBUTALINE 5 MG TABLET,1580.0,790.0,344.6,1422.0,65
NDC,00115351101,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,00115441101,DANTROLENE 25 MG CAPSULE,323.5,161.75,70.56,291.15,65
NDC,00115442201,DANTROLENE 50 MG CAPSULE,306.0,153.0,66.74,275.4,65
NDC,00115521116,COLESTIPOL 1 GRAM TABLET,514.8,257.4,112.28,463.32,65
NDC,00115551110,FENOFIBRATE 54 MG TABLET,114.5,57.25,24.97,103.05,65
NDC,00115592201,PILOCARPINE 5 MG TABLET,278.5,139.25,60.74,250.65,65
NDC,00115703301,FLUDROCORTISONE 0.1 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,00115703302,FLUDROCORTISONE 0.1 MG TABLET,1362.5,681.25,297.16,1226.25,65
NDC,00115991801,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",1062.5,531.25,231.73,956.25,65
NDC,00115991901,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",1206.5,603.25,263.14,1085.85,65
NDC,00115992001,"DEXMETHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",1273.0,636.5,277.64,1145.7,65
NDC,00115992101,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",512.0,256.0,111.67,460.8,65
NDC,00115993176,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.7,3.35,1.46,6.03,65
NDC,00115993178,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,6.7,3.35,1.46,6.03,65
NDC,00115993276,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,6.7,3.35,1.46,6.03,65
NDC,00115993278,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,6.7,3.35,1.46,6.03,65
NDC,00116200105,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,10.55,5.28,2.3,9.5,65
NDC,00116200106,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,10.55,5.28,2.3,9.5,65
NDC,00116200115,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,10.35,5.18,2.26,9.32,65
NDC,00116200116,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,14.2,7.1,3.1,12.78,65
NDC,00116400511,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,9.0,4.5,1.96,8.1,65
NDC,00116400515,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,8.75,4.38,1.91,7.88,65
NDC,00116400530,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,9.0,4.5,1.96,8.1,65
NDC,00116400532,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,164.65,82.33,35.91,148.19,65
NDC,00116400540,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,8.75,4.38,1.91,7.88,65
NDC,00116400541,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,9.9,4.95,2.16,8.91,65
NDC,00121050400,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION,11.4,5.7,2.49,10.26,65
NDC,00121050405,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION,42.1,21.05,9.18,37.89,65
NDC,00121050416,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ORAL SOLUTION,48.25,24.13,10.52,43.43,65
NDC,00121057616,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,96.5,48.25,21.05,86.85,65
NDC,00121057716,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,34.1,17.05,7.44,30.69,65
NDC,00121057732,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,56.8,28.4,12.39,51.12,65
NDC,00121058104,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,126.75,63.38,27.64,114.08,65
NDC,00121058105,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,15.7,7.85,3.42,14.13,65
NDC,00121058115,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,91.55,45.78,19.97,82.4,65
NDC,00121059500,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,23.95,11.98,5.22,21.56,65
NDC,00121059515,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,23.95,11.98,5.22,21.56,65
NDC,00121059516,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,51.1,25.55,11.14,45.99,65
NDC,00121059530,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,16.05,8.03,3.5,14.45,65
NDC,00121064610,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,19.0,9.5,4.14,17.1,65
NDC,00121064616,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,105.05,52.53,22.91,94.55,65
NDC,00121065304,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,1449.6,724.8,316.16,1304.64,65
NDC,00121065816,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR,255.45,127.73,55.71,229.91,65
NDC,00121067016,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,283.8,141.9,61.9,255.42,65
NDC,00121067516,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,36.9,18.45,8.05,33.21,65
NDC,00121067585,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,88.0,44.0,19.19,79.2,65
NDC,00121067616,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",153.3,76.65,33.43,137.97,65
NDC,00121067716,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,99.35,49.68,21.67,89.42,65
NDC,00121072104,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,160.6,80.3,35.03,144.54,65
NDC,00121074710,SUCRALFATE 100 MG/ML ORAL SUSPENSION,29.55,14.78,6.44,26.6,65
NDC,00121074730,SUCRALFATE 100 MG/ML ORAL SUSPENSION,38.0,19.0,8.29,34.2,65
NDC,00121074740,SUCRALFATE 100 MG/ML ORAL SUSPENSION,39.15,19.58,8.54,35.24,65
NDC,00121074750,SUCRALFATE 100 MG/ML ORAL SUSPENSION,37.05,18.53,8.08,33.35,65
NDC,00121075908,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,219.0,109.5,47.76,197.1,65
NDC,00121077001,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,44.5,22.25,9.71,40.05,65
NDC,00121077204,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,76.5,38.25,16.68,68.85,65
NDC,00121077216,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,261.1,130.55,56.95,234.99,65
NDC,00121077504,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,36.15,18.08,7.88,32.54,65
NDC,00121077516,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,82.35,41.18,17.96,74.12,65
NDC,00121079916,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,110.7,55.35,24.14,99.63,65
NDC,00121082016,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,167.45,83.73,36.52,150.71,65
NDC,00121082501,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,37.45,18.73,8.17,33.71,65
NDC,00121082601,OXYCODONE 20 MG/ML ORAL CONCENTRATE,183.25,91.63,39.97,164.93,65
NDC,00121085320,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,82.95,41.48,18.09,74.66,65
NDC,00121085340,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,82.95,41.48,18.09,74.66,65
NDC,00121086205,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,11.5,5.75,2.51,10.35,65
NDC,00121086720,VANCOMYCIN 125 MG CAPSULE,97.2,48.6,21.2,87.48,65
NDC,00121086750,VANCOMYCIN 125 MG CAPSULE,294.75,147.38,64.28,265.28,65
NDC,00121086800,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",8.1,4.05,1.77,7.29,65
NDC,00121086805,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",8.1,4.05,1.77,7.29,65
NDC,00121086816,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",184.5,92.25,40.24,166.05,65
NDC,00121086850,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",9.75,4.88,2.13,8.78,65
NDC,00121087308,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,18.5,9.25,4.03,16.65,65
NDC,00121087316,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,70.95,35.48,15.47,63.86,65
NDC,00121087332,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,147.6,73.8,32.19,132.84,65
NDC,00121088516,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,1291.2,645.6,281.61,1162.08,65
NDC,00121089020,VANCOMYCIN 250 MG CAPSULE,211.45,105.73,46.12,190.31,65
NDC,00121089250,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,16.7,8.35,3.64,15.03,65
NDC,00121089263,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,16.7,8.35,3.64,15.03,65
NDC,00121089300,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.15,2.58,1.12,4.64,65
NDC,00121089315,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.15,2.58,1.12,4.64,65
NDC,00121089340,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.4,2.7,1.18,4.86,65
NDC,00121089805,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,98.7,49.35,21.53,88.83,65
NDC,00121090315,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,22.45,11.23,4.9,20.21,65
NDC,00121090340,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,22.45,11.23,4.9,20.21,65
NDC,00121090405,MORPHINE 10 MG/5 ML ORAL SOLUTION,7.25,3.63,1.58,6.53,65
NDC,00121090494,MORPHINE 10 MG/5 ML ORAL SOLUTION,7.25,3.63,1.58,6.53,65
NDC,00121090505,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",14.15,7.08,3.09,12.74,65
NDC,00121090594,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",14.15,7.08,3.09,12.74,65
NDC,00121090805,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,15.25,7.63,3.33,13.73,65
NDC,00121090840,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,15.25,7.63,3.33,13.73,65
NDC,00121092716,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,70.95,35.48,15.47,63.86,65
NDC,00121094205,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,9.15,4.58,2.0,8.24,65
NDC,00121094216,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,99.35,49.68,21.67,89.42,65
NDC,00121094250,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,9.15,4.58,2.0,8.24,65
NDC,00121094500,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,19.35,9.68,4.22,17.42,65
NDC,00121094510,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,19.35,9.68,4.22,17.42,65
NDC,00121094540,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,22.15,11.08,4.83,19.94,65
NDC,00121094705,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,10.9,5.45,2.38,9.81,65
NDC,00121094794,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,10.9,5.45,2.38,9.81,65
NDC,00121094816,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,88.0,44.0,19.19,79.2,65
NDC,00121097251,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,88.5,44.25,19.3,79.65,65
NDC,00121097400,SUCRALFATE 100 MG/ML ORAL SUSPENSION,30.75,15.38,6.71,27.68,65
NDC,00121097410,SUCRALFATE 100 MG/ML ORAL SUSPENSION,30.75,15.38,6.71,27.68,65
NDC,00121097440,SUCRALFATE 100 MG/ML ORAL SUSPENSION,29.95,14.98,6.53,26.96,65
NDC,00121097494,SUCRALFATE 100 MG/ML ORAL SUSPENSION,33.7,16.85,7.35,30.33,65
NDC,00121099295,LACOSAMIDE 10 MG/ML ORAL SOLUTION,106.65,53.33,23.26,95.99,65
NDC,00121101205,LACOSAMIDE 10 MG/ML ORAL SOLUTION,145.65,72.83,31.77,131.09,65
NDC,00121101295,LACOSAMIDE 10 MG/ML ORAL SOLUTION,145.65,72.83,31.77,131.09,65
NDC,00121101605,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,183.25,91.63,39.97,164.93,65
NDC,00121101618,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,183.25,91.63,39.97,164.93,65
NDC,00121101642,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,52.2,26.1,11.38,46.98,65
NDC,00121103416,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,674.05,337.03,147.01,606.65,65
NDC,00121103605,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,52.95,26.48,11.55,47.66,65
NDC,00121103640,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,52.95,26.48,11.55,47.66,65
NDC,00121104516,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",447.0,223.5,97.49,402.3,65
NDC,00121115400,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,8.65,4.33,1.89,7.79,65
NDC,00121115430,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,8.65,4.33,1.89,7.79,65
NDC,00121115440,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,7.05,3.53,1.54,6.35,65
NDC,00121119000,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,27.75,13.88,6.05,24.98,65
NDC,00121119030,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,27.75,13.88,6.05,24.98,65
NDC,00121135000,VALPROIC ACID (AS SODIUM SALT) 500 MG/10 ML (10 ML) ORAL SOLUTION,12.1,6.05,2.64,10.89,65
NDC,00121135010,VALPROIC ACID (AS SODIUM SALT) 500 MG/10 ML (10 ML) ORAL SOLUTION,12.1,6.05,2.64,10.89,65
NDC,00121154440,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,52.05,26.03,11.35,46.85,65
NDC,00121157610,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,18.0,9.0,3.93,16.2,65
NDC,00121168000,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,20.25,10.13,4.42,18.23,65
NDC,00121168015,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,26.85,13.43,5.86,24.17,65
NDC,00121168016,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,156.1,78.05,34.05,140.49,65
NDC,00121168040,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,26.3,13.15,5.74,23.67,65
NDC,00121172410,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,15.7,7.85,3.42,14.13,65
NDC,00121172430,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,15.7,7.85,3.42,14.13,65
NDC,00121177500,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.55,2.78,1.21,5.0,65
NDC,00121177505,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,16.25,8.13,3.54,14.63,65
NDC,00121177540,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,16.25,8.13,3.54,14.63,65
NDC,00121188407,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,21.4,10.7,4.67,19.26,65
NDC,00121188450,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,21.4,10.7,4.67,19.26,65
NDC,00121189410,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,14.65,7.33,3.2,13.19,65
NDC,00121189494,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,14.65,7.33,3.2,13.19,65
NDC,00121189630,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,37.3,18.65,8.14,33.57,65
NDC,00121189640,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,54.0,27.0,11.78,48.6,65
NDC,00121198410,LACOSAMIDE 10 MG/ML ORAL SOLUTION,213.25,106.63,46.51,191.93,65
NDC,00121199610,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,355.95,177.98,77.63,320.36,65
NDC,00121199695,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,355.95,177.98,77.63,320.36,65
NDC,00121202410,LACOSAMIDE 10 MG/ML ORAL SOLUTION,291.25,145.63,63.52,262.13,65
NDC,00121202495,LACOSAMIDE 10 MG/ML ORAL SOLUTION,291.25,145.63,63.52,262.13,65
NDC,00121203830,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,269.7,134.85,1.89,242.73,66
NDC,00121231615,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,17.85,8.93,3.89,16.07,65
NDC,00121231640,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,36.45,18.23,7.95,32.81,65
NDC,00121231650,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,17.85,8.93,3.89,16.07,65
NDC,00121252030,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,63.75,31.88,13.9,57.38,65
NDC,00121404874,LACOSAMIDE 10 MG/ML ORAL SOLUTION,488.0,244.0,106.43,439.2,65
NDC,00121404895,LACOSAMIDE 10 MG/ML ORAL SOLUTION,488.0,244.0,106.43,439.2,65
NDC,00121457715,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.5,3.25,1.42,5.85,65
NDC,00121457740,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,6.5,3.25,1.42,5.85,65
NDC,00121467500,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,7.65,3.83,1.67,6.89,65
NDC,00121467505,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,7.65,3.83,1.67,6.89,65
NDC,00121467540,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,9.65,4.83,2.1,8.69,65
NDC,00121472105,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,22.8,11.4,4.97,20.52,65
NDC,00121475905,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,35.05,17.53,7.64,31.55,65
NDC,00121475950,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,35.05,17.53,7.64,31.55,65
NDC,00121477205,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,49.55,24.78,10.81,44.6,65
NDC,00121477600,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,12.2,6.1,2.66,10.98,65
NDC,00121477610,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,12.2,6.1,2.66,10.98,65
NDC,00121477640,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,12.25,6.13,2.67,11.03,65
NDC,00121479905,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,14.1,7.05,3.08,12.69,65
NDC,00121479940,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,14.1,7.05,3.08,12.69,65
NDC,00121481105,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,40.9,20.45,8.92,36.81,65
NDC,00121481140,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,40.9,20.45,8.92,36.81,65
NDC,00121482015,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,51.05,25.53,11.13,45.95,65
NDC,00121482040,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,51.05,25.53,11.13,45.95,65
NDC,00121482705,OXYCODONE 5 MG/5 ML ORAL SOLUTION,26.75,13.38,5.83,24.08,65
NDC,00121482740,OXYCODONE 5 MG/5 ML ORAL SOLUTION,26.75,13.38,5.83,24.08,65
NDC,00121483905,OXYCODONE 5 MG/5 ML ORAL SOLUTION,19.95,9.98,4.35,17.96,65
NDC,00121483940,OXYCODONE 5 MG/5 ML ORAL SOLUTION,19.95,9.98,4.35,17.96,65
NDC,00121494815,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,14.4,7.2,3.14,12.96,65
NDC,00121495040,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,28.65,14.33,6.25,25.79,65
NDC,00131181067,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,345.6,172.8,75.38,311.04,65
NDC,00131247735,LACOSAMIDE 50 MG TABLET,2678.4,1339.2,584.16,2410.56,65
NDC,00131247760,LACOSAMIDE 50 MG TABLET,2946.75,1473.38,642.69,2652.08,65
NDC,00131247835,LACOSAMIDE 100 MG TABLET,4187.55,2093.78,913.3,3768.8,65
NDC,00131247860,LACOSAMIDE 100 MG TABLET,4606.8,2303.4,1004.74,4146.12,65
NDC,00131248060,LACOSAMIDE 200 MG TABLET,4880.4,2440.2,1064.42,4392.36,65
NDC,00131541072,LACOSAMIDE 10 MG/ML ORAL SOLUTION,2166.0,1083.0,472.4,1949.4,65
NDC,00143117101,CAPTOPRIL 12.5 MG TABLET,338.5,169.25,73.83,304.65,65
NDC,00143117201,CAPTOPRIL 25 MG TABLET,306.0,153.0,66.74,275.4,65
NDC,00143117301,CAPTOPRIL 50 MG TABLET,571.0,285.5,124.54,513.9,65
NDC,00143122710,DICYCLOMINE 20 MG TABLET,415.0,207.5,90.51,373.5,65
NDC,00143124001,DIGOXIN 125 MCG (0.125 MG) TABLET,180.0,90.0,39.26,162.0,65
NDC,00143124101,DIGOXIN 250 MCG (0.25 MG) TABLET,180.0,90.0,39.26,162.0,65
NDC,00143145801,PHENOBARBITAL 100 MG TABLET,310.0,155.0,67.61,279.0,65
NDC,00143145805,PHENOBARBITAL 100 MG TABLET,582.5,291.25,127.04,524.25,65
NDC,00143176901,ISOSORBIDE DINITRATE 5 MG TABLET,290.4,145.2,63.34,261.36,65
NDC,00143176910,ISOSORBIDE DINITRATE 5 MG TABLET,2365.0,1182.5,515.81,2128.5,65
NDC,00143177101,ISOSORBIDE DINITRATE 10 MG TABLET,261.0,130.5,56.92,234.9,65
NDC,00143177110,ISOSORBIDE DINITRATE 10 MG TABLET,2080.0,1040.0,453.65,1872.0,65
NDC,00143177201,ISOSORBIDE DINITRATE 20 MG TABLET,317.5,158.75,69.25,285.75,65
NDC,00143211205,DOXYCYCLINE HYCLATE 100 MG TABLET,700.0,350.0,152.67,630.0,65
NDC,00143211250,DOXYCYCLINE HYCLATE 100 MG TABLET,63.6,31.8,13.87,57.24,65
NDC,00143312601,DICYCLOMINE 10 MG CAPSULE,120.0,60.0,26.17,108.0,65
NDC,00143900601,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,245.1,122.55,31.21,220.59,66
NDC,00143902201,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,00143902202,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,00143908501,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00143908601,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,00143908701,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,632.3,316.15,3.64,569.07,66
NDC,00143909801,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,00143913901,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION,48.15,24.08,0.94,43.34,71
NDC,00143913925,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION,48.15,24.08,0.94,43.34,71
NDC,00143914001,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,54.15,27.08,0.94,48.74,71
NDC,00143914025,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,54.15,27.08,0.94,48.74,71
NDC,00143914101,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,70.75,35.38,10.93,63.68,66
NDC,00143914110,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,70.75,35.38,10.93,63.68,66
NDC,00143915201,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,113.2,56.6,24.69,101.88,65
NDC,00143915210,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,113.2,56.6,24.69,101.88,65
NDC,00143915301,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,158.8,79.4,34.63,142.92,65
NDC,00143915310,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,158.8,79.4,34.63,142.92,65
NDC,00143915601,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,00143915610,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,00143916001,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,416.0,208.0,90.73,374.4,65
NDC,00143916010,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,416.0,208.0,90.73,374.4,65
NDC,00143916101,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.35,23.18,10.11,41.72,65
NDC,00143916125,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.35,23.18,10.11,41.72,65
NDC,00143916201,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",46.6,23.3,10.16,41.94,65
NDC,00143916210,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",46.6,23.3,10.16,41.94,65
NDC,00143916301,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,97.15,48.58,21.19,87.44,65
NDC,00143916401,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,126.55,63.28,27.6,113.9,65
NDC,00143918001,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,61.6,30.8,13.43,55.44,65
NDC,00143918025,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,61.6,30.8,13.43,55.44,65
NDC,00143919201,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,811.25,405.63,16.4,730.13,71
NDC,00143920401,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00143920501,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00143920901,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,70.45,35.23,0.04,63.41,66
NDC,00143920910,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,70.45,35.23,0.04,63.41,66
NDC,00143921001,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,74.3,37.15,0.04,66.87,66
NDC,00143921010,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,74.3,37.15,0.04,66.87,66
NDC,00143921701,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,00143921801,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,549.25,274.63,47.65,494.33,66
NDC,00143923201,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,82.15,41.08,17.92,73.94,65
NDC,00143923210,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,82.15,41.08,17.92,73.94,65
NDC,00143923301,BENZTROPINE 1 MG/ML INJECTION SOLUTION,134.55,67.28,18.25,121.1,66
NDC,00143923305,BENZTROPINE 1 MG/ML INJECTION SOLUTION,134.55,67.28,18.25,121.1,66
NDC,00143923401,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,00143923410,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,00143924001,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,00143924101,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,00143924501,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,00143924510,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,00143924701,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,371.7,185.85,64.32,334.53,71
NDC,00143924801,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,617.85,308.93,64.32,556.07,71
NDC,00143924920,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,141.6,70.8,30.88,127.44,65
NDC,00143925001,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.45,10.73,4.68,19.31,65
NDC,00143925010,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.45,10.73,4.68,19.31,65
NDC,00143925101,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.9,11.45,4.99,20.61,65
NDC,00143925110,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.9,11.45,4.99,20.61,65
NDC,00143925201,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.45,23.73,10.35,42.71,65
NDC,00143925225,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.45,23.73,10.35,42.71,65
NDC,00143925401,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,54.25,27.13,11.83,48.83,65
NDC,00143925425,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,54.25,27.13,11.83,48.83,65
NDC,00143926301,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,73.4,36.7,0.09,66.06,66
NDC,00143926310,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,73.4,36.7,0.09,66.06,66
NDC,00143926801,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.0,24.0,2.03,43.2,66
NDC,00143926901,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.7,24.35,2.03,43.83,66
NDC,00143927001,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION,577.95,288.98,126.05,5160.02,71
NDC,00143927301,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,283.55,141.78,46.99,255.2,66
NDC,00143927310,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,283.55,141.78,46.99,255.2,66
NDC,00143927901,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,798.85,399.43,20.75,718.97,71
NDC,00143928001,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,4724.3,2362.15,20.75,4251.87,71
NDC,00143928401,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,61.1,30.55,13.33,54.99,65
NDC,00143928410,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,61.1,30.55,13.33,54.99,65
NDC,00143928501,AMOXICILLIN 875 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,00143928520,AMOXICILLIN 875 MG TABLET,12.85,6.43,2.8,11.57,65
NDC,00143929001,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,840.9,420.45,10.25,756.81,66
NDC,00143929501,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,221.2,110.6,9.74,199.08,66
NDC,00143929701,DANTROLENE 20 MG INTRAVENOUS SOLUTION,277.4,138.7,60.5,249.66,65
NDC,00143929901,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,240.8,120.4,49.86,216.72,66
NDC,00143929910,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,240.8,120.4,49.86,216.72,66
NDC,00143930001,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,47.6,23.8,10.38,42.84,65
NDC,00143931701,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,1.01,42.39,66
NDC,00143931724,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,1.01,42.39,66
NDC,00143931801,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.35,24.18,10.55,43.52,65
NDC,00143931810,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.35,24.18,10.55,43.52,65
NDC,00143932001,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.55,23.28,10.15,41.9,65
NDC,00143932601,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,55.5,27.75,1.73,49.95,66
NDC,00143932610,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,55.5,27.75,1.73,49.95,66
NDC,00143932801,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,00143932810,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,00143932901,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,46.4,23.2,10.12,41.76,65
NDC,00143932910,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,46.4,23.2,10.12,41.76,65
NDC,00143933001,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.1,23.05,10.05,41.49,65
NDC,00143933010,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.1,23.05,10.05,41.49,65
NDC,00143933101,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.2,23.1,10.08,41.58,65
NDC,00143933110,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.2,23.1,10.08,41.58,65
NDC,00143933301,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.2,23.1,10.08,41.58,65
NDC,00143933310,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.2,23.1,10.08,41.58,65
NDC,00143933401,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,47.4,23.7,10.34,42.66,65
NDC,00143933410,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,47.4,23.7,10.34,42.66,65
NDC,00143933801,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.2,11.1,0.89,19.98,66
NDC,00143933825,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.2,11.1,0.89,19.98,66
NDC,00143935501,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,78.75,39.38,17.18,70.88,65
NDC,00143935510,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,78.75,39.38,17.18,70.88,65
NDC,00143935701,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.45,23.73,10.35,42.71,65
NDC,00143935710,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.45,23.73,10.35,42.71,65
NDC,00143935801,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,436.1,218.05,95.11,392.49,65
NDC,00143935901,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,1014.25,507.13,221.21,912.83,65
NDC,00143936101,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,119.35,59.68,0.84,107.42,66
NDC,00143937801,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,102.7,51.35,0.04,92.43,66
NDC,00143937901,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,65.5,32.75,0.16,58.95,66
NDC,00143937910,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,65.5,32.75,0.16,58.95,66
NDC,00143938001,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,83.2,41.6,0.16,74.88,66
NDC,00143938010,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,83.2,41.6,0.16,74.88,66
NDC,00143938101,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,91.6,45.8,19.98,82.44,65
NDC,00143938110,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,91.6,45.8,19.98,82.44,65
NDC,00143938401,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,147.05,73.53,0.15,132.35,66
NDC,00143938501,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,00143938601,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",25.2,12.6,0.05,22.68,66
NDC,00143938610,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",25.2,12.6,0.05,22.68,66
NDC,00143938701,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,28.85,14.43,1.05,25.97,66
NDC,00143938725,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,28.85,14.43,1.05,25.97,66
NDC,00143939101,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,283.15,141.58,61.76,254.84,65
NDC,00143939110,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,283.15,141.58,61.76,254.84,65
NDC,00143939201,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,414.85,207.43,90.48,373.37,65
NDC,00143939210,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,414.85,207.43,90.48,373.37,65
NDC,00143939601,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,33.0,16.5,7.2,29.7,65
NDC,00143939801,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,149.85,74.93,14.38,134.87,66
NDC,00143939810,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,149.85,74.93,14.38,134.87,66
NDC,00143943001,MEROPENEM 500 MG INTRAVENOUS SOLUTION,46.6,23.3,0.5,41.94,66
NDC,00143943010,MEROPENEM 500 MG INTRAVENOUS SOLUTION,46.6,23.3,0.5,41.94,66
NDC,00143943101,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,00143943110,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,00143950101,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,21.5,10.75,1.57,19.35,66
NDC,00143950125,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,21.5,10.75,1.57,19.35,66
NDC,00143950201,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,166.45,83.23,1.57,149.81,66
NDC,00143950301,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,69.4,34.7,15.14,62.46,66
NDC,00143950401,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,00143950501,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,00143950601,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.35,11.18,4.87,20.12,65
NDC,00143950610,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.35,11.18,4.87,20.12,65
NDC,00143950701,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,20.55,10.28,4.48,18.5,65
NDC,00143950710,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,20.55,10.28,4.48,18.5,65
NDC,00143950801,KETAMINE 50 MG/ML INJECTION SOLUTION,35.55,17.78,7.75,32.0,65
NDC,00143950810,KETAMINE 50 MG/ML INJECTION SOLUTION,35.55,17.78,7.75,32.0,65
NDC,00143950901,KETAMINE 100 MG/ML INJECTION SOLUTION,70.7,35.35,15.42,63.63,65
NDC,00143950910,KETAMINE 100 MG/ML INJECTION SOLUTION,70.7,35.35,15.42,63.63,65
NDC,00143951001,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,00143951101,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,00143951201,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,00143951401,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,43.3,21.65,9.42,38.97,66
NDC,00143951425,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,43.3,21.65,9.42,38.97,66
NDC,00143951501,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,43.3,21.65,9.42,38.97,66
NDC,00143951525,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,43.3,21.65,9.42,38.97,66
NDC,00143951901,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,00143951910,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,00143952501,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,119.2,59.6,26.0,107.28,65
NDC,00143952510,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,119.2,59.6,26.0,107.28,65
NDC,00143952601,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,69.4,34.7,15.14,62.46,65
NDC,00143952610,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,69.4,34.7,15.14,62.46,65
NDC,00143952901,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,246.5,123.25,10.16,221.85,66
NDC,00143953001,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,00143953101,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,00143953201,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,00143953225,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,00143953401,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,64.6,32.3,3.66,58.14,66
NDC,00143954201,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,55.5,27.75,12.1,49.95,65
NDC,00143954210,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,55.5,27.75,12.1,49.95,65
NDC,00143955001,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,747.6,373.8,22.13,672.84,71
NDC,00143955101,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,22.13,405.0,71
NDC,00143955110,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,22.13,405.0,71
NDC,00143955201,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),169.25,84.63,4.96,152.33,66
NDC,00143955301,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),99.9,49.95,4.96,89.91,66
NDC,00143955401,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),54.1,27.05,4.96,48.69,66
NDC,00143955501,LEUCOVORIN CALCIUM 50 MG INJECTION (POWDER FOR RECON),58.3,29.15,4.96,52.47,66
NDC,00143955801,LEVOLEUCOVORIN CALCIUM 50 MG INTRAVENOUS POWDER FOR SOLUTION,937.0,468.5,0.07,843.3,66
NDC,00143955901,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,357.75,178.88,0.81,321.98,70
NDC,00143956401,PHENTOLAMINE 5 MG INJECTION SOLUTION,1386.75,693.38,302.45,1248.08,71
NDC,00143956410,PHENTOLAMINE 5 MG INJECTION SOLUTION,1386.75,693.38,302.45,1248.08,71
NDC,00143956501,THIOTEPA 15 MG SOLUTION FOR INJECTION,857.1,428.55,10.75,771.39,70
NDC,00143956601,AZATHIOPRINE 100 MG SOLUTION FOR INJECTION,1065.05,532.53,232.29,958.55,71
NDC,00143956701,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,54.35,27.18,2.25,48.92,66
NDC,00143956725,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,54.35,27.18,2.25,48.92,66
NDC,00143957001,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,190.8,95.4,2.63,171.72,66
NDC,00143957010,FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,190.8,95.4,2.63,171.72,66
NDC,00143957501,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,00143957510,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,00143957701,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.55,10.78,4.7,19.4,65
NDC,00143957710,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.55,10.78,4.7,19.4,65
NDC,00143959401,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,00143959425,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,00143959501,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00143959525,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00143960601,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,00143962101,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",41.55,20.78,1.6,37.4,66
NDC,00143962125,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",41.55,20.78,1.6,37.4,66
NDC,00143962201,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.55,23.28,10.15,41.9,65
NDC,00143962301,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,45.4,22.7,9.9,40.86,65
NDC,00143963301,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,274.6,137.3,59.89,247.14,65
NDC,00143963310,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,274.6,137.3,59.89,247.14,65
NDC,00143963401,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,183.4,91.7,40.0,165.06,65
NDC,00143963410,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,183.4,91.7,40.0,165.06,65
NDC,00143963701,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,52.85,26.43,11.53,47.57,65
NDC,00143963710,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,52.85,26.43,11.53,47.57,65
NDC,00143963801,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,23.0,11.5,5.02,77.7,66
NDC,00143963805,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,23.0,11.5,5.02,77.7,66
NDC,00143965901,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,108.0,54.0,0.03,97.2,66
NDC,00143966001,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.5,10.25,4.47,18.45,65
NDC,00143966010,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.5,10.25,4.47,18.45,65
NDC,00143967301,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,45.95,22.98,0.07,41.36,66
NDC,00143967325,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,45.95,22.98,0.07,41.36,66
NDC,00143967401,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,343.95,171.98,0.81,309.56,70
NDC,00143967801,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,72.2,36.1,0.55,64.98,66
NDC,00143967901,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,60.5,30.25,0.47,54.45,71
NDC,00143967910,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,60.5,30.25,0.47,54.45,71
NDC,00143968001,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.0,11.0,0.47,19.8,71
NDC,00143968025,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.0,11.0,0.47,19.8,71
NDC,00143968101,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.45,11.23,0.47,20.21,71
NDC,00143968125,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.45,11.23,0.47,20.21,71
NDC,00143968201,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,20.6,10.3,0.47,18.54,71
NDC,00143968225,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,20.6,10.3,0.47,18.54,71
NDC,00143968901,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,55.5,27.75,12.1,49.95,65
NDC,00143968910,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,55.5,27.75,12.1,49.95,65
NDC,00143970101,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00143970201,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,00143970801,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,79.6,39.8,1.73,71.64,66
NDC,00143970901,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,52.4,26.2,1.73,47.16,66
NDC,00143970910,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,52.4,26.2,1.73,47.16,66
NDC,00143971001,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,48.2,24.1,1.73,43.38,66
NDC,00143971010,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,48.2,24.1,1.73,43.38,66
NDC,00143971801,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,121.0,60.5,1.73,108.9,66
NDC,00143971810,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,121.0,60.5,1.73,108.9,66
NDC,00143972001,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,46.8,23.4,1.01,42.12,66
NDC,00143972024,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,46.8,23.4,1.01,42.12,66
NDC,00143972101,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,46.7,23.35,1.01,42.03,66
NDC,00143972124,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,46.7,23.35,1.01,42.03,66
NDC,00143972201,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,46.4,23.2,1.01,41.76,66
NDC,00143972224,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,46.4,23.2,1.01,41.76,66
NDC,00143972401,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",102.65,51.33,21.38,92.39,66
NDC,00143972501,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,80.2,40.1,1.02,72.18,66
NDC,00143972601,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,140.8,70.4,0.03,126.72,66
NDC,00143972901,BENZTROPINE 1 MG/ML INJECTION SOLUTION,156.95,78.48,18.25,141.26,66
NDC,00143972905,BENZTROPINE 1 MG/ML INJECTION SOLUTION,156.95,78.48,18.25,141.26,66
NDC,00143974401,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,47.3,23.65,0.5,42.57,66
NDC,00143974410,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,47.3,23.65,0.5,42.57,66
NDC,00143974501,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,61.25,30.63,0.5,55.13,66
NDC,00143974505,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,61.25,30.63,0.5,55.13,66
NDC,00143974601,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,21.25,10.63,4.63,19.13,66
NDC,00143974610,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,21.25,10.63,4.63,19.13,66
NDC,00143975301,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,47.65,23.83,0.21,42.89,71
NDC,00143975401,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,60.85,30.43,0.21,54.77,71
NDC,00143975425,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,60.85,30.43,0.21,54.77,71
NDC,00143978301,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,37.95,18.98,8.28,34.16,65
NDC,00143978310,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,37.95,18.98,8.28,34.16,65
NDC,00143978401,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,22.7,11.35,4.95,20.43,65
NDC,00143978410,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,22.7,11.35,4.95,20.43,65
NDC,00143978501,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,00143978510,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,00143978601,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,72.35,36.18,15.78,65.12,65
NDC,00143978610,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,72.35,36.18,15.78,65.12,65
NDC,00143978701,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,48.75,24.38,10.63,43.88,65
NDC,00143978710,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,48.75,24.38,10.63,43.88,65
NDC,00143980350,DOXYCYCLINE HYCLATE 100 MG CAPSULE,72.6,36.3,15.83,65.34,65
NDC,00143983601,PENICILLIN V POTASSIUM 500 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,00143983701,PENICILLIN V POTASSIUM 250 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,00143985001,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,153.25,76.63,0.21,137.93,71
NDC,00143985101,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",257.4,128.7,0.21,231.66,71
NDC,00143985201,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,155.35,77.68,33.88,139.82,66
NDC,00143985210,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,155.35,77.68,33.88,139.82,66
NDC,00143985324,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,240.0,120.0,52.34,216.0,65
NDC,00143985375,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,85.5,42.75,18.65,76.95,65
NDC,00143985601,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.5,23.25,0.55,41.85,66
NDC,00143985625,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.5,23.25,0.55,41.85,66
NDC,00143985701,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.75,22.88,0.55,41.18,66
NDC,00143985725,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.75,22.88,0.55,41.18,66
NDC,00143985801,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.55,10.28,0.55,18.5,66
NDC,00143985825,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.55,10.28,0.55,18.5,66
NDC,00143985901,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,45.5,22.75,0.55,40.95,66
NDC,00143987101,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,10.89,405.0,71
NDC,00143987201,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,44.4,22.2,8.42,39.96,66
NDC,00143987210,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,44.4,22.2,8.42,39.96,66
NDC,00143987301,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.5,10.25,4.47,18.45,65
NDC,00143987325,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.5,10.25,4.47,18.45,65
NDC,00143987501,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,45.7,22.85,0.48,41.13,66
NDC,00143987525,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,45.7,22.85,0.48,41.13,66
NDC,00143987701,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,143.8,71.9,5.64,129.42,66
NDC,00143987725,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,143.8,71.9,5.64,129.42,66
NDC,00143987801,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,79.95,39.98,5.64,71.96,66
NDC,00143987825,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,79.95,39.98,5.64,71.96,66
NDC,00143988650,AMOXICILLIN 200 MG/5 ML ORAL SUSPENSION,18.0,9.0,3.93,16.2,65
NDC,00143988701,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,39.0,19.5,8.51,35.1,65
NDC,00143988750,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,19.5,9.75,4.25,17.55,65
NDC,00143988775,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,29.25,14.63,6.38,26.33,65
NDC,00143988801,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION,8.4,4.2,1.83,7.56,65
NDC,00143988880,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION,7.7,3.85,1.68,6.93,65
NDC,00143988901,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,18.0,9.0,3.93,16.2,65
NDC,00143988915,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,27.9,13.95,6.08,25.11,65
NDC,00143988980,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,15.85,7.93,3.46,14.27,65
NDC,00143992390,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,46.15,23.08,0.84,41.54,66
NDC,00143992490,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.75,22.88,0.84,41.18,66
NDC,00143992701,CIPROFLOXACIN 250 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,00143992801,CIPROFLOXACIN 500 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,00143992950,CIPROFLOXACIN 750 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,00143997722,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,54.2,27.1,2.25,48.78,66
NDC,00143997790,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,54.2,27.1,2.25,48.78,66
NDC,00143997922,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,47.45,23.73,2.25,42.71,66
NDC,00143997990,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,47.45,23.73,2.25,42.71,66
NDC,00143998101,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,64.8,32.4,14.13,58.32,65
NDC,00143998201,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,87.6,43.8,19.11,78.84,65
NDC,00143998250,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,26.1,13.05,5.69,23.49,65
NDC,00143998275,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,68.85,34.43,15.02,61.97,65
NDC,00143998303,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,58.3,29.15,0.84,52.47,66
NDC,00143998391,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,58.3,29.15,0.84,52.47,66
NDC,00168000215,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,54.65,27.33,11.92,49.19,65
NDC,00168000315,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,12.0,6.0,2.62,10.8,65
NDC,00168000380,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,29.8,14.9,6.5,26.82,65
NDC,00168000415,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,15.4,7.7,3.36,13.86,65
NDC,00168000416,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,111.7,55.85,24.36,100.53,65
NDC,00168000480,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,35.05,17.53,7.64,31.55,65
NDC,00168000580,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,35.55,17.78,7.75,32.0,65
NDC,00168000615,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,11.8,5.9,2.57,10.62,65
NDC,00168000616,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,114.45,57.23,24.96,103.01,65
NDC,00168000680,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,30.75,15.38,6.71,27.68,65
NDC,00168000715,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",28.75,14.38,6.27,25.88,65
NDC,00168000730,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",45.0,22.5,9.81,40.5,65
NDC,00168003315,BETAMETHASONE VALERATE 0.1 % TOPICAL OINTMENT,49.6,24.8,10.82,44.64,65
NDC,00168004015,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,72.85,36.43,15.89,65.57,65
NDC,00168004046,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,147.45,73.73,32.16,132.71,65
NDC,00168004160,BETAMETHASONE VALERATE 0.1 % LOTION,263.2,131.6,57.4,236.88,65
NDC,00168005515,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,80.1,40.05,17.47,72.09,65
NDC,00168005546,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,245.2,122.6,53.48,220.68,65
NDC,00168005615,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,349.8,174.9,76.29,314.82,65
NDC,00168005646,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,486.9,243.45,106.19,438.21,65
NDC,00168005760,BETAMETHASONE DIPROPIONATE 0.05 % LOTION,143.3,71.65,31.25,128.97,65
NDC,00168008016,HYDROCORTISONE 2.5 % TOPICAL CREAM,276.7,138.35,60.35,249.03,65
NDC,00168008031,HYDROCORTISONE 2.5 % TOPICAL CREAM,10.8,5.4,2.36,9.72,65
NDC,00168008915,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",299.45,149.73,65.31,269.51,65
NDC,00168009915,KETOCONAZOLE 2 % TOPICAL CREAM,154.3,77.15,33.65,138.87,65
NDC,00168009930,KETOCONAZOLE 2 % TOPICAL CREAM,148.15,74.08,32.31,133.34,65
NDC,00168014630,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,17.05,8.53,3.72,15.35,65
NDC,00168016315,CLOBETASOL 0.05 % TOPICAL CREAM,96.95,48.48,21.14,87.26,65
NDC,00168020160,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,189.75,94.88,41.38,170.78,65
NDC,00168020230,CLINDAMYCIN 1 % TOPICAL GEL,279.55,139.78,60.97,251.6,65
NDC,00168020360,CLINDAMYCIN 1 % LOTION,75.25,37.63,16.41,67.73,65
NDC,00168020437,LIDOCAINE 5 % TOPICAL OINTMENT,490.0,245.0,106.87,441.0,65
NDC,00168025815,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,80.75,40.38,17.61,72.68,65
NDC,00168025846,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,173.9,86.95,37.93,156.51,65
NDC,00168026515,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM",50.6,25.3,11.04,45.54,65
NDC,00168026550,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL CREAM",92.4,46.2,20.15,83.16,65
NDC,00168026815,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",270.25,135.13,58.94,243.23,65
NDC,00168027740,CLINDAMYCIN 2 % VAGINAL CREAM,320.4,160.2,69.88,288.36,65
NDC,00168030115,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,146.65,73.33,31.98,131.99,65
NDC,00168030915,DESONIDE 0.05 % TOPICAL OINTMENT,217.75,108.88,47.49,195.98,65
NDC,00168032346,METRONIDAZOLE 0.75 % TOPICAL CREAM,238.95,119.48,52.11,215.06,65
NDC,00168033230,FLUTICASONE PROPIONATE 0.05 % TOPICAL CREAM,135.55,67.78,29.56,122.0,65
NDC,00168035222,MUPIROCIN 2 % TOPICAL OINTMENT,179.8,89.9,39.21,161.82,65
NDC,00168035515,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,229.05,114.53,49.96,206.15,65
NDC,00168035550,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,424.75,212.38,92.64,382.28,65
NDC,00168035705,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,41.25,20.63,9.0,37.13,65
NDC,00168035730,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,85.7,42.85,18.69,77.13,65
NDC,00168035755,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,41.25,20.63,9.0,37.13,65
NDC,00168035756,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL KIT,41.25,20.63,9.0,37.13,65
NDC,00169183311,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00169183411,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,100.0,50.0,0.24,90.0,66
NDC,00169183711,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,66
NDC,00169185459,INSULIN ADMIN SUPPLIES SUBCUTANEOUS PEN,49.95,24.98,10.89,44.96,64
NDC,00169220011,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,100.0,50.0,0.24,90.0,66
NDC,00169266211,INSULIN DEGLUDEC (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00169368512,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,100.0,50.0,0.24,90.0,66
NDC,00169368712,INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00169406012,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1256.2,628.1,273.98,1130.58,65
NDC,00169413212,SEMAGLUTIDE 0.25 MG OR 0.5 MG (2 MG/1.5 ML) SUBCUTANEOUS PEN INJECTOR,3478.45,1739.23,758.65,3130.61,65
NDC,00169452401,SEMAGLUTIDE (WEIGHT LOSS) 2.4 MG/0.75 ML SUBCUTANEOUS PEN INJECTOR,1559.0,779.5,340.02,1403.1,65
NDC,00169633910,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,85.7,42.85,0.24,77.13,66
NDC,00169706515,GLUCAGON 1 MG SOLUTION FOR INJECTION,1422.95,711.48,186.1,1280.66,71
NDC,00169720101,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",7795.0,3897.5,2.71,7015.5,70
NDC,00169720201,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",15565.0,7782.5,2.71,14008.5,70
NDC,00169720501,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",38875.0,19437.5,2.71,34987.5,70
NDC,00169721111,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",7795.0,3897.5,2.71,7015.5,70
NDC,00169721511,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",38875.0,19437.5,2.71,34987.5,70
NDC,00169750111,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00169781001,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,000 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
NDC,00169781501,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,500 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
NDC,00169782001,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 2,000 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
NDC,00169782501,"ANTIHEMOPHILIC FVIII, B-DOM TRUNCATED 250 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
NDC,00169783001,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 3,000 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
NDC,00169785001,"ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 500 (+/-) UNIT INTRAVENOUS SOLN",45.0,22.5,1.57,40.5,70
NDC,00169790101,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 1,000 (+/-) UNIT IV SOLUTION",52.1,26.05,4.55,46.89,70
NDC,00169790201,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 2,000 (+/-) UNIT IV SOLUTION",52.1,26.05,4.55,46.89,70
NDC,00169790501,"FACTOR IX HUMAN RECOMBINANT, PEGYLATED 500 (+/-) UNIT IV SOLUTION",52.1,26.05,4.55,46.89,70
NDC,00169850001,"ANTIHEMOPHIL FVIII REC, B-DOM TRUNC PEG-EXEI 500(+/-) UNIT IV SOLUTION",45.0,22.5,2.27,40.5,70
NDC,00172208360,HYDROCHLOROTHIAZIDE 25 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,00172208380,HYDROCHLOROTHIAZIDE 25 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,00172208960,HYDROCHLOROTHIAZIDE 50 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,00172392560,DIAZEPAM 2 MG TABLET,7.8,3.9,1.7,7.02,65
NDC,00172392660,DIAZEPAM 5 MG TABLET,9.0,4.5,1.96,8.1,65
NDC,00172392670,DIAZEPAM 5 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,00172392760,DIAZEPAM 10 MG TABLET,9.0,4.5,1.96,8.1,65
NDC,00172392770,DIAZEPAM 10 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,00172409660,BACLOFEN 10 MG TABLET,118.2,59.1,25.78,106.38,65
NDC,00172409680,BACLOFEN 10 MG TABLET,935.0,467.5,203.92,841.5,65
NDC,00172524160,ANAGRELIDE 0.5 MG CAPSULE,385.0,192.5,83.97,346.5,65
NDC,00172572860,FAMOTIDINE 20 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,00172572870,FAMOTIDINE 20 MG TABLET,183.0,91.5,39.91,164.7,65
NDC,00172572880,FAMOTIDINE 20 MG TABLET,294.0,147.0,64.12,264.6,65
NDC,00172572960,FAMOTIDINE 40 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,00172640605,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,29.15,14.58,6.36,26.24,65
NDC,00172640649,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,29.15,14.58,6.36,26.24,65
NDC,00172731320,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,445.5,222.75,2.51,400.95,66
NDC,00173013555,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",2161.8,1080.9,471.49,1945.62,65
NDC,00173051700,EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,66
NDC,00173051900,EPOPROSTENOL (GLYCINE) 1.5 MG INTRAVENOUS SOLUTION,265.0,132.5,17.71,238.5,66
NDC,00173052100,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,1957.5,978.75,426.93,1761.75,65
NDC,00173052600,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,3484.8,1742.4,760.03,3136.32,65
NDC,00173052700,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,4302.0,2151.0,938.27,3871.8,65
NDC,00173054700,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,182.1,91.05,39.72,163.89,65
NDC,00173063302,LAMOTRIGINE 25 MG TABLET,3931.6,1965.8,857.48,3538.44,65
NDC,00173064255,LAMOTRIGINE 100 MG TABLET,4182.4,2091.2,912.18,3764.16,65
NDC,00173064460,LAMOTRIGINE 200 MG TABLET,2773.2,1386.6,604.83,2495.88,65
NDC,00173066200,LAMIVUDINE 100 MG TABLET,3626.65,1813.33,790.97,3263.99,65
NDC,00173066518,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,5569.2,2784.6,1214.64,5012.28,65
NDC,00173067501,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,2501.6,1250.8,545.6,2251.44,65
NDC,00173067502,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,761.8,380.9,166.15,685.62,65
NDC,00173068101,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,270.0,135.0,58.89,243.0,65
NDC,00173068220,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,263.55,131.78,57.48,237.2,65
NDC,00173068224,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,124.8,62.4,27.22,112.32,65
NDC,00173069500,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,721.2,360.6,157.29,649.08,65
NDC,00173069504,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,250.1,125.05,54.55,225.09,65
NDC,00173069600,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,905.1,452.55,197.4,814.59,65
NDC,00173069604,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,250.1,125.05,54.55,225.09,65
NDC,00173069700,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,1226.1,613.05,267.41,1103.49,65
NDC,00173069704,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,339.65,169.83,74.08,305.69,65
NDC,00173071520,FLUTICASONE PROPIONATE 45 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,1159.35,579.68,252.85,1043.42,65
NDC,00173071522,FLUTICASONE PROPIONATE 45 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,771.2,385.6,168.2,694.08,65
NDC,00173071620,FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,1474.2,737.1,321.52,1326.78,65
NDC,00173071622,FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,716.05,358.03,156.17,644.45,65
NDC,00173071720,FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,2032.65,1016.33,443.32,1829.39,65
NDC,00173071722,FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER,1170.4,585.2,255.26,1053.36,65
NDC,00173071820,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,857.8,428.9,187.09,772.02,65
NDC,00173071920,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER,1148.3,574.15,250.44,1033.47,65
NDC,00173072020,FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER,1783.65,891.83,389.01,1605.29,65
NDC,00173072200,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",3211.45,1605.73,700.42,2890.31,65
NDC,00173073500,SUMATRIPTAN 25 MG TABLET,1430.65,715.33,312.02,1287.59,65
NDC,00173073601,SUMATRIPTAN 50 MG TABLET,2494.9,1247.45,544.14,2245.41,65
NDC,00173075400,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",1979.7,989.85,431.77,1781.73,65
NDC,00173075600,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",3392.65,1696.33,739.94,3053.39,65
NDC,00173082318,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",2674.1,1337.05,583.22,2406.69,65
NDC,00173085910,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,1882.5,941.25,410.57,1694.25,65
NDC,00173085914,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,464.1,232.05,101.22,417.69,65
NDC,00173086906,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,309.05,154.53,67.4,278.15,65
NDC,00173086910,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,2260.8,1130.4,493.08,2034.72,65
NDC,00173087306,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,229.6,114.8,50.08,206.64,65
NDC,00173087310,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,1636.8,818.4,356.99,1473.12,65
NDC,00173087410,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,963.75,481.88,210.19,867.38,65
NDC,00173087414,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,321.2,160.6,70.05,289.08,65
NDC,00173087610,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,1290.3,645.15,281.41,1161.27,65
NDC,00173087614,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,429.95,214.98,93.77,386.96,65
NDC,00173088101,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,12221.4,6110.7,31.9,10999.26,71
NDC,00173088210,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,1882.5,941.25,410.57,1694.25,65
NDC,00173088214,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,464.1,232.05,101.22,417.69,65
NDC,00173088710,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,2505.15,1252.58,546.37,2254.64,65
NDC,00173088714,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,806.3,403.15,175.85,725.67,65
NDC,00173089201,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS AUTO-INJECTOR,15198.0,7599.0,31.9,13678.2,71
NDC,00173089242,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,15198.0,7599.0,31.9,13678.2,71
NDC,00173089310,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,2505.15,1252.58,546.37,2254.64,65
NDC,00173089314,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,806.3,403.15,175.85,725.67,65
NDC,00173089803,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,47227.55,23613.78,240.59,42504.8,71
NDC,00173090442,MEPOLIZUMAB 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,6079.25,3039.63,31.9,5471.33,71
NDC,00173091213,NIRAPARIB 200 MG TABLET,75505.8,37752.9,16467.81,67955.22,65
NDC,00173093308,VALACYCLOVIR 500 MG TABLET,1843.35,921.68,402.03,1659.02,65
NDC,00173093310,VALACYCLOVIR 500 MG TABLET,4423.7,2211.85,964.81,3981.33,65
NDC,00173094755,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",2017.2,1008.6,439.95,1815.48,65
NDC,00178060001,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",635.0,317.5,138.49,571.5,65
NDC,00178061001,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",890.0,445.0,194.11,801.0,65
NDC,00185002201,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",461.0,230.5,100.54,414.9,65
NDC,00185005501,METOLAZONE 5 MG TABLET,277.0,138.5,60.41,249.3,65
NDC,00185012201,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,257.4,128.7,56.14,231.66,65
NDC,00185012801,BUMETANIDE 0.5 MG TABLET,196.8,98.4,42.92,177.12,65
NDC,00185012901,BUMETANIDE 1 MG TABLET,196.2,98.1,42.79,176.58,65
NDC,00185012905,BUMETANIDE 1 MG TABLET,667.5,333.75,145.58,600.75,65
NDC,00185014101,OXAPROZIN 600 MG TABLET,572.0,286.0,124.75,514.8,65
NDC,00185067401,HYDROXYZINE PAMOATE 25 MG CAPSULE,35.4,17.7,7.72,31.86,65
NDC,00185085301,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,186.0,93.0,40.57,167.4,65
NDC,00185505001,METOLAZONE 2.5 MG TABLET,282.0,141.0,61.5,253.8,65
NDC,00185536830,EPLERENONE 25 MG TABLET,286.6,143.3,62.51,257.94,65
NDC,00185560001,METOLAZONE 10 MG TABLET,372.5,186.25,81.24,335.25,65
NDC,00186037020,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1082.95,541.48,236.19,974.66,65
NDC,00186037028,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,282.0,141.0,61.5,253.8,65
NDC,00186037220,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,947.45,473.73,206.64,852.71,65
NDC,00186037228,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,282.05,141.03,61.52,253.85,65
NDC,00186077660,TICAGRELOR 60 MG TABLET,2137.5,1068.75,466.19,1923.75,65
NDC,00186077739,TICAGRELOR 90 MG TABLET,2850.0,1425.0,621.59,2565.0,65
NDC,00186077760,TICAGRELOR 90 MG TABLET,2137.5,1068.75,466.19,1923.75,65
NDC,00186091612,BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,1217.15,608.58,265.46,1095.44,65
NDC,00186091706,BUDESONIDE 90 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,908.95,454.48,198.24,818.06,65
NDC,00186198804,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,48.3,24.15,10.53,43.47,65
NDC,00186198904,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,56.85,28.43,12.4,51.17,65
NDC,00186404001,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,1326.6,663.3,289.33,1193.94,65
NDC,00186504031,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",1271.25,635.63,277.26,1144.13,65
NDC,00186604001,ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION,74.6,37.3,16.27,67.14,65
NDC,00187001050,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,182642.8,91321.4,39834.39,164378.52,65
NDC,00187006301,LORAZEPAM 0.5 MG TABLET,13679.6,6839.8,2983.52,12311.64,65
NDC,00187006401,LORAZEPAM 1 MG TABLET,18274.0,9137.0,3985.56,16446.6,65
NDC,00187019201,ISOSORBIDE DINITRATE 40 MG TABLET,7464.8,3732.4,1628.07,6718.32,65
NDC,00187065820,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,529.3,264.65,115.44,476.37,65
NDC,00187065920,DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT,2117.1,1058.55,461.74,1905.39,65
NDC,00187073030,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",8116.7,4058.35,1770.25,7305.03,65
NDC,00187073130,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10714.45,5357.23,2336.82,9643.01,65
NDC,00187077147,DILTIAZEM 30 MG TABLET,2378.4,1189.2,518.73,2140.56,65
NDC,00187079542,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",9268.6,4634.3,2021.48,8341.74,65
NDC,00187079730,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",5398.1,2699.05,1177.33,4858.29,65
NDC,00187149825,TIMOLOL MALEATE (PF) 0.25 % EYE DROPS IN A DROPPERETTE,2070.75,1035.38,451.63,1863.68,65
NDC,00187170405,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,21842.4,10921.2,4763.83,19658.16,65
NDC,00187261730,"DILTIAZEM ER 420 MG CAPSULE,24 HR,EXTENDED RELEASE",650.7,325.35,141.92,585.63,65
NDC,00187301030,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,7996.0,3998.0,1743.93,7196.4,65
NDC,00187301220,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,6495.25,3247.63,1416.61,5845.73,65
NDC,00187301330,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",4549.8,2274.9,992.31,4094.82,65
NDC,00187320447,FLUOROURACIL 5 % TOPICAL CREAM,277.4,138.7,60.5,249.66,65
NDC,00187355410,FLUCYTOSINE 250 MG CAPSULE,8673.6,4336.8,1891.71,7806.24,65
NDC,00187355510,FLUCYTOSINE 500 MG CAPSULE,16783.6,8391.8,3660.5,15105.24,65
NDC,00187410010,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,18284.8,9142.4,3987.91,16456.32,65
NDC,00187430305,AMOBARBITAL 500 MG SOLUTION FOR INJECTION,2737.0,1368.5,192.86,2463.3,66
NDC,00187442030,FAMOTIDINE 20 MG TABLET,1833.75,916.88,399.94,1650.38,65
NDC,00187510001,PIMECROLIMUS 1 % TOPICAL CREAM,1382.4,691.2,301.5,1244.16,65
NDC,00187511090,EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION,277.05,138.53,60.42,249.35,65
NDC,00187517215,TRETINOIN 0.01 % TOPICAL GEL,83.25,41.63,18.16,74.93,65
NDC,00187560015,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,6488.85,3244.43,11.77,5839.97,71
NDC,00225029515,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,138.6,69.3,30.23,124.74,65
NDC,00228202710,ALPRAZOLAM 0.25 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,00228202750,ALPRAZOLAM 0.25 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,00228202910,ALPRAZOLAM 0.5 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,00228202950,ALPRAZOLAM 0.5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00228202996,ALPRAZOLAM 0.5 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,00228203110,ALPRAZOLAM 1 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,00228206710,OXAZEPAM 10 MG CAPSULE,363.5,181.75,79.28,327.15,65
NDC,00228206910,OXAZEPAM 15 MG CAPSULE,455.0,227.5,99.24,409.5,65
NDC,00228207610,TEMAZEPAM 15 MG CAPSULE,54.0,27.0,11.78,48.6,65
NDC,00228207650,TEMAZEPAM 15 MG CAPSULE,234.0,117.0,51.04,210.6,65
NDC,00228212710,CLONIDINE HCL 0.1 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,00228212750,CLONIDINE HCL 0.1 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,00228212810,CLONIDINE HCL 0.2 MG TABLET,34.8,17.4,7.59,31.32,65
NDC,00228212850,CLONIDINE HCL 0.2 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,00228212910,CLONIDINE HCL 0.3 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,00228234810,PROPYLTHIOURACIL 50 MG TABLET,357.0,178.5,77.86,321.3,65
NDC,00228249710,NIFEDIPINE 10 MG CAPSULE,395.0,197.5,86.15,355.5,65
NDC,00228253010,NIFEDIPINE 20 MG CAPSULE,621.5,310.75,135.55,559.35,65
NDC,00228254010,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,110.4,55.2,24.08,99.36,65
NDC,00228254050,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,372.5,186.25,81.24,335.25,65
NDC,00228257111,INDAPAMIDE 2.5 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00228259711,INDAPAMIDE 1.25 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,00228262011,ISOSORBIDE MONONITRATE 20 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,00228263111,ISOSORBIDE MONONITRATE 10 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,00228277811,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",757.5,378.75,165.21,681.75,65
NDC,00228277911,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",962.5,481.25,209.92,866.25,65
NDC,00228278011,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",1156.0,578.0,252.12,1040.4,65
NDC,00228278111,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",1513.0,756.5,329.99,1361.7,65
NDC,00228280111,PILOCARPINE 5 MG TABLET,244.2,122.1,53.26,219.78,65
NDC,00228282011,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,40.2,20.1,8.77,36.18,65
NDC,00228285011,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",279.0,139.5,60.85,251.1,65
NDC,00228285111,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",279.0,139.5,60.85,251.1,65
NDC,00228285311,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",279.0,139.5,60.85,251.1,65
NDC,00228289006,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",353.7,176.85,77.14,318.33,65
NDC,00228289103,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",227.55,113.78,49.63,204.8,65
NDC,00228289203,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",226.3,113.15,49.36,203.67,65
NDC,00228299611,TAMSULOSIN 0.4 MG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,00228299650,TAMSULOSIN 0.4 MG CAPSULE,482.5,241.25,105.23,434.25,65
NDC,00228305911,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,00228306011,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",361.5,180.75,78.84,325.35,65
NDC,00228306211,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",349.5,174.75,76.23,314.55,65
NDC,00228306311,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",289.0,144.5,63.03,260.1,65
NDC,00228306411,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",312.5,156.25,68.16,281.25,65
NDC,00228309011,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE",2040.0,1020.0,444.92,1836.0,65
NDC,00228315303,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,259.75,129.88,1.89,233.78,66
NDC,00228424106,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",963.9,481.95,210.23,867.51,65
NDC,00228427011,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",90.6,45.3,19.76,81.54,65
NDC,00228427111,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",171.6,85.8,37.43,154.44,65
NDC,00245001201,SOTALOL 80 MG TABLET,517.0,258.5,112.76,465.3,65
NDC,00245001289,SOTALOL 80 MG TABLET,6.25,3.13,1.36,5.63,65
NDC,00245001301,SOTALOL 120 MG TABLET,979.5,489.75,213.63,881.55,65
NDC,00245001389,SOTALOL 120 MG TABLET,11.8,5.9,2.57,10.62,65
NDC,00245003642,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,399.0,199.5,87.02,359.1,65
NDC,00245003660,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,268.2,134.1,58.49,241.38,65
NDC,00245003689,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,5.4,2.7,1.18,4.86,65
NDC,00245007011,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",163.8,81.9,35.72,147.42,65
NDC,00245007111,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",252.0,126.0,54.96,226.8,65
NDC,00245014430,AMIODARONE 100 MG TABLET,418.05,209.03,91.18,376.25,65
NDC,00245014701,AMIODARONE 200 MG TABLET,97.8,48.9,21.33,88.02,65
NDC,00245014715,AMIODARONE 200 MG TABLET,627.5,313.75,136.86,564.75,65
NDC,00245014760,AMIODARONE 200 MG TABLET,92.2,46.1,20.11,82.98,65
NDC,00245014789,AMIODARONE 200 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,00245021111,MIDODRINE 2.5 MG TABLET,144.6,72.3,31.54,130.14,65
NDC,00245021201,MIDODRINE 5 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,00245021211,MIDODRINE 5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00245021289,MIDODRINE 5 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,00245021311,MIDODRINE 10 MG TABLET,306.5,153.25,66.85,275.85,65
NDC,00245036001,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,406.5,203.25,88.66,365.85,65
NDC,00245036030,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,175.35,87.68,38.24,157.82,65
NDC,00245036089,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,4.9,2.45,1.07,4.41,65
NDC,00245053660,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,571.8,285.9,124.71,514.62,65
NDC,00245053689,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,11.45,5.73,2.5,10.31,65
NDC,00245055689,VIGABATRIN 500 MG ORAL POWDER PACKET,454.0,227.0,99.02,408.6,65
NDC,00245086070,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,379.4,189.7,82.75,341.46,65
NDC,00245531501,"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE",73.2,36.6,15.96,65.88,65
NDC,00245531589,"POTASSIUM CHLORIDE ER 8 MEQ TABLET,EXTENDED RELEASE",3.15,1.58,0.69,2.84,65
NDC,00245531601,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",88.8,44.4,19.37,79.92,65
NDC,00245531611,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",70.2,35.1,15.31,63.18,65
NDC,00245531615,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",290.0,145.0,63.25,261.0,65
NDC,00245531689,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",3.15,1.58,0.69,2.84,65
NDC,00245531701,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",125.4,62.7,27.35,112.86,65
NDC,00245531789,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",3.25,1.63,0.71,2.93,65
NDC,00245531790,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",95.6,47.8,20.85,86.04,65
NDC,00245531901,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",145.8,72.9,31.8,131.22,65
NDC,00245531910,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",665.0,332.5,145.04,598.5,65
NDC,00245531911,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",71.4,35.7,15.57,64.26,65
NDC,00245531915,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",362.5,181.25,79.06,326.25,65
NDC,00245531989,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",3.25,1.63,0.71,2.93,65
NDC,00245531990,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",145.3,72.65,31.69,130.77,65
NDC,00245532689,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,5.8,2.9,1.26,5.22,65
NDC,00254100752,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,108.75,54.38,23.72,97.88,65
NDC,00254101019,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1273.65,636.83,277.78,1146.29,65
NDC,00254101196,SUCRALFATE 100 MG/ML ORAL SUSPENSION,472.5,236.25,103.05,425.25,65
NDC,00254101636,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,2396.95,1198.48,522.77,2157.26,65
NDC,00254200001,PENICILLAMINE 250 MG TABLET,14472.8,7236.4,3156.52,13025.52,65
NDC,00254200801,COLCHICINE 0.6 MG TABLET,296.4,148.2,64.64,266.76,65
NDC,00254200811,COLCHICINE 0.6 MG TABLET,88.95,44.48,19.4,80.06,65
NDC,00254202980,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,00254202991,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,00254204502,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",2620.6,1310.3,571.55,2358.54,65
NDC,00254301255,ALVIMOPAN 12 MG CAPSULE,12000.0,6000.0,2617.2,10800.0,65
NDC,00254301278,ALVIMOPAN 12 MG CAPSULE,500.0,250.0,109.05,450.0,65
NDC,00254302802,LUBIPROSTONE 8 MCG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,00254302902,LUBIPROSTONE 24 MCG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,00259050116,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,2308.25,1154.13,503.43,2077.43,65
NDC,00259160501,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1277.9,638.95,5.55,1150.11,71
NDC,00259161001,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,2413.95,1206.98,5.55,2172.56,71
NDC,00259162001,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,3847.3,1923.65,5.55,3462.57,71
NDC,00264100990,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",61.6,30.8,0.07,55.44,66
NDC,00264150990,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",80.2,40.1,0.07,72.18,66
NDC,00264193310,AMINO ACID 10 % INTRAVENOUS SOLUTION,262.0,131.0,57.14,235.8,66
NDC,00264194020,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,143.5,71.75,0.13,129.15,66
NDC,00264194420,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,154.0,77.0,0.13,138.6,66
NDC,00264196510,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,159.0,79.5,34.68,143.1,65
NDC,00264230400,ACETIC ACID 0.25 % IRRIGATION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,00264310311,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,101.8,50.9,0.84,91.62,66
NDC,00264310511,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,111.55,55.78,0.84,100.4,66
NDC,00264312311,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",128.85,64.43,5.64,115.97,66
NDC,00264312511,CEFOXITIN 2 GRAM/50 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,211.05,105.53,5.64,189.95,66
NDC,00264315311,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,133.3,66.65,0.55,119.97,66
NDC,00264318311,MEROPENEM 500 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,137.9,68.95,2.26,124.11,66
NDC,00264318511,MEROPENEM 1 GRAM/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,183.05,91.53,2.26,164.75,66
NDC,00264319311,CEFEPIME 1 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,133.4,66.7,5.64,120.06,66
NDC,00264319511,CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,189.4,94.7,5.64,170.46,66
NDC,00264410090,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",33.6,16.8,0.06,30.24,66
NDC,00264420452,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.77,40.86,66
NDC,00264420552,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,00264420654,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.77,40.86,66
NDC,00264440054,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,00264446010,FAT EMULSION 20 % INTRAVENOUS,189.0,94.5,41.22,170.1,65
NDC,00264446030,FAT EMULSION 20 % INTRAVENOUS,148.5,74.25,32.39,133.65,65
NDC,00264450000,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00264450005,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,335.0,167.5,65.33,301.5,66
NDC,00264500990,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,54.4,27.2,0.07,48.96,66
NDC,00264553532,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,48.2,24.1,0.02,43.38,66
NDC,00264705505,CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLUTION,85.25,42.63,0.32,76.73,66
NDC,00264705510,CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLUTION,85.25,42.63,0.32,76.73,66
NDC,00264757810,MANNITOL 20 % INTRAVENOUS SOLUTION,325.0,162.5,70.88,292.5,65
NDC,00264762500,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,85.0,42.5,18.54,76.5,66
NDC,00264763400,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,00264763500,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,55.0,27.5,12.0,65.33,66
NDC,00264763600,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,00264763800,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,00264764500,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,73.0,36.5,15.92,65.7,66
NDC,00264765200,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,55.0,27.5,12.0,65.33,66
NDC,00264786500,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,55.0,27.5,12.0,65.33,66
NDC,00264934155,AMINO ACID 10 % INTRAVENOUS SOLUTION,238.0,119.0,51.91,214.2,66
NDC,00264937988,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,22.5,11.25,4.91,20.25,65
NDC,00264957710,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",115.0,57.5,0.3,103.5,66
NDC,00264958720,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",112.0,56.0,0.3,100.8,66
NDC,00264959410,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,76.0,38.0,0.01,68.4,70
NDC,00264959820,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,71.5,35.75,0.01,64.35,70
NDC,00264987210,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",49.0,24.5,0.3,44.1,66
NDC,00268024705,HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION,2178.0,1089.0,475.02,1960.2,65
NDC,00270008320,TC-99M MEBROFENIN IV SOLUTION,339.05,169.53,73.95,305.15,64
NDC,00270014957,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,255.0,127.5,55.62,229.5,65
NDC,00270014960,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,142.5,71.25,31.08,128.25,65
NDC,00270044535,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,122.85,61.43,0.24,110.57,66
NDC,00270044540,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,354.0,177.0,0.24,318.6,66
NDC,00270052330,IODIPAMIDE AND DIATRIZOATE MEGLUMINE 52.7 %-26.8 % INJECTION SOLUTION,249.95,124.98,0.24,224.96,66
NDC,00270055615,SINCALIDE 5 MCG SOLUTION FOR INJECTION,615.15,307.58,134.16,553.64,65
NDC,00270111101,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,147.9,73.95,32.26,133.11,65
NDC,00270111102,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,221.85,110.93,48.39,199.67,65
NDC,00270111103,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,295.8,147.9,64.51,266.22,65
NDC,00270111104,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,73.95,36.98,16.13,66.56,65
NDC,00270111170,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,739.5,369.75,161.28,665.55,65
NDC,00270131415,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRAVENOUS SOLUTION,294.0,147.0,0.4,264.6,66
NDC,00270131525,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,101.7,50.85,0.13,91.53,66
NDC,00270131530,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,108.25,54.13,0.13,97.43,66
NDC,00270131535,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,211.5,105.75,0.13,190.35,66
NDC,00270131545,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,438.0,219.0,0.13,394.2,66
NDC,00270131595,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,1127.5,563.75,0.13,1014.75,66
NDC,00270131598,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,200.0,100.0,0.13,180.0,66
NDC,00270131604,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,277.5,138.75,0.13,249.75,66
NDC,00270131630,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,117.75,58.88,0.13,105.98,66
NDC,00270131635,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,234.5,117.25,0.13,211.05,66
NDC,00270131637,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,324.75,162.38,0.13,292.28,66
NDC,00270131641,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,82.0,41.0,0.13,73.8,66
NDC,00270131645,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,468.0,234.0,0.13,421.2,66
NDC,00270131652,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,176.65,88.33,0.13,158.99,66
NDC,00270131695,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,1175.0,587.5,0.13,1057.5,66
NDC,00270131702,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,184.5,92.25,0.4,166.05,66
NDC,00270131705,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,24.25,12.13,0.4,21.83,66
NDC,00270131741,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,347.0,173.5,0.4,312.3,66
NDC,00270141030,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,150.0,75.0,32.72,135.0,65
NDC,00270141111,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,298.5,149.25,0.4,268.65,66
NDC,00270141125,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,409.3,204.65,0.4,368.37,66
NDC,00270141215,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,396.7,198.35,0.13,357.03,66
NDC,00270516412,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,80.4,40.2,17.54,72.36,65
NDC,00270516413,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,160.75,80.38,35.06,144.68,65
NDC,00270516414,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,241.15,120.58,52.59,217.04,65
NDC,00270516415,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,321.5,160.75,70.12,289.35,65
NDC,00270526416,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,803.75,401.88,175.3,723.38,65
NDC,00270526417,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,1607.5,803.75,350.6,1446.75,65
NDC,00270701546,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,1032.0,516.0,11.63,928.8,66
NDC,00270702038,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,103.2,51.6,11.63,92.88,66
NDC,00270702540,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,258.0,129.0,11.63,232.2,66
NDC,00270703042,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION,344.0,172.0,11.63,309.6,66
NDC,00280006501,AZELASTINE 205.5 MCG (0.15 %) NASAL SPRAY,62.4,31.2,13.61,56.16,65
NDC,00281032608,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,13.45,6.73,2.93,12.11,65
NDC,00281032630,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,207.55,103.78,45.27,186.8,65
NDC,00295752040,CALCIUM GLUCONATE 2.5 % GEL,272.1,136.05,59.35,244.89,65
NDC,00310008839,ROFLUMILAST 250 MCG TABLET,1267.6,633.8,276.46,1140.84,65
NDC,00310009530,ROFLUMILAST 500 MCG TABLET,1901.85,950.93,414.79,1711.67,65
NDC,00310009590,ROFLUMILAST 500 MCG TABLET,4564.45,2282.23,995.51,4108.01,65
NDC,00310027110,QUETIAPINE 100 MG TABLET,2465.6,1232.8,537.75,2219.04,65
NDC,00310027210,QUETIAPINE 200 MG TABLET,4651.2,2325.6,1014.43,4186.08,65
NDC,00310027510,QUETIAPINE 25 MG TABLET,1796.0,898.0,391.71,1616.4,65
NDC,00310027810,QUETIAPINE 50 MG TABLET,2360.8,1180.4,514.89,2124.72,65
NDC,00310028060,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",2266.2,1133.1,494.26,2039.58,65
NDC,00310028160,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",3075.6,1537.8,670.79,2768.04,65
NDC,00310028260,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",3385.0,1692.5,738.27,3046.5,65
NDC,00310072010,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,3635.3,1817.65,6.86,3271.77,71
NDC,00310110501,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,52.6,26.3,11.47,47.34,65
NDC,00310110530,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,1314.15,657.08,286.62,1182.74,65
NDC,00310110539,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,481.9,240.95,105.1,433.71,65
NDC,00310111001,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,52.6,26.3,11.47,47.34,65
NDC,00310111030,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,1314.15,657.08,286.62,1182.74,65
NDC,00310111039,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,481.9,240.95,105.1,433.71,65
NDC,00310173030,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,20698.6,10349.3,167.88,18628.74,71
NDC,00310304000,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21360.85,10680.43,18.37,19224.77,71
NDC,00310450012,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,4092.05,2046.03,86.32,3682.85,71
NDC,00310450525,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,13575.2,6787.6,143.71,12217.68,70
NDC,00310453530,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,162352.4,81176.2,143.71,146117.16,70
NDC,00310460012,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1644.5,822.25,358.67,1480.05,65
NDC,00310461150,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,16891.8,8445.9,86.32,15202.62,71
NDC,00310610030,SAXAGLIPTIN 2.5 MG TABLET,2242.35,1121.18,489.06,2018.12,65
NDC,00310610530,SAXAGLIPTIN 5 MG TABLET,2243.25,1121.63,489.25,2018.93,65
NDC,00310620530,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,1881.0,940.5,410.25,1692.9,65
NDC,00310621030,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,1881.0,940.5,410.25,1692.9,65
NDC,00310621039,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,1603.8,801.9,349.79,1443.42,65
NDC,00310654004,EXENATIDE ER 2 MG/0.85 ML SUBCUTANEOUS AUTO-INJECTOR,908.45,454.23,198.13,817.61,65
NDC,00310661502,"PRAMLINTIDE 1,500 MCG/1.5 ML SUBCUTANEOUS PEN INJECTOR",2394.25,1197.13,522.19,2154.83,65
NDC,00310737020,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1136.5,568.25,247.87,1022.85,65
NDC,00310737220,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,1032.85,516.43,225.26,929.57,65
NDC,00310772010,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,837.5,418.75,6.86,753.75,71
NDC,00327001230,CITRIC AC 1980.6 MG-GLUCONO 59.4 MG-MAG CARB 980.4 MG/30 ML IRRIG.SOLN,32.95,16.48,7.19,29.66,65
NDC,00338000801,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,191.45,95.73,0.15,172.31,66
NDC,00338006301,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",653.25,326.63,94.88,587.93,71
NDC,00338006701,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1714.1,857.05,94.88,1542.69,71
NDC,00338006910,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.7,10.35,0.29,18.63,71
NDC,00338007225,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.7,10.35,0.29,18.63,71
NDC,00338012612,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,136.0,68.0,29.66,122.4,65
NDC,00338018001,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,295.0,147.5,64.34,265.5,66
NDC,00338018006,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,295.0,147.5,64.34,265.5,66
NDC,00338018401,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,455.0,227.5,65.33,409.5,66
NDC,00338018404,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,455.0,227.5,65.33,409.5,66
NDC,00338018801,AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION,271.0,135.5,59.11,243.9,66
NDC,00338018806,AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION,271.0,135.5,59.11,243.9,66
NDC,00338019401,AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION,385.0,192.5,65.33,346.5,66
NDC,00338019404,AMINO ACID 8 % IN DEXTROSE 10% WATER INTRAVENOUS SOLUTION,385.0,192.5,65.33,346.5,66
NDC,00338019801,AMINO ACID 6 % IN DEXTROSE 5 % WATER INTRAVENOUS SOLUTION,271.0,135.5,59.11,243.9,66
NDC,00338019806,AMINO ACID 6 % IN DEXTROSE 5 % WATER INTRAVENOUS SOLUTION,271.0,135.5,59.11,243.9,66
NDC,00338020201,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,280.0,140.0,61.07,252.0,66
NDC,00338020206,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,280.0,140.0,61.07,252.0,66
NDC,00338020601,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,465.0,232.5,65.33,418.5,66
NDC,00338020604,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,465.0,232.5,65.33,418.5,66
NDC,00338021001,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,289.0,144.5,63.03,260.1,66
NDC,00338021006,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,289.0,144.5,63.03,260.1,66
NDC,00338021401,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,405.0,202.5,65.33,364.5,66
NDC,00338021404,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,405.0,202.5,65.33,364.5,66
NDC,00338022103,ELECTROLYTE-A INTRAVENOUS SOLUTION,61.0,30.5,13.3,54.9,65
NDC,00338022104,ELECTROLYTE-A INTRAVENOUS SOLUTION,61.0,30.5,13.3,54.9,65
NDC,00338028947,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,72.0,36.0,15.7,64.8,65
NDC,00338032201,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",325.8,162.9,71.06,293.22,65
NDC,00338032401,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",325.8,162.9,71.06,293.22,65
NDC,00338032601,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",1303.2,651.6,284.23,1172.88,65
NDC,00338032801,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",1303.2,651.6,284.23,1172.88,65
NDC,00338033001,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",1322.15,661.08,288.36,1189.94,65
NDC,00338035702,MANNITOL 20 % INTRAVENOUS SOLUTION,242.5,121.25,52.89,218.25,65
NDC,00338035703,MANNITOL 20 % INTRAVENOUS SOLUTION,283.0,141.5,61.72,254.7,65
NDC,00338040903,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,67.0,33.5,0.01,60.3,70
NDC,00338041102,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,58.0,29.0,0.01,52.2,70
NDC,00338042418,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",49.0,24.5,0.3,44.1,66
NDC,00338043103,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",46.0,23.0,0.3,41.4,66
NDC,00338049906,PARENTERAL AMINO ACID 20 % COMBINATION NO.1 INTRAVENOUS SOLUTION,585.0,292.5,65.33,526.5,66
NDC,00338050203,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,370.0,185.0,65.33,333.0,66
NDC,00338050206,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,425.0,212.5,65.33,382.5,66
NDC,00338050348,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,48.0,24.0,2.98,43.2,66
NDC,00338050548,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,48.3,24.15,10.53,65.33,66
NDC,00338050741,GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,47.85,23.93,10.44,65.33,66
NDC,00338050748,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,46.0,23.0,10.03,65.33,66
NDC,00338050941,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,47.95,23.98,2.98,43.16,66
NDC,00338051141,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,48.15,24.08,2.98,43.34,66
NDC,00338051909,FAT EMULSION 20 % INTRAVENOUS,73.5,36.75,16.03,66.15,65
NDC,00338051913,FAT EMULSION 20 % INTRAVENOUS,96.0,48.0,20.94,86.4,65
NDC,00338051958,FAT EMULSION 20 % INTRAVENOUS,64.8,32.4,14.13,58.32,65
NDC,00338052013,FAT EMULSION 30 % INTRAVENOUS,147.0,73.5,32.06,132.3,65
NDC,00338064404,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,157.0,78.5,34.24,141.3,66
NDC,00338064406,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,277.0,138.5,60.41,249.3,66
NDC,00338065604,ACETIC ACID 0.25 % IRRIGATION SOLUTION,42.0,21.0,9.16,37.8,65
NDC,00338066304,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,61.0,30.5,13.3,65.33,66
NDC,00338066904,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,61.0,30.5,13.3,65.33,66
NDC,00338067103,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,52.0,26.0,11.34,65.33,66
NDC,00338067104,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,49.0,24.5,10.69,65.33,66
NDC,00338067304,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,61.0,30.5,13.3,65.33,66
NDC,00338067504,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,61.0,30.5,13.3,65.33,66
NDC,00338068304,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,67.0,33.5,14.61,65.33,66
NDC,00338069104,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,61.0,30.5,13.3,65.33,66
NDC,00338069504,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,67.0,33.5,14.61,65.33,66
NDC,00338070341,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,45.1,22.55,0.13,40.59,66
NDC,00338070348,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,46.0,23.0,10.03,65.33,66
NDC,00338070434,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,55.0,27.5,12.0,65.33,66
NDC,00338070541,POTASSIUM CHLORIDE 10 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,46.0,23.0,10.03,65.33,66
NDC,00338070548,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,46.0,23.0,0.13,41.4,66
NDC,00338070948,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,46.6,23.3,0.13,41.94,66
NDC,00338072201,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,458.3,229.15,4.44,412.47,71
NDC,00338080304,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,61.0,30.5,13.3,65.33,66
NDC,00338080704,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,61.0,30.5,13.3,65.33,66
NDC,00338081104,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,67.0,33.5,14.61,65.33,66
NDC,00338100502,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,88.0,44.0,19.19,79.2,65
NDC,00338100702,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",103.0,51.5,22.46,92.7,65
NDC,00338100703,"DOPAMINE 800 MG/500 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",145.0,72.5,31.62,130.5,65
NDC,00338100902,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",134.5,67.25,29.33,121.05,65
NDC,00338101741,NAFCILLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,133.3,66.65,29.07,119.97,65
NDC,00338101948,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,220.0,110.0,47.98,198.0,65
NDC,00338102541,PENICILLIN G POT 3 MILLION UNIT/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,110.5,55.25,0.86,99.45,66
NDC,00338104702,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE  INTRAVENOUS,139.0,69.5,1.38,125.1,66
NDC,00338104902,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,149.5,74.75,1.38,134.55,66
NDC,00338105102,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,161.5,80.75,1.38,145.35,66
NDC,00338105548,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.0,23.0,0.02,41.4,66
NDC,00338107302,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,88.0,44.0,19.19,79.2,66
NDC,00338107502,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",128.5,64.25,10.93,115.65,66
NDC,00338107702,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",158.5,79.25,10.93,142.65,66
NDC,00338108904,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,315.0,157.5,65.33,283.5,66
NDC,00338109104,AMINO ACID 4.25 % NO.1 IN DEXTROSE 10 % INTRAVENOUS SOLUTION,315.0,157.5,65.33,283.5,66
NDC,00338109904,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,365.0,182.5,65.33,328.5,66
NDC,00338110104,AMINO ACID 5 % NO.6 IN DEXTROSE 20 % INTRAVENOUS SOLUTION,365.0,182.5,65.33,328.5,66
NDC,00338111304,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,325.0,162.5,65.33,292.5,66
NDC,00338111504,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,325.0,162.5,65.33,292.5,66
NDC,00338112304,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,305.0,152.5,65.33,274.5,66
NDC,00338112504,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,305.0,152.5,65.33,274.5,66
NDC,00338113003,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,211.0,105.5,46.02,189.9,65
NDC,00338113004,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,290.0,145.0,63.25,261.0,65
NDC,00338113303,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,217.0,108.5,47.33,195.3,66
NDC,00338113403,AMINO ACID 4.25 % NO.1 IN DEXTROSE 10 % INTRAVENOUS SOLUTION,223.0,111.5,48.64,200.7,66
NDC,00338113703,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,241.0,120.5,52.56,216.9,66
NDC,00338113803,AMINO ACID 5 % NO.6 IN DEXTROSE 20 % INTRAVENOUS SOLUTION,241.0,120.5,52.56,216.9,66
NDC,00338114203,AMINO ACID 2.75 % NO.2-DEXTROSE 5 %-ELECTROLYTES NO.29 IV SOLUTION,211.0,105.5,46.02,189.9,66
NDC,00338114403,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,217.0,108.5,47.33,195.3,66
NDC,00338114503,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,205.0,102.5,44.71,184.5,66
NDC,00338114703,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00338114803,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00338130501,MESNA 100 MG/ML INTRAVENOUS SOLUTION,71.9,35.95,1.52,64.71,66
NDC,00338170840,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.1,22.55,0.77,40.59,66
NDC,00338170940,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,46.3,23.15,0.77,41.67,66
NDC,00338171540,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.3,23.65,0.77,42.57,66
NDC,00338171940,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,47.35,23.68,0.77,42.62,66
NDC,00338341024,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.9,23.95,2.03,43.11,66
NDC,00338341050,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.9,23.95,2.03,43.11,66
NDC,00338350341,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,61.9,30.95,1.32,55.71,66
NDC,00338350841,CEFAZOLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,94.6,47.3,1.32,85.14,66
NDC,00338355148,VANCOMYCIN 500 MG/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,74.8,37.4,16.31,67.32,65
NDC,00338355248,VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,197.8,98.9,43.14,178.02,65
NDC,00338358101,VANCOMYCIN 500 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,69.4,34.7,15.14,62.46,65
NDC,00338358201,VANCOMYCIN 750 MG/150 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,102.4,51.2,22.33,92.16,65
NDC,00338361224,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,49.6,24.8,2.03,44.64,66
NDC,00338361250,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,49.6,24.8,2.03,44.64,66
NDC,00338361624,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,49.6,24.8,2.03,44.64,66
NDC,00338361650,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,49.6,24.8,2.03,44.64,66
NDC,00338381424,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.6,27.8,2.03,50.04,66
NDC,00338381450,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.6,27.8,2.03,50.04,66
NDC,00338399301,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,487.55,243.78,29.69,438.8,66
NDC,00338411424,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.6,27.8,2.03,50.04,66
NDC,00338411450,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,55.6,27.8,2.03,50.04,66
NDC,00338500241,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,293.75,146.88,0.55,264.38,66
NDC,00338601137,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,196.6,98.3,1.73,176.94,66
NDC,00338604537,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,55.0,27.5,12.0,65.33,66
NDC,00338604648,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,50.8,25.4,3.1,45.72,66
NDC,00338702001,AMINO ACID 2.75 % NO.2-DEXTROSE 5 %-ELECTROLYTES NO.29 IV SOLUTION,235.0,117.5,51.25,211.5,66
NDC,00338702006,AMINO ACID 2.75 % NO.2-DEXTROSE 5 %-ELECTROLYTES NO.29 IV SOLUTION,235.0,117.5,51.25,211.5,66
NDC,00338702201,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,241.0,120.5,52.56,216.9,66
NDC,00338702206,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,241.0,120.5,52.56,216.9,66
NDC,00338702401,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,325.0,162.5,65.33,292.5,66
NDC,00338702404,AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION,325.0,162.5,65.33,292.5,66
NDC,00338702601,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,235.0,117.5,51.25,211.5,66
NDC,00338702606,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,235.0,117.5,51.25,211.5,66
NDC,00338702801,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,295.0,147.5,64.34,265.5,66
NDC,00338702804,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,295.0,147.5,64.34,265.5,66
NDC,00338703001,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00338703006,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00338703201,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,375.0,187.5,65.33,337.5,66
NDC,00338703204,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,375.0,187.5,65.33,337.5,66
NDC,00338703401,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00338703406,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,265.0,132.5,57.8,238.5,66
NDC,00338703601,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,375.0,187.5,65.33,337.5,66
NDC,00338703604,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,375.0,187.5,65.33,337.5,66
NDC,00338954002,FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS,100.5,50.25,16.62,90.45,70
NDC,00338954006,FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS,100.5,50.25,16.62,90.45,70
NDC,00338954124,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.2,23.1,0.02,41.58,66
NDC,00338954924,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,49.6,24.8,1.87,44.64,66
NDC,00338954950,CLINDAMYCIN 600 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,49.6,24.8,1.87,44.64,66
NDC,00338955324,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,55.6,27.8,1.87,50.04,66
NDC,00338955350,CLINDAMYCIN 900 MG/50 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,55.6,27.8,1.87,50.04,66
NDC,00338955712,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,97.0,48.5,21.16,87.3,65
NDC,00338955810,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,321.0,160.5,24.87,288.9,66
NDC,00362026205,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:50,000 INJECTION CARTRIDGE",21.0,10.5,4.58,18.9,65
NDC,00362055705,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",21.9,10.95,4.78,19.71,65
NDC,00362089805,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",20.85,10.43,4.55,18.77,65
NDC,00378001401,METHOTREXATE SODIUM 2.5 MG TABLET,1146.5,573.25,250.05,1031.85,65
NDC,00378001801,METOPROLOL TARTRATE 25 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,00378001805,METOPROLOL TARTRATE 25 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,00378002301,DILTIAZEM 30 MG TABLET,76.2,38.1,16.62,68.58,65
NDC,00378002305,DILTIAZEM 30 MG TABLET,342.5,171.25,74.7,308.25,65
NDC,00378002801,NADOLOL 20 MG TABLET,235.2,117.6,51.3,211.68,65
NDC,00378003201,METOPROLOL TARTRATE 50 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,00378005201,PINDOLOL 5 MG TABLET,368.0,184.0,80.26,331.2,65
NDC,00378007801,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,00378008101,CAPTOPRIL 25 MG-HYDROCHLOROTHIAZIDE 15 MG TABLET,452.5,226.25,98.69,407.25,65
NDC,00378008501,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,178.2,89.1,38.87,160.38,65
NDC,00378008801,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",271.2,135.6,59.15,244.08,65
NDC,00378009401,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",326.5,163.25,71.21,293.85,65
NDC,00378013701,ALLOPURINOL 100 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,00378014491,TAMOXIFEN 10 MG TABLET,42.85,21.43,9.35,38.57,65
NDC,00378018101,ALLOPURINOL 300 MG TABLET,281.0,140.5,61.29,252.9,65
NDC,00378018201,PROPRANOLOL 10 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,00378018210,PROPRANOLOL 10 MG TABLET,1425.0,712.5,310.79,1282.5,65
NDC,00378018301,PROPRANOLOL 20 MG TABLET,196.8,98.4,42.92,177.12,65
NDC,00378018401,PROPRANOLOL 40 MG TABLET,279.6,139.8,60.98,251.64,65
NDC,00378021401,HALOPERIDOL 2 MG TABLET,285.6,142.8,62.29,257.04,65
NDC,00378021601,FUROSEMIDE 40 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,00378022101,TIMOLOL 10 MG TABLET,630.0,315.0,137.4,567.0,65
NDC,00378022201,CHLORTHALIDONE 25 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,00378023201,FUROSEMIDE 80 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,00378025501,ALBUTEROL SULFATE 2 MG TABLET,2350.0,1175.0,512.54,2115.0,65
NDC,00378025701,HALOPERIDOL 1 MG TABLET,184.2,92.1,40.17,165.78,65
NDC,00378025710,HALOPERIDOL 1 MG TABLET,1535.0,767.5,334.78,1381.5,65
NDC,00378027493,TAMOXIFEN 20 MG TABLET,53.5,26.75,11.67,48.15,65
NDC,00378032701,HALOPERIDOL 5 MG TABLET,403.5,201.75,88.0,363.15,65
NDC,00378032710,HALOPERIDOL 5 MG TABLET,3228.0,1614.0,704.03,2905.2,65
NDC,00378034501,DIAZEPAM 5 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,00378035101,HALOPERIDOL 0.5 MG TABLET,143.4,71.7,31.28,129.06,65
NDC,00378035110,HALOPERIDOL 0.5 MG TABLET,1300.0,650.0,283.53,1170.0,65
NDC,00378037301,HYDROXYCHLOROQUINE 200 MG TABLET,198.0,99.0,43.18,178.2,65
NDC,00378041501,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,334.0,167.0,72.85,300.6,65
NDC,00378041510,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,2340.0,1170.0,510.35,2106.0,65
NDC,00378042101,METHYLDOPA 500 MG TABLET,148.2,74.1,32.32,133.38,65
NDC,00378043301,BUPROPION HCL 75 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,00378043501,BUPROPION HCL 100 MG TABLET,282.0,141.0,61.5,253.8,65
NDC,00378043701,SPIRONOLACTONE 100 MG TABLET,384.0,192.0,83.75,345.6,65
NDC,00378047201,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",277.2,138.6,60.46,249.48,65
NDC,00378047301,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",462.5,231.25,100.87,416.25,65
NDC,00378047701,DIAZEPAM 10 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,00378050301,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,00378050991,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",8635.7,4317.85,1883.45,7772.13,65
NDC,00378057401,PERPHENAZINE-AMITRIPTYLINE 4 MG-25 MG TABLET,742.0,371.0,161.83,667.8,65
NDC,00378057701,AMILORIDE 5 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,238.2,119.1,51.95,214.38,65
NDC,00378061101,METHYLDOPA 250 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,00378061201,THIORIDAZINE 10 MG TABLET,250.2,125.1,54.57,225.18,65
NDC,00378061401,THIORIDAZINE 25 MG TABLET,327.5,163.75,71.43,294.75,65
NDC,00378061601,THIORIDAZINE 50 MG TABLET,246.6,123.3,53.78,221.94,65
NDC,00378061801,THIORIDAZINE 100 MG TABLET,353.5,176.75,77.1,318.15,65
NDC,00378064110,PREDNISONE 10 MG TABLET,540.0,270.0,117.77,486.0,65
NDC,00378064201,PREDNISONE 20 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,00378082501,CLOZAPINE 25 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,00378086001,CLOZAPINE 100 MG TABLET,395.5,197.75,86.26,355.95,65
NDC,00378087116,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,78.5,39.25,17.12,70.65,65
NDC,00378087199,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,261.7,130.85,57.08,235.53,65
NDC,00378087216,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,120.55,60.28,26.29,108.5,65
NDC,00378087299,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,401.8,200.9,87.63,361.62,65
NDC,00378087316,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,153.8,76.9,33.54,138.42,65
NDC,00378087399,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,512.6,256.3,111.8,461.34,65
NDC,00378102077,NICARDIPINE 20 MG CAPSULE,745.65,372.83,162.63,671.09,65
NDC,00378102593,DONEPEZIL 23 MG TABLET,253.05,126.53,55.19,227.75,65
NDC,00378103077,EPLERENONE 25 MG TABLET,178.75,89.38,38.99,160.88,65
NDC,00378103093,EPLERENONE 25 MG TABLET,59.6,29.8,13.0,53.64,65
NDC,00378103177,EPLERENONE 50 MG TABLET,585.45,292.73,127.69,526.91,65
NDC,00378104901,DOXEPIN 10 MG CAPSULE,234.0,117.0,51.04,210.6,65
NDC,00378108693,COLCHICINE 0.6 MG TABLET,280.5,140.25,61.18,252.45,65
NDC,00378110101,PRAZOSIN 1 MG CAPSULE,253.5,126.75,55.29,228.15,65
NDC,00378110110,PRAZOSIN 1 MG CAPSULE,2235.0,1117.5,487.45,2011.5,65
NDC,00378110505,GLIPIZIDE 5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00378113301,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,115.8,57.9,25.26,104.22,65
NDC,00378114001,BUSPIRONE 5 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,00378114501,BUSPIRONE 7.5 MG TABLET,273.0,136.5,59.54,245.7,65
NDC,00378115001,BUSPIRONE 10 MG TABLET,65.4,32.7,14.26,58.86,65
NDC,00378115005,BUSPIRONE 10 MG TABLET,252.5,126.25,55.07,227.25,65
NDC,00378116591,BUSPIRONE 15 MG TABLET,44.3,22.15,9.66,39.87,65
NDC,00378125891,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",1630.2,815.1,355.55,1467.18,65
NDC,00378127193,RASAGILINE 1 MG TABLET,1410.75,705.38,307.68,1269.68,65
NDC,00378135201,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,162.6,81.3,35.46,146.34,65
NDC,00378145001,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",228.6,114.3,49.86,205.74,65
NDC,00378145201,ESTRADIOL 0.5 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,00378145401,ESTRADIOL 1 MG TABLET,72.6,36.3,15.83,65.34,65
NDC,00378156001,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,285.6,142.8,62.29,257.04,65
NDC,00378161001,DICYCLOMINE 10 MG CAPSULE,24.0,12.0,5.23,21.6,65
NDC,00378161005,DICYCLOMINE 10 MG CAPSULE,93.0,46.5,20.28,83.7,65
NDC,00378163132,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,51.5,25.75,11.23,46.35,65
NDC,00378163193,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,51.5,25.75,11.23,46.35,65
NDC,00378165777,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,50.25,25.13,10.96,45.23,65
NDC,00378173001,URSODIOL 300 MG CAPSULE,1216.5,608.25,265.32,1094.85,65
NDC,00378180010,LEVOTHYROXINE 25 MCG TABLET,1525.0,762.5,332.6,1372.5,65
NDC,00378180077,LEVOTHYROXINE 25 MCG TABLET,156.6,78.3,34.15,140.94,65
NDC,00378180310,LEVOTHYROXINE 50 MCG TABLET,1735.0,867.5,378.4,1561.5,65
NDC,00378180377,LEVOTHYROXINE 50 MCG TABLET,177.15,88.58,38.64,159.44,65
NDC,00378180577,LEVOTHYROXINE 75 MCG TABLET,195.5,97.75,42.64,175.95,65
NDC,00378180710,LEVOTHYROXINE 88 MCG TABLET,2065.0,1032.5,450.38,1858.5,65
NDC,00378180777,LEVOTHYROXINE 88 MCG TABLET,200.9,100.45,43.82,180.81,65
NDC,00378180910,LEVOTHYROXINE 100 MCG TABLET,1955.0,977.5,426.39,1759.5,65
NDC,00378180977,LEVOTHYROXINE 100 MCG TABLET,200.35,100.18,43.7,180.32,65
NDC,00378181110,LEVOTHYROXINE 112 MCG TABLET,2010.0,1005.0,438.38,1809.0,65
NDC,00378181177,LEVOTHYROXINE 112 MCG TABLET,103.7,51.85,22.62,93.33,65
NDC,00378181310,LEVOTHYROXINE 125 MCG TABLET,2475.0,1237.5,539.8,2227.5,65
NDC,00378181377,LEVOTHYROXINE 125 MCG TABLET,235.45,117.73,51.35,211.91,65
NDC,00378181510,LEVOTHYROXINE 150 MCG TABLET,2470.0,1235.0,538.71,2223.0,65
NDC,00378181577,LEVOTHYROXINE 150 MCG TABLET,241.95,120.98,52.77,217.76,65
NDC,00378181710,LEVOTHYROXINE 175 MCG TABLET,2248.0,1124.0,490.29,2023.2,65
NDC,00378181777,LEVOTHYROXINE 175 MCG TABLET,290.0,145.0,63.25,261.0,65
NDC,00378181977,LEVOTHYROXINE 200 MCG TABLET,290.0,145.0,63.25,261.0,65
NDC,00378182377,LEVOTHYROXINE 137 MCG TABLET,240.3,120.15,52.41,216.27,65
NDC,00378190101,MIDODRINE 2.5 MG TABLET,246.6,123.3,53.78,221.94,65
NDC,00378190201,MIDODRINE 5 MG TABLET,193.8,96.9,42.27,174.42,65
NDC,00378200201,THIOTHIXENE 2 MG CAPSULE,628.0,314.0,136.97,565.2,65
NDC,00378204501,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",259.8,129.9,0.26,233.82,66
NDC,00378204601,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",433.0,216.5,0.26,389.7,66
NDC,00378209601,"NISOLDIPINE ER 8.5 MG TABLET,EXTENDED RELEASE 24 HR",1811.5,905.75,395.09,1630.35,65
NDC,00378214601,SPIRONOLACTONE 25 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,00378222201,"NISOLDIPINE ER 20 MG TABLET,EXTENDED RELEASE 24 HR",3525.2,1762.6,768.85,3172.68,65
NDC,00378224577,IMATINIB 100 MG TABLET,1234.35,617.18,269.21,1110.92,65
NDC,00378226801,TERAZOSIN 5 MG CAPSULE,48.0,24.0,10.47,43.2,65
NDC,00378230201,PRAZOSIN 2 MG CAPSULE,255.0,127.5,55.62,229.5,65
NDC,00378235093,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",119.35,59.68,26.03,107.42,65
NDC,00378235177,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",298.35,149.18,65.07,268.52,65
NDC,00378235193,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",119.35,59.68,26.03,107.42,65
NDC,00378240201,TRIFLUOPERAZINE 2 MG TABLET,444.5,222.25,96.95,400.05,65
NDC,00378240501,TRIFLUOPERAZINE 5 MG TABLET,403.5,201.75,88.0,363.15,65
NDC,00378251278,CAPECITABINE 500 MG TABLET,3828.0,1914.0,0.04,3445.2,70
NDC,00378253701,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,125.4,62.7,27.35,112.86,65
NDC,00378267001,PHENYTOIN SODIUM EXTENDED 200 MG CAPSULE,677.5,338.75,147.76,609.75,65
NDC,00378268501,AMITRIPTYLINE 100 MG TABLET,525.5,262.75,114.61,472.95,65
NDC,00378292193,TELMISARTAN 40 MG TABLET,178.4,89.2,38.91,160.56,65
NDC,00378292293,TELMISARTAN 80 MG TABLET,79.05,39.53,17.24,71.15,65
NDC,00378300501,THIOTHIXENE 5 MG CAPSULE,952.5,476.25,207.74,857.25,65
NDC,00378301201,CAPTOPRIL 25 MG TABLET,542.5,271.25,118.32,488.25,65
NDC,00378302501,CLOMIPRAMINE 25 MG CAPSULE,3543.6,1771.8,772.86,3189.24,65
NDC,00378311001,TEMAZEPAM 7.5 MG CAPSULE,2586.4,1293.2,564.09,2327.76,65
NDC,00378312501,DOXEPIN 25 MG CAPSULE,256.5,128.25,55.94,230.85,65
NDC,00378320501,PRAZOSIN 5 MG CAPSULE,580.0,290.0,126.5,522.0,65
NDC,00378326632,ETOPOSIDE 50 MG CAPSULE,348.25,174.13,75.95,313.43,65
NDC,00378326694,ETOPOSIDE 50 MG CAPSULE,5571.4,2785.7,1215.12,5014.26,65
NDC,00378334916,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,87.75,43.88,19.14,78.98,65
NDC,00378334999,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,292.4,146.2,63.77,263.16,65
NDC,00378335016,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.95,44.48,19.4,80.06,65
NDC,00378335099,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,296.4,148.2,64.64,266.76,65
NDC,00378335116,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.15,44.08,19.23,79.34,65
NDC,00378335199,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,293.8,146.9,64.08,264.42,65
NDC,00378335216,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.0,44.0,19.19,79.2,65
NDC,00378335299,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,293.3,146.65,63.97,263.97,65
NDC,00378336016,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,91.9,45.95,20.04,82.71,65
NDC,00378336099,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,306.2,153.1,66.78,275.58,65
NDC,00378336116,ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH,88.55,44.28,19.31,79.7,65
NDC,00378336199,ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH,295.1,147.55,64.36,265.59,65
NDC,00378343193,ARMODAFINIL 50 MG TABLET,180.75,90.38,39.42,162.68,65
NDC,00378343293,ARMODAFINIL 150 MG TABLET,247.35,123.68,53.95,222.62,65
NDC,00378343393,ARMODAFINIL 250 MG TABLET,245.9,122.95,53.63,221.31,65
NDC,00378351501,MIRTAZAPINE 15 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,00378351593,MIRTAZAPINE 15 MG TABLET,52.6,26.3,11.47,47.34,65
NDC,00378352091,FOSAMPRENAVIR 700 MG TABLET,3327.85,1663.93,725.8,2995.07,65
NDC,00378354752,MERCAPTOPURINE 50 MG TABLET,209.85,104.93,45.77,188.87,65
NDC,00378363101,CARVEDILOL 3.125 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,00378363105,CARVEDILOL 3.125 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,00378363201,CARVEDILOL 6.25 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,00378363205,CARVEDILOL 6.25 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,00378363301,CARVEDILOL 12.5 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,00378363305,CARVEDILOL 12.5 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,00378363401,CARVEDILOL 25 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,00378363405,CARVEDILOL 25 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,00378375093,PHENYTOIN SODIUM EXTENDED 300 MG CAPSULE,302.85,151.43,66.05,272.57,65
NDC,00378392593,FEBUXOSTAT 40 MG TABLET,379.5,189.75,82.77,341.55,65
NDC,00378395077,ATORVASTATIN 10 MG TABLET,51.85,25.93,11.31,46.67,65
NDC,00378395205,ATORVASTATIN 40 MG TABLET,385.0,192.5,83.97,346.5,65
NDC,00378395277,ATORVASTATIN 40 MG TABLET,82.65,41.33,18.03,74.39,65
NDC,00378395305,ATORVASTATIN 80 MG TABLET,315.0,157.5,68.7,283.5,65
NDC,00378395377,ATORVASTATIN 80 MG TABLET,68.05,34.03,14.84,61.25,65
NDC,00378397893,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",762.15,381.08,166.22,685.94,65
NDC,00378397993,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",2726.55,1363.28,594.66,2453.9,65
NDC,00378398093,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",986.25,493.13,215.1,887.63,65
NDC,00378398193,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",4089.75,2044.88,891.97,3680.78,65
NDC,00378405091,NEVIRAPINE 200 MG TABLET,42.85,21.43,9.35,38.57,65
NDC,00378408001,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",2318.4,1159.2,505.64,2086.56,65
NDC,00378410591,ABACAVIR 300 MG TABLET,876.9,438.45,191.25,789.21,65
NDC,00378412201,"ALBUTEROL SULFATE ER 4 MG TABLET,EXTENDED RELEASE,12 HR",663.0,331.5,144.6,596.7,65
NDC,00378415101,TRAMADOL 50 MG TABLET,28.2,14.1,6.15,25.38,65
NDC,00378415105,TRAMADOL 50 MG TABLET,138.0,69.0,30.1,124.2,65
NDC,00378416201,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,1568.5,784.25,342.09,1411.65,65
NDC,00378420178,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",2038.2,1019.1,444.53,1834.38,65
NDC,00378420278,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",3260.65,1630.33,711.15,2934.59,65
NDC,00378425001,DOXEPIN 50 MG CAPSULE,398.0,199.0,86.8,358.2,65
NDC,00378427577,VALACYCLOVIR 500 MG TABLET,193.9,96.95,42.29,174.51,65
NDC,00378427593,VALACYCLOVIR 500 MG TABLET,66.45,33.23,14.49,59.81,65
NDC,00378428732,ELETRIPTAN 20 MG TABLET,13.95,6.98,3.04,12.56,65
NDC,00378428808,ELETRIPTAN 40 MG TABLET,294.8,147.4,64.3,265.32,65
NDC,00378447201,MYCOPHENOLATE MOFETIL 500 MG TABLET,453.5,226.75,98.91,408.15,65
NDC,00378454101,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00378454301,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00378459577,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",337.05,168.53,73.51,303.35,65
NDC,00378459677,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",337.05,168.53,73.51,303.35,65
NDC,00378459877,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",895.95,447.98,195.41,806.36,65
NDC,00378464216,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,52.6,26.3,11.47,47.34,65
NDC,00378464226,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,350.6,175.3,76.47,315.54,65
NDC,00378500193,EXEMESTANE 25 MG TABLET,500.7,250.35,109.2,450.63,65
NDC,00378505201,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,408.0,204.0,88.98,367.2,65
NDC,00378510093,ITRACONAZOLE 100 MG CAPSULE,723.3,361.65,157.75,650.97,65
NDC,00378510501,PROCHLORPERAZINE MALEATE 5 MG TABLET,25.8,12.9,5.63,23.22,65
NDC,00378512301,SOTALOL 80 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,00378518693,PRASUGREL HCL 10 MG TABLET,166.35,83.18,36.28,149.72,65
NDC,00378537501,DOXEPIN 75 MG CAPSULE,581.0,290.5,126.72,522.9,65
NDC,00378550101,ROPINIROLE 1 MG TABLET,280.8,140.4,61.24,252.72,65
NDC,00378550201,ROPINIROLE 2 MG TABLET,297.6,148.8,64.91,267.84,65
NDC,00378550401,ROPINIROLE 4 MG TABLET,257.0,128.5,56.05,231.3,65
NDC,00378555001,ROPINIROLE 0.5 MG TABLET,297.6,148.8,64.91,267.84,65
NDC,00378557593,MODAFINIL 200 MG TABLET,441.45,220.73,96.28,397.31,65
NDC,00378561378,LEVETIRACETAM 250 MG TABLET,254.9,127.45,55.59,229.41,65
NDC,00378561505,LEVETIRACETAM 500 MG TABLET,1172.5,586.25,255.72,1055.25,65
NDC,00378561578,LEVETIRACETAM 500 MG TABLET,293.4,146.7,63.99,264.06,65
NDC,00378563059,SUMATRIPTAN 25 MG TABLET,54.9,27.45,11.97,49.41,65
NDC,00378563159,SUMATRIPTAN 50 MG TABLET,40.75,20.38,8.89,36.68,65
NDC,00378580793,VALSARTAN 40 MG TABLET,48.1,24.05,10.49,43.29,65
NDC,00378581377,VALSARTAN 80 MG TABLET,179.85,89.93,39.23,161.87,65
NDC,00378581477,VALSARTAN 160 MG TABLET,239.8,119.9,52.3,215.82,65
NDC,00378606001,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",1269.0,634.5,276.77,1142.1,65
NDC,00378609001,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",1450.0,725.0,316.25,1305.0,65
NDC,00378615501,DIGOXIN 125 MCG (0.125 MG) TABLET,255.6,127.8,55.75,230.04,65
NDC,00378615601,DIGOXIN 250 MCG (0.25 MG) TABLET,256.2,128.1,55.88,230.58,65
NDC,00378617201,METOLAZONE 2.5 MG TABLET,750.5,375.25,163.68,675.45,65
NDC,00378617301,METOLAZONE 5 MG TABLET,853.0,426.5,186.04,767.7,65
NDC,00378617401,METOLAZONE 10 MG TABLET,1021.5,510.75,222.79,919.35,65
NDC,00378623201,CITALOPRAM 20 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,00378623301,CITALOPRAM 40 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,00378632001,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",605.0,302.5,131.95,544.5,65
NDC,00378633380,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",475.2,237.6,103.64,427.68,65
NDC,00378638001,"VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE",634.0,317.0,138.28,570.6,65
NDC,00378641001,DOXEPIN 100 MG CAPSULE,615.5,307.75,134.24,553.95,65
NDC,00378644001,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",715.0,357.5,155.94,643.5,65
NDC,00378647016,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,110.3,55.15,24.06,99.27,65
NDC,00378647044,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,2205.6,1102.8,481.04,1985.04,65
NDC,00378647097,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,918.95,459.48,200.42,827.06,65
NDC,00378647099,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,316.1,158.05,68.94,284.49,65
NDC,00378698132,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",36.0,18.0,7.85,32.4,65
NDC,00378698188,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",2398.4,1199.2,523.09,2158.56,65
NDC,00378698232,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",31.0,15.5,6.76,27.9,65
NDC,00378698285,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",1291.25,645.63,281.62,1162.13,65
NDC,00378698288,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",2066.0,1033.0,450.59,1859.4,65
NDC,00378699331,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,27.15,13.58,5.92,24.44,65
NDC,00378699393,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,27.15,13.58,5.92,24.44,65
NDC,00378699789,SODIUM CHLORIDE 3 % FOR NEBULIZATION,4.15,2.08,0.91,3.74,65
NDC,00378699889,SODIUM CHLORIDE 10 % FOR NEBULIZATION,3.9,1.95,0.85,3.51,65
NDC,00378700110,PAROXETINE 10 MG TABLET,570.0,285.0,124.32,513.0,65
NDC,00378700293,PAROXETINE 20 MG TABLET,24.5,12.25,5.34,22.05,65
NDC,00378710077,FENOFIBRATE 54 MG TABLET,253.35,126.68,55.26,228.02,65
NDC,00378715001,CELECOXIB 200 MG CAPSULE,743.5,371.75,162.16,669.15,65
NDC,00378715501,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",2067.5,1033.75,450.92,1860.75,65
NDC,00378716001,CELECOXIB 100 MG CAPSULE,449.0,224.5,97.93,404.1,65
NDC,00378717091,CELECOXIB 400 MG CAPSULE,740.1,370.05,161.42,666.09,65
NDC,00378729189,NORETHINDRONE ACETATE 5 MG TABLET,428.75,214.38,93.51,385.88,65
NDC,00378729653,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,99.0,49.5,21.59,89.1,65
NDC,00378797031,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,00378797052,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.15,1.58,0.36,2.84,66
NDC,00378797055,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,00378797062,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.15,1.58,0.36,2.84,66
NDC,00378797064,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.2,1.6,0.36,2.88,66
NDC,00378797091,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.2,1.6,0.36,2.88,66
NDC,00378797093,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.2,1.6,0.36,2.88,66
NDC,00378804321,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,400.2,200.1,87.28,360.18,65
NDC,00378808515,TRETINOIN 0.01 % TOPICAL GEL,246.9,123.45,53.85,222.21,65
NDC,00378815601,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",2476.0,1238.0,540.02,2228.4,65
NDC,00378827031,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00378827052,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.2,1.6,0.7,2.88,65
NDC,00378827055,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00378827062,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.2,1.6,0.7,2.88,65
NDC,00378827064,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.2,1.6,0.7,2.88,65
NDC,00378827091,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.2,1.6,0.7,2.88,65
NDC,00378827093,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00378870006,ACYCLOVIR 5 % TOPICAL OINTMENT,346.8,173.4,75.64,312.12,65
NDC,00378871273,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,837.25,418.63,182.6,753.53,65
NDC,00378875006,DICLOFENAC 1 % TOPICAL GEL,214.2,107.1,46.72,192.78,65
NDC,00378876058,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,480.6,240.3,104.82,432.54,65
NDC,00378876516,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,9.85,4.93,2.15,8.87,66
NDC,00378876593,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,294.3,147.15,5.1,264.87,66
NDC,00378876616,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,20.3,10.15,4.43,18.27,66
NDC,00378876693,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,506.85,253.43,7.72,456.17,66
NDC,00378876716,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,14.25,7.13,3.11,12.83,66
NDC,00378876793,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,355.35,177.68,9.04,319.82,66
NDC,00378877035,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,789.9,394.95,172.28,710.91,65
NDC,00378905516,LIDOCAINE 5 % TOPICAL PATCH,22.35,11.18,4.87,20.12,65
NDC,00378907016,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,9.25,4.63,2.02,8.33,65
NDC,00378907093,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,277.4,138.7,60.5,249.66,65
NDC,00378907116,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,9.25,4.63,2.02,8.33,65
NDC,00378907193,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,277.4,138.7,60.5,249.66,65
NDC,00378907216,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,9.25,4.63,2.02,8.33,65
NDC,00378907293,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,277.4,138.7,60.5,249.66,65
NDC,00378908001,ENTACAPONE 200 MG TABLET,1582.0,791.0,345.03,1423.8,65
NDC,00378910216,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,3.5,1.75,0.76,3.15,65
NDC,00378910293,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,86.25,43.13,18.81,77.63,65
NDC,00378910416,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,3.45,1.73,0.75,3.11,65
NDC,00378910493,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,77.05,38.53,16.8,69.35,65
NDC,00378911216,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,3.75,1.88,0.82,3.38,65
NDC,00378911293,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,112.0,56.0,24.43,100.8,65
NDC,00378911616,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,4.3,2.15,0.94,3.87,65
NDC,00378911693,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,128.2,64.1,27.96,115.38,65
NDC,00378911916,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,68.25,34.13,14.89,61.43,65
NDC,00378911998,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,284.35,142.18,62.02,255.92,65
NDC,00378912116,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,28.7,14.35,6.26,25.83,65
NDC,00378912198,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,143.4,71.7,31.28,129.06,65
NDC,00378912216,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,50.95,25.48,11.11,45.86,65
NDC,00378912298,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,254.65,127.33,55.54,229.19,65
NDC,00378912316,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,427.7,213.85,93.28,384.93,65
NDC,00378912398,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,427.7,213.85,93.28,384.93,65
NDC,00378912416,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,126.4,63.2,27.57,113.76,65
NDC,00378912498,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,526.6,263.3,114.85,473.94,65
NDC,00378932132,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,684.6,342.3,149.31,616.14,65
NDC,00378932232,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,803.7,401.85,175.29,723.33,65
NDC,00378967130,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,00378967131,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,00378967160,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,00378967164,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,00378967193,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,00378969152,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,16.8,8.4,3.66,15.12,65
NDC,00378969162,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,16.8,8.4,3.66,15.12,65
NDC,00378969252,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,16.8,8.4,3.66,15.12,65
NDC,00378969262,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,16.8,8.4,3.66,15.12,65
NDC,00386000102,ETHYL CHLORIDE 100 % TOPICAL SPRAY,174.0,87.0,37.95,156.6,65
NDC,00386000103,ETHYL CHLORIDE 100 % TOPICAL SPRAY,185.15,92.58,40.38,166.64,65
NDC,00386000104,ETHYL CHLORIDE 100 % TOPICAL SPRAY,198.4,99.2,43.27,178.56,65
NDC,00386000111,ETHYL CHLORIDE 100 % TOPICAL SPRAY,165.0,82.5,35.99,148.5,65
NDC,00386000113,ETHYL CHLORIDE 100 % TOPICAL SPRAY,172.65,86.33,37.65,155.39,65
NDC,00386000404,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,189.35,94.68,41.3,170.42,65
NDC,00386000801,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,67.7,33.85,14.77,60.93,65
NDC,00386000802,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,179.6,89.8,39.17,161.64,65
NDC,00386000803,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,173.35,86.68,37.81,156.02,65
NDC,00386000804,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,67.7,33.85,14.77,60.93,65
NDC,00395060594,CITRIC ACID ANHYDROUS (BULK) 100 % GRANULES,65.1,32.55,14.2,58.59,65
NDC,00395277516,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,276.75,138.38,60.36,249.08,65
NDC,00404651205,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",21.0,10.5,4.58,18.9,65
NDC,00404673005,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE,21.05,10.53,3.65,18.95,66
NDC,00406012301,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,98.4,49.2,21.46,88.56,65
NDC,00406012305,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,297.0,148.5,64.78,267.3,65
NDC,00406012323,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,00406012362,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,174.6,87.3,38.08,157.14,65
NDC,00406012401,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,91.8,45.9,20.02,82.62,65
NDC,00406012405,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,330.0,165.0,71.97,297.0,65
NDC,00406012423,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,00406012462,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,217.8,108.9,47.5,196.02,65
NDC,00406012501,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,108.0,54.0,23.55,97.2,65
NDC,00406012505,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,342.5,171.25,74.7,308.25,65
NDC,00406012510,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,1005.0,502.5,219.19,904.5,65
NDC,00406012523,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,5.5,2.75,1.2,4.95,65
NDC,00406012562,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,271.8,135.9,59.28,244.62,65
NDC,00406012701,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",1052.5,526.25,229.55,947.25,65
NDC,00406015401,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",1365.5,682.75,297.82,1228.95,65
NDC,00406048401,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,138.0,69.0,30.1,124.2,65
NDC,00406048403,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,74.2,37.1,16.18,66.78,65
NDC,00406048423,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,00406048462,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,175.2,87.6,38.21,157.68,65
NDC,00406051201,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,106.8,53.4,23.29,96.12,65
NDC,00406051205,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,442.5,221.25,96.51,398.25,65
NDC,00406051223,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,00406051262,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,211.8,105.9,46.19,190.62,65
NDC,00406052201,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,108.0,54.0,23.55,97.2,65
NDC,00406052223,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,5.75,2.88,1.25,5.18,65
NDC,00406052262,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,371.5,185.75,81.02,334.35,65
NDC,00406052301,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,141.6,70.8,30.88,127.44,65
NDC,00406052323,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,5.8,2.9,1.26,5.22,65
NDC,00406052362,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,482.0,241.0,105.12,433.8,65
NDC,00406052710,METHADONE 10 MG/ML ORAL CONCENTRATE,234.0,117.0,51.04,210.6,65
NDC,00406055201,OXYCODONE 5 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,00406055223,OXYCODONE 5 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,00406055262,OXYCODONE 5 MG TABLET,148.8,74.4,32.45,133.92,65
NDC,00406067252,SUFENTANIL CITRATE (BULK) POWDER,9066.35,4533.18,1977.37,8159.72,65
NDC,00406114401,METHYLPHENIDATE 10 MG TABLET,166.8,83.4,36.38,150.12,65
NDC,00406117001,NALTREXONE 50 MG TABLET,787.0,393.5,171.64,708.3,65
NDC,00406117003,NALTREXONE 50 MG TABLET,181.3,90.65,39.54,163.17,65
NDC,00406123601,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,107.4,53.7,23.42,96.66,65
NDC,00406147301,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",581.0,290.5,126.72,522.9,65
NDC,00406181001,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",1231.0,615.5,268.48,1107.9,65
NDC,00406182001,"METHYLPHENIDATE CD 20 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",868.0,434.0,189.31,781.2,65
NDC,00406324301,HYDROMORPHONE 2 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00406324401,HYDROMORPHONE 4 MG TABLET,106.8,53.4,23.29,96.12,65
NDC,00406324901,HYDROMORPHONE 8 MG TABLET,267.6,133.8,58.36,240.84,65
NDC,00406412303,METHADONE 10 MG/ML ORAL CONCENTRATE,121.7,60.85,26.54,109.53,65
NDC,00406575501,METHADONE 5 MG TABLET,105.6,52.8,23.03,95.04,65
NDC,00406575523,METHADONE 5 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,00406575562,METHADONE 5 MG TABLET,136.2,68.1,29.71,122.58,65
NDC,00406577101,METHADONE 10 MG TABLET,234.6,117.3,51.17,211.14,65
NDC,00406577123,METHADONE 10 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,00406577162,METHADONE 10 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,00406622505,METHADONE 5 MG/5 ML ORAL SOLUTION,192.0,96.0,41.88,172.8,65
NDC,00406800312,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,309.6,154.8,67.52,278.64,65
NDC,00406800330,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,75.8,37.9,16.53,68.22,65
NDC,00406802003,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,206.5,103.25,9.04,185.85,66
NDC,00406831501,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",132.6,66.3,28.92,119.34,65
NDC,00406831523,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",5.5,2.75,1.2,4.95,65
NDC,00406831562,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",274.2,137.1,59.8,246.78,65
NDC,00406833001,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",169.8,84.9,37.03,152.82,65
NDC,00406833023,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",5.9,2.95,1.29,5.31,65
NDC,00406833062,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",488.5,244.25,106.54,439.65,65
NDC,00406838001,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",746.5,373.25,162.81,671.85,65
NDC,00406838023,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",10.75,5.38,2.34,9.68,65
NDC,00406838062,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",894.5,447.25,195.09,805.05,65
NDC,00406839001,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",361.5,180.75,78.84,325.35,65
NDC,00406839023,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",17.1,8.55,3.73,15.39,65
NDC,00406839062,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",1423.5,711.75,310.47,1281.15,65
NDC,00406851001,OXYCODONE 10 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,00406851023,OXYCODONE 10 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,00406851062,OXYCODONE 10 MG TABLET,166.8,83.4,36.38,150.12,65
NDC,00406851501,OXYCODONE 15 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,00406851523,OXYCODONE 15 MG TABLET,5.55,2.78,1.21,5.0,65
NDC,00406851562,OXYCODONE 15 MG TABLET,252.5,126.25,55.07,227.25,65
NDC,00406852001,OXYCODONE 20 MG TABLET,114.6,57.3,24.99,103.14,65
NDC,00406853001,OXYCODONE 30 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,00406853023,OXYCODONE 30 MG TABLET,5.05,2.53,1.1,4.55,65
NDC,00406855730,OXYCODONE 20 MG/ML ORAL CONCENTRATE,249.5,124.75,54.42,224.55,65
NDC,00406880601,CLOMIPRAMINE 25 MG CAPSULE,739.5,369.75,161.28,665.55,65
NDC,00406889101,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,279.6,139.8,60.98,251.64,65
NDC,00406889201,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,252.5,126.25,55.07,227.25,65
NDC,00406895101,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",419.5,209.75,91.49,377.55,65
NDC,00406895201,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",419.5,209.75,91.49,377.55,65
NDC,00406895301,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",419.5,209.75,91.49,377.55,65
NDC,00406895801,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,642.5,321.25,140.13,578.25,65
NDC,00406895901,DEXTROAMPHETAMINE SULFATE 10 MG TABLET,271.2,135.6,59.15,244.08,65
NDC,00406896001,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE",735.0,367.5,160.3,661.5,65
NDC,00406896101,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE",751.5,375.75,163.9,676.35,65
NDC,00406896201,"DEXTROAMPHETAMINE SULFATE ER 15 MG CAPSULE,EXTENDED RELEASE",1449.0,724.5,316.03,1304.1,65
NDC,00406900076,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,277.85,138.93,60.6,250.07,65
NDC,00406901276,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,275.35,137.68,60.05,247.82,65
NDC,00406902576,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,96.55,48.28,21.06,86.9,65
NDC,00406905076,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,153.9,76.95,33.57,138.51,65
NDC,00406907576,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,280.8,140.4,61.24,252.72,65
NDC,00406910076,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,616.95,308.48,134.56,555.26,65
NDC,00406911276,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,345.95,172.98,75.45,311.36,65
NDC,00406912576,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,189.0,94.5,41.22,170.1,65
NDC,00406915076,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,282.0,141.0,61.5,253.8,65
NDC,00406917576,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,447.5,223.75,97.6,402.75,65
NDC,00406991501,TEMAZEPAM 7.5 MG CAPSULE,10966.8,5483.4,2391.86,9870.12,65
NDC,00406991601,TEMAZEPAM 15 MG CAPSULE,12688.8,6344.4,2767.43,11419.92,65
NDC,00406996001,TEMAZEPAM 7.5 MG CAPSULE,1332.5,666.25,290.62,1199.25,65
NDC,00406996101,TEMAZEPAM 15 MG CAPSULE,52.8,26.4,11.52,47.52,65
NDC,00407140152,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,32.25,16.13,1.52,29.03,66
NDC,00407141110,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,99.4,49.7,1.52,89.46,66
NDC,00407141120,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,81.4,40.7,1.52,73.26,66
NDC,00407141208,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,29.0,14.5,0.4,26.1,66
NDC,00407141210,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,108.05,54.03,0.4,97.25,66
NDC,00407141220,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,114.2,57.1,0.4,102.78,66
NDC,00407141230,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,29.0,14.5,0.4,26.1,66
NDC,00407141233,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,51.5,25.75,0.4,46.35,66
NDC,00407141234,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,56.25,28.13,0.4,50.63,66
NDC,00407141235,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,1521.0,760.5,0.4,1368.9,66
NDC,00407141308,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,30.25,15.13,0.13,27.23,66
NDC,00407141310,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,99.75,49.88,0.13,89.78,66
NDC,00407141353,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,438.15,219.08,0.13,394.34,66
NDC,00407141358,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,30.9,15.45,0.13,27.81,66
NDC,00407141359,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,30.9,15.45,0.13,27.81,66
NDC,00407141361,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,30.25,15.13,0.13,27.23,66
NDC,00407141362,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,41.65,20.83,0.13,37.49,66
NDC,00407141363,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,58.0,29.0,0.13,52.2,66
NDC,00407141365,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,84.75,42.38,0.13,76.28,66
NDC,00407141366,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,95.0,47.5,0.13,85.5,66
NDC,00407141368,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,2015.0,1007.5,0.13,1813.5,66
NDC,00407141369,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,62.5,31.25,0.13,56.25,66
NDC,00407141372,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,277.5,138.75,0.13,249.75,66
NDC,00407141408,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,32.75,16.38,0.13,29.48,66
NDC,00407141448,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,210.0,105.0,0.13,189.0,66
NDC,00407141472,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,285.0,142.5,0.13,256.5,66
NDC,00407141476,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,58.15,29.08,0.13,52.34,66
NDC,00407141489,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,32.75,16.38,0.13,29.48,66
NDC,00407141490,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,57.75,28.88,0.13,51.98,66
NDC,00407141491,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,64.5,32.25,0.13,58.05,66
NDC,00407141493,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,88.5,44.25,0.13,79.65,66
NDC,00407141494,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,129.0,64.5,0.13,116.1,66
NDC,00407141498,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,2045.0,1022.5,0.13,1840.5,66
NDC,00407141509,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION,45.0,22.5,9.81,40.5,65
NDC,00407141612,IOHEXOL 12  MG IODINE/ML ORAL SOLUTION,47.5,23.75,10.36,42.75,65
NDC,00407222216,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,81.0,40.5,0.4,72.9,66
NDC,00407222217,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,162.0,81.0,0.4,145.8,66
NDC,00407222219,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,243.0,121.5,0.4,218.7,66
NDC,00407222221,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,324.0,162.0,0.4,291.6,66
NDC,00407222316,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,81.0,40.5,0.13,72.9,66
NDC,00407222317,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,162.0,81.0,0.13,145.8,66
NDC,00407222319,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,243.0,121.5,0.13,218.7,66
NDC,00407222321,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,324.0,162.0,0.13,291.6,66
NDC,00407222323,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,810.0,405.0,0.13,729.0,66
NDC,00407270703,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,702.0,351.0,153.11,631.8,65
NDC,00407270718,PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP,702.0,351.0,153.11,631.8,65
NDC,00407878701,"FLURPIRIDAZ F-18 190 MBQ/ML TO 2,050 MBQ/ML INTRAVENOUS SOLUTION",3157.8,1578.9,540.6,2842.02,69
NDC,00409000101,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,26.1,13.05,0.16,23.49,66
NDC,00409000125,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,26.1,13.05,0.16,23.49,66
NDC,00409000701,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",21.9,10.95,4.78,19.71,65
NDC,00409000710,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",21.9,10.95,4.78,19.71,65
NDC,00409000902,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.25,22.63,0.17,40.73,66
NDC,00409000925,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.25,22.63,0.17,40.73,66
NDC,00409006401,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,272.35,136.18,59.4,245.12,65
NDC,00409006410,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,272.35,136.18,59.4,245.12,65
NDC,00409012201,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,419.0,209.5,0.06,377.1,66
NDC,00409012501,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,48.8,24.4,10.64,43.92,65
NDC,00409012525,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,48.8,24.4,10.64,43.92,65
NDC,00409014411,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,77.1,38.55,2.89,69.39,66
NDC,00409014421,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,77.1,38.55,2.89,69.39,66
NDC,00409014701,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",21.65,10.83,4.72,19.49,65
NDC,00409014710,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",21.65,10.83,4.72,19.49,65
NDC,00409015201,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.5,23.25,0.02,41.85,66
NDC,00409015224,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.5,23.25,0.02,41.85,66
NDC,00409015501,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,125.8,62.9,27.44,113.22,65
NDC,00409015502,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,125.8,62.9,27.44,113.22,65
NDC,00409018101,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,00409018201,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,00409018225,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,00409018301,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,00409018501,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,00409018701,GEMCITABINE 2 GRAM INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,00409020102,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00409020110,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00409021202,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,48.2,24.1,1.73,43.38,66
NDC,00409021210,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,48.05,24.03,1.73,43.25,66
NDC,00409021211,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,48.2,24.1,1.73,43.38,66
NDC,00409022201,MEROPENEM 500 MG INTRAVENOUS SOLUTION,46.45,23.23,0.5,41.81,66
NDC,00409022210,MEROPENEM 500 MG INTRAVENOUS SOLUTION,46.45,23.23,0.5,41.81,66
NDC,00409030201,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.87,405.0,66
NDC,00409036601,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00409036701,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00409052813,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.15,23.58,1.01,42.44,66
NDC,00409052815,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.15,23.58,1.01,42.44,66
NDC,00409052823,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.5,23.75,1.01,42.75,66
NDC,00409052825,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.5,23.75,1.01,42.75,66
NDC,00409052831,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.15,24.08,1.01,43.34,66
NDC,00409052835,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.15,24.08,1.01,43.34,66
NDC,00409080101,PENTOSTATIN 10 MG INTRAVENOUS SOLUTION,9311.2,4655.6,2030.77,8380.08,71
NDC,00409082901,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,158.15,79.08,2.72,142.34,66
NDC,00409082911,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,158.15,79.08,2.72,142.34,66
NDC,00409083001,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,296.85,148.43,2.72,267.17,66
NDC,00409083011,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,296.85,148.43,2.72,267.17,66
NDC,00409100501,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",46.0,23.0,0.3,41.4,66
NDC,00409100520,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",46.0,23.0,0.3,41.4,66
NDC,00409104501,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.62,405.0,71
NDC,00409109812,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,38.3,19.15,8.35,34.47,65
NDC,00409110301,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,277.4,138.7,60.5,249.66,65
NDC,00409110311,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,277.4,138.7,60.5,249.66,65
NDC,00409110522,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,35.4,17.7,7.72,31.86,65
NDC,00409111301,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,929.3,464.65,202.68,836.37,65
NDC,00409113403,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,110.45,55.23,5.18,99.41,66
NDC,00409113405,MORPHINE 50 MG/ML INTRAVENOUS SOLUTION,181.0,90.5,5.18,162.9,66
NDC,00409114001,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,447.45,223.73,0.81,402.71,70
NDC,00409114102,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,46.0,23.0,10.03,41.4,65
NDC,00409114112,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,46.0,23.0,10.03,41.4,65
NDC,00409114402,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,91.3,45.65,19.91,82.17,65
NDC,00409114405,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,49.0,24.5,10.69,44.1,65
NDC,00409114462,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,91.3,45.65,19.91,82.17,65
NDC,00409114465,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,49.0,24.5,10.69,44.1,65
NDC,00409115901,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.2,23.6,10.29,42.48,65
NDC,00409115902,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.25,23.63,10.31,42.53,65
NDC,00409115909,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.45,23.23,10.13,41.81,65
NDC,00409115910,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.45,23.23,10.13,41.81,65
NDC,00409115918,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.2,23.6,10.29,42.48,65
NDC,00409115919,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.25,23.63,10.31,42.53,65
NDC,00409116001,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.7,23.85,10.4,42.93,65
NDC,00409116018,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.7,23.85,10.4,42.93,65
NDC,00409116201,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.1,23.05,10.05,41.49,65
NDC,00409116202,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.35,23.18,10.11,41.72,65
NDC,00409116218,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.1,23.05,10.05,41.49,65
NDC,00409116219,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.35,23.18,10.11,41.72,65
NDC,00409116301,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,47.25,23.63,10.31,42.53,65
NDC,00409116318,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,47.25,23.63,10.31,42.53,65
NDC,00409116501,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,47.7,23.85,10.4,42.93,65
NDC,00409116502,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.05,24.03,10.48,43.25,65
NDC,00409116518,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,47.7,23.85,10.4,42.93,65
NDC,00409116519,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.05,24.03,10.48,43.25,65
NDC,00409117603,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,32.95,16.48,7.19,29.66,66
NDC,00409117630,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,32.95,16.48,7.19,29.66,66
NDC,00409117803,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,38.05,19.03,8.1,34.25,66
NDC,00409117830,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,38.05,19.03,8.1,34.25,66
NDC,00409118059,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,34.85,17.43,7.6,31.37,66
NDC,00409118069,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,34.85,17.43,7.6,31.37,66
NDC,00409120703,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.2,23.1,2.98,41.58,66
NDC,00409120713,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.2,23.1,2.98,41.58,66
NDC,00409120801,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,41.6,20.8,9.07,37.44,65
NDC,00409120811,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,41.6,20.8,9.07,37.44,65
NDC,00409120901,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",22.8,11.4,4.97,20.52,65
NDC,00409120910,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",22.8,11.4,4.97,20.52,65
NDC,00409121501,NALOXONE 0.4 MG/ML INJECTION SOLUTION,95.0,47.5,20.72,85.5,65
NDC,00409121521,NALOXONE 0.4 MG/ML INJECTION SOLUTION,95.0,47.5,20.72,85.5,65
NDC,00409121901,NALOXONE 0.4 MG/ML INJECTION SOLUTION,89.35,44.68,19.49,80.42,65
NDC,00409121941,NALOXONE 0.4 MG/ML INJECTION SOLUTION,89.35,44.68,19.49,80.42,65
NDC,00409127303,DIAZEPAM 5 MG/ML INJECTION SYRINGE,143.05,71.53,6.06,128.75,66
NDC,00409127332,DIAZEPAM 5 MG/ML INJECTION SYRINGE,143.05,71.53,6.06,128.75,66
NDC,00409127603,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,27.15,13.58,1.07,24.44,66
NDC,00409127632,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,27.15,13.58,1.07,24.44,66
NDC,00409128303,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,27.25,13.63,5.94,24.53,65
NDC,00409128304,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,26.8,13.4,5.85,24.12,65
NDC,00409128305,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,26.8,13.4,5.85,24.12,65
NDC,00409128317,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,27.9,13.95,6.08,25.11,65
NDC,00409128331,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,27.25,13.63,5.94,24.53,65
NDC,00409128337,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,27.9,13.95,6.08,25.11,65
NDC,00409131203,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,27.65,13.83,6.03,24.89,65
NDC,00409131216,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,28.9,14.45,6.3,26.01,65
NDC,00409131230,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,27.65,13.83,6.03,24.89,65
NDC,00409131236,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,28.9,14.45,6.3,26.01,65
NDC,00409131901,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,219.2,109.6,47.81,197.28,65
NDC,00409132305,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,32.1,16.05,7.0,28.89,65
NDC,00409132315,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,32.1,16.05,7.0,28.89,65
NDC,00409136201,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,35.3,17.65,7.7,31.77,66
NDC,00409136211,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,35.3,17.65,7.7,31.77,66
NDC,00409139021,MEROPENEM 500 MG INTRAVENOUS SOLUTION,46.45,23.23,0.5,41.81,66
NDC,00409139051,MEROPENEM 500 MG INTRAVENOUS SOLUTION,46.45,23.23,0.5,41.81,66
NDC,00409139121,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,48.1,24.05,0.5,43.29,66
NDC,00409139122,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,48.1,24.05,0.5,43.29,66
NDC,00409140212,"HEPARIN (PORCINE) 5,000 UNIT/ML (1 ML) INJECTION CARTRIDGE",22.4,11.2,0.3,20.16,66
NDC,00409140227,"HEPARIN (PORCINE) 5,000 UNIT/ML (1 ML) INJECTION CARTRIDGE",22.4,11.2,0.3,20.16,66
NDC,00409141204,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,20.9,10.45,0.37,18.81,70
NDC,00409141210,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,48.15,24.08,0.37,43.34,70
NDC,00409141234,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,20.9,10.45,0.37,18.81,70
NDC,00409141240,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,48.15,24.08,0.37,43.34,70
NDC,00409143401,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",274.0,137.0,59.76,246.6,65
NDC,00409146301,NALBUPHINE 10 MG/ML INJECTION SOLUTION,20.8,10.4,3.12,18.72,66
NDC,00409146349,NALBUPHINE 10 MG/ML INJECTION SOLUTION,23.2,11.6,3.12,20.88,66
NDC,00409146371,NALBUPHINE 10 MG/ML INJECTION SOLUTION,20.8,10.4,3.12,18.72,66
NDC,00409146401,NALBUPHINE 10 MG/ML INJECTION SOLUTION,178.1,89.05,3.12,160.29,66
NDC,00409146461,NALBUPHINE 10 MG/ML INJECTION SOLUTION,178.1,89.05,3.12,160.29,66
NDC,00409146501,NALBUPHINE 20 MG/ML INJECTION SOLUTION,32.65,16.33,3.12,29.39,66
NDC,00409146571,NALBUPHINE 20 MG/ML INJECTION SOLUTION,32.65,16.33,3.12,29.39,66
NDC,00409155554,HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION,377.5,188.75,82.33,339.75,65
NDC,00409155564,HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION,377.5,188.75,82.33,339.75,65
NDC,00409155910,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.25,23.13,10.09,41.63,65
NDC,00409155918,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.25,23.13,10.09,41.63,65
NDC,00409155919,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,50.05,25.03,10.92,45.05,65
NDC,00409155930,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,50.05,25.03,10.92,45.05,65
NDC,00409156010,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,49.85,24.93,10.87,44.87,65
NDC,00409156018,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,49.85,24.93,10.87,44.87,65
NDC,00409156019,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,51.5,25.75,11.23,46.35,65
NDC,00409156029,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,51.5,25.75,11.23,46.35,65
NDC,00409158210,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.8,24.4,10.64,43.92,65
NDC,00409158218,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.8,24.4,10.64,43.92,65
NDC,00409158219,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,64.6,32.3,14.09,58.14,65
NDC,00409158229,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,64.6,32.3,14.09,58.14,65
NDC,00409158750,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,65.2,32.6,14.22,58.68,65
NDC,00409159601,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,125.8,62.9,27.44,113.22,65
NDC,00409159610,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,125.8,62.9,27.44,113.22,65
NDC,00409161050,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,47.5,23.75,10.36,42.75,65
NDC,00409162301,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,40.1,20.05,3.1,36.09,66
NDC,00409162321,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,40.1,20.05,3.1,36.09,66
NDC,00409162601,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,48.9,24.45,3.1,44.01,66
NDC,00409162621,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,48.9,24.45,3.1,44.01,66
NDC,00409163010,ATROPINE 0.1 MG/ML INJECTION SYRINGE,51.15,25.58,0.09,46.04,66
NDC,00409163015,ATROPINE 0.1 MG/ML INJECTION SYRINGE,51.15,25.58,0.09,46.04,66
NDC,00409163110,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,62.2,31.1,13.57,55.98,65
NDC,00409163140,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,62.2,31.1,13.57,55.98,65
NDC,00409163201,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.6,24.3,10.6,43.74,65
NDC,00409163221,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.6,24.3,10.6,43.74,65
NDC,00409163401,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,99.3,49.65,21.66,89.37,65
NDC,00409163485,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,99.3,49.65,21.66,89.37,65
NDC,00409163802,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,61.0,30.5,13.3,54.9,65
NDC,00409166010,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,291.4,145.7,63.55,262.26,65
NDC,00409166020,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,95.0,47.5,20.72,85.5,65
NDC,00409166022,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,95.0,47.5,20.72,85.5,65
NDC,00409166035,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,291.4,145.7,63.55,262.26,65
NDC,00409174610,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",22.4,11.2,4.89,20.16,65
NDC,00409174630,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",49.7,24.85,10.84,44.73,65
NDC,00409174670,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",22.4,11.2,4.89,20.16,65
NDC,00409174671,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",49.7,24.85,10.84,44.73,65
NDC,00409174910,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",29.85,14.93,6.51,26.87,65
NDC,00409174929,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",29.55,14.78,6.44,26.6,65
NDC,00409174970,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",29.85,14.93,6.51,26.87,65
NDC,00409174971,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",29.55,14.78,6.44,26.6,65
NDC,00409175250,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",126.7,63.35,27.63,114.03,65
NDC,00409175410,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,195.8,97.9,0.77,176.22,66
NDC,00409175415,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,195.8,97.9,0.77,176.22,66
NDC,00409175550,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",109.0,54.5,23.77,98.1,65
NDC,00409176102,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,27.2,13.6,5.93,24.48,65
NDC,00409176105,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,30.1,15.05,6.56,27.09,65
NDC,00409176110,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,30.1,15.05,6.56,27.09,65
NDC,00409176118,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,30.1,15.05,6.56,27.09,65
NDC,00409176119,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,27.2,13.6,5.93,24.48,65
NDC,00409177510,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,94.4,47.2,20.59,84.96,65
NDC,00409177540,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,94.4,47.2,20.59,84.96,65
NDC,00409177805,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.75,10.38,4.53,18.68,65
NDC,00409177815,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.75,10.38,4.53,18.68,65
NDC,00409178203,NALOXONE 0.4 MG/ML INJECTION SYRINGE,84.0,42.0,18.32,75.6,65
NDC,00409178269,NALOXONE 0.4 MG/ML INJECTION SYRINGE,84.0,42.0,18.32,75.6,65
NDC,00409180501,HYDROMORPHONE 0.25 MG/0.5 ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,65
NDC,00409180510,HYDROMORPHONE 0.25 MG/0.5 ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,65
NDC,00409188602,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.25,23.13,0.07,41.63,66
NDC,00409188605,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.7,23.35,0.07,42.03,66
NDC,00409188615,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.7,23.35,0.07,42.03,66
NDC,00409188622,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.25,23.13,0.07,41.63,66
NDC,00409189001,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,26.95,13.48,5.18,24.26,66
NDC,00409189003,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,26.95,13.48,5.18,24.26,66
NDC,00409189013,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,27.45,13.73,5.18,24.71,66
NDC,00409189023,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,27.45,13.73,5.18,24.71,66
NDC,00409189101,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,26.8,13.4,5.18,24.12,66
NDC,00409189103,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,26.8,13.4,5.18,24.12,66
NDC,00409189113,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,28.0,14.0,5.18,25.2,66
NDC,00409189123,MORPHINE 4 MG/ML INTRAVENOUS SYRINGE,28.0,14.0,5.18,25.2,66
NDC,00409189301,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,26.25,13.13,5.18,23.63,66
NDC,00409189303,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,26.25,13.13,5.18,23.63,66
NDC,00409189313,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,28.8,14.4,5.18,25.92,66
NDC,00409189323,MORPHINE 10 MG/ML INTRAVENOUS SYRINGE,28.8,14.4,5.18,25.92,66
NDC,00409190201,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,305.25,152.63,66.58,368.36,71
NDC,00409190211,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,305.25,152.63,66.58,368.36,71
NDC,00409190301,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,388.85,194.43,84.81,368.36,71
NDC,00409190341,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,388.85,194.43,84.81,368.36,71
NDC,00409193201,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,130.1,65.05,0.66,117.09,66
NDC,00409193202,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,571.8,285.9,0.66,514.62,66
NDC,00409198301,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,175.0,87.5,1.73,157.5,66
NDC,00409198310,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,175.0,87.5,1.73,157.5,66
NDC,00409198503,LORAZEPAM 2 MG/ML INJECTION SYRINGE,28.15,14.08,1.24,25.34,66
NDC,00409198530,LORAZEPAM 2 MG/ML INJECTION SYRINGE,28.15,14.08,1.24,25.34,66
NDC,00409205001,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,55.0,27.5,0.77,49.5,66
NDC,00409205020,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,55.0,27.5,0.77,49.5,66
NDC,00409205105,KETAMINE 100 MG/ML INJECTION SOLUTION,43.65,21.83,9.52,39.29,65
NDC,00409205115,KETAMINE 100 MG/ML INJECTION SOLUTION,43.65,21.83,9.52,39.29,65
NDC,00409205310,KETAMINE 50 MG/ML INJECTION SOLUTION,28.65,14.33,6.25,25.79,65
NDC,00409205320,KETAMINE 50 MG/ML INJECTION SOLUTION,28.65,14.33,6.25,25.79,65
NDC,00409206605,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,22.25,11.13,4.85,20.03,65
NDC,00409206610,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,22.25,11.13,4.85,20.03,65
NDC,00409216817,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,46.4,23.2,0.77,41.76,66
NDC,00409216877,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,46.4,23.2,0.77,41.76,66
NDC,00409218801,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,1095.35,547.68,3.62,985.82,71
NDC,00409222001,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.35,23.68,1.01,42.62,66
NDC,00409222024,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.35,23.68,1.01,42.62,66
NDC,00409226720,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,45.2,22.6,9.86,40.68,65
NDC,00409226754,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,77.6,38.8,16.92,69.84,65
NDC,00409230001,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,2.15,42.39,66
NDC,00409230024,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,2.15,42.39,66
NDC,00409230504,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,25.8,12.9,0.16,23.22,66
NDC,00409230505,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,25.8,12.9,0.16,23.22,66
NDC,00409230516,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,25.55,12.78,0.16,23.0,66
NDC,00409230517,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,25.55,12.78,0.16,23.0,66
NDC,00409230801,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,25.8,12.9,0.16,23.22,66
NDC,00409230802,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,25.9,12.95,0.16,23.31,66
NDC,00409230821,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,25.8,12.9,0.16,23.22,66
NDC,00409230822,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,25.9,12.95,0.16,23.31,66
NDC,00409233715,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,188.95,94.48,9.2,170.06,66
NDC,00409233725,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,188.95,94.48,9.2,170.06,66
NDC,00409233924,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,72.65,36.33,15.84,65.39,65
NDC,00409233934,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,72.65,36.33,15.84,65.39,65
NDC,00409234401,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,64.15,32.08,10.93,57.74,66
NDC,00409234402,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,61.25,30.63,10.93,55.13,66
NDC,00409234462,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,61.25,30.63,10.93,55.13,66
NDC,00409234468,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,55.75,27.88,10.93,50.18,66
NDC,00409234631,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,85.0,42.5,18.54,76.5,66
NDC,00409234632,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,85.0,42.5,18.54,76.5,66
NDC,00409234731,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",116.5,58.25,10.93,104.85,66
NDC,00409234732,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",116.5,58.25,10.93,104.85,66
NDC,00409255201,HYDROMORPHONE 1 MG/ML INJECTION SOLUTION,27.5,13.75,6.0,24.75,65
NDC,00409255211,HYDROMORPHONE 1 MG/ML INJECTION SOLUTION,27.5,13.75,6.0,24.75,65
NDC,00409258501,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,47.4,23.7,0.84,42.66,66
NDC,00409258511,CEFAZOLIN 1 GRAM INTRAVENOUS SOLUTION,47.4,23.7,0.84,42.66,66
NDC,00409259603,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,57.25,28.63,0.16,51.53,66
NDC,00409259605,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,63.1,31.55,0.16,56.79,66
NDC,00409259613,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,57.25,28.63,0.16,51.53,66
NDC,00409259615,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,63.1,31.55,0.16,56.79,66
NDC,00409263401,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,53.1,26.55,11.58,47.79,65
NDC,00409263405,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,73.3,36.65,15.99,65.97,65
NDC,00409263410,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,53.1,26.55,11.58,47.79,65
NDC,00409263425,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,73.3,36.65,15.99,65.97,65
NDC,00409263450,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,492.25,246.13,107.36,443.03,65
NDC,00409268901,AMPICILLIN-SULBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,47.8,23.9,1.97,43.02,66
NDC,00409272001,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.95,10.48,0.3,18.86,66
NDC,00409272002,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.15,11.58,0.3,20.84,66
NDC,00409272003,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",38.7,19.35,0.3,34.83,66
NDC,00409272030,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.95,10.48,0.3,18.86,66
NDC,00409272031,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.15,11.58,0.3,20.84,66
NDC,00409272032,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",38.7,19.35,0.3,34.83,66
NDC,00409272101,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",22.2,11.1,0.3,19.98,66
NDC,00409272130,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",22.2,11.1,0.3,19.98,66
NDC,00409272301,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",20.9,10.45,0.3,18.81,66
NDC,00409272302,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",34.95,17.48,0.3,31.46,66
NDC,00409272330,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",20.9,10.45,0.3,18.81,66
NDC,00409272331,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",34.95,17.48,0.3,31.46,66
NDC,00409298703,AMPICILLIN-SULBACTAM 3 GRAM INTRAVENOUS SOLUTION,58.55,29.28,1.97,52.7,66
NDC,00409298723,AMPICILLIN-SULBACTAM 3 GRAM INTRAVENOUS SOLUTION,58.55,29.28,1.97,52.7,66
NDC,00409316401,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",67.0,33.5,0.77,60.3,66
NDC,00409316412,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",67.0,33.5,0.77,60.3,66
NDC,00409317701,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",22.2,11.1,4.84,19.98,65
NDC,00409317716,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",22.2,11.1,4.84,19.98,65
NDC,00409317801,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.2,11.1,4.84,19.98,65
NDC,00409317802,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",23.15,11.58,5.05,20.84,65
NDC,00409317803,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.1,11.05,4.82,19.89,65
NDC,00409317816,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.2,11.1,4.84,19.98,65
NDC,00409317817,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",23.15,11.58,5.05,20.84,65
NDC,00409317818,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.1,11.05,4.82,19.89,65
NDC,00409318101,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",32.4,16.2,7.07,29.16,65
NDC,00409318111,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",32.4,16.2,7.07,29.16,65
NDC,00409318201,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.05,10.03,4.37,18.05,65
NDC,00409318202,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",27.9,13.95,6.08,25.11,65
NDC,00409318203,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",23.05,11.53,5.03,20.75,65
NDC,00409318211,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.05,10.03,4.37,18.05,65
NDC,00409318221,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",27.9,13.95,6.08,25.11,65
NDC,00409318231,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",23.05,11.53,5.03,20.75,65
NDC,00409318301,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",23.2,11.6,5.06,20.88,65
NDC,00409318311,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",23.2,11.6,5.06,20.88,65
NDC,00409318905,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.8,11.4,4.97,20.52,65
NDC,00409318910,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.8,11.4,4.97,20.52,65
NDC,00409321312,DIAZEPAM 5 MG/ML INJECTION SOLUTION,253.2,126.6,6.06,227.88,66
NDC,00409329415,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,80.8,40.4,17.62,72.72,65
NDC,00409329451,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,86.8,43.4,18.93,78.12,65
NDC,00409329461,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,86.8,43.4,18.93,78.12,65
NDC,00409329905,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,50.5,25.25,11.01,45.45,65
NDC,00409329906,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,59.8,29.9,13.04,53.82,65
NDC,00409329915,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,50.5,25.25,11.01,45.45,65
NDC,00409329916,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,59.8,29.9,13.04,53.82,65
NDC,00409330001,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.8,23.9,10.43,65.33,66
NDC,00409330024,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.8,23.9,10.43,65.33,66
NDC,00409330703,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,58.0,29.0,12.65,52.2,65
NDC,00409330711,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,58.0,29.0,12.65,52.2,65
NDC,00409330803,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,54.4,27.2,11.86,48.96,65
NDC,00409330811,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,54.4,27.2,11.86,48.96,65
NDC,00409333001,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.5,23.75,1.01,42.75,66
NDC,00409333024,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.5,23.75,1.01,42.75,66
NDC,00409336510,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,51.1,25.55,11.14,45.99,65
NDC,00409336511,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,51.1,25.55,11.14,45.99,65
NDC,00409337301,FENOLDOPAM 10 MG/ML INTRAVENOUS SOLUTION,277.5,138.75,60.52,249.75,65
NDC,00409337302,FENOLDOPAM 10 MG/ML INTRAVENOUS SOLUTION,700.25,350.13,152.72,630.23,65
NDC,00409337402,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,57.25,28.63,1.3,51.53,66
NDC,00409337504,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,00409337514,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,00409337811,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,70.15,35.08,1.3,63.14,66
NDC,00409337813,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,70.15,35.08,1.3,63.14,66
NDC,00409337904,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,82.95,41.48,1.3,74.66,66
NDC,00409337911,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,82.95,41.48,1.3,74.66,66
NDC,00409338211,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,28.15,14.08,6.14,25.34,65
NDC,00409338221,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,28.15,14.08,6.14,25.34,65
NDC,00409338302,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.35,23.68,1.3,42.62,66
NDC,00409338311,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.35,23.68,1.3,42.62,66
NDC,00409338511,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.65,23.83,1.3,42.89,66
NDC,00409338513,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.65,23.83,1.3,42.89,66
NDC,00409339004,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,45.35,22.68,1.3,40.82,66
NDC,00409339011,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,45.35,22.68,1.3,40.82,66
NDC,00409341201,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,48.1,24.05,0.5,43.29,66
NDC,00409341210,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,48.1,24.05,0.5,43.29,66
NDC,00409341401,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409341411,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409341418,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409341421,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409343501,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,66.4,33.2,3.1,59.76,66
NDC,00409343524,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,66.4,33.2,3.1,59.76,66
NDC,00409351021,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,180.35,90.18,14.38,162.32,66
NDC,00409351022,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,180.35,90.18,14.38,162.32,66
NDC,00409351501,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,94.9,47.45,20.7,85.41,65
NDC,00409351511,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,94.9,47.45,20.7,85.41,65
NDC,00409353201,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,2015.25,1007.63,3.62,1813.73,71
NDC,00409357801,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,46.2,23.1,2.95,41.58,66
NDC,00409357811,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,46.2,23.1,2.95,41.58,66
NDC,00409359501,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,52.9,26.45,3.64,47.61,66
NDC,00409359511,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,52.9,26.45,3.64,47.61,66
NDC,00409361301,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,22.5,11.25,4.91,20.25,65
NDC,00409361311,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,22.5,11.25,4.91,20.25,65
NDC,00409367001,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1262.9,631.45,275.44,1136.61,65
NDC,00409367010,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1262.9,631.45,275.44,1136.61,65
NDC,00409371801,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.2,23.6,1.12,42.48,66
NDC,00409371810,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.2,23.6,1.12,42.48,66
NDC,00409372001,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,64.45,32.23,1.12,58.01,66
NDC,00409372010,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,64.45,32.23,1.12,58.01,66
NDC,00409372432,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",113.5,56.75,10.93,102.15,66
NDC,00409372610,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.4,23.7,1.12,42.66,66
NDC,00409379301,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.85,10.93,0.29,19.67,71
NDC,00409379319,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.85,10.93,0.29,19.67,71
NDC,00409379501,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,28.65,14.33,0.29,25.79,71
NDC,00409379519,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,28.65,14.33,0.29,25.79,71
NDC,00409379601,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.3,10.65,0.29,19.17,71
NDC,00409379619,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.3,10.65,0.29,19.17,71
NDC,00409381411,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,67.7,33.85,12.48,60.93,66
NDC,00409381412,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,67.7,33.85,12.48,60.93,66
NDC,00409381511,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,70.3,35.15,12.48,63.27,66
NDC,00409381512,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,70.3,35.15,12.48,63.27,66
NDC,00409401101,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,55.5,27.75,12.1,49.95,65
NDC,00409401161,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,55.5,27.75,12.1,49.95,65
NDC,00409403101,MANNITOL 25 % INTRAVENOUS SOLUTION,22.0,11.0,2.88,19.8,66
NDC,00409403116,MANNITOL 25 % INTRAVENOUS SOLUTION,22.0,11.0,2.88,19.8,66
NDC,00409409001,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,85.95,42.98,18.75,77.36,65
NDC,00409409011,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,85.95,42.98,18.75,77.36,65
NDC,00409409101,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,175.55,87.78,38.29,158.0,65
NDC,00409409111,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,175.55,87.78,38.29,158.0,65
NDC,00409409201,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,165.35,82.68,36.06,148.82,65
NDC,00409409211,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,165.35,82.68,36.06,148.82,65
NDC,00409409301,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,132.55,66.28,28.91,119.3,65
NDC,00409409309,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,128.5,64.25,28.03,115.65,65
NDC,00409409311,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,132.55,66.28,28.91,119.3,65
NDC,00409412101,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,73.0,36.5,0.77,65.7,66
NDC,00409420801,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.35,11.18,4.87,20.12,65
NDC,00409420810,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.35,11.18,4.87,20.12,65
NDC,00409421501,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,62.65,31.33,7.71,56.39,66
NDC,00409423501,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00409426401,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,65
NDC,00409426411,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,65
NDC,00409427501,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION,28.5,14.25,6.22,25.65,65
NDC,00409427516,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION,28.5,14.25,6.22,25.65,65
NDC,00409427601,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409427602,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.6,10.8,4.71,19.44,65
NDC,00409427616,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409427617,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.6,10.8,4.71,19.44,65
NDC,00409427701,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,00409427702,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,22.15,11.08,4.83,19.94,65
NDC,00409427716,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,00409427717,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,22.15,11.08,4.83,19.94,65
NDC,00409427801,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,22.0,11.0,4.8,19.8,65
NDC,00409427816,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,22.0,11.0,4.8,19.8,65
NDC,00409427902,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.8,10.9,4.75,19.62,65
NDC,00409427916,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.8,10.9,4.75,19.62,65
NDC,00409428201,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409428202,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,22.05,11.03,4.81,19.85,65
NDC,00409428211,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409428212,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,22.05,11.03,4.81,19.85,65
NDC,00409428301,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,22.55,11.28,4.92,20.3,65
NDC,00409428311,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,22.55,11.28,4.92,20.3,65
NDC,00409428325,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,22.55,11.28,4.92,20.3,65
NDC,00409432101,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,67.0,33.5,14.61,65.33,66
NDC,00409432124,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,67.0,33.5,14.61,65.33,66
NDC,00409433201,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.2,23.6,10.29,42.48,65
NDC,00409433211,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.2,23.6,10.29,42.48,65
NDC,00409434616,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,49.75,24.88,10.85,44.78,65
NDC,00409434673,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,49.75,24.88,10.85,44.78,65
NDC,00409435003,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,79.15,39.58,17.26,71.24,65
NDC,00409435013,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,79.15,39.58,17.26,71.24,65
NDC,00409444401,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,1.01,42.39,66
NDC,00409444424,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,1.01,42.39,66
NDC,00409452002,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",70.0,35.0,0.3,63.0,66
NDC,00409452030,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",70.0,35.0,0.3,63.0,66
NDC,00409468812,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,63.4,31.7,13.83,65.33,66
NDC,00409468816,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,63.4,31.7,13.83,65.33,66
NDC,00409468818,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,48.0,24.0,3.1,43.2,66
NDC,00409468822,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,48.0,24.0,3.1,43.2,66
NDC,00409469924,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,49.8,24.9,0.14,44.82,66
NDC,00409469930,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.95,12.98,0.14,23.36,66
NDC,00409469933,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,24.9,12.45,0.14,22.41,66
NDC,00409469950,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.95,12.98,0.14,23.36,66
NDC,00409469953,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,24.9,12.45,0.14,22.41,66
NDC,00409469954,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,49.8,24.9,0.14,44.82,66
NDC,00409471302,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409471312,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409471325,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.1,10.55,4.6,18.99,65
NDC,00409471332,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.1,10.55,4.6,18.99,65
NDC,00409471342,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.1,10.55,4.6,18.99,65
NDC,00409471375,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,00409475503,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.25,22.63,0.17,40.73,66
NDC,00409475518,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.25,22.63,0.17,40.73,66
NDC,00409475901,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,46.35,23.18,0.17,41.72,66
NDC,00409477610,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,52.1,26.05,11.36,46.89,65
NDC,00409477702,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.2,23.6,10.29,65.33,66
NDC,00409477711,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,2.15,42.39,66
NDC,00409477721,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.2,23.6,10.29,65.33,66
NDC,00409477723,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,2.15,42.39,66
NDC,00409488301,LINEZOLID 600 MG/300 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,305.5,152.75,21.45,274.95,66
NDC,00409488311,LINEZOLID 600 MG/300 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,253.6,126.8,21.45,228.24,66
NDC,00409490014,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,117.2,58.6,25.56,105.48,65
NDC,00409490024,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,117.2,58.6,25.56,105.48,65
NDC,00409490234,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,96.9,48.45,21.13,87.21,65
NDC,00409490264,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,96.9,48.45,21.13,87.21,65
NDC,00409490311,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,29.25,14.63,6.38,26.33,65
NDC,00409490334,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,29.25,14.63,6.38,26.33,65
NDC,00409490411,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,118.45,59.23,25.83,106.61,65
NDC,00409490434,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,118.45,59.23,25.83,106.61,65
NDC,00409491011,ATROPINE 0.1 MG/ML INJECTION SYRINGE,85.2,42.6,0.09,76.68,66
NDC,00409491034,ATROPINE 0.1 MG/ML INJECTION SYRINGE,85.2,42.6,0.09,76.68,66
NDC,00409491111,ATROPINE 0.1 MG/ML INJECTION SYRINGE,90.7,45.35,0.09,81.63,66
NDC,00409491134,ATROPINE 0.1 MG/ML INJECTION SYRINGE,90.7,45.35,0.09,81.63,66
NDC,00409491614,SODIUM BICARBONATE 7.5 % (0.9 MEQ/ML) INTRAVENOUS SYRINGE,139.8,69.9,30.49,125.82,65
NDC,00409491624,SODIUM BICARBONATE 7.5 % (0.9 MEQ/ML) INTRAVENOUS SYRINGE,139.8,69.9,30.49,125.82,65
NDC,00409492811,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,82.6,41.3,18.02,74.34,65
NDC,00409492834,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,82.6,41.3,18.02,74.34,65
NDC,00409493301,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,50.2,25.1,10.95,45.18,65
NDC,00409493311,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,50.2,25.1,10.95,45.18,65
NDC,00409508211,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,47.85,23.93,1.88,43.07,66
NDC,00409508216,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,47.85,23.93,1.88,43.07,66
NDC,00409508411,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,56.5,28.25,1.88,50.85,66
NDC,00409508413,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,56.5,28.25,1.88,50.85,66
NDC,00409508611,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,148.95,74.48,1.88,134.06,66
NDC,00409525502,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409525510,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409525515,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409525525,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.85,10.43,1.22,18.77,66
NDC,00409553414,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE (NEO/PED),94.65,47.33,20.64,85.19,65
NDC,00409553424,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE (NEO/PED),94.65,47.33,20.64,85.19,65
NDC,00409555502,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION (NEO/PED),26.25,13.13,5.73,23.63,65
NDC,00409555512,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION (NEO/PED),26.25,13.13,5.73,23.63,65
NDC,00409573801,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",75.0,37.5,16.36,67.5,65
NDC,00409573810,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",75.0,37.5,16.36,67.5,65
NDC,00409577901,SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV,73.75,36.88,16.08,66.38,65
NDC,00409577911,SODIUM 35 MEQ-POTASSIUM 20 MEQ-MAG 5 MEQ/20 ML-CALCIUM-CHLORID-ACET IV,73.75,36.88,16.08,66.38,65
NDC,00409582001,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,48.1,24.05,10.49,43.29,65
NDC,00409582011,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,48.1,24.05,10.49,43.29,65
NDC,00409592101,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,120.1,60.05,5.7,108.09,66
NDC,00409592116,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,120.1,60.05,5.7,108.09,66
NDC,00409592201,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,85.0,42.5,5.7,76.5,66
NDC,00409592216,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,85.0,42.5,5.7,76.5,66
NDC,00409610202,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.65,10.33,4.5,18.59,65
NDC,00409610204,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.7,10.35,4.51,18.63,65
NDC,00409610210,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,00409610218,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.7,10.35,4.51,18.63,65
NDC,00409610219,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.65,10.33,4.5,18.59,65
NDC,00409610220,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,00409647644,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,154.45,77.23,33.69,139.01,66
NDC,00409647654,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,154.45,77.23,33.69,139.01,66
NDC,00409648201,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,303.65,151.83,66.23,273.29,66
NDC,00409648211,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,303.65,151.83,66.23,273.29,66
NDC,00409650901,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,114.95,57.48,25.07,103.46,65
NDC,00409651001,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,1018.25,509.13,222.08,916.43,65
NDC,00409653101,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,00409653102,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,84.05,42.03,18.33,75.65,65
NDC,00409653111,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,00409653112,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,84.05,42.03,18.33,75.65,65
NDC,00409653311,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.65,23.83,10.39,42.89,65
NDC,00409653321,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.65,23.83,10.39,42.89,65
NDC,00409653401,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.75,23.38,10.2,42.08,65
NDC,00409653411,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.75,23.38,10.2,42.08,65
NDC,00409653501,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",58.3,29.15,12.72,52.47,65
NDC,00409653511,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",58.3,29.15,12.72,52.47,65
NDC,00409655701,TESTOSTERONE CYPIONATE 100 MG/ML INTRAMUSCULAR OIL,151.5,75.75,0.03,136.35,66
NDC,00409656201,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,56.6,28.3,0.03,50.94,66
NDC,00409656202,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,107.65,53.83,0.03,96.89,66
NDC,00409662514,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,73.3,36.65,15.99,65.97,65
NDC,00409662522,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,73.3,36.65,15.99,65.97,65
NDC,00409662902,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,116.25,58.13,0.89,104.63,66
NDC,00409662912,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,116.25,58.13,0.89,104.63,66
NDC,00409663714,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,89.4,44.7,19.5,80.46,65
NDC,00409663724,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,89.4,44.7,19.5,80.46,65
NDC,00409664802,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,25.5,12.75,5.56,65.33,66
NDC,00409664816,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,25.5,12.75,5.56,65.33,66
NDC,00409665106,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,47.6,23.8,0.13,42.84,66
NDC,00409665119,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,47.6,23.8,0.13,42.84,66
NDC,00409665305,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,48.1,24.05,0.13,43.29,66
NDC,00409665318,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,48.1,24.05,0.13,43.29,66
NDC,00409669501,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,29.3,14.65,6.39,26.37,65
NDC,00409669502,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,33.75,16.88,7.36,30.38,65
NDC,00409669511,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,29.3,14.65,6.39,26.37,65
NDC,00409669512,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,33.75,16.88,7.36,30.38,65
NDC,00409672711,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.8,23.9,0.77,43.02,66
NDC,00409672723,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.8,23.9,0.77,43.02,66
NDC,00409672903,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,58.0,29.0,0.77,52.2,66
NDC,00409672909,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",73.0,36.5,0.77,65.7,66
NDC,00409672911,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,50.2,25.1,0.77,45.18,66
NDC,00409672923,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,52.0,26.0,0.77,46.8,66
NDC,00409672924,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,50.2,25.1,0.77,45.18,66
NDC,00409672941,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,52.0,26.0,0.77,46.8,66
NDC,00409673013,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,66.7,33.35,0.77,60.03,66
NDC,00409677802,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.55,13.28,1.24,23.9,66
NDC,00409677811,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.55,13.28,1.24,23.9,66
NDC,00409708301,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,26.1,13.05,5.69,23.49,65
NDC,00409708310,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,26.1,13.05,5.69,23.49,65
NDC,00409724803,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,78.0,39.0,17.01,70.2,65
NDC,00409724813,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,78.0,39.0,17.01,70.2,65
NDC,00409729501,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,105.2,52.6,22.94,94.68,65
NDC,00409729511,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,105.2,52.6,22.94,94.68,65
NDC,00409729973,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,47.9,23.95,10.45,43.11,65
NDC,00409729983,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,47.9,23.95,10.45,43.11,65
NDC,00409733201,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.95,22.98,0.55,41.36,66
NDC,00409733211,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.95,22.98,0.55,41.36,66
NDC,00409733304,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,47.55,23.78,0.55,42.8,66
NDC,00409733311,CEFTRIAXONE 1 GRAM INTRAVENOUS SOLUTION,47.55,23.78,0.55,42.8,66
NDC,00409733410,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,110.65,55.33,0.55,99.59,66
NDC,00409733503,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.9,23.95,0.55,43.11,66
NDC,00409733513,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.9,23.95,0.55,43.11,66
NDC,00409733604,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,54.5,27.25,0.55,49.05,66
NDC,00409733611,CEFTRIAXONE 2 GRAM INTRAVENOUS SOLUTION,54.5,27.25,0.55,49.05,66
NDC,00409733701,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,45.55,22.78,0.55,41.0,66
NDC,00409733711,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,45.55,22.78,0.55,41.0,66
NDC,00409733801,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.65,10.33,0.55,18.59,66
NDC,00409733811,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.65,10.33,0.55,18.59,66
NDC,00409733820,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.7,10.35,0.55,18.63,66
NDC,00409733821,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.7,10.35,0.55,18.63,66
NDC,00409739172,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,85.6,42.8,18.67,77.04,65
NDC,00409739182,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,85.6,42.8,18.67,77.04,65
NDC,00409751716,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,94.8,47.4,20.68,85.32,65
NDC,00409751766,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,94.8,47.4,20.68,85.32,65
NDC,00409762003,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",46.0,23.0,0.3,41.4,66
NDC,00409762013,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",46.0,23.0,0.3,41.4,66
NDC,00409765005,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",92.5,46.25,0.3,83.25,66
NDC,00409765030,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",92.5,46.25,0.3,83.25,66
NDC,00409765052,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",89.5,44.75,0.3,80.55,66
NDC,00409765062,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",89.5,44.75,0.3,80.55,66
NDC,00409779352,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",77.5,38.75,0.3,69.75,66
NDC,00409779362,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",77.5,38.75,0.3,69.75,66
NDC,00409780911,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",71.5,35.75,15.59,64.35,65
NDC,00409780922,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",71.5,35.75,15.59,64.35,65
NDC,00409781011,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",89.5,44.75,19.52,80.55,65
NDC,00409781022,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",89.5,44.75,19.52,80.55,65
NDC,00409781111,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.0,23.0,0.02,41.4,66
NDC,00409781124,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.9,23.45,0.02,42.21,66
NDC,00409781131,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.9,23.45,0.02,42.21,66
NDC,00409781137,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,46.0,23.0,0.02,41.4,66
NDC,00409787001,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00409787501,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",274.0,137.0,59.76,246.6,65
NDC,00409787512,"DEXMEDETOMIDINE 1,000 MCG/250 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV",274.0,137.0,59.76,246.6,65
NDC,00409796905,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,365.0,182.5,79.61,328.5,65
NDC,00409796911,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,365.0,182.5,79.61,328.5,65
NDC,00409818301,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,46.0,23.0,10.03,41.4,65
NDC,00409818311,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,46.0,23.0,10.03,41.4,65
NDC,00409830010,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,2025.05,1012.53,0.24,1822.55,66
NDC,00409830020,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,2025.05,1012.53,0.24,1822.55,66
NDC,00409904201,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",22.15,11.08,4.83,19.94,65
NDC,00409904211,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",22.15,11.08,4.83,19.94,65
NDC,00409904216,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",22.9,11.45,4.99,20.61,65
NDC,00409904217,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",22.9,11.45,4.99,20.61,65
NDC,00409904301,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",54.7,27.35,11.93,49.23,65
NDC,00409904311,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",54.7,27.35,11.93,49.23,65
NDC,00409904501,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.2,11.1,4.84,19.98,65
NDC,00409904511,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.2,11.1,4.84,19.98,65
NDC,00409904516,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.35,11.18,4.87,20.12,65
NDC,00409904517,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",22.35,11.18,4.87,20.12,65
NDC,00409904601,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",57.1,28.55,12.45,51.39,65
NDC,00409904611,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",57.1,28.55,12.45,51.39,65
NDC,00409909332,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.65,13.33,1.07,23.99,66
NDC,00409909335,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.2,26.1,1.07,46.98,66
NDC,00409909337,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.65,13.33,1.07,23.99,66
NDC,00409909345,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.2,26.1,1.07,46.98,66
NDC,00409909412,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,25.95,12.98,1.07,23.36,66
NDC,00409909416,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.6,26.3,1.07,47.34,66
NDC,00409909417,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.3,26.65,1.07,47.97,66
NDC,00409909418,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,51.05,25.53,1.07,45.95,66
NDC,00409909422,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,25.95,12.98,1.07,23.36,66
NDC,00409909425,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,51.05,25.53,1.07,45.95,66
NDC,00409909428,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.3,26.65,1.07,47.97,66
NDC,00409909431,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.6,26.3,1.07,47.34,66
NDC,00409909441,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,79.0,39.5,1.07,71.1,66
NDC,00409909461,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,79.0,39.5,1.07,71.1,66
NDC,00409910420,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.6,23.8,10.38,42.84,65
NDC,00409910421,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.6,23.8,10.38,42.84,65
NDC,00409913705,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,63.55,31.78,13.86,57.2,65
NDC,00409913711,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,63.55,31.78,13.86,57.2,65
NDC,00409915701,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,20.45,10.23,3.22,18.41,66
NDC,00409915731,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,20.45,10.23,3.22,18.41,66
NDC,00409915750,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,20.45,10.23,3.22,18.41,66
NDC,00409915801,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,115.4,57.7,3.22,103.86,66
NDC,00409915831,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,115.4,57.7,3.22,103.86,66
NDC,00409915850,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,115.4,57.7,3.22,103.86,66
NDC,00409930010,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,46.65,23.33,0.09,41.99,66
NDC,00409930011,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,46.65,23.33,0.09,41.99,66
NDC,00409930020,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,48.2,24.1,0.09,43.38,66
NDC,00409930021,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,48.2,24.1,0.09,43.38,66
NDC,00409930130,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,66.8,33.4,0.09,60.12,66
NDC,00409930131,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,66.8,33.4,0.09,60.12,66
NDC,00409930220,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,64.75,32.38,0.09,58.28,66
NDC,00409930221,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,64.75,32.38,0.09,58.28,66
NDC,00409930321,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,74.2,37.1,0.09,66.78,66
NDC,00409955805,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,20.4,10.2,4.45,18.36,65
NDC,00409955810,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,43.0,21.5,9.38,38.7,65
NDC,00409955811,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,20.4,10.2,4.45,18.36,65
NDC,00409955831,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,43.0,21.5,9.38,38.7,65
NDC,00409956601,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.45,11.23,1.4,20.21,66
NDC,00409956610,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.45,11.23,1.4,20.21,66
NDC,00409963104,FUROSEMIDE 10 MG/ML INJECTION SYRINGE,80.75,40.38,17.61,72.68,65
NDC,00409963114,FUROSEMIDE 10 MG/ML INJECTION SYRINGE,80.75,40.38,17.61,72.68,65
NDC,00409973501,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,85.3,42.65,1.4,76.77,66
NDC,00409973510,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,85.3,42.65,1.4,76.77,66
NDC,00430072124,ESTRADIOL 1 MG TABLET,2115.2,1057.6,461.33,1903.68,65
NDC,00430375414,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,1672.2,836.1,364.71,1504.98,65
NDC,00456040001,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,1254.95,627.48,4.11,1129.46,71
NDC,00456040010,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,1254.95,627.48,4.11,1129.46,71
NDC,00456045701,THYROID (PORK) 15 MG TABLET,417.5,208.75,91.06,375.75,65
NDC,00456045801,THYROID (PORK) 30 MG TABLET,490.0,245.0,106.87,441.0,65
NDC,00456045901,THYROID (PORK) 60 MG TABLET,544.5,272.25,118.76,490.05,65
NDC,00456046201,THYROID (PORK) 180 MG TABLET,747.5,373.75,163.03,672.75,65
NDC,00456060001,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1254.95,627.48,4.11,1129.46,71
NDC,00456060010,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1254.95,627.48,4.11,1129.46,71
NDC,00456111030,VILAZODONE 10 MG TABLET,1768.5,884.25,385.71,1591.65,65
NDC,00456112030,VILAZODONE 20 MG TABLET,1768.5,884.25,385.71,1591.65,65
NDC,00456114030,VILAZODONE 40 MG TABLET,1768.5,884.25,385.71,1591.65,65
NDC,00456120130,LINACLOTIDE 145 MCG CAPSULE,2202.6,1101.3,480.39,1982.34,65
NDC,00456120230,LINACLOTIDE 290 MCG CAPSULE,2202.6,1101.3,480.39,1982.34,65
NDC,00456120330,LINACLOTIDE 72 MCG CAPSULE,2202.6,1101.3,480.39,1982.34,65
NDC,00456140211,NEBIVOLOL 2.5 MG TABLET,274.65,137.33,59.9,247.19,65
NDC,00456140230,NEBIVOLOL 2.5 MG TABLET,931.05,465.53,203.06,837.95,65
NDC,00456140263,NEBIVOLOL 2.5 MG TABLET,2197.2,1098.6,479.21,1977.48,65
NDC,00456140511,NEBIVOLOL 5 MG TABLET,286.7,143.35,62.53,258.03,65
NDC,00456140530,NEBIVOLOL 5 MG TABLET,808.95,404.48,176.43,728.06,65
NDC,00456140563,NEBIVOLOL 5 MG TABLET,2293.6,1146.8,500.23,2064.24,65
NDC,00456141030,NEBIVOLOL 10 MG TABLET,808.95,404.48,176.43,728.06,65
NDC,00456141090,NEBIVOLOL 10 MG TABLET,2234.2,1117.1,487.28,2010.78,65
NDC,00456155060,MILNACIPRAN 50 MG TABLET,2482.5,1241.25,541.43,2234.25,65
NDC,00456200501,ESCITALOPRAM 5 MG TABLET,5706.0,2853.0,1244.48,5135.4,65
NDC,00456201001,ESCITALOPRAM 10 MG TABLET,5965.6,2982.8,1301.1,5369.04,65
NDC,00456240506,ASENAPINE 5 MG SUBLINGUAL TABLET,1018.7,509.35,222.18,916.83,65
NDC,00456240511,ASENAPINE 5 MG SUBLINGUAL TABLET,111.55,55.78,24.33,100.4,65
NDC,00456240560,ASENAPINE 5 MG SUBLINGUAL TABLET,4889.8,2444.9,1066.47,4400.82,65
NDC,00456241011,ASENAPINE 10 MG SUBLINGUAL TABLET,111.55,55.78,24.33,100.4,65
NDC,00456241060,ASENAPINE 10 MG SUBLINGUAL TABLET,4889.8,2444.9,1066.47,4400.82,65
NDC,00456270001,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,2038.55,1019.28,106.82,1834.7,70
NDC,00456270010,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,2038.55,1019.28,106.82,1834.7,70
NDC,00456321011,MEMANTINE 10 MG TABLET,41.35,20.68,9.02,37.22,65
NDC,00456321060,MEMANTINE 10 MG TABLET,2066.7,1033.35,450.75,1860.03,65
NDC,00456321063,MEMANTINE 10 MG TABLET,2755.2,1377.6,600.91,2479.68,65
NDC,00456340733,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",2159.55,1079.78,471.0,1943.6,65
NDC,00456341433,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",2254.2,1127.1,491.64,2028.78,65
NDC,00456341490,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",5182.95,2591.48,1130.4,4664.66,65
NDC,00456342833,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",2254.2,1127.1,491.64,2028.78,65
NDC,00456402001,CITALOPRAM 20 MG TABLET,3670.8,1835.4,800.6,3303.72,65
NDC,00456404001,CITALOPRAM 40 MG TABLET,3830.8,1915.4,835.5,3447.72,65
NDC,00456430001,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,340.85,170.43,74.34,306.77,65
NDC,00469012599,ENZALUTAMIDE 40 MG CAPSULE,59623.2,29811.6,13003.82,53660.88,65
NDC,00469042001,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1665.7,832.85,1.03,1499.13,71
NDC,00469042099,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1549.95,774.98,1.03,1394.96,71
NDC,00469052001,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,481.55,240.78,105.03,433.4,65
NDC,00469052002,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,5393.25,2696.63,1176.27,4853.93,65
NDC,00469052014,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,4729.0,2364.5,1031.39,4256.1,65
NDC,00469060773,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",1710.5,855.25,0.26,1539.45,66
NDC,00469061773,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",2736.4,1368.2,0.26,2462.76,66
NDC,00469065773,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",13682.0,6841.0,0.26,12313.8,66
NDC,00469067773,"TACROLIMUS XL 1 MG CAPSULE,EXTENDED RELEASE 24 HR",801.15,400.58,0.61,721.04,66
NDC,00469142590,GILTERITINIB 40 MG TABLET,115916.4,57958.2,25281.37,104324.76,65
NDC,00469260130,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2127.75,1063.88,464.06,1914.98,65
NDC,00469260190,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",5106.6,2553.3,1113.75,4595.94,65
NDC,00469260230,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",2127.75,1063.88,464.06,1914.98,65
NDC,00469260290,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",5106.6,2553.3,1113.75,4595.94,65
NDC,00469286001,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,231.65,115.83,50.52,208.49,65
NDC,00469286035,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,5404.6,2702.3,1178.74,4864.14,65
NDC,00469301601,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,1203.9,601.95,262.57,1083.51,71
NDC,00469305130,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,472.85,236.43,21.91,425.57,71
NDC,00469321110,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,889.4,444.7,0.84,800.46,66
NDC,00469325010,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,457.2,228.6,0.84,411.48,66
NDC,00469342510,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,6450.0,3225.0,34.38,5805.0,70
NDC,00469650189,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,941.3,470.65,15.27,847.17,66
NDC,00472001304,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION,268.6,134.3,58.58,241.74,65
NDC,00472008216,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,1778.5,889.25,387.89,1600.65,65
NDC,00472016615,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",82.75,41.38,18.05,74.48,65
NDC,00472024260,PERMETHRIN 5 % TOPICAL CREAM,103.0,51.5,22.46,92.7,65
NDC,00472033720,HYDROCORTISONE 2.5 % TOPICAL CREAM,11.55,5.78,2.52,10.4,65
NDC,00472033730,HYDROCORTISONE 2.5 % TOPICAL CREAM,15.15,7.58,3.3,13.64,65
NDC,00472037915,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,60.75,30.38,13.25,54.68,65
NDC,00472037945,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,130.7,65.35,28.51,117.63,65
NDC,00472038115,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,217.9,108.95,47.52,196.11,65
NDC,00472038215,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",219.6,109.8,47.89,197.64,65
NDC,00472082516,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,147.6,73.8,32.19,132.84,65
NDC,00472103016,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,350.05,175.03,76.35,315.05,65
NDC,00472173803,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,33.45,16.73,7.3,30.11,65
NDC,00472191501,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",24.5,12.25,5.34,22.05,65
NDC,00480134208,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",2550.45,1275.23,11.2,2295.41,71
NDC,00480145308,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",3400.65,1700.33,11.2,3060.59,71
NDC,00480155408,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1062.7,531.35,11.2,956.43,71
NDC,00480230930,TADALAFIL 5 MG TABLET,30.55,15.28,6.66,27.5,65
NDC,00480230965,TADALAFIL 5 MG TABLET,61.05,30.53,13.32,54.95,65
NDC,00480268806,TICAGRELOR 60 MG TABLET,1876.8,938.4,409.33,1689.12,65
NDC,00480331001,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",550.0,275.0,119.96,495.0,65
NDC,00480347868,NALOXONE 4 MG/ACTUATION NASAL SPRAY,378.2,189.1,82.49,340.38,65
NDC,00480347906,LUBIPROSTONE 8 MCG CAPSULE,489.0,244.5,106.65,440.1,65
NDC,00480356601,LISDEXAMFETAMINE 20 MG CAPSULE,2063.0,1031.5,449.94,1856.7,65
NDC,00480356701,LISDEXAMFETAMINE 30 MG CAPSULE,2063.0,1031.5,449.94,1856.7,65
NDC,00480372056,PYRIMETHAMINE 25 MG TABLET,16000.0,8000.0,3489.6,14400.0,65
NDC,00480706256,PERAMPANEL 2 MG TABLET,2105.65,1052.83,459.24,1895.09,65
NDC,00480773606,DARUNAVIR 600 MG TABLET,2809.0,1404.5,612.64,2528.1,65
NDC,00480973201,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1062.7,531.35,11.2,956.43,71
NDC,00480973401,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",2550.45,1275.23,11.2,2295.41,71
NDC,00480973501,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",3400.65,1700.33,11.2,3060.59,71
NDC,00485015101,METHENAMINE 81.6 MG-SOD PHOS 40.8 MG-METHYLENE BLUE 0.12MG-HYOS TABLET,2079.5,1039.75,453.54,1871.55,65
NDC,00485015130,METHENAMINE 81.6 MG-SOD PHOS 40.8 MG-METHYLENE BLUE 0.12MG-HYOS TABLET,719.1,359.55,156.84,647.19,65
NDC,00486111101,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",294.6,147.3,64.25,265.14,65
NDC,00486111105,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",1122.5,561.25,244.82,1010.25,65
NDC,00486112501,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,342.0,171.0,74.59,307.8,65
NDC,00486112505,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,1632.5,816.25,356.05,1469.25,65
NDC,00487020100,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.4,1.7,0.74,3.06,65
NDC,00487020101,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,00487020103,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.4,1.7,0.74,3.06,65
NDC,00487020160,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.45,1.73,0.75,3.11,65
NDC,00487278401,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,9.8,4.9,2.14,8.82,65
NDC,00487590199,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,9.8,4.9,2.14,8.82,65
NDC,00487900330,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.3,1.65,0.72,2.97,65
NDC,00487900730,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.3,1.65,0.72,2.97,65
NDC,00487950100,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00487950101,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.35,1.68,0.73,3.02,65
NDC,00487950103,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00487950125,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00487950160,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,00487960101,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,29.8,14.9,6.5,26.82,65
NDC,00487960130,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,22.35,11.18,4.87,20.12,65
NDC,00487970101,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,23.4,11.7,5.1,21.06,65
NDC,00487970130,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,13.1,6.55,2.86,11.79,65
NDC,00487980100,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,00487980101,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.3,1.65,0.36,2.97,66
NDC,00487980125,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,00487980130,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,00487990130,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,3.45,1.73,0.75,3.11,65
NDC,00487990401,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,3.4,1.7,0.74,3.06,65
NDC,00487990425,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,4.8,2.4,1.05,4.32,65
NDC,00496088207,LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT,116.5,58.25,25.41,104.85,65
NDC,00517002010,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,27.35,13.68,1.65,24.62,66
NDC,00517003101,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",22.3,11.15,1.6,20.07,66
NDC,00517003125,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",22.3,11.15,1.6,20.07,66
NDC,00517003225,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",51.15,25.58,1.6,46.04,66
NDC,00517013005,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",94.9,47.45,1.6,85.41,66
NDC,00517037401,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,462.25,231.13,8.9,416.03,70
NDC,00517037405,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,462.25,231.13,8.9,416.03,70
NDC,00517037501,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,739.8,369.9,161.35,665.82,65
NDC,00517037505,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION,739.8,369.9,161.35,665.82,65
NDC,00517040125,ATROPINE 0.4 MG/ML INJECTION SOLUTION,44.4,22.2,0.09,39.96,66
NDC,00517042001,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,607.5,303.75,10.25,546.75,66
NDC,00517044001,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,1007.8,503.9,10.25,907.02,66
NDC,00517065001,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4056.05,2028.03,1.13,3650.45,71
NDC,00517071001,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,4923.85,2461.93,6.4,4431.47,71
NDC,00517072001,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,213.65,106.83,7.56,192.29,66
NDC,00517073501,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,127.35,63.68,27.78,114.62,65
NDC,00517073510,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,127.35,63.68,27.78,114.62,65
NDC,00517074001,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,123.95,61.98,21.75,111.56,66
NDC,00517074020,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,123.95,61.98,21.75,111.56,66
NDC,00517079901,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,213.65,106.83,7.56,192.29,66
NDC,00517086601,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,202.6,101.3,41.15,182.34,66
NDC,00517086610,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,202.6,101.3,41.15,182.34,66
NDC,00517090101,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,40.35,20.18,6.2,36.32,66
NDC,00517090125,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,40.35,20.18,6.2,36.32,66
NDC,00517092001,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,1501.7,750.85,0.9,1351.53,70
NDC,00517092008,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,1501.7,750.85,0.9,1351.53,70
NDC,00517095501,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,181.1,90.55,1.02,162.99,66
NDC,00517096001,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",66.85,33.43,14.58,60.17,65
NDC,00517096010,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",66.85,33.43,14.58,60.17,65
NDC,00517100101,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,41.5,20.75,0.09,37.35,66
NDC,00517100125,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,41.5,20.75,0.09,37.35,66
NDC,00517100401,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,26.05,13.03,0.09,23.45,66
NDC,00517100425,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,26.05,13.03,0.09,23.45,66
NDC,00517101025,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,69.75,34.88,0.09,62.78,66
NDC,00517102001,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,69.35,34.68,0.49,62.42,66
NDC,00517102025,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,69.35,34.68,0.49,62.42,66
NDC,00517104501,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,177.65,88.83,38.75,159.89,66
NDC,00517104505,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,177.65,88.83,38.75,159.89,66
NDC,00517113301,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,178.45,89.23,1.79,160.61,66
NDC,00517113401,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,36.6,18.3,1.79,32.94,66
NDC,00517113405,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,36.6,18.3,1.79,32.94,66
NDC,00517117101,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,89.55,44.78,19.53,80.6,65
NDC,00517117110,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,89.55,44.78,19.53,80.6,65
NDC,00517182001,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,240.75,120.38,52.51,216.68,66
NDC,00517182501,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,143.75,71.88,6.28,129.38,66
NDC,00517182510,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,143.75,71.88,6.28,129.38,66
NDC,00517198001,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,88.1,44.05,19.21,79.29,66
NDC,00517198005,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,88.1,44.05,19.21,79.29,66
NDC,00517205101,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,142.0,71.0,30.97,127.8,65
NDC,00517205125,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,142.0,71.0,30.97,127.8,65
NDC,00517210201,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,85.95,42.98,18.75,77.36,65
NDC,00517210225,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,85.95,42.98,18.75,77.36,65
NDC,00517231001,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION,338.6,169.3,0.25,304.74,66
NDC,00517231005,IRON SUCROSE 200 MG IRON/10 ML INTRAVENOUS SOLUTION,338.6,169.3,0.25,304.74,66
NDC,00517234001,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,213.2,106.6,0.25,191.88,66
NDC,00517234010,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,213.2,106.6,0.25,191.88,66
NDC,00517234025,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,213.2,106.6,0.25,191.88,66
NDC,00517234099,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,213.2,106.6,0.25,191.88,66
NDC,00517250201,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,178.35,89.18,38.9,160.52,65
NDC,00517250210,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,178.35,89.18,38.9,160.52,65
NDC,00517250501,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,288.4,144.2,62.9,259.56,65
NDC,00517250525,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,288.4,144.2,62.9,259.56,65
NDC,00517400201,PAPAVERINE 30 MG/ML INJECTION SOLUTION,140.1,70.05,30.56,126.09,66
NDC,00517400225,PAPAVERINE 30 MG/ML INJECTION SOLUTION,140.1,70.05,30.56,126.09,66
NDC,00517420125,HYDROXYZINE HCL 25 MG/ML INTRAMUSCULAR SOLUTION,104.2,52.1,10.99,93.78,66
NDC,00517430001,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,4116.05,2058.03,10.75,3704.45,71
NDC,00517460101,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.85,10.93,0.47,19.67,71
NDC,00517460125,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.85,10.93,0.47,19.67,71
NDC,00517460201,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,23.25,11.63,0.47,20.93,71
NDC,00517460225,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,23.25,11.63,0.47,20.93,71
NDC,00517460525,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,44.35,22.18,0.47,39.92,71
NDC,00517462025,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,63.15,31.58,0.47,56.84,71
NDC,00517481001,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,94.3,47.15,1.38,84.87,66
NDC,00517481025,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,94.3,47.15,1.38,84.87,66
NDC,00517560125,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,121.25,60.63,10.99,109.13,66
NDC,00517560225,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,135.65,67.83,10.99,122.09,66
NDC,00517610101,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,102.45,51.23,22.34,92.21,65
NDC,00517610125,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,102.45,51.23,22.34,92.21,65
NDC,00517620225,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS,79.3,39.65,17.3,71.37,65
NDC,00517656001,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1108.6,554.3,241.79,997.74,65
NDC,00517656005,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1108.6,554.3,241.79,997.74,65
NDC,00517656025,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1593.75,796.88,347.6,1434.38,65
NDC,00517671001,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.5,34.75,15.16,62.55,65
NDC,00517671010,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.5,34.75,15.16,62.55,65
NDC,00517720125,TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN,90.6,45.3,19.76,81.54,65
NDC,00517730501,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,105.4,52.7,22.99,94.86,65
NDC,00517730525,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,105.4,52.7,22.99,94.86,65
NDC,00517731501,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,194.15,97.08,42.34,174.74,65
NDC,00517731525,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,194.15,97.08,42.34,174.74,65
NDC,00517735001,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,508.5,254.25,110.9,457.65,65
NDC,00517735025,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,508.5,254.25,110.9,457.65,65
NDC,00517750401,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,60.15,30.08,13.12,54.14,65
NDC,00517750425,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,60.15,30.08,13.12,54.14,65
NDC,00517760401,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,79.9,39.95,17.43,71.91,65
NDC,00517760425,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,79.9,39.95,17.43,71.91,65
NDC,00517800501,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,281.05,140.53,61.3,252.95,65
NDC,00517800525,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,281.05,140.53,61.3,252.95,65
NDC,00517912001,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,74.2,37.1,16.18,66.78,65
NDC,00517912025,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,74.2,37.1,16.18,66.78,65
NDC,00517919101,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,78.3,39.15,17.08,70.47,65
NDC,00517919125,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,78.3,39.15,17.08,70.47,65
NDC,00517920325,TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS,81.95,40.98,17.87,73.76,65
NDC,00517930201,"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN",137.25,68.63,29.93,123.53,65
NDC,00517930225,"TRACE ELEMENTS ZINC 1,000 MCG-CU 60 MCG-MANG 3 MCG-SE 6 MCG/ML IV SOLN",137.25,68.63,29.93,123.53,65
NDC,00517930501,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,162.1,81.05,35.35,145.89,65
NDC,00517930525,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,162.1,81.05,35.35,145.89,65
NDC,00517970201,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,46.75,23.38,9.42,42.08,66
NDC,00517970225,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,46.75,23.38,9.42,42.08,66
NDC,00525055590,LMFOLATE CA 6 MG-ACETYLCYS 600 MG-MB12 2 MG-ALGAL OIL 90.314 MG TABLET,2091.25,1045.63,456.1,1882.13,65
NDC,00527058601,DICYCLOMINE 10 MG CAPSULE,120.0,60.0,26.17,108.0,65
NDC,00527058610,DICYCLOMINE 10 MG CAPSULE,720.0,360.0,157.03,648.0,65
NDC,00527079037,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",581.5,290.75,126.83,523.35,65
NDC,00527079137,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",581.5,290.75,126.83,523.35,65
NDC,00527079437,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",581.5,290.75,126.83,523.35,65
NDC,00527105001,ACETAZOLAMIDE 250 MG TABLET,404.5,202.25,88.22,364.05,65
NDC,00527123101,PRIMIDONE 250 MG TABLET,174.6,87.3,38.08,157.14,65
NDC,00527128201,DICYCLOMINE 20 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,00527128210,DICYCLOMINE 20 MG TABLET,900.0,450.0,196.29,810.0,65
NDC,00527130101,PRIMIDONE 50 MG TABLET,94.8,47.4,20.68,85.32,65
NDC,00527131101,TERBUTALINE 5 MG TABLET,2126.8,1063.4,463.86,1914.12,65
NDC,00527131301,PILOCARPINE 5 MG TABLET,244.8,122.4,53.39,220.32,65
NDC,00527131501,RIFAMPIN 300 MG CAPSULE,616.0,308.0,134.35,554.4,65
NDC,00527131506,RIFAMPIN 300 MG CAPSULE,375.9,187.95,81.98,338.31,65
NDC,00527131530,RIFAMPIN 300 MG CAPSULE,239.95,119.98,52.33,215.96,65
NDC,00527131801,TERBUTALINE 2.5 MG TABLET,2176.5,1088.25,474.69,1958.85,65
NDC,00527132401,DIGOXIN 125 MCG (0.125 MG) TABLET,333.0,166.5,72.63,299.7,65
NDC,00527132410,DIGOXIN 125 MCG (0.125 MG) TABLET,2584.0,1292.0,563.57,2325.6,65
NDC,00527132501,DIGOXIN 250 MCG (0.25 MG) TABLET,333.0,166.5,72.63,299.7,65
NDC,00527132601,URSODIOL 300 MG CAPSULE,262.8,131.4,57.32,236.52,65
NDC,00527135301,HYDROMORPHONE 2 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00527135401,HYDROMORPHONE 4 MG TABLET,109.2,54.6,23.82,98.28,65
NDC,00527135601,BETHANECHOL CHLORIDE 25 MG TABLET,239.4,119.7,52.21,215.46,65
NDC,00527136701,PROBENECID 500 MG TABLET,822.5,411.25,179.39,740.25,65
NDC,00527139201,DANAZOL 50 MG CAPSULE,906.0,453.0,197.6,815.4,65
NDC,00527139301,RIFAMPIN 150 MG CAPSULE,365.5,182.75,79.72,328.95,65
NDC,00527139330,RIFAMPIN 150 MG CAPSULE,163.1,81.55,35.57,146.79,65
NDC,00527139401,LOXAPINE SUCCINATE 5 MG CAPSULE,273.5,136.75,59.65,246.15,65
NDC,00527139501,LOXAPINE SUCCINATE 10 MG CAPSULE,294.0,147.0,64.12,264.6,65
NDC,00527139601,LOXAPINE SUCCINATE 25 MG CAPSULE,291.0,145.5,63.47,261.9,65
NDC,00527150037,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,134.4,67.2,29.31,120.96,65
NDC,00527150237,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,134.4,67.2,29.31,120.96,65
NDC,00527150537,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,125.4,62.7,27.35,112.86,65
NDC,00527150637,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,134.4,67.2,29.31,120.96,65
NDC,00527155201,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,495.5,247.75,108.07,445.95,65
NDC,00527163210,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,545.0,272.5,118.86,490.5,65
NDC,00527169501,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,110.4,55.2,24.08,99.36,65
NDC,00527169801,CODEINE SULFATE 30 MG TABLET,319.0,159.5,69.57,287.1,65
NDC,00527178801,FLUPHENAZINE 1 MG TABLET,740.5,370.25,161.5,666.45,65
NDC,00527178901,FLUPHENAZINE 2.5 MG TABLET,1146.0,573.0,249.94,1031.4,65
NDC,00527179001,FLUPHENAZINE 5 MG TABLET,1550.5,775.25,338.16,1395.45,65
NDC,00527179101,FLUPHENAZINE 10 MG TABLET,1955.0,977.5,426.39,1759.5,65
NDC,00527181843,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY,507.25,253.63,110.63,456.53,65
NDC,00527185943,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,1145.2,572.6,249.77,1030.68,65
NDC,00527192736,METHADONE 10 MG/ML ORAL CONCENTRATE,112.5,56.25,24.54,101.25,65
NDC,00527193006,"CLARITHROMYCIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1818.3,909.15,396.57,1636.47,65
NDC,00527193106,CLARITHROMYCIN 250 MG TABLET,79.95,39.98,17.44,71.96,65
NDC,00527193206,CLARITHROMYCIN 500 MG TABLET,110.55,55.28,24.11,99.5,65
NDC,00527194313,MEMANTINE 2 MG/ML ORAL SOLUTION,3022.6,1511.3,659.23,2720.34,65
NDC,00527194748,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,1874.4,937.2,408.81,1686.96,65
NDC,00527194866,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,1011.5,505.75,220.61,910.35,65
NDC,00527194947,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,283.8,141.9,61.9,255.42,65
NDC,00527196174,COCAINE 4 % NASAL SOLUTION,1024.6,512.3,223.47,922.14,65
NDC,00527197174,COCAINE 4 % NASAL SOLUTION,655.7,327.85,143.01,590.13,65
NDC,00527213335,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",4011.6,2005.8,874.93,3610.44,65
NDC,00527221637,METOLAZONE 5 MG TABLET,362.5,181.25,79.06,326.25,65
NDC,00527224432,FEBUXOSTAT 40 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,00527260037,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",139.2,69.6,30.36,125.28,65
NDC,00527296137,CHLORPROMAZINE 10 MG TABLET,198.6,99.3,43.31,178.74,65
NDC,00527296237,CHLORPROMAZINE 25 MG TABLET,299.4,149.7,65.3,269.46,65
NDC,00527296337,CHLORPROMAZINE 50 MG TABLET,467.0,233.5,101.85,420.3,65
NDC,00527296437,CHLORPROMAZINE 100 MG TABLET,522.0,261.0,113.85,469.8,65
NDC,00527301248,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1024.8,512.4,223.51,922.32,65
NDC,00527328046,LEVOTHYROXINE 25 MCG TABLET,37.3,18.65,8.14,33.57,65
NDC,00527328146,LEVOTHYROXINE 50 MCG TABLET,25.4,12.7,5.54,22.86,65
NDC,00527328243,LEVOTHYROXINE 75 MCG TABLET,505.0,252.5,110.14,454.5,65
NDC,00527328346,LEVOTHYROXINE 88 MCG TABLET,27.55,13.78,6.01,24.8,65
NDC,00527328446,LEVOTHYROXINE 100 MCG TABLET,28.65,14.33,6.25,25.79,65
NDC,00527328546,LEVOTHYROXINE 112 MCG TABLET,62.1,31.05,13.54,55.89,65
NDC,00527328646,LEVOTHYROXINE 125 MCG TABLET,33.5,16.75,7.31,30.15,65
NDC,00527328746,LEVOTHYROXINE 137 MCG TABLET,31.9,15.95,6.96,28.71,65
NDC,00527329046,LEVOTHYROXINE 200 MCG TABLET,71.85,35.93,15.67,64.67,65
NDC,00527329146,LEVOTHYROXINE 300 MCG TABLET,47.0,23.5,10.25,42.3,65
NDC,00527331037,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",348.0,174.0,75.9,313.2,65
NDC,00527331137,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",357.0,178.5,77.86,321.3,65
NDC,00527331337,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",400.5,200.25,87.35,360.45,65
NDC,00527411637,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",122.4,61.2,26.7,110.16,65
NDC,00527411737,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",135.0,67.5,29.44,121.5,65
NDC,00527411837,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",162.0,81.0,35.33,145.8,65
NDC,00527459113,OSELTAMIVIR 30 MG CAPSULE,50.4,25.2,10.99,45.36,65
NDC,00527459313,OSELTAMIVIR 75 MG CAPSULE,77.7,38.85,16.95,69.93,65
NDC,00527512070,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,34.1,17.05,7.44,30.69,65
NDC,00527512170,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",167.45,83.73,36.52,150.71,65
NDC,00527512570,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,36.9,18.45,8.05,33.21,65
NDC,00527512578,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,85.15,42.58,18.57,76.64,65
NDC,00527513762,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,46.45,23.23,10.13,41.81,65
NDC,00527516082,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,1264.8,632.4,275.85,1138.32,65
NDC,00527525070,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,56.8,28.4,12.39,51.12,65
NDC,00527551037,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,00527551137,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,00527600274,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,33.0,16.5,7.2,29.7,65
NDC,00527600480,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,81.9,40.95,17.86,73.71,65
NDC,00527810637,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",604.5,302.25,131.84,544.05,65
NDC,00527810737,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",641.5,320.75,139.91,577.35,65
NDC,00527810937,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",772.5,386.25,168.48,695.25,65
NDC,00536129434,DICLOFENAC 1 % TOPICAL GEL,33.9,16.95,7.39,30.51,65
NDC,00536129497,DICLOFENAC 1 % TOPICAL GEL,44.4,22.2,9.68,39.96,65
NDC,00536129801,FAMOTIDINE 20 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,00536130723,OLOPATADINE 0.2 % EYE DROPS,56.2,28.1,12.26,50.58,65
NDC,00536130840,OLOPATADINE 0.1 % EYE DROPS,63.55,31.78,13.86,57.2,65
NDC,00536137785,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,232.75,116.38,50.76,209.48,65
NDC,00536141501,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,00536143901,COPPER GLUCONATE 2 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,00536360735,PSEUDOEPHEDRINE 30 MG TABLET,6.8,3.4,1.48,6.12,65
NDC,00536703301,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE",27.6,13.8,6.02,24.84,65
NDC,00536703801,"NIACIN ER 1,000 MG TABLET,EXTENDED RELEASE",27.0,13.5,5.89,24.3,65
NDC,00536730001,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,23.4,11.7,5.1,21.06,65
NDC,00548540000,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,55.5,27.75,12.1,50.03,66
NDC,00548540025,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,47.15,23.58,10.28,50.03,66
NDC,00548560100,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,27.0,13.5,0.76,24.3,66
NDC,00548560200,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,36.0,18.0,0.76,32.4,66
NDC,00548560300,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,54.0,27.0,0.76,48.6,66
NDC,00548560400,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,72.0,36.0,0.76,64.8,66
NDC,00548560500,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,90.0,45.0,0.76,81.0,66
NDC,00548560600,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,108.0,54.0,0.76,97.2,66
NDC,00548570100,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,124.8,62.4,27.22,112.32,66
NDC,00548585000,GLUCAGON 1 MG SOLUTION FOR INJECTION,848.7,424.35,185.1,763.83,71
NDC,00548590000,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,99.85,49.93,21.78,89.87,66
NDC,00548909010,HYALURONIDASE 150 UNIT/ML INJECTION SOLUTION,186.55,93.28,40.69,167.9,66
NDC,00548950200,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,302.35,151.18,65.94,272.12,65
NDC,00548960200,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,41.1,20.55,1.79,36.99,66
NDC,00555003302,CHLORDIAZEPOXIDE 10 MG CAPSULE,78.6,39.3,17.14,70.74,65
NDC,00555006602,ISONIAZID 100 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,00555007101,ISONIAZID 300 MG TABLET,72.9,36.45,15.9,65.61,65
NDC,00555007102,ISONIAZID 300 MG TABLET,131.4,65.7,28.66,118.26,65
NDC,00555015802,CHLORDIAZEPOXIDE 5 MG CAPSULE,114.6,57.3,24.99,103.14,65
NDC,00555015902,CHLORDIAZEPOXIDE 25 MG CAPSULE,99.6,49.8,21.72,89.64,65
NDC,00555015904,CHLORDIAZEPOXIDE 25 MG CAPSULE,322.5,161.25,70.34,290.25,65
NDC,00555021110,NORETHINDRONE ACETATE 5 MG TABLET,463.5,231.75,101.09,417.15,65
NDC,00555048302,AMILORIDE 5 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,216.6,108.3,47.24,194.94,65
NDC,00555048401,LEUCOVORIN CALCIUM 5 MG TABLET,170.5,85.25,37.19,153.45,65
NDC,00555048402,LEUCOVORIN CALCIUM 5 MG TABLET,365.0,182.5,79.61,328.5,65
NDC,00555048527,LEUCOVORIN CALCIUM 25 MG TABLET,1071.15,535.58,233.62,964.04,65
NDC,00555057202,METHOTREXATE SODIUM 2.5 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,00555057235,METHOTREXATE SODIUM 2.5 MG TABLET,54.25,27.13,11.83,48.83,65
NDC,00555060602,MEGESTROL 20 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,00555060702,MEGESTROL 40 MG TABLET,109.8,54.9,23.95,98.82,65
NDC,00555063502,DANAZOL 200 MG CAPSULE,781.5,390.75,170.45,703.35,65
NDC,00555063509,DANAZOL 200 MG CAPSULE,1027.2,513.6,224.03,924.48,65
NDC,00555077902,MEDROXYPROGESTERONE 10 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,00555080802,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,5542.0,2771.0,1208.71,4987.8,65
NDC,00555087202,MEDROXYPROGESTERONE 2.5 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,00555087302,MEDROXYPROGESTERONE 5 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,00555088202,HYDROXYUREA 500 MG CAPSULE,241.2,120.6,52.61,217.08,65
NDC,00555088602,ESTRADIOL 1 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,00555088702,ESTRADIOL 2 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,00555089902,ESTRADIOL 0.5 MG TABLET,115.2,57.6,25.13,103.68,65
NDC,00555095202,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,00555097102,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,365.0,182.5,79.61,328.5,65
NDC,00555097202,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,433.0,216.5,94.44,389.7,65
NDC,00555097302,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,269.4,134.7,58.76,242.46,65
NDC,00555099702,FLUDROCORTISONE 0.1 MG TABLET,253.5,126.75,55.29,228.15,65
NDC,00555904958,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,65.55,32.78,14.3,59.0,65
NDC,00555904979,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,65.55,32.78,14.3,59.0,65
NDC,00555905079,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,142.8,71.4,31.14,128.52,65
NDC,00562780500,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",415.0,207.5,90.07,373.5,66
NDC,00562780501,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",415.0,207.5,90.07,373.5,66
NDC,00562780505,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",415.0,207.5,90.07,373.5,66
NDC,00562780525,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",415.0,207.5,90.07,373.5,66
NDC,00574010601,BROMOCRIPTINE 2.5 MG TABLET,365.0,182.5,79.61,328.5,65
NDC,00574010603,BROMOCRIPTINE 2.5 MG TABLET,195.5,97.75,42.64,175.95,65
NDC,00574010714,CLOTRIMAZOLE 10 MG TROCHE,229.35,114.68,50.02,206.42,65
NDC,00574010770,CLOTRIMAZOLE 10 MG TROCHE,108.8,54.4,23.73,97.92,65
NDC,00574010777,CLOTRIMAZOLE 10 MG TROCHE,218.4,109.2,47.63,196.56,65
NDC,00574011501,FLAVOXATE 100 MG TABLET,225.6,112.8,49.2,203.04,65
NDC,00574012225,ACTIVATED CHARCOAL 25 GRAM ORAL SUSPENSION,13.9,6.95,3.03,12.51,65
NDC,00574012901,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,84.0,42.0,18.32,75.6,65
NDC,00574014560,TROSPIUM 20 MG TABLET,160.6,80.3,35.03,144.54,65
NDC,00574015004,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),278.5,139.25,60.74,250.65,65
NDC,00574018105,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",1752.5,876.25,382.22,1577.25,65
NDC,00574024001,REPAGLINIDE 0.5 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,00574024101,REPAGLINIDE 1 MG TABLET,76.2,38.1,16.62,68.58,65
NDC,00574027500,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",3.3,1.65,0.72,2.97,65
NDC,00574027511,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",160.2,80.1,34.94,144.18,65
NDC,00574029201,AMILORIDE 5 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,00574079101,METHAZOLAMIDE 50 MG TABLET,768.0,384.0,167.5,691.2,65
NDC,00574079201,PILOCARPINE 5 MG TABLET,61.8,30.9,13.48,55.62,65
NDC,00574080500,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,575.05,287.53,125.42,517.55,65
NDC,00574080530,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,575.05,287.53,125.42,517.55,65
NDC,00574082001,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,68.65,34.33,0.03,61.79,66
NDC,00574082010,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,116.65,58.33,0.03,104.99,66
NDC,00574082710,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,116.65,58.33,0.03,104.99,66
NDC,00574085005,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,401.85,200.93,46.99,361.67,66
NDC,00574085010,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,292.5,146.25,46.99,263.25,66
NDC,00574086610,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,184.1,92.05,40.15,165.69,66
NDC,00574113316,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,3668.6,1834.3,800.12,3301.74,65
NDC,00574200802,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",75.6,37.8,16.49,68.04,65
NDC,00574200815,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",27.9,13.95,6.08,25.11,65
NDC,00574200830,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",69.15,34.58,15.08,62.24,65
NDC,00574204230,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,21.25,10.63,4.63,19.13,65
NDC,00574401210,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",238.35,119.18,51.98,214.52,65
NDC,00574402135,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",28.8,14.4,6.28,25.92,65
NDC,00574402235,BACITRACIN 500 UNIT/GRAM EYE OINTMENT,533.55,266.78,116.37,480.2,65
NDC,00574402411,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,42.3,21.15,9.23,38.07,65
NDC,00574402435,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,29.5,14.75,6.43,26.55,65
NDC,00574402439,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,82.65,41.33,18.03,74.39,65
NDC,00574402450,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,42.3,21.15,9.23,38.07,65
NDC,00574403110,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",211.35,105.68,46.1,190.22,65
NDC,00574403125,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",52.9,26.45,11.54,47.61,65
NDC,00574414435,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",32.6,16.3,7.11,29.34,65
NDC,00574416035,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",28.4,14.2,6.19,25.56,65
NDC,00574425035,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",31.05,15.53,6.77,27.95,65
NDC,00574704501,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,122.1,61.05,26.63,109.89,65
NDC,00574704512,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,1220.9,610.45,266.28,1098.81,65
NDC,00574709012,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,89.5,44.75,19.52,80.55,65
NDC,00574711212,MORPHINE 10 MG RECTAL SUPPOSITORY,265.05,132.53,57.81,238.55,65
NDC,00574722612,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,352.9,176.45,76.97,317.61,65
NDC,00574985510,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",257.5,128.75,56.16,231.75,65
NDC,00575620030,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1043.7,521.85,227.63,939.33,65
NDC,00591034301,VERAPAMIL 80 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,00591034501,VERAPAMIL 120 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,00591034505,VERAPAMIL 120 MG TABLET,165.0,82.5,35.99,148.5,65
NDC,00591034701,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,48.0,24.0,10.47,43.2,65
NDC,00591034705,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,228.0,114.0,49.73,205.2,65
NDC,00591034801,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,00591036901,LOXAPINE SUCCINATE 5 MG CAPSULE,214.2,107.1,46.72,192.78,65
NDC,00591037001,LOXAPINE SUCCINATE 10 MG CAPSULE,359.5,179.75,78.41,323.55,65
NDC,00591037101,LOXAPINE SUCCINATE 25 MG CAPSULE,356.0,178.0,77.64,320.4,65
NDC,00591039760,"DICLOFENAC 50 MG-MISOPROSTOL 200 MCG TABLET,IMMED.AND DELAYED RELEASE",528.6,264.3,115.29,475.74,65
NDC,00591039860,"DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE",597.6,298.8,130.34,537.84,65
NDC,00591040401,VERAPAMIL 40 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,00591040501,LISINOPRIL 2.5 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,00591040601,LISINOPRIL 5 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,00591040701,LISINOPRIL 10 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,00591040801,LISINOPRIL 20 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,00591044401,GUANFACINE 1 MG TABLET,113.4,56.7,24.73,102.06,65
NDC,00591046001,GLIPIZIDE 5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,00591046101,GLIPIZIDE 10 MG TABLET,19.2,9.6,4.19,17.28,65
NDC,00591058201,PROPAFENONE 150 MG TABLET,226.8,113.4,49.47,204.12,65
NDC,00591058301,PROPAFENONE 225 MG TABLET,153.0,76.5,33.37,137.7,65
NDC,00591060501,LABETALOL 100 MG TABLET,169.8,84.9,37.03,152.82,65
NDC,00591060505,LABETALOL 100 MG TABLET,900.0,450.0,196.29,810.0,65
NDC,00591060601,LABETALOL 200 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,00591060605,LABETALOL 200 MG TABLET,1277.5,638.75,278.62,1149.75,65
NDC,00591074501,ESTAZOLAM 2 MG TABLET,278.0,139.0,60.63,250.2,65
NDC,00591079401,DICYCLOMINE 10 MG CAPSULE,71.4,35.7,15.57,64.26,65
NDC,00591079501,DICYCLOMINE 20 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00591079510,DICYCLOMINE 20 MG TABLET,625.0,312.5,136.31,562.5,65
NDC,00591079601,SULFASALAZINE 500 MG TABLET,103.8,51.9,22.64,93.42,65
NDC,00591079605,SULFASALAZINE 500 MG TABLET,390.0,195.0,85.06,351.0,65
NDC,00591079610,SULFASALAZINE 500 MG TABLET,810.0,405.0,176.66,729.0,65
NDC,00591084401,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",160.8,80.4,35.07,144.72,65
NDC,00591084410,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",690.0,345.0,150.49,621.0,65
NDC,00591084501,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",189.6,94.8,41.35,170.64,65
NDC,00591090030,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",48.1,24.05,10.49,43.29,65
NDC,00591207026,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,11.0,5.5,2.4,9.9,65
NDC,00591207030,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,119.35,59.68,26.03,107.42,65
NDC,00591207072,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,11.0,5.5,2.4,9.9,65
NDC,00591212779,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",426.75,213.38,93.07,384.08,65
NDC,00591213655,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,85.5,42.75,0.14,76.95,66
NDC,00591213657,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,171.0,85.5,0.14,153.9,66
NDC,00591213680,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,31.8,15.9,0.14,28.62,66
NDC,00591219130,RAMELTEON 8 MG TABLET,776.1,388.05,169.27,698.49,65
NDC,00591225804,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,136.2,68.1,29.71,122.58,65
NDC,00591225823,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,1602.4,801.2,349.48,1442.16,65
NDC,00591225854,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,34.05,17.03,7.43,30.65,65
NDC,00591225879,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,667.6,333.8,145.6,600.84,65
NDC,00591231215,ALVIMOPAN 12 MG CAPSULE,18853.0,9426.5,4111.84,16967.7,65
NDC,00591231245,ALVIMOPAN 12 MG CAPSULE,785.55,392.78,171.33,707.0,65
NDC,00591246401,DESMOPRESSIN 0.1 MG TABLET,1903.0,951.5,415.04,1712.7,65
NDC,00591246501,DESMOPRESSIN 0.2 MG TABLET,2193.2,1096.6,478.34,1973.88,65
NDC,00591247260,TAMOXIFEN 10 MG TABLET,137.2,68.6,29.92,123.48,65
NDC,00591247501,TETRACYCLINE 500 MG CAPSULE,4683.6,2341.8,1021.49,4215.24,65
NDC,00591251160,BOSENTAN 62.5 MG TABLET,5304.0,2652.0,1156.8,4773.6,65
NDC,00591251260,BOSENTAN 125 MG TABLET,5304.0,2652.0,1156.8,4773.6,65
NDC,00591252001,CHLORZOXAZONE 500 MG TABLET,136.8,68.4,29.84,123.12,65
NDC,00591256201,COLCHICINE 0.6 MG TABLET,276.0,138.0,60.2,248.4,65
NDC,00591256230,COLCHICINE 0.6 MG TABLET,94.0,47.0,20.5,84.6,65
NDC,00591257920,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,3155.35,1577.68,688.18,2839.82,65
NDC,00591268201,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",160.8,80.4,35.07,144.72,65
NDC,00591272901,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",183.0,91.5,39.91,164.7,65
NDC,00591280560,"CLARITHROMYCIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",2148.3,1074.15,468.54,1933.47,65
NDC,00591288001,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",554.5,277.25,120.94,499.05,65
NDC,00591288201,"VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE",579.0,289.5,126.28,521.1,65
NDC,00591288401,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",655.5,327.75,142.96,589.95,65
NDC,00591288601,"VERAPAMIL ER 360 MG 24 HR CAPSULE,EXTENDED RELEASE",2206.5,1103.25,481.24,1985.85,65
NDC,00591288830,"HYDROXOCOBALAMIN 1,000 MCG/ML INTRAMUSCULAR SOLUTION",160.4,80.2,0.01,144.36,70
NDC,00591292754,LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER,254.35,127.18,55.47,228.92,65
NDC,00591294430,PIMECROLIMUS 1 % TOPICAL CREAM,572.55,286.28,124.87,515.3,65
NDC,00591299801,URSODIOL 250 MG TABLET,380.5,190.25,82.99,342.45,65
NDC,00591312879,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,186.0,93.0,1.02,167.4,66
NDC,00591315901,URSODIOL 300 MG CAPSULE,463.0,231.5,100.98,416.7,65
NDC,00591321617,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,23.65,11.83,5.16,21.29,65
NDC,00591321630,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,23.65,11.83,5.16,21.29,65
NDC,00591322001,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP,372.0,186.0,81.13,334.8,65
NDC,00591333119,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",587.25,293.63,128.08,528.53,65
NDC,00591333130,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",234.9,117.45,51.23,211.41,65
NDC,00591336901,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,297.5,148.75,64.88,267.75,65
NDC,00591349630,"GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE",687.45,343.73,149.93,618.71,65
NDC,00591350804,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,284.3,142.15,62.01,255.87,65
NDC,00591350854,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,85.3,42.65,18.6,76.77,65
NDC,00591350904,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,448.5,224.25,97.82,403.65,65
NDC,00591350954,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,134.55,67.28,29.35,121.1,65
NDC,00591351004,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,554.7,277.35,120.98,499.23,65
NDC,00591351054,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,166.45,83.23,36.3,149.81,65
NDC,00591352426,TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL,18.45,9.23,4.02,16.61,65
NDC,00591352511,LIDOCAINE 5 % TOPICAL PATCH,8.05,4.03,1.76,7.25,65
NDC,00591352530,LIDOCAINE 5 % TOPICAL PATCH,241.4,120.7,52.65,217.26,65
NDC,00591354060,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",50.8,25.4,11.08,45.72,65
NDC,00591354125,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",214.5,107.25,46.78,193.05,65
NDC,00591354160,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",60.5,30.25,13.2,54.45,65
NDC,00591354601,CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE,1054.0,527.0,229.88,948.6,65
NDC,00591365930,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",113.4,56.7,24.73,102.06,65
NDC,00591367001,NABUMETONE 500 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,00591368401,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,2178.4,1089.2,475.11,1960.56,65
NDC,00591371330,EZETIMIBE 10 MG TABLET,81.4,40.7,17.75,73.26,65
NDC,00591372030,TRANEXAMIC ACID 650 MG TABLET,618.6,309.3,134.92,556.74,65
NDC,00591386219,"METHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2397.25,1198.63,522.84,2157.53,65
NDC,00591387044,MEMANTINE 5 MG TABLET,231.0,115.5,50.38,207.9,65
NDC,00591387045,MEMANTINE 5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,00591395511,VIGABATRIN 500 MG ORAL POWDER PACKET,961.05,480.53,209.61,864.95,65
NDC,00591401201,VALPROIC ACID 250 MG CAPSULE,96.6,48.3,21.07,86.94,65
NDC,00591405094,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,276.2,138.1,60.24,248.58,65
NDC,00591410101,PERPHENAZINE 2 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,00591410201,PERPHENAZINE 4 MG TABLET,307.0,153.5,66.96,276.3,65
NDC,00591410301,PERPHENAZINE 8 MG TABLET,373.5,186.75,81.46,336.15,65
NDC,00591417101,PENICILLAMINE 250 MG CAPSULE,8367.6,4183.8,1824.97,7530.84,65
NDC,00591438579,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,1470.6,735.3,1.05,1323.54,70
NDC,00591501902,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,950.0,475.0,47.13,855.0,71
NDC,00591505201,PREDNISONE 5 MG TABLET,106.8,53.4,23.29,96.12,65
NDC,00591505210,PREDNISONE 5 MG TABLET,675.0,337.5,147.22,607.5,65
NDC,00591530701,PROMETHAZINE 25 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,00591530710,PROMETHAZINE 25 MG TABLET,1670.0,835.0,364.23,1503.0,65
NDC,00591532101,PRIMIDONE 250 MG TABLET,217.2,108.6,47.37,195.48,65
NDC,00591532501,PROBENECID 500 MG-COLCHICINE 0.5 MG TABLET,424.0,212.0,92.47,381.6,65
NDC,00591533501,TRIHEXYPHENIDYL 2 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,00591533510,TRIHEXYPHENIDYL 2 MG TABLET,228.0,114.0,49.73,205.2,65
NDC,00591533701,TRIHEXYPHENIDYL 5 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,00591534701,PROBENECID 500 MG TABLET,296.0,148.0,64.56,266.4,65
NDC,00591544201,PREDNISONE 10 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,00591544301,PREDNISONE 20 MG TABLET,122.4,61.2,26.7,110.16,65
NDC,00591544305,PREDNISONE 20 MG TABLET,415.0,207.5,90.51,373.5,65
NDC,00591544310,PREDNISONE 20 MG TABLET,640.0,320.0,139.58,576.0,65
NDC,00591554301,ALLOPURINOL 100 MG TABLET,185.4,92.7,40.44,166.86,65
NDC,00591554310,ALLOPURINOL 100 MG TABLET,970.0,485.0,211.56,873.0,65
NDC,00591554401,ALLOPURINOL 300 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,00591555401,PROPRANOLOL 10 MG TABLET,152.4,76.2,33.24,137.16,65
NDC,00591555410,PROPRANOLOL 10 MG TABLET,1115.0,557.5,243.18,1003.5,65
NDC,00591555501,PROPRANOLOL 20 MG TABLET,197.4,98.7,43.05,177.66,65
NDC,00591555601,PROPRANOLOL 40 MG TABLET,268.2,134.1,58.49,241.38,65
NDC,00591555701,PROPRANOLOL 80 MG TABLET,280.0,140.0,61.07,252.0,65
NDC,00591559001,TRANYLCYPROMINE 10 MG TABLET,626.5,313.25,136.64,563.85,65
NDC,00591564201,MINOXIDIL 2.5 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,00591564301,MINOXIDIL 10 MG TABLET,278.4,139.2,60.72,250.56,65
NDC,00591566001,SULINDAC 200 MG TABLET,104.4,52.2,22.77,93.96,65
NDC,00591566101,SULINDAC 150 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,00591569401,MINOCYCLINE 50 MG CAPSULE,135.6,67.8,29.57,122.04,65
NDC,00591569550,MINOCYCLINE 100 MG CAPSULE,123.6,61.8,26.96,111.24,65
NDC,00591571401,AMOXAPINE 50 MG TABLET,357.0,178.5,77.86,321.3,65
NDC,00597002402,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION,1980.4,990.2,431.93,1782.36,65
NDC,00597003510,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION,167419.7,83709.85,67.04,150677.73,70
NDC,00597005301,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,396.85,198.43,86.55,357.17,71
NDC,00597005345,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,396.9,198.45,86.56,357.21,71
NDC,00597007541,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,1530.75,765.38,333.86,1377.68,65
NDC,00597007547,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,3673.8,1836.9,801.26,3306.42,65
NDC,00597007575,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,285.75,142.88,62.32,257.18,65
NDC,00597008717,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER,1418.4,709.2,309.35,1276.56,65
NDC,00597010051,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,208.05,104.03,45.38,187.25,65
NDC,00597010061,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,2194.1,1097.05,478.53,1974.69,65
NDC,00597013830,AFATINIB 40 MG TABLET,47167.1,23583.55,10287.14,42450.39,65
NDC,00597014030,LINAGLIPTIN 5 MG TABLET,2184.45,1092.23,476.43,1966.01,65
NDC,00597014061,LINAGLIPTIN 5 MG TABLET,5825.2,2912.6,1270.48,5242.68,65
NDC,00597014090,LINAGLIPTIN 5 MG TABLET,5242.7,2621.35,1143.43,4718.43,65
NDC,00597015237,EMPAGLIFLOZIN 10 MG TABLET,2313.15,1156.58,504.5,2081.84,65
NDC,00597015561,TIOTROPIUM 2.5 MCG-OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION,1565.1,782.55,341.35,1408.59,65
NDC,00597019705,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,10178.8,5089.4,2220.0,9160.92,65
NDC,00597026010,GLUCAGON 1 MG/ML SOLUTION FOR INJECTION,396.85,198.43,86.55,357.17,71
NDC,00597035509,DABIGATRAN ETEXILATE 75 MG CAPSULE,871.2,435.6,190.01,784.08,65
NDC,00597035556,DABIGATRAN ETEXILATE 75 MG CAPSULE,871.2,435.6,190.01,784.08,65
NDC,00597036055,DABIGATRAN ETEXILATE 150 MG CAPSULE,871.2,435.6,190.01,784.08,65
NDC,00597036082,DABIGATRAN ETEXILATE 150 MG CAPSULE,871.2,435.6,190.01,784.08,65
NDC,00603116158,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,536.9,268.45,117.1,483.21,65
NDC,00603150858,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,295.2,147.6,64.38,265.68,65
NDC,00603154258,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,147.6,73.8,32.19,132.84,65
NDC,00603155410,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,5.95,2.98,1.3,5.36,65
NDC,00603155416,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,202.7,101.35,44.21,182.43,65
NDC,00603188010,LIDOCAINE 5 % TOPICAL PATCH,11.5,5.75,2.51,10.35,65
NDC,00603188016,LIDOCAINE 5 % TOPICAL PATCH,286.65,143.33,62.52,257.99,65
NDC,00603211621,ALLOPURINOL 300 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,00603221221,AMITRIPTYLINE 10 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,00603221232,AMITRIPTYLINE 10 MG TABLET,655.0,327.5,142.86,589.5,65
NDC,00603221321,AMITRIPTYLINE 25 MG TABLET,110.4,55.2,24.08,99.36,65
NDC,00603221421,AMITRIPTYLINE 50 MG TABLET,265.5,132.75,57.91,238.95,65
NDC,00603240621,BACLOFEN 10 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,00603240628,BACLOFEN 10 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,00603240632,BACLOFEN 10 MG TABLET,430.0,215.0,93.78,387.0,65
NDC,00603243421,BENZTROPINE 1 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,00603243721,BENZTROPINE 0.5 MG TABLET,43.8,21.9,9.55,39.42,65
NDC,00603243821,BENZTROPINE 1 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,00603254021,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG TABLET,554.0,277.0,120.83,498.6,65
NDC,00603254421,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,496.0,248.0,108.18,446.4,65
NDC,00603254428,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,1985.0,992.5,432.93,1786.5,65
NDC,00603358221,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",182.4,91.2,39.78,164.16,65
NDC,00603389021,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,00603389121,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,253.2,126.6,55.22,227.88,65
NDC,00603459315,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,68.3,34.15,0.26,61.47,66
NDC,00603459321,METHYLPREDNISOLONE 4 MG TABLET,226.2,113.1,0.26,203.58,66
NDC,00603497521,OXYBUTYNIN CHLORIDE 5 MG TABLET,287.4,143.7,62.68,258.66,65
NDC,00603497528,OXYBUTYNIN CHLORIDE 5 MG TABLET,742.5,371.25,161.94,668.25,65
NDC,00603497532,OXYBUTYNIN CHLORIDE 5 MG TABLET,1345.0,672.5,293.34,1210.5,65
NDC,00603506021,PERPHENAZINE 2 MG TABLET,369.5,184.75,80.59,332.55,65
NDC,00603506121,PERPHENAZINE 4 MG TABLET,504.0,252.0,109.92,453.6,65
NDC,00603506221,PERPHENAZINE 8 MG TABLET,613.0,306.5,133.7,551.7,65
NDC,00603516521,PHENOBARBITAL 16.2 MG TABLET,256.8,128.4,56.01,231.12,65
NDC,00603516621,PHENOBARBITAL 32.4 MG TABLET,269.5,134.75,58.78,242.55,65
NDC,00603516721,PHENOBARBITAL 64.8 MG TABLET,337.5,168.75,73.61,303.75,65
NDC,00603516821,PHENOBARBITAL 97.2 MG TABLET,476.0,238.0,103.82,428.4,65
NDC,00603516832,PHENOBARBITAL 97.2 MG TABLET,3616.0,1808.0,788.65,3254.4,65
NDC,00603533521,PREDNISONE 1 MG TABLET,98.4,49.2,21.46,88.56,65
NDC,00603533621,PREDNISONE 2.5 MG TABLET,56.4,28.2,12.3,50.76,65
NDC,00603533721,PREDNISONE 5 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,00603533732,PREDNISONE 5 MG TABLET,435.0,217.5,94.87,391.5,65
NDC,00603533821,PREDNISONE 10 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00603533828,PREDNISONE 10 MG TABLET,342.5,171.25,74.7,308.25,65
NDC,00603533832,PREDNISONE 10 MG TABLET,865.0,432.5,188.66,778.5,65
NDC,00603533928,PREDNISONE 20 MG TABLET,512.5,256.25,111.78,461.25,65
NDC,00603533932,PREDNISONE 20 MG TABLET,690.0,345.0,150.49,621.0,65
NDC,00603544821,PROPAFENONE 150 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,00603544825,PROPAFENONE 150 MG TABLET,138.6,69.3,30.23,124.74,65
NDC,00603544921,PROPAFENONE 225 MG TABLET,160.2,80.1,34.94,144.18,65
NDC,00603544925,PROPAFENONE 225 MG TABLET,382.5,191.25,83.42,344.25,65
NDC,00603548221,PROPRANOLOL 10 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,00603548321,PROPRANOLOL 20 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,00603548421,PROPRANOLOL 40 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,00603548432,PROPRANOLOL 40 MG TABLET,1175.0,587.5,256.27,1057.5,65
NDC,00603548521,PROPRANOLOL 60 MG TABLET,325.5,162.75,70.99,292.95,65
NDC,00603548621,PROPRANOLOL 80 MG TABLET,211.2,105.6,46.06,190.08,65
NDC,00603633020,VALGANCICLOVIR 450 MG TABLET,1012.8,506.4,220.89,911.52,65
NDC,00641036721,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,21.2,10.6,0.13,19.08,66
NDC,00641036725,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,21.2,10.6,0.13,19.08,66
NDC,00641037621,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,21.0,10.5,0.89,18.9,66
NDC,00641037625,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,21.0,10.5,0.89,18.9,66
NDC,00641039112,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.65,11.33,0.3,20.39,66
NDC,00641039137,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.65,11.33,0.3,20.39,66
NDC,00641040012,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.35,10.68,0.3,19.22,66
NDC,00641040037,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.35,10.68,0.3,19.22,66
NDC,00641041012,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.45,10.73,0.3,19.31,66
NDC,00641041037,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.45,10.73,0.3,19.31,66
NDC,00641047621,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,72.15,36.08,15.74,64.94,66
NDC,00641047625,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,72.15,36.08,15.74,64.94,66
NDC,00641047721,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,174.2,87.1,34.89,156.78,66
NDC,00641047725,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,174.2,87.1,34.89,156.78,66
NDC,00641049321,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.2,10.6,0.7,19.08,66
NDC,00641049325,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.2,10.6,0.7,19.08,66
NDC,00641092821,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641092825,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641092921,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,23.2,11.6,3.99,20.88,66
NDC,00641092925,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,23.2,11.6,3.99,20.88,66
NDC,00641094831,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,20.85,10.43,3.99,18.77,66
NDC,00641094835,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,20.85,10.43,3.99,18.77,66
NDC,00641095521,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641095525,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641139731,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,132.05,66.03,28.8,118.85,66
NDC,00641139735,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,132.05,66.03,28.8,118.85,66
NDC,00641139831,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,148.75,74.38,32.44,133.88,66
NDC,00641139835,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,148.75,74.38,32.44,133.88,66
NDC,00641141031,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.95,11.48,5.01,20.66,66
NDC,00641141035,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.95,11.48,5.01,20.66,66
NDC,00641149531,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641149535,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641234139,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,143.95,71.98,31.4,129.56,65
NDC,00641234141,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,143.95,71.98,31.4,129.56,65
NDC,00641245030,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",52.75,26.38,0.3,47.48,66
NDC,00641255510,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.7,10.85,0.7,19.53,66
NDC,00641255541,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.7,10.85,0.7,19.53,66
NDC,00641255545,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,21.75,10.88,0.7,19.58,66
NDC,00641256941,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,129.35,64.68,4.13,116.42,66
NDC,00641256944,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,129.35,64.68,4.13,116.42,66
NDC,00641600001,LORAZEPAM 2 MG/ML INJECTION SOLUTION,122.9,61.45,1.24,110.61,66
NDC,00641600010,LORAZEPAM 2 MG/ML INJECTION SOLUTION,122.9,61.45,1.24,110.61,66
NDC,00641600101,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.8,13.4,1.24,24.12,66
NDC,00641600125,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.8,13.4,1.24,24.12,66
NDC,00641600601,ATROPINE 0.4 MG/ML INJECTION SOLUTION,173.9,86.95,0.09,156.51,66
NDC,00641600610,ATROPINE 0.4 MG/ML INJECTION SOLUTION,173.9,86.95,0.09,156.51,66
NDC,00641600701,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,48.0,24.0,0.37,43.2,70
NDC,00641600710,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,48.0,24.0,0.37,43.2,70
NDC,00641600801,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,22.7,11.35,0.37,20.43,70
NDC,00641600810,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,22.7,11.35,0.37,20.43,70
NDC,00641601301,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,00641601310,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,00641601401,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,56.15,28.08,12.25,50.54,65
NDC,00641601410,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,56.15,28.08,12.25,50.54,65
NDC,00641601501,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,70.45,35.23,15.37,63.41,65
NDC,00641601510,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,70.45,35.23,15.37,63.41,65
NDC,00641601801,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION,292.35,146.18,63.76,263.12,65
NDC,00641601901,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,138.0,69.0,12.48,124.2,66
NDC,00641601910,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,138.0,69.0,12.48,124.2,66
NDC,00641602001,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,169.6,84.8,12.48,152.64,66
NDC,00641602010,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,169.6,84.8,12.48,152.64,66
NDC,00641602101,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,52.7,26.35,11.49,47.43,65
NDC,00641602110,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,52.7,26.35,11.49,47.43,65
NDC,00641602201,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,00641602225,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,00641602701,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.25,13.13,1.07,23.63,66
NDC,00641602725,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.25,13.13,1.07,23.63,66
NDC,00641602801,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.0,26.5,1.07,47.7,66
NDC,00641602810,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.0,26.5,1.07,47.7,66
NDC,00641602825,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,51.85,25.93,1.07,46.67,66
NDC,00641602901,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,63.9,31.95,1.07,57.51,66
NDC,00641603001,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,118.3,59.15,1.07,106.47,66
NDC,00641603901,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,822.7,411.35,12.48,740.43,66
NDC,00641604001,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1552.3,776.15,12.48,1397.07,66
NDC,00641604101,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.4,10.7,0.29,19.26,71
NDC,00641604125,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.4,10.7,0.29,19.26,71
NDC,00641604401,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.1,13.05,1.24,23.49,66
NDC,00641604425,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.1,13.05,1.24,23.49,66
NDC,00641604601,LORAZEPAM 2 MG/ML INJECTION SOLUTION,78.2,39.1,1.24,70.38,66
NDC,00641604610,LORAZEPAM 2 MG/ML INJECTION SOLUTION,78.2,39.1,1.24,70.38,66
NDC,00641604801,LORAZEPAM 2 MG/ML INJECTION SOLUTION,25.7,12.85,1.24,23.13,66
NDC,00641604825,LORAZEPAM 2 MG/ML INJECTION SOLUTION,25.7,12.85,1.24,23.13,66
NDC,00641605201,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,27.15,13.58,5.92,24.44,66
NDC,00641605225,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,27.15,13.58,5.92,24.44,66
NDC,00641605301,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,27.2,13.6,5.93,24.48,66
NDC,00641605325,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,27.2,13.6,5.93,24.48,66
NDC,00641605601,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.9,12.95,0.16,23.31,66
NDC,00641605610,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.9,12.95,0.16,23.31,66
NDC,00641605701,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.3,12.65,0.16,22.77,66
NDC,00641605725,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.3,12.65,0.16,22.77,66
NDC,00641605901,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.5,12.75,0.16,22.95,66
NDC,00641605910,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.5,12.75,0.16,22.95,66
NDC,00641606001,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.6,25.8,0.16,46.44,66
NDC,00641606010,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.6,25.8,0.16,46.44,66
NDC,00641606101,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,25.55,12.78,0.16,23.0,66
NDC,00641606125,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,25.55,12.78,0.16,23.0,66
NDC,00641606301,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,25.7,12.85,0.16,23.13,66
NDC,00641606325,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,25.7,12.85,0.16,23.13,66
NDC,00641607801,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.9,22.95,0.17,41.31,66
NDC,00641607825,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.9,22.95,0.17,41.31,66
NDC,00641607901,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,68.6,34.3,0.17,61.74,66
NDC,00641608001,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.75,22.88,0.17,41.18,66
NDC,00641608201,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,23.15,11.58,3.99,20.84,66
NDC,00641608225,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,23.15,11.58,3.99,20.84,66
NDC,00641608301,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,21.5,10.75,3.99,19.35,66
NDC,00641608325,PROMETHAZINE 50 MG/ML INJECTION SOLUTION,21.5,10.75,3.99,19.35,66
NDC,00641608401,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,23.15,11.58,3.99,20.84,66
NDC,00641608425,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,23.15,11.58,3.99,20.84,66
NDC,00641610301,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,180.35,90.18,6.28,162.32,66
NDC,00641610325,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,87.2,43.6,6.28,78.48,66
NDC,00641611601,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.9,23.45,1.97,42.21,66
NDC,00641611610,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.9,23.45,1.97,42.21,66
NDC,00641611701,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.9,23.95,1.97,43.11,66
NDC,00641611710,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.9,23.95,1.97,43.11,66
NDC,00641612501,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION,27.1,13.55,5.18,24.39,66
NDC,00641612525,MORPHINE 4 MG/ML INTRAVENOUS SOLUTION,27.1,13.55,5.18,24.39,66
NDC,00641612701,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,27.15,13.58,5.18,24.44,66
NDC,00641612725,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,27.15,13.58,5.18,24.44,66
NDC,00641613201,NALOXONE 0.4 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,00641613225,NALOXONE 0.4 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,00641613501,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.1,11.55,3.81,20.79,66
NDC,00641613525,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.1,11.55,3.81,20.79,66
NDC,00641613601,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.0,11.0,4.8,19.8,65
NDC,00641613625,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.0,11.0,4.8,19.8,65
NDC,00641613701,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,66.0,33.0,14.39,59.4,65
NDC,00641613710,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,66.0,33.0,14.39,59.4,65
NDC,00641614201,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.65,22.83,9.96,41.09,65
NDC,00641614225,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.65,22.83,9.96,41.09,65
NDC,00641614501,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.8,10.4,0.13,18.72,66
NDC,00641614525,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.8,10.4,0.13,18.72,66
NDC,00641614601,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,21.05,10.53,0.13,18.95,66
NDC,00641614610,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,21.05,10.53,0.13,18.95,66
NDC,00641614625,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.95,10.48,0.13,18.86,66
NDC,00641614901,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,1.79,19.67,66
NDC,00641614910,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,1.79,19.67,66
NDC,00641615101,HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION,27.25,13.63,5.94,24.53,65
NDC,00641615125,HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION,27.25,13.63,5.94,24.53,65
NDC,00641616401,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,23.3,11.65,1.65,20.97,66
NDC,00641616410,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,23.3,11.65,1.65,20.97,66
NDC,00641616601,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",55.55,27.78,0.92,50.0,66
NDC,00641616610,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",55.55,27.78,0.92,50.0,66
NDC,00641616701,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,47.5,23.75,0.92,42.75,66
NDC,00641616710,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,47.5,23.75,0.92,42.75,66
NDC,00641616901,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,28.5,14.25,6.22,25.65,65
NDC,00641616910,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,28.5,14.25,6.22,25.65,65
NDC,00641617301,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,75.45,37.73,16.46,67.91,66
NDC,00641617310,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,75.45,37.73,16.46,67.91,66
NDC,00641617401,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,22.15,11.08,1.32,19.94,66
NDC,00641617410,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,22.15,11.08,1.32,19.94,66
NDC,00641617501,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,21.3,10.65,1.32,19.17,66
NDC,00641617510,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,21.3,10.65,1.32,19.17,66
NDC,00641617601,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,47.15,23.58,1.32,42.44,66
NDC,00641617610,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,47.15,23.58,1.32,42.44,66
NDC,00641617701,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,149.8,74.9,1.32,134.82,66
NDC,00641618201,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,22.95,11.48,5.01,20.66,66
NDC,00641618210,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,86.45,43.23,10.77,77.81,66
NDC,00641618225,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,22.95,11.48,5.01,20.66,66
NDC,00641618801,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,50.0,25.0,10.91,45.0,65
NDC,00641618810,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,50.0,25.0,10.91,45.0,65
NDC,00641618901,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,97.15,48.58,21.19,87.44,65
NDC,00641619501,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,83.1,41.55,0.14,74.79,66
NDC,00641619520,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,83.1,41.55,0.14,74.79,66
NDC,00641619910,"HEPARIN, PORCINE (PF) 5,000 UNIT/ML INJECTION SYRINGE",33.3,16.65,0.3,29.97,66
NDC,00641620501,NALOXONE 1 MG/ML INJECTION SYRINGE,49.95,24.98,10.89,44.96,65
NDC,00641620510,NALOXONE 1 MG/ML INJECTION SYRINGE,49.95,24.98,10.89,44.96,65
NDC,00641620601,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,27.95,13.98,6.1,25.16,65
NDC,00641620610,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,27.95,13.98,6.1,25.16,65
NDC,00641620701,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.1,13.05,1.24,23.49,66
NDC,00641620725,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.1,13.05,1.24,23.49,66
NDC,00641620801,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641620825,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.55,10.78,3.99,19.4,66
NDC,00641620901,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.3,12.65,0.16,22.77,66
NDC,00641620925,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.3,12.65,0.16,22.77,66
NDC,00641621001,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.5,12.75,0.16,22.95,66
NDC,00641621010,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.5,12.75,0.16,22.95,66
NDC,00641621101,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.6,25.8,0.16,46.44,66
NDC,00641621110,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.6,25.8,0.16,46.44,66
NDC,00641621701,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,47.8,23.9,6.28,43.02,66
NDC,00641621901,MIDAZOLAM (PF) 5 MG/ML INJECTION SYRINGE,28.0,14.0,0.16,25.2,66
NDC,00641621910,MIDAZOLAM (PF) 5 MG/ML INJECTION SYRINGE,28.0,14.0,0.16,25.2,66
NDC,00641622801,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.35,11.68,5.09,21.02,65
NDC,00641622825,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.35,11.68,5.09,21.02,65
NDC,00641622901,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.65,22.83,9.96,41.09,65
NDC,00641622925,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.65,22.83,9.96,41.09,65
NDC,00641623101,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,22.6,11.3,4.93,20.34,66
NDC,00641623125,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,22.6,11.3,4.93,20.34,66
NDC,00641623401,"SUCCINYLCHOLINE(PF)100 MG/5 ML (20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",47.2,23.6,0.89,42.48,66
NDC,00641623801,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,33.1,16.55,7.22,29.79,65
NDC,00641623825,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,33.1,16.55,7.22,29.79,65
NDC,00641624401,DIAZEPAM 5 MG/ML INJECTION SYRINGE,83.25,41.63,6.06,74.93,66
NDC,00641624410,DIAZEPAM 5 MG/ML INJECTION SYRINGE,83.25,41.63,6.06,74.93,66
NDC,00641624701,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.2,13.1,1.07,23.58,66
NDC,00641624725,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.2,13.1,1.07,23.58,66
NDC,00641625301,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,77.65,38.83,15.27,69.89,66
NDC,00641626101,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,94.15,47.08,20.53,84.74,65
NDC,00641626701,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,23.3,11.65,1.65,20.97,66
NDC,00641626710,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,23.3,11.65,1.65,20.97,66
NDC,00641627701,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,1.79,19.67,66
NDC,00641627710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,1.79,19.67,66
NDC,00641921701,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,115.0,57.5,25.08,103.5,65
NDC,00641921710,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,115.0,57.5,25.08,103.5,65
NDC,00641921801,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,55.0,27.5,12.0,49.5,65
NDC,00699310002,BENZOCAINE 20 % TOPICAL SPRAY,265.95,132.98,58.0,239.36,65
NDC,00703001801,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,302.5,151.25,65.98,272.25,65
NDC,00703003101,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,30.15,15.08,0.12,27.14,71
NDC,00703003104,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,33.75,16.88,0.12,30.38,71
NDC,00703004301,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,133.05,66.53,0.12,119.75,71
NDC,00703004501,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,285.55,142.78,0.12,257.0,71
NDC,00703005101,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,57.15,28.58,0.12,51.44,71
NDC,00703005104,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,48.05,24.03,0.12,43.25,71
NDC,00703006301,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,285.55,142.78,0.12,257.0,71
NDC,00703011001,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,53.5,26.75,11.67,48.15,65
NDC,00703011003,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,53.5,26.75,11.67,48.15,65
NDC,00703011301,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,55.65,27.83,12.14,50.09,65
NDC,00703011303,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,55.65,27.83,12.14,50.09,65
NDC,00703024101,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,48.55,24.28,1.05,43.7,66
NDC,00703024301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,246.3,123.15,1.05,221.67,66
NDC,00703066601,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,1892.05,946.03,55.8,1702.85,71
NDC,00703067601,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,4173.9,2086.95,55.8,3756.51,71
NDC,00703068601,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,8322.8,4161.4,55.8,7490.52,71
NDC,00703115301,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,125.55,62.78,27.38,113.0,65
NDC,00703115303,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,125.55,62.78,27.38,113.0,65
NDC,00703115381,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,125.0,62.5,27.26,112.5,65
NDC,00703150101,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,528.4,264.2,10.59,475.56,66
NDC,00703150102,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,528.4,264.2,10.59,475.56,66
NDC,00703198501,EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,66
NDC,00703203301,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,84.0,42.0,18.32,75.6,65
NDC,00703203303,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,84.0,42.0,18.32,75.6,65
NDC,00703204501,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1250.4,625.2,272.71,1125.36,65
NDC,00703204503,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1250.4,625.2,272.71,1125.36,65
NDC,00703205601,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,127.6,63.8,27.83,114.84,65
NDC,00703205603,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,127.6,63.8,27.83,114.84,65
NDC,00703291401,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,59.75,29.88,13.03,53.78,65
NDC,00703291403,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,59.75,29.88,13.03,53.78,65
NDC,00703315401,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,00703315501,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,00703321301,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,00703321601,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,00703321681,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,00703321801,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,00703321881,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,00703330101,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,25.1,12.55,1.32,22.59,66
NDC,00703330104,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,25.1,12.55,1.32,22.59,66
NDC,00703331101,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.7,11.35,1.32,20.43,66
NDC,00703331104,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.7,11.35,1.32,20.43,66
NDC,00703332101,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,79.7,39.85,1.32,71.73,66
NDC,00703332104,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,79.7,39.85,1.32,71.73,66
NDC,00703367101,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,00703367501,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,00703367801,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,00703398501,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,00703398601,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,500.0,250.0,0.07,450.0,66
NDC,00703409401,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,74.0,37.0,1.03,66.6,66
NDC,00703415411,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,00703415511,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,00703415611,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,1532.3,766.15,47.65,1379.07,66
NDC,00703423901,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,00703423981,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,00703424401,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,00703424601,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,00703424681,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,00703424801,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,00703440211,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.58,405.0,66
NDC,00703441211,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,8.58,405.0,66
NDC,00703450201,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.15,10.08,1.22,18.14,66
NDC,00703450204,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.15,10.08,1.22,18.14,66
NDC,00703463601,STREPTOZOCIN 1 GRAM INTRAVENOUS SOLUTION,1622.7,811.35,353.91,1460.43,66
NDC,00703468001,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",613.2,306.6,24.35,551.88,71
NDC,00703468501,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",553.95,276.98,24.35,498.56,71
NDC,00703471401,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,531.0,265.5,0.87,477.9,66
NDC,00703471471,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,531.0,265.5,0.87,477.9,66
NDC,00703505101,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,276.8,138.4,3.59,249.12,71
NDC,00703505103,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,276.8,138.4,3.59,249.12,71
NDC,00703505401,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,2287.5,1143.75,3.59,2058.75,71
NDC,00703507501,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,00703507503,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,00703514001,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),145.0,72.5,4.96,130.5,66
NDC,00703514501,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),138.7,69.35,4.96,124.83,66
NDC,00703523311,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,22.13,405.0,71
NDC,00703523313,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,22.13,405.0,71
NDC,00703565301,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,00703565601,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,00703565701,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,00703574711,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,00703574811,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,00703680101,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,270.0,135.0,50.03,243.0,66
NDC,00703680104,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,270.0,135.0,50.03,243.0,66
NDC,00703712101,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,67.65,33.83,9.74,60.89,66
NDC,00703712103,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,67.65,33.83,9.74,60.89,66
NDC,00703713101,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,262.2,131.1,9.74,235.98,66
NDC,00703713103,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,262.2,131.1,9.74,235.98,66
NDC,00703877601,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,318.0,159.0,0.66,286.2,66
NDC,00703877701,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,593.1,296.55,0.66,533.79,66
NDC,00703903201,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,98.55,49.28,0.92,88.7,66
NDC,00703903203,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,98.55,49.28,0.92,88.7,66
NDC,00703904001,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",172.1,86.05,0.92,154.89,66
NDC,00703904003,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",172.1,86.05,0.92,154.89,66
NDC,00703950301,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,00703950303,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,00703951401,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,57.2,28.6,12.48,51.48,65
NDC,00703951403,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,57.2,28.6,12.48,51.48,65
NDC,00703951481,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,57.2,28.6,12.48,51.48,65
NDC,00703951483,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,57.2,28.6,12.48,51.48,65
NDC,00703952601,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,108.2,54.1,23.6,97.38,65
NDC,00713013206,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,110.25,55.13,24.05,99.23,65
NDC,00713013212,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,1102.35,551.18,240.42,992.12,65
NDC,00713013506,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,48.35,24.18,10.55,43.52,65
NDC,00713013512,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,483.25,241.63,105.4,434.93,65
NDC,00713022515,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,19.45,9.73,4.24,17.51,65
NDC,00713022815,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,22.05,11.03,4.81,19.85,65
NDC,00713022915,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,17.05,8.53,3.72,15.35,65
NDC,00713032615,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,68.15,34.08,14.86,61.34,65
NDC,00713033915,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,147.45,73.73,32.16,132.71,65
NDC,00713033986,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,278.0,139.0,60.63,250.2,65
NDC,00713035102,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.05,11.53,3.81,20.75,66
NDC,00713035109,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.05,11.53,3.81,20.75,66
NDC,00713035125,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,11.35,3.81,20.43,66
NDC,00713050306,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,69.0,34.5,15.05,62.1,65
NDC,00713050312,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,689.95,344.98,150.48,620.96,65
NDC,00713050324,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,366.85,183.43,80.01,330.17,65
NDC,00713052606,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,58.5,29.25,12.76,52.65,65
NDC,00713052612,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,584.9,292.45,127.57,526.41,65
NDC,00713053606,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,58.5,29.25,12.76,52.65,65
NDC,00713053612,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,584.9,292.45,127.57,526.41,65
NDC,00713056431,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT,2293.6,1146.8,500.23,2064.24,65
NDC,00713063215,FLUTICASONE PROPIONATE 0.005 % TOPICAL OINTMENT,40.35,20.18,8.8,36.32,65
NDC,00713063231,FLUTICASONE PROPIONATE 0.005 % TOPICAL OINTMENT,66.6,33.3,14.53,59.94,65
NDC,00713063337,METRONIDAZOLE 0.75 % TOPICAL CREAM,343.15,171.58,74.84,308.84,65
NDC,00713063415,MOMETASONE 0.1 % TOPICAL CREAM,19.55,9.78,4.26,17.6,65
NDC,00713063737,METRONIDAZOLE 0.75 % TOPICAL GEL,85.6,42.8,18.67,77.04,65
NDC,00713064015,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,318.4,159.2,69.44,286.56,65
NDC,00713065540,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,173.5,86.75,37.84,156.15,65
NDC,00713066115,DESONIDE 0.05 % TOPICAL CREAM,123.4,61.7,26.91,111.06,65
NDC,00713066415,FLUOCINONIDE-EMOLLIENT 0.05 % TOPICAL CREAM,74.1,37.05,16.16,66.69,65
NDC,00713067653,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,103.0,51.5,22.46,92.7,65
NDC,00713067815,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",18.65,9.33,4.07,16.79,65
NDC,00713067831,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",34.75,17.38,7.58,31.28,65
NDC,00713068215,GENTAMICIN 0.1 % TOPICAL OINTMENT,164.9,82.45,35.96,148.41,65
NDC,00713068231,GENTAMICIN 0.1 % TOPICAL OINTMENT,354.15,177.08,77.24,318.74,65
NDC,00713068315,GENTAMICIN 0.1 % TOPICAL CREAM,117.9,58.95,25.71,106.11,65
NDC,00713068331,GENTAMICIN 0.1 % TOPICAL CREAM,365.25,182.63,79.66,328.73,65
NDC,00713068615,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",77.7,38.85,16.95,69.93,65
NDC,00713084909,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,321.5,160.75,70.12,289.35,65
NDC,00713085004,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION,453.15,226.58,98.83,407.84,65
NDC,00713093530,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,1224.9,612.45,267.15,1102.41,65
NDC,00777310402,FLUOXETINE 10 MG CAPSULE,5246.8,2623.4,1144.33,4722.12,65
NDC,00781106101,ALPRAZOLAM 0.25 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,00781106105,ALPRAZOLAM 0.25 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,00781107701,ALPRAZOLAM 0.5 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,00781107901,ALPRAZOLAM 1 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,00781148601,AMITRIPTYLINE 10 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,00781148610,AMITRIPTYLINE 10 MG TABLET,470.0,235.0,102.51,423.0,65
NDC,00781148701,AMITRIPTYLINE 25 MG TABLET,115.2,57.6,25.13,103.68,65
NDC,00781148710,AMITRIPTYLINE 25 MG TABLET,1225.0,612.5,267.17,1102.5,65
NDC,00781148801,AMITRIPTYLINE 50 MG TABLET,229.2,114.6,49.99,206.28,65
NDC,00781149001,AMITRIPTYLINE 100 MG TABLET,382.5,191.25,83.42,344.25,65
NDC,00781155601,ISOSORBIDE DINITRATE 10 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,00781155610,ISOSORBIDE DINITRATE 10 MG TABLET,1970.0,985.0,429.66,1773.0,65
NDC,00781163501,ISOSORBIDE DINITRATE 5 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,00781169501,ISOSORBIDE DINITRATE 20 MG TABLET,353.0,176.5,76.99,317.7,65
NDC,00781169510,ISOSORBIDE DINITRATE 20 MG TABLET,915.0,457.5,199.56,823.5,65
NDC,00781183101,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,189.0,94.5,41.22,170.1,65
NDC,00781183120,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,40.8,20.4,8.9,36.72,65
NDC,00781185201,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,238.2,119.1,51.95,214.38,65
NDC,00781185220,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,45.75,22.88,9.98,41.18,65
NDC,00781187431,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,271.45,135.73,59.2,244.31,65
NDC,00781194339,"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR",932.4,466.2,203.36,839.16,65
NDC,00781194382,"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR",734.9,367.45,160.28,661.41,65
NDC,00781196160,CLARITHROMYCIN 250 MG TABLET,293.1,146.55,63.93,263.79,65
NDC,00781196260,CLARITHROMYCIN 500 MG TABLET,293.1,146.55,63.93,263.79,65
NDC,00781202001,AMOXICILLIN 250 MG CAPSULE,53.4,26.7,11.65,48.06,65
NDC,00781206701,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,269.5,134.75,58.78,242.55,65
NDC,00781207401,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,39.0,19.5,8.51,35.1,65
NDC,00781207601,TAMSULOSIN 0.4 MG CAPSULE,139.2,69.6,30.36,125.28,65
NDC,00781208102,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,273.0,136.5,59.54,245.7,65
NDC,00781210201,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",240.0,120.0,0.26,216.0,66
NDC,00781210301,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",126.0,63.0,0.26,113.4,66
NDC,00781210401,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",1463.0,731.5,0.26,1316.7,66
NDC,00781214501,AMPICILLIN 500 MG CAPSULE,249.0,124.5,54.31,224.1,65
NDC,00781216460,ZIPRASIDONE 20 MG CAPSULE,73.1,36.55,15.94,65.79,65
NDC,00781216660,ZIPRASIDONE 40 MG CAPSULE,73.1,36.55,15.94,65.79,65
NDC,00781216760,ZIPRASIDONE 60 MG CAPSULE,88.6,44.3,19.32,79.74,65
NDC,00781216860,ZIPRASIDONE 80 MG CAPSULE,88.6,44.3,19.32,79.74,65
NDC,00781223401,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",63.0,31.5,13.74,56.7,65
NDC,00781227001,BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,498.5,249.25,108.72,448.65,65
NDC,00781232106,APREPITANT 40 MG CAPSULE,149.8,74.9,32.67,134.82,65
NDC,00781232151,APREPITANT 40 MG CAPSULE,1676.9,838.45,365.73,1509.21,65
NDC,00781232206,APREPITANT 80 MG CAPSULE,586.6,293.3,127.94,527.94,65
NDC,00781232246,APREPITANT 80 MG CAPSULE,1173.15,586.58,255.86,1055.84,65
NDC,00781232268,APREPITANT 80 MG CAPSULE,2146.9,1073.45,468.24,1932.21,65
NDC,00781232306,APREPITANT 125 MG CAPSULE,752.35,376.18,164.09,677.12,65
NDC,00781232368,APREPITANT 125 MG CAPSULE,3611.25,1805.63,787.61,3250.13,65
NDC,00781233501,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",2081.5,1040.75,453.98,1873.35,65
NDC,00781236801,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",2119.5,1059.75,462.26,1907.55,65
NDC,00781261301,AMOXICILLIN 500 MG CAPSULE,75.6,37.8,16.49,68.04,65
NDC,00781261305,AMOXICILLIN 500 MG CAPSULE,262.5,131.25,57.25,236.25,65
NDC,00781268501,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",2076.5,1038.25,452.88,1868.85,65
NDC,00781285931,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",18.9,9.45,4.12,17.01,65
NDC,00781300095,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.25,23.63,0.5,42.53,66
NDC,00781300407,SOMATROPIN 10 MG/1.5 ML (6.7 MG/ML) SUBCUTANEOUS CARTRIDGE,4762.95,2381.48,49.9,4286.66,71
NDC,00781300642,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS SOLUTION,1829.6,914.8,15.25,1646.64,66
NDC,00781304072,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,165.2,82.6,36.03,148.68,65
NDC,00781304095,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,165.2,82.6,36.03,148.68,65
NDC,00781305670,ISONIAZID 100 MG/ML INJECTION SOLUTION,1584.3,792.15,345.54,1425.87,65
NDC,00781305972,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.35,11.18,4.87,20.12,66
NDC,00781305995,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.35,11.18,4.87,20.12,66
NDC,00781307912,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,484.75,242.38,6.86,436.28,71
NDC,00781309895,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,50.2,25.1,0.5,45.18,66
NDC,00781311090,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.35,23.68,1.3,42.62,66
NDC,00781311095,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.35,23.68,1.3,42.62,66
NDC,00781311390,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.95,23.98,1.3,43.16,66
NDC,00781311395,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.95,23.98,1.3,43.16,66
NDC,00781311491,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,49.4,24.7,1.3,44.46,66
NDC,00781311495,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,49.4,24.7,1.3,44.46,66
NDC,00781312992,NAFCILLIN 2 GRAM INTRAVENOUS SOLUTION,191.65,95.83,41.8,172.49,65
NDC,00781315075,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,22.75,11.38,4.96,20.48,65
NDC,00781315095,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,22.75,11.38,4.96,20.48,65
NDC,00781315270,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,30.1,15.05,6.56,27.09,65
NDC,00781315295,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,30.1,15.05,6.56,27.09,65
NDC,00781315380,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,263.05,131.53,57.37,236.75,65
NDC,00781315395,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,263.05,131.53,57.37,236.75,65
NDC,00781315401,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,901.35,450.68,0.33,811.22,71
NDC,00781315606,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,66
NDC,00781315695,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,66
NDC,00781315894,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,346.7,173.35,0.24,312.03,66
NDC,00781315895,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,346.7,173.35,0.24,312.03,66
NDC,00781315972,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,109.2,54.6,1.02,98.28,66
NDC,00781318094,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,299.6,149.8,1.3,269.64,66
NDC,00781320685,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,46.25,23.13,0.55,41.63,66
NDC,00781320695,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,46.35,23.18,0.55,41.72,66
NDC,00781320785,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,22.0,11.0,0.55,19.8,66
NDC,00781320795,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,21.0,10.5,0.55,18.9,66
NDC,00781320885,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.65,23.33,0.55,41.99,66
NDC,00781320895,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.25,23.13,0.55,41.63,66
NDC,00781320990,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.25,23.63,0.55,42.53,66
NDC,00781320995,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.25,23.63,0.55,42.53,66
NDC,00781321046,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,96.2,48.1,0.55,86.58,66
NDC,00781322075,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.65,10.83,4.72,19.49,65
NDC,00781322092,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,33.75,16.88,7.36,30.38,65
NDC,00781322095,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.65,10.83,4.72,19.49,65
NDC,00781323295,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.6,23.3,10.16,41.94,65
NDC,00781323394,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,00781323434,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,204.7,102.35,44.65,209.14,70
NDC,00781323471,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,204.7,102.35,44.65,209.14,70
NDC,00781323801,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.05,11.03,0.76,19.85,66
NDC,00781323863,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.05,11.03,0.76,19.85,66
NDC,00781324494,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,590.9,295.45,0.49,531.81,71
NDC,00781324602,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.35,11.18,0.76,20.12,66
NDC,00781324664,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.35,11.18,0.76,20.12,66
NDC,00781325071,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,426.45,213.23,93.01,383.81,70
NDC,00781325394,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,00781325594,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,986.05,493.03,0.49,887.45,71
NDC,00781326971,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,29.2,14.6,6.37,26.28,65
NDC,00781326995,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,29.2,14.6,6.37,26.28,65
NDC,00781328809,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,66.4,33.2,2.03,59.76,66
NDC,00781328891,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,66.4,33.2,2.03,59.76,66
NDC,00781328909,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,68.8,34.4,2.03,61.92,66
NDC,00781328991,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,68.8,34.4,2.03,61.92,66
NDC,00781329009,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,78.4,39.2,2.03,70.56,66
NDC,00781329091,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,78.4,39.2,2.03,70.56,66
NDC,00781329804,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,48.3,24.15,0.76,43.47,66
NDC,00781329868,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,48.3,24.15,0.76,43.47,66
NDC,00781331275,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,210.0,105.0,1.03,189.0,66
NDC,00781331570,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,00781331780,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,00781340078,AMPICILLIN 125 MG SOLUTION FOR INJECTION,48.15,24.08,1.12,43.34,66
NDC,00781340095,AMPICILLIN 125 MG SOLUTION FOR INJECTION,48.15,24.08,1.12,43.34,66
NDC,00781340278,AMPICILLIN 250 MG SOLUTION FOR INJECTION,45.6,22.8,1.12,41.04,66
NDC,00781340295,AMPICILLIN 250 MG SOLUTION FOR INJECTION,45.6,22.8,1.12,41.04,66
NDC,00781340485,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.25,23.13,1.12,41.63,66
NDC,00781340495,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.25,23.13,1.12,41.63,66
NDC,00781340778,AMPICILLIN 500 MG SOLUTION FOR INJECTION,45.85,22.93,1.12,41.27,66
NDC,00781340795,AMPICILLIN 500 MG SOLUTION FOR INJECTION,45.85,22.93,1.12,41.27,66
NDC,00781340895,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.05,23.53,1.12,42.35,66
NDC,00781340995,AMPICILLIN 10 GRAM SOLUTION FOR INJECTION,163.7,81.85,1.12,147.33,66
NDC,00781341170,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,86.0,43.0,0.89,77.4,66
NDC,00781341195,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,86.0,43.0,0.89,77.4,66
NDC,00781341292,AMPICILLIN 1 GRAM INTRAVENOUS SOLUTION,89.7,44.85,1.12,80.73,66
NDC,00781341315,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,150.5,75.25,1.12,135.45,66
NDC,00781341392,AMPICILLIN 2 GRAM INTRAVENOUS SOLUTION,150.5,75.25,1.12,135.45,66
NDC,00781341694,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,121.3,60.65,1.28,109.17,66
NDC,00781342101,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,243.3,121.65,6.02,218.97,66
NDC,00781342194,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,243.3,121.65,6.02,218.97,66
NDC,00781342271,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.55,23.28,10.15,41.9,65
NDC,00781342292,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.55,23.28,10.15,41.9,65
NDC,00781342301,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,275.3,137.65,6.02,247.77,66
NDC,00781342394,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,275.3,137.65,6.02,247.77,66
NDC,00781343346,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,71.8,35.9,3.66,64.62,66
NDC,00781343395,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,71.8,35.9,3.66,64.62,66
NDC,00781344071,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,180.3,90.15,30.1,162.27,66
NDC,00781344095,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,180.3,90.15,30.1,162.27,66
NDC,00781344312,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.35,29.18,1.21,52.52,66
NDC,00781344394,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,46.05,23.03,1.21,41.45,66
NDC,00781344395,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,46.05,23.03,1.21,41.45,66
NDC,00781345070,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,46.75,23.38,0.84,42.08,66
NDC,00781345095,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,46.75,23.38,0.84,42.08,66
NDC,00781345170,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.9,22.95,0.84,41.31,66
NDC,00781345196,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.9,22.95,0.84,41.31,66
NDC,00781345246,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,91.6,45.8,0.84,82.44,66
NDC,00781345295,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,91.6,45.8,0.84,82.44,66
NDC,00781345412,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,441.7,220.85,1.21,397.53,66
NDC,00781345494,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,78.25,39.13,1.21,70.43,66
NDC,00781345495,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,78.25,39.13,1.21,70.43,66
NDC,00781345875,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,52.2,26.1,11.38,46.98,65
NDC,00781345895,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,52.2,26.1,11.38,46.98,65
NDC,00781346594,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,98.2,49.1,1.21,88.38,66
NDC,00781346595,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,98.2,49.1,1.21,88.38,66
NDC,00781346670,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,82.7,41.35,18.04,74.43,65
NDC,00781347694,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,118.2,59.1,1.21,106.38,66
NDC,00781347695,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,118.2,59.1,1.21,106.38,66
NDC,00781348170,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,325.0,162.5,0.81,292.5,66
NDC,00781348192,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,325.0,162.5,0.81,292.5,66
NDC,00781349194,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,00781349380,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,63.4,31.7,13.83,57.06,65
NDC,00781349395,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,63.4,31.7,13.83,57.06,65
NDC,00781349546,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,145.0,72.5,31.62,130.5,65
NDC,00781349595,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,145.0,72.5,31.62,130.5,65
NDC,00781349775,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,192.3,96.15,0.15,173.07,66
NDC,00781351876,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.39,405.0,66
NDC,00781351990,PEMETREXED DISODIUM 25 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.39,405.0,66
NDC,00781353191,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3994.1,1997.05,10.75,3594.69,71
NDC,00781353201,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,484.55,242.28,6.86,436.1,71
NDC,00781353212,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,484.55,242.28,6.86,436.1,71
NDC,00781354010,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.35,10.68,0.3,19.22,66
NDC,00781354025,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.35,10.68,0.3,19.22,66
NDC,00781354310,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.25,11.63,0.3,20.93,66
NDC,00781354325,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.25,11.63,0.3,20.93,66
NDC,00781375575,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,10.52,43.43,65
NDC,00781375595,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,10.52,43.43,65
NDC,00781382571,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.15,10.58,0.47,19.04,71
NDC,00781382596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.15,10.58,0.47,19.04,71
NDC,00781400332,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT,1820.3,910.15,15.25,1638.27,66
NDC,00781502201,METHYLPREDNISOLONE 4 MG TABLET,427.5,213.75,0.26,384.75,66
NDC,00781502207,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,112.8,56.4,0.26,101.52,66
NDC,00781517501,MYCOPHENOLATE MOFETIL 500 MG TABLET,508.5,254.25,110.9,457.65,65
NDC,00781522101,CARVEDILOL 3.125 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,00781522201,CARVEDILOL 6.25 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,00781522301,CARVEDILOL 12.5 MG TABLET,22.2,11.1,4.84,19.98,65
NDC,00781522401,CARVEDILOL 25 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,00781532501,BROMOCRIPTINE 2.5 MG TABLET,682.5,341.25,148.85,614.25,65
NDC,00781532531,BROMOCRIPTINE 2.5 MG TABLET,246.45,123.23,53.75,221.81,65
NDC,00781543820,CEFPODOXIME 100 MG TABLET,285.25,142.63,62.21,256.73,65
NDC,00781543901,CEFPODOXIME 200 MG TABLET,2417.0,1208.5,527.15,2175.3,65
NDC,00781543920,CEFPODOXIME 200 MG TABLET,265.2,132.6,57.84,238.68,65
NDC,00781552831,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",69.7,34.85,15.2,62.73,65
NDC,00781557801,ENTACAPONE 200 MG TABLET,301.0,150.5,65.65,270.9,65
NDC,00781561301,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET,364.0,182.0,79.39,327.6,65
NDC,00781562501,CARBIDOPA 18.75 MG-LEVODOPA 75 MG-ENTACAPONE 200 MG TABLET,332.5,166.25,72.52,299.25,65
NDC,00781563701,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,331.5,165.75,72.3,298.35,65
NDC,00781564101,CARBIDOPA 31.25 MG-LEVODOPA 125 MG-ENTACAPONE 200 MG TABLET,282.0,141.0,61.5,253.8,65
NDC,00781565401,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,330.5,165.25,72.08,297.45,65
NDC,00781566731,VORICONAZOLE 50 MG TABLET,422.55,211.28,92.16,380.3,65
NDC,00781566831,VORICONAZOLE 200 MG TABLET,250.95,125.48,54.73,225.86,65
NDC,00781569031,EZETIMIBE 10 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,00781569092,EZETIMIBE 10 MG TABLET,73.45,36.73,16.02,66.11,65
NDC,00781598701,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",382.5,191.25,83.42,344.25,65
NDC,00781598801,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",775.5,387.75,169.14,697.95,65
NDC,00781599401,HYDROXYCHLOROQUINE 200 MG TABLET,177.6,88.8,38.73,159.84,65
NDC,00781601470,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",1464.05,732.03,319.31,1317.65,65
NDC,00781602246,CLARITHROMYCIN 125 MG/5 ML ORAL SUSPENSION,412.5,206.25,89.97,371.25,65
NDC,00781602346,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,655.5,327.75,142.96,589.95,65
NDC,00781602352,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,303.25,151.63,66.14,272.93,65
NDC,00781603955,AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION,20.7,10.35,4.51,18.63,65
NDC,00781604146,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,19.8,9.9,4.32,17.82,65
NDC,00781604155,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,27.9,13.95,6.08,25.11,65
NDC,00781604158,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,17.3,8.65,3.77,15.57,65
NDC,00781610246,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,26.4,13.2,5.76,23.76,65
NDC,00781610446,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,45.0,22.5,9.81,40.5,65
NDC,00781610457,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,33.3,16.65,7.26,29.97,65
NDC,00781613595,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,51.1,25.55,0.86,45.99,66
NDC,00781613948,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,177.6,88.8,38.73,159.84,65
NDC,00781613957,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,70.65,35.33,15.41,63.59,65
NDC,00781615394,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,220.5,110.25,48.09,198.45,65
NDC,00781615395,PENICILLIN G SODIUM 5 MILLION UNIT SOLUTION FOR INJECTION,220.5,110.25,48.09,198.45,65
NDC,00781615746,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,26.4,13.2,5.76,23.76,65
NDC,00781615752,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,17.7,8.85,3.86,15.93,65
NDC,00781618667,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",526.7,263.35,114.87,474.03,65
NDC,00781627043,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,827.5,413.75,180.48,744.75,65
NDC,00781707787,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,445.9,222.95,97.25,401.31,65
NDC,00781708035,METRONIDAZOLE 1 % TOPICAL GEL,666.3,333.15,145.32,599.67,65
NDC,00781711735,CALCIPOTRIENE 0.005 % TOPICAL CREAM,370.8,185.4,80.87,333.72,65
NDC,00781711954,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,371.3,185.65,80.98,334.17,65
NDC,00781711958,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,111.4,55.7,24.3,100.26,65
NDC,00781713354,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,371.3,185.65,80.98,334.17,65
NDC,00781713358,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,111.4,55.7,24.3,100.26,65
NDC,00781713593,MOXIFLOXACIN 0.5 % EYE DROPS,33.75,16.88,7.36,30.38,65
NDC,00781714483,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,342.6,171.3,74.72,308.34,65
NDC,00781718675,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,494.5,247.25,107.85,445.05,65
NDC,00781729685,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,105.9,52.95,23.1,95.31,65
NDC,00781730431,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,822.3,411.15,179.34,740.07,65
NDC,00781730458,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,32.9,16.45,7.18,29.61,65
NDC,00781730931,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,822.3,411.15,179.34,740.07,65
NDC,00781730958,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,32.9,16.45,7.18,29.61,65
NDC,00781731331,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,822.3,411.15,179.34,740.07,65
NDC,00781731358,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,32.9,16.45,7.18,29.61,65
NDC,00781751514,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,8.25,4.13,1.8,7.43,65
NDC,00781751587,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,8.25,4.13,1.8,7.43,65
NDC,00781751614,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,8.1,4.05,1.77,7.29,65
NDC,00781751687,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,8.1,4.05,1.77,7.29,65
NDC,00781801601,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",129.0,64.5,28.13,116.1,65
NDC,00781802801,TRIFLUOPERAZINE 1 MG TABLET,269.0,134.5,58.67,242.1,65
NDC,00781802931,ARMODAFINIL 50 MG TABLET,29.9,14.95,6.52,26.91,65
NDC,00781803201,TRIFLUOPERAZINE 2 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,00781803401,TRIFLUOPERAZINE 5 MG TABLET,321.0,160.5,70.01,288.9,65
NDC,00781803731,ARMODAFINIL 150 MG TABLET,28.45,14.23,6.2,25.61,65
NDC,00781804531,ARMODAFINIL 200 MG TABLET,35.5,17.75,7.74,31.95,65
NDC,00781804601,PERPHENAZINE 2 MG TABLET,92.4,46.2,20.15,83.16,65
NDC,00781804701,PERPHENAZINE 4 MG TABLET,130.2,65.1,28.4,117.18,65
NDC,00781804801,PERPHENAZINE 8 MG TABLET,140.4,70.2,30.62,126.36,65
NDC,00781805201,CAPTOPRIL 12.5 MG TABLET,281.5,140.75,61.4,253.35,65
NDC,00781805331,ARMODAFINIL 250 MG TABLET,39.25,19.63,8.56,35.33,65
NDC,00781806101,CAPTOPRIL 25 MG TABLET,512.5,256.25,111.78,461.25,65
NDC,00781807501,CAPTOPRIL 50 MG TABLET,691.5,345.75,150.82,622.35,65
NDC,00781808931,AZITHROMYCIN 250 MG TABLET,300.45,150.23,65.53,270.41,65
NDC,00781897201,DESIPRAMINE 25 MG TABLET,729.0,364.5,158.99,656.1,65
NDC,00781910572,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,109.2,54.6,1.02,98.28,66
NDC,00781924278,AMPICILLIN 250 MG SOLUTION FOR INJECTION,48.1,24.05,1.12,43.29,66
NDC,00781924295,AMPICILLIN 250 MG SOLUTION FOR INJECTION,48.1,24.05,1.12,43.29,66
NDC,00781925078,AMPICILLIN 500 MG SOLUTION FOR INJECTION,48.3,24.15,1.12,43.47,66
NDC,00781925095,AMPICILLIN 500 MG SOLUTION FOR INJECTION,48.3,24.15,1.12,43.47,66
NDC,00781926185,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.25,23.13,1.12,41.63,66
NDC,00781926195,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.25,23.13,1.12,41.63,66
NDC,00781927380,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.05,23.53,1.12,42.35,66
NDC,00781927395,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.05,23.53,1.12,42.35,66
NDC,00781927406,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,66
NDC,00781927495,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,66
NDC,00781940880,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.3,23.65,1.12,42.57,66
NDC,00781940895,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.3,23.65,1.12,42.57,66
NDC,00832003800,OXYBUTYNIN CHLORIDE 5 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,00832003801,OXYBUTYNIN CHLORIDE 5 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,00832003850,OXYBUTYNIN CHLORIDE 5 MG TABLET,305.0,152.5,66.52,274.5,65
NDC,00832003889,OXYBUTYNIN CHLORIDE 5 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,00832011103,AMANTADINE HCL 100 MG TABLET,409.0,204.5,89.2,368.1,65
NDC,00832022500,"MORPHINE ER 10 MG CAPSULE,EXTENDED RELEASE PELLETS",1233.0,616.5,268.92,1109.7,65
NDC,00832027311,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,204.0,102.0,44.49,183.6,65
NDC,00832027411,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,267.5,133.75,58.34,240.75,65
NDC,00832030000,CHLORPROMAZINE 10 MG TABLET,296.0,148.0,64.56,266.4,65
NDC,00832030100,CHLORPROMAZINE 25 MG TABLET,1300.5,650.25,283.64,1170.45,65
NDC,00832030101,CHLORPROMAZINE 25 MG TABLET,621.5,310.75,135.55,559.35,65
NDC,00832030189,CHLORPROMAZINE 25 MG TABLET,7.5,3.75,1.64,6.75,65
NDC,00832030200,CHLORPROMAZINE 50 MG TABLET,1411.5,705.75,307.85,1270.35,65
NDC,00832030289,CHLORPROMAZINE 50 MG TABLET,14.55,7.28,3.17,13.1,65
NDC,00832030300,CHLORPROMAZINE 100 MG TABLET,2123.6,1061.8,463.16,1911.24,65
NDC,00832030301,CHLORPROMAZINE 100 MG TABLET,1890.5,945.25,412.32,1701.45,65
NDC,00832030389,CHLORPROMAZINE 100 MG TABLET,22.7,11.35,4.95,20.43,65
NDC,00832031011,VALPROIC ACID 250 MG CAPSULE,91.8,45.9,20.02,82.62,65
NDC,00832046515,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",52.3,26.15,11.41,47.07,65
NDC,00832046530,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",80.65,40.33,17.59,72.59,65
NDC,00832051000,BETHANECHOL CHLORIDE 5 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,00832051101,BETHANECHOL CHLORIDE 10 MG TABLET,220.8,110.4,48.16,198.72,65
NDC,00832051189,BETHANECHOL CHLORIDE 10 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,00832051201,BETHANECHOL CHLORIDE 25 MG TABLET,292.2,146.1,63.73,262.98,65
NDC,00832051289,BETHANECHOL CHLORIDE 25 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,00832054111,BUMETANIDE 1 MG TABLET,81.6,40.8,17.8,73.44,65
NDC,00832058011,CLOBAZAM 10 MG TABLET,149.4,74.7,32.58,134.46,65
NDC,00832059011,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,00832059530,EXEMESTANE 25 MG TABLET,154.3,77.15,33.65,138.87,65
NDC,00832063011,CLOMIPRAMINE 25 MG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,00832101500,AMANTADINE HCL 100 MG CAPSULE,403.0,201.5,87.89,362.7,65
NDC,00832105410,BACLOFEN 10 MG TABLET,690.0,345.0,150.49,621.0,65
NDC,00832105415,BACLOFEN 10 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,00832107230,"TOPIRAMATE XR 50 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",930.75,465.38,203.0,837.68,65
NDC,00832111260,MEMANTINE 5 MG TABLET,27.4,13.7,5.98,24.66,65
NDC,00832111360,MEMANTINE 10 MG TABLET,28.45,14.23,6.2,25.61,65
NDC,00832112089,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET,54.25,27.13,11.83,48.83,65
NDC,00832121100,WARFARIN 1 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,00832121101,WARFARIN 1 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,00832121189,WARFARIN 1 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,00832121200,WARFARIN 2 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,00832121201,WARFARIN 2 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,00832121289,WARFARIN 2 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,00832121300,WARFARIN 2.5 MG TABLET,136.8,68.4,29.84,123.12,65
NDC,00832121301,WARFARIN 2.5 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,00832121389,WARFARIN 2.5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,00832121400,WARFARIN 3 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00832121401,WARFARIN 3 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,00832121489,WARFARIN 3 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,00832121500,WARFARIN 4 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00832121501,WARFARIN 4 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,00832121589,WARFARIN 4 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,00832121600,WARFARIN 5 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,00832121601,WARFARIN 5 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,00832121610,WARFARIN 5 MG TABLET,435.0,217.5,94.87,391.5,65
NDC,00832121689,WARFARIN 5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,00832121700,WARFARIN 6 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,00832121701,WARFARIN 6 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,00832121789,WARFARIN 6 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,00832121800,WARFARIN 7.5 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,00832121801,WARFARIN 7.5 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,00832121889,WARFARIN 7.5 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,00832121900,WARFARIN 10 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,00832121901,WARFARIN 10 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,00832121989,WARFARIN 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,00832135811,DOXAZOSIN 4 MG TABLET,287.4,143.7,62.68,258.66,65
NDC,00832135911,DOXAZOSIN 8 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,00832141003,MOXIFLOXACIN 0.5 % EYE DROPS,153.55,76.78,33.49,138.2,65
NDC,00832152001,HALOPERIDOL 1 MG TABLET,165.6,82.8,36.12,149.04,65
NDC,00832152011,HALOPERIDOL 1 MG TABLET,172.2,86.1,37.56,154.98,65
NDC,00832152089,HALOPERIDOL 1 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,00832153011,HALOPERIDOL 2 MG TABLET,228.0,114.0,49.73,205.2,65
NDC,00832154001,HALOPERIDOL 5 MG TABLET,245.4,122.7,53.52,220.86,65
NDC,00832154089,HALOPERIDOL 5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,00832155011,HALOPERIDOL 10 MG TABLET,219.0,109.5,47.76,197.1,65
NDC,00832155089,HALOPERIDOL 10 MG TABLET,3.8,1.9,0.83,3.42,65
NDC,00832167111,FLUVOXAMINE 50 MG TABLET,90.6,45.3,19.76,81.54,65
NDC,00832167211,FLUVOXAMINE 100 MG TABLET,131.4,65.7,28.66,118.26,65
NDC,00832532311,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",81.6,40.8,17.8,73.44,65
NDC,00832532411,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",121.2,60.6,26.43,109.08,65
NDC,00832532510,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",1155.0,577.5,251.91,1039.5,65
NDC,00832532511,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",145.8,72.9,31.8,131.22,65
NDC,00832532515,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",600.0,300.0,130.86,540.0,65
NDC,00832600411,FLUPHENAZINE 2.5 MG TABLET,262.5,131.25,57.25,236.25,65
NDC,00832600511,FLUPHENAZINE 5 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,00832601700,CHLORPROMAZINE 10 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,00832601900,CHLORPROMAZINE 50 MG TABLET,517.5,258.75,112.87,465.75,65
NDC,00832601901,CHLORPROMAZINE 50 MG TABLET,1256.0,628.0,273.93,1130.4,65
NDC,00832601989,CHLORPROMAZINE 50 MG TABLET,15.1,7.55,3.29,13.59,65
NDC,00832602001,CHLORPROMAZINE 100 MG TABLET,1782.0,891.0,388.65,1603.8,65
NDC,00832602089,CHLORPROMAZINE 100 MG TABLET,21.4,10.7,4.67,19.26,65
NDC,00832602211,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",249.6,124.8,54.44,224.64,65
NDC,00832602311,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",370.0,185.0,80.7,333.0,65
NDC,00832607211,METHIMAZOLE 5 MG TABLET,62.4,31.2,13.61,56.16,65
NDC,00832607311,METHIMAZOLE 10 MG TABLET,103.8,51.9,22.64,93.42,65
NDC,00832712211,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",54.0,27.0,11.78,48.6,65
NDC,00832712301,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",75.0,37.5,16.36,67.5,65
NDC,00832712311,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",105.6,52.8,23.03,95.04,65
NDC,00832712389,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",3.15,1.58,0.69,2.84,65
NDC,00832712401,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",106.8,53.4,23.29,96.12,65
NDC,00832712411,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",195.0,97.5,42.53,175.5,65
NDC,00832712489,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,00904020161,AMITRIPTYLINE 25 MG TABLET,248.4,124.2,54.18,223.56,65
NDC,00904020261,AMITRIPTYLINE 50 MG TABLET,262.2,131.1,57.19,235.98,65
NDC,00904042806,DOXYCYCLINE HYCLATE 100 MG CAPSULE,277.75,138.88,60.58,249.98,65
NDC,00904043004,DOXYCYCLINE HYCLATE 100 MG TABLET,288.55,144.28,62.93,259.7,65
NDC,00904043006,DOXYCYCLINE HYCLATE 100 MG TABLET,296.75,148.38,64.72,267.08,65
NDC,00904205661,DIPHENHYDRAMINE 50 MG CAPSULE,21.6,10.8,4.71,19.44,65
NDC,00904272561,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,00904282161,OXYBUTYNIN CHLORIDE 5 MG TABLET,203.4,101.7,44.36,183.06,65
NDC,00904385461,CARBAMAZEPINE 100 MG CHEWABLE TABLET,198.6,99.3,43.31,178.74,65
NDC,00904505359,PSEUDOEPHEDRINE 30 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,00904544861,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",129.0,64.5,28.13,116.1,65
NDC,00904550261,ENALAPRIL MALEATE 5 MG TABLET,202.8,101.4,44.23,182.52,65
NDC,00904552261,DOXAZOSIN 1 MG TABLET,274.8,137.4,59.93,247.32,65
NDC,00904552361,DOXAZOSIN 2 MG TABLET,257.0,128.5,56.05,231.3,65
NDC,00904552461,DOXAZOSIN 4 MG TABLET,255.5,127.75,55.72,229.95,65
NDC,00904560961,ENALAPRIL MALEATE 2.5 MG TABLET,252.0,126.0,54.96,226.8,65
NDC,00904561061,ENALAPRIL MALEATE 10 MG TABLET,211.8,105.9,46.19,190.62,65
NDC,00904561161,ENALAPRIL MALEATE 20 MG TABLET,276.5,138.25,60.3,248.85,65
NDC,00904567661,PAROXETINE 10 MG TABLET,296.5,148.25,64.67,266.85,65
NDC,00904567761,PAROXETINE 20 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,00904578017,FAMOTIDINE 20 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,00904578051,FAMOTIDINE 20 MG TABLET,24.3,12.15,5.3,21.87,65
NDC,00904578461,FLUOXETINE 10 MG CAPSULE,42.0,21.0,9.16,37.8,65
NDC,00904578561,FLUOXETINE 20 MG CAPSULE,45.0,22.5,9.81,40.5,65
NDC,00904578961,ACYCLOVIR 200 MG CAPSULE,60.0,30.0,13.09,54.0,65
NDC,00904579061,ACYCLOVIR 400 MG TABLET,217.2,108.6,47.37,195.48,65
NDC,00904585340,IBUPROFEN 400 MG TABLET,123.0,61.5,26.83,110.7,65
NDC,00904585360,IBUPROFEN 400 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,00904585361,IBUPROFEN 400 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,00904585440,IBUPROFEN 600 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,00904585460,IBUPROFEN 600 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,00904585461,IBUPROFEN 600 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,00904585540,IBUPROFEN 800 MG TABLET,159.0,79.5,34.68,143.1,65
NDC,00904585560,IBUPROFEN 800 MG TABLET,31.2,15.6,6.8,28.08,65
NDC,00904585561,IBUPROFEN 800 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,00904589161,PRAVASTATIN 10 MG TABLET,157.2,78.6,34.29,141.48,65
NDC,00904589261,PRAVASTATIN 20 MG TABLET,220.8,110.4,48.16,198.72,65
NDC,00904589361,PRAVASTATIN 40 MG TABLET,286.8,143.4,62.55,258.12,65
NDC,00904592161,DIGOXIN 125 MCG (0.125 MG) TABLET,352.0,176.0,76.77,316.8,65
NDC,00904592261,DIGOXIN 250 MCG (0.25 MG) TABLET,413.5,206.75,90.18,372.15,65
NDC,00904595961,CLINDAMYCIN HCL 150 MG CAPSULE,83.4,41.7,18.19,75.06,65
NDC,00904598348,AMMONIUM LACTATE 12 % TOPICAL CREAM,16.8,8.4,3.66,15.12,65
NDC,00904598426,AMMONIUM LACTATE 12 % LOTION,17.65,8.83,3.85,15.89,65
NDC,00904600760,LORAZEPAM 0.5 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,00904600761,LORAZEPAM 0.5 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,00904600860,LORAZEPAM 1 MG TABLET,25.8,12.9,5.63,23.22,65
NDC,00904600861,LORAZEPAM 1 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,00904600960,LORAZEPAM 2 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,00904600961,LORAZEPAM 2 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,00904601946,BICALUTAMIDE 50 MG TABLET,44.1,22.05,9.62,39.69,65
NDC,00904608261,ZOLPIDEM 5 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,00904608461,CITALOPRAM 10 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,00904608561,CITALOPRAM 20 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,00904617261,CARBAMAZEPINE 200 MG TABLET,282.0,141.0,61.5,253.8,65
NDC,00904618761,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,219.6,109.8,47.89,197.64,65
NDC,00904619546,ANASTROZOLE 1 MG TABLET,23.05,11.53,5.03,20.75,65
NDC,00904622106,URSODIOL 300 MG CAPSULE,1170.75,585.38,255.34,1053.68,65
NDC,00904622161,URSODIOL 300 MG CAPSULE,1320.5,660.25,288.0,1188.45,65
NDC,00904623761,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,00904623861,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,00904626908,ZIPRASIDONE 20 MG CAPSULE,538.6,269.3,117.47,484.74,65
NDC,00904626945,ZIPRASIDONE 20 MG CAPSULE,882.0,441.0,192.36,793.8,65
NDC,00904627008,ZIPRASIDONE 40 MG CAPSULE,532.2,266.1,116.07,478.98,65
NDC,00904627045,ZIPRASIDONE 40 MG CAPSULE,708.0,354.0,154.41,637.2,65
NDC,00904627108,ZIPRASIDONE 60 MG CAPSULE,663.8,331.9,144.77,597.42,65
NDC,00904627145,ZIPRASIDONE 60 MG CAPSULE,706.8,353.4,154.15,636.12,65
NDC,00904627208,ZIPRASIDONE 80 MG CAPSULE,454.0,227.0,99.02,408.6,65
NDC,00904627245,ZIPRASIDONE 80 MG CAPSULE,658.0,329.0,143.51,592.2,65
NDC,00904628361,OLANZAPINE 2.5 MG TABLET,67.8,33.9,14.79,61.02,65
NDC,00904628606,OLANZAPINE 15 MG TABLET,111.6,55.8,24.34,100.44,65
NDC,00904629006,ATORVASTATIN 10 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00904629061,ATORVASTATIN 10 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,00904629106,ATORVASTATIN 20 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,00904629161,ATORVASTATIN 20 MG TABLET,108.6,54.3,23.69,97.74,65
NDC,00904629206,ATORVASTATIN 40 MG TABLET,49.5,24.75,10.8,44.55,65
NDC,00904629261,ATORVASTATIN 40 MG TABLET,113.4,56.7,24.73,102.06,65
NDC,00904629304,ATORVASTATIN 80 MG TABLET,58.15,29.08,12.68,52.34,65
NDC,00904629461,CLOPIDOGREL 75 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,00904630061,CARVEDILOL 3.125 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,00904630161,CARVEDILOL 6.25 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,00904630261,CARVEDILOL 12.5 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00904630361,CARVEDILOL 25 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,00904632206,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",70.5,35.25,15.38,63.45,65
NDC,00904632261,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",255.6,127.8,55.75,230.04,65
NDC,00904632361,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",267.0,133.5,58.23,240.3,65
NDC,00904632461,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",298.0,149.0,64.99,268.2,65
NDC,00904633724,PSEUDOEPHEDRINE 30 MG TABLET,5.95,2.98,1.3,5.36,65
NDC,00904635161,LEVOFLOXACIN 250 MG TABLET,102.6,51.3,22.38,92.34,65
NDC,00904635261,LEVOFLOXACIN 500 MG TABLET,120.6,60.3,26.3,108.54,65
NDC,00904635361,LEVOFLOXACIN 750 MG TABLET,253.2,126.6,55.22,227.88,65
NDC,00904635761,RISPERIDONE 0.25 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,00904635861,RISPERIDONE 0.5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00904635961,RISPERIDONE 1 MG TABLET,70.8,35.4,15.44,63.72,65
NDC,00904636061,RISPERIDONE 2 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,00904636161,RISPERIDONE 3 MG TABLET,91.8,45.9,20.02,82.62,65
NDC,00904636261,RISPERIDONE 4 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,00904636345,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",339.2,169.6,73.98,305.28,65
NDC,00904636361,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",316.5,158.25,69.03,284.85,65
NDC,00904636445,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",433.6,216.8,94.57,390.24,65
NDC,00904636461,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",511.5,255.75,111.56,460.35,65
NDC,00904636961,AMLODIPINE 2.5 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,00904637061,AMLODIPINE 5 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,00904637161,AMLODIPINE 10 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,00904637361,ROPINIROLE 0.25 MG TABLET,186.6,93.3,40.7,167.94,65
NDC,00904637461,ROPINIROLE 1 MG TABLET,204.6,102.3,44.62,184.14,65
NDC,00904637661,OLANZAPINE 10 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,00904637761,OLANZAPINE 5 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,00904640161,TAMSULOSIN 0.4 MG CAPSULE,103.8,51.9,22.64,93.42,65
NDC,00904640180,TAMSULOSIN 0.4 MG CAPSULE,255.0,127.5,55.62,229.5,65
NDC,00904640606,MOXIFLOXACIN 400 MG TABLET,1279.25,639.63,279.0,1151.33,65
NDC,00904641861,TIZANIDINE 4 MG TABLET,215.4,107.7,46.98,193.86,65
NDC,00904642661,ESCITALOPRAM 10 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,00904642761,ESCITALOPRAM 20 MG TABLET,85.2,42.6,18.58,76.68,65
NDC,00904643604,TEMAZEPAM 7.5 MG CAPSULE,297.0,148.5,64.78,267.3,65
NDC,00904644061,HYDRALAZINE 10 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,00904644161,HYDRALAZINE 25 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,00904644261,HYDRALAZINE 50 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,00904644361,HYDRALAZINE 100 MG TABLET,100.8,50.4,21.98,90.72,65
NDC,00904644961,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",132.0,66.0,28.79,118.8,65
NDC,00904645061,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",152.4,76.2,33.24,137.16,65
NDC,00904646161,PROMETHAZINE 25 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,00904646707,CLOPIDOGREL 300 MG TABLET,1101.0,550.5,240.13,990.9,65
NDC,00904646710,CLOPIDOGREL 300 MG TABLET,497.6,248.8,108.53,447.84,65
NDC,00904646861,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",177.0,88.5,38.6,159.3,65
NDC,00904646961,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",180.6,90.3,39.39,162.54,65
NDC,00904647061,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",188.4,94.2,41.09,169.56,65
NDC,00904647461,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",84.0,42.0,18.32,75.6,65
NDC,00904647561,BACLOFEN 10 MG TABLET,186.0,93.0,40.57,167.4,65
NDC,00904647661,BACLOFEN 20 MG TABLET,310.0,155.0,67.61,279.0,65
NDC,00904647761,DONEPEZIL 5 MG TABLET,63.6,31.8,13.87,57.24,65
NDC,00904647861,DONEPEZIL 10 MG TABLET,63.6,31.8,13.87,57.24,65
NDC,00904650006,FLUCONAZOLE 100 MG TABLET,255.6,127.8,55.75,230.04,65
NDC,00904650061,FLUCONAZOLE 100 MG TABLET,670.0,335.0,146.13,603.0,65
NDC,00904650106,FLUCONAZOLE 200 MG TABLET,285.0,142.5,62.16,256.5,65
NDC,00904650161,FLUCONAZOLE 200 MG TABLET,865.5,432.75,188.77,778.95,65
NDC,00904650261,CELECOXIB 100 MG CAPSULE,433.0,216.5,94.44,389.7,65
NDC,00904650361,CELECOXIB 200 MG CAPSULE,890.0,445.0,194.11,801.0,65
NDC,00904650506,MEMANTINE 5 MG TABLET,82.5,41.25,17.99,74.25,65
NDC,00904650561,MEMANTINE 5 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,00904650606,MEMANTINE 10 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,00904650661,MEMANTINE 10 MG TABLET,190.2,95.1,41.48,171.18,65
NDC,00904650904,ARIPIPRAZOLE 2 MG TABLET,682.35,341.18,148.82,614.12,65
NDC,00904651006,ARIPIPRAZOLE 5 MG TABLET,1154.25,577.13,251.74,1038.83,65
NDC,00904651061,ARIPIPRAZOLE 5 MG TABLET,2296.8,1148.4,500.93,2067.12,65
NDC,00904651106,ARIPIPRAZOLE 10 MG TABLET,976.0,488.0,212.87,878.4,65
NDC,00904651204,ARIPIPRAZOLE 15 MG TABLET,799.5,399.75,174.37,719.55,65
NDC,00904651761,MECLIZINE 25 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,00904651961,MIRTAZAPINE 15 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,00904653061,METHADONE 10 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,00904655061,PROPRANOLOL 10 MG TABLET,109.2,54.6,23.82,98.28,65
NDC,00904655161,ONDANSETRON HCL 4 MG TABLET,182.4,91.2,39.78,164.16,65
NDC,00904655261,ONDANSETRON HCL 8 MG TABLET,269.4,134.7,58.76,242.46,65
NDC,00904655304,LINEZOLID 600 MG TABLET,697.35,348.68,152.09,627.62,65
NDC,00904655761,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",257.4,128.7,56.14,231.66,65
NDC,00904655861,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",559.5,279.75,122.03,503.55,65
NDC,00904655961,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",976.5,488.25,212.97,878.85,65
NDC,00904656061,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",1170.0,585.0,255.18,1053.0,65
NDC,00904656460,BENZONATATE 100 MG CAPSULE,86.4,43.2,18.84,77.76,65
NDC,00904656461,BENZONATATE 100 MG CAPSULE,188.4,94.2,41.09,169.56,65
NDC,00904656561,VALACYCLOVIR 500 MG TABLET,467.5,233.75,101.96,420.75,65
NDC,00904657006,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",293.25,146.63,63.96,263.93,65
NDC,00904657061,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",607.5,303.75,132.5,546.75,65
NDC,00904657261,ALLOPURINOL 300 MG TABLET,198.6,99.3,43.31,178.74,65
NDC,00904657304,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",190.45,95.23,41.54,171.41,65
NDC,00904657561,PHENOBARBITAL 32.4 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,00904658304,LAMIVUDINE 150 MG TABLET,717.15,358.58,156.41,645.44,65
NDC,00904658561,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",229.2,114.6,49.99,206.28,65
NDC,00904659204,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",814.35,407.18,177.61,732.92,65
NDC,00904659604,VORICONAZOLE 50 MG TABLET,777.15,388.58,169.5,699.44,65
NDC,00904659961,PERPHENAZINE 2 MG TABLET,318.0,159.0,69.36,286.2,65
NDC,00904660061,PERPHENAZINE 4 MG TABLET,438.0,219.0,95.53,394.2,65
NDC,00904660161,PERPHENAZINE 8 MG TABLET,563.0,281.5,122.79,506.7,65
NDC,00904661561,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",376.5,188.25,82.11,338.85,65
NDC,00904661761,HYDROXYZINE HCL 25 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,00904661861,HYDROXYZINE HCL 50 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,00904661961,ISOSORBIDE DINITRATE 10 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,00904662061,ISOSORBIDE DINITRATE 20 MG TABLET,254.0,127.0,55.4,228.6,65
NDC,00904662261,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,388.5,194.25,84.73,349.65,65
NDC,00904662361,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",466.0,233.0,0.26,419.4,66
NDC,00904662461,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",3121.6,1560.8,0.26,2809.44,66
NDC,00904663561,BUPROPION HCL 75 MG TABLET,383.0,191.5,83.53,344.7,65
NDC,00904663661,BUPROPION HCL 100 MG TABLET,516.0,258.0,112.54,464.4,65
NDC,00904663761,GLIPIZIDE 5 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,00904663861,QUETIAPINE 25 MG TABLET,70.2,35.1,15.31,63.18,65
NDC,00904663961,QUETIAPINE 50 MG TABLET,122.4,61.2,26.7,110.16,65
NDC,00904664061,QUETIAPINE 100 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,00904664161,QUETIAPINE 200 MG TABLET,181.2,90.6,39.52,163.08,65
NDC,00904664261,QUETIAPINE 300 MG TABLET,200.4,100.2,43.71,180.36,65
NDC,00904664361,QUETIAPINE 400 MG TABLET,305.5,152.75,66.63,274.95,65
NDC,00904666361,ACETAZOLAMIDE 250 MG TABLET,1179.0,589.5,257.14,1061.1,65
NDC,00904666561,GABAPENTIN 100 MG CAPSULE,46.8,23.4,10.21,42.12,65
NDC,00904666661,GABAPENTIN 300 MG CAPSULE,60.6,30.3,13.22,54.54,65
NDC,00904666761,GABAPENTIN 400 MG CAPSULE,57.0,28.5,12.43,51.3,65
NDC,00904667104,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,77.25,38.63,16.85,69.53,65
NDC,00904667106,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,172.8,86.4,37.69,155.52,65
NDC,00904667840,OXYCODONE 5 MG/5 ML ORAL SOLUTION,132.0,66.0,28.79,118.8,65
NDC,00904668108,DOFETILIDE 125 MCG CAPSULE,659.4,329.7,143.82,593.46,65
NDC,00904668208,DOFETILIDE 250 MCG CAPSULE,592.4,296.2,129.2,533.16,65
NDC,00904670310,LEUCOVORIN CALCIUM 25 MG TABLET,561.4,280.7,122.44,505.26,65
NDC,00904670461,PRAMIPEXOLE 0.25 MG TABLET,104.4,52.2,22.77,93.96,65
NDC,00904670506,PROPRANOLOL 20 MG TABLET,85.2,42.6,18.58,76.68,65
NDC,00904670561,PROPRANOLOL 20 MG TABLET,175.2,87.6,38.21,157.68,65
NDC,00904670706,SEVELAMER CARBONATE 800 MG TABLET,239.7,119.85,52.28,215.73,65
NDC,00904670782,SEVELAMER CARBONATE 800 MG TABLET,1251.5,625.75,272.95,1126.35,65
NDC,00904670806,AZITHROMYCIN 250 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,00904670861,AZITHROMYCIN 250 MG TABLET,445.0,222.5,97.05,400.5,65
NDC,00904670961,GLYCOPYRROLATE 1 MG TABLET,388.5,194.25,84.73,349.65,65
NDC,00904673361,HALOPERIDOL 10 MG TABLET,327.0,163.5,71.32,294.3,65
NDC,00904673461,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",897.0,448.5,195.64,807.3,65
NDC,00904673561,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",827.0,413.5,180.37,744.3,65
NDC,00904673661,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",884.5,442.25,192.91,796.05,65
NDC,00904677961,ROSUVASTATIN 10 MG TABLET,445.5,222.75,97.16,400.95,65
NDC,00904678061,ROSUVASTATIN 20 MG TABLET,400.5,200.25,87.35,360.45,65
NDC,00904678161,ROSUVASTATIN 40 MG TABLET,598.0,299.0,130.42,538.2,65
NDC,00904678261,HALOPERIDOL 5 MG TABLET,235.8,117.9,51.43,212.22,65
NDC,00904678504,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",426.75,213.38,93.07,384.08,65
NDC,00904678861,BENZTROPINE 0.5 MG TABLET,177.6,88.8,38.73,159.84,65
NDC,00904678961,BENZTROPINE 2 MG TABLET,233.4,116.7,50.9,210.06,65
NDC,00904679061,BENZTROPINE 1 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,00904679104,MODAFINIL 100 MG TABLET,720.6,360.3,157.16,648.54,65
NDC,00904679610,VALGANCICLOVIR 450 MG TABLET,1302.1,651.05,283.99,1171.89,65
NDC,00904679761,LISINOPRIL 5 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,00904679861,LISINOPRIL 10 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,00904679961,LISINOPRIL 20 MG TABLET,40.8,20.4,8.9,36.72,65
NDC,00904680161,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",290.4,145.2,63.34,261.36,65
NDC,00904680261,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",254.0,127.0,55.4,228.6,65
NDC,00904680361,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",351.5,175.75,76.66,316.35,65
NDC,00904680461,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",352.0,176.0,76.77,316.8,65
NDC,00904680561,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",724.0,362.0,157.9,651.6,65
NDC,00904680806,MONTELUKAST 10 MG TABLET,69.3,34.65,15.11,62.37,65
NDC,00904680861,MONTELUKAST 10 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,00904681706,MIDODRINE 2.5 MG TABLET,128.7,64.35,28.07,115.83,65
NDC,00904681761,MIDODRINE 2.5 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,00904681806,MIDODRINE 5 MG TABLET,178.8,89.4,39.0,160.92,65
NDC,00904681861,MIDODRINE 5 MG TABLET,292.2,146.1,63.73,262.98,65
NDC,00904681907,MIDODRINE 10 MG TABLET,112.0,56.0,24.43,100.8,65
NDC,00904682104,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,475.05,237.53,103.61,427.55,65
NDC,00904682207,ENTACAPONE 200 MG TABLET,436.2,218.1,95.14,392.58,65
NDC,00904682361,GABAPENTIN 600 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,00904682461,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,89.4,44.7,19.5,80.46,65
NDC,00904682561,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,135.0,67.5,29.44,121.5,65
NDC,00904682661,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,160.8,80.4,35.07,144.72,65
NDC,00904682805,OXYCODONE 5 MG/5 ML ORAL SOLUTION,13.15,6.58,2.87,11.84,65
NDC,00904682892,OXYCODONE 5 MG/5 ML ORAL SOLUTION,13.15,6.58,2.87,11.84,65
NDC,00904682894,OXYCODONE 5 MG/5 ML ORAL SOLUTION,13.6,6.8,2.97,12.24,65
NDC,00904683006,FINASTERIDE 5 MG TABLET,104.1,52.05,22.7,93.69,65
NDC,00904683061,FINASTERIDE 5 MG TABLET,262.2,131.1,57.19,235.98,65
NDC,00904683204,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1216.35,608.18,265.29,1094.72,65
NDC,00904683407,FLUCYTOSINE 250 MG CAPSULE,5838.15,2919.08,1273.3,5254.34,65
NDC,00904683507,FLUCYTOSINE 500 MG CAPSULE,10689.25,5344.63,2331.33,9620.33,65
NDC,00904686061,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",69.0,34.5,15.05,62.1,65
NDC,00904686161,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",86.4,43.2,18.84,77.76,65
NDC,00904686190,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",112.9,56.45,24.62,101.61,65
NDC,00904686704,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,2734.1,1367.05,596.31,2460.69,65
NDC,00904686861,TRAZODONE 50 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,00904686961,TRAZODONE 100 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00904687404,ABACAVIR 300 MG TABLET,682.8,341.4,148.92,614.52,65
NDC,00904687406,ABACAVIR 300 MG TABLET,1227.0,613.5,267.61,1104.3,65
NDC,00904688210,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,4446.25,2223.13,969.73,4001.63,65
NDC,00904688504,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",385.05,192.53,83.98,346.55,65
NDC,00904688806,MINOCYCLINE 100 MG CAPSULE,204.9,102.45,44.69,184.41,65
NDC,00904689004,URSODIOL 250 MG TABLET,370.35,185.18,80.77,333.32,65
NDC,00904689961,BUSPIRONE 15 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,00904690004,CHLORTHALIDONE 25 MG TABLET,267.15,133.58,58.27,240.44,65
NDC,00904690061,CHLORTHALIDONE 25 MG TABLET,682.0,341.0,148.74,613.8,65
NDC,00904690204,RALOXIFENE 60 MG TABLET,616.2,308.1,134.39,554.58,65
NDC,00904690706,PSEUDOEPHEDRINE 60 MG TABLET,13.5,6.75,2.94,12.15,65
NDC,00904690804,ATOMOXETINE 40 MG CAPSULE,440.55,220.28,96.08,396.5,65
NDC,00904690904,AZITHROMYCIN 500 MG TABLET,275.6,137.8,60.11,248.04,65
NDC,00904691461,METHYLPREDNISOLONE 4 MG TABLET,551.5,275.75,0.26,496.35,66
NDC,00904691761,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",75.6,37.8,16.49,68.04,65
NDC,00904692361,PREDNISONE 10 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,00904692461,SERTRALINE 25 MG TABLET,138.0,69.0,30.1,124.2,65
NDC,00904692561,SERTRALINE 50 MG TABLET,160.8,80.4,35.07,144.72,65
NDC,00904692661,SERTRALINE 100 MG TABLET,180.6,90.3,39.39,162.54,65
NDC,00904692761,SPIRONOLACTONE 25 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,00904692861,TOPIRAMATE 25 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,00904692961,TOPIRAMATE 100 MG TABLET,207.0,103.5,45.15,186.3,65
NDC,00904693061,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",273.6,136.8,59.67,246.24,65
NDC,00904693561,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",3626.8,1813.4,791.01,3264.12,65
NDC,00904693661,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",3405.2,1702.6,742.67,3064.68,65
NDC,00904693761,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",5258.8,2629.4,1146.94,4732.92,65
NDC,00904693806,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,268.8,134.4,58.63,241.92,65
NDC,00904693961,HYDROXYUREA 500 MG CAPSULE,345.5,172.75,75.35,310.95,65
NDC,00904694961,LEVOTHYROXINE 25 MCG TABLET,175.2,87.6,38.21,157.68,65
NDC,00904695061,LEVOTHYROXINE 50 MCG TABLET,161.4,80.7,35.2,145.26,65
NDC,00904695161,LEVOTHYROXINE 75 MCG TABLET,202.8,101.4,44.23,182.52,65
NDC,00904695261,LEVOTHYROXINE 88 MCG TABLET,246.0,123.0,53.65,221.4,65
NDC,00904695361,LEVOTHYROXINE 100 MCG TABLET,270.6,135.3,59.02,243.54,65
NDC,00904695461,LEVOTHYROXINE 112 MCG TABLET,269.5,134.75,58.78,242.55,65
NDC,00904695561,LEVOTHYROXINE 125 MCG TABLET,291.0,145.5,63.47,261.9,65
NDC,00904695661,LEVOTHYROXINE 150 MCG TABLET,275.4,137.7,60.06,247.86,65
NDC,00904695761,LEVOTHYROXINE 175 MCG TABLET,297.5,148.75,64.88,267.75,65
NDC,00904696661,OXYCODONE 5 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,00904698761,DICYCLOMINE 10 MG CAPSULE,265.8,132.9,57.97,239.22,65
NDC,00904698861,DICYCLOMINE 20 MG TABLET,197.4,98.7,43.05,177.66,65
NDC,00904699061,PSEUDOEPHEDRINE 30 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,00904699104,PREGABALIN 25 MG CAPSULE,117.4,58.7,25.6,105.66,65
NDC,00904699161,PREGABALIN 25 MG CAPSULE,268.0,134.0,58.45,241.2,65
NDC,00904699261,PREGABALIN 50 MG CAPSULE,267.6,133.8,58.36,240.84,65
NDC,00904699361,AMIODARONE 200 MG TABLET,119.4,59.7,26.04,107.46,65
NDC,00904700061,PREGABALIN 75 MG CAPSULE,287.4,143.7,62.68,258.66,65
NDC,00904700161,PREGABALIN 100 MG CAPSULE,277.2,138.6,60.46,249.48,65
NDC,00904700261,PREGABALIN 150 MG CAPSULE,298.2,149.1,65.04,268.38,65
NDC,00904700504,PREGABALIN 300 MG CAPSULE,153.0,76.5,33.37,137.7,65
NDC,00904700761,LAMOTRIGINE 25 MG TABLET,65.4,32.7,14.26,58.86,65
NDC,00904700861,LAMOTRIGINE 100 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,00904700906,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,435.0,217.5,5.1,391.5,66
NDC,00904701006,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,482.25,241.13,9.04,434.03,66
NDC,00904701604,BUMETANIDE 1 MG TABLET,217.3,108.65,47.39,195.57,65
NDC,00904701606,BUMETANIDE 1 MG TABLET,202.5,101.25,44.17,182.25,65
NDC,00904701661,BUMETANIDE 1 MG TABLET,390.5,195.25,85.17,351.45,65
NDC,00904702061,PRAZOSIN 1 MG CAPSULE,401.5,200.75,87.57,361.35,65
NDC,00904702161,PRAZOSIN 2 MG CAPSULE,600.5,300.25,130.97,540.45,65
NDC,00904702404,VORICONAZOLE 200 MG TABLET,2139.5,1069.75,466.62,1925.55,65
NDC,00904702661,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,884.5,442.25,192.91,796.05,65
NDC,00904702761,OXYBUTYNIN CHLORIDE 5 MG TABLET,209.4,104.7,45.67,188.46,65
NDC,00904703580,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.4,2.7,1.18,4.86,65
NDC,00904703587,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.5,3.25,1.42,5.85,65
NDC,00904703588,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.4,2.7,1.18,4.86,65
NDC,00904703604,NALTREXONE 50 MG TABLET,204.7,102.35,44.65,184.23,65
NDC,00904704161,ALLOPURINOL 100 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,00904704206,AMANTADINE HCL 100 MG CAPSULE,226.2,113.1,49.33,203.58,65
NDC,00904704259,AMANTADINE HCL 100 MG CAPSULE,285.5,142.75,62.27,256.95,65
NDC,00904704261,AMANTADINE HCL 100 MG CAPSULE,479.0,239.5,104.47,431.1,65
NDC,00904704304,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",148.15,74.08,32.31,133.34,65
NDC,00904704361,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",556.5,278.25,121.37,500.85,65
NDC,00904704461,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",345.0,172.5,75.24,310.5,65
NDC,00904704561,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",322.0,161.0,70.23,289.8,65
NDC,00904704606,HYDROXYCHLOROQUINE 200 MG TABLET,193.2,96.6,42.14,173.88,65
NDC,00904704661,HYDROXYCHLOROQUINE 200 MG TABLET,449.0,224.5,97.93,404.1,65
NDC,00904704761,LOSARTAN 25 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,00904704861,LOSARTAN 50 MG TABLET,195.0,97.5,42.53,175.5,65
NDC,00904704961,LOSARTAN 100 MG TABLET,218.4,109.2,47.63,196.56,65
NDC,00904705261,DOXEPIN 10 MG CAPSULE,255.6,127.8,55.75,230.04,65
NDC,00904705361,DOXEPIN 25 MG CAPSULE,286.5,143.25,62.49,257.85,65
NDC,00904705699,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",678.0,339.0,147.87,610.2,65
NDC,00904705761,METHOCARBAMOL 500 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,00904705861,METHOCARBAMOL 750 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,00904705952,TROSPIUM 20 MG TABLET,137.9,68.95,30.08,124.11,65
NDC,00904706041,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.05,6.53,2.85,11.75,65
NDC,00904706441,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,127.5,63.75,27.81,114.75,65
NDC,00904706453,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,61.75,30.88,13.47,55.58,65
NDC,00904706561,HYDROXYZINE PAMOATE 25 MG CAPSULE,174.6,87.3,38.08,157.14,65
NDC,00904706704,CINACALCET 30 MG TABLET,2129.4,1064.7,464.42,1916.46,65
NDC,00904707061,NADOLOL 20 MG TABLET,1138.5,569.25,248.31,1024.65,65
NDC,00904707461,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,206.4,103.2,45.02,185.76,65
NDC,00904707561,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",168.6,84.3,36.77,151.74,65
NDC,00904707661,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",191.4,95.7,41.74,172.26,65
NDC,00904707761,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",178.8,89.4,39.0,160.92,65
NDC,00904707861,MYCOPHENOLATE MOFETIL 500 MG TABLET,326.0,163.0,71.1,293.4,65
NDC,00904707924,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,19.8,9.9,4.32,17.82,65
NDC,00904707957,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,19.8,9.9,4.32,17.82,65
NDC,00904708106,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",276.0,138.0,60.2,248.4,65
NDC,00904708161,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",872.0,436.0,190.18,784.8,65
NDC,00904708206,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",174.3,87.15,38.01,156.87,65
NDC,00904708361,CIPROFLOXACIN 500 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,00904708404,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",152.1,76.05,33.17,136.89,65
NDC,00904708461,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",713.0,356.5,155.51,641.7,65
NDC,00904708761,CLOZAPINE 100 MG TABLET,273.5,136.75,59.65,246.15,65
NDC,00904709361,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,00904709461,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,274.5,137.25,59.87,247.05,65
NDC,00904709561,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,369.5,184.75,80.59,332.55,65
NDC,00904709761,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",642.5,321.25,0.26,578.25,66
NDC,00904710304,EZETIMIBE 10 MG TABLET,608.25,304.13,132.66,547.43,65
NDC,00904710310,EZETIMIBE 10 MG TABLET,321.7,160.85,70.16,289.53,65
NDC,00904710561,CAPTOPRIL 12.5 MG TABLET,541.0,270.5,117.99,486.9,65
NDC,00904710661,CAPTOPRIL 25 MG TABLET,584.0,292.0,127.37,525.6,65
NDC,00904710761,RIVASTIGMINE 1.5 MG CAPSULE,1153.0,576.5,251.47,1037.7,65
NDC,00904710961,LABETALOL 100 MG TABLET,134.4,67.2,29.31,120.96,65
NDC,00904711061,LABETALOL 200 MG TABLET,186.0,93.0,40.57,167.4,65
NDC,00904711161,LABETALOL 300 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,00904711241,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,15.05,7.53,3.28,13.55,65
NDC,00904711341,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),25.05,12.53,5.46,22.55,65
NDC,00904711393,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),25.05,12.53,5.46,22.55,65
NDC,00904711741,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",14.45,7.23,3.15,13.01,65
NDC,00904711793,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",14.45,7.23,3.15,13.01,65
NDC,00904711861,METOPROLOL TARTRATE 50 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,00904711906,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,237.3,118.65,51.76,213.57,65
NDC,00904711961,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,427.0,213.5,93.13,384.3,65
NDC,00904712004,COLCHICINE 0.6 MG TABLET,442.65,221.33,96.54,398.39,65
NDC,00904712161,BUSPIRONE 10 MG TABLET,70.8,35.4,15.44,63.72,65
NDC,00904712261,BUSPIRONE 5 MG TABLET,54.6,27.3,11.91,49.14,65
NDC,00904712361,LEVETIRACETAM 250 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,00904712461,LEVETIRACETAM 500 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,00904712561,LEVETIRACETAM 750 MG TABLET,106.8,53.4,23.29,96.12,65
NDC,00904712661,METRONIDAZOLE 500 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,00904712761,PREDNISONE 20 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,00904712804,FENOFIBRATE 160 MG TABLET,278.25,139.13,60.69,250.43,65
NDC,00904712961,CHLORPROMAZINE 10 MG TABLET,1169.0,584.5,254.96,1052.1,65
NDC,00904713061,CHLORPROMAZINE 25 MG TABLET,1401.5,700.75,305.67,1261.35,65
NDC,00904713161,CHLORPROMAZINE 50 MG TABLET,1407.0,703.5,306.87,1266.3,65
NDC,00904713261,CHLORPROMAZINE 100 MG TABLET,2160.0,1080.0,471.1,1944.0,65
NDC,00904713761,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,875.0,437.5,190.84,787.5,65
NDC,00904713961,METOLAZONE 5 MG TABLET,1034.5,517.25,225.62,931.05,65
NDC,00904714004,GUANFACINE 1 MG TABLET,189.2,94.6,41.26,170.28,65
NDC,00904714110,METHOTREXATE SODIUM 2.5 MG TABLET,225.6,112.8,49.2,203.04,65
NDC,00904714361,SOTALOL 80 MG TABLET,365.0,182.5,79.61,328.5,65
NDC,00904714461,DRONABINOL 2.5 MG CAPSULE,1345.0,672.5,293.34,1210.5,65
NDC,00904714504,DRONABINOL 5 MG CAPSULE,871.8,435.9,190.14,784.62,65
NDC,00904714904,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",2189.3,1094.65,477.49,1970.37,65
NDC,00904715361,BENZONATATE 100 MG CAPSULE,176.4,88.2,38.47,158.76,65
NDC,00904715404,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,275.6,137.8,1.89,248.04,66
NDC,00904715504,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,386.4,193.2,1.89,347.76,66
NDC,00904715661,METRONIDAZOLE 250 MG TABLET,126.6,63.3,27.61,113.94,65
NDC,00904715861,FLUPHENAZINE 2.5 MG TABLET,1766.5,883.25,385.27,1589.85,65
NDC,00904715961,FLUPHENAZINE 5 MG TABLET,1471.0,735.5,320.83,1323.9,65
NDC,00904716261,METFORMIN 500 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,00904716361,METFORMIN 850 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,00904716461,"METFORMIN 1,000 MG TABLET",48.0,24.0,10.47,43.2,65
NDC,00904716507,AMINOCAPROIC ACID 500 MG TABLET,2173.7,1086.85,474.08,1956.33,65
NDC,00904716806,URSODIOL 300 MG CAPSULE,371.25,185.63,80.97,334.13,65
NDC,00904716861,URSODIOL 300 MG CAPSULE,1769.5,884.75,385.93,1592.55,65
NDC,00904717207,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,235.3,117.65,51.32,211.77,65
NDC,00904717761,FUROSEMIDE 20 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,00904717861,FUROSEMIDE 40 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,00904717961,TRAMADOL 50 MG TABLET,61.8,30.9,13.48,55.62,65
NDC,00904718245,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",977.6,488.8,213.21,879.84,65
NDC,00904718261,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",506.0,253.0,110.36,455.4,65
NDC,00904718461,AMITRIPTYLINE 25 MG TABLET,174.6,87.3,38.08,157.14,65
NDC,00904718561,AMITRIPTYLINE 50 MG TABLET,255.6,127.8,55.75,230.04,65
NDC,00904718761,ATENOLOL 25 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,00904718861,HYDROCORTISONE 10 MG TABLET,641.0,320.5,139.8,576.9,65
NDC,00904718904,NEBIVOLOL 5 MG TABLET,269.25,134.63,58.72,242.33,65
NDC,00904719306,FAMOTIDINE 20 MG TABLET,25.8,12.9,5.63,23.22,65
NDC,00904719361,FAMOTIDINE 20 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,00904719461,CLINDAMYCIN HCL 300 MG CAPSULE,382.5,191.25,83.42,344.25,65
NDC,00904719907,PHENYTOIN 50 MG CHEWABLE TABLET,159.5,79.75,34.79,143.55,65
NDC,00904720061,LISINOPRIL 40 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,00904720806,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",183.9,91.95,40.11,165.51,65
NDC,00904720861,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",321.0,160.5,70.01,288.9,65
NDC,00904721104,DANTROLENE 25 MG CAPSULE,182.9,91.45,39.89,164.61,65
NDC,00904721261,TRAZODONE 150 MG TABLET,181.2,90.6,39.52,163.08,65
NDC,00904721461,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",227.4,113.7,49.6,204.66,65
NDC,00904721661,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",104.4,52.2,22.77,93.96,65
NDC,00904721761,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",171.6,85.8,37.43,154.44,65
NDC,00904721861,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",149.4,74.7,32.58,134.46,65
NDC,00904721961,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",189.0,94.5,41.22,170.1,65
NDC,00904722061,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",583.5,291.75,127.26,525.15,65
NDC,00904722461,FOLIC ACID 1 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,00904722761,CLONAZEPAM 0.5 MG TABLET,205.2,102.6,44.75,184.68,65
NDC,00904722961,NIFEDIPINE 10 MG CAPSULE,384.5,192.25,83.86,346.05,65
NDC,00904723661,MEGESTROL 40 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,00904724361,CIPROFLOXACIN 500 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,00904724468,LACOSAMIDE 50 MG TABLET,286.2,143.1,62.42,257.58,65
NDC,00904724568,LACOSAMIDE 100 MG TABLET,389.4,194.7,84.93,350.46,65
NDC,00904724668,LACOSAMIDE 150 MG TABLET,738.0,369.0,160.96,664.2,65
NDC,00904724768,LACOSAMIDE 200 MG TABLET,443.7,221.85,96.77,399.33,65
NDC,00904725761,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,00904726261,OXCARBAZEPINE 150 MG TABLET,223.2,111.6,48.68,200.88,65
NDC,00904726361,OXCARBAZEPINE 300 MG TABLET,286.0,143.0,62.38,257.4,65
NDC,00904726461,OXCARBAZEPINE 600 MG TABLET,537.5,268.75,117.23,483.75,65
NDC,00904726541,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.3,6.65,2.9,11.97,65
NDC,00904726592,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.3,6.65,2.9,11.97,65
NDC,00904726593,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,12.25,6.13,2.67,11.03,65
NDC,00904726594,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,8.95,4.48,1.95,8.06,65
NDC,00904726661,DEXAMETHASONE 4 MG TABLET,492.5,246.25,107.41,443.25,65
NDC,00904726918,SUCRALFATE 100 MG/ML ORAL SUSPENSION,28.5,14.25,6.22,25.65,65
NDC,00904726966,SUCRALFATE 100 MG/ML ORAL SUSPENSION,28.5,14.25,6.22,25.65,65
NDC,00904727641,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.95,1.98,0.86,3.56,65
NDC,00904727670,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.95,1.98,0.86,3.56,65
NDC,00904727692,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.9,2.45,1.07,4.41,65
NDC,00904728306,TORSEMIDE 20 MG TABLET,75.3,37.65,16.42,67.77,65
NDC,00904728361,TORSEMIDE 20 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,00904728861,BENZTROPINE 0.5 MG TABLET,170.4,85.2,37.16,153.36,65
NDC,00904728961,BENZTROPINE 1 MG TABLET,194.4,97.2,42.4,174.96,65
NDC,00904729261,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",172.2,86.1,37.56,154.98,65
NDC,00904729361,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",151.2,75.6,32.98,136.08,65
NDC,00904730461,PROMETHAZINE 25 MG TABLET,67.8,33.9,14.79,61.02,65
NDC,00904730561,CARVEDILOL 3.125 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,00904730661,CARVEDILOL 6.25 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,00904730761,CARVEDILOL 12.5 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,00904730861,CARVEDILOL 25 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,00904731662,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,22.35,11.18,4.87,20.12,65
NDC,00904731673,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,22.35,11.18,4.87,20.12,65
NDC,00904731680,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,21.0,10.5,4.58,18.9,65
NDC,00904731688,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,21.0,10.5,4.58,18.9,65
NDC,00904733661,CEPHALEXIN 250 MG CAPSULE,147.6,73.8,32.19,132.84,65
NDC,00904733706,CEPHALEXIN 500 MG CAPSULE,63.0,31.5,13.74,56.7,65
NDC,00904733735,CEPHALEXIN 500 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,00904733761,CEPHALEXIN 500 MG CAPSULE,154.2,77.1,33.63,138.78,65
NDC,00904734001,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,6.15,3.08,1.34,5.54,65
NDC,00904734012,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,73.4,36.7,16.01,66.06,65
NDC,00904734024,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,146.9,73.45,32.04,132.21,65
NDC,00904734561,FLUOXETINE 10 MG CAPSULE,43.2,21.6,9.42,38.88,65
NDC,00904734661,FLUOXETINE 20 MG CAPSULE,45.0,22.5,9.81,40.5,65
NDC,00904735006,AZITHROMYCIN 250 MG TABLET,183.6,91.8,40.04,165.24,65
NDC,00904735061,AZITHROMYCIN 250 MG TABLET,307.5,153.75,67.07,276.75,65
NDC,00904735104,AZITHROMYCIN 500 MG TABLET,254.0,127.0,55.4,228.6,65
NDC,00904735504,LURASIDONE 20 MG TABLET,89.65,44.83,19.55,80.69,65
NDC,00904735861,LURASIDONE 80 MG TABLET,627.0,313.5,136.75,564.3,65
NDC,00904736161,RISPERIDONE 0.5 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,00904736261,RISPERIDONE 1 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,00904736361,RISPERIDONE 2 MG TABLET,73.8,36.9,16.1,66.42,65
NDC,00904736461,RISPERIDONE 3 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,00904736604,ARIPIPRAZOLE 2 MG TABLET,235.65,117.83,51.4,212.09,65
NDC,00904736706,ARIPIPRAZOLE 5 MG TABLET,136.5,68.25,29.77,122.85,65
NDC,00904736761,ARIPIPRAZOLE 5 MG TABLET,293.0,146.5,63.9,263.7,65
NDC,00904736904,ARIPIPRAZOLE 15 MG TABLET,199.45,99.73,43.5,179.51,65
NDC,00904737661,MECLIZINE 25 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,00904738106,PROCHLORPERAZINE MALEATE 5 MG TABLET,234.6,117.3,51.17,211.14,65
NDC,00904738206,PROCHLORPERAZINE MALEATE 10 MG TABLET,252.9,126.45,55.16,227.61,65
NDC,00904738361,TAMSULOSIN 0.4 MG CAPSULE,102.6,51.3,22.38,92.34,65
NDC,00904738961,HALOPERIDOL 0.5 MG TABLET,149.4,74.7,32.58,134.46,65
NDC,00904739061,HALOPERIDOL 1 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,00904740161,CYCLOBENZAPRINE 10 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,00904741061,AMITRIPTYLINE 25 MG TABLET,148.8,74.4,32.45,133.92,65
NDC,00904741161,AMITRIPTYLINE 50 MG TABLET,199.2,99.6,43.45,179.28,65
NDC,00904741761,METHADONE 10 MG TABLET,95.4,47.7,20.81,85.86,65
NDC,00904742346,LURASIDONE 60 MG TABLET,65.2,32.6,14.22,58.68,65
NDC,00904744261,CLONIDINE HCL 0.1 MG TABLET,157.2,78.6,34.29,141.48,65
NDC,00904744461,DEXAMETHASONE 2 MG TABLET,294.0,147.0,64.12,264.6,65
NDC,00904744761,HYDRALAZINE 10 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,00904744861,HYDRALAZINE 25 MG TABLET,78.6,39.3,17.14,70.74,65
NDC,00904744961,HYDRALAZINE 50 MG TABLET,112.8,56.4,24.6,101.52,65
NDC,00904745261,LABETALOL 200 MG TABLET,217.2,108.6,47.37,195.48,65
NDC,00904745861,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",102.0,51.0,22.25,91.8,65
NDC,00904746561,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",262.8,131.4,57.32,236.52,65
NDC,00904746861,PROPRANOLOL 20 MG TABLET,190.8,95.4,41.61,171.72,65
NDC,00904746904,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",158.8,79.4,34.63,142.92,65
NDC,00904747066,SUCRALFATE 100 MG/ML ORAL SUSPENSION,30.6,15.3,6.67,27.54,65
NDC,00904747072,SUCRALFATE 100 MG/ML ORAL SUSPENSION,22.4,11.2,4.89,20.16,65
NDC,00904749661,TRAMADOL 50 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,00904750161,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,111.6,55.8,24.34,100.44,65
NDC,00904750204,CINACALCET 30 MG TABLET,3547.6,1773.8,773.73,3192.84,65
NDC,00904750504,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",168.5,84.25,36.75,151.65,65
NDC,00904750561,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",498.5,249.25,108.72,448.65,65
NDC,00904752208,DOFETILIDE 125 MCG CAPSULE,647.2,323.6,141.15,582.48,65
NDC,00904753060,BUPROPION HCL 100 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,00904772861,CLONAZEPAM 1 MG TABLET,205.2,102.6,44.75,184.68,65
NDC,00942064104,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,48.0,20.94,86.4,65
NDC,00942950410,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,57.0,28.5,12.43,51.3,65
NDC,00942950625,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,76.5,38.25,16.68,68.85,65
NDC,00944049301,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",195.5,97.75,42.64,175.95,65
NDC,00944049302,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",304.0,152.0,66.3,273.6,65
NDC,00944049303,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",195.5,97.75,42.64,175.95,65
NDC,00944049304,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",304.0,152.0,66.3,273.6,65
NDC,00944049505,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",195.5,97.75,42.64,175.95,70
NDC,00944049506,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",195.5,97.75,42.64,175.95,70
NDC,00944251002,"IGG 2.5 GRAM/25 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",2511.1,1255.55,18.28,2259.99,71
NDC,00944251102,"IGG 5 GRAM/50 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",5022.15,2511.08,18.28,4519.94,71
NDC,00944251202,"IGG 10 GRAM/100 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",10044.3,5022.15,18.28,9039.87,71
NDC,00944251302,"IGG 20 GRAM/200 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",20088.6,10044.3,18.28,18079.74,71
NDC,00944251402,"IGG 30 GRAM/300 ML (10 %)-HYALURONIDASE,RECOMB. SUBCUTANEOUS SOLUTION",30132.9,15066.45,18.28,27119.61,71
NDC,00944265603,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION",2722.45,1361.23,44.92,2450.21,71
NDC,00944265707,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION",2722.45,1361.23,44.92,2450.21,71
NDC,00944265804,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION",5419.9,2709.95,44.92,4877.91,71
NDC,00944265908,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION",5419.9,2709.95,44.92,4877.91,71
NDC,00944270002,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",530.3,265.15,44.92,477.27,71
NDC,00944270003,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1288.15,644.08,44.92,1159.34,71
NDC,00944270004,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1989.9,994.95,44.92,1790.91,71
NDC,00944270005,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",3954.8,1977.4,44.92,3559.32,71
NDC,00944270006,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",7884.6,3942.3,44.92,7096.14,71
NDC,00944270007,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",11814.4,5907.2,44.92,10632.96,71
NDC,00944270008,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",530.3,265.15,44.92,477.27,71
NDC,00944270009,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1288.15,644.08,44.92,1159.34,71
NDC,00944270010,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1989.9,994.95,44.92,1790.91,71
NDC,00944270011,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",3954.8,1977.4,44.92,3559.32,71
NDC,00944270012,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",7884.6,3942.3,44.92,7096.14,71
NDC,00944270013,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",11814.4,5907.2,44.92,10632.96,71
NDC,00944284110,ANTIHEMOPHILIC FACTOR (RECOMB) 250 (+/-) UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.65,40.5,70
NDC,00944284210,ANTIHEMOPHILIC FACTOR (RECOMB) 500 (+/-) UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.65,40.5,70
NDC,00944284310,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944284410,"ANTIHEMOPHILIC FACTOR (RECOMB) 1,500 (+/-) UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944284510,"ANTIHEMOPHILIC FACTOR (RECOMB) 2,000 (+/-) UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944288401,ALPHA-1-PROTEINASE INHIBITOR(HUMAN) 1 GRAM/50 ML(2 %) INTRAVENOUS SOLN,45.4,22.7,5.72,40.86,71
NDC,00944303002,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,9.81,40.5,65
NDC,00944304510,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944304610,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944304611,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 3,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944304710,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 4,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305102,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 250 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305202,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305203,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305302,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305303,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305402,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944305403,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,500 (+/-) UNIT IV SOLUTION",45.0,22.5,1.65,40.5,70
NDC,00944462201,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462202,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462301,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462401,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462402,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462501,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462502,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462601,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 750 (+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462701,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,500(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944462801,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 3,000(+/-) UNIT IV SOLUTION",45.0,22.5,2.14,40.5,70
NDC,00944500101,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION",45.0,22.5,3.29,40.5,70
NDC,00944755001,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,45.0,22.5,1.89,40.5,70
NDC,00944755201,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",45.0,22.5,1.89,40.5,70
NDC,00944755302,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",45.0,22.5,1.89,40.5,70
NDC,00955100301,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.0,11.0,0.76,19.8,66
NDC,00955100310,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.0,11.0,0.76,19.8,66
NDC,00955100401,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,00955100410,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,00955100601,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,12.38,0.76,22.28,66
NDC,00955100610,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,24.75,12.38,0.76,22.28,66
NDC,00955100801,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,28.62,66
NDC,00955100810,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.8,15.9,0.76,28.62,66
NDC,00955101001,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,37.71,66
NDC,00955101010,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.9,20.95,0.76,37.71,66
NDC,00955101201,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,50.6,25.3,0.76,45.54,66
NDC,00955101210,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,50.6,25.3,0.76,45.54,66
NDC,00955101501,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,63.1,31.55,0.76,56.79,66
NDC,00955101510,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,63.1,31.55,0.76,56.79,66
NDC,00955101601,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,160.4,80.2,0.76,144.36,66
NDC,00955102001,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,00955102104,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,540.8,270.4,1.07,486.72,66
NDC,00955104090,IRBESARTAN 75 MG TABLET,197.1,98.55,42.99,177.39,65
NDC,00955104818,SEVELAMER HCL 800 MG TABLET,3993.85,1996.93,871.06,3594.47,65
NDC,00955105201,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,8.85,4.43,1.93,7.97,65
NDC,00955105290,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,661.5,330.75,144.27,595.35,65
NDC,00955105401,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,50.65,25.33,11.05,45.59,65
NDC,00955105490,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,3037.0,1518.5,662.37,2733.3,65
NDC,00955172050,DOXERCALCIFEROL 0.5 MCG CAPSULE,1466.5,733.25,319.84,1319.85,65
NDC,00955172250,DOXERCALCIFEROL 2.5 MCG CAPSULE,2117.6,1058.8,461.85,1905.84,65
NDC,00955172510,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,00955172720,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,468.25,234.13,0.07,421.43,66
NDC,00955172901,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,00955173110,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,00955173730,LEFLUNOMIDE 20 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,00955174601,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,3102.2,1551.1,4.27,2791.98,71
NDC,00990417905,PARENTERAL AMINO ACID 10 % NO.5 (PEDIATRIC) INTRAVENOUS SOLUTION,335.0,167.5,65.33,301.5,66
NDC,00990614109,PHYSIOLOGICAL IRRIGATION NO.1 140 MEQ-5 MEQ-3 MEQ-98 MEQ/L SOLUTION,30.0,15.0,6.54,27.0,65
NDC,00990614309,ACETIC ACID 0.25 % IRRIGATION SOLUTION,30.0,15.0,6.54,27.0,65
NDC,00990614322,ACETIC ACID 0.25 % IRRIGATION SOLUTION,30.0,15.0,6.54,27.0,65
NDC,00990707426,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,53.2,26.6,0.13,47.88,66
NDC,00990707514,POTASSIUM CHLORIDE 10 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,54.1,27.05,11.8,65.33,66
NDC,00990707526,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,53.8,26.9,0.13,48.42,66
NDC,00990707714,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,54.1,27.05,0.13,48.69,66
NDC,00990707726,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,55.0,27.5,12.0,65.33,66
NDC,00990710709,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,67.0,33.5,14.61,65.33,66
NDC,00990710909,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,73.0,36.5,15.92,65.7,66
NDC,00990711109,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,79.0,39.5,17.23,71.1,66
NDC,00990711509,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,67.0,33.5,14.61,65.33,66
NDC,00990711609,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,73.0,36.5,15.92,65.7,66
NDC,00990767003,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,55.0,27.5,12.0,65.33,66
NDC,00990767009,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,55.0,27.5,12.0,65.33,66
NDC,00990771503,MANNITOL 20 % INTRAVENOUS SOLUTION,130.0,65.0,28.35,117.0,65
NDC,00990771512,MANNITOL 20 % INTRAVENOUS SOLUTION,146.5,73.25,31.95,131.85,65
NDC,00990771513,MANNITOL 20 % INTRAVENOUS SOLUTION,130.0,65.0,28.35,117.0,65
NDC,00990790109,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,67.0,33.5,14.61,65.33,66
NDC,00990790203,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,73.0,36.5,15.92,65.7,66
NDC,00990790209,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,14.61,65.33,66
NDC,00990790309,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,14.61,65.33,66
NDC,00990790409,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,14.61,65.33,66
NDC,00990790509,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,67.0,33.5,14.61,65.33,66
NDC,00990793619,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,66.0,33.0,14.39,65.33,66
NDC,00990796509,ELECTROLYTE-M IN 5 % DEXTROSE INTRAVENOUS SOLUTION,55.0,27.5,12.0,65.33,66
NDC,00990796709,ELECTROLYTE-R INTRAVENOUS SOLUTION,55.0,27.5,12.0,49.5,65
NDC,00990797408,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,72.0,36.0,15.7,64.8,65
NDC,00990799309,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,67.0,33.5,14.61,65.33,66
NDC,00990925739,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,67.0,33.5,14.61,65.33,66
NDC,00998001615,PROPARACAINE 0.5 % EYE DROPS,240.05,120.03,52.35,216.05,65
NDC,00998020315,PILOCARPINE 1 % EYE DROPS,432.4,216.2,94.31,389.16,65
NDC,00998035515,TROPICAMIDE 1 % EYE DROPS,488.2,244.1,106.48,439.38,65
NDC,00998061505,"DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",367.9,183.95,80.24,331.11,65
NDC,00998063006,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",525.05,262.53,114.51,472.55,65
NDC,01210495015,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,31.15,15.58,6.79,28.04,65
NDC,03432400072,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,1275.0,637.5,3.64,1147.5,66
NDC,04879050101,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.1,1.55,0.68,2.79,65
NDC,05047450832,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,594.85,297.43,129.74,535.37,65
NDC,05047465142,SODIUM HYALURONATE 30 MG/ML INTRAOCULAR COMBO SYRINGE,1132.5,566.25,247.0,1019.25,65
NDC,05391530190,ELEVIEW SUBMUCOSAL INJECTION,430.0,215.0,93.78,387.0,64
NDC,05446060701,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,35.9,17.95,7.83,32.31,65
NDC,07610010418,PRENATAL VITS NO.130-FERROUS FUM 27 MG IRON-FOLIC ACID 800 MCG TABLET,22.7,11.35,4.95,20.43,65
NDC,08065183004,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,257.75,128.88,56.22,231.98,65
NDC,08065183055,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,270.3,135.15,58.95,243.27,65
NDC,08065183085,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,427.4,213.7,93.22,384.66,65
NDC,08065183135,CHONDROITIN-SOD HYALURON 3 %-4 %(0.35 ML)1 %(0.4 ML)INTRAOCULAR SYRING,511.95,255.98,111.66,460.76,65
NDC,08065183150,CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING,538.6,269.3,117.47,484.74,65
NDC,08065183905,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,371.9,185.95,81.11,334.71,65
NDC,08065183975,CHONDROITIN-SOD HYALURON 4 %-3 % (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,409.95,204.98,89.41,368.96,65
NDC,08065199907,CHONDROITIN-SOD HYALURON 4 %-3 %(0.5 ML)1 %(0.85 ML)INTRAOCULAR SYRING,1488.2,744.1,324.58,1339.38,65
NDC,08290306413,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.65,10.33,0.02,18.59,66
NDC,08290306414,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.65,10.33,0.02,18.59,66
NDC,08290306424,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.65,10.33,0.02,18.59,66
NDC,08290306510,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.55,10.28,0.02,18.5,66
NDC,08290306512,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.5,10.25,0.02,18.45,66
NDC,08290306514,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.55,10.28,0.02,18.5,66
NDC,08290306515,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.55,10.28,0.02,18.5,66
NDC,08290306521,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.45,10.23,0.02,18.41,66
NDC,08327030909,"SILVER ER TOPICAL GEL,EXTENDED RELEASE",116.95,58.48,25.51,105.26,65
NDC,09990003292,FUROSEMIDE 10 MG/ML ORAL SOLUTION,3.2,1.6,0.7,2.88,65
NDC,09990004950,METHADONE 10 MG/ML ORAL CONCENTRATE,5.4,2.7,1.18,4.86,65
NDC,09990008970,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,7.4,3.7,1.61,6.66,65
NDC,09990009502,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,6.8,3.4,1.48,6.12,65
NDC,09990012200,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,3.2,1.6,0.7,2.88,65
NDC,09990022700,NYSTATIN-HYDROCORTISONE-ZINC (GREERS GOO) TOPICAL EMOLLIENT,30.0,15.0,6.54,27.0,65
NDC,09990026400,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,60.65,30.33,7.56,54.59,66
NDC,09990028282,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,09990029169,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,3.15,1.58,0.69,2.84,65
NDC,09990029302,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,6.75,3.38,1.47,6.08,65
NDC,09990036590,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,3.1,1.55,0.68,2.79,65
NDC,09990043400,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,5.2,2.6,1.13,4.68,65
NDC,09990044100,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,5.2,2.6,1.13,4.68,65
NDC,09990046200,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,3.45,1.73,0.75,3.11,65
NDC,09990052100,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,4.7,2.35,1.03,4.23,65
NDC,09990056400,PREDNISONE 5 MG/5 ML ORAL SOLUTION,17.4,8.7,3.79,15.66,65
NDC,09990061800,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,19.1,9.55,4.17,17.19,65
NDC,09990064200,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,33.85,16.93,7.38,30.47,65
NDC,09990097400,SUCRALFATE 100 MG/ML ORAL SUSPENSION,37.05,18.53,8.08,33.35,65
NDC,09990101900,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,10.95,5.48,2.39,9.86,65
NDC,09990107829,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,29.35,14.68,6.4,26.42,65
NDC,09990110335,LEVOCARNITINE 100 MG/ML ORAL SOLUTION,15.8,7.9,3.45,14.22,65
NDC,09990115500,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,20.25,10.13,4.42,18.23,65
NDC,09990125500,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,34.45,17.23,7.51,31.01,65
NDC,09990132500,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,21.75,10.88,4.74,19.58,65
NDC,09990145000,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,3.4,1.7,0.74,3.06,65
NDC,09990152277,"METOPROLOL SUCCINATE ER 12.5 MG SPLIT TABLET, 24 HR",3.1,1.55,0.68,2.79,65
NDC,09990152493,ZINC SULFATE 10 MG/ML ELEMENTAL ZINC ORAL SUSPENSION,3.05,1.53,0.67,2.75,65
NDC,09990153460,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,3.35,1.68,0.73,3.02,65
NDC,09990153545,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,45.5,22.75,0.09,40.95,66
NDC,09990162700,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,67.9,33.95,14.81,61.11,65
NDC,09990179900,METHADONE 10 MG/5 ML ORAL SOLUTION,5.55,2.78,1.21,5.0,65
NDC,09990203300,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,5.35,2.68,1.17,4.82,65
NDC,09990215400,MORPHINE 10 MG/5 ML ORAL SOLUTION,5.25,2.63,1.15,4.73,65
NDC,09990240600,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.3,1.65,0.72,2.97,65
NDC,09990240601,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.3,1.65,0.72,2.97,65
NDC,09990240603,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.3,1.65,0.72,2.97,65
NDC,09990243600,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,4.95,2.48,1.08,4.46,65
NDC,09990258200,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL SOLUTION,65.8,32.9,14.35,59.22,65
NDC,09990266400,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",64.0,32.0,13.96,57.6,65
NDC,09990270200,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,14.55,7.28,3.17,13.1,65
NDC,09990270300,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,60.6,30.3,13.22,54.54,71
NDC,09990283900,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,26.5,13.25,5.78,23.85,65
NDC,09990285600,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,5.8,2.9,1.26,5.22,65
NDC,09990300700,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",47.25,23.63,0.3,42.53,66
NDC,09990305300,OXYCODONE 5 MG/5 ML ORAL SOLUTION,5.1,2.55,1.11,4.59,65
NDC,09990308100,MORPHINE 10 MG/5 ML ORAL SOLUTION,5.45,2.73,1.19,4.91,65
NDC,09990308400,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",5.55,2.78,1.21,5.0,65
NDC,09990309700,POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION,235.0,117.5,51.25,211.5,66
NDC,09990311300,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.3,2.65,1.16,4.77,65
NDC,09990322500,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,14.55,7.28,3.17,13.1,65
NDC,09990329300,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),5.35,2.68,1.17,4.82,65
NDC,09990332800,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.15,2.58,1.12,4.64,65
NDC,09990336000,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,5.55,2.78,1.21,5.0,65
NDC,09990336100,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),9.75,4.88,2.13,8.78,65
NDC,09990338700,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,9.4,4.7,2.05,8.46,65
NDC,09990339000,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,5.05,2.53,1.1,4.55,65
NDC,09990339100,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,3.3,1.65,0.72,2.97,65
NDC,09990339200,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,6.55,3.28,1.43,5.9,65
NDC,09990340200,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,101.8,50.9,0.16,91.62,66
NDC,09990383300,METHADONE 10 MG/ML ORAL CONCENTRATE,5.2,2.6,1.13,4.68,65
NDC,09990386200,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,55.55,27.78,12.12,50.0,65
NDC,09990390000,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,26.95,13.48,5.88,24.26,65
NDC,09990390900,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
NDC,09990405400,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,5.3,2.65,1.16,4.77,65
NDC,09990406500,HYDROMORPHONE 1 MG/ML ORAL LIQUID,9.65,4.83,2.1,8.69,65
NDC,09990408800,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,3.1,1.55,0.68,2.79,65
NDC,09990410500,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,10.65,5.33,2.32,9.59,65
NDC,09990410600,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,4.6,2.3,1.0,4.14,65
NDC,09990425500,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,4.85,2.43,1.06,4.37,65
NDC,09990430007,PYRIDOSTIGMINE BROMIDE 30 MG SPLIT TABLET,3.3,1.65,0.72,2.97,65
NDC,09990430022,CEFTAZIDIME IV SYRINGE 100 MG/ML (NEO/PED),116.45,58.23,1.88,104.81,66
NDC,09990430127,MERCAPTOPURINE 25 MG SPLIT TABLET,9.55,4.78,2.08,8.6,65
NDC,09990430338,TOPIRAMATE 12.5 MG SPLIT TABLET,19.1,9.55,4.17,17.19,65
NDC,09990430567,BUPIVACAINE 0.125% EPIDURAL (ONE-STEP),80.5,40.25,17.56,72.45,65
NDC,09990431154,COSYNTROPIN 5 MCG/ML INJ. DILUTION RECORD,100.5,50.25,21.92,90.45,66
NDC,09990431317,SUCCINYLCHOLINE 600 MG/300 ML INFUSION (FOR OR),2137.2,1068.6,0.89,1923.48,66
NDC,09990434000,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.25,1.63,0.71,2.93,65
NDC,09990435400,"SODIUM BICARBONATE 150 MEQ/1,000 ML IN DEXTROSE 5 % INTRAVENOUS",193.0,96.5,42.09,173.7,65
NDC,09990437900,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,50.6,25.3,11.04,45.54,65
NDC,09990438000,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,53.4,26.7,11.65,48.06,65
NDC,09990450574,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,45.95,22.98,10.02,41.36,65
NDC,09990450847,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,457.5,228.75,0.09,411.75,66
NDC,09990451077,BUPIVACAINE 0.175% + FENTANYL 15 MCG IV PF EPIDURAL SYRINGE,50.7,25.35,11.06,45.63,65
NDC,09990467400,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,3.35,1.68,0.73,3.02,65
NDC,09990468300,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,29.35,14.68,6.4,26.42,65
NDC,09990469300,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,3.4,1.7,0.74,3.06,65
NDC,09990474300,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,8.4,4.2,1.83,7.56,65
NDC,09990474400,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,7.5,3.75,1.64,6.75,65
NDC,09990477400,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,5.25,2.63,1.15,4.73,65
NDC,09990484200,BROMPHENIRAMINE-PSEUDOEPHEDRINE-DM 2 MG-30 MG-10 MG/5 ML ORAL SYRUP,4.0,2.0,0.87,3.6,65
NDC,09990504600,CHOLESTYRAMINE 10 % IN AQUAPHOR OINTMENT,83.05,41.53,18.11,74.75,65
NDC,09990515600,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,65.5,32.75,1.07,58.95,66
NDC,09990518900,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),20.45,10.23,4.46,18.41,65
NDC,09990521200,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,6.2,3.1,1.35,5.58,65
NDC,09990521700,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,30.25,15.13,6.6,27.23,65
NDC,09990532600,OXYCODONE 20 MG/ML ORAL CONCENTRATE,10.35,5.18,2.26,9.32,65
NDC,09990542400,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,43.5,21.75,9.49,39.15,65
NDC,09990548300,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,60.3,30.15,13.15,54.27,65
NDC,09990551300,POTASSIUM CHLORIDE IVPB 20 MEQ IN 0.9 % NACL 100 ML,48.0,24.0,0.13,43.2,66
NDC,09990559400,ASPIRIN 1 MG/ML SOLUTION (DESENSITIZATION PROTOCOL),10.0,5.0,2.18,9.0,65
NDC,09990560700,METHADONE 5 MG/5 ML ORAL SOLUTION,5.05,2.53,1.1,4.55,65
NDC,09990561000,METHADONE 10 MG/ML INJECTION SOLUTION,58.7,29.35,12.8,52.83,66
NDC,09990561401,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
NDC,09990563800,"HEPARIN (PORCINE) 30,000 UNIT/1,000 ML IN 0.9 % SOD CHLORIDE IV",55.0,27.5,0.3,49.5,66
NDC,09990572500,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,82.0,41.0,17.88,73.8,66
NDC,09990572700,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,10.0,5.0,2.18,9.0,65
NDC,09990573200,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,3.15,1.58,0.69,2.84,65
NDC,09990574100,SMOG ENEMA,10.0,5.0,2.18,9.0,65
NDC,09990590700,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,3.2,1.6,0.7,2.88,65
NDC,09990592800,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,3.7,1.85,0.81,3.33,65
NDC,09990594800,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,28.8,14.4,6.28,25.92,65
NDC,09990595400,METHADONE 5 MG/5 ML ORAL SOLUTION,5.3,2.65,1.16,4.77,65
NDC,09990596100,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),5.2,2.6,1.13,4.68,65
NDC,09990596500,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,3.1,1.55,0.68,2.79,65
NDC,09990597500,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,241.6,120.8,52.69,217.44,65
NDC,09990614700,WARFARIN 0.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09990614800,WARFARIN 1.25 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09990614900,WARFARIN 1.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09990615000,WARFARIN 3.75 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09990615800,MORPHINE 0.2 MG/0.5 ML ORAL SYRINGE (NEO),5.15,2.58,1.12,4.64,65
NDC,09990623500,VANCOMYCIN 50 MG/ML ORAL SOLUTION,25.05,12.53,5.46,22.55,65
NDC,09990627700,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,152.5,76.25,33.26,137.25,65
NDC,09990636100,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,16.0,8.0,3.49,14.4,65
NDC,09990636300,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,9.0,4.5,1.96,8.1,65
NDC,09990639700,VANCOMYCIN ENEMA 500 MG IN 250 ML NS (SIMPLE),10.5,5.25,2.29,9.45,66
NDC,09990647400,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,5.5,2.75,1.2,4.95,65
NDC,09990649800,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.25,2.63,1.15,4.73,65
NDC,09990659800,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,50.4,25.2,10.99,45.36,65
NDC,09990664900,"HEPARIN (PORCINE) 5,000 UNIT/500 ML(10 UNIT/ML) IN 0.9 % NACL IV SOLN",46.0,23.0,0.3,41.4,66
NDC,09990667900,LACOSAMIDE 10 MG/ML ORAL SOLUTION,8.55,4.28,1.86,7.7,65
NDC,09990671200,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,15.6,7.8,3.4,14.04,65
NDC,09990673100,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,6.0,3.0,1.31,5.4,65
NDC,09990676400,ALLOPURINOL 20 MG/ML ORAL SUSPENSION,18.0,9.0,3.93,16.2,65
NDC,09990677000,AZATHIOPRINE 50 MG/ML ORAL SUSPENSION,260.4,130.2,5.06,234.36,66
NDC,09990678900,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,5.6,2.8,1.22,5.04,65
NDC,09990679600,PHYTONADIONE (VITAMIN K) ORAL SOLUTION 1 MG/ML,546.05,273.03,119.09,491.45,65
NDC,09990682200,VANCOMYCIN 1500 MG/250 ML NSS VIAL-MATE (SIMPLE),247.0,123.5,2.56,222.3,66
NDC,09990686000,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,21.6,10.8,4.71,19.44,65
NDC,09990693200,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,3.2,1.6,0.7,2.88,65
NDC,09990694100,LIDOCAINE 1 % BUFFERED WITH 8.4 % SODIUM BICARBONATE J-TIP INJ SYRINGE (NEO/PED),20.05,10.03,4.37,18.05,65
NDC,09990698800,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,3.1,1.55,0.68,2.79,65
NDC,09990699200,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,37.1,18.55,8.09,33.39,65
NDC,09990723000,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,12.4,6.2,2.7,11.16,65
NDC,09990736800,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,12.3,6.15,2.68,11.07,65
NDC,09990749100,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:400,000 INJECTION SOLUTION",20.3,10.15,4.43,18.27,65
NDC,09990749200,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:400,000 INJECTION SOLUTION",20.5,10.25,4.47,18.45,65
NDC,09990754300,VANCOMYCIN 750 MG/250 ML NSS VIAL-MATE (SIMPLE),113.5,56.75,2.56,102.15,66
NDC,09990754500,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,262.0,131.0,2.56,235.8,66
NDC,09990776100,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,47.75,23.88,10.41,42.98,65
NDC,09990784300,MAGNESIUM SULFATE 6 GRAM/50 ML IN 0.9 % SODIUM CHLORIDE IV PIGGYBACK,51.4,25.7,0.77,46.26,66
NDC,09990801400,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,20.4,10.2,0.13,18.36,66
NDC,09990802100,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,3.15,1.58,0.69,2.84,65
NDC,09990805300,NICARDIPINE 25 MG/250 ML NS VIAL-MATE (SIMPLE),113.5,56.75,24.75,102.15,65
NDC,09990810100,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,232.0,116.0,2.56,208.8,66
NDC,09990815000,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,174.1,87.05,37.97,156.69,65
NDC,09990817400,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE,128.6,64.3,28.05,115.74,65
NDC,09990818100,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,3.4,1.7,0.74,3.06,65
NDC,09990819900,VANCOMYCIN 500 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,46.6,23.3,10.16,41.94,65
NDC,09990820500,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,5.85,2.93,1.28,5.27,65
NDC,09990821000,METHADONE 5 MG/5 ML ORAL SOLUTION,5.15,2.58,1.12,4.64,65
NDC,09990821200,METHADONE 5 MG/5 ML ORAL SOLUTION,7.2,3.6,1.57,6.48,65
NDC,09990821300,CEFAZOLIN 3 GRAM/30 ML IN STERILE WATER INTRAVENOUS SYRINGE,48.35,24.18,0.84,43.52,66
NDC,09990827500,NITROGLYCERIN 2 MG/10 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS (PROCEDURAL USE ONLY),45.6,22.8,1.38,41.04,66
NDC,09990830300,METHADONE 10 MG/ML ORAL CONCENTRATE,5.05,2.53,1.1,4.55,65
NDC,09990830400,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,10.8,5.4,2.36,9.72,65
NDC,09990846200,LEVODOPA (BULK) POWDER,109.0,54.5,23.77,98.1,65
NDC,09990852200,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,3.45,1.73,0.75,3.11,65
NDC,09990852300,BECLOMETHASONE DIPROP 1 MG/ML IN CORN OIL SUSPENSION,3.05,1.53,0.67,2.75,65
NDC,09990853800,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,64.65,32.33,14.1,58.19,65
NDC,09990874900,CHOLESTYRAMINE LIGHT/AQUAPHOR/DESITIN/MAALOX (DR YOUNG'S BUTT PASTE) EMOLLIENT,30.0,15.0,6.54,27.0,65
NDC,09990879500,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,48.2,24.1,10.51,43.38,65
NDC,09990891500,EPINEPHRINE 1 MG/ML INJECTION KIT,91.05,45.53,19.86,81.95,65
NDC,09990895300,DISOPYRAMIDE 10 MG/ML ORAL SUSPENSION,101.2,50.6,22.07,91.08,65
NDC,09990895700,FLECAINIDE 20 MG/ML ORAL SUSPENSION,125.3,62.65,27.33,112.77,65
NDC,09990902800,VANCOMYCIN 2.5 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,61.0,30.5,2.56,54.9,66
NDC,09990903000,KETAMINE 50 MG/ML INJECTION SOLUTION,50.6,25.3,11.04,45.54,65
NDC,09990928300,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,15.3,7.65,3.34,13.77,65
NDC,09990932600,LABETALOL 40 MG/ML ORAL SUSPENSION,68.4,34.2,14.92,61.56,65
NDC,09990932700,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,28.6,14.3,6.24,25.74,65
NDC,09990932800,CLONIDINE 0.02 MG/ML ORAL SUSPENSION,3.25,1.63,0.71,2.93,65
NDC,09990932900,TOPIRAMATE 20 MG/ML ORAL SUSPENSION,46.2,23.1,10.08,41.58,65
NDC,09990939200,ONABOTULINUMTOXINA 25 UNIT/0.5 ML SYRINGE (PED),817.5,408.75,6.63,735.75,71
NDC,09990941400,ISOPROTERENOL 200 MCG/50 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,142.6,71.3,31.1,128.34,65
NDC,09990941600,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",70.75,35.38,15.43,63.68,65
NDC,09990942500,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,129.4,64.7,28.22,116.46,65
NDC,09990943100,CARDIOPLEGIA MAINTENANCE SOLUTION 10 MEQ/1042 ML (POTASSIUM) FOR PERFUSION,50.05,25.03,10.92,45.05,65
NDC,09990947700,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,5.25,2.63,1.15,4.73,65
NDC,09990949100,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION,300.0,150.0,65.43,270.0,65
NDC,09990959100,VANCOMYCIN 50 MG/ML ORAL SOLUTION,12.55,6.28,2.74,11.3,65
NDC,09990960900,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),263.15,131.58,57.39,236.84,65
NDC,09990961300,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,15.65,7.83,3.41,14.09,65
NDC,09990963200,SODIUM PHOSPHATE 15 MMOL/250 ML NS VIAL-MATE (SIMPLE) **NOT FOR ORDERING/DISPENSING**,73.0,36.5,15.92,65.7,65
NDC,09990971600,NICARDIPINE 1 MG/10 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,47.2,23.6,10.29,42.48,65
NDC,09990971700,BRIVARACETAM 10 MG/ML ORAL SOLUTION,132.9,66.45,28.99,119.61,65
NDC,09991006654,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,3.25,1.63,0.71,2.93,65
NDC,09991009502,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,6.8,3.4,1.48,6.12,65
NDC,09991118405,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,458.35,229.18,99.97,412.52,65
NDC,09991130100,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV,174.4,87.2,1.95,156.96,66
NDC,09991138400,METHADONE 1 MG/ML (1 ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,26.0,13.0,5.67,23.4,66
NDC,09991141400,ATENOLOL 2 MG/ML ORAL SUSPENSION,3.3,1.65,0.72,2.97,65
NDC,09991141500,CLONIDINE 0.02 MG/ML ORAL SUSPENSION,68.4,34.2,14.92,61.56,65
NDC,09991141700,THIOGUANINE 20 MG/ML ORAL SUSPENSION,1744.2,872.1,380.41,1569.78,65
NDC,09991141800,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
NDC,09991142700,AMPHOTERICIN B IV SYRINGE 0.1 MG/ML (NEO/PED) FROM STOCK SOLN,46.3,23.15,10.1,41.67,66
NDC,09991145300,CEFEPIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,48.5,24.25,1.4,43.65,66
NDC,09991145500,CEFTAROLINE IV SYRINGE 12 MG/ML (PED) FROM STOCK SOLN USING 400 MG VIAL,936.55,468.28,4.11,842.9,71
NDC,09991145700,CEFTAZIDIME IV SYRINGE 40 MG/ML (NEO/PED) FROM STOCK SOLN,48.4,24.2,10.56,65.33,66
NDC,09991145800,CEFTAZIDIME IV SYRINGE 40 MG/ML (NEO/PED) FROM STOCK SOLN,71.8,35.9,15.66,65.33,66
NDC,09991145900,CEFTAZIDIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,118.6,59.3,1.88,106.74,66
NDC,09991146000,CEFTAZIDIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,212.2,106.1,1.88,190.98,66
NDC,09991146700,METOPROLOL TARTRATE 12.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991150800,DEXAMETHASONE IV SYRINGE 0.1 MG/ML (NEO) FROM STOCK SOLN,45.85,22.93,0.13,41.27,66
NDC,09991150900,DEXAMETHASONE IV SYRINGE 0.1 MG/ML (NEO) FROM STOCK SOLN,46.7,23.35,0.13,42.03,66
NDC,09991151400,DIGOXIN IV SYRINGE 20 MCG/ML (NEO/PED) FROM STOCK SOLN,587.25,293.63,10.44,528.53,66
NDC,09991152200,ENOXAPARIN SQ SYRINGE 20 MG/ML (NEO/PED) FROM STOCK SOLN,117.55,58.78,0.76,105.8,66
NDC,09991153600,MAGNESIUM SULFATE IV SYRINGE 100 MG/ML (NEO/PED) FROM STOCK SOLN,68.8,34.4,0.77,61.92,66
NDC,09991155800,VANCOMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,45.8,22.9,2.56,41.22,66
NDC,09991155900,VANCOMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,395.0,197.5,2.56,355.5,66
NDC,09991158100,ALTEPLASE 1 MG/ML INFUSION (PED CATHETER),4912.3,2456.15,95.15,4421.07,71
NDC,09991158200,CAPTOPRIL 1 MG/ML ORAL SUSPENSION,28.2,14.1,6.15,25.38,65
NDC,09991159100,ZIPRASIDONE 2.5 MG/ML ORAL SYRUP,2033.6,1016.8,443.53,1830.24,65
NDC,09991159500,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION,87.5,43.75,19.08,78.75,65
NDC,09991159600,FOLIC ACID 1 MG/ML ORAL SOLUTION,22.35,11.18,4.87,20.12,65
NDC,09991159700,GLYCOPYRROLATE 0.2 MG/ML ORAL SUSPENSION,86.4,43.2,18.84,77.76,65
NDC,09991159800,PYRIDOXINE (VITAMIN B6) 1 MG/ML ORAL SOLUTION,47.4,23.7,10.34,42.66,65
NDC,09991159900,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,467.0,233.5,101.85,420.3,65
NDC,09991161300,AMINOCAPROIC ACID 10 G/500 ML INFUSION (SIMPLE),46.5,23.25,10.14,41.85,65
NDC,09991164700,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,143.5,71.75,2.56,129.15,66
NDC,09991164900,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,202.0,101.0,2.56,181.8,66
NDC,09991168200,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,3.3,1.65,0.72,2.97,65
NDC,09991168800,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,82.0,41.0,17.88,73.8,66
NDC,09991170100,SOTALOL 5 MG/ML ORAL SOLUTION,3.6,1.8,0.79,3.24,65
NDC,09991170200,PROPAFENONE 20 MG/ML ORAL SUSPENSION,9.0,4.5,1.96,8.1,65
NDC,09991170400,LAMOTRIGINE 1 MG/ML ORAL SUSPENSION,3.1,1.55,0.68,2.79,65
NDC,09991170500,FLUCYTOSINE 50 MG/ML SUSPENSION,5857.45,2928.73,1277.51,5271.71,65
NDC,09991170600,BETHANECHOL 5 MG/ML ORAL SOLUTION,57.4,28.7,12.52,51.66,65
NDC,09991170900,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,14.05,7.03,3.06,12.65,65
NDC,09991171100,RIFAMPIN 25 MG/ML ORAL SUSPENSION,80.65,40.33,17.59,72.59,65
NDC,09991171200,VERAPAMIL 50 MG/ML ORAL SUSPENSION,18.75,9.38,4.09,16.88,65
NDC,09991172000,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,60.0,30.0,13.09,54.0,65
NDC,09991172200,DOPAMINE 800 MCG/ML INFUSION (NEO) (NH),45.5,22.75,9.92,40.95,65
NDC,09991172300,ISOPROTERENOL 0.2 MG IN D5W 50 ML (EP LAB ONLY),146.2,73.1,31.89,131.58,65
NDC,09991172400,NEONATAL ADMISSION TPN 10 % (NH),50.2,25.1,10.95,65.33,66
NDC,09991172700,"ROPIVACAINE (PF) 0.2 %-0.9 % NACL 745 ML INFIL,LOW VAR RATE ELAST PUMP",876.25,438.13,0.09,788.63,66
NDC,09991172800,INSULIN REGULAR HUMAN 1 UNIT/ML IN DILUENT (10 ML) VIAL (NEO),1.5,0.75,0.24,1.35,66
NDC,09991172900,HEPARIN 25 UNITS IN DEXTROSE 5 % WATER (D5W) 50 ML SYRINGE (NEO),46.0,23.0,0.3,41.4,66
NDC,09991173000,HEPARIN 25 UNITS IN DEXTROSE 10 % IN WATER (D10W) 50 ML SYRINGE SIMPLE (NEO),45.4,22.7,0.3,40.86,66
NDC,09991173100,HEPARIN 25 UNITS IN DEXTROSE 10 % AND 0.2 % SODIUM CHLORIDE 50 ML SYRINGE SIMPLE (NEO),45.4,22.7,0.3,40.86,66
NDC,09991173900,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,144.6,72.3,31.54,130.14,65
NDC,09991174100,AMIODARONE 5 MG/ML ORAL SUSPENSION,64.8,32.4,14.13,58.32,65
NDC,09991174200,APREPITANT 20 MG/ML ORAL SUSPENSION,5522.8,2761.4,1204.52,4970.52,65
NDC,09991174300,BECLOMETHASONE DIPROP 1 MG/ML IN CORN OIL SUSPENSION,20.2,10.1,4.41,18.18,65
NDC,09991174400,CARVEDILOL 1.25 MG/ML ORAL SUSPENSION,14.4,7.2,3.14,12.96,65
NDC,09991174600,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
NDC,09991174700,DANTROLENE 5 MG/ML ORAL SUSPENSION,38.7,19.35,8.44,34.83,65
NDC,09991174800,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION,182.9,91.45,39.89,164.61,65
NDC,09991174900,GLUTAMINE ORAL SUSPENSION,180.0,90.0,39.26,162.0,65
NDC,09991175000,HYDRALAZINE 4 MG/ML ORAL SUSPENSION,317.0,158.5,69.14,285.3,65
NDC,09991175100,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,27.4,13.7,5.98,24.66,65
NDC,09991175200,HYDROXYUREA 100 MG/ML ORAL SUSPENSION,29.4,14.7,6.41,26.46,65
NDC,09991175300,ISRADIPINE 1 MG/ML ORAL SUSPENSION,69.15,34.58,15.08,62.24,65
NDC,09991175400,LOSARTAN 2.5 MG/ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
NDC,09991175500,METOLAZONE 1 MG/ML ORAL SUSPENSION,51.15,25.58,11.16,46.04,65
NDC,09991175600,METOPROLOL 10 MG/ML ORAL SUSPENSION,7.95,3.98,1.73,7.16,65
NDC,09991175800,PHENAZOPYRIDINE 10 MG/ML ORAL SUSPENSION,4.1,2.05,0.89,3.69,65
NDC,09991175900,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,268.8,134.4,58.63,241.92,65
NDC,09991176000,TACROLIMUS 1 MG/ML ORAL SUSPENSION (AH),1732.2,866.1,0.26,1558.98,66
NDC,09991176100,URSODIOL 60 MG/ML ORAL SUSPENSION,85.35,42.68,18.61,76.82,65
NDC,09991176200,ZINC SULFATE 10 MG/ML ELEMENTAL ZINC ORAL SUSPENSION,10.8,5.4,2.36,9.72,65
NDC,09991176400,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,3.5,1.75,0.76,3.15,65
NDC,09991176500,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,24.75,12.38,5.4,22.28,65
NDC,09991176600,LACOSAMIDE 10 MG/ML ORAL SOLUTION,5.75,2.88,1.25,5.18,65
NDC,09991176700,METHADONE 5 MG/5 ML ORAL SOLUTION,5.1,2.55,1.11,4.59,65
NDC,09991177800,CARDIOPLEGIA SOLUTION SYRINGE (NH),706.0,353.0,153.98,635.4,65
NDC,09991178900,NICARDIPINE 25 MG/250 ML (0.1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,113.5,56.75,24.75,102.15,65
NDC,09991179100,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,279.0,139.5,60.85,251.1,65
NDC,09991180000,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,219.3,109.65,47.83,197.37,65
NDC,09991180800,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,8.35,4.18,1.82,7.52,65
NDC,09991194600,QUETIAPINE 12.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09991195600,TEMOZOLOMIDE 10 MG/ML ORAL SUSPENSION,65.4,32.7,14.26,58.86,65
NDC,09991197500,GLYCOPYRROLATE 0.2 MG/ML ORAL SUSPENSION,43.2,21.6,9.42,38.88,65
NDC,09991199600,ACETAZOLAMIDE IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,87.1,43.55,19.0,78.39,66
NDC,09991199700,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN",67.0,33.5,0.3,60.3,66
NDC,09991199800,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,46.0,23.0,2.56,41.4,66
NDC,09991200900,QUETIAPINE 10 MG/ML ORAL SUSPENSION,3.2,1.6,0.7,2.88,65
NDC,09991201200,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,23.0,11.5,5.02,20.7,65
NDC,09991201300,COSYNTROPIN 1 MCG/ML (FROM 250 MCG/250 ML DILUTION),100.5,50.25,21.92,90.45,66
NDC,09991201500,FLUDROCORTISONE 40 MCG/ML ORAL SUSPENSION,19.35,9.68,4.22,17.42,65
NDC,09991201700,SULFASALAZINE 100 MG/ML ORAL SUSPENSION,22.2,11.1,4.84,19.98,65
NDC,09991202100,PYRAZINAMIDE 100 MG/ML ORAL SUSPENSION,276.15,138.08,60.23,248.54,65
NDC,09991202400,DEXAMETHASONE 8 MG/50 ML IN 0.9 % SOD.CHLORIDE INTRAVENOUS PIGGYBACK,46.5,23.25,10.14,41.85,65
NDC,09991202500,DEXAMETHASONE 10 MG/50 ML IN 0.9 % SOD.CHLORIDE  INTRAVENOUS PIGGYBACK,46.9,23.45,10.23,42.21,65
NDC,09991202700,DEXAMETHASONE 20 MG/50 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,47.5,23.75,10.36,42.75,65
NDC,09991203200,ONDANSETRON 16 MG/100 ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,47.7,23.85,10.4,42.93,65
NDC,09991203400,RIFABUTIN ORAL SUSPENSION 20 MG/ML,427.5,213.75,93.24,384.75,65
NDC,09991204300,HEPARIN 50 UNITS AND SODIUM ACETATE 3.85 MEQ IN STERILE WATER 50 ML SYRINGE SIMPLE (NEO),45.35,22.68,0.3,40.82,66
NDC,09991204400,PENICILLIN G POT 3 MILLION UNIT/50 ML 0.9% SODIUM CHLORIDE IV PIGGYBACK,48.3,24.15,0.86,43.47,66
NDC,09991204700,LEUCOVORIN 1 MG/ML ORAL SUSPENSION,68.05,34.03,14.84,61.25,65
NDC,09991205200,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,54.85,27.43,11.96,49.37,65
NDC,09991205500,PROMETHAZINE 12.5 MG/50 ML-0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,20.55,10.28,3.99,18.5,66
NDC,09991205700,METHYLPREDNISOLONE SOD SUCC (PF) IV SYRINGE 10 MG/ML (NEO/PED) FROM STOCK SOLN,52.2,26.1,0.21,46.98,71
NDC,09991215100,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,3.3,1.65,0.72,2.97,65
NDC,09991217200,OXYCODONE 7.5 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
NDC,09991217300,OXYCODONE 2.5 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
NDC,09991217400,METOPROLOL TARTRATE 6.25 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991217500,LACOSAMIDE 10 MG/ML ORAL SOLUTION,5.4,2.7,1.18,4.86,65
NDC,09991217700,HYDROMORPHONE 1 MG/ML ORAL LIQUID,5.65,2.83,1.23,5.09,65
NDC,09991217900,CALCIUM GLUCONATE 2.5 % GEL,300.0,150.0,65.43,270.0,65
NDC,09991219200,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,173.5,86.75,2.56,156.15,66
NDC,09991219300,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,303.8,151.9,55.59,273.42,66
NDC,09991219500,HYDRALAZINE IV SYRINGE 1 MG/ML (NEO) FROM STOCK SOLN,23.2,11.6,5.06,20.88,66
NDC,09991220100,SACUBITRIL-VALSARTAN 4 MG/ML ORAL SUSPENSION,383.0,191.5,83.53,344.7,65
NDC,09991220200,DESMOPRESSIN IV SYRINGE 0.4 MCG/ML (NEO) FROM STOCK SOLN,124.65,62.33,3.59,112.19,71
NDC,09991220800,SODIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLUTION,73.0,36.5,15.92,65.7,65
NDC,09991223000,DOBUTAMINE 50 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS (STRESS LAB),46.7,23.35,10.19,65.33,66
NDC,09991223600,NYSTATIN-HYDROCORTISONE-ZINC (DR. BOSWORTH'S) DIAPER CREAM,35.1,17.55,7.66,31.59,65
NDC,09991229400,DOBUTAMINE 50 MG/50 ML IN 0.9 % SODIUM CHLORIDE (STRESS LAB),47.45,23.73,10.35,65.33,66
NDC,09991230500,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,11.4,5.7,0.13,10.26,66
NDC,09991232500,VANCOMYCIN EYE DROPS 50 MG/ML,10.65,5.33,2.32,9.59,65
NDC,09991236200,VANCOMYCIN 2.25 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,58.0,29.0,2.56,52.2,66
NDC,09991236800,BOSENTAN 6.25 MG/ML ORAL SUSPENSION,270.3,135.15,58.95,243.27,65
NDC,09991238700,KETAMINE 2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,70.5,35.25,15.38,63.45,65
NDC,09991240000,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,53.55,26.78,5.18,48.2,66
NDC,09991242900,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,147.85,73.93,32.25,133.07,65
NDC,09991243100,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,21.05,10.53,3.65,18.95,66
NDC,09991243200,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.95,10.48,3.65,18.86,66
NDC,09991244100,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,5.15,2.58,1.12,4.64,65
NDC,09991246500,METHACHOLINE (SOLUTION 1) 100 MG/6.25 ML (16 MG/ML) NEBULIZATION SOLUTION,385.7,192.85,84.12,347.13,65
NDC,09991247200,METHIMAZOLE 3 MG/ML ORAL SUSPENSION,16.8,8.4,3.66,15.12,65
NDC,09991247600,CEFTAZIDIME-AVIBACTAM IV SYRINGE 40 MG CEFTAZIDIME/ML (PED) FROM STOCK SOLN,1774.75,887.38,106.82,1597.28,70
NDC,09991247800,IRON SUCROSE 200 MG/110 ML NS IVPB (SIMPLE),338.5,169.25,0.25,304.65,66
NDC,09991250500,CHLOROTHIAZIDE IV SYRINGE 25 MG/ML (NEO/PED) FROM STOCK SOLN,175.7,87.85,38.32,158.13,66
NDC,09991250800,"CARDIOPLEGIC SOLUTION NO.16 26 MEQ/1,052.8 ML(POTASSIUM) FOR PERFUSION",56.6,28.3,12.34,65.33,66
NDC,09991251300,PHENYLEPHRINE 2.5%/TROPICAMINE 0.25%/DICLOFENAC 0.05% OPHTH SOLN,24.0,12.0,5.23,21.6,65
NDC,09991251400,FOSAPREPITANT 150 MG/250 ML IN 0.9% SOD. CHLORIDE INTRAVENOUS PREMIX,125.5,62.75,0.15,112.95,66
NDC,09991252200,MORPHINE 10 MG/5 ML ORAL SOLUTION,5.05,2.53,1.1,4.55,65
NDC,09991253700,SODIUM BICARBONATE 150 MEQ IN 1000 ML SWFI INFUSION (PREMIX),187.0,93.5,40.78,168.3,65
NDC,09991254600,"ISOSORBIDE MONONITRATE ER 15 MG ORAL SPLIT TABLET, 24 HR",3.15,1.58,0.69,2.84,65
NDC,09991254800,LABETALOL 50 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991255100,LORAZEPAM 0.25 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
NDC,09991255400,METHYLPHENIDATE 2.5 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
NDC,09991256200,SOTALOL 40 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991256500,TORSEMIDE 50 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09991256600,TRAMADOL 25 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
NDC,09991256700,TRAZODONE 25 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09991256800,ZOLPIDEM 2.5 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
NDC,09991259800,THIAMINE 500 MG/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,80.8,40.4,17.62,72.72,65
NDC,09991260600,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,51.4,25.7,11.21,46.26,65
NDC,09991261000,CEFEPIME INTRAOCULAR INJ 11.25 MG/0.5 ML SYRINGE,45.05,22.53,1.4,40.55,66
NDC,09991261100,AMPHOTERICIN B LIPOSOMAL INTRAVITREAL SYR 5 MCG/0.1 ML,130.85,65.43,21.91,117.77,71
NDC,09991261200,CEFTAZIDIME INTRAOCULAR INJ PF 11.25 MG/0.5 ML SYR,45.05,22.53,1.88,40.55,66
NDC,09991261400,FLUOROURACIL INTRAOCULAR INJECTION SYRINGE 10 MG/0.2 ML,450.0,225.0,3.57,405.0,66
NDC,09991261500,FOSCARNET INTRACAMERAL INJ 12 MG/0.5 ML,45.65,22.83,9.96,63.14,71
NDC,09991261600,GANCICLOVIR INTRACAMERAL INJ 20 MG/0.5 ML SYRINGE,46.9,23.45,10.23,49.86,66
NDC,09991261800,GENTAMICIN SUBCONJUNCTIVAL INJ 40 MG/ML,45.5,22.75,2.98,40.95,66
NDC,09991261900,VORICONAZOLE INTRAOCULAR INJ 100 MCG/0.1 ML,45.05,22.53,9.83,40.55,65
NDC,09991262100,METHOTREXATE OPHTHALMIC INJ 400 MCG/0.04 ML,450.0,225.0,3.37,405.0,66
NDC,09991262200,MITOMYCIN INTRAOCULAR INJ 0.2 MG/0.5 ML SYR,450.0,225.0,20.75,405.0,71
NDC,09991262300,MITOMYCIN INTRAOCULAR INJ 0.4 MG/1 ML SYRINGE,450.0,225.0,98.15,405.0,65
NDC,09991262400,AMPHOTERICIN B 0.15 % EYE DROP,94.8,47.4,10.59,85.32,66
NDC,09991262600,VANCOMYCIN INTRAOCULAR INJ 1 MG/0.1 ML,45.05,22.53,2.56,40.55,66
NDC,09991262700,VANCOMYCIN OPHTHALMIC SOLUTION 50 MG/ML,18.0,9.0,3.93,16.2,65
NDC,09991262800,VANCOMYCIN OPHTHALMIC SOLUTION 25 MG/ML,18.0,9.0,3.93,16.2,65
NDC,09991263100,CLONAZEPAM 0.1 MG/ML ORAL SUSPENSION,19.2,9.6,4.19,17.28,65
NDC,09991263300,CLONAZEPAM 0.1 MG/ML ORAL SUSPENSION,5.2,2.6,1.13,4.68,65
NDC,09991263800,SULFADIAZINE 100 MG/ML ORAL SUSPENSION,19.8,9.9,4.32,17.82,65
NDC,09991264000,OXYMETAZOLINE 0.05 %-LIDOCAINE 4 % 1:1,224.4,112.2,48.94,201.96,65
NDC,09991264200,TRIAMCINOLONE 0.1% CR-SILVER SULFADIAZINE 1% CR 1-1,113.55,56.78,24.77,102.2,65
NDC,09991264300,NITROGLYCERIN 0.2 % RECTAL OINT,3.25,1.63,0.71,2.93,65
NDC,09991264500,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,20.3,10.15,0.13,18.27,66
NDC,09991264600,DILTIAZEM 5 MG/ML ORAL LIQUID,5.4,2.7,1.18,4.86,65
NDC,09991264700,DILTIAZEM 5 MG/ML ORAL LIQUID,3.1,1.55,0.68,2.79,65
NDC,09991264800,DILTIAZEM 5 MG/ML ORAL LIQUID,3.15,1.58,0.69,2.84,65
NDC,09991264900,DILTIAZEM 5 MG/ML ORAL LIQUID,3.2,1.6,0.7,2.88,65
NDC,09991265000,DILTIAZEM 5 MG/ML ORAL LIQUID,3.25,1.63,0.71,2.93,65
NDC,09991265200,ALPRAZOLAM 0.125 MG SPLIT TABLET,5.05,2.53,1.1,4.55,65
NDC,09991265700,BUSPIRONE 2.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991266400,CLOBAZAM 5 MG SPLIT TABLET,5.35,2.68,1.17,4.82,65
NDC,09991266600,CLONIDINE HCL 0.05 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991267200,HYDRALAZINE 12.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,09991267300,HYDROMORPHONE 1 MG SPLIT TABLET,5.1,2.55,1.11,4.59,65
NDC,09991267500,TRIAMCINOLONE 0.1% CR-HYDROCERIN CR 3-1,29.05,14.53,6.34,26.15,65
NDC,09991270300,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,346.9,173.45,75.66,312.21,65
NDC,09991270400,TRIAMCINOLONE 0.1% CR-HYDROCERIN CR 1-1,33.0,16.5,7.2,29.7,65
NDC,09991270700,MITOMYCIN INTRAOCULAR INJ 0.2 MG/1 ML SYRINGE,54.3,27.15,11.84,70.31,71
NDC,09991270800,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,09991271000,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,45.25,22.63,9.87,40.73,65
NDC,09991271200,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",45.8,22.9,9.99,41.22,66
NDC,09991271300,BEVACIZUMAB 2.5 MG/0.1 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
NDC,09991271400,LIDOCAINE 4% (5 ML) + BUPIVACAINE 0.75% (5 ML),75.6,37.8,16.49,68.04,65
NDC,09991271500,LIDOCAINE 2% (5 ML) + BUPIVACAINE 0.75% (5 ML),79.9,39.95,17.43,71.91,65
NDC,09991271700,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,45.15,22.58,9.85,40.64,65
NDC,09991272300,FUROSEMIDE IV SYRINGE 2.5 MG/ML (NEO/PED) FROM STOCK SOLN,61.15,30.58,13.34,55.04,65
NDC,09991273100,1-2-3 CREAM 120G JAR,121.7,60.85,26.54,109.53,65
NDC,09991273500,EPHEDRINE SULFATE 10 MG/2 ML SYRINGE (HPMC OR),27.5,13.75,6.0,24.75,65
NDC,09991273600,ONABOTULINUMTOXINA 2 UNIT/0.08 ML INJECTION,63.05,31.53,6.63,56.75,71
NDC,09991273700,ONABOTULINUMTOXINA 20 UNITS/ML (OR ONLY),659.0,329.5,6.63,593.1,71
NDC,09991273800,ONABOTULINUMTOXINA 25 UNITS/ ML (FOR OR),817.5,408.75,6.63,735.75,71
NDC,09991273900,ONABOTULINUMTOXINA 50 UNITS/ML (FOR OR),1610.0,805.0,6.63,1449.0,71
NDC,09991274101,PENICILLIN G POTASSIUM 100 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN A,30.0,15.0,0.86,27.0,66
NDC,09991274201,"PENICILLIN G POTASSIUM 1,000 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN B",30.0,15.0,0.86,27.0,66
NDC,09991274301,"PENICILLIN G POTASSIUM 10,000 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN C",30.0,15.0,0.86,27.0,66
NDC,09991274401,"PENICILLIN G POTASSIUM 100,000 UNITS/ML SOLN FOR INJ (DESENSITIZATION) SOLN D",30.0,15.0,0.86,27.0,66
NDC,09991274501,PENICILLIN G POTASSIUM 1 MU/ML SOLN FOR INJ (DESENSITIZATION) SOLN E,30.0,15.0,0.86,27.0,66
NDC,09991274601,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,103.5,51.75,22.57,93.15,65
NDC,09991274701,CEFAZOLIN 0.2 MG/ML (SOLN A) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
NDC,09991274801,CEFAZOLIN 2 MG/ML (SOLN B) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
NDC,09991274901,CEFAZOLIN 20 MG/ML (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
NDC,09991275001,CEFAZOLIN 200 MG/ML (SOLN D) INJECTION (DESENSITIZATION),30.0,15.0,0.84,27.0,66
NDC,09991275101,CEFEPIME 0.04 MG/ML IN NS (SOLN A) (DESENSITIZATION),30.0,15.0,1.4,27.0,66
NDC,09991275401,CEFTAROLINE FOSAMIL 1 MG/ML (SOLN B) SOLUTION (DESENSITIZATION),30.0,15.0,4.11,27.0,71
NDC,09991275501,CEFTAROLINE FOSAMIL 30 MG/ML (SOLN C) SOLUTION (DESENSITIZATION),30.0,15.0,4.11,27.0,71
NDC,09991275601,CEFTRIAXONE 0.01 MG/ML IN NS (SOLN A) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,66
NDC,09991275701,CEFTRIAXONE 1 MG/ML IN NS (SOLN B) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,66
NDC,09991275801,CEFTRIAXONE 10 MG/ML IN NS (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,66
NDC,09991275901,CEFTRIAXONE 10 MG/ML IN NS (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.55,27.0,66
NDC,09991276501,METRONIDAZOLE 0.005 MG.ML (SOLN A) INJECTION (DESENSITIZATION),30.0,15.0,0.02,27.0,66
NDC,09991276601,METRONIDAZOLE 0.05 MG/ML (SOLN B) INJECTION (DESENSITIZATION),30.0,15.0,0.02,27.0,66
NDC,09991276701,METRONIDAZOLE 0.5 MG/ML (SOLN C) INJECTION (DESENSITIZATION),30.0,15.0,0.02,27.0,66
NDC,09991276801,NAFCILLIN 0.01 MG/ML IN NS (SOLN A) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991276901,NAFCILLIN 0.1 MG/ML IN NS (SOLN B) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991277001,NAFCILLIN 10 MG/ML IN NS (SOLN C) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991277101,NAFCILLIN 50 MG/ML IN NS (SOLN D) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991277900,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.125 % -NACL EPIDURAL,127.0,63.5,27.7,114.3,65
NDC,09991279600,BUPIVACAINE (PF) 0.25 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION,115.0,57.5,25.08,103.5,65
NDC,09991279700,"BUPIVACAINE (PF) 0.125 %(1,250 MCG/ML)IN 0.9% SODIUM CHLORIDE EPIDURAL",70.0,35.0,15.27,63.0,65
NDC,09991281200,CAPTOPRIL 3.125 MG SPLIT TABLET,3.3,1.65,0.72,2.97,65
NDC,09991281800,"BUPIVACAINE (PF) 0.125 %(1,250 MCG/ML)IN 0.9% SODIUM CHLORIDE EPIDURAL",55.0,27.5,12.0,49.5,65
NDC,09991281900,BUPIVACAINE (PF) 0.25 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION,85.0,42.5,18.54,76.5,65
NDC,09991282000,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.125 % -NACL EPIDURAL,104.5,52.25,22.79,94.05,65
NDC,09991282500,ACETYLCYSTEINE 10 % OPHTHALMIC SOLN,8.4,4.2,1.83,7.56,65
NDC,09991282600,AMPHOTERICIN B INTRAVITREAL SYR 5 MCG/0.1 ML,130.85,65.43,10.59,117.77,66
NDC,09991282700,CLINDAMYCIN INTRAOCULAR INJ 1 MG/0.1 ML,20.05,10.03,2.03,18.05,66
NDC,09991282800,DAPSONE 2 MG/ML ORAL SUSPENSION,10.2,5.1,2.22,9.18,65
NDC,09991282900,DEXAMETHASONE INTRAOCULAR INJ 2000 MCG/0.5 ML,45.35,22.68,0.13,40.82,66
NDC,09991283000,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION,67.4,33.7,14.7,60.66,65
NDC,09991283100,PRIMIDONE 50 MG/ML ORAL SUSPENSION,26.4,13.2,5.76,23.76,65
NDC,09991283500,PYRIDOXAL 5'-PHOSPHATE 25 MG/ML ORAL SUSPENSION,29.3,14.65,6.39,26.37,65
NDC,09991287100,GENTAMICIN 0.3 MG/ML SODIUM CITRATE 3 ML CATHETER DWELL,45.05,22.53,9.83,40.55,65
NDC,09991287200,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,3.35,1.68,0.73,3.02,65
NDC,09991287300,MITOMYCIN INTRAOCULAR INJ 0.2 MG/0.5 ML SYR,450.0,225.0,20.75,405.0,71
NDC,09991287400,MAFENIDE-EUCERIN 1:1 (CMPD),358.6,179.3,78.21,322.74,65
NDC,09991287600,SPIRONOLACTONE 12.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991294700,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,6.85,3.43,1.49,6.17,65
NDC,09991294800,ALTEPLASE 1 MG/ML INFUSION (PED CATHETER),432.3,216.15,94.28,389.07,71
NDC,09991303300,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 0.5 G,3.1,1.55,0.68,2.79,65
NDC,09991303400,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 1 G,3.2,1.6,0.7,2.88,65
NDC,09991303500,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 2 G,3.35,1.68,0.73,3.02,65
NDC,09991303600,SODIUM POLYSTYRENE POWDER FOR PEDIATRIC FORMULA USE 5G,4.55,2.28,0.99,4.1,65
NDC,09991307000,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,21.1,10.55,4.6,18.99,65
NDC,09991307700,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,3.25,1.63,0.71,2.93,65
NDC,09991312000,VORICONAZOLE 1 % OPHTHALMIC SOLUTION,249.7,124.85,54.46,224.73,65
NDC,09991312300,DILTIAZEM 2 % ANAL OINTMENT,17.65,8.83,3.85,15.89,65
NDC,09991312600,TOBRAMYCIN 15 MG/ML OPHTHALMIC SOLUTION,13.15,6.58,2.87,11.84,65
NDC,09991313300,SODIUM CHLORIDE 3 % (0.513 MEQ/ML) ORAL SOLUTION,18.0,9.0,3.93,16.2,65
NDC,09991314400,AMPHOTERICIN B IV SYRINGE 0.1 MG/ML (NEO/PED) FROM STOCK SOLN,46.8,23.4,10.21,42.12,66
NDC,09991314500,AMPICILLIN-SULBACTAM IV SYRINGE 30 MG/ML AMPICILLIN (NEO/PED) FROM STOCK SOLN,45.7,22.85,1.97,41.13,66
NDC,09991314800,CEFAZOLIN IV SYRINGE 20 MG/ML (NEO/PED) FROM STOCK SOLN,45.45,22.73,0.84,40.91,66
NDC,09991314900,CEFAZOLIN IV SYRINGE 20 MG/ML (NEO/PED) FROM STOCK SOLN,45.9,22.95,0.84,41.31,66
NDC,09991315100,CEFEPIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,60.6,30.3,1.4,54.54,66
NDC,09991315400,CEFTAZIDIME IV SYRINGE 100 MG/ML (NEO/PED FLUID RESTRICTED) FROM STOCK SOLN,48.4,24.2,1.88,43.56,66
NDC,09991315600,DEXAMETHASONE IV SYRINGE 0.1 MG/ML (NEO) FROM STOCK SOLN,45.15,22.58,0.13,40.64,66
NDC,09991315800,ERYTHROMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,142.75,71.38,31.13,128.48,66
NDC,09991316000,HYDROCORTISONE IV SYRINGE 2 MG/ML (NEO/PED) FROM STOCK SOLN,45.65,22.83,9.96,41.09,66
NDC,09991316100,MAGNESIUM SULFATE IV SYRINGE 100 MG/ML (NEO/PED) FROM STOCK SOLN,46.5,23.25,0.77,41.85,66
NDC,09991316200,METHYLPREDNISOLONE SOD SUCC (PF) IV SYRINGE 10 MG/ML (NEO/PED) FROM STOCK SOLN,147.55,73.78,0.21,132.8,71
NDC,09991316300,METOCLOPRAMIDE IV SYRINGE 0.1 MG/ML (NEO/PED) FROM STOCK SOLN,45.1,22.55,1.22,40.59,66
NDC,09991316400,NAFCILLIN IV SYRINGE 25 MG/ML (NEO/PED) FROM STOCK SOLN,46.4,23.2,10.12,41.76,65
NDC,09991316500,NAFCILLIN IV SYRINGE 100 MG/ML (NEO/PED) FROM STOCK SOLN,58.4,29.2,12.74,52.56,65
NDC,09991316800,POTASSIUM CHLORIDE IV SYRINGE 0.4 MEQ/ML (NEO/PED) FROM STOCK SOLN,45.8,22.9,0.13,41.22,66
NDC,09991317000,TOBRAMYCIN IV SYRINGE 10 MG/ML (PED) FROM STOCK SOLN,101.7,50.85,2.95,91.53,66
NDC,09991317100,VANCOMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,45.45,22.73,2.56,40.91,66
NDC,09991317200,COSYNTROPIN 10 MCG/ML INJ SYRINGE (NEO/PED) FROM STOCK SOLUTION,100.2,50.1,21.85,90.18,66
NDC,09991318200,SODIUM CITRATE 4 % (5 ML) INTRA-CATHETER INJECTION SYRINGE,20.1,10.05,4.38,18.09,65
NDC,09991319000,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.0625%-NACL EPIDURAL,94.0,47.0,20.5,84.6,65
NDC,09991319100,HYDRALAZINE IV SYRINGE 1 MG/ML (NEO) FROM STOCK SOLN,21.45,10.73,4.68,19.31,66
NDC,09991319200,HYDROMORPHONE (PF) 10 MCG/ML-BUPIVACAINE 0.0625%-NACL EPIDURAL,82.0,41.0,17.88,73.8,65
NDC,09991319300,"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE",65.2,32.6,14.22,58.68,65
NDC,09991320300,VANCOMYCIN IV SYRINGE 5 MG/ML (NEO/PED) FROM STOCK SOLN,47.2,23.6,2.56,42.48,66
NDC,09991321400,RISPERIDONE 1 MG/ML ORAL SOLUTION,3.5,1.75,0.76,3.15,65
NDC,09991321500,RISPERIDONE 1 MG/ML ORAL SOLUTION,5.55,2.78,1.21,5.0,65
NDC,09991321700,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,38.25,19.13,8.34,34.43,65
NDC,09991321900,AMIKACIN INTRAOCULAR INJ 1 MG/0.5 ML,45.05,22.53,0.92,40.55,66
NDC,09991322000,ALTEPLASE INTRAOCULAR INJ 12.5 MCG/0.1 ML (TV=0.5 ML),55.55,27.78,12.12,118.06,71
NDC,09991322200,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,25.95,12.98,5.66,23.36,65
NDC,09991323100,GLUTAMINE ORAL SUSPENSION,7.6,3.8,1.66,6.84,65
NDC,09991324001,MAGNESIUM SULFATE 2 G IN 1000 ML 0.9% NACL PREMIX,47.0,23.5,10.25,42.3,65
NDC,09991324900,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,45.0,22.5,2.15,40.5,66
NDC,09991326100,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,341.6,170.8,74.5,307.44,65
NDC,09991328500,AMIKACIN IV SYRINGE 5 MG/ML (NEO/PED) IN NS FROM STOCK SOLN,46.95,23.48,0.92,42.26,66
NDC,09991328600,ACYCLOVIR IV SYRINGE 7 MG/ML (NEO/PED) IN NS FROM STOCK SOLN,45.9,22.95,0.06,41.31,66
NDC,09991328800,CEFEPIME IV SYRINGE 40 MG/ML IN NS (NEO/PED) FROM STOCK SOLN,24.3,12.15,1.4,21.87,66
NDC,09991328900,CEFOTAXIME IV SYRINGE 40 MG/ML IN SWI (NEO/PED) FROM STOCK SOLN,77.5,38.75,3.64,69.75,66
NDC,09991329000,CEFOXITIN IV SYRINGE 40 MG/ML IN NS (NEO/PED) FROM STOCK SOLN,77.5,38.75,5.64,69.75,66
NDC,09991329100,CEFTRIAXONE IV SYRINGE 40 MG/ML IN NS (PED) FROM STOCK SOLN,46.2,23.1,0.55,41.58,66
NDC,09991329200,CEFTRIAXONE IV SYRINGE 40 MG/ML IN NS (PED) FROM STOCK SOLN,46.75,23.38,0.55,42.08,66
NDC,09991329300,DOXYCYCLINE IV SYRINGE 1 MG/ML IN NS (PED) FROM STOCK SOLN,47.6,23.8,10.38,42.84,65
NDC,09991329600,FOLIC ACID 1 MG/ML ORAL SOLUTION,3.15,1.58,0.69,2.84,65
NDC,09991329800,PIPERACILLIN-TAZOBACTAM IV SYRINGE IN NS 80 MG PIPERACILLIN/ML (PED) FROM STOCK SOLN,46.3,23.15,1.3,41.67,66
NDC,09991329900,RIFAMPIN IV SYRINGE 6 MG/ML (NEO/PED) FROM STOCK SOLN,93.4,46.7,20.37,84.06,65
NDC,09991330000,PIPERACILLIN-TAZOBACTAM IV SYRINGE IN NS 80 MG PIPERACILLIN/ML (PED) FROM STOCK SOLN,47.6,23.8,1.3,42.84,66
NDC,09991330100,"PENICILLIN G POTASSIUM IV SYRINGE 100,000 UNIT/ML FROM STOCK SOLUTION (NEO/PED)",47.75,23.88,0.86,42.98,66
NDC,09991330300,AMPICILLIN IV SYRINGE 30 MG/ML (NEO/PED) FROM STOCK SOLN,47.8,23.9,1.12,43.02,66
NDC,09991330500,FAMOTIDINE IV SYRINGE 2 MG/ML (NEO/PED) FROM STOCK SOLUTION,20.6,10.3,4.49,18.54,65
NDC,09991331200,HEPARIN 50 UNITS WITH SODIUM ACETATE 1.925 MEQ IN STERILE WATER SYRINGE SIMPLE (NEO),45.35,22.68,0.3,40.82,66
NDC,09991331300,HEPARIN 50 UNITS IN SODIUM CHLORIDE 0.2% 50 ML SYRINGE,46.0,23.0,0.3,41.4,66
NDC,09991331400,SODIUM CHLORIDE 0.45 % WITH HEPARIN 50 UNITS 50 ML SYRINGE (NEO) SIMPLE,45.35,22.68,0.3,40.82,66
NDC,09991331600,BUPIVACAINE 0.25 % 550 ML ON-Q P400X4D (SIMPLE),613.5,306.75,133.8,552.15,65
NDC,09991331700,BUPIVACAINE 0.25 % 335 ML ON-Q P270X5 (SIMPLE),383.45,191.73,83.63,345.11,65
NDC,09991333400,CEFTRIAXONE 40 MG/ML IN NS 100 ML PED BULK DILUTION,524.0,262.0,0.55,471.6,66
NDC,09991335000,PN - GENERIC D10W - NEONATE (SIMPLE) WH,296.5,148.25,64.67,266.85,66
NDC,09991335100,INSULIN REGULAR 0.2 UNITS/ML INFUSION 2 ML (NEO HIGH),100.0,50.0,0.24,90.0,66
NDC,09991335600,PHYTONADIONE (VITAMIN K1) IV SYRINGE 0.05 MG/ML (NEO/PED) FROM STOCK SOLUTION,25.45,12.73,3.22,22.91,66
NDC,09991337400,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,51.1,25.55,11.14,45.99,65
NDC,09991337900,LOSARTAN 12.5 MG SPLIT TABLET,3.05,1.53,0.67,2.75,65
NDC,09991340000,MAGNESIUM SULFATE IV SYRINGE 100 MG/ML (NEO/PED) FROM STOCK SOLN,47.95,23.98,0.77,43.16,66
NDC,09991340500,ENOXAPARIN SQ SYRINGE 20 MG/ML (NEO/PED) FROM STOCK SOLN,29.4,14.7,0.76,26.46,66
NDC,09991340600,"CELLULOSE, OXIDIZED 2"" X 3"" PADS",314.7,157.35,68.64,283.23,65
NDC,09991341400,FLUOROURACIL INTRAOCULAR INJECTION SYRINGE 1 MG/0.1 ML,450.0,225.0,3.57,405.0,66
NDC,09991341700,MITOMYCIN INTRAOCULAR INJ 0.2 MG/0.5 ML SYR (HPMC),450.0,225.0,98.15,405.0,65
NDC,09991341800,CYCLOPHOSPHAMIDE 10 MG/ML ORAL SOLUTION,527.75,263.88,115.1,474.98,65
NDC,09991341900,ETOPOSIDE 10 MG/ML ORAL SOLUTION,450.0,225.0,1.1,405.0,66
NDC,09991343000,METHYLPREDNISOLONE SOD SUCC (PF) IV SYRINGE 10 MG/ML (NEO/PED) FROM STOCK SOLN,74.05,37.03,0.21,66.65,71
NDC,09991343500,LEVODOPA (BULK) POWDER,735.25,367.63,160.36,661.73,65
NDC,09991343600,LEVODOPA (BULK) POWDER,41.8,20.9,9.12,37.62,65
NDC,09991343700,LEVODOPA (BULK) POWDER,67.0,33.5,14.61,60.3,65
NDC,09991344800,AMIKACIN INTRAOCULAR INJ 0.4 MG/0.1 ML,47.7,23.85,0.92,42.93,66
NDC,09991345101,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,9.0,4.5,1.96,8.1,65
NDC,09991345200,CINACALCET 5 MG/ML ORAL SUSPENSION,364.5,182.25,79.5,328.05,65
NDC,09991345401,MITOMYCIN 3 MG/6 ML (0.5 MG/ML) INTRAVESICAL SYRINGE,455.0,227.5,20.75,409.5,71
NDC,09991345600,ACYCLOVIR 100 MG IN NS 100 ML IVPB (SIMPLE),45.4,22.7,0.06,40.86,66
NDC,09991345900,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION,4521.0,2260.5,986.03,4068.9,65
NDC,09991346000,GLYCERIN 100% STERILE INJECTION,191.85,95.93,41.84,172.67,65
NDC,09991346500,BUPIVACAINE 0.125% 750 ML ON-Q CB6004 (SIMPLE),133.0,66.5,29.01,119.7,65
NDC,09991346600,ZICONITIDE 100 MCG/ML INTRATHECAL SOLUTION FOR ANAZAO PUMP,600.0,300.0,10.34,540.0,70
NDC,09991346700,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION FOR ANAZAO PUMP,600.0,300.0,10.34,540.0,70
NDC,09991349100,TRIAMCINOLONE 0.1% CR-SILVER SULFADIAZINE 1% CR 1-1,56.8,28.4,12.39,51.12,65
NDC,09991350700,NITAZOXANIDE 125 MG SPLIT TABLET,15568.5,7784.25,3395.49,14011.65,65
NDC,09991354400,METRONIDAZOLE 500 MG/5 ML ORAL SUSPENSION,16.0,8.0,3.49,14.4,65
NDC,09991356000,PENICILLIN V POTASSIUM 0.625 MG/ML ORAL SOLUTION,5.3,2.65,1.16,4.77,65
NDC,09991356100,PENICILLIN V POTASSIUM 6.25 MG/ML ORAL SOLUTION,4.25,2.13,0.93,3.83,65
NDC,09991365000,PN - GENERIC D10W - NEONATE (SIMPLE) WH,133.6,66.8,29.14,120.24,66
NDC,09991375100,BACLOFEN ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375200,BUPIVACAINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375300,CLONIDINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375400,FENTANYL CITRATE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375500,HYDROMORPHONE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375600,MEPERIDINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375700,MORPHINE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991375800,SUFENTANIL CITRATE ANAZAO PAIN PUMP REFILL,600.0,300.0,130.86,540.0,65
NDC,09991376900,LEECH,60.0,30.0,13.09,54.0,65
NDC,09991377100,DILATERIA EX-THICK KIT,70.35,35.18,15.34,63.32,65
NDC,09991377200,DILATERIA EX-THIN KIT,70.35,35.18,15.34,63.32,65
NDC,09991377300,DILATERIA MEDIUM THICK KIT,70.35,35.18,15.34,63.32,65
NDC,09991377400,DILATERIA THICK KIT,70.35,35.18,15.34,63.32,65
NDC,09991377500,DILATERIA THIN KIT,70.35,35.18,15.34,63.32,65
NDC,09991377800,AMPICILLIN 0.2 MG/ML IN NS (SOLN A) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,1.12,27.0,66
NDC,09991378000,AMPICILLIN 20 MG/ML IN NS (SOLN C) SOLUTION FOR INJECTION (DESENSITIZATION),30.0,15.0,1.12,27.0,66
NDC,09991378400,COLCHICINE 0.3 MG SPLIT TABLET,3.25,1.63,0.71,2.93,65
NDC,09991378600,CEFEPIME 20 MG/ML IN NS (SOLN C) IVPB (DESENSITIZATION),30.0,15.0,1.4,27.0,66
NDC,09991378700,CEFEPIME 20 MG/ML IN NS (SOLN C) IVPB (DESENSITIZATION),30.0,15.0,1.4,27.0,66
NDC,09991378900,HEPARIN 100 UNITS/ML IN NS 50 ML (STOCK DILUTION),21.4,10.7,0.02,19.26,66
NDC,09991379000,IRON DEXTRAN 1 MG/ML IN SW 50 ML (STOCK DILUTION),133.6,66.8,18.47,120.24,71
NDC,09991379100,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,159.4,79.7,34.77,143.46,66
NDC,09991380900,METRONIDAZOLE 0.025 MG/ML ORAL SUSPENSION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991381000,METRONIDAZOLE 0.25 MG/ML ORAL SUSPENSION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991381100,METRONIDAZOLE 2.5 MG/ML ORAL SUSPENSION (DESENSITIZATION),30.0,15.0,6.54,27.0,65
NDC,09991381300,MICRODOSE LEUPROLIDE ACETATE 40MCG/0.2ML SUBCUTANEOUS SYRINGE,2062.4,1031.2,15.25,1856.16,66
NDC,09991381400,NEONATAL 2-IN-1 TPN (GENERIC),471.4,235.7,65.33,424.26,66
NDC,09991382100,PIPERACILLIN-TAZOBACTAM 22.5 MG/500 ML D5W IVPB (SOLN B) (DESENSITIZATION),30.0,15.0,1.3,27.0,66
NDC,09991382500,SULFAMETHOXAZOLE 0.004 MG-TMP 0.0008 MG/ML ORAL SUSP (DESENSITIZATION) (SOLUTION A),30.0,15.0,6.54,27.0,65
NDC,09991382600,SULFAMETHOXAZOLE 0.04 MG-TMP 0.008 MG/ML ORAL SUSP (DESENSITIZATION) (SOLN B),150.0,75.0,32.72,135.0,65
NDC,09991382700,SULFAMETHOXAZOLE 4 MG-TMP 0.8 MG/ML ORAL SUSP (DESENSITIZATION) (SOLN C),30.0,15.0,6.54,27.0,65
NDC,09991392300,MSUD.3 CUSTOM BLEND 12.3% AMINO ACID (12.9% PROTEIN) INTRAVENOUS SOLUTION,4000.0,2000.0,872.4,3600.0,65
NDC,09991430117,MAFENIDE-EUCERIN 1:3 (CMPD),252.15,126.08,54.99,226.94,65
NDC,09991430118,MAFENIDE-EUCERIN 1:2 (CMPD),279.4,139.7,60.94,251.46,65
NDC,09991430567,BUPIVACAINE 0.125% EPIDURAL (ONE-STEP),61.0,30.5,13.3,54.9,65
NDC,09991450717,PHYTONADIONE (VITAMIN K) ORAL SOLUTION 1 MG/ML,63.1,31.55,13.76,56.79,65
NDC,09991451729,CELECOXIB 10 MG/ML ORAL SUSPENSION,3.2,1.6,0.7,2.88,65
NDC,09992001222,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.75,23.38,10.2,42.08,65
NDC,09992003292,FUROSEMIDE 10 MG/ML ORAL SOLUTION,3.35,1.68,0.73,3.02,65
NDC,09992008970,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,14.8,7.4,3.23,13.32,65
NDC,09992010813,OXYCODONE 5 MG/5 ML ORAL SOLUTION,10.15,5.08,2.21,9.14,65
NDC,09992029169,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,3.3,1.65,0.72,2.97,65
NDC,09992038488,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,31.95,15.98,6.97,28.76,65
NDC,09992450717,PHYTONADIONE (VITAMIN K) ORAL SOLUTION 1 MG/ML,126.15,63.08,27.51,113.54,65
NDC,09993010225,HYDROMORPHONE 1 MG/ML ORAL LIQUID,7.75,3.88,1.69,6.98,65
NDC,09994029169,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,3.35,1.68,0.73,3.02,65
NDC,09995029169,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,5.0,2.5,1.09,4.5,65
NDC,09996029169,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,6.65,3.33,1.45,5.99,65
NDC,10019007587,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",300.5,150.25,0.28,270.45,66
NDC,10019007901,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,7531.05,3765.53,1.92,6777.95,71
NDC,10019008001,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,2886.85,1443.43,91.13,2598.17,71
NDC,10019011539,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,110.95,55.48,0.28,99.86,66
NDC,10019012001,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,65.5,32.75,0.28,58.95,66
NDC,10019012039,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,65.5,32.75,0.28,58.95,66
NDC,10019055303,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,297.3,148.65,64.84,267.57,65
NDC,10019055304,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,594.6,297.3,129.68,535.14,65
NDC,10019055390,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,29.75,14.88,6.49,26.78,65
NDC,10019066610,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",300.5,150.25,0.28,270.45,66
NDC,10019092501,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,10019092582,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,10019092602,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,10019092616,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,10019094301,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,451.75,225.88,0.49,406.58,71
NDC,10019094401,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,971.65,485.83,0.49,874.49,71
NDC,10019094450,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,971.65,485.83,0.49,874.49,71
NDC,10019095301,MESNA 100 MG/ML INTRAVENOUS SOLUTION,71.9,35.95,1.52,64.71,66
NDC,10019095362,MESNA 100 MG/ML INTRAVENOUS SOLUTION,71.9,35.95,1.52,64.71,66
NDC,10019095501,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,451.55,225.78,0.49,406.4,71
NDC,10019095550,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,451.55,225.78,0.49,406.4,71
NDC,10019095601,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,971.25,485.63,0.49,874.13,71
NDC,10019095616,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,971.25,485.63,0.49,874.13,71
NDC,10019095701,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1940.45,970.23,0.49,1746.41,71
NDC,10019095711,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1940.45,970.23,0.49,1746.41,71
NDC,10019099101,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,10122016001,PEGUNIGALSIDASE ALFA-IWXJ 2 MG/ML INTRAVENOUS SOLUTION,8708.8,4354.4,223.33,7837.92,71
NDC,10122051001,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2361.7,1180.85,515.09,2125.53,65
NDC,10122051003,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,3679.75,1839.88,802.55,3311.78,65
NDC,10122062001,CANGRELOR 50 MG INTRAVENOUS SOLUTION,3695.05,1847.53,20.38,3325.55,70
NDC,10122062010,CANGRELOR 50 MG INTRAVENOUS SOLUTION,3695.05,1847.53,20.38,3325.55,70
NDC,10122090112,ZILEUTON 600 MG TABLET,13900.8,6950.4,3031.76,12510.72,65
NDC,10135014617,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,399.55,199.78,87.14,359.6,65
NDC,10135018201,FOLIC ACID 1 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,10135018210,FOLIC ACID 1 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,10135049201,SALSALATE 500 MG TABLET,313.0,156.5,68.27,281.7,65
NDC,10135053201,BACLOFEN 10 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,10135054101,PROBENECID 500 MG TABLET,333.0,166.5,72.63,299.7,65
NDC,10135058501,LOXAPINE SUCCINATE 5 MG CAPSULE,178.2,89.1,38.87,160.38,65
NDC,10135058701,LOXAPINE SUCCINATE 25 MG CAPSULE,291.0,145.5,63.47,261.9,65
NDC,10135060701,BENZTROPINE 1 MG TABLET,58.8,29.4,12.82,52.92,65
NDC,10135062001,PHENAZOPYRIDINE 100 MG TABLET,318.0,159.0,69.36,286.2,65
NDC,10135062101,PHENAZOPYRIDINE 200 MG TABLET,583.0,291.5,127.15,524.7,65
NDC,10135062301,BETAXOLOL 10 MG TABLET,255.5,127.75,55.72,229.95,65
NDC,10135063632,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",973.8,486.9,212.39,876.42,65
NDC,10135063801,CYPROHEPTADINE 4 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,10135064101,LABETALOL 100 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,10135064201,LABETALOL 200 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,10135064301,LABETALOL 300 MG TABLET,154.2,77.1,33.63,138.78,65
NDC,10135064605,GABAPENTIN 400 MG CAPSULE,168.0,84.0,36.64,151.2,65
NDC,10135066601,PRAZOSIN 1 MG CAPSULE,44.4,22.2,9.68,39.96,65
NDC,10135066701,PRAZOSIN 2 MG CAPSULE,57.6,28.8,12.56,51.84,65
NDC,10135066801,PRAZOSIN 5 MG CAPSULE,90.0,45.0,19.63,81.0,65
NDC,10135067401,ROPINIROLE 0.5 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,10135067601,ROPINIROLE 2 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,10135067701,ROPINIROLE 3 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,10135068701,NADOLOL 40 MG TABLET,121.8,60.9,26.56,109.62,65
NDC,10135070201,HYDROXYUREA 500 MG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,10135070760,TOLTERODINE 2 MG TABLET,184.0,92.0,40.13,165.6,65
NDC,10135070801,CLONIDINE HCL 0.1 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,10135070901,CLONIDINE HCL 0.2 MG TABLET,18.6,9.3,4.06,16.74,65
NDC,10135071101,LABETALOL 100 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,10135071201,LABETALOL 200 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,10135072601,FLUPHENAZINE 2.5 MG TABLET,713.0,356.5,155.51,641.7,65
NDC,10135072701,FLUPHENAZINE 5 MG TABLET,881.5,440.75,192.26,793.35,65
NDC,10135073101,MEXILETINE 200 MG CAPSULE,312.0,156.0,68.05,280.8,65
NDC,10135073501,PYRAZINAMIDE 500 MG TABLET,1653.0,826.5,360.52,1487.7,65
NDC,10135073560,PYRAZINAMIDE 500 MG TABLET,1017.3,508.65,221.87,915.57,65
NDC,10135073801,RIFABUTIN 150 MG CAPSULE,2146.0,1073.0,468.04,1931.4,65
NDC,10135074301,PINDOLOL 5 MG TABLET,404.0,202.0,88.11,363.6,65
NDC,10135074560,MISOPROSTOL 100 MCG TABLET,220.35,110.18,48.06,198.32,65
NDC,10135074660,MISOPROSTOL 200 MCG TABLET,101.55,50.78,22.15,91.4,65
NDC,10135074701,DIGOXIN 125 MCG (0.125 MG) TABLET,100.2,50.1,21.85,90.18,65
NDC,10135074801,DIGOXIN 250 MCG (0.25 MG) TABLET,100.2,50.1,21.85,90.18,65
NDC,10135077801,PREDNISONE 20 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,10135077901,PREDNISONE 50 MG TABLET,144.6,72.3,31.54,130.14,65
NDC,10135078730,EZETIMIBE 10 MG TABLET,10.8,5.4,2.36,9.72,65
NDC,10135078790,EZETIMIBE 10 MG TABLET,24.3,12.15,5.3,21.87,65
NDC,10147015001,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,1003.5,501.75,218.86,903.15,65
NDC,10147068501,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",521.0,260.5,113.63,468.9,65
NDC,10147068801,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",516.0,258.0,112.54,464.4,65
NDC,10147089103,"GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE",709.05,354.53,154.64,638.15,65
NDC,10147089203,"GALANTAMINE ER 16 MG 24 HR CAPSULE,EXTENDED RELEASE",709.05,354.53,154.64,638.15,65
NDC,10147092103,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,109.2,54.6,9.74,98.28,66
NDC,10147092205,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,194.25,97.13,9.74,174.83,66
NDC,10147095103,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",1271.7,635.85,277.36,1144.53,65
NDC,10147095203,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",1271.7,635.85,277.36,1144.53,65
NDC,10147095303,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",1271.7,635.85,277.36,1144.53,65
NDC,10147095403,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",1905.3,952.65,415.55,1714.77,65
NDC,10147170003,ITRACONAZOLE 100 MG CAPSULE,1029.75,514.88,224.59,926.78,65
NDC,10223020103,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,630.0,315.0,137.4,567.0,65
NDC,10223020104,BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY,289.25,144.63,63.09,260.33,65
NDC,10370010103,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",83.7,41.85,18.25,75.33,65
NDC,10370010150,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",722.5,361.25,157.58,650.25,65
NDC,10370010203,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",99.9,49.95,21.79,89.91,65
NDC,10370025702,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",999.9,499.95,218.08,899.91,65
NDC,10370026801,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,4805.6,2402.8,1048.1,4325.04,65
NDC,10370034611,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",573.0,286.5,124.97,515.7,65
NDC,10370034711,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",573.0,286.5,124.97,515.7,65
NDC,10370034909,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",1719.0,859.5,374.91,1547.1,65
NDC,10370034911,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",573.0,286.5,124.97,515.7,65
NDC,10370074501,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",174.0,87.0,37.95,156.6,65
NDC,10370082909,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",153.4,76.7,33.46,138.06,65
NDC,10370082911,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",62.1,31.05,13.54,55.89,65
NDC,10370083011,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",77.95,38.98,17.0,70.16,65
NDC,10370083109,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",212.8,106.4,46.41,191.52,65
NDC,10370083111,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",116.65,58.33,25.44,104.99,65
NDC,10370083211,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",143.3,71.65,31.25,128.97,65
NDC,10454071010,"RIMABOTULINUMTOXINB 2,500 UNIT/0.5 ML INTRAMUSCULAR SOLUTION",1587.7,793.85,13.55,1428.93,71
NDC,10454071110,"RIMABOTULINUMTOXINB 5,000 UNIT/ML INTRAMUSCULAR SOLUTION",2540.35,1270.18,13.55,2286.32,71
NDC,10454071210,"RIMABOTULINUMTOXINB 10,000 UNIT/2 ML INTRAMUSCULAR SOLUTION",5080.65,2540.33,13.55,4572.59,71
NDC,10481011108,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,58.0,29.0,12.65,52.2,65
NDC,10481011208,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,64.65,32.33,14.1,58.19,65
NDC,10511300102,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,4325.0,2162.5,943.28,3892.5,65
NDC,10542001010,VITAMIN B COMPLEX-VITAMIN C 100 MG-FOLIC ACID 1 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,10542007010,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,10572010001,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,120.0,60.0,26.17,108.0,65
NDC,10572030201,PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION,168.0,84.0,36.64,151.2,65
NDC,10631040701,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,56.35,28.18,12.29,50.72,65
NDC,10702000201,PROMETHAZINE 12.5 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,10702000301,PROMETHAZINE 25 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,10702000401,PROMETHAZINE 50 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,10702000601,CYCLOBENZAPRINE 5 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,10702000710,CYCLOBENZAPRINE 10 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,10702000750,CYCLOBENZAPRINE 10 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,10702000801,OXYCODONE 15 MG TABLET,173.4,86.7,37.82,156.06,65
NDC,10702000850,OXYCODONE 15 MG TABLET,350.0,175.0,76.34,315.0,65
NDC,10702000950,OXYCODONE 30 MG TABLET,632.5,316.25,137.95,569.25,65
NDC,10702001001,HYDROXYZINE HCL 10 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,10702001101,HYDROXYZINE HCL 25 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,10702001110,HYDROXYZINE HCL 25 MG TABLET,340.0,170.0,74.15,306.0,65
NDC,10702001150,HYDROXYZINE HCL 25 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,10702001201,HYDROXYZINE HCL 50 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,10702001301,BETAXOLOL 10 MG TABLET,307.0,153.5,66.96,276.3,65
NDC,10702001401,BETAXOLOL 20 MG TABLET,436.5,218.25,95.2,392.85,65
NDC,10702001606,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",99.4,49.7,21.68,89.46,65
NDC,10702001801,OXYCODONE 5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,10702001850,OXYCODONE 5 MG TABLET,207.0,103.5,45.15,186.3,65
NDC,10702003615,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,59.95,29.98,13.08,53.96,65
NDC,10702003645,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,342.8,171.4,74.76,308.52,65
NDC,10702005501,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET,531.5,265.75,115.92,478.35,65
NDC,10702005503,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG TABLET,209.9,104.95,45.78,188.91,65
NDC,10702005601,OXYCODONE 10 MG TABLET,70.2,35.1,15.31,63.18,65
NDC,10702005701,OXYCODONE 20 MG TABLET,223.2,111.6,48.68,200.88,65
NDC,10702006501,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,10702007601,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",272.0,136.0,59.32,244.8,65
NDC,10702007606,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",486.3,243.15,106.06,437.67,65
NDC,10702010001,METHYLPHENIDATE 5 MG TABLET,94.8,47.4,20.68,85.32,65
NDC,10702010101,METHYLPHENIDATE 10 MG TABLET,130.8,65.4,28.53,117.72,65
NDC,10702010801,DEXMETHYLPHENIDATE 10 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,10702015016,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,173.15,86.58,37.76,155.84,65
NDC,10702016901,DESMOPRESSIN 0.1 MG TABLET,246.6,123.3,53.78,221.94,65
NDC,10702017001,DESMOPRESSIN 0.2 MG TABLET,198.0,99.0,43.18,178.2,65
NDC,10702018701,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,114.6,57.3,24.99,103.14,65
NDC,10702019101,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,115.8,57.9,25.26,104.22,65
NDC,10702020101,OXYBUTYNIN CHLORIDE 5 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,10702023701,URSODIOL 300 MG CAPSULE,262.8,131.4,57.32,236.52,65
NDC,10702025301,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,109.2,54.6,23.82,98.28,65
NDC,10702025350,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,360.0,180.0,78.52,324.0,65
NDC,10702036405,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,288.5,144.25,62.92,259.65,65
NDC,10702036451,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,288.5,144.25,62.92,259.65,65
NDC,10702080803,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,346.65,173.33,75.6,311.99,65
NDC,10858008107,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE,3698.0,1849.0,806.53,3328.2,65
NDC,10858008110,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE,462.25,231.13,100.82,416.03,65
NDC,10939084844,CAFFEINE 200 MG TABLET,8.1,4.05,1.77,7.29,65
NDC,11528001001,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1394.5,697.25,304.14,1255.05,65
NDC,11528002001,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1394.5,697.25,304.14,1255.05,65
NDC,11534016501,FOLIC ACID 1 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,11534016503,FOLIC ACID 1 MG TABLET,108.0,54.0,23.55,97.2,65
NDC,11534016615,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,44.75,22.38,9.76,40.28,65
NDC,11534018801,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,91.8,45.9,20.02,82.62,65
NDC,11534018901,DEXTROAMPHETAMINE SULFATE 10 MG TABLET,286.8,143.4,62.55,258.12,65
NDC,11534019001,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,433.0,216.5,94.44,389.7,65
NDC,11534019201,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,433.0,216.5,94.44,389.7,65
NDC,11534019701,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,745.0,372.5,162.48,670.5,65
NDC,11788000901,IBUPROFEN 600 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,11788000905,IBUPROFEN 600 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,11788001001,IBUPROFEN 800 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,11788001005,IBUPROFEN 800 MG TABLET,168.0,84.0,36.64,151.2,65
NDC,11980017405,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",777.95,388.98,169.67,700.16,65
NDC,11980018005,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",630.1,315.05,137.42,567.09,65
NDC,11980018010,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",1260.3,630.15,274.87,1134.27,65
NDC,11980018015,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",1890.4,945.2,412.3,1701.36,65
NDC,11980021105,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",816.85,408.43,178.15,735.17,65
NDC,11980077905,OFLOXACIN 0.3 % EYE DROPS,601.7,300.85,131.23,541.53,65
NDC,11994000120,TC-99M SESTAMIBI COMBO NO.1 IV SOLUTION,708.75,354.38,154.58,637.88,64
NDC,11994000155,TC-99M SESTAMIBI COMBO NO.1 IV SOLUTION,708.75,354.38,154.58,637.88,64
NDC,11994000602,TC-99M BICISATE INTRAVENOUS SOLUTION,10999.05,5499.53,697.48,9899.15,69
NDC,11994001101,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,500.0,250.0,46.79,450.0,66
NDC,11994001104,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,500.0,250.0,46.79,450.0,66
NDC,11994001116,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,500.0,250.0,46.79,450.0,66
NDC,11994009136,TC-99M SODIUM PERTECHNETATE INJECTION,7.8,3.9,1.7,7.02,64
NDC,11994012106,GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLUTION,184.05,92.03,40.14,165.65,64
NDC,11994012711,XENON-133 IN CARBON DIOXIDE 370 MBQ (10 MCI) GAS FOR INHALATION,2057.4,1028.7,448.72,1851.66,64
NDC,11994012821,XENON-133 IN CARBON DIOXIDE 740 MBQ (20 MCI) GAS FOR INHALATION,3336.15,1668.08,727.61,3002.54,64
NDC,12123000028,SURGIFLO WITH THROMBIN KIT,807.2,403.6,176.05,726.48,65
NDC,12496009001,RISPERIDONE ER 90 MG SUBCUTANEOUS EXTENDED RELEASE SUSPENSION SYRINGE,8064.85,4032.43,12.38,7258.37,71
NDC,12496009002,RISPERIDONE ER 90 MG SUBCUTANEOUS EXTENDED RELEASE SUSPENSION SYRINGE,8064.85,4032.43,12.38,7258.37,71
NDC,12496010001,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,71
NDC,12496010002,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,71
NDC,12496012001,RISPERIDONE ER 120 MG SUBCUTANEOUS EXTENDED RELEASE SUSPENSION SYRINGE,10744.95,5372.48,12.38,9670.46,71
NDC,12496030001,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,71
NDC,12496030002,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,71
NDC,12496030005,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",7316.0,3658.0,1595.62,6584.4,71
NDC,12496075701,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,84.15,42.08,4.58,75.74,66
NDC,12496075705,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,84.15,42.08,4.58,75.74,66
NDC,12496120201,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,27.8,13.9,5.1,25.02,66
NDC,12496120203,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,694.8,347.4,5.1,625.32,66
NDC,12496120801,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,49.85,24.93,9.04,44.87,66
NDC,12496120803,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,1245.3,622.65,9.04,1120.77,66
NDC,13107000130,MIRTAZAPINE 7.5 MG TABLET,205.6,102.8,44.84,185.04,65
NDC,13107000334,MIRTAZAPINE 30 MG TABLET,11.0,5.5,2.4,9.9,65
NDC,13107001401,GLYCOPYRROLATE 1 MG TABLET,43.8,21.9,9.55,39.42,65
NDC,13107001901,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,213.6,106.8,46.59,192.24,65
NDC,13107002001,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,13107002101,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,243.0,121.5,53.0,218.7,65
NDC,13107003105,MIRTAZAPINE 15 MG TABLET,135.0,67.5,29.44,121.5,65
NDC,13107003134,MIRTAZAPINE 15 MG TABLET,8.85,4.43,1.93,7.97,65
NDC,13107003501,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,224.4,112.2,48.94,201.96,65
NDC,13107004401,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,13107004501,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,13107004601,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,112.2,56.1,24.47,100.98,65
NDC,13107005501,OXYCODONE 5 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,13107005601,OXYCODONE 15 MG TABLET,92.4,46.2,20.15,83.16,65
NDC,13107005901,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,100.2,50.1,21.85,90.18,65
NDC,13107006801,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,207.6,103.8,45.28,186.84,65
NDC,13107007001,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,221.4,110.7,48.29,199.26,65
NDC,13107007401,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,207.6,103.8,45.28,186.84,65
NDC,13107007901,TRAZODONE 50 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,13107008301,LORAZEPAM 0.5 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,13107008305,LORAZEPAM 0.5 MG TABLET,123.0,61.5,26.83,110.7,65
NDC,13107008401,LORAZEPAM 1 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,13107008405,LORAZEPAM 1 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,13107008501,LORAZEPAM 2 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,13107010701,HYDROMORPHONE 2 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,13107015405,PAROXETINE 10 MG TABLET,502.5,251.25,109.6,452.25,65
NDC,13107015430,PAROXETINE 10 MG TABLET,41.05,20.53,8.95,36.95,65
NDC,13107015530,PAROXETINE 20 MG TABLET,42.85,21.43,9.35,38.57,65
NDC,13107015630,PAROXETINE 30 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,13107028301,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,443.5,221.75,96.73,399.15,65
NDC,13107031901,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,497.5,248.75,108.5,447.75,65
NDC,13107032001,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,697.0,348.5,152.02,627.3,65
NDC,13107032101,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,1145.5,572.75,249.83,1030.95,65
NDC,13517010030,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1368.6,684.3,298.49,1231.74,65
NDC,13517010716,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,345.3,172.65,75.31,310.77,65
NDC,13517011001,PHENOBARBITAL 16.2 MG TABLET,118.2,59.1,25.78,106.38,65
NDC,13517011101,PHENOBARBITAL 32.4 MG TABLET,268.0,134.0,58.45,241.2,65
NDC,13517011201,PHENOBARBITAL 64.8 MG TABLET,335.0,167.5,73.06,301.5,65
NDC,13517011301,PHENOBARBITAL 97.2 MG TABLET,473.0,236.5,103.16,425.7,65
NDC,13517020716,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,224.25,112.13,48.91,201.83,65
NDC,13517062501,PHENOBARBITAL 16.2 MG TABLET,118.8,59.4,25.91,106.92,65
NDC,13517062701,PHENOBARBITAL 64.8 MG TABLET,198.6,99.3,43.31,178.74,65
NDC,13517069201,PHENOBARBITAL 30 MG TABLET,118.8,59.4,25.91,106.92,65
NDC,13517069401,PHENOBARBITAL 100 MG TABLET,169.2,84.6,36.9,152.28,65
NDC,13517069405,PHENOBARBITAL 100 MG TABLET,670.0,335.0,146.13,603.0,65
NDC,13533031801,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,2307.05,1153.53,285.45,2076.35,71
NDC,13533031803,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,5536.9,2768.45,285.45,4983.21,71
NDC,13533031805,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,9228.15,4614.08,285.45,8305.34,71
NDC,13533031810,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,2307.05,1153.53,285.45,2076.35,71
NDC,13533031830,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,5536.9,2768.45,285.45,4983.21,71
NDC,13533031850,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,9228.15,4614.08,285.45,8305.34,71
NDC,13533033504,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",475.05,237.53,50.01,427.55,71
NDC,13533033512,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",2202.35,1101.18,50.01,1982.12,71
NDC,13533033513,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",2202.35,1101.18,50.01,1982.12,71
NDC,13533033540,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",475.05,237.53,50.01,427.55,71
NDC,13533060250,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,45.0,22.5,4.19,40.5,70
NDC,13533060521,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,45.35,22.68,4.19,40.82,70
NDC,13533060612,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,45.35,22.68,4.19,40.82,70
NDC,13533063102,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",370.0,185.0,80.7,333.0,66
NDC,13533063103,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",370.0,185.0,80.7,333.0,66
NDC,13533063111,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",370.0,185.0,80.7,333.0,66
NDC,13533063120,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",370.0,185.0,80.7,333.0,66
NDC,13533063402,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2151.5,1075.75,469.24,1936.35,71
NDC,13533063420,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2151.5,1075.75,469.24,1936.35,71
NDC,13533063603,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,386.05,193.03,84.2,347.45,70
NDC,13533063605,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,2667.4,1333.7,136.88,2400.66,70
NDC,13533063630,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,386.05,193.03,84.2,347.45,70
NDC,13533063650,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML (5 ML) INTRAMUSCULAR SOLUTION,2667.4,1333.7,136.88,2400.66,70
NDC,13533066106,RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) INTRAMUSCULAR SYRINGE,148.9,74.45,26.42,134.01,66
NDC,13533066160,RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) INTRAMUSCULAR SYRINGE,148.9,74.45,26.42,134.01,66
NDC,13533070501,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION",45.5,22.75,5.42,40.95,71
NDC,13533070511,"ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION",45.5,22.75,5.42,40.95,71
NDC,13533080012,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,326.5,163.25,44.92,293.85,71
NDC,13533080013,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,326.5,163.25,44.92,293.85,71
NDC,13533080015,IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,778.75,389.38,44.92,700.88,71
NDC,13533080016,IMMUNE GLOB G 2.5 GRAM/25 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,778.75,389.38,44.92,700.88,71
NDC,13533080020,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,1532.5,766.25,44.92,1379.25,71
NDC,13533080021,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,1532.5,766.25,44.92,1379.25,71
NDC,13533080024,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,4715.0,2357.5,44.92,4243.5,71
NDC,13533080025,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,4715.0,2357.5,44.92,4243.5,71
NDC,13533080040,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,9405.0,4702.5,44.92,8464.5,71
NDC,13533080041,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,9405.0,4702.5,44.92,8464.5,71
NDC,13533080071,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2370.0,1185.0,44.92,2133.0,71
NDC,13533080072,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2370.0,1185.0,44.92,2133.0,71
NDC,13668000701,ZOLPIDEM 5 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,13668000801,ZOLPIDEM 10 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,13668000901,CITALOPRAM 10 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,13668001001,CITALOPRAM 20 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,13668001005,CITALOPRAM 20 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,13668001101,CITALOPRAM 40 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,13668001512,LEVETIRACETAM 500 MG TABLET,167.05,83.53,36.43,150.35,65
NDC,13668003660,RISPERIDONE 0.5 MG TABLET,41.8,20.9,9.12,37.62,65
NDC,13668003760,RISPERIDONE 1 MG TABLET,51.85,25.93,11.31,46.67,65
NDC,13668004501,LAMOTRIGINE 25 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,13668004701,LAMOTRIGINE 100 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,13668004960,LAMOTRIGINE 200 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,13668008630,OLANZAPINE 5 MG DISINTEGRATING TABLET,122.05,61.03,26.62,109.85,65
NDC,13668008830,OLANZAPINE 10 MG DISINTEGRATING TABLET,168.3,84.15,36.71,151.47,65
NDC,13668009190,PRAMIPEXOLE 0.125 MG TABLET,79.4,39.7,17.32,71.46,65
NDC,13668009205,PRAMIPEXOLE 0.25 MG TABLET,367.5,183.75,80.15,330.75,65
NDC,13668009290,PRAMIPEXOLE 0.25 MG TABLET,79.4,39.7,17.32,71.46,65
NDC,13668009390,PRAMIPEXOLE 0.5 MG TABLET,79.4,39.7,17.32,71.46,65
NDC,13668009490,PRAMIPEXOLE 1 MG TABLET,79.4,39.7,17.32,71.46,65
NDC,13668009590,PRAMIPEXOLE 1.5 MG TABLET,79.4,39.7,17.32,71.46,65
NDC,13668010210,DONEPEZIL 5 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,13668010290,DONEPEZIL 5 MG TABLET,79.95,39.98,17.44,71.96,65
NDC,13668010310,DONEPEZIL 10 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,13668010330,DONEPEZIL 10 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,13668010390,DONEPEZIL 10 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,13668010401,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",72.0,36.0,15.7,64.8,65
NDC,13668010501,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",78.0,39.0,17.01,70.2,65
NDC,13668010601,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",84.0,42.0,18.32,75.6,65
NDC,13668010960,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",108.0,54.0,23.55,97.2,65
NDC,13668011005,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",1755.0,877.5,382.77,1579.5,65
NDC,13668011030,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",54.0,27.0,11.78,48.6,65
NDC,13668011105,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",797.5,398.75,173.93,717.75,65
NDC,13668011130,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",49.9,24.95,10.88,44.91,65
NDC,13668013501,ESCITALOPRAM 5 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,13668013601,ESCITALOPRAM 10 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,13668013701,ESCITALOPRAM 20 MG TABLET,94.2,47.1,20.55,84.78,65
NDC,13668014190,CLOPIDOGREL 75 MG TABLET,83.7,41.85,18.25,75.33,65
NDC,13668018590,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,13668018990,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",450.0,225.0,98.15,405.0,65
NDC,13668019030,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",180.0,90.0,39.26,162.0,65
NDC,13668021630,ARIPIPRAZOLE 2 MG TABLET,41.95,20.98,9.15,37.76,65
NDC,13668021730,ARIPIPRAZOLE 5 MG TABLET,41.95,20.98,9.15,37.76,65
NDC,13668021790,ARIPIPRAZOLE 5 MG TABLET,116.65,58.33,25.44,104.99,65
NDC,13668021830,ARIPIPRAZOLE 10 MG TABLET,41.95,20.98,9.15,37.76,65
NDC,13668021930,ARIPIPRAZOLE 15 MG TABLET,41.95,20.98,9.15,37.76,65
NDC,13668026801,CARBAMAZEPINE 200 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,13668027101,CARBAMAZEPINE 100 MG CHEWABLE TABLET,137.4,68.7,29.97,123.66,65
NDC,13668033001,TRAZODONE 50 MG TABLET,40.2,20.1,8.77,36.18,65
NDC,13668033101,TRAZODONE 100 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,13668033930,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",169.05,84.53,36.87,152.15,65
NDC,13668034130,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",274.95,137.48,59.97,247.46,65
NDC,13668045301,ANAGRELIDE 0.5 MG CAPSULE,333.0,166.5,72.63,299.7,65
NDC,13668048201,MINOCYCLINE 50 MG CAPSULE,110.4,55.2,24.08,99.36,65
NDC,13668048450,MINOCYCLINE 100 MG CAPSULE,109.5,54.75,23.88,98.55,65
NDC,13668048501,MINOCYCLINE 50 MG TABLET,1133.5,566.75,247.22,1020.15,65
NDC,13668051501,ACYCLOVIR 5 % TOPICAL OINTMENT,90.0,45.0,19.63,81.0,65
NDC,13668053401,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",84.0,42.0,18.32,75.6,65
NDC,13668058130,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),264.6,132.3,57.71,238.14,65
NDC,13668058630,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",731.55,365.78,159.55,658.4,65
NDC,13668058830,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",1023.3,511.65,223.18,920.97,65
NDC,13668059180,APREPITANT 40 MG CAPSULE,439.75,219.88,95.91,395.78,65
NDC,13668059181,APREPITANT 40 MG CAPSULE,439.75,219.88,95.91,395.78,65
NDC,13668059182,APREPITANT 40 MG CAPSULE,2198.7,1099.35,479.54,1978.83,65
NDC,13668059380,APREPITANT 125 MG CAPSULE,1273.55,636.78,277.76,1146.2,65
NDC,13668059386,APREPITANT 125 MG CAPSULE,6113.0,3056.5,1333.25,5501.7,65
NDC,13668060601,ERYTHROMYCIN 250 MG TABLET,2998.0,1499.0,653.86,2698.2,65
NDC,13668060630,ERYTHROMYCIN 250 MG TABLET,589.95,294.98,128.67,530.96,65
NDC,13668060701,ERYTHROMYCIN 500 MG TABLET,2090.0,1045.0,455.83,1881.0,65
NDC,13668072090,ROSUVASTATIN 5 MG TABLET,33.5,16.75,7.31,30.15,65
NDC,13811000710,"PRENATAL VIT,CALCIUM 27-FERROUS FUM 60 MG IRON-FOLIC ACID 1 MG TABLET",104.4,52.2,22.77,93.96,65
NDC,13811052501,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,90.6,45.3,19.76,81.54,65
NDC,13811056590,EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION,209.0,104.5,45.58,188.1,65
NDC,13811070610,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",361.0,180.5,78.73,324.9,65
NDC,13811070710,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",373.5,186.75,81.46,336.15,65
NDC,13925051501,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,326.65,163.33,71.24,293.99,65
NDC,13925051510,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,326.65,163.33,71.24,293.99,65
NDC,13925052201,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,669.0,334.5,55.85,602.1,66
NDC,14537081775,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 800 MG/100 ML SOLN,49.5,24.75,10.8,44.55,65
NDC,14539065301,OXYBUTYNIN CHLORIDE 5 MG TABLET,130.8,65.4,28.53,117.72,65
NDC,14539067306,DIFLUNISAL 500 MG TABLET,185.4,92.7,40.44,166.86,65
NDC,14789001002,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,55.5,27.75,12.1,49.95,66
NDC,14789001007,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,55.5,27.75,12.1,49.95,66
NDC,14789001101,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,316.35,158.18,69.0,284.72,65
NDC,14789001107,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,316.35,158.18,69.0,284.72,65
NDC,14789001202,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,348.6,174.3,76.03,313.74,65
NDC,14789001505,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2132.9,1066.45,465.19,1919.61,65
NDC,14789001507,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2132.9,1066.45,465.19,1919.61,65
NDC,14789010202,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,616.25,308.13,4.62,554.63,66
NDC,14789010205,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,616.25,308.13,4.62,554.63,66
NDC,14789010405,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,70.3,35.15,0.89,63.27,66
NDC,14789010407,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,70.3,35.15,0.89,63.27,66
NDC,14789010810,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,219.4,109.7,0.13,197.46,66
NDC,14789010816,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,219.4,109.7,0.13,197.46,66
NDC,14789010910,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,219.4,109.7,0.13,197.46,66
NDC,14789010916,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,219.4,109.7,0.13,197.46,66
NDC,14789011005,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,58.6,29.3,0.07,52.74,66
NDC,14789011008,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,58.6,29.3,0.07,52.74,66
NDC,14789011505,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",64.0,32.0,13.96,57.6,65
NDC,14789011508,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",64.0,32.0,13.96,57.6,65
NDC,14789011605,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,343.95,171.98,75.02,309.56,66
NDC,14789011607,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,343.95,171.98,75.02,309.56,66
NDC,14789012105,PAPAVERINE 30 MG/ML INJECTION SOLUTION,91.55,45.78,19.97,82.4,66
NDC,14789012107,PAPAVERINE 30 MG/ML INJECTION SOLUTION,91.55,45.78,19.97,82.4,66
NDC,14789012205,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,980.0,490.0,213.74,882.0,65
NDC,14789012207,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,980.0,490.0,213.74,882.0,65
NDC,14789012305,FLUORESCEIN 500 MG/2 ML (25 %) INTRAVENOUS SOLUTION,351.35,175.68,76.63,316.22,65
NDC,14789012307,FLUORESCEIN 500 MG/2 ML (25 %) INTRAVENOUS SOLUTION,351.35,175.68,76.63,316.22,65
NDC,14789012705,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,77.7,38.85,16.95,69.93,66
NDC,14789012707,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,77.7,38.85,16.95,69.93,66
NDC,14789012805,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,160.6,80.3,34.89,144.54,66
NDC,14789012807,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,160.6,80.3,34.89,144.54,66
NDC,14789013605,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,109.3,54.65,0.13,98.37,66
NDC,14789013607,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,109.3,54.65,0.13,98.37,66
NDC,14789016105,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1056.7,528.35,184.85,951.03,71
NDC,14789016107,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1056.7,528.35,184.85,951.03,71
NDC,14789022008,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",68.8,34.4,0.07,61.92,66
NDC,14789022010,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",68.8,34.4,0.07,61.92,66
NDC,14789025007,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,59.95,29.98,13.08,53.96,65
NDC,14789025010,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,59.95,29.98,13.08,53.96,65
NDC,14789033008,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",85.6,42.8,0.07,77.04,66
NDC,14789033015,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",85.6,42.8,0.07,77.04,66
NDC,14789060007,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2130.15,1065.08,8.32,1917.14,71
NDC,14789060010,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2130.15,1065.08,8.32,1917.14,71
NDC,14789090002,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,2132.9,1066.45,162.39,1919.61,71
NDC,14789090007,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,2132.9,1066.45,162.39,1919.61,71
NDC,14789090107,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,2313.15,1156.58,162.39,2081.84,71
NDC,14789090110,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,2313.15,1156.58,162.39,2081.84,71
NDC,15054004301,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,11674.0,5837.0,66.33,10506.6,71
NDC,15054050001,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,3547.0,1773.5,8.93,3192.3,71
NDC,15054053006,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2139.0,1069.5,8.93,1925.1,71
NDC,15054106004,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,24352.0,12176.0,34.73,21916.8,71
NDC,15054109004,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE,32432.05,16216.03,34.73,29188.85,71
NDC,15054112004,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,38248.0,19124.0,34.73,34423.2,71
NDC,15082063068,GENTAMICIN 0.3 MG/ML SODIUM CITRATE 3 ML CATHETER DWELL,92.5,46.25,20.17,83.25,65
NDC,15310001001,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1390.0,695.0,303.16,1251.0,65
NDC,15310002001,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1390.0,695.0,303.16,1251.0,65
NDC,15584010101,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,11131.95,5565.98,2427.88,10018.76,65
NDC,16252051401,CIPROFLOXACIN 250 MG TABLET,367.5,183.75,80.15,330.75,65
NDC,16252051501,CIPROFLOXACIN 500 MG TABLET,430.0,215.0,93.78,387.0,65
NDC,16252053901,ISRADIPINE 2.5 MG CAPSULE,666.5,333.25,145.36,599.85,65
NDC,16252054001,ISRADIPINE 5 MG CAPSULE,975.5,487.75,212.76,877.95,65
NDC,16477050256,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,117.05,58.53,25.53,105.35,65
NDC,16477050260,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,117.4,58.7,25.6,105.66,65
NDC,16477073801,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",180.0,90.0,39.26,162.0,65
NDC,16571010501,AMITRIPTYLINE 10 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,16571010701,AMITRIPTYLINE 50 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,16571010801,AMITRIPTYLINE 75 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,16571011201,HYDROXYCHLOROQUINE 200 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,16571020106,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",93.6,46.8,20.41,84.24,65
NDC,16571041110,CIPROFLOXACIN 250 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,16571041210,CIPROFLOXACIN 500 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,16571041250,CIPROFLOXACIN 500 MG TABLET,322.5,161.25,70.34,290.25,65
NDC,16571065710,CEVIMELINE 30 MG CAPSULE,497.5,248.75,108.5,447.75,65
NDC,16571065906,SELEGILINE 5 MG CAPSULE,157.7,78.85,34.39,141.93,65
NDC,16571066101,MECLIZINE 25 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,16571066401,METRONIDAZOLE 500 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,16571066450,METRONIDAZOLE 500 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,16571066501,METRONIDAZOLE 250 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,16571066701,PHENOBARBITAL 64.8 MG TABLET,105.6,52.8,23.03,95.04,65
NDC,16571066801,PHENOBARBITAL 97.2 MG TABLET,119.4,59.7,26.04,107.46,65
NDC,16571067101,PHENOBARBITAL 16.2 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,16571067301,PHENOBARBITAL 32.4 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,16571067516,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,93.7,46.85,20.44,84.33,65
NDC,16571067616,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,10.05,5.03,2.19,9.05,65
NDC,16571067621,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,120.05,60.03,26.18,108.05,65
NDC,16571068001,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",140.4,70.2,30.62,126.36,65
NDC,16571068101,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",248.4,124.2,54.18,223.56,65
NDC,16571068607,CLOTRIMAZOLE 10 MG TROCHE,346.15,173.08,75.5,311.54,65
NDC,16571068701,HYDROXYCHLOROQUINE 200 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,16571069101,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,501.5,250.75,109.38,451.35,65
NDC,16571069703,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",22.15,11.08,4.83,19.94,65
NDC,16571071810,QUETIAPINE 50 MG TABLET,234.0,117.0,51.04,210.6,65
NDC,16571072106,QUETIAPINE 300 MG TABLET,55.1,27.55,12.02,49.59,65
NDC,16571072348,MAFENIDE 85 MG/G TOPICAL CREAM,2190.9,1095.45,477.84,1971.81,65
NDC,16571072360,MAFENIDE 85 MG/G TOPICAL CREAM,318.1,159.05,69.38,286.29,65
NDC,16571073521,METHYLERGONOVINE 0.2 MG TABLET,721.6,360.8,157.38,649.44,65
NDC,16571073606,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",375.0,187.5,81.79,337.5,65
NDC,16571073706,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",425.1,212.55,92.71,382.59,65
NDC,16571075201,MECLIZINE 25 MG TABLET,19.2,9.6,4.19,17.28,65
NDC,16571075453,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",72.55,36.28,15.82,65.3,65
NDC,16571076209,LEVOCARNITINE 330 MG TABLET,326.7,163.35,71.25,294.03,65
NDC,16571077803,DONEPEZIL 5 MG TABLET,5.6,2.8,1.22,5.04,65
NDC,16571077809,DONEPEZIL 5 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,16571078501,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,71.4,35.7,15.57,64.26,65
NDC,16571080413,ZOLMITRIPTAN 5 MG TABLET,41.75,20.88,9.11,37.58,65
NDC,16571081320,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,292.8,146.4,63.86,263.52,65
NDC,16571083401,AMANTADINE HCL 100 MG CAPSULE,52.8,26.4,11.52,47.52,65
NDC,16571086203,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",27.75,13.88,6.05,24.98,65
NDC,16571086209,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",83.2,41.6,18.15,74.88,65
NDC,16571086309,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",113.95,56.98,24.85,102.56,65
NDC,16571087501,INDAPAMIDE 1.25 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,16571087601,INDAPAMIDE 2.5 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,16714000101,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,16714000201,FLUPHENAZINE 1 MG TABLET,432.5,216.25,94.33,389.25,65
NDC,16714000301,FLUPHENAZINE 2.5 MG TABLET,867.0,433.5,189.09,780.3,65
NDC,16714000401,FLUPHENAZINE 5 MG TABLET,1245.0,622.5,271.53,1120.5,65
NDC,16714000501,FLUPHENAZINE 10 MG TABLET,1586.5,793.25,346.02,1427.85,65
NDC,16714000601,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,21.65,10.83,0.76,19.49,66
NDC,16714000610,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,21.65,10.83,0.76,19.49,66
NDC,16714000801,ISOSORBIDE DINITRATE 10 MG TABLET,108.6,54.3,23.69,97.74,65
NDC,16714000901,ISOSORBIDE DINITRATE 20 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,16714001001,ISOSORBIDE DINITRATE 30 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,16714001401,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,31.6,15.8,6.89,28.44,65
NDC,16714001402,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,482.5,241.25,105.23,434.25,65
NDC,16714001501,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1040.25,520.13,3.59,936.23,71
NDC,16714001601,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.6,11.3,0.76,20.34,66
NDC,16714001610,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.6,11.3,0.76,20.34,66
NDC,16714001805,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.9,6.45,2.81,11.61,65
NDC,16714001830,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.9,6.45,2.81,11.61,65
NDC,16714001905,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,4.25,2.13,0.93,3.83,65
NDC,16714001930,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,4.25,2.13,0.93,3.83,65
NDC,16714002601,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,23.6,11.8,0.76,21.24,66
NDC,16714002610,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,23.6,11.8,0.76,21.24,66
NDC,16714002801,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,285.2,142.6,50.03,256.68,66
NDC,16714002825,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,285.2,142.6,50.03,256.68,66
NDC,16714003501,LEVETIRACETAM 500 MG TABLET,45.4,22.7,9.9,40.86,65
NDC,16714003502,LEVETIRACETAM 500 MG TABLET,307.5,153.75,67.07,276.75,65
NDC,16714003601,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.5,15.75,0.76,28.35,66
NDC,16714003610,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,31.5,15.75,0.76,28.35,66
NDC,16714003701,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,46.2,23.1,10.08,41.58,65
NDC,16714003710,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,46.2,23.1,10.08,41.58,65
NDC,16714003901,COLCHICINE 0.6 MG TABLET,79.95,39.98,17.44,71.96,65
NDC,16714003902,COLCHICINE 0.6 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,16714004110,ALLOPURINOL 100 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,16714004210,ALLOPURINOL 300 MG TABLET,102.6,51.3,22.38,92.34,65
NDC,16714004211,ALLOPURINOL 300 MG TABLET,487.5,243.75,106.32,438.75,65
NDC,16714004401,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",51.3,25.65,11.19,46.17,65
NDC,16714004501,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",57.25,28.63,12.49,51.53,65
NDC,16714004601,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.25,20.63,0.76,37.13,66
NDC,16714004610,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,41.25,20.63,0.76,37.13,66
NDC,16714004701,CHLORPROMAZINE 10 MG TABLET,288.6,144.3,62.94,259.74,65
NDC,16714004801,CHLORPROMAZINE 25 MG TABLET,364.5,182.25,79.5,328.05,65
NDC,16714004901,CHLORPROMAZINE 50 MG TABLET,519.5,259.75,113.3,467.55,65
NDC,16714005001,CHLORPROMAZINE 100 MG TABLET,742.0,371.0,161.83,667.8,65
NDC,16714005201,CLOPIDOGREL 75 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,16714005202,CLOPIDOGREL 75 MG TABLET,30.25,15.13,6.6,27.23,65
NDC,16714005203,CLOPIDOGREL 75 MG TABLET,207.0,103.5,45.15,186.3,65
NDC,16714005210,CLOPIDOGREL 75 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,16714005211,CLOPIDOGREL 75 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,16714005501,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,214.15,107.08,46.71,192.74,65
NDC,16714005601,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,47.95,23.98,0.76,43.16,66
NDC,16714005610,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,47.95,23.98,0.76,43.16,66
NDC,16714005901,FEBUXOSTAT 40 MG TABLET,94.9,47.45,20.7,85.41,65
NDC,16714006001,FEBUXOSTAT 80 MG TABLET,125.65,62.83,27.4,113.09,65
NDC,16714006301,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",129.6,64.8,28.27,116.64,65
NDC,16714006401,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",229.2,114.6,49.99,206.28,65
NDC,16714006610,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,59.9,29.95,0.76,53.91,66
NDC,16714006701,CARBIDOPA 25 MG TABLET,416.5,208.25,90.84,374.85,65
NDC,16714007002,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,16714007104,BACLOFEN 10 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,16714007106,BACLOFEN 10 MG TABLET,305.0,152.5,66.52,274.5,65
NDC,16714007204,BACLOFEN 20 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,16714007205,BACLOFEN 20 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,16714007501,TADALAFIL 5 MG TABLET,27.2,13.6,5.93,24.48,65
NDC,16714007601,TADALAFIL 10 MG TABLET,56.7,28.35,12.37,51.03,65
NDC,16714007701,TADALAFIL 20 MG TABLET,61.05,30.53,13.32,54.95,65
NDC,16714007801,CINACALCET 30 MG TABLET,76.15,38.08,16.61,68.54,65
NDC,16714007901,CINACALCET 60 MG TABLET,142.95,71.48,31.18,128.66,65
NDC,16714008001,CINACALCET 90 MG TABLET,197.65,98.83,43.11,177.89,65
NDC,16714008110,HYDROXYZINE HCL 10 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,16714008210,HYDROXYZINE HCL 25 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,16714008211,HYDROXYZINE HCL 25 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,16714008212,HYDROXYZINE HCL 25 MG TABLET,295.0,147.5,64.34,265.5,65
NDC,16714008310,HYDROXYZINE HCL 50 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,16714008401,SPIRONOLACTONE 25 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,16714008402,SPIRONOLACTONE 25 MG TABLET,129.0,64.5,28.13,116.1,65
NDC,16714008501,SPIRONOLACTONE 50 MG TABLET,194.4,97.2,42.4,174.96,65
NDC,16714008601,SPIRONOLACTONE 100 MG TABLET,94.0,47.0,20.5,84.6,65
NDC,16714008701,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,177.15,88.58,38.64,159.44,65
NDC,16714008801,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,52.35,26.18,0.12,47.12,71
NDC,16714008825,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,53.15,26.58,0.12,47.84,71
NDC,16714008901,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,214.5,107.25,0.12,193.05,71
NDC,16714009505,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,4.85,2.43,1.06,4.37,65
NDC,16714009525,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,4.85,2.43,1.06,4.37,65
NDC,16714009701,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,37.2,18.6,8.11,33.48,65
NDC,16714009801,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",73.8,36.9,0.26,66.42,66
NDC,16714009901,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",102.6,51.3,0.26,92.34,66
NDC,16714010001,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",362.5,181.25,0.26,326.25,66
NDC,16714010102,GEMFIBROZIL 600 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,16714010105,GEMFIBROZIL 600 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,16714011001,HYDROXYCHLOROQUINE 200 MG TABLET,193.2,96.6,42.14,173.88,65
NDC,16714011501,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,8.55,4.28,1.86,7.7,65
NDC,16714011502,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,255.45,127.73,55.71,229.91,65
NDC,16714011601,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,8.8,4.4,1.92,7.92,65
NDC,16714011602,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,262.65,131.33,57.28,236.39,65
NDC,16714011701,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,7.65,3.83,1.67,6.89,65
NDC,16714011702,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,228.6,114.3,49.86,205.74,65
NDC,16714011902,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,29.8,14.9,6.5,26.82,66
NDC,16714011903,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,29.8,14.9,6.5,26.82,66
NDC,16714012101,PILOCARPINE 5 MG TABLET,202.2,101.1,44.1,181.98,65
NDC,16714012302,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",33.6,16.8,7.33,30.24,65
NDC,16714012801,CHLORTHALIDONE 25 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,16714013001,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,22.8,11.4,1.05,20.52,66
NDC,16714013025,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,22.8,11.4,1.05,20.52,66
NDC,16714013201,DOXEPIN 10 MG CAPSULE,27.6,13.8,6.02,24.84,65
NDC,16714013301,DOXEPIN 25 MG CAPSULE,36.6,18.3,7.98,32.94,65
NDC,16714013501,DOXEPIN 75 MG CAPSULE,417.0,208.5,90.95,375.3,65
NDC,16714013601,DOXEPIN 100 MG CAPSULE,90.0,45.0,19.63,81.0,65
NDC,16714013701,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,16714014001,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,92.0,46.0,1.05,82.8,66
NDC,16714014101,ARIPIPRAZOLE 2 MG TABLET,46.1,23.05,10.05,41.49,65
NDC,16714014201,ARIPIPRAZOLE 5 MG TABLET,28.65,14.33,6.25,25.79,65
NDC,16714014301,ARIPIPRAZOLE 10 MG TABLET,36.2,18.1,7.9,32.58,65
NDC,16714014401,ARIPIPRAZOLE 15 MG TABLET,46.1,23.05,10.05,41.49,65
NDC,16714014501,ARIPIPRAZOLE 20 MG TABLET,77.6,38.8,16.92,69.84,65
NDC,16714014601,ARIPIPRAZOLE 30 MG TABLET,78.5,39.25,17.12,70.65,65
NDC,16714015601,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",3769.2,1884.6,822.06,3392.28,65
NDC,16714015701,PROGESTERONE MICRONIZED 100 MG CAPSULE,146.4,73.2,31.93,131.76,65
NDC,16714015901,ONDANSETRON HCL 4 MG TABLET,13.35,6.68,2.91,12.02,65
NDC,16714016001,ONDANSETRON HCL 8 MG TABLET,13.9,6.95,3.03,12.51,65
NDC,16714016101,CLINDAMYCIN 1 % TOPICAL GEL,64.8,32.4,14.13,58.32,65
NDC,16714016401,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,110.55,55.28,0.84,99.5,66
NDC,16714016410,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,110.55,55.28,0.84,99.5,66
NDC,16714016501,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.9,10.95,1.6,19.71,66
NDC,16714016601,LIOTHYRONINE 5 MCG TABLET,269.0,134.5,58.67,242.1,65
NDC,16714016701,LIOTHYRONINE 25 MCG TABLET,302.0,151.0,65.87,271.8,65
NDC,16714017101,TIZANIDINE 2 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,16714017201,TIZANIDINE 4 MG TABLET,38.7,19.35,8.44,34.83,65
NDC,16714017501,ATORVASTATIN 40 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,16714017503,ATORVASTATIN 40 MG TABLET,260.0,130.0,56.71,234.0,65
NDC,16714017602,ATORVASTATIN 80 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,16714017801,FLUOROURACIL 5 % TOPICAL CREAM,127.95,63.98,27.91,115.16,65
NDC,16714018102,PAROXETINE 10 MG TABLET,35.1,17.55,7.66,31.59,65
NDC,16714018302,PAROXETINE 30 MG TABLET,50.25,25.13,10.96,45.23,65
NDC,16714018501,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",22.3,11.15,4.86,20.07,65
NDC,16714018502,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",1856.0,928.0,404.79,1670.4,65
NDC,16714018601,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",26.65,13.33,5.81,23.99,65
NDC,16714018602,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",2217.0,1108.5,483.53,1995.3,65
NDC,16714018701,SIROLIMUS 0.5 MG TABLET,1921.5,960.75,419.08,1729.35,65
NDC,16714018801,SIROLIMUS 1 MG TABLET,963.5,481.75,210.14,867.15,65
NDC,16714019001,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",48.6,24.3,10.6,43.74,65
NDC,16714019101,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",51.0,25.5,11.12,45.9,65
NDC,16714019401,LAMOTRIGINE 25 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,16714019501,LAMOTRIGINE 100 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,16714019601,LAMOTRIGINE 150 MG TABLET,18.4,9.2,4.01,16.56,65
NDC,16714019701,LAMOTRIGINE 200 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,16714019801,VORICONAZOLE 50 MG TABLET,196.2,98.1,42.79,176.58,65
NDC,16714019901,VORICONAZOLE 200 MG TABLET,376.65,188.33,82.15,338.99,65
NDC,16714020010,ONDANSETRON 4 MG DISINTEGRATING TABLET,3.2,1.6,0.7,2.88,65
NDC,16714020030,ONDANSETRON 4 MG DISINTEGRATING TABLET,29.7,14.85,6.48,26.73,65
NDC,16714020110,ONDANSETRON 8 MG DISINTEGRATING TABLET,18.75,9.38,4.09,16.88,65
NDC,16714020130,ONDANSETRON 8 MG DISINTEGRATING TABLET,34.05,17.03,7.43,30.65,65
NDC,16714021301,RALOXIFENE 60 MG TABLET,124.6,62.3,27.18,112.14,65
NDC,16714023401,PENICILLIN V POTASSIUM 250 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,16714023501,PENICILLIN V POTASSIUM 500 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,16714024401,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,146.7,73.35,32.0,132.03,65
NDC,16714024501,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",10.7,5.35,2.33,9.63,65
NDC,16714024530,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",267.3,133.65,58.3,240.57,65
NDC,16714024601,CLINDAMYCIN 1 % LOTION,70.6,35.3,15.4,63.54,65
NDC,16714024701,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.75,23.38,10.2,42.08,65
NDC,16714024710,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.75,23.38,10.2,42.08,65
NDC,16714024801,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,125.45,62.73,0.15,112.91,66
NDC,16714025701,AMITRIPTYLINE 10 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,16714025801,AMITRIPTYLINE 25 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,16714025901,AMITRIPTYLINE 50 MG TABLET,201.6,100.8,43.97,181.44,65
NDC,16714026001,AMITRIPTYLINE 75 MG TABLET,250.5,125.25,54.63,225.45,65
NDC,16714026101,AMITRIPTYLINE 100 MG TABLET,336.0,168.0,73.28,302.4,65
NDC,16714026701,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,19.9,9.95,4.34,17.91,65
NDC,16714026702,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,27.4,13.7,5.98,24.66,65
NDC,16714026801,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT,22.35,11.18,4.87,20.12,65
NDC,16714029203,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,52.2,26.1,11.38,46.98,65
NDC,16714029301,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,30.0,15.0,6.54,27.0,65
NDC,16714029302,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,45.9,22.95,10.01,41.31,65
NDC,16714029303,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,72.0,36.0,15.7,64.8,65
NDC,16714029401,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,50.85,25.43,11.09,45.77,65
NDC,16714029402,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,60.0,30.0,13.09,54.0,65
NDC,16714029403,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,99.6,49.8,21.72,89.64,65
NDC,16714029601,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,68.9,34.45,15.03,62.01,65
NDC,16714029701,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,91.7,45.85,20.0,82.53,65
NDC,16714029801,AMOXICILLIN 250 MG CAPSULE,24.0,12.0,5.23,21.6,65
NDC,16714029902,AMOXICILLIN 500 MG CAPSULE,37.8,18.9,8.24,34.02,65
NDC,16714029903,AMOXICILLIN 500 MG CAPSULE,44.4,22.2,9.68,39.96,65
NDC,16714029904,AMOXICILLIN 500 MG CAPSULE,213.0,106.5,46.46,191.7,65
NDC,16714030101,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,164.55,82.28,0.84,148.1,66
NDC,16714030110,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,164.55,82.28,0.84,148.1,66
NDC,16714030901,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.2,23.6,10.29,42.48,65
NDC,16714030910,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.2,23.6,10.29,42.48,65
NDC,16714031001,"LEVETIRACETAM 1,000 MG TABLET",94.35,47.18,20.58,84.92,65
NDC,16714034501,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,2336.65,1168.33,509.62,2102.99,65
NDC,16714035101,FLUOXETINE 10 MG CAPSULE,9.9,4.95,2.16,8.91,65
NDC,16714035401,LEVETIRACETAM 250 MG TABLET,53.3,26.65,11.62,47.97,65
NDC,16714035402,LEVETIRACETAM 250 MG TABLET,225.0,112.5,49.07,202.5,65
NDC,16714035501,LEVETIRACETAM 500 MG TABLET,87.15,43.58,19.01,78.44,65
NDC,16714035502,LEVETIRACETAM 500 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,16714035801,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,70.95,35.48,15.47,63.86,65
NDC,16714036001,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,42.2,21.1,9.2,37.98,65
NDC,16714036004,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,42.2,21.1,9.2,37.98,65
NDC,16714038801,CEFADROXIL 500 MG CAPSULE,111.9,55.95,24.41,100.71,65
NDC,16714038901,CEFADROXIL 250 MG/5 ML ORAL SUSPENSION,162.0,81.0,35.33,145.8,65
NDC,16714039001,CEFADROXIL 500 MG/5 ML ORAL SUSPENSION,200.25,100.13,43.67,180.23,65
NDC,16714039101,CEFDINIR 300 MG CAPSULE,194.05,97.03,42.32,174.65,65
NDC,16714039102,CEFDINIR 300 MG CAPSULE,285.15,142.58,62.19,256.64,65
NDC,16714039301,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,52.95,26.48,11.55,47.66,65
NDC,16714039401,CEFPODOXIME 100 MG TABLET,265.7,132.85,57.95,239.13,65
NDC,16714039501,CEFPODOXIME 200 MG TABLET,353.0,176.5,76.99,317.7,65
NDC,16714039601,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,32.7,16.35,7.13,29.43,65
NDC,16714039603,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,28.2,14.1,6.15,25.38,65
NDC,16714039701,CEFPROZIL 250 MG/5 ML ORAL SUSPENSION,93.9,46.95,20.48,84.51,65
NDC,16714039703,CEFPROZIL 250 MG/5 ML ORAL SUSPENSION,93.0,46.5,20.28,83.7,65
NDC,16714039801,CEFPROZIL 250 MG TABLET,385.0,192.5,83.97,346.5,65
NDC,16714040001,CEFUROXIME AXETIL 250 MG TABLET,103.0,51.5,22.46,92.7,65
NDC,16714040002,CEFUROXIME AXETIL 250 MG TABLET,257.4,128.7,56.14,231.66,65
NDC,16714040101,CEFUROXIME AXETIL 500 MG TABLET,196.7,98.35,42.9,177.03,65
NDC,16714040102,CEFUROXIME AXETIL 500 MG TABLET,267.9,133.95,58.43,241.11,65
NDC,16714040301,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,287.7,143.85,62.75,258.93,65
NDC,16714040302,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,437.0,218.5,95.31,393.3,65
NDC,16714040401,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,127.05,63.53,27.71,114.35,65
NDC,16714040404,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,127.05,63.53,27.71,114.35,65
NDC,16714043901,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,651.0,325.5,141.98,585.9,65
NDC,16714044201,ENALAPRIL MALEATE 2.5 MG TABLET,67.2,33.6,14.66,60.48,65
NDC,16714044301,ENALAPRIL MALEATE 5 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,16714044401,ENALAPRIL MALEATE 10 MG TABLET,201.0,100.5,43.84,180.9,65
NDC,16714044402,ENALAPRIL MALEATE 10 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,16714044501,ENALAPRIL MALEATE 20 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,16714044601,AMITRIPTYLINE 10 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,16714044701,AMITRIPTYLINE 25 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,16714044801,AMITRIPTYLINE 50 MG TABLET,201.6,100.8,43.97,181.44,65
NDC,16714044901,AMITRIPTYLINE 75 MG TABLET,250.5,125.25,54.63,225.45,65
NDC,16714045001,AMITRIPTYLINE 100 MG TABLET,336.0,168.0,73.28,302.4,65
NDC,16714045101,AMITRIPTYLINE 150 MG TABLET,671.0,335.5,146.35,603.9,65
NDC,16714045201,QUETIAPINE 25 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,16714045301,QUETIAPINE 50 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,16714045401,QUETIAPINE 100 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,16714045501,QUETIAPINE 200 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,16714045601,QUETIAPINE 300 MG TABLET,136.8,68.4,29.84,123.12,65
NDC,16714045701,QUETIAPINE 400 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,16714046701,CAPECITABINE 150 MG TABLET,98.65,49.33,0.04,88.79,70
NDC,16714047201,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,45.7,22.85,0.12,41.13,71
NDC,16714047225,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,45.7,22.85,0.12,41.13,71
NDC,16714047601,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,471.45,235.73,102.82,424.31,65
NDC,16714047701,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,28.45,14.23,6.2,25.61,65
NDC,16714047802,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,303.5,151.75,66.19,273.15,65
NDC,16714048301,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,83.4,41.7,18.19,75.06,65
NDC,16714048302,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,84.6,42.3,18.45,76.14,65
NDC,16714048401,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",189.0,94.5,41.22,170.1,65
NDC,16714048501,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",202.8,101.4,44.23,182.52,65
NDC,16714048502,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",707.5,353.75,154.31,636.75,65
NDC,16714049601,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,37.35,18.68,8.15,33.62,65
NDC,16714049602,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,84.55,42.28,18.44,76.1,65
NDC,16714049701,"ETODOLAC ER 400 MG TABLET,EXTENDED RELEASE 24 HR",278.4,139.2,60.72,250.56,65
NDC,16714051001,CARISOPRODOL 350 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,16714051003,CARISOPRODOL 350 MG TABLET,430.0,215.0,93.78,387.0,65
NDC,16714051701,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,106.0,53.0,23.12,95.4,65
NDC,16714052601,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,60.7,30.35,13.24,54.63,65
NDC,16714052701,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,77.15,38.58,16.83,69.44,65
NDC,16714053401,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,171.2,85.6,37.34,154.08,65
NDC,16714053501,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1647.9,823.95,359.41,1483.11,65
NDC,16714053601,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.15,10.58,0.47,19.04,71
NDC,16714053625,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.15,10.58,0.47,19.04,71
NDC,16714053701,LEVETIRACETAM 750 MG TABLET,157.0,78.5,34.24,141.3,65
NDC,16714054801,LACOSAMIDE 50 MG TABLET,34.6,17.3,7.55,31.14,65
NDC,16714054901,LACOSAMIDE 100 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,16714055201,LACOSAMIDE 200 MG TABLET,102.25,51.13,22.3,92.03,65
NDC,16714055601,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,109.0,54.5,0.66,98.1,66
NDC,16714055701,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,64.7,32.35,14.11,58.23,65
NDC,16714056001,PRAVASTATIN 40 MG TABLET,30.25,15.13,6.6,27.23,65
NDC,16714056201,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",464.0,232.0,101.2,417.6,65
NDC,16714056501,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",520.0,260.0,113.41,468.0,65
NDC,16714057201,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT,2322.4,1161.2,15.25,2090.16,66
NDC,16714057601,ALLOPURINOL 100 MG TABLET,19.8,9.9,4.32,17.82,65
NDC,16714057602,ALLOPURINOL 100 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,16714057701,ALLOPURINOL 300 MG TABLET,102.6,51.3,22.38,92.34,65
NDC,16714059001,DIGOXIN 125 MCG (0.125 MG) TABLET,114.0,57.0,24.86,102.6,65
NDC,16714059101,DIGOXIN 250 MCG (0.25 MG) TABLET,137.4,68.7,29.97,123.66,65
NDC,16714060102,SERTRALINE 20 MG/ML ORAL CONCENTRATE,230.8,115.4,50.34,207.72,65
NDC,16714061101,SERTRALINE 25 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,16714061104,SERTRALINE 25 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,16714061201,SERTRALINE 50 MG TABLET,8.1,4.05,1.77,7.29,65
NDC,16714061204,SERTRALINE 50 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,16714061205,SERTRALINE 50 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,16714061206,SERTRALINE 50 MG TABLET,285.0,142.5,62.16,256.5,65
NDC,16714061301,SERTRALINE 100 MG TABLET,16.4,8.2,3.58,14.76,65
NDC,16714061304,SERTRALINE 100 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,16714061305,SERTRALINE 100 MG TABLET,273.0,136.5,59.54,245.7,65
NDC,16714062101,ZOLPIDEM 5 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,16714062201,ZOLPIDEM 10 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,16714062301,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",269.65,134.83,58.81,242.69,65
NDC,16714062501,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",198.0,99.0,43.18,178.2,65
NDC,16714062801,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",475.1,237.55,103.62,427.59,65
NDC,16714063101,ALENDRONATE 10 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,16714063102,ALENDRONATE 10 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,16714063201,ALENDRONATE 35 MG TABLET,10.6,5.3,2.31,9.54,65
NDC,16714063202,ALENDRONATE 35 MG TABLET,89.9,44.95,19.61,80.91,65
NDC,16714063301,ALENDRONATE 70 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,16714063302,ALENDRONATE 70 MG TABLET,55.45,27.73,12.09,49.91,65
NDC,16714063402,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",27.6,13.8,6.02,24.84,65
NDC,16714063403,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",168.0,84.0,36.64,151.2,65
NDC,16714064301,MOXIFLOXACIN 0.5 % EYE DROPS,55.05,27.53,12.01,49.55,65
NDC,16714064401,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,103.5,51.75,22.57,93.15,65
NDC,16714064410,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,103.5,51.75,22.57,93.15,65
NDC,16714064501,PIOGLITAZONE 15 MG TABLET,22.5,11.25,4.91,20.25,65
NDC,16714064502,PIOGLITAZONE 15 MG TABLET,68.6,34.3,14.96,61.74,65
NDC,16714064601,PIOGLITAZONE 30 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,16714064602,PIOGLITAZONE 30 MG TABLET,97.75,48.88,21.32,87.98,65
NDC,16714064701,PIOGLITAZONE 45 MG TABLET,34.05,17.03,7.43,30.65,65
NDC,16714065102,CIPROFLOXACIN 250 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,16714065202,CIPROFLOXACIN 500 MG TABLET,136.2,68.1,29.71,122.58,65
NDC,16714065301,CIPROFLOXACIN 750 MG TABLET,207.6,103.8,45.28,186.84,65
NDC,16714065501,VENLAFAXINE 25 MG TABLET,197.4,98.7,43.05,177.66,65
NDC,16714065601,VENLAFAXINE 37.5 MG TABLET,126.6,63.3,27.61,113.94,65
NDC,16714065701,VENLAFAXINE 50 MG TABLET,195.0,97.5,42.53,175.5,65
NDC,16714065801,VENLAFAXINE 75 MG TABLET,73.2,36.6,15.96,65.88,65
NDC,16714065901,VENLAFAXINE 100 MG TABLET,213.0,106.5,46.46,191.7,65
NDC,16714066101,GABAPENTIN 100 MG CAPSULE,19.8,9.9,4.32,17.82,65
NDC,16714066102,GABAPENTIN 100 MG CAPSULE,72.0,36.0,15.7,64.8,65
NDC,16714066201,GABAPENTIN 300 MG CAPSULE,27.0,13.5,5.89,24.3,65
NDC,16714066202,GABAPENTIN 300 MG CAPSULE,105.0,52.5,22.9,94.5,65
NDC,16714066301,GABAPENTIN 400 MG CAPSULE,33.0,16.5,7.2,29.7,65
NDC,16714066302,GABAPENTIN 400 MG CAPSULE,228.0,114.0,49.73,205.2,65
NDC,16714067102,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,61.8,30.9,13.48,55.62,65
NDC,16714069001,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,44.4,22.2,0.14,39.96,66
NDC,16714069010,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,44.4,22.2,0.14,39.96,66
NDC,16714069101,FLUCONAZOLE 100 MG TABLET,64.3,32.15,14.02,57.87,65
NDC,16714069102,FLUCONAZOLE 100 MG TABLET,323.0,161.5,70.45,290.7,65
NDC,16714069210,FLUCONAZOLE 150 MG TABLET,4.25,2.13,0.93,3.83,65
NDC,16714069211,FLUCONAZOLE 150 MG TABLET,4.25,2.13,0.93,3.83,65
NDC,16714069301,FLUCONAZOLE 200 MG TABLET,99.55,49.78,21.71,89.6,65
NDC,16714069302,FLUCONAZOLE 200 MG TABLET,708.0,354.0,154.41,637.2,65
NDC,16714069401,FLUCONAZOLE 50 MG TABLET,43.05,21.53,9.39,38.75,65
NDC,16714069501,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,28.15,14.08,6.14,25.34,65
NDC,16714069601,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,59.05,29.53,12.88,53.15,65
NDC,16714069701,VALACYCLOVIR 1 GRAM TABLET,234.55,117.28,51.16,211.1,65
NDC,16714069703,VALACYCLOVIR 1 GRAM TABLET,292.15,146.08,63.72,262.94,65
NDC,16714069801,VALACYCLOVIR 500 MG TABLET,146.0,73.0,31.84,131.4,65
NDC,16714069803,VALACYCLOVIR 500 MG TABLET,144.75,72.38,31.57,130.28,65
NDC,16714070001,LAMOTRIGINE 25 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,16714070101,LAMOTRIGINE 100 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,16714070301,LAMOTRIGINE 200 MG TABLET,31.7,15.85,6.91,28.53,65
NDC,16714070401,IMATINIB 100 MG TABLET,703.35,351.68,153.4,633.02,65
NDC,16714070501,IMATINIB 400 MG TABLET,442.05,221.03,96.41,397.85,65
NDC,16714071301,TAMSULOSIN 0.4 MG CAPSULE,61.2,30.6,13.35,55.08,65
NDC,16714071302,TAMSULOSIN 0.4 MG CAPSULE,195.0,97.5,42.53,175.5,65
NDC,16714071401,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",25.2,12.6,5.5,22.68,65
NDC,16714071502,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",28.2,14.1,6.15,25.38,65
NDC,16714071503,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",228.0,114.0,49.73,205.2,65
NDC,16714071701,ENTECAVIR 0.5 MG TABLET,154.8,77.4,33.76,139.32,65
NDC,16714072002,FLUOXETINE 10 MG CAPSULE,12.6,6.3,2.75,11.34,65
NDC,16714072003,FLUOXETINE 10 MG CAPSULE,138.0,69.0,30.1,124.2,65
NDC,16714072102,FLUOXETINE 20 MG CAPSULE,14.4,7.2,3.14,12.96,65
NDC,16714072901,DESONIDE 0.05 % TOPICAL CREAM,35.55,17.78,7.75,32.0,65
NDC,16714073001,CLOBETASOL 0.05 % TOPICAL CREAM,332.2,166.1,72.45,298.98,65
NDC,16714073002,CLOBETASOL 0.05 % TOPICAL CREAM,662.25,331.13,144.44,596.03,65
NDC,16714073201,CELECOXIB 100 MG CAPSULE,231.6,115.8,50.51,208.44,65
NDC,16714073301,CELECOXIB 200 MG CAPSULE,295.8,147.9,64.51,266.22,65
NDC,16714073302,CELECOXIB 200 MG CAPSULE,340.0,170.0,74.15,306.0,65
NDC,16714073401,CELECOXIB 400 MG CAPSULE,297.0,148.5,64.78,267.3,65
NDC,16714074201,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",834.45,417.23,94.88,751.01,71
NDC,16714074302,ITRACONAZOLE 100 MG CAPSULE,228.25,114.13,49.78,205.43,65
NDC,16714075301,HYDROXYCHLOROQUINE 200 MG TABLET,231.6,115.8,50.51,208.44,65
NDC,16714075501,ATOMOXETINE 10 MG CAPSULE,175.9,87.95,38.36,158.31,65
NDC,16714075601,ATOMOXETINE 18 MG CAPSULE,205.6,102.8,44.84,185.04,65
NDC,16714075701,ATOMOXETINE 25 MG CAPSULE,134.3,67.15,29.29,120.87,65
NDC,16714075801,ATOMOXETINE 40 MG CAPSULE,105.15,52.58,22.93,94.64,65
NDC,16714075901,ATOMOXETINE 60 MG CAPSULE,217.45,108.73,47.43,195.71,65
NDC,16714076001,ATOMOXETINE 80 MG CAPSULE,225.2,112.6,49.12,202.68,65
NDC,16714076301,CALCIPOTRIENE 0.005 % TOPICAL CREAM,474.9,237.45,103.58,427.41,65
NDC,16714076501,VALGANCICLOVIR 450 MG TABLET,1156.2,578.1,252.17,1040.58,65
NDC,16714076601,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,570.0,285.0,124.32,513.0,65
NDC,16714076901,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",33.75,16.88,7.36,30.38,65
NDC,16714077001,RASAGILINE 0.5 MG TABLET,562.35,281.18,122.65,506.12,65
NDC,16714077101,RASAGILINE 1 MG TABLET,987.6,493.8,215.4,888.84,65
NDC,16714077501,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,502.45,251.23,109.58,452.21,65
NDC,16714078201,CLOBETASOL 0.05 % TOPICAL OINTMENT,32.5,16.25,7.09,29.25,65
NDC,16714078202,CLOBETASOL 0.05 % TOPICAL OINTMENT,53.85,26.93,11.74,48.47,65
NDC,16714078301,ARIPIPRAZOLE 2 MG TABLET,46.3,23.15,10.1,41.67,65
NDC,16714078401,ARIPIPRAZOLE 5 MG TABLET,49.15,24.58,10.72,44.24,65
NDC,16714078501,ARIPIPRAZOLE 10 MG TABLET,46.1,23.05,10.05,41.49,65
NDC,16714078601,ARIPIPRAZOLE 15 MG TABLET,46.3,23.15,10.1,41.67,65
NDC,16714079501,TERBINAFINE HCL 250 MG TABLET,36.2,18.1,7.9,32.58,65
NDC,16714079502,TERBINAFINE HCL 250 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,16714079601,SUMATRIPTAN 25 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,16714079701,SUMATRIPTAN 50 MG TABLET,59.35,29.68,12.94,53.42,65
NDC,16714079801,SUMATRIPTAN 100 MG TABLET,59.75,29.88,13.03,53.78,65
NDC,16714080401,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,322.5,161.25,70.34,290.25,65
NDC,16714080801,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,246.6,123.3,53.78,221.94,65
NDC,16714081301,EZETIMIBE 10 MG TABLET,39.1,19.55,8.53,35.19,65
NDC,16714081302,EZETIMIBE 10 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,16714081303,EZETIMIBE 10 MG TABLET,735.0,367.5,160.3,661.5,65
NDC,16714081401,SEVELAMER CARBONATE 800 MG TABLET,311.85,155.93,68.01,280.67,65
NDC,16714081501,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,69.05,34.53,7.71,62.15,66
NDC,16714081601,BICALUTAMIDE 50 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,16714081602,BICALUTAMIDE 50 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,16714082001,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,16714082101,METHYLPHENIDATE 5 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,16714082201,METHYLPHENIDATE 10 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,16714082301,METHYLPHENIDATE 20 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,16714082501,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",193.35,96.68,42.17,174.02,65
NDC,16714082801,DESONIDE 0.05 % TOPICAL OINTMENT,187.65,93.83,40.93,168.89,65
NDC,16714082901,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",247.2,123.6,53.91,222.48,65
NDC,16714083001,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1627.2,813.6,354.89,1464.48,65
NDC,16714083101,BUMETANIDE 0.5 MG TABLET,153.6,76.8,33.5,138.24,65
NDC,16714083201,BUMETANIDE 1 MG TABLET,158.4,79.2,34.55,142.56,65
NDC,16714083401,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,39.6,19.8,1.03,35.64,66
NDC,16714083501,ZIPRASIDONE 20 MG CAPSULE,78.5,39.25,17.12,70.65,65
NDC,16714083601,ZIPRASIDONE 40 MG CAPSULE,85.7,42.85,18.69,77.13,65
NDC,16714083701,ZIPRASIDONE 60 MG CAPSULE,106.2,53.1,23.16,95.58,65
NDC,16714083801,ZIPRASIDONE 80 MG CAPSULE,72.75,36.38,15.87,65.48,65
NDC,16714084001,DOFETILIDE 125 MCG CAPSULE,349.8,174.9,76.29,314.82,65
NDC,16714084101,DOFETILIDE 250 MCG CAPSULE,349.8,174.9,76.29,314.82,65
NDC,16714084201,DOFETILIDE 500 MCG CAPSULE,349.8,174.9,76.29,314.82,65
NDC,16714084301,AMIODARONE 100 MG TABLET,388.5,194.25,84.73,349.65,65
NDC,16714084401,AMIODARONE 200 MG TABLET,45.4,22.7,9.9,40.86,65
NDC,16714084402,AMIODARONE 200 MG TABLET,243.0,121.5,53.0,218.7,65
NDC,16714084901,CLOMIPRAMINE 25 MG CAPSULE,243.75,121.88,53.16,219.38,65
NDC,16714084903,CLOMIPRAMINE 25 MG CAPSULE,247.2,123.6,53.91,222.48,65
NDC,16714085201,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",108.6,54.3,23.69,97.74,65
NDC,16714085202,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",450.0,225.0,98.15,405.0,65
NDC,16714085301,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",74.4,37.2,16.23,66.96,65
NDC,16714085302,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",210.0,105.0,45.8,189.0,65
NDC,16714085401,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",89.4,44.7,19.5,80.46,65
NDC,16714085601,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2005.05,1002.53,94.88,1804.55,71
NDC,16714085701,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,862.2,431.1,0.49,775.98,71
NDC,16714085801,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,571.55,285.78,0.49,514.4,71
NDC,16714085901,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,16714086001,ATAZANAVIR 150 MG CAPSULE,1394.7,697.35,304.18,1255.23,65
NDC,16714086101,ATAZANAVIR 200 MG CAPSULE,1572.9,786.45,343.05,1415.61,65
NDC,16714086601,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",910.8,455.4,198.65,819.72,65
NDC,16714086701,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",577.35,288.68,125.92,519.62,65
NDC,16714086801,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",633.6,316.8,138.19,570.24,65
NDC,16714086901,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",1081.65,540.83,235.91,973.49,65
NDC,16714087002,"RISEDRONATE 35 MG TABLET,DELAYED RELEASE",763.3,381.65,166.48,686.97,65
NDC,16714087401,ATORVASTATIN 10 MG TABLET,18.4,9.2,4.01,16.56,65
NDC,16714087403,ATORVASTATIN 10 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,16714087501,ATORVASTATIN 20 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,16714087601,ATORVASTATIN 40 MG TABLET,63.75,31.88,13.9,57.38,65
NDC,16714087603,ATORVASTATIN 40 MG TABLET,1425.0,712.5,310.79,1282.5,65
NDC,16714087701,ATORVASTATIN 80 MG TABLET,55.1,27.55,12.02,49.59,65
NDC,16714087702,ATORVASTATIN 80 MG TABLET,292.5,146.25,63.79,263.25,65
NDC,16714087703,ATORVASTATIN 80 MG TABLET,485.0,242.5,105.78,436.5,65
NDC,16714087801,LIDOCAINE 5 % TOPICAL OINTMENT,42.55,21.28,9.28,38.3,65
NDC,16714087802,LIDOCAINE 5 % TOPICAL OINTMENT,96.9,48.45,21.13,87.21,65
NDC,16714088301,DESMOPRESSIN 0.1 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,16714088401,DESMOPRESSIN 0.2 MG TABLET,129.0,64.5,28.13,116.1,65
NDC,16714088502,ACYCLOVIR 5 % TOPICAL OINTMENT,155.0,77.5,33.81,139.5,65
NDC,16714088601,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,16714088701,CLOBAZAM 10 MG TABLET,148.2,74.1,32.32,133.38,65
NDC,16714088901,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,199.15,99.58,14.38,179.24,66
NDC,16714088910,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,199.15,99.58,14.38,179.24,66
NDC,16714089201,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,2074.05,1037.03,0.04,1866.65,66
NDC,16714089401,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",16.05,8.03,3.5,14.45,65
NDC,16714089501,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",61.2,30.6,13.35,55.08,65
NDC,16714089601,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",88.2,44.1,19.24,79.38,65
NDC,16714089701,PERMETHRIN 5 % TOPICAL CREAM,102.25,51.13,22.3,92.03,65
NDC,16714090001,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,2685.5,1342.75,585.71,2416.95,65
NDC,16714090601,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.75,10.88,0.47,19.58,71
NDC,16714090625,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.75,10.88,0.47,19.58,71
NDC,16714090701,ALBENDAZOLE 200 MG TABLET,427.2,213.6,93.17,384.48,65
NDC,16714090801,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,16714092701,AZACITIDINE 100 MG SOLUTION FOR INJECTION,1181.1,590.55,0.4,1062.99,66
NDC,16714092801,DECITABINE 50 MG INTRAVENOUS SOLUTION,546.35,273.18,1.88,491.72,66
NDC,16714093001,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,16714094801,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,331.0,165.5,72.19,297.9,65
NDC,16714095001,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,16714095301,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,169.8,84.9,37.03,152.82,65
NDC,16714095501,KETOCONAZOLE 2 % TOPICAL CREAM,30.15,15.08,6.58,27.14,65
NDC,16714095502,KETOCONAZOLE 2 % TOPICAL CREAM,129.1,64.55,28.16,116.19,65
NDC,16714096401,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",299.2,149.6,65.26,269.28,65
NDC,16714097201,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,156.8,78.4,0.66,141.12,66
NDC,16714097301,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,9122.0,4561.0,1989.51,8209.8,65
NDC,16714097302,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,4501.2,2250.6,981.71,4051.08,65
NDC,16714097402,MOMETASONE 0.1 % TOPICAL CREAM,88.6,44.3,19.32,79.74,65
NDC,16714097601,DICLOFENAC 1 % TOPICAL GEL,61.8,30.9,13.48,55.62,65
NDC,16714097701,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.2,12.6,0.14,22.68,66
NDC,16714097720,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,25.2,12.6,0.14,22.68,66
NDC,16714098001,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",75.8,37.9,16.53,68.22,65
NDC,16714098002,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",137.7,68.85,30.03,123.93,65
NDC,16714098101,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,84.75,42.38,18.48,76.28,66
NDC,16714098102,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,85.3,42.65,18.6,76.77,66
NDC,16714098501,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,12.55,6.28,2.74,11.3,65
NDC,16714098502,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,25.45,12.73,5.55,22.91,65
NDC,16714098601,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,5.5,2.75,1.2,4.95,65
NDC,16714098602,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,24.85,12.43,5.42,22.37,65
NDC,16714098604,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,106.25,53.13,23.17,95.63,65
NDC,16714098701,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,24.05,12.03,5.25,21.65,65
NDC,16714098801,ROSUVASTATIN 5 MG TABLET,31.9,15.95,6.96,28.71,65
NDC,16714098901,ROSUVASTATIN 10 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,16714099101,ROSUVASTATIN 40 MG TABLET,14.25,7.13,3.11,12.83,65
NDC,16714099701,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,126.4,63.2,0.66,113.76,66
NDC,16714099801,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,82.85,41.43,0.47,74.57,71
NDC,16729000201,GLIMEPIRIDE 2 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,16729000301,GLIMEPIRIDE 4 MG TABLET,151.8,75.9,33.11,136.62,65
NDC,16729001015,PRAVASTATIN 40 MG TABLET,101.0,50.5,22.03,90.9,65
NDC,16729001115,PRAVASTATIN 80 MG TABLET,45.4,22.7,9.9,40.86,65
NDC,16729001901,MYCOPHENOLATE MOFETIL 500 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,16729002015,PIOGLITAZONE 15 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,16729002115,PIOGLITAZONE 30 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,16729002301,BICALUTAMIDE 50 MG TABLET,321.0,160.5,70.01,288.9,65
NDC,16729002310,BICALUTAMIDE 50 MG TABLET,115.6,57.8,25.21,104.04,65
NDC,16729003001,METHYLDOPA 250 MG TABLET,64.2,32.1,14.0,57.78,65
NDC,16729003410,LETROZOLE 2.5 MG TABLET,27.9,13.95,6.08,25.11,65
NDC,16729003510,ANASTROZOLE 1 MG TABLET,39.1,19.55,8.53,35.19,65
NDC,16729003515,ANASTROZOLE 1 MG TABLET,54.55,27.28,11.9,49.1,65
NDC,16729004101,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",73.8,36.9,0.26,66.42,66
NDC,16729004201,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",298.2,149.1,0.26,268.38,66
NDC,16729004301,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",466.0,233.0,0.26,419.4,66
NDC,16729004615,ATORVASTATIN 40 MG TABLET,75.1,37.55,16.38,67.59,65
NDC,16729004853,TEMOZOLOMIDE 5 MG CAPSULE,73.65,36.83,16.06,66.29,65
NDC,16729004854,TEMOZOLOMIDE 5 MG CAPSULE,206.15,103.08,44.96,185.54,65
NDC,16729004954,TEMOZOLOMIDE 20 MG CAPSULE,396.7,198.35,86.52,357.03,65
NDC,16729005053,TEMOZOLOMIDE 100 MG CAPSULE,577.5,288.75,125.95,519.75,65
NDC,16729005054,TEMOZOLOMIDE 100 MG CAPSULE,1616.95,808.48,352.66,1455.26,65
NDC,16729007212,CAPECITABINE 150 MG TABLET,77.4,38.7,0.04,69.66,70
NDC,16729007329,CAPECITABINE 500 MG TABLET,329.4,164.7,0.04,296.46,70
NDC,16729007801,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",187.2,93.6,40.83,168.48,65
NDC,16729007901,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",276.5,138.25,60.3,248.85,65
NDC,16729008101,NALTREXONE 50 MG TABLET,838.5,419.25,182.88,754.65,65
NDC,16729008110,NALTREXONE 50 MG TABLET,242.3,121.15,52.85,218.07,65
NDC,16729009001,FINASTERIDE 5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,16729009010,FINASTERIDE 5 MG TABLET,13.7,6.85,2.99,12.33,65
NDC,16729009015,FINASTERIDE 5 MG TABLET,41.05,20.53,8.95,36.95,65
NDC,16729009401,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,79.8,39.9,17.4,71.82,65
NDC,16729009416,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,427.5,213.75,93.24,384.75,65
NDC,16729009512,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",155.55,77.78,33.93,140.0,65
NDC,16729009612,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",177.5,88.75,38.71,159.75,65
NDC,16729009712,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",180.0,90.0,39.26,162.0,65
NDC,16729010811,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2388.05,1194.03,20.75,2149.25,71
NDC,16729010912,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",138.6,69.3,30.23,124.74,65
NDC,16729011408,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,16729011411,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,474.15,237.08,1.1,426.74,66
NDC,16729011431,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,16729011505,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,1062.05,531.03,20.75,955.85,71
NDC,16729011638,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,4724.15,2362.08,20.75,4251.74,71
NDC,16729013130,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1615.8,807.9,69.56,1454.22,71
NDC,16729013212,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",42.85,21.43,9.35,38.57,65
NDC,16729013401,ALLOPURINOL 100 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,16729013501,ALLOPURINOL 300 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,16729013600,CLONAZEPAM 0.5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,16729013616,CLONAZEPAM 0.5 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,16729013700,CLONAZEPAM 1 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,16729013716,CLONAZEPAM 1 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,16729013800,CLONAZEPAM 2 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,16729013816,CLONAZEPAM 2 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,16729014201,CLOZAPINE 100 MG TABLET,322.0,161.0,70.23,289.8,65
NDC,16729014501,QUETIAPINE 25 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,16729014517,QUETIAPINE 25 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,16729014701,QUETIAPINE 100 MG TABLET,35.4,17.7,7.72,31.86,65
NDC,16729014912,QUETIAPINE 300 MG TABLET,67.0,33.5,14.61,60.3,65
NDC,16729015131,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,450.0,225.0,0.87,405.0,66
NDC,16729015615,SIMVASTATIN 5 MG TABLET,8.65,4.33,1.89,7.79,65
NDC,16729016801,ESCITALOPRAM 5 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,16729016901,ESCITALOPRAM 10 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,16729017101,AMITRIPTYLINE 10 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,16729017201,AMITRIPTYLINE 25 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,16729017301,AMITRIPTYLINE 50 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,16729017401,AMITRIPTYLINE 75 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,16729017501,AMITRIPTYLINE 100 MG TABLET,166.2,83.1,36.25,149.58,65
NDC,16729017601,AMITRIPTYLINE 150 MG TABLET,213.6,106.8,46.59,192.24,65
NDC,16729018201,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,54.6,27.3,11.91,49.14,65
NDC,16729018217,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,16729018301,HYDROCHLOROTHIAZIDE 25 MG TABLET,7.2,3.6,1.57,6.48,65
NDC,16729018317,HYDROCHLOROTHIAZIDE 25 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,16729018401,HYDROCHLOROTHIAZIDE 50 MG TABLET,7.8,3.9,1.7,7.02,65
NDC,16729018929,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",244.1,122.05,53.24,219.69,65
NDC,16729020001,BUSPIRONE 5 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,16729020016,BUSPIRONE 5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,16729020101,BUSPIRONE 7.5 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,16729020201,BUSPIRONE 10 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,16729020301,BUSPIRONE 15 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,16729020312,BUSPIRONE 15 MG TABLET,19.1,9.55,4.17,17.19,65
NDC,16729021301,DOXAZOSIN 4 MG TABLET,158.4,79.2,34.55,142.56,65
NDC,16729021515,SERTRALINE 25 MG TABLET,42.7,21.35,9.31,38.43,65
NDC,16729021615,SERTRALINE 50 MG TABLET,18.4,9.2,4.01,16.56,65
NDC,16729021715,SERTRALINE 100 MG TABLET,22.15,11.08,4.83,19.94,65
NDC,16729021810,CLOPIDOGREL 75 MG TABLET,14.95,7.48,3.26,13.46,65
NDC,16729021815,CLOPIDOGREL 75 MG TABLET,44.85,22.43,9.78,40.37,65
NDC,16729022130,TEMSIROLIMUS 10 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION,5350.0,2675.0,27.25,4815.0,71
NDC,16729022361,TEMSIROLIMUS 10 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION,5350.0,2675.0,27.25,4815.0,71
NDC,16729022405,DECITABINE 50 MG INTRAVENOUS SOLUTION,466.0,233.0,1.88,419.4,66
NDC,16729022501,SPIRONOLACTONE 25 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,16729022601,SPIRONOLACTONE 50 MG TABLET,164.4,82.2,35.86,147.96,65
NDC,16729022701,SPIRONOLACTONE 100 MG TABLET,294.6,147.3,64.25,265.14,65
NDC,16729022903,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,470.55,235.28,4.44,423.5,71
NDC,16729023011,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,605.75,302.88,4.44,545.18,71
NDC,16729023930,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,47.1,23.55,10.27,42.39,65
NDC,16729023993,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,47.1,23.55,10.27,42.39,65
NDC,16729024231,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,124.85,62.43,7.71,112.37,66
NDC,16729024331,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.87,405.0,66
NDC,16729025105,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION,5966.8,2983.4,1.92,5370.12,71
NDC,16729026763,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,16729026764,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,462.1,231.05,1.07,415.89,66
NDC,16729026765,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION,813.8,406.9,1.07,732.42,66
NDC,16729027310,PRASUGREL HCL 10 MG TABLET,148.5,74.25,32.39,133.65,65
NDC,16729027503,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,331.8,165.9,0.24,298.62,66
NDC,16729027567,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,331.8,165.9,0.24,298.62,66
NDC,16729027603,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,16729027605,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,16729027611,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,16729027638,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,16729027667,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,16729027668,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,16729027703,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,16729027730,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,16729027735,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,16729027801,ARIPIPRAZOLE 2 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,16729027810,ARIPIPRAZOLE 2 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,16729027901,ARIPIPRAZOLE 5 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,16729027910,ARIPIPRAZOLE 5 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,16729028001,ARIPIPRAZOLE 10 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,16729028010,ARIPIPRAZOLE 10 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,16729028101,ARIPIPRAZOLE 15 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,16729028110,ARIPIPRAZOLE 15 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,16729028310,ARIPIPRAZOLE 30 MG TABLET,68.8,34.4,15.01,61.92,65
NDC,16729028710,ROSUVASTATIN 40 MG TABLET,13.9,6.95,3.03,12.51,65
NDC,16729028715,ROSUVASTATIN 40 MG TABLET,41.6,20.8,9.07,37.44,65
NDC,16729028811,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,16729028838,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,16729029212,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",555.0,277.5,121.05,499.5,65
NDC,16729029310,EPLERENONE 25 MG TABLET,232.95,116.48,50.81,209.66,65
NDC,16729029315,EPLERENONE 25 MG TABLET,582.3,291.15,127.0,524.07,65
NDC,16729029512,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,16729029533,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,16729029534,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,16729029805,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,58.0,29.0,0.17,52.2,66
NDC,16729030610,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,16729031063,PARICALCITOL 2 MCG/ML SOLUTION FOR HEMODIALYSIS PORT INJECTION,24.0,12.0,0.74,21.6,66
NDC,16729031108,PARICALCITOL 5 MCG/ML SOLUTION FOR HEMODIALYSIS PORT INJECTION,60.0,30.0,0.74,54.0,66
NDC,16729031163,PARICALCITOL 5 MCG/ML SOLUTION FOR HEMODIALYSIS PORT INJECTION,60.0,30.0,0.74,54.0,66
NDC,16729031701,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",150.0,75.0,32.72,135.0,65
NDC,16729032010,OLMESARTAN 5 MG TABLET,18.9,9.45,4.12,17.01,65
NDC,16729032015,OLMESARTAN 5 MG TABLET,27.55,13.78,6.01,24.8,65
NDC,16729032110,OLMESARTAN 20 MG TABLET,23.05,11.53,5.03,20.75,65
NDC,16729032115,OLMESARTAN 20 MG TABLET,69.15,34.58,15.08,62.24,65
NDC,16729033101,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",232.2,116.1,50.64,208.98,65
NDC,16729033203,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,16729033205,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,16729034710,LURASIDONE 40 MG TABLET,36.55,18.28,7.97,32.9,65
NDC,16729035210,VILAZODONE 10 MG TABLET,1146.0,573.0,249.94,1031.4,65
NDC,16729035310,VILAZODONE 20 MG TABLET,1146.0,573.0,249.94,1031.4,65
NDC,16729035410,VILAZODONE 40 MG TABLET,1146.0,573.0,249.94,1031.4,65
NDC,16729036403,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,213.15,106.58,2.96,191.84,66
NDC,16729036468,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,213.15,106.58,2.96,191.84,66
NDC,16729037210,TADALAFIL 20 MG TABLET,134.5,67.25,29.33,121.05,65
NDC,16729041401,DOXAZOSIN 2 MG TABLET,140.4,70.2,30.62,126.36,65
NDC,16729042210,TACROLIMUS 0.1 % TOPICAL OINTMENT,462.45,231.23,100.86,416.21,65
NDC,16729043011,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,436.5,218.25,1.85,392.85,71
NDC,16729043043,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,436.5,218.25,1.85,392.85,71
NDC,16729043310,EZETIMIBE 10 MG TABLET,34.95,17.48,7.62,31.46,65
NDC,16729043315,EZETIMIBE 10 MG TABLET,105.3,52.65,22.97,94.77,65
NDC,16729044010,CINACALCET 30 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,16729044015,CINACALCET 30 MG TABLET,249.5,124.75,54.42,224.55,65
NDC,16729044110,CINACALCET 60 MG TABLET,117.4,58.7,25.6,105.66,65
NDC,16729044115,CINACALCET 60 MG TABLET,374.4,187.2,81.66,336.96,65
NDC,16729044210,CINACALCET 90 MG TABLET,216.4,108.2,47.2,194.76,65
NDC,16729044310,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",23.05,11.53,5.03,20.75,65
NDC,16729044315,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",69.15,34.58,15.08,62.24,65
NDC,16729044316,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",297.5,148.75,64.88,267.75,65
NDC,16729044410,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",28.8,14.4,6.28,25.92,65
NDC,16729044715,LEVOTHYROXINE 25 MCG TABLET,50.25,25.13,10.96,45.23,65
NDC,16729044815,LEVOTHYROXINE 50 MCG TABLET,24.3,12.15,5.3,21.87,65
NDC,16729044915,LEVOTHYROXINE 75 MCG TABLET,47.55,23.78,10.37,42.8,65
NDC,16729045115,LEVOTHYROXINE 100 MCG TABLET,28.65,14.33,6.25,25.79,65
NDC,16729045215,LEVOTHYROXINE 112 MCG TABLET,57.25,28.63,12.49,51.53,65
NDC,16729045315,LEVOTHYROXINE 125 MCG TABLET,70.2,35.1,15.31,63.18,65
NDC,16729045317,LEVOTHYROXINE 125 MCG TABLET,96.0,48.0,20.94,86.4,65
NDC,16729045415,LEVOTHYROXINE 137 MCG TABLET,32.95,16.48,7.19,29.66,65
NDC,16729045515,LEVOTHYROXINE 150 MCG TABLET,57.8,28.9,12.61,52.02,65
NDC,16729045615,LEVOTHYROXINE 175 MCG TABLET,86.4,43.2,18.84,77.76,65
NDC,16729046408,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,16729046463,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,16729046531,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,122.65,61.33,26.75,110.39,65
NDC,16729046603,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,233.05,116.53,50.83,209.75,65
NDC,16729047731,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,110.95,55.48,15.27,99.86,66
NDC,16729047801,METHYLPHENIDATE 5 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,16729047901,METHYLPHENIDATE 10 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,16729048403,ATROPINE 0.1 MG/ML INJECTION SYRINGE,57.8,28.9,0.09,52.02,66
NDC,16729048501,HYDROXYCHLOROQUINE 200 MG TABLET,183.0,91.5,39.91,164.7,65
NDC,16729048601,METHOTREXATE SODIUM 2.5 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,16729049012,DOFETILIDE 125 MCG CAPSULE,443.7,221.85,96.77,399.33,65
NDC,16729049112,DOFETILIDE 250 MCG CAPSULE,443.7,221.85,96.77,399.33,65
NDC,16729049212,DOFETILIDE 500 MCG CAPSULE,443.7,221.85,96.77,399.33,65
NDC,16729049303,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,48.85,24.43,0.89,43.97,66
NDC,16729049345,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,48.85,24.43,0.89,43.97,66
NDC,16729050008,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.05,11.03,4.81,19.85,65
NDC,16729050030,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.05,11.03,4.81,19.85,65
NDC,16729050143,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.7,11.35,4.95,20.43,65
NDC,16729050164,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.7,11.35,4.95,20.43,65
NDC,16729050203,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,23.0,11.5,5.02,20.7,65
NDC,16729050243,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,23.0,11.5,5.02,20.7,65
NDC,16729051205,ATROPINE 0.4 MG/ML INJECTION SOLUTION,194.65,97.33,0.09,175.19,66
NDC,16729052508,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,21.3,10.65,0.09,19.17,66
NDC,16729052563,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,21.3,10.65,0.09,19.17,66
NDC,16729052608,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,36.25,18.13,0.09,32.63,66
NDC,16729052663,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,36.25,18.13,0.09,32.63,66
NDC,16729053308,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",23.15,11.58,1.6,20.84,66
NDC,16729053363,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",23.15,11.58,1.6,20.84,66
NDC,16729054910,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,154.1,77.05,5.1,138.69,66
NDC,16729055010,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,290.7,145.35,9.04,261.63,66
NDC,16837085514,FAMOTIDINE 20 MG TABLET,58.8,29.4,12.82,52.92,65
NDC,16837085550,FAMOTIDINE 20 MG TABLET,100.8,50.4,21.98,90.72,65
NDC,16986002080,"HYALURONATE SODIUM, STABILIZED 60 MG/3 ML INTRA-ARTICULAR SYRINGE",3733.0,1866.5,6.57,3359.7,71
NDC,17156002101,INDIUM IN-111 OXYQUINOLINE 1 MCI/ML (37 MBQ/ML)(1 ML) INTRAVENOUS SOLN,25259.8,12629.9,1052.02,22733.82,69
NDC,17156002205,TC-99M EXAMETAZIME INTRAVENOUS SOLUTION,10283.85,5141.93,818.39,9255.47,69
NDC,17156002630,TC-99M TETROFOSMIN IV SOLUTION,584.85,292.43,127.56,526.37,64
NDC,17156006730,FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION,15840.0,7920.0,1903.92,14256.0,69
NDC,17156021001,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,7774.2,3887.1,1415.78,6996.78,69
NDC,17156023501,IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN,30650.5,15325.25,2116.31,27585.45,69
NDC,17156025108,PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION,5313.0,2656.5,729.6,4781.7,69
NDC,17156029918,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,60.65,30.33,13.23,54.59,64
NDC,17238042406,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,341.75,170.88,74.54,307.58,65
NDC,17238042425,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,341.75,170.88,74.54,307.58,65
NDC,17238090011,FLUORESCEIN 1 MG EYE STRIPS,88.8,44.4,19.37,79.92,65
NDC,17238090030,FLUORESCEIN 1 MG EYE STRIPS,208.8,104.4,45.54,187.92,65
NDC,17238090099,FLUORESCEIN 1 MG EYE STRIPS,3.15,1.58,0.69,2.84,65
NDC,17270074000,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,71.05,35.53,15.5,63.95,65
NDC,17478001502,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,205.65,102.83,27.71,185.09,66
NDC,17478003002,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.65,13.33,1.07,23.99,66
NDC,17478003005,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.1,26.05,1.07,46.89,66
NDC,17478003025,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.9,13.45,1.07,24.21,66
NDC,17478003055,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,52.4,26.2,1.07,47.16,66
NDC,17478004001,LORAZEPAM 2 MG/ML INJECTION SOLUTION,27.55,13.78,1.24,24.8,66
NDC,17478004101,NALOXONE 0.4 MG/ML INJECTION SOLUTION,78.6,39.3,17.14,70.74,65
NDC,17478004210,NALOXONE 0.4 MG/ML INJECTION SOLUTION,306.25,153.13,66.79,275.63,65
NDC,17478004532,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,351.1,175.55,76.57,315.99,65
NDC,17478005001,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,29.1,14.55,6.35,26.19,65
NDC,17478005002,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,41.2,20.6,8.99,37.08,65
NDC,17478005005,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,87.0,43.5,18.97,78.3,65
NDC,17478006702,ALFENTANIL 500 MCG/ML INJECTION SOLUTION,39.05,19.53,2.75,35.15,66
NDC,17478007031,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,22.1,11.05,4.82,19.89,65
NDC,17478007035,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,37.2,18.6,8.11,33.48,65
NDC,17478008130,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,57.25,28.63,0.09,51.53,66
NDC,17478009702,CYCLOPENTOLATE 2 % EYE DROPS,127.1,63.55,27.72,114.39,65
NDC,17478009710,CYCLOPENTOLATE 2 % EYE DROPS,72.2,36.1,15.75,64.98,65
NDC,17478009712,CYCLOPENTOLATE 2 % EYE DROPS,290.85,145.43,63.43,261.77,65
NDC,17478010002,CYCLOPENTOLATE 1 % EYE DROPS,28.95,14.48,6.31,26.06,65
NDC,17478010012,CYCLOPENTOLATE 1 % EYE DROPS,64.55,32.28,14.08,58.1,65
NDC,17478010112,TROPICAMIDE 0.5 % EYE DROPS,40.45,20.23,8.82,36.41,65
NDC,17478010212,TROPICAMIDE 1 % EYE DROPS,37.2,18.6,8.11,33.48,65
NDC,17478010720,LEVOFLOXACIN 25 MG/ML INTRAVENOUS SOLUTION,111.2,55.6,1.01,100.08,66
NDC,17478017101,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,8.85,4.43,1.93,7.97,65
NDC,17478017130,LEVALBUTEROL CONCENTRATE 1.25 MG/0.5 ML SOLUTION FOR NEBULIZATION,8.85,4.43,1.93,7.97,65
NDC,17478017312,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,58.2,29.1,12.69,52.38,65
NDC,17478020102,PHENYLEPHRINE 2.5 % EYE DROPS,171.2,85.6,37.34,154.08,65
NDC,17478020115,PHENYLEPHRINE 2.5 % EYE DROPS,371.85,185.93,81.1,334.67,65
NDC,17478020605,PHENYLEPHRINE 10 % EYE DROPS,195.6,97.8,42.66,176.04,65
NDC,17478020910,KETOROLAC 0.5 % EYE DROPS,52.7,26.35,11.49,47.43,65
NDC,17478020911,KETOROLAC 0.5 % EYE DROPS,68.35,34.18,14.91,61.52,65
NDC,17478020919,KETOROLAC 0.5 % EYE DROPS,87.75,43.88,19.14,78.98,65
NDC,17478021502,ATROPINE 1 % EYE DROPS,164.9,82.45,35.96,148.41,65
NDC,17478021505,ATROPINE 1 % EYE DROPS,206.1,103.05,44.95,185.49,65
NDC,17478021515,ATROPINE 1 % EYE DROPS,411.6,205.8,89.77,370.44,65
NDC,17478022312,PILOCARPINE 1 % EYE DROPS,264.9,132.45,57.77,238.41,65
NDC,17478022412,PILOCARPINE 2 % EYE DROPS,180.45,90.23,39.36,162.41,65
NDC,17478022612,PILOCARPINE 4 % EYE DROPS,280.1,140.05,61.09,252.09,65
NDC,17478023535,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",83.6,41.8,18.23,75.24,65
NDC,17478023835,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",73.35,36.68,16.0,66.02,65
NDC,17478025020,FLUORESCEIN 500 MG/2 ML (25 %) INTRAVENOUS SOLUTION,322.85,161.43,70.41,290.57,65
NDC,17478025310,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,277.5,138.75,60.52,249.75,65
NDC,17478026312,PROPARACAINE 0.5 % EYE DROPS,193.7,96.85,42.25,174.33,65
NDC,17478028435,GENTAMICIN 0.3 % (3 MG/GRAM) EYE OINTMENT,173.8,86.9,37.91,156.42,65
NDC,17478028810,TIMOLOL MALEATE 0.5 % EYE DROPS,26.95,13.48,5.88,24.26,65
NDC,17478028811,TIMOLOL MALEATE 0.5 % EYE DROPS,38.9,19.45,8.48,35.01,65
NDC,17478029010,TOBRAMYCIN 0.3 % EYE DROPS,23.3,11.65,5.08,20.97,65
NDC,17478029111,CROMOLYN 4 % EYE DROPS,37.75,18.88,8.23,33.98,65
NDC,17478034038,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,55.15,27.58,12.03,49.64,66
NDC,17478038020,METHADONE 10 MG/ML INJECTION SOLUTION,1282.5,641.25,21.83,1154.25,66
NDC,17478040303,FLUORESCEIN 0.6 MG EYE STRIPS,189.0,94.5,41.22,170.1,65
NDC,17478040401,FLUORESCEIN 1 MG EYE STRIPS,70.8,35.4,15.44,63.72,65
NDC,17478041501,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,73.3,36.65,15.99,65.97,65
NDC,17478041510,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,73.3,36.65,15.99,65.97,65
NDC,17478041940,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,390.05,195.03,85.07,351.05,66
NDC,17478042020,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,151.15,75.58,32.97,136.04,65
NDC,17478042040,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,254.45,127.23,55.5,229.01,65
NDC,17478042240,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,209.55,104.78,45.7,188.6,65
NDC,17478045016,HYDROCODONE 10 MG-ACETAMINOPHEN 300 MG/15 ML ORAL SOLUTION,938.95,469.48,204.78,845.06,65
NDC,17478051002,PHYSOSTIGMINE 1 MG/ML INJECTION SOLUTION,363.8,181.9,79.34,327.42,65
NDC,17478051701,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,117.6,58.8,25.65,105.84,65
NDC,17478051919,MOXIFLOXACIN 0.5 % EYE DROPS,217.45,108.73,47.43,195.71,65
NDC,17478052410,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,86.75,43.38,0.16,78.08,66
NDC,17478052603,DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION,781.55,390.78,56.29,703.4,66
NDC,17478053802,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,23.3,11.65,5.08,20.97,66
NDC,17478054001,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,52.15,26.08,11.37,46.94,65
NDC,17478054005,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,61.55,30.78,13.42,55.4,65
NDC,17478054050,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,305.75,152.88,66.68,275.18,65
NDC,17478054202,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,21.45,10.73,0.66,19.31,66
NDC,17478054225,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,21.95,10.98,0.66,19.76,66
NDC,17478054420,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,112.2,56.1,0.66,100.98,66
NDC,17478054430,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,166.35,83.18,0.66,149.72,66
NDC,17478054602,GRANISETRON HCL 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,46.7,23.35,0.5,42.03,66
NDC,17478054605,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,75.4,37.7,0.5,67.86,66
NDC,17478060401,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,249.3,124.65,54.37,224.37,65
NDC,17478060510,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,973.95,486.98,212.42,876.56,65
NDC,17478062512,LATANOPROST 0.005 % EYE DROPS,86.7,43.35,18.91,78.03,65
NDC,17478066030,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,898.6,449.3,195.98,808.74,65
NDC,17478070102,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,481.15,240.58,104.94,433.04,65
NDC,17478070125,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,481.15,240.58,104.94,433.04,65
NDC,17478070311,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",35.65,17.83,7.78,32.09,65
NDC,17478070510,BETAXOLOL 0.5 % EYE DROPS,282.9,141.45,61.7,254.61,65
NDC,17478071110,LIDOCAINE HCL 2 % MUCOSAL JELLY,36.9,18.45,8.05,33.21,65
NDC,17478071130,LIDOCAINE HCL 2 % MUCOSAL JELLY,335.7,167.85,73.22,302.13,65
NDC,17478071131,LIDOCAINE HCL 2 % MUCOSAL JELLY,36.9,18.45,8.05,33.21,65
NDC,17478071310,OFLOXACIN 0.3 % EYE DROPS,38.85,19.43,8.47,34.97,65
NDC,17478071311,OFLOXACIN 0.3 % EYE DROPS,73.5,36.75,16.03,66.15,65
NDC,17478071410,CIPROFLOXACIN 0.3 % EYE DROPS,49.45,24.73,10.79,44.51,65
NDC,17478071425,CIPROFLOXACIN 0.3 % EYE DROPS,41.7,20.85,9.09,37.53,65
NDC,17478071510,BRIMONIDINE 0.2 % EYE DROPS,88.2,44.1,19.24,79.38,65
NDC,17478071610,APRACLONIDINE 0.5 % EYE DROPS,272.8,136.4,59.5,245.52,65
NDC,17478071611,APRACLONIDINE 0.5 % EYE DROPS,486.25,243.13,106.05,437.63,65
NDC,17478076106,DRONABINOL 2.5 MG CAPSULE,449.4,224.7,98.01,404.46,65
NDC,17478076206,DRONABINOL 5 MG CAPSULE,936.3,468.15,204.21,842.67,65
NDC,17478076610,PROGESTERONE MICRONIZED 100 MG CAPSULE,266.5,133.25,58.12,239.85,65
NDC,17478076830,AMINOCAPROIC ACID 500 MG TABLET,457.8,228.9,99.85,412.02,65
NDC,17478079201,LIDOCAINE (PF) 3.5 % EYE GEL,112.05,56.03,24.44,100.85,65
NDC,17478079225,LIDOCAINE (PF) 3.5 % EYE GEL,112.0,56.0,24.43,100.8,65
NDC,17478089225,DICLOFENAC 0.1 % EYE DROPS,60.5,30.25,13.2,54.45,65
NDC,17478093101,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,39.65,19.83,1.05,35.69,66
NDC,17478093401,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,210.9,105.45,6.2,189.81,66
NDC,17478093415,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,50.2,25.1,6.2,45.18,66
NDC,17478093705,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.65,23.83,10.39,42.89,65
NDC,17478093710,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.75,23.88,10.41,42.98,65
NDC,17478093725,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,85.9,42.95,18.73,77.31,65
NDC,17478093726,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,80.8,40.4,17.62,72.72,65
NDC,17772010230,"TOPIRAMATE XR 50 MG CAPSULE,EXTENDED RELEASE 24 HR",2221.2,1110.6,484.44,1999.08,65
NDC,17856006501,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,14.6,7.3,3.18,13.14,65
NDC,17856011201,MUPIROCIN 2 % TOPICAL OINTMENT,3.2,1.6,0.7,2.88,65
NDC,17856023702,MORPHINE 10 MG/5 ML ORAL SOLUTION,36.0,18.0,7.85,32.4,65
NDC,17856057401,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.5,6.75,2.94,12.15,65
NDC,17856075902,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,20.85,10.43,4.55,18.77,65
NDC,17856075905,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,9.2,4.6,2.01,8.28,65
NDC,17856081501,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,11.65,5.83,2.54,10.49,65
NDC,17856081502,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,20.85,10.43,4.55,18.77,65
NDC,17856104501,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",23.35,11.68,5.09,21.02,65
NDC,18657011701,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",284.8,142.4,0.4,256.32,66
NDC,18657011702,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",284.8,142.4,0.4,256.32,66
NDC,18657011704,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",284.8,142.4,0.4,256.32,66
NDC,19515081041,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,40.0,20.0,8.72,36.0,71
NDC,19515081052,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,40.0,20.0,8.72,36.0,71
NDC,21586001201,CEFOTAXIME 2 GRAM SOLUTION FOR INJECTION,2525.0,1262.5,3.64,2272.5,66
NDC,21586001202,CEFOTAXIME 2 GRAM SOLUTION FOR INJECTION,2525.0,1262.5,3.64,2272.5,66
NDC,21922000909,DICLOFENAC 1 % TOPICAL GEL,61.8,30.9,13.48,55.62,65
NDC,21922002107,PERMETHRIN 5 % TOPICAL CREAM,180.0,90.0,39.26,162.0,65
NDC,21922002504,KETOCONAZOLE 2 % TOPICAL CREAM,83.25,41.63,18.16,74.93,65
NDC,21922002904,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,138.7,69.35,30.25,124.83,65
NDC,21922003104,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",19.2,9.6,4.19,17.28,65
NDC,21922003105,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",29.55,14.78,6.44,26.6,65
NDC,21922004501,MESALAMINE 4 GRAM/60 ML ENEMA,43.95,21.98,9.59,39.56,65
NDC,21922004547,MESALAMINE 4 GRAM/60 ML ENEMA,43.95,21.98,9.59,39.56,65
NDC,21922006315,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,54.25,27.13,11.83,48.83,65
NDC,23155000101,HYDRALAZINE 10 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,23155000110,HYDRALAZINE 10 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,23155000201,HYDRALAZINE 25 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,23155000301,HYDRALAZINE 50 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,23155000401,HYDRALAZINE 100 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,23155001001,INDOMETHACIN 25 MG CAPSULE,68.4,34.2,14.92,61.56,65
NDC,23155001701,TETRACYCLINE 250 MG CAPSULE,288.6,144.3,62.94,259.74,65
NDC,23155001801,TETRACYCLINE 500 MG CAPSULE,2286.0,1143.0,498.58,2057.4,65
NDC,23155002301,BUSPIRONE 5 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,23155002601,VERAPAMIL 80 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,23155004403,LEFLUNOMIDE 20 MG TABLET,131.95,65.98,28.78,118.76,65
NDC,23155004901,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",261.6,130.8,57.05,235.44,65
NDC,23155005519,NARATRIPTAN 2.5 MG TABLET,190.95,95.48,41.65,171.86,65
NDC,23155005801,GLYBURIDE 5 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,23155005901,VERAPAMIL 40 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,23155007001,METHIMAZOLE 5 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,23155007101,METHIMAZOLE 10 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,23155009201,DOXAZOSIN 1 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,23155010201,METFORMIN 500 MG TABLET,8.4,4.2,1.83,7.56,65
NDC,23155010205,METFORMIN 500 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,23155010301,METFORMIN 850 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,23155012001,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",578.0,289.0,126.06,520.2,65
NDC,23155016031,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,4.77,19.67,65
NDC,23155016032,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.8,11.4,4.97,20.52,65
NDC,23155016041,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,4.77,19.67,65
NDC,23155016042,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.8,11.4,4.97,20.52,65
NDC,23155016631,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.15,23.58,10.28,42.44,65
NDC,23155016641,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.15,23.58,10.28,42.44,65
NDC,23155017801,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",240.0,120.0,52.34,216.0,65
NDC,23155018631,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,737.5,368.75,7.71,663.75,66
NDC,23155019101,BUPROPION HCL 75 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,23155019201,BUPROPION HCL 100 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,23155019331,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,79.1,39.55,15.44,71.19,66
NDC,23155019341,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,108.25,54.13,15.44,97.43,66
NDC,23155019401,NIFEDIPINE 10 MG CAPSULE,231.0,115.5,50.38,207.9,65
NDC,23155019501,NIFEDIPINE 20 MG CAPSULE,432.0,216.0,94.22,388.8,65
NDC,23155019631,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.3,22.65,0.17,40.77,66
NDC,23155019642,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.3,22.65,0.17,40.77,66
NDC,23155021631,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,2203.7,1101.85,480.63,1983.33,71
NDC,23155024031,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.9,10.45,1.22,18.81,66
NDC,23155024041,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,20.9,10.45,1.22,18.81,66
NDC,23155024701,VENLAFAXINE 37.5 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,23155024801,VENLAFAXINE 50 MG TABLET,76.8,38.4,16.75,69.12,65
NDC,23155024901,VENLAFAXINE 75 MG TABLET,73.2,36.6,15.96,65.88,65
NDC,23155025001,VENLAFAXINE 100 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,23155025831,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,111.0,55.5,0.66,99.9,66
NDC,23155025832,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,128.55,64.28,0.66,115.7,66
NDC,23155026131,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,9803.1,4901.55,243.23,8822.79,71
NDC,23155026141,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,9803.1,4901.55,243.23,8822.79,71
NDC,23155028701,ACETAZOLAMIDE 125 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,23155028801,ACETAZOLAMIDE 250 MG TABLET,208.2,104.1,45.41,187.38,65
NDC,23155029031,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,48.5,24.25,0.92,43.65,66
NDC,23155029032,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",69.4,34.7,0.92,62.46,66
NDC,23155029041,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,48.5,24.25,0.92,43.65,66
NDC,23155029042,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",69.4,34.7,0.92,62.46,66
NDC,23155029431,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.4,11.2,3.81,20.16,66
NDC,23155029441,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.4,11.2,3.81,20.16,66
NDC,23155029442,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.4,11.2,3.81,20.16,66
NDC,23155031331,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,61.9,30.95,13.5,55.71,66
NDC,23155031751,RISPERIDONE 1 MG/ML ORAL SOLUTION,167.25,83.63,36.48,150.53,65
NDC,23155032631,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,441.05,220.53,96.19,396.95,71
NDC,23155034533,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,44.4,22.2,0.14,39.96,66
NDC,23155034543,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,44.4,22.2,0.14,39.96,66
NDC,23155036201,AMANTADINE HCL 100 MG CAPSULE,403.0,201.5,87.89,362.7,65
NDC,23155047331,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.7,10.35,4.51,18.63,65
NDC,23155047332,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,23155047333,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,23155047341,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.7,10.35,4.51,18.63,65
NDC,23155047342,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,23155047344,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,23155048601,VERAPAMIL 120 MG TABLET,31.2,15.6,6.8,28.08,65
NDC,23155048901,DESMOPRESSIN 0.1 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,23155049001,DESMOPRESSIN 0.2 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,23155049731,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.65,11.33,3.81,20.39,66
NDC,23155049742,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.65,11.33,3.81,20.39,66
NDC,23155050001,HYDROXYZINE HCL 10 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,23155050101,HYDROXYZINE HCL 25 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,23155050105,HYDROXYZINE HCL 25 MG TABLET,165.0,82.5,35.99,148.5,65
NDC,23155050201,HYDROXYZINE HCL 50 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,23155051200,NIMODIPINE 30 MG CAPSULE,543.0,271.5,118.43,488.7,65
NDC,23155051211,NIMODIPINE 30 MG CAPSULE,6.55,3.28,1.43,5.9,65
NDC,23155051230,NIMODIPINE 30 MG CAPSULE,286.05,143.03,62.39,257.45,65
NDC,23155051901,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",126.0,63.0,27.48,113.4,65
NDC,23155052331,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.4,11.2,3.81,20.16,66
NDC,23155052341,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.4,11.2,3.81,20.16,66
NDC,23155052431,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.15,23.58,10.28,42.44,65
NDC,23155052441,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.15,23.58,10.28,42.44,65
NDC,23155053006,TROSPIUM 20 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,23155053102,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,23155053201,ETHOSUXIMIDE 250 MG CAPSULE,600.0,300.0,130.86,540.0,65
NDC,23155053825,DOXERCALCIFEROL 0.5 MCG CAPSULE,1648.5,824.25,359.54,1483.65,65
NDC,23155054025,DOXERCALCIFEROL 2.5 MCG CAPSULE,3055.2,1527.6,666.34,2749.68,65
NDC,23155054731,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.35,22.68,0.17,40.82,66
NDC,23155054742,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.35,22.68,0.17,40.82,66
NDC,23155054831,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,23155054841,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,23155054842,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,23155054931,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,69.4,34.7,0.17,62.46,66
NDC,23155055031,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,52.75,26.38,0.17,47.48,66
NDC,23155057801,DESIPRAMINE 10 MG TABLET,440.5,220.25,96.07,396.45,65
NDC,23155057901,DESIPRAMINE 25 MG TABLET,128.4,64.2,28.0,115.56,65
NDC,23155060031,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.4,12.7,0.16,22.86,66
NDC,23155060041,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.4,12.7,0.16,22.86,66
NDC,23155060131,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.75,25.88,0.16,46.58,66
NDC,23155060132,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,52.15,26.08,0.16,46.94,66
NDC,23155060141,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.75,25.88,0.16,46.58,66
NDC,23155060142,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,52.15,26.08,0.16,46.94,66
NDC,23155060503,MODAFINIL 200 MG TABLET,44.1,22.05,9.62,39.69,65
NDC,23155060601,GLYCOPYRROLATE 1 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,23155060701,GLYCOPYRROLATE 2 MG TABLET,128.4,64.2,28.0,115.56,65
NDC,23155062031,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.75,22.88,9.98,41.18,65
NDC,23155062041,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.75,22.88,9.98,41.18,65
NDC,23155064731,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1298.1,649.05,243.23,1168.29,71
NDC,23155064941,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1298.1,649.05,243.23,1168.29,71
NDC,23155065105,METRONIDAZOLE 250 MG TABLET,677.5,338.75,147.76,609.75,65
NDC,23155065201,METRONIDAZOLE 500 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,23155065205,METRONIDAZOLE 500 MG TABLET,1120.0,560.0,244.27,1008.0,65
NDC,23155066131,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,319.0,159.5,69.57,287.1,65
NDC,23155066142,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,319.0,159.5,69.57,287.1,65
NDC,23155066201,CALCITRIOL 0.25 MCG CAPSULE,85.2,42.6,18.58,76.68,65
NDC,23155066203,CALCITRIOL 0.25 MCG CAPSULE,48.8,24.4,10.64,43.92,65
NDC,23155066301,CALCITRIOL 0.5 MCG CAPSULE,295.2,147.6,64.38,265.68,65
NDC,23155068531,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,112.05,56.03,1.32,100.85,66
NDC,23155068731,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,22.65,11.33,1.32,20.39,66
NDC,23155068741,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,22.65,11.33,1.32,20.39,66
NDC,23155068831,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.1,11.05,1.32,19.89,66
NDC,23155068931,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,43.95,21.98,1.32,39.56,66
NDC,23155068941,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,43.95,21.98,1.32,39.56,66
NDC,23155070401,ENALAPRIL MALEATE 2.5 MG TABLET,100.2,50.1,21.85,90.18,65
NDC,23155072301,LABETALOL 100 MG TABLET,172.2,86.1,37.56,154.98,65
NDC,23155072401,LABETALOL 200 MG TABLET,243.0,121.5,53.0,218.7,65
NDC,23155072405,LABETALOL 200 MG TABLET,967.5,483.75,211.01,870.75,65
NDC,23155072501,LABETALOL 300 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,23155073001,NADOLOL 20 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,23155073701,TERAZOSIN 5 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,23155074703,RASAGILINE 1 MG TABLET,430.05,215.03,93.79,387.05,65
NDC,23155074831,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,279.25,139.63,60.9,251.33,65
NDC,23155074841,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,279.25,139.63,60.9,251.33,65
NDC,23155075809,SERTRALINE 50 MG TABLET,42.7,21.35,9.31,38.43,65
NDC,23155076301,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",69.0,34.5,15.05,62.1,65
NDC,23155076701,TETRACYCLINE 500 MG CAPSULE,850.0,425.0,185.39,765.0,65
NDC,23155077201,ENALAPRIL MALEATE 10 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,23155078701,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",343.5,171.75,74.92,309.15,65
NDC,23155079401,DOXEPIN 10 MG CAPSULE,46.8,23.4,10.21,42.12,65
NDC,23155079501,DOXEPIN 25 MG CAPSULE,60.0,30.0,13.09,54.0,65
NDC,23155079701,DOXEPIN 75 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,23155079901,PERPHENAZINE 2 MG TABLET,148.8,74.4,32.45,133.92,65
NDC,23155082373,CABERGOLINE 0.5 MG TABLET,90.15,45.08,19.66,81.14,65
NDC,23155083131,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,61.9,30.95,13.5,55.71,66
NDC,23155083201,HYDRALAZINE 10 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,23155083301,HYDRALAZINE 25 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,23155083401,HYDRALAZINE 50 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,23155083501,HYDRALAZINE 100 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,23155083711,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.85,1.93,0.84,3.47,65
NDC,23155083730,CYCLOSPORINE MODIFIED 25 MG CAPSULE,114.15,57.08,24.9,102.74,65
NDC,23155083911,CYCLOSPORINE MODIFIED 100 MG CAPSULE,7.15,3.58,1.56,6.44,66
NDC,23155083930,CYCLOSPORINE MODIFIED 100 MG CAPSULE,214.05,107.03,2.51,192.65,66
NDC,23155084851,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,1250.4,625.2,272.71,1125.36,65
NDC,23155085878,VANCOMYCIN 125 MG CAPSULE,258.2,129.1,56.31,232.38,65
NDC,23155085978,VANCOMYCIN 250 MG CAPSULE,499.8,249.9,109.01,449.82,65
NDC,23155086003,FLUCYTOSINE 250 MG CAPSULE,1499.7,749.85,327.08,1349.73,65
NDC,23155086103,FLUCYTOSINE 500 MG CAPSULE,2399.55,1199.78,523.34,2159.6,65
NDC,23155086701,GABAPENTIN 300 MG CAPSULE,21.6,10.8,4.71,19.44,65
NDC,23155086931,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,23155086941,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,23155087503,LETROZOLE 2.5 MG TABLET,20.2,10.1,4.41,18.18,65
NDC,23155089331,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,473.25,236.63,103.22,425.93,65
NDC,23155090931,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",55.0,27.5,12.0,49.5,65
NDC,23155090941,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",55.0,27.5,12.0,49.5,65
NDC,23155091031,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",79.0,39.5,17.23,71.1,65
NDC,23155091041,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",79.0,39.5,17.23,71.1,65
NDC,23359010010,MULTIVIT-MINERALS NO.73-IRON FUMARATE 106 MG-FOLIC ACID 1 MG CAPSULE,278.4,139.2,60.72,250.56,65
NDC,23359010030,MULTIVIT-MINERALS NO.73-IRON FUMARATE 106 MG-FOLIC ACID 1 MG CAPSULE,77.6,38.8,16.92,69.84,65
NDC,23594050501,PREDNISOLONE 5 MG TABLET,5742.0,2871.0,1252.33,5167.8,65
NDC,23635050860,LUBIPROSTONE 8 MCG CAPSULE,1869.9,934.95,407.83,1682.91,65
NDC,23635052460,LUBIPROSTONE 24 MCG CAPSULE,1869.9,934.95,407.83,1682.91,65
NDC,23635058110,OXYCODONE 15 MG TABLET,2401.0,1200.5,523.66,2160.9,65
NDC,24201000201,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,254.25,127.13,5.24,228.83,71
NDC,24201001020,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2047.4,1023.7,55.59,1842.66,66
NDC,24201001050,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2989.0,1494.5,55.59,2690.1,66
NDC,24201010001,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",32.4,16.2,0.05,29.16,66
NDC,24201010024,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",32.4,16.2,0.05,29.16,66
NDC,24201020101,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,291.3,145.65,63.53,262.17,65
NDC,24201020105,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,291.3,145.65,63.53,262.17,65
NDC,24201023701,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,507.65,253.83,69.56,456.89,71
NDC,24201040002,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,2943.6,1471.8,494.67,2649.24,71
NDC,24208004040,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION,6625.0,3312.5,48.93,5962.5,71
NDC,24208004041,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION,6625.0,3312.5,48.93,5962.5,71
NDC,24208029005,TOBRAMYCIN 0.3 % EYE DROPS,70.5,35.25,15.38,63.45,65
NDC,24208029505,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",442.2,221.1,96.44,397.98,65
NDC,24208029525,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",234.15,117.08,51.07,210.74,65
NDC,24208029905,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",1492.5,746.25,325.51,1343.25,65
NDC,24208031510,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",64.5,32.25,14.07,58.05,65
NDC,24208031705,SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) EYE DROPS,65.8,32.9,14.35,59.22,65
NDC,24208034205,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,736.1,368.05,160.54,662.49,65
NDC,24208035305,"LOTEPREDNOL ETABONATE 0.2 % EYE DROPS,SUSPENSION",1403.15,701.58,306.03,1262.84,65
NDC,24208039830,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,61.6,30.8,13.43,55.44,65
NDC,24208039915,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,90.9,45.45,19.83,81.81,65
NDC,24208041005,OFLOXACIN 0.3 % EAR DROPS,289.2,144.6,63.07,260.28,65
NDC,24208041105,BRIMONIDINE 0.2 % EYE DROPS,83.55,41.78,18.22,75.2,65
NDC,24208041110,BRIMONIDINE 0.2 % EYE DROPS,24.1,12.05,5.26,21.69,65
NDC,24208041601,FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT,76100.0,38050.0,319.83,68490.0,71
NDC,24208043405,OFLOXACIN 0.3 % EYE DROPS,113.4,56.7,24.73,102.06,65
NDC,24208044605,"BESIFLOXACIN 0.6 % EYE DROPS,SUSPENSION",1063.3,531.65,231.91,956.97,65
NDC,24208045705,DICLOFENAC 0.1 % EYE DROPS,61.1,30.55,13.33,54.99,65
NDC,24208046325,LATANOPROST 0.005 % EYE DROPS,63.1,31.55,13.76,56.79,65
NDC,24208048510,DORZOLAMIDE 2 % EYE DROPS,49.9,24.95,10.88,44.91,65
NDC,24208048610,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,61.5,30.75,13.41,55.35,65
NDC,24208050505,LEVOBUNOLOL 0.5 % EYE DROPS,89.1,44.55,19.43,80.19,65
NDC,24208053535,GANCICLOVIR 0.15 % EYE GEL,2205.25,1102.63,480.97,1984.73,65
NDC,24208053920,ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT,398.35,199.18,86.88,358.52,65
NDC,24208055555,"BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT",30.85,15.43,6.73,27.77,65
NDC,24208058060,GENTAMICIN 0.3 % EYE DROPS,31.6,15.8,6.89,28.44,65
NDC,24208062902,BEPOTASTINE BESILATE 1.5 % EYE DROPS,1350.2,675.1,294.48,1215.18,65
NDC,24208063110,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",276.5,138.25,60.3,248.85,65
NDC,24208063562,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",298.1,149.05,65.02,268.29,65
NDC,24208067004,SULFACETAMIDE SODIUM 10 % EYE DROPS,264.35,132.18,57.65,237.92,65
NDC,24208071510,PREDNISOLONE SODIUM PHOSPHATE 1 % EYE DROPS,256.15,128.08,55.87,230.54,65
NDC,24208072002,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,286.2,143.1,62.42,257.58,65
NDC,24208073006,PROPARACAINE 0.5 % EYE DROPS,149.8,74.9,32.67,134.82,65
NDC,24208073501,CYCLOPENTOLATE 1 % EYE DROPS,72.6,36.3,15.83,65.34,65
NDC,24208073506,CYCLOPENTOLATE 1 % EYE DROPS,164.25,82.13,35.82,147.83,65
NDC,24208078055,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",77.65,38.83,16.94,69.89,65
NDC,24208078555,"NEOMYCIN-BACITRACIN-POLY-HC 3.5 MG-400-10,000 UNIT/G-1 % EYE OINTMENT",95.45,47.73,20.82,85.91,65
NDC,24208079062,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS",227.55,113.78,49.63,204.8,65
NDC,24208079535,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",83.75,41.88,18.27,75.38,65
NDC,24208081605,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,1234.8,617.4,269.31,1111.32,65
NDC,24208081825,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,826.05,413.03,180.16,743.45,65
NDC,24208081905,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,907.15,453.58,197.85,816.44,65
NDC,24208082555,ATROPINE 1 % EYE OINTMENT,102.75,51.38,22.41,92.48,65
NDC,24208083060,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",80.5,40.25,17.56,72.45,65
NDC,24208091019,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,46.1,23.05,10.05,41.49,65
NDC,24208091055,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,61.0,30.5,13.3,54.9,65
NDC,24338000690,THYROID (PORK) 30 MG TABLET,298.35,149.18,65.07,268.52,65
NDC,24338001009,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET,1905.3,952.65,415.55,1714.77,65
NDC,24338005008,CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT,169009.85,84504.93,36861.05,152108.87,65
NDC,24338010003,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,1688.85,844.43,368.34,1519.97,65
NDC,24338010203,ERYTHROMYCIN 250 MG TABLET,805.05,402.53,175.58,724.55,65
NDC,24338011003,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,1688.85,844.43,368.34,1519.97,65
NDC,24338012203,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",828.9,414.45,180.78,746.01,65
NDC,24338012403,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",1043.7,521.85,227.63,939.33,65
NDC,24338012603,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",1285.05,642.53,280.27,1156.55,65
NDC,24338013013,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1989.0,994.5,433.8,1790.1,65
NDC,24338013213,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1131.0,565.5,246.67,1017.9,65
NDC,24338013402,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1131.0,565.5,246.67,1017.9,65
NDC,24338013610,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1989.0,994.5,433.8,1790.1,65
NDC,24338015001,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,89190.7,44595.35,3893.62,80271.63,70
NDC,24338015020,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,89190.7,44595.35,3893.62,80271.63,70
NDC,24338023005,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),282.3,141.15,61.57,254.07,65
NDC,24338023012,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),282.3,141.15,61.57,254.07,65
NDC,24338023015,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),256.4,128.2,55.92,230.76,65
NDC,24338023030,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),256.4,128.2,55.92,230.76,65
NDC,24338026008,NIMODIPINE 60 MG/10 ML ORAL SOLUTION,9978.65,4989.33,2176.34,8980.79,65
NDC,24338053025,SOTALOL 5 MG/ML ORAL SOLUTION,2131.0,1065.5,464.77,1917.9,65
NDC,24357001113,EPINEPHRINE 1 MG/ML INJECTION KIT,325.45,162.73,70.98,292.91,65
NDC,24357070107,LIDOCAINE-TRANSPARENT DRESSING 4 % TOPICAL KIT,97.1,48.55,21.18,87.39,65
NDC,24478007401,METHYLPHENIDATE ER 20 MG CHEWABLE TABLET IMMED AND EXTEN.RELEASE 24 HR,4595.2,2297.6,1002.21,4135.68,65
NDC,24478007501,METHYLPHENIDATE ER 30 MG CHEWABLE TABLET IMMED AND EXTEN.RELEASE 24 HR,4595.2,2297.6,1002.21,4135.68,65
NDC,24510005010,TAPENTADOL 50 MG TABLET,4501.2,2250.6,981.71,4051.08,65
NDC,24510005860,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR",2826.75,1413.38,616.51,2544.08,65
NDC,24510007510,TAPENTADOL 75 MG TABLET,5259.6,2629.8,1147.12,4733.64,65
NDC,24510011660,"TAPENTADOL ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5227.95,2613.98,1140.22,4705.16,65
NDC,24658026018,GEMFIBROZIL 600 MG TABLET,635.4,317.7,138.58,571.86,65
NDC,24658031001,DOXYCYCLINE HYCLATE 100 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,24658031250,DOXYCYCLINE HYCLATE 100 MG TABLET,55.5,27.75,12.1,49.95,65
NDC,24658070301,ESTRADIOL 1 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,24689011901,BUPROPION HCL 75 MG TABLET,40.2,20.1,8.77,36.18,65
NDC,24689012001,BUPROPION HCL 100 MG TABLET,58.8,29.4,12.82,52.92,65
NDC,24689078101,BUSPIRONE 5 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,24689079201,TERAZOSIN 1 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,24689090701,BUSPIRONE 10 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,24689092101,BUSPIRONE 15 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,24979000206,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",667.8,333.9,145.65,601.02,65
NDC,24979000901,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",198.0,99.0,43.18,178.2,65
NDC,24979001001,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",123.0,61.5,26.83,110.7,65
NDC,24979001101,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",144.0,72.0,31.41,129.6,65
NDC,24979002606,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",40.5,20.25,8.83,36.45,65
NDC,24979002607,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",66.45,33.23,14.49,59.81,65
NDC,24979002706,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",47.35,23.68,10.33,42.62,65
NDC,24979002707,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",105.3,52.65,22.97,94.77,65
NDC,24979002806,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",49.0,24.5,10.69,44.1,65
NDC,24979002906,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",63.2,31.6,13.78,56.88,65
NDC,24979002907,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",105.3,52.65,22.97,94.77,65
NDC,24979003701,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",27.6,13.8,6.02,24.84,65
NDC,24979003801,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",33.6,16.8,7.33,30.24,65
NDC,24979008504,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",138.6,69.3,30.23,124.74,65
NDC,24979010107,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",59.4,29.7,12.96,53.46,65
NDC,24979010207,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",75.1,37.55,16.38,67.59,65
NDC,24979011207,"FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE",260.1,130.05,56.73,234.09,65
NDC,24979013201,TERBUTALINE 2.5 MG TABLET,947.5,473.75,206.65,852.75,65
NDC,24979013601,FLUPHENAZINE 1 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,24979013701,FLUPHENAZINE 2.5 MG TABLET,277.2,138.6,60.46,249.48,65
NDC,24979013801,FLUPHENAZINE 5 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,24979015514,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,53.4,26.7,11.65,48.06,65
NDC,24979016044,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",192.25,96.13,41.93,173.03,65
NDC,24979018646,SEVELAMER CARBONATE 800 MG TABLET,315.9,157.95,68.9,284.31,65
NDC,24979019801,GUANFACINE 1 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,24979020101,DICYCLOMINE 10 MG CAPSULE,58.8,29.4,12.82,52.92,65
NDC,24979053401,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",83.4,41.7,18.19,75.06,65
NDC,24979053601,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",83.4,41.7,18.19,75.06,65
NDC,24979070406,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",1151.55,575.78,251.15,1036.4,65
NDC,24979071051,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3657.15,1828.58,10.75,3291.44,71
NDC,24979072204,GALANTAMINE 4 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,25010021027,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,18552.25,9276.13,4046.25,16697.03,65
NDC,25010021515,ETHACRYNIC ACID 25 MG TABLET,9039.2,4519.6,1971.45,8135.28,65
NDC,25021005201,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.6,10.3,0.13,18.54,66
NDC,25021005205,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.6,10.3,0.13,18.54,66
NDC,25021005301,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,21.35,10.68,0.13,19.22,66
NDC,25021010010,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,45.8,22.9,0.84,41.22,66
NDC,25021010066,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,45.75,22.88,0.84,41.18,66
NDC,25021010110,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,46.3,23.15,0.84,41.67,66
NDC,25021010167,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.8,22.9,0.84,41.22,66
NDC,25021010269,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,52.95,26.48,0.84,47.66,66
NDC,25021010299,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,61.2,30.6,0.84,55.08,66
NDC,25021010610,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.8,23.4,0.55,42.12,66
NDC,25021010667,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.0,23.0,0.55,41.4,66
NDC,25021010720,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.9,23.45,0.55,42.21,66
NDC,25021010768,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.7,23.35,0.55,42.03,66
NDC,25021010899,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,130.45,65.23,0.55,117.41,66
NDC,25021010910,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,46.95,23.48,5.64,42.26,66
NDC,25021011020,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,66.55,33.28,5.64,59.9,66
NDC,25021011482,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.8,23.9,2.15,43.02,66
NDC,25021011487,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,62.2,31.1,13.57,65.33,66
NDC,25021011502,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,48.2,24.1,2.03,43.38,66
NDC,25021011504,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.4,23.7,2.03,42.66,66
NDC,25021011506,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,55.3,27.65,2.03,49.77,66
NDC,25021011551,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,125.1,62.55,2.03,112.59,66
NDC,25021011810,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,46.9,23.45,2.25,42.21,66
NDC,25021011920,CEFUROXIME SODIUM 1.5 GRAM INTRAVENOUS SOLUTION,45.4,22.7,2.25,40.86,66
NDC,25021012120,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,24.25,12.13,1.4,21.83,66
NDC,25021012166,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.7,11.35,1.4,20.43,66
NDC,25021012250,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,68.5,34.25,1.4,61.65,66
NDC,25021012267,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,54.55,27.28,1.4,49.1,66
NDC,25021012720,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,50.1,25.05,1.88,45.09,66
NDC,25021012766,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,48.05,24.03,1.88,43.25,66
NDC,25021012850,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,74.95,37.48,1.88,67.46,66
NDC,25021012867,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,58.45,29.23,1.88,52.61,66
NDC,25021012999,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,149.2,74.6,1.88,134.28,66
NDC,25021013182,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,47.3,23.65,0.02,42.57,66
NDC,25021013281,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.2,23.6,1.01,42.48,66
NDC,25021013282,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,52.6,26.3,1.01,47.34,66
NDC,25021013283,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,58.3,29.15,1.01,52.47,66
NDC,25021013410,AMPICILLIN 250 MG SOLUTION FOR INJECTION,46.3,23.15,1.12,41.67,66
NDC,25021013510,AMPICILLIN 500 MG SOLUTION FOR INJECTION,46.4,23.2,1.12,41.76,66
NDC,25021013610,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.2,23.6,1.12,42.48,66
NDC,25021013720,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.12,43.43,66
NDC,25021013910,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,50.1,25.05,10.93,45.09,65
NDC,25021014010,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,58.95,29.48,12.86,53.06,65
NDC,25021014220,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.35,23.68,1.97,42.62,66
NDC,25021014330,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,73.85,36.93,1.97,66.47,66
NDC,25021014610,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,86.5,43.25,1.17,77.85,66
NDC,25021015010,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,25021015120,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.4,23.7,10.34,42.66,65
NDC,25021015799,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,134.6,67.3,29.36,121.14,65
NDC,25021015899,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,302.4,151.2,65.95,272.16,65
NDC,25021016224,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,160.0,80.0,1.17,144.0,66
NDC,25021016399,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,575.0,287.5,1.17,517.5,66
NDC,25021016430,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,67.0,33.5,1.3,60.3,66
NDC,25021016530,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,91.0,45.5,1.3,81.9,66
NDC,25021016648,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,112.0,56.0,1.3,100.8,66
NDC,25021016987,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,142.0,71.0,3.66,127.8,66
NDC,25021017302,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,50.55,25.28,0.92,45.5,66
NDC,25021017304,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",64.55,32.28,0.92,58.1,66
NDC,25021017620,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,46.75,23.38,1.3,42.08,66
NDC,25021017750,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,47.6,23.8,1.3,42.84,66
NDC,25021018199,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,279.35,139.68,1.3,251.42,66
NDC,25021018467,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,49.0,24.5,10.69,65.33,66
NDC,25021018482,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,52.6,26.3,3.1,47.34,66
NDC,25021018487,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,56.2,28.1,12.26,65.33,66
NDC,25021018510,GANCICLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,252.65,126.33,49.86,227.39,66
NDC,25021018620,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,55.0,27.5,1.97,49.5,66
NDC,25021018730,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,73.85,36.93,1.97,66.47,66
NDC,25021018984,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1481.25,740.63,16.4,1333.13,71
NDC,25021019010,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,99.6,49.8,0.84,89.64,66
NDC,25021019011,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,99.65,49.83,0.84,89.69,66
NDC,25021019110,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,157.85,78.93,0.84,142.07,66
NDC,25021019111,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,157.9,78.95,0.84,142.11,66
NDC,25021019282,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.7,23.85,2.15,42.93,66
NDC,25021019287,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,62.2,31.1,13.57,65.33,66
NDC,25021020110,MESNA 100 MG/ML INTRAVENOUS SOLUTION,72.2,36.1,1.52,64.98,66
NDC,25021020111,MESNA 100 MG/ML INTRAVENOUS SOLUTION,70.25,35.13,1.52,63.23,66
NDC,25021020401,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.24,405.0,66
NDC,25021020405,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,8.24,405.0,66
NDC,25021020725,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,25021020751,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,603.5,301.75,3.64,543.15,66
NDC,25021021598,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,25021021599,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,25021021920,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,25021022610,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,25021023002,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,25021023005,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,25021023120,DECITABINE 50 MG INTRAVENOUS SOLUTION,466.25,233.13,1.88,419.63,66
NDC,25021023310,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,25021023320,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,25021023410,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,25021023550,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,25021023551,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,736.45,368.23,4.05,662.81,66
NDC,25021023905,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,25021023952,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,25021024110,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,0.9,405.0,70
NDC,25021024202,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,69.56,405.0,71
NDC,25021024410,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,25021024501,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,25021024504,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,25021024602,THIOTEPA 15 MG SOLUTION FOR INJECTION,1277.3,638.65,10.75,1149.57,70
NDC,25021024851,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,486.85,243.43,0.49,438.17,71
NDC,25021025150,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,450.0,225.0,20.75,405.0,71
NDC,25021025251,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,590.85,295.43,20.75,531.77,71
NDC,25021025350,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,25021025351,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,25021025505,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,25021025550,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,25021025950,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1131.6,565.8,81.46,1018.44,70
NDC,25021025951,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1058.9,529.45,81.46,953.01,70
NDC,25021030167,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,48.35,24.18,0.66,43.52,66
NDC,25021030266,AMIODARONE 150 MG/3 ML INTRAVENOUS SYRINGE,74.95,37.48,0.48,67.46,66
NDC,25021030520,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,194.2,97.1,42.36,174.78,66
NDC,25021030566,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,695.0,347.5,134.68,625.5,66
NDC,25021030884,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",376.25,188.13,0.28,338.63,66
NDC,25021030982,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",305.0,152.5,0.28,274.5,66
NDC,25021031002,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,629.05,314.53,137.2,566.15,65
NDC,25021031102,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.75,10.38,4.53,18.68,65
NDC,25021031104,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,25021031110,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.45,10.73,4.68,19.31,65
NDC,25021031202,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,33.3,16.65,7.26,29.97,65
NDC,25021031204,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,37.2,18.6,8.11,33.48,65
NDC,25021031387,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,91.0,45.5,1.73,81.9,66
NDC,25021031410,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,22.15,11.08,0.28,19.94,66
NDC,25021031501,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.25,23.13,10.09,41.63,65
NDC,25021031598,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,126.25,63.13,27.54,113.63,65
NDC,25021031599,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,66.05,33.03,14.41,59.45,65
NDC,25021031604,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,52.75,26.38,11.5,47.48,65
NDC,25021031720,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,25021031740,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.6,23.3,10.16,41.94,65
NDC,25021031802,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,22.6,11.3,0.66,20.34,66
NDC,25021031804,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,27.75,13.88,0.66,24.98,66
NDC,25021031905,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,25021031910,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.25,23.63,10.31,42.53,65
NDC,25021031925,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,70.45,35.23,15.37,63.41,65
NDC,25021032104,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.65,10.83,0.37,19.49,70
NDC,25021032110,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.8,23.4,0.37,42.12,70
NDC,25021040001,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.6,10.3,0.3,18.54,66
NDC,25021040010,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.5,10.75,0.3,19.35,66
NDC,25021040030,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.65,11.33,0.3,20.39,66
NDC,25021040066,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.6,10.3,0.3,18.54,66
NDC,25021040067,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.5,10.75,0.3,19.35,66
NDC,25021040102,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",22.25,11.13,0.3,20.03,66
NDC,25021040201,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",20.65,10.33,0.3,18.59,66
NDC,25021040266,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",20.65,10.33,0.3,18.59,66
NDC,25021040301,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.1,10.55,0.3,18.99,66
NDC,25021040304,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",24.5,12.25,0.3,22.05,66
NDC,25021040851,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,406.5,203.25,24.87,365.85,66
NDC,25021040910,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,165.5,82.75,24.87,148.95,66
NDC,25021041450,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,381.75,190.88,0.81,343.58,70
NDC,25021041510,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",46.85,23.43,10.22,42.17,65
NDC,25021041601,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,819.65,409.83,25.84,737.69,71
NDC,25021041784,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,556.25,278.13,4.62,500.63,66
NDC,25021041882,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",72.4,36.2,15.79,65.16,65
NDC,25021045101,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,23.45,11.73,1.32,21.11,66
NDC,25021045201,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,27.35,13.68,1.32,24.62,66
NDC,25021045301,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,68.85,34.43,1.32,61.97,66
NDC,25021046001,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,255.0,127.5,3.59,229.5,71
NDC,25021046274,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,1471.85,735.93,6.86,1324.67,71
NDC,25021046301,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,22.35,11.18,1.32,20.12,66
NDC,25021046501,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,88.8,44.4,1.32,79.92,66
NDC,25021046605,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,123.15,61.58,1.32,110.84,66
NDC,25021046810,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,263.25,131.63,9.67,236.93,66
NDC,25021047401,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,64.15,32.08,1.95,57.74,66
NDC,25021048101,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,20.6,10.3,0.89,18.54,66
NDC,25021050002,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,21.75,10.88,4.74,19.58,65
NDC,25021050201,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.05,10.53,1.6,18.95,66
NDC,25021060103,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,29.15,14.58,1.65,26.24,66
NDC,25021060203,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,35.65,17.83,7.78,32.09,65
NDC,25021060820,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,22.05,11.03,0.14,19.85,66
NDC,25021060850,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,33.3,16.65,0.14,29.97,66
NDC,25021060851,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,72.0,36.0,0.14,64.8,66
NDC,25021061281,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,62.2,31.1,0.77,55.98,66
NDC,25021061282,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.3,24.15,0.77,43.47,66
NDC,25021065102,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION,51.3,25.65,10.77,46.17,66
NDC,25021065287,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,250.6,125.3,0.09,225.54,66
NDC,25021065502,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.6,12.8,0.16,23.04,66
NDC,25021066205,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.4,11.2,4.89,20.16,65
NDC,25021066805,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,21.95,10.98,4.79,19.76,65
NDC,25021066920,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,223.1,111.55,48.66,200.79,65
NDC,25021067010,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,99.4,49.7,21.68,89.46,65
NDC,25021067167,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,260.2,130.1,0.09,234.18,66
NDC,25021067182,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,183.4,91.7,0.09,165.06,66
NDC,25021067187,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,297.4,148.7,0.09,267.66,66
NDC,25021067376,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,31.7,15.85,6.91,28.53,65
NDC,25021067377,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,38.1,19.05,8.31,34.29,65
NDC,25021067410,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.55,11.28,4.92,20.3,65
NDC,25021067420,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,65
NDC,25021067510,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,55.6,27.8,6.28,50.04,66
NDC,25021067620,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,1917.95,958.98,55.59,1726.16,66
NDC,25021067650,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,3018.05,1509.03,55.59,2716.25,66
NDC,25021067710,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,28.65,14.33,0.89,25.79,66
NDC,25021067820,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",367.1,183.55,80.06,330.39,71
NDC,25021067920,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1226.9,613.45,184.85,1104.21,71
NDC,25021068020,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",709.2,354.6,154.68,638.28,71
NDC,25021068220,KETAMINE 10 MG/ML INJECTION SOLUTION,55.2,27.6,12.04,49.68,65
NDC,25021068310,KETAMINE 50 MG/ML INJECTION SOLUTION,28.0,14.0,6.11,25.2,65
NDC,25021068405,KETAMINE 100 MG/ML INJECTION SOLUTION,34.9,17.45,7.61,31.41,65
NDC,25021068510,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.7,23.85,10.4,42.93,65
NDC,25021068620,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,52.75,26.38,11.5,47.48,65
NDC,25021068705,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,4.77,19.67,65
NDC,25021070001,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.6,10.3,0.29,18.54,71
NDC,25021070101,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,25021070102,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.75,10.38,0.29,18.68,71
NDC,25021075110,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.7,23.35,10.19,42.03,65
NDC,25021075111,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.65,23.33,10.17,41.99,65
NDC,25021075302,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.65,10.33,4.5,18.59,65
NDC,25021077702,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.5,22.75,0.17,40.95,66
NDC,25021078005,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.1,23.05,0.07,41.49,66
NDC,25021078305,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,44.4,22.2,1.03,39.96,66
NDC,25021079002,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.25,11.13,3.81,20.03,66
NDC,25021079003,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.25,11.13,3.81,20.03,66
NDC,25021079120,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,148.75,74.38,32.44,133.88,65
NDC,25021079810,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,55.2,27.6,12.04,49.68,65
NDC,25021080166,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,279.35,139.68,7.71,251.42,66
NDC,25021080601,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,21.7,10.85,1.57,19.53,66
NDC,25021081230,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,284.95,142.48,62.15,256.46,65
NDC,25021081310,LEUCOVORIN CALCIUM 50 MG INJECTION (POWDER FOR RECON),48.35,24.18,4.96,43.52,66
NDC,25021081366,LEUCOVORIN CALCIUM 50 MG INJECTION (POWDER FOR RECON),54.3,27.15,4.96,48.87,66
NDC,25021081430,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),58.3,29.15,4.96,52.47,66
NDC,25021081467,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),56.4,28.2,4.96,50.76,66
NDC,25021081530,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),79.4,39.7,4.96,71.46,66
NDC,25021081567,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),83.6,41.8,4.96,75.24,66
NDC,25021081630,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),91.85,45.93,4.96,82.67,66
NDC,25021081667,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),87.7,43.85,4.96,78.93,66
NDC,25021082005,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,162.75,81.38,0.12,146.48,71
NDC,25021082010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,258.4,129.2,0.12,232.56,71
NDC,25021082105,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,282.9,141.45,0.12,254.61,71
NDC,25021082273,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,441.25,220.63,28.41,397.13,66
NDC,25021082682,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,141.6,70.8,7.71,127.44,66
NDC,25021082761,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,441.25,220.63,28.41,397.13,66
NDC,25021082850,LEUCOVORIN CALCIUM 500 MG INJECTION (POWDER FOR RECON),390.2,195.1,4.96,351.18,66
NDC,25021082902,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,2451.8,1225.9,6.4,2206.62,71
NDC,25021083082,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,236.4,118.2,7.71,212.76,66
NDC,25021083101,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,91.6,45.8,9.74,82.44,66
NDC,25021083301,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,53.85,26.93,9.74,48.47,66
NDC,25021083805,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,216.1,108.05,10.16,194.49,66
NDC,25208000104,"TIROFIBAN 250 MCG/ML CONCENTRATE,INTRAVENOUS",271.05,135.53,4.62,243.95,66
NDC,25208000201,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,448.0,224.0,4.62,403.2,66
NDC,25208000202,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,1126.25,563.13,4.62,1013.63,66
NDC,25208000203,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,448.0,224.0,4.62,403.2,66
NDC,25357002503,RIBOFLAV 0.146% EYE DROPS-RIBOFLAV 0.146% IN 20% DEXTRAN VISC EYE DROP,16600.05,8300.03,2183.71,14940.05,66
NDC,25682000101,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,26142.0,13071.0,45.72,23527.8,70
NDC,25682000701,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION,40865.0,20432.5,537.24,36778.5,71
NDC,25682002501,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,22887.3,11443.65,226.0,20598.57,71
NDC,25682002801,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,83853.4,41926.7,226.0,75468.06,71
NDC,27241000106,RISPERIDONE 1 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,27241000206,RISPERIDONE 0.25 MG TABLET,42.15,21.08,9.19,37.94,65
NDC,27241000306,RISPERIDONE 0.5 MG TABLET,13.0,6.5,2.84,11.7,65
NDC,27241000406,RISPERIDONE 2 MG TABLET,60.15,30.08,13.12,54.14,65
NDC,27241001531,MONTELUKAST 4 MG ORAL GRANULES IN PACKET,447.9,223.95,97.69,403.11,65
NDC,27241004910,ENTACAPONE 200 MG TABLET,264.5,132.25,57.69,238.05,65
NDC,27241005303,ARIPIPRAZOLE 10 MG TABLET,116.5,58.25,25.41,104.85,65
NDC,27241005403,ARIPIPRAZOLE 15 MG TABLET,116.5,58.25,25.41,104.85,65
NDC,27241006203,VORICONAZOLE 50 MG TABLET,300.45,150.23,65.53,270.41,65
NDC,27241006303,VORICONAZOLE 200 MG TABLET,1125.0,562.5,245.36,1012.5,65
NDC,27241009706,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",19.45,9.73,4.24,17.51,65
NDC,27241009803,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",12.1,6.05,2.64,10.89,65
NDC,27241009809,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",72.4,36.2,15.79,65.16,65
NDC,27241009810,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",305.0,152.5,66.52,274.5,65
NDC,27241009903,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",17.85,8.93,3.89,16.07,65
NDC,27241010806,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",130.35,65.18,28.43,117.32,65
NDC,27241011501,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",279.0,139.5,60.85,251.1,65
NDC,27241011603,FENOFIBRATE 54 MG TABLET,110.7,55.35,24.14,99.63,65
NDC,27241012302,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),299.55,149.78,65.33,269.6,65
NDC,27241013421,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,4.75,2.38,1.04,4.28,65
NDC,27241013909,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,47.9,23.95,10.45,43.11,65
NDC,27241015919,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,2087.4,1043.7,455.26,1878.66,65
NDC,27241016001,CAPTOPRIL 12.5 MG TABLET,400.0,200.0,87.24,360.0,65
NDC,27241016101,CAPTOPRIL 25 MG TABLET,425.0,212.5,92.69,382.5,65
NDC,27241016201,CAPTOPRIL 50 MG TABLET,700.0,350.0,152.67,630.0,65
NDC,27241016430,"DULOXETINE 40 MG CAPSULE,DELAYED RELEASE",433.95,216.98,94.64,390.56,65
NDC,27241019990,DROXIDOPA 100 MG CAPSULE,400.5,200.25,87.35,360.45,65
NDC,27505000367,DANTROLENE 20 MG INTRAVENOUS SOLUTION,323.75,161.88,70.61,291.38,65
NDC,27808000201,RISPERIDONE 1 MG/ML ORAL SOLUTION,98.1,49.05,21.4,88.29,65
NDC,27808003301,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,274.35,137.18,59.84,246.92,65
NDC,27808003501,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,27808003701,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,27808006502,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,110.7,55.35,24.14,99.63,65
NDC,27808008201,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,37.45,18.73,8.17,33.71,65
NDC,27808008202,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,275.8,137.9,60.15,248.22,65
NDC,27808008601,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,277.75,138.88,60.58,249.98,65
NDC,27808009101,DEXMETHYLPHENIDATE 2.5 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,27808009301,DEXMETHYLPHENIDATE 10 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,27808015501,ROSUVASTATIN 5 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,27808015601,ROSUVASTATIN 10 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,27808015701,ROSUVASTATIN 20 MG TABLET,22.7,11.35,4.95,20.43,65
NDC,27808015801,ROSUVASTATIN 40 MG TABLET,30.1,15.05,6.56,27.09,65
NDC,27808019001,COLESEVELAM 625 MG TABLET,375.3,187.65,81.85,337.77,65
NDC,27808020601,FEBUXOSTAT 40 MG TABLET,210.1,105.05,45.82,189.09,65
NDC,27808022201,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",325.05,162.53,70.89,292.55,65
NDC,27808022301,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",325.05,162.53,70.89,292.55,65
NDC,27808022401,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",166.7,83.35,36.36,150.03,65
NDC,27808022501,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",475.05,237.53,103.61,427.55,65
NDC,27808023401,DOXYCYCLINE HYCLATE 100 MG TABLET,59.1,29.55,12.89,53.19,65
NDC,28595057004,SPINOSAD 0.9 % TOPICAL SUSPENSION,1087.2,543.6,237.12,978.48,65
NDC,29033000101,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",611.0,305.5,133.26,549.9,65
NDC,29033000201,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR",883.0,441.5,192.58,794.7,65
NDC,29033000301,SUCRALFATE 1 GRAM TABLET,176.4,88.2,38.47,158.76,65
NDC,29033000305,SUCRALFATE 1 GRAM TABLET,647.5,323.75,141.22,582.75,65
NDC,29033000412,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",982.2,491.1,214.22,883.98,65
NDC,29033001912,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",907.8,453.9,197.99,817.02,65
NDC,29033002012,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",1008.0,504.0,219.84,907.2,65
NDC,29033002602,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,277.2,138.6,60.46,249.48,65
NDC,29033003001,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",578.0,289.0,126.06,520.2,65
NDC,29033005601,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",646.0,323.0,140.89,581.4,65
NDC,29300011101,LAMOTRIGINE 25 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,29300011201,LAMOTRIGINE 100 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,29300011205,LAMOTRIGINE 100 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,29300011416,LAMOTRIGINE 200 MG TABLET,38.2,19.1,8.33,34.38,65
NDC,29300011516,TOPIRAMATE 25 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,29300012601,BISOPROLOL FUMARATE 5 MG TABLET,110.4,55.2,24.08,99.36,65
NDC,29300012613,BISOPROLOL FUMARATE 5 MG TABLET,47.0,23.5,10.25,42.3,65
NDC,29300012801,HYDROCHLOROTHIAZIDE 25 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,29300012810,HYDROCHLOROTHIAZIDE 25 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,29300012901,HYDROCHLOROTHIAZIDE 50 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,29300013001,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,23.4,11.7,5.1,21.06,65
NDC,29300013501,CLONIDINE HCL 0.1 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,29300013505,CLONIDINE HCL 0.1 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,29300013510,CLONIDINE HCL 0.1 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,29300013601,CLONIDINE HCL 0.2 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,29300013605,CLONIDINE HCL 0.2 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,29300013701,CLONIDINE HCL 0.3 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,29300013801,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",37.2,18.6,8.11,33.48,65
NDC,29300013901,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",38.4,19.2,8.38,34.56,65
NDC,29300013905,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",255.0,127.5,55.62,229.5,65
NDC,29300014001,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",51.0,25.5,11.12,45.9,65
NDC,29300014005,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",617.5,308.75,134.68,555.75,65
NDC,29300014801,QUETIAPINE 50 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,29300014901,QUETIAPINE 100 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,29300015116,QUETIAPINE 300 MG TABLET,51.15,25.58,11.16,46.04,65
NDC,29300015501,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",86.4,43.2,18.84,77.76,65
NDC,29300015519,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",60.5,30.25,13.2,54.45,65
NDC,29300016910,TIZANIDINE 4 MG TABLET,470.0,235.0,102.51,423.0,65
NDC,29300017116,MEMANTINE 5 MG TABLET,26.65,13.33,5.81,23.99,65
NDC,29300017216,MEMANTINE 10 MG TABLET,96.5,48.25,21.05,86.85,65
NDC,29300018801,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,29300018813,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,84.8,42.4,18.49,76.32,65
NDC,29300018913,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,84.45,42.23,18.42,76.01,65
NDC,29300022013,MONTELUKAST 10 MG TABLET,20.35,10.18,4.44,18.32,65
NDC,29300022019,MONTELUKAST 10 MG TABLET,50.25,25.13,10.96,45.23,65
NDC,29300022601,METRONIDAZOLE 250 MG TABLET,107.4,53.7,23.42,96.66,65
NDC,29300022701,METRONIDAZOLE 500 MG TABLET,205.2,102.6,44.75,184.68,65
NDC,29300022705,METRONIDAZOLE 500 MG TABLET,855.0,427.5,186.48,769.5,65
NDC,29300022746,METRONIDAZOLE 500 MG TABLET,145.5,72.75,31.73,130.95,65
NDC,29300023916,TOLTERODINE 1 MG TABLET,127.45,63.73,27.8,114.71,65
NDC,29300024319,AMLODIPINE 10 MG TABLET,10.8,5.4,2.36,9.72,65
NDC,29300028713,TADALAFIL 5 MG TABLET,53.3,26.65,11.62,47.97,65
NDC,29300029616,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",79.95,39.98,17.44,71.96,65
NDC,29300032813,SOLIFENACIN 5 MG TABLET,16.4,8.2,3.58,14.76,65
NDC,29300032819,SOLIFENACIN 5 MG TABLET,43.75,21.88,9.54,39.38,65
NDC,29300032913,SOLIFENACIN 10 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,29300034301,BACLOFEN 10 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,29300034901,ALLOPURINOL 100 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,29300035001,ALLOPURINOL 300 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,29300035501,TRAMADOL 50 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,29300035916,AMIODARONE 200 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,29300038905,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",252.0,126.0,54.96,226.8,65
NDC,29300039719,AMLODIPINE 5 MG TABLET,8.1,4.05,1.77,7.29,65
NDC,29300041101,ATENOLOL 50 MG TABLET,19.8,9.9,4.32,17.82,65
NDC,29300041301,CYCLOBENZAPRINE 5 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,29300041519,CYCLOBENZAPRINE 10 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,29300041901,AMITRIPTYLINE 10 MG TABLET,40.2,20.1,8.77,36.18,65
NDC,29300041910,AMITRIPTYLINE 10 MG TABLET,320.0,160.0,69.79,288.0,65
NDC,29300042001,AMITRIPTYLINE 25 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,29300042101,AMITRIPTYLINE 50 MG TABLET,122.4,61.2,26.7,110.16,65
NDC,29300042301,AMITRIPTYLINE 100 MG TABLET,198.0,99.0,43.18,178.2,65
NDC,29300045801,GUANFACINE 1 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,29300046801,CLONIDINE HCL 0.1 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,29336040010,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION,916.75,458.38,199.94,8010.47,71
NDC,30698006001,FUROSEMIDE 40 MG TABLET,507.0,253.5,110.58,456.3,65
NDC,30698006701,FUROSEMIDE 20 MG TABLET,362.0,181.0,78.95,325.8,65
NDC,30698014301,CALCITRIOL 0.25 MCG CAPSULE,388.0,194.0,84.62,349.2,65
NDC,30698091115,CALCITRIOL 1 MCG/ML ORAL SOLUTION,992.2,496.1,216.4,892.98,65
NDC,31722000530,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",662.25,331.13,144.44,596.03,65
NDC,31722000532,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",26.5,13.25,5.78,23.85,65
NDC,31722000631,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,1003.5,501.75,218.86,903.15,65
NDC,31722001090,DROXIDOPA 300 MG CAPSULE,353.7,176.85,77.14,318.33,65
NDC,31722001230,DEFERASIROX 180 MG TABLET,197.85,98.93,43.15,178.07,65
NDC,31722001330,DEFERASIROX 360 MG TABLET,251.7,125.85,54.9,226.53,65
NDC,31722001490,DROXIDOPA 100 MG CAPSULE,400.5,200.25,87.35,360.45,65
NDC,31722001701,FAMOTIDINE 20 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,31722001912,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,68.4,34.2,0.24,61.56,66
NDC,31722001932,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,68.4,34.2,0.24,61.56,66
NDC,31722004031,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,400.05,200.03,87.25,360.05,65
NDC,31722004131,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,400.05,200.03,87.25,360.05,65
NDC,31722004132,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,40.05,20.03,8.73,36.05,65
NDC,31722005360,IVABRADINE 5 MG TABLET,1894.8,947.4,413.26,1705.32,65
NDC,31722005460,IVABRADINE 7.5 MG TABLET,1894.8,947.4,413.26,1705.32,65
NDC,31722006331,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,131.7,65.85,28.72,118.53,65
NDC,31722010330,CINACALCET 30 MG TABLET,39.1,19.55,8.53,35.19,65
NDC,31722010430,CINACALCET 60 MG TABLET,264.1,132.05,57.6,237.69,65
NDC,31722012860,GEMFIBROZIL 600 MG TABLET,62.65,31.33,13.66,56.39,65
NDC,31722012901,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",120.0,60.0,26.17,108.0,65
NDC,31722013001,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",150.0,75.0,32.72,135.0,65
NDC,31722013130,DUTASTERIDE 0.5 MG CAPSULE,40.15,20.08,8.76,36.14,65
NDC,31722013631,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,235.9,117.95,51.45,212.31,65
NDC,31722014101,CAPTOPRIL 12.5 MG TABLET,317.0,158.5,69.14,285.3,65
NDC,31722014201,CAPTOPRIL 25 MG TABLET,281.5,140.75,61.4,253.35,65
NDC,31722014301,CAPTOPRIL 50 MG TABLET,686.5,343.25,149.73,617.85,65
NDC,31722015130,VALSARTAN 40 MG TABLET,17.1,8.55,3.73,15.39,65
NDC,31722015290,VALSARTAN 80 MG TABLET,24.3,12.15,5.3,21.87,65
NDC,31722015390,VALSARTAN 160 MG TABLET,65.9,32.95,14.37,59.31,65
NDC,31722015490,VALSARTAN 320 MG TABLET,145.8,72.9,31.8,131.22,65
NDC,31722017030,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",32.95,16.48,7.19,29.66,65
NDC,31722017301,METHYLPHENIDATE 5 MG TABLET,109.2,54.6,23.82,98.28,65
NDC,31722017401,METHYLPHENIDATE 10 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,31722018501,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",350.0,175.0,76.34,315.0,65
NDC,31722018601,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",309.5,154.75,67.5,278.55,65
NDC,31722018801,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",364.0,182.0,79.39,327.6,65
NDC,31722018901,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",345.5,172.75,75.35,310.95,65
NDC,31722019501,"DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULE,EXTEND RELEASE",347.5,173.75,75.79,312.75,65
NDC,31722020320,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,95.45,47.73,20.82,85.91,65
NDC,31722020331,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,95.45,47.73,20.82,85.91,65
NDC,31722020332,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,95.45,47.73,20.82,85.91,65
NDC,31722020333,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,95.45,47.73,20.82,85.91,65
NDC,31722022901,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",324.0,162.0,70.66,291.6,65
NDC,31722024030,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",276.15,138.08,60.23,248.54,65
NDC,31722024230,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",213.3,106.65,46.52,191.97,65
NDC,31722030801,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,135.95,67.98,1.02,122.36,66
NDC,31722050430,EFAVIRENZ 600 MG TABLET,426.6,213.3,93.04,383.94,65
NDC,31722050560,NEVIRAPINE 200 MG TABLET,60.15,30.08,13.12,54.14,65
NDC,31722050660,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,667.8,333.9,145.65,601.02,65
NDC,31722050960,ZIDOVUDINE 300 MG TABLET,141.85,70.93,30.94,127.67,65
NDC,31722051901,HYDRALAZINE 10 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,31722052001,HYDRALAZINE 25 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,31722052010,HYDRALAZINE 25 MG TABLET,275.0,137.5,59.98,247.5,65
NDC,31722052101,HYDRALAZINE 50 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,31722052530,FINASTERIDE 5 MG TABLET,27.4,13.7,5.98,24.66,65
NDC,31722052590,FINASTERIDE 5 MG TABLET,71.85,35.93,15.67,64.67,65
NDC,31722052901,TORSEMIDE 5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,31722053001,TORSEMIDE 10 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,31722053101,TORSEMIDE 20 MG TABLET,105.6,52.8,23.03,95.04,65
NDC,31722053201,TORSEMIDE 100 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,31722053301,METHOCARBAMOL 500 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,31722053305,METHOCARBAMOL 500 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,31722053401,METHOCARBAMOL 750 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,31722053405,METHOCARBAMOL 750 MG TABLET,186.0,93.0,40.57,167.4,65
NDC,31722053530,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,180.0,90.0,39.26,162.0,65
NDC,31722053612,LEVETIRACETAM 250 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,31722053712,LEVETIRACETAM 500 MG TABLET,42.5,21.25,9.27,38.25,65
NDC,31722053960,"LEVETIRACETAM 1,000 MG TABLET",87.5,43.75,19.08,78.75,65
NDC,31722054201,INDOMETHACIN 25 MG CAPSULE,52.8,26.4,11.52,47.52,65
NDC,31722054301,INDOMETHACIN 50 MG CAPSULE,71.4,35.7,15.57,64.26,65
NDC,31722054401,LITHIUM CARBONATE 150 MG CAPSULE,54.0,27.0,11.78,48.6,65
NDC,31722054501,LITHIUM CARBONATE 300 MG CAPSULE,39.0,19.5,8.51,35.1,65
NDC,31722055612,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET,2940.0,1470.0,641.21,2646.0,65
NDC,31722055760,ABACAVIR 300 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,31722056224,ABACAVIR 20 MG/ML ORAL SOLUTION,588.0,294.0,128.24,529.2,65
NDC,31722056924,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,760.8,380.4,165.93,684.72,65
NDC,31722057230,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",59.95,29.98,13.08,53.96,65
NDC,31722057447,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,68.15,34.08,14.86,61.34,65
NDC,31722058160,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",163.8,81.9,35.72,147.42,65
NDC,31722058230,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",81.75,40.88,17.83,73.58,65
NDC,31722058330,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",78.5,39.25,17.12,70.65,65
NDC,31722058630,NEBIVOLOL 5 MG TABLET,51.85,25.93,11.31,46.67,65
NDC,31722058901,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",151.2,75.6,32.98,136.08,65
NDC,31722059730,RITONAVIR 100 MG TABLET,400.05,200.03,87.25,360.05,65
NDC,31722059812,RUFINAMIDE 200 MG TABLET,900.0,450.0,196.29,810.0,65
NDC,31722062160,DABIGATRAN ETEXILATE 75 MG CAPSULE,178.95,89.48,39.03,161.06,65
NDC,31722062260,DABIGATRAN ETEXILATE 150 MG CAPSULE,599.7,299.85,130.79,539.73,65
NDC,31722062330,ROFLUMILAST 500 MCG TABLET,104.95,52.48,22.89,94.46,65
NDC,31722062390,ROFLUMILAST 500 MCG TABLET,213.85,106.93,46.64,192.47,65
NDC,31722062726,LACOSAMIDE 10 MG/ML ORAL SOLUTION,558.0,279.0,121.7,502.2,65
NDC,31722062921,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,689.85,344.93,150.46,620.87,65
NDC,31722063031,OSELTAMIVIR 30 MG CAPSULE,53.5,26.75,11.67,48.15,65
NDC,31722063131,OSELTAMIVIR 45 MG CAPSULE,53.5,26.75,11.67,48.15,65
NDC,31722063231,OSELTAMIVIR 75 MG CAPSULE,58.3,29.15,12.72,52.47,65
NDC,31722064430,TADALAFIL 5 MG TABLET,27.4,13.7,5.98,24.66,65
NDC,31722064630,TADALAFIL 20 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,31722064730,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),257.25,128.63,56.11,231.53,65
NDC,31722066860,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",105.15,52.58,22.93,94.64,65
NDC,31722067631,ROFLUMILAST 250 MCG TABLET,14.85,7.43,3.24,13.37,65
NDC,31722067632,ROFLUMILAST 250 MCG TABLET,296.55,148.28,64.68,266.9,65
NDC,31722067635,ROFLUMILAST 250 MCG TABLET,14.8,7.4,3.23,13.32,65
NDC,31722067636,ROFLUMILAST 250 MCG TABLET,344.7,172.35,75.18,310.23,65
NDC,31722067760,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",2250.0,1125.0,490.73,2025.0,65
NDC,31722068147,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,354.75,177.38,77.37,319.28,65
NDC,31722070010,LOSARTAN 25 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,31722070090,LOSARTAN 25 MG TABLET,20.0,10.0,4.36,18.0,65
NDC,31722070110,LOSARTAN 50 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,31722070130,LOSARTAN 50 MG TABLET,13.9,6.95,3.03,12.51,65
NDC,31722070190,LOSARTAN 50 MG TABLET,22.7,11.35,4.95,20.43,65
NDC,31722070230,LOSARTAN 100 MG TABLET,16.6,8.3,3.62,14.94,65
NDC,31722070290,LOSARTAN 100 MG TABLET,51.85,25.93,11.31,46.67,65
NDC,31722070430,VALACYCLOVIR 500 MG TABLET,45.55,22.78,9.93,41.0,65
NDC,31722070530,VALACYCLOVIR 1 GRAM TABLET,85.35,42.68,18.61,76.82,65
NDC,31722070830,FAMCICLOVIR 500 MG TABLET,209.7,104.85,45.74,188.73,65
NDC,31722071390,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",60.5,30.25,13.2,54.45,65
NDC,31722071430,ATOMOXETINE 10 MG CAPSULE,293.05,146.53,63.91,263.75,65
NDC,31722071630,ATOMOXETINE 25 MG CAPSULE,54.4,27.2,11.86,48.96,65
NDC,31722071730,ATOMOXETINE 40 MG CAPSULE,265.5,132.75,57.91,238.95,65
NDC,31722071830,ATOMOXETINE 60 MG CAPSULE,265.2,132.6,57.84,238.68,65
NDC,31722072150,LEVOFLOXACIN 250 MG TABLET,47.7,23.85,10.4,42.93,65
NDC,31722072250,LEVOFLOXACIN 500 MG TABLET,41.1,20.55,8.96,36.99,65
NDC,31722072320,LEVOFLOXACIN 750 MG TABLET,42.25,21.13,9.21,38.03,65
NDC,31722072610,MONTELUKAST 10 MG TABLET,405.0,202.5,88.33,364.5,65
NDC,31722072630,MONTELUKAST 10 MG TABLET,41.95,20.98,9.15,37.76,65
NDC,31722072690,MONTELUKAST 10 MG TABLET,69.15,34.58,15.08,62.24,65
NDC,31722072730,MONTELUKAST 4 MG CHEWABLE TABLET,42.5,21.25,9.27,38.25,65
NDC,31722072830,MONTELUKAST 5 MG CHEWABLE TABLET,48.1,24.05,10.49,43.29,65
NDC,31722072890,MONTELUKAST 5 MG CHEWABLE TABLET,132.3,66.15,28.85,119.07,65
NDC,31722072930,IRBESARTAN 75 MG TABLET,41.05,20.53,8.95,36.95,65
NDC,31722072990,IRBESARTAN 75 MG TABLET,110.2,55.1,24.03,99.18,65
NDC,31722073030,IRBESARTAN 150 MG TABLET,65.7,32.85,14.33,59.13,65
NDC,31722073090,IRBESARTAN 150 MG TABLET,195.5,97.75,42.64,175.95,65
NDC,31722073830,DONEPEZIL 10 MG TABLET,6.5,3.25,1.42,5.85,65
NDC,31722074920,LINEZOLID 600 MG TABLET,418.2,209.1,91.21,376.38,65
NDC,31722074930,LINEZOLID 600 MG TABLET,815.1,407.55,177.77,733.59,65
NDC,31722077701,ACYCLOVIR 400 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,31722077705,ACYCLOVIR 400 MG TABLET,297.5,148.75,64.88,267.75,65
NDC,31722077801,ACYCLOVIR 800 MG TABLET,76.2,38.1,16.62,68.58,65
NDC,31722080560,TOLTERODINE 1 MG TABLET,119.9,59.95,26.15,107.91,65
NDC,31722080660,TOLTERODINE 2 MG TABLET,119.9,59.95,26.15,107.91,65
NDC,31722081260,LACOSAMIDE 50 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,31722081360,LACOSAMIDE 100 MG TABLET,64.1,32.05,13.98,57.69,65
NDC,31722081930,ARIPIPRAZOLE 2 MG TABLET,59.25,29.63,12.92,53.33,65
NDC,31722082030,ARIPIPRAZOLE 5 MG TABLET,53.1,26.55,11.58,47.79,65
NDC,31722082730,ARIPIPRAZOLE 10 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,31722083260,VALGANCICLOVIR 450 MG TABLET,891.9,445.95,194.52,802.71,65
NDC,31722083330,ENTECAVIR 0.5 MG TABLET,95.95,47.98,20.93,86.36,65
NDC,31722083710,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1363.6,681.8,297.4,1227.24,65
NDC,31722086525,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,2042.25,1021.13,445.41,1838.03,65
NDC,31722086803,TOLVAPTAN 15 MG TABLET,2218.8,1109.4,483.92,1996.92,65
NDC,31722086831,TOLVAPTAN 15 MG TABLET,277.35,138.68,60.49,249.62,65
NDC,31722086901,TOLVAPTAN 30 MG TABLET,275.45,137.73,60.08,247.91,65
NDC,31722086903,TOLVAPTAN 30 MG TABLET,2203.4,1101.7,480.56,1983.06,65
NDC,31722087801,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,99.6,49.8,21.72,89.64,65
NDC,31722088530,ROSUVASTATIN 40 MG TABLET,20.0,10.0,4.36,18.0,65
NDC,31722089930,COLCHICINE 0.6 MG TABLET,110.7,55.35,24.14,99.63,65
NDC,31722091701,OXYCODONE 15 MG TABLET,92.4,46.2,20.15,83.16,65
NDC,31722091705,OXYCODONE 15 MG TABLET,385.0,192.5,83.97,346.5,65
NDC,31722093502,ALBENDAZOLE 200 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,31722095001,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,90.6,45.3,19.76,81.54,65
NDC,31722095101,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,120.6,60.3,26.3,108.54,65
NDC,31722095201,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",361.5,180.75,78.84,325.35,65
NDC,31722095301,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",374.0,187.0,81.57,336.6,65
NDC,31722095501,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",435.0,217.5,94.87,391.5,65
NDC,31722095801,BENZONATATE 200 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,31722098110,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.45,11.23,0.89,20.21,66
NDC,31722098131,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.45,11.23,0.89,20.21,66
NDC,31722099510,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,51.0,25.5,1.79,45.9,66
NDC,31722099531,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,51.0,25.5,1.79,45.9,66
NDC,33342000409,NEVIRAPINE 200 MG TABLET,56.55,28.28,12.33,50.9,65
NDC,33342002332,LEVOFLOXACIN 750 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,33342002710,DONEPEZIL 5 MG TABLET,38.9,19.45,8.48,35.01,65
NDC,33342003110,PRAMIPEXOLE 0.125 MG TABLET,90.2,45.1,19.67,81.18,65
NDC,33342003210,PRAMIPEXOLE 0.25 MG TABLET,90.2,45.1,19.67,81.18,65
NDC,33342003410,PRAMIPEXOLE 1 MG TABLET,90.2,45.1,19.67,81.18,65
NDC,33342004810,IRBESARTAN 150 MG TABLET,119.9,59.95,26.15,107.91,65
NDC,33342005407,PIOGLITAZONE 15 MG TABLET,23.95,11.98,5.22,21.56,65
NDC,33342005410,PIOGLITAZONE 15 MG TABLET,71.85,35.93,15.67,64.67,65
NDC,33342005507,PIOGLITAZONE 30 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,33342005510,PIOGLITAZONE 30 MG TABLET,98.85,49.43,21.56,88.97,65
NDC,33342005607,PIOGLITAZONE 45 MG TABLET,34.6,17.3,7.55,31.14,65
NDC,33342006010,CLOPIDOGREL 75 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,33342006207,VALSARTAN 40 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,33342006310,VALSARTAN 80 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,33342006410,VALSARTAN 160 MG TABLET,48.1,24.05,10.49,43.29,65
NDC,33342006510,VALSARTAN 320 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,33342006707,OLANZAPINE 2.5 MG TABLET,23.6,11.8,5.15,21.24,65
NDC,33342006807,OLANZAPINE 5 MG TABLET,29.35,14.68,6.4,26.42,65
NDC,33342006907,OLANZAPINE 7.5 MG TABLET,33.3,16.65,7.26,29.97,65
NDC,33342007007,OLANZAPINE 10 MG TABLET,29.9,14.95,6.52,26.91,65
NDC,33342008307,OLANZAPINE 5 MG DISINTEGRATING TABLET,154.1,77.05,33.61,138.69,65
NDC,33342008407,OLANZAPINE 10 MG DISINTEGRATING TABLET,226.3,113.15,49.36,203.67,65
NDC,33342008802,RIZATRIPTAN 10 MG TABLET,3.05,1.53,0.67,2.75,65
NDC,33342008909,RIVASTIGMINE 1.5 MG CAPSULE,117.4,58.7,25.6,105.66,65
NDC,33342009009,RIVASTIGMINE 3 MG CAPSULE,115.6,57.8,25.21,104.04,65
NDC,33342009607,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,88.75,44.38,19.36,79.88,65
NDC,33342009709,TOLTERODINE 1 MG TABLET,127.1,63.55,27.72,114.39,65
NDC,33342009809,TOLTERODINE 2 MG TABLET,124.6,62.3,27.18,112.14,65
NDC,33342010207,MONTELUKAST 10 MG TABLET,11.55,5.78,2.52,10.4,65
NDC,33342010215,MONTELUKAST 10 MG TABLET,165.0,82.5,35.99,148.5,65
NDC,33342011007,MONTELUKAST 4 MG CHEWABLE TABLET,19.45,9.73,4.24,17.51,65
NDC,33342011507,CANDESARTAN 8 MG TABLET,239.95,119.98,52.33,215.96,65
NDC,33342011707,CANDESARTAN 32 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,33342012110,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,304.2,152.1,66.35,273.78,65
NDC,33342012207,ARIPIPRAZOLE 2 MG TABLET,73.3,36.65,15.99,65.97,65
NDC,33342012407,ARIPIPRAZOLE 10 MG TABLET,325.05,162.53,70.89,292.55,65
NDC,33342014409,ZIPRASIDONE 20 MG CAPSULE,166.35,83.18,36.28,149.72,65
NDC,33342015711,CELECOXIB 200 MG CAPSULE,51.0,25.5,11.12,45.9,65
NDC,33342021558,SEVELAMER CARBONATE 800 MG TABLET,276.75,138.38,60.36,249.08,65
NDC,33342025666,OSELTAMIVIR 30 MG CAPSULE,35.6,17.8,7.76,32.04,65
NDC,33342025766,OSELTAMIVIR 45 MG CAPSULE,49.1,24.55,10.71,44.19,65
NDC,33342025866,OSELTAMIVIR 75 MG CAPSULE,51.85,25.93,11.31,46.67,65
NDC,33342026011,ENTACAPONE 200 MG TABLET,266.4,133.2,58.1,239.76,65
NDC,33342027407,FEBUXOSTAT 40 MG TABLET,45.9,22.95,10.01,41.31,65
NDC,33342029709,MEMANTINE 5 MG TABLET,56.2,28.1,12.26,50.58,65
NDC,33342029809,MEMANTINE 10 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,33342029907,ESZOPICLONE 1 MG TABLET,28.3,14.15,6.17,25.47,65
NDC,33342030111,ESZOPICLONE 3 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,33342031411,PROPYLTHIOURACIL 50 MG TABLET,272.5,136.25,59.43,245.25,65
NDC,33342032186,CLOBETASOL 0.05 % SCALP SOLUTION,149.7,74.85,32.65,134.73,65
NDC,33342032715,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,13.8,6.9,3.01,12.42,65
NDC,33342032815,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,33.95,16.98,7.4,30.56,65
NDC,33342032915,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,21.6,10.8,4.71,19.44,65
NDC,33342032980,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,38.4,19.2,8.38,34.56,65
NDC,33342033315,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,26.05,13.03,5.68,23.45,65
NDC,33342033354,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,149.85,74.93,32.68,134.87,65
NDC,33342033380,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,55.2,27.6,12.04,49.68,65
NDC,33342040535,LIDOCAINE 5 % TOPICAL OINTMENT,51.9,25.95,11.32,46.71,65
NDC,33342044711,PYRAZINAMIDE 500 MG TABLET,2166.0,1083.0,472.4,1949.4,65
NDC,33342048115,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",40.25,20.13,8.78,36.23,65
NDC,33982230302,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,373.65,186.83,55.85,336.29,66
NDC,35573010715,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",149.6,74.8,32.63,134.64,65
NDC,35573041230,TADALAFIL 20 MG TABLET,70.05,35.03,15.28,63.05,65
NDC,35573041530,ATOMOXETINE 10 MG CAPSULE,489.15,244.58,106.68,440.24,65
NDC,35573041630,ATOMOXETINE 18 MG CAPSULE,513.45,256.73,111.98,462.11,65
NDC,35573042851,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,35573042880,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",96.6,48.3,21.07,86.94,65
NDC,35573043302,KETOCONAZOLE 200 MG TABLET,358.5,179.25,78.19,322.65,65
NDC,35573043330,KETOCONAZOLE 200 MG TABLET,130.15,65.08,28.39,117.14,65
NDC,35573043702,LOXAPINE SUCCINATE 10 MG CAPSULE,359.5,179.75,78.41,323.55,65
NDC,35573044102,HALOPERIDOL 5 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,35573044425,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,4.6,2.3,1.0,4.14,65
NDC,35573044525,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,4.2,2.1,0.92,3.78,65
NDC,35573045002,KETOROLAC 10 MG TABLET,400.0,200.0,87.24,360.0,65
NDC,36000000824,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.8,23.9,2.15,43.02,66
NDC,36000000924,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,48.2,24.1,10.51,65.33,66
NDC,36000001225,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,36000003310,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,36000004624,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.05,23.53,1.01,42.35,66
NDC,36000004724,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.3,23.65,1.01,42.57,66
NDC,36000004824,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.1,23.55,1.01,42.39,66
NDC,36000014801,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,22.65,11.33,4.94,20.39,65
NDC,36000014810,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,22.65,11.33,4.94,20.39,65
NDC,36000014901,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,42.6,21.3,9.29,38.34,65
NDC,36000014910,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,42.6,21.3,9.29,38.34,65
NDC,36000016201,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,46.4,23.2,10.12,41.76,65
NDC,36000016210,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,46.4,23.2,10.12,41.76,65
NDC,36000024201,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,86.05,43.03,2.95,77.45,66
NDC,36000024401,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,46.1,23.05,2.95,41.49,66
NDC,36000024425,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,46.1,23.05,2.95,41.49,66
NDC,36000028225,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.45,10.23,4.46,18.41,65
NDC,36000028325,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.6,10.3,4.49,18.54,65
NDC,36000028425,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,36000029824,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.2,23.6,10.29,65.33,66
NDC,36000030660,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",36.0,18.0,0.05,32.4,66
NDC,36000030801,NALOXONE 0.4 MG/ML INJECTION SOLUTION,22.5,11.25,4.91,20.25,65
NDC,36000030810,NALOXONE 0.4 MG/ML INJECTION SOLUTION,22.5,11.25,4.91,20.25,65
NDC,36000031001,NALOXONE 0.4 MG/ML INJECTION SOLUTION,182.95,91.48,39.9,164.66,65
NDC,36000031002,NALOXONE 0.4 MG/ML INJECTION SOLUTION,182.95,91.48,39.9,164.66,65
NDC,36000032001,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,10.52,43.43,65
NDC,36000032010,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,10.52,43.43,65
NDC,36000032201,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.95,23.48,10.24,42.26,65
NDC,36000032202,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.95,23.48,10.24,42.26,65
NDC,36000032401,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,51.4,25.7,11.21,46.26,65
NDC,36000032402,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,51.4,25.7,11.21,46.26,65
NDC,36000032602,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,27.2,13.6,1.03,24.48,66
NDC,36000035401,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",72.4,36.2,0.07,65.16,66
NDC,36000035440,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",72.4,36.2,0.07,65.16,66
NDC,36000035601,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",59.8,29.9,0.07,53.82,66
NDC,36000035640,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",59.8,29.9,0.07,53.82,66
NDC,38779006801,CITRIC ACID (BULK) POWDER,195.0,97.5,42.53,175.5,65
NDC,38779006808,CITRIC ACID (BULK) POWDER,60.0,30.0,13.09,54.0,65
NDC,38779006809,CITRIC ACID (BULK) POWDER,90.0,45.0,19.63,81.0,65
NDC,38779036401,BECLOMETHASONE DIPROP (BULK) POWDER,1379.25,689.63,300.81,1241.33,65
NDC,38779036403,BECLOMETHASONE DIPROP (BULK) POWDER,759.05,379.53,165.55,683.15,65
NDC,38779059805,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,95.4,47.7,20.81,85.86,65
NDC,38779082204,CHOLESTYRAMINE (BULK) POWDER,525.9,262.95,114.7,473.31,65
NDC,38779135408,HYDROXYUREA (BULK) 100 % POWDER,2302.5,1151.25,502.18,2072.25,65
NDC,38779155604,PYRIDOXAL-5 PHOSPHATE (BULK) 100 % POWDER,759.0,379.5,165.54,683.1,65
NDC,38779155605,PYRIDOXAL-5 PHOSPHATE (BULK) 100 % POWDER,2440.0,1220.0,532.16,2196.0,65
NDC,38779193805,PHENOL (BULK) 89 % LIQUID,13.9,6.95,3.03,12.51,65
NDC,39328000810,"POTASSIUM PHOSPHATE, MONOBASIC 500 MG SOLUBLE TABLET",221.4,110.7,48.29,199.26,65
NDC,39328002912,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,83.25,41.63,18.16,74.93,65
NDC,39328010710,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,39328053010,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,16.35,8.18,3.57,14.72,65
NDC,39328053016,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,164.65,82.33,35.91,148.19,65
NDC,39328053099,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,16.35,8.18,3.57,14.72,65
NDC,39328054416,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,130.55,65.28,28.47,117.5,65
NDC,39822015101,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1980.3,990.15,431.9,1782.27,65
NDC,39822019001,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,162.25,81.13,31.21,146.03,66
NDC,39822031005,NEOMYCIN 500 MG TABLET,347.0,173.5,75.68,312.3,65
NDC,39822031007,NEOMYCIN 500 MG TABLET,4.2,2.1,0.92,3.78,65
NDC,39822041201,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,279.25,139.63,2.95,251.33,66
NDC,39822041206,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,233.85,116.93,2.95,210.47,66
NDC,39822050001,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,52.75,26.38,6.2,47.48,66
NDC,39822050004,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,52.75,26.38,6.2,47.48,66
NDC,39822061501,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,180.4,90.2,15.44,162.36,66
NDC,39822065001,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1298.1,649.05,81.46,1168.29,70
NDC,39822065006,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1298.1,649.05,81.46,1168.29,70
NDC,39822070602,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION,276.6,138.3,36.08,248.94,66
NDC,39822100001,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",57.2,28.6,12.48,51.48,65
NDC,39822103001,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1180.65,590.33,257.5,1062.59,65
NDC,39822103002,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1180.65,590.33,257.5,1062.59,65
NDC,39822105505,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,235.5,117.75,10.59,211.95,66
NDC,39822107701,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,145.75,72.88,1.28,131.18,66
NDC,39822110001,FOLIC ACID 5 MG/ML INJECTION SOLUTION,106.8,53.4,23.29,96.12,65
NDC,39822120101,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",54.95,27.48,11.98,49.46,65
NDC,39822120102,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",60.65,30.33,13.23,54.59,65
NDC,39822120105,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",54.95,27.48,11.98,49.46,65
NDC,39822122001,"NEOMYCIN 40 MG-POLYMYXIN B 200,000 UNIT/ML GU IRRIGATION SOLUTION",429.2,214.6,93.61,386.28,65
NDC,39822200001,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",119.35,59.68,21.38,107.42,66
NDC,39822210002,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1506.15,753.08,328.49,1355.54,71
NDC,39822301501,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",83.25,41.63,18.16,74.93,65
NDC,39822303001,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,346.7,173.35,55.85,312.03,66
NDC,39822305001,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,302.35,151.18,65.94,272.12,65
NDC,39822400001,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,47.35,23.68,0.07,42.62,66
NDC,39822420001,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.25,11.63,5.07,20.93,65
NDC,39822420002,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.25,11.63,5.07,20.93,65
NDC,39822420005,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,30.55,15.28,6.66,27.5,65
NDC,39822552502,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.15,10.58,3.99,19.04,66
NDC,39822552503,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,21.15,10.58,3.99,19.04,66
NDC,39822620001,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,85.05,42.53,3.59,76.55,71
NDC,39822620002,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,85.05,42.53,3.59,76.55,71
NDC,39822625001,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,670.25,335.13,3.59,603.23,71
NDC,40028051130,FLUDEOXYGLUCOSE F-18 20 MCI TO 200 MCI/ML INTRAVENOUS SOLUTION,1501.15,750.58,267.38,1351.04,65
NDC,40565012249,CADEXOMER IODINE 0.9 % TOPICAL GEL,376.4,188.2,82.09,338.76,64
NDC,40565012256,CADEXOMER IODINE 0.9 % TOPICAL GEL,127.35,63.68,27.78,114.62,64
NDC,41167057100,DICLOFENAC 1 % TOPICAL GEL,41.4,20.7,9.03,37.26,65
NDC,41167058003,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL,104.95,52.48,22.89,94.46,65
NDC,42023010401,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,435.7,217.85,14.19,392.13,71
NDC,42023010405,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,1625.05,812.53,14.19,1462.55,71
NDC,42023010501,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,456.4,228.2,99.54,410.76,65
NDC,42023010701,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,83.3,41.65,15.44,74.97,66
NDC,42023011201,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,1434.4,717.2,10.25,1290.96,66
NDC,42023011310,KETAMINE 10 MG/ML INJECTION SOLUTION,63.85,31.93,13.93,57.47,65
NDC,42023011410,KETAMINE 50 MG/ML INJECTION SOLUTION,38.95,19.48,8.49,35.06,65
NDC,42023011510,KETAMINE 100 MG/ML INJECTION SOLUTION,74.0,37.0,16.14,66.6,65
NDC,42023011602,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,58.75,29.38,0.91,52.88,66
NDC,42023011625,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,46.45,23.23,0.91,41.81,66
NDC,42023011683,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,46.45,23.23,0.91,41.81,66
NDC,42023011925,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION,269.05,134.53,53.09,242.15,66
NDC,42023012001,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1926.15,963.08,420.09,1733.54,65
NDC,42023012006,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1879.8,939.9,409.98,1691.82,65
NDC,42023012306,DANTROLENE 20 MG INTRAVENOUS SOLUTION,325.0,162.5,70.88,292.5,65
NDC,42023012401,DANTROLENE 25 MG CAPSULE,411.0,205.5,89.64,369.9,65
NDC,42023012901,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,156.85,78.43,10.16,141.17,66
NDC,42023012989,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,244.2,122.1,10.16,219.78,66
NDC,42023013101,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,181.1,90.55,15.44,162.99,66
NDC,42023014625,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,48.15,24.08,10.5,43.34,65
NDC,42023015701,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,2059.8,1029.9,449.24,1853.82,65
NDC,42023015789,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,3159.65,1579.83,689.12,2843.69,65
NDC,42023015901,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,91.05,45.53,19.86,81.95,65
NDC,42023015925,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,91.05,45.53,19.86,81.95,65
NDC,42023016401,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,117.15,58.58,1.95,105.44,66
NDC,42023016410,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,117.15,58.58,1.95,105.44,66
NDC,42023016425,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,68.55,34.28,1.95,61.7,66
NDC,42023016483,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,68.55,34.28,1.95,61.7,66
NDC,42023016489,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,68.55,34.28,1.95,61.7,66
NDC,42023016801,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,536.25,268.13,116.96,482.63,65
NDC,42023016889,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,572.1,286.05,124.78,514.89,65
NDC,42023017204,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,170.65,85.33,37.22,153.59,65
NDC,42023017301,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,302.35,151.18,49.86,272.12,66
NDC,42023017325,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,302.35,151.18,49.86,272.12,66
NDC,42023017901,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,73.05,36.53,4.58,65.75,66
NDC,42023017905,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,73.05,36.53,4.58,65.75,66
NDC,42023018201,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,315.55,157.78,0.81,284.0,70
NDC,42023018289,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,315.55,157.78,0.81,284.0,70
NDC,42023018701,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,106.6,53.3,23.25,95.94,65
NDC,42023018710,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,106.6,53.3,23.25,95.94,65
NDC,42023018901,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,32.8,16.4,1.79,29.52,66
NDC,42023018910,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,32.8,16.4,1.79,29.52,66
NDC,42023019001,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,993.85,496.93,1.95,894.47,66
NDC,42023019501,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,755.4,377.7,164.75,679.86,65
NDC,42023020101,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,309.7,154.85,9.67,278.73,66
NDC,42023020501,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,2507.25,1253.63,494.67,2256.53,71
NDC,42023020601,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,1689.2,844.6,55.8,1520.28,71
NDC,42023020701,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,3723.25,1861.63,55.8,3350.93,71
NDC,42023020801,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,7421.5,3710.75,55.8,6679.35,71
NDC,42023020901,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,14818.0,7409.0,55.8,13336.2,71
NDC,42023021301,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,42023021325,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,42023021401,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,55.55,27.78,12.12,50.0,65
NDC,42023021410,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,55.55,27.78,12.12,50.0,65
NDC,42023021501,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,97.5,48.75,21.26,87.75,65
NDC,42023021601,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,27.65,13.83,6.03,24.89,65
NDC,42023021625,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,27.65,13.83,6.03,24.89,65
NDC,42023021683,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,27.65,13.83,6.03,24.89,65
NDC,42023021689,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,27.65,13.83,6.03,24.89,65
NDC,42023022101,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,85.75,42.88,14.38,77.18,66
NDC,42023022110,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,85.75,42.88,14.38,77.18,66
NDC,42023022185,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,85.75,42.88,14.38,77.18,66
NDC,42023022189,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,85.75,42.88,14.38,77.18,66
NDC,42023022901,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,99.9,49.95,0.36,89.91,66
NDC,42023022910,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,99.9,49.95,0.36,89.91,66
NDC,42023023001,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,158.15,79.08,0.36,142.34,66
NDC,42023023010,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,158.15,79.08,0.36,142.34,66
NDC,42023023701,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION,230.2,115.1,1.95,207.18,66
NDC,42023023710,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION,230.2,115.1,1.95,207.18,66
NDC,42023024301,EPHEDRINE SULFATE 5 MG/ML INTRAVENOUS SOLUTION,57.15,28.58,12.46,51.44,65
NDC,42023031501,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,197.5,98.75,43.07,177.75,65
NDC,42023031510,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,197.5,98.75,43.07,177.75,65
NDC,42023062201,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION,249.6,124.8,0.24,224.64,66
NDC,42023062210,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION,249.6,124.8,0.24,224.64,66
NDC,42043022000,SUMATRIPTAN 25 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,42043022009,SUMATRIPTAN 25 MG TABLET,16.75,8.38,3.65,15.08,65
NDC,42043039021,GRANISETRON HCL 1 MG TABLET,124.6,62.3,27.18,112.14,65
NDC,42043039040,GRANISETRON HCL 1 MG TABLET,6.25,3.13,1.36,5.63,65
NDC,42135010000,INHALATIONAL SPACING DEVICE,29.95,14.98,6.53,26.96,64
NDC,42192032901,THYROID (PORK) 30 MG TABLET,343.0,171.5,74.81,308.7,65
NDC,42192033001,THYROID (PORK) 60 MG TABLET,380.0,190.0,82.88,342.0,65
NDC,42192033101,THYROID (PORK) 90 MG TABLET,597.5,298.75,130.31,537.75,65
NDC,42192033801,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,63.6,31.8,13.87,57.24,65
NDC,42192033901,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,64.2,32.1,14.0,57.78,65
NDC,42192034001,HYOSCYAMINE SULFATE 0.125 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,42192060705,BROMPHENIRAMINE-PSEUDOEPHEDRINE-DM 2 MG-30 MG-10 MG/5 ML ORAL SYRUP,14.35,7.18,3.13,12.92,65
NDC,42192060805,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,20.8,10.4,4.54,18.72,65
NDC,42192060806,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,21.1,10.55,4.6,18.99,65
NDC,42192060816,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,194.6,97.3,42.44,175.14,65
NDC,42192060840,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,21.1,10.55,4.6,18.99,65
NDC,42192060845,GABAPENTIN 250 MG/5 ML (5 ML) ORAL SOLUTION,20.8,10.4,4.54,18.72,65
NDC,42192061405,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.1,11.05,0.7,19.89,66
NDC,42192061410,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.05,11.03,0.7,19.85,66
NDC,42192061430,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.1,11.05,0.7,19.89,66
NDC,42192061501,NIFEDIPINE 10 MG CAPSULE,178.2,89.1,38.87,160.38,65
NDC,42192061801,BENZONATATE 200 MG CAPSULE,112.2,56.1,24.47,100.98,65
NDC,42192061916,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,449.35,224.68,98.0,404.42,65
NDC,42192063004,BROMPHENIRAMINE-PSEUDOEPHEDRINE-DM 2 MG-30 MG-10 MG/5 ML ORAL SYRUP,46.05,23.03,10.04,41.45,65
NDC,42192071506,CICLOPIROX 8 % TOPICAL SOLUTION,63.15,31.58,13.77,56.84,65
NDC,42192080101,PHENAZOPYRIDINE 100 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,42192080201,PHENAZOPYRIDINE 200 MG TABLET,201.0,100.5,43.84,180.9,65
NDC,42195055014,CIPROFLOXACIN 0.2 % EAR DROPS IN A DROPPERETTE,650.2,325.1,141.81,585.18,65
NDC,42291003460,DABIGATRAN ETEXILATE 150 MG CAPSULE,294.9,147.45,64.32,265.41,65
NDC,42291006430,ATOMOXETINE 10 MG CAPSULE,245.0,122.5,53.43,220.5,65
NDC,42291006630,ATOMOXETINE 25 MG CAPSULE,228.25,114.13,49.78,205.43,65
NDC,42291006730,ATOMOXETINE 40 MG CAPSULE,224.65,112.33,49.0,202.19,65
NDC,42291006830,ATOMOXETINE 60 MG CAPSULE,230.25,115.13,50.22,207.23,65
NDC,42291006930,ATOMOXETINE 80 MG CAPSULE,239.05,119.53,52.14,215.15,65
NDC,42291007615,CLOBETASOL 0.05 % TOPICAL CREAM,11.9,5.95,2.6,10.71,65
NDC,42291007630,CLOBETASOL 0.05 % TOPICAL CREAM,19.1,9.55,4.17,17.19,65
NDC,42291007715,CLOBETASOL 0.05 % TOPICAL OINTMENT,14.5,7.25,3.16,13.05,65
NDC,42291007730,CLOBETASOL 0.05 % TOPICAL OINTMENT,26.3,13.15,5.74,23.67,65
NDC,42291008230,AZITHROMYCIN 250 MG TABLET,36.75,18.38,8.02,33.08,65
NDC,42291008430,AZITHROMYCIN 600 MG TABLET,264.6,132.3,57.71,238.14,65
NDC,42291008530,ANASTROZOLE 1 MG TABLET,98.85,49.43,21.56,88.97,65
NDC,42291009101,BENZONATATE 100 MG CAPSULE,45.0,22.5,9.81,40.5,65
NDC,42291009430,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,62.5,31.25,13.63,56.25,65
NDC,42291015410,CYCLOBENZAPRINE 10 MG TABLET,204.0,102.0,44.49,183.6,65
NDC,42291015412,CYCLOBENZAPRINE 10 MG TABLET,36.75,18.38,8.02,33.08,65
NDC,42291015430,CYCLOBENZAPRINE 10 MG TABLET,11.0,5.5,2.4,9.9,65
NDC,42291015490,CYCLOBENZAPRINE 10 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,42291018590,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",82.65,41.33,18.03,74.39,65
NDC,42291018790,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",128.0,64.0,27.92,115.2,65
NDC,42291020516,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,4825.0,2412.5,1052.33,4342.5,65
NDC,42291026601,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",596.5,298.25,130.1,536.85,65
NDC,42291028110,FAMOTIDINE 20 MG TABLET,275.0,137.5,59.98,247.5,65
NDC,42291031001,GUANFACINE 1 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,42291032101,HYDROXYUREA 500 MG CAPSULE,210.6,105.3,45.93,189.54,65
NDC,42291032401,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",208.8,104.4,45.54,187.92,65
NDC,42291034501,IMIPRAMINE 10 MG TABLET,68.4,34.2,14.92,61.56,65
NDC,42291035001,ISOSORBIDE DINITRATE 30 MG TABLET,471.0,235.5,102.73,423.9,65
NDC,42291037490,LETROZOLE 2.5 MG TABLET,1020.15,510.08,222.49,918.14,65
NDC,42291041160,DOFETILIDE 125 MCG CAPSULE,96.15,48.08,20.97,86.54,65
NDC,42291041260,DOFETILIDE 250 MCG CAPSULE,106.95,53.48,23.33,96.26,65
NDC,42291041360,DOFETILIDE 500 MCG CAPSULE,108.75,54.38,23.72,97.88,65
NDC,42291041790,LIOTHYRONINE 5 MCG TABLET,111.8,55.9,24.38,100.62,65
NDC,42291042642,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,339.15,169.58,73.97,305.24,65
NDC,42291044290,IBUPROFEN 800 MG TABLET,38.9,19.45,8.48,35.01,65
NDC,42291044330,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",158.05,79.03,34.47,142.25,65
NDC,42291045360,CILOSTAZOL 100 MG TABLET,141.15,70.58,30.78,127.04,65
NDC,42291045930,CINACALCET 30 MG TABLET,73.3,36.65,15.99,65.97,65
NDC,42291046501,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,42291046601,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,42291046701,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,62.4,31.2,13.61,56.16,65
NDC,42291046810,FUROSEMIDE 20 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,42291046901,FUROSEMIDE 40 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,42291047101,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,42291047201,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,42291047560,LUBIPROSTONE 8 MCG CAPSULE,279.0,139.5,60.85,251.1,65
NDC,42291047660,LUBIPROSTONE 24 MCG CAPSULE,260.7,130.35,56.86,234.63,65
NDC,42291049790,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",18.4,9.2,4.01,16.56,65
NDC,42291050501,METHOTREXATE SODIUM 2.5 MG TABLET,111.6,55.8,24.34,100.44,65
NDC,42291050701,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",111.0,55.5,24.21,99.9,65
NDC,42291050750,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",405.0,202.5,88.33,364.5,65
NDC,42291052201,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",228.6,114.3,49.86,205.74,65
NDC,42291056090,MIDODRINE 2.5 MG TABLET,57.8,28.9,12.61,52.02,65
NDC,42291056190,MIDODRINE 5 MG TABLET,79.95,39.98,17.44,71.96,65
NDC,42291056630,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,2800.45,1400.23,610.78,2520.41,65
NDC,42291059690,METOCLOPRAMIDE 10 MG TABLET,133.4,66.7,29.09,120.06,65
NDC,42291062230,MONTELUKAST 4 MG CHEWABLE TABLET,35.1,17.55,7.66,31.59,65
NDC,42291062290,MONTELUKAST 4 MG CHEWABLE TABLET,100.45,50.23,21.91,90.41,65
NDC,42291062330,MONTELUKAST 5 MG CHEWABLE TABLET,36.2,18.1,7.9,32.58,65
NDC,42291062390,MONTELUKAST 5 MG CHEWABLE TABLET,104.25,52.13,22.74,93.83,65
NDC,42291062401,MEXILETINE 150 MG CAPSULE,351.0,175.5,76.55,315.9,65
NDC,42291062501,MEXILETINE 200 MG CAPSULE,660.5,330.25,144.06,594.45,65
NDC,42291063230,NALTREXONE 50 MG TABLET,136.45,68.23,29.76,122.81,65
NDC,42291072801,PROCHLORPERAZINE MALEATE 5 MG TABLET,211.8,105.9,46.19,190.62,65
NDC,42291074090,SOLIFENACIN 10 MG TABLET,110.7,55.35,24.14,99.63,65
NDC,42291074730,SILDENAFIL 50 MG TABLET,37.45,18.73,8.17,33.71,65
NDC,42291077201,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,43.8,21.9,9.55,39.42,65
NDC,42291077210,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,290.0,145.0,63.25,261.0,65
NDC,42291077360,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",59.4,29.7,12.96,53.46,65
NDC,42291077460,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",95.4,47.7,20.81,85.86,65
NDC,42291077930,RASAGILINE 0.5 MG TABLET,279.15,139.58,60.88,251.24,65
NDC,42291078030,RASAGILINE 1 MG TABLET,370.65,185.33,80.84,333.59,65
NDC,42291078142,SUCRALFATE 100 MG/ML ORAL SUSPENSION,468.3,234.15,102.14,421.47,65
NDC,42291078930,TADALAFIL 20 MG TABLET,169.6,84.8,36.99,152.64,65
NDC,42291080030,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,150.7,75.35,32.87,135.63,65
NDC,42291080815,TIZANIDINE 2 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,42291080915,TIZANIDINE 4 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,42291081790,TORSEMIDE 10 MG TABLET,246.25,123.13,53.71,221.63,65
NDC,42291082990,TRAZODONE 150 MG TABLET,63.2,31.6,13.78,56.88,65
NDC,42291085301,VERAPAMIL 40 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,42291085401,VERAPAMIL 80 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,42291085790,VALSARTAN 80 MG TABLET,60.5,30.25,13.2,54.45,65
NDC,42291085890,VALSARTAN 160 MG TABLET,76.15,38.08,16.61,68.54,65
NDC,42291085990,VALSARTAN 320 MG TABLET,103.15,51.58,22.5,92.84,65
NDC,42291086730,TADALAFIL 20 MG TABLET,168.7,84.35,36.79,151.83,65
NDC,42291086810,TRAZODONE 50 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,42291086890,TRAZODONE 50 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,42291086990,TRAZODONE 100 MG TABLET,28.1,14.05,6.13,25.29,65
NDC,42291089730,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",12.1,6.05,2.64,10.89,65
NDC,42291089790,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",27.55,13.78,6.01,24.8,65
NDC,42291089830,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",14.25,7.13,3.11,12.83,65
NDC,42291089890,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",30.25,15.13,6.6,27.23,65
NDC,42291089930,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",20.35,10.18,4.44,18.32,65
NDC,42291089990,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",56.2,28.1,12.26,50.58,65
NDC,42291092301,URSODIOL 300 MG CAPSULE,266.4,133.2,58.1,239.76,65
NDC,42291096430,ZOLPIDEM 10 MG TABLET,20.9,10.45,4.56,18.81,65
NDC,42292000201,DIGOXIN 250 MCG (0.25 MG) TABLET,4.7,2.35,1.03,4.23,65
NDC,42292000220,DIGOXIN 250 MCG (0.25 MG) TABLET,389.0,194.5,84.84,350.1,65
NDC,42292000301,DIGOXIN 125 MCG (0.125 MG) TABLET,4.65,2.33,1.01,4.19,65
NDC,42292000320,DIGOXIN 125 MCG (0.125 MG) TABLET,386.0,193.0,84.19,347.4,65
NDC,42292002601,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",141.2,70.6,30.8,127.08,65
NDC,42292002620,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",9412.0,4706.0,2052.76,8470.8,65
NDC,42292002701,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",115.4,57.7,25.17,103.86,65
NDC,42292002720,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",7693.2,3846.6,1677.89,6923.88,65
NDC,42292003801,LEVOTHYROXINE 88 MCG TABLET,3.15,1.58,0.69,2.84,65
NDC,42292003820,LEVOTHYROXINE 88 MCG TABLET,262.5,131.25,57.25,236.25,65
NDC,42292003901,LEVOTHYROXINE 112 MCG TABLET,3.7,1.85,0.81,3.33,65
NDC,42292003920,LEVOTHYROXINE 112 MCG TABLET,306.0,153.0,66.74,275.4,65
NDC,42292004001,LEVOTHYROXINE 175 MCG TABLET,4.6,2.3,1.0,4.14,65
NDC,42292004020,LEVOTHYROXINE 175 MCG TABLET,379.5,189.75,82.77,341.55,65
NDC,42292004101,LEVOTHYROXINE 137 MCG TABLET,3.45,1.73,0.75,3.11,65
NDC,42292004301,IMATINIB 100 MG TABLET,16.5,8.25,3.6,14.85,65
NDC,42292004401,IMATINIB 400 MG TABLET,64.9,32.45,14.15,58.41,65
NDC,42292004403,IMATINIB 400 MG TABLET,1622.4,811.2,353.85,1460.16,65
NDC,42292005301,ERLOTINIB 150 MG TABLET,589.6,294.8,128.59,530.64,65
NDC,42292005305,ERLOTINIB 150 MG TABLET,9433.0,4716.5,2057.34,8489.7,65
NDC,42292005401,COLCHICINE 0.6 MG TABLET,18.3,9.15,3.99,16.47,65
NDC,42292005403,COLCHICINE 0.6 MG TABLET,456.9,228.45,99.65,411.21,65
NDC,42367052125,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,8214.75,4107.38,12.53,7393.28,71
NDC,42367054032,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,9280.2,4640.1,2024.01,8352.18,65
NDC,42367057022,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,127.65,63.83,1.95,114.89,66
NDC,42367057087,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,127.65,63.83,1.95,114.89,66
NDC,42385091530,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,600.0,300.0,130.86,540.0,65
NDC,42385092060,ATAZANAVIR 150 MG CAPSULE,767.1,383.55,167.3,690.39,65
NDC,42385092160,ATAZANAVIR 200 MG CAPSULE,882.9,441.45,192.56,794.61,65
NDC,42385092830,EFAVIRENZ 600 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,3755.9,1877.95,819.16,3380.31,65
NDC,42385092931,EFAVIRENZ 400 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,3616.8,1808.4,788.82,3255.12,65
NDC,42385095330,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,149.8,74.9,32.67,134.82,65
NDC,42385097701,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",25.2,12.6,5.5,22.68,65
NDC,42385097801,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",39.0,19.5,8.51,35.1,65
NDC,42494030112,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,121.25,60.63,26.44,109.13,65
NDC,42494030124,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,258.35,129.18,56.35,232.52,65
NDC,42494033901,FLUCYTOSINE 250 MG CAPSULE,4479.2,2239.6,976.91,4031.28,65
NDC,42494033903,FLUCYTOSINE 250 MG CAPSULE,1223.1,611.55,266.76,1100.79,65
NDC,42494034001,FLUCYTOSINE 500 MG CAPSULE,4406.4,2203.2,961.04,3965.76,65
NDC,42494034003,FLUCYTOSINE 500 MG CAPSULE,1843.8,921.9,402.13,1659.42,65
NDC,42494034112,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,99.9,49.95,21.79,89.91,65
NDC,42494040901,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,646.5,323.25,141.0,581.85,65
NDC,42494041501,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,75.9,37.95,16.55,68.31,66
NDC,42494041525,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,75.9,37.95,16.55,68.31,66
NDC,42494041601,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.2,92.1,34.89,165.78,66
NDC,42494041625,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,184.2,92.1,34.89,165.78,66
NDC,42494043701,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,337.5,168.75,73.61,303.75,65
NDC,42543014050,HYDROCORTISONE 5 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,42543014101,HYDROCORTISONE 10 MG TABLET,114.6,57.3,24.99,103.14,65
NDC,42543014201,HYDROCORTISONE 20 MG TABLET,286.8,143.4,62.55,258.12,65
NDC,42543040601,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",124.2,62.1,27.09,111.78,65
NDC,42543040701,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",211.8,105.9,46.19,190.62,65
NDC,42543049301,AMANTADINE HCL 100 MG CAPSULE,98.4,49.2,21.46,88.56,65
NDC,42571013460,"DICLOFENAC 75 MG-MISOPROSTOL 200 MCG TABLET,IMMEDIATE,DELAYED RELEASE",531.6,265.8,115.94,478.44,65
NDC,42571013725,KETOROLAC 0.5 % EYE DROPS,166.45,83.23,36.3,149.81,65
NDC,42571013726,KETOROLAC 0.5 % EYE DROPS,300.0,150.0,65.43,270.0,65
NDC,42571014126,DORZOLAMIDE 2 % EYE DROPS,79.65,39.83,17.37,71.69,65
NDC,42571014726,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,300.0,150.0,65.43,270.0,65
NDC,42571016030,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,325.05,162.53,70.89,292.55,65
NDC,42571016101,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,42571016201,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,42571016242,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,42571016447,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,81.6,40.8,17.8,73.44,65
NDC,42571017701,PIROXICAM 20 MG CAPSULE,543.0,271.5,118.43,488.7,65
NDC,42571024469,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,22.8,11.4,1.65,20.52,66
NDC,42571025101,CLINDAMYCIN HCL 150 MG CAPSULE,42.6,21.3,9.29,38.34,65
NDC,42571026575,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,111.4,55.7,24.3,100.26,65
NDC,42571027560,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",302.7,151.35,66.02,272.43,65
NDC,42571031375,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,58.55,29.28,12.77,52.7,65
NDC,42571031387,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,58.55,29.28,12.77,52.7,65
NDC,42571031501,CLOBAZAM 10 MG TABLET,184.8,92.4,40.3,166.32,65
NDC,42571033201,METHENAMINE HIPPURATE 1 GRAM TABLET,871.5,435.75,190.07,784.35,65
NDC,42571035707,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,147.6,73.8,32.19,132.84,65
NDC,42571038101,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,108.6,54.3,23.69,97.74,65
NDC,42571039212,RUFINAMIDE 400 MG TABLET,832.2,416.1,181.5,748.98,65
NDC,42658000801,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1291.8,645.9,281.74,1162.62,71
NDC,42658001001,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,10.89,405.0,71
NDC,42658002101,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,22.13,405.0,71
NDC,42658002102,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,22.13,405.0,71
NDC,42658012204,IRBESARTAN 150 MG TABLET,87.5,43.75,19.08,78.75,65
NDC,42702010305,PHENYLEPHRINE 10 % EYE DROPS,221.7,110.85,48.35,199.53,65
NDC,42747020301,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION,24890.0,12445.0,451.95,22401.0,71
NDC,42747030401,BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION,37498.7,18749.35,451.95,33748.83,71
NDC,42747076101,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,18804.5,9402.25,239.33,16924.05,71
NDC,42794000502,AMILORIDE 5 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,42794000908,FLUCYTOSINE 250 MG CAPSULE,3328.2,1664.1,725.88,2995.38,65
NDC,42794001008,FLUCYTOSINE 500 MG CAPSULE,6286.6,3143.3,1371.11,5657.94,65
NDC,42794001710,ASENAPINE 10 MG SUBLINGUAL TABLET,970.8,485.4,211.73,873.72,65
NDC,42794001812,LIOTHYRONINE 5 MCG TABLET,283.05,141.53,61.73,254.75,65
NDC,42794001912,LIOTHYRONINE 25 MCG TABLET,366.3,183.15,79.89,329.67,65
NDC,42794002012,LIOTHYRONINE 50 MCG TABLET,549.0,274.5,119.74,494.1,65
NDC,42794008614,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,17796.5,8898.25,3881.42,16016.85,65
NDC,42799010501,METHENAMINE MANDELATE 0.5 GRAM TABLET,624.0,312.0,136.09,561.6,65
NDC,42799011002,ALBENDAZOLE 200 MG TABLET,415.05,207.53,90.52,373.55,65
NDC,42799011901,BUMETANIDE 0.5 MG TABLET,166.2,83.1,36.25,149.58,65
NDC,42799012001,BUMETANIDE 1 MG TABLET,172.2,86.1,37.56,154.98,65
NDC,42799012901,DILTIAZEM 30 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,42799013001,DILTIAZEM 60 MG TABLET,111.6,55.8,24.34,100.44,65
NDC,42799021701,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,2011.35,1005.68,438.68,1810.22,65
NDC,42799040501,ETHACRYNIC ACID 25 MG TABLET,624.5,312.25,136.2,562.05,65
NDC,42799080601,IVERMECTIN 3 MG TABLET,365.3,182.65,79.67,328.77,65
NDC,42799081501,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,209.05,104.53,45.59,188.15,65
NDC,42799092030,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,66.1,33.05,14.42,59.49,65
NDC,42799095901,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",37.2,18.6,8.11,33.48,65
NDC,42806000501,OXYCODONE 5 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,42806000701,OXYCODONE 15 MG TABLET,283.8,141.9,61.9,255.42,65
NDC,42806001101,SULINDAC 200 MG TABLET,149.4,74.7,32.58,134.46,65
NDC,42806001801,SULINDAC 150 MG TABLET,130.2,65.1,28.4,117.18,65
NDC,42806005030,MEPERIDINE 50 MG TABLET,4474.7,2237.35,975.93,4027.23,65
NDC,42806005605,AMLODIPINE 5 MG TABLET,246.0,123.0,53.65,221.4,65
NDC,42806005609,AMLODIPINE 5 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,42806005610,AMLODIPINE 5 MG TABLET,168.0,84.0,36.64,151.2,65
NDC,42806005705,AMLODIPINE 10 MG TABLET,282.5,141.25,61.61,254.25,65
NDC,42806005709,AMLODIPINE 10 MG TABLET,64.3,32.15,14.02,57.87,65
NDC,42806005801,FLAVOXATE 100 MG TABLET,238.8,119.4,52.08,214.92,65
NDC,42806008701,ESTRADIOL 0.5 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,42806008801,ESTRADIOL 1 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,42806009401,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,693.5,346.75,151.25,624.15,65
NDC,42806009430,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,277.4,138.7,60.5,249.66,65
NDC,42806009499,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,8.35,4.18,1.82,7.52,65
NDC,42806009630,PROTRIPTYLINE 5 MG TABLET,458.55,229.28,100.01,412.7,65
NDC,42806010201,ETHAMBUTOL 400 MG TABLET,297.0,148.5,64.78,267.3,65
NDC,42806012101,SOTALOL 80 MG TABLET,490.0,245.0,106.87,441.0,65
NDC,42806013321,LEUCOVORIN CALCIUM 10 MG TABLET,254.8,127.4,55.57,229.32,65
NDC,42806014301,DEMECLOCYCLINE 150 MG TABLET,5065.2,2532.6,1104.72,4558.68,65
NDC,42806014448,DEMECLOCYCLINE 300 MG TABLET,2046.0,1023.0,446.23,1841.4,65
NDC,42806014731,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,63.0,31.5,13.74,56.7,65
NDC,42806014932,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,50.5,25.25,11.01,45.45,65
NDC,42806015033,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,53.55,26.78,11.68,48.2,65
NDC,42806015134,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,52.95,26.48,11.55,47.66,65
NDC,42806016001,HYDROXYZINE HCL 25 MG TABLET,189.6,94.8,41.35,170.64,65
NDC,42806026301,ISRADIPINE 2.5 MG CAPSULE,918.0,459.0,200.22,826.2,65
NDC,42806026401,ISRADIPINE 5 MG CAPSULE,3653.6,1826.8,796.85,3288.24,65
NDC,42806026598,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,3.5,1.75,0.76,3.15,65
NDC,42806026695,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,226.8,113.4,49.47,204.12,65
NDC,42806026698,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,3.8,1.9,0.83,3.42,65
NDC,42806027095,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,155.2,77.6,33.85,139.68,65
NDC,42806027098,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,3.45,1.73,0.75,3.11,65
NDC,42806027501,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",210.0,105.0,45.8,189.0,65
NDC,42806031205,DOXYCYCLINE HYCLATE 100 MG TABLET,285.0,142.5,62.16,256.5,65
NDC,42806031250,DOXYCYCLINE HYCLATE 100 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,42806033901,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,226.2,113.1,49.33,203.58,65
NDC,42806034101,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,217.8,108.9,47.5,196.02,65
NDC,42806034401,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,183.0,91.5,39.91,164.7,65
NDC,42806035801,LEUCOVORIN CALCIUM 5 MG TABLET,596.5,298.25,130.1,536.85,65
NDC,42806035830,LEUCOVORIN CALCIUM 5 MG TABLET,153.0,76.5,33.37,137.7,65
NDC,42806035925,LEUCOVORIN CALCIUM 25 MG TABLET,802.75,401.38,175.08,722.48,65
NDC,42806040001,METHYLPREDNISOLONE 4 MG TABLET,132.0,66.0,0.26,118.8,66
NDC,42806040021,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,18.05,9.03,0.26,16.25,66
NDC,42806041001,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",29.4,14.7,6.41,26.46,65
NDC,42806041160,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",149.4,74.7,32.58,134.46,65
NDC,42806041430,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",13.7,6.85,2.99,12.33,65
NDC,42806041560,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",52.95,26.48,11.55,47.66,65
NDC,42806041630,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",53.1,26.55,11.58,47.79,65
NDC,42806042401,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",29.4,14.7,6.41,26.46,65
NDC,42806042660,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",56.55,28.28,12.33,50.9,65
NDC,42806050109,NICARDIPINE 20 MG CAPSULE,750.15,375.08,163.61,675.14,65
NDC,42806050301,URSODIOL 300 MG CAPSULE,241.2,120.6,52.61,217.08,65
NDC,42806051230,QUINIDINE SULFATE 300 MG TABLET,1625.55,812.78,354.53,1463.0,65
NDC,42806051330,QUINIDINE SULFATE 200 MG TABLET,1689.6,844.8,368.5,1520.64,65
NDC,42806054701,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",72.0,36.0,15.7,64.8,65
NDC,42806054909,DUTASTERIDE 0.5 MG CAPSULE,123.7,61.85,26.98,111.33,65
NDC,42806056301,CHLORDIAZEPOXIDE 25 MG CAPSULE,6638.8,3319.4,1447.92,5974.92,65
NDC,42806056601,CHLORDIAZEPOXIDE 25 MG CAPSULE,6607.6,3303.8,1441.12,5946.84,65
NDC,42806060022,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,550.0,275.0,119.96,495.0,65
NDC,42806060209,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",71.85,35.93,15.67,64.67,65
NDC,42806060309,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",71.85,35.93,15.67,64.67,65
NDC,42806065830,ENTECAVIR 0.5 MG TABLET,47.7,23.85,10.4,42.93,65
NDC,42806071401,BENZONATATE 100 MG CAPSULE,63.6,31.8,13.87,57.24,65
NDC,42806071405,BENZONATATE 100 MG CAPSULE,288.0,144.0,62.81,259.2,65
NDC,42806071501,BENZONATATE 200 MG CAPSULE,69.6,34.8,15.18,62.64,65
NDC,42806071505,BENZONATATE 200 MG CAPSULE,189.0,94.5,41.22,170.1,65
NDC,42806075760,SULFADIAZINE 500 MG TABLET,3556.6,1778.3,775.69,3200.94,65
NDC,42806079960,RIFAMPIN 300 MG CAPSULE,1404.0,702.0,306.21,1263.6,65
NDC,42806081801,FLECAINIDE 100 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,42858000101,OXYCODONE 5 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,42858000110,OXYCODONE 5 MG TABLET,127.2,63.6,27.74,114.48,65
NDC,42858000201,OXYCODONE 10 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,42858000210,OXYCODONE 10 MG TABLET,204.0,102.0,44.49,183.6,65
NDC,42858000301,OXYCODONE 15 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,42858000401,OXYCODONE 20 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,42858005501,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,42858007545,"METHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2069.3,1034.65,451.31,1862.37,65
NDC,42858007645,"METHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2069.3,1034.65,451.31,1862.37,65
NDC,42858007745,"METHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2069.3,1034.65,451.31,1862.37,65
NDC,42858010201,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,42858010301,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,100.2,50.1,21.85,90.18,65
NDC,42858010401,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,42858010450,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,362.5,181.25,79.06,326.25,65
NDC,42858011830,LIDOCAINE 5 % TOPICAL PATCH,310.2,155.1,67.65,279.18,65
NDC,42858013401,FENOFIBRATE MICRONIZED 134 MG CAPSULE,96.0,48.0,20.94,86.4,65
NDC,42858016201,LISDEXAMFETAMINE 20 MG CAPSULE,2524.8,1262.4,550.66,2272.32,65
NDC,42858016301,LISDEXAMFETAMINE 30 MG CAPSULE,2697.6,1348.8,588.35,2427.84,65
NDC,42858023401,HYDROMORPHONE 4 MG TABLET,1765.0,882.5,384.95,1588.5,65
NDC,42858030101,HYDROMORPHONE 2 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,42858030125,HYDROMORPHONE 2 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,42858030201,HYDROMORPHONE 4 MG TABLET,190.2,95.1,41.48,171.18,65
NDC,42858030225,HYDROMORPHONE 4 MG TABLET,109.8,54.9,23.95,98.82,65
NDC,42858030416,HYDROMORPHONE 1 MG/ML ORAL LIQUID,700.05,350.03,152.68,630.05,65
NDC,42858032501,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,42858035340,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1389.8,694.9,303.12,1250.82,65
NDC,42858040145,"METHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2774.55,1387.28,605.13,2497.1,65
NDC,42858040245,"METHYLPHENIDATE ER 15 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2774.55,1387.28,605.13,2497.1,65
NDC,42858040345,"METHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE (40-60) SPRINKLE",2774.55,1387.28,605.13,2497.1,65
NDC,42858041616,HYDROMORPHONE 1 MG/ML ORAL LIQUID,2400.5,1200.25,523.55,2160.45,65
NDC,42858045445,FENOFIBRATE 54 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,42858049340,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1489.1,744.55,324.77,1340.19,65
NDC,42858050103,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,51.15,25.58,1.89,46.04,66
NDC,42858050203,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,99.55,49.78,1.89,89.6,66
NDC,42858051501,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",2121.0,1060.5,462.59,1908.9,65
NDC,42858061001,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,42858063101,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",2973.6,1486.8,648.54,2676.24,65
NDC,42858070101,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",436.0,218.0,95.09,392.4,65
NDC,42858072101,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,42858072301,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,42858072601,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,105.6,52.8,23.03,95.04,65
NDC,42858075040,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,992.8,496.4,216.53,893.52,65
NDC,42858080101,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",132.6,66.3,28.92,119.34,65
NDC,42858080201,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",192.6,96.3,42.01,173.34,65
NDC,42858080401,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",309.5,154.75,67.5,278.55,65
NDC,42858086706,DRONABINOL 2.5 MG CAPSULE,571.8,285.9,124.71,514.62,65
NDC,42858086806,DRONABINOL 5 MG CAPSULE,861.0,430.5,187.78,774.9,65
NDC,43063039530,MELOXICAM 7.5 MG TABLET,17.5,8.75,3.82,15.75,65
NDC,43063054701,CIPROFLOXACIN 500 MG TABLET,162.6,81.3,35.46,146.34,65
NDC,43063087101,URSODIOL 300 MG CAPSULE,355.0,177.5,77.43,319.5,65
NDC,43063087160,URSODIOL 300 MG CAPSULE,258.5,129.25,56.38,232.65,65
NDC,43063093401,ALLOPURINOL 300 MG TABLET,58.8,29.4,12.82,52.92,65
NDC,43063096201,HYDROXYZINE HCL 25 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,43063096301,HYDROXYZINE HCL 50 MG TABLET,28.2,14.1,6.15,25.38,65
NDC,43063098001,BENZONATATE 100 MG CAPSULE,51.6,25.8,11.25,46.44,65
NDC,43066000710,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.65,10.83,4.72,19.49,65
NDC,43066000801,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.0,24.0,10.47,43.2,65
NDC,43066000810,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.0,24.0,10.47,43.2,65
NDC,43066000910,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,247.0,123.5,53.87,222.3,65
NDC,43066001310,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,25.0,12.5,5.45,22.5,65
NDC,43066001401,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,43066001501,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,45.8,22.9,0.09,41.22,66
NDC,43066001510,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,45.8,22.9,0.09,41.22,66
NDC,43066001610,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,316.0,158.0,68.92,284.4,65
NDC,43066001801,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,43066001901,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,47.45,23.73,0.09,42.71,66
NDC,43066001910,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,47.45,23.73,0.09,42.71,66
NDC,43066002301,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.15,24.08,0.09,43.34,66
NDC,43066002310,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.15,24.08,0.09,43.34,66
NDC,43066002701,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,53.6,26.8,0.09,48.24,66
NDC,43066003101,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.1,11.05,4.82,19.89,65
NDC,43066003125,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.1,11.05,4.82,19.89,65
NDC,43066003501,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,30.55,15.28,6.66,27.5,65
NDC,43066003505,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,30.55,15.28,6.66,27.5,65
NDC,43066008910,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1425.0,712.5,16.4,1282.5,71
NDC,43066009001,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.45,11.23,3.81,20.21,66
NDC,43066009025,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.45,11.23,3.81,20.21,66
NDC,43066015010,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",120.4,60.2,4.04,108.36,66
NDC,43066015201,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,122.8,61.4,0.09,110.52,66
NDC,43066015210,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,122.8,61.4,0.09,110.52,66
NDC,43066015401,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,203.8,101.9,0.09,183.42,66
NDC,43066015410,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,203.8,101.9,0.09,183.42,66
NDC,43066036020,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",142.6,71.3,4.04,128.34,66
NDC,43066056512,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,97.0,48.5,21.16,87.3,65
NDC,43066099701,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.25,23.63,10.31,42.53,65
NDC,43066099710,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.25,23.63,10.31,42.53,65
NDC,43128010515,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",20.95,10.48,4.57,18.86,65
NDC,43292055515,PRENATAL VITS NO.130-FERROUS FUM 27 MG IRON-FOLIC ACID 800 MCG TABLET,16.8,8.4,3.66,15.12,65
NDC,43386005019,PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION,120.0,60.0,26.17,108.0,65
NDC,43386006019,PEG 3350 240 GRAM-ELECTROLYTES 22.72 GRAM-6.72 G-5.84 G POWDR FOR SOLN,72.0,36.0,15.7,64.8,65
NDC,43386009019,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,144.0,72.0,31.41,129.6,65
NDC,43386009660,CLOBETASOL 0.05 % TOPICAL OINTMENT,72.0,36.0,15.7,64.8,65
NDC,43386016006,MISOPROSTOL 100 MCG TABLET,140.05,70.03,30.54,126.05,65
NDC,43386016012,MISOPROSTOL 100 MCG TABLET,277.2,138.6,60.46,249.48,65
NDC,43386016101,MISOPROSTOL 200 MCG TABLET,345.5,172.75,75.35,310.95,65
NDC,43386016106,MISOPROSTOL 200 MCG TABLET,241.2,120.6,52.61,217.08,65
NDC,43386019430,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,251.65,125.83,54.88,226.49,65
NDC,43386019431,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,691.0,345.5,150.71,621.9,65
NDC,43386019490,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,8.4,4.2,1.83,7.56,65
NDC,43386028001,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,1282.3,641.15,279.67,1154.07,65
NDC,43386028002,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,1282.3,641.15,279.67,1154.07,65
NDC,43386028003,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,1282.3,641.15,279.67,1154.07,65
NDC,43386035701,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,43386040512,NITAZOXANIDE 500 MG TABLET,2404.8,1202.4,524.49,2164.32,65
NDC,43386048024,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",255.0,127.5,55.62,229.5,65
NDC,43386077001,FLUCYTOSINE 500 MG CAPSULE,17301.2,8650.6,3773.39,15571.08,65
NDC,43386077101,FLUCYTOSINE 250 MG CAPSULE,3158.8,1579.4,688.93,2842.92,65
NDC,43393000101,MIFEPRISTONE 200 MG TABLET,450.0,225.0,98.15,405.0,65
NDC,43393000106,MIFEPRISTONE 200 MG TABLET,2160.0,1080.0,471.1,1944.0,65
NDC,43528000301,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,637.35,318.68,139.01,573.62,70
NDC,43528000305,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,637.35,318.68,139.01,573.62,70
NDC,43547000503,ROFLUMILAST 500 MCG TABLET,232.05,116.03,50.61,208.85,65
NDC,43547003303,TADALAFIL 20 MG TABLET,42.3,21.15,9.23,38.07,65
NDC,43547005103,TADALAFIL 20 MG TABLET,61.05,30.53,13.32,54.95,65
NDC,43547026810,ROPINIROLE 0.25 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,43547026910,ROPINIROLE 0.5 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,43547027010,ROPINIROLE 1 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,43547027110,ROPINIROLE 2 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,43547027210,ROPINIROLE 3 MG TABLET,34.8,17.4,7.59,31.32,65
NDC,43547027310,ROPINIROLE 4 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,43547027410,ROPINIROLE 5 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,43547027503,DONEPEZIL 5 MG TABLET,6.15,3.08,1.34,5.54,65
NDC,43547027509,DONEPEZIL 5 MG TABLET,20.55,10.28,4.48,18.5,65
NDC,43547027511,DONEPEZIL 5 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,43547027603,DONEPEZIL 10 MG TABLET,6.85,3.43,1.49,6.17,65
NDC,43547027609,DONEPEZIL 10 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,43547028010,ESCITALOPRAM 5 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,43547028011,ESCITALOPRAM 5 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,43547028110,ESCITALOPRAM 10 MG TABLET,28.2,14.1,6.15,25.38,65
NDC,43547028210,ESCITALOPRAM 20 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,43547028810,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",31.8,15.9,6.94,28.62,65
NDC,43547028910,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",36.6,18.3,7.98,32.94,65
NDC,43547029010,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",37.2,18.6,8.11,33.48,65
NDC,43547030203,ARIPIPRAZOLE 2 MG TABLET,18.9,9.45,4.12,17.01,65
NDC,43547033906,RISPERIDONE 0.25 MG TABLET,6.85,3.43,1.49,6.17,65
NDC,43547034106,RISPERIDONE 1 MG TABLET,9.0,4.5,1.96,8.1,65
NDC,43547034206,RISPERIDONE 2 MG TABLET,11.2,5.6,2.44,10.08,65
NDC,43547034306,RISPERIDONE 3 MG TABLET,13.0,6.5,2.84,11.7,65
NDC,43547034506,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR",54.75,27.38,11.94,49.28,65
NDC,43547034606,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR",108.0,54.0,23.55,97.2,65
NDC,43547034703,PAROXETINE 10 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,43547034709,PAROXETINE 10 MG TABLET,17.3,8.65,3.77,15.57,65
NDC,43547034803,PAROXETINE 20 MG TABLET,8.1,4.05,1.77,7.29,65
NDC,43547034809,PAROXETINE 20 MG TABLET,23.8,11.9,5.19,21.42,65
NDC,43547035110,LISINOPRIL 2.5 MG TABLET,7.2,3.6,1.57,6.48,65
NDC,43547035210,LISINOPRIL 5 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,43547035211,LISINOPRIL 5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,43547035310,LISINOPRIL 10 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,43547035311,LISINOPRIL 10 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,43547035410,LISINOPRIL 20 MG TABLET,15.6,7.8,3.4,14.04,65
NDC,43547035411,LISINOPRIL 20 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,43547035610,LISINOPRIL 40 MG TABLET,22.2,11.1,4.84,19.98,65
NDC,43547035611,LISINOPRIL 40 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,43547036109,LOSARTAN 50 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,43547036310,CAPTOPRIL 12.5 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,43547036410,CAPTOPRIL 25 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,43547036703,VALSARTAN 40 MG TABLET,41.95,20.98,9.15,37.76,65
NDC,43547036709,VALSARTAN 40 MG TABLET,125.85,62.93,27.45,113.27,65
NDC,43547036809,VALSARTAN 80 MG TABLET,26.5,13.25,5.78,23.85,65
NDC,43547037503,IRBESARTAN 150 MG TABLET,12.8,6.4,2.79,11.52,65
NDC,43547037703,VORICONAZOLE 50 MG TABLET,108.0,54.0,23.55,97.2,65
NDC,43547037803,VORICONAZOLE 200 MG TABLET,270.2,135.1,58.93,243.18,65
NDC,43547037906,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",26.65,13.33,5.81,23.99,65
NDC,43547038003,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",15.7,7.85,3.42,14.13,65
NDC,43547038103,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",16.4,8.2,3.58,14.76,65
NDC,43547039710,HYDROCHLOROTHIAZIDE 25 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,43547039910,CYCLOBENZAPRINE 5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,43547039950,CYCLOBENZAPRINE 5 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,43547040010,CYCLOBENZAPRINE 10 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,43547040011,CYCLOBENZAPRINE 10 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,43547040110,FUROSEMIDE 20 MG TABLET,15.6,7.8,3.4,14.04,65
NDC,43547040111,FUROSEMIDE 20 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,43547040210,FUROSEMIDE 40 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,43547040211,FUROSEMIDE 40 MG TABLET,186.0,93.0,40.57,167.4,65
NDC,43547040310,FUROSEMIDE 80 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,43547040510,METHOCARBAMOL 500 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,43547040610,CLONAZEPAM 0.5 MG TABLET,22.2,11.1,4.84,19.98,65
NDC,43547040611,CLONAZEPAM 0.5 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,43547040710,CLONAZEPAM 1 MG TABLET,31.2,15.6,6.8,28.08,65
NDC,43547041410,LISINOPRIL 2.5 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,43547041510,LISINOPRIL 5 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,43547041610,LISINOPRIL 10 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,43547041710,LISINOPRIL 20 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,43547054401,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,30.2,15.1,0.47,27.18,71
NDC,43547054510,ENALAPRIL MALEATE 2.5 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,43547054610,ENALAPRIL MALEATE 5 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,43547054710,ENALAPRIL MALEATE 10 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,43547054810,ENALAPRIL MALEATE 20 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,43547068810,CIPROFLOXACIN 250 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,43547068910,CIPROFLOXACIN 500 MG TABLET,103.8,51.9,22.64,93.42,65
NDC,43547089710,BUMETANIDE 1 MG TABLET,108.0,54.0,23.55,97.2,65
NDC,43598003501,FLUPHENAZINE 2.5 MG TABLET,1005.5,502.75,219.3,904.95,65
NDC,43598003601,FLUPHENAZINE 5 MG TABLET,1030.0,515.0,224.64,927.0,65
NDC,43598003701,FLUPHENAZINE 10 MG TABLET,261.0,130.5,56.92,234.9,65
NDC,43598005011,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.0,11.5,5.02,20.7,65
NDC,43598005025,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.0,11.5,5.02,20.7,65
NDC,43598005111,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,2773.55,1386.78,494.67,2496.2,71
NDC,43598005311,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,830.8,415.4,3.59,747.72,71
NDC,43598006111,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,52.5,26.25,10.82,47.25,66
NDC,43598006158,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,52.5,26.25,10.82,47.25,66
NDC,43598007811,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,47.25,23.63,10.31,42.53,65
NDC,43598007858,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,47.25,23.63,10.31,42.53,65
NDC,43598008511,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,790.25,395.13,1.95,711.23,66
NDC,43598008711,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,101.7,50.85,22.18,91.53,65
NDC,43598008758,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,101.7,50.85,22.18,91.53,65
NDC,43598010610,DIAZEPAM 5 MG/ML INJECTION SYRINGE,78.8,39.4,6.06,70.92,66
NDC,43598010611,DIAZEPAM 5 MG/ML INJECTION SYRINGE,78.8,39.4,6.06,70.92,66
NDC,43598012725,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,46.45,23.23,0.21,41.81,71
NDC,43598012745,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,46.45,23.23,0.21,41.81,71
NDC,43598012811,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,110.45,55.23,0.21,99.41,71
NDC,43598012901,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,47.15,23.58,0.21,42.44,71
NDC,43598012925,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,47.15,23.58,0.21,42.44,71
NDC,43598013074,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",99.9,49.95,0.21,89.91,71
NDC,43598013301,HYDROXYCHLOROQUINE 100 MG TABLET,84.6,42.3,18.45,76.14,65
NDC,43598014011,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,70.3,35.15,15.33,63.27,66
NDC,43598014025,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,70.3,35.15,15.33,63.27,66
NDC,43598014206,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1159.5,579.75,81.46,1043.55,70
NDC,43598014211,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1015.25,507.63,81.46,913.73,70
NDC,43598014362,AZACITIDINE 100 MG SOLUTION FOR INJECTION,466.05,233.03,0.4,419.45,66
NDC,43598016001,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,40.0,20.0,8.72,36.0,65
NDC,43598016031,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,40.0,20.0,8.72,36.0,65
NDC,43598016430,OLANZAPINE 5 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,43598016530,OLANZAPINE 7.5 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,43598016630,OLANZAPINE 10 MG TABLET,31.0,15.5,6.76,27.9,65
NDC,43598016701,CHLORTHALIDONE 50 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,43598016860,LUBIPROSTONE 24 MCG CAPSULE,742.2,371.1,161.87,667.98,65
NDC,43598016911,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,62.35,31.18,13.6,56.12,65
NDC,43598016958,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,62.35,31.18,13.6,56.12,65
NDC,43598017001,CHLORTHALIDONE 25 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,43598017111,THIOTEPA 100 MG SOLUTION FOR INJECTION,5597.0,2798.5,10.75,5037.3,70
NDC,43598021025,SILVER SULFADIAZINE 1 % TOPICAL CREAM,28.65,14.33,6.25,25.79,65
NDC,43598021040,SILVER SULFADIAZINE 1 % TOPICAL CREAM,206.4,103.2,45.02,185.76,65
NDC,43598021050,SILVER SULFADIAZINE 1 % TOPICAL CREAM,48.6,24.3,10.6,43.74,65
NDC,43598021055,SILVER SULFADIAZINE 1 % TOPICAL CREAM,39.3,19.65,8.57,35.37,65
NDC,43598021085,SILVER SULFADIAZINE 1 % TOPICAL CREAM,91.3,45.65,19.91,82.17,65
NDC,43598023311,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,59.3,29.65,7.71,53.37,66
NDC,43598024730,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",201.1,100.55,43.86,180.99,65
NDC,43598024830,"FESOTERODINE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",201.1,100.55,43.86,180.99,65
NDC,43598026202,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,43598026211,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,43598026223,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,43598026520,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.85,10.93,0.14,19.67,66
NDC,43598028335,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1060.95,530.48,94.88,954.86,71
NDC,43598029366,PREGABALIN 75 MG CAPSULE,89.4,44.7,19.5,80.46,65
NDC,43598029379,PREGABALIN 75 MG CAPSULE,5.3,2.65,1.16,4.77,65
NDC,43598029590,PREGABALIN 150 MG CAPSULE,150.15,75.08,32.75,135.14,65
NDC,43598030390,FINASTERIDE 5 MG TABLET,206.85,103.43,45.11,186.17,65
NDC,43598030562,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,43598030920,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,1102.55,551.28,4.27,992.3,71
NDC,43598032675,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",492.9,246.45,107.5,443.61,65
NDC,43598034901,PROGESTERONE MICRONIZED 100 MG CAPSULE,273.0,136.5,59.54,245.7,65
NDC,43598035130,LURASIDONE 20 MG TABLET,49.15,24.58,10.72,44.24,65
NDC,43598035230,LURASIDONE 40 MG TABLET,59.05,29.53,12.88,53.15,65
NDC,43598035330,LURASIDONE 60 MG TABLET,68.8,34.4,15.01,61.92,65
NDC,43598037201,COLCHICINE 0.6 MG TABLET,538.0,269.0,117.34,484.2,65
NDC,43598037230,COLCHICINE 0.6 MG TABLET,235.65,117.83,51.4,212.09,65
NDC,43598038662,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,4.44,405.0,71
NDC,43598038711,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,4.44,405.0,71
NDC,43598039248,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,503.5,251.75,97.82,453.15,71
NDC,43598039467,TETRABENAZINE 12.5 MG TABLET,3473.8,1736.9,757.64,3126.42,65
NDC,43598040511,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,109.85,54.93,3.22,98.87,66
NDC,43598040516,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,109.85,54.93,3.22,98.87,66
NDC,43598041311,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,102.65,51.33,0.04,92.39,66
NDC,43598042660,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,43598042737,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,43598043501,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,150.6,75.3,32.85,135.54,65
NDC,43598043601,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,141.0,70.5,30.75,126.9,65
NDC,43598043611,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,26.4,13.2,5.76,23.76,65
NDC,43598043635,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,26.4,13.2,5.76,23.76,65
NDC,43598045202,ALBENDAZOLE 200 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,43598046562,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,43598047060,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1677.9,838.95,365.95,1510.11,65
NDC,43598047611,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,99.9,49.95,0.04,89.91,66
NDC,43598047801,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,56.75,28.38,12.38,51.08,65
NDC,43598047890,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,3404.2,1702.1,742.46,3063.78,65
NDC,43598047901,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,54.55,27.28,11.9,49.1,65
NDC,43598047990,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,3272.4,1636.2,713.71,2945.16,65
NDC,43598049401,NAPROXEN SODIUM 275 MG TABLET,285.6,142.8,62.29,257.04,65
NDC,43598050501,RALOXIFENE 60 MG TABLET,294.5,147.25,64.23,265.05,65
NDC,43598050530,RALOXIFENE 60 MG TABLET,106.05,53.03,23.13,95.45,65
NDC,43598050930,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",153.4,76.7,33.46,138.06,65
NDC,43598051090,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",141.5,70.75,30.86,127.35,65
NDC,43598052911,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,108.0,54.0,1.79,97.2,66
NDC,43598052936,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,22.2,11.1,1.79,19.98,66
NDC,43598054125,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2479.6,1239.8,94.88,2231.64,71
NDC,43598054821,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,27.6,13.8,0.14,24.84,66
NDC,43598054850,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,27.6,13.8,0.14,24.84,66
NDC,43598054910,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,52.8,26.4,0.14,47.52,66
NDC,43598054952,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,52.8,26.4,0.14,47.52,66
NDC,43598055030,LAMOTRIGINE 25 MG DISINTEGRATING TABLET,518.85,259.43,113.16,466.97,65
NDC,43598055430,ARIPIPRAZOLE 2 MG TABLET,117.2,58.6,25.56,105.48,65
NDC,43598055530,ARIPIPRAZOLE 5 MG TABLET,117.2,58.6,25.56,105.48,65
NDC,43598055630,ARIPIPRAZOLE 10 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,43598055730,ARIPIPRAZOLE 15 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,43598056078,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",2312.5,1156.25,504.36,2081.25,65
NDC,43598056079,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",27.75,13.88,6.05,24.98,65
NDC,43598056178,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",2312.5,1156.25,504.36,2081.25,65
NDC,43598056179,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",27.75,13.88,6.05,24.98,65
NDC,43598057901,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,17.0,8.5,3.71,15.3,66
NDC,43598057930,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,424.05,212.03,5.1,381.65,66
NDC,43598058001,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,21.1,10.55,4.6,18.99,66
NDC,43598058030,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,526.95,263.48,7.72,474.26,66
NDC,43598058201,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,16.9,8.45,3.69,15.21,66
NDC,43598058230,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,421.95,210.98,9.04,379.76,66
NDC,43598058723,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,80.5,40.25,17.56,72.45,65
NDC,43598060504,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,55.05,27.53,12.01,49.55,66
NDC,43598060556,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,55.05,27.53,12.01,49.55,66
NDC,43598061611,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,52.75,26.38,11.5,47.48,66
NDC,43598062857,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,828.0,414.0,180.59,745.2,71
NDC,43598063510,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,84.4,42.2,0.07,75.96,66
NDC,43598063552,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,84.4,42.2,0.07,75.96,66
NDC,43598063610,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",119.2,59.6,0.07,107.28,66
NDC,43598063652,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",119.2,59.6,0.07,107.28,66
NDC,43598063710,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",152.2,76.1,0.07,136.98,66
NDC,43598063752,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",152.2,76.1,0.07,136.98,66
NDC,43598064260,DABIGATRAN ETEXILATE 75 MG CAPSULE,416.1,208.05,90.75,374.49,65
NDC,43598064811,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,45864.55,22932.28,55.8,41278.1,71
NDC,43598065011,THIOTEPA 15 MG SOLUTION FOR INJECTION,757.3,378.65,10.75,681.57,70
NDC,43598065530,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",16.05,8.03,3.5,14.45,65
NDC,43598066611,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,29.25,14.63,0.89,26.33,66
NDC,43598066625,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,29.25,14.63,0.89,26.33,66
NDC,43598067201,PYRIMETHAMINE 25 MG TABLET,91641.2,45820.6,19986.95,82477.08,65
NDC,43598067230,PYRIMETHAMINE 25 MG TABLET,35098.1,17549.05,7654.9,31588.29,65
NDC,43598069711,VIGABATRIN 500 MG ORAL POWDER PACKET,195.9,97.95,42.73,176.31,65
NDC,43598069750,VIGABATRIN 500 MG ORAL POWDER PACKET,6529.8,3264.9,1424.15,5876.82,65
NDC,43598069811,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,144.25,72.13,31.46,129.83,65
NDC,43598069858,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,150.9,75.45,32.91,135.81,65
NDC,43598071901,CHLORTHALIDONE 25 MG TABLET,231.6,115.8,50.51,208.44,65
NDC,43598072101,HYDROXYCHLOROQUINE 200 MG TABLET,259.0,129.5,56.49,233.1,65
NDC,43598072511,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,85.45,42.73,18.64,76.91,65
NDC,43598072525,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,85.45,42.73,18.64,76.91,65
NDC,43598073330,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET,750.0,375.0,163.58,675.0,65
NDC,43598073430,ARIPIPRAZOLE 15 MG DISINTEGRATING TABLET,750.0,375.0,163.58,675.0,65
NDC,43598075010,NALOXONE 1 MG/ML INJECTION SYRINGE,56.6,28.3,12.34,50.94,65
NDC,43598075011,NALOXONE 1 MG/ML INJECTION SYRINGE,56.6,28.3,12.34,50.94,65
NDC,43598075058,NALOXONE 1 MG/ML INJECTION SYRINGE,56.6,28.3,12.34,50.94,65
NDC,43598075160,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",85.35,42.68,18.61,76.82,65
NDC,43598075260,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",97.2,48.6,21.2,87.48,65
NDC,43598075360,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",170.3,85.15,37.14,153.27,65
NDC,43598076507,OLOPATADINE 0.1 % EYE DROPS,42.25,21.13,9.21,38.03,65
NDC,43598076811,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,440.2,220.1,77.7,396.18,66
NDC,43598076823,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,440.2,220.1,77.7,396.18,66
NDC,43598083911,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,58.3,29.15,6.28,52.47,66
NDC,43598083936,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,58.3,29.15,6.28,52.47,66
NDC,43598084811,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,52.5,26.25,10.82,47.25,66
NDC,43598084858,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,52.5,26.25,10.82,47.25,66
NDC,43598085011,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,48.1,24.05,0.42,43.29,66
NDC,43598085050,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,48.1,24.05,0.42,43.29,66
NDC,43598085130,DEFERASIROX 360 MG TABLET,3040.35,1520.18,663.1,2736.32,65
NDC,43598085430,DEFERASIROX 500 MG DISPERSIBLE TABLET,2565.75,1282.88,559.59,2309.18,65
NDC,43598086111,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,828.0,414.0,180.59,745.2,71
NDC,43598086560,BORTEZOMIB 3.5 MG INTRAVENOUS POWDER FOR SOLUTION,6461.95,3230.98,5.01,5815.76,71
NDC,43598089110,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,15.6,7.8,3.4,14.04,65
NDC,43598089116,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,15.6,7.8,3.4,14.04,65
NDC,43598089152,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,15.6,7.8,3.4,14.04,65
NDC,43598089411,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,12.6,6.3,2.75,11.34,65
NDC,43598089430,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,313.95,156.98,68.47,282.56,65
NDC,43598089530,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,280.2,140.1,61.11,252.18,65
NDC,43598089611,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,10.45,5.23,2.28,9.41,65
NDC,43598089630,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,260.4,130.2,56.79,234.36,65
NDC,43598090111,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,202.55,101.28,14.38,182.3,66
NDC,43598090158,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,202.55,101.28,14.38,182.3,66
NDC,43598091406,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,61.25,30.63,1.95,55.13,66
NDC,43598091411,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,61.25,30.63,1.95,55.13,66
NDC,43598091425,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,64.35,32.18,1.95,57.92,66
NDC,43598091911,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,150.9,75.45,32.91,135.81,65
NDC,43598091958,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,150.9,75.45,32.91,135.81,65
NDC,43598093109,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,143.35,71.68,3.59,129.02,71
NDC,43598093111,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,143.35,71.68,3.59,129.02,71
NDC,43598094511,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,78.85,39.43,1.79,70.97,66
NDC,43598094558,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,78.85,39.43,1.79,70.97,66
NDC,43598094811,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,157.3,78.65,0.15,141.57,66
NDC,43598096530,ARIPIPRAZOLE 2 MG TABLET,49.7,24.85,10.84,44.73,65
NDC,43598096630,ARIPIPRAZOLE 5 MG TABLET,31.35,15.68,6.84,28.22,65
NDC,43598096730,ARIPIPRAZOLE 10 MG TABLET,38.7,19.35,8.44,34.83,65
NDC,43598096930,ARIPIPRAZOLE 20 MG TABLET,84.1,42.05,18.34,75.69,65
NDC,43598097511,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,94.6,47.3,20.63,85.14,65
NDC,43598097558,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,94.6,47.3,20.63,85.14,65
NDC,43598097710,DICLOFENAC 1 % TOPICAL GEL,72.0,36.0,15.7,64.8,65
NDC,43825000641,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",273.3,136.65,59.61,245.97,65
NDC,43825060641,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",273.3,136.65,59.61,245.97,65
NDC,43825070750,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",1216.2,608.1,265.25,1094.58,65
NDC,43975024203,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",457.95,228.98,99.88,412.16,65
NDC,43975024303,"MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",457.95,228.98,99.88,412.16,65
NDC,43975026403,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",425.55,212.78,92.81,383.0,65
NDC,43975026603,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",457.95,228.98,99.88,412.16,65
NDC,43975026609,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",1373.85,686.93,299.64,1236.47,65
NDC,43975027710,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",388.5,194.25,84.73,349.65,65
NDC,43975027810,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",355.5,177.75,77.53,319.95,65
NDC,43975032203,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",120.1,60.05,26.19,108.09,65
NDC,43975032303,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",120.1,60.05,26.19,108.09,65
NDC,43975033110,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",646.0,323.0,140.89,581.4,65
NDC,43975034903,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",325.05,162.53,70.89,292.55,65
NDC,43975035003,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",325.05,162.53,70.89,292.55,65
NDC,43975035103,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",168.3,84.15,36.71,151.47,65
NDC,43975035203,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",439.2,219.6,95.79,395.28,65
NDC,44087353501,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,8103.95,4051.98,94.86,7293.56,71
NDC,44206025105,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",212.0,106.0,46.24,190.8,65
NDC,44206025110,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",331.0,165.5,72.19,297.9,65
NDC,44206025190,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",212.0,106.0,46.24,190.8,65
NDC,44206025191,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",331.0,165.5,72.19,297.9,65
NDC,44206030001,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",371.3,185.65,5.17,334.17,66
NDC,44206031025,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",212.0,106.0,46.24,190.8,70
NDC,44206031050,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",331.0,165.5,54.14,297.9,70
NDC,44206031090,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",212.0,106.0,46.24,190.8,70
NDC,44206031091,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",331.0,165.5,54.14,297.9,70
NDC,44206043605,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",2022.8,1011.4,44.92,1820.52,71
NDC,44206043690,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",2022.8,1011.4,44.92,1820.52,71
NDC,44206043710,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",4020.6,2010.3,44.92,3618.54,71
NDC,44206043791,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",4020.6,2010.3,44.92,3618.54,71
NDC,44206043820,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",8016.2,4008.1,44.92,7214.58,71
NDC,44206043892,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",8016.2,4008.1,44.92,7214.58,71
NDC,44206043940,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",16007.4,8003.7,44.92,14406.66,71
NDC,44206043993,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",16007.4,8003.7,44.92,14406.66,71
NDC,44229030760,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,44523061701,UREA 40 % TOPICAL CREAM,119.45,59.73,26.05,107.51,65
NDC,44567010110,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.35,23.68,1.12,42.62,66
NDC,44567010210,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.3,23.15,1.12,41.67,66
NDC,44567010310,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.05,23.53,1.12,42.35,66
NDC,44567021010,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.0,23.5,1.97,42.3,66
NDC,44567021110,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,48.3,24.15,1.97,43.47,66
NDC,44567022110,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,51.75,25.88,11.29,46.58,65
NDC,44567022210,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,54.7,27.35,11.93,49.23,65
NDC,44567023525,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,47.7,23.85,1.88,42.93,66
NDC,44567023610,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,56.75,28.38,1.88,51.08,66
NDC,44567023706,CEFTAZIDIME 6 GRAM SOLUTION FOR INJECTION,116.1,58.05,1.88,104.49,66
NDC,44567024010,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.7,11.35,1.4,20.43,66
NDC,44567024110,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,69.3,34.65,1.4,62.37,66
NDC,44567024525,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,47.35,23.68,5.64,42.62,66
NDC,44567024625,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,64.4,32.2,5.64,57.96,66
NDC,44567031110,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,49.15,24.58,0.86,44.24,66
NDC,44567031201,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,130.95,65.48,0.86,117.86,66
NDC,44567040001,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.95,23.98,0.5,43.16,66
NDC,44567040010,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.95,23.98,0.5,43.16,66
NDC,44567040101,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,55.0,27.5,0.5,49.5,66
NDC,44567040110,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,55.0,27.5,0.5,49.5,66
NDC,44567040201,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,198.4,99.2,1.65,178.56,70
NDC,44567040206,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,198.4,99.2,1.65,178.56,70
NDC,44567041024,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.2,23.6,0.77,42.48,66
NDC,44567042000,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.4,24.2,0.77,43.56,66
NDC,44567042024,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.4,24.2,0.77,43.56,66
NDC,44567042100,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.77,40.86,66
NDC,44567042124,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.77,40.86,66
NDC,44567042424,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,48.15,24.08,0.77,43.34,66
NDC,44567043524,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.3,23.65,1.01,42.57,66
NDC,44567043624,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,94.6,47.3,1.01,85.14,66
NDC,44567043724,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,47.7,23.85,1.01,42.93,66
NDC,44567045101,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",311.5,155.75,0.28,280.35,66
NDC,44567045110,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",311.5,155.75,0.28,280.35,66
NDC,44567050101,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,59.2,29.6,0.07,53.28,66
NDC,44567050110,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,59.2,29.6,0.07,53.28,66
NDC,44567050201,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",70.0,35.0,0.07,63.0,66
NDC,44567050210,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",70.0,35.0,0.07,63.0,66
NDC,44567050301,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",84.4,42.2,0.07,75.96,66
NDC,44567050310,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",84.4,42.2,0.07,75.96,66
NDC,44567050601,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",464.0,232.0,0.12,417.6,66
NDC,44567051101,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,44567060104,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,302.4,151.2,65.95,272.16,65
NDC,44567061001,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,144.4,72.2,0.3,129.96,66
NDC,44567061010,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,144.4,72.2,0.3,129.96,66
NDC,44567061101,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,188.8,94.4,0.3,169.92,66
NDC,44567061110,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,188.8,94.4,0.3,169.92,66
NDC,44567062001,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",72.4,36.2,0.1,65.16,66
NDC,44567062024,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",72.4,36.2,0.1,65.16,66
NDC,44567062101,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",125.2,62.6,0.1,112.68,66
NDC,44567062124,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",125.2,62.6,0.1,112.68,66
NDC,44567064201,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,302.5,151.25,65.98,272.25,65
NDC,44567064210,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,302.5,151.25,65.98,272.25,65
NDC,44567070025,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.8,10.4,0.55,18.72,66
NDC,44567070125,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.95,22.98,0.55,41.36,66
NDC,44567070195,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.95,22.98,0.55,41.36,66
NDC,44567070225,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.8,23.4,0.55,42.12,66
NDC,44567070295,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.8,23.4,0.55,42.12,66
NDC,44567070301,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,70.1,35.05,0.55,63.09,66
NDC,44567070501,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.2,42.1,8.99,75.78,66
NDC,44567070510,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.2,42.1,8.99,75.78,66
NDC,44567070625,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,45.85,22.93,0.84,41.27,66
NDC,44567070725,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,46.55,23.28,0.84,41.9,66
NDC,44567070810,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,86.0,43.0,0.84,77.4,66
NDC,44567080110,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.25,23.63,1.3,42.53,66
NDC,44567080210,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,48.05,24.03,1.3,43.25,66
NDC,44567080310,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,52.1,26.05,1.3,46.89,66
NDC,44567080401,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,280.3,140.15,1.3,252.27,66
NDC,44567081110,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN STERILE WATER INTRAVENOUS SOLN",473.75,236.88,0.48,426.38,66
NDC,44567081210,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN STERILE WATER INTRAVENOUS SOLN",442.5,221.25,0.48,398.25,66
NDC,44567082001,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,191.45,95.73,14.38,172.31,66
NDC,44567082010,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,191.45,95.73,14.38,172.31,66
NDC,44567084001,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION,45.1,22.55,0.97,40.59,70
NDC,44567084025,CEFAZOLIN 2 GRAM INTRAVENOUS SOLUTION,45.1,22.55,0.97,40.59,70
NDC,44567084501,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,50.0,25.0,0.97,45.0,70
NDC,44567084525,CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION,50.0,25.0,0.97,45.0,70
NDC,45567003001,TC-99M SULFUR COLLOID FILTERED INJECTION,751.45,375.73,163.89,676.31,64
NDC,45567006001,TC-99M SODIUM PYROPHOSPHATE IV SOLUTION,384.3,192.15,83.82,345.87,64
NDC,45802000402,HYDROCORTISONE 2.5 % TOPICAL CREAM,13.2,6.6,2.88,11.88,65
NDC,45802000403,HYDROCORTISONE 2.5 % TOPICAL CREAM,16.15,8.08,3.52,14.54,65
NDC,45802001402,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,13.0,6.5,2.84,11.7,65
NDC,45802001814,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,25.6,12.8,5.58,23.04,65
NDC,45802002683,AZELASTINE 205.5 MCG (0.15 %) NASAL SPRAY,39.1,19.55,8.53,35.19,65
NDC,45802004635,GENTAMICIN 0.1 % TOPICAL OINTMENT,178.6,89.3,38.95,160.74,65
NDC,45802004811,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",96.7,48.35,21.09,87.03,65
NDC,45802004835,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",17.95,8.98,3.91,16.16,65
NDC,45802004935,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL OINTMENT,24.05,12.03,5.25,21.65,65
NDC,45802005435,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,28.2,14.1,6.15,25.38,65
NDC,45802005436,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL OINTMENT,28.8,14.4,6.28,25.92,65
NDC,45802005505,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,92.65,46.33,20.21,83.39,65
NDC,45802005535,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,11.65,5.83,2.54,10.49,65
NDC,45802005536,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,26.4,13.2,5.76,23.76,65
NDC,45802005611,GENTAMICIN 0.1 % TOPICAL CREAM,326.7,163.35,71.25,294.03,65
NDC,45802005635,GENTAMICIN 0.1 % TOPICAL CREAM,194.85,97.43,42.5,175.37,65
NDC,45802005911,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",36.75,18.38,8.02,33.08,65
NDC,45802005935,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",24.05,12.03,5.25,21.65,65
NDC,45802006305,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,92.65,46.33,20.21,83.39,65
NDC,45802006335,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,13.7,6.85,2.99,12.33,65
NDC,45802006336,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,27.4,13.7,5.98,24.66,65
NDC,45802006405,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,109.0,54.5,23.77,98.1,65
NDC,45802006435,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,5.8,2.9,1.26,5.22,65
NDC,45802006436,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,14.9,7.45,3.25,13.41,65
NDC,45802006535,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,27.3,13.65,5.95,24.57,65
NDC,45802008765,ALOGLIPTIN 6.25 MG TABLET,910.05,455.03,198.48,819.05,65
NDC,45802008801,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,192.55,96.28,42.0,173.3,65
NDC,45802009735,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,84.15,42.08,18.35,75.74,65
NDC,45802009846,MESALAMINE 4 GRAM/60 ML ENEMA,62.65,31.33,13.66,56.39,65
NDC,45802009851,MESALAMINE 4 GRAM/60 ML ENEMA,48.25,24.13,10.52,43.43,65
NDC,45802010901,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL,67.35,33.68,14.69,60.62,65
NDC,45802011222,MUPIROCIN 2 % TOPICAL OINTMENT,18.35,9.18,4.0,16.52,65
NDC,45802012416,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % TOPICAL CREAM,625.3,312.65,136.38,562.77,65
NDC,45802012464,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % TOPICAL CREAM,546.85,273.43,119.27,492.17,65
NDC,45802012932,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,396.25,198.13,86.42,356.63,65
NDC,45802012935,HALOBETASOL PROPIONATE 0.05 % TOPICAL CREAM,197.55,98.78,43.09,177.8,65
NDC,45802013135,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,159.15,79.58,34.71,143.24,65
NDC,45802013811,CICLOPIROX 0.77 % TOPICAL CREAM,37.8,18.9,8.24,34.02,65
NDC,45802013835,CICLOPIROX 0.77 % TOPICAL CREAM,17.2,8.6,3.75,15.48,65
NDC,45802013970,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,107.55,53.78,23.46,96.8,65
NDC,45802014167,CICLOPIROX 8 % TOPICAL SOLUTION,82.95,41.48,18.09,74.66,65
NDC,45802014464,HYDROCORTISONE-PRAMOXINE 1 %-1 % RECTAL CREAM,603.45,301.73,131.61,543.11,65
NDC,45802015065,ALOGLIPTIN 25 MG TABLET,869.25,434.63,189.58,782.33,65
NDC,45802016000,DICLOFENAC 1 % TOPICAL GEL,28.8,14.4,6.28,25.92,65
NDC,45802021001,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,619.6,309.8,135.13,557.64,65
NDC,45802022111,FLUTICASONE PROPIONATE 0.005 % TOPICAL OINTMENT,68.6,34.3,14.96,61.74,65
NDC,45802022135,FLUTICASONE PROPIONATE 0.005 % TOPICAL OINTMENT,34.3,17.15,7.48,30.87,65
NDC,45802022211,FLUTICASONE PROPIONATE 0.05 % TOPICAL CREAM,27.9,13.95,6.08,25.11,65
NDC,45802022235,FLUTICASONE PROPIONATE 0.05 % TOPICAL CREAM,16.85,8.43,3.67,15.17,65
NDC,45802024414,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",20.9,10.45,4.56,18.81,65
NDC,45802024494,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",32.05,16.03,6.99,28.85,65
NDC,45802025742,MOMETASONE 0.1 % TOPICAL CREAM,180.1,90.05,39.28,162.09,65
NDC,45802026937,PERMETHRIN 5 % TOPICAL CREAM,109.8,54.9,23.95,98.82,65
NDC,45802040049,CICLOPIROX 0.77 % TOPICAL SUSPENSION,274.35,137.18,59.84,246.92,65
NDC,45802041954,AMMONIUM LACTATE 12 % LOTION,83.7,41.85,18.25,75.33,65
NDC,45802042235,DESONIDE 0.05 % TOPICAL CREAM,45.85,22.93,10.0,41.27,65
NDC,45802043262,PSEUDOEPHEDRINE 30 MG TABLET,5.5,2.75,1.2,4.95,65
NDC,45802046564,KETOCONAZOLE 2 % SHAMPOO,61.95,30.98,13.51,55.76,65
NDC,45802046611,ECONAZOLE NITRATE 1 % TOPICAL CREAM,48.6,24.3,10.6,43.74,65
NDC,45802046635,ECONAZOLE NITRATE 1 % TOPICAL CREAM,24.4,12.2,5.32,21.96,65
NDC,45802047201,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,84.6,42.3,18.45,76.14,65
NDC,45802047253,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,84.6,42.3,18.45,76.14,65
NDC,45802047264,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % RECTAL CREAM,504.3,252.15,109.99,453.87,65
NDC,45802047265,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,41.8,20.9,9.12,37.62,65
NDC,45802049535,DESOXIMETASONE 0.25 % TOPICAL CREAM,58.9,29.45,12.85,53.01,65
NDC,45802049614,DESOXIMETASONE 0.25 % TOPICAL OINTMENT,25.15,12.58,5.49,22.64,65
NDC,45802051377,AMMONIUM LACTATE 12 % TOPICAL CREAM,50.4,25.2,10.99,45.36,65
NDC,45802052526,AMMONIUM LACTATE 12 % LOTION,88.8,44.4,19.37,79.92,65
NDC,45802052555,AMMONIUM LACTATE 12 % LOTION,54.5,27.25,11.89,49.05,65
NDC,45802056201,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,32.6,16.3,7.11,29.34,65
NDC,45802057800,NALOXONE 4 MG/ACTUATION NASAL SPRAY,206.8,103.4,45.1,186.12,65
NDC,45802057884,NALOXONE 4 MG/ACTUATION NASAL SPRAY,344.65,172.33,75.17,310.19,65
NDC,45802058001,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,57.0,28.5,12.43,51.3,65
NDC,45802058046,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,475.0,237.5,103.6,427.5,65
NDC,45802058062,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,1187.55,593.78,259.0,1068.8,65
NDC,45802058084,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,158.2,79.1,34.5,142.38,65
NDC,45802059800,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,272.95,136.48,59.53,245.66,65
NDC,45802071700,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,113.35,56.68,24.72,102.02,65
NDC,45802071708,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,283.35,141.68,61.8,255.02,65
NDC,45802075800,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,44.1,22.05,9.62,39.69,65
NDC,45802075830,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,440.6,220.3,96.09,396.54,65
NDC,45802075900,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,28.6,14.3,6.24,25.74,65
NDC,45802075930,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,286.0,143.0,62.38,257.4,65
NDC,45802088014,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",19.3,9.65,4.21,17.37,65
NDC,45802088094,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",30.1,15.05,6.56,27.09,65
NDC,45802088096,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",52.2,26.1,11.38,46.98,65
NDC,45802090094,CLINDAMYCIN 1 % TOPICAL GEL,68.6,34.3,14.96,61.74,65
NDC,45802092341,MESALAMINE RECTAL SUSP ENEMA WITH CLEANSING WIPES 4 GRAM/60 ML KIT,637.25,318.63,138.98,573.53,65
NDC,45802093716,HYDROCORTISONE 2.5 % LOTION,41.45,20.73,9.04,37.31,65
NDC,45802095301,DICLOFENAC 1 % TOPICAL GEL,37.8,18.9,8.24,34.02,65
NDC,45963014230,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",269.1,134.55,58.69,242.19,65
NDC,45963014290,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",625.5,312.75,136.42,562.95,65
NDC,45963030309,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE",739.35,369.68,161.25,665.42,65
NDC,45963034102,DESIPRAMINE 10 MG TABLET,314.0,157.0,68.48,282.6,65
NDC,45963034202,DESIPRAMINE 25 MG TABLET,428.0,214.0,93.35,385.2,65
NDC,45963034302,DESIPRAMINE 50 MG TABLET,964.0,482.0,210.25,867.6,65
NDC,45963041806,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",234.4,117.2,51.12,210.96,65
NDC,45963043864,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,36.9,18.45,8.05,33.21,65
NDC,45963043963,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,21.35,10.68,4.66,19.22,65
NDC,45963043965,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,102.2,51.1,22.29,91.98,65
NDC,45963045630,DEFERASIROX 500 MG DISPERSIBLE TABLET,12015.4,6007.7,2620.56,10813.86,65
NDC,45963047903,ALOSETRON 0.5 MG TABLET,726.9,363.45,158.54,654.21,65
NDC,45963055611,GABAPENTIN 300 MG CAPSULE,52.8,26.4,11.52,47.52,65
NDC,45963055650,GABAPENTIN 300 MG CAPSULE,81.0,40.5,17.67,72.9,65
NDC,45963055711,GABAPENTIN 400 MG CAPSULE,67.8,33.9,14.79,61.02,65
NDC,45963055750,GABAPENTIN 400 MG CAPSULE,282.5,141.25,61.61,254.25,65
NDC,45963060755,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.24,405.0,66
NDC,45963060756,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,455.0,227.5,8.24,409.5,66
NDC,45963060955,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,475.25,237.63,69.56,427.73,71
NDC,45963061451,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,45963061455,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,45963061485,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,45963061556,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,680.0,340.0,0.87,612.0,66
NDC,45963062151,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,504.8,252.4,69.56,454.32,71
NDC,45963067611,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",135.0,67.5,29.44,121.5,65
NDC,45963068602,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,6622.4,3311.2,97.82,5960.16,71
NDC,45963068749,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,6622.4,3311.2,97.82,5960.16,71
NDC,45963070911,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",148.8,74.4,32.45,133.92,65
NDC,45963073357,DOXORUBICIN 20 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,45963073360,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,680.0,340.0,3.64,612.0,66
NDC,45963073368,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,45963073454,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,45963076552,DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1467.5,733.75,1.07,1320.75,66
NDC,46017001808,CAFFEINE 200 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,46017001816,CAFFEINE 200 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,46122064654,DICLOFENAC 1 % TOPICAL GEL,43.2,21.6,9.42,38.88,65
NDC,46287000601,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,1050.1,525.05,229.03,945.09,65
NDC,46287000604,SOD POLYSTYRENE SULFONATE 30 GRAM-SORBITOL 40 GRAM/120 ML ENEMA,498.0,249.0,108.61,448.2,65
NDC,46287000660,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,133.95,66.98,29.21,120.56,65
NDC,46287000901,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1350.45,675.23,294.53,1215.41,65
NDC,46287001216,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,463.1,231.55,101.0,416.79,65
NDC,46287001401,SODIUM CITRATE-CITRIC ACID 490 MG-640 MG/5 ML ORAL SOLUTION,240.0,120.0,52.34,216.0,65
NDC,46287001430,SODIUM CITRATE-CITRIC ACID 490 MG-640 MG/5 ML ORAL SOLUTION,29.35,14.68,6.4,26.42,65
NDC,46287002001,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,5645.75,2822.88,1231.34,5081.18,65
NDC,46287002004,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1844.35,922.18,402.25,1659.92,65
NDC,46287002020,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,124.3,62.15,27.11,111.87,65
NDC,46287002050,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,124.3,62.15,27.11,111.87,65
NDC,46287002410,POTASSIUM PHOS-MONO-DIBASIC 3 MMOL/ML (4.7 MEQ POTASSIUM/ML) IV SOLN,164.25,82.13,35.82,147.83,65
NDC,46287003515,AMLODIPINE 1 MG/ML ORAL SOLUTION,2181.75,1090.88,475.84,1963.58,65
NDC,46414222201,AMYL NITRITE 0.3 ML SOLUTION FOR INHALATION,2095.2,1047.6,456.96,1885.68,65
NDC,47335000788,ENTACAPONE 200 MG TABLET,1758.0,879.0,383.42,1582.2,65
NDC,47335001183,TADALAFIL 10 MG TABLET,15.7,7.85,3.42,14.13,65
NDC,47335004940,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",838.75,419.38,94.88,754.88,71
NDC,47335005040,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2021.8,1010.9,94.88,1819.62,71
NDC,47335006186,DOFETILIDE 125 MCG CAPSULE,60.5,30.25,13.2,54.45,65
NDC,47335006286,DOFETILIDE 250 MCG CAPSULE,60.5,30.25,13.2,54.45,65
NDC,47335017795,TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE,53271.2,26635.6,130.0,47944.08,71
NDC,47335017796,TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE,53271.2,26635.6,130.0,47944.08,71
NDC,47335018788,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,267.0,133.5,58.23,240.3,65
NDC,47335022090,KETOROLAC 0.5 % EYE DROPS,33.3,16.65,7.26,29.97,65
NDC,47335023583,METHOTREXATE SODIUM 2.5 MG TABLET,292.0,146.0,63.69,262.8,65
NDC,47335023596,METHOTREXATE SODIUM 2.5 MG TABLET,58.35,29.18,12.73,52.52,65
NDC,47335023683,AMBRISENTAN 5 MG TABLET,5400.0,2700.0,1177.74,4860.0,65
NDC,47335027641,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,222.0,111.0,48.42,199.8,66
NDC,47335027723,TETRABENAZINE 12.5 MG TABLET,1035.45,517.73,225.83,931.91,65
NDC,47335029040,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,27.35,13.68,5.97,24.62,65
NDC,47335029044,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,27.35,13.68,5.97,24.62,65
NDC,47335032186,MEMANTINE 5 MG TABLET,22.35,11.18,4.87,20.12,65
NDC,47335032286,MEMANTINE 10 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,47335032683,NALTREXONE 50 MG TABLET,208.8,104.4,45.54,187.92,65
NDC,47335032688,NALTREXONE 50 MG TABLET,580.0,290.0,126.5,522.0,65
NDC,47335033040,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,174.8,87.4,38.12,157.32,66
NDC,47335036140,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,0.83,405.0,66
NDC,47335036141,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,0.83,405.0,66
NDC,47335037983,CINACALCET 30 MG TABLET,43.05,21.53,9.39,38.75,65
NDC,47335038083,CINACALCET 60 MG TABLET,134.5,67.25,29.33,121.05,65
NDC,47335047281,IMATINIB 100 MG TABLET,728.1,364.05,158.8,655.29,65
NDC,47335047583,IMATINIB 400 MG TABLET,717.6,358.8,156.51,645.84,65
NDC,47335048583,BICALUTAMIDE 50 MG TABLET,63.75,31.88,13.9,57.38,65
NDC,47335053783,"TRAMADOL ER 300 MG TABLET,EXTENDED RELEASE 24HR MPHASE",604.5,302.25,131.84,544.05,65
NDC,47335053981,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",99.9,49.95,21.79,89.91,65
NDC,47335057883,LURASIDONE 20 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,47335061381,"NIACIN ER 1,000 MG TABLET,EXTENDED RELEASE 24 HR",194.4,97.2,42.4,174.96,65
NDC,47335061540,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.45,24.23,10.57,43.61,65
NDC,47335063148,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,14.15,7.08,3.09,12.74,65
NDC,47335063149,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,14.15,7.08,3.09,12.74,65
NDC,47335063248,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,14.85,7.43,3.24,13.37,65
NDC,47335063249,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,14.85,7.43,3.24,13.37,65
NDC,47335063983,LURASIDONE 60 MG TABLET,47.2,23.6,10.29,42.48,65
NDC,47335066981,"DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",60.5,30.25,13.2,54.45,65
NDC,47335067081,"DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE",76.15,38.08,16.61,68.54,65
NDC,47335067181,"DILTIAZEM ER 240 MG CAPSULE,24 HR,EXTENDED RELEASE",94.0,47.0,20.5,84.6,65
NDC,47335067281,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",139.9,69.95,30.51,125.91,65
NDC,47335067381,"DILTIAZEM ER 360 MG CAPSULE,24 HR,EXTENDED RELEASE",143.65,71.83,31.33,129.29,65
NDC,47335068483,LURASIDONE 40 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,47335068788,PREGABALIN 50 MG CAPSULE,16.2,8.1,3.53,14.58,65
NDC,47335068888,PREGABALIN 75 MG CAPSULE,19.2,9.6,4.19,17.28,65
NDC,47335068988,PREGABALIN 100 MG CAPSULE,22.2,11.1,4.84,19.98,65
NDC,47335070348,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.15,1.58,0.69,2.84,65
NDC,47335070349,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.15,1.58,0.69,2.84,65
NDC,47335070352,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.15,1.58,0.69,2.84,65
NDC,47335070786,TOPIRAMATE 25 MG TABLET,8.65,4.33,1.89,7.79,65
NDC,47335071186,TOPIRAMATE 100 MG TABLET,20.55,10.28,4.48,18.5,65
NDC,47335071286,TOPIRAMATE 200 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,47335072183,FEBUXOSTAT 40 MG TABLET,41.6,20.8,9.07,37.44,65
NDC,47335075648,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,47335075649,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,47335075652,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,47335076583,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",178.4,89.2,38.91,160.56,65
NDC,47335076783,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",226.8,113.4,49.47,204.12,65
NDC,47335077991,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,48.25,24.13,10.52,43.43,65
NDC,47335078891,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),271.95,135.98,59.31,244.76,65
NDC,47335083583,"GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE",213.15,106.58,46.49,191.84,65
NDC,47335083683,"GALANTAMINE ER 16 MG 24 HR CAPSULE,EXTENDED RELEASE",282.25,141.13,61.56,254.03,65
NDC,47335086183,"TRAMADOL ER 300 MG TABLET,EXTENDED RELEASE 24 HR",145.45,72.73,31.72,130.91,65
NDC,47335088240,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,51.1,25.55,11.14,45.99,65
NDC,47335088244,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,51.1,25.55,11.14,45.99,65
NDC,47335089060,TEMOZOLOMIDE 5 MG CAPSULE,11.6,5.8,2.53,10.44,65
NDC,47335089072,TEMOZOLOMIDE 5 MG CAPSULE,174.0,87.0,37.95,156.6,65
NDC,47335089160,TEMOZOLOMIDE 20 MG CAPSULE,49.35,24.68,10.76,44.42,65
NDC,47335089260,TEMOZOLOMIDE 100 MG CAPSULE,139.75,69.88,30.48,125.78,65
NDC,47335089272,TEMOZOLOMIDE 100 MG CAPSULE,1746.4,873.2,380.89,1571.76,65
NDC,47335089481,CLOPIDOGREL 75 MG TABLET,112.35,56.18,24.5,101.12,65
NDC,47335089483,CLOPIDOGREL 75 MG TABLET,37.45,18.73,8.17,33.71,65
NDC,47335090288,QUETIAPINE 25 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,47335090388,QUETIAPINE 50 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,47335090488,QUETIAPINE 100 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,47335090588,QUETIAPINE 200 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,47335090686,QUETIAPINE 300 MG TABLET,44.3,22.15,9.66,39.87,65
NDC,47335090688,QUETIAPINE 300 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,47335093140,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.2,23.6,10.29,42.48,65
NDC,47335093144,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.2,23.6,10.29,42.48,65
NDC,47335093240,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,69.4,34.7,15.14,62.46,65
NDC,47335093244,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,69.4,34.7,15.14,62.46,65
NDC,47335093640,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT,732.45,366.23,15.25,659.21,66
NDC,47335095688,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",49.8,24.9,10.86,44.82,65
NDC,47335099201,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.7,23.85,0.77,42.93,66
NDC,47335099202,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.1,23.55,0.77,42.39,66
NDC,47335099301,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,47.1,23.55,0.02,42.39,66
NDC,47426030102,BUPIVACAINE-MELOXICAM ER 400 MG-12 MG/14 ML SURGICAL SITE INSTILL SOLN,1375.2,687.6,299.93,1237.68,65
NDC,47426030301,BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN,725.7,362.85,158.28,653.13,65
NDC,47781001101,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,261.6,130.8,57.05,235.44,65
NDC,47781001301,HYOSCYAMINE SULFATE 0.125 MG TABLET,310.5,155.25,67.72,279.45,65
NDC,47781001401,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",592.0,296.0,129.12,532.8,65
NDC,47781010444,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,86.2,43.1,18.8,77.58,65
NDC,47781010830,EXEMESTANE 25 MG TABLET,149.95,74.98,32.7,134.96,65
NDC,47781019601,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,47781020050,MELPHALAN 2 MG TABLET,1943.5,971.75,423.88,1749.15,65
NDC,47781022901,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,172.2,86.1,37.56,154.98,65
NDC,47781023001,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,47781023063,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,745.0,372.5,162.48,670.5,65
NDC,47781026401,OXYCODONE 15 MG TABLET,256.2,128.1,55.88,230.58,65
NDC,47781029703,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,118.3,59.15,25.8,106.47,65
NDC,47781029903,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,94.9,47.45,20.7,85.41,65
NDC,47781030301,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,285.0,142.5,62.16,256.5,65
NDC,47781030411,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,68.1,34.05,14.85,61.29,65
NDC,47781030511,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,33.0,16.5,7.2,29.7,65
NDC,47781030601,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,1582.0,791.0,345.03,1423.8,65
NDC,47781030701,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,268.0,134.0,58.45,241.2,65
NDC,47781033530,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",1069.95,534.98,233.36,962.96,65
NDC,47781035503,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,275.55,137.78,5.1,248.0,66
NDC,47781035511,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,11.05,5.53,2.41,9.95,66
NDC,47781035603,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,507.9,253.95,7.72,457.11,66
NDC,47781035611,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,20.35,10.18,4.44,18.32,66
NDC,47781035703,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,281.55,140.78,9.04,253.4,66
NDC,47781035711,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,11.3,5.65,2.46,10.17,66
NDC,47781035803,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,816.9,408.45,15.81,735.21,66
NDC,47781035811,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,32.7,16.35,7.13,29.43,66
NDC,47781038426,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,285.6,142.8,62.29,257.04,65
NDC,47781041601,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",927.0,463.5,202.18,834.3,65
NDC,47781042311,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,28.85,14.43,6.29,25.97,65
NDC,47781042347,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,144.1,72.05,31.43,129.69,65
NDC,47781042411,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,26.3,13.15,5.74,23.67,65
NDC,47781042447,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,131.3,65.65,28.64,118.17,65
NDC,47781042611,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,37.4,18.7,8.16,33.66,65
NDC,47781042647,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,186.85,93.43,40.75,168.17,65
NDC,47781042711,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,54.3,27.15,11.84,48.87,65
NDC,47781042747,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,271.45,135.73,59.2,244.31,65
NDC,47781042811,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,71.7,35.85,15.64,64.53,65
NDC,47781042847,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,298.55,149.28,65.11,268.7,65
NDC,47781046671,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,635.35,317.68,1.28,571.82,66
NDC,47781046813,OSELTAMIVIR 30 MG CAPSULE,152.9,76.45,33.35,137.61,65
NDC,47781046913,OSELTAMIVIR 45 MG CAPSULE,398.85,199.43,86.99,358.97,65
NDC,47781047013,OSELTAMIVIR 75 MG CAPSULE,510.05,255.03,111.24,459.05,65
NDC,47781050901,TETRACYCLINE 500 MG CAPSULE,4683.6,2341.8,1021.49,4215.24,65
NDC,47781056301,LISDEXAMFETAMINE 20 MG CAPSULE,2325.6,1162.8,507.21,2093.04,65
NDC,47781056401,LISDEXAMFETAMINE 30 MG CAPSULE,2485.6,1242.8,542.11,2237.04,65
NDC,47781056601,LISDEXAMFETAMINE 50 MG CAPSULE,2444.8,1222.4,533.21,2200.32,65
NDC,47781057701,METHENAMINE HIPPURATE 1 GRAM TABLET,805.5,402.75,175.68,724.95,65
NDC,47781057807,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,1237.7,618.85,64.32,1113.93,71
NDC,47781058368,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.0,10.5,0.29,18.9,71
NDC,47781058393,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.0,10.5,0.29,18.9,71
NDC,47781058468,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.05,10.53,0.29,18.95,71
NDC,47781058493,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.05,10.53,0.29,18.95,71
NDC,47781058546,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.2,10.6,0.29,19.08,71
NDC,47781058568,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.2,10.6,0.29,19.08,71
NDC,47781058629,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,91.0,45.5,19.85,81.9,65
NDC,47781058656,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,157.0,78.5,34.24,141.3,65
NDC,47781058717,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,47781058720,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,47781058846,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.35,12.68,0.16,22.82,66
NDC,47781058868,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.35,12.68,0.16,22.82,66
NDC,47781058922,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,52.65,26.33,0.16,47.39,66
NDC,47781058991,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,52.65,26.33,0.16,47.39,66
NDC,47781059507,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,47781060122,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",141.4,70.7,30.84,127.26,65
NDC,47781060191,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",141.4,70.7,30.84,127.26,65
NDC,47781060730,DISULFIRAM 250 MG TABLET,258.9,129.45,56.47,233.01,65
NDC,47781061307,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,312.5,156.25,6.02,281.25,66
NDC,47781061617,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.45,11.73,5.11,21.11,65
NDC,47781061620,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.45,11.73,5.11,21.11,65
NDC,47781061722,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,37.95,18.98,8.28,34.16,65
NDC,47781062222,MESNA 100 MG/ML INTRAVENOUS SOLUTION,68.75,34.38,1.52,61.88,66
NDC,47781064090,LEVOTHYROXINE 25 MCG TABLET,44.85,22.43,9.78,40.37,65
NDC,47781064390,LEVOTHYROXINE 50 MCG TABLET,23.8,11.9,5.19,21.42,65
NDC,47781064990,LEVOTHYROXINE 88 MCG TABLET,27.0,13.5,5.89,24.3,65
NDC,47781065110,LEVOTHYROXINE 100 MCG TABLET,550.0,275.0,119.96,495.0,65
NDC,47781065190,LEVOTHYROXINE 100 MCG TABLET,28.1,14.05,6.13,25.29,65
NDC,47781065790,LEVOTHYROXINE 125 MCG TABLET,66.45,33.23,14.49,59.81,65
NDC,47781066290,LEVOTHYROXINE 150 MCG TABLET,70.75,35.38,15.43,63.68,65
NDC,47781067190,LEVOTHYROXINE 300 MCG TABLET,96.7,48.35,21.09,87.03,65
NDC,47781072902,VANCOMYCIN 125 MG CAPSULE,512.7,256.35,111.82,461.43,65
NDC,47781072950,VANCOMYCIN 125 MG CAPSULE,2166.0,1083.0,472.4,1949.4,65
NDC,47781073002,VANCOMYCIN 250 MG CAPSULE,196.45,98.23,42.85,176.81,65
NDC,48102004701,DEXAMETHASONE 4 MG TABLET,460.5,230.25,100.44,414.45,65
NDC,48102004711,DEXAMETHASONE 4 MG TABLET,5.6,2.8,1.22,5.04,65
NDC,48102004720,DEXAMETHASONE 4 MG TABLET,466.5,233.25,101.74,419.85,65
NDC,48102005711,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,54.4,27.2,11.86,48.96,65
NDC,48433011610,ARIPIPRAZOLE 5 MG TABLET,745.0,372.5,162.48,670.5,65
NDC,48433021501,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,246.95,123.48,53.86,222.26,65
NDC,48433023015,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,187.85,93.93,40.97,169.07,65
NDC,48783011208,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,164.55,82.28,35.89,148.1,65
NDC,48815100101,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,203.35,101.68,44.35,183.02,64
NDC,48815100201,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,446.05,223.03,97.28,401.45,64
NDC,48818000101,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,27200.1,13600.05,294.65,24480.09,71
NDC,48818000102,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,47094.2,23547.1,294.65,42384.78,71
NDC,49230064331,CALCIUM ACETATE(PHOSPHAT BINDRS) 667 MG(169 MG CALCIUM)/5 ML ORAL SOLN,792.3,396.15,172.8,713.07,65
NDC,49230064551,SUCROFERRIC OXYHYDROXIDE 500 MG CHEWABLE TABLET,5948.3,2974.15,1297.32,5353.47,65
NDC,49281012465,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,75.0,37.5,16.36,122.7,71
NDC,49281012488,FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,75.0,37.5,16.36,122.7,71
NDC,49281021510,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP,224.2,112.1,33.68,201.78,66
NDC,49281021515,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,224.2,112.1,33.68,201.78,66
NDC,49281021558,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP,224.2,112.1,33.68,201.78,66
NDC,49281021588,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,224.2,112.1,33.68,201.78,66
NDC,49281022510,"TETANUS,DIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP",306.85,153.43,66.92,276.17,65
NDC,49281022558,"TETANUS,DIPHTHERIA TOXOID PED (PF) 5 LF UNIT-25 LF UNIT/0.5 ML IM SUSP",306.85,153.43,66.92,276.17,65
NDC,49281024658,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1513.6,756.8,319.95,1362.24,71
NDC,49281024858,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1513.6,756.8,319.95,1362.24,71
NDC,49281025051,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",1513.6,756.8,319.95,1362.24,71
NDC,49281025251,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",2041.95,1020.98,319.95,1837.76,71
NDC,49281028610,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",163.3,81.65,29.1,146.97,66
NDC,49281028658,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",163.3,81.65,29.1,146.97,66
NDC,49281040010,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP",273.6,136.8,42.51,246.24,66
NDC,49281040020,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE",273.6,136.8,42.51,246.24,66
NDC,49281040058,"DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP",273.6,136.8,42.51,246.24,66
NDC,49281040089,"DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE",273.6,136.8,42.51,246.24,66
NDC,49281042450,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,40.0,20.0,8.72,36.0,71
NDC,49281042488,FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,40.0,20.0,8.72,36.0,71
NDC,49281051005,DP(A)T-POLIO-HIB CONJ-TET (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML IM KIT,471.75,235.88,102.89,424.58,66
NDC,49281051105,DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT,532.05,266.03,116.04,478.85,66
NDC,49281054503,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,73.4,36.7,12.97,66.06,66
NDC,49281054758,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,73.4,36.7,12.97,66.06,66
NDC,49281057415,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2354.5,1177.25,513.52,2119.05,65
NDC,49281057488,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2354.5,1177.25,513.52,2119.05,65
NDC,49281057500,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2354.5,1177.25,513.52,2119.05,65
NDC,49281057515,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2354.5,1177.25,513.52,2119.05,65
NDC,49281075221,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,533.95,266.98,14.19,480.56,71
NDC,49281075222,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,2007.7,1003.85,14.19,1806.93,71
NDC,49281075278,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,533.95,266.98,14.19,480.56,71
NDC,49281075298,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,2007.7,1003.85,14.19,1806.93,71
NDC,49281079051,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,677.45,338.73,96.7,609.71,66
NDC,49281079088,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE,677.45,338.73,96.7,609.71,66
NDC,49281086010,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,1966.3,983.15,44.75,1769.67,66
NDC,49281086078,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,1966.3,983.15,44.75,1769.67,66
NDC,49348030161,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",81.9,40.95,17.86,73.71,65
NDC,49348081705,FAMOTIDINE 20 MG TABLET,26.1,13.05,5.69,23.49,65
NDC,49348081709,FAMOTIDINE 20 MG TABLET,33.9,16.95,7.39,30.51,65
NDC,49401010101,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,2564.0,1282.0,55.61,2307.6,71
NDC,49401010201,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,8487.8,4243.9,55.61,7639.02,71
NDC,49411005030,AMINOCAPROIC ACID 500 MG TABLET,2395.35,1197.68,522.43,2155.82,65
NDC,49411005208,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,10411.9,5205.95,2270.84,9370.71,65
NDC,49471000101,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,821.0,410.5,179.06,738.9,65
NDC,49471000105,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,821.0,410.5,179.06,738.9,65
NDC,49483060201,IBUPROFEN 400 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,49483060350,IBUPROFEN 600 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,49483060550,GABAPENTIN 100 MG CAPSULE,78.0,39.0,17.01,70.2,65
NDC,49483060601,GABAPENTIN 300 MG CAPSULE,33.6,16.8,7.33,30.24,65
NDC,49483060650,GABAPENTIN 300 MG CAPSULE,132.0,66.0,28.79,118.8,65
NDC,49483068703,PARICALCITOL 1 MCG CAPSULE,179.65,89.83,39.18,161.69,65
NDC,49502010101,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",693.35,346.68,151.22,624.02,65
NDC,49502010102,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1386.7,693.35,302.44,1248.03,65
NDC,49502010201,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",693.35,346.68,151.22,624.02,65
NDC,49502010202,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1386.7,693.35,302.44,1248.03,65
NDC,49502042593,EFAVIRENZ 400 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,7123.35,3561.68,1553.6,6411.02,65
NDC,49502045093,LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,4382.05,2191.03,955.73,3943.85,65
NDC,49502047593,EFAVIRENZ 600 MG-LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL 300 MG TABLET,7123.45,3561.73,1553.62,6411.11,65
NDC,49502050001,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",1406.65,703.33,306.79,1265.99,65
NDC,49502050002,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",2250.6,1125.3,490.86,2025.54,65
NDC,49502050101,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",1406.65,703.33,306.79,1265.99,65
NDC,49502050102,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",2250.6,1125.3,490.86,2025.54,65
NDC,49502060530,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,28.75,14.38,6.27,25.88,65
NDC,49502060561,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,28.75,14.38,6.27,25.88,65
NDC,49502060595,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,28.75,14.38,6.27,25.88,65
NDC,49502080632,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION,64.75,32.38,14.12,58.28,65
NDC,49502080693,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION,64.75,32.38,14.12,58.28,65
NDC,49502090001,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH,347.05,173.53,75.69,312.35,65
NDC,49502090030,SELEGILINE 6 MG/24 HR TRANSDERMAL 24 HOUR PATCH,8328.75,4164.38,1816.5,7495.88,65
NDC,49591005105,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2776.7,1388.35,66.17,2499.03,71
NDC,49591005151,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2776.7,1388.35,66.17,2499.03,71
NDC,49591012611,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,9123.05,4561.53,1989.74,8210.75,70
NDC,49591012651,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,9123.05,4561.53,1989.74,8210.75,70
NDC,49591030013,"RHO(D) IMMUNE GLOBULIN-MALTOSE 15,000 UNIT (3,000 MCG)/13 ML INJ. SOLN",17012.75,8506.38,25.97,15311.48,71
NDC,49591030051,"RHO(D) IMMUNE GLOBULIN-MALTOSE 15,000 UNIT (3,000 MCG)/13 ML INJ. SOLN",17012.75,8506.38,25.97,15311.48,71
NDC,49591033011,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",2190.75,1095.38,25.97,1971.68,71
NDC,49591033051,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",2190.75,1095.38,25.97,1971.68,71
NDC,49591053251,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,6174.0,3087.0,1346.55,5556.6,71
NDC,49702020218,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,3350.9,1675.45,730.83,3015.81,65
NDC,49702020318,LAMIVUDINE 150 MG TABLET,1921.8,960.9,419.14,1729.62,65
NDC,49702020548,LAMIVUDINE 10 MG/ML ORAL SOLUTION,512.4,256.2,111.75,461.16,65
NDC,49702020613,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET,4801.6,2400.8,1047.23,4321.44,65
NDC,49702020718,FOSAMPRENAVIR 700 MG TABLET,4306.6,2153.3,939.27,3875.94,65
NDC,49702021120,ZIDOVUDINE 100 MG CAPSULE,1247.5,623.75,272.08,1122.75,65
NDC,49702021248,ZIDOVUDINE 10 MG/ML ORAL SYRUP,298.8,149.4,65.17,268.92,65
NDC,49702021301,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,161.9,80.95,1.68,145.71,66
NDC,49702021326,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,161.9,80.95,1.68,145.71,66
NDC,49702021718,ABACAVIR 300 MG-LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,5983.7,2991.85,1305.04,5385.33,65
NDC,49702022118,ABACAVIR 300 MG TABLET,2066.9,1033.45,450.79,1860.21,65
NDC,49702022248,ABACAVIR 20 MG/ML ORAL SOLUTION,679.2,339.6,148.13,611.28,65
NDC,49702022813,DOLUTEGRAVIR 50 MG TABLET,8598.5,4299.25,1875.33,7738.65,65
NDC,49702023113,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,14412.6,7206.3,3143.39,12971.34,65
NDC,49702023801,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",13603.55,6801.78,6.79,12243.2,71
NDC,49702023803,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16125.9,8062.95,6.79,14513.31,71
NDC,49702024015,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER",27157.05,13578.53,24.12,24441.35,71
NDC,49702024213,DOLUTEGRAVIR 50 MG-RILPIVIRINE 25 MG TABLET,13507.8,6753.9,2946.05,12157.02,65
NDC,49702024613,DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,11447.9,5723.95,2496.79,10303.11,65
NDC,49702024633,DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,11447.9,5723.95,2496.79,10303.11,65
NDC,49702025315,"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER",18104.7,9052.35,24.12,16294.23,71
NDC,49702026423,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16125.9,8062.95,6.79,14513.31,71
NDC,49708015307,QUININE 324 MG CAPSULE,908.1,454.05,198.06,817.29,65
NDC,49771000201,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1795.0,897.5,391.49,1615.5,65
NDC,49771000203,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1795.0,897.5,391.49,1615.5,65
NDC,49884000604,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,13981.0,6990.5,3049.26,12582.9,65
NDC,49884000702,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",720.9,360.45,157.23,648.81,65
NDC,49884000901,ISOSORBIDE DINITRATE 30 MG TABLET,329.5,164.75,71.86,296.55,65
NDC,49884002101,ISOSORBIDE DINITRATE 10 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,49884002201,ISOSORBIDE DINITRATE 20 MG TABLET,283.5,141.75,61.83,255.15,65
NDC,49884003201,TRANYLCYPROMINE 10 MG TABLET,744.5,372.25,162.38,670.05,65
NDC,49884003801,PHENOXYBENZAMINE 10 MG CAPSULE,19434.4,9717.2,4238.64,17490.96,65
NDC,49884004801,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",302.0,151.0,65.87,271.8,65
NDC,49884004901,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",499.0,249.5,108.83,449.1,65
NDC,49884005401,IMIPRAMINE 10 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,49884005501,IMIPRAMINE 25 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,49884005601,IMIPRAMINE 50 MG TABLET,100.2,50.1,21.85,90.18,65
NDC,49884005802,BOSENTAN 62.5 MG TABLET,4323.6,2161.8,942.98,3891.24,65
NDC,49884006501,GLYCOPYRROLATE 1 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,49884006601,GLYCOPYRROLATE 2 MG TABLET,300.5,150.25,65.54,270.45,65
NDC,49884011052,ALPRAZOLAM 0.25 MG DISINTEGRATING TABLET,5.8,2.9,1.26,5.22,65
NDC,49884011074,ALPRAZOLAM 0.25 MG DISINTEGRATING TABLET,398.0,199.0,86.8,358.2,65
NDC,49884011152,ALPRAZOLAM 0.5 MG DISINTEGRATING TABLET,7.85,3.93,1.71,7.07,65
NDC,49884011174,ALPRAZOLAM 0.5 MG DISINTEGRATING TABLET,653.5,326.75,142.53,588.15,65
NDC,49884011302,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",1237.5,618.75,269.9,1113.75,65
NDC,49884011309,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",1375.2,687.6,299.93,1237.68,65
NDC,49884011701,AMILORIDE 5 MG TABLET,322.5,161.25,70.34,290.25,65
NDC,49884012201,LABETALOL 100 MG TABLET,166.2,83.1,36.25,149.58,65
NDC,49884012205,LABETALOL 100 MG TABLET,677.5,338.75,147.76,609.75,65
NDC,49884012301,LABETALOL 200 MG TABLET,235.8,117.9,51.43,212.22,65
NDC,49884012305,LABETALOL 200 MG TABLET,772.5,386.25,168.48,695.25,65
NDC,49884012401,LABETALOL 300 MG TABLET,303.0,151.5,66.08,272.7,65
NDC,49884014711,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",666.15,333.08,145.29,599.54,65
NDC,49884015576,VARENICLINE TARTRATE 0.5 MG TABLET,279.2,139.6,60.89,251.28,65
NDC,49884015902,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,2465.7,1232.85,537.77,2219.13,65
NDC,49884015952,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,49.35,24.68,10.76,44.42,65
NDC,49884016111,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,221.9,110.95,48.4,199.71,65
NDC,49884017111,COLCHICINE 0.6 MG TABLET,107.5,53.75,23.45,96.75,65
NDC,49884021002,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",1647.6,823.8,359.34,1482.84,65
NDC,49884021801,DOXEPIN 25 MG CAPSULE,286.5,143.25,62.49,257.85,65
NDC,49884021901,DOXEPIN 50 MG CAPSULE,410.5,205.25,89.53,369.45,65
NDC,49884022203,DOXEPIN 150 MG CAPSULE,163.2,81.6,35.59,146.88,65
NDC,49884023183,PRAZIQUANTEL 600 MG TABLET,1406.8,703.4,306.82,1266.12,65
NDC,49884023911,ITRACONAZOLE 100 MG CAPSULE,219.25,109.63,47.82,197.33,65
NDC,49884024801,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",535.0,267.5,116.68,481.5,65
NDC,49884025601,MINOXIDIL 2.5 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,49884025701,MINOXIDIL 10 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,49884028901,MEGESTROL 20 MG TABLET,73.8,36.9,16.1,66.42,65
NDC,49884029001,MEGESTROL 40 MG TABLET,97.8,48.9,21.33,88.02,65
NDC,49884030602,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,176.4,88.2,38.47,158.76,65
NDC,49884030652,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,5.5,2.75,1.2,4.95,65
NDC,49884030702,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,190.8,95.4,41.61,171.72,65
NDC,49884030752,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,5.55,2.78,1.21,5.0,65
NDC,49884030802,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,173.9,86.95,37.93,156.51,65
NDC,49884030852,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,5.5,2.75,1.2,4.95,65
NDC,49884030902,CLONAZEPAM 1 MG DISINTEGRATING TABLET,182.9,91.45,39.89,164.61,65
NDC,49884030952,CLONAZEPAM 1 MG DISINTEGRATING TABLET,5.55,2.78,1.21,5.0,65
NDC,49884031152,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,6.95,3.48,1.52,6.26,65
NDC,49884031155,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,208.45,104.23,45.46,187.61,65
NDC,49884031191,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,80.15,40.08,17.48,72.14,65
NDC,49884031552,RISPERIDONE 1 MG DISINTEGRATING TABLET,3.75,1.88,0.82,3.38,65
NDC,49884031555,RISPERIDONE 1 MG DISINTEGRATING TABLET,112.0,56.0,24.43,100.8,65
NDC,49884032052,OLANZAPINE 5 MG DISINTEGRATING TABLET,3.35,1.68,0.73,3.02,65
NDC,49884032055,OLANZAPINE 5 MG DISINTEGRATING TABLET,58.7,29.35,12.8,52.83,65
NDC,49884032152,OLANZAPINE 10 MG DISINTEGRATING TABLET,3.5,1.75,0.76,3.15,65
NDC,49884032155,OLANZAPINE 10 MG DISINTEGRATING TABLET,86.05,43.03,18.77,77.45,65
NDC,49884034701,PIMOZIDE 1 MG TABLET,535.5,267.75,116.79,481.95,65
NDC,49884034801,PIMOZIDE 2 MG TABLET,781.0,390.5,170.34,702.9,65
NDC,49884036201,DANTROLENE 25 MG CAPSULE,219.6,109.8,47.89,197.64,65
NDC,49884036301,DANTROLENE 50 MG CAPSULE,304.5,152.25,66.41,274.05,65
NDC,49884040152,RISPERIDONE 2 MG DISINTEGRATING TABLET,16.45,8.23,3.59,14.81,65
NDC,49884040191,RISPERIDONE 2 MG DISINTEGRATING TABLET,382.9,191.45,83.51,344.61,65
NDC,49884041201,URSODIOL 250 MG TABLET,343.0,171.5,74.81,308.7,65
NDC,49884041301,URSODIOL 500 MG TABLET,456.5,228.25,99.56,410.85,65
NDC,49884046564,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,12.1,6.05,2.64,10.89,65
NDC,49884046565,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,603.0,301.5,131.51,542.7,65
NDC,49884046663,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,3.85,1.93,0.84,3.47,65
NDC,49884046665,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,229.7,114.85,50.1,206.73,65
NDC,49884055402,ZAFIRLUKAST 20 MG TABLET,271.2,135.6,59.15,244.08,65
NDC,49884056111,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",574.35,287.18,125.27,516.92,65
NDC,49884056311,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",1373.4,686.7,299.54,1236.06,65
NDC,49884064001,METHIMAZOLE 5 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,49884064101,METHIMAZOLE 10 MG TABLET,119.4,59.7,26.04,107.46,65
NDC,49884068901,METOCLOPRAMIDE 10 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,49884072401,HYDROXYUREA 500 MG CAPSULE,148.2,74.1,32.32,133.38,65
NDC,49884075313,FLUTAMIDE 125 MG CAPSULE,461.7,230.85,100.7,415.53,65
NDC,49884076852,TOLVAPTAN 15 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,49884076854,TOLVAPTAN 15 MG TABLET,2269.9,1134.95,495.07,2042.91,65
NDC,49884084001,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",695.0,347.5,151.58,625.5,65
NDC,49884084901,MIDODRINE 5 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,49884090738,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,95.05,47.53,20.73,85.55,65
NDC,49884090761,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,213.15,106.58,46.49,191.84,65
NDC,49884093664,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,31.75,15.88,6.92,28.58,65
NDC,49884098501,NATEGLINIDE 120 MG TABLET,509.0,254.5,111.01,458.1,65
NDC,49938010101,DAPSONE 100 MG TABLET,1162.0,581.0,253.43,1045.8,65
NDC,49938010130,DAPSONE 100 MG TABLET,390.3,195.15,85.12,351.27,65
NDC,49938010230,DAPSONE 25 MG TABLET,318.15,159.08,69.39,286.34,65
NDC,50016095721,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,325.0,162.5,70.88,292.5,66
NDC,50090040300,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,100.0,50.0,0.24,90.0,66
NDC,50090049700,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090087600,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090137500,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090166400,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090448800,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090495500,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090539100,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090583500,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50090618400,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,50102091101,ULIPRISTAL 30 MG TABLET,199.4,99.7,43.49,179.46,65
NDC,50111032701,HYDRALAZINE 25 MG TABLET,94.2,47.1,20.55,84.78,65
NDC,50111032703,HYDRALAZINE 25 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,50111032801,HYDRALAZINE 50 MG TABLET,123.6,61.8,26.96,111.24,65
NDC,50111033301,METRONIDAZOLE 250 MG TABLET,133.2,66.6,29.05,119.88,65
NDC,50111033401,METRONIDAZOLE 500 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,50111033402,METRONIDAZOLE 500 MG TABLET,1210.0,605.0,263.9,1089.0,65
NDC,50111039701,HYDRALAZINE 100 MG TABLET,219.6,109.8,47.89,197.64,65
NDC,50111039801,HYDRALAZINE 10 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,50111045001,TRAZODONE 150 MG TABLET,139.8,69.9,30.49,125.82,65
NDC,50111045601,OXYBUTYNIN CHLORIDE 5 MG TABLET,258.6,129.3,56.4,232.74,65
NDC,50111045602,OXYBUTYNIN CHLORIDE 5 MG TABLET,1092.5,546.25,238.27,983.25,65
NDC,50111056001,TRAZODONE 50 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,50111056101,TRAZODONE 100 MG TABLET,28.2,14.1,6.15,25.38,65
NDC,50111056102,TRAZODONE 100 MG TABLET,276.0,138.0,60.2,248.4,65
NDC,50111064701,FLUOXETINE 10 MG CAPSULE,33.0,16.5,7.2,29.7,65
NDC,50111064702,FLUOXETINE 10 MG CAPSULE,141.0,70.5,30.75,126.9,65
NDC,50111064703,FLUOXETINE 10 MG CAPSULE,260.0,130.0,56.71,234.0,65
NDC,50111064801,FLUOXETINE 20 MG CAPSULE,34.8,17.4,7.59,31.32,65
NDC,50111064803,FLUOXETINE 20 MG CAPSULE,275.0,137.5,59.98,247.5,65
NDC,50111078710,AZITHROMYCIN 250 MG TABLET,303.6,151.8,66.22,273.24,65
NDC,50111078751,AZITHROMYCIN 250 MG TABLET,48.7,24.35,10.62,43.83,65
NDC,50111078766,AZITHROMYCIN 250 MG TABLET,27.9,13.95,6.08,25.11,65
NDC,50111078810,AZITHROMYCIN 500 MG TABLET,723.75,361.88,157.85,651.38,65
NDC,50111078855,AZITHROMYCIN 500 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,50111078910,AZITHROMYCIN 600 MG TABLET,690.75,345.38,150.65,621.68,65
NDC,50111091501,TORSEMIDE 5 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,50111091601,TORSEMIDE 10 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,50111091701,TORSEMIDE 20 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,50111091801,TORSEMIDE 100 MG TABLET,403.5,201.75,88.0,363.15,65
NDC,50190014123,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.55,1.78,0.77,3.2,65
NDC,50190014263,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.55,1.78,0.77,3.2,65
NDC,50190074060,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.7,1.85,0.81,3.33,65
NDC,50228010501,METFORMIN 500 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,50228010901,CARISOPRODOL 350 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,50228011301,FLUOXETINE 10 MG CAPSULE,14.4,7.2,3.14,12.96,65
NDC,50228011401,FLUOXETINE 20 MG CAPSULE,15.0,7.5,3.27,13.5,65
NDC,50228011410,FLUOXETINE 20 MG CAPSULE,102.0,51.0,22.25,91.8,65
NDC,50228012490,CLOPIDOGREL 75 MG TABLET,40.5,20.25,8.83,36.45,65
NDC,50228014601,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,48.0,24.0,10.47,43.2,65
NDC,50228014605,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,147.0,73.5,32.06,132.3,65
NDC,50228014610,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,330.0,165.0,71.97,297.0,65
NDC,50228015801,CELECOXIB 200 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,50228017401,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",27.6,13.8,6.02,24.84,65
NDC,50228017405,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",132.0,66.0,28.79,118.8,65
NDC,50228017501,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",30.0,15.0,6.54,27.0,65
NDC,50228017560,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",16.6,8.3,3.62,14.94,65
NDC,50228017660,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",24.5,12.25,5.34,22.05,65
NDC,50228017701,GABAPENTIN 600 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,50228018005,GABAPENTIN 300 MG CAPSULE,132.0,66.0,28.79,118.8,65
NDC,50228018010,GABAPENTIN 300 MG CAPSULE,168.0,84.0,36.64,151.2,65
NDC,50228018101,GABAPENTIN 400 MG CAPSULE,40.8,20.4,8.9,36.72,65
NDC,50228018105,GABAPENTIN 400 MG CAPSULE,165.0,82.5,35.99,148.5,65
NDC,50228018301,HYDRALAZINE 25 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,50228018401,HYDRALAZINE 50 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,50228018960,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR",150.15,75.08,32.75,135.14,65
NDC,50228019060,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR",209.9,104.95,45.78,188.91,65
NDC,50228019260,LACOSAMIDE 50 MG TABLET,28.45,14.23,6.2,25.61,65
NDC,50228019360,LACOSAMIDE 100 MG TABLET,52.6,26.3,11.47,47.34,65
NDC,50228035090,PREGABALIN 25 MG CAPSULE,65.9,32.95,14.37,59.31,65
NDC,50228035190,PREGABALIN 50 MG CAPSULE,69.15,34.58,15.08,62.24,65
NDC,50228035290,PREGABALIN 75 MG CAPSULE,71.85,35.93,15.67,64.67,65
NDC,50228035390,PREGABALIN 100 MG CAPSULE,75.1,37.55,16.38,67.59,65
NDC,50228035490,PREGABALIN 150 MG CAPSULE,81.0,40.5,17.67,72.9,65
NDC,50228035690,PREGABALIN 225 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,50228038060,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",29.9,14.95,6.52,26.91,65
NDC,50228038160,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",41.8,20.9,9.12,37.62,65
NDC,50228038260,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",47.55,23.78,10.37,42.8,65
NDC,50228038360,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",59.8,29.9,13.04,53.82,65
NDC,50228038460,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",71.65,35.83,15.63,64.49,65
NDC,50228042360,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",69.15,34.58,15.08,62.24,65
NDC,50228042460,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",113.8,56.9,24.82,102.42,65
NDC,50228042730,SOLIFENACIN 5 MG TABLET,24.3,12.15,5.3,21.87,65
NDC,50228042790,SOLIFENACIN 5 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,50228042830,SOLIFENACIN 10 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,50228043201,NAPROXEN SODIUM 275 MG TABLET,117.6,58.8,25.65,105.84,65
NDC,50228043301,NAPROXEN SODIUM 550 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,50228045490,ATORVASTATIN 80 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,50228045701,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,50228045801,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,50228045901,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,50228046001,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",155.4,77.7,33.89,139.86,65
NDC,50228046101,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",259.0,129.5,56.49,233.1,65
NDC,50228046501,NABUMETONE 500 MG TABLET,68.4,34.2,14.92,61.56,65
NDC,50228046601,NABUMETONE 750 MG TABLET,72.6,36.3,15.83,65.34,65
NDC,50228048101,DILTIAZEM 30 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,50228048201,DILTIAZEM 60 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,50228048301,DILTIAZEM 90 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,50242003706,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,32218.4,16109.2,169.93,28996.56,71
NDC,50242004062,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,5689.5,2844.75,42.2,5120.55,71
NDC,50242004110,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,808.25,404.13,95.15,727.43,71
NDC,50242004164,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,808.25,404.13,95.15,727.43,71
NDC,50242004406,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,17097.7,8548.85,95.15,15387.93,71
NDC,50242004413,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,17097.7,8548.85,95.15,15387.93,71
NDC,50242005121,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",3808.1,1904.05,76.72,3427.29,71
NDC,50242005306,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",18840.4,9420.2,76.72,16956.36,71
NDC,50242006001,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,3237.8,1618.9,74.67,2914.02,71
NDC,50242006101,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,12801.05,6400.53,74.67,11520.95,71
NDC,50242006401,ERLOTINIB 150 MG TABLET,32791.45,16395.73,7151.82,29512.31,65
NDC,50242007001,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",34500.9,17250.45,75.23,31050.81,71
NDC,50242007401,SOMATROPIN 10 MG/2 ML (5 MG/ML) SUBCUTANEOUS PEN INJECTOR,4732.2,2366.1,49.9,4258.98,71
NDC,50242007701,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",18751.0,9375.5,62.66,16875.9,71
NDC,50242008003,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SYRINGE,7800.0,3900.0,88.11,7020.0,71
NDC,50242008203,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SYRINGE,4680.0,2340.0,88.11,4212.0,71
NDC,50242008525,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,34170.4,17085.2,95.15,30753.36,71
NDC,50242008527,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,34170.4,17085.2,95.15,30753.36,71
NDC,50242008701,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,25583.6,12791.8,39.34,23025.24,71
NDC,50242008801,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,16008.55,8004.28,39.34,14407.7,71
NDC,50242009601,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION,9183.6,4591.8,34.55,8265.24,71
NDC,50242009606,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SYRINGE,9158.6,4579.3,34.55,8242.74,71
NDC,50242010039,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,648.85,324.43,57.8,583.97,66
NDC,50242010040,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,648.85,324.43,57.8,583.97,66
NDC,50242010301,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,16002.7,8001.35,139.4,14402.43,70
NDC,50242010501,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,74495.65,37247.83,139.4,67046.09,70
NDC,50242010801,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",26356.35,13178.18,37.43,23720.72,71
NDC,50242010901,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",30114.35,15057.18,37.43,27102.92,71
NDC,50242012047,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,32218.4,16109.2,169.93,28996.56,71
NDC,50242012501,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,15788.3,7894.15,2823.24,14209.47,70
NDC,50242012701,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,63153.3,31576.65,2823.24,56837.97,70
NDC,50242013201,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,6283.7,3141.85,76.53,5655.33,71
NDC,50242013210,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,6283.7,3141.85,76.53,5655.33,71
NDC,50242013501,TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,2085.95,1042.98,5.82,1877.36,71
NDC,50242013601,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,5177.3,2588.65,5.82,4659.57,71
NDC,50242013701,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,10648.3,5324.15,5.82,9583.47,71
NDC,50242013801,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,4558.3,2279.15,5.82,4102.47,71
NDC,50242014201,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,112365.9,56182.95,667.72,101129.31,71
NDC,50242014501,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,27332.0,13666.0,16.01,24598.8,71
NDC,50242015001,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,82588.85,41294.43,60.6,74329.97,71
NDC,50242015901,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,3745.5,1872.75,667.72,3370.95,71
NDC,50242021401,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,2857.25,1428.63,42.2,2571.53,71
NDC,50242021403,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,1795.15,897.58,42.2,1615.64,71
NDC,50242021501,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,5689.5,2844.75,42.2,5120.55,71
NDC,50242021503,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,5689.5,2844.75,42.2,5120.55,71
NDC,50242022701,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,11354.0,5677.0,42.2,10218.6,71
NDC,50242022755,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS AUTO-INJECTOR,11354.0,5677.0,42.2,10218.6,71
NDC,50242024501,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",55716.15,27858.08,63.34,50144.54,71
NDC,50242026001,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,37159.3,18579.65,63.34,33443.37,71
NDC,50242086001,BALOXAVIR MARBOXIL 40 MG TABLET,794.95,397.48,173.38,715.46,65
NDC,50242091701,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",45057.3,22528.65,87.35,40551.57,71
NDC,50242091801,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,31555.1,15777.55,87.35,28399.59,71
NDC,50242093301,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",45007.3,22503.65,32.22,40506.57,70
NDC,50268003711,AMITRIPTYLINE 10 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268003715,AMITRIPTYLINE 10 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,50268003811,AMITRIPTYLINE 25 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268003815,AMITRIPTYLINE 25 MG TABLET,108.6,54.3,23.69,97.74,65
NDC,50268003911,AMITRIPTYLINE 50 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268003915,AMITRIPTYLINE 50 MG TABLET,119.1,59.55,25.98,107.19,65
NDC,50268004011,AMITRIPTYLINE 75 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268004015,AMITRIPTYLINE 75 MG TABLET,110.7,55.35,24.14,99.63,65
NDC,50268004111,AMITRIPTYLINE 100 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268004115,AMITRIPTYLINE 100 MG TABLET,138.6,69.3,30.23,124.74,65
NDC,50268004911,ABACAVIR 300 MG TABLET,28.95,14.48,6.31,26.06,65
NDC,50268004912,ABACAVIR 300 MG TABLET,482.5,241.25,105.23,434.25,65
NDC,50268005011,ACEBUTOLOL 200 MG CAPSULE,6.95,3.48,1.52,6.26,65
NDC,50268005015,ACEBUTOLOL 200 MG CAPSULE,289.5,144.75,63.14,260.55,65
NDC,50268005411,ACETAZOLAMIDE 250 MG TABLET,16.05,8.03,3.5,14.45,65
NDC,50268005415,ACETAZOLAMIDE 250 MG TABLET,668.5,334.25,145.8,601.65,65
NDC,50268005711,ATOMOXETINE 25 MG CAPSULE,10.0,5.0,2.18,9.0,65
NDC,50268005713,ATOMOXETINE 25 MG CAPSULE,299.35,149.68,65.29,269.42,65
NDC,50268005811,ATOMOXETINE 40 MG CAPSULE,16.3,8.15,3.56,14.67,65
NDC,50268005813,ATOMOXETINE 40 MG CAPSULE,406.5,203.25,88.66,365.85,65
NDC,50268005911,ATOMOXETINE 60 MG CAPSULE,16.3,8.15,3.56,14.67,65
NDC,50268005913,ATOMOXETINE 60 MG CAPSULE,406.5,203.25,88.66,365.85,65
NDC,50268006111,ACYCLOVIR 400 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268006115,ACYCLOVIR 400 MG TABLET,63.3,31.65,13.81,56.97,65
NDC,50268006211,ACYCLOVIR 800 MG TABLET,4.95,2.48,1.08,4.46,65
NDC,50268006215,ACYCLOVIR 800 MG TABLET,246.3,123.15,53.72,221.67,65
NDC,50268006911,AMANTADINE HCL 100 MG CAPSULE,6.4,3.2,1.4,5.76,65
NDC,50268006915,AMANTADINE HCL 100 MG CAPSULE,266.5,133.25,58.12,239.85,65
NDC,50268007411,AZITHROMYCIN 250 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268007413,AZITHROMYCIN 250 MG TABLET,111.45,55.73,24.31,100.31,65
NDC,50268007415,AZITHROMYCIN 250 MG TABLET,141.9,70.95,30.95,127.71,65
NDC,50268007511,ANASTROZOLE 1 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,50268007515,ANASTROZOLE 1 MG TABLET,269.4,134.7,58.76,242.46,65
NDC,50268008611,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,84.3,42.15,18.39,75.87,65
NDC,50268008612,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,84.3,42.15,18.39,75.87,65
NDC,50268008711,ARIPIPRAZOLE 2 MG TABLET,13.7,6.85,2.99,12.33,65
NDC,50268008712,ARIPIPRAZOLE 2 MG TABLET,273.4,136.7,59.63,246.06,65
NDC,50268008811,ARIPIPRAZOLE 5 MG TABLET,3.05,1.53,0.67,2.75,65
NDC,50268008815,ARIPIPRAZOLE 5 MG TABLET,151.8,75.9,33.11,136.62,65
NDC,50268008911,ARIPIPRAZOLE 10 MG TABLET,9.05,4.53,1.97,8.15,65
NDC,50268008915,ARIPIPRAZOLE 10 MG TABLET,375.5,187.75,81.9,337.95,65
NDC,50268009011,ARIPIPRAZOLE 15 MG TABLET,13.35,6.68,2.91,12.02,65
NDC,50268009012,ARIPIPRAZOLE 15 MG TABLET,266.8,133.4,58.19,240.12,65
NDC,50268009111,ARIPIPRAZOLE 20 MG TABLET,8.4,4.2,1.83,7.56,65
NDC,50268009112,ARIPIPRAZOLE 20 MG TABLET,167.9,83.95,36.62,151.11,65
NDC,50268009211,ARIPIPRAZOLE 30 MG TABLET,11.2,5.6,2.44,10.08,65
NDC,50268009212,ARIPIPRAZOLE 30 MG TABLET,223.6,111.8,48.77,201.24,65
NDC,50268009311,ATORVASTATIN 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268009315,ATORVASTATIN 10 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,50268009411,ATORVASTATIN 20 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268009415,ATORVASTATIN 20 MG TABLET,54.6,27.3,11.91,49.14,65
NDC,50268009511,ATORVASTATIN 40 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268009515,ATORVASTATIN 40 MG TABLET,48.9,24.45,10.67,44.01,65
NDC,50268009611,ATORVASTATIN 80 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268009811,AZITHROMYCIN 250 MG TABLET,4.05,2.03,0.88,3.65,65
NDC,50268010211,BALSALAZIDE 750 MG CAPSULE,7.85,3.93,1.71,7.07,65
NDC,50268010213,BALSALAZIDE 750 MG CAPSULE,234.55,117.28,51.16,211.1,65
NDC,50268010511,BACLOFEN 5 MG TABLET,6.65,3.33,1.45,5.99,65
NDC,50268010515,BACLOFEN 5 MG TABLET,276.25,138.13,60.25,248.63,65
NDC,50268010611,BACLOFEN 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268010615,BACLOFEN 10 MG TABLET,93.9,46.95,20.48,84.51,65
NDC,50268012711,BISOPROLOL FUMARATE 5 MG TABLET,6.65,3.33,1.45,5.99,65
NDC,50268012715,BISOPROLOL FUMARATE 5 MG TABLET,276.25,138.13,60.25,248.63,65
NDC,50268013011,BUMETANIDE 0.5 MG TABLET,6.55,3.28,1.43,5.9,65
NDC,50268013015,BUMETANIDE 0.5 MG TABLET,271.0,135.5,59.11,243.9,65
NDC,50268013111,BUMETANIDE 1 MG TABLET,4.2,2.1,0.92,3.78,65
NDC,50268013115,BUMETANIDE 1 MG TABLET,207.9,103.95,45.34,187.11,65
NDC,50268013211,BUMETANIDE 2 MG TABLET,6.95,3.48,1.52,6.26,65
NDC,50268013511,BUSPIRONE 15 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268013515,BUSPIRONE 15 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,50268014011,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",4.95,2.48,1.08,4.46,65
NDC,50268014013,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",148.15,74.08,32.31,133.34,65
NDC,50268014211,BUPROPION HCL 75 MG TABLET,4.05,2.03,0.88,3.65,65
NDC,50268014215,BUPROPION HCL 75 MG TABLET,201.0,100.5,43.84,180.9,65
NDC,50268014311,BUPROPION HCL 100 MG TABLET,5.95,2.98,1.3,5.36,65
NDC,50268014315,BUPROPION HCL 100 MG TABLET,295.5,147.75,64.45,265.95,65
NDC,50268014411,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,15.7,7.85,3.42,14.13,66
NDC,50268014415,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,652.25,326.13,5.1,587.03,66
NDC,50268014511,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,20.2,10.1,4.41,18.18,66
NDC,50268014515,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,840.0,420.0,9.04,756.0,66
NDC,50268015111,CEPHALEXIN 250 MG CAPSULE,3.3,1.65,0.72,2.97,65
NDC,50268015115,CEPHALEXIN 250 MG CAPSULE,86.4,43.2,18.84,77.76,65
NDC,50268015211,CEPHALEXIN 500 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,50268015215,CEPHALEXIN 500 MG CAPSULE,74.7,37.35,16.29,67.23,65
NDC,50268015311,CINACALCET 30 MG TABLET,82.85,41.43,18.07,74.57,65
NDC,50268015312,CINACALCET 30 MG TABLET,1380.4,690.2,301.07,1242.36,65
NDC,50268015411,CAPECITABINE 500 MG TABLET,65.1,32.55,0.04,58.59,70
NDC,50268015413,CAPECITABINE 500 MG TABLET,1626.45,813.23,0.04,1463.81,70
NDC,50268016211,CHLORPROMAZINE 10 MG TABLET,6.3,3.15,1.37,5.67,65
NDC,50268016215,CHLORPROMAZINE 10 MG TABLET,261.5,130.75,57.03,235.35,65
NDC,50268016311,CHLORPROMAZINE 25 MG TABLET,8.75,4.38,1.91,7.88,65
NDC,50268016315,CHLORPROMAZINE 25 MG TABLET,363.5,181.75,79.28,327.15,65
NDC,50268016411,CHLORPROMAZINE 50 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,50268016415,CHLORPROMAZINE 50 MG TABLET,849.75,424.88,185.33,764.78,65
NDC,50268016711,CHLORTHALIDONE 25 MG TABLET,3.55,1.78,0.77,3.2,65
NDC,50268016715,CHLORTHALIDONE 25 MG TABLET,177.0,88.5,38.6,159.3,65
NDC,50268016811,CELECOXIB 100 MG CAPSULE,6.6,3.3,1.44,5.94,65
NDC,50268016815,CELECOXIB 100 MG CAPSULE,273.25,136.63,59.6,245.93,65
NDC,50268016911,CELECOXIB 200 MG CAPSULE,5.0,2.5,1.09,4.5,65
NDC,50268016915,CELECOXIB 200 MG CAPSULE,249.0,124.5,54.31,224.1,65
NDC,50268017011,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",9.75,4.88,2.13,8.78,65
NDC,50268017013,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",291.25,145.63,63.52,262.13,65
NDC,50268017111,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",9.75,4.88,2.13,8.78,65
NDC,50268017113,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",291.25,145.63,63.52,262.13,65
NDC,50268017211,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",9.75,4.88,2.13,8.78,65
NDC,50268017213,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",291.25,145.63,63.52,262.13,65
NDC,50268017311,CLONAZEPAM 0.5 MG TABLET,5.35,2.68,1.17,4.82,65
NDC,50268017315,CLONAZEPAM 0.5 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,50268017411,CLONAZEPAM 1 MG TABLET,5.35,2.68,1.17,4.82,65
NDC,50268017415,CLONAZEPAM 1 MG TABLET,90.6,45.3,19.76,81.54,65
NDC,50268017611,CILOSTAZOL 50 MG TABLET,4.4,2.2,0.96,3.96,65
NDC,50268017615,CILOSTAZOL 50 MG TABLET,218.1,109.05,47.57,196.29,65
NDC,50268017711,CILOSTAZOL 100 MG TABLET,4.3,2.15,0.94,3.87,65
NDC,50268017715,CILOSTAZOL 100 MG TABLET,213.9,106.95,46.65,192.51,65
NDC,50268017811,CLARITHROMYCIN 250 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,50268017815,CLARITHROMYCIN 250 MG TABLET,1043.0,521.5,227.48,938.7,65
NDC,50268017911,CLARITHROMYCIN 500 MG TABLET,8.0,4.0,1.74,7.2,65
NDC,50268017913,CLARITHROMYCIN 500 MG TABLET,238.7,119.35,52.06,214.83,65
NDC,50268018411,CLOPIDOGREL 300 MG TABLET,28.25,14.13,6.16,25.43,65
NDC,50268018412,CLOPIDOGREL 300 MG TABLET,470.4,235.2,102.59,423.36,65
NDC,50268018511,CLINDAMYCIN HCL 300 MG CAPSULE,4.0,2.0,0.87,3.6,65
NDC,50268018515,CLINDAMYCIN HCL 300 MG CAPSULE,198.0,99.0,43.18,178.2,65
NDC,50268018711,COLCHICINE 0.6 MG TABLET,21.65,10.83,4.72,19.49,65
NDC,50268018715,COLCHICINE 0.6 MG TABLET,901.75,450.88,196.67,811.58,65
NDC,50268018911,CYPROHEPTADINE 4 MG TABLET,3.75,1.88,0.82,3.38,65
NDC,50268018915,CYPROHEPTADINE 4 MG TABLET,187.2,93.6,40.83,168.48,65
NDC,50268019011,CYCLOBENZAPRINE 5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268019015,CYCLOBENZAPRINE 5 MG TABLET,108.9,54.45,23.75,98.01,65
NDC,50268019111,CYCLOBENZAPRINE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,50268019115,CYCLOBENZAPRINE 10 MG TABLET,38.1,19.05,8.31,34.29,65
NDC,50268019211,CLONIDINE HCL 0.1 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268019215,CLONIDINE HCL 0.1 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,50268019411,CLONIDINE HCL 0.3 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268019415,CLONIDINE HCL 0.3 MG TABLET,76.8,38.4,16.75,69.12,65
NDC,50268019911,DICYCLOMINE 10 MG CAPSULE,3.35,1.68,0.73,3.02,65
NDC,50268019915,DICYCLOMINE 10 MG CAPSULE,93.9,46.95,20.48,84.51,65
NDC,50268021711,DANTROLENE 25 MG CAPSULE,9.9,4.95,2.16,8.91,65
NDC,50268022211,DOXAZOSIN 1 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268022215,DOXAZOSIN 1 MG TABLET,104.1,52.05,22.7,93.69,65
NDC,50268022411,DOXAZOSIN 4 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268022415,DOXAZOSIN 4 MG TABLET,104.1,52.05,22.7,93.69,65
NDC,50268022511,DOXAZOSIN 8 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268022515,DOXAZOSIN 8 MG TABLET,109.8,54.9,23.95,98.82,65
NDC,50268025911,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",3.3,1.65,0.72,2.97,65
NDC,50268025915,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",84.9,42.45,18.52,76.41,65
NDC,50268026011,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",5.15,2.58,1.12,4.64,65
NDC,50268026013,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",153.2,76.6,33.41,137.88,65
NDC,50268026911,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",4.65,2.33,1.01,4.19,65
NDC,50268026915,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",231.9,115.95,50.58,208.71,65
NDC,50268027011,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",4.55,2.28,0.99,4.1,65
NDC,50268027013,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",135.55,67.78,29.56,122.0,65
NDC,50268027111,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",4.55,2.28,0.99,4.1,65
NDC,50268027113,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",135.55,67.78,29.56,122.0,65
NDC,50268027711,DOXYCYCLINE HYCLATE 50 MG CAPSULE,7.2,3.6,1.57,6.48,65
NDC,50268027715,DOXYCYCLINE HYCLATE 50 MG CAPSULE,299.75,149.88,65.38,269.78,65
NDC,50268027811,DOXYCYCLINE HYCLATE 100 MG CAPSULE,7.65,3.83,1.67,6.89,65
NDC,50268027815,DOXYCYCLINE HYCLATE 100 MG CAPSULE,318.75,159.38,69.52,286.88,65
NDC,50268027911,DOXYCYCLINE HYCLATE 100 MG TABLET,8.75,4.38,1.91,7.88,65
NDC,50268027915,DOXYCYCLINE HYCLATE 100 MG TABLET,363.25,181.63,79.22,326.93,65
NDC,50268028111,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.8,1.9,0.83,3.42,65
NDC,50268028115,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,189.6,94.8,41.35,170.64,65
NDC,50268028711,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.0,2.5,1.09,4.5,65
NDC,50268028713,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",149.95,74.98,32.7,134.96,65
NDC,50268028811,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",5.3,2.65,1.16,4.77,65
NDC,50268028813,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",158.05,79.03,34.47,142.25,65
NDC,50268029511,ENTACAPONE 200 MG TABLET,20.1,10.05,4.38,18.09,65
NDC,50268029515,ENTACAPONE 200 MG TABLET,837.0,418.5,182.55,753.3,65
NDC,50268029711,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",5.3,2.65,1.16,4.77,65
NDC,50268029715,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",264.6,132.3,57.71,238.14,65
NDC,50268029811,EZETIMIBE 10 MG TABLET,20.85,10.43,4.55,18.77,65
NDC,50268029812,EZETIMIBE 10 MG TABLET,346.8,173.4,75.64,312.12,65
NDC,50268029911,FAMOTIDINE 20 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,50268029915,FAMOTIDINE 20 MG TABLET,30.3,15.15,6.61,27.27,65
NDC,50268030311,FAMOTIDINE 20 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,50268030315,FAMOTIDINE 20 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,50268030411,FAMOTIDINE 40 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268030415,FAMOTIDINE 40 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,50268031211,FENOFIBRATE 54 MG TABLET,6.7,3.35,1.46,6.03,65
NDC,50268031215,FENOFIBRATE 54 MG TABLET,277.75,138.88,60.58,249.98,65
NDC,50268031311,FENOFIBRATE 160 MG TABLET,11.9,5.95,2.6,10.71,65
NDC,50268031315,FENOFIBRATE 160 MG TABLET,495.75,247.88,108.12,446.18,65
NDC,50268031411,FINASTERIDE 5 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268031415,FINASTERIDE 5 MG TABLET,92.1,46.05,20.09,82.89,65
NDC,50268032011,FLECAINIDE 50 MG TABLET,4.95,2.48,1.08,4.46,65
NDC,50268032015,FLECAINIDE 50 MG TABLET,246.6,123.3,53.78,221.94,65
NDC,50268032111,FLECAINIDE 100 MG TABLET,3.85,1.93,0.84,3.47,65
NDC,50268032115,FLECAINIDE 100 MG TABLET,192.3,96.15,41.94,173.07,65
NDC,50268032411,FLAVOXATE 100 MG TABLET,7.05,3.53,1.54,6.35,65
NDC,50268032415,FLAVOXATE 100 MG TABLET,292.75,146.38,63.85,263.48,65
NDC,50268033011,FLUDROCORTISONE 0.1 MG TABLET,3.05,1.53,0.67,2.75,65
NDC,50268033015,FLUDROCORTISONE 0.1 MG TABLET,152.1,76.05,33.17,136.89,65
NDC,50268033111,FLUCYTOSINE 250 MG CAPSULE,400.4,200.2,87.33,360.36,65
NDC,50268033112,FLUCYTOSINE 250 MG CAPSULE,6405.85,3202.93,1397.12,5765.27,65
NDC,50268033211,FLUCYTOSINE 500 MG CAPSULE,587.85,293.93,128.21,529.07,65
NDC,50268033212,FLUCYTOSINE 500 MG CAPSULE,9405.3,4702.65,2051.3,8464.77,65
NDC,50268033711,FLUCONAZOLE 100 MG TABLET,6.75,3.38,1.47,6.08,65
NDC,50268033715,FLUCONAZOLE 100 MG TABLET,279.5,139.75,60.96,251.55,65
NDC,50268033911,FLUCONAZOLE 200 MG TABLET,10.8,5.4,2.36,9.72,65
NDC,50268033915,FLUCONAZOLE 200 MG TABLET,448.75,224.38,97.87,403.88,65
NDC,50268035011,GEMFIBROZIL 600 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268035015,GEMFIBROZIL 600 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,50268035811,GLIMEPIRIDE 1 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,50268036011,GLIMEPIRIDE 4 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,50268036111,GLIPIZIDE 5 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268036115,GLIPIZIDE 5 MG TABLET,61.5,30.75,13.41,55.35,65
NDC,50268036211,GLIPIZIDE 10 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268036215,GLIPIZIDE 10 MG TABLET,117.3,58.65,25.58,105.57,65
NDC,50268036311,GLYCOPYRROLATE 1 MG TABLET,5.55,2.78,1.21,5.0,65
NDC,50268036315,GLYCOPYRROLATE 1 MG TABLET,277.2,138.6,60.46,249.48,65
NDC,50268036711,FLUPHENAZINE 2.5 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,50268036715,FLUPHENAZINE 2.5 MG TABLET,584.75,292.38,127.53,526.28,65
NDC,50268039811,HYDROXYZINE PAMOATE 25 MG CAPSULE,3.45,1.73,0.75,3.11,65
NDC,50268039850,HYDROXYZINE PAMOATE 25 MG CAPSULE,127.8,63.9,27.87,115.02,65
NDC,50268040011,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,50268040015,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,63.3,31.65,13.81,56.97,65
NDC,50268040111,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.2,2.6,1.13,4.68,65
NDC,50268040115,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,51.9,25.95,11.32,46.71,65
NDC,50268040211,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,50268040215,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,50268040411,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,50268040415,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,50.4,25.2,10.99,45.36,65
NDC,50268040511,HYDROCORTISONE 5 MG TABLET,6.35,3.18,1.38,5.72,65
NDC,50268040515,HYDROCORTISONE 5 MG TABLET,263.25,131.63,57.41,236.93,65
NDC,50268040611,HYDROCORTISONE 10 MG TABLET,11.0,5.5,2.4,9.9,65
NDC,50268040615,HYDROCORTISONE 10 MG TABLET,458.25,229.13,99.94,412.43,65
NDC,50268040711,HYDROCORTISONE 20 MG TABLET,7.5,3.75,1.64,6.75,65
NDC,50268040715,HYDROCORTISONE 20 MG TABLET,311.75,155.88,67.99,280.58,65
NDC,50268041111,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,7.95,3.98,1.73,7.16,65
NDC,50268041112,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,94.9,47.45,20.7,85.41,65
NDC,50268041124,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,187.2,93.6,40.83,168.48,65
NDC,50268041211,HYDROXYCHLOROQUINE 200 MG TABLET,3.65,1.83,0.8,3.29,65
NDC,50268041215,HYDROXYCHLOROQUINE 200 MG TABLET,182.1,91.05,39.72,163.89,65
NDC,50268043011,INDOMETHACIN 25 MG CAPSULE,3.3,1.65,0.72,2.97,65
NDC,50268043015,INDOMETHACIN 25 MG CAPSULE,81.3,40.65,17.73,73.17,65
NDC,50268043111,INDOMETHACIN 50 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,50268043115,INDOMETHACIN 50 MG CAPSULE,70.5,35.25,15.38,63.45,65
NDC,50268044711,ISOSORBIDE DINITRATE 5 MG TABLET,3.6,1.8,0.79,3.24,65
NDC,50268044715,ISOSORBIDE DINITRATE 5 MG TABLET,177.9,88.95,38.8,160.11,65
NDC,50268044811,ISOSORBIDE DINITRATE 10 MG TABLET,3.55,1.78,0.77,3.2,65
NDC,50268044815,ISOSORBIDE DINITRATE 10 MG TABLET,176.1,88.05,38.41,158.49,65
NDC,50268044911,ISOSORBIDE DINITRATE 20 MG TABLET,4.35,2.18,0.95,3.92,65
NDC,50268044915,ISOSORBIDE DINITRATE 20 MG TABLET,215.7,107.85,47.04,194.13,65
NDC,50268045011,ITRACONAZOLE 100 MG CAPSULE,13.3,6.65,2.9,11.97,65
NDC,50268045012,ITRACONAZOLE 100 MG CAPSULE,265.6,132.8,57.93,239.04,65
NDC,50268045111,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",3.5,1.75,0.76,3.15,65
NDC,50268045115,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",148.5,74.25,32.39,133.65,65
NDC,50268045211,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",3.3,1.65,0.72,2.97,65
NDC,50268045215,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",162.9,81.45,35.53,146.61,65
NDC,50268045311,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",5.65,2.83,1.23,5.09,65
NDC,50268047011,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.5,6.75,2.94,12.15,65
NDC,50268047013,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,13.5,6.75,2.94,12.15,65
NDC,50268047611,LETROZOLE 2.5 MG TABLET,3.6,1.8,0.79,3.24,65
NDC,50268047615,LETROZOLE 2.5 MG TABLET,177.6,88.8,38.73,159.84,65
NDC,50268047711,LEFLUNOMIDE 10 MG TABLET,14.8,7.4,3.23,13.32,65
NDC,50268047715,LEFLUNOMIDE 10 MG TABLET,615.75,307.88,134.3,554.18,65
NDC,50268047811,LEFLUNOMIDE 20 MG TABLET,11.45,5.73,2.5,10.31,65
NDC,50268047815,LEFLUNOMIDE 20 MG TABLET,475.75,237.88,103.76,428.18,65
NDC,50268050411,LOSARTAN 25 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268050415,LOSARTAN 25 MG TABLET,63.6,31.8,13.87,57.24,65
NDC,50268050511,LOSARTAN 50 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268050515,LOSARTAN 50 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,50268050611,LOSARTAN 100 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268050615,LOSARTAN 100 MG TABLET,100.2,50.1,21.85,90.18,65
NDC,50268052011,METHOCARBAMOL 500 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268052015,METHOCARBAMOL 500 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,50268052111,METHOCARBAMOL 750 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268052115,METHOCARBAMOL 750 MG TABLET,65.7,32.85,14.33,59.13,65
NDC,50268052311,MECLIZINE 25 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268052315,MECLIZINE 25 MG TABLET,146.4,73.2,31.93,131.76,65
NDC,50268052511,MELOXICAM 7.5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,50268052515,MELOXICAM 7.5 MG TABLET,31.5,15.75,6.87,28.35,65
NDC,50268052611,MELOXICAM 15 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,50268052615,MELOXICAM 15 MG TABLET,38.7,19.35,8.44,34.83,65
NDC,50268052711,METHOTREXATE SODIUM 2.5 MG TABLET,6.8,3.4,1.48,6.12,65
NDC,50268052715,METHOTREXATE SODIUM 2.5 MG TABLET,281.75,140.88,61.45,253.58,65
NDC,50268052811,METHYLPHENIDATE 10 MG TABLET,8.05,4.03,1.76,7.25,65
NDC,50268052815,METHYLPHENIDATE 10 MG TABLET,334.5,167.25,72.95,301.05,65
NDC,50268053411,METRONIDAZOLE 250 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268053415,METRONIDAZOLE 250 MG TABLET,95.7,47.85,20.87,86.13,65
NDC,50268053511,METRONIDAZOLE 500 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268053515,METRONIDAZOLE 500 MG TABLET,141.6,70.8,30.88,127.44,65
NDC,50268054011,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.3,1.65,0.72,2.97,65
NDC,50268054015,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",81.6,40.8,17.8,73.44,65
NDC,50268054111,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.3,1.65,0.72,2.97,65
NDC,50268054115,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",89.1,44.55,19.43,80.19,65
NDC,50268054211,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",3.5,1.75,0.76,3.15,65
NDC,50268054215,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",136.8,68.4,29.84,123.12,65
NDC,50268054311,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",3.55,1.78,0.77,3.2,65
NDC,50268054315,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",177.3,88.65,38.67,159.57,65
NDC,50268054511,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",25.9,12.95,5.65,23.31,65
NDC,50268054512,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",431.3,215.65,94.07,388.17,65
NDC,50268054611,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",26.25,13.13,5.73,23.63,65
NDC,50268054612,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",437.2,218.6,95.35,393.48,65
NDC,50268054911,METHENAMINE HIPPURATE 1 GRAM TABLET,13.65,6.83,2.98,12.29,65
NDC,50268054915,METHENAMINE HIPPURATE 1 GRAM TABLET,568.0,284.0,123.88,511.2,65
NDC,50268055011,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,50268055015,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",107.1,53.55,23.36,96.39,65
NDC,50268055111,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",3.3,1.65,0.72,2.97,65
NDC,50268055115,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",81.3,40.65,17.73,73.17,65
NDC,50268055311,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,6.45,3.23,1.41,5.81,65
NDC,50268055313,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,193.0,96.5,42.09,173.7,65
NDC,50268055611,MONTELUKAST 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268055615,MONTELUKAST 10 MG TABLET,64.2,32.1,14.0,57.78,65
NDC,50268055711,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,3.3,1.65,0.72,2.97,65
NDC,50268055715,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,87.3,43.65,19.04,78.57,65
NDC,50268055811,MYCOPHENOLATE MOFETIL 500 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268055815,MYCOPHENOLATE MOFETIL 500 MG TABLET,158.4,79.2,34.55,142.56,65
NDC,50268056111,MIDODRINE 2.5 MG TABLET,4.15,2.08,0.91,3.74,65
NDC,50268056115,MIDODRINE 2.5 MG TABLET,205.8,102.9,44.88,185.22,65
NDC,50268056211,MIDODRINE 5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268056215,MIDODRINE 5 MG TABLET,141.6,70.8,30.88,127.44,65
NDC,50268056811,MUPIROCIN 2 % TOPICAL OINTMENT,11.2,5.6,2.44,10.08,65
NDC,50268056815,MUPIROCIN 2 % TOPICAL OINTMENT,11.2,5.6,2.44,10.08,65
NDC,50268057011,MODAFINIL 100 MG TABLET,34.85,17.43,7.6,31.37,65
NDC,50268057012,MODAFINIL 100 MG TABLET,580.3,290.15,126.56,522.27,65
NDC,50268057111,MODAFINIL 200 MG TABLET,51.4,25.7,11.21,46.26,65
NDC,50268057311,MONTELUKAST 4 MG CHEWABLE TABLET,3.8,1.9,0.83,3.42,65
NDC,50268057315,MONTELUKAST 4 MG CHEWABLE TABLET,189.3,94.65,41.29,170.37,65
NDC,50268057411,MONTELUKAST 5 MG CHEWABLE TABLET,3.8,1.9,0.83,3.42,65
NDC,50268057415,MONTELUKAST 5 MG CHEWABLE TABLET,188.7,94.35,41.16,169.83,65
NDC,50268057511,MONTELUKAST 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268057515,MONTELUKAST 10 MG TABLET,74.7,37.35,16.29,67.23,65
NDC,50268057611,MOXIFLOXACIN 400 MG TABLET,29.6,14.8,6.46,26.64,65
NDC,50268057613,MOXIFLOXACIN 400 MG TABLET,739.05,369.53,161.19,665.15,65
NDC,50268058411,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.5,3.25,1.42,5.85,65
NDC,50268058413,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",194.05,97.03,42.32,174.65,65
NDC,50268058511,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,50268058515,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",59.7,29.85,13.02,53.73,65
NDC,50268059211,NAPROXEN SODIUM 275 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,50268059215,NAPROXEN SODIUM 275 MG TABLET,548.0,274.0,119.52,493.2,65
NDC,50268059311,NAPROXEN SODIUM 550 MG TABLET,14.65,7.33,3.2,13.19,65
NDC,50268059315,NAPROXEN SODIUM 550 MG TABLET,610.25,305.13,133.1,549.23,65
NDC,50268059411,NAPROXEN 250 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268059415,NAPROXEN 250 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,50268059511,NAPROXEN 375 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268059515,NAPROXEN 375 MG TABLET,54.3,27.15,11.84,48.87,65
NDC,50268059711,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",4.95,2.48,1.08,4.46,65
NDC,50268059715,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",247.2,123.6,53.91,222.48,65
NDC,50268059811,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",8.5,4.25,1.85,7.65,65
NDC,50268059815,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",352.5,176.25,76.88,317.25,65
NDC,50268059911,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",8.0,4.0,1.74,7.2,65
NDC,50268059915,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",332.5,166.25,72.52,299.25,65
NDC,50268060311,NORTRIPTYLINE 10 MG CAPSULE,3.35,1.68,0.73,3.02,65
NDC,50268060315,NORTRIPTYLINE 10 MG CAPSULE,101.4,50.7,22.12,91.26,65
NDC,50268060411,NORTRIPTYLINE 25 MG CAPSULE,3.35,1.68,0.73,3.02,65
NDC,50268060415,NORTRIPTYLINE 25 MG CAPSULE,95.4,47.7,20.81,85.86,65
NDC,50268060511,NORTRIPTYLINE 50 MG CAPSULE,3.35,1.68,0.73,3.02,65
NDC,50268060515,NORTRIPTYLINE 50 MG CAPSULE,101.7,50.85,22.18,91.53,65
NDC,50268061511,OLANZAPINE 5 MG DISINTEGRATING TABLET,7.25,3.63,1.58,6.53,65
NDC,50268061513,OLANZAPINE 5 MG DISINTEGRATING TABLET,216.9,108.45,47.31,195.21,65
NDC,50268061611,OLANZAPINE 10 MG DISINTEGRATING TABLET,29.1,14.55,6.35,26.19,65
NDC,50268061911,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,50268061915,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",45.6,22.8,9.95,41.04,65
NDC,50268062111,ONDANSETRON HCL 4 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,50268062115,ONDANSETRON HCL 4 MG TABLET,125.1,62.55,27.28,112.59,65
NDC,50268062311,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,7.0,3.5,1.53,6.3,65
NDC,50268062315,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,290.5,145.25,63.36,261.45,65
NDC,50268062511,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,10.1,5.05,2.2,9.09,65
NDC,50268062515,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,420.75,210.38,91.77,378.68,65
NDC,50268062711,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",9.05,4.53,1.97,8.15,65
NDC,50268062715,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",376.75,188.38,82.17,339.08,65
NDC,50268063011,QUETIAPINE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268063015,QUETIAPINE 25 MG TABLET,54.6,27.3,11.91,49.14,65
NDC,50268063111,QUETIAPINE 50 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268063115,QUETIAPINE 50 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,50268063211,QUETIAPINE 100 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268063215,QUETIAPINE 100 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,50268063411,QUETIAPINE 300 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268063415,QUETIAPINE 300 MG TABLET,109.2,54.6,23.82,98.28,65
NDC,50268063511,QUETIAPINE 400 MG TABLET,5.05,2.53,1.1,4.55,65
NDC,50268063515,QUETIAPINE 400 MG TABLET,251.1,125.55,54.76,225.99,65
NDC,50268063911,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",3.15,1.58,0.69,2.84,65
NDC,50268063915,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",38.7,19.35,8.44,34.83,65
NDC,50268064011,PAROXETINE 10 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268064015,PAROXETINE 10 MG TABLET,145.8,72.9,31.8,131.22,65
NDC,50268064211,PAROXETINE 30 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268064215,PAROXETINE 30 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,50268064411,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,50268064415,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,50268064511,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,5.45,2.73,1.19,4.91,65
NDC,50268064515,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,129.9,64.95,28.33,116.91,65
NDC,50268064611,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,5.55,2.78,1.21,5.0,65
NDC,50268064615,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,157.8,78.9,34.42,142.02,65
NDC,50268064711,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,41.35,20.68,9.02,37.22,65
NDC,50268064714,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,41.35,20.68,9.02,37.22,65
NDC,50268064905,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,23.95,11.98,5.22,21.56,65
NDC,50268064930,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,23.95,11.98,5.22,21.56,65
NDC,50268065211,PILOCARPINE 5 MG TABLET,16.65,8.33,3.63,14.99,65
NDC,50268065212,PILOCARPINE 5 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,50268065611,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",3.15,1.58,0.69,2.84,65
NDC,50268065615,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",35.4,17.7,7.72,31.86,65
NDC,50268066211,PROPRANOLOL 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268066215,PROPRANOLOL 10 MG TABLET,47.7,23.85,10.4,42.93,65
NDC,50268066311,PROPRANOLOL 20 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268066315,PROPRANOLOL 20 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,50268066411,PROPRANOLOL 40 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,50268066415,PROPRANOLOL 40 MG TABLET,129.9,64.95,28.33,116.91,65
NDC,50268066511,PRAVASTATIN 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268066515,PRAVASTATIN 10 MG TABLET,70.5,35.25,15.38,63.45,65
NDC,50268066611,PRAVASTATIN 20 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268066615,PRAVASTATIN 20 MG TABLET,100.2,50.1,21.85,90.18,65
NDC,50268066711,PRAVASTATIN 40 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268066715,PRAVASTATIN 40 MG TABLET,139.5,69.75,30.42,125.55,65
NDC,50268066811,PRAVASTATIN 80 MG TABLET,3.75,1.88,0.82,3.38,65
NDC,50268067111,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",3.5,1.75,0.76,3.15,65
NDC,50268067911,OXCARBAZEPINE 150 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268067915,OXCARBAZEPINE 150 MG TABLET,104.7,52.35,22.84,94.23,65
NDC,50268068311,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",125.8,62.9,27.44,113.22,65
NDC,50268068312,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",2096.6,1048.3,457.27,1886.94,65
NDC,50268068411,PROCHLORPERAZINE MALEATE 5 MG TABLET,4.8,2.4,1.05,4.32,65
NDC,50268068415,PROCHLORPERAZINE MALEATE 5 MG TABLET,239.7,119.85,52.28,215.73,65
NDC,50268068511,PROCHLORPERAZINE MALEATE 10 MG TABLET,5.2,2.6,1.13,4.68,65
NDC,50268068515,PROCHLORPERAZINE MALEATE 10 MG TABLET,258.9,129.45,56.47,233.01,65
NDC,50268068611,PRIMIDONE 50 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268068615,PRIMIDONE 50 MG TABLET,113.4,56.7,24.73,102.06,65
NDC,50268068711,PRIMIDONE 250 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,50268068715,PRIMIDONE 250 MG TABLET,147.6,73.8,32.19,132.84,65
NDC,50268069411,RALOXIFENE 60 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,50268069415,RALOXIFENE 60 MG TABLET,1124.5,562.25,245.25,1012.05,65
NDC,50268070011,PROPRANOLOL 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268070015,PROPRANOLOL 10 MG TABLET,97.8,48.9,21.33,88.02,65
NDC,50268070111,PROPRANOLOL 20 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268070115,PROPRANOLOL 20 MG TABLET,108.9,54.45,23.75,98.01,65
NDC,50268070211,PROPRANOLOL 40 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268070215,PROPRANOLOL 40 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,50268070811,RAMELTEON 8 MG TABLET,15.5,7.75,3.38,13.95,65
NDC,50268070815,RAMELTEON 8 MG TABLET,644.0,322.0,140.46,579.6,65
NDC,50268070911,ROSUVASTATIN 10 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,50268070915,ROSUVASTATIN 10 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,50268071011,ROSUVASTATIN 20 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,50268071015,ROSUVASTATIN 20 MG TABLET,204.6,102.3,44.62,184.14,65
NDC,50268071111,ROSUVASTATIN 40 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268071115,ROSUVASTATIN 40 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,50268071711,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268071715,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,168.0,84.0,36.64,151.2,65
NDC,50268071811,SIROLIMUS 1 MG TABLET,38.1,19.05,8.31,34.29,65
NDC,50268071813,SIROLIMUS 1 MG TABLET,951.75,475.88,207.58,856.58,65
NDC,50268072011,SEVELAMER CARBONATE 800 MG TABLET,4.5,2.25,0.98,4.05,65
NDC,50268072015,SEVELAMER CARBONATE 800 MG TABLET,224.7,112.35,49.01,202.23,65
NDC,50268072211,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",6.85,3.43,1.49,6.17,65
NDC,50268072215,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",284.75,142.38,62.1,256.28,65
NDC,50268072311,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",9.5,4.75,2.07,8.55,65
NDC,50268072313,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",283.7,141.85,61.87,255.33,65
NDC,50268072411,SOTALOL 80 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,50268072415,SOTALOL 80 MG TABLET,57.3,28.65,12.5,51.57,65
NDC,50268072511,SOTALOL 120 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268072515,SOTALOL 120 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,50268072811,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268072815,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,50268073211,SUCRALFATE 100 MG/ML ORAL SUSPENSION,31.9,15.95,6.96,28.71,65
NDC,50268073212,SUCRALFATE 100 MG/ML ORAL SUSPENSION,31.9,15.95,6.96,28.71,65
NDC,50268073811,TADALAFIL 5 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,50268073813,TADALAFIL 5 MG TABLET,122.25,61.13,26.66,110.03,65
NDC,50268073911,TADALAFIL 20 MG TABLET,5.65,2.83,1.23,5.09,65
NDC,50268073913,TADALAFIL 20 MG TABLET,168.5,84.25,36.75,151.65,65
NDC,50268074011,TAMSULOSIN 0.4 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,50268074015,TAMSULOSIN 0.4 MG CAPSULE,55.2,27.6,12.04,49.68,65
NDC,50268074111,ROPINIROLE 0.25 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268074115,ROPINIROLE 0.25 MG TABLET,74.7,37.35,16.29,67.23,65
NDC,50268074211,ROPINIROLE 0.5 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268074215,ROPINIROLE 0.5 MG TABLET,86.1,43.05,18.78,77.49,65
NDC,50268074311,ROPINIROLE 1 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268074315,ROPINIROLE 1 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,50268074411,ROPINIROLE 2 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268074415,ROPINIROLE 2 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,50268074511,SUCRALFATE 100 MG/ML ORAL SUSPENSION,22.3,11.15,4.86,20.07,65
NDC,50268074514,SUCRALFATE 100 MG/ML ORAL SUSPENSION,22.3,11.15,4.86,20.07,65
NDC,50268074711,VALSARTAN 80 MG TABLET,5.05,2.53,1.1,4.55,65
NDC,50268074715,VALSARTAN 80 MG TABLET,250.8,125.4,54.7,225.72,65
NDC,50268074811,VALSARTAN 160 MG TABLET,5.7,2.85,1.24,5.13,65
NDC,50268074815,VALSARTAN 160 MG TABLET,283.8,141.9,61.9,255.42,65
NDC,50268075411,TORSEMIDE 5 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268075415,TORSEMIDE 5 MG TABLET,71.7,35.85,15.64,64.53,65
NDC,50268075511,TORSEMIDE 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268075515,TORSEMIDE 10 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,50268075611,TORSEMIDE 20 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,50268075615,TORSEMIDE 20 MG TABLET,87.3,43.65,19.04,78.57,65
NDC,50268075711,TORSEMIDE 100 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268075715,TORSEMIDE 100 MG TABLET,95.4,47.7,20.81,85.86,65
NDC,50268075811,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,9.15,4.58,2.0,8.24,65
NDC,50268075812,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,182.8,91.4,39.87,164.52,65
NDC,50268075911,TIZANIDINE 2 MG TABLET,3.95,1.98,0.86,3.56,65
NDC,50268075915,TIZANIDINE 2 MG TABLET,197.4,98.7,43.05,177.66,65
NDC,50268076011,TIZANIDINE 4 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,50268076015,TIZANIDINE 4 MG TABLET,106.2,53.1,23.16,95.58,65
NDC,50268076111,TEMOZOLOMIDE 20 MG CAPSULE,91.35,45.68,19.92,82.22,65
NDC,50268076112,TEMOZOLOMIDE 20 MG CAPSULE,1521.9,760.95,331.93,1369.71,65
NDC,50268076211,TEMOZOLOMIDE 100 MG CAPSULE,311.65,155.83,67.97,280.49,65
NDC,50268076212,TEMOZOLOMIDE 100 MG CAPSULE,4986.2,2493.1,1087.49,4487.58,65
NDC,50268076411,TERAZOSIN 1 MG CAPSULE,3.4,1.7,0.74,3.06,65
NDC,50268076415,TERAZOSIN 1 MG CAPSULE,168.3,84.15,36.71,151.47,65
NDC,50268076511,TERAZOSIN 2 MG CAPSULE,4.95,2.48,1.08,4.46,65
NDC,50268076515,TERAZOSIN 2 MG CAPSULE,245.4,122.7,53.52,220.86,65
NDC,50268076611,TERAZOSIN 5 MG CAPSULE,3.6,1.8,0.79,3.24,65
NDC,50268076615,TERAZOSIN 5 MG CAPSULE,179.4,89.7,39.13,161.46,65
NDC,50268076811,SERTRALINE 25 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268076815,SERTRALINE 25 MG TABLET,71.7,35.85,15.64,64.53,65
NDC,50268076911,SERTRALINE 50 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,50268076915,SERTRALINE 50 MG TABLET,73.5,36.75,16.03,66.15,65
NDC,50268077211,TRANEXAMIC ACID 650 MG TABLET,16.35,8.18,3.57,14.72,65
NDC,50268077213,TRANEXAMIC ACID 650 MG TABLET,408.45,204.23,89.08,367.61,65
NDC,50268077411,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,50268077611,TRAZODONE 150 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,50268077615,TRAZODONE 150 MG TABLET,102.9,51.45,22.44,92.61,65
NDC,50268077911,TEMAZEPAM 15 MG CAPSULE,5.55,2.78,1.21,5.0,65
NDC,50268077915,TEMAZEPAM 15 MG CAPSULE,158.4,79.2,34.55,142.56,65
NDC,50268078711,VALGANCICLOVIR 450 MG TABLET,61.7,30.85,13.46,55.53,65
NDC,50268078712,VALGANCICLOVIR 450 MG TABLET,1028.3,514.15,224.27,925.47,65
NDC,50268078811,VALACYCLOVIR 500 MG TABLET,10.5,5.25,2.29,9.45,65
NDC,50268078815,VALACYCLOVIR 500 MG TABLET,437.0,218.5,95.31,393.3,65
NDC,50268078911,VALACYCLOVIR 1 GRAM TABLET,15.0,7.5,3.27,13.5,65
NDC,50268079711,URSODIOL 300 MG CAPSULE,10.7,5.35,2.33,9.63,65
NDC,50268079715,URSODIOL 300 MG CAPSULE,444.75,222.38,97.0,400.28,65
NDC,50268080311,VORICONAZOLE 200 MG TABLET,73.0,36.5,15.92,65.7,65
NDC,50268080312,VORICONAZOLE 200 MG TABLET,1216.0,608.0,265.21,1094.4,65
NDC,50268081111,ZIPRASIDONE 20 MG CAPSULE,11.7,5.85,2.55,10.53,65
NDC,50268081112,ZIPRASIDONE 20 MG CAPSULE,233.8,116.9,50.99,210.42,65
NDC,50268081211,ZIPRASIDONE 40 MG CAPSULE,8.1,4.05,1.77,7.29,65
NDC,50268081212,ZIPRASIDONE 40 MG CAPSULE,161.9,80.95,35.31,145.71,65
NDC,50268081311,ZIPRASIDONE 60 MG CAPSULE,13.0,6.5,2.84,11.7,65
NDC,50268081312,ZIPRASIDONE 60 MG CAPSULE,259.35,129.68,56.56,233.42,65
NDC,50268081411,ZIPRASIDONE 80 MG CAPSULE,10.5,5.25,2.29,9.45,65
NDC,50268081412,ZIPRASIDONE 80 MG CAPSULE,209.8,104.9,45.76,188.82,65
NDC,50268081611,ZONISAMIDE 100 MG CAPSULE,3.45,1.73,0.75,3.11,65
NDC,50268081615,ZONISAMIDE 100 MG CAPSULE,130.2,65.1,28.4,117.18,65
NDC,50268081711,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,50268081715,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",107.7,53.85,23.49,96.93,65
NDC,50268081811,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",3.35,1.68,0.73,3.02,65
NDC,50268081911,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",3.35,1.68,0.73,3.02,65
NDC,50268081915,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",95.7,47.85,20.87,86.13,65
NDC,50268087228,UREA 40 % TOPICAL CREAM,156.2,78.1,34.07,140.58,65
NDC,50383002505,OFLOXACIN 0.3 % EAR DROPS,68.65,34.33,14.97,61.79,65
NDC,50383004224,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,272.2,136.1,59.37,244.98,65
NDC,50383004316,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,319.3,159.65,69.64,287.37,65
NDC,50383008704,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,44.65,22.33,9.74,40.19,65
NDC,50383008705,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.3,2.65,1.16,4.77,65
NDC,50383008707,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.3,2.65,1.16,4.77,65
NDC,50383008712,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.3,2.65,1.16,4.77,65
NDC,50383008716,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,158.95,79.48,34.67,143.06,65
NDC,50383017290,LEVOCARNITINE 330 MG TABLET,240.85,120.43,52.53,216.77,65
NDC,50383018902,GATIFLOXACIN 0.5 % EYE DROPS,330.95,165.48,72.18,297.86,65
NDC,50383023210,DORZOLAMIDE 2 % EYE DROPS,47.7,23.85,10.4,42.93,65
NDC,50383023310,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,40.2,20.1,8.77,36.18,65
NDC,50383024105,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,16.85,8.43,3.67,15.17,65
NDC,50383024116,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,73.8,36.9,16.1,66.42,65
NDC,50383026505,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",710.35,355.18,154.93,639.32,65
NDC,50383026715,CLOBETASOL 0.05 % TOPICAL CREAM,18.1,9.05,3.95,16.29,65
NDC,50383026730,CLOBETASOL 0.05 % TOPICAL CREAM,29.9,14.95,6.52,26.91,65
NDC,50383028604,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,465.0,232.5,101.42,418.5,65
NDC,50383028616,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,2208.0,1104.0,481.56,1987.2,65
NDC,50383031106,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,9.8,4.9,2.14,8.82,65
NDC,50383031109,GABAPENTIN 300 MG/6 ML (6 ML) ORAL SOLUTION,9.8,4.9,2.14,8.82,65
NDC,50383031147,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,129.75,64.88,28.3,116.78,65
NDC,50383031284,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,222.0,111.0,48.42,199.8,65
NDC,50383035730,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,3.4,1.7,0.74,3.06,65
NDC,50383035731,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,3.4,1.7,0.74,3.06,65
NDC,50383036315,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,4.15,2.08,0.91,3.74,65
NDC,50383036317,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,4.15,2.08,0.91,3.74,65
NDC,50383056510,NEOMYCIN 500 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,50383058716,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",411.55,205.78,89.76,370.4,65
NDC,50383066730,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,76.9,38.45,16.77,69.21,65
NDC,50383070530,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,198.55,99.28,43.3,178.7,65
NDC,50383072015,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.95,4.48,1.95,8.06,65
NDC,50383074016,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,255.45,127.73,55.71,229.91,65
NDC,50383077504,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,33.0,16.5,7.2,29.7,65
NDC,50383077515,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,5.05,2.53,1.1,4.55,65
NDC,50383077517,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,5.05,2.53,1.1,4.55,65
NDC,50383077915,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,4.35,2.18,0.95,3.92,65
NDC,50383077916,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,42.6,21.3,9.29,38.34,65
NDC,50383077917,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,4.35,2.18,0.95,3.92,65
NDC,50383077930,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,3.4,1.7,0.74,3.06,65
NDC,50383077931,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,3.45,1.73,0.75,3.11,65
NDC,50383077932,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,90.85,45.43,19.81,81.77,65
NDC,50383077933,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,3.4,1.7,0.74,3.06,65
NDC,50383079516,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,42.6,21.3,9.29,38.34,65
NDC,50383080116,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,51.1,25.55,11.14,45.99,65
NDC,50383080416,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,51.1,25.55,11.14,45.99,65
NDC,50383080710,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,8.05,4.03,1.76,7.25,65
NDC,50383080712,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,8.05,4.03,1.76,7.25,65
NDC,50383080716,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,73.8,36.9,16.1,66.42,65
NDC,50383081016,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,290.9,145.45,63.45,261.81,65
NDC,50383082316,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,127.75,63.88,27.86,114.98,65
NDC,50383082416,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,127.75,63.88,27.86,114.98,65
NDC,50383085924,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,61.95,30.98,13.51,55.76,65
NDC,50383088915,ACETIC ACID 2 % EAR SOLUTION,80.95,40.48,17.66,72.86,65
NDC,50383090110,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,374.2,187.1,81.61,336.78,65
NDC,50383092493,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,120.25,60.13,1.89,108.23,66
NDC,50383093093,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,212.95,106.48,1.89,191.66,66
NDC,50419017101,REGORAFENIB 40 MG TABLET,24057.6,12028.8,5246.96,21651.84,65
NDC,50419018881,GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML(469.01 MG/ML) INTRAVENOUS SOLN,107.35,53.68,23.41,96.62,65
NDC,50419018882,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN,199.8,99.9,43.58,179.82,65
NDC,50419018884,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,385.7,192.85,84.12,347.13,65
NDC,50419025001,RIOCIGUAT 0.5 MG TABLET,55335.6,27667.8,12068.69,49802.04,65
NDC,50419032001,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,656.15,328.08,143.11,590.54,65
NDC,50419032005,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,656.15,328.08,143.11,590.54,65
NDC,50419032015,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,1171.75,585.88,255.56,1054.58,65
NDC,50419032501,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,76.3,38.15,16.64,68.67,65
NDC,50419032502,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,101.7,50.85,22.18,91.53,65
NDC,50419032503,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,152.55,76.28,33.27,137.3,65
NDC,50419032507,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,47.9,23.95,10.45,43.11,65
NDC,50419032508,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,305.1,152.55,66.54,274.59,65
NDC,50419032509,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,661.05,330.53,144.18,594.95,65
NDC,50419032511,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,76.3,38.15,16.64,68.67,65
NDC,50419032512,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,101.7,50.85,22.18,91.53,65
NDC,50419032513,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,152.55,76.28,33.27,137.3,65
NDC,50419032514,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,402.15,201.08,87.71,361.94,65
NDC,50419032515,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,871.35,435.68,190.04,784.22,65
NDC,50419032518,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,305.1,152.55,66.54,274.59,65
NDC,50419032519,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,661.05,330.53,144.18,594.95,65
NDC,50419032537,GADOBUTROL 2 MMOL/2 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,47.9,23.95,10.45,43.11,65
NDC,50419034610,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,217.0,108.5,0.13,195.3,66
NDC,50419038501,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20248.4,10124.2,90.33,18223.56,66
NDC,50419042201,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,4045.55,2022.78,814.15,3641.0,66
NDC,50419042301,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,4858.55,2429.28,1059.65,4372.7,66
NDC,50419042401,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,4858.55,2429.28,1059.65,4372.7,66
NDC,50419045101,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,105.85,52.93,23.09,95.27,65
NDC,50419045104,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,352.7,176.35,76.92,317.43,65
NDC,50419045201,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,105.85,52.93,23.09,95.27,65
NDC,50419045204,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,352.7,176.35,76.92,317.43,65
NDC,50419048858,SORAFENIB 200 MG TABLET,51026.4,25513.2,11128.86,45923.76,65
NDC,50419074701,PRAZIQUANTEL 600 MG TABLET,2315.05,1157.53,504.91,2083.55,65
NDC,50419075401,CIPROFLOXACIN 500 MG TABLET,2121.2,1060.6,462.63,1909.08,65
NDC,50419075801,CIPROFLOXACIN 250 MG TABLET,2265.5,1132.75,494.11,2038.95,65
NDC,50419077301,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,704.0,352.0,153.54,633.6,65
NDC,50419077701,CIPROFLOXACIN 250 MG/5 ML ORAL SUSPENSION,602.5,301.25,131.41,542.25,65
NDC,50458014030,CANAGLIFLOZIN 100 MG TABLET,2321.3,1160.65,506.28,2089.17,65
NDC,50458014090,CANAGLIFLOZIN 100 MG TABLET,6963.85,3481.93,1518.82,6267.47,65
NDC,50458014130,CANAGLIFLOZIN 300 MG TABLET,2321.3,1160.65,506.28,2089.17,65
NDC,50458025414,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,805.1,402.55,9.74,724.59,66
NDC,50458029001,ITRACONAZOLE 100 MG CAPSULE,3341.8,1670.9,728.85,3007.62,65
NDC,50458029515,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,1695.75,847.88,369.84,1526.18,65
NDC,50458030001,RISPERIDONE 1 MG TABLET,2376.5,1188.25,518.31,2138.85,65
NDC,50458030201,RISPERIDONE 0.5 MG TABLET,2235.5,1117.75,487.56,2011.95,65
NDC,50458030601,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2453.65,1226.83,11.2,2208.29,71
NDC,50458030611,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2453.65,1226.83,11.2,2208.29,71
NDC,50458030701,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",3680.6,1840.3,11.2,3312.54,71
NDC,50458030711,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",3680.6,1840.3,11.2,3312.54,71
NDC,50458030801,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",4907.65,2453.83,11.2,4416.89,71
NDC,50458030811,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",4907.65,2453.83,11.2,4416.89,71
NDC,50458030901,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1533.7,766.85,11.2,1380.33,71
NDC,50458030911,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1533.7,766.85,11.2,1380.33,71
NDC,50458055001,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",1819.8,909.9,396.9,1637.82,65
NDC,50458055101,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",1819.8,909.9,396.9,1637.82,65
NDC,50458055201,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",2183.8,1091.9,476.29,1965.42,65
NDC,50458056001,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE,2261.7,1130.85,15.32,2035.53,71
NDC,50458056101,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE,4523.65,2261.83,15.32,4071.29,71
NDC,50458056201,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE,6785.6,3392.8,15.32,6107.04,71
NDC,50458056301,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,9047.8,4523.9,15.32,8143.02,71
NDC,50458056303,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,7452.9,3726.45,15.32,6707.61,71
NDC,50458056401,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,13571.4,6785.7,15.32,12214.26,71
NDC,50458057501,RIVAROXABAN 1 MG/ML ORAL SUSPENSION,2071.6,1035.8,451.82,1864.44,65
NDC,50458057701,RIVAROXABAN 2.5 MG TABLET,41.45,20.73,9.04,37.31,65
NDC,50458057710,RIVAROXABAN 2.5 MG TABLET,2762.4,1381.2,602.48,2486.16,65
NDC,50458057760,RIVAROXABAN 2.5 MG TABLET,2071.8,1035.9,451.86,1864.62,65
NDC,50458057801,RIVAROXABAN 15 MG TABLET,82.9,41.45,18.08,74.61,65
NDC,50458057810,RIVAROXABAN 15 MG TABLET,5524.8,2762.4,1204.96,4972.32,65
NDC,50458057830,RIVAROXABAN 15 MG TABLET,2071.8,1035.9,451.86,1864.62,65
NDC,50458057890,RIVAROXABAN 15 MG TABLET,4972.35,2486.18,1084.47,4475.12,65
NDC,50458057901,RIVAROXABAN 20 MG TABLET,82.9,41.45,18.08,74.61,65
NDC,50458057910,RIVAROXABAN 20 MG TABLET,5524.8,2762.4,1204.96,4972.32,65
NDC,50458057930,RIVAROXABAN 20 MG TABLET,2071.8,1035.9,451.86,1864.62,65
NDC,50458057990,RIVAROXABAN 20 MG TABLET,4972.35,2486.18,1084.47,4475.12,65
NDC,50458058001,RIVAROXABAN 10 MG TABLET,82.9,41.45,18.08,74.61,65
NDC,50458058010,RIVAROXABAN 10 MG TABLET,5524.8,2762.4,1204.96,4972.32,65
NDC,50458058030,RIVAROXABAN 10 MG TABLET,2071.8,1035.9,451.86,1864.62,65
NDC,50458058090,RIVAROXABAN 10 MG TABLET,4972.35,2486.18,1084.47,4475.12,65
NDC,50458058501,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",5004.8,2502.4,1091.55,4504.32,65
NDC,50458058701,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",5758.4,2879.2,1255.91,5182.56,65
NDC,50458058801,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",5130.0,2565.0,1118.85,4617.0,65
NDC,50458059601,RISPERIDONE 1 MG/ML ORAL SOLUTION,83.2,41.6,18.15,74.88,65
NDC,50458060601,PALIPERIDONE PALMITATE (3 MONTH) 273 MG/0.88 ML INTRAMUSCULAR SYRINGE,13570.95,6785.48,13.06,12213.86,71
NDC,50458060701,PALIPERIDONE PALMITATE (3 MONTH) 410 MG/1.32 ML INTRAMUSCULAR SYRINGE,20356.75,10178.38,13.06,18321.08,71
NDC,50458060801,PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE,27143.35,13571.68,13.06,24429.02,71
NDC,50458060901,PALIPERIDONE PALMITATE (3 MONTH) 819 MG/2.63 ML INTRAMUSCULAR SYRINGE,40714.0,20357.0,13.06,36642.6,71
NDC,50458061101,"PALIPERIDONE PALMITATE (6 MONTH) 1,092 MG/3.5 ML INTRAMUSCULAR SYRINGE",54286.65,27143.33,13.06,48857.99,71
NDC,50458061201,"PALIPERIDONE PALMITATE (6 MONTH) 1,560 MG/5 ML INTRAMUSCULAR SYRINGE",81428.0,40714.0,13.06,73285.2,71
NDC,50458063965,TOPIRAMATE 25 MG TABLET,1945.2,972.6,424.25,1750.68,65
NDC,50458064165,TOPIRAMATE 100 MG TABLET,4241.05,2120.53,924.97,3816.95,65
NDC,50458064265,TOPIRAMATE 200 MG TABLET,4965.4,2482.7,1082.95,4468.86,65
NDC,50458064565,TOPIRAMATE 25 MG SPRINKLE CAPSULE,2224.2,1112.1,485.1,2001.78,65
NDC,50458064765,TOPIRAMATE 15 MG SPRINKLE CAPSULE,1839.9,919.95,401.28,1655.91,65
NDC,50458065960,TRAMADOL 50 MG TABLET,1658.5,829.25,361.72,1492.65,65
NDC,50474000148,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,3413.2,1706.6,744.42,3071.88,65
NDC,50474000263,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,340.4,170.2,0.07,306.36,66
NDC,50474037066,BRIVARACETAM 10 MG TABLET,5447.05,2723.53,1188.0,4902.35,65
NDC,50474047009,BRIVARACETAM 25 MG TABLET,9078.4,4539.2,1980.0,8170.56,65
NDC,50474047066,BRIVARACETAM 25 MG TABLET,5447.05,2723.53,1188.0,4902.35,65
NDC,50474057009,BRIVARACETAM 50 MG TABLET,9078.4,4539.2,1980.0,8170.56,65
NDC,50474057066,BRIVARACETAM 50 MG TABLET,5447.05,2723.53,1188.0,4902.35,65
NDC,50474059440,LEVETIRACETAM 250 MG TABLET,3674.4,1837.2,801.39,3306.96,65
NDC,50474059540,LEVETIRACETAM 500 MG TABLET,4490.9,2245.45,979.47,4041.81,65
NDC,50474059866,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR",2035.45,1017.73,443.93,1831.91,65
NDC,50474070062,CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT,24047.75,12023.88,3.99,21642.98,71
NDC,50474071079,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,21903.15,10951.58,3.99,19712.84,71
NDC,50474071081,CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT,65609.4,32804.7,3.99,59048.46,71
NDC,50474077009,BRIVARACETAM 100 MG TABLET,9078.4,4539.2,1980.0,8170.56,65
NDC,50474077066,BRIVARACETAM 100 MG TABLET,5447.05,2723.53,1188.0,4902.35,65
NDC,50474080103,ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
NDC,50474080203,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
NDC,50474080303,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
NDC,50474080403,ROTIGOTINE 4 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,3194.9,1597.45,696.81,2875.41,65
NDC,50474080746,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,187.2,93.6,40.83,168.48,65
NDC,50474087015,BRIVARACETAM 10 MG/ML ORAL SOLUTION,5446.8,2723.4,1187.95,4902.12,65
NDC,50474097063,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,28.05,14.03,6.12,25.25,65
NDC,50474097075,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,28.05,14.03,6.12,25.25,65
NDC,50474098079,ROZANOLIXIZUMAB-NOLI 140 MG/ML SUBCUTANEOUS SOLUTION,24527.55,12263.78,22.74,22074.8,71
NDC,50474098386,ROZANOLIXIZUMAB-NOLI 140 MG/ML SUBCUTANEOUS SOLUTION,73532.55,36766.28,22.74,66179.3,71
NDC,50484001030,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,1438.2,719.1,313.67,1294.38,65
NDC,50580053604,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,30.45,15.23,6.64,27.41,65
NDC,50632000101,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",1309.5,654.75,0.01,1178.55,70
NDC,50632001001,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1651.2,825.6,319.95,1486.08,71
NDC,50632001301,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1651.2,825.6,319.95,1486.08,71
NDC,50633011011,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,5321.8,2660.9,1160.68,4789.62,70
NDC,50633011012,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,5321.8,2660.9,1160.68,4789.62,70
NDC,50633012011,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,17687.55,8843.78,3857.65,15918.8,70
NDC,50633012012,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,17687.55,8843.78,3857.65,15918.8,70
NDC,50633012111,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,17687.55,8843.78,3857.65,15918.8,70
NDC,50633021011,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",164721.0,82360.5,35925.65,148248.9,65
NDC,50633022004,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,16856.0,8428.0,3676.29,15170.4,65
NDC,50633031011,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,3715.6,1857.8,5.09,3344.04,71
NDC,50653000601,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,1844.4,922.2,5.89,1659.96,71
NDC,50653000604,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,2084.15,1042.08,4.78,1875.74,71
NDC,50742011201,DESIPRAMINE 10 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,50742011301,DESIPRAMINE 25 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,50742011401,DESIPRAMINE 50 MG TABLET,118.2,59.1,25.78,106.38,65
NDC,50742011808,CABERGOLINE 0.5 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,50742014201,METHENAMINE HIPPURATE 1 GRAM TABLET,333.0,166.5,72.63,299.7,65
NDC,50742017501,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",66.6,33.3,14.53,59.94,65
NDC,50742017601,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",72.0,36.0,15.7,64.8,65
NDC,50742017701,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",144.0,72.0,31.41,129.6,65
NDC,50742018130,LEUCOVORIN CALCIUM 5 MG TABLET,178.2,89.1,38.87,160.38,65
NDC,50742019001,CYPROHEPTADINE 4 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,50742023301,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",167.4,83.7,36.51,150.66,65
NDC,50742023830,QUININE 324 MG CAPSULE,106.4,53.2,23.21,95.76,65
NDC,50742023901,MEXILETINE 150 MG CAPSULE,147.0,73.5,32.06,132.3,65
NDC,50742024001,MEXILETINE 200 MG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,50742024690,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET,571.95,285.98,124.74,514.76,65
NDC,50742024760,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",130.35,65.18,28.43,117.32,65
NDC,50742024890,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",60.5,30.25,13.2,54.45,65
NDC,50742024930,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",72.0,36.0,15.7,64.8,65
NDC,50742024990,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",99.4,49.7,21.68,89.46,65
NDC,50742025030,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",72.75,36.38,15.87,65.48,65
NDC,50742025090,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",91.8,45.9,20.02,82.62,65
NDC,50742025130,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",109.45,54.73,23.87,98.51,65
NDC,50742025190,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",117.2,58.6,25.56,105.48,65
NDC,50742026001,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",129.0,64.5,28.13,116.1,65
NDC,50742026003,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",262.5,131.25,57.25,236.25,65
NDC,50742026101,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",114.6,57.3,24.99,103.14,65
NDC,50742026201,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",182.4,91.2,39.78,164.16,65
NDC,50742026750,NORETHINDRONE ACETATE 5 MG TABLET,169.8,84.9,37.03,152.82,65
NDC,50742031025,MAFENIDE 50 GRAM TOPICAL PACKET,297.6,148.8,64.91,267.84,65
NDC,50742031050,MAFENIDE 50 GRAM TOPICAL PACKET,297.6,148.8,64.91,267.84,65
NDC,50742035001,METOLAZONE 5 MG TABLET,275.0,137.5,59.98,247.5,65
NDC,50742036260,IVABRADINE 5 MG TABLET,725.1,362.55,158.14,652.59,65
NDC,50742036360,IVABRADINE 7.5 MG TABLET,725.1,362.55,158.14,652.59,65
NDC,50742036401,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,7.5,3.75,1.64,9.04,66
NDC,50742036430,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,223.95,111.98,9.04,201.56,66
NDC,50742037201,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,195.35,97.68,42.61,175.82,65
NDC,50742037204,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,651.1,325.55,142.0,585.99,65
NDC,50742037301,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,372.5,186.25,81.24,335.25,65
NDC,50742037304,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1490.0,745.0,324.97,1341.0,65
NDC,50742037501,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,355.2,177.6,77.47,319.68,65
NDC,50742037504,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1420.8,710.4,309.88,1278.72,65
NDC,50742037601,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,706.75,353.38,154.14,636.08,65
NDC,50742037604,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,2261.6,1130.8,493.25,2035.44,65
NDC,50742044745,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,50742044860,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,500.1,250.05,3.99,450.09,66
NDC,50742048401,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,1400.0,700.0,2.1,1260.0,66
NDC,50742050501,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,34.6,17.3,7.55,31.14,65
NDC,50742050504,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,138.25,69.13,30.15,124.43,65
NDC,50742050510,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,460.5,230.25,100.44,414.45,65
NDC,50742050524,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,625.6,312.8,136.44,563.04,65
NDC,50742051501,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,293.95,146.98,64.11,264.56,65
NDC,50742051530,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,5878.8,2939.4,1282.17,5290.92,65
NDC,50742051902,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,528.65,264.33,0.8,475.79,71
NDC,50742052005,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,986.45,493.23,0.8,887.81,71
NDC,50742054901,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,66.0,33.0,14.39,59.4,65
NDC,50742054905,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,275.0,137.5,59.98,247.5,65
NDC,50742055001,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,38.85,19.43,8.47,34.97,65
NDC,50742055005,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,194.2,97.1,42.36,174.78,65
NDC,50742055401,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,83.25,41.63,18.16,74.93,65
NDC,50742055405,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,346.7,173.35,75.62,312.03,65
NDC,50742061501,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",66.0,33.0,14.39,59.4,65
NDC,50742061510,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",1405.0,702.5,306.43,1264.5,65
NDC,50742061601,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",66.0,33.0,14.39,59.4,65
NDC,50742061701,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",88.8,44.4,19.37,79.92,65
NDC,50742062001,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",78.0,39.0,17.01,70.2,65
NDC,50742062201,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",199.2,99.6,43.45,179.28,65
NDC,50742063360,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24HR (OSMOTIC)",209.9,104.95,45.78,188.91,65
NDC,50742063560,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",55.45,27.73,12.09,49.91,65
NDC,50742063660,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",77.8,38.9,16.97,70.02,65
NDC,50742063760,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",88.95,44.48,19.4,80.06,65
NDC,50742063960,"QUETIAPINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",110.9,55.45,24.19,99.81,65
NDC,50742064601,TRIAZOLAM 0.25 MG TABLET,375.0,187.5,81.79,337.5,65
NDC,50742065601,CARISOPRODOL 350 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,50742066604,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,346.8,173.4,75.64,312.12,65
NDC,50742066701,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,467.0,233.5,101.85,420.3,65
NDC,50816002502,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",79.8,39.9,17.4,71.82,65
NDC,50881000560,RUXOLITINIB 5 MG TABLET,68079.85,34039.93,14848.22,61271.87,65
NDC,50881001060,RUXOLITINIB 10 MG TABLET,68080.1,34040.05,14848.27,61272.09,65
NDC,50881001303,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5524.0,2762.0,14.55,4971.6,71
NDC,50881002311,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,46225.0,23112.5,56.76,41602.5,70
NDC,50881003412,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,18925.0,9462.5,56.76,17032.5,70
NDC,50914772008,"I-131 IODINATED ALBUMIN, INTRAVENOUS SOLUTION",4050.0,2025.0,883.31,3645.0,64
NDC,50914772902,"SODIUM IOTHALAMATE I-125 INTRAVENOUS, SOLUTION",2250.0,1125.0,490.73,2025.0,64
NDC,51079002001,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",77.45,38.73,16.89,69.71,65
NDC,51079002003,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",1935.9,967.95,422.22,1742.31,65
NDC,51079002301,METOLAZONE 2.5 MG TABLET,15.2,7.6,3.32,13.68,65
NDC,51079002320,METOLAZONE 2.5 MG TABLET,1264.0,632.0,275.68,1137.6,65
NDC,51079002401,METOLAZONE 5 MG TABLET,17.25,8.63,3.76,15.53,65
NDC,51079002420,METOLAZONE 5 MG TABLET,1436.5,718.25,313.3,1292.85,65
NDC,51079002801,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",51.95,25.98,0.26,46.76,66
NDC,51079005101,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",3.1,1.55,0.68,2.79,65
NDC,51079005120,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",58.8,29.4,12.82,52.92,65
NDC,51079005801,CHLORTHALIDONE 25 MG TABLET,10.6,5.3,2.31,9.54,65
NDC,51079005820,CHLORTHALIDONE 25 MG TABLET,883.0,441.5,192.58,794.7,65
NDC,51079007201,FUROSEMIDE 20 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079007220,FUROSEMIDE 20 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,51079007301,FUROSEMIDE 40 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079007320,FUROSEMIDE 40 MG TABLET,40.8,20.4,8.9,36.72,65
NDC,51079007401,HYDRALAZINE 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079007420,HYDRALAZINE 10 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,51079007501,HYDRALAZINE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079007520,HYDRALAZINE 25 MG TABLET,106.2,53.1,23.16,95.58,65
NDC,51079007601,HYDRALAZINE 50 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,51079007620,HYDRALAZINE 50 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,51079008301,ISONIAZID 300 MG TABLET,5.65,2.83,1.23,5.09,65
NDC,51079008320,ISONIAZID 300 MG TABLET,467.5,233.75,101.96,420.75,65
NDC,51079008601,MIRTAZAPINE 15 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079008620,MIRTAZAPINE 15 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,51079008701,MIRTAZAPINE 30 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079008720,MIRTAZAPINE 30 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,51079008801,MIRTAZAPINE 45 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,51079009301,VALACYCLOVIR 500 MG TABLET,13.5,6.75,2.94,12.15,65
NDC,51079009303,VALACYCLOVIR 500 MG TABLET,336.9,168.45,73.48,303.21,65
NDC,51079010301,SPIRONOLACTONE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079010320,SPIRONOLACTONE 25 MG TABLET,101.4,50.7,22.12,91.26,65
NDC,51079012901,PHENYTOIN 50 MG CHEWABLE TABLET,3.5,1.75,0.76,3.15,65
NDC,51079012906,PHENYTOIN 50 MG CHEWABLE TABLET,174.9,87.45,38.15,157.41,65
NDC,51079013001,CHLORPROMAZINE 50 MG TABLET,51.45,25.73,11.22,46.31,65
NDC,51079013301,AMITRIPTYLINE 50 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079013320,AMITRIPTYLINE 50 MG TABLET,249.0,124.5,54.31,224.1,65
NDC,51079014101,CHLORDIAZEPOXIDE 25 MG CAPSULE,5.5,2.75,1.2,4.95,65
NDC,51079014120,CHLORDIAZEPOXIDE 25 MG CAPSULE,294.6,147.3,64.25,265.14,65
NDC,51079014201,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",3.35,1.68,0.73,3.02,65
NDC,51079014220,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",208.8,104.4,45.54,187.92,65
NDC,51079014720,AMITRIPTYLINE 75 MG TABLET,379.0,189.5,82.66,341.1,65
NDC,51079016401,VORICONAZOLE 50 MG TABLET,29.85,14.93,6.51,26.87,65
NDC,51079016403,VORICONAZOLE 50 MG TABLET,745.95,372.98,162.69,671.36,65
NDC,51079016501,VORICONAZOLE 200 MG TABLET,63.95,31.98,13.95,57.56,65
NDC,51079016503,VORICONAZOLE 200 MG TABLET,1597.65,798.83,348.45,1437.89,65
NDC,51079016901,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.5,1.75,0.76,3.15,65
NDC,51079016920,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",286.8,143.4,62.55,258.12,65
NDC,51079017001,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,51079017020,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",220.8,110.4,48.16,198.72,65
NDC,51079017101,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",7.55,3.78,1.65,6.8,65
NDC,51079017103,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",225.9,112.95,49.27,203.31,65
NDC,51079018001,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",3.35,1.68,0.73,3.02,65
NDC,51079018020,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",193.8,96.9,42.27,174.42,65
NDC,51079018201,CIPROFLOXACIN 500 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079018220,CIPROFLOXACIN 500 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,51079019901,CELECOXIB 100 MG CAPSULE,5.5,2.75,1.2,4.95,65
NDC,51079019920,CELECOXIB 100 MG CAPSULE,457.0,228.5,99.67,411.3,65
NDC,51079020401,ABACAVIR 300 MG TABLET,35.0,17.5,7.63,31.5,65
NDC,51079020406,ABACAVIR 300 MG TABLET,1456.75,728.38,317.72,1311.08,65
NDC,51079020501,ALLOPURINOL 100 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,51079020520,ALLOPURINOL 100 MG TABLET,153.0,76.5,33.37,137.7,65
NDC,51079020601,ALLOPURINOL 300 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,51079020620,ALLOPURINOL 300 MG TABLET,195.6,97.8,42.66,176.04,65
NDC,51079020801,ATORVASTATIN 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079020820,ATORVASTATIN 10 MG TABLET,72.6,36.3,15.83,65.34,65
NDC,51079020901,ATORVASTATIN 20 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079020920,ATORVASTATIN 20 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,51079021001,ATORVASTATIN 40 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079021020,ATORVASTATIN 40 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,51079021101,ATORVASTATIN 80 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,51079021103,ATORVASTATIN 80 MG TABLET,42.15,21.08,9.19,37.94,65
NDC,51079021501,CELECOXIB 200 MG CAPSULE,9.35,4.68,2.04,8.42,65
NDC,51079021520,CELECOXIB 200 MG CAPSULE,778.5,389.25,169.79,700.65,65
NDC,51079024101,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",3.5,1.75,0.76,3.15,65
NDC,51079024106,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",173.1,86.55,37.75,155.79,65
NDC,51079025501,METOPROLOL TARTRATE 25 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079025520,METOPROLOL TARTRATE 25 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,51079027301,ENTACAPONE 200 MG TABLET,26.5,13.25,5.78,23.85,65
NDC,51079027303,ENTACAPONE 200 MG TABLET,661.95,330.98,144.37,595.76,65
NDC,51079028401,DIAZEPAM 2 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079028420,DIAZEPAM 2 MG TABLET,35.4,17.7,7.72,31.86,65
NDC,51079028501,DIAZEPAM 5 MG TABLET,5.05,2.53,1.1,4.55,65
NDC,51079028520,DIAZEPAM 5 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,51079028601,DIAZEPAM 10 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079028620,DIAZEPAM 10 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,51079029401,TAMSULOSIN 0.4 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,51079029420,TAMSULOSIN 0.4 MG CAPSULE,267.0,133.5,58.23,240.3,65
NDC,51079037401,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.6,2.8,1.22,5.04,65
NDC,51079037420,CHLORDIAZEPOXIDE 5 MG CAPSULE,297.5,148.75,64.88,267.75,65
NDC,51079037501,CHLORDIAZEPOXIDE 10 MG CAPSULE,5.5,2.75,1.2,4.95,65
NDC,51079037520,CHLORDIAZEPOXIDE 10 MG CAPSULE,273.0,136.5,59.54,245.7,65
NDC,51079037901,MYCOPHENOLATE MOFETIL 500 MG TABLET,4.25,2.13,0.93,3.83,65
NDC,51079037920,MYCOPHENOLATE MOFETIL 500 MG TABLET,350.5,175.25,76.44,315.45,65
NDC,51079038301,URSODIOL 300 MG CAPSULE,14.5,7.25,3.16,13.05,65
NDC,51079038320,URSODIOL 300 MG CAPSULE,1206.5,603.25,263.14,1085.85,65
NDC,51079039101,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",3.25,1.63,0.71,2.93,65
NDC,51079039120,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",270.5,135.25,59.0,243.45,65
NDC,51079041820,TEMAZEPAM 15 MG CAPSULE,10.8,5.4,2.36,9.72,65
NDC,51079043101,HALOPERIDOL 10 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,51079043120,HALOPERIDOL 10 MG TABLET,281.0,140.5,61.29,252.9,65
NDC,51079043601,DOXEPIN 10 MG CAPSULE,3.5,1.75,0.76,3.15,65
NDC,51079043620,DOXEPIN 10 MG CAPSULE,295.2,147.6,64.38,265.68,65
NDC,51079043701,DOXEPIN 25 MG CAPSULE,3.9,1.95,0.85,3.51,65
NDC,51079043720,DOXEPIN 25 MG CAPSULE,324.5,162.25,70.77,292.05,65
NDC,51079043801,DOXEPIN 50 MG CAPSULE,5.4,2.7,1.18,4.86,65
NDC,51079043820,DOXEPIN 50 MG CAPSULE,449.5,224.75,98.04,404.55,65
NDC,51079044001,LEVOTHYROXINE 50 MCG TABLET,3.5,1.75,0.76,3.15,65
NDC,51079044020,LEVOTHYROXINE 50 MCG TABLET,293.4,146.7,63.99,264.06,65
NDC,51079044101,LEVOTHYROXINE 75 MCG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079044120,LEVOTHYROXINE 75 MCG TABLET,286.0,143.0,62.38,257.4,65
NDC,51079044201,LEVOTHYROXINE 100 MCG TABLET,3.55,1.78,0.77,3.2,65
NDC,51079044220,LEVOTHYROXINE 100 MCG TABLET,293.0,146.5,63.9,263.7,65
NDC,51079044301,LEVOTHYROXINE 125 MCG TABLET,4.15,2.08,0.91,3.74,65
NDC,51079044320,LEVOTHYROXINE 125 MCG TABLET,344.5,172.25,75.14,310.05,65
NDC,51079044401,LEVOTHYROXINE 25 MCG TABLET,3.5,1.75,0.76,3.15,65
NDC,51079044420,LEVOTHYROXINE 25 MCG TABLET,273.6,136.8,59.67,246.24,65
NDC,51079044501,LEVOTHYROXINE 150 MCG TABLET,4.25,2.13,0.93,3.83,65
NDC,51079044520,LEVOTHYROXINE 150 MCG TABLET,353.5,176.75,77.1,318.15,65
NDC,51079045301,MIDODRINE 5 MG TABLET,3.8,1.9,0.83,3.42,65
NDC,51079045320,MIDODRINE 5 MG TABLET,315.0,157.5,68.7,283.5,65
NDC,51079045801,PRAVASTATIN 20 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,51079045820,PRAVASTATIN 20 MG TABLET,268.0,134.0,58.45,241.2,65
NDC,51079048001,VENLAFAXINE 37.5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079048020,VENLAFAXINE 37.5 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,51079048201,VENLAFAXINE 75 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079048220,VENLAFAXINE 75 MG TABLET,425.0,212.5,92.69,382.5,65
NDC,51079050801,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",20.25,10.13,4.42,18.23,65
NDC,51079050820,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",1683.5,841.75,367.17,1515.15,65
NDC,51079050901,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",34.05,17.03,7.43,30.65,65
NDC,51079050920,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",2268.0,1134.0,494.65,2041.2,65
NDC,51079051001,CAPECITABINE 500 MG TABLET,161.3,80.65,0.04,145.17,70
NDC,51079051005,CAPECITABINE 500 MG TABLET,2150.25,1075.13,0.04,1935.23,70
NDC,51079051301,PIOGLITAZONE 15 MG TABLET,9.1,4.55,1.98,8.19,65
NDC,51079051320,PIOGLITAZONE 15 MG TABLET,754.5,377.25,164.56,679.05,65
NDC,51079052701,FUROSEMIDE 80 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079052720,FUROSEMIDE 80 MG TABLET,63.6,31.8,13.87,57.24,65
NDC,51079054401,ESCITALOPRAM 20 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079054420,ESCITALOPRAM 20 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,51079056501,THIORIDAZINE 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,51079056520,THIORIDAZINE 10 MG TABLET,188.4,94.2,41.09,169.56,65
NDC,51079056601,THIORIDAZINE 25 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079056620,THIORIDAZINE 25 MG TABLET,266.4,133.2,58.1,239.76,65
NDC,51079056701,THIORIDAZINE 50 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,51079056720,THIORIDAZINE 50 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,51079057201,TRIFLUOPERAZINE 1 MG TABLET,6.2,3.1,1.35,5.58,65
NDC,51079057220,TRIFLUOPERAZINE 1 MG TABLET,516.5,258.25,112.65,464.85,65
NDC,51079057301,TRIFLUOPERAZINE 2 MG TABLET,10.0,5.0,2.18,9.0,65
NDC,51079057320,TRIFLUOPERAZINE 2 MG TABLET,833.0,416.5,181.68,749.7,65
NDC,51079057401,TRIFLUOPERAZINE 5 MG TABLET,11.8,5.9,2.57,10.62,65
NDC,51079057420,TRIFLUOPERAZINE 5 MG TABLET,980.0,490.0,213.74,882.0,65
NDC,51079058101,LEUCOVORIN CALCIUM 5 MG TABLET,8.45,4.23,1.84,7.61,65
NDC,51079058106,LEUCOVORIN CALCIUM 5 MG TABLET,351.25,175.63,76.61,316.13,65
NDC,51079058201,LEUCOVORIN CALCIUM 25 MG TABLET,40.65,20.33,8.87,36.59,65
NDC,51079058205,LEUCOVORIN CALCIUM 25 MG TABLET,676.8,338.4,147.61,609.12,65
NDC,51079058801,THIOTHIXENE 5 MG CAPSULE,17.9,8.95,3.9,16.11,65
NDC,51079058820,THIOTHIXENE 5 MG CAPSULE,1491.5,745.75,325.3,1342.35,65
NDC,51079060801,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,14.5,7.25,3.16,13.05,65
NDC,51079060820,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,1206.5,603.25,263.14,1085.85,65
NDC,51079062485,MAFENIDE 50 GRAM TOPICAL PACKET,4241.65,2120.83,925.1,3817.49,65
NDC,51079063001,PRAZOSIN 1 MG CAPSULE,8.4,4.2,1.83,7.56,65
NDC,51079063020,PRAZOSIN 1 MG CAPSULE,697.0,348.5,152.02,627.3,65
NDC,51079063101,PRAZOSIN 2 MG CAPSULE,10.65,5.33,2.32,9.59,65
NDC,51079063120,PRAZOSIN 2 MG CAPSULE,885.5,442.75,193.13,796.95,65
NDC,51079063201,PRAZOSIN 5 MG CAPSULE,19.9,9.95,4.34,17.91,65
NDC,51079063220,PRAZOSIN 5 MG CAPSULE,1657.5,828.75,361.5,1491.75,65
NDC,51079064401,CYCLOBENZAPRINE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079065101,DOXEPIN 100 MG CAPSULE,9.25,4.63,2.02,8.33,65
NDC,51079065120,DOXEPIN 100 MG CAPSULE,768.0,384.0,167.5,691.2,65
NDC,51079065701,ALBUTEROL SULFATE 2 MG TABLET,32.15,16.08,7.01,28.94,65
NDC,51079067001,METHOTREXATE SODIUM 2.5 MG TABLET,14.5,7.25,3.16,13.05,65
NDC,51079067005,METHOTREXATE SODIUM 2.5 MG TABLET,289.95,144.98,63.24,260.96,65
NDC,51079068401,ATENOLOL 50 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079068420,ATENOLOL 50 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,51079068501,ATENOLOL 100 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079068520,ATENOLOL 100 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,51079072101,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,3.5,1.75,0.76,3.15,65
NDC,51079072120,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,278.4,139.2,60.72,250.56,65
NDC,51079073301,HALOPERIDOL 0.5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,51079073320,HALOPERIDOL 0.5 MG TABLET,222.6,111.3,48.55,200.34,65
NDC,51079073401,HALOPERIDOL 1 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079073420,HALOPERIDOL 1 MG TABLET,252.0,126.0,54.96,226.8,65
NDC,51079073501,HALOPERIDOL 2 MG TABLET,3.8,1.9,0.83,3.42,65
NDC,51079073520,HALOPERIDOL 2 MG TABLET,313.0,156.5,68.27,281.7,65
NDC,51079073601,HALOPERIDOL 5 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,51079073620,HALOPERIDOL 5 MG TABLET,164.4,82.2,35.86,147.96,65
NDC,51079074501,DILTIAZEM 30 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079074520,DILTIAZEM 30 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,51079075301,SUCRALFATE 1 GRAM TABLET,3.3,1.65,0.72,2.97,65
NDC,51079075320,SUCRALFATE 1 GRAM TABLET,172.2,86.1,37.56,154.98,65
NDC,51079075901,ATENOLOL 25 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079075920,ATENOLOL 25 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,51079076601,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",5.15,2.58,1.12,4.64,65
NDC,51079076608,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",342.8,171.4,74.76,308.52,65
NDC,51079076701,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.65,3.33,1.45,5.99,65
NDC,51079076708,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",441.2,220.6,96.23,397.08,65
NDC,51079077101,CARVEDILOL 3.125 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079077120,CARVEDILOL 3.125 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,51079077601,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,51079077620,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,90.6,45.3,19.76,81.54,65
NDC,51079078201,PRAVASTATIN 40 MG TABLET,4.65,2.33,1.01,4.19,65
NDC,51079078220,PRAVASTATIN 40 MG TABLET,385.5,192.75,84.08,346.95,65
NDC,51079078801,ALPRAZOLAM 0.25 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079078820,ALPRAZOLAM 0.25 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,51079078901,ALPRAZOLAM 0.5 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079078920,ALPRAZOLAM 0.5 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,51079079001,ALPRAZOLAM 1 MG TABLET,5.15,2.58,1.12,4.64,65
NDC,51079079020,ALPRAZOLAM 1 MG TABLET,67.2,33.6,14.66,60.48,65
NDC,51079080101,METOPROLOL TARTRATE 50 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079080120,METOPROLOL TARTRATE 50 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,51079081001,GLIPIZIDE 5 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,51079081020,GLIPIZIDE 5 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,51079081101,GLIPIZIDE 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,51079081120,GLIPIZIDE 10 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,51079081201,NADOLOL 20 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,51079081220,NADOLOL 20 MG TABLET,2397.0,1198.5,522.79,2157.3,65
NDC,51079081701,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",6.6,3.3,0.26,5.94,66
NDC,51079081720,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",550.0,275.0,0.26,495.0,66
NDC,51079081801,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",6.7,3.35,0.26,6.03,66
NDC,51079081820,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",555.5,277.75,0.26,499.95,66
NDC,51079082101,LEVETIRACETAM 500 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079082120,LEVETIRACETAM 500 MG TABLET,117.6,58.8,25.65,105.84,65
NDC,51079086301,CAPTOPRIL 12.5 MG TABLET,6.4,3.2,1.4,5.76,65
NDC,51079086320,CAPTOPRIL 12.5 MG TABLET,531.5,265.75,115.92,478.35,65
NDC,51079086401,CAPTOPRIL 25 MG TABLET,8.65,4.33,1.89,7.79,65
NDC,51079086420,CAPTOPRIL 25 MG TABLET,717.0,358.5,156.38,645.3,65
NDC,51079086601,LAMOTRIGINE 200 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079086620,LAMOTRIGINE 200 MG TABLET,118.2,59.1,25.78,106.38,65
NDC,51079088201,CLONAZEPAM 1 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079088220,CLONAZEPAM 1 MG TABLET,31.2,15.6,6.8,28.08,65
NDC,51079088601,METOCLOPRAMIDE 5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,51079088620,METOCLOPRAMIDE 5 MG TABLET,270.6,135.3,59.02,243.54,65
NDC,51079088801,METOCLOPRAMIDE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079088820,METOCLOPRAMIDE 10 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,51079090501,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,3.5,1.75,0.76,3.15,65
NDC,51079090520,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,280.8,140.4,61.24,252.72,65
NDC,51079091701,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",22.95,11.48,5.01,20.66,65
NDC,51079091720,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",1911.5,955.75,416.9,1720.35,65
NDC,51079092101,CLOZAPINE 25 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079092120,CLOZAPINE 25 MG TABLET,249.6,124.8,54.44,224.64,65
NDC,51079092201,CLOZAPINE 100 MG TABLET,5.7,2.85,1.24,5.13,65
NDC,51079092220,CLOZAPINE 100 MG TABLET,473.0,236.5,103.16,425.7,65
NDC,51079092301,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",3.6,1.8,0.79,3.24,65
NDC,51079092320,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",297.0,148.5,64.78,267.3,65
NDC,51079092401,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",18.35,9.18,4.0,16.52,65
NDC,51079092420,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",1528.5,764.25,333.37,1375.65,65
NDC,51079092501,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",21.6,10.8,4.71,19.44,65
NDC,51079092520,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",1797.5,898.75,392.03,1617.75,65
NDC,51079093001,CARVEDILOL 6.25 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079093020,CARVEDILOL 6.25 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,51079093101,CARVEDILOL 12.5 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079093120,CARVEDILOL 12.5 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,51079093201,CARVEDILOL 25 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079093220,CARVEDILOL 25 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,51079094301,BUPROPION HCL 75 MG TABLET,5.15,2.58,1.12,4.64,65
NDC,51079094320,BUPROPION HCL 75 MG TABLET,427.0,213.5,93.13,384.3,65
NDC,51079095801,DOXAZOSIN 2 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,51079095820,DOXAZOSIN 2 MG TABLET,1446.0,723.0,315.37,1301.4,65
NDC,51079095901,DOXAZOSIN 4 MG TABLET,18.25,9.13,3.98,16.43,65
NDC,51079095920,DOXAZOSIN 4 MG TABLET,1518.0,759.0,331.08,1366.2,65
NDC,51079096001,BUSPIRONE 15 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,51079096020,BUSPIRONE 15 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,51079096601,FAMOTIDINE 20 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,51079096620,FAMOTIDINE 20 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,51079097801,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",3.3,1.65,0.72,2.97,65
NDC,51079097820,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",151.8,75.9,33.11,136.62,65
NDC,51079097920,SPIRONOLACTONE 50 MG TABLET,159.6,79.8,34.81,143.64,65
NDC,51079098001,SPIRONOLACTONE 100 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,51079098008,SPIRONOLACTONE 100 MG TABLET,214.1,107.05,46.7,192.69,65
NDC,51079098501,BUSPIRONE 5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,51079098520,BUSPIRONE 5 MG TABLET,70.2,35.1,15.31,63.18,65
NDC,51079098601,BUSPIRONE 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51079098620,BUSPIRONE 10 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,51079099101,TRAMADOL 50 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,51079099120,TRAMADOL 50 MG TABLET,46.2,23.1,10.08,41.58,65
NDC,51144000301,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION,28542.0,14271.0,172.44,25687.8,71
NDC,51144002001,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,11286.0,5643.0,36.65,10157.4,71
NDC,51144003001,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,16904.0,8452.0,36.65,15213.6,71
NDC,51144005001,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,48850.0,24425.0,236.18,43965.0,71
NDC,51224000150,BENZONATATE 200 MG CAPSULE,49.2,24.6,10.73,44.28,65
NDC,51224000750,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",18.0,9.0,3.93,16.2,65
NDC,51224000920,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,191.9,95.95,41.85,172.71,65
NDC,51224001050,BENZONATATE 100 MG CAPSULE,33.6,16.8,7.33,30.24,65
NDC,51224001060,BENZONATATE 100 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,51224001210,PHENTOLAMINE 5 MG INJECTION SOLUTION,1933.05,966.53,421.6,1739.75,71
NDC,51224001220,PHENTOLAMINE 5 MG INJECTION SOLUTION,1941.35,970.68,423.41,1747.22,71
NDC,51224001301,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.9,23.45,0.07,42.21,66
NDC,51224001325,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.85,23.43,0.07,42.17,66
NDC,51224002230,AZITHROMYCIN 250 MG TABLET,28.3,14.15,6.17,25.47,65
NDC,51224010750,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",29.4,14.7,6.41,26.46,65
NDC,51224015150,URSODIOL 300 MG CAPSULE,340.5,170.25,74.26,306.45,65
NDC,51224020630,NALTREXONE 50 MG TABLET,108.0,54.0,23.55,97.2,65
NDC,51224020650,NALTREXONE 50 MG TABLET,299.5,149.75,65.32,269.55,65
NDC,51224022230,AZITHROMYCIN 600 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,51224042510,TETRABENAZINE 12.5 MG TABLET,4160.15,2080.08,907.33,3744.14,65
NDC,51248015001,SOLIFENACIN 5 MG TABLET,1782.0,891.0,388.65,1603.8,65
NDC,51248015101,SOLIFENACIN 10 MG TABLET,1782.0,891.0,388.65,1603.8,65
NDC,51285036601,METHOTREXATE SODIUM 5 MG TABLET,2559.4,1279.7,558.21,2303.46,65
NDC,51285036701,METHOTREXATE SODIUM 7.5 MG TABLET,3838.2,1919.1,837.11,3454.38,65
NDC,51285036801,METHOTREXATE SODIUM 10 MG TABLET,5117.3,2558.65,1116.08,4605.57,65
NDC,51285036901,METHOTREXATE SODIUM 15 MG TABLET,7676.3,3838.15,1674.2,6908.67,65
NDC,51285042410,NORETHINDRONE ACETATE 5 MG TABLET,1409.25,704.63,307.36,1268.33,65
NDC,51293061101,PHENAZOPYRIDINE 100 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,51293061201,PHENAZOPYRIDINE 200 MG TABLET,222.6,111.3,48.55,200.34,65
NDC,51293061501,SALSALATE 500 MG TABLET,147.6,73.8,32.19,132.84,65
NDC,51293062501,PHENOBARBITAL 16.2 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,51293062601,PHENOBARBITAL 32.4 MG TABLET,299.4,149.7,65.3,269.46,65
NDC,51293062701,PHENOBARBITAL 64.8 MG TABLET,312.0,156.0,68.05,280.8,65
NDC,51293062801,PHENOBARBITAL 97.2 MG TABLET,442.5,221.25,96.51,398.25,65
NDC,51293063901,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1285.0,642.5,280.26,1156.5,65
NDC,51293064001,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1285.0,642.5,280.26,1156.5,65
NDC,51293069601,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,3364.0,1682.0,733.69,3027.6,65
NDC,51293080301,SALSALATE 500 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,51293081001,PHENAZOPYRIDINE 100 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,51293081101,PHENAZOPYRIDINE 200 MG TABLET,209.4,104.7,45.67,188.46,65
NDC,51293082001,METHIMAZOLE 5 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,51293082101,METHIMAZOLE 10 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,51293083885,OLOPATADINE 0.1 % EYE DROPS,39.3,19.65,8.57,35.37,65
NDC,51293084601,FOLIC ACID 1 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,51383000312,SODIUM CHLORIDE-HYPOCHLOROUS ACID 0.033 % IRRIGATION SOLUTION,45.35,22.68,9.89,40.82,65
NDC,51383000314,SODIUM CHLORIDE-HYPOCHLOROUS ACID 0.033 % IRRIGATION SOLUTION,156.75,78.38,34.19,141.08,65
NDC,51407008501,CLOZAPINE 25 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,51407008601,CLOZAPINE 100 MG TABLET,262.2,131.1,57.19,235.98,65
NDC,51407011010,METOPROLOL TARTRATE 50 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,51407043960,TAMOXIFEN 10 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,51407044901,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",86.4,43.2,18.84,77.76,65
NDC,51407049905,OLOPATADINE 0.1 % EYE DROPS,24.45,12.23,5.33,22.01,65
NDC,51525011301,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,60.0,30.0,13.09,54.0,65
NDC,51525011501,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",135.0,67.5,29.44,121.5,65
NDC,51525043101,FELBAMATE 600 MG TABLET,2162.0,1081.0,471.53,1945.8,65
NDC,51525047009,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,22.35,11.18,4.87,20.12,65
NDC,51552005106,ACETIC ACID (BULK) 3 % LIQUID,22.0,11.0,4.8,19.8,65
NDC,51552035705,FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION,273.0,136.5,59.54,245.7,65
NDC,51552096905,NEOMYCIN SULFATE (BULK) POWDER,312.5,156.25,68.16,281.25,65
NDC,51552134501,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL SOLUTION,2146.4,1073.2,468.13,1931.76,65
NDC,51660014030,VALSARTAN 40 MG TABLET,18.75,9.38,4.09,16.88,65
NDC,51660014190,VALSARTAN 80 MG TABLET,80.5,40.25,17.56,72.45,65
NDC,51660020030,EZETIMIBE 10 MG TABLET,11.55,5.78,2.52,10.4,65
NDC,51660020090,EZETIMIBE 10 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,51660099530,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,693.75,346.88,151.31,624.38,65
NDC,51660099628,COLESEVELAM 625 MG TABLET,807.3,403.65,176.07,726.57,65
NDC,51672125901,CLOBETASOL 0.05 % TOPICAL OINTMENT,29.35,14.68,6.4,26.42,65
NDC,51672125902,CLOBETASOL 0.05 % TOPICAL OINTMENT,58.7,29.35,12.8,52.83,65
NDC,51672126201,DESOXIMETASONE 0.25 % TOPICAL OINTMENT,68.95,34.48,15.04,62.06,65
NDC,51672126301,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",20.9,10.45,4.56,18.81,65
NDC,51672126302,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",36.55,18.28,7.97,32.9,65
NDC,51672126303,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",52.2,26.1,11.38,46.98,65
NDC,51672126705,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,124.8,62.4,27.22,112.32,65
NDC,51672127001,DESOXIMETASONE 0.25 % TOPICAL CREAM,49.95,24.98,10.89,44.96,65
NDC,51672127201,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",31.05,15.53,6.77,27.95,65
NDC,51672127202,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",47.2,23.6,10.29,42.48,65
NDC,51672127401,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,76.8,38.4,16.75,69.12,65
NDC,51672128001,DESONIDE 0.05 % TOPICAL CREAM,37.65,18.83,8.21,33.89,65
NDC,51672128201,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,12.7,6.35,2.77,11.43,65
NDC,51672128202,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,37.8,18.9,8.24,34.02,65
NDC,51672128401,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,25.65,12.83,5.59,23.09,65
NDC,51672128402,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,28.65,14.33,6.25,25.79,65
NDC,51672128408,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,58.6,29.3,12.78,52.74,65
NDC,51672128901,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",20.45,10.23,4.46,18.41,65
NDC,51672128902,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",77.25,38.63,16.85,69.53,65
NDC,51672129006,HYDROCORTISONE VALERATE 0.2 % TOPICAL CREAM,49.45,24.73,10.79,44.51,65
NDC,51672129403,CLOBETASOL 0.05 % TOPICAL GEL,406.5,203.25,88.66,365.85,65
NDC,51672129701,CLOBETASOL-EMOLLIENT 0.05 % TOPICAL CREAM,94.35,47.18,20.58,84.92,65
NDC,51672129801,KETOCONAZOLE 2 % TOPICAL CREAM,104.15,52.08,22.72,93.74,65
NDC,51672129802,KETOCONAZOLE 2 % TOPICAL CREAM,50.95,25.48,11.11,45.86,65
NDC,51672130102,AMMONIUM LACTATE 12 % TOPICAL CREAM,46.2,23.1,10.08,41.58,65
NDC,51672130104,AMMONIUM LACTATE 12 % TOPICAL CREAM,46.2,23.1,10.08,41.58,65
NDC,51672130200,TERCONAZOLE 0.8 % VAGINAL CREAM,157.2,78.6,34.29,141.48,65
NDC,51672130301,ECONAZOLE NITRATE 1 % TOPICAL CREAM,44.05,22.03,9.61,39.65,65
NDC,51672130302,ECONAZOLE NITRATE 1 % TOPICAL CREAM,86.05,43.03,18.77,77.45,65
NDC,51672130406,TERCONAZOLE 0.4 % VAGINAL CREAM,168.5,84.25,36.75,151.65,65
NDC,51672131200,MUPIROCIN 2 % TOPICAL OINTMENT,15.75,7.88,3.44,14.18,65
NDC,51672131201,MUPIROCIN 2 % TOPICAL OINTMENT,13.05,6.53,2.85,11.75,65
NDC,51672131801,CICLOPIROX 0.77 % TOPICAL CREAM,13.15,6.58,2.87,11.84,65
NDC,51672136203,NAFTIFINE 1 % TOPICAL CREAM,1279.2,639.6,278.99,1151.28,65
NDC,51672137001,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,84.45,42.23,18.42,76.01,65
NDC,51672137002,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,99.9,49.95,21.79,89.91,65
NDC,51672138601,FLUOCINONIDE 0.05 % TOPICAL CREAM,81.75,40.88,17.83,73.58,65
NDC,51672138602,FLUOCINONIDE 0.05 % TOPICAL CREAM,162.75,81.38,35.5,146.48,65
NDC,51672300302,HYDROCORTISONE 2.5 % TOPICAL CREAM,11.6,5.8,2.53,10.44,65
NDC,51672300701,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,347.7,173.85,75.83,312.93,65
NDC,51672302002,LIDOCAINE 5 % TOPICAL OINTMENT,187.2,93.6,40.83,168.48,65
NDC,51672302009,LIDOCAINE 5 % TOPICAL OINTMENT,41.7,20.85,9.09,37.53,65
NDC,51672400101,NORTRIPTYLINE 10 MG CAPSULE,30.0,15.0,6.54,27.0,65
NDC,51672400105,NORTRIPTYLINE 10 MG CAPSULE,22.7,11.35,4.95,20.43,65
NDC,51672400201,NORTRIPTYLINE 25 MG CAPSULE,37.2,18.6,8.11,33.48,65
NDC,51672400205,NORTRIPTYLINE 25 MG CAPSULE,34.05,17.03,7.43,30.65,65
NDC,51672400305,NORTRIPTYLINE 50 MG CAPSULE,41.6,20.8,9.07,37.44,65
NDC,51672400401,NORTRIPTYLINE 75 MG CAPSULE,250.2,125.1,54.57,225.18,65
NDC,51672400405,NORTRIPTYLINE 75 MG CAPSULE,56.2,28.1,12.26,50.58,65
NDC,51672400501,CARBAMAZEPINE 200 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,51672400502,CARBAMAZEPINE 200 MG TABLET,805.0,402.5,175.57,724.5,65
NDC,51672400503,CARBAMAZEPINE 200 MG TABLET,1820.0,910.0,396.94,1638.0,65
NDC,51672401105,CLOMIPRAMINE 25 MG CAPSULE,104.25,52.13,22.74,93.83,65
NDC,51672401106,CLOMIPRAMINE 25 MG CAPSULE,40.9,20.45,8.92,36.81,65
NDC,51672401205,CLOMIPRAMINE 50 MG CAPSULE,164.2,82.1,35.81,147.78,65
NDC,51672401306,CLOMIPRAMINE 75 MG CAPSULE,50.4,25.2,10.99,45.36,65
NDC,51672401601,ETODOLAC 200 MG CAPSULE,269.4,134.7,58.76,242.46,65
NDC,51672401701,ETODOLAC 300 MG CAPSULE,223.2,111.6,48.68,200.88,65
NDC,51672402301,ACETAZOLAMIDE 250 MG TABLET,207.6,103.8,45.28,186.84,65
NDC,51672402504,AMIODARONE 200 MG TABLET,37.1,18.55,8.09,33.39,65
NDC,51672402601,KETOCONAZOLE 200 MG TABLET,395.0,197.5,86.15,355.5,65
NDC,51672402606,KETOCONAZOLE 200 MG TABLET,324.0,162.0,70.66,291.6,65
NDC,51672402701,WARFARIN 1 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,51672402801,WARFARIN 2 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,51672402901,WARFARIN 2.5 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,51672403001,WARFARIN 3 MG TABLET,106.8,53.4,23.29,96.12,65
NDC,51672403201,WARFARIN 5 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,51672403301,WARFARIN 6 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,51672403401,WARFARIN 7.5 MG TABLET,171.6,85.8,37.43,154.44,65
NDC,51672403501,WARFARIN 10 MG TABLET,76.2,38.1,16.62,68.58,65
NDC,51672403701,ENALAPRIL MALEATE 2.5 MG TABLET,64.2,32.1,14.0,57.78,65
NDC,51672403801,ENALAPRIL MALEATE 5 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,51672403901,ENALAPRIL MALEATE 10 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,51672404101,CARBAMAZEPINE 100 MG CHEWABLE TABLET,162.0,81.0,35.33,145.8,65
NDC,51672404201,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,413.5,206.75,90.18,372.15,65
NDC,51672404301,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,467.0,233.5,101.85,420.3,65
NDC,51672404401,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,1107.5,553.75,241.55,996.75,65
NDC,51672404709,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,254.25,127.13,55.45,228.83,65
NDC,51672404801,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,62.5,31.25,13.63,56.25,65
NDC,51672404806,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,158.25,79.13,34.51,142.43,65
NDC,51672405104,"ETODOLAC ER 400 MG TABLET,EXTENDED RELEASE 24 HR",294.9,147.45,64.32,265.41,65
NDC,51672406102,HYDROCORTISONE BUTYRATE 0.1 % TOPICAL SOLUTION,152.4,76.2,33.24,137.16,65
NDC,51672406901,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,130.85,65.43,28.54,117.77,65
NDC,51672408103,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,28.1,14.05,6.13,25.29,65
NDC,51672411101,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,109.2,54.6,23.82,98.28,65
NDC,51672411606,METRONIDAZOLE 0.75 % TOPICAL GEL,88.6,44.3,19.32,79.74,65
NDC,51672411806,FLUOROURACIL 5 % TOPICAL CREAM,146.2,73.1,31.89,131.58,65
NDC,51672412301,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",129.0,64.5,28.13,116.1,65
NDC,51672412401,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",166.2,83.1,36.25,149.58,65
NDC,51672412501,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",261.0,130.5,56.92,234.9,65
NDC,51672413001,LAMOTRIGINE 25 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,51672413101,LAMOTRIGINE 100 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,51672413204,LAMOTRIGINE 150 MG TABLET,16.6,8.3,3.62,14.94,65
NDC,51672413304,LAMOTRIGINE 200 MG TABLET,17.65,8.83,3.85,15.89,65
NDC,51672414601,PHENYTOIN 50 MG CHEWABLE TABLET,93.0,46.5,20.28,83.7,65
NDC,51672417201,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,623.35,311.68,135.95,561.02,65
NDC,51672418501,FELBAMATE 400 MG TABLET,387.0,193.5,84.4,348.3,65
NDC,51672418601,FELBAMATE 600 MG TABLET,562.5,281.25,122.68,506.25,65
NDC,51672420003,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,34.4,17.2,7.5,30.96,65
NDC,51672421503,METRONIDAZOLE 1 % TOPICAL GEL,328.5,164.25,71.65,295.65,65
NDC,51672421701,DOXEPIN 10 MG CAPSULE,50.4,25.2,10.99,45.36,65
NDC,51672421801,DOXEPIN 25 MG CAPSULE,64.2,32.1,14.0,57.78,65
NDC,51672422401,BUMETANIDE 1 MG TABLET,314.5,157.25,68.59,283.05,65
NDC,51672422708,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,190.1,95.05,41.46,171.09,65
NDC,51672423401,FLUPHENAZINE 2.5 MG TABLET,141.6,70.8,30.88,127.44,65
NDC,51672423501,FLUPHENAZINE 5 MG TABLET,159.6,79.8,34.81,143.64,65
NDC,51672423601,FLUPHENAZINE 10 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,51672424501,ENALAPRIL MALEATE 10 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,51672529601,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,239.15,119.58,52.16,215.24,65
NDC,51672529605,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,19.95,9.98,4.35,17.96,65
NDC,51672529701,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,239.15,119.58,52.16,215.24,65
NDC,51672529704,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,19.95,9.98,4.35,17.96,65
NDC,51754010301,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,102.65,51.33,22.39,92.39,65
NDC,51754010304,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,102.65,51.33,22.39,92.39,65
NDC,51754010801,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",66.4,33.2,14.48,59.76,65
NDC,51754010803,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",66.4,33.2,14.48,59.76,65
NDC,51754020301,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,51754020302,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,51754020304,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,51754020401,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,51754020404,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,51754050001,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,66.55,33.28,1.65,59.9,66
NDC,51754050103,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,46.7,23.35,10.19,42.03,65
NDC,51754100001,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,30.0,15.0,0.77,27.0,66
NDC,51754100004,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,30.0,15.0,0.77,27.0,66
NDC,51754100601,NITROPRUSSIDE 50 MG/100 ML (0.5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SOLN,249.6,124.8,54.44,224.64,65
NDC,51754100701,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,422.6,211.3,92.17,380.34,65
NDC,51754100703,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,422.6,211.3,92.17,380.34,65
NDC,51754120001,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,66.3,33.15,1.79,59.67,66
NDC,51754120003,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,66.3,33.15,1.79,59.67,66
NDC,51754122001,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,101.9,50.95,1.79,91.71,66
NDC,51754200104,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,50.0,25.0,10.91,45.0,65
NDC,51754200401,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,119.2,59.6,26.0,107.28,65
NDC,51754200404,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,119.2,59.6,26.0,107.28,65
NDC,51754400001,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,52.75,26.38,11.5,47.48,65
NDC,51754400003,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,52.75,26.38,11.5,47.48,65
NDC,51754402001,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,86.05,43.03,18.77,77.45,65
NDC,51754420001,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,85.45,42.73,18.64,76.91,65
NDC,51754420004,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,85.45,42.73,18.64,76.91,65
NDC,51754500101,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,56.8,28.4,12.39,51.12,65
NDC,51754500104,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,56.8,28.4,12.39,51.12,65
NDC,51754500105,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,56.8,28.4,12.39,51.12,65
NDC,51754501101,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,45.5,22.75,9.92,40.95,65
NDC,51754501104,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,45.5,22.75,9.92,40.95,65
NDC,51754501201,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION (NEO/PED),33.3,16.65,7.26,29.97,65
NDC,51754501204,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION (NEO/PED),33.3,16.65,7.26,29.97,65
NDC,51754506001,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,229.45,114.73,7.56,206.51,66
NDC,51754600001,GLYCOPYRROLATE (PF) 0.2 MG/ML INJECTION SOLUTION,22.25,11.13,4.85,20.03,65
NDC,51754600004,GLYCOPYRROLATE (PF) 0.2 MG/ML INJECTION SOLUTION,22.25,11.13,4.85,20.03,65
NDC,51754600101,GLYCOPYRROLATE (PF) 0.2 MG/ML INJECTION SOLUTION,22.45,11.23,4.9,20.21,65
NDC,51754600104,GLYCOPYRROLATE (PF) 0.2 MG/ML INJECTION SOLUTION,22.45,11.23,4.9,20.21,65
NDC,51754913101,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",157.0,78.5,0.16,141.3,66
NDC,51754913105,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",157.0,78.5,0.16,141.3,66
NDC,51759052010,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,9033.6,4516.8,25.54,8130.24,71
NDC,51759063010,RISPERIDONE ER 125 MG/0.35 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,11291.75,5645.88,25.54,10162.58,71
NDC,51759085010,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,18066.55,9033.28,25.54,16259.9,71
NDC,51759096010,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,22583.5,11291.75,25.54,20325.15,71
NDC,51801000101,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,3.35,1.68,0.73,3.02,65
NDC,51801000901,FLUORESCEIN 1 MG EYE STRIPS,3.25,1.63,0.71,2.93,65
NDC,51801001330,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,79.4,39.7,17.32,71.46,65
NDC,51801001430,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,79.4,39.7,17.32,71.46,65
NDC,51803000101,POTASSIUM IODIDE 130 MG TABLET,341.6,170.8,74.5,307.44,65
NDC,51803000110,POTASSIUM IODIDE 130 MG TABLET,341.6,170.8,74.5,307.44,65
NDC,51862000560,DOFETILIDE 500 MCG CAPSULE,233.3,116.65,50.88,209.97,65
NDC,51862002560,DOFETILIDE 250 MCG CAPSULE,233.3,116.65,50.88,209.97,65
NDC,51862009501,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,996.5,498.25,217.34,896.85,65
NDC,51862009601,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,1123.5,561.75,245.04,1011.15,65
NDC,51862012560,DOFETILIDE 125 MCG CAPSULE,233.3,116.65,50.88,209.97,65
NDC,51862017901,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE,1925.5,962.75,419.95,1732.95,65
NDC,51862018601,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",145.8,72.9,31.8,131.22,65
NDC,51862018801,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",314.5,157.25,68.59,283.05,65
NDC,51862019460,"CLARITHROMYCIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",1887.0,943.5,411.55,1698.3,65
NDC,51862032001,LIOTHYRONINE 5 MCG TABLET,290.0,145.0,63.25,261.0,65
NDC,51862032101,LIOTHYRONINE 25 MCG TABLET,400.0,200.0,87.24,360.0,65
NDC,51862033301,ESTRADIOL 1 MG TABLET,61.8,30.9,13.48,55.62,65
NDC,51862034490,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE",379.35,189.68,82.74,341.42,65
NDC,51862044760,TAMOXIFEN 10 MG TABLET,68.4,34.2,14.92,61.56,65
NDC,51862045301,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,39.45,19.73,8.6,35.51,65
NDC,51862045304,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,157.7,78.85,34.39,141.93,65
NDC,51862045401,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,59.0,29.5,12.87,53.1,65
NDC,51862045404,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,236.0,118.0,51.47,212.4,65
NDC,51862045501,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,81.6,40.8,17.8,73.44,65
NDC,51862045504,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,271.9,135.95,59.3,244.71,65
NDC,51862045801,CYCLOSPORINE MODIFIED 25 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,51862045847,CYCLOSPORINE MODIFIED 25 MG CAPSULE,94.9,47.45,20.7,85.41,65
NDC,51862046001,CYCLOSPORINE MODIFIED 100 MG CAPSULE,6.65,3.33,1.45,5.99,66
NDC,51862046047,CYCLOSPORINE MODIFIED 100 MG CAPSULE,199.45,99.73,2.51,179.51,66
NDC,51862048601,TRIMETHOPRIM 100 MG TABLET,931.5,465.75,203.16,838.35,65
NDC,51862054001,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,256.8,128.4,56.01,231.12,65
NDC,51862054005,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,1020.0,510.0,222.46,918.0,65
NDC,51862056401,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,112.25,56.13,24.48,101.03,65
NDC,51862056406,NORGESTREL 0.3 MG-ETHINYL ESTRADIOL 30 MCG TABLET,112.25,56.13,24.48,101.03,65
NDC,51862085601,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,178.2,89.1,38.87,160.38,65
NDC,51862085605,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,727.5,363.75,158.67,654.75,65
NDC,51862090201,CLOZAPINE 100 MG TABLET,291.6,145.8,63.6,262.44,65
NDC,51862094301,DIAZEPAM 10 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,51927101800,MEPERIDINE (BULK) 100 % POWDER,600.0,300.0,8.1,540.0,66
NDC,51927213900,LEVODOPA (BULK) POWDER,325.0,162.5,70.88,292.5,65
NDC,51991000298,METHADONE 10 MG/ML INJECTION SOLUTION,1976.1,988.05,21.83,1778.49,66
NDC,51991000633,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",50.6,25.3,11.04,45.54,65
NDC,51991007301,BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP,396.5,198.25,86.48,356.85,65
NDC,51991014417,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,91.25,45.63,19.9,82.13,66
NDC,51991014499,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,91.25,45.63,19.9,82.13,66
NDC,51991018211,B COMPLEX-C-MIN-FE-FA 106 MG IRON-1 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,51991018299,B COMPLEX-C-MIN-FE-FA 106 MG IRON-1 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,51991019811,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,69.6,34.8,15.18,62.64,65
NDC,51991019899,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,3.15,1.58,0.69,2.84,65
NDC,51991029201,OXCARBAZEPINE 150 MG TABLET,159.6,79.8,34.81,143.64,65
NDC,51991029301,OXCARBAZEPINE 300 MG TABLET,91.8,45.9,20.02,82.62,65
NDC,51991029305,OXCARBAZEPINE 300 MG TABLET,365.0,182.5,79.61,328.5,65
NDC,51991031133,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",121.35,60.68,26.47,109.22,65
NDC,51991031190,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",256.5,128.25,55.94,230.85,65
NDC,51991031233,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",121.35,60.68,26.47,109.22,65
NDC,51991034806,LACOSAMIDE 50 MG TABLET,34.95,17.48,7.62,31.46,65
NDC,51991034906,LACOSAMIDE 100 MG TABLET,59.8,29.9,13.04,53.82,65
NDC,51991035860,ASENAPINE 5 MG SUBLINGUAL TABLET,729.0,364.5,158.99,656.1,65
NDC,51991036060,ASENAPINE 10 MG SUBLINGUAL TABLET,729.0,364.5,158.99,656.1,65
NDC,51991037960,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,1155.6,577.8,252.04,1040.04,65
NDC,51991037999,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,23.15,11.58,5.05,20.84,65
NDC,51991038060,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,2311.2,1155.6,504.07,2080.08,65
NDC,51991038099,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,46.25,23.13,10.09,41.63,65
NDC,51991038199,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,69.35,34.68,15.13,62.42,65
NDC,51991047428,ESTRADIOL-NORETHINDRONE ACET 1 MG-0.5 MG TABLET,360.65,180.33,78.66,324.59,65
NDC,51991052601,TERBINAFINE HCL 250 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,51991054390,IRON ASP-C-B12-CALCIUM-SA-STOMACH 70 MG-150 MG-10 MCG-2 MG-75MG TABLET,379.35,189.68,82.74,341.42,65
NDC,51991062033,ANASTROZOLE 1 MG TABLET,17.85,8.93,3.89,16.07,65
NDC,51991065116,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,96.5,48.25,21.05,86.85,65
NDC,51991070501,ALPRAZOLAM 0.5 MG TABLET,23.4,11.7,5.1,21.06,65
NDC,51991073520,GRANISETRON HCL 1 MG TABLET,113.8,56.9,24.82,102.42,65
NDC,51991073599,GRANISETRON HCL 1 MG TABLET,5.7,2.85,1.24,5.13,65
NDC,51991074690,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",67.0,33.5,14.61,60.3,65
NDC,51991074710,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",685.0,342.5,149.4,616.5,65
NDC,51991074790,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",77.8,38.9,16.97,70.02,65
NDC,51991074890,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",83.2,41.6,18.15,74.88,65
NDC,51991075933,LETROZOLE 2.5 MG TABLET,22.0,11.0,4.8,19.8,65
NDC,51991079306,RIVASTIGMINE 1.5 MG CAPSULE,155.55,77.78,33.93,140.0,65
NDC,51991079798,AZACITIDINE 100 MG SOLUTION FOR INJECTION,455.0,227.5,0.4,409.5,66
NDC,51991081403,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,108.75,54.38,23.72,97.88,65
NDC,51991081701,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",223.2,111.6,48.68,200.88,65
NDC,51991083801,CYPROHEPTADINE 4 MG TABLET,190.8,95.4,41.61,171.72,65
NDC,51991083810,CYPROHEPTADINE 4 MG TABLET,2576.0,1288.0,561.83,2318.4,65
NDC,51991087733,EPLERENONE 25 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,51991089730,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,249.3,124.65,54.37,224.37,65
NDC,51991089799,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,8.35,4.18,1.82,7.52,65
NDC,51991089830,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,249.3,124.65,54.37,224.37,65
NDC,51991089899,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,8.35,4.18,1.82,7.52,65
NDC,51991090001,CLOBAZAM 10 MG TABLET,272.5,136.25,59.43,245.25,65
NDC,51991090601,TETRACYCLINE 250 MG CAPSULE,264.6,132.3,57.71,238.14,65
NDC,51991090701,TETRACYCLINE 500 MG CAPSULE,845.0,422.5,184.29,760.5,65
NDC,51991091133,LMFOLATE CA 6 MG-ACETYLCYS 600 MG-MB12 2 MG-ALGAL OIL 90.314 MG TABLET,474.9,237.45,103.58,427.41,65
NDC,51991094298,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,672.45,336.23,64.32,605.21,71
NDC,51991094333,MOXIFLOXACIN 400 MG TABLET,230.4,115.2,50.25,207.36,65
NDC,51991094401,TRIMIPRAMINE 25 MG CAPSULE,985.0,492.5,214.83,886.5,65
NDC,51991094501,TRIMIPRAMINE 50 MG CAPSULE,1954.5,977.25,426.28,1759.05,65
NDC,52015008001,FIDAXOMICIN 200 MG TABLET,9431.6,4715.8,2057.03,8488.44,65
NDC,52244002001,ALPROSTADIL 20 MCG INTRACAVERNOSAL KIT,1104.4,552.2,10.59,993.96,66
NDC,52244002002,ALPROSTADIL 20 MCG INTRACAVERNOSAL KIT,1104.4,552.2,10.59,993.96,66
NDC,52244002006,ALPROSTADIL 20 MCG INTRACAVERNOSAL KIT,2615.4,1307.7,10.59,2353.86,66
NDC,52244010010,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",1788.5,894.25,390.07,1609.65,65
NDC,52244020010,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",2126.4,1063.2,463.77,1913.76,65
NDC,52244030010,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",2613.6,1306.8,570.03,2352.24,65
NDC,52244040010,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR",3677.6,1838.8,802.08,3309.84,65
NDC,52268010001,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,120.0,60.0,26.17,108.0,65
NDC,52268030201,PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION,120.0,60.0,26.17,108.0,65
NDC,52343016001,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,52343016201,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,52376002102,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,25.55,12.78,5.57,23.0,65
NDC,52427028501,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,2199.6,1099.8,479.73,1979.64,65
NDC,52427044190,LISINOPRIL 20 MG TABLET,4337.3,2168.65,945.97,3903.57,65
NDC,52536000609,ISOSORBIDE 20 MG-HYDRALAZINE 37.5 MG TABLET,492.3,246.15,107.37,443.07,65
NDC,52536009605,VANCOMYCIN 50 MG/ML ORAL SOLUTION,657.0,328.5,143.29,591.3,65
NDC,52536010303,ERYTHROMYCIN 250 MG TABLET,1304.1,652.05,284.42,1173.69,65
NDC,52536010605,VANCOMYCIN 50 MG/ML ORAL SOLUTION,657.0,328.5,143.29,591.3,65
NDC,52536013013,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,2112.4,1056.2,460.71,1901.16,65
NDC,52536013413,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1038.0,519.0,226.39,934.2,65
NDC,52536016201,PERPHENAZINE 2 MG TABLET,204.0,102.0,44.49,183.6,65
NDC,52536016401,PERPHENAZINE 4 MG TABLET,279.6,139.8,60.98,251.64,65
NDC,52536016801,PERPHENAZINE 8 MG TABLET,282.5,141.25,61.61,254.25,65
NDC,52536018003,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",819.3,409.65,178.69,737.37,65
NDC,52536018303,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",1004.7,502.35,219.13,904.23,65
NDC,52536050003,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,363.75,181.88,79.33,327.38,65
NDC,52536060011,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,2701.45,1350.73,589.19,2431.31,65
NDC,52536062501,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,109.5,54.75,0.03,98.55,66
NDC,52565000814,LIDOCAINE 5 % TOPICAL OINTMENT,58.5,29.25,12.76,52.65,65
NDC,52565000950,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,250.25,125.13,54.58,225.23,65
NDC,52565001415,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,24.25,12.13,5.29,21.83,65
NDC,52565001426,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,79.0,39.5,17.23,71.1,65
NDC,52565001480,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,55.2,27.6,12.04,49.68,65
NDC,52609000105,MELPHALAN 2 MG TABLET,2104.0,1052.0,458.88,1893.6,65
NDC,52609300100,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,6157.75,3078.88,97.82,5541.98,71
NDC,52652195001,LEVOTHYROXINE 20 MCG/ML ORAL SOLUTION,667.5,333.75,145.58,600.75,65
NDC,52652195002,LEVOTHYROXINE 20 MCG/ML ORAL SOLUTION,667.5,333.75,145.58,600.75,65
NDC,52652300101,LISINOPRIL 1 MG/ML ORAL SOLUTION,2524.8,1262.4,550.66,2272.32,65
NDC,52652400101,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,2510.4,1255.2,547.52,2259.36,65
NDC,52652500101,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,2365.8,1182.9,515.98,2129.22,65
NDC,52652600101,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,2684.65,1342.33,585.52,2416.19,65
NDC,52652600102,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,6711.6,3355.8,1463.8,6040.44,65
NDC,52652800101,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,1939.5,969.75,423.0,1745.55,65
NDC,52652900101,TOPIRAMATE 25 MG/ML ORAL SOLUTION,2853.15,1426.58,622.27,2567.84,65
NDC,52652900103,TOPIRAMATE 25 MG/ML ORAL SOLUTION,1542.6,771.3,336.44,1388.34,65
NDC,52747030630,FERROUS FUMARATE-FOLIC ACID 324 MG (106 MG IRON)-1 MG TABLET,56.0,28.0,12.21,50.4,65
NDC,52747080030,MULTIVIT-MINERALS NO.73-IRON FUMARATE 106 MG-FOLIC ACID 1 MG CAPSULE,97.4,48.7,21.24,87.66,65
NDC,52747080060,MULTIVIT-MINERALS NO.73-IRON FUMARATE 106 MG-FOLIC ACID 1 MG CAPSULE,270.5,135.25,59.0,243.45,65
NDC,52817018010,CLONIDINE HCL 0.1 MG TABLET,25.8,12.9,5.63,23.22,65
NDC,52817018110,CLONIDINE HCL 0.2 MG TABLET,34.8,17.4,7.59,31.32,65
NDC,52817021010,CYPROHEPTADINE 4 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,52817023530,RAMELTEON 8 MG TABLET,189.75,94.88,41.38,170.78,65
NDC,52817026010,OXYBUTYNIN CHLORIDE 5 MG TABLET,31.2,15.6,6.8,28.08,65
NDC,52817029010,OXAZEPAM 10 MG CAPSULE,366.0,183.0,79.82,329.4,65
NDC,52817029110,OXAZEPAM 15 MG CAPSULE,458.5,229.25,100.0,412.65,65
NDC,52817029590,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,52817031910,BACLOFEN 5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,52817032010,BACLOFEN 10 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,52817032110,BACLOFEN 20 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,52817033200,CYCLOBENZAPRINE 10 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,52817033210,CYCLOBENZAPRINE 10 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,52817036010,METOPROLOL TARTRATE 25 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,52817036110,METOPROLOL TARTRATE 50 MG TABLET,15.6,7.8,3.4,14.04,65
NDC,52817036790,ETHACRYNIC ACID 25 MG TABLET,540.0,270.0,117.77,486.0,65
NDC,52817039110,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,52817061004,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,197.4,98.7,43.05,177.66,65
NDC,52817061104,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,276.9,138.45,60.39,249.21,65
NDC,52817061204,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,384.2,192.1,83.79,345.78,65
NDC,52817081508,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,2493.25,1246.63,543.78,2243.93,65
NDC,52817081615,ACETIC ACID 2 % EAR SOLUTION,137.1,68.55,29.9,123.39,65
NDC,52817083004,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,122.5,61.25,26.72,110.25,65
NDC,52817083530,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT,2162.25,1081.13,471.59,1946.03,65
NDC,52817084016,SUCRALFATE 100 MG/ML ORAL SUSPENSION,496.65,248.33,108.32,446.99,65
NDC,53276101002,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,396.6,198.3,44.14,356.94,70
NDC,53276101008,MICROFIBRILLAR COLLAGEN HEMOSTAT 35 MM X 35 MM SHEETS,262.0,131.0,57.14,235.8,65
NDC,53276101009,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS,396.6,198.3,29.97,356.94,70
NDC,53276101011,MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 70 MM SHEETS,1016.95,508.48,221.8,915.26,65
NDC,53329030124,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,92.7,46.35,20.22,83.43,65
NDC,53436008401,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,183.8,91.9,40.09,165.42,65
NDC,53436008404,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,818.6,409.3,178.54,736.74,65
NDC,53436008430,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,3675.75,1837.88,801.68,3308.18,65
NDC,53462000315,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,3.0,1.5,0.65,2.7,65
NDC,53489011802,DOXYCYCLINE HYCLATE 50 MG CAPSULE,124.2,62.1,27.09,111.78,65
NDC,53489011902,DOXYCYCLINE HYCLATE 100 MG CAPSULE,33.3,16.65,7.26,29.97,65
NDC,53489012002,DOXYCYCLINE HYCLATE 100 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,53489012005,DOXYCYCLINE HYCLATE 100 MG TABLET,252.0,126.0,54.96,226.8,65
NDC,53489014101,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",2170.4,1085.2,473.36,1953.36,65
NDC,53489014301,SPIRONOLACTONE 25 MG TABLET,22.2,11.1,4.84,19.98,65
NDC,53489014305,SPIRONOLACTONE 25 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,53489015601,ALLOPURINOL 100 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,53489015701,ALLOPURINOL 300 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,53489017601,ALBUTEROL SULFATE 2 MG TABLET,194.4,97.2,42.4,174.96,65
NDC,53489017701,ALBUTEROL SULFATE 4 MG TABLET,194.4,97.2,42.4,174.96,65
NDC,53489028101,ERGOLOID 1 MG TABLET,2188.0,1094.0,477.2,1969.2,65
NDC,53489032901,SPIRONOLACTONE 100 MG TABLET,72.6,36.3,15.83,65.34,65
NDC,53489032907,SPIRONOLACTONE 100 MG TABLET,85.5,42.75,18.65,76.95,65
NDC,53489036901,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",502.0,251.0,109.49,451.8,65
NDC,53489038601,MINOXIDIL 2.5 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,53489038701,MINOXIDIL 10 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,53489047901,SULINDAC 200 MG TABLET,100.8,50.4,21.98,90.72,65
NDC,53489051701,TRAZODONE 150 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,53489070007,QUININE 324 MG CAPSULE,343.95,171.98,75.02,309.56,65
NDC,53746010901,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,53746011001,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,53746016960,MEMANTINE 10 MG TABLET,38.2,19.1,8.33,34.38,65
NDC,53746017360,MEMANTINE 5 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,53746019301,NAPROXEN SODIUM 275 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,53746019401,NAPROXEN SODIUM 550 MG TABLET,633.5,316.75,138.17,570.15,65
NDC,53746020401,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,53746027101,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,53746027201,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,53746027205,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,307.5,153.75,67.07,276.75,65
NDC,53746036101,FOLIC ACID 1 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,53746036110,FOLIC ACID 1 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,53746044201,MECLIZINE 25 MG TABLET,114.6,57.3,24.99,103.14,65
NDC,53746051101,SPIRONOLACTONE 25 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,53746051110,SPIRONOLACTONE 25 MG TABLET,600.0,300.0,130.86,540.0,65
NDC,53746051501,SPIRONOLACTONE 100 MG TABLET,262.5,131.25,57.25,236.25,65
NDC,53746054201,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",144.0,72.0,31.41,129.6,65
NDC,53746054401,PRIMIDONE 50 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,53746054501,PRIMIDONE 250 MG TABLET,217.2,108.6,47.37,195.48,65
NDC,53746055401,DEMECLOCYCLINE 150 MG TABLET,2528.4,1264.2,551.44,2275.56,65
NDC,53746055548,DEMECLOCYCLINE 300 MG TABLET,2195.8,1097.9,478.9,1976.22,65
NDC,53746057101,BETHANECHOL CHLORIDE 5 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,53746057201,BETHANECHOL CHLORIDE 10 MG TABLET,70.2,35.1,15.31,63.18,65
NDC,53746057301,BETHANECHOL CHLORIDE 25 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,53746061701,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,102.6,51.3,22.38,92.34,65
NDC,53746064101,FLECAINIDE 50 MG TABLET,138.6,69.3,30.23,124.74,65
NDC,53746064201,FLECAINIDE 100 MG TABLET,277.0,138.5,60.41,249.3,65
NDC,53746064301,FLECAINIDE 150 MG TABLET,381.0,190.5,83.1,342.9,65
NDC,53746066901,ACEBUTOLOL 200 MG CAPSULE,261.6,130.8,57.05,235.44,65
NDC,53746071101,GUANFACINE 1 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,53746074501,PROMETHAZINE 12.5 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,53746083153,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",750.0,375.0,163.58,675.0,65
NDC,54092006301,ANAGRELIDE 0.5 MG CAPSULE,3058.0,1529.0,666.95,2752.2,65
NDC,54092010001,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1830.6,915.3,399.25,1647.54,65
NDC,54092017112,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",983.4,491.7,214.48,885.06,65
NDC,54092017212,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",983.4,491.7,214.48,885.06,65
NDC,54092017312,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",983.4,491.7,214.48,885.06,65
NDC,54092018981,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",2694.75,1347.38,587.72,2425.28,65
NDC,54092019112,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",2694.75,1347.38,587.72,2425.28,65
NDC,54092025245,LANTHANUM 500 MG CHEWABLE TABLET,2497.5,1248.75,544.7,2247.75,65
NDC,54092025290,LANTHANUM 500 MG CHEWABLE TABLET,3996.0,1998.0,871.53,3596.4,65
NDC,54092038101,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",2634.0,1317.0,574.48,2370.6,65
NDC,54092038301,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",2634.0,1317.0,574.48,2370.6,65
NDC,54092038701,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",2634.0,1317.0,574.48,2370.6,65
NDC,54092038901,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",2634.0,1317.0,574.48,2370.6,65
NDC,54092047612,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",4153.95,2076.98,905.98,3738.56,65
NDC,54092051302,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",3592.4,1796.2,783.5,3233.16,65
NDC,54092051502,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",3592.4,1796.2,783.5,3233.16,65
NDC,54092051702,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",3592.4,1796.2,783.5,3233.16,65
NDC,54092054601,PRUCALOPRIDE 1 MG TABLET,2060.55,1030.28,449.41,1854.5,65
NDC,54092054701,PRUCALOPRIDE 2 MG TABLET,2060.55,1030.28,449.41,1854.5,65
NDC,54092070001,IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION,12944.6,6472.3,569.63,11650.14,71
NDC,54092070104,VELAGLUCERASE ALFA 400 UNIT INTRAVENOUS SOLUTION,5956.1,2978.05,388.99,5360.49,71
NDC,54092070203,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,44590.0,22295.0,133.0,40131.0,70
NDC,54288010001,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,158.1,79.05,7.71,142.29,66
NDC,54288010301,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,49.95,24.98,10.89,44.96,65
NDC,54288010310,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,49.95,24.98,10.89,44.96,65
NDC,54288010502,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,3131.35,1565.68,682.95,2818.22,65
NDC,54288010515,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,3131.35,1565.68,682.95,2818.22,65
NDC,54288011101,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,416.05,208.03,39.36,374.45,66
NDC,54288011105,HYOSCYAMINE 0.5 MG/ML INJECTION SOLUTION,416.05,208.03,39.36,374.45,66
NDC,54288011901,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,99.7,49.85,21.74,89.73,65
NDC,54288011925,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,99.7,49.85,21.74,89.73,65
NDC,54288012001,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,277.4,138.7,60.5,249.66,65
NDC,54288012501,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,13.9,6.95,3.03,12.51,65
NDC,54288012530,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,282.0,141.0,61.5,253.8,65
NDC,54288012701,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,314.35,157.18,68.56,282.92,65
NDC,54288012710,TETRACAINE HCL (PF) 1 % (10 MG/ML) INJECTION SOLUTION,314.35,157.18,68.56,282.92,65
NDC,54288013501,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",111.0,55.5,0.26,99.9,66
NDC,54288013601,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,129.0,64.5,28.13,116.1,66
NDC,54288013610,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,129.0,64.5,28.13,116.1,66
NDC,54288013625,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,80.0,40.0,17.45,72.0,66
NDC,54288013701,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,274.35,137.18,34.89,246.92,66
NDC,54288013710,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,274.35,137.18,34.89,246.92,66
NDC,54288013725,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,200.0,100.0,34.89,180.0,66
NDC,54288014201,PAPAVERINE 30 MG/ML INJECTION SOLUTION,90.15,45.08,19.66,81.14,66
NDC,54288014210,PAPAVERINE 30 MG/ML INJECTION SOLUTION,90.15,45.08,19.66,81.14,66
NDC,54288014701,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,693.4,346.7,8.9,624.06,70
NDC,54288016401,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,54288016501,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,54288016601,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,54288016701,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,455.0,227.5,3.99,409.5,66
NDC,54295030815,UREA 40 % TOPICAL CREAM,263.4,131.7,57.45,237.06,65
NDC,54482014407,LEVOCARNITINE 330 MG TABLET,375.3,187.65,81.85,337.77,65
NDC,54482014508,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,160.75,80.38,35.06,144.68,65
NDC,54482014701,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,153.7,76.85,33.52,138.33,66
NDC,54482014801,LEVOCARNITINE 100 MG/ML ORAL SOLUTION,234.35,117.18,51.11,210.92,65
NDC,54629012800,FOLIC ACID 1 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,54629409760,ACETYLCYSTEINE 600 MG CAPSULE,41.4,20.7,9.03,37.26,65
NDC,54643564601,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",89.75,44.88,19.57,80.78,65
NDC,54643564700,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",88.3,44.15,19.26,79.47,65
NDC,54643564901,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",66.4,33.2,14.48,59.76,65
NDC,54643565002,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",60.4,30.2,13.17,54.36,65
NDC,54643786201,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",45.45,22.73,9.91,40.91,65
NDC,54643786208,"MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN",45.25,22.63,9.87,40.73,65
NDC,54643786209,"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN",45.25,22.63,9.87,40.73,65
NDC,54643788601,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",45.8,22.9,9.99,41.22,65
NDC,54766076004,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % TOPICAL CREAM,1145.4,572.7,249.81,1030.86,65
NDC,54766079964,HYDROCORTISONE-PRAMOXINE 2.5 %-1 % (4G) RECTAL CREAM,87.45,43.73,19.07,78.71,65
NDC,54838050115,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,45.1,22.55,9.84,40.59,65
NDC,54838050140,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,121.7,60.85,26.54,109.53,65
NDC,54838050280,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,456.45,228.23,99.55,410.81,65
NDC,54838050615,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,128.1,64.05,27.94,115.29,65
NDC,54838051080,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,102.2,51.1,22.29,91.98,65
NDC,54838051180,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,147.6,73.8,32.19,132.84,65
NDC,54838051240,DOXEPIN 10 MG/ML ORAL CONCENTRATE,180.75,90.38,39.42,162.68,65
NDC,54838052340,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,319.2,159.6,69.62,287.28,65
NDC,54838055170,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,800.4,400.2,174.57,720.36,65
NDC,54838055550,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,150.0,75.0,32.72,135.0,65
NDC,54838055680,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,279.1,139.55,60.87,251.19,65
NDC,54838056670,LAMIVUDINE 10 MG/ML ORAL SOLUTION,410.4,205.2,89.51,369.36,65
NDC,54859051608,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,64.0,32.0,13.96,57.6,65
NDC,54879000101,ETHAMBUTOL 100 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,54879000201,ETHAMBUTOL 400 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,54879000308,DEXAMETHASONE 0.5 MG/5 ML ORAL ELIXIR,119.7,59.85,26.11,107.73,65
NDC,54879002101,CYCLOPHOSPHAMIDE 25 MG CAPSULE,901.5,450.75,196.62,811.35,65
NDC,54879002201,CYCLOPHOSPHAMIDE 50 MG CAPSULE,1571.5,785.75,342.74,1414.35,65
NDC,54879003710,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,23.25,11.63,0.89,20.93,66
NDC,54932050181,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,102.2,51.1,22.29,91.98,65
NDC,55111011230,MOXIFLOXACIN 400 MG TABLET,408.0,204.0,88.98,367.2,65
NDC,55111011901,FAMOTIDINE 20 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,55111012390,ATORVASTATIN 40 MG TABLET,73.45,36.73,16.02,66.11,65
NDC,55111012490,ATORVASTATIN 80 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,55111012506,CIPROFLOXACIN 100 MG TABLET,255.4,127.7,55.7,229.86,65
NDC,55111012601,CIPROFLOXACIN 250 MG TABLET,65.4,32.7,14.26,58.86,65
NDC,55111012701,CIPROFLOXACIN 500 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,55111012705,CIPROFLOXACIN 500 MG TABLET,430.0,215.0,93.78,387.0,65
NDC,55111012850,CIPROFLOXACIN 750 MG TABLET,94.5,47.25,20.61,85.05,65
NDC,55111014430,FLUCONAZOLE 100 MG TABLET,72.2,36.1,15.75,64.98,65
NDC,55111014512,FLUCONAZOLE 150 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,55111014571,FLUCONAZOLE 150 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,55111014601,FLUCONAZOLE 200 MG TABLET,416.0,208.0,90.73,374.4,65
NDC,55111014630,FLUCONAZOLE 200 MG TABLET,149.8,74.9,32.67,134.82,65
NDC,55111015330,ONDANSETRON HCL 4 MG TABLET,79.75,39.88,17.39,71.78,65
NDC,55111015430,ONDANSETRON HCL 8 MG TABLET,13.9,6.95,3.03,12.51,65
NDC,55111015730,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",32.4,16.2,7.07,29.16,65
NDC,55111015801,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",54.0,27.0,11.78,48.6,65
NDC,55111015810,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",300.0,150.0,65.43,270.0,65
NDC,55111016330,OLANZAPINE 2.5 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,55111017001,OXAPROZIN 600 MG TABLET,641.5,320.75,139.91,577.35,65
NDC,55111017915,TIZANIDINE 2 MG TABLET,74.7,37.35,16.29,67.23,65
NDC,55111018015,TIZANIDINE 4 MG TABLET,91.8,45.9,20.02,82.62,65
NDC,55111019605,CLOPIDOGREL 75 MG TABLET,225.0,112.5,49.07,202.5,65
NDC,55111019630,CLOPIDOGREL 75 MG TABLET,22.15,11.08,4.83,19.94,65
NDC,55111019690,CLOPIDOGREL 75 MG TABLET,90.2,45.1,19.67,81.18,65
NDC,55111022990,PRAVASTATIN 10 MG TABLET,20.55,10.28,4.48,18.5,65
NDC,55111023105,PRAVASTATIN 40 MG TABLET,412.5,206.25,89.97,371.25,65
NDC,55111023190,PRAVASTATIN 40 MG TABLET,109.65,54.83,23.91,98.69,65
NDC,55111025660,ZIPRASIDONE 20 MG CAPSULE,131.05,65.53,28.58,117.95,65
NDC,55111025760,ZIPRASIDONE 40 MG CAPSULE,131.05,65.53,28.58,117.95,65
NDC,55111025960,ZIPRASIDONE 80 MG CAPSULE,150.85,75.43,32.9,135.77,65
NDC,55111026279,OLANZAPINE 5 MG DISINTEGRATING TABLET,4.3,2.15,0.94,3.87,65
NDC,55111026281,OLANZAPINE 5 MG DISINTEGRATING TABLET,127.65,63.83,27.84,114.89,65
NDC,55111026379,OLANZAPINE 10 MG DISINTEGRATING TABLET,6.3,3.15,1.37,5.67,65
NDC,55111026381,OLANZAPINE 10 MG DISINTEGRATING TABLET,188.65,94.33,41.14,169.79,65
NDC,55111027950,LEVOFLOXACIN 250 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,55111028050,LEVOFLOXACIN 500 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,55111028130,LEVOFLOXACIN 750 MG TABLET,49.9,24.95,10.88,44.91,65
NDC,55111029109,SUMATRIPTAN 25 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,55111029136,SUMATRIPTAN 25 MG TABLET,296.85,148.43,64.74,267.17,65
NDC,55111029209,SUMATRIPTAN 50 MG TABLET,7.65,3.83,1.67,6.89,65
NDC,55111029236,SUMATRIPTAN 50 MG TABLET,275.0,137.5,59.98,247.5,65
NDC,55111032001,GLIMEPIRIDE 1 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,55111032201,GLIMEPIRIDE 4 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,55111032890,NATEGLINIDE 60 MG TABLET,241.4,120.7,52.65,217.26,65
NDC,55111033390,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",120.45,60.23,26.27,108.41,65
NDC,55111034001,AMLODIPINE 5 MG-BENAZEPRIL 20 MG CAPSULE,78.0,39.0,17.01,70.2,65
NDC,55111034305,CITALOPRAM 20 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,55111035260,RIVASTIGMINE 1.5 MG CAPSULE,209.9,104.95,45.78,188.91,65
NDC,55111035560,RIVASTIGMINE 6 MG CAPSULE,209.9,104.95,45.78,188.91,65
NDC,55111039601,FAMOTIDINE 20 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,55111039830,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",30.45,15.23,6.64,27.41,65
NDC,55111046601,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",116.4,58.2,25.39,104.76,65
NDC,55111046605,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",485.0,242.5,105.78,436.5,65
NDC,55111046701,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",130.8,65.4,28.53,117.72,65
NDC,55111046705,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",545.0,272.5,118.86,490.5,65
NDC,55111046901,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",291.0,145.5,63.47,261.9,65
NDC,55111051930,ATOMOXETINE 10 MG CAPSULE,293.05,146.53,63.91,263.75,65
NDC,55111052130,ATOMOXETINE 40 MG CAPSULE,49.5,24.75,10.8,44.55,65
NDC,55111052601,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",361.5,180.75,0.26,325.35,66
NDC,55111053201,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",172.2,86.1,37.56,154.98,65
NDC,55111053301,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",192.0,96.0,41.88,172.8,65
NDC,55111053401,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",189.6,94.8,41.35,170.64,65
NDC,55111055610,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,55111059660,MEMANTINE 5 MG TABLET,150.15,75.08,32.75,135.14,65
NDC,55111059760,MEMANTINE 10 MG TABLET,150.15,75.08,32.75,135.14,65
NDC,55111062560,ZAFIRLUKAST 10 MG TABLET,252.3,126.15,55.03,227.07,65
NDC,55111062660,ZAFIRLUKAST 20 MG TABLET,255.6,127.8,55.75,230.04,65
NDC,55111062930,ESZOPICLONE 1 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,55111065207,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,269.05,134.53,0.24,242.15,66
NDC,55111065237,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,269.05,134.53,0.24,242.15,66
NDC,55111065301,SIROLIMUS 1 MG TABLET,3201.6,1600.8,698.27,2881.44,65
NDC,55111067106,CLOPIDOGREL 300 MG TABLET,47.35,23.68,10.33,42.62,65
NDC,55111067131,CLOPIDOGREL 300 MG TABLET,1183.35,591.68,258.09,1065.02,65
NDC,55111067802,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,47.6,23.8,1.21,42.84,66
NDC,55111067810,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,25.95,12.98,1.21,23.36,66
NDC,55111067811,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,47.6,23.8,1.21,42.84,66
NDC,55111067902,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,139.35,69.68,1.21,125.42,66
NDC,55111067910,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,71.65,35.83,1.21,64.49,66
NDC,55111067911,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,139.35,69.68,1.21,125.42,66
NDC,55111068002,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,139.35,69.68,1.21,125.42,66
NDC,55111068010,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,57.15,28.58,1.21,51.44,66
NDC,55111068011,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,139.35,69.68,1.21,125.42,66
NDC,55111068102,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,147.4,73.7,1.21,132.66,66
NDC,55111068110,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,96.1,48.05,1.21,86.49,66
NDC,55111068111,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,147.4,73.7,1.21,132.66,66
NDC,55111068507,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,59.3,29.65,7.71,53.37,66
NDC,55111068852,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,138.6,69.3,7.71,124.74,66
NDC,55111069305,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,133.2,66.6,29.05,119.88,66
NDC,55111069312,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,133.2,66.6,29.05,119.88,66
NDC,55111069407,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,33.85,16.93,1.03,30.47,66
NDC,55111072530,MONTELUKAST 10 MG TABLET,22.15,11.08,4.83,19.94,65
NDC,55111072590,MONTELUKAST 10 MG TABLET,34.6,17.3,7.55,31.14,65
NDC,55111072901,ALLOPURINOL 100 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,55111073001,ALLOPURINOL 300 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,55111076260,VALGANCICLOVIR 450 MG TABLET,5197.95,2598.98,1133.67,4678.16,65
NDC,55111078911,SEVELAMER CARBONATE 800 MG TABLET,969.0,484.5,211.34,872.1,65
NDC,55111078927,SEVELAMER CARBONATE 800 MG TABLET,276.75,138.38,60.36,249.08,65
NDC,55111078948,SEVELAMER CARBONATE 800 MG TABLET,11.65,5.83,2.54,10.49,65
NDC,55111079630,FEBUXOSTAT 40 MG TABLET,184.0,92.0,40.13,165.6,65
NDC,55135013201,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,10103.0,5051.5,37.0,9092.7,71
NDC,55150011310,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,54.1,27.05,1.12,48.69,66
NDC,55150011420,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,67.65,33.83,1.12,60.89,66
NDC,55150011601,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.4,23.2,1.97,41.76,66
NDC,55150011610,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.4,23.2,1.97,41.76,66
NDC,55150011620,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.4,23.2,1.97,41.76,66
NDC,55150011701,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.7,23.85,1.97,42.93,66
NDC,55150011710,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.7,23.85,1.97,42.93,66
NDC,55150011720,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.6,23.8,1.97,42.84,66
NDC,55150011930,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.45,23.73,1.3,42.71,66
NDC,55150012030,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,48.05,24.03,1.3,43.25,66
NDC,55150012150,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,54.1,27.05,1.3,48.69,66
NDC,55150012215,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,53.0,26.5,11.56,47.7,65
NDC,55150012315,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,70.75,35.38,15.43,63.68,65
NDC,55150012499,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,294.05,147.03,64.13,264.65,65
NDC,55150012715,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,48.05,24.03,1.17,43.25,66
NDC,55150012824,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,58.6,29.3,1.17,52.74,66
NDC,55150012999,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,228.0,114.0,1.17,205.2,66
NDC,55150015410,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,48.15,24.08,0.06,43.34,66
NDC,55150015520,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,62.35,31.18,0.06,56.12,66
NDC,55150015974,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.75,10.38,4.53,18.68,65
NDC,55150016102,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,55150016205,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.05,10.53,4.59,18.95,65
NDC,55150016330,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.25,10.63,4.63,19.13,65
NDC,55150016402,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.85,10.43,4.55,18.77,65
NDC,55150016505,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,55150016613,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLUTION,605.35,302.68,132.03,544.82,65
NDC,55150016710,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.15,23.58,10.28,42.44,65
NDC,55150016830,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.2,23.6,10.29,42.48,65
NDC,55150016910,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,47.45,23.73,10.35,42.71,65
NDC,55150017030,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,47.4,23.7,10.34,42.66,65
NDC,55150017110,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,47.45,23.73,10.35,42.71,65
NDC,55150017230,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,50.75,25.38,11.07,45.68,65
NDC,55150017301,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,23.2,11.6,5.06,77.7,66
NDC,55150017410,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,47.4,23.7,2.89,42.66,66
NDC,55150017705,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.5,23.25,0.07,41.85,66
NDC,55150018301,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,127.45,63.73,27.8,114.71,65
NDC,55150018310,NICARDIPINE (PF) 25 MG/10 ML INJECTION SOLUTION,127.45,63.73,27.8,114.71,65
NDC,55150018605,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,48.8,24.4,1.03,43.92,66
NDC,55150018703,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,31.6,15.8,1.65,28.44,66
NDC,55150018810,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",55.15,27.58,12.03,49.64,65
NDC,55150019201,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,480.0,240.0,0.66,432.0,66
NDC,55150019220,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,93.15,46.58,0.66,83.84,66
NDC,55150019301,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,715.05,357.53,0.66,643.55,66
NDC,55150019330,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,137.55,68.78,0.66,123.8,66
NDC,55150019410,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,21.9,10.95,0.28,19.71,66
NDC,55150019520,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,63.2,31.6,0.09,56.88,66
NDC,55150019699,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,181.0,90.5,0.09,162.9,66
NDC,55150019720,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,47.8,23.9,0.09,43.02,66
NDC,55150019830,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,54.7,27.35,0.09,49.23,66
NDC,55150019920,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,53.2,26.6,0.09,47.88,66
NDC,55150020120,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,56.95,28.48,0.09,51.26,66
NDC,55150020200,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,48.15,24.08,10.5,43.34,65
NDC,55150020210,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,48.15,24.08,10.5,43.34,65
NDC,55150020420,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.35,23.68,10.33,42.62,65
NDC,55150020720,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.4,23.7,0.5,42.66,66
NDC,55150020830,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,59.0,29.5,0.5,53.1,66
NDC,55150020902,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,48.05,24.03,10.48,43.25,65
NDC,55150021010,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,500.0,250.0,0.24,450.0,66
NDC,55150021201,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,21.85,10.93,0.74,19.67,66
NDC,55150021605,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,26.05,13.03,5.68,23.45,65
NDC,55150021899,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,328.5,164.25,24.87,295.65,66
NDC,55150021910,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,138.0,69.0,24.87,124.2,66
NDC,55150022110,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.5,11.25,4.91,20.25,65
NDC,55150022220,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,25.8,12.9,5.63,23.22,65
NDC,55150022310,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,57.05,28.53,6.28,51.35,66
NDC,55150022505,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,36.0,18.0,7.85,32.4,65
NDC,55150022610,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,69.0,34.5,15.05,62.1,65
NDC,55150023000,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,28.85,14.43,1.21,25.97,66
NDC,55150023010,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,28.85,14.43,1.21,25.97,66
NDC,55150023100,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,81.4,40.7,1.21,73.26,66
NDC,55150023110,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,81.4,40.7,1.21,73.26,66
NDC,55150023200,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,63.25,31.63,1.21,56.93,66
NDC,55150023210,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,63.25,31.63,1.21,56.93,66
NDC,55150023300,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,124.85,62.43,1.21,112.37,66
NDC,55150023310,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,124.85,62.43,1.21,112.37,66
NDC,55150023410,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",21.6,10.8,4.71,19.44,65
NDC,55150023501,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,45.05,22.53,9.83,40.55,65
NDC,55150023510,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,45.05,22.53,9.83,40.55,65
NDC,55150023601,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,66.0,33.0,14.39,59.4,65
NDC,55150023620,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,66.0,33.0,14.39,59.4,65
NDC,55150023701,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.8,10.4,0.13,18.72,66
NDC,55150023805,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,21.05,10.53,0.13,18.95,66
NDC,55150023930,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,30.6,15.3,0.13,27.54,66
NDC,55150024101,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,926.5,463.25,1.66,833.85,71
NDC,55150024110,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,753.5,376.75,1.66,678.15,71
NDC,55150024251,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,197.8,98.9,3.66,178.02,66
NDC,55150024447,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,59.8,29.9,1.01,53.82,66
NDC,55150024552,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,63.7,31.85,1.01,57.33,66
NDC,55150024747,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",189.4,94.7,0.07,170.46,66
NDC,55150024847,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",238.6,119.3,0.07,214.74,66
NDC,55150024950,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,55150025050,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,55150025110,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.05,10.53,4.59,18.95,65
NDC,55150025220,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,20.9,10.45,4.56,18.81,65
NDC,55150025350,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,36.0,18.0,7.85,32.4,65
NDC,55150025410,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,55150025520,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,20.8,10.4,4.54,18.72,65
NDC,55150025930,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,282.85,141.43,61.69,254.57,65
NDC,55150026705,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,240.9,120.45,10.16,216.81,66
NDC,55150027099,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,499.35,249.68,0.64,449.42,71
NDC,55150027301,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,39.45,19.73,8.6,35.51,65
NDC,55150027325,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,39.45,19.73,8.6,35.51,65
NDC,55150028220,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,325.0,162.5,14.38,292.5,66
NDC,55150028601,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,128.25,64.13,27.97,115.43,65
NDC,55150028610,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,128.25,64.13,27.97,115.43,65
NDC,55150028701,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,109.6,54.8,1.73,98.64,66
NDC,55150028710,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,109.6,54.8,1.73,98.64,66
NDC,55150028801,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,207.4,103.7,1.73,186.66,66
NDC,55150028810,MILRINONE 40 MG/200 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,207.4,103.7,1.73,186.66,66
NDC,55150029201,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,38.5,19.25,0.47,34.65,71
NDC,55150029405,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,166.45,83.23,0.47,149.81,71
NDC,55150029601,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,63.4,31.7,13.83,57.06,65
NDC,55150029610,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,63.4,31.7,13.83,57.06,65
NDC,55150029701,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,113.8,56.9,24.82,102.42,65
NDC,55150029710,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,113.8,56.9,24.82,102.42,65
NDC,55150029901,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,325.45,162.73,0.15,292.91,66
NDC,55150030001,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,55150030025,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,55150030101,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,135.95,67.98,29.65,122.36,65
NDC,55150030110,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,135.95,67.98,29.65,122.36,65
NDC,55150030201,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,233.05,116.53,50.83,209.75,65
NDC,55150030401,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,24.45,12.23,0.13,22.01,66
NDC,55150030425,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,24.45,12.23,0.13,22.01,66
NDC,55150030501,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,57.0,28.5,0.13,51.3,66
NDC,55150030610,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,73.45,36.73,1.02,66.11,66
NDC,55150030701,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",23.2,11.6,0.05,20.88,66
NDC,55150030724,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",23.2,11.6,0.05,20.88,66
NDC,55150030801,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,237.65,118.83,1.02,213.89,66
NDC,55150031801,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,81.6,40.8,17.8,73.44,66
NDC,55150031825,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,81.6,40.8,17.8,73.44,66
NDC,55150031901,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,107.85,53.93,23.52,97.07,66
NDC,55150031925,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,107.85,53.93,23.52,97.07,66
NDC,55150032201,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,55150032225,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,55150032301,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,55150032325,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,55150032401,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.85,10.93,4.77,19.67,65
NDC,55150032425,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.85,10.93,4.77,19.67,65
NDC,55150032701,NALOXONE 0.4 MG/ML INJECTION SOLUTION,69.0,34.5,15.05,62.1,65
NDC,55150032710,NALOXONE 0.4 MG/ML INJECTION SOLUTION,69.0,34.5,15.05,62.1,65
NDC,55150032901,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,215.5,107.75,47.0,193.95,66
NDC,55150032925,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,219.85,109.93,47.95,197.87,66
NDC,55150033501,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,55150033701,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,55150034201,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,120.0,60.0,26.17,108.0,65
NDC,55150034225,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,120.0,60.0,26.17,108.0,65
NDC,55150034401,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,205.0,102.5,0.04,184.5,66
NDC,55150035401,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,55150035601,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,2300.05,1150.03,25.84,2070.05,71
NDC,55150035901,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.95,23.48,0.42,42.26,66
NDC,55150035950,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.95,23.48,0.42,42.26,66
NDC,55150036001,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,50.2,25.1,3.81,45.18,66
NDC,55150036401,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.4,10.2,1.6,18.36,66
NDC,55150036425,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.4,10.2,1.6,18.36,66
NDC,55150036501,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,464.15,232.08,21.91,417.74,71
NDC,55150037001,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,168.0,84.0,1.95,151.2,66
NDC,55150037025,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,168.0,84.0,1.95,151.2,66
NDC,55150037301,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,66.6,33.3,14.53,59.94,65
NDC,55150037325,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,66.6,33.3,14.53,59.94,65
NDC,55150037601,DECITABINE 50 MG INTRAVENOUS SOLUTION,1610.15,805.08,1.88,1449.14,66
NDC,55150038601,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,55150039301,AZACITIDINE 100 MG SOLUTION FOR INJECTION,466.05,233.03,0.4,419.45,66
NDC,55150040001,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,64.8,32.4,6.2,58.32,66
NDC,55150040025,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,64.8,32.4,6.2,58.32,66
NDC,55150040101,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,48.35,24.18,2.98,43.52,66
NDC,55150040125,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,48.35,24.18,2.98,43.52,66
NDC,55150040201,GENTAMICIN 40 MG/ML INJECTION SOLUTION,47.55,23.78,2.98,42.8,66
NDC,55150040225,GENTAMICIN 40 MG/ML INJECTION SOLUTION,47.55,23.78,2.98,42.8,66
NDC,55150040301,GENTAMICIN 40 MG/ML INJECTION SOLUTION,170.35,85.18,2.98,153.32,66
NDC,55150040325,GENTAMICIN 40 MG/ML INJECTION SOLUTION,170.35,85.18,2.98,153.32,66
NDC,55150042101,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",737.5,368.75,0.28,663.75,66
NDC,55150042110,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",737.5,368.75,0.28,663.75,66
NDC,55150042501,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.0,23.5,10.25,42.3,65
NDC,55150042510,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.0,23.5,10.25,42.3,65
NDC,55150042601,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,49.15,24.58,10.72,44.24,65
NDC,55150042610,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,49.15,24.58,10.72,44.24,65
NDC,55150042701,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,65
NDC,55150042710,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,65
NDC,55150042901,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,279.5,139.75,4.62,251.55,66
NDC,55150043001,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,621.25,310.63,4.62,559.13,66
NDC,55150043101,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1672.55,836.28,334.9,1505.3,71
NDC,55150043201,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,305.85,152.93,64.32,275.27,71
NDC,55150043401,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,305.85,152.93,64.32,275.27,71
NDC,55150043501,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,553.35,276.68,64.32,498.02,71
NDC,55150043701,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,553.35,276.68,64.32,498.02,71
NDC,55150043801,KETAMINE 10 MG/ML INJECTION SOLUTION,107.05,53.53,23.35,96.35,65
NDC,55150043810,KETAMINE 10 MG/ML INJECTION SOLUTION,107.05,53.53,23.35,96.35,65
NDC,55150043901,KETAMINE 50 MG/ML INJECTION SOLUTION,42.15,21.08,9.19,37.94,65
NDC,55150043910,KETAMINE 50 MG/ML INJECTION SOLUTION,42.15,21.08,9.19,37.94,65
NDC,55150045101,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,986.05,493.03,20.75,887.45,71
NDC,55150045901,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,684.15,342.08,149.21,615.74,65
NDC,55150045910,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,684.15,342.08,149.21,615.74,65
NDC,55150047001,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,357.85,178.93,2.95,322.07,66
NDC,55150047006,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,357.85,178.93,2.95,322.07,66
NDC,55150047101,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,136.5,68.25,29.77,122.85,65
NDC,55150047110,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,136.5,68.25,29.77,122.85,65
NDC,55150047201,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,158.8,79.4,34.63,142.92,65
NDC,55150047210,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,158.8,79.4,34.63,142.92,65
NDC,55150047801,LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KIT,2050.0,1025.0,15.25,1845.0,66
NDC,55253080130,MODAFINIL 100 MG TABLET,689.7,344.85,150.42,620.73,65
NDC,55292020111,SUCCIMER 100 MG CAPSULE,8814.0,4407.0,1922.33,7932.6,65
NDC,55292070254,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,43787.0,21893.5,34.86,39408.3,70
NDC,55292070255,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,43787.0,21893.5,34.86,39408.3,70
NDC,55292081155,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,10884.2,5442.1,334.9,9795.78,71
NDC,55390007710,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,27.6,13.8,3.81,24.84,66
NDC,55513000201,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,868.8,434.4,2.98,781.92,71
NDC,55513000204,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,868.8,434.4,2.98,781.92,71
NDC,55513000301,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,1375.1,687.55,2.98,1237.59,71
NDC,55513000304,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,1375.1,687.55,2.98,1237.59,71
NDC,55513000401,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,2050.1,1025.05,2.98,1845.09,71
NDC,55513000501,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,2650.1,1325.05,2.98,2385.09,71
NDC,55513000504,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,2650.1,1325.05,2.98,2385.09,71
NDC,55513000601,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,5275.25,2637.63,2.98,4747.73,71
NDC,55513002101,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1375.1,687.55,2.98,1237.59,71
NDC,55513002104,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1375.1,687.55,2.98,1237.59,71
NDC,55513002301,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2050.1,1025.05,2.98,1845.09,71
NDC,55513002304,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2050.1,1025.05,2.98,1845.09,71
NDC,55513002501,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,2650.1,1325.05,2.98,2385.09,71
NDC,55513002504,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,2650.1,1325.05,2.98,2385.09,71
NDC,55513002701,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,3962.7,1981.35,2.98,3566.43,71
NDC,55513002704,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,3962.7,1981.35,2.98,3566.43,71
NDC,55513002801,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,5275.25,2637.63,2.98,4747.73,71
NDC,55513003201,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,13150.55,6575.28,2.98,11835.5,71
NDC,55513005701,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,868.8,434.4,2.98,781.92,71
NDC,55513005704,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,868.8,434.4,2.98,781.92,71
NDC,55513005901,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6050.0,3025.0,1319.51,5445.0,70
NDC,55513006901,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,60050.0,30025.0,1595.93,54045.0,70
NDC,55513007330,CINACALCET 30 MG TABLET,2034.5,1017.25,443.72,1831.05,65
NDC,55513007430,CINACALCET 60 MG TABLET,4069.0,2034.5,887.45,3662.1,65
NDC,55513007701,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,60050.0,30025.0,1595.93,54045.0,70
NDC,55513007801,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,349.3,174.65,71.22,314.37,71
NDC,55513007901,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,27940.4,13970.2,71.22,25146.36,71
NDC,55513009801,DARBEPOETIN ALFA 10 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,362.55,181.28,2.98,326.3,71
NDC,55513009804,DARBEPOETIN ALFA 10 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,362.55,181.28,2.98,326.3,71
NDC,55513010301,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6050.0,3025.0,1319.51,5445.0,70
NDC,55513011101,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,7900.35,3950.18,2.98,7110.32,71
NDC,55513011201,TEZEPELUMAB-EKKO 210 MG/1.91 ML (110 MG/ML) SUBCUTANEOUS SYRINGE,17474.1,8737.05,18.37,15726.69,71
NDC,55513012601,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",200.15,100.08,0.98,180.14,66
NDC,55513012610,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",200.15,100.08,0.98,180.14,66
NDC,55513013201,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14382.45,7191.23,18.44,12944.21,71
NDC,55513014101,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5168.8,2584.4,18.44,4651.92,71
NDC,55513014401,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",741.5,370.75,0.98,667.35,66
NDC,55513014410,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",741.5,370.75,0.98,667.35,66
NDC,55513014801,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",311.6,155.8,0.98,280.44,66
NDC,55513014810,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",311.6,155.8,0.98,280.44,66
NDC,55513015001,BLINATUMOMAB 35 MCG INTRAVENOUS SOLUTION,22274.85,11137.43,148.34,20047.37,71
NDC,55513016001,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,22274.85,11137.43,148.34,20047.37,71
NDC,55513016401,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14382.45,7191.23,18.44,12944.21,71
NDC,55513019001,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,17983.8,8991.9,54.2,16185.42,71
NDC,55513019201,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,17983.8,8991.9,54.2,16185.42,71
NDC,55513020601,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,2676.0,1338.0,28.42,2408.4,71
NDC,55513020701,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,10553.85,5276.93,28.42,9498.47,71
NDC,55513020901,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2059.9,1029.95,1.02,1853.91,71
NDC,55513020910,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2059.9,1029.95,1.02,1853.91,71
NDC,55513020991,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2059.9,1029.95,1.02,1853.91,71
NDC,55513022101,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,11036.0,5518.0,11.23,9932.4,70
NDC,55513022201,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,22046.9,11023.45,11.23,19842.21,70
NDC,55513022301,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,5530.6,2765.3,11.23,4977.54,70
NDC,55513022401,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,2240.2,1120.1,27.04,2016.18,71
NDC,55513026701,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",287.75,143.88,0.98,258.98,66
NDC,55513026710,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",287.75,143.88,0.98,258.98,66
NDC,55513028301,"EPOETIN ALFA 20,000 UNIT/2 ML INJECTION SOLUTION",1458.0,729.0,0.98,1312.2,66
NDC,55513028310,"EPOETIN ALFA 20,000 UNIT/2 ML INJECTION SOLUTION",1458.0,729.0,0.98,1312.2,66
NDC,55513032601,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,9784.2,4892.1,27.04,8805.78,71
NDC,55513047801,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1458.0,729.0,0.98,1312.2,66
NDC,55513047810,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1458.0,729.0,0.98,1312.2,66
NDC,55513053001,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1525.45,762.73,1.02,1372.91,71
NDC,55513053010,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1525.45,762.73,1.02,1372.91,71
NDC,55513054601,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,2429.05,1214.53,1.02,2186.15,71
NDC,55513054610,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,2429.05,1214.53,1.02,2186.15,71
NDC,55513067001,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,2401.5,1200.75,20.81,2161.35,71
NDC,55513071001,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,6763.15,3381.58,26.95,6086.84,71
NDC,55513071021,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,7301.7,3650.85,26.95,6571.53,71
NDC,55513073001,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,13408.7,6704.35,26.95,12067.83,71
NDC,55513080060,IVABRADINE 5 MG TABLET,2428.35,1214.18,529.62,2185.52,65
NDC,55513081060,IVABRADINE 7.5 MG TABLET,2428.35,1214.18,529.62,2185.52,65
NDC,55513088001,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE,4868.75,2434.38,11.9,4381.88,71
NDC,55513088002,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,4868.75,2434.38,11.9,4381.88,71
NDC,55513092491,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,1616.85,808.43,1.02,1455.17,71
NDC,55513095401,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,7078.55,3539.28,161.13,6370.7,71
NDC,55513095601,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,28164.0,14082.0,161.13,25347.6,71
NDC,55513099801,ROMOSOZUMAB-AQQG 105 MG/1.17 ML SUBCUTANEOUS SYRINGE,5257.85,2628.93,11.9,4732.07,71
NDC,55513099802,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,5257.85,2628.93,11.9,4732.07,71
NDC,55566105000,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,240050.0,120025.0,52354.91,216045.0,70
NDC,55566105001,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,240050.0,120025.0,52354.91,216045.0,70
NDC,55566150201,"CHORIONIC GONADOTROPIN, HUMAN 5,000 UNIT INTRAMUSCULAR POWDER FOR SOLN",780.25,390.13,25.72,702.23,66
NDC,55566220000,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,279.1,139.55,3.59,251.19,71
NDC,55566230000,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,2354.4,1177.2,3.59,2118.96,71
NDC,55566280000,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2361.55,1180.78,515.05,2125.4,65
NDC,55566280001,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2361.55,1180.78,515.05,2125.4,65
NDC,55566410000,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,508.5,254.25,110.9,457.65,71
NDC,55566410001,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,508.5,254.25,110.9,457.65,71
NDC,55566830301,DEGARELIX 80 MG SUBCUTANEOUS SOLUTION,1370.85,685.43,4.48,1233.77,71
NDC,55566840200,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,2110.85,1055.43,4.48,1899.77,71
NDC,55566840301,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,3713.7,1856.85,4.48,3342.33,71
NDC,55566980000,"FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA",54810.0,27405.0,65.12,49329.0,70
NDC,55566980002,"FECAL MICROBIOTA, LIVE-JSLM 150 ML RECTAL SUSPENSION ENEMA",54810.0,27405.0,65.12,49329.0,70
NDC,55569280101,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,45.0,22.5,9.81,40.5,65
NDC,56331000614,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,112.8,56.4,24.6,101.52,65
NDC,56331000616,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,49.6,24.8,10.82,44.64,65
NDC,57237000330,FLUCONAZOLE 50 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,57237000511,FLUCONAZOLE 150 MG TABLET,48.9,24.45,10.67,44.01,65
NDC,57237000630,FLUCONAZOLE 200 MG TABLET,120.1,60.05,26.19,108.09,65
NDC,57237000730,MIRTAZAPINE 7.5 MG TABLET,76.7,38.35,16.73,69.03,65
NDC,57237000830,MIRTAZAPINE 15 MG TABLET,26.85,13.43,5.86,24.17,65
NDC,57237000930,MIRTAZAPINE 30 MG TABLET,11.0,5.5,2.4,9.9,65
NDC,57237001106,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,72.0,36.0,15.7,64.8,65
NDC,57237001206,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,68.05,34.03,14.84,61.25,65
NDC,57237001401,TAMSULOSIN 0.4 MG CAPSULE,144.0,72.0,31.41,129.6,65
NDC,57237001760,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",23.4,11.7,5.1,21.06,65
NDC,57237001830,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",11.0,5.5,2.4,9.9,65
NDC,57237001890,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",73.45,36.73,16.02,66.11,65
NDC,57237001899,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",290.0,145.0,63.25,261.0,65
NDC,57237001930,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",16.05,8.03,3.5,14.45,65
NDC,57237001990,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",81.0,40.5,17.67,72.9,65
NDC,57237001999,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",1395.0,697.5,304.25,1255.5,65
NDC,57237002901,AMOXICILLIN 875 MG TABLET,45.6,22.8,9.95,41.04,65
NDC,57237003001,AMOXICILLIN 250 MG CAPSULE,18.6,9.3,4.06,16.74,65
NDC,57237003101,AMOXICILLIN 500 MG CAPSULE,30.0,15.0,6.54,27.0,65
NDC,57237004001,PENICILLIN V POTASSIUM 250 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,57237004101,PENICILLIN V POTASSIUM 500 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,57237004230,VALACYCLOVIR 500 MG TABLET,49.15,24.58,10.72,44.24,65
NDC,57237004290,VALACYCLOVIR 500 MG TABLET,125.3,62.65,27.33,112.77,65
NDC,57237004330,VALACYCLOVIR 1 GRAM TABLET,75.45,37.73,16.46,67.91,65
NDC,57237004390,VALACYCLOVIR 1 GRAM TABLET,191.2,95.6,41.7,172.08,65
NDC,57237004560,CLARITHROMYCIN 500 MG TABLET,123.15,61.58,26.86,110.84,65
NDC,57237004960,GALANTAMINE 4 MG TABLET,67.35,33.68,14.69,60.62,65
NDC,57237005060,GALANTAMINE 8 MG TABLET,88.95,44.48,19.4,80.06,65
NDC,57237005820,CEFUROXIME AXETIL 250 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,57237005860,CEFUROXIME AXETIL 250 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,57237005960,CEFUROXIME AXETIL 500 MG TABLET,99.75,49.88,21.76,89.78,65
NDC,57237006230,FINASTERIDE 5 MG TABLET,27.55,13.78,6.01,24.8,65
NDC,57237006301,FLECAINIDE 50 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,57237006401,FLECAINIDE 100 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,57237007530,ONDANSETRON HCL 4 MG TABLET,13.15,6.58,2.87,11.84,65
NDC,57237007630,ONDANSETRON HCL 8 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,57237007710,ONDANSETRON 4 MG DISINTEGRATING TABLET,30.45,15.23,6.64,27.41,65
NDC,57237007730,ONDANSETRON 4 MG DISINTEGRATING TABLET,41.8,20.9,9.12,37.62,65
NDC,57237007810,ONDANSETRON 8 MG DISINTEGRATING TABLET,34.6,17.3,7.55,31.14,65
NDC,57237009101,TRANDOLAPRIL 4 MG TABLET,267.0,133.5,58.23,240.3,65
NDC,57237009960,CEFDINIR 300 MG CAPSULE,299.9,149.95,65.41,269.91,65
NDC,57237010099,METOPROLOL TARTRATE 25 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,57237010101,METOPROLOL TARTRATE 50 MG TABLET,8.4,4.2,1.83,7.56,65
NDC,57237010199,METOPROLOL TARTRATE 50 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,57237010201,METOPROLOL TARTRATE 100 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,57237010601,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",34.8,17.4,7.59,31.32,65
NDC,57237011490,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",74.55,37.28,16.26,67.1,65
NDC,57237011901,WARFARIN 1 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,57237012001,WARFARIN 2 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,57237012101,WARFARIN 2.5 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,57237012201,WARFARIN 3 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,57237012301,WARFARIN 4 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,57237012401,WARFARIN 5 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,57237012501,WARFARIN 6 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,57237012601,WARFARIN 7.5 MG TABLET,139.2,69.6,30.36,125.28,65
NDC,57237014935,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,30.45,15.23,6.64,27.41,65
NDC,57237015430,MODAFINIL 100 MG TABLET,113.95,56.98,24.85,102.56,65
NDC,57237015530,MODAFINIL 200 MG TABLET,158.95,79.48,34.67,143.06,65
NDC,57237016130,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",10.45,5.23,2.28,9.41,65
NDC,57237016190,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",36.2,18.1,7.9,32.58,65
NDC,57237016199,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",300.0,150.0,65.43,270.0,65
NDC,57237017105,ROSUVASTATIN 40 MG TABLET,327.5,163.75,71.43,294.75,65
NDC,57237017201,VENLAFAXINE 25 MG TABLET,75.6,37.8,16.49,68.04,65
NDC,57237017301,VENLAFAXINE 37.5 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,57237017401,VENLAFAXINE 50 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,57237017501,VENLAFAXINE 75 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,57237018090,PRAMIPEXOLE 0.125 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,57237018190,PRAMIPEXOLE 0.25 MG TABLET,12.45,6.23,2.72,11.21,65
NDC,57237018290,PRAMIPEXOLE 0.5 MG TABLET,18.9,9.45,4.12,17.01,65
NDC,57237018490,PRAMIPEXOLE 1 MG TABLET,18.9,9.45,4.12,17.01,65
NDC,57237018590,PRAMIPEXOLE 1.5 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,57237021230,MONTELUKAST 4 MG CHEWABLE TABLET,19.45,9.73,4.24,17.51,65
NDC,57237021290,MONTELUKAST 4 MG CHEWABLE TABLET,55.1,27.55,12.02,49.59,65
NDC,57237021330,MONTELUKAST 5 MG CHEWABLE TABLET,21.1,10.55,4.6,18.99,65
NDC,57237021930,PIOGLITAZONE 15 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,57237022301,RAMIPRIL 2.5 MG CAPSULE,15.0,7.5,3.27,13.5,65
NDC,57237022501,RAMIPRIL 10 MG CAPSULE,138.6,69.3,30.23,124.74,65
NDC,57237023201,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,57237027424,LAMIVUDINE 10 MG/ML ORAL SOLUTION,399.6,199.8,87.15,359.64,65
NDC,57237031903,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,17.5,8.75,3.82,15.75,65
NDC,57664002672,TRAZODONE 100 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,57664004888,LISDEXAMFETAMINE 30 MG CAPSULE,2317.0,1158.5,505.34,2085.3,65
NDC,57664011688,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",64.8,32.4,14.13,58.32,65
NDC,57664011788,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",50.4,25.2,10.99,45.36,65
NDC,57664011888,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",61.2,30.6,13.35,55.08,65
NDC,57664012688,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,79.8,39.9,17.4,71.82,65
NDC,57664013688,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",555.0,277.5,121.05,499.5,65
NDC,57664016752,METOPROLOL TARTRATE 100 MG TABLET,25.8,12.9,5.63,23.22,65
NDC,57664017088,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,100.8,50.4,21.98,90.72,65
NDC,57664017688,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,120.6,60.3,26.3,108.54,65
NDC,57664018788,OXYCODONE 15 MG TABLET,278.0,139.0,60.63,250.2,65
NDC,57664022388,OXYCODONE 5 MG TABLET,142.2,71.1,31.01,127.98,65
NDC,57664022888,METHYLPHENIDATE 5 MG TABLET,73.2,36.6,15.96,65.88,65
NDC,57664022988,METHYLPHENIDATE 10 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,57664034588,CLOZAPINE 25 MG TABLET,279.5,139.75,60.96,251.55,65
NDC,57664034788,CLOZAPINE 100 MG TABLET,321.5,160.75,70.12,289.35,65
NDC,57664037688,DEXMETHYLPHENIDATE 2.5 MG TABLET,148.2,74.1,32.32,133.38,65
NDC,57664037708,TRAMADOL 50 MG TABLET,9.0,4.5,1.96,8.1,65
NDC,57664037713,TRAMADOL 50 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,57664037718,TRAMADOL 50 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,57664037988,DEXMETHYLPHENIDATE 10 MG TABLET,266.4,133.2,58.1,239.76,65
NDC,57664039288,VENLAFAXINE 25 MG TABLET,53.4,26.7,11.65,48.06,65
NDC,57664039388,VENLAFAXINE 37.5 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,57664039488,VENLAFAXINE 50 MG TABLET,56.4,28.2,12.3,50.76,65
NDC,57664039588,VENLAFAXINE 75 MG TABLET,46.2,23.1,10.08,41.58,65
NDC,57664039688,VENLAFAXINE 100 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,57664043788,DIGOXIN 125 MCG (0.125 MG) TABLET,117.6,58.8,25.65,105.84,65
NDC,57664047752,METOPROLOL TARTRATE 50 MG TABLET,18.6,9.3,4.06,16.74,65
NDC,57664047758,METOPROLOL TARTRATE 50 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,57664049918,MIRTAZAPINE 15 MG TABLET,295.0,147.5,64.34,265.5,65
NDC,57664049983,MIRTAZAPINE 15 MG TABLET,11.55,5.78,2.52,10.4,65
NDC,57664050289,TIZANIDINE 2 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,57664050389,TIZANIDINE 4 MG TABLET,27.9,13.95,6.08,25.11,65
NDC,57664050652,METOPROLOL TARTRATE 25 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,57664050658,METOPROLOL TARTRATE 25 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,57664059640,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,91.2,45.6,19.89,82.08,65
NDC,57664060988,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",336.0,168.0,73.28,302.4,65
NDC,57664064888,CHLORTHALIDONE 25 MG TABLET,22.2,11.1,4.84,19.98,65
NDC,57664064988,CHLORTHALIDONE 50 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,57664068331,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,77.2,38.6,3.66,69.48,66
NDC,57664068357,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,77.2,38.6,3.66,69.48,66
NDC,57664068788,AMITRIPTYLINE 10 MG TABLET,23.4,11.7,5.1,21.06,65
NDC,57664068988,AMITRIPTYLINE 50 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,57664069088,AMITRIPTYLINE 100 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,57664069288,AMITRIPTYLINE 75 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,57664076188,HYDROXYCHLOROQUINE 200 MG TABLET,272.5,136.25,59.43,245.25,65
NDC,57664078386,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,138.6,69.3,30.23,124.74,65
NDC,57664078686,CLONAZEPAM 1 MG DISINTEGRATING TABLET,138.6,69.3,30.23,124.74,65
NDC,57664080888,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,138.6,69.3,30.23,124.74,65
NDC,57664085385,MINOCYCLINE 100 MG CAPSULE,70.8,35.4,15.44,63.72,65
NDC,57665010141,AMPHOTERICIN B LIPID COMPLEX 5 MG/ML INTRAVENOUS SUSPENSION,510.4,255.2,10.5,459.36,71
NDC,57841130001,NALOXEGOL 12.5 MG TABLET,1732.05,866.03,377.76,1558.85,65
NDC,57841130101,NALOXEGOL 25 MG TABLET,1732.05,866.03,377.76,1558.85,65
NDC,57841130103,NALOXEGOL 25 MG TABLET,4618.8,2309.4,1007.36,4156.92,65
NDC,57844010501,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,4338.0,2169.0,946.12,3904.2,65
NDC,57844011001,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,4338.0,2169.0,946.12,3904.2,65
NDC,57894003001,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,4553.9,2276.95,31.71,4098.51,71
NDC,57894005427,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8499.45,4249.73,13.25,7649.51,71
NDC,57894006002,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION,58303.0,29151.5,152.39,52472.7,71
NDC,57894006003,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,56553.9,28276.95,152.39,50898.51,71
NDC,57894006103,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,113107.7,56553.85,152.39,101796.93,71
NDC,57894007002,GOLIMUMAB 50 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,24648.4,12324.2,11.26,22183.56,71
NDC,57894007101,GOLIMUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,28341.9,14170.95,11.26,25507.71,71
NDC,57894011101,CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,3132333.0,1566166.5,577186.32,2819099.7,69
NDC,57894011102,CILTACABTAGENE AUTOLEUCEL 0.5 X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,3132333.0,1566166.5,577186.32,2819099.7,69
NDC,57894015012,ABIRATERONE 250 MG TABLET,46438.6,23219.3,10128.26,41794.74,65
NDC,57894016001,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,2327.6,1163.8,31.71,2094.84,71
NDC,57894035001,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7778.0,3889.0,11.26,7000.2,71
NDC,57894044901,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,10620.0,5310.0,32.99,9558.0,71
NDC,57894045001,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,54162.0,27081.0,32.99,48745.8,71
NDC,57894046901,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,4662.0,2331.0,74.07,4195.8,70
NDC,57894047001,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,62160.0,31080.0,74.07,55944.0,70
NDC,57894050100,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,15276.75,7638.38,21.36,13749.08,71
NDC,57894050101,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,15276.75,7638.38,21.36,13749.08,71
NDC,57894050205,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,2712.65,1356.33,66.0,2441.39,71
NDC,57894050220,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,10700.5,5350.25,66.0,9630.45,71
NDC,57894050301,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",42126.05,21063.03,52.46,37913.45,71
NDC,57894050505,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,3137.0,1568.5,66.0,2823.3,71
NDC,57894050520,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,12397.95,6198.98,66.0,11158.16,71
NDC,57894065001,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,58261.65,29130.83,77.49,52435.49,71
NDC,57894065002,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,58261.65,29130.83,77.49,52435.49,71
NDC,57896014001,DICLOFENAC 1 % TOPICAL GEL,40.8,20.4,8.9,36.72,65
NDC,57896014701,DICLOFENAC 1 % TOPICAL GEL,37.8,18.9,8.24,34.02,65
NDC,57896084401,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",110.4,55.2,24.08,99.36,65
NDC,57970010001,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,6582.85,3291.43,15.93,5924.57,71
NDC,58151011032,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,10.65,5.33,2.32,9.59,65
NDC,58151011088,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,884.0,442.0,192.8,795.6,65
NDC,58151011535,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,924.3,462.15,201.59,831.87,65
NDC,58151011801,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,690.5,345.25,150.6,621.45,65
NDC,58151023788,PREGABALIN 50 MG CAPSULE,4116.0,2058.0,897.7,3704.4,65
NDC,58151031052,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,224.25,112.13,48.91,201.83,65
NDC,58151031094,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,224.25,112.13,48.91,201.83,65
NDC,58160072615,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,67.5,33.75,12.97,60.75,66
NDC,58160081043,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",127.8,63.9,27.87,115.02,66
NDC,58160081052,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",127.8,63.9,27.87,115.02,66
NDC,58160081143,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,315.5,157.75,68.81,283.95,66
NDC,58160081152,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,315.5,157.75,68.81,283.95,66
NDC,58160081243,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",277.6,138.8,60.54,249.84,66
NDC,58160081252,"DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE",277.6,138.8,60.54,249.84,66
NDC,58160081543,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,478.4,239.2,104.34,430.56,66
NDC,58160081552,HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE,478.4,239.2,104.34,430.56,66
NDC,58160081601,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,66.05,33.03,12.97,59.45,66
NDC,58160081603,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,67.5,33.75,12.97,60.75,66
NDC,58160081811,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,66.05,33.03,12.97,59.45,66
NDC,58160081912,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",715.15,357.58,155.97,643.64,66
NDC,58160082101,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP,262.3,131.15,57.21,236.07,71
NDC,58160082111,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP,262.3,131.15,57.21,236.07,71
NDC,58160082143,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,262.3,131.15,57.21,236.07,71
NDC,58160082152,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,262.3,131.15,57.21,236.07,71
NDC,58160082311,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",876.65,438.33,191.2,788.99,66
NDC,58160082415,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",389.8,194.9,85.02,350.82,66
NDC,58160082543,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,163.1,81.55,35.57,146.79,66
NDC,58160082552,HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE,163.1,81.55,35.57,146.79,66
NDC,58160082643,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",326.3,163.15,71.17,293.67,66
NDC,58160082652,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE",326.3,163.15,71.17,293.67,66
NDC,58160082703,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",524.95,262.48,114.49,472.46,66
NDC,58160082730,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",524.95,262.48,114.49,472.46,66
NDC,58160083103,"MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT",389.8,194.9,85.02,350.82,66
NDC,58160084201,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP",216.25,108.13,42.51,194.63,66
NDC,58160084211,"DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP",216.25,108.13,42.51,194.63,66
NDC,58160084243,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",212.4,106.2,42.51,191.16,66
NDC,58160084252,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",212.4,106.2,42.51,191.16,66
NDC,58160084811,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ADJUVANTED (PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",1145.95,572.98,249.93,1031.36,66
NDC,58160095509,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",528.4,264.2,115.24,475.56,66
NDC,58160095801,MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION,528.4,264.2,115.24,475.56,66
NDC,58160096412,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1505.45,752.73,319.95,1354.91,71
NDC,58160096601,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",1505.45,752.73,319.95,1354.91,71
NDC,58160097602,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",800.05,400.03,174.49,720.05,66
NDC,58160097620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",800.05,400.03,174.49,720.05,66
NDC,58181304005,LOMUSTINE 10 MG CAPSULE,2246.4,1123.2,489.94,2021.76,65
NDC,58181304105,LOMUSTINE 40 MG CAPSULE,8985.2,4492.6,1959.67,8086.68,65
NDC,58181304205,LOMUSTINE 100 MG CAPSULE,24803.6,12401.8,5409.67,22323.24,65
NDC,58204000404,PEDI MULTIVIT NO.77-VIT D3 750 UNIT-VIT K 500 MCG/0.5 ML ORAL DROPS,181.65,90.83,39.62,163.49,65
NDC,58394001201,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 250 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
NDC,58394001301,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 500 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
NDC,58394001401,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELET 1,000 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
NDC,58394001501,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELET 2,000 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
NDC,58394011501,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELET 2,000 (+/-) UNIT IV SOLN",45.0,22.5,1.38,40.5,71
NDC,58394012403,"ANTIHEMOPHILIC FVIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SYRINGE",45.0,22.5,1.38,40.5,71
NDC,58394013303,COAGULATION FACTOR IX (RECOMB) 250 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.89,40.5,70
NDC,58394013403,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.89,40.5,70
NDC,58394013603,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,70
NDC,58394063403,COAGULATION FACTOR IX (RECOMB) 500 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.89,40.5,70
NDC,58394063503,"COAGULATION FACTOR IX (RECOMB) 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,70
NDC,58394063603,"COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,70
NDC,58394063703,"COAGULATION FACTOR IX (RECOMB) 3,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.89,40.5,70
NDC,58406001001,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,3956.45,1978.23,862.9,3560.81,71
NDC,58406001004,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,3956.45,1978.23,862.9,3560.81,71
NDC,58406002101,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,7912.9,3956.45,927.33,7121.61,71
NDC,58406002104,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,7912.9,3956.45,927.33,7121.61,71
NDC,58406003201,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS PEN INJECTOR,7912.9,3956.45,927.33,7121.61,71
NDC,58406003204,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS PEN INJECTOR,7912.9,3956.45,927.33,7121.61,71
NDC,58406005501,ETANERCEPT 25 MG/0.5 ML SUBCUTANEOUS SOLUTION,3956.45,1978.23,862.9,3560.81,71
NDC,58406042534,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION,10780.5,5390.25,927.33,9702.45,71
NDC,58406042541,ETANERCEPT 25 MG (1 ML) SUBCUTANEOUS POWDER FOR SOLUTION,2695.15,1347.58,587.81,2425.64,71
NDC,58468002101,SEVELAMER HCL 800 MG TABLET,4975.95,2487.98,1085.25,4478.36,65
NDC,58468003001,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8088.5,4044.25,1764.1,7279.65,71
NDC,58468003002,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8088.5,4044.25,1764.1,7279.65,71
NDC,58468004001,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,31334.9,15667.45,222.5,28201.41,71
NDC,58468004101,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4497.1,2248.55,222.5,4047.39,71
NDC,58468005001,OLIPUDASE ALFA-RPCP 20 MG INTRAVENOUS SOLUTION,30329.95,15164.98,401.53,27296.96,71
NDC,58468007001,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION,4478.55,2239.28,40.04,4030.7,71
NDC,58468008001,ANTITHYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4502.9,2251.45,982.08,4052.61,71
NDC,58468009001,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,1080.2,540.1,8.11,972.18,71
NDC,58468009002,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,1080.2,540.1,8.11,972.18,71
NDC,58468009003,HYLAN G-F 20  48 MG/6 ML INTRA-ARTICULAR SYRINGE,2557.45,1278.73,8.11,2301.71,71
NDC,58468012300,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,63.65,31.83,0.42,57.29,66
NDC,58468012301,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,63.65,31.83,0.42,57.29,66
NDC,58468013001,SEVELAMER CARBONATE 800 MG TABLET,5971.35,2985.68,1302.35,5374.22,65
NDC,58468013101,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,5940.0,2970.0,1295.51,5346.0,65
NDC,58468013102,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,5940.0,2970.0,1295.51,5346.0,65
NDC,58468013201,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,5940.0,2970.0,1295.51,5346.0,65
NDC,58468013202,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,5940.0,2970.0,1295.51,5346.0,65
NDC,58468016001,ALGLUCOSIDASE ALFA 50 MG INTRAVENOUS SOLUTION,3998.45,1999.23,210.72,3598.61,71
NDC,58468020001,ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION,60741.85,30370.93,2388.87,54667.67,71
NDC,58468022501,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,34311.75,17155.88,7483.39,30880.58,65
NDC,58468042601,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,7814.6,3907.3,78.01,7033.14,71
NDC,58468466301,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,6961.55,3480.78,44.05,6265.4,71
NDC,58602000640,OLOPATADINE 0.1 % EYE DROPS,45.6,22.8,9.95,41.04,65
NDC,58602000739,OLOPATADINE 0.2 % EYE DROPS,49.65,24.83,10.83,44.69,65
NDC,58602060407,DICLOFENAC 1 % TOPICAL GEL,49.8,24.9,10.86,44.82,65
NDC,58602080961,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",80.15,40.08,17.48,72.14,65
NDC,58657031016,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,39.75,19.88,8.67,35.78,65
NDC,58657031116,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,93.7,46.85,20.44,84.33,65
NDC,58657031216,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",133.4,66.7,29.09,120.06,65
NDC,58657040501,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1497.0,748.5,326.5,1347.3,65
NDC,58657040601,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1497.0,748.5,326.5,1347.3,65
NDC,58657045001,PHENAZOPYRIDINE 100 MG TABLET,375.0,187.5,81.79,337.5,65
NDC,58657045401,METHENAMINE 81.6 MG-SOD PHOS 40.8 MG-METHYLENE BLUE 0.12MG-HYOS TABLET,1034.5,517.25,225.62,931.05,65
NDC,58657050016,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,76.65,38.33,16.72,68.99,65
NDC,58657060201,LABETALOL 100 MG TABLET,120.6,60.3,26.3,108.54,65
NDC,58657060301,LABETALOL 200 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,58657060401,LABETALOL 300 MG TABLET,387.5,193.75,84.51,348.75,65
NDC,58657064501,CARISOPRODOL 350 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,58657064701,CLONIDINE HCL 0.1 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,58657067501,CIPROFLOXACIN 250 MG TABLET,68.4,34.2,14.92,61.56,65
NDC,58657067601,CIPROFLOXACIN 500 MG TABLET,91.2,45.6,19.89,82.08,65
NDC,58657070301,HALOPERIDOL 5 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,58657070401,HALOPERIDOL 10 MG TABLET,325.0,162.5,70.88,292.5,65
NDC,58914008052,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,407.7,203.85,27.71,366.93,66
NDC,58914017014,SUCRALFATE 100 MG/ML ORAL SUSPENSION,1295.7,647.85,282.59,1166.13,65
NDC,58914017110,SUCRALFATE 1 GRAM TABLET,2403.5,1201.75,524.2,2163.15,65
NDC,58914030180,NITROGLYCERIN 0.4 % (W/W) RECTAL OINTMENT,2486.05,1243.03,542.21,2237.45,65
NDC,58914050156,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",4507.7,2253.85,983.13,4056.93,65
NDC,58914078510,URSODIOL 250 MG TABLET,2047.2,1023.6,446.49,1842.48,65
NDC,58980078021,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,177.6,88.8,38.73,159.84,65
NDC,58980096031,EMOLLIENT COMBINATION NO.10 TOPICAL EMULSION,222.5,111.25,48.53,200.25,65
NDC,59011041010,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2095.2,1047.6,456.96,1885.68,65
NDC,59011041020,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",537.8,268.9,117.29,484.02,65
NDC,59011041510,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",3084.4,1542.2,672.71,2775.96,65
NDC,59011041520,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",791.1,395.55,172.54,711.99,65
NDC,59011042010,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",3907.2,1953.6,852.16,3516.48,65
NDC,59011042020,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1001.9,500.95,218.51,901.71,65
NDC,59011043020,"OXYCODONE ER 30 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1393.7,696.85,303.97,1254.33,65
NDC,59011044010,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",6691.6,3345.8,1459.44,6022.44,65
NDC,59011044020,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",1715.2,857.6,374.09,1543.68,65
NDC,59011046010,"OXYCODONE ER 60 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",9474.4,4737.2,2066.37,8526.96,65
NDC,59011046020,"OXYCODONE ER 60 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2429.7,1214.85,529.92,2186.73,65
NDC,59011048010,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",11676.8,5838.4,2546.71,10509.12,65
NDC,59011048020,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2395.3,1197.65,522.41,2155.77,65
NDC,59011075004,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,945.6,472.8,206.24,851.04,65
NDC,59011075204,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,2029.85,1014.93,442.71,1826.87,65
NDC,59148000613,ARIPIPRAZOLE 2 MG TABLET,2158.95,1079.48,470.87,1943.06,65
NDC,59148000713,ARIPIPRAZOLE 5 MG TABLET,2158.95,1079.48,470.87,1943.06,65
NDC,59148000813,ARIPIPRAZOLE 10 MG TABLET,2158.95,1079.48,470.87,1943.06,65
NDC,59148000913,ARIPIPRAZOLE 15 MG TABLET,2158.95,1079.48,470.87,1943.06,65
NDC,59148001870,"ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7758.25,3879.13,7.28,6982.43,71
NDC,59148001871,"ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7758.25,3879.13,7.28,6982.43,71
NDC,59148001970,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",10336.0,5168.0,7.28,9302.4,71
NDC,59148001971,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",10336.0,5168.0,7.28,9302.4,71
NDC,59148002050,TOLVAPTAN 15 MG TABLET,20703.85,10351.93,4515.51,18633.47,65
NDC,59148002150,TOLVAPTAN 30 MG TABLET,21477.8,10738.9,4684.31,19330.02,65
NDC,59148003513,BREXPIPRAZOLE 0.25 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
NDC,59148003613,BREXPIPRAZOLE 0.5 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
NDC,59148003713,BREXPIPRAZOLE 1 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
NDC,59148003813,BREXPIPRAZOLE 2 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
NDC,59148003913,BREXPIPRAZOLE 3 MG TABLET,5605.1,2802.55,1222.47,5044.59,65
NDC,59148004580,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE",7758.25,3879.13,7.28,6982.43,71
NDC,59148004670,DECITABINE 50 MG INTRAVENOUS SOLUTION,6728.15,3364.08,1.88,6055.34,66
NDC,59148005316,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,5994.5,2997.25,1307.4,5395.05,65
NDC,59148007090,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,2130.15,1065.08,0.9,1917.14,70
NDC,59148007091,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,2130.15,1065.08,0.9,1917.14,70
NDC,59148007280,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",10336.0,5168.0,7.28,9302.4,71
NDC,59148023212,"ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7758.25,3879.13,7.28,6982.43,71
NDC,59212000101,PHENOXYBENZAMINE 10 MG CAPSULE,9245.2,4622.6,2016.38,8320.68,65
NDC,59212000201,TRIAMTERENE 50 MG CAPSULE,5439.6,2719.8,1186.38,4895.64,65
NDC,59212024256,DIGOXIN 125 MCG (0.125 MG) TABLET,6423.6,3211.8,1400.99,5781.24,65
NDC,59212042216,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,7363.2,3681.6,1605.91,6626.88,65
NDC,59212065860,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",2323.2,1161.6,506.69,2090.88,65
NDC,59212068010,ZONISAMIDE 100 MG CAPSULE,8242.8,4121.4,1797.75,7418.52,65
NDC,59212068110,ZONISAMIDE 25 MG CAPSULE,6364.4,3182.2,1388.08,5727.96,65
NDC,59212070006,PREDNISOLONE 10 MG DISINTEGRATING TABLET,132.25,66.13,28.84,119.03,65
NDC,59212070012,PREDNISOLONE 10 MG DISINTEGRATING TABLET,1322.05,661.03,288.34,1189.85,65
NDC,59212070112,PREDNISOLONE 15 MG DISINTEGRATING TABLET,1719.55,859.78,375.03,1547.6,65
NDC,59310030240,BECLOMETHASONE DIPROP 40 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL,1012.1,506.05,220.74,910.89,65
NDC,59310030480,BECLOMETHASONE DIPROP 80 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL,1355.55,677.78,295.65,1220.0,65
NDC,59310057922,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,340.35,170.18,74.23,306.32,65
NDC,59310061031,RESLIZUMAB 10 MG/ML INTRAVENOUS SOLUTION,4393.0,2196.5,10.88,3953.7,71
NDC,59338077501,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,1342.45,671.23,0.33,1208.21,71
NDC,59338077510,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,1953.75,976.88,0.33,1758.38,71
NDC,59365512801,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,3689.0,1844.5,804.57,3320.1,66
NDC,59365606500,FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION,87.3,43.65,19.04,78.57,65
NDC,59365606501,FERRIC SUBSULFATE 259 MG/G TOPICAL SOLUTION,87.3,43.65,19.04,78.57,65
NDC,59385004130,NALDEMEDINE 0.2 MG TABLET,2246.1,1123.05,489.87,2021.49,65
NDC,59417010210,LISDEXAMFETAMINE 20 MG CAPSULE,4780.0,2390.0,1042.52,4302.0,65
NDC,59417010310,LISDEXAMFETAMINE 30 MG CAPSULE,4780.0,2390.0,1042.52,4302.0,65
NDC,59417010510,LISDEXAMFETAMINE 50 MG CAPSULE,4780.0,2390.0,1042.52,4302.0,65
NDC,59417010710,LISDEXAMFETAMINE 70 MG CAPSULE,4780.0,2390.0,1042.52,4302.0,65
NDC,59572010201,AZACITIDINE 100 MG SOLUTION FOR INJECTION,2391.0,1195.5,0.4,2151.9,66
NDC,59572051501,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,3169280.6,1584640.3,568464.29,2852352.54,69
NDC,59572051502,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,3169280.6,1584640.3,568464.29,2852352.54,69
NDC,59572051503,IDECABTAGENE VICLEUCEL 300 X 10EXP6 TO 510 X 10EXP6 CELL IV SUSPENSION,3169280.6,1584640.3,568464.29,2852352.54,69
NDC,59572071101,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,14138.75,7069.38,41.1,12724.88,71
NDC,59572077501,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,42366.0,21183.0,41.1,38129.4,71
NDC,59572096210,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,12844.6,6422.3,31.39,11560.14,71
NDC,59572098401,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,12844.6,6422.3,31.39,11560.14,71
NDC,59584013801,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,1513.45,756.73,330.08,1362.11,65
NDC,59627033304,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR PEN KIT,31942.6,15971.3,59.59,28748.34,71
NDC,59630026601,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,1101.35,550.68,2.32,991.22,71
NDC,59630026610,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,1101.35,550.68,2.32,991.22,71
NDC,59651000101,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",51.6,25.8,11.25,46.44,65
NDC,59651000205,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",207.0,103.5,45.15,186.3,65
NDC,59651000290,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",15.7,7.85,3.42,14.13,65
NDC,59651000815,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,78.05,39.03,17.02,70.25,65
NDC,59651000830,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,90.0,45.0,19.63,81.0,65
NDC,59651001890,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",162.0,81.0,35.33,145.8,65
NDC,59651001990,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",169.6,84.8,36.99,152.64,65
NDC,59651002090,"NIACIN ER 1,000 MG TABLET,EXTENDED RELEASE 24 HR",277.6,138.8,60.54,249.84,65
NDC,59651002601,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,286.0,143.0,62.38,257.4,65
NDC,59651002655,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,507.75,253.88,110.74,456.98,65
NDC,59651002675,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,287.1,143.55,62.62,258.39,65
NDC,59651005290,EZETIMIBE 10 MG TABLET,146.9,73.45,32.04,132.21,65
NDC,59651008630,DARUNAVIR 800 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,59651008818,SEVELAMER HCL 800 MG TABLET,1175.4,587.7,256.35,1057.86,65
NDC,59651009530,SILODOSIN 4 MG CAPSULE,53.1,26.55,11.58,47.79,65
NDC,59651009630,SILODOSIN 8 MG CAPSULE,51.5,25.75,11.23,46.35,65
NDC,59651009690,SILODOSIN 8 MG CAPSULE,338.4,169.2,73.81,304.56,65
NDC,59651010506,ELETRIPTAN 40 MG TABLET,34.45,17.23,7.51,31.01,65
NDC,59651010569,ELETRIPTAN 40 MG TABLET,206.55,103.28,45.05,185.9,65
NDC,59651011330,FEBUXOSTAT 40 MG TABLET,86.6,43.3,18.89,77.94,65
NDC,59651011860,DOFETILIDE 125 MCG CAPSULE,480.0,240.0,104.69,432.0,65
NDC,59651011960,DOFETILIDE 250 MCG CAPSULE,480.0,240.0,104.69,432.0,65
NDC,59651012060,DOFETILIDE 500 MCG CAPSULE,480.0,240.0,104.69,432.0,65
NDC,59651015201,PROGESTERONE MICRONIZED 100 MG CAPSULE,111.0,55.5,24.21,99.9,65
NDC,59651017401,DOXEPIN 25 MG CAPSULE,177.6,88.8,38.73,159.84,65
NDC,59651018030,LETROZOLE 2.5 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,59651021430,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,61.75,30.88,13.47,55.58,65
NDC,59651023690,ANASTROZOLE 1 MG TABLET,249.5,124.75,54.42,224.55,65
NDC,59651024130,IMATINIB 400 MG TABLET,252.75,126.38,55.12,227.48,65
NDC,59651024701,MIDODRINE 5 MG TABLET,199.8,99.9,43.58,179.82,65
NDC,59651025601,PROPAFENONE 150 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,59651025701,PROPAFENONE 225 MG TABLET,178.2,89.1,38.87,160.38,65
NDC,59651026901,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",73.2,36.6,15.96,65.88,65
NDC,59651027530,ROFLUMILAST 500 MCG TABLET,54.0,27.0,11.78,48.6,65
NDC,59651027590,ROFLUMILAST 500 MCG TABLET,146.9,73.45,32.04,132.21,65
NDC,59651027660,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",180.0,90.0,39.26,162.0,65
NDC,59651029960,TAMOXIFEN 10 MG TABLET,57.25,28.63,12.49,51.53,65
NDC,59651030030,TAMOXIFEN 20 MG TABLET,60.5,30.25,13.2,54.45,65
NDC,59651033101,FLUCYTOSINE 250 MG CAPSULE,2940.0,1470.0,641.21,2646.0,65
NDC,59651033201,FLUCYTOSINE 500 MG CAPSULE,5054.0,2527.0,1102.28,4548.6,65
NDC,59651033701,MINOCYCLINE 50 MG TABLET,385.0,192.5,83.97,346.5,65
NDC,59651034101,METHOCARBAMOL 750 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,59651038130,CLOMIPRAMINE 25 MG CAPSULE,55.45,27.73,12.09,49.91,65
NDC,59651039001,BUSPIRONE 7.5 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,59651039401,BACLOFEN 10 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,59651040112,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,177.15,88.58,38.64,159.44,65
NDC,59651040430,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",239.8,119.9,52.3,215.82,65
NDC,59651041350,HYDROCORTISONE 5 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,59651041401,HYDROCORTISONE 10 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,59651041501,HYDROCORTISONE 20 MG TABLET,289.8,144.9,63.21,260.82,65
NDC,59651042201,CEVIMELINE 30 MG CAPSULE,785.0,392.5,171.21,706.5,65
NDC,59651045501,COLCHICINE 0.6 MG TABLET,123.0,61.5,26.83,110.7,65
NDC,59651045530,COLCHICINE 0.6 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,59651045601,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,59651045701,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,40.8,20.4,8.9,36.72,65
NDC,59651048401,PREDNISONE 1 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,59651048501,PREDNISONE 2.5 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,59651048601,PREDNISONE 5 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,59651048801,PREDNISONE 20 MG TABLET,73.8,36.9,16.1,66.42,65
NDC,59651048805,PREDNISONE 20 MG TABLET,390.0,195.0,85.06,351.0,65
NDC,59651048901,PREDNISONE 50 MG TABLET,180.6,90.3,39.39,162.54,65
NDC,59651049101,PREDNISOLONE 5 MG TABLET,4567.2,2283.6,996.11,4110.48,65
NDC,59651051630,EXEMESTANE 25 MG TABLET,135.0,67.5,29.44,121.5,65
NDC,59651053901,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",35.4,17.7,7.72,31.86,65
NDC,59651056501,DICLOXACILLIN 250 MG CAPSULE,271.2,135.6,59.15,244.08,65
NDC,59651057590,FENOFIBRATE 54 MG TABLET,118.8,59.4,25.91,106.92,65
NDC,59651061608,RUFINAMIDE 200 MG TABLET,1039.8,519.9,226.78,935.82,65
NDC,59651065825,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,52.2,26.1,11.38,46.98,65
NDC,59651068801,FLUPHENAZINE 5 MG TABLET,239.4,119.7,52.21,215.46,65
NDC,59651072201,CLONAZEPAM 0.5 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,59651072301,CLONAZEPAM 1 MG TABLET,19.8,9.9,4.32,17.82,65
NDC,59651078030,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",38.35,19.18,8.36,34.52,65
NDC,59651086701,CIPROFLOXACIN 500 MG TABLET,159.0,79.5,34.68,143.1,65
NDC,59651086705,CIPROFLOXACIN 500 MG TABLET,297.5,148.75,64.88,267.75,65
NDC,59651087350,CIPROFLOXACIN 750 MG TABLET,81.3,40.65,17.73,73.17,65
NDC,59676027801,RILPIVIRINE HCL 25 MG TABLET,5755.45,2877.73,1255.26,5179.91,65
NDC,59676030200,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",256.05,128.03,0.98,230.45,66
NDC,59676030201,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",256.05,128.03,0.98,230.45,66
NDC,59676030300,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",371.5,185.75,0.98,334.35,66
NDC,59676030301,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",371.5,185.75,0.98,334.35,66
NDC,59676030400,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",487.0,243.5,0.98,438.3,66
NDC,59676030401,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",487.0,243.5,0.98,438.3,66
NDC,59676031000,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",654.95,327.48,0.98,589.46,66
NDC,59676031001,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",654.95,327.48,0.98,589.46,66
NDC,59676031002,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",654.95,327.48,0.98,589.46,66
NDC,59676032000,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1284.9,642.45,0.98,1156.41,66
NDC,59676032004,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",1284.9,642.45,0.98,1156.41,66
NDC,59676034000,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",1984.85,992.43,0.98,1786.37,66
NDC,59676034001,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",1984.85,992.43,0.98,1786.37,66
NDC,59676036001,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE,423.5,211.75,92.37,381.15,71
NDC,59676056201,DARUNAVIR 600 MG TABLET,8373.6,4186.8,1826.28,7536.24,65
NDC,59676056501,DARUNAVIR 100 MG/ML ORAL SUSPENSION,4795.2,2397.6,1045.83,4315.68,65
NDC,59676056630,DARUNAVIR 800 MG TABLET,8373.6,4186.8,1826.28,7536.24,65
NDC,59676057001,ETRAVIRINE 100 MG TABLET,5811.85,2905.93,1267.56,5230.67,65
NDC,59676057101,ETRAVIRINE 200 MG TABLET,5811.85,2905.93,1267.56,5230.67,65
NDC,59676057530,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,9570.85,4785.43,2087.4,8613.77,65
NDC,59676061001,TRABECTEDIN 1 MG INTRAVENOUS SOLUTION,14807.4,7403.7,347.73,13326.66,71
NDC,59676080030,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,18301.6,9150.8,3991.58,16471.44,65
NDC,59676082001,"HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRA-ARTICULAR SYRINGE",2110.75,1055.38,460.35,1899.68,71
NDC,59746000103,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,38.2,19.1,0.26,34.38,66
NDC,59746000106,METHYLPREDNISOLONE 4 MG TABLET,192.6,96.3,0.26,173.34,66
NDC,59746000204,METHYLPREDNISOLONE 8 MG TABLET,241.2,120.6,0.26,217.08,66
NDC,59746000314,METHYLPREDNISOLONE 16 MG TABLET,621.25,310.63,0.26,559.13,66
NDC,59746001032,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,78.15,39.08,17.04,70.34,65
NDC,59746002022,RISPERIDONE 1 MG DISINTEGRATING TABLET,201.1,100.55,43.86,180.99,65
NDC,59746003022,RISPERIDONE 2 MG DISINTEGRATING TABLET,134.25,67.13,29.28,120.83,65
NDC,59746011306,PROCHLORPERAZINE MALEATE 5 MG TABLET,209.4,104.7,45.67,188.46,65
NDC,59746011506,PROCHLORPERAZINE MALEATE 10 MG TABLET,261.5,130.75,57.03,235.35,65
NDC,59746017106,PREDNISONE 1 MG TABLET,115.2,57.6,25.13,103.68,65
NDC,59746017206,PREDNISONE 5 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,59746017210,PREDNISONE 5 MG TABLET,450.0,225.0,98.15,405.0,65
NDC,59746017306,PREDNISONE 10 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,59746017310,PREDNISONE 10 MG TABLET,640.0,320.0,139.58,576.0,65
NDC,59746017506,PREDNISONE 20 MG TABLET,112.2,56.1,24.47,100.98,65
NDC,59746017509,PREDNISONE 20 MG TABLET,360.0,180.0,78.52,324.0,65
NDC,59746017706,CYCLOBENZAPRINE 10 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,59746017710,CYCLOBENZAPRINE 10 MG TABLET,335.0,167.5,73.06,301.5,65
NDC,59746021106,CYCLOBENZAPRINE 5 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,59746021601,SPIRONOLACTONE 25 MG TABLET,34.8,17.4,7.59,31.32,65
NDC,59746021605,SPIRONOLACTONE 25 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,59746021701,SPIRONOLACTONE 50 MG TABLET,122.4,61.2,26.7,110.16,65
NDC,59746021801,SPIRONOLACTONE 100 MG TABLET,233.4,116.7,50.9,210.06,65
NDC,59746024601,LAMOTRIGINE 100 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,59746030612,OLANZAPINE 5 MG DISINTEGRATING TABLET,4.8,2.4,1.05,4.32,65
NDC,59746030632,OLANZAPINE 5 MG DISINTEGRATING TABLET,143.1,71.55,31.21,128.79,65
NDC,59746030712,OLANZAPINE 10 MG DISINTEGRATING TABLET,7.55,3.78,1.65,6.8,65
NDC,59746030732,OLANZAPINE 10 MG DISINTEGRATING TABLET,226.3,113.15,49.36,203.67,65
NDC,59746032430,VALACYCLOVIR 500 MG TABLET,103.35,51.68,22.54,93.02,65
NDC,59746032990,DONEPEZIL 5 MG TABLET,31.9,15.95,6.96,28.71,65
NDC,59746033030,DONEPEZIL 10 MG TABLET,13.15,6.58,2.87,11.84,65
NDC,59746036030,VALSARTAN 40 MG TABLET,34.95,17.48,7.62,31.46,65
NDC,59746036190,VALSARTAN 80 MG TABLET,119.9,59.95,26.15,107.91,65
NDC,59746036290,VALSARTAN 160 MG TABLET,128.0,64.0,27.92,115.2,65
NDC,59746038306,TERAZOSIN 1 MG CAPSULE,72.0,36.0,15.7,64.8,65
NDC,59746038406,TERAZOSIN 2 MG CAPSULE,74.4,37.2,16.23,66.96,65
NDC,59746038506,TERAZOSIN 5 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,59746071030,CLOMIPRAMINE 25 MG CAPSULE,673.95,336.98,146.99,606.56,65
NDC,59762001601,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,231.0,115.5,50.38,207.9,65
NDC,59762003301,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,223.05,111.53,48.65,200.75,65
NDC,59762003702,DOFETILIDE 125 MCG CAPSULE,1161.6,580.8,253.34,1045.44,65
NDC,59762003802,DOFETILIDE 250 MCG CAPSULE,1161.6,580.8,253.34,1045.44,65
NDC,59762003902,DOFETILIDE 500 MCG CAPSULE,1161.6,580.8,253.34,1045.44,65
NDC,59762004901,METHYLPREDNISOLONE 8 MG TABLET,178.8,89.4,0.26,160.92,66
NDC,59762005001,METHYLPREDNISOLONE 16 MG TABLET,494.5,247.25,0.26,445.05,66
NDC,59762005101,METHYLPREDNISOLONE 32 MG TABLET,421.75,210.88,0.26,379.58,66
NDC,59762005501,MEDROXYPROGESTERONE 2.5 MG TABLET,70.8,35.4,15.44,63.72,65
NDC,59762005601,MEDROXYPROGESTERONE 10 MG TABLET,132.6,66.3,28.92,119.34,65
NDC,59762005701,"ALPRAZOLAM ER 0.5 MG TABLET,EXTENDED RELEASE 24 HR",132.5,66.25,28.9,119.25,65
NDC,59762007301,HYDROCORTISONE 5 MG TABLET,38.7,19.35,8.44,34.83,65
NDC,59762007401,HYDROCORTISONE 10 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,59762007501,HYDROCORTISONE 20 MG TABLET,211.8,105.9,46.19,190.62,65
NDC,59762010405,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",150.6,75.3,32.85,135.54,65
NDC,59762010406,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",408.0,204.0,88.98,367.2,65
NDC,59762011701,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),1644.3,822.15,358.62,1479.87,65
NDC,59762011803,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",782.25,391.13,170.61,704.03,65
NDC,59762011901,PHENELZINE 15 MG TABLET,213.5,106.75,46.56,192.15,65
NDC,59762013100,SILVER SULFADIAZINE 1 % TOPICAL CREAM,50.8,25.4,11.08,45.72,65
NDC,59762013102,SILVER SULFADIAZINE 1 % TOPICAL CREAM,41.4,20.7,9.03,37.26,65
NDC,59762013104,SILVER SULFADIAZINE 1 % TOPICAL CREAM,204.0,102.0,44.49,183.6,65
NDC,59762013105,SILVER SULFADIAZINE 1 % TOPICAL CREAM,49.2,24.6,10.73,44.28,65
NDC,59762013106,SILVER SULFADIAZINE 1 % TOPICAL CREAM,49.2,24.6,10.73,44.28,65
NDC,59762013108,SILVER SULFADIAZINE 1 % TOPICAL CREAM,94.35,47.18,20.58,84.92,65
NDC,59762014501,PIROXICAM 20 MG CAPSULE,390.0,195.0,85.06,351.0,65
NDC,59762015501,ATORVASTATIN 10 MG TABLET,106.4,53.2,23.21,95.76,65
NDC,59762015601,ATORVASTATIN 20 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,59762015701,ATORVASTATIN 40 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,59762015702,ATORVASTATIN 40 MG TABLET,700.0,350.0,152.67,630.0,65
NDC,59762015801,ATORVASTATIN 80 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,59762026001,COLESTIPOL 5 GRAM ORAL PACKET,300.75,150.38,65.59,270.68,65
NDC,59762033302,LATANOPROST 0.005 % EYE DROPS,25.5,12.75,5.56,22.95,65
NDC,59762038601,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,328.5,164.25,71.65,295.65,65
NDC,59762040001,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,367.0,183.5,80.04,330.3,65
NDC,59762040101,SUCRALFATE 1 GRAM TABLET,88.2,44.1,19.24,79.38,65
NDC,59762040105,SUCRALFATE 1 GRAM TABLET,352.5,176.25,76.88,317.25,65
NDC,59762040704,"RISEDRONATE 35 MG TABLET,DELAYED RELEASE",763.3,381.65,166.48,686.97,65
NDC,59762045001,COLESTIPOL 1 GRAM TABLET,447.6,223.8,97.62,402.84,65
NDC,59762053102,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,89.6,44.8,19.54,80.64,65
NDC,59762054001,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",22.5,11.25,4.91,20.25,65
NDC,59762054101,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",52.2,26.1,11.38,46.98,65
NDC,59762054102,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",237.0,118.5,51.69,213.3,65
NDC,59762054201,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",78.6,39.3,17.14,70.74,65
NDC,59762070702,DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL 12 HOUR PATCH,837.9,418.95,182.75,754.11,65
NDC,59762081101,NADOLOL 40 MG TABLET,728.5,364.25,158.89,655.65,65
NDC,59762093503,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,2574.3,1287.15,561.45,2316.87,65
NDC,59762100101,SIROLIMUS 0.5 MG TABLET,2275.0,1137.5,496.18,2047.5,65
NDC,59762100201,SIROLIMUS 1 MG TABLET,4789.6,2394.8,1044.61,4310.64,65
NDC,59762100401,NIFEDIPINE 10 MG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,59762100501,CABERGOLINE 0.5 MG TABLET,246.55,123.28,53.77,221.9,65
NDC,59762106101,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,171.6,85.8,37.43,154.44,65
NDC,59762120601,LIOTHYRONINE 5 MCG TABLET,336.5,168.25,73.39,302.85,65
NDC,59762120701,LIOTHYRONINE 25 MCG TABLET,435.0,217.5,94.87,391.5,65
NDC,59762120801,LIOTHYRONINE 50 MCG TABLET,659.0,329.5,143.73,593.1,65
NDC,59762121003,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",111.6,55.8,24.34,100.44,65
NDC,59762121103,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",110.35,55.18,24.07,99.32,65
NDC,59762122203,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",110.35,55.18,24.07,99.32,65
NDC,59762130702,LINEZOLID 600 MG TABLET,402.5,201.25,87.79,362.25,65
NDC,59762130801,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1347.75,673.88,293.94,1212.98,65
NDC,59762130804,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,2358.0,1179.0,514.28,2122.2,65
NDC,59762134201,PREGABALIN 25 MG CAPSULE,44.3,22.15,9.66,39.87,65
NDC,59762134401,PREGABALIN 50 MG CAPSULE,106.95,53.48,23.33,96.26,65
NDC,59762134601,PREGABALIN 75 MG CAPSULE,44.3,22.15,9.66,39.87,65
NDC,59762134801,PREGABALIN 100 MG CAPSULE,44.3,22.15,9.66,39.87,65
NDC,59762135001,RIFABUTIN 150 MG CAPSULE,4276.4,2138.2,932.68,3848.76,65
NDC,59762136401,PREGABALIN 300 MG CAPSULE,49.7,24.85,10.84,44.73,65
NDC,59762151601,CELECOXIB 100 MG CAPSULE,105.6,52.8,23.03,95.04,65
NDC,59762151701,CELECOXIB 200 MG CAPSULE,148.2,74.1,32.32,133.38,65
NDC,59762171001,EPLERENONE 25 MG TABLET,1195.0,597.5,260.63,1075.5,65
NDC,59762171003,EPLERENONE 25 MG TABLET,582.3,291.15,127.0,524.07,65
NDC,59762200201,ZIPRASIDONE 40 MG CAPSULE,278.7,139.35,60.78,250.83,65
NDC,59762200401,ZIPRASIDONE 80 MG CAPSULE,313.8,156.9,68.44,282.42,65
NDC,59762201201,ASENAPINE 5 MG SUBLINGUAL TABLET,142.65,71.33,31.11,128.39,65
NDC,59762201206,ASENAPINE 5 MG SUBLINGUAL TABLET,713.1,356.55,155.53,641.79,65
NDC,59762205801,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,3191.15,1595.58,695.99,2872.04,65
NDC,59762219801,AZITHROMYCIN 250 MG TABLET,12.2,6.1,2.66,10.98,65
NDC,59762219803,AZITHROMYCIN 250 MG TABLET,12.2,6.1,2.66,10.98,65
NDC,59762219807,AZITHROMYCIN 250 MG TABLET,40.5,20.25,8.83,36.45,65
NDC,59762235006,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,260.7,130.35,56.86,234.63,65
NDC,59762242007,DOXAZOSIN 2 MG TABLET,235.8,117.9,51.43,212.22,65
NDC,59762285801,EXEMESTANE 25 MG TABLET,277.4,138.7,60.5,249.66,65
NDC,59762288806,ASENAPINE 10 MG SUBLINGUAL TABLET,1798.2,899.1,392.19,1618.38,65
NDC,59762305102,AZITHROMYCIN 1 GRAM ORAL PACKET,257.9,128.95,56.25,232.11,65
NDC,59762305105,AZITHROMYCIN 1 GRAM ORAL PACKET,98.55,49.28,21.49,88.7,65
NDC,59762311001,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,88.6,44.3,19.32,79.74,65
NDC,59762312001,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,80.85,40.43,17.63,72.77,65
NDC,59762313001,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,65.45,32.73,14.27,58.91,65
NDC,59762314001,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,63.75,31.88,13.9,57.38,65
NDC,59762330401,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,158.4,79.2,34.55,142.56,65
NDC,59762330403,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,52.2,26.1,11.38,46.98,65
NDC,59762332801,CLINDAMYCIN HCL 150 MG CAPSULE,66.0,33.0,14.39,59.4,65
NDC,59762371809,TRIAZOLAM 0.25 MG TABLET,595.5,297.75,129.88,535.95,65
NDC,59762371901,ALPRAZOLAM 0.25 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,59762371903,ALPRAZOLAM 0.25 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,59762372001,ALPRAZOLAM 0.5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,59762372101,ALPRAZOLAM 1 MG TABLET,15.6,7.8,3.4,14.04,65
NDC,59762372103,ALPRAZOLAM 1 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,59762372104,ALPRAZOLAM 1 MG TABLET,138.0,69.0,30.1,124.2,65
NDC,59762374202,MEDROXYPROGESTERONE 10 MG TABLET,73.2,36.6,15.96,65.88,65
NDC,59762374401,CLINDAMYCIN 1 % LOTION,369.3,184.65,80.54,332.37,65
NDC,59762444002,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,32.9,16.45,0.26,29.61,66
NDC,59762444003,METHYLPREDNISOLONE 4 MG TABLET,336.5,168.25,0.26,302.85,66
NDC,59762453701,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,242.1,121.05,50.03,217.89,66
NDC,59762453702,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,245.75,122.88,50.03,221.18,66
NDC,59762453802,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SYRINGE,317.8,158.9,50.03,286.02,66
NDC,59762500005,SULFASALAZINE 500 MG TABLET,118.8,59.4,25.91,106.92,65
NDC,59762500701,MISOPROSTOL 100 MCG TABLET,150.15,75.08,32.75,135.14,65
NDC,59762500702,MISOPROSTOL 100 MCG TABLET,250.2,125.1,54.57,225.18,65
NDC,59762500801,MISOPROSTOL 200 MCG TABLET,257.4,128.7,56.14,231.66,65
NDC,59762500802,MISOPROSTOL 200 MCG TABLET,377.5,188.75,82.33,339.75,65
NDC,59762500901,CLINDAMYCIN 2 % VAGINAL CREAM,316.4,158.2,69.01,284.76,65
NDC,59762501001,CLINDAMYCIN HCL 300 MG CAPSULE,31.7,15.85,6.91,28.53,65
NDC,59762501002,CLINDAMYCIN HCL 300 MG CAPSULE,127.8,63.9,27.87,115.02,65
NDC,59762501601,FLUCONAZOLE 100 MG TABLET,219.1,109.55,47.79,197.19,65
NDC,59762501801,FLUCONAZOLE 200 MG TABLET,297.45,148.73,64.87,267.71,65
NDC,59762502901,FLUCONAZOLE 10 MG/ML ORAL SUSPENSION,54.85,27.43,11.96,49.37,65
NDC,59762503001,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,117.85,58.93,25.7,106.07,65
NDC,59762505001,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,211.5,105.75,46.13,190.35,65
NDC,59762505007,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,331.35,165.68,72.27,298.22,65
NDC,59762521001,PHENYTOIN 50 MG CHEWABLE TABLET,223.2,111.6,48.68,200.88,65
NDC,59762531001,PRAZOSIN 1 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,59762532001,PRAZOSIN 2 MG CAPSULE,142.6,71.3,31.1,128.34,65
NDC,59762535001,PRAZOSIN 5 MG CAPSULE,214.4,107.2,46.76,192.96,65
NDC,59922063101,FERRIC CITRATE 210 MG IRON TABLET,5556.8,2778.4,1211.94,5001.12,65
NDC,59923060110,PAMIDRONATE 30 MG INTRAVENOUS SOLUTION,114.6,57.3,9.85,103.14,66
NDC,59923060402,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,10994.0,5497.0,69.56,9894.6,71
NDC,59923061501,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,27.75,13.88,6.05,24.98,66
NDC,59923061505,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,27.75,13.88,6.05,24.98,66
NDC,59923070100,EPIRUBICIN 200 MG/100 ML INTRAVENOUS SOLUTION,1099.85,549.93,1.53,989.87,66
NDC,59923071615,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,60219107601,AZATHIOPRINE 50 MG TABLET,174.6,87.3,5.06,157.14,66
NDC,60219150201,PHENOXYBENZAMINE 10 MG CAPSULE,6915.2,3457.6,1508.21,6223.68,65
NDC,60219150301,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,650.0,325.0,141.77,585.0,65
NDC,60219150402,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1071.0,535.5,233.59,963.9,65
NDC,60219152201,TETRACYCLINE 250 MG CAPSULE,616.5,308.25,134.46,554.85,65
NDC,60219157301,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,23.2,11.6,0.12,20.88,71
NDC,60219157305,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,23.2,11.6,0.12,20.88,71
NDC,60219157401,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,35.0,17.5,0.12,31.5,71
NDC,60219157405,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,35.0,17.5,0.12,31.5,71
NDC,60219161701,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,9.15,4.58,2.0,8.24,65
NDC,60219167301,THIOTHIXENE 1 MG CAPSULE,311.5,155.75,67.94,280.35,65
NDC,60219167501,THIOTHIXENE 5 MG CAPSULE,596.5,298.25,130.1,536.85,65
NDC,60219167701,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,235.8,117.9,51.43,212.22,65
NDC,60219170801,PREDNISONE 20 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,60219172107,ETRAVIRINE 100 MG TABLET,3896.2,1948.1,849.76,3506.58,65
NDC,60219172206,ETRAVIRINE 200 MG TABLET,3776.4,1888.2,823.63,3398.76,65
NDC,60219174802,ATROPINE 1 % EYE DROPS,198.85,99.43,43.37,178.97,65
NDC,60219174903,ATROPINE 1 % EYE DROPS,242.65,121.33,52.92,218.39,65
NDC,60219203901,PROCHLORPERAZINE MALEATE 10 MG TABLET,247.8,123.9,54.05,223.02,65
NDC,60219204301,DEXAMETHASONE 4 MG TABLET,458.0,229.0,99.89,412.2,65
NDC,60219204401,DEXAMETHASONE 6 MG TABLET,687.5,343.75,149.94,618.75,65
NDC,60219205601,DEXAMETHASONE 2 MG TABLET,292.8,146.4,63.86,263.52,65
NDC,60219234801,TRAMADOL 50 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,60219551109,FENOFIBRATE 54 MG TABLET,115.05,57.53,25.09,103.55,65
NDC,60258000216,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,173.15,86.58,37.76,155.84,65
NDC,60258000316,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",312.2,156.1,68.09,280.98,65
NDC,60258000601,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",113.4,56.7,24.73,102.06,65
NDC,60258000615,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.2,1.6,0.7,2.88,65
NDC,60258016001,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,60258016101,VITAMIN B COMP NO.3-FOLIC ACID 1 MG-VIT C 60 MG-BIOTIN 300 MCG TABLET,78.6,39.3,17.14,70.74,65
NDC,60258016201,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,282.6,141.3,61.64,254.34,65
NDC,60258018001,B COMPLEX-C-MIN-FE-FA 106 MG IRON-1 MG TABLET,189.6,94.8,41.35,170.64,65
NDC,60258018101,FERROUS FUMARATE-FOLIC ACID 324 MG (106 MG IRON)-1 MG TABLET,183.0,91.5,39.91,164.7,65
NDC,60258018601,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,132.0,66.0,28.79,118.8,65
NDC,60258019001,"PRENATAL VITS,CALCIUM NO.78-IRON FUMARATE-FOLIC ACID 29 MG-1 MG TABLET",158.4,79.2,34.55,142.56,65
NDC,60267031110,SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION,495.0,247.5,107.96,445.5,65
NDC,60267070550,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,495.0,247.5,0.81,445.5,66
NDC,60267081200,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,984.9,492.45,2.28,886.41,70
NDC,60432003708,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,19.95,9.98,4.35,17.96,65
NDC,60432003732,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,85.15,42.58,18.57,76.64,65
NDC,60432003816,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,42.6,21.3,9.29,38.34,65
NDC,60432006500,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,177.6,88.8,38.73,159.84,65
NDC,60432006547,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,243.9,121.95,53.19,219.51,65
NDC,60432006575,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,138.6,69.3,30.23,124.74,65
NDC,60432009316,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,105.05,52.53,22.91,94.55,65
NDC,60432012608,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,106.6,53.3,23.25,95.94,65
NDC,60432012616,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,201.6,100.8,43.97,181.44,65
NDC,60432012916,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,299.25,149.63,65.27,269.33,65
NDC,60432015004,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,65.15,32.58,14.21,58.64,65
NDC,60432015016,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,105.05,52.53,22.91,94.55,65
NDC,60432021208,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,176.35,88.18,38.46,158.72,65
NDC,60432027504,BROMPHENIRAMINE-PSEUDOEPHEDRINE-DM 2 MG-30 MG-10 MG/5 ML ORAL SYRUP,114.0,57.0,24.86,102.6,65
NDC,60432045516,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,350.05,175.03,76.35,315.05,65
NDC,60432046550,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,178.5,89.25,38.93,160.65,65
NDC,60432046551,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,178.5,89.25,38.93,160.65,65
NDC,60432053716,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",133.4,66.7,29.09,120.06,65
NDC,60432053760,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",76.35,38.18,16.65,68.72,65
NDC,60432056160,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,87.85,43.93,19.16,79.07,65
NDC,60432056161,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,87.85,43.93,19.16,79.07,65
NDC,60432060416,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,158.95,79.48,34.67,143.06,65
NDC,60432060616,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,96.5,48.25,21.05,86.85,65
NDC,60432060816,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,48.25,24.13,10.52,43.43,65
NDC,60432061304,FUROSEMIDE 10 MG/ML ORAL SOLUTION,78.5,39.25,17.12,70.65,65
NDC,60432061360,FUROSEMIDE 10 MG/ML ORAL SOLUTION,40.7,20.35,8.88,36.63,65
NDC,60432062116,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,34.1,17.05,7.44,30.69,65
NDC,60432065104,DOXEPIN 10 MG/ML ORAL CONCENTRATE,118.25,59.13,25.79,106.43,65
NDC,60432070605,OXYCODONE 5 MG/5 ML ORAL SOLUTION,570.0,285.0,124.32,513.0,65
NDC,60432083460,LINDANE 1 % SHAMPOO,508.8,254.4,110.97,457.92,65
NDC,60505003306,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",214.2,107.1,46.72,192.78,65
NDC,60505003901,ETODOLAC 200 MG CAPSULE,218.4,109.2,47.63,196.56,65
NDC,60505004001,ETODOLAC 300 MG CAPSULE,234.6,117.3,51.17,211.14,65
NDC,60505004206,ACYCLOVIR 200 MG CAPSULE,48.6,24.3,10.6,43.74,65
NDC,60505005501,SELEGILINE 5 MG CAPSULE,176.8,88.4,38.56,159.12,65
NDC,60505006501,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",1745.0,872.5,380.58,1570.5,65
NDC,60505006502,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",30.6,15.3,6.67,27.54,65
NDC,60505008000,SOTALOL 80 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,60505008301,PAROXETINE 20 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,60505008302,PAROXETINE 20 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,60505008402,PAROXETINE 30 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,60505009300,DOXAZOSIN 1 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,60505009400,DOXAZOSIN 2 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,60505009500,DOXAZOSIN 4 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,60505009600,DOXAZOSIN 8 MG TABLET,19.2,9.6,4.19,17.28,65
NDC,60505009701,PAROXETINE 10 MG TABLET,11.7,5.85,2.55,10.53,65
NDC,60505009702,PAROXETINE 10 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,60505009704,PAROXETINE 10 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,60505013300,CYCLOSPORINE 25 MG CAPSULE,396.3,198.15,86.43,356.67,65
NDC,60505013400,CYCLOSPORINE 100 MG CAPSULE,1713.6,856.8,2.51,1542.24,66
NDC,60505014100,GLIPIZIDE 5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,60505014101,GLIPIZIDE 5 MG TABLET,210.0,105.0,45.8,189.0,65
NDC,60505014102,GLIPIZIDE 5 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,60505014200,GLIPIZIDE 10 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,60505015701,BUPROPION HCL 100 MG TABLET,64.2,32.1,14.0,57.78,65
NDC,60505015801,BUPROPION HCL 75 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,60505015900,SOTALOL 120 MG TABLET,42.6,21.3,9.29,38.34,65
NDC,60505016401,FLUVOXAMINE 25 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,60505016501,FLUVOXAMINE 50 MG TABLET,190.2,95.1,41.48,171.18,65
NDC,60505016601,FLUVOXAMINE 100 MG TABLET,251.4,125.7,54.83,226.26,65
NDC,60505016809,PRAVASTATIN 10 MG TABLET,22.15,11.08,4.83,19.94,65
NDC,60505016909,PRAVASTATIN 20 MG TABLET,22.7,11.35,4.95,20.43,65
NDC,60505017007,PRAVASTATIN 40 MG TABLET,950.0,475.0,207.2,855.0,65
NDC,60505017009,PRAVASTATIN 40 MG TABLET,30.25,15.13,6.6,27.23,65
NDC,60505018300,CARBAMAZEPINE 200 MG TABLET,244.8,122.4,53.39,220.32,65
NDC,60505022201,SOTALOL 80 MG TABLET,290.4,145.2,63.34,261.36,65
NDC,60505022301,SOTALOL 120 MG TABLET,244.8,122.4,53.39,220.32,65
NDC,60505024701,MIRTAZAPINE 15 MG TABLET,9.55,4.78,2.08,8.6,65
NDC,60505024708,MIRTAZAPINE 15 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,60505024801,MIRTAZAPINE 30 MG TABLET,11.9,5.95,2.6,10.71,65
NDC,60505024901,MIRTAZAPINE 45 MG TABLET,13.9,6.95,3.03,12.51,65
NDC,60505025103,TIZANIDINE 2 MG TABLET,49.5,24.75,10.8,44.55,65
NDC,60505025203,TIZANIDINE 4 MG TABLET,46.8,23.4,10.21,42.12,65
NDC,60505025302,CLOPIDOGREL 75 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,60505025701,DESMOPRESSIN 0.1 MG TABLET,367.0,183.5,80.04,330.3,65
NDC,60505025801,DESMOPRESSIN 0.2 MG TABLET,412.0,206.0,89.86,370.8,65
NDC,60505036301,OFLOXACIN 0.3 % EAR DROPS,45.85,22.93,10.0,41.27,65
NDC,60505040205,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,2040.0,1020.0,444.92,1836.0,65
NDC,60505056000,OFLOXACIN 0.3 % EYE DROPS,44.4,22.2,9.68,39.96,65
NDC,60505056001,OFLOXACIN 0.3 % EYE DROPS,66.55,33.28,14.51,59.9,65
NDC,60505056401,BRIMONIDINE 0.15 % EYE DROPS,347.85,173.93,75.87,313.07,65
NDC,60505057501,OLOPATADINE 0.1 % EYE DROPS,220.45,110.23,48.08,198.41,65
NDC,60505057701,BRIMONIDINE 0.1 % EYE DROPS,885.1,442.55,193.04,796.59,65
NDC,60505057804,AZELASTINE 0.05 % EYE DROPS,299.7,149.85,65.36,269.73,65
NDC,60505058204,MOXIFLOXACIN 0.5 % EYE DROPS,334.7,167.35,73.0,301.23,65
NDC,60505059304,TRAVOPROST 0.004 % EYE DROPS,324.9,162.45,70.86,292.41,65
NDC,60505076900,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,71.05,35.53,0.84,63.95,66
NDC,60505076901,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,71.05,35.53,0.84,63.95,66
NDC,60505079100,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.85,11.43,0.76,20.57,66
NDC,60505079104,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.85,11.43,0.76,20.57,66
NDC,60505079200,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,20.1,10.05,0.76,18.09,66
NDC,60505079204,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,20.1,10.05,0.76,18.09,66
NDC,60505079300,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,26.15,13.08,0.76,23.54,66
NDC,60505079304,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,26.15,13.08,0.76,23.54,66
NDC,60505079400,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,37.9,18.95,0.76,34.11,66
NDC,60505079404,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,37.9,18.95,0.76,34.11,66
NDC,60505079501,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,47.05,23.53,0.76,42.35,66
NDC,60505079504,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,47.05,23.53,0.76,42.35,66
NDC,60505079600,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,53.55,26.78,0.76,48.2,66
NDC,60505079604,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,53.55,26.78,0.76,48.2,66
NDC,60505079800,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,68.55,34.28,0.76,61.7,66
NDC,60505079804,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,68.55,34.28,0.76,61.7,66
NDC,60505081500,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),294.4,147.2,64.21,264.96,65
NDC,60505082306,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,280.95,140.48,61.28,252.86,65
NDC,60505082601,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,65.7,32.85,14.33,59.13,65
NDC,60505082701,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,93.7,46.85,20.44,84.33,65
NDC,60505083305,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,115.4,57.7,25.17,103.86,65
NDC,60505084805,AZELASTINE 205.5 MCG (0.15 %) NASAL SPRAY,155.9,77.95,34.0,140.31,65
NDC,60505095303,AZELASTINE 137 MCG-FLUTICASONE 50 MCG/SPRAY NASAL SPRAY,319.85,159.93,69.76,287.87,65
NDC,60505100301,KETOROLAC 0.5 % EYE DROPS,28.8,14.4,6.28,25.92,65
NDC,60505100302,KETOROLAC 0.5 % EYE DROPS,102.0,51.0,22.25,91.8,65
NDC,60505100501,TIMOLOL MALEATE 0.5 % ONCE DAILY EYE DROPS,297.5,148.75,64.88,267.75,65
NDC,60505131603,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",205.2,102.6,44.75,184.68,65
NDC,60505132001,MIDODRINE 2.5 MG TABLET,76.2,38.1,16.62,68.58,65
NDC,60505132101,MIDODRINE 5 MG TABLET,78.6,39.3,17.14,70.74,65
NDC,60505132309,PRAVASTATIN 80 MG TABLET,43.75,21.88,9.54,39.38,65
NDC,60505132501,MIDODRINE 10 MG TABLET,219.0,109.5,47.76,197.1,65
NDC,60505250201,LEFLUNOMIDE 10 MG TABLET,106.2,53.1,23.16,95.58,65
NDC,60505250301,LEFLUNOMIDE 20 MG TABLET,104.8,52.4,22.86,94.32,65
NDC,60505252101,CILOSTAZOL 50 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,60505252201,CILOSTAZOL 100 MG TABLET,131.4,65.7,28.66,118.26,65
NDC,60505252603,MODAFINIL 100 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,60505252703,MODAFINIL 200 MG TABLET,47.2,23.6,10.29,42.48,65
NDC,60505252806,ZIPRASIDONE 20 MG CAPSULE,399.9,199.95,87.22,359.91,65
NDC,60505252906,ZIPRASIDONE 40 MG CAPSULE,399.9,199.95,87.22,359.91,65
NDC,60505253106,ZIPRASIDONE 80 MG CAPSULE,450.0,225.0,98.15,405.0,65
NDC,60505254306,GALANTAMINE 8 MG TABLET,687.3,343.65,149.9,618.57,65
NDC,60505257507,BALSALAZIDE 750 MG CAPSULE,302.4,151.2,65.95,272.16,65
NDC,60505257808,ATORVASTATIN 10 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,60505257809,ATORVASTATIN 10 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,60505257909,ATORVASTATIN 20 MG TABLET,96.7,48.35,21.09,87.03,65
NDC,60505258008,ATORVASTATIN 40 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,60505258009,ATORVASTATIN 40 MG TABLET,96.7,48.35,21.09,87.03,65
NDC,60505265301,TRAZODONE 50 MG TABLET,40.2,20.1,8.77,36.18,65
NDC,60505265401,TRAZODONE 100 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,60505265601,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,56.4,28.2,12.3,50.76,65
NDC,60505265701,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,60505267108,ATORVASTATIN 80 MG TABLET,440.0,220.0,95.96,396.0,65
NDC,60505267109,ATORVASTATIN 80 MG TABLET,126.9,63.45,27.68,114.21,65
NDC,60505267303,ARIPIPRAZOLE 5 MG TABLET,247.5,123.75,53.98,222.75,65
NDC,60505267503,ARIPIPRAZOLE 15 MG TABLET,247.5,123.75,53.98,222.75,65
NDC,60505280507,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",979.8,489.9,213.69,881.82,65
NDC,60505280607,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",964.2,482.1,210.29,867.78,65
NDC,60505280707,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",965.4,482.7,210.55,868.86,65
NDC,60505283003,ATOMOXETINE 10 MG CAPSULE,180.2,90.1,39.3,162.18,65
NDC,60505283303,ATOMOXETINE 40 MG CAPSULE,97.4,48.7,21.24,87.66,65
NDC,60505290103,IMATINIB 400 MG TABLET,273.45,136.73,59.64,246.11,65
NDC,60505294509,EZETIMIBE 10 MG TABLET,61.6,30.8,13.43,55.44,65
NDC,60505296507,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",206.65,103.33,45.07,185.99,65
NDC,60505296607,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",289.2,144.6,63.07,260.28,65
NDC,60505299506,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",31.7,15.85,6.91,28.53,65
NDC,60505299603,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",25.05,12.53,5.46,22.55,65
NDC,60505307503,ARIPIPRAZOLE 2 MG TABLET,247.5,123.75,53.98,222.75,65
NDC,60505311000,OLANZAPINE 2.5 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,60505311100,OLANZAPINE 5 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,60505311300,OLANZAPINE 10 MG TABLET,79.8,39.9,17.4,71.82,65
NDC,60505311400,OLANZAPINE 15 MG TABLET,195.0,97.5,42.53,175.5,65
NDC,60505324703,FAMCICLOVIR 500 MG TABLET,68.8,34.4,15.01,61.92,65
NDC,60505325006,LAMIVUDINE 100 MG TABLET,2176.2,1088.1,474.63,1958.58,65
NDC,60505325106,LAMIVUDINE 150 MG TABLET,180.75,90.38,39.42,162.68,65
NDC,60505327500,OLANZAPINE 5 MG DISINTEGRATING TABLET,296.5,148.25,64.67,266.85,65
NDC,60505327503,OLANZAPINE 5 MG DISINTEGRATING TABLET,26.1,13.05,5.69,23.49,65
NDC,60505327600,OLANZAPINE 10 MG DISINTEGRATING TABLET,369.0,184.5,80.48,332.1,65
NDC,60505327603,OLANZAPINE 10 MG DISINTEGRATING TABLET,56.55,28.28,12.33,50.9,65
NDC,60505328006,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR",58.7,29.35,12.8,52.83,65
NDC,60505343803,SELEGILINE 5 MG TABLET,429.3,214.65,93.63,386.37,65
NDC,60505345406,TROSPIUM 20 MG TABLET,264.25,132.13,57.63,237.83,65
NDC,60505351706,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR",116.65,58.33,25.44,104.99,65
NDC,60505362806,DASATINIB 20 MG TABLET,26360.65,13180.33,5749.26,23724.59,65
NDC,60505362906,DASATINIB 50 MG TABLET,53360.4,26680.2,11637.9,48024.36,65
NDC,60505363006,DASATINIB 70 MG TABLET,52721.3,26360.65,11498.52,47449.17,65
NDC,60505381703,DASATINIB 140 MG TABLET,44367.5,22183.75,9676.55,39930.75,65
NDC,60505384901,CELECOXIB 200 MG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,60505388207,TETRABENAZINE 12.5 MG TABLET,953.15,476.58,207.88,857.84,65
NDC,60505392701,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",52.8,26.4,11.52,47.52,65
NDC,60505392801,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",49.8,24.9,10.86,44.82,65
NDC,60505392901,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",49.8,24.9,10.86,44.82,65
NDC,60505431700,TOLVAPTAN 15 MG TABLET,11747.55,5873.78,2562.14,10572.8,65
NDC,60505463203,CYCLOSPORINE MODIFIED 100 MG CAPSULE,659.55,329.78,2.51,593.6,66
NDC,60505464203,PRASUGREL HCL 5 MG TABLET,36.9,18.45,8.05,33.21,65
NDC,60505464303,PRASUGREL HCL 10 MG TABLET,37.65,18.83,8.21,33.89,65
NDC,60505470203,SOLIFENACIN 5 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,60505470303,SOLIFENACIN 10 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,60505470400,TOLVAPTAN 15 MG TABLET,16795.4,8397.7,3663.08,15115.86,65
NDC,60505470402,TOLVAPTAN 15 MG TABLET,2099.45,1049.73,457.89,1889.51,65
NDC,60505470500,TOLVAPTAN 30 MG TABLET,11920.05,5960.03,2599.76,10728.05,65
NDC,60505470501,TOLVAPTAN 30 MG TABLET,1490.05,745.03,324.98,1341.05,65
NDC,60505473901,LISDEXAMFETAMINE 10 MG CAPSULE,1872.0,936.0,408.28,1684.8,65
NDC,60505474001,LISDEXAMFETAMINE 20 MG CAPSULE,2420.8,1210.4,527.98,2178.72,65
NDC,60505475601,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,767.0,383.5,167.28,690.3,65
NDC,60505477203,VILAZODONE 10 MG TABLET,193.35,96.68,42.17,174.02,65
NDC,60505477403,VILAZODONE 40 MG TABLET,193.35,96.68,42.17,174.02,65
NDC,60505530601,ACYCLOVIR 400 MG TABLET,36.0,18.0,7.85,32.4,65
NDC,60505530701,ACYCLOVIR 800 MG TABLET,65.4,32.7,14.26,58.86,65
NDC,60505611600,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,138.7,69.35,15.27,124.83,66
NDC,60505612800,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,60505612801,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,60505613000,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.35,22.68,0.17,40.82,66
NDC,60505613005,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.35,22.68,0.17,40.82,66
NDC,60505613206,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,60505613207,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,60505614200,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.65,22.83,0.84,41.09,66
NDC,60505614205,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.65,22.83,0.84,41.09,66
NDC,60505614300,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,50.0,25.0,0.84,45.0,66
NDC,60505614304,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,50.0,25.0,0.84,45.0,66
NDC,60505614600,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.35,11.18,1.4,20.12,66
NDC,60505614604,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.35,11.18,1.4,20.12,66
NDC,60505614700,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,72.25,36.13,1.4,65.03,66
NDC,60505614704,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,51.3,25.65,1.4,46.17,66
NDC,60505614800,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.1,23.05,0.55,41.49,66
NDC,60505614804,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,45.75,22.88,0.55,41.18,66
NDC,60505614900,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.85,23.43,0.55,42.17,66
NDC,60505614904,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,46.85,23.43,0.55,42.17,66
NDC,60505615005,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,70.0,35.0,0.55,63.0,66
NDC,60505615101,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,45.4,22.7,0.55,40.86,66
NDC,60505615104,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,45.4,22.7,0.55,40.86,66
NDC,60505615201,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.55,10.28,0.55,18.5,66
NDC,60505615204,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,20.55,10.28,0.55,18.5,66
NDC,60505615600,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,46.6,23.3,1.3,41.94,66
NDC,60505615604,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,46.6,23.3,1.3,41.94,66
NDC,60505615700,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,46.95,23.48,1.3,42.26,66
NDC,60505615704,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,46.95,23.48,1.3,42.26,66
NDC,60505615900,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,47.9,23.95,1.3,43.11,66
NDC,60505615904,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,47.9,23.95,1.3,43.11,66
NDC,60505616600,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,7079.3,3539.65,4.27,6371.37,71
NDC,60505616900,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.2,23.6,10.29,42.48,65
NDC,60505617900,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,44.3,22.15,0.47,39.87,71
NDC,60505618406,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,924.75,462.38,201.69,832.28,65
NDC,60505619301,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,22.6,11.3,1.03,20.34,66
NDC,60505619600,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,205.0,102.5,14.38,184.5,66
NDC,60505619604,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,205.0,102.5,14.38,184.5,66
NDC,60505619702,SIROLIMUS 1 MG/ML ORAL SOLUTION,1140.0,570.0,248.63,1026.0,65
NDC,60505620201,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,389.85,194.93,85.03,350.87,65
NDC,60505620202,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,693.3,346.65,151.21,623.97,65
NDC,60505620803,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",532.5,266.25,116.14,479.25,65
NDC,60505620903,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",532.5,266.25,116.14,479.25,65
NDC,60505621103,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",532.5,266.25,116.14,479.25,65
NDC,60505621109,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",1597.5,798.75,348.41,1437.75,65
NDC,60505621401,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,10343.35,5171.68,133.0,9309.02,70
NDC,60505622500,BRIMONIDINE 0.2 %-TIMOLOL 0.5 % EYE DROPS,886.5,443.25,193.35,797.85,65
NDC,60505622600,ATROPINE 1 % EYE DROPS,107.85,53.93,23.52,97.07,65
NDC,60505622601,ATROPINE 1 % EYE DROPS,126.3,63.15,27.55,113.67,65
NDC,60505623004,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,5378.85,2689.43,10.75,4840.97,71
NDC,60505623100,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.8,25.4,0.84,45.72,66
NDC,60505623105,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,50.8,25.4,0.84,45.72,66
NDC,60505623600,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,57.45,28.73,9.2,51.71,66
NDC,60505623606,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,57.45,28.73,9.2,51.71,66
NDC,60505623700,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,148.75,74.38,9.2,133.88,66
NDC,60505623706,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,148.75,74.38,9.2,133.88,66
NDC,60505624300,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.65,22.83,0.84,41.09,66
NDC,60505624304,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,45.65,22.83,0.84,41.09,66
NDC,60505624400,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,50.0,25.0,0.84,45.0,66
NDC,60505624404,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,50.0,25.0,0.84,45.0,66
NDC,60505624500,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.35,11.18,1.4,20.12,66
NDC,60505624504,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,22.35,11.18,1.4,20.12,66
NDC,60505624600,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,51.3,25.65,1.4,46.17,66
NDC,60505624604,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,51.3,25.65,1.4,46.17,66
NDC,60505624901,DEXAMETHASONE 0.5 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,60505627101,AZACITIDINE 100 MG SOLUTION FOR INJECTION,500.0,250.0,0.4,450.0,66
NDC,60505627700,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,60574411301,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION,11882.75,5941.38,734.27,10694.48,71
NDC,60574411401,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION,6292.9,3146.45,734.27,5663.61,71
NDC,60687010001,URSODIOL 300 MG CAPSULE,1726.5,863.25,376.55,1553.85,65
NDC,60687010011,URSODIOL 300 MG CAPSULE,20.75,10.38,4.53,18.68,65
NDC,60687010411,KETOROLAC 10 MG TABLET,26.55,13.28,5.79,23.9,65
NDC,60687010421,KETOROLAC 10 MG TABLET,663.6,331.8,144.73,597.24,65
NDC,60687010511,MEDROXYPROGESTERONE 10 MG TABLET,7.3,3.65,1.59,6.57,65
NDC,60687010521,MEDROXYPROGESTERONE 10 MG TABLET,218.0,109.0,47.55,196.2,65
NDC,60687011121,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",338.1,169.05,73.74,304.29,65
NDC,60687011211,ANASTROZOLE 1 MG TABLET,4.35,2.18,0.95,3.92,65
NDC,60687011221,ANASTROZOLE 1 MG TABLET,130.15,65.08,28.39,117.14,65
NDC,60687011301,CLONIDINE HCL 0.1 MG TABLET,142.8,71.4,31.14,128.52,65
NDC,60687011311,CLONIDINE HCL 0.1 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687012125,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",278.85,139.43,60.82,250.97,65
NDC,60687012195,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",9.3,4.65,2.03,8.37,65
NDC,60687012201,PREDNISONE 5 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,60687012211,PREDNISONE 5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687012401,CLONIDINE HCL 0.2 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,60687012411,CLONIDINE HCL 0.2 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687013401,PREDNISONE 10 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,60687013411,PREDNISONE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687014301,METFORMIN 850 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,60687014311,METFORMIN 850 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687014501,PREDNISONE 20 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,60687014511,PREDNISONE 20 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687014911,CAPECITABINE 500 MG TABLET,21.15,10.58,0.04,19.04,70
NDC,60687014994,CAPECITABINE 500 MG TABLET,351.8,175.9,0.04,316.62,70
NDC,60687015201,CEPHALEXIN 250 MG CAPSULE,150.6,75.3,32.85,135.54,65
NDC,60687015211,CEPHALEXIN 250 MG CAPSULE,3.3,1.65,0.72,2.97,65
NDC,60687015501,METFORMIN 500 MG TABLET,58.8,29.4,12.82,52.92,65
NDC,60687015511,METFORMIN 500 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687015625,PHENYTOIN 50 MG CHEWABLE TABLET,163.65,81.83,35.69,147.29,65
NDC,60687015695,PHENYTOIN 50 MG CHEWABLE TABLET,5.5,2.75,1.2,4.95,65
NDC,60687015711,ARIPIPRAZOLE 2 MG TABLET,27.15,13.58,5.92,24.44,65
NDC,60687015721,ARIPIPRAZOLE 2 MG TABLET,678.45,339.23,147.97,610.61,65
NDC,60687016101,HALOPERIDOL 5 MG TABLET,244.2,122.1,53.26,219.78,65
NDC,60687016111,HALOPERIDOL 5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687016301,CEPHALEXIN 500 MG CAPSULE,139.2,69.6,30.36,125.28,65
NDC,60687016311,CEPHALEXIN 500 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,60687016801,ARIPIPRAZOLE 5 MG TABLET,1793.5,896.75,391.16,1614.15,65
NDC,60687016811,ARIPIPRAZOLE 5 MG TABLET,21.55,10.78,4.7,19.4,65
NDC,60687016901,PRAVASTATIN 10 MG TABLET,208.2,104.1,45.41,187.38,65
NDC,60687016911,PRAVASTATIN 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687017311,MEMANTINE 5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687017357,MEMANTINE 5 MG TABLET,135.75,67.88,29.61,122.18,65
NDC,60687017801,PRAVASTATIN 20 MG TABLET,208.8,104.4,45.54,187.92,65
NDC,60687017811,PRAVASTATIN 20 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687017901,ARIPIPRAZOLE 10 MG TABLET,2021.6,1010.8,440.91,1819.44,65
NDC,60687017911,ARIPIPRAZOLE 10 MG TABLET,30.35,15.18,6.62,27.32,65
NDC,60687018411,MEMANTINE 10 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687018457,MEMANTINE 10 MG TABLET,102.6,51.3,22.38,92.34,65
NDC,60687018811,ENTACAPONE 200 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,60687018821,ENTACAPONE 200 MG TABLET,621.0,310.5,135.44,558.9,65
NDC,60687019001,PRAVASTATIN 40 MG TABLET,339.0,169.5,73.94,305.1,65
NDC,60687019011,PRAVASTATIN 40 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,60687019111,ARIPIPRAZOLE 15 MG TABLET,36.75,18.38,8.02,33.08,65
NDC,60687019121,ARIPIPRAZOLE 15 MG TABLET,918.0,459.0,200.22,826.2,65
NDC,60687019211,IMATINIB 100 MG TABLET,22.9,11.45,4.99,20.61,65
NDC,60687019501,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",217.2,108.6,47.37,195.48,65
NDC,60687019511,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,60687019901,MELOXICAM 15 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,60687019911,MELOXICAM 15 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687020395,IMATINIB 400 MG TABLET,92.7,46.35,20.22,83.43,65
NDC,60687020601,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",192.0,96.0,41.88,172.8,65
NDC,60687020611,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",3.35,1.68,0.73,3.02,65
NDC,60687021001,SIMVASTATIN 40 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,60687021011,SIMVASTATIN 40 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687021111,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",4.5,2.25,0.98,4.05,65
NDC,60687021121,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",134.85,67.43,29.41,121.37,65
NDC,60687021501,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",973.0,486.5,212.21,875.7,65
NDC,60687021511,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.7,5.85,2.55,10.53,65
NDC,60687021625,ENTECAVIR 0.5 MG TABLET,2303.2,1151.6,502.33,2072.88,65
NDC,60687021695,ENTECAVIR 0.5 MG TABLET,115.2,57.6,25.13,103.68,65
NDC,60687021701,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",235.2,117.6,51.3,211.68,65
NDC,60687021711,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,60687022401,GEMFIBROZIL 600 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,60687022411,GEMFIBROZIL 600 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687022601,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",1008.5,504.25,219.95,907.65,65
NDC,60687022611,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",12.15,6.08,2.65,10.94,65
NDC,60687022711,LEUCOVORIN CALCIUM 25 MG TABLET,40.65,20.33,8.87,36.59,65
NDC,60687022794,LEUCOVORIN CALCIUM 25 MG TABLET,676.8,338.4,147.61,609.12,65
NDC,60687022801,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",699.5,349.75,152.56,629.55,65
NDC,60687022811,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",8.4,4.2,1.83,7.56,65
NDC,60687023001,ZONISAMIDE 100 MG CAPSULE,274.2,137.1,59.8,246.78,65
NDC,60687023011,ZONISAMIDE 100 MG CAPSULE,3.5,1.75,0.76,3.15,65
NDC,60687023101,SERTRALINE 25 MG TABLET,146.4,73.2,31.93,131.76,65
NDC,60687023111,SERTRALINE 25 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687023411,ROSUVASTATIN 5 MG TABLET,6.75,3.38,1.47,6.08,65
NDC,60687024201,SERTRALINE 50 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,60687024211,SERTRALINE 50 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687024440,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,18.75,9.38,4.09,16.88,65
NDC,60687024477,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,18.75,9.38,4.09,16.88,65
NDC,60687024501,ROSUVASTATIN 10 MG TABLET,479.5,239.75,104.58,431.55,65
NDC,60687024511,ROSUVASTATIN 10 MG TABLET,5.8,2.9,1.26,5.22,65
NDC,60687024940,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,17.05,8.53,3.72,15.35,65
NDC,60687024967,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,17.05,8.53,3.72,15.35,65
NDC,60687025240,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,59.85,29.93,13.05,53.87,65
NDC,60687025286,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,59.85,29.93,13.05,53.87,65
NDC,60687025301,SERTRALINE 100 MG TABLET,183.6,91.8,40.04,165.24,65
NDC,60687025311,SERTRALINE 100 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687025601,ROSUVASTATIN 20 MG TABLET,602.0,301.0,131.3,541.8,65
NDC,60687025611,ROSUVASTATIN 20 MG TABLET,7.25,3.63,1.58,6.53,65
NDC,60687025844,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,51.75,25.88,11.29,46.58,65
NDC,60687025871,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,51.75,25.88,11.29,46.58,65
NDC,60687026533,NORTRIPTYLINE 50 MG CAPSULE,7.1,3.55,1.55,6.39,65
NDC,60687026611,RALOXIFENE 60 MG TABLET,31.55,15.78,6.88,28.4,65
NDC,60687026621,RALOXIFENE 60 MG TABLET,788.55,394.28,171.98,709.7,65
NDC,60687027111,AZITHROMYCIN 500 MG TABLET,11.85,5.93,2.58,10.67,65
NDC,60687027121,AZITHROMYCIN 500 MG TABLET,295.65,147.83,64.48,266.09,65
NDC,60687027211,CEFUROXIME AXETIL 250 MG TABLET,17.7,8.85,3.86,15.93,65
NDC,60687027294,CEFUROXIME AXETIL 250 MG TABLET,294.4,147.2,64.21,264.96,65
NDC,60687027562,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,29.95,14.98,6.53,26.96,65
NDC,60687027563,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,29.95,14.98,6.53,26.96,65
NDC,60687027566,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,29.95,14.98,6.53,26.96,65
NDC,60687027840,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,29.75,14.88,6.49,26.78,65
NDC,60687027886,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,29.75,14.88,6.49,26.78,65
NDC,60687028101,NORTRIPTYLINE 10 MG CAPSULE,193.8,96.9,42.27,174.42,65
NDC,60687028111,NORTRIPTYLINE 10 MG CAPSULE,3.35,1.68,0.73,3.02,65
NDC,60687028201,AZITHROMYCIN 250 MG TABLET,405.0,202.5,88.33,364.5,65
NDC,60687028211,AZITHROMYCIN 250 MG TABLET,4.9,2.45,1.07,4.41,65
NDC,60687028265,AZITHROMYCIN 250 MG TABLET,191.4,95.7,41.74,172.26,65
NDC,60687028311,CEFUROXIME AXETIL 500 MG TABLET,19.1,9.55,4.17,17.19,65
NDC,60687028394,CEFUROXIME AXETIL 500 MG TABLET,317.8,158.9,69.31,286.02,65
NDC,60687028611,BROMOCRIPTINE 2.5 MG TABLET,32.1,16.05,7.0,28.89,65
NDC,60687028621,BROMOCRIPTINE 2.5 MG TABLET,801.3,400.65,174.76,721.17,65
NDC,60687029201,DONEPEZIL 5 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,60687029211,DONEPEZIL 5 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687029301,NORTRIPTYLINE 25 MG CAPSULE,219.6,109.8,47.89,197.64,65
NDC,60687029311,NORTRIPTYLINE 25 MG CAPSULE,3.4,1.7,0.74,3.06,65
NDC,60687029411,VORICONAZOLE 50 MG TABLET,56.55,28.28,12.33,50.9,65
NDC,60687029421,VORICONAZOLE 50 MG TABLET,1412.55,706.28,308.08,1271.3,65
NDC,60687029925,ITRACONAZOLE 100 MG CAPSULE,428.7,214.35,93.5,385.83,65
NDC,60687029995,ITRACONAZOLE 100 MG CAPSULE,17.15,8.58,3.74,15.44,65
NDC,60687030225,NADOLOL 20 MG TABLET,383.4,191.7,83.62,345.06,65
NDC,60687030295,NADOLOL 20 MG TABLET,15.35,7.68,3.35,13.82,65
NDC,60687030301,DONEPEZIL 10 MG TABLET,63.6,31.8,13.87,57.24,65
NDC,60687030311,DONEPEZIL 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687030411,CAPTOPRIL 12.5 MG TABLET,7.45,3.73,1.62,6.71,65
NDC,60687030421,CAPTOPRIL 12.5 MG TABLET,222.15,111.08,48.45,199.94,65
NDC,60687030911,LINEZOLID 600 MG TABLET,10.45,5.23,2.28,9.41,65
NDC,60687030921,LINEZOLID 600 MG TABLET,261.15,130.58,56.96,235.04,65
NDC,60687031201,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",574.0,287.0,125.19,516.6,65
NDC,60687031211,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",6.9,3.45,1.5,6.21,65
NDC,60687031325,NADOLOL 40 MG TABLET,339.0,169.5,73.94,305.1,65
NDC,60687031395,NADOLOL 40 MG TABLET,13.6,6.8,2.97,12.24,65
NDC,60687031425,AZITHROMYCIN 600 MG TABLET,589.2,294.6,128.5,530.28,65
NDC,60687031495,AZITHROMYCIN 600 MG TABLET,23.6,11.8,5.15,21.24,65
NDC,60687031511,CAPTOPRIL 25 MG TABLET,8.1,4.05,1.77,7.29,65
NDC,60687031521,CAPTOPRIL 25 MG TABLET,241.6,120.8,52.69,217.44,65
NDC,60687031725,CHLORTHALIDONE 25 MG TABLET,281.7,140.85,61.44,253.53,65
NDC,60687031795,CHLORTHALIDONE 25 MG TABLET,9.4,4.7,2.05,8.46,65
NDC,60687031911,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",29.2,14.6,6.37,26.28,65
NDC,60687031921,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",729.0,364.5,158.99,656.1,65
NDC,60687032501,LISINOPRIL 10 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,60687032511,LISINOPRIL 10 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687032695,ATOMOXETINE 40 MG CAPSULE,19.8,9.9,4.32,17.82,65
NDC,60687032701,QUETIAPINE 25 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,60687032711,QUETIAPINE 25 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687032811,SEVELAMER CARBONATE 800 MG TABLET,8.4,4.2,1.83,7.56,65
NDC,60687032831,SEVELAMER CARBONATE 800 MG TABLET,1342.0,671.0,292.69,1207.8,65
NDC,60687032833,SEVELAMER CARBONATE 800 MG TABLET,16.15,8.08,3.52,14.54,65
NDC,60687032865,SEVELAMER CARBONATE 800 MG TABLET,348.25,174.13,75.95,313.43,65
NDC,60687033301,LISINOPRIL 20 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,60687033311,LISINOPRIL 20 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687033611,MINOCYCLINE 100 MG CAPSULE,5.8,2.9,1.26,5.22,65
NDC,60687033665,MINOCYCLINE 100 MG CAPSULE,288.0,144.0,62.81,259.2,65
NDC,60687033801,QUETIAPINE 50 MG TABLET,154.8,77.4,33.76,139.32,65
NDC,60687033811,QUETIAPINE 50 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687034001,BUPROPION HCL 75 MG TABLET,431.5,215.75,94.11,388.35,65
NDC,60687034011,BUPROPION HCL 75 MG TABLET,5.2,2.6,1.13,4.68,65
NDC,60687034107,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,36.55,18.28,7.97,32.9,65
NDC,60687034144,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,36.55,18.28,7.97,32.9,65
NDC,60687034145,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,58.35,29.18,12.73,52.52,65
NDC,60687034171,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,40.15,20.08,8.76,36.14,65
NDC,60687034425,DOXYCYCLINE MONOHYDRATE 100 MG TABLET,277.95,138.98,60.62,250.16,65
NDC,60687034495,DOXYCYCLINE MONOHYDRATE 100 MG TABLET,11.15,5.58,2.43,10.04,65
NDC,60687034501,CALCITRIOL 0.25 MCG CAPSULE,353.5,176.75,77.1,318.15,65
NDC,60687034511,CALCITRIOL 0.25 MCG CAPSULE,4.25,2.13,0.93,3.83,65
NDC,60687034901,QUETIAPINE 100 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,60687034911,QUETIAPINE 100 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687035101,BUPROPION HCL 100 MG TABLET,725.5,362.75,158.23,652.95,65
NDC,60687035111,BUPROPION HCL 100 MG TABLET,8.75,4.38,1.91,7.88,65
NDC,60687035601,BENZTROPINE 0.5 MG TABLET,271.8,135.9,59.28,244.62,65
NDC,60687035611,BENZTROPINE 0.5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687035701,METHIMAZOLE 5 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,60687035711,METHIMAZOLE 5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687036001,QUETIAPINE 200 MG TABLET,175.2,87.6,38.21,157.68,65
NDC,60687036011,QUETIAPINE 200 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687036211,LAMIVUDINE 150 MG TABLET,26.8,13.4,5.85,24.12,65
NDC,60687036221,LAMIVUDINE 150 MG TABLET,669.15,334.58,145.94,602.24,65
NDC,60687036711,LORAZEPAM 2 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,60687036801,BENZTROPINE 1 MG TABLET,207.0,103.5,45.15,186.3,65
NDC,60687036811,BENZTROPINE 1 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687036901,DICYCLOMINE 10 MG CAPSULE,222.6,111.3,48.55,200.34,65
NDC,60687036911,DICYCLOMINE 10 MG CAPSULE,3.4,1.7,0.74,3.06,65
NDC,60687037001,METHIMAZOLE 10 MG TABLET,287.4,143.7,62.68,258.66,65
NDC,60687037011,METHIMAZOLE 10 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687037101,QUETIAPINE 300 MG TABLET,214.8,107.4,46.85,193.32,65
NDC,60687037111,QUETIAPINE 300 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687037311,EZETIMIBE 10 MG TABLET,27.35,13.68,5.97,24.62,65
NDC,60687037321,EZETIMIBE 10 MG TABLET,683.55,341.78,149.08,615.2,65
NDC,60687037411,NABUMETONE 500 MG TABLET,5.5,2.75,1.2,4.95,65
NDC,60687037511,DRONABINOL 2.5 MG CAPSULE,25.95,12.98,5.66,23.36,65
NDC,60687037521,DRONABINOL 2.5 MG CAPSULE,647.55,323.78,141.23,582.8,65
NDC,60687037701,ALPRAZOLAM 0.25 MG TABLET,110.4,55.2,24.08,99.36,65
NDC,60687037711,ALPRAZOLAM 0.25 MG TABLET,5.2,2.6,1.13,4.68,65
NDC,60687037901,BENZTROPINE 2 MG TABLET,230.4,115.2,50.25,207.36,65
NDC,60687037911,BENZTROPINE 2 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687038001,DICYCLOMINE 20 MG TABLET,210.0,105.0,45.8,189.0,65
NDC,60687038011,DICYCLOMINE 20 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687038111,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,271.65,135.83,59.25,244.49,65
NDC,60687038194,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,4346.0,2173.0,947.86,3911.4,65
NDC,60687038201,QUETIAPINE 400 MG TABLET,357.0,178.5,77.86,321.3,65
NDC,60687038211,QUETIAPINE 400 MG TABLET,4.3,2.15,0.94,3.87,65
NDC,60687038401,BUMETANIDE 1 MG TABLET,374.5,187.25,81.68,337.05,65
NDC,60687038411,BUMETANIDE 1 MG TABLET,4.5,2.25,0.98,4.05,65
NDC,60687038425,BUMETANIDE 1 MG TABLET,205.4,102.7,44.8,184.86,65
NDC,60687038495,BUMETANIDE 1 MG TABLET,6.85,3.43,1.49,6.17,65
NDC,60687038525,COLESEVELAM 625 MG TABLET,440.7,220.35,96.12,396.63,65
NDC,60687038595,COLESEVELAM 625 MG TABLET,17.65,8.83,3.85,15.89,65
NDC,60687038611,DRONABINOL 5 MG CAPSULE,52.45,26.23,11.44,47.21,65
NDC,60687038694,DRONABINOL 5 MG CAPSULE,873.9,436.95,190.6,786.51,65
NDC,60687038701,MIDODRINE 2.5 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,60687038711,MIDODRINE 2.5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687038801,ALPRAZOLAM 0.5 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,60687038811,ALPRAZOLAM 0.5 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,60687038911,COLCHICINE 0.6 MG TABLET,20.7,10.35,4.51,18.63,65
NDC,60687038921,COLCHICINE 0.6 MG TABLET,517.05,258.53,112.77,465.35,65
NDC,60687039001,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",271.8,135.9,59.28,244.62,65
NDC,60687039011,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",3.5,1.75,0.76,3.15,65
NDC,60687039101,PIOGLITAZONE 15 MG TABLET,383.5,191.75,83.64,345.15,65
NDC,60687039111,PIOGLITAZONE 15 MG TABLET,4.65,2.33,1.01,4.19,65
NDC,60687039479,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,60687039483,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,60687039579,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,60687039583,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,60687039601,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,195.6,97.8,42.66,176.04,65
NDC,60687039611,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.35,2.68,1.17,4.82,65
NDC,60687039725,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1492.95,746.48,325.61,1343.66,65
NDC,60687039795,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",59.75,29.88,13.03,53.78,65
NDC,60687039801,MIDODRINE 5 MG TABLET,254.5,127.25,55.51,229.05,65
NDC,60687039811,MIDODRINE 5 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687040201,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",229.8,114.9,50.12,206.82,65
NDC,60687040211,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,60687040265,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",213.9,106.95,46.65,192.51,65
NDC,60687040401,CLOZAPINE 25 MG TABLET,155.4,77.7,33.89,139.86,65
NDC,60687040411,CLOZAPINE 25 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687040579,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,60687040583,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,60687040701,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,226.2,113.1,49.33,203.58,65
NDC,60687040711,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,60687040825,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",1440.6,720.3,314.19,1296.54,65
NDC,60687040895,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",57.65,28.83,12.57,51.89,65
NDC,60687040995,MIDODRINE 10 MG TABLET,4.35,2.18,0.95,3.92,65
NDC,60687041011,METHYLERGONOVINE 0.2 MG TABLET,262.5,131.25,57.25,236.25,65
NDC,60687041094,METHYLERGONOVINE 0.2 MG TABLET,3499.85,1749.93,763.32,3149.87,65
NDC,60687041301,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",590.5,295.25,128.79,531.45,65
NDC,60687041311,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",7.1,3.55,1.55,6.39,65
NDC,60687041365,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",248.7,124.35,54.24,223.83,65
NDC,60687041501,CLOZAPINE 100 MG TABLET,292.5,146.25,63.79,263.25,65
NDC,60687041511,CLOZAPINE 100 MG TABLET,3.55,1.78,0.77,3.2,65
NDC,60687041611,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,4.0,2.0,0.87,3.6,65
NDC,60687041621,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,119.35,59.68,26.03,107.42,65
NDC,60687041744,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,17.4,8.7,3.79,15.66,65
NDC,60687041771,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,17.4,8.7,3.79,15.66,65
NDC,60687041801,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,282.6,141.3,61.64,254.34,65
NDC,60687041811,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,5.5,2.75,1.2,4.95,65
NDC,60687041901,CHLORPROMAZINE 10 MG TABLET,1223.0,611.5,266.74,1100.7,65
NDC,60687041911,CHLORPROMAZINE 10 MG TABLET,14.7,7.35,3.21,13.23,65
NDC,60687042025,RITONAVIR 100 MG TABLET,1040.1,520.05,226.85,936.09,65
NDC,60687042095,RITONAVIR 100 MG TABLET,41.65,20.83,9.08,37.49,65
NDC,60687042201,AMANTADINE HCL 100 MG CAPSULE,442.0,221.0,96.4,397.8,65
NDC,60687042211,AMANTADINE HCL 100 MG CAPSULE,5.35,2.68,1.17,4.82,65
NDC,60687042311,CLOBAZAM 10 MG TABLET,14.3,7.15,3.12,12.87,65
NDC,60687042321,CLOBAZAM 10 MG TABLET,357.0,178.5,77.86,321.3,65
NDC,60687042801,FINASTERIDE 5 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,60687042811,FINASTERIDE 5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687042865,FINASTERIDE 5 MG TABLET,111.6,55.8,24.34,100.44,65
NDC,60687043001,CHLORPROMAZINE 25 MG TABLET,1330.5,665.25,290.18,1197.45,65
NDC,60687043011,CHLORPROMAZINE 25 MG TABLET,16.0,8.0,3.49,14.4,65
NDC,60687043065,CHLORPROMAZINE 25 MG TABLET,366.0,183.0,79.82,329.4,65
NDC,60687043201,TRAZODONE 150 MG TABLET,197.4,98.7,43.05,177.66,65
NDC,60687043211,TRAZODONE 150 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687043301,AMITRIPTYLINE 25 MG TABLET,153.6,76.8,33.5,138.24,65
NDC,60687043311,AMITRIPTYLINE 25 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687043511,CLARITHROMYCIN 500 MG TABLET,9.5,4.75,2.07,8.55,65
NDC,60687043521,CLARITHROMYCIN 500 MG TABLET,283.7,141.85,61.87,255.33,65
NDC,60687043601,CELECOXIB 100 MG CAPSULE,374.5,187.25,81.68,337.05,65
NDC,60687043611,CELECOXIB 100 MG CAPSULE,4.5,2.25,0.98,4.05,65
NDC,60687043701,AMIODARONE 200 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,60687043711,AMIODARONE 200 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687043801,MYCOPHENOLATE MOFETIL 500 MG TABLET,326.5,163.25,71.21,293.85,65
NDC,60687043811,MYCOPHENOLATE MOFETIL 500 MG TABLET,3.95,1.98,0.86,3.56,65
NDC,60687043901,LABETALOL 100 MG TABLET,168.6,84.3,36.77,151.74,65
NDC,60687043911,LABETALOL 100 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687044101,CHLORPROMAZINE 50 MG TABLET,1703.0,851.5,371.42,1532.7,65
NDC,60687044111,CHLORPROMAZINE 50 MG TABLET,20.45,10.23,4.46,18.41,65
NDC,60687044224,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,74.4,37.2,16.23,66.96,65
NDC,60687044253,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,74.4,37.2,16.23,66.96,65
NDC,60687044301,TRAZODONE 50 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,60687044311,TRAZODONE 50 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687044401,AMITRIPTYLINE 50 MG TABLET,217.8,108.9,47.5,196.02,65
NDC,60687044411,AMITRIPTYLINE 50 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687044601,IBUPROFEN 400 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,60687044611,IBUPROFEN 400 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687044701,CELECOXIB 200 MG CAPSULE,554.5,277.25,120.94,499.05,65
NDC,60687044711,CELECOXIB 200 MG CAPSULE,6.7,3.35,1.46,6.03,65
NDC,60687044840,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,10.05,5.03,2.19,9.05,65
NDC,60687044867,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,10.05,5.03,2.19,9.05,65
NDC,60687044901,SEVELAMER HCL 800 MG TABLET,2478.0,1239.0,540.45,2230.2,65
NDC,60687044911,SEVELAMER HCL 800 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,60687045001,LABETALOL 200 MG TABLET,276.5,138.25,60.3,248.85,65
NDC,60687045011,LABETALOL 200 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687045111,EPLERENONE 25 MG TABLET,22.15,11.08,4.83,19.94,65
NDC,60687045121,EPLERENONE 25 MG TABLET,553.65,276.83,120.75,498.29,65
NDC,60687045201,CHLORPROMAZINE 100 MG TABLET,2345.0,1172.5,511.44,2110.5,65
NDC,60687045211,CHLORPROMAZINE 100 MG TABLET,28.15,14.08,6.14,25.34,65
NDC,60687045301,LEVOTHYROXINE 25 MCG TABLET,179.4,89.7,39.13,161.46,65
NDC,60687045311,LEVOTHYROXINE 25 MCG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687045401,TRAZODONE 100 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,60687045411,TRAZODONE 100 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687045701,IBUPROFEN 600 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,60687045711,IBUPROFEN 600 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687045801,GLYCOPYRROLATE 1 MG TABLET,389.5,194.75,84.95,350.55,65
NDC,60687045811,GLYCOPYRROLATE 1 MG TABLET,4.7,2.35,1.03,4.23,65
NDC,60687045901,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",3781.2,1890.6,824.68,3403.08,65
NDC,60687045911,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",56.75,28.38,12.38,51.08,65
NDC,60687046101,LABETALOL 300 MG TABLET,306.0,153.0,66.74,275.4,65
NDC,60687046111,LABETALOL 300 MG TABLET,3.7,1.85,0.81,3.33,65
NDC,60687046211,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",27.05,13.53,5.9,24.35,65
NDC,60687046221,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",676.05,338.03,147.45,608.45,65
NDC,60687046401,LEVOTHYROXINE 50 MCG TABLET,194.4,97.2,42.4,174.96,65
NDC,60687046411,LEVOTHYROXINE 50 MCG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687046501,SPIRONOLACTONE 25 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,60687046511,SPIRONOLACTONE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687046601,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",239.4,119.7,52.21,215.46,65
NDC,60687046611,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",3.4,1.7,0.74,3.06,65
NDC,60687046801,IBUPROFEN 800 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,60687046811,IBUPROFEN 800 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687047001,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",3781.2,1890.6,824.68,3403.08,65
NDC,60687047011,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",56.75,28.38,12.38,51.08,65
NDC,60687047201,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,630.5,315.25,137.51,567.45,65
NDC,60687047211,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,7.6,3.8,1.66,6.84,65
NDC,60687047301,PREGABALIN 25 MG CAPSULE,247.8,123.9,54.05,223.02,65
NDC,60687047311,PREGABALIN 25 MG CAPSULE,5.45,2.73,1.19,4.91,65
NDC,60687047501,LEVOTHYROXINE 75 MCG TABLET,237.0,118.5,51.69,213.3,65
NDC,60687047511,LEVOTHYROXINE 75 MCG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687047601,SPIRONOLACTONE 50 MG TABLET,160.8,80.4,35.07,144.72,65
NDC,60687047611,SPIRONOLACTONE 50 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687047901,CARBAMAZEPINE 100 MG CHEWABLE TABLET,196.8,98.4,42.92,177.12,65
NDC,60687047911,CARBAMAZEPINE 100 MG CHEWABLE TABLET,3.35,1.68,0.73,3.02,65
NDC,60687048011,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",5.75,2.88,1.25,5.18,65
NDC,60687048021,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",172.45,86.23,37.61,155.21,65
NDC,60687048111,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,9.4,4.7,1.89,8.46,66
NDC,60687048121,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,281.2,140.6,1.89,253.08,66
NDC,60687048311,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,12.4,6.2,2.7,11.16,65
NDC,60687048401,PREGABALIN 50 MG CAPSULE,246.0,123.0,53.65,221.4,65
NDC,60687048411,PREGABALIN 50 MG CAPSULE,5.45,2.73,1.19,4.91,65
NDC,60687048601,LEVOTHYROXINE 88 MCG TABLET,241.2,120.6,52.61,217.08,65
NDC,60687048611,LEVOTHYROXINE 88 MCG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687048701,SPIRONOLACTONE 100 MG TABLET,261.5,130.75,57.03,235.35,65
NDC,60687048711,SPIRONOLACTONE 100 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687048801,AMLODIPINE 5 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,60687048811,AMLODIPINE 5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687049101,NAPROXEN 500 MG TABLET,130.2,65.1,28.4,117.18,65
NDC,60687049111,NAPROXEN 500 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687049211,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,16.2,8.1,1.89,14.58,66
NDC,60687049221,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,403.8,201.9,1.89,363.42,66
NDC,60687049301,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",509.5,254.75,111.12,458.55,65
NDC,60687049311,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",6.15,3.08,1.34,5.54,65
NDC,60687049401,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,262.2,131.1,57.19,235.98,65
NDC,60687049411,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,3.45,1.73,0.75,3.11,65
NDC,60687049501,PREGABALIN 75 MG CAPSULE,245.4,122.7,53.52,220.86,65
NDC,60687049511,PREGABALIN 75 MG CAPSULE,5.45,2.73,1.19,4.91,65
NDC,60687049601,AMLODIPINE 10 MG TABLET,69.0,34.5,15.05,62.1,65
NDC,60687049611,AMLODIPINE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687049701,LEVOTHYROXINE 100 MCG TABLET,243.0,121.5,53.0,218.7,65
NDC,60687049711,LEVOTHYROXINE 100 MCG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687049825,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",686.55,343.28,149.74,617.9,65
NDC,60687049895,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",27.5,13.75,6.0,24.75,65
NDC,60687050001,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",556.5,278.25,121.37,500.85,65
NDC,60687050011,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",6.7,3.35,1.46,6.03,65
NDC,60687050201,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,418.0,209.0,91.17,376.2,65
NDC,60687050211,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,5.05,2.53,1.1,4.55,65
NDC,60687050301,BACLOFEN 10 MG TABLET,184.8,92.4,40.3,166.32,65
NDC,60687050311,BACLOFEN 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687050401,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",545.5,272.75,118.97,490.95,65
NDC,60687050411,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",6.55,3.28,1.43,5.9,65
NDC,60687050601,PREGABALIN 100 MG CAPSULE,266.4,133.2,58.1,239.76,65
NDC,60687050611,PREGABALIN 100 MG CAPSULE,5.45,2.73,1.19,4.91,65
NDC,60687050801,LEVOTHYROXINE 112 MCG TABLET,280.8,140.4,61.24,252.72,65
NDC,60687050811,LEVOTHYROXINE 112 MCG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687051311,DOXYCYCLINE HYCLATE 100 MG CAPSULE,6.35,3.18,1.38,5.72,65
NDC,60687051401,BACLOFEN 20 MG TABLET,252.5,126.25,55.07,227.25,65
NDC,60687051411,BACLOFEN 20 MG TABLET,3.05,1.53,0.67,2.75,65
NDC,60687051501,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",925.0,462.5,201.74,832.5,65
NDC,60687051511,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",11.1,5.55,2.42,9.99,65
NDC,60687051711,PREGABALIN 150 MG CAPSULE,5.45,2.73,1.19,4.91,65
NDC,60687051901,LEVOTHYROXINE 125 MCG TABLET,285.0,142.5,62.16,256.5,65
NDC,60687051911,LEVOTHYROXINE 125 MCG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687052311,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",154.1,77.05,33.61,138.69,65
NDC,60687052321,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",3081.4,1540.7,672.05,2773.26,65
NDC,60687052394,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1918.4,959.2,418.4,1726.56,65
NDC,60687052479,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,24.3,12.15,5.3,21.87,65
NDC,60687052483,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,24.3,12.15,5.3,21.87,65
NDC,60687052511,CINACALCET 30 MG TABLET,87.5,43.75,19.08,78.75,65
NDC,60687052521,CINACALCET 30 MG TABLET,2186.55,1093.28,476.89,1967.9,65
NDC,60687052601,METRONIDAZOLE 250 MG TABLET,142.8,71.4,31.14,128.52,65
NDC,60687052611,METRONIDAZOLE 250 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687052711,URSODIOL 250 MG TABLET,9.65,4.83,2.1,8.69,65
NDC,60687052721,URSODIOL 250 MG TABLET,288.4,144.2,62.9,259.56,65
NDC,60687052811,CIPROFLOXACIN 250 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687053001,LEVOTHYROXINE 150 MCG TABLET,292.8,146.4,63.86,263.52,65
NDC,60687053011,LEVOTHYROXINE 150 MCG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687053101,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,81.0,40.5,17.67,72.9,65
NDC,60687053111,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687053211,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",15.15,7.58,3.3,13.64,65
NDC,60687053221,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",377.55,188.78,82.34,339.8,65
NDC,60687053440,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,61.05,30.53,13.32,54.95,65
NDC,60687053478,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,61.05,30.53,13.32,54.95,65
NDC,60687053501,BUMETANIDE 2 MG TABLET,652.5,326.25,142.31,587.25,65
NDC,60687053511,BUMETANIDE 2 MG TABLET,6.7,3.35,1.46,6.03,65
NDC,60687053701,PROPAFENONE 150 MG TABLET,279.0,139.5,60.85,251.1,65
NDC,60687053711,PROPAFENONE 150 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687053811,FEBUXOSTAT 40 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,60687053821,FEBUXOSTAT 40 MG TABLET,254.55,127.28,55.52,229.1,65
NDC,60687054001,DIGOXIN 125 MCG (0.125 MG) TABLET,374.5,187.25,81.68,337.05,65
NDC,60687054011,DIGOXIN 125 MCG (0.125 MG) TABLET,4.5,2.25,0.98,4.05,65
NDC,60687054101,LEVOTHYROXINE 175 MCG TABLET,290.5,145.25,63.36,261.45,65
NDC,60687054111,LEVOTHYROXINE 175 MCG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687054311,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",15.25,7.63,3.33,13.73,65
NDC,60687054321,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",381.0,190.5,83.1,342.9,65
NDC,60687054401,CLONAZEPAM 0.5 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,60687054411,CLONAZEPAM 0.5 MG TABLET,5.35,2.68,1.17,4.82,65
NDC,60687054911,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",7.35,3.68,1.6,6.62,65
NDC,60687054921,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",219.25,109.63,47.82,197.33,65
NDC,60687055001,METRONIDAZOLE 500 MG TABLET,252.6,126.3,55.09,227.34,65
NDC,60687055011,METRONIDAZOLE 500 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687055101,DIGOXIN 250 MCG (0.25 MG) TABLET,374.5,187.25,81.68,337.05,65
NDC,60687055111,DIGOXIN 250 MCG (0.25 MG) TABLET,4.5,2.25,0.98,4.05,65
NDC,60687055201,LEVOTHYROXINE 200 MCG TABLET,469.5,234.75,102.4,422.55,65
NDC,60687055211,LEVOTHYROXINE 200 MCG TABLET,5.65,2.83,1.23,5.09,65
NDC,60687055301,ISONIAZID 300 MG TABLET,332.5,166.25,72.52,299.25,65
NDC,60687055501,CLONAZEPAM 1 MG TABLET,192.6,96.3,42.01,173.34,65
NDC,60687055511,CLONAZEPAM 1 MG TABLET,5.35,2.68,1.17,4.82,65
NDC,60687055632,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),560.0,280.0,122.14,504.0,65
NDC,60687055633,MESALAMINE 400 MG CAPSULE (WITH DELAYED RELEASE TABLETS INSIDE),33.6,16.8,7.33,30.24,65
NDC,60687055801,CYCLOBENZAPRINE 10 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,60687055811,CYCLOBENZAPRINE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687055901,METHOCARBAMOL 500 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,60687055911,METHOCARBAMOL 500 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687056011,REPAGLINIDE 1 MG TABLET,14.5,7.25,3.16,13.05,65
NDC,60687056021,REPAGLINIDE 1 MG TABLET,362.4,181.2,79.04,326.16,65
NDC,60687056211,DILTIAZEM 30 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687056301,LEVOTHYROXINE 137 MCG TABLET,253.0,126.5,55.18,227.7,65
NDC,60687056311,LEVOTHYROXINE 137 MCG TABLET,3.05,1.53,0.67,2.75,65
NDC,60687056640,HYDROMORPHONE 1 MG/ML ORAL LIQUID,44.8,22.4,9.77,40.32,65
NDC,60687056686,HYDROMORPHONE 1 MG/ML ORAL LIQUID,44.8,22.4,9.77,40.32,65
NDC,60687056711,ATOMOXETINE 25 MG CAPSULE,12.05,6.03,2.63,10.85,65
NDC,60687056721,ATOMOXETINE 25 MG CAPSULE,300.6,150.3,65.56,270.54,65
NDC,60687056801,METHOCARBAMOL 750 MG TABLET,128.4,64.2,28.0,115.56,65
NDC,60687056811,METHOCARBAMOL 750 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687057001,PRAMIPEXOLE 0.25 MG TABLET,103.8,51.9,22.64,93.42,65
NDC,60687057011,PRAMIPEXOLE 0.25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687057232,PRAZOSIN 5 MG CAPSULE,266.3,133.15,58.08,239.67,65
NDC,60687057233,PRAZOSIN 5 MG CAPSULE,13.35,6.68,2.91,12.02,65
NDC,60687057311,DILTIAZEM 60 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687057511,RIFAMPIN 150 MG CAPSULE,14.0,7.0,3.05,12.6,65
NDC,60687057521,RIFAMPIN 150 MG CAPSULE,349.8,174.9,76.29,314.82,65
NDC,60687057603,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),22.35,11.18,4.87,20.12,65
NDC,60687057640,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),25.8,12.9,5.63,23.22,65
NDC,60687057646,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),25.8,12.9,5.63,23.22,65
NDC,60687057686,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),25.8,12.9,5.63,23.22,65
NDC,60687057701,ROPINIROLE 0.25 MG TABLET,166.2,83.1,36.25,149.58,65
NDC,60687057711,ROPINIROLE 0.25 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687057811,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",28.55,14.28,6.23,25.7,65
NDC,60687057821,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",712.8,356.4,155.46,641.52,65
NDC,60687057901,HYDROMORPHONE 2 MG TABLET,172.8,86.4,37.69,155.52,65
NDC,60687057911,HYDROMORPHONE 2 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,60687058001,GABAPENTIN 100 MG CAPSULE,46.2,23.1,10.08,41.58,65
NDC,60687058011,GABAPENTIN 100 MG CAPSULE,3.1,1.55,0.68,2.79,65
NDC,60687058111,PRAMIPEXOLE 0.5 MG TABLET,5.0,2.5,1.09,4.5,65
NDC,60687058121,PRAMIPEXOLE 0.5 MG TABLET,149.8,74.9,32.67,134.82,65
NDC,60687058201,HYDROCORTISONE 10 MG TABLET,682.5,341.25,148.85,614.25,65
NDC,60687058211,HYDROCORTISONE 10 MG TABLET,8.2,4.1,1.79,7.38,65
NDC,60687058311,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.05,8.53,3.72,15.35,65
NDC,60687058321,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",425.4,212.7,92.78,382.86,65
NDC,60687058411,MIRTAZAPINE 7.5 MG TABLET,12.25,6.13,2.67,11.03,65
NDC,60687058421,MIRTAZAPINE 7.5 MG TABLET,306.0,153.0,66.74,275.4,65
NDC,60687058501,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",115.8,57.9,25.26,104.22,65
NDC,60687058511,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,60687058601,RIFAMPIN 300 MG CAPSULE,930.0,465.0,202.83,837.0,65
NDC,60687058611,RIFAMPIN 300 MG CAPSULE,11.2,5.6,2.44,10.08,65
NDC,60687058701,PROPRANOLOL 10 MG TABLET,136.8,68.4,29.84,123.12,65
NDC,60687058711,PROPRANOLOL 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687058801,ROPINIROLE 1 MG TABLET,233.4,116.7,50.9,210.06,65
NDC,60687058811,ROPINIROLE 1 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687059001,HYDROMORPHONE 4 MG TABLET,193.8,96.9,42.27,174.42,65
NDC,60687059011,HYDROMORPHONE 4 MG TABLET,5.35,2.68,1.17,4.82,65
NDC,60687059101,GABAPENTIN 300 MG CAPSULE,66.6,33.3,14.53,59.94,65
NDC,60687059111,GABAPENTIN 300 MG CAPSULE,3.15,1.58,0.69,2.84,65
NDC,60687059211,PRAMIPEXOLE 1 MG TABLET,4.95,2.48,1.08,4.46,65
NDC,60687059221,PRAMIPEXOLE 1 MG TABLET,148.35,74.18,32.36,133.52,65
NDC,60687059301,HYDROCHLOROTHIAZIDE 25 MG TABLET,105.6,52.8,23.03,95.04,65
NDC,60687059311,HYDROCHLOROTHIAZIDE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687059501,FAMOTIDINE 20 MG TABLET,112.8,56.4,24.6,101.52,65
NDC,60687059511,FAMOTIDINE 20 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687059632,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",993.0,496.5,216.57,893.7,65
NDC,60687059633,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",59.6,29.8,13.0,53.64,65
NDC,60687059801,PROPRANOLOL 20 MG TABLET,201.6,100.8,43.97,181.44,65
NDC,60687059811,PROPRANOLOL 20 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687059911,FLUCYTOSINE 250 MG CAPSULE,284.7,142.35,62.09,256.23,65
NDC,60687059921,FLUCYTOSINE 250 MG CAPSULE,6832.35,3416.18,1490.14,6149.12,65
NDC,60687060201,GABAPENTIN 400 MG CAPSULE,90.0,45.0,19.63,81.0,65
NDC,60687060211,GABAPENTIN 400 MG CAPSULE,3.15,1.58,0.69,2.84,65
NDC,60687060311,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687060365,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,60687060401,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,60687060411,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,5.2,2.6,1.13,4.68,65
NDC,60687060711,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",11.0,5.5,2.4,9.9,65
NDC,60687060721,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",274.2,137.1,59.8,246.78,65
NDC,60687060801,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",131.4,65.7,28.66,118.26,65
NDC,60687060811,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",3.25,1.63,0.71,2.93,65
NDC,60687060901,PROPRANOLOL 40 MG TABLET,298.8,149.4,65.17,268.92,65
NDC,60687060911,PROPRANOLOL 40 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687061011,FLUCYTOSINE 500 MG CAPSULE,475.1,237.55,103.62,427.59,65
NDC,60687061021,FLUCYTOSINE 500 MG CAPSULE,11401.35,5700.68,2486.63,10261.22,65
NDC,60687061211,VALSARTAN 40 MG TABLET,4.3,2.15,0.94,3.87,65
NDC,60687061221,VALSARTAN 40 MG TABLET,128.55,64.28,28.04,115.7,65
NDC,60687061401,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,80.4,40.2,17.54,72.36,65
NDC,60687061411,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687061644,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.5,2.75,1.2,4.95,65
NDC,60687061701,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,516.0,258.0,112.54,464.4,65
NDC,60687061711,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,6.2,3.1,1.35,5.58,65
NDC,60687061901,ACETAZOLAMIDE 250 MG TABLET,1027.5,513.75,224.1,924.75,65
NDC,60687061911,ACETAZOLAMIDE 250 MG TABLET,12.35,6.18,2.69,11.12,65
NDC,60687062001,METOCLOPRAMIDE 5 MG TABLET,285.6,142.8,62.29,257.04,65
NDC,60687062011,METOCLOPRAMIDE 5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687062301,VALSARTAN 80 MG TABLET,459.0,229.5,100.11,413.1,65
NDC,60687062311,VALSARTAN 80 MG TABLET,5.55,2.78,1.21,5.0,65
NDC,60687062401,METOLAZONE 2.5 MG TABLET,941.5,470.75,205.34,847.35,65
NDC,60687062411,METOLAZONE 2.5 MG TABLET,11.3,5.65,2.46,10.17,65
NDC,60687062701,LORAZEPAM 0.5 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,60687062711,LORAZEPAM 0.5 MG TABLET,5.15,2.58,1.12,4.64,65
NDC,60687062844,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,54.65,27.33,11.92,49.19,65
NDC,60687062911,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,8.3,4.15,1.81,7.47,65
NDC,60687062921,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,169.4,84.7,36.95,152.46,65
NDC,60687063011,NABUMETONE 500 MG TABLET,5.3,2.65,1.16,4.77,65
NDC,60687063021,NABUMETONE 500 MG TABLET,158.6,79.3,34.59,142.74,65
NDC,60687063101,METOCLOPRAMIDE 10 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,60687063111,METOCLOPRAMIDE 10 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60687063301,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,1086.5,543.25,236.97,977.85,65
NDC,60687063311,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,13.05,6.53,2.85,11.75,65
NDC,60687063365,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,461.5,230.75,100.65,415.35,65
NDC,60687063401,VALSARTAN 160 MG TABLET,518.0,259.0,112.98,466.2,65
NDC,60687063411,VALSARTAN 160 MG TABLET,6.25,3.13,1.36,5.63,65
NDC,60687063501,METOLAZONE 5 MG TABLET,1073.0,536.5,234.02,965.7,65
NDC,60687063511,METOLAZONE 5 MG TABLET,12.9,6.45,2.81,11.61,65
NDC,60687063801,LORAZEPAM 1 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,60687063811,LORAZEPAM 1 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,60687063911,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,30.6,15.3,6.67,27.54,65
NDC,60687063994,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,509.2,254.6,111.06,458.28,65
NDC,60687064001,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",221.4,110.7,48.29,199.26,65
NDC,60687064011,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",3.4,1.7,0.74,3.06,65
NDC,60687064201,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,234.6,117.3,51.17,211.14,65
NDC,60687064211,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,60687064811,VARENICLINE TARTRATE 1 MG TABLET,58.9,29.45,12.85,53.01,65
NDC,60687064821,VARENICLINE TARTRATE 1 MG TABLET,1472.25,736.13,321.1,1325.03,65
NDC,60687065032,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",294.0,147.0,64.12,264.6,65
NDC,60687065033,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",14.7,7.35,3.21,13.23,65
NDC,60687065311,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",3.5,1.75,0.76,3.15,65
NDC,60687065321,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",84.25,42.13,18.37,75.83,65
NDC,60687065511,FENOFIBRATE 54 MG TABLET,4.9,2.45,1.07,4.41,65
NDC,60687065521,FENOFIBRATE 54 MG TABLET,145.65,72.83,31.77,131.09,65
NDC,60687065611,LISINOPRIL 2.5 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687065621,LISINOPRIL 2.5 MG TABLET,99.2,49.6,21.64,89.28,65
NDC,60687065701,LEVETIRACETAM 500 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,60687065711,LEVETIRACETAM 500 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687065901,FLUOXETINE 40 MG CAPSULE,251.4,125.7,54.83,226.26,65
NDC,60687065911,FLUOXETINE 40 MG CAPSULE,3.45,1.73,0.75,3.11,65
NDC,60687066001,PROMETHAZINE 12.5 MG TABLET,269.4,134.7,58.76,242.46,65
NDC,60687066011,PROMETHAZINE 12.5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687066101,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,60687066111,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687066401,HYDROXYZINE HCL 10 MG TABLET,89.4,44.7,19.5,80.46,65
NDC,60687066411,HYDROXYZINE HCL 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687066701,LISINOPRIL 5 MG TABLET,73.8,36.9,16.1,66.42,65
NDC,60687066711,LISINOPRIL 5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687066801,"LEVETIRACETAM 1,000 MG TABLET",309.5,154.75,67.5,278.55,65
NDC,60687066811,"LEVETIRACETAM 1,000 MG TABLET",3.75,1.88,0.82,3.38,65
NDC,60687066901,METHIMAZOLE 5 MG TABLET,262.2,131.1,57.19,235.98,65
NDC,60687066911,METHIMAZOLE 5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687067001,OXYBUTYNIN CHLORIDE 5 MG TABLET,185.4,92.7,40.44,166.86,65
NDC,60687067011,OXYBUTYNIN CHLORIDE 5 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687067140,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,11.05,5.53,2.41,9.95,65
NDC,60687067167,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,11.05,5.53,2.41,9.95,65
NDC,60687067211,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,6.3,3.15,1.37,5.67,65
NDC,60687067265,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,261.5,130.75,57.03,235.35,65
NDC,60687067501,HYDROXYZINE HCL 25 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,60687067511,HYDROXYZINE HCL 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687067611,LACOSAMIDE 50 MG TABLET,5.8,2.9,1.26,5.22,65
NDC,60687067657,LACOSAMIDE 50 MG TABLET,274.7,137.35,59.91,247.23,65
NDC,60687067701,ALLOPURINOL 100 MG TABLET,105.6,52.8,23.03,95.04,65
NDC,60687067711,ALLOPURINOL 100 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687067801,LISINOPRIL 40 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,60687067811,LISINOPRIL 40 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687068001,METHIMAZOLE 10 MG TABLET,330.5,165.25,72.08,297.45,65
NDC,60687068011,METHIMAZOLE 10 MG TABLET,4.0,2.0,0.87,3.6,65
NDC,60687068101,FOLIC ACID 1 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,60687068111,FOLIC ACID 1 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687068301,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,99.6,49.8,21.72,89.64,65
NDC,60687068311,HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,60687068411,NATEGLINIDE 120 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,60687068421,NATEGLINIDE 120 MG TABLET,358.8,179.4,78.25,322.92,65
NDC,60687068601,HYDROXYZINE HCL 50 MG TABLET,133.2,66.6,29.05,119.88,65
NDC,60687068611,HYDROXYZINE HCL 50 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687068711,LACOSAMIDE 100 MG TABLET,7.4,3.7,1.61,6.66,65
NDC,60687068757,LACOSAMIDE 100 MG TABLET,369.0,184.5,80.48,332.1,65
NDC,60687068801,ALLOPURINOL 300 MG TABLET,231.6,115.8,50.51,208.44,65
NDC,60687068811,ALLOPURINOL 300 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687069001,GLIPIZIDE 5 MG TABLET,147.6,73.8,32.19,132.84,65
NDC,60687069011,GLIPIZIDE 5 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,60687069101,DEMECLOCYCLINE 150 MG TABLET,2386.4,1193.2,520.47,2147.76,65
NDC,60687069111,DEMECLOCYCLINE 150 MG TABLET,35.8,17.9,7.81,32.22,65
NDC,60687069301,LAMOTRIGINE 150 MG TABLET,175.2,87.6,38.21,157.68,65
NDC,60687069311,LAMOTRIGINE 150 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687069411,METHENAMINE HIPPURATE 1 GRAM TABLET,10.7,5.35,2.33,9.63,65
NDC,60687069421,METHENAMINE HIPPURATE 1 GRAM TABLET,266.7,133.35,58.17,240.03,65
NDC,60687069501,SUCRALFATE 1 GRAM TABLET,179.4,89.7,39.13,161.46,65
NDC,60687069511,SUCRALFATE 1 GRAM TABLET,3.3,1.65,0.72,2.97,65
NDC,60687069811,LACOSAMIDE 200 MG TABLET,9.2,4.6,2.01,8.28,65
NDC,60687069911,CEFDINIR 300 MG CAPSULE,14.05,7.03,3.06,12.65,65
NDC,60687069921,CEFDINIR 300 MG CAPSULE,350.85,175.43,76.52,315.77,65
NDC,60687070001,BETHANECHOL CHLORIDE 25 MG TABLET,369.0,184.5,80.48,332.1,65
NDC,60687070011,BETHANECHOL CHLORIDE 25 MG TABLET,4.45,2.23,0.97,4.01,65
NDC,60687070101,GLIPIZIDE 10 MG TABLET,249.6,124.8,54.44,224.64,65
NDC,60687070111,GLIPIZIDE 10 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687070401,LAMOTRIGINE 200 MG TABLET,264.6,132.3,57.71,238.14,65
NDC,60687070411,LAMOTRIGINE 200 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687070901,PROPAFENONE 150 MG TABLET,307.0,153.5,66.96,276.3,65
NDC,60687070911,PROPAFENONE 150 MG TABLET,3.7,1.85,0.81,3.33,65
NDC,60687071011,GUANFACINE 1 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,60687071021,GUANFACINE 1 MG TABLET,299.25,149.63,65.27,269.33,65
NDC,60687071101,OXCARBAZEPINE 150 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,60687071111,OXCARBAZEPINE 150 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687071444,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,5.4,2.7,1.18,4.86,65
NDC,60687071611,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,3.5,1.75,0.76,3.15,65
NDC,60687071621,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,103.9,51.95,22.66,93.51,65
NDC,60687071701,DILTIAZEM 30 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,60687071711,DILTIAZEM 30 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687071801,DEXAMETHASONE 4 MG TABLET,422.0,211.0,92.04,379.8,65
NDC,60687071811,DEXAMETHASONE 4 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,60687071925,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,233.85,116.93,51.0,210.47,65
NDC,60687071995,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,7.8,3.9,1.7,7.02,65
NDC,60687072011,LAMIVUDINE 150 MG TABLET,21.4,10.7,4.67,19.26,65
NDC,60687072021,LAMIVUDINE 150 MG TABLET,534.15,267.08,116.5,480.74,65
NDC,60687072111,DESMOPRESSIN 0.1 MG TABLET,7.6,3.8,1.66,6.84,65
NDC,60687072121,DESMOPRESSIN 0.1 MG TABLET,227.7,113.85,49.66,204.93,65
NDC,60687072201,OXCARBAZEPINE 300 MG TABLET,283.5,141.75,61.83,255.15,65
NDC,60687072211,OXCARBAZEPINE 300 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687072311,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",4.6,2.3,1.0,4.14,65
NDC,60687072321,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",137.0,68.5,29.88,123.3,65
NDC,60687072501,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",100.8,50.4,21.98,90.72,65
NDC,60687072511,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,60687072711,COLCHICINE 0.6 MG TABLET,14.45,7.23,3.15,13.01,65
NDC,60687072721,COLCHICINE 0.6 MG TABLET,361.2,180.6,78.78,325.08,65
NDC,60687072801,DILTIAZEM 60 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,60687072811,DILTIAZEM 60 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687072901,DEXAMETHASONE 6 MG TABLET,564.0,282.0,123.01,507.6,65
NDC,60687072911,DEXAMETHASONE 6 MG TABLET,6.8,3.4,1.48,6.12,65
NDC,60687073001,MECLIZINE 25 MG TABLET,256.2,128.1,55.88,230.58,65
NDC,60687073011,MECLIZINE 25 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,60687073065,MECLIZINE 25 MG TABLET,117.3,58.65,25.58,105.57,65
NDC,60687073301,OXCARBAZEPINE 600 MG TABLET,524.0,262.0,114.28,471.6,65
NDC,60687073311,OXCARBAZEPINE 600 MG TABLET,6.3,3.15,1.37,5.67,65
NDC,60687073401,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",360.5,180.25,78.63,324.45,65
NDC,60687073411,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",4.35,2.18,0.95,3.92,65
NDC,60687073501,MISOPROSTOL 100 MCG TABLET,1030.5,515.25,224.75,927.45,65
NDC,60687073511,MISOPROSTOL 100 MCG TABLET,12.4,6.2,2.7,11.16,65
NDC,60687073842,SUCRALFATE 100 MG/ML ORAL SUSPENSION,35.3,17.65,7.7,31.77,65
NDC,60687073856,SUCRALFATE 100 MG/ML ORAL SUSPENSION,35.3,17.65,7.7,31.77,65
NDC,60687073995,AMINOCAPROIC ACID 500 MG TABLET,102.1,51.05,22.27,91.89,65
NDC,60687074201,AZITHROMYCIN 250 MG TABLET,310.5,155.25,67.72,279.45,65
NDC,60687074211,AZITHROMYCIN 250 MG TABLET,3.75,1.88,0.82,3.38,65
NDC,60687074265,AZITHROMYCIN 250 MG TABLET,198.9,99.45,43.38,179.01,65
NDC,60687074411,DABIGATRAN ETEXILATE 75 MG CAPSULE,16.7,8.35,3.64,15.03,65
NDC,60687074421,DABIGATRAN ETEXILATE 75 MG CAPSULE,417.15,208.58,90.98,375.44,65
NDC,60687074501,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",336.5,168.25,73.39,302.85,65
NDC,60687074511,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",4.05,2.03,0.88,3.65,65
NDC,60687074601,MISOPROSTOL 200 MCG TABLET,883.0,441.5,192.58,794.7,65
NDC,60687074611,MISOPROSTOL 200 MCG TABLET,10.6,5.3,2.31,9.54,65
NDC,60687074711,LURASIDONE 20 MG TABLET,14.8,7.4,3.23,13.32,65
NDC,60687074721,LURASIDONE 20 MG TABLET,369.0,184.5,80.48,332.1,65
NDC,60687074901,FLUPHENAZINE 5 MG TABLET,1439.5,719.75,313.95,1295.55,65
NDC,60687074911,FLUPHENAZINE 5 MG TABLET,17.3,8.65,3.77,15.57,65
NDC,60687075011,TRANEXAMIC ACID 650 MG TABLET,16.7,8.35,3.64,15.03,65
NDC,60687075021,TRANEXAMIC ACID 650 MG TABLET,417.3,208.65,91.01,375.57,65
NDC,60687075232,DABIGATRAN ETEXILATE 150 MG CAPSULE,457.4,228.7,99.76,411.66,65
NDC,60687075233,DABIGATRAN ETEXILATE 150 MG CAPSULE,27.45,13.73,5.99,24.71,65
NDC,60687075311,AZITHROMYCIN 500 MG TABLET,10.45,5.23,2.28,9.41,65
NDC,60687075321,AZITHROMYCIN 500 MG TABLET,260.85,130.43,56.89,234.77,65
NDC,60687075540,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",16.4,8.2,3.58,14.76,65
NDC,60687075609,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",169.45,84.73,36.96,152.51,65
NDC,60687075611,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",3.4,1.7,0.74,3.06,65
NDC,60687075811,LURASIDONE 40 MG TABLET,25.7,12.85,5.61,23.13,65
NDC,60687075821,LURASIDONE 40 MG TABLET,641.55,320.78,139.92,577.4,65
NDC,60687076040,MORPHINE 10 MG/5 ML ORAL SOLUTION,5.85,2.93,1.28,5.27,65
NDC,60687076086,MORPHINE 10 MG/5 ML ORAL SOLUTION,5.85,2.93,1.28,5.27,65
NDC,60687076101,FLUPHENAZINE 10 MG TABLET,1804.0,902.0,393.45,1623.6,65
NDC,60687076111,FLUPHENAZINE 10 MG TABLET,21.65,10.83,4.72,19.49,65
NDC,60687076811,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",6.2,3.1,1.35,5.58,65
NDC,60687076821,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",185.95,92.98,40.56,167.36,65
NDC,60687076911,LURASIDONE 60 MG TABLET,14.8,7.4,3.23,13.32,65
NDC,60687076994,LURASIDONE 60 MG TABLET,295.35,147.68,64.42,265.82,65
NDC,60687077301,DEXAMETHASONE 2 MG TABLET,254.5,127.25,55.51,229.05,65
NDC,60687077311,DEXAMETHASONE 2 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687077701,RIVASTIGMINE 1.5 MG CAPSULE,1064.5,532.25,232.17,958.05,65
NDC,60687077711,RIVASTIGMINE 1.5 MG CAPSULE,12.8,6.4,2.79,11.52,65
NDC,60687077811,MEXILETINE 150 MG CAPSULE,7.45,3.73,1.62,6.71,65
NDC,60687077821,MEXILETINE 150 MG CAPSULE,222.7,111.35,48.57,200.43,65
NDC,60687078111,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,21.45,10.73,4.68,19.31,65
NDC,60687078194,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,357.1,178.55,77.88,321.39,65
NDC,60687078201,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",545.0,272.5,118.86,490.5,65
NDC,60687078211,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",6.55,3.28,1.43,5.9,65
NDC,60687078301,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",142.8,71.4,31.14,128.52,65
NDC,60687078311,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",3.25,1.63,0.71,2.93,65
NDC,60687078611,ROFLUMILAST 500 MCG TABLET,10.8,5.4,2.36,9.72,65
NDC,60687078621,ROFLUMILAST 500 MCG TABLET,269.7,134.85,58.82,242.73,65
NDC,60687078811,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,3.55,1.78,0.77,3.2,65
NDC,60687078821,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,105.7,52.85,23.05,95.13,65
NDC,60687078901,PYRAZINAMIDE 500 MG TABLET,2064.0,1032.0,450.16,1857.6,65
NDC,60687078911,PYRAZINAMIDE 500 MG TABLET,24.8,12.4,5.41,22.32,65
NDC,60687079201,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,832.0,416.0,181.46,748.8,65
NDC,60687079211,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,10.0,5.0,2.18,9.0,65
NDC,60687079311,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",7.4,3.7,1.61,6.66,65
NDC,60687079321,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",221.95,110.98,48.41,199.76,65
NDC,60687079401,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",160.8,80.4,35.07,144.72,65
NDC,60687079411,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",3.3,1.65,0.72,2.97,65
NDC,60687079501,TRAMADOL 50 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,60687079511,TRAMADOL 50 MG TABLET,5.15,2.58,1.12,4.64,65
NDC,60687079742,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,19.4,9.7,4.23,17.46,65
NDC,60687079756,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,19.4,9.7,4.23,17.46,65
NDC,60687080017,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.4,3.7,1.61,6.66,65
NDC,60687080040,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",7.4,3.7,1.61,6.66,65
NDC,60687080111,BUSPIRONE 7.5 MG TABLET,6.7,3.35,1.46,6.03,65
NDC,60687080121,BUSPIRONE 7.5 MG TABLET,200.55,100.28,43.74,180.5,65
NDC,60687080301,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,1146.0,573.0,249.94,1031.4,65
NDC,60687080311,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,60687080601,LITHIUM CARBONATE 300 MG CAPSULE,117.0,58.5,25.52,105.3,65
NDC,60687080611,LITHIUM CARBONATE 300 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,60687080701,CHLORDIAZEPOXIDE 25 MG CAPSULE,285.0,142.5,62.16,256.5,65
NDC,60687080711,CHLORDIAZEPOXIDE 25 MG CAPSULE,5.5,2.75,1.2,4.95,65
NDC,60687081009,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",73.0,36.5,15.92,65.7,65
NDC,60687081011,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE",3.2,1.6,0.7,2.88,65
NDC,60687081101,HYDRALAZINE 10 MG TABLET,100.8,50.4,21.98,90.72,65
NDC,60687081111,HYDRALAZINE 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687081201,BUSPIRONE 10 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,60687081211,BUSPIRONE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,60687081311,METHYLERGONOVINE 0.2 MG TABLET,262.4,131.2,57.23,236.16,65
NDC,60687081394,METHYLERGONOVINE 0.2 MG TABLET,3498.35,1749.18,762.99,3148.52,65
NDC,60687081411,PROCHLORPERAZINE MALEATE 5 MG TABLET,5.2,2.6,1.13,4.68,65
NDC,60687081465,PROCHLORPERAZINE MALEATE 5 MG TABLET,259.2,129.6,56.53,233.28,65
NDC,60687081501,BACLOFEN 10 MG TABLET,189.6,94.8,41.35,170.64,65
NDC,60687081511,BACLOFEN 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687081911,DARUNAVIR 800 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,60687081921,DARUNAVIR 800 MG TABLET,625.95,312.98,136.52,563.36,65
NDC,60687082201,HYDRALAZINE 25 MG TABLET,94.8,47.4,20.68,85.32,65
NDC,60687082211,HYDRALAZINE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,60687082301,BUSPIRONE 15 MG TABLET,205.8,102.9,44.88,185.22,65
NDC,60687082311,BUSPIRONE 15 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687082601,BACLOFEN 20 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,60687082611,BACLOFEN 20 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,60687083301,HYDRALAZINE 50 MG TABLET,184.8,92.4,40.3,166.32,65
NDC,60687083311,HYDRALAZINE 50 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,60687083601,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,151.2,75.6,32.98,136.08,65
NDC,60687083611,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687083742,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,16.35,8.18,3.57,14.72,65
NDC,60687083801,ZOLPIDEM 5 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,60687083811,ZOLPIDEM 5 MG TABLET,5.1,2.55,1.11,4.59,65
NDC,60687084101,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,721.0,360.5,157.25,648.9,65
NDC,60687084111,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,8.7,4.35,1.9,7.83,65
NDC,60687084540,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,24.8,12.4,5.41,22.32,65
NDC,60687084577,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,24.8,12.4,5.41,22.32,65
NDC,60687085401,PREDNISONE 50 MG TABLET,155.4,77.7,33.89,139.86,65
NDC,60687085411,PREDNISONE 50 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687085711,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",6.35,3.18,1.38,5.72,65
NDC,60687085721,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",189.55,94.78,41.34,170.6,65
NDC,60687085801,DIGOXIN 125 MCG (0.125 MG) TABLET,374.5,187.25,81.68,337.05,65
NDC,60687085811,DIGOXIN 125 MCG (0.125 MG) TABLET,4.5,2.25,0.98,4.05,65
NDC,60687086001,CIPROFLOXACIN 500 MG TABLET,153.6,76.8,33.5,138.24,65
NDC,60687086011,CIPROFLOXACIN 500 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,60687086101,CLONAZEPAM 0.5 MG TABLET,257.5,128.75,56.16,231.75,65
NDC,60687086111,CLONAZEPAM 0.5 MG TABLET,5.55,2.78,1.21,5.0,65
NDC,60687086511,ESCITALOPRAM 5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,60687087201,CLONAZEPAM 1 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,60687087211,CLONAZEPAM 1 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,60687088101,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",261.0,130.5,56.92,234.9,65
NDC,60687088111,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",3.15,1.58,0.69,2.84,65
NDC,60687088311,PRASUGREL HCL 10 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,60687088321,PRASUGREL HCL 10 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,60687088501,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,241.2,120.6,52.61,217.08,65
NDC,60687088511,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,3.45,1.73,0.75,3.11,65
NDC,60687088601,PRAVASTATIN 10 MG TABLET,296.4,148.2,64.64,266.76,65
NDC,60687088611,PRAVASTATIN 10 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,60758001805,SULFACETAMIDE SODIUM 10 % EYE DROPS,84.6,42.3,18.45,76.14,65
NDC,60758011905,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",141.5,70.75,30.86,127.35,65
NDC,60758011910,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",286.7,143.35,62.53,258.03,65
NDC,60758011915,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",353.2,176.6,77.03,317.88,65
NDC,60758018805,GENTAMICIN 0.3 % EYE DROPS,24.7,12.35,5.39,22.23,65
NDC,60758077305,KETOROLAC 0.4 % EYE DROPS,279.7,139.85,61.0,251.73,65
NDC,60758080105,TIMOLOL MALEATE 0.5 % EYE DROPS,30.4,15.2,6.63,27.36,65
NDC,60758080110,TIMOLOL MALEATE 0.5 % EYE DROPS,48.1,24.05,10.49,43.29,65
NDC,60758080205,TIMOLOL MALEATE 0.25 % EYE DROPS,13.7,6.85,2.99,12.33,65
NDC,60758080210,TIMOLOL MALEATE 0.25 % EYE DROPS,25.3,12.65,5.52,22.77,65
NDC,60758088005,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",357.9,178.95,78.06,322.11,65
NDC,60758090810,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",60.75,30.38,13.25,54.68,65
NDC,60793011501,LIOTHYRONINE 5 MCG TABLET,213.6,106.8,46.59,192.24,65
NDC,60793011601,LIOTHYRONINE 25 MCG TABLET,295.2,147.6,64.38,265.68,65
NDC,60793013001,"PENICILLIN G PROCAINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",256.1,128.05,40.65,230.49,71
NDC,60793013010,"PENICILLIN G PROCAINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",256.1,128.05,40.65,230.49,71
NDC,60793013101,PENICILLIN G PROCAINE 1.2 MILLION UNIT/2 ML INTRAMUSCULAR SYRINGE,358.85,179.43,40.65,322.97,71
NDC,60793021505,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",266.6,133.3,58.15,239.94,65
NDC,60793021720,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",1051.3,525.65,229.29,946.17,65
NDC,60793021722,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE",1203.25,601.63,262.43,1082.93,65
NDC,60793031501,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION",266.6,133.3,58.15,239.94,65
NDC,60793031701,"THROMBIN (BOVINE) 20,000 UNIT TOPICAL SOLUTION",1051.3,525.65,229.29,946.17,65
NDC,60793060002,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,71
NDC,60793060010,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,71
NDC,60793060102,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,71
NDC,60793060110,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,71
NDC,60793060202,"PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,71
NDC,60793060210,"PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE",1123.7,561.85,19.51,1011.33,71
NDC,60793070001,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",810.15,405.08,23.24,729.14,71
NDC,60793070010,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",810.15,405.08,23.24,729.14,71
NDC,60793070102,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1550.65,775.33,23.24,1395.59,71
NDC,60793070110,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1550.65,775.33,23.24,1395.59,71
NDC,60793070204,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",2300.5,1150.25,23.24,2070.45,71
NDC,60793070210,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",2300.5,1150.25,23.24,2070.45,71
NDC,60793070505,"THROMBIN (BOVINE) 5,000 UNIT TOPICAL SPRAY SYRINGE",296.4,148.2,64.64,266.76,65
NDC,60793085001,LEVOTHYROXINE 25 MCG TABLET,346.5,173.25,75.57,311.85,65
NDC,60793085101,LEVOTHYROXINE 50 MCG TABLET,393.5,196.75,85.82,354.15,65
NDC,60793085401,LEVOTHYROXINE 100 MCG TABLET,446.0,223.0,97.27,401.4,65
NDC,60793085501,LEVOTHYROXINE 112 MCG TABLET,515.5,257.75,112.43,463.95,65
NDC,60793085601,LEVOTHYROXINE 125 MCG TABLET,522.5,261.25,113.96,470.25,65
NDC,60793085701,LEVOTHYROXINE 137 MCG TABLET,529.5,264.75,115.48,476.55,65
NDC,60793085801,LEVOTHYROXINE 150 MCG TABLET,538.0,269.0,117.34,484.2,65
NDC,60923050110,DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP,16000000.0,8000000.0,3382791.84,14400000.0,69
NDC,60951060270,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,91.2,45.6,19.89,82.08,65
NDC,60951070070,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,271.2,135.6,59.15,244.08,65
NDC,60951071270,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,294.0,147.0,64.12,264.6,65
NDC,60977014101,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,400.8,200.4,87.41,360.72,66
NDC,60977014127,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,400.8,200.4,87.41,360.72,66
NDC,61141131801,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,223.0,111.5,1.07,200.7,66
NDC,61141133701,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,141.1,70.55,0.16,126.99,66
NDC,61141143503,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,64.1,32.05,5.18,57.69,66
NDC,61141143703,HYDROMORPHONE 6 MG/30 ML (0.2 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,62.8,31.4,13.7,56.52,65
NDC,61141481310,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,52.0,26.0,11.34,46.8,65
NDC,61141483715,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,63.0,31.5,13.74,56.7,65
NDC,61269041020,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,758.75,379.38,1.1,682.88,66
NDC,61269051812,BUDESONIDE 180 MCG/ACTUATION BREATH ACTIVATED POWDER INHALER,1209.05,604.53,263.69,1088.15,65
NDC,61269060510,CLONAZEPAM 0.5 MG TABLET,1179.5,589.75,257.25,1061.55,65
NDC,61269061010,CLONAZEPAM 1 MG TABLET,1345.5,672.75,293.45,1210.95,65
NDC,61314001405,DICLOFENAC 0.1 % EYE DROPS,31.75,15.88,6.92,28.58,65
NDC,61314001425,DICLOFENAC 0.1 % EYE DROPS,53.65,26.83,11.7,48.29,65
NDC,61314001601,PROPARACAINE 0.5 % EYE DROPS,153.1,76.55,33.39,137.79,65
NDC,61314001910,DORZOLAMIDE 2 % EYE DROPS,96.8,48.4,21.11,87.12,65
NDC,61314003002,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,132.0,66.0,28.79,118.8,65
NDC,61314004475,TRIFLURIDINE 1 % EYE DROPS,1062.6,531.3,231.75,956.34,65
NDC,61314012605,KETOROLAC 0.5 % EYE DROPS,30.15,15.08,6.58,27.14,65
NDC,61314012610,KETOROLAC 0.5 % EYE DROPS,154.6,77.3,33.72,139.14,65
NDC,61314014305,BRIMONIDINE 0.2 % EYE DROPS,47.25,23.63,10.31,42.53,65
NDC,61314014310,BRIMONIDINE 0.2 % EYE DROPS,23.05,11.53,5.03,20.75,65
NDC,61314014405,BRIMONIDINE 0.15 % EYE DROPS,730.05,365.03,159.22,657.05,65
NDC,61314020315,PILOCARPINE 1 % EYE DROPS,384.3,192.15,83.82,345.87,65
NDC,61314020415,PILOCARPINE 2 % EYE DROPS,394.9,197.45,86.13,355.41,65
NDC,61314020615,PILOCARPINE 4 % EYE DROPS,367.05,183.53,80.05,330.35,65
NDC,61314022505,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,624.8,312.4,136.27,562.32,65
NDC,61314022605,TIMOLOL MALEATE 0.25 % EYE DROPS,14.2,7.1,3.1,12.78,65
NDC,61314022610,TIMOLOL MALEATE 0.25 % EYE DROPS,60.75,30.38,13.25,54.68,65
NDC,61314022705,TIMOLOL MALEATE 0.5 % EYE DROPS,27.55,13.78,6.01,24.8,65
NDC,61314022710,TIMOLOL MALEATE 0.5 % EYE DROPS,43.75,21.88,9.54,39.38,65
NDC,61314022715,TIMOLOL MALEATE 0.5 % EYE DROPS,63.3,31.65,13.81,56.97,65
NDC,61314023710,CROMOLYN 4 % EYE DROPS,37.45,18.73,8.17,33.71,65
NDC,61314023805,CARTEOLOL 1 % EYE DROPS,34.35,17.18,7.49,30.92,65
NDC,61314031801,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,944.85,472.43,0.39,850.37,71
NDC,61314031805,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,944.85,472.43,0.39,850.37,71
NDC,61314031810,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,944.85,472.43,0.39,850.37,71
NDC,61314032601,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1511.8,755.9,0.39,1360.62,71
NDC,61314032605,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1511.75,755.88,0.39,1360.58,71
NDC,61314032610,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1511.75,755.88,0.39,1360.58,71
NDC,61314035401,TROPICAMIDE 0.5 % EYE DROPS,20.8,10.4,4.54,18.72,65
NDC,61314035501,TROPICAMIDE 1 % EYE DROPS,61.1,30.55,13.33,54.99,65
NDC,61314035502,TROPICAMIDE 1 % EYE DROPS,43.95,21.98,9.59,39.56,65
NDC,61314039601,CYCLOPENTOLATE 1 % EYE DROPS,23.8,11.9,5.19,21.42,65
NDC,61314039603,CYCLOPENTOLATE 1 % EYE DROPS,121.35,60.68,26.47,109.22,65
NDC,61314054701,LATANOPROST 0.005 % EYE DROPS,46.35,23.18,10.11,41.72,65
NDC,61314054703,LATANOPROST 0.005 % EYE DROPS,75.5,37.75,16.47,67.95,65
NDC,61314062494,RANIBIZUMAB-EQRN 0.3 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,3198.75,1599.38,87.88,2878.88,71
NDC,61314062594,RANIBIZUMAB-EQRN 0.5 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,5331.2,2665.6,87.88,4798.08,71
NDC,61314062810,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",61.8,30.9,13.48,55.62,65
NDC,61314063006,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",75.4,37.7,16.44,67.86,65
NDC,61314063136,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",94.1,47.05,20.52,84.69,65
NDC,61314063305,GENTAMICIN 0.3 % EYE DROPS,29.65,14.83,6.47,26.69,65
NDC,61314063705,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",153.0,76.5,33.37,137.7,65
NDC,61314063710,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",427.4,213.7,93.22,384.66,65
NDC,61314064175,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",623.1,311.55,135.9,560.79,65
NDC,61314064305,TOBRAMYCIN 0.3 % EYE DROPS,58.05,29.03,12.66,52.25,65
NDC,61314064511,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",264.4,132.2,57.67,237.96,65
NDC,61314064610,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG/ML-10,000 UNIT/ML-1 % EAR SOLUTION",253.9,126.95,55.38,228.51,65
NDC,61314064705,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",262.8,131.4,57.32,236.52,65
NDC,61314064725,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",227.9,113.95,49.7,205.11,65
NDC,61314065605,CIPROFLOXACIN 0.3 % EYE DROPS,20.8,10.4,4.54,18.72,65
NDC,61314065610,CIPROFLOXACIN 0.3 % EYE DROPS,79.1,39.55,17.25,71.19,65
NDC,61314065625,CIPROFLOXACIN 0.3 % EYE DROPS,22.1,11.05,4.82,19.89,65
NDC,61314066505,APRACLONIDINE 0.5 % EYE DROPS,210.9,105.45,46.0,189.81,65
NDC,61314066510,APRACLONIDINE 0.5 % EYE DROPS,351.55,175.78,76.67,316.4,65
NDC,61314067225,GATIFLOXACIN 0.5 % EYE DROPS,249.1,124.55,54.33,224.19,65
NDC,61314086601,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12489.45,6244.73,30.93,11240.51,71
NDC,61364018101,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1608.3,804.15,1.67,1447.47,71
NDC,61364018103,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1608.3,804.15,1.67,1447.47,71
NDC,61442011201,ACYCLOVIR 400 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,61442011205,ACYCLOVIR 400 MG TABLET,430.0,215.0,93.78,387.0,65
NDC,61442011301,ACYCLOVIR 800 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,61442012101,FAMOTIDINE 20 MG TABLET,40.8,20.4,8.9,36.72,65
NDC,61442012110,FAMOTIDINE 20 MG TABLET,310.0,155.0,67.61,279.0,65
NDC,61442017130,CEFACLOR 250 MG CAPSULE,238.7,119.35,52.06,214.83,65
NDC,61570007301,ESTERIFIED ESTROGENS 0.625 MG TABLET,1242.0,621.0,270.88,1117.8,65
NDC,61570007550,ESTERIFIED ESTROGENS 2.5 MG TABLET,1231.0,615.5,268.48,1107.9,65
NDC,61570013120,SILVER SULFADIAZINE 1 % TOPICAL CREAM,44.05,22.03,9.61,39.65,65
NDC,61570013125,SILVER SULFADIAZINE 1 % TOPICAL CREAM,14.25,7.13,3.11,12.83,65
NDC,61570013140,SILVER SULFADIAZINE 1 % TOPICAL CREAM,177.6,88.8,38.73,159.84,65
NDC,61570013150,SILVER SULFADIAZINE 1 % TOPICAL CREAM,51.0,25.5,11.12,45.9,65
NDC,61570013155,SILVER SULFADIAZINE 1 % TOPICAL CREAM,41.1,20.55,8.96,36.99,65
NDC,61570013185,SILVER SULFADIAZINE 1 % TOPICAL CREAM,82.15,41.08,17.92,73.94,65
NDC,61570026001,QUINUPRISTIN-DALFOPRISTIN 500 MG INTRAVENOUS SOLUTION,2179.15,1089.58,4.35,1961.24,71
NDC,61703001504,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,61703012440,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,61703026205,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,1395.45,697.73,3.99,1255.91,66
NDC,61703030906,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.58,405.0,66
NDC,61703030916,VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,8.58,405.0,66
NDC,61703031922,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,450.0,225.0,1.08,405.0,66
NDC,61703032322,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,61703032418,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,87.65,43.83,9.85,78.89,66
NDC,61703032618,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,196.1,98.05,9.85,176.49,66
NDC,61703033218,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,61703033918,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,61703033922,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,61703033950,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,61703033956,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,61703034209,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,61703034222,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,61703034250,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,61703034318,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,24.35,405.0,71
NDC,61703034365,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",485.15,242.58,24.35,436.64,71
NDC,61703034909,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,61703034916,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,61703035037,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,61703035038,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,61703036318,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,61703036322,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,61703040825,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,61703040841,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,61703060005,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,61748001201,PYRAZINAMIDE 500 MG TABLET,2049.5,1024.75,447.0,1844.55,65
NDC,61748001206,PYRAZINAMIDE 500 MG TABLET,1261.5,630.75,275.13,1135.35,65
NDC,61748001211,PYRAZINAMIDE 500 MG TABLET,1917.0,958.5,418.1,1725.3,65
NDC,61748001530,RIFAMPIN 150 MG CAPSULE,94.35,47.18,20.58,84.92,65
NDC,61748001801,RIFAMPIN 300 MG CAPSULE,270.6,135.3,59.02,243.54,65
NDC,61748001830,RIFAMPIN 300 MG CAPSULE,87.7,43.85,19.13,78.93,65
NDC,61748001860,RIFAMPIN 300 MG CAPSULE,178.95,89.48,39.03,161.06,65
NDC,61748005416,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR,133.4,66.7,29.09,120.06,65
NDC,61755000501,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SYRINGE,7585.0,3792.5,786.99,6826.5,71
NDC,61755000502,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL SOLUTION FOR INJECTION,7610.0,3805.0,786.99,6849.0,71
NDC,61755000801,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,42477.05,21238.53,28.23,38229.35,71
NDC,61755001001,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION,168754.6,84377.3,182.93,151879.14,71
NDC,61755001301,EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION,48534.8,24267.4,182.93,43681.32,71
NDC,61755002001,ALIROCUMAB 75 MG/ML SUBCUTANEOUS PEN INJECTOR,1205.5,602.75,262.92,1084.95,65
NDC,61755005000,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,10735.0,5367.5,317.61,9661.5,70
NDC,61755005001,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,10735.0,5367.5,317.61,9661.5,70
NDC,61772060081,SODIUM HYALURONATE 16 MG/ML INTRAOCULAR SYRINGE,706.25,353.13,154.03,635.63,65
NDC,61874007560,ELUXADOLINE 75 MG TABLET,6520.35,3260.18,1422.09,5868.32,65
NDC,61874010060,ELUXADOLINE 100 MG TABLET,6520.35,3260.18,1422.09,5868.32,65
NDC,61874011511,CARIPRAZINE 1.5 MG CAPSULE,2454.3,1227.15,535.28,2208.87,65
NDC,61874011520,CARIPRAZINE 1.5 MG CAPSULE,3926.9,1963.45,856.46,3534.21,65
NDC,61874011530,CARIPRAZINE 1.5 MG CAPSULE,5890.35,2945.18,1284.69,5301.32,65
NDC,61874013011,CARIPRAZINE 3 MG CAPSULE,2454.3,1227.15,535.28,2208.87,65
NDC,61874013020,CARIPRAZINE 3 MG CAPSULE,3926.9,1963.45,856.46,3534.21,65
NDC,61874013030,CARIPRAZINE 3 MG CAPSULE,5890.35,2945.18,1284.69,5301.32,65
NDC,61953000501,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",2193.1,1096.55,44.92,1973.79,71
NDC,61953000502,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3397.6,1698.8,44.92,3057.84,71
NDC,61953000503,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",6770.2,3385.1,44.92,6093.18,71
NDC,61958040101,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,4635.5,2317.75,1011.0,4171.95,65
NDC,61958060101,EMTRICITABINE 200 MG CAPSULE,2480.1,1240.05,540.91,2232.09,65
NDC,61958060201,EMTRICITABINE 10 MG/ML ORAL SOLUTION,585.65,292.83,127.73,527.09,65
NDC,61958070101,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,6812.8,3406.4,1485.87,6131.52,65
NDC,61958080101,AMBRISENTAN 5 MG TABLET,1473.75,736.88,321.42,1326.38,65
NDC,61958080105,AMBRISENTAN 5 MG TABLET,10317.6,5158.8,2250.27,9285.84,65
NDC,61958100301,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",1910.4,955.2,416.66,1719.36,65
NDC,61958100401,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",2509.2,1254.6,547.26,2258.28,65
NDC,61958110101,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET,14189.2,7094.6,3094.66,12770.28,65
NDC,61958120101,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,16355.2,8177.6,3567.07,14719.68,65
NDC,61958150101,SOFOSBUVIR 400 MG TABLET,108640.0,54320.0,23694.38,97776.0,65
NDC,61958180101,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET,122220.0,61110.0,26656.18,109998.0,65
NDC,61958190101,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,15591.15,7795.58,3400.43,14032.04,65
NDC,61958200201,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,8144.2,4072.1,1776.25,7329.78,65
NDC,61958200202,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,8144.2,4072.1,1776.25,7329.78,65
NDC,61958210101,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,14189.2,7094.6,3094.66,12770.28,65
NDC,61958220301,SOFOSBUVIR 200 MG-VELPATASVIR 50 MG TABLET,96689.6,48344.8,21088.0,87020.64,65
NDC,61958230101,TENOFOVIR ALAFENAMIDE 25 MG TABLET,5645.55,2822.78,1231.29,5081.0,65
NDC,61958250101,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,15591.15,7795.58,3400.43,14032.04,65
NDC,61958250103,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,15591.15,7795.58,3400.43,14032.04,65
NDC,61958290101,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2105.0,1052.5,6.48,1894.5,71
NDC,61958290102,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2564.4,1282.2,6.48,2307.96,71
NDC,61958290201,REMDESIVIR 100 MG/20 ML (5 MG/ML) IV SOLN (FOR PTS 40 KG OR MORE),2105.0,1052.5,6.48,1894.5,71
NDC,61958300201,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,39025.0,19512.5,22.6,35122.5,71
NDC,61958300401,LENACAPAVIR 309 MG/ML SUBCUTANEOUS SOLUTION,39025.0,19512.5,22.6,35122.5,71
NDC,61990011001,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.45,23.73,1.3,42.71,66
NDC,61990011002,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.45,23.73,1.3,42.71,66
NDC,61990012001,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.8,23.9,1.3,43.02,66
NDC,61990012002,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.8,23.9,1.3,43.02,66
NDC,61990013001,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.0,25.0,1.3,45.0,66
NDC,61990013002,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.0,25.0,1.3,45.0,66
NDC,61990015001,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,306.45,153.23,1.3,275.81,66
NDC,61990021100,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.15,23.08,10.07,41.54,65
NDC,61990021103,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.15,23.08,10.07,41.54,65
NDC,61990021200,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.95,23.48,10.24,42.26,65
NDC,61990021202,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.95,23.48,10.24,42.26,65
NDC,61990021300,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,74.95,37.48,16.35,67.46,65
NDC,61990021301,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,74.95,37.48,16.35,67.46,65
NDC,61990041100,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,223.65,111.83,46.99,201.29,66
NDC,61990041101,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,261.8,130.9,46.99,235.62,66
NDC,61990041102,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,223.65,111.83,46.99,201.29,66
NDC,61990061100,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",71.45,35.73,15.58,64.31,65
NDC,61990061102,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",71.45,35.73,15.58,64.31,65
NDC,62037056001,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",287.0,143.5,62.59,258.3,65
NDC,62037056005,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",1397.5,698.75,304.79,1257.75,65
NDC,62037059790,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",95.6,47.8,20.85,86.04,65
NDC,62037059805,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",705.0,352.5,153.76,634.5,65
NDC,62037059890,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",238.15,119.08,51.94,214.34,65
NDC,62037059990,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",277.65,138.83,60.56,249.89,65
NDC,62037069630,"DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",146.55,73.28,31.96,131.9,65
NDC,62037069790,"DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE",370.35,185.18,80.77,333.32,65
NDC,62037069930,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",235.8,117.9,51.43,212.22,65
NDC,62037069990,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",574.65,287.33,125.33,517.19,65
NDC,62037070090,"DILTIAZEM ER 360 MG CAPSULE,24 HR,EXTENDED RELEASE",693.9,346.95,151.34,624.51,65
NDC,62037071001,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",153.6,76.8,33.5,138.24,65
NDC,62037072501,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",726.5,363.25,158.45,653.85,65
NDC,62037072701,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",1665.5,832.75,363.25,1498.95,65
NDC,62037073401,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",2432.5,1216.25,530.53,2189.25,65
NDC,62037099901,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",200.4,100.2,43.71,180.36,65
NDC,62037099905,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",605.0,302.5,131.95,544.5,65
NDC,62064012201,IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION,5920.0,2960.0,80.84,5328.0,70
NDC,62064012202,IBALIZUMAB-UIYK 200 MG/1.33 ML (150 MG/ML) INTRAVENOUS SOLUTION,5920.0,2960.0,80.84,5328.0,70
NDC,62135000394,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,221.4,110.7,48.29,199.26,65
NDC,62135002007,HYDROCORTISONE 100 MG/60 ML ENEMA,277.2,138.6,60.46,249.48,65
NDC,62135002046,HYDROCORTISONE 100 MG/60 ML ENEMA,277.6,138.8,60.54,249.84,65
NDC,62135019122,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,649.0,324.5,141.55,584.1,65
NDC,62135019647,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML ORAL SOLUTION,1617.7,808.85,352.82,1455.93,65
NDC,62135021001,FOLIC ACID 1 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,62135024260,NALTREXONE 50 MG TABLET,2080.2,1040.1,453.69,1872.18,65
NDC,62135025047,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,2129.3,1064.65,464.4,1916.37,65
NDC,62135026601,TETRACYCLINE 500 MG CAPSULE,1518.5,759.25,331.18,1366.65,65
NDC,62135026660,TETRACYCLINE 500 MG CAPSULE,911.1,455.55,198.71,819.99,65
NDC,62135030801,CIPROFLOXACIN 250 MG TABLET,1359.0,679.5,296.4,1223.1,65
NDC,62135030901,CIPROFLOXACIN 500 MG TABLET,1598.5,799.25,348.63,1438.65,65
NDC,62135030920,CIPROFLOXACIN 500 MG TABLET,318.1,159.05,69.38,286.29,65
NDC,62135032190,METHYLDOPA 250 MG TABLET,2496.25,1248.13,544.43,2246.63,65
NDC,62135035030,ONDANSETRON HCL 4 MG TABLET,580.5,290.25,126.61,522.45,65
NDC,62135041746,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,101.2,50.6,22.07,91.08,65
NDC,62135042812,DICYCLOMINE 20 MG TABLET,1664.4,832.2,363.01,1497.96,65
NDC,62135043130,DISULFIRAM 250 MG TABLET,1340.55,670.28,292.37,1206.5,65
NDC,62135043190,DISULFIRAM 250 MG TABLET,3233.9,1616.95,705.31,2910.51,65
NDC,62135043690,SUCRALFATE 1 GRAM TABLET,1664.1,832.05,362.94,1497.69,65
NDC,62135043730,PREDNISOLONE 5 MG TABLET,1941.45,970.73,423.43,1747.31,65
NDC,62135045030,DOXERCALCIFEROL 0.5 MCG CAPSULE,1386.75,693.38,302.45,1248.08,65
NDC,62135045230,DOXERCALCIFEROL 2.5 MCG CAPSULE,2207.8,1103.9,481.52,1987.02,65
NDC,62135048142,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,1387.0,693.5,302.5,1248.3,65
NDC,62135049530,GRISEOFULVIN ULTRAMICROSIZE 250 MG TABLET,707.1,353.55,154.22,636.39,65
NDC,62135050247,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,2322.45,1161.23,506.53,2090.21,65
NDC,62135050530,CHLORTHALIDONE 25 MG TABLET,383.4,191.7,83.62,345.06,65
NDC,62135051147,HYOSCYAMINE 0.125 MG/5 ML ORAL ELIXIR,1156.5,578.25,252.23,1040.85,65
NDC,62135051352,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,577.8,288.9,126.02,520.02,65
NDC,62135052047,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,2310.65,1155.33,503.95,2079.59,65
NDC,62135054943,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,1155.6,577.8,252.04,1040.04,65
NDC,62135062601,DOXYCYCLINE HYCLATE 100 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,62135062650,DOXYCYCLINE HYCLATE 100 MG TABLET,239.1,119.55,52.15,215.19,65
NDC,62135071242,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,453.0,226.5,98.8,407.7,65
NDC,62135073024,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,441.1,220.55,96.2,396.99,65
NDC,62135073045,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,441.1,220.55,96.2,396.99,65
NDC,62135075047,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,2310.65,1155.33,503.95,2079.59,65
NDC,62135080224,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,441.7,220.85,96.33,397.53,65
NDC,62135080245,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,441.7,220.85,96.33,397.53,65
NDC,62135082284,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,48.1,24.05,10.49,43.29,65
NDC,62135084260,SULFADIAZINE 500 MG TABLET,3509.55,1754.78,765.43,3158.6,65
NDC,62135086724,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,444.25,222.13,96.89,399.83,65
NDC,62135086759,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,444.25,222.13,96.89,399.83,65
NDC,62135096001,SULFASALAZINE 500 MG TABLET,924.5,462.25,201.63,832.05,65
NDC,62144551005,ARTIFICIAL TEARS (HYPROMELLOSE) (PF) 1.7 % EYE DROPS WITH APPLICATOR,37.5,18.75,8.18,33.75,65
NDC,62175010601,ISOSORBIDE MONONITRATE 10 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,62175010701,ISOSORBIDE MONONITRATE 20 MG TABLET,254.0,127.0,55.4,228.6,65
NDC,62175011937,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",130.2,65.1,28.4,117.18,65
NDC,62175012837,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",124.2,62.1,27.09,111.78,65
NDC,62175012937,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",169.8,84.9,37.03,152.82,65
NDC,62175026037,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",175.2,87.6,38.21,157.68,65
NDC,62175026137,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",926.0,463.0,201.96,833.4,65
NDC,62175026232,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",319.5,159.75,69.68,287.55,65
NDC,62175026237,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",1068.0,534.0,232.93,961.2,65
NDC,62175027037,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",370.0,185.0,80.7,333.0,65
NDC,62175027137,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",370.5,185.25,80.81,333.45,65
NDC,62175031037,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",1668.5,834.25,363.9,1501.65,65
NDC,62175031137,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",1233.5,616.75,269.03,1110.15,65
NDC,62175045232,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,116.65,58.33,5.1,104.99,66
NDC,62175045832,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,148.0,74.0,9.04,133.2,66
NDC,62175047032,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",200.7,100.35,43.77,180.63,65
NDC,62175047132,"PAROXETINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",209.55,104.78,45.7,188.6,65
NDC,62175048537,"VERAPAMIL ER (PM) 100 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",1834.0,917.0,400.0,1650.6,65
NDC,62175084032,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",153.4,76.7,33.46,138.06,65
NDC,62175089246,ATORVASTATIN 40 MG TABLET,75.1,37.55,16.38,67.59,65
NDC,62175089746,ATORVASTATIN 80 MG TABLET,77.8,38.9,16.97,70.02,65
NDC,62205000020,ENTERAL PUMP ACCESSORY FOR FAT HYDROLYSIS CARTRIDGE,15689.05,7844.53,3421.78,14120.15,64
NDC,62205000021,ENTERAL PUMP ACCESSORY FOR FAT HYDROLYSIS CARTRIDGE,653.75,326.88,142.58,588.38,64
NDC,62205000025,ENTERAL PUMP ACCESSORY FOR FAT HYDROLYSIS CARTRIDGE,14662.45,7331.23,3197.88,13196.21,64
NDC,62225060000,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2360.0,1180.0,94.02,2124.0,71
NDC,62225060004,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2360.0,1180.0,94.02,2124.0,71
NDC,62327022202,STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION,682.5,341.25,148.85,614.25,65
NDC,62327022242,STERILE TALC 2 GRAM INTRAPLEURAL SUSPENSION,682.5,341.25,148.85,614.25,65
NDC,62327033303,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,877.5,438.75,191.38,789.75,65
NDC,62327033343,STERILE TALC 3 GRAM INTRAPLEURAL AEROSOL POWDER,877.5,438.75,191.38,789.75,65
NDC,62327044404,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,977.5,488.75,213.19,879.75,65
NDC,62327044444,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,977.5,488.75,213.19,879.75,65
NDC,62332000131,FAMOTIDINE 20 MG TABLET,55.8,27.9,12.17,50.22,65
NDC,62332000191,FAMOTIDINE 20 MG TABLET,460.0,230.0,100.33,414.0,65
NDC,62332000931,VENLAFAXINE 37.5 MG TABLET,174.6,87.3,38.08,157.14,65
NDC,62332001131,VENLAFAXINE 75 MG TABLET,191.4,95.7,41.74,172.26,65
NDC,62332001731,METRONIDAZOLE 500 MG TABLET,282.6,141.3,61.64,254.34,65
NDC,62332002231,FLUOXETINE 10 MG CAPSULE,13.2,6.6,2.88,11.88,65
NDC,62332002331,FLUOXETINE 20 MG CAPSULE,135.0,67.5,29.44,121.5,65
NDC,62332002531,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",563.5,281.75,122.9,507.15,65
NDC,62332002631,"THEOPHYLLINE ER 450 MG TABLET,EXTENDED RELEASE,12 HR",2132.5,1066.25,465.1,1919.25,65
NDC,62332002730,LOSARTAN 25 MG TABLET,69.5,34.75,15.16,62.55,65
NDC,62332002890,LOSARTAN 50 MG TABLET,213.85,106.93,46.64,192.47,65
NDC,62332003231,ROPINIROLE 1 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,62332003331,ROPINIROLE 2 MG TABLET,69.6,34.8,15.18,62.64,65
NDC,62332003431,ROPINIROLE 3 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,62332003631,ROPINIROLE 5 MG TABLET,43.2,21.6,9.42,38.88,65
NDC,62332003731,LAMOTRIGINE 25 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,62332004690,VALSARTAN 160 MG TABLET,225.2,112.6,49.12,202.68,65
NDC,62332005431,CLONIDINE HCL 0.1 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,62332005471,CLONIDINE HCL 0.1 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,62332005531,CLONIDINE HCL 0.2 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,62332006130,LEFLUNOMIDE 10 MG TABLET,487.5,243.75,106.32,438.75,65
NDC,62332006230,LEFLUNOMIDE 20 MG TABLET,190.1,95.05,41.46,171.09,65
NDC,62332008531,FENOFIBRATE MICRONIZED 134 MG CAPSULE,138.6,69.3,30.23,124.74,65
NDC,62332009531,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,66.6,33.3,14.53,59.94,65
NDC,62332009631,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,126.0,63.0,27.48,113.4,65
NDC,62332009730,ARIPIPRAZOLE 2 MG TABLET,38.55,19.28,8.41,34.7,65
NDC,62332009830,ARIPIPRAZOLE 5 MG TABLET,39.45,19.73,8.6,35.51,65
NDC,62332009930,ARIPIPRAZOLE 10 MG TABLET,39.45,19.73,8.6,35.51,65
NDC,62332009931,ARIPIPRAZOLE 10 MG TABLET,130.8,65.4,28.53,117.72,65
NDC,62332010330,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET,2767.7,1383.85,603.64,2490.93,65
NDC,62332010430,ARIPIPRAZOLE 15 MG DISINTEGRATING TABLET,583.35,291.68,127.23,525.02,65
NDC,62332011231,METOPROLOL TARTRATE 25 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,62332011990,PREGABALIN 25 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,62332012090,PREGABALIN 50 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,62332012190,PREGABALIN 75 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,62332012290,PREGABALIN 100 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,62332012390,PREGABALIN 150 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,62332012590,PREGABALIN 225 MG CAPSULE,83.2,41.6,18.15,74.88,65
NDC,62332014131,CELECOXIB 100 MG CAPSULE,75.0,37.5,16.36,67.5,65
NDC,62332014231,CELECOXIB 200 MG CAPSULE,292.2,146.1,63.73,262.98,65
NDC,62332014271,CELECOXIB 200 MG CAPSULE,1110.0,555.0,242.09,999.0,65
NDC,62332017260,LACOSAMIDE 100 MG TABLET,168.15,84.08,36.67,151.34,65
NDC,62332018030,TADALAFIL 20 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,62332019030,FEBUXOSTAT 40 MG TABLET,293.95,146.98,64.11,264.56,65
NDC,62332019130,FEBUXOSTAT 80 MG TABLET,293.95,146.98,64.11,264.56,65
NDC,62332019810,ASENAPINE 5 MG SUBLINGUAL TABLET,428.0,214.0,93.35,385.2,65
NDC,62332019831,ASENAPINE 5 MG SUBLINGUAL TABLET,3424.0,1712.0,746.77,3081.6,65
NDC,62332019860,ASENAPINE 5 MG SUBLINGUAL TABLET,672.9,336.45,146.76,605.61,65
NDC,62332019910,ASENAPINE 10 MG SUBLINGUAL TABLET,428.0,214.0,93.35,385.2,65
NDC,62332019960,ASENAPINE 10 MG SUBLINGUAL TABLET,687.9,343.95,150.03,619.11,65
NDC,62332020430,ITRACONAZOLE 100 MG CAPSULE,926.25,463.13,202.02,833.63,65
NDC,62332023230,VILAZODONE 10 MG TABLET,787.95,393.98,171.85,709.16,65
NDC,62332023430,VILAZODONE 40 MG TABLET,787.95,393.98,171.85,709.16,65
NDC,62332024160,TICAGRELOR 90 MG TABLET,78.15,39.08,17.04,70.34,65
NDC,62332024590,"FENOFIBRIC ACID (CHOLINE) 135 MG CAPSULE,DELAYED RELEASE",866.25,433.13,188.93,779.63,65
NDC,62332024631,AMANTADINE HCL 100 MG CAPSULE,321.5,160.75,70.12,289.35,65
NDC,62332025050,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,44.7,22.35,9.75,40.23,65
NDC,62332025130,AZITHROMYCIN 250 MG TABLET,33.3,16.65,7.26,29.97,65
NDC,62332025230,AZITHROMYCIN 500 MG TABLET,58.15,29.08,12.68,52.34,65
NDC,62332025330,AZITHROMYCIN 600 MG TABLET,60.15,30.08,13.12,54.14,65
NDC,62332031430,TERIFLUNOMIDE 14 MG TABLET,185.4,92.7,40.44,166.86,65
NDC,62332036406,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,259.2,129.6,56.53,233.28,65
NDC,62332036506,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,259.2,129.6,56.53,233.28,65
NDC,62332036606,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,258.9,129.45,56.47,233.01,65
NDC,62332036706,CLONAZEPAM 1 MG DISINTEGRATING TABLET,295.8,147.9,64.51,266.22,65
NDC,62332037931,TEMAZEPAM 7.5 MG CAPSULE,1575.0,787.5,343.51,1417.5,65
NDC,62332039031,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,99.6,49.8,21.72,89.64,65
NDC,62332041030,DEFERASIROX 90 MG TABLET,397.65,198.83,86.73,357.89,65
NDC,62332041230,DEFERASIROX 360 MG TABLET,720.15,360.08,157.06,648.14,65
NDC,62332041310,OSELTAMIVIR 30 MG CAPSULE,369.95,184.98,80.69,332.96,65
NDC,62332041510,OSELTAMIVIR 75 MG CAPSULE,399.95,199.98,87.23,359.96,65
NDC,62332049430,LURASIDONE 20 MG TABLET,120.1,60.05,26.19,108.09,65
NDC,62332049530,LURASIDONE 40 MG TABLET,132.7,66.35,28.94,119.43,65
NDC,62332050105,OLOPATADINE 0.1 % EYE DROPS,73.1,36.55,15.94,65.79,65
NDC,62332050503,MOXIFLOXACIN 0.5 % EYE DROPS,61.7,30.85,13.46,55.53,65
NDC,62332050606,AZELASTINE 0.05 % EYE DROPS,239.7,119.85,52.28,215.73,65
NDC,62332050817,BROMFENAC 0.09 % EYE DROPS,581.05,290.53,126.73,522.95,65
NDC,62332051805,TOBRAMYCIN 0.3 % EYE DROPS,85.95,42.98,18.75,77.36,65
NDC,62332053331,METOLAZONE 5 MG TABLET,154.8,77.4,33.76,139.32,65
NDC,62332054505,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,719.4,359.7,156.9,647.46,65
NDC,62332054605,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,693.75,346.88,151.31,624.38,65
NDC,62332056730,ERLOTINIB 150 MG TABLET,749.7,374.85,163.51,674.73,65
NDC,62332058204,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,33.3,16.65,7.26,29.97,65
NDC,62332058231,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,135.9,67.95,29.64,122.31,65
NDC,62332058631,AMANTADINE HCL 100 MG TABLET,216.6,108.3,47.24,194.94,65
NDC,62332059901,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.7,10.85,0.29,19.53,71
NDC,62332059925,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.7,10.85,0.29,19.53,71
NDC,62332060001,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.8,10.9,0.29,19.62,71
NDC,62332060025,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.8,10.9,0.29,19.62,71
NDC,62332060102,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.85,10.93,0.29,19.67,71
NDC,62332060660,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",48.6,24.3,10.6,43.74,65
NDC,62332061831,CYCLOPHOSPHAMIDE 25 MG CAPSULE,841.5,420.75,183.53,757.35,65
NDC,62332061931,CYCLOPHOSPHAMIDE 50 MG CAPSULE,1463.5,731.75,319.19,1317.15,65
NDC,62332062250,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",500.0,250.0,0.12,450.0,66
NDC,62332062415,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,693.4,346.7,151.23,624.06,65
NDC,62332062702,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,32.4,16.2,0.47,29.16,71
NDC,62332062725,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,32.4,16.2,0.47,29.16,71
NDC,62332062805,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,65.8,32.9,0.47,59.22,71
NDC,62332062825,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,65.8,32.9,0.47,59.22,71
NDC,62332063060,METRONIDAZOLE 1 % TOPICAL GEL,279.6,139.8,60.98,251.64,65
NDC,62332065501,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,96.4,48.2,21.02,86.76,65
NDC,62332065530,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,96.4,48.2,21.02,86.76,65
NDC,62332065560,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,24.55,12.28,5.35,22.1,65
NDC,62332066105,BRIMONIDINE 0.15 % EYE DROPS,708.75,354.38,154.58,637.88,65
NDC,62332067802,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,62332067808,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,62332067960,IVABRADINE 5 MG TABLET,624.0,312.0,136.09,561.6,65
NDC,62332069002,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.85,23.43,0.42,42.17,66
NDC,62332069030,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.85,23.43,0.42,42.17,66
NDC,62332072435,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",462.0,231.0,100.76,415.8,65
NDC,62332073631,CHLORPROMAZINE 25 MG TABLET,120.0,60.0,26.17,108.0,65
NDC,62332073731,CHLORPROMAZINE 50 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,62332074531,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",76.8,38.4,16.75,69.12,65
NDC,62332074631,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",79.2,39.6,17.27,71.28,65
NDC,62332075150,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,62332077701,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,375.0,187.5,81.79,337.5,65
NDC,62332077710,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,257.8,128.9,56.23,232.02,65
NDC,62332077931,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,62484002001,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,5502.4,2751.2,1200.07,4952.16,65
NDC,62484002002,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,5502.4,2751.2,1200.07,4952.16,65
NDC,62542030103,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,186.5,93.25,40.68,167.85,65
NDC,62542030104,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,288.55,144.28,62.93,259.7,65
NDC,62559011111,HYDROCORTISONE 100 MG/60 ML ENEMA,129.6,64.8,28.27,116.64,65
NDC,62559013807,HYDROCORTISONE 100 MG/60 ML ENEMA,118.8,59.4,25.91,106.92,65
NDC,62559013811,HYDROCORTISONE 100 MG/60 ML ENEMA,118.8,59.4,25.91,106.92,65
NDC,62559014901,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1360.0,680.0,296.62,1224.0,65
NDC,62559015001,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1360.0,680.0,296.62,1224.0,65
NDC,62559015304,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,1975.95,987.98,430.95,1778.36,65
NDC,62559015801,FLUVOXAMINE 25 MG TABLET,275.0,137.5,59.98,247.5,65
NDC,62559015901,FLUVOXAMINE 50 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,62559016001,FLUVOXAMINE 100 MG TABLET,325.0,162.5,70.88,292.5,65
NDC,62559019016,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,76.65,38.33,16.72,68.99,65
NDC,62559020412,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,2610.75,1305.38,569.4,2349.68,65
NDC,62559021052,NIMODIPINE 30 MG CAPSULE,75.65,37.83,16.5,68.09,65
NDC,62559022530,AMINOCAPROIC ACID 500 MG TABLET,288.75,144.38,62.98,259.88,65
NDC,62559023001,PROPAFENONE 150 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,62559023101,PROPAFENONE 225 MG TABLET,224.4,112.2,48.94,201.96,65
NDC,62559023701,DIPYRIDAMOLE 75 MG TABLET,857.5,428.75,187.02,771.75,65
NDC,62559024101,METHAZOLAMIDE 50 MG TABLET,1431.5,715.75,312.21,1288.35,65
NDC,62559026530,TRANEXAMIC ACID 650 MG TABLET,369.75,184.88,80.64,332.78,65
NDC,62559029101,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",294.6,147.3,64.25,265.14,65
NDC,62559031020,VANCOMYCIN 125 MG CAPSULE,6369.6,3184.8,1389.21,5732.64,65
NDC,62559035601,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,135.4,67.7,29.53,121.86,65
NDC,62559035660,SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP,135.4,67.7,29.53,121.86,65
NDC,62559038001,FLECAINIDE 50 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,62559039020,VANCOMYCIN 125 MG CAPSULE,272.9,136.45,59.52,245.61,65
NDC,62559039050,VANCOMYCIN 125 MG CAPSULE,565.0,282.5,123.23,508.5,65
NDC,62559039120,VANCOMYCIN 250 MG CAPSULE,337.5,168.75,73.61,303.75,65
NDC,62559039150,VANCOMYCIN 250 MG CAPSULE,944.0,472.0,205.89,849.6,65
NDC,62559042007,MESALAMINE 4 GRAM/60 ML ENEMA,72.4,36.2,15.79,65.16,65
NDC,62559042011,MESALAMINE 4 GRAM/60 ML ENEMA,72.4,36.2,15.79,65.16,65
NDC,62559043130,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,103.7,51.85,22.62,93.33,65
NDC,62559044001,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,670.5,335.25,146.24,603.45,65
NDC,62559049001,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,94.8,47.4,20.68,85.32,65
NDC,62559051001,INDAPAMIDE 1.25 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,62559051101,INDAPAMIDE 2.5 MG TABLET,75.0,37.5,16.36,67.5,65
NDC,62559053001,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",244.8,122.4,53.39,220.32,65
NDC,62559053101,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",194.4,97.2,42.4,174.96,65
NDC,62559053201,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",272.0,136.0,59.32,244.8,65
NDC,62559053301,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",362.5,181.25,79.06,326.25,65
NDC,62559056001,PINDOLOL 5 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,62559063001,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,930.0,465.0,202.83,837.0,65
NDC,62559063101,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1160.5,580.25,253.11,1044.45,65
NDC,62559064230,CANDESARTAN 16 MG TABLET,1067.1,533.55,232.73,960.39,65
NDC,62559067030,ANASTROZOLE 1 MG TABLET,5915.8,2957.9,1290.24,5324.22,65
NDC,62559072101,TERBUTALINE 2.5 MG TABLET,490.0,245.0,106.87,441.0,65
NDC,62559072201,TERBUTALINE 5 MG TABLET,610.0,305.0,133.04,549.0,65
NDC,62559073001,FELBAMATE 400 MG TABLET,436.0,218.0,95.09,392.4,65
NDC,62559073101,FELBAMATE 600 MG TABLET,489.5,244.75,106.76,440.55,65
NDC,62559082001,MEXILETINE 150 MG CAPSULE,146.4,73.2,31.93,131.76,65
NDC,62559082101,MEXILETINE 200 MG CAPSULE,161.4,80.7,35.2,145.26,65
NDC,62559082201,MEXILETINE 250 MG CAPSULE,277.5,138.75,60.52,249.75,65
NDC,62559083055,VANCOMYCIN 50 MG/ML ORAL SOLUTION,1656.75,828.38,361.34,1491.08,65
NDC,62559085060,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",268.95,134.48,58.66,242.06,65
NDC,62559089030,BICALUTAMIDE 50 MG TABLET,26.5,13.25,5.78,23.85,65
NDC,62559093101,CYCLOPHOSPHAMIDE 50 MG CAPSULE,1476.0,738.0,321.92,1328.4,65
NDC,62559099130,FLUCONAZOLE 100 MG TABLET,69.3,34.65,15.11,62.37,65
NDC,62559099212,FLUCONAZOLE 150 MG TABLET,53.3,26.65,11.62,47.97,65
NDC,62559099330,FLUCONAZOLE 200 MG TABLET,107.65,53.83,23.48,96.89,65
NDC,62584015901,DEMECLOCYCLINE 150 MG TABLET,2355.2,1177.6,513.67,2119.68,65
NDC,62584015911,DEMECLOCYCLINE 150 MG TABLET,35.35,17.68,7.71,31.82,65
NDC,62584026501,METOPROLOL TARTRATE 25 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,62584026511,METOPROLOL TARTRATE 25 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,62584026601,METOPROLOL TARTRATE 50 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,62584026611,METOPROLOL TARTRATE 50 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,62584026701,METOPROLOL TARTRATE 100 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,62584026711,METOPROLOL TARTRATE 100 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,62584069311,DOXYCYCLINE HYCLATE 100 MG TABLET,6.7,3.35,1.46,6.03,65
NDC,62584069321,DOXYCYCLINE HYCLATE 100 MG TABLET,199.65,99.83,43.54,179.69,65
NDC,62584071301,ALLOPURINOL 300 MG TABLET,249.0,124.5,54.31,224.1,65
NDC,62584071311,ALLOPURINOL 300 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,62584073301,HYDRALAZINE 25 MG TABLET,64.8,32.4,14.13,58.32,65
NDC,62584073311,HYDRALAZINE 25 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,62584073401,HYDRALAZINE 50 MG TABLET,98.4,49.2,21.46,88.56,65
NDC,62584073411,HYDRALAZINE 50 MG TABLET,98.4,49.2,21.46,88.56,65
NDC,62584081201,OXAZEPAM 10 MG CAPSULE,1047.0,523.5,228.35,942.3,65
NDC,62584081211,OXAZEPAM 10 MG CAPSULE,12.6,6.3,2.75,11.34,65
NDC,62584081301,OXAZEPAM 15 MG CAPSULE,1363.0,681.5,297.27,1226.7,65
NDC,62584081311,OXAZEPAM 15 MG CAPSULE,16.4,8.2,3.58,14.76,65
NDC,62584089701,FOLIC ACID 1 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,62584089711,FOLIC ACID 1 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,62584098401,WARFARIN 2 MG TABLET,142.2,71.1,31.01,127.98,65
NDC,62584098411,WARFARIN 2 MG TABLET,142.2,71.1,31.01,127.98,65
NDC,62584098801,ALLOPURINOL 100 MG TABLET,114.6,57.3,24.99,103.14,65
NDC,62584098811,ALLOPURINOL 100 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,62584099401,WARFARIN 5 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,62584099411,WARFARIN 5 MG TABLET,156.0,78.0,34.02,140.4,65
NDC,62756001540,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,83.2,41.6,0.03,74.88,66
NDC,62756001640,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,194.25,97.13,0.03,174.83,66
NDC,62756005940,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,66
NDC,62756006040,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,265.0,132.5,17.71,238.5,66
NDC,62756007164,PANTOPRAZOLE DR 40 MG GRANULES DELAYED-RELEASE FOR SUSP IN PACKET,596.25,298.13,130.04,536.63,65
NDC,62756012940,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,47.1,23.55,10.27,42.39,65
NDC,62756012944,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,62756013001,ONDANSETRON HCL 4 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,62756013101,ONDANSETRON HCL 8 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,62756013802,GABAPENTIN 300 MG CAPSULE,16.8,8.4,3.66,15.12,65
NDC,62756013902,GABAPENTIN 400 MG CAPSULE,22.2,11.1,4.84,19.98,65
NDC,62756014201,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",27.6,13.8,6.02,24.84,65
NDC,62756014202,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",234.0,117.0,51.04,210.6,65
NDC,62756014301,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",25.8,12.9,5.63,23.22,65
NDC,62756014586,RIVASTIGMINE 1.5 MG CAPSULE,209.9,104.95,45.78,188.91,65
NDC,62756016013,TAMSULOSIN 0.4 MG CAPSULE,189.0,94.5,41.22,170.1,65
NDC,62756016088,TAMSULOSIN 0.4 MG CAPSULE,38.4,19.2,8.38,34.56,65
NDC,62756018388,OXCARBAZEPINE 150 MG TABLET,180.0,90.0,39.26,162.0,65
NDC,62756018488,OXCARBAZEPINE 300 MG TABLET,85.2,42.6,18.58,76.68,65
NDC,62756018588,OXCARBAZEPINE 600 MG TABLET,400.0,200.0,87.24,360.0,65
NDC,62756022483,TIAGABINE 4 MG TABLET,560.4,280.2,122.22,504.36,65
NDC,62756023301,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,394.8,197.4,21.91,355.32,71
NDC,62756024060,ONDANSETRON 4 MG DISINTEGRATING TABLET,3.2,1.6,0.7,2.88,65
NDC,62756024064,ONDANSETRON 4 MG DISINTEGRATING TABLET,29.7,14.85,6.48,26.73,65
NDC,62756025802,ZONISAMIDE 25 MG CAPSULE,39.6,19.8,8.64,35.64,65
NDC,62756026002,ZONISAMIDE 100 MG CAPSULE,56.4,28.2,12.3,50.76,65
NDC,62756027701,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,11.95,5.98,2.61,10.76,65
NDC,62756027702,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,11.95,5.98,2.61,10.76,65
NDC,62756027703,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,11.95,5.98,2.61,10.76,65
NDC,62756029983,PHENYTOIN SODIUM EXTENDED 200 MG CAPSULE,130.0,65.0,28.35,117.0,65
NDC,62756030101,PHENOBARBITAL SODIUM 100 MG INTRAVENOUS SOLUTION,585.7,292.85,1.22,527.13,70
NDC,62756035660,ONDANSETRON 8 MG DISINTEGRATING TABLET,3.2,1.6,0.7,2.88,65
NDC,62756035664,ONDANSETRON 8 MG DISINTEGRATING TABLET,35.5,17.75,7.74,31.95,65
NDC,62756042790,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",378.8,189.4,82.62,340.92,65
NDC,62756042986,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",527.1,263.55,114.96,474.39,65
NDC,62756043088,LITHIUM CARBONATE 300 MG TABLET,67.8,33.9,14.79,61.02,65
NDC,62756043283,PHENYTOIN SODIUM EXTENDED 300 MG CAPSULE,139.15,69.58,30.35,125.24,65
NDC,62756045788,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",347.5,173.75,75.79,312.75,65
NDC,62756045983,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,59.6,29.8,1.89,53.64,66
NDC,62756046083,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,104.25,52.13,1.89,93.83,66
NDC,62756046188,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",210.0,105.0,45.8,189.0,65
NDC,62756051240,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.9,23.45,2.89,42.21,66
NDC,62756051244,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.9,23.45,2.89,42.21,66
NDC,62756051788,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,62756051818,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,540.0,270.0,117.77,486.0,65
NDC,62756051888,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,62756051988,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,62756052069,SUMATRIPTAN 25 MG TABLET,21.75,10.88,4.74,19.58,65
NDC,62756052169,SUMATRIPTAN 50 MG TABLET,21.45,10.73,4.68,19.31,65
NDC,62756052940,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1019.9,509.95,3.59,917.91,71
NDC,62756058988,LIOTHYRONINE 5 MCG TABLET,144.6,72.3,31.54,130.14,65
NDC,62756059088,LIOTHYRONINE 25 MCG TABLET,183.6,91.8,40.04,165.24,65
NDC,62756079688,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",28.8,14.4,6.28,25.92,65
NDC,62756079713,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",260.0,130.0,56.71,234.0,65
NDC,62756079788,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",39.0,19.5,8.51,35.1,65
NDC,62756079813,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",243.0,121.5,53.0,218.7,65
NDC,62756079888,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",49.2,24.6,10.73,44.28,65
NDC,62756095401,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,1202.6,601.3,21.91,1082.34,71
NDC,62756095501,MEXILETINE 150 MG CAPSULE,159.6,79.8,34.81,143.64,65
NDC,62756095601,MEXILETINE 200 MG CAPSULE,150.0,75.0,32.72,135.0,65
NDC,62756095701,MEXILETINE 250 MG CAPSULE,298.5,149.25,65.1,268.65,65
NDC,62756096983,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,116.65,58.33,5.1,104.99,66
NDC,62756097083,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,145.45,72.73,9.04,130.91,66
NDC,62856021201,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1305.4,652.7,1.35,1174.86,71
NDC,62856021501,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,2585.85,1292.93,1.35,2327.27,71
NDC,62856024530,DONEPEZIL 5 MG TABLET,2339.4,1169.7,510.22,2105.46,65
NDC,62856024630,DONEPEZIL 10 MG TABLET,2339.4,1169.7,510.22,2105.46,65
NDC,62856027230,PERAMPANEL 2 MG TABLET,2178.25,1089.13,475.08,1960.43,65
NDC,62856027430,PERAMPANEL 4 MG TABLET,4304.55,2152.28,938.82,3874.1,65
NDC,62856027630,PERAMPANEL 6 MG TABLET,4304.55,2152.28,938.82,3874.1,65
NDC,62856027830,PERAMPANEL 8 MG TABLET,4304.55,2152.28,938.82,3874.1,65
NDC,62856029038,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,5864.35,2932.18,1279.01,5277.92,65
NDC,62856038901,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,5690.0,2845.0,91.13,5121.0,71
NDC,62856040530,LEMBOREXANT 5 MG TABLET,1629.45,814.73,355.38,1466.51,65
NDC,62856041030,LEMBOREXANT 10 MG TABLET,1629.45,814.73,355.38,1466.51,65
NDC,62856058252,RUFINAMIDE 200 MG TABLET,5857.45,2928.73,1277.51,5271.71,65
NDC,62856058446,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,6504.4,3252.2,1418.61,5853.96,65
NDC,62935022104,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1734.2,867.1,179.98,1560.78,71
NDC,62935022305,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1734.2,867.1,179.98,1560.78,71
NDC,62935022710,LEUPROLIDE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1802.8,901.4,179.98,1622.52,71
NDC,62935030330,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,2312.25,1156.13,179.98,2081.03,71
NDC,62935045345,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2609.5,1304.75,179.98,2348.55,71
NDC,62935045444,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2609.5,1304.75,179.98,2348.55,71
NDC,62935046150,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2884.45,1442.23,179.98,2596.01,71
NDC,62935075375,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,578.05,289.03,126.07,520.25,71
NDC,62935075474,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,578.05,289.03,126.07,520.25,71
NDC,62935075680,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,600.95,300.48,131.07,540.86,71
NDC,63004871001,CORTICOTROPIN 80 UNIT/ML INJECTION GEL,158564.0,79282.0,4545.23,142707.6,66
NDC,63010001030,NELFINAVIR 250 MG TABLET,4489.2,2244.6,979.09,4040.28,65
NDC,63010002770,NELFINAVIR 625 MG TABLET,4489.45,2244.73,979.15,4040.51,65
NDC,63020004901,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,6462.0,3231.0,2.1,5815.8,66
NDC,63037010105,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,265.0,132.5,1.07,238.5,66
NDC,63037011705,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",169.0,84.5,36.86,152.1,65
NDC,63037015525,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,26.25,13.13,5.73,23.63,65
NDC,63044019862,IRON POLYSACCH CPLX 150 MG IRON-VIT B12 25 MCG-FOLIC ACID 1 MG CAPSULE,90.0,45.0,19.63,81.0,65
NDC,63044048409,AMMONIUM LACTATE 12 % LOTION,39.15,19.58,8.54,35.24,65
NDC,63044062201,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,84.0,42.0,18.32,75.6,65
NDC,63044063510,FERROUS FUM 110 MG IRON-B12-INT.FACTOR-VIT C-FOLIC ACID 0.5 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,63090034030,PIMAVANSERIN 34 MG CAPSULE,20480.05,10240.03,4466.7,18432.05,65
NDC,63256010030,STERILE TALC 4 GRAM INTRAPLEURAL AEROSOL POWDER,3660.0,1830.0,798.25,3294.0,65
NDC,63304001760,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",146.55,73.28,31.96,131.9,65
NDC,63304008690,DROXIDOPA 100 MG CAPSULE,462.6,231.3,100.89,416.34,65
NDC,63304009001,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",56.4,28.2,12.3,50.76,65
NDC,63304017513,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",739.2,369.6,161.22,665.28,65
NDC,63304019130,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",628.2,314.1,137.01,565.38,65
NDC,63304024159,CALCITRIOL 1 MCG/ML ORAL SOLUTION,335.35,167.68,73.14,301.82,65
NDC,63304035160,LUBIPROSTONE 8 MCG CAPSULE,346.8,173.4,75.64,312.12,65
NDC,63304045001,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",122.4,61.2,26.7,110.16,65
NDC,63304045101,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",176.4,88.2,38.47,158.76,65
NDC,63304045201,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",302.5,151.25,65.98,272.25,65
NDC,63304045830,ONDANSETRON HCL 4 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,63304045930,ONDANSETRON HCL 8 MG TABLET,22.5,11.25,4.91,20.25,65
NDC,63304047901,CEVIMELINE 30 MG CAPSULE,252.6,126.3,55.09,227.34,65
NDC,63304061650,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,228.3,114.15,49.79,205.47,65
NDC,63304069201,CLINDAMYCIN HCL 150 MG CAPSULE,95.4,47.7,20.81,85.86,65
NDC,63304069205,CLINDAMYCIN HCL 150 MG CAPSULE,234.0,117.0,51.04,210.6,65
NDC,63304071990,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",97.2,48.6,21.2,87.48,65
NDC,63304072190,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",158.25,79.13,34.51,142.43,65
NDC,63304072330,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",11.2,5.6,2.44,10.08,65
NDC,63304077301,LORAZEPAM 1 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,63304082790,ATORVASTATIN 10 MG TABLET,11.9,5.95,2.6,10.71,65
NDC,63304082905,ATORVASTATIN 40 MG TABLET,165.0,82.5,35.99,148.5,65
NDC,63304082990,ATORVASTATIN 40 MG TABLET,20.0,10.0,4.36,18.0,65
NDC,63304083090,ATORVASTATIN 80 MG TABLET,88.6,44.3,19.32,79.74,65
NDC,63304090090,FENOFIBRATE 54 MG TABLET,25.4,12.7,5.54,22.86,65
NDC,63304090190,FENOFIBRATE 160 MG TABLET,52.4,26.2,11.43,47.16,65
NDC,63304090430,VALACYCLOVIR 500 MG TABLET,49.9,24.95,10.88,44.91,65
NDC,63304090490,VALACYCLOVIR 500 MG TABLET,149.6,74.8,32.63,134.64,65
NDC,63304090530,VALACYCLOVIR 1 GRAM TABLET,77.4,38.7,16.88,69.66,65
NDC,63304092401,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",146.4,73.2,31.93,131.76,65
NDC,63304092501,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",150.0,75.0,32.72,135.0,65
NDC,63304096201,BROMOCRIPTINE 2.5 MG TABLET,693.5,346.75,151.25,624.15,65
NDC,63304096230,BROMOCRIPTINE 2.5 MG TABLET,277.6,138.8,60.54,249.84,65
NDC,63304098710,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",320.0,160.0,69.79,288.0,65
NDC,63323001001,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.1,23.05,2.98,41.49,66
NDC,63323001002,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.1,23.05,2.98,41.49,66
NDC,63323001003,GENTAMICIN 40 MG/ML INJECTION SOLUTION,163.5,81.75,2.98,147.15,66
NDC,63323001020,GENTAMICIN 40 MG/ML INJECTION SOLUTION,163.5,81.75,2.98,147.15,66
NDC,63323001041,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.1,23.05,2.98,41.49,66
NDC,63323001042,GENTAMICIN 40 MG/ML INJECTION SOLUTION,163.5,81.75,2.98,147.15,66
NDC,63323001094,GENTAMICIN 40 MG/ML INJECTION SOLUTION,46.1,23.05,2.98,41.49,66
NDC,63323001095,GENTAMICIN 40 MG/ML INJECTION SOLUTION,163.5,81.75,2.98,147.15,66
NDC,63323001115,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION,240.95,120.48,51.2,216.86,66
NDC,63323001202,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,324.55,162.28,0.91,292.1,66
NDC,63323001203,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,48.2,24.1,0.91,43.38,66
NDC,63323001206,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,81.8,40.9,0.91,73.62,66
NDC,63323001210,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,81.8,40.9,0.91,73.62,66
NDC,63323001211,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,48.2,24.1,0.91,43.38,66
NDC,63323001230,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,324.55,162.28,0.91,292.1,66
NDC,63323001301,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.2,11.6,5.06,20.88,65
NDC,63323001302,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.2,11.6,5.06,20.88,65
NDC,63323001326,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.2,11.6,5.06,20.88,65
NDC,63323001341,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.2,11.6,5.06,20.88,65
NDC,63323002401,MANNITOL 25 % INTRAVENOUS SOLUTION,33.6,16.8,2.88,30.24,66
NDC,63323002425,MANNITOL 25 % INTRAVENOUS SOLUTION,33.6,16.8,2.88,30.24,66
NDC,63323003011,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT IM POWDER FOR SOLUTION",1063.35,531.68,25.72,957.02,66
NDC,63323003200,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,65
NDC,63323003204,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,65
NDC,63323004400,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.95,10.48,1.6,18.86,66
NDC,63323004401,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.95,10.48,1.6,18.86,66
NDC,63323004441,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.95,10.48,1.6,18.86,66
NDC,63323004444,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.95,10.48,1.6,18.86,66
NDC,63323004701,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",44.65,22.33,0.3,40.19,66
NDC,63323006401,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.1,10.55,0.77,18.99,66
NDC,63323006402,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.5,10.75,0.77,19.35,66
NDC,63323006403,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.1,10.55,0.77,18.99,66
NDC,63323006404,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.3,10.65,0.77,19.17,66
NDC,63323006410,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.6,10.8,0.77,19.44,66
NDC,63323006411,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.3,10.65,0.77,19.17,66
NDC,63323006441,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.1,10.55,0.77,18.99,66
NDC,63323006443,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,21.1,10.55,0.77,18.99,66
NDC,63323008305,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION (NEO/PED),45.35,22.68,9.89,40.82,65
NDC,63323008605,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,73.25,36.63,15.98,65.93,65
NDC,63323008615,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,143.55,71.78,31.31,129.2,65
NDC,63323008650,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,244.6,122.3,53.35,220.14,65
NDC,63323008863,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,109.0,54.5,23.77,98.1,65
NDC,63323008950,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,63323009301,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,63323009330,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,63323009502,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,92.2,46.1,20.11,82.98,65
NDC,63323009561,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,92.2,46.1,20.11,82.98,65
NDC,63323009903,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,175.0,87.5,38.17,157.5,65
NDC,63323010161,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,604.85,302.43,3.64,544.37,66
NDC,63323010213,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,63323010351,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,63323010364,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,63323010365,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,63323010401,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,63323010405,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,63323010406,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,63323010425,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,63323010450,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,567.5,283.75,1.1,510.75,66
NDC,63323010600,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.2,23.6,0.77,42.48,66
NDC,63323010601,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.2,23.6,0.77,42.48,66
NDC,63323010602,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.2,24.1,0.77,43.38,66
NDC,63323010603,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.2,24.1,0.77,43.38,66
NDC,63323010605,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.2,24.1,0.77,43.38,66
NDC,63323010610,"MAGNESIUM SULFATE 40 GRAM/1,000 ML (4 %) IN WATER INTRAVENOUS SOLUTION",55.0,27.5,0.77,49.5,66
NDC,63323010615,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,46.0,23.0,0.77,41.4,66
NDC,63323010626,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.2,24.1,0.77,43.38,66
NDC,63323010701,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,63323010705,MAGNESIUM SULFATE 4 GRAM/50 ML (8 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,63323010800,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.0,23.5,0.77,42.3,66
NDC,63323010801,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.0,23.5,0.77,42.3,66
NDC,63323010802,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.0,23.5,0.77,42.3,66
NDC,63323010826,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.0,23.5,0.77,42.3,66
NDC,63323011301,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,796.45,398.23,173.71,716.81,65
NDC,63323011310,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,796.45,398.23,173.71,716.81,65
NDC,63323011700,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011701,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011710,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011720,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011728,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011741,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011751,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011761,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011768,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,63323011801,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML SUBCUTANEOUS SYRINGE",22.8,11.4,0.3,20.52,66
NDC,63323011805,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML SUBCUTANEOUS SYRINGE",22.8,11.4,0.3,20.52,66
NDC,63323012020,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,450.0,225.0,1.08,405.0,66
NDC,63323012250,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,450.0,225.0,3.37,405.0,66
NDC,63323012310,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,450.0,225.0,3.37,405.0,66
NDC,63323012553,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,63323012700,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,63323012710,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,63323012800,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,63323012820,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.14,405.0,66
NDC,63323013002,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,86.6,43.3,18.89,77.94,65
NDC,63323013011,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,86.6,43.3,18.89,77.94,65
NDC,63323013017,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,86.6,43.3,18.89,77.94,65
NDC,63323013041,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,86.6,43.3,18.89,77.94,65
NDC,63323013210,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",580.55,290.28,24.35,522.5,71
NDC,63323013212,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",626.65,313.33,24.35,563.99,71
NDC,63323013610,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,63323013720,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,63323014010,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,499.35,249.68,10.89,449.42,71
NDC,63323014210,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,29.69,405.0,66
NDC,63323016100,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016101,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016112,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.7,10.35,0.29,18.63,71
NDC,63323016116,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016121,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.7,10.35,0.29,18.63,71
NDC,63323016141,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016200,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016201,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016202,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.8,10.4,0.29,18.72,71
NDC,63323016203,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.8,10.4,0.29,18.72,71
NDC,63323016216,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.65,10.33,0.29,18.59,71
NDC,63323016226,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.8,10.4,0.29,18.72,71
NDC,63323016245,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.8,10.4,0.29,18.72,71
NDC,63323016501,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.65,10.33,0.13,18.59,66
NDC,63323016502,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.65,10.33,0.13,18.59,66
NDC,63323016503,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.7,10.35,0.13,18.63,66
NDC,63323016505,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.7,10.35,0.13,18.63,66
NDC,63323016516,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.65,10.33,0.13,18.59,66
NDC,63323016526,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.7,10.35,0.13,18.63,66
NDC,63323016530,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,40.9,20.45,0.13,36.81,66
NDC,63323017005,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,48.0,24.0,10.47,43.2,65
NDC,63323017015,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,117.9,58.95,25.71,106.11,65
NDC,63323017245,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.99,405.0,66
NDC,63323017260,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,499.3,249.65,3.99,449.37,66
NDC,63323017301,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,46.95,23.48,2.98,42.26,66
NDC,63323017302,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,46.95,23.48,2.98,42.26,66
NDC,63323017341,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,46.95,23.48,2.98,42.26,66
NDC,63323017394,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,46.95,23.48,2.98,42.26,66
NDC,63323018000,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,47.1,23.55,10.27,42.39,65
NDC,63323018001,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,47.1,23.55,10.27,42.39,65
NDC,63323018410,FOLIC ACID 5 MG/ML INJECTION SOLUTION,127.8,63.9,27.87,115.02,65
NDC,63323019202,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,780.55,390.28,69.56,702.5,71
NDC,63323019352,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,63323019355,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,63323019405,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,63323019410,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,47.65,405.0,66
NDC,63323019420,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,635.2,317.6,47.65,571.68,66
NDC,63323020102,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.3,11.15,4.86,20.07,65
NDC,63323020103,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.5,11.25,4.91,20.25,65
NDC,63323020110,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.5,11.25,4.91,20.25,65
NDC,63323020202,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,22.3,11.15,4.86,20.07,65
NDC,63323020301,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,54.55,27.28,11.9,49.1,65
NDC,63323020320,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,54.55,27.28,11.9,49.1,65
NDC,63323020326,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,54.55,27.28,11.9,49.1,65
NDC,63323020341,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,54.55,27.28,11.9,49.1,65
NDC,63323020500,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,396.5,198.25,16.62,356.85,71
NDC,63323020521,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,277.5,138.75,16.62,249.75,71
NDC,63323020531,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,396.5,198.25,16.62,356.85,71
NDC,63323020550,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,277.5,138.75,16.62,249.75,71
NDC,63323020801,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,21.45,10.73,4.68,19.31,65
NDC,63323020805,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,21.45,10.73,4.68,19.31,65
NDC,63323022101,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,63323022110,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,63323022116,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,63323022133,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.3,23.65,10.32,42.57,65
NDC,63323022138,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.3,23.65,10.32,42.57,65
NDC,63323022141,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,63323022901,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,60.45,30.23,1.84,54.41,66
NDC,63323022905,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,60.45,30.23,1.84,54.41,66
NDC,63323022930,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,181.5,90.75,1.84,163.35,66
NDC,63323022941,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,60.45,30.23,1.84,54.41,66
NDC,63323022994,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,60.45,30.23,1.84,54.41,66
NDC,63323022995,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,181.5,90.75,1.84,163.35,66
NDC,63323023610,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,47.4,23.7,0.84,42.66,66
NDC,63323023701,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,46.65,23.33,0.84,41.99,66
NDC,63323023710,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,46.65,23.33,0.84,41.99,66
NDC,63323023861,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,94.95,47.48,0.84,85.46,66
NDC,63323025503,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,47.4,23.7,0.21,42.66,71
NDC,63323025801,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,47.75,23.88,0.21,42.98,71
NDC,63323025803,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,47.75,23.88,0.21,42.98,71
NDC,63323026001,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,34.05,17.03,3.65,30.65,66
NDC,63323026037,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,34.05,17.03,3.65,30.65,66
NDC,63323026110,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,88.75,44.38,1.02,79.88,66
NDC,63323026203,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.25,10.63,0.3,19.13,66
NDC,63323026206,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.25,10.63,0.3,19.13,66
NDC,63323026530,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",101.05,50.53,0.21,90.95,71
NDC,63323026910,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.05,10.53,0.14,18.95,66
NDC,63323026929,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.9,10.95,0.14,19.71,66
NDC,63323026943,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.9,10.95,0.14,19.71,66
NDC,63323026950,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,27.9,13.95,0.14,25.11,66
NDC,63323026959,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,27.9,13.95,0.14,25.11,66
NDC,63323026965,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,55.8,27.9,0.14,50.22,66
NDC,63323026969,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,55.8,27.9,0.14,50.22,66
NDC,63323026994,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,21.9,10.95,0.14,19.71,66
NDC,63323027205,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,716.35,358.18,10.16,644.72,66
NDC,63323027301,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,271.8,135.9,59.28,244.62,66
NDC,63323027601,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",29.4,14.7,0.3,26.46,66
NDC,63323027602,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",29.4,14.7,0.3,26.46,66
NDC,63323027810,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.68,405.0,66
NDC,63323028001,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,63323028002,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,63323028003,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323028004,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323028005,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323028010,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323028016,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.5,10.25,4.47,18.45,65
NDC,63323028026,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323028036,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323028043,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323028045,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323028110,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,440.95,220.48,7.48,396.86,71
NDC,63323028202,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.6,23.3,2.03,41.94,66
NDC,63323028204,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.0,23.5,2.03,42.3,66
NDC,63323028206,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.55,23.78,2.03,42.8,66
NDC,63323028301,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,47.7,23.85,3.65,42.93,66
NDC,63323028357,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,47.7,23.85,3.65,42.93,66
NDC,63323028401,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",46.9,23.45,10.23,42.21,65
NDC,63323028420,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",46.9,23.45,10.23,42.21,65
NDC,63323028426,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",46.9,23.45,10.23,42.21,65
NDC,63323028442,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",46.9,23.45,10.23,42.21,65
NDC,63323028501,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,51.85,25.93,0.09,46.67,66
NDC,63323028502,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,132.4,66.2,0.09,119.16,66
NDC,63323028503,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,48.05,24.03,0.09,43.25,66
NDC,63323028504,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,243.4,121.7,0.09,219.06,66
NDC,63323028506,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,78.8,39.4,0.09,70.92,66
NDC,63323028507,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,59.8,29.9,0.09,53.82,66
NDC,63323028510,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,51.85,25.93,0.09,46.67,66
NDC,63323028513,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,48.05,24.03,0.09,43.25,66
NDC,63323028520,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,78.8,39.4,0.09,70.92,66
NDC,63323028523,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,59.8,29.9,0.09,53.82,66
NDC,63323028528,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,59.8,29.9,0.09,53.82,66
NDC,63323028551,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,132.4,66.2,0.09,119.16,66
NDC,63323028553,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,132.4,66.2,0.09,119.16,66
NDC,63323028557,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,243.4,121.7,0.09,219.06,66
NDC,63323028559,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,243.4,121.7,0.09,219.06,66
NDC,63323028561,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,132.4,66.2,0.09,119.16,66
NDC,63323028563,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,243.4,121.7,0.09,219.06,66
NDC,63323028564,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,243.4,121.7,0.09,219.06,66
NDC,63323028565,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,132.4,66.2,0.09,119.16,66
NDC,63323028573,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,243.4,121.7,0.09,219.06,66
NDC,63323028601,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,105.3,52.65,0.09,94.77,66
NDC,63323028605,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.2,24.1,0.09,43.38,66
NDC,63323028609,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,70.2,35.1,0.09,63.18,66
NDC,63323028611,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,52.75,26.38,0.09,47.48,66
NDC,63323028620,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,105.3,52.65,0.09,94.77,66
NDC,63323028623,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.2,24.1,0.09,43.38,66
NDC,63323028627,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.2,24.1,0.09,43.38,66
NDC,63323028631,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,70.2,35.1,0.09,63.18,66
NDC,63323028635,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,52.75,26.38,0.09,47.48,66
NDC,63323028638,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,52.75,26.38,0.09,47.48,66
NDC,63323028643,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,52.75,26.38,0.09,47.48,66
NDC,63323028701,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,129.9,64.95,0.09,116.91,66
NDC,63323028720,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,129.9,64.95,0.09,116.91,66
NDC,63323028807,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,54.2,27.1,0.09,48.78,66
NDC,63323028820,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,150.9,75.45,0.09,135.81,66
NDC,63323028821,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,54.2,27.1,0.09,48.78,66
NDC,63323029301,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,46.1,23.05,3.65,41.49,66
NDC,63323029337,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,46.1,23.05,3.65,41.49,66
NDC,63323029401,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,37.7,18.85,3.65,33.93,66
NDC,63323029427,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,37.7,18.85,3.65,33.93,66
NDC,63323029561,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,119.35,59.68,26.03,107.42,65
NDC,63323029566,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,119.35,59.68,26.03,107.42,65
NDC,63323029601,MEPIVACAINE 2 % INJECTION SOLUTION,48.9,24.45,3.65,44.01,66
NDC,63323029657,MEPIVACAINE 2 % INJECTION SOLUTION,48.9,24.45,3.65,44.01,66
NDC,63323030351,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,411.0,205.5,2.95,369.9,66
NDC,63323030501,TOBRAMYCIN 10 MG/ML INJECTION SOLUTION,59.1,29.55,2.95,53.19,66
NDC,63323030502,TOBRAMYCIN 10 MG/ML INJECTION SOLUTION,59.1,29.55,2.95,53.19,66
NDC,63323030601,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,48.15,24.08,2.95,43.34,66
NDC,63323030602,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,48.15,24.08,2.95,43.34,66
NDC,63323030626,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,46.35,23.18,2.95,41.72,66
NDC,63323030630,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,106.55,53.28,2.95,95.9,66
NDC,63323030751,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,156.1,78.05,2.95,140.49,66
NDC,63323031461,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,169.8,84.9,37.03,152.82,65
NDC,63323031466,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,169.8,84.9,37.03,152.82,65
NDC,63323031468,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,1007.3,503.65,219.69,906.57,65
NDC,63323031501,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,252.6,126.3,49.86,227.34,66
NDC,63323031510,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,252.6,126.3,49.86,227.34,66
NDC,63323031594,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,252.6,126.3,49.86,227.34,66
NDC,63323031801,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,47.75,23.88,0.5,42.98,66
NDC,63323031904,GRANISETRON HCL 1 MG/ML INTRAVENOUS SOLUTION,331.7,165.85,0.5,298.53,66
NDC,63323032101,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.05,11.53,5.03,20.75,65
NDC,63323032110,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.05,11.53,5.03,20.75,65
NDC,63323032201,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.25,42.13,8.99,75.83,66
NDC,63323032225,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.25,42.13,8.99,75.83,66
NDC,63323032241,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.25,42.13,8.99,75.83,66
NDC,63323032294,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,84.25,42.13,8.99,75.83,66
NDC,63323032503,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,46.75,23.38,0.06,42.08,66
NDC,63323032509,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.0,25.0,0.06,45.0,66
NDC,63323032510,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,46.75,23.38,0.06,42.08,66
NDC,63323032514,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,46.75,23.38,0.06,42.08,66
NDC,63323032520,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.0,25.0,0.06,45.0,66
NDC,63323032524,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.0,25.0,0.06,45.0,66
NDC,63323032541,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,46.75,23.38,0.06,42.08,66
NDC,63323032543,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.0,25.0,0.06,45.0,66
NDC,63323032620,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,35.25,17.63,1.4,31.73,66
NDC,63323032621,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,35.25,17.63,1.4,31.73,66
NDC,63323032710,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,48.05,24.03,10.48,43.25,65
NDC,63323032721,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,48.05,24.03,10.48,43.25,65
NDC,63323032820,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,58.25,29.13,12.7,52.43,65
NDC,63323032821,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,58.25,29.13,12.7,52.43,65
NDC,63323032822,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,58.25,29.13,12.7,52.43,65
NDC,63323033060,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,201.25,100.63,43.89,181.13,65
NDC,63323034020,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,85.15,42.58,1.4,76.64,66
NDC,63323034021,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,85.15,42.58,1.4,76.64,66
NDC,63323034101,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,47.6,23.8,5.64,42.84,66
NDC,63323034125,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,47.6,23.8,5.64,42.84,66
NDC,63323034129,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,47.6,23.8,5.64,42.84,66
NDC,63323034141,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,47.65,23.83,5.64,42.89,66
NDC,63323034201,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,57.25,28.63,5.64,51.53,66
NDC,63323034225,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,57.25,28.63,5.64,51.53,66
NDC,63323034229,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,57.25,28.63,5.64,51.53,66
NDC,63323034601,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.65,23.33,0.55,41.99,66
NDC,63323034610,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.65,23.33,0.55,41.99,66
NDC,63323034901,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION,59.5,29.75,8.99,53.55,66
NDC,63323034925,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION,59.5,29.75,8.99,53.55,66
NDC,63323034994,IMIPENEM-CILASTATIN 250 MG INTRAVENOUS SOLUTION,58.1,29.05,8.99,52.29,66
NDC,63323035120,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,324.55,162.28,70.78,292.1,65
NDC,63323035550,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,64.9,32.45,1.01,58.41,66
NDC,63323035560,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,97.9,48.95,1.01,88.11,66
NDC,63323035565,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,94.6,47.3,1.01,85.14,66
NDC,63323036001,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.4,34.7,0.05,62.46,66
NDC,63323036003,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,131.8,65.9,0.05,118.62,66
NDC,63323036005,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,238.6,119.3,0.05,214.74,66
NDC,63323036019,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.4,34.7,0.05,62.46,66
NDC,63323036059,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,131.8,65.9,0.05,118.62,66
NDC,63323036061,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,238.6,119.3,0.05,214.74,66
NDC,63323036501,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,28.2,14.1,1.32,25.38,66
NDC,63323036601,DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION,28.05,14.03,6.12,25.25,66
NDC,63323036701,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.15,11.58,5.05,20.84,65
NDC,63323036711,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.15,11.58,5.05,20.84,65
NDC,63323036820,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.7,23.35,1.97,42.03,66
NDC,63323036920,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,68.0,34.0,1.97,61.2,66
NDC,63323037300,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,47.1,23.55,0.17,42.39,66
NDC,63323037302,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,47.1,23.55,0.17,42.39,66
NDC,63323037420,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,137.35,68.68,0.17,123.62,66
NDC,63323037600,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.35,11.18,1.32,20.12,66
NDC,63323037601,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.35,11.18,1.32,20.12,66
NDC,63323037604,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.35,11.18,1.32,20.12,66
NDC,63323037641,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,22.35,11.18,1.32,20.12,66
NDC,63323037700,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,56.55,28.28,1.32,50.9,66
NDC,63323037701,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,56.55,28.28,1.32,50.9,66
NDC,63323037704,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,56.55,28.28,1.32,50.9,66
NDC,63323037741,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,56.55,28.28,1.32,50.9,66
NDC,63323037805,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,133.65,66.83,1.32,120.29,66
NDC,63323037905,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",495.25,247.63,1.32,445.73,66
NDC,63323038501,CEFOTETAN 1 GRAM SOLUTION FOR INJECTION,80.7,40.35,17.6,72.63,65
NDC,63323038510,CEFOTETAN 1 GRAM SOLUTION FOR INJECTION,80.7,40.35,17.6,72.63,65
NDC,63323039306,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,81.3,40.65,15.44,73.17,66
NDC,63323039801,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.6,23.3,2.89,41.94,66
NDC,63323039810,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.6,23.3,2.89,41.94,66
NDC,63323039814,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.6,23.3,2.89,41.94,66
NDC,63323039841,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.6,23.3,2.89,41.94,66
NDC,63323040001,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.8,23.4,0.07,42.12,66
NDC,63323040005,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.8,23.4,0.07,42.12,66
NDC,63323040041,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.65,23.33,0.07,41.99,66
NDC,63323040044,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.65,23.33,0.07,41.99,66
NDC,63323040101,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,158.15,79.08,2.72,142.34,66
NDC,63323040120,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,158.15,79.08,2.72,142.34,66
NDC,63323040124,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,158.15,79.08,2.72,142.34,66
NDC,63323040141,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,158.15,79.08,2.72,142.34,66
NDC,63323040201,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,296.85,148.43,2.72,267.17,66
NDC,63323040220,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,296.85,148.43,2.72,267.17,66
NDC,63323040224,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,296.85,148.43,2.72,267.17,66
NDC,63323040241,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,296.85,148.43,2.72,267.17,66
NDC,63323040301,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,30.35,15.18,6.62,27.32,65
NDC,63323040302,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,30.35,15.18,6.62,27.32,65
NDC,63323040304,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,142.3,71.15,31.04,128.07,65
NDC,63323040310,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,142.3,71.15,31.04,128.07,65
NDC,63323040510,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",136.5,68.25,21.38,122.85,66
NDC,63323040601,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,42.95,21.48,9.37,38.66,65
NDC,63323040603,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,42.95,21.48,9.37,38.66,65
NDC,63323040703,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,27.9,13.95,1.65,25.11,66
NDC,63323040704,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,27.9,13.95,1.65,25.11,66
NDC,63323041110,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,31.75,15.88,0.16,28.58,66
NDC,63323041112,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,26.25,13.13,0.16,23.63,66
NDC,63323041113,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,31.75,15.88,0.16,28.58,66
NDC,63323041115,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,26.25,13.13,0.16,23.63,66
NDC,63323041118,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,27.65,13.83,0.16,24.89,66
NDC,63323041125,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,27.65,13.83,0.16,24.89,66
NDC,63323041202,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,35.7,17.85,0.16,32.13,66
NDC,63323041210,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,194.2,97.1,0.16,174.78,66
NDC,63323041213,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,194.2,97.1,0.16,174.78,66
NDC,63323041218,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,28.05,14.03,0.16,25.25,66
NDC,63323041225,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,28.05,14.03,0.16,25.25,66
NDC,63323041301,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,149.9,74.95,1.79,134.91,66
NDC,63323041310,NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION,149.8,74.9,1.79,134.82,66
NDC,63323041501,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,155.35,77.68,1.79,139.82,66
NDC,63323041510,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,155.35,77.68,1.79,139.82,66
NDC,63323041536,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,39.1,19.55,1.79,35.19,66
NDC,63323041605,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,77.7,38.85,16.95,69.93,65
NDC,63323041701,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,102.1,51.05,22.27,91.89,65
NDC,63323041710,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,102.1,51.05,22.27,91.89,65
NDC,63323041801,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1250.4,625.2,272.71,1125.36,65
NDC,63323041820,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1250.4,625.2,272.71,1125.36,65
NDC,63323042101,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,244.7,122.35,53.37,220.23,65
NDC,63323042102,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,244.7,122.35,53.37,220.23,65
NDC,63323042116,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,131.45,65.73,28.67,118.31,65
NDC,63323042405,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,63323042410,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,51.3,25.65,11.19,46.17,65
NDC,63323042601,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,63323042602,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,63323042605,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,63323042610,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,63323042612,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,63323042615,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,63323043400,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,66
NDC,63323043441,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",24.0,12.0,0.05,21.6,66
NDC,63323045050,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,2361.25,1180.63,4.44,2125.13,71
NDC,63323045100,MORPHINE 10 MG/ML INJECTION SOLUTION,26.85,13.43,5.86,24.17,66
NDC,63323045101,MORPHINE 10 MG/ML INJECTION SOLUTION,26.85,13.43,5.86,24.17,66
NDC,63323045200,MORPHINE 2 MG/ML INJECTION SOLUTION,26.65,13.33,5.81,23.99,66
NDC,63323045201,MORPHINE 2 MG/ML INJECTION SOLUTION,26.65,13.33,5.81,23.99,66
NDC,63323045400,MORPHINE 4 MG/ML INJECTION SOLUTION,26.7,13.35,5.82,24.03,66
NDC,63323045401,MORPHINE 4 MG/ML INJECTION SOLUTION,26.7,13.35,5.82,24.03,66
NDC,63323045800,MORPHINE 8 MG/ML INJECTION SOLUTION,26.75,13.38,5.83,24.08,66
NDC,63323045801,MORPHINE 8 MG/ML INJECTION SOLUTION,26.75,13.38,5.83,24.08,66
NDC,63323046001,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",46.8,23.4,10.21,42.12,65
NDC,63323046037,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",46.8,23.4,10.21,42.12,65
NDC,63323046101,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",87.1,43.55,19.0,78.39,65
NDC,63323046157,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",87.1,43.55,19.0,78.39,65
NDC,63323046201,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",41.8,20.9,9.12,37.62,65
NDC,63323046202,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",34.6,17.3,7.55,31.14,65
NDC,63323046204,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",25.1,12.55,5.47,22.59,65
NDC,63323046217,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",25.1,12.55,5.47,22.59,65
NDC,63323046231,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",34.6,17.3,7.55,31.14,65
NDC,63323046237,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",41.8,20.9,9.12,37.62,65
NDC,63323046301,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",91.6,45.8,19.98,82.44,65
NDC,63323046357,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",91.6,45.8,19.98,82.44,65
NDC,63323046401,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,63323046402,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046408,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,63323046409,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046417,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,63323046431,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,53.8,26.9,11.73,48.42,65
NDC,63323046437,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046438,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,63323046439,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046501,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,94.9,47.45,20.7,85.41,65
NDC,63323046557,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,94.9,47.45,20.7,85.41,65
NDC,63323046601,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046603,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,63323046609,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046617,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,63323046631,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,56.15,28.08,12.25,50.54,65
NDC,63323046637,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046638,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.65,23.33,10.17,41.99,65
NDC,63323046639,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,46.9,23.45,10.23,42.21,65
NDC,63323046701,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,103.0,51.5,22.46,92.7,65
NDC,63323046757,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,103.0,51.5,22.46,92.7,65
NDC,63323046801,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",24.55,12.28,5.35,22.1,65
NDC,63323046802,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",38.9,19.45,8.48,35.01,65
NDC,63323046817,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",24.55,12.28,5.35,22.1,65
NDC,63323046837,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",38.9,19.45,8.48,35.01,65
NDC,63323046901,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,41.6,20.8,9.07,37.44,66
NDC,63323047101,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,40.05,20.03,8.73,36.05,66
NDC,63323047141,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,40.05,20.03,8.73,36.05,66
NDC,63323047201,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,47.5,23.75,10.36,42.75,65
NDC,63323047203,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,46.8,23.4,10.21,42.12,65
NDC,63323047217,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,46.8,23.4,10.21,42.12,65
NDC,63323047237,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,47.5,23.75,10.36,42.75,65
NDC,63323047400,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,20.75,10.38,1.57,18.68,66
NDC,63323047401,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,20.75,10.38,1.57,18.68,66
NDC,63323047410,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,42.9,21.45,1.57,38.61,66
NDC,63323047501,CHLOROPROCAINE 10 MG/ML (1 %) INJECTION SOLUTION,90.0,45.0,0.04,81.0,66
NDC,63323047601,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,92.35,46.18,0.04,83.12,66
NDC,63323047637,CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLUTION,92.35,46.18,0.04,83.12,66
NDC,63323047701,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,106.45,53.23,0.04,95.81,66
NDC,63323047727,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,106.45,53.23,0.04,95.81,66
NDC,63323047801,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,111.75,55.88,0.04,100.58,66
NDC,63323047827,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,111.75,55.88,0.04,100.58,66
NDC,63323048101,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",42.3,21.15,9.23,38.07,65
NDC,63323048157,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",42.3,21.15,9.23,38.07,65
NDC,63323048201,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.8,11.4,4.97,20.52,65
NDC,63323048203,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",25.8,12.9,5.63,23.22,65
NDC,63323048205,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",60.3,30.15,13.15,54.27,65
NDC,63323048217,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",22.8,11.4,4.97,20.52,65
NDC,63323048226,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",21.7,10.85,4.73,19.53,65
NDC,63323048227,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",25.8,12.9,5.63,23.22,65
NDC,63323048241,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",20.1,10.05,4.38,18.09,65
NDC,63323048257,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",60.3,30.15,13.15,54.27,65
NDC,63323048301,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",48.9,24.45,10.67,44.01,65
NDC,63323048303,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",26.3,13.15,5.74,23.67,65
NDC,63323048327,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",26.3,13.15,5.74,23.67,65
NDC,63323048357,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",48.9,24.45,10.67,44.01,65
NDC,63323048457,LIDOCAINE HCL 5 MG/ML (0.5 %) INJECTION SOLUTION,30.9,15.45,6.74,27.81,65
NDC,63323048501,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,23.15,11.58,5.05,20.84,65
NDC,63323048503,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,31.8,15.9,6.94,28.62,65
NDC,63323048526,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,63323048527,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,23.15,11.58,5.05,20.84,65
NDC,63323048541,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,63323048557,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,31.8,15.9,6.94,28.62,65
NDC,63323048601,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,23.2,11.6,5.06,20.88,65
NDC,63323048602,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.25,10.63,4.63,19.13,65
NDC,63323048605,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,39.6,19.8,8.64,35.64,65
NDC,63323048617,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,23.2,11.6,5.06,20.88,65
NDC,63323048626,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.5,10.75,4.69,19.35,65
NDC,63323048627,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.25,10.63,4.63,19.13,65
NDC,63323048641,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.5,10.75,4.69,19.35,65
NDC,63323048657,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,39.6,19.8,8.64,35.64,65
NDC,63323048701,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",28.1,14.05,6.13,25.29,65
NDC,63323048703,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",31.35,15.68,6.84,28.22,65
NDC,63323048717,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",28.1,14.05,6.13,25.29,65
NDC,63323048731,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",31.35,15.68,6.84,28.22,65
NDC,63323048737,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",30.6,15.3,6.67,27.54,65
NDC,63323048807,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",53.3,26.65,11.62,47.97,65
NDC,63323048837,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",53.3,26.65,11.62,47.97,65
NDC,63323048901,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",29.05,14.53,6.34,26.15,65
NDC,63323048902,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",52.95,26.48,11.55,47.66,65
NDC,63323048917,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",29.05,14.53,6.34,26.15,65
NDC,63323048921,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",71.2,35.6,15.53,64.08,65
NDC,63323048927,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",52.95,26.48,11.55,47.66,65
NDC,63323049101,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,76.2,38.1,16.62,68.58,65
NDC,63323049157,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,76.2,38.1,16.62,68.58,65
NDC,63323049204,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323049207,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,22.3,11.15,4.86,20.07,65
NDC,63323049208,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,33.0,16.5,7.2,29.7,65
NDC,63323049209,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049216,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323049226,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,22.3,11.15,4.86,20.07,65
NDC,63323049227,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323049231,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,29.55,14.78,6.44,26.6,65
NDC,63323049236,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049237,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,22.3,11.15,4.86,20.07,65
NDC,63323049241,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,63323049243,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049245,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,22.3,11.15,4.86,20.07,65
NDC,63323049257,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049297,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,33.0,16.5,7.2,29.7,65
NDC,63323049391,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,41.05,20.53,8.95,36.95,65
NDC,63323049397,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,20.55,10.28,4.48,18.5,65
NDC,63323049401,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,63323049405,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,63323049416,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,63323049441,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,63323049504,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049507,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049509,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.7,10.85,4.73,19.53,65
NDC,63323049526,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049527,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.7,10.85,4.73,19.53,65
NDC,63323049541,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.3,10.65,4.65,19.17,65
NDC,63323049603,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,38.5,19.25,8.4,34.65,65
NDC,63323049697,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,38.5,19.25,8.4,34.65,65
NDC,63323050600,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,21.4,10.7,0.13,19.26,66
NDC,63323050601,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,21.4,10.7,0.13,19.26,66
NDC,63323050616,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,21.4,10.7,0.13,19.26,66
NDC,63323050641,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,21.4,10.7,0.13,19.26,66
NDC,63323050701,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,63323050720,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,63323050725,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.0,23.5,0.5,42.3,66
NDC,63323050801,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,57.75,28.88,0.5,51.98,66
NDC,63323050825,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,48.35,24.18,0.5,43.52,66
NDC,63323050830,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,57.75,28.88,0.5,51.98,66
NDC,63323050845,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,48.35,24.18,0.5,43.52,66
NDC,63323051610,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,22.1,11.05,0.13,19.89,66
NDC,63323051701,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",58.0,29.0,0.3,52.2,66
NDC,63323051774,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",58.0,29.0,0.3,52.2,66
NDC,63323051902,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",48.0,24.0,0.3,43.2,66
NDC,63323051977,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",48.0,24.0,0.3,43.2,66
NDC,63323052201,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",76.0,38.0,0.3,68.4,66
NDC,63323052277,"HEPARIN (PORCINE) 25,000 UNIT/500 ML (50 UNIT/ML) IN DEXTROSE 5 % IV",76.0,38.0,0.3,68.4,66
NDC,63323052301,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",70.0,35.0,0.3,63.0,66
NDC,63323052374,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",70.0,35.0,0.3,63.0,66
NDC,63323052603,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1525.8,762.9,0.81,1373.22,70
NDC,63323053101,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,88.7,44.35,0.76,79.83,66
NDC,63323053190,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,88.7,44.35,0.76,79.83,66
NDC,63323053501,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,44.3,22.15,0.76,39.87,66
NDC,63323053903,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,327.2,163.6,0.76,294.48,66
NDC,63323054003,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.75,10.88,0.3,19.58,66
NDC,63323054005,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.85,10.93,0.3,19.67,66
NDC,63323054011,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.05,11.53,0.3,20.75,66
NDC,63323054015,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.85,10.93,0.3,19.67,66
NDC,63323054033,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",32.4,16.2,0.3,29.16,66
NDC,63323054036,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",32.4,16.2,0.3,29.16,66
NDC,63323054204,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",60.0,30.0,0.3,54.0,66
NDC,63323054209,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",23.1,11.55,0.3,20.79,66
NDC,63323054214,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",60.0,30.0,0.3,54.0,66
NDC,63323054303,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SOLUTION",22.4,11.2,0.3,20.16,66
NDC,63323054313,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SOLUTION",22.4,11.2,0.3,20.16,66
NDC,63323054401,HEPARIN LOCK FLUSH (PORCINE) 10 UNIT/ML INTRAVENOUS SOLUTION,21.5,10.75,0.02,19.35,66
NDC,63323054501,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,21.5,10.75,0.02,19.35,66
NDC,63323054505,HEPARIN LOCK FLUSH (PORCINE) 100 UNIT/ML INTRAVENOUS SOLUTION,21.6,10.8,0.02,19.44,66
NDC,63323054901,"HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION",22.6,11.3,0.02,20.34,66
NDC,63323055921,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.6,11.3,0.76,20.34,66
NDC,63323055993,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,22.6,11.3,0.76,20.34,66
NDC,63323056210,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,191.05,95.53,0.24,171.95,66
NDC,63323056215,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,191.05,95.53,0.24,171.95,66
NDC,63323056241,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,191.05,95.53,0.24,171.95,66
NDC,63323056301,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",135.95,67.98,29.65,122.36,65
NDC,63323056310,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",135.95,67.98,29.65,122.36,65
NDC,63323056421,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,20.45,10.23,0.76,18.41,66
NDC,63323056497,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,20.45,10.23,0.76,18.41,66
NDC,63323056621,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,29.8,14.9,0.76,26.82,66
NDC,63323056698,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,29.8,14.9,0.76,26.82,66
NDC,63323057270,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,10902.75,5451.38,4.27,9812.48,71
NDC,63323057801,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.45,10.73,0.47,19.31,71
NDC,63323057802,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.85,10.93,0.47,19.67,71
NDC,63323057803,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.45,10.73,0.47,19.31,71
NDC,63323057804,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.85,10.93,0.47,19.67,71
NDC,63323057841,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.45,10.73,0.47,19.31,71
NDC,63323057901,SINCALIDE 5 MCG SOLUTION FOR INJECTION,319.65,159.83,69.72,287.69,65
NDC,63323057905,SINCALIDE 5 MCG SOLUTION FOR INJECTION,319.65,159.83,69.72,287.69,65
NDC,63323058003,ATROPINE 0.4 MG/ML INJECTION SOLUTION,44.8,22.4,0.09,40.32,66
NDC,63323058020,ATROPINE 0.4 MG/ML INJECTION SOLUTION,44.8,22.4,0.09,40.32,66
NDC,63323058282,GLUCAGON HCL 1 MG SOLUTION FOR INJECTION,993.85,496.93,132.44,894.47,71
NDC,63323058313,GLUCAGON HCL 1 MG SOLUTION FOR INJECTION,993.85,496.93,132.44,894.47,71
NDC,63323058621,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,51.7,25.85,0.76,46.53,66
NDC,63323058696,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,51.7,25.85,0.76,46.53,66
NDC,63323059303,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,686.45,343.23,132.44,617.81,71
NDC,63323059403,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,530.75,265.38,115.76,477.68,71
NDC,63323059603,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,686.45,343.23,132.44,617.81,71
NDC,63323059606,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,530.75,265.38,115.76,477.68,71
NDC,63323059611,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,686.45,343.23,132.44,617.81,71
NDC,63323059613,GLUCAGON HCL 1 MG/ML SOLUTION FOR INJECTION,686.45,343.23,132.44,617.81,71
NDC,63323059710,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,62.05,31.03,9.2,55.85,66
NDC,63323059930,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,157.45,78.73,9.2,141.71,66
NDC,63323060400,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,66
NDC,63323060401,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,66
NDC,63323060701,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,66.55,33.28,0.76,59.9,66
NDC,63323061400,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,22.85,11.43,4.98,20.57,66
NDC,63323061401,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,22.85,11.43,4.98,20.57,66
NDC,63323061416,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,22.85,11.43,4.98,20.57,66
NDC,63323061421,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,23.2,11.6,5.06,20.88,66
NDC,63323061441,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,22.85,11.43,4.98,20.57,66
NDC,63323061455,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,23.2,11.6,5.06,20.88,66
NDC,63323061601,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,46.85,23.43,0.48,42.17,66
NDC,63323061602,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,55.35,27.68,0.48,49.82,66
NDC,63323061603,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,46.85,23.43,0.48,42.17,66
NDC,63323061609,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,55.35,27.68,0.48,49.82,66
NDC,63323061710,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,70.1,35.05,1.73,63.09,66
NDC,63323061720,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,119.6,59.8,1.73,107.64,66
NDC,63323063703,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2246.6,1123.3,8.32,2021.94,71
NDC,63323063710,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,2246.6,1123.3,8.32,2021.94,71
NDC,63323064201,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,50.7,25.35,0.77,45.63,66
NDC,63323064202,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,100.0,50.0,0.77,90.0,66
NDC,63323064220,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,50.7,25.35,0.77,45.63,66
NDC,63323064250,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,100.0,50.0,0.77,90.0,66
NDC,63323064810,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION,1515.25,757.63,9.67,1363.73,66
NDC,63323064907,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,314.2,157.1,9.67,282.78,66
NDC,63323064994,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,314.2,157.1,9.67,282.78,66
NDC,63323065100,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,22.8,11.4,0.66,20.52,66
NDC,63323065101,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,42.75,21.38,0.66,38.48,66
NDC,63323065102,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,22.8,11.4,0.66,20.52,66
NDC,63323065104,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,42.75,21.38,0.66,38.48,66
NDC,63323065121,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,61.45,30.73,0.66,55.31,66
NDC,63323065130,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,897.0,448.5,0.66,807.3,66
NDC,63323065189,ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE,61.45,30.73,0.66,55.31,66
NDC,63323065210,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,22.5,11.25,0.28,20.25,66
NDC,63323065521,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,61.55,30.78,0.76,55.4,66
NDC,63323065599,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,61.55,30.78,0.76,55.4,66
NDC,63323065820,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,147.55,73.78,32.18,134.68,66
NDC,63323065894,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,147.55,73.78,32.18,134.68,66
NDC,63323065903,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,1340.55,670.28,292.37,1206.5,65
NDC,63323065994,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,1341.1,670.55,292.49,1206.99,65
NDC,63323066001,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,63323066005,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,63323066400,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,20.6,10.3,0.89,18.54,66
NDC,63323066401,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,20.6,10.3,0.89,18.54,66
NDC,63323066416,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,20.6,10.3,0.89,18.54,66
NDC,63323066441,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,20.6,10.3,0.89,18.54,66
NDC,63323066500,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,21.25,10.63,4.63,19.13,66
NDC,63323066501,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,21.25,10.63,4.63,19.13,66
NDC,63323067305,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,221.9,110.95,1.03,199.71,66
NDC,63323067321,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE,125.85,62.93,1.03,113.27,66
NDC,63323067389,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SYRINGE,125.85,62.93,1.03,113.27,66
NDC,63323068301,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,55.0,27.5,12.0,65.33,66
NDC,63323068310,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,55.0,27.5,12.0,65.33,66
NDC,63323068517,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,510.4,255.2,111.32,459.36,65
NDC,63323068601,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,55.0,27.5,12.0,65.33,66
NDC,63323068610,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,55.0,27.5,12.0,65.33,66
NDC,63323068801,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,61.0,30.5,13.3,65.33,66
NDC,63323068810,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,61.0,30.5,13.3,65.33,66
NDC,63323069030,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,34.75,17.38,7.58,31.28,65
NDC,63323069041,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,34.75,17.38,7.58,31.28,65
NDC,63323069044,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,34.75,17.38,7.58,31.28,65
NDC,63323069130,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,55.45,27.73,12.09,49.91,65
NDC,63323069210,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,43.8,21.9,9.55,39.42,65
NDC,63323069222,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,43.8,21.9,9.55,39.42,65
NDC,63323069310,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,42.9,21.45,9.36,38.61,65
NDC,63323069404,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,23.0,11.5,5.02,20.7,65
NDC,63323069422,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,23.0,11.5,5.02,20.7,65
NDC,63323069441,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,23.0,11.5,5.02,20.7,65
NDC,63323069444,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,23.0,11.5,5.02,20.7,65
NDC,63323069504,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,25.25,12.63,5.51,22.73,65
NDC,63323069522,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,25.25,12.63,5.51,22.73,65
NDC,63323069602,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,94.25,47.13,20.56,84.83,65
NDC,63323069625,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,94.25,47.13,20.56,84.83,65
NDC,63323071050,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),152.95,76.48,4.96,137.66,66
NDC,63323071100,LEUCOVORIN CALCIUM 500 MG INJECTION (POWDER FOR RECON),318.35,159.18,4.96,286.52,66
NDC,63323071303,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,278.8,139.4,3.66,250.92,66
NDC,63323071313,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,278.8,139.4,3.66,250.92,66
NDC,63323071501,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2130.15,1065.08,27.3,1917.14,71
NDC,63323071505,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2130.15,1065.08,27.3,1917.14,71
NDC,63323072301,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,199.35,99.68,43.48,179.42,65
NDC,63323072303,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,199.35,99.68,43.48,179.42,65
NDC,63323072304,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,199.35,99.68,43.48,179.42,65
NDC,63323072306,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,199.35,99.68,43.48,179.42,65
NDC,63323072401,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,356.75,178.38,77.81,321.08,65
NDC,63323072405,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,356.75,178.38,77.81,321.08,65
NDC,63323072501,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,624.35,312.18,136.17,561.92,65
NDC,63323072510,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,624.35,312.18,136.17,561.92,65
NDC,63323072801,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,122.35,61.18,0.84,110.12,66
NDC,63323072810,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,122.35,61.18,0.84,110.12,66
NDC,63323072901,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,194.75,97.38,0.84,175.28,66
NDC,63323072902,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,194.75,97.38,0.84,175.28,66
NDC,63323072910,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,194.75,97.38,0.84,175.28,66
NDC,63323073310,MESNA 100 MG/ML INTRAVENOUS SOLUTION,333.05,166.53,1.52,299.75,66
NDC,63323073311,MESNA 100 MG/ML INTRAVENOUS SOLUTION,331.45,165.73,1.52,298.31,66
NDC,63323073806,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,22.95,11.48,5.01,20.66,65
NDC,63323073820,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,22.95,11.48,5.01,20.66,65
NDC,63323073911,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323073912,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323073916,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323073941,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.6,10.3,4.49,18.54,65
NDC,63323075020,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,798.9,399.45,0.07,719.01,66
NDC,63323075100,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,63323075101,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,63323075105,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,147.35,73.68,32.14,132.62,65
NDC,63323075110,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,264.85,132.43,57.76,238.37,65
NDC,63323076020,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,882.05,441.03,97.82,793.85,71
NDC,63323076120,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,882.05,441.03,97.82,793.85,71
NDC,63323076210,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,450.0,225.0,0.87,405.0,66
NDC,63323076316,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,63323076350,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",588.0,294.0,0.12,529.2,66
NDC,63323077139,AZACITIDINE 100 MG SOLUTION FOR INJECTION,549.25,274.63,0.4,494.33,66
NDC,63323077810,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,80.5,40.25,6.28,72.45,66
NDC,63323077821,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,80.5,40.25,6.28,72.45,66
NDC,63323078110,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.9,24.45,10.67,44.01,65
NDC,63323078121,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.9,24.45,10.67,44.01,65
NDC,63323078141,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.9,24.45,10.67,44.01,65
NDC,63323078144,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,48.9,24.45,10.67,44.01,65
NDC,63323078220,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,65
NDC,63323078223,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,73.6,36.8,16.05,66.24,65
NDC,63323080601,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.45,13.23,1.07,23.81,66
NDC,63323080602,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.45,13.23,1.07,23.81,66
NDC,63323080605,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,51.85,25.93,1.07,46.67,66
NDC,63323080611,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.45,13.23,1.07,23.81,66
NDC,63323080612,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,26.45,13.23,1.07,23.81,66
NDC,63323080613,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,51.85,25.93,1.07,46.67,66
NDC,63323080614,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.2,26.6,1.07,47.88,66
NDC,63323080620,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.2,26.6,1.07,47.88,66
NDC,63323080650,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,65.2,32.6,1.07,58.68,66
NDC,63323080801,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,26.85,13.43,1.07,24.17,66
NDC,63323080811,FENTANYL (PF) 50 MCG/ML INJECTION SYRINGE,26.85,13.43,1.07,24.17,66
NDC,63323081000,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,28.15,14.08,1.07,25.34,66
NDC,63323081020,FENTANYL (PF) 100 MCG/2 ML (50 MCG/ML) INTRAVENOUS SYRINGE,28.15,14.08,1.07,25.34,66
NDC,63323081100,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,191.8,95.9,1.17,172.62,66
NDC,63323081201,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,55.6,27.8,1.17,50.04,66
NDC,63323081220,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,55.6,27.8,1.17,50.04,66
NDC,63323081301,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,47.65,23.83,1.17,42.89,66
NDC,63323081320,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,47.65,23.83,1.17,42.89,66
NDC,63323081502,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,89.65,44.83,0.92,80.69,66
NDC,63323081504,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",154.25,77.13,0.92,138.83,66
NDC,63323081521,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,89.65,44.83,0.92,80.69,66
NDC,63323081522,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",154.25,77.13,0.92,138.83,66
NDC,63323082000,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,120.6,60.3,16.62,108.54,70
NDC,63323082001,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,120.6,60.3,16.62,108.54,70
NDC,63323082003,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,177.0,88.5,16.62,159.3,70
NDC,63323082004,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,144.0,72.0,16.62,129.6,70
NDC,63323082050,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,177.0,88.5,16.62,159.3,70
NDC,63323082074,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,144.0,72.0,16.62,129.6,70
NDC,63323082110,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,1298.1,649.05,2.1,1168.29,66
NDC,63323082520,DECITABINE 50 MG INTRAVENOUS SOLUTION,1689.15,844.58,1.88,1520.24,66
NDC,63323084202,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,44.4,22.2,9.68,39.96,66
NDC,63323084221,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,44.4,22.2,9.68,39.96,66
NDC,63323085074,"MOXIFLOXACIN 400 MG/250 ML-SODIUM ACET,SUL-WATER INTRAVENOUS PIGGYBACK",211.0,105.5,6.21,189.9,66
NDC,63323085103,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,53.2,26.6,11.6,47.88,65
NDC,63323085107,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,92.25,46.13,20.12,83.03,65
NDC,63323085110,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,53.2,26.6,11.6,47.88,65
NDC,63323085115,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,92.25,46.13,20.12,83.03,65
NDC,63323085150,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,596.0,298.0,129.99,536.4,65
NDC,63323085203,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION,27.9,13.95,6.08,25.11,65
NDC,63323085225,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION,27.9,13.95,6.08,25.11,65
NDC,63323085303,HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION,25.95,12.98,5.66,23.36,65
NDC,63323085325,HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLUTION,25.95,12.98,5.66,23.36,65
NDC,63323087550,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1151.25,575.63,16.4,1036.13,71
NDC,63323087715,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,771.45,385.73,55.85,694.31,66
NDC,63323088101,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,228.6,114.3,49.86,205.74,65
NDC,63323088116,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,228.6,114.3,49.86,205.74,65
NDC,63323088305,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,63323088330,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,63323088401,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,107.7,53.85,23.49,96.93,65
NDC,63323088406,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,107.7,53.85,23.49,96.93,65
NDC,63323088510,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,329.85,164.93,6.97,296.87,71
NDC,63323088512,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,329.85,164.93,6.97,296.87,71
NDC,63323088601,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,635.0,317.5,138.49,571.5,65
NDC,63323088656,SODIUM PHOSPHATE 3 MMOL/ML ORAL SOLUTION,635.0,317.5,138.49,571.5,65
NDC,63323089510,LEVOTHYROXINE 100 MCG/ML INTRAVENOUS SOLUTION,1825.65,912.83,6.97,1643.09,71
NDC,63323092517,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,10911.05,5455.53,31.39,9819.95,71
NDC,63323092688,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION,10911.05,5455.53,31.39,9819.95,71
NDC,63323093000,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,127.6,63.8,1.95,114.84,66
NDC,63323093001,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,127.6,63.8,1.95,114.84,66
NDC,63323094004,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.95,23.98,10.46,43.16,65
NDC,63323094021,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.95,23.98,10.46,43.16,65
NDC,63323094321,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,44.3,22.15,0.89,39.87,66
NDC,63323096010,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,746.15,373.08,0.81,671.54,66
NDC,63323096198,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,1157.5,578.75,7.71,1041.75,66
NDC,63323096321,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,171.2,85.6,37.34,154.08,65
NDC,63323096330,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,171.2,85.6,37.34,154.08,65
NDC,63323096341,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,171.2,85.6,37.34,154.08,65
NDC,63323096344,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,171.2,85.6,37.34,154.08,65
NDC,63323096501,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,46.7,23.35,0.13,42.03,66
NDC,63323096502,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,46.3,23.15,0.13,41.67,66
NDC,63323096503,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,45.9,22.95,0.13,41.31,66
NDC,63323096505,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,46.7,23.35,0.13,42.03,66
NDC,63323096510,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,45.9,22.95,0.13,41.31,66
NDC,63323096520,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,46.3,23.15,0.13,41.67,66
NDC,63323096600,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,1387.0,693.5,7.71,1248.3,66
NDC,63323096701,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,46.9,23.45,0.13,42.21,66
NDC,63323096730,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,46.9,23.45,0.13,42.21,66
NDC,63323097002,BENZTROPINE 1 MG/ML INJECTION SOLUTION,254.25,127.13,18.25,228.83,66
NDC,63323097210,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,1018.85,509.43,0.15,916.97,66
NDC,63323098121,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,46.95,23.48,1.3,42.26,66
NDC,63323098123,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,46.95,23.48,1.3,42.26,66
NDC,63323098141,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,46.3,23.15,1.3,41.67,66
NDC,63323098221,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,52.9,26.45,1.3,47.61,66
NDC,63323098252,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,52.9,26.45,1.3,47.61,66
NDC,63323098321,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.3,23.65,1.3,42.57,66
NDC,63323098323,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.3,23.65,1.3,42.57,66
NDC,63323098341,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,46.55,23.28,1.3,41.9,66
NDC,63323098353,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,46.55,23.28,1.3,41.9,66
NDC,63395020113,CEVIMELINE 30 MG CAPSULE,3026.0,1513.0,659.97,2723.4,65
NDC,63402020230,ESLICARBAZEPINE 200 MG TABLET,4981.35,2490.68,1086.43,4483.22,65
NDC,63402020430,ESLICARBAZEPINE 400 MG TABLET,4981.35,2490.68,1086.43,4483.22,65
NDC,63402020660,ESLICARBAZEPINE 600 MG TABLET,9962.65,4981.33,2172.85,8966.39,65
NDC,63402020830,ESLICARBAZEPINE 800 MG TABLET,4981.35,2490.68,1086.43,4483.22,65
NDC,63402030230,LURASIDONE 20 MG TABLET,4459.45,2229.73,972.61,4013.51,65
NDC,63402030430,LURASIDONE 40 MG TABLET,4459.45,2229.73,972.61,4013.51,65
NDC,63402030630,LURASIDONE 60 MG TABLET,4459.45,2229.73,972.61,4013.51,65
NDC,63402030830,LURASIDONE 80 MG TABLET,4459.45,2229.73,972.61,4013.51,65
NDC,63402031230,LURASIDONE 120 MG TABLET,6656.65,3328.33,1451.82,5990.99,65
NDC,63402051001,LEVALBUTEROL HFA 45 MCG/ACTUATION AEROSOL INHALER,331.2,165.6,72.23,298.08,65
NDC,63402091101,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,32.8,16.4,7.15,29.52,65
NDC,63402091104,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,32.8,16.4,7.15,29.52,65
NDC,63402091130,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,32.8,16.4,7.15,29.52,65
NDC,63402091164,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,32.8,16.4,7.15,29.52,65
NDC,63459010130,MODAFINIL 100 MG TABLET,6190.8,3095.4,1350.21,5571.72,65
NDC,63459010310,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,2412.2,1206.1,29.97,2170.98,71
NDC,63459010450,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,11860.6,5930.3,29.97,10674.54,71
NDC,63459017714,OMACETAXINE 3.5 MG SUBCUTANEOUS SOLUTION,5373.6,2686.8,4.4,4836.24,66
NDC,63459020130,MODAFINIL 200 MG TABLET,9354.15,4677.08,2040.14,8418.74,65
NDC,63459021530,ARMODAFINIL 150 MG TABLET,4044.15,2022.08,882.03,3639.74,65
NDC,63459022530,ARMODAFINIL 250 MG TABLET,4044.15,2022.08,882.03,3639.74,65
NDC,63459034804,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,8100.35,4050.18,13.76,7290.32,71
NDC,63459039008,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,513.65,256.83,1.92,462.29,71
NDC,63459039120,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION,1904.5,952.25,1.92,1714.05,71
NDC,63459040430,TIAGABINE 4 MG TABLET,1660.2,830.1,362.09,1494.18,65
NDC,63459060106,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,4769.7,2384.85,8.32,4292.73,71
NDC,63459060111,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,4769.7,2384.85,8.32,4292.73,71
NDC,63459091001,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,669.9,334.95,0.29,602.91,71
NDC,63459091011,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,669.9,334.95,0.29,602.91,71
NDC,63459091017,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1218.7,609.35,0.29,1096.83,71
NDC,63459091201,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1072.2,536.1,0.29,964.98,71
NDC,63459091211,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1072.2,536.1,0.29,964.98,71
NDC,63459091217,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1940.8,970.4,0.29,1746.72,71
NDC,63459091853,TBO-FILGRASTIM 300 MCG/ML SUBCUTANEOUS SOLUTION,877.8,438.9,0.29,790.02,71
NDC,63459092053,TBO-FILGRASTIM 480 MCG/1.6 ML SUBCUTANEOUS SOLUTION,1404.85,702.43,0.29,1264.37,71
NDC,63481062970,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,15260.0,7630.0,3328.21,13734.0,65
NDC,63481068701,LIDOCAINE 5 % TOPICAL PATCH,146.35,73.18,31.92,131.72,65
NDC,63481068706,LIDOCAINE 5 % TOPICAL PATCH,2926.35,1463.18,638.24,2633.72,65
NDC,63629102701,METHADONE 10 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,63629103101,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,70.2,35.1,15.31,63.18,65
NDC,63629104801,URSODIOL 300 MG CAPSULE,420.5,210.25,91.71,378.45,65
NDC,63629106101,SPIRONOLACTONE 25 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,63629106401,SPIRONOLACTONE 25 MG TABLET,13.7,6.85,2.99,12.33,65
NDC,63629106403,SPIRONOLACTONE 25 MG TABLET,28.1,14.05,6.13,25.29,65
NDC,63629109201,SPIRONOLACTONE 100 MG TABLET,91.2,45.6,19.89,82.08,65
NDC,63629116301,LABETALOL 200 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,63629122301,DUTASTERIDE 0.5 MG CAPSULE,32.6,16.3,7.11,29.34,65
NDC,63629191301,INDOMETHACIN 25 MG CAPSULE,102.0,51.0,22.25,91.8,65
NDC,63629195401,INDAPAMIDE 2.5 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,63629197201,VANCOMYCIN 50 MG/ML ORAL SOLUTION,3417.6,1708.8,745.38,3075.84,65
NDC,63629198201,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",231.5,115.75,50.49,208.35,65
NDC,63629198501,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",231.5,115.75,50.49,208.35,65
NDC,63629205601,EXEMESTANE 25 MG TABLET,184.15,92.08,40.16,165.74,65
NDC,63629206501,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,333.45,166.73,72.73,300.11,65
NDC,63629209501,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,34.2,17.1,7.46,30.78,65
NDC,63629209601,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,195.3,97.65,42.59,175.77,65
NDC,63629210501,PROPAFENONE 150 MG TABLET,154.8,77.4,33.76,139.32,65
NDC,63629214301,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",231.5,115.75,50.49,208.35,65
NDC,63629216801,DANTROLENE 25 MG CAPSULE,271.5,135.75,59.21,244.35,65
NDC,63629221301,LABETALOL 200 MG TABLET,370.0,185.0,80.7,333.0,65
NDC,63629221401,LABETALOL 200 MG TABLET,90.6,45.3,19.76,81.54,65
NDC,63629222601,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,24.1,12.05,0.26,21.69,66
NDC,63629227601,PROPRANOLOL 20 MG TABLET,70.8,35.4,15.44,63.72,65
NDC,63629236701,MIRTAZAPINE 15 MG TABLET,23.25,11.63,5.07,20.93,65
NDC,63629239001,SODIUM POLYSTYRENE SULFONATE ORAL POWDER,279.25,139.63,60.9,251.33,65
NDC,63629239101,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,117.0,58.5,25.52,105.3,65
NDC,63629239901,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,198.7,99.35,43.34,178.83,65
NDC,63629245201,PARICALCITOL 1 MCG CAPSULE,268.6,134.3,58.58,241.74,65
NDC,63629245701,CLOBETASOL 0.05 % TOPICAL OINTMENT,45.9,22.95,10.01,41.31,65
NDC,63629245901,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",330.5,165.25,72.08,297.45,65
NDC,63629246401,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,304.0,152.0,66.3,273.6,65
NDC,63629247301,BENZONATATE 100 MG CAPSULE,276.0,138.0,60.2,248.4,65
NDC,63629247401,BENZONATATE 100 MG CAPSULE,55.2,27.6,12.04,49.68,65
NDC,63629428409,HYDROMORPHONE 2 MG TABLET,38.8,19.4,8.46,34.92,65
NDC,63629814901,IMIPRAMINE 10 MG TABLET,33.3,16.65,7.26,29.97,65
NDC,63629860101,TEMAZEPAM 7.5 MG CAPSULE,374.5,187.25,81.68,337.05,65
NDC,63629860201,TEMAZEPAM 15 MG CAPSULE,51.6,25.8,11.25,46.44,65
NDC,63629860501,TEMAZEPAM 30 MG CAPSULE,60.6,30.3,13.22,54.54,65
NDC,63629866401,HALOBETASOL PROPIONATE 0.05 % TOPICAL OINTMENT,115.15,57.58,25.11,103.64,65
NDC,63629871301,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,421.6,210.8,91.95,379.44,65
NDC,63629871601,OFLOXACIN 0.3 % EAR DROPS,177.5,88.75,38.71,159.75,65
NDC,63629873301,METOLAZONE 5 MG TABLET,473.5,236.75,103.27,426.15,65
NDC,63629874101,CALCITRIOL 0.25 MCG CAPSULE,82.8,41.4,18.06,74.52,65
NDC,63629876601,COLCHICINE 0.6 MG TABLET,173.4,86.7,37.82,156.06,65
NDC,63629878401,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,98.1,49.05,21.4,88.29,65
NDC,63629884701,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,84.1,42.05,18.34,75.69,65
NDC,63629920001,CEPHALEXIN 500 MG CAPSULE,93.0,46.5,20.28,83.7,65
NDC,63646001004,KETOCONAZOLE 2 % SHAMPOO,77.8,38.9,16.97,70.02,65
NDC,63713001943,"CELLULOSE, OXIDIZED 3"" X 4"" PADS (SURGICEL NU-KNIT)",271.2,135.6,59.15,244.08,65
NDC,63713001946,"CELLULOSE, OXIDIZED 6"" X 9"" MISC",4788.25,2394.13,1044.32,4309.43,65
NDC,63713001951,"CELLULOSE, OXIDIZED 2"" X 14"" PADS",2596.2,1298.1,566.23,2336.58,65
NDC,63713001952,"CELLULOSE, OXIDIZED 4"" X 8"" PADS",5486.9,2743.45,1196.69,4938.21,65
NDC,63713001962,"CELLULOSE, OXIDIZED 2"" X 4"" MISC",425.5,212.75,92.8,382.95,65
NDC,63713001972,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE",255.4,127.7,55.7,229.86,65
NDC,63713001974,"GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE",519.55,259.78,113.31,467.6,65
NDC,63739000333,TEMAZEPAM 7.5 MG CAPSULE,722.55,361.28,157.59,650.3,65
NDC,63739000532,ZIPRASIDONE 40 MG CAPSULE,556.2,278.1,121.31,500.58,65
NDC,63739000833,VORICONAZOLE 200 MG TABLET,2370.0,1185.0,516.9,2133.0,65
NDC,63739001610,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",230.4,115.2,50.25,207.36,65
NDC,63739001810,ATORVASTATIN 10 MG TABLET,107.4,53.7,23.42,96.66,65
NDC,63739001970,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,12.25,6.13,2.67,11.03,65
NDC,63739001971,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,12.25,6.13,2.67,11.03,65
NDC,63739002010,ATORVASTATIN 20 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,63739003610,ATORVASTATIN 40 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,63739005110,AMIODARONE 200 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,63739005257,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,10.2,5.1,2.22,9.18,65
NDC,63739005269,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,10.2,5.1,2.22,9.18,65
NDC,63739005274,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,10.2,5.1,2.22,9.18,65
NDC,63739006933,ARIPIPRAZOLE 2 MG TABLET,1265.7,632.85,276.05,1139.13,65
NDC,63739007010,ARIPIPRAZOLE 5 MG TABLET,2275.2,1137.6,496.22,2047.68,65
NDC,63739007233,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,90.75,45.38,19.79,81.68,65
NDC,63739007410,ARIPIPRAZOLE 10 MG TABLET,365.5,182.75,79.72,328.95,65
NDC,63739007633,VALGANCICLOVIR 450 MG TABLET,5100.0,2550.0,1112.31,4590.0,65
NDC,63739007710,VALACYCLOVIR 500 MG TABLET,681.5,340.75,148.64,613.35,65
NDC,63739007833,ARIPIPRAZOLE 15 MG TABLET,1080.0,540.0,235.55,972.0,65
NDC,63739008610,VALPROIC ACID 250 MG CAPSULE,142.8,71.4,31.14,128.52,65
NDC,63739009710,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",161.4,80.7,35.2,145.26,65
NDC,63739009810,MIRTAZAPINE 15 MG TABLET,79.2,39.6,17.27,71.28,65
NDC,63739009910,MIRTAZAPINE 30 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,63739010810,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,63739011510,FLUCONAZOLE 200 MG TABLET,648.0,324.0,141.33,583.2,65
NDC,63739013233,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",349.05,174.53,76.13,314.15,65
NDC,63739014310,TAMOXIFEN 10 MG TABLET,230.4,115.2,50.25,207.36,65
NDC,63739014510,MIDODRINE 5 MG TABLET,253.2,126.6,55.22,227.88,65
NDC,63739015832,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,16.45,8.23,3.59,14.81,65
NDC,63739015870,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,16.45,8.23,3.59,14.81,65
NDC,63739016010,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.7,1.85,0.81,3.33,65
NDC,63739016056,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",8.4,4.2,1.83,7.56,65
NDC,63739016070,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",3.7,1.85,0.81,3.33,65
NDC,63739016833,DOXYCYCLINE HYCLATE 100 MG TABLET,276.5,138.25,60.3,248.85,65
NDC,63739017013,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,63739017027,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.15,10.58,4.61,19.04,65
NDC,63739017830,CLOPIDOGREL 300 MG TABLET,1992.9,996.45,434.65,1793.61,65
NDC,63739019210,PHENOBARBITAL 16.2 MG TABLET,268.2,134.1,58.49,241.38,65
NDC,63739019351,SUCRALFATE 100 MG/ML ORAL SUSPENSION,49.2,24.6,10.73,44.28,65
NDC,63739019372,SUCRALFATE 100 MG/ML ORAL SUSPENSION,49.2,24.6,10.73,44.28,65
NDC,63739020301,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,48.7,24.35,10.62,43.83,65
NDC,63739020302,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,48.7,24.35,10.62,43.83,65
NDC,63739021310,PROMETHAZINE 25 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,63739023610,GABAPENTIN 300 MG CAPSULE,54.6,27.3,11.91,49.14,65
NDC,63739025340,VALPROIC ACID 250 MG CAPSULE,147.0,73.5,32.06,132.3,65
NDC,63739029410,PHENOBARBITAL 32.4 MG TABLET,275.5,137.75,60.09,247.95,65
NDC,63739029710,CELECOXIB 100 MG CAPSULE,319.0,159.5,69.57,287.1,65
NDC,63739029810,CELECOXIB 200 MG CAPSULE,513.5,256.75,111.99,462.15,65
NDC,63739032710,HYDRALAZINE 25 MG TABLET,71.4,35.7,15.57,64.26,65
NDC,63739032810,HYDRALAZINE 50 MG TABLET,81.6,40.8,17.8,73.44,65
NDC,63739035733,VALGANCICLOVIR 450 MG TABLET,2663.9,1331.95,581.0,2397.51,65
NDC,63739036710,ISOSORBIDE DINITRATE 20 MG TABLET,398.0,199.0,86.8,358.2,65
NDC,63739040310,NAPROXEN 500 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,63739041010,ALLOPURINOL 100 MG TABLET,104.4,52.2,22.77,93.96,65
NDC,63739041110,LEVETIRACETAM 500 MG TABLET,112.8,56.4,24.6,101.52,65
NDC,63739047910,BACLOFEN 10 MG TABLET,277.8,138.9,60.59,250.02,65
NDC,63739048010,BACLOFEN 20 MG TABLET,356.5,178.25,77.75,320.85,65
NDC,63739048310,HYDROXYZINE HCL 10 MG TABLET,136.8,68.4,29.84,123.12,65
NDC,63739048610,HYDROXYZINE HCL 25 MG TABLET,155.4,77.7,33.89,139.86,65
NDC,63739050832,ZIPRASIDONE 80 MG CAPSULE,650.0,325.0,141.77,585.0,65
NDC,63739054410,SPIRONOLACTONE 25 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,63739054510,SPIRONOLACTONE 50 MG TABLET,262.5,131.25,57.25,236.25,65
NDC,63739054833,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",246.45,123.23,53.75,221.81,65
NDC,63739054972,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,33.6,16.8,7.33,30.24,65
NDC,63739054973,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,33.6,16.8,7.33,30.24,65
NDC,63739055510,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",578.0,289.0,126.06,520.2,65
NDC,63739056410,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",172.2,86.1,37.56,154.98,65
NDC,63739056710,TAMSULOSIN 0.4 MG CAPSULE,237.6,118.8,51.82,213.84,65
NDC,63739056910,ISOSORBIDE DINITRATE 10 MG TABLET,367.0,183.5,80.04,330.3,65
NDC,63739057010,SIMVASTATIN 5 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,63739057210,SIMVASTATIN 20 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,63739057310,SIMVASTATIN 40 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,63739059110,GABAPENTIN 100 MG CAPSULE,40.2,20.1,8.77,36.18,65
NDC,63739064510,FAMOTIDINE 20 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,63739066510,QUETIAPINE 100 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,63739066632,ZIPRASIDONE 60 MG CAPSULE,427.6,213.8,93.26,384.84,65
NDC,63739067310,LOSARTAN 25 MG TABLET,299.4,149.7,65.3,269.46,65
NDC,63739067710,QUETIAPINE 200 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,63739068610,LOSARTAN 50 MG TABLET,262.5,131.25,57.25,236.25,65
NDC,63739069810,LOSARTAN 100 MG TABLET,344.0,172.0,75.03,309.6,65
NDC,63739070010,CIPROFLOXACIN 250 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,63739072401,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,49.8,24.9,10.86,44.82,65
NDC,63739072450,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,49.8,24.9,10.86,44.82,65
NDC,63739077710,HYDROXYCHLOROQUINE 200 MG TABLET,1812.5,906.25,395.31,1631.25,65
NDC,63739078710,LEVETIRACETAM 750 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,63739079510,LEVETIRACETAM 250 MG TABLET,108.6,54.3,23.69,97.74,65
NDC,63739079610,ALLOPURINOL 300 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,63739079733,NIMODIPINE 30 MG CAPSULE,166.7,83.35,36.36,150.03,65
NDC,63739088810,PAROXETINE 10 MG TABLET,303.0,151.5,66.08,272.7,65
NDC,63739090210,GABAPENTIN 100 MG CAPSULE,43.2,21.6,9.42,38.88,65
NDC,63739090310,GABAPENTIN 300 MG CAPSULE,90.6,45.3,19.76,81.54,65
NDC,63739090410,GABAPENTIN 400 MG CAPSULE,55.8,27.9,12.17,50.22,65
NDC,63739092011,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.75,10.38,0.3,18.68,66
NDC,63739092025,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.75,10.38,0.3,18.68,66
NDC,63739093114,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,20.34,66
NDC,63739093128,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,20.34,66
NDC,63739095311,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.15,10.58,0.3,19.04,66
NDC,63739095325,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.15,10.58,0.3,19.04,66
NDC,63739096310,PAROXETINE 20 MG TABLET,132.6,66.3,28.92,119.34,65
NDC,63739096411,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",22.45,11.23,0.3,20.21,66
NDC,63739096425,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",22.45,11.23,0.3,20.21,66
NDC,63739097210,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",287.5,143.75,62.7,258.75,65
NDC,63739097310,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",143.4,71.7,31.28,129.06,65
NDC,63739098410,GABAPENTIN 400 MG CAPSULE,58.8,29.4,12.82,52.92,65
NDC,63739098832,ZIPRASIDONE 20 MG CAPSULE,556.2,278.1,121.31,500.58,65
NDC,63739099110,METHOCARBAMOL 500 MG TABLET,141.6,70.8,30.88,127.44,65
NDC,63739099210,METHOCARBAMOL 750 MG TABLET,172.2,86.1,37.56,154.98,65
NDC,63739099510,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",419.0,209.5,91.38,377.1,65
NDC,63739099665,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",268.6,134.3,58.58,241.74,65
NDC,63739099764,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,198.0,99.0,43.18,178.2,65
NDC,63807050055,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.4,10.2,0.02,18.36,66
NDC,63807060005,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.45,10.23,0.02,18.41,66
NDC,63807060051,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.45,10.23,0.02,18.41,66
NDC,63807060055,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.45,10.23,0.02,18.41,66
NDC,63824005736,"PSEUDOEPHEDRINE-GUAIFENESIN ER 60 MG-600 MG TABLET,EXTEND RELEASE 12HR",91.8,45.9,20.02,82.62,65
NDC,63833038602,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",45.0,22.5,2.18,40.5,71
NDC,63833038702,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",45.0,22.5,2.18,40.5,71
NDC,63833039601,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",45.0,22.5,2.18,40.5,71
NDC,63833039701,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",45.0,22.5,2.18,40.5,71
NDC,63833061502,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,45.0,22.5,1.52,40.5,70
NDC,63833061602,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.52,40.5,70
NDC,63833061702,"ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",45.0,22.5,1.52,40.5,70
NDC,63833082502,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,14608.15,7304.08,71.42,13147.34,71
NDC,63833083501,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION,14608.15,7304.08,71.42,13147.34,71
NDC,63833089151,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION",45.0,22.5,1.55,40.5,70
NDC,63833089190,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION",45.0,22.5,1.55,40.5,70
NDC,64067021601,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,1525.0,762.5,332.6,1372.5,65
NDC,64193032501,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",45.0,22.5,2.46,40.5,70
NDC,64193032601,ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN,45.0,22.5,2.46,40.5,70
NDC,64193042402,"ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN",45.0,22.5,2.46,40.5,70
NDC,64193042502,"ANTI-INHIBITOR COAGULANT COMPLX 1,750 UNIT-3,250 UNIT INTRAVENOUS SOLN",45.0,22.5,2.46,40.5,70
NDC,64193042602,ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN,45.0,22.5,2.46,40.5,70
NDC,64208251001,"ALBUMIN, HUMAN-KJDA 5 % INTRAVENOUS SOLUTION",205.15,102.58,44.74,184.64,70
NDC,64208251002,"ALBUMIN, HUMAN-KJDA 5 % INTRAVENOUS SOLUTION",205.15,102.58,44.74,184.64,70
NDC,64208251005,"ALBUMIN, HUMAN-KJDA 5 % INTRAVENOUS SOLUTION",346.75,173.38,54.14,312.08,70
NDC,64208251006,"ALBUMIN, HUMAN-KJDA 5 % INTRAVENOUS SOLUTION",346.75,173.38,54.14,312.08,70
NDC,64208251203,"ALBUMIN, HUMAN-KJDA 25 % INTRAVENOUS SOLUTION",209.0,104.5,45.58,188.1,65
NDC,64208251204,"ALBUMIN, HUMAN-KJDA 25 % INTRAVENOUS SOLUTION",209.0,104.5,45.58,188.1,65
NDC,64208251207,"ALBUMIN, HUMAN-KJDA 25 % INTRAVENOUS SOLUTION",326.05,163.03,71.11,293.45,65
NDC,64208251208,"ALBUMIN, HUMAN-KJDA 25 % INTRAVENOUS SOLUTION",326.05,163.03,71.11,293.45,65
NDC,64208775301,COAGULATION FACTOR X 500 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,75.3,37.65,9.97,67.77,70
NDC,64253022223,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.55,10.28,0.02,18.5,66
NDC,64253022225,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.4,10.2,0.02,18.36,66
NDC,64253022235,"HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE",20.5,10.25,0.02,18.45,66
NDC,64253033321,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.6,10.3,0.02,18.54,66
NDC,64253033323,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.6,10.3,0.02,18.54,66
NDC,64253033333,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.55,10.28,0.02,18.5,66
NDC,64253033335,"HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE",20.55,10.28,0.02,18.5,66
NDC,64253040030,ATROPINE 0.1 MG/ML INJECTION SYRINGE,48.55,24.28,0.09,43.7,66
NDC,64253040091,ATROPINE 0.1 MG/ML INJECTION SYRINGE,48.55,24.28,0.09,43.7,66
NDC,64253044422,"HEPARIN, PORCINE (PF) 1 UNIT/ML INTRAVENOUS SYRINGE",20.85,10.43,0.02,18.77,66
NDC,64253044425,"HEPARIN, PORCINE (PF) 1 UNIT/ML INTRAVENOUS SYRINGE",20.85,10.43,0.02,18.77,66
NDC,64253090030,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,44.4,22.2,9.68,39.96,65
NDC,64253090036,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,44.4,22.2,9.68,39.96,65
NDC,64253090091,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,48.55,24.28,10.59,43.7,65
NDC,64281010000,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION,420.65,210.33,91.74,378.59,65
NDC,64281010006,METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION,420.65,210.33,91.74,378.59,65
NDC,64281011005,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,624.1,312.05,136.12,561.69,65
NDC,64281011006,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,624.1,312.05,136.12,561.69,65
NDC,64380015701,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,64380015801,MEGESTROL 20 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,64380015901,MEGESTROL 40 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,64380015902,MEGESTROL 40 MG TABLET,332.5,166.25,72.52,299.25,65
NDC,64380015903,MEGESTROL 40 MG TABLET,537.5,268.75,117.23,483.75,65
NDC,64380016001,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,190.1,95.05,41.46,171.09,65
NDC,64380016002,MEGESTROL 400 MG/10 ML (40 MG/ML) ORAL SUSPENSION,331.2,165.6,72.23,298.08,65
NDC,64380016402,PROPAFENONE 225 MG TABLET,213.0,106.5,46.46,191.7,65
NDC,64380016502,PROPAFENONE 150 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,64380016601,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,198.7,99.35,43.34,178.83,65
NDC,64380016901,IMIPRAMINE 10 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,64380017001,IMIPRAMINE 25 MG TABLET,133.2,66.6,29.05,119.88,65
NDC,64380017101,IMIPRAMINE 50 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,64380017201,OLANZAPINE 5 MG DISINTEGRATING TABLET,4.75,2.38,1.04,4.28,65
NDC,64380017202,OLANZAPINE 5 MG DISINTEGRATING TABLET,142.4,71.2,31.06,128.16,65
NDC,64380017301,OLANZAPINE 10 MG DISINTEGRATING TABLET,7.0,3.5,1.53,6.3,65
NDC,64380017302,OLANZAPINE 10 MG DISINTEGRATING TABLET,209.2,104.6,45.63,188.28,65
NDC,64380017601,TRANYLCYPROMINE 10 MG TABLET,534.0,267.0,116.47,480.6,65
NDC,64380018501,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",249.85,124.93,54.49,224.87,65
NDC,64380021201,METHIMAZOLE 5 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,64380026802,PROPAFENONE 225 MG TABLET,170.4,85.2,37.16,153.36,65
NDC,64380071003,LAMIVUDINE 150 MG TABLET,166.35,83.18,36.28,149.72,65
NDC,64380071206,BENZONATATE 100 MG CAPSULE,55.8,27.9,12.17,50.22,65
NDC,64380071404,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,63.75,31.88,13.9,57.38,65
NDC,64380071703,ABACAVIR 300 MG TABLET,696.9,348.45,151.99,627.21,65
NDC,64380072006,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",78.6,39.3,0.26,70.74,66
NDC,64380072106,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",120.0,60.0,0.26,108.0,66
NDC,64380072206,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",500.0,250.0,0.26,450.0,66
NDC,64380072304,CALCITRIOL 0.25 MCG CAPSULE,18.0,9.0,3.93,16.2,65
NDC,64380072306,CALCITRIOL 0.25 MCG CAPSULE,162.6,81.3,35.46,146.34,65
NDC,64380072406,CALCITRIOL 0.5 MCG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,64380072506,MYCOPHENOLATE MOFETIL 500 MG TABLET,124.2,62.1,27.09,111.78,65
NDC,64380072606,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,100.8,50.4,21.98,90.72,65
NDC,64380073406,HYDRALAZINE 25 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,64380073408,HYDRALAZINE 25 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,64380073706,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",90.6,45.3,19.76,81.54,65
NDC,64380074106,BUSPIRONE 5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,64380074107,BUSPIRONE 5 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,64380074108,BUSPIRONE 5 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,64380074206,BUSPIRONE 10 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,64380074303,BUSPIRONE 15 MG TABLET,15.15,7.58,3.3,13.64,65
NDC,64380074318,BUSPIRONE 15 MG TABLET,94.0,47.0,20.5,84.6,65
NDC,64380075906,ACARBOSE 50 MG TABLET,102.6,51.3,22.38,92.34,65
NDC,64380076621,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,144.0,72.0,31.41,129.6,65
NDC,64380078206,PREDNISONE 1 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,64380078306,PREDNISONE 5 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,64380078706,BUSPIRONE 7.5 MG TABLET,210.6,105.3,45.93,189.54,65
NDC,64380079701,OSELTAMIVIR 30 MG CAPSULE,72.0,36.0,15.7,64.8,65
NDC,64380079801,OSELTAMIVIR 45 MG CAPSULE,72.0,36.0,15.7,64.8,65
NDC,64380079901,OSELTAMIVIR 75 MG CAPSULE,111.0,55.5,24.21,99.9,65
NDC,64380080706,IBUPROFEN 800 MG TABLET,79.8,39.9,17.4,71.82,65
NDC,64380082706,KETOCONAZOLE 200 MG TABLET,395.0,197.5,86.15,355.5,65
NDC,64380083406,ACETAZOLAMIDE 250 MG TABLET,135.0,67.5,29.44,121.5,65
NDC,64380087806,ETHOSUXIMIDE 250 MG CAPSULE,189.6,94.8,41.35,170.64,65
NDC,64380088080,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,850.05,425.03,185.4,765.05,65
NDC,64380088100,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,9.75,4.88,2.13,8.78,65
NDC,64380088180,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,729.9,364.95,159.19,656.91,65
NDC,64380088304,CINACALCET 30 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,64380088404,CINACALCET 60 MG TABLET,161.85,80.93,35.3,145.67,65
NDC,64380088904,EFAVIRENZ 600 MG TABLET,289.5,144.75,63.14,260.55,65
NDC,64380090603,CLARITHROMYCIN 500 MG TABLET,142.95,71.48,31.18,128.66,65
NDC,64380091806,URSODIOL 250 MG TABLET,353.5,176.75,77.1,318.15,65
NDC,64380091906,URSODIOL 500 MG TABLET,514.5,257.25,112.21,463.05,65
NDC,64380097025,HYDROCORTISONE 5 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,64380097106,HYDROCORTISONE 10 MG TABLET,130.8,65.4,28.53,117.72,65
NDC,64380097206,HYDROCORTISONE 20 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,64406000801,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,34175.9,17087.95,24.48,30758.31,71
NDC,64406002201,TOCILIZUMAB-BAVI 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,4465.0,2232.5,5.65,4018.5,70
NDC,64406002301,TOCILIZUMAB-BAVI 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,8905.0,4452.5,5.65,8014.5,70
NDC,64406002401,TOCILIZUMAB-BAVI 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,2245.0,1122.5,5.65,2020.5,70
NDC,64406005801,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,551628.25,275814.13,1241.34,496465.43,71
NDC,64406010901,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,57204.6,28602.3,161.32,51484.14,71
NDC,64543011201,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",592.0,296.0,129.12,532.8,65
NDC,64597030160,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,5822.4,2911.2,1269.87,5240.16,65
NDC,64679001201,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,60.55,30.28,1.3,54.5,66
NDC,64679001202,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,60.55,30.28,1.3,54.5,66
NDC,64679003401,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.35,23.68,1.3,42.62,66
NDC,64679003402,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.35,23.68,1.3,42.62,66
NDC,64679005601,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,52.2,26.1,1.3,46.98,66
NDC,64679005602,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,52.2,26.1,1.3,46.98,66
NDC,64679009601,AZACITIDINE 100 MG SOLUTION FOR INJECTION,590.0,295.0,0.4,531.0,66
NDC,64679009602,AZACITIDINE 100 MG SOLUTION FOR INJECTION,590.0,295.0,0.4,531.0,66
NDC,64679010202,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",45.9,22.95,10.01,41.31,65
NDC,64679046550,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,93.0,46.5,20.28,83.7,65
NDC,64679046551,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,93.0,46.5,20.28,83.7,65
NDC,64679060416,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,158.95,79.48,34.67,143.06,65
NDC,64679060816,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,158.95,79.48,34.67,143.06,65
NDC,64679063102,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,59.95,29.98,13.08,53.96,65
NDC,64679063103,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,59.95,29.98,13.08,53.96,65
NDC,64679067901,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,263.3,131.65,1.3,236.97,66
NDC,64679067902,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,263.3,131.65,1.3,236.97,66
NDC,64679069801,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,53.35,26.68,1.17,48.02,66
NDC,64679069802,OXACILLIN 1 GRAM SOLUTION FOR INJECTION,53.35,26.68,1.17,48.02,66
NDC,64679069901,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,76.6,38.3,1.17,68.94,66
NDC,64679069902,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,76.6,38.3,1.17,68.94,66
NDC,64679070002,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,296.8,148.4,1.17,267.12,66
NDC,64679070003,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,296.8,148.4,1.17,267.12,66
NDC,64679070102,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,47.1,23.55,0.55,42.39,66
NDC,64679072801,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,144.0,72.0,31.41,129.6,66
NDC,64679072808,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,144.0,72.0,31.41,129.6,66
NDC,64679075901,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.05,11.03,4.81,19.85,65
NDC,64679075902,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.7,11.35,4.95,20.43,65
NDC,64679075903,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,64679075910,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.05,11.03,4.81,19.85,65
NDC,64679075911,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.7,11.35,4.95,20.43,65
NDC,64679075912,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,64679078102,ENTACAPONE 200 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,64679078604,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,1394.5,697.25,304.14,1255.05,65
NDC,64679084703,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",117.0,58.5,25.52,105.3,65
NDC,64679092302,ENALAPRIL MALEATE 2.5 MG TABLET,206.4,103.2,45.02,185.76,65
NDC,64679092402,ENALAPRIL MALEATE 5 MG TABLET,283.2,141.6,61.77,254.88,65
NDC,64679092502,ENALAPRIL MALEATE 10 MG TABLET,274.8,137.4,59.93,247.32,65
NDC,64679092503,ENALAPRIL MALEATE 10 MG TABLET,2355.0,1177.5,513.63,2119.5,65
NDC,64764008060,LUBIPROSTONE 8 MCG CAPSULE,1716.3,858.15,374.33,1544.67,65
NDC,64764011901,COLCHICINE 0.6 MG TABLET,2660.4,1330.2,580.23,2394.36,65
NDC,64764011907,COLCHICINE 0.6 MG TABLET,1002.3,501.15,218.6,902.07,65
NDC,64764015104,PIOGLITAZONE 15 MG TABLET,1796.1,898.05,391.73,1616.49,65
NDC,64764017530,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",1425.6,712.8,310.92,1283.04,65
NDC,64764024060,LUBIPROSTONE 24 MCG CAPSULE,1716.3,858.15,374.33,1544.67,65
NDC,64764030020,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,37464.65,18732.33,21.74,33718.19,71
NDC,64764030114,PIOGLITAZONE 30 MG TABLET,2195.9,1097.95,478.93,1976.31,65
NDC,64764054311,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",5116.8,2558.4,1115.97,4605.12,65
NDC,64764054330,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",76.8,38.4,16.75,69.12,65
NDC,64764054411,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",5116.8,2558.4,1115.97,4605.12,65
NDC,64764054430,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",76.8,38.4,16.75,69.12,65
NDC,64764067730,FEBUXOSTAT 80 MG TABLET,1525.5,762.75,332.71,1372.95,65
NDC,64764073030,VORTIOXETINE 10 MG TABLET,2376.6,1188.3,518.34,2138.94,65
NDC,64764075030,VORTIOXETINE 20 MG TABLET,2376.6,1188.3,518.34,2138.94,65
NDC,64764080028,MARIBAVIR 200 MG TABLET,24899.85,12449.93,5430.66,22409.87,65
NDC,64764080056,MARIBAVIR 200 MG TABLET,49799.7,24899.85,10861.31,44819.73,65
NDC,64764080530,RAMELTEON 8 MG TABLET,1798.35,899.18,392.22,1618.52,65
NDC,64764091830,FEBUXOSTAT 40 MG TABLET,1525.5,762.75,332.71,1372.95,65
NDC,64850050001,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,64850050201,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,111.6,55.8,24.34,100.44,65
NDC,64850050501,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,121.2,60.6,26.43,109.08,65
NDC,64850051001,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",233.4,116.7,50.9,210.06,65
NDC,64850051101,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",233.4,116.7,50.9,210.06,65
NDC,64850051401,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",234.6,117.3,51.17,211.14,65
NDC,64850085030,TRIMIPRAMINE 25 MG CAPSULE,1229.1,614.55,268.07,1106.19,65
NDC,64850089301,LOXAPINE SUCCINATE 50 MG CAPSULE,669.5,334.75,146.02,602.55,65
NDC,64850091001,ISRADIPINE 2.5 MG CAPSULE,612.5,306.25,133.59,551.25,65
NDC,64850091101,ISRADIPINE 5 MG CAPSULE,900.0,450.0,196.29,810.0,65
NDC,64875000101,MIFEPRISTONE 200 MG TABLET,450.0,225.0,98.15,405.0,65
NDC,64896066101,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",1901.5,950.75,414.72,1711.35,65
NDC,64896066301,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",1901.5,950.75,414.72,1711.35,65
NDC,64950021610,ISONIAZID 100 MG TABLET,642.5,321.25,140.13,578.25,65
NDC,64950021703,ISONIAZID 300 MG TABLET,397.5,198.75,86.69,357.75,65
NDC,64950021710,ISONIAZID 300 MG TABLET,1105.0,552.5,241.0,994.5,65
NDC,64950034205,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,46.85,23.43,10.22,42.17,65
NDC,64950034245,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML (5 ML) ORAL SOLUTION,46.85,23.43,10.22,42.17,65
NDC,64950034247,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,82.35,41.18,17.96,74.12,65
NDC,64950035405,OXYCODONE 5 MG/5 ML ORAL SOLUTION,11.9,5.95,2.6,10.71,65
NDC,64950035445,OXYCODONE 5 MG/5 ML ORAL SOLUTION,14.5,7.25,3.16,13.05,65
NDC,64950035450,OXYCODONE 5 MG/5 ML ORAL SOLUTION,111.0,55.5,24.21,99.9,65
NDC,64950036204,COCAINE 4 % NASAL SOLUTION,901.8,450.9,196.68,811.62,65
NDC,64950037147,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,215.7,107.85,47.04,194.13,65
NDC,64950037316,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,974.4,487.2,212.52,876.96,65
NDC,64950037416,ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML ORAL SOLUTION,1201.45,600.73,262.04,1081.31,65
NDC,64950037896,SILVER NITRATE 0.5 % TOPICAL SOLUTION,1420.8,710.4,309.88,1278.72,65
NDC,64980010401,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,64980013301,DIPYRIDAMOLE 25 MG TABLET,592.0,296.0,129.12,532.8,65
NDC,64980013401,DIPYRIDAMOLE 50 MG TABLET,632.5,316.25,137.95,569.25,65
NDC,64980013501,DIPYRIDAMOLE 75 MG TABLET,846.0,423.0,184.51,761.4,65
NDC,64980017301,"FERROUS SULFATE 105 MG-C 500 MG-FOLIC ACID 800 MCG TABLET,EXTEND.REL",82.65,41.33,18.03,74.39,65
NDC,64980017303,"FERROUS SULFATE 105 MG-C 500 MG-FOLIC ACID 800 MCG TABLET,EXTEND.REL",82.65,41.33,18.03,74.39,65
NDC,64980017802,CHLOROQUINE 500 MG TABLET,944.4,472.2,205.97,849.96,65
NDC,64980020501,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",88.8,44.4,19.37,79.92,65
NDC,64980020901,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",67.2,33.6,14.66,60.48,65
NDC,64980022003,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",994.95,497.48,217.0,895.46,65
NDC,64980027801,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",135.0,67.5,29.44,121.5,65
NDC,64980027903,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",13.5,6.75,2.94,12.15,65
NDC,64980028001,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",41.4,20.7,9.03,37.26,65
NDC,64980028203,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",254.85,127.43,55.58,229.37,65
NDC,64980030301,CHLORTHALIDONE 25 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,64980032005,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,188.55,94.28,41.12,169.7,65
NDC,64980032430,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,34.75,17.38,7.58,31.28,65
NDC,64980037303,ATOMOXETINE 10 MG CAPSULE,293.05,146.53,63.91,263.75,65
NDC,64980037403,ATOMOXETINE 18 MG CAPSULE,293.05,146.53,63.91,263.75,65
NDC,64980037503,ATOMOXETINE 25 MG CAPSULE,293.05,146.53,63.91,263.75,65
NDC,64980037603,ATOMOXETINE 40 MG CAPSULE,265.5,132.75,57.91,238.95,65
NDC,64980037703,ATOMOXETINE 60 MG CAPSULE,265.5,132.75,57.91,238.95,65
NDC,64980037903,ATOMOXETINE 100 MG CAPSULE,286.95,143.48,62.58,258.26,65
NDC,64980040310,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,656.0,328.0,143.07,590.4,65
NDC,64980040403,TOREMIFENE 60 MG TABLET,4073.65,2036.83,888.46,3666.29,65
NDC,64980040524,ABACAVIR 20 MG/ML ORAL SOLUTION,596.4,298.2,130.07,536.76,65
NDC,64980040709,EFAVIRENZ 200 MG CAPSULE,3134.55,1567.28,683.65,2821.1,65
NDC,64980041009,PREGABALIN 25 MG CAPSULE,49.15,24.58,10.72,44.24,65
NDC,64980041209,PREGABALIN 75 MG CAPSULE,49.15,24.58,10.72,44.24,65
NDC,64980041309,PREGABALIN 100 MG CAPSULE,21.1,10.55,4.6,18.99,65
NDC,64980041409,PREGABALIN 150 MG CAPSULE,49.15,24.58,10.72,44.24,65
NDC,64980043701,ATENOLOL 25 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,64980043801,ATENOLOL 50 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,64980044715,CALCITRIOL 1 MCG/ML ORAL SOLUTION,2000.05,1000.03,436.21,1800.05,65
NDC,64980044801,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",265.7,132.85,57.95,239.13,65
NDC,64980050312,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,126.05,63.03,27.49,113.45,65
NDC,64980050448,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,164.65,82.33,35.91,148.19,65
NDC,64980051110,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,108.0,54.0,23.55,97.2,65
NDC,64980051301,TIMOLOL MALEATE 0.25 % EYE DROPS,25.65,12.83,5.59,23.09,65
NDC,64980051305,TIMOLOL MALEATE 0.25 % EYE DROPS,13.9,6.95,3.03,12.51,65
NDC,64980051315,TIMOLOL MALEATE 0.25 % EYE DROPS,91.9,45.95,20.04,82.71,65
NDC,64980051401,TIMOLOL MALEATE 0.5 % EYE DROPS,42.45,21.23,9.26,38.21,65
NDC,64980051405,TIMOLOL MALEATE 0.5 % EYE DROPS,38.8,19.4,8.46,34.92,65
NDC,64980051415,TIMOLOL MALEATE 0.5 % EYE DROPS,65.45,32.73,14.27,58.91,65
NDC,64980051501,OFLOXACIN 0.3 % EYE DROPS,166.45,83.23,36.3,149.81,65
NDC,64980051505,OFLOXACIN 0.3 % EYE DROPS,40.7,20.35,8.88,36.63,65
NDC,64980052603,NITAZOXANIDE 500 MG TABLET,13052.3,6526.15,2846.71,11747.07,65
NDC,64980052621,NITAZOXANIDE 500 MG TABLET,3869.65,1934.83,843.97,3482.69,65
NDC,64980052660,NITAZOXANIDE 500 MG TABLET,3122.25,1561.13,680.96,2810.03,65
NDC,64980056201,FUROSEMIDE 20 MG TABLET,14.4,7.2,3.14,12.96,65
NDC,64980056301,FUROSEMIDE 40 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,64980056603,DAPSONE 100 MG TABLET,220.0,110.0,47.98,198.0,65
NDC,64980059248,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,36.9,18.45,8.05,33.21,65
NDC,64980059501,DOXEPIN 25 MG CAPSULE,84.0,42.0,18.32,75.6,65
NDC,64980059901,CHLORTHALIDONE 25 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,65145011801,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,22.25,11.13,4.85,77.7,66
NDC,65145011805,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,22.25,11.13,4.85,77.7,66
NDC,65145012601,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,422.5,211.25,0.81,380.25,70
NDC,65145012901,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.0,11.5,5.02,20.7,65
NDC,65145012925,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.0,11.5,5.02,20.7,65
NDC,65145013001,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.3,11.15,4.86,20.07,65
NDC,65145013010,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.3,11.15,4.86,20.07,65
NDC,65145013101,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.35,11.68,5.09,21.02,65
NDC,65145013110,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.35,11.68,5.09,21.02,65
NDC,65145013301,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.35,24.18,10.55,43.52,65
NDC,65145013310,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.35,24.18,10.55,43.52,65
NDC,65162000203,PRASUGREL HCL 10 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,65162002309,LISDEXAMFETAMINE 20 MG CAPSULE,1031.4,515.7,224.95,928.26,65
NDC,65162003310,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,65162004710,OXYCODONE 5 MG TABLET,74.4,37.2,16.23,66.96,65
NDC,65162004910,OXYCODONE 15 MG TABLET,107.4,53.7,23.42,96.66,65
NDC,65162005703,RALOXIFENE 60 MG TABLET,115.6,57.8,25.21,104.04,65
NDC,65162005827,SEVELAMER CARBONATE 800 MG TABLET,453.6,226.8,98.93,408.24,65
NDC,65162006205,SUCRALFATE 100 MG/ML ORAL SUSPENSION,651.0,325.5,141.98,585.9,65
NDC,65162008203,LURASIDONE 60 MG TABLET,51.7,25.85,11.28,46.53,65
NDC,65162008774,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,754.5,377.25,164.56,679.05,65
NDC,65162010110,GABAPENTIN 100 MG CAPSULE,30.0,15.0,6.54,27.0,65
NDC,65162010210,GABAPENTIN 300 MG CAPSULE,52.8,26.4,11.52,47.52,65
NDC,65162010310,GABAPENTIN 400 MG CAPSULE,69.0,34.5,15.05,62.1,65
NDC,65162010350,GABAPENTIN 400 MG CAPSULE,307.5,153.75,67.07,276.75,65
NDC,65162018810,NAPROXEN 250 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,65162018850,NAPROXEN 250 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,65162018910,NAPROXEN 375 MG TABLET,40.8,20.4,8.9,36.72,65
NDC,65162019010,NAPROXEN 500 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,65162020710,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,280.2,140.1,61.11,252.18,65
NDC,65162021210,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,65162023109,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",313.2,156.6,68.31,281.88,65
NDC,65162023309,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",305.1,152.55,66.54,274.59,65
NDC,65162025009,CHLORTHALIDONE 50 MG TABLET,111.8,55.9,24.38,100.62,65
NDC,65162027110,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,65162027210,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,65162028003,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",300.3,150.15,65.5,270.27,65
NDC,65162028103,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",300.3,150.15,65.5,270.27,65
NDC,65162028203,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",168.3,84.15,36.71,151.47,65
NDC,65162028303,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",438.9,219.45,95.72,395.01,65
NDC,65162032109,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",189.55,94.78,41.34,170.6,65
NDC,65162032309,"NIACIN ER 1,000 MG TABLET,EXTENDED RELEASE 24 HR",299.7,149.85,65.36,269.73,65
NDC,65162035109,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,51.3,25.65,11.19,46.17,65
NDC,65162036110,FOLIC ACID 1 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,65162036111,FOLIC ACID 1 MG TABLET,276.0,138.0,60.2,248.4,65
NDC,65162037110,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",96.0,48.0,20.94,86.4,65
NDC,65162041503,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,163.45,81.73,9.04,147.11,66
NDC,65162041603,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,98.85,49.43,5.1,88.97,66
NDC,65162044210,MECLIZINE 25 MG TABLET,106.2,53.1,23.16,95.58,65
NDC,65162044211,MECLIZINE 25 MG TABLET,885.0,442.5,193.02,796.5,65
NDC,65162046410,IBUPROFEN 400 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,65162046450,IBUPROFEN 400 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,65162046510,IBUPROFEN 600 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,65162046550,IBUPROFEN 600 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,65162046609,IBUPROFEN 800 MG TABLET,79.95,39.98,17.44,71.96,65
NDC,65162046610,IBUPROFEN 800 MG TABLET,59.4,29.7,12.96,53.46,65
NDC,65162046650,IBUPROFEN 800 MG TABLET,310.0,155.0,67.61,279.0,65
NDC,65162046819,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,169.2,84.6,36.9,152.28,65
NDC,65162047505,NORETHINDRONE ACETATE 5 MG TABLET,346.0,173.0,75.46,311.4,65
NDC,65162047509,NORETHINDRONE ACETATE 5 MG TABLET,626.4,313.2,136.62,563.76,65
NDC,65162047810,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,704.0,352.0,153.54,633.6,65
NDC,65162050603,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",57.8,28.9,12.61,52.02,65
NDC,65162051210,SALSALATE 500 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,65162051310,SALSALATE 750 MG TABLET,239.4,119.7,52.21,215.46,65
NDC,65162052110,PROMETHAZINE 25 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,65162052210,PROMETHAZINE 50 MG TABLET,46.2,23.1,10.08,41.58,65
NDC,65162055410,DEMECLOCYCLINE 150 MG TABLET,2207.0,1103.5,481.35,1986.3,65
NDC,65162055548,DEMECLOCYCLINE 300 MG TABLET,2207.05,1103.53,481.36,1986.35,65
NDC,65162055710,TEMAZEPAM 30 MG CAPSULE,78.0,39.0,17.01,70.2,65
NDC,65162057110,BETHANECHOL CHLORIDE 5 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,65162057210,BETHANECHOL CHLORIDE 10 MG TABLET,176.4,88.2,38.47,158.76,65
NDC,65162057310,BETHANECHOL CHLORIDE 25 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,65162059606,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",296.7,148.35,64.71,267.03,65
NDC,65162062710,TRAMADOL 50 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,65162062711,TRAMADOL 50 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,65162062750,TRAMADOL 50 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,65162063003,ITRACONAZOLE 100 MG CAPSULE,199.1,99.55,43.42,179.19,65
NDC,65162064978,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,375.0,187.5,81.79,337.5,65
NDC,65162067384,RISPERIDONE 1 MG/ML ORAL SOLUTION,88.4,44.2,19.28,79.56,65
NDC,65162068090,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,193.0,96.5,42.09,173.7,65
NDC,65162068110,PHENAZOPYRIDINE 100 MG TABLET,187.8,93.9,40.96,169.02,65
NDC,65162068210,PHENAZOPYRIDINE 200 MG TABLET,281.4,140.7,61.37,253.26,65
NDC,65162068688,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,1071.6,535.8,233.72,964.44,65
NDC,65162068784,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,51.15,25.58,11.16,46.04,65
NDC,65162069179,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,147.9,73.95,32.26,133.11,65
NDC,65162069388,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,2081.55,1040.78,453.99,1873.4,65
NDC,65162069890,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,274.35,137.18,59.84,246.92,65
NDC,65162071003,COLCHICINE 0.6 MG TABLET,81.2,40.6,17.71,73.08,65
NDC,65162071009,COLCHICINE 0.6 MG TABLET,307.35,153.68,67.03,276.62,65
NDC,65162071110,GUANFACINE 1 MG TABLET,260.0,130.0,56.71,234.0,65
NDC,65162071310,GUANFACINE 2 MG TABLET,404.0,202.0,88.11,363.6,65
NDC,65162073509,FELBAMATE 600 MG TABLET,1170.9,585.45,255.37,1053.81,65
NDC,65162074510,PROMETHAZINE 12.5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,65162075510,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",153.6,76.8,33.5,138.24,65
NDC,65162075710,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",229.2,114.6,49.99,206.28,65
NDC,65162076110,WARFARIN 1 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,65162076310,WARFARIN 2.5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,65162076510,WARFARIN 4 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,65162076610,WARFARIN 5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,65162076810,WARFARIN 7.5 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,65162077810,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",1047.5,523.75,228.46,942.75,65
NDC,65162078203,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",236.55,118.28,51.59,212.9,65
NDC,65162078503,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",236.55,118.28,51.59,212.9,65
NDC,65162080114,TEMOZOLOMIDE 5 MG CAPSULE,206.15,103.08,44.96,185.54,65
NDC,65162080214,TEMOZOLOMIDE 20 MG CAPSULE,396.7,198.35,86.52,357.03,65
NDC,65162080251,TEMOZOLOMIDE 20 MG CAPSULE,170.05,85.03,37.09,153.05,65
NDC,65162080314,TEMOZOLOMIDE 100 MG CAPSULE,1616.95,808.48,352.66,1455.26,65
NDC,65162080351,TEMOZOLOMIDE 100 MG CAPSULE,577.5,288.75,125.95,519.75,65
NDC,65162080451,TEMOZOLOMIDE 140 MG CAPSULE,836.65,418.33,182.47,752.99,65
NDC,65162080710,PROGESTERONE MICRONIZED 100 MG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,65162082534,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,637.95,318.98,139.14,574.16,65
NDC,65162083366,DICLOFENAC 1 % TOPICAL GEL,199.8,99.9,43.58,179.82,65
NDC,65162083594,ACYCLOVIR 5 % TOPICAL OINTMENT,82.9,41.45,18.08,74.61,65
NDC,65162083809,VALSARTAN 80 MG TABLET,163.1,81.55,35.57,146.79,65
NDC,65162083909,VALSARTAN 160 MG TABLET,198.75,99.38,43.35,178.88,65
NDC,65162084106,LUBIPROSTONE 8 MCG CAPSULE,277.5,138.75,60.52,249.75,65
NDC,65162084206,LUBIPROSTONE 24 MCG CAPSULE,277.5,138.75,60.52,249.75,65
NDC,65162087903,LURASIDONE 20 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,65162088003,LURASIDONE 40 MG TABLET,37.1,18.55,8.09,33.39,65
NDC,65162088103,LURASIDONE 80 MG TABLET,60.85,30.43,13.27,54.77,65
NDC,65162088203,LURASIDONE 120 MG TABLET,90.2,45.1,19.67,81.18,65
NDC,65162089129,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,248.1,124.05,54.11,223.29,65
NDC,65162089603,ARIPIPRAZOLE 2 MG TABLET,55.1,27.55,12.02,49.59,65
NDC,65162089609,ARIPIPRAZOLE 2 MG TABLET,165.25,82.63,36.04,148.73,65
NDC,65162089703,ARIPIPRAZOLE 5 MG TABLET,55.1,27.55,12.02,49.59,65
NDC,65162089709,ARIPIPRAZOLE 5 MG TABLET,131.25,65.63,28.63,118.13,65
NDC,65162089803,ARIPIPRAZOLE 10 MG TABLET,55.1,27.55,12.02,49.59,65
NDC,65162089809,ARIPIPRAZOLE 10 MG TABLET,164.7,82.35,35.92,148.23,65
NDC,65162089903,ARIPIPRAZOLE 15 MG TABLET,55.1,27.55,12.02,49.59,65
NDC,65162089909,ARIPIPRAZOLE 15 MG TABLET,131.8,65.9,28.75,118.62,65
NDC,65162090109,ARIPIPRAZOLE 20 MG TABLET,211.7,105.85,46.17,190.53,65
NDC,65162091322,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,2250.75,1125.38,490.89,2025.68,65
NDC,65162091446,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,37.05,18.53,8.08,33.35,66
NDC,65162091838,LIDOCAINE 5 % TOPICAL OINTMENT,67.45,33.73,14.71,60.71,65
NDC,65162094903,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",158.05,79.03,34.47,142.25,65
NDC,65162095803,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",254.25,127.13,55.45,228.83,65
NDC,65162098904,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,48.8,24.4,10.64,43.92,65
NDC,65162098908,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,325.15,162.58,70.92,292.64,65
NDC,65162099504,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,49.6,24.8,10.82,44.64,65
NDC,65174002110,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,2453.4,1226.7,535.09,2208.06,64
NDC,65174027030,TC-99M ALBUMIN INTRAVENOUS SOLUTION,185.0,92.5,40.35,166.5,64
NDC,65174028830,TC-99M PENTETIC ACID IV SOLUTION,187.95,93.98,40.99,169.16,64
NDC,65174046105,SODIUM IODIDE-131 (I-131) 3.7 MBQ (100 MICROCI) CAPSULE,252.9,126.45,55.16,227.61,64
NDC,65174066030,TC-99M MEDRONATE SODIUM IV SOLUTION,79.05,39.53,17.24,71.15,64
NDC,65174088050,SODIUM IODIDE-131 (I-131) 500 MCI/0.5 ML ORAL KIT (THERAPEUTIC),42187.5,21093.75,23.59,37968.75,69
NDC,65219000600,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,46.0,23.0,0.13,41.4,66
NDC,65219000601,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,46.0,23.0,0.13,41.4,66
NDC,65219001200,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.13,40.86,66
NDC,65219001201,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.13,40.86,66
NDC,65219001401,AMPICILLIN 250 MG SOLUTION FOR INJECTION,47.1,23.55,1.12,42.39,66
NDC,65219001410,AMPICILLIN 250 MG SOLUTION FOR INJECTION,47.1,23.55,1.12,42.39,66
NDC,65219001601,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.3,23.65,1.12,42.57,66
NDC,65219001610,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.3,23.65,1.12,42.57,66
NDC,65219001801,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,57.75,28.88,1.12,51.98,66
NDC,65219002003,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,69.05,34.53,1.12,62.15,66
NDC,65219002023,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,69.05,34.53,1.12,62.15,66
NDC,65219005209,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,151.4,75.7,33.02,136.26,65
NDC,65219005229,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,151.4,75.7,33.02,136.26,65
NDC,65219005409,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,277.75,138.88,60.58,249.98,65
NDC,65219005429,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,277.75,138.88,60.58,249.98,65
NDC,65219005609,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,546.25,273.13,119.14,491.63,65
NDC,65219005629,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,546.25,273.13,119.14,491.63,65
NDC,65219006502,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.95,10.98,4.79,19.76,65
NDC,65219011801,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,79.0,39.5,17.23,71.1,66
NDC,65219011810,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,79.0,39.5,17.23,71.1,66
NDC,65219011901,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,79.0,39.5,17.23,71.1,66
NDC,65219011910,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,79.0,39.5,17.23,71.1,66
NDC,65219013120,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,65219013520,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,65219014002,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.95,23.98,10.46,43.16,65
NDC,65219014004,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,47.95,23.98,10.46,43.16,65
NDC,65219014202,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219014210,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219014606,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219014610,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219014808,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219014810,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219015000,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,58.0,29.0,12.65,65.33,66
NDC,65219015075,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,58.0,29.0,12.65,65.33,66
NDC,65219015302,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219015310,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,79.0,39.5,17.23,71.1,66
NDC,65219016201,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",69.1,34.55,0.05,62.19,66
NDC,65219016210,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",69.1,34.55,0.05,62.19,66
NDC,65219016401,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",125.2,62.6,0.05,112.68,66
NDC,65219016450,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",125.2,62.6,0.05,112.68,66
NDC,65219018401,KETAMINE 10 MG/ML INJECTION SOLUTION,36.15,18.08,7.88,32.54,65
NDC,65219018420,KETAMINE 10 MG/ML INJECTION SOLUTION,36.15,18.08,7.88,32.54,65
NDC,65219018601,KETAMINE 100 MG/ML INJECTION SOLUTION,29.25,14.63,6.38,26.33,65
NDC,65219018605,KETAMINE 100 MG/ML INJECTION SOLUTION,29.25,14.63,6.38,26.33,65
NDC,65219018801,KETAMINE 50 MG/ML INJECTION SOLUTION,28.9,14.45,6.3,26.01,65
NDC,65219018810,KETAMINE 50 MG/ML INJECTION SOLUTION,28.9,14.45,6.3,26.01,65
NDC,65219019030,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,302.35,151.18,1.28,272.12,66
NDC,65219020401,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,246.9,123.45,53.85,222.21,65
NDC,65219020420,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,246.9,123.45,53.85,222.21,65
NDC,65219020505,TEMSIROLIMUS 10 MG/ML (AFTER RECONSTITUTION) INTRAVENOUS SOLUTION,2065.4,1032.7,27.25,1858.86,71
NDC,65219025600,PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION,270.7,135.35,1.3,243.63,66
NDC,65219025700,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,43.25,21.63,9.43,38.93,65
NDC,65219025701,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,43.25,21.63,9.43,38.93,65
NDC,65219025905,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,48.1,24.05,1.3,43.29,66
NDC,65219025915,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,47.45,23.73,1.3,42.71,66
NDC,65219025945,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,48.1,24.05,1.3,43.29,66
NDC,65219025955,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,47.45,23.73,1.3,42.71,66
NDC,65219028103,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,69.35,34.68,15.13,62.42,65
NDC,65219028105,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,138.7,69.35,30.25,124.83,65
NDC,65219028107,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,69.35,34.68,15.13,62.42,65
NDC,65219028108,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,92.45,46.23,20.16,83.21,65
NDC,65219028110,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,92.45,46.23,20.16,83.21,65
NDC,65219028115,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION,138.7,69.35,30.25,124.83,65
NDC,65219029300,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,83.25,41.63,3.59,74.93,71
NDC,65219029301,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,83.25,41.63,3.59,74.93,71
NDC,65219038306,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,207.75,103.88,0.13,186.98,66
NDC,65219038350,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,207.75,103.88,0.13,186.98,66
NDC,65219038902,ELECTROLYTE-A INTRAVENOUS SOLUTION,109.0,54.5,23.77,98.1,65
NDC,65219038910,ELECTROLYTE-A INTRAVENOUS SOLUTION,109.0,54.5,23.77,98.1,65
NDC,65219040100,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,77.65,38.83,16.94,69.89,65
NDC,65219042950,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,581.75,290.88,0.81,523.58,70
NDC,65219043301,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,52.1,26.05,11.36,46.89,65
NDC,65219043315,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,52.1,26.05,11.36,46.89,65
NDC,65219043602,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.3,23.65,1.3,42.57,66
NDC,65219043620,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.3,23.65,1.3,42.57,66
NDC,65219044501,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,30.55,15.28,6.66,27.5,65
NDC,65219044510,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,30.55,15.28,6.66,27.5,65
NDC,65219044702,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,35.3,17.65,7.7,31.77,65
NDC,65219044720,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,35.3,17.65,7.7,31.77,65
NDC,65219053101,FAT EMULSION 20 % INTRAVENOUS,76.2,38.1,16.62,68.58,65
NDC,65219053110,FAT EMULSION 20 % INTRAVENOUS,76.2,38.1,16.62,68.58,65
NDC,65219053301,FAT EMULSION 20 % INTRAVENOUS,91.5,45.75,19.96,82.35,65
NDC,65219053325,FAT EMULSION 20 % INTRAVENOUS,91.5,45.75,19.96,82.35,65
NDC,65219053401,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",115.6,57.8,25.21,104.04,65
NDC,65219053410,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",115.6,57.8,25.21,104.04,65
NDC,65219053501,FAT EMULSION 20 % INTRAVENOUS,120.0,60.0,26.17,108.0,65
NDC,65219053550,FAT EMULSION 20 % INTRAVENOUS,120.0,60.0,26.17,108.0,65
NDC,65219056420,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,450.0,225.0,20.75,405.0,71
NDC,65219056620,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,450.0,225.0,20.75,405.0,71
NDC,65219056800,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,503.5,251.75,20.75,453.15,71
NDC,65219057001,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.6,10.8,0.37,19.44,70
NDC,65219057004,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.6,10.8,0.37,19.44,70
NDC,65219057201,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.7,23.35,0.37,42.03,70
NDC,65219057210,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.7,23.35,0.37,42.03,70
NDC,65219059004,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1799.4,899.7,4.5,1619.46,70
NDC,65219059210,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3573.7,1786.85,4.5,3216.33,70
NDC,65219059420,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,7122.4,3561.2,4.5,6410.16,70
NDC,65219062202,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,110.15,55.08,0.06,99.14,66
NDC,65219062210,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,110.15,55.08,0.06,99.14,66
NDC,65219063001,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.4,34.7,15.14,62.46,65
NDC,65219063019,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.4,34.7,15.14,62.46,65
NDC,65250000101,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2264.7,1132.35,18.66,2038.23,71
NDC,65250000301,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2264.7,1132.35,18.66,2038.23,71
NDC,65250013304,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1062.2,531.1,1.43,955.98,70
NDC,65250013309,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1062.25,531.13,1.43,956.03,70
NDC,65250013310,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1062.2,531.1,1.43,955.98,70
NDC,65250026609,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1788.8,894.4,1.43,1609.92,70
NDC,65250026620,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1788.7,894.35,1.43,1609.83,70
NDC,65282160501,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,65302050103,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,64.05,32.03,1.79,57.65,66
NDC,65302050105,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,41.7,20.85,1.79,37.53,66
NDC,65302050304,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,53.8,26.9,11.73,48.42,65
NDC,65302050405,"SUCCINYLCHOLINE(PF)100 MG/5 ML (20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",36.9,18.45,0.89,33.21,66
NDC,65302050410,"SUCCINYLCHOLINE(PF)200 MG/10 ML(20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",40.5,20.25,0.89,36.45,66
NDC,65302050510,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,52.0,26.0,11.34,46.8,65
NDC,65302050610,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,49.9,24.95,10.88,44.91,65
NDC,65302050930,SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION,93.95,46.98,20.49,84.56,65
NDC,65302051005,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,37.5,18.75,8.18,33.75,65
NDC,65302052815,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,225.0,112.5,49.07,202.5,65
NDC,65302052905,KETAMINE 10 MG/ML INJECTION SOLUTION,31.5,15.75,6.87,28.35,65
NDC,65597020130,EDOXABAN 15 MG TABLET,1907.55,953.78,416.04,1716.8,65
NDC,65597020230,EDOXABAN 30 MG TABLET,2002.5,1001.25,436.75,1802.25,65
NDC,65597020330,EDOXABAN 60 MG TABLET,2002.5,1001.25,436.75,1802.25,65
NDC,65597040601,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,11789.0,5894.5,29.13,10610.1,71
NDC,65597050404,QUIZARTINIB 17.7 MG TABLET,30576.0,15288.0,6668.63,27518.4,65
NDC,65597050428,QUIZARTINIB 17.7 MG TABLET,61152.0,30576.0,13337.25,55036.8,65
NDC,65597060230,PRASUGREL HCL 10 MG TABLET,2132.7,1066.35,465.14,1919.43,65
NDC,65597070118,COLESEVELAM 625 MG TABLET,2489.05,1244.53,542.86,2240.15,65
NDC,65597080101,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION,19614.3,9807.15,4277.88,17652.87,65
NDC,65628005001,FIRST - MOUTHWASH BLM,532.1,266.05,116.05,478.89,65
NDC,65628005004,FIRST - MOUTHWASH BLM,382.95,191.48,83.52,344.66,65
NDC,65628006201,PROGESTERONE 100 MG VAGINAL SUPPOSITORY,680.4,340.2,148.4,612.36,65
NDC,65628008003,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,744.3,372.15,162.33,669.87,65
NDC,65628008005,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,744.0,372.0,162.27,669.6,65
NDC,65628008010,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,744.0,372.0,162.27,669.6,65
NDC,65628010104,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,638.4,319.2,139.24,574.56,65
NDC,65628020605,VANCOMYCIN 50 MG/ML ORAL SOLUTION,757.5,378.75,165.21,681.75,65
NDC,65628020810,VANCOMYCIN 50 MG/ML ORAL SOLUTION,1206.0,603.0,263.03,1085.4,65
NDC,65649010102,BALSALAZIDE 750 MG CAPSULE,6965.3,3482.65,1519.13,6268.77,65
NDC,65649010302,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",2358.6,1179.3,514.41,2122.74,65
NDC,65649015090,METHYLNALTREXONE 150 MG TABLET,9333.75,4666.88,2035.69,8400.38,65
NDC,65649030103,RIFAXIMIN 200 MG TABLET,1556.7,778.35,339.52,1401.03,65
NDC,65649030302,RIFAXIMIN 550 MG TABLET,12807.15,6403.58,2793.24,11526.44,65
NDC,65649030303,RIFAXIMIN 550 MG TABLET,12807.15,6403.58,2793.24,11526.44,65
NDC,65649031112,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,318.8,159.4,69.53,286.92,65
NDC,65649040001,PEG3350 140 GRAM-SOD SULFATE 9 GRAM-NACL 5.2GRAM-KCL-C ORAL PWDR PACKS,432.85,216.43,94.4,389.57,65
NDC,65649041124,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,735.0,367.5,160.3,661.5,65
NDC,65649055102,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,785.5,392.75,171.32,706.95,65
NDC,65649055103,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,785.5,392.75,171.32,706.95,65
NDC,65649055107,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SYRINGE,785.5,392.75,171.32,706.95,65
NDC,65649055204,METHYLNALTREXONE 8 MG/0.4 ML SUBCUTANEOUS SYRINGE,785.5,392.75,171.32,706.95,65
NDC,65757030001,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",6275.9,3137.95,4.24,5648.31,71
NDC,65757030202,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",6275.9,3137.95,4.24,5648.31,71
NDC,65757040103,"ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION, EXT.REL. IM SYRINGE",5295.2,2647.6,3.41,4765.68,71
NDC,65757040203,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE",7948.8,3974.4,3.41,7153.92,71
NDC,65757040303,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",10590.3,5295.15,3.41,9531.27,71
NDC,65757040403,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE",12775.7,6387.85,3.41,11498.13,71
NDC,65757050003,"ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE",8104.9,4052.45,3.31,7294.41,71
NDC,65857030030,"SODIUM FLUORIDE F-18 10-200 MCI/ML (370-7,400 MBQ/ML) INTRAVENOUS SOLN",2759.95,1379.98,601.95,2483.96,64
NDC,65857045005,TC-99M TILMANOCEPT SOLUTION FOR INJECTION,16508.25,8254.13,3600.45,14857.43,64
NDC,65862000501,CITALOPRAM 10 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,65862000601,CITALOPRAM 20 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,65862000701,CITALOPRAM 40 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,65862000801,METFORMIN 500 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,65862001130,SERTRALINE 25 MG TABLET,17.1,8.55,3.73,15.39,65
NDC,65862001201,SERTRALINE 50 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,65862001205,SERTRALINE 50 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,65862001230,SERTRALINE 50 MG TABLET,17.1,8.55,3.73,15.39,65
NDC,65862001301,SERTRALINE 100 MG TABLET,50.4,25.2,10.99,45.36,65
NDC,65862001305,SERTRALINE 100 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,65862001330,SERTRALINE 100 MG TABLET,16.6,8.3,3.62,14.94,65
NDC,65862001401,AMOXICILLIN 500 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,65862001501,AMOXICILLIN 875 MG TABLET,210.0,105.0,45.8,189.0,65
NDC,65862001601,AMOXICILLIN 250 MG CAPSULE,28.2,14.1,6.15,25.38,65
NDC,65862001701,AMOXICILLIN 500 MG CAPSULE,54.0,27.0,11.78,48.6,65
NDC,65862001801,CEPHALEXIN 250 MG CAPSULE,66.0,33.0,14.39,59.4,65
NDC,65862001901,CEPHALEXIN 500 MG CAPSULE,109.2,54.6,23.82,98.28,65
NDC,65862002106,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,77.4,38.7,16.88,69.66,65
NDC,65862002206,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,90.55,45.28,19.75,81.5,65
NDC,65862002460,ZIDOVUDINE 300 MG TABLET,299.9,149.95,65.41,269.91,65
NDC,65862002560,LAMIVUDINE 150 MG TABLET,675.6,337.8,147.35,608.04,65
NDC,65862002760,NEVIRAPINE 200 MG TABLET,54.4,27.2,11.86,48.96,65
NDC,65862003660,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,630.6,315.3,137.53,567.54,65
NDC,65862004824,ZIDOVUDINE 10 MG/ML ORAL SYRUP,200.2,100.1,43.66,180.18,65
NDC,65862004930,EFAVIRENZ 600 MG TABLET,400.35,200.18,87.32,360.32,65
NDC,65862005524,LAMIVUDINE 10 MG/ML ORAL SOLUTION,415.2,207.6,90.56,373.68,65
NDC,65862005724,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,729.6,364.8,159.13,656.64,65
NDC,65862006201,METOPROLOL TARTRATE 25 MG TABLET,6.6,3.3,1.44,5.94,65
NDC,65862006299,METOPROLOL TARTRATE 25 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,65862006301,METOPROLOL TARTRATE 50 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,65862006399,METOPROLOL TARTRATE 50 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,65862006401,METOPROLOL TARTRATE 100 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,65862007101,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,21.0,10.5,4.58,18.9,65
NDC,65862007150,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,15.0,7.5,3.27,13.5,65
NDC,65862007175,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,19.35,9.68,4.22,17.42,65
NDC,65862007360,ABACAVIR 300 MG TABLET,750.0,375.0,163.58,675.0,65
NDC,65862007601,CIPROFLOXACIN 250 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,65862007701,CIPROFLOXACIN 500 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,65862007705,CIPROFLOXACIN 500 MG TABLET,392.5,196.25,85.6,353.25,65
NDC,65862007850,CIPROFLOXACIN 750 MG TABLET,142.8,71.4,31.14,128.52,65
NDC,65862007930,TERBINAFINE HCL 250 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,65862008501,CEFADROXIL 500 MG CAPSULE,294.0,147.0,64.12,264.6,65
NDC,65862009520,CEFPODOXIME 100 MG TABLET,232.2,116.1,50.64,208.98,65
NDC,65862009620,CEFPODOXIME 200 MG TABLET,326.5,163.25,71.21,293.85,65
NDC,65862010701,ZIDOVUDINE 100 MG CAPSULE,700.0,350.0,152.67,630.0,65
NDC,65862014201,CARVEDILOL 3.125 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,65862014205,CARVEDILOL 3.125 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,65862014401,CARVEDILOL 12.5 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,65862014636,SUMATRIPTAN 25 MG TABLET,18.0,9.0,3.93,16.2,65
NDC,65862014736,SUMATRIPTAN 50 MG TABLET,22.2,11.1,4.84,19.98,65
NDC,65862014930,FINASTERIDE 5 MG TABLET,18.4,9.2,4.01,16.56,65
NDC,65862014990,FINASTERIDE 5 MG TABLET,58.9,29.45,12.85,53.01,65
NDC,65862017501,PENICILLIN V POTASSIUM 250 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,65862017601,PENICILLIN V POTASSIUM 500 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,65862017760,CEFDINIR 300 MG CAPSULE,291.6,145.8,63.6,262.44,65
NDC,65862018501,CLINDAMYCIN HCL 150 MG CAPSULE,106.8,53.4,23.29,96.12,65
NDC,65862018601,CLINDAMYCIN HCL 300 MG CAPSULE,62.4,31.2,13.61,56.16,65
NDC,65862018730,ONDANSETRON HCL 4 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,65862018830,ONDANSETRON HCL 8 MG TABLET,32.25,16.13,7.03,29.03,65
NDC,65862019105,CYCLOBENZAPRINE 10 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,65862019201,FLUOXETINE 10 MG CAPSULE,10.8,5.4,2.36,9.72,65
NDC,65862019299,FLUOXETINE 10 MG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,65862019301,FLUOXETINE 20 MG CAPSULE,40.2,20.1,8.77,36.18,65
NDC,65862019399,FLUOXETINE 20 MG CAPSULE,228.0,114.0,49.73,205.2,65
NDC,65862019401,FLUOXETINE 40 MG CAPSULE,70.2,35.1,15.31,63.18,65
NDC,65862019430,FLUOXETINE 40 MG CAPSULE,17.3,8.65,3.77,15.57,65
NDC,65862019901,GABAPENTIN 300 MG CAPSULE,48.0,24.0,10.47,43.2,65
NDC,65862020001,GABAPENTIN 400 MG CAPSULE,46.2,23.1,10.08,41.58,65
NDC,65862020190,LOSARTAN 25 MG TABLET,42.15,21.08,9.19,37.94,65
NDC,65862020199,LOSARTAN 25 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,65862020230,LOSARTAN 50 MG TABLET,8.1,4.05,1.77,7.29,65
NDC,65862020290,LOSARTAN 50 MG TABLET,50.8,25.4,11.08,45.72,65
NDC,65862020299,LOSARTAN 50 MG TABLET,294.0,147.0,64.12,264.6,65
NDC,65862020330,LOSARTAN 100 MG TABLET,16.95,8.48,3.7,15.26,65
NDC,65862020768,RIBAVIRIN 200 MG TABLET,475.45,237.73,103.7,427.91,65
NDC,65862020901,MINOCYCLINE 50 MG CAPSULE,127.8,63.9,27.87,115.02,65
NDC,65862021001,MINOCYCLINE 75 MG CAPSULE,206.4,103.2,45.02,185.76,65
NDC,65862021150,MINOCYCLINE 100 MG CAPSULE,165.3,82.65,36.05,148.77,65
NDC,65862021901,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,130.8,65.4,28.53,117.72,65
NDC,65862021960,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,119.9,59.95,26.15,107.91,65
NDC,65862022560,CLARITHROMYCIN 250 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,65862022660,CLARITHROMYCIN 500 MG TABLET,118.1,59.05,25.76,106.29,65
NDC,65862023703,IBANDRONATE 150 MG TABLET,126.1,63.05,27.5,113.49,65
NDC,65862024608,LEVETIRACETAM 500 MG TABLET,38.9,19.45,8.48,35.01,65
NDC,65862025047,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,178.8,89.4,39.0,160.92,65
NDC,65862029084,RIBAVIRIN 200 MG CAPSULE,560.3,280.15,122.2,504.27,65
NDC,65862029490,ROSUVASTATIN 10 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,65862029590,ROSUVASTATIN 20 MG TABLET,22.7,11.35,4.95,20.43,65
NDC,65862029630,ROSUVASTATIN 40 MG TABLET,11.55,5.78,2.52,10.4,65
NDC,65862029690,ROSUVASTATIN 40 MG TABLET,44.85,22.43,9.78,40.37,65
NDC,65862030130,EMTRICITABINE 200 MG CAPSULE,2349.75,1174.88,512.48,2114.78,65
NDC,65862030612,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,249.15,124.58,54.34,224.24,65
NDC,65862032904,ALENDRONATE 70 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,65862035430,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,179.5,89.75,39.15,161.55,65
NDC,65862035705,CLOPIDOGREL 75 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,65862035730,CLOPIDOGREL 75 MG TABLET,14.6,7.3,3.18,13.14,65
NDC,65862035790,CLOPIDOGREL 75 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,65862036101,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,180.0,90.0,39.26,162.0,65
NDC,65862036201,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,189.0,94.5,41.22,170.1,65
NDC,65862037301,ESCITALOPRAM 5 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,65862037401,ESCITALOPRAM 10 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,65862037405,ESCITALOPRAM 10 MG TABLET,258.0,129.0,56.27,232.2,65
NDC,65862037501,ESCITALOPRAM 20 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,65862039010,ONDANSETRON 4 MG DISINTEGRATING TABLET,29.9,14.95,6.52,26.91,65
NDC,65862039110,ONDANSETRON 8 MG DISINTEGRATING TABLET,34.05,17.03,7.43,30.65,65
NDC,65862041901,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,65862042001,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,65862044830,VALACYCLOVIR 500 MG TABLET,146.55,73.28,31.96,131.9,65
NDC,65862044890,VALACYCLOVIR 500 MG TABLET,366.3,183.15,79.89,329.67,65
NDC,65862044990,VALACYCLOVIR 1 GRAM TABLET,583.2,291.6,127.2,524.88,65
NDC,65862045460,"ALPRAZOLAM ER 0.5 MG TABLET,EXTENDED RELEASE 24 HR",145.8,72.9,31.8,131.22,65
NDC,65862045860,GALANTAMINE 4 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,65862045960,GALANTAMINE 8 MG TABLET,89.3,44.65,19.48,80.37,65
NDC,65862046890,LOSARTAN 50 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,51.3,25.65,11.19,46.17,65
NDC,65862047501,RAMIPRIL 2.5 MG CAPSULE,18.0,9.0,3.93,16.2,65
NDC,65862047701,RAMIPRIL 10 MG CAPSULE,23.4,11.7,5.1,21.06,65
NDC,65862049101,QUETIAPINE 100 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,65862049647,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,258.3,129.15,56.34,232.47,65
NDC,65862049730,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,412.5,206.25,89.97,371.25,65
NDC,65862050220,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,52.8,26.4,11.52,47.52,65
NDC,65862050301,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,270.6,135.3,59.02,243.54,65
NDC,65862050320,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,43.6,21.8,9.51,39.24,65
NDC,65862051230,PIOGLITAZONE 15 MG TABLET,22.35,11.18,4.87,20.12,65
NDC,65862051290,PIOGLITAZONE 15 MG TABLET,68.05,34.03,14.84,61.25,65
NDC,65862051330,PIOGLITAZONE 30 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,65862051430,PIOGLITAZONE 45 MG TABLET,34.6,17.3,7.55,31.14,65
NDC,65862051501,NAPROXEN SODIUM 275 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,65862051601,NAPROXEN SODIUM 550 MG TABLET,375.0,187.5,81.79,337.5,65
NDC,65862052201,NAPROXEN 500 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,65862052730,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",16.05,8.03,3.5,14.45,65
NDC,65862052790,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",44.3,22.15,9.66,39.87,65
NDC,65862052830,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",31.5,15.75,6.87,28.35,65
NDC,65862052890,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",52.95,26.48,11.55,47.66,65
NDC,65862053301,AMOXICILLIN 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,17.4,8.7,3.79,15.66,65
NDC,65862053450,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,64.8,32.4,14.13,58.32,65
NDC,65862053475,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,68.85,34.43,15.02,61.97,65
NDC,65862053575,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,85.5,42.75,18.65,76.95,65
NDC,65862053650,LEVOFLOXACIN 250 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,65862053750,LEVOFLOXACIN 500 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,65862053820,LEVOFLOXACIN 750 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,65862056090,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",50.8,25.4,11.08,45.72,65
NDC,65862056890,MONTELUKAST 5 MG CHEWABLE TABLET,119.9,59.95,26.15,107.91,65
NDC,65862057290,VALSARTAN 160 MG TABLET,197.1,98.55,42.99,177.39,65
NDC,65862057490,MONTELUKAST 10 MG TABLET,47.0,23.5,10.25,42.3,65
NDC,65862058301,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE,123.6,61.8,26.96,111.24,65
NDC,65862058401,AMLODIPINE 5 MG-BENAZEPRIL 20 MG CAPSULE,135.0,67.5,29.44,121.5,65
NDC,65862059401,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",74.4,37.2,16.23,66.96,65
NDC,65862059501,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",88.2,44.1,19.24,79.38,65
NDC,65862059601,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,90.0,45.0,19.63,81.0,65
NDC,65862059801,TAMSULOSIN 0.4 MG CAPSULE,46.2,23.1,10.08,41.58,65
NDC,65862059805,TAMSULOSIN 0.4 MG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,65862060130,MODAFINIL 100 MG TABLET,27.2,13.6,5.93,24.48,65
NDC,65862060330,MOXIFLOXACIN 400 MG TABLET,441.0,220.5,96.18,396.9,65
NDC,65862062405,GEMFIBROZIL 600 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,65862064130,AZITHROMYCIN 250 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,65862064163,AZITHROMYCIN 250 MG TABLET,10.15,5.08,2.21,9.14,65
NDC,65862064169,AZITHROMYCIN 250 MG TABLET,5.7,2.85,1.24,5.13,65
NDC,65862064860,RIVASTIGMINE 1.5 MG CAPSULE,160.2,80.1,34.94,144.18,65
NDC,65862065360,MEMANTINE 10 MG TABLET,122.4,61.2,26.7,110.16,65
NDC,65862066130,ARIPIPRAZOLE 2 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,65862066230,ARIPIPRAZOLE 5 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,65862066330,ARIPIPRAZOLE 10 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,65862066430,ARIPIPRAZOLE 15 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,65862066530,ARIPIPRAZOLE 20 MG TABLET,52.75,26.38,11.5,47.48,65
NDC,65862067001,REPAGLINIDE 0.5 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,65862067101,REPAGLINIDE 1 MG TABLET,109.8,54.9,23.95,98.82,65
NDC,65862067601,ALPRAZOLAM 0.25 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,65862067701,ALPRAZOLAM 0.5 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,65862067705,ALPRAZOLAM 0.5 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,65862067801,ALPRAZOLAM 1 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,65862068730,RITONAVIR 100 MG TABLET,331.5,165.75,72.3,298.35,65
NDC,65862068890,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,117.75,58.88,25.68,105.98,65
NDC,65862069001,SILDENAFIL 50 MG TABLET,160.2,80.1,34.94,144.18,65
NDC,65862069030,SILDENAFIL 50 MG TABLET,30.8,15.4,6.72,27.72,65
NDC,65862069201,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,187.8,93.9,40.96,169.02,65
NDC,65862069299,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,1565.0,782.5,341.33,1408.5,65
NDC,65862069730,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",37.65,18.83,8.21,33.89,65
NDC,65862069790,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",86.95,43.48,18.96,78.26,65
NDC,65862069920,CEFUROXIME AXETIL 250 MG TABLET,47.2,23.6,10.29,42.48,65
NDC,65862069960,CEFUROXIME AXETIL 250 MG TABLET,189.0,94.5,41.22,170.1,65
NDC,65862070020,CEFUROXIME AXETIL 500 MG TABLET,88.6,44.3,19.32,79.74,65
NDC,65862070260,ZIPRASIDONE 20 MG CAPSULE,150.15,75.08,32.75,135.14,65
NDC,65862070360,ZIPRASIDONE 40 MG CAPSULE,150.15,75.08,32.75,135.14,65
NDC,65862070701,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,12.6,6.3,2.75,11.34,65
NDC,65862070755,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,16.2,8.1,3.53,14.58,65
NDC,65862070780,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,11.05,5.53,2.41,9.95,65
NDC,65862070901,RALOXIFENE 60 MG TABLET,355.5,177.75,77.53,319.95,65
NDC,65862071160,ATAZANAVIR 150 MG CAPSULE,809.1,404.55,176.46,728.19,65
NDC,65862071260,ATAZANAVIR 200 MG CAPSULE,891.0,445.5,194.33,801.9,65
NDC,65862071330,ATAZANAVIR 300 MG CAPSULE,891.0,445.5,194.33,801.9,65
NDC,65862073260,AMIODARONE 200 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,65862074430,"GALANTAMINE ER 8 MG 24 HR CAPSULE,EXTENDED RELEASE",270.0,135.0,58.89,243.0,65
NDC,65862075150,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,806.75,403.38,175.95,726.08,65
NDC,65862075360,VALGANCICLOVIR 450 MG TABLET,901.5,450.75,196.62,811.35,65
NDC,65862075705,OLOPATADINE 0.1 % EYE DROPS,157.35,78.68,34.32,141.62,65
NDC,65862076630,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",168.5,84.25,36.75,151.65,65
NDC,65862076730,"FESOTERODINE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",168.5,84.25,36.75,151.65,65
NDC,65862076990,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,124.75,62.38,27.21,112.28,65
NDC,65862078201,METHENAMINE HIPPURATE 1 GRAM TABLET,315.0,157.5,68.7,283.5,65
NDC,65862078430,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",59.95,29.98,13.08,53.96,65
NDC,65862078490,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",179.85,89.93,39.23,161.87,65
NDC,65862078917,BROMFENAC 0.09 % EYE DROPS,577.8,288.9,126.02,520.02,65
NDC,65862080530,ARMODAFINIL 50 MG TABLET,60.5,30.25,13.2,54.45,65
NDC,65862080630,ARMODAFINIL 150 MG TABLET,196.75,98.38,42.91,177.08,65
NDC,65862080730,ARMODAFINIL 250 MG TABLET,196.75,98.38,42.91,177.08,65
NDC,65862083003,PRASUGREL HCL 10 MG TABLET,137.35,68.68,29.96,123.62,65
NDC,65862083010,PRASUGREL HCL 10 MG TABLET,4.6,2.3,1.0,4.14,65
NDC,65862083030,PRASUGREL HCL 10 MG TABLET,38.2,19.1,8.33,34.38,65
NDC,65862083130,CINACALCET 30 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,65862083230,CINACALCET 60 MG TABLET,149.8,74.9,32.67,134.82,65
NDC,65862084003,MOXIFLOXACIN 0.5 % EYE DROPS,138.7,69.35,30.25,124.83,65
NDC,65862084130,ENTECAVIR 0.5 MG TABLET,299.1,149.55,65.23,269.19,65
NDC,65862084601,CLOZAPINE 100 MG TABLET,436.5,218.25,95.2,392.85,65
NDC,65862085901,FAMOTIDINE 20 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,65862085999,FAMOTIDINE 20 MG TABLET,285.0,142.5,62.16,256.5,65
NDC,65862088060,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),299.9,149.95,65.41,269.91,65
NDC,65862089130,VORICONAZOLE 50 MG TABLET,325.05,162.53,70.89,292.55,65
NDC,65862089230,VORICONAZOLE 200 MG TABLET,1125.0,562.5,245.36,1012.5,65
NDC,65862089610,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",37.95,18.98,8.28,34.16,65
NDC,65862089678,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",2527.6,1263.8,551.27,2274.84,65
NDC,65862090801,CELECOXIB 100 MG CAPSULE,66.0,33.0,14.39,59.4,65
NDC,65862090901,CELECOXIB 200 MG CAPSULE,108.0,54.0,23.55,97.2,65
NDC,65862091060,CELECOXIB 400 MG CAPSULE,103.35,51.68,22.54,93.02,65
NDC,65862092127,SEVELAMER CARBONATE 800 MG TABLET,305.1,152.55,66.54,274.59,65
NDC,65862092730,FINASTERIDE 1 MG TABLET,14.6,7.3,3.18,13.14,65
NDC,65862092790,FINASTERIDE 1 MG TABLET,38.9,19.45,8.48,35.01,65
NDC,65862093008,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,9.8,4.9,2.14,8.82,65
NDC,65862093090,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,731.7,365.85,159.58,658.53,65
NDC,65862093108,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,11.55,5.78,2.52,10.4,65
NDC,65862093190,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,864.0,432.0,188.44,777.6,65
NDC,65862093630,PARICALCITOL 1 MCG CAPSULE,211.7,105.85,46.17,190.53,65
NDC,65862094601,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,120.0,60.0,26.17,108.0,65
NDC,65862094760,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,581.7,290.85,126.87,523.53,65
NDC,65862095430,LURASIDONE 40 MG TABLET,97.75,48.88,21.32,87.98,65
NDC,65862096801,ESZOPICLONE 2 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,65862096901,ESZOPICLONE 3 MG TABLET,157.2,78.6,34.29,141.48,65
NDC,65862099830,ARMODAFINIL 200 MG TABLET,69.5,34.75,15.16,62.55,65
NDC,66215010103,BOSENTAN 62.5 MG TABLET,16920.0,8460.0,3690.25,15228.0,65
NDC,66215040201,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,265.0,132.5,17.71,238.5,66
NDC,66215040301,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,66
NDC,66215050115,MACITENTAN 10 MG TABLET,27058.2,13529.1,5901.39,24352.38,65
NDC,66215050130,MACITENTAN 10 MG TABLET,54600.0,27300.0,11908.26,49140.0,65
NDC,66215060206,SELEXIPAG 200 MCG TABLET,57365.8,28682.9,12511.48,51629.22,65
NDC,66215061006,"SELEXIPAG 1,000 MCG TABLET",105024.0,52512.0,22905.73,94521.6,65
NDC,66220016010,CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV,3321.0,1660.5,724.31,2988.9,65
NDC,66220020730,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,233.1,116.55,50.84,209.79,65
NDC,66220028411,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,159.4,79.7,34.77,143.46,65
NDC,66220028422,IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PIGGYBACK,159.4,79.7,34.77,143.46,65
NDC,66220028708,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,160.45,80.23,34.99,144.41,65
NDC,66220031511,TELAVANCIN 750 MG INTRAVENOUS SOLUTION,2453.4,1226.7,7.26,2208.06,70
NDC,66288130001,CEFAZOLIN 300 GRAM SOLUTION FOR INJECTION,1300.0,650.0,0.84,1170.0,66
NDC,66288710001,VANCOMYCIN 100 GRAM SOLUTION FOR INJECTION,2025.0,1012.5,2.56,1822.5,66
NDC,66302001401,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,30050.0,15025.0,6553.91,27045.0,65
NDC,66302010101,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,5595.85,2797.93,55.8,5036.27,71
NDC,66302010201,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,15432.2,7716.1,55.8,13888.98,71
NDC,66302010501,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,30839.4,15419.7,55.8,27755.46,71
NDC,66302011001,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,61653.75,30826.88,55.8,55488.38,71
NDC,66302020603,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,2950.3,1475.15,643.46,2655.27,66
NDC,66302030001,"TREPROSTINIL DIOLAMINE ER 0.125 MG TABLET,EXTENDED RELEASE",3250.0,1625.0,708.83,2925.0,65
NDC,66302030002,"TREPROSTINIL DIOLAMINE ER 0.125 MG TABLET,EXTENDED RELEASE",434.0,217.0,94.66,390.6,65
NDC,66302046760,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),15420.75,7710.38,3363.27,13878.68,65
NDC,66312017616,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",21.0,10.5,4.58,18.9,65
NDC,66490004101,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,4374.25,2187.13,46.99,3936.83,66
NDC,66490065020,DIAZEPAM 2.5 MG RECTAL KIT,455.85,227.93,99.42,410.27,65
NDC,66490069110,PRIMIDONE 250 MG TABLET,25315.2,12657.6,5521.25,22783.68,65
NDC,66530024940,FLUOROURACIL 5 % TOPICAL CREAM,1029.6,514.8,224.56,926.64,65
NDC,66582041431,EZETIMIBE 10 MG TABLET,1602.75,801.38,349.56,1442.48,65
NDC,66658023001,PALIVIZUMAB 50 MG/0.5 ML INTRAMUSCULAR SOLUTION,7282.65,3641.33,734.27,6554.39,71
NDC,66658023101,PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION,13751.7,6875.85,734.27,12376.53,71
NDC,66658023401,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,1053.45,526.73,229.76,948.11,65
NDC,66658023407,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,1053.45,526.73,229.76,948.11,65
NDC,66658050101,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,26744.2,13372.1,392.54,24069.78,71
NDC,66658051001,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,135105.4,67552.7,392.54,121594.86,71
NDC,66685100100,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,45.75,22.88,9.98,41.18,65
NDC,66685100101,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,174.6,87.3,38.08,157.14,65
NDC,66685100202,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,184.2,92.1,40.17,165.78,65
NDC,66685101200,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,60.0,30.0,13.09,54.0,65
NDC,66685101201,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,33.3,16.65,7.26,29.97,65
NDC,66689000401,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,20.1,10.05,4.38,18.09,65
NDC,66689000450,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,20.1,10.05,4.38,18.09,65
NDC,66689000501,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,19.2,9.6,4.19,17.28,65
NDC,66689000802,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",49.35,24.68,10.76,44.42,65
NDC,66689000816,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",167.05,83.53,36.43,150.35,65
NDC,66689002001,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,28.8,14.4,6.28,25.92,65
NDC,66689002050,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,28.8,14.4,6.28,25.92,65
NDC,66689002301,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,20.7,10.35,4.51,18.63,65
NDC,66689002304,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,55.45,27.73,12.09,49.91,65
NDC,66689002316,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,158.95,79.48,34.67,143.06,65
NDC,66689002350,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,20.7,10.35,4.51,18.63,65
NDC,66689002530,OXYCODONE 20 MG/ML ORAL CONCENTRATE,453.15,226.58,98.83,407.84,65
NDC,66689002801,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,28.2,14.1,6.15,25.38,65
NDC,66689002850,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,28.2,14.1,6.15,25.38,65
NDC,66689003101,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,13.9,6.95,3.03,12.51,65
NDC,66689003150,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,13.9,6.95,3.03,12.51,65
NDC,66689003601,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,39.15,19.58,8.54,35.24,65
NDC,66689003650,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,39.15,19.58,8.54,35.24,65
NDC,66689003701,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.8,2.4,1.05,4.32,65
NDC,66689003750,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.8,2.4,1.05,4.32,65
NDC,66689003799,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.2,2.1,0.92,3.78,65
NDC,66689003801,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,5.25,2.63,1.15,4.73,65
NDC,66689003850,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,5.25,2.63,1.15,4.73,65
NDC,66689003901,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,4.15,2.08,0.91,3.74,65
NDC,66689004701,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,61.05,30.53,13.32,54.95,65
NDC,66689004730,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,61.05,30.53,13.32,54.95,65
NDC,66689004750,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,13.25,6.63,2.89,11.93,65
NDC,66689004801,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,52.75,26.38,11.5,47.48,65
NDC,66689004850,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,52.75,26.38,11.5,47.48,65
NDC,66689005804,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,128.9,64.45,28.11,116.01,65
NDC,66689006201,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,180.4,90.2,39.35,162.36,65
NDC,66689006242,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,52.2,26.1,11.38,46.98,65
NDC,66689006301,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG/5 ML (5 ML) ELIXIR,151.25,75.63,32.99,136.13,65
NDC,66689006310,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG/5 ML (5 ML) ELIXIR,151.25,75.63,32.99,136.13,65
NDC,66689010201,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,46.95,23.48,10.24,42.26,65
NDC,66689010601,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.55,4.28,1.86,7.7,65
NDC,66689010650,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.55,4.28,1.86,7.7,65
NDC,66689010701,LACOSAMIDE 10 MG/ML ORAL SOLUTION,106.65,53.33,23.26,95.99,65
NDC,66689010710,LACOSAMIDE 10 MG/ML ORAL SOLUTION,106.65,53.33,23.26,95.99,65
NDC,66689030516,SUCRALFATE 100 MG/ML ORAL SUSPENSION,490.6,245.3,107.0,441.54,65
NDC,66689030708,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,1986.4,993.2,433.23,1787.76,65
NDC,66689032702,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,362.7,181.35,79.1,326.43,65
NDC,66689040101,OXYCODONE 5 MG/5 ML ORAL SOLUTION,27.4,13.7,5.98,24.66,65
NDC,66689040150,OXYCODONE 5 MG/5 ML ORAL SOLUTION,27.4,13.7,5.98,24.66,65
NDC,66689040316,OXYCODONE 5 MG/5 ML ORAL SOLUTION,485.0,242.5,105.78,436.5,65
NDC,66689040601,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,106.0,53.0,23.12,95.4,65
NDC,66689071216,METHADONE 10 MG/5 ML ORAL SOLUTION,832.5,416.25,181.57,749.25,65
NDC,66689073505,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,658.5,329.25,143.62,592.65,65
NDC,66689077508,PHENYTOIN 125 MG/5 ML ORAL SUSPENSION,163.55,81.78,35.67,147.2,65
NDC,66689079001,SUCRALFATE 100 MG/ML ORAL SUSPENSION,37.1,18.55,8.09,33.39,65
NDC,66689079050,SUCRALFATE 100 MG/ML ORAL SUSPENSION,37.1,18.55,8.09,33.39,65
NDC,66733077301,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,66733094823,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3053.2,1526.6,78.84,2747.88,71
NDC,66733095823,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6056.4,3028.2,78.84,5450.76,71
NDC,66758005001,DOCETAXEL 20 MG/2 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,66758005002,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,66758007138,CIPROFLOXACIN 0.3 % EYE OINTMENT,1256.7,628.35,274.09,1131.03,65
NDC,66758008570,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",1690.75,845.38,368.75,1521.68,65
NDC,66758008770,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",1684.85,842.43,367.47,1516.37,65
NDC,66758095985,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,365.05,182.53,79.62,328.55,65
NDC,66794015101,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,392.2,196.1,41.56,352.98,66
NDC,66794015501,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SYRINGE",917.5,458.75,184.85,825.75,71
NDC,66794015502,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",866.5,433.25,184.85,779.85,71
NDC,66794015602,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",1708.0,854.0,184.85,1537.2,71
NDC,66794015701,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE",2672.95,1336.48,184.85,2405.66,71
NDC,66794015702,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",2591.35,1295.68,184.85,2332.22,71
NDC,66794016202,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1549.9,774.95,12.48,1394.91,66
NDC,66794020302,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.2,11.1,0.47,19.98,71
NDC,66794020342,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.2,11.1,0.47,19.98,71
NDC,66794020442,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.3,11.15,0.47,20.07,71
NDC,66794020602,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,48.9,24.45,1.97,44.01,66
NDC,66794020641,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,48.9,24.45,1.97,44.01,66
NDC,66794020702,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,59.7,29.85,1.97,53.73,66
NDC,66794020741,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,59.7,29.85,1.97,53.73,66
NDC,66794020902,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,20.85,10.43,1.4,18.77,66
NDC,66794021002,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,56.6,28.3,1.4,50.94,66
NDC,66794021041,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,56.6,28.3,1.4,50.94,66
NDC,66794021302,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,46.45,23.23,0.55,41.81,66
NDC,66794021402,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.55,23.78,0.55,42.8,66
NDC,66794021442,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.55,23.78,0.55,42.8,66
NDC,66794021943,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,64.6,32.3,3.66,58.14,66
NDC,66794021963,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,64.6,32.3,3.66,58.14,66
NDC,66794022002,AMPICILLIN 250 MG SOLUTION FOR INJECTION,46.85,23.43,1.12,42.17,66
NDC,66794022041,AMPICILLIN 250 MG SOLUTION FOR INJECTION,46.85,23.43,1.12,42.17,66
NDC,66794022202,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.7,23.85,1.12,42.93,66
NDC,66794022302,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,51.5,25.75,1.12,46.35,66
NDC,66794022602,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,149.9,74.95,1.17,134.91,66
NDC,66794022802,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.35,10.68,4.66,19.22,65
NDC,66794022841,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.35,10.68,4.66,19.22,65
NDC,66794022902,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,66794022941,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,23.05,11.53,5.03,20.75,65
NDC,66794023002,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,54.15,27.08,11.81,48.74,65
NDC,66794023042,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,54.15,27.08,11.81,48.74,65
NDC,66794023502,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,115.6,57.8,25.21,104.04,65
NDC,66794023541,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,115.6,57.8,25.21,104.04,65
NDC,66794023702,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,77.7,38.85,16.95,69.93,65
NDC,66794023741,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,77.7,38.85,16.95,69.93,65
NDC,66794023902,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,244.6,122.3,53.35,220.14,65
NDC,66794023942,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,244.6,122.3,53.35,220.14,65
NDC,66794025502,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,91.2,45.6,19.89,82.08,65
NDC,66794025542,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,91.2,45.6,19.89,82.08,65
NDC,66794025802,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,52.15,26.08,11.37,46.94,65
NDC,66794025841,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,52.15,26.08,11.37,46.94,65
NDC,66869020490,PITAVASTATIN CALCIUM 2 MG TABLET,3422.9,1711.45,746.53,3080.61,65
NDC,66887000101,TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL,109.5,54.75,23.88,98.55,65
NDC,66887000105,TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL,109.5,54.75,23.88,98.55,65
NDC,66887000301,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.9 MG SOLUTION FOR INJECTION,27389.85,13694.93,70.88,24650.87,71
NDC,66975042551,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE",20.9,10.45,4.56,18.81,65
NDC,66993000210,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,500.05,250.03,109.06,450.05,65
NDC,66993001968,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,210.4,105.2,45.89,189.36,65
NDC,66993002127,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,65
NDC,66993002135,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,65
NDC,66993002227,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,65
NDC,66993002235,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,65
NDC,66993002327,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,65
NDC,66993002335,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,15.6,7.8,3.4,14.04,65
NDC,66993004230,ATOMOXETINE 25 MG CAPSULE,707.55,353.78,154.32,636.8,65
NDC,66993005702,HYDROXYCHLOROQUINE 200 MG TABLET,441.5,220.75,96.29,397.35,65
NDC,66993006027,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,500.3,250.15,109.12,450.27,65
NDC,66993006272,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,2561.2,1280.6,558.6,2305.08,65
NDC,66993006602,PHENOXYBENZAMINE 10 MG CAPSULE,6860.0,3430.0,1496.17,6174.0,65
NDC,66993006851,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",3.3,1.65,0.72,2.97,65
NDC,66993006880,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",159.0,79.5,34.68,143.1,65
NDC,66993007896,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,647.3,323.65,141.18,582.57,65
NDC,66993007996,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER,884.9,442.45,193.0,796.41,65
NDC,66993008096,FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER,1368.2,684.1,298.4,1231.38,65
NDC,66993011460,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",1630.2,815.1,355.55,1467.18,65
NDC,66993023460,DASATINIB 50 MG TABLET,36924.75,18462.38,8053.29,33232.28,65
NDC,66993024150,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,572.1,286.05,124.78,514.89,65
NDC,66993037025,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,218.9,109.45,47.74,197.01,66
NDC,66993037083,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,237.0,118.5,50.03,213.3,66
NDC,66993037202,PHENYTOIN 50 MG CHEWABLE TABLET,200.4,100.2,43.71,180.36,65
NDC,66993040732,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",786.6,393.3,171.56,707.94,65
NDC,66993040832,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",786.6,393.3,171.56,707.94,65
NDC,66993040932,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",786.6,393.3,171.56,707.94,65
NDC,66993042247,LANTHANUM 500 MG CHEWABLE TABLET,1638.9,819.45,357.44,1475.01,65
NDC,66993042285,LANTHANUM 500 MG CHEWABLE TABLET,2622.25,1311.13,571.91,2360.03,65
NDC,66993043385,PRAZOSIN 5 MG CAPSULE,232.2,116.1,50.64,208.98,65
NDC,66993045630,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,1840.65,920.33,401.45,1656.59,65
NDC,66993045730,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,1875.0,937.5,408.94,1687.5,65
NDC,66993047202,"NISOLDIPINE ER 8.5 MG TABLET,EXTENDED RELEASE 24 HR",1730.5,865.25,377.42,1557.45,65
NDC,66993048983,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,2590.25,1295.13,334.9,2331.23,71
NDC,66993049036,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1296.2,648.1,282.7,1166.58,65
NDC,66993049084,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1296.2,648.1,282.7,1166.58,65
NDC,66993058497,FLUTICASONE 100 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,381.9,190.95,83.29,343.71,65
NDC,66993058597,FLUTICASONE 250 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,572.7,286.35,124.91,515.43,65
NDC,66993058697,FLUTICASONE 500 MCG-SALMETEROL 50 MCG/DOSE BLISTR POWDR FOR INHALATION,741.3,370.65,161.68,667.17,65
NDC,66993059402,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",498.5,249.25,108.72,448.65,65
NDC,66993059502,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",498.5,249.25,108.72,448.65,65
NDC,66993060536,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,478.45,239.23,104.35,430.61,66
NDC,66993060581,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,478.45,239.23,104.35,430.61,66
NDC,66993072757,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,238.4,119.2,52.0,214.56,65
NDC,66993073080,DEXAMETHASONE 4 MG TABLET,502.0,251.0,109.49,451.8,65
NDC,66993083102,TRIAMTERENE 50 MG CAPSULE,3026.0,1513.0,659.97,2723.4,65
NDC,66993089715,"BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT",255.9,127.95,55.81,230.31,65
NDC,66993093661,METRONIDAZOLE 1 % TOPICAL GEL,504.3,252.15,109.99,453.87,65
NDC,66993096045,METRONIDAZOLE 0.75 % TOPICAL CREAM,221.7,110.85,48.35,199.53,65
NDC,66993096245,METRONIDAZOLE 0.75 % TOPICAL GEL,159.3,79.65,34.74,143.37,65
NDC,67066000501,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,2570.4,1285.2,41.33,2313.36,70
NDC,67157010150,ASCORBIC ACID (VITAMIN C) 500 MG/ML INTRAVENOUS SOLUTION,1275.75,637.88,278.24,1148.18,65
NDC,67157010151,ASCORBIC ACID (VITAMIN C) 500 MG/ML INTRAVENOUS SOLUTION,1260.5,630.25,274.92,1134.45,65
NDC,67253065110,PROPYLTHIOURACIL 50 MG TABLET,321.5,160.75,70.12,289.35,65
NDC,67308010101,AMINOLEVULINIC ACID HCL 20 % TOPICAL SOLUTION,1927.55,963.78,399.93,1734.8,71
NDC,67386013051,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7577.6,3788.8,20.04,6819.84,71
NDC,67386021165,VIGABATRIN 500 MG ORAL POWDER PACKET,35040.0,17520.0,7642.22,31536.0,65
NDC,67386031321,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,5793.15,2896.58,1263.49,5213.84,65
NDC,67386031401,CLOBAZAM 10 MG TABLET,11577.2,5788.6,2524.99,10419.48,65
NDC,67386082019,DROXIDOPA 100 MG CAPSULE,15350.8,7675.4,3348.01,13815.72,65
NDC,67405060403,FLUCONAZOLE 200 MG TABLET,112.35,56.18,24.5,101.12,65
NDC,67457000100,KETAMINE 50 MG/ML INJECTION SOLUTION,27.05,13.53,5.9,24.35,65
NDC,67457000110,KETAMINE 50 MG/ML INJECTION SOLUTION,27.05,13.53,5.9,24.35,65
NDC,67457011850,ASCORBIC ACID (VITAMIN C) 500 MG/ML INJECTION SOLUTION,441.5,220.75,96.29,397.35,65
NDC,67457012410,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,69.0,34.5,0.89,62.1,66
NDC,67457015300,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,0.48,43.43,66
NDC,67457015303,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,48.25,24.13,0.48,43.43,66
NDC,67457015309,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,64.1,32.05,0.48,57.69,66
NDC,67457015318,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,99.75,49.88,0.48,89.78,66
NDC,67457015399,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,64.1,32.05,0.48,57.69,66
NDC,67457016200,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,368.1,184.05,80.28,331.29,65
NDC,67457016202,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,368.1,184.05,80.28,331.29,65
NDC,67457016300,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,307.9,153.95,67.15,277.11,65
NDC,67457016302,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,307.9,153.95,67.15,277.11,65
NDC,67457017750,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2698.6,1349.3,588.56,2428.74,71
NDC,67457018100,KETAMINE 10 MG/ML INJECTION SOLUTION,56.3,28.15,12.28,50.67,65
NDC,67457018120,KETAMINE 10 MG/ML INJECTION SOLUTION,56.3,28.15,12.28,50.67,65
NDC,67457018200,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,23.35,11.68,0.28,21.02,66
NDC,67457018210,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,23.35,11.68,0.28,21.02,66
NDC,67457019350,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,97.82,405.0,71
NDC,67457019501,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,97.82,405.0,71
NDC,67457019600,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.1,11.55,5.04,20.79,65
NDC,67457019602,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.1,11.55,5.04,20.79,65
NDC,67457019700,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",68.3,34.15,14.9,61.47,65
NDC,67457019710,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",68.3,34.15,14.9,61.47,65
NDC,67457019800,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,273.85,136.93,59.73,246.47,65
NDC,67457019803,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,273.85,136.93,59.73,246.47,65
NDC,67457019805,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,445.25,222.63,97.11,400.73,65
NDC,67457019898,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,744.65,372.33,162.41,670.19,65
NDC,67457019899,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,445.25,222.63,97.11,400.73,65
NDC,67457020425,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,489.65,244.83,64.32,440.69,71
NDC,67457020725,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,489.65,244.83,64.32,440.69,71
NDC,67457020850,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,954.3,477.15,64.32,858.87,71
NDC,67457020950,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,954.3,477.15,64.32,858.87,71
NDC,67457021005,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,2102.35,1051.18,458.52,1892.12,71
NDC,67457021102,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1726.1,863.05,6.4,1553.49,71
NDC,67457021202,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,979.6,489.8,0.81,881.64,70
NDC,67457021720,METHADONE 10 MG/ML INJECTION SOLUTION,977.8,488.9,21.83,880.02,66
NDC,67457021810,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",109.6,54.8,21.38,98.64,66
NDC,67457022000,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,4355.4,2177.7,8.9,3919.86,70
NDC,67457022005,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,4355.4,2177.7,8.9,3919.86,70
NDC,67457022700,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,312.9,156.45,30.1,281.61,66
NDC,67457022702,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,312.9,156.45,30.1,281.61,66
NDC,67457022800,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,26.1,13.05,5.69,23.49,65
NDC,67457022805,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,26.1,13.05,5.69,23.49,65
NDC,67457022810,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,37.7,18.85,8.22,33.93,65
NDC,67457022899,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,37.7,18.85,8.22,33.93,65
NDC,67457023900,OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE,20.55,10.28,1.32,18.5,66
NDC,67457023901,OCTREOTIDE ACETATE 50 MCG/ML (1 ML) INJECTION SYRINGE,20.55,10.28,1.32,18.5,66
NDC,67457024500,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,29.1,14.55,1.32,26.19,66
NDC,67457024501,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,29.1,14.55,1.32,26.19,66
NDC,67457024600,OCTREOTIDE ACETATE 500 MCG/ML (1 ML) INJECTION SYRINGE,83.35,41.68,1.32,75.02,66
NDC,67457024601,OCTREOTIDE ACETATE 500 MCG/ML (1 ML) INJECTION SYRINGE,83.35,41.68,1.32,75.02,66
NDC,67457025100,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,89.35,44.68,19.49,80.42,65
NDC,67457025430,AZACITIDINE 100 MG SOLUTION FOR INJECTION,735.25,367.63,0.4,661.73,66
NDC,67457025500,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,77.2,38.6,0.07,69.48,66
NDC,67457025510,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,77.2,38.6,0.07,69.48,66
NDC,67457025600,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,355.6,177.8,0.24,320.04,66
NDC,67457025610,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,355.6,177.8,0.24,320.04,66
NDC,67457026500,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",89.8,44.9,0.07,80.82,66
NDC,67457026510,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",89.8,44.9,0.07,80.82,66
NDC,67457026600,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",111.4,55.7,0.07,100.26,66
NDC,67457026610,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",111.4,55.7,0.07,100.26,66
NDC,67457027300,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,54.0,27.0,6.28,48.6,66
NDC,67457027310,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,54.0,27.0,6.28,48.6,66
NDC,67457029100,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,66.95,33.48,6.2,60.26,66
NDC,67457029101,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,66.95,33.48,6.2,60.26,66
NDC,67457029200,NALOXONE 0.4 MG/ML INJECTION SOLUTION,25.3,12.65,5.52,22.77,65
NDC,67457029202,NALOXONE 0.4 MG/ML INJECTION SOLUTION,25.3,12.65,5.52,22.77,65
NDC,67457029750,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,2359.7,1179.85,514.65,2123.73,65
NDC,67457029900,NALOXONE 0.4 MG/ML INJECTION SOLUTION,174.8,87.4,38.12,157.32,65
NDC,67457029910,NALOXONE 0.4 MG/ML INJECTION SOLUTION,174.8,87.4,38.12,157.32,65
NDC,67457031105,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,2131.85,1065.93,6.86,1918.67,71
NDC,67457031625,DECITABINE 50 MG INTRAVENOUS SOLUTION,819.65,409.83,1.88,737.69,66
NDC,67457031725,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,69.1,34.55,1.03,62.19,66
NDC,67457032325,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,169.0,84.5,10.46,152.1,66
NDC,67457033900,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,67457033950,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,67457034000,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",48.25,24.13,10.52,43.43,65
NDC,67457034001,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",48.25,24.13,10.52,43.43,65
NDC,67457034105,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,431.45,215.73,94.1,388.31,65
NDC,67457034210,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,1009.65,504.83,220.2,908.69,65
NDC,67457034810,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.8,23.9,1.97,43.02,66
NDC,67457034815,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.8,23.9,1.97,43.02,66
NDC,67457034903,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.1,23.55,1.97,42.39,66
NDC,67457034910,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,47.1,23.55,1.97,42.39,66
NDC,67457035101,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,51.95,25.98,1.12,46.76,66
NDC,67457035110,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,51.95,25.98,1.12,46.76,66
NDC,67457035202,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,64.65,32.33,1.12,58.19,66
NDC,67457035210,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,64.65,32.33,1.12,58.19,66
NDC,67457035959,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,262.75,131.38,10.16,236.48,66
NDC,67457036610,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,376.45,188.23,82.1,338.81,71
NDC,67457037212,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,20.34,66
NDC,67457037299,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,20.34,66
NDC,67457037412,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.8,11.4,0.3,20.52,66
NDC,67457037499,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.8,11.4,0.3,20.52,66
NDC,67457037912,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,20.6,10.3,0.74,18.54,66
NDC,67457037925,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,20.6,10.3,0.74,18.54,66
NDC,67457038012,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,21.7,10.85,0.74,19.53,66
NDC,67457038025,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,21.7,10.85,0.74,19.53,66
NDC,67457038431,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.45,11.23,0.3,20.21,66
NDC,67457038499,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.45,11.23,0.3,20.21,66
NDC,67457038510,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.0,11.5,0.3,20.7,66
NDC,67457038599,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.0,11.5,0.3,20.7,66
NDC,67457038600,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,125.35,62.68,27.34,112.82,65
NDC,67457038681,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,125.35,62.68,27.34,112.82,65
NDC,67457038922,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,20.05,10.03,0.74,18.05,66
NDC,67457038925,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,20.05,10.03,0.74,18.05,66
NDC,67457039054,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,219.2,109.6,7.71,197.28,66
NDC,67457039210,ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION,69.65,34.83,15.19,62.69,65
NDC,67457039299,ESOMEPRAZOLE SODIUM 40 MG INTRAVENOUS SOLUTION,69.65,34.83,15.19,62.69,65
NDC,67457040900,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,97.35,48.68,9.74,87.62,66
NDC,67457040913,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,97.35,48.68,9.74,87.62,66
NDC,67457041000,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,27.5,13.75,6.0,24.75,66
NDC,67457041013,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,27.5,13.75,6.0,24.75,66
NDC,67457042000,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,22.2,11.1,0.13,19.98,66
NDC,67457042010,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,22.2,11.1,0.13,19.98,66
NDC,67457042100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,53.85,26.93,0.13,48.47,66
NDC,67457042130,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,53.85,26.93,0.13,48.47,66
NDC,67457042200,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,21.8,10.9,0.13,19.62,66
NDC,67457042254,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,21.8,10.9,0.13,19.62,66
NDC,67457042300,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.75,10.38,0.13,18.68,66
NDC,67457042312,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,20.75,10.38,0.13,18.68,66
NDC,67457042600,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,20.65,10.33,1.57,18.59,66
NDC,67457042612,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,20.65,10.33,1.57,18.59,66
NDC,67457042800,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,86.2,43.1,2.95,77.58,66
NDC,67457042830,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,86.2,43.1,2.95,77.58,66
NDC,67457043010,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,74.65,37.33,9.85,67.19,66
NDC,67457043300,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.5,10.25,4.47,18.45,65
NDC,67457043322,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.5,10.25,4.47,18.45,65
NDC,67457043650,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION,1144.25,572.13,3.64,1029.83,66
NDC,67457043700,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,117.5,58.75,25.63,105.75,65
NDC,67457043710,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,117.5,58.75,25.63,105.75,65
NDC,67457043800,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.4,23.7,10.34,42.66,65
NDC,67457043810,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,47.4,23.7,10.34,42.66,65
NDC,67457044000,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.5,22.75,0.17,40.95,66
NDC,67457044022,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.5,22.75,0.17,40.95,66
NDC,67457044120,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,47.35,23.68,0.17,42.62,66
NDC,67457044220,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,67457044560,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,297.05,148.53,64.79,267.35,65
NDC,67457044610,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,164.0,82.0,9.85,147.6,66
NDC,67457044800,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,67457044843,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,21.4,10.7,4.67,19.26,65
NDC,67457045010,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,695.05,347.53,10.89,625.55,71
NDC,67457045220,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,450.0,225.0,1.08,405.0,66
NDC,67457045700,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,20.55,10.28,4.48,18.5,65
NDC,67457045720,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,20.55,10.28,4.48,18.5,65
NDC,67457046420,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,67457046910,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,67457047300,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,45.9,22.95,2.95,41.31,66
NDC,67457047322,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,45.9,22.95,2.95,41.31,66
NDC,67457047500,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,52.65,26.33,11.48,47.39,65
NDC,67457047520,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,52.65,26.33,11.48,47.39,65
NDC,67457051305,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1680.95,840.48,334.9,1512.86,71
NDC,67457051700,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,85.6,42.8,18.67,77.04,65
NDC,67457051701,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,85.6,42.8,18.67,77.04,65
NDC,67457051710,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,85.6,42.8,18.67,77.04,65
NDC,67457051805,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,450.0,225.0,20.75,405.0,71
NDC,67457051920,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,450.0,225.0,20.75,405.0,71
NDC,67457052040,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,1111.35,555.68,20.75,1000.22,71
NDC,67457052433,IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE,1157.5,578.75,28.41,1041.75,66
NDC,67457052810,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),55.1,27.55,4.96,49.59,66
NDC,67457052920,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),78.25,39.13,4.96,70.43,66
NDC,67457053035,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),91.75,45.88,4.96,82.58,66
NDC,67457053208,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,67457053316,DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,67457055300,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,94.9,47.45,0.77,85.41,66
NDC,67457055400,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,59.8,29.9,0.77,53.82,66
NDC,67457056220,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",602.4,301.2,131.38,542.16,71
NDC,67457056320,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",1305.1,652.55,184.85,1174.59,71
NDC,67457056420,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",2769.75,1384.88,184.85,2492.78,71
NDC,67457056700,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,47.8,23.9,0.77,43.02,66
NDC,67457058200,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,35.3,17.65,1.21,31.77,66
NDC,67457058210,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,35.3,17.65,1.21,31.77,66
NDC,67457058300,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,197.15,98.58,1.21,177.44,66
NDC,67457058304,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,197.15,98.58,1.21,177.44,66
NDC,67457058400,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,197.15,98.58,1.21,177.44,66
NDC,67457058406,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,197.15,98.58,1.21,177.44,66
NDC,67457058500,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,197.15,98.58,1.21,177.44,66
NDC,67457058508,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,197.15,98.58,1.21,177.44,66
NDC,67457058710,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,161.0,80.5,17.71,144.9,66
NDC,67457058810,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,69.1,34.55,15.07,62.19,66
NDC,67457059508,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,523.0,261.5,1.21,470.7,66
NDC,67457059900,NALOXONE 0.4 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,67457059902,NALOXONE 0.4 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,67457060202,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",25.55,12.78,0.3,23.0,66
NDC,67457060299,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",25.55,12.78,0.3,23.0,66
NDC,67457060305,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",48.5,24.25,0.3,43.65,66
NDC,67457060399,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",48.5,24.25,0.3,43.65,66
NDC,67457061610,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,67457061730,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,67457061810,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,67457061910,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,224.4,112.2,7.71,201.96,66
NDC,67457062102,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,22.55,11.28,1.05,20.3,66
NDC,67457062205,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,250.35,125.18,1.05,225.32,66
NDC,67457062299,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,58.15,29.08,1.05,52.34,66
NDC,67457062910,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,191.4,95.7,24.87,172.26,66
NDC,67457063110,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,487.0,243.5,24.87,438.3,66
NDC,67457064000,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,102.65,51.33,3.81,92.39,66
NDC,67457064002,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,23.85,11.93,3.81,21.47,66
NDC,67457064099,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,102.65,51.33,3.81,92.39,66
NDC,67457065810,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",343.0,171.5,0.28,308.7,66
NDC,67457066520,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,635.15,317.58,138.53,571.64,65
NDC,67457067502,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,2847.5,1423.75,494.67,2562.75,71
NDC,67457070500,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,78.75,39.38,17.18,70.88,65
NDC,67457070575,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,78.75,39.38,17.18,70.88,65
NDC,67457077800,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,59.8,29.9,13.04,53.82,65
NDC,67457077805,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,59.8,29.9,13.04,53.82,65
NDC,67457077930,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,233.65,116.83,50.96,210.29,65
NDC,67457078108,DOCETAXEL 160 MG/8 ML (20 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,67457079000,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.15,23.08,0.07,41.54,66
NDC,67457079005,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.15,23.08,0.07,41.54,66
NDC,67457079410,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,222.6,111.3,7.71,200.34,66
NDC,67457079920,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,183.4,91.7,0.09,165.06,66
NDC,67457079999,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,183.4,91.7,0.09,165.06,66
NDC,67457081400,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.1,23.05,2.03,41.49,66
NDC,67457081402,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.1,23.05,2.03,41.49,66
NDC,67457081500,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.3,23.15,2.03,41.67,66
NDC,67457081504,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,46.3,23.15,2.03,41.67,66
NDC,67457081600,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,45.2,22.6,2.03,40.68,66
NDC,67457081606,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,45.2,22.6,2.03,40.68,66
NDC,67457082312,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,122.35,61.18,26.68,110.12,65
NDC,67457082399,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,122.35,61.18,26.68,110.12,65
NDC,67457082415,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,83.05,41.53,18.11,74.75,65
NDC,67457082499,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,83.05,41.53,18.11,74.75,65
NDC,67457083306,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,6659.3,3329.65,101.11,5993.37,71
NDC,67457083902,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,97.15,48.58,21.19,87.44,65
NDC,67457084300,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,344.5,172.25,3.66,310.05,66
NDC,67457084330,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,344.5,172.25,3.66,310.05,66
NDC,67457084550,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,8984.55,4492.28,41.1,8086.1,71
NDC,67457084744,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,8984.55,4492.28,41.1,8086.1,71
NDC,67457085200,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,57.9,28.95,12.63,52.11,65
NDC,67457085204,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,57.9,28.95,12.63,52.11,65
NDC,67457085350,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,221.85,110.93,31.21,199.67,66
NDC,67457085400,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,55.5,27.75,0.66,49.95,66
NDC,67457085404,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,55.5,27.75,0.66,49.95,66
NDC,67457085500,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,33.3,16.65,0.66,29.97,66
NDC,67457085502,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,33.3,16.65,0.66,29.97,66
NDC,67457085730,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,439.2,219.6,0.66,395.28,66
NDC,67457086301,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,47.9,23.95,0.5,43.11,66
NDC,67457088000,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,23.0,11.5,5.02,77.7,66
NDC,67457088005,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,23.0,11.5,5.02,77.7,66
NDC,67457088700,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,49.0,24.5,10.69,50.03,66
NDC,67457088701,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,49.0,24.5,10.69,50.03,66
NDC,67457088799,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,48.7,24.35,10.62,50.03,66
NDC,67457088910,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,274.55,137.28,0.15,247.1,66
NDC,67457089300,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,0.9,405.0,70
NDC,67457089308,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,0.9,405.0,70
NDC,67457090200,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.25,11.13,4.85,20.03,65
NDC,67457090210,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.25,11.13,4.85,20.03,65
NDC,67457090300,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,20.55,10.28,4.48,18.5,65
NDC,67457090320,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,20.55,10.28,4.48,18.5,65
NDC,67457092500,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,188.2,94.1,41.05,169.38,65
NDC,67457092510,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,188.2,94.1,41.05,169.38,65
NDC,67457094010,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",34.2,17.1,0.05,30.78,66
NDC,67457099115,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,3242.8,1621.4,41.1,2918.52,71
NDC,67457099620,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,450.0,225.0,20.75,405.0,71
NDC,67457099740,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,974.15,487.08,20.75,876.74,71
NDC,67457099902,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,97.15,48.58,21.19,87.44,65
NDC,67546011112,NITAZOXANIDE 500 MG TABLET,14942.65,7471.33,3258.99,13448.39,65
NDC,67546011114,NITAZOXANIDE 500 MG TABLET,6433.6,3216.8,1403.17,5790.24,65
NDC,67546021221,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION,2414.1,1207.05,526.52,2172.69,65
NDC,67684190102,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,5753.0,2876.5,1254.73,5177.7,65
NDC,67850002100,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,48.0,24.0,1.12,43.2,66
NDC,67850002110,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,48.0,24.0,1.12,43.2,66
NDC,67850002200,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.12,43.43,66
NDC,67850002210,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.12,43.43,66
NDC,67850002400,AMPICILLIN 500 MG SOLUTION FOR INJECTION,46.7,23.35,1.12,42.03,66
NDC,67850003100,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,51.85,25.93,11.31,46.67,65
NDC,67850004100,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",50.0,25.0,10.91,45.0,65
NDC,67850004110,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",50.0,25.0,10.91,45.0,65
NDC,67850004200,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.2,23.6,10.29,42.48,65
NDC,67850004210,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.2,23.6,10.29,42.48,65
NDC,67850014100,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,150.4,75.2,32.8,135.36,65
NDC,67850014105,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,150.4,75.2,32.8,135.36,65
NDC,67850015000,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.3,23.15,10.1,41.67,65
NDC,67850015010,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.3,23.15,10.1,41.67,65
NDC,67850015025,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.3,23.15,10.1,41.67,65
NDC,67871479006,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,2329.3,1164.65,508.02,2096.37,71
NDC,67877006430,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",291.1,145.55,63.49,261.99,65
NDC,67877011601,METHADONE 10 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,67877012405,SILVER SULFADIAZINE 1 % TOPICAL CREAM,73.5,36.75,16.03,66.15,65
NDC,67877012420,SILVER SULFADIAZINE 1 % TOPICAL CREAM,34.8,17.4,7.59,31.32,65
NDC,67877012425,SILVER SULFADIAZINE 1 % TOPICAL CREAM,44.7,22.35,9.75,40.23,65
NDC,67877012440,SILVER SULFADIAZINE 1 % TOPICAL CREAM,264.0,132.0,57.58,237.6,65
NDC,67877012450,SILVER SULFADIAZINE 1 % TOPICAL CREAM,54.6,27.3,11.91,49.14,65
NDC,67877012485,SILVER SULFADIAZINE 1 % TOPICAL CREAM,132.1,66.05,28.81,118.89,65
NDC,67877014601,TEMAZEPAM 15 MG CAPSULE,55.8,27.9,12.17,50.22,65
NDC,67877014605,TEMAZEPAM 15 MG CAPSULE,249.0,124.5,54.31,224.1,65
NDC,67877015901,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",30.0,15.0,6.54,27.0,65
NDC,67877015905,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",66.0,33.0,14.39,59.4,65
NDC,67877019790,AMLODIPINE 2.5 MG TABLET,6.5,3.25,1.42,5.85,65
NDC,67877019805,AMLODIPINE 5 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,67877019890,AMLODIPINE 5 MG TABLET,7.05,3.53,1.54,6.35,65
NDC,67877019905,AMLODIPINE 10 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,67877019990,AMLODIPINE 10 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,67877021520,CEFUROXIME AXETIL 250 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,67877021560,CEFUROXIME AXETIL 250 MG TABLET,60.85,30.43,13.27,54.77,65
NDC,67877021620,CEFUROXIME AXETIL 500 MG TABLET,199.6,99.8,43.53,179.64,65
NDC,67877021901,CEPHALEXIN 500 MG CAPSULE,169.8,84.9,37.03,152.82,65
NDC,67877022001,CEPHALEXIN 250 MG CAPSULE,102.0,51.0,22.25,91.8,65
NDC,67877022201,GABAPENTIN 100 MG CAPSULE,24.0,12.0,5.23,21.6,65
NDC,67877022205,GABAPENTIN 100 MG CAPSULE,105.0,52.5,22.9,94.5,65
NDC,67877022210,GABAPENTIN 100 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,67877022301,GABAPENTIN 300 MG CAPSULE,39.6,19.8,8.64,35.64,65
NDC,67877022305,GABAPENTIN 300 MG CAPSULE,93.0,46.5,20.28,83.7,65
NDC,67877022310,GABAPENTIN 300 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,67877022401,GABAPENTIN 400 MG CAPSULE,42.6,21.3,9.29,38.34,65
NDC,67877022405,GABAPENTIN 400 MG CAPSULE,189.0,94.5,41.22,170.1,65
NDC,67877022501,MYCOPHENOLATE MOFETIL 500 MG TABLET,162.6,81.3,35.46,146.34,65
NDC,67877023022,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,2020.5,1010.25,440.67,1818.45,65
NDC,67877024201,QUETIAPINE 25 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,67877024760,QUETIAPINE 300 MG TABLET,50.8,25.4,11.08,45.72,65
NDC,67877024801,QUETIAPINE 400 MG TABLET,155.4,77.7,33.89,139.86,65
NDC,67877024901,QUETIAPINE 50 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,67877025001,QUETIAPINE 100 MG TABLET,35.4,17.7,7.72,31.86,65
NDC,67877025115,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,25.5,12.75,5.56,22.95,65
NDC,67877025130,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,29.9,14.95,6.52,26.91,65
NDC,67877025145,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,119.9,59.95,26.15,107.91,65
NDC,67877025180,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,52.8,26.4,11.52,47.52,65
NDC,67877026030,RASAGILINE 1 MG TABLET,1195.8,597.9,260.8,1076.22,65
NDC,67877026360,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",22.7,11.35,4.95,20.43,65
NDC,67877026410,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",395.0,197.5,86.15,355.5,65
NDC,67877026430,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",27.55,13.78,6.01,24.8,65
NDC,67877026490,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",59.4,29.7,12.96,53.46,65
NDC,67877026510,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",395.0,197.5,86.15,355.5,65
NDC,67877026530,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",27.55,13.78,6.01,24.8,65
NDC,67877026590,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",59.4,29.7,12.96,53.46,65
NDC,67877027430,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",18.0,9.0,3.93,16.2,65
NDC,67877028660,RILUZOLE 50 MG TABLET,223.2,111.6,48.68,200.88,65
NDC,67877028890,FINASTERIDE 5 MG TABLET,46.45,23.23,10.13,41.81,65
NDC,67877029809,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,5.8,2.9,1.26,5.22,65
NDC,67877029860,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,289.8,144.9,63.21,260.82,65
NDC,67877031901,IBUPROFEN 400 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,67877031905,IBUPROFEN 400 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,67877032001,IBUPROFEN 600 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,67877032005,IBUPROFEN 600 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,67877032101,IBUPROFEN 800 MG TABLET,97.8,48.9,21.33,88.02,65
NDC,67877041305,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",102.0,51.0,22.25,91.8,65
NDC,67877041401,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",42.6,21.3,9.29,38.34,65
NDC,67877041690,VALSARTAN 80 MG TABLET,162.55,81.28,35.45,146.3,65
NDC,67877041790,VALSARTAN 160 MG TABLET,197.65,98.83,43.11,177.89,65
NDC,67877041920,LINEZOLID 600 MG TABLET,275.0,137.5,59.98,247.5,65
NDC,67877041933,LINEZOLID 600 MG TABLET,10.05,5.03,2.19,9.05,65
NDC,67877041984,LINEZOLID 600 MG TABLET,250.05,125.03,54.54,225.05,65
NDC,67877042612,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",133.2,66.6,29.05,119.88,65
NDC,67877042712,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",223.2,111.6,48.68,200.88,65
NDC,67877043003,ARIPIPRAZOLE 2 MG TABLET,38.55,19.28,8.41,34.7,65
NDC,67877043103,ARIPIPRAZOLE 5 MG TABLET,38.9,19.45,8.48,35.01,65
NDC,67877043203,ARIPIPRAZOLE 10 MG TABLET,39.45,19.73,8.6,35.51,65
NDC,67877043205,ARIPIPRAZOLE 10 MG TABLET,590.0,295.0,128.68,531.0,65
NDC,67877043303,ARIPIPRAZOLE 15 MG TABLET,40.15,20.08,8.76,36.14,65
NDC,67877043403,ARIPIPRAZOLE 20 MG TABLET,45.75,22.88,9.98,41.18,65
NDC,67877043503,ARIPIPRAZOLE 30 MG TABLET,47.2,23.6,10.29,42.48,65
NDC,67877044460,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",445.2,222.6,97.1,400.68,65
NDC,67877045430,ITRACONAZOLE 100 MG CAPSULE,277.4,138.7,60.5,249.66,65
NDC,67877046290,PREGABALIN 25 MG CAPSULE,38.9,19.45,8.48,35.01,65
NDC,67877046390,PREGABALIN 50 MG CAPSULE,40.5,20.25,8.83,36.45,65
NDC,67877046490,PREGABALIN 75 MG CAPSULE,49.7,24.85,10.84,44.73,65
NDC,67877047379,LIDOCAINE 5 % TOPICAL OINTMENT,27.65,13.83,6.03,24.89,65
NDC,67877047380,LIDOCAINE 5 % TOPICAL OINTMENT,96.0,48.0,20.94,86.4,65
NDC,67877049030,EZETIMIBE 10 MG TABLET,51.3,25.65,11.19,46.17,65
NDC,67877049090,EZETIMIBE 10 MG TABLET,146.35,73.18,31.92,131.72,65
NDC,67877049301,AZATHIOPRINE 50 MG TABLET,150.0,75.0,5.06,135.0,66
NDC,67877050330,CINACALCET 30 MG TABLET,82.45,41.23,17.98,74.21,65
NDC,67877050430,CINACALCET 60 MG TABLET,149.4,74.7,32.58,134.46,65
NDC,67877050651,COLESEVELAM 625 MG TABLET,225.75,112.88,49.24,203.18,65
NDC,67877052560,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",69.15,34.58,15.08,62.24,65
NDC,67877052660,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",113.4,56.7,24.73,102.06,65
NDC,67877052730,SOLIFENACIN 5 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,67877053814,TEMOZOLOMIDE 20 MG CAPSULE,360.6,180.3,78.65,324.54,65
NDC,67877054360,CEFDINIR 300 MG CAPSULE,299.9,149.95,65.41,269.91,65
NDC,67877054488,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,49.8,24.9,10.86,44.82,65
NDC,67877054588,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,78.0,39.0,17.01,70.2,65
NDC,67877054798,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,55.45,27.73,12.09,49.91,65
NDC,67877054888,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,83.4,41.7,18.19,75.06,65
NDC,67877054898,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,55.45,27.73,12.09,49.91,65
NDC,67877056101,METFORMIN 500 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,67877056201,METFORMIN 850 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,67877057301,BENZONATATE 100 MG CAPSULE,95.4,47.7,20.81,85.86,65
NDC,67877057305,BENZONATATE 100 MG CAPSULE,335.0,167.5,73.06,301.5,65
NDC,67877057501,BENZONATATE 200 MG CAPSULE,150.0,75.0,32.72,135.0,65
NDC,67877058901,COLCHICINE 0.6 MG TABLET,265.8,132.9,57.97,239.22,65
NDC,67877059001,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",37.8,18.9,8.24,34.02,65
NDC,67877059101,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",37.8,18.9,8.24,34.02,65
NDC,67877061601,METHYLPHENIDATE 5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,67877063533,TOLVAPTAN 15 MG TABLET,18520.4,9260.2,4039.3,16668.36,65
NDC,67877063602,TOLVAPTAN 30 MG TABLET,12590.3,6295.15,2745.94,11331.27,65
NDC,67877063633,TOLVAPTAN 30 MG TABLET,19221.0,9610.5,4192.1,17298.9,65
NDC,67877063830,LURASIDONE 20 MG TABLET,70.05,35.03,15.28,63.05,65
NDC,67877063930,LURASIDONE 40 MG TABLET,97.75,48.88,21.32,87.98,65
NDC,67877065701,DEXMETHYLPHENIDATE 10 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,67877066501,CLOBAZAM 10 MG TABLET,171.6,85.8,37.43,154.44,65
NDC,67877067869,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,65.2,32.6,14.22,58.68,66
NDC,67877067870,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,65.2,32.6,14.22,58.68,66
NDC,67877071712,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",742.8,371.4,162.0,668.52,65
NDC,67877071831,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,1250.1,625.05,272.65,1125.09,65
NDC,67877071833,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,67877072031,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,2996.65,1498.33,653.57,2696.99,65
NDC,67877072033,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,74.95,37.48,16.35,67.46,65
NDC,67877073101,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,255.0,127.5,55.62,229.5,65
NDC,67877073295,LACOSAMIDE 10 MG/ML ORAL SOLUTION,195.6,97.8,42.66,176.04,65
NDC,67877073360,LACOSAMIDE 50 MG TABLET,35.3,17.65,7.7,31.77,65
NDC,67877073460,LACOSAMIDE 100 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,67877073560,LACOSAMIDE 150 MG TABLET,94.7,47.35,20.65,85.23,65
NDC,67877074701,SIROLIMUS 1 MG TABLET,963.5,481.75,210.14,867.15,65
NDC,67877074957,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,340.45,170.23,74.25,306.41,65
NDC,67877075158,VANCOMYCIN 50 MG/ML ORAL SOLUTION,972.0,486.0,211.99,874.8,65
NDC,67877075360,DRONABINOL 2.5 MG CAPSULE,516.6,258.3,112.67,464.94,65
NDC,67877075460,DRONABINOL 5 MG CAPSULE,952.5,476.25,207.74,857.25,65
NDC,67877075701,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",56.4,28.2,12.3,50.76,65
NDC,67877075801,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",75.0,37.5,16.36,67.5,65
NDC,67877084201,FAMOTIDINE 20 MG TABLET,31.8,15.9,6.94,28.62,65
NDC,67877087820,CEFPODOXIME 100 MG TABLET,251.2,125.6,54.79,226.08,65
NDC,67919001101,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,235.5,117.75,0.04,211.95,66
NDC,67919001201,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,2094.95,1047.48,0.04,1885.46,66
NDC,67919001202,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,235.5,117.75,0.04,211.95,66
NDC,67919002010,ALVIMOPAN 12 MG CAPSULE,21820.8,10910.4,4759.12,19638.72,65
NDC,67919003001,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,831.0,415.5,8.18,747.9,71
NDC,67979000101,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,8273.35,4136.68,1349.81,7446.02,71
NDC,67979000201,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT,195069.5,97534.75,42544.66,175562.55,71
NDC,68001024616,ONDANSETRON 4 MG DISINTEGRATING TABLET,3.3,1.65,0.72,2.97,65
NDC,68001024617,ONDANSETRON 4 MG DISINTEGRATING TABLET,53.65,26.83,11.7,48.29,65
NDC,68001025404,FLUCONAZOLE 200 MG TABLET,215.65,107.83,47.03,194.09,65
NDC,68001026523,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,1.1,405.0,66
NDC,68001028332,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,68001028333,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,4.48,405.0,66
NDC,68001032500,DESMOPRESSIN 0.1 MG TABLET,319.0,159.5,69.57,287.1,65
NDC,68001036206,CEFDINIR 300 MG CAPSULE,184.7,92.35,40.28,166.23,65
NDC,68001039078,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,748.85,374.43,20.75,673.97,71
NDC,68001045942,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,46.5,23.25,0.76,41.85,66
NDC,68001045943,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,46.5,23.25,0.76,41.85,66
NDC,68001052428,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,68001052532,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,68025009610,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",4488.4,2244.2,978.92,4039.56,65
NDC,68047025301,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,127.2,63.6,27.74,114.48,65
NDC,68084002111,ABACAVIR 300 MG TABLET,36.05,18.03,7.86,32.45,65
NDC,68084002121,ABACAVIR 300 MG TABLET,900.15,450.08,196.32,810.14,65
NDC,68084002701,WARFARIN 2.5 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,68084002711,WARFARIN 2.5 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,68084004001,MISOPROSTOL 100 MCG TABLET,938.0,469.0,204.58,844.2,65
NDC,68084004011,MISOPROSTOL 100 MCG TABLET,11.3,5.65,2.46,10.17,65
NDC,68084004101,MISOPROSTOL 200 MCG TABLET,1016.0,508.0,221.59,914.4,65
NDC,68084004111,MISOPROSTOL 200 MCG TABLET,12.2,6.1,2.66,10.98,65
NDC,68084004401,PAROXETINE 10 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,68084004411,PAROXETINE 10 MG TABLET,298.2,149.1,65.04,268.38,65
NDC,68084004501,PAROXETINE 20 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,68084004511,PAROXETINE 20 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,68084004601,PAROXETINE 30 MG TABLET,288.6,144.3,62.94,259.74,65
NDC,68084004611,PAROXETINE 30 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,68084004711,PAROXETINE 40 MG TABLET,276.5,138.25,60.3,248.85,65
NDC,68084005911,ZAFIRLUKAST 20 MG TABLET,14.6,7.3,3.18,13.14,65
NDC,68084005921,ZAFIRLUKAST 20 MG TABLET,364.95,182.48,79.6,328.46,65
NDC,68084007001,CIPROFLOXACIN 500 MG TABLET,246.0,123.0,53.65,221.4,65
NDC,68084007011,CIPROFLOXACIN 500 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084007511,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,141.55,70.78,30.87,127.4,65
NDC,68084007521,TRETINOIN (ANTINEOPLASTIC) 10 MG CAPSULE,2830.7,1415.35,617.38,2547.63,65
NDC,68084008201,ISOSORBIDE DINITRATE 10 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,68084008211,ISOSORBIDE DINITRATE 10 MG TABLET,3.6,1.8,0.79,3.24,65
NDC,68084008301,ISOSORBIDE DINITRATE 20 MG TABLET,278.0,139.0,60.63,250.2,65
NDC,68084008311,ISOSORBIDE DINITRATE 20 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084009301,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,203.4,101.7,44.36,183.06,65
NDC,68084009311,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084009401,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,145.2,72.6,31.67,130.68,65
NDC,68084009411,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,145.2,72.6,31.67,130.68,65
NDC,68084009701,ATORVASTATIN 10 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,68084009711,ATORVASTATIN 10 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,68084009801,ATORVASTATIN 20 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,68084009811,ATORVASTATIN 20 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,68084009901,ATORVASTATIN 40 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,68084009911,ATORVASTATIN 40 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,68084010309,ZIPRASIDONE 20 MG CAPSULE,1018.4,509.2,222.11,916.56,65
NDC,68084010311,ZIPRASIDONE 20 MG CAPSULE,15.3,7.65,3.34,13.77,65
NDC,68084010409,ZIPRASIDONE 40 MG CAPSULE,694.8,347.4,151.54,625.32,65
NDC,68084010411,ZIPRASIDONE 40 MG CAPSULE,10.45,5.23,2.28,9.41,65
NDC,68084010509,ZIPRASIDONE 60 MG CAPSULE,578.0,289.0,126.06,520.2,65
NDC,68084010511,ZIPRASIDONE 60 MG CAPSULE,8.7,4.35,1.9,7.83,65
NDC,68084010609,ZIPRASIDONE 80 MG CAPSULE,716.4,358.2,156.25,644.76,65
NDC,68084010611,ZIPRASIDONE 80 MG CAPSULE,10.75,5.38,2.34,9.68,65
NDC,68084010701,ACYCLOVIR 200 MG CAPSULE,136.2,68.1,29.71,122.58,65
NDC,68084010711,ACYCLOVIR 200 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,68084010801,ACYCLOVIR 400 MG TABLET,147.6,73.8,32.19,132.84,65
NDC,68084010811,ACYCLOVIR 400 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,68084010901,ACYCLOVIR 800 MG TABLET,345.0,172.5,75.24,310.5,65
NDC,68084010911,ACYCLOVIR 800 MG TABLET,4.15,2.08,0.91,3.74,65
NDC,68084011101,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",269.5,134.75,58.78,242.55,65
NDC,68084011111,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",3.25,1.63,0.71,2.93,65
NDC,68084011201,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",341.0,170.5,74.37,306.9,65
NDC,68084011211,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",4.1,2.05,0.89,3.69,65
NDC,68084011901,MIRTAZAPINE 15 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,68084011911,MIRTAZAPINE 15 MG TABLET,85.8,42.9,18.71,77.22,65
NDC,68084012001,MIRTAZAPINE 30 MG TABLET,107.4,53.7,23.42,96.66,65
NDC,68084012011,MIRTAZAPINE 30 MG TABLET,107.4,53.7,23.42,96.66,65
NDC,68084012101,MIRTAZAPINE 45 MG TABLET,169.8,84.9,37.03,152.82,65
NDC,68084012111,MIRTAZAPINE 45 MG TABLET,169.8,84.9,37.03,152.82,65
NDC,68084012801,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",81.6,40.8,17.8,73.44,65
NDC,68084012811,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",81.6,40.8,17.8,73.44,65
NDC,68084014901,METHYLPREDNISOLONE 4 MG TABLET,556.0,278.0,0.26,500.4,66
NDC,68084014911,METHYLPREDNISOLONE 4 MG TABLET,6.7,3.35,0.26,6.03,66
NDC,68084015401,PROMETHAZINE 12.5 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,68084015411,PROMETHAZINE 12.5 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,68084015501,PROMETHAZINE 25 MG TABLET,95.4,47.7,20.81,85.86,65
NDC,68084015511,PROMETHAZINE 25 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,68084015701,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",302.5,151.25,65.98,272.25,65
NDC,68084015711,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",5.65,2.83,1.23,5.09,65
NDC,68084015801,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",705.0,352.5,153.76,634.5,65
NDC,68084015811,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",8.5,4.25,1.85,7.65,65
NDC,68084018901,ZOLPIDEM 5 MG TABLET,62.4,31.2,13.61,56.16,65
NDC,68084018911,ZOLPIDEM 5 MG TABLET,5.15,2.58,1.12,4.64,65
NDC,68084019611,LISINOPRIL 5 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084020201,PRIMIDONE 50 MG TABLET,296.5,148.25,64.67,266.85,65
NDC,68084020211,PRIMIDONE 50 MG TABLET,3.6,1.8,0.79,3.24,65
NDC,68084020301,PRIMIDONE 250 MG TABLET,436.5,218.25,95.2,392.85,65
NDC,68084020311,PRIMIDONE 250 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,68084020401,MINOXIDIL 2.5 MG TABLET,252.0,126.0,54.96,226.8,65
NDC,68084020411,MINOXIDIL 2.5 MG TABLET,3.05,1.53,0.67,2.75,65
NDC,68084020501,MINOXIDIL 10 MG TABLET,278.0,139.0,60.63,250.2,65
NDC,68084020511,MINOXIDIL 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084021401,BENZONATATE 100 MG CAPSULE,210.6,105.3,45.93,189.54,65
NDC,68084021411,BENZONATATE 100 MG CAPSULE,3.4,1.7,0.74,3.06,65
NDC,68084021501,VALACYCLOVIR 500 MG TABLET,681.0,340.5,148.53,612.9,65
NDC,68084021511,VALACYCLOVIR 500 MG TABLET,8.2,4.1,1.79,7.38,65
NDC,68084021521,VALACYCLOVIR 500 MG TABLET,354.9,177.45,77.4,319.41,65
NDC,68084022001,ONDANSETRON HCL 4 MG TABLET,295.8,147.9,64.51,266.22,65
NDC,68084022011,ONDANSETRON HCL 4 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,68084022101,ONDANSETRON HCL 8 MG TABLET,242.4,121.2,52.87,218.16,65
NDC,68084022111,ONDANSETRON HCL 8 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084022901,AZATHIOPRINE 50 MG TABLET,268.5,134.25,5.06,241.65,66
NDC,68084022911,AZATHIOPRINE 50 MG TABLET,3.25,1.63,0.71,5.06,66
NDC,68084024301,CLINDAMYCIN HCL 150 MG CAPSULE,128.4,64.2,28.0,115.56,65
NDC,68084024311,CLINDAMYCIN HCL 150 MG CAPSULE,3.25,1.63,0.71,2.93,65
NDC,68084024401,CLINDAMYCIN HCL 300 MG CAPSULE,554.0,277.0,120.83,498.6,65
NDC,68084024411,CLINDAMYCIN HCL 300 MG CAPSULE,554.0,277.0,120.83,498.6,65
NDC,68084024901,HALOPERIDOL 10 MG TABLET,414.5,207.25,90.4,373.05,65
NDC,68084024911,HALOPERIDOL 10 MG TABLET,414.5,207.25,90.4,373.05,65
NDC,68084025211,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",177.5,88.75,38.71,159.75,65
NDC,68084025221,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",177.5,88.75,38.71,159.75,65
NDC,68084026901,HYDROXYCHLOROQUINE 200 MG TABLET,546.5,273.25,119.19,491.85,65
NDC,68084026911,HYDROXYCHLOROQUINE 200 MG TABLET,546.5,273.25,119.19,491.85,65
NDC,68084027001,RISPERIDONE 0.25 MG TABLET,82.2,41.1,17.93,73.98,65
NDC,68084027011,RISPERIDONE 0.25 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084027101,RISPERIDONE 0.5 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,68084027111,RISPERIDONE 0.5 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,68084027201,RISPERIDONE 1 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,68084027211,RISPERIDONE 1 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084027401,RISPERIDONE 3 MG TABLET,88.2,44.1,19.24,79.38,65
NDC,68084027411,RISPERIDONE 3 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084027701,RISPERIDONE 4 MG TABLET,98.4,49.2,21.46,88.56,65
NDC,68084027711,RISPERIDONE 4 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,68084028001,ETHAMBUTOL 400 MG TABLET,356.0,178.0,77.64,320.4,65
NDC,68084028011,ETHAMBUTOL 400 MG TABLET,356.0,178.0,77.64,320.4,65
NDC,68084028101,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",391.5,195.75,85.39,352.35,65
NDC,68084028111,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",4.7,2.35,1.03,4.23,65
NDC,68084028201,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",369.5,184.75,80.59,332.55,65
NDC,68084028211,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",369.5,184.75,80.59,332.55,65
NDC,68084028401,HYDROXYUREA 500 MG CAPSULE,338.5,169.25,73.83,304.65,65
NDC,68084028411,HYDROXYUREA 500 MG CAPSULE,4.1,2.05,0.89,3.69,65
NDC,68084028801,FLUDROCORTISONE 0.1 MG TABLET,341.0,170.5,74.37,306.9,65
NDC,68084028811,FLUDROCORTISONE 0.1 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,68084029111,NALTREXONE 50 MG TABLET,13.05,6.53,2.85,11.75,65
NDC,68084029121,NALTREXONE 50 MG TABLET,326.25,163.13,71.16,293.63,65
NDC,68084029901,TAMSULOSIN 0.4 MG CAPSULE,117.6,58.8,25.65,105.84,65
NDC,68084029911,TAMSULOSIN 0.4 MG CAPSULE,3.2,1.6,0.7,2.88,65
NDC,68084030011,DANTROLENE 25 MG CAPSULE,280.3,140.15,61.13,252.27,65
NDC,68084030021,DANTROLENE 25 MG CAPSULE,280.3,140.15,61.13,252.27,65
NDC,68084030911,VALACYCLOVIR 1 GRAM TABLET,14.6,7.3,3.18,13.14,65
NDC,68084030921,VALACYCLOVIR 1 GRAM TABLET,364.05,182.03,79.4,327.65,65
NDC,68084031001,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",308.0,154.0,67.17,277.2,65
NDC,68084031011,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",3.7,1.85,0.81,3.33,65
NDC,68084031301,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",363.5,181.75,79.28,327.15,65
NDC,68084031311,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",4.4,2.2,0.96,3.96,65
NDC,68084031801,LAMOTRIGINE 25 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,68084031811,LAMOTRIGINE 25 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084031901,LAMOTRIGINE 100 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,68084031911,LAMOTRIGINE 100 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,68084032601,GLIMEPIRIDE 2 MG TABLET,239.4,119.7,52.21,215.46,65
NDC,68084032611,GLIMEPIRIDE 2 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,68084032701,GLIMEPIRIDE 4 MG TABLET,276.5,138.25,60.3,248.85,65
NDC,68084032711,GLIMEPIRIDE 4 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084034201,TOPIRAMATE 25 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,68084034211,TOPIRAMATE 25 MG TABLET,147.0,73.5,32.06,132.3,65
NDC,68084034311,TOPIRAMATE 50 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,68084034401,TOPIRAMATE 100 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,68084034411,TOPIRAMATE 100 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084034511,TOPIRAMATE 200 MG TABLET,95.8,47.9,20.89,86.22,65
NDC,68084034521,TOPIRAMATE 200 MG TABLET,95.8,47.9,20.89,86.22,65
NDC,68084034601,LOSARTAN 25 MG TABLET,203.4,101.7,44.36,183.06,65
NDC,68084034611,LOSARTAN 25 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084034701,LOSARTAN 50 MG TABLET,175.2,87.6,38.21,157.68,65
NDC,68084034711,LOSARTAN 50 MG TABLET,175.2,87.6,38.21,157.68,65
NDC,68084034801,LOSARTAN 100 MG TABLET,334.5,167.25,72.95,301.05,65
NDC,68084034811,LOSARTAN 100 MG TABLET,334.5,167.25,72.95,301.05,65
NDC,68084035401,OXYCODONE 5 MG TABLET,198.0,99.0,43.18,178.2,65
NDC,68084035411,OXYCODONE 5 MG TABLET,198.0,99.0,43.18,178.2,65
NDC,68084035501,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,68084035511,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,68084036009,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",297.6,148.8,64.91,267.84,65
NDC,68084036011,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",3.75,1.88,0.82,3.38,65
NDC,68084036501,BETHANECHOL CHLORIDE 10 MG TABLET,260.0,130.0,56.71,234.0,65
NDC,68084036511,BETHANECHOL CHLORIDE 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084037211,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,68084037601,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,211.2,105.6,46.06,190.08,65
NDC,68084037611,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,211.2,105.6,46.06,190.08,65
NDC,68084038101,BENZTROPINE 0.5 MG TABLET,211.8,105.9,46.19,190.62,65
NDC,68084038111,BENZTROPINE 0.5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,68084038801,BENZTROPINE 1 MG TABLET,188.4,94.2,41.09,169.56,65
NDC,68084038811,BENZTROPINE 1 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084038901,BENZTROPINE 2 MG TABLET,263.4,131.7,57.45,237.06,65
NDC,68084038911,BENZTROPINE 2 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084039611,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,6.15,3.08,1.34,5.54,65
NDC,68084039665,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,68084040001,OXYBUTYNIN CHLORIDE 5 MG TABLET,202.2,101.1,44.1,181.98,65
NDC,68084040011,OXYBUTYNIN CHLORIDE 5 MG TABLET,202.2,101.1,44.1,181.98,65
NDC,68084041501,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",583.0,291.5,127.15,524.7,65
NDC,68084041511,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",7.0,3.5,1.53,6.3,65
NDC,68084044401,CARBAMAZEPINE 200 MG TABLET,265.2,132.6,57.84,238.68,65
NDC,68084044411,CARBAMAZEPINE 200 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084044601,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,1143.0,571.5,249.29,1028.7,65
NDC,68084044611,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,1143.0,571.5,249.29,1028.7,65
NDC,68084044701,HYDRALAZINE 10 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,68084044711,HYDRALAZINE 10 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,68084044901,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",391.5,195.75,0.26,352.35,66
NDC,68084044911,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",391.5,195.75,0.26,352.35,66
NDC,68084045001,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",506.5,253.25,0.26,455.85,66
NDC,68084045011,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",506.5,253.25,0.26,455.85,66
NDC,68084045111,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",2901.6,1450.8,0.26,2611.44,66
NDC,68084045911,NATEGLINIDE 120 MG TABLET,257.55,128.78,56.17,231.8,65
NDC,68084045921,NATEGLINIDE 120 MG TABLET,257.55,128.78,56.17,231.8,65
NDC,68084047901,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,676.0,338.0,147.44,608.4,65
NDC,68084047911,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.15,4.08,1.78,7.34,65
NDC,68084048001,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",547.5,273.75,119.41,492.75,65
NDC,68084048011,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",6.6,3.3,1.44,5.94,65
NDC,68084049101,MECLIZINE 25 MG TABLET,253.8,126.9,55.35,228.42,65
NDC,68084049111,MECLIZINE 25 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084049401,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,355.0,177.5,77.43,319.5,65
NDC,68084049411,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,4.3,2.15,0.94,3.87,65
NDC,68084051201,SIMVASTATIN 20 MG TABLET,81.6,40.8,17.8,73.44,65
NDC,68084051211,SIMVASTATIN 20 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084052501,OLANZAPINE 2.5 MG TABLET,264.0,132.0,57.58,237.6,65
NDC,68084052511,OLANZAPINE 2.5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084053601,CLOPIDOGREL 75 MG TABLET,119.4,59.7,26.04,107.46,65
NDC,68084053611,CLOPIDOGREL 75 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,68084053901,TORSEMIDE 20 MG TABLET,148.8,74.4,32.45,133.92,65
NDC,68084053911,TORSEMIDE 20 MG TABLET,148.8,74.4,32.45,133.92,65
NDC,68084054911,TEMAZEPAM 7.5 MG CAPSULE,13.0,6.5,2.84,11.7,65
NDC,68084054921,TEMAZEPAM 7.5 MG CAPSULE,324.3,162.15,70.73,291.87,65
NDC,68084056111,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",402.45,201.23,87.77,362.21,65
NDC,68084056121,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",402.45,201.23,87.77,362.21,65
NDC,68084059025,ATORVASTATIN 80 MG TABLET,78.7,39.35,17.16,70.83,65
NDC,68084059095,ATORVASTATIN 80 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084059701,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",602.5,301.25,131.41,542.25,65
NDC,68084059711,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",7.25,3.63,1.58,6.53,65
NDC,68084059801,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",1000.0,500.0,218.1,900.0,65
NDC,68084059811,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",12.0,6.0,2.62,10.8,65
NDC,68084060201,PERPHENAZINE 4 MG TABLET,479.5,239.75,104.58,431.55,65
NDC,68084060211,PERPHENAZINE 4 MG TABLET,5.8,2.9,1.26,5.22,65
NDC,68084060311,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",15.15,7.58,3.3,13.64,65
NDC,68084060321,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",378.6,189.3,82.57,340.74,65
NDC,68084060411,DESMOPRESSIN 0.2 MG TABLET,11.65,5.83,2.54,10.49,65
NDC,68084060421,DESMOPRESSIN 0.2 MG TABLET,291.15,145.58,63.5,262.04,65
NDC,68084060611,DESMOPRESSIN 0.1 MG TABLET,8.15,4.08,1.78,7.34,65
NDC,68084060621,DESMOPRESSIN 0.1 MG TABLET,244.45,122.23,53.31,220.01,65
NDC,68084060701,PERPHENAZINE 8 MG TABLET,587.5,293.75,128.13,528.75,65
NDC,68084060711,PERPHENAZINE 8 MG TABLET,7.05,3.53,1.54,6.35,65
NDC,68084061011,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",16.2,8.1,3.53,14.58,65
NDC,68084061701,ESCITALOPRAM 10 MG TABLET,120.6,60.3,26.3,108.54,65
NDC,68084061711,ESCITALOPRAM 10 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,68084061801,ESCITALOPRAM 20 MG TABLET,135.0,67.5,29.44,121.5,65
NDC,68084061811,ESCITALOPRAM 20 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,68084062111,MODAFINIL 100 MG TABLET,32.1,16.05,7.0,28.89,65
NDC,68084062121,MODAFINIL 100 MG TABLET,801.75,400.88,174.86,721.58,65
NDC,68084063201,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",195.0,97.5,42.53,175.5,65
NDC,68084063211,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",3.35,1.68,0.73,3.02,65
NDC,68084064001,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",212.4,106.2,46.32,191.16,65
NDC,68084064011,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",3.4,1.7,0.74,3.06,65
NDC,68084064501,TIZANIDINE 4 MG TABLET,219.0,109.5,47.76,197.1,65
NDC,68084064511,TIZANIDINE 4 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,68084064565,TIZANIDINE 4 MG TABLET,94.2,47.1,20.55,84.78,65
NDC,68084065401,SOTALOL 80 MG TABLET,489.5,244.75,106.76,440.55,65
NDC,68084065411,SOTALOL 80 MG TABLET,5.9,2.95,1.29,5.31,65
NDC,68084065501,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",281.4,140.7,61.37,253.26,65
NDC,68084065511,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",3.5,1.75,0.76,3.15,65
NDC,68084067511,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",4.6,2.3,1.0,4.14,65
NDC,68084067521,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",137.0,68.5,29.88,123.3,65
NDC,68084068301,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",344.0,172.0,75.03,309.6,65
NDC,68084068311,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",4.15,2.08,0.91,3.74,65
NDC,68084069201,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",347.0,173.5,75.68,312.3,65
NDC,68084069211,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",4.2,2.1,0.92,3.78,65
NDC,68084069701,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",304.5,152.25,66.41,274.05,65
NDC,68084069711,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",3.7,1.85,0.81,3.33,65
NDC,68084069801,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",272.4,136.2,59.41,245.16,65
NDC,68084069811,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",3.5,1.75,0.76,3.15,65
NDC,68084069901,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,712.0,356.0,155.29,640.8,65
NDC,68084069911,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,8.55,4.28,1.86,7.7,65
NDC,68084070401,BETHANECHOL CHLORIDE 25 MG TABLET,355.5,177.75,77.53,319.95,65
NDC,68084070411,BETHANECHOL CHLORIDE 25 MG TABLET,4.3,2.15,0.94,3.87,65
NDC,68084070825,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",79.05,39.53,17.24,71.15,65
NDC,68084070895,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",3.45,1.73,0.75,3.11,65
NDC,68084070901,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",263.4,131.7,57.45,237.06,65
NDC,68084070911,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",3.45,1.73,0.75,3.11,65
NDC,68084071001,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,859.0,429.5,187.35,773.1,65
NDC,68084071011,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,10.35,5.18,2.26,9.32,65
NDC,68084071301,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",270.0,135.0,58.89,243.0,65
NDC,68084071311,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",3.45,1.73,0.75,3.11,65
NDC,68084072111,MODAFINIL 200 MG TABLET,44.2,22.1,9.64,39.78,65
NDC,68084072121,MODAFINIL 200 MG TABLET,1103.85,551.93,240.75,993.47,65
NDC,68084072301,OLANZAPINE 5 MG TABLET,299.4,149.7,65.3,269.46,65
NDC,68084072311,OLANZAPINE 5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,68084072801,FLUCONAZOLE 100 MG TABLET,554.0,277.0,120.83,498.6,65
NDC,68084072811,FLUCONAZOLE 100 MG TABLET,6.65,3.33,1.45,5.99,65
NDC,68084072911,GALANTAMINE 4 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,68084072921,GALANTAMINE 4 MG TABLET,523.95,261.98,114.27,471.56,65
NDC,68084073501,FLUCONAZOLE 200 MG TABLET,1008.0,504.0,219.84,907.2,65
NDC,68084073511,FLUCONAZOLE 200 MG TABLET,12.1,6.05,2.64,10.89,65
NDC,68084073701,CITALOPRAM 10 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,68084073711,CITALOPRAM 10 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084073801,METHADONE 10 MG TABLET,130.8,65.4,28.53,117.72,65
NDC,68084073811,METHADONE 10 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,68084074001,OLANZAPINE 10 MG TABLET,388.0,194.0,84.62,349.2,65
NDC,68084074011,OLANZAPINE 10 MG TABLET,4.7,2.35,1.03,4.23,65
NDC,68084075025,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,142.6,71.3,31.1,128.34,65
NDC,68084075095,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,4.8,2.4,1.05,4.32,65
NDC,68084075225,CLOPIDOGREL 300 MG TABLET,1155.6,577.8,252.04,1040.04,65
NDC,68084075295,CLOPIDOGREL 300 MG TABLET,46.25,23.13,10.09,41.63,65
NDC,68084075311,CYCLOBENZAPRINE 5 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084075325,CYCLOBENZAPRINE 5 MG TABLET,69.15,34.58,15.08,62.24,65
NDC,68084075365,CYCLOBENZAPRINE 5 MG TABLET,93.3,46.65,20.35,83.97,65
NDC,68084075395,CYCLOBENZAPRINE 5 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,68084076511,LISINOPRIL 2.5 MG TABLET,3.45,1.73,0.75,3.11,65
NDC,68084076521,LISINOPRIL 2.5 MG TABLET,79.4,39.7,17.32,71.46,65
NDC,68084077525,TIZANIDINE 2 MG TABLET,113.05,56.53,24.66,101.75,65
NDC,68084077595,TIZANIDINE 2 MG TABLET,3.8,1.9,0.83,3.42,65
NDC,68084077601,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",93.6,46.8,20.41,84.24,65
NDC,68084077611,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",3.2,1.6,0.7,2.88,65
NDC,68084078211,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",3.25,1.63,0.71,2.93,65
NDC,68084078261,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",121.0,60.5,26.39,108.9,65
NDC,68084078895,GLIMEPIRIDE 1 MG TABLET,4.15,2.08,0.91,3.74,65
NDC,68084079025,CLOMIPRAMINE 25 MG CAPSULE,1266.6,633.3,276.25,1139.94,65
NDC,68084079095,CLOMIPRAMINE 25 MG CAPSULE,50.7,25.35,11.06,45.63,65
NDC,68084080511,METHYLPHENIDATE 5 MG TABLET,11.25,5.63,2.45,10.13,65
NDC,68084080521,METHYLPHENIDATE 5 MG TABLET,280.2,140.1,61.11,252.18,65
NDC,68084080801,TRAMADOL 50 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,68084080811,TRAMADOL 50 MG TABLET,5.15,2.58,1.12,4.64,65
NDC,68084081309,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",58.1,29.05,12.67,52.29,65
NDC,68084081311,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",3.15,1.58,0.69,2.84,65
NDC,68084082311,METHYLPHENIDATE 10 MG TABLET,8.0,4.0,1.74,7.2,65
NDC,68084082321,METHYLPHENIDATE 10 MG TABLET,239.25,119.63,52.18,215.33,65
NDC,68084082501,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,219.0,109.5,47.76,197.1,65
NDC,68084082511,TRAMADOL 37.5 MG-ACETAMINOPHEN 325 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,68084082725,FENOFIBRATE 54 MG TABLET,146.35,73.18,31.92,131.72,65
NDC,68084082795,FENOFIBRATE 54 MG TABLET,4.9,2.45,1.07,4.41,65
NDC,68084083601,DOXAZOSIN 1 MG TABLET,288.0,144.0,62.81,259.2,65
NDC,68084083625,DOXAZOSIN 1 MG TABLET,134.1,67.05,29.25,120.69,65
NDC,68084083695,DOXAZOSIN 1 MG TABLET,4.5,2.25,0.98,4.05,65
NDC,68084084301,CARVEDILOL 3.125 MG TABLET,54.6,27.3,11.91,49.14,65
NDC,68084084311,CARVEDILOL 3.125 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,68084084401,VENLAFAXINE 37.5 MG TABLET,272.4,136.2,59.41,245.16,65
NDC,68084084411,VENLAFAXINE 37.5 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,68084084501,OXCARBAZEPINE 150 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,68084084511,OXCARBAZEPINE 150 MG TABLET,3.4,1.7,0.74,3.06,65
NDC,68084084601,FLUPHENAZINE 5 MG TABLET,2774.8,1387.4,605.18,2497.32,65
NDC,68084084611,FLUPHENAZINE 5 MG TABLET,41.65,20.83,9.08,37.49,65
NDC,68084084701,HYDROXYZINE PAMOATE 25 MG CAPSULE,169.2,84.6,36.9,152.28,65
NDC,68084084711,HYDROXYZINE PAMOATE 25 MG CAPSULE,3.3,1.65,0.72,2.97,65
NDC,68084085032,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",233.2,116.6,50.86,209.88,65
NDC,68084085033,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",11.7,5.85,2.55,10.53,65
NDC,68084085101,DOXAZOSIN 2 MG TABLET,298.0,149.0,64.99,268.2,65
NDC,68084085111,DOXAZOSIN 2 MG TABLET,3.6,1.8,0.79,3.24,65
NDC,68084085125,DOXAZOSIN 2 MG TABLET,131.95,65.98,28.78,118.76,65
NDC,68084085195,DOXAZOSIN 2 MG TABLET,4.4,2.2,0.96,3.96,65
NDC,68084085301,OXCARBAZEPINE 300 MG TABLET,339.0,169.5,73.94,305.1,65
NDC,68084085311,OXCARBAZEPINE 300 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,68084085401,CARVEDILOL 6.25 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,68084085411,CARVEDILOL 6.25 MG TABLET,3.1,1.55,0.68,2.79,65
NDC,68084085501,BACLOFEN 10 MG TABLET,205.2,102.6,44.75,184.68,65
NDC,68084085511,BACLOFEN 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084085601,VENLAFAXINE 75 MG TABLET,339.0,169.5,73.94,305.1,65
NDC,68084085611,VENLAFAXINE 75 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,68084085901,LEVETIRACETAM 250 MG TABLET,73.2,36.6,15.96,65.88,65
NDC,68084085911,LEVETIRACETAM 250 MG TABLET,3.15,1.58,0.69,2.84,65
NDC,68084086201,DOXAZOSIN 4 MG TABLET,305.5,152.75,66.63,274.95,65
NDC,68084086211,DOXAZOSIN 4 MG TABLET,3.7,1.85,0.81,3.33,65
NDC,68084086225,DOXAZOSIN 4 MG TABLET,134.3,67.15,29.29,120.87,65
NDC,68084086295,DOXAZOSIN 4 MG TABLET,4.5,2.25,0.98,4.05,65
NDC,68084086701,OXCARBAZEPINE 600 MG TABLET,514.5,257.25,112.21,463.05,65
NDC,68084086711,OXCARBAZEPINE 600 MG TABLET,6.2,3.1,1.35,5.58,65
NDC,68084086801,BACLOFEN 20 MG TABLET,276.6,138.3,60.33,248.94,65
NDC,68084086811,BACLOFEN 20 MG TABLET,3.5,1.75,0.76,3.15,65
NDC,68084087501,MONTELUKAST 10 MG TABLET,181.2,90.6,39.52,163.08,65
NDC,68084087511,MONTELUKAST 10 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,68084087925,CYCLOSPORINE 25 MG CAPSULE,621.45,310.73,135.54,559.31,65
NDC,68084087995,CYCLOSPORINE 25 MG CAPSULE,24.9,12.45,5.43,22.41,65
NDC,68084088201,LEVETIRACETAM 750 MG TABLET,125.4,62.7,27.35,112.86,65
NDC,68084088211,LEVETIRACETAM 750 MG TABLET,3.25,1.63,0.71,2.93,65
NDC,68084089311,"LEVETIRACETAM 1,000 MG TABLET",3.25,1.63,0.71,2.93,65
NDC,68084089501,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,68084089509,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,94.6,47.3,20.63,85.14,65
NDC,68084089511,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,5.25,2.63,1.15,4.73,65
NDC,68084089625,VENLAFAXINE 25 MG TABLET,160.75,80.38,35.06,144.68,65
NDC,68084089695,VENLAFAXINE 25 MG TABLET,5.4,2.7,1.18,4.86,65
NDC,68084090711,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",16.75,8.38,3.65,15.08,65
NDC,68084090721,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",418.35,209.18,91.24,376.52,65
NDC,68084091233,NIMODIPINE 30 MG CAPSULE,9.3,4.65,2.03,8.37,65
NDC,68084091525,SIROLIMUS 1 MG TABLET,961.5,480.75,209.7,865.35,65
NDC,68084091595,SIROLIMUS 1 MG TABLET,38.5,19.25,8.4,34.65,65
NDC,68084091732,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",762.7,381.35,166.34,686.43,65
NDC,68084091733,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",45.8,22.9,9.99,41.22,65
NDC,68084091825,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",1098.45,549.23,239.57,988.61,65
NDC,68084091895,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",43.95,21.98,9.59,39.56,65
NDC,68084092125,CYCLOSPORINE 100 MG CAPSULE,1962.0,981.0,2.51,1765.8,66
NDC,68084092195,CYCLOSPORINE 100 MG CAPSULE,78.5,39.25,2.51,70.65,66
NDC,68084092825,PILOCARPINE 5 MG TABLET,340.95,170.48,74.36,306.86,65
NDC,68084092895,PILOCARPINE 5 MG TABLET,13.65,6.83,2.98,12.29,65
NDC,68084094732,QUININE 324 MG CAPSULE,369.6,184.8,80.61,332.64,65
NDC,68084094733,QUININE 324 MG CAPSULE,22.2,11.1,4.84,19.98,65
NDC,68084094925,ALBUTEROL SULFATE 2 MG TABLET,928.8,464.4,202.57,835.92,65
NDC,68084094995,ALBUTEROL SULFATE 2 MG TABLET,37.2,18.6,8.11,33.48,65
NDC,68084095011,FLUPHENAZINE 10 MG TABLET,52.2,26.1,11.38,46.98,65
NDC,68084096425,PROPYLTHIOURACIL 50 MG TABLET,308.55,154.28,67.29,277.7,65
NDC,68084096495,PROPYLTHIOURACIL 50 MG TABLET,12.35,6.18,2.69,11.12,65
NDC,68084096525,VALGANCICLOVIR 450 MG TABLET,1389.45,694.73,303.04,1250.51,65
NDC,68084096595,VALGANCICLOVIR 450 MG TABLET,55.6,27.8,12.13,50.04,65
NDC,68084096801,OXYCODONE 10 MG TABLET,340.0,170.0,74.15,306.0,65
NDC,68084096811,OXYCODONE 10 MG TABLET,5.7,2.85,1.24,5.13,65
NDC,68084097501,OXYCODONE 15 MG TABLET,477.0,238.5,104.03,429.3,65
NDC,68084097511,OXYCODONE 15 MG TABLET,5.75,2.88,1.25,5.18,65
NDC,68084098301,OXYCODONE 30 MG TABLET,548.5,274.25,119.63,493.65,65
NDC,68084098311,OXYCODONE 30 MG TABLET,6.6,3.3,1.44,5.94,65
NDC,68084099601,PRAZOSIN 1 MG CAPSULE,599.5,299.75,130.75,539.55,65
NDC,68084099611,PRAZOSIN 1 MG CAPSULE,7.2,3.6,1.57,6.48,65
NDC,68084099701,PRAZOSIN 2 MG CAPSULE,653.5,326.75,142.53,588.15,65
NDC,68084099711,PRAZOSIN 2 MG CAPSULE,7.85,3.93,1.71,7.07,65
NDC,68094000159,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.35,3.18,1.38,5.72,65
NDC,68094000162,MORPHINE 10 MG/5 ML ORAL SOLUTION,6.35,3.18,1.38,5.72,65
NDC,68094000559,OXYCODONE 15 MG TABLET,5.5,2.75,1.2,4.95,65
NDC,68094000561,OXYCODONE 15 MG TABLET,271.8,135.9,59.28,244.62,65
NDC,68094000759,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,12.25,6.13,2.67,11.03,65
NDC,68094000762,CARBAMAZEPINE 100 MG/5 ML (5 ML) ORAL SUSPENSION,12.25,6.13,2.67,11.03,65
NDC,68094000859,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,16.65,8.33,3.63,14.99,65
NDC,68094000862,CARBAMAZEPINE 200 MG/10 ML ORAL SUSPENSION,16.65,8.33,3.63,14.99,65
NDC,68094001959,GUANFACINE 1 MG TABLET,6.6,3.3,1.44,5.94,65
NDC,68094001962,GUANFACINE 1 MG TABLET,197.5,98.75,43.07,177.75,65
NDC,68094003159,METHADONE 5 MG/5 ML ORAL SOLUTION,9.4,4.7,2.05,8.46,65
NDC,68094003162,METHADONE 5 MG/5 ML ORAL SOLUTION,9.4,4.7,2.05,8.46,65
NDC,68094003459,SEVELAMER CARBONATE 800 MG TABLET,8.6,4.3,1.88,7.74,65
NDC,68094003464,SEVELAMER CARBONATE 800 MG TABLET,644.85,322.43,140.64,580.37,65
NDC,68094004359,SUCRALFATE 100 MG/ML ORAL SUSPENSION,30.5,15.25,6.65,27.45,65
NDC,68094004361,SUCRALFATE 100 MG/ML ORAL SUSPENSION,30.5,15.25,6.65,27.45,65
NDC,68094004362,SUCRALFATE 100 MG/ML ORAL SUSPENSION,34.95,17.48,7.62,31.46,65
NDC,68094004459,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,4.75,2.38,1.04,4.28,65
NDC,68094004461,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,393.0,196.5,85.71,353.7,65
NDC,68094004501,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),13.1,6.55,2.86,11.79,65
NDC,68094004558,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),13.1,6.55,2.86,11.79,65
NDC,68094005601,MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY),13.55,6.78,2.96,12.2,65
NDC,68094006359,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,15.2,7.6,3.32,13.68,65
NDC,68094006361,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,15.2,7.6,3.32,13.68,65
NDC,68094006362,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,15.3,7.65,3.34,13.77,65
NDC,68094006559,GUANFACINE 1 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,68094006562,GUANFACINE 1 MG TABLET,300.0,150.0,65.43,270.0,65
NDC,68094010110,PHENTOLAMINE 5 MG INJECTION SOLUTION,1933.05,966.53,421.6,1739.75,71
NDC,68094010120,PHENTOLAMINE 5 MG INJECTION SOLUTION,1629.45,814.73,355.38,1466.51,71
NDC,68094011259,FOLIC ACID 1 MG TABLET,3.2,1.6,0.7,2.88,65
NDC,68094011261,FOLIC ACID 1 MG TABLET,98.4,49.2,21.46,88.56,65
NDC,68094012359,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,31.9,15.95,6.96,28.71,65
NDC,68094012362,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,31.9,15.95,6.96,28.71,65
NDC,68094019359,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,3.45,1.73,0.75,3.11,65
NDC,68094019361,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,3.45,1.73,0.75,3.11,65
NDC,68094019362,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,3.45,1.73,0.75,3.11,65
NDC,68094025059,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,11.7,5.85,2.55,10.53,65
NDC,68094025061,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,11.7,5.85,2.55,10.53,65
NDC,68094025062,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,11.85,5.93,2.58,10.67,65
NDC,68094031301,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,48.0,24.0,0.07,43.2,66
NDC,68094031325,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,48.2,24.1,0.07,43.38,66
NDC,68094059959,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.65,2.33,1.01,4.19,65
NDC,68094059961,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.65,2.33,1.01,4.19,65
NDC,68094059962,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",4.75,2.38,1.04,4.28,65
NDC,68094069030,AZITHROMYCIN 600 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,68094070159,VALPROIC ACID (AS SODIUM SALT) 500 MG/10 ML (10 ML) ORAL SOLUTION,4.95,2.48,1.08,4.46,65
NDC,68094070161,VALPROIC ACID (AS SODIUM SALT) 500 MG/10 ML (10 ML) ORAL SOLUTION,4.95,2.48,1.08,4.46,65
NDC,68094075059,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",18.0,9.0,3.93,16.2,65
NDC,68094075062,"DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION",17.95,8.98,3.91,16.16,65
NDC,68094075659,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.6,4.8,2.09,8.64,65
NDC,68094075662,FUROSEMIDE 40 MG/4 ML ORAL SOLUTION,9.55,4.78,2.08,8.6,65
NDC,68094076259,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),24.8,12.4,5.41,22.32,65
NDC,68094076262,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),24.8,12.4,5.41,22.32,65
NDC,68094076359,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,64.35,32.18,14.03,57.92,65
NDC,68094076459,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),29.2,14.6,6.37,26.28,65
NDC,68094076462,MIDAZOLAM 2 MG/ML ORAL SYRUP (WRAPPED),29.2,14.6,6.37,26.28,65
NDC,68094080450,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",19.2,9.6,4.19,17.28,65
NDC,68094085362,NALTREXONE 50 MG TABLET,262.2,131.1,57.19,235.98,65
NDC,68094090030,AZITHROMYCIN 250 MG TABLET,19.65,9.83,4.29,17.69,65
NDC,68094090450,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",26.4,13.2,5.76,23.76,65
NDC,68134020116,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,2180.0,1090.0,475.46,1962.0,65
NDC,68135002001,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION,9829.0,4914.5,2143.7,8846.1,65
NDC,68135010001,ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLUTION,5965.0,2982.5,311.77,5368.5,71
NDC,68180011216,LEVETIRACETAM 250 MG TABLET,178.6,89.3,38.95,160.74,65
NDC,68180011416,LEVETIRACETAM 750 MG TABLET,71.3,35.65,15.55,64.17,65
NDC,68180011707,"LEVETIRACETAM ER 500 MG TABLET,EXTENDED RELEASE 24 HR",54.75,27.38,11.94,49.28,65
NDC,68180011807,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR",114.5,57.25,24.97,103.05,65
NDC,68180012101,CEPHALEXIN 250 MG CAPSULE,57.6,28.8,12.56,51.84,65
NDC,68180012201,CEPHALEXIN 500 MG CAPSULE,86.4,43.2,18.84,77.76,65
NDC,68180012202,CEPHALEXIN 500 MG CAPSULE,352.5,176.25,76.88,317.25,65
NDC,68180013701,ESCITALOPRAM 5 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,68180015001,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,145.5,72.75,31.73,130.95,65
NDC,68180015106,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",1126.05,563.03,245.59,1013.45,65
NDC,68180015109,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",2593.1,1296.55,565.56,2333.79,65
NDC,68180015206,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1439.1,719.55,313.87,1295.19,65
NDC,68180015209,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",3873.25,1936.63,844.76,3485.93,65
NDC,68180015901,ETHACRYNIC ACID 25 MG TABLET,975.0,487.5,212.65,877.5,65
NDC,68180016006,AZITHROMYCIN 250 MG TABLET,296.25,148.13,64.61,266.63,65
NDC,68180016011,AZITHROMYCIN 250 MG TABLET,8.4,4.2,1.83,7.56,65
NDC,68180016611,VANCOMYCIN 125 MG CAPSULE,5.75,2.88,1.25,5.18,65
NDC,68180016613,VANCOMYCIN 125 MG CAPSULE,115.0,57.5,25.08,103.5,65
NDC,68180016711,VANCOMYCIN 250 MG CAPSULE,8.9,4.45,1.94,8.01,65
NDC,68180016713,VANCOMYCIN 250 MG CAPSULE,177.25,88.63,38.66,159.53,65
NDC,68180018008,CEFADROXIL 500 MG CAPSULE,178.5,89.25,38.93,160.65,65
NDC,68180021430,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,416.1,208.05,90.75,374.49,65
NDC,68180021460,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,636.3,318.15,138.78,572.67,65
NDC,68180023109,FENOFIBRATE 54 MG TABLET,112.35,56.18,24.5,101.12,65
NDC,68180024706,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",221.6,110.8,48.33,199.44,65
NDC,68180024906,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",239.8,119.9,52.3,215.82,65
NDC,68180024909,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",599.4,299.7,130.73,539.46,65
NDC,68180026101,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",238.8,119.4,52.08,214.92,65
NDC,68180028001,ETHAMBUTOL 100 MG TABLET,269.4,134.7,58.76,242.46,65
NDC,68180028101,ETHAMBUTOL 400 MG TABLET,635.5,317.75,138.6,571.95,65
NDC,68180028706,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,167.25,83.63,36.48,150.53,65
NDC,68180029407,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",99.75,49.88,21.76,89.78,65
NDC,68180029506,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",49.9,24.95,10.88,44.91,65
NDC,68180029509,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",149.6,74.8,32.63,134.64,65
NDC,68180029606,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",49.9,24.95,10.88,44.91,65
NDC,68180029609,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",149.6,74.8,32.63,134.64,65
NDC,68180030220,CEFUROXIME AXETIL 250 MG TABLET,220.6,110.3,48.11,198.54,65
NDC,68180030260,CEFUROXIME AXETIL 250 MG TABLET,506.4,253.2,110.45,455.76,65
NDC,68180031906,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",32.95,16.48,7.19,29.66,65
NDC,68180031909,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",47.0,23.5,10.25,42.3,65
NDC,68180032006,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",32.95,16.48,7.19,29.66,65
NDC,68180032009,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",69.15,34.58,15.08,62.24,65
NDC,68180033707,"METFORMIN ER 1,000 MG TABLET,EXTENDED RELEASE 24HR (OSMOTIC)",500.1,250.05,109.07,450.09,65
NDC,68180034606,DARUNAVIR 800 MG TABLET,364.2,182.1,79.43,327.78,65
NDC,68180035109,SERTRALINE 25 MG TABLET,35.1,17.55,7.66,31.59,65
NDC,68180037603,LOSARTAN 25 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,68180037609,LOSARTAN 25 MG TABLET,22.15,11.08,4.83,19.94,65
NDC,68180037709,LOSARTAN 50 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,68180039601,CELECOXIB 100 MG CAPSULE,83.4,41.7,18.19,75.06,65
NDC,68180039901,CELECOXIB 200 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,68180040103,CEFPROZIL 125 MG/5 ML ORAL SUSPENSION,188.4,94.2,41.09,169.56,65
NDC,68180040401,CEFPROZIL 500 MG TABLET,375.0,187.5,81.79,337.5,65
NDC,68180040501,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,224.1,112.05,48.88,201.69,65
NDC,68180042311,CEFIXIME 400 MG CAPSULE,429.2,214.6,93.61,386.28,65
NDC,68180044001,CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION,60.0,30.0,13.09,54.0,65
NDC,68180044101,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,67.2,33.6,14.66,60.48,65
NDC,68180044102,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,142.8,71.4,31.14,128.52,65
NDC,68180044501,QUETIAPINE 25 MG TABLET,30.6,15.3,6.67,27.54,65
NDC,68180044601,QUETIAPINE 50 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,68180044701,QUETIAPINE 100 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,68180044801,QUETIAPINE 200 MG TABLET,97.2,48.6,21.2,87.48,65
NDC,68180046707,LOVASTATIN 10 MG TABLET,20.9,10.45,4.56,18.81,65
NDC,68180046801,LOVASTATIN 20 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,68180046807,LOVASTATIN 20 MG TABLET,18.75,9.38,4.09,16.88,65
NDC,68180046907,LOVASTATIN 40 MG TABLET,23.8,11.9,5.19,21.42,65
NDC,68180051201,LISINOPRIL 2.5 MG TABLET,15.0,7.5,3.27,13.5,65
NDC,68180051301,LISINOPRIL 5 MG TABLET,19.2,9.6,4.19,17.28,65
NDC,68180051303,LISINOPRIL 5 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,68180051901,LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,84.6,42.3,18.45,76.14,65
NDC,68180052001,LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,97.8,48.9,21.33,88.02,65
NDC,68180052002,LISINOPRIL 20 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,252.0,126.0,54.96,226.8,65
NDC,68180052406,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",300.45,150.23,65.53,270.41,65
NDC,68180052506,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",300.45,150.23,65.53,270.41,65
NDC,68180056601,TRANDOLAPRIL 1 MG TABLET,174.0,87.0,37.95,156.6,65
NDC,68180058901,RAMIPRIL 2.5 MG CAPSULE,196.2,98.1,42.79,176.58,65
NDC,68180059206,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",77.95,38.98,17.0,70.16,65
NDC,68180059306,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",113.6,56.8,24.78,102.24,65
NDC,68180060207,LAMIVUDINE 150 MG TABLET,1597.2,798.6,348.35,1437.48,65
NDC,68180060406,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",103.5,51.75,22.57,93.15,65
NDC,68180060607,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",180.0,90.0,39.26,162.0,65
NDC,68180061307,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",150.15,75.08,32.75,135.14,65
NDC,68180061407,"QUETIAPINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",155.55,77.78,33.93,140.0,65
NDC,68180063509,ATORVASTATIN 10 MG TABLET,114.5,57.25,24.97,103.05,65
NDC,68180065701,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,96.85,48.43,21.12,87.17,65
NDC,68180065806,RIFAMPIN 150 MG CAPSULE,139.5,69.75,30.42,125.55,65
NDC,68180065906,RIFAMPIN 300 MG CAPSULE,206.65,103.33,45.07,185.99,65
NDC,68180065907,RIFAMPIN 300 MG CAPSULE,328.5,164.25,71.65,295.65,65
NDC,68180067511,OSELTAMIVIR 30 MG CAPSULE,38.85,19.43,8.47,34.97,65
NDC,68180067611,OSELTAMIVIR 45 MG CAPSULE,38.85,19.43,8.47,34.97,65
NDC,68180067711,OSELTAMIVIR 75 MG CAPSULE,56.6,28.3,12.34,50.94,65
NDC,68180067801,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,35.65,17.83,7.78,32.09,65
NDC,68180069001,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,435.9,217.95,0.15,392.31,66
NDC,68180069906,"TRAMADOL ER 300 MG TABLET,EXTENDED RELEASE 24 HR",837.15,418.58,182.58,753.44,65
NDC,68180070906,RIVAROXABAN 2.5 MG TABLET,768.9,384.45,167.7,692.01,65
NDC,68180071160,CEFDINIR 300 MG CAPSULE,239.8,119.9,52.3,215.82,65
NDC,68180072304,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,128.2,64.1,27.96,115.38,65
NDC,68180072305,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,149.4,74.7,32.58,134.46,65
NDC,68180074006,SILODOSIN 4 MG CAPSULE,166.5,83.25,36.31,149.85,65
NDC,68180075501,AMLODIPINE 2.5 MG-BENAZEPRIL 10 MG CAPSULE,66.6,33.3,14.53,59.94,65
NDC,68180075601,AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE,73.8,36.9,16.1,66.42,65
NDC,68180079701,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,1140.8,570.4,248.81,1026.72,65
NDC,68180081942,LANTHANUM 500 MG CHEWABLE TABLET,2499.3,1249.65,545.1,2249.37,65
NDC,68180081952,LANTHANUM 500 MG CHEWABLE TABLET,1249.65,624.83,272.55,1124.69,65
NDC,68180084071,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,15.65,7.83,3.41,14.09,65
NDC,68180084073,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,15.65,7.83,3.41,14.09,65
NDC,68180085211,LEVONORGESTREL 1.5 MG TABLET,18.2,9.1,3.97,16.38,65
NDC,68180086111,AZITHROMYCIN 250 MG TABLET,6.45,3.23,1.41,5.81,65
NDC,68180096204,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,37.35,18.68,8.15,33.62,66
NDC,68180096256,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,37.35,18.68,8.15,33.62,66
NDC,68180096301,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,107.5,53.75,23.45,96.75,65
NDC,68180096501,LEVOTHYROXINE 25 MCG TABLET,61.8,30.9,13.48,55.62,65
NDC,68180096509,LEVOTHYROXINE 25 MCG TABLET,38.35,19.18,8.36,34.52,65
NDC,68180096601,LEVOTHYROXINE 50 MCG TABLET,85.2,42.6,18.58,76.68,65
NDC,68180096609,LEVOTHYROXINE 50 MCG TABLET,23.8,11.9,5.19,21.42,65
NDC,68180096701,LEVOTHYROXINE 75 MCG TABLET,88.8,44.4,19.37,79.92,65
NDC,68180096801,LEVOTHYROXINE 88 MCG TABLET,88.2,44.1,19.24,79.38,65
NDC,68180096809,LEVOTHYROXINE 88 MCG TABLET,27.0,13.5,5.89,24.3,65
NDC,68180096901,LEVOTHYROXINE 100 MCG TABLET,92.4,46.2,20.15,83.16,65
NDC,68180096903,LEVOTHYROXINE 100 MCG TABLET,740.0,370.0,161.39,666.0,65
NDC,68180097001,LEVOTHYROXINE 112 MCG TABLET,99.0,49.5,21.59,89.1,65
NDC,68180097101,LEVOTHYROXINE 125 MCG TABLET,114.0,57.0,24.86,102.6,65
NDC,68180097109,LEVOTHYROXINE 125 MCG TABLET,79.95,39.98,17.44,71.96,65
NDC,68180097209,LEVOTHYROXINE 137 MCG TABLET,31.9,15.95,6.96,28.71,65
NDC,68180097301,LEVOTHYROXINE 150 MCG TABLET,88.8,44.4,19.37,79.92,65
NDC,68180097401,LEVOTHYROXINE 175 MCG TABLET,139.8,69.9,30.49,125.82,65
NDC,68180097409,LEVOTHYROXINE 175 MCG TABLET,111.25,55.63,24.26,100.13,65
NDC,68180097501,LEVOTHYROXINE 200 MCG TABLET,120.6,60.3,26.3,108.54,65
NDC,68180097901,LISINOPRIL 40 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,68180098001,LISINOPRIL 10 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,68180098101,LISINOPRIL 20 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,68180098103,LISINOPRIL 20 MG TABLET,192.0,96.0,41.88,172.8,65
NDC,68180098405,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,7.05,3.53,1.54,6.35,65
NDC,68180098430,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,7.05,3.53,1.54,6.35,65
NDC,68308015215,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",44.55,22.28,9.72,40.1,65
NDC,68308015260,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",136.8,68.4,29.84,123.12,65
NDC,68308025010,"ERYTHROMYCIN 250 MG CAPSULE,DELAYED RELEASE",2715.6,1357.8,592.27,2444.04,65
NDC,68308047547,OXYCODONE-ACETAMINOPHEN 7.5 MG-325 MG TABLET,275.4,137.7,60.06,247.86,65
NDC,68308048047,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,68382000301,AZATHIOPRINE 50 MG TABLET,178.2,89.1,5.06,160.38,66
NDC,68382000414,TOPIRAMATE 15 MG SPRINKLE CAPSULE,173.55,86.78,37.85,156.2,65
NDC,68382000514,TOPIRAMATE 25 MG SPRINKLE CAPSULE,206.3,103.15,44.99,185.67,65
NDC,68382000801,LAMOTRIGINE 100 MG TABLET,23.4,11.7,5.1,21.06,65
NDC,68382001014,LAMOTRIGINE 200 MG TABLET,97.95,48.98,21.36,88.16,65
NDC,68382001801,VENLAFAXINE 25 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,68382001901,VENLAFAXINE 37.5 MG TABLET,87.6,43.8,19.11,78.84,65
NDC,68382002001,VENLAFAXINE 50 MG TABLET,51.6,25.8,11.25,46.44,65
NDC,68382002101,VENLAFAXINE 75 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,68382002210,ATENOLOL 25 MG TABLET,276.0,138.0,60.2,248.4,65
NDC,68382002301,ATENOLOL 50 MG TABLET,39.6,19.8,8.64,35.64,65
NDC,68382002401,ATENOLOL 100 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,68382003416,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",65.35,32.68,14.25,58.82,65
NDC,68382003516,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",56.2,28.1,12.26,50.58,65
NDC,68382003616,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",71.3,35.65,15.55,64.17,65
NDC,68382004001,PROMETHAZINE 12.5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,68382004101,PROMETHAZINE 25 MG TABLET,25.8,12.9,5.63,23.22,65
NDC,68382004201,PROMETHAZINE 50 MG TABLET,56.4,28.2,12.3,50.76,65
NDC,68382005001,MELOXICAM 7.5 MG TABLET,8.4,4.2,1.83,7.56,65
NDC,68382005101,MELOXICAM 15 MG TABLET,9.0,4.5,1.96,8.1,65
NDC,68382007901,HALOPERIDOL 5 MG TABLET,291.0,145.5,63.47,261.9,65
NDC,68382007910,HALOPERIDOL 5 MG TABLET,1930.0,965.0,420.93,1737.0,65
NDC,68382008001,HALOPERIDOL 10 MG TABLET,319.0,159.5,69.57,287.1,65
NDC,68382009201,CARVEDILOL 3.125 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,68382009205,CARVEDILOL 3.125 MG TABLET,99.0,49.5,21.59,89.1,65
NDC,68382009301,CARVEDILOL 6.25 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,68382009401,CARVEDILOL 12.5 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,68382009405,CARVEDILOL 12.5 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,68382009601,HYDROXYCHLOROQUINE 200 MG TABLET,343.5,171.75,74.92,309.15,65
NDC,68382009605,HYDROXYCHLOROQUINE 200 MG TABLET,2455.0,1227.5,535.44,2209.5,65
NDC,68382009706,PAROXETINE 10 MG TABLET,12.8,6.4,2.79,11.52,65
NDC,68382009716,PAROXETINE 10 MG TABLET,38.35,19.18,8.36,34.52,65
NDC,68382009801,PAROXETINE 20 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,68382009806,PAROXETINE 20 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,68382009816,PAROXETINE 20 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,68382010601,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",193.2,96.6,42.14,173.88,65
NDC,68382010610,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",1475.0,737.5,321.7,1327.5,65
NDC,68382011214,RISPERIDONE 0.25 MG TABLET,11.55,5.78,2.52,10.4,65
NDC,68382011414,RISPERIDONE 1 MG TABLET,17.65,8.83,3.85,15.89,65
NDC,68382011505,RISPERIDONE 2 MG TABLET,380.0,190.0,82.88,342.0,65
NDC,68382011514,RISPERIDONE 2 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,68382011614,RISPERIDONE 3 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,68382012105,AMLODIPINE 2.5 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,68382012116,AMLODIPINE 2.5 MG TABLET,7.05,3.53,1.54,6.35,65
NDC,68382012205,AMLODIPINE 5 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,68382012216,AMLODIPINE 5 MG TABLET,8.65,4.33,1.89,7.79,65
NDC,68382012305,AMLODIPINE 10 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,68382012316,AMLODIPINE 10 MG TABLET,9.2,4.6,2.01,8.28,65
NDC,68382013201,TAMSULOSIN 0.4 MG CAPSULE,80.4,40.2,17.54,72.36,65
NDC,68382013210,TAMSULOSIN 0.4 MG CAPSULE,550.0,275.0,119.96,495.0,65
NDC,68382013516,LOSARTAN 25 MG TABLET,21.6,10.8,4.71,19.44,65
NDC,68382013606,LOSARTAN 50 MG TABLET,10.1,5.05,2.2,9.09,65
NDC,68382013616,LOSARTAN 50 MG TABLET,24.3,12.15,5.3,21.87,65
NDC,68382013706,LOSARTAN 100 MG TABLET,43.05,21.53,9.39,38.75,65
NDC,68382013814,TOPIRAMATE 25 MG TABLET,10.45,5.23,2.28,9.41,65
NDC,68382014005,TOPIRAMATE 100 MG TABLET,237.0,118.5,51.69,213.3,65
NDC,68382014014,TOPIRAMATE 100 MG TABLET,42.15,21.08,9.19,37.94,65
NDC,68382014601,RAMIPRIL 5 MG CAPSULE,18.0,9.0,3.93,16.2,65
NDC,68382018001,BUSPIRONE 5 MG TABLET,19.8,9.9,4.32,17.82,65
NDC,68382018101,BUSPIRONE 10 MG TABLET,20.4,10.2,4.45,18.36,65
NDC,68382018201,BUSPIRONE 15 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,68382018205,BUSPIRONE 15 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,68382022705,AMIODARONE 200 MG TABLET,246.0,123.0,53.65,221.4,65
NDC,68382022714,AMIODARONE 200 MG TABLET,33.85,16.93,7.38,30.47,65
NDC,68382024701,BENZONATATE 100 MG CAPSULE,69.0,34.5,15.05,62.1,65
NDC,68382025501,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",66.0,33.0,14.39,59.4,65
NDC,68382025601,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",79.8,39.9,17.4,71.82,65
NDC,68382029706,AMIODARONE 100 MG TABLET,366.15,183.08,79.86,329.54,65
NDC,68382031818,MINOCYCLINE 100 MG CAPSULE,135.9,67.95,29.64,122.31,65
NDC,68382033006,PARICALCITOL 1 MCG CAPSULE,1330.95,665.48,290.28,1197.86,65
NDC,68382035306,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",61.2,30.6,13.35,55.08,65
NDC,68382035316,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",183.6,91.8,40.04,165.24,65
NDC,68382037001,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",42.05,21.03,9.17,37.85,65
NDC,68382038401,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),897.65,448.83,195.78,807.89,65
NDC,68382039504,RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION,106502.4,53251.2,23228.17,95852.16,65
NDC,68382039601,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,11094.0,5547.0,2419.6,9984.6,65
NDC,68382043528,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",4531.7,2265.85,988.36,4078.53,65
NDC,68382044405,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,72.0,36.0,15.7,64.8,65
NDC,68382044614,BOSENTAN 62.5 MG TABLET,4303.2,2151.6,938.53,3872.88,65
NDC,68382044714,BOSENTAN 125 MG TABLET,4303.2,2151.6,938.53,3872.88,65
NDC,68382045219,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",750.0,375.0,163.58,675.0,65
NDC,68382047230,TELMISARTAN 40 MG TABLET,3.3,1.65,0.72,2.97,65
NDC,68382047278,TELMISARTAN 40 MG TABLET,51.7,25.85,11.28,46.53,65
NDC,68382047906,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",208.1,104.05,45.39,187.29,65
NDC,68382048006,"FESOTERODINE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",195.3,97.65,42.59,175.77,65
NDC,68382052001,SIROLIMUS 0.5 MG TABLET,2027.0,1013.5,442.09,1824.3,65
NDC,68382052860,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,294.0,147.0,64.12,264.6,65
NDC,68382052960,CHOLESTYRAMINE LIGHT 4 GRAM ORAL POWDER FOR SUSPENSION IN A PACKET,256.5,128.25,55.94,230.85,65
NDC,68382053601,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",277.2,138.6,60.46,249.48,65
NDC,68382053701,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",201.6,100.8,43.97,181.44,65
NDC,68382054606,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",247.5,123.75,53.98,222.75,65
NDC,68382054706,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",35.1,17.55,7.66,31.59,65
NDC,68382054716,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",643.5,321.75,140.35,579.15,65
NDC,68382054806,"MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",152.1,76.05,33.17,136.89,65
NDC,68382054906,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",247.5,123.75,53.98,222.75,65
NDC,68382055901,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,301.5,150.75,65.76,271.35,65
NDC,68382056401,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",90.6,45.3,19.76,81.54,65
NDC,68382056928,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",459.0,229.5,100.11,413.1,65
NDC,68382058301,LIOTHYRONINE 25 MCG TABLET,280.8,140.4,61.24,252.72,65
NDC,68382059101,PERPHENAZINE 2 MG TABLET,201.0,100.5,43.84,180.9,65
NDC,68382065906,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,56.55,28.28,12.33,50.9,65
NDC,68382070718,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,68.7,34.35,14.98,61.83,65
NDC,68382071119,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",1602.6,801.3,349.53,1442.34,65
NDC,68382072216,NATEGLINIDE 120 MG TABLET,250.6,125.3,54.66,225.54,65
NDC,68382075801,METFORMIN 500 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,68382075901,METFORMIN 850 MG TABLET,49.2,24.6,10.73,44.28,65
NDC,68382077130,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",19.6,9.8,4.27,17.64,65
NDC,68382077177,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",1632.5,816.25,356.05,1469.25,65
NDC,68382077230,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",20.2,10.1,4.41,18.18,65
NDC,68382077277,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",1681.5,840.75,366.74,1513.35,65
NDC,68382077305,EZETIMIBE 10 MG TABLET,790.0,395.0,172.3,711.0,65
NDC,68382077306,EZETIMIBE 10 MG TABLET,56.9,28.45,12.41,51.21,65
NDC,68382077316,EZETIMIBE 10 MG TABLET,170.65,85.33,37.22,153.59,65
NDC,68382077501,METHOTREXATE SODIUM 2.5 MG TABLET,251.0,125.5,54.74,225.9,65
NDC,68382078301,DOXAZOSIN 1 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,68382078401,DOXAZOSIN 2 MG TABLET,19.2,9.6,4.19,17.28,65
NDC,68382078501,DOXAZOSIN 4 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,68382078601,DOXAZOSIN 8 MG TABLET,23.4,11.7,5.1,21.06,65
NDC,68382079101,ACYCLOVIR 400 MG TABLET,105.0,52.5,22.9,94.5,65
NDC,68382079801,LABETALOL 100 MG TABLET,113.4,56.7,24.73,102.06,65
NDC,68382079901,LABETALOL 200 MG TABLET,171.0,85.5,37.3,153.9,65
NDC,68382080001,LABETALOL 300 MG TABLET,175.8,87.9,38.34,158.22,65
NDC,68382080501,TRAZODONE 50 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,68382080505,TRAZODONE 50 MG TABLET,138.0,69.0,30.1,124.2,65
NDC,68382080510,TRAZODONE 50 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,68382080601,TRAZODONE 100 MG TABLET,28.2,14.1,6.15,25.38,65
NDC,68382080605,TRAZODONE 100 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,68382080701,TRAZODONE 150 MG TABLET,149.4,74.7,32.58,134.46,65
NDC,68382082614,TAMOXIFEN 10 MG TABLET,127.45,63.73,27.8,114.71,65
NDC,68382084993,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,42.5,21.25,9.27,38.25,65
NDC,68382084994,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,1061.85,530.93,231.59,955.67,65
NDC,68382085601,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,68382085701,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,68382086002,BENZTROPINE 1 MG/ML INJECTION SOLUTION,116.5,58.25,18.25,104.85,66
NDC,68382086010,BENZTROPINE 1 MG/ML INJECTION SOLUTION,116.5,58.25,18.25,104.85,66
NDC,68382086406,"TOPIRAMATE XR 50 MG CAPSULE,EXTENDED RELEASE 24 HR",1927.8,963.9,420.45,1735.02,65
NDC,68382091001,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,169.6,84.8,36.99,152.64,65
NDC,68382091010,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,169.6,84.8,36.99,152.64,65
NDC,68382091506,ERLOTINIB 150 MG TABLET,1575.0,787.5,343.51,1417.5,65
NDC,68382091601,METHYLPREDNISOLONE 4 MG TABLET,209.4,104.7,0.26,188.46,66
NDC,68382091818,METHYLPREDNISOLONE 16 MG TABLET,455.5,227.75,0.26,409.95,66
NDC,68382092286,ELETRIPTAN 20 MG TABLET,331.45,165.73,72.29,298.31,65
NDC,68382096616,LURASIDONE 40 MG TABLET,919.35,459.68,200.51,827.42,65
NDC,68382097101,CHLORTHALIDONE 50 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,68382098106,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",274.95,137.48,59.97,247.46,65
NDC,68382099701,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,68382099710,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,68462010130,FLUCONAZOLE 50 MG TABLET,15.3,7.65,3.34,13.77,65
NDC,68462010230,FLUCONAZOLE 100 MG TABLET,113.6,56.8,24.78,102.24,65
NDC,68462010430,FLUCONAZOLE 200 MG TABLET,186.3,93.15,40.63,167.67,65
NDC,68462010530,ONDANSETRON HCL 4 MG TABLET,13.5,6.75,2.94,12.15,65
NDC,68462010630,ONDANSETRON HCL 8 MG TABLET,15.15,7.58,3.3,13.64,65
NDC,68462010860,TOPIRAMATE 25 MG TABLET,9.75,4.88,2.13,8.78,65
NDC,68462010960,TOPIRAMATE 100 MG TABLET,29.55,14.78,6.44,26.6,65
NDC,68462011940,FLUCONAZOLE 150 MG TABLET,4.45,2.23,0.97,4.01,65
NDC,68462012801,ZONISAMIDE 25 MG CAPSULE,42.6,21.3,9.29,38.34,65
NDC,68462012901,ZONISAMIDE 50 MG CAPSULE,74.4,37.2,16.23,66.96,65
NDC,68462013001,ZONISAMIDE 100 MG CAPSULE,54.0,27.0,11.78,48.6,65
NDC,68462013701,OXCARBAZEPINE 150 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,68462013801,OXCARBAZEPINE 300 MG TABLET,85.2,42.6,18.58,76.68,65
NDC,68462013901,OXCARBAZEPINE 600 MG TABLET,150.6,75.3,32.85,135.54,65
NDC,68462014301,CLINDAMYCIN HCL 150 MG CAPSULE,42.6,21.3,9.29,38.34,65
NDC,68462015360,TOPIRAMATE 50 MG TABLET,17.3,8.65,3.77,15.57,65
NDC,68462015713,ONDANSETRON 4 MG DISINTEGRATING TABLET,32.4,16.2,7.07,29.16,65
NDC,68462015740,ONDANSETRON 4 MG DISINTEGRATING TABLET,3.2,1.6,0.7,2.88,65
NDC,68462015811,ONDANSETRON 8 MG DISINTEGRATING TABLET,20.4,10.2,4.45,18.36,65
NDC,68462015840,ONDANSETRON 8 MG DISINTEGRATING TABLET,3.35,1.68,0.73,3.02,65
NDC,68462016201,CARVEDILOL 3.125 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,68462016301,CARVEDILOL 6.25 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,68462016305,CARVEDILOL 6.25 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,68462016401,CARVEDILOL 12.5 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,68462016405,CARVEDILOL 12.5 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,68462016501,CARVEDILOL 25 MG TABLET,22.8,11.4,4.97,20.52,65
NDC,68462017801,NAPROXEN SODIUM 275 MG TABLET,33.0,16.5,7.2,29.7,65
NDC,68462017901,NAPROXEN SODIUM 550 MG TABLET,355.5,177.75,77.53,319.95,65
NDC,68462018022,MUPIROCIN 2 % TOPICAL OINTMENT,26.05,13.03,5.68,23.45,65
NDC,68462018449,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,99.15,49.58,21.62,89.24,65
NDC,68462018801,NAPROXEN 250 MG TABLET,48.6,24.3,10.6,43.74,65
NDC,68462018901,NAPROXEN 375 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,68462019001,NAPROXEN 500 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,68462020111,TELMISARTAN 80 MG TABLET,4.0,2.0,0.87,3.6,65
NDC,68462020113,TELMISARTAN 80 MG TABLET,118.65,59.33,25.88,106.79,65
NDC,68462022001,LITHIUM CARBONATE 150 MG CAPSULE,34.2,17.1,7.46,30.78,65
NDC,68462022101,LITHIUM CARBONATE 300 MG CAPSULE,48.0,24.0,10.47,43.2,65
NDC,68462022301,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",72.6,36.3,15.83,65.34,65
NDC,68462022401,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",118.8,59.4,25.91,106.92,65
NDC,68462022555,MOMETASONE 0.1 % TOPICAL OINTMENT,49.45,24.73,10.79,44.51,65
NDC,68462022630,EZETIMIBE 10 MG TABLET,34.95,17.48,7.62,31.46,65
NDC,68462022690,EZETIMIBE 10 MG TABLET,17.85,8.93,3.89,16.07,65
NDC,68462022801,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,192.6,96.3,42.01,173.34,65
NDC,68462022901,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,184.2,92.1,40.17,165.78,65
NDC,68462023401,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",76.8,38.4,16.75,69.12,65
NDC,68462023501,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",84.0,42.0,18.32,75.6,65
NDC,68462025301,ROPINIROLE 0.25 MG TABLET,19.8,9.9,4.32,17.82,65
NDC,68462025401,ROPINIROLE 0.5 MG TABLET,19.8,9.9,4.32,17.82,65
NDC,68462025501,ROPINIROLE 1 MG TABLET,28.8,14.4,6.28,25.92,65
NDC,68462025601,ROPINIROLE 2 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,68462025801,ROPINIROLE 4 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,68462025901,ROPINIROLE 5 MG TABLET,36.6,18.3,7.98,32.94,65
NDC,68462026001,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",172.2,86.1,37.56,154.98,65
NDC,68462026005,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",720.0,360.0,157.03,648.0,65
NDC,68462026190,ROSUVASTATIN 5 MG TABLET,16.2,8.1,3.53,14.58,65
NDC,68462026290,ROSUVASTATIN 10 MG TABLET,23.25,11.63,5.07,20.93,65
NDC,68462026390,ROSUVASTATIN 20 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,68462026430,ROSUVASTATIN 40 MG TABLET,9.9,4.95,2.16,8.91,65
NDC,68462026530,ATOMOXETINE 10 MG CAPSULE,191.7,95.85,41.81,172.53,65
NDC,68462026630,ATOMOXETINE 18 MG CAPSULE,191.7,95.85,41.81,172.53,65
NDC,68462026730,ATOMOXETINE 25 MG CAPSULE,108.2,54.1,23.6,97.38,65
NDC,68462026830,ATOMOXETINE 40 MG CAPSULE,120.1,60.05,26.19,108.09,65
NDC,68462027030,ATOMOXETINE 80 MG CAPSULE,133.6,66.8,29.14,120.24,65
NDC,68462027501,DESMOPRESSIN 0.1 MG TABLET,339.5,169.75,74.04,305.55,65
NDC,68462027601,DESMOPRESSIN 0.2 MG TABLET,129.6,64.8,28.27,116.64,65
NDC,68462029201,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",226.8,113.4,49.47,204.12,65
NDC,68462029301,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",188.4,94.2,41.09,169.56,65
NDC,68462029601,"TRANDOLAPRIL 2 MG-VERAPAMIL ER 240 MG TABLET,IMMED-EXTEN RELEASE 24 HR",2027.0,1013.5,442.09,1824.3,65
NDC,68462029717,CICLOPIROX 0.77 % TOPICAL CREAM,15.95,7.98,3.48,14.36,65
NDC,68462029735,CICLOPIROX 0.77 % TOPICAL CREAM,26.65,13.33,5.81,23.99,65
NDC,68462029817,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,39.35,19.68,8.58,35.42,65
NDC,68462029855,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,84.55,42.28,18.44,76.1,65
NDC,68462030201,INDOMETHACIN 50 MG CAPSULE,77.4,38.7,16.88,69.66,65
NDC,68462030450,NORETHINDRONE ACETATE 5 MG TABLET,274.8,137.4,59.93,247.32,65
NDC,68462030929,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,68462030984,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,32.95,16.48,7.19,29.66,65
NDC,68462031417,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",81.2,40.6,17.71,73.08,65
NDC,68462031435,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",114.15,57.08,24.9,102.74,65
NDC,68462031732,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,590.85,295.43,6.86,531.77,71
NDC,68462031829,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,48.6,24.3,10.6,43.74,65
NDC,68462031884,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,48.6,24.3,10.6,43.74,65
NDC,68462033090,PRAMIPEXOLE 0.125 MG TABLET,30.25,15.13,6.6,27.23,65
NDC,68462033190,PRAMIPEXOLE 0.25 MG TABLET,13.5,6.75,2.94,12.15,65
NDC,68462033290,PRAMIPEXOLE 0.5 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,68462033390,PRAMIPEXOLE 1 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,68462033490,PRAMIPEXOLE 1.5 MG TABLET,19.45,9.73,4.24,17.51,65
NDC,68462033601,FLUPHENAZINE 2.5 MG TABLET,142.2,71.1,31.01,127.98,65
NDC,68462033701,FLUPHENAZINE 5 MG TABLET,189.0,94.5,41.22,170.1,65
NDC,68462035701,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",72.0,36.0,15.7,64.8,65
NDC,68462038001,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",267.5,133.75,58.34,240.75,65
NDC,68462038160,RILUZOLE 50 MG TABLET,339.3,169.65,74.0,305.37,65
NDC,68462038301,ESZOPICLONE 2 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,68462038630,SOLIFENACIN 5 MG TABLET,26.3,13.15,5.74,23.67,65
NDC,68462038690,SOLIFENACIN 5 MG TABLET,43.75,21.88,9.54,39.38,65
NDC,68462039501,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",72.6,36.3,15.83,65.34,65
NDC,68462039530,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",24.7,12.35,5.39,22.23,65
NDC,68462039601,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",23.4,11.7,5.1,21.06,65
NDC,68462039630,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",15.5,7.75,3.38,13.95,65
NDC,68462039690,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",15.15,7.58,3.3,13.64,65
NDC,68462040444,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,16.15,8.08,3.52,14.54,65
NDC,68462040467,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,322.6,161.3,70.36,290.34,65
NDC,68462040560,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",200.9,100.45,43.82,180.81,65
NDC,68462040601,INDOMETHACIN 25 MG CAPSULE,56.4,28.2,12.3,50.76,65
NDC,68462040610,INDOMETHACIN 25 MG CAPSULE,430.0,215.0,93.78,387.0,65
NDC,68462040860,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",104.8,52.4,22.86,94.32,65
NDC,68462040960,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",150.85,75.43,32.9,135.77,65
NDC,68462041820,LIDOCAINE 5 % TOPICAL OINTMENT,90.2,45.1,19.67,81.18,65
NDC,68462042121,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,681.45,340.73,148.62,613.31,65
NDC,68462042169,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,109.8,54.9,23.95,98.82,65
NDC,68462043318,COLESEVELAM 625 MG TABLET,381.6,190.8,83.23,343.44,65
NDC,68462043518,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",988.2,494.1,215.53,889.38,65
NDC,68462043630,OLMESARTAN 5 MG TABLET,20.0,10.0,4.36,18.0,65
NDC,68462043730,OLMESARTAN 20 MG TABLET,15.7,7.85,3.42,14.13,65
NDC,68462044718,SEVELAMER HCL 800 MG TABLET,2000.2,1000.1,436.24,1800.18,65
NDC,68462046160,TROSPIUM 20 MG TABLET,133.95,66.98,29.21,120.56,65
NDC,68462046640,RIZATRIPTAN 10 MG TABLET,4.1,2.05,0.89,3.69,65
NDC,68462046699,RIZATRIPTAN 10 MG TABLET,73.7,36.85,16.07,66.33,65
NDC,68462046940,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.55,10.78,0.37,19.4,70
NDC,68462046954,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.55,10.78,0.37,19.4,70
NDC,68462047040,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.85,23.43,0.37,42.17,70
NDC,68462047054,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.85,23.43,0.37,42.17,70
NDC,68462047201,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",71.4,35.7,15.57,64.26,65
NDC,68462047301,URSODIOL 250 MG TABLET,275.4,137.7,60.06,247.86,65
NDC,68462047720,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,54.15,27.08,11.81,48.74,65
NDC,68462047774,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,54.15,27.08,11.81,48.74,65
NDC,68462047830,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,83.25,41.63,18.16,74.93,65
NDC,68462047884,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,83.25,41.63,18.16,74.93,65
NDC,68462047930,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,97.25,48.63,21.21,87.53,65
NDC,68462047984,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,626.85,313.43,136.72,564.17,65
NDC,68462049630,DEFERASIROX 500 MG DISPERSIBLE TABLET,1689.0,844.5,368.37,1520.1,65
NDC,68462049833,ZOLMITRIPTAN 5 MG TABLET,86.8,43.4,18.93,78.12,65
NDC,68462050033,ZOLMITRIPTAN 5 MG DISINTEGRATING TABLET,122.35,61.18,26.68,110.12,65
NDC,68462050165,CALCIPOTRIENE 0.005 % TOPICAL CREAM,446.4,223.2,97.36,401.76,65
NDC,68462053435,TACROLIMUS 0.1 % TOPICAL OINTMENT,111.1,55.55,24.23,99.99,65
NDC,68462056417,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,799.9,399.95,174.46,719.91,65
NDC,68462056435,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,1411.5,705.75,307.85,1270.35,65
NDC,68462057230,VORICONAZOLE 50 MG TABLET,210.1,105.05,45.82,189.09,65
NDC,68462057330,VORICONAZOLE 200 MG TABLET,420.15,210.08,91.63,378.14,65
NDC,68462058101,FENOFIBRATE MICRONIZED 134 MG CAPSULE,59.4,29.7,12.96,53.46,65
NDC,68462058340,APREPITANT 40 MG CAPSULE,300.6,150.3,65.56,270.54,65
NDC,68462058385,APREPITANT 40 MG CAPSULE,1526.75,763.38,332.98,1374.08,65
NDC,68462058440,APREPITANT 80 MG CAPSULE,543.45,271.73,118.53,489.11,65
NDC,68462058458,APREPITANT 80 MG CAPSULE,1019.05,509.53,222.25,917.15,65
NDC,68462058476,APREPITANT 80 MG CAPSULE,2608.5,1304.25,568.91,2347.65,65
NDC,68462058540,APREPITANT 125 MG CAPSULE,862.95,431.48,188.21,776.66,65
NDC,68462058576,APREPITANT 125 MG CAPSULE,4142.05,2071.03,903.38,3727.85,65
NDC,68462060935,PIMECROLIMUS 1 % TOPICAL CREAM,624.45,312.23,136.19,562.01,65
NDC,68462062102,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,68462062154,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,68462062210,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,75.6,37.8,16.49,68.04,65
NDC,68462062264,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,75.6,37.8,16.49,68.04,65
NDC,68462063801,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,104.4,52.2,22.77,93.96,65
NDC,68462063925,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,26.4,13.2,5.76,23.76,65
NDC,68462063945,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,26.4,13.2,5.76,23.76,65
NDC,68462067860,LACOSAMIDE 50 MG TABLET,31.7,15.85,6.91,28.53,65
NDC,68462067960,LACOSAMIDE 100 MG TABLET,53.3,26.65,11.62,47.97,65
NDC,68462068201,SIROLIMUS 0.5 MG TABLET,1826.5,913.25,398.36,1643.85,65
NDC,68462068501,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",78.6,39.3,0.26,70.74,66
NDC,68462068601,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",141.0,70.5,0.26,126.9,66
NDC,68462072101,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",664.5,332.25,144.93,598.05,65
NDC,68462075501,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.75,10.38,0.29,18.68,71
NDC,68462075525,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.75,10.38,0.29,18.68,71
NDC,68462079917,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",69.5,34.75,15.16,62.55,65
NDC,68462079935,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",97.75,48.88,21.32,87.98,65
NDC,68462085001,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",1278.5,639.25,278.84,1150.65,65
NDC,68462087930,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,20.55,10.28,4.48,18.5,65
NDC,68462088260,ABIRATERONE 500 MG TABLET,2662.6,1331.3,580.71,2396.34,65
NDC,68462089601,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,21.7,10.85,1.32,19.53,66
NDC,68462089610,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,21.7,10.85,1.32,19.53,66
NDC,68462089701,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,44.4,22.2,1.32,39.96,66
NDC,68462089710,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,44.4,22.2,1.32,39.96,66
NDC,68462090401,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,700.6,350.3,152.8,630.54,65
NDC,68462094612,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,141.5,70.75,30.86,127.35,65
NDC,68462094630,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,141.5,70.75,30.86,127.35,65
NDC,68516460601,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,45.0,22.5,1.27,40.5,70
NDC,68516461101,ANTIHEMOPHILIC FACTOR-VWF 250 (100 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,45.0,22.5,1.27,40.5,70
NDC,68516461201,ANTIHEMOPHILIC FACTOR-VWF 500 (200 VWF) UNIT/5 ML INTRAVENOUS SOLUTION,45.0,22.5,1.27,40.5,70
NDC,68516461402,"ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML INTRAVENOUS SOLN",45.0,22.5,1.27,40.5,70
NDC,68516461802,"ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLN",45.0,22.5,1.27,40.5,70
NDC,68516462002,"ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN",45.0,22.5,1.27,40.5,70
NDC,68516521401,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",220.25,110.13,48.04,198.23,70
NDC,68516521403,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",220.25,110.13,48.04,198.23,70
NDC,68516521405,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",172.95,86.48,37.72,155.66,65
NDC,68516521406,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",172.95,86.48,37.72,155.66,65
NDC,68516521600,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",349.0,174.5,76.12,314.1,65
NDC,68516521601,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",220.25,110.13,48.04,198.23,65
NDC,68516521602,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",344.5,172.25,75.14,310.05,65
NDC,68516521603,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",220.25,110.13,48.04,198.23,65
NDC,68516521604,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",344.5,172.25,75.14,310.05,65
NDC,68516521605,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",150.2,75.1,21.66,135.18,70
NDC,68516521606,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",150.2,75.1,21.66,135.18,70
NDC,68516521607,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",223.0,111.5,48.64,200.7,65
NDC,68516521608,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",349.0,174.5,76.12,314.1,65
NDC,68516521609,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",223.0,111.5,48.64,200.7,65
NDC,68516521800,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",223.0,111.5,48.64,200.7,70
NDC,68546014256,RASAGILINE 0.5 MG TABLET,3386.05,1693.03,738.5,3047.45,65
NDC,68546017060,DEUTETRABENAZINE 6 MG TABLET,19812.0,9906.0,4321.0,17830.8,65
NDC,68546022956,RASAGILINE 1 MG TABLET,4626.6,2313.3,1009.06,4163.94,65
NDC,68546031730,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,1096.15,548.08,170.66,986.54,70
NDC,68547011110,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,2993.75,1496.88,652.94,2694.38,65
NDC,68547021120,SULBACTAM SODIUM 1 GRAM INTRAVENOUS SOLUTION,856.6,428.3,186.82,770.94,65
NDC,68547050102,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7084.8,3542.4,1545.19,6376.32,65
NDC,68611019002,FLUOCINOLONE 0.19 MG INTRAVITREAL IMPLANT,36301.0,18150.5,508.1,32670.9,71
NDC,68682000150,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,17428.8,8714.4,3801.22,15685.92,65
NDC,68682000610,DILTIAZEM 30 MG TABLET,416.5,208.25,90.84,374.85,65
NDC,68682000710,DILTIAZEM 60 MG TABLET,653.0,326.5,142.42,587.7,65
NDC,68682001110,ETHACRYNIC ACID 25 MG TABLET,832.0,416.0,181.46,748.8,65
NDC,68682001227,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,15196.0,7598.0,3314.25,13676.4,65
NDC,68682002010,PENICILLAMINE 250 MG CAPSULE,87102.0,43551.0,18996.95,78391.8,65
NDC,68682004550,TIMOLOL MALEATE 0.5 % ONCE DAILY EYE DROPS,471.5,235.75,102.83,424.35,65
NDC,68682010301,"DICLOFENAC ER 100 MG TABLET,EXTENDED RELEASE 24 HR",518.5,259.25,113.08,466.65,65
NDC,68682010510,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",183.0,91.5,39.91,164.7,65
NDC,68682010610,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",231.0,115.5,50.38,207.9,65
NDC,68682010810,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",87.6,43.8,19.11,78.84,65
NDC,68682010910,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",103.8,51.9,22.64,93.42,65
NDC,68682011001,PIMECROLIMUS 1 % TOPICAL CREAM,606.75,303.38,132.33,546.08,65
NDC,68682020175,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,260.1,130.05,56.73,234.09,65
NDC,68682029905,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",483.7,241.85,105.49,435.33,65
NDC,68682030130,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",1695.3,847.65,369.74,1525.77,65
NDC,68682030210,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,494.0,247.0,107.74,444.6,65
NDC,68682036790,"DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",153.9,76.95,33.57,138.51,65
NDC,68682036890,"DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE",196.6,98.3,42.88,176.94,65
NDC,68682036990,"DILTIAZEM ER 240 MG CAPSULE,24 HR,EXTENDED RELEASE",295.95,147.98,64.55,266.36,65
NDC,68682037090,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",322.65,161.33,70.37,290.39,65
NDC,68682037190,"DILTIAZEM ER 360 MG CAPSULE,24 HR,EXTENDED RELEASE",212.8,106.4,46.41,191.52,65
NDC,68682037290,"DILTIAZEM ER 420 MG CAPSULE,24 HR,EXTENDED RELEASE",425.7,212.85,92.85,383.13,65
NDC,68682045570,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,579.6,289.8,126.41,521.64,65
NDC,68682046410,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",579.9,289.95,126.48,521.91,65
NDC,68682065020,DIAZEPAM 2.5 MG RECTAL KIT,967.7,483.85,211.06,870.93,65
NDC,68682065220,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,1402.15,701.08,305.81,1261.94,65
NDC,68682065520,DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT,2804.3,1402.15,611.62,2523.87,65
NDC,68682071101,ENALAPRIL MALEATE 5 MG TABLET,155.4,77.7,33.89,139.86,65
NDC,68682071210,ENALAPRIL MALEATE 10 MG TABLET,1280.0,640.0,279.17,1152.0,65
NDC,68682081305,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,33.0,14.39,59.4,65
NDC,68682092005,TETRACAINE 0.5 % EYE DROPS,175.45,87.73,38.27,157.91,65
NDC,68682092064,TETRACAINE 0.5 % EYE DROPS,366.15,183.08,79.86,329.54,65
NDC,68682099398,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",61.05,30.53,13.32,54.95,65
NDC,68682099498,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",158.8,79.4,34.63,142.92,65
NDC,68682099798,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",146.9,73.45,32.04,132.21,65
NDC,68727071201,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,32490.0,16245.0,211.27,29241.0,71
NDC,68727074501,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,43120.0,21560.0,247.87,38808.0,71
NDC,68727074502,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,43120.0,21560.0,247.87,38808.0,71
NDC,68727074505,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,36150.0,18075.0,247.87,32535.0,71
NDC,68727080001,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,4737.0,2368.5,1033.14,4263.3,65
NDC,68727080002,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,4737.0,2368.5,1033.14,4263.3,65
NDC,68727090001,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,20983.35,10491.68,54.5,18885.02,71
NDC,68727090003,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,20983.35,10491.68,54.5,18885.02,71
NDC,68727095001,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION,14245.0,7122.5,25.55,12820.5,70
NDC,68727095002,ZANIDATAMAB-HRII 300 MG INTRAVENOUS SOLUTION,28465.0,14232.5,25.55,25618.5,70
NDC,68803061210,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,400.0,200.0,87.24,360.0,65
NDC,68803072205,C.I. ACID BLUE 90  0.025 % INTRAOCULAR SYRINGE,378.5,189.25,82.55,340.65,65
NDC,68803072225,C.I. ACID BLUE 90  0.025 % INTRAOCULAR SYRINGE,378.5,189.25,82.55,340.65,65
NDC,68817013450,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,5893.1,2946.55,10.75,5303.79,71
NDC,68850001201,ETHAMBUTOL 400 MG TABLET,360.5,180.25,78.63,324.45,65
NDC,68850001202,ETHAMBUTOL 400 MG TABLET,360.5,180.25,78.63,324.45,65
NDC,68968342501,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,53.45,26.73,11.66,48.11,65
NDC,68968342508,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,356.15,178.08,77.68,320.54,65
NDC,68982062302,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",239.5,119.75,52.23,215.55,70
NDC,68982062303,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",376.0,188.0,54.14,338.4,70
NDC,68982064301,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",239.5,119.75,52.23,215.55,65
NDC,68982064302,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",376.0,188.0,82.01,338.4,65
NDC,68982084003,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",2200.75,1100.38,44.92,1980.68,71
NDC,68982084004,"IMMUNE GLOB,GAMM(IGG) 5 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",3409.5,1704.75,44.92,3068.55,71
NDC,68982085001,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",895.3,447.65,44.92,805.77,71
NDC,68982085002,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",2200.75,1100.38,44.92,1980.68,71
NDC,68982085003,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",3409.5,1704.75,44.92,3068.55,71
NDC,68982085004,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",6794.0,3397.0,44.92,6114.6,71
NDC,68982085005,"IMMUNE GLOB,GAMM(IGG)10 %-MALT-IGA OVER 50 MCG/ML INTRAVENOUS SOLUTION",10178.5,5089.25,44.92,9160.65,71
NDC,68992301001,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",2224.8,1112.4,1.93,2002.32,66
NDC,68992301003,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",834.3,417.15,1.93,750.87,66
NDC,68992304001,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",8898.4,4449.2,1.93,8008.56,66
NDC,68992304003,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",2669.55,1334.78,1.93,2402.6,66
NDC,68992307501,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",2085.5,1042.75,1.93,1876.95,66
NDC,68992307503,"TACROLIMUS XR 0.75 MG TABLET,EXTENDED RELEASE 24 HR",625.65,312.83,1.93,563.09,66
NDC,69076014601,ACYCLOVIR 200 MG CAPSULE,53.4,26.7,11.65,48.06,65
NDC,69076091302,MERCAPTOPURINE 50 MG TABLET,147.9,73.95,32.26,133.11,65
NDC,69097000367,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,109.25,54.63,3.22,98.33,66
NDC,69097000396,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,109.25,54.63,3.22,98.33,66
NDC,69097000467,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,119.2,59.6,19.81,107.28,66
NDC,69097009843,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,262.35,131.18,57.22,236.12,65
NDC,69097012203,TOPIRAMATE 25 MG TABLET,9.4,4.7,2.05,8.46,65
NDC,69097012303,TOPIRAMATE 50 MG TABLET,9.0,4.5,1.96,8.1,65
NDC,69097012403,TOPIRAMATE 100 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,69097012412,TOPIRAMATE 100 MG TABLET,153.0,76.5,33.37,137.7,65
NDC,69097012503,TOPIRAMATE 200 MG TABLET,23.05,11.53,5.03,20.75,65
NDC,69097012605,AMLODIPINE 2.5 MG TABLET,6.5,3.25,1.42,5.85,65
NDC,69097012705,AMLODIPINE 5 MG TABLET,7.05,3.53,1.54,6.35,65
NDC,69097012805,AMLODIPINE 10 MG TABLET,8.65,4.33,1.89,7.79,65
NDC,69097012815,AMLODIPINE 10 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,69097014260,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,102.15,51.08,22.28,91.94,65
NDC,69097015807,MELOXICAM 7.5 MG TABLET,19.2,9.6,4.19,17.28,65
NDC,69097017348,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,69097017353,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,69097017364,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,69097021002,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,604.05,302.03,131.74,543.65,65
NDC,69097023772,ALBENDAZOLE 200 MG TABLET,82.4,41.2,17.97,74.16,65
NDC,69097024402,DARUNAVIR 800 MG TABLET,484.2,242.1,105.6,435.78,65
NDC,69097030102,EFAVIRENZ 600 MG TABLET,346.2,173.1,75.51,311.58,65
NDC,69097031602,EXEMESTANE 25 MG TABLET,250.05,125.03,54.54,225.05,65
NDC,69097031832,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,18.3,9.15,3.99,16.47,65
NDC,69097031853,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,18.3,9.15,3.99,16.47,65
NDC,69097031886,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,10.2,5.1,2.22,9.18,65
NDC,69097031887,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,10.2,5.1,2.22,9.18,65
NDC,69097031932,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,17.45,8.73,3.81,15.71,65
NDC,69097031953,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,17.45,8.73,3.81,15.71,65
NDC,69097031986,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,11.65,5.83,2.54,10.49,65
NDC,69097031987,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,11.65,5.83,2.54,10.49,65
NDC,69097036108,GRISEOFULVIN MICROSIZE 125 MG/5 ML ORAL SUSPENSION,256.35,128.18,55.91,230.72,65
NDC,69097036202,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,69097037602,TADALAFIL 20 MG TABLET,186.85,93.43,40.75,168.17,65
NDC,69097038602,AMBRISENTAN 5 MG TABLET,4608.0,2304.0,1005.0,4147.2,65
NDC,69097041002,CINACALCET 30 MG TABLET,83.0,41.5,18.1,74.7,65
NDC,69097041102,CINACALCET 60 MG TABLET,149.6,74.8,32.63,134.64,65
NDC,69097041202,CINACALCET 90 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,69097042107,CELECOXIB 200 MG CAPSULE,180.0,90.0,39.26,162.0,65
NDC,69097042602,ENTECAVIR 0.5 MG TABLET,295.8,147.9,64.51,266.22,65
NDC,69097043935,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,650.0,325.0,1.03,585.0,66
NDC,69097045905,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,44.3,22.15,9.66,39.87,65
NDC,69097051403,ABACAVIR 300 MG TABLET,182.9,91.45,39.89,164.61,65
NDC,69097051607,CYCLOPHOSPHAMIDE 25 MG CAPSULE,864.0,432.0,188.44,777.6,65
NDC,69097052235,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2475.0,1237.5,539.8,2227.5,65
NDC,69097052444,DICLOFENAC 1 % TOPICAL GEL,82.8,41.4,18.06,74.52,65
NDC,69097052934,ESOMEPRAZOLE MAGNESIUM DR 40 MG GRANULES DELAYED RELEASE FOR SUSP,841.5,420.75,183.53,757.35,65
NDC,69097053302,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,131.8,65.9,28.75,118.62,65
NDC,69097057967,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,299.75,149.88,65.38,269.78,65
NDC,69097064202,EMTRICITABINE 200 MG CAPSULE,2142.6,1071.3,467.3,1928.34,65
NDC,69097064448,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,808.95,404.48,176.43,728.06,65
NDC,69097066434,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,3882.95,1941.48,133.0,3494.66,70
NDC,69097066468,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,3882.95,1941.48,133.0,3494.66,70
NDC,69097067905,PREGABALIN 75 MG CAPSULE,37.3,18.65,8.14,33.57,65
NDC,69097070831,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,115.05,57.53,3.22,103.55,66
NDC,69097070896,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,115.05,57.53,3.22,103.55,66
NDC,69097070930,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,21.65,10.83,3.22,19.49,66
NDC,69097070996,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLUTION,21.65,10.83,3.22,19.49,66
NDC,69097072044,DICLOFENAC 1 % TOPICAL GEL,83.4,41.7,18.19,75.06,65
NDC,69097081307,GABAPENTIN 100 MG CAPSULE,12.6,6.3,2.75,11.34,65
NDC,69097081507,GABAPENTIN 400 MG CAPSULE,39.6,19.8,8.64,35.64,65
NDC,69097082037,PLAZOMICIN 50 MG/ML INTRAVENOUS SOLUTION,1754.5,877.25,3.57,1579.05,71
NDC,69097082103,GEMFIBROZIL 600 MG TABLET,38.55,19.28,8.41,34.7,65
NDC,69097082407,CITALOPRAM 40 MG TABLET,18.6,9.3,4.06,16.74,65
NDC,69097082502,RALOXIFENE 60 MG TABLET,58.5,29.25,12.76,52.65,65
NDC,69097082507,RALOXIFENE 60 MG TABLET,195.0,97.5,42.53,175.5,65
NDC,69097082607,BENZTROPINE 0.5 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,69097082707,BENZTROPINE 1 MG TABLET,84.6,42.3,18.45,76.14,65
NDC,69097083037,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,281.5,140.75,0.15,253.35,66
NDC,69097083302,SERTRALINE 25 MG TABLET,5.6,2.8,1.22,5.04,65
NDC,69097083305,SERTRALINE 25 MG TABLET,16.75,8.38,3.65,15.08,65
NDC,69097083312,SERTRALINE 25 MG TABLET,93.0,46.5,20.28,83.7,65
NDC,69097083402,SERTRALINE 50 MG TABLET,8.65,4.33,1.89,7.79,65
NDC,69097083412,SERTRALINE 50 MG TABLET,144.0,72.0,31.41,129.6,65
NDC,69097083502,SERTRALINE 100 MG TABLET,9.2,4.6,2.01,8.28,65
NDC,69097084034,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.65,1.83,0.8,3.29,65
NDC,69097084053,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.65,1.83,0.8,3.29,65
NDC,69097084064,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,69097084087,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,69097084507,CYCLOBENZAPRINE 5 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,69097084607,CYCLOBENZAPRINE 10 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,69097084705,ESCITALOPRAM 5 MG TABLET,55.65,27.83,12.14,50.09,65
NDC,69097085902,TERBINAFINE HCL 250 MG TABLET,41.6,20.8,9.07,37.44,65
NDC,69097086107,ZONISAMIDE 100 MG CAPSULE,54.0,27.0,11.78,48.6,65
NDC,69097086283,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,300.0,150.0,65.43,270.0,65
NDC,69097086707,NADOLOL 20 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,69097087067,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,23297.4,11648.7,30.44,20967.66,71
NDC,69097087502,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",59.95,29.98,13.08,53.96,65
NDC,69097091203,TROSPIUM 20 MG TABLET,82.8,41.4,18.06,74.52,65
NDC,69097092735,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,601.2,300.6,1.03,541.08,66
NDC,69097094307,GABAPENTIN 300 MG CAPSULE,36.6,18.3,7.98,32.94,65
NDC,69097094705,ATORVASTATIN 80 MG TABLET,98.3,49.15,21.44,88.47,65
NDC,69097096453,VIGABATRIN 500 MG ORAL POWDER PACKET,40364.2,20182.1,8803.43,36327.78,65
NDC,69097096507,NABUMETONE 500 MG TABLET,140.4,70.2,30.62,126.36,65
NDC,69097096793,SEVELAMER CARBONATE 800 MG TABLET,268.65,134.33,58.59,241.79,65
NDC,69097098202,VILAZODONE 40 MG TABLET,424.8,212.4,92.65,382.32,65
NDC,69097099902,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,862.05,431.03,188.01,775.85,65
NDC,69102032001,LAMOTRIGINE 200 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,69194055501,CEFUROXIME(PF) 4 MG/0.4 ML IN 0.9% SODIUM CHLORIDE INTRAOCULAR SYRINGE,61.8,30.9,13.48,55.62,65
NDC,69238105103,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,3813.5,1906.75,831.72,3432.15,65
NDC,69238105301,DESIPRAMINE 10 MG TABLET,130.8,65.4,28.53,117.72,65
NDC,69238105401,CHLORPROMAZINE 10 MG TABLET,248.4,124.2,54.18,223.56,65
NDC,69238105501,DESIPRAMINE 25 MG TABLET,156.6,78.3,34.15,140.94,65
NDC,69238105601,CHLORPROMAZINE 25 MG TABLET,323.5,161.75,70.56,291.15,65
NDC,69238105801,CHLORPROMAZINE 50 MG TABLET,554.0,277.0,120.83,498.6,65
NDC,69238106001,CHLORPROMAZINE 100 MG TABLET,784.5,392.25,171.1,706.05,65
NDC,69238106201,CHLORPROMAZINE 200 MG TABLET,1164.5,582.25,253.98,1048.05,65
NDC,69238106901,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",129.6,64.8,28.27,116.64,65
NDC,69238110002,DOXYCYCLINE HYCLATE 100 MG CAPSULE,82.5,41.25,17.99,74.25,65
NDC,69238110803,CLOMIPRAMINE 25 MG CAPSULE,55.3,27.65,12.06,49.77,65
NDC,69238111501,BUSPIRONE 5 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,69238111906,BUSPIRONE 30 MG TABLET,58.7,29.35,12.8,52.83,65
NDC,69238112001,OXAPROZIN 600 MG TABLET,284.0,142.0,61.94,255.6,65
NDC,69238112601,ETHACRYNIC ACID 25 MG TABLET,1124.5,562.25,245.25,1012.05,65
NDC,69238113606,ATAZANAVIR 150 MG CAPSULE,783.0,391.5,170.77,704.7,65
NDC,69238115403,EZETIMIBE 10 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,69238116609,DOXEPIN 10 MG CAPSULE,91.8,45.9,20.02,82.62,65
NDC,69238117009,DOXEPIN 25 MG CAPSULE,115.05,57.53,25.09,103.55,65
NDC,69238120202,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,654.6,327.3,142.77,589.14,65
NDC,69238120302,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1579.8,789.9,344.55,1421.82,65
NDC,69238120502,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1928.2,964.1,420.54,1735.38,65
NDC,69238126401,OSELTAMIVIR 30 MG CAPSULE,290.0,145.0,63.25,261.0,65
NDC,69238126601,OSELTAMIVIR 75 MG CAPSULE,264.85,132.43,57.76,238.37,65
NDC,69238127306,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,285.6,142.8,62.29,257.04,65
NDC,69238130501,CLOBAZAM 10 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,69238131009,PREGABALIN 25 MG CAPSULE,47.0,23.5,10.25,42.3,65
NDC,69238131109,PREGABALIN 50 MG CAPSULE,48.1,24.05,10.49,43.29,65
NDC,69238131209,PREGABALIN 75 MG CAPSULE,49.15,24.58,10.72,44.24,65
NDC,69238131309,PREGABALIN 100 MG CAPSULE,51.85,25.93,11.31,46.67,65
NDC,69238131609,PREGABALIN 225 MG CAPSULE,61.6,30.8,13.43,55.44,65
NDC,69238134401,ALBUTEROL SULFATE 2 MG TABLET,287.5,143.75,62.7,258.75,65
NDC,69238134903,TADALAFIL 20 MG TABLET,62.65,31.33,13.66,56.39,65
NDC,69238137302,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",227.6,113.8,49.64,204.84,65
NDC,69238137403,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",380.25,190.13,82.93,342.23,65
NDC,69238138003,DIFLUPREDNATE 0.05 % EYE DROPS,467.1,233.55,101.87,420.39,65
NDC,69238142003,SILODOSIN 8 MG CAPSULE,55.45,27.73,12.09,49.91,65
NDC,69238142103,SILODOSIN 4 MG CAPSULE,59.95,29.98,13.08,53.96,65
NDC,69238142301,METHOTREXATE SODIUM 2.5 MG TABLET,77.4,38.7,16.88,69.66,65
NDC,69238142606,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",110.9,55.45,24.19,99.81,65
NDC,69238145902,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,267.25,133.63,58.29,240.53,65
NDC,69238147201,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",2826.8,1413.4,616.53,2544.12,65
NDC,69238147203,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",967.5,483.75,211.01,870.75,65
NDC,69238149001,BUMETANIDE 1 MG TABLET,182.4,91.2,39.78,164.16,65
NDC,69238149005,BUMETANIDE 1 MG TABLET,1242.5,621.25,270.99,1118.25,65
NDC,69238150301,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,700.5,350.25,152.78,630.45,65
NDC,69238150402,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,1129.5,564.75,246.34,1016.55,65
NDC,69238150502,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,1485.3,742.65,323.94,1336.77,65
NDC,69238152201,TETRACYCLINE 250 MG CAPSULE,572.5,286.25,124.86,515.25,65
NDC,69238152301,TETRACYCLINE 500 MG CAPSULE,1145.5,572.75,249.83,1030.95,65
NDC,69238153203,CLOBETASOL 0.05 % TOPICAL CREAM,39.8,19.9,8.68,35.82,65
NDC,69238153205,CLOBETASOL 0.05 % TOPICAL CREAM,27.0,13.5,5.89,24.3,65
NDC,69238153403,FLUOCINONIDE 0.05 % TOPICAL CREAM,82.65,41.33,18.03,74.39,65
NDC,69238153405,FLUOCINONIDE 0.05 % TOPICAL CREAM,44.95,22.48,9.8,40.46,65
NDC,69238153502,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,259.8,129.9,56.66,233.82,65
NDC,69238154001,URSODIOL 300 MG CAPSULE,266.4,133.2,58.1,239.76,65
NDC,69238154401,HYDROXYCHLOROQUINE 200 MG TABLET,183.0,91.5,39.91,164.7,65
NDC,69238155106,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,14.45,7.23,3.15,13.01,65
NDC,69238157401,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,168.0,84.0,36.64,151.2,65
NDC,69238159403,SIROLIMUS 1 MG/ML ORAL SOLUTION,1095.6,547.8,238.95,986.04,65
NDC,69238159406,SIROLIMUS 1 MG/ML ORAL SOLUTION,1095.6,547.8,238.95,986.04,65
NDC,69238159502,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,1762.4,881.2,384.38,1586.16,65
NDC,69238159608,AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLUTION,2817.5,1408.75,614.5,2535.75,65
NDC,69238160502,METHYLERGONOVINE 0.2 MG TABLET,1058.55,529.28,230.87,952.7,65
NDC,69238160508,METHYLERGONOVINE 0.2 MG TABLET,2337.2,1168.6,509.74,2103.48,65
NDC,69238161503,OFLOXACIN 0.3 % EAR DROPS,90.0,45.0,19.63,81.0,65
NDC,69238161701,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,5.0,2.5,1.09,4.5,65
NDC,69238161703,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,149.95,74.98,32.7,134.96,65
NDC,69238167801,FLUPHENAZINE 1 MG TABLET,345.0,172.5,75.24,310.5,65
NDC,69238167901,FLUPHENAZINE 2.5 MG TABLET,535.5,267.75,116.79,481.95,65
NDC,69238168001,FLUPHENAZINE 5 MG TABLET,724.5,362.25,158.01,652.05,65
NDC,69238172907,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,1364.25,682.13,297.54,1227.83,65
NDC,69238173002,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,442.3,221.15,96.47,398.07,65
NDC,69238173102,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,2991.3,1495.65,652.4,2692.17,65
NDC,69238174508,PILOCARPINE 1 % EYE DROPS,264.1,132.05,57.6,237.69,65
NDC,69238174608,PILOCARPINE 2 % EYE DROPS,255.6,127.8,55.75,230.04,65
NDC,69238174708,PILOCARPINE 4 % EYE DROPS,282.35,141.18,61.58,254.12,65
NDC,69238183001,LEVOTHYROXINE 25 MCG TABLET,128.4,64.2,28.0,115.56,65
NDC,69238183107,LEVOTHYROXINE 50 MCG TABLET,1170.0,585.0,255.18,1053.0,65
NDC,69238183401,LEVOTHYROXINE 100 MCG TABLET,164.4,82.2,35.86,147.96,65
NDC,69238183501,LEVOTHYROXINE 112 MCG TABLET,191.4,95.7,41.74,172.26,65
NDC,69238183901,LEVOTHYROXINE 175 MCG TABLET,233.4,116.7,50.9,210.06,65
NDC,69238184001,LEVOTHYROXINE 200 MCG TABLET,246.6,123.3,53.78,221.94,65
NDC,69238199101,DIGOXIN 125 MCG (0.125 MG) TABLET,180.0,90.0,39.26,162.0,65
NDC,69238199201,DIGOXIN 250 MCG (0.25 MG) TABLET,180.0,90.0,39.26,162.0,65
NDC,69238199301,CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE,752.5,376.25,164.12,677.25,65
NDC,69238201603,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,189.75,94.88,41.38,170.78,65
NDC,69238202708,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1821.95,910.98,397.37,1639.76,65
NDC,69238202905,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,166.45,83.23,36.3,149.81,65
NDC,69238207701,PROPRANOLOL 10 MG TABLET,96.0,48.0,20.94,86.4,65
NDC,69238207707,PROPRANOLOL 10 MG TABLET,800.0,400.0,174.48,720.0,65
NDC,69238207801,PROPRANOLOL 20 MG TABLET,115.8,57.9,25.26,104.22,65
NDC,69238207807,PROPRANOLOL 20 MG TABLET,915.0,457.5,199.56,823.5,65
NDC,69238207901,PROPRANOLOL 40 MG TABLET,152.4,76.2,33.24,137.16,65
NDC,69238208001,PROPRANOLOL 60 MG TABLET,334.0,167.0,72.85,300.6,65
NDC,69238208101,PROPRANOLOL 80 MG TABLET,223.2,111.6,48.68,200.88,65
NDC,69238212209,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,238.9,119.45,52.1,215.01,65
NDC,69238214107,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,1320.0,660.0,287.89,1188.0,65
NDC,69238229401,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2010.5,1005.25,438.49,1809.45,65
NDC,69238229601,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",2999.6,1499.8,654.21,2699.64,65
NDC,69238251209,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,4383.8,2191.9,956.11,3945.42,65
NDC,69292026501,PILOCARPINE 5 MG TABLET,226.2,113.1,49.33,203.58,65
NDC,69292053201,PROPRANOLOL 20 MG TABLET,112.2,56.1,24.47,100.98,65
NDC,69292056201,METOLAZONE 2.5 MG TABLET,270.5,135.25,59.0,243.45,65
NDC,69292056401,METOLAZONE 5 MG TABLET,312.0,156.0,68.05,280.8,65
NDC,69292058601,HALOPERIDOL 5 MG TABLET,293.4,146.7,63.99,264.06,65
NDC,69292060560,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,321.9,160.95,70.21,289.71,65
NDC,69292072225,FLURBIPROFEN 0.03 % EYE DROPS,202.3,101.15,44.12,182.07,65
NDC,69315011601,FUROSEMIDE 20 MG TABLET,22.8,11.4,4.97,20.52,65
NDC,69315011610,FUROSEMIDE 20 MG TABLET,150.0,75.0,32.72,135.0,65
NDC,69315011701,FUROSEMIDE 40 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,69315011710,FUROSEMIDE 40 MG TABLET,186.0,93.0,40.57,167.4,65
NDC,69315012701,FOLIC ACID 1 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,69315012710,FOLIC ACID 1 MG TABLET,320.0,160.0,69.79,288.0,65
NDC,69315013101,HYDROCHLOROTHIAZIDE 25 MG TABLET,25.2,12.6,5.5,22.68,65
NDC,69315013301,IMIPRAMINE 10 MG TABLET,56.4,28.2,12.3,50.76,65
NDC,69315013401,IMIPRAMINE 25 MG TABLET,124.8,62.4,27.22,112.32,65
NDC,69315013501,IMIPRAMINE 50 MG TABLET,181.2,90.6,39.52,163.08,65
NDC,69315013601,BENZTROPINE 0.5 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,69315013610,BENZTROPINE 0.5 MG TABLET,625.0,312.5,136.31,562.5,65
NDC,69315013701,BENZTROPINE 1 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,69315013801,BENZTROPINE 2 MG TABLET,123.0,61.5,26.83,110.7,65
NDC,69315015501,HYDROCHLOROTHIAZIDE 12.5 MG TABLET,84.0,42.0,18.32,75.6,65
NDC,69315021101,NIFEDIPINE 10 MG CAPSULE,256.0,128.0,55.83,230.4,65
NDC,69315021201,NIFEDIPINE 20 MG CAPSULE,914.5,457.25,199.45,823.05,65
NDC,69315028301,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1497.0,748.5,326.5,1347.3,65
NDC,69315028401,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,1497.0,748.5,326.5,1347.3,65
NDC,69315030410,DORZOLAMIDE 2 % EYE DROPS,203.95,101.98,44.48,183.56,65
NDC,69315030510,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,277.4,138.7,60.5,249.66,65
NDC,69315030615,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",32.95,16.48,7.19,29.66,65
NDC,69315030630,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",69.5,34.75,15.16,62.55,65
NDC,69315030660,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",115.6,57.8,25.21,104.04,65
NDC,69315030802,CIPROFLOXACIN 0.3 % EYE DROPS,63.0,31.5,13.74,56.7,65
NDC,69315030805,CIPROFLOXACIN 0.3 % EYE DROPS,84.0,42.0,18.32,75.6,65
NDC,69315030810,CIPROFLOXACIN 0.3 % EYE DROPS,132.0,66.0,28.79,118.8,65
NDC,69315031228,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,49.15,24.58,10.72,44.24,65
NDC,69315050447,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",190.15,95.08,41.47,171.14,65
NDC,69315050460,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",50.05,25.03,10.92,45.05,65
NDC,69315070150,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,7600.0,3800.0,1657.56,6840.0,65
NDC,69315090401,LORAZEPAM 0.5 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,69315090405,LORAZEPAM 0.5 MG TABLET,225.0,112.5,49.07,202.5,65
NDC,69315090501,LORAZEPAM 1 MG TABLET,49.8,24.9,10.86,44.82,65
NDC,69315090505,LORAZEPAM 1 MG TABLET,249.0,124.5,54.31,224.1,65
NDC,69315090510,LORAZEPAM 1 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,69315090601,LORAZEPAM 2 MG TABLET,70.8,35.4,15.44,63.72,65
NDC,69315091001,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,279.0,139.5,60.85,251.1,65
NDC,69315091010,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,2110.0,1055.0,460.19,1899.0,65
NDC,69339013602,DIAZEPAM 5 MG/ML INJECTION SYRINGE,97.55,48.78,6.06,87.8,66
NDC,69339013603,DIAZEPAM 5 MG/ML INJECTION SYRINGE,82.5,41.25,6.06,74.25,66
NDC,69339013632,DIAZEPAM 5 MG/ML INJECTION SYRINGE,97.55,48.78,6.06,87.8,66
NDC,69339013634,DIAZEPAM 5 MG/ML INJECTION SYRINGE,82.5,41.25,6.06,74.25,66
NDC,69339013815,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.85,4.43,1.93,7.97,65
NDC,69339013817,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.85,4.43,1.93,7.97,65
NDC,69339013819,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.3,4.15,1.81,7.47,65
NDC,69339014801,SUCRALFATE 100 MG/ML ORAL SUSPENSION,31.95,15.98,6.97,28.76,65
NDC,69339014817,SUCRALFATE 100 MG/ML ORAL SUSPENSION,31.95,15.98,6.97,28.76,65
NDC,69339014819,SUCRALFATE 100 MG/ML ORAL SUSPENSION,29.4,14.7,6.41,26.46,65
NDC,69339015705,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.3,5.65,2.46,10.17,65
NDC,69339015717,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,11.3,5.65,2.46,10.17,65
NDC,69339016001,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,22.7,11.35,4.95,20.43,65
NDC,69339016016,MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION,22.7,11.35,4.95,20.43,65
NDC,69339016217,LUBIPROSTONE 8 MCG CAPSULE,1904.4,952.2,415.35,1713.96,65
NDC,69339016298,LUBIPROSTONE 8 MCG CAPSULE,57.15,28.58,12.46,51.44,65
NDC,69339016317,LUBIPROSTONE 24 MCG CAPSULE,1904.4,952.2,415.35,1713.96,65
NDC,69339016398,LUBIPROSTONE 24 MCG CAPSULE,57.15,28.58,12.46,51.44,65
NDC,69339017402,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,57.0,28.5,12.43,51.3,65
NDC,69339017441,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,57.0,28.5,12.43,51.3,65
NDC,69344010101,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,8756.7,4378.35,1909.84,7881.03,65
NDC,69344010233,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,24037.0,12018.5,5242.47,21633.3,65
NDC,69367016204,PHENAZOPYRIDINE 100 MG TABLET,395.0,197.5,86.15,355.5,65
NDC,69367016304,PHENAZOPYRIDINE 200 MG TABLET,600.0,300.0,130.86,540.0,65
NDC,69367017216,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,354.75,177.38,77.37,319.28,65
NDC,69367019050,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,292.55,146.28,7.71,263.3,66
NDC,69367019430,CLOPIDOGREL 300 MG TABLET,1289.7,644.85,281.28,1160.73,65
NDC,69367020301,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,69367020305,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,1562.5,781.25,340.78,1406.25,65
NDC,69367021101,PHENOBARBITAL 16.2 MG TABLET,255.0,127.5,55.62,229.5,65
NDC,69367021201,PHENOBARBITAL 32.4 MG TABLET,270.0,135.0,58.89,243.0,65
NDC,69367021301,PHENOBARBITAL 64.8 MG TABLET,337.5,168.75,73.61,303.75,65
NDC,69367023601,FLUOXETINE 20 MG CAPSULE,34.8,17.4,7.59,31.32,65
NDC,69367024312,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,87.5,43.75,19.08,78.75,65
NDC,69367024324,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,127.2,63.6,27.74,114.48,65
NDC,69367025001,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,138.6,69.3,30.23,124.74,65
NDC,69367026209,VALACYCLOVIR 500 MG TABLET,210.1,105.05,45.82,189.09,65
NDC,69367026330,VALACYCLOVIR 1 GRAM TABLET,113.95,56.98,24.85,102.56,65
NDC,69367027204,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,36.85,18.43,8.04,33.17,65
NDC,69367027216,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,76.65,38.33,16.72,68.99,65
NDC,69367030101,CELECOXIB 100 MG CAPSULE,90.0,45.0,19.63,81.0,65
NDC,69367031401,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,70.2,35.1,15.31,63.18,65
NDC,69367038801,AMITRIPTYLINE 10 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,69367039501,IBUPROFEN 600 MG TABLET,65.4,32.7,14.26,58.86,65
NDC,69374021450,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,66.0,33.0,14.39,59.4,65
NDC,69374030510,PHENYLEPHRINE 0.4 MG/10 ML (40 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,46.5,23.25,10.14,41.85,65
NDC,69374030805,KETAMINE 10 MG/ML INJECTION SOLUTION,29.0,14.5,6.32,26.1,65
NDC,69374031405,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",139.0,69.5,0.16,125.1,66
NDC,69374031410,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",157.0,78.5,0.16,141.3,66
NDC,69374031525,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,163.0,81.5,35.55,146.7,65
NDC,69374051075,ROCURONIUM 75 MG/7.5 ML (10 MG/ML) INTRAVENOUS SYRINGE,72.0,36.0,15.7,64.8,65
NDC,69374051101,KETAMINE 50 MG/ML IN STERILE WATER INJECTION SYRINGE,27.0,13.5,5.89,24.3,65
NDC,69374052005,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,30.0,15.0,6.54,27.0,65
NDC,69374052321,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,241.0,120.5,1.07,216.9,66
NDC,69374052435,SODIUM CITRATE 7 % INTRA-CATHETER INJECTION SOLUTION,25.5,12.75,5.56,22.95,65
NDC,69374052930,HYDROMORPHONE(PF) 6 MG/30 ML (0.2 MG/ML)-WATER INTRAVENOUS PCA SYRINGE,83.5,41.75,18.21,75.15,65
NDC,69374053325,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,193.0,96.5,42.09,173.7,65
NDC,69374053328,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,193.0,96.5,42.09,173.7,65
NDC,69374054206,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,135.0,67.5,29.44,121.5,65
NDC,69374054350,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,145.0,72.5,31.62,130.5,66
NDC,69374090105,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,101.7,50.85,22.18,91.53,65
NDC,69374090205,NEOSTIGMINE METHYLSULFATE 5 MG/5 ML (1 MG/ML) INTRAVENOUS SYRINGE,64.5,32.25,1.79,58.05,66
NDC,69374090605,SODIUM CITRATE 4 % (5 ML) INTRA-CATHETER INJECTION SYRINGE,30.0,15.0,6.54,27.0,65
NDC,69374091450,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,60.0,30.0,13.09,54.0,65
NDC,69374091910,"SUCCINYLCHOLINE(PF)200 MG/10 ML(20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",55.5,27.75,0.89,49.95,66
NDC,69374092005,"SUCCINYLCHOLINE(PF)100 MG/5 ML (20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",49.5,24.75,0.89,44.55,66
NDC,69374092405,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,45.0,22.5,9.81,40.5,65
NDC,69374092510,"EPINEPHRINE 1 MG/10 ML (100 MCG/ML) IN SODIUM CHLOR,ISO-OSM IV SYRINGE",30.0,15.0,6.54,27.0,65
NDC,69374093503,ATROPINE 1.2 MG/3 ML (0.4 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,45.0,22.5,0.09,40.5,66
NDC,69374094604,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,58.0,29.0,12.65,52.2,65
NDC,69374094634,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,58.0,29.0,12.65,52.2,65
NDC,69374094905,LIDOCAINE (PF) 100 MG/5 ML (2 %) INJECTION SYRINGE,30.0,15.0,6.54,27.0,65
NDC,69374095010,CALCIUM GLUCONATE 1 GRAM/10 ML (100 MG/ML) IN STERILE WATER IV SYRINGE,68.95,34.48,15.04,62.06,65
NDC,69374095350,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,90.0,45.0,19.63,81.0,65
NDC,69374095510,PHENYLEPHRINE 0.4 MG/10 ML (40 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,50.5,25.25,11.01,45.45,65
NDC,69374095610,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,54.1,27.05,11.8,48.69,65
NDC,69374095710,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,55.0,27.5,12.0,49.5,65
NDC,69374096502,DIAZEPAM 5 MG/ML INJECTION SYRINGE,99.0,49.5,6.06,89.1,66
NDC,69374097901,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INJECTION SYRINGE,27.0,13.5,5.18,24.3,66
NDC,69374097902,MORPHINE (PF) 2 MG/2 ML (1 MG/ML) IN 0.9% SODIUM CHLORIDE INJ SYRINGE,27.0,13.5,5.89,24.3,65
NDC,69374097930,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,75.95,37.98,16.56,68.36,65
NDC,69374097950,MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,82.0,41.0,5.18,73.8,66
NDC,69374098255,"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",30.0,15.0,6.54,27.0,65
NDC,69374098301,HYDROMORPHONE (PF) 1 MG/ML IN STERILE WATER INJECTION SYRINGE,26.45,13.23,5.77,23.81,65
NDC,69374098410,CARDIOPLEGIC SOLUTION NO.25 29 MMOL/L (POTASSIUM) FOR PERFUSION,110.0,55.0,23.99,99.0,65
NDC,69374098505,LIDOCAINE (PF) 50 MG/5 ML (1 %) INJECTION SYRINGE,30.0,15.0,6.54,27.0,65
NDC,69374098750,"ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM INJECTION SOLUTION",300.0,150.0,0.09,270.0,66
NDC,69374098810,ARGININE 25 MG/ML-LYSINE 25 MG/ML IN 0.9 % NACL INTRAVENOUS SOLUTION,625.0,312.5,65.33,562.5,66
NDC,69374099715,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",115.0,57.5,25.08,103.5,65
NDC,69401000001,"TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE",430.5,215.25,93.89,387.45,65
NDC,69413033030,PYRIMETHAMINE 25 MG TABLET,90000.0,45000.0,19629.0,81000.0,65
NDC,69448000105,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,1067.35,533.68,20.75,960.62,71
NDC,69448000211,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2399.2,1199.6,20.75,2159.28,71
NDC,69448000338,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,4748.4,2374.2,20.75,4273.56,71
NDC,69452011420,CLOBAZAM 10 MG TABLET,375.0,187.5,81.79,337.5,65
NDC,69452012550,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,370.0,185.0,80.7,333.0,65
NDC,69452013117,DOFETILIDE 125 MCG CAPSULE,274.0,137.0,59.76,246.6,65
NDC,69452013217,DOFETILIDE 250 MCG CAPSULE,274.0,137.0,59.76,246.6,65
NDC,69452013317,DOFETILIDE 500 MCG CAPSULE,274.0,137.0,59.76,246.6,65
NDC,69452014220,AMANTADINE HCL 100 MG CAPSULE,398.0,199.0,86.8,358.2,65
NDC,69452014320,BENZONATATE 100 MG CAPSULE,85.2,42.6,18.58,76.68,65
NDC,69452014330,BENZONATATE 100 MG CAPSULE,362.5,181.25,79.06,326.25,65
NDC,69452014513,PARICALCITOL 1 MCG CAPSULE,417.75,208.88,91.11,375.98,65
NDC,69452015020,VALPROIC ACID 250 MG CAPSULE,103.8,51.9,22.64,93.42,65
NDC,69452015120,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",68.4,34.2,14.92,61.56,65
NDC,69452015220,ETHOSUXIMIDE 250 MG CAPSULE,177.6,88.8,38.73,159.84,65
NDC,69452015420,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",234.0,117.0,0.26,210.6,66
NDC,69452015674,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,13.45,6.73,2.93,12.11,65
NDC,69452015774,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,12.65,6.33,2.76,11.39,65
NDC,69452016113,DEFERASIROX 500 MG DISPERSIBLE TABLET,529.8,264.9,115.55,476.82,65
NDC,69452017113,AZITHROMYCIN 250 MG TABLET,158.8,79.4,34.63,142.92,65
NDC,69452017313,AZITHROMYCIN 600 MG TABLET,269.4,134.7,58.76,242.46,65
NDC,69452020713,CALCITRIOL 0.25 MCG CAPSULE,22.35,11.18,4.87,20.12,65
NDC,69452020720,CALCITRIOL 0.25 MCG CAPSULE,162.6,81.3,35.46,146.34,65
NDC,69452020820,CALCITRIOL 0.5 MCG CAPSULE,254.4,127.2,55.48,228.96,65
NDC,69452020907,NIMODIPINE 30 MG CAPSULE,8.75,4.38,1.91,7.88,65
NDC,69452020913,NIMODIPINE 30 MG CAPSULE,261.4,130.7,57.01,235.26,65
NDC,69452020920,NIMODIPINE 30 MG CAPSULE,567.5,283.75,123.77,510.75,65
NDC,69452023320,PROGESTERONE MICRONIZED 100 MG CAPSULE,146.4,73.2,31.93,131.76,65
NDC,69452024120,TRIHEXYPHENIDYL 2 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,69452024220,TRIHEXYPHENIDYL 5 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,69452027520,KETOROLAC 10 MG TABLET,282.5,141.25,61.61,254.25,65
NDC,69452028820,FLUVOXAMINE 50 MG TABLET,154.2,77.1,33.63,138.78,65
NDC,69452032820,METHIMAZOLE 5 MG TABLET,76.8,38.4,16.75,69.12,65
NDC,69452033611,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,48.85,24.43,10.65,43.97,65
NDC,69452033813,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET,752.7,376.35,164.16,677.43,65
NDC,69452034460,SUMATRIPTAN 25 MG TABLET,3.35,1.68,0.73,3.02,65
NDC,69452034472,SUMATRIPTAN 25 MG TABLET,16.65,8.33,3.63,14.99,65
NDC,69452035001,GRANISETRON HCL 1 MG TABLET,27.2,13.6,5.93,24.48,65
NDC,69452035011,GRANISETRON HCL 1 MG TABLET,119.55,59.78,26.07,107.6,65
NDC,69452035060,GRANISETRON HCL 1 MG TABLET,13.6,6.8,2.97,12.24,65
NDC,69452035092,GRANISETRON HCL 1 MG TABLET,104.4,52.2,22.77,93.96,65
NDC,69452047220,PROCHLORPERAZINE MALEATE 10 MG TABLET,203.4,101.7,44.36,183.06,65
NDC,69468015110,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,4013.0,2006.5,875.24,3611.7,65
NDC,69468015120,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,80260.0,40130.0,17504.71,72234.0,65
NDC,69488000140,GA-68-DOTATATE INTRAVENOUS SOLN,18001.45,9000.73,52.11,16201.31,69
NDC,69488000370,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,358848.0,179424.0,323.33,322963.2,69
NDC,69488001061,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",292224.0,146112.0,234.43,263001.6,70
NDC,69543013120,ALENDRONATE 70 MG TABLET,278.05,139.03,60.64,250.25,65
NDC,69543026010,VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE,67.2,33.6,14.66,60.48,65
NDC,69543026810,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,189.0,94.5,41.22,170.1,65
NDC,69543029110,ALBUTEROL SULFATE 4 MG TABLET,238.8,119.4,52.08,214.92,65
NDC,69543037101,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,44.95,22.48,1.03,40.46,66
NDC,69543037110,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,44.95,22.48,1.03,40.46,66
NDC,69543037410,PROGESTERONE MICRONIZED 100 MG CAPSULE,276.0,138.0,60.2,248.4,65
NDC,69543038030,OLANZAPINE 2.5 MG TABLET,8.5,4.25,1.85,7.65,65
NDC,69543038090,OLANZAPINE 2.5 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,69543038190,OLANZAPINE 5 MG TABLET,28.65,14.33,6.25,25.79,65
NDC,69543038290,OLANZAPINE 7.5 MG TABLET,34.6,17.3,7.55,31.14,65
NDC,69543038330,OLANZAPINE 10 MG TABLET,15.3,7.65,3.34,13.77,65
NDC,69543038390,OLANZAPINE 10 MG TABLET,44.3,22.15,9.66,39.87,65
NDC,69543038810,KETOROLAC 10 MG TABLET,539.0,269.5,117.56,485.1,65
NDC,69543042610,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",1658.0,829.0,361.61,1492.2,65
NDC,69547035302,NALOXONE 4 MG/ACTUATION NASAL SPRAY,369.95,184.98,80.69,332.96,65
NDC,69547062702,NALOXONE 4 MG/ACTUATION NASAL SPRAY,227.4,113.7,49.6,204.66,65
NDC,69584009210,BUSPIRONE 10 MG TABLET,26.4,13.2,5.76,23.76,65
NDC,69584011110,CARISOPRODOL 350 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,69584018110,DIPYRIDAMOLE 25 MG TABLET,103.8,51.9,22.64,93.42,65
NDC,69584042510,IMIPRAMINE 10 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,69584042610,IMIPRAMINE 25 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,69584042690,IMIPRAMINE 25 MG TABLET,295.0,147.5,64.34,265.5,65
NDC,69584042710,IMIPRAMINE 50 MG TABLET,47.4,23.7,10.34,42.66,65
NDC,69584061150,METHOCARBAMOL 500 MG TABLET,240.0,120.0,52.34,216.0,65
NDC,69584068410,PRIMIDONE 50 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,69584084110,SOTALOL 80 MG TABLET,33.6,16.8,7.33,30.24,65
NDC,69584084210,SOTALOL 120 MG TABLET,41.4,20.7,9.03,37.26,65
NDC,69584085210,SPIRONOLACTONE 25 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,69584085250,SPIRONOLACTONE 25 MG TABLET,102.0,51.0,22.25,91.8,65
NDC,69616027230,PERAMPANEL 2 MG TABLET,2296.45,1148.23,500.86,2066.81,65
NDC,69616027430,PERAMPANEL 4 MG TABLET,4537.45,2268.73,989.62,4083.71,65
NDC,69616027630,PERAMPANEL 6 MG TABLET,4537.45,2268.73,989.62,4083.71,65
NDC,69616027830,PERAMPANEL 8 MG TABLET,4537.45,2268.73,989.62,4083.71,65
NDC,69616028230,PERAMPANEL 12 MG TABLET,4537.45,2268.73,989.62,4083.71,65
NDC,69616029038,PERAMPANEL 0.5 MG/ML ORAL SUSPENSION,5861.6,2930.8,1278.41,5275.44,65
NDC,69680011201,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.95,10.98,1.6,19.76,66
NDC,69680011210,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.95,10.98,1.6,19.76,66
NDC,69680011530,AMINOCAPROIC ACID 500 MG TABLET,895.05,447.53,195.21,805.55,65
NDC,69680013060,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",166.35,83.18,36.28,149.72,65
NDC,69680013160,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",141.5,70.75,30.86,127.35,65
NDC,69680013500,CELECOXIB 200 MG CAPSULE,165.0,82.5,35.99,148.5,65
NDC,69680014395,SEVELAMER CARBONATE 800 MG TABLET,256.0,128.0,55.83,230.4,65
NDC,69680016600,THYROID (PORK) 30 MG TABLET,272.5,136.25,59.43,245.25,65
NDC,69680016700,THYROID (PORK) 60 MG TABLET,305.0,152.5,66.52,274.5,65
NDC,69724011210,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,14517.0,7258.5,25.55,13065.3,70
NDC,69784000206,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,46.6,23.3,3.1,41.94,66
NDC,69784000306,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,51.4,25.7,11.21,65.33,66
NDC,69784020096,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,11.55,5.78,2.52,10.4,65
NDC,69784020530,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,83.6,41.8,18.23,75.24,65
NDC,69784020560,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,83.6,41.8,18.23,75.24,65
NDC,69784023010,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,90.4,45.2,19.72,81.36,65
NDC,69784023020,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,90.4,45.2,19.72,81.36,65
NDC,69784023110,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,115.0,57.5,25.08,103.5,65
NDC,69784023120,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,114.4,57.2,24.95,102.96,65
NDC,69784024001,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,808.95,404.48,176.43,728.06,65
NDC,69784062025,BUSULFAN 2 MG TABLET,2176.7,1088.35,85.89,1959.03,70
NDC,69784063025,THIOGUANINE 40 MG TABLET,2349.0,1174.5,512.32,2114.1,65
NDC,69784081001,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,14298.0,7149.0,3118.39,12868.2,65
NDC,69784084001,SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION,258.95,129.48,56.48,233.06,65
NDC,69784084005,SELENIUM 40 MCG/ML INTRAVENOUS SOLUTION,258.95,129.48,56.48,233.06,65
NDC,69794010201,BUROSUMAB-TWZA 10 MG/ML SUBCUTANEOUS SOLUTION,12495.1,6247.55,451.95,11245.59,71
NDC,69794020301,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION,24890.0,12445.0,451.95,22401.0,71
NDC,69794030401,BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION,37498.7,18749.35,451.95,33748.83,71
NDC,69800420201,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,696.85,348.43,136.88,627.17,70
NDC,69800420202,HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML INTRAMUSCULAR SOLN,696.85,348.43,136.88,627.17,70
NDC,69800420301,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION",2783.6,1391.8,136.88,2505.24,70
NDC,69800420302,"HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION",2783.6,1391.8,136.88,2505.24,70
NDC,69853010201,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",8775.0,4387.5,131.55,7897.5,71
NDC,69911047402,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 250 (+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911047502,"ANTIHEMOPHILIC FVIII,SNGL-CHN,B-DOM TRUNC 500 (+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911047602,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 1,000(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911047702,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 2,000(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911047802,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 3,000(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911048002,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 1,500(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911048102,"ANTIHEMOPHILIC FVIII,SGL-CHN,B-DOM TRUNC 2,500(+/-) UNIT RANGE IV SOLN",45.0,22.5,1.6,40.5,70
NDC,69911086402,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 250(+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
NDC,69911086502,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 500(+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
NDC,69911086602,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
NDC,69911086702,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 2,000 (+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
NDC,69911086902,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 3,500 (+/-) UNIT IV SOLUTION",52.7,26.35,5.28,47.43,71
NDC,69918010101,DESMOPRESSIN 0.1 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,69918030130,TRANEXAMIC ACID 650 MG TABLET,274.65,137.33,59.9,247.19,65
NDC,69918051505,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",65.2,32.6,14.22,58.68,65
NDC,69918056001,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",20.65,10.33,4.5,18.59,65
NDC,69918056030,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",265.8,132.9,57.97,239.22,65
NDC,69918070001,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.65,11.33,0.89,20.39,66
NDC,69918070002,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,28.45,14.23,0.89,25.61,66
NDC,69918070004,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,26.0,13.0,0.89,23.4,66
NDC,69918070010,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,26.0,13.0,0.89,23.4,66
NDC,69918070025,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.65,11.33,0.89,20.39,66
NDC,69918070026,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,28.45,14.23,0.89,25.61,66
NDC,69918072001,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,69918073101,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,309.3,154.65,67.46,278.37,65
NDC,69918073110,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,309.3,154.65,67.46,278.37,65
NDC,69918073501,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,304.55,152.28,66.42,274.1,65
NDC,69918073510,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,304.55,152.28,66.42,274.1,65
NDC,69918089901,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,124.0,62.0,3.59,111.6,71
NDC,69918089910,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,124.0,62.0,3.59,111.6,71
NDC,69918090110,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,787.65,393.83,3.59,708.89,71
NDC,69918090112,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,787.65,393.83,3.59,708.89,71
NDC,69932000130,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,30999.0,15499.5,273.79,27899.1,69
NDC,69932000201,"FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",36473.8,18236.9,684.64,32826.42,69
NDC,69945005040,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,23220.0,11610.0,1952.9,20898.0,69
NDC,69945006401,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,23100.0,11550.0,607.0,20790.0,70
NDC,69945006820,TC-99M LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,687.6,343.8,149.97,618.84,64
NDC,69945009140,TC-99M SODIUM OXIDRONATE 3.15 MG IV SOLUTION,264.1,132.05,57.6,237.69,64
NDC,69945009620,TC-99M MERTIATIDE (BETIATIDE) INTRAVENOUS SOLUTION,4648.4,2324.2,1013.82,4183.56,64
NDC,69945016014,TC-99M SODIUM PERTECHNETATE INJECTION,7.8,3.9,1.7,7.02,64
NDC,70004008446,OXYTOCIN 20 UNIT/1000 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,115.0,57.5,0.91,103.5,66
NDC,70004008544,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,109.0,54.5,23.77,98.1,66
NDC,70004010022,MORPHINE 50 MG/50 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,89.8,44.9,5.18,80.82,66
NDC,70004010030,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,111.4,55.7,24.3,100.26,65
NDC,70004010059,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,111.4,55.7,24.3,100.26,65
NDC,70004011016,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,123.85,61.93,5.18,111.47,66
NDC,70004020022,"FENTANYL (PF) 2,500 MCG/50 ML (50 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE",169.9,84.95,37.06,152.91,65
NDC,70004020240,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,298.0,149.0,1.07,268.2,66
NDC,70004022209,FENTANYL (PF) 250 MCG/5 ML (50 MCG/ML) INTRAVENOUS SYRINGE,49.15,24.58,1.07,44.24,66
NDC,70004022940,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,313.75,156.88,1.07,282.38,66
NDC,70004023132,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,142.2,71.1,31.01,127.98,65
NDC,70004025340,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,245.5,122.75,53.54,220.95,65
NDC,70004026032,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION SOLUTION,277.6,138.8,60.54,249.84,65
NDC,70004030016,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,103.85,51.93,22.65,93.47,65
NDC,70004030018,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,90.0,45.0,19.63,81.0,65
NDC,70004030022,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,111.4,55.7,24.3,100.26,65
NDC,70004030316,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,140.95,70.48,30.74,126.86,65
NDC,70004030321,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,135.9,67.95,29.64,122.31,65
NDC,70004030330,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,191.7,95.85,41.81,172.53,65
NDC,70004038005,METHADONE 10 MG/ML INTRAVENOUS SYRINGE,271.65,135.83,21.83,244.49,66
NDC,70004041156,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,145.6,72.8,0.16,131.04,66
NDC,70004041159,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,185.8,92.9,0.16,167.22,66
NDC,70004043009,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,33.7,16.85,7.35,30.33,65
NDC,70004043012,KETAMINE 100 MG/10 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,54.1,27.05,11.8,48.69,65
NDC,70004043509,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,39.5,19.75,8.61,35.55,65
NDC,70004044012,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE,203.5,101.75,44.38,183.15,65
NDC,70004054035,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,142.75,71.38,31.13,128.48,65
NDC,70004054135,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",142.75,71.38,31.13,128.48,65
NDC,70004060409,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,129.7,64.85,28.29,116.73,65
NDC,70004061340,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,272.5,136.25,59.43,245.25,65
NDC,70004069531,ISOPROTERENOL 200 MCG/50 ML(4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,874.75,437.38,190.78,787.28,65
NDC,70004072509,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (5 ML) INJ SYRINGE,36.1,18.05,7.87,32.49,65
NDC,70004078540,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,318.75,159.38,69.52,286.88,65
NDC,70004080840,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,259.0,129.5,56.49,233.1,65
NDC,70004081012,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,57.5,28.75,12.54,51.75,65
NDC,70004081612,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,59.05,29.53,12.88,53.15,65
NDC,70004082540,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,287.5,143.75,62.7,258.75,65
NDC,70004084140,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,188.5,94.25,41.11,169.65,65
NDC,70004085009,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,55.35,27.68,12.07,49.82,65
NDC,70004090025,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,30.6,15.3,6.67,27.54,65
NDC,70004090809,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,111.25,55.63,24.26,100.13,65
NDC,70004092644,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,310.0,155.0,2.56,279.0,66
NDC,70004092844,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,302.5,151.25,2.56,272.25,66
NDC,70004092940,VANCOMYCIN 750 MG/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,215.5,107.75,2.56,193.95,66
NDC,70010000201,COLCHICINE 0.6 MG TABLET,180.0,90.0,39.26,162.0,65
NDC,70010000401,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",598.5,299.25,130.53,538.65,65
NDC,70010000701,"DEXMETHYLPHENIDATE ER 20 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",887.5,443.75,193.56,798.75,65
NDC,70010002901,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",300.0,150.0,65.43,270.0,65
NDC,70010003001,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",335.0,167.5,73.06,301.5,65
NDC,70010003101,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",312.5,156.25,68.16,281.25,65
NDC,70010003301,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",361.5,180.75,78.84,325.35,65
NDC,70010004201,"METHYLPHENIDATE ER 10 MG TABLET,EXTENDED RELEASE",279.5,139.75,60.96,251.55,65
NDC,70010004301,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",288.0,144.0,62.81,259.2,65
NDC,70010005140,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1252.25,626.13,273.12,1127.03,65
NDC,70010006301,METFORMIN 500 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,70010006305,METFORMIN 500 MG TABLET,42.0,21.0,9.16,37.8,65
NDC,70010010901,GABAPENTIN 300 MG CAPSULE,38.4,19.2,8.38,34.56,65
NDC,70010010910,GABAPENTIN 300 MG CAPSULE,255.0,127.5,55.62,229.5,65
NDC,70010011101,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,195.0,97.5,42.53,175.5,65
NDC,70010011301,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,103.2,51.6,22.51,92.88,65
NDC,70010013501,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",210.6,105.3,45.93,189.54,65
NDC,70010013505,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",592.5,296.25,129.22,533.25,65
NDC,70010013701,NAPROXEN 250 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,70010013801,NAPROXEN 375 MG TABLET,30.0,15.0,6.54,27.0,65
NDC,70010014801,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",102.0,51.0,22.25,91.8,65
NDC,70010014901,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,120.6,60.3,26.3,108.54,65
NDC,70010049101,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",19.2,9.6,4.19,17.28,65
NDC,70010049105,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",66.0,33.0,14.39,59.4,65
NDC,70010049109,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",32.4,16.2,7.07,29.16,65
NDC,70010049201,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",18.0,9.0,3.93,16.2,65
NDC,70010075401,METHOCARBAMOL 500 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,70010075405,METHOCARBAMOL 500 MG TABLET,123.0,61.5,26.83,110.7,65
NDC,70010077001,METHOCARBAMOL 750 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,70010077005,METHOCARBAMOL 750 MG TABLET,141.0,70.5,30.75,126.9,65
NDC,70010078612,METHYLERGONOVINE 0.2 MG TABLET,778.0,389.0,169.68,700.2,65
NDC,70010090701,PENICILLAMINE 250 MG CAPSULE,15614.4,7807.2,3405.5,14052.96,65
NDC,70020191001,IXABEPILONE 15 MG INTRAVENOUS SOLUTION,8108.25,4054.13,136.97,7297.43,71
NDC,70020191002,IXABEPILONE 15 MG INTRAVENOUS SOLUTION,8108.25,4054.13,136.97,7297.43,71
NDC,70020191101,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,24224.75,12112.38,136.97,21802.28,71
NDC,70020191102,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,24224.75,12112.38,136.97,21802.28,71
NDC,70069000501,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.95,10.48,1.6,18.86,66
NDC,70069000510,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",20.95,10.48,1.6,18.86,66
NDC,70069000701,OLOPATADINE 0.1 % EYE DROPS,94.35,47.18,20.58,84.92,65
NDC,70069001101,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,20.95,10.48,0.47,18.86,71
NDC,70069001125,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,20.95,10.48,0.47,18.86,71
NDC,70069001301,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.75,10.88,0.47,19.58,71
NDC,70069001325,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.75,10.88,0.47,19.58,71
NDC,70069001701,OLOPATADINE 0.1 % EYE DROPS,41.95,20.98,9.15,37.76,65
NDC,70069002001,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,49.35,24.68,10.76,44.42,65
NDC,70069002003,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,49.35,24.68,10.76,44.42,65
NDC,70069002101,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,22.25,11.13,0.13,20.03,66
NDC,70069002125,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,22.25,11.13,0.13,20.03,66
NDC,70069002501,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,23.9,11.95,0.13,21.51,66
NDC,70069002510,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION,23.9,11.95,0.13,21.51,66
NDC,70069003001,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,109.1,54.55,9.74,98.19,66
NDC,70069003003,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,109.1,54.55,9.74,98.19,66
NDC,70069003101,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,209.7,104.85,9.74,188.73,66
NDC,70069003105,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,209.7,104.85,9.74,188.73,66
NDC,70069005101,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,45.85,22.93,10.0,41.27,65
NDC,70069006101,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,46.4,23.2,0.09,41.76,66
NDC,70069006110,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,46.4,23.2,0.09,41.76,66
NDC,70069006125,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,46.6,23.3,0.09,41.94,66
NDC,70069006201,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,45.8,22.9,0.09,41.22,66
NDC,70069006210,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,45.8,22.9,0.09,41.22,66
NDC,70069006225,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,45.8,22.9,0.09,41.22,66
NDC,70069006301,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,47.1,23.55,0.09,42.39,66
NDC,70069006325,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,47.1,23.55,0.09,42.39,66
NDC,70069006401,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.35,24.18,0.09,43.52,66
NDC,70069006410,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,52.2,26.1,0.09,46.98,66
NDC,70069006425,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,48.25,24.13,0.09,43.43,66
NDC,70069007101,NALOXONE 0.4 MG/ML INJECTION SOLUTION,22.5,11.25,4.91,20.25,65
NDC,70069007110,NALOXONE 0.4 MG/ML INJECTION SOLUTION,22.5,11.25,4.91,20.25,65
NDC,70069009101,AZELASTINE 0.05 % EYE DROPS,49.65,24.83,10.83,44.69,65
NDC,70069010101,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,58.25,29.13,6.28,52.43,66
NDC,70069010105,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,58.25,29.13,6.28,52.43,66
NDC,70069010125,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,52.7,26.35,6.28,47.43,66
NDC,70069012101,TROPICAMIDE 1 % EYE DROPS,37.9,18.95,8.27,34.11,65
NDC,70069013101,TOBRAMYCIN 0.3 % EYE DROPS,29.8,14.9,6.5,26.82,65
NDC,70069014101,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,21.9,10.95,4.78,19.71,65
NDC,70069014110,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,21.9,10.95,4.78,19.71,65
NDC,70069015101,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,255.15,127.58,55.65,229.64,65
NDC,70069015110,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,255.15,127.58,55.65,229.64,65
NDC,70069016101,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,40.65,20.33,8.87,36.59,65
NDC,70069016110,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,40.65,20.33,8.87,36.59,65
NDC,70069018101,PILOCARPINE 1 % EYE DROPS,243.0,121.5,53.0,218.7,65
NDC,70069019101,PILOCARPINE 2 % EYE DROPS,238.45,119.23,52.01,214.61,65
NDC,70069020101,PILOCARPINE 4 % EYE DROPS,261.65,130.83,57.07,235.49,65
NDC,70069023101,BRIMONIDINE 0.2 % EYE DROPS,12.1,6.05,2.64,10.89,65
NDC,70069026101,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,82.7,41.35,18.04,74.43,65
NDC,70069027101,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.7,11.35,4.95,20.43,65
NDC,70069027105,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.7,11.35,4.95,20.43,65
NDC,70069027125,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.7,11.35,4.95,20.43,65
NDC,70069027201,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,26.35,13.18,5.75,23.72,65
NDC,70069027205,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,26.35,13.18,5.75,23.72,65
NDC,70069030101,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,25.2,12.6,0.89,22.68,66
NDC,70069030110,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,25.2,12.6,0.89,22.68,66
NDC,70069030125,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,22.15,11.08,0.89,19.94,66
NDC,70069031101,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",22.2,11.1,4.84,19.98,65
NDC,70069036101,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,70069036110,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,47.85,23.93,10.44,43.07,65
NDC,70069036201,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,62.15,31.08,13.55,55.94,65
NDC,70069036210,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,62.15,31.08,13.55,55.94,65
NDC,70069036301,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,123.1,61.55,26.85,110.79,65
NDC,70069037101,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.05,11.03,3.81,19.85,66
NDC,70069037125,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.05,11.03,3.81,19.85,66
NDC,70069038101,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,38.0,19.0,8.29,34.2,66
NDC,70069038110,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,38.25,19.13,8.34,34.43,66
NDC,70069038301,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,38.6,19.3,8.42,34.74,66
NDC,70069038305,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,38.7,19.35,8.44,34.83,66
NDC,70069038310,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,38.7,19.35,8.44,34.83,66
NDC,70069042101,LATANOPROST 0.005 % EYE DROPS,26.85,13.43,5.86,24.17,65
NDC,70069042103,LATANOPROST 0.005 % EYE DROPS,26.0,13.0,5.67,23.4,65
NDC,70069044101,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,196.25,98.13,27.71,176.63,66
NDC,70069047101,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,92.95,46.48,20.27,83.66,65
NDC,70069050601,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,131.45,65.73,28.67,118.31,65
NDC,70069050625,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,131.45,65.73,28.67,118.31,65
NDC,70069059601,TETRACAINE 0.5 % EYE DROPS,88.75,44.38,19.36,79.88,65
NDC,70069059701,TETRACAINE 0.5 % EYE DROPS,266.35,133.18,58.09,239.72,65
NDC,70069060101,PROPARACAINE 0.5 % EYE DROPS,209.65,104.83,45.72,188.69,65
NDC,70069063101,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,24.45,12.23,0.09,22.01,66
NDC,70069063125,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION,24.45,12.23,0.09,22.01,66
NDC,70069064101,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,37.45,18.73,0.09,33.71,66
NDC,70069064125,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION,37.45,18.73,0.09,33.71,66
NDC,70069067101,NALBUPHINE 10 MG/ML INJECTION SOLUTION,30.55,15.28,3.12,27.5,66
NDC,70069067110,NALBUPHINE 10 MG/ML INJECTION SOLUTION,30.55,15.28,3.12,27.5,66
NDC,70069067201,NALBUPHINE 20 MG/ML INJECTION SOLUTION,30.55,15.28,3.12,27.5,66
NDC,70069067210,NALBUPHINE 20 MG/ML INJECTION SOLUTION,30.55,15.28,3.12,27.5,66
NDC,70069069601,TIMOLOL 0.5 % EYE DROPS,508.5,254.25,110.9,457.65,65
NDC,70069070601,TIMOLOL MALEATE 0.5 % EYE DROPS,26.25,13.13,5.73,23.63,65
NDC,70069072701,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,97.9,48.95,21.35,88.11,65
NDC,70069072710,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,97.9,48.95,21.35,88.11,65
NDC,70069072801,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,178.0,89.0,38.82,160.2,65
NDC,70069072810,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,178.0,89.0,38.82,160.2,65
NDC,70069072820,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,178.0,89.0,38.82,160.2,65
NDC,70069074601,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,92.95,46.48,20.27,83.66,65
NDC,70069074625,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,92.95,46.48,20.27,83.66,65
NDC,70069074701,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,104.05,52.03,22.69,93.65,65
NDC,70069074725,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,104.05,52.03,22.69,93.65,65
NDC,70069075301,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,47.05,23.53,10.26,42.35,65
NDC,70069075325,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,47.05,23.53,10.26,42.35,65
NDC,70069078301,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,23.0,11.5,0.89,20.7,66
NDC,70069078325,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,23.0,11.5,0.89,20.7,66
NDC,70069078801,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,141.65,70.83,30.89,127.49,65
NDC,70069078804,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,141.65,70.83,30.89,127.49,65
NDC,70069080101,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,70069080125,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.3,23.15,10.1,41.67,65
NDC,70069080210,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,47.9,23.95,10.45,43.11,65
NDC,70069080301,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,93.0,46.5,20.28,83.7,65
NDC,70069080401,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,25.3,12.65,5.52,77.7,66
NDC,70069080405,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,27.5,13.75,6.0,77.7,66
NDC,70069080601,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,23.35,11.68,1.79,21.02,66
NDC,70069080610,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,23.35,11.68,1.79,21.02,66
NDC,70069081001,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1225.0,612.5,267.17,1102.5,65
NDC,70069081590,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",57.8,28.9,12.61,52.02,65
NDC,70069081701,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,26.45,13.23,0.16,23.81,66
NDC,70069081710,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,26.45,13.23,0.16,23.81,66
NDC,70069081901,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,29.1,14.55,6.35,26.19,65
NDC,70069081910,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,29.1,14.55,6.35,26.19,65
NDC,70092100538,AMIODARONE 900 MG/500 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,148.0,74.0,0.48,133.2,66
NDC,70092100944,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,56.55,28.28,12.33,50.9,65
NDC,70092101746,CEFAZOLIN 1 GRAM/10 ML IN STERILE WATER INTRAVENOUS SYRINGE,71.4,35.7,0.84,64.26,66
NDC,70092104646,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,57.5,28.75,12.54,51.75,65
NDC,70092106807,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,133.0,66.5,29.01,119.7,66
NDC,70092107344,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,49.1,24.55,10.71,44.19,65
NDC,70092108644,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,110.95,55.48,24.2,99.86,65
NDC,70092109337,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,276.25,138.13,1.07,248.63,66
NDC,70092110336,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION,145.6,72.8,31.76,131.04,65
NDC,70092110436,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,115.2,57.6,25.13,103.68,65
NDC,70092111148,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,70.55,35.28,15.39,63.5,65
NDC,70092111249,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,109.6,54.8,23.9,98.64,65
NDC,70092111450,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,99.1,49.55,21.61,89.19,65
NDC,70092111850,HYDROMORPHONE (PF) 50 MG/50 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,138.7,69.35,30.25,124.83,65
NDC,70092111944,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,29.15,14.58,6.36,26.24,65
NDC,70092112043,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,29.15,14.58,6.36,26.24,65
NDC,70092112548,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,243.2,121.6,5.18,218.88,66
NDC,70092113544,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,65.8,32.9,14.35,59.22,65
NDC,70092113644,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL SOLUTION,70.35,35.18,15.34,63.32,65
NDC,70092114843,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,60.85,30.43,13.27,54.77,65
NDC,70092116143,METHADONE 1 MG/ML (1 ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,72.0,36.0,15.7,64.8,66
NDC,70092121650,HEPARIN (PORCINE)(PF) 50 UNIT/50 ML (1 UNIT/ML) IN 0.9% NACL IV SYRING,127.9,63.95,0.3,115.11,66
NDC,70092121747,HEPARIN (PORCINE)(PF) 20 UNIT/20 ML (1 UNIT/ML) IN 0.9% NACL IV SYRING,45.5,22.75,0.02,40.95,66
NDC,70092123847,CEFAZOLIN 2 GRAM/20 ML IN STERILE WATER INTRAVENOUS SYRINGE,54.5,27.25,0.84,49.05,66
NDC,70092125575,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL EPIDURAL PUMP RESERVOIR,260.0,130.0,56.71,234.0,65
NDC,70092129349,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,144.35,72.18,31.48,129.92,65
NDC,70092131046,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF)  IV SYRINGE,201.6,100.8,43.97,181.44,65
NDC,70092138036,MORPHINE (PF) 1 MG/ML IN 0.9% SODIUM CHLORIDE INTRAVENOUS SOLUTION,54.0,27.0,11.78,48.6,65
NDC,70092140043,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,34.8,17.4,1.07,31.32,66
NDC,70092143350,ROPIV 2.46-EPI 0.005-CLONID 0.0008-KETOROL 0.3 MG/ML PERIARTICULR SYRG,382.5,191.25,83.42,344.25,65
NDC,70092144343,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGE,27.15,13.58,5.92,24.44,65
NDC,70092146805,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,244.0,122.0,53.22,219.6,65
NDC,70092147844,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,134.85,67.43,29.41,121.37,65
NDC,70092148443,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGE,27.15,13.58,5.92,24.44,65
NDC,70092148646,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,57.5,28.75,12.54,51.75,65
NDC,70092151948,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,80.8,40.4,17.62,72.72,65
NDC,70092152049,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,93.8,46.9,20.46,84.42,65
NDC,70092154635,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,130.2,65.1,28.4,117.18,65
NDC,70092155207,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,142.0,71.0,30.97,127.8,66
NDC,70092157536,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,108.25,54.13,23.61,97.43,65
NDC,70092160044,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,67.4,33.7,14.7,60.66,65
NDC,70092160447,CEFAZOLIN 2 GRAM/20 ML IN STERILE WATER INTRAVENOUS SYRINGE,60.85,30.43,0.84,54.77,66
NDC,70092161144,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,69.9,34.95,15.25,62.91,65
NDC,70092161379,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9% SOD.CHLORIDE PCA IV SOLN,275.2,137.6,60.02,247.68,65
NDC,70092161746,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,37.45,18.73,8.17,33.71,65
NDC,70092164836,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN DEXTROSE 5 % INTRAVENOUS,1409.0,704.5,1.95,1268.1,66
NDC,70092165205,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,285.0,142.5,62.16,256.5,65
NDC,70092165844,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL SOLUTION,71.25,35.63,15.54,64.13,65
NDC,70092168748,HYDROMORPHONE (PF) 30 MG/30 ML (1 MG/ML) IN 0.9 % NACL IV PCA SYRINGE,146.35,73.18,31.92,131.72,65
NDC,70092168846,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,44.85,22.43,9.78,40.37,65
NDC,70092247844,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,111.3,55.65,24.27,100.17,65
NDC,70092911148,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,76.3,38.15,16.64,68.67,65
NDC,70092911450,HYDROMORPHONE (PF) 10 MG/50 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,99.1,49.55,21.61,89.19,65
NDC,70092911944,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,29.15,14.58,6.36,26.24,65
NDC,70092912043,KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRINGE,29.15,14.58,6.36,26.24,65
NDC,70092917005,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,175.0,87.5,38.17,157.5,65
NDC,70095002401,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.4,23.2,10.12,41.76,65
NDC,70095002402,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.4,23.2,10.12,41.76,65
NDC,70095002403,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.4,23.2,10.12,41.76,65
NDC,70095002501,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,2.89,42.12,66
NDC,70095002502,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.8,23.4,2.89,42.12,66
NDC,70095002601,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,77.7,38.85,3.59,69.93,71
NDC,70095002602,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,77.7,38.85,3.59,69.93,71
NDC,70095003101,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,647.15,323.58,3.59,582.44,71
NDC,70095005001,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,70095005003,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,70100042401,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,708.85,354.43,154.6,637.97,65
NDC,70100042402,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,708.85,354.43,154.6,637.97,65
NDC,70114010101,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,7026.2,3513.1,108.46,6323.58,71
NDC,70114034001,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,37198.8,18599.4,40.2,33478.92,70
NDC,70121100001,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,55.05,27.53,0.21,49.55,71
NDC,70121100005,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,55.05,27.53,0.21,49.55,71
NDC,70121100101,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,75.9,37.95,0.21,68.31,71
NDC,70121100105,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,75.9,37.95,0.21,68.31,71
NDC,70121104901,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,41.6,20.8,1.05,37.44,66
NDC,70121104902,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,41.6,20.8,1.05,37.44,66
NDC,70121104905,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,41.05,20.53,1.05,36.95,66
NDC,70121116801,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,210.8,105.4,1.05,189.72,66
NDC,70121116901,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,221.9,110.95,1.05,199.71,66
NDC,70121118901,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,172.0,86.0,37.51,154.8,65
NDC,70121122101,DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,70121123601,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,1192.5,596.25,4.27,1073.25,71
NDC,70121123801,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,70121123901,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,715.65,357.83,0.49,644.09,71
NDC,70121124001,CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS POWDER FOR SOLUTION,1402.1,701.05,0.49,1261.89,71
NDC,70121138101,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.8,11.4,4.97,20.52,65
NDC,70121138105,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,22.8,11.4,4.97,20.52,65
NDC,70121139001,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,121.0,60.5,26.39,108.9,65
NDC,70121139007,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,121.0,60.5,26.39,108.9,65
NDC,70121139401,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,23.35,11.68,0.47,21.02,71
NDC,70121139501,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.65,13.83,0.47,24.89,71
NDC,70121139505,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.65,13.83,0.47,24.89,71
NDC,70121139601,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,187.45,93.73,0.47,168.71,71
NDC,70121139605,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,187.45,93.73,0.47,168.71,71
NDC,70121139901,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,22.2,11.1,0.13,19.98,66
NDC,70121139905,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,22.2,11.1,0.13,19.98,66
NDC,70121145301,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,45.75,22.88,0.5,41.18,66
NDC,70121145307,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,45.75,22.88,0.5,41.18,66
NDC,70121145401,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.15,23.58,0.5,42.44,66
NDC,70121145407,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.15,23.58,0.5,42.44,66
NDC,70121146302,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,70121147901,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,24.7,12.35,1.79,22.23,66
NDC,70121147907,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,24.7,12.35,1.79,22.23,66
NDC,70121148301,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,70121148307,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,70121156801,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,655.5,327.75,0.38,589.95,71
NDC,70121156807,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,624.75,312.38,0.38,562.28,71
NDC,70121157001,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1048.8,524.4,0.38,943.92,71
NDC,70121157007,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,834.95,417.48,0.38,751.46,71
NDC,70121157301,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,41.05,20.53,0.12,36.95,71
NDC,70121157305,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,41.05,20.53,0.12,36.95,71
NDC,70121157401,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,76.95,38.48,0.12,69.26,71
NDC,70121157405,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,76.95,38.48,0.12,69.26,71
NDC,70121157601,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.3,24.15,10.53,43.47,65
NDC,70121157607,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.3,24.15,10.53,43.47,65
NDC,70121157701,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.85,23.43,10.22,42.17,65
NDC,70121157705,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.85,23.43,10.22,42.17,65
NDC,70121157801,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,52.15,26.08,11.37,46.94,65
NDC,70121157807,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,52.15,26.08,11.37,46.94,65
NDC,70121157901,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,108.25,54.13,23.61,97.43,65
NDC,70121158101,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,49.95,24.98,0.89,44.96,66
NDC,70121158105,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,49.95,24.98,0.89,44.96,66
NDC,70121158501,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,125.05,62.53,27.27,112.55,65
NDC,70121158505,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,125.05,62.53,27.27,112.55,65
NDC,70121158601,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,27.75,13.88,6.05,24.98,65
NDC,70121158603,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,27.75,13.88,6.05,24.98,65
NDC,70121160401,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,370.75,185.38,80.86,333.68,65
NDC,70121160407,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,370.75,185.38,80.86,333.68,65
NDC,70121160501,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,397.35,198.68,86.66,357.62,65
NDC,70121162701,PEGFILGRASTIM-PBBK 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,8135.6,4067.8,140.72,7322.04,71
NDC,70121163001,THIOTEPA 15 MG SOLUTION FOR INJECTION,1027.7,513.85,10.75,924.93,70
NDC,70121163101,THIOTEPA 100 MG SOLUTION FOR INJECTION,10959.15,5479.58,10.75,9863.24,70
NDC,70121163701,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,152.0,76.0,33.15,136.8,65
NDC,70121163705,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,152.0,76.0,33.15,136.8,65
NDC,70121163707,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,41.65,20.83,9.08,37.49,65
NDC,70121164201,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,130.95,65.48,1.95,117.86,66
NDC,70121164701,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,158.15,79.08,0.81,142.34,66
NDC,70121164707,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,158.15,79.08,0.81,142.34,66
NDC,70121165401,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,57.7,28.85,1.05,51.93,66
NDC,70121165501,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,59.85,29.93,1.05,53.87,66
NDC,70121165701,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,22.05,11.03,1.05,19.85,66
NDC,70121168001,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,281.8,140.9,61.46,253.62,65
NDC,70121168007,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,281.8,140.9,61.46,253.62,65
NDC,70121169402,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,1090.1,545.05,25.84,981.09,71
NDC,70121169901,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,41.2,20.6,0.47,37.08,71
NDC,70121169907,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,41.2,20.6,0.47,37.08,71
NDC,70121171201,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,104.2,52.1,22.73,93.78,65
NDC,70121171203,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,117.4,58.7,25.6,105.66,65
NDC,70121171901,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.77,40.86,66
NDC,70121171909,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,45.4,22.7,0.77,40.86,66
NDC,70121172001,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,70121172003,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,70121172009,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.9,23.95,0.77,43.11,66
NDC,70121172201,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,221.5,110.75,48.31,199.35,65
NDC,70121172209,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN,221.5,110.75,48.31,199.35,65
NDC,70121173301,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,209.8,104.9,0.09,188.82,66
NDC,70121173309,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,209.8,104.9,0.09,188.82,66
NDC,70121175401,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION,2277.05,1138.53,38.57,2049.35,71
NDC,70121175407,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION,2277.05,1138.53,38.57,2049.35,71
NDC,70121175501,BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION,7968.4,3984.2,38.57,7171.56,71
NDC,70121249501,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3805.6,1902.8,184.85,3425.04,71
NDC,70121249605,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,222.85,111.43,41.56,200.57,66
NDC,70121250101,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,1206.5,603.25,184.85,1085.85,71
NDC,70121250301,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3805.6,1902.8,184.85,3425.04,71
NDC,70127010001,CANNABIDIOL 100 MG/ML ORAL SOLUTION,6840.0,3420.0,1491.8,6156.0,65
NDC,70127010006,CANNABIDIOL 100 MG/ML ORAL SOLUTION,4104.25,2052.13,895.14,3693.83,65
NDC,70127010010,CANNABIDIOL 100 MG/ML ORAL SOLUTION,6840.0,3420.0,1491.8,6156.0,65
NDC,70156010401,HYOSCYAMINE SULFATE 0.125 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,70156010501,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,127.8,63.9,27.87,115.02,65
NDC,70156010601,HYOSCYAMINE 0.125 MG DISINTEGRATING TABLET,127.8,63.9,27.87,115.02,65
NDC,70199000632,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,10408.0,5204.0,2269.98,9367.2,65
NDC,70199002611,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",2657.95,1328.98,579.7,2392.16,65
NDC,70257005105,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2776.7,1388.35,66.17,2499.03,71
NDC,70257005151,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) INJECTION SOLN,2776.7,1388.35,66.17,2499.03,71
NDC,70257005251,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOLUTION,785.95,392.98,66.17,707.36,71
NDC,70257012611,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,8730.3,4365.15,1904.08,7857.27,70
NDC,70257012651,VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION,8730.3,4365.15,1904.08,7857.27,70
NDC,70257030013,"RHO(D) IMMUNE GLOBULIN-MALTOSE 15,000 UNIT (3,000 MCG)/13 ML INJ. SOLN",21727.65,10863.83,25.97,19554.89,71
NDC,70257031004,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN",5841.05,2920.53,25.97,5256.95,71
NDC,70257031051,"RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT (1,000 MCG)/4.4 ML INJ. SOLN",5841.05,2920.53,25.97,5256.95,71
NDC,70257033011,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",2159.35,1079.68,25.97,1943.42,71
NDC,70257033051,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",2159.35,1079.68,25.97,1943.42,71
NDC,70257035002,"RHO(D) IMMUNE GLOBULIN-MALTOSE 2,500 UNIT (500 MCG)/2.2 ML INJECT.SOLN",2534.9,1267.45,25.97,2281.41,71
NDC,70257035051,"RHO(D) IMMUNE GLOBULIN-MALTOSE 2,500 UNIT (500 MCG)/2.2 ML INJECT.SOLN",2534.9,1267.45,25.97,2281.41,71
NDC,70257053250,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,6481.45,3240.73,1413.6,5833.31,71
NDC,70257053251,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,6481.45,3240.73,1413.6,5833.31,71
NDC,70257056002,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,1206.4,603.2,184.85,1085.76,71
NDC,70257056211,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,222.85,111.43,41.56,200.57,66
NDC,70257056255,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,222.85,111.43,41.56,200.57,66
NDC,70257056301,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3805.6,1902.8,184.85,3425.04,71
NDC,70257056302,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3805.6,1902.8,184.85,3425.04,71
NDC,70257056320,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",3805.6,1902.8,184.85,3425.04,71
NDC,70324060201,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,295.0,147.5,64.34,265.5,65
NDC,70370204001,VALBENAZINE 40 MG CAPSULE,31080.0,15540.0,6778.55,27972.0,65
NDC,70377000612,ROSUVASTATIN 5 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,70377000712,ROSUVASTATIN 10 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,70377000911,ROSUVASTATIN 40 MG TABLET,20.0,10.0,4.36,18.0,65
NDC,70377003911,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",122.4,61.2,26.7,110.16,65
NDC,70377004011,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",244.1,122.05,53.24,219.69,65
NDC,70377006112,LABETALOL 200 MG TABLET,158.4,79.2,34.55,142.56,65
NDC,70377008111,DORZOLAMIDE 2 % EYE DROPS,75.25,37.63,16.41,67.73,65
NDC,70377009391,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,191.45,95.73,0.04,172.31,66
NDC,70377011711,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,340.0,170.0,74.15,306.0,65
NDC,70377011831,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,2641.35,1320.68,576.08,2377.22,65
NDC,70382020401,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2100.0,1050.0,99.86,1890.0,71
NDC,70382020488,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2100.0,1050.0,99.86,1890.0,71
NDC,70408014634,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,241.25,120.63,52.62,217.13,65
NDC,70408023932,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,5281.0,2640.5,1151.79,4752.9,65
NDC,70408064434,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,1459.25,729.63,318.26,1313.33,65
NDC,70436000406,GALANTAMINE 4 MG TABLET,85.7,42.85,18.69,77.13,65
NDC,70436000506,GALANTAMINE 8 MG TABLET,90.4,45.2,19.72,81.36,65
NDC,70436000704,CINACALCET 30 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,70436000904,CINACALCET 90 MG TABLET,216.4,108.2,47.2,194.76,65
NDC,70436001004,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",176.6,88.3,38.52,158.94,65
NDC,70436001104,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",239.25,119.63,52.18,215.33,65
NDC,70436001304,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",183.25,91.63,39.97,164.93,65
NDC,70436001982,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.95,23.48,2.89,42.26,66
NDC,70436002182,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.35,23.68,10.33,42.62,65
NDC,70436002382,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,146.5,73.25,31.95,131.85,65
NDC,70436002680,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,152.75,76.38,24.87,137.48,66
NDC,70436002780,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,327.0,163.5,24.87,294.3,66
NDC,70436002880,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,86.1,43.05,18.78,77.49,65
NDC,70436002980,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,114.35,57.18,1.28,102.92,66
NDC,70436003235,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,73.85,36.93,16.11,66.47,65
NDC,70436003282,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,73.85,36.93,16.11,66.47,65
NDC,70436005404,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",37.65,18.83,8.21,33.89,65
NDC,70436005504,"MEMANTINE 14 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",40.5,20.25,8.83,36.45,65
NDC,70436005604,"MEMANTINE 21 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",40.9,20.45,8.92,36.81,65
NDC,70436005704,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",41.05,20.53,8.95,36.95,65
NDC,70436005706,"MEMANTINE 28 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",102.1,51.05,22.27,91.89,65
NDC,70436005801,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",125.4,62.7,27.35,112.86,65
NDC,70436008955,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,200.05,100.03,43.63,180.05,66
NDC,70436010109,TETRABENAZINE 12.5 MG TABLET,337.7,168.85,73.65,303.93,65
NDC,70436010209,TETRABENAZINE 25 MG TABLET,594.2,297.1,129.6,534.78,65
NDC,70436011036,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,223.05,111.53,2.95,200.75,66
NDC,70436011056,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,223.05,111.53,2.95,200.75,66
NDC,70436012433,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,71.5,35.75,0.4,64.35,66
NDC,70436012482,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,71.5,35.75,0.4,64.35,66
NDC,70436014780,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,42.8,21.4,9.33,38.52,66
NDC,70436014781,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,42.8,21.4,9.33,38.52,66
NDC,70436015119,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.95,6.48,2.82,11.66,65
NDC,70436015158,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.95,6.48,2.82,11.66,65
NDC,70436015301,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE",90.0,45.0,19.63,81.0,65
NDC,70436015541,PROMETHAZINE-DM 6.25 MG-15 MG/5 ML ORAL SYRUP,41.8,20.9,9.12,37.62,65
NDC,70436015606,CILOSTAZOL 50 MG TABLET,35.3,17.65,7.7,31.77,65
NDC,70436016104,"TOLTERODINE ER 4 MG CAPSULE,EXTENDED RELEASE 24 HR",57.8,28.9,12.61,52.02,65
NDC,70436016280,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,128.3,64.15,24.87,115.47,66
NDC,70436016380,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,322.0,161.0,24.87,289.8,66
NDC,70436016601,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",142.2,71.1,31.01,127.98,65
NDC,70436017223,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",118.8,59.4,25.91,106.92,65
NDC,70436017323,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",241.95,120.98,52.77,217.76,65
NDC,70436020380,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,50.35,25.18,10.93,45.32,66
NDC,70436020382,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,48.3,24.15,10.53,43.47,66
NDC,70436020780,NITROPRUSSIDE 50 MG/100 ML (0.5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SOLN,157.2,78.6,34.29,141.48,65
NDC,70436022134,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,20.45,10.23,4.46,18.41,65
NDC,70436022748,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,44.35,22.18,9.67,39.92,65
NDC,70436023252,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,47.0,23.5,0.48,42.3,66
NDC,70436023272,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,47.0,23.5,0.48,42.3,66
NDC,70512052005,OLOPATADINE 0.1 % EYE DROPS,34.15,17.08,7.45,30.74,65
NDC,70512084025,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.1,10.55,1.6,18.99,66
NDC,70512085901,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,254.3,127.15,55.46,228.87,65
NDC,70512085905,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,254.3,127.15,55.46,228.87,65
NDC,70512086008,CABERGOLINE 0.5 MG TABLET,49.95,24.98,10.89,44.96,65
NDC,70512086502,PHENYLEPHRINE 2.5 % EYE DROPS,130.0,65.0,28.35,117.0,65
NDC,70512086515,PHENYLEPHRINE 2.5 % EYE DROPS,300.75,150.38,65.59,270.68,65
NDC,70515026010,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,636.95,318.48,10.44,573.26,66
NDC,70515026110,DIGOXIN 500 MCG/2 ML (250 MCG/ML) (0.5 MG/2 ML) INJECTION SOLUTION,505.7,252.85,10.44,455.13,66
NDC,70515026210,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,636.95,318.48,10.44,573.26,66
NDC,70515026310,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,505.7,252.85,10.44,455.13,66
NDC,70515059415,TIZANIDINE 4 MG TABLET,2364.75,1182.38,515.75,2128.28,65
NDC,70594002301,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,88.8,44.4,15.44,79.92,66
NDC,70594002304,COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION,88.8,44.4,15.44,79.92,66
NDC,70594003401,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,91.55,45.78,0.04,82.4,66
NDC,70594003402,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,91.55,45.78,0.04,82.4,66
NDC,70594004201,VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK,99.4,49.7,21.68,89.46,65
NDC,70594004203,VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK,99.4,49.7,21.68,89.46,65
NDC,70594004301,VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK,136.6,68.3,29.79,122.94,65
NDC,70594004302,VANCOMYCIN 1.5 GRAM/300 ML IN DILUENT COMBINATION IV PIGGYBACK,136.6,68.3,29.79,122.94,65
NDC,70594004401,VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK,173.8,86.9,37.91,156.42,65
NDC,70594004402,VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK,173.8,86.9,37.91,156.42,65
NDC,70594004601,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.0,30.5,13.3,54.9,65
NDC,70594004602,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.0,30.5,13.3,54.9,65
NDC,70594004801,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,260.75,130.38,56.87,234.68,65
NDC,70594004902,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",62.45,31.23,13.62,56.21,65
NDC,70594005301,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,87.1,43.55,0.04,78.39,70
NDC,70594005601,VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK,80.8,40.4,17.62,72.72,65
NDC,70594005603,VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK,80.8,40.4,17.62,72.72,65
NDC,70594005701,VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK,118.0,59.0,25.74,106.2,65
NDC,70594005702,VANCOMYCIN 1.25 GRAM/250 ML IN DILUENT COMBINATION IV PIGGYBACK,118.0,59.0,25.74,106.2,65
NDC,70594005801,VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK,155.2,77.6,33.85,139.68,65
NDC,70594005802,VANCOMYCIN 1.75 GRAM/350 ML IN DILUENT COMBINATION IV PIGGYBACK,155.2,77.6,33.85,139.68,65
NDC,70594006701,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,265.0,132.5,1.28,238.5,66
NDC,70594007501,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,70594007502,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,70594007601,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,145.0,72.5,0.5,130.5,66
NDC,70594007602,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,145.0,72.5,0.5,130.5,66
NDC,70594007801,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,63.85,31.93,1.3,57.47,66
NDC,70594007802,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,63.85,31.93,1.3,57.47,66
NDC,70594007901,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,86.05,43.03,1.3,77.45,66
NDC,70594007902,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,86.05,43.03,1.3,77.45,66
NDC,70594008001,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,102.7,51.35,1.3,92.43,66
NDC,70594008002,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,102.7,51.35,1.3,92.43,66
NDC,70594008201,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,74.95,37.48,1.97,67.46,66
NDC,70594008202,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,74.95,37.48,1.97,67.46,66
NDC,70594008401,AMPICILLIN 250 MG SOLUTION FOR INJECTION,46.85,23.43,1.12,42.17,66
NDC,70594008402,AMPICILLIN 250 MG SOLUTION FOR INJECTION,46.85,23.43,1.12,42.17,66
NDC,70594008501,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.15,23.58,1.12,42.44,66
NDC,70594008502,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.15,23.58,1.12,42.44,66
NDC,70594008601,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.12,43.43,66
NDC,70594008602,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,48.25,24.13,1.12,43.43,66
NDC,70594008701,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,64.15,32.08,1.12,57.74,66
NDC,70594008702,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,64.15,32.08,1.12,57.74,66
NDC,70594008901,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,31.95,15.98,1.4,28.76,66
NDC,70594008902,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,31.95,15.98,1.4,28.76,66
NDC,70594009001,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,79.4,39.7,1.4,71.46,66
NDC,70594009002,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,79.4,39.7,1.4,71.46,66
NDC,70594011101,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,325.0,162.5,70.88,292.5,65
NDC,70594011102,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,325.0,162.5,70.88,292.5,65
NDC,70594011201,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,240.0,120.0,52.34,216.0,65
NDC,70594011202,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,240.0,120.0,52.34,216.0,65
NDC,70594011401,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,64.4,32.2,14.05,57.96,65
NDC,70594011402,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,64.4,32.2,14.05,57.96,65
NDC,70594011701,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,56.45,28.23,12.31,50.81,65
NDC,70594011702,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,56.45,28.23,12.31,50.81,65
NDC,70594011801,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,68.6,34.3,14.96,61.74,65
NDC,70594012001,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,57.8,28.9,12.61,52.02,65
NDC,70594012002,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,57.8,28.9,12.61,52.02,65
NDC,70594012101,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,70.2,35.1,15.31,63.18,65
NDC,70644089999,TOBRAMYCIN WITH NEBULIZER 300 MG/5 ML SOLUTION FOR NEBULIZATION,297.5,148.75,24.19,267.75,66
NDC,70677002101,CAFFEINE 200 MG TABLET,6.15,3.08,1.34,5.54,65
NDC,70677014301,DICLOFENAC 1 % TOPICAL GEL,57.6,28.8,12.56,51.84,65
NDC,70677112501,DICLOFENAC 1 % TOPICAL GEL,60.0,30.0,13.09,54.0,65
NDC,70677112601,CAFFEINE 200 MG TABLET,7.8,3.9,1.7,7.02,65
NDC,70677115601,OLOPATADINE 0.1 % EYE DROPS,38.55,19.28,8.41,34.7,65
NDC,70700010616,CLOBETASOL 0.05 % TOPICAL OINTMENT,144.0,72.0,31.41,129.6,65
NDC,70700010716,ACYCLOVIR 5 % TOPICAL OINTMENT,188.65,94.33,41.14,169.79,65
NDC,70700011984,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,17.0,8.5,3.71,15.3,65
NDC,70700011985,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,17.0,8.5,3.71,15.3,65
NDC,70700012284,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,44.2,22.1,9.64,39.78,65
NDC,70700012285,DESOGESTREL-E.ESTRADIOL 0.15 MG-0.02 MG(21)/E.ESTRAD 0.01 MG(5) TABLET,44.2,22.1,9.64,39.78,65
NDC,70700015001,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",45.0,22.5,9.81,40.5,65
NDC,70700016201,PROGESTERONE MICRONIZED 100 MG CAPSULE,374.5,187.25,81.68,337.05,65
NDC,70700016522,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.6,10.8,0.47,19.44,71
NDC,70700016525,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.6,10.8,0.47,19.44,71
NDC,70700016722,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,35.95,17.98,0.47,32.36,71
NDC,70700016725,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,35.95,17.98,0.47,32.36,71
NDC,70700017022,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,70700017222,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,23.7,11.85,1.79,21.33,66
NDC,70700017223,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,23.7,11.85,1.79,21.33,66
NDC,70700018622,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,70700018623,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,70700018722,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,70700018723,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,70700018822,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,70700018922,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,70700026305,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",243.0,121.5,53.0,218.7,65
NDC,70700026894,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,293.65,146.83,64.05,264.29,65
NDC,70700026899,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,293.65,146.83,64.05,264.29,65
NDC,70700026930,DEFERASIROX 90 MG TABLET,79.05,39.53,17.24,71.15,65
NDC,70700027030,DEFERASIROX 180 MG TABLET,159.5,79.75,34.79,143.55,65
NDC,70700027130,DEFERASIROX 360 MG TABLET,267.0,133.5,58.23,240.3,65
NDC,70700027522,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,957.3,478.65,10.25,861.57,66
NDC,70700031522,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,48.7,24.35,10.62,50.03,66
NDC,70700031527,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,48.7,24.35,10.62,50.03,66
NDC,70700032650,NORETHINDRONE ACETATE 5 MG TABLET,166.5,83.25,36.31,149.85,65
NDC,70710100802,OSELTAMIVIR 30 MG CAPSULE,343.85,171.93,74.99,309.47,65
NDC,70710101002,OSELTAMIVIR 75 MG CAPSULE,371.7,185.85,81.07,334.53,65
NDC,70710101401,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,6683.6,3341.8,1457.69,6015.24,65
NDC,70710101403,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,3121.2,1560.6,680.73,2809.08,65
NDC,70710104701,ERYTHROMYCIN 250 MG TABLET,1487.5,743.75,324.42,1338.75,65
NDC,70710104703,ERYTHROMYCIN 250 MG TABLET,717.15,358.58,156.41,645.44,65
NDC,70710106601,CLOMIPRAMINE 50 MG CAPSULE,791.5,395.75,172.63,712.35,65
NDC,70710111001,CYPROHEPTADINE 4 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,70710112307,DOXYCYCLINE MONOHYDRATE 100 MG TABLET,88.8,44.4,19.37,79.92,65
NDC,70710113001,CHLORPROMAZINE 25 MG TABLET,501.5,250.75,109.38,451.35,65
NDC,70710113703,FLUCONAZOLE 50 MG TABLET,84.1,42.05,18.34,75.69,65
NDC,70710113803,FLUCONAZOLE 100 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,70710114003,FLUCONAZOLE 200 MG TABLET,167.95,83.98,36.63,151.16,65
NDC,70710115803,LEFLUNOMIDE 20 MG TABLET,196.75,98.38,42.91,177.08,65
NDC,70710116003,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",1552.5,776.25,338.6,1397.25,65
NDC,70710116201,MECLIZINE 25 MG TABLET,38.4,19.2,8.38,34.56,65
NDC,70710116506,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,351.0,175.5,76.55,315.9,65
NDC,70710117903,AMBRISENTAN 5 MG TABLET,2058.0,1029.0,448.85,1852.2,65
NDC,70710119601,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,12.15,6.08,2.65,10.94,65
NDC,70710119607,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,303.75,151.88,66.25,273.38,65
NDC,70710119701,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,12.15,6.08,2.65,10.94,65
NDC,70710120901,ALLOPURINOL 100 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,70710122501,AMITRIPTYLINE 10 MG TABLET,64.2,32.1,14.0,57.78,65
NDC,70710122601,AMITRIPTYLINE 25 MG TABLET,129.0,64.5,28.13,116.1,65
NDC,70710122801,AMITRIPTYLINE 75 MG TABLET,322.0,161.0,70.23,289.8,65
NDC,70710130206,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",11.1,5.55,2.42,9.99,65
NDC,70710130207,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",277.35,138.68,60.49,249.62,65
NDC,70710135901,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,327.8,163.9,71.49,295.02,65
NDC,70710135906,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,327.8,163.9,71.49,295.02,65
NDC,70710137701,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,57.45,28.73,0.89,51.71,66
NDC,70710138909,DROXIDOPA 100 MG CAPSULE,643.5,321.75,140.35,579.15,65
NDC,70710141101,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,70710145802,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,84.7,42.35,18.47,76.23,65
NDC,70710146002,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,84.6,42.3,18.45,76.14,65
NDC,70710146101,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,82.95,41.48,9.74,74.66,66
NDC,70710146301,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,153.7,76.85,9.74,138.33,66
NDC,70710146305,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,54.95,27.48,9.74,49.46,66
NDC,70710146401,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,582.8,291.4,9.74,524.52,66
NDC,70710147106,IVABRADINE 5 MG TABLET,1845.0,922.5,402.39,1660.5,65
NDC,70710147801,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,2336.3,1168.15,6.4,2102.67,71
NDC,70710151502,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,275.85,137.93,1.21,248.27,66
NDC,70710151506,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,275.85,137.93,1.21,248.27,66
NDC,70710151602,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,439.45,219.73,1.21,395.51,66
NDC,70710151606,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,257.0,128.5,1.21,231.3,66
NDC,70710151702,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,255.65,127.83,1.21,230.09,66
NDC,70710152401,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1293.95,646.98,243.23,1164.56,71
NDC,70710152509,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1293.95,646.98,243.23,1164.56,71
NDC,70710153001,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2558.4,1279.2,94.88,2302.56,71
NDC,70710153101,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",6321.0,3160.5,94.88,5688.9,71
NDC,70710153401,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1234.2,617.1,269.18,1110.78,65
NDC,70710153406,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,1234.2,617.1,269.18,1110.78,65
NDC,70710161001,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,70710161006,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,8.32,405.0,71
NDC,70710164301,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,59.85,29.93,13.05,53.87,65
NDC,70710164307,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,59.9,29.95,13.06,53.91,65
NDC,70710164401,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,84.65,42.33,18.46,76.19,65
NDC,70710166301,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",22.75,11.38,1.6,20.48,66
NDC,70710169809,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",65.35,32.68,14.25,58.82,65
NDC,70710172401,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,241.35,120.68,0.84,217.22,66
NDC,70710172406,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,241.35,120.68,0.84,217.22,66
NDC,70710172601,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,911.1,455.55,81.46,819.99,70
NDC,70710172608,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1076.45,538.23,81.46,968.81,70
NDC,70710183301,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,216.4,108.2,9.67,194.76,66
NDC,70710187601,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,77.65,38.83,16.94,69.89,65
NDC,70710187607,ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION,77.65,38.83,16.94,69.89,65
NDC,70720095036,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4255.6,2127.8,651.34,3830.04,71
NDC,70720095130,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,11730.1,5865.05,651.34,10557.09,71
NDC,70727052925,NETARSUDIL 0.02 %-LATANOPROST 0.005 % EYE DROPS,1634.5,817.25,356.48,1471.05,65
NDC,70748012906,LEFLUNOMIDE 10 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,70748013006,LEFLUNOMIDE 20 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,70748015301,PENICILLAMINE 250 MG TABLET,13590.4,6795.2,2964.07,12231.36,65
NDC,70748017501,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,14.0,7.0,3.05,12.6,65
NDC,70748021416,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",555.0,277.5,121.05,499.5,65
NDC,70748021716,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",131.8,65.9,28.75,118.62,65
NDC,70748021816,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",245.55,122.78,53.55,221.0,65
NDC,70748025807,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1714.5,857.25,373.93,1543.05,65
NDC,70748026101,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,22.8,11.4,4.97,20.52,65
NDC,70748026130,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,22.8,11.4,4.97,20.52,65
NDC,70748026160,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,22.65,11.33,4.94,20.39,65
NDC,70748032301,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,22.8,11.4,0.37,20.52,70
NDC,70748032302,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,48.05,24.03,0.37,43.25,70
NDC,70748032310,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,22.8,11.4,0.37,20.52,70
NDC,70748032311,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,48.05,24.03,0.37,43.25,70
NDC,70748033202,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",130.2,65.1,28.4,117.18,65
NDC,70748034702,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.4,19.2,8.38,34.56,65
NDC,70752010112,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,250.7,125.35,54.68,225.63,65
NDC,70752010212,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,150.45,75.23,32.81,135.41,65
NDC,70752011303,LIDOCAINE 5 % TOPICAL OINTMENT,61.25,30.63,13.36,55.13,65
NDC,70752013812,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,207.2,103.6,45.19,186.48,65
NDC,70752017110,PROPYLTHIOURACIL 50 MG TABLET,314.0,157.0,68.48,282.6,65
NDC,70756000411,HALOPERIDOL 5 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,70756001011,MIDODRINE 2.5 MG TABLET,61.2,30.6,13.35,55.08,65
NDC,70756001402,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,43.05,21.53,9.39,38.75,65
NDC,70756001405,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,43.05,21.53,9.39,38.75,65
NDC,70756020111,AMITRIPTYLINE 10 MG TABLET,39.0,19.5,8.51,35.1,65
NDC,70756020211,AMITRIPTYLINE 25 MG TABLET,51.0,25.5,11.12,45.9,65
NDC,70756020311,AMITRIPTYLINE 50 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,70756020411,AMITRIPTYLINE 75 MG TABLET,132.0,66.0,28.79,118.8,65
NDC,70756020511,AMITRIPTYLINE 100 MG TABLET,180.0,90.0,39.26,162.0,65
NDC,70756020611,AMITRIPTYLINE 150 MG TABLET,231.0,115.5,50.38,207.9,65
NDC,70756021490,FENOFIBRATE 54 MG TABLET,115.05,57.53,25.09,103.55,65
NDC,70756021590,FENOFIBRATE 160 MG TABLET,210.1,105.05,45.82,189.09,65
NDC,70756024211,HALOPERIDOL 10 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,70756024912,ATORVASTATIN 40 MG TABLET,168.0,84.0,36.64,151.2,65
NDC,70756040411,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,214.8,107.4,46.85,193.32,65
NDC,70756041111,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,255.6,127.8,55.75,230.04,65
NDC,70756060582,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,60.0,30.0,13.09,54.0,65
NDC,70756060730,OFLOXACIN 0.3 % EYE DROPS,43.45,21.73,9.48,39.11,65
NDC,70756060812,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,70.2,35.1,15.31,63.18,65
NDC,70756060844,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,26.3,13.15,5.74,23.67,65
NDC,70756060860,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,15.0,7.5,3.27,13.5,65
NDC,70756060870,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,70.2,35.1,15.31,63.18,65
NDC,70756060915,OFLOXACIN 0.3 % EAR DROPS,42.15,21.08,9.19,37.94,65
NDC,70756061125,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,66.85,33.43,14.58,60.17,65
NDC,70756061182,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,66.85,33.43,14.58,60.17,65
NDC,70756061212,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,7.15,3.58,1.56,6.44,65
NDC,70756061260,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,5.15,2.58,1.12,4.64,65
NDC,70756061270,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,7.15,3.58,1.56,6.44,65
NDC,70756061430,PHENYLEPHRINE 10 % EYE DROPS,199.6,99.8,43.53,179.64,65
NDC,70756061610,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,27.6,13.8,6.02,24.84,66
NDC,70756061681,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,149.8,74.9,9.74,134.82,66
NDC,70756062125,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.45,23.23,10.13,41.81,65
NDC,70756062182,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.45,23.23,10.13,41.81,65
NDC,70756062210,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,51.25,25.63,11.18,46.13,65
NDC,70756062285,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,51.25,25.63,11.18,46.13,65
NDC,70756062386,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,102.5,51.25,22.36,92.25,65
NDC,70756062925,PHENYLEPHRINE 2.5 % EYE DROPS,198.15,99.08,43.22,178.34,65
NDC,70756064025,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.1,10.55,4.6,18.99,65
NDC,70756064082,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.1,10.55,4.6,18.99,65
NDC,70756064525,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.6,10.8,4.71,19.44,65
NDC,70756064586,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,21.6,10.8,4.71,19.44,65
NDC,70756064625,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.95,11.48,5.01,20.66,65
NDC,70756064687,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,22.95,11.48,5.01,20.66,65
NDC,70756064725,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.7,10.85,4.73,19.53,65
NDC,70756064786,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,21.7,10.85,4.73,19.53,65
NDC,70756064825,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,23.3,11.65,5.08,20.97,65
NDC,70756064887,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,23.3,11.65,5.08,20.97,65
NDC,70756064935,PHENYLEPHRINE 2.5 % EYE DROPS,443.95,221.98,96.83,399.56,65
NDC,70756066360,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.45,1.73,0.75,3.11,65
NDC,70756070360,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",69.5,34.75,15.16,62.55,65
NDC,70756070460,"RANOLAZINE ER 1,000 MG TABLET,EXTENDED RELEASE,12 HR",155.55,77.78,33.93,140.0,65
NDC,70756072111,ACETAZOLAMIDE 250 MG TABLET,210.0,105.0,45.8,189.0,65
NDC,70756080790,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",38.35,19.18,8.36,34.52,65
NDC,70801000101,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2092.2,1046.1,18.66,1882.98,71
NDC,70801000301,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2092.2,1046.1,18.66,1882.98,71
NDC,70839036204,COCAINE 4 % NASAL SOLUTION,1271.2,635.6,277.25,1144.08,65
NDC,70842010101,DELAFLOXACIN 450 MG TABLET,5891.0,2945.5,1284.83,5301.9,65
NDC,70842010203,DELAFLOXACIN 300 MG INTRAVENOUS SOLUTION,353.0,176.5,76.99,317.7,65
NDC,70842012001,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,1133.35,566.68,2.23,1020.02,70
NDC,70842012006,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,1133.35,566.68,2.23,1020.02,70
NDC,70842014001,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,4309.1,2154.55,29.25,3878.19,71
NDC,70842014003,ORITAVANCIN 400 MG INTRAVENOUS SOLUTION,12877.2,6438.6,29.25,11589.48,71
NDC,70842016001,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1315.5,657.75,2.72,1183.95,70
NDC,70842016010,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1315.5,657.75,2.72,1183.95,70
NDC,70842024001,REZAFUNGIN 200 MG INTRAVENOUS SOLUTION,12292.05,6146.03,10.26,11062.85,71
NDC,70860010010,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,47.75,23.88,2.89,42.98,66
NDC,70860010041,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,47.75,23.88,2.89,42.98,66
NDC,70860010310,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",21.65,10.83,4.72,19.49,65
NDC,70860010341,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",21.65,10.83,4.72,19.49,65
NDC,70860010410,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.5,23.75,10.36,42.75,65
NDC,70860010441,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.5,23.75,10.36,42.75,65
NDC,70860010520,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.6,23.8,10.38,42.84,65
NDC,70860010541,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",47.6,23.8,10.38,42.84,65
NDC,70860011315,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.25,23.63,1.12,42.53,66
NDC,70860011341,AMPICILLIN 500 MG SOLUTION FOR INJECTION,47.25,23.63,1.12,42.53,66
NDC,70860011415,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.65,23.83,1.12,42.89,66
NDC,70860011441,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.65,23.83,1.12,42.89,66
NDC,70860011526,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,54.4,27.2,1.12,48.96,66
NDC,70860011541,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,54.4,27.2,1.12,48.96,66
NDC,70860011626,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,50.1,25.05,10.93,45.09,65
NDC,70860011641,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,50.1,25.05,10.93,45.09,65
NDC,70860011726,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,62.75,31.38,13.69,56.48,65
NDC,70860011741,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,62.75,31.38,13.69,56.48,65
NDC,70860011999,NAFCILLIN 10 GRAM SOLUTION FOR INJECTION,219.2,109.6,47.81,197.28,65
NDC,70860012020,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.0,23.5,1.3,42.3,66
NDC,70860012041,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,47.0,23.5,1.3,42.3,66
NDC,70860012141,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.3,23.65,1.3,42.57,66
NDC,70860012241,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,55.15,27.58,1.3,49.64,66
NDC,70860012250,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,55.15,27.58,1.3,49.64,66
NDC,70860012620,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,49.0,24.5,0.86,44.1,66
NDC,70860012641,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,49.0,24.5,0.86,44.1,66
NDC,70860012751,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,128.95,64.48,0.86,116.06,66
NDC,70860020005,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,70860020017,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,70860020050,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",450.0,225.0,0.12,405.0,66
NDC,70860020110,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,70860020120,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,70860020210,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,4.44,405.0,71
NDC,70860020350,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,1086.35,543.18,4.44,977.72,71
NDC,70860020851,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION,450.0,225.0,3.64,405.0,66
NDC,70860020910,MESNA 100 MG/ML INTRAVENOUS SOLUTION,139.0,69.5,1.52,125.1,66
NDC,70860021174,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,450.0,225.0,6.86,405.0,71
NDC,70860021803,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,618.15,309.08,0.49,556.34,71
NDC,70860021920,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,70860022510,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,70860030005,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.6,10.3,4.49,18.54,65
NDC,70860030041,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.6,10.3,4.49,18.54,65
NDC,70860030105,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,70860030110,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.45,23.73,10.35,42.71,65
NDC,70860030125,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,55.45,27.73,12.09,49.91,65
NDC,70860030141,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,46.85,23.43,10.22,42.17,65
NDC,70860030142,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,47.45,23.73,10.35,42.71,65
NDC,70860030143,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,55.45,27.73,12.09,49.91,65
NDC,70860030202,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.75,10.38,4.53,18.68,65
NDC,70860030204,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,70860030210,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.8,10.9,4.75,19.62,65
NDC,70860030241,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.75,10.38,4.53,18.68,65
NDC,70860030242,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,70860030243,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.8,10.9,4.75,19.62,65
NDC,70860040010,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.05,24.03,10.48,43.25,65
NDC,70860040041,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.05,24.03,10.48,43.25,65
NDC,70860040210,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,294.15,147.08,0.24,264.74,66
NDC,70860040241,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,294.15,147.08,0.24,264.74,66
NDC,70860040350,BIVALIRUDIN 250 MG/50 ML (5 MG/ML) INTRAVENOUS SOLUTION,291.25,145.63,0.24,262.13,66
NDC,70860040504,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.65,10.83,0.37,19.49,70
NDC,70860040541,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.65,10.83,0.37,19.49,70
NDC,70860040610,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.8,23.4,0.37,42.12,70
NDC,70860040641,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.8,23.4,0.37,42.12,70
NDC,70860040741,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",48.05,24.03,10.48,43.25,65
NDC,70860045110,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,263.35,131.68,9.67,237.02,66
NDC,70860045210,LEVOTHYROXINE 200 MCG INTRAVENOUS POWDER FOR SOLUTION,620.85,310.43,9.67,558.77,66
NDC,70860045401,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,162.9,81.45,3.59,146.61,71
NDC,70860045410,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,855.3,427.65,3.59,769.77,71
NDC,70860045441,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,162.9,81.45,3.59,146.61,71
NDC,70860050141,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.1,24.05,0.77,43.29,66
NDC,70860050181,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,48.1,24.05,0.77,43.29,66
NDC,70860060002,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.3,12.65,0.16,22.77,66
NDC,70860060041,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.3,12.65,0.16,22.77,66
NDC,70860060110,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.7,25.85,0.16,46.53,66
NDC,70860060141,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.7,25.85,0.16,46.53,66
NDC,70860060142,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,51.7,25.85,0.16,46.53,66
NDC,70860060341,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",89.2,44.6,0.07,80.28,66
NDC,70860060382,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",89.2,44.6,0.07,80.28,66
NDC,70860060441,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",110.8,55.4,0.07,99.72,66
NDC,70860060503,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,46.95,23.48,10.24,42.26,65
NDC,70860060541,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,46.95,23.48,10.24,42.26,65
NDC,70860065105,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.3,11.15,4.86,20.07,65
NDC,70860065110,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,66.0,33.0,14.39,59.4,65
NDC,70860065141,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,22.3,11.15,4.86,20.07,65
NDC,70860065220,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.1,11.05,4.82,19.89,65
NDC,70860070001,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.6,10.8,0.29,19.44,71
NDC,70860070002,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.3,10.65,0.29,19.17,71
NDC,70860070041,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.3,10.65,0.29,19.17,71
NDC,70860070103,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.8,10.9,0.29,19.62,71
NDC,70860070141,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.8,10.9,0.29,19.62,71
NDC,70860075102,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.8,10.4,4.54,18.72,65
NDC,70860075141,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,20.8,10.4,4.54,18.72,65
NDC,70860077602,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,70860077641,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,70860077720,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,80.2,40.1,0.17,72.18,66
NDC,70860077802,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,11.35,3.81,20.43,66
NDC,70860077841,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.7,11.35,3.81,20.43,66
NDC,70860078010,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,189.5,94.75,0.15,170.55,66
NDC,70860078102,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.5,10.75,0.47,19.35,71
NDC,70860078142,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.5,10.75,0.47,19.35,71
NDC,70860078210,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,149.9,74.95,0.15,134.91,66
NDC,70860078405,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,52.75,26.38,11.5,47.48,65
NDC,70860078441,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,52.75,26.38,11.5,47.48,65
NDC,70860080101,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,20.9,10.45,4.56,18.81,66
NDC,70954000510,OXYBUTYNIN CHLORIDE 5 MG TABLET,22.8,11.4,4.97,20.52,65
NDC,70954001410,THIOTHIXENE 1 MG CAPSULE,340.0,170.0,74.15,306.0,65
NDC,70954001510,THIOTHIXENE 2 MG CAPSULE,426.0,213.0,92.91,383.4,65
NDC,70954001610,THIOTHIXENE 5 MG CAPSULE,707.0,353.5,154.2,636.3,65
NDC,70954001910,PRAZOSIN 1 MG CAPSULE,85.8,42.9,18.71,77.22,65
NDC,70954002010,PRAZOSIN 2 MG CAPSULE,115.2,57.6,25.13,103.68,65
NDC,70954002110,PRAZOSIN 5 MG CAPSULE,153.6,76.8,33.5,138.24,65
NDC,70954004110,RIFABUTIN 150 MG CAPSULE,5010.0,2505.0,1092.68,4509.0,65
NDC,70954005110,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,522.6,261.3,113.98,470.34,65
NDC,70954005910,PREDNISONE 10 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,70954006110,PREDNISONE 50 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,70954008510,CHLORZOXAZONE 500 MG TABLET,114.0,57.0,24.86,102.6,65
NDC,70954013510,DAPSONE 25 MG TABLET,176.95,88.48,38.59,159.26,65
NDC,70954013520,DAPSONE 25 MG TABLET,264.0,132.0,57.58,237.6,65
NDC,70954013610,DAPSONE 100 MG TABLET,202.5,101.25,44.17,182.25,65
NDC,70954013620,DAPSONE 100 MG TABLET,419.5,209.75,91.49,377.55,65
NDC,70954014010,LEVOCARNITINE 100 MG/ML ORAL SOLUTION,186.25,93.13,40.62,167.63,65
NDC,70954014810,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,2400.95,1200.48,523.65,2160.86,65
NDC,70954015110,NAPROXEN 125 MG/5 ML ORAL SUSPENSION,1107.5,553.75,241.55,996.75,65
NDC,70954015720,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,343.65,171.83,74.95,309.29,65
NDC,70954015810,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,810.5,405.25,176.77,729.45,65
NDC,70954015830,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,262.8,131.4,57.32,236.52,65
NDC,70954015910,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,580.5,290.25,126.61,522.45,65
NDC,70954016810,SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION,254.8,127.4,55.57,229.32,65
NDC,70954018810,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,359.5,179.75,78.41,323.55,65
NDC,70954021110,TRIHEXYPHENIDYL 5 MG TABLET,133.2,66.6,29.05,119.88,65
NDC,70954021210,TRIHEXYPHENIDYL 2 MG TABLET,83.4,41.7,18.19,75.06,65
NDC,70954024010,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,297.0,148.5,64.78,267.3,65
NDC,70954026110,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,494.3,247.15,107.81,444.87,65
NDC,70954027310,FLUPHENAZINE 1 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,70954027410,FLUPHENAZINE 2.5 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,70954027510,FLUPHENAZINE 5 MG TABLET,277.5,138.75,60.52,249.75,65
NDC,70954031610,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,254.25,127.13,55.45,228.83,65
NDC,70954031910,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,1722.5,861.25,375.68,1550.25,65
NDC,70954044310,MISOPROSTOL 100 MCG TABLET,192.6,96.3,42.01,173.34,65
NDC,70954044410,MISOPROSTOL 200 MCG TABLET,249.15,124.58,54.34,224.24,65
NDC,70954044420,MISOPROSTOL 200 MCG TABLET,372.0,186.0,81.13,334.8,65
NDC,70954045510,BISOPROLOL FUMARATE 5 MG TABLET,38.35,19.18,8.36,34.52,65
NDC,70954045520,BISOPROLOL FUMARATE 5 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,70954048410,PYRAZINAMIDE 500 MG TABLET,1197.9,598.95,261.26,1078.11,65
NDC,70954048420,PYRAZINAMIDE 500 MG TABLET,1340.55,670.28,292.37,1206.5,65
NDC,70954048430,PYRAZINAMIDE 500 MG TABLET,1946.0,973.0,424.42,1751.4,65
NDC,70954049210,LEVOCARNITINE 330 MG TABLET,417.15,208.58,90.98,375.44,65
NDC,70954049610,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,4518.15,2259.08,985.41,4066.34,65
NDC,70954050410,SELEGILINE 5 MG CAPSULE,163.8,81.9,35.72,147.42,65
NDC,70954051810,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,147.6,73.8,32.19,132.84,65
NDC,70954053810,TRANYLCYPROMINE 10 MG TABLET,534.5,267.25,116.57,481.05,65
NDC,70954056510,ESTRADIOL 1 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,70954059610,PRUCALOPRIDE 1 MG TABLET,2343.0,1171.5,511.01,2108.7,65
NDC,70954059710,PRUCALOPRIDE 2 MG TABLET,2343.0,1171.5,511.01,2108.7,65
NDC,70954060010,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,149.8,74.9,32.67,134.82,65
NDC,70954063710,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,7407.7,3703.85,1615.62,6666.93,65
NDC,70954068810,PROCHLORPERAZINE MALEATE 5 MG TABLET,191.4,95.7,41.74,172.26,65
NDC,70954068910,PROCHLORPERAZINE MALEATE 10 MG TABLET,286.8,143.4,62.55,258.12,65
NDC,70954085210,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,682.5,341.25,148.85,614.25,65
NDC,70954092810,"NAPROXEN 500 MG TABLET,DELAYED RELEASE",1574.5,787.25,343.4,1417.05,65
NDC,70954093410,NITAZOXANIDE 500 MG TABLET,3122.0,1561.0,680.91,2809.8,65
NDC,71093011105,GABAPENTIN 600 MG TABLET,375.0,187.5,81.79,337.5,65
NDC,71093012105,GABAPENTIN 300 MG CAPSULE,81.0,40.5,17.67,72.9,65
NDC,71093013502,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",110.9,55.45,24.19,99.81,65
NDC,71093013602,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",139.35,69.68,30.39,125.42,65
NDC,71093014004,METHOCARBAMOL 500 MG TABLET,27.6,13.8,6.02,24.84,65
NDC,71093015504,ZOLPIDEM 5 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,71104048308,"FACTOR VIII RECOMB, FC FUSION PROTEIN 250 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080201,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080301,"FACTOR VIII RECOMB, FC FUSION PROTEIN 750 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080401,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080501,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,500 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080601,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080701,"FACTOR VIII RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080801,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104080901,"FACTOR VIII RECOMB, FC FUSION PROTEIN 5,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104081001,"FACTOR VIII RECOMB, FC FUSION PROTEIN 6,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,2.47,40.5,70
NDC,71104091101,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
NDC,71104092201,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
NDC,71104093301,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
NDC,71104094401,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
NDC,71104095201,"FACTOR IX RECOMB, FC FUSION PROTEIN 250 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
NDC,71104097701,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",45.0,22.5,3.67,40.5,70
NDC,71104097801,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 250 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
NDC,71104097901,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 500 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
NDC,71104098101,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 1,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
NDC,71104098201,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
NDC,71104098301,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 3,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
NDC,71104098401,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 4,000 (+/-) UNIT IV SOLUTION",51.5,25.75,4.76,46.35,70
NDC,71139001201,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,100.0,50.0,21.81,90.0,66
NDC,71179001816,CAFFEINE 200 MG TABLET,16.75,8.38,3.65,15.08,65
NDC,71179001840,CAFFEINE 200 MG TABLET,14.05,7.03,3.06,12.65,65
NDC,71205085330,BENZONATATE 100 MG CAPSULE,34.4,17.2,7.5,30.96,65
NDC,71205086730,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",83.2,41.6,18.15,74.88,65
NDC,71205086930,PREGABALIN 25 MG CAPSULE,25.4,12.7,5.54,22.86,65
NDC,71205087730,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,22.9,11.45,4.99,20.61,65
NDC,71205087830,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,71205087890,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,74.0,37.0,16.14,66.6,65
NDC,71205088160,"LEVETIRACETAM ER 750 MG TABLET,EXTENDED RELEASE 24 HR",130.0,65.0,28.35,117.0,65
NDC,71205088730,BENZONATATE 200 MG CAPSULE,34.6,17.3,7.55,31.14,65
NDC,71205088800,SELEGILINE 5 MG CAPSULE,388.5,194.25,84.73,349.65,65
NDC,71205088830,SELEGILINE 5 MG CAPSULE,140.05,70.03,30.54,126.05,65
NDC,71205089100,PHENOBARBITAL 32.4 MG TABLET,145.8,72.9,31.8,131.22,65
NDC,71205089230,PHENOBARBITAL 64.8 MG TABLET,83.2,41.6,18.15,74.88,65
NDC,71205089260,PHENOBARBITAL 64.8 MG TABLET,166.0,83.0,36.2,149.4,65
NDC,71205090900,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,96.6,48.3,21.07,86.94,65
NDC,71205090930,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,29.0,14.5,6.32,26.1,65
NDC,71205090955,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,402.5,201.25,87.79,362.25,65
NDC,71205090960,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,58.0,29.0,12.65,52.2,65
NDC,71205090990,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,86.95,43.48,18.96,78.26,65
NDC,71205096300,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",97.2,48.6,21.2,87.48,65
NDC,71205096400,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",123.0,61.5,26.83,110.7,65
NDC,71205096490,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",117.2,58.6,25.56,105.48,65
NDC,71205096667,SEVELAMER CARBONATE 800 MG TABLET,346.95,173.48,75.67,312.26,65
NDC,71205097100,BENZONATATE 100 MG CAPSULE,52.2,26.1,11.38,46.98,65
NDC,71205097110,BENZONATATE 100 MG CAPSULE,16.75,8.38,3.65,15.08,65
NDC,71205097400,FLUOXETINE 10 MG CAPSULE,22.8,11.4,4.97,20.52,65
NDC,71205097460,FLUOXETINE 10 MG CAPSULE,22.35,11.18,4.87,20.12,65
NDC,71205097500,FLUOXETINE 20 MG CAPSULE,24.0,12.0,5.23,21.6,65
NDC,71205097730,NABUMETONE 500 MG TABLET,47.9,23.95,10.45,43.11,65
NDC,71205097972,FLUOXETINE 40 MG CAPSULE,57.6,28.8,12.56,51.84,65
NDC,71205098130,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,51.85,25.93,11.31,46.67,65
NDC,71205098160,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,103.35,51.68,22.54,93.02,65
NDC,71205098172,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,187.2,93.6,40.83,168.48,65
NDC,71205098190,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,142.6,71.3,31.1,128.34,65
NDC,71205098930,CYPROHEPTADINE 4 MG TABLET,25.75,12.88,5.62,23.18,65
NDC,71205098960,CYPROHEPTADINE 4 MG TABLET,51.85,25.93,11.31,46.67,65
NDC,71205099800,PHENAZOPYRIDINE 100 MG TABLET,273.0,136.5,59.54,245.7,65
NDC,71205099810,PHENAZOPYRIDINE 100 MG TABLET,40.4,20.2,8.81,36.36,65
NDC,71205099824,PHENAZOPYRIDINE 100 MG TABLET,80.1,40.05,17.47,72.09,65
NDC,71205099996,PHENAZOPYRIDINE 200 MG TABLET,438.75,219.38,95.69,394.88,65
NDC,71225012001,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,13144.95,6572.48,30.45,11830.46,71
NDC,71225012603,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,325.0,162.5,70.88,292.5,65
NDC,71225012606,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,325.0,162.5,70.88,292.5,65
NDC,71225013301,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,140.2,70.1,30.58,126.18,65
NDC,71225013302,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,140.2,70.1,30.58,126.18,65
NDC,71247012601,LABETALOL 100 MG TABLET,227.4,113.7,49.6,204.66,65
NDC,71247012701,LABETALOL 200 MG TABLET,269.0,134.5,58.67,242.1,65
NDC,71258001522,IOBENGUANE IODINE-131 337.5 MCI/22.5 ML INTRAVENOUS SOLUTION,113.65,56.83,24.79,102.29,64
NDC,71258002200,PIFLUFOLASTAT F 18  296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,33213.25,16606.63,339.09,29891.93,70
NDC,71266108001,TRIAMCINOLONE ACETONIDE(PF) 40 MG/ML IN 0.9 % SODIUM CHLORIDE INJ SUSP,70.9,35.45,15.46,63.81,65
NDC,71266108002,TRIAMCINOLONE ACETONIDE(PF) 40 MG/ML IN 0.9 % SODIUM CHLORIDE INJ SUSP,141.75,70.88,30.92,127.58,65
NDC,71266200101,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,54.8,27.4,11.95,49.32,65
NDC,71266200102,SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE,72.25,36.13,15.76,65.03,65
NDC,71266200201,ROCURONIUM 50 MG/5 ML (10 MG/ML) INTRAVENOUS SYRINGE,55.4,27.7,12.08,49.86,65
NDC,71266200301,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,75.95,37.98,1.79,68.36,66
NDC,71266200302,NEOSTIGMINE 5 MG/5 ML IN STERILE WATER INJECTION SYRINGE,21.05,10.53,1.79,18.95,66
NDC,71266500001,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,112.0,56.0,24.43,100.8,66
NDC,71266501001,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,167.5,83.75,1.07,150.75,66
NDC,71266502501,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,175.0,87.5,38.17,157.5,65
NDC,71266502502,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,179.5,89.75,39.15,161.55,65
NDC,71266502602,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,256.0,128.0,55.83,230.4,65
NDC,71266510001,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,94.0,47.0,20.5,84.6,66
NDC,71266510201,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,112.0,56.0,24.43,100.8,66
NDC,71266510301,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,97.0,48.5,21.16,87.3,66
NDC,71266629001,LIDOCAINE 4 %-EPINEPHRINE 0.18 %-TETRACAINE 0.5 % TOPICAL GEL,51.55,25.78,11.24,46.4,65
NDC,71266641203,MITOMYCIN 20 MG/40 ML (0.5 MG/ML) INTRAVESICAL SYRINGE,750.4,375.2,20.75,675.36,71
NDC,71266651901,PHENOL 6 % INJECTION SOLUTION,325.0,162.5,70.88,292.5,65
NDC,71266664101,SODIUM CITRATE 4 % INTRA-CATHETER SOLUTION,15.5,7.75,3.38,13.95,65
NDC,71266800601,BEVACIZUMAB 1.25 MG/0.05 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
NDC,71266800605,BEVACIZUMAB 1.25 MG/0.05 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
NDC,71266821101,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,38.0,19.0,8.29,34.2,65
NDC,71266821105,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,300.65,150.33,65.57,270.59,65
NDC,71266901101,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,56.6,28.3,12.34,50.94,65
NDC,71266903001,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,54.55,27.28,11.9,49.1,65
NDC,71266908002,"KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLOR,ISO-OSMOTIC INJ SYRINGE",45.0,22.5,9.81,40.5,65
NDC,71266918001,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,36.7,18.35,1.07,33.03,66
NDC,71269075010,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE",91.8,45.9,20.02,82.62,65
NDC,71285010201,CARDIOPLEGIC SOLUTION NO.10 108 MEQ/500 ML (POTASSIUM) FOR PERFUSION,370.0,185.0,80.7,333.0,65
NDC,71285020201,"CARDIOPLEGIC SOLUTION NO.16 26 MEQ/1,052.8 ML(POTASSIUM) FOR PERFUSION",1362.1,681.05,65.33,1225.89,66
NDC,71285041601,AMINO ACID 2 % PED-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,292.5,146.25,63.79,263.25,66
NDC,71285042001,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,328.75,164.38,65.33,295.88,66
NDC,71285042901,AMINO ACID 3.5 % PED-D10-CALC 2.33 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,286.25,143.13,62.43,257.63,66
NDC,71285604401,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,97.0,48.5,21.16,87.3,66
NDC,71285701801,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,314.5,157.25,68.59,283.05,65
NDC,71285702301,"HEPARIN (PORCINE) 5,000 UNIT/500 ML(10 UNIT/ML) IN 0.9 % NACL IV SOLN",121.0,60.5,0.3,108.9,66
NDC,71285809301,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLOR IV SOLN,283.0,141.5,61.72,254.7,65
NDC,71287011901,AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION,3021480.0,1510740.0,543894.77,2719332.0,69
NDC,71287011902,AXICABTAGENE CILOLEUCEL INTRAVENOUS SUSPENSION,3021480.0,1510740.0,543894.77,2719332.0,69
NDC,71287021901,BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION,2544000.0,1272000.0,499090.7,2289600.0,69
NDC,71287021902,BREXUCABTAGENE AUTOLEUCEL 2X 10EXP6 TO 2X 10EXP8 CELL IV SUSPENSION,2544000.0,1272000.0,499090.7,2289600.0,69
NDC,71287022001,BREXUCABTAGENE AUTOLEUCEL 1X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,2544000.0,1272000.0,499090.7,2289600.0,69
NDC,71287022002,BREXUCABTAGENE AUTOLEUCEL 1X 10EXP6 TO 1X 10EXP8 CELL IV SUSPENSION,2544000.0,1272000.0,499090.7,2289600.0,69
NDC,71288000520,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,53.55,26.78,1.97,48.2,66
NDC,71288000521,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,53.55,26.78,1.97,48.2,66
NDC,71288000630,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,70.5,35.25,1.97,63.45,66
NDC,71288000631,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,70.5,35.25,1.97,63.45,66
NDC,71288000920,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,57.65,28.83,1.4,51.89,66
NDC,71288001615,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,205.0,102.5,0.04,184.5,66
NDC,71288001910,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,175.0,87.5,0.81,157.5,66
NDC,71288001911,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,175.0,87.5,0.81,157.5,66
NDC,71288002320,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.0,30.5,13.3,54.9,65
NDC,71288002321,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",61.0,30.5,13.3,54.9,65
NDC,71288002420,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,79.0,39.5,17.23,71.1,65
NDC,71288002421,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,79.0,39.5,17.23,71.1,65
NDC,71288002675,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,1087.5,543.75,237.18,978.75,65
NDC,71288002730,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,235.0,117.5,1.28,211.5,66
NDC,71288002810,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,188.35,94.18,0.84,169.52,66
NDC,71288002811,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,188.35,94.18,0.84,169.52,66
NDC,71288002910,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,290.35,145.18,0.84,261.32,66
NDC,71288002911,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,290.35,145.18,0.84,261.32,66
NDC,71288003020,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,121.0,60.5,26.39,108.9,65
NDC,71288003021,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,121.0,60.5,26.39,108.9,65
NDC,71288003120,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,53.5,26.75,1.97,48.15,66
NDC,71288003121,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,53.5,26.75,1.97,48.15,66
NDC,71288010110,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,71288010120,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,71288010210,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,1.92,405.0,71
NDC,71288010610,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,71288010720,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,450.0,225.0,23.34,405.0,66
NDC,71288010920,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,450.0,225.0,1.08,405.0,66
NDC,71288011290,MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION,677.3,338.65,97.82,609.57,71
NDC,71288011310,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,71288011450,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,71288011530,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,71288011610,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,0.9,405.0,70
NDC,71288011611,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,450.0,225.0,0.9,405.0,70
NDC,71288011706,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,71288011728,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,71288011754,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,71288011810,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,450.0,225.0,2.1,405.0,66
NDC,71288011920,DECITABINE 50 MG INTRAVENOUS SOLUTION,500.0,250.0,1.88,450.0,66
NDC,71288012690,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,1090.1,545.05,237.75,981.09,71
NDC,71288012820,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,745.65,372.83,4.27,671.09,71
NDC,71288012902,DACTINOMYCIN 0.5 MG INTRAVENOUS SOLUTION,1298.1,649.05,283.12,1168.29,71
NDC,71288013720,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,725.0,362.5,20.75,652.5,71
NDC,71288013850,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,2075.0,1037.5,20.75,1867.5,71
NDC,71288013951,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,2450.0,1225.0,20.75,2205.0,71
NDC,71288014408,DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,1.07,405.0,66
NDC,71288014996,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,71288015501,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,705.2,352.6,25.84,634.68,71
NDC,71288015710,THIOTEPA 100 MG SOLUTION FOR INJECTION,9450.0,4725.0,10.75,8505.0,70
NDC,71288016010,LEUCOVORIN CALCIUM 50 MG INJECTION (POWDER FOR RECON),85.0,42.5,4.96,76.5,66
NDC,71288016120,LEUCOVORIN CALCIUM 100 MG INJECTION (POWDER FOR RECON),121.0,60.5,4.96,108.9,66
NDC,71288016230,LEUCOVORIN CALCIUM 200 MG INJECTION (POWDER FOR RECON),169.0,84.5,4.96,152.1,66
NDC,71288016330,LEUCOVORIN CALCIUM 350 MG INJECTION (POWDER FOR RECON),181.0,90.5,4.96,162.9,66
NDC,71288016450,LEUCOVORIN CALCIUM 500 MG INJECTION (POWDER FOR RECON),455.95,227.98,4.96,410.36,66
NDC,71288016552,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,2694.0,1347.0,81.46,2424.6,70
NDC,71288016553,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,1166.0,583.0,81.46,1049.4,70
NDC,71288016610,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,4.44,405.0,71
NDC,71288016750,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,4.44,405.0,71
NDC,71288017075,FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,450.0,225.0,3.57,405.0,66
NDC,71288017221,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,71288020010,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,50.2,25.1,1.73,45.18,66
NDC,71288020011,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,50.2,25.1,1.73,45.18,66
NDC,71288020020,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,51.55,25.78,1.73,46.4,66
NDC,71288020021,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,51.55,25.78,1.73,46.4,66
NDC,71288020050,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,74.8,37.4,1.73,67.32,66
NDC,71288020185,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,42.75,21.38,9.32,38.48,66
NDC,71288020202,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,191.45,95.73,41.76,172.31,65
NDC,71288020302,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,71288020303,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.0,10.5,4.58,18.9,65
NDC,71288020304,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.4,10.7,4.67,19.26,65
NDC,71288020305,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.4,10.7,4.67,19.26,65
NDC,71288020310,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.0,11.0,4.8,19.8,65
NDC,71288020311,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,22.0,11.0,4.8,19.8,65
NDC,71288030301,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.8,10.9,1.6,19.62,66
NDC,71288030302,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",21.8,10.9,1.6,19.62,66
NDC,71288040002,"HEPARIN, PORCINE (PF) 1,000 UNIT/ML INJECTION SOLUTION",57.0,28.5,0.3,51.3,66
NDC,71288040201,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.8,10.9,0.3,19.62,66
NDC,71288040202,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.8,10.9,0.3,19.62,66
NDC,71288040210,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.8,11.9,0.3,21.42,66
NDC,71288040211,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.8,11.9,0.3,21.42,66
NDC,71288040230,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",41.95,20.98,0.3,37.76,66
NDC,71288040231,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",41.95,20.98,0.3,37.76,66
NDC,71288040301,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.9,10.95,0.3,19.71,66
NDC,71288040302,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.9,10.95,0.3,19.71,66
NDC,71288040310,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",71.55,35.78,0.3,64.4,66
NDC,71288040401,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",23.25,11.63,0.3,20.93,66
NDC,71288040402,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",23.25,11.63,0.3,20.93,66
NDC,71288040404,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",52.1,26.05,0.3,46.89,66
NDC,71288040580,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML SUBCUTANEOUS SYRINGE",25.5,12.75,0.3,22.95,66
NDC,71288040581,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML SUBCUTANEOUS SYRINGE",25.5,12.75,0.3,22.95,66
NDC,71288040701,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.8,10.9,0.47,19.62,71
NDC,71288040703,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,21.8,10.9,0.47,19.62,71
NDC,71288040905,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,54.0,27.0,1.03,48.6,66
NDC,71288041080,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,21.7,10.85,0.76,19.53,66
NDC,71288041081,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,21.7,10.85,0.76,19.53,66
NDC,71288041082,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.15,11.08,0.76,19.94,66
NDC,71288041083,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.15,11.08,0.76,19.94,66
NDC,71288041084,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,23.1,11.55,0.76,20.79,66
NDC,71288041085,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,23.1,11.55,0.76,20.79,66
NDC,71288041086,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,25.5,12.75,0.76,22.95,66
NDC,71288041087,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,25.5,12.75,0.76,22.95,66
NDC,71288041088,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,31.9,15.95,0.76,28.71,66
NDC,71288041089,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,31.9,15.95,0.76,28.71,66
NDC,71288041180,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,38.25,19.13,0.76,34.43,66
NDC,71288041181,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,38.25,19.13,0.76,34.43,66
NDC,71288041182,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,47.85,23.93,0.76,43.07,66
NDC,71288041183,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,47.85,23.93,0.76,43.07,66
NDC,71288041351,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,319.6,159.8,24.87,287.64,66
NDC,71288041401,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,22.5,11.25,0.47,20.25,71
NDC,71288041402,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,30.0,15.0,0.47,27.0,71
NDC,71288041404,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,30.0,15.0,0.47,27.0,71
NDC,71288041810,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,286.8,143.4,0.15,258.12,66
NDC,71288041995,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.6,10.3,0.3,18.54,66
NDC,71288041996,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",20.6,10.3,0.3,18.54,66
NDC,71288042095,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.45,11.23,0.3,20.21,66
NDC,71288042096,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.45,11.23,0.3,20.21,66
NDC,71288042195,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",28.3,14.15,0.3,25.47,66
NDC,71288042196,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",28.3,14.15,0.3,25.47,66
NDC,71288042295,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.25,10.63,0.3,19.13,66
NDC,71288042296,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",21.25,10.63,0.3,19.13,66
NDC,71288042495,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.95,10.98,0.3,19.76,66
NDC,71288042603,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,110.95,55.48,0.76,99.86,66
NDC,71288042710,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,297.4,148.7,0.24,267.66,66
NDC,71288042711,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,297.4,148.7,0.24,267.66,66
NDC,71288043280,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,21.65,10.83,0.76,19.49,66
NDC,71288043281,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,21.65,10.83,0.76,19.49,66
NDC,71288043382,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.05,11.03,0.76,19.85,66
NDC,71288043383,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.05,11.03,0.76,19.85,66
NDC,71288043391,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,21.1,10.55,0.76,18.99,66
NDC,71288043484,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,22.95,11.48,0.76,20.66,66
NDC,71288043485,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,22.95,11.48,0.76,20.66,66
NDC,71288043586,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,24.2,12.1,0.76,21.78,66
NDC,71288043587,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,24.2,12.1,0.76,21.78,66
NDC,71288043688,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,30.25,15.13,0.76,27.23,66
NDC,71288043689,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,30.25,15.13,0.76,27.23,66
NDC,71288043791,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,36.35,18.18,0.76,32.72,66
NDC,71288043792,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,36.35,18.18,0.76,32.72,66
NDC,71288043893,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,45.45,22.73,0.76,40.91,66
NDC,71288043894,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,45.45,22.73,0.76,40.91,66
NDC,71288050110,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,49.5,24.75,1.79,44.55,66
NDC,71288050111,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,49.5,24.75,1.79,44.55,66
NDC,71288050301,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,41.65,20.83,9.08,37.49,66
NDC,71288050502,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,57.4,28.7,12.52,51.66,65
NDC,71288050503,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,57.4,28.7,12.52,51.66,65
NDC,71288055586,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,466.25,233.13,6.86,419.63,71
NDC,71288060010,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,71288060011,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,71288070005,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,24.0,12.0,5.23,21.6,65
NDC,71288070006,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,24.0,12.0,5.23,21.6,65
NDC,71288071205,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,4.77,19.67,65
NDC,71288071206,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,21.85,10.93,4.77,19.67,65
NDC,71288071320,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,166.95,83.48,36.41,150.26,65
NDC,71288071321,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,166.95,83.48,36.41,150.26,65
NDC,71288071410,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,23.55,11.78,5.14,21.2,65
NDC,71288071411,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,23.55,11.78,5.14,21.2,65
NDC,71288071610,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,51.3,25.65,6.28,46.17,66
NDC,71288071611,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,51.3,25.65,6.28,46.17,66
NDC,71288071810,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,48.0,24.0,10.47,43.2,65
NDC,71288071910,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,21.65,10.83,0.89,19.49,66
NDC,71288071911,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION,21.65,10.83,0.89,19.49,66
NDC,71288072111,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.5,23.75,10.36,42.75,65
NDC,71288072232,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,71288072352,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,67.0,33.5,14.61,60.3,65
NDC,71288072532,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,48.0,24.0,10.47,43.2,65
NDC,71288072652,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,73.0,36.5,15.92,65.7,65
NDC,71288073620,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,145.0,72.5,0.09,130.5,66
NDC,71288073621,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,145.0,72.5,0.09,130.5,66
NDC,71288080202,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.3,23.15,0.42,41.67,66
NDC,71288080204,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,46.3,23.15,0.42,41.67,66
NDC,71288080320,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,136.75,68.38,29.83,123.08,65
NDC,71288080321,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,136.75,68.38,29.83,123.08,65
NDC,71288080651,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,500.0,250.0,7.71,450.0,66
NDC,71288080701,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,47.0,23.5,10.25,42.3,65
NDC,71288080702,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,47.0,23.5,10.25,42.3,65
NDC,71288080875,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,85.0,42.5,18.54,76.5,65
NDC,71288080876,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,85.0,42.5,18.54,76.5,65
NDC,71321080320,CALCIUM ACETATE 667 MG TABLET,109.2,54.6,23.82,98.28,65
NDC,71335055404,PROPRANOLOL 10 MG TABLET,140.4,70.2,30.62,126.36,65
NDC,71335101605,TIZANIDINE 4 MG TABLET,28.6,14.3,6.24,25.74,65
NDC,71335105301,ACYCLOVIR 400 MG TABLET,14.9,7.45,3.25,13.41,65
NDC,71335124301,PRAVASTATIN 10 MG TABLET,33.5,16.75,7.31,30.15,65
NDC,71335142102,OXYCODONE 5 MG TABLET,117.0,58.5,25.52,105.3,65
NDC,71335142202,OXYCODONE 10 MG TABLET,84.45,42.23,18.42,76.01,65
NDC,71336100001,PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION,39165.0,19582.5,101.88,35248.5,71
NDC,71336100101,GIVOSIRAN 189 MG/ML SUBCUTANEOUS SOLUTION,170489.0,85244.5,119.23,153440.1,71
NDC,71336100301,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,477404.0,238702.0,5103.71,429663.6,71
NDC,71351001001,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",192.0,96.0,41.88,172.8,65
NDC,71351001099,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",7.05,3.53,1.54,6.35,65
NDC,71351001101,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,203.4,101.7,44.36,183.06,65
NDC,71351001460,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,159.5,79.75,34.79,143.55,65
NDC,71351002105,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,71351002202,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,30.0,15.0,6.54,27.0,65
NDC,71351002210,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,30.0,15.0,6.54,27.0,65
NDC,71390012520,AMISULPRIDE 5 MG/2 ML (2.5 MG/ML) INTRAVENOUS SOLUTION,259.35,129.68,9.48,233.42,71
NDC,71390012550,AMISULPRIDE 10 MG/4 ML (2.5 MG/ML) INTRAVENOUS SOLUTION,432.2,216.1,9.48,388.98,71
NDC,71390012551,AMISULPRIDE 10 MG/4 ML (2.5 MG/ML) INTRAVENOUS SOLUTION,432.2,216.1,9.48,388.98,71
NDC,71399802602,DIPHENHYDRAMINE 50 MG CAPSULE,60.0,30.0,13.09,54.0,65
NDC,71449000115,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,65.2,32.6,14.22,58.68,65
NDC,71449006811,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,45.0,22.5,9.81,40.5,65
NDC,71449007951,"ROPIVACAINE(PF) 0.2 %-0.9 % SODCHL 545 ML INFIL,HI VAR RATE ELAST PUMP",1916.15,958.08,0.09,1724.54,66
NDC,71449007957,"ROPIVACAINE(PF) 0.2 %-0.9 %SODCHL 745 ML INFILT,HI VAR RATE ELAST PUMP",948.8,474.4,0.09,853.92,66
NDC,71449007959,"ROPIVACAINE (PF) 0.2 %-0.9 % NACL 745 ML INFIL,LOW VAR RATE ELAST PUMP",859.4,429.7,0.09,773.46,66
NDC,71449009143,BEVACIZUMAB 2.5 MG/0.1 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
NDC,71449009144,BEVACIZUMAB 3.25 MG/0.13 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
NDC,71449009190,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,450.0,225.0,98.15,405.0,65
NDC,71449009245,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,249.0,124.5,54.31,224.1,65
NDC,71449009246,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,350.0,175.0,76.34,315.0,65
NDC,71449009345,CYCLOPENTOLATE 1 %-TROPICAM 1 %-PHENYLEPHRINE 2.5 % IN WATER EYE DROPS,195.0,97.5,42.53,175.5,65
NDC,71449010611,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,166.5,83.25,36.31,149.85,65
NDC,71449012483,"ROPIVACAINE(PF) 0.2% (2 MG/ML)-SODIUM CHLOR,ISO-OSM INJECTION SOLUTION",375.0,187.5,0.09,337.5,66
NDC,71449012491,ROPIVACAINE (PF) 0.2 % 2000 MG/1000 ML,675.0,337.5,0.09,607.5,66
NDC,71449012615,"SUCCINYLCHOLINE(PF)200 MG/10 ML(20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",99.0,49.5,0.89,89.1,66
NDC,71449013111,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,115.0,57.5,25.08,103.5,65
NDC,71449015082,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,253.0,126.5,55.18,227.7,65
NDC,71506001759,VANCOMYCIN 1.75 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,172.0,86.0,2.56,154.8,66
NDC,71506001959,VANCOMYCIN 2 GRAM/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,214.0,107.0,2.56,192.6,66
NDC,71506002859,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,100.0,50.0,21.81,90.0,66
NDC,71506003405,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,116.0,58.0,25.3,104.4,65
NDC,71506004645,LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE,45.35,22.68,9.89,40.82,65
NDC,71546042015,"DILTIAZEM HCL 125 MG/125 ML (1 MG/ML) IN SOD CHLORIDE,ISO-OSM IV SOLN",142.0,71.0,30.97,127.8,65
NDC,71647000101,TC-99M SUCCIMER INTRAVENOUS SOLUTION,3596.55,1798.28,784.41,3236.9,64
NDC,71699005030,CENOBAMATE 50 MG TABLET,4494.6,2247.3,980.27,4045.14,65
NDC,71699010030,CENOBAMATE 100 MG TABLET,4494.6,2247.3,980.27,4045.14,65
NDC,71699020128,CENOBAMATE 12.5 MG (14)-25 MG (14) TABLETS IN A DOSE PACK,513.25,256.63,111.94,461.93,65
NDC,71715000101,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,2318.3,1159.15,4.06,2086.47,71
NDC,71715000102,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,2318.3,1159.15,4.06,2086.47,71
NDC,71740011230,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,2184.45,1092.23,476.43,1966.01,65
NDC,71754000105,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,401.35,200.68,87.53,361.22,65
NDC,71773005001,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,360.4,180.2,1.25,324.36,66
NDC,71773005005,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,360.4,180.2,1.25,324.36,66
NDC,71773005012,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,360.4,180.2,1.25,324.36,66
NDC,71776010005,"FLUOROMETHOLONE ACETATE 0.1 % EYE DROPS,SUSPENSION",577.9,288.95,126.04,520.11,65
NDC,71837100001,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,95050.05,47525.03,33.57,85545.05,70
NDC,71837100002,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,47550.0,23775.0,33.57,42795.0,70
NDC,71837584301,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1422.35,711.18,51.37,1280.12,71
NDC,71837584305,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1422.35,711.18,51.37,1280.12,71
NDC,71839010401,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,147.05,73.53,0.15,132.35,66
NDC,71839010701,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,119.35,59.68,0.04,107.42,66
NDC,71839010801,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,99.9,49.95,0.04,89.91,66
NDC,71839011010,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,22.2,11.1,0.76,19.98,66
NDC,71839012001,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,87.5,43.75,19.08,78.75,65
NDC,71839012201,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.95,23.48,10.24,42.26,65
NDC,71839012225,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,47.15,23.58,10.28,42.44,65
NDC,71839012501,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,20.4,10.2,0.47,18.36,71
NDC,71839012525,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,20.4,10.2,0.47,18.36,71
NDC,71839013701,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,227.45,113.73,49.61,204.71,65
NDC,71839013710,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,227.45,113.73,49.61,204.71,65
NDC,71858011004,LEVOTHYROXINE 25 MCG/ML ORAL SOLUTION,26.4,13.2,5.76,23.76,65
NDC,71858011005,LEVOTHYROXINE 25 MCG/ML ORAL SOLUTION,26.4,13.2,5.76,23.76,65
NDC,71858015004,LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION,26.4,13.2,5.76,23.76,65
NDC,71858015005,LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION,26.4,13.2,5.76,23.76,65
NDC,71879013601,FLUOCINOLONE 0.18 MG INTRAVITREAL IMPLANT,35984.0,17992.0,540.49,32385.6,71
NDC,71894012002,"ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT",11610221.8,5805110.9,27261.82,10449199.62,70
NDC,71921022610,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,62.2,31.1,13.57,55.98,65
NDC,71930002330,OXYCODONE 20 MG/ML ORAL CONCENTRATE,700.05,350.03,152.68,630.05,65
NDC,71930002743,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,560.55,280.28,122.26,504.5,65
NDC,71930003512,LABETALOL 100 MG TABLET,234.0,117.0,51.04,210.6,65
NDC,71930003712,LABETALOL 300 MG TABLET,370.0,185.0,80.7,333.0,65
NDC,71930005712,VALPROIC ACID 250 MG CAPSULE,194.4,97.2,42.4,174.96,65
NDC,72060012140,LUMATEPERONE 21 MG CAPSULE,6323.4,3161.7,1379.13,5691.06,65
NDC,72060014201,LUMATEPERONE 42 MG CAPSULE,275.4,137.7,60.06,247.86,65
NDC,72060014230,LUMATEPERONE 42 MG CAPSULE,5508.0,2754.0,1201.29,4957.2,65
NDC,72060014240,LUMATEPERONE 42 MG CAPSULE,6323.4,3161.7,1379.13,5691.06,65
NDC,72078003300,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,33.3,16.65,0.66,29.97,66
NDC,72078003302,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,33.3,16.65,0.66,29.97,66
NDC,72078003400,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,273.75,136.88,59.7,246.38,65
NDC,72078003401,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,273.75,136.88,59.7,246.38,65
NDC,72078003500,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,445.1,222.55,97.08,400.59,65
NDC,72078003502,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,445.1,222.55,97.08,400.59,65
NDC,72078003902,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,2847.5,1423.75,494.67,2562.75,71
NDC,72078006550,VANCOMYCIN 1.75 GRAM INTRAVENOUS SOLUTION,230.7,115.35,50.32,207.63,65
NDC,72078006599,VANCOMYCIN 1.75 GRAM INTRAVENOUS SOLUTION,230.7,115.35,50.32,207.63,65
NDC,72078006650,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION,260.05,130.03,56.72,234.05,65
NDC,72078006699,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION,260.05,130.03,56.72,234.05,65
NDC,72162117601,PROPRANOLOL 20 MG TABLET,21.1,10.55,4.6,18.99,65
NDC,72162117603,PROPRANOLOL 20 MG TABLET,37.45,18.73,8.17,33.71,65
NDC,72162132902,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,166.45,83.23,34.89,149.81,66
NDC,72162132908,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,166.5,83.25,34.89,149.85,66
NDC,72162138902,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,120.9,60.45,26.37,108.81,65
NDC,72162172801,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,589.0,294.5,128.46,530.1,65
NDC,72162179003,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",86.8,43.4,18.93,78.12,65
NDC,72162179009,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",582.75,291.38,127.1,524.48,65
NDC,72162185101,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,63.6,31.8,13.87,57.24,65
NDC,72162195802,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,207.2,103.6,45.19,186.48,65
NDC,72162203703,RISPERIDONE 1 MG/ML ORAL SOLUTION,54.9,27.45,11.97,49.41,65
NDC,72162207102,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,153.3,76.65,33.43,137.97,65
NDC,72162207201,PROPYLTHIOURACIL 50 MG TABLET,227.4,113.7,49.6,204.66,65
NDC,72162207202,PROPYLTHIOURACIL 50 MG TABLET,366.3,183.15,79.89,329.67,65
NDC,72162231101,NALTREXONE 50 MG TABLET,601.0,300.5,131.08,540.9,65
NDC,72187040101,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",135076.6,67538.3,331.76,121568.94,71
NDC,72196041601,AMINO ACID 2 % PED-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,292.5,146.25,63.79,263.25,66
NDC,72196042001,AMINO ACID 3 % PEDI-D10W-CALC 3.75 MEQ-HEPARIN 125 UNIT/250 ML IV SOLN,350.0,175.0,65.33,315.0,66
NDC,72196604401,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,88.0,44.0,19.19,79.2,66
NDC,72196702301,"HEPARIN (PORCINE) 5,000 UNIT/500 ML(10 UNIT/ML) IN 0.9 % NACL IV SOLN",121.0,60.5,0.3,108.9,66
NDC,72196809301,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLOR IV SOLN,320.5,160.25,69.9,288.45,65
NDC,72205000390,ROSUVASTATIN 10 MG TABLET,33.5,16.75,7.31,30.15,65
NDC,72205000530,ROSUVASTATIN 40 MG TABLET,18.55,9.28,4.05,16.7,65
NDC,72205000590,ROSUVASTATIN 40 MG TABLET,55.65,27.83,12.14,50.09,65
NDC,72205000792,CAPECITABINE 500 MG TABLET,252.6,126.3,0.04,227.34,70
NDC,72205000930,SILODOSIN 4 MG CAPSULE,54.4,27.2,11.86,48.96,65
NDC,72205001190,PREGABALIN 25 MG CAPSULE,11.35,5.68,2.48,10.22,65
NDC,72205001290,PREGABALIN 50 MG CAPSULE,22.7,11.35,4.95,20.43,65
NDC,72205001390,PREGABALIN 75 MG CAPSULE,28.1,14.05,6.13,25.29,65
NDC,72205001490,PREGABALIN 100 MG CAPSULE,22.7,11.35,4.95,20.43,65
NDC,72205001590,PREGABALIN 150 MG CAPSULE,36.75,18.38,8.02,33.08,65
NDC,72205001790,PREGABALIN 225 MG CAPSULE,44.85,22.43,9.78,40.37,65
NDC,72205002030,SOLIFENACIN 5 MG TABLET,27.4,13.7,5.98,24.66,65
NDC,72205002090,SOLIFENACIN 5 MG TABLET,80.5,40.25,17.56,72.45,65
NDC,72205002390,ATORVASTATIN 20 MG TABLET,35.65,17.83,7.78,32.09,65
NDC,72205002405,ATORVASTATIN 40 MG TABLET,201.0,100.5,43.84,180.9,65
NDC,72205002490,ATORVASTATIN 40 MG TABLET,36.2,18.1,7.9,32.58,65
NDC,72205002590,ATORVASTATIN 80 MG TABLET,59.95,29.98,13.08,53.96,65
NDC,72205002830,FEBUXOSTAT 40 MG TABLET,71.85,35.93,15.67,64.67,65
NDC,72205002930,FEBUXOSTAT 80 MG TABLET,69.15,34.58,15.08,62.24,65
NDC,72205003092,ABIRATERONE 250 MG TABLET,619.8,309.9,135.18,557.82,65
NDC,72205003101,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,72205003960,DOFETILIDE 125 MCG CAPSULE,56.9,28.45,12.41,51.21,65
NDC,72205004060,DOFETILIDE 250 MCG CAPSULE,60.85,30.43,13.27,54.77,65
NDC,72205004160,DOFETILIDE 500 MCG CAPSULE,58.0,29.0,12.65,52.2,65
NDC,72205004211,OSELTAMIVIR 30 MG CAPSULE,43.1,21.55,9.4,38.79,65
NDC,72205004311,OSELTAMIVIR 45 MG CAPSULE,45.2,22.6,9.86,40.68,65
NDC,72205004411,OSELTAMIVIR 75 MG CAPSULE,45.2,22.6,9.86,40.68,65
NDC,72205004501,THIOTEPA 15 MG SOLUTION FOR INJECTION,555.15,277.58,10.75,499.64,70
NDC,72205004601,THIOTEPA 100 MG SOLUTION FOR INJECTION,5412.15,2706.08,10.75,4870.94,70
NDC,72205004930,AMINOCAPROIC ACID 500 MG TABLET,293.7,146.85,64.06,264.33,65
NDC,72205005108,ALBENDAZOLE 200 MG TABLET,57.1,28.55,12.45,51.39,65
NDC,72205005401,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,85.5,42.75,0.15,76.95,66
NDC,72205006078,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,55.45,27.73,12.09,49.91,65
NDC,72205007290,DROXIDOPA 100 MG CAPSULE,173.9,86.95,37.93,156.51,65
NDC,72205008301,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,85.5,42.75,0.15,76.95,66
NDC,72205008430,TIAGABINE 2 MG TABLET,184.5,92.25,40.24,166.05,65
NDC,72205008530,TIAGABINE 4 MG TABLET,296.7,148.35,64.71,267.03,65
NDC,72205009291,DOXEPIN 100 MG CAPSULE,222.0,111.0,48.42,199.8,65
NDC,72205010001,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,205.0,102.5,10.16,184.5,66
NDC,72205010101,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.55,10.78,0.37,19.4,70
NDC,72205010107,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,21.55,10.78,0.37,19.4,70
NDC,72205010201,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.9,23.45,0.37,42.21,70
NDC,72205010207,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,46.9,23.45,0.37,42.21,70
NDC,72205012001,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.25,23.13,0.07,41.63,66
NDC,72205012007,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.25,23.13,0.07,41.63,66
NDC,72205012025,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.2,23.1,0.07,41.58,66
NDC,72205013011,TOLVAPTAN 15 MG TABLET,2218.8,1109.4,483.92,1996.92,65
NDC,72205015401,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,806.45,403.23,81.46,725.81,70
NDC,72205015404,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,685.4,342.7,81.46,616.86,70
NDC,72205017072,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,300.4,150.2,65.52,270.36,65
NDC,72205018460,DARUNAVIR 600 MG TABLET,266.4,133.2,58.1,239.76,65
NDC,72205018530,DARUNAVIR 800 MG TABLET,266.4,133.2,58.1,239.76,65
NDC,72205019801,CARMUSTINE 100 MG INTRAVENOUS SOLUTION,466.05,233.03,101.65,419.45,71
NDC,72205020030,ROFLUMILAST 500 MCG TABLET,86.25,43.13,18.81,77.63,65
NDC,72205020501,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,58.25,29.13,10.82,52.43,66
NDC,72205020507,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,58.25,29.13,10.82,52.43,66
NDC,72205020730,LURASIDONE 20 MG TABLET,23.05,11.53,5.03,20.75,65
NDC,72205020830,LURASIDONE 40 MG TABLET,45.9,22.95,10.01,41.31,65
NDC,72205020930,LURASIDONE 60 MG TABLET,45.0,22.5,9.81,40.5,65
NDC,72205022001,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,88.85,44.43,19.38,79.97,65
NDC,72205022007,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,88.85,44.43,19.38,79.97,65
NDC,72205026030,VILAZODONE 10 MG TABLET,202.5,101.25,44.17,182.25,65
NDC,72205026130,VILAZODONE 20 MG TABLET,208.1,104.05,45.39,187.29,65
NDC,72205026230,VILAZODONE 40 MG TABLET,193.15,96.58,42.13,173.84,65
NDC,72205036860,TICAGRELOR 90 MG TABLET,139.35,69.68,30.39,125.42,65
NDC,72205036891,TICAGRELOR 90 MG TABLET,160.2,80.1,34.94,144.18,65
NDC,72241001022,RALOXIFENE 60 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,72241001103,RIVASTIGMINE 1.5 MG CAPSULE,60.15,30.08,13.12,54.14,65
NDC,72241001203,RIVASTIGMINE 3 MG CAPSULE,60.15,30.08,13.12,54.14,65
NDC,72241002305,CELECOXIB 100 MG CAPSULE,41.4,20.7,9.03,37.26,65
NDC,72241002405,CELECOXIB 200 MG CAPSULE,60.0,30.0,13.09,54.0,65
NDC,72266010101,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,652.5,326.25,64.32,587.25,71
NDC,72266010201,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,47.1,23.55,10.27,42.39,65
NDC,72266010301,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,49.5,24.75,10.8,44.55,65
NDC,72266010601,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,271.2,135.6,6.02,244.08,66
NDC,72266011801,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.45,10.23,0.29,18.41,71
NDC,72266011825,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,20.45,10.23,0.29,18.41,71
NDC,72266011901,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.7,10.35,0.29,18.63,71
NDC,72266011925,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,20.7,10.35,0.29,18.63,71
NDC,72266012201,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.65,10.33,4.5,18.59,65
NDC,72266012225,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.85,10.43,4.55,18.77,65
NDC,72266012301,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,45.45,22.73,0.17,40.91,66
NDC,72266012401,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,45.8,22.9,0.17,41.22,66
NDC,72266012610,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,72266012701,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,44.45,22.23,9.69,40.01,66
NDC,72266012705,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,44.45,22.23,9.69,40.01,66
NDC,72266013101,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,94.5,47.25,1.28,85.05,66
NDC,72266014601,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.35,11.18,4.87,20.12,65
NDC,72266014610,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,22.35,11.18,4.87,20.12,65
NDC,72266014701,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,65
NDC,72266014710,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,65
NDC,72266015201,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK,128.4,64.2,7.71,115.56,66
NDC,72266015801,MOXIFLOXACIN 0.5 % EYE DROPS,57.05,28.53,12.44,51.35,65
NDC,72266015901,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,425.0,212.5,14.38,382.5,66
NDC,72266015905,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,425.0,212.5,14.38,382.5,66
NDC,72266016001,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,70.8,35.4,10.82,63.72,66
NDC,72266016010,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,70.8,35.4,10.82,63.72,66
NDC,72266016201,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,72266016301,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,206.65,103.33,2.95,185.99,66
NDC,72266016306,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,206.65,103.33,2.95,185.99,66
NDC,72266019601,TOBRAMYCIN 0.3 % EYE DROPS,74.55,37.28,16.26,67.1,65
NDC,72266019701,DORZOLAMIDE 2 % EYE DROPS,83.25,41.63,18.16,74.93,65
NDC,72266020401,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.0,11.0,3.81,19.8,66
NDC,72266020410,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.0,11.0,3.81,19.8,66
NDC,72266023401,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.5,10.25,0.29,18.45,71
NDC,72266023425,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.5,10.25,0.29,18.45,71
NDC,72266023501,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,279.25,139.63,60.9,251.33,71
NDC,72266023701,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,80.6,40.3,17.58,72.54,65
NDC,72266023705,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,80.6,40.3,17.58,72.54,65
NDC,72266024201,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,109.4,54.7,23.86,98.46,65
NDC,72266024205,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,109.4,54.7,23.86,98.46,65
NDC,72266024801,SINCALIDE 5 MCG SOLUTION FOR INJECTION,383.7,191.85,83.68,345.33,65
NDC,72266024805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,383.7,191.85,83.68,345.33,65
NDC,72266024901,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.2,11.6,5.06,20.88,65
NDC,72266024910,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",23.2,11.6,5.06,20.88,65
NDC,72266025101,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,36.35,18.18,1.05,32.72,66
NDC,72266025110,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,36.35,18.18,1.05,32.72,66
NDC,72319002302,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",1551.6,775.8,338.4,1396.44,65
NDC,72485010101,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,21.6,10.8,0.89,19.44,66
NDC,72485010125,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,21.6,10.8,0.89,19.44,66
NDC,72485010401,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,54.0,27.0,1.65,48.6,66
NDC,72485010410,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,66.05,33.03,1.65,59.45,66
NDC,72485010501,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,135.95,67.98,29.65,122.36,65
NDC,72485010601,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.55,23.28,0.07,41.9,66
NDC,72485010610,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,46.55,23.28,0.07,41.9,66
NDC,72485010701,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.3,23.65,10.32,42.57,65
NDC,72485010710,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.3,23.65,10.32,42.57,65
NDC,72485010801,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.6,11.3,4.93,20.34,65
NDC,72485010805,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.6,11.3,4.93,20.34,65
NDC,72485010825,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,22.6,11.3,4.93,20.34,65
NDC,72485010901,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,97.0,48.5,21.16,87.3,65
NDC,72485010905,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,97.0,48.5,21.16,87.3,65
NDC,72485011010,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLUTION,110.4,55.2,24.08,99.36,65
NDC,72485011301,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,348.6,174.3,76.03,313.74,65
NDC,72485011310,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,348.6,174.3,76.03,313.74,65
NDC,72485011401,LINCOMYCIN 300 MG/ML INJECTION SOLUTION,157.0,78.5,10.93,141.3,66
NDC,72485011601,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,116.55,58.28,25.42,104.9,65
NDC,72485011610,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,116.55,58.28,25.42,104.9,65
NDC,72485020101,AZACITIDINE 100 MG SOLUTION FOR INJECTION,450.0,225.0,0.4,405.0,66
NDC,72485020330,IMATINIB 400 MG TABLET,604.05,302.03,131.74,543.65,65
NDC,72485020460,CAPECITABINE 150 MG TABLET,180.0,90.0,0.04,162.0,70
NDC,72485021102,IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,72485021205,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,72485021315,IRINOTECAN 300 MG/15 ML INTRAVENOUS SOLUTION,450.0,225.0,2.16,405.0,66
NDC,72485021930,ERLOTINIB 150 MG TABLET,2091.0,1045.5,456.05,1881.9,65
NDC,72485022102,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,72485022210,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,72485022320,GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLUTION,450.0,225.0,4.05,405.0,66
NDC,72485040301,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.95,23.98,1.3,43.16,66
NDC,72485040310,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,47.95,23.98,1.3,43.16,66
NDC,72485040401,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.05,25.03,1.3,45.05,66
NDC,72485040410,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.05,25.03,1.3,45.05,66
NDC,72485040601,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,80.55,40.28,17.57,72.5,65
NDC,72485040610,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,80.55,40.28,17.57,72.5,65
NDC,72485040901,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,74.25,37.13,1.17,66.83,66
NDC,72485040910,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,74.25,37.13,1.17,66.83,66
NDC,72485041101,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,72485041110,MEROPENEM 500 MG INTRAVENOUS SOLUTION,47.8,23.9,0.5,43.02,66
NDC,72485041201,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,56.9,28.45,0.5,51.21,66
NDC,72485041210,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,56.9,28.45,0.5,51.21,66
NDC,72485041601,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.2,23.6,1.97,42.48,66
NDC,72485041610,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,47.2,23.6,1.97,42.48,66
NDC,72485041701,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,56.8,28.4,1.97,51.12,66
NDC,72485041710,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,56.8,28.4,1.97,51.12,66
NDC,72485042101,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.45,23.73,1.12,42.71,66
NDC,72485042110,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.45,23.73,1.12,42.71,66
NDC,72485042201,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,46.0,23.0,1.12,41.4,66
NDC,72485042210,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,46.0,23.0,1.12,41.4,66
NDC,72485050101,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,47.8,23.9,1.73,43.02,66
NDC,72485050110,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,47.8,23.9,1.73,43.02,66
NDC,72485050301,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,91.0,45.5,1.73,81.9,66
NDC,72485050401,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.8,23.4,10.21,42.12,65
NDC,72485050425,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.8,23.4,10.21,42.12,65
NDC,72485050501,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,80.2,40.1,17.49,72.18,65
NDC,72485050510,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,80.2,40.1,17.49,72.18,65
NDC,72485050701,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,37.2,18.6,8.11,33.48,65
NDC,72485050725,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,37.2,18.6,8.11,33.48,65
NDC,72485050801,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,25.1,12.55,5.47,22.59,65
NDC,72485050810,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,25.1,12.55,5.47,22.59,65
NDC,72485050901,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,36.4,18.2,7.94,32.76,65
NDC,72485050910,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,36.4,18.2,7.94,32.76,65
NDC,72485051001,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.65,23.83,10.39,42.89,65
NDC,72485051010,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.65,23.83,10.39,42.89,65
NDC,72485051301,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,221.9,110.95,48.4,199.71,65
NDC,72485061310,OFLOXACIN 0.3 % EYE DROPS,61.1,30.55,13.33,54.99,65
NDC,72485062513,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",533.3,266.65,116.31,479.97,65
NDC,72485067031,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,33.85,16.93,7.38,30.47,65
NDC,72485067035,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,97.25,48.63,21.21,87.53,65
NDC,72493010140,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,88490.0,44245.0,324.9,79641.0,71
NDC,72493010303,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,88490.0,44245.0,324.9,79641.0,71
NDC,72508001201,AMOXICILLIN 125 MG-POTASSIUM CLAVULANATE 31.25 MG/5 ML ORAL SUSP,1648.9,824.45,359.63,1484.01,65
NDC,72508020407,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,184.05,92.03,40.14,165.65,65
NDC,72516001401,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,133.2,66.6,29.05,119.88,65
NDC,72516001601,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,111.0,55.5,24.21,99.9,65
NDC,72516002401,PAPAVERINE 30 MG/ML INJECTION SOLUTION,233.2,116.6,39.46,209.88,66
NDC,72516002410,PAPAVERINE 30 MG/ML INJECTION SOLUTION,233.2,116.6,39.46,209.88,66
NDC,72516002425,PAPAVERINE 30 MG/ML INJECTION SOLUTION,233.2,116.6,39.46,209.88,66
NDC,72516003001,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",37.8,18.9,8.24,34.02,65
NDC,72516003101,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",37.8,18.9,8.24,34.02,65
NDC,72572001501,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,58.25,29.13,12.7,52.43,65
NDC,72572001525,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,58.25,29.13,12.7,52.43,65
NDC,72572006201,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,47.75,23.88,0.55,42.98,66
NDC,72572038001,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.55,13.28,1.24,23.9,66
NDC,72572038025,LORAZEPAM 2 MG/ML INJECTION SOLUTION,26.55,13.28,1.24,23.9,66
NDC,72578000201,ACYCLOVIR 200 MG CAPSULE,54.6,27.3,11.91,49.14,65
NDC,72578000205,ACYCLOVIR 200 MG CAPSULE,367.5,183.75,80.15,330.75,65
NDC,72578000701,METRONIDAZOLE 250 MG TABLET,113.4,56.7,24.73,102.06,65
NDC,72578000801,METRONIDAZOLE 500 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,72578004001,ZONISAMIDE 25 MG CAPSULE,85.8,42.9,18.71,77.22,65
NDC,72578005616,FELBAMATE 400 MG TABLET,449.1,224.55,97.95,404.19,65
NDC,72578005716,FELBAMATE 600 MG TABLET,582.3,291.15,127.0,524.07,65
NDC,72578006206,VORICONAZOLE 50 MG TABLET,325.05,162.53,70.89,292.55,65
NDC,72578008402,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,111.1,55.55,24.23,99.99,65
NDC,72578008901,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",72.0,36.0,15.7,64.8,65
NDC,72578008904,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",48.25,24.13,10.52,43.43,65
NDC,72578009301,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,80.1,40.05,17.47,72.09,65
NDC,72578009306,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,63.45,31.73,13.84,57.11,65
NDC,72578012908,METRONIDAZOLE 0.75 % TOPICAL CREAM,179.85,89.93,39.23,161.87,65
NDC,72578013606,FEBUXOSTAT 40 MG TABLET,94.7,47.35,20.65,85.23,65
NDC,72578013706,FEBUXOSTAT 80 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,72578016601,DEXAMETHASONE 1 MG TABLET,126.0,63.0,27.48,113.4,65
NDC,72603010101,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,450.0,225.0,0.07,405.0,66
NDC,72603010301,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",830.3,415.15,94.88,747.27,71
NDC,72603010401,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,72603010502,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,3295.05,1647.53,6.86,2965.55,71
NDC,72603010701,DECITABINE 50 MG INTRAVENOUS SOLUTION,450.0,225.0,1.88,405.0,66
NDC,72603010801,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,22.9,11.45,1.05,20.61,66
NDC,72603011201,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,349.0,174.5,76.12,314.1,65
NDC,72603011301,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,435.0,217.5,94.87,391.5,65
NDC,72603011401,CLORAZEPATE DIPOTASSIUM 15 MG TABLET,1072.5,536.25,233.91,965.25,65
NDC,72603011501,TAMSULOSIN 0.4 MG CAPSULE,73.2,36.6,15.96,65.88,65
NDC,72603012101,"TOPIRAMATE XR 50 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",925.8,462.9,201.92,833.22,65
NDC,72603012501,VILAZODONE 10 MG TABLET,924.15,462.08,201.56,831.74,65
NDC,72603012701,VILAZODONE 40 MG TABLET,207.0,103.5,45.15,186.3,65
NDC,72603012801,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,72603012810,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,46.8,23.4,10.21,42.12,65
NDC,72603013001,DOFETILIDE 125 MCG CAPSULE,349.8,174.9,76.29,314.82,65
NDC,72603013101,DOFETILIDE 250 MCG CAPSULE,432.0,216.0,94.22,388.8,65
NDC,72603013201,DOFETILIDE 500 MCG CAPSULE,349.8,174.9,76.29,314.82,65
NDC,72603013301,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.65,10.33,4.5,18.59,65
NDC,72603013325,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.65,10.33,4.5,18.59,65
NDC,72603013401,SPIRONOLACTONE 25 MG TABLET,21.0,10.5,4.58,18.9,65
NDC,72603013601,SPIRONOLACTONE 100 MG TABLET,129.0,64.5,28.13,116.1,65
NDC,72603013901,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,72603013925,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,23.05,11.53,5.03,20.75,65
NDC,72603014001,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,160.4,80.2,34.98,144.36,65
NDC,72603014002,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,160.4,80.2,34.98,144.36,65
NDC,72603014101,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,202.8,101.4,44.23,182.52,66
NDC,72603014102,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,202.8,101.4,44.23,182.52,66
NDC,72603014201,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",108.0,54.0,23.55,97.2,65
NDC,72603014301,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",127.8,63.9,27.87,115.02,65
NDC,72603014601,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,46.0,23.0,10.03,41.4,65
NDC,72603014701,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,110.95,55.48,0.04,99.86,66
NDC,72603015201,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,101.0,50.5,0.04,90.9,66
NDC,72603015301,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.85,10.43,0.29,18.77,71
NDC,72603015325,KETOROLAC 15 MG/ML INJECTION SOLUTION,20.85,10.43,0.29,18.77,71
NDC,72603015601,OLANZAPINE 7.5 MG TABLET,23.6,11.8,5.15,21.24,65
NDC,72603016001,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,263.7,131.85,2.95,237.33,66
NDC,72603016006,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,263.7,131.85,2.95,237.33,66
NDC,72603016301,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,256.15,128.08,55.87,230.54,65
NDC,72603016401,DESONIDE 0.05 % TOPICAL OINTMENT,85.35,42.68,18.61,76.82,65
NDC,72603016701,METHAZOLAMIDE 50 MG TABLET,1410.0,705.0,307.52,1269.0,65
NDC,72603016801,PROCHLORPERAZINE MALEATE 5 MG TABLET,235.8,117.9,51.43,212.22,65
NDC,72603017101,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,126.3,63.15,27.55,113.67,65
NDC,72603017301,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",60.0,30.0,0.05,54.0,66
NDC,72603017401,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1184.5,592.25,258.34,1066.05,65
NDC,72603017901,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.3,10.65,0.3,19.17,66
NDC,72603017925,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",21.3,10.65,0.3,19.17,66
NDC,72603018001,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.15,24.08,10.5,43.34,65
NDC,72603018010,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,48.15,24.08,10.5,43.34,65
NDC,72603018101,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,108.9,54.45,1.02,98.01,66
NDC,72603018201,NITROFURANTOIN MACROCRYSTAL 25 MG CAPSULE,1025.0,512.5,223.55,922.5,65
NDC,72603018301,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,230.4,115.2,50.25,207.36,65
NDC,72603018601,OFLOXACIN 0.3 % EAR DROPS,42.15,21.08,9.19,37.94,65
NDC,72603018602,OFLOXACIN 0.3 % EAR DROPS,81.5,40.75,17.78,73.35,65
NDC,72603019201,OFLOXACIN 0.3 % EYE DROPS,61.65,30.83,13.45,55.49,65
NDC,72603019601,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,270.0,135.0,58.89,243.0,65
NDC,72603019801,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,69.05,34.53,7.71,62.15,66
NDC,72603020001,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1997.5,998.75,94.88,1797.75,71
NDC,72603020201,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,271.8,135.9,1.05,244.62,66
NDC,72603020301,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,28.75,14.38,6.27,25.88,65
NDC,72603020325,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,28.75,14.38,6.27,25.88,65
NDC,72603020601,GEMFIBROZIL 600 MG TABLET,35.65,17.83,7.78,32.09,65
NDC,72603020901,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,69.4,34.7,15.14,62.46,65
NDC,72603020925,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,69.4,34.7,15.14,62.46,65
NDC,72603021001,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,51.7,25.85,0.86,46.53,66
NDC,72603021010,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,51.7,25.85,0.86,46.53,66
NDC,72603021201,DEXAMETHASONE 0.5 MG TABLET,58.8,29.4,12.82,52.92,65
NDC,72603021401,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",28.8,14.4,0.3,25.92,66
NDC,72603021425,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",28.8,14.4,0.3,25.92,66
NDC,72603021601,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,57.4,28.7,0.09,51.66,66
NDC,72603021625,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,57.4,28.7,0.09,51.66,66
NDC,72603021801,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,50.2,25.1,0.09,45.18,66
NDC,72603021825,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,50.2,25.1,0.09,45.18,66
NDC,72603022001,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.65,23.33,1.97,41.99,66
NDC,72603022010,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,46.65,23.33,1.97,41.99,66
NDC,72603022101,AMPICILLIN 500 MG SOLUTION FOR INJECTION,45.85,22.93,1.12,41.27,66
NDC,72603022110,AMPICILLIN 500 MG SOLUTION FOR INJECTION,45.85,22.93,1.12,41.27,66
NDC,72603023001,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,46.5,23.25,9.74,41.85,66
NDC,72603024001,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,596.0,298.0,129.99,536.4,65
NDC,72603025101,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.75,10.38,4.53,18.68,65
NDC,72603025125,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,20.75,10.38,4.53,18.68,65
NDC,72603025201,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,376.25,188.13,82.06,338.63,65
NDC,72603026101,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,1069.5,534.75,233.26,962.55,65
NDC,72603026201,PYRIMETHAMINE 25 MG TABLET,35098.1,17549.05,7654.9,31588.29,65
NDC,72603026401,ATROPINE 1 % EYE DROPS,112.65,56.33,24.57,101.39,65
NDC,72603026402,ATROPINE 1 % EYE DROPS,222.0,111.0,48.42,199.8,65
NDC,72603026601,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,49.2,24.6,10.73,44.28,65
NDC,72603026604,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,49.2,24.6,10.73,44.28,65
NDC,72603027401,ESTRADIOL 1 MG TABLET,132.6,66.3,28.92,119.34,65
NDC,72603028502,ATORVASTATIN 80 MG TABLET,535.0,267.5,116.68,481.5,65
NDC,72603030501,LACOSAMIDE 10 MG/ML ORAL SOLUTION,188.4,94.2,41.09,169.56,65
NDC,72603030801,CLONAZEPAM 1 MG TABLET,31.2,15.6,6.8,28.08,65
NDC,72603031201,CYCLOBENZAPRINE 10 MG TABLET,17.4,8.7,3.79,15.66,65
NDC,72603031301,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",25.05,12.53,5.46,22.55,65
NDC,72603031310,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",2086.5,1043.25,455.07,1877.85,65
NDC,72603031401,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",37.55,18.78,8.19,33.8,65
NDC,72603031410,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",2502.4,1251.2,545.77,2252.16,65
NDC,72603031501,METHIMAZOLE 5 MG TABLET,89.4,44.7,19.5,80.46,65
NDC,72603032601,CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS POWDER FOR SOLUTION,929.5,464.75,0.49,836.55,71
NDC,72603032701,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.15,23.58,10.28,42.44,65
NDC,72603032710,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,47.15,23.58,10.28,42.44,65
NDC,72603032725,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.2,23.1,10.08,41.58,65
NDC,72603033801,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",129.6,64.8,28.27,116.64,65
NDC,72603035001,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.2,10.6,4.62,19.08,65
NDC,72603035010,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.2,10.6,4.62,19.08,65
NDC,72603036301,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.2,23.1,1.12,41.58,66
NDC,72603036310,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,46.2,23.1,1.12,41.58,66
NDC,72603038701,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.1,23.55,10.27,42.39,65
NDC,72603038710,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",47.1,23.55,10.27,42.39,65
NDC,72603041201,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",20.65,10.33,0.3,18.59,66
NDC,72603041225,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",20.65,10.33,0.3,18.59,66
NDC,72603041301,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",162.55,81.28,35.45,146.3,65
NDC,72603041401,"FESOTERODINE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",162.55,81.28,35.45,146.3,65
NDC,72603041501,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,46.55,23.28,10.15,41.9,65
NDC,72603043004,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,44.85,22.43,9.78,40.37,66
NDC,72603043056,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,44.85,22.43,9.78,40.37,66
NDC,72603044501,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,1073.25,536.63,234.08,965.93,65
NDC,72603045301,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,55.05,27.53,12.01,49.55,65
NDC,72603045310,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,55.05,27.53,12.01,49.55,65
NDC,72603045401,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.0,23.5,1.12,42.3,66
NDC,72603045410,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,47.0,23.5,1.12,42.3,66
NDC,72603047401,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.25,10.63,4.63,19.13,65
NDC,72603047425,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,21.25,10.63,4.63,19.13,65
NDC,72603050101,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.45,10.73,0.3,19.31,66
NDC,72603050125,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",21.45,10.73,0.3,19.31,66
NDC,72603050501,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,72603050510,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,20.95,10.48,4.57,18.86,65
NDC,72603052001,PHENYLEPHRINE 2.5 % EYE DROPS,120.15,60.08,26.2,108.14,65
NDC,72603053001,PHENYLEPHRINE 10 % EYE DROPS,199.6,99.8,43.53,179.64,65
NDC,72603054001,TIMOLOL MALEATE 0.5 % EYE DROPS,38.8,19.4,8.46,34.92,65
NDC,72603059001,NALOXONE 0.4 MG/ML INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,72603059010,NALOXONE 0.4 MG/ML INJECTION SOLUTION,21.95,10.98,4.79,19.76,65
NDC,72603059025,NALOXONE 0.4 MG/ML INJECTION SOLUTION,22.95,11.48,5.01,20.66,65
NDC,72603062001,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,49.25,24.63,10.74,44.33,65
NDC,72603062004,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,21.45,10.73,4.68,19.31,65
NDC,72603062030,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,49.25,24.63,10.74,44.33,65
NDC,72603062060,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,21.45,10.73,4.68,19.31,65
NDC,72603062201,LURASIDONE 40 MG TABLET,50.8,25.4,11.08,45.72,65
NDC,72603081301,VILAZODONE 10 MG TABLET,208.1,104.05,45.39,187.29,65
NDC,72606000107,LINEZOLID 600 MG TABLET,270.5,135.25,59.0,243.45,65
NDC,72606000201,LAMIVUDINE 300 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,3159.6,1579.8,689.11,2843.64,65
NDC,72606000601,PREGABALIN 75 MG CAPSULE,38.9,19.45,8.48,35.01,65
NDC,72606050902,FAMOTIDINE 20 MG TABLET,66.6,33.3,14.53,59.94,65
NDC,72611063901,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,47.0,23.5,2.03,42.3,66
NDC,72611070001,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,459.7,229.85,6.02,413.73,66
NDC,72611070201,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,482.85,241.43,6.02,434.57,66
NDC,72611071601,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION,691.8,345.9,64.32,622.62,71
NDC,72611071901,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.05,10.53,0.29,18.95,71
NDC,72611071925,KETOROLAC 15 MG/ML INJECTION SOLUTION,21.05,10.53,0.29,18.95,71
NDC,72611072201,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.15,10.58,0.29,19.04,71
NDC,72611072225,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,21.15,10.58,0.29,19.04,71
NDC,72611072501,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.25,10.63,0.29,19.13,71
NDC,72611072525,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,21.25,10.63,0.29,19.13,71
NDC,72611073401,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,86.1,43.05,18.78,77.49,65
NDC,72611073801,LABETALOL 5 MG/ML INTRAVENOUS SOLUTION,157.0,78.5,34.24,141.3,65
NDC,72611074001,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,72611074010,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.7,10.35,4.51,18.63,65
NDC,72611074101,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,25.35,12.68,0.16,22.82,66
NDC,72611074901,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,53.7,26.85,0.16,48.33,66
NDC,72611074910,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,53.7,26.85,0.16,48.33,66
NDC,72611075601,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,65
NDC,72611075610,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,21.6,10.8,4.71,19.44,65
NDC,72611075701,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,20.95,10.48,4.57,18.86,65
NDC,72611076101,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.8,23.9,10.43,43.02,65
NDC,72611076110,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,47.8,23.9,10.43,43.02,65
NDC,72611076501,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",58.25,29.13,12.7,52.43,65
NDC,72611076510,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",58.25,29.13,12.7,52.43,65
NDC,72611086001,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,241.55,120.78,52.68,217.4,65
NDC,72611086004,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,241.55,120.78,52.68,217.4,65
NDC,72626260101,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET,46560.0,23280.0,10154.74,41904.0,65
NDC,72626270101,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET,31040.05,15520.03,6769.83,27936.05,65
NDC,72647033003,PYRIMETHAMINE 25 MG TABLET,35882.2,17941.1,7825.91,32293.98,65
NDC,72647033104,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,27.0,13.5,0.26,24.3,66
NDC,72682262500,ARGININE 25 MG-LYSINE 25MG/ML IN STERILE WATER INTRAVENOUS SOLUTION,1900.0,950.0,65.33,1710.0,66
NDC,72694051501,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,100182.5,50091.25,77.95,90164.25,71
NDC,72694095401,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,74455.55,37227.78,16238.76,67010.0,71
NDC,72768901206,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,2787.85,1393.93,608.03,2509.07,65
NDC,72769018101,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,120.0,60.0,1.67,108.0,71
NDC,72769018103,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1608.3,804.15,1.67,1447.47,71
NDC,72786010101,VOXELOTOR 500 MG TABLET,48456.75,24228.38,10568.42,43611.08,65
NDC,72786010202,VOXELOTOR 300 MG TABLET,48456.75,24228.38,10568.42,43611.08,65
NDC,72786010203,VOXELOTOR 300 MG TABLET,48456.75,24228.38,10568.42,43611.08,65
NDC,72786011102,VOXELOTOR 300 MG TABLET FOR ORAL SUSPENSION,48456.75,24228.38,10568.42,43611.08,65
NDC,72786011103,VOXELOTOR 300 MG TABLET FOR ORAL SUSPENSION,48456.75,24228.38,10568.42,43611.08,65
NDC,72789006201,HYDROCORTISONE 20 MG TABLET,156.6,78.3,34.15,140.94,65
NDC,72789009401,HYDROCORTISONE 10 MG TABLET,145.2,72.6,31.67,130.68,65
NDC,72789009550,HYDROCORTISONE 5 MG TABLET,44.7,22.35,9.75,40.23,65
NDC,72789010201,CYPROHEPTADINE 4 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,72789010230,CYPROHEPTADINE 4 MG TABLET,17.5,8.75,3.82,15.75,65
NDC,72789014260,BUSPIRONE 30 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,72789017801,PRIMIDONE 50 MG TABLET,70.2,35.1,15.31,63.18,65
NDC,72789018201,CARISOPRODOL 350 MG TABLET,34.8,17.4,7.59,31.32,65
NDC,72789022230,PENICILLIN V POTASSIUM 500 MG TABLET,22.5,11.25,4.91,20.25,65
NDC,72789024901,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",64.8,32.4,14.13,58.32,65
NDC,72789025320,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,40.0,20.0,8.72,36.0,65
NDC,72789027601,DOXYCYCLINE HYCLATE 100 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,72789027801,MINOXIDIL 2.5 MG TABLET,54.6,27.3,11.91,49.14,65
NDC,72789029090,SPIRONOLACTONE 25 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,72789032677,TIZANIDINE 2 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,72789034860,TROSPIUM 20 MG TABLET,84.6,42.3,18.45,76.14,65
NDC,72789045730,CEVIMELINE 30 MG CAPSULE,144.2,72.1,31.45,129.78,65
NDC,72865018030,ARIPIPRAZOLE 2 MG TABLET,12.6,6.3,2.75,11.34,65
NDC,72865018130,ARIPIPRAZOLE 5 MG TABLET,15.15,7.58,3.3,13.64,65
NDC,72865018230,ARIPIPRAZOLE 10 MG TABLET,20.2,10.1,4.41,18.18,65
NDC,72865018330,ARIPIPRAZOLE 15 MG TABLET,25.05,12.53,5.46,22.55,65
NDC,72865018812,LEVETIRACETAM 500 MG TABLET,46.1,23.05,10.05,41.49,65
NDC,72865023090,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",26.5,13.25,5.78,23.85,65
NDC,72874000101,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION",27690.15,13845.08,508.64,24921.14,69
NDC,72888000405,METOPROLOL TARTRATE 25 MG TABLET,78.0,39.0,17.01,70.2,65
NDC,72888001001,BACLOFEN 10 MG TABLET,24.0,12.0,5.23,21.6,65
NDC,72888001401,CYCLOBENZAPRINE 10 MG TABLET,13.8,6.9,3.01,12.42,65
NDC,72888001405,CYCLOBENZAPRINE 10 MG TABLET,57.0,28.5,12.43,51.3,65
NDC,72888001890,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,28.65,14.33,6.25,25.79,65
NDC,72888002406,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,5.3,2.65,1.16,4.77,65
NDC,72888002407,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,158.05,79.03,34.47,142.25,65
NDC,72888002410,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,386.5,193.25,84.3,347.85,65
NDC,72888003001,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",94.2,47.1,20.55,84.78,65
NDC,72888003201,"OXYBUTYNIN CHLORIDE ER 15 MG TABLET,EXTENDED RELEASE 24 HR",105.6,52.8,23.03,95.04,65
NDC,72888003301,AMANTADINE HCL 100 MG CAPSULE,83.4,41.7,18.19,75.06,65
NDC,72888003305,AMANTADINE HCL 100 MG CAPSULE,183.0,91.5,39.91,164.7,65
NDC,72888003330,AMANTADINE HCL 100 MG CAPSULE,41.95,20.98,9.15,37.76,65
NDC,72888003401,CARVEDILOL 3.125 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,72888003405,CARVEDILOL 3.125 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,72888003501,CARVEDILOL 6.25 MG TABLET,9.6,4.8,2.09,8.64,65
NDC,72888003601,CARVEDILOL 12.5 MG TABLET,11.4,5.7,2.49,10.26,65
NDC,72888003701,CARVEDILOL 25 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,72888004113,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,93.7,46.85,20.44,84.33,65
NDC,72888004601,PRIMIDONE 250 MG TABLET,145.8,72.9,31.8,131.22,65
NDC,72888005201,METOLAZONE 2.5 MG TABLET,58.2,29.1,12.69,52.38,65
NDC,72888005301,METOLAZONE 5 MG TABLET,166.2,83.1,36.25,149.58,65
NDC,72888006030,AMIODARONE 100 MG TABLET,159.15,79.58,34.71,143.24,65
NDC,72888007101,AMITRIPTYLINE 100 MG TABLET,99.6,49.8,21.72,89.64,65
NDC,72888008001,TRAMADOL 50 MG TABLET,16.8,8.4,3.66,15.12,65
NDC,72888008005,TRAMADOL 50 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,72888008101,ISOSORBIDE DINITRATE 5 MG TABLET,113.4,56.7,24.73,102.06,65
NDC,72888008201,ISOSORBIDE DINITRATE 10 MG TABLET,116.4,58.2,25.39,104.76,65
NDC,72888008301,ISOSORBIDE DINITRATE 20 MG TABLET,127.8,63.9,27.87,115.02,65
NDC,72888008401,ISOSORBIDE DINITRATE 30 MG TABLET,205.2,102.6,44.75,184.68,65
NDC,72888010221,CIPROFLOXACIN 0.3 % EYE DROPS,58.3,29.15,12.72,52.47,65
NDC,72888010425,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,350.15,175.08,76.37,315.14,65
NDC,72888010601,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,72888010701,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,37.8,18.9,8.24,34.02,65
NDC,72888010801,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,72888011201,MIDODRINE 2.5 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,72888011301,MIDODRINE 5 MG TABLET,60.6,30.3,13.22,54.54,65
NDC,72888011830,CEVIMELINE 30 MG CAPSULE,278.85,139.43,60.82,250.97,65
NDC,72888012001,LABETALOL 100 MG TABLET,159.6,79.8,34.81,143.64,65
NDC,72888012301,GUANFACINE 1 MG TABLET,216.0,108.0,47.11,194.4,65
NDC,72888012526,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,58.2,29.1,12.69,52.38,65
NDC,72888013932,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,56.55,28.28,12.33,50.9,65
NDC,72888013933,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,56.55,28.28,12.33,50.9,65
NDC,72888014330,"DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",80.85,40.43,17.63,72.77,65
NDC,72888014430,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",97.2,48.6,21.2,87.48,65
NDC,72888015201,CLONAZEPAM 0.5 MG TABLET,13.2,6.6,2.88,11.88,65
NDC,72888017530,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",71.65,35.83,15.63,64.49,65
NDC,72888017830,TRANEXAMIC ACID 650 MG TABLET,249.5,124.75,54.42,224.55,65
NDC,72888018230,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,51.15,25.58,1.89,46.04,66
NDC,72888018330,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,99.75,49.88,1.89,89.78,66
NDC,72893000201,BELINOSTAT 500 MG INTRAVENOUS SOLUTION,9971.75,4985.88,49.85,8974.58,71
NDC,72893000301,PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION,29395.75,14697.88,294.65,26456.18,71
NDC,72893000501,PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION,58741.45,29370.73,294.65,52867.31,71
NDC,72903085301,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,26557.5,13278.75,70.28,23901.75,71
NDC,72974012001,RELUGOLIX 120 MG TABLET,11049.5,5524.75,2409.9,9944.55,65
NDC,72989037230,PROGESTERONE MICRONIZED 100 MG CAPSULE,2312.4,1156.2,504.33,2081.16,65
NDC,73042020101,NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION,104288.6,52144.3,652.15,93859.74,71
NDC,73043000501,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,290.4,145.2,63.34,261.36,65
NDC,73043000502,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,580.8,290.4,126.67,522.72,65
NDC,73070010011,INSULIN ASPART U-100  100 UNIT/ML SUBCUTANEOUS SOLUTION,100.0,50.0,0.24,90.0,66
NDC,73070010310,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,85.7,42.85,0.24,77.13,66
NDC,73070010315,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,85.7,42.85,0.24,77.13,66
NDC,73070020011,INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN,100.0,50.0,0.24,90.0,66
NDC,73090042001,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6217.85,3108.93,156.1,5596.07,71
NDC,73090042101,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,24721.4,12360.7,156.1,22249.26,71
NDC,73150015006,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,44465.05,22232.53,72.17,40018.55,70
NDC,73153090001,LISOCABTAGENE MARALEUCEL 1.5 X 10EXP6 TO 70 X 10EXP6 CELL/ML IV SUSP,3188102.4,1594051.2,573788.95,2869292.16,69
NDC,73177010201,FENTANYL (PF) 20 MCG/2 ML (10 MCG/ML) IN 0.9 % SOD CHLORIDE IV SYRINGE,35.95,17.98,1.07,32.36,66
NDC,73177010205,FENTANYL (PF) 500 MCG/50 ML (10 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE,166.5,83.25,36.31,149.85,65
NDC,73177010225,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,773.75,386.88,1.07,696.38,66
NDC,73177010316,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) IN 0.9 % NACL IV PCA SYRINGE",131.8,65.9,28.75,118.62,65
NDC,73177010430,HYDROMORPHONE (PF) 6 MG/30 ML (0.2 MG/ML) IN 0.9% NACL IV PCA SYRINGE,97.0,48.5,21.16,87.3,65
NDC,73177010505,MORPHINE (PF) 50 MG/50 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,96.7,48.35,5.18,87.03,66
NDC,73177010516,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,114.85,57.43,25.05,103.37,65
NDC,73177010530,MORPHINE (PF) 30 MG/30 ML(1 MG/ML) IN 0.9% SOD.CHLORIDE IV PCA SYRINGE,103.85,51.93,22.65,93.47,65
NDC,73177010803,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV SYRINGE,62.65,31.33,13.66,56.39,65
NDC,73177011503,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,61.9,30.95,13.5,55.71,65
NDC,73177011602,"SUCCINYLCHOLINE(PF)100 MG/5 ML (20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",81.9,40.95,0.89,73.71,66
NDC,73177011603,"SUCCINYLCHOLINE(PF)200 MG/10 ML(20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",100.5,50.25,0.89,90.45,66
NDC,73177012119,LIDOCAINE 4 %-EPINEPHRINE 0.09 %-TETRACAINE 0.5 % TOPICAL GEL,66.2,33.1,14.44,59.58,65
NDC,73177012302,DEXMEDETOMIDINE 20 MCG/5 ML (4 MCG/ML) IN 0.9 % SODIUM CHLR IV SYRINGE,96.7,48.35,21.09,87.03,65
NDC,73177014633,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,300.0,150.0,65.43,270.0,65
NDC,73177014943,METHADONE 1 MG/ML (1 ML) IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SYRINGE,90.0,45.0,19.63,81.0,66
NDC,73177015627,"KETAMINE (PF) 10 MG/ML IN SODIUM CHLORIDE, ISO-OSMOTIC IV SOLUTION",205.0,102.5,44.71,184.5,65
NDC,73177016143,"METHADONE 10 MG/ML IN SODIUM CHLORIDE,ISO-OSMOTIC INTRAVENOUS SYRINGE",252.0,126.0,21.83,226.8,66
NDC,73177016333,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,300.0,150.0,65.43,270.0,65
NDC,73254031001,HYDROXYETHYLCELLULOSE-GLYCERIN IN WATER INTRAUTERINE INFUSION FOAM SYR,875.0,437.5,190.84,787.5,65
NDC,73293000101,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.4,10.7,4.67,19.26,65
NDC,73293000102,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.4,10.7,4.67,19.26,65
NDC,73302045601,ULIPRISTAL 30 MG TABLET,214.95,107.48,46.88,193.46,65
NDC,73320000202,BACLOFEN 10 MG TABLET,29.4,14.7,6.41,26.46,65
NDC,73441010001,OMIDUBICEL-ONLV CULTURED FRACTION,2028000.0,1014000.0,442306.8,1825200.0,64
NDC,73441080004,OMIDUBICEL-ONLV INTRAVENOUS SUSPENSION,2028000.0,1014000.0,442306.8,1825200.0,64
NDC,73473030370,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,416.15,208.08,90.76,374.54,65
NDC,73475304105,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION,24786.55,12393.28,32.79,22307.9,71
NDC,73475310203,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",64353.85,32176.93,32.93,57918.47,71
NDC,73534050501,PREDNISOLONE 5 MG TABLET,5742.0,2871.0,1252.33,5167.8,65
NDC,73535020801,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5524.0,2762.0,14.55,4971.6,71
NDC,73556016802,AVACOPAN 10 MG CAPSULE,11583.25,5791.63,2526.31,10424.93,65
NDC,73562011001,"LIPASE-PROTEASE-AMYLASE 10,000-32,000-42,000 UNIT CAPSULE,DELAYED REL",1944.5,972.25,424.1,1750.05,65
NDC,73562011101,"LIPASE-PROTEASE-AMYLASE 15,000-47,000-63,000 UNIT CAPSULE,DELAYED REL",2246.8,1123.4,490.03,2022.12,65
NDC,73562011201,"LIPASE-PROTEASE-AMYLASE 20,000-63,000-84,000 UNIT CAPSULE, DELAYED REL",3052.0,1526.0,665.64,2746.8,65
NDC,73562011301,"LIPASE-PROTEASE-AMYLASE 3,000-10,000-14,000 UNIT CAPSULE,DELAYED REL",1031.0,515.5,224.86,927.9,65
NDC,73562011401,"LIPASE-PROTEASE-AMYLASE 40,000-126,000-168,000 UNIT CAPSULE, DELAY REL",6023.6,3011.8,1313.75,5421.24,65
NDC,73562011501,"LIPASE-PROTEASE-AMYLASE 5,000-17,000-24,000 UNIT CAPSULE, DELAYED REL",984.0,492.0,214.61,885.6,65
NDC,73562011601,"LIPASE-PROTEASE-AMYLASE 25,000-79,000-105,000 UNIT CAPSULE,DELAYED REL",3776.8,1888.4,823.72,3399.12,65
NDC,73562020810,"LIPASE-PROTEASE-AMYLASE 20,880-78,300-78,300 UNIT TABLET",3082.4,1541.2,672.27,2774.16,65
NDC,73594931001,FERRIC DERISOMALTOSE 100 MG IRON/ML INTRAVENOUS SOLUTION,12083.65,6041.83,20.17,10875.29,71
NDC,73606002001,PEGCETACOPLAN (PF) 15 MG/0.1 ML INTRAVITREAL SOLUTION,8872.6,4436.3,141.96,7985.34,71
NDC,73607000201,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,21514.0,10757.0,52.87,19362.6,70
NDC,73607001111,ARTESUNATE 110 MG INTRAVENOUS SOLUTION,43028.0,21514.0,52.87,38725.2,70
NDC,73702010615,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,59.95,29.98,13.08,53.96,65
NDC,73702012203,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,173.5,86.75,37.84,156.15,65
NDC,73702012310,PHENYLEPHRINE 0.4 MG/10 ML (40 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,53.5,26.75,11.67,48.15,65
NDC,73702012410,PHENYLEPHRINE 0.8 MG/10 ML (80 MCG/ML) IN 0.9 %SOD.CHLORIDE IV SYRINGE,56.4,28.2,12.3,50.76,65
NDC,73702013415,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,125.05,62.53,27.27,112.55,65
NDC,73702014071,INDOMETHACIN 100 MG RECTAL SUPPOSITORY,14400.0,7200.0,3140.64,12960.0,65
NDC,73702020203,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,287.5,143.75,1.07,258.75,66
NDC,73702030115,KETAMINE 50 MG/5 ML (10 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,29.8,14.9,6.5,26.82,65
NDC,74527002201,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION,10433.25,5216.63,50.32,9389.93,71
NDC,74527002202,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION,10433.25,5216.63,50.32,9389.93,71
NDC,74527002203,MARGETUXIMAB-CMKB 25 MG/ML INTRAVENOUS SOLUTION,10433.25,5216.63,50.32,9389.93,71
NDC,74676590200,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,2983.4,1491.7,442.33,2685.06,71
NDC,74676590201,TRIPTORELIN PAMOATE 3.75 MG IM SUSPENSION,2983.4,1491.7,442.33,2685.06,71
NDC,74676590400,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,8875.2,4437.6,442.33,7987.68,71
NDC,74676590401,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,8875.2,4437.6,442.33,7987.68,71
NDC,74676590600,TRIPTORELIN PAMOATE 22.5 MG IM SUSPENSION,17750.4,8875.2,442.33,15975.36,71
NDC,74676590601,TRIPTORELIN PAMOATE 22.5 MG IM SUSPENSION,17750.4,8875.2,442.33,15975.36,71
NDC,75788011504,IBREXAFUNGERP 150 MG TABLET,2010.4,1005.2,438.47,1809.36,65
NDC,75826011410,PHENAZOPYRIDINE 100 MG TABLET,162.0,81.0,35.33,145.8,65
NDC,75826011510,PHENAZOPYRIDINE 200 MG TABLET,222.0,111.0,48.42,199.8,65
NDC,75826011810,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,871.0,435.5,189.97,783.9,65
NDC,75826012704,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,435.0,217.5,94.87,391.5,65
NDC,75826012804,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,1239.0,619.5,270.23,1115.1,65
NDC,75826013710,PHENOBARBITAL 16.2 MG TABLET,60.0,30.0,13.09,54.0,65
NDC,75826013910,PHENOBARBITAL 32.4 MG TABLET,86.4,43.2,18.84,77.76,65
NDC,75826014110,PHENOBARBITAL 64.8 MG TABLET,93.6,46.8,20.41,84.24,65
NDC,75826014210,PHENOBARBITAL 97.2 MG TABLET,122.4,61.2,26.7,110.16,65
NDC,75834010901,CHLORTHALIDONE 25 MG TABLET,57.6,28.8,12.56,51.84,65
NDC,75834012401,ACYCLOVIR 200 MG CAPSULE,66.0,33.0,14.39,59.4,65
NDC,75834013960,BALSAM PERU-CASTOR OIL TOPICAL OINTMENT,164.2,82.1,35.81,147.78,65
NDC,75834014706,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,7.3,3.65,1.59,6.57,65
NDC,75834014712,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,87.35,43.68,19.05,78.62,65
NDC,75834014724,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,240.05,120.03,52.35,216.05,65
NDC,75834015218,COLESEVELAM 625 MG TABLET,505.8,252.9,110.31,455.22,65
NDC,75834015801,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",77.4,38.7,16.88,69.66,65
NDC,75834015901,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",112.2,56.1,24.47,100.98,65
NDC,75834017101,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,51.3,25.65,0.05,46.17,66
NDC,75834017119,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,51.3,25.65,0.05,46.17,66
NDC,75834022101,CARBAMAZEPINE 200 MG TABLET,43.8,21.9,9.55,39.42,65
NDC,75834023801,CELECOXIB 200 MG CAPSULE,166.2,83.1,36.25,149.58,65
NDC,75834024201,ERYTHROMYCIN 250 MG TABLET,1750.0,875.0,381.68,1575.0,65
NDC,75834024230,ERYTHROMYCIN 250 MG TABLET,824.85,412.43,179.9,742.37,65
NDC,75834024330,ERYTHROMYCIN 500 MG TABLET,1222.05,611.03,266.53,1099.85,65
NDC,75834028030,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,1656.75,828.38,361.34,1491.08,65
NDC,75834029501,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,843.5,421.75,183.97,759.15,65
NDC,75834031101,THYROID (PORK) 30 MG TABLET,297.5,148.75,64.88,267.75,65
NDC,75834031201,THYROID (PORK) 60 MG TABLET,314.0,157.0,68.48,282.6,65
NDC,75834032001,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",113.4,56.7,24.73,102.06,65
NDC,75907002001,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,178.2,89.1,38.87,160.38,65
NDC,75907002311,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,79.45,39.73,17.33,71.51,65
NDC,75907002348,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,289.9,144.95,63.23,260.91,65
NDC,75907002411,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,59.0,29.5,12.87,53.1,65
NDC,75907002448,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,235.9,117.95,51.45,212.31,65
NDC,75907002548,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,509.3,254.65,111.08,458.37,65
NDC,75907004301,TRIMETHOPRIM 100 MG TABLET,931.5,465.75,203.16,838.35,65
NDC,75907004830,CYCLOSPORINE MODIFIED 100 MG CAPSULE,197.3,98.65,2.51,177.57,66
NDC,75907004881,CYCLOSPORINE MODIFIED 100 MG CAPSULE,6.6,3.3,1.44,5.94,66
NDC,75907005860,TAMOXIFEN 10 MG TABLET,68.8,34.4,15.01,61.92,65
NDC,75907006901,NORTRIPTYLINE 10 MG CAPSULE,66.6,33.3,14.53,59.94,65
NDC,75907007001,NORTRIPTYLINE 25 MG CAPSULE,159.6,79.8,34.81,143.64,65
NDC,75907007601,"ERYTHROMYCIN 250 MG CAPSULE,DELAYED RELEASE",2048.0,1024.0,446.67,1843.2,65
NDC,75907012907,PHENYLEPHRINE 2.5 % EYE DROPS,194.55,97.28,42.43,175.1,65
NDC,75907019102,CYCLOPHOSPHAMIDE 200 MG/ML INTRAVENOUS SOLUTION,528.45,264.23,0.49,475.61,71
NDC,75987005006,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,21913.0,10956.5,4779.23,19721.7,65
NDC,75987008010,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,99415.25,49707.63,3476.2,89473.73,71
NDC,75987013015,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,70069.55,35034.78,336.41,63062.6,71
NDC,76014000425,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.5,22.75,9.92,40.95,65
NDC,76014000430,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,45.5,22.75,9.92,40.95,65
NDC,76045000100,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE,27.65,13.83,0.16,24.89,66
NDC,76045000120,MIDAZOLAM (PF) 2 MG/2 ML (1 MG/ML) INJECTION SYRINGE,27.65,13.83,0.16,24.89,66
NDC,76045000210,MIDAZOLAM (PF) 5 MG/ML INJECTION SYRINGE,27.0,13.5,0.16,24.3,66
NDC,76045000320,MIDAZOLAM (PF) 5 MG/ML INJECTION SYRINGE,28.55,14.28,0.16,25.7,66
NDC,76045000401,MORPHINE 2 MG/ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,66
NDC,76045000411,MORPHINE 2 MG/ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,66
NDC,76045000501,MORPHINE 4 MG/ML INJECTION SYRINGE,27.3,13.65,5.95,24.57,66
NDC,76045000510,MORPHINE 4 MG/ML INJECTION SYRINGE,26.75,13.38,5.83,24.08,66
NDC,76045000511,MORPHINE 4 MG/ML INJECTION SYRINGE,27.3,13.65,5.95,24.57,66
NDC,76045000610,MORPHINE 5 MG/ML INJECTION SYRINGE,26.5,13.25,5.78,23.85,66
NDC,76045000900,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,28.15,14.08,6.14,25.34,65
NDC,76045000901,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,27.45,13.73,5.99,24.71,65
NDC,76045000903,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,28.35,14.18,6.18,25.52,65
NDC,76045000905,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,28.35,14.18,6.18,25.52,65
NDC,76045000906,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,27.6,13.8,6.02,24.84,65
NDC,76045000910,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,28.15,14.08,6.14,25.34,65
NDC,76045000911,HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRINGE,27.45,13.73,5.99,24.71,65
NDC,76045000996,HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRINGE,27.6,13.8,6.02,24.84,65
NDC,76045001001,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,27.55,13.78,6.01,24.8,65
NDC,76045001010,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,28.25,14.13,6.16,25.43,65
NDC,76045001011,HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRINGE,27.55,13.78,6.01,24.8,65
NDC,76045010120,METOCLOPRAMIDE 5 MG/ML INJECTION SYRINGE,21.8,10.9,1.22,19.62,66
NDC,76045010210,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE,21.85,10.93,0.89,19.67,66
NDC,76045010320,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SYRINGE,46.75,23.38,0.17,42.08,66
NDC,76045010610,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE,22.25,11.13,0.13,20.03,66
NDC,76045010810,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SYRINGE",22.8,11.4,0.3,20.52,66
NDC,76045010910,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SYRINGE,22.65,11.33,0.13,20.39,66
NDC,76045011401,NALOXONE 0.4 MG/ML INJECTION SYRINGE,25.8,12.9,5.63,23.22,65
NDC,76045011410,NALOXONE 0.4 MG/ML INJECTION SYRINGE,25.8,12.9,5.63,23.22,65
NDC,76045012101,HYDROMORPHONE (PF) 0.2 MG/ML INJECTION SYRINGE,27.2,13.6,5.93,24.48,65
NDC,76045020301,GLYCOPYRROLATE (PF) IN STERILE WATER 0.2 MG/ML INJECTION SYRINGE,20.85,10.43,0.47,18.77,71
NDC,76045020302,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,35.7,17.85,0.47,32.13,71
NDC,76045020310,GLYCOPYRROLATE (PF) IN STERILE WATER 0.2 MG/ML INJECTION SYRINGE,20.85,10.43,0.47,18.77,71
NDC,76045020320,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,35.7,17.85,0.47,32.13,71
NDC,76045020400,DIAZEPAM 5 MG/ML INJECTION SYRINGE,80.45,40.23,6.06,72.41,66
NDC,76045020420,DIAZEPAM 5 MG/ML INJECTION SYRINGE,80.45,40.23,6.06,72.41,66
NDC,76045038313,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,73.9,36.95,1.79,66.51,66
NDC,76045038330,NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) INTRAVENOUS SYRINGE,73.9,36.95,1.79,66.51,66
NDC,76075010101,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,14197.4,7098.7,50.35,12777.66,71
NDC,76075010201,CARFILZOMIB 30 MG INTRAVENOUS SOLUTION,7123.7,3561.85,50.35,6411.33,71
NDC,76075010301,CARFILZOMIB 10 MG INTRAVENOUS SOLUTION,2407.9,1203.95,50.35,2167.11,71
NDC,76090800003,SALIVA SUBSTITUTE COMBO NO.2,59.6,29.8,13.0,53.64,65
NDC,76125079025,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",217.5,108.75,47.44,195.75,70
NDC,76125079026,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",217.5,108.75,47.44,195.75,70
NDC,76125079210,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",339.1,169.55,73.96,305.19,65
NDC,76125079211,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",339.1,169.55,73.96,305.19,65
NDC,76125079225,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",216.95,108.48,47.32,195.26,65
NDC,76125079226,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",216.95,108.48,47.32,195.26,65
NDC,76125090001,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,521.05,260.53,44.92,468.95,71
NDC,76125090002,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,521.05,260.53,44.92,468.95,71
NDC,76125090010,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,3883.05,1941.53,44.92,3494.75,71
NDC,76125090011,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,3883.05,1941.53,44.92,3494.75,71
NDC,76125090020,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,7741.1,3870.55,44.92,6966.99,71
NDC,76125090021,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,7741.1,3870.55,44.92,6966.99,71
NDC,76128015575,PORFIMER 75 MG INTRAVENOUS SOLUTION,91941.0,45970.5,20052.33,82746.9,71
NDC,76154081215,EPINEPHRINE HCL 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLOR IV SOLN,169.0,84.5,36.86,152.1,65
NDC,76154085415,PHENYLEPHRINE 40 MG/250 ML (160 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,157.0,78.5,34.24,141.3,65
NDC,76204001811,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,5.6,2.8,1.22,5.04,65
NDC,76204002160,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.35,1.68,0.73,3.02,65
NDC,76204002260,SODIUM CHLORIDE 3 % FOR NEBULIZATION,3.35,1.68,0.73,3.02,65
NDC,76204002596,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,5.1,2.55,1.11,4.59,65
NDC,76204010001,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.4,1.7,0.36,3.06,66
NDC,76204010025,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,76204010030,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.25,1.63,0.36,2.93,66
NDC,76204010060,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,3.3,1.65,0.36,2.97,66
NDC,76204020001,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.4,1.7,0.74,3.06,65
NDC,76204020025,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.5,1.75,0.76,3.15,65
NDC,76204020030,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.3,1.65,0.72,2.97,65
NDC,76204020060,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,3.25,1.63,0.71,2.93,65
NDC,76204060001,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.5,1.75,0.76,3.15,65
NDC,76204060030,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.25,1.63,0.71,2.93,65
NDC,76204060060,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,3.3,1.65,0.72,2.97,65
NDC,76204080001,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,7.2,3.6,1.57,6.48,65
NDC,76204080011,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,7.2,3.6,1.57,6.48,65
NDC,76204080015,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,7.2,3.6,1.57,6.48,65
NDC,76204080025,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,7.2,3.6,1.57,6.48,65
NDC,76204090001,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,7.4,3.7,1.61,6.66,65
NDC,76204090011,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,7.4,3.7,1.61,6.66,65
NDC,76204090015,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,3.15,1.58,0.69,2.84,65
NDC,76204090025,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,3.15,1.58,0.69,2.84,65
NDC,76282010339,DICLOFENAC 1 % TOPICAL GEL,19.8,9.9,4.32,17.82,65
NDC,76282021218,SERTRALINE 25 MG TABLET,20.55,10.28,4.48,18.5,65
NDC,76282021290,SERTRALINE 25 MG TABLET,14.6,7.3,3.18,13.14,65
NDC,76282021318,SERTRALINE 50 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,76282021360,SERTRALINE 50 MG TABLET,13.7,6.85,2.99,12.33,65
NDC,76282021390,SERTRALINE 50 MG TABLET,17.3,8.65,3.77,15.57,65
NDC,76282021418,SERTRALINE 100 MG TABLET,29.2,14.6,6.37,26.28,65
NDC,76282021430,SERTRALINE 100 MG TABLET,6.5,3.25,1.42,5.85,65
NDC,76282021460,SERTRALINE 100 MG TABLET,11.2,5.6,2.44,10.08,65
NDC,76282021490,SERTRALINE 100 MG TABLET,15.7,7.85,3.42,14.13,65
NDC,76282022518,GEMFIBROZIL 600 MG TABLET,632.7,316.35,137.99,569.43,65
NDC,76282022601,ZONISAMIDE 25 MG CAPSULE,76.8,38.4,16.75,69.12,65
NDC,76282023890,AMLODIPINE 5 MG TABLET,24.85,12.43,5.42,22.37,65
NDC,76282023990,AMLODIPINE 10 MG TABLET,41.05,20.53,8.95,36.95,65
NDC,76282025090,ESCITALOPRAM 10 MG TABLET,67.0,33.5,14.61,60.3,65
NDC,76282025630,RALOXIFENE 60 MG TABLET,74.2,37.1,16.18,66.78,65
NDC,76282025701,NABUMETONE 500 MG TABLET,300.5,150.25,65.54,270.45,65
NDC,76282030901,HYDRALAZINE 10 MG TABLET,27.0,13.5,5.89,24.3,65
NDC,76282031001,HYDRALAZINE 25 MG TABLET,32.4,16.2,7.07,29.16,65
NDC,76282032801,WARFARIN 2 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,76282033201,WARFARIN 5 MG TABLET,133.8,66.9,29.18,120.42,65
NDC,76282033301,WARFARIN 6 MG TABLET,167.4,83.7,36.51,150.66,65
NDC,76282033660,TROSPIUM 20 MG TABLET,288.4,144.2,62.9,259.56,65
NDC,76282034701,NADOLOL 20 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,76282040727,SEVELAMER CARBONATE 800 MG TABLET,275.4,137.7,60.06,247.86,65
NDC,76282056890,PREGABALIN 25 MG CAPSULE,11.9,5.95,2.6,10.71,65
NDC,76282056990,PREGABALIN 50 MG CAPSULE,17.85,8.93,3.89,16.07,65
NDC,76282057090,PREGABALIN 75 MG CAPSULE,19.45,9.73,4.24,17.51,65
NDC,76282057190,PREGABALIN 100 MG CAPSULE,22.15,11.08,4.83,19.94,65
NDC,76282062890,CITALOPRAM 10 MG TABLET,20.55,10.28,4.48,18.5,65
NDC,76282064137,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,12.15,6.08,2.65,10.94,65
NDC,76282064138,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,12.15,6.08,2.65,10.94,65
NDC,76282066339,DICLOFENAC 1 % TOPICAL GEL,19.8,9.9,4.32,17.82,65
NDC,76282067942,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,50.2,25.1,10.95,45.18,65
NDC,76282070245,OSELTAMIVIR 30 MG CAPSULE,94.9,47.45,20.7,85.41,65
NDC,76282070445,OSELTAMIVIR 75 MG CAPSULE,95.3,47.65,20.78,85.77,65
NDC,76282071490,IBUPROFEN 800 MG TABLET,25.95,12.98,5.66,23.36,65
NDC,76282072101,PRAZOSIN 1 MG CAPSULE,31.8,15.9,6.94,28.62,65
NDC,76282072201,PRAZOSIN 2 MG CAPSULE,46.2,23.1,10.08,41.58,65
NDC,76282072301,PRAZOSIN 5 MG CAPSULE,67.2,33.6,14.66,60.48,65
NDC,76282072325,PRAZOSIN 5 MG CAPSULE,136.5,68.25,29.77,122.85,65
NDC,76282072801,LISINOPRIL 2.5 MG TABLET,6.0,3.0,1.31,5.4,65
NDC,76282072901,LISINOPRIL 5 MG TABLET,7.2,3.6,1.57,6.48,65
NDC,76282073001,LISINOPRIL 10 MG TABLET,10.2,5.1,2.22,9.18,65
NDC,76282073090,LISINOPRIL 10 MG TABLET,9.2,4.6,2.01,8.28,65
NDC,76282073101,LISINOPRIL 20 MG TABLET,12.0,6.0,2.62,10.8,65
NDC,76282073190,LISINOPRIL 20 MG TABLET,11.35,5.68,2.48,10.22,65
NDC,76282074030,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,993.0,496.5,216.57,893.7,65
NDC,76310001701,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,4007.65,2003.83,874.07,3606.89,66
NDC,76310001750,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,4007.65,2003.83,874.07,3606.89,66
NDC,76310002201,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,20588.2,10294.1,4490.29,18529.38,71
NDC,76310002415,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1511.25,755.63,16.4,1360.13,71
NDC,76310002425,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,1511.25,755.63,16.4,1360.13,71
NDC,76310002441,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,2418.75,1209.38,16.4,2176.88,71
NDC,76329124001,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,132.75,66.38,3.22,119.48,66
NDC,76329146901,NALOXONE 1 MG/ML INJECTION SYRINGE,56.75,28.38,12.38,51.08,65
NDC,76329191101,MORPHINE 30 MG/30 ML (1 MG/ML) INTRAVENOUS PCA SYRINGE,80.8,40.4,5.18,72.72,66
NDC,76329191201,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,80.45,40.23,5.18,72.41,66
NDC,76329301105,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,28.0,14.0,6.11,25.2,65
NDC,76329301205,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,28.95,14.48,6.31,26.06,65
NDC,76329301305,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,36.15,18.08,7.88,32.54,65
NDC,76329301505,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,49.35,24.68,10.76,44.42,65
NDC,76329330101,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,64.5,32.25,14.07,58.05,65
NDC,76329330201,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,89.4,44.7,19.5,80.46,65
NDC,76329330401,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,53.2,26.6,11.6,47.88,65
NDC,76329331801,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,57.9,28.95,12.63,52.11,65
NDC,76329332100,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,166.45,83.23,15.27,149.81,66
NDC,76329334001,ATROPINE 0.1 MG/ML INJECTION SYRINGE,58.05,29.03,0.09,52.25,66
NDC,76329335201,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,90.0,45.0,19.63,81.0,65
NDC,76329336901,NALOXONE 1 MG/ML INJECTION SYRINGE,56.75,28.38,12.38,51.08,65
NDC,76329339001,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,36.8,18.4,8.03,33.12,65
NDC,76329339905,PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE,315.5,157.75,68.81,368.36,71
NDC,76329346901,NALOXONE 1 MG/ML INJECTION SYRINGE,56.75,28.38,12.38,51.08,65
NDC,76329630005,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,157.7,78.85,34.39,141.93,65
NDC,76329826100,LORAZEPAM 2 MG/ML INJECTION SOLUTION,85.0,42.5,1.24,76.5,66
NDC,76329826101,LORAZEPAM 2 MG/ML INJECTION SOLUTION,85.0,42.5,1.24,76.5,66
NDC,76329906000,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,1125.0,562.5,245.36,1012.5,65
NDC,76385010201,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,669.0,334.5,145.91,602.1,65
NDC,76385011050,CARVEDILOL 3.125 MG TABLET,48.0,24.0,10.47,43.2,65
NDC,76385011150,CARVEDILOL 6.25 MG TABLET,54.0,27.0,11.78,48.6,65
NDC,76385011250,CARVEDILOL 12.5 MG TABLET,63.0,31.5,13.74,56.7,65
NDC,76385011401,SOTALOL 80 MG TABLET,34.2,17.1,7.46,30.78,65
NDC,76385012301,METHOCARBAMOL 500 MG TABLET,46.2,23.1,10.08,41.58,65
NDC,76385012401,METHOCARBAMOL 750 MG TABLET,55.2,27.6,12.04,49.68,65
NDC,76385012501,SOTALOL 80 MG TABLET,183.6,91.8,40.04,165.24,65
NDC,76385013101,PINDOLOL 5 MG TABLET,475.0,237.5,103.6,427.5,65
NDC,76385013301,NADOLOL 20 MG TABLET,85.2,42.6,18.58,76.68,65
NDC,76385013401,NADOLOL 40 MG TABLET,129.0,64.5,28.13,116.1,65
NDC,76385013601,METOLAZONE 2.5 MG TABLET,325.0,162.5,70.88,292.5,65
NDC,76385014401,HYDROXYCHLOROQUINE 200 MG TABLET,285.6,142.8,62.29,257.04,65
NDC,76388063525,CHLORAMBUCIL 2 MG TABLET,2428.0,1214.0,529.55,2185.2,65
NDC,76388071325,BUSULFAN 2 MG TABLET,2144.7,1072.35,85.89,1930.23,70
NDC,76388088025,THIOGUANINE 40 MG TABLET,2314.5,1157.25,504.79,2083.05,65
NDC,76439040290,LMFOLATE CA 6 MG-ACETYLCYS 600 MG-MB12 2 MG-ALGAL OIL 90.314 MG TABLET,1144.35,572.18,249.58,1029.92,65
NDC,76478000105,TIMOLOL 0.25 % EYE DROPS,593.75,296.88,129.5,534.38,65
NDC,76478000205,TIMOLOL 0.5 % EYE DROPS,655.6,327.8,142.99,590.04,65
NDC,76478050120,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,1785.45,892.73,55.59,1606.91,66
NDC,76478050150,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2707.6,1353.8,55.59,2436.84,66
NDC,76478071140,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,2034.35,1017.18,134.68,1830.92,66
NDC,77333071510,PRENATAL VITS NO.130-FERROUS FUM 27 MG IRON-FOLIC ACID 800 MCG TABLET,83.4,41.7,18.19,75.06,65
NDC,77333071525,PRENATAL VITS NO.130-FERROUS FUM 27 MG IRON-FOLIC ACID 800 MCG TABLET,3.15,1.58,0.69,2.84,65
NDC,77771011401,FLUOXETINE 20 MG CAPSULE,12.0,6.0,2.62,10.8,65
NDC,78206011801,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,246.8,123.4,7.56,222.12,66
NDC,78206012101,LOSARTAN 25 MG TABLET,1391.4,695.7,303.46,1252.26,65
NDC,78206012201,LOSARTAN 50 MG TABLET,621.0,310.5,135.44,558.9,65
NDC,78206012202,LOSARTAN 50 MG TABLET,1863.45,931.73,406.42,1677.11,65
NDC,78206014501,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,2637.7,1318.85,575.28,2373.93,66
NDC,78206014601,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,751.75,375.88,162.6,676.58,66
NDC,78206014603,ETONOGESTREL 0.12 MG-ETHINYL ESTRADIOL 0.015 MG/24 HR VAGINAL RING,751.75,375.88,162.6,676.58,66
NDC,78206015601,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,658.5,329.25,143.62,592.65,65
NDC,78206015699,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,26.35,13.18,5.75,23.72,65
NDC,78206016201,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,2743.55,1371.78,27.54,2469.2,71
NDC,78206016299,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,2743.55,1371.78,27.54,2469.2,71
NDC,78670000367,DANTROLENE 20 MG INTRAVENOUS SOLUTION,323.75,161.88,70.61,291.38,65
NDC,79854004097,ACETYLCYSTEINE 600 MG CAPSULE,36.0,18.0,7.85,32.4,65
NDC,79854051280,FOLIC ACID 1 MG TABLET,72.0,36.0,15.7,64.8,65
NDC,79854051281,FOLIC ACID 1 MG TABLET,24.6,12.3,5.37,22.14,65
NDC,79952011001,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,111115.6,55557.8,214.57,100004.04,71
NDC,80005015218,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,1739.0,869.5,379.28,1565.1,65
NDC,80005016108,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,1688.25,844.13,368.21,1519.43,65
NDC,80203034701,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION,7695.45,3847.73,18.26,6925.91,71
NDC,80446040101,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,81970.0,40985.0,212.05,73773.0,71
NDC,80681015700,VITAMIN B COMPLEX-VITAMIN C-FOLIC ACID 400 MCG TABLET,23.4,11.7,5.1,21.06,65
NDC,80681017200,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",150.6,75.3,32.85,135.54,65
NDC,80725025001,PAROMOMYCIN 250 MG CAPSULE,43854.8,21927.4,9564.73,39469.32,65
NDC,80725063025,THIOGUANINE 40 MG TABLET,49981.5,24990.75,10900.97,44983.35,65
NDC,80735082037,PLAZOMICIN 50 MG/ML INTRAVENOUS SOLUTION,1680.0,840.0,3.57,1512.0,71
NDC,80777011001,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,196.0,98.0,42.75,202.07,71
NDC,80777011093,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,196.0,98.0,42.75,202.07,71
NDC,80777011096,COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,196.0,98.0,42.75,202.07,71
NDC,80777029109,COVID VAC 2024-25 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYR (EUA),88.9,44.45,19.39,183.83,71
NDC,80777029180,COVID VAC 2024-25 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYR (EUA),88.9,44.45,19.39,183.83,71
NDC,80803015350,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,31939.15,15969.58,86.26,28745.24,71
NDC,80830167201,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,64.2,32.1,14.0,57.78,65
NDC,80830167202,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,64.2,32.1,14.0,57.78,65
NDC,80830167301,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,86.2,43.1,18.8,77.58,65
NDC,80830167302,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,86.2,43.1,18.8,77.58,65
NDC,80830167402,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,210.4,105.2,45.89,189.36,65
NDC,80830167408,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,210.4,105.2,45.89,189.36,65
NDC,80830169101,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,234.7,117.35,51.19,211.23,65
NDC,80830169102,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,234.7,117.35,51.19,211.23,65
NDC,80830169201,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,291.4,145.7,63.55,262.26,65
NDC,80830169202,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,291.4,145.7,63.55,262.26,65
NDC,80830169301,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,100.75,50.38,21.97,90.68,65
NDC,80830169303,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,100.75,50.38,21.97,90.68,65
NDC,80830232901,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",80.2,40.1,17.49,72.18,65
NDC,80830232902,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",80.2,40.1,17.49,72.18,65
NDC,80830232903,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",80.2,40.1,17.49,72.18,65
NDC,80830236201,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",79.9,39.95,17.43,71.91,65
NDC,80830236202,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",79.9,39.95,17.43,71.91,65
NDC,80830236301,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",148.0,74.0,32.28,133.2,65
NDC,80830236302,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",148.0,74.0,32.28,133.2,65
NDC,80830236309,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",122.2,61.1,26.65,109.98,65
NDC,80830246501,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,47.8,23.9,0.02,43.02,66
NDC,80830246509,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,47.8,23.9,0.02,43.02,66
NDC,81005012401,METOLAZONE 2.5 MG TABLET,44.4,22.2,9.68,39.96,65
NDC,81005012501,METOLAZONE 5 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,81005012601,METOLAZONE 10 MG TABLET,87.0,43.5,18.97,78.3,65
NDC,81033002001,MUPIROCIN 2 % TOPICAL OINTMENT,11.05,5.53,2.41,9.95,65
NDC,81033002050,MUPIROCIN 2 % TOPICAL OINTMENT,11.05,5.53,2.41,9.95,65
NDC,81033002099,MUPIROCIN 2 % TOPICAL OINTMENT,11.85,5.93,2.58,10.67,65
NDC,81033002505,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,31.1,15.55,6.78,27.99,65
NDC,81033002551,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,31.1,15.55,6.78,27.99,65
NDC,81033006620,METRONIDAZOLE 500 MG/5 ML ORAL SUSPENSION,1063.0,531.5,231.84,956.7,65
NDC,81033010405,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,113.6,56.8,24.78,102.24,65
NDC,81033010442,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,113.6,56.8,24.78,102.24,65
NDC,81033022015,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,12.25,6.13,2.67,11.03,65
NDC,81033024115,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,4.45,2.23,0.97,4.01,65
NDC,81033024130,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,5.25,2.63,1.15,4.73,65
NDC,81033024150,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,4.45,2.23,0.97,4.01,65
NDC,81033024151,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,5.25,2.63,1.15,4.73,65
NDC,81033041215,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,12.25,6.13,2.67,11.03,65
NDC,81033041250,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,12.25,6.13,2.67,11.03,65
NDC,81033051215,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.6,3.3,1.44,5.94,65
NDC,81033051250,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,6.6,3.3,1.44,5.94,65
NDC,81284015300,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.0,25.0,1.3,45.0,66
NDC,81284015310,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.0,25.0,1.3,45.0,66
NDC,81284021100,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.15,23.08,10.07,41.54,65
NDC,81284021125,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,46.15,23.08,10.07,41.54,65
NDC,81284021300,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,68.8,34.4,15.01,61.92,65
NDC,81284021301,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,68.8,34.4,15.01,61.92,65
NDC,81284031500,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,1571.65,785.83,10.16,1414.49,70
NDC,81284031505,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION,1571.65,785.83,10.16,1414.49,70
NDC,81284041100,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,260.45,130.23,46.99,234.41,66
NDC,81284041105,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,260.45,130.23,46.99,234.41,66
NDC,81284041110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,223.55,111.78,46.99,201.2,66
NDC,81284061100,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",58.0,29.0,12.65,52.2,65
NDC,81284061110,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",58.0,29.0,12.65,52.2,65
NDC,81284083105,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION,625.0,312.5,136.31,562.5,65
NDC,81298501001,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,160.9,80.45,35.09,144.81,65
NDC,81298501003,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,160.9,80.45,35.09,144.81,65
NDC,81298501005,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,302.75,151.38,66.03,272.48,65
NDC,81298578101,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,31.5,15.75,1.05,28.35,66
NDC,81298578105,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,31.5,15.75,1.05,28.35,66
NDC,81298762001,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,81298762003,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,58.3,29.15,12.72,52.47,65
NDC,81298811001,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,450.0,225.0,0.49,405.0,71
NDC,81298866001,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,266.25,133.13,58.07,239.63,65
NDC,81298866003,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,266.25,133.13,58.07,239.63,65
NDC,81298965801,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,302.5,151.25,65.98,272.25,65
NDC,81298965803,NOREPINEPHRINE BITARTRATE 16 MG/250 ML (64 MCG/ML) IN 0.9 % NACL IV,302.5,151.25,65.98,272.25,65
NDC,81483003700,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:100,000 INJECTION SOLUTION",49.05,24.53,10.7,44.15,65
NDC,81643927001,FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION,14095.0,7047.5,3074.12,12685.5,71
NDC,81665010210,ISOSORBIDE MONONITRATE 10 MG TABLET,1475.0,737.5,321.7,1327.5,65
NDC,81665010310,ISOSORBIDE MONONITRATE 20 MG TABLET,1745.0,872.5,380.58,1570.5,65
NDC,81665010408,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,11.55,5.78,2.52,10.4,65
NDC,81665010496,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,11.55,5.78,2.52,10.4,65
NDC,81665030102,COCAINE 4 % NASAL SOLUTION,1659.5,829.75,361.94,1493.55,65
NDC,81927011101,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,2690.0,1345.0,81.46,2421.0,70
NDC,81927011106,NELARABINE 250 MG/50 ML INTRAVENOUS SOLUTION,2690.0,1345.0,81.46,2421.0,70
NDC,81952011101,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,20.34,66
NDC,81952011106,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.6,11.3,0.3,20.34,66
NDC,81952011201,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.15,11.08,0.3,19.94,66
NDC,81952011204,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.25,11.63,0.3,20.93,66
NDC,81952011206,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",22.15,11.08,0.3,19.94,66
NDC,81952011209,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",23.25,11.63,0.3,20.93,66
NDC,81960003103,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2591.7,1295.85,565.25,9048.75,70
NDC,81964020351,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,65.25,32.63,14.23,58.73,65
NDC,81964020407,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,159.3,79.65,34.74,143.37,65
NDC,81964020501,AMOXICILLIN 500 MG CAPSULE,41.4,20.7,9.03,37.26,65
NDC,81964022114,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,23.65,11.83,5.16,21.29,65
NDC,82089010134,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,1341.7,670.85,292.62,1207.53,65
NDC,82154044901,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,4117.45,2058.73,898.02,3705.71,65
NDC,82154045104,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4117.45,2058.73,898.02,3705.71,65
NDC,82182077305,BRIMONIDINE 0.15 % EYE DROPS,536.7,268.35,117.05,483.03,65
NDC,82260000101,ATROPINE SULFATE (PF) 1 % EYE DROPS IN A DROPPERETTE,149.85,74.93,32.68,134.87,65
NDC,82260004505,TIMOLOL MALEATE 0.5 % ONCE DAILY EYE DROPS,1351.8,675.9,294.83,1216.62,65
NDC,82260081305,TIMOLOL MALEATE 0.5 % EYE DROPS,30.8,15.4,6.72,27.72,65
NDC,82260081905,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,897.2,448.6,195.68,807.48,65
NDC,82293000310,MIDODRINE 2.5 MG TABLET,66.0,33.0,14.39,59.4,65
NDC,82584060510,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,1119.75,559.88,244.22,1007.78,65
NDC,82584079201,LIDOCAINE (PF) 3.5 % EYE GEL,112.05,56.03,24.44,100.85,65
NDC,82584079225,LIDOCAINE (PF) 3.5 % EYE GEL,112.0,56.0,24.43,100.8,65
NDC,82604060000,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2360.0,1180.0,94.02,2124.0,71
NDC,82604060004,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,2360.0,1180.0,94.02,2124.0,71
NDC,82619010301,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,1255.0,627.5,273.72,1129.5,65
NDC,82625880101,NALOXEGOL 12.5 MG TABLET,2017.2,1008.6,439.95,1815.48,65
NDC,82625880201,NALOXEGOL 25 MG TABLET,2017.2,1008.6,439.95,1815.48,65
NDC,82625880203,NALOXEGOL 25 MG TABLET,5379.2,2689.6,1173.2,4841.28,65
NDC,82667010005,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",535.55,267.78,116.8,482.0,65
NDC,82667070003,MOXIFLOXACIN 0.5 % EYE DROPS,457.65,228.83,99.81,411.89,65
NDC,82685020101,DIGOXIN 125 MCG (0.125 MG) TABLET,142.2,71.1,31.01,127.98,65
NDC,82705000201,EPCORITAMAB-BYSP 4 MG/0.8 ML SUBCUTANEOUS SOLUTION,8078.6,4039.3,56.03,7270.74,71
NDC,82705001001,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,96943.0,48471.5,56.03,87248.7,71
NDC,82959011101,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,40747.1,20373.55,58.17,36672.39,70
NDC,83077010002,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,47550.0,23775.0,33.57,42795.0,70
NDC,83090000301,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.2,10.6,4.62,19.08,65
NDC,83090000310,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,21.2,10.6,4.62,19.08,65
NDC,83090000501,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.05,10.53,4.59,18.95,65
NDC,83090000510,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,21.05,10.53,4.59,18.95,65
NDC,83090000701,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,22.25,11.13,4.85,20.03,65
NDC,83090000710,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,22.25,11.13,4.85,20.03,65
NDC,83257000111,TRASTUZUMAB-DKST 150 MG INTRAVENOUS SOLUTION,3241.4,1620.7,41.1,2917.26,71
NDC,83257000311,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,8984.55,4492.28,41.1,8086.1,71
NDC,83257000412,TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLUTION,8980.7,4490.35,41.1,8082.63,71
NDC,83257000541,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,6656.4,3328.2,101.11,5990.76,71
NDC,83490020760,SODIUM CHLORIDE 7 % FOR NEBULIZATION,4.1,2.05,0.89,3.69,65
NDC,83490022028,NEBULIZERS,82.95,41.48,18.09,74.66,64
NDC,83490030760,SODIUM CHLORIDE 7 % FOR NEBULIZATION,3.3,1.65,0.72,2.97,65
NDC,83634030151,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,320.2,160.1,24.87,288.18,66
NDC,83634030305,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,293.1,146.55,63.93,263.79,65
NDC,83634030341,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,311.2,155.6,67.87,280.08,65
NDC,83634030342,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,293.1,146.55,63.93,263.79,65
NDC,83634040010,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,201.4,100.7,0.24,181.26,66
NDC,83634040041,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,201.4,100.7,0.24,181.26,66
NDC,83634045101,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,80.05,40.03,3.59,72.05,71
NDC,83634045110,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,629.75,314.88,3.59,566.78,71
NDC,83634045141,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,80.05,40.03,3.59,72.05,71
NDC,83634050041,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.65,23.83,0.77,42.89,66
NDC,83634050081,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,47.65,23.83,0.77,42.89,66
NDC,83634060343,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,53.4,26.7,0.14,48.06,66
NDC,83634060351,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,53.4,26.7,0.14,48.06,66
NDC,83634077610,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,125.9,62.95,0.15,113.31,66
NDC,83634077802,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.2,11.1,3.81,19.98,66
NDC,83634077841,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.2,11.1,3.81,19.98,66
NDC,83634077902,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,21.3,10.65,1.22,19.17,66
NDC,83831011804,CYCLOPHOSPHAMIDE 500 MG/ML INTRAVENOUS SOLUTION,14050.0,7025.0,3.84,12645.0,71
NDC,83851010001,FLUORESCEIN 1 MG EYE STRIPS,3.25,1.63,0.71,2.93,65
NDC,83851010030,FLUORESCEIN 1 MG EYE STRIPS,330.0,165.0,71.97,297.0,65
NDC,83980000501,PROPRANOLOL 10 MG TABLET,90.0,45.0,19.63,81.0,65
NDC,83980000901,PROPRANOLOL 80 MG TABLET,213.6,106.8,46.59,192.24,65
NDC,85446036981,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,663.35,331.68,144.68,597.02,65
NDC,85446036991,SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRINGE,594.8,297.4,129.73,535.32,65
NDC,85670200601,NEBULIZERS,275.0,137.5,59.98,247.5,64
NDC,88888000620,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION,5.05,2.53,1.1,4.55,65
NDC,88888000713,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,5.25,2.63,1.15,4.73,65
NDC,88888000728,QUETIAPINE 12.5 MG SPLIT TABLET,3.1,1.55,0.68,2.79,65
NDC,88888000748,VANCOMYCIN 50 MG/ML ORAL SOLUTION,100.1,50.05,21.83,90.09,65
NDC,88888000749,VANCOMYCIN 50 MG/ML ORAL SOLUTION,200.2,100.1,43.66,180.18,65
NDC,88888000750,VANCOMYCIN 50 MG/ML ORAL SOLUTION,250.2,125.1,54.57,225.18,65
NDC,88888000751,VANCOMYCIN 50 MG/ML ORAL SOLUTION,333.6,166.8,72.76,300.24,65
NDC,88888000752,VANCOMYCIN 50 MG/ML ORAL SOLUTION,417.0,208.5,90.95,375.3,65
NDC,88888000757,VANCOMYCIN 50 MG/ML ORAL SOLUTION,12.55,6.28,2.74,11.3,65
NDC,88888000758,VANCOMYCIN 50 MG/ML ORAL SOLUTION,25.05,12.53,5.46,22.55,65
NDC,88888002807,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,21.7,10.85,0.13,19.53,66
NDC,88888002808,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,4.5,2.25,0.13,4.05,66
NDC,88888200003,TC-99M PENTETIC ACID IV SOLUTION,187.95,93.98,40.99,169.16,64
NDC,88888200015,TC-99M PENTETIC ACID IV SOLUTION,187.95,93.98,40.99,169.16,64
NDC,88888200026,TC-99M PENTETIC ACID IV SOLUTION,187.95,93.98,40.99,169.16,64
NDC,88888200100,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,9.0,4.5,1.96,8.1,65
NDC,89122072420,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,878.3,439.15,78.17,790.47,66
NDC,89122087901,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,2260.4,1130.2,10.47,2034.36,71
NDC,89130311101,SODIUM HYALURONATE 16.8 MG/2 ML INTRA-ARTICULAR SYRINGE,1793.55,896.78,0.52,1614.2,66
NDC,89130444401,SODIUM HYALURONATE 10 MG/ML INTRA-ARTICULAR SYRINGE,1096.5,548.25,78.17,986.85,66
NDC,97457099405,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,56.65,28.33,12.36,50.99,66
NDC,99991275301,CEFTAROLINE FOSAMIL 0.1 MG/ML (SOLN A) SOLUTION (DESENSITIZATION),30.0,15.0,4.11,27.0,71
NDC,99999000600,TC-99M MEBROFENIN INJECTION (CC),164.25,82.13,35.82,147.83,64
NDC,99999001100,TC-99M SULFUR COLLOID INJECTION,751.45,375.73,163.89,676.31,64
NDC,99999003002,ADENOSINE 360 MG/120 ML IVPB,2372.4,1186.2,0.66,2135.16,66
RC,0110,HC PRIVATE ROOM DAILY,2132.0,1066.0,646.0,1918.8,23
RC,0112,HC OB PRIVATE ROOM DAILY,2186.0,1093.0,662.36,1967.4,23
RC,0113,HC PRIVATE PED ROOM DAILY,2211.0,1105.5,669.93,1989.9,23
RC,0114,HC PRIVATE PSYCH ROOM DAILY,3053.0,1526.5,750.0,2747.7,35
RC,0116,HC PRIVATE DETOXIFICATION ROOM DAILY,2455.0,1227.5,743.87,2209.5,26
RC,0118,HC PRIVATE REHABILITATION ROOM DAILY,3313.0,1656.5,551.81,2981.7,30
RC,0124,HC SEMI PRIVATE PSYCHIATRIC ROOM DAILY,3053.0,1526.5,750.0,2747.7,34
RC,0126,Psych Services,,,972.0,972.0,1
RC,0126,Room and Board,,,1531.0,1679.0,2
RC,0128,HC ROOM SEMI PRIVATE REHABILITATION,3313.0,1656.5,551.81,2981.7,30
RC,0134,Psych,,,750.0,1134.7,8
RC,0134,Psych Services,,,972.0,972.0,1
RC,0134,Room and Board,,,1679.0,1679.0,1
RC,0136,Psych Services,,,972.0,972.0,1
RC,0136,Room and Board,,,1679.0,1679.0,1
RC,0138,Rehab,,,551.81,1380.0,7
RC,0144,Psych,,,750.0,1134.7,8
RC,0144,Psych Services,,,972.0,972.0,1
RC,0144,Room and Board,,,1679.0,1679.0,1
RC,0146,Psych Services,,,972.0,972.0,1
RC,0146,Room and Board,,,1679.0,1679.0,1
RC,0148,Rehab,,,551.81,1380.0,7
RC,0154,Psych,,,750.0,1134.7,8
RC,0154,Psych Services,,,972.0,972.0,1
RC,0154,Room and Board,,,1679.0,1679.0,1
RC,0156,Psych Services,,,972.0,972.0,1
RC,0156,Room and Board,,,1679.0,1679.0,1
RC,0158,Rehab,,,551.81,1380.0,7
RC,0161,HC HOME HOSPITAL DAILY,2132.0,1066.0,552.19,1918.8,23
RC,0170,Nursery,,,517.57,517.57,1
RC,0171,HC NURSERY 1 ROOM DAILY,1645.0,822.5,498.44,1480.5,24
RC,0172,HC NURSERY 2 ROOM DAILY,4008.0,2004.0,1214.42,3607.2,23
RC,0173,HC NURSERY 3 ROOM DAILY,6239.0,3119.5,1890.42,5615.1,23
RC,0174,HC NURSERY 4 ROOM DAILY,8324.0,4162.0,2522.17,7491.6,23
RC,0200,HC ICU ROOM DAILY,7175.0,3587.5,2174.03,6457.5,23
RC,0201,HC ICU SURG ROOM DAILY,7175.0,3587.5,2174.03,6457.5,23
RC,0203,HC ICU PED ROOM DAILY,10248.0,5124.0,3105.14,9223.2,23
RC,0206,HC CVIC PROGRESSIVE,4612.0,2306.0,1397.44,4150.8,23
RC,0206,HC PIC PROGRESSIVE,4612.0,2306.0,1397.44,4150.8,23
RC,0206,HC PROGRESSIVE ROOM DAILY,4612.0,2306.0,1397.44,4150.8,23
RC,0206,HC WCJ OB/GYN OB PROGRESSIVE,4612.0,2306.0,1397.44,4150.8,23
RC,0208,HC ROOM INTENSIVE CARE TRAUMA,13486.0,6743.0,4086.26,12137.4,23
RC,0209,HC ICU ROOM OB DAILY,9703.0,4851.5,2940.01,8732.7,23
RC,0210,HC CVIC INTENSIVE,8128.0,4064.0,2462.78,7315.2,23
RC,0210,HC ICU CARD ROOM DAILY,8128.0,4064.0,2462.78,7315.2,23
RC,0214,HC ROOM TELEMETRY OVERFLOW,4056.0,2028.0,1228.97,3650.4,23
RC,0214,HC TELEMETRY ROOM DAILY,4056.0,2028.0,1228.97,3650.4,23
RC,0250,CLEANSER WOUND 0.057% SODIUM HYPOCHLORITE 8OZ SKIN ANTIMICROBIAL TRIGGER SPRAYER CLEAR ANASEPT 12/CA,120.35,60.18,26.25,108.32,65
RC,0250,DRUG ANTICOAGULANT SOLUTION DEXTROSE CITRATE,15.0,7.5,3.27,13.5,65
RC,0250,HC NITRIC OXIDE INITIAL SETUP,641.0,320.5,139.8,576.9,65
RC,0250,HC NITRIC OXIDE SUB MANAGEMENT PER DAY,8505.95,4252.98,1855.15,7655.36,65
RC,0250,HC NXSTAGE DIALYSATE SOLUTION,91.3,45.65,19.91,82.17,65
RC,0250,HC PRISMASOL,110.2,55.1,24.03,99.18,65
RC,0250,KIT AGENT HEMOSTATIC FIBRIN 10ML PRE-FILLED FROZEN W/SYRINGEX1 STRAP CONNECTORX2 CANNULA APPLICATOR TISSEEL LATEX-FREE,419.74,209.87,91.55,377.77,65
RC,0250,KIT AGENT HEMOSTATIC FIBRIN 2ML PRE-FILLED FROZEN W/SYRINGEX1 STRAP CONNECTORX2 CANNULA APPLICATOR TISSEEL LATEX-FREE,102.04,51.02,22.25,91.84,65
RC,0250,MEDIA CONTRAST 350MGI/ML IOHEXOL 10X150ML INJECTION NON-IONIC LOW-OSMOLAR POLYMER BOTTLE OMNIPAQUE PLUSPAK NON-PYROGENIC STERILE,177.58,88.79,38.73,159.82,65
RC,0250,MEDIA CONTRAST 370MGI/ML 76% IOPAMIDOL 500ML INTRAVASCULAR INTRATHECAL SINGLE DOSE GLASS BOTTLE F/ANGIOGRAPHY/ARTERIOGRAPHY/PERIPHERAL VENOGRAPHY ISOVUE-370 NON-PYROGENIC STERILE,1524.4,762.2,332.47,1371.96,65
RC,0250,MEDIA CONTRAST 55% IODIXANOL 50ML NON IONIC ISOMOLAR GLASS VIAL VISIPAQUE,161.79,80.9,35.29,145.61,65
RC,0250,SEALANT TISSUE CLOSURE HUMAN VISTASEAL FIBRIN 10 ML,454.09,227.05,99.04,408.68,65
RC,0260,HC IV INFUSION HYDRATION < 30 MIN,198.4,99.2,43.27,178.56,65
RC,0270,CANISTER SUCTION DISPOSABLE LATEX FREE NONSTERILE,176.89,88.45,38.58,159.2,64
RC,0270,CANISTER SUCTION LARGE 12L DISPOSABLE MEDI-VAC GUARDIAN COLLECTION CLEAR GRADUATION,55.33,27.67,12.07,49.8,64
RC,0270,CANNULA NASAL CO2 SAMPLE O2 DELIVERY LOW FLOW ADULT AIRLIFE CAPNOFLEX NONSTERILE LATEX FREE DISPOSABLE DASH 3000 4000,159.13,79.57,34.71,143.22,64
RC,0270,CARTRIDGE HMS PLUS 4 CHANNEL 9 SYRINGE HEPARIN ASSAY BLUNT NEEDLE RED DISPOSABLE ANALYZER .9- MG/KG,96.05,48.03,20.95,86.45,64
RC,0270,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 125CM POLYURETHANE MULTIPURPOSE A2 SMALL CURVE 2SH BRAIDED LARGE LUMEN HIGH FLOW SOFT TIP GRAY SUPER TORQUE RADIOPAQUE 0.035IN GW,63.75,31.88,13.9,57.38,64
RC,0270,DEGREASER SKIN 4OZ 5060 LATEX-FREE MINIMUM ORDER MULTIPLES OF 12 REPLACES NO LONGER AVAILABLE,11.95,5.98,2.61,10.76,64
RC,0270,ELECTRODE DEFIBRILLATOR OVAL 6.25X4.5IN MULTIFUNCTION ADHESIVE RADIOTRANSPARENT PRECONNECT MEDI-TRACE CADENCE SILVER SILVER CHLORIDE ADULT LATEX FREE ZOLL 8900-4003,156.11,78.06,34.05,140.5,64
RC,0270,HEADBAND COCHLEAR SMALL BLACK,13.0,6.5,2.84,11.7,64
RC,0270,HEAR-O-PACK,15.0,7.5,3.27,13.5,64
RC,0270,KIT BREAST PUMP INITIATE BPA FREE SYMPHONY OD24 MM 35 ML,245.31,122.66,53.5,220.78,64
RC,0270,KIT CHARGER,2390.2,1195.1,521.3,2151.18,64
RC,0270,KIT POSITIONING 9IN PERINEAL POST COVER STRAP ADJUSTABLE ARMBOARD PAD SUPINE HEADREST DONUT HANA HANA SSXT PROFX,209.3,104.65,45.65,188.37,64
RC,0270,PACK COLDSPOTS 2.75X3IN 2 SELF ADHESIVE SIDE TAB LOW PROFILE LEAD FREE GEL NONSTERILE LATEX FREE DISPOSABLE THERAPEUTIC BREAST BIOPSY,207.0,103.5,45.15,186.3,64
RC,0270,STIMULATOR NERVE AXONICS TRIAL NONSTERILE LATEX FREE DISPOSABLE,220.0,110.0,47.98,198.0,64
RC,0270,TOY SOFT KACI THE KOALA,25.0,12.5,5.45,22.5,64
RC,0271,8FR 43 IRIS FEEDING TUBE ENFI,994.39,497.2,216.88,894.95,64
RC,0271,ACCESSORY COCHLEAR L66 MM X W36.5 MM D10.6 MM REMOTE CONTROL POCKET HAND HELD POWER COCHLEAR 35 GM NUCLEUS 7 SOUND PROCESSOR,97.75,48.88,21.32,87.98,64
RC,0271,ADAPTER USB 65X25X13.5MM WIRELESS MODEM SUPERIOR PERFORMANCE DIGITAL 19.5ML 30GM MERLIN HOME TRANSMITTER,270.0,135.0,58.89,243.0,64
RC,0271,AIRWAY ESOPHAGEAL THERMAL REGULATION NONSTERILE LATEX FREE DISPOSABLE ESOPHAGEAL COOLING DEVICE HYPER HYPOTHERMIA SYSTEM,3399.0,1699.5,741.32,3059.1,64
RC,0271,BAG CERENE EXHAUST COLLECTION,50.0,25.0,10.91,45.0,64
RC,0271,BAG DRAINAGE W/DRAIN HOSE F/FLUID UROLOGY,134.4,67.2,29.31,120.96,64
RC,0271,BAG EQUIPMENT BLACK RED HEARTMATE II CONSOLIDATE NONSTERILE LATEX FREE REUSABLE,316.0,158.0,68.92,284.4,64
RC,0271,BAG EQUIPMENT HEARTMATE II CONSOLIDATE ASSIST DEVICE POCKET CONTROLLER NONSTERILE LATEX FREE REUSABLE,316.0,158.0,68.92,284.4,64
RC,0271,BAG EQUIPMENT HEARTMATE II SHOWER NONSTERILE LATEX FREE REUSABLE,218.7,109.35,47.7,196.83,64
RC,0271,BAG FLUENT PRO WASTE,330.0,165.0,71.97,297.0,64
RC,0271,BANDAGE COMPRESSION 6.25X4.75X1.25IN CUSTOMX STANDARD LIGHTWEIGHT BREATHABLE FABRIC BEIGE 3.2OZ CHIN NECK,32.0,16.0,6.98,28.8,64
RC,0271,BANDAGE COMPRESSION 6CM X 5M COTTON ELASTIC SHORT STRETCH COMPRILAN REHABILITATION CASE OF 20,16.91,8.46,3.69,15.22,64
RC,0271,BANDAGE COMPRESSION STANDARD SIZE G 4.6INW X 33FTL VISCOSE ELASTANE POLYAMIDE TUBULAR KNITTED ELASTIC SELF HOOK LOOP CLOSURE BEIGE SWIFTBAND LATEX NON-STERILE INDIVIDUALLY PACKED,75.85,37.93,16.54,68.27,64
RC,0271,BATTERY PRODUCT SPECIFIC 11V BACKUP HEARTMATE THORATEC LITHIUM ION NONSTERILE LATEX FREE REUSABLE,405.0,202.5,88.33,364.5,64
RC,0271,BATTERY PRODUCT SPECIFIC 14V CLIP SET LITHIUM ION,1070.0,535.0,233.37,963.0,64
RC,0271,BATTERY PRODUCT SPECIFIC 14V SET HEARTMATE LITHIUM ION,2160.0,1080.0,471.1,1944.0,64
RC,0271,BATTERY PRODUCT SPECIFIC SEAL LEAD ACID HEARTMATE NONSTERILE LATEX FREE REUSABLE,67.5,33.75,14.72,60.75,64
RC,0271,BELT SUPPORT LARGE,50.0,25.0,10.91,45.0,64
RC,0271,BINDER ABD 3XL 82-71INX9IN 3PNL UNISX LF,12.75,6.38,2.78,11.48,64
RC,0271,BINDER ABDOMINAL 26-50IN CIRC WAIST UNIVERSAL SHORT 12INW ELASTIC HOOK-LOOP CLOSURE F/SUPPORT COMPRESSION,75.95,37.98,16.56,68.36,64
RC,0271,BINDER ABDOMINAL 30-45IN CIRC MEDIUM 9INH ELASTIC CONTOURED HOOK-LOOP CLOSURE F/COMPRESSION SUPPORT LATEX-FREE,16.6,8.3,3.62,14.94,64
RC,0271,BINDER ABDOMINAL 52-72IN CIRC HIP UNIVERSAL LONG 10INW ELASTIC PANELX3 HOOK-LOOP CLOSURE F/COMPRESSION SUPPORT COMFOR LATEX-FREE ST. LUKE ONLY,11.0,5.5,2.4,9.9,64
RC,0271,BINDER ABDOMINAL 55-72IN CIRC HIP XL UNIVERSAL 9INW ELASTIC PANELX3 HOOK-LOOP CLOSURE F/COMPRESSION SUPPORT COMFOR LATEX-FREE,9.45,4.73,2.06,8.51,64
RC,0271,BINDER ABDOMINAL SMALL MEDIUM 12IN 30-45IN MULTIPANEL HOOK LOOP CLOSURE NONSTERILE LATEX FREE,6.92,3.46,1.51,6.23,64
RC,0271,BINDER BREAST 34-36IN CIRC MEDIUM SOLID LINED W/DRI RELEASE BLACK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0271,BINDER BREAST 45-50IN CIRC 2XL SOLID LINED W/DRI RELEASE BLACK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0271,BINDER BREAST XL UNLINED FLORAL PRINT PINK,20.0,10.0,4.36,18.0,64
RC,0271,BINDER BRST 2XL 45-50IN CIRC EXPAND-A-BAND COMP LN W/DRI RELS,20.0,10.0,4.36,18.0,64
RC,0271,BINDER BRST 50-54IN CIRC 3XL EXPAND-A-BAND COMP LN W/DRI RELS,20.0,10.0,4.36,18.0,64
RC,0271,BINDER COMPRESSION SIZE 1 PELVIC YELLOW LATEX-FREE,1800.0,900.0,392.58,1620.0,64
RC,0271,BLANKET WARMING SPINE UNDERBODY ADULT 74X36IN 24X48IN BAIR HUGGER POLYMER 5OZ SOFT MODEL 575,116.06,58.03,25.31,104.45,64
RC,0271,BLOCK POSITIONING FOAM F/PRONE PROCEDURE ALLEN,118.8,59.4,25.91,106.92,64
RC,0271,BOOT CAST 11.5-14 13.5+ XL SQUARE TOE ROCKER SOLE FOREFOOT CLOSURE ANKLE STRAP DARCO SLIM LINE VELCRO ETHYLENE VINYL ACETATE ADULT BLACK,11.36,5.68,2.48,10.22,64
RC,0271,BOOT TRACTION ANKLE FOOT VELCRO CLOSURE NA FOAM ADULT ORTHOVISION TABLE,181.55,90.78,39.6,163.4,64
RC,0271,BOOT WALKING 10-13 11-15 LARGE STANDARD DEROYAL FOOT ANKLE FULL SHELL TEXTURE ROCKER BOTTOM ADJUSTABLE TOE GUARD,40.16,20.08,8.76,36.14,64
RC,0271,BOOT WALKING 4-7 5-8 SMALL STANDARD DEROYAL FULL SHELL TEXTURE TREAD ROCKER BOTTOM ADJUSTABLE TOE GUARD,40.16,20.08,8.76,36.14,64
RC,0271,BOOT WALKING 7-10 8-11 MEDIUM STANDARD DEROYAL FOOT ANKLE FULL SHELL TEXTURE ROCKER BOTTOM ADJUSTABLE TOE GUARD,40.16,20.08,8.76,36.14,64
RC,0271,BRA 34-36IN B-D MEDIUM DALE HOOK LOOP CLOSURE SEAMLESS STRETCH COMPRESSION FABRIC POST SURGICAL LATEX FREE DISPOSABLE,18.95,9.48,4.13,17.06,64
RC,0271,BRA 36-38IN B-D LARGE DALE HOOK LOOP CLOSURE SEAMLESS STRETCH COMPRESSION FABRIC POST SURGICAL LATEX FREE DISPOSABLE,18.95,9.48,4.13,17.06,64
RC,0271,BRA 38-44IN B-D XL DALE HOOK LOOP CLOSURE SEAMLESS STRETCH COMPRESSION FABRIC POST SURGICAL LATEX FREE DISPOSABLE,23.94,11.97,5.22,21.55,64
RC,0271,BRA 46-54IN C-E 2XL DALE HOOK LOOP CLOSURE SEAMLESS STRETCH COMPRESSION FABRIC POST SURGICAL LATEX FREE DISPOSABLE,18.95,9.48,4.13,17.06,64
RC,0271,BRA LARGE PAD SHOULDER ELASTIC BACK STRAP MACHINE WASHABLE VELCRO SPANDEX COTTON POST SURGICAL LATEX FREE,55.54,27.77,12.11,49.99,64
RC,0271,BRA POST-OP 3XL COTTON/SPANDEX KNIT FABRIC PADDED SHOULDER STRAPS VELCRO CLOSURES,95.55,47.78,20.84,86.0,64
RC,0271,BRA POST-OP SMALL COTTON/SPANDEX KNIT FABRIC PADDED SHOULDER STRAPS VELCRO CLOSURES,36.73,18.37,8.01,33.06,64
RC,0271,BRA POST-SURGICAL BEIGE  4XL,60.0,30.0,13.09,54.0,64
RC,0271,BRA POST-SURGICAL BEIGE 2XL,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BEIGE 3XL,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BEIGE L,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BEIGE M,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BEIGE XL,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BLACK 2XL,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BLACK 3XL,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BLACK 4XL,60.0,30.0,13.09,54.0,64
RC,0271,BRA POST-SURGICAL BLACK L,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BLACK M,55.0,27.5,12.0,49.5,64
RC,0271,BRA POST-SURGICAL BLACK XL,55.0,27.5,12.0,49.5,64
RC,0271,BRA POSTOPERATIVE 2XL 40CMW 2CMW X 41.5CML 96% COTTON 4% SPANDEX KNIT FABRIC PADDED WIDE SHOULDER STRAP VELCRO HOOK-LOOP FASTENER MACHINE WASHABLE LATEX-FREE 3020.6,32.19,16.1,7.02,28.97,64
RC,0271,BRA POSTOPERATIVE 2XL 40CMW 2CMW X 41.5CML 96% COTTON 4% SPANDEX KNIT FABRIC PADDED WIDE SHOULDER STRAP VELCRO HOOK-LOOP FASTENER MACHINE WASHABLE LATEX-FREE SB-2XL,35.41,17.71,7.72,31.87,64
RC,0271,BRA POSTOPERATIVE XL 37.5CMW 2CMW X 41.5CML 96% COTTON 4% SPANDEX KNIT FABRIC PADDED WIDE SHOULDER STRAP VELCRO HOOK-LOOP FASTENER MACHINE WASHABLE LATEX-FREE SB-XLG,33.73,16.87,7.36,30.36,64
RC,0271,BRACE KNEE 2XLARGE DF2 FEMUR FRACTURE LEFT STATIC,2499.0,1249.5,545.03,2249.1,64
RC,0271,BRACE KNEE 2XLARGE DF2 FEMUR FRACTURE RIGHT STATIC,2499.0,1249.5,545.03,2249.1,64
RC,0271,BRACE KNEE XLARGE DF2 FEMUR FRACTURE LEFT STATIC,2499.0,1249.5,545.03,2249.1,64
RC,0271,BRACE KNEE XLARGE DF2 FEMUR FRACTURE RIGHT STATIC,2499.0,1249.5,545.03,2249.1,64
RC,0271,BRACE KNEE XSMALL DF2 FEMUR FRACTURE LEFT STATIC,2499.0,1249.5,545.03,2249.1,64
RC,0271,BRACE KNEE XSMALL DF2 FEMUR FRACTURE RIGHT STATIC,2499.0,1249.5,545.03,2249.1,64
RC,0271,BRACE ORTHOPEDIC FORMFIT EASE OA LARGE RIGHT LATERAL KNEE 20 7/8-23 5/8IN THIGH 3-POINT HINGED WRAPAROUND DFS STRAP COLOR-CODED,211.43,105.72,46.11,190.29,64
RC,0271,BRACE ORTHOPEDIC REGULAR 28INL COTTON FOAM KNEE ADJUSTABLE GENU-RANGER II LATEX-FREE,128.5,64.25,28.03,115.65,64
RC,0271,BRACE ORTHOPEDIC XLARGE >26IN COOL FOAM KNEE TELE-FIT TELESCOPING SILI GRIP STRAP PADDING TROM ADVANCE,105.8,52.9,23.07,95.22,64
RC,0271,BRACKET TABLE KNEE ADAPTABLE DISPOSABLE,1800.0,900.0,392.58,1620.0,64
RC,0271,BRACKET TABLE LEG ADAPTABLE DISPOSABLE,1800.0,900.0,392.58,1620.0,64
RC,0271,CABLE VENTRICULAR ASSIST HEARTMATE POWER MODULE NONSTERILE LATEX FREE REUSABLE,1125.0,562.5,245.36,1012.5,64
RC,0271,CANISTER SUCTION 10FTL 1200ML CAPACITY AHA INTERMEDIATE TUBING RIPTIDE LATEX-FREE DISPOSABLE,301.0,150.5,65.65,270.9,64
RC,0271,CANISTER SUCTION 3000CC HIGH FLOW,155.16,77.58,33.84,139.64,64
RC,0271,CANISTER SUCTION KEEPER IWRE 7INL SILASTIC DISPOSABLE,652.86,326.43,142.39,587.57,64
RC,0271,CANISTER SUCTION REVOLVE 700 STERILE DISPOSABLE,423.0,211.5,92.26,380.7,64
RC,0271,CANISTER WOUND DRAINAGE GEL TUBE CLAMP CONNECTOR INFOVAC 500 ML VAC ULTA,514.31,257.16,112.17,462.88,64
RC,0271,CARTRIDGE WOUND 5.2X2.3IN SNAP PLUS THK1IN 125 MMHG 150ML .15LB DISPOSABLE,2090.0,1045.0,455.83,1881.0,64
RC,0271,CATHETER EXTERNAL MENS LIBERTY ACUTE CATHGRIP XTRADERM HYDROCOLLOID ADHESIVE HYPOALLERGENIC MALE OSFM LATEX FREE,754.24,377.12,164.5,678.82,64
RC,0271,CATHETER MANOMETRY ANORECTAL 5-CHANNEL MCOMPASS,750.0,375.0,163.58,675.0,64
RC,0271,CATHETER MANOMETRY ANORECTAL 5-PETITE CHANNEL MCOMPASS,775.0,387.5,169.03,697.5,64
RC,0271,CATHETER URETHRAL MALE PRIMOFIT SYSTEM EXTERNAL URINE MANAGEMENT,673.2,336.6,146.82,605.88,64
RC,0271,CHARGER NEUROSTIMULATOR CHARGER NA,850.0,425.0,185.39,765.0,64
RC,0271,CHARGING SYSTEM DBS LIBERTA RC,2790.0,1395.0,608.5,2511.0,64
RC,0271,CONTAINER SPECIMEN 4 PORT MANIFOLD NONSTERILE NEPTUNE DISPOSABLE WASTE MANAGEMENT SYSTEM,310.0,155.0,67.61,279.0,64
RC,0271,CONTROLLER VENTRICULAR ASSIST THORATEC HEARTMATE II POCKET EMERGENCY BACKUP BATTERY STERILE LATEX FREE DISPOSABLE,5170.0,2585.0,1127.58,4653.0,64
RC,0271,COVER TRANSDUCER ULTRASOUND BIPLANE 8848 EA4015,23.0,11.5,5.02,20.7,64
RC,0271,CUBE PESSARY #2 1-3/8,39.55,19.78,8.63,35.6,64
RC,0271,CUBE PESSARY WITH DRAINAGE HOLES  #3 1-1/2IN,39.55,19.78,8.63,35.6,64
RC,0271,CUFF BLOOD PRESSURE L40-55 CM FLEXIPORT NYLON 13 THIGH,11.64,5.82,2.54,10.48,64
RC,0271,CUFF COMPRESSION REGULAR BLADDER KENDALL FOOT,88.0,44.0,19.19,79.2,64
RC,0271,CUFF TOURNIQUET 1.50INW X 7.25INL PEDIATRIC ARM SINGLE BLADDER DUAL PORT ATTACHED TUBING LUER-LOCK CONNECTION CONTOUR W/MATCHING LIMB PROTECTION SLEEVE PEDI-FIT STERILE SINGLE-USE,395.0,197.5,86.15,355.5,64
RC,0271,CUFF TOURNIQUET 12X3.5IN ATS CYLINDRICAL 2 PORT BLADDER STERILE LATEX FREE DISPOSABLE,200.79,100.4,43.79,180.71,64
RC,0271,CUFF TOURNIQUET 18X4IN ATS CYLINDRICAL 2 PORT BLADDER STERILE LATEX FREE DISPOSABLE,223.1,111.55,48.66,200.79,64
RC,0271,CUFF TOURNIQUET 2.25INW X 10.5INL PEDIATRIC ARM SINGLE BLADDER DUAL PORT ATTACHED TUBING LUER-LOCK CONNECTION CONTOUR W/MATCHING LIMB PROTECTION SLEEVE PEDI-FIT STERILE SINGLE-USE,395.0,197.5,86.15,355.5,64
RC,0271,CUFF TOURNIQUET 24X4IN ATS CYLINDRICAL 2 PORT BLADDER STERILE LATEX FREE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0271,CUFF TOURNIQUET 3.5INW X 17.5INL PEDIATRIC ARM SINGLE BLADDER DUAL PORT ATTACHED TUBING LUER-LOCK CONNECTION CONTOUR W/MATCHING LIMB PROTECTION SLEEVE PEDI-FIT STERILE SINGLE-USE,395.0,197.5,86.15,355.5,64
RC,0271,CUFF TOURNIQUET 30X4IN ATS CYLINDRICAL 2 PORT BLADDER STERILE LATEX FREE DISPOSABLE,149.49,74.75,32.6,134.54,64
RC,0271,CUFF TOURNIQUET 34X4IN ATS CYLINDRICAL 2 PORT BLADDER STERILE LATEX FREE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0271,CUFF TOURNIQUET 3INW X 15INL PEDIATRIC ARM SINGLE BLADDER DUAL PORT ATTACHED TUBING LUER-LOCK CONNECTION CONTOUR W/MATCHING LIMB PROTECTION SLEEVE PEDI-FIT STERILE SINGLE-USE,395.0,197.5,86.15,355.5,64
RC,0271,CUFF TOURNIQUET 8X2.75IN ATS CYLINDRICAL 2 PORT BLADDER WITHOUT SLEEVE STERILE LATEX FREE DISPOSABLE,115.92,57.96,25.28,104.33,64
RC,0271,CUFF TOURNIQUET BLUE 30X4IN ATS CYLINDRICAL 1 PORT 1 BLADDER LUER LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE,249.29,124.65,54.37,224.36,64
RC,0271,CUFF TOURNIQUET BROWN 34X4IN ATS CYLINDER 1 PORT 1 BLADDER POSITIVE LOCK CONNECTOR 750 1200 STERILE LATEX FREE DISPOSABLE,269.66,134.83,58.81,242.69,64
RC,0271,CUFF TOURNIQUET RED 18X4IN ATS 2 PORT 2 BLADDER WITHOUT SLEEVE POSITIVE LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE,250.0,125.0,54.53,225.0,64
RC,0271,CUFF TOURNIQUET RUBY 42X4IN ATS CYLINDER 1 PORT 1 BLADDER POSITIVE LOCK CONNECTOR 750 1200 STERILE LATEX FREE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0271,DEATH PACK,1368.89,684.45,298.55,1232.0,64
RC,0271,DEVICE PESSARY 0 RING FOLD SUPPORT OD1 3/4 IN MILEX SILICONE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 1 DISH SUPPORT FOLD OD60 MM MILEX SILICONE STRESS URINARY INCONTINENCE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 1 RING MILEX INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 1 RING SUPPORT KNOB FOLD OD2 IN MILEX SILICONE STRESS URINARY INCONTINENCE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 1 RING VAGINAL SUPPORT OD2 IN MILEX SILICONE MILD PROLAPSE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 1.75IN MILEX 0 RING SILICONE JEL JECTOR MILD PROLAPSE URINARY INCONTINENCE NONSTERILE LATEX FREE DISPOSABLE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 2 DISH SUPPORT FOLD OD65 MM MILEX SILICONE STRESS URINARY INCONTINENCE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 2 RING FLEXIBLE OD2 1/4 IN MILEX SILICONE STRESS URINARY INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 3 DISH SUPPORT FOLD OD70 MM MILEX SILICONE STRESS URINARY INCONTINENCE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 3 RING AUTOCLAVABLE FLEXIBLE OD2.5 IN MILEX SILICONE STRESS URINARY INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 3 RING VAGINAL AUTOCLAVABLE KNOB SUPPORT FOLD OD2.5 IN MILEX SILICONE MILD PROLAPSE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 4 DISH OD75 MM MILEX INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 4 DISH SUPPORT FOLD OD75 MM MILEX SILICONE STRESS URINARY INCONTINENCE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 4 RING AUTOCLAVABLE SUPPORT FOLD OD2.75 IN MILEX SILICONE MILD PROLAPSE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 4 RING INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 5 RING FOLDING OD3 IN MILEX,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 5 RING SUPPORT FOLD WITHOUT KIT OD3 IN MILEX MILD PROLAPSE CYSTOCELE URINARY INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 5 RING SUPPORT KNOB FOLD OD3 IN MILEX SILICONE STRESS URINARY INCONTINENCE MILD PROLAPSE CYSTOCELE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY 7 DISH SOFT PLIABLE SUPPORT OD85 MM BIOTEQUE TAIWAN LTD. SILICONE,44.0,22.0,9.6,39.6,64
RC,0271,DEVICE PESSARY 9 RING SUPPORT FOLD OD4 IN MILEX MILD CYSTOCELE PROLAPSE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY DISH OD55- MM MILEX INCONTINENCE,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY DONUT OD2 IN SILICONE 2ND 3RD DEGREE UTERINE PROLAPSE CYSTOCELE RECTOCELE,44.0,22.0,9.6,39.6,64
RC,0271,DEVICE PESSARY GELLHORN FLEXIBLE OD2 IN MILEX,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY GELLHORN FLEXIBLE OD3 1/4 IN MILEX,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY GELLHORN FLEXIBLE OD3 3/4 IN MILEX,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY GELLHORN FLEXIBLE SHORT STEM OD2 IN MILEX SILICONE THIRD DEGREE PROLAPSE PROCIDENTIA,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY GELLHORN FLEXIBLE SHORT STEM OD3 1/4 IN MILEX SILICONE THIRD DEGREE PROLAPSE PROCIDENTIA,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY RNG SZ0 55MM MILEX FLD FLXB SUPP SIL LF NS,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE PESSARY SHORT STEM OD3 IN GELLHORN SILICONE 3RD DEGREE PROLAPSE PROCIDENTIA,39.55,19.78,8.63,35.6,64
RC,0271,DEVICE POSITIONING SURGICAL ASSISTANT HOLDER INSERT LEG FOAM BLUE DISPOSABLE,360.0,180.0,78.52,324.0,64
RC,0271,DEVICE POSITIONING W/PERINEAL POST PAD FOOT/ANKLE PROTECTOR KNEE STRAP F/HIP ARTHROPLASTY,171.14,85.57,37.33,154.03,64
RC,0271,DEVICE SECUREMENT 10FR DIA TEAL AMT BRIDLE LATEX-FREE NON-RADIOLUCENT,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE SECUREMENT 16FR DIA YELLOW AMT BRIDLE LATEX-FREE NON-RADIOLUCENT,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE SECURING AMT BRIDLE OD10 FR STANDARD NASAL TUBE,400.0,200.0,87.24,360.0,64
RC,0271,DEVICE SECURING AMT BRIDLE PRO OD12-14 FR PROBE REMOVABLE STYLET GUIDE PREATTACH CLIP MONOFILAMENT CATHETER DARK BLUE NASAL,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE SECURING AMT MICRO BRIDLE OD5-6 FR PREATTACH CLIP STYLET PROBE NASAL TUBE PURPLE PEDIATRIC,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE SECURING BRIDLE PRO OD14 FR CLIP YELLOW,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE SECURING BRIDLE PRO OD16-18 FR PROBE REMOVABLE STYLET GUIDE PREATTACH CLIP MONOFILAMENT CATHETER YELLOW,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE SECURING BRIDLE PRO OD8-10 FR TEAL,412.0,206.0,89.86,370.8,64
RC,0271,DEVICE VENTRICULAR ASSIST HEARTMATE II CONTROLLER SMART S,4500.0,2250.0,981.45,4050.0,64
RC,0271,DEVICE VENTRICULAR ASSIST HEARTMATE UNIVERSAL BATTERY CHARGER,6221.0,3110.5,1356.8,5598.9,64
RC,0271,DEVICE VENTRICULAR ASSIST HEARTMATE XVE LVAS BATTERY MODULE,83.03,41.52,18.11,74.73,64
RC,0271,DEVICE VENTRICULAR ASSIST HEARTMATE XVE LVAS STABILIZATION BELT LEAD LOCK NONSTERILE,90.0,45.0,19.63,81.0,64
RC,0271,DEVICE VENTRICULAR ASSIST MODULAR CABLE HEARTMATE 3 LEFT,5025.0,2512.5,1095.95,4522.5,64
RC,0271,DISPERSIVE ELECTRODES SONATA,735.0,367.5,160.3,661.5,64
RC,0271,DRILL SURGICAL L130 MM LONG CALIBRATE OD2.5 MM,245.0,122.5,53.43,220.5,64
RC,0271,"ELASTO-GEL, 0.5CM THICK, 20 X 40 CM",72.0,36.0,15.7,64.8,64
RC,0271,ELECTRODE DEFIBRILLATOR 24IN CONNECTOR LEADWIRE EDGE SYSTEM QUIK-COMBO ADULT LIFEPAK 15 MONITOR DEFIBRILLATOR,19.29,9.65,4.21,17.36,64
RC,0271,ELECTRODE DEFIBRILLATOR 24INL LEADWIRE RECTANGULAR CONDUCTIVE ADHESIVE GEL W/CONNECTOR REDI-PAK PRECONNECT QUIK-COMBO LATEX-FREE NON-RADIOLUCENT,24.33,12.17,5.31,21.9,64
RC,0271,ELECTRODE DEFIBRILLATOR 6X4.25IN 48IN RADIOTRANSLUCENT PAD MULTIFUNCTION LEADWIRE CONNECTOR PADPRO ADULT LATEX FREE DISPOSABLE WHITE,160.0,80.0,34.9,144.0,64
RC,0271,ELECTRODE DEFIBRILLATOR ADULT L13.02 CM X W8.57 CM MULTIFUNCTION RADIOTRANSPARENT PADPRO A UNIVERSAL,180.0,90.0,39.26,162.0,64
RC,0271,ELECTRODE DEFIBRILLATOR ADULT L6 IN X W4.25 IN MULTIFUNCTION RADIOTRANSPARENT PAD LEADWIRE PADPRO ZOLL CARBON A L48 IN SILVER WHITE,180.0,90.0,39.26,162.0,64
RC,0271,ELECTRODE DEFIBRILLATOR ADULT L6.25 IN X W4.5 IN MULTIFUNCTION ADHESIVE RADIOTRANSPARENT CONNECTOR MEDI-TRACE SILVER SILVER CHLORIDE OVAL ZOLL 8900-2100-01/8900-4005,141.55,70.78,30.87,127.4,64
RC,0271,ELECTRODE DEFIBRILLATOR PAD 4.25IN X 6IN 60IN LEADWIRE CHILD ADULT MULTI-FUNCTION PHYSIO-CONTROL QUICK-COMBO MEDTRONIC CONNECTOR WHITE PADPRO RADIOTRANSPARENT STERILE PR,275.0,137.5,59.98,247.5,64
RC,0271,ELECTRODE DEFIBRILLATOR PAD RADIOTRANSPARENT ADULT NONSTERILE MEDTRONIC,195.0,97.5,42.53,175.5,64
RC,0271,ELECTRODE DEFIBRILLATOR PADPRO PAD MINI 2.125INX2.5IN 24IN LEADWIRE PEDIATRIC MULTI-FUNCTION PHYSIO-CONTROL QUICK-COMBO CONNECT RADIOTRANSLUCENT PR,175.0,87.5,38.17,157.5,64
RC,0271,ELECTRODE EEG 1MR 10MM LEAD SILVER SILVER CHLORIDE GROUP 1,85.74,42.87,18.7,77.17,64
RC,0271,ELECTRODE EMG KIT SURFACE SAFEOP 3 SSEP PTP LTP,1875.0,937.5,408.94,1687.5,64
RC,0271,ELECTRODE NEUROLOGICAL 12MM DIA BLUE F/NEURO,25.09,12.55,5.47,22.58,64
RC,0271,ELECTRODE NEUROLOGICAL 12MML NEEDLE YELLOW,28.5,14.25,6.22,25.65,64
RC,0271,ELECTRODE NEUROLOGICAL NEUROSIGN GROUND,25.0,12.5,5.45,22.5,64
RC,0271,EXTRACTOR SURGICAL 10MM LONG 6IN F/9.5-10.5MM BROKEN SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL 10MM LONG 6IN F/9.5-10.5MM STRIPPED SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL 11MM LONG 6IN F/10.5-11.5MM BROKEN SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL 11MM LONG 6IN F/10.5-11.5MM STRIPPED SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL 8MM LONG 6IN F/7.5-8.5MM STRIPPED SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL 9MM LONG 6IN F/8.5-9.5MM BROKEN SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL 9MM LONG 6IN F/8.5-9.5MM STRIPPED SCREW V.2 UNIVERSAL SYSTEM XTRACT-ALL SINGLE-USE,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL SHUKLA NAIL S9NAIL 12-15 MM NAIL,345.0,172.5,75.24,310.5,64
RC,0271,EXTRACTOR SURGICAL SHUKLA NAIL S9NAIL CONICAL 4-8 MM NAIL,390.0,195.0,85.06,351.0,64
RC,0271,EXTRACTOR SURGICAL SHUKLA NAIL S9NAIL OD8-12 MM MEDIUM CONICAL,350.0,175.0,76.34,315.0,64
RC,0271,EXTRACTOR SURGICAL SHUKLA SCREW S9SCREW OD8 MM UNIVERSAL 7.5-8.5 MM BROKEN SCREW,450.0,225.0,98.15,405.0,64
RC,0271,EXTRACTOR SURGICAL XTRACT-ALL THREAD 3/8-16,285.0,142.5,62.16,256.5,64
RC,0271,EXTRACTOR SURGICAL XTRACT-ALL THREAD 3/8-24,270.0,135.0,58.89,243.0,64
RC,0271,FILTER SMOKE EVACUATOR OD7/8 IN 4 STAGE 3 PORT OD1/4 IN ODSEC3/8 IN RAPIDVAC,465.0,232.5,101.42,418.5,64
RC,0271,FILTER SMOKE EVACUATOR ULTRA LOW PARTICULATE AIR NEPTUNE CHARCOAL,1537.52,768.76,335.33,1383.77,64
RC,0271,FLOWMETER BLOOD SENSOR LASER F/PERIPHERAL ARTERIAL DISEASE FLOWMET DISPOSABLE,1725.0,862.5,376.22,1552.5,64
RC,0271,FRAME POSITIONING ASSURE FIBREPLAST VARIABLE PERF THK3.2MM S LONG HEAD OPEN VIEW SPLIT,770.0,385.0,167.94,693.0,64
RC,0271,GARMENT COMPRESSION LARGE CHIN NECK BEIGE LATEX-FREE,32.0,16.0,6.98,28.8,64
RC,0271,GARMENT COMPRESSION MEDIUM CHIN NECK BEIGE LATEX-FREE,32.0,16.0,6.98,28.8,64
RC,0271,GARMENT COMPRESSION REGULAR NYLON FOAM TRICOT CALF ALTERNATING LEG PRESSURE GRAY F/PNEUMATIC VENOUS AUGMENTATION REUSABLE,125.0,62.5,27.26,112.5,64
RC,0271,GARMENT COMPRESSION REGULAR NYLON FOAM TRICOT PEDIATRIC CALF ALTERNATING LEG PRESSURE GRAY F/PNEUMATIC VENOUS AUGMENTATION REUSABLE,125.0,62.5,27.26,112.5,64
RC,0271,GARMENT COMPRESSION SMALL CHIN NECK BEIGE LATEX-FREE,32.0,16.0,6.98,28.8,64
RC,0271,GARMENT COMPRESSION SMALL NYLON FOAM TRICOT CALF ALTERNATING LEG PRESSURE GRAY F/PNEUMATIC VENOUS AUGMENTATION REUSABLE,125.0,62.5,27.26,112.5,64
RC,0271,GARMENT COMPRESSION SMALL NYLON FOAM TRICOT PEDIATRIC CALF ALTERNATING LEG PRESSURE GRAY F/PNEUMATIC VENOUS AUGMENTATION REUSABLE,125.0,62.5,27.26,112.5,64
RC,0271,GARMENT FACIAL MEDIUM ELASTIC EPSTEIN VELCRO TRICOT CHIN NECK BEIGE FACIOPLASTY,40.48,20.24,8.83,36.43,64
RC,0271,GLOVE ORTHOPEDIC SIZE 6 PEDIATRIC LEFT WRIST THUMB SUPPORT NEOPRENE TERRYCLOTH LATEX-FREE,13.72,6.86,2.99,12.35,64
RC,0271,GLOVE RADIATION PROTECTION SIZE 8.5 0.22MM THK XGUARD RR1,238.0,119.0,51.91,214.2,64
RC,0271,GLOVE SURGICAL LINER SMALL 42.5MIL POLYETHYLENE FIBER POWDER-FREE CUT-RESISTANT GREEN CUFF PERRY STERILE REUSABLE PR,37.5,18.75,8.18,33.75,64
RC,0271,GRASPER LAPAROSCOPIC TIP ATRAUMATIC,419.64,209.82,91.52,377.68,64
RC,0271,GUARD PIN WHITE 3/8IN PIN BALL 6 BALL 5/64IN WIRE W SERIES NONSTERILE,46.0,23.0,10.03,41.4,64
RC,0271,GUIDEWIRE 1.6MM 200MM ORTHOPEDIC THREAD,85.0,42.5,18.54,76.5,64
RC,0271,HALTER TRACTION UNIVERSAL CANVAS HEAD HOOK-LOOP CLOSURE W/O SPREADER BAR LATEX-FREE NON-STERILE,10.14,5.07,2.21,9.13,64
RC,0271,HALTER TRACTION UNIVERSAL CERVICAL HEAD DEVICE LATEX-FREE,16.34,8.17,3.56,14.71,64
RC,0271,HARNESS EMG MODULE NVM5 NONSTERILE LATEX FREE DISPOSABLE,979.98,489.99,213.73,881.98,64
RC,0271,HOLSTER VENTRICULAR ASSIST HEARTMATE C160-240LB MEDIUM,384.0,192.0,83.75,345.6,64
RC,0271,HOLSTER VENTRICULAR ASSIST HEARTMATE GOGEAR 14V LARGE LITHIUM ION NONSTERILE,384.0,192.0,83.75,345.6,64
RC,0271,HOLSTER VENTRICULAR ASSIST HEARTMATE GOGEAR 14V SMALL LITHIUM ION NONSTERILE,384.0,192.0,83.75,345.6,64
RC,0271,HOOK SPLINT 25YDX1IN ROLYAN SELF ADHESIVE HOOK LOOP FASTENER THERMOPLASTIC BEIGE LATEX FREE,23.23,11.62,5.07,20.91,64
RC,0271,HOOK SPLINT 25YDX1IN ROLYAN SELF ADHESIVE LOW TEMPERATURE STRIP ROLL THERMOPLASTIC BLACK LATEX FREE,27.2,13.6,5.93,24.48,64
RC,0271,HOOK SPLINT 25YDX1IN ROLYAN SELF ADHESIVE ROLL NYLON WHITE LATEX FREE,24.36,12.18,5.31,21.92,64
RC,0271,IMMOBILIZER ORTHOPEDIC 2XL 24INL CANVAS FOAM KNEE PERFORATED HOOK-LOOP STRAP T-BAR ADJUSTABLE CONTOURED STAY LATEX-FREE NON-STERILE IMMOBILIZER ORTHOPEDIC 2XL 24INL CANVAS FOAM KNEE PERFORATED HOOK-LO,15.43,7.72,3.37,13.89,64
RC,0271,IMMOBILIZER ORTHOPEDIC ONE SIZE FIT ALL COTTON FOAM ADULT RIGHT LEFT ARM NAVY,82.81,41.41,18.06,74.53,64
RC,0271,INSERT OR TABLE LEG HOLDER FOAM KNEE WHITE F/ARTHRO CRUCIATE SURGICAL ASSISTANT DISPOSABLE,360.0,180.0,78.52,324.0,64
RC,0271,INSOLE SHOE MEDIUM REPLACEMENT DH NYLON,11.2,5.6,2.44,10.08,64
RC,0271,JAR SUCTION 1.5 L KV5,190.0,95.0,41.44,171.0,64
RC,0271,KIT BRUSH ENDOSCOPIC CLEANING COMPLIANCE ENDOKIT,471.78,235.89,102.9,424.6,64
RC,0271,KIT CANISTER FLUID CONTROL 2 INTEGRATE VACCUM PUMP AQUILEX MYOSURE,350.0,175.0,76.34,315.0,64
RC,0271,KIT CARRYING WEARABLE THORATEC HEARTMATE GOGEAR REUSABLE NONSTERILE LATEX FREE,153.0,76.5,33.37,137.7,64
RC,0271,KIT CHARGER PECTORAL,69.0,34.5,15.05,62.1,64
RC,0271,KIT DRESSING 2X2IN 4IN 3IN HIGH ABSORBENT STOCKINETTE ADHESIVE FELT OPEN CELL CUTIMED OFF-LOADER SELECT DELTA-LITE DELTA TERRY-NET POLYURETHANE FOAM NATURAL RUBBER GAUZE HYDROPHILIC STERILE LATEX TOTA,79.5,39.75,17.34,71.55,64
RC,0271,KIT ELECTRODE SURFACE ENSITE,7250.0,3625.0,1581.23,6525.0,64
RC,0271,KIT ELECTRODE SURFACE ENSITE NAVX DISPOSABLE NONSTERILE LATEX FREE,7925.0,3962.5,1728.44,7132.5,64
RC,0271,KIT ENDOSCOPIC 10FT 2 END COMPLIANCE ENDOKIT ORCAPOD 4 1.1OZ,293.76,146.88,64.07,264.38,64
RC,0271,KIT ENDOSCOPIC 2 END COMPLIANCE ENDOKIT 1 OZ,353.56,176.78,77.11,318.2,64
RC,0271,KIT ENDOSCOPIC CLEANING COMPLIANCE ENDOKIT,455.88,227.94,99.43,410.29,64
RC,0271,KIT ENDOSCOPIC CLEANING W/1.1OZ DOUBLE END 12FT SYRINGE OP4 COMPLIANCE ENDOKIT 20/BX,389.0,194.5,84.84,350.1,64
RC,0271,KIT FECAL MANAGEMENT BLUE SAMPLING PORT ODOR-BARRIER FILM INFECTION PROTECTION W/COLLECTION BAG GREEN RED INDICATOR WHITE CAP FLEXI-SEAL 1/EA,132.0,66.0,28.79,118.8,64
RC,0271,KIT FEEDING SUPPLEMENTAL NURSING SYSTEM CONTAINER COVER TUBE SNS STERILE LATEX,207.45,103.73,45.24,186.71,64
RC,0271,KIT FRAME OR TABLE WILSON W/SOFT-TOUCH HEADREST PILLOWX1 PAD SLEEVE COVERX2 BAR/DRAPE PROTECTORX1 DEVON LATEX-FREE NON-RADIOPAQUE,281.42,140.71,61.38,253.28,64
RC,0271,KIT GASTRIC LAVAGE 32FR 3L WITHOUT CHARCOAL TUBE TUM-E-VAC DISPOSABLE LATEX FREE,433.69,216.85,94.59,390.32,64
RC,0271,KIT JEJUNOSTOMY 16FR 7-10ML 45CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC SECUR-LOK LUER-SLIP SILICONE STERILE LATEX FREE,228.07,114.04,49.74,205.26,64
RC,0271,KIT NEUROMUSCULAR TRIAL STIMULATOR,70.0,35.0,15.27,63.0,64
RC,0271,KIT OR TABLE JACKSON SPINAL ARM CRADLEX2 CHEST PILLOW PAD COVERX4 W/O HEADREST DEVON LATEX-FREE NON-RADIOLUCENT SINGLE-PATIENT USE,123.31,61.66,26.89,110.98,64
RC,0271,KIT PESSARY 2.75IN 4 RING TRIMO-SAN GEL KNOB SUPPORT FOLDING MILEX SILICONE NONSTERILE LATEX FREE MILD PROLAPSE,39.55,19.78,8.63,35.6,64
RC,0271,KIT POSITIONER OR TABLE LAMINECTOMY FOAM STRAIGHT CURVED W/SUSPINE HEAD CADLE F/NERVE PROTECTOR,173.5,86.75,37.84,156.15,64
RC,0271,KIT POSITIONING 1 CHIN STRAP 1 BELT STRAP PAD,109.44,54.72,23.87,98.5,64
RC,0271,KIT POSITIONING 2 PAD SLEEVE SLOT HEAD REST TRANSVERSE BAR COVER FOAM PURPLE,194.16,97.08,42.35,174.74,64
RC,0271,KIT POSITIONING 40 D C500 LB ANCHORPAD TRENDELENBURG PURPLE C500 LBS,352.96,176.48,76.98,317.66,64
RC,0271,KIT POSITIONING 7IN CUSHION DRAPE COVER ARM CRADLE GENTLETOUCH WILSON,148.72,74.36,32.44,133.85,64
RC,0271,"KIT POSITIONING ANCHORPAD TRENDELENBURG POSITIONING KIT 20IN X 40IN PAD, 2 BODY STRAPS AND 2 LIFT SHEET",267.91,133.96,58.43,241.12,64
RC,0271,KIT POSITIONING CRADLE 2 ARMBOARD POLYPROPYLENE,795.0,397.5,173.39,715.5,64
RC,0271,KIT POSITIONING JACKSON TABLE SPINAL SURGERY TOP,305.36,152.68,66.6,274.82,64
RC,0271,KIT POSITIONING KNEE,287.87,143.94,62.78,259.08,64
RC,0271,KIT POSITIONING LOW SHEAR BACK COVER ABSORB MOISTURE FRAME SKIN CARE BOW DISPOSABLE SPINE,492.0,246.0,107.31,442.8,64
RC,0271,KIT POSITIONING NO COVER PRONE FOAM PURPLE,151.19,75.6,32.97,136.07,64
RC,0271,KIT POSITIONING POSTLESS THE PINK HIP KIT,1200.0,600.0,261.72,1080.0,64
RC,0271,KIT POSITIONING PROAXIS PRONEVIEW,601.75,300.88,131.24,541.58,64
RC,0271,KIT POSITIONING TABLE NO HEADREST STRAP FOAM PURPLE,195.69,97.85,42.68,176.12,64
RC,0271,KIT POSITIONING UNIVERSAL MOIST HEAT OR STEAM STERILIZATION HEAD,199.0,99.5,43.4,179.1,64
RC,0271,KIT RAPID TEST QUALITY W/BUILT-IN TIMER ID TRACKER SWAB VIAL SOLUTION CONVENIENT DROPPER CAP ROM PLUS 25TEST/BX,918.75,459.38,200.38,826.88,64
RC,0271,KIT STEREOTACTIC PASSIVE PAD REPLACEMENT STRAP F/HEADREST DISPOSABLE,50.0,25.0,10.91,45.0,64
RC,0271,KIT TEMPERATURE LARGE ARCTIC SUN ARCTICGEL DISPOSABLE NONSTERILE LATEX FREE,2400.0,1200.0,523.44,2160.0,64
RC,0271,KIT TEMPERATURE MEDIUM ARCTIC SUN ARCTICGEL DISPOSABLE NONSTERILE LATEX FREE,2400.0,1200.0,523.44,2160.0,64
RC,0271,KIT TEMPERATURE SMALL ARCTIC SUN ARCTICGEL DISPOSABLE NONSTERILE LATEX FREE,2400.0,1200.0,523.44,2160.0,64
RC,0271,KIT TRACTION STRAP DISTRACTOR ANKLE,287.5,143.75,62.7,258.75,64
RC,0271,KIT VENTRICULAR ASSIST PATIENT SUPPORT W/LITHIUM-ION BATTERY TRAVEL SHOWER BAG SYSTEM CONTROLLER HEARTMATE 3 LVAD,14374.8,7187.4,3135.14,12937.32,64
RC,0271,KIT VENTRICULAR ASSIST PATIENT SUPPORT W/MOBILE POWER UNIT MODULE LITHIUM-ION BATTERY CHARGER TRAVEL SHOWER BAG SYSTEM CONTROLLER HEARTMATE 3 LVAD,30791.0,15395.5,6715.52,27711.9,64
RC,0271,LEAD EKG COVIDIEN 5 LEAD 2 CONNECT,600.6,300.3,130.99,540.54,64
RC,0271,LID PLATE OPHTHALMIC L109 MM X W20 MM CURVE DULL FINISH BLADE BERKE-JAEGER W23 MM,34.14,17.07,7.45,30.73,64
RC,0271,LIGATOR ENDOSCOPIC BARREL 9.5-11.5MM 6 BAND 6 SHOOTER SAEED OPTI-VU NONSTERILE LATEX DISPOSABLE ESOPHAGEAL VARICES,781.25,390.63,170.39,703.13,64
RC,0271,LIGATOR L122 CM OD11-14 MM SHOOTER 6 BAND EXTRA LARGE BARREL ENDOSCOPIC ESOPHAGEAL VARICES COLONOSCOPIC,230.0,115.0,50.16,207.0,64
RC,0271,LINE GAS SAMPLING CO2 2ML 7GM ADULT ORAL NASAL NON-INTUBATED FILTER MALE CONNECTOR W/O2 TUBING MICROSTREAM ADVANCE MRI-COMPATIBLE DEHP-FREE STERILE SINGLE-PATIENT USE SHORT-TERM USE PROCEDURAL/EMERGEN,292.42,146.21,63.78,263.18,64
RC,0271,LINER BOOT DERMAPROX HIP POSITION SYSTEM,492.0,246.0,107.31,442.8,64
RC,0271,"LINER BOOT UNIVERSAL BOOT LINER, DISPOSABLE HANA HANA SSXT PROFX",170.75,85.38,37.24,153.68,64
RC,0271,LINER CAST DELTA-DRY 2 25-29.5CM PANTALOON WATER RESISTANT STRETCH SPICA INFANT,125.93,62.97,27.47,113.34,64
RC,0271,LINER CAST HIP SHOULDER AQUACAST HIPSTER 18- IN 1 PIECE WATERPROOF BREATHABLE PEDIATRIC LATEX FREE,120.0,60.0,26.17,108.0,64
RC,0271,LINER CAST HIP SHOULDER AQUACAST HIPSTER 30- IN 1 PIECE WATERPROOF BREATHABLE PEDIATRIC LATEX FREE,133.0,66.5,29.01,119.7,64
RC,0271,LINER CAST HIP SHOULDER HIPSTER 4 22- IN WATERPROOF BREATHABLE PEDIATRIC LATEX FREE,120.0,60.0,26.17,108.0,64
RC,0271,LINER CAST L25+ CM 1 PANTALOON WATER RESISTANT PRECUT TRANSLUCENT DELTA-DRY,125.93,62.97,27.47,113.34,64
RC,0271,LINER CAST L29.5+ CM 3 PANTALOON STRETCHABLE SPICA WATER RESISTANT PRECUT DELTA-DRY,125.93,62.97,27.47,113.34,64
RC,0271,LINER CAST/SPLINT SIZE 8 PTFE POLYMER BODY WATERPROOF F/PADDING SOILING PROTECTION,129.0,64.5,28.13,116.1,64
RC,0271,LINER POSITIONER BOOT INSERT HIP,118.15,59.08,25.77,106.34,64
RC,0271,LINER SPLINT MEDIUM WASHABLE REPLACEMENT FORM FIT,5.14,2.57,1.12,4.63,64
RC,0271,LOOP SPLINT 23MRX1IN BLACK LATEX FREE NONADHESIVE ROLYAN NYLON,16.99,8.5,3.71,15.29,64
RC,0271,LOOP SPLINT 25YDX1IN ORANGE LATEX FREE LOW TEMPERATURE ROLYAN THERMOPLASTIC,21.74,10.87,4.74,19.57,64
RC,0271,LOOP SPLINT ELBOW 25YDX1IN WHITE LATEX FREE SELF ADHESIVE ADHERENT ROLYAN THERMOPLASTIC,29.05,14.53,6.34,26.15,64
RC,0271,LOOP SPLINT L25 YD X W2 IN SELF ADHESIVE CLEAN SURFACE LOW TEMPERATURE ROLYAN THERMOPLASTIC WHITE,53.18,26.59,11.6,47.86,64
RC,0271,MANIFOLD SUCTION 2 STANDARD 4 PORT NEPTUNE 2 WASTE MANAGEMENT SYSTEM,293.0,146.5,63.9,263.7,64
RC,0271,MAT PATIENT L81 IN X W39 IN WITHOUT M2 MICROCLIMATE BODY PAD PREVALON,95.28,47.64,20.78,85.75,64
RC,0271,MATERIAL SPLINTING L18 IN X W12 IN THK1/16 IN SMOOTH PINCH HEAT SURFACE EDGE TRIM ROLYAN BEIGE,120.43,60.22,26.27,108.39,64
RC,0271,MEDLINE STRAP POSITIONING L72 IN X W5 IN SOFT HOOK LOOP CLOSURE FOAM KNEE,103.0,51.5,22.46,92.7,64
RC,0271,MICROPHONE HEARING AID 2+ MINI WIRELESS PLUG LOW BATTERY STATUS LIGHT COCHLEAR NUCLEUS 6 BAHA 5 SUPORPOWER BAHA 5 BAHA 4,361.25,180.63,78.79,325.13,64
RC,0271,NUCLEAUS COCHLEAR 8 AQUA+ COMPACT,54.0,27.0,11.78,48.6,64
RC,0271,NUCLEUS COCHLEAR 8 (CP1110) AQUA+ COIL 6CM,225.0,112.5,49.07,202.5,64
RC,0271,OVERTUBE ENDOSCOPIC 25CM 19.5MM 8.6-10MM 16.7MM INSUFFLATION CAP GUARDUS STANDARD TAPER ESOPHAGUS NONSTERILE LATEX FREE DISPOSABLE,512.22,256.11,111.72,461.0,64
RC,0271,OVERTUBE ENDOSCOPIC 50CM 19.5MM 8.6-10MM 16.7MM TAPER TIP INSUFFLATION CAP GUARDUS GASTRIC LATEX FREE,625.09,312.55,136.33,562.58,64
RC,0271,OVERTUBE ENDOSCOPIC ACCESS SYSTEM,695.0,347.5,151.58,625.5,64
RC,0271,"PACK BATTERY BOS-BATTERY PACK LEVEL ONE, STERILE",84.05,42.03,18.33,75.65,64
RC,0271,PACK WEDGE OR POSITIONING INTEGRATED HYBRID W/SPEED BUMP BOLSTER HEAD STABILIZING PILLOW F/TRENDELENBURG PATIENT RESTRAINT TRENGUARD 450 SINGLE-USE,857.56,428.78,187.03,771.8,64
RC,0271,PACK WEDGE OR POSITIONING INTEGRATED HYBRID W/SPEED BUMP BOLSTER HEAD STABILIZING PILLOW F/TRENDELENBURG PATIENT RESTRAINT TRENGUARD 600,1275.42,637.71,278.17,1147.88,64
RC,0271,PACKING ADULT NASACLIP HOSPITAL,330.0,165.0,71.97,297.0,64
RC,0271,PACKING PEDIATRIC NASACLIP,330.0,165.0,71.97,297.0,64
RC,0271,PACKING PEDIATRIC NASACLIP HOSPITAL,330.0,165.0,71.97,297.0,64
RC,0271,PAD 4 REPLACE AA BATTERY THERAPEUTIC POLAR CARE KODIAK INTELLI-FLO COLD THERAPY SYSTEM,88.34,44.17,19.27,79.51,64
RC,0271,PAD ELECTROSURGICAL GROUNDING HIGH-POWER RADIOFREQUENCY ABLATION COOL-TIP DGPHP SINGLE-USE,750.0,375.0,163.58,675.0,64
RC,0271,PAD HIP BOOT INSERT SUPINE POSITIONING ACTIVE HEEL,138.0,69.0,30.1,124.2,64
RC,0271,PAD HIP PERINEUM SUPINE POST POSITIONING ACTIVE HEEL L11 IN OD9 IN ID1.5 IN,75.0,37.5,16.36,67.5,64
RC,0271,PAD KNEE SHOULDER THERAPEUTIC POLAR CARE CUBE,75.67,37.84,16.5,68.1,64
RC,0271,PAD MULTIUSE THERAPEUTIC INTELLI-FLO,25.85,12.93,5.64,23.27,64
RC,0271,PAD ORTHOPEDIC HERMANATOR XL KNEE PINK IMP LATEX-FREE STERILE,261.0,130.5,56.92,234.9,64
RC,0271,PAD PIVOT POST POSITIONING PIVOTPOST VELCRO FOAM,175.0,87.5,38.17,157.5,64
RC,0271,PAD TEMPERATURE ARCTIC SUN UNIVERSAL THIN ARCTICGEL INLET OUTLET CONNECTION ANATOMICAL NONSTERILE LATEX FREE DISPOSABLE,1636.0,818.0,356.81,1472.4,64
RC,0271,PAD THERAPEUTIC COMPLETE KIT SMALL ALTRIX NONSTERILE LATEX FREE REUSABLE,3085.0,1542.5,672.84,2776.5,64
RC,0271,PADDING CAST L6 YD X W6 IN MOLECLOTH WAFER THIN OPEN CELL VELCRO FOAM THK0.17 IN,26.66,13.33,5.81,23.99,64
RC,0271,PADDING CAST THK 1CM 40X20CM ELASTO-GEL MILD ADHESIVE STANDARD BACKING STRETCH CLOTH SELF ADHES DISPOSABLE,106.0,53.0,23.12,95.4,64
RC,0271,PADDING CAST/SPLINT 36INW X 72INL 1/4IN THK WHITE FELT NON-STERILE,79.31,39.66,17.3,71.38,64
RC,0271,PADDING CAST/SPLINT MEDLINE ROLL 6IN X 2.5YD 1/4IN THK WHITE FELT ADHESIVE BACKING EA,31.39,15.7,6.85,28.25,64
RC,0271,PATCH T.OX SENSOR SMW/SIL SURROUND,1040.0,520.0,226.82,936.0,64
RC,0271,PATIENT THERAPY CONTROLLER,895.0,447.5,195.2,805.5,64
RC,0271,PILLOW ABDUCTION L16 IN X H7 IN SMALL LINER WICK WAIST STRAP ADJUSTABLE THUMB LOOP QUICK RELEASE BUCKLE PAD II FOAM SHOULDER,41.15,20.58,8.97,37.04,64
RC,0271,PILLOW ABDUCTION L19 IN X W7 IN XL LINER WICK WAIST STRAP ADJUSTABLE THUMB LOOP QUICK RELEASE BUCKLE PAD II FOAM SHOULDER,41.15,20.58,8.97,37.04,64
RC,0271,PILLOW ABDUCTION LARGE POSITIONER FOAM HIP,104.31,52.16,22.75,93.88,64
RC,0271,PILLOW ABDUCTION MEDIUM POSITIONER FOAM HIP,85.28,42.64,18.6,76.75,64
RC,0271,PILLOW FRACTURE SMALL 6INW X 13INL X 14INH FOAM CONCAVE SIDE ABDUCTION WRAP AROUND STRAP,23.76,11.88,5.18,21.38,64
RC,0271,PILLOW OR POSITIONING ABDUCTION LARGE LEG PURPLE WHITE FOAM 18INX25INX6IN UNCOVERED STRAP F/POST HIP SURGERY LATEX-FREE DISPOSABLE,224.98,112.49,49.07,202.48,64
RC,0271,PILLOW ORTHOPEDIC MEDIUM 15INW X 22INL X 6INH FOAM W/STRAPS DISPOSABLE 6/CA,107.62,53.81,23.47,96.86,64
RC,0271,PILLOW SMALL FOAM ABDUCTION HIP POSITIONER,76.37,38.19,16.66,68.73,64
RC,0271,PK GEL HT/COOL HIP,225.0,112.5,49.07,202.5,64
RC,0271,PLUG DEFIBRILLATOR TEST QUICK COMBO 3201673-000,20.68,10.34,4.51,18.61,64
RC,0271,POSITIONER OR TABLE 10INW FOAM LEG WELL W/6X2IN TROUGH SCOTLAND ONLY,65.75,32.88,14.34,59.18,64
RC,0271,POSITIONER PATIENT SECURE360 FOAM SILICONE FREE FLAME RETARDANT SECURE STRAP CHIN CRADLE INFANT LATE,262.5,131.25,57.25,236.25,64
RC,0271,POWER SUPPLY PUMP HEARTMATE II MODULE,7582.0,3791.0,1653.63,6823.8,64
RC,0271,POWER SUPPLY PUMP MOBILE POWER UNIT INTEGRATE PATIENT CABLE HEARTMATE HEARTMATE II LVADS NONSTERILE LATEX FREE REUSABLE,7582.0,3791.0,1653.63,6823.8,64
RC,0271,PROCESSOR PHONE CLIP COCHLEAR SOUND,272.0,136.0,59.32,244.8,64
RC,0271,PUMP BREAST 1 MANUAL LIGHTWEIGHT SOFT TOUCH HARMONY 120 ML 1 LB,137.76,68.88,30.05,123.98,64
RC,0271,PUMP BREAST PEDIATRIC BREAST PUMP KIT HARMONY 100 PEDIATRIC BREAST PUMP KIT WITH HARMONY,267.62,133.81,58.37,240.86,64
RC,0271,PUTTY EXERCISE 5LB TAN SUPER SOFT RESISTANCE SQUEEZABLE NONTOXIC NONOILY SAMMONS PRESTON MICRO-FRESH LATEX FREE ULTRA-FRESH,64.8,32.4,14.13,58.32,64
RC,0271,RECHARGER ACTIVA,1668.6,834.3,363.92,1501.74,64
RC,0271,RECHARGER NEUROSTIMULATOR ANTENNA AC POWER SUPPLY POUCH RESTOREADVANCED SURESCAN SPINAL CORD STIMULATION THERAPY,1200.0,600.0,261.72,1080.0,64
RC,0271,RECHARGER NEUROSTIMULATOR CHARGE SYSTEM EON MINI,1445.0,722.5,315.15,1300.5,64
RC,0271,RECHARGER NEUROSTIMULATOR INTELLIS PRGM RTM PAPR LIT,850.0,425.0,185.39,765.0,64
RC,0271,REMOTE CONTROL NEUROSTIMULATOR APP,800.0,400.0,174.48,720.0,64
RC,0271,RESTRAINT EXTREMITY UNIVERSAL HEAD,223.1,111.55,48.66,200.79,64
RC,0271,RESTRAINT VEST PONCHO ELASTIC STRAP SOFT-TEMP,567.0,283.5,123.66,510.3,64
RC,0271,SENSOR ADULT MAXFAST FOREHEAD OXIMETER SPO2 ADHESIVE LONG TERM PVC 10+ KG,611.82,305.91,133.44,550.64,64
RC,0271,SENSOR NEUROLOGICAL BIS CONNECTOR FLEXIBLE 4 ELECTRODE POLYCARBONATE L11 IN X W1.1 IN 3.7 GM,400.0,200.0,87.24,360.0,64
RC,0271,SENSOR NEUROLOGICAL BIS PEDIATRIC PIC CONNECTOR FLEXIBLE LONGER TAB SILVER CHLORIDE POLYESTER POLYCARBONATE DISPOSABLE LATEX FREE,447.13,223.57,97.52,402.42,64
RC,0271,SENSOR NEUROSTIMULATOR W/GROUNDING PAD MMG NON-STERILE,1100.0,550.0,239.91,990.0,64
RC,0271,SENSOR OXYGEN TISSUE OXIMETER HANDHELD ODISSEY,1040.0,520.0,226.82,936.0,64
RC,0271,SET ADMINISTRATION INTRAVENOUS 20FR SMALL CATHETER INSUFFLATION RETENTION CUFF FLEXIBLE PROTOCO2L LATEX FREE DISPOSABLE,690.0,345.0,150.49,621.0,64
RC,0271,SET CATHETER EXTERNAL MALE FLEXIBLE FACEPLATE HYDROCOLLOID SEAL W/MASTISOL RELIAFIT LATEX-FREE LIBERTY,472.5,236.25,103.05,425.25,64
RC,0271,SET EXTENSION L12 IN RIGHT ANGLE CONNECTOR Y PORT G-JET CLEAR,138.0,69.0,30.1,124.2,64
RC,0271,SET LEADWIRE 5 LEAD 2 CONNECT KENDALL LATEX FREE NONSTERILE DISPOSABLE,707.12,353.56,154.22,636.41,64
RC,0271,SET PAD POSITIONING W/PADX2 F/MCGUIRE FRAME LATERAL SYSTEM LATEX-FREE,196.0,98.0,42.75,176.4,64
RC,0271,SET STRAP POSITIONING IMMOBILIZATION 42CM X 46CM X 12CM 3.66LB,807.0,403.5,176.01,726.3,64
RC,0271,SET TUBE MANOMETRY EXTENSION MCOMPASS,60.0,30.0,13.09,54.0,64
RC,0271,SHEET SPLINT ORFILIGHT NS 17 11/16IN X 23 5/8IN 1/8IN THK BLACK THERMOPLASTIC MINI-PERFORATED LOW TEMP,74.53,37.27,16.25,67.08,64
RC,0271,SHEET TRANSFER 44INW X 60INL NYLON W/HANDLE BLUE F/REPOSITIONING COMFORT GLIDE SINGLE-PATIENT USE,1350.0,675.0,294.44,1215.0,64
RC,0271,SHEET TRANSFER COMFORT GLIDE AIR-ASSISTED 40IN X 80IN FULL-BODY GRAY AIR-PERMEABLE PERIMETER/EXTENDED HANDLE NYLON F/LATERAL REPOSITION,816.39,408.2,178.05,734.75,64
RC,0271,SHIELD RADIOLOGY RADPAD STERILE LATEX FREE DISPOSABLE YELLOW SUBCLAVIAN LEFT ELECTROPHYSIOLOGY,250.5,125.25,54.63,225.45,64
RC,0271,SLEEVE COMPRESSION 14- IN SMALL KNEE LENGTH SEQUENTIAL KENDALL SCD NONSTERILE LATEX FREE DISPOSABLE,72.5,36.25,15.81,65.25,64
RC,0271,SLEEVE COMPRESSION 21 IN MEDIUM KNEE LENGTH SEQUENTIAL KENDALL SCD NONSTERILE LATEX FREE DISPOSABLE,70.9,35.45,15.46,63.81,64
RC,0271,SLEEVE COMPRESSION 26- IN LARGE KNEE LENGTH SEQUENTIAL KENDALL SCD NONSTERILE LATEX FREE DISPOSABLE,72.5,36.25,15.81,65.25,64
RC,0271,SLEEVE COMPRESSION 28- IN MEDIUM THIGH LENGTH SEQUENTIAL TEAR AWAY KENDALL SCD LATEX FREE DISPOSABLE,79.2,39.6,17.27,71.28,64
RC,0271,SLEEVE COMPRESSION DEVICE SMALL 0.0-22IN CIRC PLASTIC CHAMBERX3 MULTI-FLAP CLOSURE LOCKING MECHANISM THIGH LENGTH F/BARIATRIC SCD EXPRESS LATEX-FREE NON-STERILE DISPOSABLE,41.43,20.72,9.04,37.29,64
RC,0271,SLEEVE COMPRESSION DVT THERAPY LARGE FOOT LENGTH F/INTERMITTENT HEMO-FORCE VASOPRESS LATEX-FREE NON-STERILE,260.0,130.0,56.71,234.0,64
RC,0271,SLEEVE COMPRESSION DVT THERAPY LARGE NYLON CALF LENGTH DETACHABLE TUBING SINGLE-BLADDER PIPING SIZE INDICATOR COLOR CODED F/INTERMITTENT HEMO-FORCE VASOPRESS LATEX-FREE NON-STERILE,145.66,72.83,31.77,131.09,64
RC,0271,SLEEVE COMPRESSION MEDIUM 0-28IN CIRC PLASTIC THIGH LENGTH CHAMBERX3 LOCKING MECHANISM F/BARIATRIC SCD EXPRESS LATEX-FREE NON-STERILE,198.0,99.0,43.18,178.2,64
RC,0271,SLEEVE COMPRESSION MEDIUM 71.1CML THIGH LENGTH SCD LATEX-FREE STERILE DISPOSABLE,79.2,39.6,17.27,71.28,64
RC,0271,SLEEVE COMPRESSION NYLON XL KNEE LENGTH KENDALL ADJUSTABLE CIRCUMFERENTIAL BLADDER DEEP VEIN THROMBOSIS PULMONARY EMBOLISM,76.0,38.0,16.58,68.4,64
RC,0271,SLEEVE DECOMPRESSION GASTRECTOMY 36FR DIA 107CML CALIBRATION SYSTEM VISIGI 3D LATEX-FREE,1025.0,512.5,223.55,922.5,64
RC,0271,SLING ORTHOPEDIC ENVELOPE UNIVERSAL LONG 9.5INW X 17INL POUCH SIZE COTTON CLOTH ADULT ARM SLIDE BUCKLE CLOSURE W/SHOULDER STRAP F/HAND SUPPORT LATEX-FREE,2.75,1.38,0.6,2.48,64
RC,0271,SLING PATIENT C600LB 2XL GENERAL PURPOSE CLIP LOOP INFECTION CONTROL BLUE FLITES NONSTERILE LATEX FREE DISPOSABLE,272.3,136.15,59.39,245.07,64
RC,0271,SLING PATIENT C600LB LARGE CLIP FLITES DISPOSABLE,295.3,147.65,64.4,265.77,64
RC,0271,SLING PATIENT C600LB MEDIUM GENERAL PURPOSE CLIP LOOP INFECTION CONTROL BLUE FLITES NONSTERILE LATEX FREE DISPOSABLE,295.3,147.65,64.4,265.77,64
RC,0271,SLING PATIENT C600LB XL CLIP FLITES DISPOSABLE,295.3,147.65,64.4,265.77,64
RC,0271,SLING PATIENT LIFT HAMMOCK AMPUTEE LARGE 600LB CAPACITY 2-POINT DOUBLE LEG LOOP,276.32,138.16,60.27,248.69,64
RC,0271,SLING PATIENT LIFT HAMMOCK AMPUTEE SMALL 600LB CAPACITY 2-POINT DOUBLE LEG LOOP,271.59,135.8,59.23,244.43,64
RC,0271,SLING PATIENT LIFT LARGE 39.5INW X 54INL F/2-POINT CRADLES LATEX-FREE DISPOSABLE,328.88,164.44,71.73,295.99,64
RC,0271,SLING PATIENT LIFT LOOP STANDARD MEDIUM POLYESTER 600LB CAPACITY GENERAL PURPOSE CLIP SLIDING W/HEADREST ATTACHMENT BLUE F/ARJO MAXI MOVE FLITES DISPOSABLE,267.21,133.61,58.28,240.49,64
RC,0271,SLING PATIENT SMALL C60LB STANDARD 4 POINT CLIP FLITE DISPOSABLE,295.25,147.63,64.39,265.73,64
RC,0271,SPLINT AIR 31INL VINYL PLASTIC ZIPPER ADULT ELBOW ZIP CLOSURE TYPE ORAL INFLATE CLEAR URIAS LATEX-FREE PVC,33.95,16.98,7.4,30.56,64
RC,0271,SPLINT CAST 2INX15FT ORTHO-GLASS COMFORT RL SYNTH PLYSTR 3D PD KNIT CONFRM WTRPRF RDLCNT 2/CA,80.29,40.15,17.51,72.26,64
RC,0271,SPLINT CAST L15 IN X W4 IN TAPE RADIOLUCENT ZIM-FLEX SYNTHETIC FIBERGLASS,105.67,52.84,23.05,95.1,64
RC,0271,SPLINT CASTING 4.25INW X 36INL ARM HAND LEG FLAT DESIGN WATERPROOF SAM NON-RADIOLUCENT REUSABLE,17.0,8.5,3.71,15.3,64
RC,0271,SPLINT CASTING CUSTOM MOLDABLE LARGE GREATER THAN 5.7FTL ANKLE ORTHO-GLASS AS LATEX-FREE SINGLE-PATIENT USE 10/BX,160.09,80.05,34.92,144.08,64
RC,0271,SPLINT CASTING FAST SET 6INW X 24FTL PLASTER OF PARIS POLYURETHANE FOAM FLANNEL WHITE SPECIALIST LATEX-FREE 1/CA 5-8 MIN,109.69,54.85,23.92,98.72,64
RC,0271,SPLINT CASTING FAST SET ROLL 3INW X 24FTL PLASTER OF PARIS POLYURETHANE FOAM FLANNEL WHITE SPECIALIST LATEX-FREE 5-8 MIN,74.97,37.49,16.35,67.47,64
RC,0271,SPLINT CASTING FAST SET ROLL 4INW X 24FTL PLASTER OF PARIS POLYURETHANE FOAM FLANNEL WHITE SPECIALIST LATEX-FREE 5-8 MIN,87.87,43.94,19.16,79.08,64
RC,0271,SPLINT CASTING PRECUT 4INW X 24INL FIBERGLASS 10/BX,453.0,226.5,98.8,407.7,64
RC,0271,SPLINT CASTING ROLL 3INW X 15FTL SYNTHETIC POLYESTER 3D PADDED KNITTED CONFORMABLE WATERPROOF ORTHO-GLASS COMFORT LATEX-FREE RADIOLUCENT 2/CA,114.09,57.05,24.88,102.68,64
RC,0271,SPLINT CASTING ROLL 5INW X 15FTL SYNTHETIC POLYESTER 3D PADDED KNITTED CONFORMABLE WATERPROOF ORTHO-GLASS COMFORT LATEX-FREE RADIOLUCENT 2/CA,167.2,83.6,36.47,150.48,64
RC,0271,SPLINT CASTING ROLYAN PREFERRED ROLL CUT-TO-FIT 1IN X 5YD 1/16IN THK BEIGE MOLESKIN SELF-ADHESIVE PAPER BACKING EA,10.48,5.24,2.29,9.43,64
RC,0271,SPLINT NASAL 0.0625INW X 24INL X 18INH SEPTAL EXTERNAL PERFORATED IVORY F/RHINOPLASTY AQUAPLAST PS LATEX-FREE MRI-SAFE,140.0,70.0,30.53,126.0,64
RC,0271,SPLINT NASAL L2.63 IN X H1.73 IN LARGE THERMOPLASTIC THERMASPLINT WHITE,181.65,90.83,39.62,163.49,64
RC,0271,SPLINT NASAL LARGE 43MM X 69MM ALUMINUM DENVER 1500 SERIES,309.0,154.5,67.39,278.1,64
RC,0271,SPLINT NASAL LARGE EXTERNAL,285.0,142.5,62.16,256.5,64
RC,0271,SPLINT NASAL MEDIUM EXTERNAL,289.0,144.5,63.03,260.1,64
RC,0271,SPLINT NASAL MEDIUM LATEX FREE NONSTERILE DISPOSABLE THERMASPLINT,186.08,93.04,40.58,167.47,64
RC,0271,SPLINT NASAL PETITE ALUMINUM ADHESIVE DENVER SPLINT 1500 SERIES,299.0,149.5,65.21,269.1,64
RC,0271,SPLINT NASAL SEPTUM LARGE 69X43MM VELCRO ALUMINUM 2 PIECE ADHERENT WATERPROOF LATEX FREE STERILE BEIGE LIGHT PINK NATURAL DISPOSABLE DENVER 1500 SERIES,383.96,191.98,83.74,345.56,64
RC,0271,SPLINT NASAL SEPTUM PETITE 58X30MM VELCRO ALUMINUM 2 PIECE KIT ADHERENT WATERPROOF LATEX FREE STERILE BEIGE LIGHT PINK NATURAL DISPOSABLE DENVER 1500 SERIES,321.0,160.5,70.01,288.9,64
RC,0271,SPLINT NASAL SEPTUM SMALL 65X35MM VELCRO ALUMINUM 2 PIECE KIT EXTERNAL DORSAL PAD LATEX FREE STERILE BEIGE LIGHT PINK NATURAL DISPOSABLE DENVER 1500 SERIES,311.0,155.5,67.83,279.9,64
RC,0271,SPLINT NASAL THERMOPLAST TRANSPARENT/MOLDABLE DENVER,135.0,67.5,29.44,121.5,64
RC,0271,SPLINT NASAL W2.38 IN X H1.53 IN MEDIUM REGULAR RUBBER FOAM SEPTUM EXTERNAL XOMED,804.12,402.06,175.38,723.71,64
RC,0271,SPLINT ORTHOPEDIC 15FTX2IN FIBERGLASS ROLL ORTHO-GLASS,38.61,19.31,8.42,34.75,64
RC,0271,SPLINT ORTHOPEDIC 15FTX5IN FIBERGLASS PAD ROLL LIGHTWEIGHT WASHABLE LATEX FREE DYNACAST S,66.86,33.43,14.58,60.17,64
RC,0271,SPLINT ORTHOPEDIC 15FTX5IN FIBERGLASS ROLL LATEX FREE ORTHO-GLASS,161.02,80.51,35.12,144.92,64
RC,0271,SPLINT ORTHOPEDIC 20FTX2IN PLASTER OF PARIS GYPSONA,47.2,23.6,10.29,42.48,64
RC,0271,SPLINT ORTHOPEDIC 20FTX3IN PLASTER OF PARIS ROLL GYPSONA,57.08,28.54,12.45,51.37,64
RC,0271,SPLINT ORTHOPEDIC 20FTX4IN PLASTER OF PARIS ROLL GYPSONA,69.19,34.6,15.09,62.27,64
RC,0271,SPLINT ORTHOPEDIC 20FTX5IN PLASTER OF PARIS ROLL GYPSONA,85.27,42.64,18.6,76.74,64
RC,0271,SPLINT ORTHOPEDIC 5.5INW X 36INL ALUMINUM CLOSED CELL FOAM WATERPROOF LATEX-FREE NON-RADIOPAQUE,19.31,9.66,4.21,17.38,64
RC,0271,SPLINT ORTHOPEDIC COMFORT COOL ULNAR BOOSTER STABILIZER MEDIUM 6 1/4-7 1/4IN 1/16IN THK RIGHT WRIST HAND PERFORATED STRAP FOAM NEOPRENE TERRYCLOTH INSERT,23.89,11.95,5.21,21.5,64
RC,0271,SPLINT ORTHOPEDIC FOOT LEFT MEDIUM 4.5X3.5IN POLYFORM FUNCTIONAL POSITION PREFORM LATEX FREE WHITE,20.72,10.36,4.52,18.65,64
RC,0271,SPLINT ORTHOPEDIC HAND LEFT THK1/8IN LARGE 4.5+ IN POLYFORM FUNCTIONAL POSITION PREFORM LATEX FREE WHITE ROLYAN,24.1,12.05,5.26,21.69,64
RC,0271,SPLINT ORTHOPEDIC HAND LEFT W2 1/2-3 1/2 IN NEUTRAL DEVIATION ROLYAN POLYFORM THK1/8 IN SMALL WHITE,23.17,11.59,5.05,20.85,64
RC,0271,SPLINT ORTHOPEDIC HAND RIGHT THK1/8IN LARGE 4.5+ IN POLYFORM FUNCTIONAL POSITION PREFORM LATEX FREE WHITE ROLYAN,24.01,12.01,5.24,21.61,64
RC,0271,SPLINT ORTHOPEDIC HAND RIGHT THK1/8IN SMALL 2.5-3.5IN POLYFORM NEUTRAL DEVIATION LATEX FREE WHITE ROLYAN,23.05,11.53,5.03,20.75,64
RC,0271,SPLINT ORTHOPEDIC KNEE L20 IN ELASTIC CONTACT CLOSURE STRAP 2 MOVABLE MEDIAL LATERAL I BEAM POSTERIOR STAY PROCARE QUICK-FIT FOAM UNIVERSAL 2 CONTOUR L3 IN OD36- IN,13.28,6.64,2.9,11.95,64
RC,0271,SPLINT ORTHOPEDIC L15 FT X W1 IN ROLL ORTHO-GLASS FIBERGLASS,57.09,28.55,12.45,51.38,64
RC,0271,SPLINT ORTHOPEDIC L15 FT X W6 IN ROLL ORTHO-GLASS FIBERGLASS,200.67,100.34,43.77,180.6,64
RC,0271,SPLINT ORTHOPEDIC MEDIUM THERMOPLASTIC POLYFORM RIGHT HAND PREFORMED RESTING PAN W/O STRAP WHITE F/FUNCTIONAL POSITIONAL ROLYAN LATEX-FREE LOW TEMPERATURE,21.37,10.69,4.66,19.23,64
RC,0271,SPLINT ORTHOPEDIC POSITIONER COCK-UP WRIST PALMAR STAY D-RING CLOSURE BLACK FOAM,90.43,45.22,19.72,81.39,64
RC,0271,SPLINT ORTHOPEDIC ROLYAN POLYFORM 1/8 IN 18 IN 24 IN BLUE,54.66,27.33,11.92,49.19,64
RC,0271,SPLINT ORTHOPEDIC UNIVERSAL 19INL FOAM KNEE TRIMMABLE CONTOURED HOOK-LOOP STRAP MEDIAL/LATERAL POSTERIOR STAY COLOR-CODED LATEX-FREE NON-STERILE,35.6,17.8,7.76,32.04,64
RC,0271,SPLINT ORTHOPEDIC UNIVERSAL 22INL FOAM KNEE TRIMMABLE CONTOURED HOOK-LOOP STRAP MEDIAL/LATERAL POSTERIOR STAY COLOR-CODED LATEX-FREE NON-STERILE,98.0,49.0,21.37,88.2,64
RC,0271,SPLINT ORTHOPEDIC W710 MEDIUM LARGE 8-9 1/2IN MCP 6-12 1/2IN FOREARM LEFT WRIST FOREARM LOW-PROFILE NEOPRENE F/CVA/TBI,120.75,60.38,26.34,108.68,64
RC,0271,SPLINT ORTHOPEDIC W710 MEDIUM LARGE 8-9 1/2IN MCP 6-12 1/2IN FOREARM RIGHT WRIST FOREARM LOW-PROFILE NEOPRENE F/CVA/TBI,120.75,60.38,26.34,108.68,64
RC,0271,SPLINT ORTHOPEDIC W710 SMALL MEDIUM 6 1/2-8IN MCP 6-11 1/2IN FOREARM RIGHT WRIST FOREARM LOW-PROFILE NEOPRENE F/CVA/TBI,120.75,60.38,26.34,108.68,64
RC,0271,SPLINT ORTHOPEDIC WRIST LEFT L8 IN DEROYAL XS BLACK,9.49,4.75,2.07,8.54,64
RC,0271,SPLINT ORTHOPEDIC WRIST RIGHT L8 IN DEROYAL MEDIUM BLACK,9.49,4.75,2.07,8.54,64
RC,0271,SPLINT ORTHOPEDIC WRIST RIGHT L8 IN DEROYAL SMALL BLACK,12.26,6.13,2.67,11.03,64
RC,0271,SPLINT ORTHOPEDIC WRIST RIGHT L8 IN DEROYAL XS BLACK,10.42,5.21,2.27,9.38,64
RC,0271,SPLINT SAEBOSTRETCH LARGE LEFT HAND,218.81,109.41,47.72,196.93,64
RC,0271,SS-MEC URINE METER BAG STARTER KIT,149.52,74.76,32.61,134.57,64
RC,0271,STIM BONE GROWTH PHYSIO 5303,2800.0,1400.0,610.68,2520.0,64
RC,0271,STOCKINETTE CAST/SPLINT 4INW X 25YDL POLYESTER 1-PLY SEMI-RIGID LATEX-FREE NON-STERILE,13.64,6.82,2.97,12.28,64
RC,0271,STOCKINETTE CAST/SPLINT 5INW X 25YDL COTTON TUBULAR NATURAL LATEX-FREE NON-STERILE 6/CA ST. LUKE ONLY,380.0,190.0,82.88,342.0,64
RC,0271,STOCKINETTE CAST/SPLINT 6INW X 25YDL POLYESTER RIBBED KNITTED CONFORMABLE LATEX-FREE NON-STERILE 1/CA,21.18,10.59,4.62,19.06,64
RC,0271,STOCKINETTE COTTON POLYESTER L25 YD X W4 IN MODERATE STRETCH SEAMLESS SMOOTH ROLYAN ORTHOPEDIC,19.11,9.56,4.17,17.2,64
RC,0271,STOCKINETTE ORTHOPEDIC 10MRX10CM DELTA-DRY SOFTLINER WATER RESISTANT PAD LATEX FREE,83.51,41.76,18.21,75.16,64
RC,0271,STOCKINETTE ORTHOPEDIC 11YDX5CM SYNTHETIC FIBER DELTA-DRY SOFT LINER WATER RESISTANCE REDUCE ODOR LATEX FREE NONSTERILE DISPOSABLE,74.94,37.47,16.34,67.45,64
RC,0271,STOCKINETTE ORTHOPEDIC 11YDX7.5CM SYNTHETIC FIBER DELTA-DRY SOFT LINER WATER RESISTANCE REDUCE ODOR LATEX FREE NONSTERILE DISPOSABLE,77.94,38.97,17.0,70.15,64
RC,0271,STOCKINETTE ORTHOPEDIC 25YDX3IN POLYESTER COTTON SOFT STRETCH,14.83,7.42,3.23,13.35,64
RC,0271,STOCKINETTE ORTHOPEDIC 25YDX4IN COTTON SPECIALIST 1 PLY KNIT STRETCHABLE HIGH ABSORBENT LATEX FREE NONSTERILE,141.52,70.76,30.87,127.37,64
RC,0271,STOCKINETTE ORTHOPEDIC 25YDX4IN SYNTHETIC FIBER DELTA-NET 1 PLY STRETCH LATEX FREE NONSTERILE WHITE,39.03,19.52,8.51,35.13,64
RC,0271,STOCKINETTE ORTHOPEDIC 25YDX6IN COTTON PROXIMA UNBLEACH RIBBED KNIT HOLLOW LATEX FREE TUBULAR NONSTERILE DISPOSABLE OFF WHITE,13.65,6.83,2.98,12.29,64
RC,0271,STOCKINETTE ORTHOPEDIC 25YDX6IN COTTON ROLYAN DENSE KNIT LATEX FREE TUBULAR,25.47,12.74,5.56,22.92,64
RC,0271,STOCKINETTE SYNTHETIC FIBER L25 YD X W3 IN 1 PLY STRETCH WHITE DELTA-NET ORTHOPEDIC,29.64,14.82,6.46,26.68,64
RC,0271,"STOCKING COMPRESSION T.E.D. ANTI-EMBOLISM KNEE LENGTH, WHITE, X-LARGE, REGULAR",146.1,73.05,31.86,131.49,64
RC,0271,STRAP CAST/SPLINT ROLYAN ROLL 1 1/2IN X 3 1/2YD 1/8IN THK BEIGE NEOPRENE NYLON LINING RUBBER CORE LESS ELASTIC ATTACHED HOOK LATEX-FREE EA,23.82,11.91,5.2,21.44,64
RC,0271,STRAP DISTRACTION DISTRACTOR VELCRO COTTON ANKLE ELBOW,61.0,30.5,13.3,54.9,64
RC,0271,STRAP DISTRACTION NONINVASIVE GUHL FOOT ANKLE,288.0,144.0,62.81,259.2,64
RC,0271,STRIP TRACTION MEDIUM 30X2.5IN HYPOALLERGENIC ADHESIVE BACK SKIN-TRAC SKIN FOAM,12.65,6.33,2.76,11.39,64
RC,0271,SUPPORT ATHLETIC XL 3IN FABRIC WHITE SPORT-AID LATEX-FREE REUSABLE,12.7,6.35,2.77,11.43,64
RC,0271,SUPPORT LARGE HAND LEFT WRIST POCKET ANGLE VELCRO METAL LEATHER 3.5IN ORTHOPEDIC LATEX FREE,18.0,9.0,3.93,16.2,64
RC,0271,SUPPORT LARGE HAND RIGHT WRIST POCKET ANGLE VELCRO METAL LEATHER 3.5IN ORTHOPEDIC LATEX FREE,18.0,9.0,3.93,16.2,64
RC,0271,SUPPORT MAMMARY 34-36IN SMALL PAD SHOULDER STRAP REMOVABLE DRAIN BULB HOLDER MACHINE WASHABLE LATEX FREE SURGI-BRA VELCRO COTTON SPANDEX,55.2,27.6,12.04,49.68,64
RC,0271,SUPPORT MAMMARY 36-38IN MEDIUM PAD SHOULDER STRAP REMOVABLE DRAIN BULB HOLDER MACHINE WASHABLE LATEX FREE SURGI-BRA VELCRO COTTON SPANDEX,64.31,32.16,14.03,57.88,64
RC,0271,SUPPORT MAMMARY 44-46IN 3XL PAD SHOULDER STRAP REMOVABLE DRAIN BULB HOLDER MACHINE WASHABLE LATEX FREE SURGI-BRA VELCRO COTTON SPANDEX,38.25,19.13,8.34,34.43,64
RC,0271,SUPPORT ORTHOPEDIC ROLYAN MEDIUM 7IN 3-3 1/2IN PALM RIGHT HAND WRIST NO STAY PLASTIC INSERT HOOK-LOOP CLOSURE TENSION STRAP BLACK ELASTIC LATEX-FREE SINGLE PATIENT USE F/CTS,10.51,5.26,2.29,9.46,64
RC,0271,SUPPORT ORTHOPEDIC SMALL/MEDIUM LEFT WRIST,29.75,14.88,6.49,26.78,64
RC,0271,SUPPORT SCROTAL ADULT MALE LARGE ADJUSTABLE ELASTIC WAISTBAND LEG STRAP NONSTERILE LATEX REUSABLE WHITE BAUER & BLACK COTTON,13.51,6.76,2.95,12.16,64
RC,0271,SUPPORT SCROTAL ADULT MALE MEDIUM ADJUSTABLE ELASTIC WAISTBAND LEG STRAP NONSTERILE LATEX REUSABLE WHITE BAUER & BLACK COTTON,648.6,324.3,141.46,583.74,64
RC,0271,SUPPORT SCROTAL ATHLETIC MEDIUM 3IN FABRIC WHITE SPORT-AID LATEX-FREE REUSABLE,12.18,6.09,2.66,10.96,64
RC,0271,SUPPORT SCROTAL ATHLETIC SMALL 3IN FABRIC WHITE SPORT-AID LATEX-FREE REUSABLE,12.7,6.35,2.77,11.43,64
RC,0271,SUPPORT SCROTAL SUSPENSORY DELUXE MEDIUM MESH POUCH LEG/NON-ELASTIC WAIST STRAP EA,12.9,6.45,2.81,11.61,64
RC,0271,SUPPORT SCROTAL SUSPENSORY DELUXE XLARGE MESH POUCH LEG/NON-ELASTIC WAIST STRAP EA,12.9,6.45,2.81,11.61,64
RC,0271,SUPPORT SCROTAL XL ADJUSTABLE ELASTIC WAISTBAND LEG STRAP BAUER & BLACK COTTON ADULT MALE WHITE,648.6,324.3,141.46,583.74,64
RC,0271,SYSTEM CASTING 4IN TCC-EZ - TCC24051,645.41,322.71,140.76,580.87,64
RC,0271,SYSTEM CASTING TCC-EZ 3IN NO BOOT,1113.33,556.67,242.82,1002.0,64
RC,0271,SYSTEM DELIVERY FETAL PILLOW BALLOON CEPHALIC ELEVATION CESAREAN SECTION,4295.0,2147.5,936.74,3865.5,64
RC,0271,SYSTEM ELECTROTHERAPY PAIN RELIEF DIGITAL VENTI TENS,2178.0,1089.0,475.02,1960.2,64
RC,0271,SYSTEM FECAL MANAGEMENT FLEXI-SEAL SIGNAL KIT COLLECTION BAG CATHETER SYRINGE LATEX FREE,330.0,165.0,71.97,297.0,64
RC,0271,SYSTEM GASTRIC LAVAGE VISIGI 3D 40FR,1025.0,512.5,223.55,922.5,64
RC,0271,SYSTEM GASTRIC LAVAGE VISIGI 3D 50FR 107CM SELECTION VALVE FENESTRATION PATTERN SLEEVE BULB TIP THERMOPLASTIC ELASTOMER NONSTERILE LATEX FREE DISPOSABLE,191.0,95.5,41.66,171.9,64
RC,0271,SYSTEM POSITIONING 2 PAD 1 STRAP ADHESIVE BACK HYPOALLERGENIC NONSTERILE LATEX FREE PANNUS RETENTION,470.0,235.0,102.51,423.0,64
RC,0271,SYSTEM REHABILITATION THERABITE PASSIVE MOTION ADULT LATEX FREE,451.41,225.71,98.45,406.27,64
RC,0271,TAPE GLASSPAN FLEXIBLE CERAMIC BONDING,264.99,132.5,57.79,238.49,64
RC,0271,TEMPLATE 18 HOLE NA BENDING MATTA PELVIC SYSTEM FLEX PLATE,134.33,67.17,29.3,120.9,64
RC,0271,TEMPLATE 8 HOLE NA BENDING MATTA PELVIC SYSTEM FLEX PLATE,115.42,57.71,25.17,103.88,64
RC,0271,TEMPLATE ROD L200 MM CASPIAN SPINAL SYSTEM SPINE,31.5,15.75,6.87,28.35,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL MALE 10-24 UNC-2A,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL MALE 10-32 UNF-2A,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL MALE 12-24 UNC-2A,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL MALE 12-28 UNF-2A,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL OD6 GA MALE M5.5 L.9 MM,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL OD6 GA MALE THREAD M10 L1 MM,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL OD6 GA MALE THREAD M6 L.75 MM,270.0,135.0,58.89,243.0,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL OD6 GA MALE THREAD M7 L1 MM,285.0,142.5,62.16,256.5,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL OD6 GA MALE THREAD M8 L1 MM,270.0,135.0,58.89,243.0,64
RC,0271,TIP EXTRACTOR SHUKLA NAIL S9NAIL OD6 GA MALE THREAD M8 L1.25 MM,270.0,135.0,58.89,243.0,64
RC,0271,TRAP COLLECTOR INLINE QUICKTRAP SPECIMEN NEPTUNE WASTE MANAGEMENT SYSTEM C30ML NONSTERILE,108.33,54.17,23.63,97.5,64
RC,0271,TUBE OD10 FR FEED RETENTION BUTTON DELIVERY CATHETER WATER SOLUBLE LUBRICATE JELLY CORGRIP* PINK NASOGASTRIC NASOINTESTINAL,834.17,417.09,181.93,750.75,64
RC,0271,TUBE OD12 FR INTEGRATE CAMERA SMALL BORE KANGAROO ENFIT NASOGASTRIC POLYURETHANE L55 IN,994.39,497.2,216.88,894.95,64
RC,0271,TUBING EXERCISE THERABAND 100FT SILVER LEVEL 6 SUPER HEAVY RESISTANCE LATEX,53.6,26.8,11.69,48.24,64
RC,0271,VEST COMPRESSION LARGE EIGHT STRAP HOOK EYE CLOSURE ELASTIC WAISTBAND LATEX FREE BLACK MALE,54.0,27.0,11.78,48.6,64
RC,0271,VEST COMPRESSION MEDIUM POWERNET FABRIC MALE ELASTIC WAISTBAND BLACK F/POST OPERATION LATEX-FREE,54.0,27.0,11.78,48.6,64
RC,0271,VEST COMPRESSION X-SMALL EIGHT STRAP HOOK EYE CLOSURE ELASTIC WAISTBAND LATEX FREE BLACK MALE,54.0,27.0,11.78,48.6,64
RC,0271,VEST COMPRESSION XL EIGHT STRAP HOOK EYE CLOSURE ELASTIC WAISTBAND LATEX FREE BLACK MALE,54.0,27.0,11.78,48.6,64
RC,0271,VEST COMPRESSION XXL MALE POST OP BLACK,59.0,29.5,12.87,53.1,64
RC,0271,VEST ELECTROSURGICAL XL SENSOR ARRAY MULTI-ELECTRODE MAPPING PANELX3 ELECTRODEX252 F/CARDIOINSIGHT SYSTEM,3500.0,1750.0,763.35,3150.0,64
RC,0271,VEST POST SURGICAL 1 ZIP HOOK MACHINE WASH OD31-35 IN JOBST VELCRO NYLON FABRIC WHITE,51.9,25.95,11.32,46.71,64
RC,0271,WRAP THERAPEUTIC L13 IN X W28 IN XL DURAKOLD KNEE ARTHROSCOPY,35.77,17.89,7.8,32.19,64
RC,0271,WRAP THERAPEUTIC REGULAR UNIVERSAL ICE MAT COLD DURAKOLD SHOULDER,58.96,29.48,12.86,53.06,64
RC,0272,1.0 MM PENETRATOR BLADE WITH 5.0 INCH LONG STRAIGHT HANDLE,170.0,85.0,37.08,153.0,64
RC,0272,1.25 KIRSH WIRE W TROCAR TIP/80-10PK,76.33,38.17,16.65,68.7,64
RC,0272,10 Y-FILLSGLEQUIK TO QUIK,35.04,17.52,7.64,31.54,64
RC,0272,11MM DRILL BIT,272.5,136.25,59.43,245.25,64
RC,0272,11MM LOAD DISTRIBUTION CAP,60.0,30.0,13.09,54.0,64
RC,0272,2-0 STRATAFIX SPIRAL PDS PLUS 14X14CM DYED SH,312.0,156.0,68.05,280.8,64
RC,0272,2.2 MM CIRCULAR BLADE WITH 8.0 INCH LONG STRAIGHT HANDLE,195.0,97.5,42.53,175.5,64
RC,0272,2.8MM DRILL,212.76,106.38,46.4,191.48,64
RC,0272,23G MVR KNIFE 6/BOX,136.5,68.25,29.77,122.85,64
RC,0272,3.6MM DRILL BIT,212.76,106.38,46.4,191.48,64
RC,0272,3.8MM STEPDRILL - LONG,270.22,135.11,58.93,243.2,64
RC,0272,5.5MM CANN TAP,766.02,383.01,167.07,689.42,64
RC,0272,9.5MM DRILL BIT,272.5,136.25,59.43,245.25,64
RC,0272,9.5MM LOAD DISTRIBUTION CAP,60.0,30.0,13.09,54.0,64
RC,0272,96600-115//CANNULA 96600-115 BIO-MEDICUS 15FR EA,392.7,196.35,85.65,353.43,64
RC,0272,96600-117//CANNULA 96600-117 BIO-MEDICUS 17FR EA,392.7,196.35,85.65,353.43,64
RC,0272,ABLATION TRAY,318.66,159.33,69.5,286.79,64
RC,0272,ABSORBER SUCTION 19MM DIA STANDARD FEMORAL CANAL PREP-IM,240.0,120.0,52.34,216.0,64
RC,0272,ACCESS VERSACROSS CONNECT LAAC 180P D1,1000.0,500.0,218.1,900.0,64
RC,0272,ACCESS VERSACROSS CONNECT LAAC 230P D1,1000.0,500.0,218.1,900.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR 16 CONTACT PUSH BUTTON OR CABLE VERCISE,155.0,77.5,33.81,139.5,64
RC,0272,ACCESSORY NEUROSTIMULATOR 60/75CM LEAD OCTAD REVISION KIT STERILE LATEX FREE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR BURR HOLE SENSIGHT,207.0,103.5,45.15,186.3,64
RC,0272,ACCESSORY NEUROSTIMULATOR EXTENSION TEST CABLE DBS,150.0,75.0,32.72,135.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR EXTENSION TUNNELER DBS,270.0,135.0,58.89,243.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR LEAD CAP TORQUE WRENCH DBS,120.0,60.0,26.17,108.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR LEAD INTRODUCER OD6.5 FR REVISION PERCUTANEOUS,50.0,25.0,10.91,45.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR LEAD TEST CABLE DBS,150.0,75.0,32.72,135.0,64
RC,0272,ACCESSORY NEUROSTIMULATOR OR CABLE EXTENSION VERCISE DEEP BRAIN STIMULATION SYSTEM,150.0,75.0,32.72,135.0,64
RC,0272,ADAPTER 24-36FR THORACIC DRAINAGE 3 WAY STOPCOCK CHEST TUBE THAL-QUICK DISPOSABLE,72.1,36.05,15.73,64.89,64
RC,0272,ADAPTER BONE CEMENT 2 KYPHON MULTI-TAP,37.0,18.5,8.07,33.3,64
RC,0272,ADAPTER BRONCHOSCOPE F/OLYMPUS ILLUMISITE REUSABLE 6/PK,930.0,465.0,202.83,837.0,64
RC,0272,ADAPTER BRONCHOSCOPE SUCTION CLEAN OLYMPUS OES,44.74,22.37,9.76,40.27,64
RC,0272,ADAPTER CABLE ADAP 2000,24.3,12.15,5.3,21.87,64
RC,0272,ADAPTER CABLE INTERFACE PACING SYSTEM ANALYZER REMINGTON CABLE,30.38,15.19,6.63,27.34,64
RC,0272,ADAPTER CARDIOPLEGIA 84INL ANTEGRADE/RETROGRADE PRESSURE MONITORING,352.0,176.0,76.77,316.8,64
RC,0272,ADAPTER CATHETER .018 IN COOK SIDEARM GUIDEWIRE ROTATABLE,281.0,140.5,61.29,252.9,64
RC,0272,ADAPTER CATHETER 8IN 8FR POLYURETHANE HEMOSTASIS VALVE STOPCOCK SIDE ARM TUBE BLUE,25.0,12.5,5.45,22.5,64
RC,0272,ADAPTER CATHETER ACCURYN SMARTFOLEY,1000.0,500.0,218.1,900.0,64
RC,0272,ADAPTER CATHETER FLUSH ASPIRATION 20+ FR CATHETER,121.0,60.5,26.39,108.9,64
RC,0272,ADAPTER CATHETER GATEWAY ADVANTAGE TUOHY Y LEAK RESISTANT SEAL ROTATABLE MALE LUER CONNECTION BORST VALVE LATEX FREE,154.22,77.11,33.64,138.8,64
RC,0272,ADAPTER CATHETER GATEWAY PLUS Y LATEX FREE,350.0,175.0,76.34,315.0,64
RC,0272,ADAPTER CATHETER L15 CM OD14 FR GOLDBERG FOLEY DRAINAGE BAG URETERAL,66.39,33.2,14.48,59.75,64
RC,0272,ADAPTER CATHETER TUOHY-BORST PLASTIC ACCEPTS 9FR INSTRUMENT LARGE BORE SIDEARM ROTATE MALE INFUSION INTRAVENOUS STERILE DISPOSABLE CLEAR,11.99,6.0,2.62,10.79,64
RC,0272,ADAPTER CECOSTOMY CONNECT TUBE LOW PROFILE CHAIT ACCESS STERILE DISPOSABLE,24.75,12.38,5.4,22.28,64
RC,0272,ADAPTER COAXIAL POWER LIBERTY INVIA NEGATIVE PRESSURE WOUND THERAPY,130.0,65.0,28.35,117.0,64
RC,0272,ADAPTER COCHLEAR USB POWER COCHLEAR,18.7,9.35,4.08,16.83,64
RC,0272,ADAPTER DIALYSIS 2 PIECE LOCK TITANIUM PERITONEAL DIALYSIS STERILE LATEX FREE DISPOSABLE,1762.29,881.15,384.36,1586.06,64
RC,0272,ADAPTER DRAINAGE FLUSH ASPIRATION SYRINGE ACTIVATE CLAMP LATEX FREE,75.0,37.5,16.36,67.5,64
RC,0272,ADAPTER DRAINAGE UNIVERSAL FUNNEL LUER LOCK URESIL,80.0,40.0,17.45,72.0,64
RC,0272,ADAPTER DRILL DRIVE QUICK COUPLING 5 MM SCHANZ SCREW,269.5,134.75,58.78,242.55,64
RC,0272,ADAPTER ELECTROSURGICAL HANDSWITCH HARMONIC HP054,90.77,45.39,19.8,81.69,64
RC,0272,ADAPTER ENDOSCOPE TOOMEY SYRINGE,96.75,48.38,21.1,87.08,64
RC,0272,ADAPTER EXTRACTOR CONICAL ORTHOPEDIATRICS INSTRUMENTATION ADULT NAIL,340.76,170.38,74.32,306.68,64
RC,0272,ADAPTER HEARING AID MONITOR EARPHONE MICROCHIP TECHNOLOGY NUCLEUS 5 STERILE,93.5,46.75,20.39,84.15,64
RC,0272,ADAPTER INSTRUMENT AIM ARM HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM NONSTERILE,676.79,338.4,147.61,609.11,64
RC,0272,ADAPTER IRRIGATION DUAL SPIKE LATEX-FREE,170.26,85.13,37.13,153.23,64
RC,0272,ADAPTER LEAD 6 MM IS-1 UNIPOLAR,500.0,250.0,109.05,450.0,64
RC,0272,ADAPTER LEAD L10 CM BIPOLAR IS-1 CONNECTOR LV-1 RECEPTACLE,500.0,250.0,109.05,450.0,64
RC,0272,ADAPTER LIGHT CABLE 100CM RELIEVA LUMA SINUS ILLUMINATION SYSTEM,1895.0,947.5,413.3,1705.5,64
RC,0272,ADAPTER LIGHT CABLE SNAP ON CONNECTOR ACMI SCOPE TO LIGHTGUIDE,109.37,54.69,23.85,98.43,64
RC,0272,ADAPTER LIGHT SOURCE EXPANDABLE W/CABLE ACMI MERCURY-FREE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0272,ADAPTER PERITONEAL DIALYSIS TITANIUM SWAN NECK,125.0,62.5,27.26,112.5,64
RC,0272,ADAPTER PROBE VISION SUCTION,500.0,250.0,109.05,450.0,64
RC,0272,ADAPTER QUICK FIL FILLINGF/SERVOFLURENE VAPORAZOR,172.14,86.07,37.54,154.93,64
RC,0272,ADAPTER RESERVOIR LUER CEMENT CONFIDENCE,93.75,46.88,20.45,84.38,64
RC,0272,ADAPTER SOUND PROCESSOR COCHLEAR EARMOULD,18.7,9.35,4.08,16.83,64
RC,0272,ADAPTER STERILIZATION MODULE NA,16.6,8.3,3.62,14.94,64
RC,0272,ADAPTER SUCTION/IRRIGATION DUAL SPIKE F/PUMP TUBING STERILE DISPOSABLE,11.0,5.5,2.4,9.9,64
RC,0272,ADAPTER SURGICAL DEPTH LCP 3.5 MM SCREW PERCUTANEOUS APPROACH,423.3,211.65,92.32,380.97,64
RC,0272,ADAPTER SYRINGE PURASTAT,250.0,125.0,54.53,225.0,64
RC,0272,ADAPTER TRACTION NA PELVIC LATERAL DEVICE,218.84,109.42,47.73,196.96,64
RC,0272,ADAPTER TUBING FLUSH ASPIRATION ASPIRATION AND FLUSH ASSEMBLY,70.0,35.0,15.27,63.0,64
RC,0272,ADAPTER TUBING INFUSION NA 4 MM ARTHROSCOPE,170.0,85.0,37.08,153.0,64
RC,0272,ADAPTER TUBING Y 2 SPIKE CONTINUOUS WAVE II,210.0,105.0,45.8,189.0,64
RC,0272,ADAPTER UNI 5MM TO IS-1,500.0,250.0,109.05,450.0,64
RC,0272,ADAPTER UROLOGICAL CATHETER PLASTIC MALE LUER-LOCK W/3-6FR INSTRUMENTATION Y-TYPE TUOHY BORST SIDE-ARM F/PREVENT BACKFLOW,27.8,13.9,6.06,25.02,64
RC,0272,ADAPTER UROLOGICAL CATHETER W/BALL FITTING UROLOK II LATEX-FREE NON-RADIOLUCENT STERILE,139.48,69.74,30.42,125.53,64
RC,0272,ADAPTOR 3.3MM INSERT,501.0,250.5,109.27,450.9,64
RC,0272,ADAPTOR MONITOR INTERFACE NIM 3.0 INCREMT,50.0,25.0,10.91,45.0,64
RC,0272,ADHESIVE ARGYLE TYPE A SILICONE SKIN CLOSURE STERILE LATEX FREE PERITONEAL DIALYSIS,26.08,13.04,5.69,23.47,64
RC,0272,ADHESIVE BIOGLUE 10ML PREFILL SYRINGE 3 SPREADER 4 STANDARD TIP BOVINE SERUM ALBUMIN GLUTARALDEHYDE SURGICAL 12MM SOFT TISSUE STERILE LATEX FREE DISPOSABLE,4995.0,2497.5,1089.41,4495.5,64
RC,0272,ADHESIVE BIOGLUE 2ML PREFILL SYRINGE PLUNGER 4 STANDARD TIP BOVINE SERUM ALBUMIN GLUTARALDEHYDE SURGICAL SOFT TISSUE STERILE LATEX FREE DISPOSABLE,2801.0,1400.5,610.9,2520.9,64
RC,0272,ADHESIVE BIOGLUE 5ML PREFILL SYRINGE 4 STANDARD TIP BOVINE SERUM ALBUMIN GLUTARALDEHYDE SURGICAL SOFT TISSUE STERILE LATEX FREE DISPOSABLE,4065.0,2032.5,886.58,3658.5,64
RC,0272,ADHESIVE BIOGLUE PREFILL SYRINGE APPLICATOR TIP BOVINE SERUM ALBUMIN GLUTARALDEHYDE SURGICAL 27CM SOFT TISSUE STERILE LATEX FREE DISPOSABLE,865.0,432.5,188.66,778.5,64
RC,0272,ADHESIVE ELECTRODE MEDICAL,18.0,9.0,3.93,16.2,64
RC,0272,ADHESIVE LIQUID LATEX-FREE SPRAY BOTTLE PUMP MASTISOL DISPOSABLE 15ML,134.89,67.45,29.42,121.4,64
RC,0272,ADHESIVE MEDICAL,40.0,20.0,8.72,36.0,64
RC,0272,ADHESIVE NEUROSTIMULATOR MEDICAL F/DEEP BRAIN STIMULATION,25.0,12.5,5.45,22.5,64
RC,0272,ADHESIVE SKIN CLOSURE 2-OCTYL CYANOACRYLATE 0.7ML TOPICAL DOME TIP HIGH VISCOSITY MICROBIAL LIQUID W/APPLICATOR DERMABOND LATEX-FREE STERILE,105.91,52.96,23.1,95.32,64
RC,0272,ADHESIVE SKIN CLOSURE DERMABOND ADVANCED .7 ML LIQUID APPLICATOR MICROBIAL BARRIER FLEXIBLE 2 OCTYL CYANOACRYLATE,201.75,100.88,44.0,181.58,64
RC,0272,ADHESIVE SKIN CLOSURE DERMABOND PRINEO 3.8 ML LIQUID MESH APPLICATOR DISPENSER 2-OCTYL CYANOACRYLATE L60 CM TOPICAL,256.92,128.46,56.03,231.23,64
RC,0272,ADHESIVE SKIN CLOSURE DERMABOND PRINEO LIQUID 2-OCTYL CYANOACRYLATE L22 CM,152.03,76.02,33.16,136.83,64
RC,0272,ADHESIVE SKIN CLOSURE DERMABOND PRINEO MESH TAPE EASY REMOVE L42 CM,197.63,98.82,43.1,177.87,64
RC,0272,ADHESIVE SKIN CLOSURE DURAL SEALANT AUTOSPRAY EXTENDED TIP ADHERUS,5041.18,2520.59,1099.48,4537.06,64
RC,0272,ADHESIVE SKIN CLOSURE HEMOSTATIC BOVINE SERUM ALBUMIN 15ML W/SYRINGE BIOGLUE LATEX-FREE,4450.0,2225.0,970.55,4005.0,64
RC,0272,AGENT GASTROINTESTINAL 10ML F/SUBMUCOSAL LIFTING EVERLIFT,700.0,350.0,152.67,630.0,64
RC,0272,AGENT GASTROINTESTINAL 5ML F/SUBMUCOSAL LIFTING EVERLIFT,350.0,175.0,76.34,315.0,64
RC,0272,AGENT HEMOSTATIC 2 ML THROMBIN SURGIFLO,800.0,400.0,174.48,720.0,64
RC,0272,AGENT HEMOSTATIC 8 ML KIT MATRIX THROMBIN SURGIFLO,968.63,484.32,211.26,871.77,64
RC,0272,AGENT HEMOSTATIC CELLERATERX COLLAGEN 5GM POWDER BOTTLE,1495.0,747.5,326.06,1345.5,64
RC,0272,AGENT HEMOSTATIC DISC LARGE HYDROPHILIC POLYMER POTASSIUM FERRATE F/10-14FR DISPOSABLE CATHETER STATSEAL LATEX-FREE STERILE,603.26,301.63,131.57,542.93,64
RC,0272,AGENT HEMOSTATIC DISC SMALL HYDROPHILIC POLYMER POTASSIUM FERRATE F/4-6FR DISPOSABLE CATHETER STATSEAL STERILE,603.26,301.63,131.57,542.93,64
RC,0272,AGENT HEMOSTATIC DISC XL HYDROPHILIC POLYMER POTASSIUM FERRATE PEDIATRIC F/15-18FR DISPOSABLE CATHETER STATSEAL LATEX-FREE STERILE,603.26,301.63,131.57,542.93,64
RC,0272,AGENT HEMOSTATIC DISC XS HYDROPHILIC POLYMER POTASSIUM FERRATE F/1.9-4FR DISPOSABLE CATHETER STATSEAL LATEX-FREE STERILE,528.0,264.0,115.16,475.2,64
RC,0272,AGENT HEMOSTATIC ENDOCLOT PHS 5GM 230CM 2.8CM 5GM ADVANCE POWDER HEMOSTAT APPLICATOR AIR COMPRESSOR,2700.0,1350.0,588.87,2430.0,64
RC,0272,AGENT HEMOSTATIC ENDOCLOT PHS POLYSACCHARIDE 3GM 230CM 2.8CM 3GM ADVANCE POWDER HEMOSTAT APPLICATOR AIR COMPRESSOR,1200.0,600.0,261.72,1080.0,64
RC,0272,AGENT HEMOSTATIC FERRIC SUBSULFATE 8ML PASTE W/APPLICATOR MONSELS STERILE,264.58,132.29,57.7,238.12,64
RC,0272,AGENT HEMOSTATIC FIBRINOGEN 10ML PRE-FILLED FROZEN W/SPRAY SET F/GENERAL HEMOSTASIS ARTISS,717.08,358.54,156.4,645.37,64
RC,0272,AGENT HEMOSTATIC FLOSEAL MATRIX RECOTHROM 5ML,1516.63,758.32,330.78,1364.97,64
RC,0272,AGENT HEMOSTATIC FLOUR 1 GM MICROFIBRILLAR COLLAGEN AVITENE,1080.0,540.0,235.55,972.0,64
RC,0272,AGENT HEMOSTATIC FLOWABLE D-STAT,765.0,382.5,166.85,688.5,64
RC,0272,AGENT HEMOSTATIC HYDROPHILIC POLYMER POTASSIUM FERRATE TOPICAL POWDER STATSEAL STERILE 24/CA,603.26,301.63,131.57,542.93,64
RC,0272,AGENT HEMOSTATIC SEALANT 5GM COLLAGEN FLOUR MICROFIBRILLAR W/APPLICATOR AVITENE ULTRAFOAM LATEX-FREE,747.74,373.87,163.08,672.97,64
RC,0272,AGENT HEMOSTATIC SHEET MICROFIBRILLAR COLLAGEN AVITENE L2.8 IN X W1.4 IN,1011.0,505.5,220.5,909.9,64
RC,0272,AGENT HEMOSTATIC STATSEAL POTASSIUM FERRATE HYDROPHILIC POLYMER TOPICAL POWDER,297.85,148.93,64.96,268.07,64
RC,0272,AGENT HEMOSTATIC SURGICEL SNOW ABSORBABLE 1IN X 2IN NON-WOVEN FABRIC OXIDIZED REGENERATED CELLULOSE F/CONTINUOUS OOZING 2-YR SHELF LIFE 10/CA,725.16,362.58,158.16,652.64,64
RC,0272,AGENT HEMOSTATIC SURGIFLO 8ML MATRIX 63713002991,688.53,344.27,150.17,619.68,64
RC,0272,AGENT VISCOELASTIC PROVISC 1% SODIUM HYALURONATE DRY NATURAL RUBBER .55 ML INTRAOCULAR,40.71,20.36,8.88,36.64,64
RC,0272,AGENT VISCOELASTIC W/1ML STABLEVISC 1ML CLEARVISC SOULTION F/OPHTHALMIC VISCOSURGICAL DEVICE TOTALVISC,49.0,24.5,10.69,44.1,64
RC,0272,AID HEARING MINI SUPER DRI-AID,12.75,6.38,2.78,11.48,64
RC,0272,AIRWAY ESOPHAGEAL THERMAL REGULATION NONSTERILE LATEX FREE DISPOSABLE ENSOETM BLANKETROL II HYPER HYPOTHERMIA SYSTEM,3399.0,1699.5,741.32,3059.1,64
RC,0272,AIRWAY LARYNGEAL L20 CM 5 25 MM OPEN CURVE INTUBATE SELF PRESSURIZE COLOR CODED CONNECTOR CUFF AIR-Q3G SILICONE 8.0 MM ENDOTRACHEAL 18 FR NASOGASTRIC TUBE 80+ KG,108.81,54.41,23.73,97.93,64
RC,0272,AIRWAY NASAL L95 MM ADJUSTABLE FLANGE OD18 FR RUSCH RUBBER RED,56.36,28.18,12.29,50.72,64
RC,0272,ANCHOR L6.5 MM PEEK SUTURE,273.0,136.5,59.54,245.7,64
RC,0272,ANCHOR NEEDLE L48 MM CTX 1/2 CIRCLE TAPER 10 MM LOOP XBRAID S NEEDLE SUTURE,228.0,114.0,49.73,205.2,64
RC,0272,ANCHOR SUTURE 2MM COBRAID XBRAID TT UHMWPE STERILE LATEX FREE DISPOSABLE VIOLET,100.0,50.0,21.81,90.0,64
RC,0272,ANCHOR SUTURE CURVE COBRAID NEEDLE MINITAPE,750.0,375.0,163.58,675.0,64
RC,0272,ANCHOR SUTURETAPE OD3 MM 2 LOAD SUTURE,2170.0,1085.0,473.28,1953.0,64
RC,0272,ANCHOR XBRAID TT L40 IN TAPE NONNEEDLE SUTURE SUTURE BLACK WHITE,92.0,46.0,20.07,82.8,64
RC,0272,ANCHOR XBRAID TT OD1.4 MM SUTURE TAPE MO-6 TAPER 1/2C 26MM 40IN SUTURE SUTURE BLUE,92.0,46.0,20.07,82.8,64
RC,0272,ANGIOGRAPHY PACK,146.4,73.2,31.93,131.76,64
RC,0272,ANGIOSCOPE EXAM 2.3MM DIA 1MM DIA 80CML WORKING LATEX-FREE DISPOSABLE,2349.0,1174.5,512.32,2114.1,64
RC,0272,ANGIOSCOPE EXM 1.7MM 0.8MMX100CM LF,2349.0,1174.5,512.32,2114.1,64
RC,0272,ANTENNA ABLATION 15CM PERCUTANEOUS,3045.0,1522.5,664.11,2740.5,64
RC,0272,ANTENNA ABLATION 22CM EVIDENT 3.7CM PERCUTANEOUS,2229.0,1114.5,486.14,2006.1,64
RC,0272,ANTENNA ABLATION L15 CM EMPRINT PERCUTANEOUS,3780.0,1890.0,824.42,3402.0,64
RC,0272,ANTENNA ABLATION L17 CM 3.7 CM OD11 GA ODSEC13 GA EVIDENT MWA PERCUTANEOUS,2229.0,1114.5,486.14,2006.1,64
RC,0272,ANTENNA ABLATION L20 CM EMPRINT PERCUTANEOUS,3045.0,1522.5,664.11,2740.5,64
RC,0272,ANTENNA ABLATION L30 CM LONG REINFORCE LARGE SPHERICAL ZONE EMPRINT PERCUTANEOUS,3065.0,1532.5,668.48,2758.5,64
RC,0272,ANTENNA NEUROSTIMULATOR EXTERNAL TELEMETRY NONSTERILE LATEX FREE,78.0,39.0,17.01,70.2,64
RC,0272,ANTENNA THERMOABLATION NAVIGATION LONG W/THERMOSPHERE TECHNOLOGY EMPRINT SX,3966.0,1983.0,864.98,3569.4,64
RC,0272,ANTENNA THERMOABLATION NAVIGATION STANDARD 16INW X 29INL WINDOW W/THERMOSPHERE TECHNOLOGY EMPRINT SX,3708.0,1854.0,808.71,3337.2,64
RC,0272,ANTERIOR HIP PACK,320.33,160.17,69.86,288.3,64
RC,0272,ANTIBODY HISTOLOGY ANALYZER PRIMARY CYTOKERATIN 7ML MOUSE MONOCLONAL PREDILUTED 50TEST/EA,395.0,197.5,86.15,355.5,64
RC,0272,ANTIBODY IHC LYMPHATIC MARKER PRIMARY MOUSE MONOCLONAL IGG1 CONCENTRATE HUMAN MOUSE RAT D2-40 CLONE IVD,1494.05,747.03,325.85,1344.65,64
RC,0272,AOS BALL NOSE GUIDE WIRE 3.0MM X 900MM,345.8,172.9,75.42,311.22,64
RC,0272,APPLICATOR 10CM VISCOGEL SURGICAL XLONG BLUNT BEVEL EASY TO FILL HIGH VISCOSITY MIX RATIO,275.0,137.5,59.98,247.5,64
RC,0272,APPLICATOR 14CM MICROMYST SURGICAL STERILE LATEX FREE DISPOSABLE,812.55,406.28,177.22,731.3,64
RC,0272,APPLICATOR 32CM DUPLOTIP SURGICAL 5MM SNAP LOCK LATEX FREE DISPOSABLE FIBRIN SEALANT,727.77,363.89,158.73,654.99,64
RC,0272,APPLICATOR 350MM APCAPPLICATOR APC SURGICAL 5MM RIGID FILTER SPATULA LIGHTWEIGHT,1050.35,525.18,229.08,945.32,64
RC,0272,APPLICATOR 40CM DUPLOTIP SURGICAL 5MM SNAP LOCK RIGID DEHP FREE DISPOSABLE FIBRIN SEALANT,240.16,120.08,52.38,216.14,64
RC,0272,APPLICATOR 40CM ENDOSCOPIC 360D SPRAY SET SNAP LOCK GAS ASSIST TIP LATEX FREE DUPLOSPRAY MIS,806.35,403.18,175.86,725.72,64
RC,0272,APPLICATOR 8CM DURASEAL SURGICAL 60D EXTEND TIP BENDABLE SHAFT,1354.59,677.3,295.44,1219.13,64
RC,0272,APPLICATOR CRYOSURGICAL C2 CRYOBALLOON ENDOGRIP,250.0,125.0,54.53,225.0,64
RC,0272,APPLICATOR ENDOSCOPIC 2.8MM 230CM F/ENDOCLOT PHS ADHESIVE,248.0,124.0,54.09,223.2,64
RC,0272,APPLICATOR ENDOSCOPIC BALLOON FIBER OPTIC BF-UC160F,85.61,42.81,18.67,77.05,64
RC,0272,APPLICATOR ENDOSCOPIC F/ENDO TRAINER HEMOBLAST LAP01-US LATEX-FREE,360.0,180.0,78.52,324.0,64
RC,0272,APPLICATOR ENDOSCOPIC L34 CM SURGIFLO,269.66,134.83,58.81,242.69,64
RC,0272,APPLICATOR ENDOSCOPIC LAPAROSCOPIC 1.8MM DIA STANDARD 29CML OPENING FREQUENCY COOLED F/TISSUE ABLATION ACCU2I PMTA LATEX-FREE NON-RADIOLUCENT TIP,2008.5,1004.25,438.05,1807.65,64
RC,0272,APPLICATOR ENDOSCOPIC STAINLESS STEEL SINGLE INCISION CLIP F/TUBAL LIGATION MINILAPAROTOMY FILSHIE,5271.0,2635.5,1149.61,4743.9,64
RC,0272,APPLICATOR ENDOSCOPIC SURGICEL 73.6 OZ,89.62,44.81,19.55,80.66,64
RC,0272,APPLICATOR LAPAROSCOPIC 2 TIP VISTASEAL,125.01,62.51,27.26,112.51,64
RC,0272,APPLICATOR LAPAROSCOPIC L35 CM DUAL APPLICATOR RIGID VISTASEAL,166.31,83.16,36.27,149.68,64
RC,0272,APPLICATOR LAPAROSCOPIC L45 CM DUAL APPLICATOR FLEXIBLE VISTASEAL,166.31,83.16,36.27,149.68,64
RC,0272,APPLICATOR MED MED 6IN CTNTP NS,180.99,90.5,39.47,162.89,64
RC,0272,APPLICATOR PHENOL MEDICATED KIT DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0272,APPLICATOR PLASTIC 38CM ARISTA AH FLEXITIP XL SURGICAL LIGHTWEIGHT LONG FLEXIBLE TUBE ABSORBABLE HEMOSTATIC PARTICLE STERILE DISPOSABLE,127.1,63.55,27.72,114.39,64
RC,0272,APPLICATOR STAINLESS STEEL 30CM DUPLOSPRAY MIS SURGICAL SNAP LOCK CANNULA TUBE SET REPLACEABLE TIP,599.36,299.68,130.72,539.42,64
RC,0272,APPLICATOR STAINLESS STEEL 41CM FLOSEAL ENDOSCOPIC 5MM NONREFLECTIVE CANNULA CANNULATED STYLET OBTURATOR STERILE LATEX FREE DISPOSABLE,476.66,238.33,103.96,428.99,64
RC,0272,APPLICATOR SURGICAL 3-4CM DIA SPHERICAL,1500.0,750.0,327.15,1350.0,64
RC,0272,APPLICATOR SURGICAL 4-5CM DIA SPHERICAL,1500.0,750.0,327.15,1350.0,64
RC,0272,APPLICATOR SURGICAL 5-6CM DIA SPHERICAL,1500.0,750.0,327.15,1350.0,64
RC,0272,APPLICATOR SURGICAL AIRLESS SPRAY TIP EVICEL,319.94,159.97,69.78,287.95,64
RC,0272,APPLICATOR SURGICAL L14 CM MICROWAVE TISSUE ABLATION SYSTEM SOLERO,3856.0,1928.0,840.99,3470.4,64
RC,0272,APPLICATOR SURGICAL L29 CM MICROWAVE TISSUE ABLATION SYSTEM SOLERO,3856.0,1928.0,840.99,3470.4,64
RC,0272,APPLICATOR TISSUE GLUE 10INW X 10INL CYANOACRYLATE SEALANT MICROBIAL BARRIER BOTTLE F/CRANIAL-SPINAL PROCEDURES LAPAROTOMIES INTEGUSEAL,585.0,292.5,127.59,526.5,64
RC,0272,APPLICATOR TISSUE GLUE 14CML EXTENDED W/ABSORBABLE HEMOSTATIC PARTICLE F/LAPROSCOPIC ARISTA FLEXITIP LATEX-FREE STERILE SINGLE-USE,107.8,53.9,23.51,97.02,64
RC,0272,APPLICATOR TISSUE GLUE 25CML GASLESS SPRAY TIP F/TISSEEL,591.23,295.62,128.95,532.11,64
RC,0272,APPLICATOR TISSUE GLUE 5MM DIA 40CML SPRAY TUBING W/STAINLESS STEEL SHAFT DUAL-LUMEN FILLER F/DELIVERING FIBRIN SEALANT OVER WOUND SURFACE DUPLOSPRAY TISSEEL LATEX-FREE STERILE SINGLE-USE,298.81,149.41,65.17,268.93,64
RC,0272,APPLICATOR ULTRAMIST ULTRASOUND,840.0,420.0,183.2,756.0,64
RC,0272,APPLICATOR ULTRASOUND 5CM 1 X 3MHZ SONICATOR M740,408.56,204.28,89.11,367.7,64
RC,0272,APPLIER CLIP 15MM OPENING 235CM WORKING DUAL ACTION F/TISSUE DAT,380.0,190.0,82.88,342.0,64
RC,0272,APPLIER CLIP 2.8MM DIA 165CML CHANNEL ROTATABLE QUICKCLIPPRO LATEX NON-RADIOLUCENT STERILE SINGLE-USE,1754.8,877.4,382.72,1579.32,64
RC,0272,APPLIER CLIP 8CM ANASTOCLIP GC MEDIUM VASCULAR NEURO TITANIUM 35 CLIP ROTATE SHAFT INTEGRAL CARTRIDGE 1.1MM STERILE DISPOSABLE,809.0,404.5,176.44,728.1,64
RC,0272,APPLIER CLIP CODMAN SCALP PRELOAD PLASTIC STERILE LATEX FREE DISPOSABLE HEMOSTATIC,560.73,280.37,122.3,504.66,64
RC,0272,APPLIER CLIP L31.75 CM 8 MM SMALL WIDE DA VINCI XI ENDOWRIST L1.1 CM HORIZON,2940.0,1470.0,641.21,2646.0,64
RC,0272,APPLIER CLIP L32.77 CM 33 D 8 MM MEDIUM LARGE DA VINCI XI ENDOWRIST L2.1 CM HEM-O-LOK,1050.0,525.0,229.01,945.0,64
RC,0272,APPLIER CLIP L33.27 CM 53 D 8 MM LARGE DA VINCI XI ENDOWRIST L2.4 CM HEM-O-LOK,1470.0,735.0,320.61,1323.0,64
RC,0272,APPLIER CLIP L55.9 CM 45- D LARGE OD8 MM DA VINCI S/SI ENDOWRIST POLYMER L2.4 CM HEM-O-LOK,1470.0,735.0,320.61,1323.0,64
RC,0272,APPLIER CLIP LAPAROSCOPIC 34CML TITANIUM W/10MM MEDIUM/LARGE GOLD CLIPX20 EPIX DIRECT DRIVE LATEX-FREE DISPOSABLE CLIPX20,237.0,118.5,51.69,213.3,64
RC,0272,APPLIER CLIP MEDIUM LARGE OD5 MM DA VINCI SI SINGLE-SITE POLYMER HEM-O-LOK MEDIUM/LARGE 40 CLOSURE,665.0,332.5,145.04,598.5,64
RC,0272,APPLIER CLIP MEDIUM LARGE OD8 MM ENDOWRIST DA VINCI SI HEM-O-LOK,1470.0,735.0,320.61,1323.0,64
RC,0272,APPLIER CLIP MULTIPLE REPROCESSED 10MM DIA MEDIUM LARGE 8.8MML TITANIUM MECHANICAL STOP CHANNEL ROTATABLE OPEN/CLOSE CAPABILITY F/ENDOSCOPIC/SURGERY LIGATION SUPER INTERLOCKX20 LIGAMAX LATEX-FREE NON-,36.33,18.17,7.92,32.7,64
RC,0272,APPLIER CLIP MULTIPLE REPROCESSED LARGE 13INL TITANIUM ANGLED JAW LATERAL TRANSVERSE GROOVE ROTATING SHAFT LAST-CLIP LOCKOUT SILVER F/ENDOSCOPIC/OPEN SURGERY LIGATION SYSTEM LIGACLIP LATEX-FREE NON-RA,28.45,14.23,6.2,25.61,64
RC,0272,APPLIER CLIP MULTIPLE REPROCESSED MEDIUM 9 3/8INL TITANIUM ANGLED JAW LATERAL TRANSVERSE GROOVE ROTATING SHAFT LAST-CLIP LOCKOUT SILVER F/ENDOSCOPIC/OPEN SURGERY LIGATION SYSTEM LIGACLIP LATEX-FREE NO,28.45,14.23,6.2,25.61,64
RC,0272,APPLIER CLIP OPEN AUTOMATIC LIGATING ATTACHED HANDLE SHAFT W/5MMX10MM VIOLET ABSORBABLE LACTOMER 9-1 20-CLIP BLUE POLY SURGICLIP M-20 SINGLE-USE 12/BX,156.42,78.21,34.12,140.78,64
RC,0272,APPLIER CLIP OPEN LARGE 11INL 55DEG ANGLED ORANGE VESOCCLUDE,91.0,45.5,19.85,81.9,64
RC,0272,APPLIER CLIP OPEN MEDIUM 8INL 55DEG ANGLED JAW FLUSH PORT NO SUREGRIP BLUE VESOCCLUDE,91.0,45.5,19.85,81.9,64
RC,0272,APPLIER CLIP OPEN MEDIUM/LARGE 11INL CURVED GREEN VESOLOCK,167.0,83.5,36.42,150.3,64
RC,0272,APPLIER CLIP OPEN MEDIUM/LARGE 8INL CURVED GREEN VESOLOCK,167.0,83.5,36.42,150.3,64
RC,0272,APPLIER CLIP OPEN REPROCESSED 11INL TITANIUM MULTIPLE W/MEDIUM CLIPX20 LIGACLIP LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,28.45,14.23,6.2,25.61,64
RC,0272,APPLIER CLIP OPEN SMALL NARROW 8INL 55DEG ANGLED JAW FLUSH PORT NO SUREGRIP YELLOW VESOCCLUDE,91.0,45.5,19.85,81.9,64
RC,0272,APPLIER CLIP REPAIR SYSTEM MENISCUS,173.0,86.5,37.73,155.7,64
RC,0272,APPLIER CLIP REPROCESSED OPEN 9 3/8INL TITANIUM ANGLED JAW MULTIPLE W/SMALL CLIPX20 LIGACLIP LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,28.45,14.23,6.2,25.61,64
RC,0272,APPLIER INTERNAL CLIP 1.7MM LARGE 8CM ROTATE HANDLE CLOSURE HIGH RETENTION FORCE ANASTOCLIP GC,809.0,404.5,176.44,728.1,64
RC,0272,APPLIER INTERNAL CLIP 2MM LARGE 8CM 35 CLIP ROTATE SHAFT INTEGRAL CARTRIDGE ANASTOCLIP VASCULAR STERILE LATEX FREE,779.0,389.5,169.9,701.1,64
RC,0272,APPLIER INTERNAL CLIP 5 MM L35 CM AUTOMATIC WECK AUTO ENDO5 ENDOSCOPIC,434.0,217.0,94.66,390.6,64
RC,0272,APPLIER INTERNAL CLIP L114 CM CASSETTE APTUS HELI-FX ENDOANCHOR OD12 FR,6275.2,3137.6,1368.62,5647.68,64
RC,0272,APPLIER INTERNAL CLIP L9.75 IN AUTOMATIC PREMIUM SURGICLIP II SUPER INTERLOCK VASCULAR ENDOSCOPIC RADIOGRAPHIC MARK 20 MEDIUM TITANIUM CLIP,1098.18,549.09,239.51,988.36,64
RC,0272,APPLIER INTERNAL CLIP LARGE 3.3MM TITANIUM 35 CLIP BOOKLET ROTATION KNOB HANDLE ANASTOCLIP GC 1.7MM STERILE DISPOSABLE ATRAUMATIC EVERT FORCEPS REMOVER,1329.0,664.5,289.85,1196.1,64
RC,0272,APPLIER INTERNAL CLIP LARGE L13 IN 20 CLIP LIGACLIP,218.58,109.29,47.67,196.72,64
RC,0272,APPLIER INTERNAL CLIP LARGE L13.4 IN TITANIUM ROTATE MULTIPLE 20 CLIP LIGACLIP OD12 MM VASCULAR ENDOSCOPIC,180.55,90.28,39.38,162.5,64
RC,0272,APPLIER INTERNAL CLIP MALLEABLE GRAFT RETRACTOR OMNISPAN,158.0,79.0,34.46,142.2,64
RC,0272,APPLIER INTERNAL CLIP MEDIUM 11IN 30 LIGACLIP,250.76,125.38,54.69,225.68,64
RC,0272,APPLIER INTERNAL CLIP MEDIUM L11 IN 20 MULTIPLE OPEN LIGATE LIGACLIP,218.58,109.29,47.67,196.72,64
RC,0272,APPLIER INTERNAL CLIP MEDIUM L11.5 IN TITANIUM 30 AUTOMATIC CLIP LIGATE ERGONOMIC HANDLE TAB RATCHET CLOSURE PREMIUM SURGICLIP SUPER INTERLOCK VASCULAR ENDOSCOPIC RADIOGRAPHIC MARK,1049.46,524.73,228.89,944.51,64
RC,0272,APPLIER INTERNAL CLIP MEDIUM L9.3 IN 20 MULTIPLE OPEN LIGATE LIGACLIP,218.58,109.29,47.67,196.72,64
RC,0272,APPLIER INTERNAL CLIP MEDIUM LARGE L11.4 IN TITANIUM ROTATE MULTIPLE 20 CLIP LIGACLIP OD10 MM VASCULAR ENDOSCOPIC,180.55,90.28,39.38,162.5,64
RC,0272,APPLIER INTERNAL CLIP MEDIUM LARGE TITANIUM ANGLE JAW DISTAL TIP CLOSE ANTIBACKUP LAST LOCKOUT LIGAMAX OD5 MM ENDOSCOPIC,304.48,152.24,66.41,274.03,64
RC,0272,APPLIER INTERNAL CLIP SMALL L9 IN TITANIUM 20 CLIP PREMIUM SURGICLIP III,1202.58,601.29,262.28,1082.32,64
RC,0272,APPLIER INTERNAL CLIP SMALL L9.3 IN 20 MULTIPLE OPEN LIGATE LIGACLIP,218.58,109.29,47.67,196.72,64
RC,0272,APPLIER INTERNAL CLIP SMALL NARROW CURVE L8 IN SYMMETRY VESOCCLUDE YELLOW,350.0,175.0,76.34,315.0,64
RC,0272,APPLIER INTERNAL CLIP XL CURVE L32 CM POLYMER LIGATE WECK HEM-O-LOK ENDO10 OD10 MM ENDOSCOPY,1120.0,560.0,244.27,1008.0,64
RC,0272,APPLIER RANEY SCALP CLIP 6.25,35.0,17.5,7.63,31.5,64
RC,0272,APPROXIMATOR SURGICAL L16 CM SMALL OD2.5 MM QUICKPASS TENDON SHUTTLE,85.0,42.5,18.54,76.5,64
RC,0272,ARM DISTRACTOR L60 MM EXTENSION FLEXIBLE REMOVABLE TITANIUM,1002.0,501.0,218.54,901.8,64
RC,0272,ARM ENDOSCOPE 14MM BERKELEY VACURETTE THIN WALL STRAIGHT UTERINE PLASTIC 2 PORT SEMIRIGID TAPER END CURETTE ROUND TIP STERILE LATEX FREE DISPOSABLE,102.61,51.31,22.38,92.35,64
RC,0272,ARM ENDOSCOPE BAND APPLICATOR GUIDE O RING FALOPE-RING,77.25,38.63,16.85,69.53,64
RC,0272,ARM ENDOSCOPE BIOPSY GRASP FLEXIBLE FOREIGN BODY OD7 FR OLYMPUS,774.02,387.01,168.81,696.62,64
RC,0272,ARM ENDOSCOPE BIOPSY GRASP FLEXIBLE OD7 FR OLYMPUS,774.02,387.01,168.81,696.62,64
RC,0272,ARM ENDOSCOPE L2.77 IN X W.93 IN STANDARD AIRWAY SILICONE SEPTAL NASAL SPLINT STANDARD 1 LEFT 1 RIGHT SILICONE,90.25,45.13,19.68,81.23,64
RC,0272,ARM INSTRUMENT CORPATH GRX CASSETTE STERILE LATEX FREE DISPOSABLE,1200.0,600.0,261.72,1080.0,64
RC,0272,ARM INTERNAL DISTRACTION PATIENT ACTIVATION ARM,51.66,25.83,11.27,46.49,64
RC,0272,ARM RETRACTOR FLEXIBLE ARM CRANIAL,892.05,446.03,194.56,802.85,64
RC,0272,ARM TARGET 125 D AIM STATIC DISTAL LOCK,1363.66,681.83,297.41,1227.29,64
RC,0272,ARM TARGET 130 D AIM STATIC DISTAL LOCK,1363.66,681.83,297.41,1227.29,64
RC,0272,ARM TARGET 135 D AIM STATIC DISTAL LOCK,1393.62,696.81,303.95,1254.26,64
RC,0272,ARM TARGET AIM 3.5 MM VA-LCP PROXIMAL TIBIAL PLATE,3660.07,1830.04,798.26,3294.06,64
RC,0272,ARM TARGET AIM 4.5 MM VA-LCP CURVE LEFT CONDYLAR PLATE,3771.8,1885.9,822.63,3394.62,64
RC,0272,ARM TARGET AIM 4.5 MM VA-LCP CURVE RIGHT CONDYLAR PLATE,3771.8,1885.9,822.63,3394.62,64
RC,0272,ARM TARGET AIM ADOLESCENT LATERAL ENTRY FEMORAL NAIL EXPERT,882.76,441.38,192.53,794.48,64
RC,0272,ARM TARGET AIM ANTEGRADE STANDARD LOCK,876.28,438.14,191.12,788.65,64
RC,0272,ARM TARGET AIM NA LATERAL ENTRY FEMORAL NAIL EXPERT,735.37,367.69,160.38,661.83,64
RC,0272,ARM TARGET AIM NA OLECRANON OSTEOTOMY NAIL,1483.48,741.74,323.55,1335.13,64
RC,0272,ARM TARGET AIM NA PERCUTANEOUS LATERAL ENTRY FEMORAL NAIL RECONSTRUCTION,1608.59,804.3,350.83,1447.73,64
RC,0272,ARM TARGET AIM NA TITANIUM CANNULATED TIBIAL NAIL EXPERT,1379.16,689.58,300.79,1241.24,64
RC,0272,ARM TARGET AIM PERIARTICULAR 4.5 MM LCP 18 HOLE CONDYLAR PLATE,2265.49,1132.75,494.1,2038.94,64
RC,0272,ARM TARGET AIM PERIARTICULAR 4.5 MM LCP 8 HOLE CONDYLAR PLATE,1809.57,904.79,394.67,1628.61,64
RC,0272,ARM TARGET AIM PERIARTICULAR 4.5 MM LCP CURVE LEFT CONDYLAR PLATE,2546.03,1273.02,555.29,2291.43,64
RC,0272,ARM TARGET AIM PERIARTICULAR 4.5 MM LCP CURVE RIGHT CONDYLAR PLATE,2546.03,1273.02,555.29,2291.43,64
RC,0272,ARM TARGET AIM PERIARTICULAR 4.5 MM LCP PROXIMAL RIGHT TIBIAL PLATE,3970.25,1985.13,865.91,3573.23,64
RC,0272,ARM TARGET AIM RECONSTRUCTION LOCK NA LATERAL ENTRY FEMORAL NAIL EXPERT,876.28,438.14,191.12,788.65,64
RC,0272,ARM TARGET AIM RETROGRADE SPIRAL BLADE LOCK,1247.01,623.51,271.97,1122.31,64
RC,0272,ARM TARGET AIM RETROGRADE STANDARD LOCK,876.28,438.14,191.12,788.65,64
RC,0272,ARM TARGET AIM SPIRAL BLADE TITANIUM CANNULATED HUMERAL NAIL EXPERT,876.28,438.14,191.12,788.65,64
RC,0272,ARM TARGET AIM SYNTHES TRAUMA PERCUTANEOUS LOCK STATIC RETROGRADE ANTEGRADE FEMORAL NAIL,1075.77,537.89,234.63,968.19,64
RC,0272,ARM TARGET AIM SYNTHES TRAUMA PERCUTANEOUS RETROGRADE ANTEGRADE LOCK FEMORAL NAIL,1608.59,804.3,350.83,1447.73,64
RC,0272,ARM TARGET AIM TITANIUM CANNULATED HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM,3715.15,1857.58,810.27,3343.64,64
RC,0272,ARM TARGET STANDARD AIM TITANIUM CANNULATED HUMERAL NAIL EXPERT,876.28,438.14,191.12,788.65,64
RC,0272,ARRAY TRACKER SET VELYS KNEEE,307.0,153.5,66.96,276.3,64
RC,0272,ARTERIOGRAM TRAY,127.02,63.51,27.7,114.32,64
RC,0272,ARTHROSCOPE RIGID L125 MM NANO NEEDLE SCOPE,525.0,262.5,114.5,472.5,64
RC,0272,ARTHROSCOPY PACK SOP4GARNBA,167.72,83.86,36.58,150.95,64
RC,0272,ARTHROSCOPY PACK SOP4JATUWA,253.5,126.75,55.29,228.15,64
RC,0272,ARTHROSCOPY PACK SOP4QATCOA,183.6,91.8,40.04,165.24,64
RC,0272,ASPIRATOR ULTRASONIC 4.78IN .06IN CUSA EXCEL MICROTIP MICRO 36 KHZ CURVED EXTENDED FLUE O-RING STERILE DISPOSABLE,3169.44,1584.72,691.25,2852.5,64
RC,0272,ASPIRATOR/COLLECTOR FLUID ANGLE ADJUSTABLE TUBE JUHN TYM-TAP MIDDLE EAR,269.0,134.5,58.67,242.1,64
RC,0272,ASSAY LIAISON ELASTASE-1 CALIBRATION VERIFIER,420.0,210.0,91.6,378.0,64
RC,0272,ASSEMBLY BLADE STANDARD SMARTRELEASE ECTR,1520.0,760.0,331.51,1368.0,64
RC,0272,ASSEMBLY DRILL OD2.5 MM OASYS PLUS SPINE,59.22,29.61,12.92,53.3,64
RC,0272,ASSEMBLY TUBE L360 MM REAMER IRRIGATOR ASPIRATOR RIA DRIVE SHAFT,980.63,490.32,213.88,882.57,64
RC,0272,ASSEMBLY TUBE L520 MM REAMER IRRIGATOR ASPIRATOR 314.743,980.63,490.32,213.88,882.57,64
RC,0272,ATHLETIC SUPPORTER LARGE,12.7,6.35,2.77,11.43,64
RC,0272,ATRIAL LIFT SYSTEM 3 IN 1 FAMILY,2415.0,1207.5,526.71,2173.5,64
RC,0272,ATRICLIP PRO-MINI LAA EXCLUSION SYSTEM 35MM,6000.0,3000.0,1308.6,5400.0,64
RC,0272,ATRICLIP PRO-MINI LAA EXCLUSION SYSTEM 40MM,6000.0,3000.0,1308.6,5400.0,64
RC,0272,ATRICLIP PRO-MINI LAA EXCLUSION SYSTEM 45MM,6000.0,3000.0,1308.6,5400.0,64
RC,0272,ATRICLIP PRO-MINI LAA EXCLUSION SYSTEM 50MM,6000.0,3000.0,1308.6,5400.0,64
RC,0272,ATTACHMENT COMPRESSION SLEEVE 4.5 MM HEADLESS SCREW,245.92,122.96,53.64,221.33,64
RC,0272,ATTACHMENT DRILL .25 IN MULTIPURPOSE CANNULATED OD5.1 MM JACOBS POWERPRO STAINLESS STEEL,643.26,321.63,140.3,578.93,64
RC,0272,ATTACHMENT DRILL L13 CM CURVE NA MIS,1624.0,812.0,354.19,1461.6,64
RC,0272,ATTACHMENT ENDOSCOPE L4 MM ROUND EDGE OD11.35 MM DISPOSABLE DISTAL ATTACHMENT,271.39,135.7,59.19,244.25,64
RC,0272,ATTACHMENT ENDOSCOPE L4 MM ROUND EDGE OD12.4 MM DISPOSABLE DISTAL ATTACHMENT,271.39,135.7,59.19,244.25,64
RC,0272,ATTACHMENT ENDOSCOPE L4 MM ROUND EDGE OD13.4 MM DISPOSABLE DISTAL ATTACHMENT,271.39,135.7,59.19,244.25,64
RC,0272,ATTACHMENT SMOKE EVACUATOR 3/8IN 15FT TUBING VALLEYLAB,358.8,179.4,78.25,322.92,64
RC,0272,ATTACHMENT SMOKE EVACUATOR L10 FT VALLEYLAB,285.2,142.6,62.2,256.68,64
RC,0272,ATTACHMENT SURGICAL 2.4 MM BARREL REMOVAL OD90 MM ODSEC28 MM DURAPRO,675.0,337.5,147.22,607.5,64
RC,0272,ATTACHMENT SURGICAL 3 MM BARREL REMOVAL OD140 MM ODSEC22 MM DURAPRO,675.0,337.5,147.22,607.5,64
RC,0272,ATTACHMENT SURGICAL 5 MM BALL REMOVAL OD140 MM ODSEC22 MM DURAPRO,675.0,337.5,147.22,607.5,64
RC,0272,ATTACHMENT TOOL 1 TELESCOPE BASE MIDAS REX LEGEND,1576.0,788.0,343.73,1418.4,64
RC,0272,ATTACHMENT TOOL BATTERY AXS NEURO DRIVER,260.65,130.33,56.85,234.59,64
RC,0272,ATTACHMENT TOOL FJ2000 SYSTEM MIS HARDWARE,2660.0,1330.0,580.15,2394.0,64
RC,0272,ATTACHMENT TORQUE LIMITING 1.2 NM QUICK COUPLING,1308.83,654.42,285.46,1177.95,64
RC,0272,ATTACHMENT TORQUE LIMITING 6 NM,1768.51,884.26,385.71,1591.66,64
RC,0272,ATTACHMENT TORQUE LIMITING 7 NM MANUAL SLEEVE RESPONSE BLUE,200.0,100.0,43.62,180.0,64
RC,0272,AWL SURGICAL 10MM DIA LATEX-FREE SINGLE-USE,225.0,112.5,49.07,202.5,64
RC,0272,AWL SURGICAL CANNULATED OD10 MM,569.64,284.82,124.24,512.68,64
RC,0272,AWL SURGICAL CANNULATED OD12 MM,578.37,289.19,126.14,520.53,64
RC,0272,AWL SURGICAL CANNULATED OD14 MM,603.73,301.87,131.67,543.36,64
RC,0272,AWL SURGICAL CURVE CANNULATED OD8 MM,748.48,374.24,163.24,673.63,64
RC,0272,AWL SURGICAL CURVE REDUCTION OD8 MM NA INTRAMEDULLARY,700.73,350.37,152.83,630.66,64
RC,0272,AWL SURGICAL L10 MM OZARK,63.0,31.5,13.74,56.7,64
RC,0272,AWL SURGICAL LEVEL ONE REPOSITION REUSABLE NONSTERILE LATEX FREE BONE,394.8,197.4,86.11,355.32,64
RC,0272,AWL SURGICAL TAPER OD3.8 MM TWINFIX,48.26,24.13,10.53,43.43,64
RC,0272,BAG 14CM C125ML 8MM ANCHOR TISSUE RETRIEVAL SYSTEM SPECIMEN RETRIEVAL 5.1CM,414.5,207.25,90.4,373.05,64
RC,0272,BAG AUTOTRANSFUSION 10LT CAPACITY F/WASTE FRESENIUS CATS PLUS DISPOSABLE,116.0,58.0,25.3,104.4,64
RC,0272,BAG AUTOTRANSFUSION DRY SEAL CHEST DRAIN 600ML CAPACITY IN-LINE LATEX-FREE,154.08,77.04,33.6,138.67,64
RC,0272,BAG DRAIN REPLACEMENT CONSTELLATION,459.24,229.62,100.16,413.32,64
RC,0272,BAG DRAINAGE 100 ML DEPOT SMALL LARGE BORE BARB MALE LUER TUBE BULB STRAP VELCRO L16 IN,940.0,470.0,205.01,846.0,64
RC,0272,BAG DRAINAGE 1000 ML ASPIRA PLEURAL,560.0,280.0,122.14,504.0,64
RC,0272,BAG DRAINAGE 1400ML LARGE BORE TUBING W/CHECK VALVE FLUID ADMINISTRATION SET DRAPE CLIP F/CONTRAST MANAGEMENT DISPOSAL,240.0,120.0,52.34,216.0,64
RC,0272,BAG DRAINAGE 4CM DIA 8INL SILICONE CLEAR F/ABDOMINAL VENTRAL WALL DEFECT REDUCTION SILOBAG LATEX-FREE STERILE,235.0,117.5,51.25,211.5,64
RC,0272,BAG DRAINAGE 5.5CM DIA 8INL SILICONE CLEAR F/ABDOMINAL VENTRAL WALL DEFECT REDUCTION SILOBAG LATEX-FREE STERILE,235.0,117.5,51.25,211.5,64
RC,0272,BAG DRAINAGE 500ML TRU-CLOSE SUCTION COMPACT SELF CONTAINED CLOSED SYSTEM EMPTY PORT,300.0,150.0,65.43,270.0,64
RC,0272,BAG DRAINAGE 6.5CM DIA 8INL SILICONE CLEAR F/ABDOMINAL VENTRAL WALL DEFECT REDUCTION SILOBAG LATEX-FREE STERILE,235.0,117.5,51.25,211.5,64
RC,0272,BAG DRAINAGE 7.5CM DIA 8INL SILICONE CLEAR F/ABDOMINAL VENTRAL WALL DEFECT REDUCTION SILOBAG LATEX-FREE STERILE,235.0,117.5,51.25,211.5,64
RC,0272,BAG DRAINAGE 700 ML BECKER EDMS EXTERNAL MONITOR SYSTEM VENTRICULAR,54.6,27.3,11.91,49.14,64
RC,0272,BAG DRAINAGE EFFLUENT SAMPLE STERILE LATEX FREE DISPOSABLE LUER LOCK CONNECTOR PERITONEAL DIALYSIS,87.22,43.61,19.02,78.5,64
RC,0272,BAG DRAINAGE F/CYSTO UROLOGY GE/OEC 2600/2800 TABLES LINGEMAN,231.85,115.93,50.57,208.67,64
RC,0272,BAG DRAINAGE UNIVERSAL 6FTL TUBING LEAK-RESISTANT UNDER-BUTTOCKS FLAP W/6MM/8MM/10MM SUCTION ADAPTER F/UROLOGY CYSTOSCOPY IMAGING TABLE VALU-BAG CMS-955P LATEX-FREE NON-STERILE DISPOSABLE FIT U-SHAPED,234.52,117.26,51.15,211.07,64
RC,0272,BAG DRAINAGE UROSKOP UROLOGY,304.0,152.0,66.3,273.6,64
RC,0272,BAG ENDOSCOPIC 4X3.5IN SMALL BUTTON MESH VALVE BASIN,31.03,15.52,6.77,27.93,64
RC,0272,BAG EXTERNAL DRAINAGE 500ML CAPACITY REPLACEMENT W/ANTI-REFLUX VALVE DRAIN TUBE F/CSF MONITORING SYSTEM MONITORR ICP LATEX-FREE MRI-SAFE STERILE CEREBRAL,38.13,19.07,8.32,34.32,64
RC,0272,BAG EXTERNAL DRAINAGE DEHP FREE DUET,341.39,170.7,74.46,307.25,64
RC,0272,BAG IV VISION ION,220.0,110.0,47.98,198.0,64
RC,0272,BAG PRESSURE INFUSION 0-300MMHG NYLON 3000ML CAPACITY STOPCOCK AIR CONTROL ANEROID DIAL-TYPE GAUGE W/IV POLE LOOP HOOK HIGH-VOLUME HAND BULB WHITE ULTRACHECK LEAK RESISTANT DISPOSABLE CUFF REUSABLE IN,193.29,96.65,42.16,173.96,64
RC,0272,BAG PRESSURE INFUSION 3000CC INFU-SURG 3 WAY STOPCOCK HOOK COLOR CODED GAUGE LARGE OVAL BULB INTRAVENOUS INTRAARTERIAL 300- MMHG 330 MMHG LATEX FREE DISPOSABLE,93.97,46.99,20.49,84.57,64
RC,0272,BAG PRESSURE INFUSION EXTRA LARGE SQUEEZE BULB BUILT IN HOOK MEDEX CLEAR-CUFF POLYURETHANE 1000 ML INTRAVENOUS,221.5,110.75,48.31,199.35,64
RC,0272,BAG PRESSURE INFUSION STANDARD OVER PRESSURE POLE HANGER FLUID HOOK BAG 3000 ML,132.0,66.0,28.79,118.8,64
RC,0272,BAG SPECIMEN RETRIEVAL 25.4CM 15MM TISSUE RETRIEVAL SYSTEM C1550ML INTRODUCER LATEX FREE,436.52,218.26,95.21,392.87,64
RC,0272,BAG SPECIMEN RETRIEVAL L17 CM MEDIUM PRELOAD SPRING TRANSPARENT INTRODUCER RIGID SHAFT RADIOPAQUE OD7.3 CM GENISTRONG GENICON NYLON PLASTIC POLYMER L10 MM 240 ML,465.0,232.5,101.42,418.5,64
RC,0272,BAG SPECIMEN RETRIEVAL L22 CM LARGE RADIOPAQUE TRANSPARENT INTRODUCER PRELOAD SPRING RIGID SHAFT OD11 CM GENISTRONG NYLON PLASTIC POLYMER L12 MM 750 ML,465.0,232.5,101.42,418.5,64
RC,0272,BAG STERILIZATION F/OPERATING ROOM STRLBGPKG STERILE,32.0,16.0,6.98,28.8,64
RC,0272,BAG TISSUE CLOSURE 10CM SILO VENTRAL SILICONE WALL DEFECT CLOSED SYSTEM OPEN DISTAL END PEDIATRIC STERILE LATEX FREE DISPOSABLE,497.0,248.5,108.4,447.3,64
RC,0272,BAG TISSUE CLOSURE 3CM SILO VENTRAL SILICONE CLOSED SYSTEM TRANSPARENT OPEN END SPRING PEDIATRIC STERILE LATEX FREE DISPOSABLE,367.0,183.5,80.04,330.3,64
RC,0272,BAG TISSUE CLOSURE 4CM SILO SILICONE SPRING LOAD PROXIMAL OPEN TRANSPARENT VENTRAL WALL DEFECT PEDIATRIC STERILE LATEX FREE DISPOSABLE,386.0,193.0,84.19,347.4,64
RC,0272,BAG TISSUE CLOSURE 5CM SILO SILICONE SPRING LOAD PROXIMAL OPEN TRANSPARENT VENTRAL WALL DEFECT PEDIATRIC STERILE LATEX FREE DISPOSABLE,389.0,194.5,84.84,350.1,64
RC,0272,BAG TISSUE CLOSURE 7.5CM SILO VENTRAL SILICONE WALL DEFECT OPEN END TUBE SPRING PEDIATRIC STERILE LATEX FREE DISPOSABLE,477.0,238.5,104.03,429.3,64
RC,0272,BAG TRANSFUSION 150ML W/COUPLER,1144.32,572.16,249.58,1029.89,64
RC,0272,BAG ULTRASOUND MDU5 PLUS STERILE,15.0,7.5,3.27,13.5,64
RC,0272,BAG URO TBL LRG 24IN VNYL 600ML W/BORE VELCR STRP FX MALE LL SFT CLTH BK F/WST CLCT DEPOT PVC,231.0,115.5,50.38,207.9,64
RC,0272,BAG UROLOGICAL TABLE 15LT W/CUBE EXPANSION STOP N FLO VALVE HANDLE POWDER F/FLUID COLLECTION LATEX-FREE NON-STERILE SINGLE-USE,149.86,74.93,32.68,134.87,64
RC,0272,BAG UROLOGICAL TABLE F/CYSTO UROLOGY GE/OEC 2000 LIEBEL LINGEMAN,201.71,100.86,43.99,181.54,64
RC,0272,BAG WASTE MANAGEMENT FLUENT FLUID DISPOSABLE,300.0,150.0,65.43,270.0,64
RC,0272,BALLOON DISSECTOR LAPAROSCOPIC OVAL 3 VALVE RIGID SPRING GRIP LOCK COLLAR STRUCTURAL TROCAR SPACEMAKER PLUS FOAM PREPERITONEAL HERNIA REPAIR,1906.11,953.06,415.72,1715.5,64
RC,0272,BALLOON DISSECTOR LAPAROSCOPIC SPACEMAKER PLUS BTT 65X3FT PNEUMOPERITONEUM BLUNT TIP ACCESS PORT SPRING GRIP LOCK COLLAR FOAM LATEX DISPOSABLE HERNIA REPAIR ROUND BLUE,2011.92,1005.96,438.8,1810.73,64
RC,0272,BALLOON ENDOSCOPIC ORACLE OLYMPUS CURVILINEAR ECHOENDOSCOPE,368.27,184.14,80.32,331.44,64
RC,0272,BALLOON EXTRACTION INJECTION PORT BELOW BALLOON 6.6FR DIA 8.5/10/12/15MM DIA BALLOON 200CML BILIARY LUMENX3 PURPLE F/ENDOSCOPIC REMOVAL OF STONES IN THE BILIARY SYSTEM FOR CONTRAST INJECTION FUSION QU,130.0,65.0,28.35,117.0,64
RC,0272,BALLOON EXTRACTION L200 CM .035 IN 3 LUMEN OD7-5 FR ODSEC8.5 MM TRI-EX BILIARY STONE,122.0,61.0,26.61,109.8,64
RC,0272,BALLOON EXTRACTION L200 CM .035 IN ASSORTED SIZE RADIOPAQUE GUIDEWIRE OD7-5 FR ODSEC8.5-15 MM TRI-EX NATURAL RUBBER L2.8 MM BILIARY PANCREATIC PURPLE,359.38,179.69,78.38,323.44,64
RC,0272,BALLOON EXTRACTION RADIAL NAVY BLUE F/OLYMPUS 140 240 160 260  180 ORACLE LATEX STERILE SINGLE-USE,368.27,184.14,80.32,331.44,64
RC,0272,BALLOON EXTRACTOR OD6-7 FR ODSEC9-12 MM L200 CM 3 LUMEN ABOVE INJECTION SQUARE SHOULDER BILIARY RETRIEVAL ACCEPTS .035 IN GUIDEWIRE,104.94,52.47,22.89,94.45,64
RC,0272,BALLOON NASAL 1CM OD REGULAR SILICONE NOSE DUAL CUFF SYRINGE GAUZE W/HOLLOW AIRWAY EPISTAT LATEX-FREE,74.4,37.2,16.23,66.96,64
RC,0272,BALLOON WOLVERINE MONORAIL CUTTING 4MM 143CM 6MM BUMPER TIP MIDSHAFT RADIOPAQUE ZGLIDE ANGIOPLASTY ATHERECTOMY,745.0,372.5,162.48,670.5,64
RC,0272,BAN-10 11 GA BONE MARROW ASPIRATE NEEDLE,1500.0,750.0,327.15,1350.0,64
RC,0272,BAND EXERCISE 4INW X 25YDL SYNTHETIC POLYMER 3-LEVEL HEAVY RESISTANCE PORTABLE RED THERA-BAND LATEX-FREE PVC-FREE,30.99,15.5,6.76,27.89,64
RC,0272,BAND EXERCISE 4INW X 25YDL SYNTHETIC POLYMER 3-LEVEL THIN RESISTANCE PORTABLE YELLOW THERA-BAND LATEX-FREE PVC-FREE,29.7,14.85,6.48,26.73,64
RC,0272,BAND EXERCISE 4INW X 50YDL 1-LEVEL RESISTANCE YELLOW THERA-BAND LATEX-FREE PVC-FREE,65.93,32.97,14.38,59.34,64
RC,0272,BAND EXERCISE 4INW X 50YDL 3-LEVEL RESISTANCE GREEN THERA-BAND LATEX-FREE PVC-FREE,76.45,38.23,16.67,68.81,64
RC,0272,BAND EXERCISE 5.5INW X 25YDL SYNTHETIC POLYMER SPECIAL HEAVY RESISTANCE BLACK THERA-BAND LATEX-FREE PVC-FREE,42.14,21.07,9.19,37.93,64
RC,0272,BAND EXERCISE 5INW X 50YDL SYNTHETIC POLYMER 2-LEVEL RESISTANCE W/O CHART ORANGE F/REHABILITATION TRAINING ROLYAN LATEX,46.19,23.1,10.07,41.57,64
RC,0272,BAND EXERCISE 6INW X 25YDL SYNTHETIC POLYMER 4-LEVEL XHEAVY RESISTANCE PORTABLE W/O CHART BLUE THERA-BAND LATEX-FREE PVC-FREE,38.76,19.38,8.45,34.88,64
RC,0272,BAND EXERCISE ORANGE RESISTIVE ELASTIC HIGHER RESILIENCE LATEX FREE REP BAND 50YD,141.61,70.81,30.89,127.45,64
RC,0272,BAND EXERCISE RED MEDIUM RESISTANCE LATEX FREE THERABAND 50YDX4IN,69.69,34.85,15.2,62.72,64
RC,0272,BAND MOLAR MALLEABLE REPLACEMENT ANTHEM STAINLESS STEEL TITANIUM ANKLE FRACTURE SYSTEM,125.0,62.5,27.26,112.5,64
RC,0272,BANDAGE COMPRESSION 6INW X 12FTL ELASTIC TAN ESMARK LATEX-FREE STERILE 20/CA,254.33,127.17,55.47,228.9,64
RC,0272,BANDAGE HEMOSTATIC 3M TEGADERM QUIKCLOT 1.5X1.5X.5IN INTERVENTIONAL SLIT NONINVASIVE KAOLIN STERILE WHITE,321.75,160.88,70.17,289.58,64
RC,0272,BANDAGE HEMOSTATIC QUIKCLOT CONTROL+ 5X5IN 4 PLY PAD STERILE DISPOSABLE,613.65,306.83,133.84,552.29,64
RC,0272,BANDAGE HEMOSTATIC THROMBIX TOPICAL,371.0,185.5,80.92,333.9,64
RC,0272,BAR ARCH L1 MR ROLL WIRE INSTRUMENT ERICH,56.0,28.0,12.21,50.4,64
RC,0272,BAR ARCH L13 CM ERICH,112.0,56.0,24.43,100.8,64
RC,0272,BAR ARCH OMNIMAX PREFORM MAXILLOMANDIBULAR FIXATION,357.0,178.5,77.86,321.3,64
RC,0272,BAR INSTRUMENT ASSEMBLY TENSILE RECLAIM REVISION HIP SYSTEM,192.6,96.3,42.01,173.34,64
RC,0272,BAR TRACTION Z NA PELVIC LATERAL DEVICE,803.99,402.0,175.35,723.59,64
RC,0272,BARBELL OR POSITIONING FOAM F/VELOCITY BUMP,720.0,360.0,157.03,648.0,64
RC,0272,BARIUM LIQ POLIBAR PLUS 1900MLDCD USE 560794,113.85,56.93,24.83,102.47,64
RC,0272,BARRIER SKIN L4 IN X W4 IN HOLLIHESIVE,2.67,1.34,0.58,2.4,64
RC,0272,BASIC GENERAL PACK,62.16,31.08,13.56,55.94,64
RC,0272,BASIC PACK,122.08,61.04,26.63,109.87,64
RC,0272,BASIN SET MAJOR PACK,87.08,43.54,18.99,78.37,64
RC,0272,BASKET CUFF W6 1/2 IN X H7 1/2 IN D4 IN WALL MOUNT SPHYGMOMANOMETER,22.07,11.04,4.81,19.86,64
RC,0272,BASKET SPECIMEN COLLECTION TOBRA BONE LATEX-FREE,1050.0,525.0,229.01,945.0,64
RC,0272,BASKET SPECIMEN RETRIEVAL 115CMX11MM 1.2MM MINI HELIX 4 WIRE INTEGRAL HANDLE GRASP SMOOTH SHEATH STERILE DISPOSABLE,205.05,102.53,44.72,184.55,64
RC,0272,BASKET SPECIMEN RETRIEVAL 250CMX10MM 1.7MM 4 WIRE INTEGRAL HANDLE INJECTION PORT STERILE LATEX FREE DISPOSABLE,469.16,234.58,102.32,422.24,64
RC,0272,BASKET SPECIMEN RETRIEVAL ENDOSCOPIC EXTRACTION 7FR SHEATH 220CM 15CM X 35CM BASKET MULTIFILAMENT BILIARY F/STONE FOREIGN BODY THE WEB STERILE SINGLE-USE 28MM CHANNEL,170.0,85.0,37.08,153.0,64
RC,0272,BASKET SPECIMEN RETRIEVAL GASTROENDOSCOPY 2.3MM DIA LARGE 30MMW X 60MML 240CML WORKING STAINLESS STEEL HEXAGONAL STERILE DISPOSABLE,54.6,27.3,11.91,49.14,64
RC,0272,BASKET SPECIMEN RETRIEVAL L115 CM X W10 MM MINI HELIX 3 WIRE INTEGRAL HANDLE GRASP SMOOTH SHEATH OD1.2 MM,211.04,105.52,46.03,189.94,64
RC,0272,BASKET SPECIMEN RETRIEVAL L120 CM AIRWAY LOW PROFILE FLAT DISTAL SURFACE FLEXIBLE WIRE OD12 MM ODSEC.8 MM ZERO TIP NITINOL POLYIMIDE PTFE PULMONARY BRONCHOSCOPE,263.9,131.95,57.56,237.51,64
RC,0272,BASKET SPECIMEN RETRIEVAL L120 CM OD80 MM SPYGLASS,240.0,120.0,52.34,216.0,64
RC,0272,BASKET SPECIMEN RETRIEVAL L190 CM X W22 MM C HOOK 4 WIRE GUIDEWIRE OD3.7 MM TETRACATCHV,164.38,82.19,35.85,147.94,64
RC,0272,BASKET SPECIMEN RETRIEVAL L200 CM MINI 4 WIRE MONOFILAMENT OD4 FR ODSEC5 MM COOK L1.3 CM BILIARY PANCREATIC,199.0,99.5,43.4,179.1,64
RC,0272,BASKET SPECIMEN RETRIEVAL L220 CM 4 SOFT WIRE MULTIFILAMENT ROTATE PIN VISE HANDLE OD2 CM ODSEC7 FR BASKET L4 CM BILIARY PANCREATIC,245.0,122.5,53.43,220.5,64
RC,0272,BASKET SPECIMEN RETRIEVAL L220 CM MULTIFILAMENT MEMORY WIRE EXTRACTION OD2 CM ODSEC7 FR WEB L4 CM BILIARY PANCREATIC,170.0,85.0,37.08,153.0,64
RC,0272,BASKET SPECIMEN RETRIEVAL L220 CM MULTIFILAMENT MEMORY WIRE EXTRACTION OD3 CM ODSEC7 FR WEB L6 CM BILIARY PANCREATIC,170.0,85.0,37.08,153.0,64
RC,0272,BASKET SPECIMEN RETRIEVAL L286 CM X W15 MM SPYGLASS,507.55,253.78,110.7,456.8,64
RC,0272,BASKET SPECIMEN RETRIEVAL L4 CM 8 WIRE MONOFILAMENT ROTATE PIN VISE HANDLE OD2 CM ODSEC5 FR BASKET L200 CM BILIARY PANCREATIC,245.0,122.5,53.43,220.5,64
RC,0272,BASKET SPECIMEN RETRIEVAL L6 CM 8 WIRE MONOFILAMENT ROTATE PIN VISE HANDLE OD3 CM ODSEC5 FR BASKET L200 CM BILIARY PANCREATIC,245.0,122.5,53.43,220.5,64
RC,0272,BASKET SPECIMEN RETRIEVAL L6 CM X W3 CM WIRE SOFT BASKET,245.0,122.5,53.43,220.5,64
RC,0272,BASKET STERILIZATION L10.6 IN X W9.3 IN X H3.2 IN 1/2 LENGTH PERFORATE STANDARD HANDLE GENESIS L10.4 IN X W9.1 IN X H2.6 IN,68.07,34.04,14.85,61.26,64
RC,0272,BASKET STERILIZATION L16.4 IN X W10.4 IN X H2.6 IN MID PERFORATE BOTTOM DEEP GENESIS L16.5 IN X W10.6 IN X H3.2 IN,78.03,39.02,17.02,70.23,64
RC,0272,BASKET STERILIZATION L16.5 IN X W10.6 IN X H4.2 IN D4 IN PERFORATE MIDLENGTH GENESIS STAINLESS STEEL,80.15,40.08,17.48,72.14,64
RC,0272,BASKET STERILIZATION L20.5 IN X W10.6 IN X H3.2 IN FULL LENGTH PERFORATE STANDARD HANDLE GENESIS L20.3 IN X W10.4 IN X H2.6 IN,93.73,46.87,20.44,84.36,64
RC,0272,BASKET STONE RETRIEVAL 115CM 3FR 11MM EXPAND212 HELICAL URETERAL NITINOL PATENT 2-1-2-1 WIRE WITHOUT FILIFORM TIP STERILE LATEX FREE DISPOSABLE,157.59,78.8,34.37,141.83,64
RC,0272,BASKET STONE RETRIEVAL 120CM 1.3FR 6-11MM OPTIFLEX NITINOL 4 WIRE LASER CUT CAGE PRECISION HANDLE URETEROSCOPY STERILE LATEX FREE DISPOSABLE,213.1,106.55,46.48,191.79,64
RC,0272,BASKET STONE RETRIEVAL 120CM 1.9FR ESCAPE URETERAL NITINOL STANDARD 4 WIRE HOLMIUM LASER FIBER LITHOTRIPSY STERILE LATEX FREE DISPOSABLE,234.79,117.4,51.21,211.31,64
RC,0272,BASKET STONE RETRIEVAL 120CM 12MM 1.9FR ZERO TIP URETERAL NITINOL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE,193.73,96.87,42.25,174.36,64
RC,0272,BASKET STONE RETRIEVAL 120CM 12MM 2.4FR ZERO TIP URETERAL NITINOL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE,178.61,89.31,38.95,160.75,64
RC,0272,BASKET STONE RETRIEVAL 120CM 16MM 3FR SEGURA HEMISPHERE PERMAFORM URETERAL POLYIMIDE ROUND EDGE 4 WIRE DETACHABLE HANDLE TIPLESS STERILE LATEX FREE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 120CM 16MM 3FR ZERO TIP URETERAL NITINOL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE,169.16,84.58,36.89,152.24,64
RC,0272,BASKET STONE RETRIEVAL 2.4FR OD SHEATH 16MM DIA 120CML POLYIMIDE URETER ROUNDED EDGE 4 WIRE TIPLESS SEGURA HEMISPHERE LATEX-FREE STERILE DISPOSABLE,192.23,96.12,41.93,173.01,64
RC,0272,BASKET STONE RETRIEVAL 2.5CM 1.8CM 8.5FR WITTICH BILIARY RENAL URETERA NITINOL RADIOPAQUE TIP 6 WIRE FLEXIBLE 50CM STERILE DISPOSABLE,510.99,255.5,111.45,459.89,64
RC,0272,BASKET STONE RETRIEVAL 24CM 12FR 2.2CM WITTICH ANGLE GALLBLADDER NITINOL 6 WIRE RADIOPAQUE 4.5CM STERILE DISPOSABLE,510.99,255.5,111.45,459.89,64
RC,0272,BASKET STONE RETRIEVAL 3FR OD SHEATH 11MM DIA 90CML URETHRAL HELICAL 4 PAIRED WIRE TIPLESS GEMINI LATEX-FREE STERILE DISPOSABLE,192.23,96.12,41.93,173.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 11MM 3FR GEMINI HELICAL URETERAL 3 PAIR WIRE SECURE GRASP FILIFORM TIP 5CM,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 11MM 3FR GEMINI HELICAL URETERAL 4 PAIR WIRE SECURE GRASP TIPLESS STERILE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 12MM 1.9FR ZERO TIP URETERAL NITINOL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE,193.73,96.87,42.25,174.36,64
RC,0272,BASKET STONE RETRIEVAL 90CM 14MM 3FR GEMINI HELICAL URETERAL 5 PAIR WIRE SECURE GRASP FILIFORM TIP 5CM STERILE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 16MM 3FR SEGURA HEMISPHERE PERMAFORM URETERAL POLYIMIDE ROUND EDGE 4 WIRE DETACHABLE HANDLE TIPLESS STERILE LATEX FREE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 16MM 3FR ZERO TIP URETERAL NITINOL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE,169.16,84.58,36.89,152.24,64
RC,0272,BASKET STONE RETRIEVAL 90CM 20MM 3FR SEGURA HEMISPHERE PERMAFORM URETERAL POLYIMIDE ROUND EDGE 4 WIRE DETACHABLE HANDLE TIPLESS STERILE LATEX FREE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 20MM 4.5FR SEGURA HEMISPHERE PERMAFORM URETERAL PTFE ROUND EDGE 4 WIRE DETACHABLE HANDLE FILIFORM TIP 5CM STERILE LATEX FREE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL 90CM 20MM 4.5FR SEGURA HEMISPHERE PERMAFORM URETERAL PTFE ROUND EDGE 4 WIRE DETACHABLE HANDLE TIPLESS STERILE LATEX FREE DISPOSABLE,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL GEMINI 11MM 3FR SHEATH 90CM 5CM FILIFORM TIP URETER HELICAL 4-PAIRED WIRE STAINLESS STEEL,176.68,88.34,38.53,159.01,64
RC,0272,BASKET STONE RETRIEVAL L208 CM L4 CM OD2 CM FUSION BILE DUCT MONOFILAMENT GUIDEWIRE .035 IN PURPLE LITHOTRIPSY,299.0,149.5,65.21,269.1,64
RC,0272,BASKET STONE RETRIEVAL L208 CM L6 CM OD3 CM FUSION BILE DUCT MONOFILAMENT GUIDEWIRE .035 IN PURPLE LITHOTRIPSY,299.0,149.5,65.21,269.1,64
RC,0272,BASKET STONE RETRIEVAL L3.2 MM OD1.5 CM TRAPEZOID BILIARY RAPID EXCHANGE LITHOTRIPTER DISTAL SIDEPORT CHANNEL METAL ACCEPTS .035 IN GUIDEWIRE,273.55,136.78,59.66,246.2,64
RC,0272,BASKET STONE RETRIEVAL L3.2 MM OD2.5 CM TRAPEZOID BILIARY RAPID EXCHANGE LITHOTRIPTER DISTAL SIDEPORT CHANNEL METAL ACCEPTS .035 IN GUIDEWIRE,273.55,136.78,59.66,246.2,64
RC,0272,BASKET STONE RETRIEVAL OD2 CM TRAPEZOID BILIARY RAPID EXCHANGE DISTAL SIDEPORT CHANNEL METAL 3.2 MM ACCEPTS .035 IN GUIDEWIRE,273.55,136.78,59.66,246.2,64
RC,0272,BASKET STONE RETRIEVAL OD3 CM TRAPEZOID BILIARY RAPID EXCHANGE DISTAL SIDEPORT CHANNEL METAL 3.2 MM ACCEPTS .035 IN GUIDEWIRE,273.55,136.78,59.66,246.2,64
RC,0272,BATTERY COCHLEAR L.35 IN X W.68 IN X H1 IN STANDARD RECHARGEABLE MODULE NUCLEUS 7 COCHLEAR BLACK,216.75,108.38,47.27,195.08,64
RC,0272,BATTERY COCHLEAR RECHARGEABLE MODULE COMPACT COCHLEAR COMPACT RECHARGEABLE BATTERY MODULE BLACK,199.75,99.88,43.57,179.78,64
RC,0272,BATTERY COCHLEAR RECHARGEABLE MODULE COMPACT COCHLEAR COMPACT RECHARGEABLE BATTERY MODULE BROWN,199.75,99.88,43.57,179.78,64
RC,0272,BATTERY COCHLEAR RECHARGEABLE MODULE COMPACT COCHLEAR COMPACT RECHARGEABLE BATTERY MODULE SAND,199.75,99.88,43.57,179.78,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE COCHLEAR BROWN,216.75,108.38,47.27,195.08,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE COCHLEAR COMPACT RECHARGEABLE BATTERY MODULE WHITE,216.75,108.38,47.27,195.08,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE COCHLEAR STANDARD RECHARGEABLE BATTERY MODULE SAND,216.75,108.38,47.27,195.08,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE NUCLEUS 6 CARBON CP900 SERIES,191.25,95.63,41.71,172.13,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE NUCLEUS 6 MAIZE CP900 SERIES,191.25,95.63,41.71,172.13,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE NUCLEUS 6 MOCHA CP900 SERIES,191.25,95.63,41.71,172.13,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE NUCLEUS 6 SMOKE CP900 SERIES,191.25,95.63,41.71,172.13,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE MODULE NUCLEUS GRAY,216.75,108.38,47.27,195.08,64
RC,0272,BATTERY COCHLEAR STANDARD RECHARGEABLE NUCLEUS 6 WHITE,191.25,95.63,41.71,172.13,64
RC,0272,BATTERY PRODUCT SPECIFIC F/STRYKER SPINE NAVIGATION INSTRUMENT,28.48,14.24,6.21,25.63,64
RC,0272,BATTERY SURGICAL DRIVER 1.5 MM IQ,116.0,58.0,25.3,104.4,64
RC,0272,BATTERY SURGICAL DRIVER MATRIXPRO II DD STERILE DISPOSABLE,277.75,138.88,60.58,249.98,64
RC,0272,BATTERY SURGICAL DRIVER MATRIXPRO STERILE DISPOSABLE,199.65,99.83,43.54,179.69,64
RC,0272,BATTERY SURGICAL DRIVER PACK QUICKDRIVE,213.72,106.86,46.61,192.35,64
RC,0272,BATTERY SURGICAL DRIVER POWER DRIVER,85.0,42.5,18.54,76.5,64
RC,0272,BELT SUT CRCMF LF STRL SUD,893.0,446.5,194.76,803.7,64
RC,0272,BELT SUTURE 18CML CIRCUMFERENTIAL MI-ISBA-001,893.0,446.5,194.76,803.7,64
RC,0272,BENDER ROD DIGITIZER ARRAY BENDINI,1150.0,575.0,250.82,1035.0,64
RC,0272,BINDER ABDOMINAL 46-62IN CIRC HIP UNIVERSAL LONG 9INW ELASTIC PANELX3 HOOK-LOOP CLOSURE F/POST-ABDOMINAL SURGERY LATEX-FREE,15.36,7.68,3.35,13.82,64
RC,0272,BINDER ABDOMINAL L63-74 IN X W12 IN LARGE 4 PANEL ELASTIC HOOK LOOP CLOSURE DEROYAL,14.72,7.36,3.21,13.25,64
RC,0272,BINDER ABDOMINAL W12 IN XL 4 PANEL ELASTIC HOOK LOOP CLOSURE OD75-84 IN DEROYAL,14.72,7.36,3.21,13.25,64
RC,0272,BINDER BREAST 32-34IN CIRC SMALL SOLID LINED W/DRI RELEASE BLACK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 32-34IN CIRC SMALL SOLID LINED W/DRI RELEASE FLORAL MINT EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 34-36IN CIRC MEDIUM SOLID LINED W/DRI RELEASE FLORAL PINK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 36-40IN CIRC LARGE SOLID LINED W/DRI RELEASE BLACK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 36-40IN CIRC LARGE SOLID LINED W/DRI RELEASE LAVENDER EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 40-45IN CIRC XL SOLID LINED W/DRI RELEASE BLACK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 40-45IN CIRC XL SOLID LINED W/DRI RELEASE FLORAL LAVENDER EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 45-50IN CIRC 2XL SOLID LINED W/DRI RELEASE PINK EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST 50-54IN CIRC 3XL SOLID LINED W/DRI RELEASE WHITE EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BINDER BREAST PETITE 28-32IN CIRC SOLID LINED W/DRI RELEASE MINT EXPAND-A-BAND,23.0,11.5,5.02,20.7,64
RC,0272,BIOMEDICUS NEXTGEN VENOUS INSERTION KIT,416.08,208.04,90.75,374.47,64
RC,0272,BIOPSY SYSTEM COMPREHENSIVE KIT,991.0,495.5,216.14,891.9,64
RC,0272,BIT DRILL .76MM 44.5MM 14MM J LATCH COUPLING SELF STOP NONSTERILE,102.17,51.09,22.28,91.95,64
RC,0272,BIT DRILL .76MM 44.5MM 8MM J LATCH COUPLING SELF STOP,138.05,69.03,30.11,124.25,64
RC,0272,BIT DRILL 1-PIECE 3.8MM 30MM STAINLESS STEEL FLUTED FLEXIBLE QUICKSET REUSABLE,521.55,260.78,113.75,469.4,64
RC,0272,BIT DRILL 1-PIECE 3.8MM 35MM STAINLESS STEEL FLUTED FLEXIBLE QUICKSET REUSABLE,521.55,260.78,113.75,469.4,64
RC,0272,BIT DRILL 1.1MM 44.5MM 12MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW STRYKER,138.05,69.03,30.11,124.25,64
RC,0272,BIT DRILL 1.1MM 44.5MM 4MM J LATCH COUPLING STOP MATRIXMIDFACE CRANIOMAXILLOFACIAL NONSTERILE,143.0,71.5,31.19,128.7,64
RC,0272,BIT DRILL 1.1MM 44.5MM 8MM J LATCH COUPLING STOP MATRIX NONSTERILE STRYKER,141.9,70.95,30.95,127.71,64
RC,0272,BIT DRILL 1.1MM 55MM MINI QUICK COUPLING STERILE REPROCESSED 1.5/2MM ROTATION CORRECTION PLATE,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL 1.1MM 60MM 20MM QUICK COUPLING TIMAX,82.0,41.0,17.88,73.8,64
RC,0272,BIT DRILL 1.1MM MINI QUICK CONNECT FAST TITANIUM DISPOSABLE ANATOMIC LOCK PLATE SYSTEM,45.0,22.5,9.81,40.5,64
RC,0272,BIT DRILL 1.1MM STAINLESS STEEL CANNULATED F/1.5MM MICRO SCREW,364.0,182.0,79.39,327.6,64
RC,0272,BIT DRILL 1.25MM 44.5MM 18MM 2 FLUTE J LATCH COUPLING STOP MATRIXMIDFACE CRANIOMAXILLOFACIAL NONSTERILE,159.5,79.75,34.79,143.55,64
RC,0272,BIT DRILL 1.3MM 55MM MINI QUICK COUPLING SELF STOP NONSTERILE 2.4MM SCREW MODULAR HAND SYSTEM,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL 1.4MM 150MM ASNIS III NONSTERILE DISPOSABLE 4MM SCREW,173.13,86.57,37.76,155.82,64
RC,0272,BIT DRILL 1.5MM 100MM 6MM QUICK COUPLING TROCAR STOP NONSTERILE,141.9,70.95,30.95,127.71,64
RC,0272,BIT DRILL 1.5MM 125MM J LATCH COUPLING CALIBRATE MATRIXMANDIBLE NONSTERILE STRYKER,176.55,88.28,38.51,158.9,64
RC,0272,BIT DRILL 1.5MM 44.5MM 12MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW STRYKER,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 1.5MM 44.5MM 4MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 1.5MM 44.5MM 6MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 1.5MM 44.5MM 8MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 1.5MM 50MM 6MM J LATCH COUPLING STOP MATRIXMIDFACE CRANIOMAXILLOFACIAL NONSTERILE,142.45,71.23,31.07,128.21,64
RC,0272,BIT DRILL 1.5MM 50MM 8MM J LATCH COUPLING STOP MATRIXMANDIBLE NONSTERILE STRYKER,142.45,71.23,31.07,128.21,64
RC,0272,BIT DRILL 1.5MM 50MM J LATCH COUPLING NONSTERILE STRYKER,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 1.5MM 82MM 12MM J LATCH COUPLING SELF STOP MATRIXRIB STERNUM NONSTERILE STRYKER,152.9,76.45,33.35,137.61,64
RC,0272,BIT DRILL 1.5MM 85MM 60MM QUICK COUPLING TC-100 STERILE,45.7,22.85,9.97,41.13,64
RC,0272,BIT DRILL 1.5MM 85MM QUICK COUPLING STERILE,95.47,47.74,20.82,85.92,64
RC,0272,BIT DRILL 1.5MM 90MM J LATCH COUPLING MATRIXMANDIBLE NONSTERILE STRYKER,150.7,75.35,32.87,135.63,64
RC,0272,BIT DRILL 1.5MM DIA 70MML JACOBS CHUCK END LCP LATEX-FREE STERILE,95.47,47.74,20.82,85.92,64
RC,0272,BIT DRILL 1.5MM DIA HEAD MEDIUM W/8MM STOP F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE STERILE,50.59,25.3,11.03,45.53,64
RC,0272,BIT DRILL 1.5MM MINI QUICK CONNECT FAST TITANIUM DISPOSABLE ANATOMIC LOCK PLATE SYSTEM,45.0,22.5,9.81,40.5,64
RC,0272,BIT DRILL 1.6MM VOLAR QUICK CONNECT FAST READ W/GUIDE,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL 1.7MM 12MM CANNULATED AO DRIVE STEP FIXOS FOOT ANKLE DISPOSABLE,198.01,99.01,43.19,178.21,64
RC,0272,BIT DRILL 1.7MM 2MM AO COUPLING CANNULATED ASNIS NONSTERILE,148.2,74.1,32.32,133.38,64
RC,0272,BIT DRILL 1.7MM AO COUPLING CANNULATED ASNIS MICRO STERILE DISPOSABLE 2/3MM SCREW SYSTEM,229.85,114.93,50.13,206.87,64
RC,0272,BIT DRILL 1.7MM MEMOFIX STERILE LATEX FREE DISPOSABLE,649.81,324.91,141.72,584.83,64
RC,0272,BIT DRILL 1.8MM 100MM 6MM QUICK COUPLING TROCAR STOP NONSTERILE,143.0,71.5,31.19,128.7,64
RC,0272,BIT DRILL 1.8MM 100MM QUICK COUPLING DEPTH MARK NONSTERILE,138.66,69.33,30.24,124.79,64
RC,0272,BIT DRILL 1.8MM 125MM J LATCH MATRIXMANDIBLE NONSTERILE REUSABLE 03.503.045,176.55,88.28,38.51,158.9,64
RC,0272,BIT DRILL 1.8MM 125MM QUICK COUPLING NONSTERILE,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 1.8MM 90MM J LATCH MATRIXMANDIBLE NONSTERILE 03.503.044,164.0,82.0,35.77,147.6,64
RC,0272,BIT DRILL 1.8MM CANNULATED QUICK CONNECT,190.0,95.0,41.44,171.0,64
RC,0272,BIT DRILL 1.8MM DIA 50MML STAINLESS STEEL MAXILLOFACIAL STRYKER J-LATCH NON-STERILE,332.0,166.0,72.41,298.8,64
RC,0272,BIT DRILL 1.8MM DIA MINI 80MML QUICK-COUPLING LCP STERILE,94.56,47.28,20.62,85.1,64
RC,0272,BIT DRILL 1.8MM LONG 110MM CALIBRATED QUICK-CONNECT,777.0,388.5,169.46,699.3,64
RC,0272,BIT DRILL 1.9MM 105MM TWIST AO SHAFT END VARIAX NONSTERILE SMALL FRAGMENT SYSTEM,81.59,40.8,17.79,73.43,64
RC,0272,BIT DRILL 1.9MM 115MM 35MM,304.9,152.45,66.5,274.41,64
RC,0272,BIT DRILL 1.9MM CANNULATED MINI NONSTERILE DISPOSABLE YELLOW 2.5MM SCREW,231.84,115.92,50.56,208.66,64
RC,0272,BIT DRILL 10MM 190MM LARGE QUICK COUPLING CANNULATED,454.08,227.04,99.03,408.67,64
RC,0272,BIT DRILL 10MM HOLLOW STERILE MULTILOC HUMERAL NAIL SYSTEM,277.99,139.0,60.63,250.19,64
RC,0272,BIT DRILL 12MM,50.0,25.0,10.91,45.0,64
RC,0272,BIT DRILL 12MM 02-13G12,25.0,12.5,5.45,22.5,64
RC,0272,BIT DRILL 12MM 190MM CANNULATED LARGE QUICK COUPLING NONSTERILE EXPERT NAIL SYSTEM,420.04,210.02,91.61,378.04,64
RC,0272,BIT DRILL 12MM 2.4MM 7IN CANNULATED ACUFEX DIRECTOR ELITE ACL PCL SYSTEM,262.0,131.0,57.14,235.8,64
RC,0272,BIT DRILL 12MML ANGLED TIP SELF-CENTERING SLEEVE COALITION,174.0,87.0,37.95,156.6,64
RC,0272,BIT DRILL 12MML JACOBS CHUCK SKYLINE,55.0,27.5,12.0,49.5,64
RC,0272,BIT DRILL 13MM 300MM CANNULATED NONSTERILE 3.2MM CALIBRATED WIRE GUIDE REPROCESSED,468.99,234.5,102.29,422.09,64
RC,0272,BIT DRILL 13MM 300MM PICCOLO COMPOSITE STERILE DISPOSABLE,206.64,103.32,45.07,185.98,64
RC,0272,BIT DRILL 13MM 465MM CANNULATED LARGE QUICK COUPLING FLEXIBLE NONSTERILE,559.22,279.61,121.97,503.3,64
RC,0272,BIT DRILL 14MM CANNULATED LARGE QUICK COUPLING FLEXIBLE NONSTERILE FEMORAL RECONSTRUCTION NAIL SYSTEM,762.14,381.07,166.22,685.93,64
RC,0272,BIT DRILL 14MM MODULAR F/ANTERIOR CERVICAL PLATE SYSTEM CODA STERILE,55.0,27.5,12.0,49.5,64
RC,0272,BIT DRILL 14MM MODULAR F/CODA ANTERIOR CERVICAL PLATE SYSTEM STERILE,55.0,27.5,12.0,49.5,64
RC,0272,BIT DRILL 14MML STRAIGHT SELF-CENTERING SLEEVE COALITION,71.0,35.5,15.49,63.9,64
RC,0272,BIT DRILL 15MM ACP,82.5,41.25,17.99,74.25,64
RC,0272,BIT DRILL 16MM 214MM CANNULATED HOLLOW LARGE QUICK COUPLING NONSTERILE,779.16,389.58,169.93,701.24,64
RC,0272,BIT DRILL 16MM MODULAR F/ANTERIOR CERVICAL PLATE SYSTEM CODA STERILE,55.0,27.5,12.0,49.5,64
RC,0272,BIT DRILL 16MM MODULAR STERILE,55.0,27.5,12.0,49.5,64
RC,0272,BIT DRILL 16MML PERCUTANEOUS CANNULATED,793.05,396.53,172.96,713.75,64
RC,0272,BIT DRILL 16MML STRAIGHT SELF-CENTERING SLEEVE COALITION,71.0,35.5,15.49,63.9,64
RC,0272,BIT DRILL 1MM 44.5MM 4MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW,138.05,69.03,30.11,124.25,64
RC,0272,BIT DRILL 1MM 44.5MM 6MM J LATCH COUPLING SELF STOP NONSTERILE 1/1.5MM SCREW REPROCESSED,138.05,69.03,30.11,124.25,64
RC,0272,BIT DRILL 1MM 70MM 12MM STEEL STERILE MEDIUM ATTACHMENT,85.8,42.9,18.71,77.22,64
RC,0272,BIT DRILL 1MM MINI QUICK CONNECT DISPOSABLE,45.0,22.5,9.81,40.5,64
RC,0272,BIT DRILL 2.1MM CANNULATED 3MM SCREW,231.84,115.92,50.56,208.66,64
RC,0272,BIT DRILL 2.1MM MICRO AO COUPLING CANNULATED ASNIS STERILE DISPOSABLE,161.7,80.85,35.27,145.53,64
RC,0272,BIT DRILL 2.2 MM MICRORAPTOR SHOULDER KNOTLESS,200.0,100.0,43.62,180.0,64
RC,0272,BIT DRILL 2.2MM 100MM STERILE LATEX FREE DISPOSABLE 3MM APEX PIN,88.56,44.28,19.31,79.7,64
RC,0272,BIT DRILL 2.2MM 10MM STOP MATRIXRIB NONSTERILE 90D SCREWDRIVER,245.3,122.65,53.5,220.77,64
RC,0272,BIT DRILL 2.2MM 12MM STOP MATRIXRIB 90D SCREWDRIVER,245.3,122.65,53.5,220.77,64
RC,0272,BIT DRILL 2.2MM 135MM 10MM J LATCH COUPLING STOP MATRIXRIB NONSTERILE,152.9,76.45,33.35,137.61,64
RC,0272,BIT DRILL 2.2MM 135MM 12MM J LATCH COUPLING STOP MATRIXRIB NONSTERILE STRYKER,152.9,76.45,33.35,137.61,64
RC,0272,BIT DRILL 2.2MM 135MM 14MM J LATCH COUPLING STOP MATRIXRIB STERNUM NONSTERILE STRYKER,152.9,76.45,33.35,137.61,64
RC,0272,BIT DRILL 2.2MM 135MM 8MM J LATCH COUPLING STOP MATRIXRIB NONSTERILE,152.9,76.45,33.35,137.61,64
RC,0272,BIT DRILL 2.2MM 8MM STOP MATRIXRIB NONSTERILE 90D SCREWDRIVER,245.3,122.65,53.5,220.77,64
RC,0272,BIT DRILL 2.3MM AO SHAFT END VARIAX CORTICAL STERILE,61.8,30.9,13.48,55.62,64
RC,0272,BIT DRILL 2.3MM TWIST RED,114.0,57.0,24.86,102.6,64
RC,0272,BIT DRILL 2.4MM - 7756010,50.0,25.0,10.91,45.0,64
RC,0272,BIT DRILL 2.4MM 100MM J LATCH COUPLING NONSTERILE STRYKER,136.95,68.48,29.87,123.26,64
RC,0272,BIT DRILL 2.4MM 100MM QUICK COUPLING DEPTH MARK STAINLESS STEEL NONSTERILE LATEX FREE REUSABLE,138.66,69.33,30.24,124.79,64
RC,0272,BIT DRILL 2.4MM 122MM AO FIT OVER NONSTERILE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2.4MM 14MM AMBASSADOR SPINE,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL 2.4MM DIA 12MML CANNULATED AMBASSADOR,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 2.4MM VUEPOINT II,73.0,36.5,15.92,65.7,64
RC,0272,BIT DRILL 2.5MM 110MM QUICK COUPLING NONSTERILE GOLD REPROCESSED,64.67,32.34,14.1,58.2,64
RC,0272,BIT DRILL 2.5MM 115MM STERILE DISPOSABLE PICCOLO COMPOSITE NAILING SYSTEM,76.02,38.01,16.58,68.42,64
RC,0272,BIT DRILL 2.5MM 125MM STANDARD AO SPS AXSOS LOCK PLATE SYSTEM 4MM SCREW,107.46,53.73,23.44,96.71,64
RC,0272,BIT DRILL 2.5MM 12MM TITANIUM APTITUDE CERVICAL,50.0,25.0,10.91,45.0,64
RC,0272,BIT DRILL 2.5MM 150MM QUICK CONNECT STERILE,166.02,83.01,36.21,149.42,64
RC,0272,BIT DRILL 2.5MM 180MM AO FIT NONSTERILE LATEX FREE REUSABLE,165.17,82.59,36.02,148.65,64
RC,0272,BIT DRILL 2.5MM 216MM SHORT AXSOS NONSTERILE LATEX FREE REUSABLE,207.96,103.98,45.36,187.16,64
RC,0272,BIT DRILL 2.5MM 230MM TWIST AO FITTING SPS NONSTERILE 4MM SCREW,171.14,85.57,37.33,154.03,64
RC,0272,BIT DRILL 2.5MM 235MM AO QUICK CONNECT FLEX-THREAD STERILE LATEX FREE DISPOSABLE,256.0,128.0,55.83,230.4,64
RC,0272,BIT DRILL 2.5MM 3.5MM SCREW,145.27,72.64,31.68,130.74,64
RC,0272,BIT DRILL 2.5MM 32MM CANNULATED AO DRIVE FIXOS,198.01,99.01,43.19,178.21,64
RC,0272,BIT DRILL 2.5MM 45MM CANNULATED FIXOS DISPOSABLE MV 4MM SCREW,339.9,169.95,74.13,305.91,64
RC,0272,BIT DRILL 2.5MM 45MM QUICK CONNECT NONSTERILE,96.74,48.37,21.1,87.07,64
RC,0272,BIT DRILL 2.5MM 60MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL 2.5MM 7 HOLE OPTILOCK VL DISTAL RADIAL 3.5MM SCREW DISTAL RADIAL PLATING SYSTEM,184.0,92.0,40.13,165.6,64
RC,0272,BIT DRILL 2.5MM 80MM QUICK CONNECT STERILE,155.41,77.71,33.89,139.87,64
RC,0272,BIT DRILL 2.5MM CALIBRATE AO,174.13,87.07,37.98,156.72,64
RC,0272,BIT DRILL 2.5MM DIA 110MML 85MML WORKING QUICK-COUPLING GOLD TC-100 LATEX-FREE STERILE DISPOSABLE,79.49,39.75,17.34,71.54,64
RC,0272,BIT DRILL 2.5MM DIA 110MML FLUTEDX3 QUICK-COUPLING CALIBRATED LCP STERILE,126.16,63.08,27.52,113.54,64
RC,0272,BIT DRILL 2.5MM DIA 110MML OSTEOCENTRIC,114.25,57.13,24.92,102.83,64
RC,0272,BIT DRILL 2.5MM DIA 36MML ADJUSTABLE PROFICIENT STERILE,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 2.5MM DIA CONICAL TIP HIGH SPEED STERILE,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 2.5MM DIA HIGH SPEED LCP STERILE,186.53,93.27,40.68,167.88,64
RC,0272,BIT DRILL 2.5MM NONSTERILE LATEX FREE DISPOSABLE,82.64,41.32,18.02,74.38,64
RC,0272,BIT DRILL 2.6MM 122MM AO SCALE VARIAX STERILE LATEX FREE DISPOSABLE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2.6MM 30MM AO VARIAX SPEEDGUIDE NONSTERILE LATEX FREE DISPOSABLE,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL 2.6MM CANNULATED 4MM SCREW,253.73,126.87,55.34,228.36,64
RC,0272,BIT DRILL 2.6MM VARIAX 2,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2.7MM 122MM AO FIT OVER NONSTERILE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2.7MM 122MM OVER NONSTERILE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2.7MM 125MM 3 FLUTE QUICK COUPLING STERILE,129.17,64.59,28.17,116.25,64
RC,0272,BIT DRILL 2.7MM 125MM TWIST CALIBRATED AO FITTING SPS NONSTERILE,119.4,59.7,26.04,107.46,64
RC,0272,BIT DRILL 2.7MM 130MM,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL 2.7MM 155MM CANNULATED DISPOSABLE,251.26,125.63,54.8,226.13,64
RC,0272,BIT DRILL 2.7MM 220MM LONG QUICK CONNECT PERI-LOC STERILE DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 2.7MM CANNULATED,131.34,65.67,28.65,118.21,64
RC,0272,BIT DRILL 2.7MM CANNULATED FIXOS,285.57,142.79,62.28,257.01,64
RC,0272,BIT DRILL 2.7MM CANNULATED STERILE,497.76,248.88,108.56,447.98,64
RC,0272,BIT DRILL 2.7MM DIA 100MML QUICK-COUPLING LCP STERILE,95.47,47.74,20.82,85.92,64
RC,0272,BIT DRILL 2.7MM DIA BONE HARD BIOWICK SURELOCK STERILE DISPOSABLE,168.0,84.0,36.64,151.2,64
RC,0272,BIT DRILL 2.7MM SHANK COMPONENT SET ILIZAROV STERILE DISPOSABLE RANCHO SYSTEM,257.7,128.85,56.2,231.93,64
RC,0272,BIT DRILL 2.7MM SHORT CANNULATED QUICK CONNECT PERI-LOC DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 2.7MM SHORT QUICK CONNECT PERI-LOC STERILE LATEX FREE DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 2.7MM STRAIGHT CALIBRATE CANNULATED STANDARD COMPRESSION FT 4MM SCREW,188.54,94.27,41.12,169.69,64
RC,0272,BIT DRILL 2.7MM STRAIGHT CANNULATED 3.5MM MINI COMPRESSION FULL THREAD SCREW,188.54,94.27,41.12,169.69,64
RC,0272,BIT DRILL 2.7MM TARGETER,69.31,34.66,15.12,62.38,64
RC,0272,BIT DRILL 2.7MM TWIST PEDIATRIC,27.35,13.68,5.97,24.62,64
RC,0272,BIT DRILL 2.8MM 165MM 2 FLUTE QUICK COUPLING NONSTERILE 3.5MM PLATE,73.41,36.71,16.01,66.07,64
RC,0272,BIT DRILL 2.8MM 45MM QUICK CONNECT NONSTERILE,132.29,66.15,28.85,119.06,64
RC,0272,BIT DRILL 2.8MM 80MM QUICK CONNECT NONSTERILE,131.15,65.58,28.6,118.04,64
RC,0272,BIT DRILL 2.8MM CALIBRATED,253.0,126.5,55.18,227.7,64
RC,0272,BIT DRILL 2.8X200MM QUICK COUPLING STERILE DISPOSABLE,164.09,82.05,35.79,147.68,64
RC,0272,BIT DRILL 2.9MM 12MM FIXED CT,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 2.9MM 14MM FIXED CT,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 2.9MM CANNULATED F/Q-FIX ULTRA 1.25MM PIN,200.0,100.0,43.62,180.0,64
RC,0272,BIT DRILL 20MM CANNULATED COMPRESSION SCREW,140.0,70.0,30.53,126.0,64
RC,0272,BIT DRILL 22MM STOP 1.6X50MM,144.0,72.0,31.41,129.6,64
RC,0272,BIT DRILL 27MM DIA 125MML QUICK-COUPLING LCP STERILE,102.6,51.3,22.38,92.34,64
RC,0272,BIT DRILL 29MML ADJUSTABLE PROFICIENT,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 2MM,92.36,46.18,20.14,83.12,64
RC,0272,BIT DRILL 2MM 125MM QUICK COUPLING STERILE,102.6,51.3,22.38,92.34,64
RC,0272,BIT DRILL 2MM 12MM CANNULATED COUNTERSINK AO FIXOS DISPOSABLE,140.3,70.15,30.6,126.27,64
RC,0272,BIT DRILL 2MM 135MM AO FIT SCALE NONSTERILE FOR 1106698,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2MM 135MM AO FIT SCALE NONSTERILE FOR 1113759,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 2MM 150MM CANNULATED ASNIS III STERILE 5MM SCREW,156.22,78.11,34.07,140.6,64
RC,0272,BIT DRILL 2MM 157MM SHORT QUICK CONNECT SET PERI-LOC VLP DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 2MM 175MM AO PANGEA SMALL FRAGMENT CORE TRAY,259.07,129.54,56.5,233.16,64
RC,0272,BIT DRILL 2MM 175MM AO QUICK CONNECT FLEX-THREAD STERILE LATEX FREE DISPOSABLE,244.0,122.0,53.22,219.6,64
RC,0272,BIT DRILL 2MM 190MM QUICK CONNECT PERI-LOC DISPOSABLE,75.55,37.78,16.48,68.0,64
RC,0272,BIT DRILL 2MM 3MM SCREW,145.27,72.64,31.68,130.74,64
RC,0272,BIT DRILL 2MM 40MM CALIBRATED,553.0,276.5,120.61,497.7,64
RC,0272,BIT DRILL 2MM 60MM QUICK CONNECT NONSTERILE,135.46,67.73,29.54,121.91,64
RC,0272,BIT DRILL 2MM 65MM MINI QUICK COUPLING STERILE,96.34,48.17,21.01,86.71,64
RC,0272,BIT DRILL 2MM 7 HOLE OPTILOCK VL DISTAL RADIAL 2.7MM SCREW DISTAL RADIAL PLATING SYSTEM,184.0,92.0,40.13,165.6,64
RC,0272,BIT DRILL 2MM 93MM SHORT AO QUICK CONNECT CALIBRATED PERI-LOC DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 2MM AO EASYCLIP FOOT ANKLE SUPERELASTIC FIXATION,178.11,89.06,38.85,160.3,64
RC,0272,BIT DRILL 2MM CANNULATED QUICK CONNECT,190.0,95.0,41.44,171.0,64
RC,0272,BIT DRILL 2MM CANNULATED STERILE,470.87,235.44,102.7,423.78,64
RC,0272,BIT DRILL 2MM DIA 10MML 90DEG ANGLED RIBLOC U PLUS LATEX-FREE,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 2MM DIA 125MML STAINLESS STEEL MAXILLOFACIAL QUICK-COUPLING CANNULATED JACOBS CHUCK END GOLD F/SCREW FIXATION NON-STERILE DISPOSABLE,192.0,96.0,41.88,172.8,64
RC,0272,BIT DRILL 2MM DIA 12MML 90DEG ANGLED RIBLOC U PLUS LATEX-FREE,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 2MM DIA 12MML ANTERIOR CERVICAL PLATE CYGNUS,72.0,36.0,15.7,64.8,64
RC,0272,BIT DRILL 2MM DIA 14MML 90DEG ANGLED RIBLOC U PLUS LATEX-FREE,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 2MM DIA 14MML ANTERIOR CERVICAL PLATE CYGNUS,72.0,36.0,15.7,64.8,64
RC,0272,BIT DRILL 2MM DIA 85MML JACOBS CHUCK END LCP STERILE,95.47,47.74,20.82,85.92,64
RC,0272,BIT DRILL 2MM DIA 8MML 90DEG ANGLED RIBLOC U PLUS LATEX-FREE,311.0,155.5,67.83,279.9,64
RC,0272,BIT DRILL 2MM DIA F/CHEST WALL PLATING SYSTEM RIBLOC U PLUS LATEX-FREE,311.0,155.5,67.83,279.9,64
RC,0272,BIT DRILL 2MM DIA STAINLESS STEEL PEDIATRIC FEMORAL CANNULATED AO FITTING PEDIPLATES DISPOSABLE,87.5,43.75,19.08,78.75,64
RC,0272,BIT DRILL 2MM DOME SUPERELASTIC COLOR CODED MICRO EDGE BARB MEMOFIX,649.81,324.91,141.72,584.83,64
RC,0272,BIT DRILL 2MM MINI QUICK CONNECT FAST TITANIUM DISPOSABLE ALPS,45.0,22.5,9.81,40.5,64
RC,0272,BIT DRILL 2MM SHORT AO QUICK COUPLING OVER VLP MINI-MOD,95.1,47.55,20.74,85.59,64
RC,0272,BIT DRILL 3 MM ORTHOLOC 4.5 MM SCREW,123.38,61.69,26.91,111.04,64
RC,0272,BIT DRILL 3.0/4.0 PILOT DRILL CANNULATED 3-4 MM SCREW,387.0,193.5,84.4,348.3,64
RC,0272,BIT DRILL 3.04.0MM CANNULATED DRILL BIT STAINLESS STEEL CANNULATED 3-4 MM SCREW,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL 3.1MM 204MM CALIBRATED NONSTERILE 4MM LOCK SCREW,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL 3.1MM 216MM SHORT LOCK AXSOS NONSTERILE LATEX FREE REUSABLE,203.98,101.99,44.49,183.58,64
RC,0272,BIT DRILL 3.1MM 285MM CALIBRATED SAMLL AO AXSOS TIBIA,174.13,87.07,37.98,156.72,64
RC,0272,BIT DRILL 3.2MM 145MM 3 FLUTE QUICK COUPLING NEEDLE POINT NONSTERILE,135.27,67.64,29.5,121.74,64
RC,0272,BIT DRILL 3.2MM 145MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE RADIOLUCENT DRIVE,236.51,118.26,51.58,212.86,64
RC,0272,BIT DRILL 3.2MM 145MM CALIBRATE AO FIT STERILE,135.32,67.66,29.51,121.79,64
RC,0272,BIT DRILL 3.2MM 180MM CALIBRATED AO FITTING NONSTERILE,165.17,82.59,36.02,148.65,64
RC,0272,BIT DRILL 3.2MM 195MM 3 FLUTE QUICK COUPLING STERILE,146.46,73.23,31.94,131.81,64
RC,0272,BIT DRILL 3.2MM 200MM GRAY 4MM APEX PIN,90.55,45.28,19.75,81.5,64
RC,0272,BIT DRILL 3.2MM 210MM 68MM 3 FLUTE QUICK COUPLING CALIBRATE STERILE,168.69,84.35,36.79,151.82,64
RC,0272,BIT DRILL 3.2MM 216MM SHORT NONLOCK AXSOS 3 TITANIUM,215.92,107.96,47.09,194.33,64
RC,0272,BIT DRILL 3.2MM 230MM 200MM 3 FLUTE QUICK COUPLING CALIBRATE,185.49,92.75,40.46,166.94,64
RC,0272,BIT DRILL 3.2MM 230MM NONSTERILE LATEX FREE DISPOSABLE,283.58,141.79,61.85,255.22,64
RC,0272,BIT DRILL 3.2MM 230MM STANDARD TWIST CALIBRATE AO FIT SPS NONSTERILE,165.17,82.59,36.02,148.65,64
RC,0272,BIT DRILL 3.2MM 254MM TWIST STERILE DISPOSABLE,370.0,185.0,80.7,333.0,64
RC,0272,BIT DRILL 3.2MM 300MM ASNIS III NONSTERILE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL 3.2MM 300MM QUICK COUPLING,722.7,361.35,157.62,650.43,64
RC,0272,BIT DRILL 3.2MM 315MM CALIBRATED AO FIT,173.13,86.57,37.76,155.82,64
RC,0272,BIT DRILL 3.2MM 330MM 100MM 3 FLUTE CALIBRATE QUICK COUPLING NONSTERILE BLUE GOLD EXPERT NAIL SYSTEM REPROCESSED,189.85,94.93,41.41,170.87,64
RC,0272,BIT DRILL 3.2MM 450MM,146.27,73.14,31.9,131.64,64
RC,0272,BIT DRILL 3.2MM DIA 128MMW X 1/8INL STAINLESS STEEL HIGH SPEED STERILE DISPOSABLE,108.0,54.0,23.55,97.2,64
RC,0272,BIT DRILL 3.2MM DIA 200MML F/QUICK CONNECT NON-STERILE,125.0,62.5,27.26,112.5,64
RC,0272,BIT DRILL 3.2MM LONG GRADUATED BRAD POINT TRIGEN STERILE DISPOSABLE INTRAMEDULLARY NAIL,148.05,74.03,32.29,133.25,64
RC,0272,BIT DRILL 3.2MM QUICK RELEASE STERILE - 32-467623,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL 3.2MM SHORT GRADUATED BRAD POINT TRIGEN STERILE DISPOSABLE INTRAMEDULLARY NAIL,148.05,74.03,32.29,133.25,64
RC,0272,BIT DRILL 3.2MM SHORT MAVERICK,380.0,190.0,82.88,342.0,64
RC,0272,BIT DRILL 3.2MM SHORT PEDIATRIC BLUE,108.22,54.11,23.6,97.4,64
RC,0272,BIT DRILL 3.4MM 125MM STERILE DISPOSABLE PICCOLO COMPOSITE NAILING SYSTEM,76.02,38.01,16.58,68.42,64
RC,0272,BIT DRILL 3.5 MM SCREW,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL 3.5MM 125MM STANDARD TWIST AO FIT CALIBRATE SPS NONSTERILE,107.46,53.73,23.44,96.71,64
RC,0272,BIT DRILL 3.5MM 130MM AO COUPLING STERILE,149.25,74.63,32.55,134.33,64
RC,0272,BIT DRILL 3.5MM 150MM AO COUPLING SOLID CANNULATED ASNIS III NONSTERILE,266.66,133.33,58.16,239.99,64
RC,0272,BIT DRILL 3.5MM 152.4MM LONG TWIST STAINLESS STEEL STERILE,518.4,259.2,113.06,466.56,64
RC,0272,BIT DRILL 3.5MM 152MM MANUAL PRECICE STERILE DISPOSABLE INTRAMEDULLARY LIMB LENGTHEN,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 3.5MM 160MM QUICK COUPLING CANNULATED STERILE,352.41,176.21,76.86,317.17,64
RC,0272,BIT DRILL 3.5MM 180MM STANDARD TWIST AO FIT AXSOS NONSTERILE 4MM SCREW,159.2,79.6,34.72,143.28,64
RC,0272,BIT DRILL 3.5MM 220MM AO QUICK CONNECT CALIBRATED PERI-LOC STERILE DISPOSABLE,63.04,31.52,13.75,56.74,64
RC,0272,BIT DRILL 3.5MM 230MM AO T2 STERILE PROXIMAL HUMERAL NAIL SYSTEM,149.25,74.63,32.55,134.33,64
RC,0272,BIT DRILL 3.5MM CANNULATED FIXOS,285.57,142.79,62.28,257.01,64
RC,0272,BIT DRILL 3.5MM DIA 360MML LOCKING STERILE,175.12,87.56,38.19,157.61,64
RC,0272,BIT DRILL 3.5MM DIA BLACKBIRD NON-STERILE DISPOSABLE,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 3.5MM DIA CONICAL TIP HIGH SPEED STERILE,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 3.5MM DIA SHORT W/8.5MM ACTUATOR NON-STERILE PRECICE,232.2,116.1,50.64,208.98,64
RC,0272,BIT DRILL 3.5MM FULL THREAD PRECICE ANKLE STERILE LATEX FREE DISPOSABLE,342.0,171.0,74.59,307.8,64
RC,0272,BIT DRILL 3.5MM LONG QUICK-CONNECT STERILE,286.0,143.0,62.38,257.4,64
RC,0272,BIT DRILL 3.5MM MINI FLUTED FOOTPRINT,200.0,100.0,43.62,180.0,64
RC,0272,BIT DRILL 3.5MM PERI-LOC TARGETER,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 3.5MM SHORT QUICK CONNECT PERI-LOC STERILE LATEX FREE DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 3.5MM STERILE DISPOSABLE,85.5,42.75,18.65,76.95,64
RC,0272,BIT DRILL 3.5MM TWIST,86.4,43.2,18.84,77.76,64
RC,0272,BIT DRILL 3.5X115MMPL931115,76.02,38.01,16.58,68.42,64
RC,0272,BIT DRILL 3.6MM AO FIT RED YELLOW 3.5MM VARIAX LOCK PLATE SYSTE,77.4,38.7,16.88,69.66,64
RC,0272,BIT DRILL 3.85MM SOLID PILOT TIP,177.0,88.5,38.6,159.3,64
RC,0272,BIT DRILL 3.8MM 25MM,118.35,59.18,25.81,106.52,64
RC,0272,BIT DRILL 3.8MM SHANK COMPONENT SET ILIZAROV STERILE DISPOSABLE RANCHO SYSTEM,257.7,128.85,56.2,231.93,64
RC,0272,BIT DRILL 3MM 14MM STOP NONSTERILE - 324.143,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL 3MM AO REAMER EASYCLIP FOOT ANKLE DISPOSABLE SUPERELASTIC FIXATION,173.13,86.57,37.76,155.82,64
RC,0272,BIT DRILL 3MM CANNULATED STERILE,488.43,244.22,106.53,439.59,64
RC,0272,BIT DRILL 3MM PILOT HOLE CALIBRATION CANNULATED ASNIS INTRAMEDULLARY SCREW,179.1,89.55,39.06,161.19,64
RC,0272,BIT DRILL 3MM SHOULDER R1 REV SYSTEM,85.0,42.5,18.54,76.5,64
RC,0272,BIT DRILL 4.2MM 130MM AO COUPLING T2 STERILE,153.23,76.62,33.42,137.91,64
RC,0272,BIT DRILL 4.2MM 130MM FREEHAND STERILE LATEX FREE,175.12,87.56,38.19,157.61,64
RC,0272,BIT DRILL 4.2MM 145MM 3 FLUTE QUICK COUPLING NEEDLE POINT NONSTERILE RADIOLUCENT DRIVE,196.0,98.0,42.75,176.4,64
RC,0272,BIT DRILL 4.2MM 145MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE,174.71,87.36,38.1,157.24,64
RC,0272,BIT DRILL 4.2MM 180MM PICCOLO COMPOSITE STERILE DISPOSABLE,173.88,86.94,37.92,156.49,64
RC,0272,BIT DRILL 4.2MM 180MM SMALL AO COUPLING STERILE,164.18,82.09,35.81,147.76,64
RC,0272,BIT DRILL 4.2MM 230MM AO T2 SUPRACONDYLAR STERILE,164.18,82.09,35.81,147.76,64
RC,0272,BIT DRILL 4.2MM 250MM OBLIQUE AO RECONSTRUCTION T2 HIP FEMUR STERILE,155.22,77.61,33.85,139.7,64
RC,0272,BIT DRILL 4.2MM 260MM AO T2 STERILE TIBIAL NAIL SYSTEM,153.23,76.62,33.42,137.91,64
RC,0272,BIT DRILL 4.2MM 300MM PICCOLO COMPOSITE STERILE DISPOSABLE,173.88,86.94,37.92,156.49,64
RC,0272,BIT DRILL 4.2MM 300MM QUICK COUPLING STERILE DISPOSABLE,158.21,79.11,34.51,142.39,64
RC,0272,BIT DRILL 4.2MM 330MM 100MM 3 FLUTE CALIBRATE QUICK COUPLING STERILE GREEN EXPERT NAIL SYSTEM,229.28,114.64,50.01,206.35,64
RC,0272,BIT DRILL 4.2MM XLONG CALIBRATE STERILE,292.73,146.37,63.84,263.46,64
RC,0272,BIT DRILL 4.3MM 125MM STERILE DISPOSABLE PICCOLO COMPOSITE NAILING SYSTEM,76.02,38.01,16.58,68.42,64
RC,0272,BIT DRILL 4.3MM 216MM SHORT LOCK NONSTERILE,212.93,106.47,46.44,191.64,64
RC,0272,BIT DRILL 4.3MM 289MM CALIBRATE AXSOS,135.32,67.66,29.51,121.79,64
RC,0272,BIT DRILL 4.3MM 296MM MEDIUM LOCK AXSOS NONSTERILE LATEX FREE REUSABLE,210.94,105.47,46.01,189.85,64
RC,0272,BIT DRILL 4.3MM 315MM CALIBRATE AO AXSOS DISTAL LATERAL FEMUR NONSTERILE,179.1,89.55,39.06,161.19,64
RC,0272,BIT DRILL 4.3MM CANNULATED DISPOSABLE 6.5MM HEADLESS COMPRESSION PARTIAL THREAD SCREW,169.2,84.6,36.9,152.28,64
RC,0272,BIT DRILL 4.3MM FULL THREAD PRECICE ANKLE STERILE LATEX FREE DISPOSABLE,342.0,171.0,74.59,307.8,64
RC,0272,BIT DRILL 4.3MM LONG CALIBRATE PRECICE STERILE DISPOSABLE,283.0,141.5,61.72,254.7,64
RC,0272,BIT DRILL 4.3MM SHORT PRECICE STERILE DISPOSABLE,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 4.3MM XLONG CALIBRATED STERILE,251.71,125.86,54.9,226.54,64
RC,0272,BIT DRILL 4.5IN OSTEOBRIDGE KNEE 5MM INTERLOCK SCREW,248.85,124.43,54.27,223.97,64
RC,0272,BIT DRILL 4.5MM 145MM SHORT AO FITTING SPS STERILE,142.29,71.15,31.03,128.06,64
RC,0272,BIT DRILL 4.5MM 165MM 135MM CANNULATED JACOBS CHUCK STOP NONSTERILE,294.36,147.18,64.2,264.92,64
RC,0272,BIT DRILL 4.5MM 180MM AO FIT NONSTERILE LATEX FREE REUSABLE,165.17,82.59,36.02,148.65,64
RC,0272,BIT DRILL 4.5MM 195MM 3 FLUTE QUICK COUPLING STERILE,146.46,73.23,31.94,131.81,64
RC,0272,BIT DRILL 4.5MM 195MM QUICK CONNECT,52.0,26.0,11.34,46.8,64
RC,0272,BIT DRILL 4.5MM 300MM FITBONE,153.0,76.5,33.37,137.7,64
RC,0272,BIT DRILL 4.5MM AO QUICK CONNECT CALIBRATE PERI-LOC DISPOSABLE,63.04,31.52,13.75,56.74,64
RC,0272,BIT DRILL 4.5MM DIA 195MML STAINLESS STEEL,32.01,16.01,6.98,28.81,64
RC,0272,BIT DRILL 4.5MM DIA CONICAL TIP HIGH SPEED STERILE,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 4.5MM DIA FEMORAL CROWE POINT F/ANTEGRADE NAILING SYSTEM PHOENIX STERILE DISPOSABLE,119.0,59.5,25.95,107.1,64
RC,0272,BIT DRILL 4.5MM QUICK CONNECT CANNULATED PERI-LOC STERILE DISPOSABLE,213.28,106.64,46.52,191.95,64
RC,0272,BIT DRILL 4.5MM QUICK CONNECT TARGETER FEMUR DISTAL STERILE DISPOSABLE,80.37,40.19,17.53,72.33,64
RC,0272,BIT DRILL 4.5MM SHORT AO QUICK CONNECT CALIBRATE DISPOSABLE,60.48,30.24,13.19,54.43,64
RC,0272,BIT DRILL 4.8MM DIA 280MML STAINLESS STEEL QUICK-CONNECT DYNAMIC LATEX-FREE,125.0,62.5,27.26,112.5,64
RC,0272,BIT DRILL 4.8MM DIA HIGH SPEED LCP STERILE,199.13,99.57,43.43,179.22,64
RC,0272,BIT DRILL 4.8MM DIA LONG 145MML,573.0,286.5,124.97,515.7,64
RC,0272,BIT DRILL 4.8MM DIA TIBIAL V-SHAPED FLUTED CORNER INFINITY REUSABLE,203.0,101.5,44.27,182.7,64
RC,0272,BIT DRILL 4.8MM SHANK COMPONENT SET ILIZAROV STERILE DISPOSABLE RANCHO SYSTEM,257.7,128.85,56.2,231.93,64
RC,0272,BIT DRILL 4.8MM SHORT,270.22,135.11,58.93,243.2,64
RC,0272,BIT DRILL 4.8X180MM,126.5,63.25,27.59,113.85,64
RC,0272,BIT DRILL 4MM 12MM MAXAN SPINE ANTERIOR CERVICAL PLATE SYSTEM,56.4,28.2,12.3,50.76,64
RC,0272,BIT DRILL 4MM 14MM MAXAN SPINE ANTERIOR CERVICAL PLATE SYSTEM,56.4,28.2,12.3,50.76,64
RC,0272,BIT DRILL 4MM 152MM MANUAL PRECICE STERILE DISPOSABLE INTRAMEDULLARY LIMB LENGTHEN,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 4MM 155MM STEP PRECICE STRYDE STERILE DISPOSABLE,235.0,117.5,51.25,211.5,64
RC,0272,BIT DRILL 4MM 195MM 3 FLUTE QUICK COUPLING STERILE,162.63,81.32,35.47,146.37,64
RC,0272,BIT DRILL 4MM 200MM GRAY 5MM PIN,97.51,48.76,21.27,87.76,64
RC,0272,BIT DRILL 4MM 200MM POINTED TIP JACOBS CHUCK END GRAY F/5MM APEX PIN EXFIX HOFFMANN III STERILE,97.51,48.76,21.27,87.76,64
RC,0272,BIT DRILL 4MM 25MM FLUTED OBTUSE V CUTTING EDGE TRIDENT II TRITANIUM SINGLE-USE,66.5,33.25,14.5,59.85,64
RC,0272,BIT DRILL 4MM 25MM STERILE,72.05,36.03,15.71,64.85,64
RC,0272,BIT DRILL 4MM CANNULATED STERILE,273.04,136.52,59.55,245.74,64
RC,0272,BIT DRILL 4MM DIA 180MML STAINLESS STEEL QUICK-CONNECT CALIBRATED LATEX-FREE,125.0,62.5,27.26,112.5,64
RC,0272,BIT DRILL 4MM DIA 70MML STAINLESS STEEL ELBOW CANNULATED CALIBRATED QUICK-COUPLING F/SMALL FRAGMENT PLATING SYSTEM A.L.P.S LATEX-FREE NON-STERILE DISPOSABLE,80.0,40.0,17.45,72.0,64
RC,0272,BIT DRILL 4MM LONG AO PILOT TRIGEN STERILE DISPOSABLE,138.18,69.09,30.14,124.36,64
RC,0272,BIT DRILL 4MM LONG MAVERICK,380.0,190.0,82.88,342.0,64
RC,0272,BIT DRILL 4MM LONG PILOT TRIGEN STERILE DISPOSABLE,147.53,73.77,32.18,132.78,64
RC,0272,BIT DRILL 4MM MEDIUM MAVERICK,380.0,190.0,82.88,342.0,64
RC,0272,BIT DRILL 4MM SHORT PILOT TRIGEN STERILE DISPOSABLE,119.91,59.96,26.15,107.92,64
RC,0272,BIT DRILL 5.0X215MM CANNULATED LARGE QC STERILE,491.72,245.86,107.24,442.55,64
RC,0272,BIT DRILL 5.2MM CANNULATED STERILE 7MM SCREW,334.89,167.45,73.04,301.4,64
RC,0272,BIT DRILL 5.5MM 280MM MANUAL COUNTERBORE STERILE,175.12,87.56,38.19,157.61,64
RC,0272,BIT DRILL 5.5MM CANNULATED 8MM SCREW,310.89,155.45,67.81,279.8,64
RC,0272,BIT DRILL 5.5MM SHAFT STRAIGHT INTERCONTINENTAL,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL 50MM OD 1.5MM LEVEL ONE,138.69,69.35,30.25,124.82,64
RC,0272,BIT DRILL 5MM 145MM 3 FLUTE QUICK COUPLING NEEDLE POINT NONSTERILE,140.21,70.11,30.58,126.19,64
RC,0272,BIT DRILL 5MM 145MM 3 FLUTE QUICK COUPLING NEEDLE POINT NONSTERILE RADIOLUCENT DRIVE,196.0,98.0,42.75,176.4,64
RC,0272,BIT DRILL 5MM 152MM MANUAL PRECICE STERILE DISPOSABLE INTRAMEDULLARY LIMB LENGTHEN,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 5MM 230MM AO COUPLING STERILE,153.23,76.62,33.42,137.91,64
RC,0272,BIT DRILL 5MM 330MM 100MM 3 FLUTE CALIBRATE QUICK COUPLING STERILE EXPERT NAIL SYSTEM,237.86,118.93,51.88,214.07,64
RC,0272,BIT DRILL 5MM 340MM AO T2 STERILE SUPRACONDYLAR NAIL SYSTEM,164.18,82.09,35.81,147.76,64
RC,0272,BIT DRILL 5MM 355MM STERILE DISPOSABLE PRECICE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,247.0,123.5,53.87,222.3,64
RC,0272,BIT DRILL 5MM 356MM 126MM 3 FLUTE CALIBRATE QUICK COUPLING NONSTERILE,201.04,100.52,43.85,180.94,64
RC,0272,BIT DRILL 5MM CANNULATED,1837.44,918.72,400.75,1653.7,64
RC,0272,BIT DRILL 5MM CANNULATED TWIST AO,320.39,160.2,69.88,288.35,64
RC,0272,BIT DRILL 5MM LONG CALIBRATED,251.71,125.86,54.9,226.54,64
RC,0272,BIT DRILL 6 MM HALF PIN,181.73,90.87,39.64,163.56,64
RC,0272,BIT DRILL 6MM DIA RENOVATION,320.0,160.0,69.79,288.0,64
RC,0272,BIT DRILL 6MM STEP PRECICE ANKLE STERILE LATEX FREE DISPOSABLE,437.0,218.5,95.31,393.3,64
RC,0272,BIT DRILL 7.3MM 300MM CANNULATED LARGE QUICK COUPLING,317.62,158.81,69.27,285.86,64
RC,0272,BIT DRILL 7MM CANNULATED,490.0,245.0,106.87,441.0,64
RC,0272,BIT DRILL 7MM COMPRESSION SCREW TRIGEN INTERTAN,225.0,112.5,49.07,202.5,64
RC,0272,BIT DRILL 9MM CANNULATED ACUFEX DIRECTOR ELITE ACL PCL SYSTEM,262.0,131.0,57.14,235.8,64
RC,0272,BIT DRILL ACUMED FIBULA INTRAMEDULLARY ROD,343.0,171.5,74.81,308.7,64
RC,0272,BIT DRILL ADJUSTABLE DEPTH,111.0,55.5,24.21,99.9,64
RC,0272,BIT DRILL ARBOR 5 MM PIN,160.0,80.0,34.9,144.0,64
RC,0272,BIT DRILL BAYONET 3.2X45MM,156.0,78.0,34.02,140.4,64
RC,0272,BIT DRILL BAYONETTE SINGE USE 3.2X40MM,156.0,78.0,34.02,140.4,64
RC,0272,BIT DRILL CANNULATED 17MM OD 300MML PICCOLO COMPOSITE SINGLE-USE,275.0,137.5,59.98,247.5,64
RC,0272,BIT DRILL CANNULATED 2.5MM DIA 110MML STAINLESS STEEL INTRAMEDULLARY FLUTEDX3 QUICK-COUPLING CALIBRATED GOLD F/SCREW FIXATION LATEX-FREE NON-STERILE DISPOSABLE,64.67,32.34,14.1,58.2,64
RC,0272,BIT DRILL CANNULATED 4.5MM DIA 145MML STAINLESS STEEL MAXILLOFACIAL QUICK-COUPLING JACOBS CHUCK GOLD F/SCREW FIXATION LATEX-FREE NON-STERILE DISPOSABLE,66.19,33.1,14.44,59.57,64
RC,0272,BIT DRILL CANNULATED 4.5MM DIA 170MML LCP STERILE,345.92,172.96,75.45,311.33,64
RC,0272,BIT DRILL CANNULATED 4.5MM DIA SHORT AO QUICK-CONNECT CAPABLE LATEX-FREE,240.0,120.0,52.34,216.0,64
RC,0272,BIT DRILL CANNULATED 7.5MM DIA SPINAL SI-LOK,133.0,66.5,29.01,119.7,64
RC,0272,BIT DRILL CANNULATED COMPRESSION NON-LOCKING 2MM DIA 100MML STAINLESS STEEL MAXILLOFACIAL QUICK-COUPLING LCP STERILE DISPOSABLE,99.16,49.58,21.63,89.24,64
RC,0272,BIT DRILL CANNULATED ENTRY PRECICE STERILE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,468.0,234.0,102.07,421.2,64
RC,0272,BIT DRILL CANNULATED QUICK CONNECT LONG STERILE 5.0MM,575.06,287.53,125.42,517.55,64
RC,0272,BIT DRILL CANNULATED REPROCESSED 2MM DIA 100MML STAINLESS STEEL MAXILLOFACIAL QUICK-COUPLING SELF-TAPPING GOLD F/SCREW FIXATION LATEX-FREE NON-STERILE DISPOSABLE,20.19,10.1,4.4,18.17,64
RC,0272,BIT DRILL CANNULATED UCSS STERILE,109.95,54.98,23.98,98.96,64
RC,0272,BIT DRILL CENTER STERILE,139.0,69.5,30.32,125.1,64
RC,0272,BIT DRILL CHARLOTTE MULTIUSE COMPRESSION CANNULATED HEAD 4.3 MM SCREW,182.09,91.05,39.71,163.88,64
RC,0272,BIT DRILL CHONDRALDRILL HIP,235.0,117.5,51.25,211.5,64
RC,0272,BIT DRILL COMPLETE OPEN REAMER ASSEMBLY,2290.75,1145.38,499.61,2061.68,64
RC,0272,BIT DRILL DISTAL RADIAL FOOT F/5MM SHORT HALF PIN JET-X LATEX-FREE STERILE,266.19,133.1,58.06,239.57,64
RC,0272,BIT DRILL EMPHASYS POLYETHYLENE LINER EXTRACTOR SCREW,488.21,244.11,106.48,439.39,64
RC,0272,BIT DRILL FLUTELESS,52.5,26.25,11.45,47.25,64
RC,0272,BIT DRILL GLOBAL APG+ PERIPHERAL QUICK CONNECT,132.3,66.15,28.85,119.07,64
RC,0272,BIT DRILL GRAY PT 4.5X200MM,88.56,44.28,19.31,79.7,64
RC,0272,BIT DRILL J LATCH STERILE LATEX FREE DISPOSABLE REPROCESSED,141.9,70.95,30.95,127.71,64
RC,0272,BIT DRILL KINOS AEROS 16MM PILOT,295.0,147.5,64.34,265.5,64
RC,0272,BIT DRILL KINOS AEROS 18MM PILOT,295.0,147.5,64.34,265.5,64
RC,0272,BIT DRILL KINOS AEROS AP RAIL,139.0,69.5,30.32,125.1,64
RC,0272,BIT DRILL KINOS AEROS PILOT HOUSING,495.0,247.5,107.96,445.5,64
RC,0272,BIT DRILL L10 MM,81.6,40.8,17.8,73.44,64
RC,0272,BIT DRILL L10 MM ANCHOR-C CERVICAL ANTERIOR QUICK COUPLING,126.09,63.05,27.5,113.48,64
RC,0272,BIT DRILL L10 MM OD2.3 MM AVS ANCHOR-C,62.48,31.24,13.63,56.23,64
RC,0272,BIT DRILL L10 MM OD2.5 MM AVIATOR,75.57,37.79,16.48,68.01,64
RC,0272,BIT DRILL L10 MM OD2.5 MM HELIX-R POWER,58.0,29.0,12.65,52.2,64
RC,0272,BIT DRILL L100 MM L75 MM OD2 MM STAINLESS STEEL QUICK CONNECT,49.84,24.92,10.87,44.86,64
RC,0272,BIT DRILL L100 MM OD1.3 MM BABY GORILLA AO CONNECTOR,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L100 MM OD1.7 MM ODSEC.9 MM QUICK COUPLING CANNULATED,319.64,159.82,69.71,287.68,64
RC,0272,BIT DRILL L100 MM OD2 MM QUICK COUPLING,66.38,33.19,14.48,59.74,64
RC,0272,BIT DRILL L100 MM OD2.7 MM CANNULATED QUICK COUPLING ORANGE 2.7 MM LOCK SCREW,65.95,32.98,14.38,59.36,64
RC,0272,BIT DRILL L100 MM OD2.7 MM QUICK COUPLING,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L101 MM L10 MM OD2.8 MM APTUS MIDFOOT TWIST AO QUICK COUPLING STOP,77.38,38.69,16.88,69.64,64
RC,0272,BIT DRILL L102 MM L21 MM OD1.6 MM NA SAGITTAL SPLIT 2/2.3 MM SCREW,263.09,131.55,57.38,236.78,64
RC,0272,BIT DRILL L110 MM L30 MM OD2 MM CALIBRATION QUICK COUPLING,127.6,63.8,27.83,114.84,64
RC,0272,BIT DRILL L110 MM OD1.5 MM J LATCH DEPTH MARK,119.79,59.9,26.13,107.81,64
RC,0272,BIT DRILL L110 MM OD1.5 MM QUICK COUPLING,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L110 MM OD1.6 MM BABY GORILLA/GORILLA PLATING SYSTEM SOLID AO CONNECTION BABY GORILLA PLATE SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L110 MM OD1.8 MM STAINLESS STEEL QUICK COUPLING DEPTH MARK,115.8,57.9,25.26,104.22,64
RC,0272,BIT DRILL L110 MM OD2 MM BABY GORILLA SOLID MEASURE AO CONNECTION GORILLA PLATE SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L110 MM OD2.5 MM 3 FLUTE QUICK COUPLING,90.07,45.04,19.64,81.06,64
RC,0272,BIT DRILL L110 MM OD2.5 MM ANTHEM ANKLE AO QUICK CONNECT,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL L110 MM OD2.5 MM QUICK COUPLING GOLD,95.47,47.74,20.82,85.92,64
RC,0272,BIT DRILL L110 MM OD2.8 MM QUICK CONNECT,136.22,68.11,29.71,122.6,64
RC,0272,BIT DRILL L110 MM OD3.5 MM AO QUICK CONNECT,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL L110 MM OD3.5 MM MONSTER AO CANNULATED,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L110 MM OD3.5 MM QUICK COUPLING YELLOW 3.5/4 MM SCREW,67.48,33.74,14.72,60.73,64
RC,0272,BIT DRILL L110 MM OD3.5 MM STAINLESS STEEL QUICK COUPLING,99.16,49.58,21.63,89.24,64
RC,0272,BIT DRILL L110 MM OD3.5 MM STAINLESS STEEL QUICK COUPLING GOLD,66.38,33.19,14.48,59.74,64
RC,0272,BIT DRILL L115 MM L35 MM OD1.6 MM STRYKER,266.96,133.48,58.22,240.26,64
RC,0272,BIT DRILL L115 MM OD1.5 MM TWIST LEVEL ONE J NOTCH 2 MM SCREW,129.69,64.85,28.29,116.72,64
RC,0272,BIT DRILL L12 MM OD2.1 MM SOLANAS FIXED DEPTH,79.35,39.68,17.31,71.42,64
RC,0272,BIT DRILL L12 MM OD2.3 MM AVS ANCHOR-C,62.48,31.24,13.63,56.23,64
RC,0272,BIT DRILL L12 MM OD2.3 MM OZARK,61.5,30.75,13.41,55.35,64
RC,0272,BIT DRILL L12 MM OD2.5 MM AVIATOR,75.57,37.79,16.48,68.01,64
RC,0272,BIT DRILL L12 MM PROVIDENCE,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL L12.5 MM OD2.9 MM KNOTILUS+,630.0,315.0,137.4,567.0,64
RC,0272,BIT DRILL L120 MM OD2.3 MM MONSTER CANNULATED 3.5 MM MINI-MONSTER SCREW SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L120 MM OD3 MM MINI HUDSON CANNULATED 4.5 MM SCREW,162.88,81.44,35.52,146.59,64
RC,0272,BIT DRILL L120 MM OD4 MM HUDSON CANNULATED 6.7 MM SCREW,181.49,90.75,39.58,163.34,64
RC,0272,BIT DRILL L122 MM OD2.7 MM VARIAX AO OVER,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL L125 MM OD2 MM PANGEA AO SMALL FRAGMENT CORE TRAY,221.24,110.62,48.25,199.12,64
RC,0272,BIT DRILL L125 MM OD2 MM QUICK COUPLING,67.9,33.95,14.81,61.11,64
RC,0272,BIT DRILL L125 MM OD2 MM QUICK COUPLING ORANGE 2.7 MM LOCK SCREW,69.39,34.7,15.13,62.45,64
RC,0272,BIT DRILL L125 MM OD2 MM SPS TWIST CALIBRATED AO FITTING REPROCESSED,119.4,59.7,26.04,107.46,64
RC,0272,BIT DRILL L125 MM OD2.7 MM 3 FLUTE QUICK COUPLING,89.92,44.96,19.61,80.93,64
RC,0272,BIT DRILL L125 MM OD2.7 MM ANTHEM ANKLE AO QUICK CONNECT,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL L125 MM OD2.7 MM QUICK CONNECT,121.02,60.51,26.39,108.92,64
RC,0272,BIT DRILL L125 MM OD2.7 MM QUICK COUPLING,69.99,35.0,15.26,62.99,64
RC,0272,BIT DRILL L125 MM OD6.4 MM TRIGEN TWIST GOLD,684.75,342.38,149.34,616.28,64
RC,0272,BIT DRILL L127 MM OD4 MM KMEDIC JACOBS CHUCK,24.0,12.0,5.23,21.6,64
RC,0272,BIT DRILL L13 MM OD2.5 MM HELIX HELIX,55.0,27.5,12.0,49.5,64
RC,0272,BIT DRILL L13 MM OD2.5 MM STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L130 MM OD3.2 MM JACOBS CHUCK,65.81,32.91,14.35,59.23,64
RC,0272,BIT DRILL L130 MM OD3.5 MM NA FREEHAND,175.12,87.56,38.19,157.61,64
RC,0272,BIT DRILL L135 MM OD2 MM PANGEA AO SMALL FRAGMENT CORE TRAY,211.4,105.7,46.11,190.26,64
RC,0272,BIT DRILL L135 MM OD2 MM VARIAX AO SCALE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL L135 MM OD2 MM VARIAX AO SCALE 703896S,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL L135 MM OD2.5 MM PANGEA AO SMALL FRAGMENT CORE TRAY,202.09,101.05,44.08,181.88,64
RC,0272,BIT DRILL L137 MM OD1.8 MM AO QUICK CONNECT,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL L14 CM OD2.0 CM BABY GORILLA/GORILLA PLATING SYSTEM SOLID DRILL,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L14 MM CANNULATED LARGE QUICK COUPLING FLEXIBLE FEMORAL RECONSTRUCTION NAIL SYSTEM,781.84,390.92,170.52,703.66,64
RC,0272,BIT DRILL L14 MM OD11 MM LARGE ZYPHR CRANIAL PERFORATOR HUDSON END SHARP,175.13,87.57,38.2,157.62,64
RC,0272,BIT DRILL L14 MM OD2.3 MM OZARK,61.5,30.75,13.41,55.35,64
RC,0272,BIT DRILL L14 MM OD2.5 MM AVIATOR TITANIUM ANTERIOR CERVICAL PLATE SYSTEM,75.57,37.79,16.48,68.01,64
RC,0272,BIT DRILL L14 MM OD2.5 MM SHORT STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L14 MM OD2.5 MM STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L14 MM PROVIDENCE,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL L140 MM OD1.8 MM ANTHEM AO QUICK CONNECT,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL L140 MM OD2 MM QUICK COUPLING DEPTH MARK,115.8,57.9,25.26,104.22,64
RC,0272,BIT DRILL L140 MM OD2.4 MM LONG BABY GORILLA/GORILLA PLATING SYSTEM SOLID MEASURE AO CONNECTION HGKHGJU GORILLA PLATE SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L140 MM OD2.8 MM LONG BABY GORILLA SOLID MEASURE AO CONNECTION GORILLA PLATE SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L145 MM L120 MM OD4.5 MM NA STAINLESS STEEL QUICK CONNECT,52.0,26.0,11.34,46.8,64
RC,0272,BIT DRILL L145 MM OD2 MM CANNULATED QUICK COUPLING,428.06,214.03,93.36,385.25,64
RC,0272,BIT DRILL L145 MM OD3.2 MM 3 FLUTE QUICK COUPLING NEEDLE POINT,181.14,90.57,39.51,163.03,64
RC,0272,BIT DRILL L145 MM OD3.2 MM 3 FLUTE QUICK COUPLING NEEDLE POINT RADIOLUCENT DRIVE,196.0,98.0,42.75,176.4,64
RC,0272,BIT DRILL L145 MM OD3.2 MM ODSEC2.9 MM 3 FLUTE QUICK COUPLING NEEDLE POINT 4 MM ASLS SCREW RADIOLUCENT DRIVE,188.23,94.12,41.05,169.41,64
RC,0272,BIT DRILL L145 MM OD3.2 MM PANGEA AO LARGE FRAGMENT CORE TRAY,144.76,72.38,31.57,130.28,64
RC,0272,BIT DRILL L145 MM OD3.2 MM QUICK COUPLING,94.59,47.3,20.63,85.13,64
RC,0272,BIT DRILL L145 MM OD3.2 MM STAINLESS STEEL QUICK COUPLING GOLD,64.29,32.15,14.02,57.86,64
RC,0272,BIT DRILL L145 MM OD4.2 MM 3 FLUTE QUICK COUPLING NEEDLE POINT,135.27,67.64,29.5,121.74,64
RC,0272,BIT DRILL L145 MM OD4.2 MM 3 FLUTE QUICK COUPLING NEEDLE POINT RADIOLUCENT DRIVE,236.51,118.26,51.58,212.86,64
RC,0272,BIT DRILL L145 MM OD4.2 MM ODSEC3.9 MM 3 FLUTE QUICK COUPLING NEEDLE POINT 5 MM ASLS SCREW RADIOLUCENT DRIVE,188.23,94.12,41.05,169.41,64
RC,0272,BIT DRILL L145 MM OD4.5 MM QUICK COUPLING,66.19,33.1,14.44,59.57,64
RC,0272,BIT DRILL L145 MM OD4.9 MM ODSEC5 MM 3 FLUTE QUICK COUPLING RADIOLUCENT DRIVE NEEDLE POINT 6 MM ASLS SCREW,199.76,99.88,43.57,179.78,64
RC,0272,BIT DRILL L145 MM OD5 MM 3 FLUTE QUICK COUPLING NEEDLE POINT,181.14,90.57,39.51,163.03,64
RC,0272,BIT DRILL L145 MM OD5 MM 3 FLUTE QUICK COUPLING NEEDLE POINT RADIOLUCENT DRIVE,236.51,118.26,51.58,212.86,64
RC,0272,BIT DRILL L149 MM OD 2.5 MM C2CTM,272.0,136.0,59.32,244.8,64
RC,0272,BIT DRILL L150 MM OD2 MM CANNULATED QUICK COUPLING,275.18,137.59,60.02,247.66,64
RC,0272,BIT DRILL L150 MM OD2 MM QUICK COUPLING,334.48,167.24,72.95,301.03,64
RC,0272,BIT DRILL L150 MM OD2.5 MM QUICK CONNECT,137.24,68.62,29.93,123.52,64
RC,0272,BIT DRILL L150 MM OD2.9 MM QUICK COUPLING 4 MM CORTEX SCREW,73.41,36.71,16.01,66.07,64
RC,0272,BIT DRILL L150 MM OD3.2 MM 3/16 IN SQUARE CANNULATED PRECISION JONES SCREW,135.0,67.5,29.44,121.5,64
RC,0272,BIT DRILL L150 MM OD3.2 MM ODSEC2.9 MM 3 FLUTE QUICK COUPLING 4 MM ASLS SCREW,153.02,76.51,33.37,137.72,64
RC,0272,BIT DRILL L150 MM OD3.5 MM QUICK COUPLING,79.31,39.66,17.3,71.38,64
RC,0272,BIT DRILL L150 MM OD3.9 MM ODSEC4.2 MM 3 FLUTE QUICK COUPLING 5 MM ASLS SCREW,153.02,76.51,33.37,137.72,64
RC,0272,BIT DRILL L150 MM OD4 MM 3 FLUTE QUICK COUPLING BRAD POINT RADIOLUCENT DRIVE,219.06,109.53,47.78,197.15,64
RC,0272,BIT DRILL L150 MM OD4.9 MM ODSEC5 MM 3 FLUTE QUICK COUPLING 6 MM ASLS SCREW,156.9,78.45,34.22,141.21,64
RC,0272,BIT DRILL L152 MM OD4.3 MM SHORT PHOENIX TWIST CROWE POINT TIBIAL NAIL SYSTEM,143.0,71.5,31.19,128.7,64
RC,0272,BIT DRILL L155 MM OD4.8 MM TRAPEZIUM QUICK COUPLING CANNULATED,251.99,126.0,54.96,226.79,64
RC,0272,BIT DRILL L16 MM,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL L16 MM CANNULATED BIO-COMPRESSION SCREW,140.0,70.0,30.53,126.0,64
RC,0272,BIT DRILL L16 MM OD2.5 MM AVIATOR,75.57,37.79,16.48,68.01,64
RC,0272,BIT DRILL L16 MM OD2.5 MM SHORT STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L16 MM OD2.5 MM STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L16.5 CM OD2 MM TRACKER,257.0,128.5,56.05,231.3,64
RC,0272,BIT DRILL L160 MM OD1.6 MM BABY GORILLA PLATING SYSTEM SOLID LONG AO,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L160 MM OD2.7 MM CANNULATED QUICK COUPLING GRAY,333.34,166.67,72.7,300.01,64
RC,0272,BIT DRILL L160 MM OD2.7 MM QUICK COUPLING CANNULATED,352.41,176.21,76.86,317.17,64
RC,0272,BIT DRILL L160 MM OD2.7 MM STAINLESS STEEL CANNULATED QUICK COUPLING,292.62,146.31,63.82,263.36,64
RC,0272,BIT DRILL L160 MM OD3.5 MM CANNULATED QUICK COUPLING,314.64,157.32,68.62,283.18,64
RC,0272,BIT DRILL L160 MM OD4 MM LONG SILVERBACK SOLID AO CONNECTION ANKLE FUSION PLATE SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BIT DRILL L160 MM OD4 MM QUICK COUPLING,71.89,35.95,15.68,64.7,64
RC,0272,BIT DRILL L165 MM L135 MM OD4.5 MM CANNULATED JACOBS CHUCK STOP,335.08,167.54,73.08,301.57,64
RC,0272,BIT DRILL L165 MM OD2.8 MM QUICK COUPLING,70.94,35.47,15.47,63.85,64
RC,0272,BIT DRILL L170 MM OD2.5 MM DELTA XTEND,96.75,48.38,21.1,87.08,64
RC,0272,BIT DRILL L170 MM OD3.2 MM ID1.7 MM CANNULATED QUICK COUPLING,291.38,145.69,63.55,262.24,64
RC,0272,BIT DRILL L170 MM OD4.5 MM ID1.7 MM CANNULATED QUICK COUPLING,312.98,156.49,68.26,281.68,64
RC,0272,BIT DRILL L171 MM L65 MM OD2.4 MM 2 FLUTE QUICK COUPLING STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L175 MM OD3.2 MM AO QUICK CONNECT,60.0,30.0,13.09,54.0,64
RC,0272,BIT DRILL L18 MM,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL L18 MM CANNULATED BIO-COMPRESSION SCREW,140.0,70.0,30.53,126.0,64
RC,0272,BIT DRILL L18 MM OD2.5 MM STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L18 MM SOLANAS SPINE FIXED LEGTH,79.35,39.68,17.31,71.42,64
RC,0272,BIT DRILL L180 MM,109.94,54.97,23.98,98.95,64
RC,0272,BIT DRILL L180 MM OD2.5 MM 3 FLUTE QUICK COUPLING,90.07,45.04,19.64,81.06,64
RC,0272,BIT DRILL L180 MM OD2.5 MM ANTHEM AO QUICK CONNECT CLAVICLE FRACTURE SYSTEM,80.0,40.0,17.45,72.0,64
RC,0272,BIT DRILL L180 MM OD2.5 MM QUICK COUPLING GOLD,102.6,51.3,22.38,92.34,64
RC,0272,BIT DRILL L180 MM OD2.5 MM STAINLESS STEEL QUICK COUPLING GOLD,67.9,33.95,14.81,61.11,64
RC,0272,BIT DRILL L180 MM OD2.7 MM ANTHEM ANKLE AO QUICK CONNECT CALIBRATE,125.0,62.5,27.26,112.5,64
RC,0272,BIT DRILL L180 MM OD3.5 MM JACOBS CHUCK,69.99,35.0,15.26,62.99,64
RC,0272,BIT DRILL L180 MM OD3.5 MM JACOBS CHUCK STERILE,102.6,51.3,22.38,92.34,64
RC,0272,BIT DRILL L180 MM OD4.3 MM QUICK COUPLING 5 MM LOCK SCREW,95.72,47.86,20.88,86.15,64
RC,0272,BIT DRILL L185 MM OD4.2 MM NA FREEHAND,175.12,87.56,38.19,157.61,64
RC,0272,BIT DRILL L185 MM OD5.5 MM SHORT NA COUNTERBORE,175.12,87.56,38.19,157.61,64
RC,0272,BIT DRILL L190 MM OD1.8 MM NA QUICK COUPLING DEPTH MARK,246.96,123.48,53.86,222.26,64
RC,0272,BIT DRILL L190 MM OD10 MM LARGE QUICK COUPLING CANNULATED,479.02,239.51,104.47,431.12,64
RC,0272,BIT DRILL L190 MM OD11 MM LARGE QUICK COUPLING CANNULATED,500.94,250.47,109.26,450.85,64
RC,0272,BIT DRILL L190 MM OD12 MM CANNULATED LARGE QUICK COUPLING EXPERT NAIL SYSTEM,459.26,229.63,100.16,413.33,64
RC,0272,BIT DRILL L190 MM OD2 MM NA QUICK COUPLING DEPTH MARK,246.96,123.48,53.86,222.26,64
RC,0272,BIT DRILL L190 MM OD2.85 MM QUICK CONNECT CANNULATED AO,325.0,162.5,70.88,292.5,64
RC,0272,BIT DRILL L195 MM OD3.2 MM 3 FLUTE QUICK COUPLING,110.92,55.46,24.19,99.83,64
RC,0272,BIT DRILL L195 MM OD3.2 MM QUICK COUPLING,95.6,47.8,20.85,86.04,64
RC,0272,BIT DRILL L195 MM OD3.2 MM STAINLESS STEEL QUICK CONNECT,65.52,32.76,14.29,58.97,64
RC,0272,BIT DRILL L195 MM OD3.2 MM VERSA-FX II QUICK CONNECT,52.0,26.0,11.34,46.8,64
RC,0272,BIT DRILL L195 MM OD3.5 MM 3 FLUTE QUICK COUPLING CANNULATED,125.0,62.5,27.26,112.5,64
RC,0272,BIT DRILL L195 MM OD3.5 MM NA QUICK COUPLING,102.6,51.3,22.38,92.34,64
RC,0272,BIT DRILL L195 MM OD3.5 MM QUICK CONNECT,65.52,32.76,14.29,58.97,64
RC,0272,BIT DRILL L195 MM OD3.5 MM QUICK COUPLING,77.53,38.77,16.91,69.78,64
RC,0272,BIT DRILL L195 MM OD3.5 MM STAINLESS STEEL QUICK COUPLING GOLD,67.9,33.95,14.81,61.11,64
RC,0272,BIT DRILL L195 MM OD4.5 MM 3 FLUTE QUICK COUPLING,110.92,55.46,24.19,99.83,64
RC,0272,BIT DRILL L195 MM OD4.5 MM QUICK COUPLING,95.6,47.8,20.85,86.04,64
RC,0272,BIT DRILL L195 MM OD6 MM JACOBS CHUNK,118.39,59.2,25.82,106.55,64
RC,0272,BIT DRILL L2.5 MM SYNDESMOSIS,92.36,46.18,20.14,83.12,64
RC,0272,BIT DRILL L2.7 MM MEMOFIX,649.81,324.91,141.72,584.83,64
RC,0272,BIT DRILL L20 MM OD2.7 MM CANNULATED BIO-COMPRESSION SCREW,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL L20 MM SPINE,216.0,108.0,47.11,194.4,64
RC,0272,BIT DRILL L200 MM OD2.8 MM 3 FLUTE QUICK COUPLING,160.27,80.14,34.95,144.24,64
RC,0272,BIT DRILL L200 MM OD2.8 MM QUICK COUPLING CALIBRATE,134.54,67.27,29.34,121.09,64
RC,0272,BIT DRILL L200 MM OD4.3 MM CANNULATED QUICK COUPLING,281.55,140.78,61.41,253.4,64
RC,0272,BIT DRILL L200 MM OD4.3 MM MY3D CALIBRATE PERSONALIZE PELVIC RECONSTRUCTION,318.75,159.38,69.52,286.88,64
RC,0272,BIT DRILL L200 MM OD5 MM SHORT FLUTE CANNULATED QUICK COUPLING 7.3 MM SCREW,281.55,140.78,61.41,253.4,64
RC,0272,BIT DRILL L200 MM OD7 MM PHOENIX CANNULATED,214.5,107.25,46.78,193.05,64
RC,0272,BIT DRILL L214 MM OD16 MM CANNULATED HOLLOW LARGE QUICK COUPLING,823.14,411.57,179.53,740.83,64
RC,0272,BIT DRILL L215 MM L80 MM OD4 MM 3 FLUTE CALIBRATE QUICK COUPLING,201.93,100.97,44.04,181.74,64
RC,0272,BIT DRILL L215 MM OD2.5 MM PANGEA AO SMALL FRAGMENT CORE TRAY,245.12,122.56,53.46,220.61,64
RC,0272,BIT DRILL L215 MM OD3.2 MM PANGEA AO LARGE FRAGMENT CORE TRAY,230.97,115.49,50.37,207.87,64
RC,0272,BIT DRILL L22 MM CANNULATED BIO-COMPRESSION SCREW,140.0,70.0,30.53,126.0,64
RC,0272,BIT DRILL L220 MM OD2.6 MM VARIAX AO,92.4,46.2,20.15,83.16,64
RC,0272,BIT DRILL L220 MM OD4.6 MM 3/16 IN SQUARE MONSTER CANNULATED 7 MM MONSTER SCREW,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL L221 MM OD4.3 MM QUICK COUPLING,176.61,88.31,38.52,158.95,64
RC,0272,BIT DRILL L225 MM OD3.2 MM 4 FLUTE CANNULATED 4.5 MM SCREW,291.82,145.91,63.65,262.64,64
RC,0272,BIT DRILL L225 MM OD3.2 MM QUICK COUPLING UNIVERSAL NAIL SYSTEM,123.79,61.9,27.0,111.41,64
RC,0272,BIT DRILL L230 MM L200 MM OD2.3 MM 3 FLUTE QUICK COUPLING CALIBRATE,184.67,92.34,40.28,166.2,64
RC,0272,BIT DRILL L230 MM L200 MM OD2.5 MM 3 FLUTE QUICK COUPLING CALIBRATE,145.03,72.52,31.63,130.53,64
RC,0272,BIT DRILL L230 MM L200 MM OD3.2 MM 3 FLUTE QUICK COUPLING CALIBRATE,219.24,109.62,47.82,197.32,64
RC,0272,BIT DRILL L230 MM OD2.5 MM STAINLESS STEEL 3 FLUTE QUICK CONNECT CALIBRATED,121.68,60.84,26.54,109.51,64
RC,0272,BIT DRILL L233 MM OD4.5 MM CANNULATED JACOBS CHUCK,312.41,156.21,68.14,281.17,64
RC,0272,BIT DRILL L233 MM OD4.5 MM NA CANNULATED JACOBS CHUCK,345.92,172.96,75.45,311.33,64
RC,0272,BIT DRILL L24 MM CANNULATED BIO-COMPRESSION SCREW,140.0,70.0,30.53,126.0,64
RC,0272,BIT DRILL L24 MM OD2 MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL L240 MM OD4.8 MM,85.28,42.64,18.6,76.75,64
RC,0272,BIT DRILL L248 MM OD2.8 MM 95 MM QUICK COUPLING CALIBRATE,123.78,61.89,27.0,111.4,64
RC,0272,BIT DRILL L25 MM QUICKSET 1 PIECE FLEXIBLE,553.05,276.53,120.62,497.75,64
RC,0272,BIT DRILL L250 MM OD2.5 MM 95 MM QUICK COUPLING STOP CALIBRATE,94.56,47.28,20.62,85.1,64
RC,0272,BIT DRILL L250 MM OD2.8 MM 95 MM QUICK COUPLING STOP CALIBRATE,94.56,47.28,20.62,85.1,64
RC,0272,BIT DRILL L250 MM OD4.2 MM S2 AO OBLIQUE,161.19,80.6,35.16,145.07,64
RC,0272,BIT DRILL L251 MM OD10.2 MM CANNULATED,677.2,338.6,147.7,609.48,64
RC,0272,BIT DRILL L26 MM CANNULATED BIO-COMPRESSION SCREW,140.0,70.0,30.53,126.0,64
RC,0272,BIT DRILL L26-52 MM OD2.9 MM VERTEX MAX GOLD RECONSTRUCTION SYSTEM,64.95,32.48,14.17,58.46,64
RC,0272,BIT DRILL L260 MM OD4 MM 65 MM 3 FLUTE QUICK COUPLING CALIBRATE,165.66,82.83,36.13,149.09,64
RC,0272,BIT DRILL L266 MM OD16 MM CANNULATED LARGE QUICK COUPLING FLEXIBLE TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM,720.6,360.3,157.16,648.54,64
RC,0272,BIT DRILL L266 MM OD16 MM CANNULATED LARGE QUICK COUPLING TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM,720.6,360.3,157.16,648.54,64
RC,0272,BIT DRILL L270 MM L95 MM OD4 MM 3 FLUTE CALIBRATE QUICK COUPLING,207.78,103.89,45.32,187.0,64
RC,0272,BIT DRILL L270 MM OD12 MM LONG CANNULATED LARGE QUICK COUPLING,412.24,206.12,89.91,371.02,64
RC,0272,BIT DRILL L270 MM OD3.8 MM 3 FLUTE CALIBRATE QUICK COUPLING,222.46,111.23,48.52,200.21,64
RC,0272,BIT DRILL L270 MM OD3.8 MM 3 FLUTE QUICK COUPLING CALIBRATE,180.27,90.14,39.32,162.24,64
RC,0272,BIT DRILL L280 MM OD11 MM LARGE TAPER QUICK COUPLING CANNULATED,403.34,201.67,87.97,363.01,64
RC,0272,BIT DRILL L280 MM OD15 MM CANNULATED LARGE QUICK COUPLING,397.57,198.79,86.71,357.81,64
RC,0272,BIT DRILL L280 MM OD17 MM CANNULATED LARGE QUICK COUPLING,497.31,248.66,108.46,447.58,64
RC,0272,BIT DRILL L280 MM OD4.3 MM QUICK COUPLING,303.29,151.65,66.15,272.96,64
RC,0272,BIT DRILL L30 MM OD2 MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL L30 MM OD2 MM QUICK CONNECT,134.45,67.23,29.32,121.01,64
RC,0272,BIT DRILL L30 MM OD3.3 MM NCB FEMUR QUICK COUPLING PERIPROSTHETIC,86.4,43.2,18.84,77.76,64
RC,0272,BIT DRILL L30 MM QUICKSET 1 PIECE FLEXIBLE,553.05,276.53,120.62,497.75,64
RC,0272,BIT DRILL L300 MM L200 MM OD2.5 MM PERCUTANEOUS QUICK COUPLING CALIBRATE,150.42,75.21,32.81,135.38,64
RC,0272,BIT DRILL L300 MM L200 MM OD2.8 MM QUICK COUPLING CALIBRATE,150.42,75.21,32.81,135.38,64
RC,0272,BIT DRILL L300 MM L200 MM OD5 MM 3 FLUTE CANNULATED CALIBRATE QUICK COUPLING,304.35,152.18,66.38,273.92,64
RC,0272,BIT DRILL L300 MM OD10 MM TAPER LARGE QUICK COUPLING CANNULATED HELICAL BLADE SCREW PROXIMAL FEMORAL NAIL SYSTEM,425.92,212.96,92.89,383.33,64
RC,0272,BIT DRILL L300 MM OD13 MM CANNULATED,496.39,248.2,108.26,446.75,64
RC,0272,BIT DRILL L300 MM OD17 MM CANNULATED LARGE QUICK COUPLING,635.87,317.94,138.68,572.28,64
RC,0272,BIT DRILL L300 MM OD3.2 MM PERCUTANEOUS QUICK COUPLING CALIBRATE,150.42,75.21,32.81,135.38,64
RC,0272,BIT DRILL L300 MM OD4.3 MM PERCUTANEOUS QUICK COUPLING CALIBRATE,145.48,72.74,31.73,130.93,64
RC,0272,BIT DRILL L300 MM OD5 MM ID2.9 MM CANNULATED LARGE QUICK COUPLING,347.68,173.84,75.83,312.91,64
RC,0272,BIT DRILL L300 MM OD5 MM STAINLESS STEEL CANNULATED LARGE QUICK COUPLING,290.59,145.3,63.38,261.53,64
RC,0272,BIT DRILL L310 MM OD15 MM CANNULATED LARGE QUICK COUPLING FLEXIBLE,546.84,273.42,119.27,492.16,64
RC,0272,BIT DRILL L310 MM OD17 MM LARGE QUICK COUPLING CANNULATED FLEXIBLE,584.68,292.34,127.52,526.21,64
RC,0272,BIT DRILL L320 MM OD5 MM 5MM X 320MM DRILL BIT,104.5,52.25,22.79,94.05,64
RC,0272,BIT DRILL L330 MM L100 MM OD5 MM 3 FLUTE CALIBRATE QUICK COUPLING,264.0,132.0,57.58,237.6,64
RC,0272,BIT DRILL L330 MM OD15 MM CANNULATED LARGE QUICK COUPLING,315.72,157.86,68.86,284.15,64
RC,0272,BIT DRILL L330 MM OD3.2 MM 100 MM 3 FLUTE CALIBRATE QUICK COUPLING BLUE GOLD EXPERT NAIL SYSTEM,237.86,118.93,51.88,214.07,64
RC,0272,BIT DRILL L330 MM OD4.2 MM 100 MM 3 FLUTE CALIBRATE QUICK COUPLING GREEN EXPERT NAIL SYSTEM,189.85,94.93,41.41,170.87,64
RC,0272,BIT DRILL L330 MM OD5 MM 100 MM 3 FLUTE CALIBRATE QUICK COUPLING EXPERT NAIL SYSTEM,196.93,98.47,42.95,177.24,64
RC,0272,BIT DRILL L331 MM OD3.2 MM ODSEC2.9 MM 3 FLUTE QUICK COUPLING NEEDLE POINT 4 MM ASLS SCREW,188.23,94.12,41.05,169.41,64
RC,0272,BIT DRILL L331 MM OD4.2 MM ODSEC3.9 MM 3 FLUTE QUICK COUPLING NEEDLE POINT 5 MM ASLS SCREW,188.23,94.12,41.05,169.41,64
RC,0272,BIT DRILL L35 MM PEG,111.3,55.65,24.27,100.17,64
RC,0272,BIT DRILL L356 MM OD5 MM 126 MM 3 FLUTE CALIBRATE QUICK COUPLING,241.76,120.88,52.73,217.58,64
RC,0272,BIT DRILL L36.5 CM OD4.3 MM PHOENIX CALIBRATE,181.5,90.75,39.59,163.35,64
RC,0272,BIT DRILL L390 MM OD15 MM PERCUTANEOUS CANNULATED FLEXIBLE LARGE QUICK COUPLING,681.97,340.99,148.74,613.77,64
RC,0272,BIT DRILL L390 MM OD16 MM LARGE LONG PERCUTANEOUS FLEXIBLE CANNULATED QUICK COUPLING DHS/DCS,793.05,396.53,172.96,713.75,64
RC,0272,BIT DRILL L390 MM OD17 MM PERCUTANEOUS CANNULATED FLEXIBLE LARGE QUICK COUPLING,681.97,340.99,148.74,613.77,64
RC,0272,BIT DRILL L40 MM L5 MM OD1.6 MM SONICWELD RX TWIST BOD,173.45,86.73,37.83,156.11,64
RC,0272,BIT DRILL L40 MM OD4.5 MM BAYONET CROWN CUP ACETABULUM,40.0,20.0,8.72,36.0,64
RC,0272,BIT DRILL L400 MM OD2.5 MM 140 MM JACOBS CHUCK CALIBRATE,414.85,207.43,90.48,373.37,64
RC,0272,BIT DRILL L400 MM OD2.5 MM NA QUICK COUPLING CALIBRATE,464.28,232.14,101.26,417.85,64
RC,0272,BIT DRILL L413 MM OD4.3 MM,400.77,200.39,87.41,360.69,64
RC,0272,BIT DRILL L435 MM OD6 MM ODSEC10 MM QUICK COUPLING CANNULATED STEP,473.76,236.88,103.33,426.38,64
RC,0272,BIT DRILL L44.5 MM L10 MM OD.76 MM MINI QUICK COUPLING SELF STOP 1 MM SCREW MODULAR HAND SYSTEM,116.2,58.1,25.34,104.58,64
RC,0272,BIT DRILL L44.5 MM L12 MM OD.76 MM MINI QUICK COUPLING SELF STOP 1 MM SCREW MODULAR HAND SYSTEM,119.34,59.67,26.03,107.41,64
RC,0272,BIT DRILL L44.5 MM L14 MM OD.76 MM MINI QUICK COUPLING SELF STOP 1 MM SCREW MODULAR HAND SYSTEM,119.34,59.67,26.03,107.41,64
RC,0272,BIT DRILL L44.5 MM L6 MM OD.76 MM MINI QUICK COUPLING SELF STOP 1 MM SCREW MODULAR HAND SYSTEM,119.34,59.67,26.03,107.41,64
RC,0272,BIT DRILL L44.5 MM L8 MM OD.76 MM MINI QUICK COUPLING SELF STOP 1 MM SCREW MODULAR HAND SYSTEM,119.34,59.67,26.03,107.41,64
RC,0272,BIT DRILL L45 MM OD2.5 MM QUICK CONNECT,126.84,63.42,27.66,114.16,64
RC,0272,BIT DRILL L45 MM OD2.7 MM QUICK CONNECT,115.44,57.72,25.18,103.9,64
RC,0272,BIT DRILL L45 MM OD2.8 MM QUICK CONNECT,125.58,62.79,27.39,113.02,64
RC,0272,BIT DRILL L45 MM OD3.8 MM QUICKSET 1 PIECE FLEXIBLE,553.05,276.53,120.62,497.75,64
RC,0272,BIT DRILL L46 MM OD1.3 MM MINI QUICK COUPLING GLIDE HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L465 MM OD13 MM CANNULATED LARGE QUICK COUPLING FLEXIBLE,614.21,307.11,133.96,552.79,64
RC,0272,BIT DRILL L474 MM OD3.2 MM 3 FLUTE CALIBRATE 5 MM HIP SCREW STARDRIVE MINI QUICK COUPLING,338.52,169.26,73.83,304.67,64
RC,0272,BIT DRILL L48 MM OD1.5 MM MINI QUICK COUPLING GLIDE HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L485 MM OD4.5-6.5 MM LARGE QUICK COUPLING STEP,416.72,208.36,90.89,375.05,64
RC,0272,BIT DRILL L5 IN OD2.8 MM ACUMED QUICK RELEASE,69.0,34.5,15.05,62.1,64
RC,0272,BIT DRILL L5 IN OD3 MM SURGIBIT QUICK RELEASE HEXALOBE HEAD,290.0,145.0,63.25,261.0,64
RC,0272,BIT DRILL L50 MM L5 MM OD.7 MM LEVEL ONE STAINLESS STEEL J NOTCH ATTACHMENT STOP 2 MM SCREW MINI SYSTEM,129.69,64.85,28.29,116.72,64
RC,0272,BIT DRILL L50 MM L5 MM OD1.6 MM SONICWELD RX NOTCH STOP,133.86,66.93,29.19,120.47,64
RC,0272,"BIT DRILL L50 MM L5 MM OD1.6 MM SONICWELD RX, STERILE STOP J NOTCH ATTACHMENT",173.45,86.73,37.83,156.11,64
RC,0272,BIT DRILL L50 MM OD1 MM MINI QUICK COUPLING SELF STOP,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L50 MM OD1 MM MINI QUICK COUPLING SELF STOP 2.4 MM SCREW MODULAR HAND SYSTEM,95.86,47.93,20.91,86.27,64
RC,0272,BIT DRILL L50 MM OD3.8 MM PINNACLE,127.35,63.68,27.78,114.62,64
RC,0272,BIT DRILL L50 MM REFLECTION ACETABULAR FLEXIBLE SCREW,111.3,55.65,24.27,100.17,64
RC,0272,BIT DRILL L500 MM OD6-9 MM LARGE QUICK COUPLING CANNULATED STEP HELICAL BLADE SCREW PROXIMAL FEMORAL NAIL SYSTEM,483.56,241.78,105.46,435.2,64
RC,0272,BIT DRILL L54 MM L8 MM OD1.4 MM,139.89,69.95,30.51,125.9,64
RC,0272,BIT DRILL L55 MM OD1.1 MM MINI QUICK COUPLING 1.5/2 MM ROTATION CORRECTION PLATE,96.34,48.17,21.01,86.71,64
RC,0272,BIT DRILL L55 MM OD1.3 MM 2 COLOR STRIP GLIDING HOLE YELLOW,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L56 MM OD1.1 MM MINI QUICK COUPLING THREAD HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L57 MM OD1.5 MM J LATCH GLIDE HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L57 MM OD2 MM MINI QUICK COUPLING GLIDE HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L6 MM OD1.2 MM MOUNTAINEER AO,71.25,35.63,15.54,64.13,64
RC,0272,BIT DRILL L60 MM OD1 MM J LATCH COUPLING MODULAR HAND SYSTEM,74.17,37.09,16.18,66.75,64
RC,0272,BIT DRILL L60 MM OD1.1 MM QUICK COUPLING MINI FRAGMENT SYSTEM,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L60 MM OD1.3 MM K WIRE ATTACHMENT GLIDE HOLE,75.82,37.91,16.54,68.24,64
RC,0272,BIT DRILL L60 MM OD2 MM QUICK CONNECT,162.16,81.08,35.37,145.94,64
RC,0272,BIT DRILL L60 MM OD2.2 MM MICA CANNULATED,215.92,107.96,47.09,194.33,64
RC,0272,BIT DRILL L60 MM OD2.8 MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL L60 MM OD3 MM MICA CANNULATED,215.92,107.96,47.09,194.33,64
RC,0272,BIT DRILL L60 MM OD3 MM ORTHOLOC CANNULATED,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL L60 MM OD3.5 MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL L60 MM OD3.5 MM QUICK CONNECT,75.5,37.75,16.47,67.95,64
RC,0272,BIT DRILL L60 MM OD4 MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL L61 MM OD1 MM HAND THREAD HOLE WIRE 1.3 MM SCREW,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L61 MM OD1 MM MINI QUICK COUPLING THREAD HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L61 MM OD2.6 MM 2.5 10 MM STOP APTUS TWIST AO QUICK COUPLING,77.38,38.69,16.88,69.64,64
RC,0272,BIT DRILL L62 MM OD1.5 MM K WIRE ATTACHMENT GLIDE HOLE,75.82,37.91,16.54,68.24,64
RC,0272,BIT DRILL L64 MM OD.8 MM HAND THREAD HOLE WIRE,76.28,38.14,16.64,68.65,64
RC,0272,BIT DRILL L65 MM L40 MM OD1.3 MM J LATCH COUPLING SELF STOP 1 MM SCREW MODULAR HAND SYSTEM,102.17,51.09,22.28,91.95,64
RC,0272,BIT DRILL L65 MM OD1.1 MM 40 MM STOP TITANIUM J LATCH,102.17,51.09,22.28,91.95,64
RC,0272,BIT DRILL L65 MM OD1.1 MM J LATCH COUPLING,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L65 MM OD1.1 MM J LATCH THREAD HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L65 MM OD1.1 MM NA WIRE PASS,41.74,20.87,9.1,37.57,64
RC,0272,BIT DRILL L65 MM OD1.3 MM J LATCH COUPLING 2.4 MM SCREW MODULAR HAND SYSTEM,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L65 MM OD1.5 MM MINI QUICK COUPLING 1.5/2 MM ROTATION CORRECTION PLATE,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L65 MM OD2 MM MINI QUICK COUPLING,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L65 MM OD3.2 MM QUICK COUPLING STOP,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L66 MM OD2 MM J LATCH GLIDING HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L7 MM OD3.2 MM TRACKER,257.0,128.5,56.05,231.3,64
RC,0272,BIT DRILL L70 MM OD1.1 MM K WIRE ATTACHMENT THREAD HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L70 MM OD3.5 MM DRILL CANNULATED S-COUPLE CANNULATED,282.0,141.0,61.5,253.8,64
RC,0272,BIT DRILL L70 MM OD3.5 MM STAINLESS STEEL SPINE HARD BRITTLE,192.71,96.36,42.03,173.44,64
RC,0272,BIT DRILL L71 MM OD2 MM ATTACHMENT GLIDE HOLE,75.82,37.91,16.54,68.24,64
RC,0272,BIT DRILL L74 MM OD1.5 MM MINI QUICK COUPLING THREAD HOLE,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L75 MM OD1 MM ATTACHMENT THREAD HOLE,75.82,37.91,16.54,68.24,64
RC,0272,BIT DRILL L75 MM OD1.1 MM MINI QUICK COUPLING,72.46,36.23,15.8,65.21,64
RC,0272,BIT DRILL L75 MM OD1.5 MM J LATCH COUPLING STRYKER,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L75 MM OD2 MM J LATCH COUPLING STRYKER,67.14,33.57,14.64,60.43,64
RC,0272,BIT DRILL L79 MM L6 MM OD1.3 MM 1.7 MM SCREW,125.5,62.75,27.37,112.95,64
RC,0272,BIT DRILL L8 IN OD3.8 MM VERSANAIL FEMORAL GREEN VERSANAIL REPROCESSED,174.0,87.0,37.95,156.6,64
RC,0272,BIT DRILL L80 MM OD1.8 MM MINI QUICK COUPLING DEPTH MARK,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L80 MM OD2.4 MM MINI QUICK COUPLING 2.4 MM SCREW MODULAR HAND SYSTEM,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L80 MM OD2.5 MM QUICK CONNECT,131.91,65.96,28.77,118.72,64
RC,0272,BIT DRILL L80 MM OD2.8 MM QUICK CONNECT,138.5,69.25,30.21,124.65,64
RC,0272,BIT DRILL L83 MM L57 MM OD1.5 MM COLOR CODED PILOT HOLE J LATCH COUPLING,77.49,38.75,16.9,69.74,64
RC,0272,BIT DRILL L85 MM L60 MM OD1.5 MM J LATCH COUPLING SELF STOP 1/1.5 MM SCREW,102.17,51.09,22.28,91.95,64
RC,0272,BIT DRILL L85 MM OD1.1 MM 2 FLUTE J LATCH COUPLING,72.46,36.23,15.8,65.21,64
RC,0272,BIT DRILL L85 MM OD1.5 MM QUICK CONNECT,81.76,40.88,17.83,73.58,64
RC,0272,BIT DRILL L85 MM OD1.5 MM QUICK COUPLING,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L85 MM OD1.9 MM NA 2/2.3 MM SCREW REPROCESSED,131.19,65.6,28.61,118.07,64
RC,0272,BIT DRILL L85 MM OD2 MM JACOBS CHUCK,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L85 MM OD2.7 MM JACOBS CHUCK,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L86 MM L30 MM OD1.6 MM APTUS AO SHAFT TWIST STOP 2 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,BIT DRILL L88 MM OD1.5 MM K WIRE ATTACHMENT THREAD HOLE,75.82,37.91,16.54,68.24,64
RC,0272,BIT DRILL L9.7 MM OD1.8 MM MINI,270.0,135.0,58.89,243.0,64
RC,0272,BIT DRILL L90 MM OD1.8 MM J LATCH COUPLING 2.4 MM SCREW MODULAR HAND SYSTEM,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L90 MM OD2.4 MM J LATCH COUPLING STRYKER,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L91 MM L10 MM OD1.5 MM STOP MINI QUICK COUPLING,37.5,18.75,8.18,33.75,64
RC,0272,BIT DRILL L91 MM L4 MM OD1.5 MM STOP MINI QUICK COUPLING,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL L91 MM L6 MM OD1.5 MM STOP MINI QUICK COUPLING,37.5,18.75,8.18,33.75,64
RC,0272,BIT DRILL L91 MM L8 MM OD1.5 MM STOP MINI QUICK COUPLING,37.5,18.75,8.18,33.75,64
RC,0272,BIT DRILL L95 MM OD1.6 MM CANNULATED QUICK COUPLING,426.97,213.49,93.12,384.27,64
RC,0272,BIT DRILL L95 MM OD2 MM DRILLS,114.0,57.0,24.86,102.6,64
RC,0272,BIT DRILL L95 MM OD2.5 MM JACOBS CHUCK,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L95 MM OD2.7 MM DRILLS,114.0,57.0,24.86,102.6,64
RC,0272,BIT DRILL L95 MM OD3.5 MM JACOBS CHUCK,66.57,33.29,14.52,59.91,64
RC,0272,BIT DRILL L96 MM OD1.5 MM MINI QUICK COUPLING DEPTH MARK,115.8,57.9,25.26,104.22,64
RC,0272,BIT DRILL L96 MM OD1.6 MM VARIAX AO SCALE,132.34,66.17,28.86,119.11,64
RC,0272,BIT DRILL L99 MM OD 2.0 MM C2CTM,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL L99 MM OD2.5 MM C2C,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL LEOS SUBCHNDRAL 2MM,198.0,99.0,43.18,178.2,64
RC,0272,BIT DRILL LONG ACUTRAK 2,246.0,123.0,53.65,221.4,64
RC,0272,BIT DRILL META-TAN LAG SCREW,296.43,148.22,64.65,266.79,64
RC,0272,BIT DRILL MICRO ACUTRAK 2,221.0,110.5,48.2,198.9,64
RC,0272,BIT DRILL MICRO ACUTRAK 3,590.0,295.0,128.68,531.0,64
RC,0272,BIT DRILL MICRORAPTOR HIP KNOTLESS,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL MINI LONG ACUTRAK 2,246.0,123.0,53.65,221.4,64
RC,0272,BIT DRILL NANOTACK FLEXIBLE ANATOMIC LABRUM RESTORATION SYSTEM,213.25,106.63,46.51,191.93,64
RC,0272,BIT DRILL NAVIGATED INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM,217.5,108.75,47.44,195.75,64
RC,0272,BIT DRILL NEUROSURGICAL IMPLANT CH5 PARENCHYMA W/ ALLEN KEY NEUROVENT,137.0,68.5,29.88,123.3,64
RC,0272,BIT DRILL OD.045 IN CALIBRATED,157.1,78.55,34.26,141.39,64
RC,0272,BIT DRILL OD.059 IN,157.1,78.55,34.26,141.39,64
RC,0272,BIT DRILL OD.079 IN,157.1,78.55,34.26,141.39,64
RC,0272,BIT DRILL OD1.2 MM MINI AO CALIBRATE,157.1,78.55,34.26,141.39,64
RC,0272,BIT DRILL OD1.3 MM MINI MAXLOCK EXTREME,123.0,61.5,26.83,110.7,64
RC,0272,BIT DRILL OD1.3 MM ORTHOLOC 2 MM SCREW,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL OD1.3 MM QUICKFIX 2 MM QUICKFIX SCREW,162.88,81.44,35.52,146.59,64
RC,0272,BIT DRILL OD1.3 MM UNITE SOLID CORE AQUA,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD1.3 MM Y-KNOT FLEXIBLE SUTURE ANCHOR SYSTEM,64.42,32.21,14.05,57.98,64
RC,0272,BIT DRILL OD1.4 MM CANOPY,103.0,51.5,22.46,92.7,64
RC,0272,BIT DRILL OD1.5 MM CANNULATED 2 MM NAIL SYSTEM,364.0,182.0,79.39,327.6,64
RC,0272,BIT DRILL OD1.5 MM DIAMOND RAIL CUTTER,52.5,26.25,11.45,47.25,64
RC,0272,BIT DRILL OD1.5 MM FORMULA SUBCHONDRAL,406.79,203.4,88.72,366.11,64
RC,0272,BIT DRILL OD1.5 MM HAND 1.9 MM COMPRESSION FT SCREW,116.03,58.02,25.31,104.43,64
RC,0272,BIT DRILL OD1.5 MM LONG VLP MINI-MOD AO QUICK CONNECT,110.53,55.27,24.11,99.48,64
RC,0272,BIT DRILL OD1.6 MM CANNULATED,469.22,234.61,102.34,422.3,64
RC,0272,BIT DRILL OD1.6 MM MEDLINE UNITE SOLID 2.4 SCREW,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD1.6 MM MINI MAXLOCK EXTREME ISO,127.36,63.68,27.78,114.62,64
RC,0272,BIT DRILL OD1.6 MM MINI OSTEOMED MANDIBLE PILOT J LATCH,115.9,57.95,25.28,104.31,64
RC,0272,BIT DRILL OD1.6 MM ORTHOLOC 3DI 2.4 MM SCREW,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL OD1.7 MM,77.33,38.67,16.87,69.6,64
RC,0272,BIT DRILL OD1.7 MM AO LOW PROFILE PLATE,78.15,39.08,17.04,70.34,64
RC,0272,BIT DRILL OD1.7 MM DART-FIRE CANNULATED,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL OD1.7 MM HAND 2.4 MM COMPRESSION FT SCREW,116.03,58.02,25.31,104.43,64
RC,0272,BIT DRILL OD1.7 MM LONG OSTEOMED CANNULATED MANUAL HAND PLATE SYSTEM,209.0,104.5,45.58,188.1,64
RC,0272,BIT DRILL OD1.7 MM MEDLINE CANNULATED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD1.7 MM SEMIFLUTE ACU-LOC 2 QUICK COUPLING,146.0,73.0,31.84,131.4,64
RC,0272,BIT DRILL OD1.7 MM SHORT GRADUATED 2.4 MM VARIABLE ANGLE LOCK CORTICAL SCREW,77.33,38.67,16.87,69.6,64
RC,0272,BIT DRILL OD1.75 MM CANNULATED THERMALLY HARDENED,364.0,182.0,79.39,327.6,64
RC,0272,BIT DRILL OD1.8 MM EVOS RADIUS DISTAL AO QUICK CONNECT,119.2,59.6,26.0,107.28,64
RC,0272,BIT DRILL OD1.9 MM CENTERPIECE 3 FLAT,34.95,17.48,7.62,31.46,64
RC,0272,BIT DRILL OD1.9 MM MINI MAXLOCK EXTREME,127.36,63.68,27.78,114.62,64
RC,0272,BIT DRILL OD1.9 MM UNITE FOOT ANKLE SOLID CORE PURPLE MINI PLATE SYSTEM,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD10 MM C-REAMER CANNULATED REAMER SHAFT,300.84,150.42,65.61,270.76,64
RC,0272,BIT DRILL OD10 MM HOLLOW OPEN MEDULLARY CANAL MULTILOC HUMERAL NAIL SYSTEM,234.88,117.44,51.23,211.39,64
RC,0272,BIT DRILL OD10 MM REFLEX HYBRID SPINE CERVICAL ANTERIOR,62.85,31.43,13.71,56.57,64
RC,0272,BIT DRILL OD11 MM PRECICE CANNULATED ENTRY INTRAMEDULLARY LIMB LENGTHEN SYSTEM,468.0,234.0,102.07,421.2,64
RC,0272,BIT DRILL OD11 MM SPINE,50.1,25.05,10.93,45.09,64
RC,0272,BIT DRILL OD11.5 MM HOLLOW 9.5 MM MULTILOC PROXIMAL HUMERAL NAIL,275.83,137.92,60.16,248.25,64
RC,0272,BIT DRILL OD11.5 MM HOLLOW OPEN MEDULLARY CANAL 9.5 MM MULTILOC PROXIMAL HUMERAL NAIL,234.88,117.44,51.23,211.39,64
RC,0272,BIT DRILL OD12 MM LONG FLEXIBLE,1045.74,522.87,228.08,941.17,64
RC,0272,BIT DRILL OD12 MM REFLEX HYBRID SPINE CERVICAL ANTERIOR,62.85,31.43,13.71,56.57,64
RC,0272,BIT DRILL OD12.8 MM LARGE QUICK COUPLING CANNULATED,672.77,336.39,146.73,605.49,64
RC,0272,BIT DRILL OD13 MM,50.1,25.05,10.93,45.09,64
RC,0272,BIT DRILL OD14 MM AVIATOR,74.14,37.07,16.17,66.73,64
RC,0272,BIT DRILL OD14 MM REFLEX HYBRID SPINE CERVICAL ANTERIOR,62.85,31.43,13.71,56.57,64
RC,0272,BIT DRILL OD14 MM SMALL PROVIDENCE,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL OD16 MM NA HOLLOW CANNULATED PERCUTANEOUS,895.6,447.8,195.33,806.04,64
RC,0272,BIT DRILL OD16 MM SMALL PROVIDENCE,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL OD18 MM SMALL PROVIDENCE,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL OD2 MM 5/64 NA,95.84,47.92,20.9,86.26,64
RC,0272,BIT DRILL OD2 MM ACUMED RADIUS DISTAL QUICK RELEASE,72.0,36.0,15.7,64.8,64
RC,0272,BIT DRILL OD2 MM AO,84.08,42.04,18.34,75.67,64
RC,0272,BIT DRILL OD2 MM BIGLIANI/FLATOW STAINLESS STEEL SHOULDER STOP,130.0,65.0,28.35,117.0,64
RC,0272,BIT DRILL OD2 MM CHARLOTTE CANNULATED 3 MM SCREW,143.28,71.64,31.25,128.95,64
RC,0272,BIT DRILL OD2 MM CLAW II GREEN 2.7 MM SCREW,127.36,63.68,27.78,114.62,64
RC,0272,BIT DRILL OD2 MM D14 MM 3 FLUTE QUICK COUPLING,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL OD2 MM D16 MM 3 FLUTE QUICK COUPLING,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL OD2 MM DARCO,123.38,61.69,26.91,111.04,64
RC,0272,BIT DRILL OD2 MM DART-FIRE CANNULATED,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL OD2 MM EVOLVE ELBOW PLATE SYSTEM,223.88,111.94,48.83,201.49,64
RC,0272,BIT DRILL OD2 MM INTEGRA TOTAL WRIST FUSION SYSTEM WRIST,429.24,214.62,93.62,386.32,64
RC,0272,BIT DRILL OD2 MM L120 MM DARCO,123.38,61.69,26.91,111.04,64
RC,0272,BIT DRILL OD2 MM LONG TIBIA DISTAL CALIBRATED,106.94,53.47,23.32,96.25,64
RC,0272,BIT DRILL OD2 MM MAXTORQUE CANNULATED,131.34,65.67,28.65,118.21,64
RC,0272,BIT DRILL OD2 MM MEDLINE,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD2 MM MEDLINE CANNULATED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD2 MM MICRONAIL,102.0,51.0,22.25,91.8,64
RC,0272,BIT DRILL OD2 MM PEDIFRAG,89.09,44.55,19.43,80.18,64
RC,0272,BIT DRILL OD2 MM PEDIFRAG CALIBRATE,101.01,50.51,22.03,90.91,64
RC,0272,BIT DRILL OD2 MM QUICKFIX CANNULATED,188.54,94.27,41.12,169.69,64
RC,0272,BIT DRILL OD2 MM QUICKFIX CANNULATED AO,173.11,86.56,37.76,155.8,64
RC,0272,BIT DRILL OD2 MM SHUKLA SCREW S9SCREW,211.12,105.56,46.05,190.01,64
RC,0272,BIT DRILL OD2 MM SURGIBIT QUICK RELEASE 2.3 MM SCREW,98.0,49.0,21.37,88.2,64
RC,0272,BIT DRILL OD2.0 MM CANNULATED AO QUICK CONNECT 3 MM SCREW,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD2.1 MM INVICTUS SUB AXIAL,79.35,39.68,17.31,71.42,64
RC,0272,BIT DRILL OD2.2 MM CANNULATED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD2.2 MM DART-FIRE CANNULATED,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL OD2.2 MM MEDLINE CANNULATED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD2.2 MM STRAIGHT CANNULATED 2.5 MM COMPRESSION FT SCREW,188.54,94.27,41.12,169.69,64
RC,0272,BIT DRILL OD2.3 MM HPS CANNULATED MANUAL .75 MM SCREW HAND PLATING SYSTEM,209.0,104.5,45.58,188.1,64
RC,0272,BIT DRILL OD2.3 MM LONG DRILLS TWIST,120.0,60.0,26.17,108.0,64
RC,0272,BIT DRILL OD2.3 MM MAXTORQUE CANNULATED,143.28,71.64,31.25,128.95,64
RC,0272,BIT DRILL OD2.3 MM YUKON ADJUSTABLE,61.5,30.75,13.41,55.35,64
RC,0272,BIT DRILL OD2.4 MM,50.0,25.0,10.91,45.0,64
RC,0272,BIT DRILL OD2.4 MM 3.5 MM SCREW ELLI,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD2.4 MM MAXLOCK,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL OD2.4 MM ORTHOLOC,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL OD2.4 MM SYMPHONY 3.5 MM SCREW,71.25,35.63,15.54,64.13,64
RC,0272,BIT DRILL OD2.4 MM TRIM-IT,192.89,96.45,42.07,173.6,64
RC,0272,BIT DRILL OD2.4 MM VERTEX,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD2.4 MM VLP MINI-MOD AO QUICK COUPLING OVER,95.1,47.55,20.74,85.59,64
RC,0272,"BIT DRILL OD2.5 MM AOS CLBRT DRILL, AO STYLE 2.5MM X 160MM",315.0,157.5,68.7,283.5,64
RC,0272,BIT DRILL OD2.5 MM CALIBRATE GRADUATE 3.5 MM LOCK CORTICAL SCREW,66.56,33.28,14.52,59.9,64
RC,0272,BIT DRILL OD2.5 MM DART-FIRE CANNULATED,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL OD2.5 MM EVOLVE ELBOW PLATE SYSTEM,223.88,111.94,48.83,201.49,64
RC,0272,BIT DRILL OD2.5 MM HYBRID,85.0,42.5,18.54,76.5,64
RC,0272,BIT DRILL OD2.5 MM INTEGRA TOTAL WRIST FUSION SYSTEM WRIST,445.9,222.95,97.25,401.31,64
RC,0272,BIT DRILL OD2.5 MM LARGE EVOS TARGETER AO QUICK SHORT,520.02,260.01,113.42,468.02,64
RC,0272,BIT DRILL OD2.5 MM MEDLINE CANNULATED AO QUICK CONNECT COLOR CODED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD2.5 MM MRS,123.38,61.69,26.91,111.04,64
RC,0272,BIT DRILL OD2.5 MM NCB STAINLESS STEEL TIBIA PROXIMAL QUICK COUPLING MIS,243.2,121.6,53.04,218.88,64
RC,0272,BIT DRILL OD2.5 MM OASYS 3.5 MM POLYAXIAL SCREW,72.2,36.1,15.75,64.98,64
RC,0272,BIT DRILL OD2.5 MM ODSEC4.7 MM STANDARD ACUTRAK TITANIUM CANNULATED TAPER END,234.0,117.0,51.04,210.6,64
RC,0272,BIT DRILL OD2.5 MM OPTILOCK AO,137.5,68.75,29.99,123.75,64
RC,0272,BIT DRILL OD2.5 MM PEDI-LOC PEDIFRAG,91.0,45.5,19.85,81.9,64
RC,0272,BIT DRILL OD2.5 MM PEDILOC CALIBRATE LOCK 3.5 MM SCREW,103.56,51.78,22.59,93.2,64
RC,0272,BIT DRILL OD2.5 MM QUICKFIX CANNULATED,162.88,81.44,35.52,146.59,64
RC,0272,BIT DRILL OD2.5 MM RFS,34.39,17.2,7.5,30.95,64
RC,0272,BIT DRILL OD2.5 MM TRIM-IT,78.15,39.08,17.04,70.34,64
RC,0272,BIT DRILL OD2.5 MM TRIM-IT CALIBRATED,82.64,41.32,18.02,74.38,64
RC,0272,BIT DRILL OD2.5 MM TRIM-ITPOWER CALIBRATE,82.64,41.32,18.02,74.38,64
RC,0272,BIT DRILL OD2.5MM TRILEAP LAG TECHNIQUE LOWER EXTREMITY ANATOMIC PLATE SYSTEM,153.72,76.86,33.53,138.35,64
RC,0272,BIT DRILL OD2.6 MM BIORAPTOR SPADE 2.3 MM SUTURE ANCHOR,163.0,81.5,35.55,146.7,64
RC,0272,BIT DRILL OD2.6 MM CHARLOTTE,127.36,63.68,27.78,114.62,64
RC,0272,BIT DRILL OD2.6 MM TRIM-IT CANNULATED,170.14,85.07,37.11,153.13,64
RC,0272,BIT DRILL OD2.7 MM 2.7MM DRILL BIT,137.5,68.75,29.99,123.75,64
RC,0272,BIT DRILL OD2.7 MM CANNULATED,452.76,226.38,98.75,407.48,64
RC,0272,BIT DRILL OD2.7 MM CANNULATED 2.7MM AO DRILL CANNULATED SYSTEM GC,203.5,101.75,44.38,183.15,64
RC,0272,BIT DRILL OD2.7 MM DARCO HEAD,131.34,65.67,28.65,118.21,64
RC,0272,BIT DRILL OD2.7 MM EPAK,88.0,44.0,19.19,79.2,64
RC,0272,BIT DRILL OD2.7 MM INTEGRA TOTAL WRIST FUSION SYSTEM WRIST,472.36,236.18,103.02,425.12,64
RC,0272,BIT DRILL OD2.7 MM KRUELOCK 2.7/3 MM SCREW ANKLE FRACTURE MANAGEMENT SYSTEM,82.64,41.32,18.02,74.38,64
RC,0272,BIT DRILL OD2.7 MM PEDIFRAG,89.09,44.55,19.43,80.18,64
RC,0272,BIT DRILL OD2.7 MM SHORT ALPS CLEVICAL,54.0,27.0,11.78,48.6,64
RC,0272,BIT DRILL OD2.7 MM STANDARD,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL OD2.8 MM CLAW II PURPLE 3.5 MM SCREW,127.36,63.68,27.78,114.62,64
RC,0272,BIT DRILL OD2.8 MM DARCO CANNULATED,150.25,75.13,32.77,135.23,64
RC,0272,BIT DRILL OD2.8 MM FAST STAINLESS STEEL PROXIMAL HUMERUS PLATING MODULAR TRAY SNP SYSTEM,88.0,44.0,19.19,79.2,64
RC,0272,BIT DRILL OD2.8 MM HUMERUS PROXIMAL STOP QUICK COUPLING MODULE SET,123.78,61.89,27.0,111.4,64
RC,0272,BIT DRILL OD2.8 MM LONG POLARUS 3 SURGIBIT,122.0,61.0,26.61,109.8,64
RC,0272,BIT DRILL OD2.8 MM LONG SURGIBIT QUICK RELEASE,91.0,45.5,19.85,81.9,64
RC,0272,BIT DRILL OD2.8 MM MEDLINE,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD2.8 MM SHORT CALIBRATE STOP,98.99,49.5,21.59,89.09,64
RC,0272,BIT DRILL OD2.8 MM SHORT POLARUS 3 SURGIBIT EXTEND,117.0,58.5,25.52,105.3,64
RC,0272,BIT DRILL OD2.8 MM UNITE FOOT ANKLE DRILL GAUGE SYSTEM,185.0,92.5,40.35,166.5,64
RC,0272,BIT DRILL OD2.8 MM YUKON ADJUSTABLE,61.5,30.75,13.41,55.35,64
RC,0272,BIT DRILL OD2.9 MM LOCKING PROXIMAL FEMUR PLATE SYSTEM (LPF) FEMUR PROXIMAL CANNULATED,207.8,103.9,45.32,187.02,64
RC,0272,BIT DRILL OD2.9 MM SHORT CANNULATED 3.5 MM BEVEL FT SCREW,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD2.9 MM VERTEX,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD3 MM AEQUALIS REVERSED II,70.0,35.0,15.27,63.0,64
RC,0272,BIT DRILL OD3 MM CALIBRATE,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD3 MM CANNULATED,443.98,221.99,96.83,399.58,64
RC,0272,BIT DRILL OD3 MM CHARLOTTE CANNULATED 4.3 MM SCREW,143.28,71.64,31.25,128.95,64
RC,0272,BIT DRILL OD3 MM CHARLOTTE COMPRESSION STAPLE FOOT ANKLE SYSTEM,226.86,113.43,49.48,204.17,64
RC,0272,BIT DRILL OD3 MM DART-FIRE CANNULATED,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL OD3 MM LATITUDE EV,77.0,38.5,16.79,69.3,64
RC,0272,BIT DRILL OD3 MM LONG CALIBRATE,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD3 MM MEDLINE CANNULATED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD3 MM MEDLINE UNITE SOLID CORE,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD3 MM SHUKLA SCREW S9SCREW,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL OD3 MM TRIM-IT 2.7/3 MM SCREW ANKLE FRACTURE MANAGEMENT SYSTEM,111.8,55.9,24.38,100.62,64
RC,0272,BIT DRILL OD3 MM UNITE ANKLE CANNULATED,180.0,90.0,39.26,162.0,64
RC,0272,BIT DRILL OD3.2 MM CANNULATED,325.0,162.5,70.88,292.5,64
RC,0272,BIT DRILL OD3.2 MM CHARLOTTE CAROLINA CANNULATED JONES FIXATION SYSTEM,139.3,69.65,30.38,125.37,64
RC,0272,BIT DRILL OD3.2 MM EIGHT-PLATE CANNULATED 8 PLATE QUICK CONNECT,140.8,70.4,30.71,126.72,64
RC,0272,BIT DRILL OD3.2 MM EQUINOXE,225.0,112.5,49.07,202.5,64
RC,0272,BIT DRILL OD3.2 MM LOCKING CANNULATED BLADE PLATE (LCB) CALIBRATE 4.5 MM DISTAL FIXATION CORTICAL SCREW,100.22,50.11,21.86,90.2,64
RC,0272,BIT DRILL OD3.2 MM LONG STRAIGHT CANNULATED 5 MM SCREW,169.2,84.6,36.9,152.28,64
RC,0272,BIT DRILL OD3.2 MM NA FLEXIBLE SHAFT OCCIPITAL CERVICAL FUSION SYSTEM,294.75,147.38,64.28,265.28,64
RC,0272,BIT DRILL OD3.2 MM NA QUICK RELEASE,130.0,65.0,28.35,117.0,64
RC,0272,BIT DRILL OD3.2 MM OCCIPITAL,50.0,25.0,10.91,45.0,64
RC,0272,BIT DRILL OD3.2 MM OCCIPITAL CERVICAL FUSION SYSTEM,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL OD3.2 MM OCCIPITOCERVICAL,75.0,37.5,16.36,67.5,64
RC,0272,BIT DRILL OD3.2 MM OCCIPITOCERVICAL FLEXIBLE,187.5,93.75,40.89,168.75,64
RC,0272,BIT DRILL OD3.2 MM ODSEC2 MM LONG DRILLS CANNULATED TWIST,150.0,75.0,32.72,135.0,64
RC,0272,BIT DRILL OD3.2 MM PEDIFLEX,100.69,50.35,21.96,90.62,64
RC,0272,BIT DRILL OD3.2 MM PEDILOC 4.5 MM DISTAL FIXATION CORTICAL SCREW,191.93,95.97,41.86,172.74,64
RC,0272,BIT DRILL OD3.2 MM PEDIPLATE CANNULATED AO,217.03,108.52,47.33,195.33,64
RC,0272,BIT DRILL OD3.2 MM PERFORM REVERSE PERIPHERAL SCREW,72.0,36.0,15.7,64.8,64
RC,0272,BIT DRILL OD3.2 MM POLYAX FEMORAL TIBIA CALIBRATE LOCK PLATE SYSTEM,110.0,55.0,23.99,99.0,64
RC,0272,BIT DRILL OD3.2 MM STRAIGHT CANNULATED 5 MM SCREW,169.2,84.6,36.9,152.28,64
RC,0272,BIT DRILL OD3.2 MM WASHERLOC TWIST,73.0,36.5,15.92,65.7,64
RC,0272,BIT DRILL OD3.3 MM DRILL BIT DNP ANATOMIC SYSTEM,83.0,41.5,18.1,74.7,64
RC,0272,BIT DRILL OD3.3 MM MEDLINE CANNULATED,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD3.3 MM PERI-LOC CANNULATED QUICK CONNECT,228.0,114.0,49.73,205.2,64
RC,0272,BIT DRILL OD3.5 MM,162.48,81.24,35.44,146.23,64
RC,0272,BIT DRILL OD3.5 MM HAMMERTUBE SYSTEM CANNULATED PEEK HAMMERTUBE HAMMERTOE,175.0,87.5,38.17,157.5,64
RC,0272,BIT DRILL OD3.5 MM LOCKING PROXIMAL FEMUR PLATE SYSTEM (LPF) PROXIMAL CANNULATED GREEN 4.5 MM SCREW,207.8,103.9,45.32,187.02,64
RC,0272,BIT DRILL OD3.5 MM MOUNTAINEER OCCIPITOCERVICAL FLEXIBLE SHAFT,154.5,77.25,33.7,139.05,64
RC,0272,BIT DRILL OD3.5 MM MOUNTAINEER QUICK COUPLING,71.25,35.63,15.54,64.13,64
RC,0272,BIT DRILL OD3.5 MM PEDIFRAG,89.09,44.55,19.43,80.18,64
RC,0272,BIT DRILL OD3.5 MM PEDILOC,93.54,46.77,20.4,84.19,64
RC,0272,BIT DRILL OD3.5 MM PIN TIP FIFTH METATARSAL FRACTURE SYSTEM,150.0,75.0,32.72,135.0,64
RC,0272,BIT DRILL OD3.5 MM TRIM-IT,78.15,39.08,17.04,70.34,64
RC,0272,BIT DRILL OD3.5 MM UNITE SOLID CORE,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL OD3.6 MM CANNULATED,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD3.6 MM CANNULATED QUICK COUPLING,170.0,85.0,37.08,153.0,64
RC,0272,BIT DRILL OD3.7 MM 1/4 IN MAXTORQUE CANNULATED SQUARE CONNECT,143.28,71.64,31.25,128.95,64
RC,0272,BIT DRILL OD3.8 MM ALPS CALIBRATE,115.5,57.75,25.19,103.95,64
RC,0272,BIT DRILL OD3.8 MM ORTHOLOC 5.5 MM SCREW,123.38,61.69,26.91,111.04,64
RC,0272,BIT DRILL OD3.8 MM PEDINAIL INTRAMEDULLARY PLATFORM FEMUR CALIBRATE,183.81,91.91,40.09,165.43,64
RC,0272,BIT DRILL OD3.8 MM POLYAX FEMORAL TIBIA CALIBRATE LOCK PLATE SYSTEM,115.5,57.75,25.19,103.95,64
RC,0272,BIT DRILL OD3.8 MM SHORT PEDINAIL INTRAMEDULLARY PLATFORM,143.43,71.72,31.28,129.09,64
RC,0272,BIT DRILL OD4 MM 4.0 PROXIMAL DRILL PROXIMAL,387.0,193.5,84.4,348.3,64
RC,0272,BIT DRILL OD4 MM ADVANTAGERIB,303.0,151.5,66.08,272.7,64
RC,0272,BIT DRILL OD4 MM CANNULATED,195.0,97.5,42.53,175.5,64
RC,0272,BIT DRILL OD4 MM CANNULATED 4.5 MM SCREW,308.45,154.23,67.27,277.61,64
RC,0272,BIT DRILL OD4 MM CAPTIVATE CORTEX HEADLESS COMPRESSION SCREW,325.0,162.5,70.88,292.5,64
RC,0272,BIT DRILL OD4 MM CARBIDE,216.91,108.46,47.31,195.22,64
RC,0272,BIT DRILL OD4 MM CARBIDE EXTENSION,293.98,146.99,64.12,264.58,64
RC,0272,BIT DRILL OD4 MM D4 MM ALTIVATE REVERSE RSP CALLIBRATED,97.87,48.94,21.35,88.08,64
RC,0272,BIT DRILL OD4 MM FAST STEP PROXIMAL HUMERAL PLATE MODULAR TRAY,93.5,46.75,20.39,84.15,64
RC,0272,BIT DRILL OD4 MM FULL THREAD PRECICE ANKLE,342.0,171.0,74.59,307.8,64
RC,0272,BIT DRILL OD4 MM LONG S3 PROXIMAL HUMERAL PLATE MODULAR TRAY,93.5,46.75,20.39,84.15,64
RC,0272,BIT DRILL OD4 MM PRECICE ANKLE STEP,437.0,218.5,95.31,393.3,64
RC,0272,BIT DRILL OD4 MM QUICKFIX CANNULATED,162.88,81.44,35.52,146.59,64
RC,0272,BIT DRILL OD4 MM SHORT FAST PROXIMAL HUMERAL PLATE MODULAR TRAY,93.5,46.75,20.39,84.15,64
RC,0272,BIT DRILL OD4 MM SHUKLA SCREW S9SCREW,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL OD4.2 MM XLONG CALIBRATE,252.35,126.18,55.04,227.12,64
RC,0272,BIT DRILL OD4.3 MM LONG NA CALIBRATED,251.71,125.86,54.9,226.54,64
RC,0272,BIT DRILL OD4.3 MM PEDINAIL INTRAMEDULLARY PLATFORM CALIBRATE,144.78,72.39,31.58,130.3,64
RC,0272,BIT DRILL OD4.3 MM SHORT PEDINAIL INTRAMEDULLARY PLATFORM,132.65,66.33,28.93,119.39,64
RC,0272,BIT DRILL OD4.4 MM DARCO FOOT ANKLE 6.5 MM SCREW,131.34,65.67,28.65,118.21,64
RC,0272,BIT DRILL OD4.5 MM,79.0,39.5,17.23,71.1,64
RC,0272,BIT DRILL OD4.5 MM ALPS SOLID APLS LARGE FRAGMENT,82.5,41.25,17.99,74.25,64
RC,0272,BIT DRILL OD4.5 MM BIO-TENODESIS CANNULATED,184.0,92.0,40.13,165.6,64
RC,0272,BIT DRILL OD4.5 MM CANNULATED,214.8,107.4,46.85,193.32,64
RC,0272,BIT DRILL OD4.5 MM ENDOBUTTON CLANCY CANNULATED,138.0,69.0,30.1,124.2,64
RC,0272,BIT DRILL OD4.5 MM HUDSON CANNULATED,181.49,90.75,39.58,163.34,64
RC,0272,BIT DRILL OD4.5 MM LARGE EVOS TARGETER AO QUICK,391.5,195.75,85.39,352.35,64
RC,0272,BIT DRILL OD4.5 MM LARGE EVOS TARGETER AO QUICK OVER,391.5,195.75,85.39,352.35,64
RC,0272,BIT DRILL OD4.5 MM MEDLINE CANNULATED AO QUICK CONNECT COLOR CODED,270.0,135.0,58.89,243.0,64
RC,0272,BIT DRILL OD4.5 MM ODSEC3.2 MM TAPER SALVATION STEP,306.46,153.23,66.84,275.81,64
RC,0272,BIT DRILL OD4.5 MM PEDIFLEX,100.69,50.35,21.96,90.62,64
RC,0272,BIT DRILL OD4.5 MM PERI-LOC FEMUR DISTAL CANNULATED DRILL LARGE FRAGMENT LARGE FRAGMENT,101.26,50.63,22.08,91.13,64
RC,0272,BIT DRILL OD4.7 MM 1/4 IN MAXTORQUE CANNULATED SQUARE CONNECT,159.2,79.6,34.72,143.28,64
RC,0272,BIT DRILL OD5 MM CANNULATED,446.72,223.36,97.43,402.05,64
RC,0272,BIT DRILL OD5 MM DARCO HEAD 7.5 MM SCREW,131.34,65.67,28.65,118.21,64
RC,0272,BIT DRILL OD5 MM LEVERAGE LFS SPINE SHAFT,66.0,33.0,14.39,59.4,64
RC,0272,BIT DRILL OD5 MM ODSEC7.3 MM 10 MM STEP,352.28,176.14,76.83,317.05,64
RC,0272,BIT DRILL OD5 MM PRECICE ANKLE STEP,437.0,218.5,95.31,393.3,64
RC,0272,BIT DRILL OD5 MM SALVATION,244.77,122.39,53.38,220.29,64
RC,0272,BIT DRILL OD5 MM SHUKLA SCREW S9SCREW,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL OD5 MM STRAIGHT CANNULATED 7 MM SCREW,169.2,84.6,36.9,152.28,64
RC,0272,BIT DRILL OD5.3 MM UNIVERSAL VERSANAIL FEMORAL TROCHANTER VERSANAIL,192.0,96.0,41.88,172.8,64
RC,0272,BIT DRILL OD5.3 MM VERSANAILDRILL BIT,204.0,102.0,44.49,183.6,64
RC,0272,BIT DRILL OD5.5 MM,79.0,39.5,17.23,71.1,64
RC,0272,BIT DRILL OD5.5 MM POLYAX CORTEX LATERAL CANNULATED LOCK PLATE SYSTEM,209.0,104.5,45.58,188.1,64
RC,0272,BIT DRILL OD6 MM CANNULATED 6.5 MM HEADLESS COMPRESSION SCREW,293.7,146.85,64.06,264.33,64
RC,0272,BIT DRILL OD6 MM CARBIDE,246.72,123.36,53.81,222.05,64
RC,0272,BIT DRILL OD6 MM CARBIDE EXTENSION,293.98,146.99,64.12,264.58,64
RC,0272,BIT DRILL OD6 MM ODSEC5 MM TAPER SALVATION STEP,326.36,163.18,71.18,293.72,64
RC,0272,BIT DRILL OD6 MM SHUKLA SCREW S9SCREW,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL OD6 MM SOLUTION SYSTEM CEMENT PLUG,593.55,296.78,129.45,534.2,64
RC,0272,BIT DRILL OD6.5 MM CONICAL STOP,270.55,135.28,59.01,243.5,64
RC,0272,BIT DRILL OD6.5 MM CONICAL STOP QUICK COUPLING,312.73,156.37,68.21,281.46,64
RC,0272,BIT DRILL OD60 MM SALVATION 2.5 MM SCREW,125.37,62.69,27.34,112.83,64
RC,0272,BIT DRILL OD7 MM SHUKLA SCREW S9SCREW,250.0,125.0,54.53,225.0,64
RC,0272,BIT DRILL OD8 MM DHS TRIPLE REAMER,442.57,221.29,96.52,398.31,64
RC,0272,BIT DRILL OSTEORAPTOR TWIST TIP 2.3 MM ANCHOR,159.0,79.5,34.68,143.1,64
RC,0272,BIT DRILL OVER CANNULATED 3.5MM DIA 122MML TITANIUM QUICK-CONNECT COUPLING AO FITTING VARIAX STERILE DISPOSABLE,121.39,60.7,26.48,109.25,64
RC,0272,BIT DRILL PHOENIX,198.97,99.49,43.4,179.07,64
RC,0272,BIT DRILL POLYETHYLENE F/LINER REMOVER G7 STERILE PROXIMAL FEMORAL,100.0,50.0,21.81,90.0,64
RC,0272,BIT DRILL PROVIDENCE 10MM,67.0,33.5,14.61,60.3,64
RC,0272,BIT DRILL PROXIMAL CONQUEST FN LATEX-FREE,841.0,420.5,183.42,756.9,64
RC,0272,BIT DRILL QUICK CONNECT STERILE 195MM,81.59,40.8,17.79,73.43,64
RC,0272,BIT DRILL RELINE C NONSTERILE LATEX FREE DISPOSABLE,73.0,36.5,15.92,65.7,64
RC,0272,BIT DRILL REPLACEMENT TWIST 4MM DIA 260MML 235MML QUICK-CONNECT SOLID F/DRILLING HOLES IN BONE IMPLANT FIXATION,114.35,57.18,24.94,102.92,64
RC,0272,BIT DRILL REPROCESSED 4.2MM DIA 330MML STAINLESS STEEL INTRAMEDULLARY FLUTEDX3 QUICK-COUPLING CANNULATED CALIBRATED F/TIBIAL FEMORAL SYSTEM NAIL-EX NON-RADIOPAQUE MRI-COMPATIBLE NON-STERILE DISPOSABLE,20.19,10.1,4.4,18.17,64
RC,0272,BIT DRILL SEMIEXTD GUIDE PROBEMETA SS,294.72,147.36,64.28,265.25,64
RC,0272,BIT DRILL SPINE 3.5 MM SCREW,95.0,47.5,20.72,85.5,64
RC,0272,BIT DRILL STANDARD ACUTRAK 2,221.0,110.5,48.2,198.9,64
RC,0272,BIT DRILL STARTER PRECICE,342.0,171.0,74.59,307.8,64
RC,0272,BIT DRILL STRAIGHT SELF-CENTERING FORTIFY I,305.0,152.5,66.52,274.5,64
RC,0272,BIT DRILL SURESHOT LONG,119.48,59.74,26.06,107.53,64
RC,0272,BIT DRILL TRI FLAT DISP 1.2MM,34.95,17.48,7.62,31.46,64
RC,0272,BIT DRILL TWIST 1.5MM DIA 100MML FLUTED J NOTCH W/20MM STOP SINGLE-USE,146.46,73.23,31.94,131.81,64
RC,0272,BIT DRILL TWIST 1.5MM DIA 100MML J-NOTCH ATTACHMENT W/20MM STOP SINGLE-USE,146.46,73.23,31.94,131.81,64
RC,0272,BIT DRILL TWIST 1.5MM DIA 100MML SAGITTAL F/25-471-05 MORRISON SINGLE-USE,110.0,55.0,23.99,99.0,64
RC,0272,BIT DRILL TWIST 2.5MM DIA 111MML 86MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,26.68,13.34,5.82,24.01,64
RC,0272,BIT DRILL TWIST 2.5MM DIA 181MML 156MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,36.03,18.02,7.86,32.43,64
RC,0272,BIT DRILL TWIST 2.7MM DIA 102MML 76MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,21.35,10.68,4.66,19.22,64
RC,0272,BIT DRILL TWIST 2.7MM DIA 125MML 100ML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,21.35,10.68,4.66,19.22,64
RC,0272,BIT DRILL TWIST 2MM DIA 125MML 100MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,21.35,10.68,4.66,19.22,64
RC,0272,BIT DRILL TWIST 3.2MM DIA 170MML CANNULATED AO FITTING LCP STERILE,345.92,172.96,75.45,311.33,64
RC,0272,BIT DRILL TWIST 3.5MM DIA 112MML 86MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,21.35,10.68,4.66,19.22,64
RC,0272,BIT DRILL TWIST 3.5MM DIA 196MML 171MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,32.01,16.01,6.98,28.81,64
RC,0272,BIT DRILL TWIST 4.5MM DIA 147MML 121MML WORKING STAINLESS STEEL QUICK-CONNECT SOLID F/SYNTHES COUPLING NON-STERILE,27.5,13.75,6.0,24.75,64
RC,0272,BIT DRILL TWIST NONSTERILE LATEX FREE DISPOSABLE,361.0,180.5,78.73,324.9,64
RC,0272,BIT DRILL TWIST REPLACEMENT 2MM DIA 140MML 115MML,93.56,46.78,20.41,84.2,64
RC,0272,BIT DRILL TWIST STOP 250MML W/ANCHOR BOLT,309.0,154.5,67.39,278.1,64
RC,0272,BIT DRILL UCSS CANNULATED,147.0,73.5,32.06,132.3,64
RC,0272,BIT DRILL W/CENTERING SLEEVE F/2.2MM SUTURE ANCHOR SURELOCK NON-STERILE DISPOSABLE,169.0,84.5,36.86,152.1,64
RC,0272,BIT DRILL W/O STOPPER PICCOLO STERILE SINGLE-USE,275.0,137.5,59.98,247.5,64
RC,0272,BIT DRIVER 1.5MM ANATOMIC LOCK PLATE SYSTEM DISPOSABLE,60.0,30.0,13.09,54.0,64
RC,0272,BIT FEMORAL TIBIAL PIN STERILE DRILL,933.75,466.88,203.65,840.38,64
RC,0272,BIT MILLING 2MM 2.35X33.5SHAFTSTL,76.8,38.4,16.75,69.12,64
RC,0272,BIT MILLING STL 2MM,76.8,38.4,16.75,69.12,64
RC,0272,BIT SCREWDRIVER 2MM 2.5MM ANATOMIC LOCK PLATE SYSTEM DISPOSABLE,60.0,30.0,13.09,54.0,64
RC,0272,BIT SCREWDRIVER T15 AO FIT AXSOS,278.6,139.3,60.76,250.74,64
RC,0272,BIT SURGICAL STABLE OD2.0 MM REFLEX,95.0,47.5,20.72,85.5,64
RC,0272,BLADE 1 MM STRAIGHT FEATHER SURGICAL,399.0,199.5,87.02,359.1,64
RC,0272,BLADE 360 D OD8 MM TREPHINE RADIAL VACUUM BARRON STAINLESS STEEL SURGICAL RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,BLADE 5.5MM FULL RADIUS PLATINUM SERIES,57.0,28.5,12.43,51.3,64
RC,0272,BLADE 6 PACK KOBYGARD SURGICAL,4368.0,2184.0,952.66,3931.2,64
RC,0272,BLADE ARTHROSCOPIC 1 PIECE SHARP SOLID CAPSULECUT 4 MM CURVE,215.0,107.5,46.89,193.5,64
RC,0272,BLADE ARTHROSCOPIC 2.9MM DIA 11CML STAINLESS STEEL INFERIOR TURBINATE W/TUB LATEX-FREE STERILE DISPOSABLE,1265.4,632.7,275.98,1138.86,64
RC,0272,BLADE ARTHROSCOPIC ENDOBLADE GASTROC RECESSION SYSTEM,895.0,447.5,195.2,805.5,64
RC,0272,BLADE ARTHROSCOPIC ENDOBLADE PLANTAR FASCIA RELEASE SYSTEM,895.0,447.5,195.2,805.5,64
RC,0272,BLADE ARTHROSCOPIC FULL RADIUS SAMURAI CAPSULAR TISSUE,249.98,124.99,54.52,224.98,64
RC,0272,BLADE ARTHROSCOPIC FULL RADIUS SHARP TIP UNIBODY DISPOSABLE SAMURAI CAPSULAR TISSUE,249.99,125.0,54.52,224.99,64
RC,0272,BLADE ARTHROSCOPIC OD4.2 MM FULL RADIUS RESECTOR LARGE HUB OSCILLATE STERLING L13 CM 2500-6000 RPM,271.92,135.96,59.31,244.73,64
RC,0272,BLADE ARTHROSCOPIC SMOOTH CUTTER BITE 3.5MM STERILE LATEX FREE DISPOSABLE STRYKER,413.34,206.67,90.15,372.01,64
RC,0272,BLADE ARTHROSCOPIC STRAIGHT SHARP TIP 1-PIECE CUTTING TEXTURED HANDLE F/INTERPORTAL T-CAPSULOTOMY CAP-FIX SINGLE-USE,225.0,112.5,49.07,202.5,64
RC,0272,BLADE ATRAUMATIC CAPSULECUT CURVED,900.0,450.0,196.29,810.0,64
RC,0272,BLADE BONE CEMENT 10MM X 90MM TITANIUM FLAT SMOOTH OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,BLADE BONE CEMENT 6MM X 80MM TITANIUM CURVED SERRATED OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,BLADE BONE CEMENT 6MM X 80MM TITANIUM FLAT SMOOTH OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,BLADE BONE MILL OD3.2 MM FINE NA,1627.21,813.61,354.89,1464.49,64
RC,0272,BLADE CALCAR L3 CM X W8 MM BEVEL EDGE SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE CHISEL 1 MM STRAIGHT L60 MM X W10 MM POLARCUP,117.0,58.5,25.52,105.3,64
RC,0272,BLADE CHISEL 10 MM CURVE NA,82.76,41.38,18.05,74.48,64
RC,0272,BLADE CHISEL 120X9MM THK1MM STRAIGHT 12MM STERILE DISPOSABLE RENOVATION RADIAL,179.7,89.85,39.19,161.73,64
RC,0272,BLADE CHISEL 15 D 1 MM OFFSET L27 MM X W10 MM RENOATION,141.9,70.95,30.95,127.71,64
RC,0272,BLADE CHISEL 16 MM CURVE NA,82.76,41.38,18.05,74.48,64
RC,0272,BLADE CHISEL 16MM 399.560,56.82,28.41,12.39,51.14,64
RC,0272,BLADE CHISEL 25 MM CURVE NA,82.76,41.38,18.05,74.48,64
RC,0272,"BLADE CHISEL FLEXIBLE L2.5 IN X W10 MM FLEXIBLE CHISEL BLADE, 10MM X 2.5",300.6,150.3,65.56,270.54,64
RC,0272,BLADE CHISEL FLEXIBLE L2.5 IN X W12 MM DEPUY ORTHOPAEDICS,300.6,150.3,65.56,270.54,64
RC,0272,"BLADE CHISEL FLEXIBLE L2.5 IN X W20 MM FLEXIBLE CHISEL BLADE, 20MM X 2.5",300.6,150.3,65.56,270.54,64
RC,0272,"BLADE CHISEL FLEXIBLE L5 IN X W12 MM FLEXIBLE CHISEL BLADE, 12MM X 5",300.6,150.3,65.56,270.54,64
RC,0272,BLADE CHISEL THK1 MM L38 MM X W8 MM RENOVATION LATERAL,141.9,70.95,30.95,127.71,64
RC,0272,BLADE CHISEL THK1 MM OFFSET SMALL L27 MM X W8 MM RENOVATION O15,124.8,62.4,27.22,112.32,64
RC,0272,BLADE CHISEL THK1 MM SMALL STRAIGHT L40 MM X W10 MM RENOVATION,117.0,58.5,25.52,105.3,64
RC,0272,BLADE CHISEL THK1 MM STRAIGHT L40 MM X W12 MM RENOVATION KNEE,117.0,58.5,25.52,105.3,64
RC,0272,BLADE CHISEL THK1 MM STRAIGHT L60 MM X W12 MM RENOVATION KNEE,117.0,58.5,25.52,105.3,64
RC,0272,BLADE CHISEL THK1 MM STRAIGHT LONG L120 MM X W10 MM RENOVATION,120.9,60.45,26.37,108.81,64
RC,0272,BLADE CHISEL THK1 MM STRAIGHT SMALL L68 MM X W12 MM RENOVATION LATERAL R100,141.9,70.95,30.95,127.71,64
RC,0272,BLADE CHISEL W10 MM LONG,56.82,28.41,12.39,51.14,64
RC,0272,BLADE CHISEL W25 MM,56.82,28.41,12.39,51.14,64
RC,0272,BLADE CUTTER NA CABLE,713.51,356.76,155.62,642.16,64
RC,0272,BLADE CUTTER OD3.5 MM STRAIGHT DYONICS RED,264.0,132.0,57.58,237.6,64
RC,0272,BLADE DERMATOME 1.25-4.25IN STERILE,285.5,142.75,62.27,256.95,64
RC,0272,BLADE DERMATOME ELECTRIC SIZE 252 PADGETT LATEX-FREE STERILE DISPOSABLE,784.0,392.0,170.99,705.6,64
RC,0272,BLADE DERMATOME REPROCESSED 2INW 1.25-4.25INL STAINLESS STEEL ABS PLASTIC BROWN F/SKIN GRAFTING 880000010 STERILE DISPOSABLE AIR,13.73,6.87,2.99,12.36,64
RC,0272,BLADE DERMATOME REPROCESSED AIR 2INW 1.25-4.25INL STAINLESS STEEL ABS PLASTIC BROWN F/SKIN GRAFTING 880000010 STERILE DISPOSABLE,13.73,6.87,2.99,12.36,64
RC,0272,BLADE DERMATOME STERILE DISPOSABLE COCHLEAR BAHA,75.0,37.5,16.36,67.5,64
RC,0272,BLADE ENDOSCOPIC MORCELLATOR 2.9MM DIA 357MML ROTARY TRUCLEAR INCISOR STERILE DISPOSABLE,641.53,320.77,139.92,577.38,64
RC,0272,BLADE ENDOSCOPIC SCOPE MOUNT STERILE DISPOSABLE AM STAINLESS STEEL - AM96BLD1,526.0,263.0,114.72,473.4,64
RC,0272,BLADE EXODUS SURGICAL HIP STEM REMOVAL,1935.0,967.5,422.02,1741.5,64
RC,0272,BLADE EXTRACTOR 50MM ACETABULAR STARTER SINGLE-USE,795.0,397.5,173.39,715.5,64
RC,0272,BLADE EXTRACTOR 50MM FINISHER F/ACETABULAR CUP SINGLE-USE,795.0,397.5,173.39,715.5,64
RC,0272,BLADE EXTRACTOR 52MM FINISHER F/ACETABULAR CUP DISP,795.0,397.5,173.39,715.5,64
RC,0272,BLADE EZ 1.27X22X90MM,55.0,27.5,12.0,49.5,64
RC,0272,BLADE FIN SHORT SHORT FIN OSTEOTOME BLADE OSTEOTOME,174.15,87.08,37.98,156.74,64
RC,0272,BLADE FLEXIBLE MEDIUM FLAT MEDIUM FLAT OSTEOTOME BLADE OSTEOTOME,174.15,87.08,37.98,156.74,64
RC,0272,BLADE HIP LATERAL L11 CM X W12 MM BEVEL EDGE CURVE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE HIP MEDIAL L16 CM X W12 MM CURVE SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,"BLADE IM NL L95 MM HIP STNLS STL LCP DHHS,DHHS HLX",302.82,151.41,66.05,272.54,64
RC,0272,BLADE KERATOME 3.2MM MATTE,105.25,52.63,22.96,94.73,64
RC,0272,BLADE L104 MM X W10 MM FLEXIBLE THIN REPLACEMENT NA OSTEOTOME STAINLESS STEEL,413.0,206.5,90.08,371.7,64
RC,0272,BLADE L11 CM X W10 MM CUP SHUKLA BLADE S9BLADE OSTEOTOME,170.0,85.0,37.08,153.0,64
RC,0272,BLADE L11 CM X W10 MM FLAT BEVEL EDGE SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W12 MM CUP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W14 MM CUP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W16 MM CUP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W20 MM CUP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W20 MM FLAT ROUND TIP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W20 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L11 CM X W8 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L12 MM X W11 MM CURVE MEDIAL HIP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L16 CM X W12 MM HIP LATERAL CURVE SHUKLA BLADE S9BLADE OSTEOTOME,170.0,85.0,37.08,153.0,64
RC,0272,BLADE L2 CM X W16 MM FLAT TIP Z SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L2 CM X W16 MM ROUND TIP Z SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L3 CM X W6 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L3 IN X W10 MM REVISION THIN RENOVATION OSTEOTOME,52.2,26.1,11.38,46.98,64
RC,0272,BLADE L3 IN X W12 MM REVISION THIN RENOVATION OSTEOTOME,52.2,26.1,11.38,46.98,64
RC,0272,BLADE L3 IN X W20 MM REVISION THIN RENOVATION OSTEOTOME,52.2,26.1,11.38,46.98,64
RC,0272,BLADE L3 IN X W8 MM REVISION THIN RENOVATION OSTEOTOME,52.2,26.1,11.38,46.98,64
RC,0272,BLADE L5 CM X W10 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L5 CM X W12 MM FLAT ROUND TIP SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L5 CM X W12 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L5 CM X W8 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE L5 IN X W10 MM THIN RENOVATION OSTEOTOME,66.0,33.0,14.39,59.4,64
RC,0272,BLADE L5 IN X W20 MM REVISION LONG QUICK COUPLING HANDLE THIN ROUND STRAIGHT HIP SYSTEM RENOVATION OSTEOTOME,66.0,33.0,14.39,59.4,64
RC,0272,BLADE L5 IN X W8 MM REVISION THIN HIP SYSTEM RENOVATION OSTEOTOME,66.0,33.0,14.39,59.4,64
RC,0272,BLADE L9 CM X W6 MM FLAT SHUKLA BLADE S9BLADE OSTEOTOME,195.0,97.5,42.53,175.5,64
RC,0272,BLADE LARYNGOSCOPE 4 SPECTRUM LOPRO GLIDESCOPE,369.0,184.5,80.48,332.1,64
RC,0272,BLADE LARYNGOSCOPE LOPRO S3 SPECTRUM,369.0,184.5,80.48,332.1,64
RC,0272,BLADE LATARJET OSTEOTOME,125.0,62.5,27.26,112.5,64
RC,0272,BLADE MICRO 32 X 18MM OSC,68.0,34.0,14.83,61.2,64
RC,0272,BLADE MVR 19GA,130.98,65.49,28.57,117.88,64
RC,0272,BLADE NANOPLASTY SAW 29.5MMX7MM,50.0,25.0,10.91,45.0,64
RC,0272,BLADE NARROW SAGITTAL MICS MAKO SURGICAL,305.0,152.5,66.52,274.5,64
RC,0272,BLADE OPHTHALMIC 4MM BANANA SHARP ALL AROUND BD ARTHRO-LOK STERILE LATEX FREE DISPOSABLE,69.35,34.68,15.13,62.42,64
RC,0272,BLADE OPHTHALMIC 4MM MINI FLAT BD BEAVER ARTHRO-LOK MENISCUS STERILE LATEX FREE,69.95,34.98,15.26,62.96,64
RC,0272,BLADE OPHTHALMIC 60D BEVEL UP GRINDLESS SHARP ALL AROUND BEAVER MINI-BLADE BLACK,49.02,24.51,10.69,44.12,64
RC,0272,BLADE OPHTHALMIC 7.5MM UNIVERSAL TREPHINE UNIQUE HUB VARYING EDGE TANNE STERILE DISPOSABLE,59.15,29.58,12.9,53.24,64
RC,0272,BLADE OPHTHALMIC 7.75MM UNIVERSAL TREPHINE UNIQUE HUB VARYING EDGE TANNE STERILE DISPOSABLE,59.15,29.58,12.9,53.24,64
RC,0272,BLADE OPHTHALMIC 8.25MM 17MM TREPHINE UNIVERSAL HUB VARY EDGE TANNE STAINLESS STEEL STERILE DISPOSABLE,59.15,29.58,12.9,53.24,64
RC,0272,BLADE OPHTHALMIC 8.25MM TREPHINE VACUUM CONSISTENT SHARPNESS ULTRAFIT STAINLESS STEEL CORNEA STERILE DISPOSABLE CORONET,70.17,35.09,15.3,63.15,64
RC,0272,BLADE OPHTHALMIC 8.5MM UNIVERSAL TREPHINE UNIQUE HUB VARYING EDGE TANNE STERILE DISPOSABLE,59.15,29.58,12.9,53.24,64
RC,0272,BLADE OPHTHALMIC 8MM UNIVERSAL TREPHINE UNIQUE HUB VARYING EDGE TANNE STERILE DISPOSABLE,59.15,29.58,12.9,53.24,64
RC,0272,BLADE OPHTHALMIC BEAVER 4MM DIA ROUNDED TIP SHARP ON ONE SIDE FLAT ARTHRO-LOK LATEX-FREE,65.02,32.51,14.18,58.52,64
RC,0272,BLADE OPHTHALMIC NARROW SHAFT DOWNWARD CUT LANCE TIP 45 D OFFSET BEAVER MYRINGOTOMY,122.53,61.27,26.72,110.28,64
RC,0272,BLADE OPHTHALMIC NEEDLE 1.5MM DIA STAINLESS STEEL CUTTING EDGE BEAVER STERILE SINGLE-USE,55.48,27.74,12.1,49.93,64
RC,0272,BLADE OPHTHALMIC NEEDLE 7MML STAINLESS STEEL STRAIGHT CUTTING EDGE SCLEROTOME LATEX-FREE STERILE DISPOSABLE,168.48,84.24,36.75,151.63,64
RC,0272,BLADE OPHTHALMIC NEEDLE CUT EDGE 3 MM BD BEAVER,50.16,25.08,10.94,45.14,64
RC,0272,BLADE OPHTHALMIC OD9 MM RADIAL VACUUM 360 D BARRON STAINLESS STEEL RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,BLADE OPHTHALMIC STRAIGHT CAP-FIX,150.0,75.0,32.72,135.0,64
RC,0272,BLADE OSTEOTOME 12MM RADIUS STERILE DISPOSABLE,82.5,41.25,17.99,74.25,64
RC,0272,BLADE OSTEOTOME SHORT 12MM HIP CURVED END THIN,110.0,55.0,23.99,99.0,64
RC,0272,BLADE OSTEOTOME THIN ROUND END 5INX12MM STERILE DISPOSABLE,66.0,33.0,14.39,59.4,64
RC,0272,BLADE OSTEOTOME WATSON EXTRACTION STRAIGHT LATERAL SIZE 16,2500.0,1250.0,545.25,2250.0,64
RC,0272,BLADE OSTEOTOME WATSON EXTRACTION STRAIGHT MEDIAL SIZE 13,2500.0,1250.0,545.25,2250.0,64
RC,0272,BLADE PLATFORM DEEP PUMP ACCESSRAIL SURGICAL,85.22,42.61,18.59,76.7,64
RC,0272,BLADE RADIAL 14 RENOVATION OSTEOTOME,82.5,41.25,17.99,74.25,64
RC,0272,BLADE RADIAL MEDIUM DEPUY ORTHOPAEDICS OSTEOTOME,174.15,87.08,37.98,156.74,64
RC,0272,BLADE RADIAL SHORT DEPUY ORTHOPAEDICS OSTEOTOME,166.5,83.25,36.31,149.85,64
RC,0272,BLADE RADIUS 16 MM RENOVATION OSTEOTOME,82.5,41.25,17.99,74.25,64
RC,0272,BLADE RADIUS L5 IN THK10 MM INNOMED INC. OSTEOTOME,98.5,49.25,21.48,88.65,64
RC,0272,BLADE RADIUS REVISION 10 HIP SYSTEM RENOVATION OSTEOTOME,82.5,41.25,17.99,74.25,64
RC,0272,BLADE REAMER EXPAND X-REAM,392.0,196.0,85.5,352.8,64
RC,0272,BLADE RETRACTOR 8.75INX10MM NONSTERILE LATEX FREE REUSABLE HOHMANN V MUELLER,78.08,39.04,17.03,70.27,64
RC,0272,BLADE RETRACTOR COOLEY 1 3/8INW X 2INL 9 1/2IN SPREAD SELF-RETAINING RATCHETED V.MUELLER LATEX-FREE NON-STERILE REUSABLE,1246.16,623.08,271.79,1121.54,64
RC,0272,BLADE RETRACTOR MARS 3V SYSTEM SHIM LENGTH,132.0,66.0,28.79,118.8,64
RC,0272,BLADE RETRACTOR MARS 3V SYSTEM WIDE SHIM,132.0,66.0,28.79,118.8,64
RC,0272,BLADE SAGITTAL 45X6X.58MM,50.0,25.0,10.91,45.0,64
RC,0272,BLADE SAW 0.01MM THK THIN RCP PRECISION,300.0,150.0,65.43,270.0,64
RC,0272,BLADE SAW 105X19.5MM THK1.27MM OSCILLATE HALL PRO,43.98,21.99,9.59,39.58,64
RC,0272,BLADE SAW 105X19.5MM THK1.33MM FALCON CARTRIDGE PRECISION LATEX FREE,230.0,115.0,50.16,207.0,64
RC,0272,BLADE SAW 10MM X 35MM 0.64MM THK STERNUM 18TEETH/CM STERILE,11.83,5.92,2.58,10.65,64
RC,0272,BLADE SAW 11MM 40MM LAPIPLASTY,50.0,25.0,10.91,45.0,64
RC,0272,BLADE SAW 11MMW X 95MML X 7MMD 0.4MM 0.6MM THK CUT TRANSVERSAL STERILE,123.89,61.95,27.02,111.5,64
RC,0272,BLADE SAW 13MMX6.4/2.9MM TRAPEZOID STERILE THK.6MM CUT RECIPROCATE,85.8,42.9,18.71,77.22,64
RC,0272,BLADE SAW 16MMW X 11MML 0.5MM THK 0.7MM CUT CRESCENT TRANSVERSAL STERILE,123.89,61.95,27.02,111.5,64
RC,0272,BLADE SAW 2.532X1.379IN THK.032IN SAGITTAL HEAVY DUTY STAINLESS STEEL STERILE REPROCESSED,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW 20MM 8IN TREPHINE,544.05,272.03,118.66,489.65,64
RC,0272,BLADE SAW 2108 SERIES THK1.27 MM D90 MM SAGITTAL CUT EDGE NA W19.5 MM,42.16,21.08,9.2,37.94,64
RC,0272,BLADE SAW 22MM 8IN TREPHINE,544.05,272.03,118.66,489.65,64
RC,0272,BLADE SAW 23MM 8IN TREPHINE,544.05,272.03,118.66,489.65,64
RC,0272,BLADE SAW 24MM 8IN TREPHINE,544.05,272.03,118.66,489.65,64
RC,0272,BLADE SAW 25X9MM THK.38MM MEDIUM THIN OSCILLATE SAGITTAL AGGRESSIVE OFFSET PRECISION STAINLESS STEEL STERILE LATEX FREE DISPOSABLE,26.8,13.4,5.85,24.12,64
RC,0272,BLADE SAW 27MM THK.38MM TAPER THIN MICRO RECIPROCATE PRECISION STERILE LATEX FREE DISPOSABLE,72.86,36.43,15.89,65.57,64
RC,0272,BLADE SAW 3.543X.984IN THK.047IN 2 CUT SAGITTAL STAINLESS STEEL STERILE REPROCESSED,42.59,21.3,9.29,38.33,64
RC,0272,BLADE SAW 30.5 X 6.5MM STERNUM RECIPROCATING,18.02,9.01,3.93,16.22,64
RC,0272,BLADE SAW 300 RECIPROCATING 6MM X 40MM 0.6MM THK STERILE,125.0,62.5,27.26,112.5,64
RC,0272,BLADE SAW 300 THK.6 MM ANGLE SAGITTAL L19 MM X W10 MM,60.0,30.0,13.09,54.0,64
RC,0272,BLADE SAW 32 X 6.35MM STERNUM,12.56,6.28,2.74,11.3,64
RC,0272,BLADE SAW 40MM,177.66,88.83,38.75,159.89,64
RC,0272,BLADE SAW 45 D LONG NARROW BENDABLE NA L25 MM X W5.5 MM,35.0,17.5,7.63,31.5,64
RC,0272,BLADE SAW 46X17MM THK.6MM SAGITTAL CUT EDGE SAFEDGE STAINLESS STEEL STERNUM STERILE,28.29,14.15,6.17,25.46,64
RC,0272,BLADE SAW 49MM ACETABULAR F/CUP REMOVAL EZX,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 52 MM PACK EZOUT,1150.0,575.0,250.82,1035.0,64
RC,0272,BLADE SAW 52MM CUP REMOVAL EZX BLADE STAINLESS STEEL STERILE DISPOSABLE,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 54.5MMW X 40MML 0.038MM THK F/REPEAT STERNOTOMY LATEX-FREE,110.0,55.0,23.99,99.0,64
RC,0272,BLADE SAW 54.6MMW X 40MML F/REPEAT STERNOTOMY NEURAIRTOME HALL STERILE,10.89,5.45,2.38,9.8,64
RC,0272,BLADE SAW 54MM CUP REMOVAL EZX BLADE STAINLESS STEEL STERILE DISPOSABLE,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 58MM CUP REMOVAL EZX BLADE STAINLESS STEEL STERILE DISPOSABLE,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 64 MM CUP REMOVAL EZX BLADE STAINLESS STEEL,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 65.8MMW X 40MML F/REPEAT STERNOTOMY HALL STERILE,85.05,42.53,18.55,76.55,64
RC,0272,BLADE SAW 68 MM CUP REMOVAL EZX BLADE STAINLESS STEEL,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 70 MM CUP REMOVAL EZX BLADE STAINLESS STEEL,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 70X10X1.19MM RESECTION OXFORD,447.0,223.5,97.49,402.3,64
RC,0272,BLADE SAW 70X12.5MM THK.64MM THK.94MM RECIPROCATE LARGE BONE,10.66,5.33,2.32,9.59,64
RC,0272,BLADE SAW 73X25MM THK.89MM MEDIUM WIDE 2 CUT SAGITTAL STAINLESS STEEL STERILE LATEX FREE,21.22,10.61,4.63,19.1,64
RC,0272,BLADE SAW 74 MM CUP REMOVAL EZX BLADE STAINLESS STEEL,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW 77.6X11.2MM THK.77MM LONG RECIPROCATE OFFSET HEAVY DUTY STAINLESS STEEL STERILE LATEX FREE DISPOSABLE,28.32,14.16,6.18,25.49,64
RC,0272,BLADE SAW 79.5X25MM THK1.5MM SHORT NARROW THIN SAGITTAL STAINLESS STEEL STERILE LATEX FREE,28.29,14.15,6.17,25.46,64
RC,0272,BLADE SAW 82X12.7X1.2MM NARROW 2 CUT SAGITTAL STAINLESS STEEL STERILE LATEX FREE,21.22,10.61,4.63,19.1,64
RC,0272,BLADE SAW 85X25.4MM UNIVERSAL DIAMOND STERILE,85.5,42.75,18.65,76.95,64
RC,0272,BLADE SAW 85X25.4X.64MM SAGITTAL STERILE,85.5,42.75,18.65,76.95,64
RC,0272,BLADE SAW 9 MM RECIPROCATE SAW BLADES,76.0,38.0,16.58,68.4,64
RC,0272,BLADE SAW 9 X 31 X .051MM STRYKER OSCILLATING SINGLE USE LESSER METATARSAL SHORTENING SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,BLADE SAW 90 D THK.64 MM OSCILLATE SAGITTAL OFFSET PRECISION L9 MM X W5.5 MM STAINLESS STEEL,55.53,27.77,12.11,49.98,64
RC,0272,BLADE SAW 90X12.5MM THK1.27MM OSCILLATE SAGITTAL BR2000 LARGE BONE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW 90X12.5X1.27MM INTREX,178.5,89.25,38.93,160.65,64
RC,0272,BLADE SAW 90X19MM THK1.27MM OSCILLATE GROUND TOOTH SET STABLECUT KNEE STRYKER NEXGEN PERSONA,89.5,44.75,19.52,80.55,64
RC,0272,BLADE SAW 90X19MM THK1.27MM OSCILLATE SAGITTAL BR2000 LARGE BONE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW 90X25MM THK1.13MM SAGITTAL 2 CUT STAINLESS STEEL STERILE LATEX FREE DISPOSABLE,43.27,21.64,9.44,38.94,64
RC,0272,BLADE SAW 90X25MM THK1.27MM OSCILLATE SAGITTAL BR2000 LARGE BONE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW 96.3X18.5MM THK1.37MM SAGITTAL STERILE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW AKIN STEPPED REFLEX,295.0,147.5,64.34,265.5,64
RC,0272,BLADE SAW CARTRIDGE 18.3MMW X 105MML 1.3MM THK OSCILLATING TIP,330.0,165.0,71.97,297.0,64
RC,0272,BLADE SAW CARTRIDGE OSCILLATE TIP PRECISION FALCON STERILE LATEX FREE DISPOSABLE,330.0,165.0,71.97,297.0,64
RC,0272,BLADE SAW CONTRA ANGLE RIBFIX BLU,316.0,158.0,68.92,284.4,64
RC,0272,BLADE SAW CRESCENT CORE L26 MM X W9.5 MM X H.51 MM INTRAORAL,100.5,50.25,21.92,90.45,64
RC,0272,BLADE SAW CRESCENT OSCILLATE CUT EDGE TPS W18 MM STAINLESS STEEL,114.0,57.0,24.86,102.6,64
RC,0272,BLADE SAW D2 MM VELYS L85 MM X W19 MM,52.0,26.0,11.34,46.8,64
RC,0272,BLADE SAW EXTRA LENGTH NA L31 MM X W6.27 MM X H.79 MM STERNUM,65.0,32.5,14.18,58.5,64
RC,0272,BLADE SAW EZX ACETABULAR FOR CUP REMOVAL 53MM,1048.95,524.48,228.78,944.06,64
RC,0272,BLADE SAW F/CRANIOTOME CODMAN AIR ELAN-E STERILE,145.28,72.64,31.69,130.75,64
RC,0272,BLADE SAW INTRAORAL CUT EDGE NA L11.5 MM X W7 MM,135.11,67.56,29.47,121.6,64
RC,0272,BLADE SAW JOURNEY W.5 IN KNEE,55.08,27.54,12.01,49.57,64
RC,0272,BLADE SAW LAPIDUS CUT GUIDE SYSTEM STRYKER THK.051 MM PHANTOM L31 MM X W9 MM,115.0,57.5,25.08,103.5,64
RC,0272,BLADE SAW LAPIPLASTY,50.0,25.0,10.91,45.0,64
RC,0272,BLADE SAW LCS STABLECUT W1 IN,146.9,73.45,32.04,132.21,64
RC,0272,BLADE SAW LONG RECIPROCATE NA L80 MM X W6.4 MM X H.6 MM STAINLESS STEEL,37.43,18.72,8.16,33.69,64
RC,0272,BLADE SAW MEDIUM LONG MICRO 2 CUT OSCILLATING SAGITTAL NA L35 MM X W9 MM X H.38 MM,53.15,26.58,11.59,47.84,64
RC,0272,BLADE SAW MEDIUM NARROW OSCILLATE SAGITTAL CUT EDGE SAFEDGE L18.5 MM X W6.5 MM STAINLESS STEEL,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW MICRO OSCILLATE 25.0MM X5.5MM .38MM  STAINLESS STEEL,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW MICRO XLONG WIDE SAGITTAL 2 CUT REMB,54.73,27.37,11.94,49.26,64
RC,0272,BLADE SAW OSCILLATING 15.9MM X 14.3MM 0.38/0.68 MM MAT/CUT THK SMALL BONE STERILE,45.37,22.69,9.9,40.83,64
RC,0272,BLADE SAW OSCILLATING 19-12.5MM X 90MM 1MM THK AGGRESSIVE CUTTING CALIBRATED STERILE,95.0,47.5,20.72,85.5,64
RC,0272,BLADE SAW OSCILLATING 25INW X 90INL 1.37MM THK CUT STABLECUT,52.05,26.03,11.35,46.85,64
RC,0272,BLADE SAW OSCILLATING OFFSET TPS L30 MM X W20 MM X H.38 MM,41.4,20.7,9.03,37.26,64
RC,0272,BLADE SAW OSCILLATING SAGITTAL 25MM X 75MM 0.64MM THK STAINLESS STEEL 16TEETH/IN DUAL CUTTING AGGRESSIVE HIGH PERFORMANCE CONTROLLED F/4/5/6/2000 EHD SYSTEM PRECISION CORE TPS STERILE,52.58,26.29,11.47,47.32,64
RC,0272,BLADE SAW OSCILLATING SAGITTAL MICRO THIN 9MM X 12MM 0.38/0.61MM THK 22TEETH/IN OFFSET AGGRESSIVE TOOTH CORE TPS,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW OSCILLATING SAGITTAL REPROCESSED MICRO 5.5MMW X 18MML 0.51MM THK STAINLESS STEEL NARROW 32TEETH/CM STANDARD TOOTH CORE TPS LATEX-FREE STERILE DISPOSABLE,13.73,6.87,2.99,12.36,64
RC,0272,BLADE SAW OSCILLATING SMALL 14MMW X 25.4MML 0.4MM/0.6MM THK CUT CRESCENT 33TEETH/IN STANDARD OFFSET TOOTH MICROAIRE LATEX-FREE,35.28,17.64,7.69,31.75,64
RC,0272,BLADE SAW OSCILLATING SMALL 9.4MMW X 40.1MML 0.4MM/0.6MM THK CUT CRESCENT 22TEETH/IN STANDARD OFFSET TOOTH MICROAIRE LATEX-FREE,12.6,6.3,2.75,11.34,64
RC,0272,BLADE SAW OSCILLATING TIP CARTRIDGE PRECISION FALCON,330.0,165.0,71.97,297.0,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL 18.5MMW X 9MML 0.5MM THK CUT,32.71,16.36,7.13,29.44,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL 18MMW X 90MML 1.27MM THK 16TEETH/IN DUAL CUT AGGRESSIVE HIGH-PERFORMANCE CONTROLLED PRECISE F/4/2000/EHD SYSTEM STERILE,24.36,12.18,5.31,21.92,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL 18MMW X 90MML 1.35MM THK STAINLESS STEEL 16TEETH/IN DUAL AGGRESSIVE DUAL-CUT F/MANDIBULAR/MAXILLARY OSTEOTOMY LATEX-FREE STERILE DISPOSABLE,52.58,26.29,11.47,47.32,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL 25MMW X 90MML 1.27MM THK LARGE BONE 16TEETH/IN DUAL CUT AGGRESSIVE HIGH PERFORMANCE CONTROLLED PRECISE F/4/2000/EHD SYSTEM STERILE,24.36,12.18,5.31,21.92,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL 25MMW X 90MML 1.47MM THK 16TEETH/IN DUAL CUT AGGRESSIVE HIGH PERFORMANCE CONTROLLED PRECISE F/4/2000/EHD SYSTEM LATEX-FREE STERILE,52.58,26.29,11.47,47.32,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL 5.5MMW X 25MML CORE TPS,32.71,16.36,7.13,29.44,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO 13MMW X 39MML 0.38MM THK 22TEETH/CM OFFSET AGGRESSIVE TOOTH/THIN CORE TPS LATEX-FREE STERILE DISPOSABLE,32.5,16.25,7.09,29.25,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO 9MMW X 18.5MML 0.38MM THK STAINLESS STEEL 32TEETH/CM PRECISION THIN CORE TPS LATEX-FREE STERILE DISPOSABLE,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO 9MMW X 25MML 0.64MM THK 22TEETH/CM OFFSET AGGRESSIVE CORE TPS LATEX-FREE STERILE DISPOSABLE,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO 9MMW X 25MML STAINLESS STEEL CORE TPS LATEX-FREE STERILE DISPOSABLE,32.71,16.36,7.13,29.44,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO 9MMW X 35MML 0.64MM THK STAINLESS STEEL INTRAORAL NARROW 22TEETH/CM OFFSET AGGRESSIVE TOOTH PRECISION THIN F/MANDIBULAR/MAXILLARY OSTEOTOMY CORE TPS LATEX-FREE STE,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO LONG 13MMW X 34.5MML 0.38MM THK STAINLESS STEEL WIDE 32TEETH/CM STANDARD TOOTH PRECISION THIN CORE TPS LATEX-FREE STERILE SINGLE-USE,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO LONG/MEDIUM 14MMW X 25.5MML 0.38MM THK CUT 22TEETH/CM OFFSET AGGRESSIVE TOOTH/THIN CORE TPS LATEX-FREE STERILE DISPOSABLE,79.0,39.5,17.23,71.1,64
RC,0272,BLADE SAW OSCILLATING/SAGITTAL MICRO MEDIUM 9MMW X 11.5MML 0.38MM THK STAINLESS STEEL INTRAORAL NARROW 32TEETH/CM STANDARD TOOTH PRECISION THIN F/MANDIBULAR/MAXILLARY OSTEOTOMY CORE TPS LATEX-FREE STE,32.5,16.25,7.09,29.25,64
RC,0272,BLADE SAW PIRANHA RICHARD WOLF,675.0,337.5,147.22,607.5,64
RC,0272,BLADE SAW PW STRYKER 2 SIDE RECIPROCATE HALL,146.9,73.45,32.04,132.21,64
RC,0272,BLADE SAW RECIPROCATING 0.49INW X 2.79INL 0.039/0.044IN THK CUT DOUBLE SIDED OFFSET,18.38,9.19,4.01,16.54,64
RC,0272,BLADE SAW RECIPROCATING 11.2MMW X 78MML 0.64MM THK LARGE BONE TOOTH OFFSET F/STRYKER 4/5/6/7/2000 EHD ORTHOPOWER SYSTEM LATEX-FREE STERILE,11.97,5.99,2.61,10.77,64
RC,0272,BLADE SAW RECIPROCATING 25MMW X 84MML 0.4MM 0.6MM THK CUT TRAPEZOIDAL STERILE,123.89,61.95,27.02,111.5,64
RC,0272,BLADE SAW RECIPROCATING 5MMW X 73MML 12MML WORKING STRAIGHT CUT STERILE,123.89,61.95,27.02,111.5,64
RC,0272,BLADE SAW RECIPROCATING 70MMW X 12.5MMH 1MM THK 20TEETH/CM DOUBLE SIDED CORE TPS LATEX-FREE STERILE DISPOSABLE,38.36,19.18,8.37,34.52,64
RC,0272,BLADE SAW RECIPROCATING 76MMW X 12.5MMH 0.9MM THK 20TEETH/CM DOUBLE SIDED CORE TPS LATEX-FREE STERILE DISPOSABLE,37.4,18.7,8.16,33.66,64
RC,0272,BLADE SAW RECIPROCATING REPROCESSED 11.2MMW X 78MML 0.64MM THK LARGE BONE TOOTH OFFSET F/STRYKER 4/5/6/7/2000 EHD ORTHOPOWER SYSTEM LATEX-FREE STERILE,13.73,6.87,2.99,12.36,64
RC,0272,BLADE SAW RECIPROCATING REPROCESSED 12.7MMW X 70MML 0.64MM/0.94MM THK CUT STAINLESS STEEL TEETH OFFSET DOUBLE SIDED F/4/5/6/7/2000 EHD ORTHOPOWER SYSTEM KM SERIES LATEX-FREE STERILE DISPOSABLE,13.73,6.87,2.99,12.36,64
RC,0272,BLADE SAW ROUND W100 MM X H19 MM,69.82,34.91,15.23,62.84,64
RC,0272,BLADE SAW SAGITTAL 12.5MMW X 61.5MML 1.19MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 12.5MMW X 70MML 0.64MM THK 16TEETH/CM NO OFFSET F/4/2000/EHD SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 12.5MMW X 73MML 1.27MM THK 12TEETH/CM F/4/2000/EHD SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 12.5MMW X 73MML 1.27MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM LATEX-FREE STERILE SINGLE-USE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 12.5MMW X 80MML 0.047MM THK LARGE BONE DIAMOND 12TEETH/CM NO OFFSET F/STRYKER 4/2000/EHD SYSTEM BR2000 SERIES STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 12.5MMW X 90MML 0.89MM THK LARGE BONE NO OFFSET AGGRESSIVE CUT F/STRYKE 4/5/6/7/2000 EHD SYSTEM BR2000 SERIES STERILE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW SAGITTAL 18.5MMW X 73MML 0.89MM THK LARGE BONE 12TEETH/CM TOOTH OFFSET F/STRYKER 4/2000/EHD SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 18.5MMW X 73MML 1.24MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM LATEX-FREE STERILE SINGLE-USE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 18.5MMW X 83.5MML 1.24MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM LATEX-FREE STERILE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 18MMW X 100MML 1.19MM THK BEVELED EDGE NO OFFSET HEAVY-DUTY F/SYSTEM 6 PERFORMANCE SERIES 6118119100,51.59,25.8,11.25,46.43,64
RC,0272,BLADE SAW SAGITTAL 19.5MMW X 55MML 0.64MM THK 1MM THK CUT LARGE BONE 12TEETH/CM TOOTH OFFSET F/STRYKER 4/2000/EHD SYSTEM BR2000 SERIES STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 19MM X 100MM 1.27MM THK LARGE BONE NO OFFSET AGGRESSIVE CUT F/STRYKER 4/5/6/7/2000 EHD SYSTEM BR2000 SERIES STERILE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW SAGITTAL 19MMW X 80MML 1.27MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 19MMW X 90MML 1.37MM THK LARGE BONE NO OFFSET AGGRESSIVE CUT F/STRYKE 4/5/6/7/2000 EHD SYSTEM BR2000 SERIES STERILE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW SAGITTAL 20.5MMW X 94.5MML 0.89MM THK STRAIGHT 12TEETH/CM OFFSET HEAVY-DUTY F/4/2000/EHD SYSTEM LATEX-FREE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 21MMW X 90MML 1.99MM THK LARGE BONE FLARED NO OFFSET AGGRESSIVE CUT F/STRYKE 4/5/6/7/2000 EHD SYSTEM BR2000 SERIES STERILE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW SAGITTAL 25.4MM X 90MM 1.37MM THK STERILE,22.64,11.32,4.94,20.38,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 100MML 1.14MM THK LARGE BONE TOOTH OFFSET AGGRESSIVE CUT F/STRYKER 4/5/6/7/2000 EHD SYSTEM STERILE,24.36,12.18,5.31,21.92,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 73MML 0.64MM THK CHROMIUM COATED LARGE BONE TOOTH OFFSET F/STRYKE 4/5/6/7/2000 EHD SYSTEM BR2000 SERIES STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 75MML 0.059MM THK 12TEETH/CM HEAVY-DUTY F/4/2000/EHD SYSTEM,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 85MML 0.89MM THK STAINLESS STEEL LARGE BONE TOOTH OFFSET F/4/5/6/7/2000 EHD SYSTEM STERILE DISPOSABLE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 86.5MML 1.32MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM LATEX-FREE STERILE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 86.5MML 1.32MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 86.5MML 1.32MM THK STAINLESS STEEL 12TEETH/CM AGGRESSIVE TOOTH F/4/2000 SYSTEM CORE TPS LATEX-FREE STERILE DISPOSABLE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 89.5MML 0.89MM THK STAINLESS STEEL LARGE BONE 12TEETH/CM F/4/2000/EHD SYSTEM LATEX-FREE STERILE DISPOSABLE,19.2,9.6,4.19,17.28,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 90MML 1.19MM THK AGGRESSIVE CUT W/O TOOTH OFFSET F/LARGE BONE REPLACEMENT,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 90MML 1.35MM THK LARGE BONE TOOTH OFFSET AGGRESSIVE CUT F/STRYKER 4/2000/EHD SYSTEM STERILE,24.36,12.18,5.31,21.92,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 91.5MML 1.27MM THK 12TEETH/CM NO OFFSET AGGRESIVE TOOTH F/4/2000 SYSTEM LATEX-FREE STERILE SINGLE-USE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 25MMW X 9MML 1.37MM THK LARGE BONE NO OFFSET AGGRESSIVE CUT F/STRYKE 4/5/6/7/2000 EHD SYSTEM BR2000 SERIES STERILE,26.46,13.23,5.77,23.81,64
RC,0272,BLADE SAW SAGITTAL 29MMW X 58MML 0.64MM THK F/4/2000/EHD SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 32MM X 62.8MM 0.6MM THK FLARED NON-STERILE,24.85,12.43,5.42,22.37,64
RC,0272,BLADE SAW SAGITTAL 33MMW X 64MML 0.78MM THK FLARED 18TEETH/CM HEAVY-DUTY F/4/5/2000 SYSTEM,45.14,22.57,9.85,40.63,64
RC,0272,BLADE SAW SAGITTAL 40.5MMW X 37.5MML 0.64MM THK 22TEETH/CM OFFSET HEAVY-DUTY F/4/2000/EHD SYSTEM LATEX-FREE STERILE,39.03,19.52,8.51,35.13,64
RC,0272,BLADE SAW SAGITTAL 48.5MMW X 61MML 0.64MM THK 18TEETH/CM F/4/2000/EHD SYSTEM LATEX-FREE STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL 61MM DIA 48.5MM CUT EDGE FLARED STERILE,29.01,14.51,6.33,26.11,64
RC,0272,BLADE SAW SAGITTAL 9.5MM CUT EDGE0.64MM THICK 63MMD STERILE,110.0,55.0,23.99,99.0,64
RC,0272,BLADE SAW SAGITTAL AGGRESSIVE 11MMW X 90MML 1.27MM THK CUT HIGH-PERFORMANCE F/4/2000/EHD SYSTEM STERILE,24.36,12.18,5.31,21.92,64
RC,0272,BLADE SAW SAGITTAL AGGRESSIVE 11MMW X 90MML 1.27MM THK CUT HIGH-PERFORMANCE STERILE,52.58,26.29,11.47,47.32,64
RC,0272,BLADE SAW SAGITTAL CUT W32 MM STERNUM,24.1,12.05,5.26,21.69,64
RC,0272,BLADE SAW SAGITTAL LARGE 12.5MMW X 81.5MML COBALT CHROMIUM MOBILE BEARING,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL LONG THICK 18.5MMW X 83.5MML 30MMH 1.24MM THK 12TEETH/CM NO OFFSET F/4/2000 SYSTEM LATEX-FREE STERILE SINGLE-USE,110.0,55.0,23.99,99.0,64
RC,0272,BLADE SAW SAGITTAL MEDIUM 25MMW X 70MML 0.89MM THK LARGE BONE 12TEETH/CM F/4/2000/EHD SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL MEDIUM LONG 21MMW X 84.5MML 0.89MM THK 12TEETH/CM HEAVY-DUTY F/4/2000/EHD SYSTEM STERILE,17.0,8.5,3.71,15.3,64
RC,0272,BLADE SAW SAGITTAL OSCILLATE PRECISION L30 MM X W15 MM X H.51 MM STAINLESS STEEL,114.0,57.0,24.86,102.6,64
RC,0272,BLADE SAW SAGITTAL OSCILLATING LARGE 19.5MMW X 95MML 1.27MM THK CUT STERILE,39.11,19.56,8.53,35.2,64
RC,0272,BLADE SAW SAGITTAL REPROCESSED 19.5MM X 86MM 1.27MM THK LARGE BONE COATED F/4/5/2000 STRYKER SYSTEM HALL,60.0,30.0,13.09,54.0,64
RC,0272,BLADE SAW SHORT MEDIUM CUT DEPTH NA L25.5 MM,26.94,13.47,5.88,24.25,64
RC,0272,BLADE SAW SPIRAL WIRE GIGLI L20 IN,68.4,34.2,14.92,61.56,64
RC,0272,BLADE SAW STAINLESS STEEL NARROW AXIOM STERILE STRYKER SYSTEM 7,92.0,46.0,20.07,82.8,64
RC,0272,BLADE SAW STAINLESS STEEL RECIPROCATING AXIOM STERILE STRYKER,92.0,46.0,20.07,82.8,64
RC,0272,BLADE SAW STANDARD MAKO,305.0,152.5,66.52,274.5,64
RC,0272,BLADE SAW STRYKER .315 IN UNIVERSAL NARROW INBONE II,122.0,61.0,26.61,109.8,64
RC,0272,BLADE SAW STRYKER 2000 THK1.35 MM FAN JOURNEY II PROFIX W3/4 IN,41.4,20.7,9.03,37.26,64
RC,0272,BLADE SAW STRYKER FANNED GENESIS II,45.6,22.8,9.95,41.04,64
RC,0272,BLADE SAW STRYKER THK.051 MM PHANTOM L31 MM X W9 MM,115.0,57.5,25.08,103.5,64
RC,0272,BLADE SAW STRYKER THK.89 MM FLAT OSCILLATE STABLECUT L90 MM X W13 MM,78.5,39.25,17.12,70.65,64
RC,0272,BLADE SAW STRYKER UNIVERSAL WIDE INBONE II,122.0,61.0,26.61,109.8,64
RC,0272,BLADE SAW SYSTEM 6 SAGITTAL STRYKER PERFORMANCE SERIES L90 MM X W13 MM X H1.37 MM,57.55,28.78,12.55,51.8,64
RC,0272,BLADE SAW SYSTEM 6 SIGMA STABLECUT TSS,146.9,73.45,32.04,132.21,64
RC,0272,BLADE SAW SYSTEM 6 THK0.6 MM STRYKER PERFORMANCE SERIES W30.5 MM OD1 MM STERNUM,30.45,15.23,6.64,27.41,64
RC,0272,BLADE SAW SYSTEM 6 THK1.37 MM SAGITTAL HEAVY DUTY STRYKER PERFORMANCE SERIES L90 MM X W18 MM,51.59,25.8,11.25,46.43,64
RC,0272,BLADE SAW THIN OSCILLATE SAGITTAL STRYKER PERFORMANCE SERIES SYSTEM 6 L90 MM X W18 MM X H1.19 MM STAINLESS STEEL,51.59,25.8,11.25,46.43,64
RC,0272,BLADE SAW THK .38 MM D18.5 MM MICRO THIN OSCILLATE SAGITTAL PRECISION W9 MM,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW THK 0.38 MM LONG THIN MICRO RECIPROCATING EXTENDED TPS PRECISION W22.5 MM,76.88,38.44,16.77,69.19,64
RC,0272,BLADE SAW THK.015 IN D1.22 IN MEDIUM MICRO 2 CUT SAGITTAL OSCILLATE NA W.36 IN,49.63,24.82,10.82,44.67,64
RC,0272,BLADE SAW THK.015 IN RECIPROCATING TAPERED PRECISION W22.5 MM,72.86,36.43,15.89,65.57,64
RC,0272,BLADE SAW THK.025 IN D6.3 MM CUT EDGE BRANDX STERNUM,24.1,12.05,5.26,21.69,64
RC,0272,BLADE SAW THK.025 IN SHORT TAPER RECIPROCATE TPS W22.5 MM,72.86,36.43,15.89,65.57,64
RC,0272,BLADE SAW THK.054 IN BEVEL SAGITTAL SYSTEM 6 L90 MM X W25 MM X H1.37 MM,51.59,25.8,11.25,46.43,64
RC,0272,BLADE SAW THK.38 MM D11.5 MM MICRO THIN OSCILLATE SAGITTAL PRECISION W5.5 MM STAINLESS STEEL,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW THK.38 MM D12 MM THIN OSCILLATE PRECISION W11.5 MM INTRAORAL,108.04,54.02,23.56,97.24,64
RC,0272,BLADE SAW THK.38 MM D18 MM MEDIUM THIN OSCILLATE SAGITTAL PRECISION W5.5 MM STAINLESS STEEL,33.48,16.74,7.3,30.13,64
RC,0272,BLADE SAW THK.38 MM D18 MM THIN XNARROW OSCILLATE SAGITTAL CUT EDGE PRECISION L18 MM X W2.5 MM STAINLESS STEEL,26.8,13.4,5.85,24.12,64
RC,0272,BLADE SAW THK.38 MM D25 MM MEDIUM SHORT OSCILLATE SAGITTAL 2 CUT NA W9 MM,48.63,24.32,10.61,43.77,64
RC,0272,BLADE SAW THK.38 MM D34.5 MM MEDIUM SHORT OSCILLATE SAGITTAL 2 CUT NA W13 MM,53.15,26.58,11.59,47.84,64
RC,0272,BLADE SAW THK.38 MM D39 MM MICRO XLONG OSCILLATE SAGITTAL PRECISION W13 MM STAINLESS STEEL,31.15,15.58,6.79,28.04,64
RC,0272,BLADE SAW THK.38 MM D41 MM MICRO OSCILLATE SAGITTAL 2 CUT NA W19.5 MM,56.35,28.18,12.29,50.72,64
RC,0272,BLADE SAW THK.38 MM LONG NARROW THIN OSCILLATE SAGITTAL PRECISION L29.5 MM X W7 MM STAINLESS STEEL,43.26,21.63,9.44,38.93,64
RC,0272,BLADE SAW THK.38 MM LONG WIDE OSCILLATING SAGITTAL NA L34.5 MM X W16.5 MM,49.63,24.82,10.82,44.67,64
RC,0272,BLADE SAW THK.38 MM SHORT MICRO WIDE THIN OSCILLATE SAGITTAL PRECISION L18.5 MM X W16.5 MM STAINLESS STEEL,29.5,14.75,6.43,26.55,64
RC,0272,BLADE SAW THK.38 MM SHORT NARROW THIN OSCILLATE SAGITTAL PRECISION L15 MM X W7 MM STAINLESS STEEL,31.15,15.58,6.79,28.04,64
RC,0272,BLADE SAW THK.38 MM TAPER THIN MICRO RECIPROCATE PRECISION W27 MM,74.0,37.0,16.14,66.6,64
RC,0272,BLADE SAW THK.38 MM THIN MICRO RECIPROCATE EXTEND PRECISION W27 MM,72.86,36.43,15.89,65.57,64
RC,0272,BLADE SAW THK.38 MM THIN NARROW OSCILLATING SAGITTAL PRECISION L34.5 MM X W12 MM STAINLESS STEEL,34.32,17.16,7.49,30.89,64
RC,0272,BLADE SAW THK.38 MM THK.53 MM THIN EXTEND SHANK PRECISION TPS W22.5 MM,72.86,36.43,15.89,65.57,64
RC,0272,BLADE SAW THK.38 MM THK.69 MM 90 D OFFSET SAGITTAL NA L15.9 MM L14.3 MM,82.4,41.2,17.97,74.16,64
RC,0272,BLADE SAW THK.38 MM XLONG WIDE THIN OSCILLATE SAGITTAL AGGRESSIVE PRECISION L42 MM X W13.3 MM X H.61 MM STAINLESS STEEL,26.8,13.4,5.85,24.12,64
RC,0272,BLADE SAW THK.4 MM LONG WIDE SAGITTAL OSCILLATE PRECISION L34.5 MM X W16.5 MM STAINLESS STEEL OD16.5 MM,26.8,13.4,5.85,24.12,64
RC,0272,BLADE SAW THK.4 MM RECIPROCATE SHORT SHAFT OSTEOMED L26.3 MM,93.0,46.5,20.28,83.7,64
RC,0272,BLADE SAW THK.4 MM SAGITTAL FINE TEETH L31 MM X W10 MM,70.8,35.4,15.44,63.72,64
RC,0272,BLADE SAW THK.5 MM OSTEOTOMY HUB STYLE L ACUMED,84.0,42.0,18.32,75.6,64
RC,0272,BLADE SAW THK.5 MM OSTEOTOMY HUB STYLE S ACUMED,84.0,42.0,18.32,75.6,64
RC,0272,BLADE SAW THK.51 MM D25.5 MM OSCILLATE OFFSET CRESCENTIC TPS W13.5 MM INTRAORAL,112.16,56.08,24.46,100.94,64
RC,0272,BLADE SAW THK.64 MM SHORT NARROW THIN SAGITTAL NA L28.9 MM X W1.02 MM STAINLESS STEEL,28.29,14.15,6.17,25.46,64
RC,0272,BLADE SAW THK.64 MM SHORT RECIPROCATE OFFSET L60 MM X W6.2 MM STAINLESS STEEL,38.22,19.11,8.34,34.4,64
RC,0272,BLADE SAW THK.8 MM CUT TRAUMATOLOGY STANDARD OSCILLATING ERGONOMIC LIGHTWEIGHT L70 MM X W27 MM,61.2,30.6,13.35,55.08,64
RC,0272,BLADE SAW THK.91 MM THK.64 MM RECIPROCATE 2 SIDE L70 MM X W12.6 MM STAINLESS STEEL,28.29,14.15,6.17,25.46,64
RC,0272,BLADE SAW THK1.13 MM SAGITTAL 2 CUT NA L90 MM X W18 MM STAINLESS STEEL,43.71,21.86,9.53,39.34,64
RC,0272,BLADE SAW THK1.2 MM 2 SIDE OFFSET RECIPROCATE NA L70 MM X H12.5 MM STAINLESS STEEL,42.59,21.3,9.29,38.33,64
RC,0272,BLADE SAW THK1.2 MM THK10 MM D35.8 MM EZOUT L54 MM,1800.0,900.0,392.58,1620.0,64
RC,0272,BLADE SAW THK1.24 MM LONG WIDE SAGITTAL AGGRESSIVE TOOTH NA L83.5 MM X W18.5 MM STAINLESS STEEL,21.22,10.61,4.63,19.1,64
RC,0272,BLADE SAW THK1.24 MM SHORT NARROW SAGITTAL NA L34 MM X W16.5 MM STAINLESS STEEL,30.56,15.28,6.67,27.5,64
RC,0272,BLADE SAW THK1.27 MM MEDIUM 2 CUT SAGITTAL NA L100 MM X W25 MM STAINLESS STEEL,43.71,21.86,9.53,39.34,64
RC,0272,BLADE SAW THK1.27 MM SAGITTAL HEAVY DUTY RASP NA L32 IN X W20 MM STAINLESS STEEL,47.5,23.75,10.36,42.75,64
RC,0272,BLADE SAW THK1.27 MM STANDARD LONG INTREX HALL L100 MM X W25 MM,35.7,17.85,7.79,32.13,64
RC,0272,BLADE SAW THK1.3 MM D73 MM WIDE 2 CUT SAGITTAL NA W25 MM STAINLESS STEEL,30.56,15.28,6.67,27.5,64
RC,0272,BLADE SAW THK1.37 MM SAGITTAL 2 CUT NA L90 MM X W25 MM STAINLESS STEEL,45.06,22.53,9.83,40.55,64
RC,0272,BLADE SCALPEL 60MM 10 THERMAL STERILE DISPOSABLE HEMOSTATIX 600D/2400Z CONTROLLER MODEL,1749.3,874.65,381.52,1574.37,64
RC,0272,BLADE SCALPEL THERMAL STERILE DISPOSABLE P8400,1749.3,874.65,381.52,1574.37,64
RC,0272,BLADE SCREWDRIVER 1.3 MM CRUCIFORM HOLD SLEEVE,907.92,453.96,198.02,817.13,64
RC,0272,BLADE SCREWDRIVER 1.5MM 2MM HOLD SLEEVE CRUCIFORM NONSTERILE,886.13,443.07,193.26,797.52,64
RC,0272,BLADE SCREWDRIVER 1MM CRUCIFORM HOLD SLEEVE NONSTERILE,936.77,468.39,204.31,843.09,64
RC,0272,BLADE SCREWDRIVER 2MM LONG SELF RETAIN MINI QUICK COUPLING NONSTERILE STARDRIVE,478.5,239.25,104.36,430.65,64
RC,0272,BLADE SCREWDRIVER 90D SELF RETAINING NONSTERILE MATRIXRIB,135.3,67.65,29.51,121.77,64
RC,0272,BLADE SCREWDRIVER AIR-Q OD2 MM,220.93,110.47,48.18,198.84,64
RC,0272,BLADE SCREWDRIVER AO SELF RETAIN T8,270.64,135.32,59.03,243.58,64
RC,0272,BLADE SCREWDRIVER L MAXDRIVE STAINLESS STEEL 1.5 MM SCREW,219.24,109.62,47.82,197.32,64
RC,0272,BLADE SCREWDRIVER L MAXDRIVE STAINLESS STEEL 2 MM SCREW,146.66,73.33,31.99,131.99,64
RC,0272,BLADE SCREWDRIVER LONG UNIVERSAL NEURO III,297.7,148.85,64.93,267.93,64
RC,0272,BLADE SCREWDRIVER NONSTERILE LATEX FREE REUSABLE RIBFIX BLU,236.0,118.0,51.47,212.4,64
RC,0272,BLADE SCREWDRIVER STANDARD STERNALOCK BLU STERNUM,189.0,94.5,41.22,170.1,64
RC,0272,BLADE SCREWDRIVER STERNALOCK BLU STERNUM F/STERNAL CLOSURE,90.0,45.0,19.63,81.0,64
RC,0272,BLADE SCREWDRIVER T10 AO FIT ASNIS,182.09,91.05,39.71,163.88,64
RC,0272,BLADE SCREWDRIVER T10 AO SELF RETAIN VARIAX,270.64,135.32,59.03,243.58,64
RC,0272,BLADE SCREWDRIVER T10 AO SELF RETAINING,235.82,117.91,51.43,212.24,64
RC,0272,BLADE SCREWDRIVER T7 VARIAX 2.3 2.7 MM SCREW,233.83,116.92,51.0,210.45,64
RC,0272,BLADE SCREWDRIVER U LEVEL ONE,215.06,107.53,46.9,193.55,64
RC,0272,BLADE SHAVER 2.5MM STRAIGHT FORMULA AGGRESSIVE PLUS SMALL JOINT STERILE LATEX FREE DISPOSABLE F SERIES ARTHROSCOPIC,397.55,198.78,86.71,357.8,64
RC,0272,BLADE SHAVER 2.9MM 11CM 60D 5000 RPM XPS SINUS CURVED SHAFT OFFSET CUTTING SURFACE,909.9,454.95,198.45,818.91,64
RC,0272,BLADE SHAVER 2.9MM DIA 11CML STRAIGHT SHAFT OSCILLATE 360DEG ROTATION W/IRRIGATION TUBING SILVER BULLET 7500RPM,206.46,103.23,45.03,185.81,64
RC,0272,BLADE SHAVER 3.5MM 110MM STRAIGHT XPS SINUS STERILE LATEX FREE STRAIGHTSHOT M4,1042.66,521.33,227.4,938.39,64
RC,0272,BLADE SHAVER 3.5MM 11CM 1500-3000 RPM CURVED XPS RAD 120 SINUS,859.88,429.94,187.54,773.89,64
RC,0272,BLADE SHAVER 3.5MM 2 EDGE,475.46,237.73,103.7,427.91,64
RC,0272,BLADE SHAVER 3.5MM AGGRESSIVE PLUS STERILE LATEX FREE,346.35,173.18,75.54,311.72,64
RC,0272,BLADE SHAVER 3.5MM CROSSBLADE AGGRESSIVE STERILE LATEX FREE DISPOSABLE,686.36,343.18,149.7,617.72,64
RC,0272,BLADE SHAVER 3.5MM FORMULA TOMCAT ARTHROSCOPIC STERILE LATEX FREE SERIES F,270.11,135.06,58.91,243.1,64
RC,0272,BLADE SHAVER 3.5MM RAD 90 SPINE M4 ROTATABLE,894.66,447.33,195.13,805.19,64
RC,0272,BLADE SHAVER 3MM 7CM SABRE SOFT TISSUE SMALL HUB GREEN,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER 4.5MM 17MM CONCAVE INCISOR CURVE SHAFT STERILE DISPOSABLE LIME GREEN,45.0,22.5,9.81,40.5,64
RC,0272,BLADE SHAVER 4.5MM ANGLE FORMULA F SERIES,393.95,196.98,85.92,354.56,64
RC,0272,BLADE SHAVER 4.5MM DIA 20CML W/STRAIGHT 25DEG ANGLED 45R2000,580.1,290.05,126.52,522.09,64
RC,0272,BLADE SHAVER 4.5MM DIA PLATINUM COATED YELLOW LATCH F/RESECTION DYONICS BONECUTTER ELECTROBLADE LATEX-FREE STERILE DISPOSABLE,675.0,337.5,147.22,607.5,64
RC,0272,BLADE SHAVER 4.5MM FORMULA ANGLED 2 BITE STERILE,301.01,150.51,65.65,270.91,64
RC,0272,BLADE SHAVER 4MM 11CM 360D 5000 RPM RAD 60 STRAIGHTSHOT SINUS M4 ROTATABLE IRRIGATION TUBE OSCILLATE CURVE SHAFT STERILE,1045.62,522.81,228.05,941.06,64
RC,0272,BLADE SHAVER 4MM 125MM 12 FLUTE STANDARD ROUND FORMULA STERILE LATEX FREE DISPOSABLE,365.85,182.93,79.79,329.27,64
RC,0272,BLADE SHAVER 4MM 13CM EXCALIBUR COOLCUT STERILE DISPOSABLE,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER 4MM 22.5CM 15D 2 CURVE SKIMMER LARYNGEAL ANGLE TIP STERILE,1336.44,668.22,291.48,1202.8,64
RC,0272,BLADE SHAVER 4MM ANGLE LONG FORMULA AGGRESSIVE PLUS F SERIES,476.61,238.31,103.95,428.95,64
RC,0272,BLADE SHAVER 4MM DIA DUAL EDGE CROSSBLADE DISPOSABLE,386.67,193.34,84.33,348.0,64
RC,0272,BLADE SHAVER 4MM DIA SINUS 40DEG CURVED SMOOTH SERRATED DISSECTING CONCAVE WINDOW W/IRRIGATING TUBE PK DIEGO 7013-8043 LATEX-FREE STERILE SINGLE-USE,676.98,338.49,147.65,609.28,64
RC,0272,BLADE SHAVER 4MM DIA SINUS 90DEG CURVED SMOOTH SERRATED DISSECTING CONCAVE WINDOW W/IRRIGATING TUBE PK DIEGO LATEX-FREE STERILE SINGLE-USE,380.46,190.23,82.98,342.41,64
RC,0272,BLADE SHAVER 4MM DIA SINUS STRAIGHT SMOOTH SERRATED DISSECTING CONCAVE WINDOW W/IRRIGATING TUBE PK DIEGO LATEX-FREE STERILE SINGLE-USE,665.6,332.8,145.17,599.04,64
RC,0272,BLADE SHAVER 4MM RESECTOR LATEX FREE BLACK RED,346.35,173.18,75.54,311.72,64
RC,0272,BLADE SHAVER 5.5MM DYONICS ELECTROBLADE SURILLIUM BIPOLAR RESECTOR STERILE DISPOSABLE ORANGE VULCAN ERBE GENERATOR,675.0,337.5,147.22,607.5,64
RC,0272,BLADE SHAVER 5.5MM FORMULA TOMCAT CUTTER ARTHROSCOPIC STERILE,397.55,198.78,86.71,357.8,64
RC,0272,BLADE SHAVER 5.5MM INCISOR PLUS DYONICS PLATINUM PRECISION SHARPENED TOOTH DESIGN STERILE DISPOSABLE LAVENDER,378.0,189.0,82.44,340.2,64
RC,0272,BLADE SHAVER 5.5MM STRAIGHT DYONICS STERILE DISPOSABLE LILAC,246.0,123.0,53.65,221.4,64
RC,0272,BLADE SHAVER 5.5MM STRAIGHT STERILE LATEX FREE DISPOSABLE,397.55,198.78,86.71,357.8,64
RC,0272,BLADE SHAVER 5.5MM STRYKER 2 EDGE STERILE LATEX FREE DISPOSABLE,382.67,191.34,83.46,344.4,64
RC,0272,BLADE SHAVER 5MM STRAIGHT FORMULA TOMCAT STERILE LATEX FREE DISPOSABLE F SERIES ARTHROSCOPIC,387.12,193.56,84.43,348.41,64
RC,0272,BLADE SHAVER AGGRESSIVE 2.5MM DIA 8CML STRAIGHT PRECISION SERRATED IRRIGATED F/HUMMER 4 MICRODEBRIDER ESSX,564.75,282.38,123.17,508.28,64
RC,0272,BLADE SHAVER AGGRESSIVE PLUS ARTHROSCOPIC 4MM DIA ANGLED ULTIMATE DISPOSABLE,185.0,92.5,40.35,166.5,64
RC,0272,BLADE SHAVER AGGRESSIVE PLUS REPROCESSED 5.5MM DIA STANDARD MENISCAL CARTILAGE SYNOVIAL RAZOR SHARP TOOTHED INNER W/O TEETH OUTER WINDOW FORMULA LATEX-FREE STERILE DISPOSABLE,18.17,9.09,3.96,16.35,64
RC,0272,BLADE SHAVER ARTHROSCOPIC 3.5MM DIA PLATINUM FULL RADIUS PLUM DYONICS POWERMINI LATEX-FREE STERILE DISPOSABLE,378.0,189.0,82.44,340.2,64
RC,0272,BLADE SHAVER ARTHROSCOPIC 3.5MM MINI LONG 8CML PLATINUM CURVED FULL RADIUS PLUM F/MICROENDOSCOPY/SMALL JOINT ARTHROSCOPY DYONICS LATEX-FREE STERILE DISPOSABLE,383.25,191.63,83.59,344.93,64
RC,0272,BLADE SHAVER ARTHROSCOPIC AGGRESSIVE PLUS 4.2MM DIA 13CML STRAIGHT DOUBLE SERRATED LARGE HUB GREAT WHITE DISPOSABLE 6000RPM OSCILLATE,290.46,145.23,63.35,261.41,64
RC,0272,BLADE SHAVER ARTHROSCOPIC AGGRESSIVE PLUS 4MM DIA STRAIGHT F/SE3/4/5 LATEX-FREE DISPOSABLE,185.0,92.5,40.35,166.5,64
RC,0272,BLADE SHAVER ENDOSCOPIC 2.9MM DIA 22.5CML SINUS DOUBLE CURVED ANGLED SERRATED TRICUT OFFSET NON-ROTATABLE CUTTING W/IRRIGATING TUBE F/XOMED STRAIGHTSHOT SYSTEM XPS SKIMMER LATEX-FREE STERILE DISPOSABL,1337.92,668.96,291.8,1204.13,64
RC,0272,BLADE SHAVER ENDOSCOPIC 3.5MM DIA 5000RPM 11CML F/ENT SURGERY TRICUT 18-83504 LATEX-FREE STERILE DISPOSABLE,962.74,481.37,209.97,866.47,64
RC,0272,BLADE SHAVER ENDOSCOPIC 4MM DIA 22.5CML SINUS LARYNGEAL DOUBLE CURVED ANGLED TIP SERRATED NON-ROTATABLE W/IRRIGATION TUBE STRAIGHTSHOT SYSTEM F/TUMOR DEBULKING TRICUT LATEX-FREE STERILE DISPOSABLE 150,1351.24,675.62,294.71,1216.12,64
RC,0272,BLADE SHAVER ENDOSCOPIC 4MM DIA 22.5CML SINUS LARYNGEAL STRAIGHT TIP SERRATED TRICUT NON-ROTATABLE W/IRRIGATION TUBE STRAIGHTSHOT SYSTEM F/DISTAL RRP LESIONS DEBULKING XPS SKIMMER LATEX-FREE STERILE S,1266.88,633.44,276.31,1140.19,64
RC,0272,BLADE SHAVER OD2 MM L7 CM SABRE,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER OD2 MM M4 ROTATABLE XPS INFERIOR TURBINATE,1265.4,632.7,275.98,1138.86,64
RC,0272,BLADE SHAVER OD2 MM RESECTOR LIGHTWEIGHT 3.5 MM SMALL L7 CM DYONICS POWERMINI SOFT TISSUE BLUE,492.06,246.03,107.32,442.85,64
RC,0272,BLADE SHAVER OD2 MM SABRE L7 CM COOLCUT,39.0,19.5,8.51,35.1,64
RC,0272,BLADE SHAVER OD2 MM SERRATE STRAIGHT PK DIEGO SINUS,665.6,332.8,145.17,599.04,64
RC,0272,BLADE SHAVER OD2 MM STRAIGHT SHAFT ELEVATOR IRRIGATION TUBE NONROTATABLE 60-3000 RPM L11 CM XPS INFERIOR TURBINATE SINUS,1173.64,586.82,255.97,1056.28,64
RC,0272,BLADE SHAVER OD2.8 MM CUTTING L11 CM NANORESECTION,505.0,252.5,110.14,454.5,64
RC,0272,BLADE SHAVER OD2.9 MM ABRADER MINI MAGNUM,472.5,236.25,103.05,425.25,64
RC,0272,BLADE SHAVER OD2.9 MM FULL RADIUS L7 CM DYONICS POWERMINI SMALL JOINT RED,436.02,218.01,95.1,392.42,64
RC,0272,BLADE SHAVER OD2.9 MM L22 CM SKIMMER M4 JH,553.52,276.76,120.72,498.17,64
RC,0272,BLADE SHAVER OD2.9 MM L7 CM DYONICS POWERMINI INCISOR PLUS ELITE PEACH,396.9,198.45,86.56,357.21,64
RC,0272,BLADE SHAVER OD2.9 MM M4 JH L18 CM SKIMMER,554.26,277.13,120.88,498.83,64
RC,0272,BLADE SHAVER OD2.9 MM M4 L27 CM SKIMMER,516.52,258.26,112.65,464.87,64
RC,0272,"BLADE SHAVER OD2.9 MM M4 ROTATABLE ELEVATOR STRAIGHT SHAFT IRRIGATION TUBE L11 CM REPROCESSED 2.9MM INFERIOR TURBINATE BLADE, ROTATABLE INFERIOR TURBINATE",1265.4,632.7,275.98,1138.86,64
RC,0272,BLADE SHAVER OD2.9 MM ROTATABLE OFFSET CUT SURFACE IRRIGATION TUBE STRAIGHT SHAFT L11 CM TRICUT SINUS STRAIGHTSHOT M4,203.3,101.65,44.34,182.97,64
RC,0272,BLADE SHAVER OD2.9 MM SERRATE ANGLE TIP L22 CM,414.4,207.2,90.38,372.96,64
RC,0272,BLADE SHAVER OD2.9 MM STRAIGHT SHAFT ELEVATOR IRRIGATION TUBE 60-3000 RPM L11 CM XPS SINUS INFERIOR TURBINATE,1173.64,586.82,255.97,1056.28,64
RC,0272,BLADE SHAVER OD2.9 MM STRAIGHT SHAFT IRRIGATION TUBE OFFSET CUT SURFACE OSCILLATE 5000 RPM L11 CM TRICUT XPS SINUS,1021.94,510.97,222.89,919.75,64
RC,0272,BLADE SHAVER OD3 MM DISSECTOR L7 CM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER OD3 MM L7 CM SABRE,39.0,19.5,8.51,35.1,64
RC,0272,BLADE SHAVER OD3 MM XOMED BUR L13 CM QUADCUT STRAIGHTSHOT M4,335.72,167.86,73.22,302.15,64
RC,0272,BLADE SHAVER OD3.4 MM L13 CM QUADCUT XOMED STRAIGHTSHOT M4,1732.5,866.25,377.86,1559.25,64
RC,0272,BLADE SHAVER OD3.5 MM 5000 RPM CURVE RAD 60 ENDOSCOPIC,859.88,429.94,187.54,773.89,64
RC,0272,BLADE SHAVER OD3.5 MM CURVE CONCAVE FULL RADIUS DYONICS BEIGE,52.8,26.4,11.52,47.52,64
RC,0272,BLADE SHAVER OD3.5 MM DYONICS INCISOR PLUS PLATINUM KNEE SHOULDER,378.0,189.0,82.44,340.2,64
RC,0272,BLADE SHAVER OD3.5 MM FULL RADIUS BONECUTTER BEIGE,657.54,328.77,143.41,591.79,64
RC,0272,BLADE SHAVER OD3.5 MM L22.5 CM SKIMMER,1429.68,714.84,311.81,1286.71,64
RC,0272,BLADE SHAVER OD3.5 MM L27.5 CM XPS SKIMMER SUBGLOTTIC,1323.12,661.56,288.57,1190.81,64
RC,0272,BLADE SHAVER OD3.5 MM L7 CM DYONICS POWERMINI INCISOR PLUS ELITE SMALL JOINT SAGE GREEN,456.42,228.21,99.55,410.78,64
RC,0272,BLADE SHAVER OD3.5 MM LATCH STRAIGHT FULL RADIUS DYONICS ELITE BEIGE ARTHROSCOPIC,264.0,132.0,57.58,237.6,64
RC,0272,BLADE SHAVER OD3.5 MM LONG CURVE L8 CM INCISOR PLUS SAGE GREEN ARTHROSCOPIC,394.8,197.4,86.11,355.32,64
RC,0272,BLADE SHAVER OD3.5 MM M4 ROTATE RAD 40,214.6,107.3,46.8,193.14,64
RC,0272,BLADE SHAVER OD3.5 MM ROTATE M4 RAD60,227.92,113.96,49.71,205.13,64
RC,0272,BLADE SHAVER OD3.5 MM STRAIGHT DYONICS ELITE INCISOR PLUS WHITE,508.32,254.16,110.86,457.49,64
RC,0272,BLADE SHAVER OD3.5 MM STRAIGHT INCISOR GRAY,264.0,132.0,57.58,237.6,64
RC,0272,BLADE SHAVER OD3.5 MM STRAIGHT SHAFT L7 CM DYONICS BEIGE,247.2,123.6,53.91,222.48,64
RC,0272,BLADE SHAVER OD3.8 MM SABRE L13 CM SABRE COOLCUT,39.0,19.5,8.51,35.1,64
RC,0272,BLADE SHAVER OD4 MM 2 CUT POWER L13 CM COOLCUT SOFT TISSUE RESECTION,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER OD4 MM 2 INNER CUT L13 CM COOLCUT TORPEDO,505.0,252.5,110.14,454.5,64
RC,0272,BLADE SHAVER OD4 MM ABRADER STRAIGHT SHAFT ARTHROSCOPIC DYONICS AQUA,327.6,163.8,71.45,294.84,64
RC,0272,BLADE SHAVER OD4 MM AGGRESSIVE 60 D NA,724.37,362.19,157.99,651.93,64
RC,0272,BLADE SHAVER OD4 MM AGGRESSIVE PLUS ARTHROSCOPIC 12 D LONG FORMULA,476.61,238.31,103.95,428.95,64
RC,0272,BLADE SHAVER OD4 MM ANGLE FORMULA AGGRESSIVE PLUS F SERIES,77.2,38.6,16.84,69.48,64
RC,0272,BLADE SHAVER OD4 MM ANGLE TIP IRRIGATION TUBE 15 D 2 CURVE L27.5 CM SKIMMER SUBGLOTTIC STRAIGHTSHOT M4,1252.08,626.04,273.08,1126.87,64
RC,0272,BLADE SHAVER OD4 MM CURVE EXCALIBUR COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER OD4 MM CURVE L13 CM TORPEDO,505.0,252.5,110.14,454.5,64
RC,0272,BLADE SHAVER OD4 MM CURVE SHAFT AUTOMATE ELECTROMAGNETIC TRACK OSCILLATE ROTATABLE L11 CM RAD 12 STRAIGHTSHOT SINUS,339.57,169.79,74.06,305.61,64
RC,0272,BLADE SHAVER OD4 MM CURVE TIP NONROTATABLE SERRATE 1200 RPM L37 CM TRACHEAL,438.08,219.04,95.55,394.27,64
RC,0272,BLADE SHAVER OD4 MM DYONICS FLYER PLATINUM,540.0,270.0,117.77,486.0,64
RC,0272,BLADE SHAVER OD4 MM FORMULA TOMCAT F SERIES ARTHROSCOPIC,346.35,173.18,75.54,311.72,64
RC,0272,BLADE SHAVER OD4 MM IRRIGATION TUBING 40 D CURVED L11 CM RADENOID PEDIATRIC,882.08,441.04,192.38,793.87,64
RC,0272,BLADE SHAVER OD4 MM L13 CM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER OD4 MM LONG FORMULA TOMCAT HIP,476.6,238.3,103.95,428.94,64
RC,0272,BLADE SHAVER OD4 MM M4 IRRIGATION L27 CM TRICUT,501.72,250.86,109.43,451.55,64
RC,0272,BLADE SHAVER OD4 MM M4 ROTATABLE STRAIGHT SHAFT OFFSET CUTTING SURFACE IRRIGATION TUBING OSCILLATE 360 D 5000 RPM L11 CM XPS TRICUT SINUS,1047.84,523.92,228.53,943.06,64
RC,0272,BLADE SHAVER OD4 MM M4 ROTATE L13 CM TRICUT,339.57,169.79,74.06,305.61,64
RC,0272,BLADE SHAVER OD4 MM ROTATABLE AUTOMATE EM TRACK CURVE SHAFT OSCILLATE 5000 RPM L11 CM RAD STRAIGHTSHOT,341.88,170.94,74.56,307.69,64
RC,0272,BLADE SHAVER OD4 MM ROTATABLE OFFSET CUT SURFACE IRRIGATION TUBE CURVE SHAFT 360 D 5000 RPM L11 CM RAD 40 SINUS STRAIGHTSHOT M4 UNCINECTOMY ETHMOIDECTOMY,1041.18,520.59,227.08,937.06,64
RC,0272,BLADE SHAVER OD4 MM SERRATE 15 D CURVE CONVEX PK DIEGO SINUS TONSIL,661.82,330.91,144.34,595.64,64
RC,0272,BLADE SHAVER OD4 MM SERRATE 40 D CURVE CONCAVE PK DIEGO SINUS,676.98,338.49,147.65,609.28,64
RC,0272,BLADE SHAVER OD4 MM SERRATE 40 D CURVE CONVEX PK DIEGO TONSIL ADENOID,661.82,330.91,144.34,595.64,64
RC,0272,BLADE SHAVER OD4 MM SERRATE 60 D CURVE CONCAVE PK DIEGO SINUS,676.98,338.49,147.65,609.28,64
RC,0272,BLADE SHAVER OD4 MM SERRATE STRAIGHT PK DIEGO SINUS,665.6,332.8,145.17,599.04,64
RC,0272,BLADE SHAVER OD4 MM TRICUT,1024.9,512.45,223.53,922.41,64
RC,0272,BLADE SHAVER OD4.2 MM CURVED HIP LENGTH CURVE L19 CM TORPEDO,101.0,50.5,22.03,90.9,64
RC,0272,BLADE SHAVER OD4.2 MM HIP LENGTH TAPERED TIP HIP LENGTH L19 CM TORPEDO,505.0,252.5,110.14,454.5,64
RC,0272,BLADE SHAVER OD4.3 MM L13 CM QUADCUT,1093.72,546.86,238.54,984.35,64
RC,0272,BLADE SHAVER OD4.3 MM L13 CM QUADCUT STRAIGHTSHOT M4,346.5,173.25,75.57,311.85,64
RC,0272,BLADE SHAVER OD4.5 MM CONCAVE FULL RADIUS ELITE MAROON ARTHROSCOPIC,367.74,183.87,80.2,330.97,64
RC,0272,BLADE SHAVER OD4.5 MM CURVE DYONICS INCISOR PLUS ELITE SLATE,575.34,287.67,125.48,517.81,64
RC,0272,BLADE SHAVER OD4.5 MM CURVE INCISOR PLUS PLATINUM,330.0,165.0,71.97,297.0,64
RC,0272,BLADE SHAVER OD4.5 MM DYONICS BONECUTTER SURILLIUM PLATINUM YELLOW,603.48,301.74,131.62,543.13,64
RC,0272,BLADE SHAVER OD4.5 MM DYONICS INCISOR PLUS PLATINUM,443.82,221.91,96.8,399.44,64
RC,0272,BLADE SHAVER OD4.5 MM HIGH TORQUE FLEXIBLE LIGHTWEIGHT WINDOW LOCK STRAIGHT SLATE REPROCESSED,246.0,123.0,53.65,221.4,64
RC,0272,BLADE SHAVER OD4.5 MM IRRIGATION TUBE 45 D 1500 RPM CURVE L13 CM RADENOID ADENOIDECTOMY,1040.4,520.2,226.91,936.36,64
RC,0272,BLADE SHAVER OD4.5 MM LONG CURVE L18 CM HIP SLATE,207.0,103.5,45.15,186.3,64
RC,0272,BLADE SHAVER OD4.5 MM LONG L180 MM BONECUTTER ARTHROSCOPIC,385.02,192.51,83.97,346.52,64
RC,0272,BLADE SHAVER OD4.5 MM LONG STRAIGHT L18 CM HIP SLATE,295.26,147.63,64.4,265.73,64
RC,0272,BLADE SHAVER OD4.5 MM STRAIGHT FULL RADIUS DYONICS BONECUTTER SURILLIUM YELLOW,656.46,328.23,143.17,590.81,64
RC,0272,BLADE SHAVER OD4.5 MM STRAIGHT SHAFT CONTROL BUTTON AUTORECOGNITION SET SPEED SHIFT FULL RADIUS DYONICS ELITE MAROON,252.0,126.0,54.96,226.8,64
RC,0272,BLADE SHAVER OD4.5 MM WIDE CUT WINDOW DYONICS PLATINUM YELLOW,247.2,123.6,53.91,222.48,64
RC,0272,BLADE SHAVER OD5 MM L13 CM EXCALIBUR COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BLADE SHAVER OD5 MM L13 CM TORPEDO,505.0,252.5,110.14,454.5,64
RC,0272,BLADE SHAVER OD5 MM STRAIGHT FULL RADIUS DYONICS ELITE OLIVE,264.0,132.0,57.58,237.6,64
RC,0272,BLADE SHAVER OD5.5 MM 2 CUT SCULPT FINE L13 CM COOLCUT,39.0,19.5,8.51,35.1,64
RC,0272,BLADE SHAVER OD5.5 MM DYONICS SURILLIUM PLATINUM ORANGE,100.58,50.29,21.94,90.52,64
RC,0272,BLADE SHAVER OD5.5 MM L13 CM EXCALIBUR COOLCUT,39.0,19.5,8.51,35.1,64
RC,0272,BLADE SHAVER OD5.5 MM STRAIGHT DYONICS INCISOR MOCHA,264.0,132.0,57.58,237.6,64
RC,0272,BLADE SHAVER TORPEDO 3.5MM X 7CM,101.0,50.5,22.03,90.9,64
RC,0272,BLADE SHORT FLAT OSTEOTOME,166.5,83.25,36.31,149.85,64
RC,0272,BLADE SHOULDER L12 CM X W9 MM FLAT SHUKLA SHOULDER BLADE S9SHLDR-BLADE OSTEOTOME,185.0,92.5,40.35,166.5,64
RC,0272,BLADE STRIPPER 9MM TENDON,875.0,437.5,190.84,787.5,64
RC,0272,BLADE STRIPPER W10 MM QUADRICEPS TENDON,175.0,87.5,38.17,157.5,64
RC,0272,BLADE STRIPPER W11 MM TENDON,875.0,437.5,190.84,787.5,64
RC,0272,BLADE SURGICAL 10MM STERILE PARALLEL GRAFT KNIFE,235.0,117.5,51.25,211.5,64
RC,0272,BLADE SURGICAL 1MM STAINLESS STEEL TITANIUM CURVED ROUND TIP W/NON-STERILE FEATHER HANDLE STERILE REUSABLE,452.1,226.05,98.6,406.89,64
RC,0272,BLADE SURGICAL 2.5MM 60D BEVEL DOWN NARROW SHAFT SHARP ALL AROUND STERILE LATEX FREE DISPOSABLE BEAVER TYMPANOPLASTY,147.88,73.94,32.25,133.09,64
RC,0272,BLADE SURGICAL 2.5MMW STAINLESS STEEL STRAIGHT SPOON NARROW SHAFT SHARP F/TYMPANOPLASTY LATEX-FREE,43.02,21.51,9.38,38.72,64
RC,0272,BLADE SURGICAL 35MM STRAIGHT STERILE DISPOSABLE,246.0,123.0,53.65,221.4,64
RC,0272,BLADE SURGICAL 45D OFFSET NARROW SHAFT SPEAR TIP BEAVER MYRINGOTOMY,118.9,59.45,25.93,107.01,64
RC,0272,BLADE SURGICAL 84MM 5MM STRAIGHT NARROW SHAFT SICKLE EDGE STERILE LATEX FREE DISPOSABLE BEAVER TYMPANOPLASTY,40.52,20.26,8.84,36.47,64
RC,0272,BLADE SURGICAL 9MM REUSABLE HANDLE STERILE DISPOSABLE ACL PCL PARALLEL GRAFT,235.0,117.5,51.25,211.5,64
RC,0272,BLADE SURGICAL ANGLE FLAT SHAFT STERILE TYMPANOPLASTY,78.46,39.23,17.11,70.61,64
RC,0272,BLADE SURGICAL CONTRA ANGLE T1,307.0,153.5,66.96,276.3,64
RC,0272,BLADE SURGICAL CURVE HARMONIC SYNERGY,1467.61,733.81,320.09,1320.85,64
RC,0272,BLADE SURGICAL EAR ARROW TIP ROUND HANDLE STAINLESS STEEL POLYPROPYLENE STERILE DISPOSABLE F/MYRINGOTOMY,57.69,28.85,12.58,51.92,64
RC,0272,BLADE SURGICAL EAR UPWARD CUT LANCET TIP NARROW SHAFT F/MYRINGOTOMY MICROEDGE LATEX-FREE,246.0,123.0,53.65,221.4,64
RC,0272,BLADE SURGICAL JAVELIN MICRO 2MM TIP 8 1/2INL KARLIN STERILE DISPOSABLE,281.16,140.58,61.32,253.04,64
RC,0272,BLADE SURGICAL LONG F/COBBETT/WATSON BRAITHWAITE SKIN GRAFT LATEX-FREE STERILE,233.0,116.5,50.82,209.7,64
RC,0272,BLADE SURGICAL SCALPEL SIZE 12 F/SG6 10/BX,900.0,450.0,196.29,810.0,64
RC,0272,BLADE SURGICAL SIZE 64 STAINLESS STEEL MINI EDGE ROUND TIP F/MICROSURGERY LATEX-FREE,108.22,54.11,23.6,97.4,64
RC,0272,BLADE SURGICAL STANDARD BLUNT SCALPEL 25MM STERILE LATEX FREE DISPOSABLE BONESCALPEL,1999.2,999.6,436.03,1799.28,64
RC,0272,BLADE THK.048 IN L77.5 MM X W11 MM X H1.23 MM RECIPROCATE NA STAINLESS STEEL SURGICAL,38.36,19.18,8.37,34.52,64
RC,0272,BLADE THK1 MM L35 MM X W10 MM RENOVATION LATERAL SURGICAL R25 C CHISEL,141.9,70.95,30.95,127.71,64
RC,0272,BLADE ULTRASONIC 20MM W/TUBESET F/MIS SPINE SURGERY BONESCALPEL ACCESS,5000.0,2500.0,1090.5,4500.0,64
RC,0272,BLADE URETHROTOME COLD HOOK USA ELITE SYSTEM,556.41,278.21,121.35,500.77,64
RC,0272,BLADE W10 MM OPENING WEDGE OSTEOTOMY OSTEOTOME,142.0,71.0,30.97,127.8,64
RC,0272,BLADE W17.5 MM THIN NA OSTEOTOME,70.8,35.4,15.44,63.72,64
RC,0272,BLADE W25 MM OPEN WEDGE OSTEOTOMY OSTEOTOME,142.0,71.0,30.97,127.8,64
RC,0272,BLADE-X LEFT NON-STRILE,1135.0,567.5,247.54,1021.5,64
RC,0272,BLADE-X RIGHT NON-STRILE,1335.0,667.5,291.16,1201.5,64
RC,0272,BLANK PADDLE WIDE STERILE,70.0,35.0,15.27,63.0,64
RC,0272,BLANKET THERAPEUTIC 64X25IN MAXI-THERM LITE SOFT LIGHTWEIGHT SELF SEAL CONNECTOR ADULT WATER CIRCULATE HYPER HYPOTHERMIA SYSTEM LATEX FREE DISPOSABLE,105.0,52.5,22.9,94.5,64
RC,0272,BLANKET WARMING L160 IN X W91 IN BAIR HUGGER POLYMER ADULT L24 IN X W24 IN 134 GM UNDERBODY INTEGRATE TIE STRIP LIGHTWEIGHT TUCK FLAP DRAPE LITHOTOMY,168.1,84.05,36.66,151.29,64
RC,0272,BLANKET WARMING L221 IN X W91 IN BAIR HUGGER POLYMER ADULT L24 IN X W48 IN 7 OZ UNDERBODY FLUID OUTLET FULL ACCESS 2 PRESEAL HOSE PORT HEAD DRAPE CLEAR MODEL 635 TRAUMA CARDIOTHORACIC,116.5,58.25,25.41,104.85,64
RC,0272,BLANKET WARMING L36 IN X W33 IN BAIR HUGGER POLYMER PEDIATRIC L24 IN X W24 IN 3 OZ UNDERBODY FLUID OUTLET FULL ACCESS RESEALABLE HOSE PORT 2 DRAPE CLEAR MODEL 555,113.46,56.73,24.75,102.11,64
RC,0272,BLANKET WARMING L60 IN X W32 IN LARGE BAIR HUGGER POLYMER PEDIATRIC L24 IN X W24 IN 4.8 OZ UNDERBODY FLUID OUTLET FULL ACCESS RESEALABLE HOSE PORT 2 DRAPE CLEAR MODEL 550,132.06,66.03,28.8,118.85,64
RC,0272,BLANKET WARMING L74 IN X W24 IN BAIR HUGGER NOVATION PLUS POLYPROPYLENE POLYESTER ADULT UPPER BODY NONWOVEN AIR SYSTEM,138.34,69.17,30.17,124.51,64
RC,0272,BLANKET WARMING LOWER BODY ADULT 60X36IN BAIR HUGGER POLYMER ACCESS WINDOW STERILE LATEX FREE DISPOSABLE WHITE MODEL 630 CARDIAC,130.81,65.41,28.53,117.73,64
RC,0272,BLANKET WARMING UNDERBODY PEDIATRIC BAIR HUGGER NOVAPLUS NONSTERILE LATEX FREE DISPOSABLE,337.66,168.83,73.64,303.89,64
RC,0272,BLOCK CUTTING 2 MYKNEE GMK CT BASED KNEE TIBIA RIGHT MEDIAL,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 2 MYKNEE GMK CT MRI BASED KNEE TIBIA LEFT MEDIAL,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 3 MYKNEE GMK CUSTOM CT BASED KNEE FEMUR RIGHT MEDIAL DISTAL,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 3 MYKNEE GMK CUSTOM CT BASED KNEE TIBIA RIGHT MEDIAL,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 4 MYKNEE GMK CT MRI BASED KNEE TIBIA LEFT MEDIAL,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 5 MYKNEE GMK CT BASED TIBIA LEFT MEDIAL POLYAMIDE,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 5 MYKNEE GMK CT MRI BASED KNEE TIBIA RIGHT MEDIAL,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING 6 MYKNEE GMK CT BASED TIBIA LEFT MEDIAL POLYAMIDE,100.0,50.0,21.81,90.0,64
RC,0272,BLOCK CUTTING FEMUR DISTAL VISIONAIRE KNEE SYSTEM,200.0,100.0,43.62,180.0,64
RC,0272,BLOCK CUTTING JOURNEY BCS KIT RIGHT - V0200033,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING JOURNEY II FEMORAL VISIONAIRE,200.0,100.0,43.62,180.0,64
RC,0272,BLOCK CUTTING VISIONAIRE GUIDE LEGION PRIMARY,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING VISIONAIRE JOURNEY II FEMORAL DISTAL NONSTERILE LATEX FREE DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,BLOCK CUTTING VISIONAIRE JOURNEY II KIT CUSTOM RIGHT,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING VISIONAIRE JOURNEY II KIT LEFT,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING VISIONAIRE JOURNEY II NONSTERILE,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING VISIONAIRE JOURNEY II NONSTERILE - V0200083,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING VISIONAIRE KIT RIGHT,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK CUTTING VISIONAIRE LEGION FEMUR,200.0,100.0,43.62,180.0,64
RC,0272,BLOCK CUTTING VISIONAIRE LEGION KIT PRIMARY RIGHT,400.0,200.0,87.24,360.0,64
RC,0272,BLOCK GUIDE 9 HOLE HEAD LEFT VOLAR COLUMN PLATE,255.68,127.84,55.76,230.11,64
RC,0272,BLOCK GUIDE FIREFLY,330.0,165.0,71.97,297.0,64
RC,0272,BLOCK GUIDE PLATE PEDIATRIC HIP 3.5 MM SCREW,364.13,182.07,79.42,327.72,64
RC,0272,BLOCK GUIDE PLATE PEDIATRIC HIP 5 MM SCREW,364.13,182.07,79.42,327.72,64
RC,0272,BLOWER/MISTER CORONARY CONVENTIONAL 308CM TUBE 15.2CM SHAFT MALLEABLE METAL ADULT,435.0,217.5,94.87,391.5,64
RC,0272,BOLT CRANIAL 2.2MM MONTERIS MINI SKULL TITANIUM RIGID FIXATION NEUROBLATE DISPOSABLE,1165.0,582.5,254.09,1048.5,64
RC,0272,BOLT ELECTRODE L13 MM ANCHOR OD.99 MM AD-TECH GOLD BLUE GASKET DEPTH ELECTRODE,629.0,314.5,137.18,566.1,64
RC,0272,BOLT ELECTRODE L21 MM ANCHOR OD.99 MM AD-TECH GOLD BLUE GASKET DEPTH ELECTRODE,629.0,314.5,137.18,566.1,64
RC,0272,BOLT EXTERNAL FIXATION 151 MM INTERLOCK 4.5 MM LCP PROXIMAL TIBIA PLATE,233.72,116.86,50.97,210.35,64
RC,0272,BOLT EXTERNAL FIXATION 4.5MM 3.3MM CRANIAL RIGID AXIIIS DISPOSABLE,1165.0,582.5,254.09,1048.5,64
RC,0272,BOLT EXTERNAL FIXATION CONICAL EXTRACTION NA TITANIUM TROCHANTERIC NAIL,484.49,242.25,105.67,436.04,64
RC,0272,BOLT EXTRACTOR 1.5 MM SCREW,95.36,47.68,20.8,85.82,64
RC,0272,BOLT EXTRACTOR 2 MM SCREW,83.89,41.95,18.3,75.5,64
RC,0272,BOLT EXTRACTOR 2.7 2.8 MM SCREW,83.89,41.95,18.3,75.5,64
RC,0272,BOLT EXTRACTOR 3.5 MM CORTICAL 3.5 MM CANNULATED 4 MM CANCELLOUS BONE SCREW,83.89,41.95,18.3,75.5,64
RC,0272,BOLT EXTRACTOR 6.5 MM 7 MM SCREW,83.89,41.95,18.3,75.5,64
RC,0272,BOLT EXTRACTOR CONICAL THREAD 10-14 MM UNIVERSAL TIBIAL NAIL,251.0,125.5,54.74,225.9,64
RC,0272,BOLT EXTRACTOR NA 4.5 MM 5 MM SCREW,83.89,41.95,18.3,75.5,64
RC,0272,BOLT INSTRUMENT ATTACHMENT PEDIATRIC NAILING PLATFORM TIBIA SUPRAPATELLAR,1059.38,529.69,231.05,953.44,64
RC,0272,BOLT INSTRUMENT ATTACHMENT PEDINAIL ADULT INTRAMEDULLARY PLATFORM,411.98,205.99,89.85,370.78,64
RC,0272,BOLT INSTRUMENT ATTACHMENT PEDINAIL PEDIATRIC INTRAMEDULLARY PLATFORM,411.98,205.99,89.85,370.78,64
RC,0272,BOLT KIT NEUROSURGICAL IMPLANT CH5 PARENCHYMA NEUROVENT,266.0,133.0,58.01,239.4,64
RC,0272,BOLT LOCKING 4.5/5.5 MM VA-LCP CONDYLAR PLATE AIMING ARM NONSTERILE,414.51,207.26,90.4,373.06,64
RC,0272,BOLT LOCKING NUT 4.5/5.5 MM VA-LCP CONDYLAR PLATE AIMING ARM,289.52,144.76,63.14,260.57,64
RC,0272,BOLT LOCKING OD2.8 MM INTERLOCK PERCUTANEOUS INSERTION HANDLE,388.43,194.22,84.72,349.59,64
RC,0272,BOLT ORTHOPEDIC TENSION TEMPORARY APTUS,89.54,44.77,19.53,80.59,64
RC,0272,BOLUS BOLX 0.5CM 30X30CM SLFADH CONTR SEAL SKN/FLM PSTN,70.0,35.0,15.27,63.0,64
RC,0272,BOTTLE DRAINAGE 15INW X 15INMH 1000ML SECURE LUER LOCK EVACUATED SUCTION W/STERILE DRAIN LINE URESIL LATEX-FREE,126.0,63.0,27.48,113.4,64
RC,0272,BOTTLE DRAINAGE PLASTIC 1000ML EVACUATED W/O DRAIN LINE ASEPT LATEX-FREE STERILE SINGLE-USE,216.72,108.36,47.27,195.05,64
RC,0272,BOWL BONE CEMENT LARGE CAPACITY VACUUM MIX ADAPTER TRANSPARENT QUICK-VAC,65.78,32.89,14.35,59.2,64
RC,0272,BOWL BONE CEMENT POLYETHYLENE POLYACETAL SPATULA MIX STERILE LATEX FREE DISPOSABLE,251.69,125.85,54.89,226.52,64
RC,0272,BOWL BONE CEMENT SMARTMIX CTS MIX SYSTEM,555.0,277.5,121.05,499.5,64
RC,0272,BOWL BONE CEMENT VACUUM MIX VORTEX,50.0,25.0,10.91,45.0,64
RC,0272,BOWL MIXING BONE CEMENT F/EVACUATING SYSTEM SUPEREVAC,181.0,90.5,39.48,162.9,64
RC,0272,BOWL MIXING PRISM STERILE DISPOSABLE,750.0,375.0,163.58,675.0,64
RC,0272,BOWL MIXING STANDARD OPEN W/SPATULA F/BONE CEMENT,280.0,140.0,61.07,252.0,64
RC,0272,BOWL MIXING VACUUM RALLY,50.0,25.0,10.91,45.0,64
RC,0272,BOWL MX SGL-MX SHRT CQ BRKWY FNL LN CHRCL FLTR F/VAC OPTIVAC LF STRL 40GM,153.0,76.5,33.37,137.7,64
RC,0272,BOX STERILIZATION MUD 3 1/2INW X 7 1/4INL X 1 1/4H STERI-KLAVER,140.0,70.0,30.53,126.0,64
RC,0272,BRA 40A ISABEL CAMISOLE CANDLELIGHT TAPER STRAP DECORATIVE LACE NONWIRE 2 HOOK FASTENER 51% NYLON 36% POLYESTER 11% SPANDEX 2% VISCOSE POST SURGICAL,19.95,9.98,4.35,17.96,64
RC,0272,BRA 440 ESSENTIAL 2S BREAST FORM SIZE 6,113.0,56.5,24.65,101.7,64
RC,0272,BRA POST SURGICAL ISABEL LYCRA NYLON COTTON POLYESTER 38B WIRE FREE CAMISOLE DECORATIVE LACE ADJUSTABLE ELASTIC STRAP BLACK,20.57,10.29,4.49,18.51,64
RC,0272,BRA POSTOPERATIVE 2XL COTTON LYCRA SPANDEX VELCRO FRONT CLOSURE WHITE,45.46,22.73,9.91,40.91,64
RC,0272,BRA POSTOPERATIVE 3XL 40CMW 2CMW X 41.5CML 96% COTTON 4% SPANDEX KNIT FABRIC PADDED WIDE SHOULDER STRAP VELCRO HOOK-LOOP FASTENER MACHINE WASHABLE LATEX-FREE,38.25,19.13,8.34,34.43,64
RC,0272,BRA POSTOPERATIVE LARGE COTTON LYCRA SPANDEX VELCRO FRONT CLOSURE WHITE,38.44,19.22,8.38,34.6,64
RC,0272,BRA POSTOPERATIVE MEDIUM COTTON LYCRA SPANDEX VELCRO FRONT CLOSURE WHITE,36.89,18.45,8.05,33.2,64
RC,0272,BRA POSTOPERATIVE SIZE 30-32IN SMALL COTTON LYCRA SPANDEX KNITTED LACE TRIM CUPPED FRONT ZIPPER CLOSURE ADJUSTABLE VELCRO SHOULDER STRAP WHITE,47.64,23.82,10.39,42.88,64
RC,0272,BRA POSTOPERATIVE SIZE 34-36IN MEDIUM COTTON LYCRA SPANDEX KNITTED LACE TRIM ADJUSTABLE VELCRO SHOULDER STRAP REMOVABLE DRAIN POCKET W/O CUP WHITE,37.64,18.82,8.21,33.88,64
RC,0272,BRA POSTOPERATIVE SIZE 38-40IN LARGE COTTON LYCRA SPANDEX KNITTED LACE TRIM ADJUSTABLE VELCRO SHOULDER STRAP REMOVABLE DRAIN POCKET W/O CUP WHITE,39.94,19.97,8.71,35.95,64
RC,0272,BRA POSTOPERATIVE SIZE 42-44IN XL COTTON LYCRA SPANDEX KNITTED LACE TRIM ADJUSTABLE VELCRO SHOULDER STRAP FRONT ZIPPER CLOSURE W/O CUP WHITE,43.91,21.96,9.58,39.52,64
RC,0272,BRA POSTOPERATIVE SIZE 46-48IN QUEEN COTTON LYCRA SPANDEX KNITTED LACE TRIM ADJUSTABLE VELCRO SHOULDER STRAP REMOVABLE DRAIN POCKET W/O CUP WHITE,54.73,27.37,11.94,49.26,64
RC,0272,BRA POSTOPERATIVE SMALL COTTON LYCRA SPANDEX VELCRO FRONT CLOSURE WHITE,36.89,18.45,8.05,33.2,64
RC,0272,BRA POSTOPERATIVE SUPER QUEEN COTTON LYCRA SPANDEX VELCRO FRONT CLOSURE WHITE,67.27,33.64,14.67,60.54,64
RC,0272,BRA POSTOPERATIVE VELCRO 38-40IN CIRC LARGE COTTON LYCRA SPANDEX LACE TRIM SHOULDER STRAP FRONT ZIPPER CLOSURE REMOVABLE DRAIN POCKET W/CUP WHITE,47.0,23.5,10.25,42.3,64
RC,0272,BRA POSTOPERATIVE VELCRO 42-44IN CIRC XL COTTON LYCRA SPANDEX LACE TRIM SHOULDER STRAP FRONT ZIPPER CLOSURE REMOVABLE DRAIN POCKET W/CUP WHITE,51.0,25.5,11.12,45.9,64
RC,0272,BRA POSTOPERATIVE VELCRO 50-54IN CIRC SUPER QUEEN COTTON LYCRA SPANDEX LACE TRIM SHOULDER STRAP FRONT ZIPPER CLOSURE REMOVABLE DRAIN POCKET W/CUP WHITE,75.0,37.5,16.36,67.5,64
RC,0272,BRA POSTOPERATIVE VELCRO 50-54IN CIRC SUPER QUEEN COTTON LYCRA SPANDEX LACE TRIM SHOULDER STRAP FRONT ZIPPER CLOSURE REMOVABLE DRAIN POCKET W/RIGHT CUP WHITE,72.27,36.14,15.76,65.04,64
RC,0272,BRA POSTOPERATIVE XL 37.5CMW 2CMW X 41.5CML 96% COTTON 4% SPANDEX KNIT FABRIC PADDED WIDE SHOULDER STRAP VELCRO HOOK-LOOP FASTENER MACHINE WASHABLE LATEX-FREE 3020.5,30.66,15.33,6.69,27.59,64
RC,0272,BRA POSTOPERATIVE XL COTTON LYCRA SPANDEX VELCRO FRONT CLOSURE WHITE,43.16,21.58,9.41,38.84,64
RC,0272,BRA RITA WIRE FREE 38B BLACK 2004,20.67,10.34,4.51,18.6,64
RC,0272,BRA TIANA WIRE-FREE BRA 40A SAND 44809,31.35,15.68,6.84,28.22,64
RC,0272,BRACE KNEE OD26- IN QUICK RELEASE BUCKLE LOCK DONJOY ORTHOPEDIC,93.4,46.7,20.37,84.06,64
RC,0272,BRACE KNEE UNIVERSAL L17-23 IN TRANSITION ADJUSTABLE LENGTH DEROYAL ORTHOPEDIC FOAM,92.93,46.47,20.27,83.64,64
RC,0272,BRACE ORTHOPEDIC UNIVERSAL SHOULDER ARC 2.0,140.7,70.35,30.69,126.63,64
RC,0272,BRACE WALKING 7.5-10.5 8.5-11.5 MEDIUM FOOT ANKLE SHOCK ABSORB SOLE ROCKER BOTTOM SEAMLESS LINER FORM FIT BLACK,17.76,8.88,3.87,15.98,64
RC,0272,BREAST BIOPSY SYSTEM DRIVER,4000.0,2000.0,872.4,3600.0,64
RC,0272,BRIDGE CYSTOURETHROSCOPE SHORT 2 HORN THUMB WHEEL FINGERTIP SPRING DEFLECT USA ELITE SYSTEM II STAINLESS STEEL,822.4,411.2,179.37,740.16,64
RC,0272,BRONCHOSCOPE EXAM 4MM OD 2.0MM,4950.0,2475.0,1079.6,4455.0,64
RC,0272,BRONCHOSCOPE EXAMINATION ASCOPE 5 BRONCHO HD 5/2.2 SAMPLER SET,1615.0,807.5,352.23,1453.5,64
RC,0272,BRONCHOSCOPE EXAMINATION BFLEX 2 LARGE 5.8 SINGLE USE,1615.0,807.5,352.23,1453.5,64
RC,0272,BRONCHOSCOPE EXAMINATION BFLEX 2 ULTRASLIM 2.8 SINGLE USE,1665.0,832.5,363.14,1498.5,64
RC,0272,BRONCHOSCOPE FLEXIBLE 600MM 5.8MM 2.8MM AMBU ASCOPE 4 AVIEW 85D 6-50MM LARGE INTRODUCER CONTROL LEVER SUCTION CONNECTOR WORK CHANNEL PORT 2.6MM STERILE DISPOSABLE,1450.0,725.0,316.25,1305.0,64
RC,0272,BRONCHOSCOPE FLEXIBLE 600MM 5MM 2.2MM AMBU ASCOPE 4 AVIEW 85D 6-50MM REGULAR INTRODUCER CONTROL LEVER SUCTION CONNECTOR WORK CHANNEL PORT 2MM STERILE DISPOSABLE,2034.0,1017.0,443.62,1830.6,64
RC,0272,BRONCHOSCOPE VIDEO 696MM 1.2MM 3.8MM BFLEX 2 180D 185D SLIM 566MM DISPOSABLE,1445.0,722.5,315.15,1300.5,64
RC,0272,BRONCHOSCOPE VIDEO 696MM 2.2MM 5MM BFLEX 2 215D 225D REGULAR 566MM DISPOSABLE,1445.0,722.5,315.15,1300.5,64
RC,0272,BRUSH BONE CEMENT 19MM OD 32CML FEMORAL CANAL F/PREPARATION,143.12,71.56,31.21,128.81,64
RC,0272,BRUSH CYTOLOGY 1.5MM 1.73MM OD 140CML STAINLESS STEEL BULLET-SHAPED TIP W/RING HANDLE F/BRONCHOSCOPY CELLEBRITY LATEX-FREE NON-RADIOLUCENT SINGLE-USE,101.2,50.6,22.07,91.08,64
RC,0272,BRUSH CYTOLOGY 100CM 1MM SHEATH STAINLESS STEEL STERILE DISPOSABLE BLUE SWIRL,170.0,85.0,37.08,153.0,64
RC,0272,BRUSH CYTOLOGY 2.2FR DIA 115CML F/AUR-9 UTEROSCOPY,165.5,82.75,36.1,148.95,64
RC,0272,BRUSH CYTOLOGY 2.5MM 1.7MM SHEATH 160CM PEDIATRIC MATRIX BRISTLE STRAIGHT RING HANDLE STERILE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,BRUSH CYTOLOGY 2MM 100CM 1.9MM BRONCHOSCOPE BULLET TIP WIRE SHAFT STAINLESS STEEL PTFE STERILE DISPOSABLE CELLEBRITY,155.18,77.59,33.84,139.66,64
RC,0272,BRUSH CYTOLOGY 3MM DIA/2.4MM SHEATH 230CML GASTROINTESTINAL RING HANDLE BLUE LATEX-FREE STERILE DISPOSABLE 20EA/BX,239.0,119.5,52.13,215.1,64
RC,0272,BRUSH CYTOLOGY CELL SAMPLER SOFTER BRISTLES SLIP AGENT PAPETTE WALLACH CERVICAL,571.07,285.54,124.55,513.96,64
RC,0272,BRUSH CYTOLOGY L115 CM BIOPSY SET STRAIGHT TIP OD3.2 FR COOK URETERAL,133.8,66.9,29.18,120.42,64
RC,0272,BRUSH CYTOLOGY L115 CM DEFLECTABLE RADIOPAQUE OD3.2 FR COOK URETERAL,124.98,62.49,27.26,112.48,64
RC,0272,BRUSH CYTOLOGY L115 CM OD3 FR CYTOLOGY BRUSH 3.0 FR 1.0 MM 115 CM,224.95,112.48,49.06,202.46,64
RC,0272,BRUSH CYTOLOGY L115 CM THIN BRISTLE INTEGRAL HANDLE THICK CONTROL WIRE COVER SHEATH OD2 MM ODSEC.064 MM DISPOSABLE CYTOLOGY BRUSH METAL NYLON L10 MM 2 MM MINIMUM CHANNEL,155.55,77.78,33.93,140.0,64
RC,0272,BRUSH CYTOLOGY L115 CM THIN BRISTLE INTEGRAL HANDLE THICK CONTROL WIRE COVER SHEATH OD2 MM ODSEC.064 MM DISPOSABLE CYTOLOGY BRUSH METAL NYLON L6 MM 1.2 MM MINIMUM CHANNEL,156.96,78.48,34.23,141.26,64
RC,0272,BRUSH CYTOLOGY L115 CM THIN BRISTLE INTEGRAL HANDLE THICK CONTROL WIRE COVER SHEATH OD3 MM ODSEC.064 MM DISPOSABLE CYTOLOGY BRUSH METAL NYLON L10 MM 2 MM MINIMUM CHANNEL,155.55,77.78,33.93,140.0,64
RC,0272,BRUSH CYTOLOGY L115 MM 3 NEEDLE OD1.9 MM SUPERDIMENSION L10 MM 2 MM CHANNEL,1913.0,956.5,417.23,1721.7,64
RC,0272,BRUSH CYTOLOGY L120 CM OD2 MM ODSEC5 FR COOK GASTROINTESTINAL TRACT BLUE BRONCHOSCOPE,125.0,62.5,27.26,112.5,64
RC,0272,BRUSH CYTOLOGY L150 CM 2 MM BULLET TIP WIRE SHAFT OD1.9 MM CELLEBRITY STAINLESS STEEL PTFE,155.18,77.59,33.84,139.66,64
RC,0272,BRUSH CYTOLOGY L180 CM GASTROSCOPE OD5 FR ODSEC2 MM COOK GASTROINTESTINAL TRACT GREEN,130.0,65.0,28.35,117.0,64
RC,0272,BRUSH CYTOLOGY L180 CM OD3 MM ODSEC5 FR COOK GASTROINTESTINAL TRACT GREEN BRONCHOSCOPE,130.0,65.0,28.35,117.0,64
RC,0272,BRUSH CYTOLOGY L2.5 CM .035 IN 2 LUMEN GUIDEWIRE FILIFORM TIP OD3 MM ODSEC8 FR FUSION L200 CM BILIARY PANCREATIC PURPLE,105.0,52.5,22.9,94.5,64
RC,0272,BRUSH CYTOLOGY L200 CM .035 IN 2 LUMEN GUIDEWIRE FILIFORM TIP OD8 FR CYTOMAX II L1.5 CM BILIARY PURPLE,328.13,164.07,71.57,295.32,64
RC,0272,BRUSH CYTOLOGY L200 CM X W2.1 MM RAPID EXCHANGE OD8 FR COMBO CATH BILIARY ACCEPTS .035 IN GUIDEWIRE,103.0,51.5,22.46,92.7,64
RC,0272,BRUSH CYTOLOGY L240 CM BRISTLE OD3 MM ODSEC7 FR COOK BRONCHIAL UPPER LOWER GASTROINTESTINAL TRACT RED 2.8 MM CHANNEL COLONOSCOPE,515.63,257.82,112.46,464.07,64
RC,0272,BRUSH CYTOLOGY L46 CM COOK FISTULA,64.2,32.1,14.0,57.78,64
RC,0272,BRUSH ENDOSCOPIC CLEANING SUCTION CHANNEL OPEN CHANNEL-OPENING CLEANING BRUSH,12.75,6.38,2.78,11.48,64
RC,0272,BRUSH FEMORAL CANAL LARGE 25MM SUCTION ABSORBER,2670.0,1335.0,582.33,2403.0,64
RC,0272,BRUSH FEMORAL CANAL STANDARD PREPARATION BIOPREP,64.38,32.19,14.04,57.94,64
RC,0272,BRUSH INSTRUMENT CLEANING L110 CM DILATOR CABLE OD3 MM SAVARY-GILLIARD,52.08,26.04,11.36,46.87,64
RC,0272,BRUSH INSTRUMENT L180 MM 5 MM ATTACHMENT OD15 MM DURAPRO,787.5,393.75,171.75,708.75,64
RC,0272,BRUSH MICROBIOLOGY L110 CM WAX PLUG OD1 MM ODSEC1.8 MM BRONCHOSCOPE,112.48,56.24,24.53,101.23,64
RC,0272,BULB INSUFFLATION COMPLETE WELCHALLYN RECTUM SIGMOIDOSCOPE,170.52,85.26,37.19,153.47,64
RC,0272,BULB IRRIGATION/ASPIRATION BISHOP HARMON 25MM DIA 2.5INL SILICONE TRANSLUCENT,35.95,17.98,7.84,32.36,64
RC,0272,BULB LIGHT SOURCE 10IN FLX-LITE SMALL FLEXIBLE SHAFT BATTERY ON OFF BACK SWITCH STERILE LATEX FREE,95.91,47.96,20.92,86.32,64
RC,0272,BULB SUCTION/IRRIGATION ENDOSCOPIC 10INL CONTINUOUS FLOW PULSATILE ACTION CONTROLLED W/LUER LOCK F/UROLOGIC/HYSTEROSCOPIC PATHFINDER PLUS LATEX-FREE STERILE DISPOSABLE,396.5,198.25,86.48,356.85,64
RC,0272,BUNDLE CT SCAN ORTHOGNATHIC VSP W/O SPLINT PLAN/PREP,984.12,492.06,214.64,885.71,64
RC,0272,BUNDLE HEMODIALYSIS W/O CATHETER,619.97,309.99,135.22,557.97,64
RC,0272,BUR 48MM 8MM 4MM OVAL DENTAL CARBIDE 8 FLUTE,12.97,6.49,2.83,11.67,64
RC,0272,BUR 54.5MM 3.2MM ROUND DENTAL STAINLESS STEEL 6 FLUTE,12.6,6.3,2.75,11.34,64
RC,0272,BUR 54.5MM 4MM ROUND DENTAL STAINLESS STEEL 8 FLUTE,12.34,6.17,2.69,11.11,64
RC,0272,BUR 54.5MM 5MM MEDIUM GRIT ROUND DENTAL DIAMOND,15.94,7.97,3.48,14.35,64
RC,0272,BUR CUTTING 2.7MM X 64MM,252.97,126.49,55.17,227.67,64
RC,0272,BUR DENTAL L12.5 CM DISTAL BEND INTEGRATE ATTACHMENT IRRIGATION PRECISION MATCH HEAD OD2.5 CM IBUR DIAMOND,358.46,179.23,78.18,322.61,64
RC,0272,BURR 15 D DIAMOND COARSE ROUND OD4 MM L13 CM SURGICAL TRANSNASAL,432.02,216.01,94.22,388.82,64
RC,0272,BURR 6 FLUTE BARREL OD4 MM SURGICAL FORMULA F SERIES,365.85,182.93,79.79,329.27,64
RC,0272,BURR 70 D REVERSE TAPER OD4 MM L13 CM SURGICAL 30K,399.53,199.77,87.14,359.58,64
RC,0272,BURR ACORN OD9 MM SURGICAL PRECISION,111.06,55.53,24.22,99.95,64
RC,0272,BURR BALL FLUTE OD5 MM L14 CM SURGICAL MIDAS REX LEGEND,256.0,128.0,55.83,230.4,64
RC,0272,BURR CARBIDE 6 FLUTE MEDIUM TAPER MICRO OD2 MM L.3 IN SURGICAL SIDE CUT NA L50.8 MM,19.2,9.6,4.19,17.28,64
RC,0272,BURR CARBIDE 8 FLUTE ROUND OD5.5 MM L50 MM SURGICAL FAST CUT NA,35.59,17.8,7.76,32.03,64
RC,0272,BURR CARBIDE LONG OD5.5 MM L48 MM SURGICAL OVAL MICROAIRE,12.86,6.43,2.8,11.57,64
RC,0272,BURR CARBIDE LONG ROUND OD5 MM L69.9 MM SURGICAL ZIMMER RSC,30.4,15.2,6.63,27.36,64
RC,0272,BURR CARBIDE MEDIUM 8 FLUTE ROUND OD4 MM L48.3 IN SURGICAL,16.42,8.21,3.58,14.78,64
RC,0272,BURR CARBIDE MEDIUM FLUTE OD3 MM L10 MM SURGICAL ROUND HEAD NA TPS MIDAS REX ULTRAPOWER,76.92,38.46,16.78,69.23,64
RC,0272,BURR CARBIDE MEDIUM OD1.6 MM SURGICAL CROSSCUT FISSURE TAPER HEAD NA,50.59,25.3,11.03,45.53,64
RC,0272,BURR CARBIDE MEDIUM OD4 MM SURGICAL ROUND HEAD FLUTED TPS MIDAS REX ULTRAPOWER,76.92,38.46,16.78,69.23,64
RC,0272,BURR CARBIDE MEDIUM OD5 MM L48 MM SURGICAL ROUND NA ZIMMER RSC,16.42,8.21,3.58,14.78,64
RC,0272,BURR CARBIDE MEDIUM ROUND OD3 MM L50.8 MM SURGICAL,26.6,13.3,5.8,23.94,64
RC,0272,BURR CARBIDE OD.5 MM SURGICAL OTO-FLEX VIOLET,164.35,82.18,35.84,147.92,64
RC,0272,BURR CARBIDE OD1 MM SURGICAL SKEETER OTO-FLEX ORANGE,157.0,78.5,34.24,141.3,64
RC,0272,BURR CARBIDE OD1.4 MM SURGICAL SKEETER OTO-FLEX GRAY,164.35,82.18,35.84,147.92,64
RC,0272,BURR CARBIDE OD2.3 MM SURGICAL SKEETER OTO-FLEX RED,165.0,82.5,35.99,148.5,64
RC,0272,BURR CARBIDE OD3 MM SURGICAL MATCH HEAD,218.75,109.38,47.71,196.88,64
RC,0272,BURR CARBIDE ROUND MEDIUM OD6.5 MM SURGICAL REPROCESSED,16.42,8.21,3.58,14.78,64
RC,0272,BURR CARBIDE ROUND OD1 MM SURGICAL REINFORCE TIP QUICK CONNECT LOCK CONCAVE FINGER REST COLOR BAND S2 MINI S2 MINI DRILL SYSTEM,199.32,99.66,43.47,179.39,64
RC,0272,BURR CARBIDE ROUND OD2 MM SURGICAL ELITE,218.75,109.38,47.71,196.88,64
RC,0272,BURR CARBIDE ROUND OD3 MM L45 MM SURGICAL NA,31.17,15.59,6.8,28.05,64
RC,0272,BURR CARBIDE ROUND OD4 MM L44.5 MM SURGICAL,30.24,15.12,6.6,27.22,64
RC,0272,BURR CARBIDE ROUND OD4 MM SURGICAL,218.75,109.38,47.71,196.88,64
RC,0272,BURR CARBIDE ROUND OD5 MM L44.5 MM SURGICAL NA,30.24,15.12,6.6,27.22,64
RC,0272,BURR CARBIDE ROUND OD5 MM SURGICAL ELITE,218.75,109.38,47.71,196.88,64
RC,0272,BURR CARBIDE ROUND OD6 MM SURGICAL,218.75,109.38,47.71,196.88,64
RC,0272,BURR CARBIDE TAPER OD1.2 MM L45 MM SURGICAL SIDE CUT,11.09,5.55,2.42,9.98,64
RC,0272,BURR CONICAL OD2 MM L19.5 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR CONICAL OD2.2 MM L12 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR CONICAL OD2.9 MM L13 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR CONICAL OD9.5 MM L110 MM SURGICAL QUICK COUPLING,321.73,160.87,70.17,289.56,64
RC,0272,BURR CYLINDRICAL OD5 MM SURGICAL REAL INTELLIGENCE,766.0,383.0,167.06,689.4,64
RC,0272,BURR CYLINDRICAL OD6 MM SURGICAL REAL INTELLIGENCE,180.0,90.0,39.26,162.0,64
RC,0272,BURR DENTAL CARBIDE DIAMOND 0834,44.23,22.12,9.65,39.81,64
RC,0272,BURR DIAMOND 40 D OD3.2 MM L15 CM SURGICAL XPS ASB,343.82,171.91,74.99,309.44,64
RC,0272,BURR DIAMOND 70 D CURVE TAPER OD4 MM L13 CM SURGICAL HIGH SPEED IRRIGATION TUBE CANNULATED SUCTION TIP FRONTAL SINUS,1159.34,579.67,252.85,1043.41,64
RC,0272,BURR DIAMOND 70 D REVERSE TAPER OD4 MM L13 CM SURGICAL 30K,399.53,199.77,87.14,359.58,64
RC,0272,BURR DIAMOND COARSE OD3 MM SURGICAL EXTEND NA,131.13,65.57,28.6,118.02,64
RC,0272,BURR DIAMOND COARSE ROUND OD2 MM SURGICAL NA,131.13,65.57,28.6,118.02,64
RC,0272,BURR DIAMOND FINE CURVE OD1 MM L98 MM SURGICAL HIGH SPEED VISAO COCHLEOSTOMY,258.4,129.2,56.36,232.56,64
RC,0272,BURR DIAMOND FINE OD.5 MM SURGICAL EXTEND ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND FINE ROUND OD1.5 MM SURGICAL EXTEND NA,131.13,65.57,28.6,118.02,64
RC,0272,BURR DIAMOND LONG COARSE ROUND OD3 MM L72 MM SURGICAL VISAO GUARD,144.4,72.2,31.49,129.96,64
RC,0272,BURR DIAMOND LONG FINE ROUND OD5 MM L71 MM SURGICAL ENT,121.0,60.5,26.39,108.9,64
RC,0272,BURR DIAMOND MEDIUM OD.8 MM L25.4 MM SURGICAL CUT DISC NA,103.26,51.63,22.52,92.93,64
RC,0272,BURR DIAMOND MEDIUM OD4.5 MM L54 MM SURGICAL ROUND HEAD NA,76.02,38.01,16.58,68.42,64
RC,0272,BURR DIAMOND OD.6 MM SURGICAL OTO-FLEX BLUE WHITE,210.81,105.41,45.98,189.73,64
RC,0272,BURR DIAMOND OD1 MM SURGICAL OTO-FLEX SKEETER ORANGE WHITE,202.35,101.18,44.13,182.12,64
RC,0272,BURR DIAMOND OD2.3 MM SURGICAL OTO-FLEX RED WHITE,202.35,101.18,44.13,182.12,64
RC,0272,BURR DIAMOND OD3 MM SURGICAL ELITE NEURO,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND OD3.7 MM L355 MM SURGICAL DIAMOND BURR SPINE,455.0,227.5,99.24,409.5,64
RC,0272,BURR DIAMOND OD5 MM L55 MM SURGICAL ROUND COARSE BRANDX,76.02,38.01,16.58,68.42,64
RC,0272,BURR DIAMOND ROUND COARSE OD2 MM SURGICAL 5 STEP NOTCH ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND ROUND OD1 MM SURGICAL 5 STEP NOTCH ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND ROUND OD1.8 MM SURGICAL,199.32,99.66,43.47,179.39,64
RC,0272,BURR DIAMOND ROUND OD2 MM SURGICAL 5 STEP NOTCH ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND ROUND OD2 MM SURGICAL EXTEND NA,131.13,65.57,28.6,118.02,64
RC,0272,BURR DIAMOND ROUND OD2 MM SURGICAL NA,131.13,65.57,28.6,118.02,64
RC,0272,BURR DIAMOND ROUND OD2.3 MM SURGICAL S2 MINI,199.32,99.66,43.47,179.39,64
RC,0272,BURR DIAMOND ROUND OD3 MM L54.5 MM SURGICAL MEDIUM GRIT NA,59.12,29.56,12.89,53.21,64
RC,0272,BURR DIAMOND ROUND OD3.5 MM SURGICAL NA,76.46,38.23,16.68,68.81,64
RC,0272,BURR DIAMOND ROUND OD4 MM L54.5 MM SURGICAL MEDIUM GRIT NA,76.02,38.01,16.58,68.42,64
RC,0272,BURR DIAMOND ROUND OD4 MM SURGICAL AGGRESSIVE SMOOTH CUT SABER TPS ELITE,257.8,128.9,56.23,232.02,64
RC,0272,BURR DIAMOND ROUND OD6 MM SURGICAL 5 STEP NOTCH ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND ROUND TAPER OD2 MM SURGICAL 5 NOTCH NUMBER EXPOSURE MARK EXTEND TPS ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND ROUND XCOARSE OD4 MM SURGICAL ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR DIAMOND XCOARSE ROUND OD6 MM SURGICAL NA,115.04,57.52,25.09,103.54,64
RC,0272,BURR FLUTE ROUND OD2 MM SURGICAL 5 STEP NOTCH ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR FLUTE ROUND OD6 MM SURGICAL SOFT TOUCH AGGRESSIVE SMOOTH END CUT ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR LONG OD3 MM L20 MM SURGICAL CUT PROSTEP MICA,342.28,171.14,74.65,308.05,64
RC,0272,BURR LONG OD5 MM SURGICAL ROUND FLUTE NA,81.08,40.54,17.68,72.97,64
RC,0272,BURR LONG OD9 MM SURGICAL ROUND FLUTED NA,81.08,40.54,17.68,72.97,64
RC,0272,BURR LONG OVAL OD5.5 MM L69.9 MM SURGICAL 10 FLUTED OSTEON L9.9 MM,33.79,16.9,7.37,30.41,64
RC,0272,BURR LONG TAPER OD2.3 MM L30 MM SURGICAL ROUTER NA,225.4,112.7,49.16,202.86,64
RC,0272,BURR MATCH HEAD OD3 MM SURGICAL PRECISION,247.9,123.95,54.07,223.11,64
RC,0272,BURR MATCH HEAD OD3 MM SURGICAL PRECISION MIS,247.9,123.95,54.07,223.11,64
RC,0272,BURR MEDIUM OD2.2 MM SURGICAL LINDEMANN,50.59,25.3,11.03,45.53,64
RC,0272,BURR MEDIUM OD4 MM SURGICAL OVAL DIAMOND NA,19.14,9.57,4.17,17.23,64
RC,0272,BURR MEDIUM OD9 MM SURGICAL ROUND FLUTED NA,76.92,38.46,16.78,69.23,64
RC,0272,BURR MEDIUM ROUND OD3 MM L50.8 MM SURGICAL 6 FLUTE,16.42,8.21,3.58,14.78,64
RC,0272,BURR MEDIUM SURGICAL DIAMOND TMJ SYSTEM TMJ,372.0,186.0,81.13,334.8,64
RC,0272,BURR OD.7 MM SURGICAL DIAMOND OTO-FLEX GREEN WHITE,210.81,105.41,45.98,189.73,64
RC,0272,BURR OD2 MM L12 MM SURGICAL MICA,342.28,171.14,74.65,308.05,64
RC,0272,BURR OD2 MM L20 MM SURGICAL MICA,342.28,171.14,74.65,308.05,64
RC,0272,BURR OD2 MM L3.1 MM SURGICAL MATCH HEAD SOFT TOUCH NA NEURO,115.04,57.52,25.09,103.54,64
RC,0272,BURR OD2 MM L8 MM SURGICAL PROSTEP MICA MICA CHEVRON OSTEOTOMY,342.28,171.14,74.65,308.05,64
RC,0272,BURR OD2 MM SURGICAL ROUND TAPERED COARSE ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR OD2.1 MM SURGICAL CROSS CUT FISSURE ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR OD2.5 MM SURGICAL MATCH HEAD PRECISION,247.9,123.95,54.07,223.11,64
RC,0272,BURR OD3 MM L3.8 MM SURGICAL LESS AGGRESSIVE NEURO,222.66,111.33,48.56,200.39,64
RC,0272,BURR OD3 MM SURGICAL 3.0MM PRECISION ROUND 16CM SHANK PRECISION CRANIAL BROWN,247.9,123.95,54.07,223.11,64
RC,0272,BURR OD3 MM SURGICAL ROUND DIAMOND COARSE TAPER ELITE REPROCESSED,115.04,57.52,25.09,103.54,64
RC,0272,BURR OD3.0 MM SURGICAL 3.0MM PRECISION ROUND 13 CM SHANK PRECISION CRANIAL LILAC,237.22,118.61,51.74,213.5,64
RC,0272,BURR OD3.1 MM L13 MM SURGICAL WEDGE MICA MICA,342.28,171.14,74.65,308.05,64
RC,0272,BURR OD4 MM L16 MM SURGICAL PROSTEP CARTILAGE MIS ARTHRODESIS,421.88,210.94,92.01,379.69,64
RC,0272,BURR OD4.1 MM L13 MM SURGICAL WEDGE PROSTEP MICA MICA,411.93,205.97,89.84,370.74,64
RC,0272,BURR OD5 MM SURGICAL EGG HEAD TPS ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR OD6 MM L59 MM SURGICAL ROUND OSTEOMED,63.0,31.5,13.74,56.7,64
RC,0272,BURR OD6 MM SURGICAL ACORN PRECISION,111.06,55.53,24.22,99.95,64
RC,0272,BURR OVAL OD3.2 MM L125 MM SURGICAL CANNULATED SUCTION TIP IRRIGATION TUBE XPS,1075.5,537.75,234.57,967.95,64
RC,0272,BURR OVAL OD4 MM L59 MM SURGICAL OSTEOPOWER,65.0,32.5,14.18,58.5,64
RC,0272,BURR OVAL OD5 MM L15 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR PTERYGIUM 3.5MM W/CHUCK,108.0,54.0,23.55,97.2,64
RC,0272,BURR RECTA OD2 MM 72 MM SURGICAL FJ 2000 L13 MM AKIN BUNIONETTE,455.0,227.5,99.24,409.5,64
RC,0272,BURR ROUND DIAMOND COARSE OD1 MM SURGICAL TPS ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR ROUND DIAMOND TAPER OD1 MM SURGICAL 5 NOTCH TPS ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR ROUND FLUTE OD3 MM SURGICAL AGGRESSIVE TPS ELITE ARTHROSCOPIC,115.04,57.52,25.09,103.54,64
RC,0272,BURR ROUND FLUTE OD3 MM SURGICAL ZEPHYR ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR ROUND OD3 MM SURGICAL 10 FLUTE,195.0,97.5,42.53,175.5,64
RC,0272,BURR ROUND OD3 MM SURGICAL PRECISION,203.75,101.88,44.44,183.38,64
RC,0272,BURR ROUND OD4 MM L54 MM SURGICAL 8 FLUTE FAST CUT NA,35.59,17.8,7.76,32.03,64
RC,0272,BURR ROUND OD6 MM SURGICAL PRECISION,203.75,101.88,44.44,183.38,64
RC,0272,BURR ROUND OD8 MM SURGICAL NA,56.69,28.35,12.36,51.02,64
RC,0272,BURR ROUND TAPER OD1 MM SURGICAL ELITE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SHANNON CORTA 2X8MM,385.0,192.5,83.97,346.5,64
RC,0272,BURR SHANNON LARGA 2.2 X 12MM,385.0,192.5,83.97,346.5,64
RC,0272,BURR SHANNON RECTA 2X13MM,385.0,192.5,83.97,346.5,64
RC,0272,BURR SHANNON RECTA 3 LARGA 3.1X20MM,385.0,192.5,83.97,346.5,64
RC,0272,BURR SHANNON RECTA C-LARGA 30MM,675.0,337.5,147.22,607.5,64
RC,0272,BURR SHANNON RECTA LARGE 2.2,385.0,192.5,83.97,346.5,64
RC,0272,BURR SHAVER 12 FLUTE BARREL OD4 MM FORMULA,365.85,182.93,79.79,329.27,64
RC,0272,BURR SHAVER 12000 RPM ROUND STRAIGHT CUT RIGHT ROTATION OD3.2 MM XPS PEDIATRIC,913.9,456.95,199.32,822.51,64
RC,0272,BURR SHAVER 2MM ABRASION HOODED STERILE STAINLESS STEEL SMALL JOINT,255.59,127.8,55.74,230.03,64
RC,0272,BURR SHAVER 3MM ABRASION HOODED ARTHROSCOPIC STERILE FORMULA SMALL JOINT,419.93,209.97,91.59,377.94,64
RC,0272,BURR SHAVER 3MM ROUND ABRASION HOOD STERILE ARTHROSCOPIC,233.85,116.93,51.0,210.47,64
RC,0272,BURR SHAVER 4MM DIA BARREL FLUTEDX6 HOLLOW PROTECTED DESIGN SLAP,200.0,100.0,43.62,180.0,64
RC,0272,BURR SHAVER 4MM SLAP STERILE,406.79,203.4,88.72,366.11,64
RC,0272,BURR SHAVER 4MM STRAIGHT STERILE DYONICS ELITE NOTCHBLASTER DISPOSABLE LILAC,504.0,252.0,109.92,453.6,64
RC,0272,BURR SHAVER 5.5MM 13CM 6 FLUTE OVAL STERILE COOLCUT FLUSHCUT DISPOSABLE,39.0,19.5,8.51,35.1,64
RC,0272,BURR SHAVER 5.5MM 6 FLUTE ROUND BARREL ARTHROSCOPIC STERILE FORMULA LATEX FREE DISPOSABLE,365.85,182.93,79.79,329.27,64
RC,0272,BURR SHAVER 5.5MM BARREL 6 FLUTE STERILE FORMULA ARTHROSCOPIC F SERIES,365.85,182.93,79.79,329.27,64
RC,0272,BURR SHAVER 5.5MM DIA HOLLOW FLUTEDX6 BARREL,185.0,92.5,40.35,166.5,64
RC,0272,BURR SHAVER 5.5MM ROUND 12 FLUTE ASCENSION,335.03,167.52,73.07,301.53,64
RC,0272,BURR SHAVER 5.5MM ROUND 12 FLUTE STERILE FORMULA LATEX FREE DISPOSABLE ARTHROSCOPIC F SERIES REPROCESSED,365.85,182.93,79.79,329.27,64
RC,0272,BURR SHAVER 5MM 12 FLUTED BARREL ARTHROSCOPIC STERILE FORMULA,365.85,182.93,79.79,329.27,64
RC,0272,BURR SHAVER 5MM 12.5CM 15D ROUND CANNULATED HIGH SPEED DIAMOND,934.65,467.33,203.85,841.19,64
RC,0272,BURR SHAVER 5MM 13CM 8 FLUTE OVAL STERILE COOLCUT DISPOSABLE,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER 5MM 13CM 8 FLUTE ROUND STERILE COOLCUT FLUSHCUT DISPOSABLE,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER 5MM ROUND 12 FLUTE STERILE FORMULA F SERIES,42.0,21.0,9.16,37.8,64
RC,0272,BURR SHAVER ABRADER OD4 MM DYONICS HIP PURPLE,225.0,112.5,49.07,202.5,64
RC,0272,BURR SHAVER ABRADER OD5.5 MM DYONICS HIP BLACK,369.87,184.94,80.67,332.88,64
RC,0272,BURR SHAVER AGGRESSIVE 4MM DIA STAINLESS STEEL ROUND FLUTEDX6 UNHOODED RED HUB FORMULA LATEX-FREE STERILE DISPOSABLE,73.17,36.59,15.96,65.85,64
RC,0272,BURR SHAVER AGGRESSIVE ARTHROSCOPIC 5.5MM DIA PLATINUM STRAIGHT WIDE MOUTH BROWN LATCH F/EP-1 SYSTEM DYONICS ELITE ACROMIONIZER LATEX-FREE STERILE DISPOSABLE,264.0,132.0,57.58,237.6,64
RC,0272,BURR SHAVER AGGRESSIVE REPROCESSED 5.5MM DIA STANDARD BARREL FLUTEDX6 W/O CLOGGING TAN F/SMOOTHER BONE REMOVAL FORMULA LATEX-FREE STERILE DISPOSABLE,23.42,11.71,5.11,21.08,64
RC,0272,BURR SHAVER ARTHROSCOPIC 4MM DIA 13CML TAPERED ANGLED FLUTEDX6 CLEAR SHROUD F/OSTEOCHONDRAL OSTEOPHYTE RESECTION COOLCUT CLEARCUT TR LATEX-FREE,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER ARTHROSCOPIC AGGRESSIVE 5.5MM DIA STANDARD BARREL SHAPED FLUTEX12 ULTIMATE LATEX-FREE,200.0,100.0,43.62,180.0,64
RC,0272,BURR SHAVER ARTHROSCOPIC AGGRESSIVE 5.5MM DIA STANDARD ROUND FLUTEX12 ULTIMATE LATEX-FREE DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,BURR SHAVER ARTHROSCOPIC REPROCESSED 5.5MM DIA STANDARD ROUND FLUTEDX12 HOLLOW BROWN HUB F/SMOOTHER BONE REMOVAL FORMULA LATEX-FREE STERILE DISPOSABLE,23.42,11.71,5.11,21.08,64
RC,0272,BURR SHAVER BARREL OD2.9 MM POWERMINI,408.84,204.42,89.17,367.96,64
RC,0272,BURR SHAVER CHOANAL ATRESIA,399.53,199.77,87.14,359.58,64
RC,0272,BURR SHAVER ENDOSCOPIC 3MM DIA 11CML SINUS 360DEG ANGLED CURVED OSCILLATION M4 ROTATABLE SHAFT OFFSET FRONTAL SURGERY F/XOMED STRAIGHTSHOT SYSTEM XPS LATEX-FREE STERILE DISPOSABLE 5000RPM SPEED K.RAD ,908.96,454.48,198.24,818.06,64
RC,0272,BURR SHAVER L10 CM ROUND OD2.9 MM XPS,1139.4,569.7,248.5,1025.46,64
RC,0272,BURR SHAVER L11 CM CURVE HIGH SPEED IRRIGATION TUBE OD4 MM XPS DCR SINUS,934.65,467.33,203.85,841.19,64
RC,0272,BURR SHAVER L13 CM 12000- RPM CURVE TAPER HIGH SPEED CANNULATED SUCTION IRRIGATION TUBE OD3.6 MM SINUS,906.98,453.49,197.81,816.28,64
RC,0272,BURR SHAVER L13 CM 6 FLUTE SLAP OD4 MM CLEARCUT COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER L13 CM 70 D CURVE OD5 MM XPS ASB DIAMOND SINUS,343.82,171.91,74.99,309.44,64
RC,0272,BURR SHAVER L13 CM 8 FLUTE OVAL OD4 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER L13 CM 8 FLUTE ROUND OD4 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER L13 CM 8 FLUTE ROUND OD5.5 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER L13 CM BLADE OD5 CM BLURR COOLCUT,505.0,252.5,110.14,454.5,64
RC,0272,BURR SHAVER L13 CM OVAL 12 FLUTE OD5 MM FLUSHCUT,39.0,19.5,8.51,35.1,64
RC,0272,BURR SHAVER L18 CM LONG ABRADER OD5.5 MM DYONICS ARTHROSCOPIC,207.0,103.5,45.15,186.3,64
RC,0272,BURR SHAVER L18 CM ROUND RETRACTABLE 8 FLUTE HIP LENGTH OD5 MM,505.0,252.5,110.14,454.5,64
RC,0272,BURR SHAVER L18 CM ROUND RETRACTABLE HIP LENGTH 8 FLUTE OD5.5 MM,505.0,252.5,110.14,454.5,64
RC,0272,BURR SHAVER L19 CM 8 FLUTE ROUND HIP LENGTH OD5 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER L19 CM ROUND 8 FLUTE HIP LENGTH OD4 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER L7 CM ABRADER LATCH OD3.5 MM DYONICS POWERMINI AQUA,533.16,266.58,116.28,479.84,64
RC,0272,BURR SHAVER LONG 8 FLUTE ROUND OD5.5 MM FORMULA F SERIES,505.7,252.85,110.29,455.13,64
RC,0272,BURR SHAVER OD3.2 MM TARDY MICROBUR,1155.0,577.5,251.91,1039.5,64
RC,0272,BURR SHAVER OVAL 10 FLUTE OD3 MM,195.0,97.5,42.53,175.5,64
RC,0272,BURR SHAVER ROUND 8 FLUTE OD3 MM COOLCUT,39.0,19.5,8.51,35.1,64
RC,0272,BURR SHAVER STRAIGHT ABRADER OD5.5 MM DYONICS ELITE BLACK,267.0,133.5,58.23,240.3,64
RC,0272,BURR SHAVER STRAIGHT ACROMIONIZER OD4 MM DYONICS ELITE MAUVE,264.0,132.0,57.58,237.6,64
RC,0272,BURR SHAVER STRAIGHT OD4 MM DYONICS ACROMIOBLASTER SAGE GREEN,504.0,252.0,109.92,453.6,64
RC,0272,BURR SHAVER STRAIGHT OD4 MM DYONICS ELITE STONECUTTER MAROON,504.0,252.0,109.92,453.6,64
RC,0272,BURR SHAVER STRAIGHT OD4.5 MM ACUFEX HELICUT DYONICS SLATE,522.0,261.0,113.85,469.8,64
RC,0272,BURR SHAVER STRAIGHT OD5.5 MM DYONICS ABRADER BLACK ARTHROSCOPIC,262.68,131.34,57.29,236.41,64
RC,0272,BURR SHAVER STRAIGHT OD5.5 MM DYONICS ACROMIONIZER BROWN ARTHROSCOPIC REPROCESSED,264.0,132.0,57.58,237.6,64
RC,0272,BURR SHAVER STRAIGHT OD5.5 MM DYONICS ELITE ACROMIOBLASTER BRICK RED,267.0,133.5,58.23,240.3,64
RC,0272,BURR SHAVER STRAIGHT OD5.5 MM DYONICS ELITE NOTCHBLASTER PEACH,504.0,252.0,109.92,453.6,64
RC,0272,BURR SHORT OD3 MM L62 MM SURGICAL PILOT POINT SWANSON,57.5,28.75,12.54,51.75,64
RC,0272,BURR STAINLESS STEEL 3 FLUTE ROUND MICRO OD4 MM L55 MM SURGICAL NA,50.68,25.34,11.05,45.61,64
RC,0272,BURR STAINLESS STEEL DIAMOND 80000 RPM LONG ROUND OD3 MM L72 MM SURGICAL FINE VISAO OTOLOGICAL,150.1,75.05,32.74,135.09,64
RC,0272,BURR STAINLESS STEEL DIAMOND 80000 RPM LONG ROUND OD4 MM L72 MM SURGICAL FINE VISAO OTOLOGICAL,121.6,60.8,26.52,109.44,64
RC,0272,BURR STAINLESS STEEL DIAMOND 80000 RPM LONG ROUND OD6 MM L71 MM SURGICAL FINE VISAO OTOLOGICAL,189.0,94.5,41.22,170.1,64
RC,0272,BURR STAINLESS STEEL EGG OD4 MM SURGICAL NA,40.2,20.1,8.77,36.18,64
RC,0272,BURR STAINLESS STEEL FLUTE ROUND OD2 MM L64 MM SURGICAL CUT,257.45,128.73,56.15,231.71,64
RC,0272,BURR STAINLESS STEEL LONG ROUND OD4 MM L72 MM SURGICAL FLUTE AGGRESSIVE CUT VISAO ULTRAPOWER INDIGO,354.0,177.0,77.21,318.6,64
RC,0272,BURR STAINLESS STEEL LONG ROUND OD6 MM L69 MM SURGICAL FLUTE AGGRESSIVE CUT VISAO ULTRAPOWER INDIGO,495.0,247.5,107.96,445.5,64
RC,0272,BURR STAINLESS STEEL MEDIUM ACORN OD6 MM SURGICAL NA,76.92,38.46,16.78,69.23,64
RC,0272,BURR STAINLESS STEEL MEDIUM ROUND OD5 MM L64 MM SURGICAL AGGRESSIVE CUTTING TOOL ULTRAPOWER,401.85,200.93,87.64,361.67,64
RC,0272,BURR STAINLESS STEEL MICRO EGG OD4 MM L9.5 MM SURGICAL,40.2,20.1,8.77,36.18,64
RC,0272,BURR STAINLESS STEEL OD2.1 MM L54 MM SURGICAL SIDE CUT NA,60.71,30.36,13.24,54.64,64
RC,0272,BURR STAINLESS STEEL ROUND OD2.4 MM L54.5 MM SURGICAL 6 FLUTE FAST CUT NA,35.59,17.8,7.76,32.03,64
RC,0272,BURR STAINLESS STEEL ROUND OD2.4 MM L54.5 MM SURGICAL 8 FLUTE NA,55.2,27.6,12.04,49.68,64
RC,0272,BURR STAINLESS STEEL ROUND OD4 MM L54.5 MM SURGICAL 6 FLUTE FAST CUT,49.38,24.69,10.77,44.44,64
RC,0272,BURR STAINLESS STEEL ROUND OD6 MM L54.5 MM SURGICAL 16 FLUTE NA,48.0,24.0,10.47,43.2,64
RC,0272,BURR STAINLESS STEEL SMALL OD2 MM SURGICAL ABRASION HOOD FORMULA GRAY,384.51,192.26,83.86,346.06,64
RC,0272,BURR STEEL MEDIUM OD7.5 MM SURGICAL TOOL ACORN,76.92,38.46,16.78,69.23,64
RC,0272,BURR STRAIGHT OD1.1 MM L6 MM SURGICAL ROUTER NA,115.04,57.52,25.09,103.54,64
RC,0272,BURR STRAIGHT OD2 MM L13 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR STRAIGHT OD2 MM L8 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR STRAIGHT OD2.9 MM L13 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR STRAIGHT OD3.1 MM L20 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,BURR STRAIGHT OD4 MM SURGICAL DYONICS ACROMIONIZER MAUVE,264.0,132.0,57.58,237.6,64
RC,0272,BURR SURG 1MMX9CM CRV FLUT BALL MIDAS REX MEDNEXT LEGEND STRL,185.0,92.5,40.35,166.5,64
RC,0272,BURR SURG MIDAS REX MR8 TOOL 3MM LG BORE 14CM BALL FLUTE,137.76,68.88,30.05,123.98,64
RC,0272,BURR SURG MIDAS REX MR8 TOOL 3MM SM BORE 10CM 3.8MM HEAD MATCH HEAD COARSE DIAMOND,121.52,60.76,26.5,109.37,64
RC,0272,BURR SURGICAL .6MM CRURA SAW STERILE SKEETER OTO-FLEX BLACK,196.0,98.0,42.75,176.4,64
RC,0272,BURR SURGICAL 0.5MM DIA HEAD TAPERED ROUND ELITE LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 0.5MM ROUND FLUTED F/PORTMANN CHUCK CORE TPS,80.11,40.06,17.47,72.1,64
RC,0272,BURR SURGICAL 1.5MM DIA FLUTED ROUND ELITE LATEX-FREE STERILE,129.25,64.63,28.19,116.33,64
RC,0272,BURR SURGICAL 1.5MM DIA HEAD MICRO 66.7MML STAINLESS STEEL DRILL TIP STERILE,52.28,26.14,11.4,47.05,64
RC,0272,BURR SURGICAL 1.5MM DIA HEAD STRAIGHT ROUTER ELITE SHANK CORE TPS LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 1.5MM DIA HEAD TAPERED DIAMOND ELITE LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 1.5MM DIA HEAD WIRE PASS DRILL ELITE SHANK TPS,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 2.1-2.6MM 45MM 6.8MM TAPER FISSURE STERILE CARBIDE STEEL SHORT ATTACHMENT,97.2,48.6,21.2,87.48,64
RC,0272,BURR SURGICAL 2.1MM DIA HEAD 59MML CARBIDE STAINLESS STEEL STRAIGHT TAPERED DRILL FLUTEX6 FISSURE OSTEOPOWER LATEX-FREE STERILE,34.0,17.0,7.42,30.6,64
RC,0272,BURR SURGICAL 2.1MM DIA HEAD MEDIUM TAPERED CROSS CUT F/MIDAS REX ZIMMER ULTRAPOWER CORE TPS LATEX-FREE STERILE,50.59,25.3,11.03,45.53,64
RC,0272,BURR SURGICAL 2.3MM DIA HEAD MEDIUM 22MML TAPERED ROUTER EXTENDED F/ZIMMER ULTRAPOWER TPS LATEX-FREE,109.34,54.67,23.85,98.41,64
RC,0272,BURR SURGICAL 2.3MM DIA XL 22MML TAPERED F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE,128.14,64.07,27.95,115.33,64
RC,0272,BURR SURGICAL 2.4MM 70MM LONG OVAL STERILE CARBIDE LATEX FREE DISPOSABLE,33.79,16.9,7.37,30.41,64
RC,0272,BURR SURGICAL 2.5M DIA 14CML METAL HEAD MIDAS REX CLEARVIEW LATEX-FREE,361.74,180.87,78.9,325.57,64
RC,0272,BURR SURGICAL 2.5MM DIA 13CML MATCH HEAD PRECISION LILAC CORE TPS LATEX-FREE,247.9,123.95,54.07,223.11,64
RC,0272,BURR SURGICAL 2.5MM DIA 3.8MML CARBIDE ELITE/SABER SHANK F/NEUROSURGERY CORE TPS LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 2.5MM ROUND 2-FLUTED PRECISION S2 TTDRIVE,203.75,101.88,44.44,183.38,64
RC,0272,BURR SURGICAL 2MM 95MM ROUND STERILE STEEL DIAMOND LARGE ATTACHMENT,97.2,48.6,21.2,87.48,64
RC,0272,BURR SURGICAL 2MM DIA 100MML FLUTED BALL F/NEUROSURGICAL MIDASREX LEGEND,134.11,67.06,29.25,120.7,64
RC,0272,BURR SURGICAL 2MM DIA HEAD 15CML FLUTED ROUND BALL F/NEUROSURGICAL MIDAS REX LEGEND STERILE SINGLE-USE,214.24,107.12,46.73,192.82,64
RC,0272,BURR SURGICAL 2MM DIA HEAD 3.1MML HEAD DIAMOND MATCHSTICK ELITE SHANK F/NEURO TPS,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 2MM DIA HEAD LONG 72MML STAINLESS STEEL ROUND DIAMOND COARSE CUTTING F/OTOLOGY XPS 3000 STRAIGHTSHOT VISAO STERILE,142.55,71.28,31.09,128.3,64
RC,0272,BURR SURGICAL 2MM DIA HEAD TAPERED ROUND ELITE LATEX-FREE STERILE,232.51,116.26,50.71,209.26,64
RC,0272,BURR SURGICAL 2MM DIA HEAD XLONG 77MML STAINLESS STEEL ROUND DIAMOND FINE CUTTING F/OTOLOGY XPS 3000 STRAIGHTSHOT VISAO STERILE,143.38,71.69,31.27,129.04,64
RC,0272,BURR SURGICAL 2MM F/ZYPHR CORE ELITE SHANK TPS,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 3.2MM 54MM ROUND 6 FLUTE FAST CUT STERILE LATEX FREE DISPOSABLE,35.59,17.8,7.76,32.03,64
RC,0272,BURR SURGICAL 3MM 12.5MM HEAD ROUND PROXIMAL BEND PRECISION F/IBUR INTEGRATED ATTACHMENT,368.85,184.43,80.45,331.97,64
RC,0272,BURR SURGICAL 3MM 13MM PERCUTANEOUS WEDGE F/PECA BUNION IMPLANT STERILE SINGLE-USE,400.0,200.0,87.24,360.0,64
RC,0272,BURR SURGICAL 3MM 78MM STAINLESS STEEL ROUND CUTTING XPS 3000 STRAIGHTSHOT VISAO,373.0,186.5,81.35,335.7,64
RC,0272,BURR SURGICAL 3MM DIA 12CML BALL,126.0,63.0,27.48,113.4,64
RC,0272,BURR SURGICAL 3MM DIA 13CML PRECISION MATCH HEAD CORE TPS LATEX-FREE STERILE,181.82,90.91,39.65,163.64,64
RC,0272,BURR SURGICAL 3MM DIA 14CML DIAMOND BALL F/T14 TUBE TELESCOPING MIDAS REX LEGEND STERILE SINGLE-USE,108.77,54.39,23.72,97.89,64
RC,0272,BURR SURGICAL 3MM DIA CARBIDE ROUND MATCH HEAD CORE TPS STERILE,218.75,109.38,47.71,196.88,64
RC,0272,BURR SURGICAL 3MM DIA HEAD 12CML FLUTED BALL F/NEUROSURGICAL MIDAS REX LEGEND LATEX-FREE STERILE SINGLE-USE,108.15,54.08,23.59,97.34,64
RC,0272,BURR SURGICAL 3MM DIA HEAD 15CML FLUTED ROUND BALL F/NEUROSURGICAL MIDAS REX LEGEND STERILE SINGLE-USE,214.24,107.12,46.73,192.82,64
RC,0272,BURR SURGICAL 3MM DIA HEAD 3MML FLUTED ROUND HIGH SPEED F/STRYKER TPS LINVATEC ULTRAPOWER MEDTRONIC MIDAS REX CLASSIC I/II,50.78,25.39,11.08,45.7,64
RC,0272,BURR SURGICAL 3MM DIA HEAD 48MML ROUND DIAMOND FINE F/OTOLOGY SPINE NEURO STERLING E9000 STERILE,54.95,27.48,11.98,49.46,64
RC,0272,BURR SURGICAL 3MM DIA HEAD LONG 72MML STAINLESS STEEL ROUND DIAMOND FINE CUTTING F/OTOLOGY XPS 3000 STRAIGHTSHOT VISAO STERILE DISPOSABLE,71.69,35.85,15.64,64.52,64
RC,0272,BURR SURGICAL 3MM DIA HEAD TAPERED DIAMOND ELITE LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 3MM DIA SHORT 15CML MATCH HEAD CANNULATED HIGH SPEED F/NEUROSURGICAL MIDAS REX LEGEND STERILE DISPOSABLE,214.24,107.12,46.73,192.82,64
RC,0272,BURR SURGICAL 4.8MM 51.2MM 8 FLUTE ROUND MICRO FAST CUT STERILE STAINLESS STEEL,35.59,17.8,7.76,32.03,64
RC,0272,BURR SURGICAL 44MM PEDIATRIC ROUND F/CRANIOTOME HI-LINE XS HANDPIECE NON-STERILE,65.44,32.72,14.27,58.9,64
RC,0272,BURR SURGICAL 4MM 13CM 10000 RPM OVAL LARGE HUB STERILE STERLING DISPOSABLE ARTHROSCOPY,271.92,135.96,59.31,244.73,64
RC,0272,BURR SURGICAL 4MM 180MM XL ROUND DIAMOND,1441.06,720.53,314.3,1296.95,64
RC,0272,BURR SURGICAL 4MM 48MM 8MM FLUTED CARBIDE SPINAL ROUND LOW SPEED OPTIMUM F/OTOLOGY NEUROLOGY E9000 STERILE,49.1,24.55,10.71,44.19,64
RC,0272,BURR SURGICAL 4MM 48MM CARBIDE OVAL FLUTEX10 CROSS CUTTING FISSURE F/STRYKER 100K IMPACTION DRILL,33.92,16.96,7.4,30.53,64
RC,0272,BURR SURGICAL 4MM 69.9MM LONG ROUND 8 FLUTE STERILE CARBIDE LATEX FREE DISPOSABLE 5092228,29.66,14.83,6.47,26.69,64
RC,0272,BURR SURGICAL 4MM 7.7MM 48MM MEDIUM OVAL STERILE CARBIDE LATEX FREE,16.42,8.21,3.58,14.78,64
RC,0272,BURR SURGICAL 4MM 8MM MEDIUM OVAL STERILE CARBIDE HALL SMALL BONE DISPOSABLE,114.75,57.38,25.03,103.28,64
RC,0272,BURR SURGICAL 4MM DIA 10CML OVAL,124.32,62.16,27.11,111.89,64
RC,0272,BURR SURGICAL 4MM DIA 10CML OVAL DIAMOND,150.64,75.32,32.85,135.58,64
RC,0272,BURR SURGICAL 4MM DIA HEAD 12CML FLUTED BALL F/NEUROSURGICAL MIDAS REX LEGEND 12BA40 LATEX-FREE STERILE SINGLE-USE,108.15,54.08,23.59,97.34,64
RC,0272,BURR SURGICAL 4MM DIA HEAD 15CML FLUTED ROUND BALL F/NEUROSURGICAL MIDAS REX LEGEND 15BA40 STERILE SINGLE-USE,117.42,58.71,25.61,105.68,64
RC,0272,BURR SURGICAL 4MM DIA HEAD 15CML FLUTED ROUND BALL F/NEUROSURGICAL MIDAS REX LEGEND 15BA40T STERILE SINGLE-USE,134.11,67.06,29.25,120.7,64
RC,0272,BURR SURGICAL 4MM DIA HEAD 8MML OVAL HIGH SPEED MUSTARD F/STRYKER TPS LINVATEC ULTRAPOWER MEDTRONIC MIDAS REX CLASSIC I/II,40.4,20.2,8.81,36.36,64
RC,0272,BURR SURGICAL 4MM DIA HEAD FLUTED ROUND ZYPHR ELITE LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 4MM DIA HEAD LONG 149MML CARBIDE ROUND FLUTEX8 EXTENDED AM-ATTACHMENT F/MIDAS REX ZIMMER ULTRAPOWER STERILE SINGLE-USE,46.41,23.21,10.12,41.77,64
RC,0272,BURR SURGICAL 4MM DIA HEAD LONG MICRO 70MML 8MML CARBIDE OVAL FLUTEX8 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,11.97,5.99,2.61,10.77,64
RC,0272,BURR SURGICAL 4MM DIA HEAD MEDIUM 4MML FLUTED ROUND HIGH SPEED F/STRYKER TPS LINVATEC ULTRAPOWER MEDTRONIC MIDAS REX CLASSIC I/II,50.78,25.39,11.08,45.7,64
RC,0272,BURR SURGICAL 4MM DIA HEAD MEDIUM 69MML STAINLESS STEEL ROUND DIAMOND AGGRESSIVE CUTTING F/OTOLOGY XPS 3000 STRAIGHTSHOT VISAO STERILE SINGLE-USE,346.9,173.45,75.66,312.21,64
RC,0272,BURR SURGICAL 4MM DIA HEAD MEDIUM 96MML CARBIDE ROUND FLUTEX8 EXTENDED AM-ATTACHMENT F/MIDAS REX ZIMMER ULTRAPOWER STERILE SINGLE-USE,45.05,22.53,9.83,40.55,64
RC,0272,BURR SURGICAL 4MM OVAL STERILE CARBIDE LATEX FREE DISPOSABLE,26.6,13.3,5.8,23.94,64
RC,0272,BURR SURGICAL 4MM ROUND 6 FLUTE F SERIES,365.85,182.93,79.79,329.27,64
RC,0272,BURR SURGICAL 4MM XLONG 79MM STAINLESS STEEL DIAMOND ROUND FINE XPS 3000 STRAIGHTSHOT VISAO,137.61,68.81,30.01,123.85,64
RC,0272,BURR SURGICAL 5.5MM 48MM MEDIUM OVAL OSCILLATE STERILE CARBIDE LATEX FREE DISPOSABLE 5091238 ZMR,16.42,8.21,3.58,14.78,64
RC,0272,BURR SURGICAL 5.5MM 6 FLUTE ROUND FORMULA F SERIES,285.31,142.66,62.23,256.78,64
RC,0272,BURR SURGICAL 5.5MM BARREL HIGH VISIBILITY SHEATH DYONICS,386.1,193.05,84.21,347.49,64
RC,0272,BURR SURGICAL 5.5MM DIA 65MML MASTOID ROUND FLUTEX10 CUTTING F/VIPER OTOLOGY DRILL SYSTEM STERILE DISPOSABLE,43.08,21.54,9.4,38.77,64
RC,0272,BURR SURGICAL 5.5MM DIA HEAD MEDIUM ROUND FLUTED TPS LATEX-FREE STERILE DISPOSABLE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 5.5MM DIA HEAD MICRO 70MML 10.2MML CARBIDE OVAL FLUTEX10 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,11.97,5.99,2.61,10.77,64
RC,0272,BURR SURGICAL 5.5MM FLAT TOP HIGH VISIBILITY SHEATH DYONICS,273.0,136.5,59.54,245.7,64
RC,0272,BURR SURGICAL 5MM DIA 10CML CYLINDER BARREL DIAMOND,137.76,68.88,30.05,123.98,64
RC,0272,BURR SURGICAL 5MM DIA 10CML CYLINDRICAL BARREL BALL F/NEUROSURGICAL MIDAS REX LEGEND,117.42,58.71,25.61,105.68,64
RC,0272,BURR SURGICAL 5MM DIA 44.5MML CARBIDE OVAL FAST CUTTING SCOTLAND ONLY,42.61,21.31,9.29,38.35,64
RC,0272,BURR SURGICAL 5MM DIA 65MML MASTOID ROUND DIAMOND FLUTEX10 CUTTING F/VIPER OTOLOGY DRILL SYSTEM STERILE DISPOSABLE,40.63,20.32,8.86,36.57,64
RC,0272,BURR SURGICAL 5MM DIA HEAD 12CML FLUTED BALL F/NEUROSURGICAL MIDAS REX LEGEND LATEX-FREE STERILE SINGLE-USE,108.15,54.08,23.59,97.34,64
RC,0272,BURR SURGICAL 5MM DIA HEAD 15CML FLUTED ROUND BALL F/NEUROSURGICAL MIDAS REX LEGEND STERILE DISPOSABLE,117.42,58.71,25.61,105.68,64
RC,0272,BURR SURGICAL 5MM DIA HEAD FLUTED EGG BARREL ELITE LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 5MM DIA HEAD LONG 146MML CARBIDE ROUND FLUTEX8 EXTENDED AM-ATTACHMENT F/MIDAS REX ZIMMER ULTRAPOWER STERILE SINGLE-USE,56.24,28.12,12.27,50.62,64
RC,0272,BURR SURGICAL 5MM DIA HEAD LONG BARREL F/MIDAS REX ZIMMER ULTRAPOWER CORE TPS LATEX-FREE STERILE,85.93,42.97,18.74,77.34,64
RC,0272,BURR SURGICAL 5MM DIA HEAD MEDIUM STAINLESS STEEL ROUND F/OTOLOGY XPS STRAIGHTSHOT VISAO STERILE DISPOSABLE,71.69,35.85,15.64,64.52,64
RC,0272,BURR SURGICAL 5MM DIA HEAD MICRO 70MML 5MML CARBIDE ROUND FLUTEX10 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,11.97,5.99,2.61,10.77,64
RC,0272,BURR SURGICAL 5MM DIA HEAD ROUND DIAMOND EXTRA COARSE ELITE SABER SHANK CORE TPS LATEX-FREE STERILE,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL 6.5MM DIA HEAD MICRO 70MML 6.5MML CARBIDE ROUND FLUTEX10 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,15.25,7.63,3.33,13.73,64
RC,0272,BURR SURGICAL 6MM BALL FLUTE STERILE ANSPACH,59.5,29.75,12.98,53.55,64
RC,0272,BURR SURGICAL 6MM DIA HEAD 26CML FLUTED ROUND BALL F/NEUROSURGICAL MIDAS REX LEGEND STERILE SINGLE-USE,127.31,63.66,27.77,114.58,64
RC,0272,BURR SURGICAL 6MM DIA HEAD MEDIUM 64MML STAINLESS STEEL ROUND DIAMOND AGGRESSIVE CUTTING F/OTOLOGY XPS 3000 STRAIGHTSHOT VISAO STERILE SINGLE-USE,365.86,182.93,79.79,329.27,64
RC,0272,BURR SURGICAL 6MM FLUTE BALL ANSPACH,59.5,29.75,12.98,53.55,64
RC,0272,BURR SURGICAL 7.1MM DIA HEAD MICRO 44.5MML STAINLESS STEEL ROUND FLUTEX8 FAST CUTTING STERILE,49.38,24.69,10.77,44.44,64
RC,0272,BURR SURGICAL 7.5MM DIA 14CML BALL DIAMOND,137.76,68.88,30.05,123.98,64
RC,0272,BURR SURGICAL 7.5MM DIA HEAD MEDIUM STAINLESS STEEL ACORN FLUTED PRECISION TPS LATEX-FREE STERILE DISPOSABLE,111.06,55.53,24.22,99.95,64
RC,0272,BURR SURGICAL 7.6MM DIA HEAD XLONG ROUND FLUTED F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE,111.57,55.79,24.33,100.41,64
RC,0272,BURR SURGICAL 7MM DIA HEAD LONG STEEL ROUND FLUTED F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE,81.08,40.54,17.68,72.97,64
RC,0272,BURR SURGICAL 7MM DIA HEAD MEDIUM STEEL ROUND FLUTED F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE,76.92,38.46,16.78,69.23,64
RC,0272,BURR SURGICAL 9MM DIA HEAD XLONG ROUND FLUTED F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE,111.57,55.79,24.33,100.41,64
RC,0272,BURR SURGICAL BALL STERILE LATEX FREE DISPOSABLE,59.5,29.75,12.98,53.55,64
RC,0272,BURR SURGICAL ENDOSCOPIC 2.9MM DIA 11CML SINUS CURVED SHAFT DIAMOND CANNULATED SUCTION TIP F/LACRIMAL BONE XPS LATEX-FREE STERILE DISPOSABLE 12000RPM OSCILLATE,809.56,404.78,176.57,728.6,64
RC,0272,BURR SURGICAL LINDEMANN 1.5MM 14MM X 70MM,161.53,80.77,35.23,145.38,64
RC,0272,BURR SURGICAL LINDEMANN DRILL BIT 2.2MM 24.1MM HEAD F/ELITE CORE TPS SHANK,115.04,57.52,25.09,103.54,64
RC,0272,BURR SURGICAL LINDEMANN REPLACEMENT 1.5MM DIA HEAD MICRO 67MML 25MML CARBIDE TAPERED FLUTEX4 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,21.55,10.78,4.7,19.4,64
RC,0272,BURR SURGICAL LINDEMANN SHORT 2.3MM DIA 70MML LATEX-FREE,73.05,36.53,15.93,65.75,64
RC,0272,BURR SURGICAL MICRO 3.2MM DIA 54MML 11.1MML HEAD STAINLESS STEEL STERILE,46.77,23.39,10.2,42.09,64
RC,0272,BURR SURGICAL REPLACEMENT 1.5MM DIA MICRO 51MML 19MML HEAD STAINLESS STEEL ROUND FLUTEX2 WIRE PASS DRILL J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,19.25,9.63,4.2,17.33,64
RC,0272,BURR SURGICAL REPLACEMENT 1MM DIA MICRO 51MML 19MML HEAD STAINLESS STEEL ROUND FLUTEX2 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,14.96,7.48,3.26,13.46,64
RC,0272,BURR SURGICAL REPLACEMENT 2.3MM DIA HEAD MICRO 51MML 2.4MML STAINLESS STEEL ROUND FLUTEX8 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,14.31,7.16,3.12,12.88,64
RC,0272,BURR SURGICAL REPLACEMENT 2MM DIA HEAD MICRO 73MML 2MML CARBIDE ROUND MEDIUM GRIT CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,15.59,7.8,3.4,14.03,64
RC,0272,BURR SURGICAL REPLACEMENT 2MM DIA MICRO 37MML 19MML HEAD STAINLESS STEEL ROUND FLUTEX2 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,14.96,7.48,3.26,13.46,64
RC,0272,BURR SURGICAL REPLACEMENT 3.1MM DIA HEAD MICRO 48MML 3.2MML STAINLESS STEEL ROUND DIAMOND FLUTEX8 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,14.31,7.16,3.12,12.88,64
RC,0272,BURR SURGICAL REPLACEMENT 3MM DIA HEAD MICRO 51MML 3MML CARBIDE ROUND FLUTEX8 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,10.48,5.24,2.29,9.43,64
RC,0272,BURR SURGICAL REPLACEMENT 3MM DIA HEAD MICRO 73MML 3MML ROUND MEDIUM GRIT CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,15.59,7.8,3.4,14.03,64
RC,0272,BURR SURGICAL REPLACEMENT 3MM DIA HEAD MICRO 73MML CARBIDE ROUND FLUTEX8 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,10.58,5.29,2.31,9.52,64
RC,0272,BURR SURGICAL REPLACEMENT 4.5MM DIA HEAD MICRO 54.5MML 4.5MML STAINLESS STEEL ROUND FLUTEX12 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,14.31,7.16,3.12,12.88,64
RC,0272,BURR SURGICAL REPLACEMENT 4MM DIA HEAD MICRO 44.5MML 9.5MML STAINLESS STEEL OVAL EGG FLUTEX10 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,14.31,7.16,3.12,12.88,64
RC,0272,BURR SURGICAL REPLACEMENT 4MM DIA HEAD MICRO 51MML 4MML CARBIDE ROUND FLUTEX8 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,10.48,5.24,2.29,9.43,64
RC,0272,BURR SURGICAL REPLACEMENT 4MM DIA HEAD MICRO 54.5MML 4MML STAINLESS STEEL ROUND FLUTEX12 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY STERILE,14.31,7.16,3.12,12.88,64
RC,0272,BURR SURGICAL REPLACEMENT 4MM DIA HEAD MICRO 70MML 4MML ROUND DIAMOND MEDIUM GRIT CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,15.59,7.8,3.4,14.03,64
RC,0272,BURR SURGICAL REPLACEMENT 4MM DIA HEAD MICRO 73MML 4MML CARBIDE ROUND FLUTEX8 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,11.97,5.99,2.61,10.77,64
RC,0272,BURR SURGICAL REPLACEMENT 4MM DIA MICRO 55MML 9.5MML HEAD STAINLESS STEEL EGG SHAPED FLUTEX10 J-NOTCH F/STANDARD ORAL SURGERY,14.31,7.16,3.12,12.88,64
RC,0272,BURR SURGICAL REPLACEMENT 5.1MM DIA HEAD MICRO 51MML 5.1MML STAINLESS STEEL ROUND FLUTEX8 FAST CUTTING J-NOTCH F/STANDARD ORAL SURGERY STERILE,14.96,7.48,3.26,13.46,64
RC,0272,BURR SURGICAL REPLACEMENT 5.5MM DIA MICRO 48MML 10.2MML HEAD CARBIDE OVAL FLUTEX10 CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,11.48,5.74,2.5,10.33,64
RC,0272,BURR SURGICAL REPLACEMENT 5MM DIA HEAD MICRO 44.5MML 5MML CARBIDE ROUND FLUTEX8 J-NOTCH F/STANDARD ORAL SURGERY STERILE,14.47,7.24,3.16,13.02,64
RC,0272,BURR SURGICAL REPLACEMENT 5MM DIA HEAD MICRO 51MML 5MML CARBIDE ROUND FLUTEX10 J-NOTCH CROSS CUT 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,12.97,6.49,2.83,11.67,64
RC,0272,BURR SURGICAL REPLACEMENT 5MM DIA HEAD MICRO 70MML 5MML ROUND DIAMOND MEDIUM GRIT CROSS CUTTING J-NOTCH 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,15.59,7.8,3.4,14.03,64
RC,0272,BURR SURGICAL REPLACEMENT 6.5MM DIA HEAD MICRO MEDIUM 51MML 6.5MML CARBIDE ROUND FLUTEX10 2.35MM STRAIGHT SHANK F/STANDARD ORAL SURGERY,14.96,7.48,3.26,13.46,64
RC,0272,BURR SURGICAL REPLACEMENT 7MM DIA MICRO 55MML 7.1MML HEAD STAINLESS STEEL ROUND FLUTEX8 FAST CUTTING J-NOTCH F/STANDARD ORAL SURGERY,21.5,10.75,4.69,19.35,64
RC,0272,BURR SURGICAL REPROCESSED 5MM DIA HEAD LONG STAINLESS STEEL ROUND DIAMOND EXTENDED F/MIDAS REX ZIMMER ULTRAPOWER TPS LATEX-FREE STERILE SINGLE-USE,28.26,14.13,6.16,25.43,64
RC,0272,BURR SURGICAL SHANNON 3MM XLARGE 30MM PERCUTANEOUS STERILE SINGLE-USE,365.0,182.5,79.61,328.5,64
RC,0272,BURR SURGICAL SHANNON RECTA 2MM 12MM PERCUTANEOUS F/PECA BUNION IMPLANT STERILE SINGLE-USE,365.0,182.5,79.61,328.5,64
RC,0272,BURR SURGICAL TOOL 1MM SMALL BORE 10CM BALL FLUTED MIDAS REX MR8,115.92,57.96,25.28,104.33,64
RC,0272,BURR SURGICAL TOOL 1MM SMALL BORE 10CM DIAMOND BALL MIDAS REX MR8,121.52,60.76,26.5,109.37,64
RC,0272,BURR SURGICAL TOOL 2.5MM 12CM DIAMOND MATCH HEAD PROXIMAL BEND MIDAS REX MR8 CLEARVIEW SD/SP SERIES,316.96,158.48,69.13,285.26,64
RC,0272,BURR SURGICAL TOOL 2MM SMALL BORE 10CM DIAMOND BALL MIDAS REX MR8 NAVIGATION,121.52,60.76,26.5,109.37,64
RC,0272,BURR SURGICAL TOOL 2MM SMALL BORE 15CM BALL FLUTED MIDAS REX MR8,150.64,75.32,32.85,135.58,64
RC,0272,BURR SURGICAL TOOL 3MM 12CM DIAMOND MATCH HEAD PROXIMAL BEND MIDAS REX MR8 CLEARVIEW SD/SP SERIES,316.96,158.48,69.13,285.26,64
RC,0272,BURR SURGICAL TOOL 3MM LARGE BORE 14CM SPIRAL BALL MIDAS REX MR8,316.96,158.48,69.13,285.26,64
RC,0272,BURR SURGICAL TOOL 4MM SMALL BORE 15CM BALL MIDAS REX MR8 SYMMETRI,159.04,79.52,34.69,143.14,64
RC,0272,BURR SURGICAL TOOL 5MM LARGE BORE 14CM 7MM HEAD ACORN FLUTED MIDAS REX MR8,126.0,63.0,27.48,113.4,64
RC,0272,BURR SURGICAL TOOL 5MM SMALL BORE 10CM DIAMOND BALL MIDAS REX MR8,126.0,63.0,27.48,113.4,64
RC,0272,BURR SURGICAL TOOL 5MM SMALL BORE 7CM BALL FINE FLUTED MIDAS REX MR8 LATEX-FREE MRI-CONDITIONAL STERILE SINGLE-USE ORTHOPEDIC,111.44,55.72,24.31,100.3,64
RC,0272,BURR SURGICAL TOOL 7.5MM LARGE BORE 9CM BALL FLUTED MIDAS REX MR8,131.6,65.8,28.7,118.44,64
RC,0272,BURR SURGICAL TOOL 9MM LARGE BORE 21CM 7.9MM HEAD CYLINDRICAL FLUTED MIDAS REX MR8,131.6,65.8,28.7,118.44,64
RC,0272,BURR SURGICAL TOOL 9MM LARGE BORE 9CM BALL FLUTED MIDAS REX MR8,131.6,65.8,28.7,118.44,64
RC,0272,BURR WEDGE 3 2.9X13MM,410.0,205.0,89.42,369.0,64
RC,0272,BURR WEDGE 4 4.3X13MM,410.0,205.0,89.42,369.0,64
RC,0272,BURR XLONG OD6 MM SURGICAL ROUND FLUTED NA,111.57,55.79,24.33,100.41,64
RC,0272,BUTTON BLN G-JET 14FRX1.5CM 30CM LPRO APL SHP GSTRMY SIL,545.0,272.5,118.86,490.5,64
RC,0272,BUTTON BLN G-JET 14FRX1.7CM 22CM LPRO APL SHP GSTRMY SIL,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON BLN G-JET 14FRX2.5CM 30CM LPRO APL SHP GSTRMY SIL,437.5,218.75,95.42,393.75,64
RC,0272,BUTTON BLN G-JET 14FRX3CM 45CM LPRO APL SHP GSTRMY SIL,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON BLN G-JET 16FRX1.7CM 15CM LPRO APL SHP GSTRMY SIL,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON BLN G-JET 16FRX3.5CM 45CM LPRO APL SHP GSTRMY SIL,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON CERCLAGE HEX CANNULATED OD4 MM STAINLESS STEEL,143.91,71.96,31.39,129.52,64
RC,0272,BUTTON CERCLAGE T15 HEX STARDRIVE OD2.5 MM STAINLESS STEEL,142.68,71.34,31.12,128.41,64
RC,0272,BUTTON CERCLAGE T25 HEX STARDRIVE OD3.5 MM STAINLESS STEEL,142.68,71.34,31.12,128.41,64
RC,0272,BUTTON ENDOVIVE ENFIT GASTROSTOMY OD18 FR L3.4 CM LOW PROFILE REPLACEMENT BUTTON,125.29,62.65,27.33,112.76,64
RC,0272,BUTTON FIXATION DOG BONE,350.0,175.0,76.34,315.0,64
RC,0272,BUTTON FIXATION TIGHTROPE L12 MM X W8 MM ATTACHABLE,143.0,71.5,31.19,128.7,64
RC,0272,BUTTON GASTROSTOMY 10FR DIA 4.4CML TUBE SILICONE F/ANTEGRADE ENEMA MINIACE,260.0,130.0,56.71,234.0,64
RC,0272,BUTTON GASTROSTOMY 10FR DIA 5CML TUBE SILICONE F/ANTEGRADE ENEMA MINIACE,260.0,130.0,56.71,234.0,64
RC,0272,BUTTON GASTROSTOMY 10FR TUBE 6CM STOMA SILICONE TAPERED TUBE APPLE SHAPED EXTERNAL BOLSTER ADJUSTABLE BALLOON LOW-PROFILE CLEAR F/ANTEGRADE CONTINENCE ENEMA MINIACE MRI-CONDITIONAL,260.0,130.0,56.71,234.0,64
RC,0272,BUTTON GASTROSTOMY 12FR 3CM MINIONE LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY 14FR 1.5CM MINIONE LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON GASTROSTOMY 14FR 3.5CM MINIONE LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 10CML 0.8CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 10CML 1.2CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 10CML 1.5CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 10CML 1.7CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 10CML 1CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1259.0,629.5,274.59,1133.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 15CML 1.2CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1050.0,525.0,229.01,945.0,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 15CML 1.5CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1050.0,525.0,229.01,945.0,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 15CML 1.7CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1050.0,525.0,229.01,945.0,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 15CML 1CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 22CML 1.2CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 22CML 1.5CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 22CML 1.7CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 14FR DIA 22CML 1CML STOMA PEDIATRIC LOW-PROFILE MICRO G-JET ENFIT LATEX-FREE STERILE,1279.0,639.5,278.95,1151.1,64
RC,0272,BUTTON GASTROSTOMY 16FR 1.2CM MINIONE LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,94.25,47.13,20.56,84.83,64
RC,0272,BUTTON GASTROSTOMY 16FR 1.5CM 5ML MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE STERILE LATEX FREE,96.7,48.35,21.09,87.03,64
RC,0272,BUTTON GASTROSTOMY 18FR 2.7CM MINIONE ENFIT LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON GASTROSTOMY 18FR 2.7CM MINIONE LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,94.37,47.19,20.58,84.93,64
RC,0272,BUTTON GASTROSTOMY 18FR 2CM MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE DISTAL TIP INFLATABLE INTERNAL RETENTION BALLOON STERILE LATEX FREE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON GASTROSTOMY 18FR 2CM MINIONE ENFIT LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON GASTROSTOMY 18FR 3CM 5ML MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE STERILE LATEX FREE,96.7,48.35,21.09,87.03,64
RC,0272,BUTTON GASTROSTOMY 20FR 1.2CM MINIONE ENFIT LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE STERILE LATEX FREE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON GASTROSTOMY 20FR 2CM 5ML MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE STERILE LATEX FREE,96.7,48.35,21.09,87.03,64
RC,0272,BUTTON GASTROSTOMY 20FR 3CM 5ML MIC-KEY RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE STERILE LATEX FREE,96.7,48.35,21.09,87.03,64
RC,0272,BUTTON GASTROSTOMY 20FR 4.5CM 5ML MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE TAPER DISTAL TIP PROXIMAL ANTIREFLUX VALVE SILICONE ENTERAL STERILE LATEX FREE DISPOSABLE,96.7,48.35,21.09,87.03,64
RC,0272,BUTTON GASTROSTOMY 24FR 5CM 5ML MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE STERILE LATEX FREE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON GASTROSTOMY BALLOON 12FR DIA 2.3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY BALLOON 12FR DIA 2.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY BALLOON 12FR DIA 3.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY BALLOON 12FR DIA 3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 0.8CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 15CML 1.2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 15CML 1.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 15CML 1CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 22CML 1.2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 22CML 1CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 22CML 2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 1.2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 1.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 1.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 2.3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 2.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 2.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 30CML 2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 1.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 2.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 2.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 3.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 3.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML 4CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 14FR DIA 6.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 22CML 1.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 22CML 1CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 30CML 1.2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 30CML 1.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 30CML 1.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 30CML 2.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 30CML 2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 1.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 1.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 2.3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 2.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 2.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 2.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 3.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 16FR DIA 45CML 3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,425.0,212.5,92.69,382.5,64
RC,0272,BUTTON GASTROSTOMY BALLOON 18FR DIA 22CML 1.2CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 18FR DIA 4.4CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON GASTROSTOMY BALLOON 18FR DIA 45CML 3CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET ENFIT LATEX-FREE STERILE,468.0,234.0,102.07,421.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 18FR DIA 5.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 18FR DIA 5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY BALLOON 20FR DIA 3.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE EXTERNAL BOLSTER F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 14FR DIA 1.7CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,217.0,108.5,47.33,195.3,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 14FR DIA 1.7CML STOMA SILICONE NARROW SHAFT OBTURATED VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,192.0,96.0,41.88,172.8,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 14FR DIA 1CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,217.0,108.5,47.33,195.3,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 14FR DIA 2.5CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 14FR DIA 2CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,217.0,108.5,47.33,195.3,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 14FR DIA 3CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 18FR DIA 1.7CML STOMA SILICONE NARROW SHAFT OBTURATED VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 18FR DIA 3.4CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,217.0,108.5,47.33,195.3,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 18FR DIA 4.4CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,217.0,108.5,47.33,195.3,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 18FR DIA 4.4CML STOMA SILICONE NARROW SHAFT OBTURATED VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 20FR DIA 3.4CML STOMA SILICONE NARROW SHAFT OBTURATED VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 24FR DIA 2.4CML STOMA SILICONE NARROW SHAFT OBTURATED VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 24FR DIA 3.4CML STOMA SILICONE NARROW SHAFT CAPSULE VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON GASTROSTOMY NON-BALLOON 24FR DIA 3.4CML STOMA SILICONE NARROW SHAFT OBTURATED VENTED INTERNAL DOME F/MIC-KEY SET MINIONE ENFIT LATEX-FREE STERILE DISPOSABLE,88.0,44.0,19.19,79.2,64
RC,0272,BUTTON LPR GJ ENTERAL 14F 22CM1.5CM,545.0,272.5,118.86,490.5,64
RC,0272,BUTTON MIC-KEY GASTROSTOMY OD18 FR L1.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY GASTROSTOMY OD20 FR L2.7 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK ENFIT GASTROSTOMY OD24 FR L3 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD12 FR L2.5 CM 3-5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE TAPER DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD14 FR L2.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD14 FR L4 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD14 FR L4.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD16 FR L4 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD18 FR L1.7 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD18 FR L2.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD18 FR L3.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD18 FR L4 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD18 FR L4.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD18 FR L5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD20 FR L1.2 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD20 FR L1.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD20 FR L2.3 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD20 FR L3.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,96.7,48.35,21.09,87.03,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD20 FR L4 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD24 FR L1.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD24 FR L2 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD24 FR L2.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD24 FR L2.7 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD24 FR L3.5 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MIC-KEY SECUR-LOK GASTROSTOMY OD24 FR L4 CM 5 ML RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE RECESS DISTAL TIP SILICONE,93.88,46.94,20.48,84.49,64
RC,0272,BUTTON MINI ONE GASTROSTOMY OD12 FR L2 CM BALLOON LOW PROFILE APPLE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE 20FRX3.4CM NBLN GSTRMY SIL STRL SUD,166.0,83.0,36.2,149.4,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L.8 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L1 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L1.2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD12 FR L4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L1 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L1 CM LOW PROFILE NONBALLOON EXTERNAL BOLSTER SILICONE,192.0,96.0,41.88,172.8,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L1.2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L2.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L3.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L4.4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L5.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD14 FR L6 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L1.2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L2.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L3.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L4.4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD16 FR L5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L3.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD18 FR L4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD20 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD20 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD20 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD20 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD20 FR L2.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE ENFIT GASTROSTOMY OD20 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L.8 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L1 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L1.2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD12 FR L2.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L.8 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L1 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L1.2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L2.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,110.0,55.0,23.99,99.0,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD14 FR L6.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,230.64,115.32,50.3,207.58,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L1.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L2.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD16 FR L4.4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD18 FR L1.7 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD18 FR L2 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD18 FR L2.3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,97.0,48.5,21.16,87.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD18 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,107.0,53.5,23.34,96.3,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD18 FR L3 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,92.0,46.0,20.07,82.8,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD18 FR L4 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,94.0,47.0,20.5,84.6,64
RC,0272,BUTTON MINIONE GASTROSTOMY OD20 FR L2.5 CM LOW PROFILE APPLE BALLOON EXTERNAL BOLSTER SOFT SILICONE,103.0,51.5,22.46,92.7,64
RC,0272,BUTTON SUTURE FEMORAL BTB W/3.2MM 5IN SOLID DRILL BIT ZIPLOO 4.5MM DRILL BIT 1.1MM 14IN NITINOL GW F/GRAFT TOGGLELOC,1358.5,679.25,296.29,1222.65,64
RC,0272,C SECTION PACK SMA4GCSNBA,123.34,61.67,26.9,111.01,64
RC,0272,C SECTION PACK SMA4JCSSTA,74.69,37.35,16.29,67.22,64
RC,0272,C SECTION PACK SMA4JCSWLA,140.4,70.2,30.62,126.36,64
RC,0272,C SECTION TRAY,164.96,82.48,35.98,148.46,64
RC,0272,CABARRUS BIOPSY TRAY,198.9,99.45,43.38,179.01,64
RC,0272,CABLE 8 SMALL ALLIGATOR CLIP EXTENSION BLUE,96.12,48.06,20.96,86.51,64
RC,0272,CABLE ADAPTER VASOVIEW HEMOPRO 2 POWER SUPPLY,121.8,60.9,26.56,109.62,64
RC,0272,CABLE BIPOLAR GYNECARE VERSAPOINT HANDPIECE,499.28,249.64,108.89,449.35,64
RC,0272,CABLE BIPOLAR WOLF,271.85,135.93,59.29,244.67,64
RC,0272,CABLE BONE MILL THE MILL NONSTERILE LATEX FREE REUSABLE,453.08,226.54,98.82,407.77,64
RC,0272,CABLE CATHETER 122CM UMBILICAL ELECTRICAL LATEX FREE DISPOSABLE,210.0,105.0,45.8,189.0,64
RC,0272,CABLE CATHETER 125CM EPXT EASY-MATE QUADRIPOLAR 4 PIN CONNECTOR DISPOSABLE,158.0,79.0,34.46,142.2,64
RC,0272,CABLE CATHETER 150CM INQUIRY 10 PIN CONNECT CHANNEL GUIDE 1910-SA,148.17,74.09,32.32,133.35,64
RC,0272,CABLE CATHETER 78IN INTELLAMAP ORION UMBILICAL,700.0,350.0,152.67,630.0,64
RC,0272,CABLE CATHETER CONNECTION FARASTAR,200.0,100.0,43.62,180.0,64
RC,0272,CABLE CATHETER ELECTROPHYSIOLOGY 120CML AES PINX10 SOFT FLEXIBLE TIP GRAY SURELINK LATEX-FREE NON-RADIOLUCENT STERILE REUSABLE ETO STERILIZABLE,105.0,52.5,22.9,94.5,64
RC,0272,CABLE CATHETER UMBILICUS COAXIAL STERILE,1045.0,522.5,227.91,940.5,64
RC,0272,CABLE COCHLEAR 3.5MM NUCLEUS UNILATERAL PERSONAL AUDIO JACK CP800 CR100 AUDITORY IMPLANT SYSTEM,127.5,63.75,27.81,114.75,64
RC,0272,CABLE COCHLEAR NUCLEUS 6 CP910 L2 IN COIL WHITE,75.65,37.83,16.5,68.09,64
RC,0272,CABLE COCHLEAR NUCLEUS 6 CP920 L2 IN COIL SMOKE,75.65,37.83,16.5,68.09,64
RC,0272,CABLE COCHLEAR NUCLEUS AQUA+ L6 CM WATERPROOF CARBON,161.5,80.75,35.22,145.35,64
RC,0272,CABLE COCHLEAR NUCLEUS CP900 L2 IN COIL CARBON,75.65,37.83,16.5,68.09,64
RC,0272,CABLE COCHLEAR NUCLEUS CP900 L2 IN COIL SMOKE,75.65,37.83,16.5,68.09,64
RC,0272,CABLE CONNECTING IZDS STERILE LATEX FREE DISPOSABLE,80.0,40.0,17.45,72.0,64
RC,0272,CABLE CONNECTION PFA RX GEN 2,200.0,100.0,43.62,180.0,64
RC,0272,CABLE CRYOTHERAPY ELECTRICAL UMBILICAL STERILE LATEX FREE DISPOSABLE,2100.0,1050.0,458.01,1890.0,64
RC,0272,CABLE DOPPLER SWARTZ COOK-SWARTZ FLOW PROBE L5 FT EXTENSION,131.25,65.63,28.63,118.13,64
RC,0272,CABLE EKG PACING 6FT W/MEDTRONIC CONNECTOR ATRIAMP,495.0,247.5,107.96,445.5,64
RC,0272,CABLE ELECTROSURGICAL 10FTL F/UROLOGY OLSEN,545.21,272.61,118.91,490.69,64
RC,0272,CABLE ELECTROSURGICAL 9.8FT 3MM KLEPPINGER BIPOLAR CONNECTING STERILE DISPOSABLE,185.63,92.82,40.49,167.07,64
RC,0272,CABLE ELECTROSURGICAL ACESSA PROVU HANDPIECE,427.5,213.75,93.24,384.75,64
RC,0272,CABLE ELECTROSURGICAL DA VINCI SI ETHICON ENERGY ACTIVATION,998.0,499.0,217.66,898.2,64
RC,0272,CABLE ELECTROSURGICAL KLEPPINGER L10 FT BIPOLAR HIGH FREQUENCY LAPAROSCOPIC,212.94,106.47,46.44,191.65,64
RC,0272,CABLE ELECTROSURGICAL MICRO TARGET ELECTRODE STERILE,90.0,45.0,19.63,81.0,64
RC,0272,CABLE ELECTROSURGICAL MONOPOLAR 10FT RIGHT ANGLED SOCKET GREEN,606.15,303.08,132.2,545.54,64
RC,0272,CABLE ELECTROSURGICAL NA L10 FT MONOPOLAR UNIPOLAR HIGH FREQUENCY,72.33,36.17,15.78,65.1,64
RC,0272,CABLE ELECTROSURGICAL PLASMAKINETIC 3 PIN CONNECTOR,350.0,175.0,76.34,315.0,64
RC,0272,CABLE ENDOSCOPIC SDI 8.5MM F/CV-190 EVIS EXERA III VIDEO PROCESSOR LATEX-FREE,160.48,80.24,35.0,144.43,64
RC,0272,CABLE EXT VASOVIEW HEMOPRO 2,178.86,89.43,39.01,160.97,64
RC,0272,CABLE EXTENSION SPARE,150.0,75.0,32.72,135.0,64
RC,0272,CABLE EXTENSION SPHERE -9 CATHETER,2000.0,1000.0,436.2,1800.0,64
RC,0272,CABLE FIBER OPTIC GYRUS ACMI L7 FT OD4 MM AUTOCLAVABLE LIGHT GUIDE HIGH TRANSMISSION SNAP ON,654.85,327.43,142.82,589.37,64
RC,0272,CABLE FIBER OPTIC L300 CM OD3.5 MM LIGHT,623.28,311.64,135.94,560.95,64
RC,0272,CABLE FIBER OPTIC MAXCESS LIGHT,108.0,54.0,23.55,97.2,64
RC,0272,CABLE FIBER OPTIC MAXCESS PLIF MAS LIGHT,108.0,54.0,23.55,97.2,64
RC,0272,CABLE FIBER OPTIC MAXCESS TLIF,1270.0,635.0,276.99,1143.0,64
RC,0272,CABLE MONITOR 12FT FOLEY CATHETER ROUND PLUG 2 CONNECTOR PIN,36.0,18.0,7.85,32.4,64
RC,0272,CABLE MULTILEAD TRAIL,215.0,107.5,46.89,193.5,64
RC,0272,CABLE NEUROSTIMULATOR 213CM PRECISION SPECTRA 1X16 SPLITTER EXTENSION,50.0,25.0,10.91,45.0,64
RC,0272,CABLE NEUROSTIMULATOR 2FT 2X8 SPLITTER EXTENSION TRAY STERILE,50.0,25.0,10.91,45.0,64
RC,0272,CABLE NEUROSTIMULATOR BASIC TRAIL 9014 MRI-UNSAFE NON-STERILE,470.0,235.0,102.51,423.0,64
RC,0272,CABLE NEUROSTIMULATOR ELECTRODE CHANNEL ONE F/NEUROSURGERY MICROELECTRODE RECORDING NEURONAV STERILE,2255.0,1127.5,491.82,2029.5,64
RC,0272,CABLE NEUROSTIMULATOR GLOBAL INTERSTIM 3576,80.0,40.0,17.45,72.0,64
RC,0272,CABLE NEUROSTIMULATOR INTERSTIM L25 CM TWIST LOCK,80.0,40.0,17.45,72.0,64
RC,0272,CABLE NEUROSTIMULATOR INTERSTIM L64 CM TWIST LOCK SCREEN,80.0,40.0,17.45,72.0,64
RC,0272,CABLE NEUROSTIMULATOR INTERSTIM MODEL 357501 357506 MINI HOOK GLOBAL,40.0,20.0,8.72,36.0,64
RC,0272,CABLE NEUROSTIMULATOR L213 CM 2 X 8 SPLITTER EXTEND PRECISION SPECTRA,50.0,25.0,10.91,45.0,64
RC,0272,CABLE NEUROSTIMULATOR LEAD TINED STIMULATION 9007 NON-STERILE,1624.0,812.0,354.19,1461.6,64
RC,0272,CABLE NEUROSTIMULATOR MULTILEAD TRIAL - 3013ANS,190.0,95.0,41.44,171.0,64
RC,0272,CABLE NEUROSTIMULATOR NA MULTILEAD TRIAL,190.0,95.0,41.44,171.0,64
RC,0272,CABLE NEUROSTIMULATOR NA SCREEN ALLIGATOR,70.0,35.0,15.27,63.0,64
RC,0272,CABLE NEUROSTIMULATOR NEEDLE TEST STIMULATION 9006 NON-STERILE,775.0,387.5,169.03,697.5,64
RC,0272,CABLE NEUROSTIMULATOR TWIST LOCK SCREEN,70.0,35.0,15.27,63.0,64
RC,0272,CABLE ORTHOPEDIC POLYMER TITANIUM CLASP SUPERCABLE ISO-ELASTIC CERCLAGE SYSTEM,490.0,245.0,106.87,441.0,64
RC,0272,CABLE PACING 12FT SJM TEMPORARY EXTENSION STERILE LATEX FREE DISPOSABLE,13.5,6.75,2.94,12.15,64
RC,0272,CABLE PACING 301-CG L2.5 MR CONNECTOR ALLIGATOR CLIP,11.14,5.57,2.43,10.03,64
RC,0272,CABLE PACING 6FT PACE-LOC TRANSVENOUS CLIP TEMPORARY CONNECTOR ADAPTER 5348 5388 STERILE LATEX FREE DISPOSABLE,135.04,67.52,29.45,121.54,64
RC,0272,CABLE PACING 6FTL ATRIAL VENTRICULAR IS-1 CONNECTOR W/SMALL NON-ALLIGATOR CLIP PACE-LOC SAFETY DEVICE F/TRANSVENOUS LATEX-FREE STERILE SINGLE-USE,135.04,67.52,29.45,121.54,64
RC,0272,CABLE PACING BEIGE 12FT SAFE-CONNECT ATRIAL VENTRICUALR EXTENSION SMALL ALLIGATOR CLIP SAFE CONNECT STERILE LATEX FREE DISPOSABLE,11.14,5.57,2.43,10.03,64
RC,0272,CABLE PACING BEIGE 8FT SAFE CONNECT ATRIUM VENTRICLE ALLIGATOR CLIP DISPOSABLE,2174.0,1087.0,474.15,1956.6,64
RC,0272,CABLE PACING BEIGE 8FT SMALL ALLIGATOR CLIP SAFE CONNECT BIVENTRICULAR PACING,2593.6,1296.8,565.66,2334.24,64
RC,0272,CABLE PACING F/4800 ACCUPACE REMINGTON S-101-97,65.0,32.5,14.18,58.5,64
RC,0272,CABLE PACING PACEL L8 FT ELECTROPHYSIOLOGY BIPOLAR LOCKING ADAPTER TEMPORARY WHITE,275.0,137.5,59.98,247.5,64
RC,0272,CABLE PACING PACEL L8 FT ELECTROPHYSIOLOGY BIPOLAR TEMPORARY THRESHOLD,116.25,58.13,25.35,104.63,64
RC,0272,CABLE PACING THRESHOLD DF4 BIOTRONIK LEAD CONNECTOR DISPOSABLE,14.85,7.43,3.24,13.37,64
RC,0272,CABLE PATIENT MYO/LEAD L1.8 MR BLUE,156.0,78.0,34.02,140.4,64
RC,0272,CABLE PATIENT MYO/LEAD L1.8 MR WHITE,156.0,78.0,34.02,140.4,64
RC,0272,CABLE PCNG SURGICAL SHROUDED DI,168.75,84.38,36.8,151.88,64
RC,0272,CABLE PRESSURE MONITOR COOL POINT UNIVERSAL ALARM ADAPTER,99.0,49.5,21.59,89.1,64
RC,0272,CABLE RETRACTOR L11.5 FT 2 BRANCH FIBER OPTIC,367.0,183.5,80.04,330.3,64
RC,0272,CABLE RETRACTOR LITE DISPOSABLE,585.0,292.5,127.59,526.5,64
RC,0272,CABLE S-VIDEO 23FT 7 METER,190.0,95.0,41.44,171.0,64
RC,0272,CABLE SPINAL SONGER 2 STAINLESS STEEL FLANGE CRIMP STERILE,83.25,41.63,18.16,74.93,64
RC,0272,CABLE SURG DISP 12FT,2074.6,1037.3,452.47,1867.14,64
RC,0272,CABLE SURGICAL POWEREASE NIM,45.0,22.5,9.81,40.5,64
RC,0272,CABLE TEMP PROBE STANDARD SHORT CABLE,52.0,26.0,11.34,46.8,64
RC,0272,CABLE ULTRASOUND DOPPLER 5FT EXTENSION BLOOD FLOW MONITORING PROBE SYSTEM SWARTZ LATEX-FREE STERILE DISPOSABLE,131.25,65.63,28.63,118.13,64
RC,0272,CAGE SPINAL 14X8MM ENDOSKELETON TCS 6D 12MM SMALL TITANIUM RADIOPAQUE LARGE WINDOW ZERO PROFILE CERVICAL INTERBODY FUSION,1620.0,810.0,353.32,1458.0,64
RC,0272,CAGE SPINAL COALESCE L23 MM X W9 MM X H9 MM 8 D STRAIGHT,1950.0,975.0,425.3,1755.0,64
RC,0272,CALIBRATOR TOXICOLOGY ALINITY C ACETAMINOPHEN 1/KT,91.17,45.59,19.88,82.05,64
RC,0272,CALIBRATOR TOXICOLOGY FENTANYL ALINITY EA,34.07,17.04,7.43,30.66,64
RC,0272,CALIBRATOR TOXICOLOGY FENTANYL NEGATIVE URINE ALINITY EA,31.99,16.0,6.98,28.79,64
RC,0272,CALIBRATOR TOXICOLOGY TACROLIMUS ALINITY I EA,161.9,80.95,35.31,145.71,64
RC,0272,CANISTER ARTEMIS MAX SUCT,360.0,180.0,78.52,324.0,64
RC,0272,CANISTER NEGATIVE PRESSURE 1000ML CAPACITY W/TUBING CLAMP CONNECTOR GEL INFOV.A.C. LATEX-FREE STERILE DISPOSABLE EA,2600.0,1300.0,567.06,2340.0,64
RC,0272,CANISTER NEGATIVE PRESSURE 300ML CAPACITY W/GEL TUBING CLAMP CONNECTOR F/WOUND DRAIN V.A.C FREEDOM LATEX-FREE,299.49,149.75,65.32,269.54,64
RC,0272,CANISTER NEGATIVE PRESSURE 300ML CAPACITY W/TUBING CLAMP CONNECTOR GEL ACTIV.A.C. LATEX-FREE STERILE DISPOSABLE,180.06,90.03,39.27,162.05,64
RC,0272,CANISTER NEGATIVE PRESSURE 500ML CAPACITY GRADUATED W/GEL TUBING CLAMP CONNECTOR F/WOUND THERAPY INFOV.A.C LATEX-FREE STERILE DISPOSABLE,181.88,90.94,39.67,163.69,64
RC,0272,CANISTER NEGATIVE PRESSURE 500ML CAPACITY W/TUBING CLAMP CONNECTOR W/O GEL F/WOUND DRAINAGE,152.12,76.06,33.18,136.91,64
RC,0272,CANISTER NEGATIVE PRESSURE 500ML W/TUBING CLAMP CONNECTOR W/O GEL F/WOUND DRAINAGE,150.85,75.43,32.9,135.77,64
RC,0272,CANISTER SUCTION .8 L WITHOUT SOLIDIFIER THOPAZ,224.0,112.0,48.85,201.6,64
RC,0272,CANISTER SUCTION DISPOSABLE BERKELEY SAFETOUCH CLOSED CONTAINMENT TISSUE TRAP SEAL CAP,149.1,74.55,32.52,134.19,64
RC,0272,CANISTER SUCTION NONSTERILE PENUMBRA ENGINE,360.0,180.0,78.52,324.0,64
RC,0272,CANISTER SUCTION PENUMBRA ENGINE INDIGO,360.0,180.0,78.52,324.0,64
RC,0272,CANISTER SUCTION W/LID LG 3L,456.24,228.12,99.51,410.62,64
RC,0272,CANISTER SUCTION ZOOM ASPIRATION,355.0,177.5,77.43,319.5,64
RC,0272,CANISTER WOUND DRAINAGE 500ML DISPOSABLE LATEX FREE STERILE INFOVAC TUBE CONNECTOR CLAMP NO GEL,275.59,137.8,60.11,248.03,64
RC,0272,CANISTER WOUND DRAINAGE GEL INFOVAC 1000 ML VAC ULTA THERAPY SYSTEM,747.08,373.54,162.94,672.37,64
RC,0272,CANISTER WOUND DRAINAGE GEL TUBE CLAMP CONNECTOR ACTIVAC SENSATRAC 300 ML VAC ULTA,343.65,171.83,74.95,309.29,64
RC,0272,CANISTER WOUND DRAINAGE LARGE NEGATIVE PRESSURE GRADUATE ABTHERA 1 L,207.0,103.5,45.15,186.3,64
RC,0272,CANISTER WOUND DRAINAGE PREVENA PLUS 150 ML,122.2,61.1,26.65,109.98,64
RC,0272,CANISTER WOUND DRAINAGE REPLACEMENT PREVENA 45 ML INCISION MANAGEMENT SYSTEM,111.11,55.56,24.23,100.0,64
RC,0272,CANNULA 3 DAM OBTURATOR THREAD TRANSLUCENT ARTHROSCOPIC TWIST-IN SHOULDER ID8.25 MM L7 CM,135.0,67.5,29.44,121.5,64
RC,0272,CANNULA 3 DAM SIDEPORT LUER LOCK CONNECTION VALVE SWITCH ARTHROSCOPIC TWIST-IN ID7 MM L7 CM,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA 3 SEAL COMPLETE SYSTEM ARTHROSCOPIC CLEAR-TRAC HIP OD8.5 MM L110 MM,197.94,98.97,43.17,178.15,64
RC,0272,CANNULA AND OBTURATOR XPAN 12MM,250.0,125.0,54.53,225.0,64
RC,0272,CANNULA AND OBTURATOR XPAN 5MM,150.0,75.0,32.72,135.0,64
RC,0272,CANNULA ANGIOGRAPHY 180DEG ANGLED W/DILATOR CIRCUIT BUBBLE TRAP GEN 3 ANGIOVAC,14500.0,7250.0,3162.45,13050.0,64
RC,0272,CANNULA ANGIOVAC F18,13000.0,6500.0,2835.3,11700.0,64
RC,0272,CANNULA ARTERIAL 10FR 22.9CM .25IN RADIOPAQUE VENT REINFORCE TIP INTRODUCER PEDIATRIC BIO-MEDICUS NEXTGEN 10.5CM STAINLESS STEEL PVC,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA ARTERIAL 17FR DIA 23CML BIOLINE COATED SIDE HOLE-2 W/3/8IN LUER-LOCK CONNECTOR HLS,318.14,159.07,69.39,286.33,64
RC,0272,CANNULA ARTERIAL 18FR 14IN 3/8IN ANGLE TIP NONVENT CONNECTOR SUTURE FLANGE SOFT-FLOW,693.0,346.5,151.14,623.7,64
RC,0272,CANNULA ARTERIAL 19FR DIA 23CML BIOLINE COATED SIDE HOLE-2 W/3/8IN LUER-LOCK CONNECTOR HLS,318.14,159.07,69.39,286.33,64
RC,0272,CANNULA ARTERIAL 20FR 3/8IN 12IN BLUNT TIP INTRODUCER NONVENT CONNECTOR ADULT EOPA,473.6,236.8,103.29,426.24,64
RC,0272,CANNULA ARTERIAL 21FR DIA 23CML BIOLINE COATED SIDE HOLE-2 W/3/8IN LUER-LOCK CONNECTOR HLS,295.94,147.97,64.54,266.35,64
RC,0272,CANNULA ARTERIAL 24FR 14.5IN 3/8IN EXTEND BODY VENT CONNECTOR SUTURE RING SOFT-FLOW,701.25,350.63,152.94,631.13,64
RC,0272,CANNULA ARTERIAL 25FR 3/8IN 55CM HLS VENOUS STERILE LATEX FREE DISPOSABLE 20CM BIOLINE,436.63,218.32,95.23,392.97,64
RC,0272,CANNULA ARTERIAL 8FR .25IN 22.9CM INTRODUCER NONVENT DEHP FREE TAPER SOLID CORE PEDIATRIC BIO-MEDICUS 10CM,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA ARTERIAL L22.9 CM 1/4 IN RADIOPAQUE VENT REINFORCE TIP INTRODUCER OD12 FR BIO-MEDICUS NEXTGEN STAINLESS STEEL PVC PEDIATRIC L11 CM,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA ARTERIAL L22.9 CM 1/4 IN RADIOPAQUE VENT REINFORCE TIP INTRODUCER OD14 FR BIO-MEDICUS NEXTGEN STAINLESS STEEL PVC PEDIATRIC L11.5 CM,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA ARTERIAL L38 CM 12 SIDEHOLE PERFORATE CONNECTOR LOCK INTRODUCER OD19 FR ODSEC3/8 IN HLS POLYURETHANE BIOLINE L10 CM VENOUS,354.0,177.0,77.21,318.6,64
RC,0272,CANNULA ARTERIAL L55 CM .038 IN FLAT 24 SIDEHOLE HLS REINFORCE CONNECTOR OD25 FR ODSEC3/8 IN BIOLINE POLYURETHANE L20 CM VENOUS,408.08,204.04,89.0,367.27,64
RC,0272,CANNULA ARTERIAL L55 CM HLS OD29 FR ODSEC3/8 IN HLS BIOLINE L20 CM VENOUS,436.63,218.32,95.23,392.97,64
RC,0272,CANNULA ARTHROSCOPIC 5.5MM 72MM OBTURATOR THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE POLYCARBONATE BLUE COMPLETE SYSTEM,270.0,135.0,58.89,243.0,64
RC,0272,CANNULA ARTHROSCOPIC 5MM 165MM OBTURATOR RADIOPAQUE FLOWPORT II POLYMER,403.04,201.52,87.9,362.74,64
RC,0272,CANNULA ARTHROSCOPIC 5MM ID 76MML THREADED SEAL W/BLUNT OBTURATOR BLUE CLEAR-TRAC LATEX-FREE STERILE DISPOSABLE,272.5,136.25,59.43,245.25,64
RC,0272,CANNULA ARTHROSCOPIC 6.5MM 72MM OBTURATOR FLEXIBLE THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE ORANGE,270.0,135.0,58.89,243.0,64
RC,0272,CANNULA ARTHROSCOPIC 6MM 9CM LONGITUDINAL SLOT OBTURATOR SHOEHORN SHOULDER STERILE DISPOSABLE,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA ARTHROSCOPIC 6MM 9CM OBTURATOR THREAD TWIST-IN SHOULDER STERILE DISPOSABLE,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA ARTHROSCOPIC 7MM 72MM OBTURATOR SMOOTH CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE POLYCARBONATE GRAY COMPLETE SYSTEM,270.0,135.0,58.89,243.0,64
RC,0272,CANNULA ARTHROSCOPIC 7MM 72MM OBTURATOR THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE POLYCARBONATE GRAY COMPLETE SYSTEM,270.0,135.0,58.89,243.0,64
RC,0272,CANNULA ARTHROSCOPIC 7MM 75MM THREAD CLEAR,525.0,262.5,114.5,472.5,64
RC,0272,CANNULA ARTHROSCOPIC 7MM 85MM OBTURATOR DRY-DOC STERILE LATEX FREE DISPOSABLE TRANSLUCENT BLUE,149.58,74.79,32.62,134.62,64
RC,0272,CANNULA ARTHROSCOPIC 8.25MM 7.5CM OBTURATOR TRANSLUCENT EXPANULA ROTATOR CUFF STERILE DISPOSABLE,195.0,97.5,42.53,175.5,64
RC,0272,CANNULA ARTHROSCOPIC 8.5MM 45MM OBTURATOR THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE POLYCARBONATE GREEN COMPLETE SYSTEM,337.4,168.7,73.59,303.66,64
RC,0272,CANNULA ARTHROSCOPIC 8.5MM 72MM OBTURATOR THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE POLYCARBONATE GREEN COMPLETE SYSTEM,337.4,168.7,73.59,303.66,64
RC,0272,CANNULA ARTHROSCOPIC 8.5MM 90MM OBTURATOR THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE POLYCARBONATE GREEN COMPLETE SYSTEM,270.0,135.0,58.89,243.0,64
RC,0272,CANNULA ARTHROSCOPIC 8.5MM DIA 90MML COMPLETE TRIPLE-SEAL W/OBTURATOR GREEN CLEAR-TRAC LATEX-FREE STERILE DISPOSABLE,180.0,90.0,39.26,162.0,64
RC,0272,CANNULA ARTHROSCOPIC 8MM 4CM SILICONE AUXILIARY LUMEN PASSPORT BUTTON LATEX-FREE,42.0,21.0,9.16,37.8,64
RC,0272,CANNULA ARTHROSCOPIC 8MM 5CM SILICONE AUXILIARY LUMEN PASSPORT BUTTON LATEX-FREE,42.0,21.0,9.16,37.8,64
RC,0272,CANNULA ARTHROSCOPIC 8MM 72MM OBTURATOR FLEXIBLE SMOOTH CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE LIME GREEN,38.07,19.04,8.3,34.26,64
RC,0272,CANNULA ARTHROSCOPIC 8MM 90MM OBTURATOR FLEXIBLE THREAD CLEAR-TRAC SHOULDER STERILE LATEX FREE DISPOSABLE LIME GREEN,270.0,135.0,58.89,243.0,64
RC,0272,CANNULA ARTHROSCOPIC 8MM DIA 76MML THREADED SEAL W/BLUNT OBTURATOR GREEN CLEAR-TRAC LATEX-FREE STERILE DISPOSABLE,252.0,126.0,54.96,226.8,64
RC,0272,CANNULA ARTHROSCOPIC 8MM DIA STANDARD 75MML PLASTIC NON-THREADED SHATTER RESISTANT TRIPLE SEAL W/OBTURATOR FLOW VALVE DRI-LOK DISPOSABLE,15.74,7.87,3.43,14.17,64
RC,0272,CANNULA ARTHROSCOPIC REPROCESSED 5.75MM DIA 70MML SHOULDER THREADED SEALED SIDE-PORT OPEN/UNUSED W/OBTURATOR TRANSLUCENT TWIST-IN LATEX-FREE STERILE DISPOSABLE,13.82,6.91,3.01,12.44,64
RC,0272,CANNULA ARTHROSCOPIC REPROCESSED 7MM ID 70MML W/O SQUIRT CAP CLEAR TWIST-IN LATEX-FREE STERILE DISPOSABLE,13.82,6.91,3.01,12.44,64
RC,0272,CANNULA ARTHROSCOPIC REPROCESSED 8.25MM ID 90MML W/O SQUIRT CAP BLUE TWIST-IN LATEX-FREE STERILE DISPOSABLE,13.82,6.91,3.01,12.44,64
RC,0272,CANNULA ARTHROSCOPIC REPROCESSED 8.5MM DIA 110MML HIP THREADED TRIPLE-SEAL W/OBTURATOR CLEAR-TRAC LATEX-FREE STERILE DISPOSABLE,197.94,98.97,43.17,178.15,64
RC,0272,CANNULA ARTHROSCOPIC REPROCESSED 8MM DIA 72MML SHOULDER THREADED TRIPLE-SEAL W/OBTURATOR CLEAR-TRAC LATEX-FREE STERILE DISPOSABLE,13.82,6.91,3.01,12.44,64
RC,0272,CANNULA ARTHROSCOPIC SCREW 8MM DIA SEALED F/ACL/PCL DRILL GUIDE SYSTEM CLEAR-TRAC LATEX-FREE STERILE DISPOSABLE,280.0,140.0,61.07,252.0,64
RC,0272,CANNULA ARTHROSCOPIC SMALL CRESCENT QUICKPASS SUTURELASSO ID5.75 MM,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA ARTHROSCOPIC SPORTPORT OD8.5 MM L60 MM,225.0,112.5,49.07,202.5,64
RC,0272,CANNULA ARTHROSCOPIC TRIPLEDAM 7MM DIA 7CML W/O VALVE LATEX-FREE,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA ARTHROSCOPIC TWIST-IN 5.5MM 9CML SIDE-PORT W/DISP OBTURATOR W/O SQUIRT CAP CLEAR SHOULDER,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA ARTHROSCOPIC ZONENAVIGATOR MENISCUS ANTERIOR,30.0,15.0,6.54,27.0,64
RC,0272,CANNULA BIO DELIVERY F/TROCHANTERIC NAIL,450.0,225.0,98.15,405.0,64
RC,0272,CANNULA BONE CEMENT 11GA 200MM ACCUPORT STERILE LATEX FREE DISPOSABLE,495.0,247.5,107.96,445.5,64
RC,0272,CANNULA BONE CEMENT 11GA F/DELIVERY PARALLAX,180.0,90.0,39.26,162.0,64
RC,0272,CANNULA BONE CEMENT ACCES DELIVERY 8GA 250MM DRILLABLE W/ATTACHABLE T-HANDLE CERVOS EA,450.0,225.0,98.15,405.0,64
RC,0272,CANNULA BONE CEMENT ACCESS OD10 GA IVAS,427.37,213.69,93.21,384.63,64
RC,0272,CANNULA BONE CEMENT BEVEL STYLET NEEDLE OD11 GA IVAS,368.45,184.23,80.36,331.61,64
RC,0272,CANNULA BONE CEMENT L110 MM CLOSED TIP DELIVERY OD11 GA CERVOS,350.0,175.0,76.34,315.0,64
RC,0272,CANNULA BONE CEMENT L450 MM 2 CANNULATED DELIVERY SIDE PORT RADIOPAQUE TIP FLOWFX 2-CAN 11 CC ACCEPTS 3.2 MM GUIDEWIRE,950.0,475.0,207.2,855.0,64
RC,0272,CANNULA BONE CEMENT L5 IN INTRODUCTION NEEDLE 4 FACET TIP MATCH GROUND OD11 GA PCD,346.57,173.29,75.59,311.91,64
RC,0272,CANNULA BONE CEMENT OD11 GA VERTEPORT,1322.36,661.18,288.41,1190.12,64
RC,0272,CANNULA BONE CEMENT PRECISE CONTROL TACTILE FEEL OD10 GA VERTEPORT,1322.36,661.18,288.41,1190.12,64
RC,0272,CANNULA BONE CEMENT TRAUMACEM TFNA,311.57,155.79,67.95,280.41,64
RC,0272,CANNULA BUTTON 10MM 5CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE PASSPORT BUTTON HIP STERILE LATEX FREE DISPOSABLE SILICONE,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L2 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID10 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L2 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID8 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L3 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID10 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L3 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE ID12 MM SILICONE HIP,60.0,30.0,13.09,54.0,64
RC,0272,CANNULA BUTTON L3 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE ID8 MM SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L4 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID10 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L4 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID8 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L4 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE ID12 MM SILICONE HIP,60.0,30.0,13.09,54.0,64
RC,0272,CANNULA BUTTON L5 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID8 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA BUTTON L5 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE ID12 MM SILICONE HIP,60.0,30.0,13.09,54.0,64
RC,0272,CANNULA BUTTON L6 CM CURVE 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE CURVED ID8 MM PASSPORT SILICONE HIP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA CARDIOPLEGIA 14FR DIA 27CML 10.6INL GUIDEWIRE STYLET HANDLE VINYL POLYURETHANE CORONARY SINUS RETROGRADE WIRE REINFORCED SELF-INFLATING CUFF TEXTURED BALLOON PVC,1290.3,645.15,281.41,1161.27,64
RC,0272,CANNULA CARDIOPLEGIA 14FR DIA 32CML 12.5INL GUIDEWIRE STYLET HANDLE VINYL POLYURETHANE CORONARY SINUS RETROGRADE WIRE REINFORCED MANUAL INFLATE CUFF SMOOTH BALLOON,866.3,433.15,188.94,779.67,64
RC,0272,CANNULA DETACHABLE OBTURATOR ARTHROSCOPIC TRIM-IT,260.0,130.0,56.71,234.0,64
RC,0272,CANNULA DISTAL RING RETENTION BOWL TRANSLUCENT ARTHROSCOPIC BARREL CRYSTAL SHOULDER ID5.75 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA ELCSURG RF 22GAX100MM CRV ACT TIP,219.48,109.74,47.87,197.53,64
RC,0272,CANNULA ELECTROSURGICAL 20GA 10MM DIA 100MML CS ACCURIAN,330.0,165.0,71.97,297.0,64
RC,0272,CANNULA ELECTROSURGICAL 20GA 10MM DIA 150MML CS ACCURIAN,120.0,60.0,26.17,108.0,64
RC,0272,CANNULA ELECTROSURGICAL 20GA 10MM DIA 50MML CS ACCURIAN,150.0,75.0,32.72,135.0,64
RC,0272,CANNULA ELECTROTHERAPY 20GA 100MM RADIOFREQUENCY CURVE ACTIVE TIP MONOPOLAR 10MM MULTIGEN GENERATOR,26.76,13.38,5.84,24.08,64
RC,0272,CANNULA ELECTROTHERAPY 20GA 100MM RADIOFREQUENCY CURVE ACTIVE TIP MONOPOLAR 5MM MULTIGEN GENERATOR,267.62,133.81,58.37,240.86,64
RC,0272,CANNULA ELECTROTHERAPY L100 MM 5 MM RADIOFREQUENCY HYBRID LONG FLEXIBLE INJECTION PORT BARE TIP OD18 GA OWL TRIDENT STAINLESS STEEL NITINO,180.0,90.0,39.26,162.0,64
RC,0272,CANNULA ELECTROTHERAPY L100 MM RADIOFREQUENCY STRAIGHT ACTIVE TIP MONOPOLAR OD22 GA NA L10 MM MULTIGEN GENERATOR,533.1,266.55,116.27,479.79,64
RC,0272,CANNULA ENDOSCOPIC 2 ROTATE STOPCOCK OD5.8 MM SPEED-LOCK,604.14,302.07,131.76,543.73,64
RC,0272,CANNULA ENDOSCOPIC 2 ROTATING STOPCOCKS INFLOW OUTFLOW OD5.8 MM NA,775.23,387.62,169.08,697.71,64
RC,0272,CANNULA ENDOSCOPIC 2 VALVE HIGH FLOW ROTATE OD6 MM DYONICS 25,743.6,371.8,162.18,669.24,64
RC,0272,CANNULA ENDOSCOPIC 21GA 110MML SONOTAP,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA ENDOSCOPIC 5 MM PYRAMIDAL TIP TROCAR APPLE-HUNT SECONDARY CANNULA STAINLESS STEEL ABDOMINAL,234.59,117.3,51.16,211.13,64
RC,0272,CANNULA ENDOSCOPIC 8MM 85MM OBT SMTH RB DRY-DOC,32.31,16.16,7.05,29.08,64
RC,0272,CANNULA ENDOSCOPIC 9FR 25CM MARGOLIN HYSTEROSALPINGOGRAPHY,53.4,26.7,11.65,48.06,64
RC,0272,CANNULA ENDOSCOPIC 9MM CLEAR DISPLAY,52.2,26.1,11.38,46.98,64
RC,0272,CANNULA ENDOSCOPIC ACCESS OD11 GA IVAS,427.37,213.69,93.21,384.63,64
RC,0272,CANNULA ENDOSCOPIC EGRESS 4.4MM DIA 73MML WORKING 3.7MM CAPACITY KNEE DRAINAGE W/TAP VERRES LATEX-FREE,239.63,119.82,52.26,215.67,64
RC,0272,CANNULA ENDOSCOPIC L12.5 CM SHORT CURVE LUER LOCK OD3 MM V EICKEN ANTRUM,64.36,32.18,14.04,57.92,64
RC,0272,CANNULA ENDOSCOPIC L75 MM THREAD OD5 MM DRI-LOK,150.0,75.0,32.72,135.0,64
RC,0272,CANNULA ENDOSCOPIC L90 MM DISTAL THREAD OD6.5 MM DRI-LOK,15.74,7.87,3.43,14.17,64
RC,0272,CANNULA ERCP .035 IN TAPER RADIOPAQUE BENDABLE SWING TIP DISPOSABLE BENDING CANNULA L195 CM OD4.5 FR 3.2 MM CHANNEL,333.3,166.65,72.69,299.97,64
RC,0272,CANNULA ERCP 3 LUMEN TAPER TIP TANDEM L200 CM OD5.5 FR BILIARY ACCEPTS .035 IN GUIDEWIRE,69.26,34.63,15.11,62.33,64
RC,0272,CANNULA ERCP 5-4-3 TIP CONTOUR L210 CM OD5 FR BILIARY ACCEPTS .018 IN GUIDEWIRE,47.7,23.85,10.4,42.93,64
RC,0272,CANNULA ERCP RAPID EXCHANGE STANDARD TIP RX ERCP CANNULA L210 CM BILIARY ACCEPTS .035 IN GUIDEWIRE,71.55,35.78,15.61,64.4,64
RC,0272,CANNULA ERCP RAPID EXCHANGE TAPER TIP RAPID EXCHANGE L195 CM BILIARY ACCEPTS .035 IN GUIDEWIRE,61.15,30.58,13.34,55.04,64
RC,0272,CANNULA ERCP TAPER TIP CONTOUR L210 CM OD5 FR BILIARY ACCEPTS .035 IN GUIDEWIRE,47.7,23.85,10.4,42.93,64
RC,0272,CANNULA ETCO2 SAMPLING LONG TERM 4ML ADULT DUAL PURPOSE NON-INTUBATED SMART CAPNOLINE LATEX-FREE STERILE DISPOSABLE,414.6,207.3,90.42,373.14,64
RC,0272,CANNULA FEM ART MONO VT3/8 19F,278.06,139.03,60.64,250.25,64
RC,0272,CANNULA FLUSHFIT KIT ARTHROSCOPIC,295.0,147.5,64.34,265.5,64
RC,0272,CANNULA HANDLE ARTHROSCOPIC ZONENAVIGATOR,250.0,125.0,54.53,225.0,64
RC,0272,CANNULA HEALIX TRANSTEND THREAD ARTHROSCOPIC OD8.5 MM L55 MM CLEAR,105.0,52.5,22.9,94.5,64
RC,0272,"CANNULA HEX FLEX WITH DISPOSABLE OBTURATOR, 8.0 X 85MM",126.72,63.36,27.64,114.05,64
RC,0272,CANNULA IABP SUCTION 9INL CARDIAC MINI SUCKER TIP W/1/4IN CONNECTOR STERILE,600.0,300.0,130.86,540.0,64
RC,0272,CANNULA INFUSION ENHANCE PRIMING TRAY OD27+ GA CONSTELLATION,1395.12,697.56,304.28,1255.61,64
RC,0272,CANNULA IRRIGATION CONTRA CURVE HOLLOW SHAFT PROXIMAL LUER LOCK ATRAUMATIC DISTAL TIP IO-FLEX STERILE DISPOSABLE,12.75,6.38,2.78,11.48,64
RC,0272,CANNULA IRRIGATION IPSI CURVE SHAFT LUER LOCK ATRAUMATIC DISTAL TIP IO-FLEX,12.75,6.38,2.78,11.48,64
RC,0272,CANNULA IRRIGATION L345 MM LUER CONNECTOR INJECTION PUNCTURE OD5 MM NA,131.58,65.79,28.7,118.42,64
RC,0272,CANNULA IRRIGATION/ASPIRATION SIMCOE 23GA 1MM ID 2MM OD 0.3MML TUBING PORT THIN WALL LATEX-FREE,148.91,74.46,32.48,134.02,64
RC,0272,CANNULA LAPAROSCOPIC L150 MM STAPLER OD12 MM DA VINCI XI ENDOWRIST,1365.0,682.5,297.71,1228.5,64
RC,0272,CANNULA LAPAROSCOPIC LONG OD8 MM DA VINCI XI,683.0,341.5,148.96,614.7,64
RC,0272,CANNULA LAPAROSCOPIC OD8 MM DA VINCI XI,630.0,315.0,137.4,567.0,64
RC,0272,CANNULA LAPAROSCOPIC SHORT 10CML HIGH-PERFORMANCE HEMOBLAST,3000.0,1500.0,654.3,2700.0,64
RC,0272,CANNULA LOW PROFILE SELF RETAIN ARTHROSCOPIC GEMINI SR8 ID8.25 MM L9 CM,160.0,80.0,34.9,144.0,64
RC,0272,CANNULA MIDDLE ARTHROSCOPIC ZONENAVIGATOR LEFT POSTERIOR,750.0,375.0,163.58,675.0,64
RC,0272,CANNULA MIDDLE ARTHROSCOPIC ZONENAVIGATOR RIGHT POSTERIOR,150.0,75.0,32.72,135.0,64
RC,0272,CANNULA NASAL LOW HUMIDITY CO2 O2 ADAPTER SET ADULT NOMOLINE ORAL,290.0,145.0,63.25,261.0,64
RC,0272,CANNULA NASAL OD15 MM NEOTECH RAM CANNULA NEONATE CURVE SOFT PRONG KINK RESISTANT TUBE UNIVERSAL ADAPTER GREEN,163.0,81.5,35.55,146.7,64
RC,0272,CANNULA NASAL OPTIFLOW SMALL NASAL FILTERED INTERFACE WITH CO2 SAMPLING,315.0,157.5,68.7,283.5,64
RC,0272,CANNULA NEUROSTIMULATOR 2-PIECE SLOTTED F/STARFIX ROSA RNS SYSTEM,1075.0,537.5,234.46,967.5,64
RC,0272,CANNULA OBTURATOR CANNULATED THREAD ARTHROSCOPIC CLEAR-TRAC POLYCARBONATE OD10 MM L76 MM WHITE,340.0,170.0,74.15,306.0,64
RC,0272,CANNULA OBTURATOR CONICAL TIP THREAD DISTAL HOLE ARTHROSCOPIC INTEGRA MILTEX OD4.5 MM L70 MM BLUE,163.32,81.66,35.62,146.99,64
RC,0272,CANNULA OBTURATOR CONICAL TIP THREAD DISTAL HOLE ARTHROSCOPIC NA OD5.5 MM L70 MM GRAY,163.32,81.66,35.62,146.99,64
RC,0272,CANNULA OBTURATOR FLEXIBLE THREAD ARTHROSCOPIC SHOULDER OD8 MM L72 MM LIME GREEN,380.7,190.35,83.03,342.63,64
RC,0272,CANNULA OBTURATOR RADIOPAQUE ARTHROSCOPIC FLOWPORT II POLYMER OD5 MM,403.04,201.52,87.9,362.74,64
RC,0272,CANNULA OBTURATOR THREAD ARTHROSCOPIC TWIST-IN SHOULDER ID7 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA OBTURATOR THREAD TRANSLUCENT ARTHROSCOPIC TWIST-IN SHOULDER ID6 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA OBTURATOR THREAD TRANSLUCENT ARTHROSCOPIC TWIST-IN SHOULDER ID8.25 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA OBTURATOR TRANSLUCENT ARTHROSCOPIC TWIST-IN SHOULDER ID7 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA OBTURATOR TRANSLUCENT ARTHROSCOPIC TWIST-IN SHOULDER ID8.25 MM L9 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA OBTURATOR TRANSLUCENT PARTIALLY THREADED ARTHROSCOPIC PARTIAL THREAD HIP ID8.25 MM L11 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA OBTURATOR TROCAR SEAL ARTHROSCOPIC CLEAR-TRAC ID5 MM L76 MM BLUE,272.5,136.25,59.43,245.25,64
RC,0272,CANNULA OBTURATOR TROCAR SEAL ARTHROSCOPIC CLEAR-TRAC ID8 MM L76 MM GREEN,272.5,136.25,59.43,245.25,64
RC,0272,CANNULA OBTURATOR TROCAR SEAL ARTHROSCOPIC UNIVERSAL NA ID5 MM L76 MM BLUE,272.5,136.25,59.43,245.25,64
RC,0272,CANNULA OBTURATOR TROCAR SEAL ARTHROSCOPIC UNIVERSAL NA ID7 MM L76 MM GREEN,272.5,136.25,59.43,245.25,64
RC,0272,CANNULA OPEN BLUNT TIP LOW PROFILE ARTHROSCOPIC,495.0,247.5,107.96,445.5,64
RC,0272,CANNULA OPHTHALMIC 20GA 6MMW RETINAL 45DEG BEVELED TIP ULTRATHIN WALL INFUSION W/25CML TUBING LUER-LOCK FITTING VISITEC,101.64,50.82,22.17,91.48,64
RC,0272,CANNULA OPHTHALMIC 20GA SOFT TIP GRIESHABER STERILE DISPOSABLE SILICONE,205.3,102.65,44.78,184.77,64
RC,0272,CANNULA OPHTHALMIC 23GA 45D SHARP PIC DESIGN GRIESHABER STERILE DISPOSABLE,269.7,134.85,58.82,242.73,64
RC,0272,CANNULA OPHTHALMIC 25GA 2 BORE FLEXTIP,260.0,130.0,56.71,234.0,64
RC,0272,CANNULA OPHTHALMIC 45 D OD25 GA GRIESHABER DSP,307.44,153.72,67.05,276.7,64
RC,0272,CANNULA OPHTHALMIC L.9 IN CURVE FLAT TIP OD27 GA NICHAMIN HYDRODISSECTION,35.84,17.92,7.82,32.26,64
RC,0272,CANNULA OPHTHALMIC L1 IN 30 D IRRIGATE FLAT BLUNT TIP POLISH FINISH OD19 GA BISHOP-HARMON STAINLESS STEEL L5 MM,18.26,9.13,3.98,16.43,64
RC,0272,CANNULA OPHTHALMIC L15 MM 45 D BLUNT TIP POLISH FINISH OD30 GA MCINTYRE STAINLESS STEEL ANTERIOR CHAMBER,19.61,9.81,4.28,17.65,64
RC,0272,CANNULA OPHTHALMIC L21 MM 90 D FLATTENED BEVEL TIP CURVED POLISHED FINISH OD19 GA BRACKEN ANTERIOR CHAMBER,28.0,14.0,6.11,25.2,64
RC,0272,CANNULA OPHTHALMIC L30 CM OD3 MM ODSEC8 MM PAL,75.0,37.5,16.36,67.5,64
RC,0272,CANNULA OPHTHALMIC PAUTLER 4.7MM FROM TIP 45DEG ANGLED FLANGE ROUND CORNER F/CONTINUOUS FLOW,144.93,72.47,31.61,130.44,64
RC,0272,CANNULA OPHTHALMIC STREAMLINE SURGICAL SYSTEM STERILE SINGLE USE IMPLANT FREE,1200.0,600.0,261.72,1080.0,64
RC,0272,CANNULA OPTH 16GAX.5IN PRTX4,165.87,82.94,36.18,149.28,64
RC,0272,CANNULA ORTHOPEDIC 8MM 1 2 3 TRANSPORT,91.83,45.92,20.03,82.65,64
RC,0272,CANNULA ORTHOPEDIC 8MM 7 8 9 TRANSPORT,91.84,45.92,20.03,82.66,64
RC,0272,CANNULA ORTHOPEDIC 8MM MEDIUM 4 5 6 TRANSPORT,91.84,45.92,20.03,82.66,64
RC,0272,CANNULA PARTIALLY THREADED ARTHROSCOPIC PARTIAL THREAD HIP ID7 MM L11 CM,25.0,12.5,5.45,22.5,64
RC,0272,CANNULA PARTIALLY THREADED FLEXIBLE TRANSLUCENT ARTHROSCOPIC TWIST-IN POLYCARBONATE ID8.25 MM L7 CM,25.0,12.5,5.45,22.5,64
RC,0272,CANNULA PARTIALLY THREADED W/NO SQUIRT CAP OBTURATOR TRANSLUCENT ARTHROSCOPIC PARTIAL THREAD TWIST IN HIP ID8.25 MM L9 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA PERFUSION 10FR .25IN 22.9CM INTRODUCER NONVENT CONNECTOR REINFORCE SIDEPORT WITHOUT DEHP PEDIATRIC BIO-MEDICUS 10.5CM,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA PERFUSION 10FR 11IN 90D OPEN LIGHTHOUSE 1 STAGE SIDEHOLE KINK RESISTANT WIRE REINFORCE THIN-FLEX VENOUS PLASTIC ACCEPTS .25IN CONNECTOR,395.3,197.65,86.21,355.77,64
RC,0272,CANNULA PERFUSION 10FR 7.5IN .25IN CONNECTOR ONE PIECE NONVENTED PEDIATRIC BIO-MEDICUS FEMUR ARTERY STERILE,229.14,114.57,49.98,206.23,64
RC,0272,CANNULA PERFUSION 10FR 7.5IN .64CM CONNECTOR SMALL STATURE 1 PIECE NONVENTED KINK RESISTANT BIO-MEDICUS FEMUR VEIN STERILE,229.14,114.57,49.98,206.23,64
RC,0272,CANNULA PERFUSION 10FR 9IN .25IN 1 PIECE VENT CONNECTOR BEVEL TIP DEPTH MARK PEDIATRIC DPL ARTERIAL BLUE,314.6,157.3,68.61,283.14,64
RC,0272,CANNULA PERFUSION 10FR 9IN MANUAL INFLATE CUFF PRESSURE MONITORING LINE GUIDEWIRE STYLET SYRINGE GUNDRY TRU-TOUCH SILICONE RCSP,368.28,184.14,80.32,331.45,64
RC,0272,CANNULA PERFUSION 12FR .25IN 22.9CM INTRODUCER NONVENT CONNECTOR REINFORCE SIDEPORT WITHOUT DEHP PEDIATRIC BIO-MEDICUS 11CM,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA PERFUSION 12FR 14IN .25IN RIGHT ANGLE 1 STAGE KINK RESISTANT MULTIPORT TIP WIREWOUND BODY PEDIATRIC DLP VENOUS METAL,361.71,180.86,78.89,325.54,64
RC,0272,CANNULA PERFUSION 12FR 6IN ANTEGRADE FLANGED RADIOPAQUE BASKET TIP FEMALE LUER CONNECTION SITE DLP CORONARY ARTERY OSTIAL,351.0,175.5,76.55,315.9,64
RC,0272,CANNULA PERFUSION 12FR 7.5IN .25IN CONNECTOR 1 PIECE NONVENT PEDIATRIC BIO-MEDICUS FEMUR ARTERY POLYURETHANE,229.14,114.57,49.98,206.23,64
RC,0272,CANNULA PERFUSION 12FR 7.5IN .25IN CONNECTOR ONE PIECE NONVENTED PEDIATRIC BIO-MEDICUS FEMUR VEIN,229.14,114.57,49.98,206.23,64
RC,0272,CANNULA PERFUSION 12FR 7.5IN 90D ANTEGRADE HIGH FLOW FEMALE LUER FLANGED DLP CORONARY ARTERY OSTIAL STAINLESS STEEL SILICONE,199.2,99.6,43.45,179.28,64
RC,0272,CANNULA PERFUSION 12GA 5.5IN ANTEGRADE INTRODUCER VENT LINE STANDARD TIP ADULT DLP AORTIC ROOT,394.27,197.14,85.99,354.84,64
RC,0272,CANNULA PERFUSION 12GA 5.5IN STANDARD INTRODUCER FLANGE TIP ANTEGRADE DLP AORTIC ROOT,328.56,164.28,71.66,295.7,64
RC,0272,CANNULA PERFUSION 14FR .25IN 22.9CM INTRODUCER NONVENT CONNECTOR REINFORCE SIDEPORT WITHOUT DEHP PEDIATRIC BIO-MEDICUS 11.5CM,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA PERFUSION 14FR 13IN 90D OPEN LIGHTHOUSE 1 STAGE SIDEHOLE KINK RESISTANT WIRE REINFORCE THIN-FLEX VENOUS PLASTIC ACCEPTS .25IN 3/8IN CONNECTOR,395.3,197.65,86.21,355.77,64
RC,0272,CANNULA PERFUSION 14FR 14IN .5IN RIGHT ANGLED PEDIATRIC DLP VENOUS STERILE METAL,294.0,147.0,64.12,264.6,64
RC,0272,CANNULA PERFUSION 14FR 6IN FEMALE LUER BASKET TIP FLANGE MALLEABLE SHAFT DLP CORONARY ARTERY OSTIAL STAINLESS STEEL CLEAR,377.84,188.92,82.41,340.06,64
RC,0272,CANNULA PERFUSION 14FR 7.5IN .25IN CONNECTOR ONE PIECE NONVENTED PEDIATRIC BIO-MEDICUS FEMUR VEIN,229.14,114.57,49.98,206.23,64
RC,0272,CANNULA PERFUSION 14FR 9IN .25IN 1 PIECE VENT CONNECTOR BEVEL TIP DEPTH MARK PEDIATRIC DLP ARTERIAL BLUE,308.35,154.18,67.25,277.52,64
RC,0272,CANNULA PERFUSION 14GA 16GA 6IN VENT LINE AORTIC ROOT WHITE CARDIOPLEGIA,186.0,93.0,40.57,167.4,64
RC,0272,CANNULA PERFUSION 14GA 5.5IN ANTEGRADE INTRODUCER VENT LINE STANDARD TIP ADULT DLP AORTIC ROOT,360.6,180.3,78.65,324.54,64
RC,0272,CANNULA PERFUSION 14GA 5.5IN INTRODUCER NEEDLE RADIOPAQUE ANTEGRADE DLP AORTIC STAINLESS STEEL,303.6,151.8,66.22,273.24,64
RC,0272,CANNULA PERFUSION 15FR 12.5IN RETROGRADE MANUAL INFLATE SMOOTH CUFF WIREWOUND BODY GUIDEWIRE STYLET ADULT GUNDRY CORONARY SINUS SILICONE,821.4,410.7,179.15,739.26,64
RC,0272,CANNULA PERFUSION 15FR 17IN 3/8IN CONNECTOR 1 PIECE VENTED ADULT BIO-MEDICUS FEMORAL ARTERY,322.11,161.06,70.25,289.9,64
RC,0272,CANNULA PERFUSION 15FR 31.8CM 3/8IN VENT CONNECTOR INTRODUCER DEHP FREE PEDIATRIC BIO-MEDICUS FEMORAL 18CM PVC,333.33,166.67,72.7,300.0,64
RC,0272,CANNULA PERFUSION 16FR 14IN .25IN CONNECTION SITE ANGLE RIGHT 1 STAGE KINK RESISTANT WIREWOUND BODY PEDIATRIC DLP VEIN STERILE METAL,294.0,147.0,64.12,264.6,64
RC,0272,CANNULA PERFUSION 16FR 15IN .25IN STRAIGHT 1 STAGE CONNECTION SITE TIP PEDIATRIC DLP VENOUS PVC,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 16FR 9IN .25IN 1 PIECE VENT CONNECTOR BEVEL TIP DEPTH MARK PEDIATRIC DLP ARTERIAL BLUE,308.35,154.18,67.25,277.52,64
RC,0272,CANNULA PERFUSION 16GA 18GA NEEDLE ADULT AORTIC ROOT VENTED LINE PINK,186.0,93.0,40.57,167.4,64
RC,0272,CANNULA PERFUSION 16GA 5.5IN STANDARD INTRODUCER NEEDLE RADIOPAQUE DLP AORTIC ROOT STAINLESS STEEL PVC,309.8,154.9,67.57,278.82,64
RC,0272,CANNULA PERFUSION 17FR 10IN BODY SOFT BULB TIP CARDIAC SURGERY REVASCULARIZATION DLP CORONARY ARTERY OSTIAL SILICONE,447.63,223.82,97.63,402.87,64
RC,0272,CANNULA PERFUSION 17FR 18CM BIO-MEDICUS ARTERY STERILE LATEX FREE DISPOSABLE,264.61,132.31,57.71,238.15,64
RC,0272,CANNULA PERFUSION 17FR 3/8IN 18CM KIT CONNECTOR VENT BIOACTIVE SURFACE ADULT BIO-MEDICUS CARMEDA ARTERIAL PERCUTANEOUS STERILE,341.93,170.97,74.57,307.74,64
RC,0272,CANNULA PERFUSION 17FR 3/8IN 31.8CM INTRODUCER HEMOSTASIS CAP ADJUSTABLE RADIOPAQUE SUTURE RING VENT CONNECTOR BIO-MEDICUS NEXTGEN JUGULAR 18CM STAINLESS STEEL PVC,333.33,166.67,72.7,300.0,64
RC,0272,CANNULA PERFUSION 17FR BIO-MEDICUS,278.06,139.03,60.64,250.25,64
RC,0272,CANNULA PERFUSION 18FR 14IN .25IN RIGHT ANGLE 1 STAGE KINK RESISTANT MULTIPORT TIP WIREWOUND BODY PEDIATRIC DLP VENOUS METAL,294.0,147.0,64.12,264.6,64
RC,0272,CANNULA PERFUSION 18FR 15IN .25-3/8IN CONNECTION SITE SMALL STATURE 1 STAGE DLP VENOUS PVC,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 18FR 20D 3 DUROMETER CIRCUIT BRAID SHAFT ANGIOVAC,14500.0,7250.0,3162.45,13050.0,64
RC,0272,CANNULA PERFUSION 18FR BLUNT EOPA STERILE,473.6,236.8,103.29,426.24,64
RC,0272,CANNULA PERFUSION 18GA 2.5IN ANTEGRADE STANDARD TIP INTRODUCER PEDIATRIC DLP AORTIC ROOT,322.6,161.3,70.36,290.34,64
RC,0272,CANNULA PERFUSION 19FR 17CM 3/8IN NONVENT CONNECTOR ADULT BIO-MEDICUS ARTERIAL STERILE LATEX FREE,264.61,132.31,57.71,238.15,64
RC,0272,CANNULA PERFUSION 19FR 3/8IN 31.8CM INTRODUCER HEMOSTASIS CAP ADJUSTABLE RADIOPAQUE SUTURE RING VENT CONNECTOR BIO-MEDICUS NEXTGEN JUGULAR 18CM STAINLESS STEEL PVC,333.33,166.67,72.7,300.0,64
RC,0272,CANNULA PERFUSION 19FR 30IN 3/8IN 1 PIECE KINK RESISTANT MULTISTAGE KIT CONNECTOR ADULT BIO-MEDICUS FEMUR PERCUTANEOUS VEIN,455.91,227.96,99.43,410.32,64
RC,0272,CANNULA PERFUSION 19FR 31.8CM 3/8IN INTRODUCER CONNECTOR VENT BIO-MEDICUS NEXTGEN FEMORAL ARTERIAL JUGULAR VENOUS 18CM,345.95,172.98,75.45,311.36,64
RC,0272,CANNULA PERFUSION 19FR 76.2CM NONVENTED CONNECTOR ADULT BIO-MEDICUS FEMUR VEIN,322.11,161.06,70.25,289.9,64
RC,0272,CANNULA PERFUSION 1MM 1.8IN BULB TIP FEMALE LUER DLP INTERNAL MAMMARY ARTERY STAINLESS STEEL,208.8,104.4,45.54,187.92,64
RC,0272,CANNULA PERFUSION 20FR .25IN 14IN RIGHT ANGLE 1 STAGE CONNECTOR WIREWOUND BODY MULTIPORT TIP ADULT DLP VENOUS METAL,361.71,180.86,78.89,325.54,64
RC,0272,CANNULA PERFUSION 20FR 10.5IN 3/8IN NONVENT CONNECTOR SOFT FLANGE BEVEL TIP TAPER BODY DLP ARTERIAL METAL,592.0,296.0,129.12,532.8,64
RC,0272,CANNULA PERFUSION 20FR 10IN 3/8IN CONNECTOR BLUNT ADULT EOPA ARTERIAL STERILE,473.6,236.8,103.29,426.24,64
RC,0272,CANNULA PERFUSION 20FR 10IN RADIOPAQUE FEMALE LUER LOCK ANTEGRADE MALLEABLE DLP CORONARY ARTERY OSTIAL STERILE STAINLESS STEEL SILICONE ARTERIOTOMY,447.63,223.82,97.63,402.87,64
RC,0272,CANNULA PERFUSION 20FR 12-15IN .25-3/8IN THIN WALL 1 STAGE CONNECTION SITE MULTIPORT TAPER TIP ELONGATE SIDEPORT DLP VENOUS,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 20FR 12IN 3/8IN CONNECTOR .038IN THIN 1 PIECE DILATOR TIP INTRODUCER GUIDEWIRE VENT EOPA ARTERIAL,503.4,251.7,109.79,453.06,64
RC,0272,CANNULA PERFUSION 21FR 14.5IN VENT SUTURE RING EXTEND BODY SOFT-FLOW,742.5,371.25,161.94,668.25,64
RC,0272,CANNULA PERFUSION 21FR 14.8IN 3/8IN CURVE AUTO DILATE TIP SUTURE BUMP CONNECTOR EZ GLIDE AORTA,505.3,252.65,110.21,454.77,64
RC,0272,CANNULA PERFUSION 21FR 17IN 3/8IN CONNECTOR 1 PIECE VENTED ADULT BIO-MEDICUS FEMUR ARTERY,278.06,139.03,60.64,250.25,64
RC,0272,CANNULA PERFUSION 21FR 3/8IN 31.8CM INTRODUCER HEMOSTASIS CAP ADJUSTABLE RADIOPAQUE SUTURE RING VENT CONNECTOR BIO-MEDICUS NEXTGEN JUGULAR 18CM STAINLESS STEEL PVC,333.33,166.67,72.7,300.0,64
RC,0272,CANNULA PERFUSION 21FR 3/8IN 69.9CM INTRODUCER HEMOSTASIS CAP ADJUSTABLE RADIOPAQUE SUTURE RING NONVENT CONNECTOR BIO-MEDICUS NEXTGEN VENOUS 55CM STAINLESS STEEL PVC,387.09,193.55,84.42,348.38,64
RC,0272,CANNULA PERFUSION 21FR 30IN 3/8IN KIT MULTISTAGE KINK RESISTANT CONNECTOR ADULT BIO-MEDICUS FEMORAL PERCUTANEOUS VEIN,455.91,227.96,99.43,410.32,64
RC,0272,CANNULA PERFUSION 21FR 31.8CM 3/8IN VENT CONNECTOR FEMORAL ARTERIAL 18CM,345.95,172.98,75.45,311.36,64
RC,0272,CANNULA PERFUSION 21FR 62MM 3/8IN ADVANCE MECHANICAL CIRCULATORY SUPPORT PROTEK SOLO TRANSSEPTAL,10500.0,5250.0,2290.05,9450.0,64
RC,0272,CANNULA PERFUSION 21FR BIO-MEDICUS NEXTGEN FEMORAL VENOUS,392.7,196.35,85.65,353.43,64
RC,0272,CANNULA PERFUSION 22FR 12-15IN .25-3/8IN TAPER 1 STAGE KINK RESISTANT WIREWOUND BODY MULTIPORT TIP DLP VENOUS STERILE,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 22FR 12IN 3/8IN CONNECTOR NONVENTED INTRODUCER GUIDEWIRE ADULT,499.4,249.7,108.92,449.46,64
RC,0272,CANNULA PERFUSION 22FR 12IN 3/8IN RADIOPAQUE 1 PIECE VENT CONNECTOR DEPTH MARK EOPA ARTERIAL,473.6,236.8,103.29,426.24,64
RC,0272,CANNULA PERFUSION 22FR 14IN 3/8IN RIGHT ANGLE 1 STAGE KINK RESISTANT WIREWOUND BODY MULTIPORT TIP DLP VENOUS METAL,361.71,180.86,78.89,325.54,64
RC,0272,CANNULA PERFUSION 22FR DIA 35CML 3/8INL HEPARIN COATED RIGHT ANGLED WIRE REINFORCED SINGLE STAGE VENOUS DRAINAGE EXTENDED T-CONNECTOR THIN-FLEX LATEX-FREE,534.9,267.45,116.66,481.41,64
RC,0272,CANNULA PERFUSION 23FR 3/8IN 76.2CM INTRODUCER HEMOSTASIS CAP ADJUSTABLE RADIOPAQUE SUTURE RING NONVENT CONNECTOR BIO-MEDICUS NEXTGEN VENOUS 60CM STAINLESS STEEL PVC,387.09,193.55,84.42,348.38,64
RC,0272,CANNULA PERFUSION 24FR 12-15IN 3/8IN RIGHT ANGLE 1 STAGE CONNECTOR MULTIPORT TIP ADULT DLP VENOUS PVC,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 24FR 14IN 3/8IN PACIFICO ADULT DLP VENOUS METAL TIP,297.6,148.8,64.91,267.84,64
RC,0272,CANNULA PERFUSION 24FR 15IN .25-3/8IN CONNECTION SITE SMALL STATURE 1 STAGE DLP VENOUS STERILE,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 25FR 3/8IN 76.2CM INTRODUCER HEMOSTASIS CAP ADJUSTABLE RADIOPAQUE SUTURE RING NONVENT CONNECTOR BIO-MEDICUS NEXTGEN VENOUS 60CM STAINLESS STEEL PVC,387.09,193.55,84.42,348.38,64
RC,0272,CANNULA PERFUSION 25FR 60CM BIO-MEDICUS STERILE LATEX FREE DISPOSABLE 17CM,455.91,227.96,99.43,410.32,64
RC,0272,CANNULA PERFUSION 25FR WIRE WOUND SMOOTH DILATOR HEARTPORT QUICKDRAW VENOUS,459.0,229.5,100.11,413.1,64
RC,0272,CANNULA PERFUSION 26FR 17IN 3/8IN CONNECTOR 1 STAGE ADULT DLP VENOUS STERILE PVC,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 26FR 3/8IN 12-15IN TAPER 1 STAGE 1 PIECE MULTIPORT TIP KINK RESISTANT DLP VENOUS,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 27FR 2-LUMEN QUANTUM,7500.0,3750.0,1635.75,6750.0,64
RC,0272,CANNULA PERFUSION 28FR 12-15IN 3/8IN 1 STAGE KINK RESISTANT WIREWOUND BODY MULTIPORT TIP DLP VENOUS,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 28FR 12-15IN 3/8IN CONNECTOR 1 STAGE MALLEABLE ADULT DLP VENOUS STERILE,387.2,193.6,84.45,348.48,64
RC,0272,CANNULA PERFUSION 28FR 14IN 3/8IN CONNECTION SITE RIGHT ANGLE 1 STAGE KINK RESISTANT BEVEL MULTIPORT TIP ADULT DLP VENOUS METAL,297.6,148.8,64.91,267.84,64
RC,0272,CANNULA PERFUSION 28FR PERIPHERAL VENOUS RIGHT,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 29-37FR 14.5IN LOW PROFILE OPEN LIGHTHOUSE 2 STAGE WIRE REINFORCE THIN-FLEX VENOUS STERILE DISPOSABLE ACCEPTS .5IN CONNECTOR,394.2,197.1,85.98,354.78,64
RC,0272,CANNULA PERFUSION 3/8IN ACCEPTANCE 15FR DIA 30INL 50CML TIP CARMEDA BIOACTIVE COATED PERCUTANEOUS VEIN NON-VENTED BIO-MEDICUS,264.61,132.31,57.71,238.15,64
RC,0272,CANNULA PERFUSION 30FR 15IN 3/8IN CONNECTION SITE 1 STAGE STRAIGHT TIP FLEXIBLE TAPERED ADULT DLP VENOUS PVC,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 30FR VENT DLP RIGHT STERILE LATEX FREE DISPOSABLE,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 31FR 14IN 3/8IN RIGHT ANGLE TAPER 1 STAGE CONNECTION SITE KINK RESISTANT MULTIPORT TIP DLP VENOUS,297.6,148.8,64.91,267.84,64
RC,0272,CANNULA PERFUSION 31FR 2-LUMEN QUANTUM,7500.0,3750.0,1635.75,6750.0,64
RC,0272,CANNULA PERFUSION 32-40FR .5IN 15IN OVAL LOW PROFILE NONVENT CONNECTOR KINK RESISTANT MULTIPORT ADULT MC2 VENOUS PVC,339.59,169.8,74.06,305.63,64
RC,0272,CANNULA PERFUSION 32FR 12-15IN 3/8IN RIGHT ANGLE TAPER 1 STAGE CONNECTION SITE KINK RESISTANT MULTIPORT TIP DLP VENOUS,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 32FR 16IN STRAIGHT WIRE REINFORCE MULTIPLE PORT OPEN LIGHTHOUSE TIP THIN-FLEX VENOUS ACCEPTS 3/8IN CONNECTOR,344.3,172.15,75.09,309.87,64
RC,0272,CANNULA PERFUSION 32FR 3/8IN 15IN 1 STAGE CONNECTOR MALLEABLE ADULT DLP VEIN,481.0,240.5,104.91,432.9,64
RC,0272,CANNULA PERFUSION 34FR 17IN RIGHT ANGLE DLP VENOUS STERILE LATEX FREE DISPOSABLE PVC,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 36/46FR .5IN 15IN THIN WALL 2 STAGE MULTIPORT TIP NONVENT CONNECTOR MC2 VENOUS,339.59,169.8,74.06,305.63,64
RC,0272,CANNULA PERFUSION 36FR 15IN .5IN CONNECTION SITE 1 STAGE MALLEABLE ADULT DLP VENOUS,481.0,240.5,104.91,432.9,64
RC,0272,CANNULA PERFUSION 36FR 15IN 3/8IN 1 STAGE RIGHT ANGLE METAL TIP ADULT DLP VENOUS,300.14,150.07,65.46,270.13,64
RC,0272,CANNULA PERFUSION 36FR 15IN 3/8IN CONNECTION SITE 1 STAGE STRAIGHT TIP ADULT DLP VENOUS STAINLESS STEEL,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA PERFUSION 6FR 9IN .25IN 1 PIECE BEVEL TIP ADJUSTABLE HEMOSTASIS INTRODUCER DEPTH MARK PEDIATRIC DLP ARTERIAL BLUE,308.35,154.18,67.25,277.52,64
RC,0272,CANNULA PERFUSION 6FR 9IN .48CM CONNECTOR 1 PIECE VENTED BEVELED THIN WALL TIP ADJUSTABLE FLOW GUARD STYLE PEDIATRIC DLP ARTERIAL,459.8,229.9,100.28,413.82,64
RC,0272,CANNULA PERFUSION 6MM 250MM PEDIATRIC EXCOR ATRIAL 19MM,3200.0,1600.0,697.92,2880.0,64
RC,0272,CANNULA PERFUSION 7FR 5.5IN STANDARD TIP INTRODUCER ADULT DLP AORTIC ROOT,301.6,150.8,65.78,271.44,64
RC,0272,CANNULA PERFUSION 8FR .25IN 10CM INTRODUCER NONVENT CONNECTOR THIN WALL KINK RESISTANT PEDIATRIC BIO-MEDICUS NEXTGEN VENOUS,280.5,140.25,61.18,252.45,64
RC,0272,CANNULA PERFUSION 8FR .25IN 9IN 1 PIECE CONNECTOR PEDIATRIC DLP ARTERIAL STERILE,308.35,154.18,67.25,277.52,64
RC,0272,CANNULA PERFUSION 8FR 7.5IN .25IN CONNECTOR 1 PIECE NONVENT PEDIATRIC BIO-MEDICUS FEMUR ARTERY POLYURETHANE,183.33,91.67,39.98,165.0,64
RC,0272,CANNULA PERFUSION 9FR 9MM 8IN RETROGRADE SELF INFLATE SMOOTH BALLOON PRESHAPE STYLET HANDLE CORONARY SINUS STERILE DISPOSABLE POLYURETHANE CARDIOPLEGIA,511.1,255.55,111.47,459.99,64
RC,0272,CANNULA PERFUSION ANGIOVAC DILATOR FUNNEL TIP RADIOPAQUE COIL REINFORCE,11500.0,5750.0,2508.15,10350.0,64
RC,0272,CANNULA PERFUSION AORTIC 3/8IN ACCEPTANCE 21FR DIA 36CML REVERSE ANGLED TAPERED WIRE REINFORCED SMOOTH CLOSED DIFFUSER TIP LUER PORT W/O SUTURE FLANGE SOFT-FLOW,693.0,346.5,151.14,623.7,64
RC,0272,CANNULA PERFUSION AORTIC ROOT 14GA 5.75INL SLOTTED LONG TIP LUMENX1 ANTEGRADE W/STAINLESS STEEL STANDARD INTRODUCER NEEDLE VENT LINE DLP NON-RADIOLUCENT,394.27,197.14,85.99,354.84,64
RC,0272,CANNULA PERFUSION APEX OD9-12 MM L270 MM EXCOR PEDIATRIC O D L28 MM,4785.0,2392.5,1043.61,4306.5,64
RC,0272,CANNULA PERFUSION ARTERIAL 3/8IN ACCEPTANCE 18FR DIA 12INL 0.038IN GUIDEWIRE ELONGATED DILATOR J-TIP 1-PIECE WIRE REINFORCED NON-VENTED CONNECTOR W/SUTURE FLANGE INTRODUCER EOPA,569.8,284.9,124.27,512.82,64
RC,0272,CANNULA PERFUSION ARTERIAL 3/8IN ACCEPTANCE 18FR DIA 7INL ADULT STRAIGHT BEVELED TAPERED TIP FLEXIBLE ARCH DLP,377.84,188.92,82.41,340.06,64
RC,0272,CANNULA PERFUSION ARTERIAL 3/8IN ACCEPTANCE 20FR DIA 12INL 0.038IN GUIDEWIRE ELONGATED DILATOR J-TIP 1-PIECE WIRE REINFORCED NON-VENTED CONNECTOR W/SUTURE FLANGE INTRODUCER EOPA,569.8,284.9,124.27,512.82,64
RC,0272,CANNULA PERFUSION ARTERIAL 3/8IN ACCEPTANCE 20FR DIA 8.5INL METAL CURVED BEVELED TAPERED TIP VENTED CONNECTOR W/RIGID SUTURE FLANGE DLP,474.4,237.2,103.47,426.96,64
RC,0272,CANNULA PERFUSION ARTERIAL 3/8IN ACCEPTANCE 24FR DIA 11INL METAL ADULT STRAIGHT BEVELED TAPERED 1-PIECE DEPTH MARKING VENTED CONNECTOR FLEXIBLE ARCH DLP,396.64,198.32,86.51,356.98,64
RC,0272,CANNULA PERFUSION ARTERIAL ID6 MM L250 MM EXCOR PEDIATRIC 80 D,3735.0,1867.5,814.6,3361.5,64
RC,0272,CANNULA PERFUSION AXILLARY AORTA SUBCLAVIAN OD18 FR L24 CM OPTISITE 3/8 IN BLUNT VENT CONNECTOR DOD,245.6,122.8,53.57,221.04,64
RC,0272,CANNULA PERFUSION AXILLARY AORTA SUBCLAVIAN OD20 FR L24 CM OPTISITE 3/8 IN BLUNT VENT CONNECTOR DOD,245.6,122.8,53.57,221.04,64
RC,0272,CANNULA PERFUSION AXILLARY AORTA SUBCLAVIAN OD22 FR L24 CM OPTISITE 3/8 IN BLUNT VENT CONNECTOR DOD,245.6,122.8,53.57,221.04,64
RC,0272,CANNULA PERFUSION CONCAVE SOFT DLP CORONARY STERILE LATEX FREE DISPOSABLE,248.49,124.25,54.2,223.64,64
RC,0272,CANNULA PERFUSION CORONARY SINUS 10FR DIA 9INL BALLOON SILICONE ADULT RETROGRADE WIREWOUND MANUAL INFLATE CUFF SMOOTH W/PRESSURE MONITORING LINE SYRINGE W/O STYLET DLP RCSP,311.16,155.58,67.86,280.04,64
RC,0272,CANNULA PERFUSION CORONARY SINUS 13FR DIA 12.5INL GUIDEWIRE STYLET SILICONE ADULT RETROGRADE WIREWOUND RIDGED CUFF INTEGRAL STOPCOCK W/PRESSURE MONITORING LINE SYRINGE DLP RCSP,821.4,410.7,179.15,739.26,64
RC,0272,CANNULA PERFUSION CORONARY SINUS 15FR DIA 12.5INL GUIDEWIRE STYLET ADULT RETROGRADE WIREWOUND RIDGED CUFF INTEGRAL STOPCOCK W/PRESSURE MONITORING LINE TRU-TOUCH HANDLE DLP RCSP,821.4,410.7,179.15,739.26,64
RC,0272,CANNULA PERFUSION CORONARY SINUS 15FR DIA 12.5INL GUIDEWIRE STYLET SILICONE ADULT RETROGRADE WIREWOUND RIDGED CUFF INTEGRAL STOPCOCK W/PRESSURE MONITORING LINE DLP RCSP LATEX-FREE PVC,821.4,410.7,179.15,739.26,64
RC,0272,CANNULA PERFUSION CORONARY SINUS 6FR DIA 9.5INL BALLOON SILICONE ADULT RETROGRADE NON-WIREWOUND MANUAL INFLATE CUFF SMOOTH INTEGRAL STOPCOCK W/PRESSURE MONITORING LINE SYRINGE W/O STYLET DLP RCSP,448.52,224.26,97.82,403.67,64
RC,0272,CANNULA PERFUSION CORONARY SINUS OD14 FR ODSEC18 MM L12.5 IN RETRACTAGUARD POLYURETHANE RETROGRADE SELF INFLATE TEXTURE BALLOON PRESHAPE STYLET HANDLE CARDIOPLEGIA,1056.6,528.3,230.44,950.94,64
RC,0272,CANNULA PERFUSION DUAL STAGE VENOUS 3/8IN ACCEPTANCE 29/29FR DIA 15INL MULTI-PORT TIP WIRE REINFORCED WIREWOUND BODY NON-VENTED CONNECTOR W/ATRIAL BASKET MC2,372.74,186.37,81.29,335.47,64
RC,0272,CANNULA PERFUSION FEMORAL ARTERIAL OD23 FR ODSEC.038 IN ENDORETURN WIRE WOUND INTRODUCER GUIDEWIRE CONNECTOR HUB,600.0,300.0,130.86,540.0,64
RC,0272,CANNULA PERFUSION FEMORAL ARTERY OD16 FR L9.5 IN FEM-FLEX II POLYURETHANE ADULT 3/8 IN ULTRA THIN WALL TAPER L6 IN WIRE REINFORCE RADIOPAQUE SMOOTH DILATOR VENT,237.14,118.57,51.72,213.43,64
RC,0272,CANNULA PERFUSION FEMORAL ARTERY OD18 FR L9.5 IN FEM-FLEX II POLYURETHANE ADULT 3/8 IN ULTRA THIN WALL TAPER L6 IN WIRE REINFORCE RADIOPAQUE SMOOTH DILATOR VENT,237.14,118.57,51.72,213.43,64
RC,0272,CANNULA PERFUSION FEMORAL VEIN OD20 FR L29 IN FEM-FLEX II POLYURETHANE ADULT TAPER L21.6 IN CONNECTOR RADIOPAQUE SMOOTH DILATOR WIRE REINFORCE ACCEPTS 3/8 IN CONNECTOR,265.36,132.68,57.88,238.82,64
RC,0272,CANNULA PERFUSION FEMORAL VEIN OD24 FR L34 IN FEM-FLEX II POLYURETHANE ADULT TAPER L26.8 IN CONNECTOR RADIOPAQUE SMOOTH DILATOR WIRE REINFORCE ACCEPTS 3/8 IN CONNECTOR,323.75,161.88,70.61,291.38,64
RC,0272,CANNULA PERFUSION FEMORAL VESSEL ARTERIAL 3/8IN ACCEPTANCE 20FR DIA 9.5INL 6INL POLYURETHANE PEDIATRIC TAPERED TIP WIRE REINFORCED VENTED CONNECTOR ULTRA-THIN WALL TECHNOLOGY W/SMOOTH DILATOR FEM-FLEX,270.19,135.1,58.93,243.17,64
RC,0272,CANNULA PERFUSION FEMORAL VESSEL VENOUS 15FR DIA 50CML TIP ADULT ELONGATED BEVELED/MULTI-PORT 1-PIECE WIREWOUND DEPTH MARKING NON-VENTED CONNECTOR BIO-MEDICUS,278.06,139.03,60.64,250.25,64
RC,0272,CANNULA PERFUSION FEMORAL VESSEL VENOUS 17FR DIA 50CML TIP ADULT ELONGATED BEVELED/MULTI-PORT 1-PIECE WIREWOUND DEPTH MARKING NON-VENTED CONNECTOR BIO-MEDICUS,278.06,139.03,60.64,250.25,64
RC,0272,CANNULA PERFUSION LIFEPORT FLEXIBLE COUPLER,140.0,70.0,30.53,126.0,64
RC,0272,CANNULA PERFUSION OD10 MM L35 MM LIFEPORT SEALRING,280.0,140.0,61.07,252.0,64
RC,0272,CANNULA PERFUSION OD18 FR ANGIOVAC 180 D 3 DUROMETER BRAID SHAFT DISTAL END,13000.0,6500.0,2835.3,11700.0,64
RC,0272,CANNULA PERFUSION OD18 FR ANGIOVAC 180 D 3 DUROMETER CIRCUIT BRAID SHAFT,14500.0,7250.0,3162.45,13050.0,64
RC,0272,CANNULA PERFUSION OD18 FR ANGIOVAC 20 D 3 DUROMETER BRAID SHAFT DISTAL END,13000.0,6500.0,2835.3,11700.0,64
RC,0272,CANNULA PERFUSION OD3 MM LIFEPORT UNIVERSAL KIDNEY TRANSPORT,360.0,180.0,78.52,324.0,64
RC,0272,CANNULA PERFUSION OD3 MM LIFEPORT UNIVERSAL KIDNEY TRANSPORTER,280.0,140.0,61.07,252.0,64
RC,0272,CANNULA PERFUSION OD5 MM LIFEPORT STRAIGHT,280.0,140.0,61.07,252.0,64
RC,0272,CANNULA PERFUSION OD5 MM LIFEPORT UNIVERSAL KIDNEY TRANSPORTER,360.0,180.0,78.52,324.0,64
RC,0272,CANNULA PERFUSION OD7 MM L20 MM LIFEPORT SEALRING KIDNEY TRANSPORTER,280.0,140.0,61.07,252.0,64
RC,0272,CANNULA PERFUSION OD7 MM LIFEPORT UNIVERSAL KIDNEY TRANSPORTER,360.0,180.0,78.52,324.0,64
RC,0272,CANNULA PERFUSION OD8 MM LIFEPORT STRAIGHT,280.0,140.0,61.07,252.0,64
RC,0272,CANNULA PERFUSION OD9 MM LIFEPORT UNIVERSAL KIDNEY TRANSPORTER,360.0,180.0,78.52,324.0,64
RC,0272,CANNULA PERFUSION SINGLE STAGE VENOUS 1/4-3/8IN ACCEPTANCE 16FR DIA 13INL PLASTIC PEDIATRIC 90DEG ANGLED OPEN LIGHTHOUSE EXTENDED TIP WIRE REINFORCED THIN WALL TECHNOLOGY W/OBTURATOR ATRIAL BASKETX1 T,534.9,267.45,116.66,481.41,64
RC,0272,CANNULA PERFUSION SINGLE STAGE VENOUS 1/4-3/8IN ACCEPTANCE 24FR DIA 15IN PLASTIC STRAIGHT OPEN LIGHTHOUSE TIP WIRE REINFORCED THIN WALL TECHNOLOGY W/OBTURATOR ATRIAL BASKETX1 THIN-FLEX LATEX-FREE,534.9,267.45,116.66,481.41,64
RC,0272,CANNULA PERFUSION SINGLE STAGE VENOUS 3/8IN ACCEPTANCE 28FR DIA 15INL PLASTIC STRAIGHT OPEN LIGHTHOUSE TIP WIRE REINFORCED THIN WALL TECHNOLOGY W/OBTURATOR ATRIAL BASKETX1 THIN-FLEX LATEX-FREE TF02809,328.88,164.44,71.73,295.99,64
RC,0272,CANNULA PERFUSION SINGLE STAGE VENOUS 3/8IN ACCEPTANCE 28FR DIA 15INL PLASTIC STRAIGHT OPEN LIGHTHOUSE TIP WIRE REINFORCED THIN WALL TECHNOLOGY W/OBTURATOR ATRIAL BASKETX1 THIN-FLEX LATEX-FREE TF028O9,534.9,267.45,116.66,481.41,64
RC,0272,CANNULA PERFUSION SINGLE STAGE VENOUS 3/8IN ACCEPTANCE 31FR DIA 35.6CML METAL ADULT RIGHT ANGLED BEVELED MULTI-PORT TIP WIRE REINFORCED WIREWOUND DLP NON-RADIOLUCENT,361.71,180.86,78.89,325.54,64
RC,0272,CANNULA PERFUSION SINGLE STAGE VENOUS RETURN 3/8IN ACCEPTANCE 36FR DIA 40CML STRAIGHT OPEN LIGHTHOUSE TIP WIRE REINFORCED THIN WALL TECHNOLOGY W/OBTURATOR ATRIAL BASKETX1 THIN-FLEX,466.0,233.0,101.63,419.4,64
RC,0272,CANNULA PERFUSION TRIPLE STAGE VENOUS 1/2IN ACCEPTANCE 36/46/46FR DIA 16INL WIRE REINFORCED FLATTENED LOW-PROFILE NON-VENTED CONNECTOR OPEN LIGHTHOUSE TIP TRIM-FLEX,555.1,277.55,121.07,499.59,64
RC,0272,CANNULA PERFUSION TRIPLE STAGE VENOUS 1/2IN ACCEPTANCE 36/46FR DIA 16INL STRAIGHT OPEN LIGHTHOUSE TIP WIRE REINFORCED MALLEABLE W/OBTURATOR ATRIAL BASKET THIN-FLEX LATEX-FREE,569.7,284.85,124.25,512.73,64
RC,0272,CANNULA PERFUSION VENOUS OD29/37 FR L14.5 IN THIN-FLEX STANDARD 3 STAGE OPEN LIGHTHOUSE TIP 2 BASKET VACUUM ASSIST ACCEPTS 3/8 IN CONNECTOR,526.1,263.05,114.74,473.49,64
RC,0272,CANNULA PERFUSION VESSEL 55FR DIA 6INL CONVEX TIP FLANGED FEMALE LUER W/MOUTHPIECE CLEAR BODY DLP LATEX-FREE NON-RADIOLUCENT,227.7,113.85,49.66,204.93,64
RC,0272,CANNULA RADIOFREQUENCY 1 INCH INCISION SUBTLE ABDOMEN,2500.0,1250.0,545.25,2250.0,64
RC,0272,CANNULA RADIOFREQUENCY 20GA 8-10MM 100MM V ACTIVE TIP VENOM 10MM,337.18,168.59,73.54,303.46,64
RC,0272,CANNULA RADIOFREQUENCY L100 MM CURVE SHARP TIP DISTAL END BAND BEVEL INDICATOR RADIOPAQUE OD20 GA PLATINUM L10 MM,363.0,181.5,79.17,326.7,64
RC,0272,CANNULA RADIOFREQUENCY L150 MM OD.9 MM ODSEC20 GA L10 MM CVD,328.86,164.43,71.72,295.97,64
RC,0272,CANNULA RADIOFREQUENCY L50 MM CURVE MONOPOLAR ACTIVE TIP OD20 GA NA L5 MM,533.1,266.55,116.27,479.79,64
RC,0272,CANNULA RETENTION BOWL SMOOTH TRANSLUCENT ARTHROSCOPIC CRYSTAL ID5.75 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA RETENTION BOWL TRANSLUCENT ARTHROSCOPIC PARTIAL THREAD BARREL CRYSTAL SHOULDER ID5.75 MM L7 CM,125.0,62.5,27.26,112.5,64
RC,0272,CANNULA RIBBED CLICK LOCK RACHET STOPCOCK OBTURATOR ARTHROSCOPIC DRY-DOC SHOULDER OD8 MM L75 MM TRANSLUCENT RED,193.86,96.93,42.28,174.47,64
RC,0272,CANNULA ROBOTIC BIPOLAR SEAL 12MM DIA SELF-SEALING F/8.5-13MM ENDOWRIST DA VINCI S/SI PROGRASP DISPOSABLE,400.0,200.0,87.24,360.0,64
RC,0272,CANNULA SIDEKICK  10CM LENGTH 10MM TIP 18GA,285.0,142.5,62.16,256.5,64
RC,0272,CANNULA SIDEKICK 15CM LENGTH 10MM TIP 18GA,285.0,142.5,62.16,256.5,64
RC,0272,CANNULA SNGL STAGE CNCT3/8 32F,283.05,141.53,61.73,254.75,64
RC,0272,CANNULA SPINAL FENESTRATED MIS F/SCREW FIXATION EXPEDIUM VERSE 5.5 STERILE DISPOSABLE,417.6,208.8,91.08,375.84,64
RC,0272,CANNULA SUCTION 3MM 22CM PORT 8MM,75.0,37.5,16.36,67.5,64
RC,0272,CANNULA SUCTION 4MM 30CM MERCEDES TIP MERCEDES STERILE DISPOSABLE 10MM POWER ASSISTED LIPOPLASTY,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION 5MM 10MM 30CM PORT MERCEDES REUSABLE,335.0,167.5,73.06,301.5,64
RC,0272,CANNULA SUCTION 5MM 22CM 2 TIP MERCEDES DISPOSABLE 10MM,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION L22 CM 2 OD4 MM MERCEDES L10 MM,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION L22 CM FLARED MERCEDES TIP OD4 MM PAL LIPOSCULPTOR L9.7 MM,84.0,42.0,18.32,75.6,64
RC,0272,CANNULA SUCTION L22 CM MERCEDES STYLE PORT OD4 MM MERCEDES L10 MM POWER ASSISTED LIPOPLASTY,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION L22 CM OD4 MM TRI-PORT III L10 MM POWER ASSISTED LIPOPLASTY,75.0,37.5,16.36,67.5,64
RC,0272,CANNULA SUCTION L22 CM PORT OD3 MM ODSEC8 MM MERCEDES,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION L22 CM PORT OD4 MM PAL LIPOSCULPTOR L10 MM,75.0,37.5,16.36,67.5,64
RC,0272,CANNULA SUCTION L22 CM POWER ASSISTED LIPOPLASTY OD3 MM PAL,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION L30 CM 360 D FLARED MERCEDES AGGRESSIVE HIGH VOLUME OD3 MM MICROAIRE L9.7 MM,84.0,42.0,18.32,75.6,64
RC,0272,CANNULA SUCTION L30 CM 6 PORT 2 MERCEDES AGRESSIVE OD4 MM MERCEDES L10 MM FIBROUS TISSUE,79.0,39.5,17.23,71.1,64
RC,0272,CANNULA SUCTION L30 CM BENT PORT FLARED MERCEDES TIP AGGRESSIVE OD4 MM ODSEC5.6 MM PAL L9.7 MM,91.0,45.5,19.85,81.9,64
RC,0272,CANNULA SUCTION L30 CM INFILTRATION SYSTEM OD12 GA HUNSTAD,150.0,75.0,32.72,135.0,64
RC,0272,CANNULA SUCTION L30 CM PORT FLARED MERCEDES TIP AGGRESSIVE OD4 MM ODSEC5.6 MM PAL L9.7 MM,84.0,42.0,18.32,75.6,64
RC,0272,CANNULA SUCTION L30 CM PORT OD4 MM ODSEC6.4 MM PAL,84.0,42.0,18.32,75.6,64
RC,0272,CANNULA SUCTION L30 CM TRIPORT II TIP OD4 MM PAL L10 MM POWER ASSISTED LIPOPLASTY,66.7,33.35,14.55,60.03,64
RC,0272,CANNULA SUCTION MERCEDES 5MM DIA 22CML FLARED F/LIPOSUCTION EXTRACTION PAL LIPOSCULPTOR STERILE SINGLE-USE,84.0,42.0,18.32,75.6,64
RC,0272,CANNULA SUCTION/IRRIGATION 25GA .5MM 32MM 1MM FLEXIBLE LUER LOCK HUB FLEX-TIP DISPOSABLE SILICONE,121.0,60.5,26.39,108.9,64
RC,0272,CANNULA SURGICAL 3 DIRECTIONAL KYPHON ASSIST BONE PERCUTANEOUS,703.0,351.5,153.32,632.7,64
RC,0272,CANNULA SURGICAL FENESTRATE OPEN EXPEDIUM,156.6,78.3,34.15,140.94,64
RC,0272,CANNULA SURGICAL TAPER DIRECTIONAL OD10 GA KYPHON ASSIST PERCUTANEOUS,660.0,330.0,143.95,594.0,64
RC,0272,CANNULA TUNNEL ARTHROSCOPIC SILICONE TIBIA OD9-12 MM,190.0,95.0,41.44,171.0,64
RC,0272,CANNULA VEN SNGL STAGE 34F,283.05,141.53,61.73,254.75,64
RC,0272,CAP DRIVER HANDLE ADAPTER NONSTERILE,526.01,263.01,114.72,473.41,64
RC,0272,CAP DRIVER HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM NONSTERILE,486.84,243.42,106.18,438.16,64
RC,0272,CAP DRIVER NA TITANIUM TROCHANTERIC FIXATION NAIL SYSTEM,547.78,273.89,119.47,493.0,64
RC,0272,CAP DRIVER THREAD,432.3,216.15,94.28,389.07,64
RC,0272,CAP END COMPRESSION COMPRESS,81.0,40.5,17.67,72.9,64
RC,0272,CAP ENDOSCOPE SEALING 11.5-13.2MM COLONIC FTRD STERILE LATEX FREE DISPOSABLE,95.0,47.5,20.72,85.5,64
RC,0272,CAP ENDOSCOPE SEALING ENDOPATH DEXTRUS PLASTIC URETHANE,2200.43,1100.22,479.91,1980.39,64
RC,0272,CAP ENDOSCOPE SEALING OD11.8 MM ODSEC9.5-9.9 MM BLUE REVEAL L4 MM DISTAL ATTACHMENT SIDEHOLE,174.44,87.22,38.05,157.0,64
RC,0272,CAP ENDOSCOPE SEALING OD5 FR OMNI,190.0,95.0,41.44,171.0,64
RC,0272,CAP ENDOSCOPE SEALING OD8.8-9.7 MM BARRX SMALL RADIOFREQUENCY ABLATION FLEXIBLE GIF-160 GIF-Q180 GIF-Q160,341.38,170.69,74.45,307.24,64
RC,0272,CAP ENDOSCOPE SEALING OD9.8-11.1 MM BARRX MEDIUM RADIOFREQUENCY ABLATION FLEXIBLE GIF-H180,341.38,170.69,74.45,307.24,64
RC,0272,CAP ENDOSCOPE SEALING OLYMPUS RUBBER WATER RESISTANT SERIES EVIS 160 140 130 240,319.6,159.8,69.7,287.64,64
RC,0272,CAP ENDOSCOPE SEALING POLYCARBONATE W/ELEVATOR STERILE DISPOSABLE,540.0,270.0,117.77,486.0,64
RC,0272,CAP ENDOSCOPIC INSTRUMENT 19.5MM 12.1MM FTRD 23MM GASTRODUODENAL,95.0,47.5,20.72,85.5,64
RC,0272,CAP ENDOSCOPIC SEALING 5 UPTAKE SPECIAL MODIFIED FOR ADVANTAGE PLUS AUTOMATED ENDOSCOPE REPROCESSOR,16.45,8.23,3.59,14.81,64
RC,0272,CAP EXTERNAL FIXATION 5MM SALVATION FOOT ANKLE WIRE,167.16,83.58,36.46,150.44,64
RC,0272,CAP HEALING 30MM BAHA PLUG STERILE LATEX FREE DISPOSABLE,14.11,7.06,3.08,12.7,64
RC,0272,CAP HEALING OD6.5 MM VISTAFIX TITANIUM,20.75,10.38,4.53,18.68,64
RC,0272,CAP SLEEVE OD6 MM ODSEC5.5 MM CD HORIZON SOLERA VOYAGER,71.55,35.78,15.61,64.4,64
RC,0272,CAP SURGICAL PUSH LIF-PTP,75.0,37.5,16.36,67.5,64
RC,0272,CAP SYSTEM MEDIUM ALEXIS LAPAROSCOPIC,1440.0,720.0,314.06,1296.0,64
RC,0272,CAPSULE COMPOSITE A2B DENTIN ENAMEL 10-0.2GM REFILL TRANSLUCENT F/CREATING NATURAL-LOOKING SINGLE-SHADE RESTORATION FILTEK,133.59,66.8,29.14,120.23,64
RC,0272,CAPSULE COMPOSITE REFILL A1B DENTIN ENAMEL 10-0.2GM TRANSLUCENT F/CREATING NATURAL-LOOKING SINGLE-SHADE RESTORATION FILTEK,116.89,58.45,25.49,105.2,64
RC,0272,CAPSULE PH CALIBRATION FREE REFLUX DELIVERY SYSTEM BRAVO,1398.0,699.0,304.9,1258.2,64
RC,0272,CAPSULE PH DELIVERY SYSTEM BRAVO,1344.0,672.0,293.13,1209.6,64
RC,0272,CAPSULE VIDEO L26.2 MM 156 D 434.1MHZ 4 LIGHT EMIT DIODE BATTERY OD11.4 MM PILLCAM SB 3 PLASTIC 3 GM WHITE,4779.0,2389.5,1042.3,4301.1,64
RC,0272,CAPSULE VIDEO L26.2 MM 156 D 434.1MHZ 4 LIGHT EMIT DIODE BATTERY OD11.4 MM PILLCAM SB 3-EX PLASTIC 3 GM WHITE,4779.0,2389.5,1042.3,4301.1,64
RC,0272,CAPSULE VIDEO PILLCAM ESO CAPSULE,150.0,75.0,32.72,135.0,64
RC,0272,CAPSULE VIDEO PILLCAM PATENCY,161.6,80.8,35.24,145.44,64
RC,0272,CARD MONITOR MEDISTIM SYSTEM ACTIVATION NONSTERILE,1475.0,737.5,321.7,1327.5,64
RC,0272,CARD MONITOR SYSTEM ACTIVATION,2475.0,1237.5,539.8,2227.5,64
RC,0272,CARRIER GRAFT 11.5 EXPANSION RATIO F/SKIN MESHER STERILE SINGLE-USE,210.92,105.46,46.0,189.83,64
RC,0272,CARRIER GRAFT 16X4IN MESHGRAFT DERMACARRIERS STAINLESS STEEL PVC LUBELESS GEAR BOARD STERILE LATEX FREE DISPOSABLE,282.0,141.0,61.5,253.8,64
RC,0272,CARRIER GRAFT 8X4IN MESHGRAFT DERMACARRIERS STAINLESS STEEL PVC LUBELESS GEAR BOARD STERILE LATEX FREE DISPOSABLE,211.0,105.5,46.02,189.9,64
RC,0272,CARRIER GRAFT MESHGRAFT II DERMACARRIER II 1.5:1 SKIN,419.0,209.5,91.38,377.1,64
RC,0272,CARRIER GRAFT MESHGRAFT II DERMACARRIER II 3:1 SKIN,498.75,249.38,108.78,448.88,64
RC,0272,CARRIER GRAFT MESHGRAFT II DERMACARRIER II 6:1 SKIN,469.0,234.5,102.29,422.1,64
RC,0272,CARTRIDGE CRYOBALLOON C2 BOX OF 5,330.0,165.0,71.97,297.0,64
RC,0272,CARTRIDGE ENDOSCOPIC NEEDLE INJECTOR II STERILE LATEX FREE DISPOSABLE,301.01,150.51,65.65,270.91,64
RC,0272,CARTRIDGE GRASPER 45CM 5MM BABCOCK DIRECT DRIVE STERILE DISPOSABLE,900.0,450.0,196.29,810.0,64
RC,0272,CARTRIDGE GRASPER ATRAUMATIC 38CM 5MM DIRECT DRIVE 20MM STERILE DISPOSABLE,900.0,450.0,196.29,810.0,64
RC,0272,CARTRIDGE PLUS LAV ERBEJET 2 PUMP STRL DISP,760.0,380.0,165.76,684.0,64
RC,0272,CARTRIDGE SUTURE 0 NOVOSTITCH,455.0,227.5,99.24,409.5,64
RC,0272,CARTRIDGE SUTURE ARTHROSCOPIC SHOULDER W/MAGNUMWIRE BLACK CO-BRAID SPEEDSTITCH 6/BX,1104.0,552.0,240.78,993.6,64
RC,0272,CARTRIDGE THERAPY NEGATIVE PRESSURE DRESSING 125MMHG 60ML,1260.0,630.0,274.81,1134.0,64
RC,0272,CARTRIDGE WOUND 5.2X2.3IN SNAP THK1IN 125 MMHG SMALL INDICATOR DISPLAY 60ML .15LB DISPOSABLE,1260.0,630.0,274.81,1134.0,64
RC,0272,CASE 1/3 TRAY CUT BEND INSTRUMENT VA-LCP VARIABLE ANGLE LOCK HAND SYSTEM,375.11,187.56,81.81,337.6,64
RC,0272,CASE 1/3 TRAY REDUCTION INSTRUMENT VA-LCP VARIABLE ANGLE LOCK HAND SYSTEM,375.11,187.56,81.81,337.6,64
RC,0272,CASE STANDARD 1/3 TRAY INSTRUMENT VA-LCP VARIABLE ANGLE LOCK HAND SYSTEM,375.11,187.56,81.81,337.6,64
RC,0272,CASE STERILIZATION GRAPHIC VA-LCP 4.5 MM VA-LCP INSTRUMENT SCREW SET,1992.16,996.08,434.49,1792.94,64
RC,0272,CASE STERILIZATION L2.4 IN SMALL OUTER PERI-LOC LARGE FRAGMENT SET,158.95,79.48,34.67,143.06,64
RC,0272,CASSETTE CORPATH GRX SINGLE-USE ATTACHES TOT THE ROBOTIC DRIVE,2600.0,1300.0,567.06,2340.0,64
RC,0272,CASSETTE INFUSION PUMP GEN 2 PURGE,1000.0,500.0,218.1,900.0,64
RC,0272,CASSETTE INFUSION PUMP PURGA IMPELLA,5000.0,2500.0,1090.5,4500.0,64
RC,0272,CASSETTE IRRIGATION CORE STERILE LATEX FREE DISPOSABLE,396.58,198.29,86.49,356.92,64
RC,0272,CASSETTE IRRIGATION HUMMER CORE ESSX,506.91,253.46,110.56,456.22,64
RC,0272,CASSETTE IRRIGATION SONOPET IQ SUCTION STERILE LATEX FREE DISPOSABLE,1705.2,852.6,371.9,1534.68,64
RC,0272,CASSETTE STERILIZATION VALIDATION KIT 5 CYCLE 2 TIER SHELF BASE UNIT STERRAD 100S,349.51,174.76,76.23,314.56,64
RC,0272,CASSETTE WOUND DRAINAGE VAC VERALINK NONSTERILE DISPOSABLE,253.4,126.7,55.27,228.06,64
RC,0272,CATARACT PACK SEY4JCPCVA,75.42,37.71,16.45,67.88,64
RC,0272,CATARACT PACK SEY4JCTSTA,144.36,72.18,31.48,129.92,64
RC,0272,CATCHER LITHOTRIPTER SMOOTH STONE CUTTER W/TUBING ADAPTER SWISS LITHOCLAST,311.07,155.54,67.84,279.96,64
RC,0272,CATH ELLIPSYS VASC ACCESS 6F,8950.0,4475.0,1952.0,8055.0,64
RC,0272,CATH LAB IMPLANT ACCESS PK,277.59,138.8,60.54,249.83,64
RC,0272,CATH RIGHTSITE C315S402,170.0,85.0,37.08,153.0,64
RC,0272,CATH UMBILICAL POLYURETHAN 3.5,160.0,80.0,34.9,144.0,64
RC,0272,CATH UNBILICAL POLYURETHAN 5.0,160.0,80.0,34.9,144.0,64
RC,0272,CATHETER 0D S-0 RELIEVA SPIN SUCTION SOFT DISTAL TIP GUIDING SPHENOID SINUS STERILE,1600.0,800.0,348.96,1440.0,64
RC,0272,CATHETER 10FR 5.5FT 3CC FOLEY TEMPERATURE SENSE PREATTACH EXTENSION CABLE BALLOON SILICONE URETHRAL LATEX FREE,78.0,39.0,17.01,70.2,64
RC,0272,CATHETER 13MM 1.9MM 90CM ATTAIN CLARITY VENOGRAM BALLOON GUIDING CORONARY SINUS NONSTERILE LATEX LEAD DELIVERY,90.0,45.0,19.63,81.0,64
RC,0272,CATHETER 2 STATLOCK DEVICE FIBER OPTIC INSERTION KIT INTRODUCER 7.5FR 16MM .025IN 6IN SENSATION PLUS ELECTROPHYSIOLOGY 40ML DATASCOPE SYSTEM,1044.68,522.34,227.84,940.21,64
RC,0272,CATHETER 3D MAPPING ELECTRODE FIX 5FR 5MM SPACE COURNAND CURVE 100CM EXPLORER ST ELECTROPHYSIOLOGY 10CM,395.0,197.5,86.15,355.5,64
RC,0272,CATHETER 4FR PIGTAIL CURVE 65CM RADIOPAQUE FLUSH HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC ACCEPTS .035IN GUIDEWIRE,137.9,68.95,30.08,124.11,64
RC,0272,CATHETER 5FR 1.8MM OMNI FLUSH CURVE 100CM RADIOPAQUE NONBRAID ACCU-VU ANGIOGRAPHIC STERILE LATEX FREE,240.0,120.0,52.34,216.0,64
RC,0272,CATHETER 5FR COBRA 1 CURVE 65CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .035IN GUIDEWIRE,72.5,36.25,15.81,65.25,64
RC,0272,CATHETER 5FR OMNI CURVE 70CM 2CM RADIOPAQUE FLUSH SEGMENT SIZING ACCU-VU ANGIOGRAPHIC ACCEPTS .035IN GUIDEWIRE,240.0,120.0,52.34,216.0,64
RC,0272,CATHETER 5FR PIGTAIL 70CM 10 SIDEPORT SIZING ANGIOGRAPHIC STERILE LATEX FREE WHITE ACCEPTS .035IN WIRE,427.99,214.0,93.34,385.19,64
RC,0272,CATHETER 5FR PIGTAIL CURVE 100CM 2CM RADIOPAQUE FLUSH SEGMENT SIZING ACCU-VU ANGIOGRAPHIC ACCEPTS .035IN GUIDEWIRE,240.0,120.0,52.34,216.0,64
RC,0272,CATHETER 5FR ROSCH INFERIOR MESENTRIC CURVE 65CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT MARINER ANGIOGRAPHIC DURATION HYDROPHILIC ACCEPTS .038IN GUIDEWIRE,255.0,127.5,55.62,229.5,64
RC,0272,CATHETER 5FR ROSCH INFERIOR MESENTRIC CURVE 65CM RADIOPAQUE SELECTIVE ULTRA TORQUE SHAFT BRAID SOFT-VU ANGIOGRAPHIC VISCERAL ACCEPTS .035IN GUIDEWIRE,85.0,42.5,18.54,76.5,64
RC,0272,CATHETER 5FR SIDEWINDER 1 CURVE 100CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT SOFT-VU ANGIOGRAPHIC CEREBRAL ACCEPTS .035IN GUIDEWIRE,55.0,27.5,12.0,49.5,64
RC,0272,CATHETER 6FR 100CM RADIOFREQUENCY VENCLOSE ABLATION ACCEPTS .018-.025IN GUIDEWIRE,4580.0,2290.0,998.9,4122.0,64
RC,0272,CATHETER 7FR 110CM 4MM 2.5MM SPACE STANDARD CURVE QUADRIPOLAR INTELLANAV ST ABLATION,2100.0,1050.0,458.01,1890.0,64
RC,0272,CATHETER 8FR 180CM BIPOLAR RADIOFREQUENCY HABIB ABLATION DISPOSABLE,1690.7,845.35,368.74,1521.63,64
RC,0272,CATHETER ANGIOGRAPHIC 6FR 100/100/110CM INSLIDE POLYMER RADIAL FEMORAL 145DEG PIGTAIL JUDKINS RIGHT/LEFT4 WINGED HUB DXTERITY ANGIOKIT 0.038IN GW,120.0,60.0,26.17,108.0,64
RC,0272,CATHETER ANGIOGRAPHIC 8FR 100CM POLYURETHANE STAINLESS STEEL CORONARY JUDKINS RIGHT5 SHORT TIP SINGLE WIRE BRAIDED WOVEN ATRAUMATIC SOFT TIP WINGED HUB PRO-FLO 0.038IN GW,265.95,132.98,58.0,239.36,64
RC,0272,CATHETER ANGIOGRAPHIC FLUSH 4FR 110CM HYDROPHILIC PIGTAIL 10SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,264.0,132.0,57.58,237.6,64
RC,0272,CATHETER ANGIOGRAPHIC SELECTIVE 4FR 100CM VESTAN NYLON VENTRICULAR STRAIGHT MICROLOOP PIGTAIL JUDKINS RIGHT/LEFT4 W/AVANTI INTRO RED QUICK CARE INFINITI PRIMOPAC RADIOPAQUE 0.038IN GW,315.1,157.55,68.72,283.59,64
RC,0272,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 100CM HYDROPHILIC ANGLED VERTEBRAL 2SH BRAIDED ULTRA TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,143.0,71.5,31.19,128.7,64
RC,0272,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 100CM HYDROPHILIC SIDEWINDER 2 2SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.038IN GW,132.0,66.0,28.79,118.8,64
RC,0272,CATHETER ANGIOGRAPHIC SELECTIVE 5FR 65CM HYDROPHILIC COBRA 2 2SH NON-BRAIDED HIGH TORQUE SHAFT SOFT ATRAUMATIC SELF-DILATING TIP SOFT-VU RADIOPAQUE 0.035IN GW,132.0,66.0,28.79,118.8,64
RC,0272,CATHETER ATHERECTOMY .063- MM 1.5MM 145CM DIAMONDBACK 360 .014IN SOLID CROWN CATRIDGE GUIDEWIRE EXCHANGEABLE 10MM PERIPHERAL STERILE LATEX FREE DISPOSABLE ACCEPTS 5FR INTRODUCER SHEATH,2500.0,1250.0,545.25,2250.0,64
RC,0272,CATHETER ATHERECTOMY .079IN 2MM 145CM DIAMONDBACK 360 .014IN SOLID CROWN CARTRIDGE GUIDEWIRE EXCHANGEABLE 30MM PERIPHERAL STERILE LATEX FREE DISPOSABLE ACCEPTS 6FR INTRODUCER SHEATH,2500.0,1250.0,545.25,2250.0,64
RC,0272,CATHETER BALLOON DILATATION AGENT 2.5MM 20MM DRUG COATED,5650.0,2825.0,1232.27,5085.0,64
RC,0272,CATHETER BALLOON DILATATION AGENT 2.5MM 30MM DRUG COATED,5650.0,2825.0,1232.27,5085.0,64
RC,0272,CATHETER BALLOON DILATATION AGENT 4MM 30MM RADIOPAQUE HYPOTUBE ULTRA LOW TIP PROFILE SHARP EDGE STRUCTURE IN STENT RESTENOSIS PACLITAXEL,5650.0,2825.0,1232.27,5085.0,64
RC,0272,CATHETER BALLOON DILATATION INOUE 26MM 2.5CM 70CM PTMC STAINLESS STEEL PVC POLYESTER STERILE LATEX,2700.0,1350.0,588.87,2430.0,64
RC,0272,CATHETER BALLOON DILATATION INOUE 28MM 2.5CM 70CM PTMC STAINLESS STEEL PVC POLYESTER STERILE LATEX,2700.0,1350.0,588.87,2430.0,64
RC,0272,CATHETER BALLOON DILATATION L2 CM L80 CM OD5 FR VAN ANDEL TAPER TIP FEMORAL ILIAC POPLITEAL ARTERY ACCEPTS .035 IN GUIDEWIRE,33.62,16.81,7.33,30.26,64
RC,0272,CATHETER BALLOON DILATATION L3 CM L200 CM OD10-6 FR SOEHENDRA TAPER TIP RADIOPAQUE PANCREATIC ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER BALLOON DILATATION L3 CM L200 CM OD7 FR ODSEC4 FR SOEHENDRA TAPER TIP RADIOPAQUE BILIARY PANCREATIC ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER BALLOON DILATATION L3 CM L200 CM OD9 FR ODSEC6 FR SOEHENDRA TAPER TIP RADIOPAQUE BILIARY PANCREATIC ACCEPTS .035 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER BALLOON DILATATION L60 MM L110 CM OD7 FR ODSEC14 MM CORDIS MAXI LD OTW BRAID INNER BODY RADIOPAQUE COAXIAL LARGE DIAMETER AORTA ILIAC PERIPHERAL ACCEPTS .035 IN GUIDEWIRE 8 FR SHEATH PTA DURA,288.75,144.38,62.98,259.88,64
RC,0272,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 5MM RADIOPAQUE RAPID EXCHANGE PTFE,155.0,77.5,33.81,139.5,64
RC,0272,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 8MM RADIOPAQUE RAPID EXCHANGE PTFE,155.0,77.5,33.81,139.5,64
RC,0272,CATHETER BALLOON DILATATION SAPPHIRE II PRO 1MM 8MM STERILE LATEX FREE,155.0,77.5,33.81,139.5,64
RC,0272,CATHETER BALLOON DILATATION XXL 12MM 40MM 75CM SCRATCH RESISTANT HIGH STRENGTH SHAFT ACCEPTS .035IN GUIDEWIRE 7FR SHEATH PTA PERIPHERAL LARGE VESSEL,165.0,82.5,35.99,148.5,64
RC,0272,CATHETER BALLOON ENDOSCOPIC DILATATION 7MM DIA 16MML SINUS DUAL LUMEN SHAFT RELIEVA SOLO PRO LATEX-FREE NON-RADIOLUCENT MARKER STERILE SINGLE-USE,3420.0,1710.0,745.9,3078.0,64
RC,0272,CATHETER BALLOON OCCLUSION L110 CM OD6 FR NA,22.0,11.0,4.8,19.8,64
RC,0272,CATHETER BALLOON WORKHORSE SIZING 25MM X 30MM 80CM POLYMERIC ELASTOMER SEPTAL SHORT TIP OTW NON-COMPLIANT LOW-PROFILE BRAIDED SUPER-THIN PTS-X NON-RADIOLUCENT MARKER 0.035IN GW 8FR SHEATH,274.69,137.35,59.91,247.22,64
RC,0272,CATHETER BARDEX IC 12FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP CARSON MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,140.52,70.26,30.65,126.47,64
RC,0272,CATHETER BARDEX IC 12FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,165.12,82.56,36.01,148.61,64
RC,0272,CATHETER BARDEX IC 14FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,165.12,82.56,36.01,148.61,64
RC,0272,CATHETER BARDEX IC 16FR 30CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,151.32,75.66,33.0,136.19,64
RC,0272,CATHETER BARDEX IC 16FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE MEDIUM ROUND TIP BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,133.56,66.78,29.13,120.2,64
RC,0272,CATHETER BARDEX IC 16FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP CARSON MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,140.52,70.26,30.65,126.47,64
RC,0272,CATHETER BARDEX IC 16FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,165.12,82.56,36.01,148.61,64
RC,0272,CATHETER BARDEX IC 16FR 5CC FOLEY 2 WAY 2 OPPOSE EYE SHORT OPEN TIP COUNCILL MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,181.44,90.72,39.57,163.3,64
RC,0272,CATHETER BARDEX IC 16FR 5CC FOLEY 3 WAY BALLOON BACTI-GUARD NATURAL RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE,138.84,69.42,30.28,124.96,64
RC,0272,CATHETER BARDEX IC 18FR 30CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,151.32,75.66,33.0,136.19,64
RC,0272,CATHETER BARDEX IC 18FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE MEDIUM ROUND TIP BACTI-GUARD NATURAL RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,133.56,66.78,29.13,120.2,64
RC,0272,CATHETER BARDEX IC 18FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP CARSON MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,140.52,70.26,30.65,126.47,64
RC,0272,CATHETER BARDEX IC 18FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,165.12,82.56,36.01,148.61,64
RC,0272,CATHETER BARDEX IC 18FR 5CC FOLEY 2 WAY 2 OPPOSE EYE SHORT OPEN TIP COUNCILL MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,181.44,90.72,39.57,163.3,64
RC,0272,CATHETER BARDEX IC 18FR 5CC FOLEY 3 WAY BALLOON BACTI-GUARD NATURAL RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE,138.84,69.42,30.28,124.96,64
RC,0272,CATHETER BARDEX IC 20FR 30CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,151.32,75.66,33.0,136.19,64
RC,0272,CATHETER BARDEX IC 20FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE MEDIUM ROUND TIP BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,133.56,66.78,29.13,120.2,64
RC,0272,CATHETER BARDEX IC 20FR 5CC FOLEY 2 WAY 2 OPPOSE EYE SHORT OPEN TIP COUNCILL MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,181.44,90.72,39.57,163.3,64
RC,0272,CATHETER BARDEX IC 20FR 5CC FOLEY 3 WAY BALLOON BACTI-GUARD NATURAL RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE,138.84,69.42,30.28,124.96,64
RC,0272,CATHETER BARDEX IC 20FR FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE,165.12,82.56,36.01,148.61,64
RC,0272,CATHETER BARDEX IC 22FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE MEDIUM ROUND TIP BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,133.56,66.78,29.13,120.2,64
RC,0272,CATHETER BARDEX IC 22FR 30CC FOLEY 3 WAY 2 STAGGER EYE COUDE TIP COUVELAIRE MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,84.55,42.28,18.44,76.1,64
RC,0272,CATHETER BARDEX IC 22FR 5CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,165.12,82.56,36.01,148.61,64
RC,0272,CATHETER BARDEX IC 22FR 5CC FOLEY 2 WAY 2 OPPOSE EYE SHORT OPEN TIP COUNCILL MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,181.44,90.72,39.57,163.3,64
RC,0272,CATHETER BARDEX IC 24FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE MEDIUM ROUND TIP BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,133.56,66.78,29.13,120.2,64
RC,0272,CATHETER BARDEX IC 24FR 30CC FOLEY 3 WAY 2 STAGGER EYE COUDE TIP COUVELAIRE MODEL BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE RED,84.55,42.28,18.44,76.1,64
RC,0272,CATHETER BARDEX IC 26FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE MEDIUM ROUND TIP BACTI-GUARD RUBBER HYDROGEL URETHRAL STERILE LATEX DISPOSABLE AMBER,133.56,66.78,29.13,120.2,64
RC,0272,CATHETER BARDEX LUBRICATH 14FR 5CC FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP TIEMANN MODEL NATURAL RUBBER HYDROGEL URETHRAL MALE STANDARD STERILE LATEX DISPOSABLE RED,116.4,58.2,25.39,104.76,64
RC,0272,CATHETER BARDEX LUBRICATH 16FR 5CC FOLEY 2 WAY 2 OPPOSE DRAINAGE EYE SHORT OPEN TIP COUNCILL MODEL RUBBER HYDROGEL HYDROPHILIC URETHRAL STANDARD STERILE LATEX DISPOSABLE RED,135.96,67.98,29.65,122.36,64
RC,0272,CATHETER BARDEX LUBRICATH 18FR 5CC FOLEY 2 WAY SHORT OPEN TIP 2 OPPOSE DRAINAGE EYE HYDROGEL URETHRAL LATEX FREE,135.96,67.98,29.65,122.36,64
RC,0272,CATHETER BARDEX LUBRICATH 20FR 30CC FOLEY 3 WAY 2 STAGGER DRAINAGE EYE LONG OPEN COUDE TIP HEMATURIA NYLON NATURAL RUBBER HYDROPHILIC URETHRAL STERILE LATEX DISPOSABLE,89.0,44.5,19.41,80.1,64
RC,0272,CATHETER BARDEX LUBRICATH 20FR 5CC FOLEY 2 WAY 2 OPPOSE DRAINAGE EYE SHORT OPEN TIP COUNCILL MODEL RUBBER HYDROGEL HYDROPHILIC URETHRAL STANDARD STERILE LATEX DISPOSABLE RED,135.96,67.98,29.65,122.36,64
RC,0272,CATHETER BARDEX LUBRICATH 22FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE LONG ROUND TIP HEMATURIA NYLON NATURAL RUBBER HYDROPHILIC URETHRAL STERILE LATEX DISPOSABLE,94.0,47.0,20.5,84.6,64
RC,0272,CATHETER BARDEX LUBRICATH 22FR 30CC FOLEY 3 WAY 2 STAGGER DRAINAGE EYE LONG OPEN COUDE TIP HEMATURIA RUBBER NYLON HYDROPHILIC URETHRAL STERILE LATEX DISPOSABLE AMBER,89.0,44.5,19.41,80.1,64
RC,0272,CATHETER BARDEX LUBRICATH 22FR 5CC FOLEY 2 WAY 2 OPPOSE DRAINAGE EYE SHORT OPEN TIP COUNCILL MODEL RUBBER HYDROGEL HYDROPHILIC URETHRAL STANDARD STERILE LATEX DISPOSABLE RED,135.96,67.98,29.65,122.36,64
RC,0272,CATHETER BARDEX LUBRICATH 24FR 30CC FOLEY 3 WAY 2 OPPOSE DRAINAGE EYE LONG ROUND TIP HEMATURIA RUBBER NYLON HYDROPHILIC URETHRAL STERILE LATEX DISPOSABLE AMBER,94.0,47.0,20.5,84.6,64
RC,0272,CATHETER BARDEX LUBRICATH 24FR 30CC FOLEY 3 WAY 2 STAGGER DRAINAGE EYE LONG OPEN COUDE TIP HEMATURIA NYLON NATURAL RUBBER HYDROPHILIC URETHRAL STERILE LATEX DISPOSABLE,89.0,44.5,19.41,80.1,64
RC,0272,CATHETER BRONCHOSCOPE 90CML F/DISTAL BRONCHIAL SAMPLING COMBICATH,39.0,19.5,8.51,35.1,64
RC,0272,CATHETER CECOSTOMY 28CM 10.2FR CHAIT PERCUTANEOUS LOW PROFILE MULTICURL TIP STIFFEN CANNULA 6-14CM STERILE DISPOSABLE,181.99,91.0,39.69,163.79,64
RC,0272,CATHETER CECOSTOMY L24 CM MULTICURL TIP TRAPDOOR FIT OD10.2 FR CHAIT POLYURETHANE L3-9 CM PERCUTANEOUS,170.99,85.5,37.29,153.89,64
RC,0272,CATHETER CENTRAL VENOUS LATEX-FREE STERILE SINGLE-USE,157.5,78.75,34.35,141.75,64
RC,0272,CATHETER CHOLANGIOGRAM 65CM SPYGLASS CHOLANGIOSCOPY,2750.0,1375.0,599.78,2475.0,64
RC,0272,CATHETER CHOLANGIOGRAM BALLOON IOC SPYGLASS DISCOVER IMAGER II 5/BX,145.0,72.5,31.62,130.5,64
RC,0272,CATHETER CHOLANGIOGRAM LAPAROSCOPIC 6FR DIA 33CML TAPERED SELF-ANCHORING RIGID TIP ONE HANDED ACTIVATION W/PERCUTANEOUS INTRO AEROSTAT LATEX-FREE,340.0,170.0,74.15,306.0,64
RC,0272,CATHETER CRYOABLATION 95CM 10.5FR 23MM ARCTIC FRONT ADVANCE STERILE LATEX FREE DISPOSABLE,4200.0,2100.0,916.02,3780.0,64
RC,0272,CATHETER CS-H CURVE OD9 FR L54 CM GUIDING ACUITY PRO,170.0,85.0,37.08,153.0,64
RC,0272,CATHETER CS-MP CURVE OD9 FR RADIOPAQUE LOW PROFILE OUTER L54 CM GUIDING CORONARY SINUS ACUITY PRO,170.0,85.0,37.08,153.0,64
RC,0272,CATHETER CS-ST CURVE STRAIGHT OD9 FR L54 CM GUIDING ACUITY PRO,170.0,85.0,37.08,153.0,64
RC,0272,CATHETER DIAGNOSTIC STRETTA 8800 W/ACCESSORY F/MEDERI MDRFI GENERATOR,1809.0,904.5,394.54,1628.1,64
RC,0272,CATHETER DOVER 18FR 16IN 5ML FOLEY 2 WAY COUDE TIP RADIOPAQUE ULTRAMER RUBBER URETHRAL STERILE LATEX RED,155.37,77.69,33.89,139.83,64
RC,0272,CATHETER DRAINAGE 14FR 19CML W/AFA ASPIRATION/FLUSH ADAPTER ULTI-FLO LATEX-FREE,490.0,245.0,106.87,441.0,64
RC,0272,CATHETER DRAINAGE 16FR 10IN SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC THORACIC STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST TUB,176.36,88.18,38.46,158.72,64
RC,0272,CATHETER DRAINAGE 28FR 15.75IN SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC THORACIC STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST ,183.02,91.51,39.92,164.72,64
RC,0272,CATHETER DRAINAGE 32FR 15.75IN SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC THORACIC STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST ,183.6,91.8,40.04,165.24,64
RC,0272,CATHETER DRUG DELIVERY 270ML W/EPIDURAL SINGLE TUOHEY BORHST ON-Q STERILE DISPOSABLE,523.0,261.5,114.07,470.7,64
RC,0272,CATHETER DRUG DELIVERY L2.5 IN ON-Q SOAKER DEHP,180.0,90.0,39.26,162.0,64
RC,0272,CATHETER ELECTROHEMOSTASIS BIPOLAR 7FR OD 300CML STANDARD CONNECTOR GOLD PROBE LATEX-FREE NON-RADIOLUCENT SINGLE-USE 5/BX 3.7MM DIA WORKING CHANNEL,598.0,299.0,130.42,538.2,64
RC,0272,CATHETER ELECTROPHYSIOLOGY L6 IN OD8 FR ODSEC16 MM .025 IN 2 STATLOCK DEVICE FIBER OPTIC INSERTION KIT INTRODUCER SENSATION PLUS DATASCOPE SYSTEM 50 ML,1044.68,522.34,227.84,940.21,64
RC,0272,CATHETER ENDOSCOPIC L200 CM 2 LUMEN RADIOPAQUE DOME TIP OD6 FR II ACCEPTS .035 IN GUIDEWIRE 2.8 MM MINIMUM ACCESSORY CHANNEL,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER ENDOSCOPIC L200 CM DOMETIP OD7 FR FUSION BILE PANCREATIC PURPLE ACCEPTS .035 IN GUIDEWIRE ERCP,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER ENDOSCOPIC L200 CM GRADUATE PRECURVE TAPER TIP OD5.5-3 FR GLO-TIP ACCEPTS .018 IN GUIDEWIRE,51.0,25.5,11.12,45.9,64
RC,0272,CATHETER ENDOSCOPIC L200 CM TAPER TIP OD5.5-4.5 FR GLO-TIP ACCEPTS .035 IN GUIDEWIRE,51.0,25.5,11.12,45.9,64
RC,0272,CATHETER ENDOSCOPIC L200 CM ULTRA TAPER TIP OD5.5-4 FR GLO-TIP ACCEPTS .035 IN GUIDEWIRE,51.0,25.5,11.12,45.9,64
RC,0272,CATHETER ENDOSCOPIC L220 CM HEMOSTAT OD10 FR HEMOSPRAY 3.7 MM MINIMUM ACCESSORY CHANNEL HEMO-10,1950.0,975.0,425.3,1755.0,64
RC,0272,CATHETER ENDOSCOPIC L220 CM HEMOSTAT OD7 FR HEMOSPRAY 2.8 MM MINIMUM ACCESSORY CHANNEL HEMO-7,1950.0,975.0,425.3,1755.0,64
RC,0272,CATHETER ENDOSCOPIC L240 CM RADIOPAQUE SPRAY TIP STYLET OD7 FR GLO-TIP L100 CM 2.8 MM MINIMUM ACCESSORY CHANNEL,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER ENDOSCOPIC L320 CM TAPER TIP OD5.5-4.5 FR GLO-TIP ACCEPTS .035 IN GUIDEWIRE,127.0,63.5,27.7,114.3,64
RC,0272,CATHETER EPISTAXIS BEVELED TIP INFLATABLE CUFF BALLOON EPISTAT SILICONE NASAL,86.63,43.32,18.89,77.97,64
RC,0272,CATHETER FOLEY 8FR 3ML TEMP SNS LF SIL,138.0,69.0,30.1,124.2,64
RC,0272,CATHETER FOLYSIL CYSTO-CARE 10FR 12IN 3CC FOLEY 2 WAY TAPER TIP INDWELL SILICONE URETHRAL STERILE LATEX FREE DISPOSABLE,24.05,12.03,5.25,21.65,64
RC,0272,CATHETER GASTROENTEROLOGY L8 CM ENDOFLIP,2332.09,1166.05,508.63,2098.88,64
RC,0272,CATHETER GUIDING 7.1FR 57CM 130DEG ANGLED ATTAIN SELECT II,100.0,50.0,21.81,90.0,64
RC,0272,CATHETER IAB 7.5FR 15MM 34CC LINEAR 221MM 6IN .025IN 3 WAY STOPCOCK EXTENDER INSERTION KIT MALE LUER CAP DURATHANE LATEX FREE,880.52,440.26,192.04,792.47,64
RC,0272,CATHETER IAB L6 IN OD7.5 FR 40 CC LINEAR POLYURETHANE .025 IN INSERTION KIT EXTENDER INTRODUCER SHEATH GUIDEWIRE,880.52,440.26,192.04,792.47,64
RC,0272,CATHETER IABP 6IN 8FR MEGA 2 STATLOCK INSERTION KIT ARROW PUMP ADAPTER 258MM 50ML STERILE LATEX FREE,994.26,497.13,216.85,894.83,64
RC,0272,CATHETER IABP 75FR 6IN SHEATH 30ML BALLOON LINEAR W/ARROW EXTENDER F/MAQUET DATASCOPE SYSTEM MEGA,994.26,497.13,216.85,894.83,64
RC,0272,CATHETER IABP 8FR DIA 6INL PREMIUM DURATHANE 50ML BALLOON CRESCENT PAD FIBEROPTIC W/INSERTION KIT F/MAQUET/DATASCOPE SYSTEM MEGA LATEX-FREE,929.0,464.5,202.61,836.1,64
RC,0272,CATHETER INTERVENTIONAL MICRO OD2.8 FR ID.027 IN L110 CM L50 CM RADIOPAQUE MARKER COIL GOLD HYDROPHILIC PTFE PROGREAT ACCEPTS .021 IN GUIDEWIRE,310.0,155.0,67.61,279.0,64
RC,0272,CATHETER INTRAUTERINE 5.4FR 20CM CURVE SET INNER CANNULA SOFT SHEPARD STAINLESS STEEL DISPOSABLE,341.1,170.55,74.39,306.99,64
RC,0272,CATHETER INTRAUTERINE 5FR DIA W/3ML SYRINGE F/SALINE INFUSION/WATER BASED HYSTEROSALPINGOGRAPHY REDI CLEARVUE STERILE SINGLE-USE,207.48,103.74,45.25,186.73,64
RC,0272,CATHETER INTRAUTERINE 5FR DIA W/BALLOON F/ABNORMAL BLEEDING MENSTRUAL DISORDER DISPOSABLE,299.0,149.5,65.21,269.1,64
RC,0272,CATHETER INTRAUTERINE INSEMI-CATH OD3.5 FR L20 CM FLUSHING POSITIONER CLOSED END SIDEPORT,172.8,86.4,37.69,155.52,64
RC,0272,CATHETER INTRAUTERINE PRESSURE SENSOR TIP EXTERNAL TRANSDUCER KOALA STERILE SMALL ROUND LATEX FREE URETHANE DISPOSABLE CLEAR,280.0,140.0,61.07,252.0,64
RC,0272,CATHETER INTRAUTERINE WALLACE SUREVIEW OD2.3 MM ODSEC1.52 MM ID.76 MM L18 CM 2 MM ULTRASOUND VISIBLE EMBRYO TRANSFER HAND CRAFT TIP CLASSIC .081 ML,409.87,204.94,89.39,368.88,64
RC,0272,CATHETER JEJUNOSTOMY 16FR 108IN 2 LUMEN BALLOON THUMB VALVE TRANSLUCENT TUBE BAKER PLASTIC ADULT 15CC STERILE LATEX DISPOSABLE,606.36,303.18,132.25,545.72,64
RC,0272,CATHETER LUBRI-SIL 16FR 5CC FOLEY 2 WAY BALLOON COUNCILL MODEL SILICONE URETHRAL STANDARD STERILE LATEX FREE DISPOSABLE,205.32,102.66,44.78,184.79,64
RC,0272,CATHETER LUBRI-SIL 16FR 60IN 5CC FOLEY 2 WAY COUDE TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,247.08,123.54,53.89,222.37,64
RC,0272,CATHETER LUBRI-SIL 16FR 60IN 5CC FOLEY 2 WAY COUNCIL TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,238.44,119.22,52.0,214.6,64
RC,0272,CATHETER LUBRI-SIL 18FR 5CC FOLEY 2 WAY BALLOON COUNCILL MODEL SILICONE URETHRAL STANDARD STERILE LATEX FREE DISPOSABLE,205.32,102.66,44.78,184.79,64
RC,0272,CATHETER LUBRI-SIL 18FR 60IN 5CC FOLEY 2 WAY COUNCIL TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,238.44,119.22,52.0,214.6,64
RC,0272,CATHETER LUBRI-SIL 20FR 60IN 5CC FOLEY 2 WAY COUNCIL TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,238.44,119.22,52.0,214.6,64
RC,0272,CATHETER LUBRI-SIL 22FR 60IN 5CC FOLEY 2 WAY COUNCIL TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,238.44,119.22,52.0,214.6,64
RC,0272,CATHETER LUBRI-SIL IC 12FR 60IN 5CC FOLEY 2 WAY COUDE TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,247.08,123.54,53.89,222.37,64
RC,0272,CATHETER LUBRI-SIL IC 14FR 60IN 5CC FOLEY 2 WAY COUDE TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,247.08,123.54,53.89,222.37,64
RC,0272,CATHETER LUBRI-SIL IC 16FR 5CC FOLEY TEMPERATURE SENSE 2 CONNECTOR 400 SERIES BARD CRITICORE BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,196.08,98.04,42.77,176.47,64
RC,0272,CATHETER LUBRI-SIL IC 18FR 60IN 5CC FOLEY 2 WAY COUDE TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,247.08,123.54,53.89,222.37,64
RC,0272,CATHETER LUBRI-SIL IC 20FR 30CC FOLEY 3 WAY BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,138.72,69.36,30.25,124.85,64
RC,0272,CATHETER LUBRI-SIL IC 20FR 5CC FOLEY 2 WAY 1 DRAINAGE EYE MEDIUM OLIVE COUDE TIP SILICONE HYDROGEL URETHRAL LATEX FREE DISPOSABLE,247.08,123.54,53.89,222.37,64
RC,0272,CATHETER LUBRI-SIL IC 20FR 5CC FOLEY 3 WAY BALLOON SPECIALTY BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,134.88,67.44,29.42,121.39,64
RC,0272,CATHETER LUBRI-SIL IC 22FR 30CC FOLEY 3 WAY BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,138.72,69.36,30.25,124.85,64
RC,0272,CATHETER LUBRI-SIL IC 22FR 5CC FOLEY 3 WAY BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,134.88,67.44,29.42,121.39,64
RC,0272,CATHETER LUBRI-SIL IC 22FR 60IN 5CC FOLEY 2 WAY COUDE TIP BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,247.08,123.54,53.89,222.37,64
RC,0272,CATHETER LUBRI-SIL IC 24FR 30CC FOLEY 3 WAY BALLOON BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,138.72,69.36,30.25,124.85,64
RC,0272,CATHETER LUBRI-SIL IC 24FR 5CC FOLEY 3 WAY BALLOON SPECIALTY BACTI-GUARD SILICONE HYDROGEL URETHRAL STERILE LATEX FREE DISPOSABLE,134.88,67.44,29.42,121.39,64
RC,0272,CATHETER M-110 RELIEVA SPIN SUCTION SOFT DISTAL TIP GUIDING MAXILLARY SINUS STERILE,1600.0,800.0,348.96,1440.0,64
RC,0272,CATHETER MAPPING EXTERNAL CARTO 3,472.0,236.0,102.94,424.8,64
RC,0272,CATHETER NEPHROSTOMY BARDEX 24FR DRAINAGE SHORT TIP COUNCIL STYLET SILICONE ELASTOMER 5CC STERILE LATEX DISPOSABLE,303.45,151.73,66.18,273.11,64
RC,0272,CATHETER NERVE BLOCK 18GA 6INL ECHOGENIC INDWELLING SELF-PRIMING W/21G X 2 2/3IN SONOPLEX NEEDLE CORNERSTONE REFLECTORS E-CATH,430.0,215.0,93.78,387.0,64
RC,0272,CATHETER NEUROSURGICAL L58 CM STANDARD CSF TIP REDUCER NA PERITONEAL,240.0,120.0,52.34,216.0,64
RC,0272,CATHETER OD10 FR L300 CM BIPOLAR ROUND DISTAL TIP STANDARD CONNECTOR FIRM SHAFT ELECTROHEMOSTASIS PROBE HEMOGLIDE 3.7 MM MINIMUM WORK CHANNEL,164.43,82.22,35.86,147.99,64
RC,0272,CATHETER OD10 FR ODSEC25 GA ID.24 MM L210 CM BIPOLAR ROUND DISTAL TIP FIRM SHAFT STANDARD CONNECTOR ELECTROHEMOSTASIS PROBE HEMOGLIDE 3.7 MM MINIMUM WORKING CHANNEL,236.49,118.25,51.58,212.84,64
RC,0272,CATHETER OD4 FR 5 SIDEHOLE RADIOPAQUE BRAID STRAIGHT PIGTAIL JL4 JR4 CURVE VESTAN STAINLESS STEEL MULTIPAC ANGIOGRAPHIC,125.7,62.85,27.42,113.13,64
RC,0272,CATHETER OD4 FR L150 CM 2 BRAID PV MULTI CURVE STAINLESS STEEL HYDROPHILIC GLIDECATH RADIFOCUS ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,275.0,137.5,59.98,247.5,64
RC,0272,CATHETER OD5 FR ID.046 IN L75 CM WING HUB PROPRIETARY BRAID SHAFT SOFT TAPER TIP SELECTOR STANDARD CURVE VEIN WORLEY ANGIOGRAPHIC ACCEPTS .035 IN GUIDEWIRE,78.08,39.04,17.03,70.27,64
RC,0272,CATHETER OD5 FR L100 CM 4 SIDEHOLE GUIDEWIRE .038 IN NEFF CURVE FLASHPAK ANGIOGRAPHIC TSN,38.61,19.31,8.42,34.75,64
RC,0272,CATHETER OD5 FR L100 CM JK3.5 INFINITI AMBI ANGIOGRAPHIC,141.65,70.83,30.89,127.49,64
RC,0272,CATHETER OD5 FR L100 CM TG4 INFINITI AMBI ANGIOGRAPHIC,141.65,70.83,30.89,127.49,64
RC,0272,CATHETER OD5 FR L125 CM TG4 INFINITI AMBI ANGIOGRAPHIC,32.62,16.31,7.11,29.36,64
RC,0272,CATHETER OD5 FR L65 CM 6 SIDEHOLE RADIOPAQUE SIZING ATRAUMATIC TIP VCF CURVE CAVA NYLON AUROUS ANGIOGRAPHIC WHITE ACCEPTS .035 IN GUIDEWIRE,201.99,101.0,44.05,181.79,64
RC,0272,CATHETER OD5 FR L65 CM RADIOPAQUE SELECTIVE HIGH TORQUE SHAFT ANGLE KUMPE CURVE SOFT-VU ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,65.0,32.5,14.18,58.5,64
RC,0272,CATHETER OD5 FR L90 CM RADIOPAQUE BRAID KINK RESISTANCE RUC CURVE VISCERAL STAINLESS STEEL NYLON HYDROPHILIC SLIP-CATH BEACON ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,325.0,162.5,70.88,292.5,64
RC,0272,CATHETER OD6.7 FR L100 CM 4 SIDEHOLE GPC CURVE PULMONARY POLYETHYLENE COOK ANGIOGRAPHIC ACCEPTS .038 IN GUIDEWIRE,113.99,57.0,24.86,102.59,64
RC,0272,CATHETER OD7 FR L300 CM BIPOLAR ROUND DISTAL TIP STANDARD CONNECTOR FIRM SHAFT ELECTROHEMOSTASIS PROBE HEMOGLIDE 2.8 MM MINIMUM WORK CHANNEL,164.43,82.22,35.86,147.99,64
RC,0272,CATHETER OD7 FR L350 CM BIPOLAR ROUND DISTAL TIP FIRM SHAFT STANDARD CONNECTOR ELECTROHEMOSTASIS PROBE HEMOGLIDE 2.8 MM MINIMUM WORKING CHANNEL,165.25,82.63,36.04,148.73,64
RC,0272,CATHETER OD7 FR ODSEC25 GA ID.24 MM L210 CM BIPOLAR ROUND DISTAL TIP STANDARD CONNECTOR INTEGRATE ELECTROHEMOSTASIS PROBE 2.8 MM MINIMUM WORK CHANNEL,178.02,89.01,38.83,160.22,64
RC,0272,CATHETER PACING FIX 40CM 7FR 5.4FR STERILE LATEX FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
RC,0272,CATHETER PERCUTANEOUS OD5 FR ODSEC19 GA L10 CM STRAIGHT DRAINAGE ONE-STEP 4 SIDEHOLE SLIP FIT VALVE LUER LOCK CENTESIS,106.0,53.0,23.12,95.4,64
RC,0272,CATHETER PERFUSION DLP 10FR 10IN VENT PVC PEDIATRIC VENTRICLE LEFT STERILE,389.0,194.5,84.84,350.1,64
RC,0272,CATHETER PERFUSION DLP 13FR VENT PVC LEFT VENTRICLE STERILE LATEX FREE DISPOSABLE,427.28,213.64,93.19,384.55,64
RC,0272,CATHETER PERFUSION DLP 16FR .25IN 16IN RIGHT ANGLE MALLEABLE INTRODUCER BULLET TIP NONVENT CONNECTOR SILICONE ADULT LEFT VENTRICLE STERILE,417.4,208.7,91.03,375.66,64
RC,0272,CATHETER PERFUSION DLP 20FR 16IN .25IN MALLEABLE INTRODUCER NONVENT SLIP CONNECTOR SILICONE ADULT LEFT VENTRICLE,451.1,225.55,98.38,405.99,64
RC,0272,CATHETER PH MONITORING 1 CHANNEL INTERNAL REFERENCE OD4.7 FR VERSAFLEX VNIS,424.2,212.1,92.52,381.78,64
RC,0272,CATHETER PH MONITORING 4.7FR DIA 10CM SPACING DUAL-CHANNEL INTERNAL REFERENCE W/RJ-45 CONNECTOR VERSAFLEX DISPOSABLE,618.12,309.06,134.81,556.31,64
RC,0272,CATHETER PH MONITORING 4.7FR DIA 15CM SPACING DUAL-CHANNEL INTERNAL REFERENCE W/RJ-45 CONNECTOR VERSAFLEX DISPOSABLE,646.4,323.2,140.98,581.76,64
RC,0272,CATHETER PH MONITORING 6FR DIA IMPEDANCE INTERNAL REFERENCE VERSAFLEX Z DISPOSABLE,1279.0,639.5,278.95,1151.1,64
RC,0272,CATHETER PH MONITORING ZNIS+8R 8 RING OD6 FR VERSAFLEX Z,1060.5,530.25,231.3,954.45,64
RC,0272,CATHETER PULMONARY ARTERY L110 CM 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP OD4 FR ODSEC6.5 MM ARROW .6 CC ACCEPTS .021 IN GUIDEWIRE 5 FR INTRODUCER,85.0,42.5,18.54,76.5,64
RC,0272,CATHETER PULMONARY ARTERY L110 CM OXIMETRY THERMODILUTION OD7.5 FR SWAN-GANZ VIP ACCEPTS .025 IN GUIDEWIRE 8.5 FR INTRODUCER,215.53,107.77,47.01,193.98,64
RC,0272,CATHETER PUSHING .018IN BILIARY DUCT GUIDEWIRE 3FR ENDOSCOPIC STENT PLACEMENT STERILE LATEX FREE DISPOSABLE,38.0,19.0,8.29,34.2,64
RC,0272,CATHETER PUSHING L170 CM PRECURVE PUSH OD5 FR COOK BILIARY PANCREATIC,90.0,45.0,19.63,81.0,64
RC,0272,CATHETER PUSHING OD7 FR COOK BILIARY DUCT ENDOSCOPIC STENT PLACEMENT ACCEPTS .035 IN GUIDEWIRE,90.0,45.0,19.63,81.0,64
RC,0272,CATHETER RETRIEVAL L200 CM 3 LUMEN DISTAL INJECTION SQUARE SHOULDER BALLOON OD6-7 FR ODSEC12-15 MM EXTRACTOR BILIARY ACCEPTS .035 IN GUIDEWIRE,104.94,52.47,22.89,94.45,64
RC,0272,CATHETER REVISION KIT,350.0,175.0,76.34,315.0,64
RC,0272,CATHETER RUSCH 6FR 12IN 1.5ML FOLEY 2 WAY 2 OPPOSE DRAINAGE EYE BALLOON SILICONE URETHRAL PEDIATRIC STERILE LATEX FREE DISPOSABLE WHITE,125.32,62.66,27.33,112.79,64
RC,0272,CATHETER SIALOGRAPHY 30CM 24GA RABINOV SUBMANDIBULAR DUCT TIP TUBING STERILE DISPOSABLE,41.65,20.83,9.08,37.49,64
RC,0272,CATHETER SIALOGRAPHY 30CM 27GA .016IN RABINOV SUBMANDIBULAR DUCT STERILE DISPOSABLE,41.65,20.83,9.08,37.49,64
RC,0272,CATHETER SPRAY 220CM X 2.2MM,279.0,139.5,60.85,251.1,64
RC,0272,CATHETER SUCT 5FRDIA1.6MM KIMVENT CLSD NEO PED SFT LO DUROM STD ELB GRY LF,279.21,139.61,60.9,251.29,64
RC,0272,CATHETER SUCTION 10FR CLOSED ELBOW STERILE LATEX FREE DISPOSABLE ENDOTRACHEAL,258.49,129.25,56.38,232.64,64
RC,0272,CATHETER SUCTION 16FR DIA MUSHROOM TIP ATRAUMATIC NON-BRONCHOSCOPIC GAMMA STERILIZED F/BRONCHIAL ASPIRATE SAMPLING KIMVENT LATEX-FREE STERILE SINGLE-USE,211.46,105.73,46.12,190.31,64
RC,0272,CATHETER SUCTION 4FR 1 PIECE MOLD FLEXIBLE BRONCHOSCOPIC STERILE LATEX FREE DISPOSABLE GREEN,217.5,108.75,47.44,195.75,64
RC,0272,CATHETER SUCTION 60CML SEMI RIGID,624.0,312.0,136.09,561.6,64
RC,0272,CATHETER SUCTION 8FR 3MM 14IN 3.5MM 4MM CLOSED TACTILE SLEEVE TUBE ADAPTER ELBOW STERILE LATEX FREE DISPOSABLE LIGHT BLUE ENDOTRACHEAL,258.49,129.25,56.38,232.64,64
RC,0272,CATHETER SUCTION BALLARD 5FR 30.5CM CLOSED SYSTEM MULTIACCESS LOCK THUMB PORT 2 SWIVEL Y PVC NEONATE STERILE LATEX FREE DISPOSABLE 2.5MM 3MM 3.5MM ADAPTER,61.77,30.89,13.47,55.59,64
RC,0272,CATHETER SUCTION CLOSED 12FR DIA ELBOW CLEAR-PRO T-PIECE W/ENDOTRACHEAL TUBE CONNECTION LATEX-FREE 20/CA,215.0,107.5,46.89,193.5,64
RC,0272,CATHETER SUCTION CLOSED 14FR DIA ELBOW CLEAR-PRO T-PIECE W/ENDOTRACHEAL TUBE CONNECTION LATEX-FREE 20/CA,215.0,107.5,46.89,193.5,64
RC,0272,CATHETER SUCTION OD6 FR L30.5 CM CLOSED SYSTEM ELBOW TACTILE SLEEVE LOCK THUMB PORT BALLARD PVC,258.49,129.25,56.38,232.64,64
RC,0272,CATHETER SUCTION OD6 FR L60 CM FLEXIBLE GREEN,217.5,108.75,47.44,195.75,64
RC,0272,CATHETER SUCTION TUBING THORACIC 10/BX,189.0,94.5,41.22,170.1,64
RC,0272,CATHETER SURGICAL L50 CM DILATION OD5 FR ODSEC7 FR FOGARTY CARDIOVASCULAR ATRIOSEPTOSTOMY,799.0,399.5,174.26,719.1,64
RC,0272,CATHETER THERMOABLATION BIPOLAR 8FR DIA 200CML W/RING ELECTRODE F/TUMOUR ABLATION VASCULAR OCCLUSION HABIB ENDOHPB LATEX-FREE,1595.0,797.5,347.87,1435.5,64
RC,0272,CATHETER THORACIC OD10 FR L9 IN DRAINAGE ARGYLE ALUMINUM PVC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK CLEAR CLOSED CHEST TUBE THORACOSTOMY,228.0,114.0,49.73,205.2,64
RC,0272,CATHETER THORACIC OD12 FR L9 IN DRAINAGE ARGYLE ALUMINUM PVC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK CLEAR CLOSED CHEST TUBE THORACOSTOMY,228.0,114.0,49.73,205.2,64
RC,0272,CATHETER THORACIC OD20 FR L15 3/4 IN DRAINAGE ARGYLE ALUMINUM PVC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK CLEAR CLOSED CHEST TUBE THORACOSTOMY,179.93,89.97,39.24,161.94,64
RC,0272,CATHETER THORACIC OD24 FR L15 3/4 IN DRAINAGE ARGYLE ALUMINUM PVC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK CLEAR CLOSED CHEST TUBE THORACOSTOMY,151.5,75.75,33.04,136.35,64
RC,0272,CATHETER THORACIC OD32 FR L23 IN RIGHT ANGLE DRAINAGE HYDRAGLIDE XL PVC HYDROPHILIC PEDIATRIC 5 EYELET TAPER CONNECTOR TIP THERMOSENSITIVE RADIOPAQUE BLUE,110.68,55.34,24.14,99.61,64
RC,0272,CATHETER THORACIC OD8 FR L9 IN DRAINAGE ARGYLE ALUMINUM PVC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK CLEAR CLOSED CHEST TUBE THORACOSTOMY,228.0,114.0,49.73,205.2,64
RC,0272,CATHETER THORAX OD24 FR L22 IN ANGLE RIGHT TAPER DRAINAGE PVC THORACIC CATHETERS PVC 4 EYELET CONNECTOR THERMOSENSITIVE RADIOPAQUE,116.24,58.12,25.35,104.62,64
RC,0272,CATHETER THROMBECTOMY L135 CM OD6 FR ROTATIONAL 2 POWER CELL LOW PROFILE RADIOPAQUE CLEANERXT,795.0,397.5,173.39,715.5,64
RC,0272,CATHETER ULTRASOUND L90 CM INTRAVASCULAR DIGITAL VISIONS PV ACCEPTS .035 IN GUIDEWIRE,950.0,475.0,207.2,855.0,64
RC,0272,CATHETER ULTRASOUND OD8 FR SOUNDSTAR GE REPROCESSED,1472.0,736.0,321.04,1324.8,64
RC,0272,CATHETER UMBILICAL 2.5FR DIA 12INL POLYURETHANE 0.15ML CAPACITY ROUNDED TIP LUMENX1 SMOOTH FINISH ATRAUMATIC MOLDED LUER-LOCK HUB ARGYLE LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,128.37,64.19,28.0,115.53,64
RC,0272,CATHETER URETERAL 4FR 70CM WOVEN WHISTLE TIP RADIOPAQUE STERILE LATEX FREE REUSABLE DACRON BARD,89.0,44.5,19.41,80.1,64
RC,0272,CATHETER URETERAL 5FR DIA 70CML VINYL SOF-FLEX OPEN END F/DRAINAGE RETROGRADE PYELOGRAM PVC SINGLE-USE 0.038IN GUIDEWIRE COMPATIBLE,14.6,7.3,3.18,13.14,64
RC,0272,CATHETER URETERAL 6FR FOLEY 2 WAY BALLOON STERILE LATEX FREE DISPOSABLE SILICONE HYDROGEL BARD LUBRI-SIL PEDIATRIC 1.5CC,250.32,125.16,54.59,225.29,64
RC,0272,CATHETER URETERAL FLEXIMA 5FR 70CM ANGLED TIP 1-LUMEN FIRM RETROGRADE W/INJECTION HUB 0.035IN GW,24.41,12.21,5.32,21.97,64
RC,0272,CATHETER URETHRAL 16FR DIA SILICONE 5ML BALLOON PROXIMAL DISTAL 2-WAY DUETTE LATEX-FREE,145.0,72.5,31.62,130.5,64
RC,0272,CATHETER URETHRAL FOLEY 10FR DIA SILICONE 3ML BALLOON 2-WAY TEMPERATURE SENSING LATEX-FREE 10/CA,160.2,80.1,34.94,144.18,64
RC,0272,CATHETER URETHRAL FOLEY 12FR DIA 16INL HYDROGEL COATED 5ML COUDE TIP 2-WAY LUBRICATED DOVER LATEX NON-RADIOLUCENT STERILE SINGLE-USE,138.72,69.36,30.25,124.85,64
RC,0272,CATHETER URETHRAL FOLEY 12FR SILICONE 5ML BALLOON 2-WAY TEMPERATURE SENSING 2-CONNECTOR LUBRI-SIL 400 SERIES LATEX-FREE HYDROGEL COATED,111.0,55.5,24.21,99.9,64
RC,0272,CATHETER URETHRAL FOLEY 14FR DIA 16INL HYDROGEL COATED 5ML COUDE TIP 2-WAY LUBRICATED DOVER LATEX NON-RADIOLUCENT STERILE SINGLE-USE,11.56,5.78,2.52,10.4,64
RC,0272,CATHETER URETHRAL FOLEY 14FR DIA SILICONE 10ML 2-WAY TEMPERATURE-SENSING LATEX-FREE,201.0,100.5,43.84,180.9,64
RC,0272,CATHETER URETHRAL FOLEY 14FR DIA SILICONE 10ML BALLOON 2-WAY TEMPERATURE SENSING LATEX-FREE 10/CA,128.96,64.48,28.13,116.06,64
RC,0272,CATHETER URETHRAL FOLEY 14FR DIA SILICONE ELASTOMER HYDROPHOBIC COATED 30ML SHORT ROUND TIP 2-WAY DRAINAGE EYEX1 LUBRICATED BARDEX LUBRICATH LATEX STERILE SINGLE-USE,90.7,45.35,19.78,81.63,64
RC,0272,CATHETER URETHRAL FOLEY 14FR SILICONE 5ML BALLOON TEMPERATURE SENSING 2-CONNECTOR LUBRI-SIL 400 SERIES LATEX-FREE,125.76,62.88,27.43,113.18,64
RC,0272,CATHETER URETHRAL FOLEY 16FR DIA 16INL HYDROGEL COATED 5ML COUDE TIP 2-WAY LUBRICATED DOVER LATEX STERILE SINGLE-USE,11.56,5.78,2.52,10.4,64
RC,0272,CATHETER URETHRAL FOLEY 16FR DIA SILICONE HYDROGEL COATED 30ML BALLOON 3-WAY INFECTION CONTROL LUBRI-SIL IC LATEX-FREE STERILE SINGLE-USE,138.72,69.36,30.25,124.85,64
RC,0272,CATHETER URETHRAL FOLEY 18FR DIA SILICONE HYDROGEL COATED 30ML BALLOON 3-WAY INFECTION CONTROL LUBRI-SIL IC LATEX-FREE STERILE SINGLE-USE,138.72,69.36,30.25,124.85,64
RC,0272,CATHETER URETHRAL FOLEY 20FR DIA 16INL VINYL 30ML BALLOON COUVELAIRE TIP 3-WAY INDWELLING LARGE LUMEN SOFTSIMPLASTIC LATEX PVC STERILE SINGLE-USE 10/BX,179.0,89.5,39.04,161.1,64
RC,0272,CATHETER URETHRAL FOLEY 22FR 16IN SILICONE 5ML BALLOON OPEN COUNCIL TIP 2-WAY 2-OPPOSING EYE LUBRI-SIL LATEX-FREE,205.32,102.66,44.78,184.79,64
RC,0272,CATHETER URETHRAL FOLEY 22FR DIA 16INL VINYL 30ML BALLOON COUVELAIRE TIP 2-WAY INDWELLING SOFTSIMPLASTIC LATEX PVC STERILE SINGLE-USE 10/BX,230.27,115.14,50.22,207.24,64
RC,0272,CATHETER URETHRAL FOLEY 24FR DIA 16INL RED RUBBER VINYL 30ML BALLOON COUVELAIRE TIP 3-WAY INDWELLING LARGE LUMEN SOFTSIMPLASTIC PVC NON-RADIOLUCENT STERILE SINGLE-USE 10/BX,170.0,85.0,37.08,153.0,64
RC,0272,CATHETER URETHRAL FOLEY 24FR DIA 16INL VINYL 30ML BALLOON COUVELAIRE TIP 2-WAY INDWELLING SOFTSIMPLASTIC LATEX PVC STERILE SINGLE-USE,165.72,82.86,36.14,149.15,64
RC,0272,CATHETER URETHRAL FOLEY 8FR DIA SILICONE TEMPERATURE SENSING W/PROBE BROWN 400 SERIES LATEX-FREE,670.45,335.23,146.23,603.41,64
RC,0272,CATHETER URETHRAL FOLEY COUNCIL 20FR DIA RED RUBBER SILICONE ELASTOMER HYDROPHOBIC COATED 5ML BALLOON MEDIUM ROUND TIP 3-WAY STAGGERED DRAINAGE EYEX2 BARDEX LUBRICATH LATEX STERILE SINGLE-USE,125.76,62.88,27.43,113.18,64
RC,0272,CATHETER URETHRAL FOLEY COUNCIL 22FR DIA RED RUBBER HYDROGEL COATED 5ML BALLOON MEDIUM ROUND TIP 3-WAY STAGGERED DRAINAGE EYEX2 BARDEX LUBRICATH LATEX STERILE SINGLE-USE,125.76,62.88,27.43,113.18,64
RC,0272,CATHETER URETHRAL FOLEY COUVELAIRE 20FR 16IN PVC 30ML BALLOON 3-WAY INDWELLING LARGE LUMEN 2-OPPOSING EYE F/POST-OP SOFT SIMPLASTIC LATEX PVC,228.4,114.2,49.81,205.56,64
RC,0272,CATHETER URETHRAL FOLEY EMMETT 24FR DIA STANDARD HYDROGEL COATED 30ML BALLOON LONG ROUND TIP 3-WAY STAGGERED DRAINAGE EYEX3 LUBRICATH LATEX STERILE SINGLE-USE,144.12,72.06,31.43,129.71,64
RC,0272,CATHETER URETHRAL FOLEY HEMATURIA 22FR DIA 16INL TEFLON COATED 30ML BALLOON COUDE TIP 2-WAY INDWELLING STAGGERED EYEX2 SIMPLASTIC LATEX STERILE SINGLE-USE,220.27,110.14,48.04,198.24,64
RC,0272,CATHETER URETHRAL FOLEY HOTTER 22FR DIA SILICONE 30ML BALLOON COUDE TIP 3-WAY LUBRICATED LUBRICATH LATEX STERILE SINGLE-USE,331.2,165.6,72.23,298.08,64
RC,0272,CATHETER URETHRAL FOLEY NAEGELI 24FR DIA SILICONE COATED 30ML BALLOON SHORT ROUND TIP 3-WAY OPPOSING DRAINAGE EYEX2 LUBRICATH LATEX STERILE SINGLE-USE,449.52,224.76,98.04,404.57,64
RC,0272,CATHETER URETHRAL FOLEY SPECIALITY 20FR DIA 16INL 5ML COUDE TIP 2-WAY LUBRICATED DOVER LATEX STERILE SINGLE-USE,11.56,5.78,2.52,10.4,64
RC,0272,CATHETER URETHRAL OD24 FR 30 CC FOLEY 2 WAY 1 EYE MEDIUM OLIVE COUDE TIP BACTI-GUARD RUBBER HYDROGEL BARDEX IC RED TIEMANN MODEL,151.32,75.66,33.0,136.19,64
RC,0272,CATHETER URINARY 3 WAY FOLEY  LUBRICATH 3 OPPOSING DRAINAGE EYES/ROUND TIP 20FR 30ML LATEX,94.0,47.0,20.5,84.6,64
RC,0272,CATHETER URODYNAMIC 7FR COUDE SENSOR INFUSION PORT BALLOON PRESSURE T-DOC AIR-CHARGED BLADDER DISPOSABLE,595.0,297.5,129.77,535.5,64
RC,0272,CATHETER URODYNAMIC 7FR DIA 50CML POLYETHYLENE PEDIATRIC ADULT BLADDER AIR-CHARGED SINGLE SENSOR T-DOC NON-RADIOLUCENT STERILE DISPOSABLE,902.0,451.0,196.73,811.8,64
RC,0272,CATHETER UROLOGY SOFTSIMPLASTIC OD20 FR L16 IN 2 WAY FOLEY POST OP INDWELLING TEFLON 30 ML,155.0,77.5,33.81,139.5,64
RC,0272,CATHETER UROLOGY SOFTSIMPLASTIC OD24 FR L16 IN 2 WAY FOLEY POST OP INDWELLING 30 ML,163.0,81.5,35.55,146.7,64
RC,0272,CATHETER UROLOGY SOFTSIMPLASTIC OD24 FR L16 IN 3 WAY FOLEY POST OP INDWELL 30 ML,170.0,85.0,37.08,153.0,64
RC,0272,CATHETER VENTILATION L100 CM OD8 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTILATION L125 CM OD12 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTILATION L125 CM OD16 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTILATION L125 CM OD8 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTILATION L49 CM OD6 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTILATION L50 CM OD6 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTILATION L50 CM OD8 FR ENFIT EDI,1184.4,592.2,258.32,1065.96,64
RC,0272,CATHETER VENTRICULAR DRAINAGE STANDARD 10CML SILICONE LUER LOCKFITTING W/SNAP F/CSF SHUNT SYSTEM BIOGLIDE STERILE AVE,153.35,76.68,33.45,138.02,64
RC,0272,CAUTERY ELECTROSURGICAL 2IN ACU-DISPO-CAUTERY 2 NONREPLACEABLE AA ALKALINE BATTERY HIGH TEMPERATURE FINGER CONTROL FINE TIP STERILE DISPOSABLE,210.95,105.48,46.01,189.86,64
RC,0272,CAUTERY OPHTHALMIC BIPOLAR OD25 GA STELLARIS PC,474.33,237.17,103.45,426.9,64
RC,0272,CEMENT BONE CLOSED MIX SYSTEM INJECTABLE RESORBABLE QUICKSET MACROPOROUS 16 ML,2992.0,1496.0,652.56,2692.8,64
RC,0272,CEMENT BONE CLOSED MIX SYSTEM INJECTABLE RESORBABLE QUICKSET MACROPOROUS 8 ML,1995.0,997.5,435.11,1795.5,64
RC,0272,CEMENT BONE M4 MIXER AUTOPLEX VERTAPLEX HV,966.81,483.41,210.86,870.13,64
RC,0272,CEMENT DENTAL LIQUID LIGHT CURE GLASS IONOMER 5.5ML REFILL BOTTLE BASE VITREBOND,157.69,78.85,34.39,141.92,64
RC,0272,CEMENT DENTAL TEMPORARY ZINC OXIDE EUGENOL 14ML LIQUID W/ADHESIVE XENO IVX100 UNIT DOSES HOLDERX3 APPLICATOR TIPX100 MANUALX2 IVORY IRM,49.19,24.6,10.73,44.27,64
RC,0272,CEMENT DENTAL ZINC OXIDE-EUGENOL INTERMEDIATE RESTORATIVE HYPERSENSITIVE TOOTH PULP POLYMER-REINFORCED NON-RESINE F/RESTORATIONS IRM,81.21,40.61,17.71,73.09,64
RC,0272,CHARGER NEUROSTIMULATOR AXONICS NONSTERILE LATEX FREE REUSABLE,855.0,427.5,186.48,769.5,64
RC,0272,CHARGER NEUROSTIMULATOR PRODIGY LE,1158.3,579.15,252.63,1042.47,64
RC,0272,CHARGER NUCLEUS 7 BATTERY COCHLEAR USB RECHARGEABLE,59.5,29.75,12.98,53.55,64
RC,0272,CHARGER Y NUCLEUS 7 BATTERY COCHLEAR,102.0,51.0,22.25,91.8,64
RC,0272,CHEST BREAST PACK,233.4,116.7,50.9,210.06,64
RC,0272,CHISEL SURGICAL 3.5MM PEDILOC DISPOSABLE NONSTERILE LOCK CANNULATED BLADE PLATE PEDIATRIC,577.38,288.69,125.93,519.64,64
RC,0272,CHISEL SURGICAL 35MM INFANT LINE-TO-LINE PEDILOC,684.83,342.42,149.36,616.35,64
RC,0272,CHISEL SURGICAL 80MM ADOLESCENT LINE-TO-LINE PEDILOC,684.83,342.42,149.36,616.35,64
RC,0272,CHISEL SURGICAL ADOLESCENT PEDILOC,650.0,325.0,141.77,585.0,64
RC,0272,CHISEL SURGICAL L124 IN X W10 MM STRAIGHT NARROW JOINT PREPARATION,162.16,81.08,35.37,145.94,64
RC,0272,CHISEL SURGICAL OD3.5 MM PEDILOC LOCK CANNULATED BLADE PLATE SYSTEM PEDIATRIC,577.38,288.69,125.93,519.64,64
RC,0272,CHISEL SURGICAL W10 IN CURVE NARROW,162.16,81.08,35.37,145.94,64
RC,0272,CHISEL SURGICAL W10 MM 20 D BEND NARROW,207.73,103.87,45.31,186.96,64
RC,0272,CHISEL SURGICAL W15 MM 20 D BEND BROAD JOINT PREPARATION,217.28,108.64,47.39,195.55,64
RC,0272,CHISEL SURGICAL W15 MM CURVE BROAD,162.16,81.08,35.37,145.94,64
RC,0272,CHISEL SURGICAL W15 MM STRAIGHT BROAD,210.4,105.2,45.89,189.36,64
RC,0272,CHUCK DRILL OD14 MM JACOBS,75.0,37.5,16.36,67.5,64
RC,0272,CINCH SOFT TISSUE PRE ASSEMBLED CANNULA WHIPKNOT,87.0,43.5,18.97,78.3,64
RC,0272,CIRCUIT BREATHING 2 LIMB CONCHASMART ADULT,286.73,143.37,62.54,258.06,64
RC,0272,CIRCUIT X-COATED VAD/LIVER,117.0,58.5,25.52,105.3,64
RC,0272,CLAMP 1.3CM CENTURION BELL SURGICAL STERILE DISPOSABLE,323.94,161.97,70.65,291.55,64
RC,0272,CLAMP 16MM RAYPORT SURGICAL POLYPROPYLENE STERILE DISPOSABLE MUSCLE BIOPSY,20.83,10.42,4.54,18.75,64
RC,0272,CLAMP 20GM/SQ MM SMALL BIOVER SURGICAL POLYCARBONATE VEIN STERILE DISPOSABLE,370.0,185.0,80.7,333.0,64
RC,0272,CLAMP 4 5/8IN 1 1/8IN XS COOLEY STRAIGHT SHANK PARTIAL OCCLUSION JAW SURGICAL STAINLESS STEEL NEONATE VASCULAR,193.13,96.57,42.12,173.82,64
RC,0272,CLAMP 45D 75-80GM PRESSURE MIDI VASCU-STATT II BULLDOG SURGICAL STERILE DISPOSABLE YELLOW,125.7,62.85,27.42,113.13,64
RC,0272,CLAMP 45D MIDI SCANLAN VASCU-STATT BULLDOG ATRAUMATIC JAW RADIOPAQUE LIGHTWEIGHT COLOR CODED SURGICAL PLASTIC STERILE DISPOSABLE,130.0,65.0,28.35,117.0,64
RC,0272,CLAMP BED RAIL MEDTRONIC REUSABLE INSTRUMENTS,594.0,297.0,129.55,534.6,64
RC,0272,CLAMP CAROTID ARTERY JAVID SURGICAL OD4 MM L6.25 IN ANGLED JAW DISTAL TIP SMALL,113.58,56.79,24.77,102.22,64
RC,0272,CLAMP CAROTID ARTERY JAVID SURGICAL OD6 MM L7 IN ANGLED JAW DISTAL TIP LARGE,115.3,57.65,25.15,103.77,64
RC,0272,CLAMP CAROTID SUBCLAVIAN RENAL ARTERY V. MUELLER SURGICAL L7 1/4 IN 2 ACTION MATTE FINISH RING HANDLE 1/3 IN ANGLE STAINLESS STEEL L2 1/2 IN,182.65,91.33,39.84,164.39,64
RC,0272,CLAMP CIRCUMCISION 1.1CM CIRCLAMP BELL STERILE DISPOSABLE,330.0,165.0,71.97,297.0,64
RC,0272,CLAMP CIRCUMCISION GOMCO 1.3CML STAINLESS STEEL W/ACCESSORIES CIRCLAMP LATEX-FREE STERILE DISPOSABLE,295.01,147.51,64.34,265.51,64
RC,0272,CLAMP CIRCUMCISION STAINLESS STEEL NEONATE W/1.45CML BELL GOMCO LATEX-FREE STERILE DISPOSABLE 12/CA,521.88,260.94,113.82,469.69,64
RC,0272,CLAMP ELECTROSURGICAL 60MM ISOLATOR SYNERGY LEFT CURVE 2 ELECTRODE,3200.0,1600.0,697.92,2880.0,64
RC,0272,CLAMP ELECTROSURGICAL ISOLATOR SYNERGY ENCOMPASS GLIDEPATH LONG JAW MAGNETIC GUIDE OPEN ABLATION SYSTEM STERILE LATEX FREE DISPOSABLE,5400.0,2700.0,1177.74,4860.0,64
RC,0272,CLAMP ELECTROSURGICAL ISOLATOR SYNERGY LEFT CURVE LONG JAW OPEN ABLATION SYSTEM STERILE LATEX FREE DISPOSABLE,8250.0,4125.0,1799.33,7425.0,64
RC,0272,CLAMP ELECTROSURGICAL ISOLATOR SYNERGY LEFT CURVE SHORT JAW OPEN ABLATION SYSTEM STERILE LATEX FREE DISPOSABLE,2650.0,1325.0,577.97,2385.0,64
RC,0272,CLAMP EXTERNAL FIXATION BUTTRESS PIN WRIST L28 MM X W28 MM OUTER COMPONENT ULTRA LOW PROFILE SMALL FRAGMENT,190.0,95.0,41.44,171.0,64
RC,0272,CLAMP EXTERNAL FIXATION BUTTRESS PIN WRIST L32 MM X W32 MM SMALL FRAGMENT OUTER COMPONENT ULTRA LOW PROFILE,190.0,95.0,41.44,171.0,64
RC,0272,CLAMP FOGARTY SOFTJAW SURGICAL L8 MM 2 JAW ATRAUMATIC OCCLUSION RADIOPAQUE,160.5,80.25,35.01,144.45,64
RC,0272,CLAMP LAPAROSCOPIC 12MM DIA 240MML DISPOSABLE,1060.0,530.0,231.19,954.0,64
RC,0272,CLAMP MEDIUM 2 SURGICAL VENOUS,685.0,342.5,149.4,616.5,64
RC,0272,CLAMP MEDIUM BIOVER 1 SURGICAL POLYCARBONATE VEIN STERILE DISPOSABLE,370.0,185.0,80.7,333.0,64
RC,0272,CLAMP OR TABLE EZ GRIP BAR HEAVY DUTY LEVITATOR STIRRUP,110.0,55.0,23.99,99.0,64
RC,0272,CLAMP PENILE 2IN CUNNINGHAM REGULAR RUBBER SOFT SPONGE ADJUSTABLE URINARY INCONTINENCE NONSTERILE LATEX REUSABLE,21.78,10.89,4.75,19.6,64
RC,0272,CLAMP SMALL HEMISPHERIC BIOVER 2 NONSLIP OCCLUSION LOW PRESSURE SURGICAL METAL STERILE DISPOSABLE,685.0,342.5,149.4,616.5,64
RC,0272,CLAMP SURG 1-2MM ART MED SGL-ACTN AROSMICRO STRL DISP 60GM YEL,515.0,257.5,112.32,463.5,64
RC,0272,CLAMP SURG 2-4MM ART MED DBL-ACTN AROSMICRO STRL DISP 60GM YEL,825.0,412.5,179.93,742.5,64
RC,0272,CLAMP SURG MED PLST AROSMICRO F/VN GRN,825.0,412.5,179.93,742.5,64
RC,0272,CLAMP SURG SM MICRO F/CLSD PRSS STRL 40GM,825.0,412.5,179.93,742.5,64
RC,0272,CLAMP SURGICAL PURSE STRING REUSABLE,983.11,491.56,214.42,884.8,64
RC,0272,CLAMP SURGICAL RAYPORT BIOPSY 12MMW JAW POLYPROPYLENE MUSCLE V.MUELLER STERILE REUSABLE,21.98,10.99,4.79,19.78,64
RC,0272,CLAMP SURGICAL REDUCTION BALL SPIKE LARGE,1856.25,928.13,404.85,1670.63,64
RC,0272,CLAMP SURGICAL REDUCTION BALL SPIKE MEDIUM,1760.0,880.0,383.86,1584.0,64
RC,0272,CLAMP SURGICAL VEIN 20G LARGE DOUBLE DISPOSABLE PLASTIC GREEN SINGLE USE STERILE,825.0,412.5,179.93,742.5,64
RC,0272,CLAMP THORACIC V. MUELLER SURGICAL L7.5 IN DELICATE MATTE FINISH 2 ACTION RING HANDLE RIGHT ANGLE STAINLESS STEEL,28.05,14.03,6.12,25.25,64
RC,0272,CLAMP V. MUELLER SURGICAL L1 5/8 IN 2 ACTION COOLEY JAW MATTE FINISH BULLDOG 90 D STAINLESS STEEL L3.1 CM,86.87,43.44,18.95,78.18,64
RC,0272,CLAMP V. MUELLER SURGICAL L2 IN FINELY SERRATED JAW BULLDOG CROSS ACTION MICRO L3/8 IN,82.76,41.38,18.05,74.48,64
RC,0272,CLAMP V. MUELLER SURGICAL L6 1/8 IN MULTIPURPOSE CALIBRATED JAW 60 D L1 1/8 IN,143.51,71.76,31.3,129.16,64
RC,0272,CLAMP V. MUELLER SURGICAL L6.5 IN MULTIPURPOSE CALIBRATED 30 D L1.5 IN,143.51,71.76,31.3,129.16,64
RC,0272,CLAMP V. MUELLER SURGICAL W10 MM POLYPROPYLENE MUSCLE BIOPSY,20.83,10.42,4.54,18.75,64
RC,0272,CLEANER INSTRUMENT 1 GL PROLYSTICA ENZYMATIC CONCENTRATE PRESOAK LIQUID 2X PLEASANT,133.45,66.73,29.11,120.11,64
RC,0272,CLEANER INSTRUMENT 4GA TERAGOL 800,179.0,89.5,39.04,161.1,64
RC,0272,CLEANSER TROCAR TOWEL AND SWAB KIT,252.08,126.04,54.98,226.87,64
RC,0272,CLEANSER WOUND PRIMADERM 118ML DISPOSABLE,34.11,17.06,7.44,30.7,64
RC,0272,"CLEARPETRA NEPHROSTOMY SHEATH 12-14 FR X 15CM, STERILE",421.0,210.5,91.82,378.9,64
RC,0272,"CLEARPETRA NEPHROSTOMY SHEATH 22-24 FR X 17CM, STERILE",421.0,210.5,91.82,378.9,64
RC,0272,"CLEARPETRA URETERAL ACCESS SHEATH 10-12 FR X 36CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,"CLEARPETRA URETERAL ACCESS SHEATH 11-13 FR X 36CM, STERILE",882.0,441.0,192.36,793.8,64
RC,0272,"CLEARPETRA URETERAL ACCESS SHEATH 11-13 FR X 46CM, STERILE",882.0,441.0,192.36,793.8,64
RC,0272,"CLEARPETRA URETERAL ACCESS SHEATH 12-14 FR X 36CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,"CLEARPETRA URETERAL ACCESS SHEATH 12-14 FR X 46CM, STERILE",882.0,441.0,192.36,793.8,64
RC,0272,"CLEARPETRA URETERAL ACCESS SHEATH 12-14 FR X 55CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,CLIP EMAX STERILE IRRIGATION,92.5,46.25,20.17,83.25,64
RC,0272,CLIP ENDOSCOPIC MARKING 235CML CONTROLLED ROTATION RESOLUTION 360,2190.0,1095.0,477.64,1971.0,64
RC,0272,CLIP ENDOSCOPIC MEDIUM LARGE 8.9MM X 7.8MM NO LATCH DS-SINGLE FIRE,168.66,84.33,36.78,151.79,64
RC,0272,CLIP HEMOSTASIS 9MM 1800MM LENGTH,1400.0,700.0,305.34,1260.0,64
RC,0272,CLIP HEMOSTATIC 1 CHANNEL ROTATABLE JAW FIX DEVICE LONG CLIP 135 D LONG,1744.4,872.2,380.45,1569.96,64
RC,0272,CLIP HEMOSTATIC 2.8MM 11MM OPEN 235CM MR CONDITIONAL BRAID CATHETER ROTATION CONTROL KNOB NO SHEATH RESOLUTION 360,3980.0,1990.0,868.04,3582.0,64
RC,0272,CLIP HEMOSTATIC 235CM REPOSITIONABLE DURACLIP COLONOSCOPE 16MM 2.8MM,900.0,450.0,196.29,810.0,64
RC,0272,CLIP HEMOSTATIC ENDOSCOPIC PLUS,1600.0,800.0,348.96,1440.0,64
RC,0272,CLIP HEMOSTATIC L235 CM L2.8 MM RADIOPAQUE OVER SHEATH GRIP MR CONDITIONAL RESOLUTION 11 MM OPEN,3228.7,1614.35,704.18,2905.83,64
RC,0272,CLIP HMCLP SPRFN INTERNAL,350.0,175.0,76.34,315.0,64
RC,0272,CLIP INTERNAL 17MM OPENING 235CML 2.8MML WORKING CHANNEL LIGATION RESOLUTION 360 ULTRA 10/BX,2390.0,1195.0,521.26,2151.0,64
RC,0272,CLIP INTERNAL 17MM OPENING 235CML 2.8MML WORKING CHANNEL LIGATION RESOLUTION 360 ULTRA 20/BX,4380.0,2190.0,955.28,3942.0,64
RC,0272,CLIP INTERNAL HEMOSTATIC 11MM OPENING 235CML RESOLUTION 360 LATEX-FREE NON-RADIOLUCENT 10/BX 2.8MM MINIMUM WORKING CHANNEL,2190.0,1095.0,477.64,1971.0,64
RC,0272,CLIP INTERNAL HEMOSTATIC 11MM OPENING 235CML RESOLUTION 360 LATEX-FREE NON-RADIOLUCENT 2.8MM MINIMUM WORKING CHANNEL,3980.0,1990.0,868.04,3582.0,64
RC,0272,CLIP INTERNAL L12 MM LARGE LIGATURE ABSORBABLE LAPRO-CLIP TITANIUM LAPAROSCOPY,1090.26,545.13,237.79,981.23,64
RC,0272,CLIP INTERNAL L7 IN LIGATE CARTRIDGE BASE WECK HEMOCLIP TANTALUM ENDOSCOPIC,185.0,92.5,40.35,166.5,64
RC,0272,CLIP INTERNAL LARGE TITANIUM NONABSORBABLE W/TAPE ORANGE F/OPEN SURGERY METAL LIGATION SYSTEM HEMOCLIP WECK LATEX-FREE STERILE,151.0,75.5,32.93,135.9,64
RC,0272,CLIP INTERNAL MAKO,92.5,46.25,20.17,83.25,64
RC,0272,CLIP INTERNAL MED HMCLP TI,231.6,115.8,50.51,208.44,64
RC,0272,CLIP INTERNAL MEDIUM CHEVRON LIGATE TRIANGULATE CROSS SECTION HEART WIRE CARTRIDGE WECK HORIZON TITANIUM,282.0,141.0,61.5,253.8,64
RC,0272,CLIP INTERNAL MEDIUM LARGE CHEVRON 24 CARTRIDGE LIGATE TRIANGULATE CROSS SECTION HEART WIRE WECK HORIZON TITANIUM,232.0,116.0,50.6,208.8,64
RC,0272,CLIP INTERNAL MEDIUM LARGE LIGATE NONABSORBABLE CARTRIDGE WECK HEM-O-LOK POLYMER GREEN,427.0,213.5,93.13,384.3,64
RC,0272,CLIP INTERNAL MEDIUM LARGE VESOLOCK,862.0,431.0,188.0,775.8,64
RC,0272,CLIP INTERNAL MEDIUM POLYMER NESTABLE HORIZONTAL ENTRY TIP-TO-TIP CLOSURE BLUE F/OPEN SURGERY LOCKING LIGATION SYSTEM HEM-O-LOK LATEX-FREE STERILE,395.0,197.5,86.15,355.5,64
RC,0272,CLIP INTERNAL MICRO CARTRIDGE GEM TITANIUM HEMOSTATIC,310.0,155.0,67.61,279.0,64
RC,0272,CLIP INTERNAL SMALL 235CMX11MM REPOSITIONABLE DURACLIP COLONOSCOPE HEMOSTASIS 10MM 2.8MM,900.0,450.0,196.29,810.0,64
RC,0272,CLIP INTERNAL SMALL CHEVRON HEART LIGATE TRIANGULATE CROSS SECTION WIRE CARTRIDGE BASE WECK HEMOCLIP TITANIUM YELLOW,1680.0,840.0,366.41,1512.0,64
RC,0272,CLIP INTERNAL STANDARD 35MM HEAD ARTICULATION STIFF SHAFT PLUNGER GRIP ATRICLIP GILLINOV-COSGROVE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,261.72,1080.0,64
RC,0272,CLIP INTERNAL STANDARD 50MM HEAD ARTICULATION STIFF SHAFT PLUNGER GRIP ATRICLIP GILLINOV-COSGROVE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,261.72,1080.0,64
RC,0272,CLIP INTERNAL VESOLOC LARGE STERILE LATEX FREE DISPOSABLE,926.99,463.5,202.18,834.29,64
RC,0272,CLIP INTERNAL XL POLYMER VESSEL TISSUE V-SHAPED TIP LOCKING SMOOTH EDGED DEFINED TOOTH GOLD VESOLOCK,293.0,146.5,63.9,263.7,64
RC,0272,CLIP IRRIGATION RIO,92.5,46.25,20.17,83.25,64
RC,0272,CLIP LIGATION SMALL WIDE 24 CARTRIDGE SYMMETRY VESOCCLUDE TITANIUM,750.0,375.0,163.58,675.0,64
RC,0272,CLIP LOCKADO REPOSITIONABLE 16MM 235CM,1200.0,600.0,261.72,1080.0,64
RC,0272,CLIP LOCKADO REPOSITIONABLE ROTATABLE 22M OPENING WORKING LENGTH,1800.0,900.0,392.58,1620.0,64
RC,0272,CLIP LOCKING REAMER IRRIGATOR ASPIRATOR,196.98,98.49,42.96,177.28,64
RC,0272,CLIP MONITORING DELTA STIMULATING SAFEOP 3 STERILE,125.0,62.5,27.26,112.5,64
RC,0272,CLIP MONITORING STIMULATING SAFEOP 3 STERILE,125.0,62.5,27.26,112.5,64
RC,0272,CLIP NEUROMUSCULAR MECHANOMYOGRAPHY STIMULATION MULTISTAGE,325.0,162.5,70.88,292.5,64
RC,0272,CLIP RETRACTOR PRONG 3MM CORONARY ARTERY INTRA-ART,470.5,235.25,102.62,423.45,64
RC,0272,CLIP SALVATION SPONGE 20/PK,60.7,30.35,13.24,54.63,64
RC,0272,CLIP SCALP CODMAN LEROY-RANEY HYDROCEPHALUS,260.12,130.06,56.73,234.11,64
RC,0272,CLIP SKIN CLOSURE LARGE 11MM X 1IN STANDARD ADHESIVE NON-INVASIVE NEEDLE-FREE DERMACLIP,198.0,99.0,43.18,178.2,64
RC,0272,CLIP SURGICAL 12MM ATRAUMATIC OCCLUSION FULL FORCE STERILE DISPOSABLE STEALTH SOFT/FIBRA,390.0,195.0,85.06,351.0,64
RC,0272,CLIP SURGICAL 3MML CORONARY ARTERY RETRACTION DLP,141.34,70.67,30.83,127.21,64
RC,0272,CLIP SURGICAL 6MM ATRAUMATIC OCCLUSION FIBRA SPRING STERILE STEALTH,390.0,195.0,85.06,351.0,64
RC,0272,CLIP SURGICAL 6MM LOW PROFILE 30MM .5 SPRING FORCE LATEX FREE STEALTH LATIS DARK BLUE,260.0,130.0,56.71,234.0,64
RC,0272,CLIP SURGICAL CLOSED TUBE STERILE GAMMA3,129.35,64.68,28.21,116.42,64
RC,0272,CLIP SURGICAL RANEY PLASTIC SCALP F/CRANIOTOMY GUN,73.19,36.6,15.96,65.87,64
RC,0272,CLIP SURGICAL SPRING LATERAL STIMULATION REVERE,200.0,100.0,43.62,180.0,64
RC,0272,CLIP SURGICAL STIMULATE SAFEOP,112.5,56.25,24.54,101.25,64
RC,0272,CLIP SUTURE ABSORBABLE LAPRA-TY VICRYL POLYDIOXANONE,332.27,166.14,72.47,299.04,64
RC,0272,CLIPPER LEAD 8IN LLD VASCULAR 1 PIECE STYLET CUTTER STERILE DISPOSABLE,99.0,49.5,21.59,89.1,64
RC,0272,CLIPPER LEAD LEAD EXTRACTION STERILE DISPOSABLE,84.69,42.35,18.47,76.22,64
RC,0272,CLOSURE PACK,134.68,67.34,29.37,121.21,64
RC,0272,COAGULATOR SUCTION L31 CM BALL OD5 MM HARMONIC SCALPEL ULTRACISION TITANIUM,981.4,490.7,214.04,883.26,64
RC,0272,"COCHLEAR HEADBAND FOR KANSO 2 SOUND PROCESSOR (S, GREY)",13.0,6.5,2.84,11.7,64
RC,0272,COIL COCHLEAR NUCLEUS 6 CARBON CP900 SERIES,187.0,93.5,40.78,168.3,64
RC,0272,COIL COCHLEAR NUCLEUS 6 SMOKE CP900 SERIES,187.0,93.5,40.78,168.3,64
RC,0272,COIL COCHLEAR NUCLEUS 6 WHITE CP900 SERIES,187.0,93.5,40.78,168.3,64
RC,0272,COIL EMBOLIZATION 7-3MM TORNADO PLATINUM .035IN CATHETER,116.99,58.5,25.52,105.29,64
RC,0272,COIL EMBOLIZATION PRESTIGE PLUS 1 DETACTMENT CONTROLLER,175.0,87.5,38.17,157.5,64
RC,0272,COIL L30 MM OD4 MM EMBOLIZATION POD,1690.0,845.0,368.59,1521.0,64
RC,0272,COIL L35 CM .02 IN THICK SHAPELESS EMBOLIZATION THE PENUMBRA COIL 400 NITINOL PLATINUM,1280.0,640.0,279.17,1152.0,64
RC,0272,COIL L4 CM OD2 MM DETACHABLE LOOP SOLID CORE .018 IN EMBOLIZATION AZUR CX HYDROGEL PERIPHERAL,850.0,425.0,185.39,765.0,64
RC,0272,COIL LEAD RETRIEVAL ONE-TIE COMPRESSION,1113.99,557.0,242.96,1002.59,64
RC,0272,COIL SPECIMEN RETRIEVAL 115CM 10MM 3FR STONE CONE NITINOL ANTIRETROPULSION QUICK RELEASE HANDLE HOLMIUM LASER LITHOTRIPSY STERILE LATEX FREE DISPOSABLE,228.6,114.3,49.86,205.74,64
RC,0272,COLLAR CERVICAL ADULT REGULAR ASPEN CHIN REST ADJUSTABLE STRAP CONTACT CLOSURE PAD PLASTIC FOAM,17.85,8.93,3.89,16.07,64
RC,0272,COLLAR CERVICAL ADULT SHORT ASPEN CHIN REST ADJUSTABLE STRAP CONTACT CLOSURE PAD PLASTIC FOAM,17.85,8.93,3.89,16.07,64
RC,0272,COLLAR CERVICAL ADULT TALL ASPEN CONTACT CLOSURE CHIN REST ADJUSTABLE STRAP PAD LATEX FREE PLASTIC FOAM TRACHEOSTOMY,17.85,8.93,3.89,16.07,64
RC,0272,COLLAR CERVICAL TALL H3.75 IN ASPEN SET REPLACEMENT PAD,26.78,13.39,5.84,24.1,64
RC,0272,COLLAR CERVICAL XTALL 33-40INL FOAM COTTON LINING ADULT HOOK-LOOP VELCRO STRAP CLOSURE W/REPLACEMENT PAD F/MOTION RESTRICTION MINIMIZE SKIN BREAKDOWN ASPEN VISTA LATEX-FREE,17.85,8.93,3.89,16.07,64
RC,0272,COLLAR FIT TEST NA PARTICULATE RESPIRATOR,60.73,30.37,13.25,54.66,64
RC,0272,COLLAR THYROID MAX STYLE (ONE SIZE FITS MOST) HOT PINK,97.5,48.75,21.26,87.75,64
RC,0272,COLLECTOR BONE F/FRAGMENT COLLECTION ANSPACH,217.0,108.5,47.33,195.3,64
RC,0272,COLLECTOR SPECIMEN AUTOLOGOUS TISSUE GRAFTNET,385.0,192.5,83.97,346.5,64
RC,0272,COLLIMATOR RADIOSURGICAL OD14 MM NEOPROBE MODEL 1013,325.0,162.5,70.88,292.5,64
RC,0272,COLON BUNDLE WAKE FOREST BAPTIST CE,98.91,49.46,21.57,89.02,64
RC,0272,COMPONENT APPLICATOR SET BRACHYTHERAPY RIGID GUIDE TUBE 250MM LENGTH,527.0,263.5,114.94,474.3,64
RC,0272,COMPONENT FEMORAL 6 KNEE LEFT NONPOROUS EMPOWR 3D KNEE,2722.5,1361.25,593.78,2450.25,64
RC,0272,COMPONENT FEMORAL KNEE CHECKPOINT STERILE,41.0,20.5,8.94,36.9,64
RC,0272,COMPONENT FEMORAL KNEE TIBIAL CHECKPOINT STERILE,41.0,20.5,8.94,36.9,64
RC,0272,COMPONENT FEMORAL KNEE TIBIAL CHECKPOINT STERILE - 111650,77.5,38.75,16.9,69.75,64
RC,0272,COMPRESSOR EXTERNAL FIXATION OPEN NONSTERILE,501.96,250.98,109.48,451.76,64
RC,0272,COMPRESSOR SURGICAL GRAFT FOR RIA 2 GRAFT FILTER,2203.0,1101.5,480.47,1982.7,64
RC,0272,CONDUIT CARDIOVASCULAR 18MM 2MM AXIUS STANDARD OFFSET TAPER CORONARY ARTERY INTERNAL COIL THREAD TAB VISUALIZATION OF ANASTOMOTIC SITE,482.81,241.41,105.3,434.53,64
RC,0272,CONFORMER OCULAR L22 MM X W19 MM X H4.4 MM SMALL CUP VENT MEDPOR ACRYLIC CRANIOMAXILLOFACIAL ORBITAL,64.11,32.06,13.98,57.7,64
RC,0272,CONFORMER OCULAR L24 MM X W21 MM X H4.4 MM MEDIUM CUP VENT MEDPOR ACRYLIC CRANIOMAXILLOFACIAL ORBITAL,64.11,32.06,13.98,57.7,64
RC,0272,CONFORMER OCULAR L25 MM X W22 MM X H5.6 MM LARGE CUP VENT MEDPOR ACRYLIC CRANIOMAXILLOFACIAL ORBITAL,64.11,32.06,13.98,57.7,64
RC,0272,CONFORMER OPHTHALMIC LARGE PMMA W/HOLE LATEX-FREE STERILE,73.0,36.5,15.92,65.7,64
RC,0272,CONFORMER OPHTHALMIC MEDIUM PMMA W/HOLE LATEX-FREE STERILE,73.0,36.5,15.92,65.7,64
RC,0272,CONFORMER OPHTHALMIC MEDIUM POLYAMIDE 12 PERFORATED HOLE STERILE TRANSLUCENT 23MM,42.0,21.0,9.16,37.8,64
RC,0272,CONFORMER OPHTHALMIC SMALL PERFORATE 20MM,33.0,16.5,7.2,29.7,64
RC,0272,CONNECTOR BREATHING BREATHING CIRCUIT CATHETER MOUNT NONE,650.0,325.0,141.77,585.0,64
RC,0272,CONNECTOR CATHETER URETERAL 1 SIDE CAP OFF,520.0,260.0,113.41,468.0,64
RC,0272,CONNECTOR DIALYSIS PERITONEAL 2 PART LUER ADAPTER ARGYLE TITANIUM STERILE LATEX FREE,111.67,55.84,24.36,100.5,64
RC,0272,CONNECTOR DIALYSIS TITANIUM 2 PART FLEX-NECK CATHETER STERILE,163.0,81.5,35.55,146.7,64
RC,0272,CONNECTOR DRAINAGE L3/8-1/2 MM X W3/16 IN 1:1 4 CHANNEL RADIOPAQUE BLAKE SILICONE CARDIAC WHITE,340.77,170.39,74.32,306.69,64
RC,0272,CONNECTOR DRAINAGE L3/8-1/2 MM X W3/16 IN 2:1 4 CHANNEL RADIOPAQUE SOLID CORE CENTER BLAKE SILICONE CARDIAC WHITE,356.25,178.13,77.7,320.63,64
RC,0272,CONNECTOR DRAINAGE STEPDOWN OD3/16-3/8 IN ADULT,374.34,187.17,81.64,336.91,64
RC,0272,CONNECTOR EXTRACTOR F/UNIVERSAL LAG SCREW EXTRACTION SYSTEM/GAMMA REUSABLE,582.08,291.04,126.95,523.87,64
RC,0272,CONNECTOR FEEDING TUBE L12 IN RIGHT ANGLE 2 CONNECTOR Y PORT MALE ENFIT G-JET PURPLE,82.0,41.0,17.88,73.8,64
RC,0272,CONNECTOR PEG 20FR LF,40.81,20.41,8.9,36.73,64
RC,0272,CONNECTOR PERFUSION 3/8INW X 1/4INL X 3/8INH POLYCARBONATE RESIN EXTRACORPOREAL TUBING STERILE,71.0,35.5,15.49,63.9,64
RC,0272,CONNECTOR PERFUSION REDUCE EQUAL .25IN 3/8IN Y STERILE,59.28,29.64,12.93,53.35,64
RC,0272,CONNECTOR POWER EQUIPMENT FLEXIBLE SHAFT JACOBS JACOBS CHUCK,571.27,285.64,124.59,514.14,64
RC,0272,"CONNECTOR ROTATABLE PAIR OF SINGLE USE, DISPOSABLE SURGICAL CABLES WITH TWO ADAPTORS",400.0,200.0,87.24,360.0,64
RC,0272,CONNECTOR SPINAL 4MM OCCIPITOCERVICOTHORACIC ANGLED LATERAL OFFSET SYMPHONY NON-STERILE,375.0,187.5,81.79,337.5,64
RC,0272,CONNECTOR UNIVERSAL Y 1/8IN PVC DRAINAGE 5IN,33.49,16.75,7.3,30.14,64
RC,0272,CONTAINER BONE CEMENT MIXING AUTOMATIC MIXER SAFE RELIABLE CEMEX STERILE DISPOSABLE,15.0,7.5,3.27,13.5,64
RC,0272,CONTAINER IV STOPPER PVC FREE DEHP FREE NA GLASS 1000 ML,124.14,62.07,27.07,111.73,64
RC,0272,CONTAINER SPECIMEN 3.5IN 5 COMPARTMENT CORE NEEDLE TRANSPORT CORETAINER 1.56LB BREAST BIOPSY,275.0,137.5,59.98,247.5,64
RC,0272,CONTAINER SPECIMEN FILTER ELEMENT LATEX FREE NICO MYRIAD,274.0,137.0,59.76,246.6,64
RC,0272,CONTAINER SPECIMEN TISSUE TANK,259.67,129.84,56.63,233.7,64
RC,0272,CONTROL BLOOD BANK RED CELL 2X11.5ML COR QC TEST MONOCLONAL F/FETAL-MATERNAL BLEED SCREENING GALILEO ECHO NEO,94.39,47.2,20.59,84.95,64
RC,0272,CONTROL HUMAN SERUM LIQUICHEK TRI LEVEL TDM IA LIQUID 5ML 88 ANALYTE IMMUNOLOGY,145.45,72.73,31.72,130.91,64
RC,0272,CONTROL IMMUNOLOGY LYME IGG CONJUGATE LIAISON,540.0,270.0,117.77,486.0,64
RC,0272,CONTROL IMMUNOLOGY LYME IGG LIAISON,100.0,50.0,21.81,90.0,64
RC,0272,CONTROL IMMUNOLOGY LYME IGM CONJUGATE LIAISON,540.0,270.0,117.77,486.0,64
RC,0272,CONTROL IMMUNOLOGY LYME IGM LIAISON,100.0,50.0,21.81,90.0,64
RC,0272,CONTROL SET+ LIAISON ELASTASE-1,180.0,90.0,39.26,162.0,64
RC,0272,CONTROL TOXICOLOGY FENTANYL ALINITY EA,62.46,31.23,13.62,56.21,64
RC,0272,CONTROLLER PATIENT  PROCLAIM,2711.5,1355.75,591.38,2440.35,64
RC,0272,COOK SPHERE INFLATION DEVICE,51.99,26.0,11.34,46.79,64
RC,0272,CORD BIPOLAR ENDOSCOPIC 1-PRONG COAXIAL PIN CONNECTOR F/FORCEP ENDOPATH,33.46,16.73,7.3,30.11,64
RC,0272,CORD ELECTROSURGICAL 10FT USA ELITE SYSTEM BIPOLAR ACTIVE UROLOGY RESECTOSCOPE STERILE DISPOSABLE,336.16,168.08,73.32,302.54,64
RC,0272,CORD ELECTROSURGICAL 12FTL TRIGGER HAND SWITCH F/FOOT SWITCHING LAPAROSCOPIC INSTRUMENT STERILE DISPOSABLE,122.2,61.1,26.65,109.98,64
RC,0272,CORD ELECTROSURGICAL BIPOLAR W/THREE FINGER HANDLES DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,CORD ELECTROSURGICAL L13 FT MONOPOLAR ENERGY DA VINCI XI,284.0,142.0,61.94,255.6,64
RC,0272,CORD ELECTROSURGICAL L17 FT BIPOLAR ENERGY DA VINCI XI,284.0,142.0,61.94,255.6,64
RC,0272,CORD ELECTROSURGICAL MONOPOLAR 10FTL 90DEG ANGLED MALE/FEMALE CONNECTOR VALLEYLAB-STYLE PLUG STERILE SINGLE-USE,156.77,78.39,34.19,141.09,64
RC,0272,CORD ELECTROSURGICAL MONOPOLAR ACTIVE F/ENDOSCOPY BOVIE VALLYLAB GENERATOR LATEX-FREE REUSABLE,178.93,89.47,39.02,161.04,64
RC,0272,CORD ENDOSCOPIC BIPOLAR FOOTSWITCH 12FTL F/MARTIN TAKE-APART NON-STERILE REUSABLE,196.0,98.0,42.75,176.4,64
RC,0272,COUNTERSINK 1.7 MM HPS,120.0,60.0,26.17,108.0,64
RC,0272,COUNTERSINK CANN 3.0X3.5 HEADED,195.0,97.5,42.53,175.5,64
RC,0272,COUNTERSINK DRILL 1.3/1.5/2 MM SCREW,200.48,100.24,43.72,180.43,64
RC,0272,COUNTERSINK DRILL 1.3/1.5MM TIMAX ALPS,95.0,47.5,20.72,85.5,64
RC,0272,COUNTERSINK DRILL 2.7 MM CORTEX SCREW,195.88,97.94,42.72,176.29,64
RC,0272,COUNTERSINK DRILL 2.8MM AO COUPLING CANNULATED 2MM ASNIS MICRO SCREW STERILE DISPOSABLE,252.73,126.37,55.12,227.46,64
RC,0272,COUNTERSINK DRILL 2/2.5MM TIMAX ALPS,95.0,47.5,20.72,85.5,64
RC,0272,COUNTERSINK DRILL 2MM DIA HEADED MINI-MONSTER LATEX-FREE MERCURY-FREE PVC-FREE STERILE SINGLE-USE,215.0,107.5,46.89,193.5,64
RC,0272,COUNTERSINK DRILL 3.5MM CANNULATED DISPOSABLE,158.0,79.0,34.46,142.2,64
RC,0272,COUNTERSINK DRILL 3.5MM DIA PLATE W/AO QUICK-COUPLING,180.0,90.0,39.26,162.0,64
RC,0272,COUNTERSINK DRILL 3.8MM AO COUPLING CANNULATED 3MM ASNIS MICRO SCREW STERILE DISPOSABLE,234.82,117.41,51.21,211.34,64
RC,0272,COUNTERSINK DRILL 5.6MM CANNULATED DISPOSABLE,167.0,83.5,36.42,150.3,64
RC,0272,COUNTERSINK DRILL 7MM LARGE CANNULATED AO FIT,306.46,153.23,66.84,275.81,64
RC,0272,COUNTERSINK DRILL AO FIT 2.7/3.5 MM SCREW,108.46,54.23,23.66,97.61,64
RC,0272,COUNTERSINK DRILL CANNULATED 2 MM SCREW,490.08,245.04,106.89,441.07,64
RC,0272,COUNTERSINK DRILL CANNULATED 2 MM SCREW STERILE,538.92,269.46,117.54,485.03,64
RC,0272,COUNTERSINK DRILL CANNULATED 2.02.4MM CANNULATED COUNTERSINK 2-2.4 MM SCREW,250.0,125.0,54.53,225.0,64
RC,0272,COUNTERSINK DRILL CANNULATED 2.5/3 MM SCREW,430.81,215.41,93.96,387.73,64
RC,0272,COUNTERSINK DRILL CANNULATED 2.5/3 MM SCREW STERILE,474.16,237.08,103.41,426.74,64
RC,0272,COUNTERSINK DRILL CANNULATED 3.5/4 MM SCREW,419.28,209.64,91.44,377.35,64
RC,0272,COUNTERSINK DRILL CANNULATED 3.5/4 MM SCREW STERILE,460.99,230.5,100.54,414.89,64
RC,0272,COUNTERSINK DRILL CANNULATED 4.5/5.5 MM SCREW,490.08,245.04,106.89,441.07,64
RC,0272,COUNTERSINK DRILL CANNULATED 6.5/7.3 MM SCREW,314.19,157.1,68.52,282.77,64
RC,0272,COUNTERSINK DRILL CANNULATED 6.5/7.5 MM SCREW,392.94,196.47,85.7,353.65,64
RC,0272,COUNTERSINK DRILL CANNULATED HEADLESS OD4 MM MEDLINE UNITE,195.0,97.5,42.53,175.5,64
RC,0272,COUNTERSINK DRILL CANNULATED LARGE QUICK COUPLING 6.5 MM 7.5 MM HEAD SCREW STERILE,583.74,291.87,127.31,525.37,64
RC,0272,COUNTERSINK DRILL CANNULATED OD5 MM DART-FIRE,105.47,52.74,23.0,94.92,64
RC,0272,COUNTERSINK DRILL CANNULATED QUICK COUPLING 4.5 MM SCREW,324.0,162.0,70.66,291.6,64
RC,0272,COUNTERSINK DRILL CANNULATED QUICK COUPLING CANNULATED SCREW SYSTEM + 3.5/4 MM HEAD SCREW,583.74,291.87,127.31,525.37,64
RC,0272,COUNTERSINK DRILL L3 MM OD3.3 MM COCHLEAR VISTAFIX BONE ANCHOR HEARING DEVICE,186.75,93.38,40.73,168.08,64
RC,0272,COUNTERSINK DRILL L4 MM CANNULATE COLOR CODED OD4 MM ODSEC4.5 MM MEDLINE OSTEOTOMY,195.0,97.5,42.53,175.5,64
RC,0272,COUNTERSINK DRILL L4 MM OD3.3 MM COCHLEAR VISTAFIX BONE ANCHOR HEARING DEVICE,225.0,112.5,49.07,202.5,64
RC,0272,COUNTERSINK DRILL L7 MM CANNULATE COLOR CODED OD7 MM MEDLINE OSTEOTOMY,295.0,147.5,64.34,265.5,64
RC,0272,COUNTERSINK DRILL LCP 2/2.4MM CORTEX SCREW,147.53,73.77,32.18,132.78,64
RC,0272,COUNTERSINK DRILL MINI MAXLOCK EXTREME POCKETLOCK HUMERUS,123.0,61.5,26.83,110.7,64
RC,0272,COUNTERSINK DRILL MINI QUICK COUPLING 1.3/1.5 MM SCREW,147.53,73.77,32.18,132.78,64
RC,0272,COUNTERSINK DRILL MONSTER 2 MM HEADLESS SCREW,140.0,70.0,30.53,126.0,64
RC,0272,COUNTERSINK DRILL MONSTER 2.5 MM HEADLESS SCREW,140.0,70.0,30.53,126.0,64
RC,0272,COUNTERSINK DRILL MONSTER 3 MM HEADLESS SCREW,140.0,70.0,30.53,126.0,64
RC,0272,COUNTERSINK DRILL MONSTER 4 MM HEAD SCREW,140.0,70.0,30.53,126.0,64
RC,0272,COUNTERSINK DRILL OD2 MM 3.5 MM CORTEX 4 MM CANCELLOUS SCREW,195.88,97.94,42.72,176.29,64
RC,0272,COUNTERSINK DRILL OD2.5 MM MAXTORQUE,160.2,80.1,34.94,144.18,64
RC,0272,COUNTERSINK DRILL OD3.2 MM MAXTORQUE,130.35,65.18,28.43,117.32,64
RC,0272,COUNTERSINK DRILL OD3.8 MM,130.35,65.18,28.43,117.32,64
RC,0272,COUNTERSINK DRILL OD4 MM MAXTORQUE GOLD,147.26,73.63,32.12,132.53,64
RC,0272,COUNTERSINK DRILL OD6.5 MM HUMERAL PLATING SYSTEM HUMERAL PLATE SYSTEM,299.0,149.5,65.21,269.1,64
RC,0272,COUNTERSINK DRILL OD7 MM CHARLOTTE MULTIUSE COMPRESSION SCREW SYSTEM,176.12,88.06,38.41,158.51,64
RC,0272,COUNTERSINK DRILL PERI-LOC 2.7 MM 3.5 MM SCREW,110.55,55.28,24.11,99.5,64
RC,0272,COUNTERSINK DRILL STAINLESS STEEL FO CANNULATED,219.0,109.5,47.76,197.1,64
RC,0272,COUNTERSINK DRILL TOOLS - HCS 2.3 MM SCREW,120.0,60.0,26.17,108.0,64
RC,0272,COUNTERSINK DRILL TOOLS - HCS 3 MM SCREW,120.0,60.0,26.17,108.0,64
RC,0272,COUNTERSINK DRILL TOOLS - HCS 3.5 MM SCREW,120.0,60.0,26.17,108.0,64
RC,0272,COUNTERSINK DRILL W/AO QUICK-CONNECT F/2.4MM SCREWS EVOS LATEX-FREE,178.4,89.2,38.91,160.56,64
RC,0272,COUNTERSINK FT CANNULATED 3MM,500.0,250.0,109.05,450.0,64
RC,0272,COUNTERSINK MIS FT CANNULATED 3.5 MM,195.0,97.5,42.53,175.5,64
RC,0272,COVER BACK XL TABLE STERILE-Z,509.99,255.0,111.23,458.99,64
RC,0272,COVER DRAPE Z FOLD BACK TABLE STERILE-Z STERILE,409.99,205.0,89.42,368.99,64
RC,0272,COVER EQUIPMENT 88INW X 125INL CONTROL PLUS FABRIC U-SHAPED ABSORBENT REINFORCED W/ARMBOARD FLUID POUCH LATEX-FREE STERILE,13.07,6.54,2.85,11.76,64
RC,0272,COVER EQUIPMENT TABLE 98.5INW X 46INL 2-TIER,315.0,157.5,68.7,283.5,64
RC,0272,COVER FDTB PLST F/RECVR SYS REPL CORTRAK LF,673.94,336.97,146.99,606.55,64
RC,0272,COVER LOCKING SHORELINE 6-7MM STANDALONE ANTERIOR CERVICAL INTERBODY FUSION NONSTERILE LATEX FREE,30.0,15.0,6.54,27.0,64
RC,0272,COVER MICROSCOPE 115CMW X 300CML W/HLT ANGLED LENS LEICA,485.0,242.5,105.78,436.5,64
RC,0272,COVER POSITIONING ALLEN ADVANCE FOAM ULTRA COMFORT SHEER REDUCE BACK MOISTURE ABSORBE DISPOSABLE,379.53,189.77,82.78,341.58,64
RC,0272,COVER POSITIONING ALLEN ADVANCE LARGE FOAM ULTRA COMFORT,329.0,164.5,71.75,296.1,64
RC,0272,COVER PROBE ULTRASOUND 5INW X 96INL POLYETHYLENE ENDOCAVITY TELESCOPICALLY FOLDED F/INTRAOPERATIVE ULTRACOVER LATEX-FREE STERILE DISPOSABLE,276.93,138.47,60.4,249.24,64
RC,0272,COVER PROBE ULTRASOUND SILICONE ENDOCAVITY STANDOFF F/TYPE 8658 ENDORECTAL SCANNING REUSABLE,250.0,125.0,54.53,225.0,64
RC,0272,COVER ROBOTIC TIP 8MML HOT SHEAR W/ACCESSORIES/MONO SCISSORS ENDOWRIST DA VINCI S/SI LATEX-FREE NON-RADIOLUCENT NON-STERILE SINGLE-USE,210.0,105.0,45.8,189.0,64
RC,0272,COVER TABLE 60IN 2 TIER BACK STERILE,303.54,151.77,66.2,273.19,64
RC,0272,COVER TABLE 72IN HALYARD BASICS THK5.5 MIL HEAVY DUTY BACK PAD FANFOLD 2 TIER STERILE DISPOSABLE,487.45,243.73,106.31,438.71,64
RC,0272,COVER TRANSDUCER 244X15.2CM TELESCOPIC FOLD COLOR ELASTIC BAND ATTACH TIP POLY LATEX FREE STERILE INTRAOPERATIVE SURGI-BOOT,161.28,80.64,35.18,145.15,64
RC,0272,COVER ULTRASOUND DIGITAL IVUS STERILE EQUIPEMENT COVER DIGITAL IVUS,120.0,60.0,26.17,108.0,64
RC,0272,CRANIOTOMY PACK,337.38,168.69,73.58,303.64,64
RC,0272,CRICOTHYROTOMY TRAY,1642.0,821.0,358.12,1477.8,64
RC,0272,CROSSWISE MULTI-USE RF ADAPTER CABLE,1200.0,600.0,261.72,1080.0,64
RC,0272,CROSSWISE RF TRANSSEPTAL ACCESS SYSTEM COMPATIBLE WITH AGILIS STEERABLE SHEATH 71CM,3200.0,1600.0,697.92,2880.0,64
RC,0272,CROSSWISE RF TRANSSEPTAL ACCESS SYSTEM COMPATIBLE WITH FLEXCATH ADVANCE SHEATH 65CM,3200.0,1600.0,697.92,2880.0,64
RC,0272,CROSSWISE RF TRANSSEPTAL ACCESS SYSTEM COMPATIBLE WITH SWARTZ FIXED SHEATH 63CM,3200.0,1600.0,697.92,2880.0,64
RC,0272,CROSSWISE RF TRANSSEPTAL ACCESS SYSTEM COMPATIBLE WITH WATCHMAN SHEATH 75CM,3200.0,1600.0,697.92,2880.0,64
RC,0272,CUFF BLOOD PRESSURE ACUMEN IQ LARGE FINGER NONINVASIVE AUTOMATIC CALCULATE UNLOCK HEMODYNAMIC,2010.75,1005.38,438.54,1809.68,64
RC,0272,CUFF ENDOSCOPIC ULTRASOUND BALLOON BALLOON3 NATURAL RUBBER,697.0,348.5,152.02,627.3,64
RC,0272,CUFF ENDOSCOPIC ULTRASOUND BALLOON BALLOON3 NATURAL RUBBER GF-UM30P GF-UC30P GF-UC140P-AL5 GF-UCT140-AL5,578.0,289.0,126.06,520.2,64
RC,0272,CUFF TOURNIQUET 18X4IN ATS CYLINDRICAL 1 PORT 1 BLADDER WITHOUT SLEEVE STERILE LATEX FREE DISPOSABLE,204.67,102.34,44.64,184.2,64
RC,0272,CUFF TOURNIQUET 18X4IN ATS CYLINDRICAL 1 PORT 2 BLADDER WITHOUT SLEEVE STERILE LATEX FREE DISPOSABLE,124.29,62.15,27.11,111.86,64
RC,0272,CUFF TOURNIQUET 24X4IN ATS CYLINDRICAL 2 PORT 2 BLADDER WITHOUT SLEEVE STERILE LATEX FREE DISPOSABLE,310.0,155.0,67.61,279.0,64
RC,0272,CUFF TOURNIQUET 24X5.5IN COLOR CUFF 2 PORT 2 BLADDER QUICK CONNECT DISPOSABLE,190.0,95.0,41.44,171.0,64
RC,0272,CUFF TOURNIQUET 30X4IN ATS CYLINDRICAL 1 PORT BLADDER LUER LOCK STERILE DISPOSABLE,188.0,94.0,41.0,169.2,64
RC,0272,CUFF TOURNIQUET 34INL SINGLE BLADDER/PORT LUER LOCK CONNECTION W/LIMB PROTECTION SLEEVE LATEX-FREE STERILE DISPOSABLE,165.0,82.5,35.99,148.5,64
RC,0272,CUFF TOURNIQUET 4.5INW X 24INL CONTOURED SINGLE-PORT SINGLE BLADDER W/PLC CONNECTOR F/PRESSURE REDUCTION STERILE DISPOSABLE 10/BX,157.0,78.5,34.24,141.3,64
RC,0272,CUFF TOURNIQUET 4.5INW X 30INL CONTOURED DUAL-PORT SINGLE BLADDER W/SLEEVE PLC CONNECTOR F/PRESSURE REDUCTION STERILE DISPOSABLE 10/BX,211.0,105.5,46.02,189.9,64
RC,0272,CUFF TOURNIQUET 4.5INW X 34INL CONTOURED DUAL-PORT SINGLE BLADDER W/SLEEVE PLC CONNECTOR F/PRESSURE REDUCTION STERILE DISPOSABLE 10/BX,232.0,116.0,50.6,208.8,64
RC,0272,CUFF TOURNIQUET 4INW X 18INL CYLINDRICAL SINGLE BLADDER/PORT POSITIVE LOCKING CONNECTOR W/40IN TUBING LIMB PROTECTION SLEEVE A.T.S LATEX-FREE STERILE DISPOSABLE,140.0,70.0,30.53,126.0,64
RC,0272,CUFF TOURNIQUET 5.5INW X 18INL ADULT SINGLE PORT DOUBLE BLADDER LUER CONNECTOR BLUE F/BIER BLOCK PROCEDURE COLOR CUFF LATEX-FREE,13.04,6.52,2.84,11.74,64
RC,0272,CUFF TOURNIQUET CYLINDER 12X3.5IN 1 PORT 1 BLADDER POSITIVE LOCK CONNECTOR ATS 750/1200 STERILE LATEX FREE DISPOSABLE BLACK,120.12,60.06,26.2,108.11,64
RC,0272,CUFF TOURNIQUET CYLINDRICAL L24 IN X W4 IN 1 PORT 1 BLADDER SLEEVE ATS OD16.5-23 IN,165.0,82.5,35.99,148.5,64
RC,0272,CUFF TOURNIQUET CYLINDRICAL L24 IN X W4 IN 2 PORT 1 BLADDER QUICK CONNECT LOW PROFILE COLOR CUFF L40 IN YELLOW,190.0,95.0,41.44,171.0,64
RC,0272,CUFF TOURNIQUET GREEN 24X4IN ATS 2 PORT 2 BLADDER WITHOUT SLEEVE POSITIVE LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE,250.0,125.0,54.53,225.0,64
RC,0272,CUFF TOURNIQUET GREEN 24X4IN ATS CYLINDER 1 PORT 1 BLADDER POSITIVE LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0272,CUFF TOURNIQUET L34 IN X W4.5 IN 1 BLADDER 2 PORT CONTOUR PLC,205.0,102.5,44.71,184.5,64
RC,0272,CUFF TOURNIQUET RED 18X4IN ATS CYLINDRICAL 1 PORT 1 BLADDER LUER LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE,204.67,102.34,44.64,184.2,64
RC,0272,CUFF TOURNIQUET RENEWAL COLOR CUFF REPROCESSED 4IN X 18IN 40IN TUBING 1-BLADDER 2-PORT POSITIVE LOCKING QUICK-CONNECTOR RED ADULT CYLINDRICAL W/LIMB PROTECTION SLEEVE LATEX-FREE STERILE DISPOSABLE 10/,112.5,56.25,24.54,101.25,64
RC,0272,CUFF TOURNIQUET ROYAL BLUE 30X4IN COLOR CUFF CYLINDRICAL 2 PORT 1 BLADDER QUICK CONNECT LOW PROFILE 40IN STERILE LATEX FREE DISPOSABLE,120.4,60.2,26.26,108.36,64
RC,0272,CUP ACETABULAR G7 SUCTION,75.0,37.5,16.36,67.5,64
RC,0272,CUP COLPOTOMIZER KOH CUP UTERINE 3CM ULTEM RESIN DELINEATOR NONSTERILE LAPAROSCOPIC HYSTERECTOMY SYSTEM,419.96,209.98,91.59,377.96,64
RC,0272,CUP COLPOTOMIZER KOH CUP UTERINE 4CM ULTEM DELINEATOR NONSTERILE LAPAROSCOPIC HYSTERECTOMY SYSTEM,419.96,209.98,91.59,377.96,64
RC,0272,CUP VACUUM 60MM DIA 198MML 4FTL TUBING 130MML STEM SILICONE POLYETHYLENE 65ML CAPACITY BELL SHAPED BAFFLED UNIQUE FLARED EDGE W/FLUID TRAP TENDER TOUCH STERILE SINGLE-USE,223.7,111.85,48.79,201.33,64
RC,0272,CUP VACUUM EXTRACTION L4 FT BELL TUBE FILTER OD64 MM MITYVAC MITYSOFT POLYETHYLENE,374.36,187.18,81.65,336.92,64
RC,0272,CUP VACUUM EXTRACTION PEARL EDGE MITYVAC 60MM POLYETHYLENE STANDARD BELL TUBE FILTER 4FT STERILE LATEX FREE DISPOSABLE,267.41,133.71,58.32,240.67,64
RC,0272,CURETTE 10GA IVAS LATEX FREE ENDOSCOPIC,523.1,261.55,114.09,470.79,64
RC,0272,CURETTE 2 EXPRESS KYPHON T TIP SURGICAL,375.0,187.5,81.79,337.5,64
RC,0272,CURETTE 2 INTEGRA ENT ADENOID SURGICAL,290.0,145.0,63.25,261.0,64
RC,0272,CURETTE 2 STRAIGHT L10 IN V. MUELLER CERVICAL SPINE CUP SURGICAL BLUE,210.6,105.3,45.93,189.54,64
RC,0272,CURETTE 8X6MM PLASTIC SMALL CEMENT STERILE NO-SCRATCH WHITNEY CURETTE DISPOSABLE SURGICAL BLUE,425.95,212.98,92.9,383.36,64
RC,0272,CURETTE ADENOID 4 LUSK DISPOSABLE SURGICAL,227.18,113.59,49.55,204.46,64
RC,0272,CURETTE DERMAL 3MM STAINLESS STEEL SEMISHARP CUT EDGE TEXTURE HANDLE SEAMLESS STERILE DISPOSABLE SURGICAL,109.69,54.85,23.92,98.72,64
RC,0272,CURETTE IVAS OD11 GA ENDOSCOPIC,523.1,261.55,114.09,470.79,64
RC,0272,CURETTE MEYERHOEFER L125 MM OD1.75 MM 1 OPHTHALMIC L31 MM FLAT HANDLE STRAIGHT SHAFT CUP POLISH FINISH CHALAZION,53.27,26.64,11.62,47.94,64
RC,0272,CURETTE SLIGHT CURVE L12 IN V MUELLER KEVORKIAN-YOUNGE SURGICAL STAINLESS STEEL ENDOCERVICAL BIOPSY,58.8,29.4,12.82,52.92,64
RC,0272,CURETTE SUCTION CANNULATED 6MM DIA 60ML FLEXIBLE LOCKING SYRINGE LATEX-FREE,150.77,75.39,32.88,135.69,64
RC,0272,CURETTE SURGICAL SCOVILLE 10INL 4MMW X 10MML CUP REVERSE ANGLED FLARED LATERALLY OVAL RUPTURED DISC MERCURY-FREE STERILE,214.16,107.08,46.71,192.74,64
RC,0272,CUSA CLARITY 23KHZ STANDARD TIP (5-PACK),4228.29,2114.15,922.19,3805.46,64
RC,0272,CUSHION WHEELCHAIR 17X17IN WAFFLE PREINFLATE VALVELESS NONSTERILE LATEX FREE REUSABLE,129.12,64.56,28.16,116.21,64
RC,0272,CUSTOM MANOMETER CVP SAFETY LARGE 1-PIECE W/STOPCOCK LATEX-FREE 20/CA,266.17,133.09,58.05,239.55,64
RC,0272,CUSTOM SUPPLEMENTAL MODEL HALF 00132 LP,1507.0,753.5,328.68,1356.3,64
RC,0272,CUTTER ARTHROSCOPIC COOLCUT OD4 MM CURVE BONE L13 CM,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II 10MM SHORT KNEE ANATOMIC SOCKET 3.5MM PREDRILL PIN STEP DRILL SLEEVE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II 11MM SHORT KNEE ANATOMIC SOCKET 3.5MM PREDRILL PIN STEP DRILL SLEEVE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II 8.5MM SHORT KNEE ANATOMIC SOCKET 3.5MM PREDRILL PIN STEP DRILL SLEEVE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II 9.5MM SHORT KNEE ANATOMIC SOCKET 3.5MM PREDRILL PIN STEP DRILL SLEEVE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II 9MM SHORT KNEE ANATOMIC SOCKET 3.5MM PREDRILL PIN STEP DRILL SLEEVE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD10 MM RETROGRADE LOW PROFILE ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD10.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD10.5 MM SHORT KNEE ANATOMIC SOCKET 3.5 MM PREDRILL PIN STEP DRILL SLEEVE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD11 MM ACL PCL DRILL PIN FEMORAL SOCKET RETROGRADE LOW PROFILE BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD7 MM ACL PCL DRILL PIN FEMORAL SOCKET RETROGRADE LOW PROFILE BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD7.5 MM RETROGRADE ACL PCL DRILL PIN FEMORAL SOCKET HOUSING REAMER BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD8 MM RETROGRADE LOW PROFILE ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD8.5 MM RETROGRADE LOW PROFILE ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD9 MM RETROGRADE ACL PCL DRILL PIN FEMORAL SOCKET HOUSING REAMER BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II OD9.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING RETROGRADE BLUE,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II RETROCONSTRUCTION OD11.5 MM ACL PCL DRILL PIN REAMER,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER II RETROCONSTRUCTION OD12 MM ACL PCL DRILL PIN REAMER,325.0,162.5,70.88,292.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER III 6-12 MM,415.0,207.5,90.51,373.5,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER OD10 MM RETROGRADE KNEE ANATOMIC SOCKET MIS,408.0,204.0,88.98,367.2,64
RC,0272,CUTTER ARTHROSCOPIC FLIPCUTTER OD11 MM RETROGRADE KNEE ANATOMIC SOCKET MIS,285.0,142.5,62.16,256.5,64
RC,0272,CUTTER ARTHROSCOPIC RETROCUTTER OD10 MM FEMUR TIBIA ANATOMIC SOCKET FLEXIBLE TUNNEL,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER ARTHROSCOPIC RETROCUTTER OD10.5 MM FEMUR TIBIA ANATOMIC SOCKET FLEXIBLE TUNNEL,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER ARTHROSCOPIC RETROCUTTER OD9 MM FEMUR TIBIA ANATOMIC SOCKET FLEXIBLE TUNNEL,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER ARTHROSCOPIC RETROCUTTER OD9.5 MM FEMUR TIBIA ANATOMIC SOCKET FLEXIBLE TUNNEL,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER BONE CUTTING L13 CM BONE CUTTER OD5.5 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER BONE CUTTING L13 CM CURVED OD4 MM,39.0,19.5,8.51,35.1,64
RC,0272,CUTTER BONE CUTTING L13 CM OD3.8 MM COOLCUT,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER BONE CUTTING L13 CM OD5 MM COOLCUT,39.0,19.5,8.51,35.1,64
RC,0272,CUTTER BONE CUTTING L19 CM CURVED HIP LENGTH OD4.2 MM ADAPTEUR,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER BONE CUTTING L19 CM HIP LENGTH POWER SYSTEM RESECTOR OD4.2 MM ADAPTEUR,195.0,97.5,42.53,175.5,64
RC,0272,CUTTER CABLE NA TRIGGER HANDLE,1292.91,646.46,281.98,1163.62,64
RC,0272,CUTTER ECHELON LINEAR 100MM,283.28,141.64,61.78,254.95,64
RC,0272,CUTTER ECHELON LINEAR 60MM,120.02,60.01,26.18,108.02,64
RC,0272,CUTTER ECHELON LINEAR 80MM,185.77,92.89,40.52,167.19,64
RC,0272,CUTTER ENDOSCOPIC 2.8MM LOOP AUTOCLAVABLE 230CM REUSABLE,419.8,209.9,91.56,377.82,64
RC,0272,CUTTER ENDOSCOPIC 3.5MM FULL RADIUS ARTHROSCOPIC STERILE SMALL JOINT,209.16,104.58,45.62,188.24,64
RC,0272,CUTTER ENDOSCOPIC 3.5MM FULL RADIUS STERILE FORMULA SMALL JOINT,397.55,198.78,86.71,357.8,64
RC,0272,CUTTER ENDOSCOPIC 3.5MM RESECTOR SHAVER BLADE STERILE 125MM LATEX FREE DISPOSABLE,316.71,158.36,69.07,285.04,64
RC,0272,CUTTER ENDOSCOPIC 5.5MM RESECTOR STERILE FORMULA LATEX FREE,397.55,198.78,86.71,357.8,64
RC,0272,CUTTER ENDOSCOPIC 5MM ANGLED AGGRESSIVE PLUS STERILE FORMULA,344.91,172.46,75.22,310.42,64
RC,0272,CUTTER ENDOSCOPIC 5MM STRAIGHT AGGRESSIVE PLUS STERILE LATEX FREE DISPOSABLE ASCENSION,387.12,193.56,84.43,348.41,64
RC,0272,CUTTER ENDOSCOPIC AGGRESSIVE OD2.5 MM TPS SMALL-JOINT SMALL JOINT,330.11,165.06,72.0,297.1,64
RC,0272,CUTTER ENDOSCOPIC AGGRESSIVE OD3.5 MM FORMULA SMALL JOINT,397.55,198.78,86.71,357.8,64
RC,0272,CUTTER ENDOSCOPIC AGGRESSIVE OD3.5 MM TPS SMALL-JOINT SMALL JOINT,330.11,165.06,72.0,297.1,64
RC,0272,CUTTER ENDOSCOPIC ARTICULATE LINEAR 8 FIRING ENDOPATH ETS 45MM 34CM DISPOSABLE,549.54,274.77,119.85,494.59,64
RC,0272,CUTTER ENDOSCOPIC FULL RADIUS OD2.5 MM FORMULA SMALL JOINT,397.55,198.78,86.71,357.8,64
RC,0272,CUTTER ENDOSCOPIC FULL RADIUS OD2.5 MM TPS SMALL-JOINT SMALL JOINT,302.22,151.11,65.91,272.0,64
RC,0272,CUTTER ENDOSCOPIC L11 CM 40 D AGGRESSIVE OD4 MM HUMMER IV,746.38,373.19,162.79,671.74,64
RC,0272,CUTTER RESECTOR 5MM,263.0,131.5,57.36,236.7,64
RC,0272,CUTTER RING STERILE BD BEAVER LATEX FREE,120.51,60.26,26.28,108.46,64
RC,0272,CUTTER SHAVER AGGRESSIVE 4MM DIA STAINLESS STEEL STRAIGHT DOUBLE BITE SERRATED RED HUB FORMULA LATEX-FREE STERILE DISPOSABLE,69.27,34.64,15.11,62.34,64
RC,0272,CUTTER SHAVER AGGRESSIVE PLUS 5MM DIA ANGLED ULTIMATE DISPOSABLE,185.0,92.5,40.35,166.5,64
RC,0272,CUTTER SHAVER MICROENDOSCOPIC AGGRESSIVE 2.5MM DIA 7CML TEMPOROMANDIBULAR JOINT F/ENT IRRIGATION,548.1,274.05,119.54,493.29,64
RC,0272,CUTTER STITCH SUTURE SEQUENT,89.24,44.62,19.46,80.32,64
RC,0272,CUTTER SURGICAL ALTO STAINLESS STEEL 7.9CM 6.3MM,195.3,97.65,42.59,175.77,64
RC,0272,CUTTER SURGICAL L42 MM INSTRUMENT KNEE PATELLA,640.0,320.0,139.58,576.0,64
RC,0272,CUTTER SUTURE REMOVAL KNOT PUSHER MENISCAL CINCH 2-0 FIBERWIRE ARTHROSCOPY,125.0,62.5,27.26,112.5,64
RC,0272,CUTTER SUTURE REMOVAL LEFT NOTCH OPEN END OD4.2 MM ARTHROSCOPY,1050.0,525.0,229.01,945.0,64
RC,0272,CUTTER SUTURE REMOVAL MANAGER NOVOCUT,175.0,87.5,38.17,157.5,64
RC,0272,CUTTER WIRE 1.6MM DIA 5.5MML METAL TPS LATEX-FREE,111.57,55.79,24.33,100.41,64
RC,0272,CUTTER WIRE 2.5MM DIA F/SMALL EXTERNAL FIXATOR SET LATEX-FREE NON-STERILE,934.54,467.27,203.82,841.09,64
RC,0272,CUTTER WIRE C1.6MM VITAL STAINLESS STEEL TUNGSTEN CARBIDE GOLD 8IN,248.42,124.21,54.18,223.58,64
RC,0272,CUTTER WIRE L9 IN C2.4 MM SIDE CUT VITAL TUNGSTEN CARBIDE,234.17,117.09,51.07,210.75,64
RC,0272,CUTTING LOOP BIPOLAR 24/26 FR.,2586.82,1293.41,564.19,2328.14,64
RC,0272,CVC DRSG CHNG W SILVER LG 7MM,836.4,418.2,182.42,752.76,64
RC,0272,CVC DRSG CHNG W SILVER SM 4MM,836.4,418.2,182.42,752.76,64
RC,0272,CYSTO PACK SOT4FCYWFA,146.28,73.14,31.9,131.65,64
RC,0272,CYSTO PACK SOT4GCPNHA,118.62,59.31,25.87,106.76,64
RC,0272,CYSTO PACK SOT4JCYUNA,49.24,24.62,10.74,44.32,64
RC,0272,CYSTOSCOPE FLEXIBLE L15.4 IN X W2.2 MM 210 D UP 120 D DOWN REVERSE DEFLECTION LEVER OD16.2 FR ASCOPE 4,875.0,437.5,190.84,787.5,64
RC,0272,CYSTOSCOPE SINGLE USE URO-N INJECTION,121.0,60.5,26.39,108.9,64
RC,0272,CYSTOSCOPE SINGLE USE UROVIU GHD A+ A FLEXIBLE DEFLECTABLE HD,500.0,250.0,109.05,450.0,64
RC,0272,CYSTOSCOPE UROVIU URO-V,420.0,210.0,91.6,378.0,64
RC,0272,CYSTOTOME SURGICAL L1850 MM OD6 FR ID1.4 MM IDSEC2 MM L2.5 MM ACCEPTS .025-.035 IN GUIDEWIRE,900.0,450.0,196.29,810.0,64
RC,0272,D AND C,115.76,57.88,25.25,104.18,64
RC,0272,D AND C PACK,115.68,57.84,25.23,104.11,64
RC,0272,DECLOGGER ENTERAL TUBE L12 IN ORAL SYRINGE POWDER APPLICATOR PREMIX CLOG ZAPPER MALTODEXTRIN PAPAIN ASCORBIC ACID GAUZE L4 IN X W4 IN 10 ML,217.3,108.65,47.39,195.57,64
RC,0272,DENTAL PACK,58.98,29.49,12.86,53.08,64
RC,0272,DETACHER COIL HELICAL 3D FRAME INSTANT AXIUM ID NYLON,54.6,27.3,11.91,49.14,64
RC,0272,DEV NEEDLE BIOPSY CYTOCORE,625.0,312.5,136.31,562.5,64
RC,0272,DEVICE ABLATION CARDIOBLATE LOW PROFILE STERILE LATEX FREE DISPOSABLE,2575.0,1287.5,561.61,2317.5,64
RC,0272,DEVICE ACCLARENT SE TUBE PRESSURE GAUGE VACUUM LINE INFLATION BALLOON SINUPLASTY DISPOSABLE BLUE,372.75,186.38,81.3,335.48,64
RC,0272,DEVICE AERIS INFLATION DISPOSABLE,45.0,22.5,9.81,40.5,64
RC,0272,DEVICE ANGIOGRAPHY INFLATION BASIXALPHA 20ML W/MAP 152 ACCESSPLUS 20ATM,300.0,150.0,65.43,270.0,64
RC,0272,DEVICE ATOMIZATION AEROSOL PHARYNGEAL MUCOSAL QUICK-REFERENCE FLEXIBLE CANNULA LMA MADGICWAND LATEX-FREE SINGLE-USE,240.79,120.4,52.52,216.71,64
RC,0272,DEVICE ATRICLIP 40MM STANDARD 6MM HEAD ARTICULATION STIFF SHAFT PLUNGER GRIP CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,261.72,1080.0,64
RC,0272,DEVICE ATRICLIP PROV 50MM TIP FIRST OPEN END CLIP CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM 12MM PORT,5500.0,2750.0,1199.55,4950.0,64
RC,0272,DEVICE BALLOON INFLATION ACCLARENT HIGH PRESSURE SYRINGE BARREL PISTON HANDLE GAUGE STERILE DISPOSABLE,372.75,186.38,81.3,335.48,64
RC,0272,DEVICE BALLOON INFLATION ENDOSCOPIC PLASTIC 10ML CAPACITY ATRION QL,59.85,29.93,13.05,53.87,64
RC,0272,DEVICE BIOPSY 11CM 18GA 17GA ADJUSTABLE COAXIAL TEMNO 9-19MM SOFT TISSUE COAXIAL INTRODUCER NEEDLE SAMPLE NOTCH ECHOGENIC MARK BEVEL CANNULA STYLET TIP 6CM DISPOSABLE,442.0,221.0,96.4,397.8,64
RC,0272,DEVICE BIOPSY 14CM 20GA 19GA ADJUSTABLE COAXIAL TEMNO 15CM ECHOGENIC MARK SEMIAUTOMATE SAMPLE NOTCH COAXIAL INTRODUCER 20CM LATEX FREE DISPOSABLE,487.5,243.75,106.32,438.75,64
RC,0272,DEVICE BIOPSY 15CM 20GA BARD MONOPTY 11MM CORE PENETRATION STERILE LATEX FREE DISPOSABLE,375.85,187.93,81.97,338.27,64
RC,0272,DEVICE BIOPSY 9CM 18GA BARD MONOPTY 11MM CORE PENETRATION STERILE LATEX FREE DISPOSABLE,393.75,196.88,85.88,354.38,64
RC,0272,DEVICE BIOPSY CORBI 2 RECTUM SUCTION CAPSULE STERILE,990.0,495.0,215.92,891.0,64
RC,0272,DEVICE BIOPSY CORE 18GA 6CML SOFT TISSUE SEMI-AUTOMATIC W/TRUGUIDE COAXIAL BLUNT TIP STYLET 10MM ADAPTER MISSION LATEX-FREE STERILE DISPOSABLE,190.0,95.0,41.44,171.0,64
RC,0272,DEVICE BIOPSY GREEN 11CM 20GA 19GA ADJUSTABLE COAXIAL TEMNO 5CM ECHOGENIC MARK SEMIAUTOMATE SAMPLE NOTCH COAXIAL INTRODUCER 6CM DISPOSABLE,442.0,221.0,96.4,397.8,64
RC,0272,DEVICE BIOPSY L10 CM FULL CORE INDICATOR FORWARD TRIGGER COLOR CODED OD18 GA BIOPINCE ULTRA,280.0,140.0,61.07,252.0,64
RC,0272,DEVICE BIOPSY L14 CM 20 MM L15 CM LIGHTWEIGHT COAXIAL INTRODUCER NEEDLE ECHOGENIC MARK BEVEL CANNULA STYLET TIP OD18 GA ODSEC17 GA ACHIEVE L20 CM SOFT TISSUE,488.55,244.28,106.55,439.7,64
RC,0272,DEVICE BIOPSY L15 CM 9-19 MM COAXIAL INTRODUCER NEEDLE SAMPLE NOTCH ECHOGENIC MARK BEVEL CANNULA STYLET TIP OD18 GA ODSEC17 GA ADJUSTABLE COAXIAL TEMNO A.C.T. L10 CM SOFT TISSUE,442.0,221.0,96.4,397.8,64
RC,0272,DEVICE BIOPSY L15 CM FULL CORE CO-AXIAL INTRODUCER OD18 GA ODSEC17 GA BIOPINCE ULTRA L11.8 CM,351.08,175.54,76.57,315.97,64
RC,0272,DEVICE BIOPSY L15 CM FULL CORE INDICATOR FORWARD TRIGGER COLOR CODED OD18 GA BIOPINCE ULTRA,280.0,140.0,61.07,252.0,64
RC,0272,DEVICE BIOPSY L20 CM 18 G CO AXIAL INTRODUCER NEEDLE FORWARD TRIGGER BIOPINCE ULTRA,351.08,175.54,76.57,315.97,64
RC,0272,DEVICE BIOPSY L20 CM 2 NOTCH COAXIAL INTRODUCER SHARP CUT EDGE ECHOGENIC MARK OD18 GA ODSEC17 GA TEMNO EVOLUTION L15 CM SOFT TISSUE,174.35,87.18,38.03,156.92,64
RC,0272,DEVICE BIOPSY L20 CM ECHOGENIC COAXIAL INTRODUCER NEEDLE SEMIAUTOMATIC LIGHTWEIGHT ADJUSTABLE OD18 GA ODSEC17 GA SUPERCORE L14.9 CM,470.71,235.36,102.66,423.64,64
RC,0272,DEVICE BIOPSY L5 CM 20 MM L6 CM COAXIAL INTRODUCER SAMPLE NOTCH ECHOGENIC MARK BEVEL CANNULA STYLET TIP OD14 GA ODSEC13.5 GA PINK ACHIEVE L11 CM BREAST,191.45,95.73,41.76,172.31,64
RC,0272,DEVICE BIOPSY ULTRASOUND FINE NEEDLE OD22 GA ACQUIRE ENDOBRONCHIAL,376.3,188.15,82.07,338.67,64
RC,0272,DEVICE BIOPSY ULTRASOUND FINE NEEDLE OD25 GA ACQUIRE ENDOBRONCHIAL,376.3,188.15,82.07,338.67,64
RC,0272,DEVICE BIOPSY ULTRASOUND FINE NEEDLE TAPER POINT CLIP OD22 GA ACQUIRE S FRANSEEN,395.0,197.5,86.15,355.5,64
RC,0272,DEVICE BIOPSY ULTRASOUND FINE NEEDLE TAPER POINT CLIP OD25 GA ACQUIRE S FRANSEEN,418.7,209.35,91.32,376.83,64
RC,0272,DEVICE BLOWER/MISTER ACCUMIST ATTACHED TUBING SET,600.0,300.0,130.86,540.0,64
RC,0272,DEVICE BLOWER/MISTER CLEARVIEW TUBE SET N180 N185 STERILE LATEX FREE,210.0,105.0,45.8,189.0,64
RC,0272,DEVICE BLUE DIAMOND SYRINGE EXTENSION TUBING 3 WAY STOPCOCK INFLATION 30 ATM 13IN,230.25,115.13,50.22,207.23,64
RC,0272,DEVICE BONE BIOPSY 2 CONE TAPER LUER FIT SPECIMEN COLLECTION CANNULA XPANDER KYPHX EXPRESS SPINE,113.0,56.5,24.65,101.7,64
RC,0272,DEVICE BONE BIOPSY 3 KYPHX KYPHON SPINE,130.0,65.0,28.35,117.0,64
RC,0272,DEVICE BONE MARROW ASPIRATION ACCESS SMARTSHOT,695.0,347.5,151.58,625.5,64
RC,0272,DEVICE BONE MARROW ASPIRATION ANKLE SMARTSHOT,550.0,275.0,119.96,495.0,64
RC,0272,DEVICE BONE MARROW ASPIRATION SMARTSHOT,550.0,275.0,119.96,495.0,64
RC,0272,DEVICE BX 14GAX13CM MARQUEE COR LF STRL SUD,325.0,162.5,70.88,292.5,64
RC,0272,DEVICE BX 16GAX16CM MARQUEE COR LF STRL SUD,325.0,162.5,70.88,292.5,64
RC,0272,DEVICE BX 18GAX16CM MARQUEE COR LF STRL SUD,340.0,170.0,74.15,306.0,64
RC,0272,DEVICE BX 18GAX20CM MARQUEE COR LF STRL SUD,340.0,170.0,74.15,306.0,64
RC,0272,DEVICE CARDIOVASCULAR AORTIC CUFF,416.25,208.13,90.78,374.63,64
RC,0272,DEVICE CARDIOVASCULAR AORTIC EXPOSURE COLLAR CUFF STERILE,683.0,341.5,148.96,614.7,64
RC,0272,DEVICE CHOLANGIOGRAM F/EXALT MODEL D AUTOCAP RX,169.49,84.75,36.97,152.54,64
RC,0272,DEVICE CIRCUMCISION CLEAR 1.5CM PLASTIBELL PLASTIC GROOVE LIGATURE PEDIATRIC STERILE LATEX FREE DISPOSABLE,202.5,101.25,44.17,182.25,64
RC,0272,DEVICE CLOSURE 0 GS-21 .5 CIRCLE 6IN 37MM LTXFREE V-LOC,186.0,93.0,40.57,167.4,64
RC,0272,DEVICE CLOSURE 10/12 MM XL CARTER-THOMASON II PORT SUTURE PASSER GUIDE RETRACTABLE,715.5,357.75,156.05,643.95,64
RC,0272,DEVICE CLOSURE L12 IN 2-0 GS-22 TAPER POINT V-LOC 90 ABSORBABLE VIOLET,570.84,285.42,124.5,513.76,64
RC,0272,DEVICE CLOSURE L12 IN 3-0 CV-23 V-LOC 90 ABSORBABLE VIOLET,570.96,285.48,124.53,513.86,64
RC,0272,DEVICE CLOSURE L12 IN 3-0 P-12 V-LOC 180 ABSORBABLE PREMIUM REVERSE CUT CLEAR,349.68,174.84,76.27,314.71,64
RC,0272,DEVICE CLOSURE L12 IN 3-0 V-20 V-LOC 90 ABSORBABLE VIOLET,570.96,285.48,124.53,513.86,64
RC,0272,DEVICE CLOSURE L12 IN 4-0 P-12 V-LOC 90 ABSORBABLE UNDYED,552.0,276.0,120.39,496.8,64
RC,0272,DEVICE CLOSURE L162 CM D1 CM PADLOCK CLIP HEMOSTATIC MR CONDITIONAL OVER THE SCOPE ENDOSCOPIC CLIP 1 HAND ACTUATION OD9.5-11 MM ODSEC1.1 CM,474.7,237.35,103.53,427.23,64
RC,0272,DEVICE CLOSURE L18 IN 0 GS-25 1/2 CIRCLE V-LOC 180 TAPER POINT ABSORBABLE L48 MM GREEN,629.76,314.88,137.35,566.78,64
RC,0272,DEVICE CLOSURE L18 IN 2-0 P-14 V-LOC 90 ABSORBABLE UNDYED,399.0,199.5,87.02,359.1,64
RC,0272,DEVICE CLOSURE L18 IN 3-0 P-12 V-LOC 180 ABSORBABLE CLEAR,629.76,314.88,137.35,566.78,64
RC,0272,DEVICE CLOSURE L18 IN 3-0 P-12 V-LOC 90 SURGALLOY ABSORBABLE PREMIUM REVERSE CUT UNDYED,629.76,314.88,137.35,566.78,64
RC,0272,DEVICE CLOSURE L18 IN 4-0 V-20 V-LOC 90 SURGALLOY ABSORBABLE TAPER POINT VIOLET,399.0,199.5,87.02,359.1,64
RC,0272,DEVICE CLOSURE L23 CM 0 GS-22 V-LOC 180 ABSORBABLE GREEN,746.4,373.2,162.79,671.76,64
RC,0272,DEVICE CLOSURE L23 CM 2-0 GS-21 V-LOC 180 ABSORBABLE L37 MM GREEN,543.72,271.86,118.59,489.35,64
RC,0272,DEVICE CLOSURE L23 IN 3-0 P-12 V-LOC 90 SURGALLOY ABSORBABLE PREMIUM REVERSE CUT UNDYED,446.88,223.44,97.46,402.19,64
RC,0272,DEVICE CLOSURE L6 IN 0 CT-1 SPIRAL STRATAFIX SPIRAL PDS PLUS ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET,304.9,152.45,66.5,274.41,64
RC,0272,DEVICE CLOSURE L6 IN 0 GS-21 V-LOC NONABSORBABLE TAPER POINT BLUE,681.24,340.62,148.58,613.12,64
RC,0272,DEVICE CLOSURE L6 IN 2-0 GS-21 V-LOC 90 ABSORBABLE VIOLET,333.0,166.5,72.63,299.7,64
RC,0272,DEVICE CLOSURE L6 IN 3-0 CV-23 V-LOC 180 ABSORBABLE GREEN,543.72,271.86,118.59,489.35,64
RC,0272,DEVICE CLOSURE L6 IN 3-0 SH SPIRAL STRATAFIX SPIRAL PDS PLUS ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET,304.9,152.45,66.5,274.41,64
RC,0272,DEVICE CLOSURE L8 IN 2-0 V-LOC 180 ABSORBABLE RELOAD GREEN,607.62,303.81,132.52,546.86,64
RC,0272,DEVICE CLOSURE L9 IN 1 GS-21 SYNETURE V-LOC ABSORBABLE BLUE,746.52,373.26,162.82,671.87,64
RC,0272,DEVICE CLOSURE L9 IN 2-0 GS-22 SYNETURE V-LOC NONABSORBABLE BLUE,746.4,373.2,162.79,671.76,64
RC,0272,DEVICE CLOSURE L9 IN 3-0 GS-21 V-LOC 90 ABSORBABLE VIOLET,543.72,271.86,118.59,489.35,64
RC,0272,DEVICE CLOSURE L9 IN 4-0 V-20 V-LOC 180 ABSORBABLE GREEN,520.12,260.06,113.44,468.11,64
RC,0272,DEVICE CLOSURE PRESSURE ASSISTED 12CML ADHESIVE CLEAR WINDOW W/ADJUSTABLE BULB LUER-LOCK PORT F/DRESSING SAFEGUARD STERILE,500.0,250.0,109.05,450.0,64
RC,0272,DEVICE COMPRESSION 24CM SAFEGUARD PRESSURE ASSIST HEMOSTASIS INACTIVE STERILE,1650.0,825.0,359.87,1485.0,64
RC,0272,DEVICE COMPRESSION 24CML 20ML STANDARD LUER PRELUDESYNC STERILE,99.0,49.5,21.59,89.1,64
RC,0272,DEVICE COMPRESSION 26CML RADIAL SELF ADHESIVE WRISTBAND WINDOW STANDARD LUER-LOCK CLEAR SAFEGUARD,320.0,160.0,69.79,288.0,64
RC,0272,DEVICE COMPRESSION 29CML 20ML STANDARD LUER PRELUDESYNC STERILE,99.0,49.5,21.59,89.1,64
RC,0272,DEVICE COMPRESSION L17 CM ADHESIVE FREE FLEXIBLE STRAP SAFEGUARD FOCUS L15 CM 120 ML,400.0,200.0,87.24,360.0,64
RC,0272,DEVICE COMPRESSION L24 CM BAND PRELUDESYNC DISTAL,175.0,87.5,38.17,157.5,64
RC,0272,DEVICE COMPRESSION L24 CM LARGE CLEAR WINDOW AREA VISIBLE TARGET SOFT PRELUDESYNC EVO 30 ML RADIAL PLUNGER,99.0,49.5,21.59,89.1,64
RC,0272,DEVICE COMPRESSION L24 CM REGULAR 2 BALLOON TRANSPARENT ADJUSTABLE STRAP TR BAND RADIAL ARTERY,125.0,62.5,27.26,112.5,64
RC,0272,DEVICE COMPRESSION L29 CM LARGE 2 BALLOON TRANSPARENT ADJUSTABLE STRAP AIR TITRATION TR BAND RADIAL ARTERY,125.0,62.5,27.26,112.5,64
RC,0272,DEVICE COMPRESSION L29 CM STANDARD LUER SYRINGE LARGE WINDOW AREA SOFT BAND PRELUDESYNC EVO RADIAL ARTERY,99.0,49.5,21.59,89.1,64
RC,0272,DEVICE COMPRESSION LONG NA TITANIUM CANNULATED TIBIAL NAIL,390.65,195.33,85.2,351.59,64
RC,0272,DEVICE COMPRESSION PNEUMATIC DOME INTEGRATE DIGITAL MANOMETER ADJUSTABLE BELT HEMOSTATIC DRESSING FEMOSTOP GOLD,800.0,400.0,174.48,720.0,64
RC,0272,DEVICE COMPRESSION SITE SEAL,3000.0,1500.0,654.3,2700.0,64
RC,0272,DEVICE COMPRESSION TITANIUM TIBIA,632.96,316.48,138.05,569.66,64
RC,0272,DEVICE COMPRESSION XL BREAST REDUCTION,293.0,146.5,63.9,263.7,64
RC,0272,DEVICE CRYOSURGICAL CANISTER CLARIFIX CRYOTHERAPY,1733.14,866.57,378.0,1559.83,64
RC,0272,DEVICE CRYOSURGICAL HANDHELD 1 CRYOPROBE 2 CAP CRYOGEN CANISTER CLARIFIX CRYOTHERAPY,1733.14,866.57,378.0,1559.83,64
RC,0272,DEVICE DIGITEX SUT DEL,2084.0,1042.0,454.52,1875.6,64
RC,0272,DEVICE DIRECT MEASURINGF/2.8MM,176.32,88.16,38.46,158.69,64
RC,0272,DEVICE DISTRACTION COMPRESSION POST STARDRIV BALL TIP OD3.5 MM VARIABLE ANGLE LOCK HOLE,229.16,114.58,49.98,206.24,64
RC,0272,DEVICE DISTRACTION COMPRESSION POST STARDRIVE BALL TIP OD2.7 MM 2.7MM VA-LCP LATERAL DISTAL LEFT FIBULA PLATE,304.01,152.01,66.3,273.61,64
RC,0272,DEVICE DRUG DELIVERY MICROSPONGE VECTRA F,300.0,150.0,65.43,270.0,64
RC,0272,DEVICE DUPLOCATH .17CM 35CM 2 LUMEN TISSEEL CLOSURE STERILE LATEX FREE DISPOSABLE,70.73,35.37,15.43,63.66,64
RC,0272,DEVICE DUPLOCATH 180CM CATHETER CLOSURE STERILE LATEX FREE DISPOSABLE,41.34,20.67,9.02,37.21,64
RC,0272,DEVICE EAGLE 10CC LUMINESCENT PRESSURE GAUGE QUICK LOCK MECHANISM PREASSEMBLE INFLATION 30- ATM STERILE LATEX FREE DISPOSABLE,42.87,21.44,9.35,38.58,64
RC,0272,DEVICE EAGLE 20ML NITINOL GUIDEWIRE LUMINESCENT DIAL QUICK LOCK MECHANISM INFLATION UROLOGICAL STERILE LATEX FREE DISPOSABLE,62.76,31.38,13.69,56.48,64
RC,0272,DEVICE ELECTROSURGICAL 2.4MM DIA STANDARD 15FTL HOLSTER HEX LOCKING F/FORCETRIAD ENERGY PLATFORM FORCE TRIVERSE LATEX-FREE STERILE DISPOSABLE,735.25,367.63,160.36,661.73,64
RC,0272,DEVICE ELECTROSURGICAL L10 FT CORD HOLSTER HEX LOCK BLADE POWER CONTROL FORCE TRIVERSE EDGE ACCEPTS 3/32 IN SHAFT ELECTRODE FORCETRIAD ENERGY PLATFORM,917.25,458.63,200.05,825.53,64
RC,0272,DEVICE ELECTROSURGICAL L12 CM BIPOLAR VESSEL SEAL INDICATION CURVE JAW OD5 MM BIZACT ADULT TONSILLECTOMY,1716.9,858.45,374.46,1545.21,64
RC,0272,DEVICE ELECTROSURGICAL L25 CM 3 MM CURVE TIP OD5 MM ENSEAL TRIO TISSUE,2314.27,1157.14,504.74,2082.84,64
RC,0272,DEVICE ELECTROSURGICAL L35 CM 3 MM CURVE TIP OD5 MM ENSEAL TRIO TISSUE,2411.92,1205.96,526.04,2170.73,64
RC,0272,DEVICE ELECTROSURGICAL PLASMABLADE X PINK 3.0S LIGHT,440.0,220.0,95.96,396.0,64
RC,0272,DEVICE EMBOLIZATION DETACHMENT AZUR,895.05,447.53,195.21,805.55,64
RC,0272,DEVICE EMBOLIZATION DETACHMENT CONTROLLER WEB ANEURYSM EMBOLIZATION SYSTEM,185.0,92.5,40.35,166.5,64
RC,0272,DEVICE EMBOLIZATION HANDHELD DETACHMENT CONTROLLER OPTIMA,205.0,102.5,44.71,184.5,64
RC,0272,DEVICE ENCORE 20CC FINGER LATCH PRESSURE GAUGE INFLATION LATEX FREE,32.13,16.07,7.01,28.92,64
RC,0272,DEVICE ENCORE 26 20ML 1 PACK INLINE GAUGE INFLATION,30.0,15.0,6.54,27.0,64
RC,0272,DEVICE ENCORE 26 INFLATION LATEX FREE,40.0,20.0,8.72,36.0,64
RC,0272,DEVICE ENDOSCOPIC 200CM 3MM INFINITY NITINOL DRIVE WIRE STIFFER SOFTER BRISTLE LONG SHORT GUIDEWIRE STERILE LATEX FREE DISPOSABLE,651.91,325.96,142.18,586.72,64
RC,0272,DEVICE ENDOSCOPIC 200CM 7.5FR INFINITY NITINOL DRIVE WIRE BRUSH STIFFER BRISTLE DETACHABLE HANDLE ERCP LONG SHORT GUIDEWIRE LATEX FREE,678.39,339.2,147.96,610.55,64
RC,0272,DEVICE ENDOSCOPIC CLEANING 5-7/7-12MM F/TROCAR TROCLEAN STERILE DISPOSABLE,252.35,126.18,55.04,227.12,64
RC,0272,DEVICE ENDOSCOPIC FIXATION ABSORBABLE POLY L LACTIDE-CO-GLYCOLIDE PLG ANGLED TIP ARTICULATING HOLLOW CORE F/MESH HERNIA REPAIR OPTIFIX AT FASTENERX15,1750.0,875.0,381.68,1575.0,64
RC,0272,DEVICE ENDOSCOPIC FIXATION W/ABSORBABLE STRAP SECURESTRAP LATEX-FREE SINGLE-USE,524.7,262.35,114.44,472.23,64
RC,0272,DEVICE ENDOSCOPIC FIXATION W/ZIPLOOP TECHNOLOGY F/AC JOINT RECONSTRUCTION TOGGLELOC ZIPTIGHT DISPOSABLE,612.0,306.0,133.48,550.8,64
RC,0272,DEVICE ENDOSCOPIC INSUFLOW GAS CONDITION STERILE LATEX FREE DISPOSABLE,1275.0,637.5,278.08,1147.5,64
RC,0272,DEVICE ENDOSCOPIC LOCKING F/PENTAX SCOPE FUSION STERILE,129.0,64.5,28.13,116.1,64
RC,0272,DEVICE ENDOSCOPIC WIRE GUIDE LOCKING F/PENTAX MEDICAL SNAPLOC,260.0,130.0,56.71,234.0,64
RC,0272,DEVICE EXTERNAL FIXATION PULL REDUCTION 4.3 MM PERCUTANEOUS DRILL GUIDE,405.13,202.57,88.36,364.62,64
RC,0272,DEVICE EXTRACTION MANUAL MORCELLATION CONTAINMENT GUARDENIA,1375.0,687.5,299.89,1237.5,64
RC,0272,DEVICE FIXATION 160CM HELIX TACK SUTURE X-TACK POLYPROPYLENE,2481.0,1240.5,541.11,2232.9,64
RC,0272,DEVICE FIXATION 235CM ENDOSCOPIC HELIX TACK X-TACK STERILE DISPOSABLE,2481.0,1240.5,541.11,2232.9,64
RC,0272,DEVICE FIXATION 35.5MM 5MM PROTACK TITANIUM 30 HELICAL TACK HERNIA MESH STERILE LATEX FREE DISPOSABLE,4520.82,2260.41,985.99,4068.74,64
RC,0272,DEVICE FIXATION ACL PCL OD1.2 MM ENDOBUTTON GUIDEWIRE CANNULATED DRILL,336.0,168.0,73.28,302.4,64
RC,0272,DEVICE FIXATION ACROMIOCLAVICULAR JOINT TIGHTROPE TWIN TAIL,575.0,287.5,125.41,517.5,64
RC,0272,DEVICE FIXATION L45 MM SPEED PIN RIM,43.2,21.6,9.42,38.88,64
RC,0272,DEVICE FIXATION MENISCAL OD17 GA AIR+ 9 D CURVE DOWN FLEXIBLE NEEDLE INLINE DEPLOYMENT VARIABLE DEPTH SETTER ANCHOR STAINLESS STEEL NITINOL BLUE,500.0,250.0,109.05,450.0,64
RC,0272,DEVICE FIXATION OD5 MM ABSORBATACK 15 TACK ABSORBABLE PISTOL GRIP HANDLE POLYESTER VIOLET LAPAROSCOPIC HERNIA REPAIR,3901.44,1950.72,850.9,3511.3,64
RC,0272,DEVICE FIXATION OD5 MM ABSORBATACK 20 TACK ABSORBABLE LAPAROSCOPIC HERNIA REPAIR,3386.3,1693.15,738.55,3047.67,64
RC,0272,DEVICE FIXATION OD5 MM ABSORBATACK 30 TACK ABSORBABLE PISTOL GRIP HANDLE POLYESTER VIOLET LAPAROSCOPIC HERNIA REPAIR,3828.06,1914.03,834.9,3445.25,64
RC,0272,DEVICE FIXATION PROCINCH ADJUSTABLE LOOP REVERSE TENSION,1328.0,664.0,289.64,1195.2,64
RC,0272,DEVICE FIXATION SEQUENT 4 CURVE NEEDLE MENISCAL REPAIR SYSTEM,1028.6,514.3,224.34,925.74,64
RC,0272,DEVICE FIXATION SEQUENT 7 CURVE NEEDLE MENISCAL REPAIR SYSTEM,1310.41,655.21,285.8,1179.37,64
RC,0272,DEVICE FIXATION STERNAL KIT CLOSURE 6FTSC,1325.0,662.5,288.98,1192.5,64
RC,0272,DEVICE FIXATION TRUESPAN 0 D NONABSORBABLE NEEDLE TRIGGER LOW PROFILE PEEK MENISCAL REPAIR SYSTEM,462.0,231.0,100.76,415.8,64
RC,0272,DEVICE FIXATION ULTRA FAST-FIX AB REVERSE CURVE MENISCAL REPAIR SYSTEM,355.0,177.5,77.43,319.5,64
RC,0272,DEVICE FIXATION ULTRA FAST-FIX AB STRAIGHT MENISCAL REPAIR SYSTEM,381.77,190.89,83.26,343.59,64
RC,0272,DEVICE FIXATION ULTRA FAST-FIX REVERSE CURVE MENISCAL REPAIR SYSTEM,314.0,157.0,68.48,282.6,64
RC,0272,DEVICE FIXATION VIOLET 5MM ABSORBATACK POLYESTER 30 TACK ABSORBABLE PISTOL GRIP HANDLE LAPAROSCOPIC HERNIA REPAIR STERILE DISPOSABLE,3828.06,1914.03,834.9,3445.25,64
RC,0272,DEVICE FIXATION ZIPTIGHT STAINLESS STEEL ANKLE SYNDESMOSIS,485.0,242.5,105.78,436.5,64
RC,0272,DEVICE GATEWAY ENCORE ADVANTAGE 20ML KIT TORQUE GUIDEWIRE INTRODUCER INFLATION 20MM 3MM,30.0,15.0,6.54,27.0,64
RC,0272,DEVICE GUIDEWIRE WIRECLIP TORQUER,27.5,13.75,6.0,24.75,64
RC,0272,DEVICE HOLDING GUIDEWIRE REAM ROD,848.89,424.45,185.14,764.0,64
RC,0272,DEVICE INDEFLATOR PLUS 30 10ML ROTATABLE HEMOSTATIC VALVE GUIDEWIRE INTRODUCER TORQUE DEVICE INFLATION 30 ATM .115IN DISPOSABLE,50.0,25.0,10.91,45.0,64
RC,0272,DEVICE INFLATION 20/30 INDEFLATOR 30 ATM 20 CC,25.0,12.5,5.45,22.5,64
RC,0272,DEVICE INFLATION 26GA W/SYRINGE TORQUE ENCORE LATEX-FREE NON-RADIOLUCENT TIP,200.0,100.0,43.62,180.0,64
RC,0272,DEVICE INFLATION 30 ATM/BAR.20 ML.MAP152 METAL INSERTION TOOL TORQUE 3-WAY 500 PSI BASIXCOMPAK SINGLE-USE,561.0,280.5,122.35,504.9,64
RC,0272,DEVICE INFLATION ATRION 40ML 15 ATM,750.0,375.0,163.58,675.0,64
RC,0272,DEVICE INFLATION CRE STERI-FLATE,35.0,17.5,7.63,31.5,64
RC,0272,DEVICE INFLATION HIGH PRESSURE 40ATM/BAR TYVEK PLASTIC 30ML STOPCOCK BLISTER,50.0,25.0,10.91,45.0,64
RC,0272,DEVICE INFLATION L 13 IN BASIXCOMPAK 30 ATM ANALOG LUMINESCENT DISPLAY POLYCARBONATE 20ML CLEAR,241.0,120.5,52.56,216.9,64
RC,0272,DEVICE INFLATION L13 IN BASIXCOMPAK 30 ATM ANALOG LUMINESCENT DISPLAY POLYCARBONATE 20 ML CLEAR,289.2,144.6,63.07,260.28,64
RC,0272,DEVICE INFLATION L13 IN BIG60 12 ATM 3 WAY STOPCOCK EXTENSION TUBE MALE ROTATE LUER ANALOG DISPLAY POLYCARBONATE 60 ML,200.0,100.0,43.62,180.0,64
RC,0272,DEVICE INFLATION OD.115 IN 20/30 INDEFLATOR 30 ATM ROTATABLE HEMOSTATIC VALVE GUIDEWIRE INTRODUCER TORQUE 20 ML,50.0,25.0,10.91,45.0,64
RC,0272,DEVICE INFLATION REPROCESSED W/ACCESSORIES ENCORE 26,23.96,11.98,5.23,21.56,64
RC,0272,DEVICE INFLATION WITH LUER LOCK CONNECTOR 20ML 30ATM,126.24,63.12,27.53,113.62,64
RC,0272,DEVICE IRRIGATION SUCTION CATHETER TIP SYRINGE IRRIGATOR HANDLE WASH DELIVERY SYSTEM HYDROCLEANSE SINUS,148.75,74.38,32.44,133.88,64
RC,0272,DEVICE KYPHOPLASTY BONE BIOPSY/TAMP 13GA SEMI-AUTOMATIC KYPHON V DISPOSABLE,80.75,40.38,17.61,72.68,64
RC,0272,DEVICE LACRICATH CATHETER BALLOON INFLATION DISPOSABLE,57.0,28.5,12.43,51.3,64
RC,0272,DEVICE LEAD LOCKING 65CM .027-.032IN LLD 3 TRANSVENOUS PLATINUM IRIDIUM EZ PROXIMAL LOOP FLEXIBLE STABLE 45LB DISPOSABLE,1810.0,905.0,394.76,1629.0,64
RC,0272,DEVICE LOCKING GUIDEWIRE BIOPSY CAP CLEVERLOCK,128.95,64.48,28.12,116.06,64
RC,0272,DEVICE LOCKING GUIDEWIRE SNAPLOC OLYMPUS,260.0,130.0,56.71,234.0,64
RC,0272,DEVICE LOCKING GUIDEWIRES 0.025 IN AND 0.035 IN OLYMPUS COMPAT FOR ERCP AUTOCAP RX STERILE,169.49,84.75,36.97,152.54,64
RC,0272,DEVICE LOCKING RAPID EXCHANGE BIOPSY CAP PENTAX PENTAX ENDOSCOPE,117.09,58.55,25.54,105.38,64
RC,0272,DEVICE MEASURING 4.5 MM HEADLESS COMPRESSION SCREW,280.04,140.02,61.08,252.04,64
RC,0272,DEVICE MEASURING BALLOON STOMA GUIDEWIRE,119.0,59.5,25.95,107.1,64
RC,0272,DEVICE MEASURING DIRECT 1.8MM KIRSCHNER WIRE,731.34,365.67,159.51,658.21,64
RC,0272,DEVICE MEASURING DIRECT 100 MM LOCK SCREW INTRAMEDULLARY NAIL,174.23,87.12,38.0,156.81,64
RC,0272,DEVICE MEASURING DIRECT 2 MM KIRSCHNER WIRE,118.29,59.15,25.8,106.46,64
RC,0272,DEVICE MEASURING DIRECT 5 MM CANNULATED SCREW,384.61,192.31,83.88,346.15,64
RC,0272,DEVICE MEASURING DIRECT EXPERT LOCK SCREW,158.49,79.25,34.57,142.64,64
RC,0272,DEVICE MEASURING DIRECT LCP 1.6 MM KIRSCHNER WIRE SMALL FRAGMENT SET,126.61,63.31,27.61,113.95,64
RC,0272,DEVICE MEASURING DIRECT YELLOW HELICAL BLADE SCREW,568.25,284.13,123.94,511.43,64
RC,0272,DEVICE MEASURING L10-15 MM 3.5 MM 1 CUT OSCILLATE SAW,319.5,159.75,69.68,287.55,64
RC,0272,DEVICE MEASURING LOCK TITANIUM FEMORAL NAIL EXPERT,203.34,101.67,44.35,183.01,64
RC,0272,DEVICE MEASURING NA 1.8 MM SHORT THREAD DRILL GUIDE,591.45,295.73,129.0,532.31,64
RC,0272,DEVICE MEASURING OPEN WEDGE OSTEOTOMY,1004.34,502.17,219.05,903.91,64
RC,0272,DEVICE MEASURING RADIOPAQUE 3 MM SCREW,237.63,118.82,51.83,213.87,64
RC,0272,DEVICE MEASURING SPIRAL BLADE RETROGRADE FEMORAL NAIL EXPERT,203.34,101.67,44.35,183.01,64
RC,0272,DEVICE MEASURING SPIRAL BLADE TITANIUM CANNULATED HUMERAL NAIL EXPERT,744.37,372.19,162.35,669.93,64
RC,0272,DEVICE MICROSURGICAL BLUE YELLOW 5FR MICROMAT SILICONE SUCTION BACKGROUND STERILE DISPOSABLE,650.0,325.0,141.77,585.0,64
RC,0272,DEVICE PESSARY COLPASSIST VAGINAL 2 END POSITION FLAT SUTURE SURFACE MULTIDIRECTION MANIPULATION,433.89,216.95,94.63,390.5,64
RC,0272,DEVICE POSITIONING ARM FOREARM WRIST TRACTION SLING STAR SLEEVE VELCRO FOAM,600.0,300.0,130.86,540.0,64
RC,0272,DEVICE POSITIONING FOREARM WRIST LATERAL TRACTION ROTATION STRAP COBAN STAR SLEEVE FOAM,420.0,210.0,91.6,378.0,64
RC,0272,DEVICE POSITIONING LEFT OPEN TIP RADIOPAQUE SLEEVE FINGERSHIELD POLYESTER BLUE WHITE,350.0,175.0,76.34,315.0,64
RC,0272,DEVICE POSITIONING LIF PTP MODULE 2.0,300.0,150.0,65.43,270.0,64
RC,0272,DEVICE POSITIONING TRAP SUSPENSION ROPE LOOP ARM PLASTIC,227.43,113.72,49.6,204.69,64
RC,0272,DEVICE POSITIONING WRIST MEDIUM KIT STABILIZATION NA,335.0,167.5,73.06,301.5,64
RC,0272,DEVICE PRESSURE MONITOR INTRAABDOMINAL KIT FOLEY CATHETER URINARY STERILE,657.0,328.5,143.29,591.3,64
RC,0272,DEVICE PRESTO 30CC LARGE BARREL INFLATE LOW / ULTRA HIGH PRESSURE INFLATION STERILE DISPOSABLE,110.0,55.0,23.99,99.0,64
RC,0272,DEVICE QUILL MONODERM 14X14CM 2-0 3/8 CIRCLE 26MM MONOFILAMENT ABSORBABLE KNOTLESS REVERSE CUT CLEAR CLOSURE,157.32,78.66,34.31,141.59,64
RC,0272,DEVICE RESOLUTION 360 ULTRA CLIP 235CM M00521402,4380.0,2190.0,955.28,3942.0,64
RC,0272,DEVICE SEALING BIPOLAR REPROCESSED 13.5MM DIA 18CML 180DEG ANGLED CURVED JAW HAND FOOTSWITCH ACTIVATION F/OPEN TISSUE FUSION FORCETRIAD ENERGY PLATFORM LIGASURE IMPACT STERILE SINGLE-USE,342.22,171.11,74.64,308.0,64
RC,0272,DEVICE SECUREMENT LARGE STRAPX2 CATHGRIP STERILE,586.43,293.22,127.9,527.79,64
RC,0272,DEVICE SECUREMENT ODSEC6-24 FR REVOLUTION ADHESIVE,300.0,150.0,65.43,270.0,64
RC,0272,DEVICE SECUREMENT STATLOCK IAB STABILIZATION DATASCOPE,404.02,202.01,88.12,363.62,64
RC,0272,DEVICE SECUREMENT STATLOCK PERCUTANEOUS SHEATH INTRODUCER STABILIZATION DATASCOPE,404.02,202.01,88.12,363.62,64
RC,0272,DEVICE SPECIMEN RETRIEVAL 10MM INZII STANDARD GUIDE BEAD 225ML ENDOSCOPIC LATEX FREE,340.0,170.0,74.15,306.0,64
RC,0272,DEVICE SPECIMEN RETRIEVAL 12/15MM 12MM INZII MONARCH GUIDEBEAD 1600ML ENDOSCOPIC LATEX FREE,500.0,250.0,109.05,450.0,64
RC,0272,DEVICE SPECIMEN RETRIEVAL 160CM 2.5MM TALON STAINLESS STEEL 4 PRONG GRASPER INWARD HOOK SHEATH DISPOSABLE,660.47,330.24,144.05,594.42,64
RC,0272,DEVICE SPECIMEN RETRIEVAL 200CM 1.9MM RAPTOR HYBRID JAW FLEXIBLE DISTAL WIRE GRASP STERILE DISPOSABLE,581.48,290.74,126.82,523.33,64
RC,0272,DEVICE SPECIMEN RETRIEVAL 5MM INZII UNIVERSAL GUIDE BEAD 180ML ENDOSCOPIC LATEX FREE,340.0,170.0,74.15,306.0,64
RC,0272,DEVICE SPECIMEN RETRIEVAL OD2.4 MM HYBRID JAW FLEXIBLE DISTAL WIRE GRASP RAPTOR L230 CM,540.75,270.38,117.94,486.68,64
RC,0272,DEVICE SPHERE 60ML INFLATION,91.0,45.5,19.85,81.9,64
RC,0272,DEVICE STONE RETRIEVAL 120CM 1.9FR 11MM DAKOTA OPENSURE NITINOL 3 ARM FLEXIBLE BASKET LATEX FREE,198.45,99.23,43.28,178.61,64
RC,0272,DEVICE STONE RETRIEVAL 120CM 1.9FR 8MM DAKOTA OPENSURE NITINOL 3 ARM FLEXIBLE BASKET,198.45,99.23,43.28,178.61,64
RC,0272,DEVICE STRATAFIX MONOCRYL PLUS 45CM 2-0 CT-1 SPIRAL ANTIBACTERIAL ABSORBABLE KNOTLESS TISSUE CONTROL UNDYED CLOSURE,285.75,142.88,62.32,257.18,64
RC,0272,DEVICE STRATAFIX PDO 9IN 0 MH SPIRAL ABSORBABLE KNOTLESS TISSUE CONTROL 2 ARM VIOLET CLOSURE,243.49,121.75,53.11,219.14,64
RC,0272,DEVICE STRETCHER ZIPPERED W/DRAPE SUPPORT/GAS DELIVERY F/TRANSTAR SURGICAL,218.27,109.14,47.6,196.44,64
RC,0272,DEVICE SUCTION 244CM BIOVAC DIRECT TUBE IRRIGATION LINE 61CM G5 SERIES LATEX FREE,561.35,280.68,122.43,505.22,64
RC,0272,DEVICE SUCTION 244CM BIOVAC DIRECT Y PORT 61CM G5 SERIES LATEX FREE DISPOSABLE,561.35,280.68,122.43,505.22,64
RC,0272,DEVICE SUCTION CHICAGOTIP STAINLESS STEEL 10FR SELF CLEAN STYLET HANDLE DISPOSABLE,400.0,200.0,87.24,360.0,64
RC,0272,DEVICE SUCTION CHICAGOTIP STAINLESS STEEL 9FR SELF CLEAN STYLET HANDLE DISPOSABLE,400.0,200.0,87.24,360.0,64
RC,0272,DEVICE SUCTION DRILL,747.58,373.79,163.05,672.82,64
RC,0272,DEVICE SUCTION PIRANHA OVERFLOW PROTECTOR BACTERIA FILTER,41.0,20.5,8.94,36.9,64
RC,0272,DEVICE SUCTION PIRANHA TISSUE CONTAINER,56.0,28.0,12.21,50.4,64
RC,0272,DEVICE SUCTION/IRRIGATION 5FR DIA SILICONE MICROMAT,587.0,293.5,128.02,528.3,64
RC,0272,DEVICE SUTURE ASSISTANT DURAKNOT CLOSURE STERILE LATEX FREE DISPOSABLE,411.2,205.6,89.68,370.08,64
RC,0272,DEVICE SUTURE CAPTURING 12MM DIA 25CML PELVIC OPEN ACCESS CAPIO CL,2102.44,1051.22,458.54,1892.2,64
RC,0272,DEVICE SUTURE CAPTURING 12MM DIA 35CML PELVIC OPEN ACCESS CAPIO CL,1392.93,696.47,303.8,1253.64,64
RC,0272,DEVICE SUTURE CAPTURING 25CML SLIM OPEN ACCESS CAPIO,3030.44,1515.22,660.94,2727.4,64
RC,0272,DEVICE SUTURE CINCH 6 UN OVERSTICH STRL DISP,165.83,82.92,36.17,149.25,64
RC,0272,DEVICE SUTURE L16 CM 3-0 RB-1 SPIRAL STRATAFIX MONOCRYL PLUS UNDYED,293.16,146.58,63.94,263.84,64
RC,0272,DEVICE SUTURE L30 CM 2-0 CP-2 SPIRAL ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL STRATAFIX SPIRAL MONOCRYL PLUS UNDYED,286.59,143.3,62.51,257.93,64
RC,0272,DEVICE SUTURE L45 CM 1 CT-1 SPIRAL ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL STRATAFIX SPIRAL PDS PLUS DYED,294.48,147.24,64.23,265.03,64
RC,0272,DEVICE SUTURE L45 CM 3-0 PS-2 SPIRAL ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL STRATAFIX SPIRAL PDS PLUS,294.48,147.24,64.23,265.03,64
RC,0272,DEVICE SUTURE LAPAROSCOPIC NONABSORBABLE 0-2 18CML BRAIDED POLYESTER COATED SURGIDAC ES-9 NEEDLE TRIPLE-STITCH PRELOADED GREEN F/RELOADABLE 10MM SUTURING KNOTTING ENDO STITCH SINGLE-USE,797.98,398.99,174.04,718.18,64
RC,0272,DEVICE SUTURE LONG CINCH,182.5,91.25,39.8,164.25,64
RC,0272,DEVICE SUTURE TROCAR SITE CLOSURE W/10/12MM NEEDLE GUIDE OMNICLOSE CARTER THOMASON,245.0,122.5,53.43,220.5,64
RC,0272,DEVICE SUTURING 0 1.6 MM RETRACTABLE LOWER CURVE UPPER JAW LOW PROFILE BLUNT TIP NOVOSTITCH PRO MENISCAL REPAIR SYSTEM,490.0,245.0,106.87,441.0,64
RC,0272,DEVICE SUTURING 1.5MM CRESCENT MANAGER REACH SMALL FOOTPRINT NANOPASS ACETABULAR LABRUM,294.88,147.44,64.31,265.39,64
RC,0272,DEVICE SUTURING 12MM STANDARD 32CM CAPIO DIRECT VISION ENDOSCOPIC OPEN TRANSVAGINAL,2497.62,1248.81,544.73,2247.86,64
RC,0272,DEVICE SUTURING 3MM 14CM FASTENER PRELOAD COR-KNOT MICRO TITANIUM STERILE,1350.0,675.0,294.44,1215.0,64
RC,0272,DEVICE SUTURING 45D UP SLINGSHOT,363.23,181.62,79.22,326.91,64
RC,0272,DEVICE SUTURING 4MM 17CM CURVE HANDLE RELOADABLE WIRE SNARE COR-KNOT QUICK LOAD TITANIUM STERILE PURPLE WHITE,540.0,270.0,117.77,486.0,64
RC,0272,DEVICE SUTURING 5MM HANDLE PORT PLACEMENT AUTOMATIC CRIMP TI-KNOT STERILE,1194.0,597.0,260.41,1074.6,64
RC,0272,DEVICE SUTURING 6 POUCH COR-KNOT QUICK LOAD TITANIUM STERILE,3240.0,1620.0,706.64,2916.0,64
RC,0272,DEVICE SUTURING 70 D UP 1 PORT BRAID VARIABLE TIP SLINGSHOT,363.23,181.62,79.22,326.91,64
RC,0272,DEVICE SUTURING 70 D UP CHAMPION SLINGSHOT,362.86,181.43,79.14,326.57,64
RC,0272,DEVICE SUTURING CARTRIDGE MAGNUM WIRE SPEEDSTITCH POLYESTER STERILE ROTATOR CUFF FOOT ANKLE DISPOSABLE WHITE,964.98,482.49,210.46,868.48,64
RC,0272,DEVICE SUTURING CASSETTE NEEDLE SPEEDSTITCH STERILE DISPOSABLE,70.0,35.0,15.27,63.0,64
RC,0272,DEVICE SUTURING CURVE HANDLE RELOADABLE WIRE SNARE FASTENER COR-KNOT TITANIUM STERILE PURPLE WHITE,2550.0,1275.0,556.16,2295.0,64
RC,0272,DEVICE SUTURING DELIVERY TOOL KNOT PUSHERS DUAL PACK FIXATE SPINE,750.0,375.0,163.58,675.0,64
RC,0272,DEVICE SUTURING DELIVERY TOOL KNOT PUSHERS SINGLE PACK FIXATE SPINE,375.0,187.5,81.79,337.5,64
RC,0272,DEVICE SUTURING HELIX OVERSTITCH STERILE TISSUE DISPOSABLE,1295.0,647.5,282.44,1165.5,64
RC,0272,DEVICE SUTURING L127 CM 5 MM HELIX OFFSET 1 CHANNEL OD21.1 MM ODSEC15.8-16.8 MM OVERSTITCH NXT ENDOSCOPIC,5871.0,2935.5,1280.47,5283.9,64
RC,0272,DEVICE SUTURING L15 IN PUSH BUTTON GRIP HANDLE OD10 MM ENDO STITCH SOFT TISSUE ENDOSCOPIC,1363.26,681.63,297.33,1226.93,64
RC,0272,DEVICE SUTURING L17 CM 2.8 MM FASCIAL CLOSURE TROCAR INCISION OD2.8 MM BERCI SUBCUTANEOUS LIGATURE,1312.26,656.13,286.2,1181.03,64
RC,0272,DEVICE SUTURING L48 IN 2 BRAID TUBE ULTRAGRAB UHMWPE,375.0,187.5,81.79,337.5,64
RC,0272,DEVICE SUTURING LONG CINCH,1095.0,547.5,238.82,985.5,64
RC,0272,DEVICE SUTURING NEEDLE DRIVER ANCHOR EXCHANGE OVERSTITCH STERILE DISPOSABLE,3825.0,1912.5,834.23,3442.5,64
RC,0272,DEVICE SUTURING PERFECTPASSER SMARTSTITCH DISPOSABLE,153.0,76.5,33.37,137.7,64
RC,0272,DEVICE SUTURING RETENTION ADHESIVE HEMIGARDT,2400.0,1200.0,523.44,2160.0,64
RC,0272,DEVICE SUTURING RETENTION FLOWSTASIS STERILE LATEX FREE DISPOSABLE,600.0,300.0,130.86,540.0,64
RC,0272,DEVICE SUTURING STRAIGHT CURVE NEEDLE PATENT WIRE LOOP TFCC MENDER,140.6,70.3,30.66,126.54,64
RC,0272,DEVICE SUTURING SUTURE CINCH 6 UNIT OVERSTICH STERILE DISPOSABLE,995.0,497.5,217.01,895.5,64
RC,0272,DEVICE SUTURING TISSUE HELIX PRO OVERSTITCH NXT,1594.0,797.0,347.65,1434.6,64
RC,0272,DEVICE SUTURING TROCAR SITE SPRING LOAD BLUNT STYLET OD10 MM ENDO CLOSE ENDOSCOPIC,940.08,470.04,205.03,846.07,64
RC,0272,DEVICE TARGET AIM ARM LOCK NONSTERILE,454.24,227.12,99.07,408.82,64
RC,0272,DEVICE TARGET AIM GUIDEWIRE TROCHANTERIC FIXATION NAIL ORIENTATION,965.52,482.76,210.58,868.97,64
RC,0272,DEVICE TARGET CALIBRATION PIN OD12 MM,188.0,94.0,41.0,169.2,64
RC,0272,DEVICE TARGET L100 MM AIM OFFSET BLOCK GUIDEWIRE,334.03,167.02,72.85,300.63,64
RC,0272,DEVICE TARGET RADIOLUCENT,118.8,59.4,25.91,106.92,64
RC,0272,DEVICE TISSUE REMOVAL 3.6MM SYMPHION RESECT,869.0,434.5,189.53,782.1,64
RC,0272,DEVICE TOGGLELOC ACL FIX STD 7,500.5,250.25,109.16,450.45,64
RC,0272,DEVICE TORQUE OLCOTT ACCEPTS .014-.045 IN GUIDEWIRE,18.3,9.15,3.99,16.47,64
RC,0272,DEVICE ULTRASOUND GALAXY IVUS ILAB CATHETER PULLBACK SLED STERILE,40.0,20.0,8.72,36.0,64
RC,0272,DEVICE UTERINE DISTAL CUP TEXTURE HANDLE SOUND LATCH INCISION RIDGE FS 35MM STERILE DISPOSABLE,1104.0,552.0,240.78,993.6,64
RC,0272,DEVICE UTERINE DISTAL CUP TEXTURE HANDLE SOUND LATCH INCISION RIDGE SHAFT FS 30MM STERILE DISPOSABLE,1104.0,552.0,240.78,993.6,64
RC,0272,DEVICE UTERINE SOUND 12 NOVASURE,900.0,450.0,196.29,810.0,64
RC,0272,DEVICE V-LOC 180 24IN 0 GS-25 ABSORBABLE GREEN CLOSURE,705.48,352.74,153.87,634.93,64
RC,0272,DEVICE V-LOC 90 0 GS-21 ABSORBABLE 1 STRAND VIOLET CLOSURE,877.85,438.93,191.46,790.07,64
RC,0272,DEVICE V-LOC 90 18IN 4-0 P-11 ABSORBABLE UNDYED CLOSURE,629.76,314.88,137.35,566.78,64
RC,0272,DEVICE V-LOC 90 9IN 3-0 P-14 ABSORBABLE VIOLET CLOSURE,307.68,153.84,67.11,276.91,64
RC,0272,DEVICE V-LOC PBT 23CM 0 GS-22 NONABSORBABLE BLUE CLOSURE,425.4,212.7,92.78,382.86,64
RC,0272,DEVICE VACUUM EXTRACTION ADAPTER COLLECTION SET MEDGYN COLLECTION SET,526.0,263.0,114.72,473.4,64
RC,0272,DEVICE VACUUM EXTRACTION FILTER,225.0,112.5,49.07,202.5,64
RC,0272,DEVICE VACUUM EXTRACTION KIWI OMNICUP MEDIUM HEAD FLEXIBLE STEM LOW PROFILE CUP NEONATE DISPOSABLE,1740.0,870.0,379.49,1566.0,64
RC,0272,DEVICE VACUUM EXTRACTION KIWI PROCUP RIGID STEM SOFT FLEXIBLE CUP LOW OCCIPUT ANTERIOR DISPOSABLE,145.0,72.5,31.62,130.5,64
RC,0272,DEVICE VACUUM EXTRACTION L6 FT TUBE COLLECTION SET HANDLE SLIP RING ID3/8 IN MEDGYN COLLECTION SET,583.0,291.5,127.15,524.7,64
RC,0272,DEVICE VACUUM EXTRACTION PALMPUMP KIWI OMNICUP FLEXIBLE STEM LOW PROFILE CUP TRACTION FORCE INDICATOR NEONATE DISP,165.0,82.5,35.99,148.5,64
RC,0272,DEVICE VAPORIZATION BAR PLASMA-V GYRUS PK SUPERPULSE GENERATOR,1745.0,872.5,380.58,1570.5,64
RC,0272,DEVICE VENTRICULAR ASSIST APICAL CORING KNIFE STERILE,535.0,267.5,116.68,481.5,64
RC,0272,DEVICE VENTRICULAR ASSIST HEARTMATE XVE LVAS APICAL SEW RING,563.01,281.51,122.79,506.71,64
RC,0272,DEVICE VESSEL SEALING 5MM DIA 25CML CURVED JAW TISSUE X1 ENSEAL LATEX-FREE,1139.42,569.71,248.51,1025.48,64
RC,0272,DEVICE VESSEL SEALING 5MM DIA 44CML 350DEG ANGLED NANO COATED LIGASURE,3201.0,1600.5,698.14,2880.9,64
RC,0272,DEVICE VESSEL SEALING BIPOLAR 5MM DIA 45CML 3MM TIP TISSUE CURVED JAW OPTIVIEW TECHNOLOGY ENSEAL LATEX-FREE STERILE DISPOSABLE,2680.44,1340.22,584.6,2412.4,64
RC,0272,DEVICE VESSEL SEALING LAPAROSCOPIC 5MM DIA 14.6INL DOLPHIN NOSE JAW HANDSWITCH DRIVER F/FORCETRIAD ENERGY PLATFORM LIGASURE LS1500 STERILE SINGLE-USE,2392.5,1196.25,521.8,2153.25,64
RC,0272,DEVICE VESSEL SEALING REPROCESSED 13.5MM DIA 18CML 180DEG ANGLED CURVED JAW HAND FOOTSWITCH ACTIVATION LIGASURE,309.77,154.89,67.56,278.79,64
RC,0272,DEVICE VISCOELASTIC HEALON DUET PRO STERILE LATEX FREE DISPOSABLE,42.0,21.0,9.16,37.8,64
RC,0272,DEVICE VISCOELASTIC HEALON PRO .85 ML,26.0,13.0,5.67,23.4,64
RC,0272,DEVICE VISCOELASTIC HEALON5 PRO .6 ML,34.0,17.0,7.42,30.6,64
RC,0272,DEVICE VISCOELASTIC KIT SOLUTION DUOVISC,89.68,44.84,19.56,80.71,64
RC,0272,DEVICE VISCOELASTIC MILOOP LENS FRAGMENTATION,750.0,375.0,163.58,675.0,64
RC,0272,DEVICE VISCOELASTIC OD25 GA HEALON ENDOCOAT .85 ML,34.0,17.0,7.42,30.6,64
RC,0272,DEVICE VISCOELASTIC RETENTIVE DISPERSIVE OD27 GA VISCOAT 4% CHONDROITIN SULFATE 3% SODIUM HYALURONATE .5 ML,56.56,28.28,12.34,50.9,64
RC,0272,DEVICE VISCOSURGICAL VISCOAT 4% CHONDROITIN SULFATE 3% HYALURONATE .75 ML OPHTHALMIC,67.6,33.8,14.74,60.84,64
RC,0272,DEVICE WATCHMAN FLX PROCEDURE,17000.0,8500.0,3707.7,15300.0,64
RC,0272,DEVICE ZIP 16CM SKIN CLOSURE STERILE LATEX FREE DISPOSABLE,890.46,445.23,194.21,801.41,64
RC,0272,DEVICE ZIP 24CM SKIN CLOSURE STERILE LATEX FREE DISPOSABLE,654.04,327.02,142.65,588.64,64
RC,0272,DEVICE ZIP 28CM SHIELD SKIN CLOSURE STERILE LATEX FREE DISPOSABLE,78.36,39.18,17.09,70.52,64
RC,0272,DIALYZER HEMODIALYSIS 190UM DIA 1.4SQM AREA 35MM THK PORACTON PAES/PVP 74ML PRIMING HIGH FLUX REVACLEAR 300 STERILE SINGLE-USE,937.37,468.69,204.44,843.63,64
RC,0272,DIALYZER HEMODIALYSIS ACUTE CHRONIC 93ML PRIMING HIGH FLUX REVACLEAR 400 STERILE SINGLE-USE,1557.54,778.77,339.7,1401.79,64
RC,0272,DILATOR 1 1/8 29MM MEDIUM VAGINAL SURGICAL,12.7,6.35,2.77,11.43,64
RC,0272,DILATOR 5FR 19.8CM .035-.038IN STANDARD VESSEL GUIDEWIRE SURGICAL,145.0,72.5,31.62,130.5,64
RC,0272,DILATOR 6FR 70CM HYDROPLUS URETERAL STERILE SURGICAL,50.37,25.19,10.99,45.33,64
RC,0272,DILATOR 8MM 60MM STANDARD JUMBO LAMINARIA CERVICAL SURGICAL,329.88,164.94,71.95,296.89,64
RC,0272,DILATOR AVS ARIA 1 SURGICAL PROBE,219.88,109.94,47.96,197.89,64
RC,0272,DILATOR AVS ARIA 2 SURGICAL PROBE,219.88,109.94,47.96,197.89,64
RC,0272,DILATOR AVS ARIA 3 SURGICAL PROBE,219.88,109.94,47.96,197.89,64
RC,0272,DILATOR CERVICAL OD2-4 MM OS FINDER TEFLON SURGICAL L21.5 CM SET,154.65,77.33,33.73,139.19,64
RC,0272,DILATOR CERVICAL OD3 MM MEDGYN LAMINARIA SMALL STANDARD LAMINARIA SURGICAL L60 MM HYGROSCOPIC,425.0,212.5,92.69,382.5,64
RC,0272,DILATOR CERVICAL OD4 MM MEDGYN LAMINARIA MEDIUM STANDARD LAMINARIA SURGICAL L60 MM HYGROSCOPIC,425.0,212.5,92.69,382.5,64
RC,0272,DILATOR CERVICAL OD5 MM MEDGYN LAMINARIA LARGE THICK STANDARD LAMINARIA SURGICAL L60 MM HYGROSCOPIC,425.0,212.5,92.69,382.5,64
RC,0272,DILATOR ENDOSCOPIC 15FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 21FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 24FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 27FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 30FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 33FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 36FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 39FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 42FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 45FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 48FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 51FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 54FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 57FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC 60FR SAFEGUIDE OVER THE GUIDEWIRE ESOPHAGEAL NONSTERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR ENDOSCOPIC BALLOON PREMIUM 7.5FR 180CM 14-15-16.5-18-19MM X 5.5CM ESOPHAGEAL 5-STAGE WIRE GUIDED CATHETER SECUREMENT CLIP ELATION5 NON-RADIOLUCENT 0.035IN GW,265.0,132.5,57.8,238.5,64
RC,0272,DILATOR ENDOSCOPIC BALLOON PREMIUM 7.5FR 180CM 5-6-7-8-9MM X 5.5CM ESOPHAGEAL 5-STAGE WIRE GUIDED CATHETER SECUREMENT CLIP ELATION5 NON-RADIOLUCENT STERILE 0.035IN GW,265.0,132.5,57.8,238.5,64
RC,0272,DILATOR ENDOSCOPIC BALLOON PREMIUM 7.5FR 180CM 9-10-11-12-13MM X 5.5CM ESOPHAGEAL 5-STAGE WIRE GUIDED CATHETER SECUREMENT CLIP ELATION5 NON-RADIOLUCENT 0.035IN GW,265.0,132.5,57.8,238.5,64
RC,0272,DILATOR ENDOSCOPIC CLEANGUIDE 10 MM ESOPHAGEAL OTW MARK SPRING TIP DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,DILATOR ENDOSCOPIC CLEANGUIDE 11 MM ESOPHAGEAL OTW MARK SPRING TIP DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,DILATOR ENDOSCOPIC CLEANGUIDE 5 MM ESOPHAGEAL OTW PHTHALATE FREE SPRING TIP,225.0,112.5,49.07,202.5,64
RC,0272,DILATOR ENDOSCOPIC ELATION PULMONARY BALLOON CATHETER L100 CM L3 CM OD6-7-8 MM,315.0,157.5,68.7,283.5,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD 6MM DIA 70CML ESOPHAGEAL LATEX-FREE NON-STERILE REUSABLE,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL L70 CM OD57 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD10 MM,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD21 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD24 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD27 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD36 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD42 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD45 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD48 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD51 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD54 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINAL TRACT L70 CM OD60 FR,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ENDOSCOPIC SAVARY-GILLIARD GASTROINTESTINE L70 CM OD5 MM,240.0,120.0,52.34,216.0,64
RC,0272,DILATOR ES2 1 SURGICAL,163.73,81.87,35.71,147.36,64
RC,0272,DILATOR ES2 2 SURGICAL,195.87,97.94,42.72,176.28,64
RC,0272,DILATOR ESOPHAGEAL SAFEGUIDE SINGLE 18FR OTW DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,DILATOR INTRAVENOUS VESSEL OD6 FR VESSEL DILATOR STANDARD TAPER SURGICAL L19.8 CM ACCEPTS .035/.038 IN GUIDEWIRE,145.0,72.5,31.62,130.5,64
RC,0272,DILATOR NIM SURGICAL SET STIMULATE,123.75,61.88,26.99,111.38,64
RC,0272,DILATOR OD12.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD14.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD16.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD18.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD20.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD22.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD24.8 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD4.75 MM HEALICOIL REGENESORB PEEK-OPTIMA SURGICAL,210.89,105.45,46.0,189.8,64
RC,0272,DILATOR OD5.3 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR OD5.5 MM HEALICOIL FULL THREAD REGENESORB SURGICAL,204.75,102.38,44.66,184.28,64
RC,0272,DILATOR OD9.4 MM METRX SURGICAL,96.6,48.3,21.07,86.94,64
RC,0272,DILATOR PRATT 13-15FR 11 3/8IN STAINLESS STEEL UTERINE 2 END SOLID MIRROR FINISH SURGICAL,27.13,13.57,5.92,24.42,64
RC,0272,DILATOR PRATT 17-19FR 11 3/8IN STAINLESS STEEL UTERINE 2 END SOLID MIRROR FINISH SURGICAL,29.99,15.0,6.54,26.99,64
RC,0272,DILATOR PRATT 21-23FR 11 3/8IN UTERINE 2 END OB/GYN SOLID MIRROR FINISH SURGICAL,29.99,15.0,6.54,26.99,64
RC,0272,DILATOR PRATT 25-27FR 11 3/8IN STAINLESS STEEL UTERINE 2 END OB/GYN SOLID MIRROR FINISH SURGICAL,31.65,15.83,6.9,28.49,64
RC,0272,DILATOR URETERAL C FLEX L70 CM OD12 FR HYDROPLUS,50.37,25.19,10.99,45.33,64
RC,0272,DILATOR URETERAL C FLEX L70 CM OD14 FR HYDROPLUS,50.37,25.19,10.99,45.33,64
RC,0272,DILATOR URETERAL HYDROPLUS 70CM 10FR STERILE,50.37,25.19,10.99,45.33,64
RC,0272,DILATOR URETERAL NA L70 CM OD8 FR HYDROPLUS,50.37,25.19,10.99,45.33,64
RC,0272,DILATOR URETERAL NOTTINGHAM ONE-STEP HYDROGEL 70CM 6-12FR STERILE LATEX FREE DISPOSABLE,120.11,60.06,26.2,108.1,64
RC,0272,DILATOR URETHRAL PHILIPS L35.5 CM OD12 FR DISTAL TIP,45.53,22.77,9.93,40.98,64
RC,0272,DILATOR UTERINE OD29-31 FR PRATT SURGICAL L11 3/8 IN 2 END SOLID MIRROR FINISH,33.62,16.81,7.33,30.26,64
RC,0272,DILATOR UTERINE OD33-35 FR PRATT STAINLESS STEEL SURGICAL L11 3/8 IN 2 END SOLID MIRROR FINISH,58.2,29.1,12.69,52.38,64
RC,0272,DILATOR VAGINAL HYMENAL MILEX SET SMALL MEDIUM LARGE XL SURGICAL SET,204.92,102.46,44.69,184.43,64
RC,0272,DILATOR VASCULAR 10FR 20CM HYDROPHILIC RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,13.99,7.0,3.05,12.59,64
RC,0272,DILATOR VASCULAR 12FR 20CM HYDROPHILIC RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,13.99,7.0,3.05,12.59,64
RC,0272,DILATOR VASCULAR 14FR 20CM HYDROPHILIC RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,13.99,7.0,3.05,12.59,64
RC,0272,DILATOR VASCULAR 14FR DIA 18CML RADIOPAQUE STERILE 0.038IN GUIDEWIRE COMPATIBLE,115.0,57.5,25.08,103.5,64
RC,0272,DILATOR VASCULAR 16FR 20CM HYDROPHILIC RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,13.99,7.0,3.05,12.59,64
RC,0272,DILATOR VASCULAR 20FR 20CM COONS TAPER STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,22.99,11.5,5.01,20.69,64
RC,0272,DILATOR VASCULAR 22FR 20CM COONS TAPER STERILE DISPOSABLE ACCEPTS .038IN GUIDE WIRE,22.99,11.5,5.01,20.69,64
RC,0272,DILATOR VASCULAR 22FR 20CM RADIOPAQUE STERILE DISPOSABLE VESSEL STANDARD JCD CURVE ACCEPTS .038IN GUIDEWIRE,15.99,8.0,3.49,14.39,64
RC,0272,DILATOR VASCULAR 4FR 20CM RADIOPAQUE STERILE DISPOSABLE VESSEL STANDARD NCD CURVE ACCEPTS .035IN GUIDEWIRE,11.99,6.0,2.62,10.79,64
RC,0272,DILATOR VASCULAR 7FR 20CM HYDROPHILIC RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE,13.99,7.0,3.05,12.59,64
RC,0272,DILATOR VASCULAR OD1 MM V. MUELLER SURGICAL L8 1/8 IN THIN SHAFT ELONGATE OVAL TIP MATTE MIRROR FINISH,29.11,14.56,6.35,26.2,64
RC,0272,DILATOR VASCULAR OD1.5 MM V. MUELLER SURGICAL L5.5 IN TIP,35.13,17.57,7.66,31.62,64
RC,0272,DILATOR VASCULAR OD5 MM V. MUELLER SURGICAL L8 1/8 IN THIN SHAFT ELONGATED OVAL TIP MATTE AND MIRROR FINISH,33.99,17.0,7.41,30.59,64
RC,0272,DILATOR VESSEL OD7 FR VESSEL DILATOR STANDARD TAPER SURGICAL L19.8 CM ACCEPTS .035-.038 IN GUIDEWIRE,145.0,72.5,31.62,130.5,64
RC,0272,DILATOR VESSEL OD8 FR VESSEL DILATOR .035-.038 IN STANDARD SURGICAL L19.8 CM GUIDEWIRE,145.0,72.5,31.62,130.5,64
RC,0272,DISC FEM NAIL ELLIPSE,100.0,50.0,21.81,90.0,64
RC,0272,DISC INTERVERTEBRAL RECTANGULAR SPIKE OD3.5 MM LOW PROFILE PELVIC SYSTEM,390.49,195.25,85.17,351.44,64
RC,0272,DISC INTERVERTEBRAL ROUND SPIKE OD3.5 MM LOW PROFILE PELVIC SYSTEM,303.03,151.52,66.09,272.73,64
RC,0272,DISC STATSEAL ADVANCED RAD2.4X1.2CM 24/CA,636.0,318.0,138.71,572.4,64
RC,0272,DISPOSABLE KIT KNOTLESS SUTURETAK OPEN,145.0,72.5,31.62,130.5,64
RC,0272,DISSECTOR ENDOSCOPIC 38CM 5MM KITTNER 1 TIP RADIOPAQUE BRUSH FINISH BLUNT STERILE LATEX FREE DISPOSABLE STAINLESS STEEL,229.06,114.53,49.96,206.15,64
RC,0272,DISSECTOR ENDOSCOPIC 80- D 360D 31CM 5MM ENDO DISSECT MONOPOLAR CAUTERY STANDARD JAW SPIN LOCK ROTATION DISPOSABLE,1657.02,828.51,361.4,1491.32,64
RC,0272,DISSECTOR ENDOSCOPIC BLUNT TIP OD5 MM ENDOPATH,121.97,60.99,26.6,109.77,64
RC,0272,DISSECTOR ENDOSCOPIC GAUZE 5MM DIA 35CML BLUNT ONE-PIECE LP-SECTO,209.91,104.96,45.78,188.92,64
RC,0272,DISSECTOR ENDOSCOPIC L13 CM CURVE SERRATE TOOTH OD4 MM COOLCUT ARTHROSCOPY,195.0,97.5,42.53,175.5,64
RC,0272,DISSECTOR ENDOSCOPIC L13 CM OD3.5 MM COOLCUT ARTHROSCOPY,195.0,97.5,42.53,175.5,64
RC,0272,DISSECTOR ENDOSCOPIC ULTRASONIC 48CML CORDLESS W/TORQUE WRENCH SONICISION STERILE,2040.0,1020.0,444.92,1836.0,64
RC,0272,DISSECTOR L19 CM OD4.2 CM HIP LENGTH SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,DISSECTOR L7 CM OD3 MM SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,DISSECTOR LAPAROSCOPIC 39CM SONICISION CURVE JAW CORDLESS ULTRASONIC AUTOCLAVABLE GENERATOR,3184.2,1592.1,694.47,2865.78,64
RC,0272,DISSECTOR LAPAROSCOPIC 45 D CURVE ENDOWRIST DA VINCI XI 10 USE,3969.0,1984.5,865.64,3572.1,64
RC,0272,DISSECTOR LAPAROSCOPIC 45CM 5MM KITTNER SECURE ATTACHMENT STERILE LATEX FREE COTTON,81.27,40.64,17.72,73.14,64
RC,0272,DISSECTOR LAPAROSCOPIC 45D CURVE 33.02CM 2.2CM 8MM ENDOWRIST DA VINCI XI BIPOLAR REPOSABLE,2700.0,1350.0,588.87,2430.0,64
RC,0272,DISSECTOR LAPAROSCOPIC 48CM SONICISION CURVE JAW CORDLESS ULTRASONIC AUTOCLAVABLE GENERATOR,3457.8,1728.9,754.15,3112.02,64
RC,0272,DISSECTOR LAPAROSCOPIC L26 CM 7 MM CURVE JAW CORDLESS ULTRASONIC TORQUE WRENCH SONICISION 7,2340.0,1170.0,510.35,2106.0,64
RC,0272,DISSECTOR LAPAROSCOPIC L26 CM CURVE JAW CORDLESS ULTRASONIC SONICISION,2340.0,1170.0,510.35,2106.0,64
RC,0272,DISSECTOR LAPAROSCOPIC L33 CM 2 JAW CORD BIPOLAR COAGULATE HANDPIECE OD5 MM PKS OMNI,2448.0,1224.0,533.91,2203.2,64
RC,0272,DISSECTOR LAPAROSCOPIC L56.1 CM 30- D OD5 MM DA VINCI S/SI ENDOWRIST MARYLAND L2.4 CM,4300.0,2150.0,937.83,3870.0,64
RC,0272,DISSECTOR METRX 90 D BAYONET STRAIGHT SURGICAL,43.05,21.53,9.39,38.75,64
RC,0272,DISSECTOR METRX 90 D RIGHT BAYONET SURGICAL,43.05,21.53,9.39,38.75,64
RC,0272,DISSECTOR METRX 90 D SURGICAL,43.05,21.53,9.39,38.75,64
RC,0272,DISSECTOR METRX PENFIELD 4 SURGICAL,85.95,42.98,18.75,77.36,64
RC,0272,DISSECTOR PENFIELD METRX 2 BAYONET PUSH PULL SURGICAL,85.95,42.98,18.75,77.36,64
RC,0272,DISSECTOR PENFIELD METRX 7 BAYONET PUSH PULL SURGICAL,85.95,42.98,18.75,77.36,64
RC,0272,DISSECTOR SURGICAL 18CML BATTERY-POWERED LIGHT SOURCE GLIDEPATH,1850.0,925.0,403.49,1665.0,64
RC,0272,DISSECTOR SURGICAL 40D 20.6MM 19.8MM 4MM 21CM 21.6X2MM LIGASURE EXACT CURVE JAW LOW TEMPERATURE PROFILE VALLEYLAB,3742.26,1871.13,816.19,3368.03,64
RC,0272,DISSECTOR SURGICAL ROBOTIC MARYLAND 5MM DIA SINGLE-SITE DA VINCI S/SI PNS LATEX-FREE,620.0,310.0,135.22,558.0,64
RC,0272,DISSECTOR SURGICAL WOLF 8MMW X 27CML F/GERD BARIATRIC PROCEDURES LATEX-FREE STERILE DISPOSABLE,5700.0,2850.0,1243.17,5130.0,64
RC,0272,DISSECTOR ULTRASONIC SONICISION 7 5MM 13CM CURVED JAW CORDLESS,2340.0,1170.0,510.35,2106.0,64
RC,0272,"DISTRACTION, INTERNAL, STERILE, SPRING, CRANIOXPAND, 1.0 MM, STAINLESS STEEL ASTM F138/9",3588.0,1794.0,782.54,3229.2,64
RC,0272,"DISTRACTION, INTERNAL, STERILE, SPRING, CRANIOXPAND, 1.2 MM, STAINLESS STEEL ASTM F138/9",3588.0,1794.0,782.54,3229.2,64
RC,0272,"DISTRACTION, INTERNAL, STERILE, SPRING, CRANIOXPAND, 1.6 MM, STAINLESS STEEL ASTM F138/9",3588.0,1794.0,782.54,3229.2,64
RC,0272,DISTRACTOR COMPRESSION SURGICAL,1401.05,700.53,305.57,1260.95,64
RC,0272,DISTRACTOR EXTERNAL FIXATION 70MML ANKLE FOOT LINEAR TELESCOPIC TRUELOK PLUS LATEX-FREE,560.0,280.0,122.14,504.0,64
RC,0272,DISTRACTOR EXTERNAL FIXATION L150 MM LINEAR TELESCOPIC TRUELOK PLUS,526.1,263.05,114.74,473.49,64
RC,0272,DISTRACTOR EXTERNAL FIXATION L70 MM LINEAR TELESCOPIC TRUELOK PLUS,473.4,236.7,103.25,426.06,64
RC,0272,DISTRACTOR FAST PRECICE SURGICAL STERILE DISPOSABLE,540.0,270.0,117.77,486.0,64
RC,0272,"DISTRACTOR L30 MM CRANIUM RATCHET SMALL SPINDLE END DRIVEN MODIFIED DISTRACTION, INTERNAL SURGICAL",6168.33,3084.17,1345.31,5551.5,64
RC,0272,DISTRACTOR MANUAL MAGEC SURGICAL SPINAL BRACE DISTRACTION SYSTEM,500.0,250.0,109.05,450.0,64
RC,0272,DISTRACTOR MAXILLARY FAST PRECICE SURGICAL STERILE LATEX FREE DISPOSABLE,811.0,405.5,176.88,729.9,64
RC,0272,DO NOT USE - USE ITEM 105458 SYRINGE INFLATION ENDOSCOPIC 60ML CAPACITY BILIARY F/DILATOR ALLIANCE II NON-RADIOLUCENT STERILE SINGLE-USE 5/BX,27.32,13.66,5.96,24.59,64
RC,0272,DONUT POSITIONING 1.75IN 8IN HEAD ALIGEL STABILIZE OFFLOAD PRESSURE ADULT 3.1LB,94.07,47.04,20.52,84.66,64
RC,0272,DOPPLER VASCULAR NON-DISPLAY W/5MHZ PROBE F/ULTRASOUND SYSTEM CLEARTONE,428.27,214.14,93.41,385.44,64
RC,0272,DRAIN CHEST 1 WAY VALVE VACUUM INDICATOR AIR LEAK DETECTOR WINDOW NEEDLELESS ACCESS SAMPLE PORT EXPRESS INCISION C500 ML MINI,562.17,281.09,122.61,505.95,64
RC,0272,DRAIN CHEST DRY SUCTION MINI 500ML 14-16L/MIN PEDIATRIC ADULT SINGLE CHAMBER DRY SEAL HIGH SUCTION ATS CONNECTOR ONE-WAY VALVE AIR LEAK METER PLEUR-EVAC SAHARA 6/CA,900.0,450.0,196.29,810.0,64
RC,0272,DRAIN CHEST SUCTION CONTROL PLASTIC 2000ML CAPACITY THORACIC DRY SEAL SINGLE-CHAMBER ATS COMPATIBLE W/IN-LINE PATIENT TUBE CONNECTOR NEEDLE-FREE ACCESS PORT SLIDE CLAMP PRE-PACKAGED WATER STERILE,372.98,186.49,81.35,335.68,64
RC,0272,DRAIN CHEST THORACIC ID1/4 IN WATER SEAL DRY SUCTION CONTROL CHAMBER AUTO CONNECT ATRIUM OASIS INCISION PLASTIC ATS BAG,347.84,173.92,75.86,313.06,64
RC,0272,DRAIN CHEST THORACIC TUBE DRY SUCTION COLLECTION CHAMBER ATRIUM OASIS INCISION PLASTIC ATS BAG,279.67,139.84,61.0,251.7,64
RC,0272,DRAIN CHEST WET SUCTION 2500ML PEDIATRIC ADULT SINGLE CHAMBER SEAL AT/NEEDLE-FREE CONNECTOR FLOAT VALVE AIR LEAK METER PLEUR-EVAC A-7000 LATEX 6/CA,215.0,107.5,46.89,193.5,64
RC,0272,DRAIN INCISION 14FR SILICONE T TUBE SMOOTH SOFT PLIABLE LATEX FREE,279.0,139.5,60.85,251.1,64
RC,0272,DRAIN INCISION 15X3/8IN ABRAMSON SILICONE PERITONEAL 3 LUMEN ANTIBACTERIAL FILTER SUMP SHEATH STERILE LATEX FREE DISPOSABLE,162.5,81.25,35.44,146.25,64
RC,0272,DRAIN INCISION OASIS PLASTIC THORACIC 2 CHAMBER DRY SUCTION 2 PATIENT TUBE STERILE LATEX FREE DISPOSABLE,364.61,182.31,79.52,328.15,64
RC,0272,DRAIN WOUND 7FR DIA 100CML SILICONE ROUND PERFORATED END DISCRETE SURGIDYNE LATEX-FREE STERILE SINGLE-USE 10/CA,169.69,84.85,37.01,152.72,64
RC,0272,DRAIN WOUND BLAKE CHANNELX4 19FR DIA ROUND FULL FLUTED HUBLESS WHITE LATEX-FREE SILICONE STERILE,770.36,385.18,168.02,693.32,64
RC,0272,DRAIN WOUND CHANNEL 19FR DIA 1/4INL SILICONE ROUND FULL FLUTED W/TROCAR LATEX-FREE NON-RADIOLUCENT,155.16,77.58,33.84,139.64,64
RC,0272,DRAIN WOUND PENROSE 0.25IN/0.75IN DIA SHORTER/LONGER 12INL SILICONE OVAL LATEX-FREE,12.5,6.25,2.73,11.25,64
RC,0272,DRAPE 78X121IN ORTHOMAX STRL NK THYR DIAMD WND HK/LOP CLSR CLR SMS LF ARMBRD CVR T-SHP ADH TAB CRD,50.37,25.19,10.99,45.33,64
RC,0272,DRAPE ABSORBENT REINFORCEMENT PERINEAL FENESTRATE FLUID CONTROL POUCH LITHOTOMY 110X64X29IN 19X18IN SURGICAL PROXIMA STERILE LATEX FREE DISPOSABLE SMS,98.04,49.02,21.38,88.24,64
RC,0272,DRAPE ADHESIVE APERTURE POUCH 2 EXIT PORT 35X30IN U SURGICAL STERI-DRAPE STERILE LATEX FREE DISPOSABLE CLEAR PLASTIC,207.56,103.78,45.27,186.8,64
RC,0272,DRAPE ARSCP 90X121IN ORTHOMAX STRL CIR WND 2.5IN EXTNSV HI BARR STRGTH CLR SMS LF SURG DISP,2320.0,1160.0,505.99,2088.0,64
RC,0272,DRAPE CARDIOVASCULAR FLUID COLLECTION POUCH SPLIT REINFORCE 136X87IN SURGICAL CONVERTORS STERILE LATEX FREE DISPOSABLE TIBURON,162.6,81.3,35.46,146.34,64
RC,0272,DRAPE CSECT INCS 125X71IN IOBAN 2 STRL RECT WND ADH ABSB ANTMIC BLU FBRC LF NHZRDS ARM BRD CVR SURG,119.01,59.51,25.96,107.11,64
RC,0272,DRAPE DEVICE VELYS STERILE,1377.0,688.5,300.32,1239.3,64
RC,0272,DRAPE EQUIPMENT 48INW X 120INL F/ZEISS VARI-LENS2 LATEX-FREE,219.13,109.57,47.79,197.22,64
RC,0272,DRAPE EQUIPMENT 48INW X 150INL TRIPLE BINOC F/SURGICAL MICROSCOPE,350.0,175.0,76.34,315.0,64
RC,0272,DRAPE EQUIPMENT 48INW X 48INL POLYURETHANE CLEAR F/CARDIAC SURGERY ORS LATEX-FREE STERILE DISPOSABLE,1024.0,512.0,223.33,921.6,64
RC,0272,DRAPE EQUIPMENT ARM F/GLOBUS ROBOT EXCELSIUS DISPOSABLE,750.0,375.0,163.58,675.0,64
RC,0272,DRAPE EQUIPMENT ARM L21 IN X W19 IN X H10.5 IN DA VINCI XI 21 LB,1092.0,546.0,238.17,982.8,64
RC,0272,DRAPE EQUIPMENT BAR L20 FT O-ARM,1441.0,720.5,314.28,1296.9,64
RC,0272,DRAPE EQUIPMENT BUTTON WALTERLORENZ WALTERLORENZ,98.0,49.0,21.37,88.2,64
RC,0272,DRAPE EQUIPMENT C-ARM FLUORO 30INW X 30INL LATEX-FREE STERILE,69.88,34.94,15.24,62.89,64
RC,0272,DRAPE EQUIPMENT C-ARM MINI 48INW X 84INL TUBE W/RUBBER BAND S-HOOK F/XRAY LATEX-FREE,336.51,168.26,73.39,302.86,64
RC,0272,DRAPE EQUIPMENT CAMERA ARM DA VINCI SI,882.0,441.0,192.36,793.8,64
RC,0272,DRAPE EQUIPMENT CAMERA HEAD DA VINCI SI,861.0,430.5,187.78,774.9,64
RC,0272,DRAPE EQUIPMENT CHANNEL LOCK L66 IN X W44 IN HUSH SLUSH DISC-DRAPE,1256.04,628.02,273.94,1130.44,64
RC,0272,DRAPE EQUIPMENT COLUMN DA VINCI XI,378.0,189.0,82.44,340.2,64
RC,0272,DRAPE EQUIPMENT F/PDE-NEO EMERALD ITEM 273009 MFR AK0701-2 STERILE DISPOSABLE,130.0,65.0,28.35,117.0,64
RC,0272,DRAPE EQUIPMENT F/PHELAN TABLE,409.02,204.51,89.21,368.12,64
RC,0272,DRAPE EQUIPMENT MICROSCOPE BARRIER F/BIOM HEAD,379.73,189.87,82.82,341.76,64
RC,0272,DRAPE EQUIPMENT MONITOR EXCELSIUS DISPOSABLE,1500.0,750.0,327.15,1350.0,64
RC,0272,DRAPE EQUIPMENT NEUROMATE STERILE,950.0,475.0,207.2,855.0,64
RC,0272,DRAPE EQUIPMENT PROBE 30CM X 178CM F/SOLOASSIST II STERILE,3135.41,1567.71,683.83,2821.87,64
RC,0272,DRAPE EQUIPMENT RADIATION PROTECTION ARMOUR,182.58,91.29,39.82,164.32,64
RC,0272,DRAPE EQUIPMENT SATELLITE STATION VELYS STERILE,899.0,449.5,196.07,809.1,64
RC,0272,DRAPE EQUIPMENT SMARTDRAPE STERILE LATEX FREE DISPOSABLE,163.09,81.55,35.57,146.78,64
RC,0272,DRAPE EQUIPMENT SOLUTION WARMING SD-CIR44,846.96,423.48,184.72,762.26,64
RC,0272,DRAPE EQUIPMENT TUBE L12 IN O-ARM,669.6,334.8,146.04,602.64,64
RC,0272,DRAPE EQUIPMENT UNIVERSAL HOUSING L102 IN X W48 IN UNBRANDED ZEISS MD LEICA,104.2,52.1,22.73,93.78,64
RC,0272,DRAPE EXPAND COLLAPSIBLE C ARM FLUOROSCOPE EQUIPMENT C-ARMOR STERILE,572.0,286.0,124.75,514.8,64
RC,0272,DRAPE FLUID WARMER TEMPERATURE CONTROL PORTABLE STAND 44X44IN EQUIPMENT ORS STERILE LATEX FREE DISPOSABLE CLEAR POLYURETHANE,679.8,339.9,148.26,611.82,64
RC,0272,DRAPE HEAVY DUTY 6IN BIG CASE BACK TABLE EQUIPMENT STERILE LATEX FREE DISPOSABLE,441.36,220.68,96.26,397.22,64
RC,0272,DRAPE HIP POUCH HEAVY DUTY SURGICAL TIBURON,116.86,58.43,25.49,105.17,64
RC,0272,DRAPE INSTRUMENT ARM EQUIPMENT,900.0,450.0,196.29,810.0,64
RC,0272,DRAPE ISOLATION INCISE ADHESIVE AREA POCKET CORD HOLDER DRAINAGE PORT 130X96IN 34X10IN SURGICAL STERILE,567.12,283.56,123.69,510.41,64
RC,0272,DRAPE MICROSCOPE 12INW X 79NL ORBEYE LATEX-FREE STERILE DISPOSABLE,496.5,248.25,108.29,446.85,64
RC,0272,DRAPE MICROSCOPE 45INW X 118INL F/ZEISS NC-31,410.0,205.0,89.42,369.0,64
RC,0272,DRAPE MICROSCOPE 46INW X 120INL,145.9,72.95,31.82,131.31,64
RC,0272,DRAPE MICROSCOPE 52IN X 150IN W/GLASS LENS COVER F/ZEISS 65MM VARI-LENS2 LATEX-FREE STERILE,242.81,121.41,52.96,218.53,64
RC,0272,DRAPE MICROSCOPE 54INW X 149INL LARGE LUMEN F/LEICA,515.0,257.5,112.32,463.5,64
RC,0272,DRAPE MICROSCOPE 54INW X 150INL ANGLED GLASS LENS SLANTED F/LEICA/WILD LATEX-FREE,65.05,32.53,14.19,58.55,64
RC,0272,DRAPE MICROSCOPE ECONOMY LENS 118X48IN EQUIPMENT OPMI VISIONGUARD STERILE 65MM,175.76,87.88,38.33,158.18,64
RC,0272,DRAPE MICROSCOPE F/MITAKA MM51,450.0,225.0,98.15,405.0,64
RC,0272,DRAPE MICROSCOPE F/MITAKA MM51 SUPERMICRO STERILE,41.0,20.5,8.94,36.9,64
RC,0272,DRAPE MICROSCOPE LEICA,215.0,107.5,46.89,193.5,64
RC,0272,DRAPE MICROSCOPE SMART DRAPE CLEAR,184.61,92.31,40.26,166.15,64
RC,0272,DRAPE NEGATIVE PRESSURE LARGE 21CMW X 24.9CML ACRYLIC SILICONE DRESSING KIT W/HANDLE BAR DERMATAC V.A.C. GRANUFOAM,467.31,233.66,101.92,420.58,64
RC,0272,DRAPE NEGATIVE PRESSURE MEDIUM 21CMW X 24.9CML ACRYLIC SILICONE DRESSING KIT W/HANDLE BAR DERMATAC V.A.C. GRANUFOAM,387.16,193.58,84.44,348.44,64
RC,0272,DRAPE NEGATIVE PRESSURE SMALL 21CMW X 24.9CML ACRYLIC SILICONE DRESSING KIT W/HANDLE BAR DERMATAC V.A.C. GRANUFOAM,307.06,153.53,66.97,276.35,64
RC,0272,DRAPE OBSERVER TUBE OCULAR COVER STRAP MICROSCOPE 150X54IN STANDARD EQUIPMENT MICROSHIELD LEICA CLEARLENS POLY,216.3,108.15,47.18,194.67,64
RC,0272,DRAPE OR TABLE 6FTL REINFORCED SINGLE LEVEL OR SPECIFIC LATEX-FREE,395.0,197.5,86.15,355.5,64
RC,0272,DRAPE ORS FLUID WARMING SYSTEM 66X44IN WARMER ORS STERILE DISPOSABLE POLYURETHANE,800.88,400.44,174.67,720.79,64
RC,0272,DRAPE PATIENT STERILE-Z,499.99,250.0,109.05,449.99,64
RC,0272,DRAPE PERCUTANEOUS SURGICAL LINGEMAN LATEX,638.35,319.18,139.22,574.52,64
RC,0272,DRAPE RADIOLOGY 84INW X 135INL VERTEBROPLASTY/ KYPHOPLASTY YELLOW RADPAD,738.0,369.0,160.96,664.2,64
RC,0272,DRAPE RADIOLOGY CAMERA MINI 3D,100.0,50.0,21.81,90.0,64
RC,0272,DRAPE ROBOTIC ARM EQUIPMENT CORPATH GRX STERILE LATEX FREE DISPOSABLE,92.0,46.0,20.07,82.8,64
RC,0272,DRAPE SLUSH WARMER 66X52IN EQUIPMENT DISC-DRAPE,1060.5,530.25,231.3,954.45,64
RC,0272,DRAPE SLUSH WARMER ROUND BASIN 66X44IN EQUIPMENT STERILE,1009.4,504.7,220.15,908.46,64
RC,0272,DRAPE SMALL T TIP BAND TAPE STRIP GEL 96X5IN PROBE STERILE LATEX FREE DISPOSABLE ISOSILK,283.31,141.66,61.79,254.98,64
RC,0272,DRAPE STEREO MICROSCOPE 64X20IN EQUIPMENT CONVERTORS OPMI DISPOSABLE,229.62,114.81,50.08,206.66,64
RC,0272,DRAPE SURG SLUSH/WARM LF,1060.5,530.25,231.3,954.45,64
RC,0272,DRAPE SURGICAL 107INW X 150INL SMS FABRIC BILATERAL EXTREMITY CIRCULAR WINDOW IMPERVIOUS REINFORCED ABSORBENT ORTHOMAX LATEX-FREE STERILE DISPOSABLE,118.16,59.08,25.77,106.34,64
RC,0272,DRAPE SURGICAL 112INW X 137INL SMS FABRIC HIP ABSORBENT REINFORCED EXTENSIVE HIGH BARRIER STRENGTH W/POUCH CLEAR ORTHOMAX LATEX-FREE STERILE DISPOSABLE,136.4,68.2,29.75,122.76,64
RC,0272,DRAPE SURGICAL 2 INCISE FILM POUCH ISOLATION ADHESIVE STRIP L125 IN X W83 IN STERI-DRAPE IOBAN PLASTIC L19 IN X W9 3/8 IN CLEAR,331.84,165.92,72.37,298.66,64
RC,0272,DRAPE SURGICAL 2 INCISE FILM POUCH ISOLATION L129 IN X W100 IN STERI-DRAPE IOBAN PLASTIC LARGE L27 IN X W12 IN CLEAR,99.1,49.55,21.61,89.19,64
RC,0272,DRAPE SURGICAL 62INW X 100INL 2.5INW X 2.5INL SMS FABRIC FULL BODY OCTAGONAL WINDOW MALLEABLE NOSE BRIDGE LOW-LINT ADHESIVE W/GUTTER POUCH BLUE VISEO LATEX-FREE STERILE,292.9,146.45,63.88,263.61,64
RC,0272,DRAPE SURGICAL 85INW X 118INL W/POUCH F/LINGEMAN PERCUTANEOUS NEPHROSCOPY STERILE,808.88,404.44,176.42,727.99,64
RC,0272,DRAPE SURGICAL ADAPTER ALLY II UPS FEMALE RUMI II ADVINCULA ARCH,3074.42,1537.21,670.53,2766.98,64
RC,0272,DRAPE SURGICAL ADHESIVE STRIP FENESTRATE POUCH DRAIN TUBE HOLDER TIBURON LITHOTOMY,81.28,40.64,17.73,73.15,64
RC,0272,DRAPE SURGICAL ADHESIVE STRIP FLUID COLLECTION POUCH TAB L162 IN X W103 IN SHOULDER CONVERTORS TIBURON VELCRO XL BEACH CHAIR,76.99,38.5,16.79,69.29,64
RC,0272,DRAPE SURGICAL ARTHROSCOPIC 77INW X 120INL HIP W/POUCH DRAIN PORT VELCRO CORD-HOLDERX2 LATEX-FREE PVC-FREE STERILE,196.36,98.18,42.83,176.72,64
RC,0272,DRAPE SURGICAL ATTACHABLE POUCH CONVERTORS BEACH CHAIR,98.96,49.48,21.58,89.06,64
RC,0272,DRAPE SURGICAL CARDIOVASCULAR 42IN X 88IN 14IN X 18IN/24IN X 41IN CHEST/LEG INCISE SFS FABRIC TIBURON W/ARMBOARD TROUGH VELCRO TAB LATEX-FREE STERILE,158.34,79.17,34.53,142.51,64
RC,0272,DRAPE SURGICAL CRANIOTOMY INCISE 104INW X 100INL 8INW X 3.5INL FENESTRATION 100% SMS FABRIC OVAL WINDOW ABSORBENT REINFORCED SHEET HOOK-LOOP LINE HOLDER W/FLUID CONTROL POUCH LATEX-FREE STERILE DISPOS,96.93,48.47,21.14,87.24,64
RC,0272,DRAPE SURGICAL DRILL MICROSPEED GA119 LATEX-FREE STERILE SINGLE-USE,293.58,146.79,64.03,264.22,64
RC,0272,DRAPE SURGICAL F/COMPACT WATER BATH STERILE,29.7,14.85,6.48,26.73,64
RC,0272,DRAPE SURGICAL FENESTRATE HOOK LOOP TUBE HOLDER LINE CONTROL POCKET FILM L120 IN X W100 IN HALYARD CONTROL SMS L13 IN W12 IN W76 IN CLEAR ABDOMINAL SURGERY,303.57,151.79,66.21,273.21,64
RC,0272,DRAPE SURGICAL HIP W/POUCHES F/HAWKINS SELF RETAINING RETRACTOR SET STERILE,55.21,27.61,12.04,49.69,64
RC,0272,DRAPE SURGICAL HIPCHECK STERILE,94.99,47.5,20.72,85.49,64
RC,0272,DRAPE SURGICAL IMPERVIOUS 110INW X 99INL X 100INH SMS FABRIC RECTANGULAR TRIANGULAR WINDOW ABSORBENT REINFORCED W/ARMBOARD COVER T-SHAPE ADHESIVE TAB CORD HOLDER CLEAR ORTHOMAX LATEX-FREE STERILE DISP,88.8,44.4,19.37,79.92,64
RC,0272,DRAPE SURGICAL INCISE ARMBOARD COVER LONGITUDINAL FLAP TUBE HOLDER L124 IN X W108 IN CARDIOVASCULAR CVARTS CONTROL PLUS SMS W124 IN,177.56,88.78,38.73,159.8,64
RC,0272,DRAPE SURGICAL INCISE FILM ISOLATION POUCH DRAIN TUBE HOLDER ADHERENT WINDOW L126 IN X W84 IN STERI-DRAPE PLASTIC CLEAR,222.16,111.08,48.45,199.94,64
RC,0272,DRAPE SURGICAL INTEGRATE SECTION BREAST AFFIRM PLASTIC CLEAR PRONE BIOPSY SYSTEM,365.0,182.5,79.61,328.5,64
RC,0272,DRAPE SURGICAL ISOLATION BAG 18INW X 18.5INL POLYETHYLENE MICROBAN ANTIMICROBIAL DRAWSTRING CLOSURE ISODRAPE STERILE DISPOSABLE,200.9,100.45,43.82,180.81,64
RC,0272,DRAPE SURGICAL KNEE ONE MINUT SET ESYSUIT,650.0,325.0,141.77,585.0,64
RC,0272,DRAPE SURGICAL LAPAROSCOPIC CHOLECYSTECTOMY 102INW X 122INW X 78INL 10INW X 11INL FENESTRATION SMS FABRIC RECTANGULAR WINDOW ABSORBENT REINFORCED ADHESIVE HOOK LOOP LINE HOLDER W/TROUGH BLUE LATEX-FRE,80.41,40.21,17.54,72.37,64
RC,0272,DRAPE SURGICAL MAJOR PROCEDURE 102INW X 122INL 10INW X 11INL FENESTRATION SMS FABRIC ABDOMINAL T-SHAPED ABSORBENT REINFORCED ADHESIVE TAB W/ARMBOARD COVER CORD HOLDER LATEX-FREE STERILE DISPOSABLE,84.18,42.09,18.36,75.76,64
RC,0272,DRAPE SURGICAL ORTHOPEDIC 77IN X 146IN 2.5IN FENES HAND CIRCULAR FENESTRATION ABSORBENT REINFORCED NON-WOVEN HEAVY-DUTY W/TABLE EXTENSION CORD-HOLDING TAB SFS FABRIC LATEX-FREE STERILE AAMI LEVEL 4 18,186.3,93.15,40.63,167.67,64
RC,0272,DRAPE SURGICAL ORTHOPEDIC CARDIOVASCULAR 114INW X 88INL X 126INH POLYPROPYLENE SMS FABRIC EXTREMITY CIRCULAR WINDOW ABSORBENT REINFORCED HOOK-LOOP CLOSURE W/ARMBOARD COVER T-SHAPE ADHESIVE TAB CORD HO,77.28,38.64,16.85,69.55,64
RC,0272,DRAPE SURGICAL POUCH 77INW X 122INL CESAREAN SECTION STERILE,109.14,54.57,23.8,98.23,64
RC,0272,DRAPE SURGICAL REINFORCE ARMBOARD COVER POUCH ABSORBENT L134 IN X W115 IN HIP TIBURON L57 IN X W21.375 IN CLEAR,74.12,37.06,16.17,66.71,64
RC,0272,DRAPE SURGICAL REINFORCE FENESTRATE ARMBOARD COVER FLUID CONTROL POUCH L125 IN X W124 IN X H30 IN CONVERTORS TIBURON VELCRO L18 IN X W16 IN LAVH,88.09,44.05,19.21,79.28,64
RC,0272,DRAPE SURGICAL REINFORCE FENESTRATE CORD HOLD L100 IN X W95 IN TIBURON NEUROLOGICAL,105.6,52.8,23.03,95.04,64
RC,0272,DRAPE SURGICAL REINFORCE FENESTRATE L120 IN X W92 IN CONVERTORS TIBURON KNEE ARTHROSCOPY,137.99,69.0,30.1,124.19,64
RC,0272,DRAPE SURGICAL REINFORCEMENT HEAVY DUTY CORD HOLD TAB L130 IN X W87-117 IN CONVERTORS TIBURON L27 5/8 IN X W55.5 IN,74.23,37.12,16.19,66.81,64
RC,0272,DRAPE SURGICAL ROBOTIC 101INW X 151INL F/PROSTATECTOMY,656.12,328.06,143.1,590.51,64
RC,0272,DRAPE SURGICAL ROBOTIC ATTACH LEGGINGS CONVERTORS,164.02,82.01,35.77,147.62,64
RC,0272,DRAPE SURGICAL ROBOTIC LEGGINGS POUCH ABSORBENT REINFORCEMENT L109 IN X W100 IN X H110 IN SMS,130.16,65.08,28.39,117.14,64
RC,0272,DRAPE SURGICAL SHEET L135 IN X W80 IN LULU L3.5 IN X W2.5 IN RADIAL FEMORAL ANGIOGRAPHY,292.01,146.01,63.69,262.81,64
RC,0272,DRAPE SURGICAL UROLOGICAL LARGE 77INW X 132INL POLYETHYLENE CIRCULAR IMPERVIOUS ADHESIVE FILM W/FLUID COLLECTION POUCH DRAIN PORT SCREEN CORD-HOLDER CLEAR LINGEMAN LATEX-FREE NON-HAZARDOUS STERILE,378.12,189.06,82.47,340.31,64
RC,0272,DRAPE SURGICAL VESICA PELVIC SINGLE STEP STERILE SINGLE-USE,149.58,74.79,32.62,134.62,64
RC,0272,DRAPE ZEISS EQUIPMENT SMARTDRAPE STERILE LATEX FREE DISPOSABLE,169.61,84.81,36.99,152.65,64
RC,0272,DRESSING ADHESIVE EZ-STABILIZER L5.75 IN X W5.25 IN X H1.25 IN,90.0,45.0,19.63,81.0,64
RC,0272,DRESSING AQUACEL AG L10 IN X W3.5 IN HYDROCOLLOID COVER LAYER WATERPROOF BACTERIAL BARRIER ANTIMICROBIAL SILVER POLYURETHANE,342.62,171.31,74.73,308.36,64
RC,0272,DRESSING AQUACEL AG L12 IN X W3.5 IN HYDROCOLLOID COVER LAYER WATERPROOF BACTERIAL BARRIER ANTIMICROBIAL SILVER POLYURETHANE,381.77,190.89,83.26,343.59,64
RC,0272,DRESSING AQUACEL AG L15 CM X W9 CM HYDROCOLLOID ANTIMICROBIAL WATERPROOF BACTERIAL BARRIER COVER POLYURETHANE,274.09,137.05,59.78,246.68,64
RC,0272,DRESSING AQUACEL AG L25 CM X W9 CM HYDROCOLLOID ANTIMICROBIAL HYDROFIBER POLYURETHANE,342.62,171.31,74.73,308.36,64
RC,0272,DRESSING AQUACEL AG L35 CM X W9 CM HYDROCOLLOID ANTIMICROBIAL WATERPROOF BACTERIAL BARRIER COVER POLYURETHANE,381.77,190.89,83.26,343.59,64
RC,0272,DRESSING AQUACEL AG L4 IN X W3.5 IN HYDROCOLLOID COVER LAYER WATERPROOF BACTERIAL BARRIER ANTIMICROBIAL SILVER POLYURETHANE,225.14,112.57,49.1,202.63,64
RC,0272,DRESSING AQUACEL AG L6 IN X W3.5 IN HYDROCOLLOID COVER LAYER WATERPROOF BACTERIAL BARRIER ANTIMICROBIAL SILVER POLYURETHANE,274.09,137.05,59.78,246.68,64
RC,0272,DRESSING BIOLOGICAL BIOABSORBABLE POWDER POUCH PURACOL ULTRA COLLAGEN STERILE LATEX FREE 1GM,179.8,89.9,39.21,161.82,64
RC,0272,DRESSING BIOLOGICAL PROMOGRAN PRISMA 55% COLLAGEN 44% OXIDIZED REGENERATED CELLULOSE 1% SILVER OXIDIZED REGENERATED CELLULOSE 19.1 SQ IN HEXAGON MATRIX ANTIMICROBIAL FREEZE DRY,903.3,451.65,197.01,812.97,64
RC,0272,DRESSING BIOLOGICAL TAPE 2.5CMW X 7.5CML 1MMTHK MICROFIBRILLAR COLLAGEN ABSORBENT COLLATAPE,207.0,103.5,45.15,186.3,64
RC,0272,DRESSING BIOLOGICAL THIN 10CMW X 10CML 15-20ML SENTREX BIOSPONGE ULTRA MERCY ONLY,296.25,148.13,64.61,266.63,64
RC,0272,DRESSING BIOLOGICAL THIN 10CMW X 20CML 35-40ML SENTREX BIOSPONGE ULTRA MERCY ONLY,506.25,253.13,110.41,455.63,64
RC,0272,DRESSING BIOLOGICAL THIN 5CMW X 5CML 5-7ML SENTREX BIOSPONGE ULTRA MERCY ONLY,131.25,65.63,28.63,118.13,64
RC,0272,DRESSING BURN 16INW X 16INL SILVER NYLON CONTACT LAYER ANTIMICROBIAL SILVERLON LATEX-FREE 1/EA,72.5,36.25,15.81,65.25,64
RC,0272,DRESSING BURN NON-ADHERENT 8INW X 16INL SILVER PLATED NYLON RECTANGLE ANTIMICROBIAL CONTACT LAYER KNITTED CONFORMABLE IMPREGNATED BARRIER POROUS SILVERLON LATEX-FREE STERILE,194.4,97.2,42.4,174.96,64
RC,0272,DRESSING BURN SHEET 24INW X 24INL SILVER NYLON CONTACT LAYER ANTIMICROBIAL SILVERLON LATEX-FREE,187.82,93.91,40.96,169.04,64
RC,0272,DRESSING COMPRESSION JONES L13 FT X W6 IN COTTON 1/2 LB ROLL HIGH ABSORBENT,208.53,104.27,45.48,187.68,64
RC,0272,DRESSING EAR GLASSCOCK LATEX FREE ADULT 5.5IN,125.0,62.5,27.26,112.5,64
RC,0272,DRESSING FOAM 10X4IN ABSORBENT SELF ADHERENT ANTIMICROBIAL MEPILEX BORDER AG SILVER,773.15,386.58,168.62,695.84,64
RC,0272,DRESSING FOAM 10X4IN POSTOPERATIVE AGGRESSIVE ANTIMICROBIAL FLEXIBLE MEPILEX BORDER SILVER SULPHATE,878.15,439.08,191.52,790.34,64
RC,0272,DRESSING FOAM 12X4IN ABSORBENT SELF ADHERENT SHOWER PROOF ANTIMICROBIAL MEPILEX BORDER AG SILVER POLYURETHANE STERILE LATEX FREE,645.25,322.63,140.73,580.73,64
RC,0272,DRESSING FOAM 12X4IN POSTOPERATIVE ALL IN ONE MEPILEX BORDER AG STERILE DISPOSABLE,716.75,358.38,156.32,645.08,64
RC,0272,DRESSING FOAM 14X4IN POSTOPERATIVE ALL IN ONE MEPILEX BORDER AG STANDARD STERILE DISPOSABLE,1991.4,995.7,434.32,1792.26,64
RC,0272,DRESSING FOAM 24X4IN NONADHERENT POLYMEM POLYURETHANE,150.54,75.27,32.83,135.49,64
RC,0272,DRESSING FOAM 5X4IN ANTIMICROBIAL EXUDATE RAPID MEPILEX TRANSFER AG SILVER THIN STERILE DISPOSABLE,594.0,297.0,129.55,534.6,64
RC,0272,DRESSING FOAM 5X5CM ALLEVYN,74.7,37.35,16.29,67.23,64
RC,0272,DRESSING FOAM 6IN X 6IN GELLING FIBER SQUARE EXUFIBER AG+ 10/BX,763.2,381.6,166.45,686.88,64
RC,0272,DRESSING FOAM 6X4IN POSTOPERATIVE MEPILEX BORDER AG STERILE DISPOSABLE,1414.7,707.35,308.55,1273.23,64
RC,0272,DRESSING FOAM 8X4IN ABSORBENT SELF ADHERENT SHOWER PROOF ANTIMICROBIAL MEPILEX BORDER AG SILVER POLYURETHANE STERILE LATEX FREE,626.85,313.43,136.72,564.17,64
RC,0272,DRESSING FOAM 8X4IN POSTOPERATIVE MEPILEX BORDER SILVER STERILE DISPOSABLE,582.25,291.13,126.99,524.03,64
RC,0272,DRESSING FOAM ADHERENT CUT-TO-FIT 6INW X 6INL SURETAC SILVER SULFATE ANTIMICROBIAL ABSORBENT SOFT MEPILEX AG 5/BX,379.75,189.88,82.82,341.78,64
RC,0272,DRESSING FOAM ADHERENT CUT-TO-FIT 8INW X 20INL SURETAC SILVER SULFATE ANTIMICROBIAL ABSORBENT SOFT MEPILEX AG 2/BX,597.3,298.65,130.27,537.57,64
RC,0272,DRESSING FOAM CUT-TO-FIT 8INW X 20INL SURETAC SILVER SULFATE ANTIMICROBIAL ABSORBENT SAFETAC MEPILEX TRANSFER AG 2/BX,838.56,419.28,182.89,754.7,64
RC,0272,DRESSING FOAM MEPILEX UP ADHESIVE 8IN X 8IN SQUARE NON-BORDERED DIMPLED SURFACE WHITE SILICONE STERILE 10/BX,333.0,166.5,72.63,299.7,64
RC,0272,DRESSING GEL 1.75OZ TUBE WATER-SOLUBLE F/BURN PLUROGEL LATEX-FREE NON-STERILE 12/CA BIOCOMPATIBLE,1112.4,556.2,242.61,1001.16,64
RC,0272,DRESSING GEL ANTIMICROBIAL ABSORBENT TUBE IODOSORB CADEXOMER IODINE STERILE LATEX FREE,540.0,270.0,117.77,486.0,64
RC,0272,DRESSING GEL ANTIMICROBIAL ABSORBENT TUBE NONADHERENT IODOSORB CADEXOMER IODINE STERILE LATEX FREE,675.0,337.5,147.22,607.5,64
RC,0272,DRESSING GERMICIDAL 144X10IN ANTIMICROBIAL INTERDRY SILVER FABRIC,474.4,237.2,103.47,426.96,64
RC,0272,DRESSING GERMICIDAL 6X4IN ISLAND PAD MULTILAYER ANTIMICROBIAL SILVERLON SILVER NYLON 4X2IN STANDARD STERILE,67.05,33.53,14.62,60.35,64
RC,0272,DRESSING GERMICIDAL AQUACEL AG L12 IN X W8 IN,141.92,70.96,30.95,127.73,64
RC,0272,DRESSING GERMICIDAL AQUACEL AG L14 IN X W3.5 IN POLYURETHANE IONIC SILVER COVER LAYER WATERPROOF BACTERIAL BARRIER ANTIMICROBIAL,381.77,190.89,83.26,343.59,64
RC,0272,DRESSING GERMICIDAL AQUACEL AG L45 CM X W1 CM MICRO CONTOUR RIBBON ANTIMICROBIAL,50.72,25.36,11.06,45.65,64
RC,0272,DRESSING GERMICIDAL AQUACEL AG L45 CM X W2 CM MICRO CONTOUR RIBBON ANTIMICROBIAL,50.72,25.36,11.06,45.65,64
RC,0272,DRESSING GERMICIDAL AQUACEL AG L6 IN X W6 IN,95.15,47.58,20.75,85.64,64
RC,0272,DRESSING GERMICIDAL AQUACEL L8 IN X W3.5 IN SILVER ANTIMICROBIAL,326.3,163.15,71.17,293.67,64
RC,0272,DRESSING GERMICIDAL NON-ADHERENT WRAP 6INW X 108INL SILVER PLATED NYLON ANTIMICROBIAL CONTACT LAYER KNITTED BARRIER POROUS F/BURN SILVERLON LATEX-FREE STERILE,297.79,148.9,64.95,268.01,64
RC,0272,DRESSING HEMOSTATIC 12X12IN 3 PLY MOLD SHAPEABLE QUIKCLOT CONTROL+ LATEX FREE,2659.15,1329.58,579.96,2393.24,64
RC,0272,DRESSING HEMOSTATIC 2YDX3IN 1 PLY Z FOLD RADIOPAQUE QUIKCLOT CONTROL+ KAOLIN HYDROPHILIC GAUZE STERILE WHITE,1472.76,736.38,321.21,1325.48,64
RC,0272,DRESSING HEMOSTATIC 3INW X 4YDL KAOLIN IMPREGNATED HYDROPHILIC PRE-SLIT WHITE QUIKCLOT LATEX-FREE STERILE,43.56,21.78,9.5,39.2,64
RC,0272,DRESSING HEMOSTATIC 3INW X 4YDL KAOLIN NON-WOVEN IMPREGNATED WHITE QUIKCLOT LATEX-FREE STERILE,386.0,193.0,84.19,347.4,64
RC,0272,DRESSING HEMOSTATIC 4X4IN 4 PLY NONWOVEN RADIOPAQUE SOFT QUIKCLOT KAOLIN STERILE LATEX FREE WHITE,3597.8,1798.9,784.68,3238.02,64
RC,0272,DRESSING HEMOSTATIC 4YDX3IN 1 PLY Z FOLD QUIKCLOT KAOLIN,435.6,217.8,95.0,392.04,64
RC,0272,DRESSING HEMOSTATIC 8X8IN 2 PLY PLIABLE MOLDABLE SHAPEABLE QUIKCLOT CONTROL+ LATEX FREE,1636.4,818.2,356.9,1472.76,64
RC,0272,DRESSING HEMOSTATIC PAD 12INW X 12INL KAOLIN IMPREGNATED 3-PLY HYDROPHILIC WHITE QUIKCLOT LATEX-FREE,742.5,371.25,161.94,668.25,64
RC,0272,DRESSING HEMOSTATIC PAD 1IN X 2IN CALCIUM ALGINATE TOPICAL E-NEPTUNE LATEX-FREE STERILE,180.0,90.0,39.26,162.0,64
RC,0272,DRESSING HYDROCOLLOID 14X3.5IN COVER ANTIMICROBIAL WATERPROOF AQUACEL AG HYDROFIBER IONIC SILVER POLYURETHANE LATEX FREE,7271.8,3635.9,1585.98,6544.62,64
RC,0272,DRESSING HYDROCOLLOID POLYURETHANE EXTRA THIN DUODERM CGF,594.6,297.3,129.68,535.14,64
RC,0272,DRESSING IONIC SILVER HYDROGEL ABSORBENT NONSTAIN AMORPHOUS PERFORATE GEL 1.5 OZ,172.03,86.02,37.52,154.83,64
RC,0272,DRESSING NASAL 8CM BIORESORBABLE FIRM PACKING NASOPORE POLYMER STERILE LATEX FREE,1486.35,743.18,324.17,1337.72,64
RC,0272,DRESSING NASAL DISSOLVABLE RAPID RHINO STAMMBERGER SINU-FOAM CARBOXYMETHYL CELLULOSE,183.96,91.98,40.12,165.56,64
RC,0272,DRESSING NASAL HEMOPORE L8 CM BIORESORBABLE HEMOSTATIC SINUS CHITOSAN LACTATE,1977.9,988.95,431.38,1780.11,64
RC,0272,DRESSING NASAL MEROCEL L8 CM COMPRESS DRAWSTRING SEPTUM STANDARD WHITE,154.7,77.35,33.74,139.23,64
RC,0272,DRESSING NASAL MEROCEL STANDARD,319.9,159.95,69.77,287.91,64
RC,0272,DRESSING NASAL MEROPACK STERILE LATEX FREE DISPOSABLE,657.74,328.87,143.45,591.97,64
RC,0272,DRESSING NASAL NASOPORE L4 CM BIORESORBABLE FIRM,866.32,433.16,188.94,779.69,64
RC,0272,DRESSING NASAL NASOPORE L8 CM BIORESORBABLE HYDROPHILIC POLYMER STANDARD,1256.93,628.47,274.14,1131.24,64
RC,0272,DRESSING NEGATIVE PRESSURE 10.0CMW X 18.1CML 1.8CM THK W/PRE-FORMED BRIDGE DRAPE DISPOSABLE RULER F/PROMOTING GRANULATION TISSUE V.A.C GRANUFOAM LATEX-FREE,265.1,132.55,57.82,238.59,64
RC,0272,DRESSING NEGATIVE PRESSURE 10CMW X 30CML WATERPROOF PORTABLE W/PUMP PICO 7 STERILE DISPOSABLE,798.0,399.0,174.04,718.2,64
RC,0272,DRESSING NEGATIVE PRESSURE 10CMW X 40CML WATERPROOF PORTABLE W/PUMP PICO 7 STERILE DISPOSABLE,684.0,342.0,149.18,615.6,64
RC,0272,DRESSING NEGATIVE PRESSURE 19CMW X 21CML W/BELLA FORM PREVENA RESTOR,550.0,275.0,119.96,495.0,64
RC,0272,DRESSING NEGATIVE PRESSURE 29CMW X 28CML ANKLE PREVENA RESTOR AXIOFORM,2250.0,1125.0,490.73,2025.0,64
RC,0272,DRESSING NEGATIVE PRESSURE MEDIUM W/2 SPIRAL SHEET DRAPE/PAD WITH CONNECTOR/RULER VAC SIMPLACE LATEX-FREE STERILE SINGLE-USE,224.3,112.15,48.92,201.87,64
RC,0272,DRESSING NEGATIVE PRESSURE NON-ADHESIVE LARGE 10CMW X 15CML X 1CMH PVA FOAM WHITE V.A.C,117.67,58.84,25.66,105.9,64
RC,0272,DRESSING NEGATIVE PRESSURE VACUUM ASSISTED LARGE 26CMW X15CML X 3.3CMD POLYURETHANE FOAM 10% SILVER W/DRAPE PAD CONNECTOR RULER SENSAT.R.A.C V.A.C GRANUFOAM LATEX-FREE STERILE,371.52,185.76,81.03,334.37,64
RC,0272,DRESSING NEGATIVE PRESSURE VACUUM ASSISTED MEDIUM TUBULAR W/SPIRAL WOUND RULER FOAM LABEL BLACK VAC VERAFLO STERILE SINGLE-USE,546.25,273.13,119.14,491.63,64
RC,0272,DRESSING NEGATIVE PRESSURE VACUUM ASSISTED SMALL 10CMW X 7.5CML X 3.3CMD POLYURETHANE W/STANDARD DRAPE PAD CONNECTOR LUER V.A.C GRANUFOAM SILVER LATEX-FREE STERILE SINGLE-USE,247.97,123.99,54.08,223.17,64
RC,0272,DRESSING PREVENA RESTOR BELLAFORM 19CM X 21CM,2750.0,1375.0,599.78,2475.0,64
RC,0272,DRESSING THK3.2 CM STANDARD LARGE L26 CM X W15 CM VAC GRANUFOAM FOAM POLYURETHANE HYDROPHOBIC 2 DRAPE 1 SENSA TRAC PAD,771.7,385.85,168.31,694.53,64
RC,0272,DRESSING TRANSPARENT 7 7/8INW X 8INL ACRYLIC LARGE SQUARE ABSORBENT HYPOALLERGENIC CLEAR TEGADERM LATEX-FREE STERILE,43.8,21.9,9.55,39.42,64
RC,0272,DRESSING WOUND 0.75INW X 18INL ALGINATE POWDER SILVER GELLING FIBER RECTANGULAR ANTIMICROBIAL ABSORBENT OPTICELL AG+ LATEX-FREE STERILE DISPOSABLE,162.84,81.42,35.52,146.56,64
RC,0272,DRESSING WOUND 10INW X 5INL 323CM2 PERMEADERM B,1883.84,941.92,410.87,1695.46,64
RC,0272,DRESSING WOUND 10X4IN ISLAND TAPE PAD ANTIMICROBIAL SILVERLON 8X2IN STERILE LATEX FREE,134.09,67.05,29.25,120.68,64
RC,0272,DRESSING WOUND 10X7.5CM PAD DRAPE OPEN PORE GRANUFOAM POLYURETHANE HYDROPHOBIC THK3.3CM SMALL BLACK,351.95,175.98,76.76,316.76,64
RC,0272,DRESSING WOUND 12X8IN NONADHESIVE MEPITEL SILICONE STERILE LATEX FREE,618.0,309.0,134.79,556.2,64
RC,0272,DRESSING WOUND 14X4IN 7 DAY ANTIMICROBIAL ISLAND SILVERLON SILVER 12X2IN STERILE,223.49,111.75,48.74,201.14,64
RC,0272,DRESSING WOUND 15INW X 10INL 968CM2 PERMEADERM B,2119.35,1059.68,462.23,1907.42,64
RC,0272,DRESSING WOUND 2.5X2.5IN 2 LAYER NONWOVEN PAD SEMIPERMEABLE MEMBRANE BIODEGRADABLE MATRIX HYALOMATRIX HYAFF SILICONE STERILE LATEX FREE,274.71,137.36,59.91,247.24,64
RC,0272,DRESSING WOUND 4INW X 48INL FABRIC 2-LAYER MICRO-KNIT ABSORBENT ACTIVE FLUID MANAGEMENT TRITEC 10/CT,682.0,341.0,148.74,613.8,64
RC,0272,DRESSING WOUND 4INW X 48INL FABRIC CERAMIC SILVER ION 3-LAYER ANTIMICROBIAL MICRO-KNIT ABSORBENT ACTIVE FLUID MANAGEMENT TRITEC SILVER 10/CT,736.25,368.13,160.58,662.63,64
RC,0272,DRESSING WOUND 665X802MM VISCERAL PROTECTIVE LAYER DRAPE TUBE SET OPEN ABDOMEN NEGATIVE PRESSURE THERAPY SYSTEM ABTHERA POLYURETHANE FOAM THK10MM 6IN STERILE LATEX FREE,2275.0,1137.5,496.18,2047.5,64
RC,0272,DRESSING WOUND 6INW X 6INL FABRIC CERAMIC SILVER ION 3-LAYER ANTIMICROBIAL MICRO-KNIT ABSORBENT ACTIVE FLUID MANAGEMENT TRITEC SILVER 10/BX,21.55,10.78,4.7,19.4,64
RC,0272,DRESSING WOUND ABTHERA ADVANCE OPEN ABDOMEN,3105.35,1552.68,677.28,2794.82,64
RC,0272,DRESSING WOUND ADHERENT 4INW X 7INL MESH SILVER LINING ANTIMICROBIAL SAFETAC MEPITEL AG STERILE 10/BX,1369.9,684.95,298.78,1232.91,64
RC,0272,DRESSING WOUND ADHESIVE 17CMW X 25CM POLYURETHANE NET SINGLE SIDED SAFETAC MEPITEL ONE 5/BX,653.6,326.8,142.55,588.24,64
RC,0272,DRESSING WOUND ADHESIVE NON-ADHERENT ISLAND PAD 6INW X 6INL SILVER NYLON SQUARE ANTIMICROBIAL ABSORBENT CONFORMABLE IMPREGNATED BARRIER F/SUPERFICIAL WOUNDS MINOR BURNS SILVERLON LATEX-FREE STERILE 5/,77.1,38.55,16.82,69.39,64
RC,0272,DRESSING WOUND COVER 3.5INW X 4INL HYDROFIBER IONIC SILVER POLYURETHANE ANTIMICROBIAL FILM SLIM PROFILE DESIGN ABSORBENT WATERPROOF AQUACEL AG STERILE 10/BX,225.14,112.57,49.1,202.63,64
RC,0272,DRESSING WOUND DRAWTEX L8 IN X W8 IN HYDROCONDUCTIVE LEVAFIBER,153.1,76.55,33.39,137.79,64
RC,0272,DRESSING WOUND JUMPSTART L2 IN X W5 IN ANTIMICROBIAL,160.0,80.0,34.9,144.0,64
RC,0272,DRESSING WOUND LOW-ADHERENT CUT-TO-FIT 24INW X 36INL FABRIC CERAMIC SILVER ION 5-LAYER MICRO-KNIT ABSORBENT ACTIVE FLUID MANAGEMENT IMPERVIOUS FILM ASSIST 20/CA,1600.0,800.0,348.96,1440.0,64
RC,0272,DRESSING WOUND NON-ADHERENT 4INW X 48INL SILVER EXTREMITY ANTIMICROBIAL FLEXIBLE ASSIST,500.0,250.0,109.05,450.0,64
RC,0272,DRESSING WOUND OTOPORE BIORESORBABLE SOLUTION STANDARD,471.46,235.73,102.83,424.31,64
RC,0272,DRESSING WOUND PAD ABTHERA SENSA TRAC FOAM STERILE LATEX FREE DISPOSABLE OPEN ABDOMEN,2392.0,1196.0,521.7,2152.8,64
RC,0272,DRESSING WOUND RESTORE L8 IN X W6 IN NONADHESIVE NONOCCLUSIVE CONTACT LAYER SILVER,153.8,76.9,33.54,138.42,64
RC,0272,DRESSING WOUND VAC GRANUFOAM SMALL,955.9,477.95,208.48,860.31,64
RC,0272,DRESSING WOUND VAC VERAFLO CLEANSE CHOICE MEDIUM,655.5,327.75,142.96,589.95,64
RC,0272,DRESSING WOUND VAC VERAFLO GRANUFOAM 2 TRAC PAD MICRO PORE 400-600 LARGE,995.22,497.61,217.06,895.7,64
RC,0272,DRESSING WOUND VAC VERAFLO MEDIUM,529.86,264.93,115.56,476.87,64
RC,0272,DRESSING WOUND VAC VERAFLO SPIRAL CUT WITHOUT SCISSOR FOAM HYDROPHOBIC SMALL,465.5,232.75,101.53,418.95,64
RC,0272,DRILL ARTHROSCOPIC 1.9MM SHOULDER LATEX-FREE STERILE DISPOSABLE F/FIBERTAK SOFT ANCHOR,105.0,52.5,22.9,94.5,64
RC,0272,DRILL ARTHROSCOPIC 10MM CANNULATED RETROGRADE DEPTH TUBE FINGER GRIP W/2.4MM GW SUTURE RETRIEVER ACUFEX TRUNAV,375.0,187.5,81.79,337.5,64
RC,0272,DRILL ARTHROSCOPIC 11MM CANNULATED RETROGRADE DEPTH TUBE FINGER GRIP W/2.4MM GW SUTURE RETRIEVER ACUFEX TRUNAV,375.0,187.5,81.79,337.5,64
RC,0272,DRILL ARTHROSCOPIC 11MM TIBIAL FEMORAL ACL/PCL TUNNEL CANNULATED FULL-THICK CALIBRATED DEPTH MARKED STERILE,195.0,97.5,42.53,175.5,64
RC,0272,DRILL ARTHROSCOPIC 7MM TIBIAL FEMORAL ACL/PCL TUNNEL CANNULATED FULL-THICK CALIBRATED DEPTH MARKED STERILE,195.0,97.5,42.53,175.5,64
RC,0272,DRILL ARTHROSCOPIC HARD BONE CENTERING W/SLEEVE F/1.4MM SURELOCK ALL-SUTURE ANCHOR DISPOSABLE,169.0,84.5,36.86,152.1,64
RC,0272,DRILL BIT 2.6MM CANNULATED AO QC,170.0,85.0,37.08,153.0,64
RC,0272,"DRILL BIT 2.6X220MM, VARIAX2 AO SCALED",137.31,68.66,29.95,123.58,64
RC,0272,DRILL BIT AO 1.7MM,157.1,78.55,34.26,141.39,64
RC,0272,DRILL BIT COUNTERSINK 1.5 MM 2 MM CORTEX SCREW,195.88,97.94,42.72,176.29,64
RC,0272,DRILL BIT COUNTERSINK 2MM ASNIS MICRO CANNULATED AO COUPLING DISPOSABLE,162.9,81.45,35.53,146.61,64
RC,0272,DRILL BIT COUNTERSINK 3DI TECHNOLOGY CANNULATED OD6 MM ORTHOLOC ANKLE,105.47,52.74,23.0,94.92,64
RC,0272,DRILL BIT COUNTERSINK 4.5 MM 6.5 MM SCREWS,395.02,197.51,86.15,355.52,64
RC,0272,DRILL BIT COUNTERSINK CANNULATED AO QUICK 3.2MM SCREW,280.0,140.0,61.07,252.0,64
RC,0272,DRILL BIT COUNTERSINK CANNULATED AO QUICK CONNECT 2.4/2.6 MM DYNAFIT SCREW,280.0,140.0,61.07,252.0,64
RC,0272,DRILL BIT COUNTERSINK CANNULATED OSTEOMED 3 MM 4 MM SCREW,223.0,111.5,48.64,200.7,64
RC,0272,DRILL BIT COUNTERSINK EVOS MINI AO QUICK COUPLING 2.7 MM SCREW,473.0,236.5,103.16,425.7,64
RC,0272,DRILL BIT COUNTERSINK HEAD DARCO ORTHOLOC ANKLE FUSION PLATING SYSTEM,342.28,171.14,74.65,308.05,64
RC,0272,DRILL BIT COUNTERSINK L45 MM AO QUICK COUPLING SHAFT END OD3.7 MM APTUS,157.66,78.83,34.39,141.89,64
RC,0272,DRILL BIT COUNTERSINK LARGE LARGE FRAGMENT PERI-LOC,139.15,69.58,30.35,125.24,64
RC,0272,DRILL BIT COUNTERSINK LONG CANNULATED AO QUICK CONNECT DYNAFIT 2.4/2.6 MM SCREW,280.0,140.0,61.07,252.0,64
RC,0272,DRILL BIT COUNTERSINK LONG CANNULATED AO QUICK CONNECT DYNAFIT 3.2 MM SCREW,280.0,140.0,61.07,252.0,64
RC,0272,DRILL BIT COUNTERSINK MULTISCREW OD1.5 MM ACUMED,119.0,59.5,25.95,107.1,64
RC,0272,DRILL BIT COUNTERSINK STAINLESS STEEL SET CANNULATED 3.5 MM 4 MM SCREW NONSTERILE,277.07,138.54,60.43,249.36,64
RC,0272,DRILL BIT ORTHOPEDIC 105MM 2MM VARIAX AO SCALE NONSTERILE REUSABLE,132.34,66.17,28.86,119.11,64
RC,0272,DRILL BIT ORTHOPEDIC 3.2MM X 50MM HUMERAL FIXATION SET,234.0,117.0,51.04,210.6,64
RC,0272,DRILL BIT ORTHOPEDIC FLUTED DRILL BIT 2.7 MM AO,155.55,77.78,33.93,140.0,64
RC,0272,DRILL BIT ORTHOPEDIC SHORT FLUTED DRILL BIT 2.0 MM SHORT AO,155.55,77.78,33.93,140.0,64
RC,0272,DRILL BIT SURGICAL 1.8MM AO QUICK-CONNECT ANTHME 100MM DISTAL RADIUS FRACTURE SYSTEM,60.0,30.0,13.09,54.0,64
RC,0272,DRILL BIT SURGICAL CANNULATED QUICK RELEASE OSTEOMED,209.0,104.5,45.58,188.1,64
RC,0272,DRILL BIT SURGICAL L1.7 MM LONG QUICK RELEASE CANNULATED OD2 MM OSTEOMED,209.0,104.5,45.58,188.1,64
RC,0272,DRILL BIT SURGICAL SHORT PILOT OD2 MM EXTREMILOCK FOOT,132.0,66.0,28.79,118.8,64
RC,0272,DRILL BIT/CANN/11.2 LRG QC,672.77,336.39,146.73,605.49,64
RC,0272,DRILL CANNULATED 9MM,492.0,246.0,107.31,442.8,64
RC,0272,DRILL DENTAL 1.6MM 115MM 35MM F/4/5MM SCREW,51.2,25.6,11.17,46.08,64
RC,0272,DRILL DYNANAIL MINI TRNSV 4MM,119.0,59.5,25.95,107.1,64
RC,0272,DRILL ENDOSCOPIC CANN OD9.5 MM VERSITOMIC,314.4,157.2,68.57,282.96,64
RC,0272,DRILL ENDOSCOPIC CANNULATED OD4.5 MM VERSITOMIC,312.84,156.42,68.23,281.56,64
RC,0272,DRILL ENDOSCOPIC L7 IN CANNULATED CALIBRATE OD9 MM ID2.4 MM ACUFEX DIRECTOR ELITE ACL PCL SYSTEM,282.0,141.0,61.5,253.8,64
RC,0272,DRILL GUIDE 3+4 MM OD1.8 MM COCHLEAR VISTAFIX BONE ANCHOR HEARING DEVICE,186.75,93.38,40.73,168.08,64
RC,0272,DRILL HAND CANNULATED EXTENDED OD2.5 MM METAPHYSEAL,48.0,24.0,10.47,43.2,64
RC,0272,DRILL HAND HARD BONE W/1.4MM DIA ANCHOR SURELOCK DISPOSABLE,169.0,84.5,36.86,152.1,64
RC,0272,DRILL MAZOR LNG 3X30MM10/PK,2150.0,1075.0,468.92,1935.0,64
RC,0272,DRILL MAZOR SHT 3X30MM10/PK,1700.0,850.0,370.77,1530.0,64
RC,0272,DRILL MICRORAPTOR,225.0,112.5,49.07,202.5,64
RC,0272,DRILL SURG FLXB OD1.6 MM FIBERTAK,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURG LONG OD4.7 MM ACTRK 2,352.0,176.0,76.77,316.8,64
RC,0272,DRILL SURGICAL 1.4MM STERILE ICONIX DISPOSABLE,199.75,99.88,43.57,179.78,64
RC,0272,DRILL SURGICAL 1.5MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL 1.5MM DIA SHORT QUICK-RELEASE F/2MM SCREW PLATE MODULE HPS,148.75,74.38,32.44,133.88,64
RC,0272,DRILL SURGICAL 110MM 2.7MM OVER SOLID AO CONNECTION,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL 115MM 26MM 1.6MM MANDIBLE STOP TRAUMAONE,144.0,72.0,31.41,129.6,64
RC,0272,DRILL SURGICAL 12MM NONSTERILE SHORELINE ASC LATEX FREE,59.0,29.5,12.87,53.1,64
RC,0272,DRILL SURGICAL 130MM 2.7MM,80.0,40.0,17.45,72.0,64
RC,0272,DRILL SURGICAL 130MM 2MM VLP,80.0,40.0,17.45,72.0,64
RC,0272,DRILL SURGICAL 14MM FIX DEPTH AO EAGLE SWIFT,123.75,61.88,26.99,111.38,64
RC,0272,DRILL SURGICAL 16MM FIX DEPTH AO JACOBS EAGLE SWIFT LATEX FREE,75.0,37.5,16.36,67.5,64
RC,0272,DRILL SURGICAL 190MM 3.2MM CANNULATED,539.0,269.5,117.56,485.1,64
RC,0272,DRILL SURGICAL 191MM 2MM,80.0,40.0,17.45,72.0,64
RC,0272,DRILL SURGICAL 1MM DIAMOND ROUND PRECISION ORANGE F/BONE DISSECTION S2 MINI AUTOCLAVABLE,199.32,99.66,43.47,179.39,64
RC,0272,DRILL SURGICAL 2.26MM FOOT OVER CAPTURE TC .75MM SCREW DISPOSABLE,288.24,144.12,62.87,259.42,64
RC,0272,DRILL SURGICAL 2.3MM CANNULATED QUICK RELEASE,209.0,104.5,45.58,188.1,64
RC,0272,DRILL SURGICAL 2.3MM ICONIX DISPOSABLE,199.75,99.88,43.57,179.78,64
RC,0272,DRILL SURGICAL 2.3X3MM FOOT RELIEF CAPTURE TH DISPOSABLE,310.64,155.32,67.75,279.58,64
RC,0272,DRILL SURGICAL 2.4MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL 2.4MM STEP 3MM SUTURETAK,80.0,40.0,17.45,72.0,64
RC,0272,DRILL SURGICAL 2.5MM AO FIT SCALE,265.67,132.84,57.94,239.1,64
RC,0272,DRILL SURGICAL 2.6MM AO CONNECTOR NONSTERILE 3.5MM VARIAX LOCK PLATE SYSTEM,85.5,42.75,18.65,76.95,64
RC,0272,DRILL SURGICAL 2.7MM 70MM W/OPTIONAL SECONDARY STOP KIT DISPOSABLE,1731.52,865.76,377.64,1558.37,64
RC,0272,DRILL SURGICAL 2.7MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL 2.7MM CANNULATED AO COUPLING TWIST NONSTERILE,271.64,135.82,59.24,244.48,64
RC,0272,DRILL SURGICAL 2.7MM MIDFOOT ADVANSYS 3.5MM SCREW DISPOSABLE,284.53,142.27,62.06,256.08,64
RC,0272,DRILL SURGICAL 2.7MM STERILE BIOWICK SURELOCK DISPOSABLE,156.0,78.0,34.02,140.4,64
RC,0272,DRILL SURGICAL 2.8 STERILE SONICANCHOR SONICANCHOR 2.5MM DISPOSABLE LATEX FREE,297.51,148.76,64.89,267.76,64
RC,0272,DRILL SURGICAL 2.8MM ANKLE PLATE,230.0,115.0,50.16,207.0,64
RC,0272,DRILL SURGICAL 2.9 MM SHORT PUSHLOCK HARD BONE,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL 25MM KNEE LASER DEPTH MARK STEP LOW PROFILE CANCELLOUS SCREW,82.0,41.0,17.88,73.8,64
RC,0272,DRILL SURGICAL 2MM 40MM SOLID SIDE CUTTING,1575.0,787.5,343.51,1417.5,64
RC,0272,DRILL SURGICAL 2MM AO CONNECTOR NONSTERILE 2.7MM VARIAX ELBOW LOCK PLATE SYSTEM,85.5,42.75,18.65,76.95,64
RC,0272,DRILL SURGICAL 2MM AO QUICK COUPLING EVOS MINI DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL 3.2MM FLEXIBLE STERILE,107.25,53.63,23.39,96.53,64
RC,0272,DRILL SURGICAL 340MM 4.2MM SUPRACONDYLAR AO CALIBRATED CENTER TIP T2 GREEN,153.23,76.62,33.42,137.91,64
RC,0272,DRILL SURGICAL 360 D ACCESS OD10 GA NA 1-3 ML SPINE,112.5,56.25,24.54,101.25,64
RC,0272,DRILL SURGICAL 360MM 4.2MM LOCK STERILE,175.12,87.56,38.19,157.61,64
RC,0272,DRILL SURGICAL 3MMX30MM TOOL MR8-14TD3030 MR8 TWIST DRILL M&8 TOOLS,278.3,139.15,60.7,250.47,64
RC,0272,DRILL SURGICAL 4 ANTIROTATION NOTCH INBONE,111.0,55.5,24.21,99.9,64
RC,0272,DRILL SURGICAL 4.0 X 165MM STERILE,247.5,123.75,53.98,222.75,64
RC,0272,DRILL SURGICAL 4.1MM TIBIAL NONSTERILE PANTA 2 ARTHRODESIS NAIL SYSTEM DISPOSABLE LATEX FREE,668.3,334.15,145.76,601.47,64
RC,0272,DRILL SURGICAL 42 LONG DISTAL SCREW GRADUATE OD4.3 MM AFFIXUS AFFIXUS HIP FRACTURE NAIL SYSTEM,270.9,135.45,59.08,243.81,64
RC,0272,DRILL SURGICAL 43MM 5MM 1.1MM JNOTCH STOP TWIST,280.0,140.0,61.07,252.0,64
RC,0272,DRILL SURGICAL 43MM 5MM 1.2MM JNOTCH STOP TWIST,194.0,97.0,42.31,174.6,64
RC,0272,DRILL SURGICAL 4MM ACL BIT CANNULATED BIO-TENODESIS,184.0,92.0,40.13,165.6,64
RC,0272,DRILL SURGICAL 4MM CANNULATED AO COUPLING TWIST NONSTERILE,286.56,143.28,62.5,257.9,64
RC,0272,DRILL SURGICAL 4MM DYNANAIL TIBIOTALOCALCANEAL ARTHRODESIS DISPOSABLE,233.0,116.5,50.82,209.7,64
RC,0272,DRILL SURGICAL 4MM DYNANAIL TIBIOTALOCALCANEAL ARTHRODESIS DISPOSABLE 2200-09-0400,112.61,56.31,24.56,101.35,64
RC,0272,DRILL SURGICAL 4MM OCCIPITAL ATOLL,26.0,13.0,5.67,23.4,64
RC,0272,DRILL SURGICAL 5 MM OD3.9 MM SALVATION,71.64,35.82,15.62,64.48,64
RC,0272,DRILL SURGICAL 5.8MM 70MM W/TAPERED DEPTH STOP EXTENSION DISPOSABLE,1492.56,746.28,325.53,1343.3,64
RC,0272,DRILL SURGICAL 5MM STEP DYNANAIL TIBIOTALOCALCANEAL ARTHRODESIS DISPOSABLE,238.95,119.48,52.11,215.06,64
RC,0272,DRILL SURGICAL 5MM STOP 50MM 1.2MM J NOTCH GOLD,152.0,76.0,33.15,136.8,64
RC,0272,DRILL SURGICAL 6.35MM 70MM W/TAPERED STOP EXTENSION KIT VERSION A1 STAPLER DISPOSABLE,1731.52,865.76,377.64,1558.37,64
RC,0272,DRILL SURGICAL 6.4MM STERILE,207.21,103.61,45.19,186.49,64
RC,0272,DRILL SURGICAL 6IN 2.5MM FENESTRATE DYNANAIL DISPOSABLE,233.0,116.5,50.82,209.7,64
RC,0272,DRILL SURGICAL 7.5MM CANNULATED DYNANAIL MIN,512.0,256.0,111.67,460.8,64
RC,0272,DRILL SURGICAL 7MM CANNULATED,492.0,246.0,107.31,442.8,64
RC,0272,DRILL SURGICAL 7MM COMPRESSION SCREW STARTER INTERTAN,220.32,110.16,48.05,198.29,64
RC,0272,DRILL SURGICAL 8MM CANNULATED DYNANAIL MIN,512.0,256.0,111.67,460.8,64
RC,0272,DRILL SURGICAL 90MM 1.8MM NONSTERILE DISPOSABLE LATEX FREE,114.0,57.0,24.86,102.6,64
RC,0272,DRILL SURGICAL ACUMED SCREW CLEARANCE,113.0,56.5,24.65,101.7,64
RC,0272,DRILL SURGICAL ACUTRAK 2 7.5 MM SCREW,320.0,160.0,69.79,288.0,64
RC,0272,DRILL SURGICAL AO CANNULATED OD2.7 MM ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,221.64,110.82,48.34,199.48,64
RC,0272,DRILL SURGICAL AO CONNECTOR OVER OD2.7 MM VARIAX 2.7 MM VARIAX ELBOW LOCK PLATE SYSTEM,85.5,42.75,18.65,76.95,64
RC,0272,DRILL SURGICAL BIT SCREW OD4 MM BIO-TENODESIS,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL BONE GRAFT OD10 MM ACUMED,474.0,237.0,103.38,426.6,64
RC,0272,DRILL SURGICAL BONE GRAFT OD12 MM ACUMED,474.0,237.0,103.38,426.6,64
RC,0272,DRILL SURGICAL BONE GRAFT OD6 MM ACUMED,474.0,237.0,103.38,426.6,64
RC,0272,DRILL SURGICAL BONE GRAFT OD7 MM ACUMED,480.0,240.0,104.69,432.0,64
RC,0272,DRILL SURGICAL BONE GRAFT OD8 MM ACUMED,474.0,237.0,103.38,426.6,64
RC,0272,DRILL SURGICAL BRAD POINT GRADUATE OD3.5 MM IMHS,90.9,45.45,19.83,81.81,64
RC,0272,"DRILL SURGICAL CALIBRATE AO OD5.5 MM CALIBRATED DRILL (AO STYLE), 5.5MM",315.0,157.5,68.7,283.5,64
RC,0272,DRILL SURGICAL CALIBRATE CANNULATED OD3.6 MM FUZEFIX,364.0,182.0,79.39,327.6,64
RC,0272,DRILL SURGICAL CALIBRATE LARGE SHANK OD3.2 MM,109.27,54.64,23.83,98.34,64
RC,0272,DRILL SURGICAL CALIBRATE SOLID LAG OD 2.4 MM POLYLOCK MIDFOOT,284.0,142.0,61.94,255.6,64
RC,0272,DRILL SURGICAL CALIBRATED SOLID OD2.4 MM POLYLOCK SMALL BONE,425.0,212.5,92.69,382.5,64
RC,0272,DRILL SURGICAL CANNULATED 5MM LARGE W/HALL-JACOBS ADAPTER EVOS,418.5,209.25,91.27,376.65,64
RC,0272,DRILL SURGICAL CANNULATED HEAD CHARLOTTE 3 MM MULTIUSE COMPRESSION SCREW,150.25,75.13,32.77,135.23,64
RC,0272,DRILL SURGICAL CANNULATED LARGE AO FIT NONSTERILE 6.5 MM SCREW,424.87,212.44,92.66,382.38,64
RC,0272,DRILL SURGICAL CANNULATED LARGE AO FIT NONSTERILE ASNIS III 5.6 MM SCREW,380.09,190.05,82.9,342.08,64
RC,0272,DRILL SURGICAL CANNULATED LARGE AO FIT NONSTERILE ASNIS III 8 MM SCREW,417.9,208.95,91.14,376.11,64
RC,0272,DRILL SURGICAL CANNULATED OD1.7 MM INTRAOSSIEOUS FIXATION SYSTEM,127.0,63.5,27.7,114.3,64
RC,0272,DRILL SURGICAL CANNULATED OD2.3 MM DARCO,150.25,75.13,32.77,135.23,64
RC,0272,DRILL SURGICAL CANNULATED OD2.4 MM DOGBONE ACROMIOCLAVICULAR REPAIR,275.0,137.5,59.98,247.5,64
RC,0272,DRILL SURGICAL CANNULATED OD2.5 MM PRECISION 3 MM SHORT SCREW,310.0,155.0,67.61,279.0,64
RC,0272,DRILL SURGICAL CANNULATED OD3 MM DOGBONE AC REPAIR,275.0,137.5,59.98,247.5,64
RC,0272,DRILL SURGICAL CANNULATED OD3.5 MM FIFTH METATARSAL FRACTURE SYSTEM,175.0,87.5,38.17,157.5,64
RC,0272,DRILL SURGICAL CANNULATED OD5 MM CHARLOTTE,150.25,75.13,32.77,135.23,64
RC,0272,DRILL SURGICAL CANNULATED OVER .75 MM SCREW TC,235.8,117.9,51.43,212.22,64
RC,0272,DRILL SURGICAL CANNULATED OVER 2/2.5 MM SCREW TC SERIES,235.8,117.9,51.43,212.22,64
RC,0272,DRILL SURGICAL CANNULATED PASS WIRE OD2.4 MM,295.0,147.5,64.34,265.5,64
RC,0272,DRILL SURGICAL CANNULATED RETROGRADE OD9 MM ACUFEX TRUNAV,375.0,187.5,81.79,337.5,64
RC,0272,DRILL SURGICAL CANNULATED RETROGRADE OD9.5 MM ACUFEX TRUNAV,375.0,187.5,81.79,337.5,64
RC,0272,DRILL SURGICAL CANNULATED TWIST NONSTERILE ASNIS III 6.5 MM SCREW,380.09,190.05,82.9,342.08,64
RC,0272,DRILL SURGICAL CENTER SLEEVE STERILE 1.4MM SURELOCK ALL SUTURE ANCHOR DISPOSABLE,201.5,100.75,43.95,181.35,64
RC,0272,DRILL SURGICAL CENTER SLEEVE STERILE 2.2MM SURELOCK DISPOSABLE,201.5,100.75,43.95,181.35,64
RC,0272,DRILL SURGICAL CENTRAL SCREW METAGLENE OD3.5 MM DELTA XTEND,12.31,6.16,2.68,11.08,64
RC,0272,DRILL SURGICAL CINCHLOCK SS,192.85,96.43,42.06,173.57,64
RC,0272,DRILL SURGICAL COMPRESSION SCREW STARTER STERILE META-TAN REUSABLE LATEX FREE,207.21,103.61,45.19,186.49,64
RC,0272,DRILL SURGICAL COMPRESSION SCREW STERILE TRIGEN META-TAN REUSABLE LATEX FREE,163.95,81.98,35.76,147.56,64
RC,0272,DRILL SURGICAL CORKSCREW 3.9 MM KNOTLESS CORKSCREW,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL COUNTERSINK OD2.7 MM REDUCT,158.0,79.0,34.46,142.2,64
RC,0272,DRILL SURGICAL CURVE GUIDE OD1.8 MM FLEX,225.0,112.5,49.07,202.5,64
RC,0272,DRILL SURGICAL CURVE SMALL OD1.7 MM SUTUREFIX,225.56,112.78,49.19,203.0,64
RC,0272,DRILL SURGICAL DIFFUSER MAESTRO,103.15,51.58,22.5,92.84,64
RC,0272,DRILL SURGICAL FIBERTAK DR RC,95.0,47.5,20.72,85.5,64
RC,0272,DRILL SURGICAL FIX OD12 MM MOUNTAINEER,71.25,35.63,15.54,64.13,64
RC,0272,DRILL SURGICAL FIX OD14 MM MOUNTAINEER SPINE,71.25,35.63,15.54,64.13,64
RC,0272,DRILL SURGICAL FIX OD16 MM MOUNTAINEER,71.25,35.63,15.54,64.13,64
RC,0272,DRILL SURGICAL FLAT CHUCK OD16 MM SKYLINE,75.0,37.5,16.36,67.5,64
RC,0272,DRILL SURGICAL FLEXIBLE AO COUPLING OD4 MM OCCIPITOCERVICAL,205.06,102.53,44.72,184.55,64
RC,0272,DRILL SURGICAL FLEXIBLE OBTURATOR OD1.8 MM SHAVERDRILL,135.0,67.5,29.44,121.5,64
RC,0272,DRILL SURGICAL FULL THICK CALIBRATE DEPTH MARK CANNULATED OD7.5 MM FEMORAL TIBIAL,195.0,97.5,42.53,175.5,64
RC,0272,DRILL SURGICAL FULL THICK CALIBRATE DEPTH MARK CANNULATED OD8.5 MM TRANSTIBIAL FEMORAL TIBIAL,195.0,97.5,42.53,175.5,64
RC,0272,DRILL SURGICAL FULL THICK CALIBRATE DEPTH MARK CANNULATED OD9.5 MM FEMORAL TIBIAL,195.0,97.5,42.53,175.5,64
RC,0272,DRILL SURGICAL FULL THICK CANNULATED GRADUATE DEPTH MARK GUIDE SLEEVE OD5 MM KNEE,184.0,92.0,40.13,165.6,64
RC,0272,DRILL SURGICAL FULL THICK CANNULATED GRADUATE DEPTH MARK GUIDE SLEEVE OD8 MM TRANSTIBIAL FLIPCUTTER II UNIVERS REVERS KNEE,168.0,84.0,36.64,151.2,64
RC,0272,DRILL SURGICAL FUSION OD2 MM ACUTRAK 27 MM SCREW,102.0,51.0,22.25,91.8,64
RC,0272,DRILL SURGICAL GUIDE ACCESSORIES OD3.2 MM RAPTORMITE RAPTORMITE 3.7 MM SUTURE ANCHOR,107.07,53.54,23.35,96.36,64
RC,0272,DRILL SURGICAL GUIDE OD2.6 MM RAPTORMITE RAPTORMITE 3 MM PEEK SUTURE ANCHOR,90.0,45.0,19.63,81.0,64
RC,0272,DRILL SURGICAL HIGH TIBIAL OSTEOTOMY TITANIUM SCREW,72.0,36.0,15.7,64.8,64
RC,0272,DRILL SURGICAL HIGHSPEED DRILLSAW 200,7995.0,3997.5,1743.71,7195.5,64
RC,0272,DRILL SURGICAL HOOK PLATE OD1.7 MM NITINOL METATARSAL,175.0,87.5,38.17,157.5,64
RC,0272,DRILL SURGICAL JET-X 4 MM SHORT HALF PIN,181.73,90.87,39.64,163.56,64
RC,0272,DRILL SURGICAL JET-X 5 MM LONG HALF PIN,181.73,90.87,39.64,163.56,64
RC,0272,DRILL SURGICAL L11 MM ACP,82.5,41.25,17.99,74.25,64
RC,0272,DRILL SURGICAL L110 MM 3/16 IN OVER CANNULATED SQUARE CONNECTION OD4.5 MM MONSTER,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L110 MM CANNULATED OD2 MM DRILLS,148.0,74.0,32.28,133.2,64
RC,0272,DRILL SURGICAL L110 MM CANNULATED OD2.1 MM DRILLS TITANIUM,148.0,74.0,32.28,133.2,64
RC,0272,DRILL SURGICAL L110 MM OVER SOLID AO CONNECTION OD3.5 MM BABY GORILLA,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L115 MM COLOR CODED OD1.6 MM NA,277.55,138.78,60.53,249.8,64
RC,0272,DRILL SURGICAL L12 MM FLAT CHUCK OD2.2 MM SKYLINE,75.0,37.5,16.36,67.5,64
RC,0272,DRILL SURGICAL L12 MM MODULAR OD12 MM CODA,55.0,27.5,12.0,49.5,64
RC,0272,DRILL SURGICAL L12 MM STRAIGHT SELF CENTER SLEEVE COALITION MIS,71.0,35.5,15.49,63.9,64
RC,0272,DRILL SURGICAL L120 MM AO CANNULATED SELF DRILL OD1.7 MM BONE,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L120 MM CANNULATED AO CONNECTION OD2 MM MONSTER,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L120 MM OD2.3 MM DRILLS,114.0,57.0,24.86,102.6,64
RC,0272,DRILL SURGICAL L13 MM ACP SPINE CERVICAL ANTERIOR,82.5,41.25,17.99,74.25,64
RC,0272,DRILL SURGICAL L130 MM CANNULATED AO CONNECTION OD2.6 MM MONSTER,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L130 MM CANNULATED OD2.2 MM ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,264.02,132.01,57.58,237.62,64
RC,0272,DRILL SURGICAL L14 MM FLAT CHUCK OD2.2 MM SKYLINE,75.0,37.5,16.36,67.5,64
RC,0272,DRILL SURGICAL L140 MM CANNULATED SQUARE CONNECTION OD2.9 MM MONSTER SCREW SYSTEM,141.18,70.59,30.79,127.06,64
RC,0272,DRILL SURGICAL L140 MM LONG OVER SOLID AO CONNECTION OD2 MM BABY GORILLA,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L15 MM FLEXIBLE SCREW R3 R3,56.94,28.47,12.42,51.25,64
RC,0272,DRILL SURGICAL L150 MM OD3.2 MM DRILLS,114.0,57.0,24.86,102.6,64
RC,0272,DRILL SURGICAL L150 MM SHORT OD4.2 MM,130.0,65.0,28.35,117.0,64
RC,0272,DRILL SURGICAL L160 MM CANNULATED SQUARE CONNECTION OD3.5 MM MONSTER,116.24,58.12,25.35,104.62,64
RC,0272,DRILL SURGICAL L160 MM LONG SOLID AO CONNECT OD2.8 MM SILVERBACK BABY GORILLA GORILLA PLATE SYSTEM,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL L160 MM LONG SOLID MEASURE AO OD3.6 MM BABY GORILLA,115.0,57.5,25.08,103.5,64
RC,0272,"DRILL SURGICAL L165 MM AO OD4 MM DRILL, AO STYLE 4.0MM X 165MM",247.5,123.75,53.98,222.75,64
RC,0272,DRILL SURGICAL L180 MM AO OD3.2 MM NA,78.61,39.31,17.14,70.75,64
RC,0272,DRILL SURGICAL L180 MM AO OD5 MM T2,78.61,39.31,17.14,70.75,64
RC,0272,DRILL SURGICAL L185.0 MM FREEHAND DRILL 4.2 MM T2 ALPHA,187.06,93.53,40.8,168.35,64
RC,0272,DRILL SURGICAL L2.75 MM MINI CANNULATED OPEN REPAIR OD.066 IN,350.0,175.0,76.34,315.0,64
RC,0272,DRILL SURGICAL L20 MM CANNULATED OD4 MM HUMERAL FIXATION SET,307.0,153.5,66.96,276.3,64
RC,0272,DRILL SURGICAL L20 MM OD7 MM PHANTOM ACTIVCORE TTC/TC NAIL,371.25,185.63,80.97,334.13,64
RC,0272,DRILL SURGICAL L200 MM CANNULATED OD4.8 MM CANNULATED DRILL W/ ZH,214.0,107.0,46.67,192.6,64
RC,0272,DRILL SURGICAL L25 MM FLEXIBLE SCREW REFLECTION,111.3,55.65,24.27,100.17,64
RC,0272,DRILL SURGICAL L250 MM 3/16 IN SOLID TROCAR TIP SQUARE CONNECTION OD3.8 MM PHANTOM TTC/TC NAIL SYSTEM ACTIVCORE,371.25,185.63,80.97,334.13,64
RC,0272,DRILL SURGICAL L255 MM LONG COUNTERBORE OD5.5 MM T2 ALPHA TIBIA,175.12,87.56,38.19,157.61,64
RC,0272,DRILL SURGICAL L26 MM STOP OD1.8 MM IQ PERCUTANEOUS,341.0,170.5,74.37,306.9,64
RC,0272,DRILL SURGICAL L27.6 MM 3 MM 4 MM OD3.1 MM BAHA 4 STAINLESS STEEL 1.5 GM,186.75,93.38,40.73,168.08,64
RC,0272,DRILL SURGICAL L270 MM LONG CANNULATED LARGE QUICK COUPLING OD12 MM,372.81,186.41,81.31,335.53,64
RC,0272,"DRILL SURGICAL L280 MM AO CALIBRATE OD4 MM CALIBRATED DRILL, AO STYLE 4.0MM X 280MM",265.5,132.75,57.91,238.95,64
RC,0272,DRILL SURGICAL L280 MM COUNTERBORE MANUAL OD5.5 MM T2 ALPHA TIBIA,175.12,87.56,38.19,157.61,64
RC,0272,DRILL SURGICAL L295 MM LOCK SCREW,160.0,80.0,34.9,144.0,64
RC,0272,DRILL SURGICAL L3 MM WIDEN COUNTERSINK REMOVABLE SPACER OD4.1 MM BAHA STAINLESS STEEL BAHA,186.75,93.38,40.73,168.08,64
RC,0272,DRILL SURGICAL L3.5 IN QUICK RELEASE STANDARD AO OD1.1 MM SURGIBIT 1.5 MM SCREW,102.0,51.0,22.25,91.8,64
RC,0272,DRILL SURGICAL L3.5 IN QUICK RELEASE STANDARD AO OD2 MM SURGIBIT,102.0,51.0,22.25,91.8,64
RC,0272,DRILL SURGICAL L30 MM BAYONET CONNECTION OD3.2 MM NOVATION,40.0,20.0,8.72,36.0,64
RC,0272,DRILL SURGICAL L300 MM 3/16 IN CANNULATED SQUARE CONNECTION OD4.6 MM MONSTER,371.25,185.63,80.97,334.13,64
RC,0272,DRILL SURGICAL L330 MM GRADUATE OD4.2 MM,160.0,80.0,34.9,144.0,64
RC,0272,DRILL SURGICAL L35 MM FLEXIBLE REFLECTION,111.3,55.65,24.27,100.17,64
RC,0272,DRILL SURGICAL L360 MM AO OD4.2 MM GAMMA3 HIP,129.35,64.68,28.21,116.42,64
RC,0272,DRILL SURGICAL L360 MM LOCKING OD4.2 MM T2 ALPHA,187.06,93.53,40.8,168.35,64
RC,0272,DRILL SURGICAL L4 MM WIDENING COUNTERSINK BAHA AUDITORY OSSEOINTEGRATED IMPLANT BONE ANCHORED HEARING DEVICE,186.75,93.38,40.73,168.08,64
RC,0272,DRILL SURGICAL L40 MM CANNULATED POLYAXIAL LOCK SCREW OD2.4 MM HUMERAL FIXATION SET,109.0,54.5,23.77,98.1,64
RC,0272,DRILL SURGICAL L40 MM OD2.3 MM GEMINUS,95.0,47.5,20.72,85.5,64
RC,0272,DRILL SURGICAL L40 MM OD2.7 MM IJS-ELBOW,91.0,45.5,19.85,81.9,64
RC,0272,DRILL SURGICAL L40 MM SOLID SIDE CUT OD2 MM GEMINUS WRIST FOREARM SET,89.0,44.5,19.41,80.1,64
RC,0272,DRILL SURGICAL L40 MM SOLID SIDE CUT OD2.5 MM GEMINUS WRIST FOREARM SET,95.0,47.5,20.72,85.5,64
RC,0272,DRILL SURGICAL L450 MM SCALE AO FIT OD3.2 MM PRO PELVIC,255.72,127.86,55.77,230.15,64
RC,0272,DRILL SURGICAL L5 IN QUICK RELEASE OD1.5 MM SURGIBIT,69.0,34.5,15.05,62.1,64
RC,0272,DRILL SURGICAL L5 IN QUICK RELEASE OD2 MM ACUMED,69.0,34.5,15.05,62.1,64
RC,0272,DRILL SURGICAL L5 IN QUICK RELEASE OD2.3 MM SURGIBIT ANKLE,290.0,145.0,63.25,261.0,64
RC,0272,DRILL SURGICAL L5 IN QUICK RELEASE OD2.8 MM ACU-LOC 2 3.5 MM SCREW,100.0,50.0,21.81,90.0,64
RC,0272,DRILL SURGICAL L5 IN QUICK RELEASE OD3.5 MM ACUMED,69.0,34.5,15.05,62.1,64
RC,0272,DRILL SURGICAL L50 MM OD3.5 MM FREEFIX HUMERAL PLATE SET,234.0,117.0,51.04,210.6,64
RC,0272,DRILL SURGICAL L50 MM SOLID SIDE CUT OD2.5 MM HUMERAL FIXATION SET,92.0,46.0,20.07,82.8,64
RC,0272,DRILL SURGICAL L50 MM STOP OD1.6 MM LORENZ TRAUMAONE L 26 MM MANDIBLE,173.0,86.5,37.73,155.7,64
RC,0272,DRILL SURGICAL L6 IN FREEHAND OD4 MM DYNANAIL,233.0,116.5,50.82,209.7,64
RC,0272,DRILL SURGICAL L70 MM CANNULATED DISTAL CUT OD2.7 MM IJS-E ELBOW,282.0,141.0,61.5,253.8,64
RC,0272,DRILL SURGICAL L80 MM CANNULATED OD3.7 MM HUMERAL PLATING SYSTEM HUMERAL PLATE SYSTEM,277.0,138.5,60.41,249.3,64
RC,0272,DRILL SURGICAL L80 MM OD2 MM HUMERAL PLATING SYSTEM,182.0,91.0,39.69,163.8,64
RC,0272,DRILL SURGICAL L80 MM OD2.7 MM IJS-ELBOW,109.0,54.5,23.77,98.1,64
RC,0272,DRILL SURGICAL L80 MM SOLID SIDE CUT OD2.5 MM IJS-ELBOW,215.0,107.5,46.89,193.5,64
RC,0272,DRILL SURGICAL L85 MM OD1.2 IN DRILLS,114.0,57.0,24.86,102.6,64
RC,0272,DRILL SURGICAL L90 MM OD1.6 MM DRILLS,114.0,57.0,24.86,102.6,64
RC,0272,"DRILL SURGICAL L95 MM CALIBRATE AO OD2.8 MM CALIBRATED DRILL, AO STYLE, 2.8MM X 95MM",225.0,112.5,49.07,202.5,64
RC,0272,DRILL SURGICAL L95 MM CANNULATED OD1.6 MM DRILLS,148.0,74.0,32.28,133.2,64
RC,0272,DRILL SURGICAL LAG SCREW OD11 MM TRIGEN INTERTAN,302.16,151.08,65.9,271.94,64
RC,0272,DRILL SURGICAL LARGE 2.5MM AO QUICK STERILE EVOS DISPOSABLE LATEX,252.72,126.36,55.12,227.45,64
RC,0272,DRILL SURGICAL LARGE 4.9MM CANNULATED AO FIT,286.56,143.28,62.5,257.9,64
RC,0272,DRILL SURGICAL LARGE AO QUICK CONNECTOR TARGETER OD3.7 MM EVOS,367.2,183.6,80.09,330.48,64
RC,0272,DRILL SURGICAL LARGE LONG 3.7MM AO QUICK CONNECTOR STERILE EVOS DISPOSABLE LATEX FREE,518.4,259.2,113.06,466.56,64
RC,0272,DRILL SURGICAL LARGE LONG ACUTRAK 2 5.5 MM SCREW,352.0,176.0,76.77,316.8,64
RC,0272,DRILL SURGICAL LARGE PROFILE 5 MM SCREW,193.38,96.69,42.18,174.04,64
RC,0272,DRILL SURGICAL LARGE SHORT 3.7MM AO QUICK CONNECTOR STERILE EVOS DISPOSABLE LATEX FREE,224.1,112.05,48.88,201.69,64
RC,0272,DRILL SURGICAL LARGE TARGETER AO QUICK OD2.5 MM EVOS,391.5,195.75,85.39,352.35,64
RC,0272,DRILL SURGICAL LONG 1.8MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL LONG 1.8MM AO QUICK COUPLING STERILE VLP MINI-MOD DISPOSABLE LATEX FREE,110.53,55.27,24.11,99.48,64
RC,0272,DRILL SURGICAL LONG 2MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL LONG 35MM 2.8MM TAP STERILE,55.0,27.5,12.0,49.5,64
RC,0272,DRILL SURGICAL LONG 4.1MM CALCANEUS,514.08,257.04,112.12,462.67,64
RC,0272,DRILL SURGICAL LONG 4.8MM,270.22,135.11,58.93,243.2,64
RC,0272,DRILL SURGICAL LONG ACUTRAK 2 4.7 MM SCREW,320.0,160.0,69.79,288.0,64
RC,0272,DRILL SURGICAL LONG ACUTRAK 2 5.5 MM SCREW,320.0,160.0,69.79,288.0,64
RC,0272,DRILL SURGICAL LONG CANNULATED OD5.2 MM ORTHOPEDIATRICS INSTRUMENTATION,267.77,133.89,58.4,240.99,64
RC,0272,DRILL SURGICAL LONG HUMERUS CANNULATED PROBE ASSEMBLY MAGNETIC STAINLESS STEEL TRIGEN SURESHOT DISPOSABLE,111.89,55.95,24.4,100.7,64
RC,0272,DRILL SURGICAL LONG MINI CANNULATED QUICK RELEASE EXTREMIFIX CORTICAL 1.7 MM SCREW,197.0,98.5,42.97,177.3,64
RC,0272,DRILL SURGICAL LONG MINI PILOT OD1.6 MM OSTEOMED,314.0,157.0,68.48,282.6,64
RC,0272,DRILL SURGICAL LONG OD2.8 MM POLARUS SHOULDER CANCELLOUS PHP SYSTEM,94.0,47.0,20.5,84.6,64
RC,0272,DRILL SURGICAL LONG OD4.3 MM VALOR HINDFOOT SCREW IMPLANT KIT,226.86,113.43,49.48,204.17,64
RC,0272,DRILL SURGICAL LONG OD7.5 MM ACUTRAK 2,320.0,160.0,69.79,288.0,64
RC,0272,DRILL SURGICAL LONG OD7.5 MM ACUTRAK 2 STERILE,352.0,176.0,76.77,316.8,64
RC,0272,DRILL SURGICAL LONG PEG INVISION,335.0,167.5,73.06,301.5,64
RC,0272,DRILL SURGICAL LONG QUICK RELEASE OD2.8 MM ACUMED,102.0,51.0,22.25,91.8,64
RC,0272,DRILL SURGICAL LONG SOLID OD2.2 MM MICA,215.92,107.96,47.09,194.33,64
RC,0272,DRILL SURGICAL LOW PROFILE,140.0,70.0,30.53,126.0,64
RC,0272,DRILL SURGICAL MEDIUM CANNULATED OD2.55 MM PHALINX HAMMERTOE,197.01,98.51,42.97,177.31,64
RC,0272,DRILL SURGICAL MEDIUM WIRE PASS OD1.5 MM NA,37.14,18.57,8.1,33.43,64
RC,0272,DRILL SURGICAL MICRO 2.1MM HAND FOOT AO COUPLING CANNULATED STERILE 3MM ASNIS SCREW DISPOSABLE,250.74,125.37,54.69,225.67,64
RC,0272,DRILL SURGICAL MICRO LONG 2.5MM TIP 2.8 MM TALL .035 IN GUIDE WIRE ACUTRAK 2,246.0,123.0,53.65,221.4,64
RC,0272,DRILL SURGICAL MICRO LONG EXTEND ACUTRAK 2,246.0,123.0,53.65,221.4,64
RC,0272,DRILL SURGICAL MINI 2MM RADIUS DISTAL NONSTERILE JET-X DISPOSABLE LATEX FREE,252.35,126.18,55.04,227.12,64
RC,0272,DRILL SURGICAL MINI ACUTRAK 3 DENSE BONE,590.0,295.0,128.68,531.0,64
RC,0272,DRILL SURGICAL MINI LONG TAPER CANNULATED ACUTRAK,234.0,117.0,51.04,210.6,64
RC,0272,DRILL SURGICAL MINI NONSTERILE ACUTRAK 2 3.5-4MM SCREW,221.0,110.5,48.2,198.9,64
RC,0272,DRILL SURGICAL MINI QC OD1.1 MM VLP MINI-MOD,105.9,52.95,23.1,95.31,64
RC,0272,DRILL SURGICAL NAIL REMOVAL ALIGNMENT OLECRANON OSTEOTOMY,139.48,69.74,30.42,125.53,64
RC,0272,DRILL SURGICAL NANO ACUTRAK 3,696.0,348.0,151.8,626.4,64
RC,0272,DRILL SURGICAL NONSTERILE JET-X 3MM HALF PIN DISPOSABLE LATEX FREE,181.73,90.87,39.64,163.56,64
RC,0272,DRILL SURGICAL NONSTERILE JET-X 4MM HALF PIN DISPOSABLE LATEX FREE,181.73,90.87,39.64,163.56,64
RC,0272,DRILL SURGICAL OD1.6 MM FIBERTAK FIBERTAK,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL OD1.7 MM FIBERTAK,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL OD1.8 MM MICRORAPTOR REGENESORB,250.0,125.0,54.53,225.0,64
RC,0272,DRILL SURGICAL OD11 GA NA HAND,630.8,315.4,137.58,567.72,64
RC,0272,DRILL SURGICAL OD2.2 MM LINDEMANN,50.68,25.34,11.05,45.61,64
RC,0272,DRILL SURGICAL OD2.4 MM MOUNTAINEER,71.25,35.63,15.54,64.13,64
RC,0272,DRILL SURGICAL OD2.4 MM SYMPHONY 3.5 MM SCREW,71.25,35.63,15.54,64.13,64
RC,0272,DRILL SURGICAL OD2.5 MM FRAG-LOC,179.0,89.5,39.04,161.1,64
RC,0272,DRILL SURGICAL OD2.6 MM SUTURETAK 3 MM SUTURETAK,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL OD2.8 MM FFN FNN,102.0,51.0,22.25,91.8,64
RC,0272,DRILL SURGICAL OD3 MM OASYS SPINE 4 MM 4.5 MM POLYAXIAL SCREW,72.2,36.1,15.75,64.98,64
RC,0272,DRILL SURGICAL OD3 MM UNIVERS REVERS,295.0,147.5,64.34,265.5,64
RC,0272,DRILL SURGICAL OD4 MM 4.5 MM FOOTPRINT SUTURE ANCHOR SL,170.88,85.44,37.27,153.79,64
RC,0272,DRILL SURGICAL OD4.3 MM VALOR HINDFOOT SCREW IMPLANT KIT,226.86,113.43,49.48,204.17,64
RC,0272,DRILL SURGICAL OD4.7 MM ACUTRAK 2,320.0,160.0,69.79,288.0,64
RC,0272,DRILL SURGICAL OD5 MM DYNANAIL HELIX SUBTALAR,492.0,246.0,107.31,442.8,64
RC,0272,DRILL SURGICAL OD5 MM MAS PLIF,115.0,57.5,25.08,103.5,64
RC,0272,DRILL SURGICAL OD6 MM ESCALATE LAMINOPLASTY,52.38,26.19,11.42,47.14,64
RC,0272,DRILL SURGICAL OD6 MM INBONE,209.0,104.5,45.58,188.1,64
RC,0272,DRILL SURGICAL OD6.5 MM FFN FFN,150.0,75.0,32.72,135.0,64
RC,0272,DRILL SURGICAL OD8 MM ESCALATE LAMINOPLASTY,52.38,26.19,11.42,47.14,64
RC,0272,DRILL SURGICAL OD9 MM,37.5,18.75,8.18,33.75,64
RC,0272,DRILL SURGICAL OVER 4.5MM LARGE SHORT W/AO QUICK CONNECT EVOS,162.0,81.0,35.33,145.8,64
RC,0272,DRILL SURGICAL OVER 5.5MM LARGE W/AO QUICK CONNECT EVOS,205.2,102.6,44.75,184.68,64
RC,0272,DRILL SURGICAL OVER MINI QC OD1.5 MM VLP MINI-MOD,105.9,52.95,23.1,95.31,64
RC,0272,DRILL SURGICAL PEG TALAR AXIOM STERILE,139.0,69.5,30.32,125.1,64
RC,0272,DRILL SURGICAL PIN TALAR AXIOM STERILE,139.0,69.5,30.32,125.1,64
RC,0272,DRILL SURGICAL PROFILE ACUTRAK 2 5.5 MM SCREW,320.0,160.0,69.79,288.0,64
RC,0272,DRILL SURGICAL PROFILE MICRO COMPRESSION FT SCREW,145.03,72.52,31.63,130.53,64
RC,0272,DRILL SURGICAL PROFILE MINI COMPRESSION FT SCREW,145.03,72.52,31.63,130.53,64
RC,0272,DRILL SURGICAL PROFILE OD6.5 DYNANAIL HELIX SUBTALAR,492.0,246.0,107.31,442.8,64
RC,0272,DRILL SURGICAL PUSHLOCK ELBOW SHOULDER 2.9 MM SHORT PUSHLOCK,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL Q-FIX NEEDLE,250.0,125.0,54.53,225.0,64
RC,0272,DRILL SURGICAL QUICK CONNECT CANNULATED OD2.7 MM ACUMED,250.0,125.0,54.53,225.0,64
RC,0272,DRILL SURGICAL QUICK RELEASE CANNULATED FUSION OD2 MM HPS,387.0,193.5,84.4,348.3,64
RC,0272,DRILL SURGICAL QUICK RELEASE DEPTH MARK OD2 MM SURGIBIT,123.0,61.5,26.83,110.7,64
RC,0272,DRILL SURGICAL QUICK RELEASE DEPTH MARK OD2.8 MM SURGIBIT,123.0,61.5,26.83,110.7,64
RC,0272,DRILL SURGICAL QUICK RELEASE LAG OD2.7 MM SURGIBIT,126.0,63.0,27.48,113.4,64
RC,0272,DRILL SURGICAL QUICK RELEASE LAG OD3.5 MM SURGIBIT,126.0,63.0,27.48,113.4,64
RC,0272,DRILL SURGICAL QUICK RELEASE OD1.5 MM HPS,118.0,59.0,25.74,106.2,64
RC,0272,DRILL SURGICAL QUICK RELEASE OD2 MM ACUMED,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL QUICK RELEASE OD2 MM HPS,118.0,59.0,25.74,106.2,64
RC,0272,DRILL SURGICAL QUICK RELEASE OD2.8 MM ACUMED 3.5 MM SCREW,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL REAMING 2.5MM DIA PILOT GPS LATEX-FREE,350.0,175.0,76.34,315.0,64
RC,0272,DRILL SURGICAL REAMING 3.5MM DIA PILOT GPS LATEX-FREE,350.0,175.0,76.34,315.0,64
RC,0272,DRILL SURGICAL RECONSTRUCTION LAG SCREW T2 ALPHA ANTEGRADE FEMUR GT/PF NAIL,809.93,404.97,176.65,728.94,64
RC,0272,DRILL SURGICAL RIGID OD1.8 MM FIBERTAK FIBERTAK,105.0,52.5,22.9,94.5,64
RC,0272,DRILL SURGICAL ROD OD2.8 MM ACUMED FIBULA,102.0,51.0,22.25,91.8,64
RC,0272,DRILL SURGICAL SCREW INHANCE PERIPHERAL,96.3,48.15,21.0,86.67,64
RC,0272,DRILL SURGICAL SELF LOCKING OD4.5 MM FOOTPRINT 5.5 MM FOOTPRINT ANCHOR SCAPHOLUNATE LIGAMENT REPAIR,170.88,85.44,37.27,153.79,64
RC,0272,DRILL SURGICAL SH 5MM HALF PIN,181.73,90.87,39.64,163.56,64
RC,0272,DRILL SURGICAL SH 6MM HALF PIN,181.73,90.87,39.64,163.56,64
RC,0272,DRILL SURGICAL SHORT 1.5MM AO QUICK CONNECT MINI MODULAR VLP,95.1,47.55,20.74,85.59,64
RC,0272,DRILL SURGICAL SHORT 1.8MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SHORT 122MM 1.8MM VLP MINI-MOD,95.1,47.55,20.74,85.59,64
RC,0272,DRILL SURGICAL SHORT 161MM 4MM TROCHANTER FEMUR AO PILOT STERILE TRIGEN DISPOSABLE,113.92,56.96,24.85,102.53,64
RC,0272,DRILL SURGICAL SHORT 2MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SHORT 3.8MM STEP,270.22,135.11,58.93,243.2,64
RC,0272,DRILL SURGICAL SHORT 4.1MM CALCANEAL NONSTERILE PANTA 2 ARTHRODESIS NAIL SYSTEM DISPOSABLE LATEX FREE,505.76,252.88,110.31,455.18,64
RC,0272,DRILL SURGICAL SHORT AO SURESHOT,117.01,58.51,25.52,105.31,64
RC,0272,DRILL SURGICAL SHORT CANNULATED OD2.7 MM ORTHOPEDIATRICS SCREW SYSTEM,255.21,127.61,55.66,229.69,64
RC,0272,DRILL SURGICAL SHORT CANNULATED OD3 MM PRECISION MIS BUNION SYSTEM 4 MM SCREW,310.0,155.0,67.61,279.0,64
RC,0272,DRILL SURGICAL SHORT CANNULATED OD4 MM ORTHOPEDIATRICS CANNULATED SCREW SYSTEM,255.21,127.61,55.66,229.69,64
RC,0272,DRILL SURGICAL SHORT CANNULATED OD5.2 MM ORTHOPEDIATRICS INSTRUMENTATION,267.77,133.89,58.4,240.99,64
RC,0272,DRILL SURGICAL SHORT OD4.3 MM VALOR HINDFOOT SCREW IMPLANT KIT,226.86,113.43,49.48,204.17,64
RC,0272,DRILL SURGICAL SMALL BIT OD12 MM PROVIDENCE,67.0,33.5,14.61,60.3,64
RC,0272,DRILL SURGICAL SMALL CANNULATED OD2.45 MM PHALINX HAMMERTOE,197.01,98.51,42.97,177.31,64
RC,0272,DRILL SURGICAL SMALL CANNULATED QUICK RELEASE EXTREMIFIX 2.7 MM SCREW,197.0,98.5,42.97,177.3,64
RC,0272,DRILL SURGICAL SMALL LONG 2.5MM AO QUICK CONNECT STERILE EVOS REUSABLE LATEX FREE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SMALL LONG 2.7MM AO QUICK CONNECT OVER STERILE EVOS DISPOSABLE LATEX FREE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SMALL LONG 2MM AO QUICK CONNECT STERILE EVOS REUSABLE LATEX FREE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SMALL SHORT 2.5MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SMALL SHORT 2.7MM AO QUICK CONNECT OVER STERILE EVOS DISPOSABLE LATEX FREE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SMALL SHORT 2MM AO QUICK CONNECT EVOS DISPOSABLE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SMALL SHORT 3.5MM AO QUICK CONNECT OVER STERILE EVOS DISPOSABLE LATEX FREE,86.4,43.2,18.84,77.76,64
RC,0272,DRILL SURGICAL SOLID OD3.2 MM CHARLOTTE CAROLINA,127.36,63.68,27.78,114.62,64
RC,0272,DRILL SURGICAL SPADE 5.5 MM CORKSCREW 4.75/5.5 MM SWIVELOCK,95.0,47.5,20.72,85.5,64
RC,0272,DRILL SURGICAL STANDARD ACUTRAK 3,738.0,369.0,160.96,664.2,64
RC,0272,DRILL SURGICAL STANDARD COMPRESSION FT 4 MM SCREW,145.03,72.52,31.63,130.53,64
RC,0272,DRILL SURGICAL STANDARD DENSE ACUTRAK 3 BONE,416.0,208.0,90.73,374.4,64
RC,0272,DRILL SURGICAL STEP OD8 MM SALVATION MIDFOOT NAIL,374.12,187.06,81.6,336.71,64
RC,0272,DRILL SURGICAL STEP SCREW OD3 MM ACUTRAK 2 BIOTRAK CLAVICLE,241.0,120.5,52.56,216.9,64
RC,0272,DRILL SURGICAL STERILE 1.4MM ALL SUTURE ANCHOR DISPOSABLE,169.0,84.5,36.86,152.1,64
RC,0272,DRILL SURGICAL STRAIGHT OD3.35 MM VUEPOINT II SPINE OCCIPITAL,72.0,36.0,15.7,64.8,64
RC,0272,DRILL SURGICAL TARGETER 2.5MM SMALL W/AO QUICK CONNECT EVOS,391.5,195.75,85.39,352.35,64
RC,0272,DRILL SURGICAL TARGETER 3.7/5.5MM STEP LARGE W/AO QUICK CONNECT EVOS,526.5,263.25,114.83,473.85,64
RC,0272,DRILL SURGICAL UNIVERSAL AO COUPLING RIGID OD4 MM NEON3 SPINAL,151.0,75.5,32.93,135.9,64
RC,0272,DRILL SURGICAL XL PROFILE 7 MM SCREW,193.38,96.69,42.18,174.04,64
RC,0272,DRILL SURGICAL XS STRAIGHT CANNULATED OD2.2 MM PHALINX HAMMERTOE,197.01,98.51,42.97,177.31,64
RC,0272,DRILL TNT TIP PIN  2.5MM X 450 MM,45.0,22.5,9.81,40.5,64
RC,0272,DRILL TWIST 1.5MM DIA 11MML ASD STERILE,169.15,84.58,36.89,152.24,64
RC,0272,DRILL TWIST 1.5MM DIA 9MML ASD STERILE,169.15,84.58,36.89,152.24,64
RC,0272,DRILL TWIST 1.6MM 70MM 5MM STOP STAINLESS STEEL QUICK-CONNECT F/2.1MM PLATE SONICPINS RX SONICWELD RX,133.86,66.93,29.19,120.47,64
RC,0272,DRILL TWIST 1.6MM DIA 40MML STAINLESS STEEL QUICK-CONNECT BOS ATTACHMENT W/10MM STOP F/2.1MM RESORBABLE BONE PLATE HEXAGONAL SCREW SONICPINS RX SINGLE-USE,133.86,66.93,29.19,120.47,64
RC,0272,DRILL TWIST 100MM 2.3MM SHAFT END,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 102MM 50MM 2MM AO SHAFT END NONSTERILE VARIAX LOCK PLATE SYSTEM,69.6,34.8,15.18,62.64,64
RC,0272,DRILL TWIST 105MM 40MM 2MM HAND AO SHAFT END MODULAR PROFYLE LOCK PLATE SYSTEM,81.59,40.8,17.79,73.43,64
RC,0272,DRILL TWIST 108MM 1.9MM RADIUS DISTAL SHAFT END STERILE VARIAX,61.8,30.9,13.48,55.62,64
RC,0272,DRILL TWIST 122MM 70MM 2.6MM AO SHAFT END NONSTERILE VARIAX LOCK PLATE SYSTEM YELLOW,82.2,41.1,17.93,73.98,64
RC,0272,DRILL TWIST 127MM 2.7MM NONSTERILE DISPOSABLE,408.24,204.12,89.04,367.42,64
RC,0272,DRILL TWIST 127MM 2MM NONSTERILE DISPOSABLE,408.24,204.12,89.04,367.42,64
RC,0272,DRILL TWIST 127MM 4.3MM NONSTERILE DISPOSABLE,68.04,34.02,14.84,61.24,64
RC,0272,DRILL TWIST 127MM 4.7MM NONSTERILE DISPOSABLE,54.27,27.14,11.84,48.84,64
RC,0272,DRILL TWIST 127MM 5.5MM TWIST STAINLESS STEEL STERILE,240.42,120.21,52.44,216.38,64
RC,0272,DRILL TWIST 1MM 40MM 5MM STOP STAINLESS STEEL CORE HOLE F/1.6MM PLATE SONICPINS BOS SONICWELD RX STERILE,173.45,86.73,37.83,156.11,64
RC,0272,DRILL TWIST 27MM 1.4MM AO SHAFT END,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 27MM 1.4MM STRYKER END HAND PLATING SYSTEM,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 27MM 1.9MM AO END,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 2MM DIA OVERDRILL NON-STERILE,245.66,122.83,53.58,221.09,64
RC,0272,DRILL TWIST 30MM 2.6MM AO SPEEDGUIDE,156.22,78.11,34.07,140.6,64
RC,0272,DRILL TWIST 30MM 2MM AO SPEEDGUIDE,156.22,78.11,34.07,140.6,64
RC,0272,DRILL TWIST 50MM 9MM 1.1MM STOP,194.0,97.0,42.31,174.6,64
RC,0272,DRILL TWIST 58MM 20MM 1.5MM SHAFT NONSTERILE 2 MINI PLATE SCREW DISPOSABLE LATEX FREE,140.99,70.5,30.75,126.89,64
RC,0272,DRILL TWIST 5IN 2.8MM STAINLESS STEEL NONSTERILE BUSA,55.0,27.5,12.0,49.5,64
RC,0272,DRILL TWIST 7.5MM DIA CANNULATED GPS,350.0,175.0,76.34,315.0,64
RC,0272,DRILL TWIST 76MM 15MM 1MM AO SHAFT END NONSTERILE DISPOSABLE LATEX FREE,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 77MM 27MM 1.9MM HAND SHAFT END FIXATION MODULAR STERILE PROFYLE SMALL FRAGMENT SYSTEM,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 87MM 26MM 2.5MM HAND SHAFT END MODULAR STERILE PROFYLE SMALL FRAGMENT SYSTEM,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST 91MM 40MM 2.5MM STOP AO QUICK COUPLING APTUS,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST 91MM 41MM 1.9MM DENTAL SHAFT END NONSTERILE VARIAX,61.8,30.9,13.48,55.62,64
RC,0272,DRILL TWIST FLEXIBLE 2.3 CURVED GUIDE,166.0,83.0,36.2,149.4,64
RC,0272,DRILL TWIST FULL THICK CANNULATED GRADUATE DEPTH MARK GUIDE SLEEVE OD7 MM KNEE,168.0,84.0,36.64,151.2,64
RC,0272,"DRILL TWIST L1.5 MM X W7 MM LEVEL ONE, STERILE ASD",169.15,84.58,36.89,152.24,64
RC,0272,DRILL TWIST L100 MM DENTAL SHAFT END OD2 MM PROFYLE,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST L100 MM DENTAL SHAFT END OD2.3 MM PROFYLE L40 MM,89.55,44.78,19.53,80.6,64
RC,0272,DRILL TWIST L105 MM 2.7 MM J NOTCH GLIDE OD2.2 MM LEVEL ONE 2.7 MM SCREW,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L107.5 MM FIXATION OD1.5 MM NA L20 MM 2 MINI PLATE SCREW,176.72,88.36,38.54,159.05,64
RC,0272,DRILL TWIST L115 MM 1.8 MM MICRO STOP OD26 MM TRAUMAONE,144.0,72.0,31.41,129.6,64
RC,0272,DRILL TWIST L115 MM 3 MM STOP NOTCH OD1.9 MM LEVEL ONE,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L115 MM J NOTCH OD1.9 MM THREADLOCK TS,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L115 MM NOTCH MORRISON STYLE OD1.5 MM LEVEL ONE,183.51,91.76,40.02,165.16,64
RC,0272,DRILL TWIST L115 MM OD1.6 MM L35 MM 2-2.3 MM SCREW,148.94,74.47,32.48,134.05,64
RC,0272,DRILL TWIST L115 MM SHAFT END STOP OD1.9 MM NA L35 MM,166.7,83.35,36.36,150.03,64
RC,0272,DRILL TWIST L15 MM STRAIGHT SHAFT REDAPT,47.7,23.85,10.4,42.93,64
RC,0272,DRILL TWIST L151 MM 2.8 AO QUICK COUPLE OD2.35 MM APTUS L38 MM SPIRALBOHER,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L25 MM STRAIGHT SHAFT REDAPT,47.7,23.85,10.4,42.93,64
RC,0272,DRILL TWIST L30 MM OD3 MM MIDAS REX,250.0,125.0,54.53,225.0,64
RC,0272,DRILL TWIST L35 MM STRAIGHT SHAFT REDAPT,47.7,23.85,10.4,42.93,64
RC,0272,DRILL TWIST L40 MM 5 MM STOP OD1.6 MM SONICWELD RX CRANIOMAXILLOFACIAL 2.1 MM SONICPINS RX BOD,133.86,66.93,29.19,120.47,64
RC,0272,DRILL TWIST L46 MM STRYKER SHAFT OD.9 MM NA L4 MM 1.2 MM SCREW,126.65,63.33,27.62,113.99,64
RC,0272,DRILL TWIST L5 IN OD11/64 IN TWIST DRILL,126.5,63.25,27.59,113.85,64
RC,0272,DRILL TWIST L5 MM OD1.6 MM NA,122.91,61.46,26.81,110.62,64
RC,0272,DRILL TWIST L50 MM 5 MM J NOTCH STOP OD1.1 MM LEVEL ONE,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM 5 MM STOP J NOTCH OD1.1 MM TRAUMAONE 1.5 MM SCREW,137.0,68.5,29.88,123.3,64
RC,0272,DRILL TWIST L50 MM 5 MM STOP OD1.1 MM LACTOSORB,159.0,79.5,34.68,143.1,64
RC,0272,DRILL TWIST L50 MM 7 MM STOP OD1.1 MM LORENZ TRAUMAONE 1.5 MM SCREW,137.0,68.5,29.88,123.3,64
RC,0272,DRILL TWIST L50 MM CYLINDER OD1.5 MM LEVEL ONE L7 MM,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM J NOTCH OD1.1 MM LEVEL ONE 1.5 MM SCREW,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM J NOTCH OD1.9 MM LEVEL ONE 2.3 MM FRACTURE SYSTEM,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM J NOTCH STOP OD1.1 MM LEVEL ONE STAINLESS STEEL L7 MM 1.5 MM SCREW,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM J NOTCH STOP OD1.5 MM LEVEL ONE L5 MM,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM NO STOP OD1.5 MM LORENZ MIDFACE LORENZ 2 MM SCREW,109.0,54.5,23.77,98.1,64
RC,0272,DRILL TWIST L50 MM NOTCH STOP OD1.5 MM LEVEL ONE STAINLESS STEEL L20 MM,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L50 MM OD1.35 MM NA L5 MM 1.7 MM SCREW,139.31,69.66,30.38,125.38,64
RC,0272,DRILL TWIST L50 MM STOP OD1 MM L6 MM SMALL FRAGMENT SYSTEM,123.19,61.6,26.87,110.87,64
RC,0272,DRILL TWIST L50 MM STOP OD1.1 MM LACTOSORB L7 MM,159.0,79.5,34.68,143.1,64
RC,0272,DRILL TWIST L50 MM STOP OD1.1 MM TRAUMAONE L15 MM,89.0,44.5,19.41,80.1,64
RC,0272,DRILL TWIST L50 MM STOP OD1.5 MM NA L5 MM 2 MINI PLATE SCREW,142.5,71.25,31.08,128.25,64
RC,0272,DRILL TWIST L50 MM STOP OD1.5 MM NA L8 MM 2 MINI PLATE SCREW,142.5,71.25,31.08,128.25,64
RC,0272,DRILL TWIST L50 MM STOP OD1.5 MM TMJ SYSTEM L11 MM MANDIBLE,164.0,82.0,35.77,147.6,64
RC,0272,DRILL TWIST L50 MM STOP OD1.6 MM NA L7 MM REPROCESSED,129.21,64.61,28.18,116.29,64
RC,0272,DRILL TWIST L50 MM STRYKER END OD1.35 MM NA L6 MM 1.7 MM SCREW,125.5,62.75,27.37,112.95,64
RC,0272,DRILL TWIST L54 MM OD1.4 MM NA L12 MM 1.7 MM SCREW,125.5,62.75,27.37,112.95,64
RC,0272,DRILL TWIST L54 MM STOP OD1 MM NA L12 MM REPROCESSED,126.65,63.33,27.62,113.99,64
RC,0272,DRILL TWIST L58 MM OD1.6 MM LEIBINGER UNIVERSAL 2 L26 MM,138.09,69.05,30.12,124.28,64
RC,0272,DRILL TWIST L58 MM SHAFT OD1.9 MM L20 MM MANDIBULAR 2/2.3 MM SCREW,163.73,81.87,35.71,147.36,64
RC,0272,DRILL TWIST L61 MM OD2.9 MM APTUS L10 MM,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L62 MM REPOSITION PIN STOP OD2 MM L13 MM,159.8,79.9,34.85,143.82,64
RC,0272,DRILL TWIST L66 MM AO QUICK COUPLING LAG OD1.2 MM APTUS L10 MM 1.2 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L66 MM STOP AO QUICK COUPLING OD1.6 MM APTUS L10 MM 1.5 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L66 MM STOP AO QUICK COUPLING OD2.1 MM APTUS L10 MM 2 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L70 MM 12 MM STOP OD2.2 MM TMJ SYSTEM MANDIBLE,164.0,82.0,35.77,147.6,64
RC,0272,DRILL TWIST L70 MM J NOTCH ATTACHMENT OD1.5 MM STAINLESS STEEL STAINLESS STEEL 2 MM SCREW MINI SYSTEM,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L70 MM J NOTCH OD1.9 MM LEVEL ONE,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L70 MM J NOTCH OD2.2 MM LEVEL ONE,129.69,64.85,28.29,116.72,64
RC,0272,DRILL TWIST L76 MM AO QUICK COUPLING OD1 MM APTUS L20 MM 1.2 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L80 MM OD1.75 MM DRILLS,120.0,60.0,26.17,108.0,64
RC,0272,DRILL TWIST L81 MM AO QUICK COUPLING STOP OD1.6 MM APTUS L25 MM HAND 2 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST L81 MM STOP AO QUICK COUPLING OD1.2 MM APTUS L25 MM 1.5 MM SCREW,77.38,38.69,16.88,69.64,64
RC,0272,DRILL TWIST RAINBOW TYPE F/10-20MM SCREW LATEX-FREE NON-STERILE,328.89,164.45,71.73,296.0,64
RC,0272,DRILL TWIST REGULAR OD2 MM DRILLS,120.0,60.0,26.17,108.0,64
RC,0272,DRILL TWIST REPLACEMENT 1.8MM DIA 110MML 85MML,69.3,34.65,15.11,62.37,64
RC,0272,DRILL TWIST SMALL OD1.9 MM NA,202.0,101.0,44.06,181.8,64
RC,0272,DRILL TWIST STRAIGHT OD1.7 MM NA,232.33,116.17,50.67,209.1,64
RC,0272,DRILL TWIST TWIST OD4.5 MM CHS,40.99,20.5,8.94,36.89,64
RC,0272,DRIVER 2 MM 3.5 MM CORETRAK HEXAGON SURGICAL,94.53,47.27,20.62,85.08,64
RC,0272,DRIVER 8 TORX AO L110 MM SURGICAL,110.0,55.0,23.99,99.0,64
RC,0272,DRIVER ACUMED CANNULATED QUICK RELEASE OD2 MM SURGICAL,192.0,96.0,41.88,172.8,64
RC,0272,DRIVER ARROW ONCONTROL POWER SURGICAL,735.0,367.5,160.3,661.5,64
RC,0272,DRIVER EXTERNAL FIXATION L18 CM HEXAGONAL RED II SCREW,475.67,237.84,103.74,428.1,64
RC,0272,"DRIVER EXTERNAL FIXATION L24 CM HEXAGONAL ADJUSTMENT DISTRACTION, EXTERNAL SCREW",509.31,254.66,111.08,458.38,64
RC,0272,DRIVER FUZEFIX TWIST OFF BREAKAWAY OD2 MM SURGICAL PURPLE,284.0,142.0,61.94,255.6,64
RC,0272,DRIVER GEMINUS PEG TORQUE LIMIT SURGICAL WRIST FOREARM SET,90.0,45.0,19.63,81.0,64
RC,0272,DRIVER HEX MICA OD2 MM SURGICAL,158.21,79.11,34.51,142.39,64
RC,0272,DRIVER HEX MICA OD2.5 MM SURGICAL,158.21,79.11,34.51,142.39,64
RC,0272,DRIVER HEXAGON CORETRAK OD3.5 MM SURGICAL,63.68,31.84,13.89,57.31,64
RC,0272,DRIVER NEEDLE 31.5CM 8MM DA VINCI XI ENDOWRIST 30D LARGE REPOSABLE 1CM,2200.0,1100.0,479.82,1980.0,64
RC,0272,DRIVER NEEDLE 31.5CM 8MM SUTURECUT ENDOWRIST DA VINCI XI 38D LARGE 1.1CM,2400.0,1200.0,523.44,2160.0,64
RC,0272,DRIVER NEEDLE DA VINCI XI ENDOWRIST MEGA 10 USE,2310.0,1155.0,503.81,2079.0,64
RC,0272,DRIVER NEEDLE GOLD HANDLED,224.0,112.0,48.85,201.6,64
RC,0272,DRIVER NEEDLE L31.75 CM 40 D MEGA OD8 MM MEGA SUTURE CUT ENDOWRIST L1.4 CM 15 USES,2757.0,1378.5,601.3,2481.3,64
RC,0272,DRIVER NEEDLE L49.7 CM 23- D MEGA ROBOTIC OD8 MM SUTURECUT ENDOWRIST L1.4 CM,2520.0,1260.0,549.61,2268.0,64
RC,0272,DRIVER NEEDLE L54.4 CM 30- D LARGE HOLDER OD8 MM DA VINCI S/SI ENDOWRIST L49.3 CM,2310.0,1155.0,503.81,2079.0,64
RC,0272,DRIVER NEEDLE L54.5 CM 30- D LARGE VERY HIGH OD8 MM SUTURECUT DA VINCI S/SI ENDOWRIST L1.1 CM,2520.0,1260.0,549.61,2268.0,64
RC,0272,DRIVER NEEDLE L54.7 CM 30- D TAPER OD8 MM ENDOWRIST MEGA DA VINCI S/SI L1.3 CM,2310.0,1155.0,503.81,2079.0,64
RC,0272,DRIVER NEEDLE L55.1 CM 30- D OD5 MM DA VINCI S/SI ENDOWRIST L.9 CM,4300.0,2150.0,937.83,3870.0,64
RC,0272,DRIVER POWER HELICAL OD9.5 MM ULTRA-DRIVE,451.2,225.6,98.41,406.08,64
RC,0272,DRIVER POWER MOTOR REDUCE GEAR 2 BATTERY SHAFT LOCK COMPONENT INVICTUS POWER T HANDLE LITHIUM METAL OXIDE,720.0,360.0,157.03,648.0,64
RC,0272,DRIVER REDUCT OD4.5 MM SURGICAL HEADLESS COMPRESSION SCREW,280.0,140.0,61.07,252.0,64
RC,0272,DRIVER SHAFT TAPERED SHT T8,232.0,116.0,50.6,208.8,64
RC,0272,DRIVER SHORT HEXAGON TRIGEN SURGICAL,383.9,191.95,83.73,345.51,64
RC,0272,DRIVER SQUARE 2.2MM SURGICAL,110.0,55.0,23.99,99.0,64
RC,0272,DRIVER SQUARE DVR CROSSLOCK TRAY OD1.7-2.2 MM SURGICAL,70.0,35.0,15.27,63.0,64
RC,0272,DRIVER SURGICAL 2.5MM DIA SMALL HEX FIXED EVOS,406.0,203.0,88.55,365.4,64
RC,0272,DRIVER SURGICAL 2MM DIA 110MML HEXAGONAL AO COUPLING,280.0,140.0,61.07,252.0,64
RC,0272,DRIVER SURGICAL MEDIUM HEXSHAFT F/MULTIPURPOSE PERI-LOC LATEX-FREE,1855.0,927.5,404.58,1669.5,64
RC,0272,DRIVER SURGICAL MICROTARGETING STERIOTACTIC DEVICE 68-OM-SD STERILE SINGLE-USE,121.0,60.5,26.39,108.9,64
RC,0272,DRIVER SURGICAL NEUROBLATE CRANIAL ROBOTIC PROBE EXPAND ACCESS AXIIIS MONTERIS MINI BOLT,3606.0,1803.0,786.47,3245.4,64
RC,0272,DRIVER T10 HEXALOBE SOLID SURGICAL 7 MM SCREW,295.17,147.59,64.38,265.65,64
RC,0272,DRIVER T8 COLINK BIT AO SOLID SURGICAL 3/3.5 MM SCREW,134.0,67.0,29.23,120.6,64
RC,0272,DRIVER TOOLS - SCREWS HEX AO CANNULATED L70 MM OD2 MM SURGICAL,120.0,60.0,26.17,108.0,64
RC,0272,DRIVER TRIGEN HEXAGONAL COMPRESSION SCREW SURGICAL,239.25,119.63,52.18,215.33,64
RC,0272,DRIVER UNIVERSAL COMPRESSION SURGICAL DISPOSABLE,305.21,152.61,66.57,274.69,64
RC,0272,DRIVER ZDRIVE SURGICAL STERILE LATEX FREE DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,EARHOOK COCHLEAR LARGE COCHLEAR NUCLEUS 7,27.2,13.6,5.93,24.48,64
RC,0272,EARHOOK COCHLEAR LARGE COCHLEAR SNUGFIT NUCLEUS 7,35.7,17.85,7.79,32.13,64
RC,0272,EARHOOK COCHLEAR MEDIUM COCHLEAR SNUGFIT,35.7,17.85,7.79,32.13,64
RC,0272,EARHOOK COCHLEAR SMALL COCHLEAR NUCLEUS 7 SOUND PROCESSOR,27.2,13.6,5.93,24.48,64
RC,0272,EARHOOK COCHLEAR SNUGFIT NUCLEUS 6 LARGE TAMPER RESISTANT CP900,25.5,12.75,5.56,22.95,64
RC,0272,EARHOOK COCHLEAR SNUGFIT NUCLEUS 6 SMALL TAMPER RESISTANT CP900,25.5,12.75,5.56,22.95,64
RC,0272,ECHOTIP INSIGHT PORTOSYSTEMIC PRESSURE GRADIENT MEASUREMENT SYSTEM,1965.0,982.5,428.57,1768.5,64
RC,0272,ELECTRODE BIPOLAR 0D ANGLE LOOP GYNECARE VERSAPOINT RESECTOSCOPIC,1867.53,933.77,407.31,1680.78,64
RC,0272,ELECTRODE BIPOLAR 0D VAPORIZE 5FR GYNECARE VERSAPOINT RESECTOSCOPIC,1867.53,933.77,407.31,1680.78,64
RC,0272,ELECTRODE BIPOLAR 36CM 5FR TWIZZLE TIP GYNECARE VERSAPOINT STERILE DISPOSABLE,2292.78,1146.39,500.06,2063.5,64
RC,0272,ELECTRODE BIPOLAR HALF MOON HYBRID VAPORIZATION RESECTION,2829.96,1414.98,617.21,2546.96,64
RC,0272,ELECTRODE BIPOLAR OD.3 MM ODSEC22 FR SHARK/S-LINE LOOP CUT,1181.69,590.85,257.73,1063.52,64
RC,0272,ELECTRODE BIPOLAR OD1.3 MM,1741.84,870.92,379.9,1567.66,64
RC,0272,ELECTRODE BIPOLAR OD5 FR VERSAPOINT TWIZZLE TIP HYSTEROSCOPIC,2172.11,1086.06,473.74,1954.9,64
RC,0272,ELECTRODE COAGTG KNIFE SHAPED,892.94,446.47,194.75,803.65,64
RC,0272,ELECTRODE DEFIBRILLATOR 4.5INW X 6.25INL 46IN LEADWIRE AG/AGCL METAL WIRE ADULT OVAL ANSI AAMI MULTI-FUNCTION CONDUCTIVE HYDROGEL ADHESIVE PRE-CONNECT GRADIENT F/PHYSIO-CONTROL MEDI-TRACE CADENCE LATE,156.11,78.06,34.05,140.5,64
RC,0272,ELECTRODE DEFIBRILLATOR ADULT MULTI-FUNCTION SELF-ADHESIVE W/SPECULUM METAL TAPE RUBBER BAND RADIOLUCENT STERILE DISPOSABLE,352.8,176.4,76.95,317.52,64
RC,0272,ELECTRODE DEFIBRILLATOR RESUSCITATION ONESTEP STERILE LATEX FREE X R SERIES,93.01,46.51,20.29,83.71,64
RC,0272,ELECTRODE DRUG DELIVERY 8.8SQ CM 80MA SMALL LOW PROFILE PERFORMA VE CARBON 1.5ML,58.39,29.2,12.73,52.55,64
RC,0272,ELECTRODE EEG DUAL CHANNEL F/ETT 6.0-7.5 DRAGONFLY,630.0,315.0,137.4,567.0,64
RC,0272,ELECTRODE EEG THK.76MM 4.5MM 6 CONTACT STRIP RADIOPAQUE IOM CONNECTOR CORTAC STAINLESS STEEL STERILE LATEX FREE SUBDURAL DISPOSABLE,800.0,400.0,174.48,720.0,64
RC,0272,ELECTRODE ELECROSURGICAL SELF-ADHESIVE PATIENT PLATE NEUTRAL NONSTERILE DISPOSABLE,445.28,222.64,97.12,400.75,64
RC,0272,ELECTRODE ELECTROSURGICAL .01 IN RIGHT ANGLE LOOP OD28 FR USA ELITE SYSTEM CUT WIRE BLUE RESECTOSCOPE,1020.09,510.05,222.48,918.08,64
RC,0272,ELECTRODE ELECTROSURGICAL .012 IN LOOP ANGLE RIGHT OD26 FR USA ELITE SYSTEM CUT WIRE WHITE RESECTOSCOPE,774.4,387.2,168.9,696.96,64
RC,0272,ELECTRODE ELECTROSURGICAL .012 IN RIGHT ANGLE LOOP OD24 FR USA ELITE SYSTEM CUT WIRE YELLOW RESECTOSCOPE,774.4,387.2,168.9,696.96,64
RC,0272,ELECTRODE ELECTROSURGICAL .012 IN RIGHT ANGLE LOOP OD28 FR USA ELITE SYSTEM CUT WIRE BLUE RESECTOSCOPE,1020.09,510.05,222.48,918.08,64
RC,0272,ELECTRODE ELECTROSURGICAL .012IN RIGHT ANGLE CUT LOOP 24FR WIRE USA ELITE SYSTEM STERILE LATEX FREE DISPOSABLE RESECTOSCOPE YELLOW,774.4,387.2,168.9,696.96,64
RC,0272,ELECTRODE ELECTROSURGICAL 0D 24FR BIPOLAR RESECTION VAPORIZE TIP VERSAPOINT,2269.8,1134.9,495.04,2042.82,64
RC,0272,ELECTRODE ELECTROSURGICAL 105CM 2FR FULGURATE FLEXIBLE LONG TIP BUGBEE STERILE DISPOSABLE,788.25,394.13,171.92,709.43,64
RC,0272,ELECTRODE ELECTROSURGICAL 105CM 2FR FULGURATE FLEXIBLE SHORT TIP BUGBEE STERILE DISPOSABLE,776.66,388.33,169.39,698.99,64
RC,0272,ELECTRODE ELECTROSURGICAL 105CM 3FR FULGURATE FLEXIBLE LONG TIP BUGBEE STERILE DISPOSABLE,683.92,341.96,149.16,615.53,64
RC,0272,ELECTRODE ELECTROSURGICAL 105CM 3FR FULGURATE FLEXIBLE SHORT TIP BUGBEE STERILE DISPOSABLE,666.54,333.27,145.37,599.89,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 16 D BAND STANDARD OD24 FR PLASMABAND HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 16 D LARGE LOOP STANDARD OD24 FR PLASMALOOP HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 16 D LOOP STANDARD OD24 FR PLASMALOOP HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 30 D .35 IN LOOP OD24-28 FR OLYMPUS HIGH FREQUENCY RESECTION WIRE RESECTOSCOPE,1635.2,817.6,356.64,1471.68,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 30 D BUTTON OD24 FR PLASMABUTTON HIGH FREQUENCY RESECTION,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 30 D BUTTON OD24-28 FR PLASMABUTTON HIGH FREQUENCY RESECTION,7470.0,3735.0,1629.21,6723.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D 30 D ROLLER BALL OD24-28 FR OLYMPUS HIGH FREQUENCY RESECTION RESECTOSCOPE,1258.1,629.05,274.39,1132.29,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D LOOP LONG OD24 FR OLYMPUS HIGH FREQUENCY RESECTION,5390.0,2695.0,1175.56,4851.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D LOOP MEDIUM LONG OD24 FR PLASMALOOP HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D-30 D ANGLE LOOP STANDARD OD24 FR PLASMALOOP HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D-30 D BAND STANDARD OD24 FR PLASMABAND HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D-30 D BUTTON OD24 FR PLASMABUTTON HIGH FREQUENCY RESECTION,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D-30 D LONG OVAL BUTTON OD24 FR PLASMA-OVALBUTTON HIGH FREQUENCY RESECTION,1950.0,975.0,425.3,1755.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D-30 D OVAL BUTTON OD24 FR PLASMA-OVALBUTTON HIGH FREQUENCY RESECTION,2598.75,1299.38,566.79,2338.88,64
RC,0272,ELECTRODE ELECTROSURGICAL 12 D-30 D ROLLER OD24 FR PLASMAROLLER HIGH FREQUENCY RESECTION,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12-30 D MEDIUM LOOP OD24 FR PLASMALOOP HIGH FREQUENCY RESECTION,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12-30 D MEDIUM OD24 FR PLASMALOOP HIGH FREQUENCY RESECTION,449.17,224.59,97.96,404.25,64
RC,0272,ELECTRODE ELECTROSURGICAL 12-30 D PLASMANEEDLE HIGH FREQUENCY RESECTION CABLE,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 12D .35IN LOOP 28FR HIGH FREQUENCY WIRE STERILE LATEX FREE DISPOSABLE RESECTOSCOPE BLACK,1590.4,795.2,346.87,1431.36,64
RC,0272,ELECTRODE ELECTROSURGICAL 12D 16D LARGE LOOP 24FR HIGH FREQUENCY RESECTION PLASMALOOP STERILE LATEX FREE DISPOSABLE,11280.5,5640.25,2460.28,10152.45,64
RC,0272,ELECTRODE ELECTROSURGICAL 12D LOOP 22.5FR HIGH FREQUENCY RESECTION STERILE LATEX FREE DISPOSABLE,1554.9,777.45,339.12,1399.41,64
RC,0272,ELECTRODE ELECTROSURGICAL 12D-30D OVAL BUTTON 24FR HIGH FREQUENCY RESECTION PLASMA-OVALBUTTON STERILE LATEX FREE DISPOSABLE,2325.0,1162.5,507.08,2092.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 15CM 6.4FR 9 ARRAY ATTACH CABLE TROCAR TIP STARBURST XL STERILE LATEX FREE DISPOSABLE RADIOFREQUENCY ABLATION,2345.0,1172.5,511.44,2110.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 165CM 2MM BUILT IN HANDLE FLUID INJECTION DUALKNIFE J CERAMIC STERILE LATEX FREE DISPOSABLE ACCEPTS 2.8MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,896.0,448.0,195.42,806.4,64
RC,0272,ELECTRODE ELECTROSURGICAL 17GA 100MML 10MML RF MULTITINED EXPANDABLE ACTIVE TIP F/100MM CURVED PROBE NIMBUS STERILE,840.0,420.0,183.2,756.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 17GA 50MML 10MML RF MULTITINED EXPANDABLE ACTIVE TIP NIMBUS STERILE,840.0,420.0,183.2,756.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 2.5 MM ANGLE LOOP OD24 FR VERSAPOINT RESECTION BIPOLAR,2269.8,1134.9,495.04,2042.82,64
RC,0272,ELECTRODE ELECTROSURGICAL 20MMW X 8MML CUTTING LOOP RED F/LEEP PRECISION INTEGRATED SYSTEM LATEX-FREE,312.0,156.0,68.05,280.8,64
RC,0272,ELECTRODE ELECTROSURGICAL 22MM ROUND LOOP 25MM 11CM 3/32IN UTAHLOOP SAFE-T-GAUGE LETZ STAINLESS STEEL STERILE LATEX FREE DISPOSABLE CANARY,150.0,75.0,32.72,135.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 230CM 1.5MM BUILT IN HANDLE FLUID INJECTION DUALKNIFE J CERAMIC STERILE LATEX FREE DISPOSABLE ACCEPTS 2.8MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,896.0,448.0,195.42,806.4,64
RC,0272,ELECTRODE ELECTROSURGICAL 30 D .014 IN CUT LOOP OD22 FR REV360 WIRE,764.83,382.42,166.81,688.35,64
RC,0272,ELECTRODE ELECTROSURGICAL 30 D .35 IN LOOP OD26 FR OLYMPUS HIGH FREQUENCY WIRE RESECTOSCOPE,1831.53,915.77,399.46,1648.38,64
RC,0272,ELECTRODE ELECTROSURGICAL 30D MEDIUM LOOP HIGH FREQUENCY RESECTION CABLE PLASMABUTTON STERILE LATEX FREE DISPOSABLE,2256.1,1128.05,492.06,2030.49,64
RC,0272,ELECTRODE ELECTROSURGICAL 30X1.14MM LINEAR PEN COOLRAIL ISOLATOR STERILE LATEX FREE DISPOSABLE ABLATION SYSTEM,8565.0,4282.5,1868.03,7708.5,64
RC,0272,ELECTRODE ELECTROSURGICAL 360 D PENCIL STANDARD L10 FT OD3/32 IN VALLEYLAB SMOKE EVACUATION ATTACH CORD HOLSTER,110.0,55.0,23.99,99.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 58CM 5FR FULGURATE FLEXIBLE BUGBEE STERILE LATEX FREE DISPOSABLE,165.28,82.64,36.05,148.75,64
RC,0272,ELECTRODE ELECTROSURGICAL 5MM LOOP ROUND 10MM MEGADYNE TUNGSTEN STERILE LATEX FREE DISPOSABLE LLETZ PURPLE,118.9,59.45,25.93,107.01,64
RC,0272,ELECTRODE ELECTROSURGICAL 90 12 D NEEDLE KNIFE OD24-28 FR OLYMPUS HIGH FREQUENCY,1460.0,730.0,318.43,1314.0,64
RC,0272,ELECTRODE ELECTROSURGICAL 90 D VAPR TRIPOLAR SUCTION INTEGRATE FLOW CONTROL,243.0,121.5,53.0,218.7,64
RC,0272,ELECTRODE ELECTROSURGICAL 90D STANDARD 165MM MONOPOLAR BASIC KIT ESA STERILE DISPOSABLE MENISCECTOMY,45.07,22.54,9.83,40.56,64
RC,0272,ELECTRODE ELECTROSURGICAL ANGLE CUT LOOP OD22 FR WHITE,892.94,446.47,194.75,803.65,64
RC,0272,ELECTRODE ELECTROSURGICAL ANGLE LOOP THOMAS,860.47,430.24,187.67,774.42,64
RC,0272,ELECTRODE ELECTROSURGICAL ANGLE ROLLER BAR OD24-26 FR USA ELITE SYSTEM BLACK RESECTOSCOPE,580.8,290.4,126.67,522.72,64
RC,0272,ELECTRODE ELECTROSURGICAL ANGLE SPATULA L33 CM OD5 MM PLASMASPATULA CUT COAGULATE DISSECT,2610.0,1305.0,569.24,2349.0,64
RC,0272,ELECTRODE ELECTROSURGICAL ARGON PLUS VALLEYLAB HANDSET,467.0,233.5,101.85,420.3,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL 11CM 3MM UTAHBALL STERILE DISPOSABLE BLACK,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL 11CM 5MM 3/32IN Y SHAFT LEEP UTAHBALL STAINLESS STEEL STERILE DISPOSABLE RED,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL 5IN 3MM 3/32IN STANDARD SHAFT VALLEYLAB STAINLESS STEEL STERILE LATEX FREE DISPOSABLE LLETZ,100.0,50.0,21.81,90.0,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL L37 CM OD6 FR BUGBEE FULGURATE FLEXIBLE GREEN CYSTOSCOPE RESECTOSCOPE,99.0,49.5,21.59,89.1,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL L37 CM OD8 FR BUGBEE FULGURATE FLEXIBLE BLUE CYSTOSCOPE RESECTOSCOPE,130.41,65.21,28.44,117.37,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL L5 IN OD5 MM ODSEC3/32 IN VALLEYLAB STAINLESS STEEL STANDARD SHAFT LLETZ,100.0,50.0,21.81,90.0,64
RC,0272,ELECTRODE ELECTROSURGICAL BALL OD22 FR COAGULATE,806.4,403.2,175.88,725.76,64
RC,0272,ELECTRODE ELECTROSURGICAL BARREL 3MM 24-26FR COAGULATE YELLOW,860.47,430.24,187.67,774.42,64
RC,0272,ELECTRODE ELECTROSURGICAL BLADE HOOK L4-9 CM OD3 MM HARMONIC SYNERGY TITANIUM ADJUSTABLE NONREMOVABLE SHAFT BLUE HAND PIECE,1467.61,733.81,320.09,1320.85,64
RC,0272,ELECTRODE ELECTROSURGICAL BLADE L2.75 IN OD3/32 IN EDGE SAFETY SLEEVE L.2 IN INSULATE STANDARD SHAFT,141.5,70.75,30.86,127.35,64
RC,0272,ELECTRODE ELECTROSURGICAL BLADE PENCIL L10 FT VALLEYLAB EDGE TELESCOPE SMOKE EVACUATION ROCKER SWITCH SWIVEL CONNECTION NOZZLE,484.0,242.0,105.56,435.6,64
RC,0272,ELECTRODE ELECTROSURGICAL BLADE SPATULA W4 MM PLASMABLADE 4.0 PEAK CAUTERY HIGH INSULATE BEND SHAFT PINK,267.8,133.9,58.41,241.02,64
RC,0272,ELECTRODE ELECTROSURGICAL BLADE STANDARD L11 IN VALLEYLAB ARGON RETRACTABLE LAPAROSCOPIC,462.0,231.0,100.76,415.8,64
RC,0272,ELECTRODE ELECTROSURGICAL CAUTERY MICRO 2.5INL PTFE NEEDLE NON-STICK INSULATED E-Z CLEAN MEGAFINE LATEX-FREE DISPOSABLE CMC MAIN ONLY,153.76,76.88,33.54,138.38,64
RC,0272,ELECTRODE ELECTROSURGICAL COAGULATE BIPOLAR,2586.82,1293.41,564.19,2328.14,64
RC,0272,ELECTRODE ELECTROSURGICAL COAGULATOR 15CML FLEXIBLE VALLEYLAB ARGON STERILE DISPOSABLE,253.6,126.8,55.31,228.24,64
RC,0272,ELECTRODE ELECTROSURGICAL COAGULATOR 26.5MM DIA 8 CONTRACTS MICRODEEP,650.0,325.0,141.77,585.0,64
RC,0272,ELECTRODE ELECTROSURGICAL COAGULATOR 28CML FLEXIBLE W/BLADE NEEDLE LAPAROSCOPIC F/5MM CANNULA TROCARS/COAGULATION VALLEYLAB ARGON STERILE DISPOSABLE,316.0,158.0,68.92,284.4,64
RC,0272,ELECTRODE ELECTROSURGICAL COAGULATOR 51MM DIA 15 CONTRACTS MICRODEEP,775.0,387.5,169.03,697.5,64
RC,0272,ELECTRODE ELECTROSURGICAL CONE LOOP T L15 MM OD10 MM CONMED ACTIVE EXCISION,74.6,37.3,16.27,67.14,64
RC,0272,ELECTRODE ELECTROSURGICAL CONE LOOP T L20 MM OD10 MM ULTRACLEAN ACTIVE EXCISION,55.25,27.63,12.05,49.73,64
RC,0272,ELECTRODE ELECTROSURGICAL CUT LOOP OD7 MM THE PRINCESS RESECTOSCOPE,1181.69,590.85,257.73,1063.52,64
RC,0272,ELECTRODE ELECTROSURGICAL D.7 CM WIRE MEDIUM RADIUS LOOP UNIVERSAL L12 CM X W1.5 CM OD3/32 IN LEEP RADIUS ELECTRODE TUNGSTEN CONNECTOR SHAFT LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL D1 CM UNIVERSAL SQUARE L12 CM X W1 CM OD3/32 IN LEEP SQUARE ELECTRODE TUNGSTEN SMOOTH EXCISION CONNECTOR LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL D1 CM WIRE LARGE RADIUS LOOP UNIVERSAL L12 CM X W2 CM OD3/32 IN LEEP RADIUS ELECTRODE TUNGSTEN CONNECTOR SHAFT LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL D1 CM WIRE LARGE RADIUS LOOP UNIVERSAL L12 CM X W2.5 CM OD3/32 IN LEEP RADIUS ELECTRODE TUNGSTEN CONNECTOR SHAFT LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL D1 CM WIRE MEDIUM RADIUS LOOP UNIVERSAL L12 CM X W1 CM OD3/32 IN LEEP TUNGSTEN CONNECTOR SHAFT LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL D3 MM BALL UNIVERSAL L12 CM OD3/32 IN LEEP BALL ELECTRODE BRASS CONNECTOR SHAFT LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL D5 MM BALL UNIVERSAL L12 CM OD3/32 IN LEEP BRASS CONNECTOR SHAFT LEEP,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL DOME L37 CM OD8 FR BUGBEE FULGURATE FLEXIBLE BLUE CYSTOSCOPE RESECTOSCOPE,130.41,65.21,28.44,117.37,64
RC,0272,ELECTRODE ELECTROSURGICAL FLAT L HOOK L36 CM CLEANCOAT PTFE COATED LAPAROSCOPIC,428.1,214.05,93.37,385.29,64
RC,0272,ELECTRODE ELECTROSURGICAL GROOVE ROLLER BAR OD24-28 FR VAPORTRODE NICKEL SILVER VAPORIZATION BLACK HYSTEROSCOPY,1222.98,611.49,266.73,1100.68,64
RC,0272,ELECTRODE ELECTROSURGICAL HANDCONTROL VAPR COOLPULSE 90,257.0,128.5,56.05,231.3,64
RC,0272,ELECTRODE ELECTROSURGICAL HOOK INFANT,564.13,282.07,123.04,507.72,64
RC,0272,ELECTRODE ELECTROSURGICAL HOOK L32 CM OD5 MM HARMONIC DISSECT,1052.63,526.32,229.58,947.37,64
RC,0272,ELECTRODE ELECTROSURGICAL HOOK OLYMPUS HIGH FREQUENCY CABLE RESECTION PEDIATRIC OES PRO,286.17,143.09,62.41,257.55,64
RC,0272,ELECTRODE ELECTROSURGICAL HOOK PEDIATRIC,697.0,348.5,152.02,627.3,64
RC,0272,ELECTRODE ELECTROSURGICAL INSERTION PLATFORM ARRAY MICROTARGETING,1178.24,589.12,256.97,1060.42,64
RC,0272,ELECTRODE ELECTROSURGICAL ISOLATOR TRANSPOLAR LONG PEN 33CM 7MM BIPOLAR LINEAR STERILE LATEX FREE DISPOSABLE TT,1900.0,950.0,414.39,1710.0,64
RC,0272,ELECTRODE ELECTROSURGICAL L HOOK L32 CM OD5 MM UNIVERSAL PLUS EXTEND INSULATION SUCTION IRRIGATION LUMEN LOCK TIP PROTECTOR LAPAROSCOPIC,107.53,53.77,23.45,96.78,64
RC,0272,ELECTRODE ELECTROSURGICAL L HOOK L36 CM CLEANCOAT PTFE COATED LAPAROSCOPIC,428.1,214.05,93.37,385.29,64
RC,0272,ELECTRODE ELECTROSURGICAL L HOOK RIGHT ANGLE 15.75IN 5MM INSULATE JARIT STAINLESS STEEL NONSTERILE REUSABLE,173.9,86.95,37.93,156.51,64
RC,0272,ELECTRODE ELECTROSURGICAL L WIRE 33CM 5MM MEGADYNE E-Z CLEAN PTFE STERILE LATEX FREE DISPOSABLE LAPAROSCOPIC STANDARD PENCIL,205.15,102.58,44.74,184.64,64
RC,0272,ELECTRODE ELECTROSURGICAL L100 MM NIMBUS L10 MM RADIOFREQUENCY MULTITINE EXPAND ACTIVE TIP 17 GM,870.0,435.0,189.75,783.0,64
RC,0272,ELECTRODE ELECTROSURGICAL L150 MM NIMBUS L10 MM RADIOFREQUENCY MULTITINE EXPAND ACTIVE TIP 17 GM,870.0,435.0,189.75,783.0,64
RC,0272,ELECTRODE ELECTROSURGICAL L165 CM DUALKNIFE CERAMIC L2 MM KNOB NEEDLE DOME SHEATH TIP ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,566.8,283.4,123.62,510.12,64
RC,0272,ELECTRODE ELECTROSURGICAL L165 CM HOOKKNIFE CERAMIC L4.5 MM ROTATABLE TURN LOCK ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,597.34,298.67,130.28,537.61,64
RC,0272,ELECTRODE ELECTROSURGICAL L165 CM ITKNIFE NANO CERAMIC L3.5 MM INSULATE TIP ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,597.34,298.67,130.28,537.61,64
RC,0272,ELECTRODE ELECTROSURGICAL L165 CM ITKNIFE2 CERAMIC L4 MM ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,597.34,298.67,130.28,537.61,64
RC,0272,ELECTRODE ELECTROSURGICAL L165 CM TRIANGLETIP KNIFE CERAMIC L4.5 MM ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,597.34,298.67,130.28,537.61,64
RC,0272,ELECTRODE ELECTROSURGICAL L165 CM TRIANGLETIP KNIFE J CERAMIC L4.5 MM ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,1026.35,513.18,223.85,923.72,64
RC,0272,ELECTRODE ELECTROSURGICAL L20 CM TISSUE ABLATION 19G ALIYA,47000.0,23500.0,10250.7,42300.0,64
RC,0272,ELECTRODE ELECTROSURGICAL L230 CM HOOKKNIFE CERAMIC L4.5 MM ROTATABLE TURN LOCK ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,597.34,298.67,130.28,537.61,64
RC,0272,ELECTRODE ELECTROSURGICAL L230 CM ITKNIFE NANO CERAMIC L3.5 MM INSULATE TIP ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,597.34,298.67,130.28,537.61,64
RC,0272,ELECTRODE ELECTROSURGICAL L37 CM OD6 FR BUGBEE FLEXIBLE GREEN CYSTOSCOPE RESECTOSCOPE,140.8,70.4,30.71,126.72,64
RC,0272,ELECTRODE ELECTROSURGICAL LAPAROSCOPIC 5MM DIA SHAFT 34CML HOOK SHAPED HOLLOW TIP ENDOPATH PROBE PLUS II,99.34,49.67,21.67,89.41,64
RC,0272,ELECTRODE ELECTROSURGICAL LARGE OD24 FR SUPERLOOP TURP,451.22,225.61,98.41,406.1,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP 10MMW X 10MML 13CML SHAFT Z-ELECT STERILE DISPOSABLE,312.0,156.0,68.05,280.8,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP 15MMW X 10MML Z-ELECT STERILE DISPOSABLE,312.0,156.0,68.05,280.8,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP 20MMW X 15MML 13CML SHAFT Z-ELECT STERILE DISPOSABLE,312.0,156.0,68.05,280.8,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP 5MM DIA 13CML SHAFT Z-ELECT STERILE DISPOSABLE,312.0,156.0,68.05,280.8,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP 7MMW X 15MML Z-ELECT STERILE DISPOSABLE,312.0,156.0,68.05,280.8,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP MEDIUM 1.5CMW X 12CML X 0.5CMD TUNGSTEN WIRE ROUND RADIUS LOOP W/STANDARD 3/32IN CONNECTOR PRECISION LATEX-FREE STERILE SINGLE-USE,63.48,31.74,13.84,57.13,64
RC,0272,ELECTRODE ELECTROSURGICAL LEEP PRECISION 2 DISPERSIVE CONNECTOR,79.96,39.98,17.44,71.96,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP 24-26FR BIPOLAR,2586.82,1293.41,564.19,2328.14,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP 5IN 10X10MM 3/32IN STANDARD SHAFT VALLEYLAB TUNGSTEN STERILE LATEX FREE DISPOSABLE LLETZ,101.8,50.9,22.2,91.62,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP 5IN 15X12MM 3/32IN STANDARD SHAFT VALLEYLAB TUNGSTEN STERILE LATEX FREE DISPOSABLE LLETZ,136.5,68.25,29.77,122.85,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP 5IN 20X12MM 3/32IN STANDARD SHAFT VALLEYLAB TUNGSTEN STERILE LATEX FREE DISPOSABLE LLETZ,136.5,68.25,29.77,122.85,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP ANGLE OD24 FR ODSEC26 FR THOMAS CUT,860.47,430.24,187.67,774.42,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP OD24/26 FR BIPOLAR,2728.54,1364.27,595.09,2455.69,64
RC,0272,ELECTRODE ELECTROSURGICAL LOOP OLYMPUS HIGH FREQUENCY CABLE RESECTION PEDIATRIC OES PRO,248.5,124.25,54.2,223.65,64
RC,0272,ELECTRODE ELECTROSURGICAL MEDIUM FISCHER CONE BIOPSY EXCISOR CERVICAL,103.34,51.67,22.54,93.01,64
RC,0272,ELECTRODE ELECTROSURGICAL MICRODISSECTION NEEDLE 5.1CML TUNGSTEN STRAIGHT INSULATED W/HOLDER GREEN DISPOSABLE,235.0,117.5,51.25,211.5,64
RC,0272,ELECTRODE ELECTROSURGICAL MONOPOLAR 5MM DIA 45CML PTFE COATED L-HOOK WIRE COAGULATING DISSECTING STANDARD NON-STICK E-Z CLEAN LATEX-FREE STERILE DISPOSABLE,293.21,146.61,63.95,263.89,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE CURVE TROFLEX,1184.56,592.28,258.35,1066.1,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE L2 CM OD3/32 IN COLORADO TUNGSTEN STRAIGHT SLEEVE MICRODISSECTION INSULATE,57.81,28.91,12.61,52.03,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE L2 IN OD3 MM MEGADYNE MEGAFINE PTFE EXTRA SHARP,153.76,76.88,33.54,138.38,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE L3 CM OD3/32 IN COLORADO TUNGSTEN STRAIGHT SLEEVE MICRODISSECTION INSULATE,57.81,28.91,12.61,52.03,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE L3 IN COLORADO TUNGSTEN L1 CM STRAIGHT SLEEVE MICRODISSECTION NEPTUNE E-SEP SMOKE EVACUATION PENCIL E103 SERIES,66.6,33.3,14.53,59.94,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE L4 CM OD3/32 IN COLORADO TUNGSTEN INSULATE STRAIGHT SLEEVE MICRODISSECTION,57.81,28.91,12.61,52.03,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE L4 IN COLORADO TUNGSTEN L1 CM STRAIGHT SLEEVE MICRODISSECTION NEPTUNE E-SEP SMOKE EVACUATION PENCIL E103 SERIES,66.6,33.3,14.53,59.94,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE OLYMPUS HIGH FREQUENCY CABLE RESECTION PEDIATRIC OES PRO,286.17,143.09,62.41,257.55,64
RC,0272,ELECTRODE ELECTROSURGICAL NEEDLE STRAIGHT 2.13IN 3CM 3/32IN INSULATE STANDARD SHAFT VALLEYLAB TUNGSTEN STERILE DISPOSABLE MICROSURGICAL,220.0,110.0,47.98,198.0,64
RC,0272,ELECTRODE ELECTROSURGICAL PEN 19CM MULTIFUNCTIONAL LINEAR ISOLATOR TRANSPOLAR STERILE LATEX FREE DISPOSABLE ABLATION,5400.0,2700.0,1177.74,4860.0,64
RC,0272,ELECTRODE ELECTROSURGICAL PEN CARDIOBLATE STERILE CARDIOVASCULAR DISPOSABLE ABLATION,1695.0,847.5,369.68,1525.5,64
RC,0272,ELECTRODE ELECTROSURGICAL PENCIL STRAIGHT TAPER L5.3 IN OD20/23 GA BAUSCH & LOMB BIPOLAR 2 PIN CONNECTOR LIGHTWEIGHT,282.99,141.5,61.72,254.69,64
RC,0272,ELECTRODE ELECTROSURGICAL PLASMABUTTON FRONT LOAD,2575.0,1287.5,561.61,2317.5,64
RC,0272,ELECTRODE ELECTROSURGICAL RIGHT ANGLE KNIFE 24FR MONOPOLAR USA ELITE SYSTEM STERILE LATEX FREE DISPOSABLE YELLOW,794.05,397.03,173.18,714.65,64
RC,0272,ELECTRODE ELECTROSURGICAL RIGHT ANGLE KNIFE 26FR MONOPOLAR USA ELITE SYSTEM STERILE LATEX FREE DISPOSABLE WHITE,602.8,301.4,131.47,542.52,64
RC,0272,ELECTRODE ELECTROSURGICAL RIGHT ANGLE KNIFE 26FR PERKASH STERILE DISPOSABLE RESECTOSCOPE WHITE,730.29,365.15,159.28,657.26,64
RC,0272,ELECTRODE ELECTROSURGICAL RIGHT ANGLE KNIFE 28FR MONOPOLAR USA ELITE SYSTEM STERILE LATEX FREE DISPOSABLE BLUE,794.05,397.03,173.18,714.65,64
RC,0272,ELECTRODE ELECTROSURGICAL RIGHT ANGLE KNIFE OD24 FR PERKASH YELLOW RESECTOSCOPE,730.29,365.15,159.28,657.26,64
RC,0272,ELECTRODE ELECTROSURGICAL ROUND LOOP 11CM 8X25MM 8MM UTAHLOOP SAFE-T-GAUGE LETZ STERILE DISPOSABLE TAN,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL ROUND LOOP 12X15MM 11CM 3/32IN Y SHAFT WIRE UTAHLOOP SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN DISPOSABLE GREEN,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL ROUND LOOP 12X20MM 11CM 3/32IN UTAHLOOP SAFE-T-GAUGE LETZ STAINLESS STEEL TUNGSTEN PLASTIC STERILE DISPOSABLE WHITE,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL ROUND LOOP 15X20MM 11CM 3/32IN WIRE UTAHLOOP SAFE-T-GAUGE LETZ DISPOSABLE BLUE,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL ROUND LOOP 5X5MM 11CM 3/32IN UTAHLOOP LETZ STAINLESS STEEL LATEX FREE DISPOSABLE PURPLE,161.0,80.5,35.11,144.9,64
RC,0272,ELECTRODE ELECTROSURGICAL SHARK/S-LINE BUTTON VAPOR,1181.69,590.85,257.73,1063.52,64
RC,0272,ELECTRODE ELECTROSURGICAL SPATULA 100MM FILTER RIGID APCAPPLICATOR,999.35,499.68,217.96,899.42,64
RC,0272,ELECTRODE ELECTROSURGICAL STRAIGHT SPATULA L36 CM CLEANCOAT PTFE COATED LAPAROSCOPIC,279.8,139.9,61.02,251.82,64
RC,0272,ELECTRODE ELECTROSURGICAL SUPERLOOP FRONT LOAD,2245.0,1122.5,489.63,2020.5,64
RC,0272,ELECTRODE ELECTROSURGICAL SUPERSECT FRONT LOAD,2245.0,1122.5,489.63,2020.5,64
RC,0272,ELECTRODE ELECTROSURGICAL SUPERSECT WIDER SURFACE LOOP PREDICTABLE PLATFORM SUPERPULSE GENERATOR,2990.0,1495.0,652.12,2691.0,64
RC,0272,ELECTRODE ELECTROSURGICAL TONSIL INSULATED F/TEMPERATURE CONTROLLED RADIO FREQUENCY G3 WORKSTATION SOMNOPLASTY STERILE SINGLE-USE,2475.0,1237.5,539.8,2227.5,64
RC,0272,ELECTRODE ELECTROSURGICAL UROLOGY 24FR DIA 30DEG ANGLED LOOP HIGH FREQUENCY RESECTION F/TURIS PLASMA VAPORIZATION PLASMABAND LATEX-FREE STERILE SINGLE-USE 5/BX,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE ELECTROSURGICAL UROLOGY MONOPOLAR 24FR DIA 30DEG ANGLED LOOP HF RESECTION W/0.2IN WIRE STERILE SINGLE-USE,1362.63,681.32,297.19,1226.37,64
RC,0272,ELECTRODE ELECTROSURGICAL VESSEL SEALING W/CORD F/LS3090 LIGASURE MAX STERILE DISPOSABLE,140.81,70.41,30.71,126.73,64
RC,0272,ELECTRODE ELECTROTHERAPY MICROTARGETING 1X PLATFORM ARRAY DZAP LATEX-FREE STERILE,911.68,455.84,198.84,820.51,64
RC,0272,ELECTRODE EMG 12MM 2 4 CHANNEL SET PIN NIM-RESPONSE STERILE LATEX FREE SUBDERMIS DISPOSABLE,153.23,76.62,33.42,137.91,64
RC,0272,ELECTRODE EMG 12MM 2 CHANNEL PAIR STERILE SUBDERMAL DISPOSABLE,105.49,52.75,23.01,94.94,64
RC,0272,ELECTRODE EMG 12MM DIA SUBDERMAL GREEN WHITE LATEX-FREE STERILE SINGLE-USE,95.48,47.74,20.82,85.93,64
RC,0272,ELECTRODE EMG 18MM PAIR PRASS STERILE LATEX FREE DISPOSABLE,633.71,316.86,138.21,570.34,64
RC,0272,ELECTRODE EMG I-PAS III BEVEL,82.5,41.25,17.99,74.25,64
RC,0272,ELECTRODE EMG INTRAOPERATIVE SINGLE-CHANNEL ATTACHES TO 7.0-6.0 ET TUBE NEUROPHYSIOLOGY F/VAGUS/LARYNGEAL NERVE,105.0,52.5,22.9,94.5,64
RC,0272,ELECTRODE EMG NEEDLE 2IN .51MM LUER LOCK HUB PROTECTIVE TUBE MYOJECT STAINLESS STEEL PTFE POLYPROPYLENE BLUE,294.0,147.0,64.12,264.6,64
RC,0272,ELECTRODE EMG NEEDLE KIT SAFEOP 3 SSEP PTP LTP,180.0,90.0,39.26,162.0,64
RC,0272,ELECTRODE EMG NEEDLE SUBDERMAL SD RECORDING F/NEURO- MONITORING TECHNOLOGY NIM-ECLIPSE,89.1,44.55,19.43,80.19,64
RC,0272,ELECTRODE EMG OD.46 MM L1.5 IN NICOLET TECA MYOJECT STAINLESS STEEL NEEDLE L30 IN LUER LOCK LEAD LOW FRICTION INSULATOR SLIP FIT SYRINGE GREEN BOTOX THERAPY NERVE BLOCK,279.3,139.65,60.92,251.37,64
RC,0272,ELECTRODE EMG RHYTHMLINK DISPOSABLE,3750.0,1875.0,817.88,3375.0,64
RC,0272,ELECTRODE EMG SAFEOP NEEDLE SSEP KIT,585.0,292.5,127.59,526.5,64
RC,0272,ELECTRODE EMG SAFEOP SSEP KIT,585.0,292.5,127.59,526.5,64
RC,0272,ELECTRODE EMG SURFACE KIT SAFEOP,360.0,180.0,78.52,324.0,64
RC,0272,ELECTRODE ENDOSCOPIC 5MM XL 120MM X 240MM 3M CABLE 2-PIN PLUG MALE CONNECTOR F/LSH MYOMECTOMY BIPOLAR LOOP STERILE SINGLE-USE,2205.0,1102.5,480.91,1984.5,64
RC,0272,ELECTRODE ENDOSCOPIC UNIPOLAR 1MM DIA 73CML,746.0,373.0,162.7,671.4,64
RC,0272,ELECTRODE ENDOSCOPIC UROLOGY 24-28FR DIA STANDARD 45DEG ANGLED NEEDLE TIP HIGH FREQUENCY RESECTION F/TURIS PLASMA VAPORIZATION PLASMANEEDLE LATEX-FREE STERILE SINGLE-USE 12/BX,4500.0,2250.0,981.45,4050.0,64
RC,0272,ELECTRODE ENDOSCOPIC UROLOGY 24FR DIA 12-30DEG ANGLED LOOP HIGH FREQUENCY RESECTION W/CABLE F/TURIS PLASMA VAPORIZATION PLASMALOOP STERILE SINGLE-USE,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ENDOSCOPIC UROLOGY 24FR DIA 12-30DEG ANGLED NEEDLE HIGH FREQUENCY RESECTION W/CABLE F/TURIS PLASMA VAPORIZATION PLASMANEEDLE WA22655S LATEX-FREE STERILE SINGLE-USE 5/BX,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE ENDOSCOPIC UROLOGY 24FR DIA LONG 12-30DEG ANGLED ROLLER BAR HIGH FREQUENCY RESECTION W/CABLE F/TURIS PLASMA VAPORIZATION PLASMAROLLER LATEX-FREE STERILE SINGLE-USE 5/BX,1675.0,837.5,365.32,1507.5,64
RC,0272,ELECTRODE ENDOSCOPIC UROLOGY 24FR DIA MEDIUM 12-16DEG ANGLED LOOP HIGH FREQUENCY RESECTION W/CABLE F/TURIS PLASMA VAPORIZATION PLASMALOOP LATEX-FREE STERILE SINGLE-USE 5/BX,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE ENDOSCOPIC UROLOGY 3FR DIA COAGULATED HOOK F/STORZ LATEX-FREE STERILE DISPOSABLE,627.2,313.6,136.79,564.48,64
RC,0272,ELECTRODE HOOK 16FR,639.2,319.6,139.41,575.28,64
RC,0272,ELECTRODE LAPAROSCOPIC 45CML L-HOOK WIRE RETRACTABLE INSULATED TIP ASPIRATION HOLE CLEANCOATTM,363.3,181.65,79.24,326.97,64
RC,0272,ELECTRODE LAPAROSCOPIC 5.75INL PTFE COATED BAYONET BLADE MODIFIED NON-STICK MEGADYNE E-Z CLEAN LATEX-FREE STERILE DISPOSABLE,315.46,157.73,68.8,283.91,64
RC,0272,ELECTRODE LAPAROSCOPIC MONOPOLAR PTFE-COATED TIP L-HOOK FLAT COAGULATING DISSECTING NON-STICK SURFACE MEGADYNE MEGATIP DISPOSABLE,108.37,54.19,23.64,97.53,64
RC,0272,ELECTRODE LARYNGEAL SURFACE MONITOR FACIAL NERVE,103.5,51.75,22.57,93.15,64
RC,0272,ELECTRODE MONOPOLAR 1/3MM STERILE LATEX FREE DISPOSABLE,705.0,352.5,153.76,634.5,64
RC,0272,ELECTRODE MONOPOLAR COAGULATION POINT YELLOW 24/26 FR RESECTOSCOPE SHEATH,860.47,430.24,187.67,774.42,64
RC,0272,ELECTRODE MONOPOLAR L32 CM RIGHT-ANGLED SUCTION OD5 MM TITANIUM,2903.65,1451.83,633.29,2613.29,64
RC,0272,ELECTRODE MONOPOLAR OD5 MM BALL COAGULATION YELLOW 24/26 FR RESECTOSCOPE SHEATH,860.47,430.24,187.67,774.42,64
RC,0272,ELECTRODE MONOPOLAR OD5 MM L56.7 CM DA VINCI S/SI ENDOWRIST L1.3 CM CAUTERY,3870.0,1935.0,844.05,3483.0,64
RC,0272,ELECTRODE MONOPOLAR OD8 MM L32.26 CM DA VINCI ENDOWRIST L1.7 CM PERMANENT CAUTERY SPATULA,1260.0,630.0,274.81,1134.0,64
RC,0272,ELECTRODE MONOPOLAR UROLOGICAL OD24 FR CUTTING LOOP 1 PRONG YELLOW RESECTOSCOPE,860.47,430.24,187.67,774.42,64
RC,0272,ELECTRODE NEURO DRAGONFLY INTOP CHNL VAGUS LRYNG NRV F/SZ7-6 ET TUBE,105.0,52.5,22.9,94.5,64
RC,0272,ELECTRODE NEUROSTIMULATOR FRAME ARRAY LEADPOINT DZAP,735.0,367.5,160.3,661.5,64
RC,0272,ELECTRODE NEUROSTIMULATOR INSERTION STAR ARRAY,776.15,388.08,169.28,698.54,64
RC,0272,ELECTRODE RESECTOSCOPIC 24FR DIA STANDARD 12/16DEG ANGLED BAND HIGH FREQUENCY RESECTION W/CABLE F/TCRIS PLASMA VAPORIZATION PLASMABAND LATEX-FREE STERILE SINGLE-USE,1875.0,937.5,408.94,1687.5,64
RC,0272,ELECTRODE RESECTOSCOPIC 24FR MEDIUM 12-30DEG LOOP HIGH FREQUENCY RESECTION W/CABLE F/TURIS PLASMA VAPORIZATION PLASMALOOP STERILE DISPOSABLE,2245.83,1122.92,489.82,2021.25,64
RC,0272,ELECTRODE RESECTOSCOPIC BIPOLAR 24FR 0.3MM WIRE 12/30DEG ROUND LOOP CUTTING GREEN BRANCH BLUE STEM STERILE SINGLE-USE F/24/26FR CONTINUOUS/INTERMITTENT IRRIGATION SHEATH US,1181.69,590.85,257.73,1063.52,64
RC,0272,ELECTRODE RESECTOSCOPIC UROLOGY 24FR 12-30DEG ANGLED BUTTON HF RESECTION W/DISPOSABLE CABLE F/ESG TCRIS PLASMA VAPORIZATION PLASMABUTTON STERILE SINGLE-USE,2348.5,1174.25,512.21,2113.65,64
RC,0272,ELECTRODE RESECTOSCOPIC UROLOGY 24FR SMALL 12-30DEG ANGLED LOOP HF RESECTION W/DISPOSABLE CABLE F/ESG TCRIS PLASMA VAPORIZATION PLASMALOOP STERILE SINGLE-USE,2252.25,1126.13,491.22,2027.03,64
RC,0272,ELEVATOR DENTAL 6MM 7 1/4INL PHENOLIC HANDLE PERIOSTEAL SLIGHTLY CURVED TC-100 LATEX-FREE,235.2,117.6,51.3,211.68,64
RC,0272,ELEVATOR POSITIONING CAST POLYFORM OPEN END CRADLE,70.16,35.08,15.3,63.14,64
RC,0272,ELEVATOR SURGICAL COBB 11INL 3/4INW BLADE SPINAL SLIGHTLY CURVED SEMI-SHARP LATEX-FREE,64.92,32.46,14.16,58.43,64
RC,0272,ELEVATOR SURGICAL DUNNING CURETTE 8 1/4INL STAINLESS STEEL CURVED LATEX-FREE,199.62,99.81,43.54,179.66,64
RC,0272,ELEVATOR SURGICAL L200 MM CURVE BLADE ROUND EDGE HANDLE NA W14 MM PERIOSTEUM,361.11,180.56,78.76,325.0,64
RC,0272,ELEVATOR SURGICAL L200 MM STRAIGHT BLADE ROUND EDGE HANDLE NA W14 MM PERIOSTEUM,361.11,180.56,78.76,325.0,64
RC,0272,ELEVATOR SURGICAL L6 7/8 IN X W1/4 IN V. MUELLER STAINLESS STEEL PERIOSTEAL,30.81,15.41,6.72,27.73,64
RC,0272,ELEVATOR SURGICAL L7 3/4 IN 2 END SHARP BLUNT MATTE FINISH FREER V MUELLER STAINLESS STEEL SEPTUM,23.46,11.73,5.12,21.11,64
RC,0272,ELEVATOR SURGICAL L7.5 IN FRACTURE V. MUELLER W9 MM NASAL,65.78,32.89,14.35,59.2,64
RC,0272,ELEVATOR SURGICAL L7.5 IN WIDE SHARP BLADE V. MUELLER W15 MM,46.3,23.15,10.1,41.67,64
RC,0272,ELEVATOR SURGICAL PASS PRECISION,30.0,15.0,6.54,27.0,64
RC,0272,ELEVATOR SURGICAL W14 MM STRAIGHT BLADE ROUND EDGE PERIOSTEAL,164.67,82.34,35.91,148.2,64
RC,0272,ELEVATOR SURGICAL W20 MM NA PERIOSTEAL,361.11,180.56,78.76,325.0,64
RC,0272,ELEVATOR SURGICAL W3 MM CURVE BLADE STRAIGHT EDGE PERIOSTEAL,201.75,100.88,44.0,181.58,64
RC,0272,ELEVATOR SURGICAL W6 MM CURVE BLADE ROUND EDGE PERIOSTEAL,164.67,82.34,35.91,148.2,64
RC,0272,ELEVATOR SURGICAL W6 MM NA PERIOSTEAL,361.11,180.56,78.76,325.0,64
RC,0272,ELEVIEW SUBMUCOSAL INJECTABLE COMPOSITION 9000020,398.95,199.48,87.01,359.06,64
RC,0272,ENDOBUTTON CL PAC DISPOSABLE INSTRUMENTS STERILE LATEX FREE,324.0,162.0,70.66,291.6,64
RC,0272,ENDOSCOPE DIGITAL NEUROPEN 15.5CM,1710.0,855.0,372.95,1539.0,64
RC,0272,ENDOSCOPE RIGID CENTERLINE NANOSCOPIC RELEASE SYSTEM NANONEEDLE SCOPE ECTR SYSTEM,795.0,397.5,173.39,715.5,64
RC,0272,ENDOSCOPE RIGID CENTERLINE SOFT TISSUE RELEASE,200.0,100.0,43.62,180.0,64
RC,0272,ENSEAL X1 STRAIGHT 25CM,1056.77,528.39,230.48,951.09,64
RC,0272,ENT TRACHEOTOMY,178.0,89.0,38.82,160.2,64
RC,0272,EP TRAY,202.16,101.08,44.09,181.94,64
RC,0272,EVACUATOR AURORA SURGICAL L130 MM,2750.0,1375.0,599.78,2475.0,64
RC,0272,EVACUATOR COAGULATOR AURORA SURGICAL L100 MM OD12 FR,2750.0,1375.0,599.78,2475.0,64
RC,0272,EVACUATOR SURGICAL ULTRA LOW PENETRATION AIR W/BACTERIAL/VIRAL/FILTER 18IN TUBING SWIVEL MALE LUER-LOCK CONNECTOR PINCH CLAMP F/LAPAROSCOPIC SURGERY,687.0,343.5,149.83,618.3,64
RC,0272,EVACUATOR UROLOGY UROVAC BLADDER ADAPTER IRRIGATION LATEX DISPOSABLE,232.47,116.24,50.7,209.22,64
RC,0272,EXCAVATOR SURGICAL 165CM CAP FLEXIBLE SHAFT SLIDE HANDLE SLEEVE OTSG XCAVATOR,599.0,299.5,130.64,539.1,64
RC,0272,EXCISOR BIOPSY ASSORTED CONE MIX SET FISCHER CERVICAL,103.34,51.67,22.54,93.01,64
RC,0272,EXCISOR BIOPSY L.472 IN X W.354 IN 74 D 12 MM SMALL CONE DISTAL TIP CURVE STOP ARM INSULATED SHAFT LINEAR RIGID WIRE FISCHER L.59 IN,103.34,51.67,22.54,93.01,64
RC,0272,EXPANDER OPHTHALMIC 6.25MM MALYUGIN RING PUPIL DISPOSABLE INJECTOR STERILE,875.0,437.5,190.84,787.5,64
RC,0272,EXPANDER OPHTHALMIC 7MM MALYUGIN RING PUPIL DISPOSABLE INJECTOR STERILE,875.0,437.5,190.84,787.5,64
RC,0272,EXTENDER BLADE L26 MM LIF-PTP,502.5,251.25,109.6,452.25,64
RC,0272,EXTENDER BLADE WIDE SIGMA LEFT TRANSVERSE PROCESS LAUNCH NUMBER,637.5,318.75,139.04,573.75,64
RC,0272,EXTENDER IABP CATHETER 35ML-40ML BALLOON STATLOCK LATEX-FREE,282.5,141.25,61.61,254.25,64
RC,0272,EXTENDER RETRACTOR TRAXI PANNICULUS,480.0,240.0,104.69,432.0,64
RC,0272,EXTENSION GUIDEWIRE 145CM .014IN DOC,70.0,35.0,15.27,63.0,64
RC,0272,EXTENSION GUIDEWIRE ARTERY STERILE LATEX FREE DISPOSABLE,350.0,175.0,76.34,315.0,64
RC,0272,EXTENSION LEAD 70CM BULLDOG THREADABLE HANDLE LOCK,289.08,144.54,63.05,260.17,64
RC,0272,EXTENSION NEUROSTIMULATOR EIC,190.0,95.0,41.44,171.0,64
RC,0272,EXTRACTOR ENDOSCOPIC L115 CM 4 WIRE MULTIFILAMENT OD1.7 FR ODSEC1 CM NCOMPASS NITINOL URETERAL STONE,368.9,184.45,80.46,332.01,64
RC,0272,EXTRACTOR REMOVAL TIP 1 PHANTOM HINDFOOT TTC/TC NAIL SYSTEM PHANTOM HINDFOOT TTC/TC NAIL SYSTEM,395.0,197.5,86.15,355.5,64
RC,0272,EXTRACTOR SCREW CONICAL,58.95,29.48,12.86,53.06,64
RC,0272,EXTRACTOR STONE L115 CM OD1.5 FR ODSEC1 CM 4 WIRE TIPLESS BASKET SPECIMEN RETRIEVAL NCIRCLE NITINOL,364.4,182.2,79.48,327.96,64
RC,0272,EXTRACTOR STONE L115 CM OD1.7 FR ODSEC11 MM MULTIWIRE BASKET KINK RESISTANT NGAGE KIDNEY URETER NITINOL,406.1,203.05,88.57,365.49,64
RC,0272,EXTRACTOR STONE L115 CM OD1.7 FR ODSEC8 MM MULTIWIRE BASKET KINK RESISTANT NGAGE KIDNEY URETER NITINOL,406.1,203.05,88.57,365.49,64
RC,0272,EXTRACTOR STONE L115 CM OD2.2 FR ODSEC1 CM NCIRCLE NITINOL,328.7,164.35,71.69,295.83,64
RC,0272,EXTRACTOR STONE L115 CM OD2.4 FR ODSEC1 CM 16 4 WIRE BASKET TIPLESS NCOMPASS NITINOL UROLOGICAL,368.9,184.45,80.46,332.01,64
RC,0272,EXTRACTOR STONE L115 CM OD2.4 FR ODSEC1.5 CM NCOMPASS BILE DUCT NITINOL,335.0,167.5,73.06,301.5,64
RC,0272,EXTRACTOR STONE L115 CM OD3.2 FR 3 WIRE BASKET NFORCE NITINOL HELICAL L5 CM,278.1,139.05,60.65,250.29,64
RC,0272,EXTRACTOR STONE L38 CM OD10 FR ODSEC1.5 CM BASKET CANNULA NGAGE NITINOL STAINLESS STEEL STANDARD,274.6,137.3,59.89,247.14,64
RC,0272,EXTRACTOR STONE L38 CM OD10 FR ODSEC2 CM BASKET TIPLESS NCIRCLE KIDNEY BLADDER NITINOL,251.1,125.55,54.76,225.99,64
RC,0272,EXTRACTOR STONE L65 CM OD4.5 FR ODSEC2 CM WIRE NCIRCLE NITINOL,180.91,90.46,39.46,162.82,64
RC,0272,EXTRACTOR STONE OD.4 MM 4 WIRE BASKET,345.03,172.52,75.25,310.53,64
RC,0272,EXTRACTOR STONE OD.6 MM 4 WIRE TIPLESS HANDLE ENDOSCOPE FIXATION,407.01,203.51,88.77,366.31,64
RC,0272,EXTRACTOR STONE RETRIEVAL 3.2FR DIA 115CML NITINOL URINARY TRACT HELICAL 3 WIRE TIPLESS CAPTURA LATEX-FREE STERILE DISPOSABLE,219.38,109.69,47.85,197.44,64
RC,0272,EXTRACTOR STONE RETRIEVAL 3FR DIA 1CM BASKET 115CML NITINOL FLAT 4-WIRE TIPLESS REMOVABLE HANDLE NCIRCLE LATEX-FREE STERILE DISPOSABLE,259.21,129.61,56.53,233.29,64
RC,0272,EXTRACTOR STONE RETRIEVAL UROLOGY 3FR DIA 1CM BASKET 115CML NITINOL FLAT 4 WIRE MODIFIED TIPLESS REMOVABLE HANDLE NCIRCLE LATEX-FREE STERILE DISPOSABLE,309.8,154.9,67.57,278.82,64
RC,0272,EXTRACTOR SURGICAL ACUMED QUICK RELEASE 2 MM,131.0,65.5,28.57,117.9,64
RC,0272,EXTRACTOR SURGICAL ACUTRAK 2 QUICK RELEASE 1.5 MM,131.0,65.5,28.57,117.9,64
RC,0272,EXTRACTOR SURGICAL CANNULATED NAIL,633.52,316.76,138.17,570.17,64
RC,0272,EXTRACTOR SURGICAL CONICAL 3.5 MM SCREW,72.97,36.49,15.91,65.67,64
RC,0272,EXTRACTOR SURGICAL CONICAL 4.9 MM BOLT LARGE SCREW,54.63,27.32,11.91,49.17,64
RC,0272,EXTRACTOR SURGICAL FINISHER BLADE F/48MM ACETABULAR CUP SINGLE-USE,795.0,397.5,173.39,715.5,64
RC,0272,EXTRACTOR SURGICAL IMHS NAIL DISPOSABLE,123.75,61.88,26.99,111.38,64
RC,0272,EXTRACTOR SURGICAL INBONE PROPHECY SCREW REMOVER,140.0,70.0,30.53,126.0,64
RC,0272,EXTRACTOR SURGICAL L650 MM HOOK CANNULATED NAIL,329.48,164.74,71.86,296.53,64
RC,0272,EXTRACTOR SURGICAL NA ARTICULATE ECCENTER GUIDE BAR,2720.0,1360.0,593.23,2448.0,64
RC,0272,EXTRACTOR SURGICAL NA CONICAL 1.5/2 MM CORTICAL SCREW,72.59,36.3,15.83,65.33,64
RC,0272,EXTRACTOR SURGICAL NA CONICAL 2.7 MM 3.5 MM CORTEX SCREW,72.59,36.3,15.83,65.33,64
RC,0272,EXTRACTOR SURGICAL NA HEAD ARTICULATE MODULAR TRAY,2176.0,1088.0,474.59,1958.4,64
RC,0272,EXTRACTOR SURGICAL NA OD13 MM STANDARD CONICAL ROD UNIVERSAL NAIL EXTRACTION DEVICE,355.22,177.61,77.47,319.7,64
RC,0272,EXTRACTOR SURGICAL NA OD8 MM ROD STANDARD CONICAL UNIVERSAL NAIL EXTRACTION DEVICE,229.85,114.93,50.13,206.87,64
RC,0272,EXTRACTOR SURGICAL NA STEM GUIDE BAR,1456.0,728.0,317.55,1310.4,64
RC,0272,EXTRACTOR SURGICAL NCIRCLE 1.5FR 10MM 115CM STONE TIPLESS SALIVARY DUCT,420.0,210.0,91.6,378.0,64
RC,0272,EXTRACTOR SURGICAL NGAGE 1.7FR 8MM 115CM STONE SALIVARY DUCT,420.0,210.0,91.6,378.0,64
RC,0272,EXTRACTOR SURGICAL OD1.9 MM PIN SNAP OFF FULL THREAD,604.3,302.15,131.8,543.87,64
RC,0272,EXTRACTOR SURGICAL OD2.4 MM PIN SNAP OFF FULL THREAD,604.3,302.15,131.8,543.87,64
RC,0272,EXTRACTOR SURGICAL OD5.5 MM ATTACHMENT,239.64,119.82,52.27,215.68,64
RC,0272,EXTRACTOR SURGICAL OD7 MM ATTACHMENT,239.64,119.82,52.27,215.68,64
RC,0272,EXTRACTOR SURGICAL PRECICE SYSTEM CANNULATED PRECICE INTRAMEDULLARY LIMB LENGTHEN SYSTEM,759.0,379.5,165.54,683.1,64
RC,0272,EXTRACTOR SURGICAL SCREW,377.26,188.63,82.28,339.53,64
RC,0272,EXTRACTOR SURGICAL SCREW TITANIUM FEMORAL NAIL SYSTEM,435.96,217.98,95.08,392.36,64
RC,0272,EXTRACTOR SURGICAL SHUKLA SCREW S9SCREW CUT EDGE XTRACT-ALL 3 MM BROKEN SCREW,365.0,182.5,79.61,328.5,64
RC,0272,EXTRACTOR SURGICAL SHUKLA SCREW S9SCREW CUT EDGE XTRACT-ALL 4 MM BROKEN SCREW,365.0,182.5,79.61,328.5,64
RC,0272,EXTRACTOR SURGICAL SHUKLA SCREW S9SCREW STRIP 6-7 MM STRIP SCREW HEAD,340.0,170.0,74.15,306.0,64
RC,0272,EXTRACTOR SURGICAL STARTER BLADE F/48MM ACETABULAR CUP SINGLE-USE,795.0,397.5,173.39,715.5,64
RC,0272,EXTRACTOR SURGICAL TFN-ADVANCED HELICAL BLADE SCREW,871.52,435.76,190.08,784.37,64
RC,0272,EXTRACTOR SURGICAL THREADED WIRE F/PENNIG FIXATOR MINIRAIL,105.6,52.8,23.03,95.04,64
RC,0272,EXTRACTOR SURGICAL TRIGEN LARGE NAIL DISPOSABLE,216.85,108.43,47.29,195.17,64
RC,0272,EXTRACTOR SURGICAL TRIGEN NAIL LARGE,454.3,227.15,99.08,408.87,64
RC,0272,EXTRACTOR SURGICAL XL SEMI EXTENDED,506.52,253.26,110.47,455.87,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL BROKE 6-7 MM BROKEN SCREW,380.0,190.0,82.88,342.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL CUT EDGE XTRACT-ALL 5 MM BROKEN SCREW,380.0,190.0,82.88,342.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL OD2 MM UNIVERSAL 2-2.5 MM BROKEN SCREW,340.0,170.0,74.15,306.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL OD3 MM UNIVERSAL 2.5-3.5 MM STRIP SCREW,340.0,170.0,74.15,306.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL OD4 MM UNIVERSAL 3.5-4.5 MM STRIP SCREW,380.0,190.0,82.88,342.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL OD5 MM UNIVERSAL 4.5-5.5 MM STRIP SCREW,380.0,190.0,82.88,342.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL OD6 MM UNIVERSAL 5.5-6.5 MM STRIP SCREW,380.0,190.0,82.88,342.0,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL TIP 2-2.5 MM CANNULATED STRIP SCREW,365.0,182.5,79.61,328.5,64
RC,0272,EXTRACTOR SURGICAL XTRACT-ALL UNIVERSAL 6 MM BROKEN SCREW,380.0,190.0,82.88,342.0,64
RC,0272,EXTREMITY PACK DYNJ62800,118.59,59.3,25.86,106.73,64
RC,0272,EXTREMITY PACK SOP4JEPCVA,114.36,57.18,24.94,102.92,64
RC,0272,EXTREMITY PACK SOP4JEXSTA,82.7,41.35,18.04,74.43,64
RC,0272,EXTREMITY PACK SOP4JEXWLA,129.57,64.79,28.26,116.61,64
RC,0272,EYE PACK,357.12,178.56,77.89,321.41,64
RC,0272,FEEDING TUBE KIT GASTROSTOMY KANGAROO SKIN LEVEL 18FR 3.5CM,84.18,42.09,18.36,75.76,64
RC,0272,FELT SURGICAL CUSTOM 1INW X 6INL PTFE FLET STERILE SINGLE-USE,2283.0,1141.5,497.92,2054.7,64
RC,0272,FEMORAL PRESSURIZER,152.3,76.15,33.22,137.07,64
RC,0272,FIBER BS GREENLIGHT MOXY,1030.0,515.0,224.64,927.0,64
RC,0272,FIBER ENDOSCOPIC LASER 1000UM HOLMIUM 270DEG DEFLECTED F/DORNIER MEDILAS H NEW STAR SYSTEM ACCUMAX SINGLE-USE 5/BX NON-TAPERED SMA-905 CONNECTOR,2333.86,1166.93,509.01,2100.47,64
RC,0272,FIBER ENDOSCOPIC LASER 200UM DIA FLEXSHIELD COATED HIGH POWER POLISHED OUTPUT TIP F/LUMENIS VERSAPULSE POWERSUITE SYSTEM FLEXIVA LATEX-FREE NON-RADIOLUCENT SINGLE-USE,1622.75,811.38,353.92,1460.48,64
RC,0272,FIBER ENDOSCOPIC LASER 200UM DIA HOLMIUM REUSABLE,969.0,484.5,211.34,872.1,64
RC,0272,FIBER ENDOSCOPIC LASER 200UM DIA HOLMIUM SELF-RETAINED CAP CLADDING SIDE FIRING F/LITHOTRIPSY SLIMLINE LATEX-FREE NON-RADIOLUCENT SINGLE-USE,1091.66,545.83,238.09,982.49,64
RC,0272,FIBER ENDOSCOPIC LASER 200UM HOLMIUM 270DEG DEFLECTED F/DORNIER MEDILAS H NEW STAR SYSTEM ACCUMAX SINGLE-USE 5/BX NON-TAPERED SMA-905 CONNECTOR,1344.18,672.09,293.17,1209.76,64
RC,0272,FIBER ENDOSCOPIC LASER 365UM 100W FLEXSHIELD COATED HIGH POWER FLEXIBLE F/LUMENIS VERSAPULSE POWERSUITE SYSTEM FLEXIVA LATEX-FREE NON-RADIOLUCENT SINGLE-USE 5/BX NON-TAPERED CONNECTOR,1347.19,673.6,293.82,1212.47,64
RC,0272,FIBER ENDOSCOPIC LASER 365UM 3ML HIGH-POWER FLEXIVA PULSE ID SINGLE-USE 1/EA,305.33,152.67,66.59,274.8,64
RC,0272,FIBER ENDOSCOPIC LASER 365UM HOLMIUM 270DEG DEFLECTED F/DORNIER MEDILAS H NEW STAR SYSTEM ACCUMAX SINGLE-USE 5/BX NON-TAPERED SMA-905 CONNECTOR,1139.38,569.69,248.5,1025.44,64
RC,0272,FIBER ENDOSCOPIC LASER 400UM HOLMIUM HIGH-RESOLUTION HAND-FREE CONTROL DORNIER SINGLE-USE,241.67,120.84,52.71,217.5,64
RC,0272,FIBER ENDOSCOPIC LASER 550UM 100W FLEXSHIELD COATED HIGH POWER FLEXIBLE F/LUMENIS VERSAPULSE POWERSUITE SYSTEM FLEXIVA LATEX-FREE NON-RADIOLUCENT SINGLE-USE 1/EA NON-TAPERED CONNECTOR,358.99,179.5,78.3,323.09,64
RC,0272,FIBER ENDOSCOPIC LASER 550UM 3ML HIGH-POWER FLEXIVA PULSE ID SINGLE-USE 5/BX,1973.16,986.58,430.35,1775.84,64
RC,0272,FIBER ENDOSCOPIC LASER 550UM HOLMIUM 270DEG DEFLECTED F/DORNIER MEDILAS H NEW STAR SYSTEM ACCUMAX SINGLE-USE 5/BX NON-TAPERED SMA-905 CONNECTOR,1432.81,716.41,312.5,1289.53,64
RC,0272,FIBER ENDOSCOPIC LASER 910UM 3ML HIGH-POWER FLEXIVA PULSE ID SINGLE-USE 5/BX,3316.95,1658.48,723.43,2985.26,64
RC,0272,FIBER ENDOSCOPIC LASER ACCUTRAC 200UM 270DEG DEFLECTED HIGH POWER F/DORNIER MEDILAS H NEW STAR SYSTEM SINGLE-USE 5/BX HOLMIUM FLEXSHIELD COATED NON-TAPERED SMA-905 CONNECTOR,1959.34,979.67,427.33,1763.41,64
RC,0272,FIBER ENDOSCOPIC LASER RFID 270UM HOLMIUM LIGHTGUIDE HO DORNIER SINGLE-USE,725.0,362.5,158.12,652.5,64
RC,0272,FIBER ENDOSCOPIC LASER RFID 600UM HOLMIUM LIGHTGUIDE HO DORNIER SINGLE-USE,1003.6,501.8,218.89,903.24,64
RC,0272,FIBER LASER 1000 UM OPTICAL,3090.92,1545.46,674.13,2781.83,64
RC,0272,FIBER LASER 12FT .4MM ENDOSTAT SMARTCONNECTOR LESS HEMOSTATIC COAXIAL FLOW SMALL CORE DIAMETER FLEXIBLE AURA XP KTP YAG ROHS STERILE DISPOSABLE,420.0,210.0,91.6,378.0,64
RC,0272,FIBER LASER 12FT .6MM ENDOSTAT SMARTCONNECTOR LESS HEMOSTATIC COAXIAL FLOW SMALL CORE DIAMETER FLEXIBLE AURA XP KTP YAG ROHS STERILE DISPOSABLE,415.0,207.5,90.51,373.5,64
RC,0272,FIBER LASER 150 UM GUIDE SOLTIVE THULIUM,1975.0,987.5,430.75,1777.5,64
RC,0272,FIBER LASER 150 UM POWER CORD FOOTSWITCH INTERLOCK CONNECTOR BLAST SHEILD OD.94 FR SOLTIVE,1729.49,864.75,377.2,1556.54,64
RC,0272,FIBER LASER 2.6MR FLEXIVA PULSE ID TRAC TIP HIGH POWER 910 STERILE LATEX FREE DISPOSABLE,3338.2,1669.1,728.06,3004.38,64
RC,0272,FIBER LASER 200 UM BALL TIP SOLTIVE THULIUM,1975.0,987.5,430.75,1777.5,64
RC,0272,FIBER LASER 200 UM SOLTIVE,1729.49,864.75,377.2,1556.54,64
RC,0272,FIBER LASER 200CM FLEXIVA PULSE ID HIGH POWER TRACTIP DISPOSABLE,2177.04,1088.52,474.81,1959.34,64
RC,0272,FIBER LASER 200UM HOLMIUM DORNIER,280.0,140.0,61.07,252.0,64
RC,0272,FIBER LASER 272UM DIA HOLMIUM ENDOBEAM,1226.0,613.0,267.39,1103.4,64
RC,0272,FIBER LASER 2MR 1.04MM .5MM FIBERLASE 40W 320UM CO2 DISPOSABLE,1248.5,624.25,272.3,1123.65,64
RC,0272,FIBER LASER 365 UM OPTICAL EMPOWER,1257.78,628.89,274.32,1132.0,64
RC,0272,FIBER LASER 365 UM SOLTIVE THULIUM,1729.37,864.69,377.18,1556.43,64
RC,0272,FIBER LASER 365UM FLEXIVA FLEXSHIELD HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LUMENIS VERSAPULSE POWERSUITE SYSTEM DISPOSABLE,1496.88,748.44,326.47,1347.19,64
RC,0272,FIBER LASER 550 UM OPTICAL,1511.93,755.97,329.75,1360.74,64
RC,0272,FIBER LASER 550 UM SOLTIVE,2019.63,1009.82,440.48,1817.67,64
RC,0272,FIBER LASER 550CM FLEXIVA PULSE ID HIGH POWER DISPOSABLE,2232.75,1116.38,486.96,2009.48,64
RC,0272,FIBER LASER 600UM HOLMIUM DIODE LIGHTGUIDE MEDILAS STERILE DISPOSABLE,472.5,236.25,103.05,425.25,64
RC,0272,FIBER LASER 7.2FR SLIMLINE EZ DUOTOME SIDELITE 100W 550UM HOLMIUM SIDE FIRING COHERENT CONTINUOUS FLOW CYSTOSCOPE DISPOSABLE,798.5,399.25,174.15,718.65,64
RC,0272,FIBER LASER 940 UM SOLTIVE THULIUM,2534.63,1267.32,552.8,2281.17,64
RC,0272,FIBER LASER ACCUTRAC 200UM FLEXSHIELD HOLMIUM FLEXIBLE CUSTOM GUIDE CONNECTOR LATEX FREE DISPOSABLE,444.39,222.2,96.92,399.95,64
RC,0272,FIBER LASER BALL TIP 200 SERIES DISPOSABLE,1685.02,842.51,367.5,1516.52,64
RC,0272,FIBER LASER BEAMPATH CO2 HANDPIECE OTOLOGIC PROCEDURE,750.0,375.0,163.58,675.0,64
RC,0272,FIBER LASER DORNIER SINGLEFLEX 1000UM HOLMIUM FLAT TIP DISPOSABLE,1890.0,945.0,412.21,1701.0,64
RC,0272,FIBER LASER DORNIER SINGLEFLEX 270UM HOLMIUM FLAT TIP DISPOSABLE,675.0,337.5,147.22,607.5,64
RC,0272,FIBER LASER DORNIER SINGLEFLEX 400UM HOLMIUM FLAT TIP DISPOSABLE,675.0,337.5,147.22,607.5,64
RC,0272,FIBER LASER FLEXIVA 365UM,1629.9,814.95,355.48,1466.91,64
RC,0272,FIBER LASER FLEXIVA 550UM FLEXSHIELD HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE,1973.16,986.58,430.35,1775.84,64
RC,0272,FIBER LASER FLEXIVA 910UM,3611.71,1805.86,787.71,3250.54,64
RC,0272,FIBER LASER FLEXIVA PULSE 242UM,1963.29,981.65,428.19,1766.96,64
RC,0272,FIBER LASER FLEXIVA PULSE ID 242UM,1803.06,901.53,393.25,1622.75,64
RC,0272,FIBER LASER FLEXIVA PULSE TRACTIP,2370.5,1185.25,517.01,2133.45,64
RC,0272,FIBER LASER FLEXIVA TRAC TIP 200UM FLEXSHIELD HOLMIUM FLEXIBLE CUSTOM GUIDE CONNECTOR LATEX FREE DISPOSABLE,444.39,222.2,96.92,399.95,64
RC,0272,FIBER LASER HOLMIUM 270 MICRON,725.0,362.5,158.12,652.5,64
RC,0272,FIBER LASER LUMENIS XPEEDA 550UM 45-120W HOLMIUM CUSTOM 2 WAVELENGTH SIDE FIRE BENIGN PROSTATIC HYPERPLASIA LATEX FREE DISPOSABLE,1900.0,950.0,414.39,1710.0,64
RC,0272,FIBER LASER MOSES 80HZ 120W 6J 365UM D/F/L LITHOTRIPSY,385.0,192.5,83.97,346.5,64
RC,0272,FIBER LASER MOSES 80HZ 120W 6J 550UM D/F/L LITHOTRIPSY,525.0,262.5,114.5,472.5,64
RC,0272,FIBER LASER MOSES 80HZ 60W 2J 200UM D/F/L LITHOTRIPSY,490.0,245.0,106.87,441.0,64
RC,0272,FIBER LASER OD273 UM SMARTSYNC HOLMIUM RED STANDARD SMA CONNECTION,1586.1,793.05,345.93,1427.49,64
RC,0272,FIBER LASER OD550 UM SMARTSYNC HOLMIUM RED STANDARD SMA CONNECTION,1690.9,845.45,368.79,1521.81,64
RC,0272,FIBER LASER RED 365UM SMARTSYNC HOLMIUM STANDARD SMA CONNECTION DISPOSABLE,1291.0,645.5,281.57,1161.9,64
RC,0272,FIBER LASER SLIMLINE EZ LUMENIS 365UM HOLMIUM SELF RETAIN LATEX FREE DISPOSABLE,910.04,455.02,198.48,819.04,64
RC,0272,FIBER LSR 4MM ENDOSTAT AURA XP HEMSTS CUT COAG,395.0,197.5,86.15,355.5,64
RC,0272,FIBER SURGICAL LASER XPS MOXY FIBER DISPOSABLE,1250.0,625.0,272.63,1125.0,64
RC,0272,FIBER SURGICAL THK272UM OPTICAL STERILE LATEX FREE DISPOSABLE,1257.78,628.89,274.32,1132.0,64
RC,0272,FILIFORM URETERAL 3FR DIA 12.5INL SPIRAL TIP WOVEN STANDARD SCREW FITTING W/DILATION CATHETER LATEX-FREE STERILE REUSABLE,71.66,35.83,15.63,64.49,64
RC,0272,FILIFORM URETHRAL 12.5IN 3FR DILATION CATHETER WOVEN STRAIGHT TIP STERILE LATEX FREE REUSABLE,71.66,35.83,15.63,64.49,64
RC,0272,FILIFORM URETHRAL 12.5IN 4FR DILATION CATHETER WOVEN STRAIGHT TIP STERILE LATEX FREE REUSABLE,71.66,35.83,15.63,64.49,64
RC,0272,FILIFORM URETHRAL 12.5IN 5FR DILATION CATHETER WOVEN STRAIGHT TIP STERILE LATEX FREE REUSABLE,71.66,35.83,15.63,64.49,64
RC,0272,FILIFORM URETHRAL 12.5IN 6FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE,71.66,35.83,15.63,64.49,64
RC,0272,FILIFORM URETHRAL 12.5IN 6FR DILATION CATHETER WOVEN STRAIGHT TIP STERILE LATEX FREE REUSABLE,39.11,19.56,8.53,35.2,64
RC,0272,FILIFORM URETHRAL L13 IN 1/56 IN SPIRAL FEMALE THREAD OD4 FR RUSCH PLASTIC,141.0,70.5,30.75,126.9,64
RC,0272,FILIFORM URETHRAL L13 IN SPIRAL OD5 FR RUSCH PLASTIC,141.0,70.5,30.75,126.9,64
RC,0272,FILTER BREAST BIOPSY BREVERA SPARE TISSUE 1 CHAMBER,58.0,29.0,12.65,52.2,64
RC,0272,FILTER ENDOSCOPE .45UM PRE FILTRATION SYSTEM,117.73,58.87,25.68,105.96,64
RC,0272,FILTER ENDOSCOPE 1UM PRE FILTRATION SYSTEM,19.68,9.84,4.29,17.71,64
RC,0272,FILTER INSUFFLATION BULB WELCHALLYN,205.19,102.6,44.75,184.67,64
RC,0272,FILTER OMNIGUIDE STERILE,80.0,40.0,17.45,72.0,64
RC,0272,FILTER PURIFICATION 1UM 3.125IN 2GPM 17.5IN POLYPROPYLENE CHLORAMINE CARBON BLOCK XL FORMAT F/TABLOCART ELF-SERIES,69.99,35.0,15.26,62.99,64
RC,0272,FILTER SMOKE EVACUATOR M679011 SINGLE-USE 1/EA,49.0,24.5,10.69,44.1,64
RC,0272,FILTER STERILIZATION .1 UM WATER MAXPURE,233.85,116.93,51.0,210.47,64
RC,0272,FILTER SUCTION BACTERIA,192.58,96.29,42.0,173.32,64
RC,0272,FILTER SUCTION FINE F/TOTAL ORTHOPEDIC REDI-FLOW PROXIMAL FEMORAL,400.0,200.0,87.24,360.0,64
RC,0272,FILTER TRANSFUSION F/MICROAGGREGATE NON-BLOOD COMPONENT PROTECTION SQ40 LATEX-FREE,35.0,17.5,7.63,31.5,64
RC,0272,FILTER TRANSFUSION LEUKOCYTE REDUCTION MICROAGGREGATE HIGH FLOW RATE STERILE 40/60UM PALL LIPIGUARD SALVAGE BLOOD 2.8ML,908.8,454.4,198.21,817.92,64
RC,0272,FIXATIVE HISTOLOGY MASTERTECH CARNOYS FLUID 1 PT,55.29,27.65,12.06,49.76,64
RC,0272,FIXATIVE HISTOLOGY TOUSIMIS-JOHNSON TEM-FIX 10X100ML,925.0,462.5,201.74,832.5,64
RC,0272,FIXATOR EXTERNAL FIXATION L200 MM LOW PROFILE ROD SELF DRILL OD2.5 MM ODSEC4 MM SCHANZ CARBON FIBER,1194.03,597.02,260.42,1074.63,64
RC,0272,FIXATOR EXTERNAL FIXATION L220 MM LOW PROFILE ROD OD2.5 MM ODSEC4 MM SCHANZ CARBON FIBER,1194.03,597.02,260.42,1074.63,64
RC,0272,FIXER RADIOLOGY PERIPRO 0127PPF-Q,13.6,6.8,2.97,12.24,64
RC,0272,FLAT TOP CENTER DRILL,158.0,79.0,34.46,142.2,64
RC,0272,FLEXIVA PULSE 550,2148.5,1074.25,468.59,1933.65,64
RC,0272,FLOSEAL 10CC WITHOUT TIP,1334.27,667.14,291.0,1200.84,64
RC,0272,FLOYD CATH LAB PACK,284.25,142.13,61.99,255.83,64
RC,0272,FLOYD CYSTO PACK,84.66,42.33,18.46,76.19,64
RC,0272,FLOYD CYSTO PACK FLOYD MEDICAL CENTER,118.62,59.31,25.87,106.76,64
RC,0272,FLOYD FOOT AND ANKLE PACK,172.59,86.3,37.64,155.33,64
RC,0272,FLOYD HAND PACK,144.52,72.26,31.52,130.07,64
RC,0272,FLOYD MAJOR BASIN PACK,57.52,28.76,12.55,51.77,64
RC,0272,FLOYD MINOR BASIN PACK,42.92,21.46,9.36,38.63,64
RC,0272,FLOYD MINOR ORTHO PACK,94.58,47.29,20.63,85.12,64
RC,0272,FLOYD NASAL PACK,98.01,49.01,21.38,88.21,64
RC,0272,FLOYD PACEMAKER PACK,154.6,77.3,33.72,139.14,64
RC,0272,FLOYD SHOULDER PACK,139.62,69.81,30.45,125.66,64
RC,0272,FLOYD T A PACK,68.92,34.46,15.03,62.03,64
RC,0272,FOLLOWER URETHRAL 10FR 13.35IN DILATION CATHETER STRAIGHT TIP HEYMAN PLASTIC STERILE LATEX FREE DISPOSABLE,229.5,114.75,50.05,206.55,64
RC,0272,FOLLOWER URETHRAL 10FR 13.5IN DILATION CATHETER WOVEN PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,67.05,33.53,14.62,60.35,64
RC,0272,FOLLOWER URETHRAL 12FR 13.35IN DILATION CATHETER STRAIGHT TIP HEYMAN PLASTIC STERILE LATEX FREE DISPOSABLE,255.0,127.5,55.62,229.5,64
RC,0272,FOLLOWER URETHRAL 12FR 13.5IN DILATION CATHETER WOVEN PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,107.54,53.77,23.45,96.79,64
RC,0272,FOLLOWER URETHRAL 14FR 13.35IN DILATION CATHETER STRAIGHT TIP HEYMAN PLASTIC STERILE LATEX FREE DISPOSABLE,255.0,127.5,55.62,229.5,64
RC,0272,FOLLOWER URETHRAL 14FR 13.5IN DILATION CATHETER WOVEN PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,134.98,67.49,29.44,121.48,64
RC,0272,FOLLOWER URETHRAL 16FR 13.35IN DILATION CATHETER STRAIGHT TIP HEYMAN PLASTIC STERILE LATEX FREE DISPOSABLE,255.0,127.5,55.62,229.5,64
RC,0272,FOLLOWER URETHRAL 16FR 13.5IN DILATION CATHETER WOVEN PHILLIPS WOVEN STERILE LATEX FREE REUSABLE,107.54,53.77,23.45,96.79,64
RC,0272,FOLLOWER URETHRAL 18FR 13.35IN DILATION CATHETER STRAIGHT TIP HEYMAN PLASTIC STERILE LATEX FREE DISPOSABLE,229.5,114.75,50.05,206.55,64
RC,0272,FOLLOWER URETHRAL 18FR 13.5IN DILATION CATHETER WOVEN PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,107.54,53.77,23.45,96.79,64
RC,0272,FOLLOWER URETHRAL 20FR HEYMAN STERILE LATEX FREE DISPOSABLE,229.5,114.75,50.05,206.55,64
RC,0272,FOLLOWER URETHRAL 22FR 13.5IN DILATION CATHETER WOVEN PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,44.61,22.31,9.73,40.15,64
RC,0272,FOLLOWER URETHRAL 24FR 13.5IN WOVEN DILATION CATHETER PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,67.05,33.53,14.62,60.35,64
RC,0272,FOLLOWER URETHRAL 8FR 13.5IN DILATION CATHETER WOVEN PHILLIPS PLASTIC STERILE LATEX FREE REUSABLE,67.05,33.53,14.62,60.35,64
RC,0272,FOLLOWER URETHRAL L35.5 CM DILATOR SIDEPORT FLARE THREAD DISTAL TIP OD14 FR PHILLIPS,45.53,22.77,9.93,40.98,64
RC,0272,FOLLOWER URETHRAL L35.5 CM DILATOR SIDEPORT FLARE THREAD DISTAL TIP OD20 FR PHILLIPS,45.53,22.77,9.93,40.98,64
RC,0272,FOLLOWER URETHRAL L35.5 CM DILATOR SIDEPORT FLARE THREAD DISTAL TIP OD24 FR PHILLIPS,45.53,22.77,9.93,40.98,64
RC,0272,FOLLOWER URETHRAL L35.5 CM DILATOR SIDEPORT PROXIMAL END DISTAL TIP OD16 FR PHILIPS,45.53,22.77,9.93,40.98,64
RC,0272,FOOTSWITCH ELECTROSURGICAL L15 FT DOME BIPOLAR WATER RESISTANT GEM VALLEYLAB FORCE GENERATOR,87.45,43.73,19.07,78.71,64
RC,0272,FORCEP ALG SERR 3.5IN,304.21,152.11,66.35,273.79,64
RC,0272,FORCEP CADIERE 5MM DAV SI - 5 USES,625.0,312.5,136.31,562.5,64
RC,0272,FORCEP GRASPING VERSAGRASP,424.0,212.0,92.47,381.6,64
RC,0272,FORCEP MICRO PENCIL GRIP DISPOSABLE END GRIPPING JAW 23GA,550.0,275.0,119.96,495.0,64
RC,0272,FORCEP ROBOTIC TRAINING CADIERE 8MM PROGRASP DAVINCI,2835.0,1417.5,618.31,2551.5,64
RC,0272,FORCEPS BIOPSY 110MM 1.7MM SUPERDIMENSION 2MM PULMONARY,598.0,299.0,130.42,538.2,64
RC,0272,FORCEPS BIOPSY DRESSING 115CM 3FR S URETEROSCOPIC,306.09,153.05,66.76,275.48,64
RC,0272,FORCEPS BIOPSY GIRAFFE 2.8MMW X 5MML FRONTAL SINUS 70DEG TURNED UP VERTICAL DOUBLE SPOON THRU-CUTTING JAW LATEX-FREE,461.7,230.85,100.7,415.53,64
RC,0272,FORCEPS BIOPSY HOT 240CM 2.2MM RADIAL JAW 4 +2.8MM DISPOSABLE,563.04,281.52,122.8,506.74,64
RC,0272,FORCEPS BIOPSY L100 CM STANDARD CAPACITY PRECISE BITE STREAMLINE CATHETER POSITION MARKER OD1.8 MM RADIAL JAW STAINLESS STEEL L2 MM PULMONARY,146.0,73.0,31.84,131.4,64
RC,0272,FORCEPS BIOPSY L104 CM LARGE STANDARD STRAIGHT SHARP JAW RADIOPAQUE OD5.5 FR ODSEC1.85 MM BIOPSY FORCEPS STD STAINLESS STEEL FEMUR,182.01,91.01,39.7,163.81,64
RC,0272,FORCEPS BIOPSY L105 CM STRAIGHT 3 RINGE HANDLE FORMABLE CUT EDGE OD1.8 MM JAWZ STAINLESS STEEL FEP ENDOMYOCARDIAL,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS BIOPSY L105 CM STRAIGHT FORMABLE SHAFT CUT EDGE 3 RING HANDLE OD7 FR JAWZ STAINLESS STEEL ENDOMYOCARDIAL,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS BIOPSY L105 CM STRAIGHT OD5 FR JAWZ STAINLESS STEEL ENDOMYOCARDIAL,265.0,132.5,57.8,238.5,64
RC,0272,FORCEPS BIOPSY L110 CM FENESTRATE NONSERRATE OD1.8 MM CAPTURA PULMONARY BRONCHOSCOPE,1987.66,993.83,433.51,1788.89,64
RC,0272,FORCEPS BIOPSY L115 CM ALLIGATOR JAW FENESTRATE CUP FLEXIBLE SHEALTH COLOR CODED OD5 MM ENDOJAW STAINLESS STEEL 2 MM SCOPE CHANNEL,522.53,261.27,113.96,470.28,64
RC,0272,FORCEPS BIOPSY L160 CM NEEDLE OD1.8 MM RADIAL JAW YELLOW 2 MM WORK CHANNEL GASTROPEDIATRIC,129.54,64.77,28.25,116.59,64
RC,0272,FORCEPS BIOPSY L160 CM OD1.8 MM RADIAL JAW PEDIATRIC L2+ MM GASTROSCOPIC,129.54,64.77,28.25,116.59,64
RC,0272,FORCEPS BIOPSY L160 CM SMOOTH FLEXIBLE OD1.8 MM CAPTURA GREEN,312.0,156.0,68.05,280.8,64
RC,0272,FORCEPS BIOPSY L230 CM HOT NONSPIKE OD2.4 MM CAPTURA RED,108.0,54.0,23.55,97.2,64
RC,0272,FORCEPS BIOPSY L240 CM 2.8 MM MULTIPLE SAMPLE OD2.4 MM MULTIBITE ORANGE,197.38,98.69,43.05,177.64,64
RC,0272,FORCEPS BIOPSY L260 CM FIX CORE EXCHANGE OD.035 IN SAFE-T-J TRANSLUMINAL BILIARY,374.99,187.5,81.79,337.49,64
RC,0272,FORCEPS BIOPSY L270 CM 55 D 4.1 MM CENTRAL SPIKE CUP OD1 MM SPYGLASS 1.2 MM WORK CHANNEL SPYSCOPE DS,555.46,277.73,121.15,499.91,64
RC,0272,FORCEPS BIOPSY L286 CM OD1.2 MM SPYGLASS,507.55,253.78,110.7,456.8,64
RC,0272,FORCEPS BIOPSY L50 CM 3 RING HANDLE MAXI CURVE FORMABLE SHAFT UNIQUE CUTTING EDGE SUPERIOR SURFACE ALIGNMENT OD5.5 FR JAWZ STAINLESS STEEL FEP HEART ENDOMYOCARDIAL,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS BIOPSY L50 CM LARGE STANDARD STRAIGHT SHARP JAW RADIOPAQUE OD5.5 FR ODSEC1.85 MM BIOPSY FORCEPS STD STAINLESS STEEL JUGULAR,157.25,78.63,34.3,141.53,64
RC,0272,FORCEPS BIOPSY L50 CM MULTIPURPOSE TIP OD7 FR ODSEC2.3 MM BIPAL INTERNAL JUGULAR,157.25,78.63,34.3,141.53,64
RC,0272,FORCEPS BIOPSY L50 CM RADIAL TIP OD2.3 MM BIPAL INTERNAL JUGULAR,157.25,78.63,34.3,141.53,64
RC,0272,FORCEPS BIOPSY L50 CM STRAIGHT 3 RING HANDLE FORMABLE SHAFT CUTTING EDGE SURFACE ALIGNMENT OD6 FR JAWZ STAINLESS STEEL FEP ENDOMYOCARDIAL,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS BIOPSY L50 CM STRAIGHT OD5 FR JAWZ STAINLESS STEEL ENDOMYOCARDIAL,265.0,132.5,57.8,238.5,64
RC,0272,FORCEPS BIOPSY L70 CM STRAIGHT FORMABLE SHAFT OD5.5 FR JAWZ FEP ENDOMYOCARDIUM,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS BIOPSY MICROMESH TEETH STREAMLINE CATHETER NEEDLE 240CM 2.8MM RADIAL JAW 4 STAINLESS STEEL JUMBO STERILE DISPOSABLE ORANGE 3.2MM WORK CHANNEL,621.02,310.51,135.44,558.92,64
RC,0272,FORCEPS BIOPSY OD2 MM RADIAL JAW 4,146.0,73.0,31.84,131.4,64
RC,0272,FORCEPS BIOPSY SPIKE PRO,320.0,160.0,69.79,288.0,64
RC,0272,FORCEPS BIPOLAR 23CM .5MM SPETZLER-MALIS STANDARD DISPOSABLE,2196.0,1098.0,478.95,1976.4,64
RC,0272,FORCEPS BIPOLAR 4.5IN JEWELERS MICRO STRAIGHT SMOOTH STERILE DISPOSABLE,600.55,300.28,130.98,540.5,64
RC,0272,FORCEPS BIPOLAR 5MM DIA 45CML STRAIGHT CUTTING INSULATED SLEEK DESIGN RADIOFREQUENCY W/9-PIN CORD F/COAGULATION PKS PLASMACISION DISPOSABLE,3385.0,1692.5,738.27,3046.5,64
RC,0272,FORCEPS BIPOLAR 7IN BAYONET SMOOTH INSULATED 2.75IN,362.59,181.3,79.08,326.33,64
RC,0272,FORCEPS BIPOLAR 7IN SPETZLER MALIS 1MM STANDARD DISPOSABLE,1475.0,737.5,321.7,1327.5,64
RC,0272,FORCEPS BIPOLAR 8IN SPETZLER MALIS .5MM STANDARD DISPOSABLE,2196.0,1098.0,478.95,1976.4,64
RC,0272,FORCEPS BIPOLAR 8IN SPETZLER MALIS 1MM STANDARD DISPOSABLE,2196.0,1098.0,478.95,1976.4,64
RC,0272,FORCEPS BIPOLAR 9IN 1MM SPETZLER-MALIS STANDARD DISPOSABLE,2196.0,1098.0,478.95,1976.4,64
RC,0272,FORCEPS BIPOLAR ADSON 1MM DIA 12FTL 5INL STAINLESS STEEL INSULATED LIBERTY LATEX-FREE DISPOSABLE,320.0,160.0,69.79,288.0,64
RC,0272,FORCEPS BIPOLAR ANGLED LEES,194.55,97.28,42.43,175.1,64
RC,0272,FORCEPS BIPOLAR CERVICAL,925.0,462.5,201.74,832.5,64
RC,0272,FORCEPS BIPOLAR L25 CM LOW PROFILE CURVE 3 DESIGN OPEN CORD VESSEL PKS SEAL,2724.49,1362.25,594.21,2452.04,64
RC,0272,FORCEPS BIPOLAR L33 CM 330 D CUT BLADE TRIGGER FINGERTIP ROTATION CONTROL DISSECT HAND ACTIVATE COAGULATION BUTTON OD5 MM HALO PKS PK G400 GENERATOR,4030.0,2015.0,878.94,3627.0,64
RC,0272,FORCEPS BIPOLAR L33 CM 9 PIN OD3 MM PKS MOLLY,1150.0,575.0,250.82,1035.0,64
RC,0272,FORCEPS BIPOLAR L33 CM CUT CORD SERRATE HOLLOW JAW OD5 MM PKS,3385.0,1692.5,738.27,3046.5,64
RC,0272,FORCEPS BIPOLAR L33 CM FINE CURVE ROUND TAPER 2 TIER JAW DESIGN CUT DISSECT CORD OD5 MM PKS LYONS,1970.0,985.0,429.66,1773.0,64
RC,0272,FORCEPS BIPOLAR L4.5 IN MICRO STRAIGHT SMOOTH INSULATE OLSEN,341.7,170.85,74.52,307.53,64
RC,0272,FORCEPS BIPOLAR L7 IN W1.5 MM BAYONET MIRROR FINISH NONINSULATE NONIRRIGATE MALIS STAINLESS STEEL L3 1/4 IN,734.96,367.48,160.29,661.46,64
RC,0272,FORCEPS BIPOLAR L9.5 IN 1.3 MM YASARGIL STYLE AESCULAP,686.98,343.49,149.83,618.28,64
RC,0272,FORCEPS BIPOLAR LUMBAR,925.0,462.5,201.74,832.5,64
RC,0272,FORCEPS BIPOLAR SHORT FINE ANGLE METRX,194.55,97.28,42.43,175.1,64
RC,0272,FORCEPS BIPOLAR SHORT FINE STRAIGHT,194.55,97.28,42.43,175.1,64
RC,0272,FORCEPS BIPOLAR STRAIGHT HD,194.55,97.28,42.43,175.1,64
RC,0272,FORCEPS BONE CUTTING L33 CM OD5 MM GYRUS ACMI,640.0,320.0,139.58,576.0,64
RC,0272,FORCEPS BONE CUTTING L5.75 IN LIGHT LITTAUER-LISTON,124.9,62.45,27.24,112.41,64
RC,0272,FORCEPS BONE REDUCTION 8IN POINTED JAW PERI-LOC,1411.35,705.68,307.82,1270.22,64
RC,0272,FORCEPS DISPOSABLE HARDY BAYONET NON-STICK BIPOLAR INSULATED 8.5IN WITH 12IN CORD,1025.0,512.5,223.55,922.5,64
RC,0272,FORCEPS ELECTROSURGICAL 0.5MM 21CML BAYONET TIP BIPOLAR NON-STICK SWYNG SINGLE-USE 1/EA,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL 10.5IN OLSEN BAYONET BIPOLAR SMOOTH STRAIGHT TIP INSULATE 6INX1MM STERILE DISPOSABLE,573.0,286.5,124.97,515.7,64
RC,0272,FORCEPS ELECTROSURGICAL 165X5MM 2.75MM 2.8MM COAGRASPER HEMOSTASIS STERILE LATEX FREE DISPOSABLE - FD-410LR,205.56,102.78,44.83,185.0,64
RC,0272,FORCEPS ELECTROSURGICAL 1MM 21CML BAYONET TIP BIPOLAR NON-STICK SWYNG SINGLE-USE 1/EA,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL 1MM 2CML BAYONET TIP BIPOLAR NON-STICK SWYNG SINGLE-USE 1/EA,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL 6IN ADSON .4MM BIPOLAR INSULATE NONSTICK STERILE LATEX FREE DISPOSABLE,785.0,392.5,171.21,706.5,64
RC,0272,FORCEPS ELECTROSURGICAL 8 1/4INL 1.5MML TIP BAYONET SMOOTH BIPOLAR INSULATED OLSEN SINGLE-USE,405.09,202.55,88.35,364.58,64
RC,0272,FORCEPS ELECTROSURGICAL 8.5IN CODMAN ISOCOOL BIPOLAR LOW PROFILE TIP 3.5INX.5MM STERILE LATEX FREE DISPOSABLE,376.53,188.27,82.12,338.88,64
RC,0272,FORCEPS ELECTROSURGICAL 8.5IN CODMAN ISOCOOL BIPOLAR LOW PROFILE TIP 3.5INX1MM STERILE LATEX FREE DISPOSABLE,376.53,188.27,82.12,338.88,64
RC,0272,FORCEPS ELECTROSURGICAL 8.5IN LIBERTY HARDY 1MM BAYONET STAINLESS STEEL BIPOLAR INSULATE CORD 12FT DISPOSABLE,425.0,212.5,92.69,382.5,64
RC,0272,FORCEPS ELECTROSURGICAL ADSON 1MMW X 5INL NON-STICK INSULATED W/12FT CORD KIRWAN LATEX-FREE DISPOSABLE,637.5,318.75,139.04,573.75,64
RC,0272,FORCEPS ELECTROSURGICAL ADSON 4.75INL STRAIGHT SERRATED OLSEN LATEX-FREE MERCURY-FREE,282.06,141.03,61.52,253.85,64
RC,0272,FORCEPS ELECTROSURGICAL ADSON BIPOLAR 0.7MM DIA 4 3/4INL STRAIGHT NON-INSULATED SERRATED TIP OLSEN STERILE SINGLE-USE,286.29,143.15,62.44,257.66,64
RC,0272,FORCEPS ELECTROSURGICAL BAYONET 6INL ANGLE STRAIGHT SMOOTH INSULATED LATEX-FREE MERCURY-FREE DISPOSABLE,793.11,396.56,172.98,713.8,64
RC,0272,FORCEPS ELECTROSURGICAL BAYONET BOVIE,20.7,10.35,4.51,18.63,64
RC,0272,FORCEPS ELECTROSURGICAL BAYONET LONG STRAIGHT BIPOLAR,370.0,185.0,80.7,333.0,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 0.5MM DIA TIP 19CML NON STICK BAYONET SWYNG SINGLE-USE,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 0.5MM TIP STANDARD 7INL SPETZLER-MALIS DISPOSABLE,1550.0,775.0,338.06,1395.0,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 1.5MM DIA 7.125INL BAYONET STRAIGHT NON-INSULATED OLSEN STERILE SINGLE-USE,340.29,170.15,74.22,306.26,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 1.5MM DIA TIP 19CML NON STICK BAYONET SWYNG SINGLE-USE,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 1MM DIA TIP 10INL BAYONET STERILE,385.0,192.5,83.97,346.5,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 1MM DIA TIP 19CML NON STICK BAYONET SWYNG SINGLE-USE,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 21CM 1.5MM X 6MM TIP BAYONET STANDARD 2-PIN CONNECTOR NON-STICK SWYNG DISPOSABLE,270.0,135.0,58.89,243.0,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 24CM 0.5MM X 6MM TIP BAYONET STANDARD 2-PIN CONNECTOR NON-STICK SWYNG DISPOSABLE,295.0,147.5,64.34,265.5,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 24CM 1MM X 6MM TIP BAYONET STANDARD 2-PIN CONNECTOR NON-STICK SWYNG DISPOSABLE,295.0,147.5,64.34,265.5,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 7 1/2IN 1MM DIA STAINLESS STEEL ROSE GOLD TIP INSULATED NON-IRRIGATING BAYONET ROUND CONNECTOR LATEX-FREE DISPOSABLE UNION ONLY,123.89,61.95,27.02,111.5,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR 8 1/2IN 0.5MM DIA STAINLESS STEEL ROSE GOLD TIP INSULATED NON-IRRIGATING BAYONET ROUND CONNECTOR LATEX-FREE DISPOSABLE UNION ONLY,123.89,61.95,27.02,111.5,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR JEWELER 4.5INL STRAIGHT MICRO TIP NON-INSULATED SINGLE-USE,252.86,126.43,55.15,227.57,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR SMALL 8INL 1MM TIP BAYONET SPETZLER MALIS STERILE DISPOSABLE,1625.71,812.86,354.57,1463.14,64
RC,0272,FORCEPS ELECTROSURGICAL BIPOLAR STANDARD 7IN 1.5MM TIP BEVELED TIP NON-STICK SLEEK BAYONET HANDLE VERSATRU STERILE DISPOSABLE 2/PR,316.84,158.42,69.1,285.16,64
RC,0272,FORCEPS ELECTROSURGICAL HARDY 1MMW X 12 1/2INL BAYONET KIRWAN LATEX-FREE DISPOSABLE,895.0,447.5,195.2,805.5,64
RC,0272,FORCEPS ELECTROSURGICAL L108 MM 4 STANDARD BIPOLAR INSULATE SPRING HANDLE STRAIGHT TIP V MUELLER JEWELER KYNAR,78.98,39.49,17.23,71.08,64
RC,0272,FORCEPS ELECTROSURGICAL L121 MM MICRO BIPOLAR UNINSULATE SATIN FINISH STRAIGHT TIP V. MUELLER,81.71,40.86,17.82,73.54,64
RC,0272,FORCEPS ELECTROSURGICAL L165 MM X W5 MM HEMOSTATIC COAGRASPER,203.63,101.82,44.41,183.27,64
RC,0272,FORCEPS ELECTROSURGICAL L190 MM BAYONET BIPOLAR BE-ST BIPOLAR FORCEPS,135.9,67.95,29.64,122.31,64
RC,0272,FORCEPS ELECTROSURGICAL L230 MM X W4 MM HEMOSTATIC COAGRASPER,251.6,125.8,54.87,226.44,64
RC,0272,FORCEPS ELECTROSURGICAL L33.58 CM 42 D BIPOLAR ENDOWRIST L2.8 CM,2961.0,1480.5,645.79,2664.9,64
RC,0272,FORCEPS ELECTROSURGICAL L8 1/2 IN BIPOLAR LOW PROFILE TIP CODMAN ISOCOOL L3 1/2 IN X W.25 MM,376.53,188.27,82.12,338.88,64
RC,0272,FORCEPS ELECTROSURGICAL L8 1/2 IN BIPOLAR LOW PROFILE TIP CODMAN ISOCOOL L3 1/2 IN X W2 MM,376.53,188.27,82.12,338.88,64
RC,0272,FORCEPS ELECTROSURGICAL L8 1/4 IN BAYONET BIPOLAR SMOOTH STRAIGHT TIP INSULATE OLSEN L4 1/8 IN X W.75 MM,494.4,247.2,107.83,444.96,64
RC,0272,FORCEPS ELECTROSURGICAL L8 IN X W.5 MM STANDARD BIPOLAR NONSTICK CODMAN VERSATRU,316.84,158.42,69.1,285.16,64
RC,0272,FORCEPS ELECTROSURGICAL L8 IN X W1 MM STANDARD BIPOLAR NONSTICK CODMAN VERSATRU,316.84,158.42,69.1,285.16,64
RC,0272,FORCEPS ELECTROSURGICAL L8 IN X W1.5 MM STANDARD BIPOLAR NONSTICK CODMAN VERSATRU,316.84,158.42,69.1,285.16,64
RC,0272,FORCEPS ENDOSCOPIC ALLIGATOR 2.4MM DIA 230CML 5MML JAW GRASPING RETRIEVAL LATEX-FREE DISPOSABLE,700.0,350.0,152.67,630.0,64
RC,0272,FORCEPS ENDOSCOPIC BIOPSY 2.2MM OD 160CML OVAL CUP SERRATED FENESTRATED W/NEEDLE YELLOW RADIAL JAW 3 LATEX-FREE STERILE SINGLE-USE 2.8MM DIA WORKING CHANNEL,300.0,150.0,65.43,270.0,64
RC,0272,FORCEPS ENDOSCOPIC BIOPSY PRECURVED 50CM 7FR STAINLESS STEEL FEP HEART,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS ENDOSCOPIC BIPOLAR FENESTRATE OD8 MM DA VINCI SI ENDOWRIST,2835.0,1417.5,618.31,2551.5,64
RC,0272,FORCEPS ENDOSCOPIC GRASP ROTATABLE SINGLE USE ROTATABLE GRASPING FORCEPS FG-244NR,182.86,91.43,39.88,164.57,64
RC,0272,FORCEPS ENDOSCOPIC GRASPING ALLIGATOR 2MM SHEATH 35CM WORKING TISSUE DOUBLE-ACTION F/HARD FOREIGN BODY,1083.63,541.82,236.34,975.27,64
RC,0272,FORCEPS ENDOSCOPIC L115 CM 1 BITE COLLECTION BACKLOAD OD2.4 FR BIGOPSY BIOPSY,588.5,294.25,128.35,529.65,64
RC,0272,FORCEPS ENDOSCOPIC L115 CM FLEXIBLE SHAFT ALLIGATOR TOOTH 1 JAW OD3.3 FR COOK URINARY TRACT STONE UROLOGY,459.7,229.85,100.26,413.73,64
RC,0272,FORCEPS ENDOSCOPIC L120 CM FLEXIBLE STANDARD CUP OD5.2 FR COOK 2.25 UL MYOCARDIAL BIOPSY,16.15,8.08,3.52,14.54,64
RC,0272,FORCEPS ENDOSCOPIC L130 CM MINI OD1.2 MM COREDX BIOPSY,507.55,253.78,110.7,456.8,64
RC,0272,FORCEPS ENDOSCOPIC L24 CM 3 MM MICRO ANGLE LEFT FENESTRATE SERRATE PILLING LARYNGEAL,1184.47,592.24,258.33,1066.02,64
RC,0272,FORCEPS ENDOSCOPIC L7.1 IN L8 MM W2.5 MM TAKAHASHI CALDWELL-LUC L110 MM NASAL SINUS POLYP,312.28,156.14,68.11,281.05,64
RC,0272,FORCEPS ENDOSCOPIC SERRATE JAW SPRING SHEATH 230CM .8MM .76MM MORAY 4.3MM OPEN MICRO GASTROINTESTINAL TRACT STERILE DISPOSABLE,1502.15,751.08,327.62,1351.94,64
RC,0272,FORCEPS ENDOSCOPIC W4.5 MM RAT TOOTH GRASP CATHETER OD1.8 MM RESCUE L180 CM,425.0,212.5,92.69,382.5,64
RC,0272,FORCEPS ENDOSCOPIC W4.5 MM RAT TOOTH GRASP RETRIEVAL OD1.5 MM RESCUE PEDIATRIC L180 CM 2 MM MINIMUM WORK CHANNEL,450.5,225.25,98.25,405.45,64
RC,0272,FORCEPS GRASPER SINGLE USE UROVIU UROLOGY,45.0,22.5,9.81,40.5,64
RC,0272,FORCEPS GRASPING AUTOCLAVABLE ALLIGATOR JAW RAT TOOTH RETRIEVAL BASKET 165X14.9MM 2.8MM REUSABLE,675.0,337.5,147.22,607.5,64
RC,0272,FORCEPS GRASPING AUTOCLAVABLE PRONG RETRACT 165CMX13MM 2MM V REUSABLE,494.78,247.39,107.91,445.3,64
RC,0272,FORCEPS GRASPING L115 CM X W10 MM 3 NAIL OD1.2 MM DISPOSABLE GRASPING FORCEPS,225.16,112.58,49.11,202.64,64
RC,0272,FORCEPS GRASPING L115 MM 3 WIRE COAXIAL SHEATH OD3.2 FR ODSEC10 MM COOK,243.26,121.63,53.06,218.93,64
RC,0272,FORCEPS GRASPING L230 CM RAT TOOTH ALLIGATOR JAW CATHETER OD2.4 MM RESCUE W8 MM 2.8 CM MINIMUM WORKING CHANNEL,450.5,225.25,98.25,405.45,64
RC,0272,FORCEPS GRASPING L230 CM X W20 MM TRIPOD 3 PRONG RING DISTAL TIP POLYGRAB,318.3,159.15,69.42,286.47,64
RC,0272,FORCEPS GRASPING L240 CM 2.8 MM 3 PRONG OD5.5 FR CAESAR ESOPHAGEAL GASTRIC RED FOREIGN BODY,116.0,58.0,25.3,104.4,64
RC,0272,FORCEPS GRASPING LONG 9MM 230CM 2.4MM ALLIGATOR JAW CATHETER 2.8CM MINIMUM WORK CHANNEL RESCUE,397.5,198.75,86.69,357.75,64
RC,0272,FORCEPS GRASPING RAT TOOTH CATHETER 230CM 2.4MM 7MM 2.8CM MINIMUM WORKING CHANNEL,397.5,198.75,86.69,357.75,64
RC,0272,FORCEPS GRASPING W8 MM COMBO RAT TOOTH ALLIGATOR JAW OD2.4 MM RESCUE L230 CM,425.0,212.5,92.69,382.5,64
RC,0272,FORCEPS GRASPING W8 MM SHORT ALLIGATOR JAW CATHETER OD2.4 MM RESCUE L230 CM,397.5,198.75,86.69,357.75,64
RC,0272,FORCEPS LAPAROSCOPIC 32.77CM 8MM CADIERE DA VINCI XI ENDOWRIST 30D REPOSABLE 2CM,2100.0,1050.0,458.01,1890.0,64
RC,0272,FORCEPS LAPAROSCOPIC 32.77CM 8MM CADIERE DA VINCI XI ENDOWRIST 30D REPOSABLE 2CM 10 USE,2835.0,1417.5,618.31,2551.5,64
RC,0272,FORCEPS LAPAROSCOPIC 32.77CM 8MM DA VINCI XI ENDOWRIST 45D FENESTRATE BIPOLAR REPOSABLE 2.1CM,2700.0,1350.0,588.87,2430.0,64
RC,0272,FORCEPS LAPAROSCOPIC 32.77CM 8MM DA VINCI XI MARYLAND ENDOWRIST 45D BIPOLAR REPOSABLE 2CM,2700.0,1350.0,588.87,2430.0,64
RC,0272,FORCEPS LAPAROSCOPIC L1 CM MICRO REPOSABLE 15 DA VINCI XI ENDOWRIST BLACK DIAMOND L31.5 CM,3150.0,1575.0,687.02,2835.0,64
RC,0272,FORCEPS LAPAROSCOPIC L32.77 CM 45 D BIPOLAR OD8 MM DA VINCI XI MARYLAND ENDOWRIST L2 CM 10 USE,3455.0,1727.5,753.54,3109.5,64
RC,0272,FORCEPS LAPAROSCOPIC L54.4 CM 30- D MICRO DIAMOND FINGERTIP CONTROL OD8 MM DA VINCI S/SI ENDOWRIST L1 CM BLACK,2500.0,1250.0,545.25,2250.0,64
RC,0272,FORCEPS LAPAROSCOPIC L55.4 CM 70- D CAUTERY DISSECT BIPOLAR OD8 MM DA VINCI S/SI ENDOWRIST PK L2 CM,2900.0,1450.0,632.49,2610.0,64
RC,0272,FORCEPS LAPAROSCOPIC L55.4 CM FINGERTIP CONTROL LOW OD8 MM DA VINCI S/SI ENDOWRIST CADIERE L2 CM,2100.0,1050.0,458.01,1890.0,64
RC,0272,FORCEPS LAPAROSCOPIC L55.8 CM 45- D BIPOLAR OD8 MM DA VINCI S/SI ENDOWRIST MARYLAND L2 CM,2835.0,1417.5,618.31,2551.5,64
RC,0272,FORCEPS LAPAROSCOPIC L56.2 CM 38- D GRASPER HIGH JAW CLOSE LOW JAW OPEN OD8 MM PROGRASP DA VINCI S/SI ENDOWRIST L2.8 CM,2310.0,1155.0,503.81,2079.0,64
RC,0272,FORCEPS LAPAROSCOPIC LONG FINGERTIP CONTROL OD8 MM DA VINCI S/SI ENDOWRIST,2450.0,1225.0,534.35,2205.0,64
RC,0272,FORCEPS LAPAROSCOPIC OD8 MM PROGRASP ENDOWRIST 18USE DA VINCI X XI SYSTEM,2835.0,1417.5,618.31,2551.5,64
RC,0272,FORCEPS LAPAROSCOPIC TENACULUM OD8 MM DA VINCI XI ENDOWRIST 10 USE,2310.0,1155.0,503.81,2079.0,64
RC,0272,FORCEPS MONOPOLAR 5MM CONTROLTIP MARYLAND TRADITIONAL 16.5MM DISPOSABLE,500.15,250.08,109.08,450.14,64
RC,0272,FORCEPS OPHTHALMIC 23GA 1MM INCISION CURVED SERRATED JAW MST MICRO-HOLDING SINGLE-USE EA,137.5,68.75,29.99,123.75,64
RC,0272,FORCEPS OPHTHALMIC 23GA 1MM MICRO HOLD CURVE CANNULA MST TOUCH MST 360 MST DUET HANDLE DISPOSABLE,865.0,432.5,188.66,778.5,64
RC,0272,FORCEPS OPHTHALMIC 360 D MICRO OD25 GA GRIESHABER REVOLUTION RETINAL,859.86,429.93,187.54,773.87,64
RC,0272,FORCEPS OPHTHALMIC 5MM TYING PLATFORM MICRO 4.3INL STAINLESS STEEL WIDE HANDLE STRAIGHT DULL FINISH SERRATED HEAVY SHAFT LATEX-FREE REUSABLE,247.21,123.61,53.92,222.49,64
RC,0272,FORCEPS OPHTHALMIC 80MM UTRATA 12MM STAINLESS STEEL FINE TIP DULL FINISH FLAT HANDLE ANGLE SHAFT CAPSULORHEXIS NONSTERILE,315.81,157.91,68.88,284.23,64
RC,0272,FORCEPS OPHTHALMIC ECKARDT ILM 20GA MICRO 0.9MM END GRIPPING LATEX-FREE STERILE DISPOSABLE,828.0,414.0,180.59,745.2,64
RC,0272,FORCEPS OPHTHALMIC GRIESHABER MONARCH II,323.29,161.65,70.51,290.96,64
RC,0272,FORCEPS OPHTHALMIC L109 MM .5 MM SUTURE STRAIGHT SHAFT TYING PLATFORM CASTROVIEJO L6 MM,345.57,172.79,75.37,311.01,64
RC,0272,FORCEPS OPHTHALMIC L3.3 IN 45 D CRISS CROSS TIP SERRATE HANDLE DULL FINISH SHEETS-MCPHERSON STAINLESS STEEL L10 MM,226.72,113.36,49.45,204.05,64
RC,0272,FORCEPS OPHTHALMIC L3.9 IN 20 MM CURVED SERRATED RING HANDLE RATCHET LOCK DULL FINISH HARTMANN-MOSQUITO,52.07,26.04,11.36,46.86,64
RC,0272,FORCEPS OPHTHALMIC L4.2 IN .12 MM SUTURE STRAIGHT SHAFT TEETH TYING PLATFORM CASTROVIEJO STAINLESS STEEL L5.5 MM,277.94,138.97,60.62,250.15,64
RC,0272,FORCEPS OPHTHALMIC L4.3 IN .3 MM SUTURE STRAIGHT SHAFT TEETH TYING PLATFORM CASTROVIEJO STAINLESS STEEL L5.5 MM,219.6,109.8,47.89,197.64,64
RC,0272,FORCEPS OPHTHALMIC MICRO TEXTURE BROAD GRASP SURFACE BLUNT DISTAL END HEAVY MEMBRANE OD25 GA GRIESHABER MAXGRIP,907.5,453.75,197.93,816.75,64
RC,0272,FORCEPS RBTC ENDOWRIST DA VINCI XI 8MMX32.77CM BIPLR MD 10 USE/PREP,3455.0,1727.5,753.54,3109.5,64
RC,0272,FORCEPS ROBOTIC 8MM DIA DA VINCI - 10 USES,2900.0,1450.0,632.49,2610.0,64
RC,0272,FORCEPS ROBOTIC 8MML TENACULAM DA VINCI,2200.0,1100.0,479.82,1980.0,64
RC,0272,FORCEPS ROBOTIC BIPOLAR 8MM DIA FENESTRATED ASSEMBLY,2700.0,1350.0,588.87,2430.0,64
RC,0272,FORCEPS SPEC RETRIEV RADIAL JAW 4 HOT BIOPSY 2.2MM STD 240CM OVAL CUP FENES MICRO-MESH TOOTH HOLE SS BX/40,563.04,281.52,122.8,506.74,64
RC,0272,FORCEPS SPEC RETRIEV RADIAL JAW 4 HOT BIOPSY 2.2MMX240CM OVAL CUP FENES MICRO-MESH TOOTH HOLE SS BX/20,397.44,198.72,86.68,357.7,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL 120CM 3FR TRICEP PTFE HOOK PRONG GRASP RETRACT STERILE LATEX FREE DISPOSABLE,168.93,84.47,36.84,152.04,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL 90CM 3FR TRICEP POLYAMIDE HOOK PRONG GRASP EXTRA STRENGTH STERILE LATEX FREE DISPOSABLE,168.93,84.47,36.84,152.04,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL 90CM 3FR TRICEP POLYIMIDE HOOK PRONG GRASP MINI THROW STERILE LATEX FREE DISPOSABLE,168.93,84.47,36.84,152.04,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 1.8MM 100CM STAINLESS STEEL PULMONARY OVAL CUP LARGE CAPACITY MICRO-MESH TOOTH W/NEEDLE BLUE F/POLYPECTOMY RADIAL JAW 4 STERILE SINGLE-USE 20/BX 2MM CHANNEL,500.0,250.0,109.05,450.0,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 1.8MM OD 115CML ALLIGATOR CUP CHANNEL-GUARD COATED SHAFT PRECISOR BRONCHO LATEX-FREE STERILE DISPOSABLE,390.0,195.0,85.06,351.0,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 1.8MM OD 115CML OVAL FENESTRATED CENTER ACTION ALLIGATOR CUP CHANNEL-GUARD COATED SHAFT PRECISOR BRONCHO LATEX-FREE STERILE DISPOSABLE,390.0,195.0,85.06,351.0,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 2.4MM OD STANDARD 240CML STAINLESS STEEL OVAL CUP W/NEEDLE ORANGE F/POLYPECTOMY RADIAL JAW 4 LATEX-FREE STERILE SINGLE-USE 2.8MM WORKING CHANNEL,267.17,133.59,58.27,240.45,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 7.2MM DIA 230CML STAINLESS STEEL STANDARD OVAL ALLIGATOR JAW BLUE F/POLYPECTOMY ENDOJAW LATEX-FREE STERILE DISPOSABLE,96.4,48.2,21.02,86.76,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 7.5FR 50CM 2.4MM-JAW FEP COATED ENDOMYOCARDIAL MAXI CURVED MP TIP FORMABLE JAWZ,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 7.5FR OD JAW 105CML STAINLESS STEEL SHAFT FEP COATED MYOCARDIAL STRAIGHT UNIQUE CUTTING EDGE FORMABLE THREE RINGED HANDLE ARGON JAWZ LATEX-FREE STERILE DISPOSABLE,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 7FR 2.3MM 50CM 2.65MM-JAW INTERNAL JUGULAR OVAL CUP SHARP JAW,157.25,78.63,34.3,141.53,64
RC,0272,FORCEPS SPECIMEN RETRIEVAL BIOPSY 7FR OD 50CML 2.2MM JAW STAINLESS STEEL SHAFT FEP COATED ENDOMYOCARDIAL MAXI-CURVE UNIQUE CUTTING EDGE FORMABLE THREE RINGED HANDLE ARGON JAWZ LATEX-FREE STERILE DISPO,205.15,102.58,44.74,184.64,64
RC,0272,FORCEPS SPONGE FOERSTER 9 1/2INL STAINLESS STEEL STRAIGHT OVAL TIP SERRATED FENESTRATED TIP LATEX-FREE NON-STERILE REUSABLE,40.27,20.14,8.78,36.24,64
RC,0272,FORCEPS STANDARD  NON-SPIKED  SERRATED  SHAFT LENGTH (CM) = 160,155.0,77.5,33.81,139.5,64
RC,0272,FORCEPS STONE RETRIEVAL 2.6FR DIA 8MM GRASPING 90CML NITINOL PRONGX2 SERRATED WIRE EDGE TIPLESS KNOTTED DESIGN THUMB SLIDE HANDLE GRASPIT STERILE SINGLE-USE,191.79,95.9,41.83,172.61,64
RC,0272,FORCEPS STONE RETRIEVAL GRASPING 2.4FR 100CM URETHRAL HOOKED-PRONG RETRACTING W/TALON 3 PRONG F/SECURE GRASP CONTROLLED RELEASE TRICEP LATEX-FREE STERILE SINGLE-USE,152.04,76.02,33.16,136.84,64
RC,0272,FORCEPS SURGICAL 1.5MM2.0MM SYSTEM BEUSE PLATE HOLD,374.0,187.0,81.57,336.6,64
RC,0272,FORCEPS SURGICAL 12INL TONSILLAR CURVED LATEX-FREE STERILE,985.0,492.5,214.83,886.5,64
RC,0272,FORCEPS SURGICAL ACUMED SERRATE JAW REDUCTION,483.0,241.5,105.34,434.7,64
RC,0272,FORCEPS SURGICAL BIPOLAR VEO NON-STERILE SINGLE-USE,600.0,300.0,130.86,540.0,64
RC,0272,FORCEPS SURGICAL BONE REDUCTION,1923.0,961.5,419.41,1730.7,64
RC,0272,FORCEPS SURGICAL BRIDGE CURVE 11IN STAINLESS STEEL STERILE,400.0,200.0,87.24,360.0,64
RC,0272,FORCEPS SURGICAL BROWN-ADSON 4 7/8IN TISSUE 9X9 TEETH SATIN FINISH STAINLESS STEEL NONSTERILE,16.68,8.34,3.64,15.01,64
RC,0272,FORCEPS SURGICAL CENTURION 6 IN TISSUE,105.0,52.5,22.9,94.5,64
RC,0272,FORCEPS SURGICAL COMPRESSION,983.43,491.72,214.49,885.09,64
RC,0272,FORCEPS SURGICAL COMPRESSION SPEED LOCK LARGE,1774.75,887.38,387.07,1597.28,64
RC,0272,FORCEPS SURGICAL CUSHING 7.75INL 1.4MMW TIP TUNGSTEN CARBIDE INSERT TISSUE BAYONET CLASSIC PLUS,71.04,35.52,15.49,63.94,64
RC,0272,FORCEPS SURGICAL CUSHING 7INL W/TEETH 30-1140,75.79,37.9,16.53,68.21,64
RC,0272,FORCEPS SURGICAL DEBAKEY STANDARD 9 1/2INL 3MMW TIP THORACIC TISSUE STRAIGHT SERRATED LATEX-FREE NON-STERILE REUSABLE,48.03,24.02,10.48,43.23,64
RC,0272,FORCEPS SURGICAL DEBAKEY STRAIGHT 7.75IN THORACIC TISSUE STAINLESS STEEL NONSTERILE 2.8MM,46.5,23.25,10.14,41.85,64
RC,0272,FORCEPS SURGICAL DEBAKEY V MUELLER 7.75IN CARDIOVASCULAR TISSUE 2 ACTION TAPER WIDE JAW SPRING HANDLE MATTE FINISH NONSTERILE REUSABLE 2.5MM,20.39,10.2,4.45,18.35,64
RC,0272,FORCEPS SURGICAL DISSECTOR 5MM DIA RIGHT ANGLE TIP MICROLINE,500.15,250.08,109.08,450.14,64
RC,0272,FORCEPS SURGICAL DISTRACTION SPEED LOCK LARGE,1774.75,887.38,387.07,1597.28,64
RC,0272,FORCEPS SURGICAL FERRIS-SMITH 6 3/4INL 3.9MMW X 14MML TIP TISSUE 2X3 TEETH,27.38,13.69,5.97,24.64,64
RC,0272,FORCEPS SURGICAL GRIESHABER END GRASPING TEAL HANDLE POLYMER 360 D OD25 GA,859.86,429.93,187.54,773.87,64
RC,0272,FORCEPS SURGICAL GRIESHABER MAXGRIP OD23 GA,859.86,429.93,187.54,773.87,64
RC,0272,FORCEPS SURGICAL GRUENWALD BAYONET 6 3/8IN EAR SATIN FINISH SERRATE TIP DRESSING STAINLESS STEEL STERILE REUSABLE,12.37,6.19,2.7,11.13,64
RC,0272,FORCEPS SURGICAL HARTMANN-MOSQUITO V MUELLER L4 IN DELICATE STRAIGHT JAW SATIN FINISH STAINLESS STEEL,11.83,5.92,2.58,10.65,64
RC,0272,FORCEPS SURGICAL HOLD PLATE POINT BALL TIP,947.94,473.97,206.75,853.15,64
RC,0272,FORCEPS SURGICAL JACOBSON MOSQUITO 5IN 2 ACTION DELICATE CURVE JAW,18.68,9.34,4.07,16.81,64
RC,0272,FORCEPS SURGICAL JARIT FOERSTER STRAIGHT 9 5/8IN SERRATE JAW BLADE SPONGE HOLD SATIN FINISH STAINLESS STEEL NONSTERILE REUSABLE 86.2X13MM,15.32,7.66,3.34,13.79,64
RC,0272,FORCEPS SURGICAL KIT 0.75MM TIP BAYONET INSULATED OLSEN SINGLE-USE,516.0,258.0,112.54,464.4,64
RC,0272,FORCEPS SURGICAL L130 MM REDUCTION POINT RATCHET TITANIUM,340.68,170.34,74.3,306.61,64
RC,0272,FORCEPS SURGICAL L132 MM RATCHET REDUCTION POINT BROAD,482.86,241.43,105.31,434.57,64
RC,0272,FORCEPS SURGICAL L132 MM RATCHET REDUCTION POINT NARROW,482.86,241.43,105.31,434.57,64
RC,0272,FORCEPS SURGICAL L140 MM SOFT LOCK 1.3-2 MM CORTEX SCREW,552.48,276.24,120.5,497.23,64
RC,0272,FORCEPS SURGICAL L144 MM RATCHET SERRATE JAW REDUCTION,475.3,237.65,103.66,427.77,64
RC,0272,FORCEPS SURGICAL L15.9 IN ASYMMETRIC REDUCTION PELVIC ANGLE OD6.5 MM,1702.83,851.42,371.39,1532.55,64
RC,0272,FORCEPS SURGICAL L150 MM PLATE HOLD SWIVEL FOOT,881.74,440.87,192.31,793.57,64
RC,0272,FORCEPS SURGICAL L174 MM REDUCTION POINT RATCHET,676.94,338.47,147.64,609.25,64
RC,0272,FORCEPS SURGICAL L180 MM REDUCTION SPEED LOCK,489.79,244.9,106.82,440.81,64
RC,0272,FORCEPS SURGICAL L195 MM POINT BALL TIP REDUCTION PELVIC SMALL ANGLE OD6.5 MM,1055.66,527.83,230.24,950.09,64
RC,0272,FORCEPS SURGICAL L205 MM RATCHET REDUCTION POINT,532.02,266.01,116.03,478.82,64
RC,0272,FORCEPS SURGICAL L205 MM REDUCTION POINT,698.06,349.03,152.25,628.25,64
RC,0272,FORCEPS SURGICAL L240 MM POINT BALL TIP REDUCTION PELVIC SMALL ANGLE OD6.5 MM,1191.44,595.72,259.85,1072.3,64
RC,0272,FORCEPS SURGICAL L250 MM LOW PROFILE REDUCTION PELVIC 3.5 MM SCREW,1402.68,701.34,305.92,1262.41,64
RC,0272,FORCEPS SURGICAL L257 MM POINT BALL TIP REDUCTION PELVIC STRAIGHT OD6.5 MM,1191.44,595.72,259.85,1072.3,64
RC,0272,FORCEPS SURGICAL L400 MM POINT BALL TIP REDUCTION PELVIC OD6.5 MM,1595.02,797.51,347.87,1435.52,64
RC,0272,FORCEPS SURGICAL L90 MM TERMITE MODULAR HAND INSTRUMENT SET,370.11,185.06,80.72,333.1,64
RC,0272,FORCEPS SURGICAL LAHEY L6 IN 3 X 3 TEETH VULSELLUM SATIN FINISH STRAIGHT GOITER,25.8,12.9,5.63,23.22,64
RC,0272,FORCEPS SURGICAL LCP L132 MM REDUCTION POINT RATCHET 2.4 MM BROAD,568.52,284.26,123.99,511.67,64
RC,0272,FORCEPS SURGICAL MAGILL L9 IN SERRATE JAW ADULT L7 IN,37.13,18.57,8.1,33.42,64
RC,0272,FORCEPS SURGICAL MAGILL STAINLESS STEEL PEDIATRIC CLOSED TIP F/INTUBATION,21.95,10.98,4.79,19.76,64
RC,0272,FORCEPS SURGICAL PENCER L4 3/4 IN 2 ACTION 1 X 2 TEETH 7000 JAW DELICATE TIP TUNGSTEN CARBIDE,267.94,133.97,58.44,241.15,64
RC,0272,FORCEPS SURGICAL PENFIELD WATCHMAKER 7INL 0.9MMW TIP MERCURY-FREE NON-STERILE,168.81,84.41,36.82,151.93,64
RC,0272,FORCEPS SURGICAL PENNINGTON L8 IN TRIANGULAR SERRATED JAW TISSUE,51.7,25.85,11.28,46.53,64
RC,0272,FORCEPS SURGICAL PETIT-POINT MOSQUITO CURVE 4 5/8IN STAINLESS STEEL NONSTERILE REUSABLE,24.53,12.27,5.35,22.08,64
RC,0272,FORCEPS SURGICAL RANDALL L9 IN 2 ACTION RING HANDLE CURVE END 1 QUARTER CURVE KIDNEY STONE,36.2,18.1,7.9,32.58,64
RC,0272,FORCEPS SURGICAL REDUCTION BALL POINT TIP SMALL OD6.5 MM ELBOW SYSTEM,1757.47,878.74,383.3,1581.72,64
RC,0272,FORCEPS SURGICAL REDUCTION BALL TIP SOFT TISSUE,729.05,364.53,159.01,656.15,64
RC,0272,FORCEPS SURGICAL REDUCTION STRAIGHT CURVE POINT LCP ELBOW SYSTEM,646.86,323.43,141.08,582.17,64
RC,0272,FORCEPS SURGICAL RUSSIAN V MUELLER L8 IN SATIN FINISH TISSUE,13.24,6.62,2.89,11.92,64
RC,0272,FORCEPS SURGICAL SAWTELL V MUELLER L7 1/2 IN FULLY CURVE JAW RING HANDLE RATCHET SATIN FINISH ARTERY TONSIL STAINLESS STEEL ENT,23.73,11.87,5.18,21.36,64
RC,0272,FORCEPS SURGICAL SCREW PLATE HOLD CORTEX SCREW 1.0 TO 2.4 MM,366.61,183.31,79.96,329.95,64
RC,0272,FORCEPS SURGICAL SCREW REMOVAL LARGE,541.96,270.98,118.2,487.76,64
RC,0272,FORCEPS SURGICAL SCREW REMOVAL SMALL,524.19,262.1,114.33,471.77,64
RC,0272,FORCEPS SURGICAL SERRATE JAW REDUCTION MEDIUM HANDLE,581.52,290.76,126.83,523.37,64
RC,0272,FORCEPS SURGICAL SHEA 0.5MMW X 3MML JAW 70MML SHAFT EAR STRAIGHT OVAL CUP EBONY FINISH FINE LATEX-FREE,242.91,121.46,52.98,218.62,64
RC,0272,FORCEPS SURGICAL V MUELLER ALLIS 7.5IN TISSUE 5X6 TEETH LIGHT PATTERN STAINLESS STEEL,28.73,14.37,6.27,25.86,64
RC,0272,FORCEPS SURGICAL V MUELLER BONNEY L6 3/4 IN 1 X 2 TEETH TISSUE,14.04,7.02,3.06,12.64,64
RC,0272,FORCEPS SURGICAL V MUELLER DEBAKEY STANDARD 9.5IN VASCULAR TISSUE 2 ACTION SPRING HANDLE STAINLESS STEEL,21.95,10.98,4.79,19.76,64
RC,0272,FORCEPS SURGICAL V MUELLER PEAN L8 IN SATIN FINISH ARTERY STAINLESS STEEL CURVE,12.14,6.07,2.65,10.93,64
RC,0272,FORCEPS SURGICAL V MUELLER WULLSTEIN L3 1/8 IN OVAL CUP JAW SATIN FINISH RING HANDLE EAR L.9 MM X W4.5 MM,244.92,122.46,53.42,220.43,64
RC,0272,FORCEPS SURGICAL V. MUELLER L12 IN STANDARD JAW TAPERED VASCULAR W2 MM,41.18,20.59,8.98,37.06,64
RC,0272,FORCEPS SURGICAL V. MUELLER L5 3/4 IN 4 X 5 TEETH LIGHT DELICATE MICRO LINE TISSUE,21.95,10.98,4.79,19.76,64
RC,0272,FORCEPS SURGICAL V. MUELLER L6 1/4 IN X W2 MM 2 ACTION SPRING HANDLE VASCULAR TISSUE STAINLESS STEEL STANDARD REGULAR TAPER W2 IN,17.24,8.62,3.76,15.52,64
RC,0272,FORCEPS SURGICAL V. MUELLER L6 IN 4 X 5 TEETH TISSUE STAINLESS STEEL,10.91,5.46,2.38,9.82,64
RC,0272,FORCEPS SURGICAL V. MUELLER L6 IN STRAIGHT CROSS SERRATED GUARD TUBING CLAMP OD3/8 MM,18.84,9.42,4.11,16.96,64
RC,0272,FORCEPS SURGICAL V. MUELLER L7 1/2 IN DELICATE SATIN FINISH SLIGHT CURVE JAW RING HANDLE TONSIL ARTERY STAINLESS STEEL,11.84,5.92,2.58,10.66,64
RC,0272,FORCEPS SURGICAL V. MUELLER L7 1/4 IN 1 X 2 TEETH SATIN FINISH ARTERY STAINLESS STEEL STRAIGHT,11.98,5.99,2.61,10.78,64
RC,0272,FORCEPS SURGICAL V. MUELLER L7 3/4 IN 2 ACTION MATTE FINISH DELICATE JAW SPRING HANDLE VASCULAR TISSUE 1.5 MM,28.78,14.39,6.28,25.9,64
RC,0272,FORCEPS SURGICAL V. MUELLER L7 IN SERRATE LOOP JAW SPONGE HOLD STRAIGHT,14.3,7.15,3.12,12.87,64
RC,0272,FORCEPS SURGICAL V. MUELLER L7.5 IN 5 X 6 TEETH STANDARD,16.74,8.37,3.65,15.07,64
RC,0272,FORCEPS SURGICAL V. MUELLER L8 IN 1 X 2 TEETH MATTE FINISH ARTERY STAINLESS STEEL STRAIGHT,13.08,6.54,2.85,11.77,64
RC,0272,FORCEPS SURGICAL V. MUELLER L9 1/2 IN DELICATE JAW SPRING HANDLE TISSUE CARDIOVASCULAR STAINLESS STEEL W1.5 MM,33.9,16.95,7.39,30.51,64
RC,0272,FORCEPS SURGICAL V. MUELLER L9 1/2 IN RATCHET MATTE FINISH RING HANDLE TENACULUM UTERINE STRAIGHT,38.76,19.38,8.45,34.88,64
RC,0272,FORCEPS SURGICAL V. MUELLER L9 3/4 IN SERRATE SPONGE STAINLESS STEEL STRAIGHT,14.66,7.33,3.2,13.19,64
RC,0272,FORCEPS SURGICAL VOLT L131 MM REDUCTION LONG RATCHET WIDE MINI FRAGMENT PLATE SYSTEM,1293.0,646.5,282.0,1163.7,64
RC,0272,FORCEPS SURGICAL WHITE-LILLIE V MUELLER L7 1/2 IN SEIZING RING HANDLE RATCHET SATIN FINISH TONSIL STAINLESS STEEL ENT,49.82,24.91,10.87,44.84,64
RC,0272,FRACTURE PACK,134.55,67.28,29.35,121.1,64
RC,0272,FUNNEL GRAFT KELLER FUNNEL 2 INSERTION STERILE LATEX FREE DISPOSABLE,127.0,63.5,27.7,114.3,64
RC,0272,FUNNEL GRAFT KELLER FUNNEL 2 POLYMER HYDROPHILIC TRANSPARENT CONE SLEEVE FILM 2 POUCH STERILE LATEX FREE DISPOSABLE,684.0,342.0,149.18,615.6,64
RC,0272,G-JET BUTTON GJ-1825-30,486.5,243.25,106.11,437.85,64
RC,0272,GARMENT COMPRESSION LARGE CHIN NECK FABRIC BEIGE,32.0,16.0,6.98,28.8,64
RC,0272,GARMENT COMPRESSION XL FABRIC ADULT CHIN NECK SOFT LIGHT WEIGHT BEIGE F/ORAL MAXILLOFACIAL SURGERY LATEX-FREE,32.0,16.0,6.98,28.8,64
RC,0272,GASTROSCOPE FLEXIBLE L103 CM 4.3MM CHANNEL OD12 MM INNER 4.2 MM ASCOPE GASTRO LARGE,5100.0,2550.0,1112.31,4590.0,64
RC,0272,GAUGE DEPTH .2 MM ELECTRODE MONOPOLAR ELECTROCAUTERY STYLET CONTOUR ADVANCE NUCLEUS 5,361.0,180.5,78.73,324.9,64
RC,0272,GAUGE DEPTH 1.3/1.5/2 MM SCREW,1016.79,508.4,221.76,915.11,64
RC,0272,GAUGE DEPTH 100 MM DISTAL LOCK SCREW INTRAMEDULLARY LONG NAIL,586.88,293.44,128.0,528.19,64
RC,0272,GAUGE DEPTH 2 MM 2.4 MM SCREW,678.47,339.24,147.97,610.62,64
RC,0272,GAUGE DEPTH 2.7 MM SCREW,950.0,475.0,207.2,855.0,64
RC,0272,GAUGE DEPTH 6-65 MM ACU-LOC 2,344.0,172.0,75.03,309.6,64
RC,0272,GAUGE DEPTH ASLS SCREW,780.08,390.04,170.14,702.07,64
RC,0272,GAUGE DEPTH ATTACHMENT C2C,400.0,200.0,87.24,360.0,64
RC,0272,GAUGE DEPTH L60- MM 2.7/3.5 MM CORTEX SCREW,400.33,200.17,87.31,360.3,64
RC,0272,GAUGE DEPTH L60- MM 2.7/3.5 MM SCREW,695.6,347.8,151.71,626.04,64
RC,0272,GAUGE DEPTH LCP 3.5MM PERCUTANEOUS INSTRUMENT SYSTEM,938.85,469.43,204.76,844.97,64
RC,0272,GAUGE DEPTH LOCK SCREW TO 100 MM INTRAMEDULLARY NAIL SYSTEM NONSTERILE,740.92,370.46,161.59,666.83,64
RC,0272,GAUGE DEPTH MEASURE SCREW LENGTH TRIGEN,330.0,165.0,71.97,297.0,64
RC,0272,GAUGE DEPTH MULTILOC PROXIMAL HUMERAL NAIL SYSTEM NONSTERILE,733.11,366.56,159.89,659.8,64
RC,0272,GAUGE DEPTH OD100 MM,1457.75,728.88,317.94,1311.98,64
RC,0272,GAUGE DEPTH PROSTEP MICA STERILE,118.41,59.21,25.83,106.57,64
RC,0272,GAUGE DEPTH RADIUS DISTAL 2-2.7 MM SCREW,797.95,398.98,174.03,718.16,64
RC,0272,GAUGE DEPTH TROCHANTERIC NAIL SYSTEM,507.0,253.5,110.58,456.3,64
RC,0272,GEL SKIN ANASEPT 3OZ ANTIMICROBIAL TUBE SODIUM CHLORIDE SILVER,262.36,131.18,57.22,236.12,64
RC,0272,GENERAL LAPAROSCOPY,355.89,177.95,77.62,320.3,64
RC,0272,GENERAL LAPAROSCOPY PACK,111.0,55.5,24.21,99.9,64
RC,0272,GENERAL LAPAROTOMY PACK SBA4FGPWFA,486.2,243.1,106.04,437.58,64
RC,0272,GENERAL LAPAROTOMY PACK SBA4FGPWFB,284.96,142.48,62.15,256.46,64
RC,0272,GENERAL PACK,128.52,64.26,28.03,115.67,64
RC,0272,GENERATOR NEUROSTIMULATOR EXTERNAL PULSE HEADER DORSAL ROOT GANGLION,487.5,243.75,106.32,438.75,64
RC,0272,GLOVE EXAM XSMALL LAVENDER POWDER-FREE TEXTURED FINGERTIPS BEADED CUFF CHLORINATED NITRILE LATEX-FREE 9.5IN NON-STERILE SGL,411.07,205.54,89.65,369.96,64
RC,0272,GLOVE PROTECTOR NON-ADHERENT LARGE SILVER ACUTE F/BURN SILVERLON,91.91,45.96,20.05,82.72,64
RC,0272,GLOVE PROTECTOR NON-ADHERENT MEDIUM SILVER PLATED NYLON SINGLE CONTACT LAYER OVERSIZED OPEN FINGER BARRIER IMPREGNATED GRAY F/BURNS DONOR GRAFT SITE SILVERLON STERILE 1/BX,82.72,41.36,18.04,74.45,64
RC,0272,GLOVE RADIATION 6.5 ALIMED LATEX FREE POWDER FREE BEAD CUFF TEXTURE LEAD FREE STERILE 11 4/5IN THK.23MM CURVE,223.34,111.67,48.71,201.01,64
RC,0272,GLOVE RADIATION 7.5 ALIMED LATEX FREE YELLOW POWDER FREE BEAD CUFF ATTENUATION LEAD FREE STERILE 11 4/5IN THK.23MM,213.16,106.58,46.49,191.84,64
RC,0272,GLOVE RADIATION PROTECTION SIZE 8 LEAD MAXRAD LATEX-FREE STERILE,320.0,160.0,69.79,288.0,64
RC,0272,GLOVE RADIOLOGY 6.5 ENCORE LATEX FREE KHAKI POWDER FREE TEXTURE BEAD CUFF LEAD FREE STERILE BISMUTH OXIDE NATURAL RUBBER 11IN,156.0,78.0,34.02,140.4,64
RC,0272,GLOVE RADIOLOGY 7 ENCORE LATEX FREE KHAKI POWDER FREE TEXTURE BEAD CUFF LEAD FREE STERILE BISMUTH OXIDE NATURAL RUBBER 11IN,168.5,84.25,36.75,151.65,64
RC,0272,GLOVE RADIOLOGY 7.5 GAMMEX RADIATION ATTENUATION STRAIGHT CUFF POWDER FREE LEAD FREE BLACK STANDARD POLYISOPRENE BISMUTH OXIDE,164.0,82.0,35.77,147.6,64
RC,0272,GLOVE RADIOLOGY 7.5 POWDER FREE TEXTURE BEAD CUFF BLACK L12 IN THK12 MIL POLYISOPRENE,735.8,367.9,160.48,662.22,64
RC,0272,GLOVE RADIOLOGY 8 ALIMED LATEX FREE POWDER FREE BEAD CUFF TEXTURE LEAD FREE STERILE 11 4/5IN,245.0,122.5,53.43,220.5,64
RC,0272,GLOVE RADIOLOGY 8 GAMMEX LATEX BLACK RADIATION ATTENUATION STRAIGHT CUFF POWDER FREE LEAD FREE POLYISOPRENE BISMUTH OXIDE STANDARD,164.0,82.0,35.77,147.6,64
RC,0272,GLOVE RADIOLOGY 8 RADION-X POWDER FREE TEXTURE BEAD CUFF KHAKI L12 IN THK11.8 MIL NATURAL RUBBER,833.75,416.88,181.84,750.38,64
RC,0272,GLOVE RADIOLOGY 8 SHIELD POWDER FREE TEXTURE BEAD CUFF BLACK L12 IN POLYISOPRENE POLYMER,735.8,367.9,160.48,662.22,64
RC,0272,GLOVE RADIOLOGY 8.5 ALIMED LATEX FREE YELLOW POWDER FREE TEXTURE BEAD CUFF ATTENUATION STERILE 11 4/5IN THK.23MM CURVE,234.46,117.23,51.14,211.01,64
RC,0272,GLOVE RADIOLOGY 8.5 ENCORE LATEX FREE KHAKI POWDER FREE TEXTURE BEAD CUFF LEAD FREE STERILE BISMUTH OXIDE NATURAL RUBBER 11IN,156.0,78.0,34.02,140.4,64
RC,0272,GLOVE RADIOLOGY 8.5 LATEX FREE RADIATION RESISTANT STERILE SYNTHETIC RUBBER DISPOSABLE,234.46,117.23,51.14,211.01,64
RC,0272,GLOVE RADIOLOGY SIZE 8.5 10.8INL 11.8MIL FINGER POLYISOPRENE BISMUTH OXIDE HAND SPECIFIC POWDER-FREE BEADED CUFF FULLY TEXTURED FINISH BLACK GAMMEX LATEX-FREE STERILE PR,152.63,76.32,33.29,137.37,64
RC,0272,GLOVE RESIST SPEC-TEC-CUT,709.29,354.65,154.7,638.36,64
RC,0272,GLOVE SURGICAL RADIATION PROTECTION SIZE 9 11.8INL 12MIL FINGER SYNTHETIC POLYISOPRENE POWDER-FREE BEADED CUFF LIGHTLY TEXTURED FINISH POLYMER COATED BLACK SENSICARE SHIELD LATEX-FREE STERILE PR,640.0,320.0,139.58,576.0,64
RC,0272,GOWN SURGICAL XL LEVEL 4 TOGA ZIPPER PEEL AWAY STERILE DISPOSABLE STERI-SHIELD FLYTE,777.37,388.69,169.54,699.63,64
RC,0272,GOWN WARMING BAIR HUGGER PERI-OP FULL BODY XLARGE 51IN 122IN SWEEP 2-HOSE PORT WRAP AROUND F/PACU 20/CA,245.52,122.76,53.55,220.97,64
RC,0272,GRAFT BIOXPRESS 10CM ALLOGRAFT BLUNT TIP BONE,150.0,75.0,32.72,135.0,64
RC,0272,GRAFT BONE RHBMP-2 BOVINE COLLAGEN L26 MM 8 ML ABSORBABLE VIAL SYRINGE NEEDLE INFUSE LARGE SPINE OD18 MM LUMBAR TAPER FUSION DEVICE,5732.7,2866.35,1250.3,5159.43,64
RC,0272,GRAFT DELIVERY SYSTEM ALLOGRAFT BONE,175.0,87.5,38.17,157.5,64
RC,0272,GRAFT STENT AAA TRIVASCULAR AUTOINJECTOR 2,499.0,249.5,108.83,449.1,64
RC,0272,GRASPER ARTHROSCOPIC 15 D SUTURE,407.0,203.5,88.77,366.3,64
RC,0272,GRASPER ARTHROSCOPIC 60 D SUTURE,407.0,203.5,88.77,366.3,64
RC,0272,GRASPER ENDOSCOPIC 220CM 2.8MM FTRD STERILE LATEX FREE DISPOSABLE,699.0,349.5,152.45,629.1,64
RC,0272,GRASPER ENDOSCOPIC 5 MM TRAUMATIC GRIPPER PERCUVANCE,450.0,225.0,98.15,405.0,64
RC,0272,GRASPER ENDOSCOPIC 5MM DIA INSULATED/ROTATING SHAFT ENDOPATH LATEX-FREE STERILE DISPOSABLE,239.17,119.59,52.16,215.25,64
RC,0272,GRASPER ENDOSCOPIC 5MM JOHANS DISPOSABLE,450.0,225.0,98.15,405.0,64
RC,0272,GRASPER ENDOSCOPIC CARTRIDGE ATRAUMATIC 32CM 5MM DIRECT DRIVE 20MM DISPOSABLE,660.0,330.0,143.95,594.0,64
RC,0272,GRASPER ENDOSCOPIC FLEXIBLE OLYMPUS,66.18,33.09,14.43,59.56,64
RC,0272,GRASPER ENDOSCOPIC L115 CM 3 PRONG OPEN WIDER OD2.8 FR ODSEC15 MM CAPTURA,312.5,156.25,68.16,281.25,64
RC,0272,GRASPER ENDOSCOPIC L300 MM 12.5 MM MULTIFUNCTIONAL SLIM SHAFT INTEGRATE NEEDLE TIP OD2.4 MM MINILAP MINIGRIP,1320.0,660.0,287.89,1188.0,64
RC,0272,GRASPER ENDOSCOPIC RATCHET HANDLE ROTATION KNOB TROCAR 39CM 10MM ENDOPATH BABCOCK 360D STERILE LATEX FREE DISPOSABLE,282.36,141.18,61.58,254.12,64
RC,0272,GRASPER ENDOSCOPIC TWIN 220CM OTSC,699.0,349.5,152.45,629.1,64
RC,0272,GRASPER ENDOSCOPIC W12.5 MM ALLIGATOR OD2.3 MM MINILAP PERCUTANEOUS,1320.0,660.0,287.89,1188.0,64
RC,0272,GRASPER LAPAROSCOPIC 32.91 CM 70 D LONG BIPOLAR OD8 MM ENDOWRIST DA VINCI XI 2.2 CM 10 USE,4263.0,2131.5,929.76,3836.7,64
RC,0272,GRASPER LAPAROSCOPIC 45CM 5MM EPIX 20MM LATEX FREE DISPOSABLE,900.0,450.0,196.29,810.0,64
RC,0272,GRASPER LAPAROSCOPIC 8MM ENDOWRIST DA VINCI XI LONG BIPOLAR REPOSABLE,2900.0,1450.0,632.49,2610.0,64
RC,0272,GRASPER LAPAROSCOPIC AUTOMATIC HANDLE PAD 35CM 5MM DIRECT DRIVE EPIX LATIS 20MM STERILE LATEX FREE DISPOSABLE,900.0,450.0,196.29,810.0,64
RC,0272,GRASPER LAPAROSCOPIC CLUTCH HANDLE MINILAP MINIGRIP,1320.0,660.0,287.89,1188.0,64
RC,0272,GRASPER LAPAROSCOPIC CROCODILE OD5 MM ENDOWRIST,595.0,297.5,129.77,535.5,64
RC,0272,GRASPER LAPAROSCOPIC FENESTRATE 42MM 5MM CONTROL TIP LONG REUSABLE,500.15,250.08,109.08,450.14,64
RC,0272,GRASPER LAPAROSCOPIC FENESTRATE 5MM CONTROLTIP 22.6MM DISPOSABLE,500.15,250.08,109.08,450.14,64
RC,0272,GRASPER LAPAROSCOPIC GRABBER ATRAUMATIC PAD SOFT INSERT 22.6MM SUPER-ATRAU POLYMER DISPOSABLE,419.64,209.82,91.52,377.68,64
RC,0272,GRASPER LAPAROSCOPIC GRABBER RENEW STERILE LATEX FREE DISPOSABLE,594.68,297.34,129.7,535.21,64
RC,0272,GRASPER LAPAROSCOPIC L31 CM ON OFF SWITCH RATCHET HANDLE OD5 MM ENDO CLINCH II,1536.72,768.36,335.16,1383.05,64
RC,0272,GRASPER LAPAROSCOPIC L31 CM SPIN LOCK OD5 MM ROTICULATOR ENDO GRASP,1657.02,828.51,361.4,1491.32,64
RC,0272,GRASPER LAPAROSCOPIC L33 CM RATCHET HANDLE OD10 MM ENDOPATH ANVIL,324.48,162.24,70.77,292.03,64
RC,0272,GRASPER LAPAROSCOPIC L36 CM 2 ACTION ATRAUMATIC SLIDE LOCK ROTATABLE OD5 MM PRESTIGE,1008.69,504.35,220.0,907.82,64
RC,0272,GRASPER LAPAROSCOPIC L56.7 CM 2 FENESTRATE OD8 MM DA VINCI SI ENDOWRIST,2100.0,1050.0,458.01,1890.0,64
RC,0272,GRASPER LAPAROSCOPIC LAPCLINCH 5MM CONTROLTIP 22.6MM DISPOSABLE,500.15,250.08,109.08,450.14,64
RC,0272,GRASPER LAPAROSCOPIC MODIFY 5MM CONTROLTIP RAPTOR 25.9MM DISPOSABLE,500.15,250.08,109.08,450.14,64
RC,0272,GRASPER LAPAROSCOPIC REPOSABLE OD5 MM DA VINCI SI SINGLE-SITE FUNDUS 5 USE,595.0,297.5,129.77,535.5,64
RC,0272,GRASPER LAPAROSCOPIC SUPER ATRAUMATIC 5MM CONTROLTIP RAPTOR DISPOSABLE,419.64,209.82,91.52,377.68,64
RC,0272,GRASPER LAPAROSCOPIC TIP UP FENESTRATE OD8 MM DA VINCI XI DA VINCI X ENDOWRIST,2310.0,1155.0,503.81,2079.0,64
RC,0272,GRASPER RBTC ENDOWRIST DA VINCI S/SI 8MMX55.4CM CDR DBL-FEN 30 USE/PREP,2835.0,1417.5,618.31,2551.5,64
RC,0272,GRASPER ROBOTIC FENESTRATED DA VINCI XI,2000.0,1000.0,436.2,1800.0,64
RC,0272,GRASPER SURGICAL TRADITIONAL BABCOCK DESIGN 1.39IN LARGE DISPOSABLE 10MM TROCAR,581.95,290.98,126.92,523.76,64
RC,0272,GRID BRACHYTHERAPY 18GA DIA TEMPLATE,308.0,154.0,67.17,277.2,64
RC,0272,GRID BREAST BIOPSY SENTINELLE STERILE,400.0,200.0,87.24,360.0,64
RC,0272,GRIP DILATOR 2.5IN 11.9-22.5FR TORQMAX II POLYMER SHEATH V GROOVE CONTOUR SHELL SIDE LOAD DISPOSABLE,283.0,141.5,61.72,254.7,64
RC,0272,GUARD DRILL GUIDE CUFF DISPOSABLE,1561.81,780.91,340.63,1405.63,64
RC,0272,GUARD DRILL GUIDE ENTRY CUFF,1290.0,645.0,281.35,1161.0,64
RC,0272,GUARD PIN 6 BALLS W SERIES JURGAN PIN BALL RED .028 IN K WIRE,46.0,23.0,10.03,41.4,64
RC,0272,GUARD PIN BLACK 3/8IN JURGAN PIN BALL .065-5/64IN W SERIES,46.0,23.0,10.03,41.4,64
RC,0272,GUARD PIN DARK BLUE PIN BALL .035IN 6 BALL W SERIES STERILE LATEX FREE DISPOSABLE,48.0,24.0,10.47,43.2,64
RC,0272,GUARD PIN STANDARD WHITE 3/8IN JURGAN PIN BALL 6 BALL REFILL .054-.062IN WIRE W SERIES NONSTERILE LATEX FREE DISPOSABLE,44.0,22.0,9.6,39.6,64
RC,0272,GUARD PIN WHITE .045IN JURGAN PIN BALL 6 BALL BB SERIES .045IN WIRE/PEN STERILE LATEX FREE DISPOSABLE,44.0,22.0,9.6,39.6,64
RC,0272,GUARD PIN WHITE 3/8IN JURGAN PIN BALL 3/32IN 6 BALLS W SERIES,44.0,22.0,9.6,39.6,64
RC,0272,GUARD SUCTION CUSA EXCEL CONTAMINATION ULTRASONIC TISSUE ABLATION NONSTERILE,459.16,229.58,100.14,413.24,64
RC,0272,GUIDE AEQUALIS PERFORM BLUEPRINT SURGICAL GLENOID,437.0,218.5,95.31,393.3,64
RC,0272,GUIDE AIM GEMINUS SURGICAL POLYAXIAL LOCK SCREW,47.0,23.5,10.25,42.3,64
RC,0272,GUIDE AIMING ARM OBLIQUE SURGICAL PERIARTICULAR 4.5 MM LCP PROXIMAL TIBIA PLATES RIGHT,794.86,397.43,173.36,715.37,64
RC,0272,GUIDE BAR EXTRACTION NA SURGICAL,934.0,467.0,203.71,840.6,64
RC,0272,GUIDE CATHETER NONSTERILE LATEX FREE,600.0,300.0,130.86,540.0,64
RC,0272,GUIDE CUSTOM MODEL SURGICAL,1195.0,597.5,260.63,1075.5,64
RC,0272,GUIDE CUSTOM PATIENT SPECIFIC PROPLAN CMF SURGICAL 2X DISTRACTOR POSITIONING,718.96,359.48,156.81,647.06,64
RC,0272,GUIDE CUT TRUMATCH SURGICAL FEMORAL LEFT CT,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE CUT TRUMATCH SURGICAL FEMORAL RIGHT CT,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE CUTTING ADAPTIVE KIT PRIMARY NONSTERILE VISIONAIRE LEGION DISPOSABLE LATEX FREE,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE CUTTING ADAPTIVE KIT PRIMARY VISIONAIRE LEGION,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE CUTTING ADAPTIVE KIT VISIONAIRE JOURNEY II,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE CUTTING COMPLEX IPS LP ORTHOG,3960.0,1980.0,863.68,3564.0,64
RC,0272,GUIDE CUTTING RECONSTRUCTION COMPLEX IPS,8412.0,4206.0,1834.66,7570.8,64
RC,0272,GUIDE CUTTING RECONSTRUCTION IPS LP,6127.0,3063.5,1336.3,5514.3,64
RC,0272,GUIDE CUTTING RIGHT ANKLE JOINT FLAT-CUT COUPLED AXIOM PSR,1200.0,600.0,261.72,1080.0,64
RC,0272,GUIDE CUTTING XL RECONSTRUCTION IPS LP,4295.0,2147.5,936.74,3865.5,64
RC,0272,GUIDE CUTTING XS RECONSTRUCTION IPS LP,2523.0,1261.5,550.27,2270.7,64
RC,0272,GUIDE DRILL 1.8MM SHORT THREAD NONSTERILE,138.7,69.35,30.25,124.83,64
RC,0272,GUIDE DRILL 2 VARIABLE ANGLE LOCK FREE HAND L1.5 MM 2 MM PLATE,707.46,353.73,154.3,636.71,64
RC,0272,GUIDE DRILL 2.7MM DIA LONG STERILE,1799.0,899.5,392.36,1619.1,64
RC,0272,GUIDE DRILL ACUFEX DIRECTOR ELITE,500.0,250.0,109.05,450.0,64
RC,0272,GUIDE DRILL COMPRESSION 4.5 MM CORTEX SCREW,724.65,362.33,158.05,652.19,64
RC,0272,GUIDE DRILL EXTREMITIES UNIVERSAL,200.0,100.0,43.62,180.0,64
RC,0272,GUIDE DRILL FENESTRATION 2.0MM,195.0,97.5,42.53,175.5,64
RC,0272,GUIDE DRILL ID2.6 MM COMPRESSION POLYAXIAL VARIAX T10,351.24,175.62,76.61,316.12,64
RC,0272,GUIDE DRILL MEDIALIZATION 3.5 5 MM PLATE,342.71,171.36,74.75,308.44,64
RC,0272,GUIDE DRILL NEUTRAL 3.5 MM LCP PERCUTANEOUS INSTRUMENT SYSTEM,1002.68,501.34,218.68,902.41,64
RC,0272,GUIDE DRILL NEUTRAL 4.5MM CORTEX SCREW,724.65,362.33,158.05,652.19,64
RC,0272,GUIDE DRILL OD1 MM THREAD 1.3 MM LOCK PLATE,307.91,153.96,67.16,277.12,64
RC,0272,GUIDE DRILL OD1.1 MM 2 VARIABLE ANGLE CONE 1.5 MM LOCK PLATE,707.46,353.73,154.3,636.71,64
RC,0272,GUIDE DRILL OD1.1 MM 2 VARIABLE ANGLE FREEHAND 1.5 MM LOCK PLATE,707.46,353.73,154.3,636.71,64
RC,0272,GUIDE DRILL OD1.1 MM THREAD 1.5 MM PLATE,151.5,75.75,33.04,136.35,64
RC,0272,GUIDE DRILL OD1.5 MM SOLID THREAD LCP LCP 2 MM LOCK SCREW,221.83,110.92,48.38,199.65,64
RC,0272,GUIDE DRILL OD1.5 MM VARIABLE ANGLE LOCK CONE 2 MM PLATE,707.46,353.73,154.3,636.71,64
RC,0272,GUIDE DRILL OD1.6 MM DYNOMITE DYNOMITE 2 MM SUTURE ANCHOR,90.0,45.0,19.63,81.0,64
RC,0272,GUIDE DRILL OD1.8 MM COMBINATION VA-LOCK STANDARD,836.63,418.32,182.47,752.97,64
RC,0272,GUIDE DRILL OD1.8 MM MEASURE BLOCK,591.45,295.73,129.0,532.31,64
RC,0272,GUIDE DRILL OD1.8 MM MINITAC 2 MM SPYROMITE MINITAC SUTURE ANCHOR,90.0,45.0,19.63,81.0,64
RC,0272,GUIDE DRILL OD1.8 MM SOLID THREAD LCP LCP 2.4 MM LOCK SCREW,221.83,110.92,48.38,199.65,64
RC,0272,GUIDE DRILL OD1.8 MM THREAD 2.4 MM CONDYLAR PLATE,72.22,36.11,15.75,65.0,64
RC,0272,GUIDE DRILL OD1.8 MM VARIABLE ANGLE LOCK COAXIAL,535.66,267.83,116.83,482.09,64
RC,0272,GUIDE DRILL OD1.8 MM VARIABLE ANGLE LOCK CONE,535.66,267.83,116.83,482.09,64
RC,0272,GUIDE DRILL OD1.8 MM VARIABLE ANGLE LOCK UNIVERSAL,607.89,303.95,132.58,547.1,64
RC,0272,GUIDE DRILL OD1.8 MM WFS MINI,25.0,12.5,5.45,22.5,64
RC,0272,GUIDE DRILL OD2 MM ODSEC2.8 MM THIN ACUMED,355.0,177.5,77.43,319.5,64
RC,0272,GUIDE DRILL OD2 MM THREAD 2.7 MM LOCK SCREW,218.2,109.1,47.59,196.38,64
RC,0272,GUIDE DRILL OD2 MM THREAD DEPTH GAUGE SMALL FRAGMENT SET,488.07,244.04,106.45,439.26,64
RC,0272,GUIDE DRILL OD2 MM VARIABLE ANGLE LOCK,491.06,245.53,107.1,441.95,64
RC,0272,GUIDE DRILL OD2 MM VARIABLE ANGLE LOCK COAXIAL 2.7 MM BIT,491.06,245.53,107.1,441.95,64
RC,0272,GUIDE DRILL OD2 MM VARIABLE ANGLE LOCK UNIVERSAL,551.93,275.97,120.38,496.74,64
RC,0272,GUIDE DRILL OD2-8 MM WIRE L140 MM CANNULATED HUMERAL NAIL INSERTION SYSTEM,125.72,62.86,27.42,113.15,64
RC,0272,GUIDE DRILL OD2.3 MM REMOVABLE SPACER BAHA STAINLESS STEEL L4 MM L3 MM,186.75,93.38,40.73,168.08,64
RC,0272,GUIDE DRILL OD2.7 MM UNIVERSAL SMALL FRAGMENT SET,410.31,205.16,89.49,369.28,64
RC,0272,GUIDE DRILL OD2.8 MM FIX ANGLE LCP,381.65,190.83,83.24,343.49,64
RC,0272,GUIDE DRILL OD2.8 MM THREAD LOW BEND PERCUTANEOUS,912.87,456.44,199.1,821.58,64
RC,0272,GUIDE DRILL OD2.8 MM THREAD SHORT,159.29,79.65,34.74,143.36,64
RC,0272,GUIDE DRILL OD2.8 MM VARIABLE ANGLE,691.24,345.62,150.76,622.12,64
RC,0272,GUIDE DRILL OD2.8 MM VARIABLE ANGLE SPHERICAL HEAD,409.57,204.79,89.33,368.61,64
RC,0272,GUIDE DRILL OD3 MM PIN PRECISION L320 MM,292.5,146.25,63.79,263.25,64
RC,0272,GUIDE DRILL OD3.2-13 MM WIRE SPIRAL BLADE AIM ARM,401.61,200.81,87.59,361.45,64
RC,0272,GUIDE DRILL OD3.2-8.5 MM WIRE RECONSTRUCTION LOCK,159.09,79.55,34.7,143.18,64
RC,0272,GUIDE DRILL OD3.5 MM UNIVERSAL,452.52,226.26,98.69,407.27,64
RC,0272,GUIDE DRILL OD4.3 MM 5 MM LOCK SCREW,620.49,310.25,135.33,558.44,64
RC,0272,GUIDE DRILL OD4.3 MM THREAD LCP 5 MM LOCK SCREW LARGE FRAGMENT SET,189.73,94.87,41.38,170.76,64
RC,0272,GUIDE DRILL OD4.5 MM UNIVERSAL LARGE FRAGMENT SET,452.52,226.26,98.69,407.27,64
RC,0272,GUIDE DRILL OD4.8 MM TIBIA BICORTICAL PROXIMAL CORNER INFINITY INBONE TOTAL ANKLE SYSTEM,171.0,85.5,37.3,153.9,64
RC,0272,GUIDE DRILL OD7 MM GOLD FEMUR ACL TRANSTIBIAL TRANSTIBIAL OFFSET 7-8 MM HOLE,835.0,417.5,182.11,751.5,64
RC,0272,GUIDE DRILL RADIAL HEAD LOCK SCREW PROBE ACU-LOC 2 MM,455.0,227.5,99.24,409.5,64
RC,0272,GUIDE DRILL THREAD 3.8 MM 3.5 MM PLATE,239.03,119.52,52.13,215.13,64
RC,0272,GUIDE DRILL THREAD 4.3 MM 5 MM PLATE,239.03,119.52,52.13,215.13,64
RC,0272,GUIDE DRILL W/STOP F/BIT 2.0/1.15MM DIA NO 310.221 LATEX-FREE NON-STERILE,469.81,234.91,102.47,422.83,64
RC,0272,GUIDE HAMMER SURGICAL SLIDE FIX,715.76,357.88,156.11,644.18,64
RC,0272,GUIDE INSERTION NOSE SURGICAL,1201.3,600.65,262.0,1081.17,64
RC,0272,GUIDE INSERTION SURGICAL 3.5 PERIARTICULAR PROXIMAL LEFT HUMERAL PLATE,1239.65,619.83,270.37,1115.69,64
RC,0272,GUIDE INSERTION SURGICAL 3.5 PERIARTICULAR PROXIMAL RIGHT HUMERAL PLATE,1239.65,619.83,270.37,1115.69,64
RC,0272,GUIDE KIT ADAPTIVE VISIONAIRE JOURNEY II SURGICAL,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE L60 IN IPS SURGICAL,6999.0,3499.5,1526.48,6299.1,64
RC,0272,GUIDE L90 CM OD18 FR 3 DEFLECTABLE TIP RADIOPAQUE STEERABLE CATHETER OBTURATOR HELI-FX SURGICAL L32 MM ACCEPTS .035 IN GUIDEWIRE THORACOABDOMINAL AORTIC ANEURYSM,2320.34,1160.17,506.07,2088.31,64
RC,0272,GUIDE LARGE LOCK NEUTRAL SELF RETAIN SURGICAL,1483.17,741.59,323.48,1334.85,64
RC,0272,GUIDE LOCK NEUTRAL SURGICAL 3.5 MM VA-LCP PROXIMAL TIBIA AIM ARM,933.19,466.6,203.53,839.87,64
RC,0272,GUIDE NEEDLE 12 14 16 18GA DIA W/14CMW X 147CML TELESCOPICALLY-FOLDED CIV-FLEX COVER INFINITI PLUS STERILE DISPOSABLE,533.0,266.5,116.25,479.7,64
RC,0272,GUIDE NEEDLE 16-18GA 1.4INW X 7.9INL TAPERED W/PROBE COVER F/ENDOCAVITY LATEX DISPOSABLE,423.0,211.5,92.26,380.7,64
RC,0272,GUIDE NEEDLE 16-18GA 1D 7.9X1.8IN 7.9X1IN ENDOCAVITY LATEX COVER GEL BAND STERILE SONOSITE C8 TRANSDUCER DISPOSABLE,360.0,180.0,78.52,324.0,64
RC,0272,GUIDE NEEDLE 18GA 48IN KIT ULTRASOUND STERILE SITE-RITE DISPOSABLE LATEX-FREE,4149.4,2074.7,904.98,3734.46,64
RC,0272,GUIDE NEEDLE 20X3.5CM ENDOCAVITY LATEX COVER STERILE ACCEPTS 16-18GA INSTRUMENT CC41R CC41R1 C41V TRANSDUCER DISPOSABLE,415.0,207.5,90.51,373.5,64
RC,0272,GUIDE NEEDLE 21GA 96IN KIT SITE-RITE ULTRASOUND,185.3,92.65,40.41,166.77,64
RC,0272,GUIDE NEEDLE 8.5FR 58X5.5IN TELESCOPIC FOLD 3D COVER LARGE TAB STERILE ULTRA-PRO II CIV-FLEX DISPOSABLE LATEX FREE,488.0,244.0,106.43,439.2,64
RC,0272,GUIDE NEEDLE 9GA SITE IDENTIFIER ATEC DISPOSABLE,15.0,7.5,3.27,13.5,64
RC,0272,GUIDE NEEDLE BIOPSY BIPLANE STERILE TRANSDUCER 8818 8808E DISPOSABLE,313.0,156.5,68.27,281.7,64
RC,0272,GUIDE NEEDLE DUAL READY TO USE INDIVIDUALLY STERILE DISPOSABLE,387.0,193.5,84.4,348.3,64
RC,0272,GUIDE NEEDLE ENDOCAVITY STERILE ACCEPTS 16-18GA INSTRUMENT E72 E721 E8C TRANSDUCER DISPOSABLE,375.0,187.5,81.79,337.5,64
RC,0272,GUIDE NEEDLE F/ULTRASOUND THERAPY STERILE DISPOSABLE,300.0,150.0,65.43,270.0,64
RC,0272,GUIDE NEEDLE ULTRASOUND 18-25GA INFINITE PLUS NON-STERILE,456.0,228.0,99.45,410.4,64
RC,0272,GUIDE NEEDLE ULTRASOUND ENDOCAVITY CONTOURED 1-PIECE LOW-PROFILE F/16GA 14CM NDL STERILE DISPOSABLE WOMENS HEALTH 6CV1/6CV1S/65EB10EA,404.0,202.0,88.11,363.6,64
RC,0272,GUIDE NERVE 7MM 3CM PERIPHERAL EXCELLENT HANDLING SEMIPERMEABLE SIMPLE EASY TO USE NONPYROGENIC STERILE NEURAGEN DISPOSABLE BOVINE COLLAGEN MATRIX,1859.32,929.66,405.52,1673.39,64
RC,0272,GUIDE OBLIQUE SURGICAL 4.5 MM LCP PROXIMAL TIBIA PLATE PERIARTICULAR AIM ARM,794.86,397.43,173.36,715.37,64
RC,0272,GUIDE OD15 MM SURGICAL 2.4 MM VA LCP INTERCARPAL FUSION PLATE,737.66,368.83,160.88,663.89,64
RC,0272,GUIDE OD17 MM SURGICAL 2.4 MM VA LCP INTERCARPAL FUSION PLATE,737.66,368.83,160.88,663.89,64
RC,0272,GUIDE OD2 MM AIM DISTAL ELBOW PLATING SYSTEM SURGICAL,29.0,14.5,6.32,26.1,64
RC,0272,GUIDE OD2 MM AIM SNAP FIT HUMERAL FIXATION SET HUMERAL FIXATION SET SURGICAL,156.0,78.0,34.02,140.4,64
RC,0272,GUIDE OD4 MM DRILL SLEEVE TRIGEN META-NAIL SURGICAL,139.7,69.85,30.47,125.73,64
RC,0272,GUIDE OD7/16 MM BOLT TRIGEN SURGICAL,229.0,114.5,49.94,206.1,64
RC,0272,GUIDE OFFSET SURGICAL 2.8 MM FASTAK 3 MM SUTURETAK 2.4/2.9 MM PUSHLOCK,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE ORTHOGNATHICS VSP SURGICAL NYLON,1800.0,900.0,392.58,1620.0,64
RC,0272,GUIDE PIN 12.5 D 20 D 3D CORRECTION FIXATION PIN MOTOBAND CP INTRAMEDULLARY LEFT,830.7,415.35,181.18,747.63,64
RC,0272,GUIDE PIN FLEXIBLE DRILL ASSEMBLE SHEATH WIRE SUTURE SLOT OD2.2 MM ODSEC2.4 MM PATHFINDER NITINOL ALLOY,1400.0,700.0,305.34,1260.0,64
RC,0272,GUIDE PIN OD2 MM SHOULDER,110.0,55.0,23.99,99.0,64
RC,0272,GUIDE PIN ORTHOPEDIC 140MM 1.3MM BAYONET 4MM 5MM CANNULATED SCREW STERILE DISPOSABLE,113.94,56.97,24.85,102.55,64
RC,0272,GUIDE PIN ORTHOPEDIC 140MM 1.3MM STAINLESS STEEL TROCAR POINT TIP THREAD 4MM CANNULATED SCREW SET,113.94,56.97,24.85,102.55,64
RC,0272,GUIDE PIN ORTHOPEDIC 150MM 1.2MM DELTA XTEND LARGE GLENOID SCREW REVERSE SHOULDER SYSTEM DISPOSABLE,107.1,53.55,23.36,96.39,64
RC,0272,GUIDE PIN ORTHOPEDIC 152MM 2.4MM THREAD INTERMEDIATE STERILE,27.7,13.85,6.04,24.93,64
RC,0272,GUIDE PIN ORTHOPEDIC 2.5 MM BREAKAWAY GLOBAL APG+ GLENOID,146.25,73.13,31.9,131.63,64
RC,0272,GUIDE PIN ORTHOPEDIC 230MM 3.2MM THREAD TIP CALIBRATE CANNULATED SCREW STERILE,174.9,87.45,38.15,157.41,64
RC,0272,GUIDE PIN ORTHOPEDIC 240MM 4MM INTRAMEDULLARY TROCAR POINT REVISION NAIL SYSTEM DISPOSABLE,99.74,49.87,21.75,89.77,64
RC,0272,GUIDE PIN ORTHOPEDIC 2MM BIOBLOCK SUBTALAR IMPLANT,36.23,18.12,7.9,32.61,64
RC,0272,GUIDE PIN ORTHOPEDIC 3.2MM IMHS CP INTRAMEDULLARY THREAD TIP,63.89,31.95,13.93,57.5,64
RC,0272,GUIDE PIN ORTHOPEDIC 300MM 1.9MM THREAD 5.5MM CANNULATED SCREW STERILE,31.35,15.68,6.84,28.22,64
RC,0272,GUIDE PIN ORTHOPEDIC 300MM 3.2MM PERI-LOC DRILL TIP CALIBRATED,31.54,15.77,6.88,28.39,64
RC,0272,GUIDE PIN ORTHOPEDIC 300MM 3.2MM THREAD,1211.82,605.91,264.3,1090.64,64
RC,0272,GUIDE PIN ORTHOPEDIC 343MM 3.2MM BRAD POINT TIP THREAD DISPOSABLE,94.22,47.11,20.55,84.8,64
RC,0272,GUIDE PIN ORTHOPEDIC 343MM 3.2MM TRIGEN META-TAN,81.56,40.78,17.79,73.4,64
RC,0272,GUIDE PIN ORTHOPEDIC 3IN 1/8IN GENESIS TROCAR II KNEE STERILE DISPOSABLE,74.1,37.05,16.16,66.69,64
RC,0272,GUIDE PIN ORTHOPEDIC 5IN 1/8IN GENESIS II KNEE TROCAR TIP STERILE DISPOSABLE,74.1,37.05,16.16,66.69,64
RC,0272,GUIDE PIN ORTHOPEDIC 600MM 3.2MM TRIGEN HUMERUS THREAD TIP INTRAMEDULLARY NAIL DISPOSABLE,102.86,51.43,22.43,92.57,64
RC,0272,GUIDE PIN ORTHOPEDIC ANATOMIC ALTIVATE CS EDGE,198.5,99.25,43.29,178.65,64
RC,0272,GUIDE PIN ORTHOPEDIC ANTISKIVE OD1.4 MM PROSTEP MICA,40.8,20.4,8.9,36.72,64
RC,0272,GUIDE PIN ORTHOPEDIC BREAK AWAY OD2.4 MM FEMUR OSTEOTOMY,222.0,111.0,48.42,199.8,64
RC,0272,GUIDE PIN ORTHOPEDIC BREAK AWAY OD3 MM FEMUR OSTEOTOMY,192.0,96.0,41.88,172.8,64
RC,0272,GUIDE PIN ORTHOPEDIC CALIBRATE CALIBRATED GUIDE PIN,60.5,30.25,13.2,54.45,64
RC,0272,GUIDE PIN ORTHOPEDIC CALIBRATE OD2.5 MM DELTA XTEND,99.0,49.5,21.59,89.1,64
RC,0272,GUIDE PIN ORTHOPEDIC CANNULATED FLEXIBLE GRAFT PLACEMENT OD3 MM RETRODRILL KNEE FEMUR TIBIA,145.0,72.5,31.62,130.5,64
RC,0272,GUIDE PIN ORTHOPEDIC CENTRAL METAGLENE OD2.5 MM DELTA XTEND SHOULDER REVERSE SYSTEM,58.5,29.25,12.76,52.65,64
RC,0272,GUIDE PIN ORTHOPEDIC EYELET OPEN OD2.4 MM ZEBRA TIBIA,125.0,62.5,27.26,112.5,64
RC,0272,GUIDE PIN ORTHOPEDIC FLEXIBLE ARTHREX REAMER,155.0,77.5,33.81,139.5,64
RC,0272,GUIDE PIN ORTHOPEDIC FLEXIBLE GRAFT PLACEMENT OD3 MM RETRODRILL KNEE FEMUR TIBIA,128.0,64.0,27.92,115.2,64
RC,0272,GUIDE PIN ORTHOPEDIC FLEXIBLE OD2.7 MM VERSITOMIC,356.89,178.45,77.84,321.2,64
RC,0272,GUIDE PIN ORTHOPEDIC L100 MM RESECTION OD3 MM INHANCE,130.5,65.25,28.46,117.45,64
RC,0272,GUIDE PIN ORTHOPEDIC L150 MM OD2 MM TITAN ELBOW SHOULDER,37.35,18.68,8.15,33.62,64
RC,0272,GUIDE PIN ORTHOPEDIC L2.5 IN OD.062 MM OSTEOMED,61.0,30.5,13.3,54.9,64
RC,0272,GUIDE PIN ORTHOPEDIC L2.5 IN OD.101 MM EXTREMILOCK,61.0,30.5,13.3,54.9,64
RC,0272,GUIDE PIN ORTHOPEDIC L230 MM CALIBRATE OD3.2 MM CHS,81.0,40.5,17.67,72.9,64
RC,0272,GUIDE PIN ORTHOPEDIC L300 MM DRILL TIP OD2.8 MM CONQUEST FN,80.0,40.0,17.45,72.0,64
RC,0272,GUIDE PIN ORTHOPEDIC L300 MM LARGE GLENOID OD1.5 MM DELTA XTEND REVERSE SHOULDER SYSTEM,58.5,29.25,12.76,52.65,64
RC,0272,GUIDE PIN ORTHOPEDIC L300 MM THREAD OD2.8 MM COCR,62.61,31.31,13.66,56.35,64
RC,0272,GUIDE PIN ORTHOPEDIC L311 MM DRILL TIP OD2.4 MM,125.0,62.5,27.26,112.5,64
RC,0272,GUIDE PIN ORTHOPEDIC L311 MM DRILL TIP OD3.5 MM,95.0,47.5,20.72,85.5,64
RC,0272,"GUIDE PIN ORTHOPEDIC L381 MM OD3.2 MM GUIDE PIN, 3.2MM X 381MM TROCHANTERIC NAIL SYSTEM",126.0,63.0,27.48,113.4,64
RC,0272,GUIDE PIN ORTHOPEDIC L400 MM OD4 MM GAMMA3 HIP CANNULATE CUTTER,109.45,54.73,23.87,98.51,64
RC,0272,GUIDE PIN ORTHOPEDIC L50 CM SUTURE EYE OD2.4 MM ACL PCL REPAIR,68.0,34.0,14.83,61.2,64
RC,0272,GUIDE PIN ORTHOPEDIC L50 MM OD1.6 MM,125.0,62.5,27.26,112.5,64
RC,0272,GUIDE PIN ORTHOPEDIC L75 MM OD3 MM SIMPLICI-TI,81.0,40.5,17.67,72.9,64
RC,0272,GUIDE PIN ORTHOPEDIC NONTHREAD OD2 MM,256.74,128.37,55.99,231.07,64
RC,0272,GUIDE PIN ORTHOPEDIC OD1.1 MM NITINOL BIO-INTERFERENCE SCREW,126.0,63.0,27.48,113.4,64
RC,0272,GUIDE PIN ORTHOPEDIC SHORT OD2.4 MM BIO-TENODESIS,240.0,120.0,52.34,216.0,64
RC,0272,GUIDE PIN ORTHOPEDIC SIM PACK VERSITOMIC,1799.5,899.75,392.47,1619.55,64
RC,0272,GUIDE PROPHECY ALIGNMENT 45352,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE PROPHECY SHAH EVOLUTION ALIGNMENT 4L,400.0,200.0,87.24,360.0,64
RC,0272,GUIDE RECONSTRUCTION CUT SLOT IPS SURGICAL TITANIUM ALUMINUM,613.0,306.5,133.7,551.7,64
RC,0272,GUIDE RECONSTRUCTION DISTAL MARK IPS SURGICAL,1972.0,986.0,430.09,1774.8,64
RC,0272,GUIDE REVERSE AEQUALIS BLUEPRINT SURGICAL GLENOID,437.0,218.5,95.31,393.3,64
RC,0272,GUIDE ROD ORTHOPEDIC 1000MM 3MM TRIGEN INTRAMEDULLARY BALL TIP 8.5MM FEMORAL ANTEGRADE NAIL SYSTEM STERILE DISPOSABLE,116.96,58.48,25.51,105.26,64
RC,0272,GUIDE ROD ORTHOPEDIC 600MM 2MM TRIGEN HUMERUS BALL TIP GRADUATE INTRAMEDULLARY NAIL DISPOSABLE,106.49,53.25,23.23,95.84,64
RC,0272,GUIDE ROD ORTHOPEDIC L230 MM STOP TROCAR TIP OD2.5 MM STAINLESS STEEL HOLLOW DRILL,88.58,44.29,19.32,79.72,64
RC,0272,GUIDE ROD ORTHOPEDIC L230 MM STOP TROCAR TIP OD2.5 MM STAINLESS STEEL HOLLOW DRILL HUMERAL NAIL SYSTEM,23.8,11.9,5.19,21.42,64
RC,0272,GUIDE ROD ORTHOPEDIC L550 MM OD3 MM PHANTOM HINDFOOT NAIL,270.0,135.0,58.89,243.0,64
RC,0272,GUIDE ROD ORTHOPEDIC L900 MM OD2 MM TRIGEN INTERTAN SMALL FLEX REAMER,254.08,127.04,55.41,228.67,64
RC,0272,GUIDE ROD ORTHOPEDIC L950 MM SMOOTH TIP OD2.5 MM,144.32,72.16,31.48,129.89,64
RC,0272,GUIDE ROD ORTHOPEDIC L950 MM SMOOTH TIP OD3 MM,144.32,72.16,31.48,129.89,64
RC,0272,GUIDE ROD ORTHOPEDIC SUTURE LOOP OD8 MM G-FORCE,140.0,70.0,30.53,126.0,64
RC,0272,GUIDE SIZING CONTINUOUS COMPRESSION STERILE SPEED LATEX FREE,40.78,20.39,8.89,36.7,64
RC,0272,GUIDE SIZING CUT IBALANCE SPORTSPLASTY TIBIAL LEFT UNICONDYLAR KNEE ARTHROPLASTY,750.0,375.0,163.58,675.0,64
RC,0272,GUIDE SIZING CUT IBALANCE SPORTSPLASTY TIBIAL RIGHT UNICONDYLAR KNEE ARTHROPLASTY,600.0,300.0,130.86,540.0,64
RC,0272,GUIDE SIZING STAPLE OSSIO,200.0,100.0,43.62,180.0,64
RC,0272,GUIDE SPIRAL HAMMER SURGICAL SLIDE,923.36,461.68,201.38,831.02,64
RC,0272,GUIDE STABILIZE REGENETEN SURGICAL TENDON,125.0,62.5,27.26,112.5,64
RC,0272,GUIDE STEM ALIGNMENT INBONE PROPHECY SURGICAL TIBIA,800.0,400.0,174.48,720.0,64
RC,0272,GUIDE STEM ALIGNMENT INFINITY PROPHECY SURGICAL TIBIA,800.0,400.0,174.48,720.0,64
RC,0272,GUIDE STEM ALIGNMENT PROPHECY INVISION SURGICAL TIBIA,800.0,400.0,174.48,720.0,64
RC,0272,GUIDE SURGICAL MARKING DISTRACTION IPS 60-008-63-09-LP,1069.91,534.96,233.35,962.92,64
RC,0272,GUIDE SURGICAL MARKING DISTRACTION PLANNING IPS,3768.45,1884.23,821.9,3391.61,64
RC,0272,GUIDE SURGICAL NYLON ORTHOGNATHIC VSP,1904.25,952.13,415.32,1713.83,64
RC,0272,GUIDE SURGICAL RIGHT SHOULDER GLENOID AUGMENT 4-REAMER PEG ALLIANCE II,65.0,32.5,14.18,58.5,64
RC,0272,GUIDE SUTURE CURVED GABBAY-FRATER,234.9,117.45,51.23,211.41,64
RC,0272,GUIDE TARGET LOCKING 3.7MM F/LARGE FRAGMENT TARGETER SYSTEM EVOS,295.0,147.5,64.34,265.5,64
RC,0272,GUIDE TP PIVOT PRO TRANSPERINEAL BIOPSY NEEDLE,975.0,487.5,212.65,877.5,64
RC,0272,GUIDE TP PIVOT PRO TRANSPERINEAL BIOPSY WITH NEOGUARD OVER,1000.0,500.0,218.1,900.0,64
RC,0272,GUIDE XL CUSTOM RECONSTRUCTION IPS SURGICAL,3573.0,1786.5,779.27,3215.7,64
RC,0272,GUIDE XS CUSTOM RECONSTRUCTION CUT IPS SURGICAL,2099.0,1049.5,457.79,1889.1,64
RC,0272,GUIDE XS IPS SURGICAL RECONSTRUCTION MARK,4574.0,2287.0,997.59,4116.6,64
RC,0272,GUIDE XS RECONSTRUCTION IPS SURGICAL,1300.0,650.0,283.53,1170.0,64
RC,0272,GUIDEPIN ARTHROSCOPIC TROCAR TIP 32MM DIA 330MML STERILE Q4 2016,202.91,101.46,44.25,182.62,64
RC,0272,GUIDEPIN ORTHOPEDIC 1.2X50MM,130.0,65.0,28.35,117.0,64
RC,0272,GUIDEPIN ORTHOPEDIC 27MML FLAREHAWK,240.0,120.0,52.34,216.0,64
RC,0272,GUIDEPIN ORTHOPEDIC 27MML FLAREHAWK DISPOSABLE,80.0,40.0,17.45,72.0,64
RC,0272,GUIDEPIN ORTHOPEDIC 2MM,40.8,20.4,8.9,36.72,64
RC,0272,GUIDEPIN ORTHOPEDIC FLAREHAWK 7 LEGACY,80.0,40.0,17.45,72.0,64
RC,0272,GUIDEPIN ORTHOPEDIC HEADLESS 3MM LONG 100MM 26MM MAGNETIZABLE STEEL THREADED SQUARE HUB STERILE SINGLE-USE,195.0,97.5,42.53,175.5,64
RC,0272,GUIDEPIN ORTHOPEDIC HEADLESS 3MM LONG 150MM 26MM MAGNETIZABLE STEEL THREADED SQUARE HUB STERILE SINGLE-USE,195.0,97.5,42.53,175.5,64
RC,0272,GUIDES VSP CUTTING/MARKING,1347.5,673.75,293.89,1212.75,64
RC,0272,GUIDEWIRE .024 204CM DRIVEWIRE24 STEERABLE 14 SR,7875.0,3937.5,1717.54,7087.5,64
RC,0272,GUIDEWIRE 1.25MM 150MM ORTHOPEDIC SMOOTH,85.0,42.5,18.54,76.5,64
RC,0272,GUIDEWIRE 1.2MM ORTHOPEDIC BALL TIP STERILE,106.26,53.13,23.18,95.63,64
RC,0272,GUIDEWIRE 1.6MM 220MM ORTHOPEDIC STERILE,456.05,228.03,99.46,410.45,64
RC,0272,GUIDEWIRE 2MM ORTHOPEDIC BALL TIP STERILE,119.14,59.57,25.98,107.23,64
RC,0272,GUIDEWIRE 2MM ORTHOPEDIC WRIST,30.85,15.43,6.73,27.77,64
RC,0272,GUIDEWIRE 3.2MM 400MM ORTHOPEDIC DRILL TIP STERILE,141.32,70.66,30.82,127.19,64
RC,0272,GUIDEWIRE ARTHRO 2.4MMX9.25IN TROCAR TIP F/7MM XL COMPRESS SCREW SYSTEM SS LF,45.0,22.5,9.81,40.5,64
RC,0272,GUIDEWIRE ARTHROSCOPIC 2.4MM DIA DRILL TIP ENDOBUTTON STERILE DISPOSABLE,68.0,34.0,14.83,61.2,64
RC,0272,GUIDEWIRE DIGIFUSE 8X70MM,97.54,48.77,21.27,87.79,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 12 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 13 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 14 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 15 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 16 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 17 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 18 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 19 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 20 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 6 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 7 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 8 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC CLEANGUIDE 9 MM OTW MARK SPRING TIP ESOPHAGEAL DILATOR,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ENDOSCOPIC JAGWIRE OD3.9 FR L20 MM STRAIGHT TUNGSTEN L5 MM,424.94,212.47,92.68,382.45,64
RC,0272,GUIDEWIRE ENDOVASCULAR APTUS HELI-FX OD16 FR L62 CM DEFLECT TIP L28 MM 28-32 MM NECK AAA,1351.5,675.75,294.76,1216.35,64
RC,0272,GUIDEWIRE ENDOVASCULAR APTUS HELI-FX OD18 FR L90 CM DEFLECT TIP L22 MM 18-28 MM NECK TAA,2320.34,1160.17,506.07,2088.31,64
RC,0272,GUIDEWIRE FIXOS 2MM 150MM ORTHOPEDIC NONSTERILE LATEX FREE DISPOSABLE,76.62,38.31,16.71,68.96,64
RC,0272,GUIDEWIRE FIXOS 3.2MM 150MM ORTHOPEDIC NONSTERILE LATEX FREE DISPOSABLE,76.62,38.31,16.71,68.96,64
RC,0272,GUIDEWIRE INNATE 4.5MM .045IN 6IN ORTHOPEDIC 2 1 TROCAR DISPOSABLE,587.0,293.5,128.02,528.3,64
RC,0272,GUIDEWIRE KIRSCHNER 1.4MM 150MM ORTHOPEDIC REDUCTION THREAD COCR PERCUTANEOUS,20.0,10.0,4.36,18.0,64
RC,0272,GUIDEWIRE NYKANEN 1.5CM 265CM .024IN .016IN VASCULAR ATRAUMATIC TIP FLEXIBLE SWIFT EXCHANGE RFP100A GENERATOR,2500.0,1250.0,545.25,2250.0,64
RC,0272,GUIDEWIRE OMEGA 3 2.8MM 230MM ORTHOPEDIC THREAD TIP COCR STERILE,40.8,20.4,8.9,36.72,64
RC,0272,GUIDEWIRE ORTHOPEDIC 1.25MM 150MM STAINLESS STEEL THREADED F/CANNULATED SCREW NON-STERILE,26.64,13.32,5.81,23.98,64
RC,0272,GUIDEWIRE ORTHOPEDIC 1.6MM DIA 19INL NITINOL BLUNT TIP SNIPER,25.0,12.5,5.45,22.5,64
RC,0272,GUIDEWIRE ORTHOPEDIC ACUMED OD1.1 MM L150 MM 1 TROCAR,68.0,34.0,14.83,61.2,64
RC,0272,GUIDEWIRE ORTHOPEDIC ACUMED OD2 MM L6 IN STRAIGHT SMALL FRAGMENT BASE SET,13.0,6.5,2.84,11.7,64
RC,0272,GUIDEWIRE ORTHOPEDIC ACUTRAK 2 OD.045 IN PARALLEL MINI,260.0,130.0,56.71,234.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC ACUTRAK OD.062 IN L6 IN 2 TROCAR STAINLESS STEEL STANDARD,16.0,8.0,3.49,14.4,64
RC,0272,"GUIDEWIRE ORTHOPEDIC AOS TROCAR TIP GUIDE WIRE, 2.0MM X 150MM OD2 MM L150 MM TROCAR TIP",110.0,55.0,23.99,99.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC AUTOBAHN OD3 MM L1000 MM BALL,100.0,50.0,21.81,90.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC HPS KIRSCHNER OD.035 IN L4 IN BIOCOMPATIBLE CORROSION RESISTANT TITANIUM 1 TROCAR CANNULATED SCREW SYSTEM,27.0,13.5,5.89,24.3,64
RC,0272,GUIDEWIRE ORTHOPEDIC KIRSCHNER OD.045 IN L6 IN BIOCOMPATIBLE CORROSION RESISTANCE TITANIUM CANNULATED SCREW SYSTEM,27.0,13.5,5.89,24.3,64
RC,0272,GUIDEWIRE ORTHOPEDIC KIRSCHNER OD1.25 MM L100 MM THREAD TIP,354.67,177.34,77.35,319.2,64
RC,0272,GUIDEWIRE ORTHOPEDIC KIRSCHNER OD2.5 MM L150 MM TROCAR POINT THREAD STAINLESS STEEL L15 MM,141.83,70.92,30.93,127.65,64
RC,0272,GUIDEWIRE ORTHOPEDIC L12 MM 2 HOLE INSERT OD3.2 MM,450.78,225.39,98.32,405.7,64
RC,0272,GUIDEWIRE ORTHOPEDIC L13 MM TROCAR TIP OD3.2 MM ANTEGRADE FEMORAL SYSTEM,196.64,98.32,42.89,176.98,64
RC,0272,GUIDEWIRE ORTHOPEDIC L136 MM MULTIHOLE,652.39,326.2,142.29,587.15,64
RC,0272,GUIDEWIRE ORTHOPEDIC L14.5 MM 2 HOLE INSERT OD3.2 MM,450.78,225.39,98.32,405.7,64
RC,0272,GUIDEWIRE ORTHOPEDIC L150 MM THREAD COMPRESSION OD1.6 MM L10 MM,61.14,30.57,13.33,55.03,64
RC,0272,GUIDEWIRE ORTHOPEDIC L150 MM THREAD SPADE POINT OD1.6 MM STAINLESS STEEL 4.5 MM CANNULATED SCREW,28.95,14.48,6.31,26.06,64
RC,0272,GUIDEWIRE ORTHOPEDIC L150 MM TROCAR TIP THREAD OD1.35 MM 4 MM CANNULATED SCREW,240.0,120.0,52.34,216.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC L2 MM TROCAR TIP OD.078 IN,150.0,75.0,32.72,135.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC L200 MM DRILL TIP OD1.6 MM STAINLESS STEEL PERCUTANEOUS SMALL FRAGMENT SET,28.91,14.46,6.31,26.02,64
RC,0272,GUIDEWIRE ORTHOPEDIC L200 MM DRILL TIP OD2.5 MM STAINLESS STEEL TOMOFIX OSTEOTOMY SYSTEM,50.66,25.33,11.05,45.59,64
RC,0272,GUIDEWIRE ORTHOPEDIC L300 MM DRILL TIP OD2.5 MM,48.71,24.36,10.62,43.84,64
RC,0272,GUIDEWIRE ORTHOPEDIC L300 MM FLUTE DRILL POINT TIP NONTHREAD CALIBRATE OD2.8 MM STAINLESS STEEL L150 MM 6.5/7.3 MM CANNULATED SCREW,68.53,34.27,14.95,61.68,64
RC,0272,GUIDEWIRE ORTHOPEDIC L300 MM NONTHREAD TROCAR POINT OD2.8 MM STAINLESS STEEL,31.9,15.95,6.96,28.71,64
RC,0272,GUIDEWIRE ORTHOPEDIC L370 MM TROCAR TIP OD3 MM DUALCOMPRESSION HINDFOOT NAIL SYSTEM,225.0,112.5,49.07,202.5,64
RC,0272,GUIDEWIRE ORTHOPEDIC LCP OD1.6 MM L150 MM THREAD COMPRESSION L20 MM,61.14,30.57,13.33,55.03,64
RC,0272,GUIDEWIRE ORTHOPEDIC LONG SPHERICAL VARIABLE ANGLE OD2.5 MM 5 MM CANNULATED SCREW,629.07,314.54,137.2,566.16,64
RC,0272,GUIDEWIRE ORTHOPEDIC MULTIHOLE EXPERT FEMORAL NAIL,649.4,324.7,141.63,584.46,64
RC,0272,GUIDEWIRE ORTHOPEDIC NA OD13 MM PERCUTANEOUS FEMORAL NAIL,126.18,63.09,27.52,113.56,64
RC,0272,GUIDEWIRE ORTHOPEDIC NA OD17 MM PERCUTANEOUS FEMORAL NAIL,126.18,63.09,27.52,113.56,64
RC,0272,GUIDEWIRE ORTHOPEDIC OD.062 IN L9.25 IN,18.0,9.0,3.93,16.2,64
RC,0272,GUIDEWIRE ORTHOPEDIC OD.094 IN L9.25 IN,18.0,9.0,3.93,16.2,64
RC,0272,GUIDEWIRE ORTHOPEDIC OD.094 IN L9.25 IN THREAD,18.0,9.0,3.93,16.2,64
RC,0272,GUIDEWIRE ORTHOPEDIC OD2.5 MM SHOULDER,126.51,63.26,27.59,113.86,64
RC,0272,GUIDEWIRE ORTHOPEDIC OMEGA 3 OD2.8 MM L230 MM THREAD TIP QUICK COUPLING COCR,96.52,48.26,21.05,86.87,64
RC,0272,GUIDEWIRE ORTHOPEDIC ORTHOPEDIATRICS CANNULATED SCREW SYSTEM OD1.1 MM L120 MM THREAD CANNULATED SCREW SYSTEM,29.29,14.65,6.39,26.36,64
RC,0272,GUIDEWIRE ORTHOPEDIC ORTHOPEDIATRICS CANNULATED SCREW SYSTEM OD2 MM L230 MM THREAD,32.75,16.38,7.14,29.48,64
RC,0272,GUIDEWIRE ORTHOPEDIC PEDINAIL OD2.7 MM REAM ROD BALL,240.02,120.01,52.35,216.02,64
RC,0272,GUIDEWIRE ORTHOPEDIC PHOENIX OD3 MM L98 CM BEAD TIP RETROGRADE FEMORAL NAIL SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,GUIDEWIRE ORTHOPEDIC QUICKFIX OD1.35 MM TROCAR TIP CANNULATED,83.76,41.88,18.27,75.38,64
RC,0272,GUIDEWIRE ORTHOPEDIC TROCAR TIP LASER LINE OD.045 IN 3.5 MINI 4 STANDARD COMPRESSION FT SCREW,127.63,63.82,27.84,114.87,64
RC,0272,GUIDEWIRE ORTHOPEDIC TROCAR TIP OD1.1 MM,20.0,10.0,4.36,18.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC TROCAR TIP THREAD LASER MARK OD.045 IN 3.5 MINI 4 STANDARD COMPRESSION FT SCREW,150.83,75.42,32.9,135.75,64
RC,0272,GUIDEWIRE ORTHOPEDIC TROCAR TIP THREAD OD.094 IN 7 MM SCREW,30.0,15.0,6.54,27.0,64
RC,0272,GUIDEWIRE ORTHOPEDIC VALOR OD3 MM BEAD TIP ANKLE HINDFOOT FUSION SYSTEM INTRAMEDULLARY NAIL,196.02,98.01,42.75,176.42,64
RC,0272,GUIDEWIRE ORTHOPEDIC VALOR OD3 MM ENTRY ANKLE HINDFOOT FUSION SYSTEM INTRAMEDULLARY NAIL,196.02,98.01,42.75,176.42,64
RC,0272,GUIDEWIRE REUNION 1.9MM ORTHOPEDIC PILOT SHOULDER STERILE,56.0,28.0,12.21,50.4,64
RC,0272,GUIDEWIRE SAFEGUIDE 210CM ENDOSCOPIC MARK SPRING TIP EXTEND CORE REMOVABLE END CAP STAINLESS STEEL NONSTERILE LATEX FREE DISPOSABLE ESOPHAGEAL DILATOR,300.0,150.0,65.43,270.0,64
RC,0272,GUIDEWIRE SAFEGUIDE 210CM ENDOSCOPIC MARK SPRING TIP EXTEND CORE REMOVABLE END CAP STAINLESS STEEL NONSTERILE LATEX FREE REUSABLE ESOPHAGEAL DILATOR,300.0,150.0,65.43,270.0,64
RC,0272,GUIDEWIRE SPINAL INVICTUS L35 MM 1 STEP STYLET BEVEL,97.5,48.75,21.26,87.75,64
RC,0272,GUIDEWIRE UROLOGICAL OD.035 IN L150 CM L3 CM UROSTREAM NITINOL POLYURETHANE HYDROPHILIC L14 CM RADIOPAQUE STANDARD SHAFT STRAIGHT TIP,253.8,126.9,55.35,228.42,64
RC,0272,GUIDEWIRE VASCULAR OD.035 IN L145 CM NEWTON STRAIGHT NEWTON FIX CORE HEPARIN,10.3,5.15,2.25,9.27,64
RC,0272,GUIDEWIRE VERSACROSS 180CM 93CM 1 PIGTAIL CURVE 9MM VASCULAR TRANSSEPTAL DILATOR RF WIRE STEERABLE ACCEPTS .035IN GUIDEWIRE,1000.0,500.0,218.1,900.0,64
RC,0272,GUN BONE CEMENT 3 DELIVERY FILLER DEVICE KYPHON CDS,345.0,172.5,75.24,310.5,64
RC,0272,GYN ABDOMINAL PACK,334.92,167.46,73.05,301.43,64
RC,0272,HAMMER SURGICAL SLIDE FIX 400 GM EXPERT NAIL SYSTEM,527.63,263.82,115.08,474.87,64
RC,0272,HAMMER SURGICAL SLIDE FIX 700 GM EXPERT NAIL SYSTEM,938.38,469.19,204.66,844.54,64
RC,0272,HAMMER SURGICAL SPIRAL COMBINATION 500 GM,822.09,411.05,179.3,739.88,64
RC,0272,HANA TABLE HIP FX PACK,211.58,105.79,46.15,190.42,64
RC,0272,HAND FOOT PACK,145.02,72.51,31.63,130.52,64
RC,0272,HAND PACK,161.82,80.91,35.29,145.64,64
RC,0272,HAND PIECE SET ENT ELEVATE OMNIGUIDE,470.0,235.0,102.51,423.0,64
RC,0272,HANDLE BENDER IN-SITU 90DEG TWISTING F/PELVIC RECONSTRUCTION PLATE NON-STERILE,720.39,360.2,157.12,648.35,64
RC,0272,HANDLE BENDER IN-SITU STRAIGHT TWISTING F/PELVIC RECONSTRUCTION PLATE NON-STERILE,720.39,360.2,157.12,648.35,64
RC,0272,HANDLE CATHETER RELIEVA SIDEKICK SINUS GUIDE,275.0,137.5,59.98,247.5,64
RC,0272,HANDLE CHISEL/GOUGE QUICK CONNECT NA AO REAMING COUPLER,408.57,204.29,89.11,367.71,64
RC,0272,HANDLE DRILL LONG QUICK COUPLING SILICONE,501.76,250.88,109.43,451.58,64
RC,0272,HANDLE DRILL PERCUTANEOUS THREAD GUIDE,506.03,253.02,110.37,455.43,64
RC,0272,HANDLE DRILL PERCUTANEOUS THREAD GUIDE NONSTERILE,914.39,457.2,199.43,822.95,64
RC,0272,HANDLE DRILL SHORT QUICK COUPLING SILICONE,501.76,250.88,109.43,451.58,64
RC,0272,HANDLE DRIVER UNIVERSAL TORQUE LIMIT ATTACHMENT,922.29,461.15,201.15,830.06,64
RC,0272,HANDLE EZ CLIP APPLICATOR 2300MM,644.5,322.25,140.57,580.05,64
RC,0272,HANDLE EZPASS RED LT 70D,189.0,94.5,41.22,170.1,64
RC,0272,HANDLE INFLATION ALLIANCE II PULMONARY,421.82,210.91,92.0,379.64,64
RC,0272,HANDLE INJECTOR PERIARTICULAR 4.5 MM LCP RIGHT CONDYLAR PLATE,1968.18,984.09,429.26,1771.36,64
RC,0272,HANDLE INSERTER 3.5 MM VA-LCP PROXIMAL RIGHT LEFT PLATE NONSTERILE,2258.0,1129.0,492.47,2032.2,64
RC,0272,HANDLE INSERTER 3.5 MM VA-LCP PROXIMAL RIGHT TIBIAL PLATE NONSTERILE,2258.0,1129.0,492.47,2032.2,64
RC,0272,HANDLE INSERTER 4.5/5.5 MM VA-LCP CONDYLAR PLATE AIMING ARM NONSTERILE,2260.93,1130.47,493.11,2034.84,64
RC,0272,HANDLE INSERTER COMPLETE RADIOLUCENT TFN-ADVANCED,4187.01,2093.51,913.19,3768.31,64
RC,0272,HANDLE INSERTER EXPERT ADOLESCENT LATERAL ENTRY FEMORAL NAIL NONSTERILE,965.53,482.77,210.58,868.98,64
RC,0272,HANDLE INSERTER HYBRID,3804.61,1902.31,829.79,3424.15,64
RC,0272,HANDLE INSERTER LONG RADIOLUCENT CARBON TROCHANTERIC FIXATION NAIL ADVANCE SYSTEM,4460.62,2230.31,972.86,4014.56,64
RC,0272,HANDLE INSERTER PERCUTANEOUS NONSTERILE,1118.99,559.5,244.05,1007.09,64
RC,0272,HANDLE INSERTER PERIARTICULAR 4.5 MM LCP LEFT CONDYLAR PLATE,1968.18,984.09,429.26,1771.36,64
RC,0272,HANDLE INSERTER PERIARTICULAR 4.5 MM LCP PROXIMAL RIGHT TIBIAL PLATE,945.12,472.56,206.13,850.61,64
RC,0272,HANDLE INSERTER PERIARTICULAR LEFT 4.5 MM LCP PROXIMAL TIBIAL PLATE,945.12,472.56,206.13,850.61,64
RC,0272,HANDLE INSERTER RADIOLUCENT TITANIUM TROCHANTERIC FIXATION NAIL SYSTEM,3740.72,1870.36,815.85,3366.65,64
RC,0272,HANDLE INSERTER STANDARD TIBIAL FEMORAL NAIL SYSTEM,984.65,492.33,214.75,886.19,64
RC,0272,HANDLE INSERTER SUPRAPATELLAR PROTECTION SLEEVE,1012.54,506.27,220.83,911.29,64
RC,0272,HANDLE INSERTER SYNTHES TRAUMA PERCUTANEOUS FEMORAL EXPERT,2228.44,1114.22,486.02,2005.6,64
RC,0272,HANDLE INSERTER TITANIUM CANNULATED HUMERAL NAIL EXPERT NONSTERILE,972.47,486.24,212.1,875.22,64
RC,0272,HANDLE INSTRUMENT DETACHABLE COIL PENUMBRA,238.0,119.0,51.91,214.2,64
RC,0272,HANDLE INSTRUMENT DETACHABLE COIL RUBY,238.0,119.0,51.91,214.2,64
RC,0272,HANDLE INSTRUMENT DETACHATIP STANDARD RATCHET LATEX,151.3,75.65,33.0,136.17,64
RC,0272,HANDLE INSTRUMENT DETACHMENT LP COIL SYSTEM LP COIL SYSTEM,238.0,119.0,51.91,214.2,64
RC,0272,HANDLE INSTRUMENT DETACHMENT PENUMBRA SYSTEM PENUMBRA COIL 400,238.0,119.0,51.91,214.2,64
RC,0272,HANDLE INSTRUMENT DETACHMENT POD RUBY COIL,250.0,125.0,54.53,225.0,64
RC,0272,HANDLE INSTRUMENT DETACHMENT SWIFT COIL SYSTEM,238.0,119.0,51.91,214.2,64
RC,0272,HANDLE INSTRUMENT NONSTERILE HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM,1041.46,520.73,227.14,937.31,64
RC,0272,HANDLE LARYNGOSCOPE MEDIUM FIBER OPTIC GREEN,46.4,23.2,10.12,41.76,64
RC,0272,HANDLE MANIPULATOR L2 IN LOCK RUMI II UTERINE,575.0,287.5,125.41,517.5,64
RC,0272,HANDLE OPHTHALMOSCOPE 23GA CORROSIVE RESISTENT LOW TEMPERATURE ADHESIVE INSULATED CUTTING LOOP W/SAFETY RING F/SURGICAL APPLICATION,260.0,130.0,56.71,234.0,64
RC,0272,HANDLE PROBE STERILE IO-FLEX SPINE DISTAL DISPOSABLE,85.05,42.53,18.55,76.55,64
RC,0272,HANDLE RATCHET AO ASIF QUICK COUPLING,835.05,417.53,182.12,751.55,64
RC,0272,HANDLE SCALPEL LARGE PERIARTICULAR AIM INSTRUMENT SET,950.77,475.39,207.36,855.69,64
RC,0272,HANDLE SCALPEL LONG,1192.59,596.3,260.1,1073.33,64
RC,0272,HANDLE SCALPEL THERMAL MODEL 8050 STERILE LATEX FREE REUSABLE,749.0,374.5,163.36,674.1,64
RC,0272,HANDLE SCREWDRIVER CANNULATED AO PROSTEP MICA,67.66,33.83,14.76,60.89,64
RC,0272,HANDLE SCREWDRIVER HEX COUPLING,974.35,487.18,212.51,876.92,64
RC,0272,HANDLE SCREWDRIVER LARGE ANKLE QUICK-CONNECT PHENOLIC F/FUSION SMALL FRAGMENT SYSTEM PERI-LOC LATEX-FREE,1615.0,807.5,352.23,1453.5,64
RC,0272,HANDLE SCREWDRIVER LARGE QUICK COUPLING TEARDROP SILICONE,595.62,297.81,129.9,536.06,64
RC,0272,HANDLE SCREWDRIVER MINI QUICK COUPLING STAINLESS STEEL,418.42,209.21,91.26,376.58,64
RC,0272,HANDLE SCREWDRIVER POWER DRIVER,4559.0,2279.5,994.32,4103.1,64
RC,0272,HANDLE SCREWDRIVER QUICK COUPLING ROTATE CAP SILICONE,1166.5,583.25,254.41,1049.85,64
RC,0272,HANDLE SCREWDRIVER RATCHETING NONSTERILE,948.62,474.31,206.89,853.76,64
RC,0272,HANDLE SCREWDRIVER SMALL QUICK COUPLING,305.86,152.93,66.71,275.27,64
RC,0272,HANDLE SCREWDRIVER T QUICK COUPLING,373.7,186.85,81.5,336.33,64
RC,0272,HANDLE SCREWDRIVER T8 EVOS,406.0,203.0,88.55,365.4,64
RC,0272,HANDLE SCREWDRIVER TEARDROP PERI-LOC,255.75,127.88,55.78,230.18,64
RC,0272,HANDLE SIZER INHANCE SHOULDER,54.0,27.0,11.78,48.6,64
RC,0272,HANDLE SLEEVE COMPRESSION 3 MM HEADLESS SCREW,339.6,169.8,74.07,305.64,64
RC,0272,HANDLE SUCTION/IRRIGATION L10 FT STRAIGHT HANDCONTROL TUBE CORD COLOR CODED BUTTON UNIVERSAL PLUS,550.0,275.0,119.96,495.0,64
RC,0272,HANDLE SURGICAL 2.5 NM TORQUE LIMIT QUICK COUPLING,1368.19,684.1,298.4,1231.37,64
RC,0272,HANDLE SURGICAL KNIFE CANNULATED,1202.68,601.34,262.3,1082.41,64
RC,0272,HANDLE SURGICAL KNIFE V. MUELLER 3L LONG L8 3/8 IN MIRROR FINISH BLADES 10 11 12 15,12.8,6.4,2.79,11.52,64
RC,0272,HANDLE SURGICAL L150 MM QUICK COUPLING MULTILOC PROXIMAL HUMERAL NAIL SYSTEM,714.69,357.35,155.87,643.22,64
RC,0272,HANDLE SURGICAL LARGE QUICK COUPLING,614.65,307.33,134.06,553.19,64
RC,0272,HANDLE SURGICAL QUICK COUPLING REMOVABLE SILICONE GUIDEWIRE PROTECTION SLEEVE,489.47,244.74,106.75,440.52,64
RC,0272,HANDLE SURGICAL SHAW SCALPEL HAND CONTROL F/MODEL 150/600D CONTROLLER UNIT,335.21,167.61,73.11,301.69,64
RC,0272,HANDLE SURGICAL UNIVERSAL CANNULATED QUICK COUPLING GUIDEWIRE,1011.63,505.82,220.64,910.47,64
RC,0272,HANDLE SUTURE SHARPSHOOTER MENISCAL DISPOSABLE,420.13,210.07,91.63,378.12,64
RC,0272,HANDLE T TRIGEN TIBIA,705.6,352.8,153.89,635.04,64
RC,0272,HANDLE WITH MINI QUICK COUPLING,432.94,216.47,94.42,389.65,64
RC,0272,HANDPIECE BREAST BIOPSY F/PRE SURGICAL TUMOR GUIDANCE SAVI SCOUT,1750.0,875.0,381.68,1575.0,64
RC,0272,HANDPIECE ELECTROSURGICAL 10FT BEND-A-BEAM CORD 3IN STERILE LATEX FREE DISPOSABLE,1015.28,507.64,221.43,913.75,64
RC,0272,HANDPIECE ELECTROSURGICAL 10FT BLADE HANDCONTROL HOLSTER CORD STERILE DISPOSABLE,778.24,389.12,169.73,700.42,64
RC,0272,HANDPIECE ELECTROSURGICAL 13CM 13GA MYRIAD TISSUE AUTOMATE RESECTION STERILE LATEX FREE DISPOSABLE,8943.0,4471.5,1950.47,8048.7,64
RC,0272,HANDPIECE ELECTROSURGICAL 19GA 21CML F/PAEDISCOPE MYRIAD,9965.0,4982.5,2173.37,8968.5,64
RC,0272,HANDPIECE ELECTROSURGICAL 25CM 15GA MYRIAD AESCULAP MINOP & MINOP INVENT STERILE LATEX FREE DISPOSABLE,8943.0,4471.5,1950.47,8048.7,64
RC,0272,HANDPIECE ELECTROSURGICAL 28CM 19GA MYRIAD TISSUE AUTOMATE RESECTION STERILE LATEX FREE DISPOSABLE,8943.0,4471.5,1950.47,8048.7,64
RC,0272,HANDPIECE ELECTROSURGICAL 35CM 5MM THUNDERBEAT FRONT ACTUATE GRIP STERILE LATEX FREE DISPOSABLE,1903.5,951.75,415.15,1713.15,64
RC,0272,HANDPIECE ELECTROSURGICAL BLUE HARMONIC NONSTERILE LATEX FREE REUSABLE,895.0,447.5,195.2,805.5,64
RC,0272,HANDPIECE ELECTROSURGICAL GRAY HARMONIC NONSTERILE LATEX FREE REUSABLE,895.0,447.5,195.2,805.5,64
RC,0272,HANDPIECE ELECTROSURGICAL GROUND PAD ACESSA PROVU,9720.0,4860.0,2119.93,8748.0,64
RC,0272,HANDPIECE ELECTROSURGICAL L10 FT CORD BEND-A-BEAM L6 IN,948.67,474.34,206.9,853.8,64
RC,0272,HANDPIECE ELECTROSURGICAL L35 CM FRONT ACTUATE GRIP S TYPE OD5 MM THUNDERBEAT,4960.0,2480.0,1081.78,4464.0,64
RC,0272,HANDPIECE ELECTROSURGICAL L9 CM OPEN FINE JAW THUNDERBEAT,2266.0,1133.0,494.21,2039.4,64
RC,0272,HANDPIECE ELECTROSURGICAL LAPAROSCOPIC 5MM 33CM BLADE TIP PISTOL GRIP J-PLASMA PRECISE,389.48,194.74,84.95,350.53,64
RC,0272,HANDPIECE ELECTROSURGICAL SLIDER KNOB ACESSA PROVU,3140.0,1570.0,684.83,2826.0,64
RC,0272,HANDPIECE ELECTROSURGICAL SOMNOPLASTY TURBINATE INFERIOR TCRF G3 WORKSTATION STERILE DISPOSABLE,670.54,335.27,146.24,603.49,64
RC,0272,HANDPIECE ELECTROSURGICAL W/GROUNDING PAD SET ACESSA PROVU DISPOSABLE,3240.0,1620.0,706.64,2916.0,64
RC,0272,HANDPIECE MORCELLATOR 26CM 15GA MYRIAD KARL STORZ LOTTA STERILE LATEX FREE DISPOSABLE,8943.0,4471.5,1950.47,8048.7,64
RC,0272,HANDPIECE MORCELLATOR 28CM 19GA NICO MYRIAD KARL STORZ LITTLE LOTTA,8943.0,4471.5,1950.47,8048.7,64
RC,0272,HANDPIECE PHACOEMULSIFICATION MICRO-INTERVENTIONAL MILOOP,1000.0,500.0,218.1,900.0,64
RC,0272,HANDPIECE PHACOEMULSIFICATION TORSIONAL INFINITI VISION OZIL,5995.0,2997.5,1307.51,5395.5,64
RC,0272,HANDPIECE PHACOEMULSIFICATION ULTRASONIC INFINITI VISION SYSTEM,3995.0,1997.5,871.31,3595.5,64
RC,0272,HANDPIECE PNEUMATIC PLASMA OPEN PISTOL GRIP,2370.0,1185.0,516.9,2133.0,64
RC,0272,HANDPIECE PULSED LAVAGE 14MM VERSAJET II 15D EXACT SET NARROWER CHANNEL HYDROSURGERY SYSTEM DISPOSABLE,630.0,315.0,137.4,567.0,64
RC,0272,HANDPIECE PULSED LAVAGE 14MM VERSAJET II 45D EXACT SET NARROWER CHANNEL HYDROSURGERY SYSTEM DISPOSABLE,3150.0,1575.0,687.02,2835.0,64
RC,0272,HANDPIECE PULSED LAVAGE 14MM VERSAJET II PLUS 45D DISPOSABLE,2750.0,1375.0,599.78,2475.0,64
RC,0272,HANDPIECE PULSED LAVAGE HANDSET 14MM 15DEG F/HYDROSURGERY VERSAJET PLUS,495.0,247.5,107.96,445.5,64
RC,0272,HANDPIECE PULSED LAVAGE L8 MM 45 D EXACT NARROWER CHANNEL LOWER DECK NOZZLE ORIFICE OD8 MM VERSAJET II HYDROSURGERY SYSTEM,630.0,315.0,137.4,567.0,64
RC,0272,HANDPIECE SUCTION/IRRIGATION HYDRODEBRIDER FRONTAL,304.5,152.25,66.41,274.05,64
RC,0272,HANDPIECE SUCTION/IRRIGATION STANDARD HYDRODEBRIDER ROHS,309.82,154.91,67.57,278.84,64
RC,0272,HANDPIECE SUCTION/IRRIGATION TRANSFORMER INTREPID,152.4,76.2,33.24,137.16,64
RC,0272,HANDPIECE SURGICAL PNEUMATIC ALCON GRIESHABER STAINLESS STEEL GRAY,574.74,287.37,125.35,517.27,64
RC,0272,HARVESTER 2.5CM SMALL EPIDERMAL GRAFT CELLUTOME STERILE DISPOSABLE,1750.0,875.0,381.68,1575.0,64
RC,0272,HARVESTER BONE GRAFT OD6 MM OSTEOAUGER,565.0,282.5,123.23,508.5,64
RC,0272,HARVESTER BONE GRAFT OD8 MM OSTEOAUGER,565.0,282.5,123.23,508.5,64
RC,0272,HARVESTER BONE MORSELIZE AO CONNECTION OD6 MM BABY GORILLA/GORILLA PLATING SYSTEM BABY GORILLA GORILLA PLATE SYSTEM,500.0,250.0,109.05,450.0,64
RC,0272,HARVESTER BONE MORSELIZE AO CONNECTION OD8 MM BABY GORILLA BABY GORILLA GORILLA PLATE SYSTEM,696.5,348.25,151.91,626.85,64
RC,0272,HARVESTER GRAFT OD10 MM QUADPRO,425.0,212.5,92.69,382.5,64
RC,0272,HARVESTER GRAFT OD11 MM QUADPRO,425.0,212.5,92.69,382.5,64
RC,0272,HARVESTER GRAFT OD8 MM QUADPRO,425.0,212.5,92.69,382.5,64
RC,0272,HARVESTER GRAFT OD9 MM QUADPRO,425.0,212.5,92.69,382.5,64
RC,0272,HC SURGICEL 2 X 3,173.05,86.53,37.74,155.75,64
RC,0272,HEAD AND NECK PACK,220.41,110.21,48.07,198.37,64
RC,0272,HEAD CLAMP MEDIUM 65MM AORTIC CROSS DETACHABLE F/TEMPORARY/PARTIAL OCCLUSION BLOOD VESSEL DETACH,2400.0,1200.0,523.44,2160.0,64
RC,0272,HEAD HUMERAL 46MM 18MM 25MM SHORT STEM ARTICULATION SHOULDER STERILE LATEX FREE TOTAL SHOULDER ARTHROPLASTY,1200.0,600.0,261.72,1080.0,64
RC,0272,HEAD REAMER 10.5MM PEDIATRIC PEDINAIL,235.01,117.51,51.26,211.51,64
RC,0272,HEAD REAMER 11MM PEDIATRIC PEDINAIL,235.01,117.51,51.26,211.51,64
RC,0272,HEAD REAMER 12.5MM MODULAR,49.68,24.84,10.84,44.71,64
RC,0272,HEAD REAMER 12MM DIA F/RIA 2 STERILE 1/EA,586.5,293.25,127.92,527.85,64
RC,0272,HEAD REAMER 13.5MM RIA 2 STERILE,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER 13MM DIA PEDIATRIC MODULAR PEDINAIL STERILE SINGLE-USE,235.01,117.51,51.26,211.51,64
RC,0272,HEAD REAMER 8.0MM DIA PEDIATRIC PEDINAIL STERILE SINGLE-USE,253.59,126.8,55.31,228.23,64
RC,0272,HEAD REAMER 8.5MM DIA PEDIATRIC PEDINAIL STERILE SINGLE-USE,235.01,117.51,51.26,211.51,64
RC,0272,HEAD REAMER 9.0MM PEDIATRIC PEDINAIL,235.01,117.51,51.26,211.51,64
RC,0272,HEAD REAMER 9.5MM DIA PEDIATRIC PEDINAIL STERILE SINGLE-USE,235.01,117.51,51.26,211.51,64
RC,0272,HEAD REAMER DEEP FLUTE CONICAL TIP SHARP EDGE OD15 MM STAINLESS STEEL IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER END CUT OD9 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER INTERCHANGEABLE HEAD PILOT NOSE OD11.5 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER INTERCHANGEABLE PILOT NOSE OD10 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER MODULAR OD7.5 MM PEDIATRIC NAILING PLATFORM TIBIA INTRAMEDULLARY NAIL,253.59,126.8,55.31,228.23,64
RC,0272,HEAD REAMER OD10 MM RIA 2,638.25,319.13,139.2,574.43,64
RC,0272,HEAD REAMER OD10.5 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD11 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD11 MM SYNREAM MEDULLARY,249.61,124.81,54.44,224.65,64
RC,0272,HEAD REAMER OD11.5 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD12 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD12.5 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD12.5 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD13 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD13 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD13.5 MM STAINLESS STEEL RIA,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD14 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD14 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD14.5 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD14.5 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD15 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD15.5 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD15.5 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD16 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD16 MM STAINLESS STEEL RIA,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD16.5 MM IRRIGATOR ASPIRATOR,812.56,406.28,177.22,731.3,64
RC,0272,HEAD REAMER OD16.5 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD17 MM IRRIGATOR ASPIRATOR,804.19,402.1,175.39,723.77,64
RC,0272,HEAD REAMER OD17 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD17.5 MM IRRIGATOR ASPIRATOR,804.19,402.1,175.39,723.77,64
RC,0272,HEAD REAMER OD18 MM IRRIGATOR ASPIRATOR,804.19,402.1,175.39,723.77,64
RC,0272,HEAD REAMER OD18 MM RIA 2,967.0,483.5,210.9,870.3,64
RC,0272,HEAD REAMER OD18.5 MM IRRIGATOR ASPIRATOR,804.19,402.1,175.39,723.77,64
RC,0272,HEAD REAMER OD19 MM IRRIGATOR ASPIRATOR,804.19,402.1,175.39,723.77,64
RC,0272,HEAD REAMER PILOT NOSE INTERCHANGE OD10.5 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER PILOT NOSE INTERCHANGE OD13 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER PILOT NOSE INTERCHANGE OD9.5 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER PILOT NOSE OD12 MM TRIGEN,350.9,175.45,76.53,315.81,64
RC,0272,HEAD REAMER SIDE CUT OD10 MM SYNREAM MEDULLARY,249.61,124.81,54.44,224.65,64
RC,0272,HEAD REAMER SIDE CUT OD10.5 MM MEDULLARY,249.61,124.81,54.44,224.65,64
RC,0272,HEAD REAMER SIDE CUT OD12 MM SYNREAM MEDULLARY,249.61,124.81,54.44,224.65,64
RC,0272,HEAD REAMER SMALL ANGLE,295.0,147.5,64.34,265.5,64
RC,0272,HEADBAND SOUND PROCESSOR MEDIUM ANTISLIP STRIP OD54 CM COCHLEAR BLACK KANSO,11.05,5.53,2.41,9.95,64
RC,0272,HEADREST POSITIONING FOAM,154.34,77.17,33.66,138.91,64
RC,0272,HEART FAILURE PK,156.76,78.38,34.19,141.08,64
RC,0272,HEMOCONCENTRATOR CONNECTOR TUBE RINSELESS PERFUSION DHF.6 36IN .25MM,800.0,400.0,174.48,720.0,64
RC,0272,HEMOCONCENTRATOR CONNECTOR TUBING WASTE BAG RINSELESS PERFUSION DHF.6 .25MM,768.0,384.0,167.5,691.2,64
RC,0272,HEMOCONCENTRATOR MINNTECH HEMOCOR HPH 1000 TUBE ADAPTER SET PERFUSION,924.84,462.42,201.71,832.36,64
RC,0272,HEMOCONCENTRATOR PERFUSION 3.2CM ID 200U FIBER 0.71SCM 25.3CM 58ML PRIMING VOLUME NO RINSE FILTER LOW PRESSURE DROP HEMOCOR HPH MINITECH 700,83.25,41.63,18.16,74.93,64
RC,0272,HEMOCONCENTRATOR PERFUSION 3CM ID 200U ID FIBER 0.3 M2 13.8CML POLYSULFONE MEMBRANE 34ML PRIMING PEDIATRIC NO RINSE W/45CML 6.35MM ID TUBING RATCHET CLAMP LA-71 ADAPTER KITX2 HEMOCOR HPH 500MMHG MAXIM,936.39,468.2,204.23,842.75,64
RC,0272,HEMOCONCENTRATOR PERFUSION W/TUBING SET ADAPTER MINNTECH 700T,83.25,41.63,18.16,74.93,64
RC,0272,HEMOSTASIS CLIP 16MM 2300MM LENGTH,1400.0,700.0,305.34,1260.0,64
RC,0272,HEMOSTASIS CLIP12MM RETENTIA 230CM 10/BOX,1400.0,700.0,305.34,1260.0,64
RC,0272,HEMOSTAT ABSORBABLE 4X3IN SURGICEL NU-KNIT STERILE,1996.78,998.39,435.5,1797.1,64
RC,0272,HEMOSTAT ABSORBABLE 4X4IN SURGICEL FIBRILLAR,1150.61,575.31,250.95,1035.55,64
RC,0272,HEMOSTAT ABSORBABLE BIONERT ARISTA MPH PLANT STARCH 1 GM,423.5,211.75,92.37,381.15,64
RC,0272,HEMOSTAT ABSORBABLE BIONERT ARISTA MPH PLANT STARCH 5 GM,1112.65,556.33,242.67,1001.39,64
RC,0272,HEMOSTAT ABSORBABLE L14 IN X W2 IN SURGICEL,701.74,350.87,153.05,631.57,64
RC,0272,HEMOSTAT ABSORBABLE L2 IN X W.5 IN FLEXIBLE SHEER WEAVE SURGICEL,654.15,327.08,142.67,588.74,64
RC,0272,HEMOSTAT ABSORBABLE L2 IN X W1 IN SURGICEL FIBRILLAR OXIDIZED REGENERATED CELLULOSE,500.14,250.07,109.08,450.13,64
RC,0272,HEMOSTAT ABSORBABLE L3 IN X W2 IN ORIGINAL SURGICEL,411.92,205.96,89.84,370.73,64
RC,0272,HEMOSTAT ABSORBABLE L4 IN X W2 IN NONWOVEN SURGICEL SNOW,894.15,447.08,195.01,804.74,64
RC,0272,HEMOSTAT ABSORBABLE L4 IN X W2 IN SURGICEL FIBRILLAR,920.5,460.25,200.76,828.45,64
RC,0272,HEMOSTAT ABSORBABLE L4 IN X W4 IN NONWOVEN SURGICEL SNOW,1117.69,558.85,243.77,1005.92,64
RC,0272,HEMOSTAT ABSORBABLE L9 IN X W6 IN SURGICEL NU-KNIT,1294.82,647.41,282.4,1165.34,64
RC,0272,HEMOSTAT ABSORBABLE POWDER SURGICEL OXIDIZED REGENERATED CELLULOSE,759.74,379.87,165.7,683.77,64
RC,0272,HEMOSTAT ABSORBABLE PURASTAT 3ML,6750.0,3375.0,1472.18,6075.0,64
RC,0272,HEMOSTAT ABSORBABLE SILVER STERILE DRY D-STAT TOPICAL CLEAR,455.0,227.5,99.24,409.5,64
RC,0272,HEMOSTAT COMPRESSION LONG OD27 CM VASC,213.0,106.5,46.46,191.7,64
RC,0272,HEMOSTAT COMPRESSION REGULAR OD24 CM VASC,213.0,106.5,46.46,191.7,64
RC,0272,HEMOSTAT COMPRESSION SHORT OD21 CM VASC,213.0,106.5,46.46,191.7,64
RC,0272,HEMOSTAT COMPRESSION SILVER STERILE DRY D-STAT TOPICAL,480.0,240.0,104.69,432.0,64
RC,0272,HEMOSTAT COMPRESSION XLONG OD29 CM VASC,235.0,117.5,51.25,211.5,64
RC,0272,HEMOSTAT FLOOR GRADE SOF-GRIP STERILE DISPOSABLE,90.99,45.5,19.84,81.89,64
RC,0272,HIP PACK,122.74,61.37,26.77,110.47,64
RC,0272,HOLDER ENDOSCOPIC INSTRUMENT TUBE SET ACTIVATION BUTTON WINGMAN STERILE LATEX FREE DISPOSABLE,516.79,258.4,112.71,465.11,64
RC,0272,HOLDER INSTRUMENT QUICK CHANGE UNIVERSAL RAIL CLAMP,125.0,62.5,27.26,112.5,64
RC,0272,HOLDER NEEDLE 4 5/8IN SMOOTH JAW STAINLESS STEEL TUNGSTEN CARBIDE CARB-BITE WEBSTER NONSTERILE,40.81,20.41,8.9,36.73,64
RC,0272,HOLDER NEEDLE AMPLATZ W/SILICONE INSERTS STERILE DISPOSABLE,153.2,76.6,33.41,137.88,64
RC,0272,HOLDER NEEDLE COOLEY 9INL TUNGSTEN CARBIDE GOLD PLATED INTRACARDIAC STRAIGHT NARROW 3600 TEETH/SQIN SATIN FINISH SERRATED STANDARD RATCHETED RING HANDLE V.MUELLER LATEX-FREE NON-STERILE REUSABLE,102.44,51.22,22.34,92.2,64
RC,0272,HOLDER NEEDLE L7 1/8 IN TUNGSTEN CARBIDE GOLD STRAIGHT DELICATE STANDARD RATCHET HANDLE SATIN FINISH VITAL,57.7,28.85,12.58,51.93,64
RC,0272,HOLDER NEEDLE L7 1/8 IN TUNGSTEN CARBIDE STRAIGHT 3600 TEETH SERRATE INSERT VITAL,56.96,28.48,12.42,51.26,64
RC,0272,HOLDER NEEDLE L8 IN TUNGSTEN CARBIDE STRAIGHT STANDARD RATCHET RING HANDLE VITAL GOLD,66.72,33.36,14.55,60.05,64
RC,0272,HOLDER NEEDLE WEBSTER 5 1/4INL SMOOTH JAW LATEX-FREE,15.21,7.61,3.32,13.69,64
RC,0272,HOLDER PLATE 1.3-2 MM,277.97,138.99,60.63,250.17,64
RC,0272,HOLDER PLATE BB TAK NON-THREADED LARGE TITANIUM,135.0,67.5,29.44,121.5,64
RC,0272,HOLDER PLATE BB-TAK MTP,50.0,25.0,10.91,45.0,64
RC,0272,HOLDER PLATE LARGE BB-TAK THREAD,150.0,75.0,32.72,135.0,64
RC,0272,HOLDER PLATE NON-THREADED BB-TAK,49.46,24.73,10.79,44.51,64
RC,0272,HOLDER PLATE TAK 2/2.4 MM SCREW,38.0,19.0,8.29,34.2,64
RC,0272,HOLDER POLE 15A 125V 3.27IN 5.28X5.65IN 15FT MOUNT LOCK NUT DRIP GUARD POWERMATE GRAY 3.02LB,172.4,86.2,37.6,155.16,64
RC,0272,HOLDER PROBE CLIP SENSOR URONAV,550.0,275.0,119.96,495.0,64
RC,0272,HOLSTER VENTRICULAR ASSIST HEARTMATE BATTERY NONSTERILE LATEX FREE REUSABLE,384.0,192.0,83.75,345.6,64
RC,0272,HOOD ENDOSCOPE 11.5MM 8MM ACCEPTS 9.6-10MM ENDOSCOPE 7MM SHORT SUBMUCOSAL,245.0,122.5,53.43,220.5,64
RC,0272,HOOD SURGEON FLYTE STERILE LATEX FREE DISPOSABLE,765.12,382.56,166.87,688.61,64
RC,0272,HOOD SURGEON PEEL AWAY FACE SHIELD T7PLUS,1317.44,658.72,287.33,1185.7,64
RC,0272,HOOD SURGEON PEELAWAY FLYTE SURGICOOL,789.34,394.67,172.16,710.41,64
RC,0272,HOOD SURGEON T4 STERILE LATEX FREE DISPOSABLE,598.5,299.25,130.53,538.65,64
RC,0272,HOOD SURGEON XL T5 PEEL-AWAY,824.6,412.3,179.85,742.14,64
RC,0272,HOOD T7 HB AR,824.6,412.3,179.85,742.14,64
RC,0272,HOOK ARTHROSCOPIC SMOOTH TIP CROCHET,160.0,80.0,34.9,144.0,64
RC,0272,HOOK BONE L330 MM LARGE LOW PROFILE PELVIS,308.01,154.01,67.18,277.21,64
RC,0272,HOOK BONE L330 MM MEDIUM LOW PROFILE PELVIS,300.21,150.11,65.48,270.19,64
RC,0272,HOOK ENDOSCOPIC 45 D RIGHT SUTURE SPECTRUM,252.11,126.06,54.99,226.9,64
RC,0272,HOOK ENDOSCOPIC 45 D SUTURE LIMITED SPECTRUM LEFT,252.11,126.06,54.99,226.9,64
RC,0272,HOOK ENDOSCOPIC 60 D LEFT SUTURE SPECTRUM II,252.11,126.06,54.99,226.9,64
RC,0272,HOOK ENDOSCOPIC L15 MM SMALL SUTURE CRESCENT OD3 MM SPECTRUM II,210.18,105.09,45.84,189.16,64
RC,0272,HOOK ENDOSCOPIC SUTURE STRAIGHT SPECTRUM II,213.58,106.79,46.58,192.22,64
RC,0272,HOOK EXTRACTION L650 MM CANNULATED INTRAMEDULLARY NAIL SYSTEM,473.04,236.52,103.17,425.74,64
RC,0272,HOOK EXTRACTION PHANTOM HINDFOOT TTC/TC NAIL SYSTEM PHANTOM HINDFOOT TTC/TC NAIL SYSTEM,1500.0,750.0,327.15,1350.0,64
RC,0272,HOOK EXTRACTION STRAIGHT SHARP,183.46,91.73,40.01,165.11,64
RC,0272,HOOK LAPAROSCOPIC L55.2 CM PERMANENT CAUTERY MONOPOLAR OD8 MM DA VINCI S/SI ENDOWRIST L1.6 CM,2100.0,1050.0,458.01,1890.0,64
RC,0272,HOOK LAPAROSCOPIC PERMANENT CAUTERY MONOPOLAR OD8 MM DA VINCI XI ENDOWRIST 10 USE,1260.0,630.0,274.81,1134.0,64
RC,0272,HOOK NRV MICROBAYONETED RT,88.8,44.4,19.37,79.92,64
RC,0272,HOOK OPHTHALMIC L4.6 IN STRAIGHT SHAFT FLAT SERRATE HANDLE OD.2 MM SINSKEY IRIS,84.53,42.27,18.44,76.08,64
RC,0272,HOOK RETRACTION 20X20MM LONE STAR 3 FINGER RAKE SPIRA BLUNT END,74.68,37.34,16.29,67.21,64
RC,0272,HOOK RETRACTION ACUMED SHARP,137.0,68.5,29.88,123.3,64
RC,0272,HOOK RETRACTION APS STAINLESS STEEL 7 MM 2 FINGER SHARP ELASTIC STAY GREEN,49.54,24.77,10.8,44.59,64
RC,0272,HOOK RETRACTION BAYONET STRAIGHT METRX NERVE,43.05,21.53,9.39,38.75,64
RC,0272,HOOK RETRACTION L155 MM SHARP,113.9,56.95,24.84,102.51,64
RC,0272,HOOK RETRACTION L4 5/8 IN SINSKEY 90 D MICRO LENS MIRROR SATIN BLUNT ANGLED,77.8,38.9,16.97,70.02,64
RC,0272,HOOK RETRACTION L5 3/8 IN V. MUELLER STAINLESS STEEL STRAIGHT 1 TENACULUM SHARP,33.62,16.81,7.33,30.26,64
RC,0272,HOOK RETRACTION L6 IN SKIN V. MUELLER 5 MM MICRO 2 PRONG SHARP,42.43,21.22,9.25,38.19,64
RC,0272,HOOK RETRACTION L8 1/4 IN V. MUELLER L5 MM BLUNT HOLLOW HANDLE DISSECT,35.5,17.75,7.74,31.95,64
RC,0272,HOOK RETRACTION LONE STAR 20 MM X 16 MM SMALL CURVE ELASTIC STAY BLUNT END 4 FINGER,49.54,24.77,10.8,44.59,64
RC,0272,HOOK RETRACTION LONE STAR OD9 MM 2 FINGER ELASTIC STAY,49.54,24.77,10.8,44.59,64
RC,0272,HOOK RETRACTION MACKOOL RICHARD FLEXIBLE REMOVAL INSERT PMMA STERILE CATARACT SUPPORT SYSTEM DISPOSABLE,140.0,70.0,30.53,126.0,64
RC,0272,HOOK RETRACTION METRX MICRO,94.2,47.1,20.55,84.78,64
RC,0272,HOOK RETRACTION METRX MICRO BAYONET STRAIGHT,82.35,41.18,17.96,74.12,64
RC,0272,HOOK RETRACTION NERVE METRX ANGLE RIGHT BAYONET,43.05,21.53,9.39,38.75,64
RC,0272,HOOK RETRACTION NERVE METRX BAYONET LEFT,43.05,21.53,9.39,38.75,64
RC,0272,HOOK RETRACTION NICO BRAINPATH SHEPHERD GREENBERG ATRAUMATIC TIP NAVIGATION PROBE SHEATH STERILE LATEX FREE STANDARDIZE SUBCORTICAL SURGERY DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,HOOK RETRACTION REPROCESSED 5MML STAINLESS STEEL SHARP SELF-RETAINING LONE STAR STERILE SINGLE-USE,18.43,9.22,4.02,16.59,64
RC,0272,HOOK RETRACTION SHARP TITANIUM MODULAR HAND SET,116.38,58.19,25.38,104.74,64
RC,0272,HOOK RETRACTOR L14 MM X W16 MM SMALL CURVE BLUNT 2 FINGER ELASTIC STAY RAKE SELF RETAIN LONE STAR,49.54,24.77,10.8,44.59,64
RC,0272,HOSE MPI HOSE SET BUNDLED VASCULAR CUFF,295.0,147.5,64.34,265.5,64
RC,0272,HP ARTERIOGRAM DRAPE PACK,96.54,48.27,21.06,86.89,64
RC,0272,HP C SECTION PACK,125.82,62.91,27.44,113.24,64
RC,0272,HP CARDIAC CATH ANGIO DRAPE PK,163.89,81.95,35.74,147.5,64
RC,0272,HP CYSTO PACK,132.15,66.08,28.82,118.94,64
RC,0272,HP DEVICE PACK,226.86,113.43,49.48,204.17,64
RC,0272,HP DIGITAL PROCEDURE PACK,197.76,98.88,43.13,177.98,64
RC,0272,HP GENERAL PROCEDURE PACK,139.18,69.59,30.36,125.26,64
RC,0272,HP LITHOTOMY PACK,114.22,57.11,24.91,102.8,64
RC,0272,HP ULTRASOUND PACK,186.34,93.17,40.64,167.71,64
RC,0272,HP VAGINAL DELIVERY PACK,79.28,39.64,17.29,71.35,64
RC,0272,HPSC BASIC ORTHO PACK,160.68,80.34,35.04,144.61,64
RC,0272,HPSC ENT PACK,143.88,71.94,31.38,129.49,64
RC,0272,HPSC GENERAL PACK,148.14,74.07,32.31,133.33,64
RC,0272,HPSC GYN PACK,115.68,57.84,25.23,104.11,64
RC,0272,HPSC KNEE ARTHROSCOPY PACK,145.12,72.56,31.65,130.61,64
RC,0272,HPSC SHOULDER ARTHROSCOPY PACK,171.0,85.5,37.3,153.9,64
RC,0272,HYSTEROSCOPE SINGLE USE HTX60S (6.2MM),1219.0,609.5,265.86,1097.1,64
RC,0272,HYSTEROSCOPE SINGLE USEHTX40 (4.5MM),1108.0,554.0,241.65,997.2,64
RC,0272,ILLUMINATOR ENDOSCOPIC 100CM RELIEVA LUMA SENTRY SINUS MARKER BAND CONNECTOR DISTAL TIP WIRE,2145.0,1072.5,467.82,1930.5,64
RC,0272,ILLUMINATOR ENDOSCOPIC BLADE MARS,744.0,372.0,162.27,669.6,64
RC,0272,ILLUMINATOR ENDOSCOPIC HANDHELD PHOTONBLADE,285.5,142.75,62.27,256.95,64
RC,0272,ILLUMINATOR ENDOSCOPIC ULTRATHIN ADHESIVE BACK LIGHTMAT RETRACTOR,428.0,214.0,93.35,385.2,64
RC,0272,ILLUMINATOR EXAM STANDARD MULTI-FUNCTIONAL VERSALIGHT DISPOSABLE THINNER TIP HANDHELD ACMI,547.5,273.75,119.41,492.75,64
RC,0272,ILLUMINATOR OPHTHALMIC 106 D RADIO FREQUENCY IDENTIFICATION CHANDELIER LIGHT SYSTEM OD25 GA CONSTELLATION EDGEPLUS,1521.36,760.68,331.81,1369.22,64
RC,0272,ILLUMINATOR OPHTHALMIC FIBER OPTIC 20GA 89MML STANDARD W/LIGHT CONNECTOR F/MVS STTO SURGICAL SYSTEM LATEX-FREE STERILE SINGLE-USE,658.32,329.16,143.58,592.49,64
RC,0272,IMMOBILIZER ORTHOPEDIC SMALL 9INL 100% COTTON FLANNEL POLY-FIL PLASTIC PEDIATRIC ARM ELBOW WRAPAROUND ADJUSTABLE HOOK-LOOP CLOSURE W/O THUMBHOLE PEDI-WRAP STERILE,44.0,22.0,9.6,39.6,64
RC,0272,IMMOBILIZER POSITIONING LARGE HAND ALUMI-HAND STERILE DISPOSABLE,257.0,128.5,56.05,231.3,64
RC,0272,IMPACTOR SURGICAL ANNULAR CLOSURE DEVICE STERILE LATEX FREE DISPOSABLE,640.0,320.0,139.58,576.0,64
RC,0272,IMPACTOR SURGICAL CAP LCP DHHS,155.49,77.75,33.91,139.94,64
RC,0272,IMPACTOR SURGICAL HUMERAL NAIL TRIGEN,563.75,281.88,122.95,507.38,64
RC,0272,IMPLANT BREAST 130 CC P3.1 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MEMORYGEL BOOST OD8.8 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 160 CC P3.3 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD9.3 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 185 CC P3.3 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD9.8 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 210 CC P3.5 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD10.3 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 230 CC SIZER NATRELLE,194.0,97.0,42.31,174.6,64
RC,0272,IMPLANT BREAST 235 CC P3.6 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD10.7 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 265 CC P3.6 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD11.2 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 290 CC P3.9 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD11.4 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 320 CC P4.1 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD11.6 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 340 CC P4.1 CMCM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD12 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 430 CC P4.4 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD12.9 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 450 CC P4.5 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD13.2 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 480 CC P4.6 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD13.4 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 530 CC P4.7 CM ROUND MODERATE PLUS PROFILE SMOOTH RESTERILIZABLE GEL MEMORYGEL BOOST OD13.9 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 545 CC P4.8 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD14.1 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 590 CC P5 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD14.3 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 630 CC P5 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD14.8 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 675 CC P5 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD15.1 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST 730 CC P5.1 CM GEL SMOOTH MODERATE PROFILE PLUS SOFT MENTOR MEMORYGEL BOOST OD15.6 CM,1125.0,562.5,245.36,1012.5,64
RC,0272,IMPLANT BREAST SALINE 170-200CC P4-4.9CM HIGH PROFILE ROUND STYLE 3000 SMOOTH MENTOR 8.8-9CM STERILE,450.0,225.0,98.15,405.0,64
RC,0272,IMPLANT COCHLEAR EDUCATIONAL STUFFED ANIMAL KOALA TOY SPEECH PROCESSOR NUCLEUS FREEDOM,25.5,12.75,5.56,22.95,64
RC,0272,IMPLANT FIXATION ROOT REPAIR PACK ACUFEX MENISCAL,361.0,180.5,78.73,324.9,64
RC,0272,IMPLANT SPINAL JAZZ BAND STERILE,250.0,125.0,54.53,225.0,64
RC,0272,IMPLANT UROLOGICAL DURASPHERE EXP BULK AGENT INJECTABLE SYRINGE 1ML,247.0,123.5,53.87,222.3,64
RC,0272,INDICATOR BIOLOGICAL 24 STERRAD CYCLESURE,692.56,346.28,151.05,623.3,64
RC,0272,INDICATOR STERILIZATION STERRAD VELOCITY NONSTERILE LATEX FREE DISPOSABLE,741.6,370.8,161.74,667.44,64
RC,0272,INFLATOR ENCORE26 20CC W/GAUGE,160.65,80.33,35.04,144.59,64
RC,0272,INJECTOR BONE CEMENT 3 KYPHON ELEMENT BONE FILLER DEVICE,277.38,138.69,60.5,249.64,64
RC,0272,INJECTOR BONE CEMENT 3 KYPHX BALLOON KYPHOPLASTY,102.0,51.0,22.25,91.8,64
RC,0272,INJECTOR BONE CEMENT ALLOGRAFT SYRINGE LOCK PRESERVE 10 CC,70.0,35.0,15.27,63.0,64
RC,0272,INJECTOR BONE CEMENT TRANSFER TUBE OD4.2 MM SPINEJACK,425.12,212.56,92.72,382.61,64
RC,0272,INJECTOR BONE CEMENT TRANSFER TUBE OD5-5.8 MM SPINEJACK,425.12,212.56,92.72,382.61,64
RC,0272,INJECTOR BONE GRAFT W/TOOL LUNA 3D STERILE,150.0,75.0,32.72,135.0,64
RC,0272,INJECTOR SYRINGE L4 MM SHEATH NEEDLE FLEXIBLE RETRACTABLE OD27 GA SINGLE USE INJECTOR NM-221C-0427 CYSTOSCOPY 2 MM CHANNEL,58.0,29.0,12.65,52.2,64
RC,0272,INK TATTOO BROWN/BLACK PERMARK HYPOALLERGENIC ULTRAESSENCE STERILE,34.0,17.0,7.42,30.6,64
RC,0272,INK TATTOO DARK BROWN PERMARK HYPOALLERGENIC ULTRAESSENCE STERILE,34.0,17.0,7.42,30.6,64
RC,0272,INSERT CLAMP 33MML SILICONE FILLED RUBBER W/HYDRAJAW/TRACTIONJAW F/VESSEL OCCLUSION FOGARTY LATEX-FREE STERILE DISPOSABLE,259.6,129.8,56.62,233.64,64
RC,0272,INSERT CLAMP FIBRA MEDIUM 30MML STAINLESS STEEL STRAIGHT F/ATRAUMATIC OCCLUSION LATEX-FREE STERILE,250.0,125.0,54.53,225.0,64
RC,0272,INSERT CLAMP FOGARTY-HYDRAGRIP 33MML ATRAUMATIC JAWX2 F/VESSEL OCCLUSION FOGARTY LATEX-FREE DISPOSABLE,130.0,65.0,28.35,117.0,64
RC,0272,INSERT CLAMP FOGARTY-HYDRAGRIP 86MML ATRAUMATIC JAWX2 F/VESSEL OCCLUSION FOGARTY LATEX-FREE DISPOSABLE,130.0,65.0,28.35,117.0,64
RC,0272,INSERT CLAMP INTRACK 66MM WHITE INLAY STEP SOFT HIGHLY CONFORMABLE PAD SECURITY LIGHT BLUE,651.0,325.5,141.98,585.9,64
RC,0272,INSERT CLAMP INTRACK STANDARD 66MM SET 2 TRACTION WHITE,515.0,257.5,112.32,463.5,64
RC,0272,INSERT CLAMP L61 MM 2 ATRAUMATIC SET FOGARTY SOFTJAW RUBBER VASCULAR,228.5,114.25,49.84,205.65,64
RC,0272,INSERT CLAMP L61 MM 2 HYDRAJAW SET ATRAUMATIC OCCLUSION FOGARTY,378.5,189.25,82.55,340.65,64
RC,0272,INSERT CLAMP L86 MM 2 HYDRAJAW SET ATRAUMATIC OCCLUSION FOGARTY,540.8,270.4,117.95,486.72,64
RC,0272,INSERT CLAMP L86 MM SET ATRAUMATIC OCCLUSION HIGH FLOW FOGARTY HYDRAGRIP SOFTJAW,189.2,94.6,41.26,170.28,64
RC,0272,INSERT CLAMP SOFT/FIBRA SIZE 5 90MML STAINLESS STEEL STRAIGHT F/ATRAUMATIC OCCLUSION STEALTH LATEX-FREE STERILE,260.0,130.0,56.71,234.0,64
RC,0272,INSERT CLAMP STANDARD 86MML SOFT PAD EMBEDDED TOP LIGHT BLUE WHITE INLAY INTRACK LATEX-FREE NON-STERILE,614.0,307.0,133.91,552.6,64
RC,0272,INSERT CLAMP STEALTH 1 30MM FIBRA STERILE LATEX FREE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,INSERT CLAMP STEALTH 1 30MM SOFT FIBRA STERILE LATEX FREE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,INSERT CLAMP STEALTH 1 30MM SOFT TRACTION STERILE LATEX FREE DISPOSABLE,180.0,90.0,39.26,162.0,64
RC,0272,INSERT CLAMP STEALTH 3 60MM FIBRA STERILE LATEX FREE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,INSERT CLAMP STEALTH 3 60MM LATIS STERILE LATEX FREE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,INSERT CLAMP STEALTH 3 60MM SOFT FIBRA STERILE LATEX FREE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,INSERT FORCEPS SOFT TISSUE J BONE REDUCTION NONSTERILE,316.71,158.36,69.07,285.04,64
RC,0272,INSERT MD HI DVR 2MM,72.0,36.0,15.7,64.8,64
RC,0272,INSERT NEEDLE HOLDER SUTURE RETENTION SLOT OCTOBASE RETRACTOR,460.0,230.0,100.33,414.0,64
RC,0272,INSERT SCISSORS L36 CM 5 MM CURVE 2 ACTION JAW CLICKLINE METZENBAUM L15 MM,508.87,254.44,110.98,457.98,64
RC,0272,INSERT SCISSORS L36 CM CURVE 2 ACTION OD5 MM METZENBAUM,389.5,194.75,84.95,350.55,64
RC,0272,INSERT SCREW HEADFRAME STERILE DISPOSABLE INSULATE FIXATION POST,690.0,345.0,150.49,621.0,64
RC,0272,INSERT SHEARS CURVE DA VINCI S/SI ENDOWRIST HARMONIC ACE,2150.0,1075.0,468.92,1935.0,64
RC,0272,INSERT SURGICAL 3.9MM X 4MM 0.8MM THK CIRCULAR F/OSTEOPLASTY MP4 +,719.1,359.55,156.84,647.19,64
RC,0272,INSERT SURGICAL 4MM 27MM 0.8MM THK CIRCULAR F/OSTEOPLASTY MP2,539.1,269.55,117.58,485.19,64
RC,0272,INSERT SURGICAL CLIP 66MML STANDARD TRACTION WHITE BLUE INTRACK N-10126V LATEX-FREE,515.0,257.5,112.32,463.5,64
RC,0272,INSERT TIBIAL 5 EMPOWR 3D KNEE H10 MM KNEE LEFT E-PLUS,750.0,375.0,163.58,675.0,64
RC,0272,INSERTER RETRACTOR SUTURE F/APOLLO SINGLE-USE,567.0,283.5,123.66,510.3,64
RC,0272,INSERTER SURGICAL 12MM PLASTIC DILAMEZINSERT 12MM PENILE PROSTHESIS STERILE DISPOSABLE BLUE,34.95,17.48,7.62,31.46,64
RC,0272,INSERTER SURGICAL BUTTON ELBOW,140.0,70.0,30.53,126.0,64
RC,0272,INSERTER SURGICAL HELICAL BLADE,1033.56,516.78,225.42,930.2,64
RC,0272,INSERTER SURGICAL OLECRANON OSTEOTOMY NAIL NONSTERILE,367.24,183.62,80.1,330.52,64
RC,0272,"INSERTER SURGICAL RESTOR3D DISPOSABLE INSTRUMENT, WEDGE INSERTER SUBTALAR WEDGE",197.0,98.5,42.97,177.3,64
RC,0272,INSERTER SURGICAL SCREW,796.99,398.5,173.82,717.29,64
RC,0272,INSERTER SURGICAL SPIRAL BLADE HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM,885.61,442.81,193.15,797.05,64
RC,0272,INSERTER SURGICAL SPIRAL BLADE RETROGRADE FEMORAL NAIL EXPERT,937.95,468.98,204.57,844.16,64
RC,0272,INSERTER/EXTRACTOR SURGICAL EASY-OUT MICRO COMPRESSION FT,478.6,239.3,104.38,430.74,64
RC,0272,INSERTER/EXTRACTOR SURGICAL TROCHANTERIC FIXATION NAIL SCREW NONSTERILE,800.5,400.25,174.59,720.45,64
RC,0272,INSTRUMENT ABLATION 15MM 11GA SPINESTAR 17.5CM THERMOCOUPLE 10MM,3150.82,1575.41,687.19,2835.74,64
RC,0272,INSTRUMENT BIOPSY 10CM 14GA BARD MAX-CORE 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR ANGLE NOTCH 22MM PENETRATION DEPTH DISPOSABLE,853.88,426.94,186.23,768.49,64
RC,0272,INSTRUMENT BIOPSY 10CM 14GA BARD MONOPTY ANGLE 22MM ERGONOMIC HANDLE LIGHTWEIGHT SHARP BEVEL TROCAR DEEP SAMPLE NOTCH 7.8CM STERILE DISPOSABLE,1439.25,719.63,313.9,1295.33,64
RC,0272,INSTRUMENT BIOPSY 10CM 18GA BARD MARQUEE CORE ENHANCE TROCAR TIP SHORT DEAD SPACE FIRE READY INDICATOR DISPOSABLE,325.0,162.5,70.88,292.5,64
RC,0272,INSTRUMENT BIOPSY 10CM 18GA MAXCORE ANGLE 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR DEEP SAMPLE NOTCH LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT BIOPSY 10CM 20GA MAX-CORE 22MM 1 HAND COCK 2 FIRE BUTTON LIGHTWEIGHT CORE 7.8CM DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT BIOPSY 16CM 16GA MAX-CORE 22MM CORE 1 HAND COCK LIGHTWEIGHT 2 FIRING BUTTON 13.8CM LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT BIOPSY 16CM 18GA BARD MAX-CORE 22MM BEVEL ANGLE PROSTATIC 1 HAND 2 TRIGGER ULTRA SHARP TIP 7.8CM STERILE LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT BIOPSY 16CM 20GA MAX-CORE 22MM LIGHTWEIGHT 2 FIRING BUTTON COAXIAL 13.8CM DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT BIOPSY 16G X 15CM 6.8 CM COAX SIZE OD14 GA BIOPRINCE ULTRA,351.08,175.54,76.57,315.97,64
RC,0272,INSTRUMENT BIOPSY 20CM 18GA BARD MARQUEE CORE ENHANCE TROCAR TIP SHORT DEAD SPACE FIRE READY INDICATOR DISPOSABLE,325.0,162.5,70.88,292.5,64
RC,0272,INSTRUMENT BIOPSY 20CM 20GA MAX-CORE 22MM LIGHTWEIGHT 2 FIRING BUTTON COAXIAL 17.8CM DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT BIOPSY L10 CM AUTOMATIC 1 HAND LIGHTWEIGHT ECHOGENIC TIP OD16 GA TRU-CORE II,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY L10 CM ECHOGENIC TIP COLOR CODED SAMPLE NOTCH OD18 GA TRU-CORE II,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY L10 CM ECHOGENIC TIP COLOR CODED SAMPLE NOTCH OD20 GA TRU-CORE II,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY L15 CM COAXIAL INTRODUCER NEEDLE SEMIAUTOMATIC LIGHTWEIGHT ADJUSTABLE OD18 GA ODSEC17 GA SUPERCORE L9.9 CM,470.71,235.36,102.66,423.64,64
RC,0272,INSTRUMENT BIOPSY L15 CM FULL CORE CENTIMETER MARK COAXIAL NEEDLE READY INDICATOR OD16 GA BIOPINCE ULTRA GREEN,280.0,140.0,61.07,252.0,64
RC,0272,INSTRUMENT BIOPSY L15 CM FULL CORE CENTIMETER MARK READY INDICATOR OD18 GA BIOPINCE,236.6,118.3,51.6,212.94,64
RC,0272,INSTRUMENT BIOPSY L16 CM LIGHTWEIGHT SPRING LOAD STYLET ECHOGENIC TIP AUTOMATIC OD18 GA TRU-CORE II,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY L20 CM COAXIAL NEEDLE ECHOGENIC TIP SAMPLE NOTCH OD18 GA TRU-CORE II UROLOGY,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY L20 CM FULL CORE CENTIMETER MARK SAFETY BUTTON READY INDICATOR OD18 GA BIOPINCE,236.6,118.3,51.6,212.94,64
RC,0272,INSTRUMENT BIOPSY L20 CM LIGHTWEIGHT SPRING LOAD STYLET ECHOGENIC TIP AUTOMATIC OD18 GA TRU-CORE II,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY L20 CM NEEDLE AUTOMATIC OD20 GA TRU-CORE II,362.56,181.28,79.07,326.3,64
RC,0272,INSTRUMENT BIOPSY PINK 10CM 18GA BARD MISSION 10MM 20MM ULTRASOUND ENHANCEMENT GRADUATED FIRE READY PENETRATION DEPTH INDICATOR STERILE DISPOSABLE,190.0,95.0,41.44,171.0,64
RC,0272,INSTRUMENT BIOPSY PINK 16CM 18GA BARD MISSION 10MM 20MM ULTRASOUND ENHANCEMENT GRADUATED FIRE READY PENETRATION DEPTH INDICATOR STERILE DISPOSABLE,190.0,95.0,41.44,171.0,64
RC,0272,INSTRUMENT BIOPSY PINK 20CM 18GA MAX-CORE 22MM ANGLE 2 TRIGGER ULTRA SHARP TIP BEVEL 13.8CM STERILE LATEX FREE DISPOSABLE,819.38,409.69,178.71,737.44,64
RC,0272,INSTRUMENT BIOPSY PINK 25CM 18GA BARD MISSION 10MM 20MM ULTRASOUND ENHANCEMENT GRADUATED FIRE READY PENETRATION DEPTH INDICATOR STERILE DISPOSABLE,190.0,95.0,41.44,171.0,64
RC,0272,INSTRUMENT BIOPSY PINK 25CM 18GA MAX-CORE 22MM ANGLE 2 TRIGGER ULTRA SHARP TIP BEVEL 13.8CM STERILE LATEX FREE DISPOSABLE,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT EXTERNAL FIXATION 5 MM COLLET EF1 BLUE,103.0,51.5,22.46,92.7,64
RC,0272,INSTRUMENT MICRO 1INW X 2INL BACKGROUND YELLOW,150.0,75.0,32.72,135.0,64
RC,0272,INSTRUMENT OPHTHALMIC ENDOSERTER CORNEAL ENDOTHELIUM,275.0,137.5,59.98,247.5,64
RC,0272,INSTRUMENT OPHTHALMIC OMNI PLUS METAL PLASTIC TRABECULOTOME HANDLE TIP GLAUCOMA STERILE DISPOSABLE,1995.0,997.5,435.11,1795.5,64
RC,0272,INSTRUMENT OPHTHALMIC SION TRABECULAR MESHWORK GRIP TEXTURE BLADELESS TIP GONIOTOMY STERILE DISPOSABLE,475.0,237.5,103.6,427.5,64
RC,0272,INSTRUMENT ORTHOPEDIC 13MM 4.1MM WEDGE PECA DISPOSABLE NONSTERILE,360.0,180.0,78.52,324.0,64
RC,0272,INSTRUMENT ORTHOPEDIC 20MM 11MM PILOT HOLE CREATOR,340.0,170.0,74.15,306.0,64
RC,0272,INSTRUMENT ORTHOPEDIC 20MM 8MM PILOT HOLE CREATOR CORTICAL DISPOSABLE STERILE BH-220,340.0,170.0,74.15,306.0,64
RC,0272,INSTRUMENT ORTHOPEDIC 22MM 2.2MM SHANNON,405.0,202.5,88.33,364.5,64
RC,0272,INSTRUMENT ORTHOPEDIC 8MM CORTA 2MM PECA SHANNON DISPOSABLE NONSTERILE,405.0,202.5,88.33,364.5,64
RC,0272,INSTRUMENT ORTHOPEDIC 90 D ROTATION SUTURELASSO,175.0,87.5,38.17,157.5,64
RC,0272,INSTRUMENT ORTHOPEDIC ACTIVATION TOOL,112.5,56.25,24.54,101.25,64
RC,0272,INSTRUMENT ORTHOPEDIC CASSETTE HEAD OD12 MM VBR,186.11,93.06,40.59,167.5,64
RC,0272,INSTRUMENT ORTHOPEDIC COMPRESSION HEADLESS F/3.5MM SCREW OSSIO,750.0,375.0,163.58,675.0,64
RC,0272,INSTRUMENT ORTHOPEDIC DYNAFORCE MOTOBAND CP DISPOSABLE STERILE LATEX FREE,221.34,110.67,48.27,199.21,64
RC,0272,INSTRUMENT ORTHOPEDIC LONG GUIDE POST LOW PROFILE QUATTRO SPIKE,154.0,77.0,33.59,138.6,64
RC,0272,INSTRUMENT ORTHOPEDIC OPENER OD3.5 MM AXSOS 3 CORTICAL,156.22,78.11,34.07,140.6,64
RC,0272,INSTRUMENT ORTHOPEDIC PORTAL SKID,45.0,22.5,9.81,40.5,64
RC,0272,INSTRUMENT REDUCTION JOYSTICK 5 MM SCREW,326.68,163.34,71.25,294.01,64
RC,0272,INSTRUMENT REDUCTION JOYSTICK 6.5 MM SCREW,446.05,223.03,97.28,401.45,64
RC,0272,INSTRUMENT REDUCTION L2.5 MM PUSH PULL SELF DRILLING SLEEVE QUICK COUPLING 3.5 MM LCP PLATE,325.25,162.63,70.94,292.73,64
RC,0272,INSTRUMENT REDUCTION L330 MM HUMERAL NAILING SYSTEM,319.79,159.9,69.75,287.81,64
RC,0272,INSTRUMENT REDUCTION NUT,134.59,67.3,29.35,121.13,64
RC,0272,INSTRUMENT REDUCTION PULL LESS INVASIVE STABILIZATION SYSTEM,381.24,190.62,83.15,343.12,64
RC,0272,INSTRUMENT REDUCTION PUSH PULL LCP 4.5 MM PLATE LARGE FRAGMENT SET,343.79,171.9,74.98,309.41,64
RC,0272,INSTRUMENT SPINAL L35 MM TAP MARKER CANNULATED OD4.5 MM XIA,110.37,55.19,24.07,99.33,64
RC,0272,INSTRUMENT SPINAL MEDIUM QUATTRO SPIKE LOW PROFILE,1485.0,742.5,323.88,1336.5,64
RC,0272,INSTRUMENT SURGICAL CLAMP ELECTROMAGNETIC SPHERE N / A,1920.64,960.32,418.89,1728.58,64
RC,0272,INSTRUMENT SURGICAL FENESTRATE REPLACEABLE TIP RELINE,325.0,162.5,70.88,292.5,64
RC,0272,INSTRUMENT SURGICAL NUT PULL DEVICE 3.5 MM LCP PERCUTANEOUS INSTRUMNET SYSTEM,395.52,197.76,86.26,355.97,64
RC,0272,INSTRUMENT SURGICAL TRANSLATOR PROSTEP MICA FIRST METATARSAL OSTEOTOMY,121.39,60.7,26.48,109.25,64
RC,0272,INSTRUMENT SURGICAL UNIVERSAL CLAMP ELECTROMAGNETIC N / A,1920.64,960.32,418.89,1728.58,64
RC,0272,INSTRUMENT SURGICAL WHITE BLUE OMNI LOK CERVICAL SEAL TIP SLEEVE BASE COLLER,600.0,300.0,130.86,540.0,64
RC,0272,INTERFACE PATIENT FLAT LENSX PI SOFTFILL,300.0,150.0,65.43,270.0,64
RC,0272,INTERFACE PATIENT STEEP LENSX PI SOFTFILL,300.0,150.0,65.43,270.0,64
RC,0272,INTRODUCER CATHETER,600.0,300.0,130.86,540.0,64
RC,0272,INTRODUCER CATHETER 6FR DIA 25CML THIN WALL HALO ONE,90.0,45.0,19.63,81.0,64
RC,0272,INTRODUCER CATHETER GUIDING 8.5FR 63CM TRANSSEPTAL 90DEG CURVE CONTROLLED CROSSING-PROFILE W/0.032IN 180CM GW 0.033IN 67CM DILATOR TORFLEX RADIOPAQUE MARKER BAND 0.032IN GW,150.0,75.0,32.72,135.0,64
RC,0272,INTRODUCER CATHETER L3 IN ID4.5 FR TAUT INTRADUCER 20018-M55 18305 18400 CHOLANGIOGRAPHY,222.0,111.0,48.42,199.8,64
RC,0272,INTRODUCER CATHETER L3.5 IN ID8 FR PERITONEAL TAUT,319.0,159.5,69.57,287.1,64
RC,0272,INTRODUCER CATHETER L30 CM ID7 FR PERFORMER RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE,44.99,22.5,9.81,40.49,64
RC,0272,INTRODUCER ENDOSCOPIC L205 CM RADIOPAQUE OD10 FR ODSEC6 FR OASIS PURPLE ACCEPTS .035 IN GUIDEWIRE,198.44,99.22,43.28,178.6,64
RC,0272,INTRODUCER LEAD 75CM 5FR .046IN WORLEY ERGONOMIC WING HUB BRAID SHAFT HOOK VEIN SELECTOR VERTEBRAL CURVE TAPER,78.08,39.04,17.03,70.27,64
RC,0272,INTRODUCER ORTHOPEDIC EXPRESS STYLET TROCAR HANDLE CANNULA WHITE KYPHOPLASTY,291.06,145.53,63.48,261.95,64
RC,0272,INTRODUCER ORTHOPEDIC KYPHON EXPRESS OSTEO INTRODUCER OD3.4 MM 2 BEVEL,411.18,205.59,89.68,370.06,64
RC,0272,INTRODUCER ORTHOPEDIC KYPHON ONE-STEP OSTEO INTRODUCER OD8 GA 3 KIT TROCAR DIAMOND TIP TOOL,831.6,415.8,181.37,748.44,64
RC,0272,INTRODUCER ORTHOPEDIC KYPHX BEVEL 1 STEP OSTEO SYSTEM,291.06,145.53,63.48,261.95,64
RC,0272,INTRODUCER ORTHOPEDIC KYPHX OD8 GA ODSEC4.2 MM 3 BLUNT OSTEO INTRODUCER,831.6,415.8,181.37,748.44,64
RC,0272,INTRODUCER SHEATH 10FR 65CM GUIDEWIRE DILATOR STEERABLE BRAID FLEXCATH CROSS TRANSSEPTAL,650.0,325.0,141.77,585.0,64
RC,0272,INTRODUCER SHEATH 12FR 65CM GUIDEWIRE DILATOR STEERABLE BRAID FLEXCATH CROSS TRANSSEPTAL,650.0,325.0,141.77,585.0,64
RC,0272,INTRODUCER SHEATH ERGONOMIC CPS DIRECT SL II UNIVERSAL ACCEPTS 4-6FR LEAD,40.0,20.0,8.72,36.0,64
RC,0272,INTRODUCER SHEATH ID10 FR IDSEC3.3 MM L8 IN TAUT INTRADUCER PERITONEAL,368.4,184.2,80.35,331.56,64
RC,0272,INTRODUCER SHEATH OD7 FR ODSEC80MM DELIVERY SYSTEM ANGLED AMPLATZER TREVISIO .035 IN,680.0,340.0,148.31,612.0,64
RC,0272,IPS CASE COMPLETE CRANIAL WITH MARKING GUIDE,6690.0,3345.0,1459.09,6021.0,64
RC,0272,IR AORTAGRAM PACK,232.8,116.4,50.77,209.52,64
RC,0272,IR PACK UNION PACK,143.34,71.67,31.26,129.01,64
RC,0272,IRON BENDING 2.4 MM CONDYLAR PLATE MODULAR HAND SYSTEM,124.42,62.21,27.14,111.98,64
RC,0272,IRRIGATION ADAPTER SE3,78.69,39.35,17.16,70.82,64
RC,0272,IRRIGATOR LAPAROSCOPIC L33 CM SUCTION TUBE TRUMPET VALVE PROBE TIP HOLE OD5 MM SURG,639.9,319.95,139.56,575.91,64
RC,0272,IRRIGATOR OSTOMY VISI-FLOW FLEXIBLE STOMA CONE FRONT FILL REUSABLE BAG PADDLE WHEEL FLOW INDICATOR THUMB CONTROL FLOW REGULATOR LATEX FREE,7.73,3.87,1.69,6.96,64
RC,0272,IRRIGATOR SUCTION 8MM DA VINCI SI ENDOWRIST ONE DISPOSABLE,1320.0,660.0,287.89,1188.0,64
RC,0272,IRRIGATOR SUCTION ERGONOMIC HAND PIECE STRYKEFLOW II,285.15,142.58,62.19,256.64,64
RC,0272,JAR VACUUM ASPIRATION COLLECTION 1/2IN W/CAP DISPOSABLE,293.0,146.5,63.9,263.7,64
RC,0272,K-WIRE .062 X 4IN DOUBLE POINT THREADED,44.0,22.0,9.6,39.6,64
RC,0272,K-WIRE 1.2 60MM OLIVE 10MM NO THREAD,155.0,77.5,33.81,139.5,64
RC,0272,KAHOOK DUAL BLADE OPHTHALMIC KNIFE,495.0,247.5,107.96,445.5,64
RC,0272,KEY SURGICAL 4MM HEXAGON,162.65,81.33,35.47,146.39,64
RC,0272,KIT 15MM KYPHOFLEX STEERABLE BALLOON CATHETER,3150.0,1575.0,687.02,2835.0,64
RC,0272,KIT 20MM KYPHOFLEX STEERABLE  BALLOON CATHETER,3150.0,1575.0,687.02,2835.0,64
RC,0272,KIT 25MM KYPHOFLEX STEERABLE  BALLOON CATHETER,3300.0,1650.0,719.73,2970.0,64
RC,0272,KIT ABLATION LOCATION REFERENCE PATCH MAP RHYTHMIA HDX DISPOSABLE NONSTERILE LATEX FREE,500.0,250.0,109.05,450.0,64
RC,0272,KIT ABLATION LOCATION REFERENCE PATCH RHYTHMIA DISPOSABLE NONSTERILE LATEX FREE,500.0,250.0,109.05,450.0,64
RC,0272,KIT ABLATION MANUAL RETRACTION ARCTIC FRONT DISPOSABLE STERILE LATEX FREE,150.0,75.0,32.72,135.0,64
RC,0272,KIT ACCESS GASTROENTEROLOGY F/MEDERI MDRF1 GENERATOR STRETTA,1971.0,985.5,429.88,1773.9,64
RC,0272,KIT ACCESSORY 8MM 4 ARM CAMERA CANNULA SEAL INSTRUMENT DRAPE DA VINCI SI DISPOSABLE,1300.0,650.0,283.53,1170.0,64
RC,0272,KIT ACCESSORY DISP 3-ARMDA VINCI SI,1000.0,500.0,218.1,900.0,64
RC,0272,KIT ACCESSORY LEAD AXIUM,663.0,331.5,144.6,596.7,64
RC,0272,KIT ACCESSORY PRELOAD ANCHOR REMOVAL TOOL 2 WING INJEX SILICONE SPINAL CORD STIMULATION,200.0,100.0,43.62,180.0,64
RC,0272,KIT ACCESSORY READJUSTMENT FEMALE,217.14,108.57,47.36,195.43,64
RC,0272,KIT ADAPTER ANGIOGRAPHY 0.100IN ID LUMEN 5/16INW X 28INL THREAD Y-SHAPED ACCESS 2-PORT ORIGINAL BORE FINE W/INSERTION TOOL NAMIC 200PSI,78.59,39.3,17.14,70.73,64
RC,0272,KIT ADAPTER HIGH VOLTAGE SPLITTER DF-4 CONNECTOR DISPOSABLE,2250.0,1125.0,490.73,2025.0,64
RC,0272,KIT ADAPTER PEG REPAIR 16FR DIA POLYURETHANE PERCUTANEOUS DEPTH MARKING W/CORPORT Y-ADAPTOR SNARE F/IRRIGATION DECOMPRESSION MEDICATION CORFLO LATEX-FREE STERILE,84.24,42.12,18.37,75.82,64
RC,0272,KIT ADHESIVE SKIN CLOSURE W/POLYESTER MESH DERMABOND PRINEO PM72451B,183.16,91.58,39.95,164.84,64
RC,0272,KIT ADMISSION ER DYKA1288D,1896.86,948.43,413.71,1707.17,64
RC,0272,KIT AGENT HEMOSTASIS GELFOAM PLUS,72.89,36.45,15.9,65.6,64
RC,0272,KIT AGENT HEMOSTATIC 5ML F/GENERAL HEMOSTASIS EVICEL LATEX-FREE,4461.97,2230.99,973.16,4015.77,64
RC,0272,KIT AGENT HEMOSTATIC SEALANT FIBRINOGEN 1ML MULTIPLE CLOG RESISTANT TIP W/APPLICATOR EVICEL LATEX-FREE STERILE,104.76,52.38,22.85,94.28,64
RC,0272,KIT ANATOMIC COTTON,150.0,75.0,32.72,135.0,64
RC,0272,KIT ANATOMIC EVANS,150.0,75.0,32.72,135.0,64
RC,0272,KIT ANGIOGRAPHY CLOSED SYSTEM NAMIC DR. SCHWARTZ,169.8,84.9,37.03,152.82,64
RC,0272,KIT ANGIOGRAPHY CUSTOM 2-PORT MANIFOLD NAMIC,291.1,145.55,63.49,261.99,64
RC,0272,KIT ANGIOGRAPHY HAND CONTROLLER STOPCOCK TUBE ANGIOTOUCH DISPOSABLE STERILE,375.0,187.5,81.79,337.5,64
RC,0272,KIT ANGIOGRAPHY MANIFOLD VASCULAR LAB NAMIC,152.69,76.35,33.3,137.42,64
RC,0272,KIT ANGIOGRAPHY RIGHT HEART CONVENIENCE NAMIC,151.31,75.66,33.0,136.18,64
RC,0272,KIT ANGIOGRAPHY TRANSDUCER NAMIC,346.28,173.14,75.52,311.65,64
RC,0272,KIT APPLICATOR ENDOSCOPIC CLIP F/DUAL INCISION LAPAROSCOPY FILSHIE STERISHOT II LATEX-FREE,318.68,159.34,69.5,286.81,64
RC,0272,KIT APPLIER CLIP GUN W/MAGAZINE FORCEPS F/NEUROSURGERY OMNI CG8901 LATEX-FREE NON-PYROGENIC STERILE DISPOSABLE,711.29,355.65,155.13,640.16,64
RC,0272,KIT ARTHROSCOPIC 17GA 30CC PORTAL ENTRY 2 NEEDLE SYRINGE GUIDEWIRE NITINOL HIP,335.7,167.85,73.22,302.13,64
RC,0272,KIT ARTHROSCOPIC ANKLE F/STABILIZATION LIMB POSITIONER SPIDER,312.0,156.0,68.05,280.8,64
RC,0272,KIT ARTHROSCOPIC FIXATION 1.6 MM DRILL CURVE SPEAR OBTURATOR FIBERTAK SUTURE ANCHOR,195.0,97.5,42.53,175.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION 1.8MM DRILL GUIDE OBTURATOR Q-FIX DISPOSABLE HIP,200.0,100.0,43.62,180.0,64
RC,0272,KIT ARTHROSCOPIC FIXATION 2.8MM DRILL GUIDE OBTURATOR Q-FIX DISPOSABLE SHOULDER,200.0,100.0,43.62,180.0,64
RC,0272,KIT ARTHROSCOPIC FIXATION ACL PCL KNEE OD1.2 MM RAP-PAC DRILL GUIDE,266.0,133.0,58.01,239.4,64
RC,0272,KIT ARTHROSCOPIC FIXATION ACL PCL KNEE OD1.5 MM RAP-PAC DRILL GUIDE,255.0,127.5,55.62,229.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION ACL PCL OD1.5 MM RAP-PAC DRILL GUIDE,255.0,127.5,55.62,229.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION BICEP DISTAL 2 INCISION,1295.0,647.5,282.44,1165.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION BIO-TENODESIS 3 MM 8 MM BIO-TENODESIS,600.0,300.0,130.86,540.0,64
RC,0272,KIT ARTHROSCOPIC FIXATION DISPOSABLE STERILE ACL ACC,205.0,102.5,44.71,184.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION DRILL GUIDE OBTURATOR DISPOSABLE 1.8MM Q-FIX,200.0,100.0,43.62,180.0,64
RC,0272,KIT ARTHROSCOPIC FIXATION FIBERTAK CURVE SPEAR,195.0,97.5,42.53,175.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION JUGGERKNOT DRILL GUIDE OBTURATOR CURVED,253.8,126.9,55.35,228.42,64
RC,0272,KIT ARTHROSCOPIC FIXATION KNEE OD1.2 MM RAP-PAC DRILL GUIDE,271.0,135.5,59.11,243.9,64
RC,0272,KIT ARTHROSCOPIC FIXATION MENISCAL ULTRABRAID ROOT REPAIR PACK,900.0,450.0,196.29,810.0,64
RC,0272,KIT ARTHROSCOPIC FIXATION OD1.1 MM TIGHTROPE KIRSCHNER MINI BUTTON ANCHOR SUTURE CMC,525.0,262.5,114.5,472.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION OD1.8 MM Q-FIX MINI XL,200.0,100.0,43.62,180.0,64
RC,0272,KIT ARTHROSCOPIC FIXATION OD2.7 MM GRAVITY,98.0,49.0,21.37,88.2,64
RC,0272,KIT ARTHROSCOPIC FIXATION OD3.5 MM GRAVITY,98.0,49.0,21.37,88.2,64
RC,0272,KIT ARTHROSCOPIC FIXATION OD5.5 MM GRAVITY,98.0,49.0,21.37,88.2,64
RC,0272,KIT ARTHROSCOPIC FIXATION SHOULDER GLENOID L380 MM OD3 MM BRISTOW-LATARJET KIRSCHNER,1035.0,517.5,225.73,931.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION SUTURETAPE PERCUTANEOUS ACHILLES REPAIR SYSTEM,1495.0,747.5,326.06,1345.5,64
RC,0272,KIT ARTHROSCOPIC FIXATION UCL SUTURE PASS ULNAR COLLATERAL LIGAMENT,695.0,347.5,151.58,625.5,64
RC,0272,KIT ARTHROSCOPIC L18.5 IN ANATOMIC GUIDEWIRE BONE TUNNEL PLUG OBTURATOR OD.062 IN ODSEC.045 IN XACTPIN BIOSCREW HYPERFLEX NITINOL ACL,158.51,79.26,34.57,142.66,64
RC,0272,KIT ASPIRATION CELL INJECTION SPINESMITH STERILE LATEX FREE FUSIONARY GRAFT DELIVERY SYSTEM,265.0,132.5,57.8,238.5,64
RC,0272,KIT ASPIRATION L11 CM NEEDLE MULTIPLE PORT SIDEHOLE OD11 GA PROCURE BONE MARROW,95.0,47.5,20.72,85.5,64
RC,0272,KIT ASPIRATION L11 CM SIDE HOLE OD11 GA CHRONOS BONE MARROW,102.23,51.12,22.3,92.01,64
RC,0272,KIT ASPIRATION L15 CM SIDE HOLE OD11 GA CHRONOS BONE MARROW,102.23,51.12,22.3,92.01,64
RC,0272,KIT ASPIRATOR 1E STERILANT PROCESS SYSTEM,70.52,35.26,15.38,63.47,64
RC,0272,KIT AUTOTRANSFUSION CARDIOTOMY CAROLINA,75.0,37.5,16.36,67.5,64
RC,0272,KIT AUTOTRANSFUSION CATS FAST START ATF120,576.0,288.0,125.63,518.4,64
RC,0272,KIT AUTOTRANSFUSION W/AT1 ATR 40 RESERVOIR ATS SUCTION LINE FRESENIUS CATS PLUS,628.0,314.0,136.97,565.2,64
RC,0272,KIT BAG EXTERNAL DRAINAGE F/COLLECTION EDS 3 LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,196.58,98.29,42.87,176.92,64
RC,0272,KIT BARIATRIC MR,222.77,111.39,48.59,200.49,64
RC,0272,KIT BIOPSY ASPIRATION PROGRESS BONE MARROW,70.0,35.0,15.27,63.0,64
RC,0272,KIT BIOPSY BARD MARQUEE 12GA 11GA 10CM 6.3CM 5.8CM CORE COAXIAL CANNULA CENTIMETER MARK TROCAR STYLET DISPOSABLE,350.0,175.0,76.34,315.0,64
RC,0272,KIT BIOPSY BARD MARQUEE 16GA 10CM CORE DISPOSABLE,340.0,170.0,74.15,306.0,64
RC,0272,KIT BIOPSY BARD MARQUEE 18GA 10CM CORE DISPOSABLE,340.0,170.0,74.15,306.0,64
RC,0272,KIT BIOPSY BARD MISSION TRUGUIDE 18GA 17GA 10CM 7.8CM 10MM 20MM BLUNT TIP TROCAR POINT STYLET COAXIAL CANNULA DEPTH STOP STERILE DISPOSABLE PINK,1015.63,507.82,221.51,914.07,64
RC,0272,KIT BIOPSY BARD MISSION TRUGUIDE 18GA 17GA 16CM 13.8CM 10MM 20MM BLUNT TIP TROCAR POINT STYLET COAXIAL CANNULA DEPTH STOP STERILE DISPOSABLE PINK,1015.63,507.82,221.51,914.07,64
RC,0272,KIT BIOPSY BARD MISSION TRUGUIDE 18GA 17GA 20CM 17.8CM 10MM 20MM BLUNT TIP TROCAR POINT STYLET COAXIAL CANNULA DEPTH STOP STERILE DISPOSABLE PINK,200.0,100.0,43.62,180.0,64
RC,0272,KIT BIOPSY BONE MARROW CONCENTRATE ANGEL,700.0,350.0,152.67,630.0,64
RC,0272,KIT BIOPSY CORE DECOMPRESSION DELIVERY IOBP,575.0,287.5,125.41,517.5,64
RC,0272,KIT BIOPSY CT,346.35,173.18,75.54,311.72,64
RC,0272,KIT BIOPSY KNEE CARTILAGE,616.0,308.0,134.35,554.4,64
RC,0272,KIT BIOPSY L16 CM CORE OD20 GA MARQUEE,340.0,170.0,74.15,306.0,64
RC,0272,KIT BIOPSY L60 CM STRAIGHT CURVE 4 SWAB SHEATH STIFFENER FLEXIBLE OD7 FR ODSEC18 GA TLAB METAL L65 CM,540.0,270.0,117.77,486.0,64
RC,0272,KIT BIOPSY MAMMOTOME 8GA 115MM UNIVERSAL TARGET SET MR,312.43,156.22,68.14,281.19,64
RC,0272,KIT BIOPSY MARQUEE 14GA 10CM CORE COAXIAL DISPOSABLE,340.0,170.0,74.15,306.0,64
RC,0272,KIT BIOPSY NEEDLE PASSIVE,848.0,424.0,184.95,763.2,64
RC,0272,KIT BIOPSY OPEN TIP IOBP KNEE,850.0,425.0,185.39,765.0,64
RC,0272,KIT BIOPSY PROCEDURE 8G LONG 145MML W/TARGETING TUBE SET MARKER MAMMOTOME REVOLVE MR PILLAR AND POST,703.0,351.5,153.32,632.7,64
RC,0272,KIT BIOPSY PROCEDURE 8G SHORT 115MML W/TARGETING TUBE SET MARKER MAMMOTOME REVOLVE MR PILLAR AND POST,688.5,344.25,150.16,619.65,64
RC,0272,KIT BIOPSY SMARTPREP 2 BMAC 30ML STRL DISP,2395.0,1197.5,522.35,2155.5,64
RC,0272,KIT BIOPSY TLAB 18GA 5FR 65CM 60CM CURVE 4 SWAB SHEATH CATHETER NEEDLE,745.0,372.5,162.48,670.5,64
RC,0272,KIT BIOPSY TREK 10GA 10CM BONE MARROW AUTOMATIC BRAKE CONTROL NEEDLE,825.0,412.5,179.93,742.5,64
RC,0272,KIT BIOPSY TREK 11GA 15CM BONE MARROW AUTOMATIC BRAKE CONTROL NEEDLE,825.0,412.5,179.93,742.5,64
RC,0272,KIT BIOPSY TREK BONE LESION BIOPSY KIT 11GX15CM INTRODUCER 13GX19.8CM BIOPSY,2125.0,1062.5,463.46,1912.5,64
RC,0272,KIT BLADE REPLACEMENT TAYLOR SPATIAL FRAME,303.6,151.8,66.22,273.24,64
RC,0272,KIT BLOOD PUMP 17FR 62CM CANNULA LIFESPARC DISPOSABLE STERILE LATEX FREE ARTERIAL TRANSSEPTAL,19500.0,9750.0,4252.95,17550.0,64
RC,0272,KIT BLOOD PUMP DUO KIT DL29 PROTECKDUO,21500.0,10750.0,4689.15,19350.0,64
RC,0272,KIT BLOOD PUMP DUO KIT DL31 PROTEKDUO,21500.0,10750.0,4689.15,19350.0,64
RC,0272,KIT BOLT PRESSURE MONITOR CERELINK METAL MRI-CONDITIONAL,921.78,460.89,201.04,829.6,64
RC,0272,KIT BONE BIOPSY ACCESS BEVEL TIP SIDE OPEN OD10 GA SPINE,112.5,56.25,24.54,101.25,64
RC,0272,KIT BONE BIOPSY ACCESS DIAMOND TIP END OPEN OD10 GA NA SPINE,112.5,56.25,24.54,101.25,64
RC,0272,KIT BONE BIOPSY ACCESS DIAMOND TIP SIDE OPEN OD10 GA SPINE,112.5,56.25,24.54,101.25,64
RC,0272,KIT BONE BIOPSY BEVEL TIP END OPEN OD10 GA NA,112.5,56.25,24.54,101.25,64
RC,0272,KIT BONE BIOPSY L24 MM LARGE VERTEBRAL BALLOON OD16.3 MM L20 MM 6 ML,630.0,315.0,137.4,567.0,64
RC,0272,KIT BONE BIOPSY L5 IN OD10 GA IVAS,527.12,263.56,114.96,474.41,64
RC,0272,KIT BONE BIOPSY OD11 GA IVAS,527.12,263.56,114.96,474.41,64
RC,0272,KIT BONE BIOPSY PREP+ DISPOSABLE STERILE,2806.47,1403.24,612.09,2525.82,64
RC,0272,KIT BONE BIOPSY SPINE OD10 GA NA,60.0,30.0,13.09,54.0,64
RC,0272,KIT BONE BIOPSY SYRINGE TRAUMACEM V+,106.28,53.14,23.18,95.65,64
RC,0272,KIT BONE CEMENT 2 MIX OPTIVAC 80 GM,154.7,77.35,33.74,139.23,64
RC,0272,KIT BONE CEMENT BOWL CEMENT CARTRIDGE FEMORAL NOZZLE MEDIUM PRESSURIZER ACM 180 GM,532.34,266.17,116.1,479.11,64
RC,0272,KIT BONE CEMENT CURVE OD13 GA KYPHON KURVE VERTEBROPLASTY,1055.0,527.5,230.1,949.5,64
RC,0272,KIT BONE CEMENT FEMORAL F/PREPARATION CEMEX,230.0,115.0,50.16,207.0,64
RC,0272,KIT BONE CEMENT FEMORAL W/PREPARATION PLUG INSERTER BRUSH CURETTE SPONGE PRESSURIZER QUIK-USE STERILE,135.0,67.5,29.44,121.5,64
RC,0272,KIT BONE CEMENT MIX BOWL BASE CARTRIDGE FEMORAL NOZZLE ACM 180 GM,604.32,302.16,131.8,543.89,64
RC,0272,KIT BONE CEMENT PREPARATION PLUG INSERTER BRUSH CURETTE SUCTION BIOPREP DISPOSABLE STERILE LATEX FREE FEMORAL,722.69,361.35,157.62,650.42,64
RC,0272,KIT BONE CEMENT SYRINGE 1 CC 2 CC BLUE WHITE VERTEBROPLASTY,105.0,52.5,22.9,94.5,64
RC,0272,KIT BONE CEMENT VACUUM,1225.0,612.5,267.17,1102.5,64
RC,0272,KIT BONE GRAFT 120CC FUSIONARY STERILE LATEX FREE,495.0,247.5,107.96,445.5,64
RC,0272,KIT BONE GRAFT 9MM 11MM 640MM 480MM 7MM BULLET MAT INTRODUCER HANDLE STIMULAN BLACK SILVER,600.0,300.0,130.86,540.0,64
RC,0272,KIT BONE GRAFT ACCUPORT DELIVERY,3295.0,1647.5,718.64,2965.5,64
RC,0272,KIT BONE MARROW ASPIRATION 5ML W/NEEDLEX1 60ML SYRINGEX1 PREP TRAYX1 LATEX-FREE STERILE SINGLE-USE,141.0,70.5,30.75,126.9,64
RC,0272,KIT BUTTON 11 LOW PROFILE SYRINGE DILATOR INTRODUCER OD18 FR ODSEC14 FR AVANOS* 12 ML LAPAROSCOPIC GASTROSTOMY FEED TUBE,226.95,113.48,49.5,204.26,64
RC,0272,KIT BUTTON 11 LOW PROFILE SYRINGE DILATOR INTRODUCER OD20 FR ODSEC16 FR AVANOS* 12 ML LAPAROSCOPIC GASTROSTOMY FEED TUBE,226.95,113.48,49.5,204.26,64
RC,0272,KIT BUTTON GASTROSTOMY BALLOON 14FR DIA 15CML 1.7CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL FEEDING TUBE G-JET,468.0,234.0,102.07,421.2,64
RC,0272,KIT BUTTON GASTROSTOMY BALLOON 14FR DIA 45CML JEJUNAL 1.5CML STOMA SILICONE APPLE SHAPED LOW-PROFILE F/GASTRIC-JEJUNAL ENTERAL TUBE G-JET,1279.0,639.5,278.95,1151.1,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 2.3CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET LEGACY MRI CONDITIONAL NON-RADIO,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 4.4CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET ENFIT MRI CONDITIONAL NON-RADIOL,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 4CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET ENFIT MRI CONDITIONAL NON-RADIOLUC,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 4CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET LEGACY MRI CONDITIONAL NON-RADIOLU,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 6.5CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET LEGACY MRI CONDITIONAL NON-RADIO,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 6CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET LEGACY MRI CONDITIONAL NON-RADIOLU,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 16FR 45CM 7CM STOMA SILICONE 3-5ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET ENFIT MRI CONDITIONAL NON-RADIOLUC,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY FEEDING 18FR 45CM 7CM STOMA SILICONE 7-9ML BALLOON TRANSGASTRIC JEJUNAL APPLE LOW-PROFILE ANTI-REFLUX VALVE DUAL SAFETY STRAP GLOW GREEN G-JET LEGACY MRI CONDITIONAL NON-RADIOLU,608.0,304.0,132.6,547.2,64
RC,0272,KIT BUTTON GASTROSTOMY REPLACEMENT 18FR 17CM SILICONE LOW-PROFILE W/ENFIT PSMD SPACER DISK DECOMPRESSION TUBE PATIENT CARE ENDOVIVE NON-RADIOLUCENT,124.11,62.06,27.07,111.7,64
RC,0272,KIT BUTTON GASTROSTOMY REPLACEMENT 18FR 24CM SILICONE LOW-PROFILE W/ENFIT PSMD SPACER DISK DECOMPRESSION TUBE PATIENT CARE KIT ENDOVIVE NON-RADIOLUCENT,124.11,62.06,27.07,111.7,64
RC,0272,KIT CABLE EPI-SENSE RF COAGULATION,39.0,19.5,8.51,35.1,64
RC,0272,KIT CANNULA 15FR BIO-MEDICUS NEXTGEN FEMORAL ARTERIAL JUGULAR VENOUS,345.95,172.98,75.45,311.36,64
RC,0272,KIT CANNULA 17FR BIO-MEDICUS NEXTGEN FEMORAL ARTERIAL JUGULAR VENOUS,345.95,172.98,75.45,311.36,64
RC,0272,KIT CANNULA 19FR BIO-MEDICUS NEXTGEN FEMORAL VENOUS,392.7,196.35,85.65,353.43,64
RC,0272,KIT CANNULA ANGIOGRAPHY 20DEG W/DILATOR CIRCUIT BUBBLE TRAP ANGIOVAC,14500.0,7250.0,3162.45,13050.0,64
RC,0272,KIT CANNULA ARTERIAL JUGULAR,416.08,208.04,90.75,374.47,64
RC,0272,KIT CANNULA PERFUSION 20FR DIA W/TUBING CONNECTOR F/OPEN HEART CARDIOTHORACIC PROCEDURE,850.0,425.0,185.39,765.0,64
RC,0272,KIT CANNULA PERFUSION 22FR DIA DLP,850.0,425.0,185.39,765.0,64
RC,0272,KIT CANNULA VENTRICULAR ASSIST 34FR DIA RETURN CENTRIMAG,1080.0,540.0,235.55,972.0,64
RC,0272,KIT CARDIAC CATH,378.63,189.32,82.58,340.77,64
RC,0272,KIT CARDIAC CATHETERIZATION CUSTOM PEDIATRIC 3/CA,298.44,149.22,65.09,268.6,64
RC,0272,KIT CARDIAC CATHETERIZATION JANKE-BARRON 20CMW X 20CML POLYESTER LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,1875.0,937.5,408.94,1687.5,64
RC,0272,KIT CARDIOPLEGIA PERICARDIAL SUMP W/PVC TUBING 1/4IN CONNECTOR WEIGHTED STAINLESS STEEL SPRING TIP,123.6,61.8,26.96,111.24,64
RC,0272,KIT CATHETER 13FR 20CM STRAIGHT 2 LUMEN SHORT TERM DIALYSIS EXTENSION LEG KINK RESISTANT DUOGLIDE POLYURETHANE STERILE LATEX FREE,459.0,229.5,100.11,413.1,64
RC,0272,KIT CATHETER ARTERIAL ARROW SAFETY 18GA 12CM INDWELLING W/0.025IN SPRING GW 25GA SAFETYGLIDE NDL LIDOCAINE 3ML SYRINGE BIOPATCH POLYETHER BLOCK AMIDE LATEX-FREE NON-RADIOLUCENT,494.0,247.0,107.74,444.6,64
RC,0272,KIT CATHETER CENTRAL VENOUS W/LARGE DRAPE,527.2,263.6,114.98,474.48,64
RC,0272,KIT CATHETER DRUG DELIVERY 17GA 5IN 6IN NEEDLE EXPANSION W/SOAKER ON-Q LATEX DEHP-FREE STERILE SINGLE-USE,234.0,117.0,51.04,210.6,64
RC,0272,KIT CATHETER DRUG DELIVERY OVER-THE-NEEDLE 20GA 100MML W/STIMULATING CABLE ON-Q QUIKBLOC STERILE DISPOSABLE,180.81,90.41,39.43,162.73,64
RC,0272,KIT CATHETER GUIDEWIRE SYRINGE STOPCOCK BRIDGE OCCLUSION BALLOON PREP,290.0,145.0,63.25,261.0,64
RC,0272,KIT CATHETER IABP 8FR DIA 40ML FLEXIBLE WIRE REINFORCED HEMOSTASIS SHEATH W/0.25IN GUIDEWIRE INTRODUCER NEEDLE FIBEROPTIX LATEX-FREE,1175.0,587.5,256.27,1057.5,64
RC,0272,KIT CATHETER PRESSURE MONITOR METAL SKULL BOLT F/INTRAPARENCHYMAL PROCEDURE MICROSENSOR,792.89,396.45,172.93,713.6,64
RC,0272,KIT CATHETER REPAIR 9FR 2 LUMEN COMPLETE EXTERNAL SEGMENT CONNECTOR HICKMAN RED WHITE,198.55,99.28,43.3,178.7,64
RC,0272,KIT CATHETER REPAIR REPLACEMENT CONNECTOR POLYURETHANE HEMODIALYSIS,3005.0,1502.5,655.39,2704.5,64
RC,0272,KIT CATHETER STARTER PLEURX DISPOSABLE STERILE LATEX FREE PERITONEAL,803.4,401.7,175.22,723.06,64
RC,0272,KIT CATHETER SUCTION CLOSED 14FR DIA 30.5CML T-PIECE DOUBLE SWIVEL ELBOW W/ONE-WAY VALVE VIALX12 MDI ADAPTER CLEAR F/ENDOTRACHEAL TUBE TRACH CARE LATEX-FREE,218.57,109.29,47.67,196.71,64
RC,0272,KIT CATHETER SUCTION CLOSED 6FR DIA 12CML NEONATE PEDIATRIC BRONCHIAL MUSHROOM TIP LOW DUROMETER W/CAP BLUE F/TRACHEOSTOMY KIMVENT LATEX-FREE STERILE SINGLE-USE,242.33,121.17,52.85,218.1,64
RC,0272,KIT CATHETER URETHRAL FOLEY 16FR DIA SILICONE COATED 2-WAY CLOSED SYSTEM W/2000ML COLLECTION BAG FIG LEAF,351.56,175.78,76.68,316.4,64
RC,0272,KIT CATHETERIZATION URINARY COLLECTION NEOMED NEONATE OD6.5 FR SILICONE FOLEY SYSTEM,146.06,73.03,31.86,131.45,64
RC,0272,KIT CEMENT ETCHING ADHESIVE SINGLE COMPONENT BONDING VIAL ADPER BOND PLUS,198.36,99.18,43.26,178.52,64
RC,0272,KIT CEMENTING DENTIN SHADE CALCIUM HYDROXIDE W/13GM BASEX6 11GM CATALYSTX6 MIXING PADX6 DYCAL,58.29,29.15,12.71,52.46,64
RC,0272,KIT CENTRIFUGAL ANGEL ANGEL PLATELET RICH PLASMA,325.0,162.5,70.88,292.5,64
RC,0272,KIT CENTRIFUGAL ANGEL PLATELET RICH PLASMA,325.0,162.5,70.88,292.5,64
RC,0272,KIT CHANGE DRESSING CVC/PICC/LG BORE DIALYSIS,203.6,101.8,44.41,183.24,64
RC,0272,KIT CHARGER LUMBAR,200.0,100.0,43.62,180.0,64
RC,0272,KIT CHEMOTHERAPY CUSTOM WASTE BAG MERIT MEDICAL,125.1,62.55,27.28,112.59,64
RC,0272,KIT CHOLANGIOGRAM L60 CM 2 LUMEN 3 WAY STOPCOCK BALLOON CATHETER SYRINGE OD4 FR ODSEC10 FR ARROW-KARLAN POLYURETHANE L21.4 CM 1.25 ML PERCUTANEOUS,594.0,297.0,129.55,534.6,64
RC,0272,KIT CHOLANGIOGRAM L60 CM 2 LUMEN 3 WAY STOPCOCK BALLOON CATHETER SYRINGE OD4 FR ODSEC10 FR ARROW-KARLAN POLYURETHANE L28.6 CM 1.25 ML PERCUTANEOUS,594.0,297.0,129.55,534.6,64
RC,0272,KIT CLEANUP F/OPERATING ROOM TURNOVER,133.56,66.78,29.13,120.2,64
RC,0272,KIT CLEANUP MAIN OPERATING ROOM TURNOVER,164.04,82.02,35.78,147.64,64
RC,0272,KIT COCHLEAR SOUND PROCESSOR ATTRACT BAHA,153.55,76.78,33.49,138.2,64
RC,0272,KIT COLOSTOMY 1-PIECE,55.9,27.95,12.19,50.31,64
RC,0272,KIT COLOSTOMY 2-PIECE,94.85,47.43,20.69,85.37,64
RC,0272,KIT CONTAINER URINE COLLECTION CLOSED SYSTEM,88.41,44.21,19.28,79.57,64
RC,0272,KIT CONTROL CHEMISTRY TROPONIN-I 2X8ML HIGH-SENSITIVITY CARDIAC MARKER ALINITY I-STAT EA,227.24,113.62,49.56,204.52,64
RC,0272,KIT CONTROL IMMUNOLOGY F/CELL SAVER SYSTEM,600.0,300.0,130.86,540.0,64
RC,0272,KIT CONTROL IMMUNOLOGY SARS-COV-2 LYME TOTAL ANTIBODY PLUS LIAISON 1/PK,100.0,50.0,21.81,90.0,64
RC,0272,KIT CONTROLLER INJECTION HAND F/ACIST CVI CONTRAST DELIVERY SYSTEM ANGIOTOUGH,708.0,354.0,154.41,637.2,64
RC,0272,KIT CORONARY CB,303.4,151.7,66.17,273.06,64
RC,0272,KIT CRANIAL ACCESS 2.7 MM HUBLY DRILL  (WITH DRUGS),2400.0,1200.0,523.44,2160.0,64
RC,0272,KIT CRANIAL REPAIR 75 PPM TYPE 2 POWDER LIQUID CRANIOPLASTIC,1717.94,858.97,374.68,1546.15,64
RC,0272,KIT CRANIOTOMY,112.56,56.28,24.55,101.3,64
RC,0272,KIT CRANIOTOMY CRANIAL ACCESS DRUG CODMAN,328.65,164.33,71.68,295.79,64
RC,0272,KIT CRANIOTOMY CRANIAL ACCESS WITHOUT DRUG CODMAN STERILE,304.79,152.4,66.47,274.31,64
RC,0272,KIT CRANIOTOMY EVACUATOR PORT SEPS LIDOCAINE SUBDURAL,1893.58,946.79,412.99,1704.22,64
RC,0272,KIT CRANIOTOMY NO RAZOR DRUG 2 DRILL BIT ACCESS NATUS,835.0,417.5,182.11,751.5,64
RC,0272,KIT CRANIOTOMY NO RAZOR NO DRUG 2 DRILL BIT ACCESS NATUS,615.0,307.5,134.13,553.5,64
RC,0272,KIT CRANIOTOMY RAZOR DRUG 2 DRILL BIT ACCESS NATUS,1222.33,611.17,266.59,1100.1,64
RC,0272,KIT CRANIOTOMY RAZOR NO DRUG 2 DRILL BIT ACCESS NATUS,645.0,322.5,140.67,580.5,64
RC,0272,KIT CRANIOTOMY TUMOR RESECTION NON-INVASIVE GUIDE W/ADAPTER REGISTRATION WAND CABLECLIP DRAPE SKULL PINX4 AXIEM LATEX-FREE STERILE DISPOSABLE,726.0,363.0,158.34,653.4,64
RC,0272,KIT CRANIOTOMY W/DRUG 2-DRILL BIT W/O RAZOR DRAPE F/CRANIAL ACCESS STERILE,575.5,287.75,125.52,517.95,64
RC,0272,KIT CUSTOM NEURO ST LUKES WITH MANIFOLD,168.96,84.48,36.85,152.06,64
RC,0272,KIT CUSTOM PROCEDURE UROSTOMY,90.64,45.32,19.77,81.58,64
RC,0272,KIT DEBRIDEMENT CYLINDRICAL WRENCH SONICONE TITANIUM BLUE,746.25,373.13,162.76,671.63,64
RC,0272,KIT DECOMPRESSION 10FR 350CM .035IN MARCON DISPOSABLE COLON,121.0,60.5,26.39,108.9,64
RC,0272,KIT DEVICE ANGIOGRAPHY INFLATION 10ML W/0.096IN ROTATING HEMOSTATIC VALVE GW INTRO TORQUE-DEVICE INDEFLATOR PLUS 30 30ATM,50.0,25.0,10.91,45.0,64
RC,0272,KIT DEVICE ANGIOGRAPHY INFLATION 14INL TUBING 20ML 3-WAY STOPCOCK MEDIUM PRESSURE W/VACLOCK SYRINGE BASIX SINGLE-USE 25ATM,408.0,204.0,88.98,367.2,64
RC,0272,KIT DEVICE ANGIOGRAPHY INFLATION 20ML 3-WAY STOPCOCK W/HEMOSTATIC VALVE TORQUER GATEWAY PLUS Y ADAPTER ENCORE 26 ADVANTAGE 5/PK,150.0,75.0,32.72,135.0,64
RC,0272,KIT DEVICE ANGIOGRAPHY INFLATION 20ML W/0.096IN ROTATING HEMOSTATIC VALVE GW INTRO TORQUE-DEVICE INDEFLATOR PLUS 20/30 30ATM,50.0,25.0,10.91,45.0,64
RC,0272,KIT DEVICE ANGIOGRAPHY INFLATION 30ML W/MAP 152 ACCESS PLUS BASIXTOUCH 5/BX 35ATM,151.85,75.93,33.12,136.67,64
RC,0272,KIT DEVICE ANGIOGRAPHY INFLATION K05-L3-L4,550.0,275.0,119.96,495.0,64
RC,0272,KIT DEVICE BIOPSY CORE 20GA 10CML W/COMPATIBLE COAXIAL MARQUEE LATEX-FREE STERILE SINGLE-USE,340.0,170.0,74.15,306.0,64
RC,0272,KIT DEVICE NASAL TAMPONADE 5.5CML CARBOXYMETHYLCELLULOSE-INFUSED HYDROCOLLOID FABRIC BILATERAL AIR-INFLATABLE ULTRA LOW-PROFILE BALLOONX2 HIGHLY ABSORBENT SELF-LUBRICATING REMOVABLE W/AIRWAY GREEN-LIN,581.0,290.5,126.72,522.9,64
RC,0272,KIT DILATOR INITIAL PLACEMENT,93.0,46.5,20.28,83.7,64
RC,0272,KIT DRAIN WOUND 3/16IN DIA 5INL POLYVINYL CHLORIDE 400ML CAPACITY ROUND MID PERFORATION TUBING SPRING RESERVOIR W/TROCAR Y-CONNECTOR HEMOVAC LATEX-FREE PVC STERILE,200.0,100.0,43.62,180.0,64
RC,0272,KIT DRAINAGE 1/8IN 400CC 12.5IN ROUND 3 SPRING EVACUATOR Y CONNECTOR TUBE HOLE PATTERN TROCAR PVC DISPOSABLE STERILE LATEX FREE,76.5,38.25,16.68,68.85,64
RC,0272,KIT DRAINAGE 8FR 22GA 10ML 6.44IN CATHETER RADIOPAQUE NEEDLE SHARP SAFETY LATEX FREE PNEUMOTHORAX,340.0,170.0,74.15,306.0,64
RC,0272,KIT DRAINAGE L10 IN TROCAR 2 SYRINGE FENESTRATE DRAPE OD28 FR ARGYLE MONOJECT PVC 12 ML CLEAR THORACOSTOMY,389.33,194.67,84.91,350.4,64
RC,0272,KIT DRAINAGE L9 IN TROCAR 2 SYRINGE FENESTRATE DRAPE OD12 FR ARGYLE MONOJECT PVC 12 ML CLEAR THORACOSTOMY,255.82,127.91,55.79,230.24,64
RC,0272,KIT DRAINAGE PROCEDURE PACK BLUE WRAPPING ALCOHOL PAD VALVE CAP SELF ADHESIVE DRESSING PLEURX STERILE,147.15,73.58,32.09,132.44,64
RC,0272,KIT DRAPE 1 PIECE POCKET RIO RIO,39.0,19.5,8.51,35.1,64
RC,0272,KIT DRAPE DRUG SPY-PHI,3760.71,1880.36,820.21,3384.64,64
RC,0272,KIT DRAPE EQUIPMENT C-ARM ARTICULATING CLEAR LATEX-FREE STERILE,18.66,9.33,4.07,16.79,64
RC,0272,KIT DRAPE EQUIPMENT C-ARMOR LATEX-FREE,564.0,282.0,123.01,507.6,64
RC,0272,KIT DRAPE EQUIPMENT VERSION 5 SINGLE-USE,885.0,442.5,193.02,796.5,64
RC,0272,KIT DRESSING 10X10CM 8X8CM ADVANCE FILLER SNAP FOAM DISPOSABLE,48.68,24.34,10.62,43.81,64
RC,0272,KIT DRESSING 15X10CM THK1CM LARGE 1 PAD 1 DRAPE VERSATILE FLEXIBLE HYDROPHOBIC WHITEFOAM SENSATRAC VAC POLYVINYL ALCOHOL FOAM DISPOSABLE STERILE LATEX FREE,254.4,127.2,55.48,228.96,64
RC,0272,KIT DRESSING 18X12.5CM THK3.2CM MEDIUM VAC GRANUFOAM DISPOSABLE,1159.59,579.8,252.91,1043.63,64
RC,0272,KIT DRESSING 26X15CM THK1.6CM THIN PRECUT 2 ADHESIVE DRAPE PERFORATE FLEXIBLE PAD GRANUFOAM VAC POLYURETHANE FOAM BLACK,281.11,140.56,61.31,253.0,64
RC,0272,KIT DRESSING 26X15CM THK3.2CM LARGE 2 DRAPE PAD CONNECTOR DISPOSABLE RULER GRANUFOAM VAC SENSATRAC HYDROPHOBIC,480.32,240.16,104.76,432.29,64
RC,0272,KIT DRESSING 3.5IN GLASSCOCK LATEX FREE EAR,105.84,52.92,23.08,95.26,64
RC,0272,KIT DRESSING 60X30CM THK1.5CM XL STANDARD 5 DRAPE 1 PAD OPEN PORE STRUCTURE HYDROPHOBIC GRANUFOAM SENSATRAC VAC POLYURETHANE FOAM,497.44,248.72,108.49,447.7,64
RC,0272,KIT DRESSING L13 CM PRESSURE INDICATOR THERAPY UNIT CONNECTOR RULER STICKER PREVENA PEEL & PLACE PATCH STRIPS VAC,1386.5,693.25,302.4,1247.85,64
RC,0272,KIT DRESSING L14 CM X W11 CM BRIDGE HYDROCOLLOID SNAP SECURRING FOAM,713.9,356.95,155.7,642.51,64
RC,0272,KIT DRESSING L15 CM X W10 CM LARGE VAC WHITEFOAM FOAM PVC,117.67,58.84,25.66,105.9,64
RC,0272,KIT DRESSING L15 CM X W10 CM THK1 CM LARGE PAD DRAPE HYDROPHOBIC WHITEFOAM SENSATRAC VAC POLYVINYL ALCOHOL FOAM,508.79,254.4,110.97,457.91,64
RC,0272,KIT DRESSING L15 CM X W15 CM ADVANCE FILLER SNAP FOAM L13 CM X W13 CM NEGATIVE PRESSURE WOUND THERAPY,519.2,259.6,113.24,467.28,64
RC,0272,KIT DRESSING L18 CM X W12.5 CM THK3.2 CM MEDIUM VAC GRANUFOAM SILVER,311.48,155.74,67.93,280.33,64
RC,0272,"KIT DRESSING L20 CM PREVENA,PEEL & PLACE,VAC",1386.5,693.25,302.4,1247.85,64
RC,0272,KIT DRESSING L26 CM X W15 CM THK3.3 CM LARGE STANDARD 2 ADHESIVE DRAPE PAD HARD TO REACH FLEXIBLE GRANUFOAM SENSATRAC VAC POLYURETHANE FOAM BLACK,265.41,132.71,57.89,238.87,64
RC,0272,KIT DRESSING L28 CM OD49 CM PREVENA RESTOR ADAPTIFORM,2362.5,1181.25,515.26,2126.25,64
RC,0272,KIT DRESSING L29 CM X W28 CM PREVENA RESTOR AXIOFORM,742.5,371.25,161.94,668.25,64
RC,0272,KIT DRESSING L35 CM PRESSURE INDICATOR PATCH STRIP CONNECTOR PREVENA PEEL & PLACE VAC,1386.5,693.25,302.4,1247.85,64
RC,0272,KIT DRESSING L35.6 CM X W26 CM LARGE VAC PEEL AND PLACE,769.74,384.87,167.88,692.77,64
RC,0272,KIT DRESSING LINE CHANGE STERILE,976.27,488.14,212.92,878.64,64
RC,0272,KIT DRESSING MEDIUM VAC VERAFLO CLEANSE,627.0,313.5,136.75,564.3,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE 10CMW X 10CML W/FOAM SNAP(R),442.5,221.25,96.51,398.25,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE 15CMW X 15CML FOAM W/BRIDGE SNAP,51.92,25.96,11.32,46.73,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE 90CML CUSTOMIZABLE PREVENA PLUS STERILE DISPOSABLE,1705.5,852.75,371.97,1534.95,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE SMALL POLYURETHANE FOAM F/ACTIVAC INFOVAC GRANUFOAM SILVER,320.69,160.35,69.94,288.62,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED 15CMW X 26CML X 1.6CMH PERFORATED POLYURETHANE THIN W/SENSAT.R.A.C. PAD ADHESIVE DRAPE CONNECTOR RULER F/WOUND THERAPY V.A.C. GRANUFOAM DISPOSABLE,387.16,193.58,84.44,348.44,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED 20CML POLYURETHANE W/50ML CANISTER INDICATOR PATCH STRIP CONNECTOR PREVENA PLUS SYSTEM LATEX-FREE STERILE,1327.5,663.75,289.53,1194.75,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED HAND W/SENSAT.R.A.C. PAD/FINGER SEPARATORS V.A.C GRANUFOAM,556.12,278.06,121.29,500.51,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED LARGE TUBULAR W/SPIRAL WOUND RULER FOAM LABEL VAC VERAFLO CLEANSE CHOICE LATEX-FREE STERILE SINGLE-USE,974.7,487.35,212.58,877.23,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED MEDIUM 10CMW X 7.5CML X 1CMH POLYURETHANE NON-ADHERENT W/DRAPE PAD CONNECTOR RULER VAC GRANUFOAM SIMPLACE LATEX-FREE STERILE,418.76,209.38,91.33,376.88,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED MEDIUM 18CMW X 12.5CML X 3.3CMH POLYURETHANE ANTIMICROBIAL V.A.C. GRANUFOAM SILVER STERILE,551.65,275.83,120.31,496.49,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED MEDIUM 18CMW X 12.5CML X 3.3CMH WHITE VAC GRANUFOAM LATEX-FREE STERILE DISPOSABLE,220.05,110.03,47.99,198.05,64
RC,0272,KIT DRESSING NEGATIVE PRESSURE VACUUM ASSISTED XLARGE POLYURETHANE ASSISTED CLOSURE SYSTEM W/POLYURETHANE FOAM DRAPEX5 SENSA T.R.A.C TRAC,497.44,248.72,108.49,447.7,64
RC,0272,KIT DRILL 2 MM,283.59,141.8,61.85,255.23,64
RC,0272,KIT DRILL 2.65 MM SPEED COMPREHENSIVE,283.59,141.8,61.85,255.23,64
RC,0272,KIT DRILL 2.65MM GUIDE HANDLE CONTINUOUS COMPRESSION,240.69,120.35,52.49,216.62,64
RC,0272,KIT DRILL ARTHROSCOPIC SHAVER LATEX-FREE DISPOSABLE F/2.9MM SHORT PUSHLOCK,175.0,87.5,38.17,157.5,64
RC,0272,KIT DRILL BIT OD2 MM ODSEC3.2 MM EQUINOXE,225.0,112.5,49.07,202.5,64
RC,0272,KIT DRILL BONE BIOPSY 15GA 16CML EXTENDED BONOPTY,475.0,237.5,103.6,427.5,64
RC,0272,KIT DRILL CORRESPOND BIT OD2.1 MM,232.57,116.29,50.72,209.31,64
RC,0272,KIT DRILL GUIDE HANDLE OD2 MM CONTINUOUS COMPRESSION,240.69,120.35,52.49,216.62,64
RC,0272,KIT DRILL GUIDE HANDLE OD2.65 MM CONTINUOUS COMPRESSION,240.69,120.35,52.49,216.62,64
RC,0272,KIT DRILL OD2 MM HAND WRIST SPEED,307.66,153.83,67.1,276.89,64
RC,0272,KIT DRILL SPEEDTRIAD 2 MM BIT,240.69,120.35,52.49,216.62,64
RC,0272,KIT ELECTRODE ELECTROTHERAPY IONTOPHORESIS 6.4SQCM HYDROGEL 1.1ML CAPACITY BUTTERFLY GELSPONGE CONDUCTIVE ELEMENT BUFFERED PHORESOR LATEX-FREE,30.45,15.23,6.64,27.41,64
RC,0272,KIT ELECTRODE EMG NEEDLE W/ELECTRICAL CONNECTOR SAFEOP DISPOSABLE,360.0,180.0,78.52,324.0,64
RC,0272,KIT ELECTRODE L15 CM INFLOW OUTFLOW TUBE SET OD17 GA COOL-TIP L1 CM ABLATION,1699.0,849.5,370.55,1529.1,64
RC,0272,KIT ELECTRODE SURFACE ENSITE PRECISION,5725.0,2862.5,1248.62,5152.5,64
RC,0272,KIT ELECTROSURGICAL 17GA 50MM MULTICOOL RADIOFREQUENCY DISPOSABLE STERILE,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROSURGICAL L100 MM MULTICOOL RADIOFREQUENCY OD17 GA AVANOS,1967.0,983.5,429.0,1770.3,64
RC,0272,KIT ELECTROSURGICAL L50 MM MULTICOOL RADIOFREQUENCY OD17 GA AVANOS,1967.0,983.5,429.0,1770.3,64
RC,0272,KIT ELECTROSURGICAL L50 MM MULTIRADIOFREQUENCY OD17 GA COOLIEF,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROSURGICAL L75 MM MULTICOOL RADIOFREQUENCY OD17 GA AVANOS,1967.0,983.5,429.0,1770.3,64
RC,0272,KIT ELECTROTHERAPY 100 MM 4 MM ADVANCE MULTICOOL RADIOFREQUENCY 2 PROBE OD17 GA COOLIEF,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROTHERAPY 150 MM 4 MM ADVANCE MULTICOOL RADIOFREQUENCY 3 PROBE OD17 GA COOLIEF,1967.0,983.5,429.0,1770.3,64
RC,0272,KIT ELECTROTHERAPY 50 MM 2 MM ADVANCE MULTICOOL RADIOFREQUENCY 3 PROBE OD17 GA COOLIEF,1804.0,902.0,393.45,1623.6,64
RC,0272,KIT ELECTROTHERAPY 75 MM 2 MM ADVANCE MULTICOOL RADIOFREQUENCY 2 PROBE OD17 GA COOLIEF,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROTHERAPY 75 MM 2 MM ADVANCE MULTICOOL RADIOFREQUENCY 3 PROBE OD17 GA COOLIEF,1804.0,902.0,393.45,1623.6,64
RC,0272,KIT ELECTROTHERAPY 75 MM 4 MM ADVANCE MULTICOOL RADIOFREQUENCY 2 PROBE OD17 GA COOLIEF,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROTHERAPY 75 MM 5.5 MM ADVANCE COOL RADIOFREQUENCY PROBE OD17 GA COOLIEF,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY 75 MM 5.5 MM ADVANCE MULTICOOL RADIOFREQUENCY 2 PROBE OD17 GA COOLIEF,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROTHERAPY ADVANCE MULTICOOL RADIOFREQUENCY COOLIEF,1291.5,645.75,281.68,1162.35,64
RC,0272,KIT ELECTROTHERAPY COOLIEF ADVANCE COOL RADIOFREQUENCY STERILE DISPOSABLE,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY L100 MM 2 BURETTE COOL RADIOFREQUENCY PROBE INTRODUCER OD17 GA COOLIEF* L4 MM,1300.0,650.0,283.53,1170.0,64
RC,0272,KIT ELECTROTHERAPY L100 MM ACTIVE TIP RADIOFREQUENCY TUBE PROBE INTRODUCER OD17 GA COOLIEF* L4 MM,950.0,475.0,207.2,855.0,64
RC,0272,KIT ELECTROTHERAPY L150 MM COOL RADIOFREQUENCY PROBE OD17 GA COOLIEF* L4 MM,772.5,386.25,168.48,695.25,64
RC,0272,KIT ELECTROTHERAPY L2 MM ACTIVE TIP ADVANCE COOL RADIOFREQUENCY PROBES INTRODUCER OD 17G PROBE COOLIEF L75 MM,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY L2 MM ACTIVE TIP ADVANCE COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L50 MM,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY L4 MM ACTIVE TIP 90 DEGREE ANGLE PROBE COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L150MM,500.2,250.1,109.09,450.18,64
RC,0272,KIT ELECTROTHERAPY L4 MM ACTIVE TIP 90 DEGREE ANGLE PROBE COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L50MM,500.2,250.1,109.09,450.18,64
RC,0272,KIT ELECTROTHERAPY L4 MM ACTIVE TIP 90 DEGREE ANGLE PROBE COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L75MM,500.0,250.0,109.05,450.0,64
RC,0272,KIT ELECTROTHERAPY L4 MM ACTIVE TIP ADVANCE COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L150 MM,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY L4 MM ACTIVE TIP ADVANCE COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L50 MM,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY L4 MM ACTIVE TIP COOL RADIOFREQUENCY PROBES OD 17G PROBE COOLIEF L75MM,779.0,389.5,169.9,701.1,64
RC,0272,KIT ELECTROTHERAPY L50 MM ACTIVE TIP COOL RADIO FREQUENCY TUBE PROBE INTRODUCER OD17 GA COOLIEF* L2 MM,772.5,386.25,168.48,695.25,64
RC,0272,KIT ELECTROTHERAPY L75 MM 2 BURETTE COOL RADIOFREQUENCY PROBE INTRODUCER OD17 GA COOLIEF* L4 MM,1442.0,721.0,314.5,1297.8,64
RC,0272,KIT ELECTROTHERAPY L75 MM ACTIVE TIP PROBE INTRODUCER TUBE OD17 GA COOLIEF* L2 MM,742.63,371.32,161.97,668.37,64
RC,0272,KIT ELECTROTHERAPY L75 MM ACTIVE TIP RADIOFREQUENCY TUBE PROBE INTRODUCER OD17 GA COOLIEF* L4 MM,772.5,386.25,168.48,695.25,64
RC,0272,KIT ELECTROTHERAPY SINERGY COOLED RF QUICKCLAMP EPSILON DISPOSABLE STERILE LATEX FREE,742.63,371.32,161.97,668.37,64
RC,0272,KIT EMG NEEDLE ELECTRODE SAFEOP,360.0,180.0,78.52,324.0,64
RC,0272,KIT EMG NEEDLE ELECTRODE SAFEOP SOMATOSENSORY EVOKE POTENTIAL,585.0,292.5,127.59,526.5,64
RC,0272,KIT EMG SURFACE ELECTRODE SAFEOP SOMATOSENSORY EVOKE POTENTIAL,585.0,292.5,127.59,526.5,64
RC,0272,KIT ENDOSCOPE ENDOSCOPIC SINUS SURGERY KIT CHITOGEL SINUS,372.0,186.0,81.13,334.8,64
RC,0272,KIT ENDOSCOPIC 2 BUNDLE 2 GOWN LEVEL 3 COMPLIANCE ENDOKIT 1.1 OZ,471.78,235.89,102.9,424.6,64
RC,0272,KIT ENDOSCOPIC 2 END COMPLIANCE ENDOKIT ORCAPOD 4 1.1OZ,297.86,148.93,64.96,268.07,64
RC,0272,KIT ENDOSCOPIC 2 PIECE AIR WATER SUCTION VALVE DEFENDO,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT ENDOSCOPIC 2.4MM 230CM 27X14MM RESECTION DEVICE MONOFILAMENT WIRE MINI SNARE HISTOLOCK DISPOSABLE STERILE,762.2,381.1,166.24,685.98,64
RC,0272,KIT ENDOSCOPIC 45D FIRM TIP EXTEND WORK CHANNEL LOCATABLE GUIDE EDGE,1784.0,892.0,389.09,1605.6,64
RC,0272,KIT ENDOSCOPIC CLEANING COLON W/1.1OZ DOUBLE END SEAL HYDRA ORCA 3/16 X 6FT OP4 COMPLIANCE ENDOKIT 20/BX,301.0,150.5,65.65,270.9,64
RC,0272,KIT ENDOSCOPIC CLEANING INFECTION PREVENTION OP4 CA W/NOCP 1.1+ 2-GOWN 3-AAMI LEVEL COMPLIANCE ENDOKIT,415.8,207.9,90.69,374.22,64
RC,0272,KIT ENDOSCOPIC CLEANING W/1.1OZ DOUBLE END 12FT 2-GOWN COMPLIANCE ENDOKIT ORCAPOD 4 AAMI LEVEL 3,439.54,219.77,95.86,395.59,64
RC,0272,KIT ENDOSCOPIC CLEANING W/DISPOSABLE VALVE,296.0,148.0,64.56,266.4,64
RC,0272,KIT ENDOSCOPIC ENDOSCOPIC GASTROCNEMIUS RECESSION ENDOTRAC,1206.94,603.47,263.23,1086.25,64
RC,0272,KIT ENDOSCOPIC FLUORESCENCE IMAGE DA VINCI X XI,1229.0,614.5,268.04,1106.1,64
RC,0272,KIT ENDOSCOPIC HOOK TRIANGLE BLADE ENDOTRAC DISPOSABLE STERILE LATEX FREE,1767.12,883.56,385.41,1590.41,64
RC,0272,KIT ENDOSCOPIC INSTRUMENT,450.0,225.0,98.15,405.0,64
RC,0272,KIT ENDOSCOPIC INSTRUMENT 1.1 MM CANNULA DRILL NEEDLE PORTAL DILATOR OD17 GA ODSEC2.9 MM PUSHLOCK METAL NITINOL ARTHROSCOPY,220.0,110.0,47.98,198.0,64
RC,0272,KIT ENDOSCOPIC INSTRUMENT BANANA BLADE HIP ARTHROSCOPY,375.0,187.5,81.79,337.5,64
RC,0272,KIT ENDOSCOPIC INSTRUMENT D SLOT CANNULA KNIFE CTS RELIEF DISPOSABLE STERILE CARPAL TUNNEL RELEASE,634.16,317.08,138.31,570.74,64
RC,0272,KIT ENDOSCOPIC INSTRUMENT DRILL GUIDE GUIDEWIRE OD1.35-1.6 MM FIBERTAK DX SUTURE ANCHOR,1375.0,687.5,299.89,1237.5,64
RC,0272,KIT ENDOSCOPIC INSTRUMENT DX SWIVELOCK,1375.0,687.5,299.89,1237.5,64
RC,0272,KIT ENDOSCOPIC L10 FT 2 END 16 PLY COMPLIANCE ENDOKIT ORCAPOD 4 1.1 OZ,296.0,148.0,64.56,266.4,64
RC,0272,KIT ENDOSCOPIC LINEAR W/BASIN INTERCEPT DETERGENT CYLINDRICAL SPONGE DEFENDO OLYMPUS 3-PIECE VALVES KIT DRAWSTRING TRANSPORT PAD LUBRICANT GAUZE BIOHAZARD-DIRTY SCOPE LABEL F/CARRY-ON PROCEDURE,420.0,210.0,91.6,378.0,64
RC,0272,KIT EPISTAXIS TOPICAL HEMOSTAT 2 ENT APPLICATOR MALLEABLE HEMADERM FLEXITIP 2 GM,512.05,256.03,111.68,460.85,64
RC,0272,KIT ERGONOMIC STABLE F/RETINAL EXAM LENS STERILE,308.7,154.35,67.33,277.83,64
RC,0272,KIT EXTERNAL DRAINAGE LUMBAR DRAINAGE GRADUATE CHAMBER NA 120 ML,348.15,174.08,75.93,313.34,64
RC,0272,KIT EXTERNAL FIXATION COMPLETE DRILL BIT SCREW ARTICULATION XCALIBER OSTEOTITE ANKLE,5062.68,2531.34,1104.17,4556.41,64
RC,0272,KIT EXTERNAL FIXATION FOOT PLATE SUPPORT MAXFRAME MULTIAXIAL CORRECTION SYSTEM,823.45,411.73,179.59,741.11,64
RC,0272,KIT EXTERNAL FIXATION LARGE FRAME NA ANKLE,3599.57,1799.79,785.07,3239.61,64
RC,0272,KIT FILLER BN CMNT W/ 12X15MM INFLT TAMP CRV,469.0,234.5,102.29,422.1,64
RC,0272,KIT FIXTN DISTI BICEP TENDON,1365.0,682.5,297.71,1228.5,64
RC,0272,KIT FLOYD ARTHRO II PO4GARFLA,97.0,48.5,21.16,87.3,64
RC,0272,KIT FLOYD BRONCH 8,119.9,59.95,26.15,107.91,64
RC,0272,KIT FLOYD BRONCH 8 FLOYD MEDICAL CENTER,119.9,59.95,26.15,107.91,64
RC,0272,KIT FLOYD BRONCH GI,72.16,36.08,15.74,64.94,64
RC,0272,KIT FLOYD C SECTION,145.58,72.79,31.75,131.02,64
RC,0272,KIT FLOYD DELIVERY,66.06,33.03,14.41,59.45,64
RC,0272,KIT FLOYD GASTRIC BYPASS,192.44,96.22,41.97,173.2,64
RC,0272,KIT FLOYD GASTRIC SLEEVE,191.58,95.79,41.78,172.42,64
RC,0272,KIT FLOYD GEN SURG II,114.18,57.09,24.9,102.76,64
RC,0272,KIT FLOYD HIP,133.68,66.84,29.16,120.31,64
RC,0272,KIT FLOYD LAP GYN,192.89,96.45,42.07,173.6,64
RC,0272,KIT FLOYD LITH GYN,72.73,36.37,15.86,65.46,64
RC,0272,KIT FLOYD LUM LAM,82.97,41.49,18.1,74.67,64
RC,0272,KIT FLOYD TOTAL KNEE,141.48,70.74,30.86,127.33,64
RC,0272,KIT FLOYD VASCULAR,96.9,48.45,21.13,87.21,64
RC,0272,KIT FLUID MANAGEMENT BAG TISSUE TRAP FLUENT FLOPAK DISPOSABLE,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT FLUID MANAGEMENT HYSTEROLUX HYSTEROSCOPIC,330.97,165.49,72.18,297.87,64
RC,0272,KIT FLUID MANAGEMENT Y ADAPTER ID.118 IN,212.52,106.26,46.35,191.27,64
RC,0272,KIT FOR ALLOSYNC,300.0,150.0,65.43,270.0,64
RC,0272,KIT FRACTURE L15 MM OD10 GA IVAS ELITE,2426.67,1213.34,529.26,2184.0,64
RC,0272,KIT FRACTURE L15 MM OD11 GA IVAS ELITE,2426.67,1213.34,529.26,2184.0,64
RC,0272,KIT GASTROSTOMY 11 LOW PROFILE SYRINGE DILATOR INTRODUCER OD16 FR ODSEC12 FR AVANOS* 12 ML LAPAROSCOPIC,226.95,113.48,49.5,204.26,64
RC,0272,KIT GASTROSTOMY 11 LOW PROFILE SYRINGE DILATOR INTRODUCER OD20 FR ODSEC16 FR AVANOS* POLYURETHANE 12 ML FEED TUBE,214.71,107.36,46.83,193.24,64
RC,0272,KIT GASTROSTOMY 11 SYRINGE DILATOR SCALPEL INTRODUCER OD22 FR ODSEC18 FR POLYURETHANE 12 ML,221.15,110.58,48.23,199.04,64
RC,0272,KIT GASTROSTOMY 16-18FR 18-20FR MEDIUM DILATOR PEEL AWAY SHEATH SCALPEL SLIP TIP SYRINGE ENTUIT START COONS STERILE,102.99,51.5,22.46,92.69,64
RC,0272,KIT GASTROSTOMY 22FR 18FR 12ML 11 LOW PROFILE SYRINGE DILATOR INTRODUCER MIC-KEY SAF-T-PEXY STERILE LATEX FREE LAPAROSCOPIC,226.95,113.48,49.5,204.26,64
RC,0272,KIT GASTROSTOMY L.8 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L1 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD14 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,189.23,94.62,41.27,170.31,64
RC,0272,KIT GASTROSTOMY L1 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L1.2 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD12 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L1.2 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L1.5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,84.18,42.09,18.36,75.76,64
RC,0272,KIT GASTROSTOMY L1.7 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD12 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L1.7 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L2 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,189.23,94.62,41.27,170.31,64
RC,0272,KIT GASTROSTOMY L2.3 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD18 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L2.5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD24 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L2.7 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L3 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,133.49,66.75,29.11,120.14,64
RC,0272,KIT GASTROSTOMY L3.5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,125.93,62.97,27.47,113.34,64
RC,0272,KIT GASTROSTOMY L4 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD14 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L4 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD16 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L4.5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD16 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L4.5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD24 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD18 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GASTROSTOMY L5 CM ANTIREFLUX VALVE ENTERAL CONNECTION SKIN LEVEL TUBE BALLOON OD20 FR KANGAROO NUTRIPORT CLIPSTAR SILICONE,184.18,92.09,40.17,165.76,64
RC,0272,KIT GENERAL LAPAROSCOPY CB,150.09,75.05,32.73,135.08,64
RC,0272,KIT GI CUSTOM - FLOYD,143.16,71.58,31.22,128.84,64
RC,0272,KIT GRAFT HARVEST ALLOGRAFT OD15 MM OATS,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT GRAFT HARVEST ALLOGRAFT OD18 MM OATS,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT GRAFT HARVEST ALLOGRAFT OD20 MM OATS,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT GRAFT HARVEST ALLOGRAFT OD22.5 MM OATS,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT GRAFT HARVEST ALLOGRAFT OD25 MM OATS,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT GRAFT HARVEST L520 MM RIA 2 BONE,2608.5,1304.25,568.91,2347.65,64
RC,0272,KIT GRAFT HARVEST OD6 MM OATS,650.0,325.0,141.77,585.0,64
RC,0272,KIT GUIDE NEEDLE 14GA 61CML ENDOCAVITY W/L/F CURVE W/COVER GEL PACKET ELASTIC BAND MULTI-PRO 2000 CIV-FLEX STERILE DISPOSABLE,330.0,165.0,71.97,297.0,64
RC,0272,KIT GUIDE NEEDLE REPLACEMENT W/TELESCOPICALLY-FOLDED CIV-FLEX COVER GEL BAND STERILE,450.0,225.0,98.15,405.0,64
RC,0272,KIT GYN LAPAROSCOPY CB,139.56,69.78,30.44,125.6,64
RC,0272,KIT HEART POSITIONER,500.0,250.0,109.05,450.0,64
RC,0272,KIT HEMOSTATIC 5ML 13CM MALLEABLE APPLICATOR FLOSEAL MATRIX LATEX FREE,751.16,375.58,163.83,676.04,64
RC,0272,KIT HEMOSTATIC ABSORBABLE SATURATE SURGIFOAM PORCINE GELATIN 1 GM,1264.38,632.19,275.76,1137.94,64
RC,0272,KIT HP CABG,1016.22,508.11,221.64,914.6,64
RC,0272,KIT HP FRACTURE TABLE,259.92,129.96,56.69,233.93,64
RC,0272,KIT HP LAMINECTOMY,108.78,54.39,23.72,97.9,64
RC,0272,KIT IMPLANT 15MM 5MM THK1.3-1.6MM PREP ELASTIC LOW PROFILE BRIDGE HIMAX PLUS WIDEBODY NITINOL STERILE,585.06,292.53,127.6,526.55,64
RC,0272,KIT IMPLANT 20MM ELASTIC PREP TRIMAX NITINOL STERILE LATEX FREE HAND FOOT,612.78,306.39,133.65,551.5,64
RC,0272,KIT IMPLANT 3MM DRILL BIT BME ELITE,264.33,132.17,57.65,237.9,64
RC,0272,KIT IMPLANT REVERSE DRILL ERGO,760.0,380.0,165.76,684.0,64
RC,0272,KIT IMPLANT SPINAL GRAFT DELIVERY SYSTEM GRAFTMAG DISPOSABLE,1798.0,899.0,392.14,1618.2,64
RC,0272,KIT INFLATION DEVICE WITH Y-ADAPTOR GTWY,178.12,89.06,38.85,160.31,64
RC,0272,KIT INFLATION TUOHY W POUCH,65.41,32.71,14.27,58.87,64
RC,0272,KIT INFUSION CATHETER ACCESS PORT SYNCHROMED II,25.0,12.5,5.45,22.5,64
RC,0272,KIT INFUSION PORT 20GA .75IN WITHOUT Y SITE ACCESS POWERLOC STERILE LATEX FREE,53.0,26.5,11.56,47.7,64
RC,0272,KIT INFUSION PORT 20GA .75IN WITHOUT Y SITE POWERLOC MAX STERILE LATEX FREE,53.0,26.5,11.56,47.7,64
RC,0272,KIT INFUSION PORT 20GA .75IN Y SITE ACCESS POWERLOC,53.0,26.5,11.56,47.7,64
RC,0272,KIT INFUSION PORT 20GA 1IN WITHOUT Y SITE ACCESS POWERLOC STERILE LATEX FREE,53.0,26.5,11.56,47.7,64
RC,0272,KIT INFUSION PUMP L108 IN INFILTRATION TUMESCENT SYRINGE TUBE CLOSUREFAST 12 ML VENEFIT PROCEDURE,16.81,8.41,3.67,15.13,64
RC,0272,KIT INJECTION 65ML 115ML SPECTRIS SOLARIS STERILE LATEX FREE MRI,672.0,336.0,146.56,604.8,64
RC,0272,KIT INJECTOR BONE CEMENT GRAFT DELIVERY MINI GRAFTMAG DISPOSABLE,1798.0,899.0,392.14,1618.2,64
RC,0272,KIT INSERTER SURGICAL GRAFT DELIVERY SYSTEM UNIVERSAL GRAFTGUN,525.0,262.5,114.5,472.5,64
RC,0272,KIT INSERTION .025IN 18GA 10CC 60CM 11 GUIDEWIRE SCALPEL BLADE SYRINGE NEEDLE BIO-MEDICUS SELDINGER PEDIATRIC,416.08,208.04,90.75,374.47,64
RC,0272,KIT INSERTION 23FR FEMORAL VENOUS CANNULA BIO-MEDICUS NEXTGEN,392.7,196.35,85.65,353.43,64
RC,0272,KIT INSERTION 4IN NEEDLE NEVRO DISPOSABLE STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
RC,0272,KIT INSERTION 6IN CURVE NEEDLE,75.0,37.5,16.36,67.5,64
RC,0272,KIT INSERTION 6IN NEEDLE NEVRO DISPOSABLE STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
RC,0272,KIT INSERTION DILATOR NEEDLE STYLET GUIDE PIN FIBERTAK PERCUTANEOUS 1.6 MM FIBERTAK,225.0,112.5,49.07,202.5,64
RC,0272,KIT INSERTION L1.1 MM STEP DRILL PORTAL DILATOR SPEAR SPINAL NEEDLE OD17 GA ODSEC3 MM SUTURETAK NITINOL PERCUTANEOUS,195.0,97.5,42.53,175.5,64
RC,0272,KIT INSERTION PERCUTANEOUS KNOTLESS SUTURETAK,355.0,177.5,77.43,319.5,64
RC,0272,KIT INSERTION SPINAL NEEDLE DILATOR FISHMOUTH SPEAR PUNCH PERCUTANEOUS 3.9 MM KNOTLESS CORKSCREW ANCHOR,325.0,162.5,70.88,292.5,64
RC,0272,KIT INSERTION SUPPLEMENTAL PLEURX,87.15,43.58,19.01,78.44,64
RC,0272,KIT INSTRUMENT .045IN 3.6MM 2 1 TROCAR GUIDEWIRE DEPTH GAUGE CANNULATED DRIVER INNATE DISPOSABLE,275.0,137.5,59.98,247.5,64
RC,0272,KIT INSTRUMENT .8MM 2MM 2 GUIDEWIRE TROCAR DEPTH GAUGE CANNULATED HEX DRIVER INFRAME DISPOSABLE,275.0,137.5,59.98,247.5,64
RC,0272,KIT INSTRUMENT 15/3 BONE TAMP KYPHON ONE-STEP,2993.76,1496.88,652.94,2694.38,64
RC,0272,KIT INSTRUMENT 2 BRANCH FILTER TUBE SET ACTIVATED CHARCOAL FILTER AIRSEAL,645.3,322.65,140.74,580.77,64
RC,0272,KIT INSTRUMENT 2.9/12.5 MM SHORT BIOCOMPOSITE PUSHLOCK,875.0,437.5,190.84,787.5,64
RC,0272,KIT INSTRUMENT 4 MM BAHA BLADE FAST VISTAFIX 3,488.0,244.0,106.43,439.2,64
RC,0272,KIT INSTRUMENT 4.2 MM PREPARATION SPINEJACK,1388.33,694.17,302.79,1249.5,64
RC,0272,KIT INSTRUMENT 8MM CANNULA CAP STANDARD LENGTH OBTURATOR BLADELESS OPTICAL TIP AIRSEAL,645.3,322.65,140.74,580.77,64
RC,0272,KIT INSTRUMENT ALL INSIDE ACL,473.0,236.5,103.16,425.7,64
RC,0272,KIT INSTRUMENT ANTIDRIFT BOLT MOTOBAND CP,433.86,216.93,94.62,390.47,64
RC,0272,KIT INSTRUMENT ANTIDRIFT BOLT REAMER STERILE,574.98,287.49,125.4,517.48,64
RC,0272,KIT INSTRUMENT BIOABSORBABLE BIO-TENODESIS,975.0,487.5,212.65,877.5,64
RC,0272,KIT INSTRUMENT BIOCOMPOSITE CORKSCREW FT 4.5/14 MM BIOCOMPOSITE CORKSCREW FT,875.0,437.5,190.84,787.5,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD10 MM,490.0,245.0,106.87,441.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD11 MM,490.0,245.0,106.87,441.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD12 MM,490.0,245.0,106.87,441.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD13 MM,500.0,250.0,109.05,450.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD14 MM,500.0,250.0,109.05,450.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD16 MM,550.0,275.0,119.96,495.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD18 MM,550.0,275.0,119.96,495.0,64
RC,0272,KIT INSTRUMENT BONE DOWEL REVISION OD9 MM,490.0,245.0,106.87,441.0,64
RC,0272,KIT INSTRUMENT COLAG 5MS 3 3.5 MM SCREW FRACTURE REPAIR SYSTEM,321.0,160.5,70.01,288.9,64
RC,0272,KIT INSTRUMENT CORKSCREW 3.9 MM KNOTLESS CORKSCREW,295.0,147.5,64.34,265.5,64
RC,0272,KIT INSTRUMENT CUT GUIDE TRUMATCH LEFT,600.0,300.0,130.86,540.0,64
RC,0272,KIT INSTRUMENT CUT GUIDE TRUMATCH RIGHT,600.0,300.0,130.86,540.0,64
RC,0272,KIT INSTRUMENT DRILL MINIBUNION,556.08,278.04,121.28,500.47,64
RC,0272,KIT INSTRUMENT DRILL SPEAR PUSHLOCK METAL SHOULDER 3.5 MM PUSHLOCK,175.0,87.5,38.17,157.5,64
RC,0272,KIT INSTRUMENT ECOSMART DYNABUNION STERILE,433.86,216.93,94.62,390.47,64
RC,0272,KIT INSTRUMENT FIBERTAK KNEE,245.0,122.5,53.43,220.5,64
RC,0272,KIT INSTRUMENT FIBULOCK DISPOSABLE STERILE,690.08,345.04,150.51,621.07,64
RC,0272,KIT INSTRUMENT FIBULOCK REMOVAL,1458.33,729.17,318.06,1312.5,64
RC,0272,KIT INSTRUMENT GUIDE FLEXIBLE DRILL BIT JUGGERKNOT DISPOSABLE SOFT ANCHOR 1.4MM,253.8,126.9,55.35,228.42,64
RC,0272,KIT INSTRUMENT HALL STYLE SAW BLADE TRANSTIBIAL ACL TRANSTIBIAL,1125.0,562.5,245.36,1012.5,64
RC,0272,KIT INSTRUMENT HARVEST GUIDE QUADTRAC QUADRICEPS TENDON,947.0,473.5,206.54,852.3,64
RC,0272,KIT INSTRUMENT JOINT PREPARATION ORTHOLOC 2,166.17,83.09,36.24,149.55,64
RC,0272,KIT INSTRUMENT L7 MM NANO OD2.5 MM SWIVELOCK,295.0,147.5,64.34,265.5,64
RC,0272,KIT INSTRUMENT MAZOR X DISPOSABLE SPINE,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT INSTRUMENT MEDIUM 4 GUIDEWIRE TUBE COMPRESSION FORCEPS DRIVER OD3.4 MM HAMMERFIX,580.0,290.0,126.5,522.0,64
RC,0272,KIT INSTRUMENT MICRO BIT DRILL GUIDE PUNCH OD1.8 MM SUTURETAK SHOULDER,875.0,437.5,190.84,787.5,64
RC,0272,KIT INSTRUMENT MINIBUNION DISPOSABLE STERILE LATEX FREE,917.28,458.64,200.06,825.55,64
RC,0272,KIT INSTRUMENT MOTOBAND CP DYNABUNION DISPOSABLE STERILE LATEX FREE,1115.52,557.76,243.29,1003.97,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC F/LESSER TOE DEFORMITIES HAMMERTHREAD STERILE,250.0,125.0,54.53,225.0,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC LARGE W/COUNTERSINK/DEPTH GAUGE 2-K-WIRE 2-SCREWDRIVER BLADE DRILL F/CREED 5.6/7.4MM SCREW,250.0,125.0,54.53,225.0,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC SMALL F/2.5/4.3MM SCREW CREED,250.0,125.0,54.53,225.0,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC W/2.5MM NX NAIL,1912.0,956.0,417.01,1720.8,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC W/3.5MM NX NAIL,2135.0,1067.5,465.64,1921.5,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC W/4.0MM NX NAIL,2135.0,1067.5,465.64,1921.5,64
RC,0272,KIT INSTRUMENT ORTHOPEDIC W/DEPTH GAUGE METAPHYSEAL DRILL T8 TORX DRIVER HANDLE K-WIRE F/3MM NX NAI STERILE SINGLE-USE,2135.0,1067.5,465.64,1921.5,64
RC,0272,KIT INSTRUMENT PLATE DYNAFORCE STERILE,891.66,445.83,194.47,802.49,64
RC,0272,KIT INSTRUMENT PUSHLOCK 2.9 MM PUSHLOCK,175.0,87.5,38.17,157.5,64
RC,0272,KIT INSTRUMENT RADIAL HEAD REPLACEMENT,327.69,163.85,71.47,294.92,64
RC,0272,KIT INSTRUMENT REAM WIRE STERILE,433.86,216.93,94.62,390.47,64
RC,0272,KIT INSTRUMENT ROBOTIC REPLACEMENT W/SIDE BLOCKX2 3D MARKER SCREWX2 F/MINIMALLY INVASIVE RENAISSANACE KIT0110-02 LATEX-FREE MERCURY-FREE PVC-FREE STERILE DISPOSABLE,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT INSTRUMENT ROBOTIC W/CLAMP 3D MARKER LONG SCREW F/MINIMALLY INVASIVE RENAISSANACE KIT0109-03 LATEX-FREE MERCURY-FREE PVC-FREE DISPOSABLE,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT INSTRUMENT SIZE 9MM BACK LOAD SUBCHONDRIAL,321.0,160.5,70.01,288.9,64
RC,0272,KIT INSTRUMENT SPEAR TROCAR TIP 2.6 FIBERTAK,195.0,97.5,42.53,175.5,64
RC,0272,KIT INSTRUMENT SPINAL ACCESS MAXCESS,1100.0,550.0,239.91,990.0,64
RC,0272,KIT INSTRUMENT SPINAL K-WIRE MAXCESS,25.0,12.5,5.45,22.5,64
RC,0272,KIT INSTRUMENT STANDARD PRO-TOE VO DISPOSABLE STERILE,235.82,117.91,51.43,212.24,64
RC,0272,KIT INSTRUMENT STEP DRILL GUIDE OD2.4 MM SUTURETAK BIO-SUTURE SMALL JOINT SUTURETAK,725.0,362.5,158.12,652.5,64
RC,0272,KIT INSTRUMENT STERILE 2.4 MM SCREW VARIABLE ANGLE LCP,220.01,110.01,47.98,198.01,64
RC,0272,KIT INSTRUMENT STRAIGHT SPEAR CIRCUMFERENTIAL TEETH BLUNT OBTURATOR 1.6 MM DRILL FIBERTAK,175.0,87.5,38.17,157.5,64
RC,0272,KIT INSTRUMENT T3 AMZ,499.0,249.5,108.83,449.1,64
RC,0272,KIT INSTRUMENT TEMPLATE PATELLA LATERAL RIM,266.58,133.29,58.14,239.92,64
RC,0272,KIT INSTRUMENT TRIANGULAR FIBROCARTILAGE COMPLEX,350.0,175.0,76.34,315.0,64
RC,0272,KIT INSTRUMENT WITHOUT SAW BLADE ACL TRANSTIBIAL,725.0,362.5,158.12,652.5,64
RC,0272,KIT INSTRUMENT XL HIP SHORT 2.9 MM PUSHLOCK,275.0,137.5,59.98,247.5,64
RC,0272,KIT INTRATHECAL REVISION CATHETER SUTURELESS PUMP CONNECTOR NA,300.0,150.0,65.43,270.0,64
RC,0272,KIT INTRATHECAL REVISION SEGMENT NA SPINE DISTAL,300.0,150.0,65.43,270.0,64
RC,0272,KIT INTRODUCER CATHETER 5FR 10CM HYDROPHILIC RADIAL ARTERY W/0.021IN 45CM STRAIGHT SPRING SS GW 21GA 38MM METAL NDL DILATOR GLIDESHEATH 5/BX,250.0,125.0,54.53,225.0,64
RC,0272,KIT INTRODUCER KYPHOPLASTY 13GA BEVELED KYPHON V,55.0,27.5,12.0,49.5,64
RC,0272,KIT INTRODUCER KYPHOPLASTY 3MM DIA 18MML KHPHON ADVANCE OSTEO STERILE,1030.75,515.38,224.81,927.68,64
RC,0272,KIT INTRODUCER KYPHOPLASTY BONE BIOPSY 11GA TROCAR/BEVEL STYLET KYPHON V DISPOSABLE,55.0,27.5,12.0,49.5,64
RC,0272,KIT INTRODUCER KYPHOPLASTY SIZE 2 10GA DIA SPINE ACCESS DRILL KYPHON EXPRESS OSTEO STERILE DISPOSABLE,190.0,95.0,41.44,171.0,64
RC,0272,KIT INTRODUCER L10 CM .021 IN L45 CM NEEDLE SPRING STRAIGHT GUIDEWIRE OD6 FR ODSEC21 GA GLIDESHEATH STAINLESS STEEL HYDROPHILIC L1.5 IN ANTERIOR WALL PUNCTURE RADIAL ACCESS,250.0,125.0,54.53,225.0,64
RC,0272,KIT IRRIGATION F/PS PLUS STERILE SINGLE-USE ETHYLENE OXIDE STERILIZED,539.1,269.55,117.58,485.19,64
RC,0272,KIT IRRIGATION TUBE ENDOGATOR DISPOSABLE,225.4,112.7,49.16,202.86,64
RC,0272,KIT JEJUNOSTOMY 14FR 3-5ML 15CM 1.5CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY TUNGSTEN SILICONE STERILE LATEX FREE,386.48,193.24,84.29,347.83,64
RC,0272,KIT JEJUNOSTOMY 14FR 5ML 3.5CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP MIC-KEY SECUR-LOK SILICONE STERILE LATEX FREE,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY 16FR 3-5ML 22CM 1.5CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 16FR 3-5ML 22CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC SECUR-LOK LUER-SLIP SILICONE STERILE LATEX FREE,228.07,114.04,49.74,205.26,64
RC,0272,KIT JEJUNOSTOMY 16FR 3-5ML 30CM 1.7CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 16FR 3-5ML 30CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC SECUR-LOK LUER-SLIP SILICONE STERILE LATEX FREE,228.07,114.04,49.74,205.26,64
RC,0272,KIT JEJUNOSTOMY 16FR 7-10ML 45CM 1.7CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 16FR 7-10ML 45CM 2.3CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,346.13,173.07,75.49,311.52,64
RC,0272,KIT JEJUNOSTOMY 16FR 7-10ML 45CM 2CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 18FR 3-5ML 30CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC SECUR-LOK LUER-SLIP SILICONE STERILE LATEX FREE,228.07,114.04,49.74,205.26,64
RC,0272,KIT JEJUNOSTOMY 18FR 5ML 2CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP MIC-KEY SECUR-LOK SILICONE STERILE LATEX FREE,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY 18FR 7-10ML 45CM 2.3CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 18FR 7-10ML 45CM 2.5CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,346.13,173.07,75.49,311.52,64
RC,0272,KIT JEJUNOSTOMY 18FR 7-10ML 45CM 2CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 18FR 7-10ML 45CM 3CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY 18FR 7-10ML 45CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC SECUR-LOK LUER-SLIP SILICONE STERILE LATEX FREE,234.91,117.46,51.23,211.42,64
RC,0272,KIT JEJUNOSTOMY 22FR 7-10ML 45CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP MIC-KEY SECUR-LOK TUNGSTEN SILICONE STERILE LATEX FREE,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY ENTERAL FEED SUTURE BLUNT TIP NEEDLE MIC* SILICONE,82.24,41.12,17.94,74.02,64
RC,0272,KIT JEJUNOSTOMY L1.2 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SILICONE 5 ML REPROCESSED,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L1.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L1.7 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L15 CM L1 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD14 FR MIC-KEY TUNGSTEN SILICONE 3-5 ML,386.48,193.24,84.29,347.83,64
RC,0272,KIT JEJUNOSTOMY L15 CM L1.2 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD14 FR MIC-KEY TUNGSTEN SILICONE 3-5 ML,386.48,193.24,84.29,347.83,64
RC,0272,KIT JEJUNOSTOMY L15 CM L1.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD16 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 3-5 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L2 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L2.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD18 FR MIC-KEY SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L2.7 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L22 CM L1.7 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD14 FR MIC-KEY TUNGSTEN SILICONE 3-5 ML,386.48,193.24,84.29,347.83,64
RC,0272,KIT JEJUNOSTOMY L22 CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC* SILICONE 3-5 ML,228.07,114.04,49.74,205.26,64
RC,0272,KIT JEJUNOSTOMY L3 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L30 CM L1.2 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 3-5 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L30 CM L1.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD16 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 3-5 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L30 CM L2 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD16 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 3-5 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L30 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 3-5 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L4 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L4.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD14 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L4.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TRIMMABLE DISTAL TIP OD18 FR MIC-KEY SECUR-LOK SILICONE 5 ML,173.87,86.94,37.92,156.48,64
RC,0272,KIT JEJUNOSTOMY L45 CM L1.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L1.7 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L2 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L2.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD16 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L2.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC-KEY TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L3 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD16 FR MIC-KEY TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L3 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L3 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,346.13,173.07,75.49,311.52,64
RC,0272,KIT JEJUNOSTOMY L45 CM L3.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM L3.5 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD18 FR MIC-KEY TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM RADIOPAQUE LOW PROFILE INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC-KEY SECUR-LOK TUNGSTEN SILICONE 7-10 ML,336.05,168.03,73.29,302.45,64
RC,0272,KIT JEJUNOSTOMY L45 CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC* SILICONE,344.17,172.09,75.06,309.75,64
RC,0272,KIT JEJUNOSTOMY L45 CM RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON TAPER DISTAL TIP OD22 FR MIC* SILICONE 7-10 ML,234.91,117.46,51.23,211.42,64
RC,0272,KIT JEJUNOSTOMY L95 CM .035 IN SET OD12 FR PEG24,105.0,52.5,22.9,94.5,64
RC,0272,KIT KYPHOPLASTY 15/3 INFLATABLE BONE TAMP X2 F/FIRST FRACTURE KYPHON OSTEO INTRODUCER,2835.0,1417.5,618.31,2551.5,64
RC,0272,KIT KYPHOPLASTY 20/3 INFLATABLE BONE TAMP X2 F/FIRST FRACTURE KYPHON ONE-STEP,2835.0,1417.5,618.31,2551.5,64
RC,0272,KIT KYPHOPLASTY 20/3 INFLATABLE BONE TAMP X2 F/FIRST FRACTURE KYPHON OSTEO INTRODUCER,2835.0,1417.5,618.31,2551.5,64
RC,0272,KIT LAP CHOLE II,158.27,79.14,34.52,142.44,64
RC,0272,KIT LAPAROSCOPIC IMPLANTATION SYSTEM WITH LONGER LUKE GUIDE AND LARGE DILATOR,200.0,100.0,43.62,180.0,64
RC,0272,KIT LAPAROSCOPIC INSERTION LARGE SMALL DILATOR CUFF IMPLANTOR Y-TEC TUNNELOR LUKE PERITONEOSCOPIC,210.0,105.0,45.8,189.0,64
RC,0272,KIT LARYNGECTOMY BASIC SIZE 9+ PULMONARY W/EL OPTION 1 PROVOX SOLATONE PLUS,709.74,354.87,154.79,638.77,64
RC,0272,KIT LARYNGECTOMY SIZE 9 PULMONARY BASIC W/LARYTUBE 9/36 9/55 PROVOX LIFE,380.86,190.43,83.07,342.77,64
RC,0272,KIT LAVAGE L9 1/4 IN .035 IN CATHETER NEEDLE SYRINGE DRAPE OD8 FR ODSEC18 GA HI-LITE ORANGE CHLORAPREP FEP L17 3/4 IN 5 ML,234.0,117.0,51.04,210.6,64
RC,0272,KIT LEAD LOCKING EXTRACTION ACCESSORY LLD DISPOSABLE,130.0,65.0,28.35,117.0,64
RC,0272,KIT LINE ETCO2 SAMPLING 4M ADULT/PEDIATRIC HIGH HUMIDITY AIRWAY ADAPTER NOMOLINE-O,288.75,144.38,62.98,259.88,64
RC,0272,KIT LONG FEMUR SCREW HIP,1295.0,647.5,282.44,1165.5,64
RC,0272,KIT MAINTENANCE READY TO USE ARTISAN 33 TEST,130.84,65.42,28.54,117.76,64
RC,0272,KIT MAJOR CB,72.94,36.47,15.91,65.65,64
RC,0272,KIT MANIFOLD EP,27.0,13.5,5.89,24.3,64
RC,0272,KIT MANIFOLD SALINE CONTRAST PORT SPIKE TUBE HAND SYRINGE PRESSURE TRANSDUCER CARTRIDGE ACIST CVI DISPOSABLE,290.0,145.0,63.25,261.0,64
RC,0272,KIT MAZOR SA RDCTN TU10/PK,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT MIC FEEDING TUBE PEG 24FR,142.8,71.4,31.14,128.52,64
RC,0272,KIT MICROINTRODUCER VASCULAR 4FR NITINOL MANDREL STIFFEN SMOOTH W/0.018IN 40CM TG SOFT ANGLED TIP GW STIFF DILATOR 21GA 7CM NDL VSI,194.0,97.0,42.31,174.6,64
RC,0272,KIT MINNE TIES,1950.0,975.0,425.3,1755.0,64
RC,0272,KIT MINOR VASCULAR,521.79,260.9,113.8,469.61,64
RC,0272,KIT MNFLD CUSTOM EP,33.02,16.51,7.2,29.72,64
RC,0272,KIT MONITOR OVAL DILATOR SAFEOP,375.0,187.5,81.79,337.5,64
RC,0272,KIT NAVIGATION ACCESS NIM-SPINE PEDICLE,90.75,45.38,19.79,81.68,64
RC,0272,KIT NAVIGATION V2 ROBOTIC EXACTECHGPS,1200.0,600.0,261.72,1080.0,64
RC,0272,KIT NEEDLE 11GA CURVED AVAFLEX,583.61,291.81,127.29,525.25,64
RC,0272,KIT NEEDLE GUIDE 20GA 48X6IN THK1 MIL .5CM 1.5CM 2.5CM INTRODUCER PROBE COVER SITE-RITE ULTRASOUND SYSTEM,118.6,59.3,25.87,106.74,64
RC,0272,KIT NEEDLE GUIDE 21GA 48IN DISPOSABLE STERILE LATEX FREE SITE-RITE ULTRASOUND SYSTEM,159.0,79.5,34.68,143.1,64
RC,0272,KIT NEEDLE GUIDE 91.5X14CM REPLACEMENT TELESCOPIC FOLD LARGER FUNNEL COVER ULTRA-PRO II CIV-FLEX DISPOSABLE STERILE,465.0,232.5,101.42,418.5,64
RC,0272,KIT NEEDLE GUIDE 91.5X14CM REPLACEMENT TELESCOPIC FOLD VERZA CIV-FLEX DISPOSABLE STERILE,499.0,249.5,108.83,449.1,64
RC,0272,KIT NEEDLE INFUSION HUBER SAFETY PORT ACCESS MINILOC 20GA 0.75INL Y-SITE 90DEG NON-CORING LOW-PROFILE LATEX-FREE DEHP-FREE SMALL FOOTPRINT,53.0,26.5,11.56,47.7,64
RC,0272,KIT NEEDLE INFUSION PORT ACCESS SAMPLING LINE 20GA 1INL INJECTABLE LOW-PROFILE DUAL LUMEN ADAPTABLE W/SMALL STABLE DESIGN PADDED FOOTPRINT ROTATING HEAD SAFESTEP INJECTION CAPABILITY W/O Y-SITE POWERL,55.0,27.5,12.0,49.5,64
RC,0272,KIT NEEDLE SPINAL QUINCKE 26GA 3 1/2INL W/INTRODUCER 1% LIDOCAINE 0.75% BUPIVACAINE 8.25% DEXTROSE F/ANESTHESIA SPINOCAN LATEX-FREE DEHP PVC BPA STERILE DISPOSABLE,146.63,73.32,31.98,131.97,64
RC,0272,KIT NEOMED SILICONE URINARY COLLECTION CATHETER MICROBIOLOGY TEST FOLEY SYSTEM OD5 FR NEONATE,146.06,73.03,31.86,131.45,64
RC,0272,KIT NEURO CB,211.86,105.93,46.21,190.67,64
RC,0272,KIT NEUROLOGICAL NAVIGATION W/10MM CORE FIBER/BONE ANCHOR/ALIGNMENT ROD STIFFENING STYLET,10000.0,5000.0,2181.0,9000.0,64
RC,0272,KIT NEUROMUSCULAR PASS ELEVATOR,30.0,15.0,6.54,27.0,64
RC,0272,KIT NEUROSTIMULATOR 1.2MM 1.5MM 15CM LEAD BODY ANCHOR INTRODUCER BIONESS STIMROUTER STERILE,4500.0,2250.0,981.45,4050.0,64
RC,0272,KIT NEUROSTIMULATOR 2 PORT HEADER 2 BATTERY 1 MAGNET ADHESIVE POUCH INVISIBLE TRIAL SYSTEM,200.0,100.0,43.62,180.0,64
RC,0272,KIT NEUROSTIMULATOR 70CM STYLET NEVRO DISPOSABLE STERILE LATEX FREE,75.0,37.5,16.36,67.5,64
RC,0272,KIT NEUROSTIMULATOR BURR HOLE PLUG DBS,800.0,400.0,174.48,720.0,64
RC,0272,KIT NEUROSTIMULATOR CHARGE PRECISION,850.0,425.0,185.39,765.0,64
RC,0272,KIT NEUROSTIMULATOR CONNECTOR CABLE SJM,390.0,195.0,85.06,351.0,64
RC,0272,KIT NEUROSTIMULATOR CRANIECTOMY TEMPLATE RNS VNS VAGUS NERVE STIMULATION,400.0,200.0,87.24,360.0,64
RC,0272,KIT NEUROSTIMULATOR L100 CM PERCUTANEOUS ELECTRODE INSULATED INTERSTIM,80.0,40.0,17.45,72.0,64
RC,0272,KIT NEUROSTIMULATOR LEAD STERILE LATEX FREE,328.0,164.0,71.54,295.2,64
RC,0272,KIT NEUROSTIMULATOR TUNNEL TOOL PROCLAIM,487.5,243.75,106.32,438.75,64
RC,0272,KIT NEUROSURGICAL 2 VB INTRACEPT,2400.0,1200.0,523.44,2160.0,64
RC,0272,KIT OR POSITIONING JACKSON TABLE,253.48,126.74,55.28,228.13,64
RC,0272,KIT OR POSITIONING JACKSON TABLE STYLE/MODULAR STANDARD HIGH DENSITY FOAM BREATHABLE LATEX-FREE,106.65,53.33,23.26,95.99,64
RC,0272,KIT OR POSITIONING LIMB SELF-ADHERENT CLOSURE NON-INFLATABLE W/FOAM SLEEVE HAND GRIP DRAPE 4IN X 5YD 3M COBAN BLUE F/BEACH CHAIR ARTHREX TRIMANO SHOULDER POSITIONER AR-1640 BERKETTE STERILE SINGLE-USE,360.0,180.0,78.52,324.0,64
RC,0272,KIT OR POSITIONING STANDARD HIGH-DENSITY FOAM WINGPAD W/BODY STRAP F/TRENDELENBURG LATEX-FREE SINGLE-USE,540.0,270.0,117.77,486.0,64
RC,0272,KIT OR POSITIONING WILSON FRAME FOAM W/HEADREST PILLOWX1 PAD SLEEVE COVERX2 BAR/DRAPE PROTECTORX1 LATEX-FREE DISPOSABLE,182.7,91.35,39.85,164.43,64
RC,0272,KIT ORTHO SPINE,448.12,224.06,97.73,403.31,64
RC,0272,KIT ORTHOPEDIC DISPOSABLE PLANTAR FASCIITIS EPS,1206.94,603.47,263.23,1086.25,64
RC,0272,KIT ORTHOPEDIC RETROFUSION RETROFUSION IMPLANT,445.14,222.57,97.09,400.63,64
RC,0272,KIT ORTHOPEDIC SHARP DYNABUNION STERILE,719.04,359.52,156.82,647.14,64
RC,0272,KIT ORTHOPEDIC SPLINT PAD ASSORTMENT ALUMINUM FOAM FINGER,73.78,36.89,16.09,66.4,64
RC,0272,KIT OTOLARYNGOLOGY 10INW X 55INL PULMONARY PROVOX,793.0,396.5,172.95,713.7,64
RC,0272,KIT OTOLARYNGOLOGY STANDARD F/LARYNGECTOMY TRUTONE LATEX-FREE PULMONARY 9/55 PROVOX,1350.0,675.0,294.44,1215.0,64
RC,0272,KIT PARACENTESIS ULTRASOUND CMC CUSTOM,351.5,175.75,76.66,316.35,64
RC,0272,KIT PATCH LOCATION REFERENCE,5000.0,2500.0,1090.5,4500.0,64
RC,0272,KIT PEG 15FR STERILE LATEX FREE,149.75,74.88,32.66,134.78,64
RC,0272,KIT PEG 16FR TRACTION REMOVABLE RING BUMPER PULL CORFLO-MAX PVP IODINE LIDOCAINE STERILE LATEX FREE,204.72,102.36,44.65,184.25,64
RC,0272,KIT PEG 20FR 12ML RADIOPAQUE FEED TUBE EXTERNAL RETENTION RING PULL MIC SECUR-LOK SILICONE STERILE LATEX FREE,142.8,71.4,31.14,128.52,64
RC,0272,KIT PEG 20FR RADIOPAQUE TRANSLUCENT TUBE RETENTION DOME PULL PLACEMENT PONSKY SILICONE STERILE LATEX FREE,652.0,326.0,142.2,586.8,64
RC,0272,KIT PEG 20FR STANDARD PULL ENDOVIVE ENFIT,124.11,62.06,27.07,111.7,64
RC,0272,KIT PEG 20FR STERILE LATEX FREE,152.17,76.09,33.19,136.95,64
RC,0272,KIT PEG 24FR 12ML RADIOPAQUE FEED TUBE EXTERNAL RETENTION RING PUSH MIC SECUR-LOK SILICONE STERILE LATEX FREE,183.6,91.8,40.04,165.24,64
RC,0272,KIT PEG OD20 FR,67.0,33.5,14.61,60.3,64
RC,0272,KIT PEG PULL OD24 FR ENDOVIVE,185.85,92.93,40.53,167.27,64
RC,0272,KIT PEG PUSH OD20 FR ENDOVIVE,185.85,92.93,40.53,167.27,64
RC,0272,KIT PEG RADIOPAQUE FEED TUBE EXTERNAL RETENTION RING PULL OD20 FR MIC* SILICONE 12 ML,189.11,94.56,41.24,170.2,64
RC,0272,KIT PEG STANDARD PUSH OD20 FR ENDOVIVE,125.29,62.65,27.33,112.76,64
RC,0272,KIT PEG STANDARD TROCAR CANNULA ROUND EXTERNAL BOLSTER AMPULE PULL OD24 FR ENDOVIVE SILICONE,125.29,62.65,27.33,112.76,64
RC,0272,KIT PEG TROCAR CANNULA ROUND EXTERNAL BOLSTER AMPULE PUSH OD24 FR ENDOVIVE SILICONE,185.85,92.93,40.53,167.27,64
RC,0272,KIT PEG UNIVERSAL RADIOPAQUE EXTERNAL RETENTION RING PULL OD20 FR MIC* SILICONE,183.6,91.8,40.04,165.24,64
RC,0272,KIT PEG UNIVERSAL RADIOPAQUE EXTERNAL RETENTION RING PULL OD24 FR MIC SILICONE,163.62,81.81,35.69,147.26,64
RC,0272,KIT PEG UNV RADOPQ XTRN RTNT RING PUSH OD20 FR MIC SIL,163.62,81.81,35.69,147.26,64
RC,0272,KIT PEG UNV RADOPQ XTRN RTNT RING PUSH OD24 FR MIC SIL,163.62,81.81,35.69,147.26,64
RC,0272,KIT PERFECT FIT RESP 3 D BELT,654.0,327.0,142.64,588.6,64
RC,0272,KIT PERFUSION 23FR 31.8CM 18CM 3/8IN BIO-MEDICUS NEXTGEN FEMORAL ARTERY JUGULAR VENOUS,345.95,172.98,75.45,311.36,64
RC,0272,KIT PERFUSION 25FR 31.8CM 18CM 3/8IN BIO-MEDICUS NEXTGEN FEMORAL ARTERY JUGULAR VENOUS,345.95,172.98,75.45,311.36,64
RC,0272,KIT PERFUSION 25FR 76.2CM 60CM 3/8IN BIO-MEDICUS NEXTGEN FEMORAL VENOUS,392.7,196.35,85.65,353.43,64
RC,0272,KIT PERFUSION 27FR 76.2CM 60CM 3/8IN BIO-MEDICUS NEXTGEN FEMORAL VENOUS,392.7,196.35,85.65,353.43,64
RC,0272,KIT PERICARDIOCENTESIS 6FR .035IN 60CM PIGTAIL 7 SPIRAL DRAINAGE HOLE CATHETER DISTAL LUMEN,105.74,52.87,23.06,95.17,64
RC,0272,KIT PERICARDIOCENTESIS MINI ACCESS,550.0,275.0,119.96,495.0,64
RC,0272,KIT PHACOEMULSIFICATION 1.1MM DIA SMALL TIPLESS ULTRASOUND FMS INFINITI LATEX-FREE,1083.6,541.8,236.33,975.24,64
RC,0272,KIT PHACOEMULSIFICATION OD.9 MM MICROSMOOTH,141.24,70.62,30.8,127.12,64
RC,0272,KIT PHACOEMULSIFICATION ULTRA INFUSION SLEEVE IRRIGATION ASPIRATION OD.9 MM INTREPID MICROSMOOTH MICRO COAXIAL SYSTEM,183.84,91.92,40.1,165.46,64
RC,0272,KIT PLASTIC SURGERY CUSTOM EFFECIENT NON-MEDICATED SINGLE-USE,189.0,94.5,41.22,170.1,64
RC,0272,KIT PLATFORM STEREOTACTIC LATERAL F/TOTAL HIP ARTHROPLASTY INTELLIJOINT HIP,830.0,415.0,181.02,747.0,64
RC,0272,KIT PORT INFUSION IMPLANTABLE IV ACCESS 14GA 1.75 POWERFLOW,436.5,218.25,95.2,392.85,64
RC,0272,KIT POSITIONER OR TABLE JACKSON SPINAL F/PATIENT POSITIONING,295.64,147.82,64.48,266.08,64
RC,0272,KIT POSITIONER OR TABLE LARGE STABILIZATION WRIST FINGER TRAP LATEX-FREE STERILE DISPOSABLE,335.0,167.5,73.06,301.5,64
RC,0272,KIT POSITIONER OR TABLE SMALL STABILIZATION WRIST FINGER TRAP LATEX-FREE STERILE DISPOSABLE,335.0,167.5,73.06,301.5,64
RC,0272,KIT POSITIONING ACCESS ABDUCTION LEVER CABLE MANAGEMENT UNIVERSAL CLAMP ACUFEX,480.0,240.0,104.69,432.0,64
RC,0272,KIT POSITIONING ACCESS ADVANCE ABDUCTION FLEXION CONTROL CABLE MANAGEMENT ACUFEX,95.0,47.5,20.72,85.5,64
RC,0272,KIT POSITIONING BEACH CHAIR ARM HOLDER DRAPE LIGHTWEIGHT TRIMANO,450.0,225.0,98.15,405.0,64
RC,0272,KIT POSITIONING JACKSON F/PATIENT CARE,489.1,244.55,106.67,440.19,64
RC,0272,KIT POSITIONING LEG STABILIZATION SPIDER,770.0,385.0,167.94,693.0,64
RC,0272,KIT POSITIONING SHOULDER SUSPENSION W/3M COBAN WRAP IMPERVIOUS SOFT CLOTH LINED STOCKINETTE TRACTION CORD S-HOOK TRAY F/ARTHROSCOPIC PROCEDURE LATEX-FREE STERILE SINGLE-USE,280.21,140.11,61.11,252.19,64
RC,0272,KIT POSITIONING STABILIZATION SHOULDER,824.16,412.08,179.75,741.74,64
RC,0272,KIT POSITIONING STABILIZATION SPIDER2 SHOULDER,1153.2,576.6,251.51,1037.88,64
RC,0272,KIT POSITIONING SUSPENSION COBAN LF SHOULDER,513.72,256.86,112.04,462.35,64
RC,0272,KIT POSITIONING TABLE JACKSON,138.29,69.15,30.16,124.46,64
RC,0272,KIT POSITIONING TRENDELENBURG THE PINK PAD XL NONSTERILE,355.35,177.68,77.5,319.82,64
RC,0272,KIT POSITIONING WILSON,181.82,90.91,39.65,163.64,64
RC,0272,KIT POST HIP PV MR CM,201.41,100.71,43.93,181.27,64
RC,0272,KIT PREP FOOT JOINT INSTRUMENT,510.0,255.0,111.23,459.0,64
RC,0272,KIT PRESSURE MONITOR .106IN .05IN 4FR TRANSDUCER TIP CATHETER DRILL BIT STYLET TEMPERATURE CAMINO DISPOSABLE STERILE LATEX FREE INTRACRANIAL,1386.0,693.0,302.29,1247.4,64
RC,0272,KIT PRESSURE MONITOR 14GA BASIC MICROSENSOR,708.13,354.07,154.44,637.32,64
RC,0272,KIT PRESSURE MONITOR 3X3IN STERILE LATEX FREE,452.1,226.05,98.6,406.89,64
RC,0272,KIT PRESSURE MONITOR 4FR 3.17MM TRANSDUCER TIP CATHETER TROCAR GUIDE TUBE FIBER OPTIC CAMINO STERILE INTRACRANIAL SUBDURAL POST CRANIOTOMY,1488.0,744.0,324.53,1339.2,64
RC,0272,KIT PRESSURE MONITOR SENSOR BASIC CERELINK,890.48,445.24,194.21,801.43,64
RC,0272,KIT PRESSURE MONITOR TRANSDUCER TIP CATHETER BOLT TWIST DRILL BIT FIBER OPTIC CAMINO MICRO OD4 FR ODSEC12 FR INTRACRANIAL VENTRICULAR,1339.0,669.5,292.04,1205.1,64
RC,0272,KIT PRESSURE MONITOR TRANSDUCER TIP CATHETER BOLT TWIST DRILL BIT FIBER OPTIC CAMINO OD4 FR ODSEC2.7 MM INTRACRANIAL,1238.0,619.0,270.01,1114.2,64
RC,0272,KIT PRESSURE MONITOR TRANSDUCER TIP CATHETER BOLT TWIST DRILL BIT TEMPERATURE CAMINO MICRO OD4 FR ODSEC12 FR INTRACRANIAL VENTRICULAR,1545.0,772.5,336.96,1390.5,64
RC,0272,KIT PROBE 350X3.9MM SWISS LITHOCLAST TRILOGY DISPOSABLE BLUE,780.0,390.0,170.12,702.0,64
RC,0272,KIT PROBE LITHOTRIPTER 3.9MM DIA 440MML BLUE TRILOGY DISPOSABLE,741.0,370.5,161.61,666.9,64
RC,0272,KIT PROCEDURE EXTREMITY WMT,815.0,407.5,177.75,733.5,64
RC,0272,KIT PROCEDURE LAREGE ADULT AV LOOP,389.0,194.5,84.84,350.1,64
RC,0272,KIT PROCEDURE PROBE RETROGRADE TRIANGLE KNIFE HAND PAD SWAB ECTRA II CARPAL LIGAMENT,260.64,130.32,56.85,234.58,64
RC,0272,KIT PROCEDURE SMALL ADULT AV LOOP,365.0,182.5,79.61,328.5,64
RC,0272,KIT PSI 8.5 FR X 10 CM ANTIMICROBIAL,662.0,331.0,144.38,595.8,64
RC,0272,KIT PULSED LAVAGE 11.9CM FAN SPRAY W/SPLASH SHIELD PULSAVAC PLUS AC,29.0,14.5,6.32,26.1,64
RC,0272,KIT PULSED LAVAGE COMPONENT PULSAVAC PLUS,290.0,145.0,63.25,261.0,64
RC,0272,KIT PULSED LAVAGE CUSTOM F/BRONCHOALVEOLAR FLUID COLLECTION,82.4,41.2,17.97,74.16,64
RC,0272,KIT PULSED LAVAGE FAN SPRAY PULSAVAC PLUS DISPOSABLE STERILE LATEX FREE,290.0,145.0,63.25,261.0,64
RC,0272,KIT PUMP INFUSION BASIC PAIN CONTROL W/FILTER SPIKE CASSETTE AMBIT CMC MAIN ONLY,919.0,459.5,200.43,827.1,64
RC,0272,KIT PUNCH AORTIC ENCLOSE II,2840.0,1420.0,619.4,2556.0,64
RC,0272,KIT READJUSTMENT REMEEX KIT LONG,412.86,206.43,90.04,371.57,64
RC,0272,KIT REAGENT CHEMISTRY ANALYZER CALIBRATOR TROPONIN-I HIGH-SENSITIVITY CARDIAC MARKER ALINITY I-STAT EA US,289.05,144.53,63.04,260.15,64
RC,0272,KIT REAGENT CHEMISTRY ANALYZER TSH 15.4ML R1 4.9ML R2 6.6ML R3 METABOLIC ALINITY I 200TEST/EA,123.4,61.7,26.91,111.06,64
RC,0272,KIT REAGENT IMMUNOLOGY ANALYZER CALIBRATOR CALPROTECTIN VERIFER LIAISON 1/PK,420.0,210.0,91.6,378.0,64
RC,0272,KIT REAGENT IMMUNOLOGY ANALYZER CONTROL LIAISON CALPROTECTIN 1/PK,180.0,90.0,39.26,162.0,64
RC,0272,KIT REAGENT IMMUNOLOGY ANALYZER LIAISON CALPROTECTIN 1/PK,1946.88,973.44,424.61,1752.19,64
RC,0272,KIT REAGENT TOXICOLOGY ANALYZER ALINITY C ACETAMINOPHEN 200TEST/KT,170.0,85.0,37.08,153.0,64
RC,0272,KIT REPAIR 4 BUTTON DRILL PIN INSERTER NEEDLE SHOULDER PECTORALIS,1180.0,590.0,257.36,1062.0,64
RC,0272,KIT REPAIR CATHETER SPLIT CATH HEMODIALYSIS,335.0,167.5,73.06,301.5,64
RC,0272,KIT REPAIR HEAT SEALER REPLACEMENT PART 10277,14.08,7.04,3.07,12.67,64
RC,0272,KIT RESERVOIR AUTOTRANSFUSION CELL SAVER,86.0,43.0,18.76,77.4,64
RC,0272,KIT RESTORATIVE A1 SHADE LIGHT-CURED HYBRID COMPOSITE RESIN 1GM LIGHT CURE SYRINGE FLOWABLE FLUORIDE RELEASE W/TIPX20,110.88,55.44,24.18,99.79,64
RC,0272,KIT RESTORATIVE A2 SHADE HYBRID LIGHT CURE SYRINGE FLOWABLE FLUORIDE RELEASE W/1GM SYRINGEX4 TIPX20,110.88,55.44,24.18,99.79,64
RC,0272,KIT RETRACTOR SURGICAL PROSTHESIS SUNDRIE BOLT SCREW PIN PLATE MARS 3V DISPOSABLE,850.0,425.0,185.39,765.0,64
RC,0272,KIT RETRIEVAL L76 CM 3 LOOP RADIOPAQUE PLATINUM STRAND OD7 FR TRIPLE-LOOP SNARE RETRIEVAL KIT,695.0,347.5,151.58,625.5,64
RC,0272,KIT RIGHT HEART CUSTOM,192.6,96.3,42.01,173.34,64
RC,0272,KIT ROBOTIC NE UNIV CB,213.27,106.64,46.51,191.94,64
RC,0272,KIT ROOM TURNOVER CUSTOM F/CAROLINA MEDICAL CENTER,104.0,52.0,22.68,93.6,64
RC,0272,KIT ROOM TURNOVER CUSTOM OPERATION CMC-NE,110.1,55.05,24.01,99.09,64
RC,0272,KIT ROOM TURNOVER INFECTION CONTROL F/CLEANSE RESTORE OPERATING LATEX-FREE,136.68,68.34,29.81,123.01,64
RC,0272,KIT ROOM TURNOVER L D LATEX-FREE NON-STERILE DISPOSABLE FLOYD MEDICAL CENTER,135.84,67.92,29.63,122.26,64
RC,0272,KIT SAFETY PEG PULL 20FM00509001,180.39,90.2,39.34,162.35,64
RC,0272,KIT SCREW INTERFERENCE INSERTION,115.0,57.5,25.08,103.5,64
RC,0272,KIT SEALANT HEMOSTATIC HUMAN FIBRIN 4ML FROZEN F/REBLEEDING RISK VISTASEAL 12/KT 2-YR SHELF LIFE,2369.14,1184.57,516.71,2132.23,64
RC,0272,KIT SEROSAFUSE IMPLANTABLE FASTENER WITH 2 CARTRIDGES,5795.0,2897.5,1263.89,5215.5,64
RC,0272,KIT SHEATH GUIDE KINK RESISTANT STOPPER BRUSH SINGLE USE GUIDE SHEATH KIT,249.25,124.63,54.36,224.33,64
RC,0272,KIT SHEATH L125 MM NANO NEEDLE DIAGNOSTIC SHEATH,115.0,57.5,25.08,103.5,64
RC,0272,KIT SPINAL 4.2 MM EXPANSION SPINEJACK,1388.33,694.17,302.79,1249.5,64
RC,0272,KIT SPINAL ACCESS LOW PROFILE SHIM MAXCESS 4,1125.0,562.5,245.36,1012.5,64
RC,0272,KIT SPINAL DILATOR STIMULATE NAV S XLIF XLIF,500.0,250.0,109.05,450.0,64
RC,0272,KIT SPINAL DILATOR XLIF NEUROVISION M5,236.0,118.0,51.47,212.4,64
RC,0272,KIT SPINAL FACET FIXATION SCREW DISPENSER MEDTRONIC FACET SCREW INSTRUMENTS,123.75,61.88,26.99,111.38,64
RC,0272,KIT SPINAL HOOP MAXCESS SHIM STERILE,613.5,306.75,133.8,552.15,64
RC,0272,KIT SPINAL LIGHT CABLE SELF RETAINING MAS TLIF,108.0,54.0,23.55,97.2,64
RC,0272,KIT SPINAL LOW PROFILE XLIF,1125.0,562.5,245.36,1012.5,64
RC,0272,KIT SPINAL MAXCESS4 SHIM DISPOSABLE,750.0,375.0,163.58,675.0,64
RC,0272,KIT SPINAL PREPARATION OD5.8 MM SPINEJACK,1388.33,694.17,302.79,1249.5,64
RC,0272,KIT SPINAL SHIM FIXATION MAXCESS,91.0,45.5,19.85,81.9,64
RC,0272,KIT SPINAL TISSUE SCULPTER PORTAL TROCAR HANDLE RONGEUR DISPOSABLE STERILE SPINE LUMBAR MILD,3313.0,1656.5,722.57,2981.7,64
RC,0272,KIT STABILIZER ORTHOPEDIC MARCO SHOULDER LATEX-FREE STERILE DISPOSABLE,496.8,248.4,108.35,447.12,64
RC,0272,KIT STAIN ARTISAN ALCIAN BLUE PERIODIC ACID SCHIFF 50 TEST,245.05,122.53,53.45,220.55,64
RC,0272,KIT STAIN PH 2.5 ARTISAN ALCIAN BLUE 50 TEST,245.05,122.53,53.45,220.55,64
RC,0272,KIT STAIN READY TO USE ARTISAN MUCICARMINE 50 TEST,245.05,122.53,53.45,220.55,64
RC,0272,KIT STAPLER L100 MM CANNULA BLUNT OBTURATOR OD12 MM ENDOWRIST,2030.0,1015.0,442.74,1827.0,64
RC,0272,KIT STEREOTACTIC NAVIGATE SPINE PEDICLE,737.0,368.5,160.74,663.3,64
RC,0272,KIT STEREOTACTIC W/4-WRENCH 5MM ANCHOR PILOT DRILL DRIVER F/IMPLANTATION WAYPOINT STERILE DISPOSABLE,384.0,192.0,83.75,345.6,64
RC,0272,KIT STIMULATOR 50CM STYLET ENHANCE STEER CAP,100.0,50.0,21.81,90.0,64
RC,0272,KIT STIMULATOR 70CM NEUROMUSCULAR STEERING CAP STIFFER STYLET,100.0,50.0,21.81,90.0,64
RC,0272,KIT STIMULATOR CHARGER OMNIA REUSABLE NONSTERILE LATEX FREE 2500,850.0,425.0,185.39,765.0,64
RC,0272,KIT STIMULATOR CHARGER SENZA REUSABLE NONSTERILE LATEX FREE,1000.0,500.0,218.1,900.0,64
RC,0272,KIT STIMULATOR L50 CM STYLET STEERING CAP PRECISION SPINAL CORD STIMULATOR,100.0,50.0,21.81,90.0,64
RC,0272,KIT STIMULATOR TUNNEL DBS DEEP BRAIN STIMULATION,140.0,70.0,30.53,126.0,64
RC,0272,KIT STYLET .014IN 46CM J ATRIAL,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET .014IN 52CM J ATRIAL,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET 46CM UNIVERSAL J STRAIGHT REPOSITION CLIP ON TOOL CAP ASSORTED,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET 52CM UNIVERSAL J STRAIGHT REPOSITION CLIP ON TOOL CAP ASSORTED,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET 58CM UNIVERSAL J STRAIGHT REPOSITION CLIP ON TOOL CAP ASSORTED,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET 60CM UNIVERSAL J STRAIGHT REPOSITION CLIP ON TOOL CAP ASSORTED,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET 85CM UNIVERSAL J STRAIGHT REPOSITION CLIP ON TOOL CAP ASSORTED,68.0,34.0,14.83,61.2,64
RC,0272,KIT STYLET LEAD 65CML STRAIGHT W/CLIP-ON TOOL TENDRIL ST,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET LEAD NARROW WIDE W/CLIP-ON TOOL,65.0,32.5,14.18,58.5,64
RC,0272,KIT STYLET NEUROSTIMULATOR PAIN MANAGEMENT 30CML W/STEERING CAP F/SPINAL CORD STIMULATION PRECISION STERILE,90.0,45.0,19.63,81.0,64
RC,0272,KIT SUCTION SUCKER 21FR DIA 13INL 1/4INL CONNECTOR CARDIAC RIGID FLUTED TIP,720.0,360.0,157.03,648.0,64
RC,0272,KIT SUCTION Y CONNECTOR LEVINE IRRIGATION FLOW REGULATOR C CLAMP FLEXIBLE TUBE DISPOSABLE STERILE LATEX FREE,280.04,140.02,61.08,252.04,64
RC,0272,KIT SURGICAL AVN,1295.0,647.5,282.44,1165.5,64
RC,0272,KIT SURGICAL BONE ACCESS OD10 GA OSTEOCOOL,591.0,295.5,128.9,531.9,64
RC,0272,KIT SURGICAL BONE ACCESS OD13 GA OSTEOCOOL,504.0,252.0,109.92,453.6,64
RC,0272,KIT SURGICAL BONE ACCESS OD8 GA OSTEOCOOL,504.0,252.0,109.92,453.6,64
RC,0272,KIT SURGICAL CARDIOVASCULAR CARDIOVASCULAR PROCEDURE KIT,270.0,135.0,58.89,243.0,64
RC,0272,KIT SURGICAL CUSTOM C SECTION BAY AREA MEDICAL CNTR,416.08,208.04,90.75,374.47,64
RC,0272,KIT SURGICAL DEFENDO OLY EUS VALVES,1562.5,781.25,340.78,1406.25,64
RC,0272,KIT SURGICAL GYN LAP BAY AREA MEDICAL CNTR,175.28,87.64,38.23,157.75,64
RC,0272,KIT SURGICAL KNEE ARTHOSCOPY LATEX FREE BAY AREA MEDICAL CNTR,329.31,164.66,71.82,296.38,64
RC,0272,KIT SURGICAL L125 MM NANONEEDLE HIGH FLOW OPERATIVE,115.0,57.5,25.08,103.5,64
RC,0272,KIT SURGICAL LARGE POST FREE PIVOT GUARDIAN DISPOSABLE STERILE LATEX FREE,5175.0,2587.5,1128.67,4657.5,64
RC,0272,KIT SURGICAL LIPOGRAFTER AUTOLOGUS FAT TRANSFER,371.3,185.65,80.98,334.17,64
RC,0272,KIT SURGICAL LIQUID PERFLUORON 5 ML,1390.14,695.07,303.19,1251.13,64
RC,0272,KIT SURGICAL MEDIUM SAFETY DISPOSABLE STERILE LATEX FREE,4197.0,2098.5,915.37,3777.3,64
RC,0272,KIT SURGICAL OCD,1295.0,647.5,282.44,1165.5,64
RC,0272,KIT SURGICAL PEDICLE ACCESS REVERE,283.0,141.5,61.72,254.7,64
RC,0272,KIT SURGICAL PERFLUORON 7 ML,1114.76,557.38,243.13,1003.28,64
RC,0272,KIT SURGICAL PROCEDURE 3.5MM 8.5MM DISPOSABLE DX SWIVELOCK SL,1375.0,687.5,299.89,1237.5,64
RC,0272,KIT SURGICAL PROCEDURE BREAST CHEST,182.56,91.28,39.82,164.3,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM CATH ARTERIAL,250.0,125.0,54.53,225.0,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM CENTESIS WAKE FOREST,139.2,69.6,30.36,125.28,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM INVT MERIT,294.0,147.0,64.12,264.6,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM MINI ACCESS NORTH CAROLINA BAPTIST LATEX-FREE STERILE DISPOSABLE,1391.25,695.63,303.43,1252.13,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM ORTHOPEDIC SPINE DYNJ904268,448.12,224.06,97.73,403.31,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM THERAPEUTIC THORACENTESIS PARACENTESIS LATEX STERILE NORTH CAROLINA BAPTIST WAKE FOREST,255.1,127.55,55.64,229.59,64
RC,0272,KIT SURGICAL PROCEDURE CUSTOM UROLOGY ROBOTIC PROSTATECTOMY DYNJ55555,203.66,101.83,44.42,183.29,64
RC,0272,KIT SURGICAL PROCEDURE GENERAL LAPAROSCOPY,311.64,155.82,67.97,280.48,64
RC,0272,KIT SURGICAL PROCEDURE GENERAL LAPAROTOMY,486.2,243.1,106.04,437.58,64
RC,0272,KIT SURGICAL PROCEDURE GYNECOLOGY ABDOMINAL,308.62,154.31,67.31,277.76,64
RC,0272,KIT SURGICAL PROCEDURE KIDNEY TRANSPLANT,666.63,333.32,145.39,599.97,64
RC,0272,KIT SURGICAL PROCEDURE MAJOR VASCULAR LATEX-FREE,324.39,162.2,70.75,291.95,64
RC,0272,KIT SURGICAL PROCEDURE NEURO,205.05,102.53,44.72,184.55,64
RC,0272,KIT SURGICAL PROCEDURE PEDIATRIC SPINAL,216.73,108.37,47.27,195.06,64
RC,0272,KIT SURGICAL PROCEDURE ROBOTIC HYSTERECTOMY,480.52,240.26,104.8,432.47,64
RC,0272,KIT SURGICAL PROCEDURE ROBOTICS NE UNIVERSITY,179.49,89.75,39.15,161.54,64
RC,0272,KIT SURGICAL PROCEDURE SHOULDER CMC MERCY,128.56,64.28,28.04,115.7,64
RC,0272,KIT SURGICAL PROCEDURE TOTAL KNEE,113.91,56.96,24.84,102.52,64
RC,0272,KIT SURGICAL PROCEDURE VASCULAR MAJOR ABDOMINAL,672.0,336.0,146.56,604.8,64
RC,0272,KIT SURGICAL SCAN PLAN MAZOR X DISPOSABLE,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT SURGICAL SMALL SAFETY DISPOSABLE STERILE LATEX FREE,750.0,375.0,163.58,675.0,64
RC,0272,KIT SURGICAL SPLIT BAY AREA MEDICAL CENTER,361.11,180.56,78.76,325.0,64
RC,0272,KIT SURGICAL SPY PAQ DISPOSABLE STERILE LATEX FREE,3760.71,1880.36,820.21,3384.64,64
RC,0272,KIT SURGICAL STERNAL TALON LEVEL ONE THORACIC,195.0,97.5,42.53,175.5,64
RC,0272,KIT SUTURE 0 GRAFT SIZING TENDON SIZER FIBERLOOP SUTURETAPE,1475.0,737.5,321.7,1327.5,64
RC,0272,KIT SUTURE COMBO COR-KNOT MINI STERILE,4590.0,2295.0,1001.08,4131.0,64
RC,0272,KIT SUTURE DX KNOTLESS FIBERTAK FIBERTAK DX KNOTLESS,1375.0,687.5,299.89,1237.5,64
RC,0272,KIT SUTURE NONABSORBABLE W/XG7-7039X6 WHX5 DEKNATEL V-3066A,889.82,444.91,194.07,800.84,64
RC,0272,KIT SUTURE REMOVAL 00-0 5 SHEATH SUTURE SAVER MVP SPECTRUM DISPOSABLE STERILE,170.3,85.15,37.14,153.27,64
RC,0272,KIT SUTURE REMOVAL DURASTAT DISPOSABLE STERILE LATEX FREE,4450.0,2225.0,970.55,4005.0,64
RC,0272,KIT SUTURE SURGICAL 12MM F/TARGETED ANESTHESIA DELIVERY/PORT CLOSURE M-CLOSE,449.95,224.98,98.13,404.96,64
RC,0272,KIT SUTURE SURGICAL E-PACK WFUM9497,1346.28,673.14,293.62,1211.65,64
RC,0272,KIT SUTURE SURGICAL E-PACK WFUM9498,980.16,490.08,213.77,882.14,64
RC,0272,KIT SUTURE SUTURETAK PUSHLOCK MINI SUTURETAK,875.0,437.5,190.84,787.5,64
RC,0272,KIT SUTURE UNIVERS APEX SHOULDER,400.0,200.0,87.24,360.0,64
RC,0272,KIT SUTURING ALL-INSIDE QUADLINK 9MM,2855.0,1427.5,622.68,2569.5,64
RC,0272,KIT SYRINGE 10 ML 1 PACK GEL PREFILL PREDYE ORISE,1007.0,503.5,219.63,906.3,64
RC,0272,KIT SYRINGE 10 ML 1 PACK GEL PREFILL PREDYE ORISE 23 GA CLEAR,1272.0,636.0,277.42,1144.8,64
RC,0272,KIT SYRINGE 10 ML TWIN PACK GEL PREFILL PREDYE ORISE 23 GA CLEAR,2067.0,1033.5,450.81,1860.3,64
RC,0272,KIT SYRINGE 19GA ANGEL WING 2 SYRINGE INFUSION SET LUER CAP SERIES I TOURNIQUET ACP ALCOHOL DISPOSABLE LATEX FREE,125.0,62.5,27.26,112.5,64
RC,0272,KIT SYRINGE 200ML SMALL CONTRAST LOW PRESSURE TUBE T CONNECTOR STELLANT DISPOSABLE LATEX FREE CT INJECTION SYSTEM,274.58,137.29,59.89,247.12,64
RC,0272,KIT SYRINGE AUTOMATE MULTIUSE REUSABLE A2000,325.0,162.5,70.88,292.5,64
RC,0272,KIT SYRINGE L10.25 IN X W10.25 IN X H7.5 IN ANGIOTOUCH 2.8 LB,518.0,259.0,112.98,466.2,64
RC,0272,KIT THR OPTIVAC HIP,134.0,67.0,29.23,120.6,64
RC,0272,KIT THR PLUG BRUSH SPONGE SUCTION HIP,774.4,387.2,168.9,696.96,64
RC,0272,KIT THROMBOLYTIC 1.5MM 3-4FR 145CM 15MM ULTRA SYSTEM OTW MARKER BAND CONTRAST INJECTION PORT ANGIOJET LATEX FREE ACCEPTS .014IN GUIDEWIRE ACCEPTS 4FR SHEATH,170.0,85.0,37.08,153.0,64
RC,0272,KIT TISSUE CLOSURE 10ML PREASSEMBLE SYRINGE 2 TRANSFER DEVICE EASY PREP QUIK-FILL DUPLOJECT TISSEEL,188.56,94.28,41.12,169.7,64
RC,0272,KIT TISSUE CLOSURE 2ML 4 SYRINGE 4 NEEDLE 2 JOIN PIECE APPLICATOR DUPLOJECT TISSEEL,93.92,46.96,20.48,84.53,64
RC,0272,KIT TISSUE CLOSURE 2ML PREFILL SYRINGE PLUNGER 2 JOIN PIECE 4 APPLICATION CANNULA DUO TISSEEL LATEX FREE,171.42,85.71,37.39,154.28,64
RC,0272,KIT TISSUE CLOSURE 4ML FROZEN SEALANT ARTISS,398.77,199.39,86.97,358.89,64
RC,0272,KIT TISSUE CLOSURE 4ML PREFILL SYRINGE FROZEN COMBI SET PRIMA DUPLOJECT TISSEEL,287.33,143.67,62.67,258.6,64
RC,0272,KIT TISSUE CLOSURE 4ML SEALANT ADHESIVE AIR LEAK PROGEL STERILE LATEX FREE PLEURA,4706.8,2353.4,1026.55,4236.12,64
RC,0272,KIT TISSUE CLOSURE 4ML SEALANT COSEAL DISPOSABLE STERILE LATEX FREE,760.83,380.42,165.94,684.75,64
RC,0272,KIT TISSUE CLOSURE 8ML COSEAL PEG DISPOSABLE STERILE LATEX FREE,1177.71,588.86,256.86,1059.94,64
RC,0272,KIT TISSUE CLOSURE SEALANT EVICEL FIBRIN 2 ML,311.29,155.65,67.89,280.16,64
RC,0272,KIT TISSUE CLOSURE SEALANT EVICEL FIBRIN 5 ML,682.45,341.23,148.84,614.21,64
RC,0272,KIT TKR 2 3 HIGH PERFORMANCE TRUMATCH FEMUR TIBIA LEFT,600.0,300.0,130.86,540.0,64
RC,0272,KIT TKR 6 5 HIGH PERFORMANCE TRUMATCH FEMUR TIBIA LEFT,600.0,300.0,130.86,540.0,64
RC,0272,KIT TOTAL JOINT,171.35,85.68,37.37,154.22,64
RC,0272,KIT TOTAL KNEE CB,117.47,58.74,25.62,105.72,64
RC,0272,KIT TRACHEOSTOMY LP KIT 3 - LT 10/3610/55 PROVOX,380.86,190.43,83.07,342.77,64
RC,0272,KIT TRACHEOSTOMY LP KIT 7 - LT 10/3610/55 PROVOX,689.07,344.54,150.29,620.16,64
RC,0272,KIT TRACTION STRAP ACUMED ARM,78.0,39.0,17.01,70.2,64
RC,0272,KIT TRAKPAK WITH QUIKLINE,4974.0,2487.0,1084.83,4476.6,64
RC,0272,KIT TRANSDUCER PRESSURE MONITOR SINGLE LINE W/6INL TUBING F/VAMP A-LINE V-LINE SYSTEM TRUWAVE LATEX-FREE MRI-CONDITIONAL STERILE DISPOSABLE,346.7,173.35,75.62,312.03,64
RC,0272,KIT TRANSDUCER TRUWAVE LF MRI-COND 311CM PRSS MONTR STRL DISP,349.4,174.7,76.2,314.46,64
RC,0272,KIT TRAUMA FIXATION REMOVAL FIBULINK,812.67,406.34,177.24,731.4,64
RC,0272,KIT TROCAR LAPAROSCOPIC 5MM DIA 100MML ABDOMINAL BLADED SHIELDED Z-THREADED W/SLEEVEX2 OBTURATOR KII LATEX-FREE DUAL PACK,240.0,120.0,52.34,216.0,64
RC,0272,KIT TUBE GASTROSTOMY 18FR DIA 12INL 1.2CML STOMA SILICONE 5ML BALLOON ROUND TAPERED DISTAL TIP LOW-PROFILE PORTX2 SECUR-LOK EXTERNAL RETENTION RING PREFILLED W/DEPTH MARKING MIC-KEY ENFIT LATEX-FREE N,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 18FR DIA 12INL 4.5CML STOMA SILICONE 5ML BALLOON ROUND TAPERED DISTAL TIP LOW-PROFILE PORTX2 SECUR-LOK EXTERNAL RETENTION RING PREFILLED W/DEPTH MARKING MIC-KEY ENFIT LATEX-FREE N,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 18FR DIA 45CML SILICONE TRADITIONAL ANTI KINK TECHNOLOGY W/SMALL LARGE SYRINGE GAUZE G-JET STERILE,299.0,149.5,65.21,269.1,64
RC,0272,KIT TUBE GASTROSTOMY 18FR DIA 9INL SILICONE 20ML BALLOON ROUNDED TIP W/DEPTH MARKING RETENTION BOLSTER CLEAR CORFLO LATEX-FREE,21.77,10.89,4.75,19.59,64
RC,0272,KIT TUBE GASTROSTOMY 20FR DIA 12INL 1.7CML STOMA SILICONE 5ML BALLOON ROUND TAPERED DISTAL TIP LOW-PROFILE PORTX2 SECUR-LOK EXTERNAL RETENTION RING PREFILLED W/DEPTH MARKING MIC-KEY ENFIT LATEX-FREE N,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 24FR DIA 12INL 1.7CML STOMA SILICONE 5ML BALLOON TAPERED RECESSED DISTAL TIP LOW-PROFILE PROXIMAL ANTI-REFLUX VALVE MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE STERILE SINGLE-USE,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 24FR DIA 12INL 1.7CML STOMA SILICONE 5ML ROUND TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTERNAL RETENTION RING FEEDING EXTENSION SET INFLATABLE INTERNAL BALLOON W/DEPTH MARKING 2,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 24FR DIA 12INL 3.5CML STOMA SILICONE 5ML BALLOON ROUND TAPERED DISTAL TIP LOW-PROFILE PORTX2 SECUR-LOK EXTERNAL RETENTION RING PREFILLED W/DEPTH MARKING MIC-KEY ENFIT LATEX-FREE N,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 24FR DIA 2.3CML SILICONE LOW-PROFILE W/ISO CONNECTOR MIC-KEY ENFIT LATEX-FREE STERILE,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY 24FR DIA 2.5CML STOMA SILICONE ROUND TAPERED DISTAL TIP LOW-PROFILE PORTX2 SECUR-LOK EXTERNAL RETENTION RING PREFILLED W/DEPTH MARKING MIC-KEY ENFIT LATEX-FREE STERILE SINGLE-USE,91.15,45.58,19.88,82.04,64
RC,0272,KIT TUBE GASTROSTOMY ENTERAL FEEDING 16FR 45CM SILICONE GASTRIC JEJUNAL ADJUSTABLE LENGTH TRADITIONAL G-JET MRI-CONDITIONAL STERILE DISPOSABLE,329.0,164.5,71.75,296.1,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 12FR 2CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 14FR 1.5CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,89.23,44.62,19.46,80.31,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 14FR 2.5CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 14FR 3.5CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 16FR 2.3CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 16FR 3.5CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 16FR 3CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,89.23,44.62,19.46,80.31,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 18FR 1CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 20FR 4.5CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 24FR 3.5CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE GASTROSTOMY KANGAROO FEEDING 24FR 3CM STOMA SKIN LEVEL ENTERAL RAISED FEET ENFIT SECURITY CLIP W/BOLUS/CONTINUOUS FEED SET PURPLE SILICONE LATEX-FREE DEHP-FREE STERILE 5/CA,84.18,42.09,18.36,75.76,64
RC,0272,KIT TUBE JEJUNOSTOMY 14FR DIA 10CML 1.0CML STOMA SILICONE 5ML BALLOON TRANSGASTRIC JEJUNAL TAPERED RECESSED DISTAL TIP LOW-PROFILE PROXIMAL ANTI-REFLUX VALVE MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE ,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY 14FR DIA 22CML 1.2CML STOMA SILICONE 3-5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE,382.69,191.35,83.46,344.42,64
RC,0272,KIT TUBE JEJUNOSTOMY 14FR DIA 23CML 2.3CML STOMA SILICONE 5ML BALLOON TRANSGASTRIC JEJUNAL TAPERED RECESSED DISTAL TIP LOW-PROFILE PROXIMAL ANTI-REFLUX VALVE MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE ,170.46,85.23,37.18,153.41,64
RC,0272,KIT TUBE JEJUNOSTOMY 14FR DIA 30CML 2.5CML STOMA SILICONE 5ML BALLOON TRANSGASTRIC JEJUNAL TAPERED RECESSED DISTAL TIP LOW-PROFILE PROXIMAL ANTI-REFLUX VALVE MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE ,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY 14FR OD 1CML SILICONE TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING W/EXIT PORTX2 MIC-KEY ENFIT NON-RADIOLUCENT STERILE SINGLE-USE ISO,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 22CML 1.2CML STOMA SILICONE 3-5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 22CML SILICONE 7-10ML BALLOON TAPERED DISTAL TIP PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/PTFE-COATED GUIDEWIRE MIC ENFIT ENDOSCOPIC/RADIOLOGIC PLACEMENT,221.49,110.75,48.31,199.34,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 30CML 1.5CML STOMA SILICONE 3-5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 30CML SILICONE 7-10ML BALLOON TAPERED DISTAL TIP PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/PTFE-COATED GUIDEWIRE MIC ENFIT ENDOSCOPIC/RADIOLOGIC PLACEMENT,221.49,110.75,48.31,199.34,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 45CML 1.5CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FRE,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 45CML 1.5CML STOMA SILICONE 7-10ML BALLOON TAPERED RECESSED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 W/ACCESSORIES MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE ST,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 45CML 1.7CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FRE,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 45CML 2.5CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FRE,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 45CML 2CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE ,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 16FR DIA 45CML SILICONE 7-10ML BALLOON TAPERED DISTAL TIP PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/PTFE-COATED GUIDEWIRE MIC ENFIT ENDOSCOPIC/RADIOLOGIC PLACEMENT,221.49,110.75,48.31,199.34,64
RC,0272,KIT TUBE JEJUNOSTOMY 18FR DIA 22CML SILICONE 7-10ML BALLOON TAPERED DISTAL TIP PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/PTFE-COATED GUIDEWIRE MIC ENFIT ENDOSCOPIC/RADIOLOGIC PLACEMENT,221.49,110.75,48.31,199.34,64
RC,0272,KIT TUBE JEJUNOSTOMY 18FR DIA 30CML SILICONE 7-10ML BALLOON TAPERED DISTAL TIP PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/PTFE-COATED GUIDEWIRE MIC ENFIT ENDOSCOPIC/RADIOLOGIC PLACEMENT,221.49,110.75,48.31,199.34,64
RC,0272,KIT TUBE JEJUNOSTOMY 18FR DIA 45CML 2.5CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FRE,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 22FR DIA 45CML 3CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE ,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 22FR DIA 45CML 4CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE ,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 22FR DIA 45CML 6CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE FEEDING EXIT PORTX2 SECUR-LOK EXTENSION SET CONNECTOR MECHANISM MIC-KEY ENFIT LATEX-FREE ,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY 22FR DIA 45CML SILICONE 7-10ML BALLOON TAPERED DISTAL TIP PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/LUER-SLIP SYRINGE MIC ENFIT SURGICAL PLACEMENT,324.51,162.26,70.78,292.06,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 14FR DIA 2.5CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET W/ISO ENFIT CONNECTOR MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE STERILE S,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 14FR DIA 2CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET W/ISO ENFIT CONNECTOR MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE STERILE SIN,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 14FR DIA 4.5CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET W/ISO ENFIT CONNECTOR MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE STERILE S,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 14FR DIA 4CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET W/ISO ENFIT CONNECTOR MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE STERILE SIN,168.84,84.42,36.82,151.96,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 16FR DIA 22CML 1.5CML STOMA SILICONE 3-5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE EXIT PORTX2 SECUR-LOK EXTENSION SET PROXIMAL ANTI-REFLUX VALVE W/ENFIT CONNECTOR,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 16FR DIA 30CML 2.3CML STOMA SILICONE 3-5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE EXIT PORTX2 SECUR-LOK EXTENSION SET PROXIMAL ANTI-REFLUX VALVE W/ENFIT CONNECTOR,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 18FR DIA 2.5CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET W/ISO ENFIT CONNECTOR MIC-KEY LATEX-FREE NON-RADIOLUCENT STRIPE STERILE S,122.7,61.35,26.76,110.43,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 18FR DIA 45CML 1.5CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE EXIT PORTX2 SECUR-LOK EXTENSION SET PROXIMAL ANTI-REFLUX VALVE W/ENFIT CONNECTO,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 18FR DIA 45CML 2CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE EXIT PORTX2 SECUR-LOK EXTENSION SET PROXIMAL ANTI-REFLUX VALVE W/ENFIT CONNECTOR ,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE JEJUNOSTOMY FEEDING 22FR DIA 45CML 3.5CML STOMA SILICONE 7-10ML BALLOON TAPERED DISTAL TIP LOW-PROFILE MULTIPLE EXIT PORTX2 SECUR-LOK EXTENSION SET PROXIMAL ANTI-REFLUX VALVE W/ENFIT CONNECTO,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE PEG 20FR DIA SILICONE 10ML PERCUTANEOUS SAFETY PUSH STANDARD W/XYLOCAINE AMPULE ENDOVIVE NON-RADIOLUCENT STERILE SINGLE-USE,175.0,87.5,38.17,157.5,64
RC,0272,KIT TUBE PEG 20FR DIA SILICONE PERCUTANEOUS SAFETY PULL DEPTH MARKING PUSH DOME SNARE W/XYLOCAINE AMPULE ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,179.38,89.69,39.12,161.44,64
RC,0272,KIT TUBE PEG 20FR DIA STANDARD SILICONE DOME SAFETY PUSH DEPTH MARKING INITIAL PLACEMENT ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,118.2,59.1,25.78,106.38,64
RC,0272,KIT TUBE PEG 20FR PERCUTANEOUS W/ENFIT MIC-KEY 8160,127.26,63.63,27.76,114.53,64
RC,0272,KIT TUBE PEG 24FR 4.4CM SILICONE PULL LOW-PROFILE W/UNIV 1.9MMX240CM RETRIEVAL SNARE BLUE ENDOVIVE ONE-STEP BUTTON NON-RADIOLUCENT 2MM CHANNEL,175.0,87.5,38.17,157.5,64
RC,0272,KIT TUBE PEG 24FR DIA SILICONE PERCUTANEOUS SAFETY PULL STANDARD W/XYLOCAINE AMPULE ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,175.0,87.5,38.17,157.5,64
RC,0272,KIT TUBE PEG 24FR DIA SILICONE SECUR-LOK MIC-KEY LATEX-FREE STERILE SINGLE-USE,127.26,63.63,27.76,114.53,64
RC,0272,KIT TUBE PEG 24FR DIA STANDARD SILICONE DEPTH MARKING INITIAL PLACEMENT ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,118.2,59.1,25.78,106.38,64
RC,0272,KIT TUBE PEG 24FR/4.47MM DIA 260CML SILICONE PUSH PLACEMENT W/CHLORAPREP SWAB FENESTRATED DRAPE XYLOCAINE 1% 5 ML GLASS VIAL SYRINGE NEEDLEX3 PEG 24 LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.035,120.0,60.0,26.17,108.0,64
RC,0272,KIT TUBE PEG PULL 14FR DIA PERCUTANEOUS W/EXTERNAL RETENTION BOLSTER SECURE-LOK RING MIC ENFIT,127.26,63.63,27.76,114.53,64
RC,0272,KIT TUBE PEG PULL 20FR DIA POLYURETHANE PERCUTANEOUS DEPTH MARKING LOCKING SYSTEM W/ENFIT CONNECTOR F/IRRIGATION DECOMPRESSION MEDICATION CORFLO MAX LATEX-FREE STERILE SINGLE-USE LIDOCAINE  POVIDONE I,128.91,64.46,28.12,116.02,64
RC,0272,KIT TUBE PEG PULL 24FR DIA PERCUTANEOUS W/EXTERNAL RETENTION BOLSTER SECURE-LOK RING MIC ENFIT,127.26,63.63,27.76,114.53,64
RC,0272,KIT TUBE PEG PUSH 24FR DIA PERCUTANEOUS W/EXTERNAL RETENTION BOLSTER SECURE-LOK RING MIC ENFIT,127.26,63.63,27.76,114.53,64
RC,0272,KIT TUBE PEG SAFETY PULL 14FR DIA SILICONE MIC-KEY LATEX-FREE STERILE SINGLE-USE,127.26,63.63,27.76,114.53,64
RC,0272,KIT TUBE PEG STANDARD PUSH 24FR DIA SILICONE PERCUTANEOUS W/ENFIT ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,124.11,62.06,27.07,111.7,64
RC,0272,KIT TUBE SWING INCLUDED HARNESS & HEAVY-DUTY INNER TUBE,140.0,70.0,30.53,126.0,64
RC,0272,KIT TUBE TRANSGASTRIC-JEJUNAL 14FR DIA 45CML 3.5CML STOMA SILICONE LOW PROFILE TAPERED DISTAL TIP RADIOPAQUE STRIPE MULTIPLE EXIT PORT W/SECUR-LOK ENFIT CONNECTOR F/FEEDING/GASTRIC DECOMPRESSION MIC-K,382.69,191.35,83.46,344.42,64
RC,0272,KIT TUBE TRANSGASTRIC-JEJUNAL 18FR DIA 4CML 45CML SILICONE TAPERED DISTAL TIP LOW PROFILE DECOMPRESSION PORT W/RETENTION BALLOON MIC-KEY ENFIT RADIOPAQUE STRIP,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE TRANSGASTRIC-JEJUNAL 18FR DIA 5CML 45CML SILICONE TAPERED DISTAL TIP LOW PROFILE DECOMPRESSION PORT W/RETENTION BALLOON MIC-KEY ENFIT RADIOPAQUE STRIP,332.75,166.38,72.57,299.48,64
RC,0272,KIT TUBE TRANSGASTRIC-JEJUNAL FEEDING 22FR 45CM SILICONE 10ML BALLOON ANTI-KINK AMT ADJUSTABLE LENGTH W/SMALL/LARGE SYR GAUZE LEGACY TRADITIONAL G-JET MRI-SAFE STERILE,329.0,164.5,71.75,296.1,64
RC,0272,KIT TUBE TRANSGASTRIC-JEJUNAL TRADITIONAL BOXED 14FR DIA 30CML W/SMALL/LARGE 1-SYRINGE GAUZE G-JET ENFIT MRI-CONDITIONAL,329.0,164.5,71.75,296.1,64
RC,0272,KIT TUBESET SONASTAR ELITE MICRO LONG TIP 1.6MM,1000.0,500.0,218.1,900.0,64
RC,0272,KIT TUBING PERFUSION PUMP CUSTOM FRESENIUS CATS PLUS LATEX-FREE,450.0,225.0,98.15,405.0,64
RC,0272,KIT TUBING SUCTION/IRRIGATION W/CO2 CONNECTION FILTER 100145 200230 100551 F/OLYMPUS SCOPE ENDOGATOR,479.0,239.5,104.47,431.1,64
RC,0272,KIT TUNNELER SURGICAL FLUID 16GA 8IN W/SHEATH ON-Q DEHP-FREE STERILE SINGLE-USE,221.0,110.5,48.2,198.9,64
RC,0272,KIT ULTRABRACE ADJUSTABLE ANKLE INSTABILITY REPAIR AUGMENTATION CONTAINS ANCHOR,1500.0,750.0,327.15,1350.0,64
RC,0272,KIT ULTRABRIDGE ADJUSTABLE ACHILLES RECONSTRUCTION,4584.58,2292.29,999.9,4126.12,64
RC,0272,KIT ULTRASOUND W/SLIDE SUTURE DOPPLER,3010.0,1505.0,656.48,2709.0,64
RC,0272,KIT UROSTOMY 2-PIECE,85.3,42.65,18.6,76.77,64
RC,0272,KIT UT NOVASURE V5,3665.0,1832.5,799.34,3298.5,64
RC,0272,KIT UTERINE EVACUATION,98.0,49.0,21.37,88.2,64
RC,0272,KIT UTERINE NOVASURE V5,3805.0,1902.5,829.87,3424.5,64
RC,0272,KIT VALVE HEMOSTATIC POLYCARBONATE LARGE BORE W/PLASTIC INSERTION TOOL ACCESS-9 25/BX,352.5,176.25,76.88,317.25,64
RC,0272,KIT VASC ACCESS,750.0,375.0,163.58,675.0,64
RC,0272,KIT VENTRICULOSTOMY STANDARD RAZOR SPONGE STICK DRAPE TOWEL VENTRICULOSTOMY KIT,299.2,149.6,65.26,269.28,64
RC,0272,KIT VENTRICULOSTOMY VENTRICULOSTOMY KIT - EUROPEAN EUROPEAN VERSION,384.02,192.01,83.75,345.62,64
RC,0272,KIT VITRECTOMY VISCOUS FLUID INJECTION,340.2,170.1,74.2,306.18,64
RC,0272,KIT WASHER 135ML BOWL HARNESS SET LITER WASTE BAG SUCTION AUTOLOG,276.0,138.0,60.2,248.4,64
RC,0272,KIT WIRE FIXATION KIRSCHNER AXIOM STERILE,71.0,35.5,15.49,63.9,64
RC,0272,KIT WSB ORTHO SPINE WAKE FOREST BAPTIST MEDICAL CE,469.22,234.61,102.34,422.3,64
RC,0272,"KIT, INDIVIDUAL BLEEDING CONTROL - BASIC",47.38,23.69,10.33,42.64,64
RC,0272,KITCRANIOTOMY,114.36,57.18,24.94,102.92,64
RC,0272,KITCRANIOTOMY CM,165.7,82.85,36.14,149.13,64
RC,0272,KITEAR,81.09,40.55,17.69,72.98,64
RC,0272,KITGENERAL LAPAROSCOPY,103.93,51.97,22.67,93.54,64
RC,0272,KITGYN LAPAROSCOPY,106.89,53.45,23.31,96.2,64
RC,0272,KITHAND,151.28,75.64,32.99,136.15,64
RC,0272,KITHIP ARTHROSCOPY,398.67,199.34,86.95,358.8,64
RC,0272,KITHIP NAIL FEM RODDING,150.0,75.0,32.72,135.0,64
RC,0272,KITHP EXTREMITY,251.07,125.54,54.76,225.96,64
RC,0272,KITIMPLANT,192.7,96.35,42.03,173.43,64
RC,0272,KITKIDNEY TRANSPLANT,726.57,363.29,158.46,653.91,64
RC,0272,KITLAPAROSCOPIC GASTRIC BYPAS,548.2,274.1,119.56,493.38,64
RC,0272,KITMAJOR PLASTIC,203.2,101.6,44.32,182.88,64
RC,0272,KITMAJOR PROCEDURE,170.74,85.37,37.24,153.67,64
RC,0272,KITMINOR PROCEDURE,133.64,66.82,29.15,120.28,64
RC,0272,KITMINOR VASCULAR,183.62,91.81,40.05,165.26,64
RC,0272,KITOPEN HEART,701.53,350.77,153.0,631.38,64
RC,0272,KITROBOTIC HYSTERECTOMY,548.54,274.27,119.64,493.69,64
RC,0272,KITROBOTIC UROLOGY,554.07,277.04,120.84,498.66,64
RC,0272,KITSHOULDER,167.48,83.74,36.53,150.73,64
RC,0272,KITSHOULDER OPEN MR,360.82,180.41,78.69,324.74,64
RC,0272,KITSPINE,96.9,48.45,21.13,87.21,64
RC,0272,KITTHORACIC,220.83,110.42,48.16,198.75,64
RC,0272,KITTOTAL HIP,222.36,111.18,48.5,200.12,64
RC,0272,KITTOTAL KNEE,293.97,146.99,64.11,264.57,64
RC,0272,KITTOTAL KNEE  MR UV LN CM,213.08,106.54,46.47,191.77,64
RC,0272,KITVASCULAR MAJOR ABDOMINAL,715.92,357.96,156.14,644.33,64
RC,0272,KNEE ARTHROSCOPY PACK,188.13,94.07,41.03,169.32,64
RC,0272,KNEE PACK,187.62,93.81,40.92,168.86,64
RC,0272,KNIFE ARTHROSCOPIC 3MM DIA STRAIGHT V-SHAPED FLAT SERRATED F/MENISCUS ACUFEX LATEX-FREE STERILE DISPOSABLE,205.0,102.5,44.71,184.5,64
RC,0272,KNIFE ARTHROSCOPIC L10 MM GRAFT ACL,2280.0,1140.0,497.27,2052.0,64
RC,0272,KNIFE ARTHROSCOPIC L11 MM GRAFT ACL,2280.0,1140.0,497.27,2052.0,64
RC,0272,KNIFE ARTHROSCOPIC L12 MM GRAFT ACL,2280.0,1140.0,497.27,2052.0,64
RC,0272,KNIFE ARTHROSCOPIC L9 MM GRAFT ACL,2280.0,1140.0,497.27,2052.0,64
RC,0272,KNIFE ARTHROSCOPIC MENISCECTOMY 3MM DIA BANANA SHEATHED BROWN ARTHRO-KNIFE STERILE SINGLE-USE,42.32,21.16,9.23,38.09,64
RC,0272,KNIFE ARTHROSCOPIC ROUND TIP ACUFEX STRAIGHT STERILE LATEX FREE DISPOSABLE 3MM,205.0,102.5,44.71,184.5,64
RC,0272,KNIFE ARTHROSCOPIC SERRATED BANANA BLADE ACUFEX 3MM STRAIGHT DISPOSABLE,205.0,102.5,44.71,184.5,64
RC,0272,KNIFE ELECTROSURGICAL L230 CM KNOB NEEDLE DOME SHEATH TIP DUALKNIFE CERAMIC L1.5 MM ACCEPTS 2.8 MM CHANNEL ENDOSCOPIC SUBMUCOSAL DISSECTION,566.8,283.4,123.62,510.12,64
RC,0272,KNIFE ELECTROSURGICAL OD2 MM ORISE,4372.5,2186.25,953.64,3935.25,64
RC,0272,KNIFE ENDOSCOPIC ANTEGRADE ULNAR NERVE LIGAMENT DISPOSABLE,460.0,230.0,100.33,414.0,64
RC,0272,KNIFE ENDOSCOPIC BLADE INSERT HANDLE SHEATH MICRO SICKEL STERILE,595.46,297.73,129.87,535.91,64
RC,0272,KNIFE ENDOSCOPIC COLD,1204.03,602.02,262.6,1083.63,64
RC,0272,KNIFE ENDOSCOPIC HOOK OLYMPUS OPTICAL URETHROTOME,248.5,124.25,54.2,223.65,64
RC,0272,KNIFE ENDOSCOPIC I TYPE I JET MULTIFUNCTIONAL PROBE HYBRIDKNIFE 1.9MR 2.3MM,2851.0,1425.5,621.8,2565.9,64
RC,0272,KNIFE ENDOSCOPIC L3.5 MM W4.5 MM JUNIOR 3 IN 1 MONOPOLAR SB KNIFE L2.3 MM 2.8 MM MINIMUM WORK CHANNEL,947.23,473.62,206.59,852.51,64
RC,0272,KNIFE ENDOSCOPIC L7 MM X W8 MM STANDARD MONOPOLAR INSULATE BLADE ROTATIONAL CUT ELECTRODE SB L1.8 MR 2.8 MM MINIMAL CHANNEL,947.23,473.62,206.59,852.51,64
RC,0272,KNIFE ENDOSCOPIC LANCET BLADE FLAT HANDLE STAINLESS STEEL POLYPROPYLENE STERILE DISPOSABLE MYRINGOTOMY,64.94,32.47,14.16,58.45,64
RC,0272,KNIFE ENDOSCOPIC LANCET BLADE ROUND HANDLE GYRUS ACMI STAINLESS STEEL POLYPROPYLENE MYRINGOTOMY,62.3,31.15,13.59,56.07,64
RC,0272,KNIFE ENDOSCOPIC MICRO BLADE INSERT SHEATH POINT DURA,595.46,297.73,129.87,535.91,64
RC,0272,KNIFE ENDOSCOPIC NEEDLE 5FR OD DISTAL TIP 5MML 170CML WORKING PRECURVED TAPERED TIP LUMENX3 CLEVERCUT 3V LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE 0.035IN GUIDEWIRE JF/TJF COMPATIBLE SCOPE 2.8MM M,165.69,82.85,36.14,149.12,64
RC,0272,KNIFE ENDOSCOPIC NEEDLE 5FR OD DISTAL TIP 5MML 170CML WORKING PRECURVED TAPERED TIP LUMENX3 F/V-SYSTEM ERCP CLEVERCUT 3V LATEX-FREE NON-RADIOLUCENT MARKER STERILE SINGLE-USE,152.03,76.02,33.16,136.83,64
RC,0272,KNIFE ENDOSCOPIC NEEDLE CYSTOTOME STERILE DISPOSABLE 10FR 165FR ACCEPTS .035IN GUIDEWIRE CYSTOENTEROSTOMY,280.0,140.0,61.07,252.0,64
RC,0272,KNIFE ENDOSCOPIC RETROGRADE ECTRA II SMALL JOINT BLUE,353.64,176.82,77.13,318.28,64
RC,0272,KNIFE ENDOSCOPIC RETROGRADE ULNAR LIGAMENT DISPOSABLE,460.0,230.0,100.33,414.0,64
RC,0272,KNIFE ENDOSCOPIC ROUND OLYMPUS OPTICAL URETHROTOME,248.5,124.25,54.2,223.65,64
RC,0272,KNIFE ENDOSCOPIC SICKLE BLADE FLAT HANDLE STAINLESS STEEL POLYPROPYLENE MYRINGOTOMY,63.61,31.81,13.87,57.25,64
RC,0272,KNIFE ENDOSCOPIC STRAIGHT OLYMPUS OPTICAL URETHROTOME,248.5,124.25,54.2,223.65,64
RC,0272,KNIFE ENDOSCOPIC TRIANGLE ECTRA II GREEN,270.0,135.0,58.89,243.0,64
RC,0272,KNIFE L170 MM BAYONET LACEY SURGICAL,180.0,90.0,39.26,162.0,64
RC,0272,KNIFE L8.75 IN LISTON SURGICAL,147.78,73.89,32.23,133.0,64
RC,0272,KNIFE LANCE JUVENILE ROUND GYRUS ACMI SURGICAL STAINLESS STEEL POLYPROPYLENE MYRINGOTOMY,54.79,27.4,11.95,49.31,64
RC,0272,KNIFE LIF SURGICAL SINGLE PIECE ANNULOTOMY GRY,180.0,90.0,39.26,162.0,64
RC,0272,KNIFE MYRINGOTOMY LANCET BLADE INTEGRAL HANDLE STERILE DISPOSABLE,106.63,53.32,23.26,95.97,64
RC,0272,KNIFE OPHTHALMIC 1.5MM CLEARCUT ANGLE 2 BEVEL FULL HANDLE SIDEPORT STERILE DISPOSABLE,74.1,37.05,16.16,66.69,64
RC,0272,KNIFE OPHTHALMIC 2.6MM CLEARCUT ANGLED SLIT FULL HANDLE SATIN FINISH STERILE DISPOSABLE,172.14,86.07,37.54,154.93,64
RC,0272,KNIFE OPHTHALMIC 2.8MM CLEARCUT,172.14,86.07,37.54,154.93,64
RC,0272,KNIFE OPHTHALMIC 3.5MM DIA 5MMD 30DEG ANGLED LORDOTIC SHARP POINTED,110.05,55.03,24.0,99.05,64
RC,0272,KNIFE OPHTHALMIC 3MM A-OK SATINSLIT ANGLE STERILE LATEX FREE DISPOSABLE,115.74,57.87,25.24,104.17,64
RC,0272,KNIFE OPHTHALMIC CRESCENT 2.25MML 60DEG ANGLED BEVEL UP TAPERED END CONVENTIONAL EDGEAHEAD POCKET,95.75,47.88,20.88,86.18,64
RC,0272,KNIFE OPHTHALMIC L1.8 MM SHORT MONOPOLAR L6 MM X W6 MM,947.23,473.62,206.59,852.51,64
RC,0272,KNIFE OPHTHALMIC L2.5 MM 55 D CRESCENT MATTE FINISH BEVEL UP FLEXIBLE BD BEAVER BD XSTAR STAINLESS STEEL,114.54,57.27,24.98,103.09,64
RC,0272,KNIFE OPHTHALMIC L23 MM X W.6 MM OD25 GA LASEREDGE PLUS MICROVITREORETINAL,139.1,69.55,30.34,125.19,64
RC,0272,KNIFE OPHTHALMIC SLIT 2.25MM 40DEG ANGLED BEVEL UP STRAIGHT SHOULDER SHARP F/PHACOEMULSIFICATION EDGEAHEAD,96.85,48.43,21.12,87.17,64
RC,0272,KNIFE OPHTHALMIC SLIT 2.65MML 45DEG ANGLED BEVELED UP RESTRICTED DEPTH HEAT TEMPERED SHARP TIP SHARPOINT LATEX-FREE DISPOSABLE,59.2,29.6,12.91,53.28,64
RC,0272,KNIFE OPHTHALMIC SLIT 2.8MMD ANGLED DUAL BEVELED SATIN FINISH SIDE-PORT SUPER SHARP CLEARCUT INTREPID LATEX-FREE STERILE DISPOSABLE,390.0,195.0,85.06,351.0,64
RC,0272,KNIFE OPHTHALMIC STAB INCISION STANDARD 5MMD 15DEG ANGLED SUPER SHARP FULL HANDLE I-KNIFE STERILE DISPOSABLE,73.2,36.6,15.96,65.88,64
RC,0272,KNIFE OPHTHALMIC W1 MM ANGLE FULL HANDLE DUAL BEVEL SIDEPORT CLEARCUT STAINLESS STEEL POLYCARBONATE,75.6,37.8,16.49,68.04,64
RC,0272,KNIFE OPHTHALMIC W1.4 MM STRAIGHT SATIN FINISH OD20 GA A-OK V-LANCE CORNEAL SCLERAL,139.98,69.99,30.53,125.98,64
RC,0272,KNIFE OPHTHALMIC W1.52 MM 15 D STANDARD BLADE FULL HANDLE ALCON A-OK,52.44,26.22,11.44,47.2,64
RC,0272,KNIFE OPHTHALMIC W2.2 MM ANGLE 2 BEVEL MICRO COAXIAL SLIT INTREPID,279.3,139.65,60.92,251.37,64
RC,0272,KNIFE OPHTHALMIC W2.3 MM ANGLE BEVEL UP FULL HANDLE SATINCRESCENT,111.42,55.71,24.3,100.28,64
RC,0272,KNIFE OPHTHALMIC W2.4 MM 45 D 1 BEVEL SAFETY SLIT MATTE FINISH BD XSTAR STAINLESS STEEL,176.17,88.09,38.42,158.55,64
RC,0272,KNIFE OPHTHALMIC W2.4 MM ANGLE 2 BEVEL COAXIAL SLIT CLEARCUT HP2,199.26,99.63,43.46,179.33,64
RC,0272,KNIFE OPHTHALMIC W2.4 MM ANGLE BEVEL STAB MICRO COAXIAL SLIT INTREPID,199.14,99.57,43.43,179.23,64
RC,0272,KNIFE OPHTHALMIC W2.75 MM ANGLE 2 BEVEL SLIT SATIN FINISH FULL HANDLE CLEARCUT CELLULOSE EYE,141.9,70.95,30.95,127.71,64
RC,0272,KNIFE OPHTHALMIC W2.75 MM ANGLE I-KNIFE A-OK SATINSLIT,84.36,42.18,18.4,75.92,64
RC,0272,KNIFE OPHTHALMIC W2.75 MM CLEARCUT SATINSLIT,125.28,62.64,27.32,112.75,64
RC,0272,KNIFE SAFEGUARD SURGICAL MINI OPEN CARPAL TUNNEL RELEASE SYSTEM,82.85,41.43,18.07,74.57,64
RC,0272,KNIFE SPINE BAYONET TRANSCONTINENTAL SURGICAL ANNULOTOMY,223.0,111.5,48.64,200.7,64
RC,0272,KNIFE SPINE L134 MM SHORT BAYONET METRX SURGICAL DISCECTOMY,78.15,39.08,17.04,70.34,64
RC,0272,KNIFE SPINE L188 MM LONG BAYONET METRX SURGICAL DISCECTOMY,78.15,39.08,17.04,70.34,64
RC,0272,KNIFE STERNUM LEBSCHE OVER LGTH 10 IN 25.4 CM,130.4,65.2,28.44,117.36,64
RC,0272,KNIFE SURGICAL 190MM 10MM BLADE STAINLESS STEEL ADULT SICKLE CURVED RIGHT SHARP TIP SATIN FINISH MICROFRANCE STERILE,173.94,86.97,37.94,156.55,64
RC,0272,KNIFE SURGICAL 7.75INX3MM BALLENGER STRAIGHT SWIVEL BLADE MIRROR AND SATIN FINISH,115.63,57.82,25.22,104.07,64
RC,0272,KNIFE SURGICAL BLITZER SICKLE TIP F/LARYNGEAL STERILE DISPOSABLE,215.15,107.58,46.92,193.64,64
RC,0272,KNIFE SURGICAL GREY RETRACTABLE ANNULOTOMY STERILE,180.0,90.0,39.26,162.0,64
RC,0272,KNIFE SURGICAL KNIFELIGHT SUPER ABSORBENT DOUBLE ENDED STERILE DISPOSABLE,840.0,420.0,183.2,756.0,64
RC,0272,KNIFE SURGICAL REPROCESSED TRIANGULAR GREEN ECTRA II STERILE DISPOSABLE,350.0,175.0,76.34,315.0,64
RC,0272,KNIFE SURGICAL SATALOFF 7MM BLADE 94MML LARYNGEAL F/MCL-S30 STERILE SINGLE-USE,692.0,346.0,150.93,622.8,64
RC,0272,KNIFE SURGICAL STALOFF SICKLE F/ENT,374.66,187.33,81.71,337.19,64
RC,0272,KNIFE SURGICAL WATSON 300MM F/SKIN GRAFT STERILE DISPOSABLE 1/PK,792.65,396.33,172.88,713.39,64
RC,0272,KNIFE ULTRASONIC 10CM 25MM WORKING BROAD SONOPET IQ,3796.8,1898.4,828.08,3417.12,64
RC,0272,KNIFE URETHROTOME CORRUGATE OLYMPUS,280.45,140.23,61.17,252.41,64
RC,0272,KNIFE URETHROTOME LANCET OLYMPUS,280.45,140.23,61.17,252.41,64
RC,0272,KNIFE URETHROTOME SEMICIRCLE OLYMPUS,280.45,140.23,61.17,252.41,64
RC,0272,KNOB SURGICAL AIM ARM CONNECT MULTILOC PROXIMAL HUMERAL NAIL SYSTEM,283.59,141.8,61.85,255.23,64
RC,0272,KT BARIATRIC SURG,101.37,50.69,22.11,91.23,64
RC,0272,KT CRANIOTOMY SURG,235.43,117.72,51.35,211.89,64
RC,0272,KT HIP SCOPY ORTH MRCY SURG,136.27,68.14,29.72,122.64,64
RC,0272,KT POSTERIOR HI CMC MRCY SURG,170.25,85.13,37.13,153.23,64
RC,0272,KT ROBOTICS GYN CHS SURG,157.35,78.68,34.32,141.62,64
RC,0272,KT SHOULDER OPN CMC MRCY SURG,311.78,155.89,68.0,280.6,64
RC,0272,LAMP HALOGEN 12V 100W SINGLE-COIL AXIAL FILAMENT EFP,21.64,10.82,4.72,19.48,64
RC,0272,LAMP SCOPE 6V HALOGEN REPLACEMENT SIGMOIDOSCOPE ANOSCOPE LIGHT HANDLE VAGINAL SPECULA ILLUMINATOR LATEX FREE DISPOSABLE,16.32,8.16,3.56,14.69,64
RC,0272,LAP CHOLE PACK SBA4GLCNBA,220.56,110.28,48.1,198.5,64
RC,0272,LAP CHOLE PACK SBA4JLCSTA,196.44,98.22,42.84,176.8,64
RC,0272,LAP CHOLY INSTRUMENT PK,75.46,37.73,16.46,67.91,64
RC,0272,LAPAROSCOPE RIGID L33 CM 30 D HIGH DEFINITION AUTOCLAVABLE KIT OD10 MM,5956.25,2978.13,1299.06,5360.63,64
RC,0272,LAPAROSCOPY LAVH PACK SMA4JVHSTA,110.48,55.24,24.1,99.43,64
RC,0272,LAPAROSCOPY LAVH PACK SMA4JVHSTB,110.48,55.24,24.1,99.43,64
RC,0272,LAPAROSCOPY PACK,449.88,224.94,98.12,404.89,64
RC,0272,LAPAROTOMY PACK,96.63,48.32,21.08,86.97,64
RC,0272,LARYNGOSCOPE BRITEPRO OMNI MINI HANDLE WITH MILLER ULTRA 000 DISPOSABLE/SNGLE USE LATEX FREE NON STERILE,203.05,101.53,44.29,182.75,64
RC,0272,LARYNGOSCOPY SCOPE,111.24,55.62,24.26,100.12,64
RC,0272,LASER SURGICAL CO2 FLAT MATERIAL CUTTING SINGLE-USE,800.0,400.0,174.48,720.0,64
RC,0272,LASER SURGICAL GREENLIGHT XPS 180W FEMALE LUER LOCK SIDE FIRING 532NM LIGHT STERILE DISPOSABLE,1300.0,650.0,283.53,1170.0,64
RC,0272,LAVH DRAPE PACK,77.25,38.63,16.85,69.53,64
RC,0272,LAVH PACK SMA4GLANBA,58.72,29.36,12.81,52.85,64
RC,0272,LAVH PACK SMA4JLPCVA,93.4,46.7,20.37,84.06,64
RC,0272,LEAD DEFIBRILLATOR RIGHT VENTRICLE L64 CM OD7.3 FR RELIANCE 4-FRONT MP35N IROX STEROID SILICONE L12 MM 1 COIL TERMINAL RING RADIOPAQUE PASSIVE FIXATION,2255.0,1127.5,491.82,2029.5,64
RC,0272,LEAD NERVE STIMULATOR INTRAOPERATIVE MEDIUM 850MM 7MM 304 STAINLESS STEEL URETHANE GUARDIAN STERILE SINGLE-USE,800.0,400.0,174.48,720.0,64
RC,0272,LEAD PACING CORONARY VENOUS L90 CM OD5.4 FR ODSEC6 FR EASYTRAK 2 BIPOLAR LV-1 CONNECTOR STEROID TITANIUM POLYURETHANE SILICONE RUBBER,1075.0,537.5,234.46,967.5,64
RC,0272,LEAD PACING LEFT VENTRICULAR L100 CM EASYTRAK 2 IS-1 CONNECTOR BIPOLAR PASSIVE FIXATION 2 ELECTRODE STEROID SILICONE POLYURETHANE ENDOCARDIAL,1094.0,547.0,238.6,984.6,64
RC,0272,LEADWIRE EKG 5-LEAD F/NON-SPO2 MX-40 SERIES LATEX-FREE NON-STERILE,71.76,35.88,15.65,64.58,64
RC,0272,LENS IRRIGATION THE MORGAN LENS MEDI-FLOW ATTACH TUBE ADAPTER EYE LATEX FREE OCCULAR TRAUMA,597.55,298.78,130.33,537.8,64
RC,0272,LENS OPHTHALMIC GRIESHABER ASPHERIC VITREORETINAL SURGERY HANDS FREE INTRAOCULAR MACULA STERILE DISPOSABLE,254.4,127.2,55.48,228.96,64
RC,0272,LENS OPHTHALMIC IPRISM GONIO,150.0,75.0,32.72,135.0,64
RC,0272,LENS VITRECTOMY FLAT DISPOSABLE,237.0,118.5,51.69,213.3,64
RC,0272,LENSX SUPPLY KIT/ABN - DEVICE OPHTHALMIC PATIENT INTERFACE NOMINAL LENSX SOFTFIT,300.0,150.0,65.43,270.0,64
RC,0272,LEXINGTON CYSTO PACK,65.36,32.68,14.26,58.82,64
RC,0272,LEXINGTON EXTREMITY PACK,114.16,57.08,24.9,102.74,64
RC,0272,LEXINGTON GEN LAPAROSCOPIC PK,343.14,171.57,74.84,308.83,64
RC,0272,LEXINGTON KNEE ARTHROSCOPY PK,145.12,72.56,31.65,130.61,64
RC,0272,LEXINGTON LAPAROTOMY PACK,246.27,123.14,53.71,221.64,64
RC,0272,LEXINGTON ROT CUFF REPAIR PK,183.36,91.68,39.99,165.02,64
RC,0272,LEXINGTON ROTATOR CUFF REPAIR,183.88,91.94,40.1,165.49,64
RC,0272,LEXINGTON SHOULDER ARTHRO PACK,112.0,56.0,24.43,100.8,64
RC,0272,LEXINGTON T A PACK,345.6,172.8,75.38,311.04,64
RC,0272,LEXINGTON TOTAL JOINT PACK,126.61,63.31,27.61,113.95,64
RC,0272,LID STERILIZATION TRIGEN OUTER CASE,520.3,260.15,113.48,468.27,64
RC,0272,LIFT PATIENT 100X.8MR MAXIONCE MEASUREMENT SYSTEM 8.4KG DISPOSABLE NONHAZARDOUS,299.03,149.52,65.22,269.13,64
RC,0272,LIFTER SURGICAL 23 G SYRINGE TWIN PACK ORISE GEL 10 ML CLEAR,1802.0,901.0,393.02,1621.8,64
RC,0272,LIGATOR L122 CM OD8.6-11.3 MM SHOOTER ESOPHAGEAL 6 BAND BARREL TRIGGER CORD ENDOSCOPIC NATURAL RUBBER,230.0,115.0,50.16,207.0,64
RC,0272,LIGATOR L122 MM OD8.6-9.2 MM SHOOTER 6 BAND KIT EXTRA SMALL BARREL ENDOSCOPIC ESOPHAGEAL VARICES,230.0,115.0,50.16,207.0,64
RC,0272,LIGATOR L122 MM OD9.5-13 MM SHOOTER 6 BAND TRIGGER CORD ENDOSCOPIC ESOPHAGEAL VARICES NATURAL RUBBER,257.0,128.5,56.05,231.3,64
RC,0272,LIGATOR L18 IN ENDOLOOP MONOFILAMENT TIE LOOP SUTURE ENDOSCOPIC PDS II 0 VIOLET,330.65,165.33,72.11,297.59,64
RC,0272,LIGATOR L18 IN ENDOLOOP VICRYL ABSORBABLE SUTURE BRAID ENDOSCOPIC 12,330.65,165.33,72.11,297.59,64
RC,0272,LIGATOR L2.8 MM OD8.6-11.5 MM 7 ESOPHAGEAL 1 STRING MULTIPLE BAND HANDLE ENDOSCOPIC HEMOSTASIS,450.0,225.0,98.15,405.0,64
RC,0272,LIGATOR L2.8 MM OD9.5-13 MM ODSEC5 FR DUETTE GASTROINTESTINAL 6 BAND SHEATH BRAID LOOP ENDOSCOPIC MUCOSECTOMY MINI HEXAGONAL,255.0,127.5,55.62,229.5,64
RC,0272,LIGATOR L3.7 MM OD9.5-13 MM ODSEC7 FR DUETTE GASTROINTESTINAL 6 BAND SHEATH BRAID LOOP ENDOSCOPIC MUCOSECTOMY MINI HEXAGONAL,255.0,127.5,55.62,229.5,64
RC,0272,LIGATOR L5 IN OD.6 IN SHORTSHOT SAEED TRIVIEW HEMORRHOID ANOSCOPE 4 BANDS ENDOSCOPIC ADULT,109.38,54.69,23.86,98.44,64
RC,0272,LIGATOR POLYLOOP DEVICE ENDOSCOPIC,484.98,242.49,105.77,436.48,64
RC,0272,LIGATOR SURGICAL MCGIVNEY W/O RING F/HEMORRHOIDAL,21.69,10.85,4.73,19.52,64
RC,0272,LIGHT FIBER OPTIC ILLUMINATION CABLE ATEC LIGHT CABLE SYSTEM LIF,428.0,214.0,93.35,385.2,64
RC,0272,LIGHT FIBER OPTIC ILLUMINATION LIF,285.0,142.5,62.16,256.5,64
RC,0272,LIGHT FLAT ANGLE NARROW RETRACTOR PHOTONGUIDE STERILE LATEX FREE DISPOSABLE,265.0,132.5,57.8,238.5,64
RC,0272,LIGHT RETRACTOR MIS ILLUMINATION,542.0,271.0,118.21,487.8,64
RC,0272,LIGHT RETRACTOR PHOTONGUIDE ADAPT ADJUSTABLE,295.0,147.5,64.34,265.5,64
RC,0272,LIGHT RETRACTOR WIDE FLAT PHOTONGUIDE FIBEROPTIC,265.0,132.5,57.8,238.5,64
RC,0272,LIGHTMAT WIDE ILLUMINATOR SURGICAL,397.5,198.75,86.69,357.75,64
RC,0272,LIGHTSOURCE SURGICAL STRAIGHT TIP DUAL SCINTILLIANT STERILE SINGLE-USE,233.6,116.8,50.95,210.24,64
RC,0272,LIMITER TORQUE 100 LB IN DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,LINE ANGIOGRAPHY 0.071IN ID 0.142IN OD 60INL POLYURETHANE MEDIUM CLARITY BRAIDED HIGH PRESSURE FEMALE TO MALE LUER-LOCK W/O DRAPE CLIP NAMIC FLEXCIL 1200PSI,253.24,126.62,55.23,227.92,64
RC,0272,LINE ANGIOGRAPHY 0.071IN ID 0.142IN OD 72INL POLYURETHANE BRAIDED CONNECTING HIGH PRESSURE FIXED FEMALE/MALE LUER-LOCK W/O DRAPE CLIP NAMIC FLEXCIL 1200PSI,413.04,206.52,90.08,371.74,64
RC,0272,LINE AUTOTRANSFUSION SUCTION ANTICOAGULANT AAL,30.0,15.0,6.54,27.0,64
RC,0272,LINE GAS SAMPLING CO2 2ML 7GM ADULT ORAL NASAL NON-INTUBATED FILTER FEMALE CONNECTOR W/O2 TUBING MICROSTREAM ADVANCE MRI-COMPATIBLE DEHP-FREE STERILE SINGLE-PATIENT USE SHORT-TERM USE,319.32,159.66,69.64,287.39,64
RC,0272,LINE SAMPLE L13 FT .2 UM LONG LENGTH O2 FEMALE CONNECTOR NONINTUBATE PATIENT KINK RESISTANT DEHP FREE MICROSTREAM ADVANCE ADULT NASAL ORAL ORANGE LONG TERM CAPNOGRAPHY,1399.61,699.81,305.25,1259.65,64
RC,0272,LINE TO LINE CHISEL CHILD,684.83,342.42,149.36,616.35,64
RC,0272,LINER ACETABULAR ID44 MM I E1 G7 HIGH WALL HIP,600.0,300.0,130.86,540.0,64
RC,0272,LINER BRACE KNEE ALVARADO,336.2,168.1,73.33,302.58,64
RC,0272,LINER CAST HIP SPICA SKINZ 18-48 MONTH 6 0-30IN BREATHABLE WATERPROOF,142.0,71.0,30.97,127.8,64
RC,0272,LINER CAST HIP SPICA SKINZ 2 9 MONTH 0-18IN BREATHABLE WATERPROOF,128.0,64.0,27.92,115.2,64
RC,0272,LINER CAST HIP SPICA SKINZ 4 6-24YR 0-22IN BREATHABLE WATERPROOF,128.0,64.0,27.92,115.2,64
RC,0272,LINER GLOVE CUT-RESISTANT MEDIUM HPPE FIBER FULL FINGER ORANGE SPEC-TEC LATEX-FREE STERILE,260.25,130.13,56.76,234.23,64
RC,0272,LINER GLOVE FLEX-GARD XL 2 LAYER CUT RESISTANT CUFF ULTRATHIN HDPE STERILE LATEX FREE RED,336.11,168.06,73.31,302.5,64
RC,0272,LINER GLOVE LARGE CUT RESISTANT FLEXIBLE STICK LIFE LINER LEFT MEDAK YELLOW,40.3,20.15,8.79,36.27,64
RC,0272,LINER GLOVE LARGE CUT RESISTANT FLEXIBLE STICK LIFE LINER RIGHT MEDAK YELLOW,403.0,201.5,87.89,362.7,64
RC,0272,LINER GLOVE LARGE KEVLAR FIBER POWDER-FREE CUT-RESISTANT REPEL LITE STERILE DISPOSABLE,44.85,22.43,9.78,40.37,64
RC,0272,LINER GLOVE MEDIUM CUT RESISTANT FLEXIBLE STICK LIFE LINER LEFT MEDAK YELLOW,40.3,20.15,8.79,36.27,64
RC,0272,LINER GLOVE MEDIUM CUT RESISTANT FLEXIBLE STICK LIFE LINER RIGHT MEDAK YELLOW,40.3,20.15,8.79,36.27,64
RC,0272,LINER GLOVE PERRY 8-8.5 LARGE CUT RESISTANT VINYL STERILE LATEX FREE REUSABLE BLUE WHITE,150.0,75.0,32.72,135.0,64
RC,0272,LINER GLOVE PERRY 9 XL CUT RESISTANT VINYL STERILE LATEX FREE REUSABLE RED WHITE,119.25,59.63,26.01,107.33,64
RC,0272,LINER GLOVE REPEL LARGE CUT RESISTANT LYCRA KEVLAR STERILE LATEX FREE DISPOSABLE BLUE,591.5,295.75,129.01,532.35,64
RC,0272,LINER GLOVE REPEL MEDIUM CUT RESISTANT,591.5,295.75,129.01,532.35,64
RC,0272,LINER GLOVE XL CUT RESISTANT FLEXIBLE STICK LIFE LINER RIGHT MEDAK YELLOW,403.0,201.5,87.89,362.7,64
RC,0272,LINER GLOVE XL KEVLAR FIBER POWDER-FREE CUT-RESISTANT REPEL LITE STERILE DISPOSABLE,325.0,162.5,70.88,292.5,64
RC,0272,LINER GLOVE XL LIFE LINER LEFT MEDAK,40.3,20.15,8.79,36.27,64
RC,0272,LINER SUCTION CANISTER OMNI NONSTERILE DISPOSABLE,177.37,88.69,38.68,159.63,64
RC,0272,LITHOTRIPTER SURGICAL L1950 MM 2 SHEATH PREASSEMBLE DISTAL WIRE GUIDE ROTATE BASKET LITHOCRUSH W26 MM 4.2 MM MINIMUM CHANNEL,401.73,200.87,87.62,361.56,64
RC,0272,LOCK CABLE OD1 MM PISTOL GRIP TENSIONER,583.95,291.98,127.36,525.56,64
RC,0272,LOCK CABLE OD1.7 MM PISTOL GRIP TENSIONER,497.06,248.53,108.41,447.35,64
RC,0272,LOCK CRADLE DISTRACTION TITANIUM SPINE GOLD,384.6,192.3,83.88,346.14,64
RC,0272,LOOP ENDOSCOPIC 100-130W 200X100MM 3MR 5MM LATEX FREE MONOPOLAR CABLE ESU CONNECTOR STAINLESS STEEL STERILE DISPOSABLE SUPRACERVICAL HYSTERECTOMY MYOMECTOMY,2325.0,1162.5,507.08,2092.5,64
RC,0272,LOOP ENDOSCOPIC BIPOLAR 27/28FR DIA CUTTING F/BLADDER LATEX-FREE STERILE,2586.82,1293.41,564.19,2328.14,64
RC,0272,LOOP SURGITIE CHR GUT 0 21,503.4,251.7,109.79,453.06,64
RC,0272,LOOP VESSEL VASCULAR MAXI BLUE LATEX FREE V MUELLER SILICONE STERILE DISPOSABLE,23.11,11.56,5.04,20.8,64
RC,0272,LOOP VESSEL VASCULAR MINI RED SILICONE STERILE DISPOSABLE,23.11,11.56,5.04,20.8,64
RC,0272,LOOP VESSEL VASCULAR ROUND THIN WALL 12IN 18GA WHITE LATEX FREE AIR CUSHION CURVE BLUNT TIP NEEDLE RETRACT-O-TAPE STAINLESS STEEL SILICONE,321.77,160.89,70.18,289.59,64
RC,0272,LUBRICANT ATHERECTOMY CATHETER PERIPHERAL ROTAGLIDE,533.0,266.5,116.25,479.7,64
RC,0272,LUBRICANT DEVICE SI-2 PACEMAKE PACING LEAD,11.14,5.57,2.43,10.03,64
RC,0272,LUBRICANT INSTRUMENT 20 ML VIAL ROTAGLIDE,848.3,424.15,185.01,763.47,64
RC,0272,LUBRICANT INSTRUMENT 20CC ROTAGLIDE VIAL PERIPHERAL ROTABLATOR 10PK,848.3,424.15,185.01,763.47,64
RC,0272,LUBRICANT INSTRUMENT 500 ML SPRAY RUSCH SILKOSPRAY SILICONE,300.0,150.0,65.43,270.0,64
RC,0272,LUBRICANT INSTRUMENT DIFFUSER CARTRIDGE MIDAS REX MR7,117.5,58.75,25.63,105.75,64
RC,0272,LUMBAR LAMINECTOMY PACK,253.04,126.52,55.19,227.74,64
RC,0272,LVAD DAILY KIT,946.4,473.2,206.41,851.76,64
RC,0272,LVAD DRIVELINE INFECTION KIT,926.59,463.3,202.09,833.93,64
RC,0272,LVAD WEEKLY KIT,1248.0,624.0,272.19,1123.2,64
RC,0272,LYME IGM/IGG EIA 480T,800.35,400.18,174.56,720.32,64
RC,0272,MAGNET COCHLEAR 2M,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BLACK COCHLEAR .5M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BLACK COCHLEAR 1M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BLACK COCHLEAR 2M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BLACK COCHLEAR 3M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BLACK COCHLEAR 4M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BLACK COCHLEAR 5M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BROWN COCHLEAR 2M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BROWN COCHLEAR 3M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR BROWN COCHLEAR 4M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR CARBON 2MR NUCLEUS 6 COIL CP900,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR GRAY COCHLEAR .5M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR GRAY COCHLEAR 1M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR GRAY COCHLEAR 2M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR GRAY COCHLEAR 3M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR GRAY COCHLEAR 4M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR L4.55 MM STRENGTH 3 SOUND PROCESSOR OD29.5 MM BAHA TECAPEEK MT 6.7 GM BLACK,124.5,62.25,27.15,112.05,64
RC,0272,MAGNET COCHLEAR L4.55 MM STRENGTH 4 SOUND PROCESSOR OD29.5 MM BAHA TECAPEEK MT 6.7 GM BLACK,124.5,62.25,27.15,112.05,64
RC,0272,MAGNET COCHLEAR L4.55 MM STRENGTH 5 SOUND PROCESSOR OD29.5 MM BAHA TECAPEEK MT 6.7 GM BLACK,124.5,62.25,27.15,112.05,64
RC,0272,MAGNET COCHLEAR MAIZE 2MR NUCLEUS 6 COIL CP900,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR MAIZE NUCLEUS 3M COILED CP900,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR MOCHA 2MR NUCLEUS 6 6 COIL CP900,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR MOCHA 3M COIL STRENGTH,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR SAND COCHLEAR 1M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR SAND COCHLEAR 2M CP1000 NONSTERILE LATEX FREE REUSABLE,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR SMOKE 2MR NUCLEUS 6 COIL CP900,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR SMOKE NUCLEUS 6 3M COIL CP900,23.8,11.9,5.19,21.42,64
RC,0272,MAGNET COCHLEAR W4.35 MM STRENGTH 2 SOUND PROCESSOR OD29.5 MM BAHA 4 ATTRACT TECAPEEK 6.4 GM BLACK,124.5,62.25,27.15,112.05,64
RC,0272,MAJOR ABDOMINAL SETUP PACK,97.2,48.6,21.2,87.48,64
RC,0272,MAJOR PACK SBA4GMJNBA,130.11,65.06,28.38,117.1,64
RC,0272,MAJOR PACK SBA4JMJSTA,57.82,28.91,12.61,52.04,64
RC,0272,MALLET SURGICAL L7 3/16 IN FLAT OD3 CM MAGIC3 1 LB ORTHOPEDIC,66.88,33.44,14.59,60.19,64
RC,0272,MALLET SURGICAL L7 9/16 IN OD3.8 CM V. MUELLER 2 LB,70.01,35.01,15.27,63.01,64
RC,0272,MANDREL FINISHING POP ON STAINLESS STEEL LOW-PROFILE POP-ON SOF-LEX,30.99,15.5,6.76,27.89,64
RC,0272,MANIFOLD IV BLOCK BODY 0.093IN LUMEN POLYCARBONATE ACETAL 1-PORT LARGE BORE AIRLESS ROTATOR LOW-TORQUE RIGHT ON-HANDLE W/48IN CABLE INTEGRATED TRANSDUCER COMPENSATION LINE CLIP CLEAR TRAM-P 200PSI,188.1,94.05,41.02,169.29,64
RC,0272,MANIFOLD IV NEPTUNE 2 REPROCESSED 4-PORT PLASTIC 40/CA,445.2,222.6,97.1,400.68,64
RC,0272,MANIPULATOR CERVIX OD3.5 CM ENDOSCOPIC KOH-EFFICIENT RUMI II KOH CUP EASY LOAD LOCK HANDLE SAFELY INSERT ELECTROSURGERY,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR CERVIX UTERINE OD3 CM ENDOSCOPIC KOH-EFFICIENT RUMI II KOH CUP LOCK HANDLE INSERT ELECTROSURGERY,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR CERVIX UTERINE OD4 MM ENDOSCOPIC RUMI II KOH-EFFICIENT KOH CUP PNEUMO OCCLUSION BALLOON VISUAL INDICATOR LOCK HANDLE L2 IN ELECTROSURGERY LAPAROSCOPIC,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR DELINEATOR CONTROL CLOSURE LAPAROSCOPIC HYSTERECTOMY SYSTEM ENDOSCOPIC KOH CUP ULTEM RESIN 2 3.5CM UTERINE VAGINAL NONSTERILE REUSABLE,419.96,209.98,91.59,377.96,64
RC,0272,MANIPULATOR OD3.5 CM ENDOSCOPIC RUMI II ARCH KOH-EFFICIENT OCCLUDER BALLOON AUDIO INDICATOR ALERT ELECTROSURGERY DEVICE,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR SOUND DILATOR SPACER SYRINGE ROTATE HANDLE LAPAROSCOPIC ENDOSCOPIC CLEARVIEW 7CM 1CM 12ML UTERINE STERILE DISPOSABLE,642.55,321.28,140.14,578.3,64
RC,0272,MANIPULATOR SURGICAL ADVINCULA DELINEATOR UTERINE FLEXIBLE SOFT CUP ULTEM 3.5CM DISPOSABLE,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR SURGICAL ADVINCULA DELINEATOR UTERINE PLASTIC 2.5CM DISPOSABLE ELECTROSURGICAL DEVICE,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR SURGICAL OSHER MALYUGIN RING REUSABLE,150.0,75.0,32.72,135.0,64
RC,0272,MANIPULATOR UTERINE 2 CUP DYE INJECTION PORT OD35 MM PRO EFTE 10 CC CERVICAL,481.36,240.68,104.98,433.22,64
RC,0272,MANIPULATOR UTERINE 2 CUP DYE INJECTION PORT OD37 MM PRO EFTE 10 CC CERVICAL,481.36,240.68,104.98,433.22,64
RC,0272,MANIPULATOR UTERINE 2.5CML FLEXIBLE SOFT CUP W/KOH-EFFICIENT ADVINCULA DELINEATOR,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR UTERINE 3.5CM DIA STAINLESS STEEL VAGINAL CAPPED F/HARMONIC SCALPEL/LASER RUMI II KOH-EFFICIENT LATEX-FREE STERILE SINGLE-USE,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR UTERINE 32MM VCARE PLUS SMALL CERVICAL CUP,633.12,316.56,138.08,569.81,64
RC,0272,MANIPULATOR UTERINE 3CM DIA STAINLESS STEEL VAGINAL CAPPED F/HARMONIC SCALPEL/LASER RUMI II KOH-EFFICIENT LATEX-FREE STERILE SINGLE-USE,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR UTERINE 3CM DIA W/FLEXIBLE SOFT CUP ADVINCULA DELINEATOR,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR UTERINE 4.5MM DIA 33CML CURVED SHAFT STERILE DISPOSABLE,356.43,178.22,77.74,320.79,64
RC,0272,MANIPULATOR UTERINE 4.5MM DISPOSABLE 12/BX,345.19,172.6,75.29,310.67,64
RC,0272,MANIPULATOR UTERINE 4CM DIA STAINLESS STEEL VAGINAL CAPPED F/HARMONIC SCALPEL/LASER RUMI II KOH-EFFICIENT LATEX-FREE STERILE SINGLE-USE,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR UTERINE 4CM DIA W/FLEXIBLE SOFT CUP ADVINCULA DELINEATOR KOH-EFFICIENT,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR UTERINE LARGE CUP LONG HANDLE PNEUMO BALLOON OD37 MM BALLOON CERVICAL,568.96,284.48,124.09,512.06,64
RC,0272,MANIPULATOR UTERINE LOCK HANDLE OD2.5 CM KOH-EFFICIENT RUMI II CERVIX ELECTROSURGERY,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR UTERINE MEDIUM CUP LONG HANDLE PNEUMO BALLOON OD35 MM BALLOON CERVICAL,568.96,284.48,124.09,512.06,64
RC,0272,MANIPULATOR UTERINE MEDIUM CUP OD34 MM VCARE PLUS,633.12,316.56,138.08,569.81,64
RC,0272,MANIPULATOR UTERINE OD4 CM ENDOSCOPIC KOH-EFFICIENT KOH CUP COLPO-PNEUMO OCCLUDER ADVINCULA ARCH ULTEM OCCLUDER BALLOON AUDIO INDICATOR ALERT ELECTROSURGERY DEVICE,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR UTERINE SMALL 32MML CERVICAL CUP ELEVATOR PRO UE-TVPRO-32 STERILE,509.71,254.86,111.17,458.74,64
RC,0272,MANIPULATOR UTERINE SMALL CUP LONG HANDLE PNEUMO BALLOON OD32 MM BALLOON CERVICAL,568.96,284.48,124.09,512.06,64
RC,0272,MANIPULATOR UTERINE SURGICAL ADVINCULA DELINEATOR PLASTIC 3 CM ELECTROSURGICAL DEVICE,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR UTERINE SURGICAL ADVINCULA DELINEATOR PLASTIC 3.5 CM ELECTROSURGICAL DEVICE,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR UTERINE SURGICAL ADVINCULA DELINEATOR PLASTIC 4 CM ELECTROSURGICAL DEVICE,295.0,147.5,64.34,265.5,64
RC,0272,MANIPULATOR UTERINE XL CUP LONG HANDLE PNEUMO BALLOON OD40 MM BALLOON CERVICAL,568.96,284.48,124.09,512.06,64
RC,0272,MANIPULATOR UTERINE XL CUP OD40 MM VCARE PLUS CERVICAL,633.12,316.56,138.08,569.81,64
RC,0272,MANIPULATOR UTERUS OD2.5 CM ENDOSCOPIC RUMI II ARCH KOH-EFFICIENT PLASTIC OCCLUDER BALLOON VISUAL AUDIO INDICATOR ALERT STABLE CUTTING SURFACE ELECTROSURGERY DEVICE,479.19,239.6,104.51,431.27,64
RC,0272,MANIPULATOR UTERUS OD3 CM ENDOSCOPIC RUMI II ARCH KOH-EFFICIENT OCCLUDER BALLOON AUDIO INDICATOR ALERT ELECTROSURGERY DEVICE,512.88,256.44,111.86,461.59,64
RC,0272,MARKER 10MM CHARM BREAST BIOPSY MARGINMAP STERILE,285.0,142.5,62.16,256.5,64
RC,0272,MARKER 3.5MM HEX IMPACTION SURGICAL CHECKPOINT STERILE,90.0,45.0,19.63,81.0,64
RC,0272,MARKER 5MM CHARM BREAST BIOPSY MARGINMAP STERILE,285.0,142.5,62.16,256.5,64
RC,0272,MARKER 6 COLOR SURGICAL MARGINMARKER STERILE,2197.68,1098.84,479.31,1977.91,64
RC,0272,MARKER DILUTE INDIA INK ENDOSCOPIC PMT ENDOMARK 10ML STERILE,340.0,170.0,74.15,306.0,64
RC,0272,MARKER KIT SURGICAL CHECKPOINT STERILE LATEX FREE DISPOSABLE,77.5,38.75,16.9,69.75,64
RC,0272,MARKER MULTIMODALITY RADIOLOGY SKIN MRI CT,126.79,63.4,27.65,114.11,64
RC,0272,MARKER PERMANENT INDICATION DARK SYRINGE ENDOSCOPIC SPOT EX 5ML,345.0,172.5,75.24,310.5,64
RC,0272,MARKER RADIOLOGY 1MMW X3MML CARBON PRELOAD,35.0,17.5,7.63,31.5,64
RC,0272,MARKER RADIOLOGY REGISTRATION 3.5 MM HEX FEMUR,72.0,36.0,15.7,64.8,64
RC,0272,MARKER RADIOPAQUE RADIOLOGY SITZMARKS,1335.33,667.67,291.24,1201.8,64
RC,0272,MARKER SMALL U SHAPED GRAFT SURGICAL A/C LOCATOR SILICONE STERILE DISPOSABLE,149.6,74.8,32.63,134.64,64
RC,0272,MARKER SPHERE REFLECTIVE FLEXIBLE SURGICAL STERILE DISPOSABLE 90 SPHERE BRAINLAB IGS SYSTEM,825.0,412.5,179.93,742.5,64
RC,0272,MARKER SURGICAL CHECKPOINT FEMORAL STERILE,41.0,20.5,8.94,36.9,64
RC,0272,MARKER SURGICAL FLAT NAVIO,540.0,270.0,117.77,486.0,64
RC,0272,MASK FACE T-MAX STERILE,246.56,123.28,53.77,221.9,64
RC,0272,MASK POSITIONING FOAM FACE F/TENET T MAX SHOULDER POSITIONER THE SPIDER LIMB NON-STERILE DISPOSABLE,157.5,78.75,34.35,141.75,64
RC,0272,MAT SURGICAL 50MMW X 25MML 1MM GRID SILICONE HIGH-VISIBILITY REVERSIBLE YELLOW F/VISUALISING MICRO-VESSEL LATEX-FREE STERILE,192.0,96.0,41.88,172.8,64
RC,0272,MATTRESS 16X10IN TRANSPORT GEL THERMOSTABLE NONWOVEN PVC PATIENT TRANSWARMER DISPOSABLE NONSTERILE LATEX FREE INFANT,135.97,67.99,29.66,122.37,64
RC,0272,MEDENVISION GRIPPER (BOX OF 10),1200.0,600.0,261.72,1080.0,64
RC,0272,MEDIA CONTRAST BARIUM SULPHATE 148GM THIN LIQUID BOTTLE F/SUSPENSION VARIBAR,163.49,81.75,35.66,147.14,64
RC,0272,MEDIA CONTRAST CONRAY II 12X250ML IONIC HIGH-OSM BOTTLE INJECT 17.2% IOTHALAMATE,273.0,136.5,59.54,245.7,64
RC,0272,MEDIA PREP FERTILIZATION MED 100ML LIQ F/PRE- IMPL MAMM EMBR GRW QUINNS ADVANTAGE,291.09,145.55,63.49,261.98,64
RC,0272,MEDICA DP09HC HEMOCONCENTRATOR ADULT TWIST LOCK FEMALE LUER LOCK 180MM HIGH FLUX PUREMA,708.0,354.0,154.41,637.2,64
RC,0272,MEDICINE CUP 7 OUNCE CAPACITY 2 7/8IN DIAMETER X 3 1/5IN HEIGHT GRADUATED IN OUNCES AND CCS STAINLESS STEEL,23.0,11.5,5.02,20.7,64
RC,0272,MESH HERNIA REPAIR L5 MM ETHICON SECURESTRAP 25 ABSORBABLE STRAP MESH SURGICAL,3153.15,1576.58,687.7,2837.84,64
RC,0272,MIC KEY GJ TUBE 0270-22-1.7-45,336.05,168.03,73.29,302.45,64
RC,0272,MIC KEY GJ TUBE 0270-22-5.5-45,336.05,168.03,73.29,302.45,64
RC,0272,MIC-KEY G-18 LAPAROSCOPIC INTRODUCER KIT,222.5,111.25,48.53,200.25,64
RC,0272,MICROCATHETER EMBOLECTOMY 22MM .5-3MM COMANECI 17 INTRACRANIAL NITINOL SELF EXPAND STERILE,3995.0,1997.5,871.31,3595.5,64
RC,0272,MICROCATHETER EMBOLECTOMY 24MM 1.5-3.5MM COMANECI PETIT INTRACRANIAL NITINOL SELF EXPAND .021IN STERILE,3995.0,1997.5,871.31,3595.5,64
RC,0272,MICROCATHETER EMBOLECTOMY 32MM 1.5-4.5MM COMANECI INTRACRANIAL NITINOL SELF EXPAND STERILE,3995.0,1997.5,871.31,3595.5,64
RC,0272,MILL BONE BIOPSY ELECTRIC 2 BLADE MIDASREX,297.77,148.89,64.94,267.99,64
RC,0272,MILL BONE BIOPSY MEDIUM COARSE BLADE OD5 MM NA,1627.21,813.61,354.89,1464.49,64
RC,0272,MILL BONE BIOPSY MEDIUM MILL PLUS,2060.79,1030.4,449.46,1854.71,64
RC,0272,MILL BONE FINE BLADE MILL PLUS,2060.79,1030.4,449.46,1854.71,64
RC,0272,MILL BONE MILL COARSE BLADE SINGLE USE BONE MILL+,2060.79,1030.4,449.46,1854.71,64
RC,0272,MILL BONE SIZE 1 TALAR AXIOM STERILE,147.0,73.5,32.06,132.3,64
RC,0272,MILL BONE SIZE 2/3 TALAR AXIOM STERILE,147.0,73.5,32.06,132.3,64
RC,0272,MILL BONE SPATULA LEGEND,327.25,163.63,71.37,294.53,64
RC,0272,MINNE TIES ONE PAIR 0.7MM/21GA,300.0,150.0,65.43,270.0,64
RC,0272,MINNE TIES ONE PAIR 1.0MM/18GA,300.0,150.0,65.43,270.0,64
RC,0272,MINOR EYE PACK,70.29,35.15,15.33,63.26,64
RC,0272,MINOR PACK,199.4,99.7,43.49,179.46,64
RC,0272,MITRACLIP G5 SYSTEM : 1 STEERABLE GUIDE CATHETER ANY COMBINATION OF UP TO 3 CLIPS,33000.0,16500.0,7197.3,29700.0,64
RC,0272,MIXER BONE CEMENT C20 GM LUER FIT DISPENSE PLUNGER STIRR PADDLE KYPHON BALLOON KYPHOPLASTY,63.0,31.5,13.74,56.7,64
RC,0272,MODEL ANATOMICAL ADULT SKULL CLEARVIEW,5724.42,2862.21,1248.5,5151.98,64
RC,0272,MODEL ANATOMICAL BONE OSTEOTOMY KINOS AXIOM,800.0,400.0,174.48,720.0,64
RC,0272,MODEL ANATOMICAL CLEARVIEW MANDIBLE,5109.48,2554.74,1114.38,4598.53,64
RC,0272,MODEL ANATOMICAL CUSTOM GUIDE IPS,4495.0,2247.5,980.36,4045.5,64
RC,0272,MODEL ANATOMICAL HALF IPS TITANIUM,1230.0,615.0,268.26,1107.0,64
RC,0272,MODEL ANATOMICAL MANDIBILE IPS,2971.0,1485.5,647.98,2673.9,64
RC,0272,MODEL ANATOMICAL MANDIBLE + MAXILLA IPS CRYSTAL,4011.79,2005.9,874.97,3610.61,64
RC,0272,MODEL ANATOMICAL MANDIBLE CRYSTAL IPS,3339.0,1669.5,728.24,3005.1,64
RC,0272,MODEL ANATOMICAL MANDIBLE MARK GUIDE IPS,927.0,463.5,202.18,834.3,64
RC,0272,MODEL ANATOMICAL MANDIBLE MAXILLA IPS,2971.0,1485.5,647.98,2673.9,64
RC,0272,MODEL ANATOMICAL MANDIBULAR CLEARVIEW,2947.33,1473.67,642.81,2652.6,64
RC,0272,MODEL ANATOMICAL MAXILLA CLEARVIEW,2947.33,1473.67,642.81,2652.6,64
RC,0272,MODEL ANATOMICAL MAXILLA IPS,3339.0,1669.5,728.24,3005.1,64
RC,0272,MODEL ANATOMICAL MAXILLA MARK GUIDE IPS,927.0,463.5,202.18,834.3,64
RC,0272,MODEL ANATOMICAL ORBITAL CLASSIC IPS 60-001-03-09-LP,1959.04,979.52,427.27,1763.14,64
RC,0272,MODEL ANATOMICAL VSP TITANIUM,2880.0,1440.0,628.13,2592.0,64
RC,0272,MODEL CRANIAL ANEURYSM,6654.96,3327.48,1451.45,5989.46,64
RC,0272,MODEL IPS CRANIAL PLANNING CLASSIC LP,10049.92,5024.96,2191.89,9044.93,64
RC,0272,MODEL IPS IMPLANT CRANIAL  00017 LP  PEEK,3743.0,1871.5,816.35,3368.7,64
RC,0272,MODEL TRAINING BUNDLE ORTHOGNATHIC LATEX FREE VSP,1294.95,647.48,282.43,1165.46,64
RC,0272,MODEL TRAINING BUNDLE ORTHOGNATHIC VSP,2885.79,1442.9,629.39,2597.21,64
RC,0272,MODEL TRAINING CUSTOM FEMUR BONE DISPOSABLE MYKNEE,50.0,25.0,10.91,45.0,64
RC,0272,MODEL TRAINING CUSTOM TIBIA BONE DISPOSABLE MYKNEE,50.0,25.0,10.91,45.0,64
RC,0272,MODEL TRAINING FEMUR BONE LEFT MEDIAL STANDARD MYKNEE,50.0,25.0,10.91,45.0,64
RC,0272,MODEL TRAINING MANDIBLE MAXILLA RECONSTRUCTION VSP,6984.96,3492.48,1523.42,6286.46,64
RC,0272,MODEL TRAINING RECONSTRUCTION WITHOUT INSERT VSP,5852.16,2926.08,1276.36,5266.94,64
RC,0272,MODEL TRAINING RIGHT FEMUR BONE NONSTERILE LATEX FREE DISPOSABLE MYKNEE,50.0,25.0,10.91,45.0,64
RC,0272,MODEL TRAINING RIGHT TIBIAL BONE NONSTERILE LATEX FREE DISPOSABLE MYKNEE,50.0,25.0,10.91,45.0,64
RC,0272,MODULE EMG NEEDLE NVM5,800.0,400.0,174.48,720.0,64
RC,0272,MODULE EMG NEUROVISION M5 NEXT GENERATION,1047.0,523.5,228.35,942.3,64
RC,0272,MODULE INSTRUMENT POWER NUVASIVE,157.0,78.5,34.24,141.3,64
RC,0272,MONITOR BP OMRON 3 SERIES UPR ARM CUFF,381.34,190.67,83.17,343.21,64
RC,0272,MORCELLATOR SURGICAL PLUNGER GRADUATE 100 CC REAMER IRRIGATOR ASPIRATOR,733.38,366.69,159.95,660.04,64
RC,0272,MOTOR SURGICAL ELECTRIC MR8 DRILL,4999.0,2499.5,1090.28,4499.1,64
RC,0272,NAIL OD2.8 MM MIDFOOT SALVATION INTRAMEDULLARY DRILL,291.54,145.77,63.58,262.39,64
RC,0272,NAIL OD8 MM MIDFOOT SALVATION INTRAMEDULLARY STEP DRILL,122.39,61.2,26.69,110.15,64
RC,0272,NASAL LESION PACK,114.5,57.25,24.97,103.05,64
RC,0272,NEEDLE ACUJECT FLEX ENDO 25G 230CM,350.0,175.0,76.34,315.0,64
RC,0272,NEEDLE AMNIOCENTESIS 20GA 4 3/4IN W/O SIDE HOLE,492.6,246.3,107.44,443.34,64
RC,0272,NEEDLE AMNIOCENTESIS 22GA 15CM WITHOUT SIDEPORT DISPOSABLE ECHOTIP,323.0,161.5,70.45,290.7,64
RC,0272,NEEDLE AMNIOCENTESIS ECHOTIP,323.0,161.5,70.45,290.7,64
RC,0272,NEEDLE AMNIOCENTESIS L9 CM OD22 GA ECHOTIP,323.0,161.5,70.45,290.7,64
RC,0272,NEEDLE ANESTHESIA 21GA 6INL ECHOGENIC STIMULATION ULTRASTIM,316.01,158.01,68.92,284.41,64
RC,0272,NEEDLE ANESTHESIA HUBER TIP,65.0,32.5,14.18,58.5,64
RC,0272,NEEDLE ANESTHESIA OD8 GA 2 DIAMOND TIP SERENGETI,51.75,25.88,11.29,46.58,64
RC,0272,NEEDLE ANGIOGRAPHY POTTS-COURNAND 18GA 5.1CML ARTERIAL THIN WALL W/OBTURATOR CANNULA EXTENDER F/SELDINGER TECHNIQUE 0.032IN/0.038IN GUIDEWIRE COMPATIBLE,542.0,271.0,118.21,487.8,64
RC,0272,NEEDLE AREUS ENDOSCOPIC ULTRASOUND ASPIRATION 22G CO-CR,165.0,82.5,35.99,148.5,64
RC,0272,NEEDLE AREUS ENDOSCOPIC ULTRASOUND ASPIRATION 25G CO-CR,165.0,82.5,35.99,148.5,64
RC,0272,NEEDLE ASPIRATION 18GA STERILE LATEX FREE DISPOSABLE ARCPOINT PULMONARY,1190.0,595.0,259.54,1071.0,64
RC,0272,NEEDLE ASPIRATION 21GA 2MM STERILE DISPOSABLE VIZISHOT,1072.25,536.13,233.86,965.03,64
RC,0272,NEEDLE ASPIRATION 8GA LONG BONE MARROW TRANSPLANT,265.5,132.75,57.91,238.95,64
RC,0272,NEEDLE ASPIRATION ACCESS NEWPORT,44.0,22.0,9.6,39.6,64
RC,0272,NEEDLE ASPIRATION AREUS OD22 GA ODSEC1.8 MM L4 CM 2 MM 1 HAND CONTROL 2 EDGE PUSH BUTTON NITINOL,269.0,134.5,58.67,242.1,64
RC,0272,NEEDLE ASPIRATION AREUS OD25 GA ODSEC1.8 MM L4 CM 2 MM 1 HAND CONTROL 2 EDGE PUSH BUTTON NITINOL,269.0,134.5,58.67,242.1,64
RC,0272,NEEDLE ASPIRATION BIOPLASTY OD8 GA L9 IN DELIVERY CANNULA OPEN TIP,300.0,150.0,65.43,270.0,64
RC,0272,NEEDLE ASPIRATION BIOPSY 21GA 15MML CENTRAL/CRANIAL/MEDIASTINAL REGION LOCKING MECHANISMS SMOOTH HUBS WANG LATEX-FREE STERILE DISPOSABLE,210.12,105.06,45.83,189.11,64
RC,0272,NEEDLE ASPIRATION BULKING AGENT 21GA 14.6INL RIGID LATEX-FREE NON-RADIOLUCENT,50.33,25.17,10.98,45.3,64
RC,0272,NEEDLE ASPIRATION EBUS-TBNA 19GA VIZISHOT FLEX SINGLE-USE,258.0,129.0,56.27,232.2,64
RC,0272,NEEDLE ASPIRATION ENDOSCOPIC 1.8MMW X 230CML 25GA INJECTABLE CARR-LOCKE,350.0,175.0,76.34,315.0,64
RC,0272,NEEDLE ASPIRATION ENDOSCOPIC 12GA 2FTL BONE MARROW,31.0,15.5,6.76,27.9,64
RC,0272,NEEDLE ASPIRATION ENDOSCOPIC 19GA 1.8MM DIA SHEATH 130CML 15MML TRANSBRONCHIAL W/20ML SYRINGE EXCELON LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,391.0,195.5,85.28,351.9,64
RC,0272,NEEDLE ASPIRATION ENDOSCOPIC 19GA 18MML 1150CML WORKING LENGTH STAINLESS STEEL ROUNDED TIP PRE-ASSEMBLED ERGONOMIC HANDLE W/TROCAR CLEAR CATHETER F/TBNA HISTOLOGY TRACHEAL BRONCHIAL REGION SMOOTHSHOT ,270.11,135.06,58.91,243.1,64
RC,0272,NEEDLE ASPIRATION ENDOSCOPIC 19GA 80MML 1400MML WORKING 2.8MM MINIMUM CHANNEL STAINLESS STEEL ROUNDED TIP PRE-ASSEMBLED ERGONOMIC HANDLE W/O SIDEPORT F/TBNA HISTOLOGY TRACHEAL BRONCHIAL REGION EZ SHOT,875.0,437.5,190.84,787.5,64
RC,0272,NEEDLE ASPIRATION EXCELON OD21 GA ODSEC1.8 MM L15 MM SYRINGE LOCK ERGONOMIC HANDLE CATHETER L130 CM 20 ML TRANSBRONCHIAL,419.45,209.73,91.48,377.51,64
RC,0272,NEEDLE ASPIRATION EXPECT OD19 GA ODSEC1.73 MM L8- CM ECHOGENIC PATTERN ULTRASOUND STYLET CAP COCR L137.5-141.5 CM 20 CC 2.8 MM MINIMUM WORKING CHANNEL,455.8,227.9,99.41,410.22,64
RC,0272,NEEDLE ASPIRATION EXPECT OD22 GA ODSEC1.6 MM 2 MM SHARP TIP GRIND SHEATH ERGONOMIC ROTATE HANDLE SLIP RESISTANT GRIP SURFACE COCR PULMONARY OLYMPUS ENDOBRONCHIAL ULTRASOUND BRONCHOSCOPE,196.1,98.05,42.77,176.49,64
RC,0272,NEEDLE ASPIRATION EZ SHOT 3 PLUS OD2.2 MM ODSEC22 GA L1400 MM WITHOUT SIDEHOLE L80 MM,1821.67,910.84,397.31,1639.5,64
RC,0272,NEEDLE ASPIRATION L2 MM VIZISHOT 2 EBUS-TBNA NO SYRINGE OD25 GA VIZISHOT 2 EBUS-TBNA L20-40 MM,1136.29,568.15,247.82,1022.66,64
RC,0272,NEEDLE ASPIRATION L700 MM ECHOGENIC DIMPLE TIP 5 SYRINGE 5 VALVE OD21 GA ODSEC1.89MM VIZISHOT L40 MM,576.97,288.49,125.84,519.27,64
RC,0272,NEEDLE ASPIRATION NA L4 IN 3 HOLE,111.75,55.88,24.37,100.58,64
RC,0272,NEEDLE ASPIRATION SINGLE USE ASPIRATION NEEDLE NA-U200H OD2.6 MM ODSEC19 GA L1400 MM WITHOUT SIDEHOLE L80 MM,1821.67,910.84,397.31,1639.5,64
RC,0272,NEEDLE ASPIRATION ULTRASOUND 22GA 40MML 700MML WORKING CHANNEL TRANSBRONCHIAL DIMPLED ECHOGENIC TIP REMOVABLE SAFETY W/O SYRINGE F/EBUS SCOPE VIZISHOT LATEX-FREE STERILE SINGLE-USE,401.63,200.82,87.6,361.47,64
RC,0272,NEEDLE ASPIRATION VIZISHOT OD19 GA L2 MM,305.4,152.7,66.61,274.86,64
RC,0272,NEEDLE ASPIRATION VIZISHOT OD22 GA ODSEC1.8 MM L700 MM ECHOGENIC DIMPLE TIP 5 SYRINGE 5 VALVE L40 MM,417.77,208.89,91.12,375.99,64
RC,0272,NEEDLE ASPIRATION VIZISHOT OD22 GA ULTRASOUND,1072.25,536.13,233.86,965.03,64
RC,0272,NEEDLE BIOPSY 11GA 10CM SHARP DIAMOND BEVEL CANNULA OBTURATOR TREPHINE TIP OSTEO-SITE STAINLESS STEEL BONE,60.65,30.33,13.23,54.59,64
RC,0272,NEEDLE BIOPSY 11GA 11CM BONE MARROW W/BLUNT-TIP STYLET F/ASPIRATION,1173.75,586.88,255.99,1056.38,64
RC,0272,NEEDLE BIOPSY 11GA 14GA 17.1CM 10CM SIDE BEVEL ECHOGENIC MARKING STERILE LATEX FREE DISPOSABLE MURPHY M1M,115.0,57.5,25.08,103.5,64
RC,0272,NEEDLE BIOPSY 11GA 15CM STERILE LATEX FREE DISPOSABLE,121.0,60.5,26.39,108.9,64
RC,0272,NEEDLE BIOPSY 11GA 4IN RAZOR SHARP BEVEL TAPER DISTAL TIP LIGHTWEIGHT HANDLE ADAPTER STERILE LATEX FREE DISPOSABLE JAMSHIDI BONE MARROW,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY 11GA 4IN STANDARD 1 PIECE STYLET 3 POINT TIP HARVEST NONPYROGENIC STERILE DISPOSABLE LEE-LOK LUER-LOK STAINLESS STEEL ADULT BONE MARROW,61.0,30.5,13.3,54.9,64
RC,0272,NEEDLE BIOPSY 11GA 6IN RAZOR SHARP BEVEL ADAPTER TAPER DISTAL TIP LIGHTWEIGHT HANDLE STERILE LATEX FREE DISPOSABLE JAMSHIDI BONE MARROW,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY 11GA TROCAR TIP REVOLVE LATEX-FREE STERILE,23.0,11.5,5.02,20.7,64
RC,0272,NEEDLE BIOPSY 13GA 10CM STERILE LATEX FREE DISPOSABLE,121.0,60.5,26.39,108.9,64
RC,0272,NEEDLE BIOPSY 13GA 15CM STERILE LATEX FREE DISPOSABLE,115.0,57.5,25.08,103.5,64
RC,0272,NEEDLE BIOPSY 13GA 7.8CM COAXIAL ULTRA THIN WALL LIGHTWEIGHT COLOR CODED DISPOSABLE TRUGUIDE BARD,334.13,167.07,72.87,300.72,64
RC,0272,NEEDLE BIOPSY 14GA 10CM ULTRA SHARP TIP MAGNUM,240.0,120.0,52.34,216.0,64
RC,0272,NEEDLE BIOPSY 14GA 4.5IN STERILE LATEX FREE DISPOSABLE TRU-CUT SOFT TISSUE,285.6,142.8,62.29,257.04,64
RC,0272,NEEDLE BIOPSY 14GA 6IN 20MM THIN WALL SPECIMEN NOTCH REMOVABLE STYLET DEPTH MARK SCALPEL SHARP DISPOSABLE TRU-CUT STEEL KIDNEY LIVER,285.6,142.8,62.29,257.04,64
RC,0272,NEEDLE BIOPSY 15GA 10CM 1.8MM 2 PART SELF LOCK ASPIRATION SYRINGE TROCAR POINT STYLET FLAT THREAD CANNULA DISPOSABLE OSTYCUT BONE,86.52,43.26,18.87,77.87,64
RC,0272,NEEDLE BIOPSY 15GA 13.8CM ULTRATHIN WALL COAXIAL COLOR CODED DEPTH STOP STERILE LATEX FREE DISPOSABLE BARD TRUGUIDE MONOPTY MAXCORE,60.0,30.0,13.09,54.0,64
RC,0272,NEEDLE BIOPSY 17GA 13.8CM ULTRATHIN WALL COAXIAL COLOR CODED DEPTH STOP STERILE LATEX FREE DISPOSABLE BARD TRUGUIDE MONOPTY MAXCORE,60.0,30.0,13.09,54.0,64
RC,0272,NEEDLE BIOPSY 17GA 17.8CM COAXIAL ULTRA THIN WALL LIGHTWEIGHT COLOR CODED DISPOSABLE TRUGUIDE BARD,60.0,30.0,13.09,54.0,64
RC,0272,NEEDLE BIOPSY 17GA 7.8CM ULTRATHIN WALL COAXIAL COLOR CODED DEPTH STOP DISPOSABLE BARD TRUGUIDE MONOPTY MAXCORE,60.0,30.0,13.09,54.0,64
RC,0272,NEEDLE BIOPSY 18GA 10CM TROCAR STERILE DISPOSABLE,15.99,8.0,3.49,14.39,64
RC,0272,NEEDLE BIOPSY 18GA 15CM STERILE DISPOSABLE CHIBA ECHOTIP ASPIRATION,14.99,7.5,3.27,13.49,64
RC,0272,NEEDLE BIOPSY 18GA 15CM TROCAR TIP STERILE DISPOSABLE VALUELINK,15.99,8.0,3.49,14.39,64
RC,0272,NEEDLE BIOPSY 18GA 15CML ADJUSTABLE STOP CENTIMETER MARKING W/TROCAR COLOR-CODED F/FNAB LATEX-FREE STERILE SINGLE-USE,221.0,110.5,48.2,198.9,64
RC,0272,NEEDLE BIOPSY 18GA 15CML STANDARD TIP SINGLE ACTION SHARP CUTTING CANNULA W/COAXIAL INTRODUCERS HILITER ULTRASOUND ENHANCED ACCUCORE,185.0,92.5,40.35,166.5,64
RC,0272,NEEDLE BIOPSY 18GA 17GA 10CM 6.8CM FULL CORE CO-AXIAL INTRODUCER BIOPINCE ULTRA,351.08,175.54,76.57,315.97,64
RC,0272,NEEDLE BIOPSY 18GA 17GA 11CM 6CM 5CM STANDARD COAXIAL ECHOTIP HANDLE INTRODUCER LATEX FREE DISPOSABLE TEMNO,442.0,221.0,96.4,397.8,64
RC,0272,NEEDLE BIOPSY 18GA 17GA 14CM 20CM 15CM ECHOGENIC MARK SEMIAUTOMATE SAMPLE NOTCH COAXIAL INTRODUCER LATEX FREE DISPOSABLE ADJUSTABLE COAXIAL TEMNO,442.0,221.0,96.4,397.8,64
RC,0272,NEEDLE BIOPSY 18GA 17GA 15CM 10CM STANDARD INTRODUCER COAXIAL ECHOGENIC MARK LIGHTWEIGHT DISPOSABLE TEMNO ORANGE,454.28,227.14,99.08,408.85,64
RC,0272,NEEDLE BIOPSY 18GA 20CM TROCAR TIP STERILE DISPOSABLE VALUELINK,15.99,8.0,3.49,14.39,64
RC,0272,NEEDLE BIOPSY 18GA 25CM ETCH TIP CORE DISPOSABLE BIOPTY-CUT,177.1,88.55,38.63,159.39,64
RC,0272,NEEDLE BIOPSY 18GA 5 7/8 IN DEPTH MARK STYLET HUB ULTRASOUND CANNULA SAMPLEMASTER HI-LITER SILICONE PINK,590.0,295.0,128.68,531.0,64
RC,0272,NEEDLE BIOPSY 18GA 7FR DIA 60CML TRANSJUGULAR LIVER W/ACCESSORIES TLAB LATEX-FREE,510.0,255.0,111.23,459.0,64
RC,0272,NEEDLE BIOPSY 19GA 10CM ULTRATHIN WALL COAXIAL COLOR CODED DEPTH STOP STERILE LATEX FREE DISPOSABLE BARD TRUGUIDE MONOPTY MAXCORE,60.0,30.0,13.09,54.0,64
RC,0272,NEEDLE BIOPSY 19GA 13.8CM ULTRATHIN WALL COAXIAL COLOR CODED DEPTH STOP DISPOSABLE BARD TRUGUIDE MONOPTY MAXCORE,274.73,137.37,59.92,247.26,64
RC,0272,NEEDLE BIOPSY 19GA 17.8CM ULTRATHIN WALL COAXIAL LIGHTWEIGHT COLOR CODED DEPTH STOP STERILE LATEX FREE DISPOSABLE BARD TRUGUIDE MAXCORE MONOPTY MISSION,289.06,144.53,63.04,260.15,64
RC,0272,NEEDLE BIOPSY 20GA 19GA 11CM 6CM COAXIAL INTRODUCER ECHOGENIC MARK LATEX FREE DISPOSABLE TEMNO,284.9,142.45,62.14,256.41,64
RC,0272,NEEDLE BIOPSY 20GA 19GA 9CM 15CM 10CM ECHOGENIC MARK SEMIAUTOMATE SAMPLE NOTCH COAXIAL INTRODUCER LATEX FREE DISPOSABLE ADJUSTABLE COAXIAL TEMNO,442.0,221.0,96.4,397.8,64
RC,0272,NEEDLE BIOPSY 20GA 20CM STERILE DISPOSABLE CHIBA ECHOTIP ASPIRATION,14.99,7.5,3.27,13.49,64
RC,0272,NEEDLE BIOPSY 20GA 5 7/8IN DEPTH MARK COLOR CODED STYLET HUB CANNULA ULTRASOUND ENHANCED SAMPLEMASTER CHIBA HILITER SURESTOP SILICONE,580.0,290.0,126.5,522.0,64
RC,0272,NEEDLE BIOPSY 21GA 15CM STERILE DISPOSABLE CHIBA ECHOTIP ASPIRATION,14.99,7.5,3.27,13.49,64
RC,0272,NEEDLE BIOPSY 21GA 15CM TROCAR TIP STERILE DISPOSABLE ECHOTIP,20.99,10.5,4.58,18.89,64
RC,0272,NEEDLE BIOPSY 21GA 65.5CM STERILE DISPOSABLE CHIBA ECHOTIP ASPIRATION,60.99,30.5,13.3,54.89,64
RC,0272,NEEDLE BIOPSY 22GA 1.65MM 8- CM 137.5-141.5CM FINE ADJUSTABLE ACQUIRE,1975.0,987.5,430.75,1777.5,64
RC,0272,NEEDLE BIOPSY 22GA 14.9CM CHIBA TYPE BEVELED CANNULA DEPTH MARKING ULTRASOUND ENHANCED SAMPLE-MASTER,580.0,290.0,126.5,522.0,64
RC,0272,NEEDLE BIOPSY 22GA 15CM STERILE DISPOSABLE CHIBA ECHOTIP ASPIRATION,14.99,7.5,3.27,13.49,64
RC,0272,NEEDLE BIOPSY 22GA 25CM STERILE DISPOSABLE CHIBA ASPIRATION,13.99,7.0,3.05,12.59,64
RC,0272,NEEDLE BIOPSY 22GA 4.1FR BALL TIP STERILE DISPOSABLE PROCORE ECHOTIP ENDOBRONCHIAL OLYMPUS ULTRASOUND ENDOSCOPE,155.0,77.5,33.81,139.5,64
RC,0272,NEEDLE BIOPSY 22GA 6IN FINE THIN WALL ASPIRATION STERILE LATEX FREE DISPOSABLE PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY,275.0,137.5,59.98,247.5,64
RC,0272,NEEDLE BIOPSY 22GA 7 7/8IN DEPTH MARK COLOR CODED STYLET HUB CANNULA ULTRASOUND ENHANCED SAMPLEMASTER CHIBA HILITER SURESTOP SILICONE,580.0,290.0,126.5,522.0,64
RC,0272,NEEDLE BIOPSY 22GA 8INL PLASTIC HUB SPINAL ADJUSTABLE STOP CENTIMETER MARKING COLOR-CODED F/FNAB LATEX-FREE SINGLE-USE,205.0,102.5,44.71,184.5,64
RC,0272,NEEDLE BIOPSY 4INL BONE MARROW HOLEX1 W/SPECIMEN CUPX6 LATEX-FREE STERILE SINGLE-USE,100.0,50.0,21.81,90.0,64
RC,0272,NEEDLE BIOPSY 8GA 150MM DOUBLE DIAMOND TIP F/MINIMALLY INVASIVE SPINAL SYSTEM AVATAR JAMSHIDI SINGLE-USE SERENGETI,115.0,57.5,25.08,103.5,64
RC,0272,NEEDLE BIOPSY 8GA 6IN FENESTRATE BULLET TIP SHARP TROCAR STYLET DISPOSABLE IMBIBE BONE MARROW,195.0,97.5,42.53,175.5,64
RC,0272,NEEDLE BIOPSY ASPIRATION 13GA 2 1/2INL STAINLESS STEEL BONE MARROW J-TYPE BEVELED STYLET TIP SHARP RIGID DOUBLE CUTTING EDGE CANNULA 2-PIECE POSITIVE LOCKING DESIGN ERGONOMIC HANDLE MONOJECT LATEX-FRE,17.0,8.5,3.71,15.3,64
RC,0272,NEEDLE BIOPSY ASPIRATION 22GA 15CML ECHOGENIC TIP CENTIMETER MARKING ADJUSTABLE STOP COLOR-CODED STYLET HUB F/FINE FOR CYTOLOGICAL HISTOLOGICAL EVALUATION CHIBA LATEX-FREE DISPOSABLE,208.0,104.0,45.36,187.2,64
RC,0272,NEEDLE BIOPSY ASPIRATION COAXIAL 16GA 15CML ECHOGENIC TIP F/FULL CORE INSTRUMENT BIOPINCE LATEX-FREE DISPOSABLE,64.0,32.0,13.96,57.6,64
RC,0272,NEEDLE BIOPSY AUTOMATED COAXIAL 14GA 20CML 22MML THROW ECHOGENIC TIP COLOR-CODED TRU-CORE II LATEX-FREE DISPOSABLE,362.56,181.28,79.07,326.3,64
RC,0272,NEEDLE BIOPSY AUTOMATED CORE 16GA 16CML 22MMD PENETRATION SOFT TISSUE BEVELED TROCAR TIP SHARP TWIST HANDLE MONOPTY LATEX-FREE STERILE SINGLE-USE,429.5,214.75,93.67,386.55,64
RC,0272,NEEDLE BIOPSY AUTOMATED FULL CORE COAXIAL 16GA 10CML ECHOGENIC TIP BIOPINCE LATEX-FREE STERILE DISPOSABLE,231.0,115.5,50.38,207.9,64
RC,0272,NEEDLE BIOPSY CHIBA 18GA 4INL LATEX-FREE MRI UNSAFE STERILE SINGLE-USE,34.99,17.5,7.63,31.49,64
RC,0272,NEEDLE BIOPSY COAXIAL 18GA 15CML BREAST KIDNEY LIVER LUNG THYROID BEVELED TIP COMPACT ADJUSTABLE ECHOGENIC MARKING STANDARD HANDLE GREEN ACHIEVE LATEX-FREE STERILE SINGLE-USE,38.29,19.15,8.35,34.46,64
RC,0272,NEEDLE BIOPSY COAXIAL INTRODUCER 17GA 3.9CML STAINLESS STEEL ADJUSTABLE STOP ECHOGENIC TIP CENTIMETER MARKING COLOR-CODED SUPERCORE LATEX-FREE,135.0,67.5,29.44,121.5,64
RC,0272,NEEDLE BIOPSY COAXIAL INTRODUCER 17GA 4.6CML STAINLESS STEEL ADJUSTABLE STOP ECHOGENIC TIP CENTIMETER MARKING COLOR-CODED PRO-MAG LATEX-FREE,135.0,67.5,29.44,121.5,64
RC,0272,NEEDLE BIOPSY COAXIAL INTRODUCER 17GA 5.1CML STAINLESS STEEL ADJUSTABLE STOP ECHOGENIC TIP CENTIMETER MARKING COLOR-CODED TRU-CORE II LATEX-FREE,135.0,67.5,29.44,121.5,64
RC,0272,NEEDLE BIOPSY COAXIAL INTRODUCER 19GA 5.4CML ADJUSTABLE STOP ECHOGENIC TIP CENTIMETER MARKING COLOR-CODED TRU-CORE II LATEX-FREE,118.8,59.4,25.91,106.92,64
RC,0272,NEEDLE BIOPSY CORE 18GA 16CML MARQUEE LATEX-FREE STERILE SINGLE-USE,325.0,162.5,70.88,292.5,64
RC,0272,NEEDLE BIOPSY EVOLVE JAMSHIDI 11GA 10CM CREST CANNULA SPADE TIP DEPTH STOP SPECIMEN CRADLE W/PROBE GUIDE UNIVERSAL CAP F/CORE SAMPLE ASPIRATION BONE MARROW,500.0,250.0,109.05,450.0,64
RC,0272,NEEDLE BIOPSY FRANSEEN 18GA 15CML ADJUSTABLE STOP CENTIMETER MARKING COLOR-CODED F/FNAB STERILE DISPOSABLE,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY FRANSEEN 20GA 10CML STAINLESS STEEL LUNG ECHOGENIC TREPHINE TIP TROCAR-TIPPED STYLET LATEX-FREE MRI-UNSAFE STERILE SINGLE-USE PEEL-OPEN PACKAGE,28.26,14.13,6.16,25.43,64
RC,0272,NEEDLE BIOPSY FRANSEEN 22GA 15CML ADJUSTABLE STOP CENTIMETER MARKING W/ECOGENIC TIP COLOR-CODED F/FNAB LATEX-FREE STERILE SINGLE-USE,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY HARVEST 13GA 3 1/2INL STAINLESS STEEL PLASTIC PEDIATRIC TRI-POINT TIP LASER WELDED 1-PIECE STYLET LUER-LOK HUB HANDLE STERILE SINGLE-USE,65.0,32.5,14.18,58.5,64
RC,0272,NEEDLE BIOPSY JAMSHIDI 13GA 2.5INL BONE MARROW DOUBLE DIAMOND POINT W/O EXTRACTION CANNULA T-LOK LATEX-FREE SINGLE-USE,341.0,170.5,74.37,306.9,64
RC,0272,NEEDLE BIOPSY JAMSHIDI MENGHINI 15GA 100MML LIVER SOFT TISSUE TAPERED BEVELED TIP RAZOR-SHARP NO NOTCH LATEX-FREE STERILE SINGLE-USE,110.57,55.29,24.12,99.51,64
RC,0272,NEEDLE BIOPSY M1 11GA 15CML BEVELED W/CANNULA OSTEO-SITE LATEX-FREE STERILE SINGLE-USE,37.84,18.92,8.25,34.06,64
RC,0272,NEEDLE BIOPSY M2 11GA 15CML MURPHY W/CANNULA OSTEO-SITE LATEX-FREE STERILE SINGLE-USE,37.84,18.92,8.25,34.06,64
RC,0272,NEEDLE BIOPSY NASHOLD 2MM OD 10MM SIDE-CUTTING 249MML F/STEREOTACTIC SYSTEM RADIONICS CRW LATEX-FREE STERILE DISPOSABLE,2912.38,1456.19,635.19,2621.14,64
RC,0272,NEEDLE BIOPSY OD11 GA L100 MM BABY GORILLA/GORILLA PLATING SYSTEM HARVEST BONE MARROW,416.5,208.25,90.84,374.85,64
RC,0272,NEEDLE BIOPSY OD11 GA L15 CM IMBIBE ASPIRATION BULLET TIP STYLET BONE MARROW,41.7,20.85,9.09,37.53,64
RC,0272,NEEDLE BIOPSY OD11 GA L4 IN EVOLVE BONE MARROW,387.5,193.75,84.51,348.75,64
RC,0272,NEEDLE BIOPSY OD11 GA L4 IN T-LOK 2 DIAMOND STYLET POINT CANNULA TWIST LOCK HANDLE BONE MARROW,287.0,143.5,62.59,258.3,64
RC,0272,NEEDLE BIOPSY OD11 GA L6 IN T-LOK 2 DIAMOND STYLET POINT CANNULA TWIST LOCK HANDLE BONE MARROW,287.0,143.5,62.59,258.3,64
RC,0272,NEEDLE BIOPSY OD15 GA L2.688 IN TWIST T-LOK ASPIRATION LOCK HANDLE LUER LOCK CONNECTOR BONE MARROW,220.0,110.0,47.98,198.0,64
RC,0272,NEEDLE BIOPSY OD15 GA L4.6 CM ACN COAXIAL OPTIONAL ECHOGENIC TIP INTRODUCER,270.0,135.0,58.89,243.0,64
RC,0272,NEEDLE BIOPSY OD16 GA L12.5 CM OSTY-CORE COAXIAL ERGONOMIC HANDLE LUER LOCK CONNECTOR ADJUSTABLE REMOVABLE,674.0,337.0,147.0,606.6,64
RC,0272,NEEDLE BIOPSY OD16 GA L16.5 CM OSTY-CORE TWIST ADJUSTABLE LUER LOCK CONNECTOR ERGONOMIC HANDLE BONE,674.0,337.0,147.0,606.6,64
RC,0272,NEEDLE BIOPSY OD16 GA L7.5 CM OSTY-CORE ADJUSTABLE STOP ERGONOMIC HANDLE TWIST LOCK DESIGN LUER LOCK CONNECTOR,674.0,337.0,147.0,606.6,64
RC,0272,NEEDLE BIOPSY OD17 GA L11.1 CM TRU-CORE II LIGHTWEIGHT AUTOMATIC COAXIAL INTRODUCER,135.0,67.5,29.44,121.5,64
RC,0272,NEEDLE BIOPSY OD17 GA L11.8 CM BIOPINCE COAXIAL INTRODUCER ECHOGENIC,69.0,34.5,15.05,62.1,64
RC,0272,NEEDLE BIOPSY OD17 GA L16.8 CM BIOPINCE COAXIAL INTRODUCER ECHOGENIC TIP SOFT TISSUE,69.0,34.5,15.05,62.1,64
RC,0272,NEEDLE BIOPSY OD17 GA L6.8 CM BIOPINCE COAXIAL INTRODUCER ECHOGENIC,69.0,34.5,15.05,62.1,64
RC,0272,NEEDLE BIOPSY OD18 GA L20 CM COOK ECHOGENIC TIP NOTCH,324.0,162.0,70.66,291.6,64
RC,0272,NEEDLE BIOPSY OD18 GA L9 CM SUPERCORE OPTIONAL COAXIAL ECHOGENIC TIP CANNULA CENTIMETER MARK,588.0,294.0,128.24,529.2,64
RC,0272,NEEDLE BIOPSY OD18 GA ODSEC17 GA L15 CM TEMNO EVOLUTION COAXIAL INTRODUCER 4 BEVEL TIP ECHOGENIC MARK L10 CM,174.35,87.18,38.03,156.92,64
RC,0272,NEEDLE BIOPSY OD19 GA FLEXISION,1250.0,625.0,272.63,1125.0,64
RC,0272,NEEDLE BIOPSY OD19 GA L10.2 CM SUPERCORE COAXIAL INTRODUCER ECHOGENIC TIP SEMIAUTOMATIC,135.0,67.5,29.44,121.5,64
RC,0272,NEEDLE BIOPSY OD19 GA ODSEC1.14 MM ACQUIRE ULTRASOUND,520.0,260.0,113.41,468.0,64
RC,0272,NEEDLE BIOPSY OD20 GA L11.4 CM 19 MM ECHOGENIC TRU-CORE II COAXIAL OPTIONAL INTRODUCER COLOR CODED SAMPLE NOTCH,135.0,67.5,29.44,121.5,64
RC,0272,NEEDLE BIOPSY OD20 GA L15 CM FRANSEEN CM MARK STOP SOFT TISSUE,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY OD20 GA L16 CM TRU-CORE II AUTOMATIC BIOPSY INSTRUMENT,362.56,181.28,79.07,326.3,64
RC,0272,NEEDLE BIOPSY OD20 GA L9 CM FRANSEEN BIOPSY NEEDLE FRANSEEN CENTIMETER MARK ADJUSTABLE STOP STYLET HUB SOFT TISSUE,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY OD20 GA L9 CM SUPERCORE SEMIAUTOMATIC COAXIAL NOTCH CENTIMETER MARK,588.0,294.0,128.24,529.2,64
RC,0272,NEEDLE BIOPSY OD20 GA ODSEC19 GA L15 CM TEMNO EVOLUTION COAXIAL INTRODUCER 4 BEVEL TIP ECHOGENIC MARK L10 CM,448.5,224.25,97.82,403.65,64
RC,0272,NEEDLE BIOPSY OD21 GA FLEXISION,1250.0,625.0,272.63,1125.0,64
RC,0272,NEEDLE BIOPSY OD22 GA ECHOTIP ACUCORE ULTRASOUND,400.0,200.0,87.24,360.0,64
RC,0272,NEEDLE BIOPSY OD22 GA L15 CM FINE FRANSEEN FRANSEEN ASPIRATION CENTIMETER MARKING ADJUSTABLE COLOR CODED HUB,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY OD22 GA L20 CM FRANSEEN FRANSEEN CENTIMETER MARK ADJUSTABLE STOP STYLET HUB SOFT TISSUE,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY OD22 GA L9 CM FINE FRANSEEN ADJUSTABLE STOP ASPIRATION COLOR CODED STYLET HUB SOFT TISSUE,180.0,90.0,39.26,162.0,64
RC,0272,NEEDLE BIOPSY OD22 GA ODSEC5.2 FR L8- CM PROCORE ULTRASOUND BALL TIP 2 MM MINIMUM ACCESSORY CHANNEL,345.0,172.5,75.24,310.5,64
RC,0272,NEEDLE BIOPSY OD23 GA FLEXISION,1250.0,625.0,272.63,1125.0,64
RC,0272,NEEDLE BIOPSY OD25 GA ODSEC5.2 FR L8- CM PROCORE ULTRASOUND BEVEL TIP CONTOUR HANDLE 2.8 MM MINIMUM ACCESSORY CHANNEL,681.15,340.58,148.56,613.04,64
RC,0272,NEEDLE BIOPSY OD8 GA L4 IN T-LOK 2 DIAMOND STYLET POINT TWIST LOCK HANDLE BONE MARROW,287.0,143.5,62.59,258.3,64
RC,0272,NEEDLE BIOPSY SEMI-AUTOMATED 14GA 9CML ADJUSTABLE CENTIMETER MARKING SAMPLE NOTCH W/COAXIAL INTRODUCER SUPERCORE LATEX-FREE SINGLE-USE,588.0,294.0,128.24,529.2,64
RC,0272,NEEDLE BIOPSY SEMI-AUTOMATED 16GA 9CML ADJUSTABLE SPECIMEN NOTCH ECHOGENIC TIP W/COAXIAL INTRODUCER SUPERCORE LATEX-FREE,588.0,294.0,128.24,529.2,64
RC,0272,NEEDLE BIOPSY SEMI-AUTOMATED 18GA 6CML ADJUSTABLE SPECIMEN NOTCH ECHOGENIC TIP W/COAXIAL INTRODUCER SUPERCORE LATEX-FREE,588.0,294.0,128.24,529.2,64
RC,0272,NEEDLE BIOPSY SEMI-AUTOMATED COAXIAL 20GA 11CML 6CML INTRODUCER BREAST LIVER KIDNEY LUNG THYROID FOUR-BEVELED SHARP COMPACT ECHOGENIC TIP SAMPLE NOTCH CENTIMETER DEPTH MARKING GREEN TEMNO EVOLUTION LA,204.65,102.33,44.63,184.19,64
RC,0272,NEEDLE BIOPSY SEMI-AUTOMATED COAXIAL 20GA 20CML 15CML INTRODUCER BREAST LIVER KIDNEY LUNG THYROID FOUR-BEVELED SHARP COMPACT ECHOGENIC TIP SAMPLE NOTCH CENTIMETER DEPTH MARKING GREEN TEMNO EVOLUTION L,204.65,102.33,44.63,184.19,64
RC,0272,NEEDLE BIOPSY SMALL ULTRA SHARP TIP 2 PENETRATION DEPTH LIGHTWEIGHT 1 HAND ACTIVATION LATEX FREE REUSABLE BARD MAGNUM,1100.0,550.0,239.91,990.0,64
RC,0272,NEEDLE BIOPSY TYPE A 1.8MM DIA LATEX-FREE DISPOSABLE,530.0,265.0,115.59,477.0,64
RC,0272,NEEDLE BIOPSY TYPE A 1.8MM DIA X 235MM DISPOSABLE,2850.0,1425.0,621.59,2565.0,64
RC,0272,NEEDLE BIOPSY WESTCOTT 22GA 15CML ADJUSTABLE STOP CENTIMETER MARKING COLOR-CODED F/FNAB LATEX-FREE STERILE SINGLE-USE,273.0,136.5,59.54,245.7,64
RC,0272,NEEDLE BIOPSY WESTCOTT 22GA 9CML ADJUSTABLE STOP ECHOGENIC TIP CENTIMETER MARKING COLOR-CODED F/FNAB LATEX-FREE STERILE SINGLE-USE,273.0,136.5,59.54,245.7,64
RC,0272,NEEDLE BONE BIOPSY 13GA 15CM M2 STERILE LATEX FREE DISPOSABLE,60.65,30.33,13.23,54.59,64
RC,0272,NEEDLE BONE BIOPSY REVOLVE OD11 GA ACCESS BEVEL TIP,23.0,11.5,5.02,20.7,64
RC,0272,NEEDLE BONE CEMENT 10GA 10CM STERILE DISPOSABLE NORIAN,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT L4 IN J OD11 GA,30.0,15.0,6.54,27.0,64
RC,0272,NEEDLE BONE CEMENT NA OD12 GA L10 CM DELIVERY,95.97,47.99,20.93,86.37,64
RC,0272,NEEDLE BONE CEMENT NA OD12 GA L7.5 CM DELIVERY,95.97,47.99,20.93,86.37,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD10 GA L10 CM DELIVERY,95.97,47.99,20.93,86.37,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD12 GA L10 CM CURVE DELIVERY,479.85,239.93,104.66,431.87,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD12 GA L10 CM DELIVERY,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD12 GA L12.5 CM DELIVERY,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD12 GA L5 CM DELIVERY,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD12 GA L7.5 CM,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT NORIAN OD8 GA L10 CM,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT NORIAN SRS OD14 GA L5 CM DELIVERY,183.32,91.66,39.98,164.99,64
RC,0272,NEEDLE BONE CEMENT NORIAN SRS OD8 GA L10 CM DELIVERY,479.85,239.93,104.66,431.87,64
RC,0272,NEEDLE BONE MARROW ASPIRATION 11GA BMAC,175.0,87.5,38.17,157.5,64
RC,0272,NEEDLE BRACHYTHERAPY 18GA 20CML ULTRA-SHARP TIP POLISHED SURFACE F/MICK 200-TP APPLICATOR SEED IMPLANT BRACHYSTAR LATEX-FREE 1/PK,169.34,84.67,36.93,152.41,64
RC,0272,NEEDLE BREAST LOCATOR 20GX10CM,200.0,100.0,43.62,180.0,64
RC,0272,NEEDLE BRONCHOSCOPIC WANG OD19 GA ODSEC21 GA L15 CM RETRACT L13 MM TRANSBRONCHIAL CENTRAL HISTOLOGY,236.81,118.41,51.65,213.13,64
RC,0272,NEEDLE BRONCHOSCOPIC WANG OD22 GA L13 MM 2 LUMEN ASPIRATION SMOOTH HUB RETRACTABLE TRANSBRONCHIAL,233.42,116.71,50.91,210.08,64
RC,0272,NEEDLE BRONCHOSCOPIC WANG OD22 GA L13 MM RETRACTABLE ASPIRATION SMOOTH HUB LOCK TRANSBRONCHIAL MEDIASTINAL CYTOLOGY,338.76,169.38,73.88,304.88,64
RC,0272,NEEDLE CENTESIS 19GA 6FR 10CM 4 SIDEPORT HOLLOW STYLET STRAIGHT CATHETER STERILE DISPOSABLE YUEH CENTESIS,20.99,10.5,4.58,18.89,64
RC,0272,NEEDLE COAX INTRO 15GAX6.8CM BIOPINCE COLR ADJ STP CM MARK BX LF ECHGNC TIP F/FUL COR INST,69.0,34.5,15.05,62.1,64
RC,0272,NEEDLE DEFLUX 35 CM METAL,105.0,52.5,22.9,94.5,64
RC,0272,NEEDLE DOPPLER 18GA 3.5IN .038IN EXTEND BARE TIP GUIDEWIRE LATEX FREE PDACCESS,610.0,305.0,133.04,549.0,64
RC,0272,NEEDLE DOPPLER SMARTNEEDLE OD18 GA L2.75 IN BARE TIP NONPYROGENIC,1233.0,616.5,268.92,1109.7,64
RC,0272,NEEDLE ELECTROSURGICAL 10MM DIA 127MML TUNGSTEN HIP KNEE STRAIGHT SLEEVE EXTENDED MICRODISSECTION COLORADO LATEX-FREE STERILE SINGLE-USE,63.5,31.75,13.85,57.15,64
RC,0272,NEEDLE ELECTROSURGICAL L20 CM TISSUE ABLATION 19G ALIYA,500.0,250.0,109.05,450.0,64
RC,0272,NEEDLE ELECTROSURGICAL MONOPOLAR REPROCESSED 3CML TUNGSTEN STRAIGHT TIP ADHESIVE INSULATED CUTTING LOOP F/MICRODISSECTION COLORADO LATEX-FREE STERILE SINGLE-USE,24.88,12.44,5.43,22.39,64
RC,0272,NEEDLE ELECTROSURGICAL SUCTION 1.4MM DIA SMALL 39CML W/CORD CORSON,402.5,201.25,87.79,362.25,64
RC,0272,NEEDLE EMG 30GA 1IN SHARP BEVEL CUT TIP LUER LOCK FIT PREATTACH LEAD WIRE STERILE LATEX FREE DISPOSABLE AMBU NEUROLINE INOJECT STAINLESS STEEL,150.0,75.0,32.72,135.0,64
RC,0272,NEEDLE ENDO CYSTOSCOPE DISPCYF-4/4A,341.44,170.72,74.47,307.3,64
RC,0272,NEEDLE ENDOSCOPIC .4MM 80MM 27MM STRAIGHT MICROFRANCE SATALOFF COLLAGEN,609.0,304.5,132.82,548.1,64
RC,0272,NEEDLE ENDOSCOPIC 18GA 5FR 15IN 54IN RIGID UROPLASTY HUB STERILE DISPOSABLE MACROPLASTIQUE,41.0,20.5,8.94,36.9,64
RC,0272,NEEDLE ENDOSCOPIC 20GA 6FR 8- CM ULTRASOUND CONE TIP SIDEHOLE STERILE DISPOSABLE ECHOTIP ULTRA CELIAC PLEXUS NEUROLYSIS,219.0,109.5,47.76,197.1,64
RC,0272,NEEDLE ENDOSCOPIC 22GA 35CM 4MM TIP W/RIGID CYSTOSCOPE BLUE CAP F/BLADDER INJECTION BONEE STERILE,42.23,21.12,9.21,38.01,64
RC,0272,NEEDLE ENDOSCOPIC 3.8FR MACROPLASTIQUE URETHRAL,44.0,22.0,9.6,39.6,64
RC,0272,NEEDLE ENDOSCOPIC 35CM 4MM INJECTION PROTECTIVE CAP STERILE BONEE CHIBA BLADDER RIGID CYSTOSCOPE,42.23,21.12,9.21,38.01,64
RC,0272,NEEDLE ENDOSCOPIC 70CM 4MM INJECTION PROTECTIVE CAP STERILE BONEE CHIBA BLADDER FLEXIBLE RIGID CYSTOSCOPE,42.23,21.12,9.21,38.01,64
RC,0272,NEEDLE ENDOSCOPIC FLEX ENDOSCOPIC NEEDLE 21G L160 CM SOFT TISSUE ABLATION PEF ENERGY INUMI,5000.0,2500.0,1090.5,4500.0,64
RC,0272,NEEDLE ENDOSCOPIC INJECTION,365.0,182.5,79.61,328.5,64
RC,0272,NEEDLE ENDOSCOPIC INJECTION 25GA 2.5MM DIA SHEATH 5MM PROJECTION 230CML STAINLESS STEEL LUER-LOCK SPRING LOADED HANDLE CARR-LOCKE,160.0,80.0,34.9,144.0,64
RC,0272,NEEDLE ENDOSCOPIC L200 CM OD7 FR ODSEC6 FR BILE KNIFE PRECUT GUIDEWIRE FUSION OD.035 IN,149.0,74.5,32.5,134.1,64
RC,0272,NEEDLE ENDOSCOPIC L31 CM OD.7 MM REPLACEMENT SPARE 30675 ND SPLIT COAGULATION,176.64,88.32,38.53,158.98,64
RC,0272,NEEDLE ENDOSCOPIC L33 CM OD5 MM CORD CUT DEPTH CONTROL EXTENDABLE OUTER SHEATH PK SUPERPULSE GENERATOR LAPAROSCOPIC PKS TAPER,1594.18,797.09,347.69,1434.76,64
RC,0272,NEEDLE ENDOSCOPIC L35 CM OD5 FR L8 MM URETHRAL CYSTOSCOPIC INJECTION WILLIAMS,47.57,23.79,10.38,42.81,64
RC,0272,NEEDLE ENDOSCOPIC L4 MM OD26 GA INJECTOR NM600/610 NEEDLEMASTER,228.68,114.34,49.88,205.81,64
RC,0272,NEEDLE ENDOSCOPIC L5 MM OD23 GA ODSEC1.8 MM TEFLON STAINLESS STEEL LUER LOCK SPRING LOAD HANDLE CARR-LOCKE 5 MM,190.06,95.03,41.45,171.05,64
RC,0272,NEEDLE ENDOSCOPIC L6.25 IN STRAIGHT SHART TIP BLADE AESCULAP MICRO,41.4,20.7,9.03,37.26,64
RC,0272,NEEDLE ENDOSCOPIC L8- CM OD19 GA ODSEC5.2-4.2 FR GASTROINTESTINAL BALL TIP ADJUST SHEATH CONTOUR HANDLE ULTRASOUND ECHOTIP 5 ML 10 ML,224.0,112.0,48.85,201.6,64
RC,0272,NEEDLE ENDOSCOPIC L8- CM OD19 GA ODSEC5.2-4.2 FR GASTROINTESTINAL TRACT ULTRASOUND BEVEL STYLET SHEATH 2 MM MINIMUM ACCESSORY CHANNEL ECHOTIP,742.19,371.1,161.87,667.97,64
RC,0272,NEEDLE ENDOSCOPIC L8- CM OD22 GA ODSEC5.2 FR GASTROINTESTINAL BALL TIP ADJUST SHEATH CONTOUR HANDLE ULTRASOUND ECHOTIP 5 ML 10 ML,224.0,112.0,48.85,201.6,64
RC,0272,NEEDLE ENDOSCOPIC L8- CM OD25 GA ODSEC5.2 FR GASTROINTESTINAL BALL TIP ADJUST SHEATH CONTOUR HANDLE ULTRASOUND ECHOTIP 5 ML 10 ML,224.0,112.0,48.85,201.6,64
RC,0272,NEEDLE ENDOSCOPIC L9 IN OD17 G ARTHROSCOPIC CROSSTRAC XL,360.0,180.0,78.52,324.0,64
RC,0272,NEEDLE ENDOSCOPIC OD1.5 MM F/PORTAL DILATOR,325.0,162.5,70.88,292.5,64
RC,0272,NEEDLE EPIDURAL OD14 GA L4 IN,250.0,125.0,54.53,225.0,64
RC,0272,NEEDLE EPIDURAL OD14 GA L6 IN,50.7,25.35,11.06,45.63,64
RC,0272,NEEDLE EPIDURAL TUOHY LONG OBTURATOR DELIVERY,70.0,35.0,15.27,63.0,64
RC,0272,NEEDLE EPIDURAL TUOHY OBTURATOR,56.0,28.0,12.21,50.4,64
RC,0272,NEEDLE EPIMED COUDE,50.7,25.35,11.06,45.63,64
RC,0272,NEEDLE GUIDE IMPLANTABLE 4 ARRAY TUBE LUER ADAPTER OD21 GA FOURTE EXPANDER FILL SYSTEM,288.0,144.0,62.81,259.2,64
RC,0272,NEEDLE HYPODERMIC 23GA DEFLUX,62.32,31.16,13.59,56.09,64
RC,0272,NEEDLE HYPODERMIC L1.5 IN OD25 GA STANDARD REGULAR BEVEL,28.39,14.2,6.19,25.55,64
RC,0272,NEEDLE INFUSION HUBER SAFETY SHIELD 16GA 1INL STRAIGHT LOW-PROFILE NON-CORING WINGED W/8IN MICROBORE TUBING CLAMP W/O Y-SITE LATEX-FREE DEHP-FREE PVC-FREE STERILE SINGLE-USE,304.0,152.0,66.3,273.6,64
RC,0272,NEEDLE INFUSION ZEITELS VOCAL FOLD,1200.0,600.0,261.72,1080.0,64
RC,0272,NEEDLE INJECTION 23GA 70CM FLEXIBLE ADJUSTABLE TIP DISPOSABLE INJETAK CYSTOSCOPIC,184.0,92.0,40.13,165.6,64
RC,0272,NEEDLE INJECTION 4.8FR 35CM ANGLE 3 BEVEL INDICATOR TIP CANNULA INJETAK BLACK CYSTOSCOPY,149.0,74.5,32.5,134.1,64
RC,0272,NEEDLE INJECTION V. MUELLER OD15 GA L32 CM,260.0,130.0,56.71,234.0,64
RC,0272,NEEDLE INJECTION WILLIAMS OD23 GA ODSEC3.7 FR L35 CM THIN WALL CANNULA L8 MM CYSTOSCOPIC,41.19,20.6,8.98,37.07,64
RC,0272,NEEDLE INJECTOR EVEREST OD10 GA SHORT PLUNGER MINIMALLY INVASIVE,94.5,47.25,20.61,85.05,64
RC,0272,NEEDLE INSUFFLATION 13GA 120MM SPRING LOAD BLUNT STYLET INDICATOR BUTTON HIGH FLOW PERCUTANEOUS RED,240.0,120.0,52.34,216.0,64
RC,0272,NEEDLE INSUFFLATION 13GA 150MM STERILE LATEX FREE DISPOSABLE VERRES LAPAROSCOPIC PNEUMOPERITONEUM,240.0,120.0,52.34,216.0,64
RC,0272,NEEDLE INSUFFLATION L100 MM OD14 GA STEP PNEUMOPERITONEUM TROCAR BLADELESS RADIAL EXPAND SLEEVE BLUNT STYLET VERSASTEP PLUS STAINLESS STEEL,403.4,201.7,87.98,363.06,64
RC,0272,NEEDLE INSUFFLATION L120 MM OD14 GA ENDOPATH SPRING LOAD STOPCOCK LUER LOCK CONNECTOR BLUNT STYLET PNEUMOPERITONEUM CYTOLOGY STAINLESS STEEL PLASTIC,960.11,480.06,209.4,864.1,64
RC,0272,NEEDLE INSUFFLATION L120 MM OD14 GA STANDARD SURGINEEDLE PNEUMOPERITONEUM SPRING LOAD BLUNT STYLET STAINLESS STEEL PLASTIC RED,552.0,276.0,120.39,496.8,64
RC,0272,NEEDLE INSUFFLATION L150 MM OD14 GA LONG SURGINEEDLE PNEUMOPERITONEUM SPRING LOAD BLUNT STYLET STAINLESS STEEL PLASTIC RED,582.24,291.12,126.99,524.02,64
RC,0272,NEEDLE INSUFFLATION L70 MM OD14 GA SHORT VERSASTEP SPRING LOAD BLUNT STYLET RADIAL EXPAND SLEEVE STOPCOCK PNEUMOPERITONEUM STAINLESS STEEL,559.2,279.6,121.96,503.28,64
RC,0272,NEEDLE INSUFFLATION L75 MM OD14 GA SHORT STEP SPRING LOAD BLUNT STYLET RADIAL EXPAND SLEEVE STOPCOCK PNEUMOPERITONEUM STAINLESS STEEL,482.5,241.25,105.23,434.25,64
RC,0272,NEEDLE INTRAOSSEOUS 16GA 4CML TAPERED TIP TORCAR POINT,259.55,129.78,56.61,233.6,64
RC,0272,NEEDLE INTRAOSSEOUS 18GA 3CM 45DEG ANGLED TROCAR TIP DIECKMANN,375.0,187.5,81.79,337.5,64
RC,0272,NEEDLE INTRAOSSEOUS 18GA 3CML PEDIATRIC STANDARD TIP DESIGN,268.63,134.32,58.59,241.77,64
RC,0272,NEEDLE INTRAOSSEOUS 18GA 4CML STANDARD TIP DESIGN TROCAR POINT F/INFUSION SINGLE-USE,259.55,129.78,56.61,233.6,64
RC,0272,NEEDLE INTRAOSSEOUS DIECKMANN OD16 GA L3 CM 2 OPPOSING SIDEPORT INFUSION DIECKMAN MODIFICATION PEDIATRIC,352.72,176.36,76.93,317.45,64
RC,0272,NEEDLE INTRODUCER 17GA 8IN T-PEEL ON-Q DEHP-FREE STERILE SINGLE-USE,114.0,57.0,24.86,102.6,64
RC,0272,NEEDLE INTRODUCER CONFIDENCE OD11 GA L4 IN DIAMOND SPINE CEMENT SYSTEM,71.25,35.63,15.54,64.13,64
RC,0272,NEEDLE INTRODUCER CONFIDENCE OD11 GA L6 IN DIAMOND TIP SPINE CEMENT SYSTEM,71.25,35.63,15.54,64.13,64
RC,0272,NEEDLE INTRODUCER INSERTION PRECISION,150.0,75.0,32.72,135.0,64
RC,0272,NEEDLE INTRODUCER ON-Q* L6 IN T PEEL,106.0,53.0,23.12,95.4,64
RC,0272,NEEDLE INTRODUCER PERCUVANCE OD2.9 MM PERCUTANEOUS,125.0,62.5,27.26,112.5,64
RC,0272,NEEDLE KYPHOPLASTY 11GA 6INL DIAMOND TIP T-HANDLE F/BONE ACCESS KYPHON,19.95,9.98,4.35,17.96,64
RC,0272,NEEDLE LOCALIZATION 20GA 10CML CENTIMETER MARKING THROATED HUB STANDARD CANNULA ON WIRE W/FLEXSTRAND HAWKINS II LATEX-FREE STERILE DISPOSABLE,375.0,187.5,81.79,337.5,64
RC,0272,NEEDLE LOCALIZATION 20GA 7.5CML CENTIMETER MARKING THROATED HUB STANDARD CANNULA ON WIRE W/FLEXSTRAND HAWKINS II LATEX-FREE STERILE DISPOSABLE,375.0,187.5,81.79,337.5,64
RC,0272,NEEDLE LOCALIZATION HOMER 20GA 7.5CML NITINOL J-CURVE REPOSITIONABLE,352.0,176.0,76.77,316.8,64
RC,0272,NEEDLE LOCALIZATION L10 CM OD20 GA HAWKINS III FLEXSTRAND SKIN RETENTION CLIP NONREPOSITIONABLE END HOLE STANDARD MARK CANNULA BREAST,259.56,129.78,56.61,233.6,64
RC,0272,NEEDLE LOCALIZATION L10 CM OD20 GA HOMER MAMMALOK ULTRA REPOSITIONABLE FLEXIBLE STABILIZER DESIGN CENTIMETER MARKING BREAST J CURVE BIOPSY,325.0,162.5,70.88,292.5,64
RC,0272,NEEDLE LOCALIZATION L3 CM OD20 GA HOMER MAMMALOK GOLD REPOSITIONABLE FLEXIBLE STABILIZER DESIGN CENTIMETER MARK STRONG BREAST J CURVE,325.0,162.5,70.88,292.5,64
RC,0272,NEEDLE LOCALIZATION L5 CM OD20 GA HAWKINS II FLEXSTRAND REPOSITIONABLE THROAT HUB SKIN RETENTION CLIP STANDARD MARK CANNULA BREAST,375.0,187.5,81.79,337.5,64
RC,0272,NEEDLE LOCALIZATION L5 CM OD20 GA HAWKINS III FLEXSTRAND SKIN RETENTION CLIP NONREPOSITIONABLE END HOLE STANDARD MARK CANNULA BREAST,259.56,129.78,56.61,233.6,64
RC,0272,NEEDLE LOCALIZATION L5 CM OD20 GA HOMER REPOSITION J CURVE WIRE CENTIMETER MARK STABILIZER BREAST NITINOL STAINLESS STEEL BIOPSY,325.0,162.5,70.88,292.5,64
RC,0272,NEEDLE LOCALIZATION L7.5 CM OD20 GA HAWKINS III FLEXSTRAND SKIN RETENTION CLIP NONREPOSITIONABLE END HOLE STANDARD MARK CANNULA BREAST,259.56,129.78,56.61,233.6,64
RC,0272,NEEDLE LOCALIZATION L7.5 CM OD20 GA HOMER 2 PART STABILIZER REPOSITIONABLE DEPTH MARK BREAST NITINOL STAINLESS STEEL J CURVE,325.0,162.5,70.88,292.5,64
RC,0272,NEEDLE NEPHROSTOMY 18GA 20CML STAINLESS STEEL PROSTATE TISSUE BEVELED TWO-PART TROCAR ECHOGENIC TIP W/STYLET DISPOSABLE,24.9,12.45,5.43,22.41,64
RC,0272,NEEDLE NERVE BLOCK 21GA 4INL FACET TIP BEVELEDX2 W/STIMULATION CABLE UNIPLEX NANOLINE,125.0,62.5,27.26,112.5,64
RC,0272,NEEDLE NERVE BLOCK 22GA 1 3/8IN 30D BEVEL INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE STIMUPLEX ULTRA 360,322.68,161.34,70.38,290.41,64
RC,0272,NEEDLE NERVE BLOCK 22GA 3 1/4INL FACET TIP BEVELEDX2 W/STIMULATION CABLE UNIPLEX NANOLINE,125.0,62.5,27.26,112.5,64
RC,0272,NEEDLE NERVE STIMULATOR 11CM STERILE LATEX FREE DISPOSABLE ENTRADA,120.0,60.0,26.17,108.0,64
RC,0272,NEEDLE NERVE STIMULATOR 14GA 15.2CM SPINAL CORD SYSTEM,55.0,27.5,12.0,49.5,64
RC,0272,NEEDLE NERVE STIMULATOR 15CM ENTRADA PERCUTANEOUS,175.0,87.5,38.17,157.5,64
RC,0272,NEEDLE NERVE STIMULATOR 20GA 5IN STERILE LATEX FREE DISPOSABLE INTERSTIM FORAMEN,240.0,120.0,52.34,216.0,64
RC,0272,NEEDLE NERVE STIMULATOR ARCUS BEVEL TIP,262.5,131.25,57.25,236.25,64
RC,0272,NEEDLE NERVE STIMULATOR ARCUS DIAMOND TIP GUIDE ACCESS,262.5,131.25,57.25,236.25,64
RC,0272,NEEDLE NERVE STIMULATOR BEVELED TIP SPRINGLESS NEUROVISION I-PAS III DEHP-FREE PVC-FREE STERILE DISPOSABLE,119.0,59.5,25.95,107.1,64
RC,0272,NEEDLE NERVE STIMULATOR DIAMOND TIP SPRINGLESS NEUROVISION I-PAS III 2010027 DEHP-FREE PVC-FREE STERILE DISPOSABLE,119.0,59.5,25.95,107.1,64
RC,0272,NEEDLE NERVE STIMULATOR EPIMED PRECISION L4 IN 15 D CURVE SPINAL CORD SYSTEM,40.0,20.0,8.72,36.0,64
RC,0272,NEEDLE NERVE STIMULATOR INTERSTIM FORAMN OD20 GA L5 IN,111.6,55.8,24.34,100.44,64
RC,0272,NEEDLE NERVE STIMULATOR L5 IN STRAIGHT INSERTION NA,120.0,60.0,26.17,108.0,64
RC,0272,NEEDLE NERVE STIMULATOR NA L15.2 CM LONG CATHETER,35.0,17.5,7.63,31.5,64
RC,0272,NEEDLE NERVE STIMULATOR NIM-SPINE NAVIGATE ACCESS PEDICLE,164.25,82.13,35.82,147.83,64
RC,0272,NEEDLE NERVE STIMULATOR PRECISION L6.5 IN INSERTION,120.0,60.0,26.17,108.0,64
RC,0272,NEEDLE NERVE STIMULATOR STIMUPLEX 360 OD20 GA L4 IN 30 D BEVEL INSULATE ECHOGENIC EXTENSION SET,362.04,181.02,78.96,325.84,64
RC,0272,NEEDLE NERVE STIMULATOR STIMUPLEX 360 OD22 GA L2 IN 30 D BEVEL INSULATE ECHOGENIC EXTENSION SET,322.68,161.34,70.38,290.41,64
RC,0272,NEEDLE NERVE STIMULATOR STIMUPLEX 360 OD22 GA L3 1/8 IN 30 D BEVEL INSULATE ECHOGENIC EXTENSION SET,347.04,173.52,75.69,312.34,64
RC,0272,NEEDLE NEUROSTIMULATOR 4IN COUDE,75.0,37.5,16.36,67.5,64
RC,0272,NEEDLE NEUROSTIMULATOR ENTRADA STERILE,120.0,60.0,26.17,108.0,64
RC,0272,NEEDLE NEUROSTIMULATOR FORAMEN SHORT 9001-S NON-STERILE,460.0,230.0,100.33,414.0,64
RC,0272,NEEDLE NEUROSTIMULATOR NA OD14 GA L6 IN CURVE TIP ACCESSORY,50.0,25.0,10.91,45.0,64
RC,0272,NEEDLE OPHTHALMIC 19GA 20.5CML,114.37,57.19,24.94,102.93,64
RC,0272,NEEDLE OPHTHALMIC 20GA 15DEG ANGLED FRAGMENTATION STELLARIS PC STERILE DISPOSABLE,591.95,295.98,129.1,532.76,64
RC,0272,NEEDLE PARACENTESIS 15GA 3.25INL STAINLESS STEEL BLUNT TIP CALDWELL STERILE DISPOSABLE,110.0,55.0,23.99,99.0,64
RC,0272,NEEDLE PERCUTANEOUS NAVIGUIDE OD18 GA L16 CM ACCESS ADJUSTABLE SLIDER DEPTH CONTROL RADIOPAQUE RING,39.0,19.5,8.51,35.1,64
RC,0272,NEEDLE PERCUTANEOUS NAVIGUIDE OD18 GA L20 CM ACCESS ADJUSTABLE SLIDER DEPTH CONTROL RADIOPAQUE RING,39.0,19.5,8.51,35.1,64
RC,0272,"NEEDLE PERIPHERAL NERVE BLOCK STIMULATION AND ECHOGENIC NEEDLE 20G X 4""",275.02,137.51,59.98,247.52,64
RC,0272,NEEDLE PIGMENT SIZE 18,70.0,35.0,15.27,63.0,64
RC,0272,NEEDLE PROCEDURE 18GA 71CM 50D POINTER STYLET BRK-1 STAINLESS STEEL ADULT TRANSSEPTAL,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE PROCEDURE 18GA 98CM 50D BRK CURVE POINTER STYLET BEVEL STAINLESS STEEL ADULT TRANSSEPTAL,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE PROCEDURE 18GA 98CM 50D POINTER STYLET BRK-1 STAINLESS STEEL ADULT TRANSSEPTAL,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE PROCEDURE 2 BEVEL TROCAR TIP STERILE DISPOSABLE METRX SPINE PAK,38.85,19.43,8.47,34.97,64
RC,0272,NEEDLE PROCEDURE 20GA 15IN PENCIL POINT TIP DURASPHERE EXP FEMALE SUBMUCOSAL TRANSURETHRAL,50.0,25.0,10.91,45.0,64
RC,0272,NEEDLE PROCEDURE 22-19GA 98CM 71CM CURVE C0 RADIOFREQUENCY ENERGY PUNCTURE STEERABLE NRG ACCEPTS 8.5FR SHEATH .032IN DILATOR SYSTEM TRANSEPTAL,480.0,240.0,104.69,432.0,64
RC,0272,NEEDLE PROCEDURE BREAKTHROUGH 18GA 56CML STAINLESS STEEL TRANSSEPTAL W/STYLET STERILE,150.0,75.0,32.72,135.0,64
RC,0272,NEEDLE RADIOLOGY ECHOTIP FIDUCIAL,525.0,262.5,114.5,472.5,64
RC,0272,NEEDLE SCLEROTHERAPY 23GA 2.3MM .32MM 4MM 240CM INNER CATHETER SHEATH STERILE DISPOSABLE INTERJECT CLEAR,159.28,79.64,34.74,143.35,64
RC,0272,NEEDLE SCLEROTHERAPY 23GA 4MML LOWER NEEDLEMASTER LATEX-FREE STERILE SINGLE-USE 5/BX,228.68,114.34,49.88,205.81,64
RC,0272,NEEDLE SCLEROTHERAPY 25GA 2.5MM 230CM 5MM INJECTION LUER LOCK SPRING LOAD HANDLE SHEATH LATEX FREE CARR-LOCKE STAINLESS STEEL TEFLON,195.7,97.85,42.68,176.13,64
RC,0272,NEEDLE SCLEROTHERAPY 26GA 4MML UPPER NEEDLEMASTER,228.68,114.34,49.88,205.81,64
RC,0272,NEEDLE SCLEROTHERAPY COOK OD25 GA ODSEC7 FR L4 MM EXTEND TIP LUER SLIP HANDLE L240 CM BLUE ESOPHAGEAL VARICES,43.0,21.5,9.38,38.7,64
RC,0272,NEEDLE SCLEROTHERAPY ENDOSCOPIC 25GA 4MML 200CML CONTRAST SHEATH DESIGN LOCKING HUB INTERJECT LATEX-FREE NON-RADIOLUCENT SINGLE-USE,147.24,73.62,32.11,132.52,64
RC,0272,NEEDLE SCLEROTHERAPY INJECTION 23GA 1.8MM OD SHEATH 4MML 200CML WORKING CLEAR SHEATH DESIGN LOCKABLE STAR CATHETER TECHNOLOGY INTERJECT LATEX-FREE SINGLE-USE,147.24,73.62,32.11,132.52,64
RC,0272,NEEDLE SCLEROTHERAPY INJECTORFORCE MAX OD25 GA ODSEC2.8 MM L4 MM SHORT BEVEL SMOOTH SHARP L2300 MM GASTROINTESTINE LOWER,146.24,73.12,31.89,131.62,64
RC,0272,NEEDLE SCORPION MULTI FIRE,1835.55,917.78,400.33,1652.0,64
RC,0272,NEEDLE SPINAL 20GA 6INL NON-INSULATED ECHOGENIC W/30DEG BEVELED EXTENSION SET ULTRAPLEX 360 LATEX-FREE STERILE DISPOSABLE,391.5,195.75,85.39,352.35,64
RC,0272,NEEDLE SPINAL CONFIDENCE OD11 GA L6 IN BEVEL INTRODUCER CONFIDENCE,71.25,35.63,15.54,64.13,64
RC,0272,NEEDLE SPINAL CONFIDENCE OD13 GA L4 IN INTRODUCER,71.25,35.63,15.54,64.13,64
RC,0272,NEEDLE SPINAL CONFIDENCE SPINAL CEMENT SYSTEM OD10 GA L5 IN BEVEL,71.25,35.63,15.54,64.13,64
RC,0272,NEEDLE SPINAL CONFIDENCE SPINAL CEMENT SYSTEM OD10 GA L5 IN DIAMOND INTRODUCER,71.25,35.63,15.54,64.13,64
RC,0272,NEEDLE SPINAL ESPOCAN PENCAN TUOHY OD18 GA ODSEC27 GA L3 1/2 IN BACKEYE LUMEN PENCIL POINT DOCK SYSTEM BPA L5 IN 5 ML EPIDURAL,220.18,110.09,48.02,198.16,64
RC,0272,NEEDLE SPINAL EVEREST MI XT FENESTRATE,94.5,47.25,20.61,85.05,64
RC,0272,NEEDLE SPINAL FENESTRATED RELINE-O 10001117,99.59,49.8,21.72,89.63,64
RC,0272,NEEDLE SPINAL L3 1/2 IN REGULAR WALL HIGH FLOW PENCIL POINT TIP OD25 GA BD WHITACRE POLYPROPYLENE BLUE,490.8,245.4,107.04,441.72,64
RC,0272,NEEDLE SPINAL LITE L100 MM Y,140.0,70.0,30.53,126.0,64
RC,0272,NEEDLE SPINAL LITE L200 MM Y,165.0,82.5,35.99,148.5,64
RC,0272,NEEDLE SPINAL LONG STERILE LATEX FREE DISPOSABLE AXONICS FORAMEN,460.0,230.0,100.33,414.0,64
RC,0272,NEEDLE SPINAL PAK 2 TROCAR PAK,19.43,9.72,4.24,17.49,64
RC,0272,NEEDLE SPINAL TIGER OD2.9 MM ODSEC12.6 MM L15-35 MM STYLET BROACH BEVEL TROCAR TIP PEDICLE ACCEPTS 1.5- MM Y WIRE,190.0,95.0,41.44,171.0,64
RC,0272,NEEDLE SPRING EYE 60MM,26.25,13.13,5.73,23.63,64
RC,0272,NEEDLE STA-R EVOLUTION STA COMPACT SZ3,416.0,208.0,90.73,374.4,64
RC,0272,NEEDLE SURGICAL F/TUNNELING CC1.P1 LICOX,249.2,124.6,54.35,224.28,64
RC,0272,NEEDLE SURGICAL PERMALOOP STRAIGHT,9.76,4.88,2.13,8.78,64
RC,0272,NEEDLE SURGICAL RELINE-O FENESTRATE O,263.94,131.97,57.57,237.55,64
RC,0272,NEEDLE SURGICAL SERENGETI OD11 GA BEVEL TIP SPINE PEDICLE,48.75,24.38,10.63,43.88,64
RC,0272,NEEDLE SUTURE 2-0 MINI TAPE REPAIR SUTURETAPE MENISCUS,1150.0,575.0,250.82,1035.0,64
RC,0272,NEEDLE SUTURE 2-0 SMALL BRAID SWEDGE LOW KNOT PROFILE FIBERWIRE MENISCUS,720.0,360.0,157.03,648.0,64
RC,0272,NEEDLE SUTURE 24MM MINI STERILE DISPOSABLE STAINLESS STEEL ROTATOR CUFF,108.0,54.0,23.55,97.2,64
RC,0272,NEEDLE SUTURE 35MM ARTHROTEK,87.0,43.5,18.97,78.3,64
RC,0272,NEEDLE SUTURE 36557 L10 IN SWAGE NONABSORBABLE TI-CRON,506.16,253.08,110.39,455.54,64
RC,0272,NEEDLE SUTURE 45D COLOR CODED SLIDER CHAMPION RIGHT,244.52,122.26,53.33,220.07,64
RC,0272,NEEDLE SUTURE 8 REGULAR STRAIGHT L2.008 IN TEMPER STRENGTH DEPENDABLE FREE EYE RICHARD-ALLAN KEITH STAINLESS STEEL OD.03 IN ABDOMEN TISSUE CLOSURE,332.22,166.11,72.46,299.0,64
RC,0272,NEEDLE SUTURE CAPSULECLOSE SCORPION,1225.0,612.5,267.17,1102.5,64
RC,0272,NEEDLE SUTURE EXPRESSEW III,978.0,489.0,213.3,880.2,64
RC,0272,NEEDLE SUTURE KEITH 3.5INL ABDOMINAL STRAIGHT TRIANGULAR POINT ANCHOR,96.0,48.0,20.94,86.4,64
RC,0272,NEEDLE SUTURE MEGALOADER SCORPION,975.0,487.5,212.65,877.5,64
RC,0272,NEEDLE SUTURE MULTIFIRE SCORPION,850.0,425.0,185.39,765.0,64
RC,0272,NEEDLE SUTURE REPAIR EYELET ZONE SPECIFIC II NITINOL MENISCUS BLUE,259.5,129.75,56.6,233.55,64
RC,0272,NEEDLE SUTURE ROUND PRECURVE STERILE FIRSTPASS NITINOL,900.0,450.0,196.29,810.0,64
RC,0272,NEEDLE SUTURE SCORPION,700.0,350.0,152.67,630.0,64
RC,0272,NEEDLE SUTURE SCORPION KNEE,975.0,487.5,212.65,877.5,64
RC,0272,NEEDLE SUTURE SCORPION SUREFIRE ROTATOR CUFF,700.0,350.0,152.67,630.0,64
RC,0272,NEEDLE SUTURE T-5 1/2 CIRCLE TAPER L26.5 MM LOOP BIO-TENODESIS NITINOL,228.0,114.0,49.73,205.2,64
RC,0272,NEEDLE TATTOO 14 FLAT RECIPROCATE STERILE PERMARK ULTRAESSENCE,50.0,25.0,10.91,45.0,64
RC,0272,NEEDLE TATTOO 18 FLAT RECIPROCATE STERILE PERMARK ULTRAESSENCE,50.0,25.0,10.91,45.0,64
RC,0272,NEEDLE TRANSBRONCH 20X15X1305/BX,419.45,209.73,91.48,377.51,64
RC,0272,NEEDLE TRANSSEPTAL 18GA 71CM 30D BRK 1 CURVE BEVEL STYLET BRK-1 STAINLESS STEEL ADULT XS SERIES,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE TRANSSEPTAL 18GA 71CM 30D BRK CURVE BEVEL STYLET STAINLESS STEEL ADULT XS SERIES,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE TRANSSEPTAL 18GA 71CM 50D BRK CURVE STYLET STERILE LATEX FREE DISPOSABLE BRK STAINLESS STEEL ADULT,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE TRANSSEPTAL 18GA 89CM 50D BRK CURVE BEVEL STYLET STAINLESS STEEL ADULT,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE TRANSSEPTAL 18GA 98CM 30D BRK 1 CURVE BEVEL STYLET BRK-1 STAINLESS STEEL ADULT,234.0,117.0,51.04,210.6,64
RC,0272,NEEDLE TRANSSEPTAL 19-22GA 71CM CURVE C0 RADIOFREQUENCY NRG ACCEPTS 8/8.5FR FIX SHEATH .032IN DILATOR SYSTEM,480.0,240.0,104.69,432.0,64
RC,0272,NEEDLE TRANSSEPTAL 19-22GA 71CM CURVE C1 RADIOFREQUENCY STERILE LATEX FREE DISPOSABLE NRG ACCEPTS 8/8.5FR FIX SHEATH .032IN DILATOR SYSTEM,480.0,240.0,104.69,432.0,64
RC,0272,NEEDLE TRANSSEPTAL 19-22GA 98CM CURVE C1 RADIOFREQUENCY NRG SAVE TIME ACCEPTS 8.5FR STEERABLE SHEATH .032IN DILATOR SYSTEM,480.0,240.0,104.69,432.0,64
RC,0272,NEEDLE TRANSSEPTAL 71CM ACQCROSS AGILIS NXT,650.0,325.0,141.77,585.0,64
RC,0272,NEEDLE TRANSSEPTAL COOK OD19 GA L56 CM CANNULA DISTAL TIP PEDIATRIC,156.75,78.38,34.19,141.08,64
RC,0272,NEEDLE TRANSSEPTAL COOK OD21 GA ODSEC18 GA L71 CM CANNULA DISTAL TIP ADULT,156.75,78.38,34.19,141.08,64
RC,0272,NEEDLE TRIDENT ENDOSCOPIC ULTRASOUND BIOPSY 22G CO-CR,246.0,123.0,53.65,221.4,64
RC,0272,NEEDLE TRIDENT ENDOSCOPIC ULTRASOUND BIOPSY 25G CO-CR,246.0,123.0,53.65,221.4,64
RC,0272,NEEDLE TROCAR KYPHON V OSTEO INTRODUCER OD10 GA STRAIGHT VERTEBROPLASTY,250.0,125.0,54.53,225.0,64
RC,0272,NEONATAL PICC LINE DRESSING CHANGE TRAY,678.4,339.2,147.96,610.56,64
RC,0272,NET SPECIMEN RETRIEVAL 160CM 2.5MM ROTH NET OCTAGONAL PLATINUM FOOD BOLUS 5.5X4CM NONSTERILE LATEX FREE,525.0,262.5,114.5,472.5,64
RC,0272,NET SPECIMEN RETRIEVAL 230CM 2.5MM ROTH NET SHEATH 6X3CM POLYP NONSTERILE LATEX FREE DISPOSABLE,445.79,222.9,97.23,401.21,64
RC,0272,NET SPECIMEN RETRIEVAL 230CM 2.5MM ROTH NET STANDARD SHEATH 6X3CM NONSTERILE LATEX FREE DISPOSABLE,838.17,419.09,182.8,754.35,64
RC,0272,NET SPECIMEN RETRIEVAL ENDOSCOPIC 3CM X 6CM 230CM CATH 2.5MM-TIP SOFT MESH ROTATABLE FLEXIBLE F/FOREIGN BODY REMOVAL ROTONET MRI-CONDITIONAL STERILE SINGLE-USE 2.8MM CHANNEL,910.0,455.0,198.47,819.0,64
RC,0272,NET SPECIMEN RETRIEVAL L230 CM UNIVERSAL SHEATH OD2.5 MM ROTH NET PLATINUM L5.5 CM X W4 CM,484.66,242.33,105.7,436.19,64
RC,0272,NEUROENDOSCOPE SEMIRIGID 15.5CM NEUROPEN LIGHTWEIGHT DISPOSABLE,1166.0,583.0,254.3,1049.4,64
RC,0272,NEUROENDOSCOPE SEMIRIGID L15.5 CM LONG PIXEL FIBERS 10000 OD1.14 MM NEUROPEN CRANIAL OPTX,1005.24,502.62,219.24,904.72,64
RC,0272,NEUROSCOPE RIGID L100 MM CAMERA AURORA SURGISCOPE,7250.0,3625.0,1581.23,6525.0,64
RC,0272,NEUROSCOPE RIGID L130 MM CAMERA AURORA SURGISCOPE,7250.0,3625.0,1581.23,6525.0,64
RC,0272,NEUROSCOPE RIGID L60 MM AURORA SURGISCOPE,7250.0,3625.0,1581.23,6525.0,64
RC,0272,NEUROSCOPE RIGID L80 MM AURORA SURGISCOPE,7250.0,3625.0,1581.23,6525.0,64
RC,0272,NEUROSIGN DISPOSABLEMONOPOLAR PROBE,600.0,300.0,130.86,540.0,64
RC,0272,NEUROSTIMULATOR BOSTON SCIENTIFIC IMPLANTABLE OR CABLE PUSH-BUTTON 8 CONTACT,155.0,77.5,33.81,139.5,64
RC,0272,NEUROSTIMULATOR EXTERNAL STERILE LATEX FREE DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,NEUROSTIMULATOR IMPLANTABLE BOOT KIT ACCESSORY,90.0,45.0,19.63,81.0,64
RC,0272,NEUROSTIMULATOR IMPLANTABLE VNS THERAPY PACK HEX SCREWDRIVER GENERATOR TEST RESISTOR LEAD TIE DOWN,743.4,371.7,162.14,669.06,64
RC,0272,NOSECONE ASPIRATOR CUSA EXCEL CEM 36KHZ HANDPIECE STERILE LATEX FREE DISPOSABLE,2345.51,1172.76,511.56,2110.96,64
RC,0272,NOZZLE BONE CEMENT 20CM FEMORAL BREAKAWAY LOCK DOWN LID FILTER DISPOSABLE,102.8,51.4,22.42,92.52,64
RC,0272,NOZZLE BONE CEMENT PLASTIC 40GM 90DEG PRISM II NON-RADIOLUCENT STERILE DISPOSABLE,150.0,75.0,32.72,135.0,64
RC,0272,NOZZLE BONE CEMENT PLASTIC 65DEG DISPOSABLE 10/CA,150.0,75.0,32.72,135.0,64
RC,0272,NOZZLE BONE CEMENT REVOLUTION HUMERUS,127.72,63.86,27.86,114.95,64
RC,0272,NOZZLE BONE CEMENT STRAIGHT NARROW EXTRUDER OD8.5 MM PRISM,150.0,75.0,32.72,135.0,64
RC,0272,NOZZLE BONE CEMENT THIN FLEXIBLE STERILE DISPOSABLE,102.8,51.4,22.42,92.52,64
RC,0272,NUT EXTERNAL FIXATION BUTTRESS COMPRESSION,419.18,209.59,91.42,377.26,64
RC,0272,NUT EXTERNAL FIXATION CANNULATED CONNECT POST 2.5 MM WIRE NONSTERILE,184.41,92.21,40.22,165.97,64
RC,0272,NUT EXTERNAL FIXATION COMPRESSION SCREW INSERTER,247.86,123.93,54.06,223.07,64
RC,0272,NUT EXTERNAL FIXATION SPRING LOAD,35.32,17.66,7.7,31.79,64
RC,0272,NUT LOCK LARGE SPINDLE,83.04,41.52,18.11,74.74,64
RC,0272,NUT LOCK PRODISC-C FIX RETAINER SCREW SYSTEM STERILE,40.0,20.0,8.72,36.0,64
RC,0272,NUT ORTHOPEDIC LARGE COMPRESSION MODULAR JUNCTION ZMR TIVANIUM HIP,59.5,29.75,12.98,53.55,64
RC,0272,NUT ORTHOPEDIC PULL REDUCTION DEVICE NONSTERILE,158.39,79.2,34.54,142.55,64
RC,0272,OBTURATOR ARTHROSCOPIC FLEXIBLE,125.0,62.5,27.26,112.5,64
RC,0272,OBTURATOR LAPAROSCOPIC BLADELESS OD8 MM ENDOWRIST DA VINCI SSI,630.0,315.0,137.4,567.0,64
RC,0272,OBTURATOR LAPAROSCOPIC BLADELESS OD8 MM WECK VISTA,189.0,94.5,41.22,170.1,64
RC,0272,OBTURATOR LAPAROSCOPIC LONG BLADELESS OD8 MM WECK VISTA LAPAROSCOPIC,189.0,94.5,41.22,170.1,64
RC,0272,OBTURATOR LAPAROSCOPIC LONG BLUNT OD8 MM DA VINCI XI,620.0,310.0,135.22,558.0,64
RC,0272,OBTURATOR LAPAROSCOPIC LONG OD8 MM DA VINCI S/SI ENDOWRIST,630.0,315.0,137.4,567.0,64
RC,0272,OBTURATOR SHEATH L10 CM FLEXIBLE OD6 FR RADIFOCUS L5 MM,49.0,24.5,10.69,44.1,64
RC,0272,OCULOPLASTICS PACK,198.7,99.35,43.34,178.83,64
RC,0272,OMNIGUIDE HANDPIECE OTO,125.0,62.5,27.26,112.5,64
RC,0272,OP HEAD AND NECK PACK,178.44,89.22,38.92,160.6,64
RC,0272,OPEN HEART PACK,596.43,298.22,130.08,536.79,64
RC,0272,OPEN MIXING BOWL,12.5,6.25,2.73,11.25,64
RC,0272,OPHTHALMOSCOPE EXAM 3.5V COAXIAL LED W/O POWER HANDLE SURECOLOR,212.3,106.15,46.3,191.07,64
RC,0272,OPSC FOOT ANKLE MINOR PACK,150.64,75.32,32.85,135.58,64
RC,0272,ORGAN PROCUREMENT,211.84,105.92,46.2,190.66,64
RC,0272,ORTHO EXTREMITY PACK,196.66,98.33,42.89,176.99,64
RC,0272,ORTHO MAJOR PACK,125.1,62.55,27.28,112.59,64
RC,0272,ORTHO TRAUMA PACK,216.64,108.32,47.25,194.98,64
RC,0272,ORTHOSIS ORTHOPEDIC SMALL 2 1/2--3INW X 13INL THERMOPLASTIC LEFT HAND DORSAL LIGHTWEIGHT ANTI-MICROBIAL FOAM LINER ADJUSTABLE HOOK-LOOP STRAP W/O FINGER SEPARATOR F/SPASTICITY CONTRACTURE CVA CLOSED H,52.09,26.05,11.36,46.88,64
RC,0272,OSTEOTOME 120MM GRAY FLEXIBLE SURGICAL 12MM STERILE,252.0,126.0,54.96,226.8,64
RC,0272,OSTEOTOME 15 MM ANGLE PELVIC BLADE SURGICAL,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME 20 MM ANGLE PELVIC BLADE SURGICAL,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME 20 MM STRAIGHT PELVIC BLADE SURGICAL,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME 3INX10MM FLEXIBLE SURGICAL THIN LATEX FREE,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME 3INX12MM FLEXIBLE SURGICAL THIN LATEX FREE,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME 3INX20MM FLEXIBLE SURGICAL THIN LATEX FREE,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME 3INX8MM FLEXIBLE SURGICAL THIN LATEX FREE,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME 6 MM X 67 MM GRAY FLEXIBLE BLADE SURGICAL,252.0,126.0,54.96,226.8,64
RC,0272,OSTEOTOME 80X8MM GRAY FLEXIBLE SURGICAL REVISION INSTRUMENT SYSTEM STERILE,252.0,126.0,54.96,226.8,64
RC,0272,OSTEOTOME 9.5MM ULTRA-DRIVE 3 SURGICAL SHORT STERILE DISPOSABLE,566.4,283.2,123.53,509.76,64
RC,0272,OSTEOTOME 9X1IN LAMBOTTE BLADE SURGICAL STRAIGHT 1IN,62.7,31.35,13.67,56.43,64
RC,0272,OSTEOTOME L140 MM X W12.5 MM THIN NA REPLACEMENT BLADE FLEXIBLE SURGICAL STAINLESS STEEL,70.8,35.4,15.44,63.72,64
RC,0272,OSTEOTOME L140 MM X W15 MM NA THIN REPLACEMENT BLADE FLEXIBLE SURGICAL STAINLESS STEEL,413.0,206.5,90.08,371.7,64
RC,0272,OSTEOTOME L140 MM X W20 MM 20 MM NA THIN REPLACEMENT BLADE FLEXIBLE SURGICAL STAINLESS STEEL,293.0,146.5,63.9,263.7,64
RC,0272,OSTEOTOME L3 IN FLAT AEQUALIS FLEXIBLE SURGICAL,140.0,70.0,30.53,126.0,64
RC,0272,OSTEOTOME L304 MM X W15 MM PELVIC SURGICAL,412.58,206.29,89.98,371.32,64
RC,0272,OSTEOTOME L5 IN X W10 MM THIN DEPUY ORTHOPAEDICS FLEXIBLE SURGICAL,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME L5 IN X W14 MM RADIAL DEPUY ORTHOPAEDICS FLEXIBLE SHAFT SURGICAL,357.75,178.88,78.03,321.98,64
RC,0272,OSTEOTOME L5 IN X W16 MM RADIAL DEPUY ORTHOPAEDICS FLEXIBLE SHAFT SURGICAL,357.75,178.88,78.03,321.98,64
RC,0272,OSTEOTOME L5 IN X W20 MM RADIAL FLEXIBLE SHAFT SURGICAL,357.75,178.88,78.03,321.98,64
RC,0272,OSTEOTOME L5 IN X W8 MM THIN FLEXIBLE SURGICAL,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME L93 MM HRIS SURGICAL OD12 MM,301.5,150.75,65.76,271.35,64
RC,0272,OSTEOTOME PELVIC BLADE SURGICAL 15MM STRAIGHT NONSTERILE,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME SURGICAL 18CM MEDIAL STRAIGHT WATSON,2500.0,1250.0,545.25,2250.0,64
RC,0272,OSTEOTOME SURGICAL TREPHINE MORELAND 11MM ID 5.5INL F/KNEE REVISION SET,659.1,329.55,143.75,593.19,64
RC,0272,OSTEOTOME SURGICAL TREPHINE MORELAND 15.5MM ID 5.5INL F/CEMENTLESS HIP REVISION INSTRUMENTATION,659.1,329.55,143.75,593.19,64
RC,0272,OSTEOTOME W12 MM THIN CURVE DEPUY ORTHOPAEDICS SURGICAL,205.65,102.83,44.85,185.09,64
RC,0272,OSTEOTOME W15 MM BAYONET PELVIC SURGICAL,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME W15 MM CURVE PELVIC SURGICAL,780.45,390.23,170.22,702.41,64
RC,0272,OSTEOTOME W15 MM SHORT ANGLE PELVIC SURGICAL,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME W20 MM BAYONET PELVIC SURGICAL,894.45,447.23,195.08,805.01,64
RC,0272,OSTEOTOME W20 MM CURVE PELVIC SURGICAL,887.28,443.64,193.52,798.55,64
RC,0272,OSTEOTOME W20 MM FLAG PELVIC SURGICAL,807.18,403.59,176.05,726.46,64
RC,0272,OVERTUBE ENDOSCOPIC 1450MM 13.2MM 40MM 10.8MM EN-450T5 T5/W DISPOSABLE,227.0,113.5,49.51,204.3,64
RC,0272,OVERTUBE ENDOSCOPIC 50CM 19.5MM 9.8-11.7MM 16.7MM TAPER TIP INSUFFLATION CAP GUARDUS GASTRIC,625.09,312.55,136.33,562.58,64
RC,0272,OVERTUBE ENDOSCOPIC L1320 MM 1 BALLOON ENTEROSCOPE SPLINT SMOOTH GLIDE OD13.2 MM ID11 MM SINGLE USE SPLINTING TUBE SILICONE HYDROPHILIC SMALL INTESTINE,255.82,127.91,55.79,230.24,64
RC,0272,OXYGENATOR ADULT HLS SET ADVANCED 7 ATF TBG BIOLINE COATING 3/8 IN PERFUSION,10750.0,5375.0,2344.58,9675.0,64
RC,0272,OXYGENATOR CARDIOPLEGIA 0.1-1.5 LPM FLOW RATE 0.5SQM SURFACE AREA W/HARDSHELL RESERVOIR INTEGRATED ARTERIAL FILTER CAPIOX,2232.0,1116.0,486.8,2008.8,64
RC,0272,OXYGENATOR QUADROX-ID BIOLINE PERFUSION,1317.0,658.5,287.24,1185.3,64
RC,0272,P  V 2ND PRESSURE KIT-WAKE FOREST BAPTIST HEALTH PG,722.79,361.4,157.64,650.51,64
RC,0272,PACEMAKER PACK,310.58,155.29,67.74,279.52,64
RC,0272,PACK ABMC SURGICAL SETUP,139.93,69.97,30.52,125.94,64
RC,0272,PACK AGMC SPINE,159.88,79.94,34.87,143.89,64
RC,0272,PACK AMCO GYN MINOR,62.88,31.44,13.71,56.59,64
RC,0272,PACK ARTHROSCOPIC PUSHLOCK 2.9 MM SHORT PUSHLOCK DISPOSABLE KIT,175.0,87.5,38.17,157.5,64
RC,0272,PACK ARTHROSCOPY,218.72,109.36,47.7,196.85,64
RC,0272,PACK ASPIRATOR CELLPOINT,2030.0,1015.0,442.74,1827.0,64
RC,0272,PACK AUTOTRANSFUSION 205 208 HAR-A-1000 CELL SAVER ELITE 225ML,738.12,369.06,160.98,664.31,64
RC,0272,PACK BAG TRANSFUSION ALIQUOT 150ML NEONATE PEDIATRIC NEEDLELESS QUADRUPLE W/PIERCING PIN/INJECTION SITE,640.08,320.04,139.6,576.07,64
RC,0272,PACK BASIN SURGICAL 14.25IN 4IN LIMB BLUE F/SUCTION LATEX-FREE STERILE,15.68,7.84,3.42,14.11,64
RC,0272,PACK BASIN SURGICAL DOUBLE STANDARD W/ACCESSORIES LATEX-FREE,132.78,66.39,28.96,119.5,64
RC,0272,PACK BATTERY FIXATION DRIVER SINGLE USE,250.47,125.24,54.63,225.42,64
RC,0272,PACK BATTERY KLS-SD-1000,185.64,92.82,40.49,167.08,64
RC,0272,PACK BATTERY LITHIUM PRECHARGE POWER DRIVER STERILE DISPOSABLE,199.65,99.83,43.54,179.69,64
RC,0272,PACK BATTERY VARISPEED STERILE LATEX FREE DISPOSABLE,285.0,142.5,62.16,256.5,64
RC,0272,PACK CANISTER SUCTION LIPO FILTER STERILE SINGLE PATIENT USE,209.0,104.5,45.58,188.1,64
RC,0272,PACK CARDIAC CATH,347.76,173.88,75.85,312.98,64
RC,0272,PACK CATARACT CAS STERILE - CPVEE 944,75.42,37.71,16.45,67.88,64
RC,0272,PACK CATHETER ANGIOGRAPHIC 5.2FR VESTAN NYLON JUDKINS RIGHT4/LEFT3.5 GRAY SUPER TORQUE PLUS CORPAC RADIOPAQUE 0.038IN GW,125.7,62.85,27.42,113.13,64
RC,0272,PACK CEMENTING TEMPORARY ZINC OXIDE EUGENOL 38GM POWDER 14ML LIQUID W/ADHESIVE XENO IVX100 UNIT DOSES HOLDERX3 APPLICATOR TIPX100 MANUALX2 IVORY IRM 173-7444,119.77,59.89,26.12,107.79,64
RC,0272,PACK COOLING NON-ADHERENT F/SWISS THERAPY STERILE,38.5,19.25,8.4,34.65,64
RC,0272,PACK CRANIOTOMY AORTA FLOYD,160.24,80.12,34.95,144.22,64
RC,0272,PACK CRANIOTOMY LOCK,372.65,186.33,81.27,335.39,64
RC,0272,PACK CUSTOM BB10P67R1 MANIFOLD,290.0,145.0,63.25,261.0,64
RC,0272,PACK CUSTOM CYSTOSCOPY HIGH POINT,132.15,66.08,28.82,118.94,64
RC,0272,PACK CUSTOM HY1B62R36 CHR LNNT,848.0,424.0,184.95,763.2,64
RC,0272,PACK CUSTOM INDIAN TRAIL  CATARACT 45 DEGREE,199.49,99.75,43.51,179.54,64
RC,0272,PACK CUSTOM INDIAN TRAIL CATARACT  30 DEGREE,199.49,99.75,43.51,179.54,64
RC,0272,PACK CUSTOM KENOSHA TOTAL HIP,179.03,89.52,39.05,161.13,64
RC,0272,PACK CUSTOM PERFUSION PUMP 3V52R3 HPH JUNIOR,188.0,94.0,41.0,169.2,64
RC,0272,PACK CUSTOM TUBING,614.0,307.0,133.91,552.6,64
RC,0272,PACK CYSTO CL,144.7,72.35,31.56,130.23,64
RC,0272,PACK CYSTOSCOPIC,61.68,30.84,13.45,55.51,64
RC,0272,PACK DELIVERY CDS CEMENT CARTRIDGE KYPHON CONCRETE CURING SYSTEM,86.0,43.0,18.76,77.4,64
RC,0272,PACK ELEVATOR ENDOSCOPIC SINGLE W/23GA NEEDLE CLEAR F/SUBMUCOSAL LIFT ORISE GEL INTERJECT STERILE SINGLE-USE 10/BX,1200.0,600.0,261.72,1080.0,64
RC,0272,PACK EXTREMITY SOP4GEXNBA,165.36,82.68,36.07,148.82,64
RC,0272,PACK EXTREMITY SOP4JEXUNA,97.38,48.69,21.24,87.64,64
RC,0272,PACK GYN LAPAROSCOPY,373.96,186.98,81.56,336.56,64
RC,0272,PACK HEAD NECK,88.22,44.11,19.24,79.4,64
RC,0272,PACK HIGH POINT SURGERY CENTER PEDIATRIC UROLOGY,72.75,36.38,15.87,65.48,64
RC,0272,PACK INSTRUMENT 12 PIN REAMER SALTO TALARIS,779.0,389.5,169.9,701.1,64
RC,0272,PACK INSTRUMENT ACL DISPOSABLE STERILE LATEX FREE,1659.78,829.89,362.0,1493.8,64
RC,0272,PACK INSTRUMENT EDGE HEAD DART-FIRE 3 MM,639.0,319.5,139.37,575.1,64
RC,0272,PACK INSTRUMENT ORTHOPEDIC PROCEDURE W/3MM DRILL PIN UNIVERSAL GUIDE DYNACLIP QUATTRO STERILE DISPOSABLE,200.0,100.0,43.62,180.0,64
RC,0272,PACK INSTRUMENT PROSTEP STERILE MIS,276.61,138.31,60.33,248.95,64
RC,0272,PACK LAPAROSCOPIC GYN LATEX-FREE GFLE 177 FLOYD MEDICAL CENTER,192.89,96.45,42.07,173.6,64
RC,0272,PACK LAPAROSCOPIC INSTRUMENT LIGHTED LATEX-FREE SINGLE-USE,850.0,425.0,185.39,765.0,64
RC,0272,PACK LAPAROSCOPY GYN OD,122.4,61.2,26.7,110.16,64
RC,0272,PACK LENS MICROSCOPE 175-200MM DIA RETINA W/THUMB SCREW CAP/WIDE FIELD CORRECTION CONTACT W/O DRAPE SUPER VIEW STERILE,2891.4,1445.7,630.61,2602.26,64
RC,0272,PACK LIGATION MULTIBAND SMARTBAND SAFEGRIP,87.55,43.78,19.09,78.8,64
RC,0272,PACK LINE PERFUSION SUPPLEMENTAL CB SUPPORT,440.0,220.0,95.96,396.0,64
RC,0272,PACK NEEDLE PHACOEMULSIFICATION SIZE 2 BLUNT TIP MICS SINGLE-USE,108.0,54.0,23.55,97.2,64
RC,0272,"PACK OPHTHALMIC BALANCE TIP 30 OD.9MM CUSTOM, ASSY,SHIP,CEN A .9 45BAL",562.38,281.19,122.66,506.14,64
RC,0272,PACK ORTHOPEDIC 22/13MM 160MM TITANIUM F/BONE STABILIZATION PROCEDURE PHOTODYNAMIC,4510.89,2255.45,983.83,4059.8,64
RC,0272,PACK PERFUSION 36IN RINSELESS CONNECTORS TUBING HEMOCONCENTRATOR .25MM SH14,880.0,440.0,191.93,792.0,64
RC,0272,PACK PERFUSION CUSTOM X-COATED,320.0,160.0,69.79,288.0,64
RC,0272,PACK PERFUSION PEDI,240.0,120.0,52.34,216.0,64
RC,0272,PACK PERFUSION PUMP W/STOPCOCK F/CARDIOPULMONARY BYPASS PROCEDURE,290.0,145.0,63.25,261.0,64
RC,0272,PACK PHACOEMULSIFICATION 0.9MM DIA 45DEG TAPERED F/VISION ULTRASOUND FMS KELMAN ABS LATEX-FREE,1855.86,927.93,404.76,1670.27,64
RC,0272,PACK PHACOEMULSIFICATION 1VS W/2.2.MM SLEEVE STELLARIS PC,534.96,267.48,116.67,481.46,64
RC,0272,PACK PHACOEMULSIFICATION ABS TIP FLUID MANAGEMENT SYSTEM ULTRA SLEEVE ALCON 45 D OD.9 MM,615.48,307.74,134.24,553.93,64
RC,0272,PACK PHACOEMULSIFICATION BASIC INTREPID PLUS,370.62,185.31,80.83,333.56,64
RC,0272,PACK PHACOEMULSIFICATION CUSTOM,211.42,105.71,46.11,190.28,64
RC,0272,PACK PHACOEMULSIFICATION CUSTOM DR. BLOTNICK,242.14,121.07,52.81,217.93,64
RC,0272,PACK PHACOEMULSIFICATION F/ULTRASOUND FLUIDICS MANAGEMENT SYSTEM CENTURIAN INTREPID PLUS,510.3,255.15,111.3,459.27,64
RC,0272,PACK PHACOEMULSIFICATION INFUSION SLEEVE BALANCE TIP INTREPID ABS 30 D OD.9 MM,562.38,281.19,122.66,506.14,64
RC,0272,PACK PHACOEMULSIFICATION INTREPID PLUS KELMAN ABS 30 D MINI FLARE OD.9 MM FLUIDICS MANAGEMENT SYSTEM,693.06,346.53,151.16,623.75,64
RC,0272,PACK PHACOEMULSIFICATION SLEEVE BALANCE TIP INTREPID ABS 30 D BEVEL UP OD.9 MM FLUID MANAGEMENT SYSTEM,615.48,307.74,134.24,553.93,64
RC,0272,PACK PHACOEMULSIFICATION ULTRA MINI FLARE TIP INTREPID PLUS KELMAN ABS 45 D OD.9 MM FLUIDICS MANAGEMENT SYSTEM,693.06,346.53,151.16,623.75,64
RC,0272,PACK PHACOEMULSIFICATION ULTRASOUND BASIC,527.88,263.94,115.13,475.09,64
RC,0272,PACK PROC CUST CRNTMY DYNJ55520,610.8,305.4,133.22,549.72,64
RC,0272,PACK PROC CUST OPN HRT DYNJ55533,574.32,287.16,125.26,516.89,64
RC,0272,PACK PROCEDURE CUSTOM EXTREMITY HP,251.07,125.54,54.76,225.96,64
RC,0272,PACK PROCEDURE CUSTOM HANA TABLE HIP FX,140.34,70.17,30.61,126.31,64
RC,0272,PACK PROCEDURE CUSTOM LEXINGTON SHOULDER ARTHROSCOPY,130.06,65.03,28.37,117.05,64
RC,0272,PACK SURG PROC CUSTOM LOWER EXTREMITY DBD DYNJ55178 DYNJ55178,160.44,80.22,34.99,144.4,64
RC,0272,PACK SURGICAL C SECTION LATEX FREE AAH,138.16,69.08,30.13,124.34,64
RC,0272,PACK SURGICAL CANNULATED DRILL NO BRAND,671.24,335.62,146.4,604.12,64
RC,0272,PACK SURGICAL CELL SAVER ELITE 100-240VAC 125ML,1181.73,590.87,257.74,1063.56,64
RC,0272,PACK SURGICAL CLOSING LATEX FREE ADVOCATE LUTHERAN GENERAL HOSP,130.98,65.49,28.57,117.88,64
RC,0272,PACK SURGICAL DRILL GUIDE STERILE LATEX FREE DYNACLIP DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,PACK SURGICAL FILLER DELIVERY PREMIER AFFIRM,675.0,337.5,147.22,607.5,64
RC,0272,PACK SURGICAL FREE FLAP AWA MED CENTER,554.94,277.47,121.03,499.45,64
RC,0272,PACK SURGICAL HIP LATEX FREE APOLLO BRAMWELL HOSPITAL AURORA HLTH CARE,123.78,61.89,27.0,111.4,64
RC,0272,PACK SURGICAL MCP DISPOSABLE STRYKER,594.4,297.2,129.64,534.96,64
RC,0272,PACK SURGICAL MYRIAD LX ILLUMINATION STERILE LATEX FREE 11GA DISPOSABLE,998.0,499.0,217.66,898.2,64
RC,0272,PACK SURGICAL PERFORATOR CATHETER MAVEN,650.0,325.0,141.77,585.0,64
RC,0272,PACK SURGICAL PICK EVANS,271.15,135.58,59.14,244.04,64
RC,0272,PACK SURGICAL PICK FORSEY,195.79,97.9,42.7,176.21,64
RC,0272,PACK SURGICAL PROCEDURE 30DEG ANGLED DAVIE 1/EA WAKE FOREST,373.25,186.63,81.41,335.93,64
RC,0272,PACK SURGICAL PROCEDURE 39INW X 23INL 6INW X 40INL ORTHOPEDIC III W/ACCESSORIES SIRUS LATEX-FREE STERILE,61.76,30.88,13.47,55.58,64
RC,0272,PACK SURGICAL PROCEDURE ACRYLATE/METHACRYLATE COPOLYMER TIP 30 DEGREE BALANCE,379.28,189.64,82.72,341.35,64
RC,0272,PACK SURGICAL PROCEDURE ADULT CATH CARDIAC,190.54,95.27,41.56,171.49,64
RC,0272,PACK SURGICAL PROCEDURE ANGIO,57.13,28.57,12.46,51.42,64
RC,0272,PACK SURGICAL PROCEDURE ARTERIOGRAM,223.3,111.65,48.7,200.97,64
RC,0272,PACK SURGICAL PROCEDURE ARTHROSCOPY II TRACEPAK FLOYD MEDICAL,96.6,48.3,21.07,86.94,64
RC,0272,PACK SURGICAL PROCEDURE BASIC AS15937-06,368.04,184.02,80.27,331.24,64
RC,0272,PACK SURGICAL PROCEDURE BASIC CATARACT,212.75,106.38,46.4,191.48,64
RC,0272,PACK SURGICAL PROCEDURE BASIC CATARACT AS15937-04 WAKE FOREST,55.15,27.58,12.03,49.64,64
RC,0272,PACK SURGICAL PROCEDURE BASIC DYNJ66908,149.44,74.72,32.59,134.5,64
RC,0272,PACK SURGICAL PROCEDURE BASIC GENERAL,67.68,33.84,14.76,60.91,64
RC,0272,PACK SURGICAL PROCEDURE BASIN MAJOR CMC,70.36,35.18,15.35,63.32,64
RC,0272,PACK SURGICAL PROCEDURE BREAST PLASTIC ODS,96.65,48.33,21.08,86.99,64
RC,0272,PACK SURGICAL PROCEDURE C SECTION,201.72,100.86,44.0,181.55,64
RC,0272,PACK SURGICAL PROCEDURE C SECTION WINSTO,123.35,61.68,26.9,111.02,64
RC,0272,PACK SURGICAL PROCEDURE C-SECTION NEW CMC 1,127.53,63.77,27.81,114.78,64
RC,0272,PACK SURGICAL PROCEDURE C-SECTION TRACEPAK FLOYD MEDICAL,135.26,67.63,29.5,121.73,64
RC,0272,PACK SURGICAL PROCEDURE CAESAREAN SECTION,120.47,60.24,26.27,108.42,64
RC,0272,PACK SURGICAL PROCEDURE CARDIOVASCULAR X-COATED FX W/CP50,697.5,348.75,152.12,627.75,64
RC,0272,PACK SURGICAL PROCEDURE CATARACT,140.31,70.16,30.6,126.28,64
RC,0272,PACK SURGICAL PROCEDURE CATARACT PICK - DR RHEINBOLT,223.15,111.58,48.67,200.84,64
RC,0272,PACK SURGICAL PROCEDURE CATH LAB FLOYD MEDICAL,254.34,127.17,55.47,228.91,64
RC,0272,PACK SURGICAL PROCEDURE CDS BASIN EAR LATEX-FREE,91.28,45.64,19.91,82.15,64
RC,0272,PACK SURGICAL PROCEDURE CDS CRANIOTOMY,18.2,9.1,3.97,16.38,64
RC,0272,PACK SURGICAL PROCEDURE CDS GENERAL LAPAROSCOPY,103.12,51.56,22.49,92.81,64
RC,0272,PACK SURGICAL PROCEDURE CDS GYN LAPAROSCOPY,105.62,52.81,23.04,95.06,64
RC,0272,PACK SURGICAL PROCEDURE CDS HAND BASIN,141.14,70.57,30.78,127.03,64
RC,0272,PACK SURGICAL PROCEDURE CDS HIP NAIL FEMORAL RODDING,150.0,75.0,32.72,135.0,64
RC,0272,PACK SURGICAL PROCEDURE CDS IMPLANT LATEX-FREE,182.98,91.49,39.91,164.68,64
RC,0272,PACK SURGICAL PROCEDURE CDS MAJOR,168.64,84.32,36.78,151.78,64
RC,0272,PACK SURGICAL PROCEDURE CDS MAJOR PLASTIC,199.82,99.91,43.58,179.84,64
RC,0272,PACK SURGICAL PROCEDURE CDS MINOR VASCULAR,183.62,91.81,40.05,165.26,64
RC,0272,PACK SURGICAL PROCEDURE CDS OPEN HEART,714.73,357.37,155.88,643.26,64
RC,0272,PACK SURGICAL PROCEDURE CDS SHOULDER LATEX-FREE,165.56,82.78,36.11,149.0,64
RC,0272,PACK SURGICAL PROCEDURE CDS SPINE,94.73,47.37,20.66,85.26,64
RC,0272,PACK SURGICAL PROCEDURE CDS T  A LATEX-FREE,294.88,147.44,64.31,265.39,64
RC,0272,PACK SURGICAL PROCEDURE CDS THORACIC,219.48,109.74,47.87,197.53,64
RC,0272,PACK SURGICAL PROCEDURE CDS TOTAL HIP LATEX-FREE,190.51,95.26,41.55,171.46,64
RC,0272,PACK SURGICAL PROCEDURE CDS TOTAL KNEE LATEX-FREE,254.79,127.4,55.57,229.31,64
RC,0272,PACK SURGICAL PROCEDURE CLOSURE COLORECTAL UNION,99.99,50.0,21.81,89.99,64
RC,0272,PACK SURGICAL PROCEDURE COLON BUNDLE,101.52,50.76,22.14,91.37,64
RC,0272,PACK SURGICAL PROCEDURE COMPLETE CUSTOMISED CONFIDENCE BASIC F/OPHTHALMIC PROCEDURES STERILE HUNTERSVILLE,204.8,102.4,44.67,184.32,64
RC,0272,PACK SURGICAL PROCEDURE CORONARY,201.99,101.0,44.05,181.79,64
RC,0272,PACK SURGICAL PROCEDURE CRANIOTOMY TRACEPAK FLOYD MEDICAL,112.56,56.28,24.55,101.3,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM 40INW X 90INL 2-SIDE LATEX-FREE,13.11,6.56,2.86,11.8,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM 45DEG ANGLED WAKE FOREST,401.22,200.61,87.51,361.1,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM AORTOGRAM INTERVENTIONAL RADIOLOGY SCV23AGCMA,112.11,56.06,24.45,100.9,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ARTERIOGRAM SAN23BSCHA,129.5,64.75,28.24,116.55,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ARTERIOVENOUS ACCESS LATEX-FREE AVCMM163 CHARLOTTE MECKLENBURG HOSPITAL,198.79,99.4,43.36,178.91,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ARTHROSCOPIC LATEX-FREE,167.72,83.86,36.58,150.95,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ARTHROSCOPY II LATEX-FREE,215.83,107.92,47.07,194.25,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ARTHROSCOPY LATEX-FREE SOP23ARCMA,135.69,67.85,29.59,122.12,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM BASIC CLEAN-UP W/SAHARA TABLE/DRAW/LIFT SHEET ARMBOARD COVERX2 QUICKSUITE LATEX-FREE OPERATING ROOM,115.47,57.74,25.18,103.92,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM BASIC UNIVERSAL ODS,66.44,33.22,14.49,59.8,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM BASIC UNIVERSAL W/DRAPE ABSORBENT TOWEL SUTURE BAG TABLE/MAYO STAND COVER,138.69,69.35,30.25,124.82,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM BASIN CATARACT LATEX-FREE,357.12,178.56,77.89,321.41,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM BREAST SBA23BRCMA,55.94,27.97,12.2,50.35,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM C SECTION,125.82,62.91,27.44,113.24,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM C-SECTION LATEX-FREE,123.34,61.67,26.9,111.01,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CABBAGE,946.74,473.37,206.48,852.07,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CATARACT,299.88,149.94,65.4,269.89,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CATARACT CAS LATEX-FREE STERILE CPVED 944,65.6,32.8,14.31,59.04,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CATARACT LATEX-FREE EYCSC 165 CAROLINAS MEDICAL CENTER,137.75,68.88,30.04,123.98,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CATARACT PICK DR KANSUPADA,167.79,83.9,36.59,151.01,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CATARACT PICK DR.KARO,230.32,115.16,50.23,207.29,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CDS CYSTO LATEX-FREE,120.84,60.42,26.36,108.76,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CLOSURE COLERECTAL,124.54,62.27,27.16,112.09,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CLOSURE LATEX-FREE,33.47,16.74,7.3,30.12,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CLOSURE LATEX-FREE 177 FLOYD MEDICAL CENTER,61.02,30.51,13.31,54.92,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CORONARY SCV23CPCHA,247.1,123.55,53.89,222.39,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CV TOWEL SPCHD 165 NORTHEAST MEDICAL CENTER,79.0,39.5,17.23,71.1,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CYSTO TURP 1/EA DYNJ55521,140.2,70.1,30.58,126.18,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CYSTOSCOPY DYNJ907573,484.35,242.18,105.64,435.92,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM CYSTOSCOPY SBA23CYUMB URMC,164.62,82.31,35.9,148.16,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM D AND C,114.88,57.44,25.06,103.39,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM DBD-ANGIOGRAPHY DYNJ55516,139.44,69.72,30.41,125.5,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM DBD-KNEE ARTHROSCOPY DYNJ55181,145.12,72.56,31.65,130.61,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM DRAPE SHEET TRAUMA LATEX-FREE STERILE,303.0,151.5,66.08,272.7,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM DRAPE SPLIT SBA23DRMHA,72.79,36.4,15.88,65.51,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ENDOVASCULAR SCV23ENCMA,201.21,100.61,43.88,181.09,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ENT,143.88,71.94,31.38,129.49,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ENT SEN23ENBIA,122.92,61.46,26.81,110.63,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM EXTREMITY LATEX-FREE EPCLA165 SOP23EPCLA,62.89,31.45,13.72,56.6,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM EXTREMITY LATEX-FREE EXSTB 165 STANLY REGIONAL MEDICAL CENTER,51.81,25.91,11.3,46.63,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM EYE ACCESSORIES,1377.72,688.86,300.48,1239.95,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM EYE PHACO EMULSIFICATION W/VISCOAT,311.9,155.95,68.03,280.71,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM FISTULOGRAM LATEX-FREE FPCLA165 SBA23FPCLA,52.52,26.26,11.45,47.27,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM FRACTURE TABLE,259.92,129.96,56.69,233.93,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM GENERAL,148.14,74.07,32.31,133.33,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM GYNECOLOGY,117.21,58.61,25.56,105.49,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM GYNECOLOGY GPSME362 SMA23GPSMF,67.3,33.65,14.68,60.57,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM HAND LATEX-FREE HTMSF 165 MERCY HOSPITAL SOUTH,38.06,19.03,8.3,34.25,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM HIP ARTHROSCOPY LATEX-FREE,393.24,196.62,85.77,353.92,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM HIP DRAPE OPTIMA W/ISOBAC STERILE DISPOSABLE,108.03,54.02,23.56,97.23,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM HIP SCREW LATEX-FREE HSWRE753 SOP23HSWRF,139.68,69.84,30.46,125.71,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM HYSTEROSCOPY LATEX-FREE ACS CAROLINAS MEDICAL CENTER 1,64.61,32.31,14.09,58.15,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM HYSTEROSCOPY LATEX-FREE HYCME 753,98.45,49.23,21.47,88.61,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM INFANT X-COATED PERFUSION 6 WEEK,394.0,197.0,85.93,354.6,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM IOL W/PHACOEMULSIFICATION KIT BSS F/CATARACT LATEX-FREE,122.39,61.2,26.69,110.15,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM KNEE ARTHROSCOPY,140.62,70.31,30.67,126.56,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LAMINECTOMY,117.26,58.63,25.57,105.53,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LAP CHOLE,222.44,111.22,48.51,200.2,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LAPAROSCOPIC GASTRIC BYPASS DYNJ904267,535.8,267.9,116.86,482.22,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LAPAROSCOPY GYNECOLOGY DRAPE LATEX-FREE STERILE DISPOSABLE CAROLINAS MEDICAL CENTRE,452.33,226.17,98.65,407.1,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LAPAROTOMY LATEX-FREE LPCLB165 SBA23LPCLA,51.69,25.85,11.27,46.52,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LAVH LATEX-FREE,58.72,29.36,12.81,52.85,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LINGEMAN GYN LITHOTOMY W/LEGGINGX2 UNDER BUTTOCK DRAPE MAYO TABLE COVER SUCTION TUBING STERILE,413.01,206.51,90.08,371.71,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LIVER BACK TABLE ABDOMINAL TX SBA23ABCMA,43.22,21.61,9.43,38.9,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM LIVER TRANSPLANT SBA23LRCMA,359.65,179.83,78.44,323.69,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM MAJOR,130.11,65.06,28.38,117.1,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM MAJOR ABDOMINAL,156.75,78.38,34.19,141.08,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM MINOR EXTREMITY,166.77,83.39,36.37,150.09,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM MINOR SBA23MNSTA,66.56,33.28,14.52,59.9,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM MINOR VASCULAR,521.79,260.9,113.8,469.61,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM NEONATE PERFUSION X-COATED,450.0,225.0,98.15,405.0,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM OPHTHALMIC BASIC,242.24,121.12,52.83,218.02,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM OPHTHALMIC EYE DRY LATEX-FREE ANCMD 753,44.57,22.29,9.72,40.11,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM OR ENDOVASCULAR MAJOR H N 753 CHARLOTTE MECKLENBURG HOSPITAL,150.05,75.03,32.73,135.05,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ORTHO MAJOR,125.1,62.55,27.28,112.59,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ORTHOPEDIC,157.41,78.71,34.33,141.67,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ORTHOPEDIC LAMINECTOMY LATEX-FREE OLCML 163,199.27,99.64,43.46,179.34,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM PACEMAKER TEMP PERM DYNJ55550,199.04,99.52,43.41,179.14,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM PEDIATRIC DRAPE HEART LATEX-FREE SBA23DPCMA,300.9,150.45,65.63,270.81,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM PEDIATRIC MINOR LAPAROTOMY SPT LATEX-FREE,255.85,127.93,55.8,230.27,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM PEDIATRIC PERFUSION X-COATED,394.0,197.0,85.93,354.6,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM PERFUSION BB8A86R12,630.0,315.0,137.4,567.0,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM PREOPERATIVE LATEX-FREE SDS,234.02,117.01,51.04,210.62,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ROBOTIC CYSTECTOMY CMC MAIN,191.88,95.94,41.85,172.69,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ROBOTIC GYNECOLOGIC CHS,74.35,37.18,16.22,66.92,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM ROBOTIC GYNECOLOGIC LATEX-FREE NE UNIV,62.2,31.1,13.57,55.98,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM SHOULDER LATEX-FREE SHCMP753 SOP23SHCMA,114.11,57.06,24.89,102.7,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM SHOULDER LATEX-FREE TKCLE 165,129.79,64.9,28.31,116.81,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM SHOULDER SUSPENSION II DYNJSHOULDER2,385.91,192.96,84.17,347.32,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM SKIN GRAFT,151.78,75.89,33.1,136.6,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM SPINAL BSCMN 163 CAROLINAS MEDICAL CENTER,74.21,37.11,16.19,66.79,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM STROKE,196.44,98.22,42.84,176.8,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM T  A LATEX-FREE TAUMU 163 UNION REGIONAL MEDICAL CENTER,45.41,22.71,9.9,40.87,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TONSIL SEN23TNCMA,58.57,29.29,12.77,52.71,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL HIP HTSMF362 SOP23HTSM5,88.39,44.2,19.28,79.55,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL HIP LATEX-FREE,296.6,148.3,64.69,266.94,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL HIP LATEX-FREE HPUMN 163 UNION REGIONAL MEDICAL CENTER,131.41,65.71,28.66,118.27,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL HIP LATEX-FREE THCLC165 SOP23THCLA,218.4,109.2,47.63,196.56,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL JOINT,171.35,85.68,37.37,154.22,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL KNEE LATEX-FREE KNCLG 165 CLEVELAND REGIONAL HOSPITAL,124.88,62.44,27.24,112.39,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL KNEE SOP23KTSMG KTSMF 362,190.45,95.23,41.54,171.41,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TOTAL KNEE SPT LATEX-FREE,268.71,134.36,58.61,241.84,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TRAUMA ORTHO LATEX-FREE,204.92,102.46,44.69,184.43,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM TUR LATEX-FREE,130.72,65.36,28.51,117.65,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM UPPER EXTREMITY LATEX-FREE,197.98,98.99,43.18,178.18,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM UROLOGY TUR,51.68,25.84,11.27,46.51,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM VITRECTOMY LATEX-FREE NORTHEAST MEDICAL CENTER,173.57,86.79,37.86,156.21,64
RC,0272,PACK SURGICAL PROCEDURE CUSTOM W/DRAPEX2 COVERX2 GOWNX2 BOWL LIDOCAINE SPONGE GAUZEX20 SYRINGEX4 NEEDLEX3 COUNTER SCALPEL PREP VIALX2 CONDUCTIVITY GELX3 STRIPX3 SKIN MARKER TOWELX6 WRAP STRADIS,403.25,201.63,87.95,362.93,64
RC,0272,PACK SURGICAL PROCEDURE CYSTO LATEX-FREE FLOYD,171.68,85.84,37.44,154.51,64
RC,0272,PACK SURGICAL PROCEDURE D/C/D/E,83.17,41.59,18.14,74.85,64
RC,0272,PACK SURGICAL PROCEDURE DELIVERY VAGINAL SUPPLEMENT LATEX-FREE,109.65,54.83,23.91,98.69,64
RC,0272,PACK SURGICAL PROCEDURE DILATATION  CURETTAGE SINGLE-USE CHS-UNION,229.03,114.52,49.95,206.13,64
RC,0272,PACK SURGICAL PROCEDURE DILATION CURETTAGE LATEX-FREE,455.41,227.71,99.32,409.87,64
RC,0272,PACK SURGICAL PROCEDURE DR WALTER CENTURION PAK W/O DUOVISC,345.18,172.59,75.28,310.66,64
RC,0272,PACK SURGICAL PROCEDURE DR WALTER CENTURION PAK WITH DUOVISC,399.14,199.57,87.05,359.23,64
RC,0272,PACK SURGICAL PROCEDURE ENT SPLINT SHEET DRAPE ADHESIVE W/ACCESSORIES LATEX-FREE STERILE,98.09,49.05,21.39,88.28,64
RC,0272,PACK SURGICAL PROCEDURE ENT TRACHEOTOMY,182.85,91.43,39.88,164.57,64
RC,0272,PACK SURGICAL PROCEDURE EXTREMITY DYNJ66807,92.79,46.4,20.24,83.51,64
RC,0272,PACK SURGICAL PROCEDURE EXTREMITY DYNJ66901,108.05,54.03,23.57,97.25,64
RC,0272,PACK SURGICAL PROCEDURE EXTREMITY FOOT ANKLE AH MERCY,175.0,87.5,38.17,157.5,64
RC,0272,PACK SURGICAL PROCEDURE EYE,478.0,239.0,104.25,430.2,64
RC,0272,PACK SURGICAL PROCEDURE EYE CATARACT ALCON,1234.68,617.34,269.28,1111.21,64
RC,0272,PACK SURGICAL PROCEDURE FISTULOGRAM,93.96,46.98,20.49,84.56,64
RC,0272,PACK SURGICAL PROCEDURE FOOT  ANKLE LATEX-FREE FLOYD,244.17,122.09,53.25,219.75,64
RC,0272,PACK SURGICAL PROCEDURE FRACTURE,150.01,75.01,32.72,135.01,64
RC,0272,PACK SURGICAL PROCEDURE GASTRIC BYPASS TRACEPAK FLOYD MEDICAL,150.77,75.39,32.88,135.69,64
RC,0272,PACK SURGICAL PROCEDURE GASTRIC SLEEVE TRACEPAK FLOYD MEDICAL,149.45,74.73,32.6,134.51,64
RC,0272,PACK SURGICAL PROCEDURE GENERAL,123.44,61.72,26.92,111.1,64
RC,0272,PACK SURGICAL PROCEDURE GENERAL II LATEX-FREE FLOYD,130.48,65.24,28.46,117.43,64
RC,0272,PACK SURGICAL PROCEDURE GENERAL LAPAROSCOPY LEXINGTON,416.04,208.02,90.74,374.44,64
RC,0272,PACK SURGICAL PROCEDURE GENERAL SURGERY II LATEX-FREE GFLE 177 FLOYD MEDICAL CENTER,57.09,28.55,12.45,51.38,64
RC,0272,PACK SURGICAL PROCEDURE HAND,136.56,68.28,29.78,122.9,64
RC,0272,PACK SURGICAL PROCEDURE HAND LATEX-FREE FLOYD,204.2,102.1,44.54,183.78,64
RC,0272,PACK SURGICAL PROCEDURE HAND SINGLE-USE,266.56,133.28,58.14,239.9,64
RC,0272,PACK SURGICAL PROCEDURE HAND SURGERY,80.0,40.0,17.45,72.0,64
RC,0272,PACK SURGICAL PROCEDURE HAWKINS,339.62,169.81,74.07,305.66,64
RC,0272,PACK SURGICAL PROCEDURE HEAD NECK LATEX-FREE,207.57,103.79,45.27,186.81,64
RC,0272,PACK SURGICAL PROCEDURE HEAD NECK LATEX-FREE OP,181.08,90.54,39.49,162.97,64
RC,0272,PACK SURGICAL PROCEDURE HEART FAILURE,164.1,82.05,35.79,147.69,64
RC,0272,PACK SURGICAL PROCEDURE HIP LATEX-FREE FLOYD,170.92,85.46,37.28,153.83,64
RC,0272,PACK SURGICAL PROCEDURE HIP LITHOTOMY,114.22,57.11,24.91,102.8,64
RC,0272,PACK SURGICAL PROCEDURE HIP TOTAL,199.48,99.74,43.51,179.53,64
RC,0272,PACK SURGICAL PROCEDURE HPB,278.19,139.1,60.67,250.37,64
RC,0272,PACK SURGICAL PROCEDURE HYSTERECTOMY VAGINAL,134.46,67.23,29.33,121.01,64
RC,0272,PACK SURGICAL PROCEDURE INSTRUMENT LAPROSCOPY CHOLECYSTECTOMY,89.47,44.74,19.51,80.52,64
RC,0272,PACK SURGICAL PROCEDURE KNEE ARTHROSCOPY,172.89,86.45,37.71,155.6,64
RC,0272,PACK SURGICAL PROCEDURE KNEE ARTHROSCOPY VI W/POUCH GOWNX2 CLOTH TOWELX8 STOCKINETTE IMPERVIOUS SUCTION TUBINGX2 SIRUS LATEX-FREE STERILE,376.38,188.19,82.09,338.74,64
RC,0272,PACK SURGICAL PROCEDURE KNEE TOTAL CMC MERCY,145.77,72.89,31.79,131.19,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROSCOPIC CHOLECYSTECTOMY,85.04,42.52,18.55,76.54,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROSCOPIC CHOLECYSTECTOMY SINGLE-USE CMC-NE,143.4,71.7,31.28,129.06,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY,67.21,33.61,14.66,60.49,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY DYNJ66803,173.49,86.75,37.84,156.14,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROSCOPY CHOLESCTOMY,90.02,45.01,19.63,81.02,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROTOMY,102.44,51.22,22.34,92.2,64
RC,0272,PACK SURGICAL PROCEDURE LAPAROTOMY W/4-DRAPE TOWEL SCRUB NURSE/SURGICAL POLY REINFORCED GOWN COVER SUTURE BAG LATEX-FREE STERILE 4/CA,11.73,5.87,2.56,10.56,64
RC,0272,PACK SURGICAL PROCEDURE LITH GYN TRACEPAK FLOYD MEDICAL,66.18,33.09,14.43,59.56,64
RC,0272,PACK SURGICAL PROCEDURE LUM LAM TRACEPAK FLOYD MEDICAL,82.57,41.29,18.01,74.31,64
RC,0272,PACK SURGICAL PROCEDURE MAIN ESOPHAGECTOMY SINGLE-USE,159.84,79.92,34.86,143.86,64
RC,0272,PACK SURGICAL PROCEDURE MAJOR,97.83,48.92,21.34,88.05,64
RC,0272,PACK SURGICAL PROCEDURE MAJOR BASIN,97.1,48.55,21.18,87.39,64
RC,0272,PACK SURGICAL PROCEDURE MAJOR BASIN LATEX-FREE DBD-FLOYD,122.16,61.08,26.64,109.94,64
RC,0272,PACK SURGICAL PROCEDURE MAJOR DYNJ66802,68.64,34.32,14.97,61.78,64
RC,0272,PACK SURGICAL PROCEDURE MATERNITY VAGINAL DELIVERY LATEX-FREE STERILE DISPOSABLE WAKE FOREST,67.44,33.72,14.71,60.7,64
RC,0272,PACK SURGICAL PROCEDURE MINOR,184.08,92.04,40.15,165.67,64
RC,0272,PACK SURGICAL PROCEDURE MINOR DYNJ66804,76.18,38.09,16.61,68.56,64
RC,0272,PACK SURGICAL PROCEDURE MINOR DYNJ66888,135.13,67.57,29.47,121.62,64
RC,0272,PACK SURGICAL PROCEDURE MINOR ORTHO LATEX-FREE FLOYD,149.99,75.0,32.71,134.99,64
RC,0272,PACK SURGICAL PROCEDURE NASAL LATEX-FREE FLOYD,130.93,65.47,28.56,117.84,64
RC,0272,PACK SURGICAL PROCEDURE NASAL LESION,107.85,53.93,23.52,97.07,64
RC,0272,PACK SURGICAL PROCEDURE OPSC MINOR FOOT,123.62,61.81,26.96,111.26,64
RC,0272,PACK SURGICAL PROCEDURE ORGAN PROCUREMENT,184.94,92.47,40.34,166.45,64
RC,0272,PACK SURGICAL PROCEDURE ORTHOPEDIC W/ORTHOMAX U-DRAPE MAYO STAND COVER DYNJP8340 LATEX-FREE STERILE DISPOSABLE,146.65,73.33,31.98,131.99,64
RC,0272,PACK SURGICAL PROCEDURE PACEMAKER,259.92,129.96,56.69,233.93,64
RC,0272,PACK SURGICAL PROCEDURE PACEMAKER II,710.68,355.34,155.0,639.61,64
RC,0272,PACK SURGICAL PROCEDURE PACEMAKER PERMANENT FLOYD MEDICAL,146.62,73.31,31.98,131.96,64
RC,0272,PACK SURGICAL PROCEDURE PEDIATRIC CYSTOSCOPY,89.64,44.82,19.55,80.68,64
RC,0272,PACK SURGICAL PROCEDURE PEDIATRIC GENERAL LAPAROSCOPY,697.41,348.71,152.11,627.67,64
RC,0272,PACK SURGICAL PROCEDURE PEDIATRIC LAPAROTOMY,666.36,333.18,145.33,599.72,64
RC,0272,PACK SURGICAL PROCEDURE PERCUTANEOUS NEPHRECTOMY,163.64,81.82,35.69,147.28,64
RC,0272,PACK SURGICAL PROCEDURE PIK 45 DEGREE ALCON,244.23,122.12,53.27,219.81,64
RC,0272,PACK SURGICAL PROCEDURE REPACK F/TONSILLECTOMY ADENOIDECTOMY,600.0,300.0,130.86,540.0,64
RC,0272,PACK SURGICAL PROCEDURE ROBOTIC THORACIC,330.04,165.02,71.98,297.04,64
RC,0272,PACK SURGICAL PROCEDURE SEPTOPLASTY,203.9,101.95,44.47,183.51,64
RC,0272,PACK SURGICAL PROCEDURE SHOULDER ARTHROPLASTY W/DRAPE POUCH ECLIPSE LATEX-FREE STERILE DISPOSABLE,175.36,87.68,38.25,157.82,64
RC,0272,PACK SURGICAL PROCEDURE SHOULDER DYNJ66892,99.3,49.65,21.66,89.37,64
RC,0272,PACK SURGICAL PROCEDURE SHOULDER DYNJ66904,120.44,60.22,26.27,108.4,64
RC,0272,PACK SURGICAL PROCEDURE SHOULDER III W/REINFORCED TABLE/MAYO STAND COVER IMPERVIOUS U-DRAPE ADHESIVE SUTURE BAG BODY SPLIT DRAPE 77INW X 114INL TAPE STRIPX2 ECLIPSE LATEX-FREE STERILE,139.41,69.71,30.41,125.47,64
RC,0272,PACK SURGICAL PROCEDURE SHOULDER LATEX-FREE FLOYD,142.35,71.18,31.05,128.12,64
RC,0272,PACK SURGICAL PROCEDURE TA,345.6,172.8,75.38,311.04,64
RC,0272,PACK SURGICAL PROCEDURE TA LATEX-FREE DBD-FLOYD,120.37,60.19,26.25,108.33,64
RC,0272,PACK SURGICAL PROCEDURE TOTAL JOINT,149.41,74.71,32.59,134.47,64
RC,0272,PACK SURGICAL PROCEDURE TOTAL KNEE,180.09,90.05,39.28,162.08,64
RC,0272,PACK SURGICAL PROCEDURE TOTAL KNEE TRACEPAK FLOYD MEDICAL,141.08,70.54,30.77,126.97,64
RC,0272,PACK SURGICAL PROCEDURE TOWEL CV,102.06,51.03,22.26,91.85,64
RC,0272,PACK SURGICAL PROCEDURE UNIVERSAL DRAPE W/ACCESSORIES W/O GOWN ECLIPSE LATEX-FREE STERILE,60.86,30.43,13.27,54.77,64
RC,0272,PACK SURGICAL PROCEDURE VASCULAR TRACEPAK FLOYD MEDICAL,96.5,48.25,21.05,86.85,64
RC,0272,PACK SURGICAL SHOULDER DRAPE FLUID CONTROL POUCH PEAR SPLIT DRAWSTRING TIBURON,175.36,87.68,38.25,157.82,64
RC,0272,PACK SURGICAL STERILE DYNACLIP FORTE DISPOSABLE,205.0,102.5,44.71,184.5,64
RC,0272,PACK SURGICAL STERILE LATEX FREE CLOSUREFAST DISPOSABLE,85.05,42.53,18.55,76.55,64
RC,0272,PACK SURGICAL THORACOTOMY,386.22,193.11,84.23,347.6,64
RC,0272,PACK SURGICAL UNIVERSAL CARDIOVASCULAR DRAPE CONVERTORS,125.34,62.67,27.34,112.81,64
RC,0272,PACK SURGICAL UNIVERSAL L40 IN X W40 IN CARDIOVASCULAR ORTHOMAX CVMAX DRAPE L113 IN X W72 IN,163.65,81.83,35.69,147.29,64
RC,0272,PACK SURGICAL UNIVERSAL L90 IN X W44 IN 2 SIDE SHEET MAYO STAND COVER SUTURE BAG ABSORBENT TOWEL CONVERTORS,81.99,41.0,17.88,73.79,64
RC,0272,PACK SURGICAL XL L46 IN X W28 IN ARTHROSCOPY SMARTSLEEVE GOWN IMPERVIOUS STOCKINETTE TIBURON DRAPE CONVERTORS,84.46,42.23,18.42,76.01,64
RC,0272,PACK SURGICAL XL L48 IN X W12 IN GENERAL ORTHOPEDIC SUTURE BAG ABSORBENT TOWEL OUTER WRAP CONVERTORS OPTIMA TIBURON L90 IN X W50 IN,76.05,38.03,16.59,68.45,64
RC,0272,PACK SUTURE MR DR. LIN SUTURE,123.12,61.56,26.85,110.81,64
RC,0272,PACK SUTURE PERCUTANEOUS ACHILLES REPAIR SYSTEM,525.0,262.5,114.5,472.5,64
RC,0272,PACK TOTAL JOINT,39.55,19.78,8.63,35.6,64
RC,0272,PACK TUBING PERFUSION PUMP CUSTOM ADULT X-COATED W/PC250 FX NE,732.98,366.49,159.86,659.68,64
RC,0272,PACK TUBING PERFUSION PUMP CUSTOM X-COATED WITH OXYGENATOR,795.0,397.5,173.39,715.5,64
RC,0272,PACK TUBING PERFUSION PUMP PACKING,683.0,341.5,148.96,614.7,64
RC,0272,PACK UNIVERSAL ADULT,457.5,228.75,99.78,411.75,64
RC,0272,PACK VITRECTOMY 10000 CPM CONSTELLATION OD25+ GA,4045.8,2022.9,882.39,3641.22,64
RC,0272,PACK VITRECTOMY 10000 CPM CONSTELLATION TOTAL PLUS ULTRAVIT EDGEPLUS OD23 GA,4045.8,2022.9,882.39,3641.22,64
RC,0272,PACK VITRECTOMY 25+ GA TOTAL PLUS CONSTELLATION 5000 CPM STRAIGHT ENDOILLUMINATOR EDGEPLUS VALVED ENTRY SYSTEM,3644.82,1822.41,794.94,3280.34,64
RC,0272,PACK VITRECTOMY 25GA 650 VA W/ASPIRATION TUBING COLLECTION BAG CARTRIDGE F/CATARACT SYSTEM EVA,2430.0,1215.0,529.98,2187.0,64
RC,0272,PACK VITRECTOMY 25GA POSTERIOR STELLARIS ELITE,3229.2,1614.6,704.29,2906.28,64
RC,0272,PACK VITRECTOMY 7500 CPM STRAIGHT ENDOILLUMINATOR VALVE CANNULA OD27 GA TOTAL PLUS CONSTELLATION,4045.8,2022.9,882.39,3641.22,64
RC,0272,PACK VITRECTOMY CONSTELLATION OD27+ GA,4118.7,2059.35,898.29,3706.83,64
RC,0272,PACK VITRECTOMY GAS FILL SYRINGE CONSTELLATION ENGAUGE V-LOCITY,497.52,248.76,108.51,447.77,64
RC,0272,PACK VITRECTOMY INFINITI ANTERIOR COAXIAL IRRIGATION SLEEVE DISPOSABLE,306.18,153.09,66.78,275.56,64
RC,0272,PACK VITRECTOMY INFINITI STERILE DISPOSABLE,954.0,477.0,208.07,858.6,64
RC,0272,PACK VITRECTOMY PNEUMATIC ANTERIOR CUTTER STELLARIS OD20 GA,514.38,257.19,112.19,462.94,64
RC,0272,PACK VITRECTOMY PROBE FRAGMENTATION HANDPIECE LIGHTWEIGHT CONSTELLATION OD20 GA,396.12,198.06,86.39,356.51,64
RC,0272,PACK VITRECTOMY STELLARIS ANTERIOR PNEUMATIC IRRIGATION STERILE DISPOSABLE,704.89,352.45,153.74,634.4,64
RC,0272,PACK VITRECTOMY SYRINGE NEEDLE CANNULA CONSTELLATION ENGAUGE RUBBER OD20 GA ODSEC23 GA 10 CC VISCUOUS FLUID CONTROL,522.54,261.27,113.97,470.29,64
RC,0272,PACK WSB ANTERIOR HIP WAKE FOREST BAPTIST MEDICAL CE,320.53,160.27,69.91,288.48,64
RC,0272,PACK WSB CYSTO WAKE FOREST BAPTIST MEDICAL CE,146.28,73.14,31.9,131.65,64
RC,0272,PACK WSB HAND WAKE FOREST BAPTIST MEDICAL CE,161.82,80.91,35.29,145.64,64
RC,0272,PACK WSB KNEE ARTHROSCOPY WAKE FOREST BAPTIST MEDICAL CE,178.89,89.45,39.02,161.0,64
RC,0272,PACK WSB LUMBAR LAMINECTOMY WAKE FOREST BAPTIST MEDICAL CE,339.2,169.6,73.98,305.28,64
RC,0272,PACK WSB OPSC FOOT ANKLE MINOR WAKE FOREST BAPTIST MEDICAL CE,150.64,75.32,32.85,135.58,64
RC,0272,PACK WSB ORTHO EXTREMITY WAKE FOREST BAPTIST MEDICAL CE,196.66,98.33,42.89,176.99,64
RC,0272,PACK WSB PERC NEPHROSTOLITHOTOMY WAKE FOREST BAPTIST MEDICAL CE,158.0,79.0,34.46,142.2,64
RC,0272,PACK WSB ROBOTIC HYSTERECTOMY WAKE FOREST BAPTIST MEDICAL CE,548.36,274.18,119.6,493.52,64
RC,0272,PACK WSB SHOULDER ARTHROSCOPY WAKE FOREST BAPTIST MEDICAL CE,124.02,62.01,27.05,111.62,64
RC,0272,PACK WSB TOTAL HIP WAKE FOREST BAPTIST MEDICAL CE,343.84,171.92,74.99,309.46,64
RC,0272,PACK WSB TOTAL KNEE WAKE FOREST BAPTIST MEDICAL CE,328.97,164.49,71.75,296.07,64
RC,0272,PACK WSB TOTAL SHOULDER WAKE FOREST BAPTIST MEDICAL CE,116.87,58.44,25.49,105.18,64
RC,0272,PACK WSB VAGINAL HYSTERECTOMY WAKE FOREST BAPTIST MEDICAL CE,290.07,145.04,63.26,261.06,64
RC,0272,PACKER/CHANG IOL CUTTERS 19 GAUGE,760.0,380.0,165.76,684.0,64
RC,0272,PACKING NASAL 4.5CM RAPID RHINO INFLATABLE UNILATERAL WITHOUT AIRWAY,518.59,259.3,113.1,466.73,64
RC,0272,PACKING NASAL 4X4CM MEROGEL HYAFF DRESSING SINUS STENT,146.0,73.0,31.84,131.4,64
RC,0272,PACKING NASAL 5.5CM RAPID RHINO HYDROCOLLOID FABRIC INFLATABLE UNILATERAL WITHOUT AIRWAY,518.58,259.29,113.1,466.72,64
RC,0272,PACKING NASAL 5.5CM RAPID RHINO INFLATABLE UNILATERAL AIRWAY,532.6,266.3,116.16,479.34,64
RC,0272,PACKING NASAL 5.5CM RAPID-PAC NONINFLATABLE,489.03,244.52,106.66,440.13,64
RC,0272,PACKING NASAL 7.5CM RAPID RHINO INFLATABLE BILATERAL AIRWAY,908.7,454.35,198.19,817.83,64
RC,0272,PACKING NASAL 7.5CM RAPID RHINO INFLATABLE UNILATERAL AIRWAY,532.6,266.3,116.16,479.34,64
RC,0272,PACKING NASAL 7.5CM RAPID RHINO INFLATABLE UNILATERAL WITHOUT AIRWAY,529.85,264.93,115.56,476.87,64
RC,0272,PACKING NASAL 9CM RAPID RHINO INFLATABLE 2 BALLOON,964.0,482.0,210.25,867.6,64
RC,0272,PACKING NASAL COLLAGEN HYALURONI ACID BIOREABSORBABLE W/SINUS STENT MEROPACK LATEX-FREE STERILE,221.94,110.97,48.41,199.75,64
RC,0272,PACKING NASAL DOYLE STANDARD 8CML X 3CMH 1.5MM THK HYDROXILATED POLYVINYL ACETATE SPONGE BIOCOMPATIBLE COMPRESSED W/AIRWAY STRING F/SEPTOPLASTY RHINOPLASTY TURBINECTOMY MEROCEL LATEX-FREE STERILE,208.21,104.11,45.41,187.39,64
RC,0272,PACKING NASAL INJECT DRESSING MEROGEL,134.0,67.0,29.23,120.6,64
RC,0272,PACKING NASAL L2.5 CM X H2 CM STRING POSTOPERATIVE TRIMMED SAFE MEROCEL BARON THK1.2 CM REGULAR SINUS WHITE,107.38,53.69,23.42,96.64,64
RC,0272,PACKING NASAL L3.5 CM X H1.2 CM STRING SLIM PROFILE HIGH DENSITY KENNEDY SINUS-PAK MEROCEL THK.9 CM,220.58,110.29,48.11,198.52,64
RC,0272,PACKING NASAL L3.5 MM X W1.2 MM X H1.2 MM DRAWSTRING HIGH ABSORBENT MEROCEL KENNEDY SINUS-PAK REGULAR WHITE EPISTAXIS,222.04,111.02,48.43,199.84,64
RC,0272,PACKING NASAL L4 CM BIORESORBABLE GENTLE NASOPORE,834.57,417.29,182.02,751.11,64
RC,0272,PACKING NASAL L4 CM X W4 CM DRESSING SINUS STENT HYDRATE MEROGEL HYAFF,240.0,120.0,52.34,216.0,64
RC,0272,PACKING NASAL L5.5 CM X W1.5 CM X H2.5 CM DRAWSTRING HIGH ABSORBENT MEROCEL WEIMERT WHITE EPISTAXIS,274.46,137.23,59.86,247.01,64
RC,0272,PACKING NASAL L7.7 CM X W1.5 CM X H3.3 CM HIGH ABSORBENT MEROCEL DOYLE WHITE EPISTAXIS,196.56,98.28,42.87,176.9,64
RC,0272,PACKING NASAL L8 CM X W1 CM X H3 CM STRING MEROCEL DOYLE STANDARD,122.3,61.15,26.67,110.07,64
RC,0272,PACKING NASAL L8 CM X W1.5 CM X H2 CM AIRWAY WITHOUT STRING MEROCEL STANDARD,318.14,159.07,69.39,286.33,64
RC,0272,PACKING NASAL L8 CM X W1.5 CM X H2 CM DRAWSTRING AIRWAY MEROCEL 2000 SEPTUM WHITE,196.56,98.28,42.87,176.9,64
RC,0272,PACKING NASAL L8 CM X W1.5 CM X H2 CM DRAWSTRING NONSTICK COMPRESS MEROCEL 2000 LONG SEPTUM WHITE,136.14,68.07,29.69,122.53,64
RC,0272,PACKING NASAL L8 CM X W1.5 CM X H2 CM SPLINT POSTOPERATIVE MEROCEL STANDARD SEPTUM WHITE EPISTAXIS,214.76,107.38,46.84,193.28,64
RC,0272,PACKING NASAL LARGE 10X1.5X2.5CM MEROCEL POPE FLEX-PAK WEIMERT COMPRESSED QUICK EFFECTIVE METHOD FIBER FREE HIGHLY ABSORBENT,203.84,101.92,44.46,183.46,64
RC,0272,PACKING NASAL LARGE SLIMLINE 8X2X1CM RHINO ROCKET EXPANDACELL PVA FOAM 30 SECOND APPLICATOR STRING ATTACH STERILE LATEX FREE,169.0,84.5,36.86,152.1,64
RC,0272,PACKING NASAL MEDIUM SLIMLINE 5X2X1CM RHINO ROCKET EXPANDACELL PVA FOAM 30 SECOND APPLICATOR STRING ATTACH STERILE LATEX FREE,144.0,72.0,31.41,129.6,64
RC,0272,PACKING NASAL POPE MEROCEL EPISTAXIS,201.66,100.83,43.98,181.49,64
RC,0272,PACKING NASAL POPE STANDARD 8CML X 2CMH 1.5MM THK HYDROXILATED POLYVINYL ACETATE SPONGE SINGLE COMPRESSION W/O STRING F/SEPTOPLASTY RHINOPLASTY TURBINECTOMY MEROCEL LATEX-FREE STERILE,278.1,139.05,60.65,250.29,64
RC,0272,PACKING NASAL RHINO ROCKET MEDIUM 0.2CMW X 5CML X 0.7CMH COMPRESSED 1CMW X 5CML X 2CMH EXPANDED PVA FOAM W/STRING SLIMLINE W/APPLICATOR STERILE,162.5,81.25,35.44,146.25,64
RC,0272,PACKING NASAL SMALL SLIMLINE 3X2X1CM RHINO ROCKET EXPANDACELL PVA FOAM 30 SECOND APPLICATOR STRING ATTACH STERILE LATEX FREE,138.0,69.0,30.1,124.2,64
RC,0272,PACKING NASAL STANDARD 1CMW X 5CML HYDROXILATED POLYVINYL ACETATE SPONGE BIOCOMPATIBLE COMPRESSED HIGHLY ABSORBENT LINT-FREE W/DRESSING STENT F/SEPTOPLASTY RHINOPLASTY TURBINECTOMY MEROCEL LATEX-FREE ,60.53,30.27,13.2,54.48,64
RC,0272,PACKING NASAL STANDARD 8CML X 2CML 1.5MM THK HYDROXILATED POLYVINYL ACETATE SPONGE BIOCOMPATIBLE COMPRESSED HIGHLY ABSORBENT W/STRING F/SEPTOPLASTY RHINOPLASTY TURBINECTOMY MEROCEL LATEX-FREE STERILE,172.54,86.27,37.63,155.29,64
RC,0272,PACKING NASAL THK1.3CM 8X1.8CM NOVAPAK CHITOSAN HYDROCHLORIDE CELLULOSE DISSOLVABLE PLIABLE FIRM SPONGE DISPOSABLE,1800.0,900.0,392.58,1620.0,64
RC,0272,PACKING WOUND 6FTX2IN 28INX24IN COTTON GAUZE 4 PLY XRAY DETECTABLE MESH WOVEN STERILE LATEX FREE VAGINAL,196.55,98.28,42.87,176.9,64
RC,0272,PAD BIOPSY POSITIVE ID CASSETTE POLYESTER URETHANE FOAM,33.0,16.5,7.2,29.7,64
RC,0272,PAD COOLING 11INW X 12INL ANKLE/ELBOW/HAND/HIP/KNEE/SHOULDER LIGHTWEIGHT COMPACT FOAM/URETHANE MALE COUPLING W/STRAP F/EASY MOBILITY TEMP-PAD ELECTRI-COOL II STERILE DISPOSABLE,235.0,117.5,51.25,211.5,64
RC,0272,PAD EEG DISPERSIVE ACESSA,200.0,100.0,43.62,180.0,64
RC,0272,PAD FLUID MANAGEMENT 28INW X 40INL POLY BACKING ABSORBENT BLUE DRI-SAFE LATEX-FREE,400.0,200.0,87.24,360.0,64
RC,0272,PAD FOAM PEG COVER HOLE D1.5 IN 5.5 IN 2.5 IN FOR 6 IN PEG SINGLE USE 20/PACK,147.0,73.5,32.06,132.3,64
RC,0272,PAD FOAM PEG COVER HOLE D1.5 IN 7.5 IN 2.5 IN FOR 8 IN PEG SINGLE USE 20/PACK,147.0,73.5,32.06,132.3,64
RC,0272,PAD HEMOSTASIS DRESSING 2INW X 2INL CALCIUM ALGINATE POLYMER BACKING SILVER STERILE,230.0,115.0,50.16,207.0,64
RC,0272,PAD HEMOSTASIS L4 CM X W4 CM NONINVASIVE V+PAD,257.5,128.75,56.16,231.75,64
RC,0272,PAD HIP WRAP ON POLAR THERAPEUTIC,24.44,12.22,5.33,22.0,64
RC,0272,PAD OR POSITIONING FOAM F/THIRD ASSISTANT,720.0,360.0,157.03,648.0,64
RC,0272,PAD OR POSITIONING THIGH HOLDER F/FERKEL SYSTEM NON-STERILE 6/BX,174.6,87.3,38.08,157.14,64
RC,0272,PAD OR POSITIONING TLC DISTRACTION W/MEMORY 4IN X 5YD COBAN KNEE GUARD F/IMP DE MAYO UNIVERSAL DISTRACTOR STERILE,405.0,202.5,88.33,364.5,64
RC,0272,PAD OR POSITIONING TRENDELENBURG W/INTEGRATED ARM TUCKING/PROTECTION WING,288.0,144.0,62.81,259.2,64
RC,0272,PAD OR TABLE DEVON CONVOLUTE FOAM L72 IN X W20 IN X H2 IN,88.4,44.2,19.28,79.56,64
RC,0272,PAD OR TABLE POSITIONER FOAM F/GENESIS BI-WING AAP,595.0,297.5,129.77,535.5,64
RC,0272,PAD OR TABLE TRENDELENBURG PEDIATRIC,262.5,131.25,57.25,236.25,64
RC,0272,PAD OR TABLE TRENDELENBURG PRE-CUT W/BODY STRAPX1 STP-100-SKIT1 LATEX-FREE SINGLE-PATIENT USE BLUE OCEAN BREEZE PRIMEPAD-K1,430.0,215.0,93.78,387.0,64
RC,0272,PAD OR TABLE TRENDELENBURG PRE-CUT W/BODY STRAPX1 STP-100-SKIT1 LATEX-FREE SINGLE-PATIENT USE BLUE OCEAN BREEZE STP-100S-KIT1,399.5,199.75,87.13,359.55,64
RC,0272,PAD POSITIONING .5IN DISTRACTOR FOAM GEL BOOT COHESIVE WRAP DE MAYO KNEE POSITIONER STERILE,598.0,299.0,130.42,538.2,64
RC,0272,PAD POSITIONING DE MAYO HIP POSITIONER UNIVERSAL LUMBAR ADJUSTABLE LATERAL SUPPORT,260.0,130.0,56.71,234.0,64
RC,0272,PAD POSITIONING DE MAYO LEG ARMBOARD STERILE,29.0,14.5,6.32,26.1,64
RC,0272,PAD POSITIONING DENSE FOAM/GEL HIP GLUE-ON UNIVERSAL LATERAL POSITIONER LATEX-FREE DISPOSABLE,170.0,85.0,37.08,153.0,64
RC,0272,PAD POSITIONING GENTLETOUCH SHEARGUARD ARM FOREHEAD SHOULDER ARMBOARD SET STRAP,95.54,47.77,20.84,85.99,64
RC,0272,PAD POSITIONING ION ESPS DISPOSABLE,550.0,275.0,119.96,495.0,64
RC,0272,PAD POSITIONING LARGE KNEE LIQUID TRIANGLE LATEX-FREE STERILE DISPOSABLE,275.0,137.5,59.98,247.5,64
RC,0272,PAD POSITIONING LATERAL,310.5,155.25,67.72,279.45,64
RC,0272,PAD SOUND PROCESSOR SOFTWEAR BAHA GENERATION 4 SP MAGNET SOFT,29.05,14.53,6.34,26.15,64
RC,0272,PAD THERAPEUTIC 12X11IN SELF SEAL CONNECTOR INSULATE HOSE PLIABLE NONSTERILE,257.0,128.5,56.05,231.3,64
RC,0272,PAD WOUND DRAIN VAC SENSATRAC TUBE CLAMP CONNECTOR STERILE DISPOSABLE,166.93,83.47,36.41,150.24,64
RC,0272,PAD XL 40X20X1IN DERMAPROX POSITIONING THE PINK PAD 1 LIFT SHEET 1 STEP ARM PROTECTOR TRENDELENBURG NONSTERILE DISPOSABLE PIGAZZI,373.12,186.56,81.38,335.81,64
RC,0272,PADDING CAST/SPLNT 21X36IN FLT LF 0.125IN,29.25,14.63,6.38,26.33,64
RC,0272,PADDLE DEFIBRILLATOR 1.5IN DIA 6INL STERILE REUSABLE,150.2,75.1,32.76,135.18,64
RC,0272,PADDLE DEFIBRILLATOR INTERNAL 2.5INL F/LIFEPAK 20/MONITOR REQUIRE HANDLE 636194,143.65,71.83,31.33,129.29,64
RC,0272,PADDLE LEAD SURG BLANKDEEP BRAIN STIM,70.0,35.0,15.27,63.0,64
RC,0272,PANEL ANALYZER TRIAGE PROFILER SOB TOTAL 5 CALIBRATION VERIFICATION METERPRO,72.0,36.0,15.7,64.8,64
RC,0272,PANNI XL POSTPARTUM RETRACTOR,750.0,375.0,163.58,675.0,64
RC,0272,PAPILLOTOME L200 CM OD5 FR ZIMMON BILIARY PANCREATIC NEEDLE KNIFE ENDOSCOPIC POLYETHYLENE .035 IN L7 MM,260.0,130.0,56.71,234.0,64
RC,0272,PARTICLES EMBOLIZATION 150-250UM VIAL CONTOUR POLYVINYL ALCOHOL,360.0,180.0,78.52,324.0,64
RC,0272,PARTICLES EMBOLIZATION 250-355UM VIAL CONTOUR POLYVINYL ALCOHOL,360.0,180.0,78.52,324.0,64
RC,0272,PARTICLES EMBOLIZATION 355-500UM 5 VIAL CONTOUR PVA,850.0,425.0,185.39,765.0,64
RC,0272,PARTICLES EMBOLIZATION 500-710UM 5 VIAL CONTOUR PVA,850.0,425.0,185.39,765.0,64
RC,0272,PASSER E-ZPASS 30D LEFT HANDLE SUTURE GREEN,189.0,94.5,41.22,170.1,64
RC,0272,PASSER EZPASS BLK UP 90D,189.0,94.5,41.22,170.1,64
RC,0272,PASSER EZPASS GRN RT 30D,189.0,94.5,41.22,170.1,64
RC,0272,PASSER FIRSTPASS ST SELF CAPTURE PRELOAD ROUND PRECURVE NEEDLE DEEP BITE SUTURE NITINOL STERILE DISPOSABLE,180.0,90.0,39.26,162.0,64
RC,0272,PASSER FIRSTPASS ST STANDARD SUTURE,170.0,85.0,37.08,153.0,64
RC,0272,PASSER GABBAY-FRATER GUIDE ORGANIZER SUTURE VALVE LATEX FREE,102.0,51.0,22.25,91.8,64
RC,0272,PASSER LOOP N TACK SWIFTSTITCH SUTURE,240.0,120.0,52.34,216.0,64
RC,0272,PASSER NOVOSTITCH PRO SUTURE MENISCAL REPAIR SYSTEM,490.0,245.0,106.87,441.0,64
RC,0272,PASSER PERFECTPASSER MAGNUMWIRE CARTRIDGE SUTURE POLYESTER STERILE DISPOSABLE WHITE,960.0,480.0,209.38,864.0,64
RC,0272,PASSER QUICKPASS LASSO 45D RIGHT CURVE THUMBWHEEL SUTURE NITINOL STERILE DISPOSABLE,160.0,80.0,34.9,144.0,64
RC,0272,PASSER QUICKPASS SUTURELASSO 90D CURVE STRAIGHT ERGONOMIC HANDLE THUMBWHEEL SUTURE NITINOL ARTHROSCOPY STERILE DISPOSABLE,160.0,80.0,34.9,144.0,64
RC,0272,PASSER SLIDER SHUTTLE SUTURE NITINOL,66.3,33.15,14.46,59.67,64
RC,0272,PASSER SPECTRUM II 60D LEFT HOOK LOCK ERGONOMIC HANDLE SUTURE STERILE DISPOSABLE YELLOW,294.8,147.4,64.3,265.32,64
RC,0272,PASSER SPECTRUM MVP MEDIUM CRESCENT HOOK ERGONOMIC HANDLE SUTURE STERILE DISPOSABLE,705.21,352.61,153.81,634.69,64
RC,0272,PASSER SURGICAL 36CM UNI-SHUNT SHORT PERITONEUM CATHETER MALLEABLE ADULT HYDROCEPHALUS SHUNT SYSTEM STERILE LATEX FREE DISPOSABLE,708.17,354.09,154.45,637.35,64
RC,0272,PASSER SURGICAL 55CM CATHETER HYDROCEPHALUS SHUNT SYSTEM,772.81,386.41,168.55,695.53,64
RC,0272,PASSER SURGICAL 65CM UNI-SHUNT XL PERITONEUM CATHETER MALLEABLE ADULT HYDROCEPHALUS SHUNT SYSTEM STERILE LATEX FREE DISPOSABLE,772.81,386.41,168.55,695.53,64
RC,0272,PASSER SURGICAL ACL 9.5MML STRAIGHTSHOT CALIBRATED TUBE W/TAPE NON-STERILE DISPOSABLE,1409.0,704.5,307.3,1268.1,64
RC,0272,PASSER SURGICAL L38 CM CATHETER,85.0,42.5,18.54,76.5,64
RC,0272,PASSER SURGICAL L38 CM CATHETER CATHETER PASSER SUBCUTANEOUS,165.6,82.8,36.12,149.04,64
RC,0272,PASSER SURGICAL L60 CM CATHETER PASSER SUBCUTANEOUS VENTRICULOPERITONEAL CATHETER SHUNT,172.0,86.0,37.51,154.8,64
RC,0272,PASSER SURGICAL TUBE INSERTION NONSTERILE LATEX FREE REUSABLE,161.24,80.62,35.17,145.12,64
RC,0272,PASSER SUTURE 2 TWINFIX,36.77,18.39,8.02,33.09,64
RC,0272,PASSER SUTURE 25 D SMALL LEFT TIGHT CURVE QUICKPASS SUTURELASSO CANNULA ERGONOMIC HANDLE THUMBWHEEL ID8.25 MM ARTHROSCOPY,160.0,80.0,34.9,144.0,64
RC,0272,PASSER SUTURE 25 D SMALL RIGHT TIGHT CURVE QUICKPASS SUTURELASSO CANNULA ERGONOMIC HANDLE THUMBWHEEL ID8.25 MM ARTHROSCOPY,160.0,80.0,34.9,144.0,64
RC,0272,PASSER SUTURE 25 D TIGHT LEFT CURVE SUTURELASSO SD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,PASSER SUTURE 25 D TIGHT RIGHT CURVE SUTURELASSO SD THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,PASSER SUTURE 3 REPLACEMENT NEEDLE SLEEVE,409.0,204.5,89.2,368.1,64
RC,0272,PASSER SUTURE 45 D 1 LEFT CURVE SUTURELASSO L10 YD ERGONOMIC HANDLE REELPASS THUMBWHEEL OD1.5 MM BLUE ARTHROSCOPY,160.0,80.0,34.9,144.0,64
RC,0272,PASSER SUTURE 45 D 1 RIGHT CURVE SUTURELASSO L10 YD HANDLE REELPASS THUMBWHEEL SHUTTLE OD1.5 MM BLUE ARTHROSCOPY,160.0,80.0,34.9,144.0,64
RC,0272,PASSER SUTURE 45 D ANGLE LEFT SPECTRUM II HOOK LOCK HANDLE BLUE,294.8,147.4,64.3,265.32,64
RC,0272,PASSER SUTURE 45 D ANGLE RIGHT SPECTRUM II HOOK LOCK HANDLE RED,294.8,147.4,64.3,265.32,64
RC,0272,PASSER SUTURE 45 D CURVE SUTURELASSO NITINOL ARTHROSCOPY,115.0,57.5,25.08,103.5,64
RC,0272,PASSER SUTURE 45 D LEFT CURVE ACCU-PASS SHUTTLE ERGONOMIC HANDLE THUMB WHEEL,137.35,68.68,29.96,123.62,64
RC,0272,PASSER SUTURE 45 D LEFT CURVE SUTURELASSO SD THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,PASSER SUTURE 45 D RIGHT CURVE CORKSCREW SUTURELASSO ARTHROSCOPY,130.0,65.0,28.35,117.0,64
RC,0272,PASSER SUTURE 45 D SUTURELASSO WIRE LOOP NITINOL OD2.3 MM ARTHROSCOPY,130.0,65.0,28.35,117.0,64
RC,0272,PASSER SUTURE 45 D UPBEND ACCU-PASS 1 HAND ERGONOMIC HANDLE 1 PIECE SHAFT THUMB WHEEL SHOULDER,137.35,68.68,29.96,123.62,64
RC,0272,PASSER SUTURE 60 D RIGHT SPECTRUM II HOOK LOCK ERGONOMIC HANDLE ORANGE,294.8,147.4,64.3,265.32,64
RC,0272,PASSER SUTURE 60 D SPECTRUM MVP HOOK LOW PROFILE OD1.8 MM,252.11,126.06,54.99,226.9,64
RC,0272,PASSER SUTURE 7 MM CURVTEK,189.0,94.5,41.22,170.1,64
RC,0272,PASSER SUTURE 70 D CAP-FIX,350.0,175.0,76.34,315.0,64
RC,0272,PASSER SUTURE 90 D SUTURELASSO WIRE LOOP NITINOL OD2.3 MM ELBOW SHOULDER ARTHROSCOPY,130.0,65.0,28.35,117.0,64
RC,0272,PASSER SUTURE 90 D UP STRAIGHT SUTURELASSO SD THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM SHOULDER LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,PASSER SUTURE ARTHROSCOPIC WIRE LOOP QUICKPASS SUTURELASSO LATEX-FREE,148.05,74.03,32.29,133.25,64
RC,0272,PASSER SUTURE CRESCENT SUTURELASSO HIP ARTHROSCOPY,165.0,82.5,35.99,148.5,64
RC,0272,PASSER SUTURE FASTPASS SCORPION SIDE LOAD ARTHROSCOPY,3995.0,1997.5,871.31,3595.5,64
RC,0272,PASSER SUTURE FIBERWIRE NITINOL OD18 GA ARTHROSCOPY,75.0,37.5,16.36,67.5,64
RC,0272,PASSER SUTURE GABBAY-FRATER GUIDE ORGANIZER VALVE,244.0,122.0,53.22,219.6,64
RC,0272,PASSER SUTURE GRAPPLER BRAID LOOP NITINOL,185.0,92.5,40.35,166.5,64
RC,0272,PASSER SUTURE GRASPER STANDARD STRAIGHT STERILE DISPOSABLE,153.75,76.88,33.53,138.38,64
RC,0272,PASSER SUTURE LATITUDE ELBOW,92.0,46.0,20.07,82.8,64
RC,0272,PASSER SUTURE LEFT CURVE FIRSTPASS MINI,275.0,137.5,59.98,247.5,64
RC,0272,PASSER SUTURE MEDIUM FIBERTAPE CERCLAGE STRAIGHT,225.0,112.5,49.07,202.5,64
RC,0272,PASSER SUTURE MICRO STRAIGHT SUTURELASSO BRAID MATTRESS STITCH STAINLESS STEEL NITINOL ARTHROSCOPY,700.0,350.0,152.67,630.0,64
RC,0272,PASSER SUTURE MINI RIGHT CURVE FIRSTPASS,275.0,137.5,59.98,247.5,64
RC,0272,PASSER SUTURE MINI SMALL DIAMETER FIRSTPASS 1 ACTION PRELOAD NEEDLE STREAMLINE JAW,350.0,175.0,76.34,315.0,64
RC,0272,PASSER SUTURE MULTIFIRE SCORPION HUMPBACK ARTHROSCOPY,3995.0,1997.5,871.31,3595.5,64
RC,0272,PASSER SUTURE NEEDLE REPROCESSED W/CON-SHAPED PILOT GUIDE CARTER-THOMASON,208.36,104.18,45.44,187.52,64
RC,0272,PASSER SUTURE SHUTTLE RELAY SPECTRUM 2-0 1 MONOFILAMENT,298.7,149.35,65.15,268.83,64
RC,0272,PASSER SUTURE SMALL CRESCENT SPECTRUM II L15 MM HOOK ERGONOMIC HANDLE OD3 MM WHITE,294.8,147.4,64.3,265.32,64
RC,0272,PASSER SUTURE SMALL FIBERTAPE CERCLAGE STRAIGHT,225.0,112.5,49.07,202.5,64
RC,0272,PASSER SUTURE STRAIGHT ACCU-PASS SHUTTLE,131.0,65.5,28.57,117.9,64
RC,0272,PASSER SUTURE STRAIGHT FIBERTAPE CERCLAGE TROCHANTERIC,225.0,112.5,49.07,202.5,64
RC,0272,PASSER SUTURE STRAIGHT LARGE FIBERTAPE CERCLAGE BLACK,225.0,112.5,49.07,202.5,64
RC,0272,PASSER SUTURE STRAIGHT SPECTRUM II HOOK ERGONOMIC HANDLE PINK,294.8,147.4,64.3,265.32,64
RC,0272,PASSER SUTURE SUTURELASSO SD WIRE LOOP NITINOL OD1.8 MM ODSEC3.8 MM ARTHROSCOPY,140.0,70.0,30.53,126.0,64
RC,0272,PASSER SUTURE TRUEPASS DISPOSABLE NEEDLE,690.0,345.0,150.49,621.0,64
RC,0272,PASSER SUTURE TWINFIX L12 IN,35.0,17.5,7.63,31.5,64
RC,0272,PASSER SUTURE UNIVERSAL BANANA SUTURELASSO ROTATOR CUFF NITINOL OD2.3 MM ARTHROSCOPY,130.0,65.0,28.35,117.0,64
RC,0272,PASSER SUTURE XBRAID L24 IN TAPE NONNEEDLE LOOP OD1.4 MM BLUE WHITE,85.0,42.5,18.54,76.5,64
RC,0272,PASSER SUTURE XL CRESCENT ACCU-PASS DIRECT HIP ARTHROSCOPY,275.0,137.5,59.98,247.5,64
RC,0272,PASSER WECK EFX CLASSIC SUTURE,155.0,77.5,33.81,139.5,64
RC,0272,PASSER WECK EFX CONE 9.82IN SUTURE STERILE LATEX FREE DISPOSABLE,395.0,197.5,86.15,355.5,64
RC,0272,PASSING NEEDLE MD CERCLAGE,475.0,237.5,103.6,427.5,64
RC,0272,PATCH HEMOSTATIC LARGE 4.8X4.8CM ABSORBABLE SEALANT TACHOSIL FIBRIN LATEX FREE,909.0,454.5,198.25,818.1,64
RC,0272,PATCH SURGICAL L4 IN X W2 IN SEALANT EVARREST FIBRIN,1600.0,800.0,348.96,1440.0,64
RC,0272,PDO BIDIRECTIONAL VIOLET ABSORBABLE SUTURE WITH 48,275.81,137.91,60.15,248.23,64
RC,0272,PED GENERAL LAPAROSCOPY PACK SBA4FPGWFA,697.41,348.71,152.11,627.67,64
RC,0272,PED GENERAL LAPAROSCOPY PACK SBA4FPGWFB,471.56,235.78,102.85,424.4,64
RC,0272,PED LAPAROTOMY PACK,727.74,363.87,158.72,654.97,64
RC,0272,PED SPINE PACK,173.75,86.88,37.89,156.38,64
RC,0272,PEDIATRIC CYSTO PACK,118.84,59.42,25.92,106.96,64
RC,0272,PEDS MINOR PACK,316.47,158.24,69.02,284.82,64
RC,0272,PEG FIXATION ULNAR REDUCTION SHORTEN ACUMED,126.0,63.0,27.48,113.4,64
RC,0272,PENCIL ELECTROSURGICAL BIPOLAR 23GA STRAIGHT VIAFLEX PLUS PLASTIC CONTAINER KIRWAN LATEX-FREE DISPOSABLE,198.0,99.0,43.18,178.2,64
RC,0272,PENCIL ELECTROSURGICAL POLYTETRAFLUROETHYLENE ROCKER SWITCH W/E-Z CLEAN ACE BLADE AND HOLSTER MEGADYNE SINGLE-USE,13.54,6.77,2.95,12.19,64
RC,0272,PENCIL PHOTONBLADE 3 MONOPOLAR,295.0,147.5,64.34,265.5,64
RC,0272,PENCIL PHOTONBLADE 3 MONOPOLAR WITH SMOKE EVACUATION,350.0,175.0,76.34,315.0,64
RC,0272,PENCIL SMOKE EVACUATOR 22MM MEGADYNE ULTRA VAC E-Z CLEAN TELESCOPIC NOSE,842.99,421.5,183.86,758.69,64
RC,0272,PENCIL SMOKE EVACUATOR 70MM NEPTUNE ROCKER SWITCH COATED SUCTION SLEEVE PROTECTIVE HOLSTER STERILE LATEX FREE DISPOSABLE,230.0,115.0,50.16,207.0,64
RC,0272,PENCIL SMOKE EVACUATOR COATED PUSH BUTTON NEPTUNE E-SEP,230.0,115.0,50.16,207.0,64
RC,0272,PENCIL SMOKE EVACUATOR L10 FT TELESCOPE MONOPOLAR BLADE TIP OPEN MEGADYNE,496.57,248.29,108.3,446.91,64
RC,0272,PENCIL SMOKE EVACUATOR TELESCOPIC MONOPOLAR 15FT CORD STAINLESS STEEL BLADE BUTTON SWITCH FLEXIBLE CONNECTOR MEGADYNE,526.36,263.18,114.8,473.72,64
RC,0272,PENCIL VALLEYLAB SM SMOKE MANAGEMENT EXTENDED NOZZLE WITH EDGE ELECTRODE 15FT,575.0,287.5,125.41,517.5,64
RC,0272,PERC NEPHROSTOLITHOTOMY PACK,158.0,79.0,34.46,142.2,64
RC,0272,PERFORATOR 11MM 8MM CODMAN HUDSON END SHARP COLOR CODED ATRAUMATIC TIP SURGICAL STAINLESS STEEL STERILE DISPOSABLE,478.8,239.4,104.43,430.92,64
RC,0272,PERFORATOR 14MM 11MM CODMAN HUDSON END SHARP COLOR CODED ATRAUMATIC TIP SURGICAL STAINLESS STEEL STERILE DISPOSABLE,478.8,239.4,104.43,430.92,64
RC,0272,PERFORATOR 9MM 6MM CODMAN HUDSON END SHARP COLOR CODED ATRAUMATIC TIP SURGICAL STAINLESS STEEL STERILE DISPOSABLE,384.0,192.0,83.75,345.6,64
RC,0272,PERFORATOR BONE FENESTRATION,115.0,57.5,25.08,103.5,64
RC,0272,PERFORATOR BONE SURGICAL,115.0,57.5,25.08,103.5,64
RC,0272,PERFORATOR CRANIAL 3 MM SHELF OD14 MM ID11 MM WHITE,293.0,146.5,63.9,263.7,64
RC,0272,PERFORATOR SURGICAL 14MM ID 11MM OD SKULL SHARP COLOR-CODED F/CRANIOTOMY STERILE DISPOSABLE,138.59,69.3,30.23,124.73,64
RC,0272,PERFORATOR SURGICAL CRANIOTOMY 8MM ID 11MM OD SHARP COLOR-CODED STERILE DISPOSABLE,147.6,73.8,32.19,132.84,64
RC,0272,PERFORM HUMERAL GUIDE PIN 3.0X100MM,181.0,90.5,39.48,162.9,64
RC,0272,PHOTONBLADE WITH ADAPTIVE SMOKE EVACUATION,325.0,162.5,70.88,292.5,64
RC,0272,PICC LINE,206.25,103.13,44.98,185.63,64
RC,0272,PICC LINE PACK,206.25,103.13,44.98,185.63,64
RC,0272,PICK SURGICAL 13CM 1.5MM 45D POWERPICK POWER TROCAR TUNNEL FEMUR ACL DISPOSABLE STERILE,505.0,252.5,110.14,454.5,64
RC,0272,PICK SURGICAL 45 D D4 MM DRILL POWERPICK,101.0,50.5,22.03,90.9,64
RC,0272,PICK SURGICAL L13 CM 30 D POWER TROCAR TUNNEL OD1.5 MM POWERPICK FEMUR ACL,505.0,252.5,110.14,454.5,64
RC,0272,PICK SURGICAL L13 CM 45 D XL POWER TROCAR TUNNEL OD1.5 MM POWERPICK FEMUR ACL,505.0,252.5,110.14,454.5,64
RC,0272,PICK SURGICAL VEIN LIFTER STERILE,11.14,5.57,2.43,10.03,64
RC,0272,PIERCER BONE CEMENT 6MM 180MM TITANIUM OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,PIERCER BONE CEMENT 8MM 180MM TITANIUM OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,PIK PAK 30DEG CUSTOM,382.45,191.23,83.41,344.21,64
RC,0272,PIK PAK 45DEG CUSTOM,386.86,193.43,84.37,348.17,64
RC,0272,PIK PAK DR EVANS 45DEG,271.15,135.58,59.14,244.04,64
RC,0272,PIK PAK DR RADIONCHENKO,294.65,147.33,64.26,265.19,64
RC,0272,PILLOW PATIENT CUSTOM HEART ATRIUM HEALTH NAVICENT,150.0,75.0,32.72,135.0,64
RC,0272,PILLOW POSITIONING INFLATE HIP MIS,95.0,47.5,20.72,85.5,64
RC,0272,PIN ADULT MAYFIELD RADIOLUCENT SAPPHIRE SKULL,699.85,349.93,152.64,629.87,64
RC,0272,PIN ALIGNMENT L200 MM OD2.5 MM AEQUALIS SHOULDER GLENOID,72.0,36.0,15.7,64.8,64
RC,0272,PIN BENDING 1.3 MM LOCK PLATE,307.91,153.96,67.16,277.12,64
RC,0272,PIN BENDING THREAD 1.5 MM LCP PLATE,165.02,82.51,35.99,148.52,64
RC,0272,PIN BONE FIXATION STEINMANN 3.2MM 3.5IN STAINLESS STEEL SQUARE END HEADLESS FLUTED STERILE,69.55,34.78,15.17,62.6,64
RC,0272,PIN BONE FIXATION STEINMANN 3.2MM 9IN STAINLESS STEEL THREADED PLAIN TROCAR POINT NON-STERILE,125.0,62.5,27.26,112.5,64
RC,0272,PIN BONE FIXATION STEINMANN TEMPORARY 2.8MM 9IN SINGLE ROUND ENDED TROCAR POINT NON-STERILE,80.0,40.0,17.45,72.0,64
RC,0272,PIN DISP THRD STOP 4/EA,334.5,167.25,72.95,301.05,64
RC,0272,PIN DISTRACTION 12MM ACIS STAINLESS STEEL NONSTERILE,24.0,12.0,5.23,21.6,64
RC,0272,PIN DISTRACTION BLUE 12MM UNIVERSAL 3 FLUTE TITANIUM SAFER SHARPER ANTERIOR CERVICAL FUSION STERILE DISPOSABLE,247.0,123.5,53.87,222.3,64
RC,0272,PIN DISTRACTION GREEN 16MM TITANIUM DISPOSABLE,247.0,123.5,53.87,222.3,64
RC,0272,PIN DISTRACTION L100 MM OD2.7 MM PENDING ANKLE,50.0,25.0,10.91,45.0,64
RC,0272,PIN DISTRACTION L14 MM SPINE,44.0,22.0,9.6,39.6,64
RC,0272,PIN DISTRACTION PURPLE 18MM TITANIUM SAFE SHARP STRONG DISPOSABLE,240.0,120.0,52.34,216.0,64
RC,0272,PIN DISTRACTION YELLOW 14MM TITANIUM SHARP ANTERIOR CERVICAL FUSION STERILE DISPOSABLE,247.0,123.5,53.87,222.3,64
RC,0272,PIN DISTRACTOR 12MM DIA CERVICAL LATEX-FREE,70.0,35.0,15.27,63.0,64
RC,0272,PIN DISTRACTOR L100 MM OD2.5 MM MEDLINE,50.0,25.0,10.91,45.0,64
RC,0272,PIN DISTRACTOR L12 MM,44.0,22.0,9.6,39.6,64
RC,0272,PIN DRILL 75MM 3.2MM 2.5MM NEXGEN TROCAR TIP HEXAGONAL DRIVE STERILE DISPOSABLE,231.6,115.8,50.51,208.44,64
RC,0272,PIN DRILL FENESTRATION OD2 MM REFLEX,175.0,87.5,38.17,157.5,64
RC,0272,PIN DRILL L175 MM ARRAY OD4 MM VELYS,32.0,16.0,6.98,28.8,64
RC,0272,PIN DRILL OD1.5 MM BICEPTOR TENDON,120.0,60.0,26.17,108.0,64
RC,0272,PIN DRILL OD3 MM RETROBUTTON SPADE,115.0,57.5,25.08,103.5,64
RC,0272,PIN DRILL OD3.7 MM,130.0,65.0,28.35,117.0,64
RC,0272,PIN DRILL OD4 MM RETROBUTTON TIGHTROPE KNEE ACL OPEN EYELET,125.0,62.5,27.26,112.5,64
RC,0272,PIN DRILL RETROBUTTON KNEE ACL,115.0,57.5,25.08,103.5,64
RC,0272,PIN DRILL TIP GUIDE 1.9MMX300MM,147.12,73.56,32.09,132.41,64
RC,0272,PIN EXTERNAL FIXATION 4MM DIA 15CML HIP NAVIGATION STERILE,878.15,439.08,191.52,790.34,64
RC,0272,PIN EXTERNAL FIXATION LARGE 12MML GOLD,150.0,75.0,32.72,135.0,64
RC,0272,PIN EXTERNAL FIXATION SCHANZ 4MM DIA 160MML TITANIUM SELF-DRILLING F/MINIMALLY INVASIVE SURGERY RENAISSANCE STERILE DISPOSABLE,900.0,450.0,196.29,810.0,64
RC,0272,PIN EXTERNAL FIXATION SCHANZ 6MM DIA 190MML F/PELVIC PLATING SYSTEM,75.0,37.5,16.36,67.5,64
RC,0272,PIN FIXATION 2.5MM 100MM STEINMANN NONSTERILE STAINLESS STEEL,31.84,15.92,6.94,28.66,64
RC,0272,PIN FIXATION 2.5MM ANATOMICAL SHOULDER REVERSE TRABECULAR METAL,150.0,75.0,32.72,135.0,64
RC,0272,PIN FIXATION 2.7MM 14MM PERI-LOC TRIAL DRILL GUIDE,116.42,58.21,25.39,104.78,64
RC,0272,PIN FIXATION 2.7MM 14MM PERI-LOC VLP STAINLESS STEEL,91.42,45.71,19.94,82.28,64
RC,0272,PIN FIXATION 2.7MM 18MM PERI-LOC TARGETING STAINLESS STEEL,73.1,36.55,15.94,65.79,64
RC,0272,PIN FIXATION 2.7MM 18MM PERI-LOC TRIAL STAINLESS STEEL,83.39,41.7,18.19,75.05,64
RC,0272,PIN FIXATION 2.7MM 25MM PERI-LOC VLP TRIAL STAINLESS STEEL DISPOSABLE,98.43,49.22,21.47,88.59,64
RC,0272,PIN FIXATION 2.7MM 40MM PERI-LOC TRIAL STAINLESS STEEL,94.22,47.11,20.55,84.8,64
RC,0272,PIN FIXATION 2.7MM 40MM PERI-LOC TRIAL STAINLESS STEEL - 71171230,95.85,47.93,20.9,86.27,64
RC,0272,PIN FIXATION 2.7MM 40MM PERI-LOC TRIAL TARGETER STAINLESS STEEL,103.43,51.72,22.56,93.09,64
RC,0272,PIN FIXATION 2MM 14MM,85.5,42.75,18.65,76.95,64
RC,0272,PIN FIXATION 2MM 9IN STEINMANN,145.0,72.5,31.62,130.5,64
RC,0272,PIN FIXATION 2MM 9IN STEINMANN SMOOTH PLAIN TROCAR NONSTERILE STAINLESS STEEL,17.91,8.96,3.91,16.12,64
RC,0272,PIN FIXATION 3.2MM 330MM STEINMANN THREAD TROCAR STERILE LATEX FREE DISPOSABLE,281.0,140.5,61.29,252.9,64
RC,0272,PIN FIXATION 3.2MM AMK CUT GUIDE STAINLESS STEEL SHORT,99.45,49.73,21.69,89.51,64
RC,0272,PIN FIXATION 3.2MM BLUNT NONSTERILE LATEX FREE,45.0,22.5,9.81,40.5,64
RC,0272,PIN FIXATION 3.2MM EXCHANGE NONSTERILE LATEX FREE,90.0,45.0,19.63,81.0,64
RC,0272,PIN FIXATION 3.2MM GUIDE,45.0,22.5,9.81,40.5,64
RC,0272,PIN FIXATION 3.5MM 18MM PERI-LOC TARGETTER,73.1,36.55,15.94,65.79,64
RC,0272,PIN FIXATION 3.5MM 18MM PERI-LOC TRIAL STAINLESS STEEL,70.24,35.12,15.32,63.22,64
RC,0272,PIN FIXATION 3.5MM 40MM PERI-LOC TRIAL TARGETER STAINLESS STEEL,96.89,48.45,21.13,87.2,64
RC,0272,PIN FIXATION 3.5MM 40MM PROVISIONAL,94.22,47.11,20.55,84.8,64
RC,0272,PIN FIXATION 3IN TRIATHLON HEADLESS LONG FLUTE,414.06,207.03,90.31,372.65,64
RC,0272,PIN FIXATION 4MM 110MM STERILE BONE,104.0,52.0,22.68,93.6,64
RC,0272,PIN FIXATION 4MM 140MM STERILE STRAIGHT KNEE,104.0,52.0,22.68,93.6,64
RC,0272,PIN FIXATION 4MM 170MM STERILE KNEE,104.0,52.0,22.68,93.6,64
RC,0272,PIN FIXATION HEAD THREAD SHORT,42.0,21.0,9.16,37.8,64
RC,0272,PIN FIXATION HEAD TRULIANT SHORT,65.0,32.5,14.18,58.5,64
RC,0272,PIN FIXATION HIP QUICK SIGMA HP STERILE,270.0,135.0,58.89,243.0,64
RC,0272,PIN FIXATION KIT GPS HEXAGON,210.0,105.0,45.8,189.0,64
RC,0272,PIN FIXATION OD1.1 MM L15 MM MEDLINE UNITE,60.0,30.0,13.09,54.0,64
RC,0272,PIN FIXATION OD1.1 MM L20 MM MEDLINE UNITE,60.0,30.0,13.09,54.0,64
RC,0272,PIN FIXATION OD1.1 MM TEMPORARY FOREFOOT KIRSCHNER,54.73,27.37,11.94,49.26,64
RC,0272,PIN FIXATION OD1.1 MM TEMPORARY ORTHOLOC 3DI SMALL,52.74,26.37,11.5,47.47,64
RC,0272,PIN FIXATION OD1.1 MM THREAD L10 MM UNITE MINI,60.0,30.0,13.09,54.0,64
RC,0272,PIN FIXATION OD1.4 MM TEMPORARY ORTHOLOC LARGE,52.74,26.37,11.5,47.47,64
RC,0272,PIN FIXATION OD1.6 MM 5 MM SCREW REDUCTION JOYSTICK,92.09,46.05,20.08,82.88,64
RC,0272,PIN FIXATION OD2 MM CALCANEUS STEINMANN,16.0,8.0,3.49,14.4,64
RC,0272,PIN FIXATION OD2 MM TEMPORARY ORTHOLOC,54.73,27.37,11.94,49.26,64
RC,0272,PIN FIXATION OD2.4 MM ODSEC1.2 MM BEATH SUTURE HOLE L25.4 MM X W3.3 MM STAINLESS STEEL,21.04,10.52,4.59,18.94,64
RC,0272,PIN FIXATION OD2.4 MM STEINMANN,23.0,11.5,5.02,20.7,64
RC,0272,PIN FIXATION OD2.8 MM CENTER 6.5 MM SCREW REDUCTION JOYSTICK,72.62,36.31,15.84,65.36,64
RC,0272,PIN FIXATION OD3 MM LOCATOR REFLEX,50.0,25.0,10.91,45.0,64
RC,0272,PIN FIXATION OD3.18 MM PRELOAD L90 MM PINABALL,601.25,300.63,131.13,541.13,64
RC,0272,PIN FIXATION OD3.2 MM L178 MM STEINMANN,40.0,20.0,8.72,36.0,64
RC,0272,PIN FIXATION OD3.2 MM RIM L45 MM HARMONY MIS,43.2,21.6,9.42,38.88,64
RC,0272,PIN FIXATION OD3.2 MM THREAD SQUARE HEAD L89 MM,232.76,116.38,50.76,209.48,64
RC,0272,PIN FIXATION OD3.2 MM TROCAR POINT 1 END STYLE 5 L229 MM STEINMANN STAINLESS STEEL,89.55,44.78,19.53,80.6,64
RC,0272,PIN FIXATION OD3.5 MM L130 MM HUMERAL INHANCE,181.0,90.5,39.48,162.9,64
RC,0272,PIN FIXATION OD3.5 MM L230 MM GLENOID INHANCE,112.5,56.25,24.54,101.25,64
RC,0272,PIN FIXATION PACK GMK SPHERE SHORT THREAD,100.0,50.0,21.81,90.0,64
RC,0272,PIN FIXATION PFC STEINMANN DRILL PACK,211.5,105.75,46.13,190.35,64
RC,0272,PIN FIXATION QUICK DRILL,186.75,93.38,40.73,168.08,64
RC,0272,PIN FIXATION RIM L30 MM JOURNEY II XR SPEED,43.2,21.6,9.42,38.88,64
RC,0272,PIN FIXATION SET UNIVERS REVERS MODULAR GLENOID SYSTEM,400.0,200.0,87.24,360.0,64
RC,0272,PIN FIXATION SHOULDER K WIRE 2 UNIT 9INX2.4MM,39.98,19.99,8.72,35.98,64
RC,0272,PIN FIXATION SIGMA HIGH PERFORMANCE THREAD,186.75,93.38,40.73,168.08,64
RC,0272,PIN FIXATION SMOOTH PACK GMK SPHERE,100.0,50.0,21.81,90.0,64
RC,0272,PIN FIXATION SPEED L110 MM PSI ZUK JOURNEY II BCS,43.2,21.6,9.42,38.88,64
RC,0272,PIN FIXATION SPEED L80 MM SPEED,43.2,21.6,9.42,38.88,64
RC,0272,PIN FIXATION SPEED NONRIM L65 MM TIBIA JOURNEY II XR SPEED,43.2,21.6,9.42,38.88,64
RC,0272,PIN FIXATION SPINE OZARK,27.75,13.88,6.05,24.98,64
RC,0272,PIN FIXATION STEINMANN 3.2MM DIA 3.5INL STAINLESS STEEL HEADLESS SQUARE END STERILE,59.47,29.74,12.97,53.52,64
RC,0272,PIN FIXATION TEMPORARY GUIDE TALAR INFINITY SHORT,73.0,36.5,15.92,65.7,64
RC,0272,PIN FIXATION TEMPORARY NAIL SPINE REFLEX STANDARD,27.27,13.64,5.95,24.54,64
RC,0272,PIN FIXATION THREAD HEADLESS HIP LCS SIGMA,270.0,135.0,58.89,243.0,64
RC,0272,PIN FIXATION THREAD PACK GMK SPHERE,100.0,50.0,21.81,90.0,64
RC,0272,PIN FIXATION THREAD PACK HEAD HEADLESS ATTUNE,270.0,135.0,58.89,243.0,64
RC,0272,PIN GUIDE L200 MM NON-THREADED SMOOTH OD2 MM UNITE,25.0,12.5,5.45,22.5,64
RC,0272,PIN GUIDE ORTHOPEDIC 200 MM OD1.6 MM MEDLINE UNITE MIS FOOT RECON SYSTEM,125.0,62.5,27.26,112.5,64
RC,0272,PIN GUIDE ORTHOPEDIC ANTISKIVE OD2.0 MM PROSTEP MICA,72.0,36.0,15.7,64.8,64
RC,0272,PIN GUIDE ORTHOPEDIC L200 MM OD1.4 MM MEDLINE UNITE MIS FOOT RECON SYSTEM,125.0,62.5,27.26,112.5,64
RC,0272,PIN GUIDE TRUMATCH FEMUR TIBIA LEFT CUT CT,600.0,300.0,130.86,540.0,64
RC,0272,PIN HEMORRHAGE 7MM 10MM HEMORRHAGE OCCLUDER STANDARD PRESACRAL PELVIC TITANIUM APPLICATOR SERRATE STERILE DISPOSABLE,895.0,447.5,195.2,805.5,64
RC,0272,PIN HOLDING 5MM REDUCTION STAINLESS STEEL 180MM,145.27,72.64,31.68,130.74,64
RC,0272,PIN HOLDING L100 MM REFERENCE PERCUTANEOUS,403.0,201.5,87.89,362.7,64
RC,0272,PIN HOLDING L150 MM REFERENCE PERCUTANEOUS,403.0,201.5,87.89,362.7,64
RC,0272,PIN JOINT INSTRUMENT THREADED W/DRIVER SYSTEM ATTUNE SOLO,297.45,148.73,64.87,267.71,64
RC,0272,PIN NAVIGATION L100 MM OD3 MM NA KNEE,895.71,447.86,195.35,806.14,64
RC,0272,PIN NAVIGATION L150 MM OD3 MM NA,895.71,447.86,195.35,806.14,64
RC,0272,PIN ORTHOPEDIC BB-TAK THREAD DISPOSABLE,84.08,42.04,18.34,75.67,64
RC,0272,PIN ORTHOPEDIC TAPER GAMMA L450 MM OD3.9 MM,164.22,82.11,35.82,147.8,64
RC,0272,PIN PASSING L15 IN OD2.4 MM ENDOBUTTON ACL PCL DRILL TIP,127.62,63.81,27.83,114.86,64
RC,0272,PIN PASSING L15 IN OD2.7 MM ODSEC2.4 MM ACUFEX DRILL TIP PASSING HEAD SHAFT EYELET ENDOBUTTON INDICATOR,732.0,366.0,159.65,658.8,64
RC,0272,PIN PASSING L17 IN OD2.4 MM ENDOBUTTON TROCAR LASER MARKED,122.0,61.0,26.61,109.8,64
RC,0272,PIN PASSING OD2.4 MM CLANCY ACL PCL FLEXIBLE LASER MARK,643.5,321.75,140.35,579.15,64
RC,0272,PIN POSITIONING CRIMP OD5 MM NA STAINLESS STEEL,214.44,107.22,46.77,193.0,64
RC,0272,PIN POSITIONING CRIMP OD7.3 MM STAINLESS STEEL,214.44,107.22,46.77,193.0,64
RC,0272,PIN POSITIONING L5 MM OD5 MM NA STAINLESS STEEL T25 SELF TAP VARIABLE ANGLE LOCK STARDRIVE PERIPROSTHETIC CURVE CONDYLAR PLATE SYSTEM,178.1,89.05,38.84,160.29,64
RC,0272,PIN POSITIONING SPARE CENTER 1.5 MM SCREW HOLLOW REAMER,66.5,33.25,14.5,59.85,64
RC,0272,PIN POSITIONING ZEVO ZEVO PLATE,20.7,10.35,4.51,18.63,64
RC,0272,PIN RETENTION L12 MM NA SHORT QUICK COUPLING HEXAGONAL SCREWDRIVER,383.07,191.54,83.55,344.76,64
RC,0272,PIN SCHANZ 5.5 X 150MM,95.0,47.5,20.72,85.5,64
RC,0272,PIN SKULL PEDIATRIC DISPOSABLE,2417.31,1208.66,527.22,2175.58,64
RC,0272,PIN SKULL STAINLESS STEEL TIP POLYMER BASE SPETZLER STAINLESS STEEL ADULT,456.72,228.36,99.61,411.05,64
RC,0272,PIN SKULL TZ MEDICAL STAINLESS STEEL SHARP CLAMP PROTECTIVE CAP,300.0,150.0,65.43,270.0,64
RC,0272,PIN SPINAL FIXATION 13CM THORACOLUMBAR STABILITY,90.9,45.45,19.83,81.81,64
RC,0272,PIN SPINAL FIXATION 80MM F/LATERAL ACCESS SYSTEM RAVINE,40.0,20.0,8.72,36.0,64
RC,0272,PIN SPINAL FIXATION TEMPORARY FINE F/OZARK CERVICAL PLATE SYSTEM NON-STERILE SINGLE-USE,27.75,13.88,6.05,24.98,64
RC,0272,PIN SPINAL FIXATION TEMPORARY THREADED STERILE,180.0,90.0,39.26,162.0,64
RC,0272,PIN STABILITY L17 CM,60.0,30.0,13.09,54.0,64
RC,0272,PIN STEINMANN TROCAR TIP NON THREADED 3.2X330MM,281.0,140.5,61.29,252.9,64
RC,0272,PIN SURGICAL SPARE CENTER HOLLOW REAMER,95.36,47.68,20.8,85.82,64
RC,0272,PIN TRACTION TITANIUM ADULT UNIQUE FINGER GROOVE PRECISION-MACHINED TIP VINYL COVER MAYFIELD LATEX-FREE STERILE DISPOSABLE,712.86,356.43,155.47,641.57,64
RC,0272,PK ABLATION EP CMC MAIN SURG,143.12,71.56,31.21,128.81,64
RC,0272,PK ACCESS AV CM,64.07,32.04,13.97,57.66,64
RC,0272,PK ACCESS AV SURG,240.41,120.21,52.43,216.37,64
RC,0272,PK ACCESS IMPL CATH LAB SURG,219.8,109.9,47.94,197.82,64
RC,0272,PK ANGIO FLOYD MEDICAL CENTER,257.28,128.64,56.11,231.55,64
RC,0272,PK ANTERIOR HIP MR UV,114.14,57.07,24.89,102.73,64
RC,0272,PK AORTAGRAM SURG,211.77,105.89,46.19,190.59,64
RC,0272,PK ARTERIOGRAM CB,120.7,60.35,26.32,108.63,64
RC,0272,PK ARTHROSCOPY DYNJ66814 SURG,206.22,103.11,44.98,185.6,64
RC,0272,PK ARTHROSCOPY DYNJ66900 SURG,150.11,75.06,32.74,135.1,64
RC,0272,PK ARTHROSCOPY DYNJ66924 SURG,115.94,57.97,25.29,104.35,64
RC,0272,PK ARTHROSCOPY DYNJ66933 SURG,122.04,61.02,26.62,109.84,64
RC,0272,PK ARTHROSCOPY ODCM,145.24,72.62,31.68,130.72,64
RC,0272,PK ARTHROSCOPY PV MR UV,82.5,41.25,17.99,74.25,64
RC,0272,PK ARTHROSCOPY SURG,159.72,79.86,34.83,143.75,64
RC,0272,PK ARTHROSCOPY UN SURG,139.74,69.87,30.48,125.77,64
RC,0272,PK BASIC GEN ODS SURG,105.4,52.7,22.99,94.86,64
RC,0272,PK BASIC GENERAL OD CM,60.1,30.05,13.11,54.09,64
RC,0272,PK BASIC UNIV ODS SURG,90.46,45.23,19.73,81.41,64
RC,0272,PK BASIN MIN UV OD LN CM LE MR,59.4,29.7,12.96,53.46,64
RC,0272,PK BCS CSCP TUR SURG,95.76,47.88,20.89,86.18,64
RC,0272,PK BLOCK UNIV SURG,158.67,79.34,34.61,142.8,64
RC,0272,PK BREAST ODCM,89.61,44.81,19.54,80.65,64
RC,0272,PK BREAST PLASTIC ODCM,99.42,49.71,21.68,89.48,64
RC,0272,PK C SECTION  CMCL,112.78,56.39,24.6,101.5,64
RC,0272,PK C-SECTION SURG DYNJ66873,126.68,63.34,27.63,114.01,64
RC,0272,PK C-SECTION SURG DYNJ67087,84.31,42.16,18.39,75.88,64
RC,0272,PK CARDIAC CATH ADULT CM,140.68,70.34,30.68,126.61,64
RC,0272,PK CARDIAC CATH CB,275.67,137.84,60.12,248.1,64
RC,0272,PK CATARACT CMC ODS SURG,233.44,116.72,50.91,210.1,64
RC,0272,PK CATH TAVR CM,167.22,83.61,36.47,150.5,64
RC,0272,PK COLON CMOD,227.02,113.51,49.51,204.32,64
RC,0272,PK COLON SURG,216.86,108.43,47.3,195.17,64
RC,0272,PK CRANIOFACIAL CMOD,135.3,67.65,29.51,121.77,64
RC,0272,PK CRANIOFACIAL SURG,118.68,59.34,25.88,106.81,64
RC,0272,PK CV TOWEL CB,71.76,35.88,15.65,64.58,64
RC,0272,PK CYSTO CMC MAIN SURG,67.98,33.99,14.83,61.18,64
RC,0272,PK CYSTO PV CM MR UV UW UN OD,67.44,33.72,14.71,60.7,64
RC,0272,PK CYSTO TUR BCS CB,59.37,29.69,12.95,53.43,64
RC,0272,PK CYSTOSCOPY SURG,106.89,53.45,23.31,96.2,64
RC,0272,PK D-C/D-E CL,120.85,60.43,26.36,108.77,64
RC,0272,PK DIEP FLAP CB,539.53,269.77,117.67,485.58,64
RC,0272,PK DISCOGRAM CM,248.4,124.2,54.18,223.56,64
RC,0272,PK DISCOGRAM SURG,231.14,115.57,50.41,208.03,64
RC,0272,PK DISTAL EXTRM SURG,133.52,66.76,29.12,120.17,64
RC,0272,PK ECLIPSE SHLDR ARTHPL SURG STRL DISP LF,200.57,100.29,43.74,180.51,64
RC,0272,PK ENDOVASCULAR CM,218.19,109.1,47.59,196.37,64
RC,0272,PK ENDOVASCULAR SURG,129.09,64.55,28.15,116.18,64
RC,0272,PK ENT PV UN,127.56,63.78,27.82,114.8,64
RC,0272,PK ENT SURG,109.89,54.95,23.97,98.9,64
RC,0272,PK EPS ABLATION CB,119.76,59.88,26.12,107.78,64
RC,0272,PK ESOPHAGECTOMY CM OD,159.84,79.92,34.86,143.86,64
RC,0272,PK EXTREMITY DYNJ66878 SURG,105.47,52.74,23.0,94.92,64
RC,0272,PK EXTREMITY ORTHO SURG,106.38,53.19,23.2,95.74,64
RC,0272,PK EXTREMITY SURG DYNJ66934,97.59,48.8,21.28,87.83,64
RC,0272,PK EXTREMITY SURG DYNJ67091,216.45,108.23,47.21,194.81,64
RC,0272,PK EYE MIN SURG,97.37,48.69,21.24,87.63,64
RC,0272,PK FISTULA AV MR,200.84,100.42,43.8,180.76,64
RC,0272,PK FISTULA AV SURG,149.88,74.94,32.69,134.89,64
RC,0272,PK FLAP DIEP CM UW,321.04,160.52,70.02,288.94,64
RC,0272,PK FLAP DIEP SURG,292.88,146.44,63.88,263.59,64
RC,0272,PK FOOT ANKLE MR PV,119.92,59.96,26.15,107.93,64
RC,0272,PK FUSION SPIN CMC MAIN SURG,118.36,59.18,25.81,106.52,64
RC,0272,PK FUSION SPINAL CM,150.91,75.46,32.91,135.82,64
RC,0272,PK GYN ROBOTICS OD,213.94,106.97,46.66,192.55,64
RC,0272,PK HAND MR CM OD,43.62,21.81,9.51,39.26,64
RC,0272,PK HAND PV,66.12,33.06,14.42,59.51,64
RC,0272,PK HAND SURG,115.44,57.72,25.18,103.9,64
RC,0272,PK HEAD NECK CBUV,88.22,44.11,19.24,79.4,64
RC,0272,PK HIP ANT CMC MRCY SURG,233.67,116.84,50.96,210.3,64
RC,0272,PK HIP SURG,140.06,70.03,30.55,126.05,64
RC,0272,PK HIP TOT DYNJ66907 SURG,295.98,147.99,64.55,266.38,64
RC,0272,PK HPB CMCB,546.68,273.34,119.23,492.01,64
RC,0272,PK HYSTERECTOMY VAGINAL PV,69.96,34.98,15.26,62.96,64
RC,0272,PK HYSTEROSCOPY ODS UN SURG,48.41,24.21,10.56,43.57,64
RC,0272,PK HYSTEROSCOPY UV CM OD,91.54,45.77,19.96,82.39,64
RC,0272,PK IR CM,168.52,84.26,36.75,151.67,64
RC,0272,PK IR SURG,243.67,121.84,53.14,219.3,64
RC,0272,PK IVF MINOR BASIN CM,51.0,25.5,11.12,45.9,64
RC,0272,PK KIDNEY TX CM,282.08,141.04,61.52,253.87,64
RC,0272,PK KIDNEY TX SURG,189.54,94.77,41.34,170.59,64
RC,0272,PK KNEE ARTHROSCOPY CM,179.3,89.65,39.11,161.37,64
RC,0272,PK KNEE SURG,103.26,51.63,22.52,92.93,64
RC,0272,PK KNEE TOT CMC MRCY SURG,155.96,77.98,34.01,140.36,64
RC,0272,PK KNEE TOT SURG DYNJ67093,85.98,42.99,18.75,77.38,64
RC,0272,PK KNEE TOT SURG DYNJ907244,447.43,223.72,97.58,402.69,64
RC,0272,PK KNEE UW UN,125.08,62.54,27.28,112.57,64
RC,0272,PK LAMINECTOMY BASIC MR,104.46,52.23,22.78,94.01,64
RC,0272,PK LAMINECTOMY BSC SURG,165.33,82.67,36.06,148.8,64
RC,0272,PK LAMINECTOMY NEURO CM,132.5,66.25,28.9,119.25,64
RC,0272,PK LAMINECTOMY NEURO SURG,135.81,67.91,29.62,122.23,64
RC,0272,PK LAP CHOLE PV UN UW,94.02,47.01,20.51,84.62,64
RC,0272,PK LAPAROSCOPY CHOLE SURG,104.2,52.1,22.73,93.78,64
RC,0272,PK LAPAROSCOPY CMC MAIN PED SURG,177.4,88.7,38.69,159.66,64
RC,0272,PK LAPAROSCOPY GS CMC MAIN SURG,89.96,44.98,19.62,80.96,64
RC,0272,PK LAPAROSCOPY GYN CMC MAIN SURG,118.62,59.31,25.87,106.76,64
RC,0272,PK LAPAROSCOPY GYN CMOD,342.68,171.34,74.74,308.41,64
RC,0272,PK LAPAROSCOPY GYN DYNJ66812 SURG,196.36,98.18,42.83,176.72,64
RC,0272,PK LAPAROSCOPY GYN SURG,102.66,51.33,22.39,92.39,64
RC,0272,PK LAPAROSCOPY PED CM,184.88,92.44,40.32,166.39,64
RC,0272,PK LAPAROSCOPY PV,101.91,50.96,22.23,91.72,64
RC,0272,PK LAPAROSCOPY SURG,68.46,34.23,14.93,61.61,64
RC,0272,PK LAPAROSCPY GYN UV OD PV CM,197.18,98.59,43.0,177.46,64
RC,0272,PK LAPAROTOMY CMC MAIN PED SURG,184.14,92.07,40.16,165.73,64
RC,0272,PK LAPAROTOMY PEDS CMOD,198.9,99.45,43.38,179.01,64
RC,0272,PK LAPAROTOMY SURG,247.06,123.53,53.88,222.35,64
RC,0272,PK LAPSCOPY GEN CMMRUVODPV,89.96,44.98,19.62,80.96,64
RC,0272,PK LIVER BACKTABLE CM,58.62,29.31,12.79,52.76,64
RC,0272,PK LIVER TX CM,633.83,316.92,138.24,570.45,64
RC,0272,PK LIVER TX SURG,643.92,321.96,140.44,579.53,64
RC,0272,PK MAIN EP ABLATION CM,165.09,82.55,36.01,148.58,64
RC,0272,PK MAJ BASIN  CMMRODUW,70.36,35.18,15.35,63.32,64
RC,0272,PK MAJOR H + N SURG,216.08,108.04,47.13,194.47,64
RC,0272,PK MAJOR HEAD NECK CM,275.54,137.77,60.1,247.99,64
RC,0272,PK METRIX CMC MAIN SURG,185.1,92.55,40.37,166.59,64
RC,0272,PK MINOR CBOD,87.08,43.54,18.99,78.37,64
RC,0272,PK MINOR DYNJ66870 SURG,104.07,52.04,22.7,93.66,64
RC,0272,PK MINOR PV,99.6,49.8,21.72,89.64,64
RC,0272,PK MINOR SURG,122.67,61.34,26.75,110.4,64
RC,0272,PK NEURO METRIX CM,149.66,74.83,32.64,134.69,64
RC,0272,PK NEURO SPINE PV UW,158.92,79.46,34.66,143.03,64
RC,0272,PK ONCOLOGY SURG,152.97,76.49,33.36,137.67,64
RC,0272,PK OPEN GYN CM,280.94,140.47,61.27,252.85,64
RC,0272,PK OPEN HEART  CMPV,272.51,136.26,59.43,245.26,64
RC,0272,PK OPEN HEART PED CM,254.61,127.31,55.53,229.15,64
RC,0272,PK OPEN HRT CMC MAIN SURG,465.55,232.78,101.54,419.0,64
RC,0272,PK OPEN HRT PED SURG,147.35,73.68,32.14,132.62,64
RC,0272,PK OPHTHALMIC CM,93.08,46.54,20.3,83.77,64
RC,0272,PK OPHTHALMIC CMC ODS SURG,44.75,22.38,9.76,40.28,64
RC,0272,PK ORTHO EXTREMITY CB,80.52,40.26,17.56,72.47,64
RC,0272,PK ORTHO TRAUMA CM OD,78.39,39.2,17.1,70.55,64
RC,0272,PK PACEMAKER II CB,277.53,138.77,60.53,249.78,64
RC,0272,PK PED SURG,307.56,153.78,67.08,276.8,64
RC,0272,PK PEDS CATH CM,162.42,81.21,35.42,146.18,64
RC,0272,PK PERC NEPH CM,155.63,77.82,33.94,140.07,64
RC,0272,PK PICK HIP TOT SURG,416.73,208.37,90.89,375.06,64
RC,0272,PK RE ENTRY ADULT CM,129.09,64.55,28.15,116.18,64
RC,0272,PK RE ENTRY PED CM,201.96,100.98,44.05,181.76,64
RC,0272,PK RE-ENTRY ADLT SURG,90.45,45.23,19.73,81.41,64
RC,0272,PK RE-ENTRY PED SURG,202.76,101.38,44.22,182.48,64
RC,0272,PK ROBOTIC CYSTECTOMY CM,163.85,81.93,35.74,147.47,64
RC,0272,PK ROBOTIC HPB CM,296.92,148.46,64.76,267.23,64
RC,0272,PK ROBOTICS CYSTECTOMY CMC MAIN SURG,328.79,164.4,71.71,295.91,64
RC,0272,PK ROBOTICS GU CMC MAIN SURG,241.91,120.96,52.76,217.72,64
RC,0272,PK ROBOTICS HPB CMC MAIN SURG,221.16,110.58,48.23,199.04,64
RC,0272,PK SET-UP BACKTABLE KNDY SURG,148.41,74.21,32.37,133.57,64
RC,0272,PK SETUP BACKTABLE KDNY CM,83.05,41.53,18.11,74.75,64
RC,0272,PK SHOULDER CB,99.3,49.65,21.66,89.37,64
RC,0272,PK SHOULDER ODS SURG,112.3,56.15,24.49,101.07,64
RC,0272,PK SHOULDER UV,139.96,69.98,30.53,125.96,64
RC,0272,PK SHUNT CM MR,335.68,167.84,73.21,302.11,64
RC,0272,PK SHUNT SURG,326.58,163.29,71.23,293.92,64
RC,0272,PK SIGHTPATH CATARACT,338.81,169.41,73.89,304.93,64
RC,0272,PK SIRUS ARSCP II SURG STRL LF,91.13,45.57,19.88,82.02,64
RC,0272,PK SIRUS ENT II 25INX2.5IN SURG STRL DISP LF,74.96,37.48,16.35,67.46,64
RC,0272,PK SIRUS LAPSCP II SURG STRL DISP LF,82.3,41.15,17.95,74.07,64
RC,0272,PK SPINAL SURG ORTHO CM,161.98,80.99,35.33,145.78,64
RC,0272,PK SPN SURG NEURO,174.72,87.36,38.11,157.25,64
RC,0272,PK SPN SURG ORTH,216.72,108.36,47.27,195.05,64
RC,0272,PK SURGICAL MAJOR KIT,71.62,35.81,15.62,64.46,64
RC,0272,PK T  A SURG,70.91,35.46,15.47,63.82,64
RC,0272,PK TCATH AVR SURG,100.12,50.06,21.84,90.11,64
RC,0272,PK THORACIC ROBOTIC CM,178.0,89.0,38.82,160.2,64
RC,0272,PK THYROID ODCM,125.07,62.54,27.28,112.56,64
RC,0272,PK THYROID SURG,146.27,73.14,31.9,131.64,64
RC,0272,PK TONSIL OD PV,149.12,74.56,32.52,134.21,64
RC,0272,PK TONSIL SURG,131.76,65.88,28.74,118.58,64
RC,0272,PK TOTAL HIP CB,119.46,59.73,26.05,107.51,64
RC,0272,PK TRAUMA CM,289.56,144.78,63.15,260.6,64
RC,0272,PK TRAUMA ER SURG,149.07,74.54,32.51,134.16,64
RC,0272,PK TRAUMA ORTH SURG,118.96,59.48,25.95,107.06,64
RC,0272,PK TRAUMA SURG,341.55,170.78,74.49,307.4,64
RC,0272,PK UNION SURG,129.3,64.65,28.2,116.37,64
RC,0272,PK UNIVERSAL BASIC OD CM,94.04,47.02,20.51,84.64,64
RC,0272,PK VAGINAL DELIVERY CM,51.54,25.77,11.24,46.39,64
RC,0272,PK VASCULAR CATH LAB CM,397.84,198.92,86.77,358.06,64
RC,0272,PK VASCULAR CATH LAB SURG,279.92,139.96,61.05,251.93,64
RC,0272,PK VASCULAR THOR SURG,244.68,122.34,53.36,220.21,64
RC,0272,PK VASCULAR THORACIC CM PV,215.34,107.67,46.97,193.81,64
RC,0272,PK VITRECTOMY CB,160.95,80.48,35.1,144.86,64
RC,0272,PK VITRECTOMY SURG,182.67,91.34,39.84,164.4,64
RC,0272,PLATE BONE 6-HOLE 90DEG ANGLED L-SHAPED STANDARD W/12MM BAR F/1.7MM SCREW NON-STERILE LEFT CRANIOFACIAL,417.7,208.85,91.1,375.93,64
RC,0272,PLATE BONE SPINE STARTER AWL 5-7MM CAGE SHORT STERILE,150.0,75.0,32.72,135.0,64
RC,0272,PLATE ELBOW POLYAXIAL LOCK PIN FIXATION TACK EVOLVE BONE,99.5,49.75,21.7,89.55,64
RC,0272,PLATE L24 MM X H.6 MM REGULAR STRAIGHT MIDFACE 6 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,79.0,39.5,17.23,71.1,64
RC,0272,PLATFORM ACCESS 10MM 12MM GELPOINT GELSEAL ALEXIS MINI CAP PROTECTOR 4 SLEEVE INTRODUCER,675.0,337.5,147.22,607.5,64
RC,0272,PLATFORM ACCESS 10MM 12MM GELPOINT PROTECTOR RETRACTOR 4 SLEEVE INTRODUCER LATEX FREE,675.0,337.5,147.22,607.5,64
RC,0272,PLATFORM ACCESS 4X4CM GELPOINT GELSEAL INSUFFLATION STABILIZATION BAG CAP CHANNEL TRANSANAL,875.0,437.5,190.84,787.5,64
RC,0272,PLATFORM ACCESS GELPOINT INSUFFLATION STABILIZATION BAG,875.0,437.5,190.84,787.5,64
RC,0272,PLATFORM NEUROMONITORING LEGX4 W/PRE-STERILE UNILATERAL MICROTARGETING,3094.56,1547.28,674.92,2785.1,64
RC,0272,PLATFORM NEUROMONITORING W/PRE-STER BILATERAL SEQUENTIAL,3986.08,1993.04,869.36,3587.47,64
RC,0272,PLIERS LOCKING SURG FLAT NOSE,964.61,482.31,210.38,868.15,64
RC,0272,PLIERS PLATE BENDING LEFT 1.3 MM LOCK 1.5/2 MM VARIABLE ANGLE,513.8,256.9,112.06,462.42,64
RC,0272,PLIERS PLATE BENDING RIGHT 1.3 MM LOCK 1.5/2 MM VARIABLE ANGLE,513.8,256.9,112.06,462.42,64
RC,0272,PLIERS SURGICAL BEND 3.5 MM LOW PROFILE RECONSTRUCTION PLATE,1157.04,578.52,252.35,1041.34,64
RC,0272,PLIERS SURGICAL BEND CUT MODULAR HAND SYSTEM,862.05,431.03,188.01,775.85,64
RC,0272,PLIERS SURGICAL BEND VARIABLE ANGLE 2.4 MM/2.7 MM LOCK PLATE,1469.66,734.83,320.53,1322.69,64
RC,0272,PLIERS SURGICAL STRAIGHT SHAFT RASP 1.3 MM LOCK 1.5/2 MM VARIABLE ANGLE LOCK PLATE,1137.32,568.66,248.05,1023.59,64
RC,0272,PLIERS SURGICAL UNIVERSAL BEND MODULAR HAND SYSTEM,605.21,302.61,132.0,544.69,64
RC,0272,PLUG BONE TUNNEL CANNULATED OD7-12 MM ENDOBUTTON CL,222.0,111.0,48.42,199.8,64
RC,0272,PLUG CABLE 5MM AXSOS FEMUR DISTAL LATERAL STAINLESS STEEL BASIC FRAGMENT LOCK PLATE SYSTEM,44.88,22.44,9.79,40.39,64
RC,0272,PLUG OPHTHALMIC OD.6 MM EAGLEPLUG TAPERED SHAFT PUNCTUM,54.9,27.45,11.97,49.41,64
RC,0272,PLUG PLATE THREAD STARDRIVE OD3.5 MM STAINLESS STEEL LOW PROFILE PELVIC SYSTEM,84.72,42.36,18.48,76.25,64
RC,0272,POLYBED 812 EMBEDDING RESIN,226.63,113.32,49.43,203.97,64
RC,0272,POPQ STIX USED FOR MEASURING PELVIC ORGAN PROLAPSE,65.42,32.71,14.27,58.88,64
RC,0272,PORT 12MM 5MM SILS FLEXIBLE CANNULA OBTURATOR STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,3286.02,1643.01,716.68,2957.42,64
RC,0272,PORT ENTERAL FEEDING 14FR TETHERED CAP W/ENFIT CONNECTORS MIC LATEX-FREE NON-STERILE SINGLE-USE,311.42,155.71,67.92,280.28,64
RC,0272,PORT HAND ACCESS 100MM 2 WALL CANNULA BLADELESS OPTICAL TIP LOW PROFILE OBTURATOR VALVE FREE TROCAR AIRSEAL 5MM,525.59,262.8,114.63,473.03,64
RC,0272,PORT HAND ACCESS 100MM 2 WALL CANNULA BLUNT TIP OBTURATOR VALVE FREE TROCAR AIRSEAL 12MM,543.62,271.81,118.56,489.26,64
RC,0272,PORT HAND ACCESS 100MM BLADELESS OPTICAL TIP PALM GRIP OBTURATOR AIRSEAL STERILE DISPOSABLE 12MM LATEX FREE,543.62,271.81,118.56,489.26,64
RC,0272,PORT HAND ACCESS 120MM 2 WALL CANNULA BLADELESS OPTICAL TIP LOW PROFILE OBTURATOR VALVE FREE TROCAR AIRSEAL 5MM LATEX FREE,994.14,497.07,216.82,894.73,64
RC,0272,PORT HAND ACCESS 120MM 2 WALL CANNULA BLADELESS OPTICAL TIP PALM GRIP OBTURATOR VALVELESS TROCAR AIRSEAL 12MM,563.01,281.51,122.79,506.71,64
RC,0272,PORT HAND ACCESS 120MM 2 WALL CANNULA BLUNT TIP OBTURATOR VALVE FREE TROCAR AIRSEAL 12MM,563.01,281.51,122.79,506.71,64
RC,0272,PORT HAND ACCESS 120MM BLADELESS OPTICAL TIP LOW PROFILE OBTURATOR AIRSEAL 8MM,540.89,270.45,117.97,486.8,64
RC,0272,PORT HAND ACCESS 120MM INCISION TEMPLATE MARK PEN WOUND RETRACTOR ALEXIS GELPORT LATEX FREE ABDOMINAL LAPAROSCOPIC,675.0,337.5,147.22,607.5,64
RC,0272,PORT HAND ACCESS 150MM 2 WALL CANNULA BLADELESS OPTICAL TIP OBTURATOR VALVE FREE TROCAR AIRSEAL 12MM,581.72,290.86,126.87,523.55,64
RC,0272,PORT HAND ACCESS SINGLE-SITE ID8.5 MM,1425.0,712.5,310.79,1282.5,64
RC,0272,PORT IV IMPLANTED CENTRAL LINE F/DRESSING STERILE,289.2,144.6,63.07,260.28,64
RC,0272,PORT RETRACTOR 22MM DIA 60MML PEEK LUMBAR STRAIGHT W/POSITIONER F/MINIMALLY INVASIVE PROCEDURES MARS NON-RADIOPAQUE,185.0,92.5,40.35,166.5,64
RC,0272,POSITIONER ATTACHMENT ATLAS 360,2700.0,1350.0,588.87,2430.0,64
RC,0272,POSITIONER IMPLANT 2.8 MM PIN GLENOID TARGETER VIP NITINOL,400.0,200.0,87.24,360.0,64
RC,0272,POSITIONER IMPLANT 3.2 MM UNIVERSAL REPOSITION PIN NA,462.94,231.47,100.97,416.65,64
RC,0272,POSITIONER IMPLANT STABILIZER HEART BEATING STARFISH NS,1050.0,525.0,229.01,945.0,64
RC,0272,POSITIONER OR TABLE 16INW X 18INL X 4INH FOAM 250LB CAPACITY CONVOLUTED,191.14,95.57,41.69,172.03,64
RC,0272,POSITIONER OR TABLE CRADLE FOAM LEG,120.84,60.42,26.36,108.76,64
RC,0272,POSITIONER OR TABLE F/LIMB BEACH CHAIR BERKETTE,360.0,180.0,78.52,324.0,64
RC,0272,POSITIONER OR TABLE FOAM F/ARTHROSCOPIC WELL-LEG,33.15,16.58,7.23,29.84,64
RC,0272,POSITIONER OR TABLE FOAM GENESIS BI-WING AAP,595.0,297.5,129.77,535.5,64
RC,0272,POSITIONER OR UC SPIDER2 LATERAL BEACH CHAIR,500.0,250.0,109.05,450.0,64
RC,0272,POSITIONER PATIENT KNEE FOAM GEL COHESIVE WRAP STERILE LATEX FREE DISPOSABLE,345.0,172.5,75.24,310.5,64
RC,0272,POSITIONER SURGICAL STARFISH EVO HEART MULTIAPPENDAGE SILICONE SUCTION CUP LOW PROFILE,500.0,250.0,109.05,450.0,64
RC,0272,POSITIONING CLOSED CELL ADULT BI-LATERAL FINGER BLOCK SPONGE SET OF 2 (LEFT & RIGHT),164.0,82.0,35.77,147.6,64
RC,0272,POSITIONING CLOSED CELL CLINIC SPONGE BUNDLE A,247.0,123.5,53.87,222.3,64
RC,0272,POST RETRACTOR SELF RETAINING INSTRUMENT SYSTEM METRX II NERVE ROOT,25.2,12.6,5.5,22.68,64
RC,0272,POUCH IRRIGATION W24 IN X H58 IN D18 IN DRAPE FLUID COLLECTION DOLPHIN II UNDER BUTTOCK,133.04,66.52,29.02,119.74,64
RC,0272,POUCH SPECIMEN RETRIEVAL 34.5CM 29.5CM 15MM FLEXIBLE LONG CYLINDRICAL TUBE STERILE LATEX FREE DISPOSABLE ENDO CATCH POLYURETHANE,318.81,159.41,69.53,286.93,64
RC,0272,POUCH SPECIMEN RETRIEVAL L5 IN X W2 IN DRAWSTRING HANDLE TEAR RESISTANT LAPSAC NYLON POLYURETHANE 50 ML BLUE,40.0,20.0,8.72,36.0,64
RC,0272,POUCH SURGICAL TISSUE 10X8IN REINFORCED INNER LINER DRAWSTRING COLOR CODED STERILE LATEX FREE DISPOSABLE LAPSAC 1500ML,527.84,263.92,115.12,475.06,64
RC,0272,POUCH SURGICAL TISSUE 6X4IN REINFORCE DRAWSTRING CLOSURE COLOR CODED STERILE LATEX FREE DISPOSABLE LAPSAC NYLON POLYPROPYLENE POLYURETHANE 200ML,65.98,32.99,14.39,59.38,64
RC,0272,POUCH SURGICAL TISSUE 8X5IN REINFORCE INNER LINER DRAWSTRING CLOSURE COLOR CODED STERILE LATEX FREE DISPOSABLE LAPSAC 750ML,65.98,32.99,14.39,59.38,64
RC,0272,POUCH UROSTOMY MAXI OD10 1/2 IN SENSURA MIO GREEN 400 ML FLEXIBLE COUPLING TRANSPARENT SOFT OUTLET ELASTIC ADHESIVE,290.0,145.0,63.25,261.0,64
RC,0272,POUCH WOUND L6.9 IN X W4.3 IN REMOTE DRAINAGE ATTACHMENT TAP CLOSURE FLEXIBLE TRANSPARENT EAKIN FISTULA,123.46,61.73,26.93,111.11,64
RC,0272,POUCH WOUND L9.7 IN X W6.3 IN VERTICAL CUT AREA REMOTE ATTACHMENT TAP CLOSURE FLEXIBLE EAKIN FISTULA,75.64,37.82,16.5,68.08,64
RC,0272,POWDER ABSORBABLE SURGIFOAM PORCINE GELATIN 1 GM,326.25,163.13,71.16,293.63,64
RC,0272,POWER SUPPLY STAPLER DEVICE CONNECTOR RECEPTACLE STANDARD CLAMP/FIRING MODE INDICATOR F/SGS TITAN REUSABLE,1750.0,875.0,381.68,1575.0,64
RC,0272,PRECISIONPOINT TRANSPERINEAL ACCESS SYSTEM P1001-20,4000.0,2000.0,872.4,3600.0,64
RC,0272,PRECISIONPOINT TRANSPERINEAL ACCESS SYSTEM P1002-5,1185.0,592.5,258.45,1066.5,64
RC,0272,PRELUDESYNC EZ RADIAL COMPRESSION DEVICE 26 CM 30 ML,104.0,52.0,22.68,93.6,64
RC,0272,PRELUDESYNC EZ RADIAL COMPRESSION DEVICE 32 CM 30 ML,104.0,52.0,22.68,93.6,64
RC,0272,PRESSURIZER BONE CEMENT MEDIUM ACM FEMORAL CANAL YELLOW,101.76,50.88,22.19,91.58,64
RC,0272,PRESSURIZER CEMENT MEDIUM FEMUR ADVANCE,153.68,76.84,33.52,138.31,64
RC,0272,PRESSURIZER CEMENT MILLER LARGE FEMORAL CANAL,105.06,52.53,22.91,94.55,64
RC,0272,PRESSURIZER CEMENT MILLER MEDIUM FEMORAL CANAL STERILE LATEX FREE DISPOSABLE,218.4,109.2,47.63,196.56,64
RC,0272,PRISM OPHTHALMIC CLIP IPRISM ICP-5,300.0,150.0,65.43,270.0,64
RC,0272,PROBE 65MM LARGE ELLIPSE HOOK RING OD2.75MM SMALL JOINT,165.0,82.5,35.99,148.5,64
RC,0272,PROBE ABLATION 17GA 100MM 10MM INTERNALLY COOLED ENHANCED ACCURIAN,520.0,260.0,113.41,468.0,64
RC,0272,PROBE ABLATION 17GA 150MM 10MM INTERNALLY COOLED ENHANCED ACCURIAN,520.0,260.0,113.41,468.0,64
RC,0272,PROBE ARTHROSCOPIC 2 ASPIRATION SLOT SMOOTH RADIUS TIP APOLLORF MP50,135.0,67.5,29.44,121.5,64
RC,0272,PROBE ARTHROSCOPIC 3.5MM HOOK SERFAS ENERGY XL,190.0,95.0,41.44,171.0,64
RC,0272,PROBE ARTHROSCOPIC 60 D SUCTION MONOPOLAR OD2 MM ABLATOR-S BLACK,187.0,93.5,40.78,168.3,64
RC,0272,PROBE ARTHROSCOPIC 90-S XL INTEGRATE CABLE HANDCONTROL SERFAS ENERGY,227.44,113.72,49.6,204.7,64
RC,0272,PROBE ARTHROSCOPIC ACUFEX STRAIGHT,195.0,97.5,42.53,175.5,64
RC,0272,PROBE ARTHROSCOPIC H50 MM 50 D APOLLO RF,260.0,130.0,56.71,234.0,64
RC,0272,PROBE ARTHROSCOPIC HEAVY HOOK HANDLE OD3 MM ACUFEX,150.0,75.0,32.72,135.0,64
RC,0272,PROBE ARTHROSCOPIC HOOK OD2.2 MM WRIST TMJ,150.33,75.17,32.79,135.3,64
RC,0272,PROBE ARTHROSCOPIC HOOK OD3 MM ECTRA II SMALL JOINT,101.0,50.5,22.03,90.9,64
RC,0272,PROBE ARTHROSCOPIC L140 MM 90 D TORPEDO SHAPE ELECTRODE EDGE CONTROL APOLLO RF,235.0,117.5,51.25,211.5,64
RC,0272,PROBE ARTHROSCOPIC L2 MM 90 D HOOK 1 PIECE ACTIVE ELECTRODE HANDCONTROL NONASPIRATE OD.75 MM APOLLORF TISSUE SYNERGYRF,185.0,92.5,40.35,166.5,64
RC,0272,PROBE ARTHROSCOPIC L220 MM 60 D,200.0,100.0,43.62,180.0,64
RC,0272,PROBE ARTHROSCOPIC MICRO CURVE BENDABLE MONOPOLAR LIGAMENT CHISEL VULCAN GREEN,173.0,86.5,37.73,155.7,64
RC,0272,PROBE ARTHROSCOPIC MINI STRAIGHT HOOK BLUE HANDLE OD3.5 MM BIO MINI-REVO OSTEOPREP,124.48,62.24,27.15,112.03,64
RC,0272,PROBE ARTHROSCOPIC MONOPOLAR MALLEABLE SHAFT BLUE F/LIGAMENT SHRINKAGE TEMPERATURE CONTROL VULCAN RF ELECTROTHERMAL TAC-C II DISPOSABLE,317.45,158.73,69.24,285.71,64
RC,0272,PROBE BLOOD FLOW DETECTOR 1.5MM DIA W/OPTIMA METER F/TRANSONIC HT311 DISPOSABLE,1025.0,512.5,223.55,922.5,64
RC,0272,PROBE BLOOD FLOW DETECTOR 2MM MICRO-FLOW W/OPTIMA METER F/TRANSONIC HT311 DISPOSABLE,1025.0,512.5,223.55,922.5,64
RC,0272,PROBE BLOOD FLOW DETECTOR 3MM W/OPTIMA METER F/TRANSONIC HT311 DISPOSABLE,1025.0,512.5,223.55,922.5,64
RC,0272,PROBE BREAST BIOPSY 25CM 12GA BD ELEVATION TRICONCAVE HANDHELD LIGHTWEIGHT LOW PROFILE DRIVER ILLUMINATE REMOVABLE SAMPLE CONTAINER,1125.0,562.5,245.36,1012.5,64
RC,0272,PROBE BREAST BIOPSY 25CM 14GA BD ELEVATION TRICONCAVE HANDHELD LIGHTWEIGHT LOW PROFILE DRIVER ILLUMINATE REMOVABLE SAMPLE CONTAINER,1125.0,562.5,245.36,1012.5,64
RC,0272,PROBE BREAST BIOPSY 50MML F/CORDLESS GAMMA FINDER STERILE,2400.0,1200.0,523.44,2160.0,64
RC,0272,PROBE BREAST BIOPSY 8GA 115MML W/O BLADE MAMMOTOME MR,279.55,139.78,60.97,251.6,64
RC,0272,PROBE BREAST BIOPSY 8GA 145MML BLADELESS W/TUBE LONG MAMMOTOME MR,279.55,139.78,60.97,251.6,64
RC,0272,PROBE BREAST BIOPSY 8GA DIA 9CML W/TUBING SET/TISSUE MANAGEMENT SYSTEM MAMMOTOME REVOLVE,1225.0,612.5,267.17,1102.5,64
RC,0272,PROBE BREAST BIOPSY STEREOTACTIC 11GA MAMMOTOME REVOLVE STERILE DISPOSABLE,1245.89,622.95,271.73,1121.3,64
RC,0272,PROBE BREAST BIOPSY STEREOTACTIC 8GA MAMMOTOME REVOLVE STERILE DISPOSABLE,1351.16,675.58,294.69,1216.04,64
RC,0272,PROBE COAGULATION L220 CM STRAIGHT FIRE QUICK IGNITION STABLE BEAM OD2.3 MM ARC SMART ARGON,1805.59,902.8,393.8,1625.03,64
RC,0272,PROBE CRYOABLATION 11IN 8MM CRYOSPHERE 180D UP BALL TIP REINFORCE PROXIMAL BENDABLE DISTAL SHAFT BRAID INSULATION,2500.0,1250.0,545.25,2250.0,64
RC,0272,PROBE CRYOMAZE STF 10S,2317.5,1158.75,505.45,2085.75,64
RC,0272,PROBE DOPPLER 17.4 MM 20 MHZ STANDARD CUFF STANDARD CUFF SWARTZ,609.0,304.5,132.82,548.1,64
RC,0272,PROBE DOPPLER 20MHZ 231MML 113MML BAYONET SHAPE STERILE DISPOSABLE,1515.0,757.5,330.42,1363.5,64
RC,0272,PROBE DOPPLER 20MHZ VASCULAR VTI 8 STERILE DISPOSABLE,1069.0,534.5,233.15,962.1,64
RC,0272,PROBE DOPPLER 275MM OPTIMAL VISIBILITY INTRAOPERATIVE LOW PROFILE 20MHZ BAYONET STERILE NEUROSURGICAL VASCULAR PROCEDURE DISPOSABLE 105MM .8MM,1550.0,775.0,338.06,1395.0,64
RC,0272,PROBE DOPPLER 3.5MM 8MHZ 55MML STRAIGHT TIP,575.0,287.5,125.41,517.5,64
RC,0272,PROBE DOPPLER L32 CM 20MHZ LONG CUFF SWARTS,609.0,304.5,132.82,548.1,64
RC,0272,PROBE DOPPLER PENCIL 9.1MHZ,175.0,87.5,38.17,157.5,64
RC,0272,PROBE DOPPLER PRESTERILE 8MHZ PENCIL DISPOSABLE,99.0,49.5,21.59,89.1,64
RC,0272,PROBE DRILL GUIDE HUMERAL TRIGEN SURESHOT,304.18,152.09,66.34,273.76,64
RC,0272,PROBE DYONICS RF HOOK RADIOFREQUENCY ENDOSCOPIC ARTHROSCOPIC 30 D,169.0,84.5,36.86,152.1,64
RC,0272,PROBE ELCSURG RF 16-22GA 145MM CRV,1311.27,655.64,285.99,1180.14,64
RC,0272,PROBE ELECT IRE 15CMSNGL ACTIVATION,7350.0,3675.0,1603.04,6615.0,64
RC,0272,PROBE ELECTROSURGICAL 135MM 3.5MM SERFAS ENERGY 90D SUCTION RF ABLATION SYSTEM ARTHROSCOPIC STERILE LATEX FREE DISPOSABLE,141.01,70.51,30.75,126.91,64
RC,0272,PROBE ELECTROSURGICAL 190CM 1.5MM BIPOLAR CABLE TOUCH PROOF CONNECTOR DISPOSABLE,1445.0,722.5,315.15,1300.5,64
RC,0272,PROBE ELECTROSURGICAL 90 D ASPIRATE ABLATION RADIOFREQUENCY WAND OD3 MM COOLCUT,135.0,67.5,29.44,121.5,64
RC,0272,PROBE ELECTROSURGICAL 90 D MONOPOLAR ABLATOR KNEE SHOULDER BLACK ARTHROSCOPIC,130.0,65.0,28.35,117.0,64
RC,0272,PROBE ELECTROSURGICAL 90 D MULTIPORT APOLLORF,190.0,95.0,41.44,171.0,64
RC,0272,PROBE ELECTROSURGICAL 90 D XL ASPIRATE ABLATOR APOLLORF,190.0,95.0,41.44,171.0,64
RC,0272,PROBE ELECTROSURGICAL CURVE MALLEABLE SHAFT LIGAMENT CHISEL KNEE SHOULDER GREEN ARTHROSCOPIC,161.14,80.57,35.14,145.03,64
RC,0272,PROBE ELECTROSURGICAL GREEN 240MM 3.5MM DYONICS EFLEX LIGAMENT CHISEL 100- D XL SOFT TISSUE INSULATE SHAFT INTEGRATE CABLE RADIOFREQUENCY,450.0,225.0,98.15,405.0,64
RC,0272,PROBE ELECTROSURGICAL HOOK LIGAMENT CHISEL KNEE SHOULDER GREEN ARTHROSCOPIC,130.0,65.0,28.35,117.0,64
RC,0272,PROBE ELECTROSURGICAL L135 MM 50 D SUCTION OD3.5 MM SERFAS ENERGY RF ABLATION SYSTEM ARTHROSCOPIC,171.93,85.97,37.5,154.74,64
RC,0272,PROBE ELECTROSURGICAL L135 MM NONBENDABLE LEVEL 1 OD4 MM SERFAS ENERGY 90-S CRUISE,196.82,98.41,42.93,177.14,64
RC,0272,PROBE ELECTROSURGICAL L135 MM NONBENDABLE SWEEP OD3.5 MM SERFAS ENERGY,175.0,87.5,38.17,157.5,64
RC,0272,PROBE ELECTROSURGICAL L135 MM RADIOFREQUENCY OD2.5 MM SERFAS ENERGY,198.18,99.09,43.22,178.36,64
RC,0272,PROBE ELECTROSURGICAL L15 CM SINGLE ACTIVATION IRE NANO KNIFE,3402.0,1701.0,741.98,3061.8,64
RC,0272,PROBE ELECTROSURGICAL L180 MM XL ANGLE NONBENDABLE INTEGRATE CABLE OD3.5 MM SERFAS ENERGY 50-S,199.23,99.62,43.45,179.31,64
RC,0272,PROBE ELECTROSURGICAL L240 MM 100- D XL INSULATE SHAFT INTEGRATE CABLE RADIOFREQUENCY OD3.5 MM SOFT TISSUE,450.0,225.0,98.15,405.0,64
RC,0272,PROBE ELECTROSURGICAL L240 MM 100- D XL INSULATE SHAFT INTEGRATE CABLE RADIOFREQUENCY OD3.5 MM SOFT TISSUE BLACK,566.71,283.36,123.6,510.04,64
RC,0272,PROBE ELECTROSURGICAL L25 CM SINGLE ACTIVATION IRE NANO KNIFE,3402.0,1701.0,741.98,3061.8,64
RC,0272,PROBE ELECTROSURGICAL L32 CM L SUCTION OD5 MM STRYKEPROBE,138.17,69.09,30.13,124.35,64
RC,0272,PROBE ELECTROSURGICAL MONOPOLAR ELECTRODE 5MM DIA 33CML L-HOOK ROUND MALE POST FOOT CONTROLLED W/SHEATH MODULAP DISPOSABLE,237.33,118.67,51.76,213.6,64
RC,0272,PROBE ELECTROSURGICAL NONBENDABLE OD4 MM SERFAS ENERGY 90-S ARTHROSCOPIC,144.34,72.17,31.48,129.91,64
RC,0272,PROBE ELECTROSURGICAL SINGLE ELECTRODE ACTIVATION NANOKNIFE,6500.0,3250.0,1417.65,5850.0,64
RC,0272,PROBE ELECTROSURGICAL TRUNODE SET GAMMA,3150.0,1575.0,687.02,2835.0,64
RC,0272,PROBE ELECTROTHERAPY CURVE RADIOFREQUENCY AVANOS* NITINOL,2100.0,1050.0,458.01,1890.0,64
RC,0272,PROBE ELECTROTHERAPY HOOK OD3.5 MM SERFAS ENERGY,157.19,78.6,34.28,141.47,64
RC,0272,PROBE ELECTROTHERAPY L100 MM CURVE TIP SUPER ELASTIC RADIOFREQUENCY STEAM STERILIZE OD18 GA AVANOS* NITINOL BLACK WHITE,98.0,49.0,21.37,88.2,64
RC,0272,PROBE ELECTROTHERAPY L100 MM CURVE TIP SUPER ELASTIC RADIOFREQUENCY STEAM STERILIZE OD20 GA AVANOS* NITINOL YELLOW WHITE,98.0,49.0,21.37,88.2,64
RC,0272,PROBE ELECTROTHERAPY L145 MM CURVE TIP SUPER ELASTIC RADIOFREQUENCY STEAM STERILIZE OD18 GA AVANOS* NITINOL BLACK WHITE,98.0,49.0,21.37,88.2,64
RC,0272,PROBE ELECTROTHERAPY L20 MM RADIOFREQUENCY OD17 GA OSTEOCOOL L2 MM,5546.0,2773.0,1209.58,4991.4,64
RC,0272,PROBE ELECTROTHERAPY L50 MM COOL RADIOFREQUENCY HANDLE LUER LOCK TUBE STRAIGHT TIP OD17 GA COOLIEF* L2 MM,475.0,237.5,103.6,427.5,64
RC,0272,PROBE ELECTROTHERAPY L75 MM COOL RADIOFREQUENCY STRAIGHT TIP OD17 GA COOLIEF*,288.0,144.0,62.81,259.2,64
RC,0272,PROBE EMG STIMULATE BALL TIP SAFEOP,206.25,103.13,44.98,185.63,64
RC,0272,PROBE EMG STIMULATE BALL TIP SAFEOP 3,281.75,140.88,61.45,253.58,64
RC,0272,PROBE EMG STIMULUS HANDPIECE NVM5,78.45,39.23,17.11,70.61,64
RC,0272,PROBE ENDOSCOPIC GASTROFLEX UHD,10075.0,5037.5,2197.36,9067.5,64
RC,0272,PROBE ESOPHAGEAL TEMPERATURE SENSITHERM THERMOMETER,640.0,320.0,139.58,576.0,64
RC,0272,PROBE HEMOSTATIC ERASER 150 D TAPER OD25 GA BIPOLAR HOLLOW CORE TARGET COAGULATION FINE TIP WET-FIELD HEMOSTATIC ERASER,563.24,281.62,122.84,506.92,64
RC,0272,PROBE HEMOSTATIC ERASER STRAIGHT 18GA BIPOLAR HOLLOW CORE TARGET COAGULATION BEVEL TIP WET-FIELD ERASER,176.18,88.09,38.42,158.56,64
RC,0272,"PROBE HEMOSTATIC ERASER STRAIGHT TAPER OD20-23 GA BIPOLAR HOLLOW CORE TARGET COAGULATION FINE TIP WET-FIELD HEMOSTATIC ERASER,HEMOSTATIC ERASER",458.61,229.31,100.02,412.75,64
RC,0272,PROBE ION VISION ENDOSCOPIC,1900.0,950.0,414.39,1710.0,64
RC,0272,PROBE L320 CM OD2.3 MM BEAMER ARGON ENDOSCOPIC,2000.0,1000.0,436.2,1800.0,64
RC,0272,PROBE L350 CM OD10 FR QUICKSILVER BIPOLAR 1 GENERATOR PLUG ENDOSCOPIC 3.7 MM MINIMUM ACCESSORY CHANNEL,178.0,89.0,38.82,160.2,64
RC,0272,PROBE L90 MM OD4.0 MM SERFAS 90-S ACCELERATOR SUCTION NONBEND MAX CUT LEVEL11 ENDOSCOPIC,169.13,84.57,36.89,152.22,64
RC,0272,PROBE LACRIMAL L5.9 IN 0000 000 MALLEABLE POLISH FINISH BOWMAN STERLING SILVER,35.84,17.92,7.82,32.26,64
RC,0272,PROBE LACRIMAL L5.9 IN 5 6 MALLEABLE POLISH FINISH BOWMAN STERLING SILVER,35.84,17.92,7.82,32.26,64
RC,0272,PROBE LAPAROSCOPIC 5MM GENERATOR ELECTRODE CORD HANDSWITCH STERILE DISPOSABLE 10FT 28CM LATEX FREE,1426.91,713.46,311.21,1284.22,64
RC,0272,PROBE LAPAROSCOPIC L28 CM GENERATOR ELECTRODE CORD FOOTCONTROL OD5 MM ABC L10 FT,1344.56,672.28,293.25,1210.1,64
RC,0272,PROBE LASER 133MM 3.3MM SIDEFIRE NEUROBLATE 000 1.5T 3T DIRECTIONAL GAS COOL STERILE DISPOSABLE,10469.0,5234.5,2283.29,9422.1,64
RC,0272,PROBE LASER 154MM 3.3MM NEUROBLATE SIDEFIRE MVISION 00 DIRECTIONAL GAS COOL SIEMENS AVANTO TRIO AERA IMRIS NEURO III SYSTEM STERILE DISPOSABLE,10469.0,5234.5,2283.29,9422.1,64
RC,0272,PROBE LASER 175MM 3.3MM NEUROBLATE SIDEFIRE MVISION DIRECTIONAL GAS COOL STERILE DISPOSABLE,10783.0,5391.5,2351.77,9704.7,64
RC,0272,PROBE LASER 25/30GA 45DEG ANGLED STEPPED RIGID SMOOTH TAPERED NEEDLE ENDOPROBE,900.0,450.0,196.29,810.0,64
RC,0272,PROBE LASER CYCLO G6 G-PROBE WEDGE TIP GLAUCOMA DISPOSABLE,1650.0,825.0,359.87,1485.0,64
RC,0272,PROBE LASER CYCLO G6 MICROPULSE P3 CURVE TIP SWEEP MOTION GLAUCOMA DISPOSABLE,1650.0,825.0,359.87,1485.0,64
RC,0272,PROBE LASER OD23 GA HANDPIECE PRECISE FIBER CENTER PUREPOINT PLASTIC STRAIGHT,1140.12,570.06,248.66,1026.11,64
RC,0272,PROBE LASER OD23 GA L2 IN ILLUMINATION CURVE TIP LARGE TACTILE INDICATOR RFID X2 PUREPOINT NITINOL PLASTIC GLASS 78 D,1458.0,729.0,317.99,1312.2,64
RC,0272,PROBE LASER OD25 GA COHERENT EYELITE STRAIGHT,964.08,482.04,210.27,867.67,64
RC,0272,PROBE LASER OD25 GA FLEXIBLE TUBING 37 DEGREE CURVE ILLUMINATED SYNERGETICS,2030.21,1015.11,442.79,1827.19,64
RC,0272,PROBE LASER OD25 GA ILLUMINATE PIK RADIO FREQUENCY IDENTIFICATION ENGAUGE,1574.64,787.32,343.43,1417.18,64
RC,0272,PROBE LASER OD25 GA L2 IN ILLUMINATE CURVE TIP LARGE TACTILE INDICATOR RFID X2 PUREPOINT NITINOL PLASTIC GLASS 78 D,1458.0,729.0,317.99,1312.2,64
RC,0272,PROBE LASER OD25 GA L89 CM IRIDEX 90 D CURVE ENDOOCULAR,2127.21,1063.61,463.94,1914.49,64
RC,0272,PROBE LASER OD27 GA ARTICULATE ILLUMINATE ENGAUGE VEKTOR,1567.32,783.66,341.83,1410.59,64
RC,0272,PROBE LITHOTRIPSY 375CM 1.9FR AUTOLITH LITHOTRIPTER STERILE LATEX DISPOSABLE,472.0,236.0,102.94,424.8,64
RC,0272,PROBE LITHOTRIPSY L375 CM OD1.9 FR SPYGLASS AUTOLITH TOUCH LITHOTRIPTER,429.0,214.5,93.56,386.1,64
RC,0272,PROBE LITHOTRIPSY OD1.83 MM SHOCKPULSE,2075.13,1037.57,452.59,1867.62,64
RC,0272,PROBE LITHOTRIPTER 3.9MM 35CM F/SWISS LITHOCLAST TRILOGY,780.0,390.0,170.12,702.0,64
RC,0272,PROBE LITHOTRIPTER 403MM 3.3MM SWISS LITHOCLAST ULTRASOUND FLEXIBLE LATEX FREE DISPOSABLE,633.61,316.81,138.19,570.25,64
RC,0272,PROBE LITHOTRIPTER 403MM 3.8MM SWISS LITHOCLAST ULTRASOUND FLEXIBLE LATEX FREE DISPOSABLE,633.61,316.81,138.19,570.25,64
RC,0272,PROBE LITHOTRIPTER 425MM 2MM SWISS LITHOCLAST PNEUMATIC FLEXIBLE LATEX FREE DISPOSABLE,274.61,137.31,59.89,247.15,64
RC,0272,PROBE LITHOTRIPTER 5.5FR 418MM SHOCKPULSE SE STERILE SINGLE-USE,630.67,315.34,137.55,567.6,64
RC,0272,PROBE LITHOTRIPTER 570MM 1MM SWISS LITHOCLAST PNEUMATIC FLEXIBLE LATEX FREE DISPOSABLE,274.61,137.31,59.89,247.15,64
RC,0272,PROBE LITHOTRIPTER BIPOLAR 1.9FR DIA 350CML NEONATE BILIARY ELECTROHYDRAULIC STERILE SINGLE PATIENT USE,472.0,236.0,102.94,424.8,64
RC,0272,PROBE LITHOTRIPTER L396 MM OD3.4 FR SHOCKPULSE BLUE,2075.13,1037.57,452.59,1867.62,64
RC,0272,PROBE LITHOTRIPTER L396 MM OD3.76 MM ID3.15 MM SHOCKPULSE SILVER,2075.13,1037.57,452.59,1867.62,64
RC,0272,PROBE LITHOTRIPTER L60 CM ELECTROHYDRAULIC OD9 FR ELECTROHYDRAULIC LITHOTRIPSY PROBE 9 FR 3.0 MM X 60 CM,1430.06,715.03,311.9,1287.05,64
RC,0272,PROBE LITHOTRIPTER ULTRASONIC CYBERWAND RENAL BLADDER,610.72,305.36,133.2,549.65,64
RC,0272,PROBE MAMMOTOME 13G ELITE DISPOSABLE,1235.0,617.5,269.35,1111.5,64
RC,0272,PROBE NERVE STIMULATOR .5MM PRASS STANDARD MONOPOLAR FLUSH TIP STERILE LATEX FREE DISPOSABLE,568.26,284.13,123.94,511.43,64
RC,0272,PROBE NERVE STIMULATOR 0.5MM DIA PRASS FLUSH TIP NIM-RESPONSE,180.95,90.48,39.47,162.86,64
RC,0272,PROBE NERVE STIMULATOR 0.75MM DIA 100MML 1.9M WIRE MONOPOLAR W/DIN42802 CONNECTO NON-STERILE DISPOSABLE,600.0,300.0,130.86,540.0,64
RC,0272,PROBE NERVE STIMULATOR BIPOLAR CONCENTRIC NEUROSIGN DISPOSABLE,2250.0,1125.0,490.73,2025.0,64
RC,0272,PROBE NERVE STIMULATOR BIPOLAR NEUROSIGN DISPOSABLE,2250.0,1125.0,490.73,2025.0,64
RC,0272,PROBE NERVE STIMULATOR BIPOLAR PRASS NIM-RESPONSE,908.98,454.49,198.25,818.08,64
RC,0272,PROBE NERVE STIMULATOR BIPOLAR SIDE BY SIDE,639.87,319.94,139.56,575.88,64
RC,0272,PROBE NERVE STIMULATOR L11 IN LATERAL MONOPOLAR RAVINE,103.5,51.75,22.57,93.15,64
RC,0272,PROBE NERVE STIMULATOR L23 CM LONG LENGTH BALL NIM,33.3,16.65,7.26,29.97,64
RC,0272,PROBE NERVE STIMULATOR LONG NEEDLE NIM SPINE PEDICLE,61.95,30.98,13.51,55.76,64
RC,0272,PROBE NERVE STIMULATOR MECHANOMYOGRAPHIC RHYTHMLINK RIGHT LATERAL,975.0,487.5,212.65,877.5,64
RC,0272,PROBE NERVE STIMULATOR MONITOR OD2.1 MM ARIA,81.97,40.99,17.88,73.77,64
RC,0272,PROBE NERVE STIMULATOR MONOPOLAR 2.3MM DIA ENT BALL INSULATED FLEXIBLE SHAFT STERILE SINGLE-USE,1044.12,522.06,227.72,939.71,64
RC,0272,PROBE NERVE STIMULATOR STANDARD PRASS MONOPOLAR FLUSH TIP SLIMLINE HANDLE OD.33 MM NIM-RESPONSE,665.55,332.78,145.16,599.0,64
RC,0272,PROBE NERVE STIMULATOR TIP MEDTRONIC REUSABLE INSTRUMENT FACIAL NERVE,75.0,37.5,16.36,67.5,64
RC,0272,PROBE OBSTETRIC 3MHZ HIGH SENSITIVITY SONICAID HUNTLEIGH FD2/MD2/SD2/D900,316.0,158.0,68.92,284.4,64
RC,0272,PROBE OD3 MM NA CALIBRATE ENDOSCOPIC,156.23,78.12,34.07,140.61,64
RC,0272,PROBE PPG 7FT YELLOW VASCULAR CUFF,150.0,75.0,32.72,135.0,64
RC,0272,PROBE STIMULATOR 20-MA BATTERY POWER UNIT PORTABLE OJEMANN CORTICAL,1076.0,538.0,234.68,968.4,64
RC,0272,PROBE SURGICAL 1.5MM DIA 45CML VASCULAR PARSONNET LATEX-FREE DISPOSABLE,835.0,417.5,182.11,751.5,64
RC,0272,PROBE SURGICAL 1/1.5MM DIA STANDARD 15CML POLYMERIC VASCULAR IMA STREAMLINE BULB END ROBICSEK LATEX-FREE STERILE DISPOSABLE,497.28,248.64,108.46,447.55,64
RC,0272,PROBE SURGICAL 1MM DIA 45CML VASCULAR PARSONNET LATEX-FREE DISPOSABLE,700.0,350.0,152.67,630.0,64
RC,0272,PROBE SURGICAL 2/2.5MM DIA STANDARD 15CML POLYMERIC VASCULAR IMA STREAMLINE BULB END ROBICSEK LATEX-FREE STERILE DISPOSABLE,497.28,248.64,108.46,447.55,64
RC,0272,PROBE SURGICAL 8CM STANDARD 1-1.5MM VASCULAR STREAMLINE BULB FLEXIBLE SHAFT DEHP FREE POLYMERIC STERILE LATEX FREE DISPOSABLE,400.54,200.27,87.36,360.49,64
RC,0272,PROBE SURGICAL DEPTH 3.5 MM LCP PROXIMAL HUMERUS PLATE,365.6,182.8,79.74,329.04,64
RC,0272,PROBE SURGICAL IO-FLEX MICROBLADE SHAVER 45 CANNULA FLEXIBLE INNER CATHETER TELESCOPE HANDLE STYLET STAINLESS STEEL STERILE LATEX FREE DISPOSABLE,64.05,32.03,13.97,57.65,64
RC,0272,PROBE SURGICAL IO-FLEX MICROBLADE SHAVER CANNULA FLEXIBLE INNER CATHETER TELESCOPE HANDLE STYLET RING STAINLESS STEEL STERILE DISPOSABLE,64.05,32.03,13.97,57.65,64
RC,0272,PROBE SURGICAL IO-FLEX MICROBLADE SHAVER TIGHT DISTAL CURVATURE FLEXIBLE INNER CATHETER TELESCOPE HANDLE STYLET STAINLESS STEEL,64.05,32.03,13.97,57.65,64
RC,0272,PROBE SURGICAL JACOBSON 7 1/4INL STAINLESS STEEL ANGLED BALL POINTED TIP MIRROR/SATIN FINISH V.MUELLER NON-STERILE REUSABLE,96.62,48.31,21.07,86.96,64
RC,0272,PROBE SURGICAL METRX LONG BALL BAYONET LEFT,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL METRX LONG BALL BAYONET RIGHT,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL METRX LONG BALL BAYONET STRAIGHT,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL METRX SHORT BALL BAYONET LEFT,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL METRX SHORT BALL BAYONET RIGHT,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL METRX SHORT BALL BAYONET STRAIGHT,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL OSCAR L180 MM CEMENT PLUG EXTRACTOR TITANIUM,850.0,425.0,185.39,765.0,64
RC,0272,PROBE SURGICAL OSCAR L180 MM OD10 MM CEMENT PIERCER TITANIUM,850.0,425.0,185.39,765.0,64
RC,0272,PROBE SURGICAL OSCAR L270 MM OD8 MM CEMENT PIERCER TITANIUM,850.0,425.0,185.39,765.0,64
RC,0272,PROBE SURGICAL OSCAR L270 MM OD8 MM CEMENT SCRAPER TITANIUM,850.0,425.0,185.39,765.0,64
RC,0272,PROBE SURGICAL PEDIATRIC DUCKBILL STRAIGHT 01-1003-6018 LATEX-FREE,1044.0,522.0,227.7,939.6,64
RC,0272,PROBE SURGICAL RAVINE LATERAL ACCESS SYSTEM LONG MONOPOLAR STIMULATE,103.5,51.75,22.57,93.15,64
RC,0272,PROBE SURGICAL TRANSCONTINENTAL L8 IN SPINE INSULATE LLIF,120.0,60.0,26.17,108.0,64
RC,0272,PROBE SURGICAL TRANSONIC CHARBEL 3.6MHZ MICRO 2MM INTRACRANIAL FLOW LONG HANDLE MB SERIES DISPOSABLE,1250.0,625.0,272.63,1125.0,64
RC,0272,PROBE SURGICAL TRANSONIC CHARBEL 4.8MHZ MICRO 1.5MM INTRACRANIAL FLOW LONG HANDLE MB SERIES DISPOSABLE,1250.0,625.0,272.63,1125.0,64
RC,0272,PROBE SURGICAL TRANSONIC CHARBEL MICRO-FLOWPROBES 3MM 2.3-3.4MM INTRACRANIAL CEREBROVASCULAR DISPOSABLE,1250.0,625.0,272.63,1125.0,64
RC,0272,PROBE SURGICAL WOODSON BAYONET,43.05,21.53,9.39,38.75,64
RC,0272,PROBE SURGICAL XL SPINE PEDICLE INSULATE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,PROBE SURGICAL XL VEO NON-STERILE DISPOSABLE,725.0,362.5,158.12,652.5,64
RC,0272,PROBE TEMPERATURE 60IN RIGHT ANGLE AIRWAY FLOW ACCEPTS MR850 HUMIDIFIER HC550 RT SERIES BREATH CIRCUIT LATEX FREE REUSABLE,130.0,65.0,28.35,117.0,64
RC,0272,PROBE TEMPERATURE ESOPHAGEAL MATRIX12 M,6950.0,3475.0,1515.8,6255.0,64
RC,0272,PROBE THERMOMETER 21GA 15MML MYOCARDIAL STAINLESS STEEL NEEDLE PYROGEN-FREE STURDY WIRE/CONNECTOR 400 SERIES LATEX-FREE STERILE,234.7,117.35,51.19,211.23,64
RC,0272,PROBE ULTRASONIC SONICONE OR SHARPVAC ASPIRATION DEBRIDEMENT STERILE LATEX FREE REUSABLE,432.0,216.0,94.22,388.8,64
RC,0272,PROBE ULTRASONIC SONICVAC SONICONE WIDE HATCH,2085.0,1042.5,454.74,1876.5,64
RC,0272,PROBE ULTRASOUND TRANS RECTAL,1500.0,750.0,327.15,1350.0,64
RC,0272,PROBE VITRECTOMY 10000 CPM BEVEL CONSTELLATION ULTRAVIT ENGAUGE 25+,1395.12,697.56,304.28,1255.61,64
RC,0272,PROBE VITRECTOMY 20GA STRAIGHT CURVED ROUND DISTAL TIP LIGHT PIPE F/ILLUMINATION CONSTELLATION LATEX-FREE STERILE DISPOSABLE,1284.84,642.42,280.22,1156.36,64
RC,0272,PROBE VITRECTOMY 25GA CONSTELLATION ULTRAVIT LATEX-FREE STERILE DISPOSABLE 5000 CPM,1118.58,559.29,243.96,1006.72,64
RC,0272,PROBE VITRECTOMY 30 D POINT TIP DIATHERMY ERGONOMIC HANDLE OD27+ GA GRIESHABER DSP ACCURUS CONSTELLATION,306.18,153.09,66.78,275.56,64
RC,0272,PROBE VITRECTOMY 5000 CPM EDGEPLUS VALVED CANNULA STRAIGHT ENDOILLUMINATOR OD23 GA TOTAL PLUS CONSTELLATION,3644.82,1822.41,794.94,3280.34,64
RC,0272,PROBE VITRECTOMY ENDOILLUMINATION 20GA 0.9MML TOTALVIEW,247.0,123.5,53.87,222.3,64
RC,0272,PROBE VITRECTOMY LASER 27GA 27MML CONSTELLATION LATEX-FREE,1310.82,655.41,285.89,1179.74,64
RC,0272,PROBE VITRECTOMY OD23 GA ALCON CENTURION ULTRAVIT ULTRAVIT ANTERIOR,1411.92,705.96,307.94,1270.73,64
RC,0272,PROBE VITRECTOMY OD23 GA INFINITI ULTRAVIT ANTERIOR,1337.58,668.79,291.73,1203.82,64
RC,0272,PROBE VITRECTOMY TROCAR CANNULA SET OD23 GA CONSTELLATION EDGEPLUS,535.8,267.9,116.86,482.22,64
RC,0272,PROCESSOR DATA STREAM 2 TRACK FEEDBACK MANAGER ACTIVE GAIN 4 USER DEFINED PROGRAM COCHLEAR BAHA ARDIUM BCDRIVE SOUND 1 SIDE SENSORINEURAL DEAFNESS,212.5,106.25,46.35,191.25,64
RC,0272,PROCESSOR HERIZON MEDICAL ENDOSCOPE IMAGE,2000.0,1000.0,436.2,1800.0,64
RC,0272,PROGRAMMER NEUROSTIMULATOR PATIENT PERCEPT,1635.0,817.5,356.59,1471.5,64
RC,0272,PROTECTOR HOOD FOREIGN BODY RETRIEVAL ENDOSCOPE TIP AVANOS*,184.97,92.49,40.34,166.47,64
RC,0272,PROTECTOR MICROPHONE ADULT APPLICATOR REMOVAL TOOL NUCLEUS,21.25,10.63,4.63,19.13,64
RC,0272,PROTECTOR NERVE L20 MM PROTECTIVE BARRIER OD10 MM AXOGUARD SMALL INTESTINE SUBMUCOSA PERIPHERAL,2320.64,1160.32,506.13,2088.58,64
RC,0272,PROTECTOR OR TABLE 9IN LEG SPAR BALL JOINT HANA HANA SSXT PROFX,141.14,70.57,30.78,127.03,64
RC,0272,PROTECTOR ORTHOPEDIC X-SMALL/MEDIUM FLEXIBLE RETRACTOR RING ALEXIS,900.0,450.0,196.29,810.0,64
RC,0272,PROTECTOR ORTHOTIC FLUIDIZED W/FOOT DROP STRAP Z-FLEX,304.48,152.24,66.41,274.03,64
RC,0272,PROTECTOR TISSUE .035IN WHITE PIN GUARD 6 BALL BB SERIES LATEX FREE DISPOSABLE .035IN WIRE/PEN STERILE JURGAN BALL,44.0,22.0,9.6,39.6,64
RC,0272,PROTECTOR TISSUE 2XS FLEXIBLE RETRACTION RING ATRAUMATIC SELF RETAIN LATEX FREE 1-3CM INCISION ALEXIS,160.0,80.0,34.9,144.0,64
RC,0272,PROTECTOR TISSUE 5-13CM SMALL MEDIUM 14CM ATRAUMATIC FLEXIBLE RETRACTION RING SHOULDER HIP ALEXIS,900.0,450.0,196.29,810.0,64
RC,0272,PROTECTOR TISSUE LARGE FLEXIBLE RETRACTION RING ATRAUMATIC SELF RETAIN LATEX FREE 9-14CM INCISION ALEXIS,245.0,122.5,53.43,220.5,64
RC,0272,PROTECTOR TISSUE MEDIUM FLEXIBLE RETRACTION RING ATRAUMATIC SELF RETAIN LATEX FREE 5-9CM INCISION ALEXIS,160.0,80.0,34.9,144.0,64
RC,0272,PROTECTOR TISSUE SMALL 18CM FLEXIBLE RETRACTION RING ATRAUMATIC 2.5-6CM INCISION ALEXIS O,160.0,80.0,34.9,144.0,64
RC,0272,PROTECTOR TISSUE SMALL MEDIUM 2.5-8CM INCISION ALEXIS,900.0,450.0,196.29,810.0,64
RC,0272,PROTECTOR TISSUE WOUND 17-25CM DIA 2XL 18CML SELF-RETAINING RIGID F/360DEG SOFT PROTECTION ALEXIS O LATEX-FREE STERILE DISPOSABLE,480.0,240.0,104.69,432.0,64
RC,0272,PROTECTOR TISSUE WOUND RETRACTOR ALEXIS STERILE,215.0,107.5,46.89,193.5,64
RC,0272,PROTECTOR TISSUE XL FLEXIBLE RETRACTION RING ATRAUMATIC SELF RETAIN LATEX FREE 11-17CM INCISION ALEXIS,310.0,155.0,67.61,279.0,64
RC,0272,PROTECTOR TISSUE XS FLEXIBLE RETRACTION RING ATRAUMATIC 360 DEGREE PROTECTION LATEX FREE 2-4CM INCISION ALEXIS,160.0,80.0,34.9,144.0,64
RC,0272,PUMP CENTRIFUGAL BIOLINE COATING ROTAFLOW,305.88,152.94,66.71,275.29,64
RC,0272,PUMP CENTRIFUGAL REVOLUTION COATED DISPOSABLE,1200.0,600.0,261.72,1080.0,64
RC,0272,PUMP SUCTION CANISTER INDIGO MAX,360.0,180.0,78.52,324.0,64
RC,0272,PUMP TUBING ARTHROSCOPIC L13 FT CONTINUOUS WAVE III DUALWAVE,427.0,213.5,93.13,384.3,64
RC,0272,PUMP TUBING ARTHROSCOPIC L8 FT CONNECTOR REDEUCE,427.0,213.5,93.13,384.3,64
RC,0272,PUMP VACUUM BELL CUP LOW PROFILE OD64 MM MYSTIC II MITYSOFT,429.87,214.94,93.75,386.88,64
RC,0272,PUMP VENTRICULAR ASSIST BLOOD VALVE OD9 MM EXCOR VAD POLYURETHANE 15 ML,43646.0,21823.0,9519.19,39281.4,64
RC,0272,PUNCH 3.5MM AORTIC,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH 3MM LONG HANDLE AORTIC,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH 4.5MM PERFECTCUT BULLET TIP KIT AORTIC,240.67,120.34,52.49,216.6,64
RC,0272,PUNCH 4IN 3.3MM PERFECTCUT BULLET TIP ROTARY STERILE LATEX FREE AORTIC AORTOTOMY,230.27,115.14,50.22,207.24,64
RC,0272,PUNCH 4MM LONG HANDLE AORTIC,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH 7.5IN 4.8MM DISPOSABLE AORTIC,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH AORTIC 2.8MM DIA 7INL DIAMOND EDGE FREE-FLOAT CUTTING SELF-TAPPING PILLING LATEX-FREE STERILE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,PUNCH AORTIC 3.6MM DIA 7 3/4INL DIAMOND EDGE STANDARD TIP FREE-FLOAT CUTTING SELF-TAPPING PILLING LATEX-FREE STERILE DISPOSABLE,90.0,45.0,19.63,81.0,64
RC,0272,PUNCH AORTIC 4.4 MM LONG NA,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH AORTIC 4.4MM DIA 7 3/4INL DIAMOND EDGE FREE-FLOAT CUTTING SELF-TAPPING PILLING LATEX-FREE STERILE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,PUNCH AORTIC 4.8MM DIA 7 3/4INL DIAMOND EDGE FREE-FLOAT CUTTING SELF-TAPPING PILLING LATEX-FREE STERILE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,PUNCH AORTIC 4.8MM DIA STANDARD 5 3/4INL ROUND DISPOSABLE,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH AORTIC 5.2MM DIA 7 1/2INL ROUND LONG HANDLE STERILE DISPOSABLE,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH AORTIC LONG LENGTH HANDLE 5MM DIA 7 1/2INL ROUND STERILE DISPOSABLE,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH AORTIC OD4 MM 2 CUT ACTION DIAMOND EDGE VASCULAR L7 3/4 IN STANDARD LENGTH TELEFLEX DEKNATEL,388.26,194.13,84.68,349.43,64
RC,0272,PUNCH ARTHROSCOPIC 15 D UP NANO BITER L130 MM,265.0,132.5,57.8,238.5,64
RC,0272,PUNCH ARTHROSCOPIC 15 D UP SHAFT STRAIGHT SERIES 1 DESIGN INVERT OD3.4 MM WIDEBITER,995.0,497.5,217.01,895.5,64
RC,0272,PUNCH ARTHROSCOPIC 15 D UP TIP 15 D UP SHAFT SERIES 1 DESIGN OD3.4 MM WIDEBITER,995.0,497.5,217.01,895.5,64
RC,0272,PUNCH ARTHROSCOPIC BASKET CURVED RIGHT ACUFEX DUCKLING,1190.0,595.0,259.54,1071.0,64
RC,0272,PUNCH ARTHROSCOPIC CORKSCREW PUSHLOCK 4.5 MM CORKSCREW 4.5 MM PUSHLOCK FULL THREAD,190.0,95.0,41.44,171.0,64
RC,0272,PUNCH ARTHROSCOPIC CORKSCREW SWIVELOCK 5.5 MM CORKSCREW FULL THREAD 4.75/5.5 MM SWIVELOCK ANCHOR,190.0,95.0,41.44,171.0,64
RC,0272,PUNCH ARTHROSCOPIC L130 MM STRAIGHT NANO BITER,265.0,132.5,57.8,238.5,64
RC,0272,PUNCH ARTHROSCOPIC PUSHLOCK BIO CORKSCREW 3.5 MM PUSHLOCK,75.0,37.5,16.36,67.5,64
RC,0272,PUNCH ARTHROSCOPIC SERIES 1 STRAIGHT SHAFT OD3.4 MM WIDEBITER,995.0,497.5,217.01,895.5,64
RC,0272,PUNCH ARTHROSCOPIC STRAIGHT BASKET ACUFEX DUCKLING,1190.0,595.0,259.54,1071.0,64
RC,0272,PUNCH ARTHROSCOPIC SWIVELOCK CORKSCREW 5.5 CORKSCREW FULL THREAD 4.75/5.5 MM SWIVELOCK,75.0,37.5,16.36,67.5,64
RC,0272,PUNCH CORNEA OD8.5 MM VACUUM BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD6.5 MM DONOR BUTTON BARRON SURGICAL,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD6.5 MM RADIAL VACUUM BAR BARRON SURGICAL,70.2,35.1,15.31,63.18,64
RC,0272,PUNCH OD7 MM VACCUM BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD7.5 MM VACCUM BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD7.75 MM NONVACUUM 4 GUIDE POST BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD8 MM VACCUM BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD8.25 MM NONVACUUM 4 GUIDE POST BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD8.75 MM NONVACUUM 4 GUIDE POST BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OD9 MM VACCUM BARRON SURGICAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OPHTHALMIC 7.5MM BARRON VACUUM DONOR CORNEA STERILE DISPOSABLE,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC 8.5MM ULTRAFIT SET DONOR CORONET STERILE DISPOSABLE,62.8,31.4,13.7,56.52,64
RC,0272,PUNCH OPHTHALMIC 8.75MM ULTRAFIT SET DONOR CORONET STERILE DISPOSABLE,62.8,31.4,13.7,56.52,64
RC,0272,PUNCH OPHTHALMIC 8MM ULTRAFIT SET DONOR CORONET STERILE DISPOSABLE,62.8,31.4,13.7,56.52,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD6.5 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD7.25 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD7.75 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD8 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD8.25 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD8.75 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD9 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC CUT BLADE TOP BLOCK BUTTOM 4 HOLE VACUUM OD9.5 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC NONVACUUM 4 GUIDE POST OD9.5 MM BARRON DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OPHTHALMIC OD7.25 MM BARRON CORNEAL DONOR CORNEA,63.0,31.5,13.74,56.7,64
RC,0272,PUNCH OPHTHALMIC VACUUM 4 GUIDE POST OD6 MM BARRON STAINLESS STEEL CORNEAL DONOR RECIPIENT,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH OPHTHALMIC VACUUM OD8.5 MM BARRON DONOR CORNEA,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH SHORT HANDLE 4MM HANCOCK AORTIC,82.0,41.0,17.88,73.8,64
RC,0272,PUNCH SURGICAL BARRON VACUUM DONOR 7MM DIA STAINLESS STEEL NYLON CORNEAL CIRCULAR GROOVE BUTTON STERILE DISPOSABLE,68.4,34.2,14.92,61.56,64
RC,0272,PUNCH SURGICAL SIZE 1-2 FIN F/BONE-CORING FASTPAK,95.2,47.6,20.76,85.68,64
RC,0272,PUNCH SURGICAL SIZE 3-4 FINE LEGION FP,61.5,30.75,13.41,55.35,64
RC,0272,PUNCH SURGICAL SIZE 5-6 FINE LEGION FP,61.5,30.75,13.41,55.35,64
RC,0272,PUNCH SURGICAL SIZE 7-8 FINE LEGION FP,61.5,30.75,13.41,55.35,64
RC,0272,PUSHER CEMENT SPINEJACK OD4.2 MM SURGICAL,70.85,35.43,15.45,63.77,64
RC,0272,PUSHER FENESTRATE RELINE-O SURGICAL,369.94,184.97,80.68,332.95,64
RC,0272,PUSHER KNOT 1 HOLE THUMB RING,450.0,225.0,98.15,405.0,64
RC,0272,PUSHER KNOT CLOSED END,450.0,225.0,98.15,405.0,64
RC,0272,PUSHER KNOT CURVED SLOTTED CANNULA FAST-FIX 360,144.0,72.0,31.41,129.6,64
RC,0272,PUSHER KNOT CUTTER SLOT CANNULA SET 360 D STRAIGHT FAST-FIX,150.33,75.17,32.79,135.3,64
RC,0272,PUSHER KNOT KNOT PUSHER SUTURE CUTTER PORTAL SKID,220.0,110.0,47.98,198.0,64
RC,0272,PUSHER KNOT SUTURE CUTTER SLOT CANNULA SET 360 D FAST-FIX KNEE MENISCAL REPAIR SYSTEM,160.06,80.03,34.91,144.05,64
RC,0272,PUSHER KNOT SUTURE CUTTER SLOT CANNULA SET 36557 NA,197.87,98.94,43.16,178.08,64
RC,0272,PUSHER KNOT SUTURE CUTTER STRAIGHT ULTRA FAST-FIX MENISCAL REPAIR SYSTEM,128.1,64.05,27.94,115.29,64
RC,0272,PUSHER SHORT WIRE ADVANIX OD3 FR SURGICAL PANCREATIC STENT,51.04,25.52,11.13,45.94,64
RC,0272,PUSHER SPINEJACK 5.0-5.8 MM SURGICAL CEMENT,425.12,212.56,92.72,382.61,64
RC,0272,PUSHER STENT PUSHER OD4 FR SECOD5 FR ADVANIX NAVIFLEX PANCREA,51.04,25.52,11.13,45.94,64
RC,0272,PUSHER SURGICAL 177CM EMBOLIZATION COIL .016FR .018IN,142.5,71.25,31.08,128.25,64
RC,0272,PUSHER TOOL KNOT 38X1.1CM 20CM LATEX FREE,1785.0,892.5,389.31,1606.5,64
RC,0272,RACK INSTRUMENT NA 7.3 MM SCREWS 16 MM 32 MM THREAD,738.99,369.5,161.17,665.09,64
RC,0272,RACK STERILIZATION LID SCREW GRAPHIC CASE,510.49,255.25,111.34,459.44,64
RC,0272,RACK STERILIZATION NA 4.5 MM CORTICAL SCREW,267.25,133.63,58.29,240.53,64
RC,0272,RACK STERILIZATION NA 7.3 MM CANNULATED SCREW FULL THREAD,819.84,409.92,178.81,737.86,64
RC,0272,RASP +3 SMALL STEPTECH SYNVASIVE SURGICAL OSCILLATE ANCHOR PEG GLENOID STRYKER,208.35,104.18,45.44,187.52,64
RC,0272,RASP +5 LARGE STEPTECH SYNVASIVE SURGICAL OSCILLATE ANCHOR PEG GLENOID STRYKER,208.35,104.18,45.44,187.52,64
RC,0272,RASP +5 SMALL STEPTECH SYNVASIVE SURGICAL OSCILLATE ANCHOR PEG GLENOID STRYKER,208.35,104.18,45.44,187.52,64
RC,0272,RASP HELICOID ELITE SURGICAL OD2.1 MM SHORT TIP,115.04,57.52,25.09,103.54,64
RC,0272,RASP L11 MM X W5 MM SMALL CORE TPS STAINLESS STEEL SURGICAL TEAR TPS,105.33,52.67,22.97,94.8,64
RC,0272,RASP L11 MM X W5 MM SMALL TPS STAINLESS STEEL SURGICAL TEAR CROSS CUT,105.33,52.67,22.97,94.8,64
RC,0272,RASP L14 MM X W7 MM LARGE TPS STAINLESS STEEL SURGICAL TEAR CROSS CUT,105.33,52.67,22.97,94.8,64
RC,0272,RASP L18.3 MM LONG HELICOIDAL SURGICAL OD3.2 MM,117.11,58.56,25.54,105.4,64
RC,0272,RASP SURGICAL 10MM DISTAL INTERPHALANGEAL JOINT HAND F/INTRAMEDULLARY FIXATION IP FUSION APEX DISPOSABLE,297.0,148.5,64.78,267.3,64
RC,0272,RASP SURGICAL 10MM PROXIMAL F/APEX IP FUSION DEVICE,756.0,378.0,164.88,680.4,64
RC,0272,RASP SURGICAL 18.3MM 3.2MM HELIOCOID DISPOSABLE STERILE LATEX FREE METAL CUT,140.28,70.14,30.6,126.25,64
RC,0272,RASP SURGICAL 3.1MM DIA 17.5MML HEAD CARBIDE CYLINDRICAL ROUND METAL CUTTING HIGH SPEED,65.52,32.76,14.29,58.97,64
RC,0272,RASP SURGICAL 3.2MM DIA MEDIUM 18.3MML HELIOCOIDAL TPS STERILE,108.09,54.05,23.57,97.28,64
RC,0272,RASP SURGICAL 4.5MM 1.1MM SEMI SPHERE SHARPED MP0745,539.1,269.55,117.58,485.19,64
RC,0272,RASP SURGICAL RECIPROCATING 5.5MMW X 11MML SMALL BONE TEAR CROSS CUT F/STRYKER CORE TPS REMB COMMAND 2 SYSTEM KM SERIES STERILE,82.59,41.3,18.01,74.33,64
RC,0272,RASP SURGICAL RECIPROCATING 5.5MMW X 13.5MML SMALL BONE TEAR CROSS CUT F/STRYKER CORE TPS REMB COMMAND 2 SYSTEM KM SERIES STERILE,82.59,41.3,18.01,74.33,64
RC,0272,RASP SURGICAL RECIPROCATING 6.5MMW X 13MML SMALL BONE TEAR CROSS CUT F/STRYKER CORE TPS REMB COMMAND 2 SYSTEM KM SERIES STERILE,82.59,41.3,18.01,74.33,64
RC,0272,RASP SURGICAL REPROCESSED RECIPROCATING LARGE 7MMW X 14MML TEAR CROSS CUT CORE TPS KM5100-37-114 STERILE,36.34,18.17,7.93,32.71,64
RC,0272,RASP TMJ TMJ SYSTEM SURGICAL DIAMOND,372.0,186.0,81.13,334.8,64
RC,0272,"REAGENT ALBACLONE ANTI-A,B",35.97,17.99,7.85,32.37,64
RC,0272,REAGENT ALBACLONE ANTI-LEA,394.64,197.32,86.07,355.18,64
RC,0272,REAGENT ALBACYTE A1 CELLS,14.49,7.25,3.16,13.04,64
RC,0272,REAGENT ALBACYTE A2 CELLS,28.97,14.49,6.32,26.07,64
RC,0272,REAGENT ALBACYTE B CELLS,14.49,7.25,3.16,13.04,64
RC,0272,REAGENT ALBACYTE EXPANDED RH NEGATIVE ANTIBODY SCREEN,105.0,52.5,22.9,94.5,64
RC,0272,REAGENT CHEMISTRY ANALYZER STAT HS TROPONIN-I ALINITY I 200TEST/EA US,660.0,330.0,143.95,594.0,64
RC,0272,REAGENT HISTOLOGY 95% GRADE ALCOHOL 1GA POLYPROPYLENE BOTTLE,30.32,15.16,6.61,27.29,64
RC,0272,REAGENT IMMUN ANALYZER CA 15-3 ALINITY I 200TEST/EA,483.48,241.74,105.45,435.13,64
RC,0272,REAGENT IMMUNOLOGY ANALYZER HBS AG CONFIRMATORY QUALITATIVE ALINITY I 200TEST/EA,2834.64,1417.32,618.23,2551.18,64
RC,0272,REAGENT IMMUNOLOGY ANALYZER HIV COMBO ALINITY I 200TEST/EA,793.33,396.67,173.03,714.0,64
RC,0272,REAGENT IMMUNOLOGY ANALYZER LYME 100 TOTAL LIAISON 1/PK,311.38,155.69,67.91,280.24,64
RC,0272,REAGENT LIAISON ELASTASE-1,1250.06,625.03,272.64,1125.05,64
RC,0272,REAGENT PBS 0.1M PH 7.2 GAL,152.59,76.3,33.28,137.33,64
RC,0272,REAGENT TOXICOLOGY ANALYZER FENTANYL ALINITY C 200TEST/EA,362.0,181.0,78.95,325.8,64
RC,0272,REAGENT TOXICOLOGY ANALYZER TACROLIMUS ALINITY I 200TEST/EA,2040.0,1020.0,444.92,1836.0,64
RC,0272,REAGENT TOXICOLOGY ANALYZER TACROLIMUS PRECIPITATION ALINITY I EA,67.81,33.91,14.79,61.03,64
RC,0272,REAMER 3 COMPLETE SURGICAL,1145.43,572.72,249.82,1030.89,64
RC,0272,REAMER ANCHOR PEG GLENOID ACCESS OD40 MM APG+ SURGICAL,434.7,217.35,94.81,391.23,64
RC,0272,REAMER ANGLE SMALL SURGICAL,295.0,147.5,64.34,265.5,64
RC,0272,REAMER BALL SPIKE OD6.5 MM L320 MM STRAIGHT SURGICAL LOW PROFILE PELVIC SYSTEM,365.63,182.82,79.74,329.07,64
RC,0272,REAMER BALL SPIKE OD6.5 MM L420 MM LONG STRAIGHT SURGICAL LOW PROFILE PELVIC SYSTEM,388.62,194.31,84.76,349.76,64
RC,0272,REAMER CANNULATED COLLAR PIN SET CORE OD10 MM SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER CANNULATED COLLAR PIN SET CORING OD8 MM SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER CANNULATED DISTAL OD14 MM NA SURGICAL 1.6 MM KIRSCHNER WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED DISTAL OD24 MM SURGICAL 1.6 MM KIRSCHNER WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED HEAD OD10 MM ACL SURGICAL,226.0,113.0,49.29,203.4,64
RC,0272,REAMER CANNULATED HEAD OD12 MM SURGICAL,226.0,113.0,49.29,203.4,64
RC,0272,REAMER CANNULATED HEAD OD5 MM ACROMIOCLAVICULAR JOINT SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD OD5.5 MM ACROMIOCLAVICULAR JOINT SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD OD6.5 MM ACL GRAFTROPE SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD OD7 MM ACL SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD OD8 MM ACL GRAFTROPE SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD OD8.5 MM ACL SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD OD9 MM ACL GRAFTROPE SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED HEAD TUNNEL OD6 MM ACL STANDARD SURGICAL,215.0,107.5,46.89,193.5,64
RC,0272,REAMER CANNULATED L4 MM LONG SURGICAL,218.75,109.38,47.71,196.88,64
RC,0272,REAMER CANNULATED LOW PROFILE OD5 MM ACL TIGHTROPE GRAFTLINK SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED LOW PROFILE OD6 MM ACL SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED LOW PROFILE OD7 MM ACL SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD10 MM ACL TIGHTROPE GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD10 MM DISTAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD10 MM PROXIMAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD11 MM ACL TIGHTROPE GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD11.5 MM ACL LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD12 MM DISTAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD12 MM PROXIMAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD12.5 MM ACL LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD14 MM PROXIMAL NA SURGICAL,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD16 MM DISTAL SURGICAL,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD16 MM PROXIMAL SURGICAL 1.6 MM KWIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD18 MM DISTAL SURGICAL 1.6 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD18 MM PROXIMAL SURGICAL 1.6 MM KWIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD20 MM PROXIMAL SURGICAL 1.6 MM KWIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD20 MM SURGICAL 1.6 MM KIRSCHENER WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD22 MM DISTAL SURGICAL 1.6 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD22 MM PROXIMAL SURGICAL 1.6 MM KWIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD3.2 MM LONG SURGICAL,145.83,72.92,31.81,131.25,64
RC,0272,REAMER CANNULATED OD4 MM CORTICAL CANNULATED SCREWS SURGICAL 4 MM AND 5 MM SCREW,258.97,129.49,56.48,233.07,64
RC,0272,REAMER CANNULATED OD5.5 MM ACL GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD6 MM PROXIMAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD6.5 MM ACL TIGHTROPE GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD7 MM PROXIMAL FUZEFIX SURGICAL,364.0,182.0,79.39,327.6,64
RC,0272,REAMER CANNULATED OD7.5 MM ACL LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD8 MM ACL TIGHTROPE GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD8 MM DISTAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD8 MM PROXIMAL NA SURGICAL 1.25 MM K WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER CANNULATED OD9 MM ACL TIGHTROPE GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED OD9.5 MM ACL TIGHTROPE GRAFTLINK LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER CANNULATED PROXIMAL OD24 MM SURGICAL 1.6 MM KIRSCHNER WIRE,323.65,161.83,70.59,291.29,64
RC,0272,REAMER COMPLETE HOLLOW SURGICAL 2 MM SCREW,232.95,116.48,50.81,209.66,64
RC,0272,REAMER COMPLETE HOLLOW SURGICAL 2.7 MM SCREW,232.95,116.48,50.81,209.66,64
RC,0272,REAMER COMPLETE HOLLOW SURGICAL 3.5 MM 4 MM SCREW,312.83,156.42,68.23,281.55,64
RC,0272,REAMER COMPLETE HOLLOW SURGICAL 4.5 MM SCREW,312.83,156.42,68.23,281.55,64
RC,0272,REAMER CONCAVE OD10 MM METATARSOPHALANGEAL ACUMED SURGICAL,310.0,155.0,67.61,279.0,64
RC,0272,REAMER CONCAVE OD12 MM METATARSOPHALANGEAL ACUMED SURGICAL,310.0,155.0,67.61,279.0,64
RC,0272,REAMER CONICAL ONE STEP HIP GAMMA3 SURGICAL,569.14,284.57,124.13,512.23,64
RC,0272,REAMER CONVEX OD10 MM METATARSOPHALANGEAL ACUMED SURGICAL,310.0,155.0,67.61,279.0,64
RC,0272,REAMER CONVEX OD12 MM METATARSOPHALANGEAL ACUMED SURGICAL,310.0,155.0,67.61,279.0,64
RC,0272,REAMER FIXED END CUTTING OD6 MM TRIGEN SURGICAL,800.25,400.13,174.53,720.23,64
RC,0272,REAMER FIXED END CUTTING OD7 MM TRIGEN SCULPTOR SURGICAL,800.25,400.13,174.53,720.23,64
RC,0272,REAMER FIXED ENDCUTTING PILOT NOSE OD10 MM TRIGEN SCULPTOR SURGICAL,800.25,400.13,174.53,720.23,64
RC,0272,REAMER FIXED LASER CUT ENDCUTTING OD8 MM TRIGEN SURGICAL,800.25,400.13,174.53,720.23,64
RC,0272,REAMER FLEXIBLE GUIDE PIN 10.5 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,REAMER FLEXIBLE GUIDE PIN OD10 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,REAMER FLEXIBLE GUIDE PIN OD9.5 MM SURGICAL,350.0,175.0,76.34,315.0,64
RC,0272,REAMER FLEXIBLE SHAFT HALL CONNECTION L620 MM SURGICAL,948.0,474.0,206.76,853.2,64
RC,0272,REAMER FLEXIBLE VERSITOMIC L10 MM SURGICAL,1531.49,765.75,334.02,1378.34,64
RC,0272,REAMER FUSION OD18 MM METATARSOPHALANGEAL REFLEX SURGICAL,425.0,212.5,92.69,382.5,64
RC,0272,REAMER FUSION OD20 MM METATARSOPHALANGEAL REFLEX SURGICAL,425.0,212.5,92.69,382.5,64
RC,0272,REAMER HAND L450 MM OD6 MM,264.22,132.11,57.63,237.8,64
RC,0272,REAMER HAND OD2.9 MM ODSEC5 MM 4 MM ASLS SCREW,393.03,196.52,85.72,353.73,64
RC,0272,REAMER HAND OD2.9 MM ODSEC6 MM 4 MM ASLS SCREW,422.74,211.37,92.2,380.47,64
RC,0272,REAMER HEAD OD11.5 MM MEDULLARY SURGICAL,249.61,124.81,54.44,224.65,64
RC,0272,REAMER HOLLOW QUICK COUPLING NA LARGE SURGICAL OLECRANON OSTEOTOMY NAIL,415.6,207.8,90.64,374.04,64
RC,0272,REAMER INTERCHANGEABLE HEAD PILOT NOSE OD11 MM TRIGEN SURGICAL,350.9,175.45,76.53,315.81,64
RC,0272,REAMER INTERCHANGEABLE HEAD PILOT NOSE OD14 MM TRIGEN SURGICAL,350.9,175.45,76.53,315.81,64
RC,0272,REAMER LONG STEM OD10 MM ARH SURGICAL,525.0,262.5,114.5,472.5,64
RC,0272,REAMER LONG STEM OD11 MM ACUMED SURGICAL,500.0,250.0,109.05,450.0,64
RC,0272,REAMER LONG STEM OD8 MM ARH SURGICAL,525.0,262.5,114.5,472.5,64
RC,0272,REAMER LONG STEM OD9 MM ACUMED SURGICAL,500.0,250.0,109.05,450.0,64
RC,0272,REAMER LOW PROFILE FLEXIBLE OD9 MM SURGICAL,285.0,142.5,62.16,256.5,64
RC,0272,REAMER LOW PROFILE OD10.5 MM ACL LOW PROFILE SURGICAL,195.0,97.5,42.53,175.5,64
RC,0272,REAMER LOW PROFILE OD8.5 MM ACL SURGICAL ACL RECONSTRUCTION,195.0,97.5,42.53,175.5,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD12 MM STANDARD DD SURGICAL,684.29,342.15,149.24,615.86,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD12.5 MM LONG SURGICAL,977.55,488.78,213.2,879.8,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD14 MM STANDARD DD SURGICAL,684.29,342.15,149.24,615.86,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD6 MM L385 MM SURGICAL INTRAMEDULLARY NAIL,804.74,402.37,175.51,724.27,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD6.5 MM L385 MM SURGICAL INTRAMEDULLARY NAIL,804.74,402.37,175.51,724.27,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD7.5 MM L385 MM SURGICAL INTRAMEDULLARY NAIL,804.74,402.37,175.51,724.27,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD8 MM L385 MM SURGICAL INTRAMEDULLARY NAIL,804.74,402.37,175.51,724.27,64
RC,0272,REAMER MONOBLOC FLEXIBLE OD8 MM STANDARD DD SURGICAL,684.29,342.15,149.24,615.86,64
RC,0272,REAMER MTP 16 MM ORTHOLOC 3DI SYS STERILE,320.0,160.0,69.79,288.0,64
RC,0272,REAMER NA L60 MM CONTOUR SURG DHHS,1163.61,581.81,253.78,1047.25,64
RC,0272,REAMER OD14 MM METATARSOPHALANGEAL ACUMED CONCAVE SURGICAL MODULAR HAND SYSTEM,310.0,155.0,67.61,279.0,64
RC,0272,REAMER OD14 MM METATARSOPHALANGEAL ACUMED CONVEX SURGICAL MODULAR HAND SYSTEM,310.0,155.0,67.61,279.0,64
RC,0272,REAMER OD16 MM CONCAVE SURGICAL,329.0,164.5,71.75,296.1,64
RC,0272,REAMER OD16 MM CONVEX SURGICAL,329.0,164.5,71.75,296.1,64
RC,0272,REAMER OD16 MM METATARSOPHALANGEAL ACUMED CONCAVE SURGICAL,310.0,155.0,67.61,279.0,64
RC,0272,REAMER OD16 MM METATARSOPHALANGEAL ACUMED CONVEX SURGICAL MODULAR HAND SYSTEM,310.0,155.0,67.61,279.0,64
RC,0272,REAMER OD18 MM METATARSOPHALANGEAL CIRCLE SURGICAL,445.14,222.57,97.09,400.63,64
RC,0272,REAMER OD18 MM METATARSOPHALANGEAL SURGICAL,445.14,222.57,97.09,400.63,64
RC,0272,REAMER OD18 MM MIDFOOT MPJ POLYLOCK CUP SURGICAL,716.0,358.0,156.16,644.4,64
RC,0272,REAMER OD18 MM PHALANGEAL SURGICAL,445.14,222.57,97.09,400.63,64
RC,0272,REAMER OD20 MM ACUMED LARGE CONVEX SURGICAL,310.0,155.0,67.61,279.0,64
RC,0272,REAMER OD20 MM METATARSAL SURGICAL,445.14,222.57,97.09,400.63,64
RC,0272,REAMER OD20 MM METATARSOPHALANGEAL ACUMED CONCAVE SURGICAL MODULAR HAND SYSTEM,310.0,155.0,67.61,279.0,64
RC,0272,REAMER OD24 MM CONCAVE SURGICAL,329.0,164.5,71.75,296.1,64
RC,0272,REAMER OD24 MM MAXLOCK CONVEX SURGICAL,329.0,164.5,71.75,296.1,64
RC,0272,REAMER OD5.5 MM NA SURGICAL,722.73,361.37,157.63,650.46,64
RC,0272,REAMER PHANTOM ACTIVCORE SURGICAL TTC/TC NAIL,400.0,200.0,87.24,360.0,64
RC,0272,REAMER PILOT HEAD OD6 MM SWIVELOCK SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER PILOT HEAD OD6.5 MM SWIVELOCK SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER PILOT HEAD OD7 MM SWIVELOCK SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER PILOT HEAD OD7.5 MM SWIVELOCK SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER PILOT HEAD OD8 MM SWIVELOCK SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER PILOT HEAD OD8.5 MM SWIVELOCK SURGICAL,205.0,102.5,44.71,184.5,64
RC,0272,REAMER QUICK COUPLING DRILL L145 MM SURGICAL 5 MM ASLS SCREW,381.92,190.96,83.3,343.73,64
RC,0272,REAMER QUICK COUPLING DRILL OD4.9 MM ODSEC7 MM L145 MM SURGICAL 6 MM ASLS SCREW,407.35,203.68,88.84,366.62,64
RC,0272,REAMER QUICK COUPLING DRILL OD5 MM ODSEC2.9 MM L145 MM SURGICAL 4 MM ASLS SCREW,381.92,190.96,83.3,343.73,64
RC,0272,REAMER QUICK COUPLING DRILL OD5 MM ODSEC2.9 MM L145 MM SURGICAL 4 MM ASLS SCREW RADIOLUCENT DRIVE,407.35,203.68,88.84,366.62,64
RC,0272,REAMER QUICK COUPLING DRILL OD5 MM ODSEC2.9 MM L268 MM SURGICAL 4 MM ASLS SCREW,405.99,203.0,88.55,365.39,64
RC,0272,REAMER QUICK COUPLING DRILL OD6 MM ODSEC3.9 MM L145 MM SURGICAL 5 MM ASLS SCREW RADIOLUCENT DRIVE,407.35,203.68,88.84,366.62,64
RC,0272,REAMER QUICK COUPLING DRILL OD6 MM ODSEC3.9 MM L288 MM SURGICAL 5 MM ASLS SCREW,405.99,203.0,88.55,365.39,64
RC,0272,REAMER REMOVAL CORE APERFIX 10 MM SURGICAL,700.0,350.0,152.67,630.0,64
RC,0272,REAMER REMOVAL CORE FEMUR APERFIX 11 MM SURGICAL,855.0,427.5,186.48,769.5,64
RC,0272,REAMER SPARE TUBE COMPLETE HOLLOW SURGICAL 1.5 MM SCREW,232.95,116.48,50.81,209.66,64
RC,0272,REAMER STOP OD15 MM SURGICAL 2.4 MM VA LCP INTERCARPAL FUSION PLATE,621.56,310.78,135.56,559.4,64
RC,0272,REAMER STOP OD17 MM SURGICAL 2.4 MM VA LCP INTERCARPAL FUSION PLATE,621.56,310.78,135.56,559.4,64
RC,0272,REAMER SURGICAL 1.6MM KWIRE MOTOBAND CP DYNAFORCE STERILE LATEX FREE DISPOSABLE,234.78,117.39,51.21,211.3,64
RC,0272,REAMER SURGICAL 12MM OPENING SPI T2,423.87,211.94,92.45,381.48,64
RC,0272,REAMER SURGICAL 18MM PHALANGEAL MEDLINE UNITE,425.0,212.5,92.69,382.5,64
RC,0272,REAMER SURGICAL 2 HOLE PLATE MOTOCLIP HIMAX IMPLANT SYSTEM MOTOBAND CP DYNAFORCE STERILE LATEX FREE DISPOSABLE,719.04,359.52,156.82,647.14,64
RC,0272,REAMER SURGICAL 2.7MM CANNULATED 4MM 5MM SCREW,307.54,153.77,67.07,276.79,64
RC,0272,REAMER SURGICAL 2MM QUICK STEP DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,REAMER SURGICAL 3.2MM DIA W/TISSUE PROTECTOR JACOB CHUCK HANDLE F/PERCUTANEOUS REAMING,600.0,300.0,130.86,540.0,64
RC,0272,REAMER SURGICAL 3.2MM QUICKSTEP PECA DISPOSABLE,230.0,115.0,50.16,207.0,64
RC,0272,REAMER SURGICAL 4.5MM FLEXIBLE PRECISION DISPOSABLE,435.5,217.75,94.98,391.95,64
RC,0272,REAMER SURGICAL 6.5MM 7MM SCREW HOLLOW NONSTERILE,312.83,156.42,68.23,281.55,64
RC,0272,REAMER SURGICAL 8MM FLEXIBLE PRECISION DISPOSABLE,435.5,217.75,94.98,391.95,64
RC,0272,REAMER SURGICAL 8MM MODIFY TRINKLE CLEARANCE HIGH RELIABILITY LOW FRICTION SURFACE FINISH 448MM BIXCUT STERILE DISPOSABLE,253.73,126.87,55.34,228.36,64
RC,0272,REAMER SURGICAL 8MM TREPHINE 12MM STERILE DISPOSABLE,545.0,272.5,118.86,490.5,64
RC,0272,REAMER SURGICAL 9.5MM CANNULATED ENTRY RIGID PEDINAIL DISPOSABLE,368.08,184.04,80.28,331.27,64
RC,0272,REAMER SURGICAL 9.5MM DIA PEDIATRIC OPENING PEDINAIL 1500-008 STERILE SINGLE-USE,233.2,116.6,50.86,209.88,64
RC,0272,REAMER SURGICAL 9MM FIXED ENDCUTTING PILOT NOSE,786.5,393.25,171.54,707.85,64
RC,0272,REAMER SURGICAL CROSS PLATE ANCHORAGE NONSTERILE,637.8,318.9,139.1,574.02,64
RC,0272,REAMER SURGICAL ENTRY HUMERAL STRAIGHT TRIGEN,930.0,465.0,202.83,837.0,64
RC,0272,REAMER SURGICAL HAND 2.5MM LONG F/DYNABUNION LAPIDUS SYSTEM LATEX-FREE STERILE,158.67,79.34,34.61,142.8,64
RC,0272,REAMER SURGICAL MODIFIED TRINKLE SHAFT INTRAMEDULLARY 510MM BIXCUT STERILE,271.8,135.9,59.28,244.62,64
RC,0272,REAMER SURGICAL MODULAR SHAFT AO FITTING INTRAMEDULLARY 450MM BIXCUT STERILE,253.73,126.87,55.34,228.36,64
RC,0272,REAMER SURGICAL NITINOL STAPLE BONE DYNAFORCE MOTOCLIP HIMAX STERILE LATEX FREE DISPOSABLE,177.66,88.83,38.75,159.89,64
RC,0272,REAMER SURGICAL SHANNON LONGA 3MM X 20MM PECA,365.0,182.5,79.61,328.5,64
RC,0272,REAMER SURGICAL TREPHINE 12.5MM ID 5.5INL F/CEMENTLESS HIP REVISION INSTRUMENTATION MORELAND,659.1,329.55,143.75,593.19,64
RC,0272,REAMER SURGICAL TREPHINE 14MM 5.5IN MORELAND,659.1,329.55,143.75,593.19,64
RC,0272,REAMER T HANDLE ACUTRAK 2 BIOTRAK 3 MM SURGICAL,562.0,281.0,122.57,505.8,64
RC,0272,REAMER UNIVERS VAULTLOCK L42 MM XL ANGLE SURGICAL,295.0,147.5,64.34,265.5,64
RC,0272,REAMER XPOST IO FIX PLUS X-POST 4.6 MM SURGICAL,290.0,145.0,63.25,261.0,64
RC,0272,RECEIVER SOUND PROCESSOR GENERATION 4 WIRELESS TV STREAMER JACK PHONO CABLE COCHLEAR BAHA RED WHITE US,297.5,148.75,64.88,267.75,64
RC,0272,RECEPTACLE DRAINAGE,475.0,237.5,103.6,427.5,64
RC,0272,REDUCER FITTING 7/8-1/4IN STL,123.67,61.84,26.97,111.3,64
RC,0272,REDUCER LAPAROSCOPIC CANNULA OD8-12 MM DA VINCI XI ENDOWRIST,158.0,79.0,34.46,142.2,64
RC,0272,REFILL SEAMGUARD EC60,220.0,110.0,47.98,198.0,64
RC,0272,REFILL SEAMGUARD ETS45,205.0,102.5,44.71,184.5,64
RC,0272,REFILL SEAMGUARD GIA 60 3.5MM,220.0,110.0,47.98,198.0,64
RC,0272,REGULATOR FLOW DURASEAL,1580.0,790.0,344.6,1422.0,64
RC,0272,REGULATOR SUCTION L32.48 CM ENDOWRIST L1.2 CM,1670.0,835.0,364.23,1503.0,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE CIRCULAR STAPLER STERILE GORE SEAMGUARD LATEX FREE DST SERIES CEEA 28,308.0,154.0,67.17,277.2,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE CIRCULAR STAPLER STERILE GORE SEAMGUARD LATEX FREE ENDOPATH 25 PROXIMATE 25,308.0,154.0,67.17,277.2,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE GORE SEAMGUARD,222.91,111.46,48.62,200.62,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE GORE SEAMGUARD BLUE GOLD GREEN WHITE ECHELON 45 ENDOPATH,1970.0,985.0,429.66,1773.0,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE GORE SEAMGUARD BLUE GOLD GREEN WHITE ECHELON 60 ENDOPATH,2065.0,1032.5,450.38,1858.5,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE GORE SEAMGUARD BLUE GOLD GREEN WHITE ECHELON FLEX 60 ENDOPATH,2065.0,1032.5,450.38,1858.5,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE GORE SEAMGUARD GREEN ENDO GIA 60 UNIVERSAL STRAIGHT ROTICULATOR,2065.0,1032.5,450.38,1858.5,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE STERILE GORE SEAMGUARD LATEX FREE BLUE GOLD GREEN WHITE ECHELON 45 ENDOPATH,205.0,102.5,44.71,184.5,64
RC,0272,REINFORCEMENT STAPLE LINE BIOABSORBABLE STERILE GORE SEAMGUARD LATEX FREE BLUE WHITE ENDO GIA 60 UNIVERSAL STRAIGHT ROTICULATOR,2065.0,1032.5,450.38,1858.5,64
RC,0272,REINFORCEMENT STAPLE LINE GORE SEAMGUARD 60MM BIOABSORBABLE WHITE BLUE GREEN GOLD BLACK SYNTHETIC F/ECHELON FLEX ENDOPATH,220.0,110.0,47.98,198.0,64
RC,0272,RELOAD ECHELON LINEAR CUTTERS 100MM BLUE,1486.66,743.33,324.24,1337.99,64
RC,0272,RELOAD ECHELON LINEAR CUTTERS 60MM BLUE,657.86,328.93,143.48,592.07,64
RC,0272,RELOAD ECHELON LINEAR CUTTERS 80MM BLUE,995.99,498.0,217.23,896.39,64
RC,0272,RELOAD STAPLE 0.21MM DIA 45MML 3MMW X 2.5MMH OPEN TITANIUM STRAIGHT TRIPLE STAGGERED ROWX2 WHITE F/360DEG ROTATING LINEAR UNIVERSAL STAPLER ENDO GIA DISPOSABLE 1MM B-SHAPED CLOSURE,511.77,255.89,111.62,460.59,64
RC,0272,RELOAD STAPLE 0.21MM DIA 60MML 3MMW X 2.5MMH OPEN TITANIUM STRAIGHT TRIPLE STAGGERED ROWX2 WHITE F/360DEG ROTATING LINEAR UNIVERSAL STAPLER ENDO GIA DISPOSABLE 1MM B-SHAPED CLOSURE,1924.38,962.19,419.71,1731.94,64
RC,0272,RELOAD STAPLE 0.24MM DIA 45MML 3MMW X 4.8MMH OPEN TITANIUM STRAIGHT TRIPLE STAGGERED ROWX2 GREEN F/360DEG ROTATING LINEAR UNIVERSAL STAPLER ENDO GIA DISPOSABLE 2MM B-SHAPED CLOSURE,2211.84,1105.92,482.4,1990.66,64
RC,0272,RELOAD STAPLE 75MML 55MML SHAFT TITANIUM REGULAR THICK TISSUE SELECTABLE HEIGHT F/LINEAR CUTTER LATEX-FREE STERILE DISPOSABLE,769.07,384.54,167.73,692.16,64
RC,0272,RELOAD STAPLER 0 L8 IN V-LOC 180 ABSORBABLE GREEN,1307.37,653.69,285.14,1176.63,64
RC,0272,RELOAD STAPLER 2 MM L45 MM ENDO GIA MEDIUM THICK TISSUE REINFORCE SIGNIA STAPLE SYSTEM,5000.04,2500.02,1090.51,4500.04,64
RC,0272,RELOAD STAPLER 2 MM L45 MM ENDO GIA TITANIUM THIN VASCULAR TISSUE ARTICULATE KNIFE BLADE LARGER ANVIL BUCKET GRAY,2410.44,1205.22,525.72,2169.4,64
RC,0272,RELOAD STAPLER 2 MM L45 MM SUREFORM 6 ROW GRAY,2520.0,1260.0,549.61,2268.0,64
RC,0272,RELOAD STAPLER 2-0 L8 IN V-LOC ENDO STITCH NONABSORBABLE BARB LOOP,700.02,350.01,152.67,630.02,64
RC,0272,RELOAD STAPLER 30MM WHITE DA VINCI XI ENDOWRIST,728.42,364.21,158.87,655.58,64
RC,0272,RELOAD STAPLER 30MMX2.5MM WHITE MULTIFIRE ENDO TA LINEAR CUTTER TITANIUM THIN VASCULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,1602.18,801.09,349.44,1441.96,64
RC,0272,RELOAD STAPLER 30MMX2MM GRAY MULTIFIRE ENDO GIA 2 STAGGER ROW LINEAR CUTTER INTERLOCK PREFIRE SAFETY TITANIUM 12MM MESENTERY THIN TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,1630.26,815.13,355.56,1467.23,64
RC,0272,RELOAD STAPLER 4.8MM 0D BLACK MULTIFIRE ENDO HERNIA 10 STAPLE TITANIUM 3MM EXTRA THICK TISSUE STERILE LATEX FREE DISPOSABLE,1045.26,522.63,227.97,940.73,64
RC,0272,RELOAD STAPLER 40 MM H1.5 MM ECHELON CONTOUR REGULAR TISSUE CURVED CUTTER RELOADS GST+3D 46 STAPLES OD.20 MM BLUE,1700.87,850.44,370.96,1530.78,64
RC,0272,RELOAD STAPLER 40 MM H4.7 MM ECHELON CONTOUR THICK TISSUE 40MM RELOAD H2.0 MM 0.23 MM GREEN,1700.87,850.44,370.96,1530.78,64
RC,0272,RELOAD STAPLER 45MM WHITE ENDOPATH ETS 6 ROW LINEAR CUTTER ARTICULATE THIN VASCULAR TISSUE,1109.56,554.78,242.0,998.6,64
RC,0272,RELOAD STAPLER 45MMX2.5MM UNIVERSAL WHITE ENDO GIA ROTICULATOR 6 ROW LINEAR CUTTER KNIFE BLADE STAPLE GAP CONTROL TITANIUM PEDIATRIC 12MM THIN VASCULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,2166.84,1083.42,472.59,1950.16,64
RC,0272,RELOAD STAPLER 4MM 0D BLUE MULTIFIRE ENDO 10 STAPLE TITANIUM 1.5MM REGULAR TISSUE STERILE LATEX FREE DISPOSABLE HERNIA REPAIR,768.78,384.39,167.67,691.9,64
RC,0272,RELOAD STAPLER 55MMX3.85MM BLUE PROXIMATE 4 ROW LINEAR CUTTER TITANIUM 1.5MM REGULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,434.67,217.34,94.8,391.2,64
RC,0272,RELOAD STAPLER 60MMX2.5MM UNIVERSAL WHITE ENDO GIA 6 ROW LINEAR CUTTER KNIFE BLADE STAPLE GAP CONTROL TITANIUM PEDIATRIC 12MM THIN VASCULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,2426.76,1213.38,529.28,2184.08,64
RC,0272,RELOAD STAPLER 75MMX3.8MM BLUE PROXIMATE 4 ROW LINEAR CUTTER TITANIUM 1.5MM REGULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,645.44,322.72,140.77,580.9,64
RC,0272,RELOAD STAPLER 8IN 0 BLUE V-LOC NONABSORBABLE,530.22,265.11,115.64,477.2,64
RC,0272,RELOAD STAPLER CURVE L40 MM X H3.5 MM CONTOUR REGULAR TISSUE 4 ROW CUTTER H1.5 MM OD.2 MM BLUE,1518.63,759.32,331.21,1366.77,64
RC,0272,RELOAD STAPLER CURVE L45 MM TRI-STAPLE 2.0 VASCULAR GRAY,3099.24,1549.62,675.94,2789.32,64
RC,0272,RELOAD STAPLER D2.5 MM L30 MM DA VINCI XI DA VINCI X ENDOWRIST 6 ROW WHITE,2153.0,1076.5,469.57,1937.7,64
RC,0272,RELOAD STAPLER D2.5 MM SUREFORM 45 WHITE,2520.0,1260.0,549.61,2268.0,64
RC,0272,RELOAD STAPLER D3.5 MM L45 MM DA VINCI XI ENDOWRIST REGULAR TISSUE BLUE ENDOSCOPIC,2160.0,1080.0,471.1,1944.0,64
RC,0272,RELOAD STAPLER D3.5 MM SUREFORM 45 BLUE,2520.0,1260.0,549.61,2268.0,64
RC,0272,RELOAD STAPLER D4.3 MM L30 MM DA VINCI XI ENDOWRIST MESENTERY THIN TISSUE GRAY ENDOSCOPIC,2153.0,1076.5,469.57,1937.7,64
RC,0272,RELOAD STAPLER D4.3 MM L30 MM DA VINCI XI ENDOWRIST REGULAR TISSUE BLUE ENDOSCOPIC,2153.0,1076.5,469.57,1937.7,64
RC,0272,RELOAD STAPLER D4.3 MM L30 MM DA VINCI XI ENDOWRIST THICK TISSUE GREEN ENDOSCOPIC,2153.0,1076.5,469.57,1937.7,64
RC,0272,RELOAD STAPLER D4.3 MM L45 MM DA VINCI XI ENDOWRIST THICK TISSUE GREEN ENDOSCOPIC,2160.0,1080.0,471.1,1944.0,64
RC,0272,RELOAD STAPLER D4.3 MM SUREFORM 45 GREEN,2520.0,1260.0,549.61,2268.0,64
RC,0272,RELOAD STAPLER D4.6 MM SUREFORM 45 BLACK,2520.0,1260.0,549.61,2268.0,64
RC,0272,RELOAD STAPLER EXTRA THICK L60 MM ENDO GIA REINFORCE BLACK,6187.5,3093.75,1349.49,5568.75,64
RC,0272,RELOAD STAPLER JUSTRIGHT,5100.0,2550.0,1112.31,4590.0,64
RC,0272,RELOAD STAPLER L100 MM PROXIMATE REGULAR TISSUE LINEAR CUTTER OD.2 MM BLUE,982.26,491.13,214.23,884.03,64
RC,0272,RELOAD STAPLER L100 MM X H4.5 MM PROXIMATE TITANIUM THICK TISSUE 4 ROW LINEAR CUTTER SAFETY LOCKOUT H2 MM GREEN ENDOSCOPIC,972.72,486.36,212.15,875.45,64
RC,0272,RELOAD STAPLER L30 MM PROXIMATE THICK TISSUE OD.27 MM GREEN,375.57,187.79,81.91,338.01,64
RC,0272,RELOAD STAPLER L30 MM TRI-STAPLE 2.0 VASCULAR GRAY,2385.54,1192.77,520.29,2146.99,64
RC,0272,RELOAD STAPLER L30 MM X H2.5 MM MULTIFIRE ENDO GIA TITANIUM THIN VASCULAR TISSUE 2 STAGGER ROW LINEAR CUTTER INTERLOCK OD12 MM WHITE ENDOSCOPIC,2047.56,1023.78,446.57,1842.8,64
RC,0272,RELOAD STAPLER L30 MM X H3.5 MM MULTIFIRE ENDO GIA TITANIUM REGULAR TISSUE 2 STAGGER ROW LINEAR CUTTER INTERLOCK PREFIRE SAFETY OD12 MM BLUE ENDOSCOPIC,2109.0,1054.5,459.97,1898.1,64
RC,0272,RELOAD STAPLER L30 MM X H3.5 MM PROXIMATE TITANIUM REGULAR TISSUE 2 ROW LINEAR CUTTER PARALLEL JAW CLOSURE INTERMEDIATE LOCK H1.5 MM BLUE ENDOSCOPIC,375.57,187.79,81.91,338.01,64
RC,0272,RELOAD STAPLER L35 MM X H2.5 MM ECHELON ENDOPATH TITANIUM THIN VASCULAR TISSUE 4 ROW H1 MM WHITE ADVANCE PLACEMENT TIP,1733.6,866.8,378.1,1560.24,64
RC,0272,RELOAD STAPLER L45 MM X H2 MM ECHELON ENDOPATH TITANIUM MESENTERY THIN TISSUE 6 ROW LINEAR CUTTER H.75 MM GRAY ENDOSCOPIC,1697.59,848.8,370.24,1527.83,64
RC,0272,RELOAD STAPLER L45 MM X H2.6 MM ECHELON ENDOPATH TITANIUM THIN VASCULAR TISSUE 6 ROW LINEAR CUTTER H1 MM WHITE ENDOSCOPIC,1697.59,848.8,370.24,1527.83,64
RC,0272,RELOAD STAPLER L45 MM X H3.5 MM ENDOPATH ETS TITANIUM REGULAR TISSUE 6 ROW LINEAR CUTTER ARTICULATE H1.5 MM BLUE,1109.56,554.78,242.0,998.6,64
RC,0272,RELOAD STAPLER L45 MM X H3.6 MM ECHELON ENDOPATH TITANIUM REGULAR TISSUE 6 ROW LINEAR CUTTER H1.5 MM BLUE ENDOSCOPIC,1697.59,848.8,370.24,1527.83,64
RC,0272,RELOAD STAPLER L45 MM X H3.8 MM ECHELON ENDOPATH TITANIUM REGULAR THICK TISSUE 6 ROW LINEAR CUTTER H1.8 MM GOLD ENDOSCOPIC,1697.59,848.8,370.24,1527.83,64
RC,0272,RELOAD STAPLER L45 MM X H4.1 MM ECHELON ENDOPATH TITANIUM THICK TISSUE 6 ROW LINEAR CUTTER H2 MM GREEN,1697.59,848.8,370.24,1527.83,64
RC,0272,RELOAD STAPLER L45 MM X H4.2 MM ECHELON ENDOPATH TITANIUM EXTRA THICK TISSUE 6 ROW LINEAR CUTTER H2.3 MM BLACK,1697.59,848.8,370.24,1527.83,64
RC,0272,RELOAD STAPLER L55 MM X H2.59 MM PROXIMATE TITANIUM THIN VASCULAR TISSUE 4 ROW LINEAR CUTTER SAFETY LOCKOUT H1 MM WHITE ENDOSCOPIC,217.28,108.64,47.39,195.55,64
RC,0272,RELOAD STAPLER L55 MM X H4.4 MM TITANIUM REGULAR THICK TISSUE 6 ROW LINEAR CUTTER HEAVY WIRE SELECTABLE HEIGHT H1.5/1.8/2 MM OD.23 MM BLUE GOLD GREEN,517.92,258.96,112.96,466.13,64
RC,0272,RELOAD STAPLER L55 MM X H4.5 MM PROXIMATE TITANIUM THICK TISSUE 4 ROW LINEAR CUTTER H2 MM GREEN ENDOSCOPIC,434.67,217.34,94.8,391.2,64
RC,0272,RELOAD STAPLER L55 MM X H4.5 MM PROXIMATE TITANIUM THICK TISSUE 4 ROW LINEAR CUTTER SAFETY LOCKOUT HEAVY WIRE H2 MM GREEN ENDOSCOPIC,212.43,106.22,46.33,191.19,64
RC,0272,RELOAD STAPLER L60 MM ECHELON ENDOPATH REGULAR THICK TISSUE 6 ROW GOLD,1835.61,917.81,400.35,1652.05,64
RC,0272,RELOAD STAPLER L60 MM ECHELON ENDOPATH REGULAR TISSUE 6 ROW BLUE,1835.61,917.81,400.35,1652.05,64
RC,0272,RELOAD STAPLER L60 MM ECHELON ENDOPATH THICK TISSUE 6 ROW GREEN,1835.61,917.81,400.35,1652.05,64
RC,0272,RELOAD STAPLER L60 MM ECHELON ENDOPATH THIN TISSUE 6 ROW WHITE,1835.61,917.81,400.35,1652.05,64
RC,0272,RELOAD STAPLER L60 MM X H3.5 MM PROXIMATE TITANIUM REGULAR TISSUE PARALLEL JAW CLOSURE 2 ROW LINEAR CUTTER INTERMEDIATE LOCK H1.5 MM BLUE,404.52,202.26,88.23,364.07,64
RC,0272,RELOAD STAPLER L60 MM X H3.5 MM TA TITANIUM REGULAR TISSUE 2 ROW LINEAR CUTTER 2 ACTION HANDLE MANUAL PIN PLACEMENT H1.5 MM BLUE ENDOSCOPIC,840.0,420.0,183.2,756.0,64
RC,0272,RELOAD STAPLER L60 MM X H3.8 MM GIA TITANIUM REGULAR TISSUE 4 ROW LINEAR CUTTER KNIFE BLADE STAPLE GAP CONTROL H1.5 MM BLUE,1335.72,667.86,291.32,1202.15,64
RC,0272,RELOAD STAPLER L60 MM X H4.1 MM ECHELON ENDOPATH TITANIUM THICK TISSUE 6 ROW LINEAR CUTTER H2 MM GREEN,64000.0,32000.0,13958.4,57600.0,64
RC,0272,RELOAD STAPLER L60 MM X H4.2 MM ECHELON ENDOPATH TITANIUM VERY THICK TISSUE 6 ROW LINEAR CUT H2.3 MM BLACK,1835.61,917.81,400.35,1652.05,64
RC,0272,RELOAD STAPLER L60 MM X H4.8 MM PROXIMATE TITANIUM THICK TISSUE 2 ROW LINEAR CUTTER PARALLEL JAW CLOSURE INTERMEDIATE LOCK H2 MM GREEN ENDOSCOPIC,404.52,202.26,88.23,364.07,64
RC,0272,RELOAD STAPLER L80 MM X H3.8 MM GIA TITANIUM REGULAR TISSUE 4 ROW LINEAR CUTTER KNIFE BLADE STAPLE GAP CONTROL H1.5 MM BLUE ENDOSCOPIC,1931.4,965.7,421.24,1738.26,64
RC,0272,RELOAD STAPLER MEDIUM CURVE L45 MM TRI-STAPLE 2.0 VASCULAR TAN,4229.34,2114.67,922.42,3806.41,64
RC,0272,RELOAD STAPLER MEDIUM THICK CURVE L45 MM TRI-STAPLE 2.0 PURPLE,3190.8,1595.4,695.91,2871.72,64
RC,0272,RELOAD STAPLER MEDIUM THICK L30 MM TRI-STAPLE 2.0 PURPLE,2384.04,1192.02,519.96,2145.64,64
RC,0272,RELOAD STAPLER MEDIUM THICK L60 MM TRI-STAPLE 2.0 REINFORCE PURPLE,5329.98,2664.99,1162.47,4796.98,64
RC,0272,RELOAD STAPLER RELIATACK ARTICULATE 10 STANDARD ABSORBABLE TACK HERNIA REPAIR,1260.72,630.36,274.96,1134.65,64
RC,0272,RELOAD STAPLER SUREFORM 60 BLACK,2898.0,1449.0,632.05,2608.2,64
RC,0272,RELOAD STAPLER SUREFORM 60 BLUE,2898.0,1449.0,632.05,2608.2,64
RC,0272,RELOAD STAPLER SUREFORM 60 GREEN,2898.0,1449.0,632.05,2608.2,64
RC,0272,RELOAD STAPLER SUREFORM 60 WHITE,2898.0,1449.0,632.05,2608.2,64
RC,0272,RELOAD STAPLER WHITE TK QUICK LOAD LINEAR CUTTER WIRE SNARE TITANIUM THIN VASCULAR TISSUE STERILE LATEX FREE DISPOSABLE LAPAROSCOPIC,516.0,258.0,112.54,464.4,64
RC,0272,RELOAD SUTURE 2-0 ES-9 7IN 1 STITCH ENDO STITCH SURGIDAC LACTOMER DISPOSABLE GREEN,662.76,331.38,144.55,596.48,64
RC,0272,RELOAD SUTURE ASSISTANT 0 ES-9 48IN 1 STITCH BRAID COATED ENDO STITCH POLYSORB LACTOMER STERILE LATEX FREE DISPOSABLE UNDYED,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT 0 ES-9 48IN NONABSORBABLE NONMUTAGENIC ENDO STITCH SOFSILK FIBROIN STAINLESS STEEL STERILE DISPOSABLE BLACK,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT 2-0 ES-9 48IN 1 STITCH BRAID COATED ENDO STITCH SOFSILK SILK STERILE LATEX FREE DISPOSABLE BLACK,662.76,331.38,144.55,596.48,64
RC,0272,RELOAD SUTURE ASSISTANT 3-0 ES-9 48IN 1 STITCH BRAID COATED ENDO STITCH POLYSORB LACTOMER STERILE LATEX FREE DISPOSABLE VIOLET,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 0 3 STITCH BRAID COATED ENDO STITCH SURGIDAC POLYESTER GREEN,441.87,220.94,96.37,397.68,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 0 ES-9 1 STITCH BRAID COATED ENDO STITCH POLYSORB LACTOMER VIOLET,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 0 ES-9 COATED ENDO STITCH BRALON NYLON BLACK,662.76,331.38,144.55,596.48,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 0 ES-9 ENDO STITCH SURGIDAC LACTOMER GREEN,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 2-0 3 STITCH COATED NONABSORBABLE NONMUTAGENIC ENDO STITCH SURGIDAC BRALON STAINLESS STEEL POLYESTER GREEN,577.77,288.89,126.01,519.99,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 2-0 ES-9 1 STITCH ENDO STITCH POLYSORB BRALON LACTOMER NYLON VIOLET,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT L48 IN 2-0 ES-9 COATED ENDO STITCH SURGIDAC POLYESTER GREEN,866.64,433.32,189.01,779.98,64
RC,0272,RELOAD SUTURE ASSISTANT L6 IN 0 EEN ETHIBOND EXCEL DURAKNOT,167.66,83.83,36.57,150.89,64
RC,0272,RELOAD SUTURE ASSISTANT L6 IN 0 SH PRETIES KNOT ETHIBOND EXCEL,167.66,83.83,36.57,150.89,64
RC,0272,RELOAD SUTURE ASSISTANT L6 IN 2-0 EEN ETHIBOND EXCEL,167.66,83.83,36.57,150.89,64
RC,0272,RELOAD SUTURE ASSISTANT L7 IN 2-0 ES-9 ENDO STITCH POLYSORB VIOLET,662.76,331.38,144.55,596.48,64
RC,0272,REMOVER INSTRUMENT 20 D OD12 MM,212.14,106.07,46.27,190.93,64
RC,0272,RENTAL FEE SURGICAL EQUIPMENT,1100.0,550.0,239.91,990.0,64
RC,0272,REPROCESSED HARMONIC ACE 5 MM DIAMETER SHEARS + ADAPTIVE TISSUE TECHNOLOGY HAR23R,275.0,137.5,59.98,247.5,64
RC,0272,REPROCESSED HARMONIC ACE 5 MM DIAMETER SHEARS + ADAPTIVE TISSUE TECHNOLOGY HAR36R,224.65,112.33,49.0,202.19,64
RC,0272,RESECTOSCOPE ENDOSCOPIC VERSAPOINT BRIDGE VISUAL OBTURATOR 5FR HYSTEROSCOPIC,507.53,253.77,110.69,456.78,64
RC,0272,RESERVOIR 120UM VALUELINK 4L HARDSHELL FILTER STERILE DISPOSABLE AUTOTRANSFUSION LATEX FREE,240.0,120.0,52.34,216.0,64
RC,0272,RESERVOIR CARDIOTOMY 4000ML CAPACITY PORTX4 HARDSHELL W/40UM FILTER F/CARDIOPULMONARY BYPASS CIRCUIT SURGERY PROCEDURE EL 404 STERILE,330.07,165.04,71.99,297.06,64
RC,0272,RESERVOIR DRAINAGE INTEGRAL RIGHT ANGLE CATHETER NA L3.5 CM NEONATE,452.0,226.0,98.58,406.8,64
RC,0272,RESERVOIR DRAINAGE PLEURX VACUUM BOTTLE LINE 1000ML STERILE LATEX FREE DISPOSABLE,310.0,155.0,67.61,279.0,64
RC,0272,RESERVOIR SHUNT BOTTOM INLET OD12 MM NA VENTRICULAR,284.91,142.46,62.14,256.42,64
RC,0272,RESERVOIR SHUNT L15 CM LARGE CSF VENTRICULAR CATHETER BASE CODMAN HOLTER RICKHAM NYLON 9.5 MM BURR HOLE,440.11,220.06,95.99,396.1,64
RC,0272,RESERVOIR VENTRICULOSTOMY L23 CM SMALL CSF SIDE INLET CONNECTOR CATHETER RIGHT ANGLE CLIP OD28 MM ODSEC2.1 MM ID1.2 MM OMMAYA BARIUM STAINLESS STEEL 1.1 ML,416.42,208.21,90.82,374.78,64
RC,0272,RETAINER DRESSING 10 XL 25YD CUT-TO-FIT SPANDAGE FABRIC ABDOMEN BREAST CHEST SHOULDER ELASTIC NET PRECISE STRETCH LATEX FREE,28.01,14.01,6.11,25.21,64
RC,0272,RETAINER DRESSING 3 MEDIUM 25YDX9IN SURGILAST SPANDEX RAYON POLYESTER FOOT ELASTIC NET TUBULAR RETENTION STRETCH NONSTERILE LATEX FREE,10.11,5.06,2.2,9.1,64
RC,0272,RETAINER DRESSING 4 LARGE HAND ELASTIC NET TUBULAR RETENTION STRETCH L25 YD X W11 IN SPANDEX RAYON POLYESTER,15.05,7.53,3.28,13.55,64
RC,0272,RETAINER DRESSING 5 THIGH ELASTIC NET TUBULAR RETENTION STRETCH L25 YD X W12 IN SPANDEX RAYON POLYESTER,15.05,7.53,3.28,13.55,64
RC,0272,RETAINER DRESSING 6 TUBULAR OPEN WEAVE KNIT ELASTIC NET STRETCH W17 IN X L25 YD RAYON POLYESTER SPANDEX,12.17,6.09,2.65,10.95,64
RC,0272,RETAINER DRESSING 7 TUBULAR SMALL BACK ELASTIC NET STRETCH NEOPRENE FREE L25 YD X W28 IN SPANDEX POLYESTER RAYON,13.96,6.98,3.04,12.56,64
RC,0272,RETAINER DRESSING 8 MEDIUM BACK ELASTIC NET TUBULAR RETENTION STRETCH L25 YD X W31 IN SPANDEX RAYON POLYESTER,17.81,8.91,3.88,16.03,64
RC,0272,RETAINER DRESSING NET CUT-TO-FIT SIZE 9 25YDL POLYESTER AVERAGE CHEST ABDOMEN BREAST SHOULDER TUBULAR ELASTIC SPANDAGE LATEX-FREE,192.7,96.35,42.03,173.43,64
RC,0272,RETAINER DRESSING NET SIZE 9 MEDIUM 35INW X 25YDL SPANDEX POLYESTER CHEST BACK PERINEUM AXILLA SHOULDER TUBULAR KNITTED ELASTIC STRETCHED OPEN WEAVE CURAD LATEX-FREE NON-STERILE,21.7,10.85,4.73,19.53,64
RC,0272,RETAINER INTERNAL ORGAN LARGE 9 5/8INX6 3/8IN FISH GLASSMAN VISCERAL RADIOPAQUE STERILE LATEX FREE DISPOSABLE,450.0,225.0,98.15,405.0,64
RC,0272,RETAINER INTERNAL ORGAN MEDIUM 9 1/8INX5 7/8IN FISH GLASSMAN VISCERAL RADIOPAQUE STERILE LATEX FREE DISPOSABLE,440.0,220.0,95.96,396.0,64
RC,0272,RETAINER INTERNAL ORGAN MEDIUM VISCERA STERILE DISPOSABLE,201.64,100.82,43.98,181.48,64
RC,0272,RETAINER NOSTRIL 26.3 MM X W19.5 MM R4-L4 U SYMMETRIC MODIFY LOOP RETENTION WING OD9.04MM MEDPOR SILICONE,275.0,137.5,59.98,247.5,64
RC,0272,RETAINER NOSTRIL L31 MM X W25 MM X H14 MM 9 ARCH SIDE TAB MEDPOR,178.48,89.24,38.93,160.63,64
RC,0272,RETAINER ORGAN GLASSMANN VISCERA LARGE 6 3/8INW X 9 5/8INL F/ABDOMINAL CLOSURE FISH NON-RADIOLUCENT STERILE DISPOSABLE,400.0,200.0,87.24,360.0,64
RC,0272,RETAINER ORGAN SMALL 5 7/8INW X 9 1/8INL VISCERAL FISH GLASSMAN LATEX-FREE STERILE DISPOSABLE,496.4,248.2,108.26,446.76,64
RC,0272,RETAINER ORGAN VISCERAL CONTOUR LINE IMPRINTED SMOOTH PLIABLE RETENTIVE F/ABDOMINAL CLOSURE SURGIFISH LATEX-FREE DISPOSABLE,250.0,125.0,54.53,225.0,64
RC,0272,RETRACTOR 1IN .5IN ESOSURE HANDLE STYLET ENDOSCOPIC NITINOL ESOPHAGEAL,395.0,197.5,86.15,355.5,64
RC,0272,RETRACTOR 32CM 10MM ENDO RETRACT II CURVE JAW STERILE LATEX FREE DISPOSABLE ENDOSCOPIC STAINLESS STEEL 21MM OPEN STANDARD LENGTH 19MM,1898.76,949.38,414.12,1708.88,64
RC,0272,RETRACTOR 34CM ALEXIS O XL C SECTION RIGID RING PROTECTOR SHEATH SURGICAL 11-17CM INCISION,310.0,155.0,67.61,279.0,64
RC,0272,RETRACTOR 8.75IN VOLKMANN 4 SHARP PRONG LONG PATTERN SURGICAL,18.08,9.04,3.94,16.27,64
RC,0272,RETRACTOR ALEXIS 360D MEDIUM LARGE WOUND PROTECTOR ULTIMATE VERSATILITY SURGICAL 5-13CM INCISION LATEX FREE,1000.0,500.0,218.1,900.0,64
RC,0272,RETRACTOR ALEXIS O 360D LARGE ATRAUMATIC SELF RETAIN RIGID RING WOUND PROTECTOR SURGICAL 9-14CM INCISION LATEX FREE,245.0,122.5,53.43,220.5,64
RC,0272,RETRACTOR ALEXIS O 360D LARGE RIGID RING ATRAUMATIC UNIQUE C SECTION SURGICAL 9-14CM INCISION,245.0,122.5,53.43,220.5,64
RC,0272,RETRACTOR ALEXIS O 360D XL ATRAUMATIC SELF RETAIN RIGID RING WOUND PROTECTOR SURGICAL 11-17CM INCISION,310.0,155.0,67.61,279.0,64
RC,0272,RETRACTOR BLUNT PELVIC ALUMINUM SURGICAL,506.04,253.02,110.37,455.44,64
RC,0272,RETRACTOR DIAMOND-FLEX ARTICULATE L80 MM ANGLE TRIANGLE ENDOSCOPIC L45 CM OD5 MM,1907.16,953.58,415.95,1716.44,64
RC,0272,RETRACTOR ENDO MINI-RETRACT CURVE JAW STRAIGHT HANDLE ATRAUMATIC SERRATION L31 CM STANDARD LENGTH ENDOSCOPIC STAINLESS STEEL OD5 MM,1127.94,563.97,246.0,1015.15,64
RC,0272,RETRACTOR ENDO PADDLE RETRACT CURVE JAW L61 CM L46 CM STANDARD LENGTH ENDOSCOPIC STAINLESS STEEL L9 CM X W9 CM OD12 MM,2309.25,1154.63,503.65,2078.33,64
RC,0272,RETRACTOR FIBER OPTIC LATERAL BIFURCATED NIAGRA,436.8,218.4,95.27,393.12,64
RC,0272,RETRACTOR HANDHELD ILLUMINATOR LOW PROFILE PHOTONSABER STANDARD ROUND SURGICAL OD12 FR,255.0,127.5,55.62,229.5,64
RC,0272,RETRACTOR HOHMANN MINI SURGICAL,199.0,99.5,43.4,179.1,64
RC,0272,RETRACTOR IRIS CORNEA GRIESHABER FLEXIBLE HOOK SMOOTH FINISH OPHTHALMIC NYLON,104.74,52.37,22.84,94.27,64
RC,0272,RETRACTOR L12 3/4 IN X W1 1/2 IN BLADE DEAVER V MUELLER 4.5 SURGICAL,30.87,15.44,6.73,27.78,64
RC,0272,RETRACTOR L13 IN V. MUELLER 5 SURGICAL W2 IN,23.32,11.66,5.09,20.99,64
RC,0272,RETRACTOR L160 MM X W15 MM SURGICAL,339.78,169.89,74.11,305.8,64
RC,0272,RETRACTOR L160 MM X W8 MM SHORT NARROW TIP SMALL SURGICAL,211.68,105.84,46.17,190.51,64
RC,0272,RETRACTOR L268 MM SPOON PELVIC MEDIUM SURGICAL,425.81,212.91,92.87,383.23,64
RC,0272,RETRACTOR L3 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L3 CM ANGLED TUBULAR COATED METRX SURGICAL OD18 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L3 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L323 MM SPOON PELVIC LARGE SURGICAL,456.72,228.36,99.61,411.05,64
RC,0272,RETRACTOR L35 MM LEFT SOFT TISSUE SURGICAL,353.68,176.84,77.14,318.31,64
RC,0272,RETRACTOR L35 MM RIGHT SOFT TISSUE SURGICAL,353.68,176.84,77.14,318.31,64
RC,0272,RETRACTOR L4 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L4 CM ANGLED TUBULAR COATED METRX SURGICAL OD18 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L4 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L4 CM X W26 MM METRX SYSTEM SURGICAL,63.15,31.58,13.77,56.84,64
RC,0272,RETRACTOR L5 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L5 CM ANGLED TUBULAR COATED METRX SURGICAL OD18 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L5 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L5-9 CM INCISION PROTRACTOR MEDIUM SURGICAL,790.0,395.0,172.3,711.0,64
RC,0272,RETRACTOR L6 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L6 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L6 CM TUBULAR COATED METRX SYSTEM SPINE SURGICAL OD20 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L7 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L7 CM ANGLED TUBULAR COATED METRX SURGICAL OD18 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L7 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L7 IN 4 X 4 PRONG SHARP ANGULAR SHAFT ARM SYMMETRY STAINLESS STEEL D7/8 IN 4.5 IN OPEN SURGICAL W5/8 IN,291.89,145.95,63.66,262.7,64
RC,0272,RETRACTOR L75 MM LEFT SOFT TISSUE SURGICAL,353.68,176.84,77.14,318.31,64
RC,0272,RETRACTOR L75 MM RIGHT SOFT TISSUE SURGICAL,353.68,176.84,77.14,318.31,64
RC,0272,RETRACTOR L8 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L8 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L9 CM ANGLED TUBULAR COATED METRX SURGICAL OD16 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L9 CM ANGLED TUBULAR COATED METRX SURGICAL OD18 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR L9 CM METRX TUBE SURGICAL OD22 MM,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR LAPAROSCOPIC 0-65 D SMALL ENDOWRIST MEDIUM GRASP FORCE L4.5 CM,2520.0,1260.0,549.61,2268.0,64
RC,0272,RETRACTOR LAPAROSCOPIC 31CM 10MM ENDO RETRACT FAN DISPOSABLE 8MM,1357.8,678.9,296.14,1222.02,64
RC,0272,RETRACTOR LAPAROSCOPIC 60- D DA VINCI S/SI ENDOWRIST GRAPTOR GRASP L56.7 CM L5.4 CM OD8 MM,2400.0,1200.0,523.44,2160.0,64
RC,0272,RETRACTOR LAPAROSCOPIC LARGE ENDOPATH DEXTRUS FIX LENGTH,2313.6,1156.8,504.6,2082.24,64
RC,0272,RETRACTOR LAPAROSCOPIC MEDIUM ENDOPATH DEXTRUS FIX LENGTH,435.25,217.63,94.93,391.73,64
RC,0272,RETRACTOR LAPAROSCOPIC SMALL ENDOPATH DEXTRUS FIX LENGTH,2611.5,1305.75,569.57,2350.35,64
RC,0272,RETRACTOR LAPAROSCOPIC T LIFT LATEX-FREE SINGLE-USE,1750.0,875.0,381.68,1575.0,64
RC,0272,RETRACTOR METRX COATED L6 CM X W18 MM ANGLE TUBULAR ENDOSCOPIC,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR METRX COATED L8 CM X W18 MM ANGLE TUBULAR ENDOSCOPIC,153.0,76.5,33.37,137.7,64
RC,0272,RETRACTOR METRX NERVE ROOT SURGICAL,128.1,64.05,27.94,115.29,64
RC,0272,RETRACTOR MIDLINE,825.0,412.5,179.93,742.5,64
RC,0272,RETRACTOR MST CAPSULE RETRACTORS SURGICAL STERILE,770.0,385.0,167.94,693.0,64
RC,0272,RETRACTOR NERVE LONG SURGICAL,802.69,401.35,175.07,722.42,64
RC,0272,RETRACTOR NERVE ROOT METRX SELF RETAINING ENDOSCOPIC,231.45,115.73,50.48,208.31,64
RC,0272,RETRACTOR NERVE SURGICAL,775.53,387.77,169.14,697.98,64
RC,0272,RETRACTOR OPHTHALMIC GRIESHABER IRIS CORNEA NYLON FLEXIBLE HOOK SMOOTH FINISH STERILE DISPOSABLE,553.08,276.54,120.63,497.77,64
RC,0272,RETRACTOR PELVIC ALUMINUM 18 MM SURGICAL,506.04,253.02,110.37,455.44,64
RC,0272,RETRACTOR PELVIC ALUMINUM 24 MM SURGICAL,506.04,253.02,110.37,455.44,64
RC,0272,RETRACTOR PELVIC ALUMINUM 35 MM SURGICAL,506.04,253.02,110.37,455.44,64
RC,0272,RETRACTOR PERCUTANEOUS ENDOSCOPIC,763.86,381.93,166.6,687.47,64
RC,0272,RETRACTOR POINT SET DELTA SHOULDER SURGICAL,828.0,414.0,180.59,745.2,64
RC,0272,RETRACTOR RING NA SHOULDER DELTA SURGICAL,1064.0,532.0,232.06,957.6,64
RC,0272,RETRACTOR RING NA SHOULDER DROP SURGICAL,1064.0,532.0,232.06,957.6,64
RC,0272,RETRACTOR RING NA SHOULDER NARROW SURGICAL,1064.0,532.0,232.06,957.6,64
RC,0272,RETRACTOR RING SET NA SHOULDER SURGICAL,1064.0,532.0,232.06,957.6,64
RC,0272,RETRACTOR ROUND 11CM GELPOINT TRANSVAGINAL ACCESS PLATFORM INSTRUMENT SHIELD VAGINAL,750.0,375.0,163.58,675.0,64
RC,0272,RETRACTOR ROUND 7CM GELPOINT TRANSVAGINAL ACCESS PLATFORM VAGINAL,750.0,375.0,163.58,675.0,64
RC,0272,RETRACTOR ROUND 9.5CM GELPOINT TRANSVAGINAL ACCESS PLATFORM INSTRUMENT SHIELD VAGINAL,750.0,375.0,163.58,675.0,64
RC,0272,RETRACTOR SET DELTA SHOULDER SURGICAL,828.0,414.0,180.59,745.2,64
RC,0272,RETRACTOR SET NA HUMERAL HEAD SURGICAL,828.0,414.0,180.59,745.2,64
RC,0272,RETRACTOR SMALL ALEXIS FLEXIBLE RETRACTION RING ATRAUMATIC SELF RETAIN TISSUE 2.5-6CM INCISION LATEX FREE,160.0,80.0,34.9,144.0,64
RC,0272,RETRACTOR SPINE METRX L5 CM TUBE ENDOSCOPIC OD22 MM DISCECTOMY,63.15,31.58,13.77,56.84,64
RC,0272,RETRACTOR SPINE METRX L6 CM TUBE ENDOSCOPIC OD22 MM DISCECTOMY,63.15,31.58,13.77,56.84,64
RC,0272,RETRACTOR SPINE METRX L7 CM TUBE ENDOSCOPIC OD22 MM DISCECTOMY,63.15,31.58,13.77,56.84,64
RC,0272,RETRACTOR SPINE METRX L7 CM TUBE ENDOSCOPIC OD26 MM MICRODISCECTOMY,60.0,30.0,13.09,54.0,64
RC,0272,RETRACTOR SPINE METRX L8 CM TUBE ENDOSCOPIC OD22 MM DISCECTOMY,63.15,31.58,13.77,56.84,64
RC,0272,RETRACTOR SPINE METRX TUBULAR L9 CM ENDOSCOPIC OD22 MM,63.15,31.58,13.77,56.84,64
RC,0272,RETRACTOR SPOON PELVIC ALUMINUM LARGE SURGICAL,1218.42,609.21,265.74,1096.58,64
RC,0272,RETRACTOR SPOON PELVIC ALUMINUM MEDIUM SURGICAL,1218.42,609.21,265.74,1096.58,64
RC,0272,RETRACTOR SUCTION METRX SURGICAL,82.65,41.33,18.03,74.39,64
RC,0272,RETRACTOR SURGICAL 11CM ID SMALL POLYURETHANE ELASTIC PELVIC F/INCISION 4-9CM MOBIUS STERILE DISPOSABLE,339.54,169.77,74.05,305.59,64
RC,0272,RETRACTOR SURGICAL 12MM X 3CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR F/BRAIN ACCESS SYSTEM VIEWSITE STERILE SINGLE-USE,695.0,347.5,151.58,625.5,64
RC,0272,RETRACTOR SURGICAL 12MM X 5CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR F/BRAIN ACCESS SYSTEM VIEWSITE STERILE SINGLE-USE,695.0,347.5,151.58,625.5,64
RC,0272,RETRACTOR SURGICAL 17MM X 3XM X 11MM BRAIN VIEWSITE,695.0,347.5,151.58,625.5,64
RC,0272,RETRACTOR SURGICAL 17MM X 5CM X 11MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR F/BRAIN ACCESS SYSTEM VIEWSITE STERILE DISPOSABLE,695.0,347.5,151.58,625.5,64
RC,0272,RETRACTOR SURGICAL 18.3CM X 32.5CM,58.97,29.49,12.86,53.07,64
RC,0272,RETRACTOR SURGICAL 21MM X 5CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR F/BRAIN ACCESS SYSTEM VIEWSITE STERILE DISPOSABLE,565.0,282.5,123.23,508.5,64
RC,0272,RETRACTOR SURGICAL 28MM X 5CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR F/BRAIN ACCESS SYSTEM VIEWSITE STERILE SINGLE-USE,695.0,347.5,151.58,625.5,64
RC,0272,RETRACTOR SURGICAL 28MM X 7CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR F/BRAIN ACCESS SYSTEM VIEWSITE STERILE SINGLE-USE,695.0,347.5,151.58,625.5,64
RC,0272,RETRACTOR SURGICAL CUSHING 8 3/4INL 12MMW BLADE DECOMPRESSION NON-STERILE,35.61,17.81,7.77,32.05,64
RC,0272,RETRACTOR SURGICAL FLEXOR TENDON,399.99,200.0,87.24,359.99,64
RC,0272,RETRACTOR SURGICAL LARGE INTRATHORACIC F/MINIMAL INCISION VALVE SURGERY HEARTPORT DISPOSABLE,350.0,175.0,76.34,315.0,64
RC,0272,RETRACTOR SURGICAL POLYPROPYLENE FIBER TRANSLIMBAL IRIS DISPOSABLE,190.12,95.06,41.47,171.11,64
RC,0272,RETRACTOR SURGICAL RADIALUX CORDLESS LIGHTED,211.0,105.5,46.02,189.9,64
RC,0272,RETRACTOR SURGICAL SENN F/ANTHEM DISTAL RADIUS FRACTURE SYSTEM,700.0,350.0,152.67,630.0,64
RC,0272,RETRACTOR SURGICAL WEITLANER 4.5INL 2X3 PRONG SELF-RETAINING BLUNT LATEX-FREE MERCURY-FREE,61.06,30.53,13.32,54.95,64
RC,0272,RETRACTOR SURGICAL ZELPI 5INL EXPOSURE 4IND STAINLESS STEEL 90DEG ANGLED LOW-PROFILE SELF-RETAINING,825.0,412.5,179.93,742.5,64
RC,0272,RETRACTOR TISSUE 6CM DIA SMALL INTRATHORACIC DISPOSABLE,350.0,175.0,76.34,315.0,64
RC,0272,RETRACTOR TRAXI ABDOMINAL SURGICAL PANNICULUS,580.0,290.0,126.5,522.0,64
RC,0272,RETRACTOR TROCAR ENDOSCOPIC,746.88,373.44,162.89,672.19,64
RC,0272,RETRACTOR W18 MM LONG NARROW TIP SURGICAL,206.01,103.01,44.93,185.41,64
RC,0272,RETRACTOR W20 MM MALLEABLE PELVIC SURGICAL,125.93,62.97,27.47,113.34,64
RC,0272,RETRACTOR W30 MM MALLEABLE PELVIC SURGICAL,125.93,62.97,27.47,113.34,64
RC,0272,RETRACTOR W40 MM MALLEABLE PELVIC SURGICAL,143.34,71.67,31.26,129.01,64
RC,0272,RETRACTOR W6 MM HOHMANN SMALL SURGICAL,230.43,115.22,50.26,207.39,64
RC,0272,RETRACTOR W8 MM HOHMANN TITANIUM SMALL SURGICAL,230.43,115.22,50.26,207.39,64
RC,0272,RETRACTOR WIDE SUCTION SURGICAL,21.3,10.65,4.65,19.17,64
RC,0272,RETRACTOR WOUND MEDIUM ALEXIS O RIGID RING WOUND PROTECTOR SHEATH ATRAUMATIC 5-9CM INCISION 18CM,160.0,80.0,34.9,144.0,64
RC,0272,RETRIEVER ENDOSCOPIC 160CM 1.8MM ROTH NET MINI SMALL CATHETER SHEATH 4.5X2CM NONSTERILE,523.33,261.67,114.14,471.0,64
RC,0272,RETRIEVER ENDOSCOPIC L230 CM NET LOOP SHEATH OD2.5 MM RESCUENET PROMESH L5.5 CM X W3 CM BLUE 2.8 CM MINIMUM WORK CHANNEL,425.0,212.5,92.69,382.5,64
RC,0272,RETRIEVER ENDOSCOPIC L230 CM STANDARD SHEATH OD2.5 MM ROTH NET L6 CM X W3 CM,437.14,218.57,95.34,393.43,64
RC,0272,RETRIEVER STENT L180 CM .021 IN STANDARD GUIDEWIRE OD5 FR SOEHENDRA BILIARY PANCREATIC PURPLE 2.8 MM MINIMUM ACCESSORY CHANNEL,115.0,57.5,25.08,103.5,64
RC,0272,RETRIEVER STENT L180 CM .035 IN STANDARD GUIDEWIRE OD10 FR SOEHENDRA BILIARY PANCREATIC PURPLE 3.7 MM MINIMUM ACCESSORY CHANNEL,115.0,57.5,25.08,103.5,64
RC,0272,RETRIEVER STENT L180 CM .035 IN STANDARD GUIDEWIRE OD7 FR SOEHENDRA BILIARY PANCREATIC PURPLE 2.8 MM MINIMUM ACCESSORY CHANNEL,115.0,57.5,25.08,103.5,64
RC,0272,RETRIEVER SUTURE 10.1IN HEWSON LIGAMENT DRILL GUIDE STERILE LATEX FREE,314.58,157.29,68.61,283.12,64
RC,0272,RETRIEVER SUTURE ARTHROSCOPY LOBSTER CLAW,218.75,109.38,47.71,196.88,64
RC,0272,RETRIEVER SUTURE HEWSON DISPOSABLE,364.5,182.25,79.5,328.05,64
RC,0272,RETRIEVER SUTURE HOFFEE W/LASSO BLUE,207.0,103.5,45.15,186.3,64
RC,0272,RETRIEVER SUTURE OD3/8 IN SMALL BLUE MINI OPEN STRESS RISER ROTATOR CUFF REPAIR SYSTEM CONMED,245.28,122.64,53.5,220.75,64
RC,0272,RETRIEVER SUTURE OD3/8 IN SMALL GREEN MINI OPEN STRESS RISER ROTATOR CUFF REPAIR SYSTEM CONMED,308.4,154.2,67.26,277.56,64
RC,0272,RETRIEVER SUTURE OD3/8 IN SMALL YELLOW MINI OPEN STRESS RISER ROTATOR CUFF REPAIR SYSTEM CONMED,245.28,122.64,53.5,220.75,64
RC,0272,RETRIEVER SUTURE RIGHT 70DEG ANGLED EZ PASS DISPOSABLE,189.0,94.5,41.22,170.1,64
RC,0272,RETRIEVER SUTURE STERILE,1050.0,525.0,229.01,945.0,64
RC,0272,RETRIEVER SUTURE STRAIGHT ISOMETRY ROTATOR CUFF ISOTAC,220.32,110.16,48.05,198.29,64
RC,0272,RHINOLARYNGOSCOPE FLEXIBLE L300 MM 130 D UP DOWN SLIM LIGHTWEIGHT LED CONTROL LEVER OD3 MM ODSEC3.5 MM ASCOPE 4,750.0,375.0,163.58,675.0,64
RC,0272,RING CAPSULAR TENSION,82.18,41.09,17.92,73.96,64
RC,0272,RING FIXATION MALYUGIN RING 7MM 2MM INCISION,875.0,437.5,190.84,787.5,64
RC,0272,RING RETRACTOR 32.5X18.3CM LONE STAR SELF RETAIN 2 CATHETER CLIP NORYL PLASTIC STERILE LATEX FREE DISPOSABLE,60.57,30.29,13.21,54.51,64
RC,0272,RING RETRACTOR AMS 700 SKW DEEP SCROTAL,384.5,192.25,83.86,346.05,64
RC,0272,RING RETRACTOR L14.1 CM X W14.1 CM SMALL 2 PEEL POUCH SELF RETAIN FLEXIBLE LIGHTWEIGHT LONE STAR NORYL PLASTIC,60.57,30.29,13.21,54.51,64
RC,0272,RING RETRACTOR L25 CM X W25 CM ELASTIC STAY SELF RETAIN LONE STAR NORYL RESIN,60.57,30.29,13.21,54.51,64
RC,0272,RING RETRACTOR L25.8 CM X W11.3 CM SELF RETAIN ADJUSTABLE LONE STAR PLASTIC,60.57,30.29,13.21,54.51,64
RC,0272,RING RETRACTOR L28.3 CM X W18.3 CM 2 PEEL POUCH SELF RETAIN FLEXIBLE LIGHTWEIGHT LONE STAR NORYL PLASTIC,60.57,30.29,13.21,54.51,64
RC,0272,RING RETRACTOR REPROCESSED 32.5CMW X 18.3CML PLASTIC NORYL RESIN SELF-RETAINING W/CATHETER CLIPX2 LONE STAR LATEX-FREE STERILE DISPOSABLE,18.43,9.22,4.02,16.59,64
RC,0272,RING RETRACTOR W16.6 CM X H16.6 CM CATHETER CLIP APS 77 GM,74.88,37.44,16.33,67.39,64
RC,0272,ROBOTIC THORACIC PACK,304.9,152.45,66.5,274.41,64
RC,0272,ROD ALIGNMENT BIOARCH,50.0,25.0,10.91,45.0,64
RC,0272,ROD ALIGNMENT TOMOFIX METAL KNEE OSTEOTOMY SYSTEM,133.5,66.75,29.12,120.15,64
RC,0272,ROD ENDOSCOPIC SMALL OD4 MM WISSINGER DRI-LOK CANNULA,113.2,56.6,24.69,101.88,64
RC,0272,ROD EXTERNAL FIXATION 5MM PANTA 2 COMPRESSION TOP TRAY ARTHRODESIS NAIL SYSTEM,1530.9,765.45,333.89,1377.81,64
RC,0272,ROD POSITIONING SMART TOE II INTRAMEDULLARY IMPLANT,213.93,106.97,46.66,192.54,64
RC,0272,ROD REAMING L1150 MM 3.8 MM BALL TIP OD3 MM NA,176.14,88.07,38.42,158.53,64
RC,0272,ROD REAMING L1150 MM BALL TIP EXTENSION OD2.5 MM,96.04,48.02,20.95,86.44,64
RC,0272,ROD REAMING L1150 MM BALL TIP OD2.5 MM,116.69,58.35,25.45,105.02,64
RC,0272,ROD REAMING L400 MM SHORT OD2.5 MM MEDULLARY CANAL,140.0,70.0,30.53,126.0,64
RC,0272,ROD REAMING L650 MM BALL TIP EXTENSION OD2.5 MM,99.16,49.58,21.63,89.24,64
RC,0272,ROD REAMING L850 MM CALIBRATE OD2.5 MM SYNTHES TRAUMA TITANIUM,142.12,71.06,31.0,127.91,64
RC,0272,ROD REAMING L950 MM 3.8 MM BALL TIP OD3 MM NA,150.91,75.46,32.91,135.82,64
RC,0272,ROD REAMING L950 MM BALL TIP EXTENSION OD2.5 MM SYNTHES,96.14,48.07,20.97,86.53,64
RC,0272,ROD REAMING L950 MM BALL TIP OD2.5 MM,95.86,47.93,20.91,86.27,64
RC,0272,ROD REAMING L950 MM OFFSET BALL TIP OD3 MM INTRAMEDULLARY NAIL,145.06,72.53,31.64,130.55,64
RC,0272,ROD REAMING L950 MM STRAIGHT BALL TIP OD3 MM EXPERT NAIL SYSTEM,146.12,73.06,31.87,131.51,64
RC,0272,ROD REAMING PUSH BALL HANDLE HEXAGONAL SCREWDRIVER OD8 MM EXPERT TN,386.43,193.22,84.28,347.79,64
RC,0272,ROD SPINAL 4.5MM DIA 50MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,52.34,216.0,64
RC,0272,ROD SPINAL 4.5MM DIA 65MML MORE SUPERALLOY PRE-LORDOSED EUROPA STERILE,240.0,120.0,52.34,216.0,64
RC,0272,ROD STABILIZER LMA FASTRACH SILICONE REUSABLE,40.0,20.0,8.72,36.0,64
RC,0272,ROUTER SURGICAL L12 MM TAPER OD1.5 MM GREEN RED,115.51,57.76,25.19,103.96,64
RC,0272,ROUTER SURGICAL L16 MM FLUTE OD1.85 MM CRANIUM,267.0,133.5,58.23,240.3,64
RC,0272,ROUTER SURGICAL TAPER OD2.3 MM BLUE RED,115.51,57.76,25.19,103.96,64
RC,0272,RUBBER EXTERNAL FIXATION REPLACEMENT F/7107-0344,138.0,69.0,30.1,124.2,64
RC,0272,RULER RADIOLOGY NONSTERILE,269.93,134.97,58.87,242.94,64
RC,0272,RULER SURGICAL METRIC 1MM SQUARE SILICONE MICRO-GRID GREEN NON-RADIOLUCENT STERILE,158.0,79.0,34.46,142.2,64
RC,0272,RULER SURGICAL RADIOGRAPHIC CANAL WIDTH ESTIMATOR INTRAMEDULLARY NAIL SYSTEM,433.88,216.94,94.63,390.49,64
RC,0272,RULER SURGICAL RADIOGRAPHIC HUMERAL NAIL SYSTEM,271.34,135.67,59.18,244.21,64
RC,0272,RULER SURGICAL RADIOGRAPHIC TITANIUM CANNULATED FEMORAL NAIL SYSTEM,433.88,216.94,94.63,390.49,64
RC,0272,RULER SURGICAL RADIOGRAPHIC TITANIUM CANNULATED HINDFOOT ARTHRODESIS NAIL EXPERT SYSTEM,251.24,125.62,54.8,226.12,64
RC,0272,RULER SURGICAL RADIOGRAPHIC TITANIUM CANNULATED HUMERAL NAIL SYSTEM,288.17,144.09,62.85,259.35,64
RC,0272,RULER SURGICAL RADIOGRAPHIC TITANIUM CANNULATED TIBIAL NAIL EXPERT SYSTEM,288.17,144.09,62.85,259.35,64
RC,0272,SANITIZER HAND FOAM ALCOHOL-FREE UNSCENTED ACTIVE INGREDIENT 0.13% BENZALKONIUM CHLORIDE 1200ML REFILL GOJO PURELL SF607 LTX-12 DISPENSER COMPATIBLE WITH VINYL NITRILE AND LATEX GLOVES DISPOSABLE,43.12,21.56,9.4,38.81,64
RC,0272,SAW HAND HOLE 16MM DIA TALL INBONE,528.0,264.0,115.16,475.2,64
RC,0272,SAW SURGICAL CARTRIDGE OSCILLATE TIP PRECISION FALCON,330.0,165.0,71.97,297.0,64
RC,0272,SAW SURGICAL HOLE OD18 MM INBONE,492.0,246.0,107.31,442.8,64
RC,0272,SAW SURGICAL MICRO 3.8MM X 4MM 0.6MM THK LEFT ANGLED F/OSTEOTOMY MT2L-4,539.1,269.55,117.58,485.19,64
RC,0272,SAW SURGICAL MICRO 3.8MM X 4MM 0.6MM THK RIGHT ANGLED F/OSTEOTOMY MT2R-4,539.1,269.55,117.58,485.19,64
RC,0272,SAW SURGICAL MICRO 3MM X 10MM 0.35MM THK HAND STRAIGHT F/OSTEOTOMY MT1S-10,539.1,269.55,117.58,485.19,64
RC,0272,SAW SURGICAL MICRO 4.15MM X 3.5MM 0.55MM THK TRANSVERSE ANGLED F/OSTEOTOMY MT1204,539.1,269.55,117.58,485.19,64
RC,0272,SAW SURGICAL MICRO 4.4MM X 12MM 0.55MM THK ANGLED F/OSTEOTOMY MT1412 +,719.1,359.55,156.84,647.19,64
RC,0272,SAW SURGICAL MICRO 4.8MM X 20MM 0.45MM THK F/OSTEOTOMY MT1520 +,719.1,359.55,156.84,647.19,64
RC,0272,SAW SURGICAL SAGITTAL HALL MICROPOWER+,2954.78,1477.39,644.44,2659.3,64
RC,0272,SCALPEL HANDLE SURGICAL LCP PERCUTANEOUS,1039.76,519.88,226.77,935.78,64
RC,0272,SCALPEL L.063 IN EVEREST SPINAL SYSTEM KIT SURGICAL MIS,94.5,47.25,20.61,85.05,64
RC,0272,SCISSORS ARTHROSCOPIC L130 MM NANO STRAIGHT,265.0,132.5,57.8,238.5,64
RC,0272,SCISSORS ARTHROSCOPIC LIGHTWEIGHT SERRATE TOOTH STRAIGHT SHAFT OD3.4 MM ALUMINUM MENISCUS,995.0,497.5,217.01,895.5,64
RC,0272,SCISSORS BANDAGE LISTER 7 1/4INL STAINLESS STEEL ANGLED SMOOTH LATEX-FREE,16.07,8.04,3.5,14.46,64
RC,0272,SCISSORS BANDAGE LISTER UNIVERSAL 7 1/4INL STAINLESS STEEL ANGLED MIRROR FINISH GROUND POLISHED BLACK LATEX-FREE AUTOCLAVABLE,19.74,9.87,4.31,17.77,64
RC,0272,SCISSORS BANDAGE UNIVERSAL 7 1/2IN STAINLESS STEEL PLASTIC ANGLED HEAVY DUTY MIRROR FINISH BLUE HANDLE V.MUELLER NON-STERILE AUTOCLAVABLE PREMIUM GRADE,10.03,5.02,2.19,9.03,64
RC,0272,SCISSORS CARB-EDGE METZENBAUM 7IN SATIN FINISH CURVE SURGICAL STAINLESS STEEL TONSIL NONSTERILE,54.77,27.39,11.95,49.29,64
RC,0272,SCISSORS DA VINCI ENDOWRIST POTTS LAPAROSCOPIC OD8 MM,2048.0,1024.0,446.67,1843.2,64
RC,0272,SCISSORS DA VINCI SI SINGLE-SITE CURVE LAPAROSCOPIC OD5 MM,620.0,310.0,135.22,558.0,64
RC,0272,SCISSORS DIETHRICH 7.25IN TAPERED SHAFT THIN NARROW BLADE DELICATE LIGHTWEIGHT 60D SURGICAL CORONARY ARTERY,122.8,61.4,26.78,110.52,64
RC,0272,SCISSORS DISSECTING L7 IN VITAL CURVE STRAIGHT STELLITE GOLD STAINLESS STEEL SATIN 2 BLUNT STELLITER CUT EDGE RING HANDLE FINISH,38.16,19.08,8.32,34.34,64
RC,0272,SCISSORS ENDOSCOPIC 2.6MM DIA 165CML ENSIZOR,995.0,497.5,217.01,895.5,64
RC,0272,SCISSORS ENDOSCOPIC ENSIZOR 235CM 2.6MM,1095.0,547.5,238.82,985.5,64
RC,0272,SCISSORS ENDOWRIST ROUND TIP LAPAROSCOPIC,1575.0,787.5,343.51,1417.5,64
RC,0272,SCISSORS EYE GRIESHABER REVOLUTION 360 D CURVE LIGHTWEIGHT ACTIVATION HANDLE STIFF SLEEVE OPHTHALMIC OD25 GA,1166.4,583.2,254.39,1049.76,64
RC,0272,SCISSORS IRIS L4 1/2 IN VITAL CURVE 2 SHARP CUT EDGE OPHTHALMIC STELLITE STAINLESS STEEL L2.8 CM,32.73,16.37,7.14,29.46,64
RC,0272,SCISSORS L11 IN V. MUELLER CURVE CURVED DISSECTING SURGICAL,71.62,35.81,15.62,64.46,64
RC,0272,SCISSORS L115 MM AEBLI RIGHT ANGLE BLADE MID SCREW BLUNT TIP FLAT SERRATE HANDLE OPHTHALMIC STAINLESS STEEL L18 MM,237.65,118.83,51.83,213.89,64
RC,0272,SCISSORS L131 IN WESTCOTT FLAT SERRATE HANDLE ROUND SHARP TIP POLISH FINISH OPHTHALMIC STAINLESS STEEL,254.95,127.48,55.6,229.46,64
RC,0272,SCISSORS L18 CM ASSI CURVE DELICATE DISSECT ROUND HANDLE SURGICAL L12 MM OD8 MM,563.4,281.7,122.88,507.06,64
RC,0272,SCISSORS L21 CM ENDOPATH 360 D CURVE RATCHET HANDLE MONOPOLAR CAUTERY INSULATE SHAFT ROTATION KNOB LAPAROSCOPIC OD5 MM,253.37,126.69,55.26,228.03,64
RC,0272,SCISSORS L3.3 IN VANNAS STRAIGHT SERRATE HANDLE POLISH FINISH OPHTHALMIC CAPSULOTOMY,208.96,104.48,45.57,188.06,64
RC,0272,SCISSORS L4 1/2 IN V. MUELLER STRAIGHT 2 BLUNT SUTURE SERRATE EDGE SURGICAL,16.92,8.46,3.69,15.23,64
RC,0272,SCISSORS L4 1/2 IN VITAL STRAIGHT 2 SHARP SATIN OPHTHALMIC TUNGSTEN CARBIDE L11.4 CM,31.46,15.73,6.86,28.31,64
RC,0272,SCISSORS L4 IN STEVENS STRAIGHT MIRROR FINISH SURGICAL L3.2 CM TENOTOMY,15.69,7.85,3.42,14.12,64
RC,0272,SCISSORS L4 IN STEVENS SUPERCUT CURVE MIRROR FINISH SURGICAL L3.2 CM TENOTOMY,15.82,7.91,3.45,14.24,64
RC,0272,SCISSORS L4.5 IN WESTCOTT RIGHT CURVE FLAT SERRATE HANDLE ROUND BLADE BLUNT TIP POLISH FINISH OPHTHALMIC STAINLESS STEEL L19 MM TENOTOMY,194.09,97.05,42.33,174.68,64
RC,0272,SCISSORS L5 1/2 IN V. MUELLER UNIVERSAL AUTOCLAVABLE MIRROR FINISH BANDAGE STAINLESS STEEL PLASTIC BLACK,10.03,5.02,2.19,9.03,64
RC,0272,SCISSORS L5 3/4 IN V. MUELLER STRAIGHT DISSECT SURGICAL STAINLESS STEEL,11.48,5.74,2.5,10.33,64
RC,0272,SCISSORS L5 3/4 IN V. MUELLER STRAIGHT SHARP BLUNT MIRROR FINISH SURGICAL,14.96,7.48,3.26,13.46,64
RC,0272,SCISSORS L5.5 IN POTTS CURVE CURVED TENOTOMY SURGICAL PLASTIC,49.01,24.51,10.69,44.11,64
RC,0272,SCISSORS L54.5 CM DA VINCI S/SI ENDOWRIST POTTS 22- D LAPAROSCOPIC L1.1 CM OD8 MM,1950.0,975.0,425.3,1755.0,64
RC,0272,SCISSORS L54.5 CM DA VINCI S/SI ENDOWRIST ROUND LAPAROSCOPIC L1.1 CM OD8 MM,1950.0,975.0,425.3,1755.0,64
RC,0272,SCISSORS L6 3/4 IN DEAN SERRATE MIRROR FINISH ANGLE BLADE SLIGHT CURVE HANDLE SURGICAL L3 CM,74.09,37.05,16.16,66.68,64
RC,0272,SCISSORS L6 3/4 IN V. MUELLER STRAIGHT DISSECT ROUND BLADE MIRROR FINISH SURGICAL STAINLESS STEEL,24.18,12.09,5.27,21.76,64
RC,0272,SCISSORS L6.75 IN VITAL STRAIGHT DISSECT BEVEL BLADE SURGICAL,36.84,18.42,8.03,33.16,64
RC,0272,SCISSORS L7 1/4 IN V. MUELLER ANGLE PROBE POINT MIRROR FINISH BANDAGE STAINLESS STEEL,14.17,7.09,3.09,12.75,64
RC,0272,SCISSORS L7 IN POTTS CURVE BLADE RING HANDLE MIRROR FINISH SURGICAL STAINLESS STEEL TENOTOMY,73.2,36.6,15.96,65.88,64
RC,0272,SCISSORS L7 IN V. MUELLER CURVE ON FLAT DISSECT MIRROR FINISH SURGICAL STAINLESS STEEL,17.63,8.82,3.85,15.87,64
RC,0272,SCISSORS L7.25 IN POTTS-SMITH 60 D 7/8 IN REGULAR MIRROR FINISH BLADE SURGICAL,73.79,36.9,16.09,66.41,64
RC,0272,SCISSORS L8 1/2 IN JORGENSON MAYO EXAGGERATED CURVE MIRROR FINISH SURGICAL L4 1/4 IN,131.78,65.89,28.74,118.6,64
RC,0272,SCISSORS L8 IN POTTS-SMITH 25 D MIRROR FINISH REGULAR BLADE SURGICAL L7/8 IN,79.46,39.73,17.33,71.51,64
RC,0272,SCISSORS L9 IN V. MUELLER CURVE 2 BLUNT MIRROR SATIN FINISH SURGICAL L2 IN,64.12,32.06,13.98,57.71,64
RC,0272,SCISSORS L9 IN V. MUELLER CURVE CURVED DISSECTING SURGICAL,40.25,20.13,8.78,36.23,64
RC,0272,SCISSORS LAPAROSCOPIC 2 EDGE BLADE ROTATION DIAL ERGONOMIC HANDLE LOW PROFILE EPIX DIRECT DRIVE STAINLESS STEEL 35CM LATEX FREE DISPOSABLE 5MM,700.0,350.0,152.67,630.0,64
RC,0272,SCISSORS LAPAROSCOPIC 2 EDGE BLADE ROTATION DIAL ERGONOMIC HANDLE LOW PROFILE EPIX DIRECT DRIVE STAINLESS STEEL 45CM LATEX FREE DISPOSABLE 5MM,380.0,190.0,82.88,342.0,64
RC,0272,SCISSORS LAPAROSCOPIC 31.75CM 8MM DA VINCI XI HOT SHEARS ENDOWRIST 38D CURVE MONOPOLAR 1.3CM,3360.0,1680.0,732.82,3024.0,64
RC,0272,SCISSORS LAPAROSCOPIC BARIATRIC 5MM DIA 450MML 16MM BLADE CURVED DOUBLE-ACTION REUSABLE HANDLE DISPOSABLE INSERT DISTAL TIP LOGICUT LATEX-FREE STERILE REPOSABLE,286.63,143.32,62.51,257.97,64
RC,0272,SCISSORS LAPAROSCOPIC REPOSABLE MONOPOLAR ADTEC METZENBAUM 42CM LATEX FREE 5MM,482.04,241.02,105.13,433.84,64
RC,0272,SCISSORS LAPAROSCOPIC REPOSABLE MONOPOLAR METZENBAUM 31CM STERILE DISPOSABLE 5MM,482.04,241.02,105.13,433.84,64
RC,0272,SCISSORS MEDTRONIC REUSABLE INSTRUMENTS CURVED SURGICAL,180.45,90.23,39.36,162.41,64
RC,0272,SCISSORS METRX MICRO SURGICAL,182.4,91.2,39.78,164.16,64
RC,0272,SCISSORS MONOPOLAR REPROCESSED 5MM DIA STANDARD 21CML CURVED FULLY ROTATABLE RATCHET HANDLE ENDOPATH LATEX-FREE STERILE DISPOSABLE,32.55,16.28,7.1,29.3,64
RC,0272,SCISSORS NASAL L5 3/4 IN V. MUELLER CURVE 2 BLUNT MIRROR SATIN FINISH SURGICAL STAINLESS STEEL L3.5 CM,15.61,7.81,3.4,14.05,64
RC,0272,SCISSORS OPHTHALMIC 23GA CURVE HORIZONTAL DISPOSABLE,1550.0,775.0,338.06,1395.0,64
RC,0272,SCISSORS OPHTHALMIC 4 1/8INL 26MMW BLADE STAINLESS STEEL IRIS CURVED DELICATE SHARPX2 MIRROR FINISH JARIT LATEX-FREE NON-STERILE,18.98,9.49,4.14,17.08,64
RC,0272,SCISSORS OPHTHALMIC 4 1/8INL 26MMW BLADE STAINLESS STEEL IRIS STRAIGHT DELICATE MIRROR FINISH SHARP TIP LATEX-FREE NON-STERILE,18.61,9.31,4.06,16.75,64
RC,0272,SCISSORS POTTS V MUELLER 6IN 2 ACTION RING HANDLE MIRROR FINISH CURVE SURGICAL STAINLESS STEEL TENOTOMY,54.61,27.31,11.91,49.15,64
RC,0272,SCISSORS SUPERCUT JAMISON 7IN CURVE SURGICAL STAINLESS STEEL CARDIOVASCULAR NONSTERILE,66.44,33.22,14.49,59.8,64
RC,0272,SCISSORS SURGICAL METZENBAUM 5MM 18MML SHAFT CURVED LATEX-FREE DISPOSABLE,330.0,165.0,71.97,297.0,64
RC,0272,SCISSORS SURGICAL METZENBAUM 7INL STAINLESS STEEL CURVED MIRROR FINISH SLENDER DELICATE JARIT LATEX-FREE NON-STERILE,32.87,16.44,7.17,29.58,64
RC,0272,SCISSORS SURGICAL METZENBAUM 7INL TUNGSTEN CARBIDE CURVED BLADE SHARP LOWER SERRATED DISSECTING DELICATE GOLD HANDLE CLASSIC PLUS LATEX-FREE,55.66,27.83,12.14,50.09,64
RC,0272,SCISSORS SURGICAL MILLS CIRCUMFLEX 1MM DIA 7 1/4INL 125DEG ANGLED CUTTING EDGE SATIN FINISH DOUBLE ACTION SPRING HANDLE V.MUELLER NON-STERILE REUSABLE,271.09,135.55,59.12,243.98,64
RC,0272,SCISSORS SURGICAL STEVENS TENOTOMY 4 1/2INL TUNGSTEN CARBIDE POWER CUT BLACK/GOLD,247.0,123.5,53.87,222.3,64
RC,0272,SCOPE 5 CYSTOSCOPE REVERSE,1075.0,537.5,234.46,967.5,64
RC,0272,SCOPE 5 CYSTOSCOPE STANDARD,1075.0,537.5,234.46,967.5,64
RC,0272,SCOPE 5 URETERO REVERSE,4125.0,2062.5,899.66,3712.5,64
RC,0272,SCOPE 5 URETERO STANDARD,3375.0,1687.5,736.09,3037.5,64
RC,0272,"SCOUT GUIDANCE HANDPIECE, 8FT REUSEABLE",4995.0,2497.5,1089.41,4495.5,64
RC,0272,SCRAPER BONE CEMENT PROBE 10MM 180MM TITANIUM OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,SCRAPER BONE CEMENT PROBE 6MM 180MM TITANIUM OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,SCRAPER BONE CEMENT PROBE 8MM 180MM TITANIUM OSCAR PRO STERILE,1099.5,549.75,239.8,989.55,64
RC,0272,SCRAPER OPHTHALMIC CURVE OD23 GA FINESSE GRIESHABER,896.64,448.32,195.56,806.98,64
RC,0272,SCRAPER OPHTHALMIC CURVE OD25 GA FINESSE GRIESHABER,896.64,448.32,195.56,806.98,64
RC,0272,SCRAPER OPHTHALMIC CURVE OD27 GA FINESSE GRIESHABER MEMBRANE,896.64,448.32,195.56,806.98,64
RC,0272,SCRAPER OPHTHALMIC L.8 IN SANDBLAST TIP POLISH FINISH OD23 GA KRATZ STAINLESS STEEL L1 MM,29.36,14.68,6.4,26.42,64
RC,0272,SCRAPER OPHTHALMIC MEMBRANE DIAMOND DUST OD20 GA DDMS TANO SILICONE RETINA,609.16,304.58,132.86,548.24,64
RC,0272,SCRAPER OPHTHALMIC TANO OD23 GA DDMS RETINA,591.7,295.85,129.05,532.53,64
RC,0272,SCRAPER OPHTHALMIC TANO OD25 GA DDMS TANO DDMS RETINA,682.88,341.44,148.94,614.59,64
RC,0272,SCREW BIOABSORBABLE GENTLE THREADS KIT INTERFERENCE LACTOSORB DISPOSABLE,474.5,237.25,103.49,427.05,64
RC,0272,SCREW BONE 2MM 12MM APTUS SPEEDTIP 6 COMPRESSION SELF DRILL SNAP HEXADRIVE TITANIUM CORTICAL,195.47,97.74,42.63,175.92,64
RC,0272,SCREW BONE 5MM 20MM PANTA 2 FULL THREAD NONSTERILE LATEX FREE ARTHRODESIS NAIL SYSTEM,492.91,246.46,107.5,443.62,64
RC,0272,SCREW BONE 5MM 85MM PANTA 2 PARTIAL THREAD CORTICAL,1057.32,528.66,230.6,951.59,64
RC,0272,SCREW BONE GMK SPHERE PACK STERILE SPINE,100.0,50.0,21.81,90.0,64
RC,0272,SCREW COVER CONE BAHA,153.55,76.78,33.49,138.2,64
RC,0272,SCREW DISTRACTION L18 MM UNIVERSAL SELF TAP SHARP TIP STAINLESS STEEL ANTERIOR SPINE CERVICAL,288.4,144.2,62.9,259.56,64
RC,0272,SCREW DISTRACTOR 12MM DIA STAINLESS STEEL SELF-TAPPING THREAD LATEX-FREE STERILE,317.02,158.51,69.14,285.32,64
RC,0272,SCREW DISTRACTOR 14MM DIA STAINLESS STEEL SELF-TAPPING THREAD LATEX-FREE STERILE,270.86,135.43,59.07,243.77,64
RC,0272,SCREW DISTRACTOR PIN 16MM DIA UNIVERSAL END AGGRESSIVE DESIGN ANCHOR ANTERIOR CERVICAL,288.46,144.23,62.91,259.61,64
RC,0272,SCREW EXTERNAL FIXATION 3.2MM 100MM SCHANZ DISPOSABLE,650.0,325.0,141.77,585.0,64
RC,0272,SCREW GUIDE BLOCK L11 MM T8 ATTACHMENT OD2.4 MM RADIUS,108.24,54.12,23.61,97.42,64
RC,0272,SCREW INSERTER COUPLING HELICAL BLADE,902.91,451.46,196.92,812.62,64
RC,0272,SCREW INSERTION HANDLE CANNULATED CONNECT INTERNAL THREAD NA EXPERT TIBIAL NAIL,403.24,201.62,87.95,362.92,64
RC,0272,SCREW INSERTION HANDLE CONNECT HUMERAL NAIL SYSTEM,394.5,197.25,86.04,355.05,64
RC,0272,SCREW INSERTION HANDLE L146 MM CANNULATED CONNECT INTERNAL THREAD OD10 MM TIBIAL INTRAMEDULLARY NAIL,403.24,201.62,87.95,362.92,64
RC,0272,SCREW INSTRUMENT CONNECT CANNULATED PERCUTANEOUS NAIL EXPERT,714.22,357.11,155.77,642.8,64
RC,0272,SCREW INSTRUMENT CONNECT NA,298.55,149.28,65.11,268.7,64
RC,0272,SCREW INSTRUMENT RIBFIX BLU NONSTERILE LATEX FREE REUSABLE,325.0,162.5,70.88,292.5,64
RC,0272,SCREW L100 MM OD4 MM BONE VELYS,32.0,16.0,6.98,28.8,64
RC,0272,SCREW L11 MM OD2 MM 6 TITANIUM CORTICAL COMPRESSION SELF DRILL SNAP HEXADRIVE BONE APTUS SPEEDTIP,195.47,97.74,42.63,175.92,64
RC,0272,SCREW L125 MM OD4 MM BONE VELYS,32.0,16.0,6.98,28.8,64
RC,0272,SCREW L22 MM OD2.7 MM ODSEC5 MM T8 TITANIUM CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SET BONE,26.83,13.42,5.85,24.15,64
RC,0272,SCREW L38 MM OD2.7 MM MINI FOOT ANKLE NON LOCKING BONE UNITE,55.0,27.5,12.0,49.5,64
RC,0272,SCREW L44 MM OD2.7 MM T8 BONE VARIAX,53.73,26.87,11.72,48.36,64
RC,0272,SCREW LONG TEMP FIX,341.0,170.5,74.37,306.9,64
RC,0272,SCREW RETAINER SPINAL PRODISC C 3.5MM 14MM STERILE 2 PACK,112.5,56.25,24.54,101.25,64
RC,0272,SCREW SET CONNECT GUIDEWIRE AIM TROCHANTERIC FIXATION NAIL,191.98,95.99,41.87,172.78,64
RC,0272,SCREW SET NONSTERILE SPINE LATEX FREE GRANITE,30.0,15.0,6.54,27.0,64
RC,0272,SCREW SPINAL 12MM DIA DISTRACTION STERILE,110.0,55.0,23.99,99.0,64
RC,0272,SCREW SPINAL 6.5MM DIA PEDICLE TAP,200.0,100.0,43.62,180.0,64
RC,0272,SCREW SPINAL 7.5MM 40MM 1838937,300.0,150.0,65.43,270.0,64
RC,0272,SCREW SPINAL 7.5MM DIA PEDICLE TAP,200.0,100.0,43.62,180.0,64
RC,0272,SCREW SPINAL DISTRACTION 14MML STAINLESS STEEL SELF-TAPPING F/ANTERIOR CERVICAL FUSION STERILE,110.0,55.0,23.99,99.0,64
RC,0272,SCREW SPINAL TAP 5.5MM PEDICLE,200.0,100.0,43.62,180.0,64
RC,0272,"SCREWDRIVER .3 MM STRAIGHT DISTRACTION, INTERNAL DISTRACTION INTERNAL SURGICAL",330.12,165.06,72.0,297.11,64
RC,0272,"SCREWDRIVER 1.5 MM STANDARD DISTRACTION, INTERNAL DISTRACTION INTERNAL SURGICAL",330.12,165.06,72.0,297.11,64
RC,0272,SCREWDRIVER ASNIS MICRO CANNULATED AO COUPLING 2MM SURGICAL STERILE,231.84,115.92,50.56,208.66,64
RC,0272,SCREWDRIVER BALL HEXAGONAL OD8 MM SURGICAL,529.67,264.84,115.52,476.7,64
RC,0272,SCREWDRIVER CRUCIFORM HOLD SLEEVE SURGICAL 2.4 MM SCREW,710.13,355.07,154.88,639.12,64
RC,0272,SCREWDRIVER HEXAGON CANNULATED INTERLOCK OD8 MM SURGICAL SUPRAPATELLAR,867.42,433.71,189.18,780.68,64
RC,0272,SCREWDRIVER HEXAGON FLEXIBLE CANNULATED OD5 MM SURGICAL,751.14,375.57,163.82,676.03,64
RC,0272,SCREWDRIVER HEXAGON T HANDLE BALL L8 MM SURGICAL,595.62,297.81,129.9,536.06,64
RC,0272,SCREWDRIVER HEXAGON TOOLS SCREWS AO L110 MM OD2.5 MM SURGICAL,110.0,55.0,23.99,99.0,64
RC,0272,SCREWDRIVER LARGE HEXAGON NA W3.5 MM SURGICAL,393.28,196.64,85.77,353.95,64
RC,0272,SCREWDRIVER LONG INTERLOCK SURGICAL SUPRAPATELLAR,867.42,433.71,189.18,780.68,64
RC,0272,SCREWDRIVER LONG SMALL HEXAGONAL SURGICAL 3.5/4 MM SCREW,301.36,150.68,65.73,271.22,64
RC,0272,SCREWDRIVER MAXDRIVE L2 MM SURGICAL ASD,158.7,79.35,34.61,142.83,64
RC,0272,SCREWDRIVER MICRO ASNIS CANNULATED AO COUPLING 3MM SURGICAL,229.85,114.93,50.13,206.87,64
RC,0272,SCREWDRIVER NA CRUCIFORM HOLD SLEEVE SURGICAL 2.4 MM CORTICAL SCREW 1.8 MM BUTTRESS PIN,338.25,169.13,73.77,304.43,64
RC,0272,SCREWDRIVER RATCHET TRAUMAONE MANDIBLE,1761.0,880.5,384.07,1584.9,64
RC,0272,SCREWDRIVER SELF RETAIN L330 MM SURGICAL 4.5 MM TITANIUM MULTILOC HUMERAL NAIL SYSTEM,749.36,374.68,163.44,674.42,64
RC,0272,SCREWDRIVER SMALL HEXAGONAL HOLD SLEEVE SURGICAL,435.52,217.76,94.99,391.97,64
RC,0272,SCREWDRIVER STARDRIVE BALL HEXAGONAL OD5 MM SURGICAL OLECRANON OSTEOTOMY NAIL,275.47,137.74,60.08,247.92,64
RC,0272,SCREWDRIVER SURGICAL 3.2MM TAPERED HEX SHAFT AO QUICK COUPLING F/LARGE FRAGMENT SYSTEM EVOS,478.0,239.0,104.25,430.2,64
RC,0272,SCREWDRIVER SURGICAL BATTERY POWERED MAXDRIVE,4460.4,2230.2,972.81,4014.36,64
RC,0272,SCREWDRIVER SURGICAL LINEAR 2.5MM HEX SHAFT AO QUICK COUPLING F/TARGETER SYSTEM EVOS,441.0,220.5,96.18,396.9,64
RC,0272,SCREWDRIVER SURGICAL MINI QUIKDRIVE LATEX-FREE,4990.63,2495.32,1088.46,4491.57,64
RC,0272,SCREWDRIVER T15 CANNULATED SURGICAL,666.78,333.39,145.42,600.1,64
RC,0272,SCREWDRIVER T15 SELF RETAIN STARDRIVE L272 MM SURGICAL 3.5 MM LCP PERCUTANEOUS INSTRUMENT SYSTEM,355.91,177.96,77.62,320.32,64
RC,0272,SCREWDRIVER T25 INTERLOCK HEXAGON L330 MM OD3.5 MM SURGICAL,947.47,473.74,206.64,852.72,64
RC,0272,SCREWDRIVER T25 INTERLOCK STARDRIVE HEXAGONAL L224 MM OD3.5 MM SURGICAL,869.51,434.76,189.64,782.56,64
RC,0272,SCREWDRIVER T25 INTERLOCK TEARDROP HANDLE L320 MM SURGICAL,604.28,302.14,131.79,543.85,64
RC,0272,SCREWDRIVER T25 INTERLOCK TEARDROP HANDLE L440 MM SURGICAL,866.13,433.07,188.9,779.52,64
RC,0272,SCREWDRIVER T25 SELF RETAIN L290 MM SURGICAL,603.73,301.87,131.67,543.36,64
RC,0272,SCREWDRIVER T25 SELF RETAIN SURGICAL,603.73,301.87,131.67,543.36,64
RC,0272,SCREWDRIVER T30 CANNULATED SURGICAL,552.64,276.32,120.53,497.38,64
RC,0272,SCREWDRIVER T30 LONG STARDRIVE SELF RETAIN CANNULATED SURGICAL,624.26,312.13,136.15,561.83,64
RC,0272,SCREWDRIVER T40 CANNULATED SELF RETAIN SURGICAL,400.8,200.4,87.41,360.72,64
RC,0272,SCREWDRIVER T40 INTERLOCK TEARDROP HANDLE L227 MM SURGICAL,757.36,378.68,165.18,681.62,64
RC,0272,SCREWDRIVER T40 SELF RETAIN CANNULATED LEVER HANDLE SURGICAL,818.24,409.12,178.46,736.42,64
RC,0272,SCREWDRIVER T6 CANNULATED SURGICAL,552.64,276.32,120.53,497.38,64
RC,0272,SCREWDRIVER T6 TRILEAP SURGICAL 2 MM SCREW LOWER EXTREMITY ANATOMIC PLATE SYSTEM,346.08,173.04,75.48,311.47,64
RC,0272,SCREWDRIVER T8 CANNULATED SURGICAL,552.64,276.32,120.53,497.38,64
RC,0272,SCREWDRIVER T8 NON-RETAINING FOR REMOVAL - STERILE,165.13,82.57,36.01,148.62,64
RC,0272,SCREWDRIVER T8 STARDRIVE STOP RING SURGICAL OLECRANON OSTEOTOMY NAIL,491.01,245.51,107.09,441.91,64
RC,0272,SCREWDRIVER T8 SURGICAL,767.46,383.73,167.38,690.71,64
RC,0272,SEAL CANNULA ID5-12 MM NONE,200.0,100.0,43.62,180.0,64
RC,0272,SEAL CANNULA OD12 MM ENDOWRIST STAPLER DA VINCI XI,210.0,105.0,45.8,189.0,64
RC,0272,SEAL CANNULA OD5 MM DA VINCI ENDOWRIST,340.0,170.0,74.15,306.0,64
RC,0272,SEAL CANNULA OD8 MM DA VINCI ENDOWRIST,158.0,79.0,34.46,142.2,64
RC,0272,SEAL ENDOSCOPIC ADJUSTABLE BIOPSY PORT STERILE LATEX FREE DISPOSABLE,107.64,53.82,23.48,96.88,64
RC,0272,SEAL ENDOSCOPIC FLUID CANNULA REPLACEMENT INTELIJET HIP,490.0,245.0,106.87,441.0,64
RC,0272,SEAL ENDOSCOPIC INSTRUMENT 7FR SILICONE BIOPSY PORT ACCESSORIES UPTO 3FR STERILE DISPOSABLE,124.13,62.07,27.07,111.72,64
RC,0272,SEAL ENDOSCOPIC INSTRUMENT BIOPSY PORT OD7 FR ACMI SEAL SELF SEALING FOR ACCESSORIES UP TO 7 FR 2.33 MM SILICONE WHITE CYSTOSCOPE,119.18,59.59,25.99,107.26,64
RC,0272,SEAL ENDOSCOPIC INSTRUMENT CANNULA OD8.5-13 MM S/SI ENDOWRIST HD SD VISION SYSTEM,400.0,200.0,87.24,360.0,64
RC,0272,SEAL ENDOSCOPIC SHEATH WORK ELEMENT SELF SEAL SLIT EAWE AWE STERILE DISPOSABLE,140.67,70.34,30.68,126.6,64
RC,0272,SEALANT DURAL ADHERUS AUTOSPRAY,4877.52,2438.76,1063.79,4389.77,64
RC,0272,SEALANT DURAL ADHERUS AUTOSPRAY ET,5242.83,2621.42,1143.46,4718.55,64
RC,0272,SEALANT HEMOSTATIC VISTASEAL FIBRIN 4 ML,197.43,98.72,43.06,177.69,64
RC,0272,SEALANT MICROBIAL REMOVABLE CYTOBOND 100 ML,116.85,58.43,25.48,105.17,64
RC,0272,SEALANT TISS PREVELEAK 4ML2 BARREL SYRINGE 2 DELIVERY TI,767.45,383.73,167.38,690.71,64
RC,0272,SEALANT TISSUE CLOSURE HUMAN VISTASEAL FIBRIN 2 ML,106.61,53.31,23.25,95.95,64
RC,0272,SEALER BIPOLAR L20 CM CURVED LARGE JAW OD13 MM ENSEAL,2672.17,1336.09,582.8,2404.95,64
RC,0272,SEALER BIPOLAR L37 CM CURVED JAW OD5 MM ENSEAL,1245.44,622.72,271.63,1120.9,64
RC,0272,SEALER BIPOLAR L45 CM CURVED JAW OD5 MM ENSEAL,1406.18,703.09,306.69,1265.56,64
RC,0272,SEALER COOLSEAL REVEAL,3090.0,1545.0,673.93,2781.0,64
RC,0272,SEALER ELECTROSURGICAL L.223 IN 0 D HOOK MONOPOLAR DISSECT BLUNT ELECTRODE OD2 MM ENDO SH2.0 L12.5 IN,941.32,470.66,205.3,847.19,64
RC,0272,SEALER ELECTROSURGICAL L.226 IN 30 D .173 IN SPACE BIPOLAR 2 ELECTRODE HEMOSTATIC OD.092 IN AQUAMANTYS 2.3 L5.1 IN,350.0,175.0,76.34,315.0,64
RC,0272,SEALER ELECTROSURGICAL L.226 IN 30 D .236 IN SPACE BIPOLAR 2 ELECTRODE HEMOSTATIC OD.137 IN AQUAMANTYS 6.0 L5.1 IN,538.65,269.33,117.48,484.79,64
RC,0272,SEALER ELECTROSURGICAL L.283 IN 30 D .225 IN SPACE CONE BIPOLAR DISSECT OD.118 IN AQUAMANTYS ENDO DBS 8.7 L12.5 IN,643.15,321.58,140.27,578.84,64
RC,0272,SEALER ELECTROSURGICAL L.31 IN 30 D .236 IN SPACE LARGE CONE BIPOLAR OD.137 IN ODSEC.236 IN AQUAMANTYS 9.5 XL L5.18 IN,534.26,267.13,116.52,480.83,64
RC,0272,SEALER ELECTROSURGICAL L5.49 IN .025 IN SPACE FLAT BIPOLAR INSULATE SHAFT OD.156 IN AQUAMANTYS EVS L6.79 IN EPIDURAL VEIN,642.13,321.07,140.05,577.92,64
RC,0272,SEALER ELECTROSURGICAL L5.49 IN 15 D .025 IN SPACE MINI BIPOLAR INSULATE SHAFT OD.134 IN AQUAMANTYS EVS 3.4 L6.79 IN EPIDURAL VEIN,585.14,292.57,127.62,526.63,64
RC,0272,SEALER ENDOSCOPIC BIPOLAR 2.03MM DIA 172.5MML 30DEG ANGLED TIP AQUAMANTYS STERILE SINGLE-USE,595.0,297.5,129.77,535.5,64
RC,0272,SEALER ENDOSCOPIC BIPOLAR AQUAMANTYS LATEX-FREE,859.0,429.5,187.35,773.1,64
RC,0272,SEALER ENDOSCOPIC BIPOLAR HEMOSTATIC SPOT-TREAT POST PRE OPERATIVE DRAINAGE F/VS 8.7R VATS SYSTEM AQUAMANTYS,955.0,477.5,208.29,859.5,64
RC,0272,SEALER ENDOSCOPIC REPROCESSED 5MM DIA 37CML BLUNT TIP F/LAPAROSCOPY LIGASURE LF1537,206.61,103.31,45.06,185.95,64
RC,0272,SEALER ENDOSCOPIC REPROCESSED 5MM DIA SHAFT 14.6INL 180DEG ANGLED ROTATABLE DOUBLE-ACTION CONTOURED JAW BLUNT TIP LIGASURE LATEX-FREE STERILE DISPOSABLE,265.54,132.77,57.91,238.99,64
RC,0272,SEALER ENDOSCOPIC REPROCESSED 5MM DIA STANDARD 37CML MARYLAND JAW LIGASURE LATEX-FREE STERILE SINGLE-USE,279.3,139.65,60.92,251.37,64
RC,0272,SEALER ROBOTIC 8MM DIA ENDOWRIST DA VINCI S/SI LATEX-FREE SINGLE-USE,3570.0,1785.0,778.62,3213.0,64
RC,0272,SEALER TISSUE L22 CM CURVE TIP STRAIGHT JAW OD5 MM ENSEAL,4599.82,2299.91,1003.22,4139.84,64
RC,0272,SEALER TISSUE L25 CM STRAIGHT JAW OD5 MM ENSEAL,2062.61,1031.31,449.86,1856.35,64
RC,0272,SEALER TISSUE L35 CM CURVE JAW ARTICULATE OD5 MM ENSEAL,2807.93,1403.97,612.41,2527.14,64
RC,0272,SEALER TISSUE L35 CM CURVE JAW OD5 MM ENSEAL,2264.46,1132.23,493.88,2038.01,64
RC,0272,SEALER TISSUE L35 CM STRAIGHT JAW ARTICULATE OD5 MM ENSEAL,2776.27,1388.14,605.5,2498.64,64
RC,0272,SEALER TISSUE L35 CM STRAIGHT JAW OD5 MM ENSEAL,2041.38,1020.69,445.22,1837.24,64
RC,0272,SEALER TISSUE L37 CM BIPOLAR STRAIGHT JAW ENSEAL LAPAROSCOPIC,1082.23,541.12,236.03,974.01,64
RC,0272,SEALER TISSUE L45 CM CURVE JAW OD5 MM ENSEAL,2376.61,1188.31,518.34,2138.95,64
RC,0272,SEALER TISSUE L45 CM STRAIGHT JAW ARTICULATE OD5 MM ENSEAL,3231.24,1615.62,704.73,2908.12,64
RC,0272,SEALER TISSUE L45 CM STRAIGHT JAW OD5 MM ENSEAL,2375.91,1187.96,518.19,2138.32,64
RC,0272,SEALER TISSUE L8 MM SYNCHROSEAL DA VINCI,4347.0,2173.5,948.08,3912.3,64
RC,0272,SEALER TISSUE REPROCESSED CURVED JAW VALLEY LAB LIGASURE IMPACT,144.95,72.48,31.61,130.46,64
RC,0272,SEALER TISSUE SLIM JAW EXTEND DA VINCI,3938.0,1969.0,858.88,3544.2,64
RC,0272,SEALER/DIVIDER BIPOLAR L18 CM OPEN OD3.5 MM  L36 MM,2576.7,1288.35,561.98,2319.03,64
RC,0272,SEALER/DIVIDER BIPOLAR L8 MM CAUTERY VESSEL DA VINCI XI ENDOWRIST,3570.0,1785.0,778.62,3213.0,64
RC,0272,SEALER/DIVIDER ELECTROSURGICAL L18 CM 14 D 180 D L34 MM CURVE JAW OVAL SHAFT NANO COAT OPEN OD13.5 MM LIGASURE IMPACT L36 MM VALLEYLAB FT10 FORCETRIAD ENERGY PLATFORM,3974.4,1987.2,866.82,3576.96,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC 12 MM PASSPORT,60.0,30.0,13.09,54.0,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC 30CM 5MM COOLSEAL TRINITY OPEN DISSECTOR STERILE LATEX FREE DISPOSABLE,3900.0,1950.0,850.59,3510.0,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC 37CM 5MM LIGASURE 180D 17.8MM 2 ACTION JAW BLUNT CONTOUR TIP NANO COAT 19.5MM STERILE DISPOSABLE,3179.52,1589.76,693.45,2861.57,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC 37CM 5MM LIGASURE MARYLAND 350D 1 STEP SEAL MULTIFUNCTIONAL STERILE LATEX FREE DISPOSABLE,2219.76,1109.88,484.13,1997.78,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC 37CM COOLSEAL MARYLAND JAW DISSECTOR STERILE LATEX FREE DISPOSABLE,3090.0,1545.0,673.93,2781.0,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC 44CM 5MM LIGASURE 180D 17.8MM 2 ACTION JAW BLUNT CONTOUR TIP NANO COAT 19.5MM STERILE DISPOSABLE,3393.54,1696.77,740.13,3054.19,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L20 CM 359- D L20 MM STRAIGHT BILATERAL JAW BLUNT TIP OPEN OD10 MM LIGASURE ATLAS L22 MM FORCETRIAD ENERGY PLATFORM,1968.84,984.42,429.4,1771.96,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L23 CM 180 D L17.8 MM 2 ACTION JAW BLUNT CONTOUR TIP NANO COAT OD5 MM LIGASURE L19.5 MM,2493.9,1246.95,543.92,2244.51,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L23 CM 350 D L18.5 MM MARYLAND CURVE JAW NANO COAT OPEN LIGASURE L20.3 MM VALLEYLAB FT10 LS10 FORCETRIAD ENERGY PLATFORM,2835.0,1417.5,618.31,2551.5,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L23 CM MARYLAND JAW OPEN NANO COAT 1 STEP SEAL OD5 MM LIGASURE XP,3001.5,1500.75,654.63,2701.35,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L23 CM MARYLAND JAW OPEN NANO COAT LATCHING HANDLE OD5 MM LIGASURE XP,3001.5,1500.75,654.63,2701.35,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L37 CM 315 D L18.5 MM MARYLAND JAW RETRACTABLE L HOOK HANDSWITCH LIGASURE L20 MM,3780.84,1890.42,824.6,3402.76,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L37 CM 350 D L18.5 MM MARYLAND CURVE JAW NANO COAT LIGASURE L20.3 MM VALLEYLAB FT10 LS10 FORCETRIAD ENERGY PLATFORM,3497.46,1748.73,762.8,3147.71,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L37 CM MARYLAND JAW NANO COAT 1 STEP SEAL OD5 MM LIGASURE XP,4022.1,2011.05,877.22,3619.89,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L37 CM MARYLAND JAW NANO COAT LATCHING HANDLE OD5 MM LIGASURE XP,3001.5,1500.75,654.63,2701.35,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L37 CM STRAIGHT BLUNT JAW OD10 MM LIGASURE ATLAS,1968.84,984.42,429.4,1771.96,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L44 CM 315 D L18.5 MM MARYLAND JAW RETRACTABLE L HOOK HANDSWITCH LIGASURE L20 MM,3518.22,1759.11,767.32,3166.4,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L44 CM 350 D L18.5 MM MARYLAND CURVE JAW NANO COAT LIGASURE L20.3 MM,2610.0,1305.0,569.24,2349.0,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L44 CM MARYLAND JAW NANO COAT 1 STEP SEAL OD5 MM LIGASURE XP,3001.5,1500.75,654.63,2701.35,64
RC,0272,SEALER/DIVIDER LAPAROSCOPIC L44 CM MARYLAND JAW NANO COAT LATCHING HANDLE OD5 MM LIGASURE XP,3001.5,1500.75,654.63,2701.35,64
RC,0272,SENSOR ADULT NELLCOR LOSAT L18 IN C30+ KG OXIMETER SPO2 ADHESIVE TEAR RESISTANT BANDAGE PVC,364.08,182.04,79.41,327.67,64
RC,0272,SENSOR EEG VAGINAL CONDUCTIVE F/INCONTINENCE/NEUROMUSCULAR REEDUCATION/PROMETHEUS PATHWAY BIOFEEDBACK,35.19,17.6,7.67,31.67,64
RC,0272,SENSOR PRESSURE MONITOR 84IN ACUMEN IQ,2010.75,1005.38,438.54,1809.68,64
RC,0272,SENSOR PRESSURE MONITOR L60 IN VAMP ADULT SYSTEM ACUMEN IQ,2089.5,1044.75,455.72,1880.55,64
RC,0272,SENSOR THERMOABLATION TRACKING LAPAROSCOPIC EMPRINT SX,510.0,255.0,111.23,459.0,64
RC,0272,SENSOR THERMOABLATION TRACKING OPEN US EMPRINT SX,479.0,239.5,104.47,431.1,64
RC,0272,SENTINELLE GRID PLATE,400.0,200.0,87.24,360.0,64
RC,0272,SET 10FT MPS ADDITIVE CASSETTE VENT LINE CARDIOPLEGIA 3/16IN 50ML STERILE DISPOSABLE,3202.25,1601.13,698.41,2882.03,64
RC,0272,SET 10FT MPS EXTENSION LINE CARDIOPLEGIA 3/16IN DISPOSABLE,360.0,180.0,78.52,324.0,64
RC,0272,SET 12CM OCCLUDER GLIDEWIRE NEPHROSTOMY INTRODUCER PERCUTANEOUS NEPHROLITHOTOMY,30.22,15.11,6.59,27.2,64
RC,0272,SET 15IN DLP MULTIPLE 4 LEG ADAPTER SLIP CONNECTOR CARDIOPLEGIA .25IN,170.7,85.35,37.23,153.63,64
RC,0272,SET 2 PUNCTURE CANNULA MTP TUBING HAMOU ENDOMAT,1020.0,510.0,222.46,918.0,64
RC,0272,SET 20CM OCCLUDER GLIDEWIRE NEPHROSTOMY INTRODUCER PERCUTANEOUS NEPHROLITHOTOMY,30.22,15.11,6.59,27.2,64
RC,0272,SET 305CM MPS 3ND DELIVERY ARREST AGENT CARTRIDGE EXTENSION LINE HEAT EXCHANGER CARDIOPLEGIA,3380.0,1690.0,737.18,3042.0,64
RC,0272,SET ADAPTER PERITONEAL DIALYSIS EXTENSION W/WRENCH SEALING CAP F/LUER-LOCK CATHETER SAFE-LOCK,58.94,29.47,12.85,53.05,64
RC,0272,SET ADMIN BRTT PLMST CLV MICBR 150ML 114 IN,1178.4,589.2,257.01,1060.56,64
RC,0272,SET ADMIN PLMST 128IN CLAVE SECONDARY PORT Y-SITE,618.72,309.36,134.94,556.85,64
RC,0272,SET ADMIN PLMST 129IN 2-CLAVE SECONDARY PORT Y-SITE,652.0,326.0,142.2,586.8,64
RC,0272,SET ADMINISTRATION 100 ML SMALL CATHETER INSUFFLATOR RETENTION CUFF HYDROPHOBIC FILTER PROTOCO2L TOUCH INTRAVENOUS,600.0,300.0,130.86,540.0,64
RC,0272,SET ADMINISTRATION 250UM UNIVERSAL 3 BAG SPIKE RAPID INFUSION FLUID PATH QUICK CONNECT LUER FIT THE BELMONT STERILE LATEX FREE DISPOSABLE,2233.0,1116.5,487.02,2009.7,64
RC,0272,SET ADMINISTRATION INTRAVENOUS 65ML 950ML/MIN FILTER LEVEL 1 STERILE LATEX FREE DISPOSABLE FAST FLOW FLUID WARMER,536.5,268.25,117.01,482.85,64
RC,0272,SET ADMINISTRATION LOW RECIRCULATION VOLUME APO,4189.91,2094.96,913.82,3770.92,64
RC,0272,SET ADMINISTRATION MISER 72IN 183 CM LARGE BORE SPIKE USER SELECTABLE VENT,279.75,139.88,61.01,251.78,64
RC,0272,SET ADMINISTRATION PERITONEUM DIALYSIS PREASSEMBLE 3 LUER CONNECTOR WARM COIL DIALY-NATE STERILE LATEX FREE NEONATE BAXTER,101.9,50.95,22.22,91.71,64
RC,0272,SET ANCHOR SUTURE GASTROINTESTINAL W/SAF-T-PEXY T-FASTENERS,113.0,56.5,24.65,101.7,64
RC,0272,SET ANGIOGRAPHY W/ACCESSORIES F/FLUID MANAGEMENT SYSTEM MEDRAD AVANTA SINGLE-USE,862.75,431.38,188.17,776.48,64
RC,0272,SET AUTOTRANSFUSION W/WASHING CHAMBER TUBING F/CELL SALVAGE FRESENIUS CATS PLUS,684.0,342.0,149.18,615.6,64
RC,0272,SET BASIN SURGICAL CUSTOM MINOR LATEX-FREE,51.32,25.66,11.19,46.19,64
RC,0272,SET BIOPSY 19GA 7FR 60CM 20MM QUICK-CORE BEACON CHECK-FLO HEAVY DUTY FIRING SPRING ACCESS NEEDLE CANNULA SHEATH LIVER STERILE DISPOSABLE LABS 200,455.0,227.5,99.24,409.5,64
RC,0272,SET BIOPSY 20GA 19GA 9CM 5.5CM 20MM EXTRA THIN WALL QUICK-CORE ECHOTIP COAXIAL NEEDLE RAPID FIRE ENHANCE VISIBILITY SOFT TISSUE STERILE DISPOSABLE,49.52,24.76,10.8,44.57,64
RC,0272,SET BIOPSY 20GA 19GA 9CM 6.5CM 10MM ULTRATHIN WALL QUICK-CORE ECHOTIP COAXIAL NEEDLE RAPID FIRE ENHANCE VISIBILITY SOFT TISSUE STERILE DISPOSABLE,50.27,25.14,10.96,45.24,64
RC,0272,SET BLADE OPHTHALMIC TRANSPLANT DONOR 7MM DIA CORNEAL TREPHINE ULTRAFIT CORONET LATEX-FREE STERILE DISPOSABLE,62.82,31.41,13.7,56.54,64
RC,0272,SET BLOOD PUMP CENTRIMAG,10000.0,5000.0,2181.0,9000.0,64
RC,0272,SET BLOOD PUMP VALVE MEMBRANE DEAIR HAMMER TUBE ATTACHMENT CABLE EXCOR POLYURETHANE PEDIATRIC,2800.0,1400.0,610.68,2520.0,64
RC,0272,SET BLOOD WARMING L24 IN 6000 ML/HOUR HEAT EXCHANGER BUBBLE TRAP FLUID ASPIRATION PORT DEHP FREE RANGER PEDIATRIC 20 ML,203.19,101.6,44.32,182.87,64
RC,0272,SET BONE BIOPSY 10CM 13GA STERILE LATEX FREE DISPOSABLE,60.64,30.32,13.23,54.58,64
RC,0272,SET BONE BIOPSY 15CM 30D OSTEO-SITE NEEDLE SIDE BEVEL DIAMOND TIP STYLET RADIOLUCENT HANDLE 13GA,59.85,29.93,13.05,53.87,64
RC,0272,SET BONE BIOPSY 15CM 30D OSTEO-SITE NEEDLE SIDE BEVEL DIAMOND TIP STYLET RADIOLUCENT HANDLE STAINLESS STEEL VERTEBROPLASTY 11GA STERILE DISPOSABLE,60.65,30.33,13.23,54.59,64
RC,0272,SET BONE BIOPSY 9.5CM BONOPTY CORTICAL PENETRATION CANNULA DRILL DEPTH GAUGE 12.2CM 14GA 2.1MM 1.8MM STERILE DISPOSABLE,665.0,332.5,145.04,598.5,64
RC,0272,SET BREAST BIOPSY 10CM LOCALIZER TAG NEEDLE,5650.0,2825.0,1232.27,5085.0,64
RC,0272,SET BREAST BIOPSY 8GA 145MML MR UNIVERSAL TARGETING MAMMOTOME REVOLVE,312.43,156.22,68.14,281.19,64
RC,0272,SET BREAST BIOPSY 9GA ATEC INTRODUCER LOCALIZATION 0914-12MR HANDPIECE DISPOSABLE,625.0,312.5,136.31,562.5,64
RC,0272,SET BREAST BIOPSY 9GA ATEC SURESIGHT INTRODUCER LOCALIZATION 0914-20MR HANDPIECE DISPOSABLE,625.0,312.5,136.31,562.5,64
RC,0272,SET BREAST BIOPSY L7 CM LOCALIZER TAG NEEDLE LOCALIZER-S,5650.0,2825.0,1232.27,5085.0,64
RC,0272,SET BREAST BIOPSY LOCALIZER 20 PROBE,5650.0,2825.0,1232.27,5085.0,64
RC,0272,SET BREAST BIOPSY MAMMOTOME VACUUM STERILE LATEX FREE DISPOSABLE,95.02,47.51,20.72,85.52,64
RC,0272,SET CALIBRATOR IMMUNOLOGY CA 15-3 PH 7.4 LEVEL-A/B/C/D/E/F SOLUTION ALINITY I 1/BX,183.21,91.61,39.96,164.89,64
RC,0272,SET CANNULA ARTHROSCOPIC REPROCESSED 6MM ID 70MML W/O SQUIRT CAP GREEN TWIST-IN LATEX-FREE STERILE DISPOSABLE,13.82,6.91,3.01,12.44,64
RC,0272,SET CANNULA NERVE BLOCK 19GA 100MML 20GA 50CML CATHETER FACET TIP STIMULONG NANOLINE,535.0,267.5,116.68,481.5,64
RC,0272,SET CANNULA NERVE BLOCK 19GA 50MML 20GA 50CML CATHETER FACET TIP STIMULONG NANOLINE,555.0,277.5,121.05,499.5,64
RC,0272,SET CANNULA/DILATOR ENDOSCOPIC BLADELESS REPROCESSED MEDIUM 5MM X 100MM RADIALLY EXPANDABLE SLEEVE VERSASEAL PLUS VERSASTEP DISPOSABLE,28.82,14.41,6.29,25.94,64
RC,0272,SET CANNULA/TROCAR ENDOSCOPIC 12MM DIA 100MML ABS POLYCARBONATE SILICONE POLYETHYLENE URETHANE POLYISOPRENE EPOXY FIBERGLASS BLADELESS W/DILATOR RADIALLY EXPANDABLE SLEEVE 12-15MM REDUCER STEP LATEX-F,1875.7,937.85,409.09,1688.13,64
RC,0272,SET CANNULA/TROCAR ENDOSCOPIC 5MM DIA 100MML ABS POLYCARBONATE SILICONE POLYETHYLENE URETHANE POLYISOPRENE EPOXY FIBERGLASS BLADELESS W/DILATOR RADIALLY EXPANDABLE SLEEVE STEP LATEX-FREE DEHP-FREE STE,1911.3,955.65,416.85,1720.17,64
RC,0272,SET CANNULA/TROCAR ENDOSCOPIC 5MM DIA SHORT 100MML ABS POLYCARBONATE SILICONE POLYETHYLENE URETHANE POLYISOPRENE EPOXY FIBERGLASS BLADELESS W/DILATOR RADIALLY EXPANDABLE SLEEVE STEP LATEX-FREE DEHP-FR,1605.2,802.6,350.09,1444.68,64
RC,0272,SET CANNULA/TROCAR ENDOSCOPIC ABS SILICONE POLYETHYLENE URETHANE BLADELESS W/RADIALLY EXPANDABLE SLEEVE STEP LATEX-FREE DEHP-FREE STERILE SINGLE-USE,1134.0,567.0,247.33,1020.6,64
RC,0272,SET CANNULA/TROCAR ENDOSCOPIC SHORT 70MML ABS SILICONE POLYETHYLENE URETHANE BLADELESS W/RADIALLY EXPANDABLE SLEEVE STEP LATEX-FREE DEHP-FREE STERILE SINGLE-USE,1140.4,570.2,248.72,1026.36,64
RC,0272,SET CAP PROTECTIVE STANDARD REFILL 3/8IN DIA PIN HEAD WHITE JURGAN PIN BALL C-SERIES,175.0,87.5,38.17,157.5,64
RC,0272,SET CASSETTE OUTFLOW DUALWAVE TUBING ARTHROSCOPY PUMP,350.0,175.0,76.34,315.0,64
RC,0272,SET CATHETER ACCESS SCORPION X VEIN,1000.0,500.0,218.1,900.0,64
RC,0272,SET CATHETER ARTERIAL ARROW 18GA 16CM INDWELLING W/0.025IN SPRING GW 18GA INTRO NDL POLYETHER BLOCK AMIDE LATEX-FREE NON-RADIOLUCENT CE MARKED,214.0,107.0,46.67,192.6,64
RC,0272,SET CATHETER CRICOTHYROTOMY MELKER 5MM ID 7.2MM OD 9CML PERIPHERAL CUFFED W/NEEDLE DILATOR GUIDEWIRE SCALPEL SYRINGE TAPE F/EMERGENCY AIRWAY ACCESS LATEX-FREE NON-RADIOLUCENT BAND STERILE SINGLE-USE,276.6,138.3,60.33,248.94,64
RC,0272,SET CATHETER EMBRYO TRANSFER JANSEN-ANDERSON 3FR DIA 5.7FR DIA GUIDE 40CML 29CML POLYETHYLENE INTRATUBAL W/OBTURATOR TRANSLUCENT ECHOSIGHT 0.018IN GUIDEWIRE,155.0,77.5,33.81,139.5,64
RC,0272,SET CATHETER INTRAUTERINE 24FR DIA 21.5INL BALLOON TAMPONADE W/4-WAY STOPCOCK CHECK VALVE 60ML SYRINGE BAG SPIKE BT-CATH 500ML STERILE SALINE,127.25,63.63,27.75,114.53,64
RC,0272,SET CATHETER INTRAUTERINE GENESYS HTA PROCERVA,7300.0,3650.0,1592.13,6570.0,64
RC,0272,SET CATHETER L9 CM UNIVERSAL CUFF OD7.2 MM ID5 MM MELKER CRICOTHYROTOMY,667.8,333.9,145.65,601.02,64
RC,0272,SET CELL SAMPLER 5.7FR NONRADIOPAQUE CATHETER MALLEABLE STYLET DISPOSABLE 27CM STERILE,36.05,18.03,7.86,32.45,64
RC,0272,SET CLOSURE 2PC,12072.0,6036.0,2632.9,10864.8,64
RC,0272,SET CONDITION FILTER SWIVEL ENDOFLATOR TUBING,217.98,108.99,47.54,196.18,64
RC,0272,SET CONNECTING 6/6MM,927.0,463.5,202.18,834.3,64
RC,0272,SET CONTROL CHEMISTRY WBT MULTI-ANALYTE 4SET/3X2ML 3-LEVEL LIQUID VIAL ALINITY I EA,342.46,171.23,74.69,308.21,64
RC,0272,SET CURETTE SUCTION 6MML W/F-TIP VACURETTE,36.75,18.38,8.02,33.08,64
RC,0272,SET DILATOR 18-20FR SALIVARY ACCESS,150.0,75.0,32.72,135.0,64
RC,0272,SET DILATOR L100 CM OD8/12/16/20 FR COOK PEDIATRIC C CHB JCDS,169.86,84.93,37.05,152.87,64
RC,0272,SET DILATOR L37 CM 80 CM RADIOPAQUE STRAIGHT SAFETY GUIDEWIRE FLEXIBLE TIP OD8-24 FR ODSEC.038 IN COOK STAINLESS STEEL POLYETHYLENE L3 CM FASCIA,316.28,158.14,68.98,284.65,64
RC,0272,SET DILATOR L45 CM .035 IN LONG TAPER TIP OD20 FR ODSEC22 FR COOK HYDROPHILIC ENDOVASCULAR,236.0,118.0,51.47,212.4,64
RC,0272,SET DILATOR L45 CM LONG TAPER OD14 FR COOK HYDROPHILIC ENDOVASCULAR ACCEPTS .035 IN GUIDEWIRE,175.0,87.5,38.17,157.5,64
RC,0272,SET DILATOR L45 CM LONG TAPER OD16 FR ODSEC18 FR COOK HYDROPHILIC ENDOVASCULAR ACCEPTS .035 IN GUIDEWIRE,236.0,118.0,51.47,212.4,64
RC,0272,SET DILATOR L45 CM LONG TAPER TRACKABLE OD24 FR ODSEC26 FR COOK HYDROPHILIC ENDOVASCULAR ACCEPTS .035 IN GUIDEWIRE,236.0,118.0,51.47,212.4,64
RC,0272,SET DRAINAGE AUTO EFFLUENT PRISMAX,576.0,288.0,125.63,518.4,64
RC,0272,SET DRAINAGE LINE LOCK PERITONEAL PERITX  STERILE LATEX FREE DISPOSABLE PLEURAL EFFUSION,250.0,125.0,54.53,225.0,64
RC,0272,SET DRAPE EQUIPMENT 9INL W/16IN X 85IN CLIP 36IN X 36IN BANDED BAG 24IN X 20IN FOOTSWITCH COVER F/GE/OEC 9600/9800/8800 C-ARM LATEX-FREE STERILE,255.8,127.9,55.79,230.22,64
RC,0272,SET DRAPE SURGICAL TABLE 2SBL ONE MINUTE SUPER ABSORBENT ESYSUIT LATEX-FREE STERILE,650.0,325.0,141.77,585.0,64
RC,0272,SET DRILL GRAFT PASS WIRE PIN TRANSFIX II,760.0,380.0,165.76,684.0,64
RC,0272,SET ENDOSCOPIC INSTRUMENT .035 IN 3 WAY MULTIPURPOSE ADAPTER GUIDEWIRE STONE EXTRACTOR CATHETER COOK BILE DUCT,900.0,450.0,196.29,810.0,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 165CM 10.5-12MM OTSC 6MM NITINOL GC CLIP LONG POINT TEETH STERILE LATEX FREE DISPOSABLE,699.0,349.5,152.45,629.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 165CM 8.5-11MM OTSC 7MM GASTROINTESTINAL TRACT NITINOL T CLIP POINT TEETH ADULT STENTFIX STERILE LATEX FREE DISPOSABLE,699.0,349.5,152.45,629.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 165MM 8.5-11MM OTSC 6MM NITINOL T CLIP POINT TEETH STERILE LATEX FREE DISPOSABLE,509.0,254.5,111.01,458.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 19.5MM FTRD 23MM GASTRODUODENAL DISPOSABLE,1669.0,834.5,364.01,1502.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 220CM 8.5-11MM OTSC 6MM NITINOL STERILE LATEX FREE DISPOSABLE,639.0,319.5,139.37,575.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 220CM 9.5-12MM REMOVE DC BIPOLAR CUTTER 2.8MM WORKING CHANNEL OTSC FTRD CLIP STERILE LATEX FREE,519.0,259.5,113.19,467.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT 3 GUIDEWIRE 2 ARTHROSCOPIC NEEDLE HIP PAC,225.0,112.5,49.07,202.5,64
RC,0272,SET ENDOSCOPIC INSTRUMENT DC BIPOLAR CUTTER OTSC FTRD CLIP,519.0,259.5,113.19,467.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT GUIDEWIRE OD1.2 MM RAP-PAC KNEE,271.0,135.5,59.11,243.9,64
RC,0272,SET ENDOSCOPIC INSTRUMENT L9 MM 1 SHOT SHEATH CANNULA DRILL INSERTER CHONDRAL DART,1025.0,512.5,223.55,922.5,64
RC,0272,SET ENDOSCOPIC INSTRUMENT MULTISHOT CHONDRAL DART OSTEOCHONDRAL FLAP REPAIR,520.0,260.0,113.41,468.0,64
RC,0272,SET ENDOSCOPIC INSTRUMENT OTSC MINI NITINOL BLUNT TEETH WALL CLOSURE FIRM ANCHOR STERILE LATEX FREE DISPOSABLE,489.0,244.5,106.65,440.1,64
RC,0272,SET ENDOSCOPIC INSTRUMENT PINPOINT ACL GUIDE ACUFEX,360.0,180.0,78.52,324.0,64
RC,0272,SET EPIDURAL 18GA 20GA 4IN 39IN CONTIPLEX TUOHY INSULATE NEEDLE SIDEPORT VALVE CLOSED TIP CATHETER CONNECTOR NYLON PVC STERILE LATEX FREE,381.55,190.78,83.22,343.4,64
RC,0272,SET EPIDURAL L3 1/2 IN SPRINGWOUND CLOSED END CATHETER DEHP FREE PVC FREE CONTINUOUS OD17 GA ODSEC19 GA PERIFIX BPA,201.41,100.71,43.93,181.27,64
RC,0272,SET EXTEND OMNI TUBING STRAIGHT,1608.49,804.25,350.81,1447.64,64
RC,0272,SET EXTENSION 1 NEEDLE FREE INJECTION PORT INTRAVENOUS,995.0,497.5,217.01,895.5,64
RC,0272,SET EXTENSION 12FR 3ML 1.2CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP WITH ENFIT LATEX FREE STERILE MIC-KEY SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 12FR 3ML 1.7CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 12IN CATHETER LUER LOCK LATEX FREE STERILE STAY-SAFE PERITONEUM DISPOSABLE,26.17,13.09,5.71,23.55,64
RC,0272,SET EXTENSION 14FR 5ML 1.2CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP WITH ENFIT LATEX FREE STERILE MIC-KEY SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 14FR 5ML 1.7CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 14FR 5ML 2.5CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 14FR 5ML 2.7CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 16FR 5ML 2.7CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 18FR 5ML 2.5CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION 20FR 5ML 1.2CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP LATEX FREE STERILE MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L.8 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD12 FR MIC-KEY SECUR-LOK ENFIT SILICONE 3 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.83,46.92,20.46,84.45,64
RC,0272,SET EXTENSION L1.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1.7 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L1.7 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD12 FR MIC-KEY SECUR-LOK ENFIT SILICONE 3 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.3 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.3 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.3 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.3 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L2.7 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L3 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L3 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L3.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L3.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L3.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY SECUR-LOK ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L3.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L4 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD16 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L4 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L4.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD14 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L4.5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD20 FR MIC-KEY SECUR-LOK ENFIT SILICONE 5 ML GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION L5 CM RADIOPAQUE LOW PROFILE FEED TUBE RECESS DISTAL TIP OD18 FR MIC-KEY ENFIT SILICONE GASTROSTOMY,93.88,46.94,20.48,84.49,64
RC,0272,SET EXTENSION PERITONEAL DIALYSIS 12INL F/SAFE LOCK STAY-SAFE LATEX-FREE,26.79,13.4,5.84,24.11,64
RC,0272,SET EXTENSION PERITONEAL DIALYSIS 18INL LUER LOCK CONNECTOR STAY-SAFE LATEX-FREE,29.47,14.74,6.43,26.52,64
RC,0272,SET EXTERNAL DRAINAGE STANDARD W/3-WAY STOPCOCK ANTI-REFLUX VALVE SAMPLING PORT EXAFLOW LATEX-FREE,823.93,411.97,179.7,741.54,64
RC,0272,SET EXTERNAL DRAINAGE W/GREEN D PATIENT LINE SMARTSITE NEEDLELESS INJECTION SITE STOPCOCK BECKER,181.9,90.95,39.67,163.71,64
RC,0272,SET FALLOPIAN TUBE CATHFTC-550,175.0,87.5,38.17,157.5,64
RC,0272,SET FLUID TRANSFER ASEPTIC,130.0,65.0,28.35,117.0,64
RC,0272,SET GOFLO PUMP TUBING GOFLO PUMP,450.0,225.0,98.15,405.0,64
RC,0272,SET GRAFT HARVEST ACL 11MM 10MM ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP OATS DISPOSABLE STERILE ARTHROSCOPIC,520.0,260.0,113.41,468.0,64
RC,0272,SET GRAFT HARVEST ACL 9MM 8MM ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP OATS DISPOSABLE STERILE ARTHROSCOPIC,520.0,260.0,113.41,468.0,64
RC,0272,SET GRAFT HARVEST ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP OD7 MM ODSEC6 MM OATS ACL ARTHROSCOPIC,520.0,260.0,113.41,468.0,64
RC,0272,SET GRAFT HARVEST COLLAR PIN TUBE OD11 MM ODSEC10 MM OATS ACL,499.0,249.5,108.83,449.1,64
RC,0272,SET HANDPIECE COAXIAL HIGH FLOW TIP SUCTION TUBE INTERPULSE,258.82,129.41,56.45,232.94,64
RC,0272,SET HANDPIECE COAXIAL MULTIORIFICE TIP SUCTION TUBE INTERPULSE,260.71,130.36,56.86,234.64,64
RC,0272,SET HANDPIECE PULSED LAVAGE BATTERY POWERED FAN SPRAY TIP W/SUCTION TUBE INTERPULSE STERILE,258.82,129.41,56.45,232.94,64
RC,0272,SET HANDPIECE PULSED LAVAGE RETRACTABLE BATTERY POWERED COAXIAL FAN SPRAY TIP W/SUCTION TUBE INTERPULSE STERILE,258.82,129.41,56.45,232.94,64
RC,0272,SET HANDPIECE PULSED LAVAGE W/COAXIAL FAN SPRAY INTERPULSE,179.85,89.93,39.23,161.87,64
RC,0272,SET HANDPIECE SMOKE EVACUATOR LOW-PROFILE HAND CONTROL W/GOLDLINE ROCKER SWITCH ELECTROSURGICAL PENCIL SAFETY HOLSTER CLEARVAC STERILE SINGLE-USE,154.44,77.22,33.68,139.0,64
RC,0272,SET HANDPIECE SUCTION TUBE HIGH FLOW TIP INTERPULSE,258.82,129.41,56.45,232.94,64
RC,0272,SET HANDPIECE SUCTION TUBE SOFT TISSUE TIP INTERPULSE,258.82,129.41,56.45,232.94,64
RC,0272,SET HEAT HUMIDIFY PNEUMOCLEAR TUBING,1200.0,600.0,261.72,1080.0,64
RC,0272,SET HIGH FLOW SMOKE EVACUATION PNEUMOCLEAR TUBING,540.0,270.0,117.77,486.0,64
RC,0272,SET HLS AUTOTRANSFUSION TUBING BIOLINE ADULT 3/8IN 600ML STERILE LATEX FREE DISPOSABLE,10000.0,5000.0,2181.0,9000.0,64
RC,0272,SET IMPLANT FIBERTAK BICEPS,400.0,200.0,87.24,360.0,64
RC,0272,SET INFLOW OUTFLOW 10K TUBING ARTHROSCOPY,35.61,17.81,7.77,32.05,64
RC,0272,SET INFLOW TUBING FLUID MANAGEMENT SYSTEM,159.99,80.0,34.89,143.99,64
RC,0272,SET INSTR ADVANCED NAIL BASE,33430.87,16715.44,7291.27,30087.78,64
RC,0272,SET INSTRUMENT 1.5-2.5 MM TOE IMPLANT PROUD PLACEMENT,188.06,94.03,41.02,169.25,64
RC,0272,SET INSTRUMENT 10 MM METATARSAL,188.06,94.03,41.02,169.25,64
RC,0272,SET INSTRUMENT 2 INSERT GMK SPHERE TIBIA LEFT,50.0,25.0,10.91,45.0,64
RC,0272,SET INSTRUMENT 8 MM METATARSAL,188.06,94.03,41.02,169.25,64
RC,0272,SET INSTRUMENT CABLE PISTOL GRIP TENSIONER,12735.92,6367.96,2777.7,11462.33,64
RC,0272,SET INSTRUMENT CALIBRATOR GLENOID,750.0,375.0,163.58,675.0,64
RC,0272,SET INSTRUMENT CONVENTIONAL GMK,100.0,50.0,21.81,90.0,64
RC,0272,SET INSTRUMENT DRILL PIN GENESIS KNEE SYSTEM,87.9,43.95,19.17,79.11,64
RC,0272,SET INSTRUMENT EXTENSION KNEE INSTRUMENTS,50.0,25.0,10.91,45.0,64
RC,0272,SET INSTRUMENT ORTHOPEDIC GENERAL F/GMK EFFICIENCY SPHERE MIS,100.0,50.0,21.81,90.0,64
RC,0272,SET INSTRUMENT RESURFACE KNEE INSTRUMENTS KNEE PATELLA,50.0,25.0,10.91,45.0,64
RC,0272,SET INSTRUMENT SUPERION INDIRECT DECOMPRESSION SYSTEM,300.0,150.0,65.43,270.0,64
RC,0272,SET INSTRUMENT SWORD PIN PACK GMK SPHERE,100.0,50.0,21.81,90.0,64
RC,0272,SET INTEGRATE IRRIGATION TUBING FMS SOLO FMS DUO+ BLUE,26616.0,13308.0,5804.95,23954.4,64
RC,0272,SET INTELLAGEN 206251 TUBING,1050.0,525.0,229.01,945.0,64
RC,0272,SET INTERMEDIARY IRRIGATION ONE-WAY VALVE TUBING,530.0,265.0,115.59,477.0,64
RC,0272,SET INTRODUCER CATHETER 5FR LONG 45CM W/0.018IN 130CM PALLADIUM TIP NT GW 21GA 7CM NDL MICROPUNCTURE,50.99,25.5,11.12,45.89,64
RC,0272,SET INTRODUCER J TIP GUIDEWIRE CATHETER NEEDLE RADIOPAQUE DILATOR OD24 FR ODSEC26 FR CIAGLIA BLUE RHINO EZ PASS HYDROPHILIC PERCUTANEOUS TRACHEOSTOMY,360.0,180.0,78.52,324.0,64
RC,0272,SET INTRODUCER LIVER TRANSJUGULAR 10FR 16GA 38.5CM 50.5CM HASKAL FLEXOR CHECK-FLO NEEDLE DILATOR RADIOPAQUE SHEATH STERILE STAINLESS STEEL TFE DISPOSABLE,630.0,315.0,137.4,567.0,64
RC,0272,SET INTUBATION LACRIMAL .016IN .037IN OLIVE CRAWFORD 2 FLEXIBLE PROBE STERILE SILVER STAINLESS STEEL SILICONE,98.0,49.0,21.37,88.2,64
RC,0272,SET IRRIGATION 300- MMHG AUTOMATIC GAS VENT 2 SPIKE SETUP LEVEL 1 NORMOFLO LATEX FREE STERILE DISPOSABLE,516.1,258.05,112.56,464.49,64
RC,0272,SET IRRIGATION 82IN 10 GTT/ML Y REGULATE CLAMP NONPYROGENIC BLADDER LATEX FREE STERILE DEHP TRANSURETHRAL RESECTION,166.76,83.38,36.37,150.08,64
RC,0272,SET IRRIGATION CODMAN CORD TUBE FLY LEAD ROTARY PUMP,514.14,257.07,112.13,462.73,64
RC,0272,SET IRRIGATION CONMED PVC,238.45,119.23,52.01,214.61,64
RC,0272,SET IRRIGATION ENDOMAT HAMOU TUBE PRESSURE CONTROL,470.64,235.32,102.65,423.58,64
RC,0272,SET IRRIGATION HANDPIECE PUSH ON SHOWER HEAD TIP SPLASH SHIELD PULSAVAC,318.2,159.1,69.4,286.38,64
RC,0272,SET IRRIGATION HUMMER II 2 TUBE HOLDER MICRODEBRIDER,104.5,52.25,22.79,94.05,64
RC,0272,SET IRRIGATION INFLOW OUTFLOW,94.0,47.0,20.5,84.6,64
RC,0272,SET IRRIGATION IPC VISAO COOLING,60.65,30.33,13.23,54.59,64
RC,0272,SET IRRIGATION L213 CM 300- MMHG RANGER 308 ML FLUID WARM HEAT EXCHANGER PATIENT LINE SCOPE ATTACHMENT,450.0,225.0,98.15,405.0,64
RC,0272,SET IRRIGATION L94 IN IRRIGATION SET L4 1/2 IN ID.281 IN LARGE BORE TUBE DRIP CHAMBER 2 BAG 2 NONVENT SPIKE FLEXIBLE BAG,135.04,67.52,29.45,121.54,64
RC,0272,SET IRRIGATION L96 IN IRRIGATION SET L4 1/2 IN ID.281 IN LARGE BORE TUBE DRIP CHAMBER 4 BAG 4 NONVENT SPIKE FLEXIBLE BAG,177.52,88.76,38.72,159.77,64
RC,0272,SET IRRIGATION MALIS BIPOLAR CORD INTEGRATE TUBE ROTARY,480.0,240.0,104.69,432.0,64
RC,0272,SET IRRIGATION SINGLE PACK,67.66,33.83,14.76,60.89,64
RC,0272,SET IRRIGATION TUBE,32.5,16.25,7.09,29.25,64
RC,0272,SET IRRIGATION TUBING MIS POWER DISPOSABLE 2M,40.54,20.27,8.84,36.49,64
RC,0272,SET IRRIGATION XCALIBUR TUBING,135.0,67.5,29.44,121.5,64
RC,0272,SET JEJUNOSTOMY L60 CM .028 IN STANDARD FEED TUBE RADIOPAQUE GUIDEWIRE TWIST LOCK OD9 FR 20 L200 CM,105.0,52.5,22.9,94.5,64
RC,0272,SET JEJUNOSTOMY L66 CM .035 IN FEED TUBE GUIDEWIRE LUMEN OD12 FR PEG24 L200 CM,105.0,52.5,22.9,94.5,64
RC,0272,SET L10 FT INSUFFLATION CPC LUER FILTER CONMED TUBING,196.8,98.4,42.92,177.12,64
RC,0272,SET L12 FT POWER DISSECTOR DIEGO TUBING,153.0,76.5,33.37,137.7,64
RC,0272,SET L20 MM OD7 MM INFUSION PERFUSION CIRCUIT SEALRING CANNULA DRAPE LIFEPORT,2890.0,1445.0,630.31,2601.0,64
RC,0272,SET L33 CM TRUMPET VALVE COJOIN SUCTION PROBE TIP HOLE STREAM TUBING LAPAROSCOPIC IRRIGATION OD5 MM,302.4,151.2,65.95,272.16,64
RC,0272,SET L80 CM OD22 GA ODSEC18 GA .038 IN L20 CM SAFE-T-J NEPHROSTOMY 2 NEEDLE GUIDEWIRE DILATOR PERCUTANEOUS STAINLESS STEEL PTFE,144.78,72.39,31.58,130.3,64
RC,0272,SET LENS VITRECTOMY OPTIC W/HD BIOM DISPOSABLE,1010.11,505.06,220.3,909.1,64
RC,0272,SET MINOR INSTRUMENT 18CM ALEXIS SMALL INCISION RANGE 2.5-6CM STERILE,1440.0,720.0,314.06,1296.0,64
RC,0272,SET NEEDLE 15GA 15MM WRIST BAND SHARP BLOCK EXTENSION EZ-IO LATEX FREE STERILE DISPOSABLE,683.0,341.5,148.96,614.7,64
RC,0272,SET NEEDLE BIOPSY MURPHY M1M 13GA 10CML STAINLESS STEEL BONE MARROW BACK/SIDE BEVELED W/CANNULA HOLDER STYLET F/VERTEBROPLASTY PROCEDURE OSTEO-SITE LATEX-FREE MRI-UNSAFE STERILE SINGLE-USE,37.84,18.92,8.25,34.06,64
RC,0272,SET NEEDLE BIOPSY MURPHY M1M 13GA 15CML STAINLESS STEEL BONE MARROW BACK/SIDE BEVELED W/CANNULA HOLDER STYLET F/VERTEBROPLASTY PROCEDURE OSTEO-SITE LATEX-FREE MRI-UNSAFE STERILE SINGLE-USE,62.84,31.42,13.71,56.56,64
RC,0272,SET NEEDLE BIOPSY MURPHY M2 13GA 10CML STAINLESS STEEL BONE MARROW BACK/SIDE BEVELED W/CANNULA HOLDER STYLET F/VERTEBROPLASTY PROCEDURE OSTEO-SITE LATEX-FREE MRI-UNSAFE STERILE SINGLE-USE,37.84,18.92,8.25,34.06,64
RC,0272,SET NEEDLE BN MRW ASPIR PEN COAX CANN STYL DRILL D GA 14GAX6.5CM BONOPTY LF STRL SUD,120.0,60.0,26.17,108.0,64
RC,0272,SET NEEDLE EPIDURAL CONTINUOUS TUOHY 18GA 2INL VINYL PEDIATRIC W/20GA POLYAMIDE POLYURETHANE CLOSED TIP CATHETER F/ANESTHESIA PERIFIX LATEX-FREE DEHP PVC BPA STERILE DISPOSABLE,150.08,75.04,32.73,135.07,64
RC,0272,SET NEEDLE INFUSION SAFETY PORT ACCESS 20GA 1.5IN 8IN TUBING WINGED POWER-INJECTABLE Y-SITE NON-CORING W/LUER-LOCK CONNECTOR CLAMP POWERLOC MINILOC SIS LATEX-FREE,53.0,26.5,11.56,47.7,64
RC,0272,SET NEEDLE L15 MM OD15 GA ARROW EZ-IO EZ-STABILIZER INTRAOSSEOUS VASCULAR ACCESS SYSTEM,713.0,356.5,155.51,641.7,64
RC,0272,SET NEEDLE L25 MM WRISTBAND OD15 GA EZ-IO EZ-CONNECT NEEDLE VISE EZ-STABILIZER STAINLESS STEEL 5 GM,713.0,356.5,155.51,641.7,64
RC,0272,SET NEEDLE L25 MM WRISTBAND OD15 GA EZ-IO STAINLESS STEEL 5 GM,683.0,341.5,148.96,614.7,64
RC,0272,SET NEEDLE L45 MM STABILIZER ARROW EZ-IO,713.0,356.5,155.51,641.7,64
RC,0272,SET NEEDLE L45 MM WRISTBAND SHARP BLOCK OD15 GA EZ-IO EZ-CONNECT NEEDLE VISE STAINLESS STEEL 5 GM INTRAOSSEOUS VASCULAR ACCESS SYSTEM,683.0,341.5,148.96,614.7,64
RC,0272,SET NEEDLE NERVE BLOCK 20GA 150MML OVER-THE-NEEDLE W/STIMULATING CABLE ON-Q QUIKBLOC,180.81,90.41,39.43,162.73,64
RC,0272,SET NEEDLE SHARP 6F X 294 MM SET OF 5 PROGUIDE,170.02,85.01,37.08,153.02,64
RC,0272,SET NEUROSURGICAL 50MM 13.5MM 11GA MYRIAD BRAINPATH APPROACH STERILE DISPOSABLE,4016.0,2008.0,875.89,3614.4,64
RC,0272,SET NEUROSURGICAL 75MM 13.5MM 11GA MYRIAD BRAINPATH APPROACH STERILE DISPOSABLE,4016.0,2008.0,875.89,3614.4,64
RC,0272,SET NEUROSURGICAL 95MM 13.5MM 11GA MYRIAD BRAINPATH APPROACH STERILE DISPOSABLE,4016.0,2008.0,875.89,3614.4,64
RC,0272,SET ORTHOPEDIC 4.5MM AO,182.09,91.05,39.71,163.88,64
RC,0272,SET ORTHOPEDIC ADJUSTABLE KNOB NA SURELOCK,313.58,156.79,68.39,282.22,64
RC,0272,SET ORTHOPEDIC AIM ARM SURELOCK,6455.25,3227.63,1407.89,5809.73,64
RC,0272,SET ORTHOPEDIC COMPRESSION DEVICE NA SHORT TITANIUM CANNULATED TIBIAL NAIL,390.65,195.33,85.2,351.59,64
RC,0272,SET ORTHOPEDIC CONNECTOR TROCHANTER LEFT SURELOCK ANTIGRADE FEMORAL NAIL,780.68,390.34,170.27,702.61,64
RC,0272,SET ORTHOPEDIC CONNECTOR TROCHANTER RIGHT SURELOCK ANTEGRADE FEMORAL NAIL,780.68,390.34,170.27,702.61,64
RC,0272,SET ORTHOPEDIC PIP MICRO DRILL BLADE BURR TRANSFORMING EXTREMITIES DISPOSABLE STRYKER,742.4,371.2,161.92,668.16,64
RC,0272,SET ORTHOPEDIC REFERENCE TOE SYSTEM 1-2 FLEXIBLE GREAT TOE IMPLANT,321.0,160.5,70.01,288.9,64
RC,0272,SET ORTHOPEDIC SCREWDRIVER AO QUICK COUPLING SHAFT EXTENSION,319.41,159.71,69.66,287.47,64
RC,0272,SET OTOLARYNGOLOGY 10MM 20FR PROVOX VEGA PRELOAD STERILE DISPOSABLE,374.0,187.0,81.57,336.6,64
RC,0272,SET OUTFLOW DUALWAVE TUBING,600.0,300.0,130.86,540.0,64
RC,0272,SET OXYGENATOR HLS ADVANCED 5.0 POWERED MONITORED W/SOFTLINE COATING F/VENO-VENOUS/VENO-ARTERIAL SUPPORT CARDIOHELP BEQ-HLS 5050 USA,10000.0,5000.0,2181.0,9000.0,64
RC,0272,SET PAD OR POSITIONING REPLACEMENT FRAME STANDARD SHEARGUARD WILSON PLUS RADIOLUCENT,1001.7,500.85,218.47,901.53,64
RC,0272,SET PEG L150 CM FEED TUBE INSERTION WIRE TROCAR OD20 FR ID4.47 MM FLOW 20 CLEAR,70.0,35.0,15.27,63.0,64
RC,0272,SET PEG L150 CM PULL GUIDEWIRE OD24 FR ID5.5 MM PEG24 1% XYLOCAINE SILICONE GAUZE,120.0,60.0,26.17,108.0,64
RC,0272,SET PEG L150 CM PULL GUIDEWIRE OD24 FR ID5.5 MM PEG24 SILICONE,95.0,47.5,20.72,85.5,64
RC,0272,SET PEG L260 CM FEED TUBE GUIDEWIRE PUSH OD20 FR ID4.47 MM 20 1% XYLOCAINE SILICONE GAUZE,120.0,60.0,26.17,108.0,64
RC,0272,SET PERFUSION HYDROPHILIC F/CARDIAC BYPASS PROCEDURE,387.0,193.5,84.4,348.3,64
RC,0272,SET PERITONEAL DIALYSIS AUTOMATED F/AMIA SYSTEM LATEX-FREE STERILE SINGLE-USE,2274.49,1137.25,496.07,2047.04,64
RC,0272,SET PIN UNIVERS REVERS STERILE,400.0,200.0,87.24,360.0,64
RC,0272,SET POSITIONER OR PATIENT SEDONA LAMINECTOMY ARM CRADLE NON-STERILE 12/BX,248.4,124.2,54.18,223.56,64
RC,0272,SET PRESSURE MONITOR INDWELL SLIT CATHETER BREAKAWAY NEEDLE EXTENSION TUBE,1795.0,897.5,391.49,1615.5,64
RC,0272,SET PRESSURE MONITOR INTRACOMPARTMENTAL W/PRE-FILLED SYRINGE DIAPHRAGM CHAMBER SIDE PORTED 18GA X 25IN NEEDLE,875.0,437.5,190.84,787.5,64
RC,0272,SET PRESSURE MONITOR QUICK PREFILL SYRINGE DIAPHRAGM CHAMBER SIDEPORT NEEDLE STERILE LATEX FREE DISPOSABLE,1334.37,667.19,291.03,1200.93,64
RC,0272,SET PROBE LACRIMAL 27GA 11CML STAINLESS STEEL INTUBATION VISITEC,137.14,68.57,29.91,123.43,64
RC,0272,SET REAMER 16MM DYNAFORCE MOTOBAND CP METATARSOPHALANGEAL CUP CONE STERILE LATEX FREE DISPOSABLE,420.0,210.0,91.6,378.0,64
RC,0272,SET REAMER CUP CONE OD22 MM DYNAFORCE MOTOBAND CP METATARSOPHALANGEAL,420.0,210.0,91.6,378.0,64
RC,0272,SET REAMER L520 MM,3140.0,1570.0,684.83,2826.0,64
RC,0272,SET SAMPLER BRONCHOSCOPE LARGE ASCOPE 4,1275.0,637.5,278.08,1147.5,64
RC,0272,SET SAMPLER BRONCHOSCOPE REGULAR ASCOPE 4,1250.0,625.0,272.63,1125.0,64
RC,0272,SET SCREWDRIVER GAMMA4 HIP FRACTURE NAILING SYSTEM,741.28,370.64,161.67,667.15,64
RC,0272,SET SEED BRACHYTHERAPY 18GA 20CML PROSTATE F/APPLICATOR MICK,380.0,190.0,82.88,342.0,64
RC,0272,SET SHEATH ANGIOGRAPHY F/MULTIPATIENTS MEDRAD AVANTA LATEX-FREE DISPOSABLE,967.96,483.98,211.11,871.16,64
RC,0272,SET SIZING TEMPLATE PATELLA ANTERIOR,184.03,92.02,40.14,165.63,64
RC,0272,SET SMOKE GAS FLIUID SUCTION S-PLIOT TUBING,450.0,225.0,98.15,405.0,64
RC,0272,SET SPINAL 4 11/16IN 25GA 17GA BD DURASAFE WHITACRE WEISS EPIDURAL PENCIL POINT NEEDLE HIGH FLOW EXTENSION ADAPTER 3.5IN STERILE LATEX FREE,813.0,406.5,177.32,731.7,64
RC,0272,SET SPINAL CURVE PAKTER L15 CM OD25 GA,59.65,29.83,13.01,53.69,64
RC,0272,SET SPLINT UNIVERSAL STANDARD STACK MALLET STARTER PROCARE STAXX PLASTIC FINGER SKIN TONE TENDON REPAIR,31.7,15.85,6.91,28.53,64
RC,0272,SET SPRAY COSEAL 2 SPRAY HEAD FILTER 2 LUMEN CONNECTOR HOSE SEALANT EASYSPRAY STERILE LATEX FREE DISPOSABLE,667.13,333.57,145.5,600.42,64
RC,0272,SET SPRAY EASYSPRAY 1 SPRAY HEAD 2 LUMEN CONNECTION TUBE STERILE FILTER CLIP LATEX FREE DISPOSABLE,667.13,333.57,145.5,600.42,64
RC,0272,SET STYLET CATHETER 5FR 62.5CM POLYETHYLENE RUPS ROSCH-UCHIDA RADIOPAQUE 0.038IN GW,167.99,84.0,36.64,151.19,64
RC,0272,SET SUCTION HIGH PRESSURE KAIRISON,1731.55,865.78,377.65,1558.4,64
RC,0272,SET SURGICAL INSTRUMENT COCHLEAR BAHA 1 SOFT TISSUE GAUGE BED INDICATOR MAGNET TEMPLATE REUSABLE,1000.0,500.0,218.1,900.0,64
RC,0272,SET SURGICAL NAVIGATION KNEE ROBOTIC ASSISTED SOLUTION ARRAY VELYS,384.0,192.0,83.75,345.6,64
RC,0272,SET SUTURE LOW PROFILE ANCHOR PRELOAD NEEDLE T FASTENER AVANOS*,117.24,58.62,25.57,105.52,64
RC,0272,SET SUTURE MENDER II MENISCAL,158.98,79.49,34.67,143.08,64
RC,0272,SET TAP ORTHOPEDIC LAG META-TAN 1EA,243.0,121.5,53.0,218.7,64
RC,0272,SET THORACENTESIS F/PARACENTESIS,216.3,108.15,47.18,194.67,64
RC,0272,SET TISSUE CLOSURE DUPLOJECT TISSEEL PREFILL SYRINGE 10ML,705.13,352.57,153.79,634.62,64
RC,0272,SET TRANSFER 6IN TWIST CLAMP MINICAP VALUELINK PERITONEAL DIALYSIS PEDIATRIC,522.41,261.21,113.94,470.17,64
RC,0272,SET TRAUMA FIXATION COMPRESSION DEVICE TITANIUM CANNULATED HUMERAL NAIL EXPERT FRACTURE,420.48,210.24,91.71,378.43,64
RC,0272,SET TUBE ENTERAL FEEDING ACCESS SYSTEM 10FR DIA 43INL ANTI-CLOG ENFIT W/ELECTROMAGNETIC TRANSMITTING STYLE CORTRAK 2 NON-WEIGHTED,582.4,291.2,127.02,524.16,64
RC,0272,SET TUBE ENTRL FD 12IN JJUN RT ANG YPRT MED PUR STRL,118.0,59.0,25.74,106.2,64
RC,0272,SET TUBE PEG ENDOSCOPIC 24FR 5.5MM 260CM WIRE SILICONE PUSH W/22G X 1.5 SAFETYGLIDE ADAPTER SNARE PEG 24,95.0,47.5,20.72,85.5,64
RC,0272,SET TUBE TRACHEOSTOMY HYDROPHILIC COATED PERCUTANEOUS W/6.5/7/7.5/8MM LOADING DILATOR 15GA INTRODUCER NEEDLE J FIXED CORE WIRE GUIDE GUIDING CATHETER 4IN X 4IN GAUZE SPONGE CIAGLIA BLUE RHINO STERILE ,352.98,176.49,76.98,317.68,64
RC,0272,SET TUBING .5IN LARGE INTEGRAL SWIVEL HANDLE SLIP RING MALE FIT COLLECTION BERKELEY SAFETOUCH DISPOSABLE 14MM 16MM VACURETTE CANNULA,202.12,101.06,44.08,181.91,64
RC,0272,SET TUBING 2 BRANCH FILTER SMOKE EVACUATION MODE AIRSEAL IFS,451.14,225.57,98.39,406.03,64
RC,0272,SET TUBING 260CM 2 WAY COMMUNICATION IRRIGATION PUMP CATHETER COOL POINT,120.0,60.0,26.17,108.0,64
RC,0272,SET TUBING 3 LUMEN FILTER AIRSEAL STERILE LATEX FREE ACTIVATE CHARCOAL DISPOSABLE,564.7,282.35,123.16,508.23,64
RC,0272,SET TUBING ADMINISTRATION 10GTT 119IN 13.1ML PRIMING 3-INJECTION Y-SITE MALE LL ADAPTER DUO-VENT SPIKE 3-LUER-ACTIVATED VALVE PUMP SEGMENT STRAIGHT POLYETHYLENE-LINED LATEX-FREE PVC STERILE,12.12,6.06,2.64,10.91,64
RC,0272,SET TUBING ERGONOMIC HANDPIECE TIP AHTO STERILE LATEX FREE DISPOSABLE,197.61,98.81,43.1,177.85,64
RC,0272,SET TUBING HYBRID CO2 DEHP FREE ERBEFLO CLEVERCAP DISPOSABLE OLYMPUS SCOPE CO2 SOURCE,269.5,134.75,58.78,242.55,64
RC,0272,SET TUBING HYSTEROSCOPE F/IRRIGATION BAGX2 INFLOW OUTFLOW STERILE,412.63,206.32,89.99,371.37,64
RC,0272,SET TUBING INFLOW HYSTEROSCOPIC,1544.4,772.2,336.83,1389.96,64
RC,0272,SET TUBING INSUFFLATION HIGH FLOW,310.0,155.0,67.61,279.0,64
RC,0272,SET TUBING IRRIGATION 3.8M F/AR-200M MOTOR,195.0,97.5,42.53,175.5,64
RC,0272,SET TUBING IRRIGATION 9FTL SONICONE,467.81,233.91,102.03,421.03,64
RC,0272,SET TUBING IRRIGATION BONESCALPEL STERILE LATEX FREE,212.0,106.0,46.24,190.8,64
RC,0272,SET TUBING IRRIGATION F/OBSTETRICS GYNAECOLOGICAL PROCEDURE IRRI-FLOW II DISPOSABLE,204.27,102.14,44.55,183.84,64
RC,0272,SET TUBING IRRIGATION GRAVITY FEED FLUSHES 1-WAY VALVE W/12ML SYRINGE LL RATCHET ROLLER CLAMP 8FT BAG 36IN ENDOSCOPE INFLOW TUBING IRRI-FLO STERILE SINGLE-USE,54.89,27.45,11.97,49.4,64
RC,0272,SET TUBING IRRIGATION/ASPIRATION INFUSION VGFI,600.0,300.0,130.86,540.0,64
RC,0272,SET TUBING METRIQ,85.0,42.5,18.54,76.5,64
RC,0272,SET TUBING PIRANHA,49.0,24.5,10.69,44.1,64
RC,0272,SET TUBING REAL INTELLIGENCE,334.0,167.0,72.85,300.6,64
RC,0272,SET TUBING SMOKE EVACUATION,305.0,152.5,66.52,274.5,64
RC,0272,SET TUBING SMOKE EVACUATOR CLEAR,349.0,174.5,76.12,314.1,64
RC,0272,SET TUBING SPHERE-9,1000.0,500.0,218.1,900.0,64
RC,0272,SET TUBING SUCTION VASER VINYL INFILTRATION LATEX-FREE PVC STERILE REUSABLE,165.0,82.5,35.99,148.5,64
RC,0272,SET TUBING SUCTION/IRRIGATION LAPAROSCOPIC 5MM DIA 33CML HOLE TRUMPET VALVE W/SMOKEVAC PROBE TIP NEZHAT-DORSEY LATEX STERILE DISPOSABLE,460.0,230.0,100.33,414.0,64
RC,0272,SET TUBING UROLOGY 300MMHG SINGLE USE LL0006,1568.8,784.4,342.16,1411.92,64
RC,0272,SET VENTRICULAR ASSIST CONNECT EXCOR 6-9 MM CANNULA,1051.0,525.5,229.22,945.9,64
RC,0272,SHAFT DRIVER ADAPTER QUICK COUPLING CD HORIZON FENESTRATED SCREW SET,37.5,18.75,8.18,33.75,64
RC,0272,SHAFT DRIVER RIA 2,12511.0,6255.5,2728.65,11259.9,64
RC,0272,SHAFT DRIVER TREPHINE EXTRACTION ATTACHMENT NONSTERILE,373.05,186.53,81.36,335.75,64
RC,0272,SHAFT EXTRACTOR TITANIUM QUICK-COUPLING F/4.5MM SCREW MULTILOC LATEX-FREE NON-STERILE,111.32,55.66,24.28,100.19,64
RC,0272,SHAFT INSERTER EXTRACTION T2 ALPHA TIBIA,184.08,92.04,40.15,165.67,64
RC,0272,SHAFT LAPAROSCOPIC 2.9MM PERCUTANEOUS 29CM PERCUVANCE DISPOSABLE,87.5,43.75,19.08,78.75,64
RC,0272,SHAFT LAPAROSCOPIC 2.9MM PERCUTANEOUS 36CM PERCUVANCE DISPOSABLE,525.0,262.5,114.5,472.5,64
RC,0272,SHAFT REAMER 885MM BIXCUT MODIFY TRINKLE FITTING STERILE,437.8,218.9,95.48,394.02,64
RC,0272,SHAFT REAMER L470 MM FLEXIBLE,948.0,474.0,206.76,853.2,64
RC,0272,SHAFT REAMER PEDIATRIC FLEXIBLE PEDINAIL,389.46,194.73,84.94,350.51,64
RC,0272,SHAFT SCREWDRIVER 2.4 MM CRUCIFORM L100 MM,247.49,123.75,53.98,222.74,64
RC,0272,SHAFT SCREWDRIVER 2.4 MM T8 SHORT SELF HOLD L55 MM,342.62,171.31,74.73,308.36,64
RC,0272,SHAFT SCREWDRIVER 2.5 MM LONG HEXAGONAL L250 MM OD3.5 MM 3.5 MM SCREW,199.27,99.64,43.46,179.34,64
RC,0272,SHAFT SCREWDRIVER 2.5 MM SHORT HEXAGON,194.0,97.0,42.31,174.6,64
RC,0272,SHAFT SCREWDRIVER 2.5 MM SMALL HEXAGONAL,131.01,65.51,28.57,117.91,64
RC,0272,SHAFT SCREWDRIVER 2.5MM DIA SHORT TAPERED HEXDRIVE AO SELF RETAINING EVOS,211.46,105.73,46.12,190.31,64
RC,0272,SHAFT SCREWDRIVER 284MM BIXCUT MODIFY TRINKLE REAMER STERILE,253.73,126.87,55.34,228.36,64
RC,0272,SHAFT SCREWDRIVER 3.5 MM LARGE HEXAGONAL QUICK COUPLING L100 MM,130.33,65.17,28.42,117.3,64
RC,0272,SHAFT SCREWDRIVER CANNULATED FENESTRATE CREO STAINLESS STEEL SPINE,75.0,37.5,16.36,67.5,64
RC,0272,SHAFT SCREWDRIVER CANNULATED HEXAGONAL COUPLING L180 MM OD4 MM ODSEC6 MM,609.51,304.76,132.93,548.56,64
RC,0272,SHAFT SCREWDRIVER CRUCIFORM HOLD SLEEVE MINI QUICK COUPLING,517.88,258.94,112.95,466.09,64
RC,0272,SHAFT SCREWDRIVER EVOS T8 LONG SMALL 2.7MM MODULE,348.0,174.0,75.9,313.2,64
RC,0272,SHAFT SCREWDRIVER HEX SELF RETAIN QUICK COUPLING L100 MM OD2.5 MM,130.46,65.23,28.45,117.41,64
RC,0272,SHAFT SCREWDRIVER HEX STARDRIVE L165 MM,391.47,195.74,85.38,352.32,64
RC,0272,SHAFT SCREWDRIVER HEXAGONAL CANNULATED L270 MM X W4 MM ID2.9 MM,240.54,120.27,52.46,216.49,64
RC,0272,SHAFT SCREWDRIVER HEXAGONAL CANNULATED NA OD4 MM,518.26,259.13,113.03,466.43,64
RC,0272,SHAFT SCREWDRIVER HEXAGONAL COUPLING OD5 MM ODSEC6 MM STATIC LOCK,555.05,277.53,121.06,499.55,64
RC,0272,SHAFT SCREWDRIVER HEXAGONAL SOLID NA OD4 MM,343.79,171.9,74.98,309.41,64
RC,0272,SHAFT SCREWDRIVER HEXAGONAL WIDTH ACROSS FLAT L100 MM OD4 MM,249.41,124.71,54.4,224.47,64
RC,0272,SHAFT SCREWDRIVER J CROSSHEAD TOOLS - HPS OD3 MM HAND PLATE SYSTEM,110.0,55.0,23.99,99.0,64
RC,0272,SHAFT SCREWDRIVER L250 MM OD3.5 MM,336.17,168.09,73.32,302.55,64
RC,0272,SHAFT SCREWDRIVER LOW BEND L165 MM,355.91,177.96,77.62,320.32,64
RC,0272,SHAFT SCREWDRIVER SD8 CANNULATED COLOR MARK 2.4/3.0 MM HEADLESS COMPRESSION SCREW,606.86,303.43,132.36,546.17,64
RC,0272,SHAFT SCREWDRIVER T15 SELF RETAIN QUICK COUPLING,227.79,113.9,49.68,205.01,64
RC,0272,SHAFT SCREWDRIVER T25 HEXAGONAL COUPLING L180 MM OD6 MM,551.01,275.51,120.18,495.91,64
RC,0272,SHAFT SCREWDRIVER T25 L100 MM,404.75,202.38,88.28,364.28,64
RC,0272,SHAFT SCREWDRIVER T25 SELF RETAIN QUICK COUPLING L280 MM,218.03,109.02,47.55,196.23,64
RC,0272,SHAFT SCREWDRIVER T4 HOLD SLEEVE L66 MM MINI QUICK COUPLING,721.65,360.83,157.39,649.49,64
RC,0272,SHAFT SCREWDRIVER T4 SELF RETAIN HEXAGONAL COUPLING L50 MM,579.89,289.95,126.47,521.9,64
RC,0272,SHAFT SCREWDRIVER T4 SELF RETAIN L42 MM,391.33,195.67,85.35,352.2,64
RC,0272,SHAFT SCREWDRIVER T40 L100 MM,383.35,191.68,83.61,345.02,64
RC,0272,SHAFT SCREWDRIVER T6 SELF RETAIN HEXAGONAL COUPLING L50 MM,579.89,289.95,126.47,521.9,64
RC,0272,SHAFT SCREWDRIVER T8 DRIVE AO QUICK-CONNECT EVOS LATEX-FREE,710.04,355.02,154.86,639.04,64
RC,0272,SHAFT SCREWDRIVER T8 RATCHET HANDLE,395.58,197.79,86.28,356.02,64
RC,0272,SHAFT SCREWDRIVER T8 SELF RETAIN QUICK COUPLING L105 MM,227.27,113.64,49.57,204.54,64
RC,0272,SHAVER MACRO HOOK BONESCALPEL SURGICAL STERILE DISPOSABLE,2039.2,1019.6,444.75,1835.28,64
RC,0272,SHAVER SHORT EXTENSION SILICONE SLEEVE 4.4MM BONESCALPEL SURGICAL DIAMOND STERILE DISPOSABLE,1888.0,944.0,411.77,1699.2,64
RC,0272,SHAVER SHORT EXTENSION SILICONE SLEEVE BONESCALPEL SURGICAL MICRO STERILE DISPOSABLE,1888.0,944.0,411.77,1699.2,64
RC,0272,SHAVER SIDE CUTTER PROXIMAL HANDLE RIGID SHAFT THIN FLEXIBLE CUT 10MM IO-FLEX MICROBLADE SHAVER SURGICAL STERILE DISPOSABLE,465.75,232.88,101.58,419.18,64
RC,0272,SHAVER SIDE CUTTER PROXIMAL HANDLE RIGID SHAFT THIN FLEXIBLE CUT 5.5MM IO-FLEX MICROBLADE SHAVER SURGICAL STERILE DISPOSABLE,465.75,232.88,101.58,419.18,64
RC,0272,SHAVER SIDE CUTTER PROXIMAL HANDLE RIGID SHAFT THIN FLEXIBLE CUT PLATFORM 7.5MM IO-FLEX MICROBLADE SHAVER SURGICAL STERILE DISPOSABLE,465.75,232.88,101.58,419.18,64
RC,0272,SHEARS ELECTROSURGICAL 18CM 8.5MM HARMONIC WAVE STRAIGHT STERILE,1604.85,802.43,350.02,1444.37,64
RC,0272,SHEARS ELECTROSURGICAL L17 CM LONG CURVE 2 HANDCONTROL SOFT GRIP SCISSORS FINE TIP HARMONIC FOCUS,2631.39,1315.7,573.91,2368.25,64
RC,0272,SHEARS ELECTROSURGICAL L20 CM OPEN CURVE TIP OD5 MM HARMONIC HD,3206.41,1603.21,699.32,2885.77,64
RC,0272,SHEARS ELECTROSURGICAL L23 CM 360 D CURVE 2 CONTROL BUTTON ADAPTIVE TISSUE TAPER TIP OD5 MM HARMONIC ACE TITANIUM,2349.98,1174.99,512.53,2114.98,64
RC,0272,SHEARS ELECTROSURGICAL L36 CM CURVE OD5 MM HARMONIC HD 1000I,3651.14,1825.57,796.31,3286.03,64
RC,0272,SHEARS ELECTROSURGICAL L9 CM CURVE TAPER 2 HANDCONTROL SOFT GRIP HARMONIC FOCUS,2406.99,1203.5,524.96,2166.29,64
RC,0272,SHEARS ENDOSCOPIC 5MM DIA 36MML CURVED W/ADVANCED HEMOSTASIS F/COAGULATION HARMONIC ACE,2255.92,1127.96,492.02,2030.33,64
RC,0272,SHEARS MONOPOLAR 31CM 5MM ENDO SHEARS STAPLEOSCOPY STANDARD UNIPOLAR CAUTERY 19MM STERILE LATEX FREE DISPOSABLE,1403.1,701.55,306.02,1262.79,64
RC,0272,SHEARS SURGICAL L20 CM CURVE TIP HARMONIC ULTRASONIC,3206.41,1603.21,699.32,2885.77,64
RC,0272,SHEARS SURGICAL L26.84 CM CURVE ULTRASONIC ENERGY OD8 MM DA VINCI XI ENDOWRIST HARMONIC ACE L2.2 CM,3434.0,1717.0,748.96,3090.6,64
RC,0272,SHEARS SURGICAL L36 CM CURVE TIP HARMONIC ULTRASONIC LAPAROSCOPIC,3651.15,1825.58,796.32,3286.04,64
RC,0272,SHEARS SURGICAL L49.5 CM CURVE ULTRASONIC ENERGY OD8 MM DA VINCI S/SI ENDOWRIST HARMONIC ACE L2.2 CM,1100.0,550.0,239.91,990.0,64
RC,0272,SHEATH 11F DILATOR MOTORIZED SHEATH TIGHTRAIL GUARDIAN STERILE DISPOSABLE,3670.0,1835.0,800.43,3303.0,64
RC,0272,SHEATH 13.5MM 95MM ENDOSCOPIC ATRAUMATIC TIP LOCK FROST OUTER BIMANUAL BRAINPATH STERILE,1989.0,994.5,433.8,1790.1,64
RC,0272,SHEATH 13F DILATOR MOTORIZED SHEATH TIGHTRAIL GUARDIAN STERILE DISPOSABLE,3670.0,1835.0,800.43,3303.0,64
RC,0272,SHEATH 24MM 230CM 10FT PIGTAIL CURVE GUIDING CONNECTOR CABLE RF WIRE J TIP VERSACROSS STERILE LATEX FREE DISPOSABLE ACCEPTS .035IN GUIDEWIRE,150.0,75.0,32.72,135.0,64
RC,0272,SHEATH 63CM 230CM 45D GUIDING PIGTAIL RF WIRE 1 DILATOR VERSACROSS TRANSSEPTAL,925.0,462.5,201.74,832.5,64
RC,0272,SHEATH 8MM 12IN FULL CURVE LARGE TUNNELER RADIOPAQUE SMOOTH BULLET TIP POLYMER STERILE LATEX FREE DISPOSABLE VASCULAR 8MM GRAFT ORANGE,334.0,167.0,72.85,300.6,64
RC,0272,SHEATH 9F DILATOR MOTORIZED SHEATH TIGHTRAIL GUARDIAN STERILE DISPOSABLE,3670.0,1835.0,800.43,3303.0,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 10-12 FR X 40CM STERILE,750.0,375.0,163.58,675.0,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 10-12 FR X 46CM STERILE,750.0,375.0,163.58,675.0,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 10-12 FR X 55CM STERILE,750.0,375.0,163.58,675.0,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 11-13 FR X 40CM STERILE,882.0,441.0,192.36,793.8,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 11-13 FR X 55CM STERILE,750.0,375.0,163.58,675.0,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 12-14 FR X 40CM STERILE,882.0,441.0,192.36,793.8,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 13-15 FR X 36CM STERILE,750.0,375.0,163.58,675.0,64
RC,0272,SHEATH ACCESS CLEARPETRA URETERAL 13-15 FR X 40CM STERILE,750.0,375.0,163.58,675.0,64
RC,0272,SHEATH ARTHROSCOPIC 5.5MM SHORT OBTURATOR HANDLE OLIVE DYONICS POWER/EP-1 STERILE DISPOSABLE,240.0,120.0,52.34,216.0,64
RC,0272,SHEATH BREAST BIOPSY,300.0,150.0,65.43,270.0,64
RC,0272,SHEATH CATHETER MANOSHIELD ANORECTAL,393.9,196.95,85.91,354.51,64
RC,0272,"SHEATH CLEARPETRA URETERAL ACCESS 10-12 FR X 50CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,"SHEATH CLEARPETRA URETERAL ACCESS 11-13 FR X 50CM, STERILE",882.0,441.0,192.36,793.8,64
RC,0272,"SHEATH CLEARPETRA URETERAL ACCESS 12-14 FR X 50CM, STERILE",882.0,441.0,192.36,793.8,64
RC,0272,"SHEATH CLEARPETRA URETERAL ACCESS 13-15 FR X 46CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,"SHEATH CLEARPETRA URETERAL ACCESS 13-15 FR X 50CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,"SHEATH CLEARPETRA URETERAL ACCESS 13-15 FR X 55CM, STERILE",750.0,375.0,163.58,675.0,64
RC,0272,SHEATH CYSTOURETHROSCOPE L20.6 CM OVAL SLIM MINIMAL BEAK OD21 FR USA ELITE SYSTEM II STAINLESS STEEL ORANGE,717.59,358.8,156.51,645.83,64
RC,0272,SHEATH ENDOSCOPIC OBTURATOR OD7 MM,720.3,360.15,157.1,648.27,64
RC,0272,SHEATH INTRODUCER L46 CM TRANSLUCENT REPLACEMENT NATUS OLYPROPYLENE PERITONEAL,388.0,194.0,84.62,349.2,64
RC,0272,SHEATH L13 CM OD18 FR ID16 FR CLEARPETRA ACCESS NEPHROSTOMY,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH L13 CM OD20 FR ID18 FR CLEARPETRA ACCESS NEPHROSTOMY,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH L15 CM OD18 FR ID16 FR CLEARPETRA ACCESS NEPHROSTOMY,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH L15 CM OD20 FR ID18 FR CLEARPETRA ACCESS NEPHROSTOMY,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH LAPAROSCOPIC STAPLER ENDOWRIST,210.0,105.0,45.8,189.0,64
RC,0272,"SHEATH NEPHROSTOMY CLEARPETRA 10-12 FR X 13CM, STERILE",421.0,210.5,91.82,378.9,64
RC,0272,SHEATH NEPHROSTOMY CLEARPETRA 10-12 FR X 15CM STERILE,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH NEPHROSTOMY CLEARPETRA 12-14 FR X 13CM STERILE,421.0,210.5,91.82,378.9,64
RC,0272,"SHEATH NEPHROSTOMY CLEARPETRA 14-16 FR X 13CM, STERILE",421.0,210.5,91.82,378.9,64
RC,0272,"SHEATH NEPHROSTOMY CLEARPETRA 14-16 FR X 15CM, STERILE",421.0,210.5,91.82,378.9,64
RC,0272,SHEATH NEPHROSTOMY CLEARPETRA 16-18 FR X 17CM STERILE,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH NEPHROSTOMY CLEARPETRA 18-20 FR X 17CM STERILE,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH NEPHROSTOMY CLEARPETRA 22-24 FR X 13CM STERILE,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH NEPHROSTOMY CLEARPETRA 22-24 FR X 15CM STERILE,421.0,210.5,91.82,378.9,64
RC,0272,SHEATH SCOUT,320.0,160.0,69.79,288.0,64
RC,0272,SHEATH TUNNELER L8 IN INTRODUCER OD17 GA ON-Q*,271.0,135.5,59.11,243.9,64
RC,0272,SHEET GEL 6X5IN CICA-CARE SILICONE ADHESIVE,468.43,234.22,102.16,421.59,64
RC,0272,SHIELD OPHTHALMIC LARGE 22MMW X 28MML PMMA PLASTIC W/SILICONE SUCTION CUP STERILE SINGLE-USE,231.0,115.5,50.38,207.9,64
RC,0272,SHIELD OPHTHALMIC LARGE NONSTERILE LUCITE ORANGE CORNEAL,45.0,22.5,9.81,40.5,64
RC,0272,SHIELD OPHTHALMIC MEDIUM COVER NONSTERILE LUCITE DISPOSABLE WHITE CORNEA,45.0,22.5,9.81,40.5,64
RC,0272,SHIELD OPHTHALMIC MEDIUM NONSTERILE LUCITE GREEN CORNEAL,45.0,22.5,9.81,40.5,64
RC,0272,SHIELD OPHTHALMIC SMALL 20.5MM X 22.5MM LUCITE CORNEAL W/COVER GREEN NON-STERILE,45.0,22.5,9.81,40.5,64
RC,0272,SHIELD OPHTHALMIC SOFT SHIELD 24 HOUR DISSOLUTION COLLAGEN 14.5MM CORNEAL,365.83,182.92,79.79,329.25,64
RC,0272,SHIELD RADIOLOGY NYLON THYROID STANDARD HOOK-LOOP CLOSURE W/RING ATTACHED TS-1,40.0,20.0,8.72,36.0,64
RC,0272,SHIELD RADIOLOGY PERIPHERAL RADPAD RBFPS107L,163.83,81.92,35.73,147.45,64
RC,0272,SHIELD SUBCLAVIAN SCATTER RADIATION 16 X 12IN,263.22,131.61,57.41,236.9,64
RC,0272,SHIM CUTTING DISC ALUMINUM,132.0,66.0,28.79,118.8,64
RC,0272,SHIM CUTTING DISC MARS 3VL,132.0,66.0,28.79,118.8,64
RC,0272,SHIM CUTTING SIGMA INTRADISCAL LEFT TRANSVERSE PROCESS,292.5,146.25,63.79,263.25,64
RC,0272,SHIM CUTTING WIDE LIF-PTP INTRADISCAL,120.0,60.0,26.17,108.0,64
RC,0272,SHOULDER ARTHROSCOPY PACK,112.68,56.34,24.58,101.41,64
RC,0272,SHOULDER BEACH CHAIR PACK,122.12,61.06,26.63,109.91,64
RC,0272,SHOULDER PACK SOP4JSPCVA,143.4,71.7,31.28,129.06,64
RC,0272,SHOULDER PACK SOP4QSHCOA,117.46,58.73,25.62,105.71,64
RC,0272,SHUNT CARDIOVASCULAR 1.5MM OD 12MML SHAFT SILICONE TUBE INTRACORONARY TAPERED TIP 1-PIECE FLO-THRU LATEX-FREE STERILE,380.27,190.14,82.94,342.24,64
RC,0272,SHUNT CARDIOVASCULAR 2MM OD 12MML SHAFT SILICONE TUBE INTRACORONARY TAPERED TIP 1-PIECE FLO-THRU LATEX-FREE STERILE,380.27,190.14,82.94,342.24,64
RC,0272,SHUNT CARDIOVASCULAR L16.25 MM OD1.5 MM AXIUS CORONARY INTERNAL COIL TAPER TIP VISUALIZATION OF ANASTOMOTIC SITE OFFSET THREAD TAB STANDARD,482.34,241.17,105.2,434.11,64
RC,0272,SHUNT PERITONEOVENOUS DENVER ASCITES 2 VALVE CATHETER 11.5FR STERILE,2074.27,1037.14,452.4,1866.84,64
RC,0272,SHUTTLE IDEAL 45D LEFT SUTURE,173.0,86.5,37.73,155.7,64
RC,0272,SHUTTLE IDEAL 45D RIGHT SUTURE,173.0,86.5,37.73,155.7,64
RC,0272,SHUTTLE IDEAL CHIA 90D UP SUTURE,173.0,86.5,37.73,155.7,64
RC,0272,SHUTTLE SUTURE 45 D RIGHT CURVE THUMB WHEEL ACCU-PASS,137.35,68.68,29.96,123.62,64
RC,0272,SHUTTLE SUTURE 70 D UP BEND ERGONOMIC HANDLE THUMB WHEEL ACCU-PASS,137.35,68.68,29.96,123.62,64
RC,0272,SHUTTLE SUTURE ELITE PASS,639.38,319.69,139.45,575.44,64
RC,0272,SHUTTLE SUTURE STRAIGHT CRESCENT IDEAL CHIA,173.0,86.5,37.73,155.7,64
RC,0272,SIGMOIDOSCOPE RIGID 25CM 20MM KLEENSPEC 35V HALOGEN GRADUATE OBTURATOR ILLUMINATION SYSTEM DISPOSABLE,1205.64,602.82,262.95,1085.08,64
RC,0272,SIGMOIDOSCOPE RIGID LATEX-FREE STERILE DISPOSABLE,340.31,170.16,74.22,306.28,64
RC,0272,SIZER 595CC MODERATE CLASSIC PROFILE MENTOR MEMORYGEL IMPLANT RESTERILIZABLE GEL STERILE LATEX FREE,230.0,115.0,50.16,207.0,64
RC,0272,SIZER BREAST 135CC P4.1CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 7.8CM GEL REPOSABLE STERILE,295.0,147.5,64.34,265.5,64
RC,0272,SIZER BREAST 185CC P4.4CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 8.4CM GEL REPOSABLE STERILE,295.0,147.5,64.34,265.5,64
RC,0272,SIZER BREAST 215CC P4.5CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 8.7CM GEL REPOSABLE STERILE,300.0,150.0,65.43,270.0,64
RC,0272,SIZER BREAST 240CC P4.7CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 9CM GEL REPOSABLE STERILE,300.0,150.0,65.43,270.0,64
RC,0272,SIZER BREAST 250CC P3.4CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 11.3CM GEL REPOSABLE STERILE - RSZ-2501,215.0,107.5,46.89,193.5,64
RC,0272,SIZER BREAST 275CC P3.5CM MODEARTE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 11.7CM GEL REPOSABLE STERILE - RSZ-2751,215.0,107.5,46.89,193.5,64
RC,0272,SIZER BREAST 295CC P5CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 9.7CM GEL REPOSABLE STERILE,300.0,150.0,65.43,270.0,64
RC,0272,SIZER BREAST 350CC P3.9CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 12.5CM GEL REPOSABLE STERILE - RSZ-3501,215.0,107.5,46.89,193.5,64
RC,0272,SIZER BREAST 400CC P4CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 13.1CM GEL REPOSABLE STERILE - RSZ-4001,215.0,107.5,46.89,193.5,64
RC,0272,SIZER BREAST 420CC P5.5CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 IMPLANT 13X12.2CM GEL REPOSABLE STERILE,290.0,145.0,63.25,261.0,64
RC,0272,SIZER BREAST 555CC P6.7CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 IMPLANT 13.5X12.7CM GEL REPOSABLE STERILE,290.0,145.0,63.25,261.0,64
RC,0272,SIZER BREAST 585CC P6.1CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 IMPLANT 14.5X13.6CM GEL REPOSABLE STERILE - RSZ1455S,290.0,145.0,63.25,261.0,64
RC,0272,SIZER BREAST 765CC P6.7CM HIGH PROFILE ROUND MEMORYGEL IMPLANT 14.7CM GEL STERILE,325.0,162.5,70.88,292.5,64
RC,0272,SIZER BREAST GEL 100CC P2.7CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 8.2CM REPOSABLE STERILE - RSZ-1001,225.0,112.5,49.07,202.5,64
RC,0272,SIZER BREAST GEL 475CC P4.2CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 14CM REPOSABLE STERILE - RSZ4751,215.0,107.5,46.89,193.5,64
RC,0272,SIZER BREAST GEL 525CC P4.4CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 14.5CM REPOSABLE STERILE - RSZ5251,215.0,107.5,46.89,193.5,64
RC,0272,SIZER BREAST IMPLANT HIGH PROFILE 10.5CM DIA 4.3CM SILICONE GEL 250ML ROUND SMOOTH TEXTURED CONTOURED MEMORYGEL COHESIVE I SILTEX LATEX-FREE MRI-COMPATIBLE STERILE RESTERILIZABLE,295.0,147.5,64.34,265.5,64
RC,0272,SIZER BREAST IMPLANT HIGH PROFILE 11.7CM DIA 4.8CM SILICONE GEL 350ML ROUND SMOOTH TEXTURED CONTOURED MEMORYGEL COHESIVE I SILTEX LATEX-FREE MRI-COMPATIBLE STERILE RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER BREAST IMPLANT HIGH PROFILE 12.8CM-12.4CM DIA 5.6-7.1CM SALINE-FILLED 500ML ROUND SMOOTH/TEXTURED SELF-SEALING DIAPHRAGM VALVE F/IRRIGATOR ASPIRATOR SILTEX STYLE 1600 LATEX-FREE,100.0,50.0,21.81,90.0,64
RC,0272,SIZER BREAST IMPLANT HIGH PROFILE 13.6CM DIA 4.2CM SILICONE GEL 450ML ROUND SMOOTH TEXTURED CONTOURED MEMORYGEL COHESIVE I SILTEX LATEX-FREE MRI-COMPATIBLE STERILE RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER BREAST IMPLANT NATRELLE INSPIRA 10.5CM 2.7CM LOW PLUS PROFILE 165ML SILICONE GEL ROUND STYLE SSZ-LP MRI-SAFE STERILE SINGLE-USE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER BREAST IMPLANT NATRELLE INSPIRA 10CM 2.6CM LOW PLUS PROFILE 145ML SILICONE GEL ROUND STYLE SSZ-LP MRI-SAFE STERILE SINGLE-USE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER BREAST IMPLANT NATRELLE INSPIRA 9.5CM 2.5CM LOW PLUS PROFILE 125ML SILICONE GEL ROUND STYLE SSZ-LP MRI-SAFE STERILE SINGLE-USE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER BREAST IMPLANT ULTRA HIGH PROFILE 9.3CM DIA 4.8CM SILICONE GEL 700ML ROUND SMOOTH TEXTURED CONTOURED MEMORYGEL COHESIVE I SILTEX LATEX-FREE MRI-COMPATIBLE STERILE RESTERILIZABLE,250.0,125.0,54.53,225.0,64
RC,0272,SIZER BREAST IMPLANT ULTRA HIGH PROFILE 9.3CM DIA 4.8CM SILICONE GEL 750ML ROUND SMOOTH TEXTURED CONTOURED MEMORYGEL COHESIVE I SILTEX LATEX-FREE MRI-COMPATIBLE STERILE RESTERILIZABLE,239.0,119.5,52.13,215.1,64
RC,0272,SIZER BRST GEL 800CC ULTRA HI PRFL IMPL,310.0,155.0,67.61,279.0,64
RC,0272,SIZER GEL 150CC P2.5CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL IMPLANT 10.3CM RESTERILIZABLE REPOSABLE STERILE LATEX FREE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER GEL 190CC P2.7CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL IMPLANT 11CM RESTERILIZABLE REPOSABLE STERILE LATEX FREE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER GEL 425CC P5.2CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I IMPLANT 12.5CM STERILE LATEX FREE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER GRAFT 24MM-38MM LARGE 10/PK,104.0,52.0,22.68,93.6,64
RC,0272,SIZER GRAFT 8INW X 10INL F/DERMAL REGENERATION LATEX-FREE STERILE,5899.5,2949.75,1286.68,5309.55,64
RC,0272,SIZER GRAFT TUBE OD10 MM ACUFEX,104.0,52.0,22.68,93.6,64
RC,0272,SIZER GRAFT TUBE OD11 MM ACUFEX ACL/PCL SYSTEM,104.0,52.0,22.68,93.6,64
RC,0272,SIZER GRAFT TUBE OD12 MM ACUFEX ACL/PCL SYSTEM,104.0,52.0,22.68,93.6,64
RC,0272,SIZER IMPLANT 100 CC MODERATE PLUS PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 110 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 125 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 140 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 140 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 150 CC HIGH PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 155 CC MODERATE PROFILE MEDIUM HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 165 CC P4 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 REPOSABLE GEL BREAST W9.5 CM X H8.9 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 170 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 175 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 180 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 180 CC P3.8 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W10.5 CM X H9.9 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 190 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 195 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 195 CC P4.2 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 GEL REPOSABLE W10 CM X H9.4 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 195 CC P4.4 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 REPOSABLE GEL BREAST W10.5 CM X H9.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 195 CC P4.8 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 REPOSABLE GEL BREAST W9.5 CM X H8.9 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 200 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 200 CC HIGH PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 200 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 205 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 205 CC P4.2 CM MODERATE PLUS PROFILE TALL HEIGHT MEMORYGEL COHESIVE III CPG 332 GEL REPOSABLE BREAST W10 CM X H10.4 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 205 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 210 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 215 CC P3.9 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W11 CM X H10.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 215 CC ULTRA HIGH PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 220 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 220 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 225 CC HIGH PROFILE MEDIUM HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 225 CC P4.4 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 REPOSABLE GEL BREAST W10.5 CM X H9.9 CM,300.0,150.0,65.43,270.0,64
RC,0272,SIZER IMPLANT 225 CC P4.4 CM TEARDROP MEDIUM HEIGHT MODERATE PLUS PROFILE MENTOR MEMORYSHAPE COHESIVE GEL SILTEX W10.5 CM X H9.9 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 225 CC P4.7 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 REPOSABLE GEL BREAST W11 CM X H9.7 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 225 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 230 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 235 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 235 CC P4.4 CM MODERATE PLUS PROFILE TALL HEIGHT MEMORYGEL COHESIVE III CPG 332 GEL REPOSABLE BREAST W10.5 CM X H10.9 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 240 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 245 CC P4 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W11.5 CM X H10.8 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 250 CC HIGH PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 255 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 255 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 255 CC P4.7 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 GEL REPOSABLE BREAST W11 CM X H10.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 255 CC P4.9 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 REPOSABLE GEL BREAST W11.5 CM X H10.2 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 255 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 260 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 260 CC P5.3 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 REPOSABLE GEL BREAST W10.5 CM X H9.9 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 265 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 270 CC MODERATE PLUS PROFILE TALL HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 275 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 280 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 280 CC P4.2 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W12 CM X H11.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 285 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 290 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 290 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 290 CC P5.1 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 REPOSABLE GEL BREAST W12 CM X H10.6 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 295 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 295 CC P4.9 CM TEARDROP MEDIUM HEIGHT MODERATE PLUS PROFILE MENTOR MEMORYSHAPE COHESIVE GEL SILTEX W11.5 CM X H10.8 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 300 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 300 CC P5.6 CM MEDIUM HEIGHT HIGH PROFILE COHESIVE III MEMORYSHAPE CPG 323 GEL RESTERILIZABLE SILTEX BREAST W11 CM X H10.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 305 CC MODERATE PLUS PROFILE TALL HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 310 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 310 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 315 CC MODERATE PROFILE MEDIUM HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 315 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 320 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 320 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 325 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 330 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 330 CC P5.1 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 GEL REPOSABLE BREAST W12 CM X H11.3 CM,300.0,150.0,65.43,270.0,64
RC,0272,SIZER IMPLANT 330 CC P5.1 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 REPOSABLE GEL BREAST W12 CM X H11.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 335 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 340 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 340 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 345 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 345 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 345 CC P5.8 CM MEDIUM HEIGHT HIGH PROFILE COHESIVE III MEMORYSHAPE CPG 323 GEL RESTERILIZABLE SILTEX BREAST W11.5 CM X H10.8 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 350 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 350 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 355 CC P4.6 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W13 CM X H12.2 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 360 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 365 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 375 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 375 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 380 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 390 CC P6 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 REPOSABLE GEL BREAST W12 CM X H11.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 395 CC MODERATE PLUS PROFILE TALL HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 395 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 395 CC P4.7 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W13.5 CM X H12.7 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 400 CC HIGH PROFILE NATRELLE STYLE 20 RESTERILIZABLE GEL,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 400 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 400 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 405 CC MODERATE CLASSIC PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 405 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 410 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 415 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 415 CC P5.7 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 GEL REPOSABLE BREAST W13.5 CM X H12 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 420 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 420 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 425 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 440 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 440 CC MODERATE PROFILE MEDIUM HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 440 CC P5 CM FULL HEIGHT MODERATE PROJECTION NATRELLE RESTERILIZABLE ANATOMIC GEL SILICONE W13.5 CM X H14 CM,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 440 CC P6.2 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 REPOSABLE GEL BREAST W12.5 CM X H11.8 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 445 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 445 CC P5.5 CM MODERATE PLUS PROFILE TALL HEIGHT MEMORYGEL COHESIVE III CPG 332 REPOSABLE GEL BREAST W13 CM X H13.5 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 445 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 450 CC MODERATE PROFILE NATRELLE STYLE 10-450 RESTERILIZABLE GEL,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 450 CC P5.4 CM HIGH PROFILE ROUND NATRELLE RESTERILIZABLE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 457 CC MODERATE PLUS PROFILE NATRELLE RESTERILIZABLE GEL,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 460 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 465 CC P5.9 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 GEL REPOSABLE BREAST W14 CM X H12.4 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 470 CC MODERATE CLASSIC PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 475 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 475 CC P5.7 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 GEL REPOSABLE BREAST W13.5 CM X H12.7 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 480 CC P5 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL W14.5 CM X H13.6 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 485 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 485 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 490 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 492 CC MODERATE PLUS PROFILE NATRELLE RESTERILIZABLE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 495 CC P5.7 CM MODERATE PLUS PROFILE TALL HEIGHT MEMORYGEL COHESIVE III CPG 332 REPOSABLE GEL BREAST W13.5 CM X H14.1 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 495 CC P6.5 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 REPOSABLE GEL BREAST W13 CM X H12.2 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 495 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 500 CC HIGH PROFILE NATRELLE STYLE 20 RESTERILIZABLE GEL,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 510 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 520 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 520 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 525 CC P5.9 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 GEL REPOSABLE BREAST W14 CM X H13.2 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 525 CC XFULL NATRELLE INSPIRA SILICONE W12.75CM X H 6.2CM,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 530 CC P5.2 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 GEL REPOSABLE BREAST W15 CM X H14.1 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 535 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 535 CC ULTRA HIGH PROFILE GEL BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 540 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 545 CC P6.5 CM TALL HEIGHT HIGH PROFILE MENTOR MEMORYSHAPE GEL BREAST W13 CM X H13.5 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 545 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 560 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 560 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 560 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 560 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 560 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 570 CC P6.3 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 GEL REPOSABLE BREAST W15 CM X H13.3 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 580 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 590 CC LOW PLUS PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 595 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 600 CC ROUND HIGH PROFILE NATRELLE SMOOTH SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 605 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 610 CC LOW PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 615 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 615 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 620 CC P6.9 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 GEL REPOSABLE BREAST W14 CM X H13.2 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 640 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 640 CC P5.6 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 REPOSABLE GEL BREAST W16 CM X H15 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 650 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 650 CC P6.3 CM MODERATE PLUS PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 322 REPOSABLE GEL BREAST W15 CM X H14.1 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 650 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 655 CC NATRELLE STYLE 410 RESTERILIZABLE,210.0,105.0,45.8,189.0,64
RC,0272,SIZER IMPLANT 680 CC P6.9 CM TALL HEIGHT HIGH PROFILE MENTOR MEMORYSHAPE GEL BREAST W14 CM X H14.6 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 685 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 685 CC P7.1 CM HIGH PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 323 REPOSABLE GEL BREAST W14.5 CM X H13.6 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 690 CC MODERATE PLUS PROFILE LOW HEIGHT MENTOR MEMORYSHAPE RESTERILIZABLE GEL,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 690 CC P6.8 CM MODERATE PLUS PROFILE LOW HEIGHT MEMORYGEL COHESIVE III CPG 312 REPOSABLE GEL BREAST W16 CM X H14.2 CM,300.0,150.0,65.43,270.0,64
RC,0272,SIZER IMPLANT 695 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 700 CC P6.2 CM HIGH PROFILE ROUND NATRELLE RESTERILIZABLE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT 745 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 750 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 755 CC MODERATE PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 755 CC P7.1 CM TALL HEIGHT HIGH PROFILE MENTOR MEMORYSHAPE GEL BREAST W14.5 CM X H15.1 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 770 CC FULL PROFILE NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT 775 CC P5.9 CM MODERATE PROFILE MEDIUM HEIGHT MEMORYGEL COHESIVE III CPG 321 REPOSABLE GEL BREAST W17 CM X H16 CM,290.0,145.0,63.25,261.0,64
RC,0272,SIZER IMPLANT 800 CC ULTRA HIGH PROFILE MENTOR MEMORYGEL RESTERILIZABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT 800 CC XFULL NATRELLE INSPIRA SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD10 CM 145 CC P2.6 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10 CM 175 CC P3.1 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL GEL SMOOTH SHELL SURFACE RESTERILIZABLE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10 CM 175 CC P3.3 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10 CM 190 CC P3.4 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10 CM 220 CC P4.2 CM FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10 CM 225 CC P4.5 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10-10.6 CM 175-200 CC P3.3-3.9 CM MODERATE PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.1 CM 150 CC MODERATE PROFILE NATRELLE STYLE 10-150 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.1 CM 225 CC P4.2 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10.1 CM 230 CC P4.2 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.1 CM 350 CC P5.2 CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10.1-10.4 CM 225-270 CC P3.8-4.6 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.2-10.4 CM 270-325 CC P4.6-5.8 CM HIGH PROFILE ROUND MENTOR ROUND HIGH PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.25 CM 195 CC P3.4 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.25 CM 255 CC P4.8 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.3 CM 210 CC P3.5 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD10.3 CM 285 CC P4.9 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD10.3 CM 285 CC P5 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.4 CM 215 CC P3.6 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.5 CM 140 CC P2.1 CM LOW PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.5 CM 165 CC P2.7 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.5 CM 170 CC P2.6 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10.5 CM 200 CC P3.2 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10.5 CM 210 CC P3.5 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.5 CM 240 CC P4.3 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.5 CM 240 CC P4.3 CM FULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD10.5 CM 255 CC P4.3 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.5 CM 285 CC P5 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.5 CM 325 CC P5.3 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD10.5-10.6 CM 210-240 CC P3.7-4.1 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD10.5-10.6 CM 280-300 CC P4.7-5.2 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD10.5-10.8 CM 250-300 CC P4-4.7 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.5-10.8 CM 290-350 CC P4.7-5.9 CM HIGH PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.6 CM 213 CC MODERATE PLUS PROFILE NATRELLE STYLE 15-213 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.7 CM 180 CC MODERATE PROFILE NATRELLE STYLE 10-180 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.7 CM 235 CC P3.6 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD10.7 CM 335 CC P5.4 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.7-11 CM 310-375 CC P4.8-6 CM HIGH PROFILE ROUND MENTOR ROUND HIGH PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.75 CM 310 CC P4.4 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA TEXTURE GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.8 CM 240 CC P3.7 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.8 CM 275 CC P4.4 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10.8 CM 280 CC P4.4 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD10.8-11 CM 275-330 CC P4.1-4.9 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD10.9 CM 225 CC P3.3 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD10.9 CM 234 CC MODERATE PLUS PROFILE NATRELLE STYLE 15-234 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD10.9-11.5 CM 225-250 CC P3.5-4 CM MODERATE PROFILE ROUND MENTOR ROUND MODERATE PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11 CM 170 CC P2.2 CM LOW PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11 CM 190 CC P2.8 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11 CM 240 CC P3.7 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11 CM 265 CC P4.4 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11 CM 265 CC P4.4 CM FULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD11 CM 335 CC P5.5 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11 CM 340 CC P5.4 CM MODERATE PROFILE ROUND NATRELLE INSPIRA TEXTURE GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11 CM 370 CC P5.4 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD11-11.1 CM 240-270 CC P3.8-4.2 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11-11.1 CM 320-340 CC P4.9-5.3 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11-11.3 CM 330-400 CC P4.8-6.2 CM HIGH PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.1 CM 300 CC P4.7 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.1 CM 310 CC P4.6 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.2 CM 265 CC P3.6 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD11.2 CM 325 CC HIGH PROFILE NATRELLE STYLE 20-325 RESTERILIZABLE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.2 CM 405 CC P5.6 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD11.2-11.5 CM 300-360 CC P4.3-5 CM MODERATE PLUS PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.25 CM 205 CC P2.9 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.25 CM 255 CC P3.8 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.25 CM 295 CC P4.5 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.25 CM 295 CC P4.5 CM FULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD11.25 CM 375 CC P5.6 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.3 CM 250 CC P3.4 CM ROUND MODERATE PLUS PROFILE MEMORYGEL SILTEX RESTERILIZABLE SMOOTH,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.3 CM 250 CC P3.5 CM ROUND MODERATE PLUS PROFILE MEMORYGEL SILTEX RESTERILIZABLE SMOOTH BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.3 CM 380 CC P5.5 CM HIGH PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.4 CM 270 CC P3.8 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL SILTEX BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.4 CM 290 CC P3.9 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD11.4 CM 325 CC P4.6 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.4 CM 325 CC P4.6 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.4 CM 330 CC P4.7 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.4 CM 350 CC HIGH PROFILE NATRELLE STYLE 20-350 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.4-11.3 CM 225-245 CC P3.1-3.4 CM LOW PROFILE ROUND NATRELLE STYLE 68LP SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11.4-11.6 CM 350-380 CC P4.9-5.5 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11.4-11.7 CM 380-450 CC P5.2-6.4 CM HIGH PROFILE ROUND MENTOR ROUND HIGH PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.5 CM 200 CC P2.3 CM LOW PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.5 CM 220 CC P3 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.5 CM 220 CC P3 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD11.5 CM 275 CC P3.9 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.5 CM 295 CC P4 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.5 CM 335 CC P4.7 CM FULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD11.5 CM 400 CC P5.8 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ-X RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.5 CM 415 CC P5.8 CM HIGH PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.5-11.6 CM 270-300 CC P3.9-4.3 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11.5-11.9 CM 325-390 CC P4.4-5.2 CM MODERATE PLUS PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.6 CM 215 CC P2.8 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.6 CM 320 CC P4.1 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD11.6 CM 350 CC P4.8 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.6 CM 440 CC P5.8 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD11.7 CM 240 CC P3.2 CM MODERATE PROFILE ROUND NATRELLE CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.7 CM 286 CC MODERATE PLUS PROFILE NATRELLE STYLE 15-286 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.7 CM 350 CC P4.8 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.7 CM 375 CC P4.9 CM HIGH PROFILE ROUND NATRELLE STYLE MSZ20 CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.7-11.9 CM 400-430 CC P5-5.9 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11.7-12 CM 420-500 CC P5.4-6.7 CM HIGH PROFILE ROUND MENTOR ROUND HIGH PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.7-12.1 CM 350-420 CC P4.5-5.3 CM MODERATE PLUS PROFILE ROUND MEMORYGEL 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER SILTEX SALINE BREAST L12 IN,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.7-12.3 CM 275-300 CC P3.7-4.2 CM MODERATE PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD11.75 CM 235 CC P3.1 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.75 CM 295 CC P3.9 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.75 CM 335 CC P4.8 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.75 CM 345 CC P4.8 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.75 CM 420 CC P5.9 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.8 CM 235 CC P2.9 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD11.8-11.9 CM 300-330 CC P4.1-4.4 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD11.9 CM 304 CC MODERATE PLUS PROFILE NATRELLE STYLE 15-304 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD11.9 CM 325 CC P4.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.9 CM 375 CC P4.9 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD11.9 CM 450 CC P5.9 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12 CM 250 CC P3.1 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12 CM 250 CC P3.1 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD12 CM 300 CC P3.6 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12 CM 310 CC P4 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12 CM 340 CC P4.1 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12 CM 365 CC P4.9 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12 CM 375 CC P4.8 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12 CM 445 CC P6 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12 CM 450 CC P5.4 CM MODERATE PLUS PROFILE ROUND MENTOR STYLE 2000 SMOOTH SHELL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.1 CM 400 CC P4.9 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.1 CM 465 CC P5.8 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.1-12.2 CM 275-295 CC P3.3-3.6 CM ROUND NATRELLE SMOOTH ANTERIOR DIAPHRAGM VALVE LOW PROFILE SALINE STYLE 68LP,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.1-12.3 CM 425-455 CC P5.3-5.9 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.2 CM 255 CC P2.9 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.2 CM 400 CC P5 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.2 CM 480 CC P5.8 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12.2-12.3 CM 330-360 CC P4.2-4.5 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.25 CM 265 CC P3.2 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.25 CM 330 CC P4.1 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.25 CM 385 CC P5 CM FULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD12.25 CM 385 CC P5 CM FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ F RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.25 CM 470 CC P6.1 CM XFULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD12.25 CM 615 CC P6.1 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA TEXTURE GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.3 CM 325 CC P3.8 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.3 CM 350 CC P4.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH RESTERILIZABLE GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.3 CM 400 CC P5.1 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I MICROTEXTURE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.3 CM 520 CC P6 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12.3-12.6 CM 400-480 CC P4.7-5.5 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.3-13 CM 325-375 CC P3.8-4.5 CM MODERATE PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.4 CM 339 CC MODERATE PLUS PROFILE NATRELLE STYLE 15-339 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.4-12.5 CM 300-320 CC P3.4-3.7 CM LOW PROFILE ROUND NATRELLE SMOOTH STYLE 68LP ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.4-12.8 CM 500-600 CC P5.6-7.1 CM HIGH PROFILE ROUND MENTOR ROUND HIGH PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.5 CM 260 CC P2.5 CM LOW PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.5 CM 275 CC P3 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.5 CM 280 CC P3.3 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.5 CM 345 CC P4.2 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.5 CM 350 CC P3.9 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.5 CM 415 CC P5.1 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.5 CM 425 CC P5.2 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE GEL BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.5 CM 430 CC P5.1 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.5 CM 490 CC P5.8 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.5 CM 495 CC P6.1 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.5 CM 545 CC P6.1 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12.5 CM 590 CC P6.3 CM ULTRA HIGH PROFILE ROUND MEMORYGEL SMOOTH GEL RESTERILIZABLE SILTEX,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.5-12.6 CM 465-505 CC P5.6-6.1 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.5-12.9 CM 425-510 CC P4.8-5.6 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.6 CM 300 CC P3.5 CM MODERATE PROFILE ROUND NATRELLE CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.6 CM 370 CC P4.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.6-12.7 CM 360-390 CC P4.2-4.5 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.7 CM 390 CC P4.1 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12.7 CM 405 CC P4.4 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.7 CM 535 CC P6 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH GEL RESTERILIZABLE,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.7 CM 560 CC P6.3 CM HIGH PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE COHESIVE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.75 CM 300 CC P3.3 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.75 CM 360 CC P4.2 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.75 CM 360 CC P4.2 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD12.75 CM 450 CC P5.3 CM FULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD12.75 CM 450 CC P5.3 CM FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ F RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.75 CM 525 CC P6.2 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.8 CM 300 CC P3.1 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.8 CM 375 CC P4 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.8 CM 450 CC P5.1 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.8 CM 450 CC P5.1 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.8 CM 470 CC P5.2 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD12.8 CM 585 CC P6.3 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12.8-13 CM 450-540 CC P4.9-5.7 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.8-13 CM 500-540 CC P5.7-6.3 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD12.8-13.6 CM 375-425 CC P4-4.8 CM MODERATE PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD12.9 CM 371 CC P4.1 CM MODERATE PLUS PROFILE ROUND NATRELLE CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD12.9 CM 430 CC P4.4 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD12.9 CM 475 CC P5.3 CM HIGH PROFILE ROUND MENTOR MEMORYGEL GEL SMOOTH SHELL SURFACE RESTERILIZABLE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD12.9 CM 650 CC P6.4 CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13 CM 320 CC P3.2 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13 CM 320 CC P3.4 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13 CM 330 CC P3.6 CM MODERATE PROFILE ROUND NATRELLE CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13 CM 375 CC P4.3 CM MODERATE PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13 CM 485 CC P5.4 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13 CM 545 CC P6.2 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ-X RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13-13.3 CM 475-570 CC P5-5.8 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD13.1 CM 397 CC P4.2 CM MODERATE PLUS PROFILE ROUND NATRELLE CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.1 CM 400 CC P4 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.1 CM 440 CC P4.5 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.1 CM 500 CC P5.2 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.1 CM 595 CC P6.3 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.1-13.3 CM 550-590 CC P5.8-6.4 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD13.2 CM 450 CC P4.5 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD13.2 CM 500 CC P5.3 CM HIGH PROFILE ROUND MEMORYGEL SMOOTH GEL RESTERILIZABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.2 CM 635 CC P6.4 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD13.2-13.6 CM 550-600 CC P5.1-5.9 CM MODERATE PLUS PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD13.25 CM 340 CC P3.5 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.25 CM 405 CC P4.4 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL RESTERILIZABLE SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.25 CM 520 CC P5.5 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.25 CM 560 CC P6.3 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.3 CM 421 CC P4.3 CM MODERATE PLUS PROFILE ROUND NATRELLE STYLE MSZ15 CLASSIC RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.3 CM 465 CC P4.7 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.3 CM 700 CC P6.5 CM ULTRA HIGH PROFILE ROUND MENTOR MEMORYGEL GEL SMOOTH SHELL SURFACE RESTERILIZABLE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.3-13.4 CM 420-450 CC P4.5-4.6 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD13.4 CM 340 CC P3.2 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.4 CM 360 CC MODERATE PROFILE NATRELLE STYLE 10-360 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.4 CM 480 CC P4.6 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD13.4 CM 545 CC P5.5 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.4-13.8 CM 630-750 CC P5.9-7.4 CM HIGH PROFILE ROUND MENTOR ROUND HIGH PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD13.5 CM 360 CC P3.5 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.5 CM 425 CC P4.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.5 CM 425 CC P4.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.5 CM 445 CC P4.5 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.5 CM 560 CC P5.7 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.5 CM 580 CC P6.4 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA TEXTURE GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.5 CM 615 CC P6.4 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA TEXTURE GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.5 CM 650 CC P6.5 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.6 CM 360 CC P3.3 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.6 CM 390 CC MODERATE PROFILE NATRELLE STYLE 10-390 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD13.6 CM 450 CC P4.2 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.6 CM 490 CC P4.7 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.6 CM 550 CC P5.5 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.6-13.7 CM 450-480 CC P4.6-4.7 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST W13 CM X H13.5 CM,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD13.7 CM 685 CC P6.4 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD13.7 MM 750 CC P6.6 CM ULTRA HIGH PROFILE ROUND MEMORYGEL SMOOTH GEL SILTEX,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.7-14 CM 550-660 CC P5.3-6.1 CM MODERATE PLUS PROFILE ROUND MENTOR ROUND MOD PLUS PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD13.8 CM 580 CC P5.5 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD13.8-14 CM 650-700 CC P6.1-6.9 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD13.9 CM 385 CC P3.3 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD13.9 CM 530 CC P4.7 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD13.9 CM 545 CC P4.7 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14 CM 400 CC P3.6 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14 CM 420 CC MODERATE PROFILE NATRELLE STYLE 10-420 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14 CM 475 CC P4.2 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14 CM 485 CC P4.6 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14 CM 545 CC P4.9 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14 CM 600 CC P5.6 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14 CM 605 CC P5.8 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14 CM 650 CC P6.5 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.1 CM 480 ML P4.6-4.7 CM MODERATE PROFILE ROUND NATRELLE STYLE 68 MP TEXTURE DIAPHRAGM VALVE SALINE,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD14.1 CM 500 CC P4.3 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.1 CM 500 CC P4.3 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,275.0,137.5,59.98,247.5,64
RC,0272,SIZER IMPLANT OD14.1 CM 545 CC P4.8 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD14.1 CM 700 CC P6.5 CM HIGH PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.1 CM 740 CC P6.6 CM ROUND HIGH PROFILE MEMORYGEL BOOST SMOOTH RESTERILIZABLE GEL BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD14.1-14.5 CM 600-720 CC P5.5-6.3 CM MODERATE PLUS PROFILE ROUND MENTOR ROUND MOD PLUS PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD14.2 CM 630 CC P5.7 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.2 CM 800 CC MODERATE PROFILE NATRELLE STYLE 45-800 RESTERILIZABLE GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.2-13.5 CM 425-475 CC P4.1-4.9 CM MODERATE PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD14.2-14.8 CM 475-525 CC P4.2-4.9 CM MODERATE PROFILE ROUND MENTOR STYLE 1600 SMOOTH TEXTURE SHELL SALINE BREAST,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD14.25 CM 700 CC P6.6 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ-X RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.25 CM 700 CC P6.6 CM XFULL PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD14.3 CM 560 CC P4.8 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.3 CM 590 CC P5 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD14.3-14.4 CM 510-540 CC P4.6-4.7 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD14.4 CM 650 CC P5.7 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.4 CM 755 CC P6.7 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.4 CM 775 CC P6.6 CM ROUND HIGH PROFILE MEMORYGEL BOOST SMOOTH RESTERILIZABLE GEL BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD14.4-14.6 CM 750-800 CC P6.5-7.2 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD14.4-14.8 CM 650-780 CC P5.6-6.5 CM MODERATE PLUS PROFILE ROUND MENTOR SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD14.5 CM 440 CC P3.8 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.5 CM 445 CC P3.7 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE SILTEX,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.5 CM 520 CC P4.8 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.5 CM 525 CC P4.4 CM ROUND MODERATE PLUS PROFILE MENTOR MEMORYGEL GEL SMOOTH SHELL SURFACE RESTERILIZABLE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.5 CM 605 CC P5.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.5 CM 650 CC P5.9 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.5 CM 750 CC P6.7 CM XFULL PROFILE ROUND NATRELLE INSPIRA SMOOTH RESTERILIZABLE SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.6 CM 425 CC P3.4 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.6 CM 550 CC P4.5 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.6 CM 550 CC P4.5 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH SURFACE SHELL BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.6 CM 700 CC P5.9 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.7 CM 630 CC P5.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.75 CM 560 CC P4.9 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.75 CM 695 CC P6 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD14.8 CM 630 CC P5 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD14.8 CM 700 CC P5.8 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.8 CM 790 CC P6.7 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD14.8-15.2 CM 700-840 CC P5.8-6.6 CM MODERATE PLUS PROFILE ROUND MENTOR ROUND MOD PLUS PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD14.9 CM 575 CC P4.6 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD14.9 CM 645 CC P5.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SILTEX TEXTURE SALINE FILL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD15 CM 490 CC P3.9 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15 CM 600 CC P4.6 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD15 CM 600 CC P4.9 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15 CM 600 CC P4.9 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL SILICONE,178.0,89.0,38.82,160.2,64
RC,0272,SIZER IMPLANT OD15 CM 745 CC P6.1 CM FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15.1 CM 675 CC P5 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD15.1 CM 750 CC P5.9 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD15.1-15.2 CM 650-700 CC P5.3-5.5 CM MODERATE PROFILE ROUND NATRELLE STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE SALINE BREAST,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD15.1-15.6 CM 750-900 CC P5.9-6.8 CM MODERATE PLUS PROFILE ROUND MENTOR ROUND MOD PLUS PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD15.2 CM 490 CC P3.7 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD15.2 CM 775 CC P6 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD15.3 CM 685 CC P5.2 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD15.4 CM 510 CC P3.7 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD15.4 CM 650 CC P4.8 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD15.5 CM 540 CC P4 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE TEXTURE GEL SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15.5 CM 640 CC P5 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH RESTERILIZABLE SILICONE,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15.5 CM 770 CC P6 CM FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ F RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15.5 CM 800 CC P6 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD15.5 CM 800 CC P6.7 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA STYLE MSZ-X RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD15.5-16.1 CM 800-960 CC P6-7 CM MODERATE PLUS PROFILE ROUND MENTOR ROUND MOD PLUS PROFILE SINGLE USE SALINE BREAST IMPLANT SIZER SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD15.6 CM 730 CC P5.1 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD15.7 CM 755 CC P5.4 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD15.8 CM 700 CC P4.9 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD16 CM 590 CC P4.2 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD16 CM 685 CC P5.2 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD16.1 CM 595 CC P3.8 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD16.3 CM 750 CC P4.9 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD16.5 CM 640 CC P4.3 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD16.5 CM 755 CC P5 CM MODERATE PROFILE ROUND NATRELLE INSPIRA SMOOTH GEL RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD16.5 CM 800 CC P5.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD17 CM 680 CC P3.9 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD17.5 CM 750 CC P4 CM MODERATE CLASSIC PROFILE MEMORYGEL RESTERILIZABLE GEL SILTEX,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD18 CM 800 CC P4.1 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD8.3 CM 115 CC P3.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD8.3 CM 125 CC P3.5 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD8.3 CM 150 CC P4.1 CM HIGH PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD8.4 CM 130 CC P3.5 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD8.8 CM 130 CC P3.1 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD8.8 CM 150 CC P3.7 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD8.8 CM 180 CC P4.4 CM HIGH PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD8.9 CM 125 CC P2.8 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL GEL SMOOTH SHELL SURFACE RESTERILIZABLE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD8.9 CM 130 CC P3.1 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9 CM 200 CC P4.4 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD9 CM 240 CC P4.7 CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD9.1 CM 170 CC P3.8 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9.1-9.5 CM 125-150 CC P3-3.4 CM MODERATE PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD9.2 CM 200 CC P4.5 CM HIGH PROFILE ROUND MENTOR MEMORYGEL XTRA SMOOTH SHELL SURFACE GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9.3 CM 160 CC P3.3 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD9.3 CM 175 CC P3.9 CM HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD9.3 CM 270 CC P4.8 CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I REPOSABLE GEL BREAST,300.0,150.0,65.43,270.0,64
RC,0272,SIZER IMPLANT OD9.3-9.5 CM 175-210 CC P3.5-4.2 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD9.5 CM 125 CC P2.5 CM LOW PLUS PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD9.5 CM 140 CC P3 CM MODERATE PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD9.5 CM 150 CC P2.9 CM MODERATE PLUS PROFILE ROUND MENTOR MEMORYGEL GEL SMOOTH SHELL SURFACE RESTERILIZABLE,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD9.5 CM 160 CC P3.3 CM MODERATE PLUS PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9.5 CM 180 CC P4 CM FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD9.5 CM 185 CC P3.9 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9.5 CM 200 CC P4.2 CM EXTRA FULL PROFILE ROUND NATRELLE INSPIRA GEL SMOOTH RESTERILIZABLE SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD9.5 CM 235 CC P4.7 CM ROUND HIGH PROFILE MEMORYGEL BOOST SMOOTH RESTERILIZABLE GEL BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD9.5 CM 235 CC P4.9 CM HIGH PROFILE ROUND MEMORYGEL XTRA GEL SMOOTH SURFACE SHELL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9.5-9.6 CM 200-220 CC P4.2-4.6 CM HIGH PROFILE ROUND NATRELLE STYLE 68HP SALINE,35.0,17.5,7.63,31.5,64
RC,0272,SIZER IMPLANT OD9.6 CM 130 CC P2.4 CM MODERATE CLASSIC PROFILE ROUND MEMORYGEL RESTERILIZABLE REPOSABLE GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER IMPLANT OD9.7-10 CM 200-240 CC P3.7-4.4 CM MODERATE PLUS PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD9.75 CM 200 CC P4.1 CM FULL PROFILE ROUND NATRELLE INSPIRA RESTERILIZABLE SMOOTH GEL SILICONE BREAST,194.0,97.0,42.31,174.6,64
RC,0272,SIZER IMPLANT OD9.8 CM 185 CC P3.3 CM MODERATE PLUS PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD9.8 CM 210 CC P4.1 CM MODERATE HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT OD9.8 CM 260 CC P4.8 CM HIGH PROFILE MEMORYGEL BOOST GEL SMOOTH BREAST,240.0,120.0,52.34,216.0,64
RC,0272,SIZER IMPLANT OD9.8 CM 320 CC P5.1 CM ULTRA HIGH PROFILE ROUND MEMORYGEL COHESIVE I GEL REPOSABLE BREAST,300.0,150.0,65.43,270.0,64
RC,0272,SIZER IMPLANT OD9.8-10 CM 230-275 CC P4.3-5.5 CM HIGH PROFILE ROUND MEMORYGEL SMOOTH ANTERIOR DIAPHRAGM VALVE SELF SEAL SALINE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER IMPLANT OD9.9 CM 260 CC P5 CM HIGH PROFILE ROUND MEMORYGEL XTRA SMOOTH SURFACE SHELL GEL BREAST,230.0,115.0,50.16,207.0,64
RC,0272,SIZER IMPLANT SMALL SURESPACE TIBIAL SPACER MOLD,1479.5,739.75,322.68,1331.55,64
RC,0272,SIZER OD31 MM ODSEC34 MM EEA OD25 MM ODSEC28 MM STAINLESS STEEL SURGICAL,503.47,251.74,109.81,453.12,64
RC,0272,SIZER POLY INSERT SIZE 2+ 6MM INFINITY,383.0,191.5,83.53,344.7,64
RC,0272,SIZER RESTRLZT UHPR STL 455CCSILTEX MEMORY GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER RESTRLZT UHPR STL 480CCSILTEX MEMORY GEL,215.0,107.5,46.89,193.5,64
RC,0272,SIZER SILTEX 640ML P42CM MODERATE CLASSIC PROFILE MEMORYGEL IMPLANT 163CM RESTERILIZABLE GEL STERILE,230.0,115.0,50.16,207.0,64
RC,0272,SIZER SILTEX SALINE 275-300CC P5.1CM CONTOUR PROFILE HIGH PROJECTION ROUND MEMORYGEL IMPLANT 11.5X9.5CM 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE DISPOSABLE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER SILTEX SALINE 350-400CC P5.3CM CONTOUR PROFILE HIGH PROJECTION ROUND MEMORYGEL IMPLANT 12.3X10.5CM 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE DISPOSABLE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER SILTEX SALINE 450-500CC P6.1CM HIGH PROJECTION CONTOUR PROFILE ROUND MEMORYGEL IMPLANT 13.2X11CM 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE LATEX FREE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER SILTEX SALINE 550-600CC P6.4CM CONTOUR PROFILE HIGH PROJECTION ROUND MEMORYGEL IMPLANT 14X11.9CM 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE DISPOSABLE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER SILTEX SALINE 650-725CC P6.6CM HIGH PROJECTION CONTOUR PROFILE ROUND MEMORYGEL IMPLANT 15X12.7CM 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE LATEX FREE,110.0,55.0,23.99,99.0,64
RC,0272,SIZER SMOOTH MODERATE HIGH BOOST 170CC,240.0,120.0,52.34,216.0,64
RC,0272,SIZER SMOOTH MODERATE HIGH BOOST 190CC,240.0,120.0,52.34,216.0,64
RC,0272,SIZER STENT MEASURE DEVICE AEROSIZER SURGICAL,265.0,132.5,57.8,238.5,64
RC,0272,SIZER SURGICAL F/PRIMARY CLOSURE SYSTEM STERNAL SCREW STERNALOCK BLU,801.0,400.5,174.7,720.9,64
RC,0272,SIZER SURGICAL TENDON CITREGEN,224.87,112.44,49.04,202.38,64
RC,0272,SIZER VALVE MITRAL CHORD-X CHORDAL REPLACEMENT LEAFLET HOOK THUMB SLIDE STERILE DISPOSABLE BLUE,260.0,130.0,56.71,234.0,64
RC,0272,SKIN GRAFT PACK,151.24,75.62,32.99,136.12,64
RC,0272,SLEEVE 13MM PERCUT PROTECTION,300.75,150.38,65.59,270.68,64
RC,0272,SLEEVE BRCHTX SMIT 9X40MM F/6MM IU TUBE STRL SUD CT/M,247.06,123.53,53.88,222.35,64
RC,0272,SLEEVE BREAST BIOPSY STEREOTACTIC VARIABLE APERTURE F/8GAUGE PROBE,147.2,73.6,32.1,132.48,64
RC,0272,SLEEVE CENTERING 6MM ILIZAROV RANCHO SYSTEM,102.19,51.1,22.29,91.97,64
RC,0272,SLEEVE COMPRESSION DEVICE 22-28IN CALF CIRC MEDIUM PLASTIC THIGH LENGTH CHAMBERX3 LOCKING MECHANISM F/BARIATRIC SCD EXPRESS LATEX-FREE NON-STERILE DISPOSABLE,52.8,26.4,11.52,47.52,64
RC,0272,SLEEVE COMPRESSION LARGE 28-36IN CIRC PLASTIC THIGH LENGTH CHAMBERX3 MULTI-FLAP CLOSURE LOCKING MECHANISM F/BARIATRIC SCD EXPRESS 9780T LATEX-FREE NON-STERILE DISPOSABLE,53.1,26.55,11.58,47.79,64
RC,0272,SLEEVE COMPRESSION NONSTERILE LATEX FREE REUSABLE 3MM HEADLESS SCREW,258.96,129.48,56.48,233.06,64
RC,0272,SLEEVE COMPRESSOR SMALL BONE NONSTERILE 2.4 MM HEADLESS SCREW,224.14,112.07,48.88,201.73,64
RC,0272,SLEEVE DRILL 1 MM INSERT YELLOW REDUCTION FORCEPS,138.03,69.02,30.1,124.23,64
RC,0272,SLEEVE DRILL 1.1 MM INSERT RED REDUCTION FORCEPS,138.03,69.02,30.1,124.23,64
RC,0272,SLEEVE DRILL 1.3 MM INSERT YELLOW REDUCTION FORCEPS,138.03,69.02,30.1,124.23,64
RC,0272,SLEEVE DRILL 1.5 MM 1.1 MM 2,336.72,168.36,73.44,303.05,64
RC,0272,SLEEVE DRILL 1.5 MM INSERT BLUE REDUCTION FORCEPS,138.03,69.02,30.1,124.23,64
RC,0272,SLEEVE DRILL 1.5 MM INSERT RED REDUCTION FORCEPS,138.03,69.02,30.1,124.23,64
RC,0272,SLEEVE DRILL 10 MM 3.8 MM MULTILOC PROXIMAL HUMERAL NAIL SYSTEM,354.8,177.4,77.38,319.32,64
RC,0272,SLEEVE DRILL 13 MM SHORT PROTECTION,323.89,161.95,70.64,291.5,64
RC,0272,SLEEVE DRILL 17 MM PROTECTION PERCUTANEOUS,300.75,150.38,65.59,270.68,64
RC,0272,SLEEVE DRILL 2 DISTAL 3.5 MM 2.5 MM CORTICAL SCREW,336.72,168.36,73.44,303.05,64
RC,0272,SLEEVE DRILL 2 END OD2.7 MM ODSEC1.25 MM,317.37,158.69,69.22,285.63,64
RC,0272,SLEEVE DRILL 2 MM INSERT BLUE REDUCTION FORCEPS,138.03,69.02,30.1,124.23,64
RC,0272,SLEEVE DRILL 2 OD1.3 MM ODSEC1 MM YELLOW 1.3 MM CORTEX SCREW,330.05,165.03,71.98,297.05,64
RC,0272,SLEEVE DRILL 2 OD1.5 MM ODSEC1.1 MM RED 1.5MM CORTEX SCREW,330.05,165.03,71.98,297.05,64
RC,0272,SLEEVE DRILL 2 OD2.7 MM ODSEC2 MM,336.72,168.36,73.44,303.05,64
RC,0272,SLEEVE DRILL 2 OD3.5 MM ODSEC2.5 MM TECOMET STAINLESS STEEL PERIARTICULAR,170.56,85.28,37.2,153.5,64
RC,0272,SLEEVE DRILL 2 OD6.5 MM ODSEC3.2 MM,336.72,168.36,73.44,303.05,64
RC,0272,SLEEVE DRILL 2.5 MM CANNULATED PERCUTANEOUS GUIDE SYSTEM,819.9,409.95,178.82,737.91,64
RC,0272,SLEEVE DRILL 2.8 MM,119.2,59.6,26.0,107.28,64
RC,0272,SLEEVE DRILL 2.9MM DIA F/SCREW TARGETING CLAMP LATEX-FREE,184.26,92.13,40.19,165.83,64
RC,0272,SLEEVE DRILL 2MM 1.5MM 2 NONSTERILE,336.72,168.36,73.44,303.05,64
RC,0272,SLEEVE DRILL 3.5 MM CANNULATED PERCUTANEOUS GUIDE SYSTEM,841.86,420.93,183.61,757.67,64
RC,0272,SLEEVE DRILL 4.8MM NONSTERILE,298.6,149.3,65.12,268.74,64
RC,0272,SLEEVE DRILL 5.5 MM 8 MM PROTECTION NA OLECRANON OSTEOTOMY NAIL,362.51,181.26,79.06,326.26,64
RC,0272,SLEEVE DRILL 8-13MM ELASTIC NAIL INSERTION SUPRAPATELLAR INSTRUMENTATION,110.45,55.23,24.09,99.41,64
RC,0272,SLEEVE DRILL 9 MM OUTER TRIGEN GOLD,338.25,169.13,73.77,304.43,64
RC,0272,SLEEVE DRILL BLADE SCREW GUIDE YELLOW,1247.22,623.61,272.02,1122.5,64
RC,0272,SLEEVE DRILL CLIP ON OD6 MM STAINLESS STEEL,333.89,166.95,72.82,300.5,64
RC,0272,SLEEVE DRILL CLIP ON PREPARE OD2.5 MM 03.607.110,333.89,166.95,72.82,300.5,64
RC,0272,SLEEVE DRILL CLIP ON PREPARE OD3.5 MM 03.607.110,333.89,166.95,72.82,300.5,64
RC,0272,SLEEVE DRILL CLIP ON PREPARE OD4 MM 03.607.110,333.89,166.95,72.82,300.5,64
RC,0272,SLEEVE DRILL CLIP ON PREPARE OD4.8 MM 03.607.110,333.89,166.95,72.82,300.5,64
RC,0272,SLEEVE DRILL EVOLUTION SYNFIX SCREWDRIVER AWL,24.0,12.0,5.23,21.6,64
RC,0272,SLEEVE DRILL EVOLUTION THREAD LOCK SYNFIX,94.05,47.03,20.51,84.65,64
RC,0272,SLEEVE DRILL GUIDE 4.5/5.5 MM VA-LCP CONDYLAR PLATE AIMING ARM,873.96,436.98,190.61,786.56,64
RC,0272,SLEEVE DRILL HOLD COMPRESSION DISTRACTION OD2 MM 2 MM K-WIRE,226.64,113.32,49.43,203.98,64
RC,0272,SLEEVE DRILL HOLD COMPRESSION DISTRACTION OD2 MM 2.5 MM K-WIRE,226.64,113.32,49.43,203.98,64
RC,0272,SLEEVE DRILL HOLD COMPRESSION DISTRACTION OD2 MM 3 MM K-WIRE,226.64,113.32,49.43,203.98,64
RC,0272,SLEEVE DRILL HUMERUS PROXIMAL LCP,182.69,91.35,39.84,164.42,64
RC,0272,SLEEVE DRILL L1.5 MM 2 BLUE 2 MM CORTEX SCREW,330.05,165.03,71.98,297.05,64
RC,0272,SLEEVE DRILL L10 MM SCFE SCREW,177.99,89.0,38.82,160.19,64
RC,0272,SLEEVE DRILL L130 MM OD8-14 MM,139.46,69.73,30.42,125.51,64
RC,0272,SLEEVE DRILL L200 MM OD3.2-8 MM,244.53,122.27,53.33,220.08,64
RC,0272,SLEEVE DRILL L200 MM OD4.2-8 MM,195.02,97.51,42.53,175.52,64
RC,0272,SLEEVE DRILL L200 MM OD5-8 MM,244.53,122.27,53.33,220.08,64
RC,0272,SLEEVE DRILL L248 MM WIRE GUIDE OD3.2 MM YELLOW,456.95,228.48,99.66,411.26,64
RC,0272,SLEEVE DRILL LONG PROTECTION OD4.3 MM VARIABLE ANGLE GUIDE,763.48,381.74,166.51,687.13,64
RC,0272,SLEEVE DRILL MEASURE NONSTERILE DISPOSABLE ALPS,121.0,60.5,26.39,108.9,64
RC,0272,SLEEVE DRILL MEASURE OD3.2 MM A.L.P.S.,166.4,83.2,36.29,149.76,64
RC,0272,SLEEVE DRILL NUBBIN OD1.7 MM 2.4 MM VAL CORTICAL SCREW,44.05,22.03,9.61,39.65,64
RC,0272,SLEEVE DRILL OD2 MM,34.03,17.02,7.42,30.63,64
RC,0272,SLEEVE DRILL PROTECTION OD13 MM FEMUR ANTEGRADE APPROACH,485.22,242.61,105.83,436.7,64
RC,0272,SLEEVE DRILL THK4.5 MM HEADLESS COMPRESSION SCREW,182.08,91.04,39.71,163.87,64
RC,0272,SLEEVE DRILL TROCAR OD4 MM TRIGEN TROCHANTERIC AND FEMORAL ANTEGRADE INTRAMEDULLARY NAIL,150.7,75.35,32.87,135.63,64
RC,0272,SLEEVE ENDOSCOPIC STABILITY 5MM DIA UNIVERSAL 75MML ABDOMINAL ENDOPATH XCEL,512.86,256.43,111.85,461.57,64
RC,0272,SLEEVE EXTERNAL FIXATION 4.3 MM 2.8 MM REDUCTION,129.97,64.99,28.35,116.97,64
RC,0272,SLEEVE EXTERNAL FIXATION L188 MM 18 MM 8 MM PROTECTION,217.25,108.63,47.38,195.53,64
RC,0272,SLEEVE HOLDING L105 MM,289.88,144.94,63.22,260.89,64
RC,0272,SLEEVE HOLDING LOCK DEVICE,722.05,361.03,157.48,649.85,64
RC,0272,SLEEVE HUMERAL 11MM POSITIONING COMPREHENSIVE SHOULDER,220.0,110.0,47.98,198.0,64
RC,0272,SLEEVE IRRIGATION L7 CM,650.0,325.0,141.77,585.0,64
RC,0272,SLEEVE IRRIGATION TPX,405.96,202.98,88.54,365.36,64
RC,0272,SLEEVE LAPAROSCOPIC 11MM 100MM ADVANCE FIXATION CANNULA SEAL KII ABDOMINAL STERILE LATEX FREE ACCESS SYSTEM,162.0,81.0,35.33,145.8,64
RC,0272,SLEEVE LAPAROSCOPIC 12MM 100MM ADVANCE FIXATION CANNULA SEAL KII ABDOMINAL STERILE LATEX FREE ACCESS SYSTEM,162.0,81.0,35.33,145.8,64
RC,0272,SLEEVE LAPAROSCOPIC 12MM 100MM UNIVERSAL STABILITY CANNULA RADIOPAQUE TROCAR ENDOPATH XCEL STERILE LATEX FREE DISPOSABLE,728.4,364.2,158.86,655.56,64
RC,0272,SLEEVE LAPAROSCOPIC 5MM 100MM UNIVERSAL STABILITY CANNULA RADIOPAQUE TROCAR ENDOPATH XCEL STERILE LATEX FREE DISPOSABLE,560.03,280.02,122.14,504.03,64
RC,0272,SLEEVE LAPAROSCOPIC L100 MM UNIVERSAL STABILITY CANNULA RADIOPAQUE TROCAR OD11 MM ENDOPATH XCEL,679.67,339.84,148.24,611.7,64
RC,0272,SLEEVE LAPAROSCOPIC L100 MM Z THREAD CANNULA SEAL OD11 MM KII ABDOMINAL ACCESS SYSTEM,162.0,81.0,35.33,145.8,64
RC,0272,SLEEVE LAPAROSCOPIC L100 MM Z THREAD CANNULA SEAL OD12 MM KII ABDOMINAL ACCESS SYSTEM,162.0,81.0,35.33,145.8,64
RC,0272,SLEEVE LEAD IS4 DF4 CONNECTOR SJM STERILE LATEX FREE DISPOSABLE,54.0,27.0,11.78,48.6,64
RC,0272,SLEEVE MAPPING 10MM PROTECTIVE GAMMA FINDER STERILE,1000.0,500.0,218.1,900.0,64
RC,0272,SLEEVE MAPPING GAMMA FINDER 3 STERILE,1000.0,500.0,218.1,900.0,64
RC,0272,SLEEVE PROTECTION 12 MM 8 MM FLAT SUPRAPATELLAR,276.2,138.1,60.24,248.58,64
RC,0272,SLEEVE PROTECTION 12MM NONSTERILE,485.22,242.61,105.83,436.7,64
RC,0272,SLEEVE PROTECTION L118 MM OD16 MM,632.34,316.17,137.91,569.11,64
RC,0272,SLEEVE PROTECTION L14.5 MM STRAIGHT 12-13 MM TITANIUM CANNULATED TIBIAL NAIL,450.78,225.39,98.32,405.7,64
RC,0272,SLEEVE PROTECTION L188 MM OD8-11 MM,234.57,117.29,51.16,211.11,64
RC,0272,SLEEVE PROTECTION L188 MM OD8-12 MM,303.38,151.69,66.17,273.04,64
RC,0272,SLEEVE PROTECTION L242 MM LONG OD16 MM PERCUTANEOUS,663.14,331.57,144.63,596.83,64
RC,0272,SLEEVE PROTECTION LCP NONSTERILE 2.8 MM VARIABLE ANGLE LONG DRILL GUIDE,546.1,273.05,119.1,491.49,64
RC,0272,SLEEVE PROTECTION LONG FLEXIBLE 8-13 MM NAIL,252.35,126.18,55.04,227.12,64
RC,0272,SLEEVE PROTECTION OD10 MM,322.67,161.34,70.37,290.4,64
RC,0272,SLEEVE PROTECTION OD13-15 MM SPIRAL BLADE AIM ARM,526.01,263.01,114.72,473.41,64
RC,0272,SLEEVE PROTECTION OD8.5-11.5 MM RECONSTRUCTION LOCK,180.65,90.33,39.4,162.59,64
RC,0272,SLEEVE PROTECTION OUTER OD12 MM SUPRAPATELLAR,86.94,43.47,18.96,78.25,64
RC,0272,SLEEVE PROTECTION OUTER OD14.5 MM SUPRAPATELLAR,86.94,43.47,18.96,78.25,64
RC,0272,SLEEVE PROTECTION QUICK COUPLING OD13 MM RAFN RETROGRADE NAIL,394.21,197.11,85.98,354.79,64
RC,0272,SLEEVE PROTECTION RIGID NA 8-11 MM NAIL,252.35,126.18,55.04,227.12,64
RC,0272,SLEEVE PROTECTION RIGID NA 8-13 MM NAIL,252.35,126.18,55.04,227.12,64
RC,0272,SLEEVE PROTECTION STRAIGHT OD12 MM 8-11 MM NAIL,450.78,225.39,98.32,405.7,64
RC,0272,SLEEVE RETINAL 2.1MM 1MM SILICONE STERILE,135.0,67.5,29.44,121.5,64
RC,0272,SLEEVE RETRACTOR HOLDER,1250.0,625.0,272.63,1125.0,64
RC,0272,SLEEVE SCREWDRIVER ACU-LOC 2 3.5 MM SCREW,657.0,328.5,143.29,591.3,64
RC,0272,SLEEVE SOUND PROCESSOR L1.9 IN X W.6 IN X H2.2 IN SEALABLE BUILT IN EAR HOOK COIL COCHLEAR NUCLEUS 7 AQUA+,45.9,22.95,10.01,41.31,64
RC,0272,SLEEVE STEREOTACTIC VARIABLE APERTURE F/11G PROBE MAMMOTOME DISPOSABLE,147.2,73.6,32.1,132.48,64
RC,0272,SLEEVE SUCTION/IRRIGATION N/A PM2,405.96,202.98,88.54,365.36,64
RC,0272,SLEEVE TRACTION COBAN ARM LATERAL,240.0,120.0,52.34,216.0,64
RC,0272,SLEEVE WIRE L10 MM OD2.8 MM SCFE SCREW,191.1,95.55,41.68,171.99,64
RC,0272,SLEEVE WIRE OD1.6 MM,158.61,79.31,34.59,142.75,64
RC,0272,SLIDE INSTRUCTIONAL HEMORRHOIDS STERILE LATEX FREE DISPOSABLE THD SYSTEM,5495.0,2747.5,1198.46,4945.5,64
RC,0272,SLIP-CATH 5FR 100CM ANGLED MULTIPURPOSE A BRAIDED BEACON TIP NYLON STAINLESS STEEL HYDROPHILIC 0.038IN GW 1BX/5EA RADIOPAQUE,288.99,144.5,63.03,260.09,64
RC,0272,SLITTER CATHETER CPS UNIVERSAL II STERILE LATEX FREE DISPOSABLE,40.0,20.0,8.72,36.0,64
RC,0272,SMARTMIX CEMVAC Cartridge,94.0,47.0,20.5,84.6,64
RC,0272,SMOOTHER BONE CRUCIAL TOOL OD9.5 MM GORE SMOOTHER,352.0,176.0,76.77,316.8,64
RC,0272,SNARE 2.8CM ROUND 240CM 10MM 2.4MM CAPTIVATOR II LOOP STIFF SHEATH BRAID WIRE ENDOSCOPIC POLYPECTOMY STERILE DISPOSABLE,151.0,75.5,32.93,135.9,64
RC,0272,SNARE 9MM 230CM 2.4MM EXACTO COLD BRAID WIRE CLEAN CUT ENDOSCOPIC PLACEMENT RESECTION STERILE LATEX FREE DISPOSABLE,164.8,82.4,35.94,148.32,64
RC,0272,SNARE DUCKBILL L25 MM OD7 FR ACUSNARE 1 PIECE GRADUATED MARK HANDLE ACCESSORY CHANNEL ENDOSCOPIC TEFLON NITINOL STAINLESS STEEL L240 CM ESOPHAGEAL COLON,275.0,137.5,59.98,247.5,64
RC,0272,SNARE ENDOSCOPIC 2.4MM DIA 230CML COLD EXACTO BX00711115 LATEX-FREE STERILE SINGLE-USE,120.0,60.0,26.17,108.0,64
RC,0272,SNARE ENDOSCOPIC 2.5MM DIA 230CML F/POLYPECTOMY TRACTION TRAXTION LATEX-FREE DISPOSABLE,261.62,130.81,57.06,235.46,64
RC,0272,SNARE ENDOSCOPIC POLYPECTOMY 1.9MM OD SHEATH WIDE MEDIUM 240CML 27MMW LOOP OVAL CAPTIFLEX LATEX-FREE STERILE SINGLE-USE,159.97,79.99,34.89,143.97,64
RC,0272,SNARE ENDOSCOPIC POLYPECTOMY 2.4MM OD MICRO SMALL 240CML 13MMW LOOP OVAL FLEXIBLE SHORT THROW SENSATION LATEX-FREE STERILE SINGLE-USE 2.8MM WORKING CHANNEL,213.29,106.65,46.52,191.96,64
RC,0272,SNARE HEXAGON L10 MM SNAREMASTER THIN WIRE HYBRID HOT COLD ENDOSCOPIC POLYPECTOMY 2.8 MM MINIMUM WORK CHANNEL,173.5,86.75,37.84,156.15,64
RC,0272,SNARE HEXAGON L15 MM SNAREMASTER THIN WIRE HYBRID HOT COLD ENDOSCOPIC POLYPECTOMY 2.8 MM MINIMUM WORK CHANNEL,173.5,86.75,37.84,156.15,64
RC,0272,SNARE HEXAGONAL L4.5 CM OD3 CM ODSEC7 FR ACUSNARE 1 PIECE BRAID SMOOTH ENDOSCOPIC POLYPECTOMY TEFLON NITINOL STAINLESS STEEL L240 CM ESOPHAGEAL,110.0,55.0,23.99,99.0,64
RC,0272,SNARE L15 MM OD7 FR ACUSNARE DUCKBILL TEFLON SHEATH ENDOSCOPIC POLYPECTOMY STAINLESS STEEL NITINOL L240 CM ESOPHAGEAL COLONIC,275.0,137.5,59.98,247.5,64
RC,0272,SNARE L286 CM X W9 MM SPYGLASS ENDOSCOPIC,538.0,269.0,117.34,484.2,64
RC,0272,SNARE LARGE OVAL L240 CM OD2.4 MM SENSATION MEDIUM STIFF WIRE ENDOSCOPIC POLYPECTOMY W30 MM,237.0,118.5,51.69,213.3,64
RC,0272,SNARE MEDIUM OVAL 240CM 2.4MM SENSATION LOOP FLEXIBLE STIFFNESS SHEATH ENDOSCOPIC POLYPECTOMY 27MM DISPOSABLE,250.0,125.0,54.53,225.0,64
RC,0272,SNARE MEDIUM OVAL 240CMX20MM 2.4MM ROTATABLE STAR CATHETER MEDIUM STIFF ENDOSCOPIC POLYPECTOMY 2.8MM DISPOSABLE,182.17,91.09,39.73,163.95,64
RC,0272,SNARE MINI HEXAGONAL L2.5 CM OD1.5 CM ODSEC7 FR ACUSNARE 1 PIECE BRAID SMOOTH ENDOSCOPIC POLYPECTOMY TEFLON NITINOL STAINLESS STEEL L240 CM ESOPHAGEAL,110.0,55.0,23.99,99.0,64
RC,0272,SNARE OVAL DIAMOND 230CM 2.4MM LARIAT LOOP STIFFER WIRE MULTIFUNCTIONAL SHEATH ENDOSCOPIC POLYPECTOMY 28X10MM LATEX FREE DISPOSABLE,158.37,79.19,34.54,142.53,64
RC,0272,SNARE PROFILE ENDOSCOPIC POLYPECTOMY STERILE LATEX FREE DISPOSABLE,159.97,79.99,34.89,143.97,64
RC,0272,SNARE SMALL OVAL 195CMX13MM 2.4MM TRU-TORQUE ROTATABLE STAR CATHETER MEDIUM STIFF ENDOSCOPIC POLYPECTOMY 2.8MM STERILE DISPOSABLE BLUE,179.4,89.7,39.13,161.46,64
RC,0272,SNARE SPIRAL 230CM 2.8MM 20MM SNAREMASTER RIDGE WIRE ENDOSCOPIC POLYPECTOMY STERILE LATEX FREE DISPOSABLE,246.99,123.5,53.87,222.29,64
RC,0272,SNARE STANDARD OVAL L230 CM OD2.4 MM ROTATOR 1 HAND MANIPULATION ROTATE ENDOSCOPIC POLYPECTOMY L2.5 CM X W5.4 CM,330.63,165.32,72.11,297.57,64
RC,0272,SNARE VASCULAR AMPLATZ GOOSENECK OD4 FR L102 CM CATHETER REPLACEMENT RADIOPAQUE MARKER BAND NITINOL PLATINUM IRIDIUM CARDIOVASCULAR,35.0,17.5,7.63,31.5,64
RC,0272,SOAP HAND WASH REFILL 2% CHG 2X1200ML FOAM PUMP BOTTLE HYPOALLERGENIC DYE-FREE ANTIMICROBIAL UNSCENTED F/CS8 TOUCH-FREE DISPENSER PURELL HEALTHY SOAP,32.55,16.28,7.1,29.3,64
RC,0272,SOFTWARE MEDICAL IPS PLANNING RECONSTRUCTION DISTRACTION,2878.0,1439.0,627.69,2590.2,64
RC,0272,"SOLUTION ALCOHOLIC HEMATOXYLIN, 5% SOLUTION, 500ML",105.95,52.98,23.11,95.36,64
RC,0272,SOLUTION ANTIFOG 16OZ MIRROR DEFOGGER BOTTLE BUTLER CLEAR DIP INTRAORAL,13.0,6.5,2.84,11.7,64
RC,0272,SOLUTION BUFFER PH 4 BOTTLE CALIBRATION 500 ML,27.27,13.64,5.95,24.54,64
RC,0272,SOLUTION CHEMISTRY PH 7 BOTTLE CALIBRATE 500 ML,27.27,13.64,5.95,24.54,64
RC,0272,SOLUTION DIALYSIS 2000ML ICODEXTRIN PVC CONTAINER PULL RING EXTRANEAL ULTRABAG PERITONEAL STERILE LATEX FREE,571.42,285.71,124.63,514.28,64
RC,0272,SOLUTION IRRIGATION 500ML GLUCOSE SODIUM BICARBONATE GLUTATHIONE GLASS BOTTLE BSS PLUS INTRAOCULAR STERILE,268.02,134.01,58.46,241.22,64
RC,0272,SOLUTION OPHTHALMIC .5ML VIAL TRYPAN VISIONBLUE,829.0,414.5,180.8,746.1,64
RC,0272,SOLUTION OPHTHALMIC SYRINGE ADATO SIL-OL 5000,459.95,229.98,100.32,413.96,64
RC,0272,SOLUTION WOUND CLEANSING IRRISEPT CHLORHEXIDINE GLUCONATE STERILE WATER 150 ML,600.0,300.0,130.86,540.0,64
RC,0272,SONOTRODE ULTRASOUND STANDARD STRAIGHT SONICWELD RX,229.13,114.57,49.97,206.22,64
RC,0272,SOURCE LIGHT METRIX RADIANCE QUADRANT RETRACTOR MICRODISCECTOMY MINIMAL ACCESS SPINAL TECHNOLOGY,120.75,60.38,26.34,108.68,64
RC,0272,SOURCE LIGHT QUADRANT,87.6,43.8,19.11,78.84,64
RC,0272,SOURCE LIGHT STRAIGHT TIP SCINTILLANT,87.6,43.8,19.11,78.84,64
RC,0272,SPATULA PLASMA PK SURGICAL,395.0,197.5,86.15,355.5,64
RC,0272,SPECIAL BOLUS NEEDLE  2,365.0,182.5,79.61,328.5,64
RC,0272,SPECIAL BOLUS NEEDLE 1-3/8,365.0,182.5,79.61,328.5,64
RC,0272,SPECULUM OPHTHALMIC LARGE W/LOOP DEPRESSOR F/RETINOPATHY EXAMINATION DISPOSABLE,318.0,159.0,69.36,286.2,64
RC,0272,SPECULUM RECTAL FANSLER MED,254.51,127.26,55.51,229.06,64
RC,0272,SPECULUM VAGINAL L4 IN X W1 5/16 IN GRAVES V MUELLER STAINLESS STEEL MEDIUM MIRROR RATCHET LOCK OPEN SIDE BLADE,34.49,17.25,7.52,31.04,64
RC,0272,SPHINCTEROTOME 170CM 7-20MM 4.5FR CLEVERCUT3V BILIARY PANCREAS 3 LUMEN MONOFILAMENT RADIOPAQUE GUIDEWIRE STERILE DISPOSABLE ENDOSCOPIC .035IN PRECURVE,141.52,70.76,30.87,127.37,64
RC,0272,SPHINCTEROTOME 5MM 7-5FR 5FR RX BILIARY SYSTEM 3 LUMEN NEEDLE KNIFE ENDOSCOPIC ACCEPTS .035IN GUIDEWIRE 4-6MM,196.1,98.05,42.77,176.49,64
RC,0272,SPHINCTEROTOME ENDOSCOPIC 5.5FR DIA DISTAL TIP 25MML CUT WIRE BILIARY DOME LUMENX3 CANNULATED BLACK CONNECTION FUSION OMNI-TOME STERILE SINGLE-USE 0.021IN GUIDEWIRE COMPATIBLE 2.8MM MINIMUM ACCESSORY ,211.0,105.5,46.02,189.9,64
RC,0272,SPHINCTEROTOME JAGTOME REVOLUTION PRO RX 39 CANNULATED ENDOSCOPIC,424.94,212.47,92.68,382.45,64
RC,0272,SPHINCTEROTOME L2.8 MM OD5.5 FR FUSION BILIARY PANCREATIC MONOFILAMENT GUIDEWIRE ENDOSCOPIC .021 IN BLACK,319.0,159.5,69.57,287.1,64
RC,0272,SPHINCTEROTOME L20 MM COMPLETECONTROL SHORT INSULATE CUT WIRE ENDOSCOPIC,1525.0,762.5,332.6,1372.5,64
RC,0272,SPHINCTEROTOME L20 MM L260 CM OD3.9 FR JAGTOME BILIARY PANCREAS CHOLANGIOGRAM KIT CANNULATED JAGWIRE GUIDEWIRE ENDOSCOPIC .035 IN,300.0,150.0,65.43,270.0,64
RC,0272,SPHINCTEROTOME L20 MM L260 CM OD4.4 FR JAGTOME BILIARY PANCREAS CHOLANGIOGRAM KIT CANNULATED STRAIGHT TIP PRELOAD ENDOSCOPIC .035 IN COMBO,318.0,159.0,69.36,286.2,64
RC,0272,SPHINCTEROTOME L20 MM L450 CM OD4.4 FR ODSEC.035 IN JAGTOME BILIARY PANCREAS CHOLANGIOGRAM KIT CANNULATED GUIDEWIRE CENTER LUMEN ENDOSCOPIC L5 MM,318.0,159.0,69.36,286.2,64
RC,0272,SPHINCTEROTOME L20 MM L5 MM OD3.9 FR AUTOTOME CANNULATE CENTER LUMEN ENDOSCOPIC ACCEPTS .025 IN GUIDEWIRE,219.72,109.86,47.92,197.75,64
RC,0272,SPHINCTEROTOME L20 MM L5 MM OD4.4 FR AUTOTOME CANNULATED CENTER LUMEN CUT WIRE ENDOSCOPIC ACCEPTS .035 IN GUIDEWIRE,219.72,109.86,47.92,197.75,64
RC,0272,SPHINCTEROTOME L20 MM L5 MM OD4.4 FR TRUETOME BILIARY CANNULATED DISTAL TIP CUT WIRE ENDOSCOPIC ACCEPTS .018-.035 IN GUIDEWIRE,223.3,111.65,48.7,200.97,64
RC,0272,SPHINCTEROTOME L200 CM L4 MM OD5 FR HUIBREGTSE 1 LUMEN NEEDLE KNIFE CUT WIRE GUIDEWIRE ENDOSCOPIC .035 IN PURPLE,154.0,77.0,33.59,138.6,64
RC,0272,SPHINCTEROTOME L200 CM L5 MM OD5.5 FR ULTRATOME BILIARY PANCREAS 3 LUMEN CUT WIRE SHORT NOSE ENDOSCOPIC ACCEPTS .035 IN DREAMWIRE,126.28,63.14,27.54,113.65,64
RC,0272,SPHINCTEROTOME L200 CM OD5-4 FR UTS BILIARY PANCREATIC 2 LUMEN ULTRA TAPER TIP PRECURVE MONOFILAMENT ENDOSCOPIC ACCEPTS .021 IN GUIDEWIRE BLACK,507.81,253.91,110.75,457.03,64
RC,0272,SPHINCTEROTOME L200 CM OD6-5 FR BILLROTH II PANCREATIC 2 LUMEN GUIDEWIRE CANNULATED BRAID ENDOSCOPIC .035 IN PURPLE,149.0,74.5,32.5,134.1,64
RC,0272,SPHINCTEROTOME L25 MM L200 CM OD7 FR FUSION BILE PANCREATIC 3 LUMEN MONOFILAMENT ENDOSCOPIC ACCEPTS .035 IN GUIDEWIRE PURPLE,205.0,102.5,44.71,184.5,64
RC,0272,SPHINCTEROTOME L25 MM OD7 FR FUSION BACKLOAD INDICATOR SPRING COIL ENDOSCOPIC ACCEPTS .035 IN GUIDEWIRE HYDROPHILIC PURPLE,211.0,105.5,46.02,189.9,64
RC,0272,SPHINCTEROTOME L260 CM L20 MM OD4.4 FR DREAMTOME BILIARY RAPID EXCHANGE CANNULATED CHANNEL C CUT WIRE ENDOSCOPIC L5 MM .035 IN STRAIGHT,390.0,195.0,85.06,351.0,64
RC,0272,SPHINCTEROTOME L30 MM COMPLETECONTROL SHORT WIRE ENDOSCOPIC ACCEPTS .025/.035 IN GUIDEWIRE,1525.0,762.5,332.6,1372.5,64
RC,0272,SPHINCTEROTOME L30 MM L5 MM OD4.4 FR DREAMTOME BILIARY PRELOAD CANNULATED CHANNEL C ENDOSCOPIC .035 IN STRAIGHT,424.94,212.47,92.68,382.45,64
RC,0272,SPHINCTEROTOME L5 MM L450 CM OD3.9 FR JAGWIRE CANNULATED PRELOAD STRAIGHT TIP ENDOSCOPIC .025 IN 20 MM,380.0,190.0,82.88,342.0,64
RC,0272,SPHINCTEROTOME L7 MM L200 CM OD5 FR MICROKNIFE BILIARY PANCREAS 3 LUMEN NEEDLE ENDOSCOPIC ACCEPTS .035 IN GUIDEWIRE,144.9,72.45,31.6,130.41,64
RC,0272,SPHINCTEROTOME OD6 FR D.A.S.H BILIARY PANCREATIC DOME TIP TRACER METRO DIRECT GUIDEWIRE ENDOSCOPIC .025 IN BLUE,139.0,69.5,30.32,125.1,64
RC,0272,SPIKE SPINAL SHORT LOW-PROFILE QUATTRO NON-STERILE,1485.0,742.5,323.88,1336.5,64
RC,0272,SPIKE SPINAL SHORT QUATTRO,1485.0,742.5,323.88,1336.5,64
RC,0272,SPLINT DENTAL 1 JAW SET IPS ORTHOGNATHIC,1582.0,791.0,345.03,1423.8,64
RC,0272,SPLINT DENTAL 2 JAW SET IPS ORTHOGNATHIC,2308.0,1154.0,503.37,2077.2,64
RC,0272,SPLINT DENTAL LATEX FREE NONSTERILE DISPOSABLE IPS,1307.0,653.5,285.06,1176.3,64
RC,0272,SPLINT DENTAL SUPPLEMENTAL IPS ORTHOGNATHIC,430.0,215.0,93.78,387.0,64
RC,0272,SPLINT DENTAL SUPPLEMENTAL LATEX FREE NONSTERILE DISPOSABLE IPS,308.0,154.0,67.17,277.2,64
RC,0272,SPLINT NASAL 0.5MMW X 1.5MML SPONGE GEL POSISEP X,600.0,300.0,130.86,540.0,64
RC,0272,SPLINT NASAL 2X.6IN POLYMER BIOCOMPATIBLE STERILE DISPOSABLE POSISEP X,700.0,350.0,152.67,630.0,64
RC,0272,SPLINT NASAL DOYLE II WHITE,205.28,102.64,44.77,184.75,64
RC,0272,SPLINT NASAL INTERNAL CUSTOM CUT,62.0,31.0,13.52,55.8,64
RC,0272,SPLINT NASAL INTERNAL REGULAR 100% SILICONE INTEGRAL AIRWAY PRE-PUNCHED HOLE F/POST-OP SEPTAL SUPPORT BREATHE EASY STERILE,123.5,61.75,26.94,111.15,64
RC,0272,SPLINT NASAL L3.5 CM X H2 CM THK.6 CM KENNEDY SEPTUM COMPRESSED DRAWSTRING NONSTICK WHITE,232.96,116.48,50.81,209.66,64
RC,0272,SPLINT NASAL SEPTUM SILICONE COMPRESS ANTERIOR TIP INTEGRAL AIRWAY LATEX FREE STERILE WHITE DOYLE II,64.6,32.3,14.09,58.14,64
RC,0272,SPLINT NASAL SMALL DOYLE II EXTERNAL,200.11,100.06,43.64,180.1,64
RC,0272,SPLINT NASAL SMALL EXTERNAL,1133.05,566.53,247.12,1019.75,64
RC,0272,SPLINT NASAL SMALL LATEX FREE NONSTERILE DISPOSABLE THERMASPLINT,259.25,129.63,56.54,233.33,64
RC,0272,SPLINT NASAL THICK STANDARD REUTER,239.98,119.99,52.34,215.98,64
RC,0272,SPLINT NASAL THK.25 MM STANDARD THIN FLUOROPLASTIC REUTER SEPTUM COMPRESS DRAWSTRING BIVALVE PREPUNCH HOLE WHITE,118.88,59.44,25.93,106.99,64
RC,0272,SPLINT NASAL THK.5 MM FLUOROPLASTIC REUTER CLASSIC SMOOTH GEL,342.55,171.28,74.71,308.3,64
RC,0272,SPLINT ORTHOPEDIC KNEE UNIVERSAL 24INX3IN FOAM CONTACT CLOSURE STRAP I BEAM POSTERIOR 2 MEDIAL LATERAL STAY PROCARE QUICK-FIT 36- IN,14.44,7.22,3.15,13.0,64
RC,0272,SPLINT ORTHOPEDIC LARGE FULL 31IN ADULT POSTERIOR LEG OPEN FRONT PRE-MOLDED FOAM ALUMINUM RADIOLUCENT,28.52,14.26,6.22,25.67,64
RC,0272,SPLINT ORTHOPEDIC MEDIUM FULL 25INL ALUMINUM YOUTH LEG PERFORATED W/FOAM LATEX-FREE NON-STERILE,24.72,12.36,5.39,22.25,64
RC,0272,SPLITTER SURGICAL BLADE RELINE FACIAL,150.0,75.0,32.72,135.0,64
RC,0272,SPONGE ABSORBABLE L12.5 CM X W8 CM PORCINE GELATIN SURGIFOAM THK10 MM,112.39,56.2,24.51,101.15,64
RC,0272,SPONGE ABSORBABLE L12.5 CM X W8 CM PORCINE GELATIN SURGIFOAM THK2 MM,112.39,56.2,24.51,101.15,64
RC,0272,SPONGE ABSORBABLE L6 CM X W2 CM PORCINE GELATIN SURGIFOAM THK7 MM 12-7,46.04,23.02,10.04,41.44,64
RC,0272,SPONGE ABSORBABLE L6.25 CM X W8 CM PORCINE GELATIN SURGIFOAM THK10 MM,50.66,25.33,11.05,45.59,64
RC,0272,SPONGE ABSORBABLE L8 CM PORCINE GELATIN SURGIFOAM CYLINDRICAL HEMORRHOIDECTOMY OD3 CM,128.96,64.48,28.13,116.06,64
RC,0272,SPONGE COLLAGEN L4 IN X W3 IN ABSORBENT MICROFIBRILLAR CODMAN,986.78,493.39,215.22,888.1,64
RC,0272,SPONGE DRESSING ANTIMICROBIAL ACTICOAT EXFIX,38.64,19.32,8.43,34.78,64
RC,0272,SPONGE LAPAROTOMY 3X1IN COTTON PEFORATE PLIABLE HIGH ABSORBENT RADIOPAQUE TELFA,735.19,367.6,160.34,661.67,64
RC,0272,SPONGE SURGICAL 4X4IN GAUZE CIGARETTE STYLE ROLL STERILE KITTNER LAPAROSCOPIC,475.0,237.5,103.6,427.5,64
RC,0272,SPONGE SURGICAL L8 IN FEMORAL CANAL,200.0,100.0,43.62,180.0,64
RC,0272,SPREADER FORCEPS SURGICAL,1164.56,582.28,253.99,1048.1,64
RC,0272,SPREADER GRAFT SURGICAL,375.0,187.5,81.79,337.5,64
RC,0272,SPREADER SHOULDER LEFT BEND NA SURGICAL,2458.0,1229.0,536.09,2212.2,64
RC,0272,SPREADER SHOULDER RIGHT BEND NA SURGICAL,2458.0,1229.0,536.09,2212.2,64
RC,0272,SPREADER TROCAR SURGICAL 35 MM,236.89,118.45,51.67,213.2,64
RC,0272,SPREADER TROCAR SURGICAL 75 MM,236.89,118.45,51.67,213.2,64
RC,0272,ST BASIN MIN SURG,73.35,36.68,16.0,66.02,64
RC,0272,STABILIZER CARDIAC 2 VACUUM TUBE REINFORCE ARM RIGID CLAMP OCTOPUS 4 TISSUE SURGICAL,927.0,463.5,202.18,834.3,64
RC,0272,STABILIZER ORTHOPEDIC SMALL 8.7INL PLASTIC SHELL GEL ANKLE STIRRUP HOOK-LOOP STRAPX2 FOAM PAD BICRO-LITE LATEX-FREE,39.45,19.73,8.6,35.51,64
RC,0272,STABILIZER PECTUS ELONGATE PECTUS SURGICAL,782.0,391.0,170.55,703.8,64
RC,0272,STABILIZER POSITIONER ACROBAT-I SURGICAL,918.96,459.48,200.43,827.06,64
RC,0272,STABILIZER SURGICAL ACROBAT-I STERILE LATEX FREE DISPOSABLE,1133.0,566.5,247.11,1019.7,64
RC,0272,STABILIZER SURGICAL REPROCESSED F/CARDIAC OFF-PUMP BYPASS OCTOPUS EVOLUTION,1020.0,510.0,222.46,918.0,64
RC,0272,STABILIZER SURGICAL TISSUE EVOLUTION OCTOPUS,1020.0,510.0,222.46,918.0,64
RC,0272,STABILIZER SURGICAL TISSUE EVOLUTION OCTOPUS 3,1153.6,576.8,251.6,1038.24,64
RC,0272,STABILIZER SURGICAL TISSUE OCTOPUS NUVO,1350.0,675.0,294.44,1215.0,64
RC,0272,STABILIZER SURGICAL TUBE SPARE FLEX,65.21,32.61,14.22,58.69,64
RC,0272,STABILIZER TITAN FLEX 360,4500.0,2250.0,981.45,4050.0,64
RC,0272,STABILIZER TOOL UPPER TRAY TAYLOR SPATIAL FRAME SURGICAL,455.95,227.98,99.44,410.36,64
RC,0272,STAIN MASSONS TRICHROME KIT HISTOLOGY ARTISAN 100 TEST,490.1,245.05,106.89,441.09,64
RC,0272,STAPLE BONE 20MM HIMAX PLUS WIDEBODY THK1.3-1.6MM NITINOL PREP KIT ELASTIC LOW PROFILE BRIDGE 5MM STERILE LATEX FREE,585.06,292.53,127.6,526.55,64
RC,0272,STAPLE L18 MM THK1.3-1.6 MM HIMAX PLUS WIDEBODY NITINOL BONE W5 MM PREP KIT ELASTIC LOW PROFILE BRIDGE,585.06,292.53,127.6,526.55,64
RC,0272,STAPLE SPINE L15 MM CD HORIZON LEGACY BONE,146.55,73.28,31.96,131.9,64
RC,0272,STAPLER 60 INTUITIVE DA VINCI XI INTERNAL BLACK GREEN,2065.0,1032.5,450.38,1858.5,64
RC,0272,STAPLER ANVIL CENTRIC CANNULA STAPLE SUREFORM 60 DA VINCI INTERNAL 12 MM,3339.0,1669.5,728.24,3005.1,64
RC,0272,STAPLER CURVE TIP ANVIL CENTRIC 12 FIRE CUT LINE SUREFORM 45 INTERNAL 40 MM 45 MM,3119.0,1559.5,680.25,2807.1,64
RC,0272,STAPLER ENDOSCOPIC L23 CM NONARTICULATE 6 STAPLE ROW SLR TITAN SGS,7650.0,3825.0,1668.47,6885.0,64
RC,0272,STAPLER ENDOSCOPIC L23 CM TITAN SGS,6300.0,3150.0,1374.03,5670.0,64
RC,0272,STAPLER ENDOSCOPIC L30 MM CURVE TIP ENDOWRIST DA VINCI XI,7560.0,3780.0,1648.84,6804.0,64
RC,0272,STAPLER INTERNAL 10MMX4MM LINEAR CUTTER TROCAR ENDO UNIVERSAL TITANIUM 65D THICK TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC,3322.5,1661.25,724.64,2990.25,64
RC,0272,STAPLER INTERNAL 21MMX4.8MM 22CM LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM STANDARD CIRCULAR STERILE LATEX FREE DISPOSABLE AQUA ENDOSCOPIC,2145.39,1072.7,467.91,1930.85,64
RC,0272,STAPLER INTERNAL 25MM 20CM SHAFT OPTIMIZE JAW 1 HAND JUSTRIGHT 2MM 5MM STERILE DISPOSABLE,5100.0,2550.0,1112.31,4590.0,64
RC,0272,STAPLER INTERNAL 28MMX4.8MM 22CM LINEAR CUT SQUEEZE HANDLE LARGE ANASTOMOTIC LIP DST SERIES EEA TITANIUM STANDARD CIRCULAR STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC,2199.03,1099.52,479.61,1979.13,64
RC,0272,STAPLER INTERNAL 30MM 3 ROW LINEAR PROXIMATE VASCULAR TISSUE WHITE,216.26,108.13,47.17,194.63,64
RC,0272,STAPLER INTERNAL 30MMX3.5MM 1.5MM 2 ROW LINEAR CUTTER PARALLEL JAW CLOSURE RELOAD PROXIMATE TITANIUM STANDARD REGULAR TISSUE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC,199.39,99.7,43.49,179.45,64
RC,0272,STAPLER INTERNAL 31MMX4.8MM 35CM LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM XL CIRCULAR STERILE LATEX FREE DISPOSABLE GREEN ENDOSCOPIC,3212.34,1606.17,700.61,2891.11,64
RC,0272,STAPLER INTERNAL 37CMX5.5MM 1-2.5MM LINEAR CUTTER ADJUSTABLE FLEXIBLE ENDOPATH CURVE CIRCLE 29MM INTRALUMINAL STERILE LATEX FREE DISPOSABLE 20.4MM LUMEN,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER INTERNAL 40MMX3.5MM 1.5MM 4 ROW LINEAR CUTTER CONTOUR TITANIUM CURVE REGULAR TISSUE STERILE LATEX FREE DISPOSABLE BLUE,1511.5,755.75,329.66,1360.35,64
RC,0272,STAPLER INTERNAL 44CM 6 ROW 12 FIRING LINEAR CUTTER ECHELON FLEX 60MM STERILE LATEX FREE DISPOSABLE,885.47,442.74,193.12,796.92,64
RC,0272,STAPLER INTERNAL 45MM LINEAR CUTTER NONABSORBABLE BRAID SUTURE PURSTRING SURGIDAC STAINLESS STEEL POLYESTER 2-0 STERILE LATEX FREE DISPOSABLE,710.52,355.26,154.96,639.47,64
RC,0272,STAPLER INTERNAL 5.2MMX1.5-2.2MM 3D GRIP SURFACE POWER ADJUSTABLE STAPLE ECHELON CIRCULAR 31MM 30,1011.66,505.83,220.64,910.49,64
RC,0272,STAPLER INTERNAL 5.5MM 28CMX1-2.5MM LINEAR CUTTER ADJUSTABLE FLEXIBLE ENDOPATH CURVE CIRCULAR 21MM INTRALUMINAL STERILE LATEX FREE DISPOSABLE 12.4MM LUMEN ENDOSCOPIC,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER INTERNAL 55MML REGULAR THICK TISSUE LINEAR CUTTER STAGGERED ROWX6 SELECTABLE STAPLE HEIGHT FIRINGX12 W/3D STAPLEX88,87.17,43.59,19.01,78.45,64
RC,0272,STAPLER INTERNAL 55MMX3.5MM 1.5MM 2 ROW LINEAR CUT ARTICULATE RELOAD PROXIMATE ACCESS TITANIUM STANDARD REGULAR TISSUE STERILE LATEX FREE DISPOSABLE BLUE,2028.16,1014.08,442.34,1825.34,64
RC,0272,STAPLER INTERNAL 57X.17MM ABSORBABLE LINEAR CUTTER RELOADABLE SQUEEZE HANDLE PREMIUM POLY CS TITANIUM UNIVERSAL STERILE LATEX FREE DISPOSABLE WHITE ENDOSCOPIC,7422.03,3711.02,1618.74,6679.83,64
RC,0272,STAPLER INTERNAL 60MMX3.5MM 1.5MM 2 ROW LINEAR CUTTER PARALLEL JAW CLOSURE RELOAD PROXIMATE TITANIUM STANDARD REGULAR TISSUE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC,200.37,100.19,43.7,180.33,64
RC,0272,STAPLER INTERNAL DFS STAINLESS STEEL TITANIUM 20W FASCIA DISPOSABLE,846.9,423.45,184.71,762.21,64
RC,0272,STAPLER INTERNAL INTUITIVE DA VINCI XI BLACK 60,2065.0,1032.5,450.38,1858.5,64
RC,0272,STAPLER INTERNAL LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP DST SERIES EEA ORVIL TITANIUM XL 25MM STERILE LATEX FREE DISPOSABLE WHITE ENDOSCOPIC,1133.88,566.94,247.3,1020.49,64
RC,0272,STAPLER INTERNAL OPEN 28MM DIA THICK TISSUE CIRCULAR SQUEEZE HANDLE TILT-TOP ANVIL W/3.5MMH TITANIUM STAPLE BLUE DST EEA XL SINGLE-USE,136.4,68.2,29.75,122.76,64
RC,0272,STAPLER INTERNAL REGULAR 75MMW X 78MML THICK TISSUE CUTTER FIRINGX12,130.84,65.42,28.54,117.76,64
RC,0272,STAPLER INTERNAL SET PROXIMATE PPH 33MM STERILE LATEX FREE DISPOSABLE PROLAPSE HEMORRHOID,1192.5,596.25,260.08,1073.25,64
RC,0272,STAPLER INTERNAL UNIVERSAL TITANIUM ARTICULATING W/12MM XLONG STAPLE ENDO GIA LATEX-FREE DISPOSABLE,1048.53,524.27,228.68,943.68,64
RC,0272,STAPLER INTRALUMINAL H5.5 MM OD33 MM 24.4 MM LUMEN LINEAR CUTTER ADJUSTABLE FLEXIBLE INTERNAL CURVE CIRCLE L28 CM X H1-2.5 MM,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER INTRALUMINAL L26 CM OD21 MM 12.4 MM LUMEN LINEAR CUTTER FLEXIBLE ADJUSTABLE TITANIUM INTERNAL CURVE CIRCLE W5.5 MM,617.77,308.89,134.74,555.99,64
RC,0272,STAPLER L21 MM ENDOSCOPIC 2 STAGGER STAPLE LINEAR CUTTER ANVIL DST SERIES EEA ORVIL TILT-TOP TITANIUM PVC DEHP INTERNAL CIRCLE L90 CM AQUA,792.18,396.09,172.77,712.96,64
RC,0272,STAPLER L21 MM X H3.5 MM ENDOSCOPIC LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM INTERNAL XL CIRCULAR L35 CM AQUA,3493.77,1746.89,761.99,3144.39,64
RC,0272,STAPLER L25 MM ENDOSCOPIC 2 STAGGER ROW LOW PROFILE ANVIL STAPLE QUICK RELEASE WING NUT PREMIUM PLUS CEEA TILT-TOP TITANIUM INTERNAL CIRCULAR CURVE,3369.48,1684.74,734.88,3032.53,64
RC,0272,STAPLER L25 MM X H3.5 MM ENDOSCOPIC LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM INTERNAL XL CIRCULAR L35 CM WHITE,3560.31,1780.16,776.5,3204.28,64
RC,0272,STAPLER L25 MM X H4.8 MM ENDOSCOPIC LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM INTERNAL STANDARD CIRCULAR L22 CM WHITE,2903.61,1451.81,633.28,2613.25,64
RC,0272,STAPLER L28 CM ECHELON FLEX GST INTERNAL 45 MM L60 MM,942.95,471.48,205.66,848.66,64
RC,0272,STAPLER L28 CM ENDOSCOPIC LINEAR CUTTER ARTICULATE ECHELON FLEX GST INTERNAL L45 MM,785.79,392.9,171.38,707.21,64
RC,0272,STAPLER L28 MM X H4.8 MM ENDOSCOPIC LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM INTERNAL XL CIRCULAR L35 CM BLUE,4381.77,2190.89,955.66,3943.59,64
RC,0272,STAPLER L30 MM OD14 MM DA VINCI XI SURGICAL SYSTEM REPOSABLE STRAIGHT TIP FULL WRIST ARTICULATION ENDOWRIST INTERNAL,7140.0,3570.0,1557.23,6426.0,64
RC,0272,STAPLER L30 MM OD8 MM SUREFORM INTERNAL,3276.0,1638.0,714.5,2948.4,64
RC,0272,STAPLER L30 MM X H8 MM SUREFORM INTERNAL,2520.0,1260.0,549.61,2268.0,64
RC,0272,STAPLER L31 MM X H4.8 MM ENDOSCOPIC LINEAR CUTTER SQUEEZE HANDLE LARGE ANASTOMOTIC LIP EEA TITANIUM INTERNAL STANDARD CIRCULAR L22 CM GREEN,2199.03,1099.52,479.61,1979.13,64
RC,0272,STAPLER L340 MM LINEAR CUTTER ECHELON FLEX GST INTERNAL STANDARD L60 MM,942.95,471.48,205.66,848.66,64
RC,0272,STAPLER L37 CM OD21 MM 2 ROW 16 STAPLE SEAL INTERNAL XL CIRCULAR L5.2 MM X H1.5-2.2 MM,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER L37 CM OD25 MM 2 ROW SEAL INTERNAL XL CIRCULAR L5.2 MM X H1.5-2.2 MM,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER L37 CM OD29 MM 2 ROW SEAL INTERNAL XL CIRCULAR L5.2 MM X H1.5-2.2 MM,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER L37 CM OD33 MM 2 ROW SEAL INTERNAL XL CIRCULAR L5.2 MM X H1.5-2.2 MM,715.91,357.96,156.14,644.32,64
RC,0272,STAPLER L440 MM LINEAR CUTTER ARTICULATE ECHELON FLEX GST INTERNAL LONG L60 MM,942.95,471.48,205.66,848.66,64
RC,0272,STAPLER L45 MM 6 ROW 12 FIRING ARTICULATION ROTATE KNOB ECHELON FLEX INTERNAL L340 MM,773.53,386.77,168.71,696.18,64
RC,0272,STAPLER L45 MM LINEAR CUTTER ARTICULATE ECHELON FLEX INTERNAL L280 MM,773.53,386.77,168.71,696.18,64
RC,0272,STAPLER L45 MM LINEAR CUTTER ECHELON FLEX GST INTERNAL STANDARD L340 MM,785.79,392.9,171.38,707.21,64
RC,0272,STAPLER L5.2 MM X H1.5-2.2 MM 3D GRIP SURFACE POWER ADJUSTABLE STAPLE ECHELON CIRCULAR INTERNAL 22 MM 25,1011.66,505.83,220.64,910.49,64
RC,0272,STAPLER L60 MM 12 MM TROCAR 6 ROW LINEAR CUTTER ARTICULATE 12 FIRING ECHELON FLEX INTERNAL L340 MM,885.47,442.74,193.12,796.92,64
RC,0272,STAPLER L60 MM LINEAR CUTTER ARTICULATE ECHELON FLEX INTERNAL L280 MM,885.47,442.74,193.12,796.92,64
RC,0272,STAPLER L65 MM NONABSORBABLE RING HANDLE PURSTRING MONOSOF STAINLESS STEEL NYLON INTERNAL 2-0,1279.95,639.98,279.16,1151.96,64
RC,0272,STAPLER OD14 MM SUREFORM 45 INTERNAL,2898.0,1449.0,632.05,2608.2,64
RC,0272,STAPLER OD28 MM CELLULAR EEA INTERNAL MEDIUM THICK,3369.72,1684.86,734.94,3032.75,64
RC,0272,STAPLER OD31 MM CELLULAR EEA INTERNAL MEDIUM THICK,3369.72,1684.86,734.94,3032.75,64
RC,0272,STAPLER OD8 MM SUREFORM INTERNAL D30 MM,2520.0,1260.0,549.61,2268.0,64
RC,0272,STAPLER POWER 45MM 45MM COMPACT ECHELON 3000 280MM SHAFT,942.95,471.48,205.66,848.66,64
RC,0272,STAPLER POWER 60MM 60MM COMPACT ECHELON 3000 280MM SHAFT,1131.54,565.77,246.79,1018.39,64
RC,0272,STAPLER POWER 60MM 60MM LONG ECHELON 3000 440MM SHAFT,1131.54,565.77,246.79,1018.39,64
RC,0272,STAPLER POWER 60MM 60MM STANDARD ECHELON 3000 340MM SHAFT,1131.54,565.77,246.79,1018.39,64
RC,0272,STAPLER POWER L34 CM STANDARD 12 FIRING ECHELON 3000 L45 MM,942.95,471.48,205.66,848.66,64
RC,0272,STAPLER POWER POWER CONTROL SHELL SIGNIA,3059.94,1529.97,667.37,2753.95,64
RC,0272,STAPLER REGULAR TISSUE L100 MM 4 ROW RELOAD PROXIMATE INTERNAL BLUE,462.16,231.08,100.8,415.94,64
RC,0272,STAPLER REGULAR TISSUE L34 CM LINEAR CUTTER ARTICULATE RELOAD ENDOPATH ETS INTERNAL L45 MM,579.98,289.99,126.49,521.98,64
RC,0272,STAPLER REGULAR TISSUE L55 MM X H3.85 MM 4 ROW CARTRIDGE RETAIN BUTTON PROXIMATE TITANIUM INTERNAL STANDARD H1.5 MM BLUE,202.76,101.38,44.22,182.48,64
RC,0272,STAPLER REGULAR TISSUE L60 MM X H3.8 MM 4 ROW LINEAR CUTTER QUICK RELEASE BUTTON ADJUSTABLE FIRING KNOB GIA TITANIUM STAINLESS STEEL INTERNAL TEARDROP H1.5 MM BLUE,1254.6,627.3,273.63,1129.14,64
RC,0272,STAPLER REGULAR TISSUE L80 MM X H3.8 MM 4 ROW LINEAR CUTTER QUICK RELEASE BUTTON ADJUSTABLE FIRING KNOB DST SERIES GIA TITANIUM STAINLESS STEEL INTERNAL TEARDROP H1.5 MM BLUE,1860.57,930.29,405.79,1674.51,64
RC,0272,STAPLER REGULAR TISSUE L80 MM X H4.8 MM ENDOSCOPIC 4 ROW LINEAR CUT QUICK RELEASE BUTTON ADJUSTABLE FIRE KNOB DST SERIES GIA TITANIUM STAINLESS STEEL INTERNAL TEARDROP H2 MM BLUE,1443.42,721.71,314.81,1299.08,64
RC,0272,STAPLER REGULAR TISSUE L90 MM X H4.8 MM ENDOSCOPIC 2 ROW LINEAR CUTTER 2 ACTION HANDLE MANUAL PIN PLACEMENT TA TITANIUM INTERNAL GREEN,867.18,433.59,189.13,780.46,64
RC,0272,STAPLER REGULAR TISSUE L90 MM X H4.8 MM ENDOSCOPIC 2 ROW LINEAR CUTTER 2 ACTION HANDLE RELOADABLE TA TITANIUM INTERNAL H2 MM GREEN,1314.54,657.27,286.7,1183.09,64
RC,0272,STAPLER SEPTAL ENTACT INTERNAL,591.24,295.62,128.95,532.12,64
RC,0272,STAPLER SKIN ABSORBABLE STERILE LATEX FREE INSORB DISPOSABLE 30 SUBCUTICULAR,299.0,149.5,65.21,269.1,64
RC,0272,STAPLER SKIN L3.9 MM X W6.9 MM WIDE RECTANGULAR 35 COUNT ROTATE HEAD RATCHET PROXIMATE STAINLESS STEEL OD.58 MM,105.0,52.5,22.9,94.5,64
RC,0272,STAPLER SKIN L4.1 MM X W6.5 MM 35 WIDE STAPLE CARTRIDGE APPOSE ULC CLEAR STAINLESS STEEL PLASTIC,358.2,179.1,78.12,322.38,64
RC,0272,STAPLER STANDARD TISSUE L75 MM X H3.85 MM 4 ROW CARTRIDGE RETAIN BUTTON PROXIMATE TITANIUM INTERNAL H1.5 MM BLUE,302.58,151.29,65.99,272.32,64
RC,0272,STAPLER THICK TISSUE L100 MM X H4.5 MM 4 ROW CARTRIDGE RETAIN BUTTON PROXIMATE TITANIUM INTERNAL H2 MM GREEN,493.59,246.8,107.65,444.23,64
RC,0272,STAPLER THICK TISSUE L30 MM X H4.8 MM 2 ROW LINEAR RELOAD PROXIMATE TITANIUM INTERNAL H2 MM GREEN,195.59,97.8,42.66,176.03,64
RC,0272,STAPLER THICK TISSUE L40 MM X H1.5 MM CURVE CUTTER ECHELON CONTOUR INTERNAL 46 L51 MM BLUE,1511.5,755.75,329.66,1360.35,64
RC,0272,STAPLER THICK TISSUE L40 MM X H4.7 MM 4 ROW LINEAR CUTTER ECHELON CONTOUR TITANIUM INTERNAL CURVE H2 MM GREEN,1511.5,755.75,329.66,1360.35,64
RC,0272,STAPLER THICK TISSUE L55 MM X H4.8 MM 2 ROW LINEAR CUTTER RELOAD ARTICULATE PROXIMATE ACCESS TITANIUM INTERNAL STANDARD H2 MM GREEN,1046.52,523.26,228.25,941.87,64
RC,0272,STAPLER THICK TISSUE L75 MM X H4.5 MM ENDOSCOPIC 4 ROW LINEAR CUTTER SAFETY LOCKOUT HEAVY WIRE PROXIMATE TITANIUM INTERNAL H2 MM GREEN,329.55,164.78,71.87,296.6,64
RC,0272,STAPLER THICK TISSUE W4.8 MM OD12 MM ENDOSCOPIC 10 COUNT LINEAR CUTTER ENDO UNIVERSAL TITANIUM INTERNAL 65 D,3322.5,1661.25,724.64,2990.25,64
RC,0272,STAPLER TISSUE L16 CM X W4 MM OD12 MM ENDOSCOPIC ENDO GIA PVC INTERNAL STANDARD UNIVERSAL,1467.78,733.89,320.12,1321.0,64
RC,0272,STAPLER VASCULAR TISSUE L32 CM POWER ADVANCE PLACEMENT TIP ARTICULATE ECHELON FLEX INTERNAL STANDARD L35 MM,791.72,395.86,172.67,712.55,64
RC,0272,STEINMANN PIN (SHARP) 250MM,60.0,30.0,13.09,54.0,64
RC,0272,STEINMANN PIN SEMI-BLUNT 250MM,60.0,30.0,13.09,54.0,64
RC,0272,STEM HUMERAL 28MM 6MM SHORT TITANIUM SHOULDER 13STERILE STERILE LATEX FREE,1847.02,923.51,402.84,1662.32,64
RC,0272,STENT BRONCHIAL 10MM 30MM SILICONE,358.75,179.38,78.24,322.88,64
RC,0272,STENT BRONCHIAL BSP-1240-S W/POSTS & ULTRA SMOOTH,358.75,179.38,78.24,322.88,64
RC,0272,STENT BRONCHIAL W/POST ANCHORING STUD 12MML A 30MML B,358.75,179.38,78.24,322.88,64
RC,0272,STENT BRONCHIAL W/POST ANCHORING STUD 40MML,358.75,179.38,78.24,322.88,64
RC,0272,STENT BRONCHIAL W/RINGS W/ULTRA  SMOOTH,346.35,173.18,75.54,311.72,64
RC,0272,STENT NASAL 20MM OD MEDIUM SILCONE,242.0,121.0,52.78,217.8,64
RC,0272,STENT TRACH REDUCING DIAMETER W/POST &ULTRA SMOOTH,425.58,212.79,92.82,383.02,64
RC,0272,STENT W/POSTS YS1-1512-S Y 1MM WALL THICKNESS,481.26,240.63,104.96,433.13,64
RC,0272,STEP DRILL BIT 5.0MM SHORT,235.0,117.5,51.25,211.5,64
RC,0272,STERNALOCK SCREW MEASURE,961.0,480.5,209.59,864.9,64
RC,0272,STICK SWITCHING XLONG SWIVEL OD4 MM SHOULDER CANNULA,130.0,65.0,28.35,117.0,64
RC,0272,STIMULATOR 2 LED INDICATOR CHECKPOINT GUARDIAN NERVE STERILE DISPOSABLE,2936.0,1468.0,640.34,2642.4,64
RC,0272,STIMULATOR DYNAMIC NVJJB NERVE,18.6,9.3,4.06,16.74,64
RC,0272,STIMULATOR HANDHELD LOCATOR VARI-STIM III NERVE STANDARD SUBDERMIS,413.0,206.5,90.08,371.7,64
RC,0272,STIMULATOR NERVE CHECKPOINT GEMINI BIPOLAR,696.0,348.0,151.8,626.4,64
RC,0272,STIMULATOR/LOCATOR NERVE IO-FLEX NEURO CHECK WIRE PROXIMAL HANDLE RIGID SHAFT THIN FLEXIBLE DISTAL PLATFORM STERILE DISPOSABLE,340.2,170.1,74.2,306.18,64
RC,0272,STOP DRILL 4.5 MM/6.5 MM STEP BIT EXPERT NAIL SYSTEM NONSTERILE,312.29,156.15,68.11,281.06,64
RC,0272,STOP DRILL ANTI ROTATION,833.0,416.5,181.68,749.7,64
RC,0272,STOPCOCK CYSTOSCOPE UNIVERSAL REPLACEMENT LUER-LOK,160.48,80.24,35.0,144.43,64
RC,0272,STOPCOCK ENDOSCOPIC UNIVERSAL LUER LOCK,129.16,64.58,28.17,116.24,64
RC,0272,STOPPER EXTERNAL FIXATION LARGE LCP PERIARTICULAR AIM ARM,86.33,43.17,18.83,77.7,64
RC,0272,STRAP NEGATIVE PRESSURE L61 CM LARGE SNAP,105.0,52.5,22.9,94.5,64
RC,0272,STRAP OR POSITIONING CHIN HEAD F/BEACH CHAIR NON-STERILE SINGLE-USE,237.65,118.83,51.83,213.89,64
RC,0272,STRAP TRACTION DISTRACTOR NYLON ANKLE ELBOW ARTHROSCOPY,225.0,112.5,49.07,202.5,64
RC,0272,STRIP LIGHT TISSUE SPARING SOLUTION RETRACTOR,1080.0,540.0,235.55,972.0,64
RC,0272,STRIP MICRODOT PRO BLOOD GLUCOSE TEST,13.8,6.9,3.01,12.42,64
RC,0272,STRUT EXTERNAL FIXATION L158-318 MM LONG TL-HEX HEXAPOD SYSTEM,1166.88,583.44,254.5,1050.19,64
RC,0272,STYLET CATHETER 6FR VAN BUREN CURVE FOLEY LOCK HANDLE BARD STAINLESS STEEL LATEX FREE,46.25,23.13,10.09,41.63,64
RC,0272,STYLET CATHETER FOLEY 4FR DIA STAINLESS STEEL MALLEABLE TIP LATEX-FREE STERILE,22.05,11.03,4.81,19.85,64
RC,0272,STYLET CATHETER LONG 16.5CML STAINLESS STEEL 34DEG ANGLED BENT FALLER STERILE AUTOCLAVABLE 1/EA,62.0,31.0,13.52,55.8,64
RC,0272,STYLET CLEANING CANNULATED OD1.25 MM,89.17,44.59,19.45,80.25,64
RC,0272,STYLET CLEANING F/NAVIGATED PLACEMENT SHUNT/VENTRICULAR CATHETER DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,STYLET DIALYSIS 5FR 9IN BLUNT TUNNEL QUINTON ARGYLE STAINLESS STEEL PERITONEAL STERILE LATEX FREE DISPOSABLE,59.89,29.95,13.06,53.9,64
RC,0272,STYLET INSTRUMENT CLEAN OD4.6 MM NA,68.69,34.35,14.98,61.82,64
RC,0272,STYLET INSTRUMENT L40 MM 1 STEP STYLET BEVEL INVICTUS SPINE,97.5,48.75,21.26,87.75,64
RC,0272,STYLET INSTRUMENT L40 MM STYLET SINGLE STEP DIAMOND TIPPED INVICTUS SPINE,97.5,48.75,21.26,87.75,64
RC,0272,STYLET INSTRUMENT L45 MM 1 STEP STYLET BEVEL TIPPED INVICTUS SPINE,97.5,48.75,21.26,87.75,64
RC,0272,STYLET INSTRUMENT L45 MM STYLET SINGLE STEP DIAMOND TIPPED INVICTUS SPINE,97.5,48.75,21.26,87.75,64
RC,0272,STYLET INSTRUMENT L50 MM STYLET SINGLE STEP DIAMOND TIPPED INVICTUS SPINE,97.5,48.75,21.26,87.75,64
RC,0272,STYLET INSTRUMENT NONSTERILE BONE HARVEST TREPHINE EXTRACTION ATTACHMENT,105.72,52.86,23.06,95.15,64
RC,0272,STYLET INTUBATION 5IN FLEXIBLE SURCH-LITE STERILE LATEX DISPOSABLE,291.79,145.9,63.64,262.61,64
RC,0272,STYLET INTUBATION RIGID GLIDERITE NONSTERILE LATEX FREE REUSABLE ENDOTRACHEAL TUBE,396.52,198.26,86.48,356.87,64
RC,0272,STYLET LEAD .016IN STRAIGHT TAPER 52CM BALL TIP KNOB RUST,40.0,20.0,8.72,36.0,64
RC,0272,STYLET LEAD .016MM 14MM 52CM 40MM DEFLECT STEERABLE EXTRA FIRM LOCATOR PLUS ATRIAL,98.0,49.0,21.37,88.2,64
RC,0272,STYLET LEAD .016MM 14MM 58CM 40MM DEFLECT STEERABLE EXTRA FIRM LOCATOR PLUS ATRIAL,98.0,49.0,21.37,88.2,64
RC,0272,STYLET LEAD 0.016IN DIA 14MM RADIUS 58CML 55MML ENDOCARDIAL VENTRICULAR DEFLECTABLE X-FIRM F/TENDRIL POSITIONING LOCATOR PLUS LATEX-FREE STERILE,98.0,49.0,21.37,88.2,64
RC,0272,STYLET LEAD 28MM 46CM 40MM STEERABLE SMOOTHLY EXTEND LOCATOR PLUS ATRIUM,98.0,49.0,21.37,88.2,64
RC,0272,STYLET LEAD MEDIUM 52CM RVOT KIT MOND STAINLESS STEEL,81.0,40.5,17.67,72.9,64
RC,0272,STYLET LEAD MEDIUM 58CM RVOT KIT MOND STAINLESS STEEL,81.0,40.5,17.67,72.9,64
RC,0272,STYLET LEAD MEDIUM 60CM RVOT KIT MOND STAINLESS STEEL,62.0,31.0,13.52,55.8,64
RC,0272,STYLET LEAD MEDIUM 65CM RVOT KIT MOND STAINLESS STEEL,76.0,38.0,16.58,68.4,64
RC,0272,STYLET LEAD TAPER 92CM 15CM KIT STIFF QUICKSITE LEFT HEART CRT,95.0,47.5,20.72,85.5,64
RC,0272,STYLET LEAD WIDE 58CM RVOT KIT MOND STAINLESS STEEL,73.0,36.5,15.92,65.7,64
RC,0272,STYLET NAVIGATION 2 COIL,638.0,319.0,139.15,574.2,64
RC,0272,STYLET NAVIGATION NAVIGATION STYLET VIPER PRIME SPINE,152.85,76.43,33.34,137.57,64
RC,0272,STYLET NAVIGATION PRE-CALIBRATED F/SHUNT/VENTRICULAR CATHETER NAVIGATED PLACEMENT SINGLE-USE,5650.0,2825.0,1232.27,5085.0,64
RC,0272,STYLET NAVIGATION VIPER PRIME SPINE,152.85,76.43,33.34,137.57,64
RC,0272,STYLET NEUROSTIMULATOR LEAD STERILE,806.4,403.2,175.88,725.76,64
RC,0272,STYLET SURGICAL INSTRUMENT BEVEL OD10 GA IVAS,88.12,44.06,19.22,79.31,64
RC,0272,SUBSTITUTE BONE GRAFT 2.5CC VITOSS TYPE I BOVINE COLLAGEN BTCP BIOACTIVE GLASS FOAM PACK STERILE LATEX FREE BA2X,500.0,250.0,109.05,450.0,64
RC,0272,SUBSTITUTE BONE GRAFT 5CC VITOSS 2X BOVINE COLLAGEN CALCIUM PHOSPHATE FOAM BIOACTIVE VOID FILLER PACK INTERCONNECT,1000.0,500.0,218.1,900.0,64
RC,0272,SUBSTITUTE BONE GRAFT B-TCP L50 MM X W25 MM X H8 MM 10 ML VOID FILLER FOAM STRIP COMPRESSION RESISTANT BIOACTIVE VITOSS,1500.0,750.0,327.15,1350.0,64
RC,0272,SUCKER INTRACARDIAC SUCTION .25IN MINI CONNECTOR SOFT,271.0,135.5,59.11,243.9,64
RC,0272,SUCTION ENDOSCOPIC MALLEABLE STANDARD TIP OD12 FR AXIEM,310.96,155.48,67.82,279.86,64
RC,0272,SUCTION ENDOSCOPIC OD10.8-13.2 MM ESUCTION COLONIC 2.8 MM MINIMUM WORK CHANNEL,658.19,329.1,143.55,592.37,64
RC,0272,SUCTION ENDOSCOPIC RETRIEVAL OD8.6-10 MM ESUCTION ESOPHAGEAL,658.19,329.1,143.55,592.37,64
RC,0272,SUCTION IRRIGATION ADAPTER W STOPCOCK,349.6,174.8,76.25,314.64,64
RC,0272,SUMP INTRACARDIAC SUCTION 15IN 20FR DLP .25IN PERICARDIAL STAINLESS STEEL CONNECTOR WEIGHT TIP MULTIPORT ADULT STERILE,258.7,129.35,56.42,232.83,64
RC,0272,SUPPORT KNEE 2XL STABILIZED PATELLAR SEWN IN U BUTTRESS LOW PROFILE LYCRA LINER FORM FIT ORTHOPEDIC NEOPRENE OD44-48 CM BLACK,13.81,6.91,3.01,12.43,64
RC,0272,SUPPORT ORTHO S2S PREMIERPRO ABDUCTION LG UNIV 7INX19IN SHOULDER 35DEG WAIST STRAP THUMB LOOP,27.06,13.53,5.9,24.35,64
RC,0272,SUPPORT ORTHOPEDIC BASIC RIGID SMALL 24-30IN WAIST FOAM ELASTIC NEOPRENE POCKET LUMBAR DOUBLE SIDE-PULL PADDED,33.1,16.55,7.22,29.79,64
RC,0272,SUPPORT PENILE WILSON STAY HOOK ELEVATION STRAP RETRACTOR FRAME W/12MM BLUNT 5MM SHARP TIP,105.0,52.5,22.9,94.5,64
RC,0272,SUPPORT SCROTAL 26IN-32IN CIRC SMALL 1 1/4INW WAISTBAND NYLON F/ATHLETIC STRAIN PROTECTION BAUER  BLACK LATEX-FREE NON-STERILE REUSABLE,10.49,5.25,2.29,9.44,64
RC,0272,SUPPORT SCROTAL SMALL SUSPENSORY LEG STRAP ELASTIC WAISTBAND BAUER & BLACK COTTON ADULT MALE WHITE,385.85,192.93,84.15,347.27,64
RC,0272,SUPPORT UNIVERSAL SHOULDER SCOPE ABDUCTOR FOAM ORTHOPEDIC LF DISPOSABLE,99.33,49.67,21.66,89.4,64
RC,0272,SUT GORE-TEX CV-8 PT09 8M08A,517.0,258.5,112.76,465.3,64
RC,0272,SUT MDERM 2-0 YA-1024-0,214.63,107.32,46.81,193.17,64
RC,0272,SUT PDO 2-0 3/8 CIR RA1028Q,187.8,93.9,40.96,169.02,64
RC,0272,SUTURE 2 MO-7 BLUE VIOLET ABSORBABLE,353.0,176.5,76.99,317.7,64
RC,0272,SUTURE 2-0 SH L18 IN VIOLET ABSORBABLE,275.0,137.5,59.98,247.5,64
RC,0272,SUTURE 3.- 8-18IN VICRYL PLUS UND CR,147.23,73.62,32.11,132.51,64
RC,0272,SUTURE 5 CCS 18IN STAINLESS STEEL MONOFILAMENT 4 STRAND NONABSORBABLE SILVER M653G,139.64,69.82,30.46,125.68,64
RC,0272,SUTURE ABSORBABLE #0 24INL MONOFILAMENT 1/2 CIRCLE CT TAPER POINT VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A441 LATEX-FREE STERILE 1STRAND/PK POLYDIOXANONE PRE-CUT,461.92,230.96,100.74,415.73,64
RC,0272,SUTURE ABSORBABLE #0 6INL 10MML STRAIGHT TAPER POINT W/LOOP GREEN V-LOC 180 ENDO STITCH VLOCA006L BARBED MONOFILAMENT POLYGLYCONATE,735.12,367.56,160.33,661.61,64
RC,0272,SUTURE ABSORBABLE #0 6INL MONOFILAMENT 1/2 CIRCLE CT-1 TAPER POINT VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A418 LATEX-FREE STERILE 1STRAND/PK POLYDIOXANONE PRE-CUT,461.74,230.87,100.71,415.57,64
RC,0272,SUTURE ABSORBABLE #1 18INL CHROMIC GUT TIES W/O NEEDLE NATURAL BROWN UNDYED SG15T 12 STRANDS/PK,275.84,137.92,60.16,248.26,64
RC,0272,SUTURE ABSORBABLE #1 45CML 37MML 1/2 CIRCLE GS-21 DETACHABLE TAPER POINT GREEN MAXON 8886627573 5 STRANDS/PK UNCOATED MONOFILAMENT SYNTHETIC POLYGLYCONATE,676.92,338.46,147.64,609.23,64
RC,0272,SUTURE ABSORBABLE #2 BLACK WHITE ZIPLINE CAT01586EA COATED BRAIDED,264.0,132.0,57.58,237.6,64
RC,0272,SUTURE ABSORBABLE #2 GREEN WHITE ZIPLINE CAT01585EA COATED BRAIDED,264.0,132.0,57.58,237.6,64
RC,0272,SUTURE ABSORBABLE #6 18INL 7.4MML 1/4 CIRCLE 110DEG CURVED SS-29 DOUBLE-ARM SPATULA VIOLET POLYSORB L1755K COATED BRAIDED SYNTHETIC LACTOMER 9-1,574.56,287.28,125.31,517.1,64
RC,0272,SUTURE ABSORBABLE 4-0 6INL MONOFILAMENT 1/2 CIRCLE RB-1 TAPER POINT UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B434 LATEX-FREE STERILE 1STRAND/PK POLIGLECAPRONE 25 PRE-CUT,308.19,154.1,67.22,277.37,64
RC,0272,SUTURE ABSORBABLE 4-0 70CML MONOFILAMENT 1/2 CIRCLE SH TAPER POINT UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B437 LATEX-FREE STERILE 1STRAND/PK POLIGLECAPRONE 25 PRE-CUT,278.18,139.09,60.67,250.36,64
RC,0272,SUTURE ABSORBABLE 4-0 9INL MONOFILAMENT 1/2 CIRCLE SH-1 TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B454 LATEX-FREE STERILE 1STRAND/PK TRICLOSAN POLYDIOXANONE PRE-CUT,447.61,223.81,97.62,402.85,64
RC,0272,SUTURE ABSORBABLE 5-0 30INL 17MML 1/2 CIRCLE CV-23 TAPER POINT SURGALLOY VIOLET BIOSYN UM-202 UNCOATED MONOFILAMENT SYNTHETIC GLYCOMER 631,424.0,212.0,92.47,381.6,64
RC,0272,SUTURE ABSORBABLE 6-0 18INL 6.5MML CHROMIC GUT 3/8 CIRCLE TG140-8 DOUBLE-ARM SPATULA REVERSE CUTTING BLUE 1731G 1 STRANDS/PK,232.11,116.06,50.62,208.9,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL #2 24CML 36MML 1/2 CIRCLE CT-1 DOUBLE-ARM TAPER POINT VIOLET QUILL RA-1033Q BARBED MONOFILAMENT PDO,226.1,113.05,49.31,203.49,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL #2 36CML 40MML 1/2 CIRCLE CP DOUBLE-ARM REVERSE CUTTING VIOLET QUILL RX-1066Q BARBED MONOFILAMENT PDO,258.39,129.2,56.35,232.55,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL 2-0 14CML 26MML 3/8 CIRCLE PS DOUBLE-ARM PRECISION REVERSE CUTTING VIOLET QUILL RA-1020Q BARBED MONOFILAMENT PDO,210.0,105.0,45.8,189.0,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL 2-0 16CML 17MML 1/2 CIRCLE RB-1 DOUBLE-ARM TAPER POINT UNDYED QUILL MONODERM RS-1000Q BARBED MONOFILAMENT PGA-PCL,296.76,148.38,64.72,267.08,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL 2-0 16CML 17MML 1/2 CIRCLE RB-1 DOUBLE-ARM TAPER POINT UNDYED QUILL MONODERM VP-1000Q BARBED MONOFILAMENT PGA-PCL,231.0,115.5,50.38,207.9,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL 2-0 16CML 17MML 1/2 CIRCLE RB-1 DOUBLE-ARM TAPER POINT VIOLET QUILL MONODERM VP-2000Q BARBED MONOFILAMENT PGA-PCL,326.43,163.22,71.19,293.79,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL 3-0 14CML 19MML 3/8 CIRCLE PS-2 DOUBLE-ARM PRECISION REVERSE CUTTING UNDYED QUILL MONODERM YA-2016Q BARBED MONOFILAMENT PGA-PCL,189.4,94.7,41.31,170.46,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL 3-0 30CML 19MML 3/8 CIRCLE PS-2 DOUBLE-ARM PRECISION REVERSE CUTTING UNDYED QUILL MONODERM YA-2021Q BARBED MONOFILAMENT PGA-PCL,258.39,129.2,56.35,232.55,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS #0 30CM 1/2 CIRCLE CT-1 TAPER POINT UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP2B425 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,292.46,146.23,63.79,263.21,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 2-0 14IN 26MM SH DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP2B427 1 STRAND/PK TRICLOSAN POLYDIOXANONE,288.71,144.36,62.97,259.84,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 2-0 16CM 1/2 CIRCLE SH TAPER POINT DYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP2B420 TRICLOSAN POLIGLECAPRONE 25,299.96,149.98,65.42,269.96,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 2-0 3IN 26MM 1/2 CIRCLE SH DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP2B419 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,314.95,157.48,68.69,283.46,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 2-0 6IN 26MM 5/8 CIRCLE UR-6 DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP2B418 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,299.96,149.98,65.42,269.96,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 2-0 6IN 26MM UR-6 DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP2B433 1 STRAND/PK TRICLOSAN POLYDIOXANONE,303.71,151.86,66.24,273.34,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 3-0 5IN 26MM SH DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP2B428 1 STRAND/PK TRICLOSAN POLYDIOXANONE,311.21,155.61,67.87,280.09,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 3-0 6IN 17MM 1/2 CIRCLE RB-1 DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP2B416 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,299.96,149.98,65.42,269.96,64
RC,0272,SUTURE ABSORBABLE BI-DIRECTIONAL KNOTLESS 3-0 6IN 26MM 1/2 CIRCLE SH DOUBLE-ARM TAPER POINT VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP2B421 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,299.96,149.98,65.42,269.96,64
RC,0272,SUTURE ABSORBABLE KNOTLESS BI-DIRECTIONAL 2-0 20CML 36MML 1/2 CIRCLE CT-1 TAPER POINT VIOLET STRATAFIX SPIRAL SXPD1B400 1 STRANDS/PK MONOFILAMENT PDO,271.7,135.85,59.26,244.53,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #0 45CML 26MML 1/2 CIRCLE CP-2 REVERSE CUTTING VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B202 1 STRAND/PK MONOFILAMENT TRICLOSAN PDO,289.43,144.72,63.12,260.49,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #0 60CML 36MML 1/2 CIRCLE OS-6 REVERSE CUTTING VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A202 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,296.98,148.49,64.77,267.28,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #1 45CML 36MML 1/2 CIRCLE OS-6 REVERSE CUTTING VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B201 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,289.45,144.73,63.13,260.51,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #1 60CML 36MML 1/2 CIRCLE CT-1 TAPER POINT VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A443 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,24.74,12.37,5.4,22.27,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #1 60CML 40MML 1/2 CIRCLE OS-8 REVERSE CUTTING VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A205 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,296.94,148.47,64.76,267.25,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #1 70CML 40MML 1/2 CIRCLE OS-8 REVERSE CUTTING VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B204 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,281.97,140.99,61.5,253.77,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL #1 70CML 48MML 1/2 CIRCLE CTX TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B401 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,469.94,234.97,102.49,422.95,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 15CML 36MML 1/2 CIRCLE CT-1 TAPER POINT UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B411 1 STRANDS/PK MONOFILAMENT TRICLOSAN POLIGLECAPRONE 25,308.2,154.1,67.22,277.38,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 18INL 26MML 1/2 CIRCLE V-20 TAPER POINT GREEN V-LOC 180 VLOCL0625 BARBED MONOFILAMENT POLYGLYCONATE,411.84,205.92,89.82,370.66,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 23CML 36MML 1/2 CIRCLE CT-1 TAPER POINT VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A423 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,319.46,159.73,69.67,287.51,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 24INL 37MML 1/2 CIRCLE GS-21 TAPER POINT GREEN V-LOC 180 VLOCL0335 BARBED MONOFILAMENT POLYGLYCONATE,530.64,265.32,115.73,477.58,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 30CML 36MML 1/2 CIRCLE CT-1 TAPER POINT UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B412 1 STRANDS/PK MONOFILAMENT TRICLOSAN POLIGLECAPRONE 25,293.18,146.59,63.94,263.86,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 6INL 27MML 1/2 CIRCLE GS-22 TAPER POINT VIOLET V-LOC 90 VLOCM2105 GLYCOLIDE CAPROLACTONE CALCIUM STEAROYL LACTYLATE COATED BARBED MONOFILAMENT SYNTHETIC ,186.0,93.0,40.57,167.4,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 2-0 70CML 26MML 3/8 CIRCLE FS REVERSE CUTTING VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B102 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,281.95,140.98,61.49,253.76,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 3-0 18INL 26MML 1/2 CIRCLE V-20 TAPER POINT GREEN V-LOC 180 VLOCL0624 BARBED MONOFILAMENT POLYGLYCONATE,411.84,205.92,89.82,370.66,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 3-0 18INL 26MML 1/2 CIRCLE V-20 TAPER POINT VIOLET V-LOC 90 VLOCM0624 GLYCOLIDE CAPROLACTONE CALCIUM STEAROYL LACTYLATE COATED BARBED MONOFILAMENT SYNTHETIC ,186.0,93.0,40.57,167.4,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 3-0 30CML 26MML 1/2 CIRCLE SH TAPER POINT VIOLET STRATAFIX SYMMETRIC PDS PLUS SXPP1A428 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,311.95,155.98,68.04,280.76,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 3-0 6INL 17MML 3/8 CIRCLE CV-15 TAPER POINT VIOLET V-LOC 90 VLOCM1204 GLYCOLIDE CAPROLACTONE CALCIUM STEAROYL LACTYLATE COATED BARBED MONOFILAMENT SYNTHETIC ,543.72,271.86,118.59,489.35,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 3-0 70CML 26MML 1/2 CIRCLE SH TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B421 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,281.95,140.98,61.49,253.76,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 4-0 12INL 17MML 1/2 CIRCLE CV-23 TAPER POINT VIOLET V-LOC 90 VLOCM0813 GLYCOLIDE CAPROLACTONE CALCIUM STEAROYL LACTYLATE COATED BARBED MONOFILAMENT SYNTHETIC,429.48,214.74,93.67,386.53,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 4-0 15CML 17MML 1/2 CIRCLE RB-1 TAPER POINT VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B427 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,311.98,155.99,68.04,280.78,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 4-0 15CML 19MML 3/8 CIRCLE PS-2 MULTIPASS PRIME REVERSE CUTTING VIOLET STRATAFIX SPIRAL PDS PLUS SXPP1B111 1 STRANDS/PK MONOFILAMENT TRICLOSAN PDO,311.96,155.98,68.04,280.76,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 4-0 45CML 16MML 1/2 CIRCLE PS-4 MULTIPASS PRECISION POINT REVERSE CUTTING PRIME UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B120 1 STRANDS/PK MONOFILAMENT TRI,285.69,142.85,62.31,257.12,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 4-0 6INL 17MML 1/2 CIRCLE CV-23 TAPER POINT GREEN V-LOC 180 VLOCL0803 BARBED MONOFILAMENT POLYGLYCONATE,186.0,93.0,40.57,167.4,64
RC,0272,SUTURE ABSORBABLE KNOTLESS UNI-DIRECTIONAL 4-0 70CML 24MML 3/8 CIRCLE PS-1 MULTIPASS PRECISION POINT REVERSE CUTTING PRIME UNDYED STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B116 1 STRANDS/PK MONOFILAMENT TRI,281.18,140.59,61.33,253.06,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 18IN 36MM 1/2 CIRCLE CTB-1 CONTROL RELEASE BLUNT POINT ETHIGUARD VIOLET VICRYL PLUS VCPB740D 8STRAND/PK 12/BX IRGACARE MP ANTIBACTERIAL COATED BRAIDED TRICLOSAN PO,146.88,73.44,32.03,132.19,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 18INL 36MML 1/2 CIRCLE CTB-1 CONTROL RELEASE BLUNT POINT ETHIGUARD UNDYED VICRYL JB840 8 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,127.73,63.87,27.86,114.96,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 18INL 36MML 1/2 CIRCLE CTB-1 CONTROL RELEASE BLUNT POINT ETHIGUARD UNDYED VICRYL PLUS VCPB840D 8 STRANDS/PK IRGACARE MP ANTIBACTERIAL COATED BRAIDED TRICLOSAN POLY,146.88,73.44,32.03,132.19,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 18INL TIES W/O NEEDLE VIOLET VICRYL J906 12 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,67.98,33.99,14.83,61.18,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 20CML 36MML 1/2 CIRCLE CT-1 TAPER POINT VIOLET QUILL MONODERM VLM-1025 BARBED MONOFILAMENT PGA-PCL,164.09,82.05,35.79,147.68,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 27INL 26MML 5/8 CIRCLE UR-6 TAPER POINT VIOLET PDS II D7185 1 STRANDS/PK MONOFILAMENT PDO,1331.45,665.73,290.39,1198.31,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 27INL 36MML 1/2 CIRCLE MO-4 CONTROL RELEASE TAPER POINT VIOLET VICRYL PLUS VCPP71D 8 STRANDS/PK IRGACARE MP ANTIBACTERIAL COATED BRAIDED TRICLOSAN POLYGLACTIN 910,142.28,71.14,31.03,128.05,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 27INL TIES W/O NEEDLE UNDYED VICRYL D8116 12 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,905.15,452.58,197.41,814.64,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #0 30CML 36MML 1/2 CIRCLE CP-1 REVERSE CUTTING VIOLET QUILL VLP-1006 BARBED MONOFILAMENT PDO,157.11,78.56,34.27,141.4,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #1 96INL 65MML 1/2 CIRCLE BP-1 BLUNT POINT VIOLET PDS II D8892 1 STRANDS/PK MONOFILAMENT PDO,639.56,319.78,139.49,575.6,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #2 27INL 1/2 CIRCLE MO-4 TAPER POINT UNDYED VICRYL D9686 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,577.36,288.68,125.92,519.62,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #2 27INL 65MML 1/2 CIRCLE BP-1 BLUNT POINT VIOLET VICRYL D5961 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,1598.97,799.49,348.74,1439.07,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #2 60INL 65MML 1/2 CIRCLE TP-1 TAPER POINT VIOLET PDS II D7190 1 STRANDS/PK MONOFILAMENT PDO,537.21,268.61,117.17,483.49,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL #2 70CML 40MML 1/2 CIRCLE CP REVERSE CUTTING VIOLET QUILL VLP-2011 BARBED MONOFILAMENT PDO,192.02,96.01,41.88,172.82,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 18INL 26MML 1/2 CIRCLE CP-2 CONTROL RELEASE REVERSE CUTTING VIOLET PDS II Z762D 8 STRANDS/PK MONOFILAMENT PDO,212.8,106.4,46.41,191.52,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 18INL 26MML 1/2 CIRCLE SH CONTROL RELEASE TAPER POINT VIOLET PDS II Z775D 8 STRANDS/PK MONOFILAMENT PDO,167.19,83.6,36.46,150.47,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 18INL 36MML 1/2 CIRCLE CTB-1 CONTROL RELEASE BLUNT POINT ETHIGUARD UNDYED VICRYL JB839 8 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,119.88,59.94,26.15,107.89,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 27INL 17MML 1/2 CIRCLE RB-1 TAPER POINT UNDYED VICRYL D8739 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,928.66,464.33,202.54,835.79,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 27INL 26MML 5/8 CIRCLE UR-6 TAPER POINT VIOLET PDS II D6659 1 STRANDS/PK MONOFILAMENT PDO,1586.16,793.08,345.94,1427.54,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 27INL 60MML STRAIGHT KS REVERSE CUTTING UNDYED VICRYL D7294 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,1154.31,577.16,251.76,1038.88,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 36INL 36MML 1/2 CIRCLE MH DOUBLE-ARM TAPER POINT VIOLET PDS II D10159 1 STRANDS/PK MONOFILAMENT PDO,416.21,208.11,90.78,374.59,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 2-0 60CML 24MML 3/8 CIRCLE PS-1 PRECISION REVERSE CUTTING UNDYED QUILL MONODERM VLM-1001 BARBED MONOFILAMENT PGA-PCL,181.55,90.78,39.6,163.4,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 3-0 18INL 26MML 1/2 CIRCLE SHB BLUNT POINT ETHIGUARD UNDYED VICRYL JB864 8 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,147.23,73.62,32.11,132.51,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 3-0 60CML 19MML 3/8 CIRCLE PS-2 PRECISION REVERSE CUTTING UNDYED QUILL MONODERM VLM-2004 BARBED MONOFILAMENT PGA-PCL,181.55,90.78,39.6,163.4,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 3-0 70CM 19MM MONOFILAMENT TRICLOSAN POLIGLECAPRONE 25 3/8 CIRCLE PS-2 MULTIPASS PRECISION POINT REVERSE CUTTING PRIME UNDYED STRATAFIX SPIRAL MONOCRYL PLUS 1 STRANDS,278.2,139.1,60.68,250.38,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 4-0 18INL 13MML PLAIN GUT 3/8 CIRCLE G-3 DOUBLE-ARM MICROPOINT REVERSE CUTTING YELLOWISH TAN 773G 1 STRANDS/PK,138.9,69.45,30.29,125.01,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 4-0 48INL 19MML SKI CURVED EN-S TAPER POINT VIOLET VICRYL D7796 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,3405.21,1702.61,742.68,3064.69,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 6-0 27INL 13MML 1/2 CIRCLE TF TAPER POINT UNDYED VICRYL D5890 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,1388.43,694.22,302.82,1249.59,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 6-0 30INL 9.3MML 3/8 CIRCLE BV-1 TAPER POINT VIOLET PDS PLUS PDP117H 1 STRANDS/PK IRGACARE MP COATED MONOFILAMENT PDO,538.14,269.07,117.37,484.33,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL 8-0 12INL 6.5MML 3/8 CIRCLE TG140-8 DOUBLE-ARM MICROPOINT SPATULA REVERSE CUTTING VIOLET VICRYL J599G 1 STRANDS/PK COATED BRAIDED POLYGLACTIN 910,126.12,63.06,27.51,113.51,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 2-0 12IN CT-1 VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B442 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,310.84,155.42,67.79,279.76,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 2-0 12IN CT-2 VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B445 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,310.84,155.42,67.79,279.76,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 2-0 9IN CT-1 VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B441 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,318.77,159.39,69.52,286.89,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 2-0 9IN CT-2 VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B444 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,318.77,159.39,69.52,286.89,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 2-0 9IN SH VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B447 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,318.77,159.39,69.52,286.89,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 3-0 6IN RB-1 MULTIPASS VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B449 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,326.73,163.37,71.26,294.06,64
RC,0272,SUTURE ABSORBABLE UNI-DIRECTIONAL KNOTLESS 3-0 6IN SH MULTIPASS VIOLET STRATAFIX SPIRAL MONOCRYL PLUS SXMP1B451 1 STRAND/PK BARBED TRICLOSAN POLIGLECAPRONE 25,326.73,163.37,71.26,294.06,64
RC,0272,SUTURE ACS BLACK 10-0 CU-5 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,366.84,183.42,80.01,330.16,64
RC,0272,SUTURE ACS BLACK 10-0 CU-8 L8 IN 2 ARM MONOFILAMENT NONABSORBABLE,433.08,216.54,94.45,389.77,64
RC,0272,SUTURE BLUE TIE NONABSORBABLE,227.0,113.5,49.51,204.3,64
RC,0272,SUTURE BLUE VIOLET 2 MO-6 TAPER BRAID HIGH STRENGTH NONABSORBABLE,4236.0,2118.0,923.87,3812.4,64
RC,0272,SUTURE CAPIO 0 36IN POLYESTER 2 ARM MONOFILAMENT TAPERCUT NEEDLE NONABSORBABLE PELVIC FLOOR M0068331141,482.86,241.43,105.31,434.57,64
RC,0272,SUTURE CAPIO TAPERCUT 0 36IN POLYPROPYLENE 2 ARM MONOFILAMENT NONABSORBABLE PELVIC FLOOR M0068331241,482.86,241.43,105.31,434.57,64
RC,0272,SUTURE CAPIO TAPERCUT 0 48IN MONODEK 2 ARM MONOFILAMENT ABSORBABLE PELVIC FLOOR M0068331371,616.46,308.23,134.45,554.81,64
RC,0272,SUTURE CAPIO TAPERCUT 0 48IN POLYESTER 2 ARM BRAID NONABSORBABLE PELVIC FLOOR M0068331131,482.86,241.43,105.31,434.57,64
RC,0272,SUTURE CAPIO TAPERCUT 0 48IN POLYPROPYLENE 2 ARM MONOFILAMENT NONABSORBABLE PELVIC FLOOR M0068331231,482.86,241.43,105.31,434.57,64
RC,0272,SUTURE CHROMIC ETHILON BLACK 8-0 CS175-8 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,139.86,69.93,30.5,125.87,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 0 L18 IN MONOFILAMENT 12 STRAND PRECUT ABSORBABLE,273.28,136.64,59.6,245.95,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 1 TP-1 L27 IN MONOFILAMENT 4 STRAND BROWN ABSORBABLE,205.73,102.87,44.87,185.16,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 2-0 L18 IN MONOFILAMENT 12 STRAND PRECUT UNDYED ABSORBABLE,266.44,133.22,58.11,239.8,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 4-0 G-3 L18 IN 2 ARM MONOFILAMENT BROWN ABSORBABLE,138.9,69.45,30.29,125.01,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 4-0 S-2 L18 IN 2 ARM MONOFILAMENT BROWN ABSORBABLE,149.76,74.88,32.66,134.78,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 5-0 S-14 L18 IN 2 ARM MONOFILAMENT BROWN ABSORBABLE,150.87,75.44,32.9,135.78,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 7-0 TG100-8 L18 IN 2 ARM MONOFILAMENT BROWN ABSORBABLE,190.97,95.49,41.65,171.87,64
RC,0272,SUTURE CHROMIC GUT CHROMIC 7-0 TG140-8 L18 IN 2 ARM MONOFILAMENT BLUE ABSORBABLE,227.47,113.74,49.61,204.72,64
RC,0272,SUTURE CHROMIC GUT PATTERSON 3-0 DS-18 L27 IN ABSORBABLE,42.19,21.1,9.2,37.97,64
RC,0272,SUTURE COATED VICRYL 0 MO-4 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET ABSORBABLE,133.76,66.88,29.17,120.38,64
RC,0272,SUTURE COATED VICRYL 2 TP-1 L27 IN BRAID 4 STRAND COATED VIOLET ABSORBABLE,126.85,63.43,27.67,114.17,64
RC,0272,SUTURE COATED VICRYL 5-0 S-14 L12 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,128.06,64.03,27.93,115.25,64
RC,0272,SUTURE COATED VICRYL 5-0 S-14 L18 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,127.19,63.6,27.74,114.47,64
RC,0272,SUTURE COATED VICRYL 6-0 P-1 L18 IN BRAID COATED D SPECIAL VIOLET ABSORBABLE,444.24,222.12,96.89,399.82,64
RC,0272,SUTURE COATED VICRYL 6-0 RD-1 L12 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,133.42,66.71,29.1,120.08,64
RC,0272,SUTURE COATED VICRYL 6-0 S-14 L12 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,127.33,63.67,27.77,114.6,64
RC,0272,SUTURE COATED VICRYL 6-0 S-14 L18 IN 2 ARM BRAID COATED UNDYED ABSORBABLE,127.53,63.77,27.81,114.78,64
RC,0272,SUTURE COATED VICRYL 6-0 S-14 L18 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,128.13,64.07,27.95,115.32,64
RC,0272,SUTURE COATED VICRYL 6-0 S-14 L8 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,129.39,64.7,28.22,116.45,64
RC,0272,SUTURE COATED VICRYL 6-0 S-28 L18 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,127.02,63.51,27.7,114.32,64
RC,0272,SUTURE COATED VICRYL 6-0 S-29 L12 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,128.79,64.4,28.09,115.91,64
RC,0272,SUTURE COATED VICRYL 6-0 S-29 L18 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,127.83,63.92,27.88,115.05,64
RC,0272,SUTURE COATED VICRYL 7-0 TG140-8 L12 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,122.71,61.36,26.76,110.44,64
RC,0272,SUTURE COATED VICRYL 8-0 BV130-4 L5 IN BRAID COATED VIOLET ABSORBABLE,150.61,75.31,32.85,135.55,64
RC,0272,SUTURE COATED VICRYL 8-0 BV130-5 L5 IN BRAID COATED VIOLET ABSORBABLE,144.39,72.2,31.49,129.95,64
RC,0272,SUTURE COATED VICRYL 8-0 TG140-8 L12 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,122.71,61.36,26.76,110.44,64
RC,0272,SUTURE COATED VICRYL 8-0 TG140-8 L8 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,127.75,63.88,27.86,114.98,64
RC,0272,SUTURE COATED VICRYL 8-0 TG160-8 L8 IN 2 ARM BRAID COATED VIOLET ABSORBABLE,127.75,63.88,27.86,114.98,64
RC,0272,SUTURE CV-2 TH-26 36IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 2N02A,420.0,210.0,91.6,378.0,64
RC,0272,SUTURE CV-2 TH-26 36IN GORE-TEX MONOFILAMENT NONABSORBABLE WHITE 2N01A,386.0,193.0,84.19,347.4,64
RC,0272,SUTURE CV-4 TH-18 36IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 4N02A,379.0,189.5,82.66,341.1,64
RC,0272,SUTURE CV-4 TH-26 36IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 4N06A,379.0,189.5,82.66,341.1,64
RC,0272,SUTURE CV-4 TT-17 36IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 4N04A,367.0,183.5,80.04,330.3,64
RC,0272,SUTURE CV-5 PT-13 36IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 5N08A,460.0,230.0,100.33,414.0,64
RC,0272,SUTURE CV-5 TTC-13 24IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 5K02A,386.0,193.0,84.19,347.4,64
RC,0272,SUTURE CV-5 TTC-13 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 5M02A,393.0,196.5,85.71,353.7,64
RC,0272,SUTURE CV-6 PT-9 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 6M06A,482.0,241.0,105.12,433.8,64
RC,0272,SUTURE CV-6 TTC-12 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 6M10A,411.0,205.5,89.64,369.9,64
RC,0272,SUTURE CV-6 TTC-13 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 6M04A,406.0,203.0,88.55,365.4,64
RC,0272,SUTURE CV-6 TTC-9 18IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 6J02A,401.0,200.5,87.46,360.9,64
RC,0272,SUTURE CV-6 TTC-9 24IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 6K02A,406.0,203.0,88.55,365.4,64
RC,0272,SUTURE CV-7 TTC-9 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE SINGLE 7M02A,414.0,207.0,90.29,372.6,64
RC,0272,SUTURE CV-8 PT-13 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 8M06A,496.0,248.0,108.18,446.4,64
RC,0272,SUTURE CV-8 TTC-7 24IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 8K10A,453.0,226.5,98.8,407.7,64
RC,0272,SUTURE DYNACORD 1 MO-7 L36 IN BRAID COMPOSITE NONABSORBABLE,9360.0,4680.0,2041.42,8424.0,64
RC,0272,SUTURE DYNACORD BLUE WITHOUT NEEDLE NONABSORBABLE,780.0,390.0,170.12,702.0,64
RC,0272,SUTURE ENDO NABSB PP DIGITEX SZ2-0 SGL-INCS CQ NDL STRL LF,372.0,186.0,81.13,334.8,64
RC,0272,SUTURE ETHIBOND EXCEL 2-0 RB-1 30IN 2 ARM BRAID 10 STRAND NONABSORBABLE GREEN WHITE 10X42,341.94,170.97,74.58,307.75,64
RC,0272,SUTURE ETHIBOND EXCEL GREEN 2 V-37 L30 IN BRAID 4 STRAND NONABSORBABLE,137.1,68.55,29.9,123.39,64
RC,0272,SUTURE ETHIBOND EXCEL GREEN 5 CCS L30 IN BRAID 4 STRAND NONABSORBABLE,165.45,82.73,36.08,148.91,64
RC,0272,SUTURE ETHIBOND EXCEL GREEN 5 V-37 L30 IN BRAID 4 STRAND NONABSORBABLE,137.1,68.55,29.9,123.39,64
RC,0272,SUTURE ETHIBOND EXCEL GREEN 5 V-40 L30 IN BRAID 4 STRAND NONABSORBABLE,149.67,74.84,32.64,134.7,64
RC,0272,SUTURE ETHIBOND EXCEL GREEN WHITE 2 MO-7 L27 IN BRAID 2 STRAND NONABSORBABLE,519.56,259.78,113.32,467.6,64
RC,0272,SUTURE ETHIBOND EXCEL GREEN WHITE 2-0 SH L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET NONABSORBABLE,555.59,277.8,121.17,500.03,64
RC,0272,SUTURE ETHIBOND EXCEL WHITE 2-0 EN-S L48 IN BRAID NONABSORBABLE,3204.42,1602.21,698.88,2883.98,64
RC,0272,SUTURE ETHIBOND XTRA 2-0 SH-2SH-2 LATEX FREE,270.18,135.09,58.93,243.16,64
RC,0272,SUTURE ETHILON 10-0 BV75-4 5IN MONOFILAMENT NONABSORBABLE BLACK 2850G,237.17,118.59,51.73,213.45,64
RC,0272,SUTURE ETHILON 9-0 BV130-4 5IN MONOFILAMENT NONABSORBABLE BLACK 2813G,139.48,69.74,30.42,125.53,64
RC,0272,SUTURE ETHILON BLACK 10-0 BV100-4 L5 IN MONOFILAMENT NONABSORBABLE,208.19,104.1,45.41,187.37,64
RC,0272,SUTURE ETHILON BLACK 10-0 BV75-3 L5 IN MONOFILAMENT NONABSORBABLE,218.12,109.06,47.57,196.31,64
RC,0272,SUTURE ETHILON BLACK 10-0 CS160-6 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,183.41,91.71,40.0,165.07,64
RC,0272,SUTURE ETHILON BLACK 10-0 TG140-6 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,153.44,76.72,33.47,138.1,64
RC,0272,SUTURE ETHILON BLACK 10-0 TG160-6 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,151.74,75.87,33.09,136.57,64
RC,0272,SUTURE ETHILON BLACK 11-0 BV50-3 L5 IN MONOFILAMENT NONABSORBABLE,301.38,150.69,65.73,271.24,64
RC,0272,SUTURE ETHILON BLACK 8-0 BV130-3 L5 IN MONOFILAMENT NONABSORBABLE,139.48,69.74,30.42,125.53,64
RC,0272,SUTURE ETHILON BLACK 8-0 BV130-4 L5 IN MONOFILAMENT NONABSORBABLE,141.95,70.98,30.96,127.76,64
RC,0272,SUTURE ETHILON BLACK 8-0 BV130-5 L5 IN MONOFILAMENT NONABSORBABLE,138.35,69.18,30.17,124.52,64
RC,0272,SUTURE ETHILON BLACK 9-0 BV100-4 L5 IN MONOFILAMENT NONABSORBABLE,203.02,101.51,44.28,182.72,64
RC,0272,SUTURE ETHILON BLACK 9-0 BV130-3 L5 IN MONOFILAMENT NONABSORBABLE,141.95,70.98,30.96,127.76,64
RC,0272,SUTURE ETHILON BLACK 9-0 BV130-5 L5 IN MONOFILAMENT NONABSORBABLE,138.35,69.18,30.17,124.52,64
RC,0272,SUTURE FIBERLINK BLUE WHITE L1.7 MM TAPE CLOSED LOOP NONABSORBABLE,1140.0,570.0,248.63,1026.0,64
RC,0272,SUTURE FIBERLINK FIBERWIRE BLUE 0 L1.5 IN CLOSED LOOP NONABSORBABLE,65.0,32.5,14.18,58.5,64
RC,0272,SUTURE FIBERLINK FIBERWIRE BLUE 2 L26 IN L1.5 IN BRAID TIES MULTISTRAND CLOSED LOOP NONABSORBABLE,660.0,330.0,143.95,594.0,64
RC,0272,SUTURE FIBERLINK SUTURETAPE BLACK WHITE L1.3 MM TAPE NONABSORBABLE,1020.0,510.0,222.46,918.0,64
RC,0272,SUTURE FIBERLINK SUTURETAPE BLUE WHITE L.9 MM NONABSORBABLE,1140.0,570.0,248.63,1026.0,64
RC,0272,SUTURE FIBERLOOP 2-0 3/8 CIRCLE TAPER POINT 14IN LOOP NONABSORBABLE 17.9MM AR-7232-05,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE FIBERLOOP 4-0 T-13 12IN MULTISTRAND NONABSORBABLE BLUE AR-7229-12,348.0,174.0,75.9,313.2,64
RC,0272,SUTURE FIBERLOOP BLUE 0 L20 IN STRAIGHT NEEDLE NONABSORBABLE,50.0,25.0,10.91,45.0,64
RC,0272,SUTURE FIBERLOOP BLUE 2 7MM L20 IN L76 MM BRAIDED W/STRAIGHT NEEDLE NONABSORBABLE,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE FIBERLOOP BLUE 2 L20 IN L26.5 MM W/TAPERED NEEDLE NONABSORBABLE,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE FIBERLOOP BLUE 36557 L24 IN L26.2 MM W/BLUE DIAMOND POINT NEEDLE NONABSORBABLE,348.0,174.0,75.9,313.2,64
RC,0272,SUTURE FIBERLOOP BLUE 36557 L30 IN L48 MM W/BLUE DIAMOND POINT NEEDLE NONABSORBABLE,29.0,14.5,6.32,26.1,64
RC,0272,SUTURE FIBERLOOP FIBERTAG SWAGE STRAIGHT NEEDLE NONABSORBABLE,125.0,62.5,27.26,112.5,64
RC,0272,SUTURE FIBERLOOP SUTURETAPE BLACK WHITE NEEDLE NONABSORBABLE,840.0,420.0,183.2,756.0,64
RC,0272,SUTURE FIBERLOOP WHITE 36617 L6 IN L12.7 MM TAPERED NEEDLE 1/2 CIRCLE TAIL NONABSORBABLE,348.0,174.0,75.9,313.2,64
RC,0272,SUTURE FIBERSNARE FIBERWIRE 2 26IN CLOSED LOOP STIFFEN NONABSORBABLE GREEN 12IN AR-7209SN,500.0,250.0,109.05,450.0,64
RC,0272,SUTURE FIBERSTICK TIGERSTICK BLUE 2 L50 IN L12 IN 1 END STIFFEN BRAID MONOFILAMENT TIE NONABSORBABLE,250.0,125.0,54.53,225.0,64
RC,0272,SUTURE FIBERTAPE CERCLAGE NONABSORBABLE,2250.0,1125.0,490.73,2025.0,64
RC,0272,SUTURE FIBERTAPE FIBERWIRE BLUE 0 L17 IN L36.6 MM 2 TAPERED NEEDLE OD1.7 MM NONABSORBABLE,456.0,228.0,99.45,410.4,64
RC,0272,SUTURE FIBERTAPE FIBERWIRE BLUE 2 L36 IN X W2 MM L36 IN X W2 MM BRAIDED EACH END TAPERED NONABSORBABLE,630.0,315.0,137.4,567.0,64
RC,0272,SUTURE FIBERTAPE FIBERWIRE BLUE 2 TAPER L7 IN X W2 MM BRAID NONABSORBABLE,300.0,150.0,65.43,270.0,64
RC,0272,SUTURE FIBERTAPE TIGERLINK CERCLAGE LOADER NONABSORBABLE,2375.0,1187.5,517.99,2137.5,64
RC,0272,SUTURE FIBERWIRE 2-0 BRAID SWEDGE LOW KNOT PROFILE NONABSORBABLE MENISCUS,720.0,360.0,157.03,648.0,64
RC,0272,SUTURE FIBERWIRE BLACK BLUE WHITE 2 1/2 CIRCLE STRAIGHT DIAMOND POINT L38 IN L36.6 MM BRAID TIES MULTISTRAND 2 STRAND NONABSORBABLE,420.0,210.0,91.6,378.0,64
RC,0272,SUTURE FIBERWIRE BLUE 0 L38 IN L22.2 MM DIAMOND POINT NEEDLE NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 0 L38 IN NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 2 C-13 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,264.0,132.0,57.58,237.6,64
RC,0272,SUTURE FIBERWIRE BLUE 2 L38 IN BRAIDED NONABSORBABLE,252.0,126.0,54.96,226.8,64
RC,0272,SUTURE FIBERWIRE BLUE 2 T-5 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,264.0,132.0,57.58,237.6,64
RC,0272,SUTURE FIBERWIRE BLUE 2 T-8 L38 IN 2 ARM BRAID MULTISTRAND LOWER KNOT PROFILE BARB NONABSORBABLE,264.0,132.0,57.58,237.6,64
RC,0272,SUTURE FIBERWIRE BLUE 2-0 3/8 CIRCLE TAPER L38 IN L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,15.6,7.8,3.4,14.04,64
RC,0272,SUTURE FIBERWIRE BLUE 2-0 T-13 L18 IN MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 3-0 3/8 CIRCLE L18 IN NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 3-0 DE-14 L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 36586 L18 IN L16.3 MM BRAIDED W/REVERSE CUTTING NEEDLES NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 4-0 C-17 L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 4-0 DE-10 L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 4-0 T-12 L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE FIBERWIRE BLUE 5 CCS-1 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,480.0,240.0,104.69,432.0,64
RC,0272,SUTURE FIBERWIRE BLUE 5 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE NONABSORBABLE,456.0,228.0,99.45,410.4,64
RC,0272,SUTURE FIBERWIRE FIBERCHAIN 2 10 LONG LOOP L7 MM BRAID NONABSORBABLE SWIVELOCK SUTURE ANCHOR,375.0,187.5,81.79,337.5,64
RC,0272,SUTURE FIBERWIRE FIBERSTICK BLUE 2-0 L50 IN L12 IN 1 END STIFFEN BRAID MONOFILAMENT TIES NONABSORBABLE,190.0,95.0,41.44,171.0,64
RC,0272,SUTURE FIBERWIRE GREEN 2 L26 IN L10 MM W/NEEDLE CLOSED LOOP STRAIGHT NONABSORBABLE,535.0,267.5,116.68,481.5,64
RC,0272,SUTURE FORCE FIBER BLUE 2 L20 IN LOOP SMOOTH CURVE NEEDLE OPTIMIZE NONABSORBABLE,931.2,465.6,203.09,838.08,64
RC,0272,SUTURE FORCE FIBER BLUE STRAIGHT LOOP NEEDLE NONABSORBABLE,931.2,465.6,203.09,838.08,64
RC,0272,SUTURE FORCE FIBER BLUE WHITE LOOP COBRAID CURVE NEEDLE NONABSORBABLE,931.2,465.6,203.09,838.08,64
RC,0272,SUTURE FORCE FIBER BLUE WHITE NEEDLE LOOP COBRAID NONABSORBABLE,931.2,465.6,203.09,838.08,64
RC,0272,SUTURE GORE-TEX CV-0 TH-50 48IN NONABSORBABLE 0U01A,386.0,193.0,84.19,347.4,64
RC,0272,SUTURE GORE-TEX CV-0 THX-26 36IN 2 ARM MONOFILAMENT NONABSORBABLE UNDYED 0N05A,386.0,193.0,84.19,347.4,64
RC,0272,SUTURE GORE-TEX CV-2 THX-26 36IN MONOFILAMENT NONABSORBABLE WHITE LATEX FREE 2N05A,386.0,193.0,84.19,347.4,64
RC,0272,SUTURE GORE-TEX CV-7 TTC-09 24IN NONABSORBABLE 7K02A,410.0,205.0,89.42,369.0,64
RC,0272,SUTURE GORE-TEX GORE TEX UNDYED 0 CV-2 PS-4 THX-26 L48 IN 2 ARM MONOFILAMENT NONABSORBABLE,336.0,168.0,73.28,302.4,64
RC,0272,SUTURE GORE-TEX GORE-TEX UNDYED CV-0 THX-36 L36 IN 2 ARM MONOFILAMENT NONABSORBABLE,386.0,193.0,84.19,347.4,64
RC,0272,SUTURE HI-FI 2 ARM NEEDLE NONABSORBABLE MENISCAL,502.6,251.3,109.62,452.34,64
RC,0272,SUTURE LABRALTAPE BLACK WHITE 1.5 MM L36 IN NONABSORBABLE,840.0,420.0,183.2,756.0,64
RC,0272,SUTURE LABRALTAPE WHITE L36 IN OD1.5 MM NONABSORBABLE,840.0,420.0,183.2,756.0,64
RC,0272,SUTURE MAXBRAID 2 HC-5 BRAID NONABSORBABLE BLUE 900334,262.0,131.0,57.14,235.8,64
RC,0272,SUTURE MAXBRAID 2-0 HC-5 BRAID NONABSORBABLE WHITE 900333,306.0,153.0,66.74,275.4,64
RC,0272,SUTURE MAXBRAID 5 K-60 BRAID NONABSORBABLE BLUE 900312,262.0,131.0,57.14,235.8,64
RC,0272,SUTURE MAXBRAID BLUE 4-0 TAPER NEEDLE NONABSORBABLE,262.0,131.0,57.14,235.8,64
RC,0272,SUTURE MERSILENE 5-0 BP 12IN 2 ARM NONABSORBABLE WHITE,144.29,72.15,31.47,129.86,64
RC,0272,SUTURE MERSILENE 5MM BP-1 12IN 2 ARM WOVEN NONABSORBABLE WHITE,145.51,72.76,31.74,130.96,64
RC,0272,SUTURE MERSILENE 5MM MO-4 12IN WOVEN NONABSORBABLE WHITE,154.27,77.14,33.65,138.84,64
RC,0272,SUTURE MERSILENE SABRELOC 4-0 S-2 18IN 2 ARM BRAID NONABSORBABLE WHITE 1779G,128.13,64.07,27.95,115.32,64
RC,0272,SUTURE MERSILENE WHITE 4-0 S-4 L18 IN 2 ARM BRAID NONABSORBABLE,128.13,64.07,27.95,115.32,64
RC,0272,SUTURE MERSILENE WHITE 5 MM CTX L12 IN 2 ARM NONABSORBABLE,137.88,68.94,30.07,124.09,64
RC,0272,SUTURE MERSILENE WHITE 5-0 OS-8 L36 IN BRAID NONABSORBABLE,1423.65,711.83,310.5,1281.29,64
RC,0272,SUTURE MERSILENE WHITE 5-0 S-14 L18 IN 2 ARM BRAID NONABSORBABLE,126.53,63.27,27.6,113.88,64
RC,0272,SUTURE MERSILENE WHITE 6-0 S-14 L18 IN 2 ARM BRAID NONABSORBABLE,129.23,64.62,28.19,116.31,64
RC,0272,SUTURE MICROPOINT 4-0 G-2 18IN CHROMIC 2 ARM MONOFILAMENT ABSORBABLE BROWN 798G,138.89,69.45,30.29,125.0,64
RC,0272,SUTURE MICROPOINT 5-0 G-3 18IN CHROMIC 2 ARM MONOFILAMENT ABSORBABLE BROWN 792G,139.32,69.66,30.39,125.39,64
RC,0272,SUTURE MICROPOINT 6-0 G-1 18IN CHROMIC 2 ARM MONOFILAMENT ABSORBABLE BROWN 790G,139.91,69.96,30.51,125.92,64
RC,0272,SUTURE MICROPOINT 6-0 G-1 18IN PLAIN 2 ARM MONOFILAMENT ABSORBABLE YELLOWISH TAN 770G,139.91,69.96,30.51,125.92,64
RC,0272,SUTURE MICROPOINT 6-0 G-6 18IN CHROMIC 2 ARM MONOFILAMENT ABSORBABLE BLUE,166.34,83.17,36.28,149.71,64
RC,0272,SUTURE MICROPOINT 6-0 G-6 18IN CHROMIC 2 ARM MONOFILAMENT ABSORBABLE BROWN 794G,147.63,73.82,32.2,132.87,64
RC,0272,SUTURE MINITAPE BLUE CURVE NEEDLE ASSEMBLY NONABSORBABLE,750.0,375.0,163.58,675.0,64
RC,0272,SUTURE MINITAPE STRAIGHT LOOP SMOOTH CO-BRAID NONABSORBABLE,870.0,435.0,189.75,783.0,64
RC,0272,SUTURE MINITAPE STRAIGHT SMOOTH BLUE NONABSORBABLE,750.0,375.0,163.58,675.0,64
RC,0272,SUTURE MONOCRYL 2-0 SH UR-6 L27 IN MONOFILAMENT CUSTOM UNDYED ABSORBABLE,278.66,139.33,60.78,250.79,64
RC,0272,SUTURE MONOCRYL 2-0 UR-6 L36 IN 2 ARM MONOFILAMENT UNDYED ABSORBABLE,366.27,183.14,79.88,329.64,64
RC,0272,SUTURE MONOCRYL PLUS 3-0 90CM 3/8 CIRCLE FS-2 REVERSE CUTTING VIOLET 1STRAND/PK MCP923H UNI-DIRECTIONAL IRGACARE MP ANTIBACTERIAL COATED MONOFILAMENT TRICLOSAN POLIGLECAPRONE 25 19MM ABSORBABLE,281.76,140.88,61.45,253.58,64
RC,0272,SUTURE MONOCRYL PLUS 3-0 91CM 3/8 CIRCLE FS-2 REVERSE CUTTING EDGE SILVER MCP923G IRGACARE MP ANTIBACTERIAL COATED MONOFILAMENT TRICLOSAN POLIGLECAPRONE 25 19MM ABSORBABLE,93.92,46.96,20.48,84.53,64
RC,0272,SUTURE MONODERM QUILL 2-0 3/8 CIRCLE 30CM 2 ARM MONOFILAMENT PRECISION REVERSE CUT ABSORBABLE CLEAR 24MM,258.39,129.2,56.35,232.55,64
RC,0272,SUTURE MONODERM QUILL SRS 0 .5 CIRCLE TAPER 36X36CM PDO 2 ARM MONOFILAMENT BARB ABSORBABLE VIOLET 36MM,247.63,123.82,54.01,222.87,64
RC,0272,SUTURE NON-ABSORBABLE 36739 24INL MONOFILAMENT 3/8 CIRCLE BV175-6 DOUBLE-ARMED EVERPOINT BLUE PROLENE EPM8743 STERILE 4 STRANDS/PACK,514.59,257.3,112.23,463.13,64
RC,0272,SUTURE NONABSORBABLE #0 36IN 1/2 CIRCLE DOUBLE-ARM TAPERCUT W/NEEDLE CAPIO SLIM M0068332241 COATED BRAIDED POLYESTER,616.46,308.23,134.45,554.81,64
RC,0272,SUTURE NONABSORBABLE #0 36IN 1/2 CIRCLE DOUBLE-ARM TAPERCUT W/NEEDLE CAPIO SLIM M0068332351 MONOFILAMENT POLYPROPYLENE,518.92,259.46,113.18,467.03,64
RC,0272,SUTURE NONABSORBABLE #0 36INL 26MML 1/2 CIRCLE CV-2 TH-26 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 2N01B MONOFILAMENT PTFE,880.0,440.0,191.93,792.0,64
RC,0272,SUTURE NONABSORBABLE #0 36INL 50MML STRAIGHT CV-2 TS-50 SINGLE-ARM TAPER POINT WHITE GORE-TEX 2N23A MONOFILAMENT PTFE,393.0,196.5,85.71,353.7,64
RC,0272,SUTURE NONABSORBABLE #0 42INL STRAIGHT ST-3 TAPER POINT GREEN ETHIBOND ENDOKNOT EX10G 1 STRANDS/PK BRAIDED POLYESTER,245.53,122.77,53.55,220.98,64
RC,0272,SUTURE NONABSORBABLE #0 48IN DOUBLE-ARM TAPERCUT TC CAPIO SLIM M0068332341 MONOFILAMENT POLYPROPYLENE,518.92,259.46,113.18,467.03,64
RC,0272,SUTURE NONABSORBABLE #0 48INL 24MML 1/2 CIRCLE CV-2 PH-24 DOUBLE-ARM PIERCING POINT WHITE GORE-TEX 2U10A MONOFILAMENT PTFE,345.0,172.5,75.24,310.5,64
RC,0272,SUTURE NONABSORBABLE #0 T-2 CORELESS TAPERED BLUE MAXBRAID 900267 BRAIDED DYNEEMA UHMWPE,31.33,15.67,6.83,28.2,64
RC,0272,SUTURE NONABSORBABLE #1 18INL STAINLESS STEEL 1/2 CIRCLE BE-2 TAPERCUT BLUNT TIP F/STERNOTOMY MYO/WIRE II 046-022 4 STRANDS/PK MONOFILAMENT,245.0,122.5,53.43,220.5,64
RC,0272,SUTURE NONABSORBABLE #1 18INL STAINLESS STEEL 1/2 CIRCLE TC-2 TAPERCUT BLUNT TIP F/STERNOTOMY MYO/WIRE II 041-082 4 STRANDS/PK MONOFILAMENT,287.0,143.5,62.59,258.3,64
RC,0272,SUTURE NONABSORBABLE #1 18INL STAINLESS STEEL MYO/WIRE II 040-401 MONOFILAMENT,1305.0,652.5,284.62,1174.5,64
RC,0272,SUTURE NONABSORBABLE #1 45CML 37MML NYLON 1/2 CIRCLE GS-21 TAPER POINT BLACK SURGILON 8886196272 BRAIDED,735.36,367.68,160.38,661.82,64
RC,0272,SUTURE NONABSORBABLE #1 48INL 50MML 1/2 CIRCLE CV-0 TH-50 SINGLE-ARM TAPER POINT WHITE GORE-TEX 0U01B MONOFILAMENT PTFE,880.0,440.0,191.93,792.0,64
RC,0272,SUTURE NONABSORBABLE #2 36IN 26MM 1/2 CIRCLE HR26B SMALL NEEDLE TAPER POINT BLUE DURAMESH POLYPROPYLENE,2499.0,1249.5,545.03,2249.1,64
RC,0272,SUTURE NONABSORBABLE #2 40IN 25.9MM CURVED LOOP SMOOTH BLUE MINITAPE 72205436 BRAIDED UHMWPE,870.0,435.0,189.75,783.0,64
RC,0272,SUTURE NONABSORBABLE #2 40IN CURVED WHITE BLUE MINITAPE UHMWPE BRAID,870.0,435.0,189.75,783.0,64
RC,0272,SUTURE NONABSORBABLE #2 48IN W/12IN HEATED STIFFENED END IN TUBE ULTRAGRAB ULTRABRAID COBRAID HS FIBER,97.0,48.5,21.16,87.3,64
RC,0272,SUTURE NONABSORBABLE #2 BLUE BLACK MAXBRAID CM0222,63.2,31.6,13.78,56.88,64
RC,0272,SUTURE NONABSORBABLE #2 C-7 CORELESS TAPERED BLUE MAXBRAID 900335 BRAIDED DYNEEMA UHMWPE,306.0,153.0,66.74,275.4,64
RC,0272,SUTURE NONABSORBABLE #5 CURVED CONVENTIONAL CUTTING TAPERED NEEDLE BLACK BLUE MAXBRAID CM0226N 2/PK,72.0,36.0,15.7,64.8,64
RC,0272,SUTURE NONABSORBABLE #6 14INL STAINLESS STEEL 1/2 CIRCLE BE-2 CONVENTIONAL CUTTING MYO/WIRE II 040-365 MONOFILAMENT,1183.0,591.5,258.01,1064.7,64
RC,0272,SUTURE NONABSORBABLE #6 14INL STAINLESS STEEL 1/2 CIRCLE BE-3 DOUBLE-ARM CONVENTIONAL CUTTING F/STERNOTOMY MYO/WIRE II 046-297 3 STRANDS/PK MONOFILAMENT,1235.0,617.5,269.35,1111.5,64
RC,0272,SUTURE NONABSORBABLE #6 45CML 48MML STAINLESS STEEL 1/2 CIRCLE SCC CONVENTIONAL CUTTING UNDYED STEEL 8886222469 4 STRANDS/PK UNCOATED PERMANENT MONOFILAMENT,416.76,208.38,90.9,375.08,64
RC,0272,SUTURE NONABSORBABLE #7 18INL STAINLESS STEEL 1/2 CIRCLE CCS-1 CONVENTIONAL CUTTING F/STERNOTOMY MYO/WIRE II 047-032 4 STRANDS/PK MONOFILAMENT,287.0,143.5,62.59,258.3,64
RC,0272,SUTURE NONABSORBABLE #8 5INL 5MML NYLON 3/8 CIRCLE MV-135-4 TAPER POINT BLACK MONOSOF N2543 UNCOATED PERMANENT MONOFILAMENT,662.76,331.38,144.55,596.48,64
RC,0272,SUTURE NONABSORBABLE #9 5INL 5MML NYLON 3/8 CIRCLE FS-3 TAPER POINT BLACK MONOSOF N2546 UNCOATED PERMANENT MONOFILAMENT,495.48,247.74,108.06,445.93,64
RC,0272,SUTURE NONABSORBABLE 1.5MM TAPE BLUE BROADBAND 12/PK,432.0,216.0,94.22,388.8,64
RC,0272,SUTURE NONABSORBABLE 10-0 12INL 5.51MML NYLON 1/2 CIRCLE HGL-5 DOUBLE-ARM ULTRAGLIDE BLACK SHARPOINT AA-2626N MONOFILAMENT,325.0,162.5,70.88,292.5,64
RC,0272,SUTURE NONABSORBABLE 2-0 105CML 25MML 1/2 CIRCLE CV-305 DOUBLE-ARM TAPER POINT CARDIOPOINT W/PTFE PLEDGET BLUE TI-CRON 8886303551 SILICONE COATED PERMANENT BRAIDED POLYESTER,435.69,217.85,95.02,392.12,64
RC,0272,SUTURE NONABSORBABLE 2-0 18IN 3/8 CIRCLE PS NEEDLE BLACK ETHILON 585 MONOFILAMENT,16.4,8.2,3.58,14.76,64
RC,0272,SUTURE NONABSORBABLE 2-0 18INL NYLON 1/2 CIRCLE CABLE TYPE TAPER POINT WHITE SUPRAMID EXTRA CP-20W MONOFILAMENT,265.0,132.5,57.8,238.5,64
RC,0272,SUTURE NONABSORBABLE 2-0 45CML 26MML NYLON 1/2 CIRCLE V-20 TAPER POINT BLACK SURGILON 8886195852 BRAIDED,758.16,379.08,165.35,682.34,64
RC,0272,SUTURE NONABSORBABLE 2-0 75CML 25MML 1/2 CIRCLE CV-305 DOUBLE-ARM TAPER POINT CARDIOPOINT W/PTFE PLEDGET BLUE TI-CRON 8886335656 10 STRANDS/PK SILICONE COATED PERMANENT BRAIDED POLYESTER,989.4,494.7,215.79,890.46,64
RC,0272,SUTURE NONABSORBABLE 2-0 75CML 26MML NYLON 1/2 CIRCLE V-20 TAPER POINT BLACK SURGILON 8886196752 5 STRANDS/PK SILICONE COATED PERMANENT BRAIDED,355.7,177.85,77.58,320.13,64
RC,0272,SUTURE NONABSORBABLE 2-0 CURVED RELOADABLE OVERSTITCH PLY-G02-020 MONOFILAMENT POLYPROPYLENE,776.0,388.0,169.25,698.4,64
RC,0272,SUTURE NONABSORBABLE 20IN STRAIGHT LOOP SMOOTH BLUE MINITAPE,870.0,435.0,189.75,783.0,64
RC,0272,SUTURE NONABSORBABLE 3-0 18INL 12.7MML NYLON 1/2 CIRCLE SH-2 TAPER POINT WHITE SUPRAMID EXTRA CP-30W MONOFILAMENT,265.0,132.5,57.8,238.5,64
RC,0272,SUTURE NONABSORBABLE 3-0 20INL NYLON 3/8 CIRCLE HEA NEEDLE CABLE TYPE TAPER POINT WHITE SUPRAMID EXTRA HEA-30-20 MONOFILAMENT,193.0,96.5,42.09,173.7,64
RC,0272,SUTURE NONABSORBABLE 3-0 36INL NYLON 1/2 CIRCLE CABLE TYPE TAPER POINT WHITE SUPRAMID EXTRA GI-30 MONOFILAMENT,265.0,132.5,57.8,238.5,64
RC,0272,SUTURE NONABSORBABLE 3-0 90CML SH DOUBLE-ARM COROLENE 20S20AQ MONOFILAMENT,392.0,196.0,85.5,352.8,64
RC,0272,SUTURE NONABSORBABLE 4-0 18IN 17MM 3/8 CIRCLE V-4 TAPERCUT VIOLET ORTHOCORD MONOFILAMENT BRAIDED POLYDIOXANONE,416.0,208.0,90.73,374.4,64
RC,0272,SUTURE NONABSORBABLE 4-0 18INL NYLON 1/2 CIRCLE CABLE TYPE TAPER POINT WHITE SUPRAMID EXTRA CP-40W MONOFILAMENT,265.0,132.5,57.8,238.5,64
RC,0272,SUTURE NONABSORBABLE 4-0 20INL NYLON 3/8 CIRCLE CABLE TYPE REVERSE CUTTING WHITE SUPRAMID EXTRA LHL-40 MONOFILAMENT,395.0,197.5,86.15,355.5,64
RC,0272,SUTURE NONABSORBABLE 4-0 24INL 13MML 3/8 CIRCLE CV-5 PT-13 DOUBLE-ARM PIERCING POINT WHITE GORE-TEX 5K08A MONOFILAMENT PTFE,380.0,190.0,82.88,342.0,64
RC,0272,SUTURE NONABSORBABLE 4-0 30INL 13MML 1/2 CIRCLE CV-5 PH-13 DOUBLE-ARM PIERCING POINT WHITE GORE-TEX 5M16A MONOFILAMENT PTFE,450.0,225.0,98.15,405.0,64
RC,0272,SUTURE NONABSORBABLE 4-0 30INL 13MML 1/2 CIRCLE CV-5 THC-13 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 5M12A MONOFILAMENT PTFE,398.0,199.0,86.8,358.2,64
RC,0272,SUTURE NONABSORBABLE 4-0 30INL 13MML 1/2 CIRCLE CV-5 THC-13 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 5M12B MONOFILAMENT PTFE,916.0,458.0,199.78,824.4,64
RC,0272,SUTURE NONABSORBABLE 4-0 36INL 22MML 1/2 CIRCLE CV-5 TH-22 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 3201A MONOFILAMENT PTFE,408.0,204.0,88.98,367.2,64
RC,0272,SUTURE NONABSORBABLE 4-0 36INL 26MML 1/2 CIRCLE CV-5 TH-26 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 5N20B MONOFILAMENT PTFE,904.0,452.0,197.16,813.6,64
RC,0272,SUTURE NONABSORBABLE 5-0 24INL 13MML 3/8 CIRCLE CV-6 TTC-13 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 6K04A MONOFILAMENT PTFE,345.0,172.5,75.24,310.5,64
RC,0272,SUTURE NONABSORBABLE 5-0 30INL 13MML 3/8 CIRCLE CV-6 PT-13 DOUBLE-ARM PIERCING POINT WHITE GORE-TEX 6M08A MONOFILAMENT PTFE,461.0,230.5,100.54,414.9,64
RC,0272,SUTURE NONABSORBABLE 5-0 36INL 13MML 3/8 CIRCLE CV-6 TTC-13 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 6N04B MONOFILAMENT PTFE,949.0,474.5,206.98,854.1,64
RC,0272,SUTURE NONABSORBABLE 6-0 24INL 13MML 3/8 CIRCLE CV-7 PT-13 DOUBLE-ARM TAPER POINT WHITE GORE-TEX 7K08A MONOFILAMENT PTFE,394.0,197.0,85.93,354.6,64
RC,0272,SUTURE NONABSORBABLE 7-0 60CML 8MML BV-175 DOUBLE-ARM COROLENE 20S05G MONOFILAMENT,410.0,205.0,89.42,369.0,64
RC,0272,SUTURE NONABSORBABLE 7-0 75CM 9.3MM 3/8 CIRCLE BV-1 DOUBLE-ARM TAPER POINT BLUE PROLENE EP8703H MONOFILAMENT POLYPROPYLENE,604.05,302.03,131.74,543.65,64
RC,0272,SUTURE NONABSORBABLE 9INL 24GA NEEDLE STAINLESS STEEL ETHI-PACK 17634/10 MONOFILAMENT,162.82,81.41,35.51,146.54,64
RC,0272,SUTURE NONABSORBABLE ARTHROSCOPIC 2-0 24IN NEEDLED WHITE BLUE ULTRABRAID,222.5,111.25,48.53,200.25,64
RC,0272,SUTURE NONABSORBABLE KNOTLESS UNI-DIRECTIONAL #1 12INL 27MML 1/2 CIRCLE GS-22 TAPER POINT BLUE V-LOC PBT VLOCN2117 PERMANENT UNCOATED BARBED MONOFILAMENT POLYBUTESTER,522.24,261.12,113.9,470.02,64
RC,0272,SUTURE NONABSORBABLE SIZE 8-0 BV-130 COROLENE,885.0,442.5,193.02,796.5,64
RC,0272,SUTURE NONABSORBABLE TIGERLINK SUTURETAPE 1.7MM CLOSE LOOP BLACK WHITE,95.0,47.5,20.72,85.5,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL #0 72INL 70MML NYLON 1/2 CIRCLE XLH TAPER POINT BLACK ETHILON D5854 1 STRANDS/PK MONOFILAMENT,500.52,250.26,109.16,450.47,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL #2 30INL 17MML STAINLESS STEEL 1/2 CIRCLE RB-1 TAPER POINT SILVER STEEL D9793 1 STRANDS/PK MONOFILAMENT,937.2,468.6,204.4,843.48,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL #2 30INL 36MML 1/2 CIRCLE OS-6 REVERSE CUTTING GREEN ETHIBOND EXCEL DC493 1 STRANDS/PK POLYBUTILATE COATED BRAIDED POLYESTER,457.48,228.74,99.78,411.73,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 10-0 12INL 6.5MML NYLON 3/8 CIRCLE CS140-8 DOUBLE-ARM ULTIMA SPATULA REVERSE CUTTING BLACK ETHILON 9033G 1 STRANDS/PK MONOFILAMENT,148.06,74.03,32.29,133.25,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 2-0 30IN 17MM 1/2 CIRCLE RB-1 DOUBLE-ARM TAPER POINT ETHALLOY W/3MM X 3MM X 1.5MM SOFT TFE POLYMER PLEDGET GREEN WHITE ETHIBOND EXCEL SXX43N 10 STRANDS/PK POLYBUTI,256.05,128.03,55.84,230.45,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 2-0 30INL 17MML 1/2 CIRCLE V-5 DOUBLE-ARM TAPERCUT W/3MM X 3MM X 1.5MM SOFT PLEDGET GREEN WHITE ETHIBOND EXCEL SXP54 10 STRANDS/PK POLYBUTILATE COATED BRAIDED POLY,322.2,161.1,70.27,289.98,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 2-0 30INL 20MML 1/2 CIRCLE SH-2 DOUBLE-ARM TAPER POINT W/7MM X 3MM X 1.5MM SOFT PLEDGET GREEN WHITE ETHIBOND EXCEL SXP82 10 STRANDS/PK POLYBUTILATE COATED BRAIDED ,529.5,264.75,115.48,476.55,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 3-0 30INL 17MML 1/2 CIRCLE V-5 DOUBLE-ARM TAPERCUT GREEN WHITE ETHIBOND EXCEL 10X53 10 STRANDS/PK POLYBUTILATE COATED BRAIDED POLYESTER,490.72,245.36,107.03,441.65,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 3-0 48INL 36MML 1/2 CIRCLE MH DOUBLE-ARM TAPER POINT BLUE PROLENE D5636 1 STRANDS/PK MONOFILAMENT POLYPROPYLENE,3179.19,1589.6,693.38,2861.27,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 4-0 14INL 36MML STAINLESS STEEL STRAIGHT BV-47 DOUBLE-ARM TAPERCUT SILVER STEEL D7005 1 STRANDS/PK MONOFILAMENT,1392.41,696.21,303.68,1253.17,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 4-0 36INL 13MML 3/8 CIRCLE C-1 DOUBLE-ARM TAPER POINT BLUE PROLENE 8519H 1 STRANDS/PK MONOFILAMENT POLYPROPYLENE,432.45,216.23,94.32,389.21,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 5-0 18INL 8MML 1/4 CIRCLE S-14 DOUBLE-ARM SABRELOC SPATULA REVERSE CUTTING GREEN MERSILENE 1761G 1 STRANDS/PK BRAIDED POLYESTER,128.95,64.48,28.12,116.06,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 5-0 24INL 9.3MML 3/8 CIRCLE BV-1 DOUBLE-ARM TAPER POINT BLUE PROLENE D9342 4 STRANDS/PK MONOFILAMENT POLYPROPYLENE,1985.83,992.92,433.11,1787.25,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 5MM 24INL 80MML 1/2 CIRCLE BP BLUNT POINT WHITE MERSILENE D8014 1 STRANDS/PK BRAIDED POLYESTER,1474.03,737.02,321.49,1326.63,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 6-0 24IN 9.3MM 3/8 CIRCLE BV-1 DOUBLE-ARM TAPER EVERPOINT BLUE PROLENE EPM8805 4STRAND/PK 12/BX MONOFILAMENT POLYPROPYLENE,854.89,427.45,186.45,769.4,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 6-0 30IN 13MM 3/8 CIRCLE C-1 DOUBLE-ARM TAPER EVERPOINT BLUE PROLENE EPM8706 LATEX-FREE STERILE 4 STRANDS/PK MONOFILAMENT POLYPROPYLENE,690.92,345.46,150.69,621.83,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 6-0 30IN 9.3MM 3/8 CIRCLE BV-1 DOUBLE-ARM TAPER EVERPOINT BLUE PROLENE EPM8709 4STRAND/PK 12/BX MONOFILAMENT POLYPROPYLENE,855.79,427.9,186.65,770.21,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 6-0 30INL 13MML 3/8 CIRCLE CC-1 DOUBLE-ARM MULTIPASS TAPERCUT BLUE PROLENE 8707H 1 STRANDS/PK MONOFILAMENT POLYPROPYLENE,484.77,242.39,105.73,436.29,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 7-0 24IN 8MM 3/8 CIRCLE BV175-7 DOUBLE-ARM MULTIPASS TAPER EVERPOINT BLUE PROLENE EPM8766 2STRAND/PK 12/BX MONOFILAMENT POLYPROPYLENE,514.59,257.3,112.23,463.13,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 7-0 24IN 93MM 3/8 CIRCLE CC-175-8 DOUBLE-ARM MULTIPASS EVERPOINT TAPERCUT BLUE PROLENE EPM8704SL 4STRAND/PK 12/BX MONOFILAMENT POLYPROPYLENE,1120.39,560.2,244.36,1008.35,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 7-0 24INL 8MML 3/8 CIRCLE BV175-7 DOUBLE-ARM MULTIPASS TAPER POINT BLUE PROLENE M8766 2 STRANDS/PK MONOFILAMENT POLYPROPYLENE,447.47,223.74,97.59,402.72,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 7-0 30INL 9.3MML 3/8 CIRCLE BV175-8 DOUBLE-ARM TAPER POINT EVERPOINT BLUE PROLENE EPM8755 2 STRANDS/PK MONOFILAMENT POLYPROPYLENE,514.59,257.3,112.23,463.13,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 8-0 24IN 6.5MM 3/8 CIRCLE BV130-5 DOUBLE-ARM MULTIPASS TAPER EVERPOINT BLUE PROLENE EPM8739 2STRAND/PK 12/BX MONOFILAMENT POLYPROPYLENE,522.35,261.18,113.92,470.12,64
RC,0272,SUTURE NONABSORBABLE UNI-DIRECTIONAL 9-0 5INL 3.5MML NYLON 1/4 CIRCLE V100-3 TAPERCUT BLACK ETHILON 2894G 1 STRANDS/PK MONOFILAMENT,191.04,95.52,41.67,171.94,64
RC,0272,SUTURE NOVOSTITCH PLUS V-LOC CARTRIDGE NONABSORBABLE MENISCUS CTXR001,455.0,227.5,99.24,409.5,64
RC,0272,SUTURE NUROLON BLACK 4-0 TF TAPERPOINT L18 IN CONTROL RELEASE BRAID 8 STRAND NONABSORBABLE,136.07,68.04,29.68,122.46,64
RC,0272,SUTURE NYLON ETHILON BLACK 9-0 CA160-6 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,176.48,88.24,38.49,158.83,64
RC,0272,SUTURE NYLON ETHILON BLACK 9-0 CS140-6 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,176.48,88.24,38.49,158.83,64
RC,0272,SUTURE ORTHOCORD BLUE VIOLET OS-6 NONABSORBABLE,353.04,176.52,77.0,317.74,64
RC,0272,SUTURE ORTHOCORD VIOLET 3-0 BB L18 IN BRAID COMPOSITE NONABSORBABLE,275.0,137.5,59.98,247.5,64
RC,0272,SUTURE OVERSTITCH 2-0 POLYDIOXANONE NONABSORBABLE PDO-G02-020,738.0,369.0,160.96,664.2,64
RC,0272,SUTURE PASSER 25 MM FIBERRING SHUTTLE LOOP,1740.0,870.0,379.49,1566.0,64
RC,0272,SUTURE PASSER 45 D LEFT CURVE SUTURELASSO ARTHROSCOPY,130.0,65.0,28.35,117.0,64
RC,0272,SUTURE PASSER 45 D RIGHT CURVE SUTURELASSO THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,SUTURE PASSER 45 D SMALL LEFT CURVE QUICKPASS SUTURELASSO CANNULA ERGONOMIC HANDLE THUMBWHEEL ID7 MM ARTHROSCOPY,160.0,80.0,34.9,144.0,64
RC,0272,SUTURE PASSER 70DEG MICRO SHORT SUTURELASSO FIBROCARTILAGE COMPLEX STAINLESS STEEL NITINOL ACL PCL,700.0,350.0,152.67,630.0,64
RC,0272,SUTURE PASSER 90 D LEFT CURVE SUTURELASSO THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,SUTURE PASSER 90 D RIGHT CURVE SUTURELASSO THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,SUTURE PASSER 90 D SMALL LEFT CURVE QUICKPASS SUTURELASSO CANNULA ERGONOMIC HANDLE THUMBWHEEL ID8.25 MM ARTHROSCOPY,160.0,80.0,34.9,144.0,64
RC,0272,SUTURE PASSER 90 D STRAIGHT SUTURELASSO HIP ARTHROSCOPY,165.0,82.5,35.99,148.5,64
RC,0272,SUTURE PASSER CHAMPION NEEDLE FLEXIBLE,194.26,97.13,42.37,174.83,64
RC,0272,SUTURE PASSER CHIA PERCPASSER NITINOL,2755.0,1377.5,600.87,2479.5,64
RC,0272,SUTURE PASSER MICRO SMALL CURVE BENT SUTURELASSO L6 IN BRAID EASIER REPAIR MAJOR MATTRESS STITCH STAINLESS STEEL NITINOL OD1.25 MM,700.0,350.0,152.67,630.0,64
RC,0272,SUTURE PASSER SMALL CRESCENT SUTURELASSO THUMB PAD NITINOL OD1.8 MM ODSEC3.8 MM LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR,140.0,70.0,30.53,126.0,64
RC,0272,SUTURE PDS II 0 CT-1 L18 IN CONTROL RELEASE MONOFILAMENT 8 STRAND VIOLET ABSORBABLE,176.59,88.3,38.51,158.93,64
RC,0272,SUTURE PDS II 1 CT-1 L18 IN CONTROL RELEASE MONOFILAMENT 8 STRAND VIOLET ABSORBABLE,174.74,87.37,38.11,157.27,64
RC,0272,SUTURE PDS II 2-0 CT-1 L18 IN CONTROL RELEASE MONOFILAMENT 8 STRAND VIOLET ABSORBABLE,173.36,86.68,37.81,156.02,64
RC,0272,SUTURE PDS II 3-0 CP-2 L18 IN CONTROL RELEASE MONOFILAMENT 8 STRAND VIOLET ABSORBABLE,213.49,106.75,46.56,192.14,64
RC,0272,SUTURE PDS II 7-0 BV-1 L24 IN 2 ARM MONOFILAMENT VIOLET ABSORBABLE,484.17,242.09,105.6,435.75,64
RC,0272,SUTURE PDS II 7-0 BV-1 L30 IN 2 ARM MONOFILAMENT VIOLET ABSORBABLE,484.17,242.09,105.6,435.75,64
RC,0272,SUTURE PDS PLUS 5-0 C-1 L30 IN 2 ARM ANTIBACTERIAL VIOLET ABSORBABLE,528.39,264.2,115.24,475.55,64
RC,0272,SUTURE PDS PLUS 6-0 C-1 30IN 2 ARM MONOFILAMENT ANTIBACTERIAL ABSORBABLE VIOLET,455.49,227.75,99.34,409.94,64
RC,0272,SUTURE PERMALOOP 1.3 MO-7 NONABSORBABLE,1452.96,726.48,316.89,1307.66,64
RC,0272,SUTURE PLAIN GUT PLAIN 6-0 TG140-8 L18 IN 2 ARM MONOFILAMENT YELLOWISH TAN ABSORBABLE,189.12,94.56,41.25,170.21,64
RC,0272,SUTURE POLYPROPYLENE PROLENE BLUE 7-0 BV-1 L18 IN 2 ARM MONOFILAMENT NONABSORBABLE,471.66,235.83,102.87,424.49,64
RC,0272,SUTURE PROLENE 10-0 CIF-4 8IN 2 ARM MONOFILAMENT NONABSORBABLE BLUE 788G,207.83,103.92,45.33,187.05,64
RC,0272,SUTURE PROLENE 4-0 BB 48CM 2 ARM NONABSORBABLE BLUE D10107,2261.64,1130.82,493.26,2035.48,64
RC,0272,SUTURE PROLENE 5-0 C-1 36IN 2 ARM MONOFILAMENT NONABSORBABLE BLUE 8720H,396.72,198.36,86.52,357.05,64
RC,0272,SUTURE PROLENE 6-0 BV-1 24IN 2 ARM MONOFILAMENT NONABSORBABLE BLUE 8805H,467.04,233.52,101.86,420.34,64
RC,0272,SUTURE PROLENE 6-0 C-1 30IN 2 ARM EVP8706H,537.09,268.55,117.14,483.38,64
RC,0272,SUTURE PROLENE 7-0 BV-1 24IN 2 ARM MONOFILAMENT 4 STRAND WOUND CLOSURE NONABSORBABLE BLUE,828.38,414.19,180.67,745.54,64
RC,0272,SUTURE PROLENE 7-0 BV-1 L30 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,622.4,311.2,135.75,560.16,64
RC,0272,SUTURE PROLENE BLUE 10-0 CS160-6 CTC-6 L4 IN 2 ARM MONOFILAMENT NONABSORBABLE,228.25,114.13,49.78,205.43,64
RC,0272,SUTURE PROLENE BLUE 10-0 STC-6 L8 IN 2 ARM MONOFILAMENT NONABSORBABLE,174.2,87.1,37.99,156.78,64
RC,0272,SUTURE PROLENE BLUE 10-0 TG140-8 L12 IN 2 ARM MONOFILAMENT NONABSORBABLE,153.97,76.99,33.58,138.57,64
RC,0272,SUTURE PROLENE BLUE 2-0 UR-6 L36 IN MONOFILAMENT D SPECIAL NONABSORBABLE,1501.89,750.95,327.56,1351.7,64
RC,0272,SUTURE PROLENE BLUE 4-0 RB-1 L36 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,200.7,100.35,43.77,180.63,64
RC,0272,SUTURE PROLENE BLUE 5-0 C-1 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,394.77,197.39,86.1,355.29,64
RC,0272,SUTURE PROLENE BLUE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT NONABSORBABLE,423.69,211.85,92.41,381.32,64
RC,0272,SUTURE PROLENE BLUE 5-0 RB-1 L36 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,204.12,102.06,44.52,183.71,64
RC,0272,SUTURE PROLENE BLUE 5-0 RB-2 L30 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,198.24,99.12,43.24,178.42,64
RC,0272,SUTURE PROLENE BLUE 6-0 BV L30 IN 2 ARM MONOFILAMENT NONABSORBABLE,467.04,233.52,101.86,420.34,64
RC,0272,SUTURE PROLENE BLUE 6-0 BV-1 L18 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,586.4,293.2,127.89,527.76,64
RC,0272,SUTURE PROLENE BLUE 6-0 BV-1 L18 IN 2 ARM MONOFILAMENT NONABSORBABLE,456.24,228.12,99.51,410.62,64
RC,0272,SUTURE PROLENE BLUE 6-0 BV-1 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,466.47,233.24,101.74,419.82,64
RC,0272,SUTURE PROLENE BLUE 6-0 BV-1 L30 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,600.8,300.4,131.03,540.72,64
RC,0272,SUTURE PROLENE BLUE 6-0 BV-1 L30 IN 2 ARM MONOFILAMENT NONABSORBABLE,467.04,233.52,101.86,420.34,64
RC,0272,SUTURE PROLENE BLUE 6-0 C-1 L18 IN 2 ARM MONOFILAMENT NONABSORBABLE,416.58,208.29,90.86,374.92,64
RC,0272,SUTURE PROLENE BLUE 6-0 C-1 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,416.58,208.29,90.86,374.92,64
RC,0272,SUTURE PROLENE BLUE 6-0 C-1 L30 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,555.47,277.74,121.15,499.92,64
RC,0272,SUTURE PROLENE BLUE 6-0 C-1 L30 IN 2 ARM MONOFILAMENT NONABSORBABLE,416.58,208.29,90.86,374.92,64
RC,0272,SUTURE PROLENE BLUE 6-0 CC L24 IN 2 ARM 4 STRAND MONOFILAMENT NONABSORBABLE,666.26,333.13,145.31,599.63,64
RC,0272,SUTURE PROLENE BLUE 6-0 CC L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,516.12,258.06,112.57,464.51,64
RC,0272,SUTURE PROLENE BLUE 6-0 RB-2 L30 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,203.91,101.96,44.47,183.52,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV-1 L24 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,622.4,311.2,135.75,560.16,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV-1 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,483.24,241.62,105.39,434.92,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV-1 L24 IN 2 ARM NONABSORBABLE,604.05,302.03,131.74,543.65,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV-1 L30 IN 2 ARM MONOFILAMENT NONABSORBABLE,483.24,241.62,105.39,434.92,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV175-6 L24 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,884.71,442.36,192.96,796.24,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV175-6 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,679.98,339.99,148.3,611.98,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV175-6 L30 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,447.47,223.74,97.59,402.72,64
RC,0272,SUTURE PROLENE BLUE 7-0 BV175-8 L24 IN 2 ARM MONOFILAMENT 2 STRAND NONABSORBABLE,447.47,223.74,97.59,402.72,64
RC,0272,SUTURE PROLENE BLUE 7-0 C-1 L18 IN 2 ARM MONOFILAMENT NONABSORBABLE,417.87,208.94,91.14,376.08,64
RC,0272,SUTURE PROLENE BLUE 7-0 CC L24 IN 2 ARM MONOFILAMENT 4 STRAND NONABSORBABLE,686.17,343.09,149.65,617.55,64
RC,0272,SUTURE PROLENE BLUE 7-0 CC L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,521.91,260.96,113.83,469.72,64
RC,0272,SUTURE PROLENE BLUE 8-0 BV130-5 L18 IN 2 ARM MONOFILAMENT NONABSORBABLE,668.4,334.2,145.78,601.56,64
RC,0272,SUTURE PROLENE BLUE 8-0 BV130-5 L24 IN 2 ARM MONOFILAMENT 2 STRAND NONABSORBABLE,447.47,223.74,97.59,402.72,64
RC,0272,SUTURE PROLENE BLUE 8-0 BV130-5 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,679.98,339.99,148.3,611.98,64
RC,0272,SUTURE PROLENE BLUE 8-0 BV175-6 L24 IN 2 ARM MONOFILAMENT 2 STRAND NONABSORBABLE,447.47,223.74,97.59,402.72,64
RC,0272,SUTURE PROLENE BLUE 8-0 BV175-6 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,679.98,339.99,148.3,611.98,64
RC,0272,SUTURE PROLENE BLUE 9-0 CTC-6L L3 IN 2 ARM MONOFILAMENT NONABSORBABLE,1428.24,714.12,311.5,1285.42,64
RC,0272,SUTURE PROLENE BLUE 9-0 TG140-8 L6 IN 2 ARM MONOFILAMENT NONABSORBABLE,163.05,81.53,35.56,146.75,64
RC,0272,SUTURE PROLENE EVERPOINT 7-0 BV175-8 24IN 2 ARM MONOFILAMENT 2 STRAND NONABSORBABLE BLUE CARDIOVASCULAR EPM8747,514.59,257.3,112.23,463.13,64
RC,0272,SUTURE PROLENE VISI-BLACK 6-0 C-1 30IN 2 ARM MONOFILAMENT NONABSORBABLE BLUE 8307H,419.43,209.72,91.48,377.49,64
RC,0272,SUTURE PROLENE VISI-BLACK 7-0 BV-1 24IN POLYPROPYLENE 2 ARM MONOFILAMENT NONABSORBABLE BLUE 8304H,467.52,233.76,101.97,420.77,64
RC,0272,SUTURE PROLENE WITH HEMOSEAL BLUE 4-0 C-1 L30 IN 2 ARM MONOFILAMENT NONABSORBABLE,627.75,313.88,136.91,564.98,64
RC,0272,SUTURE PROLENE WITH HEMOSEAL BLUE 5-0 BV-1 L24 IN 2 ARM MONOFILAMENT NONABSORBABLE,634.29,317.15,138.34,570.86,64
RC,0272,SUTURE PROLENE WITH HEMOSEAL BLUE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT NONABSORBABLE,973.47,486.74,212.31,876.12,64
RC,0272,SUTURE SHARPOINT MET 10-0 BRM5 1IN 2 ARM MONOFILAMENT NONABSORBABLE BLACK AA-2492,431.2,215.6,94.04,388.08,64
RC,0272,SUTURE SHARPOINT MET 9-0 HSV-6 5IN NYLON MONOFILAMENT NONABSORBABLE BLACK AA-1825,431.2,215.6,94.04,388.08,64
RC,0272,SUTURE SHARPSHOOTER BLUE 1 MM TAPE NONABSORBABLE,140.3,70.15,30.6,126.27,64
RC,0272,SUTURE STAINLESS STEEL STEEL 7 CCS L18 IN MONOFILAMENT 4 STRAND NONABSORBABLE,143.84,71.92,31.37,129.46,64
RC,0272,SUTURE STAINLESS STEEL STEEL SILVER 2 LS-1 L20 IN MONOFILAMENT 4 STRAND NONABSORBABLE,126.73,63.37,27.64,114.06,64
RC,0272,SUTURE STAINLESS STEEL STEEL SILVER 4 V-40 L18 IN MONOFILAMENT 4 STRAND NONABSORBABLE,123.53,61.77,26.94,111.18,64
RC,0272,SUTURE STAINLESS STEEL STEEL SILVER 5 V-40 L18 IN MONOFILAMENT 4 STRAND NONABSORBABLE,120.43,60.22,26.27,108.39,64
RC,0272,SUTURE STAINLESS STEEL STEEL SILVER 6 CCS L18 IN MONOFILAMENT 4 STRAND NONABSORBABLE,140.86,70.43,30.72,126.77,64
RC,0272,SUTURE STRATAFIX 4-0 RB-1 SPIRAL L16 CM 2 ARM KNOTLESS TISSUE CONTROL UNDYED ABSORBABLE,274.49,137.25,59.87,247.04,64
RC,0272,SUTURE STRATAFIX PDS PLUS 0 CT-1 SPIRAL L18 IN 2 ARM VIOLET ABSORBABLE,281.01,140.51,61.29,252.91,64
RC,0272,SUTURE STRATAFIX PDS PLUS 0 CT-1 SPIRAL L18 IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX PDS PLUS 1 CT SPIRAL L14 IN 2 ARM VIOLET ABSORBABLE,282.16,141.08,61.54,253.94,64
RC,0272,SUTURE STRATAFIX PDS PLUS 1 CTX SPIRAL L14 IN ABSORBABLE,288.71,144.36,62.97,259.84,64
RC,0272,SUTURE STRATAFIX PDS PLUS 1 MO-4 SPIRAL L14 IN ABSORBABLE,288.71,144.36,62.97,259.84,64
RC,0272,SUTURE STRATAFIX PDS PLUS 2 CTX SPIRAL L18 IN ABSORBABLE,281.01,140.51,61.29,252.91,64
RC,0272,SUTURE STRATAFIX PDS PLUS 2 FS SPIRAL L9 IN ABSORBABLE,289.49,144.75,63.14,260.54,64
RC,0272,SUTURE STRATAFIX PDS PLUS 2-0 CT-1 18IN ABSORBABLE KNOTLESS TISSUE CONTROL SYMMETRIC ABSORBABLE VIOLET SXPP1A403,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX PDS PLUS 2-0 CT-1 SPIRAL L14 IN ABSORBABLE,572.28,286.14,124.81,515.05,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 2-0 CT-2 L15 CM ANTIBACTERIAL KNOTLESS TISSUE CONTROL UNDYED ABSORBABLE,308.2,154.1,67.22,277.38,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 2-0 CT-2 SPIRAL L30 CM ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL UNDYED ABSORBABLE,293.86,146.93,64.09,264.47,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 2-0 SH SPIRAL L20 CM ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL UNDYED ABSORBABLE,293.9,146.95,64.1,264.51,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 2-0 SH SPIRAL L30 CM KNOTLESS TISSUE CONTROL ANTIBACTERIAL UNDYED ABSORBABLE,286.59,143.3,62.51,257.93,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 PS-1 L24 IN ANTIBACTERIAL UNIDIRECTIONAL UNDYED ABSORBABLE,281.18,140.59,61.33,253.06,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 PS-1 L70 CM ANTIBACTERIAL KNOTLESS TISSUE CONTROL UNDYED ABSORBABLE,281.18,140.59,61.33,253.06,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 PS-2 SPIRAL L12 IN ANTIBACTERIAL UNIDIRECTIONAL UNDYED ABSORBABLE,286.59,143.3,62.51,257.93,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 PS-2 SPIRAL L45 CM ABSORBABLE KNOTLESS TISSUE CONTROL UNDYED ABSORBABLE,281.18,140.59,61.33,253.06,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 RB-1 L9 IN UNIDIRECTIONAL SPIRAL UNDYED ABSORBABLE,293.9,146.95,64.1,264.51,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 RB-1 SPIRAL L6 IN KNOTLESS TISSUE CONTROL ANTIBACTERIAL UNDYED ABSORBABLE,301.24,150.62,65.7,271.12,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 SH SPIRAL L70 CM KNOTLESS TISSUE CONTROL ANTIBACTERIAL UNDYED ABSORBABLE,281.18,140.59,61.33,253.06,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 3-0 SH SPIRAL L8 IN ANTIBACTERIAL UNIDIRECTIONAL KNOTLESS TISSUE CONTROL UNDYED ABSORBABLE,293.91,146.96,64.1,264.52,64
RC,0272,SUTURE STRATAFIX SPIRAL MONOCRYL PLUS 4-0 PS-2 SPIRAL L45 CM ANTIBACTERIAL UNIDIRECTIONAL KNOTLESS TISSUE CONTROL UNDYED ABSORBABLE,285.69,142.85,62.31,257.12,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 0 CT-1 SPIRAL L12 IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 0 CT-1 SPIRAL L70 CM ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL DYED ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 0 CT-1 SPIRAL L9 IN ANTIBACTERIAL ABSORBABLE KNOTLESS TISSUE CONTROL VIOLET ABSORBABLE,304.43,152.22,66.4,273.99,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 0 CT-2 SPIRAL L12 IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 0 V-34 SPIRAL L12 IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 CT-1 SPIRAL L12 IN VIOLET ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 CT-1 SPIRAL L15 CM ANTIBACTERIAL ABSORBABLE KNOTLESS TISSUE CONTROL VIOLET ABSORBABLE,304.9,152.45,66.5,274.41,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 CT-1 SPIRAL L22 CM ABSORBABLE KNOTLESS TISSUE CONTROL VIOLET ABSORBABLE,297.52,148.76,64.89,267.77,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 CT-2 SPIRAL L15 CM ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,304.9,152.45,66.5,274.41,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 CT-2 SPIRAL L9 IN ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,297.53,148.77,64.89,267.78,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 FS SPIRAL L45 CM ABSORBABLE KNOTLESS TISSUE CONTROL DYED ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 SH L9 IN UNIDIRECTIONAL SPIRAL VIOLET ABSORBABLE,297.56,148.78,64.9,267.8,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 SH SPIRAL L30 CM ABSORBABLE KNOTLESS TISSUE CONTROL ANTIBACTERIAL VIOLET ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 2-0 SH SPIRAL L6 IN TAPER POINT ABSORBABLE,304.9,152.45,66.5,274.41,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 3-0 PS-1 SPIRAL L70 CM KNOTLESS TISSUE CONTROL ANTIBACTERIAL DYED ABSORBABLE,294.48,147.24,64.23,265.03,64
RC,0272,SUTURE STRATAFIX SPIRAL PDS PLUS 3-0 SH-1 L8 IN VIOLET ABSORBABLE,297.52,148.76,64.89,267.77,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 0 CT-1 L23 CM SYMMETRIC UNIDIRECTIONAL VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 0 CT-2 L9 IN SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 0 CTX L18 IN ABSORBABLE KNOTLESS TISSUE CONTROL SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 0 CTX L24 IN VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 1 CT L24 IN ABSORBABLE KNOTLESS TISSUE CONTROL SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 1 CT-1 L12 IN KNOTLESS TISSUE CONTROL SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 2-0 CT-2 L9 IN UNIDIRECTIONAL SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 2-0 SH L9 IN UNIDIRECTIONAL SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX SYMMETRIC PDS PLUS 3-0 SH L6 IN UNIDIRECTIONAL SYMMETRIC VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE STRATAFIX UNDYED 1 CT-1 SPIRAL L9 IN 2 ARM KNOTLESS TISSUE CONTROL NONABSORBABLE,312.54,156.27,68.16,281.29,64
RC,0272,SUTURE SUPRAMID EXTRA 3-0 BB 12IN NYLON MONOFILAMENT LOOP CABLE NONABSORBABLE 3/8IN HEA-30,193.0,96.5,42.09,173.7,64
RC,0272,SUTURE SUPRAMID EXTRA II 4-0 20IN 1 ARM NONABSORBABLE HEA-40-20,178.5,89.25,38.93,160.65,64
RC,0272,SUTURE SUPRAMID EXTRA II 4-0 BB 12IN MONOFILAMENT LOOP NONABSORBABLE WHITE HEA-40,193.0,96.5,42.09,173.7,64
RC,0272,SUTURE SUTURETAPE 1/2 CIRCLE L36.6 MM X W1.3 MM TAPER NEEDLE NONABSORBABLE,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE SUTURETAPE BLACK BLUE WHITE L40 IN X 2 STRAND OD1.3 MM NONABSORBABLE,780.0,390.0,170.12,702.0,64
RC,0272,SUTURE SUTURETAPE BLACK WHITE 2 1/2 CIRCLE L36.6 MM W1.3 MM TAPER NEEDLE NONABSORBABLE,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE SUTURETAPE BLACK WHITE L38 IN L48 MM CONVENTIONAL CUTTING NEEDLE 1/2 CIRCLE OD1.7 MM NONABSORBABLE,50.0,25.0,10.91,45.0,64
RC,0272,SUTURE SUTURETAPE BLUE WHITE 1/2 CIRCLE L38 IN L48 MM CONVENTIONAL CUT NEEDLE OD1.7 MM NONABSORBABLE,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE SUTURETAPE BLUE WHITE L40 IN L36.6 MM TAPER END REVERSE CUT NEEDLE 1/2 CIRCLE OD1.3 MM NONABSORBABLE,420.0,210.0,91.6,378.0,64
RC,0272,SUTURE SUTURETAPE OD.9 MM NONABSORBABLE,480.0,240.0,104.69,432.0,64
RC,0272,SUTURE SUTURETAPE TIGERLINK BLACK WHITE L1.3 MM NONABSORBABLE,1020.0,510.0,222.46,918.0,64
RC,0272,SUTURE SYNTHETIC ETHIBOND EXCEL GREEN WHITE 2-0 SH-2 L30 IN L7 MM 2 ARM BRAID FIRM PLEDGET NONABSORBABLE,268.43,134.22,58.54,241.59,64
RC,0272,SUTURE TI-CRON 2-0 SC-250 30IN 2 ARM BRAID COATED NONABSORBABLE BLUE 88862947-53,597.54,298.77,130.32,537.79,64
RC,0272,SUTURE TI-CRON BLUE 5 HOS-14 L30 IN BRAID COATED NONABSORBABLE,508.39,254.2,110.88,457.55,64
RC,0272,SUTURE TIGERLINK FIBERWIRE BLACK WHITE 2 L26 IN CLOSED LOOP NONABSORBABLE,660.0,330.0,143.95,594.0,64
RC,0272,SUTURE TIGERLINK SUTURETAPE BLACK WHITE L.9 MM NONABSORBABLE,1140.0,570.0,248.63,1026.0,64
RC,0272,SUTURE TIGERLINK TIGERWIRE WHITE BLACK 0 L1.5 IN CLOSED LOOP NONABSORBABLE,780.0,390.0,170.12,702.0,64
RC,0272,SUTURE TIGERLOOP BLACK WHITE L20 IN L76 MM LOOP STRAIGHT NEEDLE NONABSORBABLE,840.0,420.0,183.2,756.0,64
RC,0272,SUTURE TIGERLOOP TIGERWIRE GREEN WHITE 2 STRAIGHT L20 IN L3 IN BRAID MULTISTRAND NEEDLE NONABSORBABLE,600.0,300.0,130.86,540.0,64
RC,0272,SUTURE TIGERSTICK TIGERWIRE BLACK WHITE 2 L50 IN L12 IN 1 END STIFFEN MONOFILAMENT NONABSORBABLE,250.0,125.0,54.53,225.0,64
RC,0272,SUTURE TIGERTAPE FIBERLINK WHITE BLACK CERCLAGE LOADER NONABSORBABLE,2375.0,1187.5,517.99,2137.5,64
RC,0272,SUTURE TIGERTAPE FIBERWIRE BLACK WHITE 2 L7 IN X W2 MM BRAIDED EACH END TAPERED NONABSORBABLE,300.0,150.0,65.43,270.0,64
RC,0272,SUTURE TIGERTAPE FIBERWIRE BLUE 2-0 T-5 L18 IN BRAID TIES MULTISTRAND NONABSORBABLE,234.0,117.0,51.04,210.6,64
RC,0272,SUTURE TIGERWIRE 2 38IN BRAID NONABSORBABLE BLACK WHITE AR-7203,276.0,138.0,60.2,248.4,64
RC,0272,SUTURE TITANIUM UHMWPE XBRAID BLUE W1.2 MM NONABSORBABLE,1551.12,775.56,338.3,1396.01,64
RC,0272,SUTURE TRICLOSAN POLYDIOXANONE STRATAFIX SYMMETRIC PDS PLUS 0 CT-1 L45 CM ABSORBABLE KNOTLESS TISSUE CONTROL VIOLET ABSORBABLE,315.87,157.94,68.89,284.28,64
RC,0272,SUTURE TRICLOSAN POLYDIOXANONE STRATAFIX SYMMETRIC PDS PLUS 1 CT-1 L45 CM ABSORBABLE KNOTLESS TISSUE CONTROL VIOLET ABSORBABLE,304.5,152.25,66.41,274.05,64
RC,0272,SUTURE TRICLOSAN POLYDIOXANONE STRATAFIX SYMMETRIC PDS PLUS 1 CTX L24 IN UNIDIRECTIONAL SYMMETRIC VIOLET ABSORBABLE,296.95,148.48,64.76,267.26,64
RC,0272,SUTURE TTC-9 30IN GORE-TEX 2 ARM MONOFILAMENT NONABSORBABLE WHITE 6M02A,412.0,206.0,89.86,370.8,64
RC,0272,SUTURE UHMWPE COLLAGEN ACTIVBRAID BLACK WHITE 1.5 MM 1/2 CIRCLE COBRAID TAPER POINT NEEDLE TAPE NONABSORBABLE,2091.6,1045.8,456.18,1882.44,64
RC,0272,SUTURE UHMWPE COLLAGEN ACTIVBRAID BLUE 2 1/2 CIRCLE COBRAID TAPER POINT NEEDLE NONABSORBABLE,160.3,80.15,34.96,144.27,64
RC,0272,SUTURE UHMWPE PERMATAPE BLUE FLAT L38 IN BRAID OD2.5 MM NONABSORBABLE,3564.0,1782.0,777.31,3207.6,64
RC,0272,SUTURE ULTRABRAID 2 L38 IN COBRAID NONABSORBABLE,202.2,101.1,44.1,181.98,64
RC,0272,SUTURE ULTRABRAID BLUE 2 L38 IN BRAID PRECUT NONABSORBABLE,212.0,106.0,46.24,190.8,64
RC,0272,SUTURE ULTRABRAID WHITE 2 L38 IN NEEDLE ASSEMBLY PRELOAD NONABSORBABLE,213.1,106.55,46.48,191.79,64
RC,0272,SUTURE ULTRABRAID WHITE 2 L38 IN NONABSORBABLE,202.2,101.1,44.1,181.98,64
RC,0272,SUTURE ULTRATAPE BLUE LOW PROFILE NONABSORBABLE,360.0,180.0,78.52,324.0,64
RC,0272,SUTURE ULTRATAPE COBRAID BLUE WIDE LOW PROFILE NONABSORBABLE,360.0,180.0,78.52,324.0,64
RC,0272,SUTURE V-LOC 90 4-0 P-12 L18 IN ABSORBABLE UNDYED ABSORBABLE,629.76,314.88,137.35,566.78,64
RC,0272,SUTURE V-LOC BLUE 2-0 V-20 TAPER POINT L6 IN NONABSORBABLE NONABSORBABLE,661.56,330.78,144.29,595.4,64
RC,0272,SUTURE VICRYL 0 MO-5 27IN CONTROL RELEASE BRAID 8 STRAND COATED ABSORBABLE VIOLET,147.86,73.93,32.25,133.07,64
RC,0272,SUTURE VICRYL 1 TP-1 27IN BRAID 4 STRAND COATED ABSORBABLE VIOLET,125.75,62.88,27.43,113.18,64
RC,0272,SUTURE VICRYL 10-0 CS140-6 L4 IN MONOFILAMENT COATED VIOLET ABSORBABLE,123.71,61.86,26.98,111.34,64
RC,0272,SUTURE VICRYL 10-0 CS160-6 L12 IN 2 ARM MONOFILAMENT COATED VIOLET ABSORBABLE,196.81,98.41,42.92,177.13,64
RC,0272,SUTURE VICRYL 2-0 CP-2 18IN CONTROL RELEASE BRAID 8 STRAND COATED ABSORBABLE UNDYED J762D,124.0,62.0,27.04,111.6,64
RC,0272,"SUTURE VICRYL 3-0 COATED PLUS UNDYED 8X18"" CP-2 CR",146.02,73.01,31.85,131.42,64
RC,0272,SUTURE VICRYL 3-0 CP-2 18IN CONTROL RELEASE BRAID 8 STRAND COATED ABSORBABLE UNDYED J761D,126.98,63.49,27.69,114.28,64
RC,0272,SUTURE VICRYL 8-0 TG140-6 12IN 2 ARM BRAID COATED ABSORBABLE VIOLET,158.18,79.09,34.5,142.36,64
RC,0272,SUTURE VICRYL 9-0 BV100-3 L5 IN MONOFILAMENT COATED VIOLET ABSORBABLE,158.1,79.05,34.48,142.29,64
RC,0272,SUTURE VICRYL ENDOKNOT 0 ST-3 42IN BRAID COATED ABSORBABLE VIOLET,245.53,122.77,53.55,220.98,64
RC,0272,SUTURE VICRYL MICROPOINT 7-0 TG140-8 18IN 2 ARM BRAID COATED ABSORBABLE VIOLET J546G,121.03,60.52,26.4,108.93,64
RC,0272,SUTURE VICRYL PLUS 0 CT-1 27IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL ABSORBABLE UNDYED,120.51,60.26,26.28,108.46,64
RC,0272,SUTURE VICRYL PLUS 0 MO-4 18IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL COATED ABSORBABLE VIOLET,153.82,76.91,33.55,138.44,64
RC,0272,SUTURE VICRYL PLUS 1 CT-1 18IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL ABSORBABLE VIOLET,121.4,60.7,26.48,109.26,64
RC,0272,SUTURE VICRYL PLUS 1 CT-1 27IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL COATED ABSORBABLE UNDYED,120.51,60.26,26.28,108.46,64
RC,0272,SUTURE VICRYL PLUS 2-0 CP-2 18IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL COATED ABSORBABLE UNDYED,142.6,71.3,31.1,128.34,64
RC,0272,SUTURE VICRYL PLUS 4-0 RB-1 18IN CONTROL RELEASE BRAID 8 STRAND COATED ABSORBABLE UNDYED VCP714D,136.09,68.05,29.68,122.48,64
RC,0272,SUTURE VICRYL PLUS 4-0 TF 18IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL ABSORBABLE VIOLET VCP743D,159.71,79.86,34.83,143.74,64
RC,0272,SUTURE VIOLET 0 CT-3 L36 IN NONABSORBABLE,416.0,208.0,90.73,374.4,64
RC,0272,SUTURE VIOLET 2-0 BB L18 IN NONABSORBABLE,275.0,137.5,59.98,247.5,64
RC,0272,SUTURE VIOLET 4-0 C-1 L18 IN NONABSORBABLE,275.0,137.5,59.98,247.5,64
RC,0272,SUTURE VIOLET MO-7 NONABSORBABLE,2724.0,1362.0,594.1,2451.6,64
RC,0272,SUTURE WHITE BLUE L40 IN L26.5 MM TAPER END 1/2 CIRCLE NEEDLE OD1.3 MM NONABSORBABLE,420.0,210.0,91.6,378.0,64
RC,0272,SUTURE XBRAID S 2 CT-3 20IN WHIP STITCH LOOP NONABSORBABLE BLUE WHITE 03910900062,50.0,25.0,10.91,45.0,64
RC,0272,SUTURE XBRAID S BLUE WHITE 2 1/8 IN ST-1 L18 IN WHIP STITCH LOOP NONABSORBABLE,576.0,288.0,125.63,518.4,64
RC,0272,SUTURE XBRAID TT BLUE/BLACK 1.0MM 24IN PASSING LOOP TAPE NON-NEEDLED 7IN LOOP NONABSORBABLE,90.0,45.0,19.63,81.0,64
RC,0272,"SUTURETAPE LOOP, 0.9MM W/CRV NDL, WH/BLU",75.0,37.5,16.36,67.5,64
RC,0272,SYRINGE 200ML 2 QUICK FILL TUBE INJECTION MEDRAD STELLANT FLEX,233.04,116.52,50.83,209.74,64
RC,0272,SYRINGE ACP 2 CAP BLOOD COLLECTION,750.0,375.0,163.58,675.0,64
RC,0272,SYRINGE BONE CEMENT NANOSS BIOACTIVE,1500.0,750.0,327.15,1350.0,64
RC,0272,SYRINGE GRAFT DELIVERY DEVICE OSTEO LINE,203.85,101.93,44.46,183.47,64
RC,0272,SYRINGE INFLATION 60 CC 3 WAY STOPCOCK DILATION GRADUATE 200 PSI 14 ATM COOK,142.0,71.0,30.97,127.8,64
RC,0272,SYRINGE INFLATION 60 ML GAUGE CRE,136.62,68.31,29.8,122.96,64
RC,0272,SYRINGE INFLATION DEVICE L13 IN ANALOG DISPLAY ERGONOMIC HANDLE RAPID BASIXTOUCH POLYCARBONATE 30 ML CLEAR,139.8,69.9,30.49,125.82,64
RC,0272,SYRINGE INFLATION KYPHON BALLOON KYPHOPLASTY,50.0,25.0,10.91,45.0,64
RC,0272,SYRINGE INFLATION KYPHON XPANDER,53.0,26.5,11.56,47.7,64
RC,0272,SYS FLEXBAND MULTI ANCHOR,4724.0,2362.0,1030.3,4251.6,64
RC,0272,SYSTEM ANALYZER HEMATOLOGY INTEGRATED W/FILTER ART PRP PLUS DISPOSABLE,450.0,225.0,98.15,405.0,64
RC,0272,SYSTEM ATHERECTOMY DIAMONDBACK 1.25MM 5FR 200CM 10MM .014IN .063 GUIDEWIRE PERIPHERAL STERILE LATEX FREE DISPOSABLE ORBITAL ATHERECTOMY DEVICE,3595.0,1797.5,784.07,3235.5,64
RC,0272,SYSTEM BAG EXTERNAL DRAINAGE 600ML CAPACITY EXACTA STERILE DISPOSABLE,35.88,17.94,7.83,32.29,64
RC,0272,SYSTEM BANDAGE COMPRESSION TWOPRESS 2 2-LAYER SELF-ADHERENT CLOSURE WHITE TAN W/4INX7.1YD PADDING BANDAGE 4INX8.9YD COHESIVE BANDAGE NON-STERILE 35-50MMHG 8KT/CA,95.0,47.5,20.72,85.5,64
RC,0272,SYSTEM BILIARY STENT OASIS 11FR 6FR 205CM .035IN RADIOPAQUE GUIDEWIRE BILIARY PANCREATIC STERILE LATEX FREE DISPOSABLE PURPLE,62.0,31.0,13.52,55.8,64
RC,0272,SYSTEM BIOPSY ACHIEVE 14GA 13.5GA 5CM 11CM 20MM 6CM LIGHTWEIGHT COAXIAL INTRODUCER NEEDLE ECHOGENIC MARK BEVEL CANNULA STYLET TIP SOFT TISSUE DISPOSABLE,546.75,273.38,119.25,492.08,64
RC,0272,SYSTEM BIOPSY DRILL PERFORATE MADISON L9 CM OD13 GA,266.49,133.25,58.12,239.84,64
RC,0272,SYSTEM BIOPSY LIGHTWEIGHT COAXIAL INTRODUCER NEEDLE ECHOGENIC MARK BEVEL CANNULA STYLET TIP ACHIEVE 20 MM L6 CM SOFT TISSUE L5 CM OD18 GA ODSEC17 GA L11 CM,191.45,95.73,41.76,172.31,64
RC,0272,SYSTEM BIOPSY NEEDLE SHARKCORE FNB OD19 GA NITINOL,555.5,277.75,121.15,499.95,64
RC,0272,SYSTEM BIOPSY NEEDLE SHARKCORE FNB OD22 GA NITINOL,363.6,181.8,79.3,327.24,64
RC,0272,SYSTEM BONE ANCHORING CAPIO SLIM FUNNEL ERGONOMIC HANDLE REDUCE PROFILE OPEN ACCESS CAPTURE TRANSVAGINAL STERILE DISPOSABLE,3030.44,1515.22,660.94,2727.4,64
RC,0272,SYSTEM BONE CEMENT DELIVERY MIX SMALL APPLICATOR,245.0,122.5,53.43,220.5,64
RC,0272,SYSTEM BONE CEMENT FILLER DEVICE MEDTRONIC REUSABLE INSTRUMENT,62.1,31.05,13.54,55.89,64
RC,0272,SYSTEM BONE CEMENT FUNNEL BIOCARTILAGE,28.0,14.0,6.11,25.2,64
RC,0272,SYSTEM BONE CEMENT KIVA PILOT LEFT VERTEBRAL COMPRESSION FRACTURE,796.0,398.0,173.61,716.4,64
RC,0272,SYSTEM BONE CEMENT MINI SMARTMIX,55.0,27.5,12.0,49.5,64
RC,0272,SYSTEM BONE CEMENT MIX BREAKAWAY FEMORAL NOZZLE REVOLUTION,806.8,403.4,175.96,726.12,64
RC,0272,SYSTEM BONE CEMENT MIX BREAKAWAY NOZZLE REVOLUTION,662.46,331.23,144.48,596.21,64
RC,0272,SYSTEM BONE CEMENT MIX DELIVERY LARGE APPLICATOR BIOCARTILAGE,245.0,122.5,53.43,220.5,64
RC,0272,SYSTEM BONE CEMENT MIXER SYRINGE PACK 3 CC FORTRESS,130.0,65.0,28.35,117.0,64
RC,0272,SYSTEM BONE CEMENT SCULP PREPARATION KIT CURETTE CONCISE,1355.0,677.5,295.53,1219.5,64
RC,0272,SYSTEM BONE CEMENT SPINE OD10 GA 2 BALLOON KYPHOPLASTY KYPHON EXPRESS,53.0,26.5,11.56,47.7,64
RC,0272,SYSTEM BONE CEMENT TOWER CARTRIDGE SMARTMIX,450.0,225.0,98.15,405.0,64
RC,0272,SYSTEM BONE CEMENT UNIVERSAL HIGH VACUUM SPATULA TUBE MIXEVAC III STERILE LATEX FREE GRAY,580.44,290.22,126.59,522.4,64
RC,0272,SYSTEM BONE MARROW ASPIRATION 0851-1070,450.0,225.0,98.15,405.0,64
RC,0272,SYSTEM BONE MARROW ASPIRATION 0886-2000 DISPOSABLE,1400.0,700.0,305.34,1260.0,64
RC,0272,SYSTEM BONE MARROW ASPIRATION MARXMAN FLEXMETRIC,950.0,475.0,207.2,855.0,64
RC,0272,SYSTEM BONE MARROW ASPIRATION SUPRAPHYSIOLOGIC CONCENTRATION 60ML SPINX2 PISTONX2 VARIABLE CHAMBER PUREBMC,1000.0,500.0,218.1,900.0,64
RC,0272,SYSTEM BOWL MIXING VACUUM BONE CEMENT LESS AIR BUBBLES VORTEX STERILE DISPOSABLE,90.0,45.0,19.63,81.0,64
RC,0272,SYSTEM CABLE NEUROSTIMULATOR 27IN INTERFACE ELECTRODE MICRO HDMI CONNECTOR ACRYLONITRILE BUTADIENE PVC PVC,190.0,95.0,41.44,171.0,64
RC,0272,SYSTEM CARDIAC MONITOR REVEAL LINQ INSERTION TOOL INCISION LATEX FREE,42.75,21.38,9.32,38.48,64
RC,0272,SYSTEM CARDIOVASCULAR JOSEPH LAMELAS LEFT ARTERIAL,2415.0,1207.5,526.71,2173.5,64
RC,0272,SYSTEM CONE ENDOSCOPE HANDPIECE CANNULA SEAL VASOVIEW HEMOPRO 2 RADIUS SAPHENOUS VESSEL HARVESTING,1075.0,537.5,234.46,967.5,64
RC,0272,SYSTEM CPAP BILEVEL MASK STRAIGHT SWIVEL PORT HEADSTRAP FLOW-SAFE II+ LARGE FULL FACE ADULT,469.95,234.98,102.5,422.96,64
RC,0272,SYSTEM DEFIBRILLATOR CARDIAC F/IMPLANTABLE LOOP RECORDERS,45.0,22.5,9.81,40.5,64
RC,0272,SYSTEM DELIVERY CO-SET+ CLOSED INJECTATE,178.4,89.2,38.91,160.56,64
RC,0272,SYSTEM DELIVERY RAPID EXCHANGE ADVANIX PANCREATIC OD10 FR,84.34,42.17,18.39,75.91,64
RC,0272,SYSTEM DIAGNOSTIC CATHETER AVAFLEX L15 MM OD11 GA,2369.46,1184.73,516.78,2132.51,64
RC,0272,SYSTEM DIAGNOSTIC CATHETER IVAS 10GA 15MM INFLATE STERILE LATEX FREE VERTEBRAL AUGMENTATION,3995.06,1997.53,871.32,3595.55,64
RC,0272,SYSTEM DIAGNOSTIC CATHETER IVAS ELITE 11GA 15MM STERILE LATEX FREE,1214.03,607.02,264.78,1092.63,64
RC,0272,SYSTEM DIAGNOSTIC CATHETER IVAS ELITE L15 MM OD10 GA,1214.03,607.02,264.78,1092.63,64
RC,0272,SYSTEM DRAINAGE COLLECTION CHAMBER SELF SEAL SAMPLE PORT CONNECTOR PLEUR-EVAC 2500 CC A-6000 CACTUS,272.0,136.0,59.32,244.8,64
RC,0272,SYSTEM DRAINAGE CSF GRADUATE BURETTE NEEDLELESS SAMPLE SITE ACCUDRAIN,220.78,110.39,48.15,198.7,64
RC,0272,SYSTEM DRAINAGE CSF ICP MONITOR LUER CONNECTOR HEYER-SCHULTE,148.52,74.26,32.39,133.67,64
RC,0272,SYSTEM DRAINAGE PLEUR-EVAC SAHARA 2000CC C6L/MIN SMALL STATURE 1 COLLECTION CHAMBER 1 WAY VALVE DRY SEAL CONTROL NEEDLELESS CONNECTOR PVC CHEST STERILE LATEX FREE DISPOSABLE,367.0,183.5,80.04,330.3,64
RC,0272,SYSTEM DRAINAGE TLS 15ML 10FR EVACUATE TUBE RADIOPAQUE CATHETER RESERVOIR SILICONE STERILE LATEX FREE DISPOSABLE,217.36,108.68,47.41,195.62,64
RC,0272,SYSTEM DRAINAGE TRU-CLOSE 500ML 2 ANTIREFLUX VALVE STANDARD LUER LOCK CONNECTOR SUCTION PORT LATEX FREE DISPOSABLE,300.0,150.0,65.43,270.0,64
RC,0272,SYSTEM DRAINAGE Y SITE NEEDLELESS SAMPLE SITE VENTRICULAR CATHETER PATIENT LINE TUBE BECKER INTERLINK L60 IN L35 CM BLUE,342.95,171.48,74.8,308.66,64
RC,0272,SYSTEM DRUG DELIVERY L10 IN CATHETER EXPANSION KIT ON-Q PAINBUSTER SILVERSOAKER DEHP,531.5,265.75,115.92,478.35,64
RC,0272,SYSTEM DRUG DELIVERY L3.25 IN L1 IN EXPANSION KIT T PEEL NEEDLE CATHETER ON-Q PAINBUSTER SOAKER,298.0,149.0,64.99,268.2,64
RC,0272,SYSTEM DRUG DELIVERY L5 IN 3.5 DAY DELIVERY TIME CATHETER ON-Q* 5 ML/HOUR 400 ML,1065.5,532.75,232.39,958.95,64
RC,0272,SYSTEM EMBOLIC 2 VIAL KIT LIQUID TRUFILL 1 GM,7492.0,3746.0,1634.01,6742.8,64
RC,0272,SYSTEM EMBOLIC KIT LIQUID TRUFILL 1 GM,4200.0,2100.0,916.02,3780.0,64
RC,0272,SYSTEM EMBOLIZATION WEB DETACHMENT CONTROLLER STERILE LATEX FREE DISPOSABLE,925.0,462.5,201.74,832.5,64
RC,0272,SYSTEM ENDOSCOPIC 1.1 MM CANNULA OBTURATOR GUIDEWIRE OD4 MM,163.0,81.5,35.55,146.7,64
RC,0272,SYSTEM ENDOSCOPIC BEACON 135 D,1500.0,750.0,327.15,1350.0,64
RC,0272,SYSTEM ENDOSCOPIC FIXATION CURVED UP MENISCAL REPAIR AIR,464.38,232.19,101.28,417.94,64
RC,0272,SYSTEM ENDOSCOPIC IMAGING AWC 8.5-13.5MM 122CM 103-110CM INSERTION LUER-LOCK CONNECTOR W/DISTAL ATTACHMENT CAP ADAPTER SLEEVE F/UPTO 2.8MM INSTRUMENT,329.0,164.5,71.75,296.1,64
RC,0272,SYSTEM ENDOSCOPIC IMAGING AWC 8.5-13.5MM 185CM 103-110CM INSERTION LUER-LOCK CONNECTOR W/DISTAL ATTACHMENT CAP ADAPTER SLEEVE F/UPTO 2.8MM INSTRUMENT,329.0,164.5,71.75,296.1,64
RC,0272,SYSTEM ENDOSCOPIC INSTRUMENT REPROCESSED 11MM DIA KII OPTICAL,18.0,9.0,3.93,16.2,64
RC,0272,SYSTEM ENDOSCOPIC PINPOINT PAQ FLUORESCENCE IMAGE,915.0,457.5,199.56,823.5,64
RC,0272,SYSTEM ENDOSCOPIC ULTRASOUND ACCESS BEACON 90 D,1500.0,750.0,327.15,1350.0,64
RC,0272,SYSTEM EXTERNAL DRAINAGE CSF GRADUATE BURETTE NEEDLELESS SAMPLE SITE ANTIREFLUX VALVE ACCUDRAIN,220.78,110.39,48.15,198.7,64
RC,0272,SYSTEM EXTERNAL DRAINAGE DUET BLUECORE SITE,444.08,222.04,96.85,399.67,64
RC,0272,SYSTEM EXTERNAL DRAINAGE NEEDLELESS INJECTION SITE EDM VENTRICULAR CATHETER DUET INTERLINK,225.94,112.97,49.28,203.35,64
RC,0272,SYSTEM EXTERNAL DRAINAGE WIDE POLE CLAMP SHORT THUMB SCREW BASE FRAME TUBE WITHOUT VENTRICULAR CATHETER ENHANCED NATUS EDS 3,319.98,159.99,69.79,287.98,64
RC,0272,SYSTEM EXTRACTION ALEXIS 3400ML 14CM,1080.0,540.0,235.55,972.0,64
RC,0272,SYSTEM EXTRACTION ALEXIS 3400ML THK4 MIL FLEXIBLE RING STAP SNAP FASTENER SPECIMENT CONTAINMENT BAG TRANSABDOMINAL TRANSVAGINAL SURGERY,1080.0,540.0,235.55,972.0,64
RC,0272,SYSTEM EXTRACTION ALEXIS 6500ML 17CM BALLOON BLUNT TIP,290.0,145.0,63.25,261.0,64
RC,0272,SYSTEM EXTRACTION ALEXIS GELPOINT 3400ML 14CM LARGE SPECIMEN CONTAINMENT BAG GUARD MINI ADVANCE ACCESS PLATFORM,635.0,317.5,138.49,571.5,64
RC,0272,SYSTEM FIXATION ADJUSTABLE RIGIDLOOP STANDARD CORTICAL,270.0,135.0,58.89,243.0,64
RC,0272,SYSTEM FIXATION ADJUSTABLE RIGIDLOOP XL,595.0,297.5,129.77,535.5,64
RC,0272,SYSTEM FIXATION ARTHROTUNNELER TUNNELPRO PEEK-OPTIMA TRANSOSSEOUS ROTATOR CUFF REPAIR,998.26,499.13,217.72,898.43,64
RC,0272,SYSTEM FIXATION GRAFT PREP SPEEDTRAP OD20 MM GREEN WHITE,105.0,52.5,22.9,94.5,64
RC,0272,SYSTEM FIXATION GRAFT PREP SPEEDTRAP OD30 MM GREEN WHITE,419.0,209.5,91.38,377.1,64
RC,0272,SYSTEM FIXATION GRAFT PREP SPEEDTRAP OD30 MM WHITE,419.0,209.5,91.38,377.1,64
RC,0272,SYSTEM FIXATION INTERNALBRACE ULNAR COLLATERAL LIGAMENT REPAIR,1179.0,589.5,257.14,1061.1,64
RC,0272,SYSTEM FIXATION MINI OPEN KIT SNAPSHOT,581.0,290.5,126.72,522.9,64
RC,0272,SYSTEM FIXATION SPEEDTRAP SHORT OD20 MM WHITE,105.0,52.5,22.9,94.5,64
RC,0272,SYSTEM FIXATION TIGHTROPE DELTOID LIGAMENT RECONSTRUCTION,1955.0,977.5,426.39,1759.5,64
RC,0272,SYSTEM FLUID MANAGEMENT SUCTION INFLOW OUTFLOW TUBE SET,201.0,100.5,43.84,180.9,64
RC,0272,SYSTEM FLUID MANAGEMENT TISSUE REMOVAL SYMPHION STERILE LATEX FREE DISPOSABLE,299.0,149.5,65.21,269.1,64
RC,0272,SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM 10CC 50CM STANDARD ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STAINLESS STEEL SILICONE ELASTOMER STERILE LATEX FREE,4590.0,2295.0,1001.08,4131.0,64
RC,0272,SYSTEM GUIDANCE TRAJECTORY KIT EXTERNAL NAVIGUS CRANIAL,1665.0,832.5,363.14,1498.5,64
RC,0272,SYSTEM IMAGING 4MM ENDO RELEASE 845,2975.0,1487.5,648.85,2677.5,64
RC,0272,SYSTEM IMAGING CLEARIFY 8X6IN WARM HUB TROCAR WIPE MICROFIBER DISPOSABLE,681.3,340.65,148.59,613.17,64
RC,0272,SYSTEM IMPLANT BIO-TENODESIS 4.75 MM FLEXOR DIGITORUM LONGUS,1495.0,747.5,326.06,1345.5,64
RC,0272,SYSTEM IMPLANT CANNULATED STEP DRILL DRILL GUIDE OBTURATOR BROSTROM BROSTROM ARTHROSCOPY,1450.0,725.0,316.25,1305.0,64
RC,0272,SYSTEM IMPLANT LINX 13 BEAD 1.5 TESLA GASTROINTESTINAL GERD,6000.0,3000.0,1308.6,5400.0,64
RC,0272,SYSTEM IMPLANT LINX 16 BEAD 1.5 TESLA GASTROINTESTINAL GERD,6000.0,3000.0,1308.6,5400.0,64
RC,0272,SYSTEM IMPLANT LINX 17 BEAD 1.5 TESLA GASTROINTESTINAL GERD,5500.0,2750.0,1199.55,4950.0,64
RC,0272,SYSTEM INFLATION 1 STOPCOCK VBS,75.0,37.5,16.36,67.5,64
RC,0272,SYSTEM INFLATION PNEUMATIC HAND PUMP MONITOR RIGIFLEX II ACHALASIA,194.67,97.34,42.46,175.2,64
RC,0272,SYSTEM INJECTION CONTINUOUS RAPID REFILL,219.7,109.85,47.92,197.73,64
RC,0272,SYSTEM INTRODUCER EVOLUT R 26MM 29MM LOAD TRANSCATHETER AORTIC VALVE,390.0,195.0,85.06,351.0,64
RC,0272,SYSTEM IRRIGATION EXTEND SUCTION ILLUMINATION TUBE BULB TIP VITAL-VUE YANKAUER OD12 FR METAL,1113.48,556.74,242.85,1002.13,64
RC,0272,SYSTEM IRRIGATION NICO FLUID,465.0,232.5,101.42,418.5,64
RC,0272,SYSTEM IRRIGATION SAPS 10CC 1 ACTION 1 WAY VALVE VACUUM SYRINGE LATEX FREE URETEROSCOPY LASER LITHOTRIPSY,216.97,108.49,47.32,195.27,64
RC,0272,SYSTEM IRRIGATION SAPS 10CC 1 ACTION CONTINUOUS FLOW VACUUM SYRINGE LATEX FREE URETEROSCOPY LASER LITHOTRIPSY,216.97,108.49,47.32,195.27,64
RC,0272,SYSTEM LEFT ATRIAL APPENDAGE FLEX-MINI EXCLUSION 35MM,2250.0,1125.0,490.73,2025.0,64
RC,0272,SYSTEM LEFT ATRIAL APPENDAGE FLEX-MINI EXCLUSION 40MM,2250.0,1125.0,490.73,2025.0,64
RC,0272,SYSTEM LEFT ATRIAL APPENDAGE FLEX-MINI EXCLUSION 45MM,2250.0,1125.0,490.73,2025.0,64
RC,0272,SYSTEM LEFT ATRIAL APPENDAGE FLEX-MINI EXCLUSION 50MM,2250.0,1125.0,490.73,2025.0,64
RC,0272,SYSTEM LINER ACETABULAR NEUTRAL SIZE G 40MM HXE+ VITAMIN E POLYETHYLENE F/54MM HEAD EMPOWR,600.0,300.0,130.86,540.0,64
RC,0272,SYSTEM MIXER BONE CEMENT SYRINGE DELIVERY HIVAC STERILE SINGLE-USE,90.0,45.0,19.63,81.0,64
RC,0272,SYSTEM NAVIGATION VIZADISC HIP TRACK KIT STERILE LATEX FREE DISPOSABLE,175.5,87.75,38.28,157.95,64
RC,0272,SYSTEM NAVIGATION VIZADISC KNEE TRACK KIT STERILE LATEX FREE DISPOSABLE,175.5,87.75,38.28,157.95,64
RC,0272,SYSTEM NEEDLE BLOOD COLLECTION W/LUER-LOCK IV EXTENSION SET 10ML SYRINGE STERIPATH MICRO 10/BX,1960.0,980.0,427.48,1764.0,64
RC,0272,SYSTEM NEGATIVE PRESSURE BOLSTER CHANNEL PREVENA PLUS PEEL & PLACE L35 CM X W1.8 CM FOAM,611.0,305.5,133.26,549.9,64
RC,0272,SYSTEM NEGATIVE PRESSURE CANISTER PREVENA PLUS 125 MMHG 150 ML,450.0,225.0,98.15,405.0,64
RC,0272,SYSTEM NEGATIVE PRESSURE DRESSING INDICATOR CANISTER PREVENA PEEL & PLACE 125 MMHG L20 CM 45 ML,465.3,232.65,101.48,418.77,64
RC,0272,SYSTEM NEGATIVE PRESSURE KIT PREVENA RESTOR BELLA FORM L21 CM X W19 CM PREVENA RESTOR BELLAFORM,850.0,425.0,185.39,765.0,64
RC,0272,SYSTEM NEGATIVE PRESSURE KIT PREVENA RESTOR BELLAFOAM L24 CM X W22 CM,850.0,425.0,185.39,765.0,64
RC,0272,SYSTEM NEGATIVE PRESSURE PICO 7 30X10CM STERILE LATEX FREE DISPOSABLE,852.0,426.0,185.82,766.8,64
RC,0272,SYSTEM NEGATIVE PRESSURE PICO 7 L20 CM X W10 CM,852.0,426.0,185.82,766.8,64
RC,0272,SYSTEM NEGATIVE PRESSURE PICO 7 L40 CM X W10 CM,852.0,426.0,185.82,766.8,64
RC,0272,SYSTEM NEGATIVE PRESSURE THERAPY UNIT CONNECTOR CANISTER CARRY CASE PREVENA PEEL & PLACE PATCH STRIPS VAC L13 CM 45 ML,516.97,258.49,112.75,465.27,64
RC,0272,SYSTEM NEGATIVE PRESSURE TUBE VAC VERATRAC DUO,345.56,172.78,75.37,311.0,64
RC,0272,SYSTEM NEGATIVE PRESSURE VISUAL AUDIBLE ALARM RECHARGEABLE BATTERY REPLACEABLE CANISTER PREVENA PLUS 125- MMHG 0.019% IONIC SILVER 150 ML 90 CM INCISION,329.0,164.5,71.75,296.1,64
RC,0272,SYSTEM NEGATIVE PRESSURE VISUAL AUDIBLE ALARM REPLACEABLE CANISTER RECHARGEABLE BATTERY PREVENA PLUS -125 MMHG 0.019% IONIC SILVER 150 ML 90 CM INCISION,611.0,305.5,133.26,549.9,64
RC,0272,SYSTEM NEUROSTIMULATOR RNS MAGNET NONSTERILE VNS VAGUS NERVE STIMULATION,135.0,67.5,29.44,121.5,64
RC,0272,SYSTEM OSTOMY COLOPLAST 2000- ML 8 1/8-11.75IN MAXI DRAIN PORT FLEXIBLE LID ADHESIVE BARRIER CLAMP FISTULA WOUND MANAGEMENT,51.27,25.64,11.18,46.14,64
RC,0272,SYSTEM PAD POSITIONING PATIENT LIFT FOAM HADRON FPLS,925.0,462.5,201.74,832.5,64
RC,0272,SYSTEM PATIENT TRANSFER <550LB TURNING POSITIONING W/49X58IN POSITIONING PAD 25X36IN FLUIDIZED POSITIONER F/BARIATRIC TORTOISE SINGLE PATIENT USE 1/CA,233.93,116.97,51.02,210.54,64
RC,0272,SYSTEM PLATELET CONCENTRATION THROMBINATOR ARTHREX ANGEL CONCENTRATE PLATELET RICH PLASMA,175.0,87.5,38.17,157.5,64
RC,0272,SYSTEM POSITIONING 48IN 4 ADHESIVE PAD 2 ADJUSTABLE STRAP HYPOALLERGENIC FREE COMPLETE ADJUSTABLE STERILE LATEX FREE PANNUS RETENTION,705.0,352.5,153.76,634.5,64
RC,0272,SYSTEM POUCH OSTOMY 7/8IN DIA BARRIER OPENING 9INL SYNTHETIC CONVEX 1-PIECE FLEXIBLE ODOR-BARRIER EXTENDED WEAR SOFT-BACK W/DRAIN ADAPTER BELT-TAB STOMA TRANSPARENT CLEAR,1.1,0.55,0.24,0.99,64
RC,0272,SYSTEM PROLIFT EXPANDABLE INTERBODY 10X28X10-16MM 7 DEGREES,3800.0,1900.0,828.78,3420.0,64
RC,0272,SYSTEM PROXIMAL SEAL AORTIC CUTTER DELIVERY DEVICE LOADER HEARTSTRING III OD3.8 MM,2625.0,1312.5,572.51,2362.5,64
RC,0272,SYSTEM PROXIMAL SEAL AORTIC CUTTER DELIVERY DEVICE LOADER HEARTSTRING III OD4.3 MM,2625.0,1312.5,572.51,2362.5,64
RC,0272,SYSTEM PULSED LAVAGE IRRIGATION PUMP KIT TRUMPET VALVE SUCTION TUBE SURG,340.0,170.0,74.15,306.0,64
RC,0272,SYSTEM RESERVOIR AUTOTRANSFUSION 120UM FILTER 3LT CAPACITY FRESENIUS CATS PLUS LATEX-FREE DISPOSABLE,409.6,204.8,89.33,368.64,64
RC,0272,SYSTEM RESERVOIR AUTOTRANSFUSION 3LT CAPACITY 120 COLLECTION CELL SAVER W/40MICRON FILTER FRESENIUS CATS PLUS LATEX-FREE DISPOSABLE,516.0,258.0,112.54,464.4,64
RC,0272,SYSTEM RESTRICTOR BONE CEMENT PLUG ELBOW MEDULLARY W/16/25MM NOZZLE F/COONRAD/MORREY TOTAL ARTHROPLASTY,193.8,96.9,42.27,174.42,64
RC,0272,SYSTEM RETRACTOR ALEXIS GELPOINT 6500ML CONTAIN EXTRACTION ADVANCE ACCESS PLATFORM,635.0,317.5,138.49,571.5,64
RC,0272,SYSTEM RETRACTOR ALEXIS GELPOINT 6500ML MINI CONTAIN EXTRACTION SPECIMEN CONTAINMENT BAG GUARD ADVANCE ACCESS PLATFORM,635.0,317.5,138.49,571.5,64
RC,0272,SYSTEM RETRACTOR KII FIOS ALEXIS 12MM 100MM 2.5-6CM SMALL Z THREAD SLEEVE FIRST ENTRY OBTURATOR CAP LAPAROSCOPIC,1250.0,625.0,272.63,1125.0,64
RC,0272,SYSTEM RETRACTOR KII FIOS ALEXIS 12MM 18CM 5-9CM MEDIUM Z THREAD SLEEVE OBTURATOR CAP LATEX FREE,1250.0,625.0,272.63,1125.0,64
RC,0272,SYSTEM REVOLVE FAT TRANSFER GRAFTING,1800.0,900.0,392.58,1620.0,64
RC,0272,SYSTEM SIGMA TLIF MIS ILLUM STERILE,285.0,142.5,62.16,256.5,64
RC,0272,SYSTEM SMOKE EVACUATOR VALLEYLAB,175.0,87.5,38.17,157.5,64
RC,0272,SYSTEM SUCTION BALLARD 5FR 4MM 30.5CM CLOSED CATHETER ADAPTER 2 SWIVEL LOCK THUMB PORT NEONATE STERILE LATEX FREE DISPOSABLE,61.77,30.89,13.47,55.59,64
RC,0272,SYSTEM SUCTION BALLARD 8FR 30.5CM CLOSED CATHETER LOCK THUMB PORT TACTILE SLEEVE Y ADAPTER PVC STERILE LATEX FREE DISPOSABLE,242.33,121.17,52.85,218.1,64
RC,0272,SYSTEM SUCTION BALLARD WET PAK 14FR 21.25IN CLOSED 2 SWIVEL ELBOW ADULT STERILE LATEX FREE DISPOSABLE DEEP GREEN ENDOTRACHEAL TUBE,199.57,99.79,43.53,179.61,64
RC,0272,SYSTEM SUCTION REVOLVE ADVANCE ADIPOSE SYSTEM,526.0,263.0,114.72,473.4,64
RC,0272,SYSTEM SURGICAL NAVIGATION ACCESSORY SCROLL WHEEL NONE,250.0,125.0,54.53,225.0,64
RC,0272,SYSTEM SURGICAL NAVIGATION ACCESSORY TRACK BALL NONE,250.0,125.0,54.53,225.0,64
RC,0272,SYSTEM THROMBECTOMY PENUMBRA ENGINE ENGINE,2250.0,1125.0,490.73,2025.0,64
RC,0272,SYSTEM TKR VERASENSE VANGUARD 79 POSTERIOR STABILIZE,399.0,199.5,87.02,359.1,64
RC,0272,SYSTEM TOOL CANNULA TROCAR CANNUA SEAL SYRINGE VASOVIEW HEMOPRO VESSEL HARVESTING,930.0,465.0,202.83,837.0,64
RC,0272,SYSTEM TROCAR LAPAROSCOPIC ACCESS 5MM DIA 150MML ABDOMINAL BLADED SHIELDED Z-THREADED KII LATEX-FREE DISPOSABLE,96.0,48.0,20.94,86.4,64
RC,0272,SYSTEM TROCAR LAPAROSCOPIC SHIELDED BLADED 11MM X 100MM ABDOMINAL ACCESS ADVANCED FIXATION KII CFB33,21.0,10.5,4.58,18.9,64
RC,0272,SYSTEM TROCAR LAPAROSCOPIC SHIELDED BLADED 12MM X 150MM ABDOMINAL ACCESS ADVANCED FIXATION KII CFB71,21.0,10.5,4.58,18.9,64
RC,0272,SYSTEM VESSEL HARVESTING F/ENDOSCOPIC VASOVIEW 6 PRO LATEX,784.35,392.18,171.07,705.92,64
RC,0272,SYSTEM VESSEL HARVESTING VASOVIEW 6 30ML SHORT BLUNT TIP TROCAR CANNULA SEAL SYRINGE DISPOSABLE ENDOSCOPIC,608.71,304.36,132.76,547.84,64
RC,0272,SYSTEM VESSEL HARVESTING VIRTUOSAPH PLUS DISSECTOR HARVESTER ROD TROCAR PTFE ENDOSCOPIC,3973.4,1986.7,866.6,3576.06,64
RC,0272,SYSTEM VESSEL HARVESTING W/TROCAR DISSECTION CANNULA BISECTOR INSUFFLATION TUBING F/ENDOSCOPE VASOVIEW HEMOPRO 2,1207.5,603.75,263.36,1086.75,64
RC,0272,SYSTEM VIA 360 SURGICAL,2500.0,1250.0,545.25,2250.0,64
RC,0272,SYSTEM VITRECTOMY 1 COUNT VALVE ENTRY LOCK MECHANISM CANNULA EDGEPLUS 6 MM OD23 GA SILICONE,912.48,456.24,199.01,821.23,64
RC,0272,SYSTEM VITRECTOMY 3 COUNT LOW FRICTION VALVE STANDALONE TROCAR HUB EDGEPLUS 4 MM OD23 GA SILICONE,841.92,420.96,183.62,757.73,64
RC,0272,SYSTEM VITRECTOMY 3 COUNT VALVE ENTRY EDGEPLUS 4 MM OD27 GA,2346.72,1173.36,511.82,2112.05,64
RC,0272,SYSTEM WOUND IRRIGATION ANTIMICROBIAL BD SURGIPHOR,536.0,268.0,116.9,482.4,64
RC,0272,SYSTEM WOUND IRRIGATION IRRISEPT DEBRIDEMENT CLEANSING 0.05% CHLORHEXIDINE GLUCONATE STERILE LATEX FREE,780.0,390.0,170.12,702.0,64
RC,0272,SYSTEM WOUND IRRIGATION POWER DEBRIDEMENT BRUSH BIOBRUSH LARGE L252 MM OD42 MM L84 MM,995.0,497.5,217.01,895.5,64
RC,0272,T AND A PACK SEN4GTANHA,308.16,154.08,67.21,277.34,64
RC,0272,T AND A PACK SEN4JTAUNA,90.24,45.12,19.68,81.22,64
RC,0272,TABLE ORTHOPEDIC JACKSON W/PRONESAFE F/PATIENT POSITIONING SPK10277,339.9,169.95,74.13,305.91,64
RC,0272,TABLE ORTHOPEDIC JACKSON W/PRONESAFE F/PATIENT POSITIONING SPK10280,285.54,142.77,62.28,256.99,64
RC,0272,TACK FIXATION L3 IN PLATE THREAD OD.062 IN ACUMED,36.0,18.0,7.85,32.4,64
RC,0272,TACK FIXATION PIN PLATE ACUMED,49.0,24.5,10.69,44.1,64
RC,0272,TACK FIXATION PLATE CLAW 2 FOOT ANKLE,75.62,37.81,16.49,68.06,64
RC,0272,TACK ORTHOPEDIC WIRE 1.6MM 30MM SMOOTH OLIVE F/LAPIDUS,103.0,51.5,22.46,92.7,64
RC,0272,TAMP SURGICAL 20/3 INFLATABLE BALLOON KYPHON XPANDER II,850.0,425.0,185.39,765.0,64
RC,0272,TAMP SURGICAL 6.25 IN OD4 MM BONE,37.42,18.71,8.16,33.68,64
RC,0272,TAMP SURGICAL L10 CM DELIVERY CANNULA OD8 GA DBX INJECT,50.71,25.36,11.06,45.64,64
RC,0272,TAMP SURGICAL L28 MM 400 PSI LOW PROFILE INFLATABLE BALLOON RADIOPAQUE CANNULA COLOR CODED BAND OD4.2 MM ODSEC16 MM XPANDER KYPHX L20 MM 6 ML CANCELLOUS,1099.0,549.5,239.69,989.1,64
RC,0272,TAMP SURGICAL STANDARD TITANIUM ELASTIC NAIL SYSTEM,270.83,135.42,59.07,243.75,64
RC,0272,TAP 1.5MM 5MM RESORBABLE STOP SURGICAL CORTICAL SCREW STERILE,236.48,118.24,51.58,212.83,64
RC,0272,TAP 3.5MM SPINAL SURGICAL,81.0,40.5,17.67,72.9,64
RC,0272,TAP 3MM SPINAL SURGICAL,81.0,40.5,17.67,72.9,64
RC,0272,TAP 4.35MM SPINAL STAINLESS STEEL DISPOSABLE,81.0,40.5,17.67,72.9,64
RC,0272,TAP 4MM CANNULATED AO COUPLING SURGICAL ASNIS III 4MM SCREW DISPOSABLE,192.04,96.02,41.88,172.84,64
RC,0272,TAP 4MM SURGICAL MOUNTAINEER LATEX FREE,81.0,40.5,17.67,72.9,64
RC,0272,TAP 5MM SELF DRILL HEXAGONAL COUPLING STOP SURGICAL 1.5MM RESORBABLE CORTEX SCREW STERILE,272.8,136.4,59.5,245.52,64
RC,0272,TAP BONE ACUMED 2.7MM HEXALOBE SCREWS,172.0,86.0,37.51,154.8,64
RC,0272,TAP BONE DUAL LEAD TAP OD5 MM EXPEDIUM STAINLESS STEEL,65.85,32.93,14.36,59.27,64
RC,0272,TAP BONE EXPEDIUM SPINE 4.5 MM ROD 4.35 MM SCREW,75.9,37.95,16.55,68.31,64
RC,0272,TAP SPINAL 2 LEAD OD4.35 MM EXPEDIUM,65.85,32.93,14.36,59.27,64
RC,0272,TAP SPINAL 2 LEAD OD7 MM EXPEDIUM,75.9,37.95,16.55,68.31,64
RC,0272,TAP SPINAL OD3 MM VERTEX SELECT,120.0,60.0,26.17,108.0,64
RC,0272,TAP SPINAL OD3-3.5 MM VUEPOINT II,75.0,37.5,16.36,67.5,64
RC,0272,TAP SPINAL OD4.5 MM MOUNTAINEER OCCIPITOCERVICOTHORACIC,81.0,40.5,17.67,72.9,64
RC,0272,TAP SPINAL TAPER OD4.5 MM EVEREST,137.25,68.63,29.93,123.53,64
RC,0272,TAP SPINAL TAPER OD6.5 MM EVEREST,137.25,68.63,29.93,123.53,64
RC,0272,TAP SPINAL TAPER OD8.5 MM EVEREST,137.25,68.63,29.93,123.53,64
RC,0272,TAP SURGICAL 1 CHARLOTTE 6.5 MM CANNULATED SCREW,145.27,72.64,31.68,130.74,64
RC,0272,TAP SURGICAL 12.5 MM DHS DCS,376.73,188.37,82.16,339.06,64
RC,0272,TAP SURGICAL 2 LEAD OD6 MM EXPEDIUM SPINE,65.85,32.93,14.36,59.27,64
RC,0272,TAP SURGICAL 2 LEAD OD8 MM EXPEDIUM SPINE,75.9,37.95,16.55,68.31,64
RC,0272,TAP SURGICAL 3 MM YUKON,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 3.3MM 6MM 30-60MM 2-LEAD EXPEDIUM NON-STERILE REUSABLE,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL 3.5 MM SCREW,128.0,64.0,27.92,115.2,64
RC,0272,TAP SURGICAL 3.5MM DIA AO QUICK-CONNECT EVOS LATEX-FREE,262.44,131.22,57.24,236.2,64
RC,0272,TAP SURGICAL 3.5MM DIA CERVICAL BLACKBIRD,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL 4.5 MM OCCIPITAL SCREW,81.0,40.5,17.67,72.9,64
RC,0272,TAP SURGICAL 4.5MM CANNULATED NON-STERILE SINGLE-USE,766.02,383.01,167.07,689.42,64
RC,0272,TAP SURGICAL 4.5MM DIA 40MML THREADED SOLID CREO DLX,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 4.5MM DIA GPS LATEX-FREE,1238.0,619.0,270.01,1114.2,64
RC,0272,TAP SURGICAL 4.5MM DIA LUMBAR SPINAL F/PEDICLE SCREW REVERE,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 4.7MM DIA AO QUICK-CONNECT EVOS LATEX-FREE,262.44,131.22,57.24,236.2,64
RC,0272,TAP SURGICAL 4/5MM DIA 20MML CORTICAL DUAL OUTER DIAMETER GPS LATEX-FREE,350.0,175.0,76.34,315.0,64
RC,0272,TAP SURGICAL 4MM DIA CANNULATED GPS LATEX-FREE,350.0,175.0,76.34,315.0,64
RC,0272,TAP SURGICAL 5.5MM DIA 40MML THREADED SOLID CREO DLX,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 5.5MM DIA CANNULATED GPS LATEX-FREE,350.0,175.0,76.34,315.0,64
RC,0272,TAP SURGICAL 5.5MM DIA GPS LATEX-FREE,1238.0,619.0,270.01,1114.2,64
RC,0272,TAP SURGICAL 5.5MM DIA LUMBAR SPINAL F/PEDICLE SCREW REVERE,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 5.5MM DIA SPINAL F/XIA 3 SYSTEM SERRATO,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 5.5MM DIA TITANIUM SPINAL MODULAR F/PEDICLE SCREW XIA 3,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 50- MM STANDARD THREAD OD3 MM SYMPHONY,90.0,45.0,19.63,81.0,64
RC,0272,TAP SURGICAL 50- MM STANDARD THREAD OD3.5 MM SYMPHONY,90.0,45.0,19.63,81.0,64
RC,0272,TAP SURGICAL 50- MM STANDARD THREAD OD4 MM SYMPHONY SYMPHONY OCT SYSTEM,90.0,45.0,19.63,81.0,64
RC,0272,TAP SURGICAL 6.5 MM RECONSTRUCTION SCREW EXPERT NAIL SYSTEM NONSTERILE,568.14,284.07,123.91,511.33,64
RC,0272,TAP SURGICAL 6.5MM DIA GPS LATEX-FREE,350.0,175.0,76.34,315.0,64
RC,0272,TAP SURGICAL 6.5MM DIA LUMBAR SPINAL F/PEDICLE SCREW REVERE,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 7.5MM DIA PEDICLE REVERE,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL 7MM DIA DOUBLE-LEAD EXPEDIUM,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL 8MM DIA DOUBLE-LEAD EXPEDIUM,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL 9MM DIA DUAL-LEAD EXPEDIUM LATEX-FREE,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL AO CONNECTION VARIAX 2.7 MM SCREW,107.1,53.55,23.36,96.39,64
RC,0272,TAP SURGICAL AO COUPLING NONCANNULATED OD3 MM CORTIUM UNIVERSAL OCT SPINAL FIXATION SYSTEM,236.0,118.0,51.47,212.4,64
RC,0272,TAP SURGICAL AO QUICK CONNECT OD4 MM PERI-LOC,60.48,30.24,13.19,54.43,64
RC,0272,TAP SURGICAL CANNULATED AO OD4.75 MM BONE,295.0,147.5,64.34,265.5,64
RC,0272,TAP SURGICAL CANNULATED HANDLE UCSS PHENOL 4 MM CORTICAL SCREW,217.05,108.53,47.34,195.35,64
RC,0272,TAP SURGICAL CANNULATED OD6.5 MM CANNULATED SCREW SYSTEM +,766.02,383.01,167.07,689.42,64
RC,0272,TAP SURGICAL CANNULATED QUICK COUPLING OD4 MM PERI-LOC,344.36,172.18,75.1,309.92,64
RC,0272,TAP SURGICAL CHARLOTTE 5.5 MM CANNULATED SCREW,142.29,71.15,31.03,128.06,64
RC,0272,TAP SURGICAL CHARLOTTE CAROLINA 4.5 MM CANNULATED SCREW,133.33,66.67,29.08,120.0,64
RC,0272,TAP SURGICAL D8 MM SELF DRILL HEXAGONAL COUPLING STOP 1.5 MM RESORBABLE CORTEX SCREW,272.8,136.4,59.5,245.52,64
RC,0272,TAP SURGICAL DRILL SCREW OD3 MM DUAL-TRAK CLAVICLE 55891,234.0,117.0,51.04,210.6,64
RC,0272,TAP SURGICAL F/3.0MM SCREW,125.0,62.5,27.26,112.5,64
RC,0272,TAP SURGICAL F/3.5MM SCREW EXCELSIUS GPS,350.0,175.0,76.34,315.0,64
RC,0272,TAP SURGICAL F/4.5MM DIA SCREW QUARTEX,128.0,64.0,27.92,115.2,64
RC,0272,TAP SURGICAL FIX THREAD OD4 MM SYMPHONY CORTICAL SYMPHONY OCT SYSTEM,90.0,45.0,19.63,81.0,64
RC,0272,TAP SURGICAL FIX THREAD OD4.5 MM SYMPHONY CORTICAL SYMPHONY OCT SYSTEM,81.0,40.5,17.67,72.9,64
RC,0272,TAP SURGICAL GOLD TIP CORTICAL FIXED THREAD F/SYMPHONY OCT SYSTEM 5MM SCREW,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL H30-60 MM 2 LEAD OD4.35 MM EXPEDIUM SPINE,65.85,32.93,14.36,59.27,64
RC,0272,TAP SURGICAL HEXAGONAL COUPLING OD6 MM 4 MM DUAL CORE SCREW,65.85,32.93,14.36,59.27,64
RC,0272,TAP SURGICAL HEXAGONAL COUPLING OD6 MM 7 MM DUAL CORE SCREW,65.85,32.93,14.36,59.27,64
RC,0272,TAP SURGICAL INSTRUMENT OD3.5 MM,103.8,51.9,22.64,93.42,64
RC,0272,TAP SURGICAL L100 MM D34 MM QUICK COUPLING 2.7 MM CORTEX SCREW 2 MM DRILL BIT,126.28,63.14,27.54,113.65,64
RC,0272,TAP SURGICAL L110 MM D46 MM 4 MM CANCELLOUS SCREW 2.5 MM DRILL BIT,110.74,55.37,24.15,99.67,64
RC,0272,TAP SURGICAL L110 MM QUICK COUPLING TITANIUM GOLD 3.5 MM CORTEX SCREW,126.28,63.14,27.54,113.65,64
RC,0272,TAP SURGICAL L125 MM STANDARD AO OD3.5 MM SPS,137.31,68.66,29.95,123.58,64
RC,0272,TAP SURGICAL L130 MM D57 MM 4.5 MM CORTEX SHAFT SCREW 3.2 MM DRILL BIT,126.77,63.39,27.65,114.09,64
RC,0272,TAP SURGICAL L146 MM CANNULATED 3.5 MM SCREW,536.92,268.46,117.1,483.23,64
RC,0272,TAP SURGICAL L147 MM D60 MM CANNULATED 4 MM SCREW 2.7 MM DRILL BIT,554.28,277.14,120.89,498.85,64
RC,0272,TAP SURGICAL L16 MM CANNULATED DILATOR 3 MM BIO-COMPRESSION SCREW,180.0,90.0,39.26,162.0,64
RC,0272,TAP SURGICAL L175 MM QUICK COUPLING CALIBRATE L140 MM 3.5 MM CORTEX SCREW,282.45,141.23,61.6,254.21,64
RC,0272,TAP SURGICAL L18 MM CANNULATED DILATOR 3 MM BIO-COMPRESSION SCREW,180.0,90.0,39.26,162.0,64
RC,0272,TAP SURGICAL L180 MM D80 MM CANNULATED 4.5 MM SCREW 3.2 MM DRILL BIT,558.66,279.33,121.84,502.79,64
RC,0272,TAP SURGICAL L180 MM HEXAGONAL COUPLING OD6 MM 6 MM DUAL CORE PEDICLE SCREW,65.85,32.93,14.36,59.27,64
RC,0272,TAP SURGICAL L180 MM LONG TITANIUM GOLD 3.5 MM CORTEX SCREW,109.65,54.83,23.91,98.69,64
RC,0272,TAP SURGICAL L180 MM OD5 MM PEDICLE 2 CORE SCREW 6 MM HEX COUPLING,65.85,32.93,14.36,59.27,64
RC,0272,TAP SURGICAL L197 MM CALIBRATE L150 MM 6.5 MM CANCELLOUS SCREW 3.2 MM DRILL BIT,272.87,136.44,59.51,245.58,64
RC,0272,TAP SURGICAL L20 MM CANNULATED DILATOR BIO-COMPRESSION,180.0,90.0,39.26,162.0,64
RC,0272,TAP SURGICAL L230 MM D150 MM CANNULATED OD3.5 MM 7 MM SCREW 4.5 MM DRILL BIT,582.86,291.43,127.12,524.57,64
RC,0272,TAP SURGICAL L275 MM CANNULATED 6.5 MM 7.3 MM SCREW,602.84,301.42,131.48,542.56,64
RC,0272,TAP SURGICAL L50 MM CALIBRATE SPINE CANCELLOUS 3.5 MM CANCELLOUS SCREW,81.0,40.5,17.67,72.9,64
RC,0272,TAP SURGICAL LONG OD3.5 MM ACUMED,113.0,56.5,24.65,101.7,64
RC,0272,TAP SURGICAL NONCANNULATED OD6.5 MM ALTIVATE REVERSE GLENOID,292.5,146.25,63.79,263.25,64
RC,0272,TAP SURGICAL OD2.3 MM ACUMED,126.0,63.0,27.48,113.4,64
RC,0272,TAP SURGICAL OD3.5 MM 3.5 MM SCREW ELLIPSE,95.0,47.5,20.72,85.5,64
RC,0272,TAP SURGICAL OD3.5 MM YUKON SPINE OCCIPITOCERVICOTHORACIC,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL OD4 MM YUKON SPINAL OCCIPITOCERVICOTHORACIC,135.0,67.5,29.44,121.5,64
RC,0272,TAP SURGICAL OD5 MM EXPEDIUM,75.9,37.95,16.55,68.31,64
RC,0272,TAP SURGICAL PLATE ACUMED,317.0,158.5,69.14,285.3,64
RC,0272,TAP SURGICAL PLATE ACUMED ELBOW DISTAL 3 MM SCREW,317.0,158.5,69.14,285.3,64
RC,0272,TAP SURGICAL STANDARD METAL TIP THREAD F/SYMPHONY OCT SYSTEM 4.5MM SCREW,200.0,100.0,43.62,180.0,64
RC,0272,TAP SURGICAL TAPER CANNULATED THREAD OD5.5 MM EVEREST MINIMALLY INVASIVE,151.5,75.75,33.04,136.35,64
RC,0272,TAP SURGICAL TAPER CANNULATED THREAD OD7.5 MM EVEREST MINIMALLY INVASIVE,151.5,75.75,33.04,136.35,64
RC,0272,TAP SURGICAL TAPER OD3.5 MM EVEREST POSTERIOR SPINAL FUSION,137.25,68.63,29.93,123.53,64
RC,0272,TAP SURGICAL TAPER OD5.5 MM EVEREST POSTERIOR SPINAL FUSION,137.25,68.63,29.93,123.53,64
RC,0272,TAP SURGICAL TAPER OD7.5 MM EVEREST POSTERIOR SPINAL FUSION,137.25,68.63,29.93,123.53,64
RC,0272,TAP SURGICAL UNDERSIZE NA 3.5 MM CANCELLOUS SCREW,81.0,40.5,17.67,72.9,64
RC,0272,TAP SURGICAL VIPER2 7MM DIA SELF-DRILLING CANNULATED W/DUAL LEAD,200.0,100.0,43.62,180.0,64
RC,0272,TAPE ADHERENT 40CML RADIOPAQUE,370.0,185.0,80.7,333.0,64
RC,0272,TAPE MARKING 550MML W/MILLIMETER F/STENT GUIDE GLOW N TELL VASCUTAPE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,1729.0,864.5,377.09,1556.1,64
RC,0272,TAPE MEDICAL 40CML GRADE SHOOT N SEE NON-RADIOLUCENT,1850.0,925.0,403.49,1665.0,64
RC,0272,TAPE MEDICAL 6IN X 10YD SOFT CLOTH HYPOALLERGENIC MEDIPORE,61.19,30.6,13.35,55.07,64
RC,0272,TAPE MEDICAL F/GENERAL SURGERY GLIDEPATH LATEX-FREE,150.0,75.0,32.72,135.0,64
RC,0272,TAPE RADIOPAQUE 30CM GLOW N TELL VASCUTAPE LATEX FREE CENTIMETER MARKINGS 20 STRIPS NONSTERILE,1240.0,620.0,270.44,1116.0,64
RC,0272,TAVR CARDIAC CATH PACK,229.18,114.59,49.98,206.26,64
RC,0272,TEMP PERM PACEMAKER IMPLNTS PK SAN4FTPWFA,239.0,119.5,52.13,215.1,64
RC,0272,TEMP PERM PACEMAKER IMPLNTS PK SAN4FTPWFB,99.52,49.76,21.71,89.57,64
RC,0272,TEMPLATE - MEDIUM,980.0,490.0,213.74,882.0,64
RC,0272,TEMPLATE 12 HOLE L205 MM BENDING 4.5 MM LC DCP PLATE GOLD,50.99,25.5,11.12,45.89,64
RC,0272,TEMPLATE 16 HOLE BENDING 4.5 MM RECONSTRUCTION PLATE,72.43,36.22,15.8,65.19,64
RC,0272,TEMPLATE 20 HOLE L260 MM BENDING 3.5 MM 20 HOLE RECONSTRUCTION PLATE,81.92,40.96,17.87,73.73,64
RC,0272,TEMPLATE 7 HOLE BENDING 4.5 MM LC-DCP DCP,50.99,25.5,11.12,45.89,64
RC,0272,TEMPLATE 7 HOLE L87 MM LC-DCP BENDING 3.5 MM LC-DCP DCP PLATE,50.42,25.21,11.0,45.38,64
RC,0272,TEMPLATE 9 HOLE BENDING 4.5 MM LC-DCP DCP,50.99,25.5,11.12,45.89,64
RC,0272,TEMPLATE 9 HOLE L112 MM LC-DCP BENDING 3.5 MM LC-DCP DCP GREEN,50.42,25.21,11.0,45.38,64
RC,0272,TEMPLATE ACETABULAR BENDING 5 HOLE MATTA PELVIC SET STRAIGHT PLATE,133.33,66.67,29.08,120.0,64
RC,0272,TEMPLATE BENDING TITANIUM MANDIBLE F/LOCKING CALCANEAL LONG L-PLATE LATEX-FREE NON-STERILE,60.17,30.09,13.12,54.15,64
RC,0272,TEMPLATE DBL ANGLE SM,101.0,50.5,22.03,90.9,64
RC,0272,TEMPLATE LEVEL ONE BENDING 2/2.5 MM 32 HOLE RECONSTRUCTION LOCK PLATE,67.18,33.59,14.65,60.46,64
RC,0272,TEMPLATE LEVEL ONE CMF BENDING 6 HOLE 1.5/2/3 MM PLATE,59.0,29.5,12.87,53.1,64
RC,0272,TEMPLATE LOW PROFILE 108 MM RADIUS PELVIC BENDING 3.5 MM 16 HOLE CURVE RECONSTRUCTION PLATE,93.08,46.54,20.3,83.77,64
RC,0272,TEMPLATE LOW PROFILE 88 MM RADIUS PELVIC BENDING 3.5 MM 16 HOLE CURVE RECONSTRUCTION PLATE,93.08,46.54,20.3,83.77,64
RC,0272,TEMPLATE LOW PROFILE PELVIC BENDING 3.5 MM 16 HOLE RECONSTRUCTION J PLATE,93.08,46.54,20.3,83.77,64
RC,0272,TEMPLATE MATRIXMANDIBLE BENDING 1.5 MM STRAIGHT PLATE NONSTERILE,68.5,34.25,14.94,61.65,64
RC,0272,TEMPLATE MNDBL FX F/55-15536,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE ROD 1 LEVEL RELINE-O,55.0,27.5,12.0,49.5,64
RC,0272,TEMPLATE ROD 240MM,81.0,40.5,17.67,72.9,64
RC,0272,TEMPLATE ROD ARMADA ALUMINUM SILICON,97.0,48.5,21.16,87.3,64
RC,0272,TEMPLATE ROD ATOLL NONSTERILE LATEX FREE DISPOSABLE,96.6,48.3,21.07,86.94,64
RC,0272,TEMPLATE ROD L120 MM VUEPOINT II,19.0,9.5,4.14,17.1,64
RC,0272,TEMPLATE ROD L300 MM DENALI SPINAL SYSTEM SPINE,27.0,13.5,5.89,24.3,64
RC,0272,TEMPLATE ROD L400 MM DENALI SPINAL SYSTEM SPINE,27.0,13.5,5.89,24.3,64
RC,0272,TEMPLATE ROD MAGEC MAGEC 90 MM SPINAL BRACE DISTRACT SYSTEM,1000.0,500.0,218.1,900.0,64
RC,0272,TEMPLATE SIZING 1.5MM CRANIOMAXILLOFACIAL MANDIBULAR STRAIGHT 14-HOLE F/55-15514 2MM FRACTURE PLATE,42.35,21.18,9.24,38.12,64
RC,0272,TEMPLATE SIZING 12 HOLE PLATE RIBFIX BLU RIB,93.0,46.5,20.28,83.7,64
RC,0272,TEMPLATE SIZING 15GA PURPLE GYN COMPLETE KIT STERILE DISPOSABLE,1195.0,597.5,260.63,1075.5,64
RC,0272,TEMPLATE SIZING 2 COLUMN VARIABLE ANGLE,88.0,44.0,19.19,79.2,64
RC,0272,TEMPLATE SIZING 24 HOLE PLATE RIBFIX BLU RIB,93.0,46.5,20.28,83.7,64
RC,0272,TEMPLATE SIZING 8 HOLE RIBFIX BLU,93.0,46.5,20.28,83.7,64
RC,0272,TEMPLATE SIZING 80MM F/ROD DENALI MESA,135.0,67.5,29.44,121.5,64
RC,0272,TEMPLATE SIZING ASSORTED SIZE DRILL GUIDES BME ELITE,54.51,27.26,11.89,49.06,64
RC,0272,TEMPLATE SIZING F/NX NAIL STERILE,187.0,93.5,40.78,168.3,64
RC,0272,TEMPLATE SIZING L20 IN OD5.5 MM CD HORIZON CROSSLINK ANTARES SPINAL ROD PLATE,33.3,16.65,7.26,29.97,64
RC,0272,TEMPLATE SIZING L55 MM X W6 MM X H1.4 MM 6 MM SPACE T VARIABLE ANGLE LOCK 2 HOLE HEAD 6 HOLE SHAFT LOW PROFILE STAINLESS STEEL W12.3 MM 2.4 MM SCREW SMALL FRAGMENT,739.8,369.9,161.35,665.82,64
RC,0272,TEMPLATE SIZING LCP MANDIBLE 2.4 MM 6 X 24 X 6 2 ANGLE MICROVASCULAR PLATE,58.45,29.23,12.75,52.61,64
RC,0272,TEMPLATE SIZING LEIBINGER TIBIAL FRACTURE PLATE,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE SIZING LEVEL ONE 24-015-25-71 LEVEL ONE THORACIC RIB PLATE,120.0,60.0,26.17,108.0,64
RC,0272,TEMPLATE SIZING LEVEL ONE ALUMINUM 2/2.5 MM 26 HOLE MANDIBULAR RECONSTRUCTION ANGLE PLATE,67.18,33.59,14.65,60.46,64
RC,0272,TEMPLATE SIZING LEVEL ONE CMF MEDIUM SMART RECONSTRUCTION PLATE,73.52,36.76,16.03,66.17,64
RC,0272,TEMPLATE SIZING LEVEL ONE CRANIOMAXILLOFACIAL,67.18,33.59,14.65,60.46,64
RC,0272,TEMPLATE SIZING MANDIBLE FRACTURE PLATE 55-15506,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE SIZING MEDIAL PATELLOFEMORAL LIGAMENT,395.0,197.5,86.15,355.5,64
RC,0272,TEMPLATE SIZING NA 4 HOLE MANDIBLE FRACTURE C PLATE,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE SIZING NA 4 HOLE MANDIBLE FRACTURE PLATE HOLE,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE SIZING NA 6 HOLE MANDIBLE FRACTURE PLATE,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE SIZING NA MANDIBLE FRACTURE,42.75,21.38,9.32,38.48,64
RC,0272,TEMPLATE SIZING OD42 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD44 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD46 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD48 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD50 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD52 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD54 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD56 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OD58 MM HIP FEMORAL HEAD,270.28,135.14,58.95,243.25,64
RC,0272,TEMPLATE SIZING OSIA OSI 200,28.0,14.0,6.11,25.2,64
RC,0272,TEMPLATE SIZING RIBFIX BLU RIB 16 HOLE PLATE NONSTERILE LATEX FREE,93.0,46.5,20.28,83.7,64
RC,0272,TEMPLATE SIZING VUEPOINT II SPINE 240 MM ROD,22.0,11.0,4.8,19.8,64
RC,0272,TEMPLATE SIZING XLONG 2.4/2.7 MM VA-LCP 2 COLUMN VOLAR DISTAL RADIUS PLATE,238.53,119.27,52.02,214.68,64
RC,0272,TEMPLATE SPINE L250 MM ARMADA BENDING ALUMINUM SILICON,97.0,48.5,21.16,87.3,64
RC,0272,TEMPLATE SURGICAL 29MM ALUMINUM CRANIOMAXILLOFACIAL CURVED 4-HOLE F/50-730-04 50-770-04 LEVEL ONE,59.0,29.5,12.87,53.1,64
RC,0272,TEMPLATE SURGICAL MINI ALUMINUM CRANIOMAXILLOFACIAL STRAIGHT 6-HOLE F/25-752-06 LEVEL ONE,59.0,29.5,12.87,53.1,64
RC,0272,TEMPLATE XS L64 MM BENDING 3.5 MM CALCANEAL LOCK PLATE,60.17,30.09,13.12,54.15,64
RC,0272,TENSIONER SURGICAL 1 HAND OPERABLE CABLE PISTOL GRIP NONSTERILE,3267.11,1633.56,712.56,2940.4,64
RC,0272,TENSIONER SURGICAL ANCHOR REVERSE STANDARD LOOP IMPLANT PROCINCH NON-STERILE DISPOSABLE,575.0,287.5,125.41,517.5,64
RC,0272,TENSIONER SURGICAL CABLE THORECON,180.0,90.0,39.26,162.0,64
RC,0272,TENSIONER SURGICAL CERCLAGE,275.0,137.5,59.98,247.5,64
RC,0272,TENSIONER SURGICAL CUTTER,875.0,437.5,190.84,787.5,64
RC,0272,TENSIONER SURGICAL CUTTER 2-0/0 FIBERWIRE SUTURE,175.0,87.5,38.17,157.5,64
RC,0272,THERMOMETER ELECTRONIC 2 SCALE INFRARED TAT-5000 TEMPORALSCANNER TEMPORAL ARTERY REUSABLE LATEX FREE,399.87,199.94,87.21,359.88,64
RC,0272,THORACOTOMY PACK,382.08,191.04,83.33,343.87,64
RC,0272,THYROID COLLAR MAX STYLE (ONE SIZE FITS MOST) SCARY SKULLS/ BLACK COLORBLOCK,97.5,48.75,21.26,87.75,64
RC,0272,TIP APPLICATOR 29CM PROGEL SPRAYER EXTENDED,667.2,333.6,145.52,600.48,64
RC,0272,TIP APPLICATOR 35CM EVICEL RIGID FIBRIN SEALANT,163.36,81.68,35.63,147.02,64
RC,0272,TIP APPLICATOR 40CM STAINLESS STEEL DUPLOSPRAY,599.36,299.68,130.72,539.42,64
RC,0272,TIP APPLICATOR 40CM TISSEEL GASLESS SPRAY QUICK CONNECT MIS,626.01,313.01,136.53,563.41,64
RC,0272,TIP APPLICATOR 8CM 10GA FLOSEAL CURVE STAINLESS STEEL DEHP FREE NONSTERILE LATEX FREE REUSABLE,62.39,31.2,13.61,56.15,64
RC,0272,TIP APPLICATOR BIOGLUE 4 SYRINGE STANDARD,465.0,232.5,101.42,418.5,64
RC,0272,TIP APPLICATOR GPS III 2 SPRAY,26.0,13.0,5.67,23.4,64
RC,0272,TIP APPLICATOR HEMOSTATIC 12MM SPREADER W/SYRINGE F/DELIVERY SYSTEM BIOGLUE,485.0,242.5,105.78,436.5,64
RC,0272,TIP APPLICATOR PREVELEAK SEALANT DELIVERY DEHP FREE 4ML LATEX FREE,405.75,202.88,88.49,365.18,64
RC,0272,TIP APPLICATOR PROGEL EXTEND SPRAY L6 IN,667.2,333.6,145.52,600.48,64
RC,0272,TIP APPLICATOR TISSEEL GASLESS SPRAY QUICK CONNECT,347.78,173.89,75.85,313.0,64
RC,0272,TIP ASPIRATOR 11CM SONOPET IQ BONE APEX KNIFE 12.5X.83MM STERILE LATEX FREE DISPOSABLE,3796.8,1898.4,828.08,3417.12,64
RC,0272,TIP ASPIRATOR 11CM SONOPET IQ BONE KNIFE 12.5X.83MM STERILE LATEX FREE DISPOSABLE,3796.8,1898.4,828.08,3417.12,64
RC,0272,TIP ASPIRATOR 12CM 1.6MM 1.2MM SONOPET IQ MICRO SOFT TISSUE STERILE LATEX FREE DISPOSABLE,3404.56,1702.28,742.53,3064.1,64
RC,0272,TIP ASPIRATOR 12CM 1.92MM 1.5MM SONOPET IQ BARRACUDA SOFT TISSUE STERILE LATEX FREE DISPOSABLE,3375.12,1687.56,736.11,3037.61,64
RC,0272,TIP ASPIRATOR 12CM 1.92MM 1.5MM SONOPET IQ STANDARD SOFT TISSUE STERILE LATEX FREE DISPOSABLE,3084.9,1542.45,672.82,2776.41,64
RC,0272,TIP ASPIRATOR 12CM 2.49MM 2MM SONOPET IQ LARGE SOFT TISSUE STERILE LATEX FREE DISPOSABLE,3114.22,1557.11,679.21,2802.8,64
RC,0272,TIP ASPIRATOR 12CM SONOPET IQ 120 BONE CLAW 2.58X3.15MM STERILE LATEX FREE DISPOSABLE,4070.77,2035.39,887.83,3663.69,64
RC,0272,TIP ASPIRATOR 12CM SONOPET IQ BONE APEX 360 2.58X3.15MM STERILE LATEX FREE DISPOSABLE,3985.8,1992.9,869.3,3587.22,64
RC,0272,TIP ASPIRATOR 12CM SONOPET IQ BONE MICRO CLAW 1.6X2MM STERILE LATEX FREE DISPOSABLE,3839.33,1919.67,837.36,3455.4,64
RC,0272,TIP ASPIRATOR 20CM 1.92MM 1.5MM SONOPET IQ STANDARD SOFT TISSUE STERILE LATEX FREE DISPOSABLE,3809.4,1904.7,830.83,3428.46,64
RC,0272,TIP ASPIRATOR 20CM SONOPET IQ BONE APEX 360 2.5X3.15MM STERILE LATEX FREE DISPOSABLE,4657.8,2328.9,1015.87,4192.02,64
RC,0272,TIP ASPIRATOR 4.5IN .08IN CUSA EXCEL CURVE STANDARD EXTEND FLUE STERILE LATEX FREE DISPOSABLE,2795.74,1397.87,609.75,2516.17,64
RC,0272,TIP ASPIRATOR 4.64IN .06IN CUSA SHEARTIP STERILE LATEX FREE DISPOSABLE,3773.42,1886.71,822.98,3396.08,64
RC,0272,TIP ASPIRATOR 5.28CM 1.57MM CUSA EXCEL MICROTIP 36KHZ STANDARD FLUE STERILE LATEX FREE DISPOSABLE,2554.53,1277.27,557.14,2299.08,64
RC,0272,TIP ASPIRATOR 7.95CM 2.64MM CUSA EXCEL MICROTIP 23KHZ FLUE O RING ULTRASONIC STERILE LATEX FREE DISPOSABLE,2460.24,1230.12,536.58,2214.22,64
RC,0272,TIP ASPIRATOR NA OD1.77 MM ID1.37 MM ULTRASONIC 25KHZ MICRO STRAIGHT SOFT TISSUE L4.9 IN SONOPET UNIVERSAL HANDPIECE,2708.49,1354.25,590.72,2437.64,64
RC,0272,TIP ASPIRATOR NA OD1.92 MM ID1.5 MM ULTRASONIC 25KHZ STRAIGHT SOFT TISSUE L4.5 IN SONOPET UNIVERSAL HANDPIECE,2708.49,1354.25,590.72,2437.64,64
RC,0272,TIP ASPIRATOR SONOPET IQ 2MM ID 1.6MM OD 18CM APEX MICRO CLAW BONE CUTTING DISPOSABLE,4531.8,2265.9,988.39,4078.62,64
RC,0272,TIP ASPIRATOR SONOPET IQ OD2.52 MM ID1.8 MM LARGE SOFT TISSUE L37 CM,8024.4,4012.2,1750.12,7221.96,64
RC,0272,TIP ASPIRATOR ULTRASONIC SPETZLER BARRACUDA 1.92MM OD 1.50MM ID 4.5INL F/SOFT TISSUE SONOPET LATEX-FREE STERILE DISPOSABLE 5/PK,3131.56,1565.78,682.99,2818.4,64
RC,0272,TIP CAUTERY DA VINCI ENDOWRIST OD5 MM HOOK MONOPOLAR PERMANENT,893.0,446.5,194.76,803.7,64
RC,0272,TIP CAUTERY ONE DA VINCI SI ENDOWRIST OD8 MM VESSEL SEALER,3570.0,1785.0,778.62,3213.0,64
RC,0272,TIP COLONOSCOPE ENDOCUFF VISION ID10.4 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP SMALL PEDIATRIC PURPLE,221.95,110.98,48.41,199.76,64
RC,0272,TIP COLONOSCOPE ENDOCUFF VISION ID11 MM 1 ROW FLEXIBLE ARM FLATTEN FOLD DRY GRIP MEDIUM PLASTIC BLUE,221.95,110.98,48.41,199.76,64
RC,0272,TIP COLONOSCOPE LARGE FLEXIBLE ARM ID11.2 MM ENDOCUFF VISION GREEN,221.95,110.98,48.41,199.76,64
RC,0272,TIP CUSA PRECISN CRVD 36KHZEXTD,765.77,382.89,167.01,689.19,64
RC,0272,TIP DISSECTOR DOLPHIN TAPERED MICRO SERRATED INSULATED DISPOSABLE,474.98,237.49,103.59,427.48,64
RC,0272,TIP DISSECTOR MODIFIED MARYLAND 5MM DIA SLENDER JAW MICRO SERRATED INSULATED DISPOSABLE,500.15,250.08,109.08,450.14,64
RC,0272,TIP DISSECTOR TROCAR 17.3MM 10MM RIGHT ANGLE DISPOSABLE,581.95,290.98,126.92,523.76,64
RC,0272,TIP ELECTROCAUTERY HOT SHEARS DA VINCI ENDOWRIST CAUTERY MONOPOLAR 8 MM STANDARD,210.0,105.0,45.8,189.0,64
RC,0272,TIP GRASPER ALLIS LAPAROSCOPIC 5MM DIA SERRATED JAW CONTROLLED SINGLE ROW TOOTH DISPOSABLE,512.5,256.25,111.78,461.25,64
RC,0272,TIP GRASPER ENDOSCOPIC 5MM DIA MICROLINE DISPOSABLE,474.98,237.49,103.59,427.48,64
RC,0272,TIP INSERTER 6MM LARGE DEEP STERILE,86.25,43.13,18.81,77.63,64
RC,0272,TIP INSERTER SPINE H6 MM LARGE DEEP IMPLANT,100.0,50.0,21.81,90.0,64
RC,0272,TIP IRRIGATION VITAL-VUE YANKAUER SLENDER 12FT EXTEND SUCTION ILLUMINATION TUBE DISPOSABLE,1318.94,659.47,287.66,1187.05,64
RC,0272,TIP MANIPULATOR RUMI II OD6.7 MM ARTICULATE LOCK HANDLE FLEXIBLE DISTAL END UTERINE L12 CM STAINLESS STEEL SILICONE ORANGE,233.55,116.78,50.94,210.2,64
RC,0272,TIP MANIPULATOR RUMI II OD6.7 MM UTERINE L6 CM WHITE,233.55,116.78,50.94,210.2,64
RC,0272,TIP MANIPULATOR RUMI OD3.2 CM SOFT FLEXIBLE SMALL L9 CM SACROCOLPOPEXY,225.0,112.5,49.07,202.5,64
RC,0272,TIP MANIPULATOR RUMI OD3.8 CM SOFT FLEXIBLE CONCAVE DISTAL END L11.4 CM SACROCOLPOPEXY,225.0,112.5,49.07,202.5,64
RC,0272,TIP MANIPULATOR RUMI OD3.8 CM SOFT FLEXIBLE LARGE L11.4 CM SACROCOLPOPEXY,245.0,122.5,53.43,220.5,64
RC,0272,TIP MANIPULATOR RUMI OD5.1 MM FLEXIBLE UTERINE L3.75 CM SILICONE YELLOW,233.55,116.78,50.94,210.2,64
RC,0272,TIP OPHTHALMIC INTREPID IRRIGATION ASPIRATION CONICAL ANGLE L.3 MM POLYMER,112.92,56.46,24.63,101.63,64
RC,0272,TIP PHACOEMULSIFICATION ABS ALCON KELMAN TURBOSONICS OD.9 MM 30 D MINI,442.02,221.01,96.4,397.82,64
RC,0272,TIP PHACOEMULSIFICATION ABS ALCON KELMAN TURBOSONICS OD.9 MM 45 D MINI,442.02,221.01,96.4,397.82,64
RC,0272,TIP PHACOEMULSIFICATION ABS KELMAN OD.9 MM MINIFLARE COAXIAL 45 D MICRO,442.44,221.22,96.5,398.2,64
RC,0272,TIP PHACOEMULSIFICATION GRIESHABER REVOLUTION DSP OD25 GA BACK FLUSH LIGHTWEIGHT ERGONOMIC HANDLE 360 D TISSUE POLYMERIC,582.06,291.03,126.95,523.85,64
RC,0272,TIP PHACOEMULSIFICATION KELMAN ABS MINI FLARE 30 D,442.44,221.22,96.5,398.2,64
RC,0272,TIP PHACOEMULSIFICATION LAMINAR OD19 GA FLOW 30 D ROUND,472.5,236.25,103.05,425.25,64
RC,0272,TIP PHACOEMULSIFICATION OZIL OD.9 MM MINIFLARE 45 D L12 MM,442.44,221.22,96.5,398.2,64
RC,0272,TIP PHACOEMULSIFICATION TURBOSONICS MICROTIP ABS OD.9 MM 30 D TAPER ROUND,491.1,245.55,107.11,441.99,64
RC,0272,TIP PILOT AEQUALIS REVERSED SHOULDER CANNULATED REAMER,70.0,35.0,15.27,63.0,64
RC,0272,TIP PIPETTE 1-200UL TIPONE GRADUATED FILTER,166.0,83.0,36.2,149.4,64
RC,0272,TIP PIPETTE STRIPPER ID135 UM,126.44,63.22,27.58,113.8,64
RC,0272,TIP PULSED LAVAGE FEMORAL CANAL F/SIMPULSE SOLO/PLUS,80.0,40.0,17.45,72.0,64
RC,0272,TIP PULSED LAVAGE INTERPULSE COAXIAL LONG FEMORAL CANAL,143.31,71.66,31.26,128.98,64
RC,0272,TIP PULSED LAVAGE PULSAVAC PLUS OD.89 CM BRUSH RADIAL SPRAY HIGH CAPACITY FEMUR L22.86 CM L1.52 CM INTRAMEDULLARY NAIL,131.67,65.84,28.72,118.5,64
RC,0272,TIP SCISSORS ENDOCUT 19.3MM DISPOSABLE,341.57,170.79,74.5,307.41,64
RC,0272,TIP SCISSORS ENDOCUT MINI 13.5MM DISPOSABLE,341.57,170.79,74.5,307.41,64
RC,0272,TIP SCISSORS HOOK 5MM DIA PRECISION CUT ENDOCUT LATEX-FREE STERILE SINGLE-PATIENT USE,497.71,248.86,108.55,447.94,64
RC,0272,TIP SCISSORS RENEWAL RENEW II REPROCESSED ENDOCUT 5MM MICRO 9.4MM PRECISION CUT BLACK LATEX-FREE STERILE DISPOSABLE EA,25.77,12.89,5.62,23.19,64
RC,0272,TIP SCISSORS REPROCESSED 13.5MML PRECISION CUT EVERSHARP DIELECTRIC INSULATION ENDOCUT LATEX-FREE STERILE SINGLE-USE,20.19,10.1,4.4,18.17,64
RC,0272,TIP SCISSORS REPROCESSED 19.3MML PRECISION CUT EVERSHARP DIELECTRIC INSULATION ENDOCUT LATEX-FREE STERILE SINGLE-USE,20.19,10.1,4.4,18.17,64
RC,0272,TIP SCREWDRIVER ACUMED STICK FIT T6,268.0,134.0,58.45,241.2,64
RC,0272,TIP SCREWDRIVER AEQUALIS REVERSED OD3.5 MM HEXAGON SHOULDER,106.0,53.0,23.12,95.4,64
RC,0272,TIP SPRAY 11IN DIA EXTENDED SEALANT PLEURAL AIR LEAK PROGEL,687.2,343.6,149.88,618.48,64
RC,0272,TIP SUCTION 24GA EAR THIN WALL W/PLASTIC LUER ADAPTER HANDLE DESIRED ANGLE BENTABLE BLUE F/20% GREATER VOLUMETRIC FLOW RATE MICROLITE SINGLE-USE,107.0,53.5,23.34,96.3,64
RC,0272,TIP SUCTION MERCEDES OD3 MM L30 CM 2 PORT L8 MM,79.0,39.5,17.23,71.1,64
RC,0272,TIP SUCTION MICROVAC OD5 FR ULTRAMALLEABLE STATIONARY,633.0,316.5,138.06,569.7,64
RC,0272,TIP SUCTION MICROVAC OD7 FR ULTRAMALLEABLE STATIONARY,633.0,316.5,138.06,569.7,64
RC,0272,TIP SUCTION PHOTONSABER Y METAL PLASTIC FIBER OPTIC,255.0,127.5,55.62,229.5,64
RC,0272,TIP SUCTION PHOTONSABER Y TAPER PLASTIC FIBER OPTIC,255.0,127.5,55.62,229.5,64
RC,0272,TIP SUCTION STANDARD OD9 FR MALLEABLE,310.96,155.48,67.82,279.86,64
RC,0272,TIP SUCTION SUCKER HEX HANDLE VENT ADULT,336.0,168.0,73.28,302.4,64
RC,0272,TIP SUCTION/IRRIGATION .03MM INTREPID STRAIGHT POLYMER DISPOSABLE,74.34,37.17,16.21,66.91,64
RC,0272,TIP SUCTION/IRRIGATION INTREPID IA CURVE POLYMER,74.34,37.17,16.21,66.91,64
RC,0272,TIP SUCTION/IRRIGATION INTREPID OD.03 MM 35 D BENT POLYMER,74.34,37.17,16.21,66.91,64
RC,0272,TIP SUCTION/IRRIGATION LAPAROSCOPIC 10MM DIA 33CML HOLE QUICK DISCONNECT PROBE NEZHAT-DORSEY NON-STERILE DISPOSABLE,460.55,230.28,100.45,414.5,64
RC,0272,TIP ULTRASONIC 10MM BONESCALPEL BLUNT BLADE SHORT EXTENSION SILICONE SLEEVE STERILE DISPOSABLE,1888.0,944.0,411.77,1699.2,64
RC,0272,TIP ULTRASONIC 10MM NEXUS BONESCALPEL TUBESET BLUNT BLADE STERILE LATEX FREE DISPOSABLE,2608.36,1304.18,568.88,2347.52,64
RC,0272,TIP ULTRASONIC 20MM BONESCALPEL STANDARD BLUNT BLADE SHORT EXTENSION SILICONE SLEEVE STERILE DISPOSABLE,1888.0,944.0,411.77,1699.2,64
RC,0272,TIP ULTRASONIC 20MM NEXUS BONESCALPEL TUBESET BLUNT BLADE STERILE LATEX FREE DISPOSABLE,2608.36,1304.18,568.88,2347.52,64
RC,0272,TISSEEL VHSD 1,1041.99,521.0,227.26,937.79,64
RC,0272,TOGA SURGICAL 2X ZIPPER PEEL AWAY FACE SHIELD T7PLUS,758.72,379.36,165.48,682.85,64
RC,0272,TOGA SURGICAL 2XL ZIPPER FLYTE SURGICOOL,435.88,217.94,95.07,392.29,64
RC,0272,TOGA SURGICAL XL W/ZIPPER T7 SINGLE-USE,649.41,324.71,141.64,584.47,64
RC,0272,TOGA SURGICAL XL ZIPPER PEEL AWAY T7PLUS,846.07,423.04,184.53,761.46,64
RC,0272,TOGA SURGICAL ZIPPERED 2XL FABRIC PEEL-AWAY TRI-LAMINATE VIRAL BARRIER STERI-SHIELD FLYTE LATEX-FREE STERILE SINGLE-USE,517.4,258.7,112.84,465.66,64
RC,0272,TOGA SURGICAL ZIPPERED 3XL STERI-SHIELD FLYTE LATEX-FREE STERILE SINGLE-USE,549.12,274.56,119.76,494.21,64
RC,0272,TOGA SURGICAL ZIPPERED XL FABRIC PEEL-AWAY TRI-LAMINATE VIRAL BARRIER STERI-SHIELD FLYTE SURGICOOL LATEX-FREE STERILE SINGLE-USE,582.84,291.42,127.12,524.56,64
RC,0272,TONGS GARDNER-WELLS HALO COMPOSITE SMALL CRANIUM TRACTION DISPOSABLE,1168.0,584.0,254.74,1051.2,64
RC,0272,TOOL 3MM FLUTE MATCHSTICK DISSECTING LONG-G1 QD14-G1 QD14 QD14-S ATTACHMENT,260.0,130.0,56.71,234.0,64
RC,0272,TOOL ADJUSTMENT HELIX LOCKING TOOL,50.0,25.0,10.91,45.0,64
RC,0272,TOOL CONNECTOR ACUITY X4 STERILE LATEX FREE DISPOSABLE,65.0,32.5,14.18,58.5,64
RC,0272,TOOL DISSECT MIDAS REX MR8 2.5MMX12CM MATCH HEAD TELESCOP DIAMOND,124.32,62.16,27.11,111.89,64
RC,0272,TOOL DISSECTING 1.2MM 5CM DIAMOND BALL MIDAS REX MR8,250.32,125.16,54.59,225.29,64
RC,0272,TOOL DISSECTING 1.5MM LONG 7CM DIAMOND BALL MIDAS REX MR8,121.52,60.76,26.5,109.37,64
RC,0272,TOOL DISSECTING 13 CM BALL COARSE GIT OD4 MM MR8 DIAMOND ND,316.96,158.48,69.13,285.26,64
RC,0272,TOOL DISSECTING 1MM LONG 7CM DIAMOND BALL MIDAS REX MR8,121.52,60.76,26.5,109.37,64
RC,0272,TOOL DISSECTING 2.3MM DIA 8CML SPIRAL TAPER MIDAS REX LEGEND STERILE,88.99,44.5,19.41,80.09,64
RC,0272,TOOL DISSECTING 2.5MM 12CM MATCH HEAD FLUTEX2 F/T12 TUBE TELESCOPING MIDAS REX MEDNEXT LEGEND STERILE,105.68,52.84,23.05,95.11,64
RC,0272,TOOL DISSECTING 2.5MM DIA 12CML PROXIMITY MHD MIDAS REX CLEARVIEW,361.74,180.87,78.9,325.57,64
RC,0272,TOOL DISSECTING 2.5MM DIA 14CML SHAFT TELESCOPING MATCH HEAD MIDAS REX LEGEND MR8,137.76,68.88,30.05,123.98,64
RC,0272,TOOL DISSECTING 2.5MM DIA 25CML DIAMOND MATCH HEAD FLUTEDX3 LARGE BORE F/T12 TUBE TELESCOPING MIDAS REX LEGEND STERILE SINGLE-USE,115.57,57.79,25.21,104.01,64
RC,0272,TOOL DISSECTING 2MM 10CM DIAMOND BALL FINE MIDAS REX MR8,121.52,60.76,26.5,109.37,64
RC,0272,TOOL DISSECTING 2MM DIA 10CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,115.92,57.96,25.28,104.33,64
RC,0272,TOOL DISSECTING 2MM DIA HEAD 7.5CML DIAMOND FLUTED F/NEUROSURGICAL MIDAS REX LEGEND STERILE SINGLE-USE,128.38,64.19,28.0,115.54,64
RC,0272,TOOL DISSECTING 2MM LONG 10CM DIAMOND BALL FINE MIDAS REX MR8,156.24,78.12,34.08,140.62,64
RC,0272,TOOL DISSECTING 3MM 10CM BALL FLUTED MIDAS REX MR8,115.92,57.96,25.28,104.33,64
RC,0272,TOOL DISSECTING 3MM 10CM DIAMOND BALL FINE MIDAS REX MR8,121.52,60.76,26.5,109.37,64
RC,0272,TOOL DISSECTING 3MM 15CM BALL FLUTED MIDAS REX MR8,150.64,75.32,32.85,135.58,64
RC,0272,TOOL DISSECTING 3MM 15CM DIAMOND BALL MIDAS REX MR8,156.24,78.12,34.08,140.62,64
RC,0272,TOOL DISSECTING 3MM DIA 12CML MH MIDAS REX CLEARVIEW,361.74,180.87,78.9,325.57,64
RC,0272,TOOL DISSECTING 3MM DIA 12CML PROXIMITY MIDAS REX CLEARVIEW MH3F,361.74,180.87,78.9,325.57,64
RC,0272,TOOL DISSECTING 3MM DIA 12CML SHAFT BALL FLUTED MIDAS REX LEGEND MR8,115.92,57.96,25.28,104.33,64
RC,0272,TOOL DISSECTING 3MM DIA 14CML PROXIMITY MIDAS REX CLEARVIEW MH3F,361.74,180.87,78.9,325.57,64
RC,0272,TOOL DISSECTING 3MM DIA 14CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,126.0,63.0,27.48,113.4,64
RC,0272,TOOL DISSECTING 3MM DIA 14CML SHAFT SPIRAL MATCH HEAD MIDAS REX LEGEND MR8,316.96,158.48,69.13,285.26,64
RC,0272,TOOL DISSECTING 3MM DIA 26CML SHAFT TAPERED FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,146.16,73.08,31.88,131.54,64
RC,0272,TOOL DISSECTING 3MM DIA HEAD 7.5CML STAINLESS STEEL DIAMOND BALL F/NEUROSURGICAL MIDAS REX LEGEND STERILE SINGLE-USE,128.38,64.19,28.0,115.54,64
RC,0272,TOOL DISSECTING 3MM DIA HEAD 7.5CML STAINLESS STEEL FLUTED BALL F/NEUROSURGICAL MIDAS REX LEGEND LATEX-FREE STERILE SINGLE-USE,118.99,59.5,25.95,107.09,64
RC,0272,TOOL DISSECTING 3MM DIA HEAD 7.5CML STAINLESS STEEL FLUTED BALL FINE F/NEUROSURGICAL MIDAS REX LEGEND STERILE SINGLE-USE,118.99,59.5,25.95,107.09,64
RC,0272,TOOL DISSECTING 3MM LONG 10CM BALL FINE MIDAS REX MR8,150.64,75.32,32.85,135.58,64
RC,0272,TOOL DISSECTING 3MM LONG 10CM DIAMOND BALL FINE MIDAS REX MR8,156.24,78.12,34.08,140.62,64
RC,0272,TOOL DISSECTING 3MM SMALL BORE 7CM BALL FINE FLUTED MIDAS REX MR8,111.44,55.72,24.31,100.3,64
RC,0272,TOOL DISSECTING 4MM DIA 10CML SHAFT BALL FLUTED F/NEUROSURGICAL DIAMOND MIDAS REX LEGEND MR8,131.6,65.8,28.7,118.44,64
RC,0272,TOOL DISSECTING 4MM DIA 10CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,131.6,65.8,28.7,118.44,64
RC,0272,TOOL DISSECTING 4MM DIA 12CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,126.0,63.0,27.48,113.4,64
RC,0272,TOOL DISSECTING 4MM DIA 14CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,137.76,68.88,30.05,123.98,64
RC,0272,TOOL DISSECTING 4MM DIA 9CML SHAFT BALL F/NEUROSURGICAL MIDAS REX LEGEND MR8,131.6,65.8,28.7,118.44,64
RC,0272,TOOL DISSECTING 4MM DIA HEAD 12CML STAINLESS STEEL MIDAS REX MEDNEXT LEGEND CLEARVIEW LATEX-FREE STERILE DISPOSABLE,361.74,180.87,78.9,325.57,64
RC,0272,TOOL DISSECTING 5MM 15CM CYLINDRICAL MIDAS REX MR8,124.32,62.16,27.11,111.89,64
RC,0272,TOOL DISSECTING 5MM DIA 12CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,126.0,63.0,27.48,113.4,64
RC,0272,TOOL DISSECTING 5MM DIA 14CML SHAFT BALL FLUTED F/NEUROSURGICAL DIAMOND X-COARSE MIDAS REX LEGEND MR8,146.16,73.08,31.88,131.54,64
RC,0272,TOOL DISSECTING 5MM DIA 15CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,137.76,68.88,30.05,123.98,64
RC,0272,TOOL DISSECTING 5MM DIA 9CML DIAMOND FLUTED LARGE BORE F/NEUROSURGICAL MIDAS REX MEDNEXT LEGEND LATEX-FREE STERILE SINGLE-USE,125.45,62.73,27.36,112.91,64
RC,0272,TOOL DISSECTING 5MM DIA HEAD 7CML STAINLESS STEEL BALL DIAMOND F/NEUROSURGICAL MIDAS REX MEDNEXT LEGEND STERILE SINGLE-USE,95.17,47.59,20.76,85.65,64
RC,0272,TOOL DISSECTING 6MM 15CM ACORN MIDAS REX MR8,126.0,63.0,27.48,113.4,64
RC,0272,TOOL DISSECTING 6MM DIA 26CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,150.64,75.32,32.85,135.58,64
RC,0272,TOOL DISSECTING 7 CM TAPER OD2.3 MM MIDAS REX MR8,190.0,95.0,41.44,171.0,64
RC,0272,TOOL DISSECTING 7.5CM 1MM LEGEND MIDAS REX LONG BALL FLUTE,170.0,85.0,37.08,153.0,64
RC,0272,TOOL DISSECTING 7.5MM DIA 26CML SHAFT BALL FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,144.48,72.24,31.51,130.03,64
RC,0272,TOOL DISSECTING 9MM 21CM BALL MIDAS REX MR8,150.64,75.32,32.85,135.58,64
RC,0272,TOOL DISSECTING 9MM 26CM BALL MIDAS REX MR8,144.48,72.24,31.51,130.03,64
RC,0272,TOOL DISSECTING 9MM DIA 14CML SHAFT CYLINDER FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,131.6,65.8,28.7,118.44,64
RC,0272,TOOL DISSECTING 9MM DIA 26CML SHAFT CYLINDER FLUTED F/NEUROSURGICAL MIDAS REX LEGEND MR8,134.4,67.2,29.31,120.96,64
RC,0272,TOOL DISSECTING BALL FLUTE OD5 MM 5 CM SHORT ATTACHMENT,241.0,120.5,52.56,216.9,64
RC,0272,TOOL DISSECTING BALL FLUTE OD5 MM BURR 11 CM LONG ATTACHMENT,241.0,120.5,52.56,216.9,64
RC,0272,TOOL DISSECTING BALL OD4 MM DIAMOND,4336.7,2168.35,945.83,3903.03,64
RC,0272,TOOL DISSECTING BALL OD4 MM DIAMOND QD8-G1 SHORT-G1 QD8 QD8-S,227.0,113.5,49.51,204.3,64
RC,0272,TOOL DISSECTING COARSE BALL OD4 MM DIAMOND MEDIUM QD11 QD11-S MEDIUM-G1,71.0,35.5,15.49,63.9,64
RC,0272,TOOL DISSECTING COARSE BALL OD4 MM DIAMOND QD8-G1 SHORT-G1 QD8 QD8-S,167.0,83.5,36.42,150.3,64
RC,0272,TOOL DISSECTING COARSE BALL OD6 MM DIAMOND SHORT QD8 QD8-S SHORT-G1 QD8-G1,102.4,51.2,22.33,92.16,64
RC,0272,TOOL DISSECTING CPS BYPASS VALVE BURR,15.0,7.5,3.27,13.5,64
RC,0272,TOOL DISSECTING EXTEND LENGTH BALL FLUTE OD1.5 MM BURR SHORT STRAIGHT ATTACHMENT,104.8,52.4,22.86,94.32,64
RC,0272,TOOL DISSECTING EXTEND LENGTH COARSE BALL OD2 MM DIAMOND MEDIUM QD11 QD11-S MEDIUM-G1,202.0,101.0,44.06,181.8,64
RC,0272,TOOL DISSECTING EXTEND LENGTH COARSE BALL OD2 MM DIAMOND SHORT QD8 QD8-S SHORT-G1 QD8-G1,178.0,89.0,38.82,160.2,64
RC,0272,TOOL DISSECTING EXTEND LENGTH COARSE BALL OD3 MM DIAMOND MEDIUM QD11 QD11-S MEDIUM-G1,227.0,113.5,49.51,204.3,64
RC,0272,TOOL DISSECTING EXTEND LENGTH COARSE BALL OD3 MM DIAMOND QD8-G1 SHORT-G1 QD8 QD8-S,241.0,120.5,52.56,216.9,64
RC,0272,TOOL DISSECTING FLUTE BALL OD4 MM QD8-G1 SHORT-G1 QD8 QD8-S,241.0,120.5,52.56,216.9,64
RC,0272,TOOL DISSECTING FLUTE BALL OD6 MM QD8-G1 SHORT-G1 QD8 QD8-S,241.0,120.5,52.56,216.9,64
RC,0272,TOOL DISSECTING L.8 MM DIAMOND WHEEL CUTTER OD25.4 MM MIDAS REX LEGEND METAL ASMC MC M2,128.54,64.27,28.03,115.69,64
RC,0272,TOOL DISSECTING L10 CM BALL DIAMOND OD4 MM MIDAS REX LEGEND BURR,168.19,84.1,36.68,151.37,64
RC,0272,TOOL DISSECTING L10 CM BALL DIAMOND OD5 MM MIDAS REX LEGEND BURR,158.65,79.33,34.6,142.79,64
RC,0272,TOOL DISSECTING L10 CM BALL DIAMOND XCOARSE OD5 MM MIDAS REX LEGEND,177.64,88.82,38.74,159.88,64
RC,0272,TOOL DISSECTING L10 CM BALL FLUTE OD2 MM MIDAS REX LEGEND BURR,143.45,71.73,31.29,129.11,64
RC,0272,TOOL DISSECTING L10 CM BALL FLUTE OD3 MM MIDAS REX LEGEND BURR,149.32,74.66,32.57,134.39,64
RC,0272,TOOL DISSECTING L10 CM BALL FLUTE OD4 MM MIDAS REX LEGEND BURR,158.71,79.36,34.61,142.84,64
RC,0272,TOOL DISSECTING L10 CM BALL FLUTE OD5 MM MIDAS REX LEGEND BURR,154.85,77.43,33.77,139.37,64
RC,0272,TOOL DISSECTING L10 CM BALL OD1 MM MIDAS REX LEGEND DIAMOND,152.95,76.48,33.36,137.66,64
RC,0272,TOOL DISSECTING L10 CM BALL OD2 MM MIDAS REX LEGEND DIAMOND,148.0,74.0,32.28,133.2,64
RC,0272,TOOL DISSECTING L10 CM BALL OD3 MM MIDAS REX LEGEND DIAMOND,168.19,84.1,36.68,151.37,64
RC,0272,TOOL DISSECTING L10 CM BALL OD3 MM MR8 DIAMOND,167.88,83.94,36.61,151.09,64
RC,0272,TOOL DISSECTING L10 CM BALL OD5 MM MR8,166.5,83.25,36.31,149.85,64
RC,0272,TOOL DISSECTING L10 CM BALL XCOARSE GRIT OD5 MM MR8 DIAMOND,176.25,88.13,38.44,158.63,64
RC,0272,TOOL DISSECTING L10 CM FLUTE BALL OD1 MM MIDAS REX LEGEND,143.45,71.73,31.29,129.11,64
RC,0272,TOOL DISSECTING L10 CM MATCH HEAD FLUTE OD3 MM MIDAS REX LEGEND BURR,94.55,47.28,20.62,85.1,64
RC,0272,TOOL DISSECTING L10 CM MATCH HEAD OD3 MM MR8,111.44,55.72,24.31,100.3,64
RC,0272,TOOL DISSECTING L10 CM OVAL OD4 MM MIDAS REX LEGEND,161.7,80.85,35.27,145.53,64
RC,0272,TOOL DISSECTING L12 CM 2 FLUTE MATCH HEAD OD3 MM LEGEND BURR,168.56,84.28,36.76,151.7,64
RC,0272,TOOL DISSECTING L12 CM 3 FLUTE MATCH HEAD OD3 MM LEGEND BURR,237.0,118.5,51.69,213.3,64
RC,0272,TOOL DISSECTING L12 CM MATCH HEAD FLUTE OD3 MM MIDAS REX LEGEND BURR,130.26,65.13,28.41,117.23,64
RC,0272,TOOL DISSECTING L12 CM MATCH HEAD OD2.5 MM MIDAS REX MR8 SP,316.95,158.48,69.13,285.26,64
RC,0272,TOOL DISSECTING L12 CM MATCH HEAD SYMMETRIC OD3 MM MR8 SP,382.9,191.45,83.51,344.61,64
RC,0272,TOOL DISSECTING L12 CM MATCH HEAD TELESCOPE OD2 MM MIDAS REX LEGEND BURR,154.85,77.43,33.77,139.37,64
RC,0272,TOOL DISSECTING L12 CM MATCH HEAD TELESCOPE OD2.5 MM MIDAS REX LEGEND,151.13,75.57,32.96,136.02,64
RC,0272,TOOL DISSECTING L12 CM MATCH HEAD TELESCOPE SYMMETRICAL OD3 MM MR8,124.32,62.16,27.11,111.89,64
RC,0272,TOOL DISSECTING L13 CM BALL COARSE GRIT OD4.5 MM MIDAS REX MR8 DIAMOND ND,316.96,158.48,69.13,285.26,64
RC,0272,TOOL DISSECTING L13 CM MATCH HEAD OD3 MM MIDAS REX MR8 DIAMOND ND,316.96,158.48,69.13,285.26,64
RC,0272,TOOL DISSECTING L14 CM 2 FLAT MATCH HEAD OD3 MM LEGEND BURR,188.84,94.42,41.19,169.96,64
RC,0272,TOOL DISSECTING L14 CM 3 FLUTE MATCH HEAD OD3 MM LEGEND BURR,179.61,89.81,39.17,161.65,64
RC,0272,TOOL DISSECTING L14 CM ACORN FLUTE OD6 MM MIDAS REX LEGEND BURR,163.6,81.8,35.68,147.24,64
RC,0272,TOOL DISSECTING L14 CM ACORN OD6 MM MIDAS REX MR8,173.86,86.93,37.92,156.47,64
RC,0272,TOOL DISSECTING L14 CM BALL COARSE OD3 MM MIDAS REX LEGEND DIAMOND BURR,181.45,90.73,39.57,163.31,64
RC,0272,TOOL DISSECTING L14 CM BALL FLUTE OD3 MM MIDAS REX LEGEND BURR,171.95,85.98,37.5,154.76,64
RC,0272,TOOL DISSECTING L14 CM BALL FLUTE OD4 MM MIDAS REX LEGEND BURR,171.95,85.98,37.5,154.76,64
RC,0272,TOOL DISSECTING L14 CM BALL FLUTE OD6 MM MIDAS REX LEGEND BURR,167.47,83.74,36.53,150.72,64
RC,0272,TOOL DISSECTING L14 CM BALL OD3 MM LEGEND DIAMOND,166.71,83.36,36.36,150.04,64
RC,0272,TOOL DISSECTING L14 CM BALL OD5 MM MR8,181.85,90.93,39.66,163.67,64
RC,0272,TOOL DISSECTING L14 CM BALL OD6 MM MR8,184.5,92.25,40.24,166.05,64
RC,0272,TOOL DISSECTING L14 CM BALL XCOARSE OD5 MM MIDAS REX LEGEND DIAMOND BURR,165.36,82.68,36.07,148.82,64
RC,0272,TOOL DISSECTING L14 CM COARSE OD4 MM LEGEND DIAMOND,197.4,98.7,43.05,177.66,64
RC,0272,TOOL DISSECTING L14 CM CUTTER OD3 MM MR8 METAL CARBIDE,242.25,121.13,52.83,218.03,64
RC,0272,TOOL DISSECTING L14 CM CYLINDER FLUTE OD5 MM MIDAS REX LEGEND L7.9 MM BURR,168.19,84.1,36.68,151.37,64
RC,0272,TOOL DISSECTING L14 CM CYLINDER OD5 MM MR8,176.25,88.13,38.44,158.63,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD 2 FLUTE TELESCOPE OD3 MM MR8,137.76,68.88,30.05,123.98,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD DIAMOND OD3 MM MIDAS REX LEGEND,186.29,93.15,40.63,167.66,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD FLUTE OD3 MM MIDAS REX LEGEND,271.32,135.66,59.17,244.19,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD OD3 MM LEGEND DIAMOND,189.05,94.53,41.23,170.15,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD OD3 MM MIDAS REX MR8 DIAMOND SP,597.0,298.5,130.21,537.3,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD OD3 MM MR8,126.0,63.0,27.48,113.4,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD OD3 MM MR8 DIAMOND,199.34,99.67,43.48,179.41,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD OD4 MM MR8,201.75,100.88,44.0,181.58,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD SYMMETRIC OD3 MM MR8 SP,382.9,191.45,83.51,344.61,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD TELESCOPE OD2.5 MM MIDAS REX LEGEND BURR,179.61,89.81,39.17,161.65,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD TELESCOPE OD3 MM MR8 DIAMOND,150.64,75.32,32.85,135.58,64
RC,0272,TOOL DISSECTING L14 CM MATCH HEAD TELESCOPE SYMMETRICAL OD3 MM MR8,246.0,123.0,53.65,221.4,64
RC,0272,TOOL DISSECTING L14 CM METAL CUTTER OD3.2 MM MR8,150.64,75.32,32.85,135.58,64
RC,0272,TOOL DISSECTING L14 CM PROXIMAL FLUSH MATCH HEAD OD3 MM MIDAS REX LEGEND BURR,334.4,167.2,72.93,300.96,64
RC,0272,TOOL DISSECTING L14 CM TAPER FLUTE OD3 MM LEGEND MIDAS REX L35.1 MM,158.9,79.45,34.66,143.01,64
RC,0272,TOOL DISSECTING L14 CM TAPER OD3 MM MR8,137.76,68.88,30.05,123.98,64
RC,0272,TOOL DISSECTING L14 CM WHEEL OD25.4 MM MR8 DIAMOND,201.75,100.88,44.0,181.58,64
RC,0272,TOOL DISSECTING L15 CM BALL FLUTE OD3 MM MINIMAL ACCESS ATTACHMENT MA-15 BEARING SLEEVE,368.0,184.0,80.26,331.2,64
RC,0272,TOOL DISSECTING L15 CM BALL OD4 MM MR8,190.36,95.18,41.52,171.32,64
RC,0272,TOOL DISSECTING L15 CM LONG TAPER OD2.3 MM MIDAS REX LEGEND BURR,165.3,82.65,36.05,148.77,64
RC,0272,TOOL DISSECTING L15 CM LONG TAPER OD2.3 MM MR8 DIAMOND,134.4,67.2,29.31,120.96,64
RC,0272,TOOL DISSECTING L15 CM MATCH HEAD OD2.2 MM MIDAS REX LEGEND,170.5,85.25,37.19,153.45,64
RC,0272,TOOL DISSECTING L15 CM MATCH HEAD OD2.2 MM MR8,124.32,62.16,27.11,111.89,64
RC,0272,TOOL DISSECTING L15 CM MATCH HEAD OD3 MM MR8,207.58,103.79,45.27,186.82,64
RC,0272,TOOL DISSECTING L15 CM MATCHSTICK FLUTE OD3 MM MA-15S MA-15C MA-15ST,280.0,140.0,61.07,252.0,64
RC,0272,TOOL DISSECTING L15 CM SHORT MATCH HEAD OD3 MM MIDAS REX MR8,285.0,142.5,62.16,256.5,64
RC,0272,TOOL DISSECTING L19 CM ACORN OD9 MM MR8,124.32,62.16,27.11,111.89,64
RC,0272,TOOL DISSECTING L21 CM BALL FLUTE OD6 MM MIDAS REX LEGEND,194.75,97.38,42.47,175.28,64
RC,0272,TOOL DISSECTING L21 CM MATCH HEAD OD3 MM LEGEND,170.1,85.05,37.1,153.09,64
RC,0272,TOOL DISSECTING L21 CM MATCH HEAD OD3 MM MR8,176.25,88.13,38.44,158.63,64
RC,0272,TOOL DISSECTING L21 CM TAPER ACCORN OD3 MM LEGEND MIDAS REX L35.5 MM,160.68,80.34,35.04,144.61,64
RC,0272,TOOL DISSECTING L26 CM MATCH HEAD FLUTE OD3 MM MIDAS REX LEGEND,150.54,75.27,32.83,135.49,64
RC,0272,TOOL DISSECTING L5 CM BALL COARSE GRIT OD3 MM MIDAS REX MR8 DIAMOND LP,250.88,125.44,54.72,225.79,64
RC,0272,TOOL DISSECTING L5 CM BALL OD.8 MM MIDAS REX MR8 DIAMOND LP,266.25,133.13,58.07,239.63,64
RC,0272,TOOL DISSECTING L6.4 MM WHEEL CUTTER OD1.6 MM MIDAS REX LEGEND CARBIDE,155.74,77.87,33.97,140.17,64
RC,0272,TOOL DISSECTING L7 CM BALL COARSE OD3 MM MIDAS REX LEGEND MEDNEXT DIAMOND BURR,136.5,68.25,29.77,122.85,64
RC,0272,TOOL DISSECTING L7 CM BALL OD1 MM MIDAS REX LEGEND MEDNEXT DIAMOND BURR,135.72,67.86,29.6,122.15,64
RC,0272,TOOL DISSECTING L7 CM BALL OD2 MM MIDAS REX LEGEND MEDNEXT DIAMOND BURR,141.0,70.5,30.75,126.9,64
RC,0272,TOOL DISSECTING L7 CM BALL OD2 MM MIDAS REX MR8 DIAMOND LP,250.32,125.16,54.59,225.29,64
RC,0272,TOOL DISSECTING L7 CM BALL OD3 MM LEGEND DIAMOND,151.05,75.53,32.94,135.95,64
RC,0272,TOOL DISSECTING L7 CM BALL OD3 MM MIDAS REX LEGEND MEDNEXT DIAMOND BURR,141.0,70.5,30.75,126.9,64
RC,0272,TOOL DISSECTING L7 CM BALL OD4 MM MIDAS REX LEGEND MEDNEXT DIAMOND BURR,141.0,70.5,30.75,126.9,64
RC,0272,TOOL DISSECTING L7 CM BALL OD4 MM MR8,199.0,99.5,43.4,179.1,64
RC,0272,TOOL DISSECTING L7 CM BALL OD4 MM MR8 DIAMOND,217.0,108.5,47.33,195.3,64
RC,0272,TOOL DISSECTING L7 CM BALL OD5 MM MR8 DIAMOND,217.0,108.5,47.33,195.3,64
RC,0272,TOOL DISSECTING L7 CM F1 TAPER OD1.5 MM MIDAS REX MR8,185.0,92.5,40.35,166.5,64
RC,0272,TOOL DISSECTING L7 CM LONG BALL FINE GRIT OD1.5 MM MR8 DIAMOND,213.0,106.5,46.46,191.7,64
RC,0272,TOOL DISSECTING L7 CM LONG BALL OD2 MM MIDAS REX LEGEND MEDNEXT DIAMOND BURR,135.72,67.86,29.6,122.15,64
RC,0272,TOOL DISSECTING L7 CM LONG BALL OD3 MM MR8 DIAMOND,119.28,59.64,26.01,107.35,64
RC,0272,TOOL DISSECTING L7 CM TAPER OD1.1 MM MR8,128.91,64.46,28.12,116.02,64
RC,0272,TOOL DISSECTING L7.5 CM BALL FLUTE OD3 MM LEGEND MIDAS REX,211.0,105.5,46.02,189.9,64
RC,0272,TOOL DISSECTING L7.5 CM BALL FLUTE OD4 MM LEGEND MIDAS REX,211.0,105.5,46.02,189.9,64
RC,0272,TOOL DISSECTING L7.5 CM BALL OD6 MM LEGEND DIAMOND,138.63,69.32,30.24,124.77,64
RC,0272,TOOL DISSECTING L7.5 CM COARSE BALL OD3 MM LEGEND MIDAS REX DIAMOND,140.97,70.49,30.75,126.87,64
RC,0272,TOOL DISSECTING L7.5 CM FINE BALL FLUTE OD6 MM LEGEND MIDAS REX,123.24,61.62,26.88,110.92,64
RC,0272,TOOL DISSECTING L7.5 CM LONG BALL FLUTE OD2 MM LEGEND MIDAS REX,211.0,105.5,46.02,189.9,64
RC,0272,TOOL DISSECTING L7.5 CM LONG BALL FLUTE OD3 MM LEGEND MIDAS REX,149.89,74.95,32.69,134.9,64
RC,0272,TOOL DISSECTING L7.5 CM LONG BALL OD3 MM LEGEND DIAMOND,161.8,80.9,35.29,145.62,64
RC,0272,TOOL DISSECTING L7.5 CM OD1 MM LEGEND DIAMOND,148.2,74.1,32.32,133.38,64
RC,0272,TOOL DISSECTING L7.5 CM OD2 MM LEGEND MIDAS REX DIAMOND,133.38,66.69,29.09,120.04,64
RC,0272,TOOL DISSECTING L7.5 CM SYMMETRICAL OD5 MM LEGEND MIDAS REX,216.0,108.0,47.11,194.4,64
RC,0272,TOOL DISSECTING L8 CM SPIRAL TAPER FOOT ATTACHMENT OD2.3 MM MIDAS REX LEGEND L15.9 MM BURR,142.31,71.16,31.04,128.08,64
RC,0272,TOOL DISSECTING L8 CM TAPER FLUTE OD1.1 MM MIDAS REX LEGEND L6.4 MM,128.27,64.14,27.98,115.44,64
RC,0272,TOOL DISSECTING L8 CM TAPER FOOT ATTACHMENT OD1.5 MM MIDAS REX LEGEND L11.1 MM BURR,142.31,71.16,31.04,128.08,64
RC,0272,TOOL DISSECTING L9 CM ACORN FLUTE OD6 MM MIDAS REX LEGEND,226.0,113.0,49.29,203.4,64
RC,0272,TOOL DISSECTING L9 CM ACORN FLUTE OD7.5 MM MIDAS REX LEGEND,144.12,72.06,31.43,129.71,64
RC,0272,TOOL DISSECTING L9 CM ACORN FLUTE OD9 MM MIDAS REX LEGEND BURR,154.85,77.43,33.77,139.37,64
RC,0272,TOOL DISSECTING L9 CM ACORN OD6 MM MIDAS REX MR8,171.61,85.81,37.43,154.45,64
RC,0272,TOOL DISSECTING L9 CM ACORN OD7.5 MM MR8,235.0,117.5,51.25,211.5,64
RC,0272,TOOL DISSECTING L9 CM BALL DIAMOND OD7.5 MM LEGEND BURR,280.0,140.0,61.07,252.0,64
RC,0272,TOOL DISSECTING L9 CM BALL FLUTE OD5 MM MIDAS REX LEGEND BURR,168.19,84.1,36.68,151.37,64
RC,0272,TOOL DISSECTING L9 CM BALL FLUTE OD6 MM MIDAS REX LEGEND DIAMOND,176.67,88.34,38.53,159.0,64
RC,0272,TOOL DISSECTING L9 CM BALL OD3 MM MR8,176.25,88.13,38.44,158.63,64
RC,0272,TOOL DISSECTING L9 CM BALL OD5 MM MR8,176.24,88.12,38.44,158.62,64
RC,0272,TOOL DISSECTING L9 CM BALL OD5 MM MR8 DIAMOND,146.16,73.08,31.88,131.54,64
RC,0272,TOOL DISSECTING L9 CM BALL OD6 MM MR8,131.6,65.8,28.7,118.44,64
RC,0272,TOOL DISSECTING L9 CM BALL XCOARSE GRIT OD4 MM MR8 DIAMOND,146.16,73.08,31.88,131.54,64
RC,0272,TOOL DISSECTING L9 CM MATCH HEAD FLUTE OD3 MM MIDAS REX LEGEND,171.46,85.73,37.4,154.31,64
RC,0272,TOOL DISSECTING L9 CM MATCH HEAD OD3 MM MIDAS REX LEGEND DIAMOND BURR,192.71,96.36,42.03,173.44,64
RC,0272,TOOL DISSECTING L9 CM MATCH HEAD OD3 MM MR8,173.86,86.93,37.92,156.47,64
RC,0272,TOOL DISSECTING L9 CM MATCH HEAD OD3 MM MR8 DIAMOND,189.0,94.5,41.22,170.1,64
RC,0272,TOOL DISSECTING L9 CM METAL CUTTER OD3 MM MR8 METAL CUT,249.55,124.78,54.43,224.6,64
RC,0272,TOOL DISSECTING L9 CM OD3 MM MIDAS REX LEGEND CARBIDE METAL,155.74,77.87,33.97,140.17,64
RC,0272,TOOL DISSECTING L9 CM OD6 MM MIDAS REX LEGEND SYMMETRI DIAMOND,196.65,98.33,42.89,176.99,64
RC,0272,TOOL DISSECTING L9 CM WHEEL OD25.4 MM MR8,207.58,103.79,45.27,186.82,64
RC,0272,TOOL DISSECTING SIDE CUTTER FLUTE OD3.2 MM CARBIDE BURR 8 CM HEAVY DUTY MEDIUM ATTACHMENT,347.0,173.5,75.68,312.3,64
RC,0272,TOOL DISSECTING STANDARD LENGTH FLUTE BALL OD3 MM SHORT QD8 SHORT-G1 QD8-G1,104.8,52.4,22.86,94.32,64
RC,0272,TOOL DISSECTING TWIST DRILL 1.2MM 7CM X 4MM MIDAS REX MR8,93.52,46.76,20.4,84.17,64
RC,0272,TOOL FIXATION LEAD CONNECTOR DH,18.0,9.0,3.93,16.2,64
RC,0272,TOOL FLUSH  FL1056,25.0,12.5,5.45,22.5,64
RC,0272,TOOL INSERTION EMBLEM S-ICD ELECTRODE,440.0,220.0,95.96,396.0,64
RC,0272,TOOL INSERTION WIRE LIGATURE FURLOW STERILE DISPOSABLE,450.0,225.0,98.15,405.0,64
RC,0272,TOOL LEAD DELIVERY 36.1CM EPSILA EV POLYCARBONATE POLYETHERIMIDE TUNNELING ROD HANDLE 22.9CM,600.0,300.0,130.86,540.0,64
RC,0272,TOOL LEAD DELIVERY 36.1CM EPSILA EV STERNAL POLYCARBONATE POLYETHERIMIDE TUNNELING 22.9CM,600.0,300.0,130.86,540.0,64
RC,0272,TOOL LEAD DELIVERY EMBLEM ELECTRODE STERILE LATEX FREE DISPOSABLE,440.0,220.0,95.96,396.0,64
RC,0272,TOOL LEAD DELIVERY EXPANDER COIL STRAIGHT STYLET STERILE DISPOSABLE,87.99,44.0,19.19,79.19,64
RC,0272,TOOL LEAD DELIVERY EXTENSION INSERT,48.0,24.0,10.47,43.2,64
RC,0272,TOOL LINER REMOVAL SCREW G7 POLY,230.0,115.0,50.16,207.0,64
RC,0272,TOOL MR8 26CM BALL 5MM DIAMETER,150.64,75.32,32.85,135.58,64
RC,0272,TOOL MR8 26CM MATCH HEAD 3MM DIAMETER,134.4,67.2,29.31,120.96,64
RC,0272,TOOL MR8 5CM LP BALL 4MM DIAMETER,250.32,125.16,54.59,225.29,64
RC,0272,TOOL MR8 5CM LP BALL DC 2MM DIAMETER,250.88,125.44,54.72,225.79,64
RC,0272,TOOL MR8 5CM LP BALL DMD 1MM DIAMETER,250.32,125.16,54.59,225.29,64
RC,0272,TOOL MR8 7CM BALL 3MM DIAMETER,111.44,55.72,24.31,100.3,64
RC,0272,TOOL MR8 7CM BALL 5MM DIAMETER,111.44,55.72,24.31,100.3,64
RC,0272,TOOL MR8 7CM BALL 6MM DIAMETER,111.44,55.72,24.31,100.3,64
RC,0272,TOOL MR8 7CM BALL DIAMOND 7MM DIAMETER,121.52,60.76,26.5,109.37,64
RC,0272,TOOL MR8 7CM BALL DIAMOND COARSE 2MM,125.35,62.68,27.34,112.82,64
RC,0272,TOOL MR8 7CM BALL DMD 3MM DIAMETER,121.52,60.76,26.5,109.37,64
RC,0272,TOOL PACEMAKER REMOVAL LEAD CONNECTOR,31.5,15.75,6.87,28.35,64
RC,0272,TOOL REMOVAL BARRICAID ANNULAR CLOSURE DEVICE STERILE LATEX FREE DISPOSABLE,640.0,320.0,139.58,576.0,64
RC,0272,TOOL REMOVAL HANDLE TRAPEZIECTOMY,250.0,125.0,54.53,225.0,64
RC,0272,TOOL SIZING LINX LAPAROSCOPIC,750.0,375.0,163.58,675.0,64
RC,0272,TOOL SURGICAL OFFSET SIZING ANCILLARY,40.78,20.39,8.89,36.7,64
RC,0272,TOOL TUNNELING KIT NEVRO 35CM STERILE LATEX FREE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,TOOL TUNNELING KIT NEVRO 50CM STERILE LATEX FREE DISPOSABLE,75.0,37.5,16.36,67.5,64
RC,0272,TOOL TUNNELING L20 IN,500.0,250.0,109.05,450.0,64
RC,0272,TOOL TUNNELING L35 CM LONG,100.0,50.0,21.81,90.0,64
RC,0272,TOOL TUNNELING STRAW 28CM STERILE LATEX FREE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,TOTAL HIP PACK SOP4FTHWFA,343.84,171.92,74.99,309.46,64
RC,0272,TOTAL HIP PACK SOP4QTHCOA,186.18,93.09,40.61,167.56,64
RC,0272,TOTAL KNEE PACK SOP4FTKWFA,328.77,164.39,71.7,295.89,64
RC,0272,TOTAL KNEE PACK SOP4JTKCVA,246.84,123.42,53.84,222.16,64
RC,0272,TOTAL KNEE PACK SOP4QTKCOA,206.66,103.33,45.07,185.99,64
RC,0272,TOTAL SHOULDER PACK DYNJ6239,214.8,107.4,46.85,193.32,64
RC,0272,TOTAL SHOULDER PACK SOP4FTSWFA,116.87,58.44,25.49,105.18,64
RC,0272,TOURNIQUET SURGICAL 4INW X 34INL SINGLE BLADDER DUAL PORT LUER-LOCK CONNECTOR ATTACHED TUBING W/SLEEVE COLOR CODED A.T.S LATEX-FREE STERILE DISPOSABLE,165.0,82.5,35.99,148.5,64
RC,0272,TOURNIQUET SURGICAL DUAL PORT HOSE ATS 1500 2000 SERIES DISPOSABLE BLUE WHITE,45.0,22.5,9.81,40.5,64
RC,0272,TRACEPAK LAP GYN,114.49,57.25,24.97,103.04,64
RC,0272,TRACKER NAVIGATION AXIEM POINTER STERILE LATEX FREE DISPOSABLE - 9735317,638.0,319.0,139.15,574.2,64
RC,0272,TRACKER NAVIGATION FUSION AXIEM ENT PVC STERILE LATEX FREE DISPOSABLE,198.9,99.45,43.38,179.01,64
RC,0272,TRACKER NAVIGATION INSTRUMENT FUSION AXIEM ENT,158.1,79.05,34.48,142.29,64
RC,0272,TRACKER NAVIGATION NON INVASIVE PATIENT AXIEM,260.0,130.0,56.71,234.0,64
RC,0272,TRACKER NAVIGATION NONINVASIVE FUSION AXIEM,191.25,95.63,41.71,172.13,64
RC,0272,TRACKER NAVIGATION POINTER AXIEM,602.0,301.0,131.3,541.8,64
RC,0272,TRAIL SHOULDER ADAPTER OD36 MM REVERS HUMERAL CUFF TEAR ARTHROPATHY,170.0,85.0,37.08,153.0,64
RC,0272,TRANSDUCER COMBO COROMETRICS FETAL MONITOR,437.36,218.68,95.39,393.62,64
RC,0272,TRANSDUCER LITHOTRIPTER WRENCH SHOCKPULSE,285.2,142.6,62.2,256.68,64
RC,0272,TRANSDUCER PRESSURE TRUWAVE 3ML/HOUR FLUSH DEVICE VENT STOPCOCK STERILE LATEX FREE DISPOSABLE,284.0,142.0,61.94,255.6,64
RC,0272,TRANSFORMER SIGMOIDOSCOPE L5 FT 6V 110-240V 50-60HZ IEC PLUG B WELCHALLYN SIGMOIDOSCOPE ANOSCOPE,137.71,68.86,30.03,123.94,64
RC,0272,TRAP DBL FNGR BLU LG EACH,205.0,102.5,44.71,184.5,64
RC,0272,TRAP FINGER SMALL DOUBLE DISPOSABLE RED TRACTION,232.96,116.48,50.81,209.66,64
RC,0272,TRAP POSITIONING BLUE LARGE FINGER MESH SINGLE COLOR CODED ORTHOPEDIC STERILE DISPOSABLE,1513.92,756.96,330.19,1362.53,64
RC,0272,TRAP POSITIONING FINGER LARGE DIGIT TRAP ATRAUMATIC HOOK GRASP,298.4,149.2,65.08,268.56,64
RC,0272,TRAP POSITIONING FINGER SMALL DIGIT TRAP ATRAUMATIC HOOK GRASP TRACTION TOWER,298.4,149.2,65.08,268.56,64
RC,0272,TRAP POSITIONING XL FINGER 2 DISPOSABLE,1640.0,820.0,357.68,1476.0,64
RC,0272,TRAP POSITIONING YELLOW MEDIUM FINGER 2 MESH ARTHROSCOPY STERILE DISPOSABLE,205.0,102.5,44.71,184.5,64
RC,0272,TRAP SPECIMEN COLLECTION F/ENDOSURGERY SYSTEM KIT ENDOROTOR,208.0,104.0,45.36,187.2,64
RC,0272,TRAP TRACTION ARM MEDIUM FINGER SINGLE MESH YELLOW STERILE DISPOSABLE,215.04,107.52,46.9,193.54,64
RC,0272,TRAP TRACTION ARM SMALL FINGER SINGLE MESH RED STERILE DISPOSABLE,192.0,96.0,41.88,172.8,64
RC,0272,TRAP TRACTION ARM XL FINGER SINGLE MESH GREEN STERILE DISPOSABLE,189.24,94.62,41.27,170.32,64
RC,0272,TRAUMA PACK,374.12,187.06,81.6,336.71,64
RC,0272,TRAY ADAPTER DEFIBRILLATOR REDI-CHARGE LIFEPAK 12,176.8,88.4,38.56,159.12,64
RC,0272,TRAY AMNIOCENTESIS 20GA 3 1/2INL LANCET POINT W/LABEL GAUZE SPONGE PORTEX,337.49,168.75,73.61,303.74,64
RC,0272,TRAY ANGIOGRAPHY STERILE,202.12,101.06,44.08,181.91,64
RC,0272,TRAY ARTHROGRAM 3.5IN 22GA BD PRECISIONGLIDE NEEDLE EXTENSION TUBE MEDICATION LABEL SHEET UTILITY MARKER 20IN LATEX FREE,216.51,108.26,47.22,194.86,64
RC,0272,TRAY ARTHROGRAM W/60ML/10CC SYRINGE NEEDLEX4 FENESTRATED DRAPE/WRAP/TOWEL EXTENSION TB PREP CUP/SWAB STICK GZ/BAND-AID STER INDICATOR,362.19,181.1,78.99,325.97,64
RC,0272,TRAY BIOPSY 4IN 11GA 15GA JAMSHIDI STANDARD BONE MARROW ILLINOIS NEEDLE T-HANDLE STERILE LATEX FREE DISPOSABLE,310.0,155.0,67.61,279.0,64
RC,0272,TRAY BIOPSY ARROW ONCONTROL BONE LESION,2693.0,1346.5,587.34,2423.7,64
RC,0272,TRAY BIOPSY ARROW ONCONTROL BONE MARROW,985.0,492.5,214.83,886.5,64
RC,0272,TRAY BIOPSY ASPIRATION 11GA 14INL NEEDLE W/15GA SNARECOIL,639.0,319.5,139.37,575.1,64
RC,0272,TRAY BIOPSY ASPIRATION 11GA 4INL BONE MARROW STANDARD W/T-HANDLE JAMSHIDI NEEDLES SAFE-T PLUS LATEX-FREE STERILE SINGLE-USE,1722.92,861.46,375.77,1550.63,64
RC,0272,TRAY BIOPSY BONE MARROW,630.0,315.0,137.4,567.0,64
RC,0272,TRAY BIOPSY L10 CM OD10 GA ODSEC12 GA ARROW ONCONTROL BONE LESION L14 CM,2693.0,1346.5,587.34,2423.7,64
RC,0272,TRAY BIOPSY L10 CM OD13 GA ODSEC11 GA ARROW ONCONTROL BONE LESION L6 CM,2693.0,1346.5,587.34,2423.7,64
RC,0272,TRAY BIOPSY L102 MM ARROW ONCONTROL BONE MARROW COMPREHENSIVE,991.0,495.5,216.14,891.9,64
RC,0272,TRAY BIOPSY L14.8 CM OD12 GA ODSEC10 GA TREK AUTOMATIC BRAKE CONTROL NEEDLE L10 CM BONE LESION,2125.0,1062.5,463.46,1912.5,64
RC,0272,TRAY BIOPSY L14.8 CM OD13 GA ODSEC11 GA TREK AUTOMATIC BRAKE CONTROL NEEDLE L10 CM BONE LESION,2125.0,1062.5,463.46,1912.5,64
RC,0272,TRAY BIOPSY L15 CM ARROW ONCONTROL BONE LESION,2693.0,1346.5,587.34,2423.7,64
RC,0272,TRAY BIOPSY L152 MM ARROW ONCONTROL BONE MARROW,922.0,461.0,201.09,829.8,64
RC,0272,TRAY BIOPSY L6 CM ARROW ONCONTROL BONE LESION,3125.0,1562.5,681.56,2812.5,64
RC,0272,TRAY BIOPSY STANDARD CHLORAPREP SOFT TISSUE WITHOUT NEEDLE STERILE LATEX FREE 10ML 25GA HAZARDOUS,175.0,87.5,38.17,157.5,64
RC,0272,TRAY BONE CEMENT KYPHON EXPRESS OSTEO INTRODUCER 15/2 BUNDLE INFLATABLE TAMP,3506.0,1753.0,764.66,3155.4,64
RC,0272,TRAY BONE MARROW 11G/16GBMET1104TL,308.8,154.4,67.35,277.92,64
RC,0272,TRAY BONE MARROW 11G/16GBMT1104TL,228.0,114.0,49.73,205.2,64
RC,0272,TRAY BONE MARROW ASPIRATION W/11GAX4IN T-HANDLE JAMSHIDI 15GA ILLINOIS NEEDLE SAFE-T PLUS LATEX-FREE STERILE SINGLE-USE,443.15,221.58,96.65,398.84,64
RC,0272,TRAY BRACHYTHERAPY TARGETED BREAST RADIATION THERAPY MULTILUMEN APPLICATOR MAMMOSITE,1205.0,602.5,262.81,1084.5,64
RC,0272,TRAY CATH PERM STERILE,201.84,100.92,44.02,181.66,64
RC,0272,TRAY CATHETER CENTRAL VENOUS 7FR DIA 20CML LUMENX3 BUNDLE MULTIMED LATEX 5/CA,269.26,134.63,58.73,242.33,64
RC,0272,TRAY CATHETER DRAINAGE SAFE-T-CENTESIS PLUS 6FR 16CM PIGTAIL ECHOGENIC CM DEPTH SELF-SEALING VALVE W/VERESS INTRO 5ML SYR 22/25GA 1 1/2IN NDL 3ML CHLORAPREP APPLICATOR SILICONE COATED 0.035/0.038IN GW,920.0,460.0,200.65,828.0,64
RC,0272,TRAY CATHETER INTRAUTERINE HSG F/CONTRAST STERILE DISPOSABLE,244.95,122.48,53.42,220.46,64
RC,0272,TRAY CATHETER L15 CM SPECTRUM 3 LUMEN CURVE NEEDLE SUTURE HOLDER MINOCYCLINE RIFAMPIN POLYURETHANE .025 IN OD5 FR CENTRAL VENOUS,177.5,88.75,38.71,159.75,64
RC,0272,TRAY CATHETER PICC INSERTION NEONATE,1378.2,689.1,300.59,1240.38,64
RC,0272,TRAY CATHETER URETHRAL 10FR DIA 12INL 100% SILICONE 2500ML CAPACITY PEDIATRIC STRAIGHT TWO-WAY W/GLOVES FOLEY INSERTAG 5ML SYRINGE DRAPE SPECIMEN CONTAINER SWABSTICKS SUREPREP ALCOHOL PAD F/URINARY TE,344.24,172.12,75.08,309.82,64
RC,0272,TRAY CATHETER URETHRAL 16FR DIA F/URINE OUTPUT TEMPERATURE ACCURYN SMARTFOLEY,1050.0,525.0,229.01,945.0,64
RC,0272,TRAY CATHETER URETHRAL 16FR DIA F/URINE OUTPUT TEMPERATURE IAP ACCURYN SMARTFOLEY,2000.0,1000.0,436.2,1800.0,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 10FR DIA SILICONE 3ML LATEX-FREE 10/CA,174.26,87.13,38.01,156.83,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 14FR DIA 100% SILICONE 10ML 1-LAYER W/URINE METER SNAPSECURE URO175814C LATEX-FREE,185.6,92.8,40.48,167.04,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML 1-LAYER SNAPSECURE LATEX-FREE,122.18,61.09,26.65,109.96,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML 1-LAYER W/METAL-FREE URINE METER SNAPSECURE URO175816S LATEX-FREE,130.67,65.34,28.5,117.6,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML 1-LAYER W/URINE METER SNAPSECURE URO175816 LATEX-FREE,130.67,65.34,28.5,117.6,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML 1-LAYER W/URINE METER SNAPSECURE URO175816C LATEX-FREE,185.6,92.8,40.48,167.04,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML 1-LAYER W/URINE METER TEMPERATURE SENSING SNAPSECURE LATEX-FREE URO175816T,234.74,117.37,51.2,211.27,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML 1-LAYER W/URINE METER TEMPERATURE SENSING SNAPSECURE LATEX-FREE URO175816TS,234.74,117.37,51.2,211.27,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 100% SILICONE 10ML TOTAL 1-LAYER W/PERI-CARE WIPE 2500ML DRAIN BAG TEMPERATURE SENSING LATEX-FREE,241.74,120.87,52.72,217.57,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 10ML 1-LAYER W/DRAIN BAG SNAPSECURE URO175116 LATEX,101.78,50.89,22.2,91.6,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 10ML 1-LAYER W/METAL-FREE URINE METER SNAPSECURE URO175216S LATEX,123.57,61.79,26.95,111.21,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA 10ML 1-LAYER W/URINE METER SNAPSECURE URO175216 LATEX,123.57,61.79,26.95,111.21,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE ADULT CLOSED SYSTEM 1-LAYER ERASE W/ACCESSORIES LATEX-FREE 10/CA,129.45,64.73,28.23,116.51,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE ADULT FIRM TIP CLOSED SYSTEM LARGE DRAINAGE EYE W/ACCESSORIES LATEX-FREE 10/CA,121.57,60.79,26.51,109.41,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE HYDROGEL COATED INFECTION CONTROL W/STATLOCK F/CRITICORE MONITOR SURESTEP LATEX-FREE STERILE SINGLE-USE 10/CA,339.8,169.9,74.11,305.82,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE HYDROGEL COATED TEMPERATURE SENSING INFECTION CONTROL W/350ML URINE METER STATLOCK SURESTEP BARDEX IC COMPLETE CARE LATEX STERILE SINGLE-USE 10/CA,317.6,158.8,69.27,285.84,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE HYDROGEL COATED TEMPERATURE SENSING INFECTION CONTROL W/350ML URINE METER STATLOCK SURESTEP LUBRI-SIL COMPLETE CARE LATEX-FREE STERILE SINGLE-USE 10/CA,361.5,180.75,78.84,325.35,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE HYDROGEL COATED W/2000ML DRAINAGE BAG SURESTEP LUBRICATH LATEX STERILE SINGLE-USE 10/CA,103.5,51.75,22.57,93.15,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE LATEX-FREE 10/CA,122.18,61.09,26.65,109.96,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA SILICONE TEMPERATURE-SENSING W/10ML SYRINGE 400ML URINE METER 2500ML BAG METAL-FREE DRAINAGE PORT VENTED TUBING LATEX-FREE,248.74,124.37,54.25,223.87,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR DIA W/10ML SYRINGE 2000ML DRAIN BAG ERASE CAUTI,146.12,73.06,31.87,131.51,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 16FR SILICONE W/350ML URINE METER BARDEX LATEX-FREE STERILE SINGLE-USE 10/CA,118.4,59.2,25.82,106.56,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 18FR DIA 100% SILICONE 10ML 1-LAYER SNAPSECURE LATEX-FREE,122.18,61.09,26.65,109.96,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 18FR DIA 100% SILICONE 10ML 1-LAYER W/URINE METER SNAPSECURE URO175818 LATEX-FREE,130.67,65.34,28.5,117.6,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 18FR DIA SILICONE 10ML STRAIGHT TIP TEMPERATURE-SENSING W/400ML URINE METER 2500ML BAG METAL-FREE DRAINAGE PORT VENTED TUBING LATEX-FREE,248.74,124.37,54.25,223.87,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 18FR DIA SILICONE LATEX-FREE 10/CA,122.18,61.09,26.65,109.96,64
RC,0272,TRAY CATHETER URETHRAL FOLEY 18FR SILICONE W/PERI-CARE DRAIN BAG STATLOCK FOAM SWAB SURESTEP LATEX-FREE 10/CA,105.0,52.5,22.9,94.5,64
RC,0272,TRAY CATHETER URETHRAL SURESTEP FOLEY 14FR W/PERI-CARE DRAIN BAG STATLOCK FOAM SWAB SILICONE LATEX-FREE 10/CA,105.0,52.5,22.9,94.5,64
RC,0272,TRAY CATHETERIZATION 18FR 350ML FOLEY URINE METER STATLOCK SILICONE LATEX FREE,167.5,83.75,36.53,150.75,64
RC,0272,TRAY CATHETERIZATION 5FR URINE METER POLYURETHANE STERILE LATEX FREE DISPOSABLE,111.3,55.65,24.27,100.17,64
RC,0272,TRAY CATHETERIZATION BARDEX LUBRICATH STATLOCK SURESTEP 14FR 350ML FOLEY STABILIZATION DEVICE URINE METER COUDE TIP 60IN LATEX FREE DISPOSABLE,212.6,106.3,46.37,191.34,64
RC,0272,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK 16FR 2000ML FOLEY DRAINAGE BAG ADVANCE ANTIREFLUX CHAMBER BACTI-GUARD NATURAL RUBBER HYDROGEL STERILE LATEX DISPOSABLE,130.6,65.3,28.48,117.54,64
RC,0272,TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK SURESTEP 16FR FOLEY URINE METER BACTI-GUARD NATURAL RUBBER STERILE LATEX DISPOSABLE,192.5,96.25,41.98,173.25,64
RC,0272,TRAY CATHETERIZATION COMPLETE CARE LUBRI-SIL IC STATLOCK 16FR 2000ML FOLEY DRAINAGE BAG ADVANCE ANTIREFLUX CHAMBER BACTI-GUARD HYDROGEL STERILE LATEX FREE DISPOSABLE,148.0,74.0,32.28,133.2,64
RC,0272,TRAY CATHETERIZATION COMPLETE CARE LUBRI-SIL IC STATLOCK SURESTEP 16FR FOLEY DRAINAGE BAG STERILE LATEX FREE DISPOSABLE,166.0,83.0,36.2,149.4,64
RC,0272,TRAY CATHETERIZATION LUBRI-SIL IC SURESTEP COMPLETE CARE 18FR 350ML FOLEY INFECTION CONTROL URINE METER STERILE LATEX FREE DISPOSABLE,337.4,168.7,73.59,303.66,64
RC,0272,TRAY CATHETERIZATION LUBRI-SIL STATLOCK 16FR 350ML FOLEY URINE METER HYDROGEL STERILE LATEX FREE DISPOSABLE,185.2,92.6,40.39,166.68,64
RC,0272,TRAY CATHETERIZATION LUBRI-SIL SURESTEP BARD 6FR 350ML FOLEY SILICONE PEDIATRIC STERILE LATEX FREE DISPOSABLE,272.4,136.2,59.41,245.16,64
RC,0272,TRAY CATHETERIZATION STATLOCK SURESTEP 16FR FOLEY URINE METER SILICONE STERILE LATEX FREE DISPOSABLE,167.5,83.75,36.53,150.75,64
RC,0272,TRAY CATHETERIZATION SURESTEP BARD 10FR 350ML FOLEY TEMPERATURE SENSE SILICONE STERILE LATEX FREE,323.7,161.85,70.6,291.33,64
RC,0272,TRAY CATHETERIZATION SURESTEP BARD 8FR 350ML FOLEY TEMPERATURE SENSE SILICONE STERILE LATEX FREE,331.9,165.95,72.39,298.71,64
RC,0272,TRAY CATHETERIZATION SURESTEP BARD LUBRI-SIL 10FR FOLEY STERILE LATEX FREE,230.4,115.2,50.25,207.36,64
RC,0272,TRAY CATHETERIZATION SURESTEP BARDEX LUBRICATH 18FR 350ML FOLEY URINE METER STERILE LATEX FREE DISPOSABLE,212.6,106.3,46.37,191.34,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRI-SIL STATLOCK 14FR 2 TEMPERATURE SENSOR URINE METER STABILIZATION DEVICE FOLEY STERILE LATEX FREE DISPOSABLE,231.5,115.75,50.49,208.35,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRI-SIL STATLOCK 16FR FOLEY URINE METER STABILIZATION 2 TEMPERATURE SENSOR STERILE LATEX FREE,231.5,115.75,50.49,208.35,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 14FR URINE METER STABILIZATION DEVICE FOLEY STERILE LATEX DISPOSABLE,161.6,80.8,35.24,145.44,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 16FR 1 LAYER FOLEY URINE METER STABILIZATION DEVICE NATURAL RUBBER STERILE LATEX DISPOSABLE,212.6,106.3,46.37,191.34,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 16FR 2 TEMPERATURE SENSE URINE METER STABILIZATION DEVICE FOLEY STERILE LATEX DISPOSABLE,219.7,109.85,47.92,197.73,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 16FR 2L DRAINAGE BAG STABILIZATION DEVICE FOLEY ANTIREFLUX CHAMBER SILICONE STERILE LATEX DISPOSABLE,115.1,57.55,25.1,103.59,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 16FR URINE METER STABILIZATION DEVICE FOLEY STERILE LATEX DISPOSABLE,161.6,80.8,35.24,145.44,64
RC,0272,TRAY CATHETERIZATION SURESTEP LUBRICATH STATLOCK 18FR STABILIZATION DEVICE URINE METER FOLEY STERILE LATEX DISPOSABLE,161.6,80.8,35.24,145.44,64
RC,0272,TRAY CATHETERIZATION SURESTEP STATLOCK 14FR 350ML FOLEY URINE METER STABILIZATION DEVICE SILICONE STERILE LATEX FREE DISPOSABLE,167.5,83.75,36.53,150.75,64
RC,0272,TRAY CATHETERIZATION UMBILI-CATH GESCO DISPOSABLE,489.0,244.5,106.65,440.1,64
RC,0272,TRAY CATHETERIZATION WITHOUT CATHETER SALINE NEOMED,259.77,129.89,56.66,233.79,64
RC,0272,TRAY CHEST TUBE INSERTION W/BLUNT DISSECTOR ANCHOR DISPOSABLE,486.2,243.1,106.04,437.58,64
RC,0272,TRAY CIRCUMCISION PROCEDURE CUSTOM LATEX-FREE DISPOSABLE,357.37,178.69,77.94,321.63,64
RC,0272,TRAY DRAINAGE CHEST TUBE INSERTION,584.3,292.15,127.44,525.87,64
RC,0272,TRAY DRAINAGE THAL-QUICK ECHOTIP L20 CM OD10 FR THORACIC 3 SIDEPORT RADIOPAQUE ENTRY NEEDLE SCALPEL,229.7,114.85,50.1,206.73,64
RC,0272,TRAY DRAINAGE THAL-QUICK L18 CM OD8 FR THORACIC 3 SIDEPORT RADIOPAQUE 1 LUMEN,229.7,114.85,50.1,206.73,64
RC,0272,TRAY DRAINAGE THAL-QUICK L41 CM OD16 FR 4 SIDEPORT CATHETER CHEST TUBE NEEDLE,351.19,175.6,76.59,316.07,64
RC,0272,TRAY DRESSING CVC LARGE BORE F/DIALYSIS,216.98,108.49,47.32,195.28,64
RC,0272,TRAY DRESSING PROCEDURE PEDIATRIC CENTRAL LINE W/SPONGE SWAB LATEX-FREE STERILE,273.0,136.5,59.54,245.7,64
RC,0272,TRAY DRESSING PROWICK SHOULDER COLD,400.0,200.0,87.24,360.0,64
RC,0272,TRAY EPIDURAL CONTIPLEX L4 IN OD18 GA CONTINUOUS,626.07,313.04,136.55,563.46,64
RC,0272,TRAY EPIDURAL CONTIPLEX L4 IN OD18 GA ODSEC25 GA POLYAMIDE PVC DEHP BPA L1.25 IN 5 ML NONSTIMULATE CATHETER CONTINUOUS NERVE BLOCK INSULATE NEEDLE SIDEPORT VALVE,409.49,204.75,89.31,368.54,64
RC,0272,TRAY EPIDURAL ESPOCAN PENCAN PERIFIX L3 1/2 IN OD17 GA ODSEC25 GA 1% LIDOCAINE DEHP PVC L5 IN 5 ML LOR SPRINGWOUND CLOSED END CATHETER PENCIL POINT WING NEEDLE,457.38,228.69,99.75,411.64,64
RC,0272,TRAY EPIDURAL PERIFIX HUSTEAD L3 1/2 IN OD18 GA ODSEC20 GA BPA DEHP PVC GLASS 5 ML LOR NEEDLE CLOSED END CATHETER LUER LOCK,242.41,121.21,52.87,218.17,64
RC,0272,TRAY EPIDURAL PERIFIX L3 1/2 IN OD17 GA ODSEC19 GA BPA DEHP PVC 5 ML SPRINGWOUND CLOSED TIP CATHETER PLASTIC LUER SLIP LOR,291.52,145.76,63.58,262.37,64
RC,0272,TRAY EPIDURAL PERIFIX L3 1/2 IN OD17 GA ODSEC19 GA BPA DEHP PVC 8 ML SPRINGWOUND CLOSED TIP CATHETER PLASTIC LUER SLIP LOR,267.03,133.52,58.24,240.33,64
RC,0272,TRAY EPIDURAL PERIFIX L3 1/2 IN OD18 GA ODSEC20 GA BPA GLASS 5 ML LOR LUER LOCK CLOSED END CATHETER NEEDLE,232.51,116.26,50.71,209.26,64
RC,0272,TRAY INSTRUMENT BEAD CERAMENT,150.0,75.0,32.72,135.0,64
RC,0272,TRAY INSTRUMENT LCP SMALL FRAGMENT,1413.75,706.88,308.34,1272.38,64
RC,0272,TRAY INSTRUMENT LOCK,475.6,237.8,103.73,428.04,64
RC,0272,TRAY INSTRUMENT LOCK POWER BASE NA,818.3,409.15,178.47,736.47,64
RC,0272,TRAY INSTRUMENT NA 1/3 2.4 MM VA-LCP DISTAL RADIUS SYSTEM,219.43,109.72,47.86,197.49,64
RC,0272,TRAY INSTRUMENT NAIL OPEN INSERTION BASE,1583.68,791.84,345.4,1425.31,64
RC,0272,TRAY INSTRUMENT OPEN TNF ADVANCED,475.6,237.8,103.73,428.04,64
RC,0272,TRAY INSTRUMENT PERCUTANEOUS,475.6,237.8,103.73,428.04,64
RC,0272,TRAY INSTRUMENT STANDARD BLADE SCREW INSERTION GRAPHIC,546.3,273.15,119.15,491.67,64
RC,0272,TRAY INSTRUMENT STANDARD INSERTION GRAPHIC NAIL,475.6,237.8,103.73,428.04,64
RC,0272,TRAY INSTRUMENT VA-LCP 2/3 2.4 MM VA-LCP DISTAL RADIUS SYSTEM,522.3,261.15,113.91,470.07,64
RC,0272,TRAY INTERVENTIONAL L15 MM EZ-IO INTRAOSSEOUS POWER DRIVER LUER LOCK SYRINGE WRISTBAND,995.0,497.5,217.01,895.5,64
RC,0272,TRAY INTERVENTIONAL L25 MM EZ-IO INTRAOSSEOUS POWER DRIVER LUER LOCK SYRINGE WRISTBAND,995.0,497.5,217.01,895.5,64
RC,0272,TRAY INTERVENTIONAL L45 MM EZ-IO INTRAOSSEOUS POWER DRIVER LUER LOCK SYRINGE WRISTBAND,995.0,497.5,217.01,895.5,64
RC,0272,TRAY NEEDLE BIOPSY SOFT TISSUE W/CHLORAPREP 3ML APPLICATOR HI-LITE ORANGE TINT SAFE-T PLUS LATEX-FREE STERILE DISPOSABLE,260.0,130.0,56.71,234.0,64
RC,0272,TRAY NEEDLE EPIDURAL COMBINED WHITACRE 27GA 18GA 5INL 31/2INL 1-1.5% LIDOCAINE HCL EPI 0.9% SODIUM CHLORIDE PENCIL POINT W/CLOSED END TIP 5ML GLASS SYRINGE ESPOCAN PENCAN LATEX-FREE DEHP-FREE PVC-FREE,369.43,184.72,80.57,332.49,64
RC,0272,TRAY NEEDLE EPIDURAL CONTINUOUS TUOHY 18GA 3 1/2INL 1.5% LIDOCAINE 1MG EPINEPHRINE TEST DOSE LUER SLIP TIP W/20GA NYLON CLOSED TIP CATHETER SPRING WOUND OPEN END 20ML PLASTIC 5ML GLASS SYRINGE PERIFIX,227.4,113.7,49.6,204.66,64
RC,0272,TRAY NEEDLE EPIDURAL CUSTOM SINGLE DOSE ANESTHESIA DESIGN OPTIONS LATEX-FREE,135.4,67.7,29.53,121.86,64
RC,0272,TRAY NEEDLE EPIDURAL SINGLE SHOT TUOHY 22GA 3INL W/5ML GLASS LUER-LOCK LOR 1% LIDOCAINE 0.9% NACL 10% POVIDONE IODINE PERIFIX LATEX-FREE DEHP-FREE PVC-FREE BPA STERILE DISPOSABLE,181.23,90.62,39.53,163.11,64
RC,0272,TRAY NEEDLE LUMBAR PUNCTURE CONVENTIONAL 21GA 2.5IN INFANT PEDIATRIC W/5ML LIDOCAINE 2-PIECE MANOMETER SIZE 1/2/3/4 8ML 3-WAY STOPCOCK LATEX-FREE STERILE 9/CA,95.56,47.78,20.84,86.0,64
RC,0272,TRAY NEEDLE LUMBAR PUNCTURE CONVENTIONAL 22GA 3.5IN SPINAL W/5ML LIDOCAINE 1/2-PIECE MANOMETER SIZE 1/2/3/4 8ML LATEX-FREE STERILE 10/CA 067,113.5,56.75,24.75,102.15,64
RC,0272,TRAY NEEDLE SPINAL 20GA 3 1/2INL PLASTIC HUB ADULT W/CLEAR 2-PIECE MANOMETER POVIDONE-IODINE SOLUTION SPECIMEN VIALSX4 3ML SYRINGE GAUZEX2 SPONGEX3 SWABX3 F/LUMBAR PUNCTURE SAFE-T PLUS LATEX-FREE STER,141.9,70.95,30.95,127.71,64
RC,0272,TRAY NEEDLE SPINAL 22GA 3 1/2INL PLASTIC HUB ADULT W/ACCESSORIES CLEAR SAFE-T PLUS LATEX-FREE STERILE SINGLE-USE,139.44,69.72,30.41,125.5,64
RC,0272,TRAY NEEDLE SPINAL LANCET 22GA 2 1/2INL 1% LIDOCAINE INFANT CHILD W/SPONGE APPLICATOR FENESTRATED PAPER DRAPE TOWEL POVIDONE-IODINE GAUZE PVP SWAB F/LUMBER PUNCTURE PORTEX LATEX-FREE STERILE SINGLE-US,280.9,140.45,61.26,252.81,64
RC,0272,TRAY ONCONTROL COAXIAL BIOPSY 11/13 GA,2693.0,1346.5,587.34,2423.7,64
RC,0272,TRAY PARACENTESIS 19CM 8FR 18GA 11 CATHETER NEEDLE LUER LOCK SYRINGE SHARP SAFETY 10ML STERILE DISPOSABLE,337.0,168.5,73.5,303.3,64
RC,0272,TRAY PELVIC EXAM,515.62,257.81,112.46,464.06,64
RC,0272,TRAY PLASTICS,1282.25,641.13,279.66,1154.03,64
RC,0272,TRAY PREP PROCEDURE UAC UVC NEO,886.76,443.38,193.4,798.08,64
RC,0272,TRAY PROC CUST EP ABLT LF,261.78,130.89,57.09,235.6,64
RC,0272,TRAY PROCEDURE 12-18FR BARD HEYMAN NATURAL RUBBER SYRINGE CATHETER LUBRICANT WATERPROOF UNDERPAD FILIFORM OLIVE TIP 10CC STERILE LATEX DISPOSABLE,223.78,111.89,48.81,201.4,64
RC,0272,TRAY PROCEDURE PICC TAPE MEASURE TOURNIQUET SCISSORS NEONATAL PROCEDURE TRAY NEONATAL PN-121-A INSERTION,182.18,91.09,39.73,163.96,64
RC,0272,TRAY PTCA SAN4GPTNHA,184.5,92.25,40.24,166.05,64
RC,0272,TRAY PTCA SAN4GPTNHB,183.42,91.71,40.0,165.08,64
RC,0272,TRAY SPECIAL PROC XRAY,330.52,165.26,72.09,297.47,64
RC,0272,TRAY SPINAL ESPOCAN PENCAN TUOHY L3 1/2 IN OD17 GA ODSEC25 GA BPA L5 IN 5 ML PENCIL POINT NEEDLE BACKEYE LUMEN CENTER SLEEVE SYRINGE,220.18,110.09,48.02,198.16,64
RC,0272,TRAY SPINAL PENCAN L3 1/2 IN OD25 GA 8.25% DEXTROSE 0.75% BUPIVACAINE BPA DEHP PENCIL POINT NEEDLE PREP SPONGE FENESTRATE DRAPE THIN WALL INTRODUCER,173.52,86.76,37.84,156.17,64
RC,0272,TRAY SPINAL PENCAN L4 IN OD24 GA 8.25% DEXTROSE 0.75% BUPIVACAINE DEHP PVC PENCIL POINT NEEDLE ANESTHESIA,173.52,86.76,37.84,156.17,64
RC,0272,TRAY SPINAL PENCAN L4 IN OD24 GA PENCIL NEEDLE,149.42,74.71,32.59,134.48,64
RC,0272,TRAY SPINAL PORTEX L1 1/2 IN OD22 GA PLASTIC 3 ML PREATTACH LANCET POINT NEEDLE FENESTRATE DRAPE TOWEL LUMBAR PUNCTURE,215.5,107.75,47.0,193.95,64
RC,0272,TRAY SPINAL PORTEX L3 1/2 IN OD20 GA PLASTIC PAPER ADULT 3 ML LANCET NEEDLE SPONGE APPLICATOR FENESTRATE DRAPE LUMBAR PUNCTURE,279.7,139.85,61.0,251.73,64
RC,0272,TRAY SPINAL WHITACRE L3 1/2 IN OD24 GA ANESTHESIA 2T2292,226.7,113.35,49.44,204.03,64
RC,0272,TRAY STERILIZATION 1/3 LENGTH F/AUXILIARY GRAPHIC CASE SYSTEM LATEX-FREE NON-STERILE,269.41,134.71,58.76,242.47,64
RC,0272,TRAY STERILIZATION 1/3INL F/4.5MM VARIABLE LCP INSTRUMENT SCREW SET VA-LCP,226.15,113.08,49.32,203.54,64
RC,0272,TRAY STERILIZATION 1/3INL F/MINI FRAGMENT GENERAL INSTRUMENT GRAPHIC CASE SYSTEM,219.98,109.99,47.98,197.98,64
RC,0272,TRAY STERILIZATION LCP 2.7/3.5 MM POSTEROLATERAL DISTAL FIBULA PLATE,375.62,187.81,81.92,338.06,64
RC,0272,TRAY STERILIZATION NA 1/3 2.4 MM DISTAL RADIUS SYSTEM FORCEPS BEND PLIER,294.19,147.1,64.16,264.77,64
RC,0272,TRAY STERILIZATION NA FLEXIBLE REAMER HEAD INTRAMEDULLARY NAIL,809.72,404.86,176.6,728.75,64
RC,0272,TRAY STERILIZATION VA-LCP 2.7/3 MM VARIABLE ANGLE LCP ANKLE TRAUMA PLATE,338.78,169.39,73.89,304.9,64
RC,0272,TRAY STERILIZATION VA-LCP 2/3 2.7 MM LATERAL DISTAL FIBULA PLATE,262.56,131.28,57.26,236.3,64
RC,0272,TRAY STERILIZATION VA-LCP 2/3 2.7/3.5 MM ANKLE TRAUMA SYSTEM,319.17,159.59,69.61,287.25,64
RC,0272,TRAY STERILIZATION VA-LCP 2/3 2.7/3.5 MM VARIABLE ANGLE LOCK SCREW ANKLE TRAUMA SYSTEM,282.17,141.09,61.54,253.95,64
RC,0272,TRAY STERILIZATION VA-LCP 3.5 MM PROXIMAL TIBIA SMALL LARGE BEND PLATE,821.19,410.6,179.1,739.07,64
RC,0272,TRAY STERILIZATION VA-LCP FULL LENGTH 2.7/3.5 MM ANKLE TRAUMA SYSTEM,338.78,169.39,73.89,304.9,64
RC,0272,TRAY SURGICAL KYPHPAK CDS FIRST FRACTURE,3989.0,1994.5,870.0,3590.1,64
RC,0272,TRAY SURGICAL LP,111.2,55.6,24.25,100.08,64
RC,0272,TRAY SURGICAL PREP W/MEDIUM GLOVES LATEX-FREE STERILE,229.27,114.64,50.0,206.34,64
RC,0272,TRAY SURGICAL PROCEDURE 14FR DIA XL 4INW X 4INL 3INW X 8INL PAD 4OZ DILATATION/CURATE DC GYNECOLOGY W/URETHRAL RED POLYMER CATHETER 4 SPECIMEN CONTAINER LID POUCH LATEX-FREE STERILE DISPOSABLE,126.24,63.12,27.53,113.62,64
RC,0272,TRAY SURGICAL PROCEDURE BIOPSY BONE MARROW,910.2,455.1,198.51,819.18,64
RC,0272,TRAY SURGICAL PROCEDURE C-SECTION LATEX-FREE,164.96,82.48,35.98,148.46,64
RC,0272,TRAY SURGICAL PROCEDURE CDS KNEE ARTHROSCOPY,61.21,30.61,13.35,55.09,64
RC,0272,TRAY SURGICAL PROCEDURE CDS MINOR,66.01,33.01,14.4,59.41,64
RC,0272,TRAY SURGICAL PROCEDURE CENTRAL LINE DRESSING,688.5,344.25,150.16,619.65,64
RC,0272,TRAY SURGICAL PROCEDURE CLOSED WOUND MERIT MEDICAL STERILE SINGLE-USE,436.0,218.0,95.09,392.4,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM DBD-VASCULAR INTERVENTIONAL 1/EA DYNJ55557,149.73,74.87,32.66,134.76,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM ELECTROPHYSIOLOGY LEFT LATEX-FREE,200.0,100.0,43.62,180.0,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM GENERAL,139.18,69.59,30.36,125.26,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM HYSTEROSALPINGOGRAM LATEX-FREE,694.16,347.08,151.4,624.74,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM REMOVAL CVC,286.6,143.3,62.51,257.94,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM STRUCTURAL TAVR,178.89,89.45,39.02,161.0,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM UMBILICAL VESSEL,700.08,350.04,152.69,630.07,64
RC,0272,TRAY SURGICAL PROCEDURE CUSTOM VASCULAR LATEX-FREE,114.6,57.3,24.99,103.14,64
RC,0272,TRAY SURGICAL PROCEDURE DELIVERY VAGINAL LATEX-FREE,121.8,60.9,26.56,109.62,64
RC,0272,TRAY SURGICAL PROCEDURE DR DONS ARM SUSPENSION KIT MONTANA,346.5,173.25,75.57,311.85,64
RC,0272,TRAY SURGICAL PROCEDURE EXCHANGE TRANSFUSION VYGON,80.0,40.0,17.45,72.0,64
RC,0272,TRAY SURGICAL PROCEDURE IB-STIM,1195.0,597.5,260.63,1075.5,64
RC,0272,TRAY SURGICAL PROCEDURE LARGE CENTRAL LINE DIALYSIS LATEX-FREE,745.5,372.75,162.59,670.95,64
RC,0272,TRAY SURGICAL PROCEDURE NON-MEDICATED PARACENTESIS/THORACENTESIS MERIT MEDICAL STERILE SINGLE-USE,487.0,243.5,106.21,438.3,64
RC,0272,TRAY SURGICAL PROCEDURE PTCA,327.28,163.64,71.38,294.55,64
RC,0272,TRAY SURGICAL PROCEDURE SKIN BIOPSY LATEX-FREE DISPOSABLE,724.37,362.19,157.99,651.93,64
RC,0272,TRAY SURGICAL PROCEDURE TRACHEOTOMY DISPOSABLE,1370.4,685.2,298.88,1233.36,64
RC,0272,TRAY SURGICAL PROCEDURE TRAUMA LATEX-FREE,366.72,183.36,79.98,330.05,64
RC,0272,TRAY SUTURE SURGICAL SNAG FREE,386.24,193.12,84.24,347.62,64
RC,0272,TRAY THORACENTESIS 8FR SAFE-T-CENTESIS SILICONE PIGTAIL CATHETER DRAINAGE 2 LUMEN BLUNT OBTURATOR ECHOGENIC NEEDLE LATEX FREE,780.0,390.0,170.12,702.0,64
RC,0272,TRAY THORACENTESIS/PARACENTESIS 5FR SAFE-T PLUS NONVALVE DRAINAGE CATHETER STERILE LATEX FREE DISPOSABLE,650.0,325.0,141.77,585.0,64
RC,0272,TRAY THORACENTESIS/PARACENTESIS 5FR THORA-PARA DRAINAGE NONVALVE CATHETER 2 INDICATION STERILE LATEX FREE DISPOSABLE,500.0,250.0,109.05,450.0,64
RC,0272,TRAY THORACENTESIS/PARACENTESIS NA OD8 FR CATHETER,230.25,115.13,50.22,207.23,64
RC,0272,TRAY TRACHEOSTOMY RHINO ID7.5-9 MM PERCUTANEOUS INTRODUCER GUIDE CATHETER 2 SWIVEL CONNECTOR FILTER STRAW,764.17,382.09,166.67,687.75,64
RC,0272,TRAY TUBE PEG 24FR DIA 5.5MM ID 150CML SILICONE WIRE IN LOOP PULL METHOD W/CHLORAPREP SWAB FENESTRATED DRAPE XYLOCAINE 1% 5 ML GLASS VIAL SYRINGE NEEDLEX3 F/PERCUTANEOUS ENDOSCOPIC PLACEMENT LATEX-FRE,310.0,155.0,67.61,279.0,64
RC,0272,TRAY UNIVERSAL BLOCK TRAY,248.0,124.0,54.09,223.2,64
RC,0272,TRAY URETHRAL ADD-A-FOLEY TEMPERATURE-SENSING W/MONITOR SURESTEP LATEX-FREE,158.6,79.3,34.59,142.74,64
RC,0272,TRAY URETHRAL CATHETERIZATION SURESTEP ADD-A FOLEY EZ-LOK PORT W/O CATH W/METER RAYON BALL SYR LUBRICANT PVP,119.2,59.6,26.0,107.28,64
RC,0272,TRAY URETHRAL FOLEY ADD-A-CATH 1-LAYER W/URINE METER SNAPSECURE LATEX-FREE,105.07,52.54,22.92,94.56,64
RC,0272,TRAY UROLOGY PROCEDURE CDS ROBOTIC LATEX-FREE,558.03,279.02,121.71,502.23,64
RC,0272,TREPHINE 11.5MM 8IN SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE 13MM 8IN SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE 17.5MM 8IN SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE 19MM 203MM HIP SURGICAL LATEX FREE,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE CORNEAL VAC 8MM,70.17,35.09,15.3,63.15,64
RC,0272,TREPHINE ID11 MM L8 IN HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID12 MM L8 IN HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID12.5 MM L8 IN HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID13.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID14 MM L8 IN SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID14.5 MM L8 IN SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID15 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID15.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID16 MM L8 IN HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID16.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID18.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID19.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID20.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID21 MM L8 IN DEPUY ORTHOPAEDICS SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID21.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID22.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE ID23.5 MM L203 MM HIP SURGICAL,544.05,272.03,118.66,489.65,64
RC,0272,TREPHINE OD5.5 MM ATTACHMENT SURGICAL,245.72,122.86,53.59,221.15,64
RC,0272,TREPHINE OD7 MM ATTACHMENT SURGICAL,245.72,122.86,53.59,221.15,64
RC,0272,TREPHINE OPHTHALMIC 360 D 16 COMPARTMENT RADIAL VACUUM SUCTION CHAMBER OD8.25 MM BARRON STAINLESS STEEL CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC 360 D RADIAL VACUUM BAR OD6 MM BARRON STAINLESS STEEL RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC 360 D RADIAL VACUUM OD7 MM BARRON STAINLESS STEEL RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC 360 D RADIAL VACUUM OD7.5 MM BARRON STAINLESS STEEL RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC 360 D RADIAL VACUUM OD8.5 MM BARRON STAINLESS STEEL RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC OD7.25 MM BARRON RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC RADIAL VACUUM HAND OPERATE SYRINGE OD7.75 MM BARRON RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TREPHINE OPHTHALMIC RADIAL VACUUM HAND OPERATE SYRINGE OD8.75 MM BARRON RECIPIENT CORNEA,70.2,35.1,15.31,63.18,64
RC,0272,TRIAL ACETABULAR PLATE 145DEG ANGLED OMEGA PLUS,825.0,412.5,179.93,742.5,64
RC,0272,TRIAL CAGE SCREW ECLIPSE SHOULDER,110.0,55.0,23.99,99.0,64
RC,0272,TRIAL FEMORAL CAM MODULE NOTCH RIGHT SIZE 7,1295.0,647.5,282.44,1165.5,64
RC,0272,TRIAL FEMORAL SIZE 3 LEFT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 3 RIGHT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 4 LEFT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 4 RIGHT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 5 LEFT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 5 RIGHT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 6 LEFT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 6 RIGHT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 7 LEFT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 8 LEFT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL FEMORAL SIZE 8 RIGHT KNEE CAM MODULE NOTCH JOURNEY II FASTPAK,179.2,89.6,39.08,161.28,64
RC,0272,TRIAL H80 MM ROD SPINAL,63.9,31.95,13.94,57.51,64
RC,0272,TRIAL HIP SIZE 6 LEFT FEMORAL LEGION FP,115.8,57.9,25.26,104.22,64
RC,0272,TRIAL HIP SIZE 6 RIGHT FEMORAL LEGION FP,115.8,57.9,25.26,104.22,64
RC,0272,TRIAL KNEE INSERT SIZE 5-6 POSTERIOR STABILIZED HIGH FLEX LEGION FP,82.8,41.4,18.06,74.52,64
RC,0272,TRIAL TIBIAL SIZE 1-2 10/11/12/13/15MM LEFT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 1-2 10/11/12/13/15MM RIGHT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 2 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 2 RIGHT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 3 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 3 RIGHT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 3-4 10/11/12/13/15MM LEFT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 3-4 10/11/12/13/15MM RIGHT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 4 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 4 RIGHT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 5 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 5 LEFT LEGION FP,56.4,28.2,12.3,50.76,64
RC,0272,TRIAL TIBIAL SIZE 5 RIGHT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 5 RIGHT LEGION FP,56.4,28.2,12.3,50.76,64
RC,0272,TRIAL TIBIAL SIZE 5-6 10/11/12/13/15MM LEFT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 5-6 10/11/12/13/15MM RIGHT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 6 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 6 RIGHT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 7 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 7 RIGHT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TRIAL TIBIAL SIZE 7-8 10/11/12/13/15MM LEFT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 7-8 10/11/12/13/15MM RIGHT KNEE INSERT SPACER JOURNEY II FASTPAK,128.4,64.2,28.0,115.56,64
RC,0272,TRIAL TIBIAL SIZE 8 LEFT KNEE BASE FASTPAK,86.4,43.2,18.84,77.76,64
RC,0272,TROCAR ACCESS PORT LAPAROSCOPY AIRSEAL OBTURATOR LOW PROFILE BLADELESS OPTICAL TIP STERILE DISPOSABLE 8 X 100MM,539.2,269.6,117.6,485.28,64
RC,0272,TROCAR AND OBTURATOR XPAN 3MM EXPANDABLE,375.0,187.5,81.79,337.5,64
RC,0272,TROCAR ENDOSCOPIC 10MM/12MM DIA 75MML THORACIC W/RIGID SLEEVE ENDOPATH,526.62,263.31,114.86,473.96,64
RC,0272,TROCAR ENDOSCOPIC 12MM DIA 150MML ABDOMINAL BLADELESS LOW-PROFILE THREADED OPTICAL TIP STOPCOCK VALVE OPTIVIEW TECHNOLOGY W/STABILITY SLEEVE UNIVERSAL SEAL ENDOPATH XCEL,1284.71,642.36,280.2,1156.24,64
RC,0272,TROCAR ENDOSCOPIC 2MM/3MM DIA 100MML BLADELESS NONOPTICAL STOPCOCK W/SMOOTH SLEEVE ENDOPATH LATEX-FREE STERILE DISPOSABLE,948.21,474.11,206.8,853.39,64
RC,0272,TROCAR ENDOSCOPIC 2MM/3MM DIA 65MML BLADELESS NONOPTICAL STOPCOCK W/SMOOTH SLEEVE ENDOPATH LATEX-FREE STERILE DISPOSABLE,1106.28,553.14,241.28,995.65,64
RC,0272,TROCAR ENDOSCOPIC 5MM 100MM ENDOPATH XCEL UNIVERSAL STABILITY SLEEVE STERILE LATEX FREE DISPOSABLE,701.44,350.72,152.98,631.3,64
RC,0272,TROCAR ENDOSCOPIC 5MM DIA 10CML BLADELESS W/STABILITY SLEEVE W/O HANDLE ENDOPATH OPTIVIEW DISPOSABLE,234.68,117.34,51.18,211.21,64
RC,0272,TROCAR ENDOSCOPIC 7MM DIA 80MML THORACIC W/FLEXIBLE SLEEVE OBTURATOR FLEXIPATH LATEX-FREE STERILE DISPOSABLE,946.38,473.19,206.41,851.74,64
RC,0272,TROCAR ENDOSCOPIC REPROCESSED 11MM DIA LONG 100MML BLADELESS W/STABILITY SLEEVE ENDOPATH XCEL LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,156.0,78.0,34.02,140.4,64
RC,0272,TROCAR ENDOSCOPIC REPROCESSED 12MM DIA 100MML ABDOMINAL BLUNT TIP W/SMOOTH SLEEVE ENDOPATH XCEL LATEX-FREE NON-RADIOLUCENT STERILE DISPOSABLE,155.98,77.99,34.02,140.38,64
RC,0272,TROCAR ENDOSCOPIC REPROCESSED 5MM DIA 100MML BLADELESS OPTIVIEW TECHNOLOGY OPTICAL TIP W/STABILITY SLEEVE STOPCOCK VALVE UNIVERSAL SEAL ENDOPATH XCEL LATEX-FREE NON-RADIOPAQUE STERILE SINGLE-PATIENT U,17.95,8.98,3.91,16.16,64
RC,0272,TROCAR ENDOSCOPIC REPROCESSED 5MMW X 100MML ABDOMINAL BLADELESS OPTICAL TIP W/STABILITY SLEEVE OBTURATOR ENDOPATH XCEL STERILE SINGLE-PATIENT USE,152.16,76.08,33.19,136.94,64
RC,0272,TROCAR ENDOSCOPIC STABILITY 5MM DIA 75MML ABDOMINAL OPTIVIEW TECHNOLOGY W/UNIVERSAL SEAL ENDOPATH XCEL,642.36,321.18,140.1,578.12,64
RC,0272,TROCAR FALLER SURGICAL DIALYSIS CATHETER,75.0,37.5,16.36,67.5,64
RC,0272,TROCAR HANDLE SURGICAL AIM ARM,733.82,366.91,160.05,660.44,64
RC,0272,TROCAR L300 MM NA SURGICAL 6.5/7.3 MM CANNULATED SCREW,491.9,245.95,107.28,442.71,64
RC,0272,TROCAR LAPAROSCOPIC 1 THIN END CLEAN BRUSH HOLDER L1650 MM OD5-12 MM TRIPORT+ LESS SURGERY,2079.48,1039.74,453.53,1871.53,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 11MM ENDOPATH XCEL STABILITY SLEEVE BLADELESS OBTURATOR STERILE LATEX FREE DISPOSABLE,1243.68,621.84,271.25,1119.31,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 11MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 11MM KII Z THREAD SLEEVE SHIELD BLADE STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM ENDOPATH XCEL SMOOTH SLEEVE BLUNT TIP OBTURATOR PISTOL HANDLE STERILE DISPOSABLE,1571.02,785.51,342.64,1413.92,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM KII BALLOON BLUNT TIP STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM KII FIOS ADVANCE FIXATION SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM KII FIOS Z THREAD SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM KII Z THREAD SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 12MM KII Z THREAD SLEEVE SHIELD BLADE STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM ENDOPATH XCEL STABILITY SLEEVE RADIOLUCENT DILATE TIP STERILE DISPOSABLE,681.08,340.54,148.54,612.97,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM KII ADVANCE FIXATION SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM KII BALLOON BLUNT TIP STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM KII FIOS ADVANCE FIXATION SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM KII FIOS Z THREAD SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM KII Z THREAD SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 5MM KII Z THREAD SLEEVE SHIELD BLADE STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 100MM 8MM KII Z THREAD SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 11MM DIA 100MML ABDOMINAL BLADED SHIELDED ADVANCED FIXATION LOW-PROFILE KII CFB33 LATEX-FREE 6/BX,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 12-25MM TRIPORT15 STERILE DISPOSABLE LESS SURGERY,2079.48,1039.74,453.53,1871.53,64
RC,0272,TROCAR LAPAROSCOPIC 12MM DIA 150MML ABDOMINAL BLADELESS ADVANCED FIXATION OPTICAL TIP KII LATEX-FREE,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 12MM DIA CONICAL TIP NON-THREADED BLUNT TIP W/SHORT STABILITY SLEEVE UNIVERSAL SEAL DISPOSABLE,197.93,98.97,43.17,178.14,64
RC,0272,TROCAR LAPAROSCOPIC 12MM DIA CONICAL TIP NON-THREADED BLUNT W/LONG STABILITY SLEEVE UNIVERSAL SEAL DISPOSABLE,160.68,80.34,35.04,144.61,64
RC,0272,TROCAR LAPAROSCOPIC 130MM 12MM KII BALLOON BLUNT TIP STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 150MM 12MM ENDOPATH XCEL STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP STERILE LATEX FREE DISPOSABLE,1486.48,743.24,324.2,1337.83,64
RC,0272,TROCAR LAPAROSCOPIC 150MM 12MM KII FIOS ADVANCE FIXATION SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 150MM 5MM KII FIOS ADVANCE FIXATION SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 5 MM 7/8 MM BUILT IN CONVERTER DISTAL END STRUCTURAL BALLOON SYRINGE OD10 MM SPACEMAKER,1660.1,830.05,362.07,1494.09,64
RC,0272,TROCAR LAPAROSCOPIC 55MM 5MM KII Z THREAD SLEEVE RETENTION DISC LOW PROFILE STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 5MM 10MM 12MM AUTOSUTURE BLUNT TIP BUILT IN CONVERTER BALLOON OBTURATOR STERILE LATEX DISPOSABLE,1273.25,636.63,277.7,1145.93,64
RC,0272,TROCAR LAPAROSCOPIC 5MM 7/8MM SHORT LENGTH 10MM AUTOSUTURE BLUNT TIP BUILT IN CONVERTER BALLOON OBTURATOR STERILE LATEX DISPOSABLE,870.85,435.43,189.93,783.77,64
RC,0272,TROCAR LAPAROSCOPIC 60MM 12MM KII Z THREAD SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC 75MM 5MM ENDOPATH XCEL STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP STERILE LATEX FREE DISPOSABLE,968.34,484.17,211.19,871.51,64
RC,0272,TROCAR LAPAROSCOPIC 75MM 5MM KII FIOS ADVANCE FIXATION SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC 8MM DIA BLADELESS F/TUBAL LIGATION FILSHIE,58.87,29.44,12.84,52.98,64
RC,0272,TROCAR LAPAROSCOPIC ADVANCE FIXATION SLEEVE FIRST ENTRY L100 MM OD11 MM KII FIOS ABDOMINAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC ADVANCE FIXATION SLEEVE SHIELD BLADE L100 MM OD12 MM KII ABDOMINAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC ADVANCE FIXATION SLEEVE SHIELD BLADE L100 MM OD5 MM KII ABDOMINAL ACCESS SYSTEM,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC BLUNT TIP SEAL L100 MM OD12 MM KII ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC FIRST ENTRY 11MM DIA 100MML ABDOMINAL BLADELESS Z-THREADED KII FIOS LATEX-FREE,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC FIRST ENTRY 11MM DIA 100MML ABDOMINAL BLADELESS Z-THREADED W/HANDLED KII FIOS LATEX-FREE,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC FIRST ENTRY 12MM DIA 100MML ABDOMINAL BLADELESS ADVANCED FIXATION KII FIOS CFF74 LATEX-FREE,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC FIRST ENTRY 12MM DIA 100MML ABDOMINAL BLADELESS Z-THREADED W/HANDLED KII FIOS LATEX-FREE,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC FIRST ENTRY 5MM DIA 100MML ABDOMINAL BLADED SHIELDED Z-THREADED KII FIOS LATEX-FREE DUAL PACK,240.0,120.0,52.34,216.0,64
RC,0272,TROCAR LAPAROSCOPIC FIRST ENTRY 5MM DIA 100MML ABDOMINAL BLADELESS Z-THREADED W/HANDLED KII FIOS LATEX-FREE,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC FLEXIBLE ID8 MM FLEXIBLE TROCAR 8MM LTF-160/240 PLEURAVIDEOSCOPE,240.96,120.48,52.55,216.86,64
RC,0272,TROCAR LAPAROSCOPIC FLEXIBLE SLEEVE MECHANICAL OBTURATOR L80 MM OD20 MM FLEXIPATH THORACIC,894.3,447.15,195.05,804.87,64
RC,0272,TROCAR LAPAROSCOPIC OPTICAL ACCESS 12MM DIA 150MML ABDOMINAL Z-THREADED W/HANDLE KII LATEX-FREE DISPOSABLE,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC REPROCESSED 11MM DIA 100MML Z-THREADED KII LATEX-FREE STERILE DISPOSABLE,42.3,21.15,9.23,38.07,64
RC,0272,TROCAR LAPAROSCOPIC ROUND DISSECTION BALLOON BLUNT TIP LOW PROFILE OPTICAL OD5 MM SPACEMAKER PRO TOTAL EXTRAPERITONEAL HERNIA REPAIR,2023.8,1011.9,441.39,1821.42,64
RC,0272,TROCAR LAPAROSCOPIC SAFETY SHIELD SELF ADJUST OPTICAL HANDLE SMOOTH CANNULA L100 MM OD10-15 MM VERSAPORT PLUS RPF GREEN,632.35,316.18,137.92,569.12,64
RC,0272,TROCAR LAPAROSCOPIC SHORT BLADELESS DOLPHIN NOSE TIP OPTICAL FIXATION CANNULA L70 MM OD5 MM VERSAONE,487.68,243.84,106.36,438.91,64
RC,0272,TROCAR LAPAROSCOPIC SHORT BLADELESS RADIAL EXPAND SLEEVE CANNULA DILATOR L70 MM OD12 MM VERSASTEP PLUS,458.52,229.26,100.0,412.67,64
RC,0272,TROCAR LAPAROSCOPIC SHORT BLADELESS RADIAL EXPAND SLEEVE CANNULA DILATOR L90 MM OD2/3 MM MINI STEP,1460.2,730.1,318.47,1314.18,64
RC,0272,TROCAR LAPAROSCOPIC SHORT BLADELESS RADIAL EXPAND SLEEVE CANNULA DILATOR L90 MM OD5 MM ODSEC5 2/3 MM MINI STEP,1509.7,754.85,329.27,1358.73,64
RC,0272,TROCAR LAPAROSCOPIC SHORT FIXATION CANNULA BLADELESS LOW PROFILE OD2/3 MM VERSAPORT,391.56,195.78,85.4,352.4,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP L100 MM OD12 MM ENDOPATH XCEL,1281.61,640.81,279.52,1153.45,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP L100 MM OD15 MM ENDOPATH XCEL,1020.13,510.07,222.49,918.12,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP L100 MM OD5 MM ENDOPATH XCEL,931.1,465.55,203.07,837.99,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP L100 MM OD8 MM ENDOPATH XCEL,1165.64,582.82,254.23,1049.08,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP L150 MM OD5 MM ENDOPATH XCEL,1111.22,555.61,242.36,1000.1,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR OPTICAL TIP L75 MM OD12 MM ENDOPATH XCEL,1281.61,640.81,279.52,1153.45,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR RADIOLUCENT L100 MM OD5 MM ENDOPATH XCEL,1214.04,607.02,264.78,1092.64,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR RADIOLUCENT L150 MM OD5 MM ENDOPATH XCEL,1348.91,674.46,294.2,1214.02,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR RADIOLUCENT L75 CM OD5 MM ENDOPATH XCEL,1262.6,631.3,275.37,1136.34,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE BLADELESS OBTURATOR SMUDGE MITIGATION L100 MM OD12 MM ENDOPATH XCEL,1281.61,640.81,279.52,1153.45,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE DILATE TIP L100 MM OD11 MM ENDOPATH XCEL,296.06,148.03,64.57,266.45,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE DILATE TIP L100 MM OD12 MM ENDOPATH XCEL,1220.36,610.18,266.16,1098.32,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE DILATE TIP L100 MM OD5 MM ENDOPATH XCEL,958.92,479.46,209.14,863.03,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE DILATE TIP L150 MM OD12 MM ENDOPATH XCEL,235.91,117.96,51.45,212.32,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE DILATE TIP L75 MM OD5 MM ENDOPATH XCEL,922.04,461.02,201.1,829.84,64
RC,0272,TROCAR LAPAROSCOPIC STABILITY SLEEVE OBTURATOR HANDLE BLADELESS OPTICAL TIP L100 MM OD12 MM ENDOPATH XCEL,1232.32,616.16,268.77,1109.09,64
RC,0272,TROCAR LAPAROSCOPIC STANDARD 5MM VERSASTEP BLADELESS RADIAL EXPAND SLEEVE CANNULA DILATOR STERILE LATEX FREE DISPOSABLE,373.23,186.62,81.4,335.91,64
RC,0272,TROCAR LAPAROSCOPIC STANDARD FIXATION CANNULA BLADELESS DOLPHIN NOSE TIP L100 MM OD5 MM VERSAONE,331.92,165.96,72.39,298.73,64
RC,0272,TROCAR LAPAROSCOPIC STANDARD RADIAL EXPAND SLEEVE CANNULA DILATOR OD12 MM VERSASTEP PLUS,445.17,222.59,97.09,400.65,64
RC,0272,TROCAR LAPAROSCOPIC THREAD BLUNT TIP OBTURATOR NONCONDUCTIVE SLEEVE OD11.5 MM THORACOPORT THORACIC BLACK,726.0,363.0,158.34,653.4,64
RC,0272,TROCAR LAPAROSCOPIC THREAD BLUNT TIP OBTURATOR NONCONDUCTIVE SLEEVE OD15 MM THORACOPORT THORACIC TEAL,708.24,354.12,154.47,637.42,64
RC,0272,TROCAR LAPAROSCOPIC THREAD BLUNT TIP OBTURATOR NONCONDUCTIVE SLEEVE OD5.5 MM THORACOPORT THORACIC GRAY,728.04,364.02,158.79,655.24,64
RC,0272,TROCAR LAPAROSCOPIC THREAD BLUNT TIP OBTURATOR NONCONDUCTIVE SLEEVE SOFT OD15 MM THORACOPORT THORACIC GREEN,661.44,330.72,144.26,595.3,64
RC,0272,TROCAR LAPAROSCOPIC UNIVERSAL STABILITY SLEEVE RADIOLUCENT L100 MM OD12 MM ENDOPATH XCEL,674.42,337.21,147.09,606.98,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE FIRST ENTRY L150 MM OD12 MM KII FIOS ABDOMINAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE FIRST ENTRY L150 MM OD5 MM KII FIOS ABDOMINAL ACCESS SYSTEM,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC HANDLE L100 MM OD11 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC L100 MM OD11 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC L100 MM OD15 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,270.0,135.0,58.89,243.0,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC L150 MM OD12 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC L150 MM OD15 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,270.0,135.0,58.89,243.0,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC L150 MM OD5 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE RETENTION DISC L55 MM OD5 MM KII ABDOMINAL OPTICAL ACCESS SYSTEM,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE SHIELD BLADE L150 MM OD12 MM KII ABDOMINAL ACCESS SYSTEM,126.0,63.0,27.48,113.4,64
RC,0272,TROCAR LAPAROSCOPIC Z THREAD SLEEVE SHIELD BLADE L55 MM OD5 MM KII ABDOMINAL ACCESS SYSTEM,96.0,48.0,20.94,86.4,64
RC,0272,TROCAR LONG SURGICAL 4.3 MM VARIABLE ANGLE DRILL GUIDE,262.55,131.28,57.26,236.3,64
RC,0272,TROCAR NA LONG SURGICAL 8-11 MM NAIL,113.56,56.78,24.77,102.2,64
RC,0272,TROCAR NA LONG SURGICAL 8-13 MM NAIL,114.57,57.29,24.99,103.11,64
RC,0272,TROCAR OD12 MM PEEK-OPTIMA SURGICAL SUPRAPATELLAR,227.08,113.54,49.53,204.37,64
RC,0272,TROCAR OD14.5 MM PEEK-OPTIMA SURGICAL SUPRAPATELLAR,227.08,113.54,49.53,204.37,64
RC,0272,TROCAR OD19 MM STANDARD TITAN SGS ENDOSCOPIC,270.0,135.0,58.89,243.0,64
RC,0272,TROCAR OD2 MM L150 MM SURGICAL PROXIMAL LOCK,162.55,81.28,35.45,146.3,64
RC,0272,TROCAR OD3.2 MM L210 MM SURGICAL EXPERT NAIL SYSTEM,162.55,81.28,35.45,146.3,64
RC,0272,TROCAR OD3.2 MM L270 MM SURGICAL YELLOW,262.44,131.22,57.24,236.2,64
RC,0272,TROCAR OD3.2 MM SURGICAL CANNULATED INTRAMEDULLARY NAIL RECONSTRUCTION LOCK,162.55,81.28,35.45,146.3,64
RC,0272,TROCAR OD3.8 MM SURGICAL MULTILOC PROXIMAL HUMERAL NAIL SYSTEM,121.82,60.91,26.57,109.64,64
RC,0272,TROCAR OD4.2 MM L210 MM SURGICAL,129.71,64.86,28.29,116.74,64
RC,0272,TROCAR OD5 MM L210 MM SURGICAL,162.55,81.28,35.45,146.3,64
RC,0272,TROCAR PERCUTANEOUS HANDLE OD6 MM SURGICAL 3.5 MM LCP,832.62,416.31,181.59,749.36,64
RC,0272,TROCAR SURGICAL 10CM SPLIT STERILE DISPOSABLE,267.11,133.56,58.26,240.4,64
RC,0272,TROCAR SURGICAL 18.75CM ARGYLE FALLER TUNNEL PERITONEAL DIALYSIS STERILE LATEX FREE,199.1,99.55,43.42,179.19,64
RC,0272,TROCAR SURGICAL 3.2MM TRIGEN 3.2MM HUMERUS PIN DISPOSABLE,102.86,51.43,22.43,92.57,64
RC,0272,TROCAR SURGICAL LCP 2.8 MM VARIABLE ANGLE LONG SPHERICAL DRILL GUIDE NONSTERILE,192.6,96.3,42.01,173.34,64
RC,0272,TROCASR TNT PIN 2.5 MM X 450 MM,45.0,22.5,9.81,40.5,64
RC,0272,TUBE CALIBRATION 13MM 157CM LAP-BAND AP 2 LUMEN TRANSLUCENT BALLOON SENSOR TIP NONSTERILE LATEX FREE SILICONE 15-25CC,188.0,94.0,41.0,169.2,64
RC,0272,TUBE CONNECTING 14FR 30CM DRAINAGE BAG CONNECTOR LUER LOCK STERILE PVC DISPOSABLE,11.99,6.0,2.62,10.79,64
RC,0272,TUBE CONNECTING 14FR 30CM STOPCOCK DRAINAGE BAG CONNECTOR STERILE DISPOSABLE,11.99,6.0,2.62,10.79,64
RC,0272,TUBE CONNECTING 14FR 30CM TUOHY-BORST 2 FEMALE LUER LOCK Y TYPE 1 DRAINAGE BAG CONNECTOR ADAPTER,24.64,12.32,5.37,22.18,64
RC,0272,TUBE CONNECTING 30CM FLEXIBLE KINK RESISTANT FEMALE LUER LOCK FIT DRAINAGE BAG LATEX FREE 3-6FR CATHETER,11.62,5.81,2.53,10.46,64
RC,0272,TUBE CONNECTING L248 CM,313.44,156.72,68.36,282.1,64
RC,0272,TUBE CONNECTING L30 CM STANDARD MALE LUER LOCK DRAINAGE BAG CONNECTOR 1 WAY STOPCOCK OD14 FR COOK,24.64,12.32,5.37,22.18,64
RC,0272,TUBE DRILL GUIDE SEMI EXTENDED ENTRY,486.0,243.0,106.0,437.4,64
RC,0272,TUBE DRIVE LINE BLUE,500.0,250.0,109.05,450.0,64
RC,0272,TUBE ENDOBRONCHIAL 37FR DIA VINYL LEFT SIDE STRAIGHT UNCUFFED LUMENX2 W/MAXI-FLO SUCTION CATHETERX4 CONNECTOR STYLETX1 PORTEX BLUE LINE LATEX-FREE PVC DISPOSABLE,65.05,32.53,14.19,58.55,64
RC,0272,TUBE ENDOBRONCHIAL L75 CM OD7 FR 1 EZ-MULTIPORT 1 O2 ADAPTER 2 DUST CAP EZ-BLOCKER,1015.0,507.5,221.37,913.5,64
RC,0272,TUBE ENDOBRONCHIAL OD37 FR ID5.1 MM RIGHT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,44.22,22.11,9.64,39.8,64
RC,0272,TUBE ENDOBRONCHIAL OD41 FR ID5.4 MM RIGHT CUFF RADIOPAQUE SLIGHT CURVE TIP BLUE CLEAR SHILEY BRONCHO-CATH POLYURETHANE,44.22,22.11,9.64,39.8,64
RC,0272,TUBE ENDOSCOPE CONNECT NONSTERILE LATEX FREE REUSABLE,332.69,166.35,72.56,299.42,64
RC,0272,TUBE ENDOTRACHEAL 10.5MM 7MM NIM CONTACT LATEX FREE EMG MONITOR,363.42,181.71,79.26,327.08,64
RC,0272,TUBE ENDOTRACHEAL 11.3MM 8MM INFLATE CUFF REINFORCE WIRE ELECTRODE PIN NIM STANDARD STAINLESS STEEL SILICONE ELASTOMER STERILE LATEX FREE DISPOSABLE GREEN WHITE EMG,355.85,177.93,77.61,320.27,64
RC,0272,TUBE ENDOTRACHEAL 4.5MM ID SILICONE VINYL STAINLESS STEEL ORAL NASAL CURVED CUFFED HIGH-VOLUME LOW-PRESSURE REINFORCED MURPHY EYE FLEXIBLE RUSCH LATEX-FREE PVC STERILE SINGLE-USE,178.25,89.13,38.88,160.43,64
RC,0272,TUBE ENDOTRACHEAL 4MM ID SILICONE VINYL STAINLESS STEEL ORAL NASAL CURVED CUFFED HIGH-VOLUME LOW-PRESSURE REINFORCED MURPHY EYE FLEXIBLE RUSCH LATEX-FREE PVC STERILE SINGLE-USE,105.0,52.5,22.9,94.5,64
RC,0272,TUBE ENDOTRACHEAL 6.9MM CUFF MURPHY EYE REINFORCE SHILEY PVC SILICONE NASAL ORAL STERILE LATEX FREE DISPOSABLE,77.76,38.88,16.96,69.98,64
RC,0272,TUBE ENDOTRACHEAL 6MM ID 9.3MM OD 34CML SILICONE ALUMINUM WRAPPED PREFORMED CURVED DUAL-CUFF PRELOADED BLUE DYE LASER RESISTANT W/STYLET TENAX LATEX-FREE,246.38,123.19,53.74,221.74,64
RC,0272,TUBE ENDOTRACHEAL 6MM ID ORAL NASAL CUFFED F/INTUBATION LMA FASTRACH LATEX-FREE STERILE REUSABLE,70.0,35.0,15.27,63.0,64
RC,0272,TUBE ENDOTRACHEAL 6MM NIM TRIVANTAGE LATEX FREE,350.14,175.07,76.37,315.13,64
RC,0272,TUBE ENDOTRACHEAL 7.5MM 5MM 2 CUFF MURPHY EYE PILOT BALLOON VALVE SHILEY LASER-FLEX STAINLESS STEEL ORAL STERILE LATEX FREE DISPOSABLE,189.14,94.57,41.25,170.23,64
RC,0272,TUBE ENDOTRACHEAL 8.5MM 6MM 2 CUFF MURPHY EYE SHILEY LASER-FLEX STAINLESS STEEL NASAL ORAL STERILE DISPOSABLE,189.14,94.57,41.25,170.23,64
RC,0272,TUBE ENDOTRACHEAL 8.8MM 6MM INFLATE CUFF REINFORCE WIRE ELECTRODE PIN NIM STANDARD STAINLESS STEEL SILICONE ELASTOMER STERILE LATEX FREE DISPOSABLE GREEN WHITE EMG,355.85,177.93,77.61,320.27,64
RC,0272,TUBE ENDOTRACHEAL EMG 5MM ID 6.5MM OD STANDARD VINYL CUFFED NON-REINFORCED BLUE MARKING W/SMOOTH CONDUCTIVE INK ELECTRODE GREEN WHITE NIM TRIVANTAGE LATEX-FREE PVC NON-RADIOLUCENT STERILE SINGLE-USE,1051.24,525.62,229.28,946.12,64
RC,0272,TUBE ENDOTRACHEAL EMG 8MM ID 10.7MM OD STANDARD VINYL CUFFED NON-REINFORCED BLUE MARKING W/SMOOTH CONDUCTIVE INK ELECTRODE GREEN WHITE NIM TRIVANTAGE LATEX-FREE PVC NON-RADIOLUCENT STERILE SINGLE-USE,1051.24,525.62,229.28,946.12,64
RC,0272,TUBE ENDOTRACHEAL ID3.0 MM NASAL ORAL UNCUFF MAGILL TIP REINFORCE SHILEY PVC SILICONE HEAD NECK NEUROSURGICAL,80.38,40.19,17.53,72.34,64
RC,0272,TUBE ENDOTRACHEAL ID4.0 MM NASAL ORAL REINFORCE MALLINCKRODT PVC SILICONE HEAD NECK NEUROSURGICAL,80.38,40.19,17.53,72.34,64
RC,0272,TUBE ENDOTRACHEAL ID5.0 MM NASAL ORAL REINFORCE MALLINCKRODT PVC SILICONE HEAD NECK NEUROSURGICAL,803.8,401.9,175.31,723.42,64
RC,0272,TUBE ENDOTRACHEAL ID8.0 MM NASAL ORAL CUFF REINFORCE MURPHY EYE SHILEY PVC SILICONE,77.76,38.88,16.96,69.98,64
RC,0272,TUBE ENDOTRACHEAL ID8.9 MM NASAL ORAL CUFF MURPHY EYE REINFORCE SHILEY FULL MAGILL PVC SILICONE,77.76,38.88,16.96,69.98,64
RC,0272,TUBE ENDOTRACHEAL OD10.2 MM ID7.0 MM REINFORCE NIM EMG,355.85,177.93,77.61,320.27,64
RC,0272,TUBE ENDOTRACHEAL OD10.7 MM ID8.0 MM DEPH FREE NONREINFORCED NIM TRIVANTAGE STANDARD LOW PROFILE PVC,350.14,175.07,76.37,315.13,64
RC,0272,TUBE ENDOTRACHEAL OD12.0 MM ID9.0 MM CUFFED 4 ELECTRODES NIM TRIVANTAGE EMG MONITORING,350.14,175.07,76.37,315.13,64
RC,0272,TUBE ENDOTRACHEAL OD7.0 MM ID4.5 MM ORAL 2 CUFF MURPHY EYE PILOT BALLOON VALVE SHILEY LASER-FLEX STAINLESS STEEL,189.14,94.57,41.25,170.23,64
RC,0272,TUBE ENDOTRACHEAL OD7.5 MM ID6.5 MM NASAL ORAL CUFF MURPHY EYE REINFORCE SHILEY PVC SILICONE,77.75,38.88,16.96,69.98,64
RC,0272,TUBE ENDOTRACHEAL OD7.9 MM ID5.5 MM ORAL 2 CUFF MURPHY EYE PILOT BALLOON VALVE SHILEY LASER-FLEX STAINLESS STEEL,1891.4,945.7,412.51,1702.26,64
RC,0272,TUBE ENDOTRACHEAL OD8.2 MM ID6.0 MM NIM TRIVANTAGE EMG,1282.0,641.0,279.6,1153.8,64
RC,0272,TUBE ENDOTRACHEAL OD8.2 MM ID7.0 MM NASAL ORAL CUFF MURPHY EYE REINFORCE SHILEY PVC SILICONE,77.75,38.88,16.96,69.98,64
RC,0272,TUBE ENDOTRACHEAL OD9.5 MM ID7.0 MM DEPH FREE NONREINFORCED NIM TRIVANTAGE STANDARD LOW PROFILE PVC,350.14,175.07,76.37,315.13,64
RC,0272,TUBE ENDOTRACHEAL OD9.5 MM ID7.0 MM NIM TRIVANTAGE EMG,1205.08,602.54,262.83,1084.57,64
RC,0272,TUBE ENTERAL FEEDING 10FR 109CM POLYURETHANE NEONATE PEDIATRIC OPEN DISTAL TIP ENFIT CONNECTOR ORANGE STRIPE NEOCONNECT NON-RADIOLUCENT STERILE SINGLE-USE 30DAY,134.75,67.38,29.39,121.28,64
RC,0272,TUBE ENTERAL FEEDING 20FR DIA SILICONE 7-10ML BALLOON GASTRO-ENTERIC SECUR-LOK EXTERNAL RETENTION RING W/MALE CONNECTOR MIC ENFIT LATEX-FREE 2/CA,168.84,84.42,36.82,151.96,64
RC,0272,TUBE ENTERAL FEEDING 8FR DIA 40CML VINYL NEONATE OPEN DISTAL TIP ENFIT CONNECTOR PURPLE NEOCONNECT RADIOPAQUE 3DAYS,752.88,376.44,164.2,677.59,64
RC,0272,TUBE ENTERAL FEEDING RETENTION SYSTEM WHITE F/12FR NASOGASTRIC/NASOINTESTINAL CORGRIP,792.98,396.49,172.95,713.68,64
RC,0272,TUBE ESOPHAGEAL 18FR MINNESOTA 4 LUMEN 2 BALLOON NONSTERILE LATEX NATURAL RUBBER DISPOSABLE,571.35,285.68,124.61,514.22,64
RC,0272,TUBE ESOPHAGEAL 20FR 8IN 1.5IN ADULT BLAKEMORE BALLOON NONSTERILE LATEX NATURAL RUBBER DISPOSABLE,452.95,226.48,98.79,407.66,64
RC,0272,TUBE EXCHANGE GENERAL INSTRUMENT ORTHOPEDIC,141.19,70.6,30.79,127.07,64
RC,0272,TUBE FEEDING 14FR 10CM ENTUIT BALLOON RETENTION 5-7ML SMALL GASTROSTOMY SET,75.0,37.5,16.36,67.5,64
RC,0272,TUBE FEEDING 16FR 10CM ENTUIT BALLOON RETENTION 5-7ML MEDIUM GASTROSTOMY SET,73.49,36.75,16.03,66.14,64
RC,0272,TUBE FEEDING 24FR 10CM ENTUIT BALLOON RETENTION 20ML LARGE GASTROSTOMY SET,65.0,32.5,14.18,58.5,64
RC,0272,TUBE FEEDING GASTRO JEJUNAL 18X2.7X45 MIC-KEY,336.05,168.03,73.29,302.45,64
RC,0272,TUBE FEEDING L125 CM OD8 FR ENTERAL NUTRISAFE 2 SILICONE DEHP FREE RADIOPAQUE CLOSED END OBTURATOR PROXIMAL CONNECTOR BLUE .29 ML,100.27,50.14,21.87,90.24,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 110CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 110CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 110CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 140CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 140CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 140CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  10FR X 140CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  5FR X 055CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT  5FR X 055CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 038CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 038CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 038CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 038CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 055CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 055CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 090CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 090CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 5FR X 090CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 6FR X 055CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 6FR X 055CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 6FR X 090CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 6FR X 090CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 090CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 090CM  W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 090CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 090CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 110CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 110CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 110CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 110CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 140CM,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 140CM ENFIT,290.0,145.0,63.25,261.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 140CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT 8FR X 140CM W/O STYLET ENFIT,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT FR X 090CM W/O STYLET,240.0,120.0,52.34,216.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 110CM,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 110CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 110CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 110CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 140CM,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 140CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 140CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  10FR X 140CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 038CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 038CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 038CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 055CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 055CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 090CM,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 090CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 090CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  5FR X 090CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 090CM,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 090CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 090CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 090CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 110CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 110CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 110CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 140CM ENFIT,310.0,155.0,67.61,279.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 140CM W/O STYLET,250.0,125.0,54.53,225.0,64
RC,0272,TUBE FEEDING NUTRAGLIDE NFT STERILE  8FR X 140CM W/O STYLET ENFIT,250.0,125.0,54.53,225.0,64
RC,0272,TUBE G-JET GASTMY 14F 1.7X45MM,530.0,265.0,115.59,477.0,64
RC,0272,TUBE GASTRIC LAVAGE 28FR DIA,105.94,52.97,23.11,95.35,64
RC,0272,TUBE GASTROSTOMY 12FR DIA SILICONE 2-3ML BALLOON PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/ENFIT CONNECTOR MIC LATEX-FREE NON-RADIOLUCENT SINGLE-USE 5/CA,30.49,15.25,6.65,27.44,64
RC,0272,TUBE GASTROSTOMY 14FR 15CM G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER STERILE LATEX FREE,545.0,272.5,118.86,490.5,64
RC,0272,TUBE GASTROSTOMY 16FR 45CM G-JET ENFIT LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER STERILE LATEX FREE,515.5,257.75,112.43,463.95,64
RC,0272,TUBE GASTROSTOMY 16FR ORANGE RADIOPAQUE STANDARD PROFILE BALLOON REPLACEMENT 3 FUNNEL STERILE LATEX FREE SILICONE 20CC,254.0,127.0,55.4,228.6,64
RC,0272,TUBE GASTROSTOMY 18FR 30CM G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER STERILE LATEX FREE,545.0,272.5,118.86,490.5,64
RC,0272,TUBE GASTROSTOMY 18FR 45CM 5CM G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER STERILE LATEX FREE,567.0,283.5,123.66,510.3,64
RC,0272,TUBE GASTROSTOMY 18FR 45CM G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER STERILE LATEX FREE,530.0,265.0,115.59,477.0,64
RC,0272,TUBE GASTROSTOMY 20FR 1.7CM MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE PROXIMAL ANTIREFLUX VALVE INTERNAL RETENTION BALLOON STERILE LATEX FREE SILICONE 5ML ENTERAL DISPOSABLE,96.7,48.35,21.09,87.03,64
RC,0272,TUBE GASTROSTOMY 20FR 2.5CM MIC-KEY SECUR-LOK RADIOPAQUE LOW PROFILE TAPER DISTAL TIP PROXIMAL ANTIREFLUX VALVE STERILE LATEX FREE SILICONE 5ML ENTERAL DISPOSABLE,93.88,46.94,20.48,84.49,64
RC,0272,TUBE GASTROSTOMY 20FR WHITE MIC RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,31.71,15.86,6.92,28.54,64
RC,0272,TUBE GASTROSTOMY 20FR WHITE PONSKY RADIOPAQUE TRANSLUCENT NONBALLOON REPLACEMENT DEHP FREE STERILE LATEX FREE SILICONE,280.0,140.0,61.07,252.0,64
RC,0272,TUBE GASTROSTOMY 22FR WHITE MIC SECUR-LOK RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,31.71,15.86,6.92,28.54,64
RC,0272,TUBE GASTROSTOMY 24FR BLUE RADIOPAQUE STANDARD PROFILE BALLOON REPLACEMENT 3 FUNNEL STERILE LATEX FREE SILICONE 20CC,178.0,89.0,38.82,160.2,64
RC,0272,TUBE GASTROSTOMY 24FR MIC SECUR-LOK RADIOPAQUE BOLUS ENTERAL FEED INTERNAL RETENTION BALLOON RECESS DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,30.79,15.4,6.72,27.71,64
RC,0272,TUBE GASTROSTOMY 24FR WHITE MIC RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,31.71,15.86,6.92,28.54,64
RC,0272,TUBE GASTROSTOMY BOLUS 16FR DIA SILICONE 3-5ML BALLOON PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/ENFIT CONNECTOR MIC LATEX-FREE NON-RADIOLUCENT SINGLE-USE 5/CA,30.49,15.25,6.65,27.44,64
RC,0272,TUBE GASTROSTOMY BOLUS 18FR DIA SILICONE 7-10ML BALLOON PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/ENFIT CONNECTOR MIC LATEX-FREE NON-RADIOLUCENT SINGLE-USE 5/CA,30.49,15.25,6.65,27.44,64
RC,0272,TUBE GASTROSTOMY BOLUS 20FR DIA SILICONE 7-10ML BALLOON PORTX2 SECUR-LOK EXTERNAL RETENTION RING W/ENFIT CONNECTOR MIC LATEX-FREE NON-RADIOLUCENT SINGLE-USE 5/CA,30.49,15.25,6.65,27.44,64
RC,0272,TUBE GASTROSTOMY L45 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER,530.0,265.0,115.59,477.0,64
RC,0272,TUBE GASTROSTOMY MIC FEEDING 26FR 7-10ML BALLOON ADULT GASTRIC JEJUNAL ENTERAL RECESSED ATRAUMATIC DISTAL TIP SECUR-LOK ENFIT SILICONE LATEX-FREE DEHP-FREE MRI-SAFE NON-RADIOLUCENT STERILE,30.79,15.4,6.72,27.71,64
RC,0272,TUBE GASTROSTOMY MIC FEEDING 28FR 7-10ML BALLOON ADULT GASTRIC JEJUNAL ENTERAL RECESSED ATRAUMATIC DISTAL TIP SECUR-LOK ENFIT SILICONE LATEX-FREE DEHP-FREE MRI-SAFE NON-RADIOLUCENT STERILE,30.79,15.4,6.72,27.71,64
RC,0272,TUBE GASTROSTOMY REPLACEMENT 12FR DIA SILICONE 3ML BALLOON STRAIGHT STANDARD PROFILE STEPPED DESIGN W/DEPTH MARKING ENFIT ENDOVIVE LATEX-FREE NON-RADIOLUCENT STRIPE STERILE SINGLE-USE,141.69,70.85,30.9,127.52,64
RC,0272,TUBE GASTROSTOMY STANDARD BOUGIE TAPER 38FR BALLOON,990.0,495.0,215.92,891.0,64
RC,0272,TUBE GRAFT FUNNEL ENTRANCE ATTACHABLE HANDLE TAPER TIP OD8 MM CLEAR,125.0,62.5,27.26,112.5,64
RC,0272,TUBE HARV DOWEL DISP 8MM,578.5,289.25,126.17,520.65,64
RC,0272,TUBE HARVESTER 9MM BONE DOWEL,578.5,289.25,126.17,520.65,64
RC,0272,TUBE HARVESTER BONE DOWEL OD7 MM DISPOSABLE DOWEL HARVEST TUBE,578.5,289.25,126.17,520.65,64
RC,0272,TUBE JEJUNOSTOMY 12FR DIA SILICONE 2-3ML BALLOON SECUR-LOK EXTERNAL RETENTION RING W/MALE CONNECTOR MIC ENFIT LATEX-FREE 2/CA,257.34,128.67,56.13,231.61,64
RC,0272,TUBE JEJUNOSTOMY 14FR 51CM MIC SECUR-LOK RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,272.96,136.48,59.53,245.66,64
RC,0272,TUBE JEJUNOSTOMY 14FR DIA 1.5CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,168.84,84.42,36.82,151.96,64
RC,0272,TUBE JEJUNOSTOMY 14FR DIA 3.5CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,168.84,84.42,36.82,151.96,64
RC,0272,TUBE JEJUNOSTOMY 14FR DIA 3CML STOMA SILICONE 5ML BALLOON TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,168.84,84.42,36.82,151.96,64
RC,0272,TUBE JEJUNOSTOMY 14FR DIA SILICONE 7-10ML BALLOON SECUR-LOK EXTERNAL RETENTION RING W/MALE CONNECTOR MIC ENFIT LATEX-FREE 2/CA,128.67,64.34,28.06,115.8,64
RC,0272,TUBE JEJUNOSTOMY 16FR 25.4CM MIC SECUR-LOK RADIOPAQUE EXIT PORT INTERNAL RETENTION BALLOON DECOMPRESSION STERILE LATEX FREE TUNGSTEN SILICONE 3-5ML,173.87,86.94,37.92,156.48,64
RC,0272,TUBE JEJUNOSTOMY 16FR 51CM MIC SECUR-LOK RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,272.96,136.48,59.53,245.66,64
RC,0272,TUBE JEJUNOSTOMY 16FR DIA 45CML 2.3CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 18FR 51CM MIC SECUR-LOK RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,272.96,136.48,59.53,245.66,64
RC,0272,TUBE JEJUNOSTOMY 18FR DIA 45CML 1.7CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 18FR DIA 45CML 2.3CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 18FR DIA 45CML 2.7CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 18FR DIA SILICONE 7-10ML BALLOON SECUR-LOK EXTERNAL RETENTION RING W/MALE CONNECTOR MIC ENFIT LATEX-FREE 2/CA,128.67,64.34,28.06,115.8,64
RC,0272,TUBE JEJUNOSTOMY 20FR 51CM MIC SECUR-LOK RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,136.48,68.24,29.77,122.83,64
RC,0272,TUBE JEJUNOSTOMY 20FR DIA SILICONE 7-10ML BALLOON SECUR-LOK EXTERNAL RETENTION RING W/MALE CONNECTOR MIC ENFIT LATEX-FREE 2/CA,128.67,64.34,28.06,115.8,64
RC,0272,TUBE JEJUNOSTOMY 22FR 51CM MIC SECUR-LOK RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP STERILE LATEX FREE SILICONE 7-10ML,136.48,68.24,29.77,122.83,64
RC,0272,TUBE JEJUNOSTOMY 22FR 57.9CM MIC SECUR-LOK RADIOPAQUE EXIT PORT INTERNAL RETENTION BALLOON DECOMPRESSION STERILE LATEX FREE TUNGSTEN SILICONE 7-10ML,347.74,173.87,75.84,312.97,64
RC,0272,TUBE JEJUNOSTOMY 22FR DIA 45CML 1.7CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 22FR DIA 45CML 2.3CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 22FR DIA 45CML 2.5CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 22FR DIA 45CML 2CML SILICONE TAPERED DISTAL TIP LOW-PROFILE SECUR-LOK EXTENSION SET CONNECTOR MECHANISM W/ISO KIT MIC-KEY ENFIT LATEX-FREE STERILE,332.75,166.38,72.57,299.48,64
RC,0272,TUBE JEJUNOSTOMY 22FR DIA SILICONE 7-10ML BALLOON SECUR-LOK EXTERNAL RETENTION RING W/MALE CONNECTOR MIC ENFIT LATEX-FREE 2/CA,128.67,64.34,28.06,115.8,64
RC,0272,TUBE JEJUNOSTOMY 9FR 120CM FREKA 2 LUMEN PVC FREE DEHP FREE POLYURETHANE INTESTINAL 15FR PEG,82.86,41.43,18.07,74.57,64
RC,0272,TUBE JEJUNOSTOMY L43 IN OTW Y ADAPTER PLUG ADJUST A SLEEVE OD10 FR CORFLO TEFLON POLYURETHANE SILICONE 20 FR CORFLO-MAX PEG,124.56,62.28,27.17,112.1,64
RC,0272,TUBE JEJUNOSTOMY L43 IN OTW Y ADAPTER PLUG ADJUST A SLEEVE OD8 FR CORFLO TEFLON POLYURETHANE SILICONE 20 FR CORFLO-MAX PEG,125.79,62.9,27.43,113.21,64
RC,0272,TUBE JEJUNOSTOMY L51 CM RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP OD12 FR MIC* SILICONE 3-5 ML,272.96,136.48,59.53,245.66,64
RC,0272,TUBE JEJUNOSTOMY L51 CM RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP OD24 FR MIC* SILICONE 7-10 ML,272.96,136.48,59.53,245.66,64
RC,0272,TUBE JEJUNOSTOMY L57.9 CM RADIOPAQUE EXIT PORT INTERNAL RETENTION BALLOON DECOMPRESSION OD18 FR MIC* TUNGSTEN SILICONE 7-10 ML,347.74,173.87,75.84,312.97,64
RC,0272,TUBE JEJUNOSTOMY L57.9 CM RADIOPAQUE EXIT PORT INTERNAL RETENTION BALLOON DECOMPRESSION OD20 FR MIC* TUNGSTEN SILICONE 7-10 ML,347.74,173.87,75.84,312.97,64
RC,0272,TUBE JEJUNOSTOMY L57.9 CM RADIOPAQUE EXIT PORT INTERNAL RETENTION BALLOON DECOMPRESSION OD24 FR MIC* TUNGSTEN SILICONE 7-10 ML,173.87,86.94,37.92,156.48,64
RC,0272,TUBE JEJUNOSTOMY PIGTAIL TIP FEED THROUGH THE PEG STIFF STYLET OD12 FR ENDOVIVE,144.48,72.24,31.51,130.03,64
RC,0272,TUBE L10 1/2 IN OD12 FR 5 ML KANGAROO ENFIT SILICONE Y PORT GRADUATE SHAFT OPEN DISTAL END ROUND TIP GASTROSTOMY PURPLE WHITE,76.85,38.43,16.76,69.17,64
RC,0272,TUBE L10 1/2 IN OD26 FR 20 ML KANGAROO ENFIT SILICONE Y PORT GRADUATE SHAFT OPEN DISTAL END ROUND TIP GASTROSTOMY PURPLE WHITE,76.85,38.43,16.76,69.17,64
RC,0272,TUBE L10 1/2 IN OD28 FR 20 ML KANGAROO ENFIT SILICONE Y PORT GRADUATE SHAFT OPEN DISTAL END ROUND TIP GASTROSTOMY PURPLE WHITE,76.85,38.43,16.76,69.17,64
RC,0272,TUBE L10.5 IN OD18 FR 20 ML KANGAROO SILICONE Y PORT GRADUATE SHAFT OPEN DISTAL END ROUND TIP GASTROSTOMY PURPLE WHITE,76.85,38.43,16.76,69.17,64
RC,0272,TUBE L15 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,545.0,272.5,118.86,490.5,64
RC,0272,TUBE L15 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L1.2 CM,530.0,265.0,115.59,477.0,64
RC,0272,TUBE L150 CM OD24 FR ID5.5 MM SAFETYGLIDE INSERTION WIRE TROCAR GASTROSTOMY CLEAR,65.0,32.5,14.18,58.5,64
RC,0272,TUBE L22 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,545.0,272.5,118.86,490.5,64
RC,0272,TUBE L22 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L1.2 CM,530.0,265.0,115.59,477.0,64
RC,0272,TUBE L22 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L2 CM,545.0,272.5,118.86,490.5,64
RC,0272,TUBE L30 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,482.0,241.0,105.12,433.8,64
RC,0272,TUBE L30 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L1.2 CM,545.0,272.5,118.86,490.5,64
RC,0272,TUBE L30 CM OD16 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,454.5,227.25,99.13,409.05,64
RC,0272,TUBE L30 CM OD16 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L2.7 CM,1279.0,639.5,278.95,1151.1,64
RC,0272,TUBE L30 CM OD18 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,486.5,243.25,106.11,437.85,64
RC,0272,TUBE L4.4 CM OD18 FR ENDOVIVE LOW PROFILE REPLACEMENT GASTROSTOMY,125.29,62.65,27.33,112.76,64
RC,0272,TUBE L45 CM OD14 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,482.0,241.0,105.12,433.8,64
RC,0272,TUBE L45 CM OD16 FR G-JET ENFIT LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,545.0,272.5,118.86,490.5,64
RC,0272,TUBE L45 CM OD18 FR G-JET ENFIT LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,530.0,265.0,115.59,477.0,64
RC,0272,TUBE L45 CM OD18 FR G-JET ENFIT LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L3.5 CM,567.0,283.5,123.66,510.3,64
RC,0272,TUBE L45 CM OD18 FR G-JET ENFIT LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY L4 CM,567.0,283.5,123.66,510.3,64
RC,0272,TUBE L45 CM OD18 FR G-JET LOW PROFILE BALLOON LARGER CROSS SECTION EXTERNAL BOLSTER GASTROSTOMY,482.0,241.0,105.12,433.8,64
RC,0272,TUBE L45 CM OD22 FR APPLE G JET ENFIT GASTRIC JEJUNAL ENTERAL BALLOON LARGER LUMEN ANTIKINK ADJUSTABLE BOLSTER GASTROSTOMY,329.0,164.5,71.75,296.1,64
RC,0272,TUBE MICKY TRANSGAS 18FX5X45,336.05,168.03,73.29,302.45,64
RC,0272,TUBE MICROCENTRIFUGE 1.5 ML NONSTICK GRADUATED DNASE RNASE FREE LOW LINDING SURFACE 90-120C,95.0,47.5,20.72,85.5,64
RC,0272,TUBE NASOGASTRIC 10FR 43IN CORFLO-ULTRA LITE ENFIT ANTI-IV ANTICLOG RADIOPAQUE BOW TIP BOLUS STYLET STERILE C-19 TUNGSTEN POLYURETHANE,176.9,88.45,38.58,159.21,64
RC,0272,TUBE NASOGASTRIC 10FR DIA 109CML W/STYLET ENFIT CONNECTOR CORFLO,141.4,70.7,30.84,127.26,64
RC,0272,TUBE NASOGASTRIC 10FR DIA 34INL POLYURETHANE FEEDING TUBE ULTRA LITE W/ELECTROMAGNETIC TRANSMITTING STYLET/ULTRA NON-WEIGHTED/ANTI-CLOG BOLUS CORTRAK 2 EAS LATEX-FREE NON-STERILE DISPOSABLE,582.4,291.2,127.02,524.16,64
RC,0272,TUBE NASOGASTRIC 10FR DIA 43INL MULTI-FUNCTION TRI-PORT W/CO2 DETECTOR STYLE KANGAROO STERILE SINGLE-USE,157.3,78.65,34.31,141.57,64
RC,0272,TUBE NASOGASTRIC 10FR DIA 43INL W/ENFIT CONNCECTOR CO2 DETECTOR BELLOWS STYLET STANDARD TIP KANGAROO,140.0,70.0,30.53,126.0,64
RC,0272,TUBE NASOGASTRIC 10FR DIA 43INL W/STYLET CO2 DETECTOR KANGAROO ENTRIFLEX LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,157.3,78.65,34.31,141.57,64
RC,0272,TUBE NASOGASTRIC 12FR 43IN ADULT CORFLO-ULTRA RADIOPAQUE ANTICLOG SMOOTH BOLUS STYLET NONSTERILE C-19 TUNGSTEN POLYURETHANE 3GM NASOINTESTINAL,143.0,71.5,31.19,128.7,64
RC,0272,TUBE NASOGASTRIC 12FR DIA 43INL POLYURETHANE 3GM CAPACITY NASOINTESTINAL ELECTROMAGNETIC TRANSMITTING STYLET ANTI-CLOG ENFIT W/BOLUS YELLOW CORFLO-ULTRA LITE CORTRAK 2 LATEX-FREE NON-RADIOLUCENT NON-S,582.4,291.2,127.02,524.16,64
RC,0272,TUBE NASOGASTRIC 18FR 48IN ARGYLE SALEM SUMP SENTINEL LINE SENTINEL EYE 2 LUMEN REMOVABLE 5IN 1 CONNECTOR ANTIREFLUX VALVE STERILE LATEX FREE SILICONE,156.12,78.06,34.05,140.51,64
RC,0272,TUBE NASOGASTRIC 6FR DIA 36INL POLYURETHANE 1GM CAPACITY PEDIATRIC ROUND W/STYLET CONNECTOR CORFLO-ULTRA NG LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,131.36,65.68,28.65,118.22,64
RC,0272,TUBE NASOGASTRIC 8FR DIA 22INL POLYURETHANE NON-WEIGHTED ANTI-CLOG EXIT PORT W/STYLET CONNECTOR CORFLO-ULTRA LITE NG LATEX-FREE NON-RADIOLUCENT NON-STERILE,104.76,52.38,22.85,94.28,64
RC,0272,TUBE NASOGASTRIC CORFLO - 10 FR. 55 FEEDING ULTRA LITE NG NON-WGHTD W/STYLET W/ ENFIT TM NG/NI TUBES,181.85,90.93,39.66,163.67,64
RC,0272,TUBE OD10 FR ELECTROMAGNETIC TRANSMIT STYLET ANTICLOG BOLUS RADIOPAQUE CORTRAK* NASOGASTRIC ENTERAL POLYURETHANE L55 IN,662.55,331.28,144.5,596.3,64
RC,0272,TUBE OD10 FR INTEGRATE CAMERA SMALL BORE KANGAROO ENFIT NASOGASTRIC POLYURETHANE L43 IN,994.39,497.2,216.88,894.95,64
RC,0272,TUBE OD10 FR INTEGRATE CAMERA SMALL BORE KANGAROO ENFIT NASOGASTRIC POLYURETHANE L55 IN,994.39,497.2,216.88,894.95,64
RC,0272,TUBE OD14 FR 1 3-5 ML MIC* SILICONE INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY,30.79,15.4,6.72,27.71,64
RC,0272,TUBE OD14 FR 3-5 ML MIC* SILICONE RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY WHITE,31.71,15.86,6.92,28.54,64
RC,0272,TUBE OD14 FR STANDARD ENDOVIVE 3 PORT REPLACEMENT STRAIGHT BOLSTER GASTROSTOMY ENTERAL ACCESS DEVICE,143.63,71.82,31.33,129.27,64
RC,0272,TUBE OD16 FR 3-5 ML MIC* SILICONE RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY WHITE,31.71,15.86,6.92,28.54,64
RC,0272,TUBE OD16 FR ENDOVIVE REPLACEMENT STRAIGHT ANGLE BOLSTER GASTROSTOMY,143.63,71.82,31.33,129.27,64
RC,0272,TUBE OD18 FR 7-10 ML MIC* SILICONE RADIOPAQUE BOLUS ENTERAL FEED INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY,30.79,15.4,6.72,27.71,64
RC,0272,TUBE OD18 FR 7-10 ML MIC* SILICONE RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY WHITE,31.71,15.86,6.92,28.54,64
RC,0272,TUBE OD18 FR ENDOVIVE REPLACEMENT STRAIGHT ANGLE BOLSTER GASTROSTOMY,143.63,71.82,31.33,129.27,64
RC,0272,TUBE OD18 FR STRAIGHT ENDOVIVE REPLACEMENT BALLOON STANDARD PROFILE BOLSTER GASTROSTOMY,28.73,14.37,6.27,25.86,64
RC,0272,TUBE OD20 FR ENDOVIVE REPLACEMENT STRAIGHT ANGLE BOLSTER GASTROSTOMY,143.63,71.82,31.33,129.27,64
RC,0272,TUBE OD20 FR STRAIGHT ENDOVIVE STANDARD PROFILE REPLACEMENT BALLOON BOLSTER GASTROSTOMY,28.73,14.37,6.27,25.86,64
RC,0272,TUBE OD22 FR ENDOVIVE REPLACEMENT STRAIGHT ANGLE BOLSTER GASTROSTOMY,143.63,71.82,31.33,129.27,64
RC,0272,TUBE OD24 FR 1 7-10 ML MIC* SILICONE INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY,30.79,15.4,6.72,27.71,64
RC,0272,TUBE OD24 FR ENDOVIVE REPLACEMENT STRAIGHT ANGLE BOLSTER GASTROSTOMY,143.63,71.82,31.33,129.27,64
RC,0272,TUBE OD30 FR 1 7-10 ML MIC* SILICONE INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY,30.79,15.4,6.72,27.71,64
RC,0272,TUBE OD30 FR 7-10 ML MIC* SILICONE RADIOPAQUE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON RECESS DISTAL TIP GASTROSTOMY WHITE,30.79,15.4,6.72,27.71,64
RC,0272,TUBE OD6 FR RADIOPAQUE STYLET WEIGHT TIP KANGAROO PEDI-TUBE NASOGASTRIC HYDROMER POLYURETHANE PEDIATRIC L36 IN 1.7 GM,2500.0,1250.0,545.25,2250.0,64
RC,0272,TUBE ORTHOPEDIC 400MM CABLE PASSING STERILE SINGLE-USE,237.9,118.95,51.89,214.11,64
RC,0272,TUBE ORTHOPEDIC PICCOLO COMPOSITE,150.0,75.0,32.72,135.0,64
RC,0272,TUBE ORTHOPEDIC SEMIEXTEND ENTRY STERILE,181.44,90.72,39.57,163.3,64
RC,0272,TUBE ORTHOPEDIC T2 GUIDEWIRE EXCHANGE STERILE TEFLON HUMERUS NAIL SYSTEM,202.98,101.49,44.27,182.68,64
RC,0272,TUBE PEG REPLACEMENT 12FR DIA SILICONE 3ML BALLOON PEDIATRIC ADULT STRAIGHT STANDARD PROFILE STEPPED DESIGN W/DEPTH MARKING ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,27.0,13.5,5.89,24.3,64
RC,0272,TUBE PEG REPLACEMENT 14FR DIA SILICONE 3ML BALLOON PEDIATRIC ADULT STRAIGHT STANDARD PROFILE STEPPED DESIGN W/DEPTH MARKING ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,27.0,13.5,5.89,24.3,64
RC,0272,TUBE PEG REPLACEMENT 16FR DIA SILICONE 3ML BALLOON PEDIATRIC ADULT STRAIGHT STANDARD PROFILE STEPPED DESIGN W/DEPTH MARKING ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,27.0,13.5,5.89,24.3,64
RC,0272,TUBE PEG REPLACEMENT 22FR DIA SILICONE 3ML BALLOON PEDIATRIC ADULT STRAIGHT STANDARD PROFILE STEPPED DESIGN W/DEPTH MARKING ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,27.0,13.5,5.89,24.3,64
RC,0272,TUBE PEG REPLACEMENT 24FR DIA SILICONE 3ML BALLOON PEDIATRIC ADULT STRAIGHT STANDARD PROFILE STEPPED DESIGN W/DEPTH MARKING ENDOVIVE LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,27.0,13.5,5.89,24.3,64
RC,0272,TUBE REAMER HOLLOW SPARE 309.035 SCREW REMOVAL,196.26,98.13,42.8,176.63,64
RC,0272,TUBE REAMER HOLLOW SPARE NA 309.150 SCREW REMOVAL,156.68,78.34,34.17,141.01,64
RC,0272,TUBE REAMER HOLLOW SPARE NA 309.250 SCREW REMOVAL,156.68,78.34,34.17,141.01,64
RC,0272,TUBE REAMER SPARE HOLLOW REAMER,196.26,98.13,42.8,176.63,64
RC,0272,TUBE REAMER SPARE NA 309.200 SCREW REMOVAL,156.68,78.34,34.17,141.01,64
RC,0272,TUBE REAMER SPARE NA HOLLOW REAMER,196.26,98.13,42.8,176.63,64
RC,0272,TUBE RETRACTION L3 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE RETRACTION L4 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE RETRACTION L5 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE RETRACTION L6 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE RETRACTION L7 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE RETRACTION L8 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE RETRACTION L9 CM COATED OD26 MM METRX,153.0,76.5,33.37,137.7,64
RC,0272,TUBE SALIVARY BYPASS 12MM 24MM 188MM FUNNEL TIP FLEXIBLE CERVICAL ESOPHAGEAL,195.42,97.71,42.62,175.88,64
RC,0272,TUBE SALIVARY BYPASS 14MM 27MM 188MM FUNNEL TIP FLEXIBLE CERVICAL ESOPHAGEAL,195.42,97.71,42.62,175.88,64
RC,0272,TUBE SUCTION 20FR 16FR 6IN DLP RIGID MACRO SUCKER FLUTE POOL TIP SOFT VENT STAINLESS STEEL,275.0,137.5,59.98,247.5,64
RC,0272,TUBE SUCTION 3FR ANGLE 5.5IN 3IN BARON NONSTERILE STAINLESS STEEL,20.19,10.1,4.4,18.17,64
RC,0272,TUBE SUCTION 5FR ANGLE 5.5IN 3IN BARON NONSTERILE STAINLESS STEEL,19.58,9.79,4.27,17.62,64
RC,0272,TUBE SUCTION 9FR ANGLE 4.5IN FRAZIER,50.59,25.3,11.03,45.53,64
RC,0272,TUBE SUCTION HALF CURVE 10.75IN YANKAUER V MUELLER LARGE HOLLOW HANDLE MIRROR FINISH LATEX FREE,51.69,25.85,11.27,46.52,64
RC,0272,TUBE SUCTION L10 5/8 IN ANGLED END OPENING HOLLOW HANDLE HOSE CONNECTION V. MUELLER CHROME,114.51,57.26,24.97,103.06,64
RC,0272,TUBE SUCTION L3 7/8 IN ANGLE FINGER VALVE OBTURATOR MATTE FINISH OD10 FR V. MUELLER,46.15,23.08,10.07,41.54,64
RC,0272,TUBE SUCTION L3 7/8 IN ANGLE FINGER VALVE OBTURATOR OD7 FR V. MUELLER,42.23,21.12,9.21,38.01,64
RC,0272,TUBE SUCTION L3 7/8 IN ANGLE FINGER VALVE OBTURATOR OD8 FR V. MUELLER STAINLESS STEEL,49.27,24.64,10.75,44.34,64
RC,0272,TUBE SUCTION L3 IN MATTE FINISH OD3 FR V. MUELLER,42.8,21.4,9.33,38.52,64
RC,0272,TUBE SUCTION L3 IN MATTE FINISH OD5 FR V. MUELLER,40.1,20.05,8.75,36.09,64
RC,0272,TUBE SUCTION L5.1 IN THUMB PLATE CUT OFF OD5 FR HOUSE-BARON L130 MM ENT,47.53,23.77,10.37,42.78,64
RC,0272,TUBE SUCTION L6 1/4 IN 5.5 IN ANGLE MALLEABLE SLOT OD11 FR RUGGLES-REDMOND L3 3/4 IN,175.77,87.89,38.34,158.19,64
RC,0272,TUBE SUCTION L9 1/2 IN STRAIGHT MIRROR FINISH OD30 FR POOLE ABDOMINAL,84.37,42.19,18.4,75.93,64
RC,0272,TUBE SUCTION MINI CURVE KAMVAC STERILE LATEX FREE,806.0,403.0,175.79,725.4,64
RC,0272,TUBE SUCTION MINI KAMVAC STERILE LATEX FREE DISPOSABLE,806.0,403.0,175.79,725.4,64
RC,0272,TUBE SUCTION SARNS LINE,172.5,86.25,37.62,155.25,64
RC,0272,TUBE SUCTION SET PIRANHA,259.67,129.84,56.63,233.7,64
RC,0272,TUBE SUCTION STANDARD KAMVAC STERILE LATEX FREE DISPOSABLE,806.0,403.0,175.79,725.4,64
RC,0272,TUBE SUCTION YANKAUER/POOLE PEDIATRIC F/VASCULAR VIA-GUARD,3150.0,1575.0,687.02,2835.0,64
RC,0272,TUBE TRACHEOSTOMY 9.6MM 7MM SHILEY CUFF ROUND TIP OBTURATOR 1 INNER CANNULA 80MM STERILE LATEX FREE DISPOSABLE,50.39,25.2,10.99,45.35,64
RC,0272,TUBE TRACHEOSTOMY L68 MM UNCUFF REUSABLE INNER CANNULA BEVEL TIP INTEGRATE CONNECTOR SHILEY OD10.1 MM 5 PLASTICIZER,41.09,20.55,8.96,36.98,64
RC,0272,TUBE VENTRICULAR ASSIST L200 CM DRIVE OD6-8 MM EXCOR RED,585.0,292.5,127.59,526.5,64
RC,0272,TUBING 122CM PRSS MONTR FX M/F ROT ADPTR BRD,362.25,181.13,79.01,326.03,64
RC,0272,TUBING 3/16 WITH 5 IN 1 CONNECTOR,522.5,261.25,113.96,470.25,64
RC,0272,TUBING ABLATION 9FT EVIDENT MWA CHAMBER PUMP PERCUTANEOUS ANTENNA,249.0,124.5,54.31,224.1,64
RC,0272,TUBING ABLATION PUMP CARTO SMARTABLATE,82.0,41.0,17.88,73.8,64
RC,0272,TUBING ANGIO 0.018/0.013IN OD 50CM VNYL FX M/F ROT ADPTR BRD 1200PSI HPRS LF PVC,315.5,157.75,68.81,283.95,64
RC,0272,TUBING ASP RIPTIDEAT-88-110,275.0,137.5,59.98,247.5,64
RC,0272,TUBING ASPIRATION L110 IN INDIGO,435.0,217.5,94.87,391.5,64
RC,0272,TUBING ASPIRATION MAX STERILE LATEX FREE DISPOSABLE,360.0,180.0,78.52,324.0,64
RC,0272,TUBING ASPIRATION PENUMBRA SYSTEM MAX TRACKING TECHNOLOGY,360.0,180.0,78.52,324.0,64
RC,0272,TUBING ASPIRATION ZOOM POD,355.0,177.5,77.43,319.5,64
RC,0272,TUBING AUTOFUSE DISP,154.0,77.0,33.59,138.6,64
RC,0272,TUBING ELASTOMER 9FR DIA 0.118INW X 0.071INL SILICONE TRANSLUCENT,95.72,47.86,20.88,86.15,64
RC,0272,TUBING EMAX HIGH FLOW MANIFOLD IRRIGATION,92.5,46.25,20.17,83.25,64
RC,0272,TUBING EXERCISE THERABAND 100FT RED MEDIUM RESISTANCE LATEX,33.76,16.88,7.36,30.38,64
RC,0272,TUBING HEMODIALYSIS ADMINISTRATION BLOODLINE 2.6MM DIA NEONATE F/2008 SERIES MACHINE 12/CA,455.49,227.75,99.34,409.94,64
RC,0272,TUBING INFILTRATION 15.5FT .16IN .11IN KLEIN SPIKE SILICONE PUMP DRIP CHAMBER LATEX FREE,130.0,65.0,28.35,117.0,64
RC,0272,TUBING INSUFFLATION 400,170.0,85.0,37.08,153.0,64
RC,0272,TUBING INSUFFLATION DOLPHIN TRANSDUCER PRESSURE DOME STERILE DISPOSABLE HYSTEROSCOPY,488.14,244.07,106.46,439.33,64
RC,0272,TUBING INSUFFLATION HIGH FLOW FILTER HEAT NA,196.95,98.48,42.95,177.26,64
RC,0272,TUBING INSUFFLATION PNEUMOCLEAR SET HIGH FLOW,162.0,81.0,35.33,145.8,64
RC,0272,TUBING INSUFFLATION SET HEATED HIGH FLOW PNEUMOCLEAR,1575.0,787.5,343.51,1417.5,64
RC,0272,TUBING INSUFFLATION SET HIGH FLOW HEAT PNEUMOSURE,712.5,356.25,155.4,641.25,64
RC,0272,TUBING INSUFFLATION SUCTION HIGH FLOW 20 L,315.47,157.74,68.8,283.92,64
RC,0272,TUBING INSUFFLATION SUCTION IRRIGATION PRESSURE MEASURING PUMP TEMPERATURE SET NA RECTAL,143.68,71.84,31.34,129.31,64
RC,0272,TUBING INSUFFLATION UNIVERSAL HYBRID W/CO2 CONNECTION F/OLYMPUS 140/160/180/190 SERIES 100130,257.15,128.58,56.08,231.44,64
RC,0272,TUBING IRRIGATION 12FT BIPOLAR CORD ASSEMBLY LATEX FREE DISPOSABLE,280.0,140.0,61.07,252.0,64
RC,0272,TUBING IRRIGATION 16IN ENDO SMARTCAP EXTEND CO2 INPUT OLYMPUS 140/160/180GI ENDOSCOPE STERILE DISPOSABLE,168.76,84.38,36.81,151.88,64
RC,0272,TUBING IRRIGATION 290CM ENDOGATOR EGA-500 PUMP,124.95,62.48,27.25,112.46,64
RC,0272,TUBING IRRIGATION 2IN ENDO SMARTCAP OLYMPUS 140/160/180GI ENDOSCOPE STERILE DISPOSABLE,106.3,53.15,23.18,95.67,64
RC,0272,TUBING IRRIGATION CASSETTE STERILE LATEX LINVATEC 87000 SYSTEM ARTHROSCOPY,172.95,86.48,37.72,155.66,64
RC,0272,TUBING IRRIGATION CO2 HYBRID,213.5,106.75,46.56,192.15,64
RC,0272,TUBING IRRIGATION CO2 HYBRID 2 PORT CONNECTOR 2 PIECE CAP,218.5,109.25,47.65,196.65,64
RC,0272,TUBING IRRIGATION CROSSFLOW INTEGRATED CASSETTE ARTHROSCOPY PUMP,758.99,379.5,165.54,683.09,64
RC,0272,TUBING IRRIGATION DRILLSAW HIGHSPEED 200 SET,32.5,16.25,7.09,29.25,64
RC,0272,TUBING IRRIGATION FMS VUE II OUTFLOW WITHOUT 1 WAY VALVE,1109.0,554.5,241.87,998.1,64
RC,0272,TUBING IRRIGATION FMS VUE INFLOW,1109.0,554.5,241.87,998.1,64
RC,0272,TUBING IRRIGATION HIGH SPEED DRILL COOLANT,96.0,48.0,20.94,86.4,64
RC,0272,TUBING IRRIGATION INTEGRATED POWER CONSOLE CLEARVIEW,898.16,449.08,195.89,808.34,64
RC,0272,TUBING IRRIGATION INTELLIFLOW IPC CONTROL,120.0,60.0,26.17,108.0,64
RC,0272,TUBING IRRIGATION INTELLIFLOW REMOTE CONTROL VISAO,148.32,74.16,32.35,133.49,64
RC,0272,TUBING IRRIGATION IPC LOW PROFILE MR,488.22,244.11,106.48,439.4,64
RC,0272,TUBING IRRIGATION MIDAS REX LEGEND EHS DISPOSABLE,485.6,242.8,105.91,437.04,64
RC,0272,TUBING IRRIGATION MIDAS REX LOW PROFILE MR8 STERILE LATEX FREE DISPOSABLE,843.0,421.5,183.86,758.7,64
RC,0272,TUBING IRRIGATION MIDAS REX MR8 ON DRILL,1374.75,687.38,299.83,1237.28,64
RC,0272,TUBING IRRIGATION REDEUCE DUALWAVE L8 FT BACKFLOW CHECK VALVE CONNECTOR,500.0,250.0,109.05,450.0,64
RC,0272,TUBING IRRIGATION RIO,92.5,46.25,20.17,83.25,64
RC,0272,TUBING IRRIGATION STRAIGHTSHOT M4,99.22,49.61,21.64,89.3,64
RC,0272,TUBING IRRIGATION TRANSNASAL SKULL BASE SURGERY,161.0,80.5,35.11,144.9,64
RC,0272,TUBING IRRIGATION ULTRA-DRIVE 3 REVISION DISPOSABLE,110.0,55.0,23.99,99.0,64
RC,0272,TUBING IRRIGATION W/SOLO BATTERY SIMPULSE,902.2,451.1,196.77,811.98,64
RC,0272,TUBING IRRIGATION/ASPIRATION 1.98MM ID 3.18MM OD 10FT SILICONE NON-STERILE,193.32,96.66,42.16,173.99,64
RC,0272,TUBING LABORATORY 72IN SILICONE PEDIATRIC,316.46,158.23,69.02,284.81,64
RC,0272,TUBING LIPOSUCTION (B5558),108.97,54.49,23.77,98.07,64
RC,0272,TUBING PERFUSION PUMP 1/2IN ID 3/32IN WALL 120FTL SMA COATED PRE-CUT STERILE,480.0,240.0,104.69,432.0,64
RC,0272,TUBING PERFUSION PUMP 1/4IN X 1/16IN 120INL SMA COATED PRE-CUT STERILE,470.0,235.0,102.51,423.0,64
RC,0272,TUBING PERFUSION PUMP 10FTX3/32IN .5IN PVC DISPOSABLE STERILE LATEX FREE,70.0,35.0,15.27,63.0,64
RC,0272,TUBING PERFUSION PUMP 3/8X3/32IN 120INL SMA COATED PRE-CUT STERILE,420.0,210.0,91.6,378.0,64
RC,0272,TUBING SMOKE EVACUATOR 1 1/4IN X 10FTL VACUUM W/WAND AND SPONGE GUARD,212.0,106.0,46.24,190.8,64
RC,0272,TUBING SMOKE EVACUATOR FILTRATION PLUME-AWAY PUREVIEW LAPAROSCOPIC,215.0,107.5,46.89,193.5,64
RC,0272,TUBING SMOKE EVACUATOR L10 FT FILTER OD7/8 IN RAPIDVAC,190.92,95.46,41.64,171.83,64
RC,0272,TUBING SMOKE EVACUATOR L10 FT NA,167.0,83.5,36.42,150.3,64
RC,0272,TUBING SMOKE EVACUATOR L10 FT WAND OD7/8 IN NEPTUNE,167.0,83.5,36.42,150.3,64
RC,0272,TUBING SMOKE EVACUATOR L6 IN OD.5 IN SMOKE EVACUATOR TUBING L9 IN,154.6,77.3,33.72,139.14,64
RC,0272,TUBING SMOKE EVACUATOR OD3/8 IN NA,172.0,86.0,37.51,154.8,64
RC,0272,TUBING SUCTION 1.5MR 5MM THOPAZ PVC CLAMP SAMPLE PORT STERILE LATEX FREE DISPOSABLE,373.0,186.5,81.35,335.7,64
RC,0272,TUBING SUCTION 3/8IN ID 5/8IN OD 8FTL VINYL F/LIPOSUCTION PVC,163.99,82.0,35.77,147.59,64
RC,0272,TUBING SUCTION 6FTL SINGLE-LUMEN,518.0,259.0,112.98,466.2,64
RC,0272,TUBING SUCTION 9FT ULTRA-LIMP STANDARD ASPIRATION DISPOSABLE,210.0,105.0,45.8,189.0,64
RC,0272,TUBING SUCTION CUSA EXCEL 23KHZ MANIFOLD COLOR CODED ULTRASONIC TISSUE ABLATION STERILE DISPOSABLE,2195.35,1097.68,478.81,1975.82,64
RC,0272,TUBING SUCTION CUSA EXCEL 36KHZ MANIFOLD COLOR CODED ULTRASONIC TISSUE ABLATION STERILE DISPOSABLE,2494.73,1247.37,544.1,2245.26,64
RC,0272,TUBING SUCTION L12 FT PSI-TEC,330.0,165.0,71.97,297.0,64
RC,0272,TUBING SUCTION L12 FT SET PAL,81.0,40.5,17.67,72.9,64
RC,0272,TUBING SUCTION L4 FT ELEGANT SOFT LIGHTWEIGHT ADJUSTABLE TEAR DROP CONNECTOR FEATHERFLOW,290.0,145.0,63.25,261.0,64
RC,0272,TUBING SUCTION L9 FT AUTOFUSE,320.0,160.0,69.79,288.0,64
RC,0272,TUBING SUCTION THOPAZ 2 STERILE LATEX FREE DISPOSABLE,409.0,204.5,89.2,368.1,64
RC,0272,TUBING SUCTION/IRRIGATION HYBRID F/OLYMPUS SCOPE 100145CO2EXT 100130 ENDOGATOR EGA-500,240.0,120.0,52.34,216.0,64
RC,0272,TUBING SUCTION/IRRIGATION HYBRID F/OLYMPUS SCOPE 100145CO2EXT 4005644 ENDOGATOR EGP-100,230.0,115.0,50.16,207.0,64
RC,0272,TUNNELER DRUG DELIVERY FLUID 11GA 12INL LATEX-FREE STERILE DISPOSABLE,221.0,110.5,48.2,198.9,64
RC,0272,TUNNELER NEUROSTIMULATOR 12IN,37.05,18.53,8.08,33.35,64
RC,0272,TUNNELER SURGICAL 15CM STAINLESS STEEL GROSHONG PORT CATHETER,61.75,30.88,13.47,55.58,64
RC,0272,TUNNELER SURGICAL 2 SLEEVE DISPOSABLE,520.2,260.1,113.46,468.18,64
RC,0272,TUNNELER SURGICAL BULLET TIP KELLY-WICK 8MM VASCULAR STERILE,224.7,112.35,49.01,202.23,64
RC,0272,TUNNELER SURGICAL L12 IN SHEATH OD11 GA ON-Q*,138.0,69.0,30.1,124.2,64
RC,0272,TUNNELER SURGICAL L20 IN TOOL NA,90.0,45.0,19.63,81.0,64
RC,0272,TUNNELER SURGICAL L7 MM MEDIUM CARTRIDGE CURVTEK BONE,494.0,247.0,107.74,444.6,64
RC,0272,TUNNELER SURGICAL L8 IN SHEATH FLUID OD11 GA ON-Q*,221.0,110.5,48.2,198.9,64
RC,0272,TUNNELER SURGICAL L8 IN SHEATH OD11 GA ON-Q*,138.0,69.0,30.1,124.2,64
RC,0272,TUNNELER SURGICAL TIP 26CM ARTERIOVENOUS,326.67,163.34,71.25,294.0,64
RC,0272,TUR PACK,131.52,65.76,28.68,118.37,64
RC,0272,ULPA FLTR AND FLD TRAP MEGAVAC,412.95,206.48,90.06,371.66,64
RC,0272,ULTRASOUND BIOPSY TRAY,314.65,157.33,68.63,283.19,64
RC,0272,"ULTRASOUND NEEDLE GUIDE, HITACHI TRANSDUCER",75.0,37.5,16.36,67.5,64
RC,0272,UNION COLORECTAL CLOSURE PK,55.12,27.56,12.02,49.61,64
RC,0272,UNIT AUTOTRANSFUSION 1/4INL DRAIN HARD SHELL RESERVOIR DOUBLE TROCAR,764.84,382.42,166.81,688.36,64
RC,0272,UNIT DRAINAGE BALANCE LARGE CAPACITY COLLECTION CHAMBER ACCURATE PRESSURE CONTROL PLEUR-EVAC 2350 CC BLUE RED WHITE PNEUMONECTOMY,1791.0,895.5,390.62,1611.9,64
RC,0272,UNIT ELECTROSURGICAL ABLATION PEN DISPOSABLE CARDIOBLATE XL STERILE CARDIOVASCULAR,1695.0,847.5,369.68,1525.5,64
RC,0272,UNIT ELECTROSURGICAL BIPOLAR DISPOSABLE CARDIOBLATE BP2 CARDIOVASCULAR LATEX FREE,3295.0,1647.5,718.64,2965.5,64
RC,0272,UNIT ELECTROSURGICAL BIPOLAR RESECTION KIT HABIB 4X,5897.0,2948.5,1286.14,5307.3,64
RC,0272,UNIT ELECTROSURGICAL L25 CM CURVE TIP OD3 MM ENSEAL,2214.95,1107.48,483.08,1993.46,64
RC,0272,UNIT ELECTROSURGICAL L5.74 MM 30 D BIPOLAR SEALER LIGHT HEMOSTATIC OD3.48 MM AQUAMANTYS L5.1 IN,534.26,267.13,116.52,480.83,64
RC,0272,UNIT ELECTROSURGICAL PROBE MICROCLAW OD2.5 MM SERFAS ENERGY SMALL JOINT,198.18,99.09,43.22,178.36,64
RC,0272,UNIT ELECTROSURGICAL PROCEDURE SET GENESYS HTA PROCERVA,7300.0,3650.0,1592.13,6570.0,64
RC,0272,UNIT ELECTROSURGICAL SMALL JAW LIGASURE,2690.34,1345.17,586.76,2421.31,64
RC,0272,UNIT ELECTROTHERAPY LARGE 12CM RECOVERYRX 170HR,66.0,33.0,14.39,59.4,64
RC,0272,UNIT ENDOSCOPE MAINTENANCE SCOPE WARMER,72.03,36.02,15.71,64.83,64
RC,0272,UNIT LITHOTRIPTER SET 2 ULTRASONIC PROBE BLADDER CYBERWAND RENAL,1982.22,991.11,432.32,1784.0,64
RC,0272,UNIT NAVIGATION ORTHALIGN PLUS STERILE LATEX FREE DISPOSABLE,1035.0,517.5,225.73,931.5,64
RC,0272,UNIT NERVE STIMULATION ADJUSTABLE CONTROL PROBE MMG,200.0,100.0,43.62,180.0,64
RC,0272,UNIT NERVE STIMULATION TEST VERIFY INTERSTIM,350.0,175.0,76.34,315.0,64
RC,0272,UNIT PRESSURE MONITOR CUSTOM RIGHT HEART ABB,447.5,223.75,97.6,402.75,64
RC,0272,URETEROSCOPE ENDOSCOPIC SENSOR-URETERORENOSCOPE 9FR 600MM FLEXIBLE W/WORKING CHANNEL 3.6FR/1.65FR PU-3 PIECE RIWO D-URS STERILE SINGLE-USE,4200.0,2100.0,916.02,3780.0,64
RC,0272,UROLOGY ROBOTIC PACK,508.08,254.04,110.81,457.27,64
RC,0272,VACUUM EXTRACTION JADA HEMORRHAGE CONTROL BLUE SEAL VALVE KIT GREEN BOX,4050.0,2025.0,883.31,3645.0,64
RC,0272,VACUUM EXTRACTION L6 FT TUBING COLLECTION JAR W/ CAP ID3/8 IN,265.0,132.5,57.8,238.5,64
RC,0272,VAGINAL DELIVERY PACK SMA4GVDNHA,109.65,54.83,23.91,98.69,64
RC,0272,VAGINAL DELIVERY PACK SMA4GVGNBA,187.4,93.7,40.87,168.66,64
RC,0272,VAGINAL HYSTERECTOMY PACK,290.07,145.04,63.26,261.06,64
RC,0272,VALVE CHECK VACUUM RELIEF,460.0,230.0,100.33,414.0,64
RC,0272,VALVE DRAINAGE HEIMLICH 1 WAY SET THORACIC L30 CM 14 FR TUBE,85.5,42.75,18.65,76.95,64
RC,0272,VALVE ENDOSCOPIC 3MML F/LAPAROSCOPIC PORT ACCESS SYSTEM YELLOPORT+PLUS STERILE SINGLE-USE,337.5,168.75,73.61,303.75,64
RC,0272,VALVE GUARDIAN II HEMOSTASIS 8FR GUIDEWIRE INSERTION TOOL SEAL INNER LUMEN,618.0,309.0,134.79,556.2,64
RC,0272,VALVE HEMOSTASIS 20 ATM INFLATION TORQUE DEVICE BLEEDBACK CONTROL GUIDEWIRE INTRODUCER ID.096- IN INDEFLATOR COPILOT 20 ML,30.0,15.0,6.54,27.0,64
RC,0272,VALVE HEMOSTASIS ACCESSPLUS ID9 FR LARGE BORE GUIDEWIRE INSERTION TOOL METAL SILICONE POLYCARBONATE,282.0,141.0,61.5,253.8,64
RC,0272,VALVE HEMOSTASIS ACCESSPLUS ID9 FR LARGE BORE INSERTION TOOL TORQUE DEVICE METAL SILICONE POLYCARBONATE,337.25,168.63,73.55,303.53,64
RC,0272,VALVE HEMOSTASIS ACCESSPLUS LARGE BORE,1041.0,520.5,227.04,936.9,64
RC,0272,VALVE HEMOSTASIS COPILOT ID.096 IN 1 UNIT BLEEDBACK CONTROL,17.0,8.5,3.71,15.3,64
RC,0272,VALVE HEMOSTASIS DOUBLEPLAY ID9 FR GUIDEWIRE INSERTION TOOL LARGE BORE 2Y METAL SILICONE POLYCARBONATE,313.5,156.75,68.37,282.15,64
RC,0272,VALVE HEMOSTASIS GUARDIAN II OD8 FR ODSEC.023 IN GUIDEWIRE INSERTION TOOL TORQUE DEVICE LUMEN ROTATE LOCK NUT .008-.038 IN,1600.0,800.0,348.96,1440.0,64
RC,0272,VALVE HEMOSTASIS PASSAGE ID7.5 FR INSERTION TOOL MAP METAL SILICONE POLYCARBONATE,1128.0,564.0,246.02,1015.2,64
RC,0272,VALVE HEMOSTASIS PASSAGE METAL GUIDEWIRE INSERTION TOOL TORQUE DEVICE,337.25,168.63,73.55,303.53,64
RC,0272,VALVE HEMOSTASIS PHD ID7.3 FR COMPRESSION SEAL 1 HAND PUSH RELEASE MECHANISM AIRLESS ROTATOR POLYCARBONATE SILICONE CLEAR,433.5,216.75,94.55,390.15,64
RC,0272,VALVE HEMOSTASIS ROTATE,220.0,110.0,47.98,198.0,64
RC,0272,VALVE MITRAL MITRACLIP G4 CLIP GUIDE CATHETER,33000.0,16500.0,7197.3,29700.0,64
RC,0272,VALVE SILICONE VACUUM 2 7/8IN STERILE LATEX FREE DISPOSABLE CLEAR,775.0,387.5,169.03,697.5,64
RC,0272,VALVE SUCTION SINGLE USE SUCTION VALVE STERILE FLEXIBLE ATTACH BRONCHOSCOPE,508.8,254.4,110.97,457.92,64
RC,0272,VALVE SURESEAL II ENDOSCOPIC 5- FR UROLOGICAL LUER LOCK PASSIVE IRRIGATION SCOPE PORT STERILE LATEX FREE DISPOSABLE,145.0,72.5,31.62,130.5,64
RC,0272,VALVE TROCAR 5MML LAPAROSCOPIC PORT ACCESS SYSTEM W/DUCKBILL YELLOPORT+PLUS STERILE SINGLE-USE 1BX/20EA SLEEVE SEAL REDUCER,337.5,168.75,73.61,303.75,64
RC,0272,VALVE VENTRICULAR DRAINAGE REGULAR HIGH PRESSURE CONTOURED LUBRICATED BIOGLIDE,828.0,414.0,180.59,745.2,64
RC,0272,VALVE WATCHDOG HEMOSTASIS 8FR CROSS SLIT SEAL LOCK UNLOCK SYMBOL,500.0,250.0,109.05,450.0,64
RC,0272,VALVE WATCHDOG HEMOSTASIS KIT,600.0,300.0,130.86,540.0,64
RC,0272,VALVULOTOME 1.5MM 98CM IRRIGATION PORT CUT BLADE BULLET HEAD HANDLE HYDRO LEMAITRE ANGIOSCOPIC DISPOSABLE STERILE GREEN WHITE,3299.0,1649.5,719.51,2969.1,64
RC,0272,VALVULOTOME ANGIOSCOPIC 2/3MM DIA STAINLESS STEEL INTERCHANGEABLE HEAD W/94CML CATHETER VEIN SLEEVE TRU-INCISE ESVK2030 LATEX-FREE NON-RADIOLUCENT DISPOSABLE,2199.0,1099.5,479.6,1979.1,64
RC,0272,VALVULOTOME ANGIOSCOPIC 2MM 40CM OTW STERILE SINGLE-USE,2849.0,1424.5,621.37,2564.1,64
RC,0272,VAPOENUCLEATION ELECTRODE HEMISPHERICAL,2908.01,1454.01,634.24,2617.21,64
RC,0272,VASCULAR INTERVENTIONAL PACK,128.04,64.02,27.93,115.24,64
RC,0272,VASCULAR TRAY,124.26,62.13,27.1,111.83,64
RC,0272,VERCISE CHARGING SYSTEM,1400.0,700.0,305.34,1260.0,64
RC,0272,VIAL CRYOGENIC CRYOLOCK VITRIFICATION DEVICE GREEN,600.0,300.0,130.86,540.0,64
RC,0272,VIAL CRYOGENIC S-CRYOLOCK VITRIFICATION DEVICE ORANGE,600.0,300.0,130.86,540.0,64
RC,0272,VIAL CRYOGENIC S-CRYOLOCK VITRIFICATION DEVICE YELLOW,600.0,300.0,130.86,540.0,64
RC,0272,VP SHUNT PACK DYNJ55558,602.04,301.02,131.3,541.84,64
RC,0272,VP SHUNT PACK SNE4FVSWFA,198.27,99.14,43.24,178.44,64
RC,0272,VSP RECON PLAN/PREP-NO GUIDES,2450.0,1225.0,534.35,2205.0,64
RC,0272,WAKE FOREST C SECTION PACK,122.55,61.28,26.73,110.3,64
RC,0272,WAKE FOREST VAG DELIVERY PK,69.66,34.83,15.19,62.69,64
RC,0272,WAND ELECTROSURGICAL 1.4MM MICROBLATOR 30D SMALL WRIST ELBOW ANKLE SHAFT ATLAS QUANTUM,180.0,90.0,39.26,162.0,64
RC,0272,WAND ELECTROSURGICAL 185MM 4.75MM TURBOVAC 90D KNEE SHOULDER SUCTION RADIOFREQUENCY STERILE DISPOSABLE,210.0,105.0,45.8,189.0,64
RC,0272,WAND ELECTROSURGICAL 2.3MM PARAGON T2 15D RADIOFREQUENCY INTEGRATE CABLE STERILE LATEX FREE DISPOSABLE,180.0,90.0,39.26,162.0,64
RC,0272,WAND ELECTROSURGICAL 2.5MM ARTHROWAND 60D CURVE DOME INTEGRATE CABLE STERILE DISPOSABLE,180.0,90.0,39.26,162.0,64
RC,0272,WAND ELECTROSURGICAL 3.3MM ARTHROWAND COVAC 2O 20D HOOK ROTATOR CUFF INTEGRATE CABLE STERILE,230.0,115.0,50.16,207.0,64
RC,0272,WAND ELECTROSURGICAL 3.75MM 3MM SUPER MULTIVAC 50 ARTHROWAND 50D SLIM INTEGRATE FINGER SWITCH SHAFT FLAT ELECTRODE,155.0,77.5,33.81,139.5,64
RC,0272,WAND ELECTROSURGICAL 3.75MM TURBOVAC SUPER 90D SHOULDER INTEGRATE CABLE SUCTION ATLAS SYSTEM QUANTUM STERILE LATEX FREE DISPOSABLE,100.0,50.0,21.81,90.0,64
RC,0272,WAND ELECTROSURGICAL 3MM 1MM TOPAZ MICRODEBRIDER 0D SMALL INTEGRATE FINGER SWITCH BUTTON 4 DEFAULT SET POINT,532.0,266.0,116.03,478.8,64
RC,0272,WAND ELECTROSURGICAL 3MM 50D SHAFT ATLAS QUANTUM,158.0,79.0,34.46,142.2,64
RC,0272,WAND ELECTROSURGICAL 3MM CAPSURE 30 30D 2MM KNEE SHOULDER RADIOFREQUENCY INTEGRATE CABLE ARTHROSCOPIC STERILE LATEX FREE DISPOSABLE,295.0,147.5,64.34,265.5,64
RC,0272,WAND ELECTROSURGICAL 3MM COVAC 50 50D INTEGRATE FINGER SWITCH ARTHROSCOPIC,278.0,139.0,60.63,250.2,64
RC,0272,WAND ELECTROSURGICAL 3MM COVAC 50 70D RADIOFREQUENCY BIPOLAR INTEGRATE FINGER SWITCH ABLATION,217.0,108.5,47.33,195.3,64
RC,0272,WAND ELECTROSURGICAL 4.2MM 5.5MM MEGAVAC 90 90D KNEE SHOULDER SUCTION QUANTUM 2,278.0,139.0,60.63,250.2,64
RC,0272,WAND ELECTROSURGICAL 5.25MM 3.75MM SUPER TURBOVAC 90 90D KNEE SHOULDER INTEGRATE FINGER SWITCH MULTIPLE SUCTION PORT QUANTUM 2 STERILE,228.0,114.0,49.73,205.2,64
RC,0272,WAND ELECTROSURGICAL 5.25MM 3.75MM SUPER TURBOVAC 90 90D KNEE SHOULDER INTEGRATE FINGER SWITCH MULTIPLE SUCTION PORT QUANTUM QUANTUM 2 STERILE,155.0,77.5,33.81,139.5,64
RC,0272,WAND ELECTROSURGICAL 6 WEREWOLF FASTSEAL HEMOSTASIS,399.0,199.5,87.02,359.1,64
RC,0272,WAND ELECTROSURGICAL AMBIENT SUPER MULTIVAC 50D,158.0,79.0,34.46,142.2,64
RC,0272,WAND ELECTROSURGICAL ARTHROSCOPIC 3.5MM DIA 90DEG RIGHT ANGLED NON-SUCTION RADIOFREQUENCY W/INTEGRATED CABLE ARTHROWAND LATEX-FREE,185.0,92.5,40.35,166.5,64
RC,0272,WAND ELECTROSURGICAL ARTHROSCOPIC 3MM DIA 30DEG ANGLED CUTTING COAGULATING SUCTION ELECTRODEX1 RADIOFREQUENCY SABER LATEX-FREE,109.0,54.5,23.77,98.1,64
RC,0272,WAND ELECTROSURGICAL BLACK REFLEX ULTRA 45 LONG SILICONE INSULATE SHAFT SPACER TURBINATE REDUCTION,305.88,152.94,66.71,275.29,64
RC,0272,WAND ELECTROSURGICAL EVAC 70 70D ADENOID TONSIL PLASMA INTEGRATE CABLE SUCTION STERILE DISPOSABLE,339.48,169.74,74.04,305.53,64
RC,0272,WAND ELECTROSURGICAL EVAC 70HP 70D ADENOID TONSIL PLASMA INTEGRATE CABLE SUCTION STERILE DISPOSABLE,354.0,177.0,77.21,318.6,64
RC,0272,WAND ELECTROSURGICAL HALO STERILE LATEX FREE DISPOSABLE,378.83,189.42,82.62,340.95,64
RC,0272,WAND ELECTROSURGICAL L5 IN 15 D INTEGRATE FINGER SWITCH OD1 MM ODSEC5.5 MM TOPAZ XL MICRODEBRIDER,400.0,200.0,87.24,360.0,64
RC,0272,WAND ELECTROSURGICAL ORANGE REFLEX ULTRA PTR SMALL DEPTH MARK TURBINATE REDUCTION,319.33,159.67,69.65,287.4,64
RC,0272,WAND ELECTROSURGICAL PROCISE LW LARYNX SCREEN ELECTRODE ULTRA SLIM EXTEND WIRE STERILE LATEX FREE DISPOSABLE,907.69,453.85,197.97,816.92,64
RC,0272,WAND ELECTROSURGICAL PROCISE MAX,357.46,178.73,77.96,321.71,64
RC,0272,WAND ELECTROSURGICAL PROCISE MINI SMALL LARYNX 1 WIRE EXTEND ABLATION DISPOSABLE,754.0,377.0,164.45,678.6,64
RC,0272,WAND ELECTROSURGICAL PROCISE XP,340.54,170.27,74.27,306.49,64
RC,0272,WAND ELECTROSURGICAL PROCIZE EZ VIEW SMALL SOFT TISSUE INTEGRATE ABLATION SUCTION BIPOLAR HEMOSTASIS,327.43,163.72,71.41,294.69,64
RC,0272,WAND ELECTROSURGICAL REFLEX ULTRA 55 55D SOFT PALATE PROXIMAL THERMAL ELECTRODE DISTAL ABLATIVE REDUCTION,303.45,151.73,66.18,273.11,64
RC,0272,WAND ELECTROSURGICAL REPROCESSED 3.75MM DIA SHAFT KNEE 90DEG ANGLED ABLATION SUCTION W/INTEGRATED CABLE F/SOFT TISSUE REMOVAL SUPER TURBOVAC ARTHROWAND LATEX-FREE STERILE SINGLE-USE,66.61,33.31,14.53,59.95,64
RC,0272,WAND ELECTROSURGICAL REPROCESSED 3MM DIA KNEE 30DEG ANGLED COAGULATING SUCTION W/INTEGRATED CABLE SABER ARTHROWAND AC433001,70.19,35.1,15.31,63.17,64
RC,0272,WAND ELECTROSURGICAL SABER 30D HIP,180.0,90.0,39.26,162.0,64
RC,0272,WAND ELECTROSURGICAL TOPAZ EZ INTEGRATE FINGER SWITCH,419.0,209.5,91.38,377.1,64
RC,0272,WAND ELECTROSURGICAL TURBINATOR SUCTION STERILE LATEX FREE DISPOSABLE,332.72,166.36,72.57,299.45,64
RC,0272,WAND ELECTROSURGICAL WEREWOLF FLOW 50 STERILE LATEX FREE DISPOSABLE,225.0,112.5,49.07,202.5,64
RC,0272,WAND ELECTROSURGICAL WEREWOLF FLOW 90 STERILE LATEX FREE DISPOSABLE,225.0,112.5,49.07,202.5,64
RC,0272,WARMER ENDOSCOPE JOSNOE LAPAROSCOPIC F/PREVENT FOGGING ROBOTIC PROCEDURE,115.06,57.53,25.09,103.55,64
RC,0272,WASHER EXTERNAL FIXATION SPACE OD4 MM,15.95,7.98,3.48,14.36,64
RC,0272,WASHER OD15 MM SPIKE ORTHOPEDIC,153.45,76.73,33.47,138.11,64
RC,0272,WASHER OD25 MM SPIKE ORTHOPEDIC,153.45,76.73,33.47,138.11,64
RC,0272,WEDGE POSITIONING BLACK 16X15X6.5IN COMFORT GLIDE 30D XL SACRUM FOAM NONSLIP BASE FLAME RESISTANT COVER LATEX FREE,144.46,72.23,31.51,130.01,64
RC,0272,WIRE 24GA WIRE NONABSORBABLE STAINLESS STEEL,63.16,31.58,13.78,56.84,64
RC,0272,WIRE 26GA SPOOL NONABSORBABLE,63.16,31.58,13.78,56.84,64
RC,0272,WIRE BONE FIXATION KIRSCHNER TEMPORARY 1.6MM 100MM STAINLESS STEEL DISTAL RADIAL TROCAR POINT APTUS NON-STERILE,40.0,20.0,8.72,36.0,64
RC,0272,WIRE CERCLAGE TIGERTAPE SUTURE,2250.0,1125.0,490.73,2025.0,64
RC,0272,WIRE EXT FIX DMND PNT 2MM,104.48,52.24,22.79,94.03,64
RC,0272,WIRE EXTERNAL FIXATION 370MM 1.8MM ILIZAROV TIBIAL STAINLESS STEEL BAYONET POINT DELUXE SET NONSTERILE,534.48,267.24,116.57,481.03,64
RC,0272,WIRE EXTERNAL FIXATION 400MM 1.8MM ILIZAROV TIBIAL STAINLESS STEEL BAYONET POINT STOPPER NONSTERILE,170.35,85.18,37.15,153.32,64
RC,0272,WIRE EXTERNAL FIXATION 450MM 2MM KIRSCHNER NONSTERILE LATEX FREE,55.72,27.86,12.15,50.15,64
RC,0272,WIRE EXTERNAL FIXATION ANTHEM 1.6MM K-WIRE PROXIMAL HUMERUS TROCAR TIP 229MM,45.0,22.5,9.81,40.5,64
RC,0272,WIRE FIXATION .062IN 4IN KIRSCHNER STAINLESS STEEL 2 END TROCAR POINT NONSTERILE,113.94,56.97,24.85,102.55,64
RC,0272,WIRE FIXATION .8MM 70MM KIRSCHNER SMOOTH TH,30.92,15.46,6.74,27.83,64
RC,0272,WIRE FIXATION .9MM 70MM KIRSCHNER TROCAR TIP MARK,23.76,11.88,5.18,21.38,64
RC,0272,WIRE FIXATION 1.15MM KIRSCHNER NONTHREAD,32.84,16.42,7.16,29.56,64
RC,0272,WIRE FIXATION 1.1MM 150MM VLP FOOT DRILL TIP STERILE LATEX FREE,291.6,145.8,63.6,262.44,64
RC,0272,WIRE FIXATION 1.25MM 150MM COCR DRILL TIP,29.33,14.67,6.4,26.4,64
RC,0272,WIRE FIXATION 1.25MM 150MM KIRSCHNER STAINLESS STEEL TROCAR POINT STERILE,90.48,45.24,19.73,81.43,64
RC,0272,WIRE FIXATION 1.2MM 100MM KIRSCHNER NONSTERILE 3MM ASNIS MICRO SCREW,32.84,16.42,7.16,29.56,64
RC,0272,WIRE FIXATION 1.2MM 65MM KIRSCHNER OLIVE SMOOTH TROCAR TIP,119.4,59.7,26.04,107.46,64
RC,0272,WIRE FIXATION 1.2MM 70MM ANCHORAGE KIRSCHNER TROCAR TIP SMOOTH,29.85,14.93,6.51,26.87,64
RC,0272,WIRE FIXATION 1.4MM 150MM KIRSCHNER SMOOTH TROCAR TIP,21.0,10.5,4.58,18.9,64
RC,0272,WIRE FIXATION 1.4MM 17MM KIRSCHNER OLIVE STOP DISTAL RADIUS LOCK PLATE SYSTEM,50.75,25.38,11.07,45.68,64
RC,0272,WIRE FIXATION 1.5MM 300MM ILIZAROV STAINLESS STEEL HIP CORTICAL BAYONET POINT NONSTERILE,48.28,24.14,10.53,43.45,64
RC,0272,WIRE FIXATION 1.6MM 150MM 5MM KIRSCHNER STAINLESS STEEL TROCAR POINT THREAD NONSTERILE,128.51,64.26,28.03,115.66,64
RC,0272,WIRE FIXATION 1.6MM 150MM KIRSCHNER COCR FLUTE DRILL TIP,45.0,22.5,9.81,40.5,64
RC,0272,WIRE FIXATION 1.6MM 150MM KIRSCHNER FOOT ANKLE SMOOTH TROCAR TIP,29.85,14.93,6.51,26.87,64
RC,0272,WIRE FIXATION 1.6MM 200MM KIRSCHNER FULL THREAD NONSTERILE VARIAX FOOT LOCK PLATE SYSTEM,72.64,36.32,15.84,65.38,64
RC,0272,WIRE FIXATION 1.8MM 310MM KIRSCHNER STERILE CONDYLE SCREW,103.48,51.74,22.57,93.13,64
RC,0272,WIRE FIXATION 1.8MM SHORT PROVISIONAL,81.22,40.61,17.71,73.1,64
RC,0272,WIRE FIXATION 1MM 100MM KIRSCHNER 1 BLUNT TIP DISPOSABLE,265.42,132.71,57.89,238.88,64
RC,0272,WIRE FIXATION 1MM 100MM KIRSCHNER 2 END TROCAR NONSTERILE LATEX FREE NX NAIL SYSTEM,29.0,14.5,6.32,26.1,64
RC,0272,WIRE FIXATION 1MM 150MM KIRSCHNER PECA COCR THREAD ROUND END NONSTERILE,15.0,7.5,3.27,13.5,64
RC,0272,WIRE FIXATION 2.85MM 450MM KIRSCHNER STERILE LATEX FREE PROXIMAL FEMUR LAG SCREW,73.5,36.75,16.03,66.15,64
RC,0272,WIRE FIXATION 2MM 150MM DRILL TIP THREAD,38.18,19.09,8.33,34.36,64
RC,0272,WIRE FIXATION 2MM 150MM KIRSCHNER DRILL TIP,29.33,14.67,6.4,26.4,64
RC,0272,WIRE FIXATION 2MM 150MM KIRSCHNER STAINLESS STEEL TROCAR POINT NONSTERILE,189.1,94.55,41.24,170.19,64
RC,0272,WIRE FIXATION 2MM 150MM KIRSCHNER STOP VARIAX,71.64,35.82,15.62,64.48,64
RC,0272,WIRE FIXATION 2MM 2.5MM 100MM KIRSCHNER STAINLESS STEEL SMOOTH,88.45,44.23,19.29,79.61,64
RC,0272,WIRE FIXATION 2MM 200MM VARIAX KIRSCHNER DRILL NONSTERILE LATEX FREE,149.25,74.63,32.55,134.33,64
RC,0272,WIRE FIXATION 2MM 228MM KIRSCHNER STAINLESS STEEL TROCAR POINT STERILE PERI-LOC PLATE SYSTEM,115.15,57.58,25.11,103.64,64
RC,0272,WIRE FIXATION 2MM 234MM KIRSCHNER DRILL TIP NONSTERILE,40.8,20.4,8.9,36.72,64
RC,0272,WIRE FIXATION 2MM 285MM KIRSCHNER DRILL TIP,89.55,44.78,19.53,80.6,64
RC,0272,WIRE FIXATION 2MM 315MM KIRSCHNER DRILL TIP,55.72,27.86,12.15,50.15,64
RC,0272,WIRE FIXATION 2MM 350MM PERI-LOC KIRSCHNER TARGETER,70.92,35.46,15.47,63.83,64
RC,0272,WIRE FIXATION 2MM 6IN MOTOBAND CP DYNAFORCE KIRSCHNER STERILE LATEX FREE,234.78,117.39,51.21,211.3,64
RC,0272,WIRE FIXATION 3.2MM 150MM KIRSCHNER STERILE,69.65,34.83,15.19,62.69,64
RC,0272,WIRE FIXATION 300MM STOPPER,161.1,80.55,35.14,144.99,64
RC,0272,WIRE FIXATION 3MM 285MM KIRSCHNER T2 STAINLESS STEEL STERILE,105.47,52.74,23.0,94.92,64
RC,0272,WIRE FIXATION 3MM 285MM KIRSCHNER T2 WCH STERILE,127.36,63.68,27.78,114.62,64
RC,0272,WIRE FIXATION 4MM 3MM KIRSCHNER SMOOTH TROCAR POINT,44.34,22.17,9.67,39.91,64
RC,0272,WIRE FIXATION BREAK OFF AXIOM STERILE,98.0,49.0,21.37,88.2,64
RC,0272,WIRE FIXATION KIRSCHNER 1.1MM 100MM STAINLESS STEEL DISTAL RADIAL TROCAR POINT APTUS 10/PK,40.0,20.0,8.72,36.0,64
RC,0272,WIRE FIXATION KIRSCHNER 1.1MM DIA STAINLESS STEEL WRIST SHARP CALIBRATED,16.0,8.0,3.49,14.4,64
RC,0272,WIRE FIXATION KIRSCHNER 24MM DIA 170MML QUICK-COUPLING W/17MM STOP,25.0,12.5,5.45,22.5,64
RC,0272,WIRE FIXATION KIRSCHNER 3MM DIA 270MML HEADED SMOOTH TIP DARCO,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION KIRSCHNER BLUNT,13.25,6.63,2.89,11.93,64
RC,0272,WIRE FIXATION KIRSCHNER NITINOL LOCKING LNK 1502-1760,150.0,75.0,32.72,135.0,64
RC,0272,WIRE FIXATION KIRSCHNER NITINOL SPINE SHARP,19.73,9.87,4.3,17.76,64
RC,0272,WIRE FIXATION KIRSCHNER SMOOTH ORTHOPEDIC,87.5,43.75,19.08,78.75,64
RC,0272,WIRE FIXATION KIRSCHNER STAINLESS STEEL 1.3 MM STANDARD OLIVE THREAD BABY GORILLA GORILLA PLATE SYSTEM,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION KIRSCHNER W/STOP AXIOM STERILE,98.0,49.0,21.37,88.2,64
RC,0272,WIRE FIXATION KRISCHNER 0.062IN DIA 9INL TROCHANTERIC TROCAR POINT STERILE,348.78,174.39,76.07,313.9,64
RC,0272,WIRE FIXATION LARGE NONSTERILE LATEX FREE DISPOSABLE OLIVE,157.21,78.61,34.29,141.49,64
RC,0272,WIRE FIXATION OD.035 IN L5 IN KIRSCHNER 2 END,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD.035 IN L5 IN KIRSCHNER PARTIAL THREAD,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD.035 IN L5 IN KIRSCHNER STANDARD,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD.045 IN L4 IN KIRSCHNER 2 TROCAR,29.0,14.5,6.32,26.1,64
RC,0272,WIRE FIXATION OD.045 IN L6 IN KIRSCHNER STAINLESS STEEL 2 END,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD.045 IN L6 IN KIRSCHNER STAINLESS STEEL PARTIAL THREAD,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD.045 IN L6 IN KIRSCHNER STANDARD,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD.062 IN L3 IN KIRSCHNER,57.56,28.78,12.55,51.8,64
RC,0272,WIRE FIXATION OD.062 IN L4.5 IN KIRSCHNER STAINLESS STEEL PARTIAL THREAD OLIVE,45.0,22.5,9.81,40.5,64
RC,0272,WIRE FIXATION OD.079 IN KIRSCHNER,40.0,20.0,8.72,36.0,64
RC,0272,WIRE FIXATION OD.6 MM L100 MM APTUS STAINLESS STEEL TROCAR 1.7 MM SCREW,23.38,11.69,5.1,21.04,64
RC,0272,WIRE FIXATION OD.6 MM L100 MM KIRSCHNER APTUS STAINLESS STEEL 1.7 2 TROCAR TIP,28.05,14.03,6.12,25.25,64
RC,0272,WIRE FIXATION OD.8 MM L100 MM KIRSCHNER APTUS STAINLESS STEEL TROCAR TIP,20.07,10.04,4.38,18.06,64
RC,0272,WIRE FIXATION OD.8 MM L70 MM KIRSCHNER STAINLESS STEEL TROCAR POINT,59.93,29.97,13.07,53.94,64
RC,0272,WIRE FIXATION OD.9 MM KIRSCHNER STAINLESS STEEL,15.0,7.5,3.27,13.5,64
RC,0272,WIRE FIXATION OD.9 MM L152 MM KIRSCHNER REDUCT 2 TOCAR HEADLESS COMPRESSION SCREW SYSTEM,25.0,12.5,5.45,22.5,64
RC,0272,WIRE FIXATION OD.9 MM L152 MM KIRSCHNER STANDARD TIP,24.0,12.0,5.23,21.6,64
RC,0272,WIRE FIXATION OD.9 MM L203 MM KIRSCHNER 1 TROCAR THREAD HAND NAIL SYSTEM,38.0,19.0,8.29,34.2,64
RC,0272,WIRE FIXATION OD0.8 MM L100 MM KIRSCHNER 2 END TROCAR NX NAIL SYSTEM,36.8,18.4,8.03,33.12,64
RC,0272,WIRE FIXATION OD1.1 MM L100 MM KIRSCHNER APTUS STAINLESS STEEL TROCAR TIP,20.07,10.04,4.38,18.06,64
RC,0272,WIRE FIXATION OD1.1 MM L120 MM KIRSCHNER,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD1.1 MM L152 MM KIRSCHNER STANDARD TIP,31.0,15.5,6.76,27.9,64
RC,0272,WIRE FIXATION OD1.2 MM L150 MM APTUS STAINLESS STEEL 1.2 MM TROCAR TIP,20.07,10.04,4.38,18.06,64
RC,0272,WIRE FIXATION OD1.2 MM L150 MM KIRSCHNER APTUS STAINLESS STEEL TROCAR TIP,19.9,9.95,4.34,17.91,64
RC,0272,WIRE FIXATION OD1.2 MM L230 MM PRECISION KIRSCHNER SMOOTH,42.0,21.0,9.16,37.8,64
RC,0272,WIRE FIXATION OD1.25 MM L200 MM KIRSCHNER STAINLESS STEEL TROCAR 4 MM SCREW,23.82,11.91,5.2,21.44,64
RC,0272,WIRE FIXATION OD1.25 MM L80 MM STAINLESS STEEL TROCAR TIP,23.16,11.58,5.05,20.84,64
RC,0272,WIRE FIXATION OD1.3 MM L550 MM KIRSCHNER ES2 NITINOL SPINE BLUNT,19.73,9.87,4.3,17.76,64
RC,0272,WIRE FIXATION OD1.3 MM PRECISION GUIDE OLIVE NAVICULOCUNEIFORM SMOOTH,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD1.4 MM BABY GORILLA OLIVE THREAD,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD1.4 MM GORILLA OLIVE SMOOTH,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD1.4 MM L100 MM KIRSCHNER EVOS TROCAR TIP,162.75,81.38,35.5,146.48,64
RC,0272,WIRE FIXATION OD1.4 MM L150 MM KIRSCHNER TROCAR BLUNT,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION OD1.4 MM L165 MM KIRSCHNER REDUCT 2 TOCAR HEADLESS COMPRESSION SCREW SYSTEM,25.0,12.5,5.45,22.5,64
RC,0272,WIRE FIXATION OD1.4 MM L203 MM KIRSCHNER 1 TROCAR THREAD HAND NAIL SYSTEM,34.0,17.0,7.42,30.6,64
RC,0272,WIRE FIXATION OD1.4 MM L9 IN KIRSCHNER LUXOR,74.16,37.08,16.17,66.74,64
RC,0272,WIRE FIXATION OD1.5 MM L127 MM KIRSCHNER STAINLESS STEEL GUIDE INTERNAL JOINT STABILIZER ELBOW SYSTEM,24.0,12.0,5.23,21.6,64
RC,0272,WIRE FIXATION OD1.6 MM BABY GORILLA/GORILLA PLATING SYSTEM OLIVE SMOOTH,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD1.6 MM L100 MM KIRSCHNER,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD1.6 MM L100 MM KIRSCHNER STAINLESS STEEL THREAD TIP MINI EXTERNAL FIXATOR,354.67,177.34,77.35,319.2,64
RC,0272,WIRE FIXATION OD1.6 MM L127 MM KIRSCHNER STAINLESS STEEL STANDARD TIP WRIST FOREARM SET,22.0,11.0,4.8,19.8,64
RC,0272,WIRE FIXATION OD1.6 MM L15 CM KIRSCHNER,13.0,6.5,2.84,11.7,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM CHARLOTTE STAINLESS STEEL 1 TROCAR MTP FUSION SYSTEM,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM KIRSCHNER APTUS STAINLESS STEEL LANCET TIP,18.93,9.47,4.13,17.04,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM KIRSCHNER APTUS STAINLESS STEEL TROCAR TIP,20.07,10.04,4.38,18.06,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM KIRSCHNER VARIAX STOP,78.61,39.31,17.14,70.75,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM L15 MM COMPRESSION THREAD,61.14,30.57,13.33,55.03,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM L25 MM LCP COMPRESSION THREAD,61.14,30.57,13.33,55.03,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM L30 MM LCP COMPRESSION THREAD,61.14,30.57,13.33,55.03,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM L35 MM LCP COMPRESSION THREAD,61.6,30.8,13.43,55.44,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM L40 MM LCP COMPRESSION THREAD,61.6,30.8,13.43,55.44,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM PEDILOC STAINLESS STEEL SMOOTH PEDIFRAG SYSTEM,20.92,10.46,4.56,18.83,64
RC,0272,WIRE FIXATION OD1.6 MM L150 MM TROCAR POINT,69.03,34.52,15.06,62.13,64
RC,0272,WIRE FIXATION OD1.6 MM L200 MM KIRSCHNER APTUS STAINLESS STEEL TROCAR TIP,20.38,10.19,4.44,18.34,64
RC,0272,WIRE FIXATION OD1.6 MM L229 MM KIRSCHNER THREAD TIP,45.0,22.5,9.81,40.5,64
RC,0272,WIRE FIXATION OD1.6 MM L230 MM KIRSCHNER,24.0,12.0,5.23,21.6,64
RC,0272,WIRE FIXATION OD1.6 MM L500 MM KIRSCHNER NITINOL BLUNT TIP,45.0,22.5,9.81,40.5,64
RC,0272,WIRE FIXATION OD1.6 MM L60 MM KIRSCHNER STAINLESS STEEL OLIVE,61.72,30.86,13.46,55.55,64
RC,0272,WIRE FIXATION OD1.6 MM L65 MM KIRSCHNER,14.0,7.0,3.05,12.6,64
RC,0272,WIRE FIXATION OD1.6 MM L80 CM SILVERBACK 7 MM LARGE OLIVE THREAD,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD1.7 MM 230 MM PRECISION KIRSCHNER SMOOTH 4 MM SCREW MIS BUNION SYSTEM,42.0,21.0,9.16,37.8,64
RC,0272,WIRE FIXATION OD1.8 MM BABY GORILLA/GORILLA PLATING SYSTEM OLIVE SMOOTH SHORT TIP,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD16 MM L92 MM SILVERBACK 7 MM LARGE HALF OLIVE THREAD,100.0,50.0,21.81,90.0,64
RC,0272,WIRE FIXATION OD2 MM L100 MM STAINLESS STEEL DRILL TIP,31.81,15.91,6.94,28.63,64
RC,0272,WIRE FIXATION OD2 MM L150 MM PEDILOC STAINLESS STEEL SMOOTH PEDIFRAG SYSTEM,21.72,10.86,4.74,19.55,64
RC,0272,WIRE FIXATION OD2 MM L150 MM STAINLESS STEEL DRILL TIP,31.81,15.91,6.94,28.63,64
RC,0272,WIRE FIXATION OD2 MM L152 MM KIRSCHNER STANDARD TIP,31.0,15.5,6.76,27.9,64
RC,0272,WIRE FIXATION OD2 MM L228 MM KIRSCHNER,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION OD2 MM L229 MM KIRSCHNER SPINE,247.0,123.5,53.87,222.3,64
RC,0272,WIRE FIXATION OD2 MM L350 MM KIRSCHNER STAINLESS STEEL B SPADE POINT,65.32,32.66,14.25,58.79,64
RC,0272,WIRE FIXATION OD2 MM L4 IN MOTOBAND CP DYNAFORCE KIRSCHNER,234.78,117.39,51.21,211.3,64
RC,0272,WIRE FIXATION OD2 MM L400 MM KIRSCHNER STAINLESS STEEL HELICOIDAL WITHOUT OLIVE,74.62,37.31,16.27,67.16,64
RC,0272,WIRE FIXATION OD2.2 MM L250 MM KIRSCHNER APTUS STAINLESS STEEL TROCAR TIP,20.8,10.4,4.54,18.72,64
RC,0272,WIRE FIXATION OD2.3 MM L230 MM KIRSCHNER 1 END TROCAR TIP THREAD,18.0,9.0,3.93,16.2,64
RC,0272,WIRE FIXATION OD2.3 MM L230 MM KIRSCHNER FLOURO BAND 1 END TROCAR POINT SMOOTH,70.0,35.0,15.27,63.0,64
RC,0272,WIRE FIXATION OD2.4 MM KIRSCHNER DRILL POINT,99.45,49.73,21.69,89.51,64
RC,0272,WIRE FIXATION OD2.4 MM L250 MM KIRSCHNER SALVATION MIDFOOT NAIL,45.77,22.89,9.98,41.19,64
RC,0272,WIRE FIXATION OD2.5 MM L150 MM KIRSCHNER,19.9,9.95,4.34,17.91,64
RC,0272,WIRE FIXATION OD2.5 MM L150 MM KIRSCHNER STAINLESS STEEL TROCAR POINT,69.03,34.52,15.06,62.13,64
RC,0272,WIRE FIXATION OD2.5 MM L270 MM DARCO KIRSCHNER LONG THREAD TIP HEAD,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION OD2.5 MM L270 MM KIRSCHNER,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L10 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L15 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L20 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L25 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L30 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L35 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L40 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L45 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L50 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L55 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM L60 MM ANKLE COMPRESSION THREAD,44.47,22.24,9.7,40.02,64
RC,0272,WIRE FIXATION OD2.8 MM L200 MM STAINLESS STEEL SPADE POINT,26.9,13.45,5.87,24.21,64
RC,0272,WIRE FIXATION OD3 MM L270 MM DARCO KIRSCHNER LONG THREAD TIP HEAD,20.9,10.45,4.56,18.81,64
RC,0272,WIRE FIXATION OD3.2 MM KIRSCHNER SHORT THREAD,65.0,32.5,14.18,58.5,64
RC,0272,WIRE FIXATION OD3.2 MM KIRSCHNER TROCAR TIP,40.0,20.0,8.72,36.0,64
RC,0272,WIRE FIXATION OD3.2 MM L400 MM KIRSCHNER DRILL TIP RECONSTRUCTION,136.32,68.16,29.73,122.69,64
RC,0272,WIRE FIXATION OD3.2 MM L400 MM KIRSCHNER THREAD RECONSTRUCTION,136.32,68.16,29.73,122.69,64
RC,0272,WIRE FIXATION OD3.2 MM L450 MM KIRSCHNER DRILL POINT THREAD,95.0,47.5,20.72,85.5,64
RC,0272,WIRE FIXATION PRECEPT KIRSCHNER NITINOL SPINE THREAD,23.0,11.5,5.02,20.7,64
RC,0272,WIRE FIXATION PRECEPT LONG BEVEL,62.4,31.2,13.61,56.16,64
RC,0272,WIRE K .045X5IN,17.0,8.5,3.71,15.3,64
RC,0272,WIRE K SINGLE END TROCAR TIP 1.1X152MM,46.4,23.2,10.12,41.76,64
RC,0272,WIRE KIRSCHNER FIXATION LEOS 1.6MM SMOOTH,72.0,36.0,15.7,64.8,64
RC,0272,WIRE NERVE STIMULATOR IO-FLEX STERILE LATEX FREE DISPOSABLE,23.25,11.63,5.07,20.93,64
RC,0272,WIRE ORTHOPEDIC 2.0 X 200 MM,225.2,112.6,49.12,202.68,64
RC,0272,WIRE ORTHOPEDIC KIRSCHNER OD1.6 MM KNEE,40.0,20.0,8.72,36.0,64
RC,0272,WIRE PACING MYO/WIRE KEITH L61 CM 1 ARM SNAP OFF 2-0 ATRIUM EPICARDIAL MYOCARDIUM L89 MM WHITE,363.0,181.5,79.17,326.7,64
RC,0272,WIRE PACING UNI-DIRECTIONAL 2-0 24INL 26MML/90MML STAINLESS STEEL 1/2 CIRCLE STRAIGHT SH/SKS-3 DOUBLE-ARM TAPER POINT REVERSE CUTTING LIGHT DARK BLUE TEMPORARY PACING WIRE TPW32 2 STRANDS/PK MULTIFILA,201.58,100.79,43.96,181.42,64
RC,0272,WIRE REDUCTION L150 MM THREAD TIP LARGE STOP OD1.25 MM STAINLESS STEEL,29.82,14.91,6.5,26.84,64
RC,0272,WIRE REDUCTION L150 MM THREAD TIP SMALL STOP OD1.25 MM STAINLESS STEEL,57.31,28.66,12.5,51.58,64
RC,0272,WIRE SPINAL FIXATION KIRSCHNER 2.4MM DIA 450MML SHARP TIP SI-LOK,28.0,14.0,6.11,25.2,64
RC,0272,WIRE SPINAL FIXATION KIRSCHNER SMALL NITINOL BEVELED PRECEPT,23.0,11.5,5.02,20.7,64
RC,0272,WIRE SUTURE DOUBLEWIRE CLOSURE,1649.0,824.5,359.65,1484.1,64
RC,0272,WIRE SUTURE L60.96 CM BEAD END OD.97 MM STAINLESS STEEL,85.66,42.83,18.68,77.09,64
RC,0272,WIRE SUTURE MYO/WIRE II L14 IN X W3 IN 2 MONOFILAMENT 6 1/2 CIRCLE CCS1 STAINLESS STEEL STERNOTOMY,1235.0,617.5,269.35,1111.5,64
RC,0272,WIRE SUTURE OD28 GA STAINLESS STEEL,76.62,38.31,16.71,68.96,64
RC,0272,WIRES LEAD NC-CHATTANOOGA CONTINUUM,24.05,12.03,5.25,21.65,64
RC,0272,WRAP ARTHROSCOPIC UNIVERSAL FOAM KNEE VELCRO STRAP W/4-6IN GEL POCKETX2 LATEX-FREE NON-STERILE,189.0,94.5,41.22,170.1,64
RC,0272,WRAP COOLING 10LB SHOULDER PREMIUM COMPRESSION W/O GEL BAG LATEX-FREE SCOTLAND ONLY,637.62,318.81,139.06,573.86,64
RC,0272,WRAP COOLING 8LB KNEE PREMIUM COMPRESSION W/O GEL BAG LATEX-FREE SCOTLAND ONLY,524.75,262.38,114.45,472.28,64
RC,0272,WRAP COOLING INSTANT HIP PREMIUM COMPRESSION W/O GEL BAG LATEX-FREE SCOTLAND ONLY,637.62,318.81,139.06,573.86,64
RC,0272,WRAP LARGE ARM SUPPORT ORTHOPEDIC ASIP SYSTEM,385.0,192.5,83.97,346.5,64
RC,0272,WRENCH EXTERNAL FIXATION 10 MM FLEXIBLE SALVATION FOOT ANKLE,317.41,158.71,69.23,285.67,64
RC,0272,WRENCH EXTERNAL FIXATION 10 MM NA,66.67,33.34,14.54,60.0,64
RC,0272,WRENCH PIPE 3INX24IN ALUM STR I-BEAM HNDL FUL FLTNG HOOK JAW,105.27,52.64,22.96,94.74,64
RC,0272,WRENCH SURGICAL 1 STEP INSERTION FEMUR,575.58,287.79,125.53,518.02,64
RC,0272,WRENCH SURGICAL 11 MM RATCHET,635.82,317.91,138.67,572.24,64
RC,0272,WRENCH SURGICAL 2 4 6 L HEX SET PACESETTER,15.75,7.88,3.44,14.18,64
RC,0272,WRENCH SURGICAL 23KHZ TORQUE ULTRASONIC ASPIRATOR CUSA EXCEL DISPOSABLE STERILE LATEX FREE,627.51,313.76,136.86,564.76,64
RC,0272,WRENCH SURGICAL 4.3 CM HEXAGON,45.0,22.5,9.81,40.5,64
RC,0272,WRENCH SURGICAL 4.5 MM L120 MM PIN,73.77,36.89,16.09,66.39,64
RC,0272,WRENCH SURGICAL 7.6CM LONG HEXAGON KIT PRECISION,40.0,20.0,8.72,36.0,64
RC,0272,WRENCH SURGICAL 8 MM 11 MM NA,228.34,114.17,49.8,205.51,64
RC,0272,WRENCH SURGICAL AUDIBLE TORQUE OASYS,66.98,33.49,14.61,60.28,64
RC,0272,WRENCH SURGICAL HEXAGON LEAD,14.85,7.43,3.24,13.37,64
RC,0272,WRENCH SURGICAL HEXAGON W11 MM SOCKET COMBINATION BLADE SCREW,309.31,154.66,67.46,278.38,64
RC,0272,WRENCH SURGICAL KIT TORQUE NEVRO DISPOSABLE STERILE LATEX FREE,40.0,20.0,8.72,36.0,64
RC,0272,WRENCH SURGICAL L4 IN TORQUE NA,55.0,27.5,12.0,49.5,64
RC,0272,WRENCH SURGICAL NEUROSTIMULATOR INFINITY IPG,40.0,20.0,8.72,36.0,64
RC,0272,WRENCH SURGICAL OD10 MM ILIZAROV,307.0,153.5,66.96,276.3,64
RC,0272,WRENCH SURGICAL OD11 MM ACROSS FLAT CANNULATED NA PEDIATRIC,691.05,345.53,150.72,621.95,64
RC,0272,WRENCH SURGICAL TORQUE 36KHZ STRAIGHT HANDPIECE CUSA EXCEL DISPOSABLE STERILE,627.51,313.76,136.86,564.76,64
RC,0272,WRENCH SURGICAL W7 MM ACROSS FLAT COMBINATION,438.12,219.06,95.55,394.31,64
RC,0272,XBRAID SIZE 2 BLUE BLACK MO-6 TAPER,468.0,234.0,102.07,421.2,64
RC,0272,YUKON SINGLE USE TAP 4.5 MM,135.0,67.5,29.44,121.5,64
RC,0274,BOOT POSTOPERATIVE SIZE 1 UNIVERSAL HOOK-LOOP CLOSURE ROOKE HFS,94.5,47.25,18.1,85.05,65
RC,0274,BOOT WALKING STANDARD SIZE 11-13 MALE 12-13.5 FEMALE LARGE FOOT ANKLE LOW-PROFILE ROCKER BOTTOM CLOSED HEEL PREMIERPRO TRACKER EX LATEX-FREE,83.27,41.64,15.95,74.94,65
RC,0278,70CC TAH KIT,149995.0,74997.5,28724.04,134995.5,65
RC,0278,ABUTMENT HEALING COCHLEAR VISTAFIX 3 TITANIUM FACIAL VXA300 BONE ANCHOR,572.7,286.35,109.67,515.43,65
RC,0278,ACCESSORY NEUROSTIMULATOR CONNECTOR PLUG DBS,300.0,150.0,57.45,270.0,65
RC,0278,ADAPTER NEUROSTIMULATOR S8 15CML SPINAL CORD F/STIMULATION SYSTEM PRECISION M365SC920815E0 STERILE,1090.0,545.0,208.74,981.0,65
RC,0278,ADAPTER VENTILATOR Y OD37 FR AVALUS 37FRC-8641-1,5720.0,2860.0,1095.38,5148.0,65
RC,0278,ALLOGRAFT BONE MATCHSTICK,602.0,301.0,115.28,541.8,65
RC,0278,ALLOGRAFT CORNEAL TISSUE,950.0,475.0,181.93,855.0,65
RC,0278,ANCHOR FIBERWIRE CORKSCREW 0 2 NEEDLE SUTURE,5250.0,2625.0,1005.38,4725.0,65
RC,0278,ANCHOR ICONIX 1 FORCE FIBER POLYESTER 2 2 STRAND SUTURE,390.89,195.45,74.86,351.8,65
RC,0278,ANCHOR LEAD CLIK X 4CM SETX2,200.0,100.0,38.3,180.0,65
RC,0278,ANCHOR NEUROSTIMULATOR LEAD SPINAL CORD MECHANICAL LOCKING IMPLANTABLE PULSE GENERATOR SWIFT-LOCK NON-RADIOLUCENT,135.0,67.5,25.85,121.5,65
RC,0278,ANCHOR SUTURE 14.5MM 2 SUTURETAK FIBERWIRE BIOCOMPOSITE STERILE DISPOSABLE,1600.0,800.0,306.4,1440.0,65
RC,0278,AUGMENT FEMORAL 10MM TRIATHLON 2 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,858.8,429.4,164.46,772.92,65
RC,0278,AUGMENT FEMORAL 5MM TRIATHLON 3 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
RC,0278,AUGMENT FEMORAL 5MM TRIATHLON 4 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
RC,0278,AUGMENT FEMORAL 5MM TRIATHLON 4 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
RC,0278,AUGMENT FEMORAL 5MM TRIATHLON 5 KNEE LEFT TOTAL STABILIZE,817.6,408.8,156.57,735.84,65
RC,0278,AUGMENT FEMORAL 5MM TRIATHLON 5 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE,817.6,408.8,156.57,735.84,65
RC,0278,AUGMENT TIBIAL 10MM TRIATHLON 3 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
RC,0278,AUGMENT TIBIAL 10MM TRIATHLON 4 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,765.6,382.8,146.61,689.04,65
RC,0278,AUGMENT TIBIAL 5MM TRIATHLON 3 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
RC,0278,AUGMENT TIBIAL 5MM TRIATHLON 3 RIGHT MEDIAL LEFT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
RC,0278,AUGMENT TIBIAL 5MM TRIATHLON 5 LEFT MEDIAL RIGHT LATERAL TOTAL STABILIZE STERILE LATEX FREE,783.6,391.8,150.06,705.24,65
RC,0278,BAND ANNULOPLASTY 26MM CG FUTURE EYELET DESIGN CROSS SECTIONAL PROFILE ALLOY STIFFENER,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 28MM CG FUTURE HOLDER EYELET DESIGN CROSS SECTIONAL PROFILE STIFFENER,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 28MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 29MM DIA SILICONE BARIUM SULFATE POLYESTER MITRAL VALVE W/HOLDER CHORDAL GUIDE DURAN ANCORE 620B MRI-CONDITIONAL NON-PYROGENIC STERILE DISPOSABLE,1345.0,672.5,257.57,1210.5,65
RC,0278,BAND ANNULOPLASTY 30MM CG FUTURE FLEXIBLE LOW PROFILE EYELET COMPOSITE,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 30MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 31MM DIA SILICONE BARIUM SULFATE POLYESTER MITRAL VALVE W/HOLDER CHORDAL GUIDE DURAN ANCORE 620B MRI-CONDITIONAL NON-PYROGENIC STERILE DISPOSABLE,1345.0,672.5,257.57,1210.5,65
RC,0278,BAND ANNULOPLASTY 32MM CG FUTURE EYELET DESIGN CROSS SECTIONAL PROFILE ALLOY STIFFENER 638,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 32MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 33MM DIA SILICONE BARIUM SULFATE POLYESTER MITRAL VALVE W/HOLDER CHORDAL GUIDE DURAN ANCORE 620B MRI-CONDITIONAL NON-PYROGENIC STERILE DISPOSABLE,1345.0,672.5,257.57,1210.5,65
RC,0278,BAND ANNULOPLASTY 34MM CG FUTURE FLEXIBLE LOW PROFILE EYELET COMPOSITE MODEL 638B,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 34MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 34MM TRI-AD TRICUSPID VALVE MODEL 900SFC,2125.0,1062.5,406.94,1912.5,65
RC,0278,BAND ANNULOPLASTY 36MM CG FUTURE FLEXIBLE LOW PROFILE EYELET COMPOSITE MODEL 638B,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 36MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 38MM CG FUTURE FLEXIBLE LOW PROFILE EYELET COMPOSITE MODEL 638B,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 38MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY 40MM POLYESTER MITRAL/TRICUSPID VALVE SIMUPLUS MRI-SAFE 1/EA,2095.0,1047.5,401.19,1885.5,65
RC,0278,BAND ANNULOPLASTY FLEXIBLE SURE LOCK DELIVERY SYSTEM PRECUT C OD25 MM SJM TAILOR SILICONE,1723.0,861.5,329.95,1550.7,65
RC,0278,BAND ANNULOPLASTY FLEXIBLE SURE LOCK DELIVERY SYSTEM PRECUT C OD27 MM SJM TAILOR SILICONE,1723.0,861.5,329.95,1550.7,65
RC,0278,BAND ANNULOPLASTY FLEXIBLE SURE LOCK DELIVERY SYSTEM PRECUT C OD29 MM SJM TAILOR SILICONE,1723.0,861.5,329.95,1550.7,65
RC,0278,BAND ANNULOPLASTY FLEXIBLE SURE LOCK DELIVERY SYSTEM PRECUT C OD31 MM SJM TAILOR SILICONE,1723.0,861.5,329.95,1550.7,65
RC,0278,BAND ANNULOPLASTY FLEXIBLE SURE LOCK DELIVERY SYSTEM PRECUT C OD33 MM SJM TAILOR SILICONE,1723.0,861.5,329.95,1550.7,65
RC,0278,BAND ANNULOPLASTY FLEXIBLE SURE LOCK DELIVERY SYSTEM PRECUT C OD35 MM SJM TAILOR SILICONE,1723.0,861.5,329.95,1550.7,65
RC,0278,BAND ANNULOPLASTY SIZE 26MM F/2.0 ADAMS TRICUSPID REPAIR TRI-AD,2125.0,1062.5,406.94,1912.5,65
RC,0278,BAND ANNULOPLASTY SIZE 28MM F/2.0 ADAMS TRICUSPID REPAIR TRI-AD,2125.0,1062.5,406.94,1912.5,65
RC,0278,BAND ANNULOPLASTY SIZE 30MM F/2.0 ADAMS TRICUSPID REPAIR TRI-AD,2125.0,1062.5,406.94,1912.5,65
RC,0278,BAND ANNULOPLASTY SIZE 32MM F/2.0 ADAMS TRICUSPID REPAIR TRI-AD,2125.0,1062.5,406.94,1912.5,65
RC,0278,BAND ANNULOPLASTY SIZE 36MM F/2.0 ADAMS TRICUSPID REPAIR TRI-AD,2125.0,1062.5,406.94,1912.5,65
RC,0278,BAR INTERNAL FIXATION 10.5IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
RC,0278,BAR INTERNAL FIXATION 10IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
RC,0278,BAR INTERNAL FIXATION 11.5IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
RC,0278,BAR INTERNAL FIXATION 9.5IN TITANIUM PREBENT PECTUS BLU,4980.0,2490.0,953.67,4482.0,65
RC,0278,BAR INTERNAL FIXATION STABILIZER OFFSET PECTUS BLU,3480.0,1740.0,666.42,3132.0,65
RC,0278,BAR PECTUS L11 IN PREBENT PECTUS BLU TITANIUM,4980.0,2490.0,953.67,4482.0,65
RC,0278,BAR PECTUS L12 IN PECTUS BLU TITANIUM,4980.0,2490.0,953.67,4482.0,65
RC,0278,BAR SPINAL ATLAS FLAT TITANIUM FLAT,30.0,15.0,5.75,27.0,65
RC,0278,BAR SUPPORT L8 IN ROUND END BLUNT EDGE PECTUS STAINLESS STEEL PECTUS,1971.0,985.5,377.45,1773.9,65
RC,0278,BARRIER ADHESION 5X3IN 1 SITE SHEET SEPRAFILM,1159.0,579.5,221.95,1043.1,65
RC,0278,BARRIER ADHESION 5X3IN BIORESORBABLE 6 SHEET DEHP FREE SEPRAFILM SODIUM HYALURONATE CARBOXYMETHYLCELLULOSE ABDOMEN PELVIS STERILE LATEX FREE,4698.93,2349.47,899.85,4229.04,65
RC,0278,BARRIER ADHESION 6X5IN BIORESORBABLE 1 SHEET DEHP FREE SEPRAFILM SODIUM HYALURONATE CARBOXYMETHYLCELLULOSE ABDOMEN PELVIS STERILE LATEX FREE,3841.74,1920.87,735.69,3457.57,65
RC,0278,BLOCK AUGMENTATION NEXGEN 3 H10 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
RC,0278,BLOCK AUGMENTATION NEXGEN 4 H10 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL TIVANIUM PMMA,1358.0,679.0,260.06,1222.2,65
RC,0278,BOLT SPINAL L40 MM LARGE PLATE OD5.5 MM DECADE EXTREME LATERAL INTERBODY FUSION,500.0,250.0,95.75,450.0,65
RC,0278,BOLT SPINAL L50 MM PLATE OD5.5 MM XLP TITANIUM LATERAL,500.0,250.0,95.75,450.0,65
RC,0278,BUTTON GASTROSTOMY 10FR DIA 2.5CML TUBE SILICONE F/ANTEGRADE ENEMA MINIACE,260.0,130.0,49.79,234.0,65
RC,0278,BUTTON GASTROSTOMY REPLACEMENT 18FR DIA 1.7CML STOMA SILICONE LOW-PROFILE ANTI-REFLUX VALVE W/STRAIGHT ADAPTER LATEX-FREE STERILE,200.0,100.0,38.3,180.0,65
RC,0278,BUTTON GASTROSTOMY REPLACEMENT 24FR 4.4CM SILICONE LOW-PROFILE ENDOVIVE NON-RADIOLUCENT,118.2,59.1,22.64,106.38,65
RC,0278,BUTTON GASTROSTOMY REPLACEMENT 24FR DIA 1.7CML STOMA SILICONE LOW-PROFILE ENDOVIVE ENFIT NON-RADIOLUCENT SINGLE-USE,124.11,62.06,23.77,111.7,65
RC,0278,BUTTON SEPTAL 2 PART NA NASAL,199.37,99.69,38.18,179.43,65
RC,0278,BUTTON SEPTAL 3CML NASAL HOOD,179.0,89.5,34.28,161.1,65
RC,0278,BUTTON SEPTAL 4CML NASAL HOOD,195.0,97.5,37.34,175.5,65
RC,0278,BUTTON SEPTAL SILICONE NASAL,243.1,121.55,46.55,218.79,65
RC,0278,CABLE SPINAL ATLAS SONGER TITANIUM 1 INTEGRAL CRIMP,141.15,70.58,27.03,127.04,65
RC,0278,CABLE SPINAL ATLAS SONGER TITANIUM 2 INTEGRAL CRIMP,141.15,70.58,27.03,127.04,65
RC,0278,CABLE SPINAL ATLAS STAINLESS STEEL DBL CBL WINTGL CRMPSS 825-012 STERILE LATEX FREE DISPOSABLE,146.23,73.12,28.0,131.61,65
RC,0278,CABLE SPINAL ATLAS TITANIUM INTEGRAL BAR CRIMP,49.5,24.75,9.48,44.55,65
RC,0278,CAGE PEEK RIGEL 10D 14X12X7MM,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL 14MM X 12MM X 7MM PEEK CERVICAL 6DEG RIGEL,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL 9.5MMW X 22MML X 7-9MMH TITANIUM LUMBAR 6DEG LORDOTIC 3-DIMENSIONAL TIRBOLOX,2500.0,1250.0,478.75,2250.0,65
RC,0278,CAGE SPINAL ANATOMIC W16 MM X H7 MM D14 MM PEEK RADIOPAQUE CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL BRIGADE L34 MM X W24 MM X H6 MM 20 D TITANIUM,3000.0,1500.0,574.5,2700.0,65
RC,0278,CAGE SPINAL BRIGADE L38 MM X W28 MM X H8 MM 20 D TITANIUM 7502102,3000.0,1500.0,574.5,2700.0,65
RC,0278,CAGE SPINAL CASCADIA L12 MM X W14 MM X H6 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L12 MM X W14 MM X H7 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L12 MM X W14 MM X H8 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L12 MM X W14 MM X H9 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L13 MM X W16 MM X H10 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L13 MM X W16 MM X H6 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L13 MM X W16 MM X H7 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L13 MM X W16 MM X H8 MM 7 D TITANIUM POROUS CERVICAL INTERBODY FUSION,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L13 MM X W16 MM X H9 MM 7 D CERVICAL,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL CASCADIA L28 MM X W10 MM X H10 MM 7 D TITANIUM POROUS TLIF,1950.0,975.0,373.43,1755.0,65
RC,0278,CAGE SPINAL CASCADIA L28 MM X W10 MM X H7 MM 7 D TITANIUM POROUS TLIF,1950.0,975.0,373.43,1755.0,65
RC,0278,CAGE SPINAL COROENT L25 MM X W11 MM X H10 MM 8 D LARGE CONTOUR PEEK LUMBAR INTERBODY FUSION,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT L25 MM X W9 MM X H12 MM 8 D LARGE CONTOUR PEEK LUMBAR INTERBODY FUSION,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT L30 MM X W10 MM X H11 MM 12 D TITANIUM ANTERIOR TLIF,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT L30 MM X W11 MM X H12 MM 12 D TITANIUM ANTERIOR TLIF 5221302,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT L30 MM X W8 MM X H11 MM 12 D TITANIUM ANTERIOR TLIF,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT L30 MM X W8 MM X H11 MM 8 D TITANIUM ANTERIOR TLIF,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT L30 MM X W9 MM X H11 MM 12 D TITANIUM ANTERIOR TLIF,1560.0,780.0,298.74,1404.0,65
RC,0278,CAGE SPINAL COROENT S4 SMALL CONTOUR PEEK,600.0,300.0,114.9,540.0,65
RC,0278,CAGE SPINAL MOJAVE L24 MM X W11 MM X H9-12 MM CONVEX SET SCREW EXPAND,4000.0,2000.0,766.0,3600.0,65
RC,0278,CAGE SPINAL PYRAMESH L14 MM X W10 MM X H70 MM OVOID TITANIUM MESH LUMBAR INTERBODY FUSION,1237.5,618.75,236.98,1113.75,65
RC,0278,CAGE SPINAL PYRAMESH L17 MM X W13 MM X H13 MM OVOID TITANIUM MESH LUMBAR INTERBODY FUSION,598.2,299.1,114.56,538.38,65
RC,0278,CAGE SPINAL TLX L31 MM X W11 MM X H8 MM 15 D,4000.0,2000.0,766.0,3600.0,65
RC,0278,CANNULA PERFUSION 15FR 17IN 3/8IN VENT CONNECTOR KINK RESISTANT ELONGATE ADULT BIO-MEDICUS FEMORAL ARTERY 7.1IN,278.06,139.03,53.25,250.25,65
RC,0278,CAP END 0 MM T25 HUMERAL EXTEND SPIRAL BLADE GOLD TITANIUM,110.7,55.35,21.2,99.63,65
RC,0278,CAP END 0 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT TITANIUM,124.0,62.0,23.75,111.6,65
RC,0278,CAP END 0MM SET INTERNAL HEX INTRAMEDULLARY NAIL TITANIUM TRIGEN DISPOSABLE,123.12,61.56,23.58,110.81,65
RC,0278,CAP END 0MM T40 EXTEND LOCK STARDRIVE CANNULATED INTRAMEDULLARY NAIL SYSTEM TITANIUM STERILE EXPERT GOLD,184.81,92.41,35.39,166.33,65
RC,0278,CAP END 0MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM NONSTERILE,137.51,68.76,26.33,123.76,65
RC,0278,CAP END 0MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE EXPERT TITANIUM NONSTERILE GOLD,124.0,62.0,23.75,111.6,65
RC,0278,CAP END 10 MM T25 HUMERAL STARDRIVE GOLD TITANIUM EXPERT,110.7,55.35,21.2,99.63,65
RC,0278,CAP END 10 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GOLD TITANIUM EXPERT,174.25,87.13,33.37,156.83,65
RC,0278,CAP END 10 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT TITANIUM,174.25,87.13,33.37,156.83,65
RC,0278,CAP END 10 MM TROCHANTERIC EXTEND CANNULATED GREEN TITANIUM FIXATION NAIL,138.67,69.34,26.56,124.8,65
RC,0278,CAP END 10MM INTRAMEDULLARY NAIL TITANIUM TRIGEN 10MM,123.12,61.56,23.58,110.81,65
RC,0278,CAP END 15 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GOLD TITANIUM EXPERT,174.25,87.13,33.37,156.83,65
RC,0278,CAP END 15 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT EXPERT NAIL,174.25,87.13,33.37,156.83,65
RC,0278,CAP END 20MM T40 FEMORAL EXTENSION SELF RETAIN CANNULATED STARDRIVE INTRAMEDULLARY NAIL TITANIUM NONSTERILE 12MM,137.51,68.76,26.33,123.76,65
RC,0278,CAP END 5 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GOLD TITANIUM EXPERT,174.25,87.13,33.37,156.83,65
RC,0278,CAP END 5 MM T40 TIBIAL EXTENSION CANNULATED STARDRIVE GRAY TITANIUM EXPERT EXPERT NAIL,174.25,87.13,33.37,156.83,65
RC,0278,CAP END 5 MM TROCHANTERIC CANNULATED EXTENSION GREEN TITANIUM,182.74,91.37,34.99,164.47,65
RC,0278,CAP END 5 MM TROCHANTERIC EXTEND CANNULATED GREEN TITANIUM FIXATION NAIL,138.67,69.34,26.56,124.8,65
RC,0278,CAP END 5MM SET INTERNAL HEX INTRAMEDULLARY NAIL TITANIUM TRIGEN DISPOSABLE,123.12,61.56,23.58,110.81,65
RC,0278,CAP END CANNULATED EXTENSION GREEN TITANIUM L0 MM TROCHANTERIC FIXATION NAIL,182.74,91.37,34.99,164.47,65
RC,0278,CAP END FOOT ANKLE NAIL VALOR,231.84,115.92,44.4,208.66,65
RC,0278,CAP END STANDARD 5+ MM STERILE T2 11.5MM,141.78,70.89,27.15,127.6,65
RC,0278,CAP END STANDARD FEMORAL TIBIAL T2 INTRAMEDULLARY NAIL STERILE 8MM,141.78,70.89,27.15,127.6,65
RC,0278,CAP END T25 GOLD TITANIUM EXPERT HINDFOOT ARTHRODESIS SECURE SPIRAL BLADE,188.99,94.5,36.19,170.09,65
RC,0278,CAP END T25 STARDRIVE TITANIUM HINDFOOT ARTHRODESIS,188.99,94.5,36.19,170.09,65
RC,0278,CAP LEAD BK-IS BKIS SOLIA S,25.0,12.5,4.79,22.5,65
RC,0278,CAP LEAD L35 MM 1.2-1.8-2.4 MM SEAL OD5.3 MM BK-N SILICONE,25.0,12.5,4.79,22.5,65
RC,0278,CAP LEAD SMALL TERMINAL DF4 IS-1 DF-1,25.0,12.5,4.79,22.5,65
RC,0278,CAP LEAD TERMINAL SJM,20.25,10.13,3.88,18.23,65
RC,0278,CAP LOCKING MALIBU NONSTERILE LATEX FREE,30.0,15.0,5.75,27.0,65
RC,0278,CATHETER 8FR 115CM 3.5MM 1-6-2MM SPACE D CURVE BIDIRECTIONAL THERMOCOUPLE SMARTTOUCH THERMOCOOL ABLATION,3046.0,1523.0,583.31,2741.4,65
RC,0278,CATHETER ABLATION UNIDIRECTIONAL THERMOCOUPLE SMARTTOUCH THERMOCOOL CARTO 3 3.5 MM F CURVE L115 CM OD8 FR,3046.0,1523.0,583.31,2741.4,65
RC,0278,CATHETER BALLOON DILATATION OD7.5 FR MEGA 40 CC,994.26,497.13,190.4,894.83,65
RC,0278,CATHETER HEMODIALYSIS 28FR 34CM CRESCENT 2 LUMEN CONNECTOR RADIOPAQUE INFUSION PORT 3/8IN JUGULAR STERILE,2475.0,1237.5,473.96,2227.5,65
RC,0278,CATHETER HEMODIALYSIS 30FR 34CM CRESCENT 2 LUMEN CONNECTOR RADIOPAQUE INFUSION PORT 3/8IN JUGULAR STERILE,2475.0,1237.5,473.96,2227.5,65
RC,0278,CATHETER HEMODIALYSIS OD24 FR L30 CM CRESCENT 3/8 IN 2 LUMEN CONNECTOR RADIOPAQUE INFUSION PORT JUGULAR,2475.0,1237.5,473.96,2227.5,65
RC,0278,CATHETER HEMODIALYSIS OD26 FR L30 CM CRESCENT 3/8 IN 2 LUMEN CONNECTOR RADIOPAQUE INFUSION PORT JUGULAR,2475.0,1237.5,473.96,2227.5,65
RC,0278,CATHETER SHUNT UNITIZED HAKIM RICKHAM LATEX-FREE,1618.72,809.36,309.98,1456.85,65
RC,0278,CATHETER VENTRICULAR DRAINAGE 4CML BARIUM IMPREGNATED STYLET RIGHT ANGLED STANDARD HOLE,230.0,115.0,44.05,207.0,65
RC,0278,CEMENT BONE CRANIOS 10ML REINFORCED FAST SET PUTTY STERILE,3112.0,1556.0,595.95,2800.8,65
RC,0278,CEMENT BONE CRANIOS REINFORCED CALCIUM PHOSPHATE 5CC FAST SET PUTTY MOLDABLE BIOCOMPATIBLE CRACK RESISTANT STERILE,1583.5,791.75,303.24,1425.15,65
RC,0278,CENTRALIZER STEM RECONSTRUCTION OD11 MM INVIS PMMA HIP FEMUR,91.5,45.75,17.52,82.35,65
RC,0278,CENTRALIZER STEM RECONSTRUCTION OD13 MM INVIS PMMA HIP FEMUR,91.5,45.75,17.52,82.35,65
RC,0278,CHIPS BONE GRAFT 1-10MM 15ML CANCELLOUS FREEZE-DRIED,225.0,112.5,43.09,202.5,65
RC,0278,CHIPS BONE GRAFT 1.7-10MM CANCELLOUS 30ML FREEZE-DRIED GRAFTON,400.0,200.0,76.6,360.0,65
RC,0278,CHIPS BONE GRAFT ALLOGRAFT 4-10MM CORTICAL CANCELLOUS 30ML CRUSHED GRAFTECH,400.0,200.0,76.6,360.0,65
RC,0278,CHIPS BONE GRAFT ALLOGRAFT SPONGE 1-8MM CANCELLOUS DEMINERALIZED BONE MATRIX 10ML VESUVIUS,867.7,433.85,166.16,780.93,65
RC,0278,CHIPS BONE GRAFT SUBSTITUTE 1.7-10MM DIA CANCELLOUS 90ML FREEZE-DRIED MORSELIZED STERILE SINGLE-USE,1035.0,517.5,198.2,931.5,65
RC,0278,CHIPS BONE GRAFT VOID FILLER 1-5MM DIA CANCELLOUS 5ML FREEZE-DRIED MILLED MORSELIZED STERILE SINGLE-USE,197.1,98.55,37.74,177.39,65
RC,0278,CHIPS BONE GRAFT VOID FILLER 1.7-10MM 50% CORTICAL/ CANCELLOUS 30ML FREEZE-DRIED CRUSHED,345.0,172.5,66.07,310.5,65
RC,0278,CHIPS BONE GRAFT VOID FILLER 4-10MM 80% CANCELLOUS 20% CORTICAL 45ML COARSE FROZEN STERILE SPIERINGS,999.11,499.56,191.33,899.2,65
RC,0278,CHIPS BONE GRAFT VOID FILLER 4-10MM 80% CANCELLOUS 20% CORTICAL 90ML COARSE FROZEN STERILE SPIERINGS,1789.0,894.5,342.59,1610.1,65
RC,0278,CHIPS BONE GRAFT VOID FILLER 4-10MM CANCELLOUS 60ML PRESERVON CRUSHED READIGRAFT LATEX-FREE STERILE,615.0,307.5,117.77,553.5,65
RC,0278,CHIPS BONE GRAFT VOID FILLER 4-10MM CANCELLOUS 90ML PRESERVON CRUSHED READIGRAFT LATEX-FREE STERILE,894.83,447.42,171.36,805.35,65
RC,0278,CLAMP TUBE 11MM CRANIOFIX2 CRANIAL FLAP TITANIUM ATRAUMATIC LOW PROFILE STERILE,1347.75,673.88,258.09,1212.98,65
RC,0278,CLIP ANEURYSM 1 6.5 MM OPEN STANDARD L7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,311.85,155.93,59.72,280.67,65
RC,0278,CLIP ANEURYSM 1.5 MM OPEN MICRO CURVE L2 MM TITANIUM AESCULAP 50-70 GM AVM,277.44,138.72,53.13,249.7,65
RC,0278,CLIP ANEURYSM 1.5 MM OPEN STRAIGHT MICRO L2 MM TITANIUM AESCULAP 50-70 GM AVM,266.73,133.37,51.08,240.06,65
RC,0278,CLIP ANEURYSM 1.7 MM OPEN MICRO CURVE L3 MM TITANIUM AESCULAP 50-70 GM AVM,277.44,138.72,53.13,249.7,65
RC,0278,CLIP ANEURYSM 1.7 MM OPEN STRAIGHT MICRO L3 MM TITANIUM AESCULAP 50-70 GM AVM,266.73,133.37,51.08,240.06,65
RC,0278,CLIP ANEURYSM 10 11 MM OPEN STANDARD L12 MM ELGILOY SUGITA 2 COIL WIDE OPEN SPRING,311.85,155.93,59.72,280.67,65
RC,0278,CLIP ANEURYSM 10 MM OPEN LARGE ANGLE L10 MM ELGILOY SUGITA DEFLECT FENESTRATE MRI SAFE,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 10 MM OPEN LARGE SLIGHT CURVE L14 MM ELGILOY SUGITA,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 11 11 MM OPEN LARGE STANDARD L12 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,270.0,135.0,51.71,243.0,65
RC,0278,CLIP ANEURYSM 11 7 MM OPEN LARGE SHORT ELGILOY SUGITA FENESTRATE CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 11 MM OPEN LARGE SHORT STRAIGHT L12 MM ELGILOY SUGITA TEMPORARY MRI SAFE,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 11 MM STANDARD SLIGHT CURVE L11 MM TITANIUM 2 SUGITA TEMPORARY,504.0,252.0,96.52,453.6,65
RC,0278,CLIP ANEURYSM 12 11 MM OPEN LARGE STANDARD L12 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 12 MM OPEN LARGE LONG STRAIGHT L12 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING OD3.5 MM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 13 11 MM OPEN LARGE STANDARD L10 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING CEREBRAL BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 14 13 MM OPEN LARGE STANDARD L12 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 14 13 MM OPEN LARGE STANDARD L15 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 144 9 MM OPEN L3 MM TITANIUM 2 SUGITA PERMANENT FENESTRATE STRAIGHT BLADE SERRATE GRIP SURFACE,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM 145 10 MM OPEN L4 MM TITANIUM 2 SUGITA PERMANENT FENESTRATE STRAIGHT BLADE SERRATE GRIP SURFACE,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM 15 MM OPEN L15 MM TITANIUM SUGITA TEMPORARY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 17 12 MM OPEN LARGE STANDARD L18 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,270.0,135.0,51.71,243.0,65
RC,0278,CLIP ANEURYSM 18 14 MM OPEN LARGE LONG L18 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 2 8 MM OPEN STANDARD L10 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,450.0,225.0,86.18,405.0,65
RC,0278,CLIP ANEURYSM 20 8 MM OPEN LARGE STANDARD L5 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,327.44,163.72,62.7,294.7,65
RC,0278,CLIP ANEURYSM 21 8 MM LARGE STANDARD L7.5 MM X W8 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,327.44,163.72,62.7,294.7,65
RC,0278,CLIP ANEURYSM 22 8 MM OPEN LARGE ELGILOY SUGITA CEREBRAL,270.0,135.0,51.71,243.0,65
RC,0278,CLIP ANEURYSM 25 8 MM OPEN LARGE STANDARD L9 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING CEREBRAL BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 26 10 MM OPEN WIDE STRAIGHT L6 MM ELGILOY SUGITA 2 COIL STRUCTURE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 27 11 MM OPEN L9 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD3.5 MM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 29 10 MM OPEN L6 MM ELGILOY COBALT SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD5 MM,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 2MM 3 MICRO BLADE AVM NONSTERILE LATEX FREE,565.77,282.89,108.34,509.19,65
RC,0278,CLIP ANEURYSM 3 8 MM OPEN STANDARD L7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,270.0,135.0,51.71,243.0,65
RC,0278,CLIP ANEURYSM 3.2 MM OPEN MINI STANDARD L3/6.9 MM TITANIUM YASARGIL PERMANENT FENESTRATE THIN BLADE OD3.5 MM,556.1,278.05,106.49,500.49,65
RC,0278,CLIP ANEURYSM 3.6 MM OPEN MINI SLIGHT CURVE L4 MM TITANIUM YASARGIL PERMANENT SPRING BLADE CEREBRAL SILVER VIOLET,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 3.8 MM OPEN MINI L4.7 MM TITANIUM YASARGIL PERMANENT MR CONDITIONAL SPRING BLADE CEREBRAL SILVER VIOLET,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 3.9MM MINI 3.5MM OPENING SLIGHTLY CURVED PERMANENT YASARGIL TITANIUM CEREBRAL STERILE LATEX FREE DISPOSABLE,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 30 11 MM OPEN L9 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD5 MM,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 31 12 MM OPEN L12 MM ELGILOY COBALT SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD5 MM,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 32 8 MM OPEN LARGE L5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD3.5 MM,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 33 9 MM OPEN LARGE L7.5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD3.5 MM,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 34 10 MM OPEN LARGE L10 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD3.5 MM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 35 8 MM OPEN LARGE L5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD5 MM,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 36 9 MM OPEN LARGE L7.5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD5 MM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 37 10 MM OPEN LARGE L10 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 39 6.5 MM LARGE L7.5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRUM,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 3MM 2MM GRAFT BLADE CODMAN SLIM-LINE MP35N NONSTERILE LATEX FREE,1051.44,525.72,201.35,946.3,65
RC,0278,CLIP ANEURYSM 3MM 3.5MM GRAFT BLADE CODMAN SLIM-LINE MP35N NONSTERILE LATEX FREE,597.55,298.78,114.43,537.8,65
RC,0278,CLIP ANEURYSM 3MM 3MM GRAFT BLADE CODMAN SLIM-LINE MP35N NONSTERILE LATEX FREE,1051.44,525.72,201.35,946.3,65
RC,0278,CLIP ANEURYSM 4 7 MM OPEN STANDARD L8 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 4 MICRO L3 MM BLADE,565.77,282.89,108.34,509.19,65
RC,0278,CLIP ANEURYSM 4 MM OPEN MINI CURVE L5 MM TITANIUM YASARGIL TEMPORARY SPRING BLADE CEREBRAL GOLD VIOLET,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 4 MM OPEN MINI CURVE L6.7 MM ELGILOY SUGITA,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 4.4 MM OPEN MINI L6.6 MM TITANIUM YASARGIL PERMANENT MR CONDITIONAL SPRING BLADE CEREBRAL SILVER VIOLET,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 40 6.5 MM OPEN LARGE L10 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD3.5 MM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 41 8 MM OPEN LARGE L5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE ATYPICAL BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 42 8 MM OPEN LARGE L7.5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE ATYPICAL BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 43 8 MM OPEN LARGE L10 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL OD5 MM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 44 9 MM OPEN LARGE L5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 45 10 MM OPEN LARGE L7.5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 45 D 47 8 MM OPEN LARGE L5 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 45 D 48 9 MM LARGE L7.5 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING CEREBRUM BRAIN SURGERY,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 45 D 49 10 MM OPEN LARGE ELGILOY SUGITA CEREBRAL,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 46 11 MM OPEN LARGE L10 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRUM,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 4MM 5 MICRO BLADE AVM NONSTERILE LATEX FREE,565.77,282.89,108.34,509.19,65
RC,0278,CLIP ANEURYSM 5 8 MM OPEN STANDARD L8 MM ELGILOY SUGITA 2 COIL WIDE OPEN SPRING,327.44,163.72,62.7,294.7,65
RC,0278,CLIP ANEURYSM 5 MM OPEN MINI BAYONET L5 MM ELGILOY SUGITA 2 COIL MRI SAFE CEREBRAL BRAIN SURGERY,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 5.5 MM OPEN STANDARD L5 MM TITANIUM YASARGIL PERMANENT FENESTRATE CEREBRAL OD3.5 MM,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 5.7 MM OPEN STANDARD L7 MM TITANIUM YASARGIL PERMANENT MR CONDITIONAL SPRING BLADE CEREBRAL BLUE SILVER,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 5.8 MM L3 MM TITANIUM YASARGIL ULTRASHORT FENESTRATE CEREBRAL L6.3 MM OD3.5 MM,467.9,233.95,89.6,421.11,65
RC,0278,CLIP ANEURYSM 51 4 MM OPEN STANDARD L7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING TEMPORARY BRAIN SURGERY,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 52 5.5 MM OPEN STANDARD L10 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING TEMPORARY BRAIN SURGERY,337.27,168.64,64.59,303.54,65
RC,0278,CLIP ANEURYSM 53 6 MM OPEN STANDARD L7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING TEMPORARY BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 54 MM 4.5 MM STANDARD L8 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING TEMPORARY BRAIN SURGERY,382.0,191.0,73.15,343.8,65
RC,0278,CLIP ANEURYSM 55 5 MM OPEN STANDARD L11 MM ELGILOY SUGITA TEMPORARY 2 COIL STRUCTURE WIDE SPRING,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 56 5 MM OPEN MINI STRAIGHT ELGILOY SUGITA TEMPORARY CEREBRAL,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 57 3.5 MM OPEN MINI CURVE L4 MM ELGILOY SUGITA 2 COIL STRUCTURE TEMPORARY BRAIN SURGERY,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 57 4 MM OPEN MINI BENT L5 MM ELGILOY SUGITA 2 COIL STRUCTURE TEMPORARY BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 58 5 MM OPEN MINI BENT L6 MM ELGILOY SUGITA 2 COIL STRUCTURE TEMPORARY BRAIN SURGERY,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 5MM 3MM GRAFT BLADE CODMAN SLIM-LINE MP35N NONSTERILE LATEX FREE,1051.44,525.72,201.35,946.3,65
RC,0278,CLIP ANEURYSM 5MM MINI 3.5MM OPENING ANGLED LATERAL PERMANENT YASARGIL TITANIUM CEREBRAL STERILE LATEX FREE DISPOSABLE - FT716T,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 6 10 MM OPEN STANDARD SIDEWARD CURVE L9 MM TITANIUM 2 SUGITA,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM 6 70 D RIGHT 8 MM OPEN LARGE ELGILOY SUGITA FENESTRATE CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 6 8 MM OPEN STANDARD L9 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,311.85,155.93,59.72,280.67,65
RC,0278,CLIP ANEURYSM 6 MM OPEN LARGE L CURVE L10 MM COBALT SUGITA PERMANENT 2 COIL SPRING WIDE BLADE OPEN,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 6.2 MM OPEN STANDARD L7 MM TITANIUM YASARGIL PERMANENT MR CONDITIONAL SPRING BLADE CEREBRAL BLUE SILVER,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 6.5 MM OPEN MINI SLIGHT CURVE L5.5 MM TITANIUM 2 SUGITA,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM 6.5 MM OPEN STANDARD L8 MM TITANIUM YASARGIL PERMANENT BLUE SILVER,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 6.8 MM OPEN STANDARD SLIGHT CURVE L8.4 MM PHYNOX YASARGIL FENESTRATE TEMPORARY CEREBRUM,458.76,229.38,87.85,412.88,65
RC,0278,CLIP ANEURYSM 60 6 MM OPEN LARGE SHORT ELGILOY SUGITA CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 62 7 MM OPEN LARGE L7.7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 63 7 MM OPEN LARGE LONG ELGILOY SUGITA CEREBRAL,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 69 7 MM OPEN STANDARD CURVE ELGILOY SUGITA CEREBRAL,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 7 MM OPEN LARGE L L5 MM ELGILOY SUGITA 2 COIL STRUCTURE FENESTRATE CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 7 MM OPEN LARGE L L5 MM SUGITA FENESTRATE LEFT FUJITA,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 7 MM OPEN LARGE L L7.5 MM SUGITA FENESTRATE LEFT FUJITA,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 7 MM OPEN LARGE L L7.5 MM SUGITA FENESTRATE RIGHT FUJITA,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 7 MM OPEN STANDARD L9 MM PHYNOX YASARGIL TEMPORARY SPRING BLADE GOLD,466.1,233.05,89.26,419.49,65
RC,0278,CLIP ANEURYSM 7 MM OPEN STANDARD TITANIUM YASARGIL TEMPORARY SPRING L9 MM BLUE GOLD,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 7 MM OPENING STANDARD L8.6 MM TITANIUM YASARGIL PERMANENT MRI SAFETY NONFERROMAGNETIC BLUE SPRING SILVER BLADE CEREBRUM,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 7 MM STANDARD SLIGHT CURVE L9 MM ELGILOY SUGITA MRI SAFE,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 7.5 MM OPEN STANDARD L10.2 MM TITANIUM YASARGIL PERMANENT MR CONDITIONAL SPRING BLADE CEREBRAL BLUE SILVER,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 7.5 MM OPEN STANDARD L3 MM TITANIUM YASARGIL PERMANENT BLADE FENESTRATE L8.1 MM OD3.5 MM,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 7.5 MM OPEN STANDARD MEDIUM CURVE L11 MM ELGILOY SUGITA,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 7.8 MM L11 MM TITANIUM YASARGIL STRAIGHT TEMPORARY CEREBRAL,466.1,233.05,89.26,419.49,65
RC,0278,CLIP ANEURYSM 70 D 8 MM OPEN LARGE L7.5 MM SUGITA FENESTRATE LEFT FUJITA,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 70 D RIGHT 8 MM OPEN LARGE MEDIUM L7.5 MM ELGILOY SUGITA MRI SAFE,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 73 8 MM OPEN LARGE 1/4 CURVE ELGILOY SUGITA CEREBRAL,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 74 8 MM OPEN LARGE SHORT ELGILOY SUGITA FENESTRATE CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 77 8 MM OPEN LARGE SHORT ELGILOY SUGITA FENESTRATE CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 79 8 MM OPEN LONG L ELGILOY SUGITA CEREBRAL,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 7MM 2.5MM GRAFT BLADE CODMAN SLIM-LINE MP35N NONSTERILE LATEX FREE,597.55,298.78,114.43,537.8,65
RC,0278,CLIP ANEURYSM 7MM 4.6MM OPEN MINI STRAIGHT PERMANENT SPRING BLADE YASARGIL TITANIUM CEREBRAL STERILE LATEX FREE SILVER VIOLET,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 7MM TITANIUM BOOSTER PERMANENT STRAIGHT BLADE SERRATED SURFACE F/NEURO SURGERY SUGITA,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM 8 7.5 MM OPEN STANDARD L9 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,270.0,135.0,51.71,243.0,65
RC,0278,CLIP ANEURYSM 8 MM OPEN LARGE LONG L10 MM ELGILOY SUGITA,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 8 MM OPEN LARGE MEDIUM CURVE LEFT L7.5 MM ELGILOY SUGITA FENESTRATE MRI SAFE,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 8 MM OPEN LARGE MEDIUM L L7.5 MM ELGILOY SUGITA FENESTRATE,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 8 MM OPEN LARGE SHORT ANGLE L5 MM ELGILOY SUGITA,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 8 MM OPEN MINI STRAIGHT L8 MM TITANIUM 2 SUGITA,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM 8 MM OPEN STANDARD BAYONET L5 MM TITANIUM YASARGIL PERMANENT BLADE CEREBRAL H4.5 MM,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 8 MM OPEN STANDARD SLIGHT CURVE L11 MM ELGILOY SUGITA,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 8 MM SHORT LARGE J L6 MM ELGILOY SUGITA MRI SAFE,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 8 MM STANDARD L L5 MM TITANIUM T2 SUGITA W8 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM 8 MM STANDARD L L7.5 MM TITANIUM 2 SUGITA,504.0,252.0,96.52,453.6,65
RC,0278,CLIP ANEURYSM 8 MM STANDARD SIDE CURVE L6 MM SUGITA,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 8.5 MM OPEN STANDARD L CURVE L5 MM TITANIUM SUGITA FENESTRATE LEFT FUJITA OD5 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM 8.7 MM OPEN STANDARD BAYONET L9 MM TITANIUM YASARGIL PERMANENT BLADE CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM 80 3.5 MM OPEN MINI STRAIGHT L4 MM ELGILOY SUGITA WIDE BLADE CEREBRAL,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 81 5 MM MINI L6 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 84 4 MM OPEN MINI L5 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 85 3.5 MM OPEN MINI CURVE L4 MM ELGILOY SUGITA 2 COIL STRUCTURE TEMPORARY BRAIN SURGERY,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 86 5 MM OPEN MINI L7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 87 4 MM OPEN MINI CURVE ELGILOY SUGITA CEREBRAL,275.0,137.5,52.66,247.5,65
RC,0278,CLIP ANEURYSM 88 4 MM OPEN MINI L7 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE OPEN SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 9 MM LARGE ANGLE L7.5 MM SUGITA FENESTRATE FUJITA,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 90 19 MM OPEN LONG L30 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM 91 21 MM OPEN LONG L35 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 92 23 MM OPEN LONG L40 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM 96 5 MM OPEN MINI L6 MM ELGILOY SUGITA 2 COIL STRUCTURE WIDE SPRING BRAIN SURGERY,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 98 5 MM OPEN MINI ELGILOY SUGITA CEREBRAL,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 99 3.5 MM OPEN MINI ELGILOY SUGITA CEREBRAL,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM 9MM STANDARD 6.5MM OPENING ANGLED FORWARD PERMANENT YASARGIL TITANIUM CEREBRAL STERILE LATEX FREE DISPOSABLE,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM CURVE L4 MM TITANIUM YASARGIL PERMANENT MINI BLADE,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM IMPLANTABLE MICRO 2MML COBALT CHROMIUM STRAIGHT COILX2 SPRING STRUCTURE F/ARTERIOVENOUS MALFORMATION SUGITA MRI-SAFE STERILE SINGLE-USE,330.0,165.0,63.2,297.0,65
RC,0278,CLIP ANEURYSM IMPLANTABLE MICRO 3MML COBALT CHROMIUM STRAIGHT COILX2 SPRING STRUCTURE F/ARTERIOVENOUS MALFORMATION SUGITA MRI-SAFE STERILE SINGLE-USE,330.0,165.0,63.2,297.0,65
RC,0278,CLIP ANEURYSM IMPLANTABLE MICRO 4MML COBALT CHROMIUM STRAIGHT COILX2 SPRING STRUCTURE F/ARTERIOVENOUS MALFORMATION SUGITA MRI-SAFE STERILE SINGLE-USE,330.0,165.0,63.2,297.0,65
RC,0278,CLIP ANEURYSM IMPLANTABLE MICRO 5MML COBALT CHROMIUM STRAIGHT COILX2 SPRING STRUCTURE F/ARTERIOVENOUS MALFORMATION SUGITA MRI-SAFE STERILE SINGLE-USE,330.0,165.0,63.2,297.0,65
RC,0278,CLIP ANEURYSM L4 MM SUGITA CRANK SHAFT,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM L5 MM SUGITA CRANK SHAFT,283.0,141.5,54.19,254.7,65
RC,0278,CLIP ANEURYSM LARGE CURVE L14 MM SUGITA TEMPORARY,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM MINI 3.2 MM OPENING L2.8 MM TITANIUM YASARGIL CURVED SLIGHTLY PERMANENT NARROW CEREBRAL,485.82,242.91,93.03,437.24,65
RC,0278,CLIP ANEURYSM MINI 3.3 MM OPENING L3 MM TITANIUM YASARGIL STRAIGHT NARROW PERMANENT CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI 3.3 MM OPENING L3 MM TITANIUM YASARGIL STRAIGHT TEMPORARY NARROW CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI 3.8 MM OPENING L4.7 MM TITANIUM YASARGIL CURVED SLIGHTLY TEMPORARY NARROW CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI 4 MM OPENING L5 MM TITANIUM YASARGIL STRAIGHT NARROW TEMPORARY CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI 4.4 MM OPENING L6.6 MM TITANIUM YASARGIL CURVED SLIGHTLY TEMPORARY CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI 4.6 MM OPENING L7 MM TITANIUM YASARGIL STRAIGHT TEMPORARY CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI BAYONET L7 MM TITANIUM T2 SUGITA W10 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI BENT L5 MM TITANIUM T2 SUGITA TEMPORARY W7 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI CURVE L5 MM TITANIUM T2 SUGITA W6 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI CURVE L5 MM TITANIUM T2 SUGITA W6.5 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM MINI CURVE L5.2 MM TITANIUM T2 SUGITA SLIM TIP W6.5 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM MINI CURVE L6.5 MM TITANIUM T2 SUGITA W7 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI CURVE L6.7 MM TITANIUM T2 SUGITA SLIM TIP W7 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI CURVE L7 MM TITANIUM T2 SUGITA W7.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI CURVE L8.2 MM TITANIUM T2 SUGITA SLIM TIP W8 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI L11 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI L3 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI L5 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI L7 MM TITANIUM YASARGIL PERMANENT,485.82,242.91,93.03,437.24,65
RC,0278,CLIP ANEURYSM MINI SLIM STRAIGHT L6 MM TITANIUM T2 SUGITA TEMPORARY W7 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI STRAIGHT L4 MM TITANIUM T2 SUGITA SLIM TIP W5.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI STRAIGHT L4 MM TITANIUM T2 SUGITA W5.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI STRAIGHT L5 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM MINI STRAIGHT L6 MM TITANIUM T2 SUGITA SLIM TIP W7 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM MINI STRAIGHT L6 MM TITANIUM T2 SUGITA W7 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM PERMANENT 10MM 11.9MM MAXIMUM OPENING TITANIUM BAYONET L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 10MM 6.1MM MAXIMUM OPENING TITANIUM 90DEG ANGLED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 11MM 10.2MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 11MM 10.5MM MAXIMUM OPENING TITANIUM STRONG CURVED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 11MM 9MM MAXIMUM OPENING TITANIUM CURVED SIDEWARD L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 12MM 10.2MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 12MM 13.6MM MAXIMUM OPENING TITANIUM BAYONET L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 15MM 12.2MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 15MM 12.2MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 18MM 13.3MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 25MM 13.7MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,504.5,252.25,96.61,454.05,65
RC,0278,CLIP ANEURYSM PERMANENT 3.5MM 2MM 4.9MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 3.5MM 3MM 7.7MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 3.5MM 4MM 8.4MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 3.5MM 6MM 9.4MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 40MM 21MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,530.4,265.2,101.57,477.36,65
RC,0278,CLIP ANEURYSM PERMANENT 5MM 12MM 17MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 5MM 3MM 8MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 5MM 5.5MM MAXIMUM OPENING TITANIUM 90DEG ANGLED DOWNWARD ASYMMETRICAL LEFT SIDE L-ANEURYSM CLIP STERILE 1/EA,504.5,252.25,96.61,454.05,65
RC,0278,CLIP ANEURYSM PERMANENT 5MM 5.5MM MAXIMUM OPENING TITANIUM 90DEG ANGLED DOWNWARD ASYMMETRICAL RIGHT SIDE L-ANEURYSM CLIP STERILE 1/EA,504.5,252.25,96.61,454.05,65
RC,0278,CLIP ANEURYSM PERMANENT 5MM 6MM 10.2MM MAXIMUM OPENING TITANIUM STRAIGHT FENESTRATED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 7.5MM 6.1MM MAXIMUM OPENING TITANIUM 90DEG ANGLED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 7.5MM 9.1MM MAXIMUM OPENING TITANIUM 45DEG ANGLED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 7.5MM 9.5MM MAXIMUM OPENING TITANIUM 20DEG ANGLED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 7MM 7.6MM MAXIMUM OPENING TITANIUM STRONG CURVED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 7MM 8MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 8MM 8.5MM MAXIMUM OPENING TITANIUM ANGLED SIDEWARD L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 9MM 8.4MM MAXIMUM OPENING TITANIUM CURVED SIDEWARD L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT 9MM 8.4MM MAXIMUM OPENING TITANIUM STRONG CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 9MM 8.9MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT 9MM 8.9MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT GIANT 35MM 18.7MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,504.5,252.25,96.61,454.05,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 3MM 4.8MM MAXIMUM OPENING TITANIUM STRAIGHT NARROW JAW L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 3MM 4.9MM MAXIMUM OPENING TITANIUM CURVED NARROW JAW L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 4MM 4.5MM MAXIMUM OPENING TITANIUM STRONG CURVED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 4MM 5.5MM MAXIMUM OPENING TITANIUM STRONG CURVED NARROW JAW L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 4MM 8.1MM MAXIMUM OPENING TITANIUM BAYONET L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 5MM 5.2MM MAXIMUM OPENING TITANIUM CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 5MM 5MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 5MM 6.3MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 5MM 6.5MM MAXIMUM OPENING TITANIUM ANGLED SIDEWARD L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 5MM 6MM MAXIMUM OPENING TITANIUM STRAIGHT NARROW JAW L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 6MM 7.1MM MAXIMUM OPENING TITANIUM CURVED SIDEWARD L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 7MM 6.1MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 7MM 6.3MM MAXIMUM OPENING TITANIUM CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 7MM 7.2MM MAXIMUM OPENING TITANIUM 45DEG ANGLED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM PERMANENT MINI 7MM 8.8MM MAXIMUM OPENING TITANIUM BAYONET L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM PERMANENT SIZE 728 STANDARD MINI 7MML BLADE 5.7MM OPENING 130G CLOSING FORCE TITANIUM BAYONET FENESTRATED REINFORCING NON-FERROMAGNETIC W/BLUE SPRING YASARGIL MRI-SAFE STERILE SINGLE-USE,319.93,159.97,61.27,287.94,65
RC,0278,CLIP ANEURYSM SIDEWARD CURVE BAYONET L12 MM TITANIUM T2 SUGITA W14 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM SIZE 19B 21MML 19MM OPENING ELGILOY BAYONET ULTRA-SLIM SPRING ATRAUMATIC DELICATELY TAPERED BLADE SUGITA MRI-SAFE,372.0,186.0,71.24,334.8,65
RC,0278,CLIP ANEURYSM STANDARD 1/4 CURVE L8.6 MM TITANIUM T2 SUGITA W9.5 MM,380.0,190.0,72.77,342.0,65
RC,0278,CLIP ANEURYSM STANDARD 5.5 MM OPENING L5.4 MM TITANIUM YASARGIL CURVED SLIGHTLY TEMPORARY CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD 5.7 MM OPENING L7 MM TITANIUM YASARGIL CURVED LATERAL TEMPORARY CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD 6 MM OPENING L6.5 MM TITANIUM YASARGIL SLIGHTLY CURVED PERMANENT CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD 6.1 MM OPENING L6.4 MM TITANIUM YASARGIL CURVED TEMPORARY CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD 6.8 MM OPENING L8.3 MM TITANIUM YASARGIL CURVED SLIGHTLY TEMPORARY CEREBRAL,485.82,242.91,93.03,437.24,65
RC,0278,CLIP ANEURYSM STANDARD 7 MM OPENING L9 MM TITANIUM YASARGIL STRAIGHT PERMANENT CEREBRAL,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD 8 MM OPENING L9 MM ELGILOY COBALT ALLOY SUGITA SIDEWARD CURVED MRI SAFE,495.0,247.5,94.79,445.5,65
RC,0278,CLIP ANEURYSM STANDARD ANGLE L7.5 MM TITANIUM YASARGIL PERMANENT FENESTRATED L10.6 MM OD5 MM,485.82,242.91,93.03,437.24,65
RC,0278,CLIP ANEURYSM STANDARD BAYONET L10 MM TITANIUM T2 SUGITA W13 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM STANDARD BAYONET L7 MM TITANIUM T2 SUGITA W11 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM STANDARD CURVE L8.3 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD ELGILOY SUGITA BOOSTER,297.0,148.5,56.88,267.3,65
RC,0278,CLIP ANEURYSM STANDARD J L6 MM TITANIUM T2 SUGITA W9 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM STANDARD J SHAPE L9 MM TITANIUM T2 SUGITA W9.5 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM STANDARD L SHAPE CURVE L7.5 MM TITANIUM T2 SUGITA W8 MM,554.0,277.0,106.09,498.6,65
RC,0278,CLIP ANEURYSM STANDARD L11 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L15 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L20 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L3 MM TITANIUM YASARGIL PERMANENT FENESTRATED L9.8 MM OD5 MM,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L5 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L6.4 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L6.5 MM TITANIUM YASARGIL PERMANENT,466.1,233.05,89.26,419.49,65
RC,0278,CLIP ANEURYSM STANDARD L7 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD L8.4 MM TITANIUM YASARGIL PERMANENT,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ANEURYSM STANDARD SIDEWARD BENT L12 MM TITANIUM SUGITA W13.5 MM,554.0,277.0,106.09,498.6,65
RC,0278,CLIP ANEURYSM STANDARD SLIGHT CURVE L18 MM TITANIUM T2 SUGITA W15.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L10 MM TITANIUM T2 SUGITA TEMPORARY W10.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L12 MM TITANIUM T2 SUGITA W11.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L18 MM TITANIUM T2 SUGITA W15.5 MM,554.4,277.2,106.17,498.96,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L6 MM TITANIUM T2 SUGITA FENESTRATE W11 MM OD3.5 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L7 MM PHYNOX YASARGIL PERMANENT NONFERROMAGNETIC MRI SAFE BLADE HIGH CLOSING FORCE CEREBRUM,466.1,233.05,89.26,419.49,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L9 MM TITANIUM T2 SUGITA FENESTRATE W14 MM OD5 MM,504.0,252.0,96.52,453.6,65
RC,0278,CLIP ANEURYSM STANDARD STRAIGHT L9 MM TITANIUM T2 SUGITA W13 MM,489.0,244.5,93.64,440.1,65
RC,0278,CLIP ANEURYSM TEMPORARY 11MM 10.2MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY 12MM 10.2MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM TEMPORARY 15MM 11.4MM MAXIMUM OPENING TITANIUM CURVED L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM TEMPORARY 15MM 12.2MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY 7MM 10.9MM MAXIMUM OPENING TITANIUM BAYONET L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY 7MM 8MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,445.0,222.5,85.22,400.5,65
RC,0278,CLIP ANEURYSM TEMPORARY 9MM 8.4MM MAXIMUM OPENING TITANIUM BENT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY 9MM 8.9MM MAXIMUM OPENING TITANIUM LIGHT CURVED L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY 9MM 8.9MM MAXIMUM OPENING TITANIUM STRAIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY MINI 5MM 6.5MM MAXIMUM OPENING TITANIUM BAYONET ANGLED LEFT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY MINI 5MM 6.5MM MAXIMUM OPENING TITANIUM BAYONET ANGLED RIGHT L-ANEURYSM CLIP STERILE 1/EA,467.16,233.58,89.46,420.44,65
RC,0278,CLIP ANEURYSM TEMPORARY STANDARD 13MML BLADE 7.5MM OPENING 90G CLOSING FORCE PHYNOX CEREBRAL DOUBLE ANGLED W/GOLD SPRING COLOR-CODED YASARGIL MRI-SAFE STERILE SINGLE-USE NON-FERROMAGNETIC,458.76,229.38,87.85,412.88,65
RC,0278,CLIP ANEURYSM TITANIUM YASARGIL CURVED,493.6,246.8,94.52,444.24,65
RC,0278,CLIP ENDOSCOPIC 235CM 3 STEP ANCHOR PRONG CLOSURE MINIMAL SLIPPAGE MANTIS TRUGRIP 2.8MM,422.01,211.01,80.81,379.81,65
RC,0278,COIL EMBOLIZATION 2CM 2MM INTERLOCK IDC 18 COIL SOFT 2D,442.0,221.0,84.64,397.8,65
RC,0278,COIL EMBOLIZATION 7CM 4MM NESTER MICROCOIL FIBER 5.6 LOOP ACCEPTS .018IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
RC,0278,COIL EMBOLIZATION 7CM 6MM NESTER PLATINUM FIBER 3.7 LOOP ACCEPTS .035IN CATHETER STERILE LATEX FREE,105.99,53.0,20.3,95.39,65
RC,0278,COIL L20 CM OD3 MM EMBOLIZATION POD,1690.0,845.0,323.64,1521.0,65
RC,0278,COIL L30 MM OD5 MM EMBOLIZATION POD,1690.0,845.0,323.64,1521.0,65
RC,0278,COMPONENT FEMORAL 3 KNEE LEFT POSTERIOR STABILIZE BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
RC,0278,COMPONENT FEMORAL 4 KNEE LEFT CRUCIATE RETAIN BEAD PA TRIATHLON,1700.0,850.0,325.55,1530.0,65
RC,0278,COMPONENT FEMORAL 5 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,1000.0,500.0,191.5,900.0,65
RC,0278,CONDUIT CARDIOVASCULAR 12MM CONTEGRA PULMONARY VALVE MODEL 200,4995.0,2497.5,956.54,4495.5,65
RC,0278,CONDUIT CARDIOVASCULAR 19MM 2.5MM AXIUS STANDARD OFFSET TAPER CORONARY ARTERY INTERNAL COIL THREAD TAB VISUALIZATION OF ANASTOMOTIC SITE,513.71,256.86,98.38,462.34,65
RC,0278,CONDUIT CARDIOVASCULAR 20MM CONTEGRA PULMONARY BIOPROSTHESIS GRAFT VALVE 200,4995.0,2497.5,956.54,4495.5,65
RC,0278,CONDUIT CARDIOVASCULAR SUPPORTED 14MM DIA 10CML 4CML EXTENSION BOVINE JUGULAR VEIN POLYPROPYLENE ANNULUS RING W/POLYESTER COVEREDX2 CONTEGRA MRI-SAFE NON-PYROGENIC STERILE SINGLE-USE PULMONARY VALVE C,4995.0,2497.5,956.54,4495.5,65
RC,0278,CONDUIT CARDIOVASCULAR SUPPORTED 16MM DIA 10CML 4CML EXTENSION BOVINE JUGULAR VEIN POLYPROPYLENE ANNULUS RING W/POLYESTER COVEREDX2 CONTEGRA MRI-SAFE NON-PYROGENIC STERILE SINGLE-USE PULMONARY VALVE I,4995.0,2497.5,956.54,4495.5,65
RC,0278,CONDUIT CARDIOVASCULAR SUPPORTED 20MM DIA 10CML 4CML EXTENSION BOVINE JUGULAR VEIN POLYPROPYLENE ANNULUS RING W/POLYESTER COVEREDX2 CONTEGRA MRI-SAFE NON-PYROGENIC STERILE SINGLE-USE PULMONARY VALVE I,4995.0,2497.5,956.54,4495.5,65
RC,0278,CONDUIT CARDIOVASCULAR THORATEC HEARMATE II SEAL INFLOW STERILE LATEX FREE DISPOSABLE,5310.0,2655.0,1016.87,4779.0,65
RC,0278,CONDUIT VALVE OD29 MM KONECT RESILIA AORTIC,16000.0,8000.0,3064.0,14400.0,65
RC,0278,CONDUIT VALVE PREASSEMBLE OD21 MM KONECT RESILIA AORTIC BENTALL PROCEDURE,16000.0,8000.0,3064.0,14400.0,65
RC,0278,CONDUIT VALVE PREASSEMBLE OD25 MM KONECT RESILIA AORTIC BENTALL PROCEDURE,16000.0,8000.0,3064.0,14400.0,65
RC,0278,CONNECTOR PLUG,300.0,150.0,57.45,270.0,65
RC,0278,CONNECTOR ROD SPINE CROSSLINK MEDIUM,242.04,121.02,46.35,217.84,65
RC,0278,CONNECTOR SPINAL ASSEMBLY 5.5MM DIA 30-35MMW PROLIANT,425.0,212.5,81.39,382.5,65
RC,0278,CORONARY STENT REBEL MONORAIL 3.5MM 28MM RADIOPAQUE BALLOON EXPAND PLATINUM CHROMIUM 140CM ACCEPTS .014- IN GUIDEWIRE SYSTEM,2150.0,1075.0,411.73,1935.0,65
RC,0278,COUPLER ANASTOMOSIS 1.5MM RING PIN ULTRASONIC DOPPLER PROTECTIVE COVER GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL POLYETHYLENE MICROVASCULAR BLUE,2095.0,1047.5,401.19,1885.5,65
RC,0278,COUPLER ANASTOMOSIS 1MM RING PIN PROTECTIVE COVER JAW ASSEMBLY GEM MICROVASCULAR ANASTOMOSES STERILE LATEX FREE DISPOSABLE STAINLESS STEEL POLYETHYLENE,2095.0,1047.5,401.19,1885.5,65
RC,0278,COUPLER ANASTOMOSIS 2.5MM RING PIN ULTRASONIC DOPPLER 20MHZ GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL,1097.0,548.5,210.08,987.3,65
RC,0278,COUPLER ANASTOMOSIS 2MM FLOW RING PIN ULTRASONIC DOPPLER 20MHZ GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL TITANIUM,1097.0,548.5,210.08,987.3,65
RC,0278,COUPLER ANASTOMOSIS 3.5MM RING PIN ULTRASONIC DOPPLER 20MHZ GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL,1097.0,548.5,210.08,987.3,65
RC,0278,COUPLER ANASTOMOSIS 3.5MM RING PIN ULTRASONIC DOPPLER PROTECTIVE COVER GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL POLYETHYLENE MICROVASCULAR PURPLE,2095.0,1047.5,401.19,1885.5,65
RC,0278,COUPLER ANASTOMOSIS 3MM FLOW RING PIN ULTRASONIC DOPPLER 20MHZ GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL TITANIUM,1097.0,548.5,210.08,987.3,65
RC,0278,COUPLER ANASTOMOSIS 3MM RING PIN ULTRASONIC DOPPLER PROTECTIVE COVER GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL POLYETHYLENE YELLOW,2095.0,1047.5,401.19,1885.5,65
RC,0278,COUPLER ANASTOMOSIS 4MM RING PIN ULTRASONIC DOPPLER PROTECTIVE COVER GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL POLYETHYLENE MICROVASCULAR ORANGE,1943.0,971.5,372.08,1748.7,65
RC,0278,COUPLER ANASTOMOSIS 4MM RING ULTRASONIC DOPPLER 20MHZ GEM STERILE LATEX FREE DISPOSABLE STAINLESS STEEL,1097.0,548.5,210.08,987.3,65
RC,0278,COUPLER ANASTOMOSIS FLOW 3MM DIA POLYETHYLENE STAINLESS STEEL MICROVASCULAR INTIMA-TO-INTIMA CONTACT W/20MHZ DOPPLER YELLOW F/VEINS/ARTERIES MICROSURGICAL PROCEDURE GEM STERILE DISPOSABLE,995.0,497.5,190.54,895.5,65
RC,0278,COVER BURR HOLE 13.5MM SPINE BENT,226.0,113.0,43.28,203.4,65
RC,0278,COVER BURR HOLE 14MM CRANIAL SINGLE-USE,345.0,172.5,66.07,310.5,65
RC,0278,COVER BURR HOLE BLUE .4MM 15MM MATRIXNEURO CRANIOMAXILLOFACIAL TITANIUM NONSTERILE,115.0,57.5,22.02,103.5,65
RC,0278,COVER BURR HOLE BLUE .4MM 17MM MATRIXNEURO CRANIOMAXILLOFACIAL TITANIUM NONSTERILE,115.0,57.5,22.02,103.5,65
RC,0278,COVER BURR HOLE BLUE .4MM 17MM MATRIXNEURO CRANIOMAXILLOFACIAL TITANIUM SHUNT NONSTERILE,115.0,57.5,22.02,103.5,65
RC,0278,COVER BURR HOLE BLUE .4MM 24MM MATRIXNEURO CRANIOMAXILLOFACIAL TITANIUM NONSTERILE,115.0,57.5,22.02,103.5,65
RC,0278,COVER BURR HOLE BLUE 12MM MATRIXNEURO CRANIAL TITANIUM,115.0,57.5,22.02,103.5,65
RC,0278,COVER BURR HOLE STIMLOC 924256,120.0,60.0,22.98,108.0,65
RC,0278,COVER HOLE KIT,59.1,29.55,11.32,53.19,65
RC,0278,COVER LOCKING SHORELINE 8-12MM STANDALONE ANTERIOR CERVICAL INTERBODY FUSION NONSTERILE LATEX FREE,30.0,15.0,5.75,27.0,65
RC,0278,CYBERTM 200UM SU STRAIGHT FIBER,1530.0,765.0,293.0,1377.0,65
RC,0278,DEVICE ANNULAR CLOSURE BARRICAID 10MM,5500.0,2750.0,1053.25,4950.0,65
RC,0278,DEVICE ATRICLIP 35MM 6CM FLEXIBLE SHAFT PLUNGER GRIP CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,229.8,1080.0,65
RC,0278,DEVICE ATRICLIP 40MM 6CM FLEXIBLE SHAFT PLUNGER GRIP CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,229.8,1080.0,65
RC,0278,DEVICE ATRICLIP 45MM 45D 6CM FLEXIBLE SHAFT PLUNGER GRIP NITINOL TITANIUM POLYESTER CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,229.8,1080.0,65
RC,0278,DEVICE ATRICLIP 50MM 45D 6CM FLEXIBLE SHAFT PLUNGER GRIP NITINOL TITANIUM POLYESTER CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,1200.0,600.0,229.8,1080.0,65
RC,0278,DEVICE ATRICLIP PRO2 12MM 35MM HOOPLESS END EFFECTOR ACTIVE ARTICULATION LEVER CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,3750.0,1875.0,718.13,3375.0,65
RC,0278,DEVICE ATRICLIP PRO2 12MM 40MM HOOPLESS END EFFECTOR ACTIVE ARTICULATION LEVER CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,3750.0,1875.0,718.13,3375.0,65
RC,0278,DEVICE ATRICLIP PRO2 12MM 50MM HOOPLESS END EFFECTOR ACTIVE ARTICULATION LEVER CLOSURE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,3750.0,1875.0,718.13,3375.0,65
RC,0278,DEVICE ATRICLIP PRO2 GILLINOV-COSGROVE 45MM CLOSURE STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM,3750.0,1875.0,718.13,3375.0,65
RC,0278,DEVICE EMBOLIZATION L10 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD2.5 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
RC,0278,DEVICE EMBOLIZATION L10 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD5 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
RC,0278,DEVICE EMBOLIZATION L12 MM 55 D 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD3 MM PIPELINE FLEX 75% COCR 25% PLATINUM TUNGSTEN NEUROVASCULAR,12500.0,6250.0,2393.75,11250.0,65
RC,0278,DEVICE EMBOLIZATION L12 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4.25 MM PIPELINE FLEX NEUROVASCULAR,14220.0,7110.0,2723.13,12798.0,65
RC,0278,DEVICE EMBOLIZATION L14 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3.25 MM PIPELINE FLEX,14079.0,7039.5,2696.13,12671.1,65
RC,0278,DEVICE EMBOLIZATION L14 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD3.5 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
RC,0278,DEVICE EMBOLIZATION L14 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD4.5 MM PIPELINE FLEX,14783.0,7391.5,2830.94,13304.7,65
RC,0278,DEVICE EMBOLIZATION L14 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE OD5 MM PIPELINE FLEX,14220.0,7110.0,2723.13,12798.0,65
RC,0278,DEVICE EMBOLIZATION L16 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE OD4.25 MM PIPELINE FLEX NEUROVASCULAR,14783.0,7391.5,2830.94,13304.7,65
RC,0278,DEVICE ENDOSCOPIC 165CM 3.2MM OTSC 4MM TISSUE ANCHOR FLEXIBLE SHAFT 12MM,529.0,264.5,101.3,476.1,65
RC,0278,DEVICE ORTHOPEDIC RECEIVER ENERGY SUBCUTANEOUS FITBONE,761.0,380.5,145.73,684.9,65
RC,0278,DEVICE STERNAL CLOSURE SMALL 14MML LEVELX1 STERNAL TALON 24-009-14-71 STERILE,1387.03,693.52,265.62,1248.33,65
RC,0278,DEVICE VENTRICULAR ASSIST CATHETER IMPELLA 5.5 SMARTASSIST,45000.0,22500.0,8617.5,40500.0,65
RC,0278,DEVICE VENTRICULAR ASSIST HEARTMATE II SMALL KIT STERILE LATEX FREE REUSABLE,72000.0,36000.0,13788.0,64800.0,65
RC,0278,DEVICE VENTRICULAR ASSIST IMPELLA 5.5 SMARTASSIST S2,41000.0,20500.0,7851.5,36900.0,65
RC,0278,DISC INTERVERTEBRAL H6 MM D18 MM 2 PIECE BALL TROUGH ARTICULATION NO NICKEL PRESTIGE LP TITANIUM CERAMIC SPINE CERVICAL,3450.0,1725.0,660.68,3105.0,65
RC,0278,DISC INTERVERTEBRAL H6 MM LARGE DEEP SEMICONSTRAIN CENTRAL KEEL PRODISC-C COCR TITANIUM UHMWPE SPINE CERVICAL,4200.0,2100.0,804.3,3780.0,65
RC,0278,DISC INTERVERTEBRAL L16 MM OD6 MM PRESTIGE LP SPINE,3450.0,1725.0,660.68,3105.0,65
RC,0278,DISC INTERVERTEBRAL L16 MM OD7 MM PRESTIGE LP,3450.0,1725.0,660.68,3105.0,65
RC,0278,DISC INTERVERTEBRAL PRESTIGE,3450.0,1725.0,660.68,3105.0,65
RC,0278,DISTRACTOR CRANIAL SPRING SMARTFLEX 8.5 N SURGICAL STAINLESS STEEL,2971.0,1485.5,568.95,2673.9,65
RC,0278,END CAP X-CORE 2 H20-25 MM OD18 MM AUTOLOCK SPINAL TITANIUM,2300.0,1150.0,440.45,2070.0,65
RC,0278,ENDCAP ORTHOPEDIC CAPTURED 20MM EXTENSION TITANIUM TIBIAL F/INTRAMEDULLARY NAILING SYSTEM TRIGEN STERILE,123.12,61.56,23.58,110.81,65
RC,0278,ENDCAP ORTHOPEDIC CAPTURED TITANIUM TIBIAL 15MM EXTENSION F/INTRAMEDULLARY NAILING SYSTEM TRIGEN STERILE,123.12,61.56,23.58,110.81,65
RC,0278,ENDOPROS AORT EXT 18F 36X4.5CMEXCLUDER CONFORMABLE AAA,4117.0,2058.5,788.41,3705.3,65
RC,0278,ENDPLATE SPINAL 12MM VUMESH 7.5D LARGE DIAMETER PEEK-OPTIMA SQUARE FOOTPRINT THORACOLUMBAR INTERBODY FUSION NONSTERILE,200.0,100.0,38.3,180.0,65
RC,0278,ENVELOPE ABSORBABLE L2.7 IN X W2.5 IN MEDIUM TYRX POLYARYLATE MINOCYCLINE RIFAMPIN NEURO,995.0,497.5,190.54,895.5,65
RC,0278,ENVELOPE ABSORBABLE L3.35 IN X W3 IN LARGE TYRX POLYARYLATE MINOCYCLINE RIFAMPIN NEURO,995.0,497.5,190.54,895.5,65
RC,0278,ENVELOPE ABSORBABLE LARGE 3.35X3IN POLYARYLATE MINOCYCLINE RIFAMPIN TYRX ANTIBACTERIAL ICD,895.0,447.5,171.39,805.5,65
RC,0278,ENVELOPE ABSORBABLE MEDIUM 2.7X2.5IN POLYARYLATE MINOCYCLINE RIFAMPIN TYRX ANTIBACTERIAL STERILE LATEX FREE,895.0,447.5,171.39,805.5,65
RC,0278,ENVELOPE TISSUE 5.4X5CM CORMATRIX CANGAROO ECM SMALL PORCINE,980.0,490.0,187.67,882.0,65
RC,0278,ENVELOPE TISSUE 6.9X6.5CM CORMATRIX CANGAROO ECM MEDIUM PORCINE,980.0,490.0,187.67,882.0,65
RC,0278,ENVELOPE TISSUE 6.9X8CM CORMATRIX CANGAROO ECM LARGE PORCINE,980.0,490.0,187.67,882.0,65
RC,0278,ENVELOPE TISSUE 6.9X9.5CM CORMATRIX ECM CANGAROO XL PORCINE SOFT REINFORCE SUPPLE POCKET NO SHARP EDGE STERILE LATEX FREE,980.0,490.0,187.67,882.0,65
RC,0278,ENVELOPE TISSUE CORMATRIX ECM CANGAROO 2XL PORCINE SOFT REINFORCE SUPPLE POCKET NO SHARP EDGE STERILE LATEX FREE,1250.0,625.0,239.38,1125.0,65
RC,0278,ENVELOPE TISSUE CORMATRIX ECM CANGAROO MEDIUM PORCINE,995.0,497.5,190.54,895.5,65
RC,0278,ENVELOPE TISSUE LARGE ANTIBIOTIC ELUTING BIOENVELOPE SINGLE PACK ELUPRO,995.0,497.5,190.54,895.5,65
RC,0278,EXPANDER TISSUE CONTINUOUS EXTERNAL W/STAPLER DERMACLOSE RC,999.0,499.5,191.31,899.1,65
RC,0278,EXTENDER AORTIC L4.5 CM CONFORMABLE ACTIVE CONTROL OD23 MM EXCLUDER ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA,4117.0,2058.5,788.41,3705.3,65
RC,0278,FABRIC CARDIOVASCULAR L12 CM X W12 CM THK.1 MM BIOCOMPATIBLE LONG TERM FLEXIBLE GORE PRECLUDE GORE-TEX PERICARDIUM,821.0,410.5,157.22,738.9,65
RC,0278,FABRIC CARDIOVASCULAR L12 CM X W6 CM THK.1 MM BIOCOMPATIBLE LONG TERM FLEXIBLE GORE PRECLUDE GORE-TEX PERICARDIUM,410.0,205.0,78.52,369.0,65
RC,0278,FILLER BONE VOID 10 CC ALLOSYNC GEL,1200.0,600.0,229.8,1080.0,65
RC,0278,FILLER BONE VOID 15 CC 1.7-10 MM CANCELLOUS ALLOGRAFT CHIPS FREEZE DRIED MORSELIZE,213.37,106.69,40.86,192.03,65
RC,0278,FILLER BONE VOID 2.2 CC L13 MM X W13 MM X H13 MM DEMINERALIZED CANCELLOUS CONFORM CUBE Q-PACK ALLOGRAFT MONOLITHIC CUSTOMIZABLE MATRIX WICKABLE,565.37,282.69,108.27,508.83,65
RC,0278,FILLER BONE VOID 30 CC 1.7-10 MM CANCELLOUS ALLOGRAFT CHIPS FREEZE DRIED MORSELIZE,345.0,172.5,66.07,310.5,65
RC,0278,FILLER BONE VOID 5CC DEMINERALIZED HUMAN BONE POLOXAMER OSTEOSURGE 300C PUTTY RESORBABLE REVERSE PHASE MEDIUM,625.0,312.5,119.69,562.5,65
RC,0278,FILLER BONE VOID L30 MM X W10 MM WEDGE OSFERION OPTIMUM PORE DIAMETER RIGID FIXATION DEVICE TRIM OSTEOTOMY,495.0,247.5,94.79,445.5,65
RC,0278,FILLER BONE VOID L30 MM X W7 MM WEDGE OSFERION OPTIMUM PORE DIAMETER RIGID FIXATION DEVICE TRIM OSTEOTOMY,495.0,247.5,94.79,445.5,65
RC,0278,FILLER BONE VOID L35 MM X W12 MM WEDGE OSFERION OSFERION OPTIMUM PORE DIAMETER RIGID FIXATION DEVICE TRIM OSTEOTOMY,495.0,247.5,94.79,445.5,65
RC,0278,FILLER BONE VOID L35 MM X W15 MM WEDGE OSFERION OSFERION OPTIMUM PORE DIAMETER RIGID FIXATION DEVICE TRIM OSTEOTOMY,495.0,247.5,94.79,445.5,65
RC,0278,FILLER GRAFT CELLULAR BONE MATRIX 10ML ALLOCYTE ADVANCED,3000.0,1500.0,574.5,2700.0,65
RC,0278,GEL SKIN 24 MG/ML SYRINGE OD30 GA JUVEDERM ULTRA XC 0.3% LIDOCAINE HYALURONIC ACID 1 ML,698.0,349.0,133.67,628.2,65
RC,0278,GEL SKIN OD27 GA JUVEDERM VOLUMA XC 1 ML,1666.0,833.0,319.04,1499.4,65
RC,0278,GEL SKIN OD27 GA JUVEDERMM ULTRA PLUS XC 1 ML,698.0,349.0,133.67,628.2,65
RC,0278,GENERATOR NEUROSTIMULATOR PRECISION SPECTRA PLUG POUCH,45.0,22.5,8.62,40.5,65
RC,0278,GRAFT 10X10MM SOFT TISSUE PATELLA TENDON ALLOGRAFT PRESHAPE,2500.0,1250.0,478.75,2250.0,65
RC,0278,GRAFT 1X1CM SOFT TISSUE SCLERA PATCH HYDRATE PRETRIM GAMMA STERILIZE,275.0,137.5,52.66,247.5,65
RC,0278,GRAFT 70X40X2MM 28CM2 SOFT TISSUE DERMIS DECELLULARIZED LATEX FREE,2781.0,1390.5,532.56,2502.9,65
RC,0278,GRAFT AVANCE 30MM ALLOGRAFT NATURAL CONNECTION 2-3MM NERVE NERVE,4101.09,2050.55,785.36,3690.98,65
RC,0278,GRAFT AVANCE 50MM ALLOGRAFT AXONAL REGENERATION NATURAL CONNECTION 1-2MM NERVE NERVE PERIPHERAL,6138.99,3069.5,1175.62,5525.09,65
RC,0278,GRAFT AVANCE 50MM ALLOGRAFT NATURAL CONNECTION 3-4MM NERVE NERVE,6584.49,3292.25,1260.93,5926.04,65
RC,0278,GRAFT AVANCE 50MM ALLOGRAFT NATURAL CONNECTION 4-5MM NERVE NERVE,6584.49,3292.25,1260.93,5926.04,65
RC,0278,GRAFT AVANCE 70MM ALLOGRAFT 1-2MM NERVE STERILE,7671.73,3835.87,1469.14,6904.56,65
RC,0278,GRAFT AVANCE 70MM ALLOGRAFT NERVE THK3-4MM STERILE,8409.9,4204.95,1610.5,7568.91,65
RC,0278,GRAFT AVIVE 4X3CM ALLOGRAFT NERVE MEMBRANE,3172.0,1586.0,607.44,2854.8,65
RC,0278,GRAFT BONE CANCELLOUS 15 CC ALLOGRAFT CHIP CRUSH READIGRAFT PRESERVON 4-10 MM,176.4,88.2,33.78,158.76,65
RC,0278,GRAFT BONE CANCELLOUS 30 CC ALLOGRAFT CHIP CRUSH READIGRAFT PRESERVON 4-10 MM,345.0,172.5,66.07,310.5,65
RC,0278,GRAFT BONE CANCELLOUS CORTICAL W14 MM X H5 MM ALLOGRAFT SPACER CORNERSTONE ASR D11 MM LORDOTIC SPINE,540.0,270.0,103.41,486.0,65
RC,0278,GRAFT BONE CANCELLOUS CORTICAL W14 MM X H5 MM ALLOGRAFT SPACER CORNERSTONE ASR D14 MM LORDOTIC SPINE,540.0,270.0,103.41,486.0,65
RC,0278,GRAFT BONE CORTICAL BONE 5 CC GEL DEMINERALIZED ALLOSYNC,600.0,300.0,114.9,540.0,65
RC,0278,GRAFT BONE CORTICAL CANCELLOUS L11.5 MM X W14.5 MM X H6 MM ALLOGRAFT 2 DOWEL ANTIMIGRATION RIB PLANK ALLOS CC7 7 D,540.0,270.0,103.41,486.0,65
RC,0278,GRAFT BONE DEMINERALIZED BONE FIBER 9 CC ALLOGRAFT INJECTION GRAFTON,1125.0,562.5,215.44,1012.5,65
RC,0278,GRAFT BONE DEMINERALIZED BONE MATRIX 1 CC ALLOGRAFT SYRINGE CONTAINER BIO DBM GEL,110.0,55.0,21.07,99.0,65
RC,0278,GRAFT BONE DEMINERALIZED BONE MATRIX 10 ML PUTTY JAR VESUVIUS BIOLOGICS,1100.0,550.0,210.65,990.0,65
RC,0278,GRAFT BONE DEMINERALIZED BONE MATRIX 5 ML PUTTY JAR VESUVIUS BIOLOGICS,550.0,275.0,105.33,495.0,65
RC,0278,GRAFT BONE DEMINERALIZED BONE MATRIX L10 CM X W1 CM ALLOGRAFT STRIP GRAFTON,2277.6,1138.8,436.16,2049.84,65
RC,0278,GRAFT BONE DEMINERALIZED CANCELLOUS L12 MM X W12 MM X H12 MM ALLOGRAFT SPONGE FREEZE DRY FLEXIGRAFT CUBE,518.0,259.0,99.2,466.2,65
RC,0278,GRAFT BONE DEMINERALIZED CANCELLOUS L50 MM X W20 MM ALLOGRAFT SPONGE STRIP VESUVIUS THK5 MM,650.0,325.0,124.48,585.0,65
RC,0278,GRAFT BONE DEMINERALIZED FIBER 15 ML BIOLOGIC,1875.0,937.5,359.06,1687.5,65
RC,0278,GRAFT BONE DEMINERALIZED FIBER 5 CC BIOLOGICS,625.0,312.5,119.69,562.5,65
RC,0278,GRAFT BONE FEMORAL HEAD ALLOGRAFT MATRIGRAFT OD43+ MM,1000.0,500.0,191.5,900.0,65
RC,0278,GRAFT BONE FEMUR SHAFT L200 MM ALLOGRAFT FROZEN VERTIGRAFT,938.68,469.34,179.76,844.81,65
RC,0278,GRAFT BONE FIBER SUBSTITUTE DBM CORTICAL 10ML OSTEOCONDUCTIVE 3DEMIN,925.0,462.5,177.14,832.5,65
RC,0278,GRAFT BONE FIBULA L60 MM X W10 MM ALLOGRAFT STRUT FROZEN ROUND,1081.98,540.99,207.2,973.78,65
RC,0278,GRAFT BONE FIBULA SEGMENT L20 MM FREEZE DRIED CHIPS VERTIGRAFT,564.85,282.43,108.17,508.37,65
RC,0278,GRAFT BONE FIBULA SHAFT L100 MM X W5+ MM ALLOGRAFT FROZEN,650.0,325.0,124.48,585.0,65
RC,0278,GRAFT BONE FIBULA SHAFT L150 MM FROZEN VERTIGRAFT,700.05,350.03,134.06,630.05,65
RC,0278,GRAFT BONE ILIAC CREST H12 MM ALLOGRAFT WEDGE MATRIGRAFT,438.51,219.26,83.97,394.66,65
RC,0278,GRAFT BONE ILIAC CREST H15 MM ALLOGRAFT WEDGE OSTEOCONDUCTIVE MATRIGRAFT PRESERVON,504.31,252.16,96.58,453.88,65
RC,0278,GRAFT BONE PROXIMAL METATARSAL SEGMENT ALLOGRAFT FREEZE DRIED METATARSAL PROXIMAL,1188.9,594.45,227.67,1070.01,65
RC,0278,GRAFT BONE RHBMP-2 BOVINE COLLAGEN L20 MM 0.7 ML ABSORBABLE SPONGE INFUSE 2XSMALL SPINE OD12 MM,926.35,463.18,177.4,833.72,65
RC,0278,GRAFT BONE RIGHT LATERAL FEMORAL HEMICONDYLE OSTEOCHONDRAL FRESH,11039.95,5519.98,2114.15,9935.96,65
RC,0278,GRAFT CORNERSTONE ASR 14X11X6MM LORDOTIC CANCELLOUS CORTICAL BONE,540.0,270.0,103.41,486.0,65
RC,0278,GRAFT CORNERSTONE LASR 14X11X8MM LORDOTIC CANCELLOUS CORTICAL ALLOGRAFT BLOCK BONE SPINE CERVICAL,540.0,270.0,103.41,486.0,65
RC,0278,GRAFT CORTOSS 5CC COMPOSITE AUGMENTATION CARTRIDGE BONE,1071.51,535.76,205.19,964.36,65
RC,0278,GRAFT CRYOARTERY SOFT TISSUE FEMORAL POPLITEAL ARTERY,5999.0,2999.5,1148.81,5399.1,65
RC,0278,GRAFT CRYOVALVE SG SOFT TISSUE PULMONARY VALVE CONDUIT ALLOGRAFT 6-32MM,16500.0,8250.0,3159.75,14850.0,65
RC,0278,GRAFT DISTAL FEMUR OSTEOCHONDRAL WHOLE ALLOGRAFT BONE RIGHT,20300.0,10150.0,3887.45,18270.0,65
RC,0278,GRAFT ENDOVASCULAR 20MM 11.5CM EXCLUDER C3 GORE-TEX NITINOL FEP CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS 16.5-18.5MM ACCEPTS 18FR SHEATH,3980.0,1990.0,762.17,3582.0,65
RC,0278,GRAFT ENDOVASCULAR 20MM 13.5CM EXCLUDER C3 GORE-TEX NITINOL FEP CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS 16.5-18.5MM ACCEPTS 18FR SHEATH,4100.0,2050.0,785.15,3690.0,65
RC,0278,GRAFT ENDOVASCULAR 38MM DIA PROXIMAL/DISTAL 24FR OD CATHETER 100MML MONOFILAMENT POLYESTER NITINOL WIRE STRAIGHT WOVEN CLOSED WEB STENTED CONFORMABLE CAPTIVIA TU DELIVERY SYSTEM F/TAA VALIANT NON-RADI,15205.32,7602.66,2911.82,13684.79,65
RC,0278,GRAFT ENDOVASCULAR ANGIOGRAFT DIATAL AORTA ILIACS INFRARENAL TO A MINIMUM OF 4 CM DISTAL TO THE ILIAC BIFURCATION ALLOGRAFT TISSUE,21000.0,10500.0,4021.5,18900.0,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH,4305.0,2152.5,824.41,3874.5,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 NITINOL EPTFE L12 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 NITINOL EPTFE L16 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L13 CM OD31 MM ODSEC14.5 MM ID27-29 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 18 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L14 CM OD23 MM ODSEC14.5 MM ID19-21 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L14 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L14 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 18 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L14 CM OD35 MM ODSEC14.5 MM ID30-32 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 18 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT DELIVERY SYSTEM GORE-TEX NITINOL FEP L15 CM OD31 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT DELIVERY SYSTEM GORE-TEX NITINOL FEP L16 CM OD35 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT DELIVERY SYSTEM GORE-TEX NITINOL FEP L17 CM OD31 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT EXTENDER DELIVERY SYSTEM GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH,4305.0,2152.5,824.41,3874.5,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT EXTENDER DELIVERY SYSTEM GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH,4305.0,2152.5,824.41,3874.5,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT EXTENDER DELIVERY SYSTEM GORE-TEX NITINOL FEP L14 CM OD12 MM ID10-11 MM CONTRALATERAL LEG AAA ACCEPTS 12 FR SHEATH,4305.0,2152.5,824.41,3874.5,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER C3 STENT EXTENDER DELIVERY SYSTEM GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH,3024.0,1512.0,579.1,2721.6,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L12 CM L5.5 CM OD14.5 MM ODSEC28.5MM TRUNK IPSILATERAL LEG ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER CONFORMABLE ACTIVE CONTROL L14 CM L6.5 CM OD14.5 MM ODSEC36 MM TRUNK IPSILATERAL LEG ENDOPROSTHESIS AAA,12072.0,6036.0,2311.79,10864.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER DELIVERY SYSTEM FLEXIBLE EXTENDER SEAL CUFF GORE-TEX NITINOL FEP L10 CM OD12 MM CONTRALATERAL LEG AAA,4305.0,2152.5,824.41,3874.5,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER DELIVERY SYSTEM STENT EXTENDER SEAL CUFF GORE-TEX NITINOL FEP L14 CM OD14.5 MM CONTRALATERAL LEG AAA,4305.0,2152.5,824.41,3874.5,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER DELIVERY SYSTEM STENT EXTENDER SEAL CUFF GORE-TEX NITINOL FEP L7 CM OD14.5 MM ODSEC12 FR ID12-13.5 MM ILIUM AAA,3024.0,1512.0,579.1,2721.6,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM AORTIC EXTENDER EPTFE NITINOL L4.5 CM OD32 MM ID27-29 MM ACCEPTS 17 FR SHEATH AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L10 CM OD23 MM ID18.5-21.5 MM CONTRALATERAL LEG ACCEPTS 14 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L11.5 CM OD18 MM ID14.5-16.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L11.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L12 CM OD23 MM ID18.5-21.5 MM CONTRALATERAL LEG ACCEPTS 14 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L13.5 CM OD18 MM ID14.5-16.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L14 CM OD23 MM ID18.5-21.5 MM CONTRALATERAL LEG ACCEPTS 14 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L9.5 CM OD18 MM ID14.5-16.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L9.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF GORE-TEX NITINOL FEP L12 CM OD27 MM ID21.5-25 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR EXCLUDER STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF GORE-TEX NITINOL FEP L14 CM OD27 MM ID21.5-25 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER BRANCH COMPONENT L10 CM OD10 MM ILIAC AAA,10467.0,5233.5,2004.43,9420.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER BRANCH COMPONENT L10 CM OD12 MM ILIAC AAA,10467.0,5233.5,2004.43,9420.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L12 CM OD23 MM ODSEC12 MM ID19-21 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L12 CM OD26 MM ODSEC12 MM ID22-23 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L12 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L14 CM OD23 MM ODSEC12 MM ID19-21 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L14 CM OD26 MM ODSEC12 MM ID22-23 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L16 CM OD23 MM ODSEC14.5 MM ID19-21 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L16 CM OD26 MM ODSEC12 MM ID22-23 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L16 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L18 CM OD23 MM ODSEC12 MM ID19-21 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L18 CM OD23 MM ODSEC14.5 MM ID19-21 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L18 CM OD26 MM ODSEC12 MM ID22-23 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L18 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L18 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT NITINOL EPTFE L18 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH A,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 DELIVERY NITINOL EPTFE L16 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 DELIVERY SYSTEM LOW PROFILE GORE-TEX NITINOL FEP L18 CM OD35 MM ODSEC14.5 MM ID30-32 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG AAA ACCEPTS 18 FR SHEATH,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 L14 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 L16 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG AAA ACCEPTS 18 FR SHEATH,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF LOW PROFILE BOND FILM NITINOL EPTFE L12 CM OD23 MM ODSEC14.5 MM ID19-21 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER C3 SINUSOIDAL STENT SEAL CUFF LOW PROFILE BOND FILM NITINOL EPTFE L12 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG ACCEPTS 16 FR SHEATH AAA,10497.0,5248.5,2010.18,9447.3,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER EXTENDER L7 CM OD10 MM ODSEC 16 MM ILIAC AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER EXTENDER L7 CM OD12 MM ILIAC AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER INTERNAL COMPONENT L7 CM OD10 MM ILIAC AAA,2921.0,1460.5,559.37,2628.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER INTERNAL COMPONENT L7 CM OD12 MM ILIAC AAA,2921.0,1460.5,559.37,2628.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER INTERNAL COMPONENT L7 CM OD14.5 MM ILIAC AAA,2921.0,1460.5,559.37,2628.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD12 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD14.5 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER L12 CM OD12 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER L12 CM OD14.5 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER L14 CM OD12 MM CONTRALATERAL LEG AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER L3.3 CM OD28.5 MM ID24-26 MM AORTA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM AORTIC EXTENDER EPTFE NITINOL L3.3 CM OD23 MM ID19-21 MM ACCEPTS 16 FR SHEATH AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM AORTIC EXTENDER EPTFE NITINOL L4.5 CM OD36 MM ID27-29 MM ACCEPTS 17 FR SHEATH AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L10 CM OD27 MM ID21.5-25 MM CONTRALATERAL LEG ACCEPTS 15 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L11.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L13.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L13.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L14 CM OD14.5 MM ID12-13.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L7 CM OD14.5 MM ID12-13.5 MM ILIAC ACCEPTS 15 FR SHEATH AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF BOND FILM EPTFE NITINOL L9.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG ACCEPTS 12 FR SHEATH AAA,4202.0,2101.0,804.68,3781.8,65
RC,0278,GRAFT ENDOVASCULAR STENT 11MM 120MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 13FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
RC,0278,GRAFT ENDOVASCULAR STENT 15MM 120MM NITINOL POLYESTER PRELOADED SELF-EXPANDING LEG EXTENSION WOVEN F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 13FR 0.035IN GW,4000.0,2000.0,766.0,3600.0,65
RC,0278,GRAFT ENDOVASCULAR STENT 22/20MM DIA MAIN BODY/ILIAC LIMB 80/40MML COVERED COBALT CHROMIUM EPTFE BIFURCATED EXTENSION STENTED E DELIVERY SYSTEM W/17FR DIA SHEATH F/AAA AFX2 MRI-CONDITIONAL STERILE SIN,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT ENDOVASCULAR STENT 28MM 80MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 18FR 0.,8750.0,4375.0,1675.63,7875.0,65
RC,0278,GRAFT ENDOVASCULAR STENT 30MM 100MM NITINOL POLYESTER AORTIC BIFURCATED PRELOADED SELF-EXPANDING MAIN BODY WOVEN CLASP RELEASE W/INTRODUCER TIP/SHEATH F/AAA TREO MRI-CONDITIONAL NON-RADIOLUCENT 19FR 0,8750.0,4375.0,1675.63,7875.0,65
RC,0278,GRAFT ENDOVASCULAR STENT 31MM DIA P/D 26MM DIA D/D 10CML THORACIC CONFORMABLE W/ACTIVE CONTROL SYSTEM TAG LATEX-FREE MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE 20FR SHEATH,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT ENDOVASCULAR STENT 46MM DIA P/D 25FR OD CATHETER 150MML 162MML TOTAL COVERED MONOFILAMENT POLYESTER NITINOL HYDROPHILIC COATED STRAIGHT FREEFLOW CLOSED WEB CONFORMABLE CAPTIVIA TU DELIVERY SYSTE,17311.32,8655.66,3315.12,15580.19,65
RC,0278,GRAFT HUMAN TISSUE 4CM X 6CM 24CM2 AMNIOTIC MEMBRANE TEXAGEN,1875.0,937.5,359.06,1687.5,65
RC,0278,GRAFT LEFT DISTAL TIBIAL 1/3 SPLIT ALLOGRAFT FRESH ASEPTIC BONE,6500.0,3250.0,1244.75,5850.0,65
RC,0278,GRAFT LEFT LATERAL FEMORAL HEMICONDYLE ALLOGRAFT ASEPTIC FRESH BONE KNEE,11425.0,5712.5,2187.89,10282.5,65
RC,0278,GRAFT LEFT MEDIAL FEMORAL CONDYLE ALLOGRAFT BONE,11670.0,5835.0,2234.81,10503.0,65
RC,0278,GRAFT LEFT TALUS ALLOGRAFT ASEPTIC FRESH BONE,6850.0,3425.0,1311.78,6165.0,65
RC,0278,GRAFT MATRACELL ARTHROFLEX 90X50MM 45CM2 THK1.5MM SOFT TISSUE DERMIS DECELLULARIZE STERILE,2753.25,1376.63,527.25,2477.93,65
RC,0278,GRAFT NERVE L30 MM ALLOGRAFT OD1-2 MM AVANCE PERIPHERAL,4101.09,2050.55,785.36,3690.98,65
RC,0278,GRAFT OSTEOAMP 10CC 2- MM ALLOGRAFT GRANULE BONE,1670.11,835.06,319.83,1503.1,65
RC,0278,GRAFT OSTEOAMP 10CC 2-4MM ALLOGRAFT GRANULE BONE,1670.11,835.06,319.83,1503.1,65
RC,0278,GRAFT OSTEOAMP 10CC ALLOGRAFT PUTTY BONE,1670.11,835.06,319.83,1503.1,65
RC,0278,GRAFT OSTEOAMP 10X8X8MM SMALL ALLOGRAFT COMPRESSIBLE SPONGE BONE,814.8,407.4,156.03,733.32,65
RC,0278,GRAFT OSTEOAMP 16MMX10MMX10 HMM SMALL ALLOGRAFT COMPRESSIBLE SPONGE BONE,998.72,499.36,191.25,898.85,65
RC,0278,GRAFT OSTEOAMP 1CC ALLOGRAFT PUTTY BONE,325.85,162.93,62.4,293.27,65
RC,0278,GRAFT OSTEOAMP 2.5CC 2-4MM ALLOGRAFT GRANULE BONE,665.0,332.5,127.35,598.5,65
RC,0278,GRAFT OSTEOAMP 20CC 2MM ALLOGRAFT GRANULE BONE,665.0,332.5,127.35,598.5,65
RC,0278,GRAFT OSTEOAMP 30X20X7MM MEDIUM ALLOGRAFT COMPRESSIBLE SPONGE BONE,1968.34,984.17,376.94,1771.51,65
RC,0278,GRAFT OSTEOAMP 50X20X7MM XL ALLOGRAFT COMPRESSIBLE SPONGE BONE,2845.15,1422.58,544.85,2560.64,65
RC,0278,GRAFT OSTEOAMP 5CC 2-4MM ALLOGRAFT GRANULE BONE,1050.0,525.0,201.08,945.0,65
RC,0278,GRAFT OSTEOAMP 5CC ALLOGRAFT PUTTY BONE,1050.0,525.0,201.08,945.0,65
RC,0278,GRAFT OSTEOAMP SELECT 5CC ALLOGRAFT FLOWABLE BONE,1893.12,946.56,362.53,1703.81,65
RC,0278,GRAFT PATELLA ATTACHMENT ASEPTIC FRESH BONE RIGHT,11654.0,5827.0,2231.74,10488.6,65
RC,0278,GRAFT RIGHT DISTAL TIBIAL ALLOGRAFT FRESH BONE,6500.0,3250.0,1244.75,5850.0,65
RC,0278,GRAFT RIGHT MEDIAL FEMORAL HEMICONDYLE ALLOGRAFT ASEPTIC FRESH BONE,11670.0,5835.0,2234.81,10503.0,65
RC,0278,GRAFT SOFT TISSUE 8 CM 30-80 MM SPACE L13-20 CM X W13-40 MM ALLOGRAFT FROZEN WHOLE PATELLA BONE TENDON BONE QUADRICEPS,4800.0,2400.0,919.2,4320.0,65
RC,0278,GRAFT SOFT TISSUE ANGIOGRAFT L46-60 CM OD3+ MM VASCULAR ALLOGRAFT CRYOPRESERVE CANNULA SAPHENOUS VEIN,6294.29,3147.15,1205.36,5664.86,65
RC,0278,GRAFT SOFT TISSUE DURAMATRIX L3 IN X W3 IN SUTURABLE BOVINE COLLAGEN DURA MEMBRANE,846.73,423.37,162.15,762.06,65
RC,0278,GRAFT SOFT TISSUE FLEXIGRAFT L160-120 MM FROZEN BONE BLOCK ACHILLES TENDON,1690.9,845.45,323.81,1521.81,65
RC,0278,GRAFT SOFT TISSUE FLEXIGRAFT L230 MM OD7.5 MM ALLOGRAFT FROZEN POSTERIOR TIBIALIS TENDON,1621.27,810.64,310.47,1459.14,65
RC,0278,GRAFT SOFT TISSUE FLEXIGRAFT L230+ MM OD4+ MM ALLOGRAFT FROZEN SEMI TENDINOSUS TENDON,1220.0,610.0,233.63,1098.0,65
RC,0278,GRAFT SOFT TISSUE FROZEN ANTERIOR TIBIALIS TENDON,1650.0,825.0,315.98,1485.0,65
RC,0278,GRAFT SOFT TISSUE MENISCUS ALLOGRAFT FRESH FROZEN ASEPTIC BONE BLOCK RIGHT LATERAL,4750.0,2375.0,909.63,4275.0,65
RC,0278,GRAFT STENT 10-14MM 13FR 10FR 120MM 170MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 10-14MM 13FR 10FR 140MM 190MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 12-14MM 13FR 10FR 140MM 190MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 14MM 10MM 160MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 14MM 12FR 10FR 165MM 120MM 12FR TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 14MM 13FR 10FR 100MM 150MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 14MM 13FR 10FR 140MM 190MM 12FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 16-14MM 14MM 11FR 100MM 150MM 13FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 16-14MM 14MM 11FR 140MM 190MM 13FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 16-14MM 14MM 11FR 160MM 210MM 13FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 16MM 13FR 45MM AAA TRIVASCULAR OVATION PRIME OVATION IX ILIAC LIMB DELIVERY CATHETER FILL POLYMER KIT AUTOINJECTOR STERILE LATEX FREE DISPOSABLE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 16MM 88MM AAA AFX STRATA ILIAC LIMB STERILE LATEX FREE,4199.0,2099.5,804.11,3779.1,65
RC,0278,GRAFT STENT 18-14MM 13FR 11FR 160MM 210MM AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 18-14MM 14MM 11FR 140MM 190MM 13FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 18MM 14MM 120MM 13FR AAA TRIVASCULAR OVATION PRIME OVATION IX ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 20MM 14FR 12FR 80MM AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE AORTIC BODY DELIVERY CATHETER STERILE LATEX FREE,11399.0,5699.5,2182.91,10259.1,65
RC,0278,GRAFT STENT 20MM 17FR 55MM STRAIGHT AAA AFX ACTIVESEAL STRATA EPTFE ENDOVASCULAR ILIUM SELF EXPANDABLE FLEXIBLE LIMB EXTENSION INTRODUCER,4199.0,2099.5,804.11,3779.1,65
RC,0278,GRAFT STENT 20MM 55MM AAA AFX STRATA ILIAC LIMB STERILE LATEX FREE,2695.0,1347.5,516.09,2425.5,65
RC,0278,GRAFT STENT 22MM 13MM 40MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 22MM 16MM 90MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 22MM 20MM 70MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 16MM 100MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 16MM 70MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 16MM 80MM 55MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 20MM 100MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 20MM 70MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 20MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 25MM 55MM 2 BRANCH AAA AFX STRATA ENDOVASCULAR AORTIC EXTENSION SELF EXPAND STERILE LATEX FREE,5034.0,2517.0,964.01,4530.6,65
RC,0278,GRAFT STENT 25MM 75MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 25MM 95MM 20MM VELA ENDOVASCULAR ABDOMEN AORTA STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 25MM 95MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 26MM 14FR 12FR 80MM AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE AORTIC BODY DELIVERY CATHETER STERILE LATEX FREE,10899.0,5449.5,2087.16,9809.1,65
RC,0278,GRAFT STENT 28-14MM 13FR 120MM 170MM 15FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 28-14MM 13FR 140MM 190MM 15FR AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE ILIAC LIMB DELIVERY CATHETER STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 28MM 16MM 100MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 28MM 16MM 60MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 28MM 16MM 70MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 28MM 16MM 90MM 30MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 28MM 20MM 100MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE,14999.0,7499.5,2872.31,13499.1,65
RC,0278,GRAFT STENT 28MM 22FR 157MM 150MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER,17311.32,8655.66,3315.12,15580.19,65
RC,0278,GRAFT STENT 28MM 75MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 28MM 95MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 34MM 100MM AAA AFX VELA STRATA ENDOVASCULAR AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 34MM 15FR 13FR 80MM AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE AORTIC BODY DELIVERY CATHETER STERILE LATEX FREE,11399.0,5699.5,2182.91,10259.1,65
RC,0278,GRAFT STENT 34MM 20FR 229MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC FREEFLO FLEXIBLE,18270.75,9135.38,3498.85,16443.68,65
RC,0278,GRAFT STENT 34MM 24FR 160MM 150MM SINUSOIDAL TAPER VALIANT CAPTIVIA NITINOL HYDROPHILIC THORACIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB,16609.32,8304.66,3180.68,14948.39,65
RC,0278,GRAFT STENT 34MM 80MM AAA AFX VELA STRATA AORTIC EXTENSION STERILE LATEX FREE,5699.0,2849.5,1091.36,5129.1,65
RC,0278,GRAFT STENT 36MM 24FR 150MM 160MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL HYDROPHILIC THORACIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB,16609.32,8304.66,3180.68,14948.39,65
RC,0278,GRAFT STENT 38MM 24FR 207MM 200MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER,18247.32,9123.66,3494.36,16422.59,65
RC,0278,GRAFT STENT 40MM 22FR 183MM STRAIGHT VALIANT NAVION HYDROPHILIC THORACIC FREEFLO FLEXIBLE,16995.75,8497.88,3254.69,15296.18,65
RC,0278,GRAFT STENT 42MM 25FR 100MM 105MM SINUSOIDAL STRAIGHT VALIANT CAPTIVIA NITINOL HYDROPHILIC THORACIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB,16609.32,8304.66,3180.68,14948.39,65
RC,0278,GRAFT STENT AAA TRIVASCULAR OVATION PRIME 14ML DELIVERY CATHETER FILL POLYMER KIT STERILE,350.0,175.0,67.03,315.0,65
RC,0278,GRAFT STENT AAA TRIVASCULAR OVATION PRIME OVATION IX PTFE 14ML DELIVERY CATHETER CUSTOMSEAL KIT STERILE LATEX FREE,999.0,499.5,191.31,899.1,65
RC,0278,GRAFT STENT OD10 MM ODSEC16 FR L146 MM 2 BRANCH ENDURANT II ENDOVASCULAR AAA,6323.2,3161.6,1210.89,5690.88,65
RC,0278,GRAFT STENT OD13 MM L121 MM CATHETER TREO ENDOVASCULAR ABDOMINAL,4000.0,2000.0,766.0,3600.0,65
RC,0278,GRAFT STENT OD14.5 MM L10 CM GORE EXCLUDER ILIAC AAA,10467.0,5233.5,2004.43,9420.3,65
RC,0278,GRAFT STENT OD16-10 MM ODSEC14 FR L124 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,4915.3,2457.65,941.28,4423.77,65
RC,0278,GRAFT STENT OD16-13 MM ODSEC14 FR L82 MM POLYESTER NITINOL DELIVERY SYSTEM C DISTAL 1 PIECE CONTRALATERAL ILIAC LIMB ENDURANT II ENDOVASCULAR AAA,4188.6,2094.3,802.12,3769.74,65
RC,0278,GRAFT STENT OD16-20 MM L82 MM NITINOL POLYESTER DELIVERY SYSTEM C DISTAL 1 PIECE ENDURANT II ENDOVASCULAR AAA,4188.6,2094.3,802.12,3769.74,65
RC,0278,GRAFT STENT OD16-24 MM L124 MM NITINOL POLYESTER DELIVERY SYSTEM 1 PIECE CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,4915.3,2457.65,941.28,4423.77,65
RC,0278,GRAFT STENT OD20-16 MM ODSEC16 FR L93 MM L147 MM L166 MM NITINOL POLYESTER DELIVERY SYSTEM CONTRALATERAL ILIAC LIMB C DISTAL ENDURANT II INFRARENAL AAA,4609.8,2304.9,882.78,4148.82,65
RC,0278,GRAFT STENT OD21 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD21-26 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD26 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD26 MM L3.3 CM EXCLUDER AORTIC AAA,2941.0,1470.5,563.2,2646.9,65
RC,0278,GRAFT STENT OD26 MM ODSEC22 FR L112 MM L100 MM SINUSOIDAL STRAIGHT NITINOL PROXIMAL 8 PEAK RADIOPAQUE CATHETER VALIANT CAPTIVIA FREEFLO THORACIC,15907.32,7953.66,3046.25,14316.59,65
RC,0278,GRAFT STENT OD28 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD28 MM L15 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD28 MM ODSEC22 FR L150 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE CLOSED WEB C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
RC,0278,GRAFT STENT OD28-32 MM L150 MM L157 MM SINUSOIDAL STRAIGHT TAPER NITINOL HYDROPHILIC RADIOPAQUE CATHETER C DISTAL CLOSED WEB VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
RC,0278,GRAFT STENT OD30 MM ODSEC22 FR L117 MM L100 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE B DISTAL PROXIMAL 8 PEAK CATHETER VALIANT CAPTIVIA FREEFLO THORACIC,15907.32,7953.66,3046.25,14316.59,65
RC,0278,GRAFT STENT OD30 MM ODSEC22 FR L150 MM L157 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
RC,0278,GRAFT STENT OD31 MM ID8 MM L15 MM GORE TAG THORACIC AORTIC 22 FR INTRODUCER SHEATH,32000.0,16000.0,6128.0,28800.0,65
RC,0278,GRAFT STENT OD31 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD31 MM L15 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD31 MM L20 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD34 MM ID8 MM L15 MM GORE TAG THORACIC AORTIC 24 FR INTRODUCER SHEATH,32000.0,16000.0,6128.0,28800.0,65
RC,0278,GRAFT STENT OD34 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD34 MM L15 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD34 MM L20 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD34 MM ODSEC24 FR L100 MM L107 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,15907.32,7953.66,3046.25,14316.59,65
RC,0278,GRAFT STENT OD37 MM ID8 MM L15 MM GORE TAG THORACIC AORTIC 24 FR INTRODUCER SHEATH,32000.0,16000.0,6128.0,28800.0,65
RC,0278,GRAFT STENT OD37 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD37 MM L15 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD37 MM L20 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD38 MM ODSEC24 FR L150 MM L160 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE CLOSED WEB C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
RC,0278,GRAFT STENT OD40 MM ID8 MM L15 MM GORE TAG THORACIC AORTIC 26 FR INTRODUCER SHEATH,32000.0,16000.0,6128.0,28800.0,65
RC,0278,GRAFT STENT OD40 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD40 MM L15 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD40 MM L20 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD40 MM ODSEC25 FR L100 MM L112 MM SINUSOIDAL STRAIGHT NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
RC,0278,GRAFT STENT OD40-36 MM ODSEC24 FR L167 MM L150 MM SINUSOIDAL TAPER NITINOL HYDROPHILIC RADIOPAQUE PROXIMAL FREEFLO C DISTAL CATHETER VALIANT CAPTIVIA THORACIC,17311.32,8655.66,3315.12,15580.19,65
RC,0278,GRAFT STENT OD45 MM ID8 MM L15 MM GORE TAG THORACIC AORTIC 26 FR INTRODUCER SHEATH,32000.0,16000.0,6128.0,28800.0,65
RC,0278,GRAFT STENT OD45 MM L10 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD45 MM L15 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD45 MM L20 CM ACTIVE CONTROL CONFORMABLE GORE TAG THORACIC,17928.0,8964.0,3433.21,16135.2,65
RC,0278,GRAFT STENT OD46 MM L155 MM NITINOL HYDROPHILIC CLOSE VALIANT CAPTIVIA THORACIC,16609.32,8304.66,3180.68,14948.39,65
RC,0278,GRAFT SYNTHETIC TISSUE L107 MM X W97 THK6 MM GRID CONTOUR MEDPOR FLEXBLOCK POLYETHYLENE POROUS CRANIAL,4169.21,2084.61,798.4,3752.29,65
RC,0278,GRAFT SYNTHETIC TISSUE L44 MM X W43 MM X H6 MM MEDPOR POLYETHYLENE POROUS LEFT PTERION,1219.5,609.75,233.53,1097.55,65
RC,0278,GRAFT SYNTHETIC TISSUE L48 MM X W43 MM THK6 MM MEDPOR PTERIONAL LEFT,1219.5,609.75,233.53,1097.55,65
RC,0278,GRAFT SYNTHETIC TISSUE L50 MM X W38 MM X H.4 MM MICROTHIN SHEET MEDPOR POLYETHYLENE POROUS CRANIOMAXILLOFACIAL,479.32,239.66,91.79,431.39,65
RC,0278,GRAFT SYNTHETIC TISSUE L50 MM X W38 MM X H.85 MM ULTRA THIN SHEET SMOOTH TRANSITION MEDPOR POLYETHYLENE POROUS CRANIOMAXILLOFACIAL,437.64,218.82,83.81,393.88,65
RC,0278,GRAFT SYNTHETIC TISSUE L78 MM X W61 MM X H18 MM SMALL TF2 ANATOMIC FIT CONTOUR SURFACE FLEXBLOCK MEDPOR TEMPORAL RIGHT,1547.14,773.57,296.28,1392.43,65
RC,0278,GRAFT SYNTHETIC TISSUE L93 MM X W74 MM X H20 MM MEDIUM SMOOTH MEDPOR FLEXBLOCK TF2 POLYETHYLENE POROUS CRANIOMAXILLOFACIAL LEFT TEMPORAL,1618.52,809.26,309.95,1456.67,65
RC,0278,GRAFT THORATEC HEARTMATE II CARDIOVASCULAR SEAL OUTFLOW STERILE LATEX FREE,4320.0,2160.0,827.28,3888.0,65
RC,0278,GRAFT TUTOPLAST .8X.5CM SOFT TISSUE SCLERA LOW PROFILE STERILE,273.6,136.8,52.39,246.24,65
RC,0278,GRAFT VASCULAR ANTEGRADE FLOW 30MM DIA BORE 40CML FABRIC GELATIN IMPREGNATION SEALED POLYESTER ABDOMINAL CARDIOTHORACIC AORTIC ARCH STRAIGHT WOVEN GELWEAVE LATEX-FREE STERILE SINGLE-USE,938.0,469.0,179.63,844.2,65
RC,0278,GRAFT VASCULAR ASSORTED LENGTH ASSORTED BRANCH RADIOPAQUE MARKER VASCUTEK GELWEAVE LUPIAE THORACIC ARCH,3775.0,1887.5,722.91,3397.5,65
RC,0278,GRAFT VASCULAR L40 CM ID14 MM IDSEC7 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL THIN WALL 2 BRANCH PERIPHERAL,970.0,485.0,185.76,873.0,65
RC,0278,GRAFT VASCULAR L40 CM ID16 MM IDSEC8 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL THIN WALL 2 BRANCH PERIPHERAL,970.0,485.0,185.76,873.0,65
RC,0278,GRAFT VASCULAR L40 CM ID18 MM IDSEC9 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL THIN WALL 2 BRANCH PERIPHERAL,970.0,485.0,185.76,873.0,65
RC,0278,GRAFT VASCULAR L40 CM ID20 MM IDSEC10 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL THIN WALL 2 BRANCH PERIPHERAL,970.0,485.0,185.76,873.0,65
RC,0278,GRAFT VASCULAR L40 CM ID22 MM IDSEC11 MM GORE-TEX STRETCH GORE-TEX STANDARD WALL 2 BRANCH PERIPHERAL,970.0,485.0,185.76,873.0,65
RC,0278,GRAFT VASCULAR L40 CM ID8 MM GORE-TEX STRETCH REMOVABLE RING GORE TEX STANDARD WALL AXILLOBIFEMORAL,1917.0,958.5,367.11,1725.3,65
RC,0278,GRAFT VASCULAR L70 CM L40 CM ID8 MM CBAS REMOVABLE PROPATEN STANDARD WALL FULL RING AXILLOBIFEMORAL,3832.0,1916.0,733.83,3448.8,65
RC,0278,GRAFT VASCULAR L90 CM L40 CM ID8 MM CBAS REMOVABLE RING GORE PROPATEN STANDARD WALL AXILLOBIFEMORAL,4529.0,2264.5,867.3,4076.1,65
RC,0278,GRAFT VERTIGRAFT 100MMX15MM CORTICAL FEMUR FREEZE DRIED STRUT BONE,309.5,154.75,59.27,278.55,65
RC,0278,GRAFT WEDGE CORTICAL BONE,1525.0,762.5,292.04,1372.5,65
RC,0278,GRAFT WHOLE FRESH BONE FEMORAL CONDYLE LEFT STERILE,18416.0,9208.0,3526.66,16574.4,65
RC,0278,GRANULES BONE GRAFT SUBSTITUTE 2-4MM MINERALIZED CANCELLOUS CORTICAL 20ML OSTEOAMP,2800.0,1400.0,536.2,2520.0,65
RC,0278,GUIDEWIRE ORTHOPEDIC L280 MM THREAD SPADE POINT TIP OD2 MM STAINLESS STEEL,32.12,16.06,6.15,28.91,65
RC,0278,HANDLE BROACH PROSTEP TBI,210.94,105.47,40.4,189.85,65
RC,0278,HC CATH AVALON 16FR BI-CAVAL LUMEN,14148.75,7074.38,2709.49,12733.88,65
RC,0278,HEAD FEMORAL OD32 MM +5 MM 12/14 STANDARD TAPER HIP COCR ARTICUL/EZE,589.95,294.98,112.98,530.96,65
RC,0278,HEAD FEMORAL OD32 MM STANDARD TAPER HIP BIOLOX DELTA MODULAR TYPE 1,400.0,200.0,76.6,360.0,65
RC,0278,HEAD GLENOID +4 MM LATERAL OFFSET GLENOSPHERE OD36 MM UNIVERS REVERS SHOULDER,1580.0,790.0,302.57,1422.0,65
RC,0278,HEAD GLENOID SMALL UNIVERSAL GLENOSPHERE VARIABLE ANGLE OD36 MM UNIVERS REVERS CALCIUM PHOSPHATE SHOULDER ARTHROPLASTY,1580.0,790.0,302.57,1422.0,65
RC,0278,HEAD HUMERAL 50MM 19MM 27MM SHORT STEM ARTICULATION SHOULDER STERILE LATEX FREE TOTAL SHOULDER ARTHROPLASTY,1200.0,600.0,229.8,1080.0,65
RC,0278,HOOK SPINAL NARROW BLADE TRANSVERSE CD HORIZON STAINLESS STEEL MEDIUM 5.5 MM ROD,300.0,150.0,57.45,270.0,65
RC,0278,IMPACTOR SURG CONTOUR F/TOTAL TALUS REPLACE,195.0,97.5,37.34,175.5,65
RC,0278,IMPACTOR SURG FLAT F/TOTAL TALUS REPLACE,195.0,97.5,37.34,175.5,65
RC,0278,IMPLANT BONE MEDIUM 74MMW X 93MML 20MM PROJECTION MEDPOR RIGHT TEMPORAL FOSSA,1386.86,693.43,265.58,1248.17,65
RC,0278,IMPLANT BONE PEEK CRANIAL ONLAY IPS 60-000-37-09 STERILE 1/EA,10049.92,5024.96,1924.56,9044.93,65
RC,0278,IMPLANT BROW FIXATION 3MM POLYLACTIC ACID POLYGLYCOLIC ACID FOREHEAD ENDOTINE BIOABSORBABLE,655.0,327.5,125.43,589.5,65
RC,0278,IMPLANT BROW FIXATION BIOABSORBABLE ENDOTINE H3.5 MM FOREHEAD EYEBROW,635.0,317.5,121.6,571.5,65
RC,0278,IMPLANT BROW FOREHEAD ENDOTINE 3MM,655.0,327.5,125.43,589.5,65
RC,0278,IMPLANT DENTAL ABUTMENT 4MM DIA 5MML HEALING ZYGOMA BRANEMARK,65.0,32.5,12.45,58.5,65
RC,0278,IMPLANT DISTAL JOINT CUSTOM RIGHT TALAR HIGH COMPLEXITY W/O STEM 9000-0004-C,18000.0,9000.0,3447.0,16200.0,65
RC,0278,IMPLANT DISTAL JOINT HIGH COMPLEXITY,37495.0,18747.5,7180.29,33745.5,65
RC,0278,IMPLANT HUMAN TISSUE ALLOGRAFT 22CML ANTERIOR TIBIALIS TENDON FROZEN IRRADIATED STERILE,1650.0,825.0,315.98,1485.0,65
RC,0278,IMPLANT HUMAN TISSUE ALLOGRAFT ACHILLES TENDON WHOLE,2203.2,1101.6,421.91,1982.88,65
RC,0278,IMPLANT MIS HV CHAMFER FT 3.5 X 34,795.0,397.5,152.24,715.5,65
RC,0278,IMPLANT MIS HV CHAMFER FT 4.0 X 48,795.0,397.5,152.24,715.5,65
RC,0278,IMPLANT NASAL PROPEL MOMETASONE FUROATE CONTOUR MOMETASONE FUROATE STERILE,995.0,497.5,190.54,895.5,65
RC,0278,IMPLANT OPHTHALMIC 16MM DIA SILICONE EYE SPHERICAL F/ENUCLEATION/EVISCERATION PROCEDURE LATEX-FREE STERILE,45.0,22.5,8.62,40.5,65
RC,0278,IMPLANT ORBITAL LARGE MEDPOR TITAN FLOOR LEFT MTB,2436.07,1218.04,466.51,2192.46,65
RC,0278,IMPLANT ORBITAL LARGE MEDPOR TITAN ORBITAL FLOOR RIGHT MTB,2416.22,1208.11,462.71,2174.6,65
RC,0278,IMPLANT ORBITAL LARGE RING PMMA 25MM HIGH POLISH EDGE ATRAUMATIC TRANSLUCENT STERILE LATEX FREE SYMBLEPHARON,55.0,27.5,10.53,49.5,65
RC,0278,IMPLANT ORBITAL SMALL TITANIUM NONPOROUS MEDPOR TITAN ORBITAL FLOOR LEFT MTB,2436.07,1218.04,466.51,2192.46,65
RC,0278,IMPLANT SPINAL 0 D 1 MEDIUM PEEK RADIOLUCENT EXPAND INTEGRATE FULL COMPRESS H22-25 MM OD21 MM THORACOLUMBAR VERTEBRAL BODY REPLACEMENT,4000.0,2000.0,766.0,3600.0,65
RC,0278,IMPLANT SPINAL 0 D 3 MEDIUM PEEK RADIOLUCENT EXPAND INTEGRATE FULL COMPRESS H28-36 MM OD21 MM THORACOLUMBAR VERTEBRAL BODY REPLACEMENT,4000.0,2000.0,766.0,3600.0,65
RC,0278,IMPLANT SPINAL 4 MEDIUM STANDARD PEEK RADIOLUCENT EXPAND CENTER BODY FULL COMPRESS H22-27 MM OD21 MM THORACOLUMBAR VERTEBRAL BODY REPLACEMENT,3000.0,1500.0,574.5,2700.0,65
RC,0278,IMPLANT SPINAL 5 MEDIUM STANDARD PEEK RADIOLUCENT EXPAND CENTER BODY FULL COMPRESS H25-33 MM OD21 MM THORACOLUMBAR VERTEBRAL BODY REPLACEMENT,3000.0,1500.0,574.5,2700.0,65
RC,0278,IMPLANT SPINAL 8X6MM BARRICAID TITANIUM PET MICRODISCECTOMY STERILE,5500.0,2750.0,1053.25,4950.0,65
RC,0278,"IMPLANT, MIS HV CHAMFER FT, 4.0 X 40",795.0,397.5,152.24,715.5,65
RC,0278,INSERT ACETABULAR HIP ADM 0D 6.9MM 48MM 28MM X3,633.0,316.5,121.22,569.7,65
RC,0278,INSERT HUMERAL SHOULDER AEQUALIS REVERSED H+6MM 42MM LATERALIZE ADAPTER PRIMARY,949.0,474.5,181.73,854.1,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 2 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE - 5531-G-209,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 2 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 3 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 3 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 3 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 4 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 4 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 4 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 5 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-513-E,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 5 9MM X3 CONDYLAR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 5 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 6 11MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 6 13MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE - 5532-G-613-E,700.0,350.0,134.05,630.0,65
RC,0278,INSERT TIBIAL KNEE TRIATHLON 6 9MM X3 POSTERIOR STABILIZE BEARING STERILE LATEX FREE,700.0,350.0,134.05,630.0,65
RC,0278,KIT AORTIC VALVE 20 MM TRANSCATHETER INTRODUCER BALLOON CATHETER CRIMPER OD14 FR COMMANDER SAPIEN 3,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 20 MM TRANSCATHETER INTRODUCER CRIMPER INFLATION LOCK SYRINGE DEVICE OD18 FR CERTITUDE SAPIEN 3 ATRION,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 23 MM TRANSCATHETER INTRODUCER BALLOON CATHETER CRIMPER OD16 FR SAPIEN XT FEMORAL VALVULOPLASTY,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 23 MM TRANSCATHETER INTRODUCER BALLOON CATHETER INFLATION DEVICE OD18 FR SAPIEN 3 CERTITUDE VALVULOPLASTY,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 23 MM TRANSCATHETER INTRODUCER BALLOON CATHETER INFLATION LOCK SYRINGE DEVICE OD14 FR COMMANDER SAPIEN 3 ATRION,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 26 MM TRANSCATHETER INTRODUCER CRIMPER INFLATION DEVICE OD18 FR SAPIEN 3 CERTITUDE,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 26 MM TRANSCATHETER INTRODUCER CRIMPER INFLATION LOCK SYRINGE DEVICE OD14 FR COMMANDER SAPIEN 3 ATRION,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 29 MM TRANSCATHETER BALLOON CATHETER CRIMPER INFLATION LOCK SYRINGE DEVICE COMMANDER SAPIEN 3 ATRION,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE 29 MM TRANSCATHETER INTRODUCER BALLOON CATHETER CRIMPER OD21 FR CERTITUDE SAPIEN 3 ATRION ASCENDRA VALVULOPLASTY,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE ULTRA VALVE COMMANDER SAPIEN 3 OD23 MM,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT AORTIC VALVE ULTRA VALVE COMMANDER SAPIEN 3 OD26 MM,32500.0,16250.0,6223.75,29250.0,65
RC,0278,KIT BLOOD PRESSURE MINI CUFF THORATEC HEARTMATE 3 DISPOSABLE STERILE LATEX FREE APICAL,610.0,305.0,116.82,549.0,65
RC,0278,KIT BONE BIOPSY L14 MM SMALL VERTEBRAL BALLOON OD16.3 MM L10 MM 4 ML,630.0,315.0,120.65,567.0,65
RC,0278,KIT BONE BIOPSY L15 MM MEDIUM BALLON OD16.1 MM L19 MM 5 ML VERTEBRA,630.0,315.0,120.65,567.0,65
RC,0278,KIT CATHETER 4.7 MM X 75 MM OD 14FR IMPELLA CP VENTRICULAR ASSIST IV SOLN GW INTRO CONN CBL,25000.0,12500.0,4787.5,22500.0,65
RC,0278,KIT CUSTOM DEVICE CMF HIGH COMPLEXITY SIZE A,32995.0,16497.5,6318.54,29695.5,65
RC,0278,KIT CUSTOM DEVICE CMF MODEL CUTTING GUIDE DRILL GUIDE,2495.0,1247.5,477.79,2245.5,65
RC,0278,KIT IMPLANT SPINAL 5.5MM OD 375MML CONTOURED DEFORMITY MESA,1100.0,550.0,210.65,990.0,65
RC,0278,KIT INTRATHECAL CONNECTOR REVISION SYNCHROMED 8709/8709SC CATHETER,150.0,75.0,28.73,135.0,65
RC,0278,KIT N300 LEAD ANCHOR,192.0,96.0,36.77,172.8,65
RC,0278,KIT NEUROSTIMULATOR IMPLANTABLE SPARE W/TORQUE WRENCH SUTURE SLEEVE VERCISE,250.0,125.0,47.88,225.0,65
RC,0278,KIT NEUROSTIMULATOR IPG PORT PLUG NEVRO DISPOSABLE STERILE LATEX FREE,40.0,20.0,7.66,36.0,65
RC,0278,KIT SHUNT L6 IN STRAIGHT 4 TUBE BEVEL TIP RADIOPAQUE OD8-14 FR ARGYLE PVC CAROTID ARTERY,308.21,154.11,59.02,277.39,65
RC,0278,KIT TRAUMA FIXATION INVISIKNOT ANKLE SYNDESMOSIS REPAIR FRACTURE,800.0,400.0,153.2,720.0,65
RC,0278,LINER ACETABULAR MDM E 42MM COCR HIP,1000.0,500.0,191.5,900.0,65
RC,0278,MAGNET PACER PATIENT ACCENT SR RF,75.0,37.5,14.36,67.5,65
RC,0278,MATRIX TISSUE AXIOFILL 25 SQ CM ALLOGRAFT DRY PARTICULATE HYDRATE PASTE HUMAN PLACENTAL EXTRACELLULAR MATRIX,581.0,290.5,111.26,522.9,65
RC,0278,MATRIX TISSUE DURAGEN PLUS DURAPLASTY L1 IN X W1 IN PATCH REGENERATION RESORBABLE BOVINE COLLAGEN DURAL,277.53,138.77,53.15,249.78,65
RC,0278,MESH CRANIAL 60X60X.1MM MICRO MIDFACE MALLEABLE 1.2/1.7MM SCREW,488.55,244.28,93.56,439.7,65
RC,0278,MESH CRANIAL 60X60X.2MM MICRO STANDARD MIDFACE 1.2/1.7MM SCREW,488.55,244.28,93.56,439.7,65
RC,0278,MESH CRANIAL 90X90X.6MM UNIVERSAL NEURO III DYNAMIC,1458.5,729.25,279.3,1312.65,65
RC,0278,MESH CRANIAL BLUE 100X100X.4MM MATRIXNEURO TITANIUM RIGID CONTOURABLE,1000.0,500.0,191.5,900.0,65
RC,0278,MESH CRANIAL SILVER 45X38X.4MM MATRIXNEURO CONTOUR TITANIUM MALLEABLE NONSTERILE,642.75,321.38,123.09,578.48,65
RC,0278,MESH DYNAMIC 1.7 90X90 .3MM,1458.5,729.25,279.3,1312.65,65
RC,0278,MESH LEVEL ONE NEURO H.6 MM TITANIUM STANDARD CRANIAL PRECONTOUR RIGID DETACHABLE IDENTIFICATION TAG BIFRONTAL APPROACH 1.5 MM NEURO MAXDRIVE SCREW,2564.73,1282.37,491.15,2308.26,65
RC,0278,MESH OVOID LUMBAR INTERBODY FUSION L14 MM X W10 MM X H9 MM TITANIUM PYRAMESH SURGICAL,2163.0,1081.5,414.21,1946.7,65
RC,0278,MESH SQUARE HEXAGON HERNIA REPAIR L15 CM X W15 CM POLYESTER HYDROPHILIC VERSATEX MONOFILAMENT 3D NONABSORBABLE SURGICAL L3 MM X W2.1 MM,139.74,69.87,26.76,125.77,65
RC,0278,NIAOULI (TEA TREE) ESSENTIAL OIL 8 ML,16.0,8.0,3.06,14.4,65
RC,0278,OCCLUDER CARDIOVASCULAR L75 CM OD12 FR ODSEC14 FR 3 WAY STOPCOCK Y ADAPTER SELF EXPAND PROXIMAL FACE WATCHMAN PEBAX NITINOL PLATINUM IRIDIUM PET 27 MM LEFT ATRIAL APPENDAGE,1000.0,500.0,191.5,900.0,65
RC,0278,PACKAGE BASIC TRIAL,520.0,260.0,99.58,468.0,65
RC,0278,PATCH CARDIOVASCULAR 8X6CM CROSSLINK NONPYROGENIC PERI-GUARD BOVINE PERICARDIAL GLUTARALDEHYDE STERILE,521.68,260.84,99.9,469.51,65
RC,0278,PATCH CARDIOVASCULAR THK.1 MM L20 CM X W15 CM LONG TERM FLEXIBLE GORE PRECLUDE GORE-TEX PERICARDIUM,1604.0,802.0,307.17,1443.6,65
RC,0278,PATCH DURAL L2 IN X W2 IN THK3.5 MM REGENERATION MEMBRANE SPONGE LAYER DURAMATRIX-ONLAY PLUS DURAMATRIX-ONLAY PLUS NONPOROUS CRANIOMAXILLOFACIAL,542.55,271.28,103.9,488.3,65
RC,0278,PATCH DURAL L5 IN X W4 IN THK3.5 MM REGENERATION MEMBRANE SPONGE LAYER DURAMATRIX-ONLAY PLUS DURAMATRIX-ONLAY PLUS NONPOROUS CRANIOMAXILLOFACIAL,1232.58,616.29,236.04,1109.32,65
RC,0278,PATCH DURAL L7 IN X W5 IN THK3.5 MM REGENERATION MEMBRANE SPONGE LAYER DURAMATRIX-ONLAY PLUS DURAMATRIX-ONLAY PLUS NONPOROUS CRANIOMAXILLOFACIAL,1641.17,820.59,314.28,1477.05,65
RC,0278,PATCH SURGICAL 40X20CM LOOP HOOK WITTMANN PATCH 40X10CM STERILE,8100.0,4050.0,1551.15,7290.0,65
RC,0278,PEG FIXATION OD2.5 MM L10 MM RADIUS VOLAR DISTAL THREAD MULTIDIRECTIONAL COCR DVR,170.1,85.05,32.57,153.09,65
RC,0278,PIN FIXATION TEMPORARY,29.7,14.85,5.69,26.73,65
RC,0278,PLATE BONE .4MM MIDFACE 20 HOLE ADAPTION STANDARD MICRO TITANIUM NONSTERILE MATRIXMIDFACE SILVER,597.3,298.65,114.38,537.57,65
RC,0278,PLATE BONE .5MM MIDFACE 12 HOLE STANDARD MINI TITANIUM NONSTERILE MATRIXMIDFACE BLUE,328.35,164.18,62.88,295.52,65
RC,0278,PLATE BONE .5MM UPPER FACE 6X2 HOLE MALLEABLE 1.2MM SCREW 3D TITANIUM LEIBINGER UNIVERSAL 2 BLUE,411.13,205.57,78.73,370.02,65
RC,0278,PLATE BONE .6MM CRANIOMAXILLOFACIAL 2X2 HOLE 2MM SCREW MINI RECTANGLE TITANIUM LEIBINGER UNIVERSAL 2 SILVER,218.17,109.09,41.78,196.35,65
RC,0278,PLATE BONE .6MM MIDFACE 6 HOLE BAR 1.7MM SCREW STANDARD CURVE TITANIUM LEIBINGER UNIVERSAL 2 GOLD,240.55,120.28,46.07,216.5,65
RC,0278,PLATE BONE .7MM MIDFACE 4X6 HOLE STANDARD MEDIUM L OBLIQUE LEFT TITANIUM NONSTERILE MATRIXMIDFACE PINK,285.45,142.73,54.66,256.91,65
RC,0278,PLATE BONE .7MM MIDFACE RIGHT 4X6 HOLE L OBLIQUE TITANIUM MATRIXMIDFACE,285.45,142.73,54.66,256.91,65
RC,0278,PLATE BONE 6 HOLE FLEX 2 MM SCREW EVOS,739.8,369.9,141.67,665.82,65
RC,0278,PLATE BONE 64MM SPINE CERVICAL 4 LEVEL NONSTERILE ZAVATION,600.0,300.0,114.9,540.0,65
RC,0278,PLATE BONE 8MMX.6MM MIDFACE LEFT 6 HOLE BAR 1.7MM SCREW 100D L TITANIUM LEIBINGER UNIVERSAL 2 GSP GOLD,212.87,106.44,40.76,191.58,65
RC,0278,PLATE BONE HOLEX2 W/8MM BAR NON-STERILE MAXILLOFACIAL,138.53,69.27,26.53,124.68,65
RC,0278,PLATE BONE THORACIC LEVEL 1 1 LEG 14MM MEDIUM TITANIUM STERILE STERNAL TALON,1295.0,647.5,247.99,1165.5,65
RC,0278,PLATE C MANDIBULAR 4 HOLE LEIBINGER BONE GOLD 2/2.3 MM SCREW,380.04,190.02,72.78,342.04,65
RC,0278,PLATE CRANIAL XL CUSTOMIZE CRANIAL ID PEEK,20662.12,10331.06,3956.8,18595.91,65
RC,0278,PLATE D11 MM SMALL 1 VERSION 2 LEG RATCHET MECHANISM TITANIUM STERNAL TALON BONE CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
RC,0278,PLATE D11 MM XS 1 VERSION 2 LEG RATCHET MECHANISM TITANIUM STERNAL TALON BONE CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
RC,0278,PLATE H.6 MM CURVE MIDFACE ORBITAL FLOOR 10 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,99.0,49.5,18.96,89.1,65
RC,0278,PLATE H1 MM 90 D T CRANIOMAXILLOFACIAL 6 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,160.44,80.22,30.72,144.4,65
RC,0278,PLATE H1 MM MINI REGULAR 2Y CRANIOMAXILLOFACIAL 6 HOLE TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,217.78,108.89,41.7,196.0,65
RC,0278,PLATE H1.5 MM MANDIBLE 4 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE GOLD 2/2.3 MM SCREW,367.39,183.7,70.36,330.65,65
RC,0278,PLATE L2 MM X H.6 MM 100 D L MIDFACE LEFT 5 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 GSP BONE GOLD 1.7 MM SCREW,199.26,99.63,38.16,179.33,65
RC,0278,PLATE L22 MM LARGE CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE GAP TITANIUM UNIVERSAL NEURO 2 BONE 1.5 MM SCREW RETROSIGMOID,334.89,167.45,64.13,301.4,65
RC,0278,PLATE L22 MM SPINE LOW PROFILE FIX TITANIUM LEGACY X10 CROSSLINK CD HORIZON BONE 5.5 MM ROD,425.0,212.5,81.39,382.5,65
RC,0278,PLATE L30-32 MM SPINE TITANIUM CD HORIZON SOLERA X10 CROSSLINK MULTI-SPAN BONE 4.75 MM SCREW,425.0,212.5,81.39,382.5,65
RC,0278,PLATE L41-48 MM SPINE TITANIUM CD HORIZON SOLERA X10 CROSSLINK MULTI-SPAN BONE 4.75 MM SCREW,425.0,212.5,81.39,382.5,65
RC,0278,PLATE L50 MM LACTOSORB BONE 1.5 MM SCREW,961.0,480.5,184.03,864.9,65
RC,0278,PLATE L8 MM X H.6 MM 100 D L MIDFACE RIGHT 6 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 GSP BONE GOLD 1.7 MM SCREW,212.87,106.44,40.76,191.58,65
RC,0278,PLATE L8 MM X H1 MM MINI 2Y CRANIOMAXILLOFACIAL 6 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,217.78,108.89,41.7,196.0,65
RC,0278,PLATE L8 MM X H1 MM MINI L CRANIOMAXILLOFACIAL RIGHT 5 HOLE BAR TITANIUM LEIBINGER UNIVERSAL 2 BONE SILVER 2 MM SCREW,231.15,115.58,44.27,208.04,65
RC,0278,PLATE ORAL MAXILLOFACIAL 1 FACIAL ID BONE ORTHOGNATHIC,7595.16,3797.58,1454.47,6835.64,65
RC,0278,PLATE REGULAR 2Y MIDFACE 6 HOLE TITANIUM TRAUMAONE LORENZ BONE SILVER 1.5 MM SCREW,124.0,62.0,23.75,111.6,65
RC,0278,PLATE STABILIZER D17 MM SMALL 1 VERSION 2 LEG RATCHET MECHANISM STERNAL TALON TITANIUM CARDIOTHORACIC VASCULAR,1295.0,647.5,247.99,1165.5,65
RC,0278,PLUG CARDIOVASCULAR 100CM 6MM .056IN AMPLATZER NITINOL 1 LAYER WIRE MESH 1 LOBE OPTIMAL EMBOLIZATION BRAID 7MM STERILE LATEX FREE DISPOSABLE,772.0,386.0,147.84,694.8,65
RC,0278,PLUG CARDIOVASCULAR 12.5MM 7MM AMPLATZER 155CM NITINOL PTFE TYPE IV DELIVERY SYSTEM RAPID EMBOLIZATION LOW PROFILE 125CM ACCEPTS .038IN GUIDEWIRE STERILE LATEX FREE DISPOSABLE,1047.0,523.5,200.5,942.3,65
RC,0278,PLUG CARDIOVASCULAR 7MM 8MM AMPLATZER NITINOL 1 LAYER WIRE MESH 1 LOBE OPTIMAL EMBOLIZATION BRAID 100CM,772.0,386.0,147.84,694.8,65
RC,0278,PLUG CARDIOVASCULAR L10 MM L135 CM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD14 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L10 MM L155 CM SELF EXPAND LOADER HEMOSTASIS VALVE STOPCOCK OD4 MM AMPLATZER NITINOL MESH PLASTIC L125 CM ACCEPTS .038 IN GUIDEWIRE,1047.0,523.5,200.5,942.3,65
RC,0278,PLUG CARDIOVASCULAR L10.5 MM .038 IN 2 LOBE TYPE 4 RADIOPAQUE SELF EXPAND OD5 MM AMPLATZER NITINOL MESH L125 CM,1047.0,523.5,200.5,942.3,65
RC,0278,PLUG CARDIOVASCULAR L100 CM 1 LAYER WIRE MESH 1 LOBE OPTIMAL EMBOLIZATION BRAID OD6 MM ID.656 IN AMPLATZER NITINOL L7 MM,772.0,386.0,147.84,694.8,65
RC,0278,PLUG CARDIOVASCULAR L11 MM .038 IN LOW PROFILE 2 LOBE RADIOPAQUE GUIDEWIRE RAPID EMBOLIZATION OD6 MM ODSEC4 FR AMPLATZER NITINOL PTFE L125 CM,1047.0,523.5,200.5,942.3,65
RC,0278,PLUG CARDIOVASCULAR L12 MM L135 CM TYPE II DELIVERY SYSTEM SELF EXPAND MESH CABLE OD16 MM AMPLATZER NITINOL L100 CM ACCEPTS 6 FR SHEATH 8 FR GUIDE CATHETER,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L14 MM L135 CM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD18 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L16 MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD20 MM ID.098 IN AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L18 MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD22 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L6 MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD4 FR ODSEC3 MM ID.056 IN AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L6 MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD4 MM ID.055 IN AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L6 MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD6 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L7 MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD8 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L7 MM TYPE II SELF EXPAND OD10 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG CARDIOVASCULAR L8 MM 1 LOBE SELF EXPAND LOADER DELIVERY CABLE OD14 MM SECOD9.5-11.0 MM AMPLATZER NITINOL L100 CM ACCEPTS 6 FR SHEATH 8 FR GUIDE CATHETER,772.0,386.0,147.84,694.8,65
RC,0278,PLUG CARDIOVASCULAR L8 MM 1 LOBE SELF EXPAND LOADER DELIVERY CABLE OD16 MM AMPLATZER NITINOL L100 CM ACCEPTS 6 FR SHEATH 8 FR GUIDE CATHETER,772.0,386.0,147.84,694.8,65
RC,0278,PLUG CARDIOVASCULAR L9 MM L135 CM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPAND OD12 MM AMPLATZER NITINOL L100 CM,882.0,441.0,168.9,793.8,65
RC,0278,PLUG DEFIBRILLATOR PHOTON MICRO IS-1 PORT,15.0,7.5,2.87,13.5,65
RC,0278,PLUG LEAD BLIND PLUG DF-1 BS DF-1,40.0,20.0,7.66,36.0,65
RC,0278,PLUG LEAD BLIND SEAL IS-1 CONNECTOR BS IS-1,40.0,20.0,7.66,36.0,65
RC,0278,PLUG LEAD CAPSURE S ARTERIAL BIPOLAR IS-1 CONNECTOR PIN DEFIBRILLATOR,40.0,20.0,7.66,36.0,65
RC,0278,PLUG LEAD UNIPOLAR PORT PIN DF-1,40.0,20.0,7.66,36.0,65
RC,0278,PLUG OCCLUSION L12 MM MICRO MECHANICAL DETACHABLE FULL RESHEATHABLE OD1.5-3 MM MVP NITINOL PTFE VASCULAR .021 IN MICROCATHETER,1795.0,897.5,343.74,1615.5,65
RC,0278,PLUG OCCLUSION L12 MM MICRO MECHANICAL DETACHABLE FULL RESHEATHABLE OD3-5 MM MVP NITINOL PTFE VASCULAR .027 IN MICROCATHETER,1795.0,897.5,343.74,1615.5,65
RC,0278,PLUG OCCLUSION L15 MM MEDIUM FLEXIBLE BRAID OD8 MM AZUR NITINOL EPTFE PET VASCULAR,2040.0,1020.0,390.66,1836.0,65
RC,0278,PLUG OCCLUSION L18 MM MICRO MECHANICAL DETACHABLE FULL RESHEATHABLE OD7-9 MM MVP NITINOL PTFE VASCULAR,1700.0,850.0,325.55,1530.0,65
RC,0278,PLUG VASCULAR 8MM 12MM AMPLATZER NITINOL 1 LOBE SELF EXPAND LOADER DELIVERY CABLE 100CM ACCEPTS 5FR SHEATH 6FR GUIDE CATHETER,772.0,386.0,147.84,694.8,65
RC,0278,PROSTHESIS PENILE TITAN 16CM 0D CYLINDER PUMP SET INFLATABLE FLUID FILL SOFT MOLD TIP BIOFLEX SILICONE HYDROPHILIC INFRAPUBIC LATEX FREE,10826.0,5413.0,2073.18,9743.4,65
RC,0278,PROSTHESIS PENILE TITAN COLOPLAST LOCK-OUT 18CM 0D CYLINDER PUMP BIOFLEX SILICONE HYDROPHILIC INFRAPUBIC LATEX FREE,10826.0,5413.0,2073.18,9743.4,65
RC,0278,PROSTHESIS PENILE TITAN COLOPLAST LOCK-OUT 20CM 0D CYLINDER PUMP BIOFLEX SILICONE HYDROPHILIC INFRAPUBIC LATEX FREE,10826.0,5413.0,2073.18,9743.4,65
RC,0278,PROSTHESIS VOICE 20FR 10MM PROVOX VEGA PUNCTURE SET STERILE DISPOSABLE,438.72,219.36,84.01,394.85,65
RC,0278,PROTECTOR NERVE 5MM 40MM REINFORCE WRAP STERILE AXOGUARD PORCINE EXTRACELLULAR MATRIX,2754.68,1377.34,527.52,2479.21,65
RC,0278,PUMP CENTRIFUGAL 17FR 24FR TANDEMLUNG LIFESPARC ARTERIAL VENOUS CANNULA STERILE LATEX FREE DISPOSABLE,18000.0,9000.0,3447.0,16200.0,65
RC,0278,PUMP VENTRICULAR ASSIST NONROLLER IMPELLA 5.0,25000.0,12500.0,4787.5,22500.0,65
RC,0278,RESERVOIR SHUNT SIDE INLET OD12 MM NA VENTRICULAR,412.61,206.31,79.01,371.35,65
RC,0278,RETAINER NOSTRIL L23 MM X W16 MM X H7 MM 1 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L24 MM X W17 MM X H8 MM 2 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L25 MM X W19 MM X H8 MM 3 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L26 MM X W19 MM X H9 MM 4 MODIFY NASAL BRIDGE RETENTION WING SIZE IDENTIFIER MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L27 MM X W20 MM X H10 MM 5 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L28 MM X W21 MM X H11 MM 6 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L29 MM X W23 MM X H13 MM 7 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L30 MM X W24 MM X H13 MM 8 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L32 MM X W25 MM X H15 MM 10 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L33 MM X W27 MM X H16 MM 11 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L34 MM X W28 MM X H17 MM 12 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RETAINER NOSTRIL L35 MM X W29 MM X H18 MM 13 ARCH SIDE TAB MEDPOR,178.48,89.24,34.18,160.63,65
RC,0278,RING ANNULOPLASTY 24MM 28.7MM 22.9MM MITRAL FLEXIBLE HOLDER KNIT SEW CARPENTIER-EDWARDS PHYSIO ELGILOY PLASTIC SILICONE RUBBER POLYESTER KIDNEY STERILE HEART VALVE REPAIR,1500.0,750.0,287.25,1350.0,65
RC,0278,RING ANNULOPLASTY 24MM HOLDER CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 26MM MITRAL SPECIFICATIONS SEMIRIGID MEMO 3D NICKEL TITANIUM SILICONE POLYESTER,2030.0,1015.0,388.75,1827.0,65
RC,0278,RING ANNULOPLASTY 26MM MITRAL VALVE BAND CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 26MM MITRAL VALVE PROFILE 3D,2260.0,1130.0,432.79,2034.0,65
RC,0278,RING ANNULOPLASTY 26MM TRICUSPID LOW PROFILE SEMIFLEXIBLE TRI-AD,1900.0,950.0,363.85,1710.0,65
RC,0278,RING ANNULOPLASTY 28MM,1900.0,950.0,363.85,1710.0,65
RC,0278,RING ANNULOPLASTY 28MM MITRAL VALVE BAND CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 30MM MITRAL SPECIFICATIONS SEMIRIGID MEMO 3D NICKEL TITANIUM SILICONE POLYESTER,1906.0,953.0,365.0,1715.4,65
RC,0278,RING ANNULOPLASTY 30MM MITRAL VALVE BAND CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 30MM PROFILE 3D,2260.0,1130.0,432.79,2034.0,65
RC,0278,RING ANNULOPLASTY 30MM TRICUSPID 3 RADIAL MARKER POLISH WIRE STIFFENER TRI-AD POLYESTER FABRIC STERILE DISPOSABLE GREEN,1900.0,950.0,363.85,1710.0,65
RC,0278,RING ANNULOPLASTY 30MM TRICUSPID CONTOUR 3D TITANIUM SILICONE POLYESTER FABRIC 33MM HEART VALVE REPAIR,2950.0,1475.0,564.93,2655.0,65
RC,0278,RING ANNULOPLASTY 32MM MITRAL SPECIFICATIONS SEMIRIGID MEMO 3D NICKEL TITANIUM SILICONE POLYESTER,1906.0,953.0,365.0,1715.4,65
RC,0278,RING ANNULOPLASTY 32MM MITRAL VALVE STIFFNESS COMPOSITE LOW PROFILE CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 32MM TRICUSPID 3 RADIAL MARKER POLISH WIRE STIFFENER TRI-AD POLYESTER FABRIC STERILE DISPOSABLE GREEN,1900.0,950.0,363.85,1710.0,65
RC,0278,RING ANNULOPLASTY 34MM MITRAL VALVE STIFFNESS COMPOSITE CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 34MM PROFILE 3D,2260.0,1130.0,432.79,2034.0,65
RC,0278,RING ANNULOPLASTY 34MM TRICUSPID LOW PROFILE TRI-AD,1900.0,950.0,363.85,1710.0,65
RC,0278,RING ANNULOPLASTY 36MM MITRAL VALVE SEMIRIGID RIM FLEXIBLE CG FUTURE STERILE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 36MM PROFILE 3D,2260.0,1130.0,432.79,2034.0,65
RC,0278,RING ANNULOPLASTY 36MM TRICUSPID LOW PROFILE TRI-AD,1900.0,950.0,363.85,1710.0,65
RC,0278,RING ANNULOPLASTY 38MM CG FUTURE,2095.0,1047.5,401.19,1885.5,65
RC,0278,RING ANNULOPLASTY 38MM PROFILE 3D,2260.0,1130.0,432.79,2034.0,65
RC,0278,RING ANNULOPLASTY 40MM PROFILE 3D,2260.0,1130.0,432.79,2034.0,65
RC,0278,RING ANNULOPLASTY CHORDAL GUIDE DURAN ANCORE,2000.0,1000.0,383.0,1800.0,65
RC,0278,RING ANNULOPLASTY MEMO 3D  28MM,1906.0,953.0,365.0,1715.4,65
RC,0278,RING ANNULOPLASTY OD26 MM ODSEC30.7 MM ID24.9 MM MITRAL FLEXIBLE HOLDER KNIT SEW CARPENTIER-EDWARDS PHYSIO ELGILOY PLASTIC SILICONE RUBBER POLYESTER KIDNEY HEART VALVE REPAIR,1500.0,750.0,287.25,1350.0,65
RC,0278,RING ANNULOPLASTY OD26 MM ODSEC33.6 MM ID25.9 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L57.9 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,RING ANNULOPLASTY OD26 MM SEMIRIGID SEGUIN,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD26 MM TRICUSPID CARPENTIER-EDWARDS CLASSIC,1405.0,702.5,269.06,1264.5,65
RC,0278,RING ANNULOPLASTY OD27 MM FLEXIBLE SURE LOCK DELIVERY SYSTEM TAILOR SILICONE BARIUM IMPREGNATED,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD28 MM ODSEC32.9 MM ID26.9 MM MITRAL FLEXIBLE HOLDER KNIT SEW STRIP CARPENTIER-EDWARDS PHYSIO ELGILOY PLASTIC SILICONE RUBBER POLYESTER KIDNEY HEART VALVE REPAIR,1500.0,750.0,287.25,1350.0,65
RC,0278,RING ANNULOPLASTY OD28 MM ODSEC35.6 MM ID28 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L62 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,RING ANNULOPLASTY OD28 MM SEMIRIGID SOLID SEGUIN POLYETHYLENE POLYESTER,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD29 MM FLEXIBLE SURE LOCK DELIVERY SYSTEM TAILOR SILICONE BARIUM IMPREGNATED,1723.0,861.5,329.95,1550.7,65
RC,0278,"RING ANNULOPLASTY OD29 MM ODSEC24 MM ID22 MM LEFT 1 PIECE SEMIRIGID NEEDLE PENETRATION SJM SEGUIN,SEGUIN 24",1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD30 MM HOLDER CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX,2150.0,1075.0,411.73,1935.0,65
RC,0278,RING ANNULOPLASTY OD30 MM ODSEC37.6 MM ID30 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L66.3 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,"RING ANNULOPLASTY OD30 MM SEMIRIGID SOLID SJM SEGUIN,SEGUIN",1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD30 MM TRICUSPID EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER HEART VALVE REPAIR,1950.0,975.0,373.43,1755.0,65
RC,0278,RING ANNULOPLASTY OD31 MM FLEXIBLE SURE LOCK DELIVERY SYSTEM TAILOR SILICONE BARIUM IMPREGNATED,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD32 MM HOLDER CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX,2150.0,1075.0,411.73,1935.0,65
RC,0278,RING ANNULOPLASTY OD32 MM ODSEC39.6 MM ID31.9 MM MITRAL TRICUSPID 3D FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER C CONTOUR L70.4 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,"RING ANNULOPLASTY OD32 MM SEMIRIGID SOLID SJM SEGUIN,SEGUIN",1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD32 MM TRICUSPID EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER HEART VALVE REPAIR,1950.0,975.0,373.43,1755.0,65
RC,0278,RING ANNULOPLASTY OD33 MM FLEXIBLE SURE LOCK DELIVERY SYSTEM TAILOR SILICONE BARIUM IMPREGNATED,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD34 MM MITRAL CARPENTIER-EDWARDS PHYSIO II,2000.0,1000.0,383.0,1800.0,65
RC,0278,RING ANNULOPLASTY OD34 MM ODSEC41.6 MM ID34 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L74.7 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,RING ANNULOPLASTY OD34 MM SEMIRIGID SOLID SEGUIN POLYETHYLENE POLYESTER,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD34 MM TRICUSPID EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER HEART VALVE REPAIR,1950.0,975.0,373.43,1755.0,65
RC,0278,RING ANNULOPLASTY OD35 MM FLEXIBLE SURE LOCK DELIVERY SYSTEM TAILOR SILICONE BARIUM IMPREGNATED,1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD36 MM ODSEC43.6 MM ID35.9 MM MITRAL TRICUSPID 3D FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER C CONTOUR L78.7 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,"RING ANNULOPLASTY OD38 MM ODSEC45 MM ID37 MM LEFT 3D SEMIRIGID SOLID 1 PIECE INNER CORE SJM SEGUIN,SEGUIN 38",1723.0,861.5,329.95,1550.7,65
RC,0278,RING ANNULOPLASTY OD38 MM ODSEC45.6 MM ID37.9 MM MITRAL TRICUSPID 3D FLEXIBLE BAND TEMPLATE HANDLE COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER C CONTOUR L83.1 MM HEART VALVE REPAIR,1750.0,875.0,335.13,1575.0,65
RC,0278,RING ANNULOPLASTY OD40 MM MITRAL FLEXIBLE HOLDER KNIT SEW CARPENTIER-EDWARDS PHYSIO ELGILOY PLASTIC SILICONE RUBBER POLYESTER VALVULOPLASTY REPAIR,1500.0,750.0,287.25,1350.0,65
RC,0278,"RING ANNULOPLASTY OD43 MM ODSEC36 MM ID36 MM LEFT 1 PIECE SEMIRIGID NEEDLE PENETRATION SJM SEGUIN,SEGUIN 36",1723.0,861.5,329.95,1550.7,65
RC,0278,"RING ANNULOPLASTY OD46 MM ODSEC40 MM ID39 MM LEFT 1 PIECE SEMIRIGID NEEDLE PENETRATION SJM SEGUIN,SEGUIN 40",1723.0,861.5,329.95,1550.7,65
RC,0278,RING FIXATION 20MM SMALL POLYMETHYLMETHACRYLATE SYMBLEPHARON STERILE DISPOSABLE,55.0,27.5,10.53,49.5,65
RC,0278,RING SPINAL SLIM ES2,87.39,43.7,16.74,78.65,65
RC,0278,ROD ORTHOPEDIC 4.5MM DIA 40MML MORE POSTEROLATERAL EUROPA,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL 4.75MM DIA 80MML COBALT CHROMIUM MOLYBDENUM PERCUTANEOUS CAPPED F/MIS CD HORIZON SOLERA NON-STERILE,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL 5.5MM DIA 45MML PERCUTANEOUS CURVED MULTI-ANGLED SNIPER,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL 5.5MM DIA 45MML TITANIUM THORACOLUMBAR PRE-BENT THUNDERBOLT,250.0,125.0,47.88,225.0,65
RC,0278,ROD SPINAL 5.5MM DIA 90MML TITANIUM CURVED F1 MPS,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL 6MM DIA STANDARD 100MML TITANIUM CURVED,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL 6MM DIA STANDARD 50MML TITANIUM CURVED,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL 6MM DIA STANDARD 70MML TITANIUM CURVED,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL 6MM DIA STANDARD 80MML TITANIUM CURVED,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL 6MM DIA STANDARD 90MML TITANIUM CURVED,500.0,250.0,95.75,450.0,65
RC,0278,ROD SPINAL CD HORIZON L100 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L110 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L120 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L120 MM OD6 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L130 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L140 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L150 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L160 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L180 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L40 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L50 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L500 MM OD5.5 MM COCRMO PLUS STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L500 MM OD6 MM COCRMO STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L500 MM OD6 MM TITANIUM ALLOY STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L60 MM OD5.5 MM TITANIUM STRAIGHT,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON L70 MM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L70 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L80 MM OD5.5 MM CENTRAL POST TITANIUM STRAIGHT,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L80 MM OD5.5 MM COCRMO CURVE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON L80 MM OD5.5 MM PREBENT CENTRAL POST TITANIUM,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L100 MM OD5.5 MM PREBENT CENTRAL POST TITANIUM,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L105 MM OD6.35 MM PEEK,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L115 MM OD6.35 MM PEEK,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L120 MM OD6.35 MM PEEK,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L125 MM OD6.35 MM PEEK,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L130 MM OD6.35 MM PEEK,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL CD HORIZON LEGACY L95 MM OD6.35 MM PEEK,240.0,120.0,45.96,216.0,65
RC,0278,ROD SPINAL CD HORIZON LONGITUDE II L110 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON LONGITUDE II L140 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON LONGITUDE II L150 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON LONGITUDE II L170 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON LONGITUDE II L90 MM OD5.5 MM COCRMO STRAIGHT PERCUTANEOUS APPROACH,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L100 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L30 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L35 MM OD4.75 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L40 MM OD4.75 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L40 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L65 MM OD4.75 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L70 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L70 MM OD5.5 MM CAP COCRMO,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L75 MM OD4.75 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L75 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL CD HORIZON SOLERA L85 MM OD5.5 MM COCRMO PERCUTANEOUS,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL DANEK TSRH L39 CM OD1/4 IN STAINLESS STEEL,180.0,90.0,34.47,162.0,65
RC,0278,ROD SPINAL DANEK TSRH L41 CM OD1/4 IN STAINLESS STEEL,180.0,90.0,34.47,162.0,65
RC,0278,ROD SPINAL DANEK TSRH L43 CM OD1/4 IN STAINLESS STEEL,180.0,90.0,34.47,162.0,65
RC,0278,ROD SPINAL DANEK TSRH L45 CM OD1/4 IN STAINLESS STEEL,180.0,90.0,34.47,162.0,65
RC,0278,ROD SPINAL DANEK TSRH L51 CM OD1/4 IN STAINLESS STEEL RIGHT,180.0,90.0,34.47,162.0,65
RC,0278,ROD SPINAL DANEK TSRH L51 CM UNIT 1/4 IN LEFT,180.0,90.0,34.47,162.0,65
RC,0278,ROD SPINAL DENALI L500 MM OD5.5 MM 2 HEXAGONAL TITANIUM CONTOUR GRAY DEFORMITY,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL INFINITY L25 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL INFINITY L60 MM OD3.5 MM PRECUT,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM L240 MM OD3.5 MM STANDARD,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL MAGEC L90 MM OD5.5 MM REMOTE CONTROL ACTUATOR EXTENSION SMALL INTERNAL MAGNET STANDARD,17500.0,8750.0,3351.25,15750.0,65
RC,0278,ROD SPINAL SAVANNAH-T L100 MM OD5.5 MM TITANIUM ALUMINUM VANADIUM CURVE PEDICLE,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL SEXTANT L75 MM OD5.5 MM PRECUT PREBENT TITANIUM STANDARD CONTOUR,150.0,75.0,28.73,135.0,65
RC,0278,ROD SPINAL UNIVERSAL 3.5MM DIA 50MML TITANIUM CERVICAL PRE-BENT BLACKBIRD,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL UNIVERSAL 3.5MM DIA 70MML TITANIUM CERVICAL PRE-BENT BLACKBIRD,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL UNIVERSAL 5.5MM DIA 45MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL UNIVERSAL 5.5MM DIA 65MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL UNIVERSAL 5.5MM DIA 80MML TITANIUM THORACOLUMBAR PRE-BENT LANCER,200.0,100.0,38.3,180.0,65
RC,0278,ROD SPINAL VERTEX SELECT L20 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL VERTEX SELECT L35 MM OD3.5 MM PRECUT RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL VERTEX SELECT L70 MM OD3.5 MM PRECUT COCRMO PLUS RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
RC,0278,ROD SPINAL VERTEX SELECT L90 MM OD3.5 MM PRECUT COCRMO PLUS RECONSTRUCTION SYSTEM,120.0,60.0,22.98,108.0,65
RC,0278,SCREW 3.0 MM 26 MM MIS PART THRD COMP,795.0,397.5,152.24,715.5,65
RC,0278,SCREW 4.0 MM 38 MM MIS FULL THRD COMP,795.0,397.5,152.24,715.5,65
RC,0278,SCREW 4.0 MM 42 MM MIS FULL THRD,795.0,397.5,152.24,715.5,65
RC,0278,SCREW 4.0 MM 56 MM MIS FULL THRD,795.0,397.5,152.24,715.5,65
RC,0278,SCREW BASEPLATE L35 MM CENTRAL MODULAR UNIVERS REVERS SHOULDER,650.0,325.0,124.48,585.0,65
RC,0278,SCREW BONE 2.5-2.8MM 16MM ACUTRAK 2 MICRO FULL THREAD SELF CUT CANNULATED VARIABLE PITCH HEADLESS TITANIUM STERILE ACCEPTS .035IN GUIDEWIRE,443.0,221.5,84.83,398.7,65
RC,0278,SCREW BONE 2.5MM 22MM PERI-LOC SELF TAP RADIUS CORTICAL DISTAL VOLAR,13.48,6.74,2.58,12.13,65
RC,0278,SCREW BONE 3.5MM 12MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
RC,0278,SCREW BONE 3.5MM 12MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
RC,0278,SCREW BONE 3.5MM 14MM VARIAX T10 FULL THREAD LOCK SELF TAP TITANIUM NONSTERILE FOOT ANKLE BLUE LOCK PLATE SYSTEM,132.24,66.12,25.32,119.02,65
RC,0278,SCREW BONE 3.5MM 14MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
RC,0278,SCREW BONE 3.5MM 16MM T10 FULL THREAD SELF TAP LOCK STARDRIVE TITANIUM NONSTERILE BLUE VARIAX FOOT PLATE SYSTEM,132.24,66.12,25.32,119.02,65
RC,0278,SCREW BONE 3.5MM 18MM VARIAX T10 FULL THREAD SELF TAP TITANIUM NONSTERILE FOOT ANKLE YELLOW LOCK PLATE SYSTEM,66.88,33.44,12.81,60.19,65
RC,0278,SCREW BONE 4MM 6MM 36MM 14MM PERI-LOC 2.5MM FLUTE SELF TAP CANNULATED TROCAR STAINLESS STEEL STERILE HIP,135.01,67.51,25.85,121.51,65
RC,0278,SCREW BONE 6.5MM 85MM 20MM ASNIS III SELF DRILL SELF TAP CANNULATED STAINLESS STEEL STERILE HIP,199.0,99.5,38.11,179.1,65
RC,0278,SCREW COVER CONE VISTAFIX VISTAFIX VXI300,153.55,76.78,29.4,138.2,65
RC,0278,SCREW L11 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
RC,0278,SCREW L14 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
RC,0278,SCREW L18 MM OD2.5-2.8 MM MICRO FULL THREAD TITANIUM SELF CUT CANNULATED VARIABLE PITCH HEADLESS ACCEPTS .035 IN GUIDEWIRE BONE ACUTRAK 2,443.0,221.5,84.83,398.7,65
RC,0278,SCREW L18 MM OD2.7 MM ID2.1 MM T8 STAINLESS STEEL SELF TAP LOCK STARDRIVE THREAD HEAD MODULAR MINI FRAGMENT SET BONE,87.19,43.6,16.7,78.47,65
RC,0278,SCREW L18 MM OD2.7 MM T10 FULL THREAD STAINLESS STEEL LOW PROFILE HEAD SELF TAP ANKLE FRACTURE MANAGEMENT BONE LOW PROFILE SCREWS,79.35,39.68,15.2,71.42,65
RC,0278,SCREW L20 MM CENTRAL MODULAR BONE,650.0,325.0,124.48,585.0,65
RC,0278,SCREW L26 MM OD3.5 MM TITANIUM ELBOW SELF TAP LOCK BONE VARIAX,121.6,60.8,23.29,109.44,65
RC,0278,SCREW L40 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE T2,146.88,73.44,28.13,132.19,65
RC,0278,SCREW L45 MM OD4 MM FULL THREAD TITANIUM LOCK T2 NAIL SYSTEM UNIVERSAL SYSTEM BONE NA,146.88,73.44,28.13,132.19,65
RC,0278,SCREW L46 MM OD4 MM T15 STAINLESS STEEL FEMUR HUMERUS TIBIA SELF TAP LOCK SMALL FRAGMENT SET BONE AXSOS,90.78,45.39,17.38,81.7,65
RC,0278,SCREW L80 MM L20 MM OD6.5 MM STAINLESS STEEL SMALL BONE CANNULATED BONE ASNIS,237.6,118.8,45.5,213.84,65
RC,0278,SET BLOOD PUMP 6MM EXCOR POLYURETHANE VALVE 10ML PEDIATRIC,37400.0,18700.0,7162.1,33660.0,65
RC,0278,SET BLOOD PUMP BUNDLE CATHETER PUMP + COMPANTION SHEATH IMPELLA,25000.0,12500.0,4787.5,22500.0,65
RC,0278,SET CATHETER 3.5MM 3.8CM 15MM STANDARD MELKER EMERGENCY STERILE DISPOSABLE CRICOTHYROTOMY,237.0,118.5,45.39,213.3,65
RC,0278,SET CATHETER 4MM 4.2CM 15MM STANDARD MELKER EMERGENCY STERILE DISPOSABLE CRICOTHYROTOMY,236.5,118.25,45.29,212.85,65
RC,0278,SET STENT 8.5FR 20CM PIGTAIL CURVE AMPLATZ RB INTRODUCER CATHETER POSITIONER STRING 6 SIDEPORT STERILE AQ ULTRATHANE STAINLESS STEEL PTFE URETERAL ACCEPTS .038IN GUIDEWIRE,155.99,78.0,29.87,140.39,65
RC,0278,SET SUTURE 12CM ENTUIT SECURE 3 ADJUSTABLE PRELOAD ANCHOR GASTROINTESTINAL 17GA,187.99,94.0,36.0,169.19,65
RC,0278,SET VENTRICULAR ASSIST FLEX ASSIST IMPELLA RP,25000.0,12500.0,4787.5,22500.0,65
RC,0278,SET VENTRICULAR ASSIST PUMP IMPELLA RP RIGHT HEART,25000.0,12500.0,4787.5,22500.0,65
RC,0278,SET VENTRICULAR ASSIST RP SMART ASSIST LATEX FREE,25000.0,12500.0,4787.5,22500.0,65
RC,0278,SHEET ORBITAL 38MMW X 50MML 3MM THK F/CRANIOFACIAL RECONSTRUCTION/AUGMENTATION MEDPOR STERILE INDIVIDUALLY PACKAGED,1206.05,603.03,230.96,1085.45,65
RC,0278,SHEET SYNTHETIC L50 MM X W38 MM X H1.5 MM MEDPOR CRANIOMAXILLOFACIAL,468.9,234.45,89.79,422.01,65
RC,0278,SHELL ACETABULAR HIP 52MM TRIDENT E HEMISPHERE CLUSTER 5 SCREW HOLE METAL HA STERILE,1000.0,500.0,191.5,900.0,65
RC,0278,SHELL ACETABULAR HIP 54MM E HEMISPHERE CLUSTER HOLE PRIMARY RIM TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
RC,0278,SHELL ACETABULAR HIP 56MM TRIDENT II F CLUSTER HOLE TRITANIUM STERILE,1000.0,500.0,191.5,900.0,65
RC,0278,SHELL ACETABULAR OD46 MM HIP GRIPTION PINNACLE 100 SERIES,2147.4,1073.7,411.23,1932.66,65
RC,0278,SHUNT CARDIOVASCULAR 14MM 1.25MM CLEARVIEW INTRACORONARY BULB TAPER TIP RADIOPAQUE SILICONE,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR 14MM 1MM CLEARVIEW INTRACORONARY BULB TAPERED TIP RADIOPAQUE ARTERIOTOMY SILICONE STERILE,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR 15.5FR DIA 27CML NYLON W/VENOUS CATHETER F/ASCITES DENVER,121.0,60.5,23.17,108.9,65
RC,0278,SHUNT CARDIOVASCULAR 2.5MM OD 12MML SHAFT SILICONE TUBE INTRACORONARY TAPERED TIP 1-PIECE FLO-THRU LATEX-FREE STERILE,380.27,190.14,72.82,342.24,65
RC,0278,SHUNT CARDIOVASCULAR 31CM 3MM PRUITT F3 OUTLYING PORT MULTILUMEN SAFETY BALLOON SHEATH NONPYROGENIC PLASTIC T STERILE LATEX DISPOSABLE BLUE CLEAR YELLOW,1299.0,649.5,248.76,1169.1,65
RC,0278,SHUNT CARDIOVASCULAR 9FR DIA 30CML SILICONE W/STOPCOCK  SAFETY BALLOON VASCUSHUNT II,475.86,237.93,91.13,428.27,65
RC,0278,SHUNT CARDIOVASCULAR 9FR DIA OUTLYING W/O PORT PRUITT F3,899.0,449.5,172.16,809.1,65
RC,0278,SHUNT CARDIOVASCULAR EXTERNAL 2.75MM DIA 14MML SHAFT SILICONE INTRACORONARY TAPERED TIP BELIEVED BULB CLEARVIEW NON-RADIOLUCENT,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR EXTERNAL 3MM DIA 14MML SHAFT SILICONE INTRACORONARY TAPERED TIP BELIEVED BULB CLEARVIEW NON-RADIOLUCENT,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR L14 MM OD1.5 MM CLEARVIEW INTRACORONARY RADIOPAQUE TAPER TIP BULB SILICONE,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR L14 MM OD1.75 MM CLEARVIEW INTRACORONARY BULB ARTERIOTOMY,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR L14 MM OD2.25 MM CLEARVIEW INTRACORONARY BULB TAPER TIP RADIOPAQUE ARTERIOTOMY SILICONE,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR OD12 FR CHIMNEY VALVE LARGE OPEN OPPOSITE EYELET PEDIATRIC TIP ARGYLE SAFE-T-VAC STRAIGHT,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CARDIOVASCULAR OD2.5 MM CLEARVIEW ARTERIOTOMY,340.0,170.0,65.11,306.0,65
RC,0278,SHUNT CAROTID OD3-4 MM ID2-1 MM SUNDT SILICONE L30 CM TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB ENDARTERECTOMY,666.73,333.37,127.68,600.06,65
RC,0278,SHUNT DBL VLVD ASCITES STD,1753.81,876.91,335.85,1578.43,65
RC,0278,SHUNT NEURO ULTRA SM CSF-SNAP MRI-COND MED PRSS FLW CTRL VLV,924.15,462.08,176.97,831.74,65
RC,0278,SHUNT NEUROSURGICAL 15CML W/SMALL VALVE DOME INTEGRAL TUBING PREFILL ADAPTER BLUNT NEEDLE/16 GAUGE SNAP,185.08,92.54,35.44,166.57,65
RC,0278,SHUNT NEUROSURGICAL ASSEMBLY CSF LOW PRESSURE FLOW CONTROL VALVE W/WALL SLITS BARIUM IMPREGNATED 90CM EXTRA-LOW SNAP PREFILL ADAPTER 16GA BLUNT NEEDLE BUTTON VENTRICULOSTOMY RESERVOIR DOME INTEGRAL PE,924.15,462.08,176.97,831.74,65
RC,0278,SHUNT NEUROSURGICAL ASSEMBLY CSF MEDIUM PRESSURE FLOW CONTROL VALVE W/WALL SLITS BARIUM IMPREGNATED 90CM EXTRA-LOW SNAP PREFILL ADAPTER 16GA BLUNT NEEDLE BUTTON VENTRICULOSTOMY RESERVOIR DOME INTEGRAL,924.15,462.08,176.97,831.74,65
RC,0278,SHUNT NEUROSURGICAL FLEXCEL CAROTID ARTERY 13CM STRAIGHT INLYING SOFT FLEXIBLE POLYURETHANE STERILE,1295.0,647.5,247.99,1165.5,65
RC,0278,SHUNT NEUROSURGICAL L10 CM INTERNAL LOOP SPRING REINFORCE OD3 MM ODSEC4 MM SUNDT SILICONE CAROTID ARTERY,547.28,273.64,104.8,492.55,65
RC,0278,SHUNT NEUROSURGICAL L30 CM EXTERNAL LOOP SPRING REINFORCE CONICAL BULB OD3.5 MM ODSEC6 MM SUNDT SILICONE CAROTID ARTERY,666.73,333.37,127.68,600.06,65
RC,0278,SHUNT NEUROSURGICAL L30 CM EXTERNAL LOOP SPRING REINFORCE CONICAL BULB OD4 MM ODSEC5 MM SUNDT SILICONE CAROTID ARTERY,606.12,303.06,116.07,545.51,65
RC,0278,SHUNT NEUROSURGICAL L87 CM LUMBOPERITONEAL CATHETER T NA CSF,853.44,426.72,163.43,768.1,65
RC,0278,SHUNT NEUROSURGICAL REGULAR 7MMX16MMX47MM BIOGLIDE BARIUM FIXED PRESSURE ADJUSTABLE 2/8-SLIT AT 180DEG/90DEG W/1.3MM 2.5MM 120CM STANDARD PERITONEAL DISTAL CATHETER 60CM SUBCUTANEOUS PASSER STRATA II ,4326.81,2163.41,828.58,3894.13,65
RC,0278,SHUNT NEUROSURGICAL REGULAR PERFORMANCE LEVEL 1 DELTA,1921.49,960.75,367.97,1729.34,65
RC,0278,SHUNT NEUROSURGICAL SNAP ASSEMBLY REGULAR CONTOURED MEDIUM PRESSURE FLOW CONTROL VALVE W/90CML INTEGRAL PERINTONEAL CATHETER OPEN END WALL SLIT BARIUM IMPREGNATED RESERVOIR DOME PREFILL ADAPTER 16GA B,1154.09,577.05,221.01,1038.68,65
RC,0278,SHUNT NEUROSURGICAL STANDARD 15CML BARIUM IMPREGNATED W/STAINLESS STEEL STYLET SNAP RESERVOIR BASE F/HYDROCEPHALUS THERAPY LATEX-FREE MRI-SAFE NON-RADIOLUCENT,154.63,77.32,29.61,139.17,65
RC,0278,SHUNT PERITONEOVENOUS DENVER ASCITES 60CM 2 VALVE CATHETER TUBE 11.5FR STERILE,171.13,85.57,32.77,154.02,65
RC,0278,SHUNT PERITONEOVENOUS DENVER PERCUTANEOUS 25-40ML/MINUTE ACCESS KIT AMPLE FLOWRATE 2 VALVE SILICONE 15.5FR STERILE LATEX FREE,12262.5,6131.25,2348.27,11036.25,65
RC,0278,SHUNT SURGICAL LUMBOPERITONEAL K TUBE PROXIMAL TIP NA,1015.81,507.91,194.53,914.23,65
RC,0278,SHUNT VENTRICULAR 0-40CM H2O OPENING PRESSURE TITANIUM LATERAL PERITONEUM W/DISTAL CATHETER PROSA MININAV FV701T LATEX-FREE STERILE,3082.28,1541.14,590.26,2774.05,65
RC,0278,SHUNT VENTRICULAR 1.3MM ID 2.5MM OD REGULAR 90CML BARIUM IMPREGNATED W/DELTA VALVE/INTEGRAL SNAP ASSEMBLY/RESERVOIR DOME F/VENTRICULOSTOMY,1483.09,741.55,284.01,1334.78,65
RC,0278,SLEEVE BONE SCREWW FIXATION RFN-ADVANCED POLYMER INLAY STERILE,194.23,97.12,37.2,174.81,65
RC,0278,SLEEVE SUTURE LATEX FREE,11.25,5.63,2.15,10.13,65
RC,0278,SLEEVE SUTURE OD6 FR NA,20.25,10.13,3.88,18.23,65
RC,0278,SLEEVE SUTURE SLIT OD4.5 FR SJM,20.25,10.13,3.88,18.23,65
RC,0278,SLEEVE SUTURE STERILE LATEX FREE DISPOSABLE,27.0,13.5,5.17,24.3,65
RC,0278,SPACER 3992206 22MM X 6MM,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER 56350810 12W 35MM X 8MM 10 DG TI,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER 56351110 12W 35MM X 11MM 10 DG TI,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER 56351310 12W 35MM X 13MM 10 DG TI,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER ALIF L32 MM X W25 MM X H13.5-6.4 MM 18 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER ALIF L32 MM X W25 MM X H15-7.9 MM 18 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER ALIF L32 MM X W28 MM X H15-7.9 MM 18 D SMALL BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN DEEP SPINAL,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER ALIF L36 MM X W28 MM X H13.5-5.4 MM 18 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN SPINAL,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER ALIF L36 MM X W31 MM X H13.5-5.5 MM 18 D MEDIUM BULLET NOSE SYNFIX EVOLUTION PEEK RADIOPAQUE LARGE GRAFT LUMEN DEEP SPINAL,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER ALIF W32 MM X H13.5 MM 12 D D26 MM CONVEX LORDOTIC PEEK TITANIUM 4 LOCK SCREW PREASSEMBLE ZERO PROFILE RADIOLUCENT SPINAL H9 MM CORTICAL,3750.0,1875.0,718.13,3375.0,65
RC,0278,SPACER ALLOGRAFT L6 MM X W9 MM X H6 MM PARALLEL FREEZE DRIED NOTCH END ARCH PRECISION SPINE OPEN DOOR LAMINOPLASTY,1004.87,502.44,192.43,904.38,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H6 MM STANDARD LORDOTIC PEEK-OPTIMA TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H7 MM STANDARD LORDOTIC PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H7 MM STANDARD LORDOTIC PEEK-OPTIMA TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H8 MM LARGE LORDOTIC PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H8 MM STANDARD LORDOTIC PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H8 MM STANDARD LORDOTIC PEEK-OPTIMA TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H9 MM STANDARD LORDOTIC PEEK-OPTIMA ELGILOY TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR CERVICAL INTERBODY FUSION H9 MM STANDARD LORDOTIC PEEK-OPTIMA TITANIUM RADIOPAQUE PREASSEMBLE SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER ANTERIOR LUMBAR STABILIZATION SYSTEM L28 MM X W36 MM X H15 MM 15 D CHESAPEAKE SPINAL,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W11 MM X H4 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H10 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H11 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H12 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H13 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H13 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H25 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA STRUT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H4 MM 0 D D12 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H4 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H5 MM 4 D D12 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H5 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H5 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H5 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H6 MM 4 D D12 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H6 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA STRUT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H6 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H6 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H6 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA STRUT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H7 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H7 MM D11 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H7 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H8 MM D11 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H8 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W14 MM X H9 MM D14 MM VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA LATERAL PORT SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H10 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H4 MM 0 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H5 MM 4 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H5 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H6 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H7 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H8 MM 4 D D14 MM AVS AS PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H8 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER CERVICAL INTERBODY FUSION W16 MM X H9 MM D14 MM VERTE-STACK PEEK SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER FLT LORD 13X12X7MMCAMBRIA,600.0,300.0,114.9,540.0,65
RC,0278,SPACER H15 MM 18 D MEDIUM SYNFIX EVOLUTION SPINAL H6.9 MM 3.4 CC DARK BLUE,3000.0,1500.0,574.5,2700.0,65
RC,0278,SPACER H6 MM STANDARD LORDOTIC SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H10 MM STANDARD LORDOTIC PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H12 MM STANDARD LORDOTIC PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H5 MM STANDARD LORDOTIC PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H7 MM STANDARD LORDOTIC ACIS PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H7 MM STANDARD LORDOTIC PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H8 MM STANDARD LORDOTIC PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L14 MM X W13 MM X H9 MM STANDARD LORDOTIC PEEK RADIOPAQUE AXIAL LUMEN LATERAL WINDOW PYRAMIDAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER L23 MM X H10 MM STANDARD ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L23 MM X H10 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L23 MM X H8 MM STANDARD ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L28 MM X H10 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L28 MM X H11 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L28 MM X H7 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L28 MM X H8 MM STANDARD ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L28 MM X H8 MM XLORDOTIC ELEVATE PEEK TITANIUM SPINAL,3800.0,1900.0,727.7,3420.0,65
RC,0278,SPACER L28 MM X W10 MM X H11-10.2 MM 5 D BULLET NOSE T-PAL PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER L28 MM X W10 MM X H9-8.2 MM 5 D BULLET NOSE T-PAL PEEK RADIOPAQUE AXIAL WINDOW CONNECTION CYLINDER PYRAMIDAL TEETH SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER L30 MM X W12 MM X H11 MM 10 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER L30 MM X W12 MM X H11 MM 5 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER L35 MM X W12 MM X H10 MM 20 D ARTIC-L TITANIUM SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L22 MM X H10 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L22 MM X H11 MM CAPSTONE PEEK PTC SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L22 MM X H12 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L22 MM X H6 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L22 MM X H7 MM CAPSTONE PEEK PTC SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L22 MM X W8 MM X H10 MM SMALL OBLIQUE SUSTAIN PEEK RADIOLUCENT SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H10 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H10 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H11 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H12 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H12 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H7 MM CAPSTONE PEEK PTC SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H8 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER LUMBAR INTERBODY FUSION L26 MM X H9 MM CAPSTONE PEEK-OPTIMA SELF DISTRACT SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER PLIF L22 MM X W8.5 MM X H10 MM CONVEX ALEUTIAN PEEK SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L22 MM X W8.5 MM X H9 MM CONVEX ALEUTIAN PEEK SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L24 MM X W10 MM X H11 MM BULLET NOSE OPAL REVOLVE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L24 MM X W10 MM X H12 MM BULLET NOSE OPAL REVOLVE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L24 MM X W10 MM X H13 MM BULLET NOSE OPAL REVOLVE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L24 MM X W10 MM X H15 MM BULLET NOSE OPAL REVOLVE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L24 MM X W9 MM X H10 MM BULLET NOSE OPAL REVOLVE PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER PLIF L25 MM X W11 MM X H9 MM 4 D WEDGE AVS PL PEEK HOLLOW SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 22MM PEEK-OPTIMA VERTEBRAL 6DEG LORDOTIC HAWKEYE VBR STERILE,4000.0,2000.0,766.0,3600.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 24MM PEEK-OPTIMA VERTEBRAL 6DEG LORDOTIC HAWKEYE VBR STERILE,4000.0,2000.0,766.0,3600.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 34MM PEEK-OPTIMA VERTEBRAL 6DEG LORDOTIC HAWKEYE VBR STERILE,4000.0,2000.0,766.0,3600.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 5MM PEEK-OPTIMA ANTERIOR CERVICAL 6DEG ANATOMICAL STEALTH,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 6MM PEEK-OPTIMA ANTERIOR CERVICAL 6DEG ANATOMICAL STEALTH,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 7MM PEEK-OPTIMA ANTERIOR CERVICAL 6DEG ANATOMICAL STEALTH,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 8MM PEEK-OPTIMA ANTERIOR CERVICAL 6DEG ANATOMICAL STEALTH,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 12MM X 14MM X 9MM PEEK-OPTIMA ANTERIOR CERVICAL 6DEG ANATOMICAL STEALTH,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 12MM X 15MM X 6MM PEEK ANTERIOR CERVICAL 6DEG CERES-C NON-STERILE,540.0,270.0,103.41,486.0,65
RC,0278,SPACER SPINAL 12MM X 15MM X 7MM PEEK ANTERIOR CERVICAL 6DEG CERES-C NON-STERILE,540.0,270.0,103.41,486.0,65
RC,0278,SPACER SPINAL 12MM X 15MM X 8MM PEEK ANTERIOR CERVICAL 6DEG CERES-C NON-STERILE,540.0,270.0,103.41,486.0,65
RC,0278,SPACER SPINAL 14MM X 12MM X 5MM CERVICAL 7DEG CASCADIA,750.0,375.0,143.63,675.0,65
RC,0278,SPACER SPINAL 14MM X 12MM X 5MM PEEK CERVICAL 6DEG ACCENT NON-STERILE,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 14MM X 16MM X 7MM PEEK-OPTIMA ANTERIOR CERVICAL 6DEG ANATOMICAL STEALTH,680.0,340.0,130.22,612.0,65
RC,0278,SPACER SPINAL 20MM X 23-28MM X 20MM 20MM CORE TITANIUM ANTERIOR CERVICAL OPTIMIZED FIT SPIKELESS F/CORPECTOMY FORTIFY,3500.0,1750.0,670.25,3150.0,65
RC,0278,SPACER SPINAL 20MM X 50MM X 11-20MM 15-30DEG ELSA,6500.0,3250.0,1244.75,5850.0,65
RC,0278,SPACER SPINAL 25MM X 10MM PEEK-OPTIMA POSTERIOR LUMBAR 4DEG SELF-DISTRACTING ASYMMETRIC TEETH HARPOON,2400.0,1200.0,459.6,2160.0,65
RC,0278,SPACER SPINAL 25MM X 11MM PEEK-OPTIMA POSTERIOR LUMBAR 4DEG SELF-DISTRACTING ASYMMETRIC TEETH HARPOON,2400.0,1200.0,459.6,2160.0,65
RC,0278,SPACER SPINAL 25MM X 12MM PEEK-OPTIMA POSTERIOR LUMBAR 4DEG SELF-DISTRACTING ASYMMETRIC TEETH HARPOON,2400.0,1200.0,459.6,2160.0,65
RC,0278,SPACER SPINAL 25MM X 8MM PEEK-OPTIMA POSTERIOR LUMBAR 4DEG SELF-DISTRACTING ASYMMETRIC TEETH HARPOON,2400.0,1200.0,459.6,2160.0,65
RC,0278,SPACER SPINAL 25MM X 9MM PEEK-OPTIMA POSTERIOR LUMBAR 4DEG SELF-DISTRACTING ASYMMETRIC TEETH HARPOON,2400.0,1200.0,459.6,2160.0,65
RC,0278,SPACER SPINAL 7D 18X15X6MM SHORELINE STANDALONE STERILE LATEX FREE ANTERIOR CERVICAL INTERBODY FUSION,580.0,290.0,111.07,522.0,65
RC,0278,SPACER SPINAL ACF 14MMW X 12MML X 6MMH CORTICAL CANCELLOUS CERVICAL PARALLEL FREEZE-DRIED IRRADIATED STERILE SINGLE-USE PRECISION,1100.35,550.18,210.72,990.32,65
RC,0278,SPACER SPINAL STANDARD 5MM PEEK-OPTIMA TITANIUM PLATE ANTERIOR CERVICAL LORDOTIC VARIABLE ANGLE PRE-ASSEMBLED TOOTHED BLUE ZERO-P STERILE,1960.0,980.0,375.34,1764.0,65
RC,0278,SPACER TIBIAL 70X45MM KASM MEDIUM KNEE MOLD ARTICULATE OPEN STERILE,1497.5,748.75,286.77,1347.75,65
RC,0278,SPACER TLIF L28 MM X W10 MM X H10 MM BULLET NOSE OPAL PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER TLIF L28 MM X W10 MM X H11 MM BULLET NOSE OPAL PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER TLIF L28 MM X W10 MM X H12 MM BULLET NOSE OPAL PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER TLIF L28 MM X W10 MM X H13 MM BULLET NOSE OPAL PEEK RADIOPAQUE SELF DISTRACT BEVEL EDGE PYRAMIDAL TEETH SPINAL,1200.0,600.0,229.8,1080.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT L25 MM X H13 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT L30 MM X H10 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT L30 MM X H11 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT L30 MM X H12 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT L30 MM X H13 MM CRESCENT PEEK-OPTIMA SPINAL,1560.0,780.0,298.74,1404.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT W15 MM X H10 MM D12.5 MM LORDOTIC CERVIOS PEEK-OPTIMA RADIOPAQUE AXIAL CANAL SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT W15 MM X H5 MM D12.5 MM LORDOTIC CERVIOS PEEK-OPTIMA RADIOPAQUE AXIAL CANAL SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT W15 MM X H6 MM D12.5 MM LORDOTIC CERVIOS PEEK-OPTIMA RADIOPAQUE AXIAL CANAL SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT W15 MM X H7 MM D12.5 MM LORDOTIC CERVIOS PEEK-OPTIMA RADIOPAQUE AXIAL CANAL SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT W15 MM X H8 MM D12.5 MM LORDOTIC CERVIOS PEEK-OPTIMA RADIOPAQUE AXIAL CANAL SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER VERTEBRAL BODY REPLACEMENT W15 MM X H8 MM D12.5 MM PARALLEL CERVIOS PEEK-OPTIMA RADIOPAQUE LARGE AXIAL CANAL TEETH SPINAL,600.0,300.0,114.9,540.0,65
RC,0278,SPACER W16 MM X H10 MM 7 D D14 MM COALITION MIS SPINAL,1080.0,540.0,206.82,972.0,65
RC,0278,SPACER W50 MM X H8-17 MM 5-20 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
RC,0278,SPACER W60 MM X H11-20 MM 15-30 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
RC,0278,SPACER W60 MM X H8-15 MM 6 D D20 MM ELSA SPINAL,7860.0,3930.0,1505.19,7074.0,65
RC,0278,SPHERE EYE 16MM 16MM STERILE PMMA VENUS HARD LIGHTWEIGHT INERT VIRTUALLY UNBREAKABLE CLEAR,64.0,32.0,12.26,57.6,65
RC,0278,SPHERE EYE 18MM 18MM STERILE PMMA VENUS HARD LIGHTWEIGHT INERT VIRTUALLY UNBREAKABLE CLEAR,64.0,32.0,12.26,57.6,65
RC,0278,SPHERE EYE 18MM STERILE SILICONE ORBITAL ENUCLEATION EVISCERATION,55.0,27.5,10.53,49.5,65
RC,0278,SPHERE EYE 20MM STERILE SILICONE ORBITAL ENUCLEATION EVISCERATION,60.0,30.0,11.49,54.0,65
RC,0278,SPHERE EYE OD20 MM POROUS MEDPOR SST-EZ SUTURE HOLE CURVE TUNNEL ORBITAL RECONSTRUCTION,110.11,55.06,21.09,99.1,65
RC,0278,SPHERE EYE OD22 MM POROUS MEDPOR SST-EZ SUTURE HOLE CURVE TUNNEL ORBITAL RECONSTRUCTION,110.11,55.06,21.09,99.1,65
RC,0278,SPHERE OPHTHALMIC 18MM DIA HYDROXYAPATITE W/TITANIUM MICRO-BYPASS STENT INSERTER BIO-EYE RECON NON-TOXIC STERILE SINGLE-USE ORBITAL,895.0,447.5,171.39,805.5,65
RC,0278,SPHERE OPHTHALMIC 20MM DIA HYDROXYAPATITE W/TITANIUM MICRO-BYPASS STENT INSERTER BIO-EYE RECON NON-TOXIC STERILE SINGLE-USE ORBITAL,895.0,447.5,171.39,805.5,65
RC,0278,SPONGE BONE GRAFT SMALL 30MMW X 10MML X 7MMH CANCELLOUS COMPRESSIBLE OSTEOAMP,1411.35,705.68,270.27,1270.22,65
RC,0278,SPONGE RETINAL STYLE 507G 5.5MM X 7.5MM 80MML SILICONE VITREORETINAL GROOVED STERILE,292.0,146.0,55.92,262.8,65
RC,0278,SPRING CRANIOTOMY 6.5N SMARTFLEX,2333.0,1166.5,446.77,2099.7,65
RC,0278,STAPLE SPINE CAUDAL ANTERIOR L19 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
RC,0278,STAPLE SPINE CAUDAL ANTERIOR L21 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
RC,0278,STAPLE SPINE CAUDAL ANTERIOR L23 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
RC,0278,STAPLE SPINE ROSTRAL ANTERIOR L19 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
RC,0278,STAPLE SPINE ROSTRAL ANTERIOR L23 MM CD HORIZON LEGACY BONE,146.55,73.28,28.06,131.9,65
RC,0278,STEM FEMORAL 102MM HIP 127D 3 38MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,STEM FEMORAL 102MM HIP 132D 3 35MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,STEM FEMORAL 105MM HIP 127D 4 42MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,STEM FEMORAL 108MM HIP 127D 5 44MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,STEM FEMORAL 130MM HIP 127D 7 41MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
RC,0278,STEM FEMORAL 130MM HIP 132D 7 35MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
RC,0278,STEM FEMORAL 140MM HIP 132D 8 36MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
RC,0278,STEM FEMORAL 150MM HIP 132D 9 41MM OFFSET CEMENT OMNIFIT HFX,1000.0,500.0,191.5,900.0,65
RC,0278,STEM FEMORAL 96MM HIP 127D 1 34MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,STEM FEMORAL 99MM HIP 127D 2 37MM HIGH OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,STEM FEMORAL 99MM HIP 132D 2 33MM STANDARD OFFSET PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM STERILE,1900.0,950.0,363.85,1710.0,65
RC,0278,"STEM FEMORAL L175 MM OD19 MM 135 D STANDARD OFFSET PRESS FIT REDUCE PROXIMAL PROFILE PPS TITANIUM ECHO BI-METRIC,BI-METRIC HIP",1826.0,913.0,349.68,1643.4,65
RC,0278,STEM HUMERAL L130 MM OD9 MM AEQUALIS HA SHOULDER,2212.0,1106.0,423.6,1990.8,65
RC,0278,STENT ENDOPROSTHESIS 17MM 6CM 120CM THORACIC BRANCH W/12MM PORTAL 14FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,7800.0,3900.0,1493.7,7020.0,65
RC,0278,STENT ENDOPROSTHESIS 31MM 15CM 105CM THORACIC BRANCH W/12MM PORTAL 22FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,32000.0,16000.0,6128.0,28800.0,65
RC,0278,STENT ENDOPROSTHESIS 34MM 4.2CM 5MM 105CM THORACIC BRANCH W/24FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,11000.0,5500.0,2106.5,9900.0,65
RC,0278,STENT ENDOPROSTHESIS 37MM 15CM 105CM THORACIC BRANCH W/12MM PORTAL 24FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,32000.0,16000.0,6128.0,28800.0,65
RC,0278,STENT ENDOPROSTHESIS 37MM 20CM 105CM THORACIC BRANCH W/12MM PORTAL 24FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,32000.0,16000.0,6128.0,28800.0,65
RC,0278,STENT ENDOPROSTHESIS 40MM 15CM 105CM THORACIC BRANCH W/12MM PORTAL 26FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,32000.0,16000.0,6128.0,28800.0,65
RC,0278,STENT ENDOPROSTHESIS 45MM 4.6CM 6.5MM 105CM THORACIC BRANCH W/26FR DRYSEAL FLEX INTRODUCER SHEATH TAG NON-RADIOLUCENT,11000.0,5500.0,2106.5,9900.0,65
RC,0278,STENT ENDOPROSTHESIS GRAFT 20MM DIA 16.5-18.5MM ID INTENDED 9.5CML NITINOL CONTRALATERAL LEG ILIAC EXTENSION SUTURELESS CONSTRUCTION SEALING CUFF F/AAA EXCLUDER LATEX-FREE MRI-CONDITIONAL NON-RADIOLUC,4202.0,2101.0,804.68,3781.8,65
RC,0278,STENT EXCLUDER C3 OD10 MM L7 CM ILIAC ARTERY GORE-TEX NITINOL FEP AAA ACCEPTS ID8-9 MM 12FR SHEATH DELIVERY SYSTEM EXTENDER ENDOPROSTHESIS,3024.0,1512.0,579.1,2721.6,65
RC,0278,STENT FLEXIMA PLASTIC OD10 FR L15 CM DELIVERY SYSTEM TEMPORARY FLEXIMA BILIARY DUODENAL BEND ACCEPTS .035 IN GUIDEWIRE,95.47,47.74,18.28,85.92,65
RC,0278,STENT GORE TAG DRYSEAL FLEX OD10 MM ODSEC8 MM L8 MM L6 CM THORACIC AORTA AORTIC COMPONENT DELIVERY SYSTEM ENDOPROSTHESIS,7800.0,3900.0,1493.7,7020.0,65
RC,0278,STENT GORE TAG DRYSEAL FLEX OD12 MM ODSEC8 MM L8 MM L6 CM THORACIC AORTA AORTIC COMPONENT DELIVERY SYSTEM ENDOPROSTHESIS,7800.0,3900.0,1493.7,7020.0,65
RC,0278,STENT GORE TAG DRYSEAL FLEX OD15 MM ODSEC8 MM L8 MM L6 CM THORACIC AORTA ENDOPROSTHESIS AORTIC COMPONENT DELIVERY SYSTEM,7800.0,3900.0,1493.7,7020.0,65
RC,0278,STENT GORE TAG DRYSEAL FLEX OD34 MM ODSEC24 FR ID12 MM L40,32000.0,16000.0,6128.0,28800.0,65
RC,0278,STENT GORE TAG DRYSEAL FLEX OD37 MM ODSEC24 MM THORACIC AORTA AORTIC COMPONENT DELIVERY SYSTEM ENDOPROSTHESIS,11000.0,5500.0,2106.5,9900.0,65
RC,0278,STENT GORE TAG DRYSEAL FLEX OD45 MM ODSEC26 FR ID12 MM L40 MM L15 CM THORACIC AORTA AORTIC COMPONENT DELIVERY SYSTEM PORTAL ENDOPROSTHESIS,32000.0,16000.0,6128.0,28800.0,65
RC,0278,STENT GORE TAG OD21 MM L10 CM THORACIC AORTA NITINOL GOLD EPTFE FEP CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD21-26 MM L10 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD26 MM L10 CM THORACIC AORTA NITINOL FEP EPTFE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD26-31 MM L10 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD28 MM L10 CM THORACIC AORTA NITINOL FEP EPTFE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD28 MM L15 CM THORACIC AORTA NITINOL FEP EPTFE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD31 MM L10 CM THORACIC AORTA NITINOL FEP EPTFE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD31 MM L15 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD34 MM L10 CM THORACIC AORTA RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD34 MM L15 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD34 MM L20 CM THORACIC AORTA NITINOL GOLD EPTFE FEP CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD37 MM L10 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD37 MM L15 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD37 MM L20 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD40 MM L10 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD40 MM L15 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD40 MM L20 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD45 MM L10 CM THORACIC AORTA EPTFE FEP NITINOL GOLD FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD45 MM L15 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT GORE TAG OD45 MM L20 CM THORACIC AORTA EPTFE FEP NITINOL GOLD CONFORMABLE FLEXIBLE RADIOPAQUE ENDOPROSTHESIS,15060.0,7530.0,2883.99,13554.0,65
RC,0278,STENT INTRACRANIAL L21 MM OD4 MM NEUROFORM ATLAS,8396.18,4198.09,1607.87,7556.56,65
RC,0278,STENT MONTGOMERY 2 SUTURE BUTTON FLEXIBLE INTEGRAL REMOVABLE LOOP RADIOPAQUE SILICONE LARYNGEAL PEDIATRIC STERILE,168.0,84.0,32.17,151.2,65
RC,0278,STENT MONTGOMERY 37X10MM 11MM FLEXIBLE NONADHERENT INTEGRAL REMOVABLE LOOP 2 SUTURE BUTTON SMALL SILICONE LARYNGEAL ADULT STERILE,179.0,89.5,34.28,161.1,65
RC,0278,STENT MONTGOMERY 40X12MM 10MM FLEXIBLE NONADHERENT INTEGRAL REMOVABLE LOOP 2 SUTURE BUTTON MEDIUM SILICONE LARYNGEAL ADULT STERILE,95.0,47.5,18.19,85.5,65
RC,0278,STENT MONTGOMERY 47X15MM 16MM FLEXIBLE NONADHERENT INTEGRAL REMOVABLE LOOP 2 SUTURE BUTTON LARGE SILICONE LARYNGEAL ADULT STERILE,105.0,52.5,20.11,94.5,65
RC,0278,STENT STAINLESS STEEL OD7 MM L27 MM L135 CM RADIOPAQUE BALLOON EXPAND OPEN LATTICE MOUNT VISI-PRO BILIARY ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER SHEATH,575.0,287.5,110.11,517.5,65
RC,0278,STENT TRACHEOBRONCHIAL OD16 MM ODSEC22 FR L60 MM L59 CM GEOMETRIC OTW FULLY COVER ANTIMIGRATION STRUT LOW PROFILE PRELOAD DELIVERY CATHETER TRACHEAL AERO NITINOL POLYURETHANE HYDROPHILIC,2650.0,1325.0,507.48,2385.0,65
RC,0278,STRIP BONE GRAFT 0.3CMW X 8CML PRE-STITCHED TISSUE REINFORCEMENT ARTELON PLUS,1631.6,815.8,312.45,1468.44,65
RC,0278,STRIP BONE GRAFT 50MML 10MM THK DBM CORTICAL 35ML OSTEOCONDUCTIVE 3DEMIN 2/PK,845.0,422.5,161.82,760.5,65
RC,0278,SUBSTITUTE BONE GRAFT 1.2CC VITOSS BIOACTIVE VOID FILLER BA2X,240.0,120.0,45.96,216.0,65
RC,0278,SUBSTITUTE BONE GRAFT MATRIX 20 ML BLOCK VOID FILLER MASTERGRAFT,854.05,427.03,163.55,768.65,65
RC,0278,SURFACE ARTICULAR H17 MM NEXGEN LPS-FLEX 7-10 E-F KNEE FIX NET MOLD UHMWPE,550.0,275.0,105.33,495.0,65
RC,0278,SUTURE FIBERTAPE BLUNT NEEDLE STERNAL CLOSURE NONABSORBABLE,875.0,437.5,167.56,787.5,65
RC,0278,SUTURE STAINLESS STEEL STEEL 6 V-40 L18 IN MONOFILAMENT 4 STRAND NONABSORBABLE,123.06,61.53,23.57,110.75,65
RC,0278,SYSTEM CATHETER BARIUM IMPREGNATE CONNECTOR 3 FIXATION TAB STRATA C14-24 CM H2O LUMBOPERITONEAL L84 CM OD20 GA ODSEC14 GA,788.05,394.03,150.91,709.25,65
RC,0278,SYSTEM DELIVERY ENVEO PRO 14FR LOAD,390.0,195.0,74.69,351.0,65
RC,0278,SYSTEM DELIVERY ENVEO PRO LOAD,390.0,195.0,74.69,351.0,65
RC,0278,SYSTEM DELIVERY ENVEO PRO LS CATHETER TIP GUIDE TUBE INFLOW CONE BACKPLATE STERILE LATEX FREE DISPOSABLE,390.0,195.0,74.69,351.0,65
RC,0278,SYSTEM DELIVERY ENVEO R 23MM LOAD CATHETER TIP GUIDE TUBE INFLOW CONE BACKPLATE AORTIC VALVE STERILE LATEX FREE DISPOSABLE,390.0,195.0,74.69,351.0,65
RC,0278,SYSTEM DELIVERY ENVEO R 34MM LOAD,390.0,195.0,74.69,351.0,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 12FR 100MM 14MM 10MM GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 13FR 120MM 16MM 14MM GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 15FR 160MM 28MM 14MM GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 15FR 80MM 28MM 14MM GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 160MM 14MM 12FR GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 26CM GRAFT DELIVERY CATHETER ALTO ABDOMINAL STERILE LATEX FREE AAA,13999.0,6999.5,2680.81,12599.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT 45MM 18MM 13FR GRAFT ILIAC EXTENSION TRIVASCULAR OVATION PRIME OVATION IX ENDOVASCULAR AORTIC BODY ILIAC LIMB STERILE LATEX FREE AAA,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM ENDOPROSTHESIS STENT GRAFT DELIVERY SYSTEM OVATION IX ILIAC LIMB L80 MM OD14 MM ODSEC12 MM,5699.0,2849.5,1091.36,5129.1,65
RC,0278,SYSTEM FIXATION 15 ABSORBABLE FASTENER LOW PROFILE HOLLOW CORE ATRAUMATIC BLUNT TIP SORBAFIX L36 CM LAPAROSCOPIC INGUINAL VENTRAL HERNIA REPAIR,2700.0,1350.0,517.05,2430.0,65
RC,0278,SYSTEM FIXATION 30 ABSORBABLE FASTENER ARTICULATE OPTIFIX,5049.0,2524.5,966.88,4544.1,65
RC,0278,SYSTEM IMPLANT LINX 14 BEAD 1.5 TESLA GASTROINTESTINAL GERD,5500.0,2750.0,1053.25,4950.0,65
RC,0278,SYSTEM INTERNAL FIXATION LAPIPLASTY BIPLANAR 2.7MM 2.7MM 14X3.9MM 12MM PLATE LOW PROFILE LOCK SCREW CROSS SECTIONAL,4000.0,2000.0,766.0,3600.0,65
RC,0278,SYSTEM TRICLIP G4 1 STEERABLE GUIDE CATHETER ANY COMBINATION OF UP TO 3 CLIPS,36000.0,18000.0,6894.0,32400.0,65
RC,0278,SYSTEM VALVE PULMONARY 29MM TRANSCATHETER W/ALTERRA ADAPTIVE PRESTENT SAPIEN 3,41500.0,20750.0,7947.25,37350.0,65
RC,0278,TAB FIXATION EXTENDER,94.65,47.33,18.13,85.19,65
RC,0278,TISSUE ALLOGRAFT 8MM-10MM DIA 40MML FIBULAR SEGMENT ROUND FREEZE-DRIED MATRIGRAFT LATEX-FREE STERILE SINGLE-USE,453.7,226.85,86.88,408.33,65
RC,0278,TISSUE ARTELON REINF .7X16CM,2875.0,1437.5,550.56,2587.5,65
RC,0278,TISSUE CANC FINE 1-4MM 90CC,1150.0,575.0,220.23,1035.0,65
RC,0278,TISSUE FREEZE DRIED CORTICAL OR CANCELLOUS BLOCK ASSEMBLED 6X14X14MM LORDOTIC,540.0,270.0,103.41,486.0,65
RC,0278,TRICLIP G5 SYSTEM- 1 STEERABLE GUIDE CATHETER ANY COMBINATION OF UP TO 3 CLIPS,36000.0,18000.0,6894.0,32400.0,65
RC,0278,TUBE EAR ID1.02 MM SILICONE ELASTICITY SMOOTH TAB NOTCH INNER FLANGE PAPARELLA VENTILATION BLUE 1 MYRINGOTOMY,79.42,39.71,15.21,71.48,65
RC,0278,TUBE EAR ID1.14 MM ULTRASIL NOTCH INNER FLANGE TAB PAPARELLA VENTILATION BLUE 1 MYRINGOTOMY,589.23,294.62,112.84,530.31,65
RC,0278,TUBE EAR ID1.27 MM IDSEC1.5 MM SILICONE ELASTIC SMOOTH GYRUS ACMI VENTILATION BLUE COLLAR BUTTON MYRINGOTOMY,60.87,30.44,11.66,54.78,65
RC,0278,TUBE EAR ID1.27 MM SILICONE TAB PAPARELLA VENTILATION BLUE 2 MYRINGOTOMY,84.6,42.3,16.2,76.14,65
RC,0278,TUBE EAR L2.2 MM ID1.02 MM SILICONE TAB INTERMEDIATE RESIDENCE TIME TEMPORARY UMBRELLA VENTILATION GREEN,122.3,61.15,23.42,110.07,65
RC,0278,TUBE EAR L4.8 MM ID1.32 MM SILICONE SHORT FLANGE MODIFY RICHARDS MODIFIED TTUBE 1.32 MM ID 4.8 MM LENGTH SILICONE VENTILATION BLUE T MYRINGOTOMY,122.94,61.47,23.54,110.65,65
RC,0278,TUBE EAR L4.8 MM ID1.32 MM ULTRASIL MODIFY RICHARDS MODIFIED TTUBE 1.32 MM ID 4.8 MM LENGTH ULTRASIL VENTILATION BLUE T,126.31,63.16,24.19,113.68,65
RC,0278,TUBE ESOPHAGEAL SALIVARY BYPASS 34MMW X 191MML X 8MMH SILICONE NON-ADHERENT SMOOTH SURFACE CLEAR MONTGOMERY LATEX-FREE NON-RADIOLUCENT STERILE SINGLE-USE,217.0,108.5,41.56,195.3,65
RC,0278,TUBE ESOPHAGEAL SALIVARY BYPASS SIZE 10 36MM DIA 191CML SILICONE NON-ADHERENT SMOOTH SURFACE CLEAR MONTGOMERY LATEX-FREE NON-RADIOLUCENT,228.0,114.0,43.66,205.2,65
RC,0278,TUBE ESOPHAGEAL SALIVARY BYPASS SIZE 12 38MM DIA 191CML SILICONE FLEXIBLE MONTGOMERY,228.0,114.0,43.66,205.2,65
RC,0278,TUBE ESOPHAGEAL SIZE 14 40MM DIA 191CML SILICONE NON-ADHERENT SMOOTH SURFACE CLEAR MONTGOMERY LATEX-FREE NON-RADIOLUCENT,228.0,114.0,43.66,205.2,65
RC,0278,TUBE ESOPHAGEAL SIZE 16 41MM DIA 191CML SILICONE NON-ADHERENT SMOOTH SURFACE CLEAR MONTGOMERY LATEX-FREE NON-RADIOLUCENT,228.0,114.0,43.66,205.2,65
RC,0278,TUBE ID1.14 MM FLUOROPLASTIC BEVEL GROMMET ARMSTRONG VENTILATION,86.13,43.07,16.49,77.52,65
RC,0278,TUBE ID1.14 MM FLUOROPLASTIC BEVEL INNER FLANGE ARMSTRONG VENTILATION GROMMET MYRINGOTOMY,651.32,325.66,124.73,586.19,65
RC,0278,TUBE ID1.14 MM POLYETHYLENE GROMMET BEVEL POPE VENTILATION BLUE,79.42,39.71,15.21,71.48,65
RC,0278,TUBE L12 MM ID1.14 MM SILICONE GOODE T-TUBES VENTILATION,218.0,109.0,41.75,196.2,65
RC,0278,TUBE L4.5 MM ID1.14 MM ARMSTRONG V VENTILATION,80.08,40.04,15.34,72.07,65
RC,0278,TUBE TEAR DUCT .64MM .4MM 250MM ROUND OLIVE TIP PROBE STAINLESS STEEL SILICONE CRAWFORD BICANALICULUS INTUBATION,220.0,110.0,42.13,198.0,65
RC,0278,TUBE TYMPANOSTOMY 2 BEVEL INNER FLANGE TAB GROMMET ID1.14 MM ARMSTRONG SILICONE BLUE MYRINGOTOMY,79.42,39.71,15.21,71.48,65
RC,0278,TUBE VENT PAPRL NOTCH TAB 1.52,103.04,51.52,19.73,92.74,65
RC,0278,TUBE VENTILATION 0.89MM ID MINI SILICONE EAR REVERSIBLE W/TAB BLUE F/MYRINGOTOMY,99.82,49.91,19.12,89.84,65
RC,0278,TUBE VENTILATION 1.14MM 1 BLUE PAPARELLA TAB NOTCH INNER FLANGE ULTRASIL EAR,81.25,40.63,15.56,73.13,65
RC,0278,TUBE VENTILATION 1.14MM 3.6MM 1MM POPE H/C-FLEX EAR,135.9,67.95,26.02,122.31,65
RC,0278,TUBE VENTILATION 1.14MM BLUE PAPARELLA TYPE 1 TAB NOTCH INNER FLANGE VERY STABLE ULTRASIL EAR MYRINGOTOMY,314.69,157.35,60.26,283.22,65
RC,0278,TUBE VENTILATION 1.14MM ID 6MML BEVELED GOODE T-TUBE C-FLEX,114.82,57.41,21.99,103.34,65
RC,0278,TUBE VENTILATION 1.14MM REUTER BOBBIN STERILE LATEX FREE FLUOROPLASTIC MIDDLE EAR DISPOSABLE,69.06,34.53,13.22,62.15,65
RC,0278,TUBE VENTILATION 1.27MM 1MM BOBBIN MICRON CLOG RESISTANT TITANIUM FLUOROPLASTIC MYRINGOTOMY,199.65,99.83,38.23,179.69,65
RC,0278,TUBE VENTILATION 1.27MM 2.9MM 1.3MM SHEEHY COLLAR BUTTON STERILE SILICONE EAR,100.67,50.34,19.28,90.6,65
RC,0278,TUBE VENTILATION 1.27MM 5.8MM SHORT 6.7MM GOODE T-TUBE MODIFIED SILICONE EAR MYRINGOTOMY,168.27,84.14,32.22,151.44,65
RC,0278,TUBE VENTILATION 1.27MM 9.5MM 4.5MM GOODE T SILICONE EAR,171.39,85.7,32.82,154.25,65
RC,0278,TUBE VENTILATION 1.27MM ID 1.37MML SILICONE ULTRASIL F/MYRINGOTOMY DURAVENT,126.31,63.16,24.19,113.68,65
RC,0278,TUBE VENTILATION 1.27MM ID FLUOR PLASTIC TITANIUM,186.18,93.09,35.65,167.56,65
RC,0278,TUBE VENTILATION 1.35MM 5MM 2MM TRIUNE LUMEN FLANGE SILICONE,95.1,47.55,18.21,85.59,65
RC,0278,TUBE VENTILATION 1.37MM ID 4.8MML SILICONE T-SHAPED MODIFIED BLUE DURAVENT STERILE,120.52,60.26,23.08,108.47,65
RC,0278,TUBE VENTILATION ARMSTRONG BEVELED GROMMET COLLAR BUTTON SHORT 1.14MM ID 7.5MML SILICONE ULTRASIL TYMPANUM 90DEG W/FENESTRATED HOOK BLUE F/MYRINGOTOMY,89.17,44.59,17.08,80.25,65
RC,0278,TUBE VENTILATION ARMSTRONG BEVELED GROMMET COLLAR BUTTON SIZE 2 1.14MM ID SILICONE ULTRASIL TYMPANUM W/TAB BLUE F/MYRINGOTOMY,84.6,42.3,16.2,76.14,65
RC,0278,TUBE VENTILATION ARMSTRONG GROMMET 1.15/2.1IN DIA FLANGE SILICONE EAR MICROBLUE MICROGEL/H/C-FLEX,99.01,49.51,18.96,89.11,65
RC,0278,TUBE VENTILATION ARMSTRONG PAPARELLA TYPE 1 1.14MM ID W/O TAB BLUE,334.27,167.14,64.01,300.84,65
RC,0278,TUBE VENTILATION BEVELED ARMSTRONG GROMMET 1.14MM ID 3.5MM DIA INNER FLANGE FLUOROPLASTIC EAR MODIFIED BLACK F/MYRINGOTOMY ACTIVENT STERILE,113.58,56.79,21.75,102.22,65
RC,0278,TUBE VENTILATION BEVELED ARMSTRONG GROMMET 1.14MM ID 3.5MM DIA INNER FLANGE FLUOROPLASTIC EAR MODIFIED GREEN F/MYRINGOTOMY STERILE,141.44,70.72,27.09,127.3,65
RC,0278,TUBE VENTILATION BEVELED POPE GROMMET 1.14MM ID 3.6MM DIA INNER FLANGE 1.3MML FLUOROPLASTIC EAR GREEN F/MYRINGOTOMY STERILE,129.79,64.9,24.85,116.81,65
RC,0278,TUBE VENTILATION BEVELED POPE GROMMET 1.14MM ID POLYETHYLENE 45DEG ANGLED BLUE F/MYRINGOTOMY TYMPANUM,749.37,374.69,143.5,674.43,65
RC,0278,TUBE VENTILATION DONALDSON 1.14MM ID SILICONE 1.2AH CAPACITY EAR F/MYRINGOTOMY LATEX-FREE STERILE,58.12,29.06,11.13,52.31,65
RC,0278,TUBE VENTILATION DUTCHER 1.27MM ID 3MM/4.3MM INNER/MEDIAL FLANGE SILICONE ULTRASIL EAR W/TAB BLUE F/MYRINGOTOMY,88.26,44.13,16.9,79.43,65
RC,0278,TUBE VENTILATION GOODE GROMMET 1.27MM ID 9.5MM DIA INNER FLANGE 4.5MML SILICONE EAR T-SHAPED MODIFIED BLACK F/MYRINGOTOMY SHEEY TYPE ACTIVENT STERILE,147.02,73.51,28.15,132.32,65
RC,0278,TUBE VENTILATION MICRON BOBBIN 1MM ID TITANIUM FLURO W/FLANGE HOLES F/MYRINGOTOMY,205.13,102.57,39.28,184.62,65
RC,0278,TUBE VENTILATION PAPARELLA TAB NOTCH EAR,887.5,443.75,169.96,798.75,65
RC,0278,TUBE VENTILATION PAPARELLA TYPE 1 1.02MM ID SILICONE ULTRASIL W/TAB BLUE F/MYRINGOTOMY STERILE,84.6,42.3,16.2,76.14,65
RC,0278,TUBE VENTILATION PAPARELLA TYPE SIZE 1 1.02MM ID SILICONE ULTRASIL EAR NOTCHED INNER FLANGE W/TAB BLUE F/MYRINGOTOMY,341.48,170.74,65.39,307.33,65
RC,0278,TUBE VENTILATION RICHARDS 1.14MM ID 12MML SILICONE T-SHAPED ULTRASIL STERILE,115.95,57.98,22.2,104.36,65
RC,0278,TUBE VENTILATION RICHARDS 1.14MM ID 9.8MMW X 12MML SILICONE EAR T-SHAPED FLEXIBLE FLANGE LONG SHAFT BLUE F/MYRINGOTOMY,111.08,55.54,21.27,99.97,65
RC,0278,TUBE VENTILATION SHEEHY BOBBIN COLLAR BUTTON 1.27MM ID 2.9MM DIA INNER FLANGE LARGE 1.3MML SILICONE EAR GREEN F/MYRINGOTOMY ACTIVENT STERILE,1357.0,678.5,259.87,1221.3,65
RC,0278,TUBE VENTILATION SHEEHY BOBBIN COLLAR BUTTON 1.27MM ID 2.9MM DIA INNER FLANGE SILICONE OXIDIZE EAR BLACK F/MYRINGOTOMY ACTIVENT STERILE,388.0,194.0,74.3,349.2,65
RC,0278,TUBE VENTILATION SHEEHY CLASSIC COLLAR BUTTON 1.27MM ID 3MM DIA INNER FLANGE 1.52MML FLUOROPLASTIC EAR WHITE F/MYRINGOTOMY,66.74,33.37,12.78,60.07,65
RC,0278,TUBE VENTILATION SHEEHY COLLAR BUTTON 1.27MM ID LARGE 3MM DIA INNER FLANGE 1.55MML FLUOROPLASTIC EAR BLUE F/MYRINGOTOMY STERILE,167.0,83.5,31.98,150.3,65
RC,0278,TUBE VENTILATION SHEEHY COLLAR BUTTON 1.27MM ID LARGE 3MM DIA INNER FLANGE 1.5MML FLUOROPLASTIC EAR BLUE F/MYRINGOTOMY LATEX-FREE STERILE,285.41,142.71,54.66,256.87,65
RC,0278,TUBE VENTILATION SHEEHY TYPE ACTIVENT 2.9MM DIA 1.2MML SILICONE EAR COLLAR BUTTON F/MYRINGOTOMY STERILE,108.7,54.35,20.82,97.83,65
RC,0278,VALVE AORTIC 19MM 27MM 17.4MM ON-X CARBON PTFE 19 CYLINDRICAL 13.3MM 10.8MM MECHANICAL SEWING RING EXTEND HOLDER NONSTERILE,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC 22MM DIA LARGE PULMONARY CRYOPRESERVED NON-THROMBOGENIC NON-HEMOLYTIC F/RIGHT SIDE RECONSTRUCTION HYPOPLASTIC LEFT HEART CARDIOGRAFT LATEX-FREE,10446.47,5223.24,2000.5,9401.82,65
RC,0278,VALVE AORTIC 23MM COREVALVE EVOLUT R PORCINE PERICARDIUM 23MM 142CM 6MM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC 23MM FREESTYLE PORCINE 34MM 3MM ROOT BIOPROSTHESIS STERILE,6380.0,3190.0,1221.77,5742.0,65
RC,0278,VALVE AORTIC 25MM,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC 26MM COREVALVE EVOLUT R PORCINE PERICARDIUM 26MM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC 27MM LATEX FREE 400 SERIES,5720.0,2860.0,1095.38,5148.0,65
RC,0278,VALVE AORTIC 29MM COREVALVE EVOLUT R PORCINE PERICARDIUM 29MM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC 400 SERIES,5720.0,2860.0,1095.38,5148.0,65
RC,0278,VALVE AORTIC ATS OPEN PIVOT 16MM MECHANICAL AP SERIES,3735.0,1867.5,715.25,3361.5,65
RC,0278,VALVE AORTIC ATS OPEN PIVOT 20.2MM 18.8IN 20MM 2.56SQ CM STANDARD 2 VELOUR POLYESTER PYROLYTIC CARBON HEART 3 CUFF SUPRA ANNULAR UNIQUE AXIS AP,3735.0,1867.5,715.25,3361.5,65
RC,0278,VALVE AORTIC ATS OPEN PIVOT AP360 16MM 14.8MM PYROLYTIC CARBON 2 VELOUR POLYESTER 9.3MM SEWING CUFF LOW PROFILE ROTATABLE STERILE LATEX FREE AP SERIES,3735.0,1867.5,715.25,3361.5,65
RC,0278,VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA 21MM 24MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER,4944.0,2472.0,946.78,4449.6,65
RC,0278,VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA 23MM 26MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER,4944.0,2472.0,946.78,4449.6,65
RC,0278,VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA 25MM 28MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER,4944.0,2472.0,946.78,4449.6,65
RC,0278,VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA 27MM 28MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER,4944.0,2472.0,946.78,4449.6,65
RC,0278,VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA 29MM 32MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER,4944.0,2472.0,946.78,4449.6,65
RC,0278,VALVE AORTIC COREVALVE EVOLUT PRO 23-26MM 29MM PORCINE PERICARDIUM NITINOL BIOPROSTHESIS RADIOPAQUE 1 LAYER STERILE TRANSCATHETER AORTIC VALVE REPLACEMENT,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT FX 23MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT FX+ VALVETAV + 23MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT FX+ VALVETAV + 26MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT FX+ VALVETAV + 29MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT FX+ VALVETAV + 34MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT PRO 23MM PORCINE PERICARDIUM NITINOL,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT PRO 26MM PORCINE PERICARDIUM NITINOL,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT PRO+ 23MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT PRO+ 26MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT PRO+ 29MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT PRO+ 34MM,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC EVOLUT R 34MM PORCINE PERICARDIUM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE,30000.0,15000.0,5745.0,27000.0,65
RC,0278,VALVE AORTIC FREESTYLE 19MM PORCINE 30MM BIOPROSTHESIS STENTLESS,6380.0,3190.0,1221.77,5742.0,65
RC,0278,VALVE AORTIC FREESTYLE 21MM 32MM 3MM BIOPROSTHESIS HEMODYNAMIC FULL ROOT,6380.0,3190.0,1221.77,5742.0,65
RC,0278,VALVE AORTIC FREESTYLE 27MM,6380.0,3190.0,1221.77,5742.0,65
RC,0278,VALVE AORTIC FREESTYLE 29MM PORCINE 3MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT STERILE,6380.0,3190.0,1221.77,5742.0,65
RC,0278,VALVE AORTIC FREESTYLE AOA 25MM PORCINE 34MM 3MM BIOPROSTHESIS STENTLESS FULL ROOT HEMODYNAMIC,6380.0,3190.0,1221.77,5742.0,65
RC,0278,VALVE AORTIC GELWEAVE VALSALVA 20MM 17.4MM 27MM CARBON PTFE 11CM MECHANICAL SEWING RING CONDUIT,6650.0,3325.0,1273.48,5985.0,65
RC,0278,VALVE AORTIC GELWEAVE VALSALVA 22MM 19.4MM 30MM RING CARBON PTFE 11CM MECHANICAL CONDUIT SEW,6650.0,3325.0,1273.48,5985.0,65
RC,0278,VALVE AORTIC GELWEAVE VALSALVA 26MM 23.4MM 26MM RING CARBON PTFE 11CM MECHANICAL CONDUIT SEW,6650.0,3325.0,1273.48,5985.0,65
RC,0278,VALVE AORTIC H13 MM OD19 MM AVALUS ULTRA BIOPROSTHESIS CIRCULAR BASE BOVINE PERICARDIUM 19 MM,6195.0,3097.5,1186.34,5575.5,65
RC,0278,VALVE AORTIC H13 MM OD23 MM AVALUS ULTRA BIOPROSTHESIS CIRCULAR BASE BOVINE PERICARDIUM 23 MM,6195.0,3097.5,1186.34,5575.5,65
RC,0278,VALVE AORTIC H14 MM OD19 MM ID18.7 MM EPIC STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE TISSUE SUPRA,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE AORTIC H14 MM OD21 MM AVALUS ULTRA BIOPROSTHESIS CIRCULAR BASE BOVINE PERICARDIUM 21 MM,6195.0,3097.5,1186.34,5575.5,65
RC,0278,VALVE AORTIC H14 MM OD25 MM AVALUS ULTRA BIOPROSTHESIS CIRCULAR BASE BOVINE PERICARDIUM 25 MM,6195.0,3097.5,1186.34,5575.5,65
RC,0278,VALVE AORTIC H15 MM OD19 MM TRIFECTA TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM H12 MM,3850.0,1925.0,737.28,3465.0,65
RC,0278,VALVE AORTIC H15 MM OD21 MM ID20.8 MM EPIC STENT TISSUE ANNULUS PROTRUSION CUFF H11 MM SUPRA,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE AORTIC H15 MM OD23 MM ID21 MM EPIC LINX BIOPROSTHESIS STENT SEWING CUFF POLYESTER SUPRA,4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE AORTIC H15 MM OD27 MM AVALUS ULTRA BIOPROSTHESIS CIRCULAR BASE BOVINE PERICARDIUM 27 MM,6195.0,3097.5,1186.34,5575.5,65
RC,0278,VALVE AORTIC H16 MM OD23 MM ID22.6 MM EPIC STENT TISSUE ANNULUS PROTRUSION CUFF H13 MM SUPRA,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE AORTIC H16 MM OD23 MM ODSEC28 MM ID22 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA THERMAFIX BIOPROSTHESIS SUPRA ANNULAR COCR SILICONE RUBBER POLYESTER BOVINE PERICARDIUM,5245.0,2622.5,1004.42,4720.5,65
RC,0278,"VALVE AORTIC H16 MM OD25 MM ID23 MM EPIC LINX,LINX BIOPROSTHESIS STENTED SEWING CUFF SUPRA",4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE AORTIC H17 MM OD23 MM TRIFECTA TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM H13 MM,3850.0,1925.0,737.28,3465.0,65
RC,0278,VALVE AORTIC H17 MM OD25 MM ID24.5 MM EPIC STENT TISSUE ANNULUS PROTRUSION CUFF H13 MM SUPRA,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE AORTIC H17 MM OD27 MM ID25 MM EPIC LINX BIOPROSTHESIS STENTED SEWING CUFF SUPRA,4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE AORTIC H18 MM OD25 MM TRIFECTA TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM H14 MM,3850.0,1925.0,737.28,3465.0,65
RC,0278,VALVE AORTIC H18 MM OD29 MM AVALUS ULTRA BIOPROSTHESIS LOW PROFILE STENT RADIOPAQUE MARKER BOVINE PERICARDIAL AOA,6195.0,3097.5,1186.34,5575.5,65
RC,0278,VALVE AORTIC H19 MM OD27 MM ID26.3 MM EPIC STENT TISSUE ANNULUS PROTRUSION CUFF H14 MM SUPRA,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE AORTIC H19 MM OD27 MM TRIFECTA TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM H15 MM,3850.0,1925.0,737.28,3465.0,65
RC,0278,VALVE AORTIC H19 MM OD29 MM ID26.3 MM EPIC STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE TISSUE,4480.0,2240.0,857.92,4032.0,65
RC,0278,"VALVE AORTIC H19 MM OD29 MM ID27 MM EPIC FLEXFIT LINX,FLEXFIT,LINX BIOPROSTHESIS STENT SEWING CUFF HOLDER LOW PROFILE SUPRA",4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE AORTIC INSPIRIS RESILIA 21MM BOVINE PERICARDIUM FLEXIBLE,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE AORTIC INSPIRIS RESILIA 27 MM,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE AORTIC INSPIRIS RESILIA 29 MM,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE AORTIC INSPIRIS RESILIA LEAFLET SEWING RING BOVINE PERICARDIUM SILICON RUBBER 19 MM,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE AORTIC INSPIRIS RESILIA LEAFLET SEWING RING BOVINE PERICARDIUM SILICON RUBBER 23 MM,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE AORTIC KONECT AORTIC VALVED CONDUIT RESILIA 23 MM PREASSEMBLED BENTALL PROC,16000.0,8000.0,3064.0,14400.0,65
RC,0278,VALVE AORTIC KONECT AORTIC VALVED CONDUIT RESILIA 27 MM PREASSEMBLED BENTALL PROC,16000.0,8000.0,3064.0,14400.0,65
RC,0278,"VALVE AORTIC L12 CM OD31 MM MASTERS HEMASHIELD,HEMASHIELD MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL COLLAGEN",5385.0,2692.5,1031.23,4846.5,65
RC,0278,VALVE AORTIC LOTUS EDGE 23MM TRANSCATHETER PREMOUNT STERILE LATEX FREE,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE AORTIC LOTUS EDGE 25MM TRANSCATHETER PREMOUNT STERILE LATEX FREE,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE AORTIC LOTUS EDGE ISLEEVE 23MM 15F INTRODUCER,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE AORTIC LOTUS EDGE ISLEEVE 25MM 15F INTRODUCER,41500.0,20750.0,7947.25,37350.0,65
RC,0278,VALVE AORTIC MASTERS HEMASHIELD 25MM COLLAGEN 12CM MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL LATEX FREE,5385.0,2692.5,1031.23,4846.5,65
RC,0278,VALVE AORTIC MOSAIC CINCH 21MM STERILE LATEX FREE,5225.0,2612.5,1000.59,4702.5,65
RC,0278,VALVE AORTIC MOSAIC CINCH 23MM PORCINE 16MM BIOPROSTHESIS STENTED HOLDER SEWING RING,5225.0,2612.5,1000.59,4702.5,65
RC,0278,VALVE AORTIC MOSAIC CINCH 25MM PORCINE 17.5MM BIOPROSTHESIS STENTED HOLDER SEWING RING,6000.0,3000.0,1149.0,5400.0,65
RC,0278,VALVE AORTIC MOSAIC CINCH II ULTRA 19MM,5500.0,2750.0,1053.25,4950.0,65
RC,0278,VALVE AORTIC MOSAIC ULTRA CINCH 21MM RING PORCINE 15MM STENT HOLDER SEW 305,5500.0,2750.0,1053.25,4950.0,65
RC,0278,VALVE AORTIC MOSAIC ULTRA CINCH 23MM 16MM BIOPROSTHESIS,5500.0,2750.0,1053.25,4950.0,65
RC,0278,VALVE AORTIC MOSAIC ULTRA CINCHII 27MM 24MM 32MM POLYMER 18.5MM 15.5MM BIOPROSTHESIS ORIFICE SUTURE RING FLEXIBLE STENT MODEL 305,6000.0,3000.0,1149.0,5400.0,65
RC,0278,VALVE AORTIC OD16 MM CARDIOGRAFT ALLOGRAFT CRYOPRESERVE,11675.46,5837.73,2235.85,10507.91,65
RC,0278,"VALVE AORTIC OD17 MM MASTERS HEMODYNAMIC PLUS,HEMODYNAMIC PLUS MECHANICAL CUFF ROTATABLE STANDARD",3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD17-21 MM CARDIOGRAFT ALLOGRAFT CRYOPRESERVED MEDIUM,11902.17,5951.09,2279.27,10711.95,65
RC,0278,VALVE AORTIC OD19 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX BIOPROSTHESIS LOW PROFILE STENT BASE PERICARDIAL,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE AORTIC OD19 MM ID14.8 MM MASTER-SERIES MECHANICAL ROTATABLE EXPANDED CUFF PYROLYTIC CARBON,3554.0,1777.0,680.59,3198.6,65
RC,0278,"VALVE AORTIC OD19 MM ID17.8 MM REGENT FLEXCUFF,FLEXCUFF 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN PTFE PYROLYTIC CARBON 85 D SUPRA ANNULAR",3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD20 MM SAPIEN 3 COMMANDER EDWARDS TRANSCATHETER ULTRA LOW PROFILE,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE AORTIC OD20 MM SAPIEN 3 ULTRA RESILIA,34000.0,17000.0,6511.0,30600.0,65
RC,0278,VALVE AORTIC OD21 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX BIOPROSTHESIS LOW PROFILE STENT BASE PERICARDIAL,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE AORTIC OD21 MM EDWARDS INTUITY ELITE,12000.0,6000.0,2298.0,10800.0,65
RC,0278,VALVE AORTIC OD21 MM ID16.7 MM MASTERS SERIES CUFF LEAFLET OPEN CONTROL TORQUE ROTATION MECHANISM PYROLYTIC CARBON 85 D STANDARD HEART,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD21 MM ID19.6 MM REGENT FLEXCUFF 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN PTFE PYROLYTIC CARBON 85 D SUPRA ANNULAR,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD23 MM AVALUS MODEL 400,5720.0,2860.0,1095.38,5148.0,65
RC,0278,VALVE AORTIC OD23 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX BIOPROSTHESIS LOW PROFILE STENT BASE PERICARDIAL,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE AORTIC OD23 MM EDWARDS INTUITY ELITE,12000.0,6000.0,2298.0,10800.0,65
RC,0278,VALVE AORTIC OD23 MM REGENT MECHANICAL FLEX CUFF,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD23 MM SAPIEN 3 ULTRA RESILIA,34000.0,17000.0,6511.0,30600.0,65
RC,0278,VALVE AORTIC OD25 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE BIOPROSTHESIS LOW PROFILE STENT BASE PERICARDIAL,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE AORTIC OD25 MM CARPENTIER-EDWARDS PERIMOUNT RSR THERMAFIX BIOPROSTHESIS COCR SILICONE RUBBER POLYESTER BOVINE PERICARDIUM,4100.0,2050.0,785.15,3690.0,65
RC,0278,VALVE AORTIC OD25 MM ID20.4 MM MASTERS CUFF MECHANICAL LEAFLET ORIFICE CONTROL TORQUE ROTATION PYROLYTIC CARBON 85 D 3.09 SQ CM STANDARD RING HEART,3554.0,1777.0,680.59,3198.6,65
RC,0278,"VALVE AORTIC OD25 MM ID23 MM REGENT FLEXCUFF,FLEXCUFF 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN PTFE PYROLYTIC CARBON 85 D SUPRA ANNULAR",3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD25 MM INSPIRIS RESILIA BIOPROSTHESIS COCR SILICONE RUBBER POLYESTER BOVINE PERICARDIAL,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE AORTIC OD26 MM SAPIEN 3 ULTRA RESILIA,34000.0,17000.0,6511.0,30600.0,65
RC,0278,VALVE AORTIC OD27 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE BIOPROSTHESIS LOW PROFILE STENT BASE PERICARDIAL,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE AORTIC OD27 MM MASTER-SERIES MECHANICAL STANDARD CUFF ROTATABLE PYROLYTIC CARBON PTFE,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD27 MM REGENT MECHANICAL FLEX CUFF,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC OD29 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE BIOPROSTHESIS LOW PROFILE STENT BASE PERICARDIAL,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE AORTIC OD29 MM SAPIEN 3 ULTRA RESILIA,34000.0,17000.0,6511.0,30600.0,65
RC,0278,VALVE AORTIC OD31 MM ID26.1 MM MASTERS SERIES MECHANICAL ROTATABLE EXPAND CUFF PYROLYTIC CARBON 85 D,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC ON-X 21MM 30MM 19.4MM 284SQ MM TITANIUM PTFE CARBON 11.9MM 14.7MM HEART MECHANICAL ANATOMIC SEW RING EXTEND HOLDER BILEAFLET NONSTERILE,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X 23MM 33MM 21.4MM 344SQ MM TITANIUM PTFE CARBON 13.1MM 16.1MM HEART MECHANICAL ANATOMIC SEW RING EXTEND HOLDER BILEAFLET NONSTERILE,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X 25MM 34MM 23.4MM 411SQ MM TITANIUM PTFE CARBON 14.2MM 17.8MM HEART MECHANICAL ANATOMIC SEW RING EXTEND HOLDER BILEAFLET NONSTERILE,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X 33MM 24MM 21.4MM 23 3.13CM SQ PTFE 11CM SEW RING LEAFLET ASCEND,6650.0,3325.0,1273.48,5985.0,65
RC,0278,VALVE AORTIC ON-X 36MM 26.4MM 23.4MM 27/29 PTFE 17.8MM 14.2MM HEART ANATOMIC SEW RING,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X CONFORM-X 21MM 30MM 19.4MM 2.84SQ CM 22.2MM PTFE 14.7MM 11.9MM HEART SEWING RING,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X CONFORM-X 23MM 33MM 21.4MM 3.44SQ CM 24.3MM PTFE 16.1MM 13.1MM HEART SEWING RING,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X CONFORM-X 27-29MM 36MM 23.4MM 27/29 PTFE 17.8MM 14.2MM HEART SEWING RING HOLDER,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE AORTIC ON-X VASCUTEK GELWEAVE VALSALVA 26MM 36MM 23.4MM 27/29 3.73SQ CM RING PTFE 11CM MECHANICAL CONDUIT SEW GRAFT,6650.0,3325.0,1273.48,5985.0,65
RC,0278,VALVE AORTIC OPEN PIVOT AP 22.2MM 20.8MM 22MM LOW PROFILE 2 VELOUR POLYESTER FABRIC PYROLYTIC CARBON 12.3MM MECHANICAL ROTATABLE SEWING CUFF BILEAFLET STERILE,3900.0,1950.0,746.85,3510.0,65
RC,0278,VALVE AORTIC OPEN PIVOT AP360 24.2MM 22.8MM 24MM MECHANICAL CUFF,3735.0,1867.5,715.25,3361.5,65
RC,0278,VALVE AORTIC REGENT MECHANICAL 19/24.7MM ANNULUS/CUFF 11.6MM 2.4SQCM ORIFICE ROTATABLE PYROLYTIC CARBON BI-LEAFLET SUPRA ANNULAR 85DEG OPENING STANDARD CUFF MRI-CONDITIONAL 1/BX,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC REGENT MECHANICAL 21/26.7MM ANNULUS/CUFF 13MM 2.9SQCM ORIFICE ROTATABLE PYROLYTIC CARBON BI-LEAFLET SUPRA ANNULAR 85DEG OPENING STANDARD CUFF MRI-CONDITIONAL 1/BX,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC REGENT MECHANICAL 23/28.7MM ANNULUS/CUFF 14.3MM 3.5SQCM ORIFICE ROTATABLE PYROLYTIC CARBON BI-LEAFLET SUPRA ANNULAR 85DEG OPENING STANDARD CUFF MRI-CONDITIONAL 1/BX,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC REGENT MECHANICAL 25/30.7MM ANNULUS/CUFF 14.6MM 4SQCM ORIFICE ROTATABLE PYROLYTIC CARBON BI-LEAFLET SUPRA ANNULAR 85DEG OPENING STANDARD CUFF MRI-CONDITIONAL 1/BX,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE AORTIC SAPIEN 3 ULTRA 23MM HEART TRANSCATHETER STERILE LATEX FREE,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE AORTIC SIZE 22MM LARGE CRYOPRESERVED CARDIOGRAFT STERILE SINGLE-USE,10446.47,5223.24,2000.5,9401.82,65
RC,0278,VALVE AORTIC TISSUE SIZE 25MM 22.5MM ID 33MM DIA SUTURE RING 17.5MMH 15MML PROTRUSION PORCINE SUPRA ANNULAR STENTED FLEXIBLE BIOPROSTHETIC PROCESS W/CINCH HOLDER F/ADVANCED IMPLANT SYSTEM HANCOCK II S,4070.0,2035.0,779.41,3663.0,65
RC,0278,VALVE AORTIC TISSUE SIZE 27MM 24MM ID 36MM DIA SUTURE RING 18.5MMH 15.5MML PROTRUSION PORCINE SUPRA ANNULAR STENTED FLEXIBLE BIOPROSTHETIC PROCESS W/CINCH HOLDER F/ADVANCED IMPLANT SYSTEM HANCOCK II S,4070.0,2035.0,779.41,3663.0,65
RC,0278,VALVE AORTIC TRIFECTA 21MMW/GLIDE TECHNOLOGY,5493.0,2746.5,1051.91,4943.7,65
RC,0278,VALVE AORTIC TRIFECTA 29MMW/GLIDE TECHNOLOGY,5493.0,2746.5,1051.91,4943.7,65
RC,0278,VALVE EDWARDS SAPIEN NOVAFLEX AORTIC 26MM TRANSFEMORAL DELIVERY SYSTEM,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE EDWARDS SAPIEN NOVAFLEX AORTIC 29MM TRANSFEMORAL DELIVERY SYSTEM,32500.0,16250.0,6223.75,29250.0,65
RC,0278,VALVE HARMONY PULM TPV 22MM,33000.0,16500.0,6319.5,29700.0,65
RC,0278,VALVE HARMONY PULMONARY 25MM,33000.0,16500.0,6319.5,29700.0,65
RC,0278,VALVE HEMOSTASIS GUARDIAN II VSI OD8 FR GUIDEWIRE INSERTION TOOL ROTOLOCK INNER LUMEN,625.0,312.5,119.69,562.5,65
RC,0278,VALVE MELODY PLATINUM IRIDIUM PULMONARY 16MM BOVINE JUGULAR VEIN TRANSCATHETER FRAME 16-20MM DEPLOYMENT,25500.0,12750.0,4883.25,22950.0,65
RC,0278,VALVE MELODY PLATINUM IRIDIUM PULMONARY 18MM BOVINE JUGULAR VEIN TRANSCATHETER FRAME 18-22MM DEPLOYMENT,25500.0,12750.0,4883.25,22950.0,65
RC,0278,VALVE MITRAL 25-33MM 39MM 23.4MM ON-X CONFORM-X TITANIUM CARBON PTFE 17.8MM 14.2MM MECHANICAL SEWING RING STANDARD HOLDER NONSTERILE,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE MITRAL 25MM 23.4MM ON-X TITANIUM CARBON PTFE 33MM CYLINDRICAL 14.2MM 17.8MM HEART MECHANICAL ANATOMIC SEWING RING STANDARD HOLDER SUPRA ANNULAR,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE MITRAL 25MM 23MM EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE 16MM BIOPROSTHESIS STENT HOLDER,4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE MITRAL 25MM 33MM 22.5MM MOSAIC CINCH AOA POLYMER RING 18MM 13.5MM HEART STENT NONMETALLIC FRAME MOUNT LEAFLET RADIOPAQUE STERILE 310,4750.0,2375.0,909.63,4275.0,65
RC,0278,VALVE MITRAL 26.2MM 24.8MM OPEN PIVOT AP 2 VELOUR POLYESTER FABRIC PYROLYTIC CARBON 26MM LOW PROFILE 14.3MM MECHANICAL ROTATABLE SEWING CUFF BILEAFLET STERILE,3900.0,1950.0,746.85,3510.0,65
RC,0278,VALVE MITRAL 27.5MM 22.8IN ATS OPEN PIVOT 2 VELOUR POLYESTER PYROLYTIC CARBON 27MM 3.84SQ CM STANDARD HEART 3 CUFF SUPRA ANNULAR UNIQUE AXIS AP,3965.0,1982.5,759.3,3568.5,65
RC,0278,VALVE MITRAL 27/29MM 23.4MM ON-X TITANIUM CARBON PTFE 34MM CYLINDRICAL 14.2MM 17.8MM HEART MECHANICAL ANATOMIC SEWING RING STANDARD HOLDER SUPRA ANNULAR,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE MITRAL 27MM 35MM 24MM MOSAIC CINCH 19MM HEART BIOLOGICAL STENT SCALLOP SEWN HOLDER STERILE LATEX FREE MODEL 310,4750.0,2375.0,909.63,4275.0,65
RC,0278,VALVE MITRAL 28.2MM 26.8MM ATS OPEN PIVOT 2 VELOUR POLYESTER FABRIC PYROLYTIC CARBON 28MM 15.4MM MECHANICAL SEWING CUFF ROTATABLE BILEAFLET STERILE,3900.0,1950.0,746.85,3510.0,65
RC,0278,VALVE MITRAL 29MM 38MM 26MM MOSAIC CINCH AOA POLYMER RING 20.5MM 15.5MM HEART STENT NONMETALLIC FRAME MOUNT LEAFLET RADIOPAQUE STERILE 310,4750.0,2375.0,909.63,4275.0,65
RC,0278,VALVE MITRAL 31-33MM 36MM 23.4MM ON-X CARBON PTFE STANDARD CONICAL 17.8MM 14.2MM MECHANICAL SEWING RING EXTEND HOLDER NONSTERILE,4695.0,2347.5,899.09,4225.5,65
RC,0278,VALVE MITRAL 31MM 28.4MM EPIC TISSUE 20MM STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE MITRAL 31MM 41MM 28MM MOSAIC CINCH AOA POLYMER RING 22MM 17MM HEART STENT NONMETALLIC FRAME MOUNT LEAFLET RADIOPAQUE,4750.0,2375.0,909.63,4275.0,65
RC,0278,VALVE MITRAL 31MM ATS OPEN PIVOT STANDARD MECHANICAL,3965.0,1982.5,759.3,3568.5,65
RC,0278,VALVE MITRAL MECHANICAL 21MM DIA 16.7MM ID PYROLYTIC CARBON SUPRA ANNULAR ROTATABLE STANDARD CUFF MASTERS MRI-CONDITIONAL NON-RADIOLUCENT STERILE SINGLE-USE,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL MECHANICAL 27MM DIA 24.2MM ID PYROLYTIC CARBON SUPRA ANNULAR ROTATABLE STANDARD CUFF MASTERS HP MRI-CONDITIONAL NON-RADIOLUCENT STERILE,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD15 MM H8.2 MM ROTATABLE BILEAFLET MASTERS SERIES HEMODYNAMIC PLUS,9779.0,4889.5,1872.68,8801.1,65
RC,0278,VALVE MITRAL OD17 MM ID14.8 MM MASTERS HP MECHANICAL ROTATABLE STANDARD CUFF RADIOPAQUE HP SERIES,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD23 MM ID18.6 MM MASTERS MECHANICAL LEAFLET ORIFICE RING STANDARD CUFF PYROLYTIC CARBON 85 D,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD25 MM ID20.4 MM MASTERS-SERIES MECHANICAL CUFF ROTATABLE PYROLYTIC CARBON 85 D STANDARD,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD25 MM ID22.6 MM EPIC H16 MM STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE TISSUE,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE MITRAL OD25 MM MITRIS RESILIA,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE MITRAL OD27 MM ID22.5 MM MASTERS LEAFLET ORIFICE CONTROL TORQUE ROTATION EXPAND CUFF PYROLYTIC CARBON 85 D STANDARD RING ANNULUS,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD27 MM ID24.5 MM EPIC H17 MM STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE TISSUE,4480.0,2240.0,857.92,4032.0,65
RC,0278,VALVE MITRAL OD27 MM RESILIA,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE MITRAL OD29 MM ID24.2 MM MASTERS SERIES MECHANICAL CUFF LEAFLET OPEN CONTROL TORQUE ROTATION PYROLYTIC CARBON 85 D STANDARD SUPRA ANNULAR,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD29 MM ID26.3 MM EPIC H19 MM STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE TISSUE,4480.0,2240.0,857.92,4032.0,65
RC,0278,"VALVE MITRAL OD29 MM ID27 MM EPIC FLEXFIT,FLEXFIT H19 MM BIOPROSTHESIS STENT HOLDER PORCINE PERICARDIAL LOW PROFILE",4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE MITRAL OD29 MM RESILIA,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE MITRAL OD31 MM CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE BIOPROSTHESIS PERICARDIAL HEART,5245.0,2622.5,1004.42,4720.5,65
RC,0278,VALVE MITRAL OD31 MM ID26.1 MM MASTERS SERIES MECHANICAL CUFF LEAFLET OPEN CONTROL TORQUE ROTATION PYROLYTIC CARBON 85 D STANDARD SUPRA ANNULAR,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD31 MM ID29 MM EPIC H20 MM BIOPROSTHESIS STENT SEWING CUFF LOW PROFILE TISSUE 10 MM ANNULUS,4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE MITRAL OD31 MM RESILIA,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE MITRAL OD33 MM ID26.1 MM MASTERS SERIES MECHANICAL STANDARD CUFF LEAFLET OPEN CONTROL TORQUE ROTATION PYROLYTIC CARBON 85 D,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE MITRAL OD33 MM ID30.3 MM EPIC H20 MM STENT REDEFINE PERFORMANCE BIOPROSTHETIC LOW PROFILE TISSUE,4480.0,2240.0,857.92,4032.0,65
RC,0278,"VALVE MITRAL OD33 MM ID31 MM EPIC FLEXFIT,FLEXFIT H20 MM BIOPROSTHESIS STENT HOLDER PORCINE PERICARDIAL LOW PROFILE",4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE MITRAL OD33 MM MITRIS MITRIS RESILLA,7000.0,3500.0,1340.5,6300.0,65
RC,0278,VALVE MITRAL OD33 MM ODSEC43 MM ID30 MM MOSAIC CINCH H23 MM BIOLOGICAL STENT SCALLOP SEWN HOLDER H17.5 MM HEART 310,4750.0,2375.0,909.63,4275.0,65
RC,0278,VALVE MITRAL OD35 MM ID27 MM EPIC FLEXFIT H17 MM BIOPROSTHESIS STENT HOLDER LOW PROFILE PORCINE PERICARDIAL,4416.0,2208.0,845.66,3974.4,65
RC,0278,VALVE MITRAL OD35 MM MASTERS STANDARD CUFF,3554.0,1777.0,680.59,3198.6,65
RC,0278,VALVE PULMONARY CARDIOGRAFT ALLOGRAFT SMALL HEART,11675.46,5837.73,2235.85,10507.91,65
RC,0278,VALVE PULMONARY MEDIUM ALLOGRAFT CRYOPRESERVED OD17-21 MM CARDIOGRAFT,11675.46,5837.73,2235.85,10507.91,65
RC,0278,VALVE SHUNT 15CM H2O W/DISTAL CATHETER SHUNTASSISTANT 2.0,1285.6,642.8,246.19,1157.04,65
RC,0278,VALVE SHUNT DELTA CSF 1 LEVEL REGULAR,1680.84,840.42,321.88,1512.76,65
RC,0278,VALVE SHUNT DELTA CSF 1 LEVEL SMALL,1681.57,840.79,322.02,1513.41,65
RC,0278,VALVE SHUNT DELTA CSF LOW PRESSURE FLOW CONTROL CONTOUR REGULAR POLYPROPYLENE SILICONE ELASTOMER,998.35,499.18,191.18,898.52,65
RC,0278,VALVE SHUNT DELTA LEVEL 2 PRESSURE IMPREGNATE REGULAR,1680.46,840.23,321.81,1512.41,65
RC,0278,VALVE SHUNT DELTA LEVEL 2 SMALL,1616.52,808.26,309.56,1454.87,65
RC,0278,VALVE SHUNT DELTA PS MEDICAL CSF FLOW CONTROL HIGH PRESSURE SMALL CONTOUR POLYPROPYLENE SILICONE ELASTOMER HYDROCEPHALUS,960.33,480.17,183.9,864.3,65
RC,0278,VALVE SHUNT DELTA PS MEDICAL CSF FLOW CONTROL MEDIUM PRESSURE REGULAR CONTOUR POLYPROPYLENE SILICONE ELASTOMER HYDROCEPHALUS,998.35,499.18,191.18,898.52,65
RC,0278,VALVE SHUNT DELTA PS MEDICAL FLOW CONTROL NONADJUSTABLE MR SAFE HIGH PRESSURE REGULAR CONTOUR,960.04,480.02,183.85,864.04,65
RC,0278,VALVE SHUNT DELTA PS MEDICAL NONADJUSTABLE FIX PRESSURE REGULAR CONTOUR METAL,960.33,480.17,183.9,864.3,65
RC,0278,VALVE SHUNT INLINE SMALL PROGRAMMABLE W/O SIPHONGUARD CODMAN CERTAS PLUS,4645.49,2322.75,889.61,4180.94,65
RC,0278,VALVE SHUNT NA CSF FLOW CONTROL LOW PRESSURE SMALL CONTOUR POLYPROPYLENE SILICONE ELASTOMER HYDROCEPHALUS,998.52,499.26,191.22,898.67,65
RC,0278,VALVE SHUNT PROGRAMMABLE INLINE UNITIZED W/INTEGRATED PLASTIC CONNECTOR/14CM VENTRICULAR  120CM DISTAL CATHETER/PRIMING ADAPTER F/HYDROCEPHALUS HAKIM,6434.2,3217.1,1232.15,5790.78,65
RC,0278,VALVE ZEPHYR AIRWAY 4-7MM ENDOBRONCHIAL,2480.0,1240.0,474.92,2232.0,65
RC,0278,VALVE ZEPHYR AIRWAY 4-7MM ENDOBRONCHIAL 1 WAY LOW PROFILE,2480.0,1240.0,474.92,2232.0,65
RC,0278,WAX BONE 2.5GM WATER SOLUBLE ALKYLENE OXIDE OSTENE STERILE HEMOSTASIS,1299.04,649.52,248.77,1169.14,65
RC,0278,WEDGE AUGMENTATION L20 MM X W14 MM X H4.5 MM PEEK TITANIUM COTTON OSTEOTOMY,1663.5,831.75,318.56,1497.15,65
RC,0278,WEDGE AUGMENTATION THK6 MM BIOIMPLANT PREHYDRATE UNITE EVANS,1275.0,637.5,244.16,1147.5,65
RC,0278,WEDGE AUGMENTATION THK8 MM BIOIMPLANT PREHYDRATE UNITE EVANS,3650.0,1825.0,698.98,3285.0,65
RC,0278,WEDGE AUGMENTATION W14 MM THK6.5 MM D20 MM KEYSTONE LARGE FOOTPRINT PRESIZE CENTRAL AUXILIARY HOLE BIOFOAM COTTON W10 MM,1246.0,623.0,238.61,1121.4,65
RC,0278,WIRE CERCLAGE L10 MR COIL OD1.5 MM STAINLESS STEEL,53.84,26.92,10.31,48.46,65
RC,0278,WIRE FIXATION L350 MM KIRSCHNER,84.0,42.0,16.09,75.6,65
RC,0278,WIRE FIXATION OD.64 MM L160 MM NA LIGATURE BLUNT,149.6,74.8,28.65,134.64,65
RC,0278,WIRE FIXATION OD1.6 MM L150 MM L15 MM KIRSCHNER STAINLESS STEEL TROCAR POINT THREAD,128.51,64.26,24.61,115.66,65
RC,0278,WIRE FIXATION OD2.8 MM L200 MM L15 MM LCP ANKLE COMPRESSION THREAD,86.53,43.27,16.57,77.88,65
RC,0278,WIRE FIXATION OD2.8 MM L200 MM L20 MM LCP ANKLE COMPRESSION THREAD,86.53,43.27,16.57,77.88,65
RC,0278,WIRE FIXATION OD2.8 MM L200 MM L25 MM LCP ANKLE COMPRESSION THREAD,86.53,43.27,16.57,77.88,65
RC,0278,WIRE FIXATION OD2.8 MM L200 MM L30 MM LCP ANKLE COMPRESSION THREAD,86.53,43.27,16.57,77.88,65
RC,0278,WIRE FIXATION PRECEPT KIRSCHNER NITINOL SPINE BEVEL BLUNT TIP,23.0,11.5,4.4,20.7,65
RC,0278,WIRE SPINAL FIXATION KIRSCHNER 2.4MM DIA 300MML SHARP TIP SI-LOK,28.0,14.0,5.36,25.2,65
RC,0278,WIRE SUTURE NA OD18 GA STAINLESS STEEL,63.16,31.58,12.1,56.84,65
RC,0278,XIA 4.5 4.5-5.5 6.0 SIDE TOP LOADING CONNECTOR,425.0,212.5,81.39,382.5,65
RC,0290,Cardiac Device,,,290579.0,290579.0,1
RC,0294,Cardiac Device,,,290579.0,290579.0,1
RC,0350,HC 3D RENDERING WO CONCUR SUPV RADIANT ONLY,1000.0,500.0,218.1,1023.1,64
RC,0351,HC VIZ LVO POST CTA MEASURE ARTERIAL FLOW 4A03X5D,6395.1,3197.55,906.0,5755.59,64
RC,0360,HC MINOR PROCEDURE SURGICAL PACU,3773.0,1886.5,722.53,3395.7,64
RC,0360,HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL FIVE,200.7,100.35,38.43,180.63,64
RC,0360,HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL FOUR,185.25,92.63,35.48,166.73,64
RC,0360,HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL ONE,81.15,40.58,15.54,73.04,64
RC,0360,HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL THREE,164.75,82.38,31.55,148.28,64
RC,0360,HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL TWO,147.15,73.58,28.18,132.44,64
RC,0360,HC OR TIME - INITIAL 30 MIN - PROCEDURE LEVEL FOUR,16498.25,8249.13,3159.41,14848.43,64
RC,0360,HC OR TIME - INITIAL 30 MIN - PROCEDURE LEVEL ONE,4823.65,2411.83,923.73,4341.29,64
RC,0360,HC OR TIME - INITIAL 30 MIN - PROCEDURE LEVEL THREE,12964.8,6482.4,2482.76,11668.32,64
RC,0360,HC OR TIME - INITIAL 30 MIN - PROCEDURE LEVEL TWO,7347.0,3673.5,1406.95,6612.3,64
RC,0360,HC OR TIME - INITIAL 30 MIN- PROCEDURE LEVEL FIVE,18558.25,9279.13,3553.9,16702.43,64
RC,0360,HC SURGERY LEVEL 1 EA ADL MINUTE L&D,37.55,18.78,7.19,33.8,64
RC,0360,HC SURGERY LEVEL 1 FIRST 30 MINUTES L&D,2229.6,1114.8,426.97,2006.64,64
RC,0360,HC SURGERY LEVEL 2 EA ADL MINUTE L&D,68.05,34.03,13.03,61.25,64
RC,0360,HC SURGERY LEVEL 2 FIRST 30 MINUTES L&D,3395.9,1697.95,650.31,3056.31,64
RC,0360,HC SURGERY LEVEL 3 EA ADL MINUTE L&D,79.9,39.95,15.3,71.91,64
RC,0360,HC SURGERY LEVEL 3 FIRST 30 MINUTES L&D,6291.65,3145.83,1204.85,5662.49,64
RC,0360,HC SURGERY LEVEL 4 EA ADL MINUTE L&D,89.95,44.98,17.23,80.96,64
RC,0360,HC SURGERY LEVEL 4 FIRST 30 MINUTES L&D,8006.5,4003.25,1533.24,7205.85,64
RC,0360,HC SURGERY LEVEL 5 EA ADL MINUTE L&D,97.5,48.75,18.67,87.75,64
RC,0360,HC SURGERY LEVEL 5 FIRST 30 MINUTES L&D,9006.25,4503.13,1724.7,8105.63,64
RC,0361,HC INSERT LINE TEMP HEMODIALYSIS,767.65,383.83,147.0,690.89,64
RC,0361,HC US BIOPSY/ASP/DRAIN GEN CODE,1819.7,909.85,348.47,1637.73,64
RC,0361,HC VARIOUS SURGICAL,1511.3,755.65,289.41,1360.17,64
RC,0370,HC ANES TECHNICAL FEE LABOR EPIDURAL,3369.65,1684.83,734.92,3032.69,64
RC,0370,HC ANES TECHNICAL FEE PER MINUTE TIMED,112.35,56.18,24.5,101.12,64
RC,0370,HC ANES TECHNICAL FEE POST-OP PAIN BLOCK,2105.0,1052.5,459.1,1894.5,64
RC,0370,HC BLOCK PROCEDURE BASIC,934.1,467.05,203.73,840.69,64
RC,0370,HC LOCAL ANESTHESIA,877.15,438.58,191.31,789.44,64
RC,0370,HC MODERATE SEDATION TECHNICAL FEE,2105.0,1052.5,459.1,1894.5,64
RC,0450,HC HOSPITAL FEE SANE,544.15,272.08,75.38,489.74,67
RC,0450,HC SANE NURSE,653.0,326.5,75.38,587.7,67
RC,0451,HC ER CRITICAL CARE < 30 MIN,1059.55,529.78,62.81,953.6,67
RC,0451,HC ER HOLD PEND TRSF PER HR,84.85,42.43,18.51,76.37,67
RC,0451,HC TC1 FULL TEAM ACTVN W/O NOTIFICAT,9987.9,4993.95,62.81,8989.11,67
RC,0451,HC TC1 FULL TEAM ACTVN WO NOTIFICATN,14876.75,7438.38,62.81,13389.08,67
RC,0451,HC TC2 PART TEAM ACTVN W/O NOTIFICAT,6559.25,3279.63,62.81,5903.33,67
RC,0451,HC TC2 PART TEAM ACTVN WO NOTIFICATN,12302.8,6151.4,62.81,11072.52,67
RC,0451,HC TCA TEAM ALERT W/O NOTIFICATION,4994.9,2497.45,62.81,4495.41,67
RC,0451,HC TCA TEAM ALERT WO NOTIFICATION,8488.45,4244.23,62.81,7639.61,67
RC,0624,CLIP ANEURYSM MINI 3.6 MM OPENING L4 MM TITANIUM YASARGIL CURVED SLIGHTLY TEMPORARY CEREBRAL,493.6,246.8,107.65,444.24,64
RC,0671,HC CONTINUOUS OP CARE PER MIN,1.55,0.78,0.34,1.4,64
RC,0710,HC RECOVERY ROOM TIME PER MINUTE - OR WOB,29.9,14.95,6.52,26.91,64
RC,0710,HC RECOVERY ROOM TIME PER MINUTE - PROCEDURAL,29.9,14.95,6.52,26.91,64
RC,0710,HC RECOVERY ROOM TIME PER MINUTE - PROCEDURAL ADDL,29.9,14.95,6.52,26.91,64
RC,0710,HC RECOVERY TIME PER MINUTE - BCB,3.15,1.58,0.69,2.84,64
RC,0710,HC RECOVERY TIME PER MINUTE - EXT REC WOB,3.15,1.58,0.69,2.84,64
RC,0721,HC LABOR HOUR EACH,278.95,139.48,60.84,251.06,65
RC,0721,HC LABOR HOUR INTENSIVE EACH,426.75,213.38,75.38,384.08,65
RC,0722,HC DELIVERY FIELD   DELIVERY OUTSIDE OF THE FACILITY,1288.8,644.4,281.09,1159.92,64
RC,0722,HC DELIVERY HIGH RISK VAGINAL,4529.8,2264.9,987.95,4076.82,64
RC,0722,HC DELIVERY VAGINAL,3526.6,1763.3,769.15,3173.94,64
RC,0750,HC ENDO PROCEDURE EACH ADDITIONAL MINUTE,1.2,0.6,0.26,464.82,65
RC,0750,HC ENDO PROCEDURE FIRST 30 MINUTES,6583.6,3291.8,464.82,5925.24,65
RC,0760,HC MISC BEDSIDE PROCEDURE NURS/CLINICAL,1431.7,715.85,312.25,1288.53,64
RC,0760,HC MISC BEDSIDE VISIT/ASSESS NURS/CLINICAL,166.65,83.33,36.35,149.99,64
RC,0790,HC LITHOTRIPSY (NON-BILLABLE),1.2,0.6,0.23,1.08,64
RC,0790,HC LITHOTRIPSY OUTPT/STONE INST,731.35,365.68,140.05,658.22,64
RC,0801,HC ACUTE DIALYSIS - ICU,2483.85,1241.93,311.55,2235.47,65
RC,0811,HC KIDNEY ACQUISTION LIVE DONOR,98460.75,49230.38,311.55,88614.68,65
RC,0812,HC CADAVER DONOR - HEART,114926.85,57463.43,311.55,103434.17,65
RC,0812,HC CADAVER DONOR - KIDNEY,85226.7,42613.35,311.55,76704.03,65
RC,0812,HC CADAVER DONOR - LIVER,96848.5,48424.25,311.55,87163.65,65
RC,0812,HC CADAVER DONOR - PANCREAS,76927.2,38463.6,311.55,69234.48,65
RC,0815,HC BONE MARROW DONOR SEARCH FEE PEDS,24698.65,12349.33,311.55,22228.79,65
RC,0815,HC BONE MARROW TRANS. ACQUISITION FEE PEDS,74081.05,37040.53,311.55,66672.95,65
RC,0815,HC DONOR IDM TEST HBSAG ACQ CHARGE,268.65,134.33,58.59,311.55,65
RC,0815,HC DONOR IDM TEST HCV ACQ CHARGE,1289.5,644.75,281.24,1160.55,65
RC,0815,HC DONOR IDM TEST HIV ACQ CHARGE,537.3,268.65,117.19,483.57,65
RC,0815,HC DONOR IDM TEST HTLV ACQ CHARGE,1056.7,528.35,230.47,951.03,65
RC,0815,HC DONOR IDM TEST SYPHILLIS ACQ CHARGE,197.05,98.53,42.98,311.55,65
RC,0815,HC DONOR IDM TESTING ACQ CHARGE,447.75,223.88,97.65,402.98,65
RC,0906,Psych Services,,,972.0,1350.0,2
RC,0906,Room and Board,,,1531.0,1531.0,1
RC,0912,HC VISIT PER DEIM PARTIAL HOSPITAL,1060.75,530.38,231.35,957.0,64
RC,0941,HC ASSESSMENT REC,153.35,76.68,33.45,138.02,64
RC,0943,HC CARDIAC REHAB EDUCATION EA 15 MIN,206.55,103.28,45.05,185.9,65
RC,0969,HC ORAL EVAL PT <3YRS AGE,41.8,20.9,14.63,49.85,38
RC,0969,HC TOPICAL FLUORIDE VARNISH,18.5,9.25,6.48,55.34,38
RC,1001,Room and Board,,,635.04,882.0,2
RC,1002,Room and Board,,,635.04,882.0,2